CN109620490A - A kind of claw type bile duct and pancreas bracket removal equipment - Google Patents

A kind of claw type bile duct and pancreas bracket removal equipment Download PDF

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Publication number
CN109620490A
CN109620490A CN201811541466.7A CN201811541466A CN109620490A CN 109620490 A CN109620490 A CN 109620490A CN 201811541466 A CN201811541466 A CN 201811541466A CN 109620490 A CN109620490 A CN 109620490A
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CN
China
Prior art keywords
chassis
outer sheath
claw
bile duct
pancreas
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Application number
CN201811541466.7A
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Chinese (zh)
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CN109620490B (en
Inventor
冯云路
刘逢辰
吴东
杨爱明
伍东升
吴晰
王强
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Peking Union Medical College Hospital Chinese Academy of Medical Sciences
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Peking Union Medical College Hospital Chinese Academy of Medical Sciences
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Priority to CN201811541466.7A priority Critical patent/CN109620490B/en
Publication of CN109620490A publication Critical patent/CN109620490A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/95Instruments specially adapted for placement or removal of stents or stent-grafts
    • A61F2/962Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/95Instruments specially adapted for placement or removal of stents or stent-grafts
    • A61F2002/9528Instruments specially adapted for placement or removal of stents or stent-grafts for retrieval of stents

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Media Introduction/Drainage Providing Device (AREA)

Abstract

A kind of claw type bile duct and pancreas bracket removal equipment comprising outer sheath, the multijaw structure that can be stretched out, chassis and removable disk, which is characterized in that the multijaw structure setting is in the inside of outer sheath;For the multijaw structure setting on chassis, a ring spring structure is arranged in multijaw structure front end;The mobile control structure in one control chassis of setting on the chassis, a removable disk is arranged in chassis front;The one drawing structure of removable disk center setting, drawing structure pass through chassis center and stretch out from outer sheath rear end;Control structure is stretched out after outer sheath from outer sheath;The connection on multijaw structure and chassis is the mode that is rotatably connected;The perforation passed through for multijaw structure is set in removable disk;Each pawl of multijaw structure is inclined outwardly from chassis, and the multijaw structure of formation becomes larger forwards from chassis;Ring spring structure setting is in claw-type structure front end;Ring spring inside configuration diameter of a circle is less than bracket pipe outside diameter under non-deformed state.

Description

A kind of claw type bile duct and pancreas bracket removal equipment
Technical field
The invention belongs to medical instruments fields, and in particular to be a kind of claw type bile duct and pancreas bracket removal equipment.
Background technique
Biliary system have secretion, storage, concentration and biliary function, to bile be discharged into duodenum have it is important Adjustment effect.By the secondary benign ductal of cholangitis repeatedly or operation on biliary tract is narrow or cholangiocarcinoma, liver cancer, cancer of pancreas and metastatic carcinoma Etc. Malignent Biliary Obstruction caused by malignant tumours, disease incidence is higher, seriously affects patients ' life quality.
Biliary tract rack is implanted to the better method that stenosis or occlusion position is current treatment obstruction of biliary tract.In complicated gallbladder During road is rebuild, the application of biliary tract rack still can not be ignored, and indwelling is considered especially in the unsatisfied situation of Biliary reconstruction Biliary tract rack pipe, biliary tract rack pipe can not only play the role of decompression drainage, support, the healing conducive to biliary tract, while also just In observing bile situation and the effects of postoperative cholangiography.There is research to confirm that stand tube of the indwelling Jing Guo previous anastomotic is to avoid One very important factor of biliary complications can play the role of reducing biliary complications, especially in complicated, difficulty It is acted in biggish Biliary reconstruction significant.During liver transfer operation Biliary reconstruction, for biliary tract condition, good patient can not be stayed Biliary tract rack pipe is set, but for the Biliary reconstruction of some complexity, different types of biliary tract can be selected according to situation different in art Stand tube reduces biliary complications after orthotopic liver transplantation in favor of the healing of biliary tract.
After bracket is placed in a period of time, after obstruction of bile duct disappearance or biliary tract recovery, need to take bracket from implanting Out, the bracket being placed in also tends to there are problems that vacillating, and causes bracket taking-up to have difficulties, currently used technological means is It is taken out using snare or biopsy forceps, but position of having an effect is parallel to bracket longitudinal direction more, there is difficulty of having an effect, and then take out Difficult problem.
How much technical solution of the existing technology is by a kind of from row's property gallbladder from row's property mode, such as 201610346785.7 Pipe holder;In addition there are also the therapeutic modality of setting balance spring, e.g., cholangio-stent is can be recycled in 201620595874.0 integral types; Above-mentioned technical proposal is all a kind of design convenient for taking-up by improving bracket itself, and usually used in existing clinical operation It is common catheter holder, the prior art lacks the technical solution being configured to removal equipment.
The present invention is directed to problem that is difficult and taking out bracket difficulty of having an effect in the prior art, provides a kind of claw type bile duct and pancreas Rami glandulares frame removal equipment.
Summary of the invention
In order to overcome the problems, such as to have an effect in the prior art difficult and take out bracket difficulty, the present invention provides a kind of claw type bile duct And pancreas bracket removal equipment.
