CN107115130B - Double-sliding-groove self-locking hemostatic clamp - Google Patents

Double-sliding-groove self-locking hemostatic clamp Download PDF

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Publication number
CN107115130B
CN107115130B CN201710259964.1A CN201710259964A CN107115130B CN 107115130 B CN107115130 B CN 107115130B CN 201710259964 A CN201710259964 A CN 201710259964A CN 107115130 B CN107115130 B CN 107115130B
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locking
clamp
clamping pieces
clamping
sliding grooves
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CN107115130A (en
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唐志
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Micro Tech Nanjing Co Ltd
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Micro Tech Nanjing Co Ltd
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/122Clamps or clips, e.g. for the umbilical cord
    • A61B17/1227Spring clips
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/08Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound
    • A61B17/083Clips, e.g. resilient
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/08Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound
    • A61B2017/081Tissue approximator
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B2017/12004Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for haemostasis, for prevention of bleeding

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Molecular Biology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Reproductive Health (AREA)
  • Vascular Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention discloses a double-sliding-groove self-locking hemostatic clamp which comprises a clamp assembly, wherein the clamp assembly comprises a clamp body, a clamp seat and a driving sheet which are sequentially connected, the clamp body consists of two clamping pieces, each clamping piece comprises a head part and a tail part, the tail parts of the two clamping pieces are respectively provided with a sliding groove, and the sliding grooves are inclined grooves; the end part of the driving sheet is provided with a movable shaft; the tail parts of the two clamping pieces are movably connected with one end of the clamping seat through a fixed shaft; be equipped with vertical spout on the holder, the loose axle pass the spout of two clamping piece afterburns in proper order and the vertical spout of holder just can slide in the spout of clamping piece afterburns and the vertical spout of holder, makes two clamping pieces rotate around the fixed axle from this, realizes opening and the closure of clip body.

Description

Double-sliding-groove self-locking hemostatic clamp
Technical Field
The invention relates to a medical instrument for suturing alimentary canal and performing hemostasis treatment, in particular to a double-sliding-groove self-locking hemostatic clamp.
Background
In recent years, along with the rapid development of endoscope technology and accessories, hemostasis under an endoscope becomes the first choice treatment method for treating digestive tract hemorrhage, the success rate is higher and higher, and surgical operations are basically avoided. The currently common endoscopic hemostasis methods include a spraying method, an injection method, a microwave method, an argon ion coagulation method and the like, the endoscopic hemostasis clamps are designed and proposed by Hayashi, Kuramala and the like in 1975 for the earliest time, the endoscopic hemostasis clamps release the hemostasis clamps through a soft endoscope for the first time and successfully clamp bleeding blood vessels, and the endoscopic hemostasis clamps have become the most effective and most clinically applicable method for non-operative treatment of acute gastrointestinal bleeding patients in recent years due to the characteristics of small trauma, high hemostasis speed, low recurrence rate, few complications, definite curative effect and the like.
The main mechanism of the hemostatic clip for hemostasis is the same as surgical vessel ligation or suture, and the hemostatic clip is a physical mechanical method, which utilizes the mechanical force generated when the hemostatic clip is closed to press the surrounding tissues and the bleeding vessels together, so as to close the bleeding vessels, block the blood flow and achieve the purpose of hemostasis.
In clinical practice, due to normal peristalsis of a human body, the clamp is easy to slip from the tissue to be clamped when being closed, and at the moment, the clamp needs to be opened again for clamping again; in addition, from the hemostatic effect, the root needs to be clamped for arterial hemorrhage, the tissue edges at two sides need to be clamped and closed for a long strip-shaped hemorrhage port to achieve the purpose of hemostasis, if the angle between the clamp and the focus is incorrect, the target lesion position cannot be accurately clamped and closed, and at the moment, the angle between the clamp and the focus needs to be adjusted and the clamp and the focus need to be repositioned. Therefore, if the clamping is not performed properly, the purpose of hemostasis cannot be achieved.
However, the existing hemostatic clamp is inconvenient to place and fix, cannot have the performance of repeated opening and closing and rotation at the same time, and is urgently needed.
Disclosure of Invention
The invention aims to provide a clamp with double sliding grooves, which can be automatically locked, can be opened and closed repeatedly, has stable positioning effect and simple and reliable structure.
