CN105534572A - Endoscopic multifunctional separating clamp - Google Patents

Endoscopic multifunctional separating clamp Download PDF

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Publication number
CN105534572A
CN105534572A CN201510922324.5A CN201510922324A CN105534572A CN 105534572 A CN105534572 A CN 105534572A CN 201510922324 A CN201510922324 A CN 201510922324A CN 105534572 A CN105534572 A CN 105534572A
Authority
CN
China
Prior art keywords
claw beam
clamp
binding clip
pull bar
outer tube
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN201510922324.5A
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Chinese (zh)
Inventor
王平
王勇
谢秋萍
李志宇
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Zhejiang University ZJU
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Zhejiang University ZJU
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Zhejiang University ZJU filed Critical Zhejiang University ZJU
Priority to CN201510922324.5A priority Critical patent/CN105534572A/en
Publication of CN105534572A publication Critical patent/CN105534572A/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B2017/2926Details of heads or jaws

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Ophthalmology & Optometry (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention discloses an endoscopic separating clamp having various functions of separating, clamp grasping and neural monitoring. The endoscopic multifunctional separating clamp includes a clamp lever device and a handle device; the clamp lever device includes a clamp lever joint, a clamp lever connection, a clamp base, and a clamp head; the clamp lever device is externally coated with a layer of a polymeric insulating material which can ensure that the clamp head is only charged in the power-on situation; the clamp head is substantially coated with a high insulation heat shrink tube, and a space being about 3mm, of the top of the clamp head is only exposed, so that only the head of a clamp head assembly is charged; the handle device is detachable, and the direction of the champ head can be controlled through rotation of a rotatable wheel on the handle device; and open and close of the clamp head can be controlled through moving forward and backward of a pulling rod on the handle device. The endoscopic multifunctional separating clamp has the functions of separating, clamp grasping and neural monitoring; and through the endoscopic multifunctional separating clamp, channel surgical wounds due to a single probe can be decreased, surgical operators can be reduced, more and better operation spaces can be created for a surgery, and repeated change steps of devices can be reduced.

