CN106308872A - Chained occlusion clamp - Google Patents
Chained occlusion clamp Download PDFInfo
- Publication number
- CN106308872A CN106308872A CN201610980048.2A CN201610980048A CN106308872A CN 106308872 A CN106308872 A CN 106308872A CN 201610980048 A CN201610980048 A CN 201610980048A CN 106308872 A CN106308872 A CN 106308872A
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- CN
- China
- Prior art keywords
- handle
- steel cable
- movable
- hollow
- fixed
- 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
Links
- 229910000831 Steel Inorganic materials 0.000 claims abstract description 48
- 239000010959 steel Substances 0.000 claims abstract description 48
- 239000007787 solid Substances 0.000 claims abstract description 22
- 238000007493 shaping process Methods 0.000 claims abstract description 11
- 230000000149 penetrating effect Effects 0.000 claims abstract description 6
- 230000000903 blocking effect Effects 0.000 claims description 22
- 210000004204 blood vessel Anatomy 0.000 abstract description 10
- 238000000034 method Methods 0.000 abstract description 8
- 230000002980 postoperative effect Effects 0.000 abstract description 4
- 238000011084 recovery Methods 0.000 abstract description 3
- 230000003247 decreasing effect Effects 0.000 abstract 1
- 238000005452 bending Methods 0.000 description 13
- 238000004513 sizing Methods 0.000 description 5
- 229910001209 Low-carbon steel Inorganic materials 0.000 description 2
- 208000002847 Surgical Wound Diseases 0.000 description 2
- 210000000709 aorta Anatomy 0.000 description 2
- 210000001367 artery Anatomy 0.000 description 2
- 238000007675 cardiac surgery Methods 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 1
- 210000003462 vein Anatomy 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12009—Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/2812—Surgical forceps with a single pivotal connection
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/2812—Surgical forceps with a single pivotal connection
- A61B17/282—Jaws
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/2812—Surgical forceps with a single pivotal connection
- A61B17/2841—Handles
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Medical Informatics (AREA)
- Animal Behavior & Ethology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Veterinary Medicine (AREA)
- Molecular Biology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Ophthalmology & Optometry (AREA)
- Reproductive Health (AREA)
- Vascular Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
The invention provides a chained occlusion clamp which comprises a fixed handle, a movable handle, a lengthened handle, a fixed clamp head and a movable clamp head. The movable handle is connected with the fixed handle and can open and close relative to the fixed handle, the lengthened handle with a hollow structure can be bent, one end of the lengthened handle is respectively connected with the fixed handle and the movable handle, the fixed clamp head is connected with the other end of the lengthened handle, and the movable clamp head is connected with the fixed clamp head and connected with the movable handle through a solid soft steel rope penetrating the lengthened handle. The bendable lengthened handle of the chained occlusion clamp can be freely bent and shaped by a surgeon according to a cut position and the position of a blood vessel needing occlusion, an opening of a jaw can be freely controlled by the movable handle after shaping, so that the size and the number of cuts in the surgical process can be decreased as far as possible, and postoperative recovery of patients is accelerated.
Description
Technical Field
The invention relates to the field of medical instruments, in particular to chain type blocking forceps.
Background
In cardiac surgery, occlusion forceps are used to occlude an artery or vein. Conventional occlusion clips have a fixed handle shape and require an additional incision in the patient's chest to reach the occlusion clip into the desired location in order to occlude a particular vessel. In minimally invasive cardiac surgery, in order to further reduce the damage to the patient caused by the surgical process, the size and the number of the chest incisions in the surgical process need to be reduced as much as possible so as to accelerate the postoperative recovery of the patient.
In order to realize aorta occlusion in the operation process, a large incision is often needed to be formed at a designated position of the chest of a human body by the existing instrument, so that the position and the direction of a traditional occlusion clamp can be conveniently adjusted to clamp the artery at the designated position. For example, chinese patent ZL200920218143.4 discloses a thoracoscopic lateral angle blood vessel blocking forceps, and similarly ZL201320684993.x discloses a minimally invasive ascending aorta blocking forceps, which all adopt a hinged structure of a jaw and a handle, and then the jaw or the handle is designed into a required shape according to actual needs, and the structure is difficult to instantly change the shape of the blocking forceps as required to adapt to special needs of the operation.
