CN109044474A - A kind of alimentary canal tissue forceps - Google Patents

A kind of alimentary canal tissue forceps Download PDF

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Publication number
CN109044474A
CN109044474A CN201811056412.1A CN201811056412A CN109044474A CN 109044474 A CN109044474 A CN 109044474A CN 201811056412 A CN201811056412 A CN 201811056412A CN 109044474 A CN109044474 A CN 109044474A
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CN
China
Prior art keywords
hole
armed
long
galianconism
drag
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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.)
Pending
Application number
CN201811056412.1A
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Chinese (zh)
Inventor
朱宏
金鸿雁
仇卫勤
李常青
冷德嵘
刘春俊
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Micro Tech Nanjing Co Ltd
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Micro Tech Nanjing Co Ltd
Priority date (The priority date 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 date listed.)
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Publication date
Application filed by Micro Tech Nanjing Co Ltd filed Critical Micro Tech Nanjing Co Ltd
Priority to CN201811056412.1A priority Critical patent/CN109044474A/en
Publication of CN109044474A publication Critical patent/CN109044474A/en
Priority to PCT/CN2019/096016 priority patent/WO2020052345A1/en
Pending legal-status Critical Current

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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
    • A61B17/128Surgical 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

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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 present invention provides a kind of alimentary canal tissue forceps, the caliper includes openable and closable tong arm and the control arm for controlling tong arm folding angle, and drag-line is equipped in handle, and handle passes through drag-line and control arm cooperation control tong arm folding.The tong arm is one group long-armed, and the control arm is one group of galianconism, and one end of the galianconism is movably connected in clamp block, and the other end of galianconism is connected to long-armed middle part, and one end of push-pull rod is flexibly connected with long-armed one end, and the other end of push-pull rod is connected to drag-line.The present apparatus can quickly and effectively be closed the big surface of a wound of most of alimentary canal, and the smaller surface of a wound closed can be pressed from both sides by being changed into common hemostatic clamp, and existing hemostatic clamp is cooperated effectively to suture the surface of a wound.

