CN106667540A - Separable blood vessel blocking forceps under laparoscope - Google Patents

Separable blood vessel blocking forceps under laparoscope Download PDF

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Publication number
CN106667540A
CN106667540A CN201510744807.0A CN201510744807A CN106667540A CN 106667540 A CN106667540 A CN 106667540A CN 201510744807 A CN201510744807 A CN 201510744807A CN 106667540 A CN106667540 A CN 106667540A
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CN
China
Prior art keywords
operating mechanism
detachable
connecting rod
clamp
handle
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.)
Granted
Application number
CN201510744807.0A
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Chinese (zh)
Other versions
CN106667540B (en
Inventor
石更强
王婷
李丹
杨波
默志普
蒋媛
李君�
李一君
陶晶晶
李婉君
周彬滨
李方宇
项岚芸
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University of Shanghai for Science and Technology
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University of Shanghai for Science and Technology
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Publication date
Application filed by University of Shanghai for Science and Technology filed Critical University of Shanghai for Science and Technology
Priority to CN201510744807.0A priority Critical patent/CN106667540B/en
Publication of CN106667540A publication Critical patent/CN106667540A/en
Application granted granted Critical
Publication of CN106667540B publication Critical patent/CN106667540B/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • 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
    • A61B17/122—Clamps or clips, e.g. for the umbilical cord
    • 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
    • A61B17/128—Surgical 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
    • A61B17/1285—Surgical 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
    • 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
    • A61B17/29—Forceps for use in minimally invasive surgery
    • 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
    • A61B2017/12004—Surgical 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
    • 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
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2901—Details of shaft
    • A61B2017/2902—Details of shaft characterized by features of the actuating rod
    • 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
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2901—Details of shaft
    • A61B2017/2908—Multiple segments connected by articulations

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  • 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)
  • Reproductive Health (AREA)
  • Vascular Medicine (AREA)
  • Ophthalmology & Optometry (AREA)
  • Surgical Instruments (AREA)

Abstract

A pair of separable blood vessel blocking forceps under a laparoscope comprises a sleeve, a control mechanism and a blocking forceps clamp, wherein the blocking forceps clamp is arranged in the sleeve, actions of the blocking forceps clamp are controlled through the control mechanism, the sleeve comprises a front sleeve and a rear sleeve, and the front sleeve and the rear sleeve are detachably connected in an embedded mode. The control mechanism comprises a front portion control mechanism and a rear portion control mechanism, the front portion control mechanism is movably connected with the blocking forceps clamp, and the rear portion control mechanism is detachably and movably connected with the front portion control mechanism. The pair of separable blood vessel blocking forceps is reasonable in structural design, a possible biggest operating view field is provided for an operation by adopting the separable structural design to facilitate execution of other operations, the efficiency of a laparoscopic surgery and the safety are greatly improved, and convenience is provided for medical workers.