A kind of claw type bile duct and pancreas bracket removal equipment comprising outer sheath, the multijaw structure that can be stretched out, chassis and can Mobile disk, which is characterized in that the multijaw structure setting is in the inside of outer sheath;The multijaw structure setting is more on chassis A ring spring structure is arranged in pawl structure front end;The mobile control structure in one control chassis of setting on the chassis, before chassis One removable disk of side's setting;The one drawing structure of removable disk center setting, drawing structure pass through chassis center from outer sheath Rear end is stretched out;Control structure is stretched out after outer sheath from outer sheath;The connection on multijaw structure and chassis is the side of being rotatably connected Formula;The perforation passed through for multijaw structure is set in removable disk;Each pawl of multijaw structure is inclined outwardly from chassis, formation Multijaw structure becomes larger forwards from chassis;Ring spring structure setting is in claw-type structure front end;It is annular under non-deformed state Diameter of a circle is less than bracket pipe outside diameter inside spring structure.Before use, removable disk is arranged to guarantee the smallest three-jaw size At larger-size three-jaw locations of structures, after reaching designated position, control structure is pushed by recession outer sheath or forward, Stretch out multijaw structure from outer sheath, rear end is pulled back by pulling structure by the position of control structure control three-jaw, made three-jaw Structure becomes large-sized, and front end is opened, and ring spring is made to form the elastic force of retraction, to front end auger Spread plane dimension to greater than outside stand tube When diameter;By control control structure and drawing structure, multijaw structure is moved down, covers multijaw structure on the outside of stand tube, it is rear to unclamp Structure is pulled, the ring spring of front end can then encircle multijaw to stent outer by elastic force, and led to extract and.
Further, described 3-6 pawl of multijaw structure setting;Wherein it is preferably provided with 3 pawls.
Further, the chassis is provided in round chassis, and circular base plate edge is arranged 3 notches, is respectively set in notch One connection structure, connection structure are connect with three-jaw structure, and three-jaw structure can relatively rotate in junction;Three-jaw structure passes through Relatively rotate the opening and closure for realizing three-jaw.
Further, the connection structure is set as cylindrical connecting column, and the centre of the notch is arranged in the connecting column Position, the connecting column and chassis integrally connected;The setting of cylindrical connecting column rotates convenient for three-jaw structure.
Further, the three-jaw structure includes the connection ring of integrally connected, tilting section and with hook segment, the connection ring setting In the periphery of connecting column, the diameter of connection ring is big compared with the diameter of connecting column, and connection ring relatively rotates by shaft of connecting column; Band hook segment is the inclined structure in portion slightly inwards;Ring spring structure setting is in band hook segment front.Such setting with hook segment can be with Guarantee big grasping force when grasping.
Further, the tilting section and the main body with hook segment are set as rectangular slab, and the setting of rectangular slab has three-jaw structure There are stronger stability and grasping force.
Further, the control structure on the chassis is set as control-rod.
Further, the control-rod main body is set as the round and smooth rectangular configuration in edge, the control-rod free end setting one L shape control-rod handle, control-rod handle stretch out on the outside of outer sheath;It can be with mobile chassis, thus mobile by push-and-pull control-rod The position of three-jaw structure.
Further, the removable disk is provided in round removable disk, and it is logical that 3 ellipses are arranged in round removable disk edge Hole, the three-jaw of three-jaw structure are each passed through 3 ellipse holes, the rectangular slab of the size of the ellipse hole compared with three-jaw structure The size of cross-sectional area is big;It can control the opening and closure of three-jaw structure by mobile removable disk.
Further, the removable disk and the round stretch hole of chassis center setting one, interior one drawing of setting of the stretch hole Structure, drawing structure one end are fixed in removable disk, and the other end passes through chassis center and stretches out outside outer sheath;It is pulled by drawing Structure, may be implemented the movement of removable disk, to realize the opening and closure of three-jaw structure.
Further, the drawing structure setting is drawing silk, and drawing silk is tied in removable disk.By pulling backward The recession of removable disk may be implemented in wire drawing, opens three-jaw structure, by unclamping drawing silk after reaching on the outside of stand tube, in ring Stand tube is encircled under the effect of shape spring structure elastic force, and stand tube is taken out.
Alternatively, the drawing structure is drawing item;Pull item and removable disk integrally connected or the drawing item close to Block section is arranged in the position of the over and under of removable disk, and an arc-shaped drawing is arranged in one end that drawing item stretches out outer sheath Ring;Drawing item can be fixed in removable disk by setting block section, so that removable disk be made to follow drawing item mobile, be led The setting of pull ring pulls drawing item convenient for operator.During taking out stand tube, drawing item Forward be may further ensure that The pressure of front end contact surface reduces and slips risk.
Further, the block section is set as cylindrical block section, the diameter of the diameter of cylindrical block section compared with stretch hole Greatly;Such setting guarantees that drawing item is fixedly secured in removable disk, to guarantee that pulling item drives removable disk mobile.
Further, the ring spring structure and three-jaw structure welding;Such setting can make three-jaw structure not outer Certain angle can be opened under the action of power, so as to use lesser power drawing drawing silk that can sufficiently open three-jaw knot Structure.
Further, location structure is set in the outer sheath front end outer side, the location structure is around outer sheath front end Lateral wall;Location structure the position of outer sheath can be fixed, and preventing outer sheath from movement occurs leads to the inclined of action direction Difference.
Further, the location structure includes positioning gasbag, snorkel, inflatable structure;The positioning gasbag setting is outside On the lateral wall of sheath front end;Described snorkel one end and positioning gasbag integrally connected, the snorkel other end stretch out outside outer sheath Side is inflated to positioning gasbag by inflatable structure, is affixed on gas cell outer wall in bile duct wall, plays outer sheath being fixed on bile duct The purpose at middle part.
Further, inflatable structure is set as gas cell, and the snorkel nozzle for stretching out outer sheath one end integrally connects with gas cell It connects, switch valve is set between gas cell and snorkel;Setting switch valve can close switch valve after the completion of inflation, anti-fastening Gas in the air bag of position sheds, and opens switch valve after taking out bracket, releases the gas in positioning gasbag, then leads outer sheath It is external to pull out patient.
