CN107028638A - A kind of new multi-purpose looping and binding device and its operation principle - Google Patents
A kind of new multi-purpose looping and binding device and its operation principle Download PDFInfo
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- CN107028638A CN107028638A CN201710341847.XA CN201710341847A CN107028638A CN 107028638 A CN107028638 A CN 107028638A CN 201710341847 A CN201710341847 A CN 201710341847A CN 107028638 A CN107028638 A CN 107028638A
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- gun body
- tightening
- silk thread
- looping
- post
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- 201000010099 disease Diseases 0.000 claims description 6
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 claims description 6
- 230000000694 effects Effects 0.000 claims description 6
- 238000003780 insertion Methods 0.000 claims description 6
- 230000037431 insertion Effects 0.000 claims description 6
- 238000010276 construction Methods 0.000 claims description 5
- 239000003292 glue Substances 0.000 claims description 4
- 210000005224 forefinger Anatomy 0.000 claims description 3
- 210000004932 little finger Anatomy 0.000 claims description 3
- 210000003813 thumb Anatomy 0.000 claims description 3
- 239000000463 material Substances 0.000 abstract description 11
- 230000035882 stress Effects 0.000 abstract description 9
- 230000032683 aging Effects 0.000 abstract description 8
- 208000032843 Hemorrhage Diseases 0.000 abstract description 5
- 210000001519 tissue Anatomy 0.000 description 26
- 229910052751 metal Inorganic materials 0.000 description 8
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- 210000004877 mucosa Anatomy 0.000 description 2
- 210000004400 mucous membrane Anatomy 0.000 description 2
- 239000004033 plastic Substances 0.000 description 2
- 230000000638 stimulation Effects 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 210000000115 thoracic cavity Anatomy 0.000 description 2
- 229920000742 Cotton Polymers 0.000 description 1
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- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 description 1
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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
- A61B17/12—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
- A61B17/12—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
- A61B17/12013—Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot for use in minimally invasive surgery, e.g. endoscopic surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/3205—Excision instruments
- A61B17/32056—Surgical snare instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00017—Electrical control of surgical instruments
- A61B2017/00137—Details of operation mode
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00831—Material properties
-
- 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
- A61B2017/12018—Elastic band ligators
-
- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y02—TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
- Y02A—TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
- Y02A50/00—TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE in human health protection, e.g. against extreme weather
- Y02A50/30—Against vector-borne diseases, e.g. mosquito-borne, fly-borne, tick-borne or waterborne diseases whose impact is exacerbated by climate change
Abstract
The invention discloses a kind of new multi-purpose looping and binding device, including medical surgical silk thread and gun body, also include draw-gear, operation device and tightening device, the medical surgical silk thread breaks into dual unijunction, coil and set binding circle are tightened up in formation, node is is tightened up by coil and the set binding circle place of intersecting of tightening up, and the medical surgical silk thread is generally in stress；The gun body is cavity structure, the gun body is provided with the switch for vent port and negative pressure joint connected with cavity, the switch for vent port is located on the lever of gun body, the negative pressure joint is located at the lever lower end of gun body, it is fixedly connected, is flexibly connected outside the gun body by U-shaped limit connector with operation device with draw-gear inside the gun body.The present invention pricks material in set and still selects medical surgical silk thread, in material thoroughly with cushion rubber class（Including elastic thread）Difference, returned the used silk thread of manual ligation as material, it is to avoid cushion rubber aging comes off in advance, so as to cause the hidden danger of stump massive haemorrhage.
Description
Technical field
The present invention and technical field of medical instruments, more particularly to a kind of new multi-purpose looping and binding device and its operation principle.
Background technology
Looping and binding device technology is emerging a kind for the treatment of means in medical industry, is made extensively in medical and health industry at present
With.It is broadly divided into cushion rubber class looping and binding device and metal looping and binding device.Cushion rubber class looping and binding device generally comprises rubber-like lasso and elastic thread, and
Elastic thread is combined by 98% cotton and 2% elastic, and cushion rubber class set is used for anorectum department internal piles set bundle；Metal looping and binding device is used for
Treated under gastrointestinal mucosa.It there is no silk thread class looping and binding device in the industry at present, the present invention has started a new looping and binding device type.
