CN106214203B - It is a kind of for pressing from both sides the device for closing notch - Google Patents

It is a kind of for pressing from both sides the device for closing notch Download PDF

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Publication number
CN106214203B
CN106214203B CN201610797991.XA CN201610797991A CN106214203B CN 106214203 B CN106214203 B CN 106214203B CN 201610797991 A CN201610797991 A CN 201610797991A CN 106214203 B CN106214203 B CN 106214203B
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CN
China
Prior art keywords
cramping body
notch
sides
control line
grip block
Prior art date
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Active
Application number
CN201610797991.XA
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Chinese (zh)
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CN106214203A (en
Inventor
令狐恩强
马连君
陈晋市
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First Medical Center of PLA General Hospital
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Individual
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Priority to CN201610797991.XA priority Critical patent/CN106214203B/en
Publication of CN106214203A publication Critical patent/CN106214203A/en
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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/10Surgical instruments, devices or methods, e.g. tourniquets for applying or removing wound clamps, e.g. containing only one clamp or staple; Wound clamp magazines
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/08Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/122Clamps or clips, e.g. for the umbilical cord
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/128Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips
    • A61B17/1285Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips for minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B2017/12004Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for haemostasis, for prevention of bleeding

Abstract

The present invention provides a kind of for pressing from both sides the device for closing notch, belongs to the field of medical instrument technology.Described device includes pressing from both sides closing part, and operation portion, operation portion presss from both sides closing part by the traction control of control line and clamped and locked, and folder closing part includes the first cramping body, the second cramping body and third cramping body, and the first cramping body is provided with rotational structure and locking structure;Second cramping body and third cramping body are connect by rotational structure with the first cramping body, and rotational structure is for making the second cramping body and third cramping body be respectively relative to the rotation of the first cramping body;Second cramping body and third cramping body are respectively used to combine with the first cramping body and be clamped with the tissue to notch two sides, and locking structure closes notch clip with involving the tissue of notch two sides for locking to clamping.The embodiment of the present invention compared with prior art, can press from both sides and close bigger operative incision, and operation is easier, be conducive to the progress of operation.

Description

It is a kind of for pressing from both sides the device for closing notch
Technical field
The present embodiments relate to the field of medical instrument technology more particularly to a kind of for pressing from both sides the device for closing notch.
Background technique
In recent years, endoscope minimally invasive operation is gradually gained popularity, and needs to carry out using Tncision closing device in Minimally Invasive Surgery The folder of operative incision closes.Closure techniques can be divided into Endoscopic clips closing device, scope pin type stitching devices and scope stapler Closing device etc..Although every kind of technology all has its unique distinction, safely, effectively, efficiently be applied to clinic, need depth Enter exploratory development.Currently, most-often used closure techniques are Endoscopic clips closing devices, i.e., completed by scope and hemostatic clamp The folder of operative incision closes.
In realizing process of the present invention, inventor has found that at least there are the following problems in existing hemostatic clamp: existing to stop Blood chuck end opening angle is limited, when some operative incision clamps are stopped blooding and are closed, the notch especially performed the operation compared with It when big, for example Alimentary Tract Perforation and performs the operation fistula mouth through natural cavity, a hemostatic clamp is difficult to realize the complete folder to larger notch It closes, if being stopped blooding by multiple hemostatic clamps and being closed operative incision, and will lead to complicated for operation, cumbersome.
Therefore, how to provide a kind of convenient and can press from both sides that close the closing device of larger area operative incision be that scope is minimally invasive A urgent problem to be solved in operation development process.
Summary of the invention
In view of this, one of the technical issues of embodiment of the present invention is solved be to provide it is a kind of for pressing from both sides the dress for closing notch It sets, it is in the prior art to press from both sides closing for the larger notch for closing device to overcome in the prior art when carrying out endoscope minimally invasive operation Close difficult, cumbersome defect.
The embodiment of the present invention provides a kind of for pressing from both sides the device for closing notch, including folder closing part, operation portion, the operation portion are logical It crosses folder closing part described in the traction control of control line and carries out clamping and lock operation,
The folder closing part includes the first cramping body, the second cramping body and third cramping body, the first cramping body setting There are rotational structure and locking structure;Second cramping body and the third cramping body pass through the rotational structure and described first Cramping body connection, the rotational structure is for making second cramping body and the third cramping body be respectively relative to described first Cramping body rotation;Second cramping body and the third cramping body are respectively used to combine with first cramping body to notch The tissue of two sides is clamped, and the locking structure is for locking the clamping, to involve the group of the notch two sides It knits and the folder of the notch is closed.
