CN108158617A - The operation folder that Microendoscopic uses - Google Patents
The operation folder that Microendoscopic uses Download PDFInfo
- Publication number
- CN108158617A CN108158617A CN201810048937.4A CN201810048937A CN108158617A CN 108158617 A CN108158617 A CN 108158617A CN 201810048937 A CN201810048937 A CN 201810048937A CN 108158617 A CN108158617 A CN 108158617A
- Authority
- CN
- China
- Prior art keywords
- microendoscopic
- bending part
- clamping part
- fixed block
- spine
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
Links
- 238000005452 bending Methods 0.000 claims abstract description 37
- 230000001575 pathological effect Effects 0.000 abstract description 16
- 230000003902 lesion Effects 0.000 abstract description 4
- 238000000034 method Methods 0.000 abstract description 4
- 238000010586 diagram Methods 0.000 description 11
- 210000001035 gastrointestinal tract Anatomy 0.000 description 3
- 239000000956 alloy Substances 0.000 description 2
- 230000002439 hemostatic effect Effects 0.000 description 2
- 206010028980 Neoplasm Diseases 0.000 description 1
- 229910045601 alloy Inorganic materials 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 238000002271 resection Methods 0.000 description 1
- 229910001285 shape-memory alloy Inorganic materials 0.000 description 1
- 230000000007 visual effect Effects 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
- A61B17/0218—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for minimally invasive surgery
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
The present invention relates to the operation folders that a kind of Microendoscopic uses, and including the first clamping part and the second clamping part, first clamping part and the second clamping part connect and compose clip；The first bending part is provided on first clamping part, the second bending part is provided on second clamping part, spine is provided on second bending part, the groove for accommodating spine is provided on first bending part.The operation folder that Microendoscopic provided by the invention uses, lesion locations are transported to by endoscope channel during use, the pathological tissues cut are penetrated by spine, and discharge clip after being dragged to target location, it starts so as to reach and fixes the pathological tissues cut, the purpose of exposure surgical field of view, and then improve procedure efficiency and safety.
Description
Technical field
The present invention relates to medical instruments fields, and in particular to the operation folder that a kind of Microendoscopic uses.
Background technology
As shown in figure 13, in the Microendoscopic resection operation of tumor in digestive tract, it can usually encounter lesion H and be incised to a part
When, the pathological tissues H1 cut can shelter from the internal cutting visual field so that the difficulty for change of performing the operation, operation risk increase
Add, how to solve this technical problem, people are exploring always.
Invention content
Therefore, the present invention provides the operation folder that a kind of Microendoscopic uses, to solve the problem above-mentioned.
The technical scheme is that：The operation folder that a kind of Microendoscopic uses, clamps including the first clamping part and second
Portion, first clamping part and the second clamping part connect and compose clip；The first bending part, institute are provided on first clamping part
It states and the second bending part is provided on the second clamping part, spine is provided on second bending part, is set on first bending part
It is equipped with the groove for accommodating spine.
Optionally, the spine is located at the centre position of first bending part, and the both sides of the spine are provided with anti-skidding
Tooth.
Optionally, the bending angle α of first bending part and the second bending part is 90 degree.
Optionally, the width of first bending part is more than the width of second bending part.
Optionally, the operation folder that the Microendoscopic uses further includes shrapnel, one end of the shrapnel and the described first folder
Portion's connection is held, the other end of the shrapnel is connect with second clamping part, and the shrapnel is fixedly arranged in the middle of pull rod.
Optionally, the operation folder that the Microendoscopic uses further includes handle, fixing piece, one end of the handle and fixation
Part connects, and the other end is provided with finger ring；Sliding block is additionally provided on the handle, conduit is connected on the fixing piece, it is described to lead
One end that pipe conduit is not connect with the fixing piece is fixed with sheath, and the pull rod is located in the sheath, pacifies on the sliding block
Equipped with seal wire, the seal wire is located in the conduit and passes through the handle and fixing piece；The seal wire does not connect with the sliding block
The one end connect is connect with the pull rod.