Cushion rubber class looping and binding device tightens up hemorrhoid basal part by cushion rubber elasticity, and the shortcoming of the type invention is to face
Cushion rubber aging（Such as oxidation of disulfide bond chemical bond）And cushion rubber fixes specification internal diameter（The scope of application is limited）The problem of.First,
Cushion rubber is caused to come off in advance after cushion rubber aging, secondly the risk for having massive haemorrhage, is fixed specification internal diameter based on cushion rubber and limited, set is pricked
Excessive tissue, cushion rubber easily crumbles；Set pricked cell, and cushion rubber is easily slipped.Therefore, mucous membrane set in hemorrhoid can only be made to prick, without
It can cover and prick its haemorrhoids body, otherwise, having causes massive haemorrhage possibility.The invention of elastic thread looping and binding device solves plastic loop ligation device
Subproblem, it operates General Principle to prick tissue for first set, then row tightens up knot, so being compared with plastic loop ligation device with more suitable
Elasticity.But, it is substantially simply tightened up by the elastic without continuation by single slip-knot.Its elastic composition stress shape
Into the slip-knot being temporarily locked, it is still inevasible in cushion rubber aging and slip-knot loosening problem to there are major safety risks.
Because the disguised understanding to its hidden danger is not thorough, clinically occurs, the elastic thread scope of application is expanded to haemorrhoids body
Deng position.All there is substantial amounts of potential risk in these.Therefore, change current techniques and truly have its urgency.
Metal class looping and binding device is generally used under gastrointestinal mucosa that polyp is extractd and the thing that swells takes inspection to chemically examine, its major function equivalent to
Ligature and electric knife（Capacitance field is formed after energization）Excision.It has the disadvantage that, when needing only to ligation, metal class looping and binding device is just done not
Arrive, it is necessary to while excision is.And electric knife excision can form larger electrochemical stimulation to surrounding tissue, Accessory injury compared with
Greatly, easily perforated at weak tissue, be easily caused fat embolism again near adipose tissue until dead.
Traditional manual ligation is ligatured using the artificial mode knotted using medical surgical silk thread, and medical surgical
Silk thread be not present problem of aging, but be due to deep some tissue deeps be difficult at ligation manually to be ligatured, institute
Deep ligation, still, existing cushion rubber class looping and binding device and metal are solved to have invented cushion rubber class looping and binding device and metal looping and binding device
Looping and binding device seems the ligation processing mode of simplification, but forms new bigger potential safety hazard.
The content of the invention
The purpose of the present invention is to overcome the deficiencies in the prior art there is provided a kind of new multi-purpose looping and binding device and its work former
Reason.
The technical solution adopted by the present invention is：
A kind of new multi-purpose looping and binding device, including medical surgical silk thread and gun body, its innovative point are：Also include draw-gear,
Operation device and tightening device, the medical surgical silk thread break into dual unijunction, and coil and set binding circle, the receipts are tightened up in formation
Node is is tightened up by stringing circle and the set binding circle place of intersecting, and the medical surgical silk thread is generally in stress；The gun body
For cavity structure, the gun body is provided with the switch for vent port and negative pressure joint connected with cavity, and the switch for vent port is located at
On the lever of gun body, the negative pressure joint is located inside the lever lower end of gun body, the gun body to be fixedly connected with draw-gear, institute
State outside gun body and to be flexibly connected by U-shaped limit connector with operation device；The operation device include operating handle, trigger,
Push rod, depression bar, post and rubber compression leg are tightened up, the push rod and depression bar be arranged in parallel, the rear end of the push rod and depression bar and operation
Handle is fixedly connected, and the front end of the push rod is fixedly connected with tightening up post, and the front end of the depression bar is fixedly connected with rubber compression leg,
It is described to tighten up post and rubber compression leg is against on gun barrel；The tightening device tightens up wheel, take-up pulley, rotating shaft and unidirectional card including two
Pin, the rotating shaft is laterally movable to be arranged on gun body back seat position, and one end of the rotating shaft is fixedly connected with tightening up wheel, the rotating shaft
The other end be fixedly connected with take-up pulley, it is described two tighten up wheel one of them be located at gun body inside, another be located at gun body
Outside, and the longitudinally fixed unidirectional bayonet lock of setting of the bottom righthand side for tightening up wheel outside gun body, the receipts of the medical surgical silk thread
Stringing circle will tighten up post and rubber compression leg is intertwined, and the coil of tightening up is in stress, the medical surgical silk thread
End be fastened and be connected with take-up pulley.