Optionally, in a specific embodiment of the invention, further includes: soft conduit, the soft conduit is for connecting institute Folder closing part and the operation portion are stated, and is multiplexed with the channel of the control line.
Optionally, in a specific embodiment of the invention, first cramping body includes that one end has there are two clamping face, separately One end have installing pipe the first grip block, second cramping body include one end have a clamping face, the other end have pacify Second grip block of loading board, the third cramping body include the third that one end has mounting plate with a clamping face, the other end Grip block;Two clamping faces of first grip block clamping face pair with second grip block and third grip block respectively It answers, is clamped with the tissue to notch two sides.
Optionally, in a specific embodiment of the invention, two clamping faces of first grip block are far from the installation The first barbed protuberances of the tissue of clamping notch two sides are respectively set in the position of pipe.
Optionally, in a specific embodiment of the invention, the clamping face of second grip block and third grip block is separate The second barbed protuberances and third barbed protuberances of the tissue of clamping notch two sides are respectively set in the position of the mounting plate.
Optionally, in a specific embodiment of the invention, the installing pipe of first grip block, second clamping The mounting plate of plate and the third grip block has the corresponding through-hole in position, and the rotational structure includes setting described logical Shaft in hole, the shaft is for turning first cramping body respectively with second cramping body and the third cramping body Dynamic connection.
Optionally, in a specific embodiment of the invention, the installing pipe is hollow pipe, and the locking structure is set to institute It states in hollow pipe.
Optionally, in a specific embodiment of the invention, the locking structure is slide unit, is set on the slide unit The protrusion of two internal buckles is set, setting groove corresponding with the protrusion, the control on second cramping body and third cramping body Line processed, which carries out sliding specifically for the traction slide unit, enables the protrusion and the groove agree with to complete to lock.
Optionally, in a specific embodiment of the invention, the slide unit and the installing pipe also set up two accordingly Fluting, the lock cell locks the clamping by the fluting, and second cramping body and the third cramping body are logical It crosses the fluting and opens bigger angle.
Optionally, in an of the invention specific embodiment, the operating unit include main part and with the main part The first operating unit being slidably connected, the second operating unit and third operating unit, correspondingly, the control line include the first control Line processed, the second control line and third control line,
First operating unit is locked by locking structure described in the first control line traffic control;
Second operating unit is clamped by the first cramping body described in the second control line traffic control;
The third operating unit controls the second cramping body described in line traffic control by the third and is clamped.
Optionally, in a specific embodiment of the invention, the folder closing part further includes being detached from body, and the disengaging body is connected to Between the folder closing part and the operation portion, the disengaging body is for separating the folder closing part and the operation portion.
Optionally, in a specific embodiment of the invention, the folder closing part and the disengaging portion pass through elastomeric element pin joint, Card knot is provided on the control line, the card knot opens pin joint for drawing the elastomeric element, to separate the disengaging portion With the folder closing part.
Optionally, in an of the invention specific embodiment, the control line the fixed structure and the operation portion it Between be provided with gap structure, the gap structure is used to disconnect the control line after the locking.
By above technical scheme as it can be seen that the embodiment of the present invention provides a kind of for pressing from both sides the device for closing notch, including folder closing part, Operation portion, folder closing part carries out clamping described in traction control of the operation portion by control line and lock operation, the folder close Portion includes the first cramping body, the second cramping body and third cramping body, and first cramping body is provided with rotational structure and locking Structure;Second cramping body and the third cramping body are connect by the rotational structure with first cramping body, described Rotational structure is for making second cramping body and the third cramping body be respectively relative to the first cramping body rotation;It is described Second cramping body and the third cramping body are respectively used to combine with first cramping body and be carried out with the tissue to notch two sides Clamping, the locking structure is for locking the clamping, to involve the tissue of the notch two sides to the notch Folder closes.The present invention respectively clamps notch two sides by the first cramping body and the second cramping body and closes to centre folder to squeeze conjunction Notch, and clamping behaviour is locked by the locking structure and is done, compared with prior art, it can press from both sides and close bigger operative incision, and Operation is easier, is conducive to the progress of operation.
