Clinical internal medicine vascular forceps
The technical field is as follows:
the invention belongs to the technical field of medical clinical medical instruments, and particularly relates to a pair of clinical internal vascular forceps.
Background art:
the vascular clamp is mainly used for clamping blood vessels or bleeding points, and has the functions of separating anatomical tissues and clamping skin, viscera and tissue blood vessels. At present, a plurality of types of vascular clamps are clinically used, the commonly used vascular clamps mainly comprise a clamp mouth, a hinged shaft, a clamp arm, a positioning frame and a ring and are mainly used for ligating blood vessels, in the operation process, the position of the clamp mouth is often expanded by expanding clamps to observe a focus part after the blood vessels are ligated, and the blood vessels are often cut off after the blood vessels are ligated so as to facilitate the operation, so that the blood vessels are required to be cut off by using a scalpel or surgical scissors, the operation is very troublesome, time and labor are wasted, great work difficulty is increased for medical staff, and in the internal medicine deep operation, a good visual field cannot be provided for doctors due to light reasons, and the operation progress is influenced; therefore, the vascular clamps in the prior art cannot meet the use requirements, and needs to be improved. In addition, the binding clip of current hemostatic forceps mainly used centre gripping vascular position, two pincers mouths easily lateral sliding in the centre gripping process, cause the unstable condition of centre gripping, and when hemostatic forceps gripped the bleeding point, still can have the blood to flow out, must suck with the help of other aspirators, and is inefficient, and the effect is poor.
The invention content is as follows:
aiming at the defects and shortcomings commonly existing in the existing hemostatic forceps, the invention provides a clinical internal medicine vascular forceps, which can control the opening and closing of two inner forceps mouths through forceps arms, can control the closing and opening of two outer forceps mouths, enables the outer forceps mouths and the inner forceps mouths to move in opposite directions, and enables muscle tissues on two sides of a blood vessel to be unfolded through the outer forceps mouths, thereby being beneficial to the purpose of clinical medical operation.
The technical scheme adopted by the invention for solving the technical problems is as follows: a clinical internal medicine vascular forceps comprises two inner forceps mouths, the front ends of two forceps arms respectively connected with the two inner forceps mouths are hinged together through a hinge shaft, the tail ends of the two forceps arms are respectively provided with a finger ring and a shaping frame, the outer sides of the two forceps arms are respectively fixed with an outer forceps handle, and the tail end of each outer forceps handle is respectively provided with an outer forceps mouth; the outer clamp mouth and the outer clamp handle form an arc-shaped or fold-line-shaped integrated structure, the integrated structure is fixed with the outer side of the clamp arm together, or the integrated structure is hinged with the outer side of the clamp arm together through a first pin shaft, and a first adjusting mechanism is arranged between the outer clamp handle and the clamp arm; or the outer forceps mouth and the outer forceps handle are hinged together through a second pin shaft, the outer forceps handle and the outer side of the forceps arm are fixed together, and a second adjusting mechanism is arranged between the outer forceps mouth and the outer forceps handle; the outer forceps mouth or the outer forceps arm is of a telescopic structure sleeved with the inner pipe and the outer pipe, and a locking pin is arranged at the sleeved position.
The adjusting mechanism is characterized in that a transverse tension spring is connected between the outer clamp handle and the outer side of the clamp arm, an adjusting jackscrew is installed on the outer clamp handle in a threaded penetrating mode, and the inner end of the adjusting jackscrew is supported on the outer side face of the clamp arm; or, the adjusting mechanism is characterized in that a clamping groove is formed in the outer side of the clamp arm, the width of the groove opening is smaller than the width of the groove bottom, an adjusting screw is arranged on the outer clamp handle in a penetrating mode through threads, a blocking platform is arranged at the inner end of the adjusting screw, and the blocking platform is located in the clamping groove and cannot fall off.
The adjusting mechanism II is characterized in that a movable traction buckle and a fixed traction buckle are respectively arranged on the outer sides of the outer forceps handle and the forceps arm, each traction buckle is respectively connected with a screw rod, the thread directions of the two screw rods are opposite, and the two screw rods are simultaneously connected with the two ends of the adjusting solenoid; or the second adjusting mechanism is provided with a movable traction buckle and a fixed traction buckle respectively on the outer sides of the outer forceps handle and the forceps arm, two ends of the adjusting screw tube are respectively connected with two screw rods, the thread directions of the two screw rods are opposite, the tail end of one screw rod is connected with one traction buckle, and a longitudinal tension spring is connected between the tail end of the other screw rod and the other traction buckle.
