CN109805987A - A kind of medical clip - Google Patents

A kind of medical clip Download PDF

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Publication number
CN109805987A
CN109805987A CN201910176738.6A CN201910176738A CN109805987A CN 109805987 A CN109805987 A CN 109805987A CN 201910176738 A CN201910176738 A CN 201910176738A CN 109805987 A CN109805987 A CN 109805987A
Authority
CN
China
Prior art keywords
medical clip
clamping limb
clip
transmission shaft
release device
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.)
Withdrawn
Application number
CN201910176738.6A
Other languages
Chinese (zh)
Inventor
马翠平
王芳军
刘鹏飞
刘华敏
王文平
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Jiangyin Peoples Hospital
Original Assignee
Jiangyin Peoples Hospital
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.)
Filing date
Publication date
Application filed by Jiangyin Peoples Hospital filed Critical Jiangyin Peoples Hospital
Priority to CN201910176738.6A priority Critical patent/CN109805987A/en
Publication of CN109805987A publication Critical patent/CN109805987A/en
Withdrawn legal-status Critical Current

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Abstract

The present invention provides a kind of medical clips, including clamping device, the clamping device includes clamping limb, small steel bushing, transmission shaft and positioning sleeve, clamping limb is connected on transmission shaft and is placed into positioning sleeve together, positioning sleeve is close to clamping limb one end by small steel bushing banding, wherein transmission shaft is equipped with through-hole close to clamping limb one end, and flexible coil passes through in hole, and draw is played in art.Medical clip of the invention, it can be used for interior arthroscopic diagnosis, further improve the overall structure and application method of medical clip drawing system, lead is more freely, without passing in and out scope repeatedly, using more safe and convenient, the damage risk to the root of the tongue, bottleneck throat and other positions alimentary canal mucous membrane is avoided.

