CN107106181A - Running fire apparatus for ligating - Google Patents
Running fire apparatus for ligating Download PDFInfo
- Publication number
- CN107106181A CN107106181A CN201580050072.XA CN201580050072A CN107106181A CN 107106181 A CN107106181 A CN 107106181A CN 201580050072 A CN201580050072 A CN 201580050072A CN 107106181 A CN107106181 A CN 107106181A
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- China
- Prior art keywords
- clip
- draught line
- intermediate plate
- carrying tablet
- ligating
- Prior art date
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- 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
- A61B17/1227—Spring clips
-
- 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
-
- 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
- A61B17/00234—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
- A61B17/1222—Packages or dispensers therefor
-
- 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
-
- 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
- A61B2017/00017—Electrical control of surgical instruments
-
- 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
- A61B2017/00238—Type of minimally invasive operation
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Vascular Medicine (AREA)
- Reproductive Health (AREA)
- Surgical Instruments (AREA)
Abstract
The invention provides a kind of running fire apparatus for ligating, it includes clamping part, conveying control unit, clamping part includes the containing tube of clip group and housing clip subgroup, clip group includes at least two pieces clips axially arranged along containing tube, each piece of clip includes a pair of intermediate plates, intermediate plate afterbody is provided with the carrying tablet that can be deformed or destroy under a predetermined, and intermediate plate forms hole portion by carrying tablet；Conveying control unit includes draught line；Wherein, the hole portion and the leading section carried piece of draught line that draught line is formed through carrying tablet stop.Be not in the unsuccessful risk of clip release caused by the hydraulic performance decline due to the material of Connection Release structure using the running fire apparatus for ligating of the present invention, it is ensured that the release process stabilization of each clip is reliable；And doctor once inserts the running fire apparatus for ligating and just can discharge multiple hemostatic clamps to be clamped to lesions position, can so greatly reduce operating time.
Description
Technical field
It is more particularly to a kind of that active hemorrhage, the surface of a wound and perforation closure are controlled the invention belongs to medical instruments field
The running fire apparatus for ligating for the treatment of.
Background technology
Endoscope was born over more than 50 years, experienced the stage from medical diagnosis on disease to disease treatment, it is controlled some diseases
Treat largely effective and reliable.The stomach of organism, enteron aisle are often because in various diseases or accidental injury or endoscope diagnosis and treatment art
Damage causes bleeding or mucosa injury or even perforated.For the general carry out herbal sprinkling of active hemorrhage, high-frequency electrical, laser, argon
The methods such as method and clip the mechanical pressure hemostasis of gas calcination blutpunkte are treated.Wherein clip mechanical pressure hemostasis pair
The active hemorrhage therapeutic effect caused in Non-Variceal is more reliable, and has also obtained the accreditation of doctor and patient,
Nowadays used as maximally effective means；The intrusion degree of present clinical operation be gradually increased to gastral damage also by
Gradually increase, a certain degree of closure is carried out to gastral mucosa injury using clip in clinic promotes its wound healing, may be used also
Effective closure is carried out with the perforation small to alimentary canal, effect also gradually by clinic accreditation, can avoid abdominal to patient
The wound brought.
WO2006/098994 discloses a kind of running fire clamp apparatus, and it includes：Conduit portion；One is placed in conduit
Steel cable is operated, can promote and withdraw by conduit；Some separable clips, the part of each clip includes joint portion
Point, the intermediate plate of even numbers and the slidable collar being arranged on intermediate plate, the first position that the collar can be in hemostatic clamp opening
The activity between second place during closure, slidably collar enables intermediate plate front end mutually to be drawn close at the second place, slides
Collar includes an expansible part, and extendable member can be in the position of the compression when hemostatic clamp is in conduit and when folder
Son is at least part of to be moved between catheter proximal end position, and extendable member is in expanding location, and it can be in the front end of conduit
Part；Wherein, at least one the front end clip and a rear end clip of these separable clips in conduit are constituted, and to go here and there
Front end clip is arranged on the distal side of rear end clip by capable mode.
The running fire clamp apparatus is disadvantageous in that, is needed when to a clip applying power foremost by thereafter
Each clip to transmit power, therefore the intensity in rear clip to gradually be increased, if clip does not discharge successfully foremost,
Then the clip of rear end can now be accomplished by the apparatus more renewed, such case can cause operating time because pulling force is excessive and fails
Delay.Secondly, when discharging clip foremost, rear end clip bears certain power, therefore the performance of clip can be by some
Damage, so can cause the stability of each clip, reliability inconsistent.
The content of the invention
The present invention makes in view of the foregoing, and its goal of the invention is that each folder can be discharged well by providing one kind
Son, and by rotating the angle of adjustment clip, allow doctor using more preferable theta alignment focus and lesion tissue can be entered
The running fire apparatus for ligating that row is effectively clamped.
To reach above-mentioned purpose, present invention employs following technical scheme.
