CN108635009A - Running fire ligation clip applicator with knife - Google Patents
Running fire ligation clip applicator with knife Download PDFInfo
- Publication number
- CN108635009A CN108635009A CN201810621349.5A CN201810621349A CN108635009A CN 108635009 A CN108635009 A CN 108635009A CN 201810621349 A CN201810621349 A CN 201810621349A CN 108635009 A CN108635009 A CN 108635009A
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- China
- Prior art keywords
- running fire
- ligation clip
- push
- pushing cylinder
- hole
- 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.)
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- 230000001681 protective effect Effects 0.000 claims description 48
- 238000005452 bending Methods 0.000 claims description 15
- 230000003014 reinforcing effect Effects 0.000 claims description 5
- 239000011230 binding agent Substances 0.000 claims description 2
- 239000007787 solid Substances 0.000 claims 1
- 238000000034 method Methods 0.000 abstract description 9
- 238000010586 diagram Methods 0.000 description 20
- 239000002360 explosive Substances 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 210000000080 chela (arthropods) Anatomy 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 238000009527 percussion Methods 0.000 description 1
- 230000001360 synchronised 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
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/128—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips
- A61B17/1285—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips for minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/3205—Excision instruments
Abstract
The present invention is a kind of running fire ligation clip applicator with knife.It includes running fire ligation clip applicator and cutter assembly；The cutter assembly includes cutter head, connector, interior STATEMENT OF FEDERALLY SPONSORED and outer actuator, and cutter head is located at the front end of running fire ligation clip applicator, and interior STATEMENT OF FEDERALLY SPONSORED is located in running fire ligation clip applicator inner cavity, is connected by connector between interior STATEMENT OF FEDERALLY SPONSORED and cutter head；Outer actuator is set to outside running fire ligation clip applicator and is connect with interior STATEMENT OF FEDERALLY SPONSORED, controls outer actuator band dynamic cutter head and moves along the longitudinal direction.For the prior art, the advantage of the invention is that：After ligature forceps fires ligation clip, cutter assembly can be directly initiated, tissue is cut off, when necessary, it just can start cutter assembly when ligature forceps does not fire, that is to say, that cutter assembly can be started at any time, procedure efficiency is improved in this way, shortens operating time.
Description
Technical field
The present invention relates to medical instruments field, especially a kind of running fire ligation clip applicator with knife.
Background technology
Traditional ligation clip applicator can only discharge ligation clip, can not realize other functions, in surgical procedure if
It needs to carry out other operations, needs to stretch into human body by other instruments, extend operating time.
Invention content
The purpose of the present invention is to provide a kind of running fire ligation clip applicator with knife.
The purpose of the present invention is achieved through the following technical solutions：A kind of running fire ligation clip applicator with knife, it includes connecting
Send out ligation clip applicator and cutter assembly；
The cutter assembly includes cutter head, connector, interior STATEMENT OF FEDERALLY SPONSORED and outer actuator, and cutter head, which is located at running fire ligation clip, to be applied
The front end of binder, interior STATEMENT OF FEDERALLY SPONSORED are located in running fire ligation clip applicator inner cavity, are connected by connector between interior STATEMENT OF FEDERALLY SPONSORED and cutter head
It connects；Outer actuator is set to outside running fire ligation clip applicator and is connect with interior STATEMENT OF FEDERALLY SPONSORED, controls outer actuator band dynamic cutter head edge
Front-rear direction moves.
For the prior art, the advantage of the invention is that：After ligature forceps fires ligation clip, it can directly initiate
Cutter assembly cuts off tissue, when necessary, just can start cutter assembly when ligature forceps does not fire, that is to say, that
Cutter assembly can be started at any time, improve procedure efficiency in this way, shorten operating time.
Description of the drawings
Fig. 1 is the structural schematic diagram of 1 original state handle portion of the embodiment of the present invention；
Fig. 2 is the structural schematic diagram at ligature forceps in Fig. 1；
Fig. 3 is the enlarged drawing at A in Fig. 1；
Fig. 4 is structural schematic diagram when present invention assembly ligation clip is completed；
Fig. 5 increases the structural schematic diagram of running fire protective cover on the basis of Fig. 4；
Fig. 6 is the structural schematic diagram at ligature forceps in Fig. 4；
Fig. 7 present invention is closed structural schematic diagram when ligation clip is completed；
Fig. 8 is the structural schematic diagram at ligature forceps in Fig. 7；
Fig. 9 is the structural schematic diagram that the percussion of push broach lantern ring is completed；
Figure 10 is the structural schematic diagram at ligature forceps in Fig. 9；
Figure 11 is the stereogram after present invention removal side fixed handle and shell of revolution；
Figure 12 is the stereogram after section view at fixed handle；
Figure 13 is the structural schematic diagram after section view at fixed handle；
The structural schematic diagram that Figure 14 pushing cylinders are connect with running fire protective cover；
Figure 15 is the stereogram after present invention removal side fixed handle and shell of revolution；
Figure 16 is the enlarged drawing at D in Figure 15；
Figure 17 is the partial sectional view of push broach lantern ring and fixed handle fit structure at fixed handle；
Figure 18 is the structural schematic diagram of 2 original state handle portion of the embodiment of the present invention
Figure 19 is the structural schematic diagram of 2 cutter assembly of the embodiment of the present invention；
Figure 20 is the explosive view at connector, interior STATEMENT OF FEDERALLY SPONSORED and outer actuator in Figure 19.
