CN108852453B - blood vessel ligation operation device - Google Patents

blood vessel ligation operation device Download PDF

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Publication number
CN108852453B
CN108852453B CN201810998357.1A CN201810998357A CN108852453B CN 108852453 B CN108852453 B CN 108852453B CN 201810998357 A CN201810998357 A CN 201810998357A CN 108852453 B CN108852453 B CN 108852453B
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Prior art keywords
clamp
blood vessel
scalpel
cover
push
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CN201810998357.1A
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CN108852453A (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
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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 vascular ligation surgical device, which comprises a vascular inner layer clamp, a vascular outer layer clamp, a clamp cover, a front sleeve, a push clamp, a surgical knife head, a surgical knife handle, a surgical knife push tube, a rotary cover and a rear refuting tube, wherein the vascular inner layer clamp is connected with the vascular outer layer clamp and arranged in the vascular outer layer clamp; the vessel ligation operation device provided by the invention completes the operation process of clamping and then cutting the vessel on one device, thereby saving the operation time, reducing the operation steps, avoiding unnecessary injury and infection to patients caused by manual operation, and improving the success rate of the operation.

Description

Blood vessel ligation operation device
Technical Field
The invention relates to the field of medical instruments, in particular to a blood vessel ligation and cutting surgical device.
Background
With the continuous development of medical technology in the era, various medical instruments have been widely used in the medical field, and especially, the blood vessel ligation instruments are also operated and used in a large number of operations, such as abdominal cholecystectomy, treatment of neck blood vessel rupture, and the like. The blood vessel ligation instrument is firstly applied with the blood vessel clamp to clamp one position of a blood vessel, then the first blood vessel clamp is taken as a reference, the blood vessel ligation instrument is used for reinstallation and application of the second blood vessel clamp at a position which is 10mm near the first blood vessel clamp, and finally a scalpel is used for cutting the blood vessel between the two blood vessel clamps, so that the ligation and treatment purposes are achieved. If a blood vessel is ligated, the main surgeon needs to replace the vascular clamp at least once and additionally insert a scalpel. However, for tissues with a dense distribution of multiple vessels, there are often more vessels that need to be ligated and cut. The main surgeon needs to use the blood vessel ligation instrument to replace the blood vessel clamps for multiple times and accurately stretch the scalpel between the blood vessel clamps to cut off the blood vessel, so that the operation time can be prolonged, higher requirements on the attention and the technology of the surgeon are met, and the tissues of the patient can be damaged due to multiple times of instrument passing in and out. Therefore, it is necessary to find a blood vessel ligation surgical device, which integrates two vascular clamps and a scalpel into one device, simplifies the complicated steps, so that one blood vessel is ligated without replacing the vascular clamps and additionally inserting the scalpel, reduces the operation difficulty of a doctor, further reduces the operation time and the injury to a patient, and improves the success rate of the operation. According to the network innovation, no method or device similar to the method or device provided by the invention is used in the blood vessel ligation operation.
Disclosure of Invention
In order to solve the problems in the prior art, the present invention provides a blood vessel ligation surgical device, in which two double-layered vascular clamps and a scalpel are integrated into one device, and a surgical procedure of clamping and then cutting a blood vessel is sequentially performed on one device by using a pushing device and a limiting device, thereby saving surgical time, reducing surgical steps, avoiding unnecessary injuries and infections caused by manual operations to patients, and improving the success rate of surgery.