Further, the draw-gear includes two draught lines, angle pulley and single direction rotation coiling ratchet, described to lead
Lead is symmetrical arranged, and the draught line is close to the gun barrel outer wall of gun body and the pile warp gun barrel mouth of pipe and turning inside gun body respectively
Single direction rotation coiling ratchet to pulley and positioned at gun body trigger position is intertwined and connected, two side-linings positioned at gun barrel outer wall
Line position be provided with knot, the set binding snare of the medical surgical silk thread on the draught line of gun barrel front end, and be located at knot it
Before, the set binding circle is in stress, the set binding circle and Ju Li≤1cm of gun barrel front end surface.
Further, inside the push rod be hollow-core construction, and internal activity sets an inserted link, the rear end of the inserted link with
The trigger of operating handle is fixedly connected, and the front end insertion of the inserted link is tightened up in post.
Further, the post of tightening up includes shell body, movable eye-splice and spring, and the shell body is hollow-core construction, and
Hole is moved back in front end before offering, rear end offers retrogressing hole, and the movable eye-splice is located inside shell body, and the movable eye-splice is platform
Stepped cylinder structure, front end is round pin, and post is is moved back in end, and the round pin moves back hole and is in contact with gun barrel before running through, the circle
Spring is cased with pin, the post that moves back is provided with limited block with round pin intersection, and the post that moves back is engaged with retrogressing hole, described to move back on post
Open up insertion inserted link in a jack, the jack.
Further, the end face of the rubber compression leg is arcwall face structure, and with viscosity, the outside of the rubber compression leg
A thimble is fixedly installed in axial direction, and the medical surgical silk thread is passed through from thimble.
Further, the depression bar is fixedly connected by pressure elastic tape with gun barrel.
Further, the node of tightening up of the medical surgical silk thread is located between rubber compression leg and gun barrel, and by rubber pressure
Post is propped up and sticked.
Further, the unidirectional bayonet lock includes lower position block is fixedly installed above firm banking, the firm banking, institute
Limit spring is fixedly installed in the upper end for stating lower position block, and upper limit position block is fixedly installed in the upper end of the limit spring, described spacing
Ya contractings Ju Li≤1cm of spring.
Also include a kind of operation principle of new multi-purpose looping and binding device, its innovative point is, comprises the following steps that：
The first step：Be connected by negative pressure joint with extraneous negative pressure device, the right hand holds lever, and with middle finger, the third finger or
Wherein any one finger blocks switch for vent port in little finger, then makes gun barrel mouthful alignment relevant diseases tissue, is then turned on bearing
Pressure device, now, relevant diseases tissue are inside inhalable gun barrel；
Second step：By forefinger backwards rotation single direction rotation coiling ratchet, draught line and angle pulley is thus affected to be moved,
In the presence of tractive force, the draught line inside gun barrel carries out reclaiming motion backward, and the draught line outside gun barrel drives
Set binding circle travels forward, and promotes set binding circle to travel forward while left hand holds operating handle, the rifle until set binding circle comes off
Pipe, is enclosed on diseased tissue root；
3rd step：Left hand holds operating handle, moves forward whole operation device, and props up diseased tissue position, due to rubber
Glue laminated post has viscosity, can cling tighten up coil tighten up node, prevent during forward movement because there is drop,
Cause to tighten up coil and come off, then forward stirred, slowly received to tightening up coil to tightening up wheel by hand thumb
Tightly, cocking is coordinated during tightening up, eye-splice is ejected, in the presence of pressure rubber circle, tighten up node all the time by
Rubber compression leg is against diseased tissue position, then is finally tightened up by tightening up wheel to tightening up coil, forms fast knot, finally beats again
Carry out switch for vent port, eliminate negative pressure, the diseased tissue position that releasable quilt cover is pricked, and cut unnecessary medical surgical silk thread.
Beneficial effects of the present invention are as follows：
1st, the present invention set prick material on thoroughly with cushion rubber class（Including elastic thread）Difference, is returned in order to which ligation is adopted by hand originally
Silk thread is used as material, it is to avoid cushion rubber aging comes off in advance, so as to cause the hidden danger of stump massive haemorrhage, promotes medical peace
Entirely；It is same based on the reason for material, scope of application expanded of the present invention：In thoracic and abdominal operation or other internal surgical procedures
In can also use, it is postoperative do not have cushion rubber, elastic material object, titanium folder（One kind folder closes hemostatic clamp）Deng in foreign matter Remained mass,
The formation of foreign body granuloma, aseptic necrosis is avoided, as long as when using the present invention that medical surgical silk thread material is further
It is defined as absorbable thread just, greatly expands Minimally Invasive Surgery indication, really solves and be difficult to ligature by hand, minimally invasive be difficult to
The processing problem of puncture site, greatly pushes forward minimal invasive techniques.