Description

Detachable vascular occlusion clamp under laparoscope
Technical field
The present invention relates to detachable vascular occlusion clamp under medicine equipment, more particularly to a kind of laparoscope.
Background technology
In recent years Minimally Invasive Surgery technology is developed rapidly, and is the trend of following operation development, and laparoscopic surgery is used as minimally invasive The representative of operation, in being widely used in clinic.Laparoscopic surgery wound is little, and post-operative recovery is fast, mitigates significantly The pain of patient, but laparoscope has high demands than traditional operation to technology and apparatus, if as surgical technic operation Improper or other Unpredictability reasons cause other complication such as massive haemorrhage, it has to which conversion into open surgery, this can be unfavorable In the prognosis problem of patient.
The content of the invention
The purpose of the present invention, exactly in order to solve the above problems, there is provided detachable blood vessel blocking under a kind of laparoscope Pincers.
In order to achieve the above object, present invention employs technical scheme below：Detachable blood vessel under a kind of laparoscope Blocking pincers, including sleeve pipe, operating mechanism and blocking clamp, blocking clamp is arranged in sleeve pipe and by operating mechanism Its action is manipulated, described sleeve pipe includes anterior cannula and rear sleeve, and anterior cannula interlocking detachable with rear sleeve is connected； The operating mechanism includes anterior operating mechanism and rear portion operating mechanism, anterior operating mechanism and blocking clamp activity phase Even, operating mechanism is detachable rear portion operating mechanism and front portion is movably connected.
The anterior operating mechanism includes detachable connector, pull bar and two connecting rods, on detachable connector Be provided with for the T-slot with the detachable connection of rear portion operating mechanism, and for be connected with anterior cannula buckle four Individual Elastic buckle, one end of pull bar is fixedly linked with detachable connector, and the other end is movably connected with two connecting rods, The other end of two connecting rods is movably connected respectively with two clamp handles of the blocking clamp, two connecting rods and two clamp handles Between formed parallelogram stretching structure.
The rear portion operating mechanism includes handle, push button, push rod, handle and connecting rod separating/closing mechanism, and handle is provided with Push button hole and handle hole, push button is arranged in push button hole and is connected with push rod transmission；Handle is arranged in handle hole simultaneously Be connected with the transmission of connecting rod separating/closing mechanism, operating mechanism is detachable is connected with front portion for connecting rod separating/closing mechanism；Promote push button Be capable of achieving opening and clamping for blocking clamp, pull handle be capable of achieving front portion operating mechanism and rear portion operating mechanism point Close.
The connecting rod separating/closing mechanism includes first connecting rod, second connecting rod, third connecting rod and fourth link, first connecting rod It is connected with one end of second connecting rod with the handle, the other end is movably connected respectively with third connecting rod, fourth link, Third connecting rod and fourth link intersection are movably connected, and form V-arrangement prong, the connection of V-arrangement prong inner side in the other end There is return spring, on the outside of V-arrangement prong short axle is connected to, the short axle can be inlaid on detachable connector T-slot in realize and the detachable connection of T-slot；The handle intersects with third connecting rod and fourth link Junction is movably connected.
The rear portion of the rear sleeve is provided with knob, and the knob is slidably connected with handle, and turn knobs are capable of achieving rear sleeve With the division of anterior cannula.
The anterior cannula is provided with four draw-in grooves being adapted to four Elastic buckles of anterior operating mechanism.
Using detachable vascular occlusion clamp under the laparoscope of the present invention, patient can be enable more safely in laparoscope It is lower to receive high risk operation, it is to avoid operation conversion into open surgery.
Present configuration is reasonable in design, and detachable structure design can provide operation as big as possible and regard for operation Open country, is beneficial to the carrying out of other operations, substantially increases the efficiency and security of laparoscopic surgery, is medical work It is convenient that person provides.
Description of the drawings
Fig. 1 is the overall structure diagram of detachable vascular occlusion clamp under laparoscope；
Fig. 2, Fig. 3, Fig. 4 are the structural representations of the anterior operating mechanism in the present invention, and wherein Fig. 3 is Fig. 2 A to A sectional views；
Fig. 5 is the structural representation of the rear portion operating mechanism in the present invention；
Fig. 6 is the structural representation of the rear sleeve in the present invention；
Fig. 7 is the structural representation of the anterior cannula in the present invention.
Specific embodiment
Referring to Fig. 1, coordinate referring to Fig. 2 to Fig. 7, detachable vascular occlusion clamp under the laparoscope of the present invention, bag Sleeve pipe, operating mechanism and blocking clamp 1 are included, blocking clamp 1 is arranged in sleeve pipe and manipulates it by operating mechanism Action, sleeve pipe includes anterior cannula 2 and rear sleeve 3, and anterior cannula interlocking detachable with rear sleeve is connected；Manipulation machine Structure includes anterior operating mechanism and rear portion operating mechanism, and anterior operating mechanism is movably connected with blocking clamp, rear portion behaviour Vertical mechanism is with anterior operating mechanism is detachable is movably connected.
Referring to Fig. 2, Fig. 3, Fig. 4, the anterior operating mechanism in the present invention includes detachable connector 4, pull bar 5 and two connecting rods 6, detachable connector 4 is provided with for the T with the detachable connection of rear portion operating mechanism Shape groove 41, and four Elastic buckles 42 for being connected with anterior cannula buckle, one end of pull bar 5 with it is separable Formula connector is fixedly linked, and the other end is movably connected with two connecting rods 6, the other end of two connecting rods 6 respectively with resistance Two clamp handles of disconnected clamp 1 are movably connected, and the flexible knot of parallelogram is formed between two connecting rods and two clamp handles Structure.
Referring to Fig. 1, Fig. 5, the rear portion operating mechanism in the present invention includes handle 7, push button 8, push rod 9, handle 10 and connecting rod separating/closing mechanism, handle 7 is provided with push button hole and handle hole, push button 8 be arranged in push button hole and with The transmission of push rod 9 is connected；Handle 10 is arranged in handle hole and is connected with the transmission of connecting rod separating/closing mechanism, connecting rod division Mechanism is with anterior operating mechanism is detachable is connected；Promote push button to be capable of achieving to block opening and clamping for clamp, pull Handle is capable of achieving the division of front portion operating mechanism and rear portion operating mechanism.
Above-mentioned connecting rod separating/closing mechanism includes first connecting rod 11, second connecting rod 12, third connecting rod 13 and fourth link 14, one end of first connecting rod and second connecting rod is connected with handle 10, the other end respectively with third connecting rod, the 4th company Bar is movably connected, and third connecting rod and fourth link intersection are movably connected, and form V-arrangement prong, V-arrangement in the other end Prong inner side is connected with return spring 15, and short axle 16 is connected on the outside of V-arrangement prong, and the short axle can be embedded in The detachable connection with T-slot is realized in T-slot 41 on detachable connector；Handle 10 and the 3rd It is movably connected at the interconnection of connecting rod and fourth link.
Referring to Fig. 1, Fig. 6, the rear portion of the rear sleeve 3 in the present invention is provided with knob 31, and the knob is slided with handle 7 Dynamic connection, turn knobs are capable of achieving the division of rear sleeve and anterior cannula.
Referring to Fig. 1, Fig. 7, the anterior cannula 2 in the present invention is provided with four Elastic buckles with anterior operating mechanism Four draw-in grooves 21 of adaptation.
The course of work principle of the present invention can be described with reference to the drawings as follows：
First step blocking clamp clamps target blood：Clamp is in open configuration, in surgical procedure, blood vessel when initial Blocking pincers are stretched into the micropore eye of abdominal cavity perforate, reach the target blood specified, and push button 8 is promoted backward into a spacing From, now four Elastic buckles 42 of anterior operating mechanism clasp four draw-in grooves 21 corresponding in anterior cannula 2, Clamp closure is blocked simultaneously clamps target blood.
Second step blocking clamp is separated with operating mechanism：Anterior cannula 2 and rear sleeve 3 are first separated, then separates anterior behaviour Vertical mechanism and rear portion operating mechanism, turning knob 31, obtain final product script spinner live anterior cannula 2 and rear sleeve 3 it is loose Open.Doctor's hand-held handle 7, handle 10 of holding with a firm grip makes return spring 15 in impaction state, by whole rear portion behaviour Vertical mechanism is moved rearwards by, and departs from the T-slot 41 in anterior operating mechanism, i.e., separate with blocking jaw portion.
3rd step finds blocking clamp, and operating mechanism is integrated with blocking clamp：First close operating mechanism trap pipe again. After the completion of internal lesions treatment, operating mechanism enters internal, and after finding clamp, handle 10 of holding with a firm grip makes return Spring 15 is in impaction state, and at the same time two short axles 16 enter into T-slot 41, you can unclamp handle 10, The reset of card of return spring 15 is in T-slot.Then turning knob 31 so that sleeve pipe spinner closes up before and after separate, Now operating mechanism is integrated with clamp.
4th step unclamps blocking clamp：Push button 8 is promoted into forward a certain distance, now four Elastic buckles 42 Depart from four draw-in grooves 21, blocking clamp opens, and unclamps target blood.