The utility model provides a vascular ligation surgical device, includes that vascular inlayer presss from both sides, vascular outer clamp, clamping cover, preceding sleeve pipe, pushes away the clamp, surgical knife head, scalpel handle of a knife, scalpel push tube, swivel cap and refutes the pipe after, vascular inlayer presss from both sides with vascular outer and is connected and sets up in vascular outer clamp, the clamping cover presss from both sides vascular inlayer and vascular outer clamp parcel and connects in its inner chamber to with preceding cover union coupling, it is connected and passes the front sleeve intraduct with the swivel cap to push away the clamp, the scalpel push tube passes swivel cap and scalpel handle of a knife fixed connection, scalpel handle of a knife and surgical knife head fixed connection, scalpel push tube, scalpel handle of a knife and scalpel head pass and push away the clamp inside and contactless push away the clamp, refute the pipe respectively with swivel cap and preceding sleeve union coupling after for fixed whole vascular ligation surgical device.
Furthermore, the clamp pushing device is further connected with the handle, a handle button and a rotary buckle are arranged on the handle, the rotary buckle is in contact connection with the scalpel push tube, and the handle button is used for controlling the rotary buckle to enable the scalpel push tube to be pushed.
Further, the handle is connected with the rear barge tube through a rivet, and the rivet is connected with the rotary buckle and is wrapped by the rear barge tube.
Furthermore, a return spring is further arranged on the pushing and clamping device, and the return spring is nested on the pushing and clamping device and wrapped in the rear barge tube for limiting.
Furthermore, the blood vessel inner layer clamp and the blood vessel outer layer clamp are fixedly connected with the clamp cover through a push block, and the push block is used for pushing the blood vessel inner layer clamp and the blood vessel outer layer clamp.
Furthermore, the clamping cover is connected with the front sleeve through a limiting thin cover, and the limiting thin cover is arranged on the front sleeve and is connected with the clamping cover through a limiting structure.
Furthermore, the blood vessel inner layer clamp is made of a poly glycol carbonic acid material, and the blood vessel outer layer clamp is made of a poly glycol acid material.
Furthermore, the tail end of the clamp pushing device is provided with two identical cylindrical solid tubes for pushing the push block through the inner cavity of the clamp cover.
Furthermore, the scalpel head is made of 18/10 stainless steel materials, and the tail end of the scalpel handle is cylindrical and is in threaded connection with the scalpel push tube.
Compared with the prior art, the blood vessel ligation surgical device has the following beneficial effects:
1. The device has small volume, high integration level and light weight, and accords with the habit of operating by holding the device with a single hand of a doctor.
2. The vascular clamping and then cutting device has the advantages that the vascular clamping and then cutting operation process can be sequentially completed on one device, a vascular clamp does not need to be replaced, an operating knife does not need to be additionally inserted, the operation difficulty of a doctor is reduced, the operation time is further reduced, the injury to a patient is further reduced, and the success rate of the operation is improved.
Drawings
FIG. 1 is a schematic view of a vascular ligation surgical device according to the present invention;
FIG. 2 is a schematic structural view of a push-clip transmission part of the surgical device for ligaturing blood vessels according to the present invention;
Fig. 3 is a schematic view showing a structure of a clip portion of a blood vessel ligation surgical device according to the present invention.
Fig. 1 to 3 include: 1, pushing a tube by a scalpel; 2, refuting the pipe after; 3, riveting; 4 a grip button; 5, limiting a thin cover; 6, a knob cover; 7, a front sleeve; 8, clamping a cover; 9, rotating the buckle; 10 a handle; 11 pushing the clamp; 12 a return spring; 13 a scalpel handle; 14 a surgical blade; 15, pushing blocks; 16 outer vascular clips; 17 vascular lining clips.
Detailed Description
The following description will further explain embodiments of the present invention by referring to the figures and the specific embodiments. It should be noted that the described embodiments are only a part of the embodiments of the present invention, and not all embodiments, and all other embodiments obtained by those skilled in the art without any inventive work based on the embodiments of the present invention belong to the protection scope of the present invention.
