CN108852453A - A kind of vascular ligation operation device - Google Patents

A kind of vascular ligation operation device Download PDF

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Publication number
CN108852453A
CN108852453A CN201810998357.1A CN201810998357A CN108852453A CN 108852453 A CN108852453 A CN 108852453A CN 201810998357 A CN201810998357 A CN 201810998357A CN 108852453 A CN108852453 A CN 108852453A
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China
Prior art keywords
blood vessel
folder
push
lid
scalpel
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CN201810998357.1A
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Chinese (zh)
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CN108852453B (en
Inventor
谢龙汉
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South China University of Technology SCUT
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South China University of Technology SCUT
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Priority to CN201810998357.1A priority Critical patent/CN108852453B/en
Publication of CN108852453A publication Critical patent/CN108852453A/en
Priority to PCT/CN2018/124820 priority patent/WO2020042505A1/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
    • A61B17/122Clamps or clips, e.g. for the umbilical cord
    • 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
    • A61B17/128Surgical 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
    • A61B17/1285Surgical 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/122Clamps or clips, e.g. for the umbilical cord
    • A61B2017/1225Clamps or clips, e.g. for the umbilical cord for clipping and cutting in a single operation

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Vascular Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Reproductive Health (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention discloses a kind of vascular ligation operation devices, it is pressed from both sides including blood vessel inner layer, blood vessel external folder, folder lid, anterior cannula, Push-clip device, knife head for surgical, knife handle, scalpel ejector sleeve, rotation lid refutes pipe with after, blood vessel inner layer folder connects with blood vessel external folder and is arranged in blood vessel external folder, blood vessel inner layer folder and blood vessel external clip pack are wrapped up in and are connected in its inner cavity by folder lid, and it is connect with anterior cannula, Push-clip device and rotation lid are connected and through inside anterior cannula, scalpel ejector sleeve passes through rotation lid and is fixedly connected sequentially with knife handle and knife head for surgical, scalpel ejector sleeve, knife handle and knife head for surgical pass through Push-clip device and do not contact Push-clip device, after refute pipe respectively with rotation lid and anterior cannula connect;A kind of vascular ligation operation device of the invention is completed to clamp the surgical procedure of blood vessel and then cutting vessel on one device, operating time is saved with this, operating procedure is reduced, avoids improving the success rate of operation to the unnecessary damage of patient's bring and infection due to manual operation.