The clamp comprises a clamp assembly, wherein the clamp assembly comprises a clamp body, a clamp seat and a driving sheet which are sequentially connected, the clamp body is composed of two clamping pieces, each clamping piece comprises a head part and a tail part, and the tail parts of the two clamping pieces are respectively provided with a sliding chute which is a chute; the end part of the driving sheet is provided with a movable shaft;
the tail parts of the two clamping pieces are movably connected with one end of the clamping seat through a fixed shaft; the clamp seat is provided with a vertical sliding chute, the movable shaft sequentially penetrates through the sliding chutes at the tail parts of the two clamping pieces and the vertical sliding chute of the clamp seat and can slide in the sliding chutes at the tail parts of the clamping pieces and the vertical sliding chute of the clamp seat, so that the two clamping pieces rotate around the fixed shaft to realize the opening and closing of the clamp body;
the tail parts of the two clamping pieces are provided with rotating holes for accommodating the fixed shaft, and the rotating holes comprise rotating positions and locking positions;
in an initial state, the fixed shaft is positioned at a rotating position of the rotating hole;
the two clamping pieces are controlled to be clamped by pulling the driving piece and the movable shaft;
when the force applied to the driving piece is greater than a first preset value (the first preset value is generally 5N), the two jaws move so that the fixed shaft is located at the locking position of the rotating hole, thereby achieving the locking of the two jaws.
The rotating hole is a gourd-shaped hole formed by combining two incomplete circles.
The tail part of the clamping piece is provided with a buckling device used for fixing the clamping piece and the clamping seat.
The buckle device is a barb or a boss, and a locking hole matched with the barb or the boss is formed in the clamping seat.
And a bayonet used for tightly locking the barb or the boss on the buckle device with the locking hole is arranged in the locking hole.
The sliding grooves on the clamping seat are symmetrically arranged on two sides of the clamping seat.
And a fracture part is arranged between the driving sheet and the movable shaft, and when the force exerted on the driving sheet is greater than a second preset value (the second preset value is generally 10N) after the fixed shaft is positioned at the locking position, the fracture part is automatically broken.
The fracture part is arranged in a non-coaxial and non-symmetrical mode.
The occlusion distal ends of the two clamping pieces are in male-female tooth form fit, and the opening angle of the female tooth of the male-female tooth form is 135 degrees.
The front end of the clamping piece is provided with a barb.
Furthermore, the two sides of the middle position of the two clamping pieces are respectively provided with crocodile teeth which protrude out of the edges of the clamping pieces, and the two clamping pieces are in cross fit with each other.
The clip assembly of the present invention has the following features:
double-chute structure: the clamping seat and the clamping pieces are provided with sliding grooves, the two clamping pieces are 180 degrees or are matched up and down along the axial direction and then are provided with a rotating point, the rear ends of the clamping pieces are provided with sliding grooves with unlimited angles, a movable shaft penetrates through the middle of the sliding grooves, the movable shaft is tightly connected with the driving piece, and two ends of the movable shaft are inserted into the sliding grooves on the two sides of the clamping seat to reciprocate, so that the normal opening and closing of the clamp are realized.
Self-locking structure: the tail part of the near-end side of the sliding groove of the clamping piece is provided with a barb or a boss which is matched with a barb or a groove on the clamping seat, and under the action of tension of the driving piece, the barb or the boss on the clamping piece is elastically deformed to cross a high point on the clamping seat and enter the barb or the hole or the groove to be clamped for limiting the clamping piece to axially or transversely move again, so that the clamping piece is prevented from opening again.
Has the advantages that: the invention has simple and reliable structure, large opening angle and small swinging angle of the clamping pieces, and can realize accurate positioning and shorten the operation time for suturing or stanching the wound surface. The wound surface can be accurately sutured and the risk of falling off after operation can be effectively reduced because the clamping piece rotates around the fixed shaft to close the clamping piece and does not axially move (move forwards or backwards) in the closing process. The invention can be repeatedly opened and closed, can rotate, can be conveniently self-locked, and automatically separates from the conveyor to clamp tissues in the indwelling body so as to achieve the aims of suturing and stopping bleeding. When the invention is used, the clamping is stable, the clamping can be pre-clamped for a plurality of times, the included angle between the clamping piece and the focus can be flexibly adjusted in a rotating way, the operation is reliable and convenient, and the size of the indwelling human body is small.
Drawings
The foregoing and other advantages of the invention will become more apparent from the following detailed description of the invention when taken in conjunction with the accompanying drawings.
Fig. 1 is a schematic view of the general structure of the present invention.
Fig. 2 is a side view of the present invention.
Fig. 3 is a side view of the present invention in a closed state.
Fig. 4 is a schematic view of the unlocked state of the present invention.
Fig. 5 is a top view of the present invention in a closed state.
FIG. 6 is a driving diagram of the present invention.
Fig. 7 is a driving diagram of the present invention.
