CN108523944A - A kind of digestive endoscope is closed folder and its application method - Google Patents

A kind of digestive endoscope is closed folder and its application method Download PDF

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Publication number
CN108523944A
CN108523944A CN201810400355.8A CN201810400355A CN108523944A CN 108523944 A CN108523944 A CN 108523944A CN 201810400355 A CN201810400355 A CN 201810400355A CN 108523944 A CN108523944 A CN 108523944A
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CN
China
Prior art keywords
closed
elastic
folder
closure
digestive endoscope
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Granted
Application number
CN201810400355.8A
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Chinese (zh)
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CN108523944B (en
Inventor
陈钟
张鸣青
董俊
马明
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175th Hospital of PLA
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175th Hospital of PLA
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Priority to CN201810400355.8A priority Critical patent/CN108523944B/en
Publication of CN108523944A publication Critical patent/CN108523944A/en
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Publication of CN108523944B publication Critical patent/CN108523944B/en
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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • 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

Abstract

The invention discloses a kind of digestive endoscopes to be closed folder and its application method, it includes an elastic closure fixture and the elastic ring that can be cut to be closed folder, the elastic closure fixture includes a clamping rings and the more elastic gear pieces that the ring clamping rings interval is laid and one end is affixed with the clamping rings, the other end of this more elastic gear pieces forms a closure necking for being closed alimentary canal wound, the closure necking accumulation of energy can be strutted or inwardly be released and can tighten outward, removably elastic bunch loaded on side wall except this more elastic gear pieces and forms the binding force inwardly concentrated to the elastic ring to the elasticity gear piece.It has the following advantages that:Can be effectively closed to wound, facilitate taking-up, it is simple in structure, ingenious, it is at low cost.

