Running fire Clip Applier binding clip
Technical field
The present invention relates to the field of medical instrument technology, and in particular to a kind of running fire Clip Applier binding clip for hemostasis.
Background technique
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, first progress clamp.It is accurate to require 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, a kind of open minimally invasive haemostatic clamp convenient for disassembly and assembly of Chinese patent application the 201711310132.4th comprising
Determine handle, fixed handle, fixed pincers and dynamic pincers, fixed handle is driven by transmission connection piece with the one end for determining the wirerope in handle is extend into
Dynamic connection, the other end of the wirerope are drivingly connected with the dynamic pincers determined on pincers are rotatably connected on.Wirerope be located at determine handle
The wirerope connecting rod that is inside slidably connected is connected, and the stay rod pin positioned at transmission connection piece one end is connected in wirerope connecting rod, passes
The dynamic connection sheet other end and fixed handle are rotatablely connected, and are sequentially connected to be provided between piece and fixed handle and are 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 on a kind of handle to meet the use of medical staff, reach multi-edged
Function, disassembling also can make instrument cleaning 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, improvement structure or traditional hemostasis wrench structure in either above-mentioned patent application, all inevitable to meet with
Meet a realistic problem.That is, generally not only a blood vessel needs clamp hemostasis, but have two or three in operative process
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 the structure as disclosed in aforementioned patent applications, Clip Applier has longer connecting rod.Therefore, operation stops every time
When blood, require to be inserted into patient's body by so long Clip Applier, it is clear that totally unfavorable.
Therefore, the binding clip of traditional Clip Applier is intended merely to fixing and clamping action, belongs to the clamp of single operation
Clamp binding clip.Although there are many improvement in structure, due to being single operation, unavoidably have the following disadvantages:On the one hand,
When for needing simultaneously to more Vascular haemostasis, needing to operate repeatedly, necessarily extending operating time, it is understood that operating time is point
Second must strive, and current medical instrument is all to save the surgical time as top priority.Because the time is longer, doctor is easier
Fatigue, and it is bigger to the physical effects of patient.On the other hand, Clip Applier continually passes in and out, and will greatly increase operation risk, increases
Add Infection probability.In addition, in surgical procedure, the problem of doctor typically encounters in hemostasis is that many places blood vessel is being bled, and is led to
Often when putting Clip Applier into for the second time, causes original blood vessel smudgy due to bleeding, be not easy to find, it is sometimes desirable to clean again
The blood vessel for needing to stop blooding can be just found, more spends the time in this way, patient, which also may require that, to bleed excessively, and constitution is excessively overdrawed, shadow
Ring Health restoration progress.
Summary of the invention
In view of this, it is necessary to provide one kind to have conveying clip track so as to simultaneously can be smart to more Vascular haemostasis, structure
Running fire Clip Applier binding clip close, with high accuracy.
A kind of running fire Clip Applier binding clip, the first tong arm and the second tong arm including intersection, each tong arm include mounting portion and
Pincers portion, each pincers portion have front-end and back-end, and the mounting portion of two tong arms is connected to the rear end in pincers portion, each tong arm
It is fixed with axis hole and by interspersed shaft, two tong arms are for the relative rotation to carry out clamp movement respectively around shaft, and two
The opposite medial surface of a tong arm is equipped with guide groove respectively along tong arm length direction, and two guide grooves are used for positioned at same level
Accommodate clip.
Further, the mounting portion of two tong arms far from pincers portion position be equipped with oblique slot, two oblique slots by
Intersect outside to inside, the axis hole of the mounting portion is between pincers portion and oblique slot.
Further, two oblique slots are respectively arranged in the front end in a storing cabin, and the storing cabin is for storing
Clip, the front end in storing cabin 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 under
Lips is facing to be extended with protruding shaft, and the protruding shaft is inserted in oblique slot.
Further, the shaft is set in tube rod, and the tube rod front end is equipped with upper installation sheet and lower installation sheet, and two
A installation sheet is respectively equipped with the shaft, this makees to clamp under the pulling in the storing cabin to tong arm and release acts.
Further, predetermined gap above and below the mounting portion of two tong arms, the axis along shaft in the gap
Consistent with groove width of the guide groove in shaft axial direction to depth, the storing cabin includes front deck and rear deck, and the gap is led with two
Slot is communicated to run through the front deck into the storing cabin.
Further, two guide grooves extend through rear end by the front end in pincers portion, two oblique slots in expanded shape simultaneously
It is consistent with the expanded shape of binding clip.
Further, each tong arm has two cell walls for limiting guide groove, and two cell walls of each tong arm are at front end
Recess is dug respectively, and the clip front end has guide post, and the recess is for accommodating the guide post.
Further, the slot bottom of each guide groove is also provided with inside groove, two cell walls of the cell wall of the inside groove and guide groove it
Between form step edge, the step edge front end of the inside groove is connected with recess, the groove width and the thickness phase of clip of the inside groove
The groove width of symbol, guide groove is consistent with the guide post of clip height.
