CN109805977A - A kind of Medical hemostatic clamp - Google Patents
A kind of Medical hemostatic clamp Download PDFInfo
- Publication number
- CN109805977A CN109805977A CN201910218939.8A CN201910218939A CN109805977A CN 109805977 A CN109805977 A CN 109805977A CN 201910218939 A CN201910218939 A CN 201910218939A CN 109805977 A CN109805977 A CN 109805977A
- Authority
- CN
- China
- Prior art keywords
- pliers
- control line
- lock sleeve
- protrusion
- proximal end
- Prior art date
- 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.)
- Granted
Links
- 230000002439 hemostatic effect Effects 0.000 title claims abstract description 23
- 210000000078 claw Anatomy 0.000 claims description 20
- 230000000694 effects Effects 0.000 claims description 7
- 230000023597 hemostasis Effects 0.000 abstract description 9
- 238000010586 diagram Methods 0.000 description 10
- 208000032843 Hemorrhage Diseases 0.000 description 5
- 230000000740 bleeding effect Effects 0.000 description 4
- 208000012671 Gastrointestinal haemorrhages Diseases 0.000 description 3
- 238000001839 endoscopy Methods 0.000 description 3
- 238000005516 engineering process Methods 0.000 description 3
- 239000002184 metal Substances 0.000 description 3
- 238000000034 method Methods 0.000 description 3
- 235000014676 Phragmites communis Nutrition 0.000 description 2
- 239000008280 blood Substances 0.000 description 2
- 210000004369 blood Anatomy 0.000 description 2
- 230000001079 digestive effect Effects 0.000 description 2
- 201000010099 disease Diseases 0.000 description 2
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 2
- 238000000926 separation method Methods 0.000 description 2
- 230000001225 therapeutic effect Effects 0.000 description 2
- 206010067484 Adverse reaction Diseases 0.000 description 1
- 230000001154 acute effect Effects 0.000 description 1
- 230000006838 adverse reaction Effects 0.000 description 1
- 238000005452 bending Methods 0.000 description 1
- 230000000903 blocking effect Effects 0.000 description 1
- 230000017531 blood circulation Effects 0.000 description 1
- 210000004204 blood vessel Anatomy 0.000 description 1
- 238000007599 discharging Methods 0.000 description 1
- 208000030304 gastrointestinal bleeding Diseases 0.000 description 1
- 230000003902 lesion Effects 0.000 description 1
- 238000010297 mechanical methods and process Methods 0.000 description 1
- 230000035479 physiological effects, processes and functions Effects 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 230000000472 traumatic effect Effects 0.000 description 1
- 230000001960 triggered effect Effects 0.000 description 1
- 230000002792 vascular Effects 0.000 description 1
- 238000003466 welding Methods 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/122—Clamps or clips, e.g. for the umbilical cord
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/128—Surgical 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/128—Surgical 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
- A61B17/1285—Surgical 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
Abstract
The application provides a kind of Medical hemostatic clamp, under being guided for alimentary canal by endoscope, hemostasis and tissue suture operation, the Medical hemostatic clamp, comprising: pliers, lock sleeve, bourdon tube, control line, handle.Apply axial thrust and pulling force in handle to realize, the opening and closing of pliers, the locking of pliers can be realized with drive control line.Also, pliers can be separated easily from bourdon tube with lock sleeve, and be trapped in the function of reaching hemostasis and tissue suture in human body.
Description
Technical field
This application involves the field of medical instrument technology more particularly to a kind of Medical hemostatic clamps.
Background technique
Digestive endoscopy treatment technology development in recent years is swift and violent, and Alimentary tract disease recall rate is higher and higher, and hemorrhage of digestive tract is got over
Come it is more, it is also more and more by digestive endoscopy technology therapeutic scheme.Endoscope hemostasis folder because its traumatic small, anthemorrhagic speed is fast,
Bleeding event is low again, few intercurrent disease, it is curative for effect the features such as, it has also become critical patient acute gastrointestinal bleeding non-operative treatment
Method that is most effective, most having clinical value.