Detailed description of the invention
In order to more clearly explain the embodiment of the invention or the technical proposal in the existing technology, to embodiment or will show below There is attached drawing needed in technical description to be briefly described, it should be apparent that, the accompanying drawings in the following description is only this The some embodiments recorded in inventive embodiments can also obtain according to these attached drawings for those of ordinary skill in the art Obtain other attached drawings.
Fig. 1 is the embodiment of the present invention one for pressing from both sides the apparatus structure schematic diagram for closing notch;
Fig. 2 is that the embodiment of the present invention one is used to press from both sides the structural schematic diagram that closing part is pressed from both sides in the device for closing notch;
Fig. 3 is the embodiment of the present invention two for pressing from both sides the structural schematic diagram for closing barbed protuberances in the device of notch;
Fig. 4 is the embodiment of the present invention three for pressing from both sides the structural schematic diagram for closing rotational structure in the device of notch;
Fig. 5 is the embodiment of the present invention four for pressing from both sides the structural schematic diagram for closing locking structure in the device of notch;
Fig. 6 is the embodiment of the present invention five for pressing from both sides the structural schematic diagram for closing and slotting in the device of notch;
Fig. 7 is the embodiment of the present invention six for pressing from both sides the structural schematic diagram for closing operation portion in the device of notch;
Fig. 8 is that the embodiment of the present invention seven is used to press from both sides the structural schematic diagram that body is detached from the device for closing notch.
Specific embodiment
The embodiment of the present invention provides a kind of for pressing from both sides the device for closing notch, including folder closing part, operation portion, the operation portion are logical It crosses folder closing part described in the traction control of control line and carries out clamping and lock operation, wherein the folder closing part includes the first clamping Body, the second cramping body and third cramping body, first cramping body are provided with rotational structure and locking structure, second folder It holds body and the third cramping body and is connect by the rotational structure with first cramping body, and be respectively relative to described first Cramping body rotation, second cramping body and the third cramping body are combined with first cramping body to notch two sides respectively Tissue carry out clipping operation, and the clipping operation is locked by the locking structure, with realize involve described in cut The tissue of mouth two sides closes the folder of the notch, is cut by drawing close the tissue of notch two sides to centre with squeezing the conjunction operation Mouthful.Clamping is carried out to notch two sides respectively by the first cramping body and the second cramping body and is closed to centre folder to squeeze and close notch, and Clamping behaviour is locked by the locking structure to do, and compared with prior art, is had bigger folder and is closed area, and operation is easier, Be conducive to the progress of operation.
Certainly, any technical solution for implementing the embodiment of the present invention must be not necessarily required to reach simultaneously above all excellent Point.
In order to make those skilled in the art more fully understand the technical solution in the embodiment of the present invention, below in conjunction with the present invention Attached drawing in embodiment, technical scheme in the embodiment of the invention is clearly and completely described, it is clear that described reality Applying example only is a part of the embodiment of the embodiment of the present invention, instead of all the embodiments.Based on the implementation in the embodiment of the present invention The range of protection of the embodiment of the present invention all should belong in example, those of ordinary skill in the art's every other embodiment obtained.
Below with reference to attached drawing of the embodiment of the present invention the embodiment of the present invention will be further explained specific implementation.
In a specific embodiment of the invention, referring to Fig. 1 and Fig. 2, the embodiment of the present invention provides one kind and closes notch for pressing from both sides Device, comprising: folder closing part 1, operation portion 2, the operation portion 2 are pressed from both sides by folder closing part 1 described in the traction control of control line 3 It holds and lock operation, wherein the folder closing part 1 includes the first cramping body 11, the second cramping body 12 and third cramping body 13, First cramping body 11 is provided with rotational structure 14 and locking structure 15, second cramping body 12 and the third cramping body 13 are connect by the rotational structure 14 with first cramping body 11, and are respectively relative to first cramping body 11 and are rotated, Second cramping body 12 and the third cramping body 13 combine respectively with first cramping body 11 with the group to notch two sides Carry out clipping operation is knitted, and the clipping operation is locked by the locking structure 15, involves the notch to realize The tissue of two sides closes the folder of the notch.
The invention also includes: soft conduit 4, the soft conduit 4 are flexible pipe, and the flexible pipe is for connecting the folder Closing part 1 and the operation portion 2, and it is multiplexed with the channel of the control line 3.