The kind running fire apparatus for ligating of the present invention, including clamping part, conveying control unit, the clamping part include clip group and receipts
Receive the containing tube of the clip group, the clip group includes at least two pieces clips along the axial arrangement of the containing tube, described every
One piece of clip includes a pair of intermediate plates, and the intermediate plate afterbody is provided with the carrying tablet that can be deformed or destroy under a predetermined, institute
State intermediate plate and pass through carrying tablet formation hole portion；
The conveying control unit includes draught line, pushes pipe, joystick, and the draught line pushes pipe through described
Interior, the joystick is connected with the rear end of the push pipe and the draught line and then drives the draught line to operate respectively
The clip；
Wherein, the draught line through the carrying tablet formation hole portion and the draught line leading section by the carrying
Piece stops, when discharging the clip, and the carrying tablet, which deforms or destroyed under the pressure effect of draught line leading section, to be made
The clip is obtained with the conveying control unit to depart from.
Preferably, clip head and the tail are arranged in containing tube with mutually abutting.
Preferably, it is provided with distance piece between two pieces of adjacent clips.
Preferably, pushing piece is provided with the draught line, the pushing piece is located at the rear end of the clip group or is located at
Between two pieces of adjacent clips.
Preferably, at least one carrying tablet of the afterbody of each intermediate plate, non-envelope is formed after the carrying tablet is assembled
The hole portion closed.
Preferably, the carrying tablet is only defined on an intermediate plate, and the afterbody of the carrying tablet and another intermediate plate forms described
Hole portion.
Preferably, the afterbody of described two intermediate plates is the bent over arms of bending, and the bent over arms intersects so that the folder
Piece afterbody is connected, and the afterbody of the bent over arms is respectively provided with least one carrying tablet, the assembled formation non-close of carrying tablet
The hole portion.
Preferably, the pair of intermediate plate is integrated symmetrically part bending and formed, the tail of the non-bending part of the intermediate plate
Portion has carrying tablet, and the symmetrical bending part of the carrying tablet and the intermediate plate constitutes the hole portion.
Preferably, the joystick include handle body, through the guide pipe inside the handle body, be connected to
The sliding handle of the guide pipe rear end, the sliding handle can be sheathed on the handle body slidingly back and forth, described to push away
Send that the rear end of pipe is adjacent with the front end of the guide pipe, the rear end of the draught line extends through the guide pipe；
The rear end end of the draught line is provided with the sliding seat slided along the handle body, the handle body and set
Front end limiting section is put, the sliding distance of the sliding seat is limited by the front end limiting section.
Preferably, the joystick include handle body, through the handle body guide pipe, be connected to it is described
The sliding handle of guide pipe rear end, the sliding handle can be sheathed on the handle body slidingly back and forth, the draught line
Rear end inside the guide pipe, and the rear end end of the draught line is connected with the sliding handle, thus described
Sliding handle can drive the draught line to move forward and backward.
Preferably, the handle body is provided with multiple spacing preiections, and the sliding handle is arriving at the spacing preiection
When can be hindered, the spacing of each spacing preiection is a clip or the distance more than a clip, or spacing preiection
It is more than the effective length of a clip with the coverage of sliding handle.
Preferably, the handle body hinders the sliding handle movement or can removing spacing provided with multiple
Length or limiting card of the interval more than clip between card, described two limiting cards is more than folder with sliding the coverage of fixed handle
The effective length of son.
Relative to prior art, using the running fire apparatus for ligating of the present invention, it is ensured that the release process of each clip is steady
It is fixed reliable, be not in the unsuccessful risk of clip release caused by the hydraulic performance decline due to the material of Connection Release structure.
, so can be with and doctor once inserts the running fire apparatus for ligating and just can discharge multiple hemostatic clamps to be clamped to lesions position
Greatly reduce operating time, be that patient and medical personnel have striven for most strong rescue time, be greatly reduced labor intensity,
Reduce medical waste and be conducive to environmental protection.
In addition, the connection of clip and draught line has been arranged in cinch tube or stop tube by the present invention, so greatly shorten
The length of clip, makes it simpler, more reliable, structure is shorter and smaller, is more suitable for the endoscope channel by bending, be clinical doctor
It is raw to provide a kind of apparatus for ligating for being widely portable to each position of alimentary canal.
Brief description of the drawings
Fig. 1 is the overall structure diagram of the apparatus for ligating of the present invention；
Fig. 2 is the structural representation of the first embodiment of the clip group of the present invention；
Fig. 3 is the structural representation of the second embodiment of the clip group of the present invention；
Fig. 4 is the structural representation of the 3rd embodiment of the clip group of the present invention；
Fig. 5 be the present invention cinch tube and stop tube first embodiment sectional view；
Fig. 6 be the present invention cinch tube and stop tube second embodiment sectional view；
Fig. 7 be the present invention cinch tube and stop tube the 3rd embodiment sectional view；
Fig. 8 be the present invention cinch tube and stop tube the 4th embodiment sectional view；
Fig. 9 be the present invention cinch tube and stop tube the 5th embodiment sectional view；
Figure 10 is a kind of structural representation of embodiment of the intermediate plate of the present invention；
Figure 11 is the structural representation of the first assembling mode of a pair of intermediate plates of the present invention；
Figure 12 is the structural representation of second of assembling mode of a pair of intermediate plates of the present invention；
Figure 13 is the structural representation of the third assembling mode of a pair of intermediate plates of the present invention；
Figure 14 is the structural representation of the 4th kind of assembling mode of a pair of intermediate plates of the present invention；
Figure 15 is the structural representation of the 5th kind of assembling mode of a pair of intermediate plates of the present invention；
Figure 16 is the cross-sectional view of the first embodiment of the conveying control unit of the present invention；
Figure 17 is the cross-sectional view of the second embodiment of the conveying control unit of the present invention；
Figure 18 is the cross-sectional view of the 3rd embodiment of the conveying control unit of the present invention；
Figure 19 is the cross-sectional view of the variation of the 3rd embodiment of the conveying control unit of the present invention.