Further, the step edge is by gradually presenting domatic shape, the step side of the inside groove to jaw in the middle part of binding clip
The front end on edge is equipped with inside groove recess, and two inside groove recesses are consistent with two recess shapes, position is corresponding, and the inside groove recess is lower than
Recess.
Further, the guide groove of each tong arm can be divided into the leading portion slot close to jaw and the back segment slot close to mounting portion, institute
The depth for stating back segment slot is greater than the depth of leading portion slot, to form difference in height in leading portion slot and back segment slot joining place.
In above-mentioned running fire Clip Applier binding clip, tong arm medial surface has guide groove, clamp arm that there are two the closing clamp usually stopped blooding, and two
A clamp arm is placed in guide groove, and two clamp arm of clip are fitted close by two guide grooves, is acted on by the clamp of tong arm, is made clip
Clamp blood vessel.The guide groove runs through the length of entire tong arm, and communicates with storing cabin, facilitates the multiple clips that will be stored in storing cabin
Guide groove is conveyed respectively, guide groove is combined closely with clip, precise structure, and when hemostasis operation can quickly and accurately realize Vascular haemostasis,
With higher precision and accuracy.
Detailed description of the invention
Fig. 1 is the decomposition texture schematic diagram of running fire Clip Applier binding clip of the embodiment of the present invention.
Fig. 2 is decomposition texture schematic diagram when running fire Clip Applier binding clip of the embodiment of the present invention is fixed, in figure and shown with closing
Co-clip and fixing piece.
Fig. 3 is the structural schematic diagram of running fire Clip Applier binding clip of the embodiment of the present invention and the installation of storing cabin.
Fig. 4 is running fire Clip Applier binding clip of the embodiment of the present invention and storing cabin and the schematic cross-sectional view that tube rod is installed, pincers
There is clip in head.
Fig. 5 is the schematic perspective view that binding clip of the embodiment of the present invention is installed on running fire Clip Applier front end.
Specific embodiment
Below with reference to specific embodiments and the drawings, the present invention is described in detail.
Fig. 1, Fig. 2 and Fig. 3 are please referred to, a kind of running fire Clip Applier binding clip 30 provided in an embodiment of the present invention is shown, including hand over
The first tong arm 31 and the second tong arm 32 of fork, each tong arm 31,32 includes mounting portion 33 and pincers portion 34, before each pincers portion 34 has
End and rear end (being front end close to jaw), the mounting portion 33 of two tong arms 31,32 is connected to the rear end in pincers portion 34, each
The tong arm 31,32 has axis hole 36 and is fixed by an interspersed shaft 23, and two tong arms 31,32 are respectively around shaft 23
It is for the relative rotation to carry out clamp movement, two opposite medial surfaces of the tong arm 31,32 are respectively along tong arm 31,32 length
Direction is equipped with guide groove 311 and 321, and two guide grooves 311,321 are located at same level for accommodating clip 60.
Binding clip 30 is installed on the front end (as shown in Figure 5) of running fire Clip Applier when applying, the structure about running fire Clip Applier is asked
Refering to another application for a patent for invention of entitled " the running fire Clip Applier " of same applicant.Specifically, as shown in Fig. 2, shaft
23 are installed on the front end of a tube rod 20, as shown, tube rod 20 is installed on a handle 10, can specifically pass through locking
Nut and installing pipe 25 are installed on handle 10.A feed device 40 is also equipped in installing pipe 25.20 front end of tube rod is equipped with upper
Installation sheet 21 and lower installation sheet 22, two installation sheets 21,22 are respectively equipped with the shaft 23.This is to tong arm 31,32 around shaft 23
Rotation, shaft 23 are used as rotation fulcrum, and binding clip 30 is allowed to make the clamp movement the same similar to cutting pliers or vice.Cause
By upper and lower two shafts 23 upper fixation and lower fixed form, two mounting portions 33 are respectively adopted in two tong arms 31,32 by this
Between have gap, facilitate accommodating storing cabin.Two shafts 23 are not connected, and length and axis hole 36 are almost the same.
Preferably, the mounting portion 33 of two tong arms 31,32 far from pincers portion 34 position be equipped with oblique slot 35, two
The intersection of 35 ecto-entad of oblique slot, two oblique slots 35 move towards, the mounting portion consistent with the expanded shape of two tong arms 31,32
33 axis hole 36 is between pincers portion 34 and oblique slot 35.
