Background technology
Clip Applier is a kind of common medical instrument, is commonly available to needle and holds in the operation of suture, for clamping blood vessel, is risen
To anastalsis, so occasionally referred to as haemostatic clamp.In medical operating, especially minimal invasive techniques, patient is the bleeding the case where
Under, after taking hemostatic, blood vessel main artery is clamped with Clip Applier, does not allow blood flow to go out.The principle of Clip Applier as clip, but
It sterilized.Clip Applier is divided into large and small, with teeth, anodontia, straight, bending.Different type is selected according to different operation position
Clip Applier.
Clip Applier is being used in operative process due to being, for example, to may bleeding position or the bleeding seen
Point carries out clamp first.It is accurate to be required when clamp blutpunkte as a result, and preferably primary success not bring health tissues into excessively.
Since this kind of Minimally Invasive Surgery operating space is narrow and complicated, instrument is smaller using stroke, and required precision is high.Therefore, traditional skill
Art is partial to improve the operation ease of Clip Applier, precision raising and structure improvement etc..
For example, Chinese patent application the 201711310132.4th discloses a kind of minimally invasive haemostatic clamp convenient for disassembly and assembly comprising
Determine handle, fixed handle, fixed pincers and dynamic pincers, fixed handle is driven by drive connection piece with the one end for determining the steel wire rope in handle is extend into
Dynamic connection, the other end of the steel wire rope are drivingly connected with the dynamic pincers determined on pincers are rotatably connected on.Steel wire rope with positioned at determining handle
The steel wire rope connecting rod that is inside slidably connected is connected, and the stay rod pin positioned at drive connection piece one end is connected in steel wire rope connecting rod, passes
The dynamic connection sheet other end is rotatablely connected with fixed handle, and is provided between drive connection piece and fixed handle and is made stay rod pin clamping steel wire
The torque spring for connecting rod of restricting.In the disclosure in this patent, it is indicated that the haemostatic clamp disassembly, cleaning are convenient, easy to operate, not cumbersome, should
Haemostatic clamp can fill different types of jaw to meet the use of medical staff on a kind of handle, reach multi-edged
Function, disassembling can also so that instrument cleaning is more thorough, at the same can also allow medical staff use more easily, folder
It is reliable accurate that holding force is adjusted, and control is flexible, to improve the efficiency of Minimally Invasive Surgery.
However, the improved structure in either above-mentioned patent application or traditional hemostasis wrench structure, all inevitable to meet with
Meet a realistic problem.That is, in operative process, generally not only a blood vessel needs clamp hemostasis, but have two or three
Root very, clamp by even more blood vessel needs.And existing haemostatic clamp can only all carry a plastic grip, clip is all disposable
It uses.In structure as disclosed in aforementioned patent applications, Clip Applier has longer connecting rod.Therefore, operation stops every time
When blood, it is required for being inserted into patient's body by so long Clip Applier, it is clear that totally unfavorable.
It, can not due to being single operation although the Clip Applier of traditional single operation has many improvement in structure
It avoids having the following disadvantages:When on the one hand, for needing simultaneously to more Vascular haemostasis, needs operation multiple, necessarily extend hand
The art time, it is understood that operating time is to seize every minute and second, and current medical instrument is wanted for first with saving the surgical time
Business.Because the time is longer, the easier fatigue of doctor, and also it is bigger to the physical effects of patient.On the other hand, Clip Applier is continually
Disengaging will greatly increase operation risk, increase Infection probability.In addition, in surgical procedure, doctor typically encounters in hemostasis
The problem of be that many places blood vessel is being bled, usually when putting Clip Applier into for the second time, cause original blood vessel fuzzy not due to bleeding
Clearly, it is not easy to find, it is sometimes desirable to clean the blood vessel that can just find and need to stop blooding again, more spend the time in this way, patient can also need
It bleeds excessive, constitution is excessively overdrawed, unhealthful recovery progress.
However, as the Chinese patent application of citation, this traditional haemostatic clamp structural limitation is in the structure of itself bar, root
Originally it is difficult to realize multiple structure, it can only be different to adapt to by the way that different types of jaw can be filled on a kind of handle
Medical staff's demand still cannot carry more closing clamp simultaneously.
