CN106667540B - Detachable vascular occlusion clamp under laparoscope - Google Patents

Detachable vascular occlusion clamp under laparoscope Download PDF

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Publication number
CN106667540B
CN106667540B CN201510744807.0A CN201510744807A CN106667540B CN 106667540 B CN106667540 B CN 106667540B CN 201510744807 A CN201510744807 A CN 201510744807A CN 106667540 B CN106667540 B CN 106667540B
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CN
China
Prior art keywords
operating mechanism
detachable
clamp
connecting rod
knob
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.)
Expired - Fee Related
Application number
CN201510744807.0A
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Chinese (zh)
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CN106667540A (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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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

    • 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
    • A61B17/12Surgical 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
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B2017/2901Details of shaft
    • A61B2017/2902Details of shaft characterized by features of the actuating rod
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B2017/2901Details of shaft
    • A61B2017/2908Multiple 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

Detachable vascular occlusion clamp under a kind of laparoscope, including casing, operating mechanism and block clamp blocks clamp to be arranged in casing and manipulates its movement by operating mechanism, and casing includes anterior cannula and rear sleeve, and anterior cannula and rear sleeve be detachable to be rabbeted and be connected;Operating mechanism includes front operating mechanism and rear portion operating mechanism, and front operating mechanism is movably connected with clamp is blocked, rear portion operating mechanism with front operating mechanism is detachable is movably connected.Rationally, detachable structure design can provide the operation visual field as big as possible for operation for structure of the invention design, in favor of the progress of other operations, substantially increase the efficiency and safety of laparoscopic surgery, it is convenient to provide for medical personnel.