2nd, the cushion rubber of the set binding circle that uses of the present invention and cushion rubber class looping and binding device to tighten up mode different.As long as can cover
Enter to cover the tissue of binding circle, large or small, as long as being tightened up to tightening up node, form fast knot, closely can effectively cover bundle.
3rd, medical surgical silk thread fast knot play of the invention so that the present invention, which is realized, persistently reliably tightens up effect, phase
Than in elastic thread, the latter carrys out the temporary Section 2 beneficial effect for realizing the present invention simply by elastic slip-knot.Because part rubber
The elastic thread of muscle material is tightened up by slip-knot, can only be temporary, with material ageing, and tightening up effect persistently can not may be used
Lean on.
4th, because the ligation of medical surgical silk thread is very firm, the present invention can directly ligature large and small haemorrhoids body, no longer office
It is limited to mucous membrane in hemorrhoid to ligature, the requirement of state and manual knotting ability performed the operation to doctor's individual experience, doctor's individual at that time etc.
Substantially reduce, reduce operation risk.
5th, the present invention is different from metal class looping and binding device, it is not necessary to which being powered stimulates excision stump, so also without metal class set
Prick device electrochemical stimulation, in the absence of its Accessory injury, the influence to surrounding tissue is very little, more without cause fat embolism with extremely
The risk died.
Brief description of the drawings
The present invention is described in further details with reference to the accompanying drawings and detailed description.
Fig. 1 is structural representation of the invention；
Fig. 2 is the structural representation of the dual unijunction of medical surgical thread in the present invention；
Fig. 3 is the structural representation of operation device in the present invention；
Fig. 4 is the internal structure schematic diagram of operation device in the present invention；
Fig. 5 is the top view of operation device in the present invention；
Fig. 6 is the structural representation of tightening device in the present invention
Fig. 7 is tightening device in the present invention and the front view of gun body annexation；
Fig. 8 is tightening device in the present invention and the rearview of gun body annexation；
Fig. 9 is tightening device in the present invention and the side view of gun body annexation；
Figure 10 is draw-gear and the annexation schematic diagram of gun body in the present invention；
Figure 11 is tightens up the annexation schematic diagram of post and push rod in the present invention；
Figure 12 is the structural representation of shell body in the present invention；
Figure 13 is the structural representation of movable eye-splice in the present invention；
Figure 14 is the structural representation of rubber column in the present invention；
Figure 15 is the structural representation of unidirectional bayonet lock in the present invention；
Figure 16 is the design sketch of negative-pressure adsorption diseased tissue of the present invention；
Figure 17 is the principle design sketch of set binding circle forward movement in the present invention；
Figure 18 is tightens up the principle design sketch of column state in the present invention；
Figure 19 tightens up design sketch for tighten up coil in the present invention.
In figure：1 medical surgical silk thread, 11 tighten up coil, 12 sets of binding circles, 13 and tighten up node, 2 gun bodies, 21 steam vents and open
Pass, 22 negative pressure joints, 3 draw-gears, 31 draught lines, 32 angle pulleies, 33 single direction rotation coiling ratchets, 34 knots, 4 operation dresses
Put, 41 operating handles, 42 triggers, 43 push rods, 431 inserted links, 44 depression bars, 45 tighten up post, 451 shell bodies, 4511 before move back hole, 4512
Retreat hole, 452 movable eye-splices, 4521 round pins, 4522 move back post, 4523 limited blocks, 4524 jacks, 453 springs, 46 rubber compression legs,
Wheel, 52 take-up pulleies, 53 rotating shafts, 54 unidirectional bayonet locks, 541 firm bankings, 542 lower limits are tightened up in 461 thimbles, 5 tightening devices, 51
Block, 543 limit springs, 544 upper limit position blocks, 6 U-shaped limit connectors, 7 pressure elastic tapes.
