CN108577919A - Aorta arch constriction art regulating device and its operating method - Google Patents

Aorta arch constriction art regulating device and its operating method Download PDF

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Publication number
CN108577919A
CN108577919A CN201810225534.2A CN201810225534A CN108577919A CN 108577919 A CN108577919 A CN 108577919A CN 201810225534 A CN201810225534 A CN 201810225534A CN 108577919 A CN108577919 A CN 108577919A
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CN
China
Prior art keywords
fixed
arm
lever arm
regulating device
constriction
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Granted
Application number
CN201810225534.2A
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Chinese (zh)
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CN108577919B (en
Inventor
孙欢
杨萍
吕晓霞
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China-Japan Union Hospital of Jilin University
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China-Japan Union Hospital of Jilin University
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Priority to CN201810225534.2A priority Critical patent/CN108577919B/en
Publication of CN108577919A publication Critical patent/CN108577919A/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
    • A61B17/12009Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61DVETERINARY INSTRUMENTS, IMPLEMENTS, TOOLS, OR METHODS
    • A61D1/00Surgical instruments for veterinary use

Abstract

Technical solution of the present invention discloses a kind of aorta arch constriction art regulating device and its operating method, including substrate, Clip Applier, the amesdial being fixed on substrate, the thimble of amesdial movably contradict the head end of fixed arm;Be fixed on substrate and close to the regulating part of lever arm handle end, there is regulating part adjusting bolt, adjusting bolt movably to contact at the handle end of lever arm, between lever arm and fixed arm by the preload of adjusting screw or loosen realization closer or far from;Technical solution of the present invention can realize the accurate degree for adjusting aorta arch constriction by aorta arch constriction art regulating device, simultaneously as amesdial can realize continuously adjusting for different constriction diameters so that the diameter of constriction is no longer limited by needle gauge in the prior art;Technical solution of the present invention can reduce due to when performer is mediated using syringe needle due to personal habits it is different with degree of being quick of perception caused by error, the degree of regulation of aorta arch constriction art regulating device of the present invention is high.