Description

Detachable vascular occlusion clamp under laparoscope
Technical field
The present invention relates to detachable vascular occlusion clamps under medical instrument more particularly to a kind of laparoscope.
Background technique
Minimally invasive surgery technology develops rapidly in recent years, is the trend of the following operation development, laparoscopic surgery is as minimally invasive hand The representative of art, is widely used in clinic.Laparoscopic surgery wound is small, and post-operative recovery is fast, mitigates the pain of patient significantly, But requirement of the laparoscope than traditional operation to technology and instrument is high, if because surgical technic misoperation or other imprevisions Property reason causes other complication such as big bleeding, it has to which conversion into open surgery, this can be unfavorable for the prognosis problem of patient.
Summary of the invention
The purpose of the present invention is exactly to solve the above-mentioned problems, to provide detachable vascular occlusion clamp under a kind of laparoscope.
In order to achieve the above object, the invention adopts the following technical scheme: detachable blood vessel resistance under a kind of laparoscope Disconnected pincers, including casing, operating mechanism and blocking clamp block clamp setting to manipulate it in casing and through operating mechanism dynamic Make, described sleeve pipe includes anterior cannula and rear sleeve, and anterior cannula is connected with the detachable interlocking of rear sleeve;The operating mechanism includes Front operating mechanism and rear portion operating mechanism, front operating mechanism are movably connected with clamp is blocked, rear portion operating mechanism and front Operating mechanism is detachable to be movably connected.
The front operating mechanism includes detachable connector, pull rod and two connecting rods, is set on detachable connector Have for the T-slot with the detachable connection of rear portion operating mechanism, and for buckling four elastic cards being connected with anterior cannula Button, one end of pull rod is fixedly linked with detachable connector, and the other end is movably connected with two connecting rods, two connecting rods it is another End is movably connected with two clamp handles for blocking clamp respectively, forms parallelogram between two connecting rods and two clamp handles and stretches Shrinking structure.
The rear portion operating mechanism includes handle, push button, push rod, knob and connecting rod separating/closing mechanism, and handle is equipped with push button Hole and knob hole, push button are arranged in push button hole and are connected with push rod transmission;Knob setting knob hole in and with connecting rod division Mechanism driving is connected, connecting rod separating/closing mechanism with front operating mechanism is detachable is connected;It pushes push button that can realize and blocks clamp It opens and clamps, pull and shake hands that the division of front operating mechanism and rear portion operating mechanism can be achieved.
The connecting rod separating/closing mechanism includes first connecting rod, second connecting rod, third connecting rod and fourth link, first connecting rod and One end of two connecting rods is connected with the knob, and the other end is movably connected with third connecting rod, fourth link respectively, third connecting rod and the Double leval jib intersection is movably connected, and forms V-arrangement prong in the other end, is connected with return spring on the inside of V-arrangement prong, V-arrangement prong Outside is connected separately with short axle, the short axle can be inlaid in the T-slot on detachable connector Nei realize it is separable with T-slot Formula connection;It is described to shake hands and be movably connected at the interconnection of third connecting rod and fourth link.
The rear portion of the rear sleeve is equipped with knob, which is slidably connected with handle, turn knobs can realize rear sleeve and The division of anterior cannula.
The anterior cannula is equipped with four card slots being adapted to four Elastic buckles of front operating mechanism.
Using detachable vascular occlusion clamp under laparoscope of the invention, it can enable patient more safely under laparoscope The operation for receiving high risk avoids operation conversion into open surgery.
Rationally, detachable structure design can provide the operation visual field as big as possible for operation for structure of the invention design, In favor of the progress of other operations, the efficiency and safety of laparoscopic surgery are substantially increased, is provided just for medical personnel It is prompt.
Detailed description of the invention
Fig. 1 is the overall structure diagram of detachable vascular occlusion clamp under laparoscope;
Fig. 2, Fig. 3, Fig. 4 are the structural schematic diagrams of the front operating mechanism in the present invention, and the A that wherein Fig. 3 is Fig. 2 is cutd open to A View;
Fig. 5 is the structural schematic diagram of the rear portion operating mechanism in the present invention;
Fig. 6 is the structural schematic diagram of the rear sleeve in the present invention;
Fig. 7 is the structural schematic diagram of the anterior cannula in the present invention.
Specific embodiment
Referring to Fig. 1, cooperation is referring to fig. 2 to Fig. 7, detachable vascular occlusion clamp under laparoscope of the invention, including casing, Operating mechanism and blocking clamp 1, block clamp 1 to be arranged in casing and manipulate its movement by operating mechanism, before casing includes Casing 2 and rear sleeve 3, anterior cannula are connected with the detachable interlocking of rear sleeve;Operating mechanism includes front operating mechanism and rear portion Operating mechanism, front operating mechanism are movably connected with clamp is blocked, rear portion operating mechanism and the detachable work of front operating mechanism It is dynamic to be connected.
Referring to fig. 2, Fig. 3, Fig. 4, the front operating mechanism in the present invention includes detachable connector 4, pull rod 5 and two Connecting rod 6, detachable connector 4 be equipped with for the T-slot 41 with the detachable connection of rear portion operating mechanism, and for Four connected Elastic buckles 42 of anterior cannula buckle, one end of pull rod 5 are fixedly linked with detachable connector, the other end and two A connecting rod 6 is movably connected, and the other end of two connecting rods 6 is movably connected with two clamp handles of clamp 1 are blocked respectively, two connecting rods with Parallelogram stretching structure is formed between two clamp handles.
Referring to Fig. 1, Fig. 5, the rear portion operating mechanism in the present invention includes handle 7, push button 8, push rod 9, knob 10 and connecting rod Separating/closing mechanism, handle 7 are equipped with push button hole and knob hole, and push button 8 is arranged in push button hole and is connected with the transmission of push rod 9;Knob 10 settings are connected in knob hole and with the transmission of connecting rod separating/closing mechanism, connecting rod separating/closing mechanism and the detachable phase of front operating mechanism Even;It pushes push button that can realize the opening and clamping for blocking clamp, the achievable front operating mechanism of knob and rear portion is pulled to manipulate machine The division of structure.
Above-mentioned connecting rod separating/closing mechanism includes first connecting rod 11, second connecting rod 12, third connecting rod 13 and fourth link 14, and first One end of connecting rod and second connecting rod is connected with knob 10, and the other end is movably connected with third connecting rod, fourth link respectively, and third connects Bar and fourth link intersection are movably connected, and form V-arrangement prong in the other end, are connected with return spring 15, V on the inside of V-arrangement prong Short axle 16 is connected separately on the outside of shape prong, which can be inlaid in realization and the T T-slot 41 on detachable connector Nei The detachable connection of shape slot;Knob 10 be movably connected at the interconnection of third connecting rod and fourth link.
Referring to Fig. 1, Fig. 6, the rear portion of the rear sleeve 3 in the present invention is equipped with knob 31, which is slidably connected with handle 7, Turn knobs can realize the division of rear sleeve and anterior cannula.
Referring to Fig. 1, Fig. 7, anterior cannula 2 in the present invention is equipped with to be adapted to four Elastic buckles of front operating mechanism Four card slots 21.
Course of work principle of the invention is as follows in combination with Detailed description of the invention:
The first step blocks clamp to clamp target blood: clamp is in open configuration when initial, in surgical procedure, blood vessel blocking Pincers protrude into the micropore eye of abdominal cavity aperture, reach specified target blood, push button 8 are pushed certain distance backward, at this time front Four Elastic buckles 42 of operating mechanism clasp corresponding four card slots 21 in anterior cannula 2, while clamp closure being blocked to clamp Target blood.
Second step blocks clamp to separate with operating mechanism: first separating anterior cannula 2 and rear sleeve 3, then separates front manipulation machine Structure and rear portion operating mechanism, the anterior cannula 2 and the release of rear sleeve 3 that turning knob 31 is lived to get script spinner.Doctor holds handle 7, knob 10 of holding with a firm grip makes return spring 15 be in impaction state, and entire rear portion operating mechanism is moved backward, and is detached from front manipulation T-slot 41 in mechanism is separated with jaw portion is blocked.
Third step finds blocking clamp, and operating mechanism is integrated with clamp is blocked: first closing operating mechanism trap pipe again.It is right After the completion of internal lesions treatment, operating mechanism enters in vivo, and after finding clamp, knob 10 of holding with a firm grip makes return spring 15 be in pressure Tight state, two short axles 16 enter T-slot 41 at the same time, can unclamp knob 10,15 reset of card of return spring is in T-slot In.Then turning knob 31, so that separated front and back casing spinner closes up, operating mechanism is integrated with clamp at this time.
4th step, which is unclamped, blocks clamp: push button 8 being pushed forward a certain distance, four Elastic buckles 42 are detached from four at this time A card slot 21 blocks clamp to open, and unclamps target blood.