Embodiment
As shown in Figure 1-2, a kind of new multi-purpose looping and binding device, including medical surgical silk thread 1 and gun body 2, in addition to traction
Device 3, operation device 4 and tightening device 5, medical surgical silk thread 1 break into dual unijunction, and coil 11 and set binding circle are tightened up in formation
12, coil 11 and the place of intersecting of set binding circle 12 are tightened up to tighten up node 13, and medical surgical silk thread 1 is generally in stress；
Gun body 2 is cavity structure, and gun body 2 is provided with the switch for vent port 21 and negative pressure joint 22 connected with cavity, switch for vent port 21
On the lever of gun body 2, negative pressure joint 22 is located at the lever lower end of gun body 2, and the inside of gun body 2 is fixedly connected with draw-gear 3,
It is flexibly connected outside gun body 2 by U-shaped limit connector 6 with operation device 4.As a result of medical surgical silk thread 1, in material
It is thoroughly different from cushion rubber class, return the used silk thread of manual ligation as material, it is to avoid cushion rubber aging comes off in advance, from
And cause the hidden danger of stump massive haemorrhage, and can be defined as medical surgical silk thread 1 can for thoracic and abdominal operation or other operations in vivo
Absorption Line just, greatly expands looping and binding device operative indication, really solves the processing for being difficult to ligature, be difficult to puncture site
Problem；Medical surgical silk thread 1 in the present invention can make nonabsorbable silk thread or absorbability silk thread, specific choosing
Depending on selecting or will be according to surgery situation.
As in Figure 3-5, operation device 4 includes operating handle 41, trigger 42, push rod 43, depression bar 44, tightens up post 45 and rubber
Glue laminated post 46, push rod 43 and depression bar 44 are be arranged in parallel, and the rear end of push rod 43 and depression bar 44 is fixedly connected with operating handle 41, push rod
43 front end is fixedly connected with tightening up post 45, and the front end of depression bar 44 is fixedly connected with rubber compression leg 46, tightens up post 45 and rubber pressure
Post 46 is against on gun barrel.Operation device 4 is mainly used for set binding circle 12 and moved forward, and on the one hand makes to tighten up by tightening up post 45
Coil 11 is in tensioned state, on the other hand will tighten up node 13 all the time by rubber compression leg 46 and prop up and do not fall off in rubber pressure
Post 46, and after set binding circle 12 is enclosed on the root of diseased tissue, rubber compression leg 46 is still able to that node 13 will be tightened up firmly
Support organizationally, prevent that tightening up node 13 shifts.
As Figure 6-9, tightening device 5 tightens up wheel 51, take-up pulley 52, rotating shaft 53 and unidirectional bayonet lock 54 including two, turns
Axle 53 is laterally movable to be arranged on the back seat position of gun body 2, and one end of rotating shaft 53 is fixedly connected with tightening up wheel 51, the other end of rotating shaft 53
Be fixedly connected with take-up pulley 52, two tighten up wheel 51 one of them be located at gun body 2 inside, another be located at gun body 2 outside, and
Bottom righthand side that tightening up wheel 51 outside gun body 2 is longitudinally fixed sets unidirectional bayonet lock 54, and medical surgical silk thread 1 tightens up coil
11 will tighten up post 45 and rubber compression leg 46 is intertwined, and tighten up coil 11 and be in stress, the end of medical surgical silk thread 1
It is fastened and is connected with take-up pulley 52.
As shown in Figure 10,15, draw-gear 3 includes two draught lines 31, angle pulley 32 and single direction rotation coiling ratchet
33, draught line 31 is symmetrical arranged, and draught line 31 is close to the gun barrel outer wall and the pile warp gun barrel mouth of pipe of gun body 2 with being located at gun body 2 respectively
Internal angle pulley 32 and the single direction rotation coiling ratchet 33 positioned at gun body trigger position are intertwined and connected, positioned at gun barrel outer wall
Both sides draught line position is provided with knot 34, and the set binding circle 12 of medical surgical silk thread 1 is enclosed on the draught line 31 of gun barrel front end, and
Before knot 34, set binding circle 12 is in stress, set binding circle 12 and Ju Li≤1cm of gun barrel front end surface.Lead
Leading-in device 3 is mainly used in the traction to covering binding circle 12, set binding circle 12 is smoothly come off from gun barrel, and be successfully enclosed on
The root of diseased tissue, during traction, medical surgical silk thread 1 is constantly in exceptionally straight state, as a result of unidirectional card
Pin 54, does not interfere with travelling forward for set binding circle 12.