Embodiment
Below in conjunction with the accompanying drawings come describe in detail the present invention apparatus for ligating better embodiment, but the present invention do not limit to
In these embodiments.
Referring to Fig. 1 and Fig. 2, Fig. 3, apparatus for ligating of the invention includes clamping part 1, conveying control unit 2, and clamping part 1 includes
The containing tube 10 of clip group and housing clip subgroup, containing tube 10 has spring helical structure, and clip group includes at least two pieces along institute
The clip 11 that containing tube 10 is axially arranged is stated, each piece of clip 11 includes a pair of intermediate plates 111,112；Conveying control unit includes
Draught line 21, push pipe 22 and joystick, the front end of draught line 21 extends through clip group, the rear end of draught line 21 through
Push in pipe 22, joystick is connected and then drives draught line 21 to operate folder with the rear end of push pipe 22 and draught line 21 respectively
Son.
Preferably, draught line 21 is through every piece of clip, and the front end of draught line 21, which also can be set, pulls termination 212, pulling end
First 212 are located at the front end of clip foremost.Termination 212 is pulled to be closed and discharged operation to every piece of clip one by one.
Each part of the apparatus for ligating of the present invention is individually illustrated below.
(1) clamping part
<Clip>
Clip 11 includes a pair of intermediate plates 111 and 112, and the afterbody of intermediate plate is provided with and can deform or destroy under a predetermined
Carrying tablet, intermediate plate forms hole portion by carrying tablet in afterbody (generation type of hole portion will be described in detail later)；Clip
11 can also include the cinch tube 12 of tightening up intermediate plate rear end, and cinch tube 12 is substantially into tubular structure, and the rear end of cinch tube may be used also
To be provided with stop tube 13, stop tube 13 can be made of high performance high polymer material, such as using PA (acid amides), nylon, liquid
Crystalline polymer, PPA (polyphthalamide) injection molding, or using the machined shaping of super-elastic metal material, punching press
It is molded or through technological formings such as powder metallurgy.
The embodiment of stop tube and cinch tube has a variety of.
For example, as one of which embodiment, as shown in figure 5, the front end of stop tube 13 is provided with stopping step 131, when
Clip 11 is pulled back through cinch tube 12 and when penetrating in the endoporus of stop tube 13, the carrying tablet of intermediate plate afterbody and stop tube
Stopping step 131 is abutted, so as to prevent clip 11 from continuing to enter in stop tube 13 easily, while the inwall of itself and stop tube 13 connects
Touch, prevent clip 11 from deviating from therefrom.The rear end of stop tube 13 is provided with clamping part 132, the flexible work of deformation of clamping part 132
Energy.When intermediate plate compressive deformation is drawn close, the inside compression of the elasticity of clamping part 132 of stop tube 13, when pressure is eliminated, clamping part
132 revert to open configuration.
As second of embodiment of cinch tube, as shown in fig. 6, cinch tube 12 is assembled with two pin parts 122, two
A fixed gap is left between pin part, it allows draught line 21 and pulls termination 212 to pass through.It is used as the third implementation of cinch tube
Mode, as shown in fig. 7, cinch tube leaves a fixed gap provided with two bendings 123 between bending 123, it allows the He of traction fiber 21
Termination 212 is pulled to pass through.
As the 4th kind of embodiment of cinch tube, as shown in figure 8, cinch tube 12 and stop tube 13 are integrally formed, its is big
Tubbiness is caused into, is made up of medical elastic metal material such as stainless steel, Nitinol, cobalt chromium Lip river molybdenum etc., provided with being bent on the inside of pipe
Inner bending structure 136 and another outer bending structure 134 for bending laterally.End and the end of cinch tube 12 on the left of it
Portion's function is the same.Inner bending structure 136 can prevent clip in release in first retraction cinch tube, outer bending structure 134 and reality
The function phase of clamping part 132 for applying stop tube 13 in example 1 is same, and it can inwardly be compressed, and it is to flick in time that can be withdrawn from external force.
As the 5th kind of embodiment of cinch tube, as shown in figure 9, on the basis of the 4th kind of embodiment, cinch tube
On add stop bending structure 137, for stopping intermediate plate and preventing intermediate plate from deviating from.