The soft conduit 4 is flexible pipe, and channel is provided in the soft conduit 4 to pass through control line 3, to reduce The protection of stimulation and realization to control line 3 to human body, the folder closing part 1 are connect with the operation portion 2 by soft conduit 4, So as to cooperate scope that the folder closing part 1 is sent into inside of human body, completing inside of human body notch, (for example alimentary canal tube wall is cut Mouthful) folder closed operation.
Wherein, first cramping body 11 includes one end tool there are two clamping face, and the other end has the first folder of installing pipe Plate 111 is held, second cramping body 12 includes that one end has a clamping face, and the other end has the second grip block of mounting plate 121, the third cramping body 13 includes that one end has a clamping face, and the other end has the third grip block 131 of mounting plate;Institute State two clamping faces of the first grip block 111 clamping face pair with second grip block 121 and third grip block 131 respectively It answers, to realize the clipping operation.
The present embodiment can serve as common hemostatic clamp under normal conditions and use, and be completed by 2 traction control line 3 of operation portion Movement is closed to the folder of bleeding part, by control line 3 draw the clamping face of second cramping body 12 with or third cramping body 13 It, can the folder of Schilling second when the clamping face that clamping face is respectively relative to the first cramping body 11 is rotated to clamp to tissue The clamping face for holding body 12 clamps notch side tissue relative to the clamping face rotation of the first cramping body 11, then and locks Clipping operation is kept, the folder of bleeding vessel is closed to be realized as common hemostatic clamp.It can certainly be clamped by third The clamping face of body 13 clamps the tissue of the notch other side relative to the clamping face rotation of the first cramping body 11, then locks Clipping operation closes the folder of bleeding vessel to realize as common hemostatic clamp.
Specifically, in the present embodiment further include a locking structure 15, by the locking structure 15 by normal state into Enter lock state, the locking structure 15 can be used in the group using the second cramping body 12 and the first cramping body 11 to notch side When knitting the first clamping of progress, first clipping operation is locked, is then being pressed from both sides using third cramping body 13 relative to first It holds the rotation of body 11 and second clamping is carried out to the tissue of the notch other side, and lock the second clipping operation, so that completing folder closes notch Work.
It should be noted that using the second cramping body 12 and the clamping of the first cramping body 11 and the behaviour of locking otch side tissue The operation made and clamp simultaneously locking otch other side tissue using third cramping body 13 and the first cramping body 11, according to the tool of notch Specific situation when body situation and operation, can be divided into and successively carry out or carry out simultaneously.
In the present embodiment, the operative incision is closed to press from both sides by the tissue for pulling the notch two sides to notch, and led to It crosses locking structure to lock folder closed operation, can be pressed from both sides compared with traditional hemostatic clamp and close bigger notch.
In the present embodiment, folder closing part 1 and operation portion 2 are connected by a soft conduit 4, so that described close for pressing from both sides The device of notch can cooperate scope to enter human body work, so that the device is applied to some hands for having notch in inside of human body In art.
In the present embodiment, the operative incision is closed to squeeze by drawing close the tissue of notch two sides to centre, be clamped Tissue uniform force, without deliberately go adjustment jaw position go it is corresponding with blood vessel, to make the operation of Clipping notch It is more simple.
It in the present embodiment, can be by disconnecting line 13, and by operation portion 12 after completing locking to clipping operation It is separated with folder closing part 11, to facilitate the subsequent operation of operation.
In a specific embodiment of the invention, referring to Fig. 3, two clamping faces of first grip block 111 are far from described The first barbed protuberances of the tissue of clamping notch two sides are respectively set in the position of installing pipe.
It certainly, can selectively, in second grip block 121 and third grip block 131 according to the needs of clamping Clamping face is far from the mounting plate and the group of clamping notch two sides is respectively set in position corresponding with first barbed protuberances The second barbed protuberances and third barbed protuberances knitted, to realize preferably clamping effect.