Invention content
In view of this, that it is necessary to provide a kind of precise structures is compact, space utilization is reasonable, feeding precisely in place, operation letter
Just running fire Clip Applier feed device.
A kind of running fire Clip Applier feed device, the running fire Clip Applier have tube rod and the binding clip loaded on tube rod front end, institute
It states feed device and is sent to binding clip opening for folder to be closed to the clip of blood vessel, the feed device includes loaded on storing in tube rod
Cabin, driving member and the actuator for driving driving member to move, the storing cabin and binding clip open communication, for installing multiple folders
Son, the driving member are inserted into storing cabin to push clip to enter binding clip opening.
Further, the storing cabin includes front deck and rear deck, and the rear deck has close to the front end of binding clip and far from pincers
The rear end of head, the front deck are set to the front inner wall of rear deck and extend to the opening of binding clip, the transmission by the front end of rear deck
Part stretches into front deck.
Further, the front end of the rear deck be extended with forward it is parallel to each other and between the upper and lower every upper labial plate and labial plate,
The upper labial plate and labial plate are extended with protruding shaft relatively, and there is oblique slot, the protruding shaft to be inserted in tiltedly for an end of the binding clip
To slot, the end of the binding clip is sandwiched between front deck outer wall and rear deck inner wall.
Further, it includes a push-pull rod, institute that the rear end inner wall digging of the rear deck, which has mounting groove, the running fire Clip Applier,
The one end for stating push-pull rod is combined closely in the mounting groove, by the push-and-pull action of a push-pull rod in, drive binding clip into
The action that row is clamped and unclamped.
Further, the front deck has close to the forehatch of binding clip and after hatch, the rear end both sides difference of the rear deck
Side slot is offered, the hatch of each side slot from rear deck rear end extends at the after hatch of front deck, and the driving member, which has, to be held
The hollow cavity of the push-pull rod is set, the hollow cavity front end both sides of the driving member are axially extending respectively side strip, two sides
Item corresponds to two side slots for being inserted in the rear deck.
Further, the driving member also has there are one mandril, and the side strip of the driving member is in the end of front deck
There is the first fastener, the mandril rear end to be equipped with the second fastener for side, and second fastener is mutually detained with the first fastener
It closes, makes axial continuation of the mandril as drive link, clip is acted on by mandril, clip is sent to binding clip opening.
Further, the actuator includes gear assembly, and the rear end of the driving member has rack line, the gear set
Part have with rack line meshed gears, rotated by gear, driving member driven to move.
Further, the gear is loaded on a shaft, and there are one take turns handle for one end extension of the gear far from groove
Hand makes gear band carry-over bar move by pulling the wheel handle.
Further, there are one locking nuts for the tube rod dress, and the locking nut is perpendicular to tube rod axially direction
Through setting there are one screw, screw is tightened when the driving member send clip to binding clip opening, screw is made to press in the biography
Moving part outer surface prevents drive link Hui Song with fixed conveyor bar.
Further, there is the front deck upper inner wall and lower inner wall, the upper inner wall and lower inner wall to be respectively equipped with axial prolong
That stretches helps sliding rib, and the mandril upper and lower surface, which reclines, helps sliding rib to slide described in two, and the front deck is open close to binding clip
Hatch lateral edges offer export notch, translateral export notch skids off when deviating from front deck for clip, the mandril
Front end is equipped with corrugated slot, and clip is lived by corrugated groove top.
In above-mentioned running fire Clip Applier feed device, the closing clamp of clamped closed blood vessel is stored by storing cabin, and can be same
Shi Cunfang is multiple, then driving member is coordinated to push clip to binding clip opening.All in tube rod, which fills for storing cabin and driving member
Division reason can store more clips, and clip can be pushed by driving member using space in the pipe of Clip Applier, precise structure,
Compact and reasonable.Moreover, closing clamp is both stored in storing cabin, while sending out in the front end in storing cabin, it is not only used as storing, but also make
For feeding front end so that feeding more precisely in place, by driving driving member that can convey clip, entire feeding process operation letter
Just quick, the plenty of time is saved for medical treatment, improves medical operating quality and efficiency.