Description

A kind of alimentary canal tissue forceps
Technical field
The present invention relates to area of medical devices, especially a kind of alimentary canal tissue forceps.
Background technique
In recent years, with the rapid development of endoscope diagnosis and treatment, the mucous membranes such as corresponding digestive system such as intestines, stomach are because of operation or other originals Because leading to invasive bleeding or perforation, currently used hemostatic fashion is hemostasis pinching blood, but since existing hemostatic clamp is opened The biggish surface of a wound of the undersized correspondence of mouth or Alimentary Tract Perforation are difficult to accomplish that quick-acting haemostatic powder or folder close when being closed, in emergency circumstances very To abdominal is relied only on, surface of a wound hemostasis or suture operation are carried out with the help of surgeon;Abdominal is not only created Face big recovery time is long, and time and economic cost are also very large, because abdominal is percutaneous invasive treatment, the hospital stays increases Add, also occupies medical resource to a certain extent.
Apparatus for ligating currently on the market, as pocket ring needs multiple hemostatic clamp auxiliary nylon apparatus for ligating to clamp surface of a wound side Edge, so as to tighten the surface of a wound, because the surface of a wound is big, the ratio that causes hemostatic clamp to plough under the surface of a wound hemostatic clamp more when tightening the surface of a wound Rate increases this mode and not only wastes certain medical resource, also increases the pain and financial burden of patient.
Summary of the invention
Goal of the invention: the technical problem to be solved by the present invention is in view of the deficiencies of the prior art, provide a kind of alimentary canal Use tissue forceps.
In order to solve the above-mentioned technical problems, the present invention provides a kind of alimentary canal tissue forceps, including handle and caliper, institutes Stating caliper includes openable and closable tong arm and the control arm for controlling tong arm folding angle, is equipped with drag-line in handle, handle passes through Drag-line and control arm cooperation control tong arm folding.
In the present invention, the tong arm is one group long-armed, and the control arm is one group of galianconism, and one end activity of the galianconism connects It connects in clamp block, the other end of galianconism is connected to long-armed middle part, and one end of push-pull rod is flexibly connected with long-armed one end, push-pull rod The other end be connected to drag-line.
In the present invention, the galianconism includes the first galianconism and the second galianconism, and the first galianconism is equipped with one group of first through hole, the Two galianconism are equipped with one group of second through-hole, and clamp block both ends are respectively equipped with the first clamp block through-hole and the second clamp block through-hole, and clamp block includes First pin, the first pin is across the first clamp block through-hole, first through hole, the second through-hole and the second clamp block through-hole by the first galianconism and the Two galianconism are movably connected in clamp block;
Long-armed includes that first is long-armed and second is long-armed, first it is long-armed be equipped with one group of third through-hole, second long-armed is equipped with One group of fourth hole, push-pull rod are equipped with push-and-pull rod through-hole, push-pull rod with being arranged with the second pin, the second pin across third through-hole, One group long-armed is movably connected on push-pull rod by push-and-pull rod through-hole and fourth hole.
In the present invention, first pin middle part is equipped with drag-line hole, and the drag-line of push-pull rod end connection passes through the first pin middle part Drag-line hole be connected to handle.
In the present invention, the push-pull rod includes caliper interconnecting piece and drag-line interconnecting piece, and the caliper interconnecting piece is annulus knot Structure, push-and-pull rod through-hole are located at the middle part of circular ring structure, and drag-line interconnecting piece is connected to drag-line.
In the present invention, the drag-line outer ring is equipped with flexible outer tube, and flexible outer tube outer ring is equipped with position outer tube, and the handle is set It sets in position outer tube rear end.
In the present invention, the long-armed inside is equipped with hangnail, increases and clamps firmness.
In the present invention, the long-armed outer surface is equipped with one group of equidistant scale cut-off rule, can survey in Microendoscopic Measure the size dimension of lesion locations.
The utility model has the advantages that the present apparatus can quickly and effectively be closed the big surface of a wound of most of alimentary canal, it is changed into commonly stopping blooding Folder can press from both sides the smaller surface of a wound closed, and existing hemostatic clamp is cooperated quickly and effectively to suture the surface of a wound.