In the present embodiment, described device includes folder closing part 1, operation portion 2, the traction that the operation portion 2 passes through control line 3 It controls the folder closing part 1 and carries out clamping and lock operation, wherein the folder closing part 1 is clamped including the first cramping body 11, second Body 12 and third cramping body 13, and set respectively in two parts of the clamping face far from installing pipe of first grip block 111 The first barb-like protrusion is set, and according to the needs of clamping, it is separate in the clamping face of the second grip block 121 and third grip block 131 The part of mounting plate is optionally provided the second barb-like protrusion and the barb-like protrusion of third respectively.It is pressed from both sides again by described first The rotational structure 14 and locking structure 15 of the setting of body 11 are held, second cramping body 12 and the third cramping body 13 pass through described Rotational structure 14 is connect with first cramping body 11, and is respectively relative to first cramping body 11 and is rotated, second folder Body 12 and the third cramping body 13 is held to be combined with first cramping body 11 respectively with the tissue progress to the notch two sides Clipping operation, and the clipping operation is locked by the locking structure 15, the notch two sides are involved to realize Tissue closes the folder of the notch, closes the operative incision by drawing close the tissue of notch two sides to centre to squeeze.This implementation Example is described to have more preferably for pressing from both sides the device for closing notch by the way that barb-like protrusion is arranged far from the position of mounting plate in each clamping face Clamping effect.
In a specific embodiment of the invention, referring to fig. 4, the installing pipe of first grip block 111, second clamping Plate 121 and the mounting plate of third grip block 131 have the corresponding through-hole in position, and the rotational structure 14 includes setting described logical Shaft in hole, second cramping body 12 and the third cramping body 13 pass through the shaft 141 relatively described first respectively Cramping body 11 rotates.
In the present embodiment, it is provided with first through hole 142 in the installing pipe of the first grip block 111, in second folder It holds plate 121 and the mounting plate of third grip block 131 and is respectively arranged with corresponding second through-hole 143 in position and third through-hole (in figure It is not shown), first through hole 142 is then each passed through by a shaft 141, the second through-hole 143 and third through-hole carry out hinged Form rotational structure 14.In the rotational structure 14, second grip block 121 and the third grip block 131 can divide It is not rotated by the shaft 141 relative to first grip block 111, and is respectively completed folder closed operation.
The present embodiment by second grip block 121 and the third grip block 131 by the shaft 141 respectively and First grip block 111 is hinged, to realize second grip block 121 and the third grip block 131 respectively with described the One grip block 111 carries out clipping operation, so that pressing from both sides closed operation is segmented into two steps, and by make respectively the tissue of notch two sides to Centre is drawn close to squeeze and close the operative incision, is closed to carry out folder to biggish notch.
In a specific embodiment of the invention, referring to Fig. 5, the installing pipe is hollow pipe, and the locking structure 15 is arranged In in the hollow pipe.
The locking structure 15 is the slide unit being connect by the control line 3 with the operation portion 12, the sliding The protrusion 151 of two internal buckles is set on component, and corresponding with setting on third cramping body 13 in second cramping body 12 Groove 152, operation portion 12, which by the control line 14 draws the slide unit, to carry out sliding and enables described raised 151 and described recessed Slot 152 agrees with, and completes the operation of locking.
Referring to Fig. 6, the slide unit and the installing pipe also set up two corresponding flutings 145, second clamping Body 12 and the third cramping body 13 pass through the bigger angle of 145 openings of slotting.
In the present embodiment, the sliding unit is in hollow tubular, is provided with a through-hole on its bottom surface, convenient for described Control line 3 is connected thereto.It is arranged on its side wall there are two the elastic slice detained to the inside of sliding unit, is arranged in the end of elastic slice There is wedge block, while the wedge groove that can agree with above-mentioned wedge block be set on the second cramping body 12 and third cramping body 13, By the way that by elastic slice button, to the inside of sliding unit, the wedge block of elastic slice end can be tightly attached to the second cramping body 12 and clamp with third On body 13, when wedge groove is moved to wedge block same position, wedge block continues by the power from elastic slice to fall into wedge In shape slot, locking work is completed.
Wherein, wedge groove follows 141 turns around the shaft of the second cramping body 12 and/or third cramping body 13 under normal conditions Dynamic, wedge block is not fallen in the rotation path of the wedge groove, therefore the clamping face of the second cramping body 12 and third cramping body 13 Clamping face can be respectively relative to the first cramping body 11 clamping face rotate to be clamped to tissue, only when from behaviour When making draw of the portion 12 by control line 13, wedge block is moved in the rotation path of wedge groove to be agreed with wedge groove, from And holding action is locked.
In addition, two corresponding flutings 145, second folder can also be arranged in the slide unit and the installing pipe Holding body 12 and the third cramping body 13 can be opened by the fluting 145 to 90 to 100 degree, to make the operation of clamping more It is convenient for.