Description

A kind of vascular ligation operation device
Technical field
The present invention relates to medical instruments fields, and in particular to vascular ligation and cutting operation device.
Background technique
With continuous development of the medical technology in the epoch alternate, various medical instruments have been widely used for medical neck Domain, especially vascular ligation instrument are operated and are used in a large amount of operation, such as abdominal cavity cholecystectomy, treatment neck Angiorrhoxis etc..Vascular ligation instrument first discharges blood vessel clip and will clamp at the one of a blood vessel, is then with first blood vessel clip Benchmark, the position of 10mm is reinstalled using vascular ligation instrument and discharges second blood vessel clip in its vicinity, finally uses hand Art knife cuts the blood vessel between two blood vessel clips, achievees the purpose that ligation and treatment.If ligaturing a blood vessel, operating doctor is at least A blood vessel clip is needed replacing, a scalpel is additionally inserted.However, being needed for there are the tissues of multiple blood vessel dense distributions The blood vessel for ligaturing and cutting is often more.Operating doctor needs repeatedly to replace blood vessel clip using vascular ligation instrument, and accurate Ground protrudes into scalpel cutting blood vessel between blood vessel clip, this can not only extend operating time, mention to the attention and technology of doctor Higher requirement out, multiple instrument disengaging can also cause to damage to the tissue of patient.Therefore, it is necessary to find a kind of blood vessel knot Operation device is pricked, two blood vessel clips and scalpel are integrated in a device, simplifies many and diverse step, ligatures a blood in this way Pipe no replacement is required blood vessel clip and scalpel is additionally inserted, reduce the operation difficulty of operating doctor, and then reduces operating time and right The damage of patient improves the success rate of operation.It is looked into newly according to network, there is presently no the method or apparatus similar with present invention use In vascular ligation operation.
Summary of the invention
To solve above-mentioned the problems of the prior art, the present invention provides a kind of vascular ligation operation devices, double by two Layer blood vessel clip and a scalpel are integrated on a device, and by utilizing pushing meanss and limiting device, suitable to have realized It completes to sequence to clamp the surgical procedure of blood vessel and then cutting vessel on one device, operating time is saved with this, reduces operation Step avoids improving the success rate of operation to the unnecessary damage of patient's bring and infection due to manual operation.
A kind of vascular ligation operation device, including blood vessel inner layer folder, blood vessel external folder, folder lid, anterior cannula, Push-clip device, hand Art cutter head, knife handle, scalpel ejector sleeve, rotation lid and after refute pipe, the blood vessel inner layer folder and the connection of blood vessel external folder are simultaneously set It sets in blood vessel external folder, blood vessel inner layer folder and blood vessel external clip pack are wrapped up in and are connected in its inner cavity by the folder lid, and and protheca Pipe connection, the Push-clip device and rotation lid are connected and through inside anterior cannula, and the scalpel ejector sleeve passes through rotation lid and operation Knife handle is fixedly connected, and the knife handle is fixedly connected with knife head for surgical, the scalpel ejector sleeve, knife handle and knife head for surgical Push-clip device is not contacted inside Push-clip device and, pipe is refuted after described and is connect respectively with rotation lid and anterior cannula, for fixed entire Vascular ligation operation device.
Further, the Push-clip device is also connect with handle, and the handle is equipped with handle button and rotary buckle, described Rotary buckle and scalpel ejector sleeve connect, and the handle button promotes scalpel ejector sleeve for controlling rotary buckle.
Further, the handle refutes pipe by rivet interlacement with after, and the rivet connect with rotary buckle and refutes by after Pipe package.
Further, reset spring is additionally provided on the Push-clip device, the reset spring is nested on Push-clip device, and is wrapped up It refutes in pipe and limits after.
Further, it is fixedly connected between the blood vessel inner layer folder and blood vessel external folder and folder lid by pushing block, institute Pushing block is stated for pushing blood vessel inner layer folder and blood vessel external folder.
Further, it is connected between the folder lid and anterior cannula by limiting thin lid, the thin lid of limit is arranged in protheca Guan Shang passes through position limiting structure and folder lid connection.
Further, the blood vessel inner layer folder is made of poly- glycol carbonic acid material, and the blood vessel external folder is sweet using gathering Alkyd material is made.
Further, the Push-clip device end is two identical cylindrical, massive pipes, for being pushed away by the inner cavity of folder lid Dynamic pushing block.
Further, the knife head for surgical is made of 18/10 stainless steel material, and the knife handle end is cylinder Shape, and be threadedly coupled with scalpel ejector sleeve.
Compared with the prior art, a kind of vascular ligation operation device of the invention has the advantages that:
1, the present apparatus is small in size, and integrated level is high, light-weight, and meets doctor's one hand and hold the habit that device is operated.
2, realizing has the surgical procedure for sequentially completing to clamp blood vessel and then cutting vessel on one device, and no replacement is required Blood vessel clip and scalpel is additionally inserted, reduces the operation difficulty of operating doctor, and then reduce operating time and the damage to patient, Improve the success rate of operation.
Detailed description of the invention
Fig. 1 is a kind of structural schematic diagram of vascular ligation operation device of the invention;
Fig. 2 is that a kind of pushing away for vascular ligation operation device of the invention presss from both sides running part structural schematic diagram;