Further, the outer sheath is set as cylindrical, massive hose, and 3 channels, including drawing are arranged in outer sheath Channel, control-rod channel and ventilation tube passage;Such setting can guarantee that pulling item and control-rod follows the synchronous fortune of outer sheath Dynamic and bending, guarantees the control to front chassis and removable disk.
Further, one section of hollow pipe is arranged in the front end of the outer sheath, and the length of hollow pipe is not less than three-jaw structure division Total length, hollow pipe can accommodate three-jaw structure;Three-jaw structure is located in hollow pipe before opening, avoids scratching bile duct.
In use, the internal outer sheath with three-jaw structure is sent into patient's body, after reaching bracket position, squeeze Air bag makes positioning gasbag expansion heave and be tightly attached on bile duct inner wall, so that the position of outer sheath be fixed, then to being pushed forward Control-rod on dynamic chassis is moved to three-jaw structure outside outer sheath, rear to make removable disk backward by pulling drawing structure backward The mobile opening angle for being increased three-jaw structure with this is made front end opening dimension be greater than bracket outer diameter and is socketed in stent outer, after Drawing structure is unclamped, three-jaw then can be tightly attached to stent outer by elastic force, finally pull outer sheath by the ring spring of front end Patient is external out.
Compared with prior art, technical solution of the present invention is arranged for bracket removal equipment, the technical program Clever structure can accurately take out bracket, and instrument cost of manufacture is cheap, can be widely used to promote in clinic.
Detailed description of the invention
Fig. 1 is the overall structure that a kind of claw type bile duct of the present invention and pancreas bracket removal equipment multijaw structure stretch out outer sheath Schematic diagram;
Fig. 2 is the partial enlargement structural representation of a kind of claw type bile duct of the present invention and pancreas bracket removal equipment unused state Figure;
Fig. 3 is the part section enlarged structure of a kind of claw type bile duct of the present invention and pancreas bracket removal equipment unused state Schematic diagram;
Fig. 4 is the partial enlargement that a kind of claw type bile duct of the present invention and pancreas bracket removal equipment multijaw structure stretch out outer sheath Structural schematic diagram;
Fig. 5 is the part section that a kind of claw type bile duct of the present invention and pancreas bracket removal equipment multijaw structure stretch out outer sheath Enlarged structure schematic diagram;
Fig. 6 is the multijaw structure of a kind of claw type bile duct of the present invention and pancreas bracket removal equipment with drawing item and control-rod Enlarged structure schematic diagram;
Fig. 7 is a kind of claw type bile duct of the present invention and pancreas bracket removal equipment without drawing item and the multijaw knot of control-rod Structure enlarged structure schematic diagram;
Fig. 8 is the control-rod of a kind of claw type bile duct of the present invention and pancreas bracket removal equipment operator's control terminal, drawing item And the enlarged structure schematic diagram of gas cell;
Fig. 9 be a kind of claw type bile duct of the present invention and pancreas bracket removal equipment using when multijaw structure be softened the office of state Portion's enlarged structure schematic diagram;
Figure 10 is a kind of putting for the multijaw structure that claw type bile duct and pancreas bracket removal equipment of the invention are in softened state Big structure schematic diagram.
Figure 11 is a kind of claw type bile duct of the present invention and the signal of pancreas bracket removal equipment outer sheath part section enlarged structure Figure;
Figure 12 is the enlarged structure schematic diagram on a kind of claw type bile duct of the present invention and pancreas bracket removal equipment chassis;
Figure 13 is that the enlarged structure of a kind of claw type bile duct and the single pawl of pancreas bracket removal equipment multijaw structure of the invention is shown It is intended to;
Figure 14 is the section of a kind of claw type bile duct of the present invention and pancreas bracket removal equipment multijaw structure and chassis junction Enlarged structure schematic diagram.
In figure, 1, outer sheath;11, a channel is pulled;12, control-rod channel;13, ventilation tube passage;14, hollow pipe;2, Multijaw structure;21, connection ring;22, tilting section;23, band hook segment;24, ring spring structure;3, chassis;31, connecting column;32, it controls Bar processed;321, L shape control-rod handle;4, removable disk;41, round stretch hole;42, ellipse hole;43, item is pulled; 431, block section;432, arc-shaped stretch ring;5, positioning gasbag;51, snorkel;52, gas cell;521, switch valve.
Specific embodiment
Illustrate embodiments of the present invention below by way of particular specific embodiment, those skilled in the art can be by this explanation Other advantages and efficacy of the present invention can be easily understood for content disclosed by book.The present invention can also be by addition different specific Embodiment is embodied or practiced, and the various details in this specification can also not carried on the back based on different viewpoints and application From carrying out various modifications or alterations under spirit of the invention.It should be noted that in the absence of conflict, following embodiment and reality The feature applied in example can be combined with each other.