Fig. 8 is a schematic view of the locked state of the present invention.
Fig. 9 is a schematic view of the locked state of the present invention.
FIG. 10 is a schematic diagram of the break point of the driving plate according to the present invention.
Figure 11 is a schematic view of a clip barb of the present invention.
Fig. 12 is a schematic view of a clip alligator structure of the invention.
Detailed Description
The invention is further explained below with reference to the drawings and the embodiments.
As shown in fig. 1, 2, 3 and 4, the invention discloses a double-chute self-locking hemostatic clip, which comprises a clip assembly, wherein the clip assembly comprises a clip body 1, a clip holder 2 and a driving sheet 5 which are sequentially connected, the clip body is composed of two clamping pieces 1a and 1b, each clamping piece comprises a head part and a tail part, the tail parts of the two clamping pieces are respectively provided with a chute 1c and a chute 1d, and the chutes are chutes; the end part of the driving sheet 5 is provided with a movable shaft 4;
the tails of the two clamping pieces are movably connected with one end of the clamping seat through a fixed shaft 6; the clamp holder is provided with a vertical sliding chute 3, the movable shaft 4 sequentially penetrates through the sliding chutes 1c and 1d at the tail parts of the two clamping pieces and the vertical sliding chute 3 of the clamp holder and can slide in the sliding chutes 1c and 1d at the tail parts of the clamping pieces and the vertical sliding chute 3 of the clamp holder, so that the two clamping pieces rotate around a fixed shaft 6 to realize the opening and closing of the clamp body 1;
as shown in fig. 5 and 6, the tail parts of the two clamping pieces are provided with rotating holes 10 for accommodating the fixed shaft 6, and the rotating holes 10 comprise a rotating position and a locking position;
in the initial state, the fixed shaft 6 is positioned at the rotation position of the rotation hole 10;
the driving sheet 5 and the movable shaft 4 are pulled, so that the two clamping sheets are controlled to be clamped tightly;
when the force applied to the driving plate 5 is greater than the first preset value, the two jaws move such that the fixing shaft 6 is located at the locking position of the rotation hole 10, thereby achieving locking of the two jaws.
The rotating hole 10 is a gourd-shaped hole formed by combining two incomplete circles.
And a fracture part is arranged between the driving sheet 5 and the movable shaft 4, and when the fixed shaft 6 is positioned at the locking position and the force exerted on the driving sheet 5 is greater than a second preset value, the fracture part is automatically disconnected.
The fracture part is arranged in a non-coaxial and non-symmetrical mode.
As shown in fig. 7, 8 and 9, the proximal end side tails of the slide grooves 1c and 1d of the two clips are respectively provided with a locking device 7 which is matched with locking positions at two sides of the holder.
Buckle device 7 be barb or boss, be equipped with on the holder with the locking hole 8 of barb or boss adaptation, locking hole 8 contains down along 8a and last along 8b, when fixed axle 6 is located the lock position of rotating hole 10, during the locking of two clamping pieces, barb or boss get into down along 8a earlier, then get into and go up along 8b locking.
The sliding chutes 3 on the clamping seat are symmetrically arranged on two sides of the clamping seat.
The biting distal ends of the two clamping pieces are matched in a male-female tooth shape 1b 1.
The opening angle of the female tooth of the male and female tooth profiles 1b1 is 135 degrees.
Example 1
As shown in fig. 1, the invention discloses a double-chute self-locking hemostatic clip, which comprises a clip assembly, wherein the clip assembly comprises a clip body 1, a clip seat 2 and a driving sheet 5 which are sequentially connected, the clip body is composed of two clamping sheets 1a and 1b, each clamping sheet comprises a head part and a tail part, the tail parts of the two clamping sheets are respectively provided with a chute 1c and a chute 1d, and the chutes are chutes; the end part of the driving sheet 5 is provided with a movable shaft 4;
the tails of the two clamping pieces are movably connected with one end of the clamping seat through a fixed shaft 6; be equipped with vertical spout 3 on the holder, the loose axle 4 pass the spout 1c of two clamping piece afterburns in proper order, 1d and the vertical spout 3 of holder, and can slide in the spout 1c of clamping piece afterburns, 1d and the vertical spout 3 of holder, make two clamping pieces from this rotate around fixed axle 6, realize opening and closing of clip body 1.
The tail parts of the two clamping pieces are provided with rotating holes 10 for accommodating the fixed shaft 6, and the rotating holes 10 comprise rotating positions and locking positions;
in the initial state, the fixed shaft 6 is positioned at the rotation position of the rotation hole 10;
the driving sheet 5 and the movable shaft 4 are pulled, so that the two clamping sheets are controlled to be clamped tightly;
when the force applied to the driving plate 5 is greater than the first preset value, the two jaws move such that the fixing shaft 6 is located at the locking position of the rotation hole 10, thereby achieving locking of the two jaws.