Description

A kind of medical clip
Technical field
The invention belongs to aid device for endoscopic operation to have technical field, and in particular to a kind of medical clip.
Background technique
It often to be pressed from both sides using titanium in endoscopic surgery, titanium folder replaces silver brain clip for clamping and ligaturing tissue substantially at present. Conventional titanium clipping system is made of clamping device and release device two large divisions, in the course of surgery clamping device clamp after tissue with Release device separation.But decollement (ESD) is organized usually to be close to tissue adherence wall due to be processed under endoscopic mucosal, or even deep Enter mucosal wall certain depth, and existing titanium presss from both sides upon discharge just not again for the position of drawing, therefore is carrying out correlation When operation, inconvenient problem there is.Therefore, if without pulling device, it will affect the precision of surgical operation And efficiency.
A kind of scope medical clip of the external traction device of band of CN201520512750.7, discloses that " a kind of band is led in vitro The scope medical clip of leading-in device, it is characterised in that it includes collet and draught line, and the collet is equipped with graduation mark, collet It is equipped with draught line junction with clamp junction, draught line junction is connected with draught line, the draught line other end connection Have and widen draught line, the draught line junction include at draught line interface and clamp interface, clamp interface be fixedly connected on On clamp, interface is fixedly connected with draught line at draught line." solve the problems, such as how to pull in operation and clamped tissue.So And the drawing system designed is that the titanium with draught line is clamped to tissue, and draught line is led in vitro, and in vitro, assistant Tissue is lifted with draught line, is conducive to subsequent surgical procedure.Although its design has used Widening Design, because of draught line In traction process, the root of the tongue and bottleneck throat still want stress, careless slightly, throat will be caused to damage the root of the tongue and pharyngeal cutting Wound.It in terms of lead, can only draw outward, it is difficult to mobile to other lateral equal directions.When entering, draught line will be in pincers road Enter human body with scope outside, it is desirable to enter extremely difficult when deep alimentary canal (such as right hemicolon position), that is, allow to Into being also easy to damage alimentary canal mucous membrane.Also scope is pulled back again from alimentary canal when placing next piece, in this way Operation is inconvenient for doctor, not only dangerous but also very inefficient.
Summary of the invention
The object of the present invention is to provide a kind of medical clips, are solving how to pull the base for having clamped organisational issues when operation On plinth, the overall structure and application method of medical clip drawing system are further improved, lead more freely, is not necessarily to anti- Scope is passed in and out again, using more safe and convenient, avoids the wind to the damage of the root of the tongue, bottleneck throat and other positions alimentary canal mucous membrane Danger.
The present invention solves the above problems used technical solution are as follows:
A kind of medical clip, including clamping device, the clamping device include clamping limb, small steel bushing, transmission shaft and positioning Set, clamping limb is connected on transmission shaft and is placed into positioning sleeve together, positioning sleeve close to clamping limb one end by small steel bushing banding, Wherein transmission shaft is equipped with through-hole close to clamping limb one end, and flexible coil passes through in hole, and draw is played in art.
Optionally, 0.2~0.5 millimeter of the diameter of the through-hole.If through-hole is excessive, transmission shaft herein strong will be reduced Degree, if through-hole is too small, resilient coil is difficult to pass freely through, and will also limit the ability of resilient coil receiving pulling force.It is even more important , the present invention by via design on transmission shaft without design considering on clamping limb, small steel bushing and positioning sleeve be, such as Fruit is designed on clamping limb, certainly will allow easily-deformable clamping limb stress in mobile and traction process, to influence titanium folder itself Use.If design on small steel bushing or positioning sleeve, it is contemplated that resilient coil it is larger, with pincers road gap it is smaller, by nothing Method is accommodated in endoscopic forceps channel and then enters human body.Therefore, only by resilient coil design on transmission shaft, titanium will not be pressed from both sides former The usage mode come causes adverse effect, can also smoothly enter and enter human body by endoscopic forceps channel, and enter human body it Afterwards by the elasticity expansion of itself, reliable drawing resilient coil is provided.
Optionally, the positional distance transmission shaft of the through-hole is 0.2~0.5 millimeter close to clamping limb one end.If excessively It close to clamping limb, is then easy to fall off, also difficulty is manufactured, if being unfavorable for resilient coil too close to release device It is sufficiently spread out.
Optionally, resilient coil head and the tail mutually melt as an entirety, form one close to circular resilient sleeve, diameter 5 ~15 millimeters.If this set is excessive to will affect storage, it is not easy to endoscope passage is carried through, if too small, under being unfavorable for The drawing of one piece of medical clip.
Optionally, the material of the resilient coil be that polyamide, polyester, silica gel, the monofilament of rubber material or multiply are compiled Silk is knitted, there is good intensity, toughness and biocompatibility.
Optionally, the clamping limb is made of titanium and its alloy material.It is also possible to stainless steel, magnesium alloy, macromolecule etc. Other materials.
Optionally, the small steel bushing will constrain clamping close to the end face of clamping limb on the through-hole and transmission shaft on transmission shaft Between the card slot of arm roots, so that resilient coil is freely rotated.If through-hole will affect resilient coil in the inside of small steel bushing Freely it is unfolded, so that the drawing operation of latter piece of titanium folder is become difficult, it is remote extra small if lead to the hole site excessively protrudes outward Steel bushing, then clamping portion is also exposed by easy, clamping limb will lack constraint at that rate.Therefore, small steel bushing is close The end face of clamping limb will be constrained on the through-hole and transmission shaft on transmission shaft between the card slot of clamping arm roots.
When using clip of the present invention drawing tissue, used under scope completely, without mirror is extracted repeatedly Come, eliminates the risk of cutting tongue, throat and other positions alimentary canal mucous membrane, specifically includes the following steps:
Step 1: medical clip one is connect with release device, pass through together with release device after income release device interior Channel on mirror enters human body;
Step 2: medical clip one is clipped at destination organization, release device is exited after discharging medical clip;
Step 3: one piece of medical clip two is taken to connect with release device again, take in after release device together with release device Enter human body by the channel of scope;
Step 4: the clamping limb of the medical clip two taken after utilizing passes through the resilient coil of medical clip one, and pull bullet Property coil, the tissue that resilient coil can pull a clip position is mobile, until after being moved to required position, the doctor that is taken after operation Implement tissue clamping with clip.
Step 5: the medical clip two taken after release, exits release device.
So circulation can be by the draw tissue pulled required for operation to the position needed, in order to safety, accurately Cutting pathological tissues, ligation closure health tissue.Under scope, medical clip of the invention can be led to all directions It draws, and not having to can only be to external drawing as the prior art.
Compared with the prior art, the advantages of the present invention are as follows: how to be pulled when solving operation and has clamped organisational issues On the basis of, the overall structure and application method of medical clip drawing system are further improved, lead more freely, is not necessarily to Scope is passed in and out repeatedly, using more safe and convenient, avoids the damage wind to the root of the tongue, bottleneck throat and other positions alimentary canal mucous membrane Danger.
Detailed description of the invention
Fig. 1 is schematic structural view of the invention;
Fig. 2 is the figure after the positioning sleeve of Fig. 1 is splitted;
Fig. 3 is medical clip of the present invention with the use of rear status diagram.
Wherein:
The small steel bushing of 1- clamping limb, 2-, 3- transmission shaft, 4- positioning sleeve, 5- through-hole, 6- resilient coil.
Specific embodiment
Below in conjunction with attached drawing, present invention is further described in detail.
It can be seen from background technology that for traditional titanium folder under endoscopic surgery, there are still following deficiencies:
1. still having the risk of cutting tongue and throat although having broadened the width of pulling rope in buccal, making Used time needs assistant to do drawing operation.
2. can only be drawn outward in terms of lead, it is difficult to mobile to other lateral equal directions.
3. draught line will enter human body with scope outside pincers road when entering, it is desirable to enter deep alimentary canal (such as Right hemicolon position) when it is extremely difficult, even if being able to enter, be also easy to damage alimentary canal mucous membrane.
In order to solve the above technical problems, the present invention provides a kind of medical clip, including clamping device, the clamping device Including clamping limb 1, small steel bushing 2, transmission shaft 3 and positioning sleeve 4, clamping limb 1 is connected on transmission shaft 3 and is placed into positioning sleeve together In 4, positioning sleeve 4 is close to 1 one end of clamping limb by small 2 banding of steel bushing, and wherein transmission shaft 3 is equipped with through-hole 5 close to 1 one end of clamping limb, Flexible coil 6 passes through in hole, and draw is played in art.
Specifically, 0.2,0.3,0.4,0.5 millimeter of the diameter of the through-hole 5.If through-hole 5 is excessive, transmission shaft 3 will be reduced Intensity herein, if through-hole 5 is too small, resilient coil 6 is difficult to pass freely through, and will also limit the energy of the receiving pulling force of resilient coil 6 Power.
Specifically, the positional distance transmission shaft 3 of the through-hole 5 is 0.2,0.3,0.4,0.5 milli close to 1 one end of clamping limb Rice.If be easy to fall off too close to clamping limb 1, if being unfavorable for filling for resilient coil 6 too close to release device Divide expansion.
Specifically, the resilient coil 6 ending is mutually melted as an entirety, one is formed close to circular resilient sleeve, diameter is 5,6,7,8,9,10,11,12,13,14,15 millimeters.If this set is excessive to will affect storage, it is not easy to it is logical to be carried through scope Road is unfavorable for the drawing of next piece of medical clip if too small.The resilient coil 6 that head and the tail mutually combine together, which combines, more may be used It leans on.
Specifically, the material of the resilient coil 6 is to be that polyamide, polyester, silica gel, the monofilament of rubber material or multiply are compiled Silk is knitted, there is good intensity, toughness and biocompatibility.
Specifically, the clamping limb 1 is made of titanium and its alloy material.It is also possible to stainless steel, magnesium alloy, macromolecule etc. Bio-medical material.
Specifically, the small steel bushing 2 will be constrained close to the end face of clamping limb 1 on the through-hole 5 and transmission shaft on transmission shaft Between the card slot for clamping arm roots.
When using clip of the present invention drawing tissue, used under scope completely, without mirror is extracted repeatedly Come, eliminates the risk of cutting tongue, throat and other positions alimentary canal mucous membrane, specifically includes the following steps:
Step 1: medical clip one is connect with release device, pass through together with release device after income release device interior Channel on mirror enters human body;
Step 2: medical clip one is clipped at destination organization, release device is exited after discharging medical clip one;
Step 3: one piece of medical clip two is taken to connect with release device again, take in after release device together with release device Enter human body by the channel of scope;
Step 4: passing through the resilient coil 6 of medical clip one using the clamping limb 1 of medical clip two, and pull elastica Circle 6, the tissue that resilient coil 6 can pull a clip position is mobile, until what is taken after operation is medical after being moved to required position Clip implements tissue clamping.
Step 5: the medical clip two taken after release, exits release device.
So circulation can be by the draw tissue pulled required for operation to the position needed, in order to safety, accurately Cutting pathological tissues, ligation closure health tissue.Under scope, medical clip of the invention can be led to all directions It draws, and not having to can only be to external drawing as the prior art.
Medical clip according to the present invention can be used for interior arthroscopic diagnosis, further improve medical clip drawing system The overall structure and application method of system, lead more freely, without passing in and out scope repeatedly, using more safe and convenient, are kept away The damage risk to the root of the tongue, bottleneck throat and other positions alimentary canal mucous membrane is exempted from.
It is to be understood that it will be understood by those skilled in the art that do not depart from the scope of the invention or essence when, can be to specific The present invention shown in embodiment carries out various change and equivalent replacement.Therefore, above-described embodiment is for explanatory purposes Rather than limitation of the present invention.In addition to the implementation, the invention also includes there is an other embodiments, it is all using equivalents or The technical solution that person's equivalence replacement mode is formed, should all fall within the scope of the hereto appended claims.