A kind of claw type bile duct of embodiment 1 and pancreas bracket removal equipment
A kind of claw type bile duct and pancreas bracket removal equipment comprising outer sheath 1, the multijaw structure 2 that can be stretched out, chassis 3 And removable disk 4, which is characterized in that the inside of outer sheath 1 is arranged in the multijaw structure 2;The multijaw structure 2 is arranged the bottom of at On disk 3, a ring spring structure 24 is arranged in 2 front end of multijaw structure;The mobile control in one control chassis 3 of setting on the chassis 3 A removable disk 4 is arranged in front of chassis 3 in structure processed;4 center setting of removable disk, the one drawing structure, drawing structure pass through 3 center of chassis is stretched out from 1 rear end of outer sheath;Control structure is stretched out after outer sheath 1 from outer sheath 1;Multijaw structure 2 and chassis 3 connection is the mode that is rotatably connected;The perforation passed through for multijaw structure 2 is set in removable disk 4;Each of multijaw structure 2 Pawl is inclined outwardly from chassis 3, and the multijaw structure 2 of formation becomes larger forwards from chassis 3;The setting of ring spring structure 24 exists Claw-type structure front end;24 inside diameter of a circle of ring spring structure is less than bracket pipe outside diameter under non-deformed state.Before use, to protect The smallest three-jaw size is demonstrate,proved, removable disk 4 is set at larger-size three-jaw locations of structures, after reaching designated position, By recession outer sheath 1 or forward control structure is pushed, stretches out multijaw structure 2 from outer sheath 1, rear end is by control structure control The position of three-jaw processed is pulled back by pulling structure, makes becoming large-sized for three-jaw structure, and front end is opened, and forms back ring spring The elastic force of contracting, when front end auger Spread plane dimension to when being greater than bracket pipe outside diameter;By control control structure and drawing structure, multijaw is moved down Structure 2 makes 2 sets of multijaw structure on the outside of stand tube, and rear to unclamp drawing structure, the ring spring of front end then can will be more by elastic force Dog collar is embraced to stent outer, and is led to extract and.
The multijaw structure 2 is preferably provided with 3 pawls.
The chassis 3 is provided in round chassis 3, and 3 edge of circular base plate is arranged 3 notches, a company is respectively set in notch Binding structure, connection structure are connect with three-jaw structure, and three-jaw structure can relatively rotate in junction;Three-jaw structure passes through opposite The opening and closure of three-jaw are realized in rotation.
The connection structure is set as cylindrical connecting column 31, and the interposition of the notch is arranged in the connecting column 31 It sets, the connecting column 31 and 3 integrally connected of chassis;The setting of cylindrical connecting column 31 rotates convenient for three-jaw structure.
The three-jaw structure includes the connection ring 21 of integrally connected, tilting section 22 and with hook segment 23, and the connection ring 21 is set It sets in the periphery of connecting column 31, the diameter of connection ring 21 is big compared with the diameter of connecting column 31, and connection ring 21 is shaft with connecting column 31 It relatively rotates;Band hook segment 23 is the inclined structure in portion slightly inwards;The setting of ring spring structure 24 is in band 23 front of hook segment.This Setting of the kind with hook segment 23 can guarantee big grasping force when grasping.
The tilting section 22 and the main body with hook segment 23 are set as rectangular slab, the setting of rectangular slab make three-jaw structure have compared with Strong stability and grasping force.
Control structure on the chassis 3 is set as control-rod 32.
32 main body of control-rod is set as the round and smooth rectangular configuration in edge, and one " L " is arranged in 32 free end of control-rod Shape control-rod handle 321,32 handle of control-rod stretch out 1 outside of outer sheath;By push-and-pull control-rod 32 can with mobile chassis 3, from And move the position of three-jaw structure.
The removable disk 4 is provided in round removable disk 4, and 3 ellipse holes are arranged in round 4 edge of removable disk 42, the three-jaw of three-jaw structure is each passed through 3 ellipse holes 42, the square of the size of the ellipse hole 42 compared with three-jaw structure The size of shape plate cross-sectional area is big;It can control the opening and closure of three-jaw structure by mobile removable disk 4.
The removable disk 4 and the round stretch hole 41 of 3 center setting of chassis one, the interior one drawing knot of setting of the stretch hole Structure, drawing structure one end are fixed in removable disk 4, and the other end passes through 3 center of chassis and stretches out outside outer sheath 1;By leading Pull-up structure, may be implemented the movement of removable disk 4, to realize the opening and closure of three-jaw structure.
The drawing structure setting is shape drawing silk, and drawing silk is tied in removable disk 4.By pulling drawing silk backward The recession that removable disk 4 may be implemented opens three-jaw structure, by unclamping drawing silk after reaching on the outside of stand tube, in annular Stand tube is encircled under the effect of 24 elastic force of spring structure, and stand tube is taken out.
The ring spring structure 24 and three-jaw structure welding;Such setting can make three-jaw structure in the work of not external force Certain angle can be opened, with lower so as to use lesser power drawing drawing silk that can sufficiently open three-jaw structure.
In use, the internal outer sheath 1 with three-jaw structure is sent into patient's body, after reaching bracket position, to It is preceding that the control-rod 32 on chassis 3 is pushed to be moved to three-jaw structure outside outer sheath 1, made afterwards by drawing drawing structure backward removable Moving plate 4 moves backward the opening angle for increasing three-jaw structure with this, so that front end opening dimension is greater than bracket outer diameter and is socketed in branch Rear to unclamp drawing structure on the outside of frame, three-jaw then can be tightly attached to stent outer by elastic force by the ring spring of front end, finally will be outer It is external that sheath 1 is drawn out patient.
A kind of claw type bile duct of embodiment 2 and pancreas bracket removal equipment
A kind of claw type bile duct and pancreas bracket removal equipment comprising outer sheath 1, the multijaw structure 2 that can be stretched out, chassis 3 And removable disk 4, which is characterized in that the inside of outer sheath 1 is arranged in the multijaw structure 2;The multijaw structure 2 is arranged the bottom of at On disk 3, a ring spring structure 24 is arranged in 2 front end of multijaw structure;The mobile control in one control chassis 3 of setting on the chassis 3 A removable disk 4 is arranged in front of chassis 3 in structure processed;4 center setting of removable disk, the one drawing structure, drawing structure pass through 3 center of chassis is stretched out from 1 rear end of outer sheath;Control structure is stretched out after outer sheath 1 from outer sheath 1;Multijaw structure 2 and chassis 3 connection is the mode that is rotatably connected;The perforation passed through for multijaw structure 2 is set in removable disk 4;Each of multijaw structure 2 Pawl is inclined outwardly from chassis 3, and the multijaw structure 2 of formation becomes larger forwards from chassis 3;The setting of ring spring structure 24 exists Claw-type structure front end;24 inside diameter of a circle of ring spring structure is less than bracket pipe outside diameter under non-deformed state.Before use, to protect The smallest three-jaw size is demonstrate,proved, removable disk 4 is set at larger-size three-jaw locations of structures, after reaching designated position, By recession outer sheath 1 or forward control structure is pushed, stretches out multijaw structure 2 from outer sheath 1, rear end is by control structure control The position of three-jaw processed is pulled back by pulling structure, makes becoming large-sized for three-jaw structure, and front end is opened, and forms back ring spring The elastic force of contracting, when front end auger Spread plane dimension to when being greater than bracket pipe outside diameter;By control control structure and drawing structure, multijaw is moved down Structure 2 makes 2 sets of multijaw structure on the outside of stand tube, and rear to unclamp drawing structure, the ring spring of front end then can will be more by elastic force Dog collar is embraced to stent outer, and is led to extract and.