As shown in Figures 3 and 4, further, two oblique slots 35 are respectively arranged in a push-and-pull member forward end, this reality
Applying example is a storing cabin 50.Two oblique slots 35 are installed on the front end in storing cabin 50, and the storing cabin 50 is for storing
Clip, the front end in storing cabin 50 be extended with forward it is parallel to each other and between the upper and lower every upper labial plate 56 and labial plate 57, the upper lip
Piece 56 and labial plate 57 is facing is extended with protruding shaft 561,571, the protruding shaft 561,571 is inserted in oblique slot 35.In this way, shaft
23 are used as rotation fulcrum, pull the protruding shaft 561,571 in storing cabin 50, and two tong arms 31,32 make clamp movement, while storing cabin 50
It is post-tensioning movement, therefore, storing cabin 50 is retraction at this time, is the equal of avoiding clip 60.In this way, can make in clamp
Before, 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 release clip
60, make clamp movement convenient for two tong arms 31,32.Clip 60 passes through the promotion of the driving member 41 of feed device 40, by storing cabin
Clip 60 in 50 is pushed in binding clip 30.Feed device 40 pushes material using wheel and rack fit system.Storing cabin 50
Rear end is connect with a push-pull rod 12, for pushing and pulling storing cabin 50, is affected oblique slot 35, is clamped two tong arms 31,32
Folder movement.
As shown in Figures 2 and 3, to enable the front end in storing cabin 50 to be stayed between two tong arms 31,32 in clamp,
Two guide grooves 311,321 are greater than in one section of groove depth (depth for being parallel to jaw motion direction) close to mounting portion 33 close to pincers
The groove depth of mouth, to there is space to place the front end in storing cabin 50.Therefore, the guide groove 311,321 of each tong arm 31,32, which can be divided into, leans on
The back segment slot of the leading portion slot of nearly jaw and close mounting portion, the depth of back segment slot is greater than the depth of leading portion slot, thus in leading portion slot
Step is formed with back segment slot joining place.
Further, about 33 predetermined gap of mounting portion of two tong arms 31,32, the gap along turn
The axial depth of axis 23 is consistent with groove width of the guide groove 311,321 in 23 axial direction of shaft, and the storing cabin 50 includes 51 He of front deck
Rear deck 55, the gap are communicated with two guide grooves 311,321 to run through the front deck 51 into the storing cabin 50.This is to tong arm
31,32 make clamping and release movement in the case where the front deck 51 in the storing cabin 50 pulls.
Preferably, two guide grooves 311,321 extend through rear end by the front end in pincers portion 34.Further, each tong arm
31,32 have two cell walls for limiting guide groove 311,321, and two cell walls of each tong arm 31,32 are dug respectively at front end
Recess 312,322.As shown in Figure 1,60 front end of clip has upright guide post 61, the recess 312,322 is for accommodating
The guide post 312,322.When clip 60 is sent to jaw, guide post 312,322 slides into recess 312,322 automatically, thus automatically
Positioning, blocks binding clip 30, and when so that clamp acting, clip 60 is not fallen out, and provides strong support, can be stablized, accurately
It is clamped movement in place.
Further, each guide groove 311,321 include groove width direction on upper cell wall and lower cell wall, each guide groove 311,
321 slot bottom is also provided with inside groove 315, is formed between the cell wall of inside groove 315 and the upper cell wall of guide groove 311,321 and lower cell wall
Step edge 316, that is, inside groove 315 slot along 316, i.e., slot is lower than upper cell wall and lower cell wall along 316.The slot edge of inside groove 315
316 front end is connected with recess 312,322, and the groove width of inside groove 315 is consistent with the thickness of clip 60, moves ahead so that clip 60 pushes
When, the side of clip 60 moves ahead at least partially along inside groove 315, and 312,322 height of the groove width of guide groove 311,321 and guide post
It is consistent, i.e., guide post 312,322 moves ahead along the slot of inside groove 315 along 316.It is configured to allow folder in each guide groove 311,321 as a result,
The conduit that son 60 smoothly moves, convenient accurate conveying clip 60 in place, and make its firm clamping.
Further, except upper cell wall and lower cell wall dig recess 312,322, the slot edge of inside groove 315 at front end respectively
316 front end also is provided with inside groove recess, and two inside groove recesses are consistent with two recesses 312,322 shapes, but inside groove recess is lower than
Recess 312,322 is arranged by inside groove recess and recess 312,322, the guide post 312,322 of clip 60 is smoothly slid into
To the position of inside groove recess and recess 312,322.
In above-mentioned running fire Clip Applier binding clip 30, tong arm 31,32 medial surfaces have guide groove 311,321, the closure folder usually to stop blooding
There are two clamp arm, two clamp arm to be placed in guide groove 311,321 for son 60, is fitted close the two of clip by two guide grooves 311,321
A clamp arm is acted on by the clamp of tong arm 31,32, makes clamp blood vessel.The guide groove 311,321 runs through entire tong arm 31,32
Length, and communicated with storing cabin 50, the multiple clips 60 that will be stored in storing cabin 50 facilitated to convey guide groove 311,321 respectively,
Guide groove 311,321 is combined closely with clip, precise structure, and when hemostasis operation can quickly and accurately realize Vascular haemostasis, is had more
High precision and accuracy.
It should be noted that the invention is not limited to 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.