Description

Multi-functional elastic separating plier under the mirror of a kind of chamber
Technical field
Invention relates to one and has separation, elastic separating plier under the mirror of multi-functional chamber to be grabbed with Neural monitoring by pincers.
Background technology
Recurrent nerve injury is one of most important complication of thyroid operation, can cause patient's hoarseness, even can death by suffocation time serious, or forever cries out, and tracheotomy, has a strong impact on quality of life.Device for endoscopic thyroid surgery is because taking into account beauty treatment and refinement and be widely used in all kinds of thyroid disease needing surgical intervention, and development in recent years is rapid.Wherein recurrent laryngeal nerve location is one of its committed step with being separated.Therefore, in art, recurrent laryngeal nerve monitoring has great importance for device for endoscopic thyroid surgery.
Without special recurrent laryngeal nerve monitoring probe in current device for endoscopic thyroid surgery, the conventional probe used in open thyroid operation, needs surgical staff to do duct at patient's cervical region and inserts probe.Because endoscope-assistant surgery working place is little, multiple operating theater instruments is inserted and can be had a strong impact on operation technique; In nerve positioning and separation process, often need repeatedly to clamp and grab, be separated surrounding tissue, constantly stimulate monitoring nerve signal simultaneously, still there is no both at home and abroad a kind ofly can to take into account separations, clamp the chamber mirror of grabbing with Neural monitoring under elastic separating plier, need constantly to change apparatus to operate, cause operating difficulty to increase and operating time prolongation.
Summary of the invention
The independent probe of open surgery is used to affect operation technique in order to overcome in current device for endoscopic thyroid surgery recurrent laryngeal nerve observation process, increase wound, existing elastic separating plier cannot take into account separation, pincers are grabbed and Neural monitoring function, repeatedly change apparatus and increase operating difficulty and the problem of time, invention provides elastic separating plier under a kind of novel chamber mirror, and this elastic separating plier can take into account separation simultaneously, pincers are grabbed and Neural monitoring function.
The technical solution adopted for the present invention to solve the technical problems is:
Under the mirror of a kind of chamber, elastic separating plier comprises claw beam device and handle apparatus, and described claw beam device comprises binding clip, isolating shrinkable tube, clamp block, pull bar slide block, pull bar, claw beam outer tube, claw beam joint; Claw beam joint is connected with claw beam outer tube, claw beam outer tube leading portion is connected with binding clip by clamp block, and isolating shrinkable tube parcel binding clip is except tip portion, and pull bar is connected with binding clip by pull bar slide block, pull bar and claw beam joint can make relative motion, and claw beam joint is connected with handle apparatus.
Described handle apparatus comprises runner, mutually hinged front hand grip and back handle; Described claw beam joint is connected with front hand grip, and runner can drive claw beam joint and rotate together with the parts that are connected with claw beam joint, and back end of tie rod bulb is connected with back handle, and the folding of handle apparatus can drive pull bar movable.
Preferably, the partial-length 2-3.5mm on described binding clip top is exposed outside isolating shrinkable tube.
Further, described clamp block and claw beam outer tube are connected and fixed, and binding clip is connected with clamp block by stub axle, and binding clip is connected with pull bar slide block, and pull bar slide block moves forward and backward the opening and closing driving binding clip.
Preferably, described claw beam outer tube outer wall is also provided with insulation outer tube.Described claw beam outer tube and claw beam joint are provided with flush-through connection, and claw beam outer tube and claw beam joint arrange sealing thread pad and O type circle.After described claw beam assembly coordinates with handle apparatus, the claw beam joint in claw beam assembly is connected with the plug in handle apparatus.
The invention has the beneficial effects as follows, separation can be taken into account simultaneously, pincers are grabbed and Neural monitoring, not only reduce the duct surgical wound of independent probe, reduce operating theatre staff, for how better working place is created in operation; Reduce apparatus exchonge step repeatedly simultaneously, reduce operating time.
Accompanying drawing explanation
Below in conjunction with drawings and Examples, the present invention is further described.
Fig. 1 is structural map of the present invention;
In figure, 1. probe 2. isolating shrinkable tube 3. stub axle 4. pull bar slide block 5. clamp block 6. pull bar 7. claw beam outer tubes 8. insulate outer tube 9. flush-through connection 10. elastomeric O-type circle 11. claw beam nipple 12. sealing thread pad 13.O type circle 14. claw beam joint 15. runner 16. plug 17. back handle 18. front hand grip;
Fig. 2 is the binding clip opened;
Fig. 3 is closed binding clip.
Detailed description of the invention
Below in conjunction with Figure of description, the invention will be further described.
As shown in Figure 1, under the mirror of chamber, elastic separating plier comprises claw beam device and handle apparatus, and described claw beam device comprises binding clip, isolating shrinkable tube 2, clamp block 5, pull bar slide block 4, pull bar 6, claw beam outer tube 7, insulation outer tube 8, claw beam joint 14; Claw beam joint 14 is connected with claw beam outer tube 7, claw beam outer tube 7 leading portion is connected with binding clip by clamp block 5, insulation outer tube 8 wraps up claw beam outer tube 7, isolating shrinkable tube 2 wraps up binding clip except tip portion, pull bar 6 is connected with binding clip by pull bar slide block 4, pull bar 6 and claw beam joint 14 can make relative motion, and claw beam joint 14 is connected with handle apparatus.
Described handle apparatus comprises runner 15, mutually hinged front hand grip 18 and back handle 17; Described claw beam joint 14 is connected with front hand grip 18, and runner 15 can drive claw beam joint and rotate together with the parts that are connected with claw beam joint, and pull bar 6 rear end bulb is connected with back handle 17, and the folding of handle apparatus can drive pull bar movable.
Preferably, the part on described binding clip top, i.e. probe 1 length 2 ~ 3.5mm are exposed outside isolating shrinkable tube 2.
Further, described clamp block 5 is connected and fixed with claw beam outer tube 7, and binding clip is connected by stub axle 3 and clamp block phase 5, and binding clip is connected with pull bar slide block 4, and pull bar slide block moves forward and backward the opening and closing driving binding clip.
Preferably, described claw beam outer tube outer wall is also provided with insulation outer tube 8.Described claw beam outer tube 7 is provided with flush-through connection 9 with claw beam joint 14 place, and flush-through connection 9 is sealed by elastomeric O-type circle, and claw beam outer tube 7 and claw beam joint 14 junction arrange sealing thread pad 12 and O type circle 13.After described claw beam assembly coordinates with handle apparatus, the claw beam joint in claw beam assembly is connected with the plug 16 in handle apparatus.
This nerve probe is made up of claw beam device and handle apparatus, and handle apparatus is detachable.Electric current is by conducting to claw beam joint, claw beam joint is connected with claw beam outer tube, claw beam outer tube is connected with binding clip by clamp block, claw beam device outer wrap one deck insulating polymeric material, ensure nerve probe clamp head part bit strip electricity in the energized state, other positions are not charged, and with high isolating shrinkable tubing, irregular binding clip is wrapped up, simultaneously for binding clip top exposes the space of about 3mm, binding clip assembly is made to only have head charged (as shown in Figure 1), by reducing the charged area of binding clip, and this nerve probe is furnished with runner on handle apparatus, binding clip direction can be rotated with runner and be changed direction, thus make doctor's quick position nervus motorius in operation process, Real-Time Monitoring function of nervous system.
Configuration flush-through connection, can to binding clip in operation process after logical liquid, and clamp block, pull bar slide block etc. rinse, and the foreign body preventing operation process from producing and bloodstain stick to binding clip assembly, cause apparatus to occur the phenomenon of clamping stagnation, affect operation technique.And O type circle is set at claw beam joint and pull bar gap location seals, prevent in flushing process, water spills from claw beam joint, affects operation technique.Claw beam device is non-dismountable, apparatus after surgery cleaning and sterilizing time can inject water under high pressure by flush-through connection thus operation process be remained in the foreign body of claw beam device inwall, bloodstain is rinsed well.
This nerve probe is by the action of handle apparatus, and pushing drawing rod forward-reverse, to control the opening and closing of binding clip.Current back handle is mediated, and pull bar retreats thereupon, and namely binding clip closes, and reaches and captures function (as shown in Figure 2); Front and back handle opens, and pull bar advances, and namely binding clip opens, thus reaches the centrifugation (as shown in Figure 3) to tissue.