Optionally, the fixing piece is connect with the handle by limiting device；The limiting device, which includes first, to be fixed
Block, the second fixed block and clamping block, first fixed block are fixed on the handle, and second fixed block is fixed on described
On fixing piece, there is interval between first fixed block and second fixed block, the interval is more than or equal to the clip
Length；Groove is respectively arranged on first fixed block and the second fixed block, is provided on the clamping block and the groove
The protrusion of cooperation, the protrusion are stuck in the groove.
Optionally, the seal wire is provided with close to one end of clip and breaks structure.
Operation that Microendoscopic provided by the invention uses folder is transported to lesion locations during use by endoscope channel,
The pathological tissues H1 cut is penetrated by spine, and clip C is discharged after being dragged to target location, is started simultaneously so as to reach
The fixed pathological tissues cut, the purpose of exposure surgical field of view, and then improve procedure efficiency and safety, fixed effect referring to
Figure 14.
Description of the drawings
It, below will be to specific in order to illustrate more clearly of the specific embodiment of the invention or technical solution of the prior art
Embodiment or attached drawing needed to be used in the description of the prior art are briefly described, it should be apparent that, in being described below
Attached drawing is some embodiments of the present invention, for those of ordinary skill in the art, before not making the creative labor
It puts, can also be obtained according to these attached drawings other attached drawings.
Fig. 1 is the structure diagram of operation folder that a kind of Microendoscopic provided by the invention uses；
Fig. 2 is enlarged drawings of the Fig. 1 at A；
Fig. 3 is enlarged drawings of the Fig. 1 at B；
Fig. 4 is a kind of first bending part of the present invention and the matching chart of the second bending part；
Fig. 5 is one of overall structure diagram of operation folder that a kind of Microendoscopic provided by the invention uses；
Fig. 6 is the two of the overall structure diagram of operation folder that a kind of Microendoscopic provided by the invention uses；Wherein, it presss from both sides
Son is located in sheath；
Fig. 7 is a kind of structure diagram of first fixed block；
Fig. 8 is a kind of structure diagram of second fixed block；
A kind of structure diagrams of clamping block of Fig. 9；
Figure 10 is to break one of schematic diagram of structure；
Figure 11 is the two of the schematic diagram for breaking structure；
Figure 12 is the three of the schematic diagram for breaking structure；
Figure 13 is using the pathological tissues state diagram before operation folder；
Figure 14 is using the pathological tissues state diagram after operation folder；
Wherein, the 11, first clamping part；12nd, the second clamping part；13rd, the first bending part；14th, the second bending part；15th, spine；
16th, groove；17th, anti-slop serrations；18th, shrapnel；19th, pull rod；20th, sheath；101st, handle；102nd, fixing piece；103rd, finger ring；104th, it is sliding
Block；105th, conduit；108th, seal wire；109th, the first fixed block；200th, the second fixed block；201st, clamping block；202nd, groove；203rd, it is convex
It rises；205th, gap；206th, the first shrapnel；207th, card slot；208th, hook；209th, retaining wall；300th, clip；301st, fixture block；302nd, rib.
Specific embodiment
Technical scheme of the present invention is clearly and completely described below in conjunction with attached drawing, it is clear that described implementation
Example is part of the embodiment of the present invention, instead of all the embodiments.Based on the embodiments of the present invention, ordinary skill
Personnel's all other embodiments obtained without making creative work, shall fall within the protection scope of the present invention.
Referring to Fig. 1-Fig. 4, the present invention provides the operation folder that a kind of Microendoscopic uses, including the first clamping part 11 and the
Two clamping parts 12, first clamping part and the second clamping part connect and compose clip；First is provided on first clamping part
Bending part 13 is provided with the second bending part 14 on second clamping part, spine 15 is provided on second bending part, described
The groove 16 for accommodating spine is provided on first bending part.As a preferred solution, the spine is located at first folding
The centre position of turn of bilge, the both sides of the spine are provided with anti-slop serrations 17, in this way, after clip is discharged, the first clamping part and
Two clamping parts are closed, and the pathological tissues that can prevent spine both sides from having cut by spine and the anti-slop serrations of both sides skid, and
Target location more conducively is fixed to the pathological tissues cut.Preferably, the folding of first bending part and the second bending part
Bending angle α is 90 degree.