Description

A kind of digestive endoscope is closed folder and its application method
Technical field
The present invention relates to a kind of digestive endoscopes to be closed folder and its application method.
Background technology
It is a kind of alloy rake folder that existing OTSC, which is closed folder, and advance device utilizes in the relief sleeve of scope front end Dedicated forceps pull in perilesional tissue in cap bag or vacuum suction inhales lesion and surrounding mucous membrane in people's cap bag, so Afterwards utilize mating rotation trigger system, rake press from both sides pairing by tissue bite together, to play hemostasis and closing perforation work With.Compared with common titanium presss from both sides, OTSC can be engaged more tissues, to effectively be closed larger notch.But OTSC is closed folder It has the disadvantage that:If after OTSC is closed folder occlusion tissue, taking-up needs to spend larger strength, that is, it is inconvenient to take out, especially When occlusion is dissatisfied, the inconvenient defect of taking out that OTSC is closed folder particularly highlights, and certain fiber crops are brought to surgical procedure It is tired.
Invention content
The present invention provides a kind of digestive endoscopes to be closed folder and its application method, described in background technology The deficiencies in the prior art.
The technical solution adopted by the present invention to solve the technical problems is:
A kind of digestive endoscope is closed folder, it includes an elastic closure fixture and the elastic ring that can be cut, the elasticity It includes a clamping rings and the laying of the ring clamping rings interval and one end and more affixed elasticity of the clamping rings to be closed fixture Gear piece, the other ends of this more elastic gear pieces form a closure necking for being closed alimentary canal wound, which can be to Outer accumulation of energy is strutted or is inwardly released and can tighten, the elastic ring removably elastic bunch loaded on side wall except this more elastic gear pieces and right The elasticity gear piece forms the binding force inwardly concentrated.
Among one embodiment:Described more elastic gear pieces enclose the hollow revolving body of a upper and lower opening, which is in Two-port is small, the intermediate big shape of tripe.
Among one embodiment:The elasticity gear piece is in " > " shape.
Among one embodiment:The elastic ring is rubber band.
Above-mentioned digestive endoscope is closed the application method of folder, includes the assembly of the closure folder and scope front end hyaline cap:It will The clamping rings upper end of the self-closing co-clip of hyaline cap of scope front end, which is inserted into, makes closure folder elasticity encircle the hyaline cap, and elastic ring is got one's things ready The side wall except the elastic gear piece for being closed folder;
Among one embodiment:Further include the release to being closed folder:Hyaline cap sucks wound surrounding tissue inside hyaline cap Afterwards, closure folder is pushed forward and is detached from by OTSC release systems the support of hyaline cap, the closure necking for being closed at folder exists Its release can tightening force and elastic ring tighten closing wound under force effect.
Among one embodiment:Taking-up including being closed folder:Elastic ring is cut, is taken out from wound and is closed folder.
Compared with the background art, it has the following advantages that the technical program:
1, the outside accumulation of energy of closure necking formed using more elastic gear pieces strut or inwardly release can tighten closing wound and The binding force inwardly concentrated is formed to elastic gear piece by elastic ring, further stitching is carried out to wound, makes closure folder to wound Mouth forms good identical and effectively closed.
It 2, can be by cutting elastic ring after closure of the present invention is clipped in occlusion tissue, you can it easily takes out and is closed folder, It is easy to operate.
3, closure clamping structure of the present invention is simple, ingenious, novel, manufacturing cost is low.
Description of the drawings
The invention will be further described with reference to the accompanying drawings and examples.
Fig. 1 is that the digestive endoscope described in the present embodiment is closed the structural schematic diagram pressed from both sides.
Fig. 2 is that the digestive endoscope described in the present embodiment is closed the fit structure schematic diagram pressed from both sides with scope front end hyaline cap.
Vertical view when Fig. 3 is the digestive endoscope closure folder closing wound described in the present embodiment.
Specific implementation mode
Fig. 1 is please referred to, a kind of digestive endoscope closure folder 100, it can be cut including an elastic closure fixture 10 and one Elastic ring 20, which includes a clamping rings 11 and the ring clamping rings 11 interval is laid and one end with should More affixed elastic gear pieces 12 of clamping rings 11, the other end of this more elastic gear pieces 12 form one for being closed alimentary canal wound The closure necking 121 of mouth, the closure necking 121 are specifically the cricoid rake formed by another end of more elastic gear pieces 12 Tooth, the closure necking 12 accumulation of energy can be strutted or inwardly be released and can tighten outward, and removably elastic bunch is more loaded on this for the elastic ring 20 The lateral wall of root elasticity gear piece 12 simultaneously forms the binding force inwardly concentrated to the elasticity gear piece 12.
The more elastic gear pieces 12 enclose the hollow revolving body of a upper and lower opening, the revolving body is small in two-port, in Between the big shape of tripe.In the present embodiment, the elasticity gear piece is in " > " shape.
Preferably, the elastic ring 20 is rubber band, has enough elastic binding forces and is also easy to be cut.
Above-mentioned digestive endoscope is closed the application method of folder, including:
The assembly of closure folder 100 and scope front end hyaline cap 200:Fig. 2 is please referred to, by the hyaline cap 200 of scope front end 11 upper end of clamping rings of self-closing co-clip 100, which is inserted into, to be made closure press from both sides 100 elasticity to encircle the hyaline cap 200, elastic ring 20 get one's things ready in It is closed the lateral wall of the elastic gear piece 12 of folder 100;
To being closed the release of folder:, Fig. 3 is please referred to, hyaline cap passes through behind wound surrounding tissue sucking hyaline cap inside OTSC discharges system and closure is pressed from both sides 100 supports for pushing and being detached from hyaline cap forward, is closed at the closure necking 121 of folder at it Release can tightening force and elastic ring 20 tighten closing wound under force effect.
It is closed the taking-up of folder:Elastic ring 20 is cut, is taken out from wound and is closed folder.The cutting process can be led under scope Biopsy channel is crossed, using Special scissors, cuts elastic ring, folder is closed later and is in relaxed state, you can take out.
The present invention struts using the 121 outside accumulation of energy of closure necking that more elastic gear pieces 12 are formed or inwardly releases to tighten and closes It closes wound and the binding force inwardly concentrated is formed to elastic gear piece 12 by elastic ring 20 and further stitching is carried out to wound, make The closure 100 pairs of wounds of folder form good identical and effectively closed.Closure of the present invention presss from both sides 100 after being engaged tissue, It can be by cutting elastic ring 20, you can it easily takes out and is closed folder 100, it is easy to operate, mitigate the operation difficulty of operative doctor.This hair The bright closure clamping structure is simple, novel, manufacturing cost is low.
The above, only present pre-ferred embodiments, therefore cannot limit the scope of implementation of the present invention according to this, i.e., according to Equivalent changes and modifications made by the scope of the claims of the present invention and description all should still belong in the range of the present invention covers.

Claims (7)

1. a kind of digestive endoscope is closed folder, it is characterised in that:Including the elastic ring that an elastic closure fixture and one can be cut, The elastic closure fixture includes that a clamping rings and the ring clamping rings interval are laid and that one end and the clamping rings are affixed is more The other end of root elasticity gear piece, this more elastic gear pieces forms a closure necking for being closed alimentary canal wound, closure contracting Mouth accumulation of energy can be strutted or inwardly be released and can tighten outward, and removably elastic bunch is loaded on side except this more elastic gear pieces to the elastic ring Wall simultaneously forms the binding force inwardly concentrated to the elasticity gear piece.
2. a kind of digestive endoscope according to claim 1 is closed folder, it is characterised in that:Described more elastic gear pieces enclose At the hollow revolving body of a upper and lower opening, the revolving body small, intermediate big shape of tripe in two-port.
3. a kind of digestive endoscope according to claim 2 is closed folder, it is characterised in that:The elasticity gear piece is in " > " Shape.
4. a kind of digestive endoscope according to any one of claim 1 to 3 is closed folder, it is characterised in that:The elasticity Circle is rubber band.
5. digestive endoscope as described in claim 1 is closed the application method of folder, it is characterised in that:Including the closure folder with it is interior The assembly of mirror front end hyaline cap:The clamping rings upper end of the self-closing co-clip of the hyaline cap of scope front end, which is inserted into, makes closure press from both sides elastic ring Embrace the hyaline cap, elastic ring get one's things ready in be closed folder elastic gear piece except side wall.
6. digestive endoscope according to claim 5 is closed the application method of folder, it is characterised in that:Further include being pressed from both sides to being closed Release:Hyaline cap discharges behind wound surrounding tissue sucking hyaline cap inside system by OTSC and is pushed folder is closed forward And be detached from the support of hyaline cap, be closed at the closure necking of folder its release can tightening for tightening force and elastic ring close under force effect Close wound.
7. digestive endoscope according to claim 5 or 6 is closed the application method of folder, it is characterised in that:It is pressed from both sides including being closed Taking-up:Elastic ring is cut, is taken out from wound and is closed folder.
CN201810400355.8A 2018-04-28 2018-04-28 Application method of digestive tract endoscope closing clamp Active CN108523944B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201810400355.8A CN108523944B (en) 2018-04-28 2018-04-28 Application method of digestive tract endoscope closing clamp