Figure 21 is the location diagram of connecting rod and each component of running fire ligation clip applicator in 2 cutter assembly of embodiment.
Figure 22 is the enlarged drawing at X in Figure 21；
Figure 23 is the enlarged drawing at Y in Figure 21；
Figure 24 is the enlarged drawing at Z in Figure 21；
Figure 25 is the structural schematic diagram of common cutter head；
Figure 26 is the side view of Figure 21；
Figure 27 is the structural schematic diagram for the cutter head that arc incision is equipped at blade；
Figure 28 is the side view of Figure 27；
Figure 29 is the structural schematic diagram of the cutter head in sharp-tooth shaped at blade；
Figure 30 is the side view of Figure 29；
Figure 31 is the structural schematic diagram of the cutter head of inclined cutout blade；
Figure 32 is the side view of Figure 31.
Figure 33 is the structural schematic diagram of arc cutter head.
Figure 34 is the explosive view of running fire ligation clip applicator drive part.
Label declaration：1- fixed handles, 2- flexible handles, 3- shell of revolutions, 31- reinforcing ribs face, 40- connecting rods, 41- push broach
Lantern ring, 42- cutter heads, 43- push handles, 44- push broach spring, the second bending parts of 441-, the 5th limiting through hole of 45-, 461- front limits portion,
Limiting section after 462-, 463- interconnecting pieces, 47- shafts, 471- axis holes, 472- snap rings, 48- slidings rotating member, 481- fixed seats,
482- limit shafts, 51- running fires bar, 52- gag lever posts, 53- running fires push jack, 54- running fires sleeve, 55- running fires protective cover, 56- ligation
Pincers, 57- pushing cylinders, 511- shell of revolutions pin, the second limiting through hole of 521-, 522- limits lever pin, the first limiting through hole of 531-, 532- are curved
Folding part, 541 elongated holes, 551- thirds limiting through hole, the 4th limiting through hole of 552-, 553- protective covers spring, the outer bullet of 571- pushing cylinders
Spring, 572- pushing cylinders inner spring, the 6th limit holes of 61-, 62- sets battle pin, 63- sliding slots, 64- guide grooves, 71- guide protrusions, 72- are led
To groove.
Specific implementation mode
The content of present invention is described in detail with embodiment with reference to the accompanying drawings of the specification：
As shown in Fig. 1 to Figure 17：A kind of running fire ligation clip applicator with knife, it include running fire ligation clip applicator and
Cutter assembly；
The cutter assembly includes cutter head 42, connector, interior STATEMENT OF FEDERALLY SPONSORED and outer actuator, and cutter head is located at running fire ligation clip
The front end of applicator, interior STATEMENT OF FEDERALLY SPONSORED are located in running fire ligation clip applicator inner cavity, pass through connector between interior STATEMENT OF FEDERALLY SPONSORED and cutter head
Connection；Outer actuator is set to outside running fire ligation clip applicator and is connect with interior STATEMENT OF FEDERALLY SPONSORED, controls outer actuator band dynamic cutter head
It moves along the longitudinal direction.
It is different according to the structure of interior STATEMENT OF FEDERALLY SPONSORED, it originally can be divided into following two embodiments：
Embodiment 1：
As Fig. 1 to Figure 17 show embodiment schematic diagram provided by the invention.
Running fire ligation clip applicator includes fixed handle 1, the flexible handle 2 being pivotally connected with fixed handle 1, is located at fixed handle
Extend the ligation clip clamp device assembly of fixed handle 1 in 1 top chamber and front end；Ligation clip clamp device assembly and flexible handle
2 are linked；
The interior STATEMENT OF FEDERALLY SPONSORED includes push broach lantern ring 41 and push broach spring 44, and outer actuator is push handle 43；Push broach lantern ring 41
Sliding is set in 1 chamber of fixed handle, and connector is connected to 41 front end of push broach lantern ring, and push handle 43 is articulated in the top of fixed handle 1
The lateral surface of portion's chamber, push broach lantern ring 41 are linked with push handle 43；The setting of push broach spring 44 is in 41 front of push broach lantern ring, push broach
Push broach spring 44 is compressed in the forward movement of lantern ring 41.
Pressing flexible handle 2 drives ligation clip clamp device assembly to realize that ligation clip clamp, operator press push handle 43 and drive
Push broach lantern ring advances, and is connected by connector between push broach lantern ring and cutter head 42, and push broach lantern ring 41 pushes cutter head 42 to move ahead.