The multijaw structure 2 is set as 3 pawls.
The chassis 3 is provided in round chassis 3, and 3 edge of circular base plate is arranged 3 notches, a company is respectively set in notch Binding structure, connection structure are connect with three-jaw structure, and three-jaw structure can relatively rotate in junction;Three-jaw structure passes through opposite The opening and closure of three-jaw are realized in rotation.
The connection structure is set as cylindrical connecting column 31, and the interposition of the notch is arranged in the connecting column 31 It sets, the connecting column 31 and 3 integrally connected of chassis;The setting of cylindrical connecting column 31 rotates convenient for three-jaw structure.
The three-jaw structure includes the connection ring 21 of integrally connected, tilting section 22 and with hook segment 23, and the connection ring 21 is set It sets in the periphery of connecting column 31, the diameter of connection ring 21 is big compared with the diameter of connecting column 31, and connection ring 21 is shaft with connecting column 31 It relatively rotates;Band hook segment 23 is the inclined structure in portion slightly inwards;The setting of ring spring structure 24 is in band 23 front of hook segment.This Setting of the kind with hook segment 23 can guarantee big grasping force when grasping.
The tilting section 22 and the main body with hook segment 23 are set as rectangular slab, the setting of rectangular slab make three-jaw structure have compared with Strong stability and grasping force.
Control structure on the chassis 3 is set as control-rod 32.
32 main body of control-rod is set as the round and smooth rectangular configuration in edge, and one " L " is arranged in 32 free end of control-rod Shape control-rod handle 321,32 handle of control-rod stretch out 1 outside of outer sheath;By push-and-pull control-rod 32 can with mobile chassis 3, from And move the position of three-jaw structure.
The removable disk 4 is provided in round removable disk 4, and 3 ellipse holes are arranged in round 4 edge of removable disk 42, the three-jaw of three-jaw structure is each passed through 3 ellipse holes 42, the square of the size of the ellipse hole 42 compared with three-jaw structure The size of shape plate cross-sectional area is big;It can control the opening and closure of three-jaw structure by mobile removable disk 4.
The removable disk 4 and the round stretch hole 41 of 3 center setting of chassis one, the interior one drawing knot of setting of the stretch hole Structure, drawing structure one end are fixed in removable disk 4, and the other end passes through 3 center of chassis and stretches out outside outer sheath 1;By leading Pull-up structure, may be implemented the movement of removable disk 4, to realize the opening and closure of three-jaw structure.
The drawing structure is drawing item 43;It pulls item 43 and 4 integrally connected of removable disk or the drawing item 43 is tight Block section 431 is arranged in the position of the over and under of adjacent removable disk 4, and drawing item 43 stretches out one circle of one end setting of outer sheath 1 Arc stretch ring 432;Drawing item 43 can be fixed in removable disk 4 by setting block section 431, to make removable disk 4 follow drawing item 43 mobile, and the setting of stretch ring pulls drawing item 43 convenient for operator.During taking out stand tube, lead Tie rod 43 moves forward, and may further ensure that the pressure of front end contact surface, reduces and slips risk.
The block section 431 is set as cylindrical block section 431, and the diameter of cylindrical block section 431 is straight compared with stretch hole Diameter is big;Such setting guarantees that drawing item 43 is fixedly secured in removable disk 4, to guarantee that pulling item 43 drives removable disk 4 It is mobile.
The ring spring structure 24 and three-jaw structure welding;Such setting can make three-jaw structure in the work of not external force Certain angle can be opened, with lower so as to use lesser power drawing drawing silk that can sufficiently open three-jaw structure.
In 1 front end outer side of outer sheath, location structure, outside of the location structure around 1 front end of outer sheath are set Wall;Location structure the position of outer sheath 1 can be fixed, and prevent outer sheath 1 from the mobile deviation for leading to action direction occurs.
The location structure includes positioning gasbag 5, snorkel 51, inflatable structure;The positioning gasbag 5 is arranged in outer sheath On the lateral wall of 1 front end;Described 51 one end of snorkel and 5 integrally connected of positioning gasbag, 51 other end of snorkel stretch out outer sheath 1 Outside is inflated to positioning gasbag 5 by inflatable structure, is affixed on 52 outer wall of gas cell in bile duct wall, played outer sheath 1 is fixed Purpose in the middle part of bile duct.
Inflatable structure is set as gas cell 52, and 51 nozzle of snorkel for stretching out 1 one end of outer sheath integrally connects with gas cell 52 It connects, switch valve 521 is set between gas cell 52 and snorkel 51;Switch valve 521 is arranged can be after the completion of inflation by switch valve 521 close, and prevent the gas in positioning gasbag 5 from shedding, and open switch valve 521 after taking out bracket, release in positioning gasbag 5 Then it is external to be drawn out patient by gas for outer sheath 1.