<Clip group>
The mode that each piece of clip is combined into clip group has a variety of.As a kind of embodiment therein, as shown in Fig. 2
Each clip in clip group is set together and is accommodated in containing tube 10 end to end.Being provided with the front end of intermediate plate allows to lead
The dead slot that lead passes through.
Further, it can also set up spacer tube between every two pieces of clips in clip group to be spaced apart every piece of clip, so
Clip behind when can prevent the interphase interaction of clip and damage or prevent to release clip exposing and causing to store too
The end face of pipe 10 can not be taken in containing tube, cause device failure.It should illustrate, the endoporus of spacer tube, which is more than, pulls the outer of termination
Footpath, can so allow pulling termination from the pipe orifice of interval by reaching the position of next piece of clip, so as to control next
Piece clip.
Certainly, clip group of the invention can also have other embodiment, such as, as shown in figure 3, on draught line, every
The position of the rear end of individual clip is respectively and fixedly provided with an impeller 216, and impeller 216 is in the small taper in the big rear end in front end, its big end
Diameter is more than the endoporus minimum diameter or width of stop tube 13, and impeller 216 can promote the band of stop tube 13 under push-and-pull action
The dynamic whole forward end of clip 11 movement.The outside diameter of impeller 216 is less than the groove of intermediate plate afterbody formation or the effective dimensions in hole,
But more than the width for pulling termination external diameter, it impeller 216 is crossed groove or the hole of the formation of intermediate plate afterbody, not break
Bad clamping piece structure.
As shown in figure 4, the front end of impeller 216 can also increase spacer tube 14, it is in substantially barrel-shaped, and its side wall is provided with
The groove run through, can so allow and pull termination 212 by its endoporus to reach the position of next clip 11.
<Intermediate plate>
As shown in fig. 10-15, the afterbody of intermediate plate is provided with the carrying tablet 113 that can be deformed or destroy under a predetermined,
Intermediate plate forms hole portion 114 by carrying tablet 113 in afterbody, and draught line 21 passes through the hole portion 114 of the formation of carrying tablet 113 and led
The leading section carried piece 113 of lead 21 stops so that the draught line can not be deviate from from the hole portion, when release clip
When 11, carrying tablet 113 is deformed or destroyed so that clip 11 is controlled with conveying under the pressure effect of draught line leading section
Portion 2 processed departs from.
Between intermediate plate can have a variety of assembling modes, it is specific as follows state shown in.
First assembling mode of intermediate plate
As shown in figs. 10-11, in present embodiment, the front end of intermediate plate has preceding hook 11a, preceding hook 11a rear ends connection intermediate plate
Main body 11b, the rear end of clip body are bend arm 11c, and the afterbody of two intermediate plate bend arms links together so that two intermediate plates
It can be synchronized with the movement, and the bending arm section of two intermediate plates keeps certain spacing；Clip body 11b rear end side is provided with only
Dynamic platform 11d.The afterbody of each intermediate plate is respectively provided with least one (being one in the present embodiment) carrying tablet 113, and carrying tablet is assembled
The hole portion 114 of non-close is formed afterwards.
Wherein, the afterbody of bend arm can be connected in the following way, such as, and bend arm afterbody is respectively provided with a synchronous piece
11e and synchronous groove 11f, the synchronous piece 11e of intermediate plate 111 is caught in the synchronous groove 11f of intermediate plate 112, while intermediate plate 112 is same
Step piece 11e is caught in the synchronous groove 11f of intermediate plate 111, and thus the afterbody of intermediate plate 111 and 112 links together；Or two intermediate plates
Bend arm afterbody on pin hole can also be set, the two is linked together by pin.It should illustrate, the company of intermediate plate afterbody
The mode of connecing be not limited to enumerate this is several, all may be used as long as can realize that two intermediate plates are synchronized with the movement.In addition, two intermediate plates may be used also
Abutted against respectively with the bend arm of another intermediate plate with respectively setting an interval platform 18 so that the bend arm of two intermediate plates keeps certain
Distance.
Second assembling mode of intermediate plate
As shown in figure 12, the afterbody of two intermediate plates is respectively provided with two carrying tablets, and the afterbody upper and lower of intermediate plate 111, which is arranged with, to be held
Slide glass 1132A and 1132B, the afterbody upper and lower of intermediate plate 112 are arranged with carrying tablet 1131A and 1131B, carrying tablet 1131A and
Non-close groove portion 1141 is formed between 1132A, non-close groove portion 1142, top carrying are formed between carrying tablet 1131B and 1132B
The hole portion 114 ' of non-close is formd between piece 1131A, 1132A and bottom carrying tablet 1131B, 1132B.
Intermediate plate afterbody is linked together by hereinbefore described synchronous piece with the structure of synchronous groove, but on two intermediate plates
Pin hole can be set, and the two can be linked together by pin.It should illustrate, the connected mode of intermediate plate afterbody is not limited
System, as long as can realize that two intermediate plates are synchronized with the movement.
3rd assembling mode of intermediate plate
As shown in figure 13, only in intermediate plate 111 provided with two carrying tablets 113, two carrying tablets 113 and the tail of jig arm 112
Portion assembles the hole portion 114 " for foring non-close.