Specific implementation mode
Below with reference to specific embodiments and the drawings, the present invention is described in detail.
It please refers to Fig.1, Fig. 2 and Fig. 3, a kind of running fire Clip Applier feed device provided in an embodiment of the present invention is shown, is used for
There is tube rod 20 and the binding clip 30 loaded on tube rod front end, the feed device to use for one running fire Clip Applier, the running fire Clip Applier
It is sent to 30 opening of binding clip in the clip 60 that folder is closed to blood vessel, the feed device includes loaded on storing cabin 50, biography in tube rod 20
Moving part 41 and actuator 42 for driving driving member 41 to move, the storing cabin 50 and 30 open communication of binding clip, for installing
Multiple clips 60, the driving member 41 are inserted into storing cabin 50 to push clip 60 to enter 30 opening of binding clip.
Specifically, the storing cabin 50 includes front deck 51 and rear deck 55, and the rear deck 55 has close to the front end of binding clip 30
With the rear end far from binding clip 30, the front deck 51 is set to the front inner wall of rear deck 55 and extends to binding clip 30 by the front end of rear deck 55
Opening, the driving member 41 stretches into front deck 51.
As shown in Fig. 2, the front end of the rear deck 55 be extended with forward it is parallel to each other and between the upper and lower every upper labial plate 56 and under
Lips 57, the upper labial plate 56 and labial plate 57 is facing is extended with protruding shaft 561 and 562.As shown in Figures 2 and 3, the binding clip 30
Close to the end in storing cabin 50 there is oblique slot 35, the protruding shaft 561 and 562 to be inserted in oblique slot 35, the binding clip 30 is somebody's turn to do
End is sandwiched between 55 inner wall of 51 outer wall of front deck and rear deck, is moved in oblique slot 35 to drive binding clip by protruding shaft 561 and 562
30 open or clamp.Therefore, protruding shaft 561,562 is interspersed in oblique slot 35, and two tong arms 31,32 are pivot with protruding shaft 561,562
Axis.In this way, shaft 23 is used as pivot point, the protruding shaft 561,571 in storing cabin 50, two tong arms 31,32 is pulled to make clamp action,
Storing cabin 50 is post-tensioning action simultaneously, and therefore, front deck 51 is retraction at this time, is the equal of avoiding clip 60.In this way, can make
It obtaining before clamp, 60 end of clip can also stop a part in the front end of front deck 51, when post-tensioning, 51 retraction of front deck, completely
Clip 60 is discharged, makees clamp action convenient for two tong arms 31,32.
As shown in Figures 2 and 3, further, the rear end inner wall digging of the rear deck 55 has mounting groove 59, the running fire Clip Applier
Including a push-pull rod 12, one end of the push-pull rod 12 is combined closely in the mounting groove 59, and a push-pull rod 12 is passed through
Push-and-pull action in driving the action that is clamped and unclamps of binding clip 30.The front end of push-pull rod 12 can pass through interference fit
It is installed on mounting groove 59, so that push-pull rod 12 is combined closely in the rear end of rear deck 55, the two moves synchronously.
Preferably, the front deck 51 has after the forehatch 510 of binding clip 30 and after hatch 519, the rear deck 55
End both sides offer side slot 58 respectively, and the hatch of each side slot 58 from 55 rear end of rear deck extends to the after hatch of front deck 51
At 519, the driving member 41 has the hollow cavity for housing the push-pull rod 12, the hollow cavity front end both sides point of the driving member 41
It is not axially extending to there is side strip 48, two side strips 48 to correspond to two side slots 58 for being inserted in the rear deck 55, the push-and-pull
Bar 12 is further extended between side strip 48 and is connect with the rear end of rear deck 55.