As shown in figure 30：Running fire ligation clip applicator further includes being rotatably connected in the shell of revolution 3 of 1 front end of fixed handle；
Ligation clip clamp device assembly includes hollow running fire bar 51, gag lever post 52, running fire push jack 53, running fire sleeve 54, even
Send out protective cover 55, ligature forceps 56 and hollow and front opening pushing cylinder 57.
51 tail portion of running fire bar is laterally equipped with shell of revolution pin 511, and running fire bar 51 is fixed on rotation by shell of revolution pin 511
In shell 3；When shell of revolution 3 rotates, running fire bar 51 and the component connected with running fire bar 51 can rotate together with.
Gag lever post 52 is set to 53 right side of running fire push jack and can be with respect to the front and back sliding of running fire push jack 53, in the tail of running fire push jack 53
Portion is equipped with the bending part 532 for fitting in 52 breech face of gag lever post；Running fire push jack 53 and gag lever post 52 are covered from 51 tail portion of running fire bar
If entering in running fire bar 51 and can along the longitudinal direction be slid in running fire bar 51, it is equipped on running fire push jack 53 and prolongs along the longitudinal direction
The first limiting through hole 531 stretched is equipped with the second limiting through hole 521 extended along the longitudinal direction, shell of revolution pin on gag lever post 52
511 pass through the first limiting through hole 531 and the second limiting through hole 521；
Running fire push jack 53 and gag lever post 52 can in running fire bar 51 along front and back to moving, what running fire push jack 53 was moved forward and backward
Range is defined by the first limiting through hole 531；The range that gag lever post 52 is moved forward and backward is carried out by the second limiting through hole 521
It limits.
Pushing cylinder 57 is set in 1 top chamber of fixed handle, and the tail portion of gag lever post 52 is vertically worn with the head of pushing cylinder 57
There is limit lever pin 522 connecting the two；
The sliding of running fire sleeve 54 is sheathed on outside running fire bar 51, and running fire protective cover 55 is installed in 54 end of running fire sleeve, even
The both sides for sending out protective cover 55 are equipped with third limiting through hole 551, and shell of revolution pin 511 passes through third limiting through hole 551；
Running fire protective cover 55 can in running fire bar 51 is outer along front and back to moving, the range that running fire protective cover 55 is moved forward and backward is logical
Third limiting through hole 551 is crossed to be defined.
The upper and lower sides of running fire protective cover 55 are equipped with the 4th limiting through hole 552 extended along the longitudinal direction, and limit lever pin 522 is worn
Cross the 4th limiting through hole 552；
Limit lever pin 522 can drive gag lever post 52 1 for connecting gag lever post 52 and pushing cylinder 57, pushing cylinder 57 when being moved forward and backward
It rises and moves along the longitudinal direction, the limit sliding of lever pin 522 is in the 4th limiting through hole 522 on running fire protective cover 55.
Push broach lantern ring 41 is sheathed on outside pushing cylinder 57, and the tail portion of connector, which is equipped with, fits in the second of 41 front end face of push broach lantern ring
Bending part 441, connector through running fire protective cover 55,54 connector of running fire sleeve, finally extend to 54 front end of running fire sleeve successively
Portion, is equipped with the 5th limiting through hole 45 on connector, and shell of revolution pin 511 passes through the 5th limiting through hole 45；
Push broach lantern ring 41 pushes connector to move forward so that extends running fire sleeve 54 positioned at the cutter head of connector, even
The range that fitting is moved forward and backward is defined by the 5th limiting through hole 45.
Be arranged with pushing cylinder outer spring 571 outside pushing cylinder 57, the both ends of pushing cylinder outer spring 571 respectively with 57 tail portion of pushing cylinder and
3 tail portion pushing tow cooperation of shell of revolution；Pushing cylinder outer spring 571 realizes the reset of pushing cylinder 57.
Be equipped with pushing cylinder inner spring 572 in 57 inner cavity of pushing cylinder, the both ends of pushing cylinder inner spring 572 respectively with 57 inner cavity tail end of pushing cylinder
And 532 pushing tow of the bending part cooperation of running fire push jack 53；
Push broach spring 44 is sheathed on outside pushing cylinder outer spring 571, the both ends of push broach spring 44 respectively with the second bending part 441 with
And 3 tail portion pushing tow cooperation of shell of revolution；
Protective cover spring 553 is sheathed on outside running fire sleeve 54,553 both ends of protective cover spring respectively with before running fire protective cover 55
The reinforcing rib face 31 pushing tow cooperation that end and 3 middle part of shell of revolution are equipped with；
The connector is divided into front limit portion 461, rear limiting section 462 and interconnecting piece 463；
Limiting section 462 is located at 55 right side of running fire protective cover after described, and the second bending part 441 is located at the tail of rear limiting section 462
End, after the setting of the 5th limiting through hole 45 on limiting section 462；Front limit portion 461 is located in running fire sleeve 54, the right side of running fire bar 51
Side, cutter head 42 are fixedly arranged on the front end in front limit portion 461；Interconnecting piece 463 is equipped with opening by 54 side wall surface of running fire sleeve and connects
Front limit portion 461, rear limiting section 462.