In use, the internal outer sheath 1 with three-jaw structure is sent into patient's body, after reaching bracket position, squeeze Air bag is pressed, the expansion of positioning gasbag 5 is heaved and is tightly attached on bile duct inner wall, so that the position of outer sheath 1 is fixed, then to It is preceding that the control-rod 32 on chassis 3 is pushed to be moved to three-jaw structure outside outer sheath 1, made afterwards by drawing drawing structure backward removable Moving plate 4 moves backward the opening angle for increasing three-jaw structure with this, so that front end opening dimension is greater than bracket outer diameter and is socketed in branch Rear to unclamp drawing structure on the outside of frame, three-jaw then can be tightly attached to stent outer by elastic force by the ring spring of front end, finally will be outer It is external that sheath 1 is drawn out patient.
A kind of claw type bile duct of embodiment 3 and pancreas bracket removal equipment
A kind of claw type bile duct and pancreas bracket removal equipment comprising outer sheath 1, the multijaw structure 2 that can be stretched out, chassis 3 And removable disk 4, which is characterized in that the inside of outer sheath 1 is arranged in the multijaw structure 2;The multijaw structure 2 is arranged the bottom of at On disk 3, a ring spring structure 24 is arranged in 2 front end of multijaw structure;The mobile control in one control chassis 3 of setting on the chassis 3 A removable disk 4 is arranged in front of chassis 3 in structure processed;4 center setting of removable disk, the one drawing structure, drawing structure pass through 3 center of chassis is stretched out from 1 rear end of outer sheath;Control structure is stretched out after outer sheath 1 from outer sheath 1;Multijaw structure 2 and chassis 3 connection is the mode that is rotatably connected;The perforation passed through for multijaw structure 2 is set in removable disk 4;Each of multijaw structure 2 Pawl is inclined outwardly from chassis 3, and the multijaw structure 2 of formation becomes larger forwards from chassis 3;The setting of ring spring structure 24 exists Claw-type structure front end;24 inside diameter of a circle of ring spring structure is less than bracket pipe outside diameter under non-deformed state.Before use, to protect The smallest three-jaw size is demonstrate,proved, removable disk 4 is set at larger-size three-jaw locations of structures, after reaching designated position, By recession outer sheath 1 or forward control structure is pushed, stretches out multijaw structure 2 from outer sheath 1, rear end is by control structure control The position of three-jaw processed is pulled back by pulling structure, makes becoming large-sized for three-jaw structure, and front end is opened, and forms back ring spring The elastic force of contracting, when front end auger Spread plane dimension to when being greater than bracket pipe outside diameter;By control control structure and drawing structure, multijaw is moved down Structure 2 makes 2 sets of multijaw structure on the outside of stand tube, and rear to unclamp drawing structure, the ring spring of front end then can will be more by elastic force Dog collar is embraced to stent outer, and is led to extract and.
The multijaw structure 2 is set as 3 pawls.
The chassis 3 is provided in round chassis 3, and 3 edge of circular base plate is arranged 3 notches, a company is respectively set in notch Binding structure, connection structure are connect with three-jaw structure, and three-jaw structure can relatively rotate in junction;Three-jaw structure passes through opposite The opening and closure of three-jaw are realized in rotation.
The connection structure is set as cylindrical connecting column 31, and the interposition of the notch is arranged in the connecting column 31 It sets, the connecting column 31 and 3 integrally connected of chassis;The setting of cylindrical connecting column 31 rotates convenient for three-jaw structure.
The three-jaw structure includes the connection ring 21 of integrally connected, tilting section 22 and with hook segment 23, and the connection ring 21 is set It sets in the periphery of connecting column 31, the diameter of connection ring 21 is big compared with the diameter of connecting column 31, and connection ring 21 is shaft with connecting column 31 It relatively rotates;Band hook segment 23 is the inclined structure in portion slightly inwards;The setting of ring spring structure 24 is in band 23 front of hook segment.This Setting of the kind with hook segment 23 can guarantee big grasping force when grasping.
The tilting section 22 and the main body with hook segment 23 are set as rectangular slab, the setting of rectangular slab make three-jaw structure have compared with Strong stability and grasping force.
Control structure on the chassis 3 is set as control-rod 32.
32 main body of control-rod is set as the round and smooth rectangular configuration in edge, and one " L " is arranged in 32 free end of control-rod Shape control-rod handle 321,32 handle of control-rod stretch out 1 outside of outer sheath;By push-and-pull control-rod 32 can with mobile chassis 3, from And move the position of three-jaw structure.
The removable disk 4 is provided in round removable disk 4, and 3 ellipse holes are arranged in round 4 edge of removable disk 42, the three-jaw of three-jaw structure is each passed through 3 ellipse holes 42, the square of the size of the ellipse hole 42 compared with three-jaw structure The size of shape plate cross-sectional area is big;It can control the opening and closure of three-jaw structure by mobile removable disk 4.
The removable disk 4 and the round stretch hole 41 of 3 center setting of chassis one, the interior one drawing knot of setting of the stretch hole Structure, drawing structure one end are fixed in removable disk 4, and the other end passes through 3 center of chassis and stretches out outside outer sheath 1;By leading Pull-up structure, may be implemented the movement of removable disk 4, to realize the opening and closure of three-jaw structure.
The drawing structure is drawing item 43;It pulls item 43 and 4 integrally connected of removable disk or the drawing item 43 is tight Block section 431 is arranged in the position of the over and under of adjacent removable disk 4, and drawing item 43 stretches out one circle of one end setting of outer sheath 1 Arc stretch ring 432;Drawing item 43 can be fixed in removable disk 4 by setting block section 431, to make removable disk 4 follow drawing item 43 mobile, and the setting of stretch ring pulls drawing item 43 convenient for operator.During taking out stand tube, lead Tie rod 43 moves forward, and may further ensure that the pressure of front end contact surface, reduces and slips risk.
