CN108420489A - A kind of penis vessel Basilar artery device - Google Patents

A kind of penis vessel Basilar artery device Download PDF

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Publication number
CN108420489A
CN108420489A CN201810029160.7A CN201810029160A CN108420489A CN 108420489 A CN108420489 A CN 108420489A CN 201810029160 A CN201810029160 A CN 201810029160A CN 108420489 A CN108420489 A CN 108420489A
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China
Prior art keywords
press
elastic arm
clamping
length direction
adjustment barrel
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CN201810029160.7A
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Chinese (zh)
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CN108420489B (en
Inventor
黄航
李萍
卢湧湧
叶雪挺
陈伟
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First Affiliated Hospital of Wenzhou Medical University
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First Affiliated Hospital of Wenzhou Medical University
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Priority to CN201810029160.7A priority Critical patent/CN108420489B/en
Publication of CN108420489A publication Critical patent/CN108420489A/en
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Publication of CN108420489B publication Critical patent/CN108420489B/en
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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
    • A61B17/12Surgical 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)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Vascular Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Reproductive Health (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 invention discloses a kind of penis vessel Basilar artery devices, its key points of the technical solution are that including there are two elastic arms, one end bending of elastic arm is provided with clamping limb, the other end is fixedly installed fixed block, two fixed block fittings and fixed setting, the length direction of elastic arm and the length direction of clamping limb are arranged at angle, and the angle is obtuse angle, gap setting between two elastic arms;Elastic arm is provided with regulating device close to one end of fixed block, regulating device includes pre-press, position limiting structure, adjustment barrel, adjustment barrel is rotatablely connected around center axis and fixed block, the madial wall of adjustment barrel is provided with the helicla flute for driving pre-press to move, the upper surface of pre-press is convexly equipped with the guide pad in embedded helicla flute, for adjustment barrel in rotation process, guide pad slides in helicla flute drives pre-press to be moved along the length direction of elastic arm under the limit of position limiting structure.The block device can reduce tissue injury, reduce intraoperative hemorrhage and damage and postoperative complications.

Description

A kind of penis vessel Basilar artery device
Technical field
The present invention relates to the field of medical instrument technology, more specifically, it relates to a kind of penis vessel Basilar artery device.
Background technology
Currently, under laparoscope of being expert at when Prostate Cancer after Radical, the method processing dorsum penis depth blood for tying detachment is mostly used Pipe, to reduce intraoperative hemorrhage.However under existing laparoscope Prostate Cancer after Radical fine, such as careless meeting that ties operational requirements Catheter is tied, and time-consuming.Therefore there are the method that part expert proposes the deep blood vessel of the back of the body of temporary blocking in art, operation Later stage further plays detachment blood vessel.However because lacking the suitable instrument blocked in short-term, go to press from both sides using non-professional separation instrument The clamping effect that the back of the body deep blood vessel has been seriously affected when holding, influences surgical procedure, easily causes unnecessary tissue damage, increases postoperative Complication.
For this purpose, we want to develop in a kind of art can Basilar artery dorsum penis depth blood vessel instrument, be conducive to operation smoothly, It is rapid to carry out, and reduce intraoperative hemorrhage and damage.
Invention content
It, should in view of the deficiencies of the prior art, the present invention intends to provide a kind of penis vessel Basilar artery device Block device can reduce tissue injury, reduce intraoperative hemorrhage and damage and postoperative complications.
To achieve the above object, the present invention provides following technical solutions:A kind of penis vessel Basilar artery device includes One end bending of two elastic arms, the elastic arm is provided with clamping limb, and the other end is fixedly installed fixed block, two fixed blocks Fitting and fixed setting, the length direction of the elastic arm and the length direction of clamping limb are arranged at angle, and the angle is Obtuse angle, gap setting between two elastic arms, and the spacing dimension between two elastic arms are from fixed block one end to clamping limb One end is arranged at gradual increase;Two clamping limbs are located remotely from each other when two elastic arms are close to each other, and two elastic arms are located remotely from each other When two clamping limbs it is close to each other, until two clamping limbs abut;The elastic arm is provided with close to one end of fixed block and is used for The regulating device of the spacing dimension between two elastic arms is adjusted, the regulating device includes to be connected on elastic arm lateral wall Pre-press and be merely able to the position limiting structure moved along the length direction of elastic arm for limiting pre-press and be socketed on Adjustment barrel outside two elastic arms for driving pre-press to move, the adjustment barrel connect around center axis and fixed block rotation It connects, the madial wall of the adjustment barrel is provided with the helicla flute for driving pre-press to move, the upper surface projection of the pre-press There is the guide pad in embedded helicla flute, for adjustment barrel in rotation process, guide pad slides in helicla flute drives pre-press limiting It is moved along the length direction of elastic arm under the limit of bit architecture.