It is equipped with the 6th limit hole 61 in 1 both sides of fixed handle, 41 both sides of push broach lantern ring, which are equipped with, extends the 6th limit hole 61
Set battle pin 62, push handle 43 medial surface be equipped with set battle pin 62 sliding cooperation sliding slot 63.So that when pressing push handle 43, push away
Broach shell ring 41 being capable of forward slip.
The guide groove 64 of the sliding cooperation of push broach lantern ring 41 is equipped on 1 inner cavity wall surface of fixed handle.Push broach lantern ring can be
Sliding, will not shift in guide groove 64.
Several guide protrusions 71 are equipped on the outer side surface of push broach lantern ring 41, guiding trough wall surface is equipped with and guide protrusions
Slide the guiding groove 72 of cooperation.Further the motion track of push broach lantern ring 41 is defined, avoids the inclined of push broach lantern ring 41
It moves.
The application method of embodiment 1 is as follows：
Original state is moved to first state：
Flexible handle 2 is pressed, flexible handle 2 pushes 57 tail portion of pushing cylinder, pushing cylinder 57 to drive gag lever post 52, running fire push jack 53 1
With moving ahead, until the rear end of the first limiting through hole 531 on running fire push jack 53 is contacted with shell of revolution pin 511；Wherein, running fire push jack
53 push to forward ligation clip in ligature forceps 56；
During being somebody's turn to do, the limit protrusion 845 of on piece is embedded in the circular hole 846 on running fire push jack 53 so that piece is together
It moves ahead.Open 843 forward slip of sliding slot of on piece.
The tail portion of the process pushing cylinder 57 is overlapped with push broach lantern ring 41 and running fire protective cover 55.
First state is to the second state motion：
Continue to press flexible handle, due to the tail portion of gag lever post 52 be vertically equipped with the head of pushing cylinder 57 it is connecting the two
Lever pin 522 is limited, the gag lever post 52 can also advance together, until the rear end of the second limiting through hole 521 connects with shell of revolution pin 511
It touches；When due to first state, tail portion and the push broach lantern ring 41 and running fire protective cover 55 of pushing cylinder 57 overlap, so pushing cylinder 57 will
Push broach lantern ring 41 and the movement of running fire protective cover 55 is pushed to advance, running fire sleeve 54 follows running fire protective cover 55 to move ahead together, directly
It is contacted to the rear end of the third limiting through hole 551 of running fire protective cover 55 with shell of revolution pin 511；The process can ensure cutter head at any time
Position in 54 inner cavity front end of running fire sleeve, it is ensured that when pushing push handle 43, cutter head can extend running fire set at the first time
Cylinder 54；
In addition, running fire sleeve 54 moves forward, 54 front end of running fire sleeve forces the ligature forceps 56 of opening to be closed；Running fire sleeve
When 54 elongated hole 541 is moved to 87 corresponding position of left handle 86 and right handles, by the U-shaped effect for closing piece 83, left handle 86
Realize expansion, while ligature forceps 56 is closed.
Second state is moved to end-state：
Push push handle 43, push handle 43 that push broach lantern ring 41 is driven to travel forward, final band dynamic cutter head travels forward, and realization is cut
It cuts, wherein cutter head proceeds to the rear end of the 5th limiting through hole 45 of connector and contacted with shell of revolution pin 511.
Counter motion；
Push handle 43 and flexible handle are loosened, under the action of push broach spring 44, push broach lantern ring 41 replys initial position；
Under the action of protective cover spring 553, running fire protective cover 55, running fire sleeve 54 and running fire push jack 53 reset, which makes left hand
Handle 86, right handles 87 are closed, and ligature forceps reopens；Under the action of pushing cylinder outer spring 571, pushing cylinder 57, which is realized, to be resetted.
Embodiment 2
As shown in Figure 18-24：Running fire ligation clip applicator includes fixed handle 1, the flexible handle with the pivot joint of fixed handle 1
2, extend the ligation clip clamp device assembly of fixed handle 1 positioned at the inner cavity of fixed handle 1 and front end；Ligation clip clamp device assembly
It is linked with flexible handle 2；
Outer actuator is push handle 43, and interior STATEMENT OF FEDERALLY SPONSORED includes rotating turret 47, sliding rotating member 48 and tension spring 49,43 pivot of push handle
It is connected to 1 side of fixed handle, rotating turret 47 and push handle 43 are coaxially connected, and when pushing push handle, rotating turret 47 can be according to pivot
The place of connecing rotates forward；The sliding rotating member 48 includes fixed seat 481 and is arranged limit shaft 482 in 481 both sides of fixed seat,
Rotating turret 47 is equipped with the slippage slot 471 coordinated with limit shaft, and fixed seat 481 is embedded in by limit shaft 482 in slippage slot 471,
Fixed seat 481 is set to slide up and down and can be rotated according to limit shaft 482 in slippage slot 471；The connector is connecting rod
40,40 tail portion of connecting rod is connected in fixed seat 481, and 49 front end of tension spring connects rotating turret 47, and 49 rear end of tension spring is connected and fixed hand
On rear side of 1 inner cavity of handle.