Detailed description of the invention
The present invention is done with reference to the accompanying drawings and detailed description and is further illustrated, it is of the invention above-mentioned or Otherwise advantage will become apparent.
Fig. 1 is perspective view of the explosion;
Fig. 2 is caliper part explosive view;
Fig. 3 is push-pull rod structural schematic diagram;
Fig. 4 a is that caliper opens schematic diagram;
Fig. 4 b is long-armed and galianconism connection cross-sectional view;
Fig. 5 is caliper closure schematic diagram;
Fig. 6 a is schematic diagram one of the caliper as graduated scale state;
Fig. 6 b is schematic diagram two of the caliper as graduated scale state;
Fig. 6 c is schematic diagram three of the caliper as graduated scale state
Specific embodiment
It elaborates below in conjunction with attached drawing to the present invention.
Embodiment:
Such as Fig. 1, a kind of alimentary canal tissue forceps provided in this embodiment, including long-armed 1, galianconism 2, the first pin 3, the second pin 4, push-pull rod 5, clamp block 6, flexible outer tube 7, zipper 8, position outer tube 9 and handle 10, one group of galianconism be movably connected in clamp block, and one Group is long-armed to be movably connected on push-pull rod, and the end of galianconism is fixedly attached on the lateral wall at long-armed middle part, and the push-pull rod connects It is connected to drag-line.
It such as Fig. 2, is specifically that one group long-armed 1 is tong arm, and one group of galianconism 2 is control arm, and one group of galianconism, 2 one end is living Dynamic to be connected in clamp block, the other end is connected to long-armed 1 middle part, and one group long-armed 1 is movably connected in 5 one end of push-pull rod, the push-and-pull 5 other end of bar is connected to drag-line 8.
Galianconism 2 includes the first galianconism 2a and the second galianconism 2b, and the first galianconism 2a is equipped with one group of first through hole 11a, and second Galianconism 2b is equipped with one group of second through-hole 11b, and 6 both ends of clamp block are respectively equipped with the first clamp block through-hole 6a and the second clamp block through-hole 6b, Clamp block includes the first pin 3, and the first pin 3 passes through the first clamp block through-hole 6a, first through hole 11a, the second through-hole 11b and the second clamp block First galianconism 2a and the second galianconism 2b are movably connected in clamp block 6 by through-hole 6b;
Long-armed 1 includes the first long-armed 1a and the second long-armed 1b, and the first long-armed 1a is equipped with one group of third through-hole 12a, and second Long-armed 1b is equipped with one group of fourth hole 12b, and push-pull rod 5 is equipped with push-and-pull rod through-hole 5a, and push-pull rod, which is matched, is arranged with the second pin 4, Second pin 4 passes through third through-hole 12a, push-and-pull rod through-hole 5a and fourth hole 12b and is movably connected in push-pull rod 5 for one group long-armed 1 On.
Drag-line hole 3a is equipped in the middle part of first pin 3, the drag-line 8 of 5 end of push-pull rod connection passes through the drag-line hole at 3 middle part of the first pin 3a is connected to handle 10.
Such as Fig. 3, push-pull rod 5 includes caliper interconnecting piece 13 and drag-line interconnecting piece 14, and the caliper interconnecting piece 13 is annulus knot Structure, push-and-pull rod through-hole 5a are located at the middle part of circular ring structure, and drag-line interconnecting piece 14 is connected to drag-line 8.Drag-line 8 penetrates push-pull rod 5 At drag-line interconnecting piece 14 in hole, weld or rivet.
8 outer ring of drag-line is equipped with flexible outer tube 7, and 7 outer ring of flexible outer tube is equipped with position outer tube 9, and the setting of handle 10 is fixed Position outer tube back-end.Protection outer tube of the flexible outer tube 7 as entire instrument, and can be used as the branch of entire product in product folding Support.
Long-armed inside is equipped with hangnail.
The principle of work and power: using distinctive lever machinery structure, and long-armed balance pivot exists relative to the central axes of instrument Be on position variation, when tissue forceps in the open state, central axes of the long-armed balance pivot apart from instrument are farthest, at this time Close tissue forceps used in tractive force can effectively be transmitted to clamping tissue long-armed distal end, with folder close process into Row, long-armed balance pivot is smaller and smaller apart from instrument central axes, and the torque of tractive force becomes smaller at this time, and organizes to long-armed distal end Expansionary force it is constant or become larger so that required closing forces could be obtained by needing to give bigger tractive force, for this purpose, instrument increases One position outer tube, for applying the power tightened to instrument center to galianconism, auxiliary completes the process that folder closes;The opening of instrument away from From the summation that theoretically can achieve two long arm lengths, i.e., two long-armed angle maximums can open up into 180 degree, cooperation length The surface of a wound of two long-armed total lengths can be closed by the hangnail on the inside of arm end.