The present invention is further arranged to:The position limiting structure includes the limiting block positioned at elastic arm width direction both sides Plate, in being provided with the movable passageway for being moved for pre-press, the shifting on the lateral wall of elastic arm between two postive stop baffles The width dimensions in dynamic channel are adapted with the width dimensions of pre-press, are all provided on two madial walls of the movable passageway width direction Be equipped with shifting chute, the length direction of the shifting chute and the length direction of movable passageway are consistent, the pre-press it is opposite Both sides are both provided with the gag lever post being inserted into shifting chute.
The present invention is further arranged to:The inner bottom surface of the adjustment barrel is convexly equipped with rotating bar, is provided on the fixed block Fixing sleeve for limiting rotating bar circuit oscillation, the outer diameter of the rotating bar are adapted with the internal diameter size of fixing sleeve; The lower end of the pre-press is rotatably connected to runner, and pre-press is connected to by runner on the lateral wall of elastic arm.
The present invention is further arranged to:End set of the clamping limb far from elastic arm has clamping piece, the clamping piece It is made of metal flake and there is elasticity, two clamping pieces are bent into arcuate structure setting in opposite directions along its length.
The present invention is further arranged to:The clamping piece is detachably fixed with clamping limb to be connect, and is spirally connected on the clamping limb It is useful for the trip bolt of fastening clamp piece, the link slot for being passed through for trip bolt is provided on the clamping piece, it is described Link slot runs through the thickness direction of clamping piece, and the length direction of link slot is arranged along the length direction of clamping piece.
The present invention is further arranged to:The tail end of the adjustment barrel is provided with geometrical clamp, the adjustment barrel and geometrical clamp it Between be connected with bent direction flexible.
In conclusion the invention has the advantages that:When mediating block device, one end of two elastic arms is by fixed block It is always kept in a fixed state setting, two clamping limbs separation of the other end;And when cancelling the active force for mediating block device, two elastic arms It is turned out around one end of fixed block, until two clamping limbs contradict fitting;Chucking power between two clamping limbs and elastic arm The deforming force being turned out around fixed block is directly proportional, and regulating device can be used in adjusting elastic arm and is turned out around fixed block Deforming force, therefore the chucking power between two clamping limbs can be adjusted, for reduction can be passed through at weak vein The chucking power of block device avoids block device from generating damage to the tissue of holding position in clamping process, to advantageously reduce art Middle bleeding and damage and postoperative complications.Therefore doctor's temporary blocking in art can be convenient for by using above-mentioned block device The deep blood vessel of the back of the body, the method that then phase further plays detachment blood vessel after surgery, improve Prostate Cancer after Radical operating efficiency and Safety.When further for needing to enhance the chucking power of block device, also can two clamping limbs be enhanced by using regulating device Between chucking power, be conducive to extend block device the scope of application.
Description of the drawings
Fig. 1 is the structural schematic diagram of block device;
Fig. 2 is the structural schematic diagram of adjustment barrel;
Fig. 3 is the structural schematic diagram of pre-press;
Fig. 4 is the structural schematic diagram of position limiting structure;
Fig. 5 is the structural schematic diagram of clamping piece.
Reference numeral:1, elastic arm;2, clamping limb;21, clamping piece;211, link slot;22, trip bolt;3, fixed block; 31, fixing sleeve;4, regulating device;41, pre-press;411, guide pad;412, gag lever post;413, runner;42, position limiting structure; 421, postive stop baffle;422, movable passageway;423, shifting chute;43, adjustment barrel;431, helicla flute;432, rotating bar;5, fixed Folder;51, direction flexible.
Specific implementation mode
With reference to the accompanying drawings and examples, the present invention is described in more detail.Wherein identical parts are with identical Reference numeral indicates.It should be noted that word "front", "rear" used in the following description, "left", "right", "up" and "down" Refer to that the direction in attached drawing, word " bottom surface " and " top surface ", "inner" and "outside" are referred respectively to towards or away from particular elements The direction of geometric center.