Operation that Microendoscopic provided by the invention uses folder is transported to lesion locations during use by endoscope channel,
The pathological tissues cut are penetrated by spine, and clip is discharged after being dragged to target location, starts and consolidates so as to reach
The fixed pathological tissues cut, the purpose of exposure surgical field of view, and then improve procedure efficiency and safety.
It can not be applied to the fixed of the pathological tissues that have cut in addition, operation folder also solves common operation folder
Problem, common operation folder can only clamp the pathological tissues cut, after target position is moved to, it is necessary to which opening clip will
The pathological tissues of incision and the tissue of target location are clipped together, and open clip moment, the pathological tissues cut by
In be detached from clip constraint and slide, in the program by setting spine after, can drive the disease cut without closing clamp
Become tissue movement, easy to use, the application can be transformed, for example the clip of hemostatic clamp is changed existing operation folder
The clip that the operation is caused to press from both sides.
Influenced by inside of human body environment, clip cannot be done too big, in order to reduce to a greater extent the volume of clip and
Increase the length of spine, the width of first bending part is more than the width of second bending part.
As a kind of control mode, operation folder further includes shrapnel 18, one end of the shrapnel and first clamping part
Connection, the other end of the shrapnel connect with second clamping part, and the shrapnel is fixedly arranged in the middle of pull rod 19, general during use
Pull rod can be used after connecting seal wire and sheath, by loosening or tensing the folding of the i.e. controllable shrapnel of seal wire and strut, so as to
The opening and closing of clip are controlled, it is easy to use.
Referring to Fig. 4-Fig. 9, in the application, operation folder can also generally include handle 101, fixing piece 102, the handle
One end connect with fixing piece, the other end is provided with finger ring 103；Sliding block 104 is additionally provided on the handle, on the fixing piece
Conduit 105 is connected with, one end that the catheter guide tube is not connect with the fixing piece is fixed with sheath 20, and the pull rod is located at institute
It states in sheath, seal wire 108 is installed on the sliding block, the seal wire is located in the conduit and passes through the handle and fixation
Part；The seal wire is not connect with one end that the sliding block is connect with the pull rod.In the application, the fixing piece can use existing
Some fixing pieces, such as squeezing handle, even if the handle that the used time is pinched with hand, it should be noted that clip can not in the structure
It using shrapnel, is directly made using memory alloy material, in this way, seal wire can directly be connect with clip, this clip is ability
Known to field technique personnel, details are not described herein again.In actual use, it sometimes will appear the situation of maloperation：Accidentally carry
It is preceding to release clip, in this way, clip easily encounters digestive tract wall to clip when moving, there is the risk of damage digestive tract wall.For
This, applicant has also done following design, and the fixing piece is connect with the handle by limiting device；The limiting device includes
First fixed block 109, the second fixed block 200 and clamping block 201, first fixed block are fixed on the handle, and described
Two fixed blocks are fixed on the fixing piece, there is interval, the interval between first fixed block and second fixed block
More than or equal to the length of the clip；Groove 202, the clamping are respectively arranged on first fixed block and the second fixed block
The protrusion 203 coordinated with the groove is provided on block, the protrusion is stuck in the groove.
The hemostatic clamp in use, clip clamper in sheath, first by sheath under the guiding of seal wire along endoscope channel
The one end of sheath far from handle is pushed to pathological tissues position, then operation handle, by pushing slipper push seal wire that will press from both sides
Son is released outside sheath, what clip was generally made using memorial alloy, therefore is opened after releasing, and pulls back movable slider, clip
It is closed.
In the application, the seal wire is preferably provided with close to one end of clip and breaks structure, and breaking structure can use now
Some breaks structure, several breaks structure for what applicant designed below.