The block section 431 is set as cylindrical block section 431, and the diameter of cylindrical block section 431 is straight compared with stretch hole Diameter is big;Such setting guarantees that drawing item 43 is fixedly secured in removable disk 4, to guarantee that pulling item 43 drives removable disk 4 It is mobile.
The ring spring structure 24 and three-jaw structure welding;Such setting can make three-jaw structure in the work of not external force Certain angle can be opened, with lower so as to use lesser power drawing drawing silk that can sufficiently open three-jaw structure.
In 1 front end outer side of outer sheath, location structure, outside of the location structure around 1 front end of outer sheath are set Wall;Location structure the position of outer sheath 1 can be fixed, and prevent outer sheath 1 from the mobile deviation for leading to action direction occurs.
The location structure includes positioning gasbag 5, snorkel 51, inflatable structure;The positioning gasbag 5 is arranged in outer sheath On the lateral wall of 1 front end;Described 51 one end of snorkel and 5 integrally connected of positioning gasbag, 51 other end of snorkel stretch out outer sheath 1 Outside is inflated to positioning gasbag 5 by inflatable structure, is affixed on 52 outer wall of gas cell in bile duct wall, played outer sheath 1 is fixed Purpose in the middle part of bile duct.
Inflatable structure is set as gas cell 52, and 51 nozzle of snorkel for stretching out 1 one end of outer sheath integrally connects with gas cell 52 It connects, switch valve 521 is set between gas cell 52 and snorkel 51;Switch valve 521 is arranged can be after the completion of inflation by switch valve 521 close, and prevent the gas in positioning gasbag 5 from shedding, and open switch valve 521 after taking out bracket, release in positioning gasbag 5 Then it is external to be drawn out patient by gas for outer sheath 1.
The outer sheath 1 is set as cylindrical, massive hose, and 3 channels are arranged in outer sheath 1, including drawing item 43 leads to 51 channel 13 of road 11,32 channel 12 of control-rod and snorkel;It is outer that such setting can guarantee that drawing item 43 and control-rod 32 follow Sheath 1 is moved synchronously and is bent, and guarantees the control to front chassis 3 and removable disk 4.
One section of hollow pipe 14 is arranged in the front end of the outer sheath 1, and the length of hollow pipe 14 is not less than three-jaw structure division Total length, hollow pipe 14 can accommodate three-jaw structure;Three-jaw structure is located at before opening in hollow pipe 14, avoids scratching gallbladder Pipe.
In use, the internal outer sheath 1 with three-jaw structure is sent into patient's body, after reaching bracket position, squeeze Air bag is pressed, the expansion of positioning gasbag 5 is heaved and is tightly attached on bile duct inner wall, so that the position of outer sheath 1 is fixed, then to It is preceding that the control-rod 32 on chassis 3 is pushed to be moved to three-jaw structure out of hollow pipe 14 outside outer sheath 1, it is rear by leading backward Pull-up structure makes removable disk 4 move backward the opening angle for increasing three-jaw structure with this, is greater than front end opening dimension outside bracket Diameter is simultaneously socketed in stent outer, rear to unclamp drawing structure, and three-jaw then can be tightly attached to bracket by elastic force by the ring spring of front end It is external to be finally drawn out patient by outside for outer sheath 1.
The explanation of above-described embodiment is only intended to understand the present invention.It should be pointed out that for those of ordinary skill in the art For, without departing from the principle of the present invention, several improvement can also be carried out to the present invention, these improvement will also fall into this In invention scope of protection of the claims.

Claims (10)

1.一种爪形胆管及胰腺支架取出器械,其包括外鞘管(1),可伸开的多爪结构(2),底盘(3)及可移动盘(4),其特征在于,所述多爪结构(2)设置在外鞘管(1)的内部;所述多爪结构(2)设置在底盘(3)上,多爪结构(2)最前端设置一环形弹簧结构(24);所述底盘(3)上设置一控制底盘(3)移动的控制结构,底盘(3)前方设置一可移动盘(4);所述可移动盘(4)中央设置一牵拉结构,牵拉结构穿过底盘(3)中央从外鞘管(1)后端伸出;控制结构经过外鞘管(1)后从外鞘管(1)伸出;多爪结构(2)与底盘(3)的连接为可转动连接方式;可移动盘(4)上设置供多爪结构(2)穿过的穿孔;多爪结构(2)的每个爪从底盘(3)处向外倾斜,形成的多爪结构(2)从底盘(3)向前方逐渐变大;环形弹簧结构(24)设置在爪形结构前端;非形变状态下环形弹簧结构(24)内部圆的直径小于支架管外径。