Fig. 3 is a kind of collet segment structural schematic diagram of vascular ligation operation device of the invention.
Fig. 1 includes into Fig. 3:1 scalpel ejector sleeve;Pipe is refuted after 2;3 rivets;4 handle buttons;The 5 thin lids of limit;6 Knob lid;7 anterior cannulas;8 folder lids;9 rotary buckles;10 handles;11 Push-clip devices;12 reset springs;13 knife handles; 14 knife head for surgical;15 pushing blocks;16 blood vessel externals folder;17 blood vessel inner layers folder.
Specific embodiment
Specific implementation of the invention is described further below in conjunction with attached drawing and specific embodiment.It may be noted that It is that described embodiments are only a part of the embodiments of the present invention, instead of all the embodiments, based on the reality in the present invention Example is applied, every other embodiment obtained by those of ordinary skill in the art without making creative efforts all belongs to In the scope of protection of the invention.
As shown in Figure 1 to Figure 3, it is a kind of structural schematic diagram of vascular ligation operation device of the invention, presss from both sides lid 8 for blood vessel Internal layer folder 17 and blood vessel external folder 16 are connected in its inner cavity and limit, so that they can only make synchronous linear fortune in folder lid 8 It is dynamic.Two blood vessel inner layer folders 17 for clamping blood vessel are in two blood vessel externals folder 16 of corresponding connection.In folder lid 8 In, the collet of blood vessel inner layer folder 17 is limited by blood vessel external folder 16 keeps open configuration, can press from both sides after stretching out in folder lid 8 Firmly blood vessel, and separated with folder lid 8.It limits thin lid 5 to be mounted in anterior cannula 7, there are a position limiting structures by anterior cannula 7 and to press from both sides Lid 8 is connected.Behind one end by the thin lid 5 of lower limit, folder lid 8 can be made to separate with anterior cannula 7, convenient for replacing blood vessel in folder lid 8 Folder.Push-clip device 11 passes through inside anterior cannula 7, and end is two elongated cylindrical, massive pipes, can after the driving of handle 10 By pressing from both sides the inner cavity of lid 8, while withstanding two pushing blocks 15 in folder lid 8 forward, and then make blood vessel inner layer folder 17 and blood vessel external 16 movement of folder clamps blood vessel until blood vessel clip is detached from folder lid 8.12 inner ring of reset spring is mounted on the external cylindrical surface of Push-clip device 11 On, outer ring refutes pipe 2 by after and coats and limit.Reset spring 12 discharges elastic potential energy after unclamping handle 10, returns to Push-clip device 11 Initial position achievees the effect that reset.
Knife head for surgical 14, knife handle 13 and scalpel ejector sleeve 1 are fixedly connected sequentially, and pass through from Push-clip device 11, and with Push-clip device 11 does not contact.When loading scalpel, the knife of 13 front of notch alignment knife handle of knife head for surgical 14 is stupefied, slightly uses Power, which pulls back, to be loaded onto.13 end of knife handle is cylindric, and is threadedly engaged with scalpel ejector sleeve 1.Scalpel pushes away Pipe 1 passes through the inner cavity of knob lid 6, and knob lid 6 is refuted pipe 2 with after and is threadedly coupled.Design has drive mechanism on scalpel ejector sleeve 1, When being refuted in pipe 2 after it is located at initial position and does not extend into, by lower handle 10 will push blood vessel clip advance and clamp blood vessel without Scalpel can be released;After scalpel ejector sleeve 1 is refuted backward to be pushed into pipe 2, the drive mechanism and rotary buckle 9 of scalpel ejector sleeve 1 It refutes to be formed in the inner cavity of pipe 2 after and connect.Rotary buckle 9 rotates centered on refuting the rivet 3 on pipe 2 after being mounted on, can The big displacement that the thin tail sheep conversion of motion of handle button 4 is scalpel ejector sleeve 1 is moved, the space of hand is saved and reduces operation Difficulty.By the handle knob 4 on lower handle 10, rotary buckle 9 can drive scalpel ejector sleeve 1 forward, so knife head for surgical 14 from Press from both sides the blood vessel released between two blood vessel clips of cutting in lid 8.
Vascular ligation operation consent is carried out in operating doctor, blood vessel inner layer folder 17 and blood vessel external folder 16 are first loaded in folder lid In 8, knife head for surgical 14 is loaded on knife handle 13.When carrying out vascular ligation operation, doctor refutes 2 He of pipe after holding using one hand This device is simultaneously directed at blood vessel to be cut, then allows Push-clip device 11 to push pushing block 15 by lower handle 10 and then makes blood by handle 10 Inner tube layer folder 17 and blood vessel external folder 16 are detached from folder lids 2 and clamp blood vessel, and then unclamp handle 10 and allow reset spring 12 by Push-clip device 11 back into initial position.Scalpel ejector sleeve 1 is refuted backward and is pushed into pipe 2 and is contacted with rotary buckle 9, presses handle button 9 Knife head for surgical 14 is released, the cutting of blood vessel is completed.So far, it can be achieved that completing to clamp blood vessel then cutting vessel on one device Surgical procedure.Such device simplifies many and diverse step, ligatures a blood vessel no replacement is required blood vessel clip and additionally insert operation Knife reduces the operation difficulty of operating doctor, and then reduces operating time and the damage to patient, improves the success rate of operation.
In conclusion a kind of vascular ligation operation device of the invention integrates two double-deck blood vessel clips and a scalpel In on a device, and by utilizing pushing meanss and limiting device, sequentially complete to clamp on one device to have realized The surgical procedure of blood vessel and then cutting vessel saves operating time with this, reduces operating procedure, avoids due to manual operation to trouble The unnecessary damage of person's bring and infection, improve the success rate of operation.