Disclosure of Invention
In order to solve the above technical problems, the present invention provides a chain type blocking forceps, comprising:
fixing a handle;
the movable handle is connected with the fixed handle and can be opened and closed relative to the fixed handle;
the lengthening handle is of a hollow structure and can be bent, and one end of the lengthening handle is connected with the fixed handle and the movable handle respectively;
the fixed binding clip is connected with the other end of the lengthening handle; and
the movable binding clip is connected with the fixed binding clip and is connected with the movable handle through a solid soft steel cable penetrating through the lengthened handle.
In one embodiment of the invention, the elongate shank comprises:
the hollow soft steel rope can be tightened and loosened, and the solid soft steel rope penetrates through the part of the lengthened handle to be accommodated in the hollow soft steel rope; and
a plurality of pipe sections arranged along a length direction of the hollow flexible steel cable, and each of the plurality of pipe sections surrounding the hollow flexible steel cable,
wherein:
when the hollow flexible steel cord is tightened, adjacent pipe sections of the plurality of pipe sections are pressed against each other and generate friction, an
When the hollow flexible cable is loosened, adjacent pipe sections of the plurality of pipe sections are loosened from each other.
In one embodiment of the invention, the elongated shank further comprises:
the steel cable sleeve is arranged in the hollow soft steel cable, the steel cable sleeve is provided with a central through hole in the length direction, and the part of the solid soft steel cable penetrating through the lengthened handle is arranged in the central through hole of the steel cable sleeve and can freely slide in the steel cable sleeve.
In one embodiment of the invention, the elongated shank further comprises:
one end of the tube body is connected with one end of the lengthening handle, and the other end of the tube body is respectively connected with the fixed handle and the movable handle;
the shaping knob is arranged around the pipe body and can slide along the length direction of the pipe body through rotation; and
the connecting block is arranged in the pipe body and is provided with a chuck which is protruded in the radial direction, the chuck can be clamped in the shaping knob so that the connecting block slides along the length direction of the pipe body along with the shaping knob, one end of the connecting block facing the hollow soft steel cable is connected with the hollow soft steel cable,
wherein,
the solid soft steel cable respectively penetrates through the pipe body and the connecting block to be connected with the movable handle.
In one embodiment of the invention, the hollow flexible steel cable is welded and fixed with the connecting block.
In one embodiment of the invention, each of the plurality of tube sections is annular, one end surface of the annular is an arc surface, the other end surface of the annular is a conical surface, and the arc surface and the conical surface of each of the plurality of tube sections face the conical surface and the arc surface of the adjacent tube section respectively.
In one embodiment of the invention, the solid flexible cable is connected to the movable binding clip by a hinge.
The bendable lengthened handle of the chain type blocking forceps disclosed by the invention can be freely bent and shaped by an operator according to the position of the incision and the position of a blood vessel to be blocked, and the opening of the forceps jaws can be freely controlled by the movable handle after shaping, so that expect can be seen to reduce the size and the number of the incisions in the operation process so as to accelerate the postoperative recovery of a patient.
Drawings
FIG. 1 is a schematic structural view of a chain occlusion forceps in accordance with an exemplary embodiment of the present invention;
FIG. 2 is a more detailed structural schematic of the chain blocking forceps shown in FIG. 1;
FIG. 3 is a schematic structural view of the elongated handle of the chain blocking forceps shown in FIG. 1; and
fig. 4 is an enlarged view of a partial region a in fig. 1.
Detailed Description
Illustrative, non-limiting embodiments of the present invention will now be described in detail with reference to the accompanying drawings, further illustrating chain blocking forceps according to the present invention.
Referring to fig. 1-3, in one exemplary embodiment of the present invention, a chain type occlusion forceps is disclosed, which includes a fixed handle 2, a movable handle 1, an elongated handle 4, a fixed jaw 51, a movable jaw 52, and a solid mild steel cable 41. The fixed handle 2 and the movable handle 1 are respectively connected to one end of the lengthened handle 4, the other end of the lengthened handle 4 is respectively connected with the fixed tong head 51 and the movable tong head 52, and the movable handle 1 is connected with the movable tong head 52 through a solid soft steel cable 41 penetrating through the lengthened handle 4.