Referring to Fig.1 shown in -5, a kind of penis vessel Basilar artery device, including there are two elastic arm 1, one end of elastic arm 1 Bending is provided with clamping limb 2, and the other end is fixedly installed fixed block 3, two fittings of fixed block 3 and fixed setting, elastic arm 1 The length direction of length direction and clamping limb 2 is arranged at angle, and the angle is obtuse angle, and gap is set between two elastic arms 1 It sets, and the spacing dimension between two elastic arms 1 is arranged from 3 one end of fixed block to 2 one end of clamping limb at gradual increase;Two Two clamping limbs 2 are located remotely from each other when elastic arm 1 is close to each other, and two clamping limbs 2 mutually lean on when two elastic arms 1 are located remotely from each other Closely, until two clamping limbs 2 abut;Elastic arm 1 is provided with close to one end of fixed block 3 between two elastic arms 1 of adjusting Spacing dimension regulating device 4, regulating device 4 includes the pre-press 41 being connected on 1 lateral wall of elastic arm and for limiting Pre-press 41 processed is merely able to the position limiting structure 42 moved along the length direction of elastic arm 1 and is socketed on outside two elastic arms 1 Adjustment barrel 43 for driving pre-press 41 to move, adjustment barrel 43 are rotatablely connected around center axis and fixed block 3, adjustment barrel 43 Madial wall be provided with for drive pre-press 41 move helicla flute 431, the upper surface of pre-press 41 is convexly equipped with embedded spiral Guide pad 411 in slot 431, for adjustment barrel 43 in rotation process, the sliding in helicla flute 431 of guide pad 411 drives pre-press 41 move under the limit of position limiting structure 42 along the length direction of elastic arm 1.
When mediating block device, one end of two elastic arms 1 is always kept in a fixed state setting by fixed block 3, two of the other end Clamping limb 2 detaches;And when cancelling the active force for mediating block device, two elastic arms 1 are turned out around one end of fixed block 3, directly Fitting is contradicted to two clamping limbs 2;The deformation that chucking power between two clamping limbs 2 is turned out with elastic arm 1 around fixed block 3 Active force is directly proportional, and regulating device 4 can be used in adjusting the deforming force that elastic arm 1 is turned out around fixed block 3, therefore energy The chucking power between two clamping limbs 2 is enough adjusted, for can be avoided by the chucking power of reduction block device at weak vein Block device generates damage in clamping process to the tissue of holding position, to advantageously reduce intraoperative hemorrhage and damage and postoperative Complication.Therefore doctor's temporary deep blood vessel of the blocking back of the body in art can be convenient for by using above-mentioned block device, then performed the operation The method that later stage further plays detachment blood vessel improves operating efficiency and the safety of Prostate Cancer after Radical.Further for needs When enhancing the chucking power of block device, also can the chucking power between two clamping limbs 2 be enhanced by using regulating device 4, favorably In the scope of application of extension block device.
Regulating device 4 is when in use, it is only necessary to rotate adjustment barrel 43, drive pre-press 41 along clamping limb by adjustment barrel 43 2 length direction sliding, pre-press 41 are connected to during being slid on clamping limb 2 on the lateral wall of clamping limb 2, lead to always It overregulates active force of the pressing of cylinder 43 in pre-press 41 to press pre-press 41 on clamping limb 2, since regulating device 4 is located at Elastic arm 1 is close to one end of fixed block 3, therefore regulating device 4 can gradually decrease during driving pre-press 41 to slide Spacing dimension between two elastic arms 1 realizes the clamping for adjusting block device to enable two clamping limbs 2 to draw close in opposite directions Power effect.
Position limiting structure 42 includes the postive stop baffle 421 positioned at 1 width direction both sides of elastic arm, two postive stop baffles 421 Between in being provided with the movable passageway 422 for being moved for pre-press 41, the width of movable passageway 422 on the lateral wall of elastic arm 1 Degree size is adapted with the width dimensions of pre-press 41, and movement is both provided on two madial walls of 422 width direction of movable passageway The length direction of slot 423, the length direction and movable passageway 422 of shifting chute 423 is consistent, and the opposite sides of pre-press 41 is equal It is provided with the gag lever post 412 being inserted into shifting chute 423.Two postive stop baffles 421 are located at 41 opposite sides of pre-press, The two can abut setting, can be used for limiting the rotation in movable passageway 422 of pre-press 41, and gag lever post 412 is embedded in shifting chute In 423 in slipping, be conducive to improve degree of stability of the pre-press 41 when sliding on elastic arm 1, and then be conducive to carry The use degree of stability of height regulating device 4.