Referring to fig. 1 to 3, which are schematic structural views of a blood vessel ligation surgical device according to the present invention, a cap 8 connects an inner vessel clip 17 and an outer vessel clip 16 in their lumens and limits them so that they can move only in a synchronous linear motion in the cap 8. Two intravascular clamps 17 for clamping the blood vessel are arranged in the two extravascular clamps 16 which are correspondingly connected with the intravascular clamps. In the clip cover 8, the collet of the endovascular clip 17 is held open by the extravascular clip 16, and after protruding from the clip cover 8, will grip the vessel and separate from the clip cover 8. The limiting thin cover 5 is arranged on the front sleeve 7, and a limiting structure is arranged on the limiting thin cover to connect the front sleeve 7 with the clamping cover 8. After one end of the limiting thin cover 5 is pressed down, the clamping cover 8 can be separated from the front sleeve 7, and the vascular clamp can be conveniently replaced in the clamping cover 8. The clamp pushing device 11 penetrates through the interior of the front sleeve 7, the tail end of the front sleeve is provided with two slender cylindrical solid tubes, and the two slender cylindrical solid tubes can pass through the inner cavity of the clamp cover 8 after being driven by the handle 10, meanwhile, the two pushing blocks 15 in the clamp cover 8 are pushed forwards, so that the blood vessel inner clamp 17 and the blood vessel outer clamp 16 move until the blood vessel clamp is separated from the clamp cover 8 to clamp the blood vessel. The inner ring of the reset spring 12 is arranged on the outer cylindrical surface of the push clamp 11, and the outer ring is coated and limited by the rear barge 2. After the grip 10 is released, the return spring 12 releases elastic potential energy to return the clip pusher 11 to the initial position, so as to achieve the effect of return.
The scalpel head 14, the scalpel handle 13 and the scalpel push tube 1 are sequentially and fixedly connected, penetrate through the clamp pushing device 11 and are not in contact with the clamp pushing device 11. When the scalpel is loaded, the notch of the scalpel head 14 is aligned with the knife edge at the front part of the scalpel handle 13, and the scalpel can be installed by pulling backwards with slight force. The tail end of the scalpel handle 13 is cylindrical and is in threaded fit with the scalpel push tube 1. The scalpel push tube 1 penetrates through the inner cavity of the knob cover 6, and the knob cover 6 is in threaded connection with the rear refuting tube 2. The scalpel push tube 1 is provided with a transmission structure, and when the scalpel push tube is located at an initial position and does not extend into the rear barge tube 2, the blood vessel clamp is pushed to advance and clamp a blood vessel by pressing the handle 10, so that the scalpel cannot be pushed out; when the scalpel push tube 1 is pushed into the refuting tube 2, the transmission structure of the scalpel push tube 1 and the rotary buckle 9 form contact connection in the inner cavity of the refuting tube 2. The rotary buckle 9 rotates by taking the rivet 3 arranged on the rear refuting pipe 2 as a center, and can convert the small displacement motion of the grip button 4 into the large displacement motion of the scalpel push pipe 1, thereby saving the space of hands and reducing the operation difficulty. The handle knob 4 on the handle 10 is pressed, the rotating buckle 9 can drive the scalpel push tube 1 to move forward, and the scalpel head 14 is pushed out from the clamping cover 8 to cut off the blood vessel between the two vascular clamps.
Before the main surgeon performs a vascular ligation operation, the vascular inner clip 17 and the vascular outer clip 16 are first placed on the clip cover 8, and the scalpel head 14 is placed on the scalpel handle 13. When performing a blood vessel ligation operation, a doctor uses a single hand to hold the rear barge 2 and the handle 10 and align the device with a blood vessel to be cut, then presses the handle 10 to make the push clamp 11 push the push block 15 so as to make the inner vessel clamp 17 and the outer vessel clamp 16 separate from the clamping cover 2 to clamp the blood vessel, and then releases the handle 10 to make the reset spring 12 push the push clamp 11 back to the initial position. The scalpel push tube 1 is pushed into the refuting tube 2 and is in contact with the rotary buckle 9, the handle button 9 is pressed to push out the scalpel head 14, and the cutting of the blood vessel is completed. By this, a surgical procedure of clamping a blood vessel and then cutting the blood vessel can be accomplished on one device. The device simplifies complicated steps, one blood vessel is ligated without replacing a vascular clamp and additionally inserting a scalpel, the operation difficulty of a doctor is reduced, operation time and damage to a patient are reduced, and the success rate of the operation is improved.
In summary, the vascular ligation surgical device of the present invention integrates two double-layered vascular clamps and a scalpel into one device, and realizes the surgical procedure of clamping and then cutting a blood vessel on one device sequentially by using the pushing device and the limiting device, thereby saving the surgical time, reducing the surgical steps, avoiding unnecessary injuries and infections caused by manual operations to patients, and improving the success rate of the surgery.