The present embodiment locks clipping operation, can pass through disconnection after locking by simple locking structure 15 Connecting line 13 simultaneously separates operation portion 12 with folder closing part 11, to facilitate the subsequent operation of operation.
In the present embodiment, it is hollow pipe by setting installing pipe, and locking structure 15 is arranged in the hollow pipe The volume of folder closing part 1 can be effectively reduced and enter the stimulation generated when human body work to human body to reduce folder closing part 1.
In an of the invention specific embodiment, referring to Fig. 7, the operation portion 2 include main part 21 and with the main body The first operating unit 22 that portion 21 is slidably connected, the second operating unit 23 and third operating unit 24, correspondingly, the control line 3 include the first control line, the second control line and third control line,
First operating unit 22 is conducted the locking operations by locking structure 15 described in the first control line traffic control;
Second operating unit 23 carries out clipping operation by the second cramping body 12 described in the second control line traffic control;
The third operating unit 24 carries out clipping operation by third cramping body 13 described in the second control line traffic control.
In the present embodiment, the main part specifically includes upper end body 211, lower end body 212 and parallel setting in upper end The first traveller 213 and the second traveller 214 between body 211 and lower end body 212, the first 22 sets of operating unit is in the first traveller 213 On the second traveller 214, it can be slided along the first traveller 213 and the second traveller 214, to complete lock operation.Second operating unit 23 sets on the first traveller 213, and between the first operating unit 22 and upper end body 211.Accordingly, third operating unit 24 It covers on the second traveller 214, and between the first operating unit 22 and upper end body 211.
Optionally, it is respectively arranged on the first operating unit 22, the second operating unit 23 and third operating unit 24 logical The operation to folder closing part 1 to connect with corresponding control line 3, and is realized in hole.
In the present embodiment, be respectively arranged with the first control line on main part 21 and folder closing part 1, the second control line with And the channel of third control line, the first control line, the second control line and third control line pass through respective channel respectively and carry out Corresponding operation, so as to avoid having an impact mutual operation.
The present embodiment is achieved that the control of 2 pairs of operation portion folder closing part 1 by simple mechanical structure, uses control line 3 It is controlled, can more simply be separated operation portion 2 with folder closing part 1 after the completion of folder closes, consequently facilitating subsequent procedures It carries out.
In a specific embodiment of the invention, referring to Fig. 8, the folder closing part 1 further includes being detached from body 16, the disengaging body 16 It is connected between the folder closing part 1 and the operation portion 2, by the disengaging body 16, the folder closing part 1 and the operation portion 2 Complete separating action.
The folder closing part 1 is correspondingly set on the control line 13 with the disengaging body 16 by 161 pin joint of elastomeric element It is equipped with card knot, the elastomeric element 161 is drawn by card knot and opens pin joint, is closed with separating the disengaging portion 16 with the folder Portion 1.
In the present embodiment, it the folder closing part 1 and is detached from body 16 and opens respectively in corresponding position there are two for pin joint through-hole, The elastomeric element 161 is specially a spring leaf, and there are two the bolt for being used for pin joint around spring leaf, the spring leaf center is opened There is the through-hole passed through for the control line 3, folder closing part 1 described in the traction control that the operation portion 2 passes through control line 3 is clamped And after lock operation, can be tied by the card on control line makes the bolt on spring leaf exit through-hole, to press from both sides closing part 1 It is separated by being detached from body 16 with operation portion 2, and body 16 will be disengaged from by the card knot on control line 3 and be detached from folder closing part 1, thus after convenient The progress of continuous operation.
It should be noted that in the above-described embodiments, the control line 3 is in the fixed structure 15 and the operation portion 2 Between be provided with gap structure, the device closed for notch clip is by the gap structure after lock operation Disconnect the control line 3.
And in the above-described embodiments, degradation material production can be used in the clamping part 1, is carried out using folder closing part 1 After folder closes, folder closing part 1 can be made to be maintained on operative incision, can voluntarily be degraded after wound healing, to save seam Patient's bring pain is given when the cumbersome and myometrial suture closed.