As shown in Figures 2 and 3, driving member 41 also has there are one mandril 43, and positioned at the front end of driving member 41.The mandril 43
Be connected to 48 front end of side strip and it is axially extending be inserted into front deck 51, the front deck 51 passes through top for storing blood vessel clip 60
Bar 43 acts on the clip 60 in front deck 51, and clip 60 is sent to 30 opening of binding clip.As shown in figure 4, having 4 in front deck 51
A clip 60, clip 60 is to flatten shape when in front deck 51, when leaving front deck 51 between a pair of of tong arm 31 and 32, clip
60 be in nature expanded shape, the clip 60 ' of natural opening shape as shown in Figure 4.
As shown in figure 3, the side strip 48 of driving member 41 has the first fastener 401, the top close to the end of rear deck 55
43 rear end of bar is equipped with the second fastener 403, and second fastener, 403 and first fastener 401 mutually fastens, and mandril 43 is made to make
For the axial continuation of drive link, the clip 60 in front deck 51 is acted on by mandril 43, clip 60 is sent to clamp opening
Place.Specifically, in embodiment as shown in the figure, second fastener, 403 and first fastener 401 is recess portion and protrusion, the
Two fasteners 403 are in I-shaped in 43 rear end of mandril, and the first fastener 401 is in concave shape.Certainly, in other embodiments, institute
It states the second fastener 403 and the first fastener 401 to engage for the fastening structure or groove of axial grafting, can also be spiral shell
Line connects.Mandril 43 is mainly connected by these connection structures with driving member 41, can disjunctor act, while easy disassembly.
For example, in schematic structure, second fastener 403 with it is non-disconnectable on 401 axial direction of the first fastener, and perpendicular to axial direction
On can easily dismantle.Mandril 43 is preferably sheet, and length is substantially suitable with the length of front deck 51.
Further, the actuator includes gear assembly, and the rear end of the driving member 41 has rack line, the gear
Component have with rack line meshed gears, rotated by gear, drive driving member 41 move.As shown in Figures 2 and 3, it is preferable that
Actuator 42 includes gear assembly, and there is rack line 45, the gear assembly to have and rack line for the rear end of the driving member 41
45 meshed gears 46, are rotated by gear 46, and driving member 41 is driven to move.Specifically, as shown in figure 3, gear 46 is loaded on one
On a shaft 47, there are one wheel handles 48 to be made by pulling the wheel handle 48 for one end extension of the gear 46 far from groove
Gear 46 is moved with carry-over bar.
As shown in Figures 3 and 4, specifically, there are one installing pipes in the end connection of close driving handle 10 for the tube rod 20
26, the installing pipe 25 is sheathed on one end of 41 striped 45 with teeth of driving member, the position of 25 corresponding teeth striped 45 of the installing pipe
Rach slot 26 is offered, the groove of the gear 46 is inserted into rach slot 26 and is engaged with rack line 45.
As shown in Figures 3 and 4, it is preferable that the installing pipe 25 is installed on driving handle 10, and the installing pipe 25 is in rack
The both sides of slot 26 are equipped with fixing piece 49, and the gear 46 is clipped on by a shaft 47 between two fixing pieces 49.The push-and-pull
There is the holding section 13 that diameter is more than 12 main part of push-pull rod, the driving handle 10 to push up for rear end of the bar 12 far from storing cabin 50
Portion is equipped with card slot 14, and the holding section 13 is caught in card slot 13.Card slot 13 digs downwards one by the top surface at 10 top of driving handle
Cylindrical groove, card slot 13 have the line of rabbet joint towards installing pipe 25, and slot width is identical as the diameter of 12 main part of push-pull rod, and small
The cylindrical shape diameter of diameter in holding section 13, card slot 13 is identical as the diameter of holding section 13.The holding section of push-pull rod 12 as a result,
13 pack into card slot 13 by the top surface of driving handle 10, and limit it and axially deviate from, and are only taken out from top surface.
As Figure 4-Figure 6, there are one locking nuts 27 for the dress of tube rod 20, and the locking nut 27 is perpendicular to 25 axis of installing pipe
To direction through setting there are one screw 28, tighten screw when the driving member 41 send clip 60 to clamp 31,32 opening
28, so that screw 28 is pressed in the driving member outer surface, with fixed conveyor bar 41, prevents drive link 41 from returning pine.Screw 28 runs through
Tube rod 20.The socket of screw 28 is there are one pull rod 281 is locked, for locking screw 28.