As shown in Figure 11,13, the inside of push rod 43 is hollow-core construction, and internal activity sets an inserted link 431, inserted link 431
Rear end is fixedly connected with the trigger 42 of operating handle 41, and the front end insertion of inserted link 431 is tightened up in post 45.Cocking 42, inserted link
431 are moved rearwards by, and the activity of post 45 is tightened up in triggering.
As figs 11-13, tightening up post 45 includes shell body 451, movable eye-splice 452 and spring 453, and shell body 451 is
Hollow-core construction, and front end offer before move back hole 4511, rear end offers retrogressing hole 4512, and movable eye-splice 452 is located at shell body 451
Inside, movable eye-splice 452 is step cylinder structure, and front end is round pin 4521, and post 4522 is is moved back in end, and round pin 4521 runs through
Before move back hole 4511 and be in contact with gun barrel, spring 453 is cased with round pin 4521, post 4522 is moved back with the intersection of round pin 4521 provided with limit
Position block 4523, moves back post 4522 and is engaged with retreating hole 4512, move back and a jack 4524 is opened up on post 4522, and insertion is inserted in jack 4524
Bar 431.Inserted link 431 is moved rearwards by, and is released to the spacing of movable eye-splice 452, then in the presence of spring 453, movable eye-splice
452 move backward, release to tightening up the spacing of coil 11, and then carry out tightening up operation, when set binding circle 12 has been enclosed on morbid state
During the root of tissue, medical surgical silk thread 1 can be tightened up by tightening device 5,452 pairs of receipts of movable eye-splice are then released again
Stringing circle 11 it is spacing, proceed to tighten up operation, and during tightening up, rubber compression leg 46 will tighten up node 13 all the time
Firmly support organizationally, and until tighten up end.
As shown in figure 14, the end face of rubber compression leg 46 is arcwall face structure, and with viscosity, the outside axle of rubber compression leg 46
A thimble 461 is fixedly installed to direction, medical surgical silk thread 1 is passed through from thimble 461.Thimble 461 can not only be right
Medical surgical silk thread 1 carries out the guiding in power and direction, and does not interfere with set binding circle 12 and move forward.
As shown in figure 1, depression bar 44 is fixedly connected by pressure elastic tape 7 with gun barrel.Pressure elastic tape 7 makes depression bar 44 always
Pressure state is kept, that is, makes rubber compression leg 46 to tighten up node 13 always to be pressed on gun barrel and diseased tissue, prevent from tightening up
Node 13 is shifted, and causes set binding circle 12 to receive not tight.
As shown in figure 15, unidirectional bayonet lock 54 includes firm banking 541, and lower position block is fixedly installed in the top of firm banking 541
542, limit spring 543 is fixedly installed in the upper end of lower position block 542, and upper limit position block is fixedly installed in the upper end of limit spring 543
544, Ya contractings Ju Li≤1cm of limit spring 543, during use, because medical surgical silk thread 1 is constantly in stress shape
State, so when covering the forward movement of binding circle 12, tightening up wheel 51 also with rotation, tightens up 51 pairs of upper limit position blocks 544 of wheel and is squeezed
Pressure, while limit spring 543 is also carried out compression, and the distance compressed is greater than being equal to the forward travel distance of set binding circle 12,
So not influenceing to cover the forward movement of binding circle 12 until being enclosed on diseased tissue root, nor influence tightening device 5 is carried out
Tighten up operation.
As illustrated in figs. 16-19, the node 13 of tightening up of medical surgical silk thread 1 is located between rubber compression leg 46 and gun barrel, and by
Rubber compression leg 46 is propped up and sticked.Rubber compression leg 46 has viscosity, is to prevent set binding circle 12 from moving on to the process of diseased tissue
In due to drop, cause set binding circle 12 to come off, influence is used.