Break structure 1：Referring to Figure 10, the structure of breaking includes the first shrapnel 206 and coordinates with first shrapnel
Card slot 207, cooperation described herein refer to that the first shrapnel can be just inserted into groove；Hook is provided on first shrapnel
208, retaining wall 209 is provided on the card slot；The hook is hooked on the retaining wall.When needing to disconnect, seal wire is slightly firmly pulled, is made
Hook deformation on first shrapnel is detached from retaining wall, so as to which seal wire and clip be disconnected.This structure will not leave behind section after breaking,
So as to prevent section part from thering is sharp part to injure tissue.
Structure 2 is broken, referring to Figure 11, the structure of breaking is the gap 205 being arranged on seal wire, this simple in structure,
The principle for being less than other positions endurance by opening position endurance slightly firmly pulls seal wire to disconnect opening position.
Structure 3 is broken, referring to Figure 12, the structure of breaking includes first clamp 300 and coordinates with the first clamp
Fixture block 301 is provided with rib 302 to prevent first clamp from skidding on the fixture block, and the first clamp is clipped on the fixture block, needs
When disconnecting, seal wire is slightly firmly pulled, first clamp is made to be disconnected with fixture block.
Obviously, the above embodiments are merely examples for clarifying the description, and is not intended to limit the embodiments.It is right
For those of ordinary skill in the art, can also make on the basis of the above description it is other it is various forms of variation or
It changes.There is no necessity and possibility to exhaust all the enbodiments.And the obvious variation thus extended out or
Among changing still in the protection domain of the invention.
Claims (8)
1. the operation folder that a kind of Microendoscopic uses, including the first clamping part (11) and the second clamping part (12), first folder
It holds portion and the second clamping part connects and composes clip；
The first bending part (13) is provided on first clamping part, the second bending part is provided on second clamping part
(14), which is characterized in that
Spine (15) is provided on second bending part, the groove (16) for accommodating spine is provided on first bending part.
2. the operation folder that Microendoscopic according to claim 1 uses, which is characterized in that the spine is located at described first
The centre position of bending part, the both sides of the spine are provided with anti-slop serrations (17).
3. the operation folder that Microendoscopic according to claim 1 uses, which is characterized in that first bending part and second
The bending angle of bending part is 90 degree.
4. the operation folder that Microendoscopic according to claim 1 uses, which is characterized in that the width of first bending part
More than the width of second bending part.
5. the operation folder that Microendoscopic according to claim 1 uses, which is characterized in that shrapnel (18) is further included, it is described
One end of shrapnel is connect with first clamping part, and the other end of the shrapnel is connect with second clamping part, the shrapnel
Be fixedly arranged in the middle of pull rod (19).
6. the operation folder that Microendoscopic according to claim 5 uses, which is characterized in that further include handle (101), fix
Part (102), one end of the handle are connect with fixing piece, and the other end is provided with finger ring (103)；
Sliding block (104) is additionally provided on the handle, is connected with conduit (105) on the fixing piece, the catheter guide tube not with
One end of the fixing piece connection is fixed with sheath (20), and the pull rod is located in the sheath, is equipped with and leads on the sliding block
Silk (108), the seal wire are located in the conduit and pass through the handle and fixing piece；
The seal wire is not connect with one end that the sliding block is connect with the pull rod.
7. the operation folder that Microendoscopic according to claim 6 uses, which is characterized in that the fixing piece and the handle
It is connected by limiting device；The limiting device includes the first fixed block (109), the second fixed block (200) and clamping block
(201), first fixed block is fixed on the handle, and second fixed block is fixed on the fixing piece, and described
There is interval between one fixed block and second fixed block, the interval is more than or equal to the length of the clip；
Groove (202) is respectively arranged on first fixed block and the second fixed block, be provided on the clamping block with it is described
The protrusion (203) of groove cooperation, the protrusion are stuck in the groove.