As shown in fig. 6, installing pipe 25 is being equipped with external screw thread close to the front end of locking nut 27, there are one outer spiral shells for external thread sleeve
Mother 24.Installing pipe 25 is dug at the corresponding inner wall of outer screw position step 251, rear end pipe of the tube rod 20 close to locking nut 27
Diameter is shunk, and with the smaller connection pipeline section of one section of caliber, connects the end of pipeline section with step 251 against connection pipeline section housing has
One casing 29,29 outer wall of casing have flange collar, push down flange collar by outer nut 24 and block outer nut 24.It is first loose when dismounting
Screw 28 is opened, locking nut 27 is taken off, tube rod 20 can extract out, you can clean, tear open to feed device 40 and storing cabin 50
Dress is convenient, easy to clean quick.Then, outer nut 24 is unclamped again, you can dismounting installing pipe 25, it can be by feed device 40 and storing
Cabin 50 detaches, and takes out push-pull rod 12, replaceable or cleaning, same convenient, simple and efficient to handle.
Referring again to Fig. 1, the front deck 51 has upper inner wall and lower inner wall, and the upper inner wall and lower inner wall are respectively equipped with axis
Sliding rib 512 is helped to extension, 43 upper and lower surface of the mandril, which reclines, helps sliding rib 512 to slide described in two, the front deck 51
Export notch 513 is offered in the hatch lateral edges being open close to clamp 31,32, through both sides when deviating from front deck 51 for clip 60
Export notch 513 skid off.As shown in figure 3, the front end of the mandril 43 is equipped with corrugated slot 431 or concaveconvex structure, lead to
It crosses corrugated slot 431 and withstands clip 60.There is ripple struction, corrugated slot 431 to coordinate with ripple struction for the rear end of clip 60, with
Mandril 43 is set to be tightly engaged into clip 60 when front deck 51 moves forward, active force conduction is more smooth, laborsaving.
Two 31,32 opposite medial surfaces of tong arm are respectively equipped with axially extending guide groove 311 and 321, the guide groove 311,
321 communicate with storing cabin 50, and clip 60 is made to enter guide groove 311,321 under the promotion of driving member 41.Specifically, guide groove 311,321
It is communicated axially with front deck 50, that is to say, that extension of the guide groove 311,321 as space in front deck 50, the front end of front deck 50 is stretched
Entering close to jaw in binding clip 30, for front deck 51 when retraction is held to the end, the space in binding clip 30 can just place clip 60,
Front deck 51 vacates space to put clip in retraction.In this way so that after clip 60 deviates from front deck 51, two clamp arm of clip 60 are smooth
Into guide groove 311,321, when to Vascular haemostasis, drives two tong arms 31,32 to clamp by the effect of push-pull rod 12, make clip
60 clamp Vascular haemostasis.
It follows that in above-mentioned running fire Clip Applier feed device, the closure of clamped closed blood vessel is stored by storing cabin 50
Clip 60, and can store simultaneously it is multiple, then coordinate driving member 41 push clip 60 arrive 30 opening of binding clip.Storing cabin 50 and transmission
For part 41 all in tube rod 20, which fully and rationally uses space in the pipe of Clip Applier, can store more clips 60, and can lead to
It crosses driving member 41 and pushes clip 60, precise structure, compact and reasonable.Moreover, the both storages in storing cabin 50 of closing clamp 60, simultaneously
It is sent out in the front end in storing cabin 50, storing is not only used as, but also as feeding front end so that feeding more precisely in place, passes through driving
Driving member 41 can convey clip 60, and entire feeding process is simple and efficient to handle, and the plenty of time is saved for medical treatment, improve medical hand
Art quality and efficiency.
It should be noted that the invention is not limited in the above embodiment, creative spirit according to the present invention, this field
Technical staff can also make other variations, and the variation that these creative spirit according to the present invention are done should all be included in this hair
It is bright it is claimed within the scope of.