As in figs. 17-19, a kind of operation principle of new multi-purpose looping and binding device, it is comprised the following steps that：
The first step：Be connected by negative pressure joint with extraneous negative pressure device, the right hand holds lever, and with middle finger, the third finger or
Wherein any one finger blocks switch for vent port in little finger, then makes gun barrel mouthful alignment relevant diseases tissue, is then turned on bearing
Pressure device, now, relevant diseases tissue are inside inhalable gun barrel；
Second step：By forefinger backwards rotation single direction rotation coiling ratchet, draught line and angle pulley is thus affected to be moved,
In the presence of tractive force, the draught line inside gun barrel carries out reclaiming motion backward, and the draught line outside gun barrel drives
Set binding circle travels forward, and promotes set binding circle to travel forward while left hand holds operating handle, the rifle until set binding circle comes off
Pipe, is enclosed on diseased tissue root；
3rd step：Left hand holds operating handle, moves forward whole operation device, and props up diseased tissue position, due to rubber
Glue laminated post has viscosity, can cling tighten up coil tighten up node, prevent during forward movement because there is drop,
Cause to tighten up coil and come off, then forward stirred, slowly received to tightening up coil to tightening up wheel by hand thumb
Tightly, cocking is coordinated during tightening up, eye-splice is ejected, in the presence of pressure rubber circle, tighten up node all the time by
Rubber compression leg is against diseased tissue position, then is finally tightened up by tightening up wheel to tightening up coil, forms fast knot, finally beats again
Carry out switch for vent port, eliminate negative pressure, the diseased tissue position that releasable quilt cover is pricked, and cut unnecessary medical surgical silk thread.
Certainly the operating process of the present invention is familiar with, it is desirable to carry out certain training, could further improve operation
Efficiency.
Described above is the preferred embodiment of the present invention, it is impossible to the interest field of the present invention is limited with this.It should refer to
Go out, for the common counting personnel of this counted fields, the count protocol of the present invention is modified or equivalent substitution, all
Protection scope of the present invention is not departed from.
Claims (9)
1. a kind of new multi-purpose looping and binding device, including medical surgical silk thread and gun body, it is characterised in that：Also include draw-gear,
Operation device and tightening device, the medical surgical silk thread break into dual unijunction, and coil and set binding circle, the receipts are tightened up in formation
Node is is tightened up by stringing circle and the set binding circle place of intersecting, and the medical surgical silk thread is generally in stress；The gun body
For cavity structure, the gun body is provided with the switch for vent port and negative pressure joint connected with cavity, and the switch for vent port is located at
On the lever of gun body, the negative pressure joint is located inside the lever lower end of gun body, the gun body to be fixedly connected with draw-gear, institute
State outside gun body and to be flexibly connected by U-shaped limit connector with operation device；The operation device include operating handle, trigger,
Push rod, depression bar, post and rubber compression leg are tightened up, the push rod and depression bar be arranged in parallel, the rear end of the push rod and depression bar and operation
Handle is fixedly connected, and the front end of the push rod is fixedly connected with tightening up post, and the front end of the depression bar is fixedly connected with rubber compression leg,
It is described to tighten up post and rubber compression leg is against on gun barrel；The tightening device tightens up wheel, take-up pulley, rotating shaft and unidirectional card including two
Pin, the rotating shaft is laterally movable to be arranged on gun body back seat position, and one end of the rotating shaft is fixedly connected with tightening up wheel, the rotating shaft
The other end be fixedly connected with take-up pulley, it is described two tighten up wheel one of them be located at gun body inside, another be located at gun body
Outside, and the longitudinally fixed unidirectional bayonet lock of setting of the bottom righthand side for tightening up wheel outside gun body, the receipts of the medical surgical silk thread
Stringing circle will tighten up post and rubber compression leg is intertwined, and the coil of tightening up is in stress, the medical surgical silk thread
End be fastened and be connected with take-up pulley.
2. a kind of new multi-purpose looping and binding device according to claim 1, it is characterised in that：The draw-gear includes two
Draught line, angle pulley and single direction rotation coiling ratchet, the draught line are symmetrical arranged, and the draught line is close to gun body respectively
Gun barrel outer wall and the pile warp gun barrel mouth of pipe with the angle pulley inside gun body and positioned at gun body trigger position single direction rotation around
Line ratchet is intertwined and connected, and the both sides draught line position positioned at gun barrel outer wall is provided with knot, the set of the medical surgical silk thread
Binding snare is on the draught line of gun barrel front end, and before knot, and the set binding circle is in stress, and the set is pricked
Coil and Ju Li≤1cm of gun barrel front end surface.
3. a kind of new multi-purpose looping and binding device according to claim 1, is characterised by：It is hollow knot inside the push rod
Structure, and internal activity sets an inserted link, the rear end of the inserted link is fixedly connected with the trigger of operating handle, the front end of the inserted link
Insertion is tightened up in post.