The movable handle 1 is connected with the fixed handle 2, and the movable handle 1 can be opened and closed relative to the fixed handle 2, so that an operator can control the opening and closing of the fixed tong head 51 and the movable tong head 52 through the movable handle 1 and the fixed handle 2. The elongated shank 4 is hollow so that the solid flexible cable 41 passes through the elongated shank 4. And one end of the lengthened handle 4 is respectively connected with the fixed handle 2 and the movable handle 1. The elongated shaft 4 is bendable so that the operator can freely bend and shape the elongated shaft 4 according to the position of the incision and the position of the blood vessel to be blocked, thereby minimizing the number and size of the incisions. The fixed binding clip 51 is connected with the other end of the lengthened handle 4, the movable binding clip 52 is connected with the fixed binding clip 51, and the movable binding clip 52 is connected with the movable handle 1 through the solid soft steel cable 41, so that an operator can control the opening and closing of the fixed binding clip 51 and the movable binding clip 52 through the movable handle 1 and the fixed handle 2. In one embodiment of the present invention, the solid flexible cable 41 is connected to the movable jaw 52 by a hinge.
When an operator blocks a blood vessel by using the chain type blocking forceps, the lengthened handle 4 is freely bent and shaped according to the position of an incision and the position of the blood vessel to be blocked, and then the opening and closing of the fixed forceps head 51 and the movable forceps head 52 are controlled by the movable handle 1 and the fixed handle 2 to block the blood vessel. As can be seen from the above description, the chain type blocking forceps disclosed by the invention are simple to operate, and operators can conveniently adjust the shape of the blocking forceps according to different surgical conditions, so that the purposes of reducing the number and size of incisions and accelerating postoperative rehabilitation of patients are achieved.
Referring to FIG. 3, in one embodiment of the present invention, the elongated shaft 4 of the chain blocking forceps comprises a hollow flexible wire rope 42 and a plurality of tube segments 43.
The hollow flexible steel cable 42 has a through hole along its length, and a portion of the solid flexible steel cable 41 passing through the elongated shank 4 is received in the through hole of the hollow flexible steel cable 42. When the movable handle 1 and the fixed handle 2 are opened or closed relatively, the movable handle 1 pulls the solid flexible steel cable 41, and the solid flexible steel cable 41 can slide in the hollow flexible steel cable 42, so that the fixed tong head 51 and the movable tong head 52 can be further pulled to be opened or closed. The plurality of tube segments 43 are arranged along the length of the hollow bowden cable 42, and each of the plurality of tube segments 43 is arranged around the hollow bowden cable 42. The hollow mild steel cable 42 can be tightened and loosened. When the hollow flexible steel cable 42 is tightened, the adjacent pipe sections of the plurality of pipe sections 43 are pressed against each other and generate friction force, and the position relationship of the adjacent pipe sections is relatively fixed by the pressure and the friction force generated by the pressing, so that the shape of the elongated handle 4 is fixed; when the hollow flexible wire rope 42 is loosened, adjacent pipe sections of the plurality of pipe sections 43 are loosened from each other, that is, there is no contact between the adjacent pipe sections, and no friction is generated, so that the elongated shank 4 can be freely bent. Therefore, after the position of the surgical incision and the position of the blood vessel are determined, the operator can determine the needed bending direction and the needed bending radian of the chain type blocking forceps according to the position; after the bending direction and the bending radian are determined, the hollow flexible steel cable 42 is loosened so that the elongated handle 4 can be freely bent; the lengthening handle 4 is adjusted to the required bending direction and the required bending radian; after the adjustment is completed, the hollow flexible steel cable 42 is tightened to press the adjacent pipe sections against each other and generate pressure and friction, thereby fixing the shape of the elongated shank 4. As can be appreciated from the above description, the bending and sizing method of the elongated shank 4 disclosed in the present invention is simple and easy for the operator to operate during the surgical procedure.
With continued reference to FIG. 3, in one embodiment of the invention, the elongate shaft 4 further includes a cable cover 44. The wire cover 44 is disposed inside the hollow flexible wire 42, and the wire cover 44 has a central through hole in the length direction thereof, and the portion of the solid flexible wire 41 passing through the elongated shank 4 is disposed inside the central through hole of the wire cover 44 and can freely slide inside the wire cover 44. The cable cover 44 can protect the solid flexible steel cable 41 from sliding more smoothly.
Referring to fig. 2 and 4, in one embodiment of the present invention, the chain type occlusion forceps further includes a tube body 7, a setting knob 3, and a connecting block 6.