Claims (6)

1. a kind of detachable vascular occlusion clamp under laparoscope, including sleeve pipe, operating mechanism and blocking clamp, resistance Disconnected clamp is arranged in sleeve pipe and manipulates its action by operating mechanism, it is characterised in that：Described sleeve pipe includes protheca Pipe and rear sleeve, anterior cannula interlocking detachable with rear sleeve is connected；The operating mechanism includes anterior operating mechanism With rear portion operating mechanism, anterior operating mechanism is movably connected with blocking clamp, rear portion operating mechanism and anterior manipulation machine Structure is detachable to be movably connected.
2. detachable vascular occlusion clamp under laparoscope as claimed in claim 1, it is characterised in that：Before described Portion's operating mechanism include detachable connector, pull bar and two connecting rods, detachable connector be provided with for The T-slot of the detachable connection of rear portion operating mechanism, and four elastic cards for being connected with anterior cannula buckle Button, one end of pull bar is fixedly linked with detachable connector, and the other end is movably connected with two connecting rods, two companies The other end of bar is movably connected respectively with two clamp handles of the blocking clamp, shape between two connecting rods and two clamp handles Into parallelogram stretching structure.
3. detachable vascular occlusion clamp under laparoscope as claimed in claim 1, it is characterised in that：After described Portion's operating mechanism includes handle, push button, push rod, handle and connecting rod separating/closing mechanism, and handle is provided with push button hole and drawing Hand hole, push button is arranged in push button hole and is connected with push rod transmission；Handle be arranged on handle hole in and with connecting rod division Mechanism driving is connected, and operating mechanism is detachable is connected with front portion for connecting rod separating/closing mechanism；Push button is promoted to be capable of achieving blocking Opening and clamping for clamp, pulls handle to be capable of achieving the division of front portion operating mechanism and rear portion operating mechanism.
4. detachable vascular occlusion clamp under laparoscope as claimed in claim 3, it is characterised in that：The company Bar separating/closing mechanism includes first connecting rod, second connecting rod, third connecting rod and fourth link, first connecting rod and second connecting rod One end with it is described handle be connected, the other end is movably connected respectively with third connecting rod, fourth link, third connecting rod with Fourth link intersection is movably connected, and forms V-arrangement prong in the other end, and V-arrangement prong inner side is connected with return spring, Short axle is connected on the outside of V-arrangement prong, the short axle can be inlaid in the T-slot on detachable connector real Now with the detachable connection of T-slot；It is described to shake hands and activity phase at the interconnection of third connecting rod and fourth link Even.
5. detachable vascular occlusion clamp under laparoscope as claimed in claim 1, it is characterised in that：After described The rear portion of sleeve pipe is provided with knob, and the knob is slidably connected with handle, and turn knobs are capable of achieving rear sleeve with anterior cannula Division.
6. detachable vascular occlusion clamp under laparoscope as claimed in claim 1, it is characterised in that：Before described Sleeve pipe is provided with four draw-in grooves being adapted to four Elastic buckles of anterior operating mechanism.
CN201510744807.0A 2015-11-05 2015-11-05 Detachable vascular occlusion clamp under laparoscope Expired - Fee Related CN106667540B (en)