Claims (9)

1. a kind of vascular ligation operation device, it is characterised in that:It is pressed from both sides including blood vessel inner layer(17), blood vessel external folder(16), folder lid (8), anterior cannula(7), Push-clip device(11), knife head for surgical(14), knife handle(13), scalpel ejector sleeve(1), rotation lid(6)With After refute pipe(2), the blood vessel inner layer folder(17)It is pressed from both sides with blood vessel external(16)It connects and blood vessel external folder is set(16)It is interior, it is described Folder lid(8)Blood vessel inner layer is pressed from both sides(17)It is pressed from both sides with blood vessel external(16)Package is connected in its inner cavity, and and anterior cannula(7)Connection; The Push-clip device(11)It is covered with rotation(6)It is connected and through anterior cannula(7)Inside, the scalpel ejector sleeve(1)It is covered across rotation (6)With knife handle(13)It is fixedly connected, the knife handle(13)With knife head for surgical(14)It is fixedly connected, the scalpel pushes away Pipe(1), knife handle(13)And knife head for surgical(14)Across Push-clip device(11)It is internal and do not contact Push-clip device(11), refuted after described Pipe(2)It is covered respectively with rotation(6)And anterior cannula(7)Connection, for fixing entire vascular ligation operation device.
2. a kind of vascular ligation operation device according to claim 1, it is characterised in that:The Push-clip device(11)Also with hold ?(10)Connection, the handle(10)It is equipped with handle button(4)And rotary buckle(9), the rotary buckle(9)With scalpel Ejector sleeve(1)It connects, the handle button(4)For controlling rotary buckle(9), make scalpel ejector sleeve(1)It promotes.
3. a kind of vascular ligation operation device according to claim 1, it is characterised in that:The handle(10)Pipe is refuted with after (2)Pass through rivet(3)Connection, the rivet(3)With rotary buckle(9)It connects and refutes pipe by after(2)Package limit.
4. a kind of vascular ligation operation device according to claim 1, it is characterised in that:The Push-clip device(11)On also set There is reset spring(12), the reset spring(12)It is nested in Push-clip device(11)On, and pipe is refuted after being wrapped in(2)It is interior.
5. a kind of vascular ligation operation device according to claim 1, it is characterised in that:The blood vessel inner layer folder(17)With Blood vessel external folder(16)It is covered with folder(8)Between pass through pushing block(15)It is fixedly connected, the pushing block(15)For pushing blood vessel Internal layer folder(17)It is pressed from both sides with blood vessel external(16).
6. a kind of vascular ligation operation device according to claim 1, it is characterised in that:The folder lid(8)With anterior cannula (7)Between by limiting thin lid(5)Connection, the thin lid of limit(5)It is arranged in anterior cannula(7)On, pass through position limiting structure and folder Lid(8)Connection.
7. a kind of vascular ligation operation device according to claim 1, it is characterised in that:The blood vessel inner layer folder(17)It adopts It is made of poly- glycol carbonic acid material, the blood vessel external folder(16)It is made of poly- Glycolic acid material.
8. a kind of vascular ligation operation device according to claim 1, it is characterised in that:The Push-clip device(11)End is Two identical cylindrical, massive pipes, for passing through folder lid(8)Inner cavity push pushing block(15).
9. a kind of vascular ligation operation device according to claim 1, it is characterised in that:The knife head for surgical(14)Using 18/10 stainless steel material is made, the knife handle(13)End be it is cylindric, and with scalpel ejector sleeve(1)It is threadedly coupled.
CN201810998357.1A 2018-08-29 2018-08-29 blood vessel ligation operation device Active CN108852453B (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
CN201810998357.1A CN108852453B (en) 2018-08-29 2018-08-29 blood vessel ligation operation device
PCT/CN2018/124820 WO2020042505A1 (en) 2018-08-29 2018-12-28 Blood vessel ligation operation device