One end of the tube body 7 is connected with one end of the lengthened handle 4, and the other end of the tube body is respectively connected with the fixed handle 2 and the movable handle 1. The sizing knob 3 is disposed around the tube body 7, and the sizing knob 3 can be slid in the length direction of the tube body 7 by rotation (as shown in fig. 4, the sizing knob 3 can be slid left and right along the tube body 7). Connecting block 6 sets up in body 7 to connecting block 6 has radial bellied dop 61, and dop 61 can the joint in design knob 3, thereby makes connecting block 6 slide along the length direction of body 7 along with design knob 3's slip. Further, the connecting block 6 is connected to the hollow wire rope 42 at an end thereof facing the hollow wire rope 42. In one embodiment, the hollow bowden cable 42 is welded to the connector block 6. Thus, when the shaping knob 3 slides left and right along the tube 7, the shaping is selected to drive the connecting block 6 to slide left and right, and the connecting block 6 further drives the hollow flexible steel cable 42 to tighten or loosen. In addition, the solid soft steel cable 41 is connected with the movable handle 1 through the pipe body 7 and the connecting block 6 respectively.
Referring to fig. 4, in one embodiment of the present invention, each of the plurality of tube segments 43 is annular, and one end surface of the annular shape is an arc surface and the other end surface is a tapered surface, and the arc surface and the tapered surface of each of the plurality of tube segments 43 face the tapered surface and the arc surface of its adjacent tube segment, respectively. Thus, when the hollow flexible steel cable 42 is tightened, the conical surface and the arc surface are matched to increase the contact area.
The method for blocking the blood vessel by using the chain type blocking forceps disclosed by the invention in the operation process comprises the following steps: after the position of the surgical incision and the position of the blood vessel are determined, an operator can determine the bending direction and the bending radian of the needed chain type blocking forceps according to the position; after the bending direction and the bending arc are determined, the shaping knob 3 is rotated to the left (as shown in fig. 2 and 4) to loosen the hollow flexible steel cable 42, the adjacent pipe sections 43 are not contacted (as shown in fig. 4, the pipe section 431 is not contacted with the pipe section 432), and the lengthened handle 4 can be freely bent; the lengthening handle 4 is adjusted to the required bending direction and the required bending radian; after the adjustment is completed, the sizing knob 3 is rotated to the right (as shown in fig. 2 and 4) to tighten the hollow flexible steel cable 42, and the adjacent pipe sections are pressed against each other and generate pressure and friction, thereby fixing the shape of the elongated shaft 4.
Although exemplary embodiments of the present invention have been described, it will be appreciated by those skilled in the art that changes may be made in these embodiments without departing from the principles and spirit of the invention, the scope of which is defined in the claims and their equivalents.
Claims (7)
1. A chain occlusion forceps, comprising:
fixing a handle;
the movable handle is connected with the fixed handle and can be opened and closed relative to the fixed handle;
the lengthening handle is of a hollow structure and can be bent, and one end of the lengthening handle is connected with the fixed handle and the movable handle respectively;
the fixed binding clip is connected with the other end of the lengthening handle; and
the movable pulling head is connected with the fixed tong head, and the movable tong head is connected with the movable handle through a solid soft steel cable penetrating through the elongated handle.
2. The chain blocking forceps of claim 1, wherein the elongated handle includes:
a hollow bowden cable that can be tightened and loosened, a portion of the solid bowden cable passing through the elongated handle being received within the hollow bowden cable; and
a plurality of pipe sections disposed along a length of the hollow bowden cable and each of the plurality of pipe sections encircling the hollow bowden cable,
wherein:
when the hollow flexible steel cable is tightened, adjacent pipe sections in the plurality of pipe sections are pressed against each other and generate friction force; and
when the hollow flexible steel cord is loosened, adjacent pipe sections of the plurality of pipe sections are loosened from each other.
3. The chain blocking forceps of claim 2, wherein the elongated handle further comprises:
the steel cable sleeve is arranged in the hollow soft steel cable, the steel cable sleeve is provided with a central through hole in the length direction, and the part of the solid soft steel cable penetrating through the lengthened handle is arranged in the central through hole of the steel cable sleeve and can freely slide in the steel cable sleeve.
4. The chain blocking forceps of claim 2, wherein the elongated handle further comprises:
one end of the pipe body is connected with one end of the lengthening handle, and the other end of the pipe body is respectively connected with the fixed handle and the movable handle;
the shaping knob surrounds the pipe body and can slide along the length direction of the pipe body through rotation; and
the connecting block is arranged in the pipe body and is provided with a chuck which is protruded in the radial direction, the chuck can be clamped in the shaping knob so that the connecting block slides along the length direction of the pipe body along with the shaping knob, one end of the connecting block facing the hollow soft steel cable is connected with the hollow soft steel cable,
wherein, the solid soft steel cable respectively passes through the pipe body and the connecting block to be connected with the movable handle.