The rotating hole 10 is a gourd-shaped hole formed by combining two incomplete circles.
And a fracture part is arranged between the driving sheet 5 and the movable shaft 4, and when the fixed shaft 6 is positioned at the locking position and the force exerted on the driving sheet 5 is greater than a second preset value, the fracture part is automatically disconnected.
The fracture part is arranged in a non-coaxial and non-symmetrical mode.
As shown in fig. 7, 8 and 9, the proximal end side tails of the slide grooves 1c and 1d of the two clips are respectively provided with a locking device 7 which is matched with locking positions at two sides of the holder.
Buckle device 7 be barb or boss, be equipped with on the holder with the locking hole 8 of barb or boss adaptation, locking hole 8 contains down along 8a and last along 8b, when fixed axle 6 is located the lock position of rotating hole 10, during the locking of two clamping pieces, barb or boss get into down along 8a earlier, then get into and go up along 8b locking. As shown in fig. 9, a bayonet 8c for tightly locking the barb or the boss of the buckle device with the locking hole is arranged in the locking hole.
The front ends of the two clamping pieces adopt a male and female tooth matching structure 1b1, the angle of the head ends is about 135 degrees, the angle is larger, the tissue can be better grabbed, and the tooth tips are sharp and can hook the mucosal tissue to prevent the hemostatic clamp from being detached from the mucosal tissue before release; in addition, after the hemostatic clamp is released, the male and female teeth are in cross fit, so that the mucosal tissue can be effectively clamped and closed, and the hemostatic clamp is prevented from slipping from the mucosal tissue due to normal peristalsis of a human body.
The single side of the clamping piece 1a of this scheme has barb 11, as shown in fig. 11, wherein the barb structure can reduce the defective opening of mucosa in advance to the great mucosa defect of closure prevents simultaneously because the hemostatic clamp after human normal wriggling leads to releasing from the mucosa tissue slippage. Barbs can be easily arranged on two sides, the number of the barbs can be 1 or more,
according to clinical operation experience, the hemostatic clamp alone cannot close larger mucosal defects, and even the hemostatic clamp with longer claws cannot be used. And this scheme the front end of clamping piece is equipped with the barb structure, can hook the one side of defect mucosa with the barb structure on one side of hemostatic clamp, then to the another side pulling mucosa, reduces the opening of defect mucosa, then the mucosa is hooked to the another side of reuse hemostatic clamp, slowly releases hemostatic clamp then, and the wound surface is closed in the clamp, has increased the power of grabbing to the tissue simultaneously.
Example 2
The difference between this embodiment and embodiment 1 is that two sides of the middle position of the two clamping pieces 1a and 1b are provided with alligator teeth 12, as shown in fig. 12, wherein the number of the clamping pieces is variable, including the tooth shape, the alligator teeth protrude out of the edge of the clamping pieces, and the alligator teeth of the two clamping pieces are in cross fit, so that the closing gap is reduced, the mucosal tissue can be clamped and closed more favorably, and the hemostatic clamp can be prevented from slipping from the mucosal tissue due to normal peristalsis of the.
In clinical use, as shown in fig. 2, the clamping pieces are driven by the driving piece 5 to open through the lateral force of the double sliding grooves and rotate around the fixed shaft 6, and as shown in fig. 3, the clamping pieces are driven by the driving piece 5 to close through the lateral force of the double sliding grooves and rotate around the fixed shaft 6
As shown in fig. 4, the clip rotates around a fixed shaft 6 shown by a dotted line and is closed, and the tail of the clip enters the space avoiding area of the holder. In fig. 4, the side view shows that the barb or hook 7 at the tail of the clip does not enter the groove 8 of the clip seat and is not locked.
As shown in FIG. 6, the clip is not axially displaced in the rotating hole 10, and can be pushed forward by the driving plate 5 to drive the movable shaft 4 to displace in the clip sliding slot to generate the lateral movement of the clip, so that the clip can rotate to reopen and close the clip
As shown in figure 7, under the action of the driving plate 5 exerting the pulling force again, the clamping piece moves backwards to generate the pulling force to enable the clamping piece to rotate the hole 10 (the non-full circle hole elastically deforms to cross the fixed shaft 6 to enter the next hole or groove, and then axial displacement occurs, the hook or barb at the tail part of the clamping piece and the boss 7 elastically deform to cross the clamping seat guide groove to enter the clamping point 8 to form axial locking, and the clamping piece can not be opened any more.)