Although the preferred embodiment of the embodiment of the present invention has been described, once a person skilled in the art knows bases This creative concept, then additional changes and modifications may be made to these embodiments.So the following claims are intended to be interpreted as Including preferred embodiment and fall into all change and modification of range of embodiment of the invention.Obviously, those skilled in the art Various modification and variations can be carried out to the embodiment of the present invention without departing from the spirit and scope of the embodiment of the present invention.If in this way, If these modifications and variations of the embodiment of the present invention belong within the scope of claim of the embodiment of the present invention and its equivalent technologies, Then the embodiment of the present invention is also intended to include these modifications and variations.

Claims (9)

1. a kind of for pressing from both sides the device for closing notch characterized by comprising folder closing part, operation portion, the operation portion pass through control Folder closing part described in the traction control of line is clamped and is locked,
The folder closing part includes the first cramping body, the second cramping body and third cramping body, and first cramping body, which is provided with, to be turned Dynamic structure and locking structure;Second cramping body and the third cramping body pass through the rotational structure and first clamping Body connection, the rotational structure is for making second cramping body and the third cramping body be respectively relative to first clamping Body rotation, the axis of the rotational structure is perpendicular to second cramping body or the rotational plane of third cramping body;Described second Cramping body and the third cramping body are respectively used to combine with first cramping body and be clamped with the tissue to notch two sides, The locking structure closes the notch clip with involving the tissue of the notch two sides for locking to the clamping;Institute Stating the first cramping body includes that there are two the first grip block that clamping face, the other end have installing pipe, second clampings for one end tool Body includes the second grip block that one end has mounting plate with a clamping face, the other end, and the third cramping body includes one end There is the third grip block of mounting plate with a clamping face, the other end;Two clamping faces of first grip block respectively with The clamping face of second grip block and third grip block is corresponding, is clamped with the tissue to notch two sides;The installing pipe For hollow pipe, the locking structure is set in the hollow pipe;The locking structure is slide unit, on the slide unit The protrusion of two internal buckles is set, and setting groove corresponding with the protrusion, described on second cramping body and third cramping body Control line, which carries out sliding specifically for the traction slide unit, enables the protrusion and the groove agree with to complete to lock;It is described Slide unit and the installing pipe also set up two corresponding flutings, and the locking structure locks the folder by the fluting It holds, second cramping body and the third cramping body pass through the bigger angle of opening of slotting.
2. the apparatus according to claim 1, which is characterized in that further include: soft conduit, the soft conduit is for connecting The folder closing part and the operation portion, and it is multiplexed with the channel of the control line.
3. the apparatus according to claim 1, which is characterized in that two clamping faces of first grip block are far from the peace The first barbed protuberances of the tissue of clamping notch two sides are respectively set in the position of tubulature.
4. the apparatus according to claim 1, which is characterized in that the clamping face of second grip block and third grip block is remote The second barbed protuberances for clamping the tissue of the notch two sides are respectively set in position from the mounting plate and third is barb-like Protrusion.
5. the apparatus according to claim 1, which is characterized in that the installing pipe of first grip block, described second The mounting plate of grip block and the third grip block has the corresponding through-hole in position, and the rotational structure includes being arranged in institute The shaft in through-hole is stated, the shaft is for clamping first cramping body and second cramping body with the third respectively Body rotation connection.
6. the apparatus according to claim 1, which is characterized in that the operation portion include main part and with the main part The first operation portion being slidably connected, the second operation portion and third operating unit, correspondingly, the control line include the first control Line, the second control line and third control line,
First operation portion is locked by locking structure described in the first control line traffic control;
Second operation portion is clamped by the first cramping body described in the second control line traffic control;
The third operation portion controls the second cramping body described in line traffic control by the third and is clamped.
7. the apparatus according to claim 1, which is characterized in that the folder closing part further includes being detached from body, and the disengaging body connects It connects between the folder closing part and the operation portion, the disengaging body is for separating the folder closing part and the operation portion.
8. device according to claim 7, which is characterized in that the folder closing part and the disengaging body pass through elastomeric element pin It connects, card knot is provided on the control line, the card knot opens pin joint for drawing the elastomeric element, to separate the disengaging Body and the folder closing part.
9. the apparatus according to claim 1, which is characterized in that the control line is in the locking structure and the operation portion Between be provided with gap structure, the gap structure is used to disconnect the control line after the locking.
CN201610797991.XA 2016-08-31 2016-08-31 It is a kind of for pressing from both sides the device for closing notch Active CN106214203B (en)

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