1. a claw-shaped bile duct and pancreas stent take out instrument, it comprises outer sheath tube (1), stretchable multi-claw structure (2), chassis (3) and movable plate (4), it is characterized in that, all The multi-claw structure (2) is arranged inside the outer sheath tube (1); the multi-claw structure (2) is arranged on the chassis (3), and an annular spring structure (24) is arranged at the front end of the multi-claw structure (2); A control structure for controlling the movement of the chassis (3) is arranged on the chassis (3), a movable plate (4) is arranged in front of the chassis (3); a pulling structure is arranged in the center of the movable plate (4) to pull The structure protrudes from the rear end of the outer sheath tube (1) through the center of the chassis (3); the control structure protrudes from the outer sheath tube (1) after passing through the outer sheath tube (1); the multi-claw structure (2) and the chassis (3) ) is a rotatable connection; the movable plate (4) is provided with a perforation for the multi-claw structure (2) to pass through; each claw of the multi-claw structure (2) is inclined outward from the chassis (3) to form The multi-claw structure (2) gradually becomes larger from the chassis (3) to the front; the annular spring structure (24) is arranged at the front end of the claw-shaped structure; the diameter of the inner circle of the annular spring structure (24) in the non-deformed state is smaller than the outer diameter of the bracket tube . 2.根据权利要求1所述的爪形胆管及胰腺支架取出器械,其特征在于,所述多爪结构(2)设置3-6个爪;其中优选设置3个爪。2 . The claw-shaped bile duct and pancreas stent extraction apparatus according to claim 1 , wherein the multi-claw structure ( 2 ) is provided with 3-6 claws; wherein preferably 3 claws are provided. 3 . 3.根据权利要求1所述的爪形胆管及胰腺支架取出器械,其特征在于,所述底盘(3)设置为圆形底盘(3),圆形底盘(3)边缘设置3个缺口,缺口内分别设置一连接结构。3. The claw-shaped bile duct and pancreas stent extraction apparatus according to claim 1, wherein the chassis (3) is set as a circular chassis (3), and the edge of the circular chassis (3) is provided with 3 gaps, the gaps A connection structure is respectively arranged inside. 4.根据权利要求3所述的爪形胆管及胰腺支架取出器械,其特征在于,所述连接结构设置为圆柱形连接柱(31),所述连接柱(31)设置在所述缺口的中间位置,所述连接柱(31)与底盘(3)一体连接。4. The claw-shaped bile duct and pancreas stent extraction device according to claim 3, wherein the connecting structure is configured as a cylindrical connecting column (31), and the connecting column (31) is arranged in the middle of the gap position, the connecting column (31) is integrally connected with the chassis (3). 5.根据权利要求1所述的爪形胆管及胰腺支架取出器械,其特征在于,所述可移动盘(4)设置为圆形可移动盘(4),圆形可移动盘(4)边缘设置3个椭圆形通孔(42),三爪结构的三爪分别穿过3个椭圆形通孔(42),所述椭圆形通孔(42)的尺寸较三爪结构的矩形板横截面积的尺寸大。5. The claw-shaped bile duct and pancreas stent extraction apparatus according to claim 1, wherein the movable disk (4) is configured as a circular movable disk (4), and the edge of the circular movable disk (4) is Three oval through holes (42) are provided, and the three claws of the three-claw structure respectively pass through the three oval through holes (42), and the size of the oval through holes (42) is larger than that of the rectangular plate of the three-claw structure. The size of the area is large. 6.根据权利要求1所述的爪形胆管及胰腺支架取出器械,其特征在于,所述可移动盘(4)及底盘(3)中央设置一圆形牵拉孔(41),所述牵拉孔内设置一牵拉结构,牵拉结构一端固定在可移动盘(4)上,另一端穿过底盘(3)中央伸出外鞘管(1)外。6. The claw-shaped bile duct and pancreas stent extraction apparatus according to claim 1, wherein a circular pulling hole (41) is provided in the center of the movable plate (4) and the base plate (3), and the pulling A pulling structure is arranged in the pulling hole, one end of the pulling structure is fixed on the movable plate (4), and the other end extends out of the outer sheath tube (1) through the center of the chassis (3). 7.根据权利要求1所述的爪形胆管及胰腺支架取出器械,其特征在于,在所述外鞘管(1)前端外侧设置定位结构,所述定位结构环绕外鞘管(1)前端的外侧壁。7. The claw-shaped bile duct and pancreas stent extraction apparatus according to claim 1, wherein a positioning structure is provided on the outside of the front end of the outer sheath tube (1), and the positioning structure surrounds the front end of the outer sheath tube (1). outer side wall. 8.根据权利要求7所述的爪形胆管及胰腺支架取出器械,其特征在于,所述定位结构包括定位气囊(5)、通气管(51)、充气结构;所述定位气囊(5)设置在外鞘管(1)前端的外侧壁上;所述通气管(51)一端与定位气囊(5)一体连接,通气管(51)另一端伸出外鞘管(1)外侧。8. The claw-shaped bile duct and pancreatic stent extraction device according to claim 7, wherein the positioning structure comprises a positioning airbag (5), a ventilation tube (51), and an inflation structure; the positioning airbag (5) is provided with On the outer side wall of the front end of the outer sheath tube (1); one end of the ventilation tube (51) is integrally connected with the positioning airbag (5), and the other end of the ventilation tube (51) extends out of the outer sheath tube (1). 9.根据权利要求1-8任意一项所述的爪形胆管及胰腺支架取出器械,其特征在于,所述外鞘管(1)设置为圆柱形实心软管,在外鞘管(1)内设置3个通道,包括牵拉条(43)通道(11)、控制杆(32)通道(12)及通气管(51)通道(13)。9. The claw-shaped bile duct and pancreas stent extraction apparatus according to any one of claims 1-8, wherein the outer sheath tube (1) is configured as a cylindrical solid flexible tube, inside the outer sheath tube (1) Three passages are provided, including the passage (11) of the pulling strip (43), the passage (12) of the control rod (32) and the passage (13) of the ventilation pipe (51). 10.根据权利要求9所述的爪形胆管及胰腺支架取出器械,其特征在于,所述外鞘管(1)的前端设置一段空心管(14),空心管(14)的长度不小于三爪结构部分的总长度。10. The claw-shaped bile duct and pancreas stent extraction device according to claim 9, characterized in that, a section of hollow tube (14) is arranged at the front end of the outer sheath tube (1), and the length of the hollow tube (14) is not less than three The total length of the claw structure part.
CN201811541466.7A 2018-12-17 2018-12-17 A claw-shaped bile duct and pancreas stent extraction device Active CN109620490B (en)

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