Longer its of long-armed 1 length can press from both sides that the surface of a wound closed is bigger, and the distal end of galianconism 2 is connected to long-armed 1 middle part Position pushes 10 push-pull rod 5 of proximal handle component and opens two long-armed 1, at this time long-armed 1 lever as long-armed 1 balance pivot Pivot distance instrument central axes are farthest, and applying lesser power on push-pull rod just can make jaw start to be closed.
Fig. 4 a is that caliper opens schematic diagram;
Fig. 4 b is long-armed and galianconism connection cross-sectional view;Long-armed 1 and galianconism 2 on hole 17 and 16 internal diameter of axis and outer diameter activity connect It connects.
Fig. 6 a, Fig. 6 b and Fig. 6 c are schematic diagram of the caliper as graduated scale state, be respectively from left to right pliers open to The pattern that top view at 180 °, front view and Microendoscopic are observed.
Illustrating caliper and opening to 180 ° is caliper linear state longest state, takes the maximum value on top view to be at this time 27mm, cut-off rule 15 divide caliper 9 etc. to 3mm spacing, Microendoscopic we can use this equal part distance to measure endoscopy Or the information such as size, position of lesion in operation, to provide good reference data for next step operation.
The maximum value max of binding clip is not limited only to 27mm as above herein, can be it is attainable in technical scope so numerical value, Cut-off rule 15 can be not limited to 9 equal parts for the equal part distance of any numerical value.
Installation steps: being packed into clamp block 6 for two 2 hole device to hole of galianconism, is connected this three using the first pin 3;By push-pull rod 5 Hole device to hole is packed into two long-armed 1 and recycles the connection of the second pin 4, and two 2 distal bent positions of galianconism are respectively charged into two long-armed 1 Interstitial hole is connected herein by hinge in the present embodiment;Push-pull rod 5 is connect with zipper 8 then, loads onto flexible outer tube 7 outside zipper, Position outer tube 9 is loaded onto outside flexible outer tube 7, Handleset is finally connect 7 with zipper 8 and flexible outer tube, at this time an alimentary canal Tissue forceps assembles finish immediately.
Operating process: the surface of a wound is larger after normal ESD gastric operation needs to carry out surface of a wound closure, first row it is conventional into Mirror prepares, and left hand thumb, index finger and middle finger are respectively protruding within three hole of handle by assistant, this instrument distal end is passed through interior peep by doctor A wherein biggish channel for the road Jing Shuanqian mirror is sent into suitably partially to press from both sides the surface of a wound at the surface of a wound and be closed, becomes the big surface of a wound Two small surface of a wound, in order to make the surface of a wound effectively closed, at this time assistant with the right hand by position outer tube 9 in proximal end to being pushed forward latching binding clip, With reference to Fig. 5 state,;Successively the lesser surface of a wound is sutured one by one by hemostatic clamp conventional under another pincers road of endoscope simultaneously, until This tissue forceps of the backed off after random of the whole sutures of the surface of a wound.
It is more convenient in order to perform the operation, a hemostatic clamp first can be made the both sides of tissue clamp closed position are first each, exit group Knit the conventional surface of a wound closure operation of row again after clamping.
Tissue is closed in order to preferably press from both sides, increases corresponding hangnail on long-armed 1.
In order to effectively be closed the surface of a wound, this tissue forceps increases the closing course and the surface of a wound that position outer tube 9 is used to assist the surface of a wound The surface of a wound is fixed after closure not slip from instrument easily.
The present invention provides a kind of alimentary canal tissue forceps, and there are many method and the approach for implementing the technical solution, with It is only the preferred embodiment of the present invention described in upper, it is noted that for those skilled in the art, not Under the premise of being detached from the principle of the invention, several improvements and modifications can also be made, these improvements and modifications also should be regarded as the present invention Protection scope.All undefined components in this embodiment can be implemented in the prior art.