8. the operation folder that Microendoscopic according to claim 7 uses, which is characterized in that the seal wire is close to the one of clip
End, which is provided with, breaks structure.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810048937.4A CN108158617A (en) | 2018-01-18 | 2018-01-18 | The operation folder that Microendoscopic uses |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810048937.4A CN108158617A (en) | 2018-01-18 | 2018-01-18 | The operation folder that Microendoscopic uses |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN108158617A true CN108158617A (en) | 2018-06-15 |
Family
ID=62514773
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201810048937.4A Pending CN108158617A (en) | 2018-01-18 | 2018-01-18 | The operation folder that Microendoscopic uses |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN108158617A (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN114587486A (en) * | 2022-03-20 | 2022-06-07 | 郑州大学第一附属医院 | Enhanced fixed double-arm anastomosis clamp instrument for endoscope |
Citations (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP0201344A2 (en) * | 1985-05-10 | 1986-11-12 | Ethicon, Inc. | Ligating clip and clip applier |
| US20020177863A1 (en) * | 2001-05-24 | 2002-11-28 | Mandel Stanley R. | Surface treated ligating clip |
| US20040193185A1 (en) * | 2003-03-25 | 2004-09-30 | Inscope Development, Llc | Surgical jaw assembly with increased mechanical advantage |
| US20060271066A1 (en) * | 2004-12-07 | 2006-11-30 | Olympus Corporation | Insertion apparatus for endoscope |
| US20090326558A1 (en) * | 2008-06-30 | 2009-12-31 | Shengfu Cui | Clipping device |
| CN101897611A (en) * | 2010-07-08 | 2010-12-01 | 山东大学 | Intrusion type inverted titanium clips and use method thereof |
| CN204106106U (en) * | 2014-09-11 | 2015-01-21 | 天津万和医疗器械有限公司 | A kind of running fire Absorbable clips and adopt its Clip Applier |
| US20150282813A1 (en) * | 2003-11-07 | 2015-10-08 | Boston Scientific Scimed, Inc. | Endoscopic Hemostatic Clipping Apparatus |
-
2018
- 2018-01-18 CN CN201810048937.4A patent/CN108158617A/en active Pending
Patent Citations (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP0201344A2 (en) * | 1985-05-10 | 1986-11-12 | Ethicon, Inc. | Ligating clip and clip applier |
| US20020177863A1 (en) * | 2001-05-24 | 2002-11-28 | Mandel Stanley R. | Surface treated ligating clip |
| US20040193185A1 (en) * | 2003-03-25 | 2004-09-30 | Inscope Development, Llc | Surgical jaw assembly with increased mechanical advantage |
| US20150282813A1 (en) * | 2003-11-07 | 2015-10-08 | Boston Scientific Scimed, Inc. | Endoscopic Hemostatic Clipping Apparatus |
| US20060271066A1 (en) * | 2004-12-07 | 2006-11-30 | Olympus Corporation | Insertion apparatus for endoscope |
| US20090326558A1 (en) * | 2008-06-30 | 2009-12-31 | Shengfu Cui | Clipping device |
| CN101897611A (en) * | 2010-07-08 | 2010-12-01 | 山东大学 | Intrusion type inverted titanium clips and use method thereof |
| CN204106106U (en) * | 2014-09-11 | 2015-01-21 | 天津万和医疗器械有限公司 | A kind of running fire Absorbable clips and adopt its Clip Applier |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN114587486A (en) * | 2022-03-20 | 2022-06-07 | 郑州大学第一附属医院 | Enhanced fixed double-arm anastomosis clamp instrument for endoscope |
| CN114587486B (en) * | 2022-03-20 | 2023-11-10 | 郑州大学第一附属医院 | Reinforced fixing double-arm anastomosis clamp device for endoscope |
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| Date | Code | Title | Description |
|---|---|---|---|
| PB01 | Publication | ||
| PB01 | Publication | ||
| SE01 | Entry into force of request for substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| RJ01 | Rejection of invention patent application after publication |
Application publication date: 20180615 |
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| RJ01 | Rejection of invention patent application after publication |