With reference to figure 30：Running fire ligation clip applicator further includes being rotatably connected in the shell of revolution 3 of 1 front end of fixed handle；
Ligation clip clamp device assembly includes hollow running fire bar 51, gag lever post 52, running fire push jack 53, running fire sleeve 54, even
Send out protective cover 55, ligature forceps 56 and hollow and front opening pushing cylinder 57；
51 tail portion of running fire bar is laterally equipped with shell of revolution pin 511, and running fire bar 51 is fixed on rotation by shell of revolution pin 511
In shell 3；
Gag lever post 52 is set to 53 right side of running fire push jack and can be with respect to the front and back sliding of running fire push jack 53, in the tail of running fire push jack 53
Portion is equipped with the bending part 532 for fitting in 52 breech face of gag lever post；Running fire push jack 53 and gag lever post 52 are covered from 51 tail portion of running fire bar
If entering in running fire bar 51 and can along the longitudinal direction be slid in running fire bar 51, it is equipped on running fire push jack 53 and extends along the longitudinal direction
The first limiting through hole 531, the second limiting through hole 521 for extending along the longitudinal direction, shell of revolution pin 511 are equipped on gag lever post 52
Across the first limiting through hole 531 and the second limiting through hole 521；
Pushing cylinder 57 is set in 1 top chamber of fixed handle, and the tail portion of gag lever post 52 is vertically worn with the head of pushing cylinder 57
There is limit lever pin 522 connecting the two；
The sliding of running fire sleeve 54 is sheathed on outside running fire bar 51, and running fire protective cover 55 is installed in 54 end of running fire sleeve, even
The both sides for sending out protective cover 55 are equipped with third limiting through hole 551, and shell of revolution pin 511 passes through third limiting through hole 551；
The upper and lower sides of running fire protective cover 55 are equipped with the 4th limiting through hole 552 extended along the longitudinal direction, and limit lever pin 522 is worn
Cross the 4th limiting through hole 552；
Be arranged with pushing cylinder outer spring 571 outside pushing cylinder 57, the both ends of pushing cylinder outer spring 571 respectively with 57 tail portion of pushing cylinder and
3 tail portion pushing tow cooperation of shell of revolution；
Be equipped with pushing cylinder inner spring 572 in 57 inner cavity of pushing cylinder, the both ends of pushing cylinder inner spring 572 respectively with 57 inner cavity tail end of pushing cylinder
And 532 pushing tow of the bending part cooperation of running fire push jack 53；
Protective cover spring 553 is sheathed on outside running fire sleeve 54,553 both ends of protective cover spring respectively with before running fire protective cover 55
The reinforcing rib face 31 pushing tow cooperation that end and 3 middle part of shell of revolution are equipped with；
Connecting rod 40 sequentially passes through pushing cylinder 57, protective cover 55, running fire sleeve 54, and finally extends to 54 front end of running fire sleeve
Portion；Connecting rod 40 has certain elasticity, during its back-and-forth motion, allows certain deformation occur.
The tail portion of connecting rod 40 is arranged with shaft 47, and the axis hole 471 coordinated with shaft 47 is equipped in fixed seat 481, turns
Axis tail portion is inserted into axis hole 471 and is rotated according to axis hole 471；The snap ring 472 for preventing shaft to be detached from is equipped in the tail portion of shaft 47.
The application method of embodiment 2 is as follows：
In embodiment 2, ligation clip applicator occupation mode is identical with embodiment, is no longer repeated herein.It completes to apply
After clip process, push handle 43 can be pushed, since push handle 43 and rotating turret 47 are coaxially connected, while pushing push handle 43, also can
Rotating turret top is driven to rotate forward, since connecting rod is connect by sliding rotating member 48 with rotating turret, in rotating turret to forward
In dynamic process, the cutter head of connecting rod and connecting rod front end can all move forward simultaneously, and then be cut to tissue.
It should be noted that rotating turret, during rotating forward, any one on rotating turret puts its rail moved
Mark is arc-shaped, if connecting rod is directly and rotating turret is hinged, rotating turret is during rotating forward, connecting rod tail end
May there are one the processes being lifted, to cause connecting rod deformation, so connecting rod, which passes through, slides rotating member 48 and rotating turret
It connects, which can realize sliding motion up and down in connecting rod and rotate 2 actions according to limit shaft 482,
Ensuring that rotating turret rotates forward can drive connecting rod linearly to move forward.
After the completion of cutting, push handle 43 is unclamped, rotating turret can rotate backward under the action of tension spring 49, and then drive connecting rod
It is synchronous with cutter head to move backward.
As shown in figure 33：The cutter head is the cutter head bent to 56 side of ligature forceps.Blade can be bonded ligature forceps in this way
56, when ligature forceps 56 clamps tissue, cutter head is pushed forward, can preferably cut tissue.