Intermediate plate afterbody is linked together by the synchronous piece being described above with the structure of synchronous groove, but also may be used on two intermediate plates
To set pin hole, the two can be linked together by pin.It should illustrate, the connected mode of intermediate plate afterbody is not limited,
As long as can realize that two intermediate plates are synchronized with the movement.
4th assembling mode of intermediate plate
As shown in figure 14, the bend arm 11c of intermediate plate afterbody forms cross one another chi structure so that the tail of intermediate plate
Portion links together.Bend arm 11c is provided with eccentric bending arm 11c2 structure, and two adjacent sidelines are respectively positioned on intermediate plate center
The side of line so that two bend arm 11c intersect a position but do not influence it to move mutually.The afterbody of two bend arms is each
Provided with least one carrying tablet 113 (being one in the present embodiment), the assembled hole portion for foring non-close between carrying tablet
114”’.The wide kink 11c1 of bend arm sideline exceedes the center line of intermediate plate, two wide when two intermediate plates of intermediate plate are drawn close
Kink 11c1 is mutually abutted, and compressing is drawn in cinch tube 12, and kink 1,1c1 two wide, which can outwards produce certain elastic force, to be made
Intermediate plate with cinch tube is stronger keeps together, close intermediate plate it is closer.Tied using eccentric bending arm is so such
Structure can be more beneficial for intermediate plate and open bigger angle, so can clamp more tissues when intermediate plate is closed.
5th assembling mode of intermediate plate
As shown in figure 15, integrally formed (i.e. a pair of intermediate plates are integrated symmetrically portion for the lower semisection part of two intermediate plate afterbodys
Bending is divided to form), the upper semisection (afterbody of non-bending part) of two intermediate plate afterbodys is respectively provided with a carrying tablet 113, and two are held
With gap 161 between slide glass 113, the afterbody of carrying tablet and intermediate plate together form the hole of non-close in symmetrical bending place 141
Portion 114 " ".
The present invention is using this by the way of intermediate plate tail end sets the deformable bearing structure released, it is ensured that clip
Discharge process stabilization reliable, clip release is unsuccessful caused by will not occurring the hydraulic performance decline due to Connection Release structural material
Risk.And the connection of clip and draught line has creatively been arranged in cinch tube or stop tube by the present invention, so big
The big length for shortening clip, makes it simpler, more reliable, structure is shorter and smaller, is more suitable for the endoscope channel by bending, is
Clinician provides a kind of a kind of apparatus for ligating for being widely portable to each position of alimentary canal, when can greatly reduce operation
Between, it is that patient and medical personnel have striven for most strong rescue time.
<Convey control unit>
Conveying control unit includes draught line 21, pushes pipe 22 and joystick, and the front end of draught line 21 extends through clip
Group, the rear end of draught line 21 is through pushing in pipe 22, and joystick is connected with pushing the rear end of pipe 22 and draught line 21 respectively
And then drive draught line 21 to operate clip.
In the present invention, conveying control unit can have a variety of implementations, and one is done below and is discussed in detail.
First embodiment
As shown in Fig. 1 and Figure 16, joystick of the invention includes handle body 231, leading through handle body 231
To pipe 232, the sliding handle 233 of the rear end of guide pipe 232 is connected to, sliding handle 233 can be sheathed on handle sheet slidingly back and forth
On body 231, the rear end for pushing pipe 22 is adjacent with the front end of the guide pipe 232, and the rear end of draught line 21 extends through described lead
To pipe 232.When the forward end of sliding handle 233 is promoted, guide pipe 232 can promote the push end motion forward of pipe 22.