Metal clip hemostasis is one of hemostasis means of relatively broad application under scope, and skilled metal is carried out to appropriate case
Folder operation, effectively can stop blooding and prevent bleeding again, reduce adverse reaction, greatly improve the safety of hemorrhage of digestive tract therapeutic endoscopy
Property and cure rate.The hemostatic mechanism of metal hemostatic clamp and surgery vascular ligature or suture identical, are a kind of physical mechanical method, benefit
The mechanical force generated when being closed with hemostatic clamp ligatures its surrounding tissue and bleeding vessel together, so that it is closed the blood vessel of bleeding,
Reach hemostasis purpose with blocking blood flow, is controlled suitable for nonvariceal active hemorrhage and the hemostasis of visible vessels stump lesion
It treats or wound tissue sutures.
Because operating space is small, small by the work cavity of scope under scope, go out in Human Physiology bending for difficult
Blood position is often because position very limit existing product is opened and closed resistance after cannot reaching diseased region, or arrival diseased region
Greatly, asynchronous, the problems such as cannot smoothly discharging is rotated.
Summary of the invention
This application provides a kind of Medical hemostatic clamps, depend on fixation with release device to close device for existing instrument folder
The problem of connector connection, fixed connection device assembly complexity, operating difficulties, release force are not easy to greatly clinical female's nurse operation.
The application provides a kind of Medical hemostatic clamp, comprising:
Pliers, including at least two pliers arms are able to achieve opening and closure, and pliers arm is equipped with the sliding slot for opening and closing,
There is protrusion on the sliding slot;
Lock sleeve, for accommodating and locking the pliers;Be equipped in the lock sleeve fixed part that cooperates with sliding slot with
And the detachably connectable claw type portion with bourdon tube;
Control line connects the pliers, for controlling pliers opening and closure;There is the control line torque to transmit function
Can, to realize pliers rotational positioning;The end of the control line has the engaging portion detachably connectable with pliers proximal end;
Bourdon tube, for around the cylindrical tube sheath of control line, the spring tube end has convex-concave portion, by bump with
Lock sleeve is separably attached;
Handle connects control line, and for applying active force to control line, the handle has to the bourdon tube or control
The limited section of line transmitting torque.
Optionally, the sliding slot is multistage sliding slot, to realize opening and closing and the preliminary closure of pliers;Pliers proximal end has and control
The connected hole of line or axis, hole or axis can be such that pliers separates with the control line under control line pulling force effect, and provide to have and clamp
Attachment force needed for son opening and closing.
Optionally, the distal end of the lock sleeve is equipped with inside protrusion;Protrusion and sliding slot cooperate, to realize pliers
Opening and closing;The middle part of the lock sleeve is equipped with constraint step, and constraint step and pliers proximal end cooperate, to assist the locking of pliers;Institute
The proximal end for stating lock sleeve has claw, can be with the separable connection of spring end surfaces.
Optionally, the end face of bourdon tube is equipped with convex-concave portion, and the convex-concave portion is connect with the claw of lock sleeve proximal end;The bullet
Reed pipe has the protrusion engaged with handle, to transmit the torque of handle application, to realize the rotational positioning of pliers.
Optionally, the control line includes distal lobe and proximally-located portion, and the distal lobe can divide with pliers
Liftoff connection;It is being separated by protrusion described under pulling force effect with pliers, and is retreating the protrusion and lock sleeve proximal end pawl
Portion's contact, is deformed claw, separates with bourdon tube end lobes.
From the above technical scheme, the application provides a kind of Medical hemostatic clamp, including pliers, lock sleeve, bourdon tube, control
Line processed, handle.The structure of the hemostatic clamp is simple, it is easy to operate, be readily produced, be opened and closed flexibly, accurate positioning.It is described it is medical only
Blood folder may be implemented to apply axial thrust and pulling force in handle, and drive control line realizes the locking of the opening and closing of pliers, pliers.And
And pliers can be separated easily from bourdon tube with lock sleeve, and be detained in human body and reach the function of hemostasis and tissue suture.
Detailed description of the invention
In order to illustrate more clearly of the technical solution of the application, letter will be made to attached drawing needed in the embodiment below
Singly introduce, it should be apparent that, for those of ordinary skills, without creative efforts, also
Other drawings may be obtained according to these drawings without any creative labor.