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CN106667540B CN106667540B (en) 2019-01-25

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109952861A (en) * 2019-04-29 2019-07-02 上海理工大学 A kind of strawberry picking auxiliary device

Citations (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN201164490Y (en) * 2008-02-04 2008-12-17 钟鸣 Blocking pinching-tool for celioscope operation
WO2010124129A1 (en) * 2009-04-22 2010-10-28 Pare Surgical, Inc. Endoscopic tissue grasping apparatus and method
CN201683955U (en) * 2010-05-31 2010-12-29 杭州康基医疗器械有限公司 Clip applier for human body surgery
CN102144935A (en) * 2011-04-18 2011-08-10 中国人民解放军第二军医大学 Laparoscopic separable primary porta hepatis blocker
CN102247187A (en) * 2011-04-18 2011-11-23 中国人民解放军第二军医大学 Separable hepatic laparoscopic vein blocker
CN102525592A (en) * 2011-12-05 2012-07-04 杭州康基医疗器械有限公司 Dismountable closer used for clipping operation of organs in human body
EP2474274A1 (en) * 2011-01-06 2012-07-11 University of Dundee Surgical instrument
CN102614006A (en) * 2012-04-16 2012-08-01 涂名超 Laparoscope operating forceps capable of allowing bending angle of forceps head to be locked
CN203802522U (en) * 2014-04-11 2014-09-03 江苏唯德康医疗科技有限公司 Hemoclip
CN205107800U (en) * 2015-11-11 2016-03-30 上海理工大学 Pincers are blocked to detachable blood vessel under peritoneoscope

Patent Citations (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN201164490Y (en) * 2008-02-04 2008-12-17 钟鸣 Blocking pinching-tool for celioscope operation
WO2010124129A1 (en) * 2009-04-22 2010-10-28 Pare Surgical, Inc. Endoscopic tissue grasping apparatus and method
CN201683955U (en) * 2010-05-31 2010-12-29 杭州康基医疗器械有限公司 Clip applier for human body surgery
EP2474274A1 (en) * 2011-01-06 2012-07-11 University of Dundee Surgical instrument
CN102144935A (en) * 2011-04-18 2011-08-10 中国人民解放军第二军医大学 Laparoscopic separable primary porta hepatis blocker
CN102247187A (en) * 2011-04-18 2011-11-23 中国人民解放军第二军医大学 Separable hepatic laparoscopic vein blocker
CN102525592A (en) * 2011-12-05 2012-07-04 杭州康基医疗器械有限公司 Dismountable closer used for clipping operation of organs in human body
CN102614006A (en) * 2012-04-16 2012-08-01 涂名超 Laparoscope operating forceps capable of allowing bending angle of forceps head to be locked
CN203802522U (en) * 2014-04-11 2014-09-03 江苏唯德康医疗科技有限公司 Hemoclip
CN205107800U (en) * 2015-11-11 2016-03-30 上海理工大学 Pincers are blocked to detachable blood vessel under peritoneoscope

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109952861A (en) * 2019-04-29 2019-07-02 上海理工大学 A kind of strawberry picking auxiliary device

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