The rear end end of draught line 21 is provided with the sliding seat 211 slided along handle body 231, handle body 231 and set
There is front end limiting section, the sliding seat 211 is farthest slid into the front end limiting section.Using this kind of transfer unit structure, make
Used time inserts running fire clamp apparatus in endoscope channel, exposes pincers road junction foremost through it in screen, now pushes away forward
Dynamic sliding handle 233 drives the movement of the forward end of guide pipe 232, when guide pipe 232 front end with push pipe after end in contact after band
It is dynamic to push pipe end motion forward, the forward end movement together with the front end for pushing pipe will drive it when last piece of clip is contacted,
Last piece of clip 11 drives clip above to move together to the neighbouring clip transmitting thrust before it, finally drives every
Piece clip end motion forward together, clip 11 foremost can pull the end motion forward of draught line 21, but when sliding seat 211 is with before
Holding will stop moving after limiting section contact, and the pulling termination 212 that now front end of draught line 21 is fixed is relative to containing tube 10
Endface position can keep being relatively fixed and being maintained in rational scope, expose the effective length about slightly larger than a clip 11
Length, with ensure clip 11 can be pushed completely submitting containing tube 10, and only allow a clip 11 be pushed out storage
Pipe 10.Continued to move to when clip 11 foremost is completely withdrawn containing tube 10 and can not held further along in the case where pulling termination effect
When, the Elastic buckle 131 of stop tube 12 is outwards flicked, and its minimum circumscribed circle diameter is more than the internal diameter of the end face of containing tube 10.To
Sliding handle 233 is pulled afterwards, drives draught line 21 to move to the back-end when its rear end is contacted with sliding seat 211, and drive clip
11 is close to containing tube 10, when the stop surface of stop tube 13 and the end contact of containing tube 10 and after between card and neighboring clips,
Handle body 231 can be now rotated, it drives sliding seat 211 and the draught line 21 being connected on sliding seat to rotate, and forward
End transmission moment of torsion drives clip rotation.So doctor can according to the angle that clip and focus are adjusted the need for focus situation, with
Just preferably it is directed at focus.It is further continued for pulling sliding handle 233, pulls carrying tablet 113 of the termination 212 with being set on intermediate plate to connect
Touch, and drive clip mobile to the back-end, clip gradually closes up, when the stop end of intermediate plate is with being assembled in tightening up for the front end of stop tube 13
Stop motion after the end contact of pipe 12, now intermediate plate close up completely, then proceed to apply pulling force, when pulling force be more than it is default
Value of thrust when pull termination 212 to destroy carrying tablet and be released out of the intermediate plate fitted together hole slot 114, make clip with
Draught line 21 is separated, so that clip be discharged.Now forward end promotes sliding handle 233 to transmit the strength before repetition
Journey, and present clip 11 foremost is exposed the front end surface of containing tube 10, sliding handle is pulled by the power before repetition
Transmittance process is measured, then clip currently foremost is discharged, is and so on operated, finally all clips will all be released one by one
Containing tube 10 is simultaneously released one by one.
Second embodiment
As shown in figure 17, as second of embodiment of conveying control unit, joystick of the invention includes handle sheet
Body 231, through handle body 231 guide pipe 232, be connected to the sliding handle 233 of the rear end of guide pipe 232, sliding handle
233 can be sheathed on handle body 231 slidingly back and forth, and a front end part for guide pipe is connected with pushing pipe, draught line 21
Rear end inside the guide pipe 232, and the rear end of draught line 21 is connected with sliding handle 233.Sliding handle 233 can drive
Draught line 21 is moved forward and backward.
Control structure is conveyed using this kind, running fire clamp apparatus is inserted by Inner mirrors pincers road junction when initial and focus is reached
Position, forward end promotes sliding handle 233 and drives the end motion forward of draught line 21, is fixed by the mobile drive of draught line 21
In the end motion forward of impeller thereon, clip end motion forward is driven after the stop contact of impeller and clip, when most
When front end clip is pushed out containing tube 10, running fire clamp apparatus is close to lesions position by Inner mirrors, and pass through rotary handle sheet
Body 231 drives sliding handle 233 and the draught line 21 being fixed thereon to rotate, and draught line 21 transfers torque to pulling termination
On, pull termination to be stuck in clip 11, and drive clip to rotate, so as to adjust angle of the clip relative to focus, make doctor more
Good is clamped to focus, and sliding handle 233 is pulled after alignment focus and drives the draught line being fixed thereon to move to the back-end
Move, after pulling termination to be contacted with the carrying tablet of intermediate plate, drive intermediate plate mobile to the back-end, when the stop bit end of intermediate plate is with tightening up pipe end
Face contact rear jaw is closed completely, and intermediate plate just can not be further continued for moving, and now continue to pulling force, can cause the carrying of intermediate plate
Piece is destroyed, and now pulls termination to be separated with intermediate plate so that draught line separates to complete the release of clip with clip 11.After
It is continuous to promote sliding handle that second clip 11 be driven to expose to containing tube 10, pull sliding handle draught line is returned to the back-end
Contracting, makes first impeller cross the hole slot of intermediate plate, so that pulling termination to contact and block with intermediate plate, before so repeating
The stretch breaking process of one clip can discharge second clip, and to the last a clip is released, and now apparatus is just completed
Use.
3rd embodiment
As shown in figure 18, the 3rd embodiment of conveying control unit is that some changes have been done on the basis of second embodiment
Change.Several spacing preiections 2314, the meeting when arriving at spacing preiection 2314 of sliding handle 233 can be provided with handle body 231
Interim card once or hinders, but pushes away when doctor increases strength, draws sliding handle, and it can still cross spacing preiection and continue shifting
It is dynamic.The distance of the spacing of spacing preiection just for one clip of release or bigger about clip, such doctor is releasing clip
When can play suggesting effect, prevent overexertion and continuous all release several clips.
Or, as shown in figure 19, the limiting card 2315 of several flexible connections can also be set up on handle body 231,
It has certain frictional force between handle body 231, can play a part of hindering sliding handle movement, and two limits
There is the interval of certain distance, the distance is slightly larger than the length of clip between the card of position, limiting card is reached when promoting sliding handle 233
When at 2315, limiting card can hinder continuing to move to for sliding handle, and limiting card 2315 is removed just when needing to continue to discharge clip
It can continue to move to sliding handle 233, or the thrust being applied on sliding handle 233 can also be increased so as to drive limiting card
2315 move to reach at next limiting card 2315 and stop together, second piece of clip is pushed out containing tube 10.After
Containing tube 10 can be released one by one by clip and discharge one by one by continuing the process, thus complete to receive surgical procedure.