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Application Number Priority Date Filing Date Title
CN201810998357.1A CN108852453B (en) 2018-08-29 2018-08-29 blood vessel ligation operation device

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2020042505A1 (en) * 2018-08-29 2020-03-05 华南理工大学 Blood vessel ligation operation device

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2004026148A1 (en) * 2002-09-20 2004-04-01 Weck Closure Systems Ligating clip with integral penetrating hook
CN103519866A (en) * 2013-10-29 2014-01-22 杭州铭众生物科技有限公司 Laparoscopic clip applier for ligature clip
CN104490448A (en) * 2014-12-17 2015-04-08 成都快典科技有限公司 Clamping applying pincers for surgical ligation
CN105476690A (en) * 2015-10-14 2016-04-13 程先本 One-time double-clamp cutting-off clamping forceps
CN206285133U (en) * 2016-08-08 2017-06-30 南京迈迪欣医疗器械有限公司 A kind of single use vascular tissue ligator
CN107714130A (en) * 2017-11-27 2018-02-23 北京大学第三医院 Adjustable pitch double fastener Clip Applier

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108852453B (en) * 2018-08-29 2019-12-10 华南理工大学 blood vessel ligation operation device

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2004026148A1 (en) * 2002-09-20 2004-04-01 Weck Closure Systems Ligating clip with integral penetrating hook
CN103519866A (en) * 2013-10-29 2014-01-22 杭州铭众生物科技有限公司 Laparoscopic clip applier for ligature clip
CN104490448A (en) * 2014-12-17 2015-04-08 成都快典科技有限公司 Clamping applying pincers for surgical ligation
CN105476690A (en) * 2015-10-14 2016-04-13 程先本 One-time double-clamp cutting-off clamping forceps
CN206285133U (en) * 2016-08-08 2017-06-30 南京迈迪欣医疗器械有限公司 A kind of single use vascular tissue ligator
CN107714130A (en) * 2017-11-27 2018-02-23 北京大学第三医院 Adjustable pitch double fastener Clip Applier

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2020042505A1 (en) * 2018-08-29 2020-03-05 华南理工大学 Blood vessel ligation operation device

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CN108852453B (en) 2019-12-10

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