As shown in Figure 25 to Figure 32：On the basis of embodiment 1,2, the cutter head structure is its in following several structures
Middle one kind：
As shown by figures 25-26：For common cutter head；
As shown in Figure 27-28：To be equipped with the cutter head of arc incision at blade；
As illustrated in figs. 29-30：For the cutter head in sharp-tooth shaped at blade；
As shown in Figure 31-32：To be the cutter head of beveling type at blade.By different types of cutter head of arranging in pairs or groups, adapt to different
Surgery situation.
Claims (10)
1. a kind of running fire ligation clip applicator with knife, it is characterised in that：It includes running fire ligation clip applicator and cutter group
Part；
The cutter assembly includes cutter head (42), connector, interior STATEMENT OF FEDERALLY SPONSORED and outer actuator, and cutter head, which is located at running fire ligation clip, to be applied
The front end of binder, interior STATEMENT OF FEDERALLY SPONSORED are located in running fire ligation clip applicator inner cavity, are connected by connector between interior STATEMENT OF FEDERALLY SPONSORED and cutter head
It connects；Outer actuator is set to outside running fire ligation clip applicator and is connect with interior STATEMENT OF FEDERALLY SPONSORED, controls outer actuator band dynamic cutter head edge
Front-rear direction moves.
2. a kind of running fire ligation clip applicator with knife according to claim 1, it is characterised in that：Running fire ligation clip applicator
Including fixed handle (1), with fixed handle (1) pivot joint flexible handle (2), be located at fixed handle (1) chamber in and front end prolong
Stretch out the ligation clip clamp device assembly of fixed handle (1)；Ligation clip clamp device assembly is linked with flexible handle (2)；
The interior STATEMENT OF FEDERALLY SPONSORED includes push broach lantern ring (41) and push broach spring (44), and outer actuator is push handle (43)；Push broach lantern ring
(41) sliding is set in fixed handle (1) chamber, and connector is connected to push broach lantern ring (41) front end, and push handle (43) is articulated in solid
Determine the lateral surface of handle (1) top chamber, push broach lantern ring (41) is linked with push handle (43)；Push broach spring (44) setting is pushing away
In front of broach shell ring (41), push broach lantern ring (41), which moves forward, compresses push broach spring (44).
3. a kind of running fire ligation clip applicator with knife according to claim 2, it is characterised in that：
Running fire ligation clip applicator further includes rotatable connection in the shell of revolution (3) of fixed handle (1) front end；
Ligation clip clamp device assembly includes hollow running fire bar (51), gag lever post (52), running fire push jack (53), running fire sleeve
(54), running fire protective cover (55), ligature forceps (56) and hollow and front opening pushing cylinder (57)；
Running fire bar (51) tail portion is laterally equipped with shell of revolution pin (511), and running fire bar (51) is fixed on by shell of revolution pin (511)
In shell of revolution (3)；
Gag lever post (52) is set on the right side of running fire push jack (53) and can be with respect to the front and back sliding of running fire push jack (53), in running fire push jack (53)
Tail portion be equipped with and fit in the bending part (532) of gag lever post (52) breech face；Running fire push jack (53) and gag lever post (52) are from even
Hair bar (51) tail portion is arranged interior into running fire bar (51) and can along the longitudinal direction be slid in running fire bar (51), in running fire push jack
(53) it is equipped with the first limiting through hole (531) extended along the longitudinal direction, is equipped on gag lever post (52) and extends along the longitudinal direction
The second limiting through hole (521), shell of revolution pin (511) pass through the first limiting through hole (531) and the second limiting through hole (521)；
Pushing cylinder (57) is set in fixed handle (1) top chamber, and the tail portion and the head of pushing cylinder (57) of gag lever post (52) are vertical
It is equipped with limit lever pin (522) connecting the two；
Running fire sleeve (54) sliding is sheathed on running fire bar (51) outside, and running fire protective cover is installed in running fire sleeve (54) end
(55), the both sides of running fire protective cover (55) are equipped with third limiting through hole (551), and shell of revolution pin (511) passes through third limiting through hole
(551)；
The upper and lower sides of running fire protective cover (55) are equipped with the 4th limiting through hole (552) extended along the longitudinal direction, limit lever pin (522)
Across the 4th limiting through hole (552)；
Push broach lantern ring (41) is sheathed on pushing cylinder (57) outside, and the tail portion of connector, which is equipped with, fits in the of push broach lantern ring (41) front end face
Two bending parts (441), connector successively through running fire protective cover (55), running fire sleeve (54) connector, finally extend to running fire set
Cylinder (54) front end, is equipped with the 5th limiting through hole (45) on connector, and shell of revolution pin (511) passes through the 5th limiting through hole
(45)；
Be arranged with pushing cylinder outer spring (571) outside the pushing cylinder (57), the both ends of pushing cylinder outer spring (571) respectively with pushing cylinder (57) tail portion
And shell of revolution (3) tail portion pushing tow cooperation；
Be equipped with pushing cylinder inner spring (572) in pushing cylinder (57) inner cavity, the both ends of pushing cylinder inner spring (572) respectively with pushing cylinder (57) inner cavity
Bending part (532) pushing tow of tail end and running fire push jack (53) coordinates；
Push broach spring (44) is sheathed on pushing cylinder outer spring (571) outside, the both ends of push broach spring (44) respectively with the second bending part
(441) and shell of revolution (3) tail portion pushing tow coordinates；
Protective cover spring (553) is sheathed on running fire sleeve (54) outside, protective cover spring (553) both ends respectively with running fire protective cover
(55) reinforcing rib face (31) pushing tow cooperation that front end and shell of revolution (3) middle part are equipped with；
Connector is divided into front limit portion (461), rear limiting section (462) and interconnecting piece (463)；
Limiting section (462) is located on the right side of running fire protective cover (55) after described, and the second bending part (441) is located at rear limiting section (462)
Tail end, after the setting of the 5th limiting through hole (45) on limiting section (462)；Front limit portion (461) is located in running fire sleeve (54), even
The right side of bar (51) is sent out, cutter head (42) is fixedly arranged on the front end of front limit portion (461)；Interconnecting piece (463) passes through running fire sleeve (54)
Side wall surface is equipped with opening connection front limit portion (461), rear limiting section (462).