Fig. 1 is the overall structure diagram of the application Medical hemostatic clamp;
Fig. 2 is the structural schematic diagram of the application pliers;
Fig. 3 is the structural schematic diagram of the application control line;
Fig. 4 is the structural schematic diagram of the application pliers open configuration;
Fig. 5 is the structural schematic diagram of the application lock sleeve;
Fig. 6 is the structural schematic diagram that the application pliers is closed non-lockup state;
Fig. 7 is the structural schematic diagram that the application pliers is closed lockup state gliding groove and protrusion;
Fig. 8 is the structural schematic diagram that the application pliers is closed lock sleeve step under lockup state;
Fig. 9 is structural schematic diagram when the application control line moves backward;
Figure 10 is structural schematic diagram when the application lock sleeve is separated with bourdon tube.
Specific embodiment
Embodiment will be illustrated in detail below, the example is illustrated in the accompanying drawings.In the following description when referring to the accompanying drawings,
Unless otherwise indicated, the same numbers in different drawings indicate the same or similar elements.Implement described in following embodiment
Mode does not represent all embodiments consistent with the application.It is only and be described in detail in claims, the application
The example of the consistent system and method for some aspects.
As shown in Figure 1, the application provides a kind of Medical hemostatic clamp, including pliers 1, lock sleeve 2, bourdon tube 3, control line 4,
Handle 5.Wherein, as shown in Fig. 2, the pliers 1 has multistage sliding slot, to realize opening and closing and the preliminary closure of pliers 1;Pliers 1 is close
Holding has the hole that is connected with control line 4 or axis, the hole or axis can under the certain pulling force effect of control line 4 pliers 1 with it is described
Control line 4 separates, but attachment force needed for having normal opening and closing.
The lock sleeve 2 has the inwardly projecting portion 2a in distal end, can cooperate with 1 sliding slot of pliers, to realize opening for pliers 1
It closes.There is constraint step 2c in the middle part of lock sleeve 2, the locking to assist realizing pliers 1 can be cooperated with 1 proximal end of pliers;Its proximal end
It, can be with the separable engagement in 3 end face of bourdon tube with claw protrusion 2d.
The bourdon tube 3 has end face convex-concave portion, and the convex-concave portion is connect with 2 proximal end claw protrusion 2d of lock sleeve;It is described
Bourdon tube 3 rotates the protrusion to misplace for preventing with what is engaged with handle 5, the torque of the application of handle 5 can be transmitted,
To realize the rotational positioning of pliers 1.
As shown in figure 3, the control line 4 has distal lobe and a proximally-located portion, the distal lobe can be with
Pliers 1 is separably attached, and under by certain pulling force effect, the protrusion separates step retrogressing of going forward side by side with 1 tail portion of pliers and is somebody's turn to do
Protrusion is contacted with 2 proximal end claw protrusion 2d of lock sleeve, and is triggered claw protrusion 2d and be deformed, thus with bourdon tube 3
End lobes separation.
In practical application, as shown in Fig. 2, the pliers of hemostatic clamp may include two intermediate plates, 1a is at least for intermediate plate distal portion
Tissue is accommodated after two intermediate plates are relatively closed, intermediate plate proximal end tooth-like part 1b enhances locking organizational capacity after folder closes tissue, described
Sliding slot has distal portion 1c and close end 1d, and intermediate ledge 1f.Intermediate ledge 1f has deformability, works as protrusion
1f can be deformed when being oppressed by distal end pin shaft 6, so that distal end pin shaft 6 reaches distal portion 1c;The center distal portion 1c can be with
With intermediate plate closure concordant profipole A overlapping, offset can also be generated relative to concordant profipole A, distal chute center and intermediate plate uropore 1g are generated
Certain angle.
Further, intermediate plate uropore 1g can may be slotted hole for circular hole, proximal end tail portion be equipped with protrusion 1e (or
Tail is claimed to hook), for constraining step 2c locking in the middle part of intermediate plate and lock sleeve.Intermediate plate uropore slot 1h can elongated slot or to crack, with
Locking convenient for completing deformation herein, for intermediate plate and lock sleeve.