The middle part of the inner side of each inner forceps mouth is provided with a hemostatic cotton clamping groove.
The invention has the beneficial effects that: the invention can control the opening and closing of the two inner forceps mouths and can control the closing and opening of the two outer forceps mouths at the same time through the forceps arms. When the inner forceps mouth is opened, namely, the blood vessel is clamped, the outer forceps mouth is attached to the outer side surface of the inner forceps mouth, the opening degree of the inner forceps mouth is the largest, the opening degree of the outer forceps mouth is the smallest, and the outer forceps mouth can be conveniently combined with a tissue wound. When the forceps arms are controlled to enable the inner forceps mouth to be closed, the outer forceps mouth is unfolded outwards to a certain degree, at the moment, the wound blood vessel is closed through the inner forceps mouth, and the muscle tissues on two sides of the blood vessel are unfolded through the outer forceps mouth, so that the clinical medical operation is facilitated.
The invention can also achieve the purpose of controlling the expansion and closing degree of the outer forceps mouth in advance by adjusting the distance between the outer forceps mouth and the forceps arms, thereby ensuring that the expansion control of the outer forceps mouth is more flexible and practical.
Description of the drawings:
fig. 1 is one of the structural diagrams of the present invention in the unfolded state.
Fig. 2 is a top view of fig. 1.
Fig. 3 is a schematic view of the closed state of the equivalent view of fig. 1.
Fig. 4 is a top view of fig. 3.
Fig. 5 is a side view of fig. 4.
Fig. 6 is a left side view of fig. 4.
Fig. 7 is a second schematic view of the expanded structure of the present invention.
Fig. 8 is a top plan view of the equivalent view of fig. 7.
Fig. 9 is a schematic diagram of a hard adjustment feature that can be used in conjunction with fig. 7.
Fig. 10 is a schematic diagram of a soft adjustment component that can be used in conjunction with fig. 7.
Fig. 11 is a third schematic view of the expanded state structure of the present invention.
Reference numbers in the figures: the hemostatic cotton clamp comprises a first inner jaw 1, a second inner jaw 2, a hinge shaft 3, a first clamp arm 4, a second clamp arm 5, a first outer jaw 6, a first outer handle 7, a second outer handle 8, a second outer handle 9, a fixed clamping groove 10, a clamp 11, a setting frame 12, a finger ring 13, a hemostatic cotton clamping groove 14, a second pin shaft 15, a movable traction buckle 16, a fixed traction buckle 17, a screw rod 18, a longitudinal tension spring 19, an adjusting screw tube 20, an anti-skidding knob 21, a connecting seat 22, a first pin shaft 23, a tension spring buckle 24, a tension spring hole 25, a transverse tension spring 26, an adjusting jackscrew 27 and a rotating buckle 28.
The specific implementation mode is as follows:
the invention is further illustrated with reference to the following figures and examples.
Example 1: the first clinical internal medicine vascular forceps, as shown in fig. 1-6, include two inner forceps mouths, i.e. a forceps mouth 1 and a forceps mouth 2, and a hemostatic cotton slot 14 is provided in the middle of the inner side of each inner forceps mouth. And the two forceps arms are respectively connected with the two inner forceps mouths, namely a forceps arm I4 and a forceps arm II 5. The front ends of the two forceps arms are hinged together through a hinge shaft 3, and the tail ends of the two forceps arms are respectively provided with a finger ring 13. The tail ends of the two forceps arms are respectively provided with a shaping frame 12, and the opposite surfaces of the two shaping frames 12 are provided with a saw-toothed convex-concave clamping structure, so that the two shaping frames 12 can be clamped together after being combined and overlapped. The above structural parts are commonly found in the existing vascular clamps, or other auxiliary parts are added on the basis of the existing vascular clamps.
On the basis of the structural characteristics, the outer sides of the two forceps arms are respectively fixed with an outer forceps handle, and the tail end of each outer forceps handle is respectively provided with an outer forceps mouth.
The outer jaw and the outer handle in fig. 1-4 form an arc-shaped or fold-line-shaped integrated structure. The integrated structure is fixed with the outer side of the forceps arm. The fixing mode of fig. 1 and 2 is that a fixing clamping groove is respectively arranged between the outer forceps handle and the forceps arm, and a clamp 11 is sleeved in the two corresponding fixing clamping grooves 10, so that the outer forceps handle and the forceps arm are fixed together. The fixed clamping groove is preferably internally provided with a saw-toothed convex-concave structure, and the inner side surface of the clamp is also provided with a saw-toothed convex-concave structure so as to achieve the effect of stable fixation. The attachment of figures 3 and 4 is by welding the outer shank portion and the jawarms directly together as a unit.