5. The chain type blocking forceps of claim 4, wherein the hollow flexible steel cable is welded and fixed with the connecting block.
6. The chain occlusion forceps of claim 2, wherein each of the plurality of tube segments is annular, and one end surface of the annular shape is a curved surface and the other end surface is a tapered surface, the curved surface and the tapered surface of each of the plurality of tube segments facing the tapered surface and the curved surface of its adjacent tube segment, respectively.
7. The chain occlusion forceps of claim 1 wherein the solid flexible cable is connected to the movable forceps head by a hinge.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN201610980048.2A CN106308872A (en) | 2016-11-08 | 2016-11-08 | Chained occlusion clamp |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN201610980048.2A CN106308872A (en) | 2016-11-08 | 2016-11-08 | Chained occlusion clamp |
Publications (1)
Publication Number | Publication Date |
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CN106308872A true CN106308872A (en) | 2017-01-11 |
Family
ID=57817269
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CN201610980048.2A Pending CN106308872A (en) | 2016-11-08 | 2016-11-08 | Chained occlusion clamp |
Country Status (1)
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CN (1) | CN106308872A (en) |
Citations (10)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5836199A (en) * | 1996-12-04 | 1998-11-17 | Zetec, Inc | Beaded shaft assembly |
CN2523368Y (en) * | 2002-01-16 | 2002-12-04 | 孙守宪 | Bending pleuroperitoneal cavity operation forceps |
CN2549912Y (en) * | 2002-05-30 | 2003-05-14 | 宋文超 | Tendon forceps |
DE10159584A1 (en) * | 2001-12-05 | 2003-06-18 | Herbert Maslanka | Bendable endoscopic surgical instrument has actuator cable with permanently bendable stainless steel tube between core and jacket, to prevent undesired tool movement |
US20070276430A1 (en) * | 2006-05-23 | 2007-11-29 | Cambridge Endoscopic Devices, Inc. | Surgical instrument |
US20120240714A1 (en) * | 2001-05-02 | 2012-09-27 | Danitz David J | Clamp having bendable shaft |
CN204158468U (en) * | 2014-10-15 | 2015-02-18 | 中国人民解放军第四军医大学 | A kind of Medical foreign body forceps |
CN104918563A (en) * | 2012-12-17 | 2015-09-16 | 伊西康内外科公司 | Motor driven rotary input circular stapler with lockable flexible shaft |
CN105615944A (en) * | 2015-12-28 | 2016-06-01 | 瑞克斡(北京)医疗器械研发有限公司 | Noninvasive blood vessel blocking clamp capable of being bent freely |
CN206463029U (en) * | 2016-11-08 | 2017-09-05 | 谢斌 | Chain type blocks pincers |
-
2016
- 2016-11-08 CN CN201610980048.2A patent/CN106308872A/en active Pending
Patent Citations (10)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5836199A (en) * | 1996-12-04 | 1998-11-17 | Zetec, Inc | Beaded shaft assembly |
US20120240714A1 (en) * | 2001-05-02 | 2012-09-27 | Danitz David J | Clamp having bendable shaft |
DE10159584A1 (en) * | 2001-12-05 | 2003-06-18 | Herbert Maslanka | Bendable endoscopic surgical instrument has actuator cable with permanently bendable stainless steel tube between core and jacket, to prevent undesired tool movement |
CN2523368Y (en) * | 2002-01-16 | 2002-12-04 | 孙守宪 | Bending pleuroperitoneal cavity operation forceps |
CN2549912Y (en) * | 2002-05-30 | 2003-05-14 | 宋文超 | Tendon forceps |
US20070276430A1 (en) * | 2006-05-23 | 2007-11-29 | Cambridge Endoscopic Devices, Inc. | Surgical instrument |
CN104918563A (en) * | 2012-12-17 | 2015-09-16 | 伊西康内外科公司 | Motor driven rotary input circular stapler with lockable flexible shaft |
CN204158468U (en) * | 2014-10-15 | 2015-02-18 | 中国人民解放军第四军医大学 | A kind of Medical foreign body forceps |
CN105615944A (en) * | 2015-12-28 | 2016-06-01 | 瑞克斡(北京)医疗器械研发有限公司 | Noninvasive blood vessel blocking clamp capable of being bent freely |
CN206463029U (en) * | 2016-11-08 | 2017-09-05 | 谢斌 | Chain type blocks pincers |
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Application publication date: 20170111 |
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