In order to allow control line 4 preferably to transmit torque, and in the front end of control line 4 there is submissive performance, with energy
Enough pass through endoscope passage.As shown in figure 3, control line 4 can be made of multi-section-line, wherein distal portion has fixed pin shaft 4a
And multiply coiling line, the proximal wire 4d with step 4b are that single cord hardness with higher transmits axial force, and rotation is turned round
Square, connecting tube 4c play the role of connecting step 4b and connecting tube 4c, can be consolidated by riveting, the both ends welding connecting tube 4c
It is fixed.Further, the fixed pin shaft 4a of 4 distal portion of control line and its fixation step 4b and connecting tube 4c can be fabricated to one
It is whole.
As shown in figure 4, intermediate plate slide groove portion limits the protrusion 1f that distal end pin shaft 6 moves in the case where pliers is in open configuration,
And uropore 1g is connected with the fixed pin shaft 4a of control line 4 and fixed step 4b, fixed pin shaft 4a can drive pliers 1 to realize
It moves back and forth.
As shown in figure 5, the distal end of lock sleeve 2 is equipped with the hole 2b of introversive protrusion 2a and stationary remote pin shaft, with
The sliding slot of pliers 1 cooperates, and realizes the opening and closing of pliers 1.The middle-end of lock sleeve 2 has constraint step 2c, to realize and respective folder
Piece tail portion protrusion 1e (or tail hook) is locked.The proximal end of lock sleeve 2 has claw protrusion 2d and claw step 2e, control
Fixation step 4b on line 4 can produce the deformation to claw protrusion 2d cooperation, and claw step 2e can be with 3 end face shape of bourdon tube
At separable combination.
As shown in fig. 6, when 2 intermediate plates are in closed state, but when there is no lockup state, the structure of pliers 1 has receiving group
The region protrusion 1f of the intermediate plate distal portion 1a and distal chute protrusion that knit, to increase the resistance to distal end pin shaft 6, with
And protrusion limitation distal end pin shaft 6 advances to reach pliers closure but the not state of locking.
The proximal end of pliers 1, which is equipped in the middle part of the protrusion 1e (or tail hook) and lock sleeve 2 of intermediate plate tail portion, constrains step 2c
Contact between the two, to increase resistance and protrusion 1e the limitation advance of distal end pin shaft 6 to distal end pin shaft 6 to reach
Pliers closure but the not state of locking.At this point, if medical staff to confirm clamping wrong when needing to reopen pliers, can be with
Driving handle 5 drives intermediate plate to travel forward with drive control line 4 forward, and using cam principle, opposite proximal end pin shaft 6 is fixed on lock
The fixed motionless condition lower clamping piece of hole 2b opens again along the chute.
As shown in fig. 7, when medical staff determine tissue clamping without mistaking, by pull back handle 5 drive control line 4 to
It moves afterwards and then the continuation of pliers 1 is driven to move backward.When the power of the application is greater than the power of protrusion 1e limitation distal end pin shaft 6
When, pliers 1 crosses protrusion and enters distal chute, and deformation occurs enters in the middle part of lock sleeve about by intermediate plate tail portion protrusion 1e at this time
In Shu Taijie 2c.
As shown in figure 8, protrusion 1e, under the active force of further control line 4, intermediate plate uropore slot 1h generates deformation, tail portion
Protrusion 1e is stopped to lateral rotation or deformation, the constraint step 2c for hanging over lock sleeve 2 with reaching axial pin.It can not repeat at this time
It opens.
As shown in figure 9, when pliers 1 in the closure state, control line 4 moves backward, on control line 4 fixed pin shaft 4a and
Fixed step 4b, separates from the uropore 1g of pliers 1, and the claw protrusion 2d on fixed step 4b compressing lock sleeve 2 keeps claw convex
It plays 2d and generates deformation, the claw step 2e on lock sleeve 2 is forced to open, so that lock sleeve step be made to generate with bourdon tube step 3a
Separation.
As shown in Figure 10, when 1 closed state of pliers, control line 4 moves backward, and control line 4 is pulled in bourdon tube 3, bullet
3 step 3a of reed pipe is kept completely separate with lock sleeve 2.