Using the running fire apparatus for ligating of the present invention, it is ensured that the release process stabilization of each clip is reliable, is not in
Because clip discharges unsuccessful risk caused by the hydraulic performance decline of the material of Connection Release structure.And doctor once inserts
The running fire apparatus for ligating just can discharge multiple hemostatic clamps and lesions position is clamped, when can so greatly reduce operation
Between, it is that patient and medical personnel have striven for most strong rescue time, has been greatly reduced labor intensity, reducing medical waste has
Beneficial to environmental protection.
Content described in this specification embodiment is only enumerating to the way of realization of inventive concept, protection of the invention
Scope is not construed as being only limitted to the concrete form that embodiment is stated, protection scope of the present invention is also and in art technology
Personnel according to present inventive concept it is conceivable that equivalent technologies mean.
Claims (12)
1. a kind of running fire apparatus for ligating, including clamping part, conveying control unit, it is characterised in that：
The clamping part includes clip group and stores the containing tube of the clip group, and the clip group includes at least two pieces along described
The clip that containing tube is axially arranged, each piece of clip includes a pair of intermediate plates, and the intermediate plate afterbody is provided with a predetermined
The carrying tablet that can be deformed or destroy, the intermediate plate passes through carrying tablet formation hole portion；
The conveying control unit includes draught line, pushes pipe, joystick, and the draught line is pushed in pipe through described, institute
Joystick is stated to be connected with the rear end of the push pipe and the draught line respectively and then drive the draught line described to operate
Clip；
Wherein, the hole portion and the leading section of the draught line that the draught line is formed through the carrying tablet are hindered by the carrying tablet
Gear, when discharging the clip, the carrying tablet, which is deformed or destroyed under the pressure effect of draught line leading section, causes institute
Clip is stated with the conveying control unit to depart from.
2. running fire apparatus for ligating according to claim 1, it is characterised in that the clip head and the tail are arranged at mutually abutting
In containing tube.
3. running fire apparatus for ligating according to claim 1, it is characterised in that between being provided between two pieces of adjacent clips
Spacing body.
4. running fire apparatus for ligating according to claim 1, it is characterised in that pushing piece, institute are provided with the draught line
Pushing piece is stated positioned at the rear end of the clip group or between two pieces of adjacent clips.
5. the apparatus for ligating according to any one of claim 1-4, it is characterised in that the afterbody of each intermediate plate is at least
There is a carrying tablet, the hole portion of non-close is formed after the carrying tablet is assembled.
6. the running fire apparatus for ligating according to any one of claim 1-4, it is characterised in that the carrying tablet is only defined one
On individual intermediate plate, the afterbody of the carrying tablet and another intermediate plate forms the hole portion.
7. the running fire apparatus for ligating according to any one of claim 1-4, it is characterised in that the afterbody of described two intermediate plates
For the bent over arms of bending, the bent over arms is intersected so that the intermediate plate afterbody is connected, and the afterbody of the bent over arms is respectively set
There are at least one carrying tablet, the assembled hole portion for forming non-close of the carrying tablet.
8. the running fire apparatus for ligating according to any one of claim 1-4, it is characterised in that the pair of intermediate plate is integrated
Symmetrically part bending is formed, and the afterbody of the non-bending part of the intermediate plate has carrying tablet, the carrying tablet and the intermediate plate
Symmetrical bending part constitute the hole portion.
9. the running fire apparatus for ligating according to any one of claim 1-4, it is characterised in that the joystick includes hand
Handle body, through the guide pipe inside the handle body, be connected to the sliding handle of the guide pipe rear end, the slip
Handle can be sheathed on the handle body slidingly back and forth, and the rear end for pushing pipe is adjacent with the front end of the guide pipe,
The rear end of the draught line extends through the guide pipe；
The rear end end of the draught line is provided with the sliding seat slided along the handle body, the handle body before setting
Limiting section is held, the sliding distance of the sliding seat is limited by the front end limiting section.
10. the running fire apparatus for ligating according to any one of claim 1-4, it is characterised in that the joystick includes
Handle body, through the handle body guide pipe, be connected to the sliding handle of the guide pipe rear end, the slip hand
Handle can be sheathed on the handle body slidingly back and forth, and the rear end of the draught line is inside the guide pipe, and institute
The rear end end for stating draught line is connected with the sliding handle, and thus the sliding handle can drive shifting before and after the draught line
It is dynamic.
11. running fire apparatus for ligating according to claim 10, it is characterised in that the handle body is provided with limit convex
Rise, the sliding handle can be hindered when arriving at the spacing preiection.
12. running fire apparatus for ligating according to claim 10, it is characterised in that the handle body is described provided with hindering
Limiting card that sliding handle is moved, can removing.