The lower face of adjustment barrel 43 is convexly equipped with rotating bar 432, is provided on fixed block 3 circumferential for limiting rotating bar 432 The outer diameter of the fixing sleeve 31 of swing, rotating bar 432 is adapted with the internal diameter size of fixing sleeve 31;The lower end of pre-press 41 turns Dynamic to be connected with runner 413, pre-press 41 is connected to by runner 413 on the lateral wall of elastic arm 1.Rotating bar 432 is plugged in solid Surely in set 31, and the lateral wall of rotating bar 432 is abutted with the madial wall of fixing sleeve 31, therefore the structure can be solid by adding Surely the degree that is connected firmly of 31 enhancing adjustment barrel 43 and elastic arm 1 of set, avoids adjustment barrel 43 anti-by it when driving pre-press 41 It is tilted to active force by top, influences the regulating effect of regulating device 4.And the runner 413 added advantageously reduces pre-press 41 Frictional force when lower end abuts mobile with elastic arm 1 is conducive to improve to facilitate regulating device 4 that pre-press 41 is driven to move The use degree of stability of regulating device 4.
End set of the clamping limb 2 far from elastic arm 1 has clamping piece 21, clamping piece 21 to be made of metal flake and have Flexible, two clamping pieces 21 are bent into arcuate structure setting in opposite directions along its length.Block device can be incited somebody to action when vein is clamped Folder is closed completely for it, but by adding clamping piece 21, is enabled the end of clamping limb 2 by the support of clamping piece 21, be at one The state to be used of a crack mouth, and 2 gap of clamping limb of the crack mouth is adapted with the wall thickness of vein, can not only pass through resistance Vein is closed by disconnected device, while can utmostly reduce compressing of the clamping limb 2 to vein, and then reduces block device to holding position Tissue generate damage, to be conducive to post-operative recovery, reduce postoperative complications.
Clamping piece 21 is detachably fixed with clamping limb 2 and connect, and the fastening for fastening clamp piece 21 is bolted on clamping limb 2 Screw 22, the link slot 211 for being passed through for trip bolt 22 is provided on clamping piece 21, and link slot 211 runs through clamping piece 21 Thickness direction, and the length direction of link slot 211 along clamping piece 21 length direction be arranged.Said program is by fastening spiral shell Clamping piece 21 is detachably fixed with the realization of clamping limb 2 and connect by nail 22, and can also pass through company after the trip bolt 22 that comes loose Access slot 211 makes clamping piece 21 slide along its length, and clamping piece 21 stretches out the length and two clamping pieces of 2 end of clamping limb 21 micro- openings of sizes for propping up the end of clamping limb 2 are directly proportional, therefore can pass through and adjust clamping piece 21 and stretch out 2 end of clamping limb The length in portion, micro- openings of sizes that the end to adjust clamping limb 2 is propped up are conducive to the scope of application for improving block device, and And coordinate regulating device 4 again, be conducive to the scope of application for further increasing block device.Further, it is also possible to by adding fastening spiral shell The quantity of nail 22, multiple trip bolts 22 are arranged along the length direction of link slot 211, and clamping piece 21 can be avoided to be clamped It is swung on arm 2, is conducive to the degree that is connected firmly for improving clamping piece 21 and clamping limb 2.
The tail end of adjustment barrel 43 is provided with geometrical clamp 5, is connected between adjustment barrel 43 and geometrical clamp 5 bent universal soft Pipe 51.The setting of geometrical clamp 5 can be used in fixing block device in operation, avoid influencing to perform the operation because of the movement of block device Operation;And direction flexible 51 is also known as gooseneck as metal hose, direction flexible 51 can circuit oscillation facilitate adjusting to fix The fixed position of folder 5 and block device is conducive to the using flexible degree for improving block device.