Description

Aorta arch constriction art regulating device and its operating method
Technical field
The present invention relates to medical apparatus technical fields, more particularly, to a kind of aorta arch constriction art regulating device and its behaviour Make method.
Background technology
Aorta arch constriction is a kind of important method applied in heart disease research.This method is for simulating hypertension Cardiopathic damage establishes the increased pathological conditions of cardiac afterload in vivo in experimental animal (mouse), to cardiac hypertrophy, The processes such as heart failure are simulated and are studied.This method application mechanical means (ligation applies blood vessel titanium folder) causes the arch of aorta Constriction is narrow, to cause narrow width proximal pressure rise, at this time heart afterload increase, further occur myocardial hypertrophy with And heart failure.
In the art, the mechanical stenosis manually applied will generate important shadow for the pathophysiological process of disease It rings, it is known that stenosis is heavier, the increase of cardiac afterload is more apparent.And in various degree narrow, it can be to experimental result It is had an important influence on the pathophysiological process of animal pattern.Therefore for the adjusting of constriction degree and control for the arch of aorta Constriction technology is most important.
Existing technology can carry out constriction by two different methods to the arch of aorta, and a kind of method is using operation seam Zygonema ligatures, and another method is to carry out part folder to the arch of aorta using Clip Applier release titanium folder to close.Two methods are for master It is standard that the control of arch of aorta constriction degree, which is by application syringe needle, i.e.,:Using different-diameter syringe needle as reference Standard carries out constriction to blood vessel, and the diameter (when suture ligature) or anteroposterior diameter constriction to make blood vessel reach (when titanium folder portion point folder closes) To needle diameter (usually identical as needle diameter), to cause the narrow completion model of blood vessel.
But since the syringe needle of application different model is used as the standard of referring to so that the degree of aorta arch constriction cannot connect Continuous variation, i.e.,:Aorta arch constriction diameter or size can only be syringe needle size specification (be usually 27G syringe needle -0.4mm and Two kinds of 26G syringe needles -0.45mm), it cannot achieve fine-tuning for diameter or constriction degree.
Invention content
Present invention solves the technical problem that being the diameter of aorta arch constriction art medium vessels or constriction degree in the prior art It can not accomplish to fine-tune.
In order to solve the above technical problems, technical solution of the present invention provides a kind of aorta arch constriction art regulating device, In, including:
Substrate;
Clip Applier, including movable hinged fixed arm and lever arm, the fixed arm are fixed on institute by fastener It states on substrate;
The amesdial being fixed on the substrate, the thimble of the amesdial movably contradict the head of the fixed arm End;
It is fixed on the regulating part on the substrate and close to the lever arm handle end, the regulating part, which has, adjusts spiral shell Bolt, the adjusting bolt movably contact at the handle end of the lever arm, lead between the lever arm and the fixed arm Cross the preload of the adjusting screw or loosen realization closer or far from.
Optionally, further include spring that one end is fixed on the fixed arm, the other end of the spring and the activity Arm contradicts, and realizes that the bar portion of the two is close to each other by the elastic force that the spring generates between the lever arm and the fixed arm Or it is separate.
Optionally, the spring has type groove close to one end of the lever arm, and a screw is fixed on the lever arm, The screw is located in the type groove and realizes the guiding to the spring.
Optionally, further include the positioning bolt for running through the lever arm and finally contradicting the spring, it is described for preventing Fixed arm is close with the lever arm.
Optionally, also there is lock-bit nut, the lock-bit nut to be located at the outside of the lever arm on the positioning bolt, For locking the positioning bolt at a distance from the spring.
Optionally, the adjusting bolt inwardly screws and applies pressure, the lever arm to the handle end of the lever arm Head end of the head end far from the fixed arm, while the thimble of the amesdial is pressurized and shows continuous reading.
Optionally, the handle end of the fixed arm, bar portion, head end are fixed by the fastener, and the fixed arm is fixed It is motionless.
Optionally, the substrate is in L-shaped.
In order to solve the above technical problems, technical solution of the present invention also provides a kind of according to any of the above-described aorta Bend the operating method of Constriction regulating device, wherein the operating method is as follows:
The adjusting bolt is pre-tightened, the handle end stress of the lever arm is close to the fixed arm, the top of the amesdial Needle detects the continuous reading of activity display of the head end of the lever arm, when the fixed arm, the lever arm head end it Between distance reach preset distance after, stop pre-tightening the adjusting bolt, pre-tighten the positioning bolt until the positioning bolt It is motionless to contradict the spring, screws the lock-bit nut and makes the positioning bolt fixed, the jaw of the Clip Applier is opened It closes size to fix, when progress blood vessel clip closes, jaw opening and closing degree is predeterminable level.
The advantageous effect of technical solution of the present invention is:
(1) present invention can realize the accurate journey for adjusting aorta arch constriction by aorta arch constriction art regulating device Degree, simultaneously as amesdial can realize continuously adjusting for different constriction diameters so that the diameter of constriction is no longer by the prior art The limitation of middle needle gauge.
(2) present invention can reduce due to when performer is mediated using syringe needle due to personal habits and degree of being quick of perception The degree of regulation of error caused by difference, aorta arch constriction art regulating device of the present invention is high.