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| PCT/CN2015/092651 WO2017066986A1 (en) | 2015-10-23 | 2015-10-23 | Multi-clip ligation device |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN107106181A true CN107106181A (en) | 2017-08-29 |
| CN107106181B CN107106181B (en) | 2020-03-24 |
Family
ID=58556611
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201580050072.XA Active CN107106181B (en) | 2015-10-23 | 2015-10-23 | Continuous hair ligation device |
Country Status (2)
| Country | Link |
|---|---|
| CN (1) | CN107106181B (en) |
| WO (1) | WO2017066986A1 (en) |
Cited By (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108784775A (en) * | 2018-08-28 | 2018-11-13 | 诸暨市鹏天医疗器械有限公司 | More running fire tissue folders |
| CN110051398A (en) * | 2019-04-18 | 2019-07-26 | 浙江朗特医疗科技有限公司 | Dual locking tissue folder with limiting and protecting device |
| CN110101425A (en) * | 2019-05-08 | 2019-08-09 | 江苏常美医疗器械有限公司 | Running fire hemostatic clamp |
| CN112545605A (en) * | 2020-04-07 | 2021-03-26 | 温州医科大学附属第二医院、温州医科大学附属育英儿童医院 | Multi-head hemostatic clamp |
| WO2021093723A1 (en) * | 2019-11-14 | 2021-05-20 | 杭州安杰思医学科技股份有限公司 | Multiple processing device for endoscope and use method thereof |
Families Citing this family (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN107280723B (en) * | 2017-06-12 | 2020-06-23 | 南微医学科技股份有限公司 | Medical tissue clamp releasing device |
| CN108814672A (en) * | 2018-06-21 | 2018-11-16 | 黄荣泉 | Running fire Clip Applier binding clip |
| CN110432946B (en) * | 2019-08-09 | 2024-04-12 | 伟格尔(广州)医疗设备有限公司 | Automatic withdrawing device for preventing continuous hair clip applier |
| CN114469237B (en) * | 2020-10-28 | 2024-02-06 | 杭州安杰思医学科技股份有限公司 | End effector |
| CN112790814B (en) * | 2021-01-21 | 2023-08-01 | 吴一芃 | Quick blocking device of free skin flap transplantation operation blood vessel |
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| US20020133178A1 (en) * | 2001-03-14 | 2002-09-19 | Olympus Optical Co., Ltd. | Apparatus for ligating living tissues |
| US20060271072A1 (en) * | 2003-07-26 | 2006-11-30 | Christian Hummel | Method and device for the endoscopic application of self-closing medical clips |
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| JP4698864B2 (en) * | 2001-03-22 | 2011-06-08 | オリンパス株式会社 | Multifunction surgical instrument |
| JP5655145B2 (en) * | 2010-08-10 | 2015-01-14 | クック メディカル テクノロジーズ エルエルシーＣｏｏｋ Ｍｅｄｉｃａｌ Ｔｅｃｈｎｏｌｏｇｉｅｓ Ｌｌｃ | Clip device and delivery and placement method |
| CN203328756U (en) * | 2013-06-07 | 2013-12-11 | 上海理工大学 | Closing instrument with continuously-applied metal clips for endoscope |
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| US20020128667A1 (en) * | 2001-03-07 | 2002-09-12 | Olympus Optical Co., Ltd. | Apparatus for ligating living tissues |
| US20020133178A1 (en) * | 2001-03-14 | 2002-09-19 | Olympus Optical Co., Ltd. | Apparatus for ligating living tissues |
| US20060271072A1 (en) * | 2003-07-26 | 2006-11-30 | Christian Hummel | Method and device for the endoscopic application of self-closing medical clips |
Cited By (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108784775A (en) * | 2018-08-28 | 2018-11-13 | 诸暨市鹏天医疗器械有限公司 | More running fire tissue folders |
| CN110051398A (en) * | 2019-04-18 | 2019-07-26 | 浙江朗特医疗科技有限公司 | Dual locking tissue folder with limiting and protecting device |
| CN110101425A (en) * | 2019-05-08 | 2019-08-09 | 江苏常美医疗器械有限公司 | Running fire hemostatic clamp |
| WO2021093723A1 (en) * | 2019-11-14 | 2021-05-20 | 杭州安杰思医学科技股份有限公司 | Multiple processing device for endoscope and use method thereof |
| CN112545605A (en) * | 2020-04-07 | 2021-03-26 | 温州医科大学附属第二医院、温州医科大学附属育英儿童医院 | Multi-head hemostatic clamp |
Also Published As
| Publication number | Publication date |
|---|---|
| CN107106181B (en) | 2020-03-24 |
| WO2017066986A1 (en) | 2017-04-27 |
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Address after: 311106 Building 597 Kangxin Road, Yuhang District, Hangzhou City, Zhejiang Province, 5 and 6 (except room 103 and 202) Applicant after: Hangzhou Anjisi Medical Science and Technology Co., Ltd. Address before: Hangzhou City, Zhejiang province 311106 Xinlu Kang Yuhang District of Yuhang economic and Technological Development Zone No. 597 building 6 Applicant before: Hangzhou AGS Medical Technology Co., Ltd. |
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