The above is only the preferred embodiment of the present invention, protection scope of the present invention is not limited merely to above-described embodiment, All technical solutions belonged under thinking of the present invention all belong to the scope of protection of the present invention.It should be pointed out that for the art For those of ordinary skill, several improvements and modifications without departing from the principles of the present invention, these improvements and modifications are also answered It is considered as protection scope of the present invention.

Claims (6)

1. a kind of penis vessel Basilar artery device, including there are two elastic arm (1), one end bending settings of the elastic arm (1) There are clamping limb (2), the other end to be fixedly installed fixed block (3), two fixed block (3) fittings and fixed setting, the elastic arm (1) length direction and the length direction of clamping limb (2) are arranged at angle, and the angle is obtuse angle, two elastic arms (1) it Between gap setting, and the spacing dimension between two elastic arms (1) from fixed block (3) one end to clamping limb (2) one end at by Cumulative big setting;Two clamping limbs (2) are located remotely from each other when two elastic arms (1) are close to each other, and two elastic arms (1) are located remotely from each other When two clamping limbs (2) it is close to each other, until two clamping limbs (2) abut;It is characterized in that:The elastic arm (1) is close to fixed One end of block (3) is provided with the regulating device (4) for adjusting the spacing dimension between two elastic arms (1), the adjusting dress Set (4) include the pre-press (41) being connected on elastic arm (1) lateral wall and for limit pre-press (41) be merely able to along The position limiting structure (42) and be socketed on two elastic arms (1) outside for driving pre-press that the length direction of elastic arm (1) moves (41) mobile adjustment barrel (43), the adjustment barrel (43) are rotatablely connected around center axis and fixed block (3), the adjustment barrel (43) madial wall is provided with the helicla flute (431) for driving pre-press (41) mobile, the upper surface of the pre-press (41) The guide pad (411) being convexly equipped in embedded helicla flute (431), adjustment barrel (43) is in rotation process, and guide pad (411) is in spiral Sliding drives pre-press (41) to be moved along the length direction of elastic arm (1) under the limit of position limiting structure (42) in slot (431).
2. a kind of penis vessel Basilar artery device according to claim 1, it is characterized in that:The position limiting structure (42) includes There is a postive stop baffle (421) positioned at elastic arm (1) width direction both sides, in elastic arm (1) between two postive stop baffles (421) It is provided on lateral wall for for the mobile movable passageway (422) of pre-press (41), the width dimensions of the movable passageway (422) It is adapted with the width dimensions of pre-press (41), shifting is both provided on two madial walls of movable passageway (422) width direction Dynamic slot (423), the length direction of the length direction and movable passageway (422) of the shifting chute (423) are consistent, the precompressed The opposite sides of part (41) is both provided with the gag lever post (412) being inserted into shifting chute (423).
3. a kind of penis vessel Basilar artery device according to claim 1 or 2, it is characterized in that:The adjustment barrel (43) Inner bottom surface is convexly equipped with rotating bar (432), is provided on the fixed block (3) for limiting consolidating for rotating bar (432) circuit oscillation Fixed set (31), the outer diameter of the rotating bar (432) are adapted with the internal diameter size of fixing sleeve (31);The pre-press (41) Lower end be rotatably connected to runner (413), pre-press (41) is connected to by runner (413) on the lateral wall of elastic arm (1).
4. a kind of penis vessel Basilar artery device according to claim 1, it is characterized in that:The clamping limb (2) is far from bullet Property arm (1) end set have a clamping piece (21), the clamping piece (21) is made of metal flake and with elasticity, two Clamping piece (21) is bent into arcuate structure setting in opposite directions along its length.
5. a kind of penis vessel Basilar artery device according to claim 4, it is characterized in that:The clamping piece (21) and clamping Arm (2) is detachably fixed connection, and the trip bolt (22) for fastening clamp piece (21), institute are bolted on the clamping limb (2) The link slot (211) being provided on clamping piece (21) for being passed through for trip bolt (22) is stated, the link slot (211) is through folder The thickness direction of piece (21) is held, and the length direction of link slot (211) is arranged along the length direction of clamping piece (21).
6. a kind of penis vessel Basilar artery device according to claim 1, it is characterized in that:The tail end of the adjustment barrel (43) It is provided with geometrical clamp (5), bent direction flexible (51) is connected between the adjustment barrel (43) and geometrical clamp (5).
CN201810029160.7A 2018-01-11 2018-01-11 Temporary blocking device for penis blood vessel Active CN108420489B (en)

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