Description of the drawings
Fig. 1 is the structural schematic diagram of aorta arch constriction art regulating device in the embodiment of the present invention.
Specific implementation mode:
The invention will be further described in the following with reference to the drawings and specific embodiments, but not as limiting to the invention.
In the present invention unless specifically defined or limited otherwise, term " installation ", " connected ", " connection ", " fixation " etc. Term shall be understood in a broad sense, for example, it may be being fixedly connected, may be a detachable connection, or be integrally connected;It can be machine Tool connects, and can also be electrical connection;It can be directly connected, can also can be indirectly connected through an intermediary two members Connection inside part.For the ordinary skill in the art, above-mentioned term can be understood in this hair as the case may be Concrete meaning in bright.
In the present invention unless specifically defined or limited otherwise, fisrt feature the "upper" of second feature or "lower" It may include that the first and second features are in direct contact, can also not be to be in direct contact but pass through it including the first and second features Between other characterisation contact.Moreover, fisrt feature second feature " on ", " top " and " above " include first special Sign is right over second feature and oblique upper, or is merely representative of fisrt feature level height and is higher than second feature.Fisrt feature exists Second feature " under ", " lower section " and " following " include fisrt feature right over second feature and oblique upper, or be merely representative of Fisrt feature level height is less than second feature.
It is shown in Figure 1, show a kind of aorta arch constriction art regulating device of embodiment, wherein including:
The shape of substrate 1, substrate 1 is substantially in L-shaped.
Clip Applier 20, including movable hinged fixed arm 2 and lever arm 3, fixed arm 2 are fixed on by fastener 4 On substrate 1.
The amesdial 5 being fixed on substrate 1, the thimble 51 of amesdial 5 movably contradict the head end of fixed arm 2, due to The use of amesdial 5 so that the degree of regulation of the regulating device of the present embodiment is up to 0.001mm.
It is fixed on substrate 1 and close to the regulating part 6 of 3 handle end of lever arm, regulating part 6 has adjusting bolt 61, adjusts Bolt 61 movably contacts at the handle end of lever arm 3, passes through the preload of adjusting screw 61 between lever arm 3 and fixed arm 2 Or loosen realization closer or far from.
Further include the spring 7 that one end is fixed on fixed arm 2 in the present embodiment, the other end and the lever arm 3 of spring 7 support It touches, realizes that the bar portion of the two is close to each other or separate by the elastic force that spring 7 generates between lever arm 3 and fixed arm 2.
In the present embodiment, spring 7 has type groove (not shown) close to one end of lever arm 3, and one is fixed on lever arm 3 Screw 8, screw 8 are located in type groove and realize the guiding to spring 7.
Further include the positioning bolt 9 for running through lever arm 3 and finally contradicting spring 7, for preventing fixed arm in the present embodiment 2 is close with lever arm 3.
In the present embodiment, also there is lock-bit nut 10, lock-bit nut 10 to be located at the outside of lever arm 3 on positioning bolt 9, uses In locking positioning bolt 9 at a distance from spring 7.
In the present embodiment, adjusting bolt 61 inwardly screws and applies pressure, the head of lever arm 3 to the handle end of lever arm 3 Head end of the end far from fixed arm 2, while the thimble 51 of amesdial 5 is pressurized and shows continuous reading.
In the present embodiment, handle end, bar portion, the head end of fixed arm 2 are fixed by fastener 4, and fixed arm 2 is fixed.
Pass through the following characteristic and function for illustrating the further insight present invention.
A kind of operating method of aorta arch constriction art regulating device is also provided in the present embodiment, wherein operating method is such as Under:
Adjusting bolt 61 is pre-tightened, for the handle end stress of lever arm 3 close to fixed arm 2, the thimble 51 of amesdial 5 detects work The continuous reading of activity display of the head end of swing arm 3, when the distance between the head end of fixed arm 2, lever arm 3 reaches pre- spacing From rear, stop pre-tightening adjusting bolt 61, pre-tighten positioning bolt 9 until positioning bolt 9 to contradict spring 7 motionless, screw lock-bit nut 10 so that positioning bolt 9 is fixed, and the jaw (opening i.e. between fixed arm 2 and the head end of lever arm 3) of Clip Applier 20 is opened It closes size to fix, when progress blood vessel clip closes, jaw opening and closing degree is predeterminable level.
In the present embodiment, since the accuracy of screw precession adjusting and amesdial reading is good, aorta arch constriction art is adjusted Device can be realized closes degree, i.e. aorta arch constriction degree to clamp clamp, fine-tune and control, and reduce artificial simple The error brought by control.
In conclusion the present invention can realize accurate adjusting aorta arch constriction by aorta arch constriction art regulating device Degree, simultaneously as amesdial can realize continuously adjusting for different constriction diameters so that the diameter of constriction is no longer by existing The limitation of needle gauge in technology.The present invention can reduce due to when performer is mediated using syringe needle due to personal habits and The degree of regulation of error caused by degree of being quick of perception difference, aorta arch constriction art regulating device of the present invention is high.
It these are only preferred embodiments of the present invention, be not intended to limit the implementation manners and the protection scope of the present invention, it is right For those skilled in the art, it should can appreciate that and all be replaced with being equal made by description of the invention and diagramatic content It changes and obviously changes obtained scheme, should all be included within the scope of the present invention.