Claims (4)

1. A vascular ligation surgical device, comprising: the blood vessel inner layer clamp is characterized by comprising a blood vessel inner layer clamp (17), a blood vessel outer layer clamp (16), a clamp cover (8), a front sleeve (7), a clamp pushing device (11), a surgical tool bit (14), a surgical tool handle (13), a surgical tool push tube (1), a rotary cover (6) and a rear refuting tube (2), wherein the blood vessel inner layer clamp (17) is connected with the blood vessel outer layer clamp (16) and arranged in the blood vessel outer layer clamp (16), and the blood vessel inner layer clamp (17) and the blood vessel outer layer clamp (16) are wrapped and connected in an inner cavity of the blood vessel outer layer clamp and connected with the front sleeve (7) by the clamp cover (8); the push clamp device (11) is connected with the rotary cover (6) and penetrates through the interior of the front sleeve (7), the scalpel push tube (1) penetrates through the rotary cover (6) and is fixedly connected with the scalpel handle (13), the scalpel handle (13) is fixedly connected with the scalpel head (14), the scalpel push tube (1), the scalpel handle (13) and the scalpel head (14) penetrate through the interior of the push clamp device (11) and do not contact with the push clamp device (11), and the rear refuting tube (2) is respectively connected with the rotary cover (6) and the front sleeve (7) and is used for fixing the whole blood vessel ligation surgical device; the clamp pushing device (11) is further connected with a handle (10), a handle button (4) and a rotary buckle (9) are arranged on the handle (10), the rotary buckle (9) is in contact connection with the scalpel push tube (1), and the handle button (4) is used for controlling the rotary buckle (9) to push the scalpel push tube (1); the handle (10) is connected with the rear refuting pipe (2) through a rivet (3), and the rivet (3) is connected with the rotary buckle (9) and is wrapped and limited by the rear refuting pipe (2); the clamp pushing device (11) is also provided with a return spring (12), and the return spring (12) is nested on the clamp pushing device (11) and wrapped in the rear barge tube (2); the blood vessel inner layer clamp (17), the blood vessel outer layer clamp (16) and the clamp cover (8) are fixedly connected through a push block (15), and the push block (15) is used for pushing the blood vessel inner layer clamp (17) and the blood vessel outer layer clamp (16); the clamping cover (8) is connected with the front sleeve (7) through a limiting thin cover (5), and the limiting thin cover (5) is arranged on the front sleeve (7) and is connected with the clamping cover (8) through a limiting structure.
2. the surgical device for vessel ligation according to claim 1, wherein: the blood vessel inner layer clamp (17) is made of a polyethylene glycol carbonic acid material, and the blood vessel outer layer clamp (16) is made of a polyglycolic acid material.
3. The surgical device for vessel ligation according to claim 1, wherein: the tail end of the clamp pushing device (11) is provided with two identical cylindrical solid tubes which are used for pushing the push block (15) through the inner cavity of the clamp cover (8).
4. The surgical device for vessel ligation according to claim 1, wherein: the scalpel head (14) is made of 18/10 stainless steel materials, and the tail end of the scalpel handle (13) is cylindrical and is in threaded connection with the scalpel push tube (1).
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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CN108852453B true CN108852453B (en) 2019-12-10

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Families Citing this family (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

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

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WO2020042505A1 (en) 2020-03-05

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