Claims (8)

1. a kind of alimentary canal tissue forceps, which is characterized in that including handle (10) and caliper, the caliper includes openable and closable pincers Arm and the control arm that angle is opened and closed for controlling tong arm, handle is interior to be equipped with drag-line (8), and handle is matched by drag-line and control arm (2) Close control tong arm folding.
2. a kind of alimentary canal tissue forceps according to claim 1, which is characterized in that the tong arm is one group long-armed (1), The control arm is one group of galianconism (2), and one end of the galianconism (2) is movably connected on clamp block (6), the other end of galianconism (2) It is connected in the middle part of long-armed (1), one end of push-pull rod (5) is flexibly connected with the one end of long-armed (1), and the other end of push-pull rod (5) connects It is connected to drag-line (8).
3. a kind of alimentary canal tissue forceps according to claim 2, which is characterized in that the galianconism (2) includes first short Arm (2a) and the second galianconism (2b), the first galianconism (2a) are equipped with one group of first through hole (11a), and the second galianconism (2b) is equipped with one Group the second through-hole (11b), clamp block (6) both ends are respectively equipped with the first clamp block through-hole (6a) and the second clamp block through-hole (6b), clamp block packet It includes the first pin (3), the first pin (3) passes through the first clamp block through-hole (6a), first through hole (11a), the second through-hole (11b) and second First galianconism (2a) and the second galianconism (2b) are movably connected on clamp block (6) by clamp block through-hole (6b);
Long-armed (1) includes first long-armed (1a) and second long-armed (1b), and first long-armed (1a) is equipped with one group of third through-hole (12a), second long-armed (1b) are equipped with one group of fourth hole (12b), and push-pull rod (5) is equipped with push-and-pull rod through-hole (5a), push-and-pull For bar with being arranged with the second pin (4), the second pin (4) passes through third through-hole (12a), push-and-pull rod through-hole (5a) and fourth hole (12b) One group long-armed (1) is movably connected on push-pull rod (5).
4. a kind of alimentary canal tissue forceps according to claim 3, which is characterized in that be equipped in the middle part of first pin (3) Drag-line hole (3a), the drag-line hole (3a) that the drag-line (8) of push-pull rod (5) end connection passes through in the middle part of the first pin (3) are connected to handle (10)。
5. a kind of alimentary canal tissue forceps according to claim 4, which is characterized in that the push-pull rod (5) includes caliper Interconnecting piece (13) and drag-line interconnecting piece (14), the caliper interconnecting piece (13) are circular ring structure, and push-and-pull rod through-hole (5a) is located at circle The middle part of ring structure, drag-line interconnecting piece (14) are connected to drag-line (8).
6. a kind of alimentary canal tissue forceps according to claim 5, which is characterized in that drag-line (8) outer ring is equipped with soft Property outer tube (7), flexible outer tube outer ring is equipped with position outer tube (9), and the handle (10) is arranged in position outer tube (9) rear end.
7. a kind of alimentary canal tissue forceps according to claim 6, which is characterized in that the long-armed inside is equipped with hangnail.
8. a kind of alimentary canal tissue forceps according to claim 6, which is characterized in that on the outer surface of long-armed (1) Equipped with one group of equidistant scale cut-off rule (15).
CN201811056412.1A 2018-09-11 2018-09-11 A kind of alimentary canal tissue forceps Pending CN109044474A (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
CN201811056412.1A CN109044474A (en) 2018-09-11 2018-09-11 A kind of alimentary canal tissue forceps
PCT/CN2019/096016 WO2020052345A1 (en) 2018-09-11 2019-07-15 Tissue forceps for digestive tract

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201811056412.1A CN109044474A (en) 2018-09-11 2018-09-11 A kind of alimentary canal tissue forceps

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WO (1) WO2020052345A1 (en)

Cited By (6)

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Publication number Priority date Publication date Assignee Title
CN109998606A (en) * 2019-04-11 2019-07-12 苏州聚生精密冲件有限公司 Medical instrument connector and with the connecting-piece structure medical tissue folder
WO2020052345A1 (en) * 2018-09-11 2020-03-19 南微医学科技股份有限公司 Tissue forceps for digestive tract
CN111671496A (en) * 2020-05-29 2020-09-18 北京大学深圳医院 Device for taking out nucleus pulposus at back of cervical vertebra
WO2020186839A1 (en) * 2019-03-21 2020-09-24 南微医学科技股份有限公司 Medical multi-claw forceps
WO2020224262A1 (en) * 2019-05-05 2020-11-12 南微医学科技股份有限公司 Slide slot type multi-arm clamp
CN114983503A (en) * 2022-05-26 2022-09-02 北京大学深圳医院 Disposable movable tongue double-arm clamp for full-layer suture and use method thereof

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CN209236283U (en) * 2018-09-11 2019-08-13 南京微创医学科技股份有限公司 A kind of alimentary canal tissue forceps

Cited By (6)

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Publication number Priority date Publication date Assignee Title
WO2020052345A1 (en) * 2018-09-11 2020-03-19 南微医学科技股份有限公司 Tissue forceps for digestive tract
WO2020186839A1 (en) * 2019-03-21 2020-09-24 南微医学科技股份有限公司 Medical multi-claw forceps
CN109998606A (en) * 2019-04-11 2019-07-12 苏州聚生精密冲件有限公司 Medical instrument connector and with the connecting-piece structure medical tissue folder
WO2020224262A1 (en) * 2019-05-05 2020-11-12 南微医学科技股份有限公司 Slide slot type multi-arm clamp
CN111671496A (en) * 2020-05-29 2020-09-18 北京大学深圳医院 Device for taking out nucleus pulposus at back of cervical vertebra
CN114983503A (en) * 2022-05-26 2022-09-02 北京大学深圳医院 Disposable movable tongue double-arm clamp for full-layer suture and use method thereof

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