From the above technical scheme, the application provides a kind of Medical hemostatic clamp, including pliers 1, lock sleeve 2, bourdon tube
3, control line 4, handle 5.The structure of the hemostatic clamp is simple, it is easy to operate, be readily produced, be opened and closed flexibly, accurate positioning.It is described
Medical hemostatic clamp may be implemented to apply axial thrust and pulling force in handle 5, and drive control line 4 realizes the opening and closing of pliers 1, pliers 1
Locking.Also, pliers 1 can be separated easily from bourdon tube 3 with lock sleeve 2, and be detained in human body and reached hemostasis and group
Knit the function of suture.
Similar portion cross-reference between embodiment provided by the present application, specific embodiment provided above is only
It is several examples under the total design of the application, does not constitute the restriction of the application protection scope.For those skilled in the art
For member, any other embodiment expanded without creative efforts according to application scheme all belongs to
In the protection scope of the application.
Claims (5)
1. a kind of Medical hemostatic clamp characterized by comprising
Pliers, including at least two pliers arms are able to achieve opening and closure, and pliers arm is equipped with the sliding slot for opening and closing, described
There is protrusion on sliding slot;
Lock sleeve, for accommodating and locking the pliers;Be equipped in the lock sleeve fixed part cooperated with sliding slot and with
The detachably connectable claw type portion of bourdon tube;
Control line connects the pliers, for controlling pliers opening and closure;The control line has torque transfer function, with
Realize pliers rotational positioning;The end of the control line has the engaging portion detachably connectable with pliers proximal end;
Bourdon tube passes through bump and locking for around the cylindrical tube sheath of control line, the spring tube end has convex-concave portion
It covers separably attached;
Handle connects control line, and for applying active force to control line, the handle, which has to the bourdon tube or control line, to be passed
The limited section of torque delivery.
2. Medical hemostatic clamp as described in claim 1, which is characterized in that the sliding slot is multistage sliding slot, to realize pliers
Opening and closing and preliminary closure;There is the hole being connected with control line or axis, hole or axis can make to clamp under control line pulling force effect for pliers proximal end
It is sub to be separated with the control line, and the attachment force for having pliers opening and closing required is provided.
3. Medical hemostatic clamp as described in claim 1, which is characterized in that the distal end of the lock sleeve is equipped with inside protrusion
Portion;Protrusion and sliding slot cooperate, to realize the opening and closing of pliers;The middle part of the lock sleeve be equipped with constraint step, constraint step with
Pliers proximal end cooperation, to assist the locking of pliers;The proximal end of the lock sleeve has claw, can be separable with spring end surfaces
Connection.
4. Medical hemostatic clamp as described in claim 1, which is characterized in that the end face of bourdon tube is equipped with convex-concave portion, the convex-concave
Portion is connect with the claw of lock sleeve proximal end;The bourdon tube has the protrusion engaged with handle, to transmit the torsion of handle application
Square, to realize the rotational positioning of pliers.
5. Medical hemostatic clamp as described in claim 1, which is characterized in that the control line includes that distal lobe and proximal end are fixed
Position portion, the distal lobe and pliers are separably attached;It is being separated by protrusion described under pulling force effect with pliers, and
It retreats the protrusion to contact with lock sleeve proximal end claw, is deformed claw, is separated with bourdon tube end lobes.
Priority Applications (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN201910218939.8A CN109805977B (en) | 2019-03-21 | 2019-03-21 | Medical hemostatic clamp |
PCT/CN2019/125022 WO2020186838A1 (en) | 2019-03-21 | 2019-12-13 | Medical hemostatic clip |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN201910218939.8A CN109805977B (en) | 2019-03-21 | 2019-03-21 | Medical hemostatic clamp |
Publications (2)
Publication Number | Publication Date |
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CN109805977A true CN109805977A (en) | 2019-05-28 |
CN109805977B CN109805977B (en) | 2024-03-05 |
Family
ID=66609874
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CN201910218939.8A Active CN109805977B (en) | 2019-03-21 | 2019-03-21 | Medical hemostatic clamp |
Country Status (2)
Country | Link |
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CN (1) | CN109805977B (en) |
WO (1) | WO2020186838A1 (en) |
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WO2020186838A1 (en) * | 2019-03-21 | 2020-09-24 | 南微医学科技股份有限公司 | Medical hemostatic clip |
WO2020211725A1 (en) * | 2019-04-17 | 2020-10-22 | 南微医学科技股份有限公司 | Medical device for tissue hemostasis or closure |
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