4. a kind of running fire ligation clip applicator with knife according to claim 3, it is characterised in that：In fixed handle (1) two
Side is equipped with the 6th limit hole (61), and push broach lantern ring (41) both sides are equipped with the set battle pin (62) for extending the 6th limit hole (61),
The medial surface of push handle (43) is equipped with the sliding slot (63) that cooperation is slid with set battle pin (62).
5. a kind of running fire ligation clip applicator with knife according to claim 2, it is characterised in that：In fixed handle (1)
Cavity wall face is equipped with the guide groove (64) of push broach lantern ring (41) sliding cooperation.
6. according to a kind of running fire ligation clip applicator with knife described in claim 5, it is characterised in that：In push broach lantern ring
(41) outer side surface is equipped with several guide protrusions (71), is oriented to trough wall surface and is equipped with the guiding coordinated with guide protrusions sliding
Groove (72).
7. a kind of running fire ligation clip applicator with knife according to claim 1, it is characterised in that：Running fire ligation clip applicator
Including fixed handle (1), with fixed handle (1) pivot joint flexible handle (2), be located at fixed handle (1) inner cavity and front end prolong
Stretch out the ligation clip clamp device assembly of fixed handle (1)；Ligation clip clamp device assembly is linked with flexible handle (2)；
Outer actuator is push handle (43), and interior STATEMENT OF FEDERALLY SPONSORED includes rotating turret (47), sliding rotating member (48) and tension spring (49), push handle
(43) it is articulated in fixed handle (1) side, rotating turret (47) and push handle (43) are coaxially connected, when pushing push handle, rotation
Frame (47) can forward be rotated according to articulated section；The sliding rotating member (48) includes fixed seat (481) and is arranged in fixed seat
(481) limit shaft (482) of both sides, rotating turret (47) are equipped with the slippage slot (471) coordinated with limit shaft, fixed seat (481)
By limit shaft (482) in slippage slot (471), make fixed seat (481) that simultaneously energy can be slided up and down in slippage slot (471)
It is enough to be rotated according to limit shaft (482)；The connector is connecting rod (40), and connecting rod (40) tail portion is connected in fixed seat (481),
Tension spring (49) front end connects rotating turret (47), and tension spring (49) rear end is connected and fixed on rear side of handle (1) inner cavity.
8. a kind of running fire ligation clip applicator with knife according to claim 7, it is characterised in that：
Running fire ligation clip applicator further includes rotatable connection in the shell of revolution (3) of fixed handle (1) front end；
Ligation clip clamp device assembly includes hollow running fire bar (51), gag lever post (52), running fire push jack (53), running fire sleeve
(54), running fire protective cover (55), ligature forceps (56) and hollow and front opening pushing cylinder (57)；
Running fire bar (51) tail portion is laterally equipped with shell of revolution pin (511), and running fire bar (51) is fixed on by shell of revolution pin (511)
In shell of revolution (3)；
Gag lever post (52) is set on the right side of running fire push jack (53) and can be with respect to the front and back sliding of running fire push jack (53), in running fire push jack (53)
Tail portion be equipped with and fit in the bending part (532) of gag lever post (52) breech face；Running fire push jack (53) and gag lever post (52) are from even
Hair bar (51) tail portion is arranged interior into running fire bar (51) and can along the longitudinal direction be slid in running fire bar (51), in running fire push jack (53)
It is equipped with the first limiting through hole (531) for extending along the longitudinal direction, the extended along the longitudinal direction is equipped on gag lever post (52)
Two limiting through hole (521), shell of revolution pin (511) pass through the first limiting through hole (531) and the second limiting through hole (521)；
Pushing cylinder (57) is set in fixed handle (1) top chamber, and the tail portion and the head of pushing cylinder (57) of gag lever post (52) are vertical
It is equipped with limit lever pin (522) connecting the two；
Running fire sleeve (54) sliding is sheathed on running fire bar (51) outside, and running fire protective cover is installed in running fire sleeve (54) end
(55), the both sides of running fire protective cover (55) are equipped with third limiting through hole (551), and shell of revolution pin (511) passes through third limiting through hole
(551)；