The embodiment can control the opening and closing degrees of the two inner forceps mouths by controlling the unfolding degree of the two forceps arms, and can also control the closing and opening degrees of the two outer forceps mouths.
As shown in fig. 2, when the inner jaw is opened, that is, when the blood vessel starts to be clamped, the outer jaw is attached to the outer side surface of the inner jaw, and at this time, the opening degree of the inner jaw is maximized, the opening width of the inner jaw is a1, the opening degree of the outer jaw is minimized, and the opening degree of the outer jaw is b1, and at this time, it is convenient to couple each jaw to the tissue wound. As shown in fig. 4, when the forceps arms are manipulated to start closing the inner jaws, the outer jaws are rather deployed outward to some extent, and at this time, the wound vessel is closed by the inner jaws, with the opening degree of the inner jaws being a2 and the opening degree of the outer jaws being b 2. It is evident that the opening of the inner jaw is compared to the closing, a1 being greater than a2 and b1 being less than b 2. The muscle tissues at two sides of the blood vessel can be unfolded just through the outer forceps mouth after the inner forceps mouth is closed, thereby being beneficial to clinical medical operation.
Example 2: the second clinical internal medicine vascular forceps is based on the embodiment 1, the same parts as the embodiment 1 are not detailed, and the difference is that, referring to fig. 7 and 8, the outer forceps handle is fixed at the outer side of the forceps arm, but the outer forceps mouth and the outer forceps handle are hinged together through a second pin shaft 15. And a second adjusting mechanism is arranged between the outer forceps mouth and the outer forceps handle. Referring to fig. 9, in the second adjusting mechanism, a movable traction buckle and a fixed traction buckle are respectively arranged on the outer sides of the outer forceps handle and the forceps arm, each traction buckle is respectively connected with a screw 18, the thread directions of the two screws 18 are opposite, and the two screws 18 are simultaneously connected to two ends of an adjusting solenoid 20.
Example 3: on the basis of the embodiment 2, the parts of the third clinical internal medicine vascular clamp which are the same as the embodiment 2 are not detailed, but with reference to fig. 10, a second adjusting mechanism is that a movable traction buckle and a fixed traction buckle are respectively arranged on the outer sides of an outer clamp handle and a clamp arm, two ends of an adjusting screw tube 20 are respectively connected with two screw rods 18, the thread directions of the two screw rods 18 are opposite, the tail end of one screw rod 18 is connected with one traction buckle, and a longitudinal tension spring 19 is connected between the tail end of the other screw rod 18 and the other traction buckle. The provision of the longitudinal tension spring 19 enables the outer jaw to be kept reasonably elastic, yielding cushioning and elastic when in contact with tissue.
Example 4: the fourth clinical internal medicine vascular clamp is based on the embodiment 1, the same parts as the embodiment 1 are not detailed, and the difference is that, referring to fig. 11, an outer clamp mouth and an outer clamp handle form an arc-shaped or fold line-shaped integrated structure, and the integrated structure is hinged with the outer side of the clamp arm through a pin shaft I23, namely, the tail end of the outer clamp handle is fixed on the clamp arm. And a first adjusting mechanism is arranged between the outer forceps handle and the forceps arms. In the adjusting mechanism in fig. 11, a transverse tension spring 26 is connected between the outer forceps handle and the outer side of the forceps arm, an adjusting jackscrew is installed on the outer forceps handle in a threaded penetrating mode, and the inner end of the adjusting jackscrew is supported on the outer side face of the forceps arm. The provision of the lateral tension spring 26 enables the outer jaw to be maintained with moderate elasticity, with cushioning and elasticity when in contact with tissue.
Example 5: fifth clinical internal medicine vascular forceps, on the basis of embodiment 4, the same as embodiment 4 will not be described in detail, except that the adjusting mechanism is provided with a clamping groove outside the forceps arm and the width of the groove opening is smaller than the width of the groove bottom, an adjusting screw is arranged on the outer forceps handle in a threaded penetrating manner, the inner end of the adjusting screw is provided with a blocking platform, and the blocking platform is positioned in the clamping groove and cannot fall off.
Example 4: the fourth clinical internal medicine vascular forceps is based on embodiment 1, the same parts as embodiment 1 are not detailed, and the difference is that the outer forceps mouth or the outer forceps arm is designed to be a telescopic structure sleeved with an inner tube and an outer tube, and a locking pin is arranged at the sleeved position, so that the telescopic adjusting function of the outer forceps mouth or the outer forceps arm can be realized, and the hemostasis and distraction operation at the optimal position can be realized.