Claims (9)

1. a kind of aorta arch constriction art regulating device, which is characterized in that including:
Substrate;
Clip Applier, including movable hinged fixed arm and lever arm, the fixed arm are fixed on the base by fastener On plate;
The amesdial being fixed on the substrate, the thimble of the amesdial movably contradict the head end of the fixed arm;
It is fixed on the regulating part on the substrate and close to the lever arm handle end, the regulating part has adjusting bolt, institute The handle end that adjusting bolt movably contacts at the lever arm is stated, by described between the lever arm and the fixed arm The preload of adjusting screw or loosen realization closer or far from.
2. aorta arch constriction art regulating device according to claim 1, which is characterized in that further include that institute is fixed in one end The spring on fixed arm is stated, the other end of the spring is contradicted with the lever arm, between the lever arm and the fixed arm Realize that the bar portion of the two is close to each other or separate by the elastic force that the spring generates.
3. aorta arch constriction art regulating device according to claim 2, which is characterized in that the spring is close to the work One end of swing arm has type groove, and a screw is fixed on the lever arm, and the screw is located in the type groove and realizes to institute State the guiding of spring.
4. aorta arch constriction art regulating device according to claim 2, which is characterized in that further include running through the activity Arm and the positioning bolt for finally contradicting the spring, for preventing the close of the fixed arm and the lever arm.
5. aorta arch constriction art regulating device according to claim 4, which is characterized in that also have on the positioning bolt There are lock-bit nut, the lock-bit nut to be located at the outside of the lever arm, for locking the positioning bolt and the spring Distance.
6. aorta arch constriction art regulating device according to claim 1, which is characterized in that the adjusting bolt is to inward turning Tight and apply pressure to the handle end of the lever arm, the head end of the lever arm is far from the head end of the fixed arm, while institute The thimble for stating amesdial is pressurized and shows continuous reading.
7. aorta arch constriction art regulating device according to claim 1, which is characterized in that the handle of the fixed arm End, bar portion, head end are fixed by the fastener, and the fixed arm is fixed.
8. aorta arch constriction art regulating device according to claim 1, which is characterized in that the substrate is in L-shaped.
9. a kind of operating method according to any aorta arch constriction art regulating devices of claim 1-8, feature exists In the operating method is as follows:
The adjusting bolt is pre-tightened, the handle end stress of the lever arm close to the fixed arm, examine by the thimble of the amesdial The continuous reading of activity display for measuring the head end of the lever arm, when the fixed arm, the lever arm head end between After distance reaches preset distance, stop pre-tightening the adjusting bolt, pre-tightens the positioning bolt until the positioning bolt contradicts The spring is motionless, screws the lock-bit nut and makes the positioning bolt fixed, and the jaw of the Clip Applier opens and closes ruler Very little fixation, when progress blood vessel clip closes, jaw opening and closing degree is predeterminable level.
CN201810225534.2A 2018-03-19 2018-03-19 Aortic arch constriction adjusting device and operation method thereof Active CN108577919B (en)

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Application Number Priority Date Filing Date Title
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Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2064218U (en) * 1990-04-13 1990-10-24 广西壮族自治区妇幼保健院 Photoelectric instrument for examining the anaemia
CN2134838Y (en) * 1992-08-27 1993-06-02 中国人民解放军第四军医大学第一附属医院 Micrometer coarctation apparatus for arterial
CN101961260A (en) * 2010-05-19 2011-02-02 上海菲捷实业有限公司 In vivo steering reverse clip applier
CN201912151U (en) * 2010-12-31 2011-08-03 徐志明 Hooked suture forceps
CN202255172U (en) * 2011-08-31 2012-05-30 南京梅山冶金发展有限公司 Internal caliper for internal dial gauge/dial indicator
CN205234575U (en) * 2015-12-21 2016-05-18 吕松峰 Pincers are fixed to accurate wound orthopedics in location with reseing
CN106236169A (en) * 2016-08-31 2016-12-21 无锡贝恩外科器械有限公司 A kind of disposable chamber mirror linear cutting anastomat

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2064218U (en) * 1990-04-13 1990-10-24 广西壮族自治区妇幼保健院 Photoelectric instrument for examining the anaemia
CN2134838Y (en) * 1992-08-27 1993-06-02 中国人民解放军第四军医大学第一附属医院 Micrometer coarctation apparatus for arterial
CN101961260A (en) * 2010-05-19 2011-02-02 上海菲捷实业有限公司 In vivo steering reverse clip applier
CN201912151U (en) * 2010-12-31 2011-08-03 徐志明 Hooked suture forceps
CN202255172U (en) * 2011-08-31 2012-05-30 南京梅山冶金发展有限公司 Internal caliper for internal dial gauge/dial indicator
CN205234575U (en) * 2015-12-21 2016-05-18 吕松峰 Pincers are fixed to accurate wound orthopedics in location with reseing
CN106236169A (en) * 2016-08-31 2016-12-21 无锡贝恩外科器械有限公司 A kind of disposable chamber mirror linear cutting anastomat

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