Claims (4)

1. detachable vascular occlusion clamp under a kind of laparoscope, including casing, operating mechanism and blocking clamp, block clamp setting Its movement is manipulated in casing and through operating mechanism, it is characterised in that: described sleeve pipe includes anterior cannula and rear sleeve, anterior cannula It is connected with the detachable interlocking of rear sleeve;The operating mechanism includes front operating mechanism and rear portion operating mechanism, front manipulation Mechanism is movably connected with clamp is blocked, rear portion operating mechanism with front operating mechanism is detachable is movably connected;
The front operating mechanism includes detachable connector, pull rod and two connecting rods, and detachable connector, which is equipped with, to be used In the T-slot with the detachable connection of rear portion operating mechanism, and for buckling four Elastic buckles being connected with anterior cannula, draw One end of bar is fixedly linked with detachable connector, and the other end is movably connected with two connecting rods, the other end point of two connecting rods It is not movably connected with two clamp handles for blocking clamp, forms the flexible knot of parallelogram between two connecting rods and two clamp handles Structure;
The rear portion operating mechanism includes handle, push button, push rod, knob and connecting rod separating/closing mechanism, handle be equipped with push button hole and Knob hole, push button are arranged in push button hole and are connected with push rod transmission;Knob setting knob hole in and with connecting rod separating/closing mechanism Transmission is connected, connecting rod separating/closing mechanism with front operating mechanism is detachable is connected;Push push button that can realize the opening for blocking clamp And clamp, it pulls and shakes hands that the division of front operating mechanism and rear portion operating mechanism can be achieved.
2. detachable vascular occlusion clamp under laparoscope as described in claim 1, it is characterised in that: the connecting rod separating/closing mechanism Including first connecting rod, second connecting rod, third connecting rod and fourth link, one end of first connecting rod and second connecting rod and the knob phase Even, the other end is movably connected with third connecting rod, fourth link respectively, and third connecting rod and fourth link intersection are movably connected, and The other end forms V-arrangement prong, is connected with return spring on the inside of V-arrangement prong, is connected separately with short axle on the outside of V-arrangement prong, this is short Axis can be inlaid in the detachable connection realized the T-slot on detachable connector Nei with T-slot;The knob connects with third It is movably connected at the interconnection of bar and fourth link.
3. detachable vascular occlusion clamp under laparoscope as described in claim 1, it is characterised in that: the rear portion of the rear sleeve Equipped with knob, which is slidably connected with handle, and turn knobs can realize the division of rear sleeve and anterior cannula.
4. detachable vascular occlusion clamp under laparoscope as described in claim 1, it is characterised in that: the anterior cannula is equipped with Four card slots being adapted to four Elastic buckles of front 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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Application Number Priority Date Filing Date Title
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CN106667540B true CN106667540B (en) 2019-01-25

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* 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

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