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Application Number Priority Date Filing Date Title
CN201810400355.8A CN108523944B (en) 2018-04-28 2018-04-28 Application method of digestive tract endoscope closing clamp

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CN108523944A true CN108523944A (en) 2018-09-14
CN108523944B CN108523944B (en) 2023-10-31

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110141325A (en) * 2019-06-03 2019-08-20 佛山特种医用导管有限责任公司 Choke diaphragm seal and puncture outfit
CN117122356A (en) * 2023-08-23 2023-11-28 武汉柔内镜医疗科技有限公司 Soft tissue expanding device
CN110141325B (en) * 2019-06-03 2024-04-26 佛山特种医用导管有限责任公司 Air-blocking sealing piece and puncture outfit

Citations (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2619592Y (en) * 2003-01-20 2004-06-09 中国人民解放军第二军医大学 Endoscope mucosa cutting device
CN1615802A (en) * 1999-10-14 2005-05-18 阿特波斯有限公司 Wound retractor
US20120245603A1 (en) * 2011-03-21 2012-09-27 Abbott Cardiovascular Systems Clip for tissue closure
CN104665890A (en) * 2015-03-05 2015-06-03 建德市康华医疗器材有限公司 Intracavitary ligating clip for endoscopic surgery
CN104918562A (en) * 2012-12-11 2015-09-16 创新创伤护理公司 Wound clamp
CN206138164U (en) * 2016-08-24 2017-05-03 潘秀刚 Scope is used organizes closed clamp
CN107260241A (en) * 2016-04-07 2017-10-20 浙江海创医疗器械有限公司 Wound negative pressure pairing device
CN107684445A (en) * 2017-08-22 2018-02-13 南方医科大学南方医院 It is a kind of to release folder cap for identical the multi-functional of clipping system of OTSC
CN107865675A (en) * 2017-11-24 2018-04-03 上海理工大学 A kind of ejection type endoscopic suture device
CN208769853U (en) * 2018-04-28 2019-04-23 中国人民解放军第一七五医院 A kind of digestive endoscope closure folder

Patent Citations (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1615802A (en) * 1999-10-14 2005-05-18 阿特波斯有限公司 Wound retractor
CN2619592Y (en) * 2003-01-20 2004-06-09 中国人民解放军第二军医大学 Endoscope mucosa cutting device
US20120245603A1 (en) * 2011-03-21 2012-09-27 Abbott Cardiovascular Systems Clip for tissue closure
CN104918562A (en) * 2012-12-11 2015-09-16 创新创伤护理公司 Wound clamp
CN104665890A (en) * 2015-03-05 2015-06-03 建德市康华医疗器材有限公司 Intracavitary ligating clip for endoscopic surgery
CN107260241A (en) * 2016-04-07 2017-10-20 浙江海创医疗器械有限公司 Wound negative pressure pairing device
CN206138164U (en) * 2016-08-24 2017-05-03 潘秀刚 Scope is used organizes closed clamp
CN107684445A (en) * 2017-08-22 2018-02-13 南方医科大学南方医院 It is a kind of to release folder cap for identical the multi-functional of clipping system of OTSC
CN107865675A (en) * 2017-11-24 2018-04-03 上海理工大学 A kind of ejection type endoscopic suture device
CN208769853U (en) * 2018-04-28 2019-04-23 中国人民解放军第一七五医院 A kind of digestive endoscope closure folder

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110141325A (en) * 2019-06-03 2019-08-20 佛山特种医用导管有限责任公司 Choke diaphragm seal and puncture outfit
CN110141325B (en) * 2019-06-03 2024-04-26 佛山特种医用导管有限责任公司 Air-blocking sealing piece and puncture outfit
CN117122356A (en) * 2023-08-23 2023-11-28 武汉柔内镜医疗科技有限公司 Soft tissue expanding device
CN117122356B (en) * 2023-08-23 2024-04-09 武汉柔内镜医疗科技有限公司 Soft tissue expanding device

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