4. a kind of new multi-purpose looping and binding device according to claim 1 or 3, it is characterised in that：The post of tightening up is including outer
Housing, movable eye-splice and spring, the shell body is hollow-core construction, and front end offer before move back hole, rear end offers retrogressing hole,
The movable eye-splice is located inside shell body, and the movable eye-splice is step cylinder structure, and front end is round pin, and end is to move back
Post, the round pin moves back hole and is in contact with gun barrel before running through, spring is cased with the round pin, and the post that moves back is set with round pin intersection
Limited location block, the post that moves back is engaged with retrogressing hole, and described move back opens up a jack on post, insertion inserted link in the jack.
5. a kind of new multi-purpose looping and binding device according to claim 1, it is characterised in that：The end face of the rubber compression leg is
Arcwall face structure, and with viscosity, a thimble, the medical surgical is fixedly installed in the outside axial direction of the rubber compression leg
Silk thread is passed through from thimble.
6. a kind of new multi-purpose looping and binding device according to claim 1, it is characterised in that：The depression bar passes through pressure rubber
Circle is fixedly connected with gun barrel.
7. a kind of new multi-purpose looping and binding device according to claim 1, it is characterised in that：The receipts of the medical surgical silk thread
Tight knot point is located between rubber compression leg and gun barrel, and is propped up and sticked by rubber compression leg.
8. a kind of new multi-purpose looping and binding device according to claim 1, it is characterised in that：The unidirectional bayonet lock includes fixing
Lower position block is fixedly installed above base, the firm banking, limit spring is fixedly installed in the upper end of the lower position block, described
Upper limit position block, Ya contractings Ju Li≤1cm of the limit spring is fixedly installed in the upper end of limit spring.
9. the operation principle of the new multi-purpose looping and binding device described in a kind of usage right requirement 1, it is characterised in that specific steps are such as
Under：
The first step：Be connected by negative pressure joint with extraneous negative pressure device, the right hand holds lever, and with middle finger, the third finger or
Wherein any one finger blocks switch for vent port in little finger, then makes gun barrel mouthful alignment relevant diseases tissue, is then turned on bearing
Pressure device, now, relevant diseases tissue are inside inhalable gun barrel；
Second step：By forefinger backwards rotation single direction rotation coiling ratchet, draught line and angle pulley is thus affected to be moved,
In the presence of tractive force, the draught line inside gun barrel carries out reclaiming motion backward, and the draught line outside gun barrel drives
Set binding circle travels forward, and promotes set binding circle to travel forward while left hand holds operating handle, the rifle until set binding circle comes off
Pipe, is enclosed on diseased tissue root；
3rd step：Left hand holds operating handle, moves forward whole operation device, and props up diseased tissue position, due to rubber
Glue laminated post has viscosity, can cling tighten up coil tighten up node, prevent during forward movement because there is drop,
Cause to tighten up coil and come off, then forward stirred, slowly received to tightening up coil to tightening up wheel by hand thumb
Tightly, cocking is coordinated during tightening up, eye-splice is ejected, in the presence of pressure rubber circle, tighten up node all the time by
Rubber compression leg is against diseased tissue position, then is finally tightened up by tightening up wheel to tightening up coil, forms fast knot, finally beats again
Carry out switch for vent port, eliminate negative pressure, the diseased tissue position that releasable quilt cover is pricked, and cut unnecessary medical surgical silk thread.
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| CN201710341847.XA CN107028638B (en) | 2017-05-16 | 2017-05-16 | Novel multipurpose ligature device and use method thereof |
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|---|---|---|---|
| CN201710341847.XA CN107028638B (en) | 2017-05-16 | 2017-05-16 | Novel multipurpose ligature device and use method thereof |
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| CN107028638B CN107028638B (en) | 2023-10-20 |
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| CN108210018A (en) * | 2017-12-30 | 2018-06-29 | 天津灵角创意科技有限公司 | A kind of automatic looping and binding device of rotary-out type |
| CN109223115A (en) * | 2018-10-26 | 2019-01-18 | 湖南灵康医疗科技有限公司 | A kind of elastic thread looping and binding device |
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| CN111904524A (en) * | 2020-09-18 | 2020-11-10 | 山东省千佛山医院 | Anorectal department one-hand tight-line and broken-line type hemorrhoid ligation device |
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| CN107028638B (en) | 2023-10-20 |
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