Claims (7)

1. an elastic separating plier under the mirror of chamber, is characterized in that comprising claw beam device and handle apparatus, and described claw beam device comprises binding clip, isolating shrinkable tube, clamp block, pull bar slide block, pull bar, claw beam outer tube, claw beam joint; Claw beam joint is connected with claw beam outer tube, claw beam outer tube leading portion is connected with binding clip by clamp block, and isolating shrinkable tube parcel binding clip is except tip portion, and pull bar is connected with binding clip by pull bar slide block, pull bar and claw beam joint can make relative motion, and claw beam joint is connected with handle apparatus.
2. elastic separating plier under the mirror of chamber as claimed in claim 1, is characterized in that described handle apparatus comprises runner, mutually hinged front hand grip and back handle; Described claw beam joint is connected with front hand grip, and runner can drive claw beam joint and rotate together with the parts that are connected with claw beam joint, and back end of tie rod bulb is connected with back handle, and the folding of handle apparatus can drive pull bar movable.
3. elastic separating plier under the mirror of chamber as claimed in claim 1, is characterized in that the partial-length 2-3.5mm on described binding clip top, exposed outside isolating shrinkable tube.
4. elastic separating plier under the mirror of chamber as claimed in claim 1, it is characterized in that described clamp block and claw beam outer tube are connected and fixed, binding clip is connected with clamp block by stub axle, and binding clip is connected with pull bar slide block, and pull bar slide block moves forward and backward the opening and closing driving binding clip.
5. elastic separating plier under the mirror of chamber as claimed in claim 1, is characterized in that described claw beam outer tube outer wall is also provided with insulation outer tube.
6. elastic separating plier under the mirror of chamber as claimed in claim 1, it is characterized in that described claw beam outer tube and claw beam joint are provided with flush-through connection, claw beam outer tube and claw beam joint arrange sealing thread pad and O type circle.
7. elastic separating plier under the mirror of chamber as claimed in claim 1, after it is characterized in that described claw beam assembly coordinates with handle apparatus, the claw beam joint in claw beam assembly is connected with the plug in handle apparatus.
CN201510922324.5A 2015-12-11 2015-12-11 Endoscopic multifunctional separating clamp Pending CN105534572A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201510922324.5A CN105534572A (en) 2015-12-11 2015-12-11 Endoscopic multifunctional separating clamp