The upper and lower sides of running fire protective cover (55) are equipped with the 4th limiting through hole (552) extended along the longitudinal direction, limit lever pin (522)
Across the 4th limiting through hole (552)；
Be arranged with pushing cylinder outer spring (571) outside the pushing cylinder (57), the both ends of pushing cylinder outer spring (571) respectively with pushing cylinder (57) tail portion
And shell of revolution (3) tail portion pushing tow cooperation；
Be equipped with pushing cylinder inner spring (572) in pushing cylinder (57) inner cavity, the both ends of pushing cylinder inner spring (572) respectively with pushing cylinder (57) inner cavity
Bending part (532) pushing tow of tail end and running fire push jack (53) coordinates；
Protective cover spring (553) is sheathed on running fire sleeve (54) outside, protective cover spring (553) both ends respectively with running fire protective cover
(55) reinforcing rib face (31) pushing tow cooperation that front end and shell of revolution (3) middle part are equipped with；
Connecting rod (40) sequentially passes through pushing cylinder (57), protective cover (55), running fire sleeve (54), and finally extends to running fire sleeve
(54) front end；
The tail portion of connecting rod (40) is arranged with shaft (47), and the axis hole coordinated with shaft (47) is equipped in fixed seat (481)
(471), shaft tail portion is inserted into axis hole (471) and is rotated according to axis hole (471)；Being equipped in the tail portion of shaft (47) prevents shaft de-
From snap ring (472).
9. a kind of running fire ligation clip applicator with knife according to any one of claim 1-8, it is characterised in that：Institute
It is the cutter head bent to ligature forceps (56) side to state cutter head.
10. a kind of running fire ligation clip applicator with knife according to claim 9, it is characterised in that：The cutter head structure
For the one of which in following several structures：
(1) common cutter head；
(2) cutter head of arc incision is equipped at blade；
(3) in the cutter head of sharp-tooth shaped at blade；
(4) cutter head of inclined cutout blade.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810621349.5A CN108635009A (en) | 2018-06-15 | 2018-06-15 | Running fire ligation clip applicator with knife |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810621349.5A CN108635009A (en) | 2018-06-15 | 2018-06-15 | Running fire ligation clip applicator with knife |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN108635009A true CN108635009A (en) | 2018-10-12 |
Family
ID=63752791
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201810621349.5A Pending CN108635009A (en) | 2018-06-15 | 2018-06-15 | Running fire ligation clip applicator with knife |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN108635009A (en) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2021078091A1 (en) * | 2019-10-25 | 2021-04-29 | 苏州英途康医疗科技有限公司 | Clip applier shaft assembly and medical surgical clip applier |
| CN114515175A (en) * | 2022-04-20 | 2022-05-20 | 江西瀚良生物科技有限公司南昌分公司 | Continuous clip applier with clip |
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| CN104490447A (en) * | 2014-12-17 | 2015-04-08 | 成都快典科技有限公司 | Surgical ligation clip applier capable of realizing continuous shooting |
| CN104523316A (en) * | 2015-01-08 | 2015-04-22 | 江苏海泽医疗科技发展有限公司 | Automatic multi-shot plastic blood vessel serrefine and serrefine case |
| US20160151071A1 (en) * | 2014-12-02 | 2016-06-02 | Covidien Lp | Laparoscopic surgical ligation clip applier |
| CN107981909A (en) * | 2017-12-22 | 2018-05-04 | 山东赛克赛斯生物科技有限公司 | Running fire Clip Applier and running fire clamp device |
| CN209220392U (en) * | 2018-06-15 | 2019-08-09 | 施爱德（厦门）医疗器材有限公司 | Running fire ligation clip applicator with knife |
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20160151071A1 (en) * | 2014-12-02 | 2016-06-02 | Covidien Lp | Laparoscopic surgical ligation clip applier |
| CN104490447A (en) * | 2014-12-17 | 2015-04-08 | 成都快典科技有限公司 | Surgical ligation clip applier capable of realizing continuous shooting |
| CN104523316A (en) * | 2015-01-08 | 2015-04-22 | 江苏海泽医疗科技发展有限公司 | Automatic multi-shot plastic blood vessel serrefine and serrefine case |
| CN107981909A (en) * | 2017-12-22 | 2018-05-04 | 山东赛克赛斯生物科技有限公司 | Running fire Clip Applier and running fire clamp device |
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2021078091A1 (en) * | 2019-10-25 | 2021-04-29 | 苏州英途康医疗科技有限公司 | Clip applier shaft assembly and medical surgical clip applier |
| CN114515175A (en) * | 2022-04-20 | 2022-05-20 | 江西瀚良生物科技有限公司南昌分公司 | Continuous clip applier with clip |
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