As shown in fig. 8 and 9, the clip boss or barb 7 has entered the clip seat recess 8 to a locked state where the clip can no longer be opened.
As shown in figure 10, the driving plate 5 is pulled again, and the non-axial stress based on the breakpoint can generate deflection force to cause lateral force to break the driving plate weak point 9, so that the clip assembly stops on the human body.
When the hemostatic forceps are used, a patient enters a diseased position through an endoscope channel, the slide block is pushed forward to open the clamping piece, the handle is rotated to adjust the included angle between the clamp and the diseased position, and then the slide block is pulled backward to accurately clamp the target diseased position to achieve the hemostatic purpose.
The present invention provides a double-sliding groove self-locking hemostatic clamp, and the method and the way for implementing the technical solution are many, the above description is only the preferred embodiment of the present invention, it should be noted that, for those skilled in the art, without departing from the principle of the present invention, several improvements and modifications can be made, and these improvements and modifications should also be regarded as the protection scope of the present invention. All the components not specified in the present embodiment can be realized by the prior art.

Claims (10)

1. A double-sliding-groove self-locking hemostatic clamp comprises a clamp assembly and is characterized in that the clamp assembly comprises a clamp body, a clamp seat and a driving piece which are sequentially connected, the clamp body is composed of two clamping pieces, each clamping piece comprises a head part and a tail part, the tail parts of the two clamping pieces are respectively provided with a sliding groove, and the sliding grooves are inclined grooves; the end part of the driving sheet is provided with a movable shaft;
the tail parts of the two clamping pieces are movably connected with one end of the clamping seat through a fixed shaft; the clamp seat is provided with a vertical sliding chute, the movable shaft sequentially penetrates through the sliding chutes at the tail parts of the two clamping pieces and the vertical sliding chute of the clamp seat and can slide in the sliding chutes at the tail parts of the clamping pieces and the vertical sliding chute of the clamp seat, so that the two clamping pieces rotate around the fixed shaft to realize the opening and closing of the clamp body;
the two clamping pieces are provided with rotating holes for accommodating the fixed shaft, and the rotating holes comprise rotating positions and locking positions;
in an initial state, the fixed shaft is positioned at a rotating position of the rotating hole;
the two clamping pieces are controlled to be clamped by pulling the driving piece and the movable shaft;
when the force applied on the driving piece is larger than a first preset value, the two clamping pieces move, so that the fixed shaft is positioned at the locking position of the rotating hole, and the locking of the two clamping pieces is realized.
2. The self-locking hemostatic clamp with double sliding grooves according to claim 1, wherein the rotating hole is a gourd-shaped hole formed by combining two incomplete circles.
3. The self-locking hemostatic clamp with double sliding grooves according to claim 2, wherein a buckle device for fixing the clamping piece and the clamping seat is arranged at the tail part of the clamping piece.
4. The self-locking hemostatic clamp with double sliding grooves according to claim 3, wherein the locking device is a barb or a boss, and the clamp seat is provided with a locking hole adapted to the barb or the boss.
5. The self-locking hemostatic clamp with double sliding grooves according to claim 4, wherein the locking hole is provided with a bayonet for tightly locking the barb or the boss on the buckle device with the locking hole.
6. The self-locking hemostatic clamp with double sliding grooves according to claim 5, wherein the number of the sliding grooves on the clamp seat is two, and the two sliding grooves are symmetrically arranged on two sides of the clamp seat.
7. The self-locking hemostatic clip with double sliding grooves according to claim 6, wherein the distal ends of the two clamping pieces are engaged in a male-female tooth form, and the opening angle of the female tooth of the male-female tooth form is 135 degrees.
8. The self-locking hemostatic clamp with double sliding grooves according to claim 7, wherein a breaking part is provided between the driving plate and the movable shaft, and the breaking part is automatically broken when the force applied to the driving plate is greater than a second predetermined value after the fixed shaft is located at the locking position, and the breaking part is arranged in a non-coaxial and non-symmetrical manner.
9. The self-locking hemostatic clamp with double sliding grooves according to claim 8, wherein the front ends of the two clamping pieces are provided with barbs.
10. The self-locking hemostatic clip with double sliding grooves according to claim 8, wherein the two sides of the middle position of the two clamping pieces are respectively provided with alligators which protrude out of the edges of the clamping pieces, and the two clamping pieces are in cross fit with each other.
CN201710259964.1A 2017-04-20 2017-04-20 Double-sliding-groove self-locking hemostatic clamp Active CN107115130B (en)

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