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201510922324.5A CN105534572A (en) 2015-12-11 2015-12-11 Endoscopic multifunctional separating clamp

Publications (1)

Publication Number Publication Date
CN105534572A true CN105534572A (en) 2016-05-04

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Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107334511A (en) * 2017-08-01 2017-11-10 武汉半边天微创医疗技术有限公司 A kind of gun-type ultrasound knife with Neural monitoring function in art
CN107361820A (en) * 2017-08-01 2017-11-21 武汉半边天医疗技术发展有限公司 A kind of ultrasound with Neural monitoring function in art is cut
CN109480951A (en) * 2018-12-29 2019-03-19 杭州圣石科技有限公司 One kind is exempted to dismount flushable applicator
CN112472216A (en) * 2021-01-12 2021-03-12 江苏百宁盈创医疗科技有限公司 Multifunctional separating forceps with nerve stimulation current output
CN112617970A (en) * 2020-12-02 2021-04-09 苏州贝诺医疗器械有限公司 Laparoscope fallopian tube recanalization clamp

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN202537657U (en) * 2012-03-30 2012-11-21 桐庐万禾医疗器械有限公司 Bipolar coagulation separating forceps
US20130138104A1 (en) * 2009-09-03 2013-05-30 Covidien Lp Open vessel sealing instrument with pivot assembly
US20130304059A1 (en) * 2012-05-14 2013-11-14 Tyco Healthcare Group Lp Modular Surgical Instrument with Contained Electrical or Mechanical Systems
CN203677184U (en) * 2013-12-27 2014-07-02 张雅青 Three-folded type endoscope minimally invasive operating forceps
CN204092090U (en) * 2014-09-27 2015-01-14 常州市智业医疗仪器研究所有限公司 A kind of titanium clamp pincers
CN105030300A (en) * 2015-03-23 2015-11-11 唐华松 Multifunctional nerve monitoring and fine separating probe clamp

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20130138104A1 (en) * 2009-09-03 2013-05-30 Covidien Lp Open vessel sealing instrument with pivot assembly
CN202537657U (en) * 2012-03-30 2012-11-21 桐庐万禾医疗器械有限公司 Bipolar coagulation separating forceps
US20130304059A1 (en) * 2012-05-14 2013-11-14 Tyco Healthcare Group Lp Modular Surgical Instrument with Contained Electrical or Mechanical Systems
CN203677184U (en) * 2013-12-27 2014-07-02 张雅青 Three-folded type endoscope minimally invasive operating forceps
CN204092090U (en) * 2014-09-27 2015-01-14 常州市智业医疗仪器研究所有限公司 A kind of titanium clamp pincers
CN105030300A (en) * 2015-03-23 2015-11-11 唐华松 Multifunctional nerve monitoring and fine separating probe clamp

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107334511A (en) * 2017-08-01 2017-11-10 武汉半边天微创医疗技术有限公司 A kind of gun-type ultrasound knife with Neural monitoring function in art
CN107361820A (en) * 2017-08-01 2017-11-21 武汉半边天医疗技术发展有限公司 A kind of ultrasound with Neural monitoring function in art is cut
CN109480951A (en) * 2018-12-29 2019-03-19 杭州圣石科技有限公司 One kind is exempted to dismount flushable applicator
CN109480951B (en) * 2018-12-29 2024-01-12 杭州圣石科技股份有限公司 Disassembly-free flushable clip applier
CN112617970A (en) * 2020-12-02 2021-04-09 苏州贝诺医疗器械有限公司 Laparoscope fallopian tube recanalization clamp
CN112472216A (en) * 2021-01-12 2021-03-12 江苏百宁盈创医疗科技有限公司 Multifunctional separating forceps with nerve stimulation current output

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Application publication date: 20160504

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