Claims (8)

1. a kind of medical clip, including clamping device, the clamping device includes clamping limb, small steel bushing, transmission shaft and positioning sleeve, It is characterized by: clamping limb is connected on transmission shaft and is placed into positioning sleeve together, positioning sleeve is small close to clamping limb one end Steel bushing banding, transmission shaft are equipped with through-hole close to clamping limb one end, and flexible coil passes through in through-hole, and draw is played in art.
2. medical clip as described in claim 1, it is characterised in that: 0.2~0.5 millimeter of the diameter of the through-hole.
3. medical clip as described in claim 1, it is characterised in that: the positional distance transmission shaft of the through-hole is close to clamping limb One end is 0.2~0.5 millimeter.
4. medical clip as described in claim 1, it is characterised in that: the resilient coil head and the tail mutually melt as an entirety, shape At one close to circular resilient sleeve, diameter is 5~15 millimeters.
5. medical clip as described in claim 1, it is characterised in that: the material of the resilient coil be polyamide, polyester, Silica gel, the monofilament of rubber material or multiply braided wires have good intensity, toughness and biocompatibility.
6. medical clip as described in claim 1, it is characterised in that: the clamping limb is made of titanium and its alloy material.
7. medical clip as described in claim 1, it is characterised in that: the small steel bushing will be driven close to the end face of clamping limb On through-hole and transmission shaft on axis between the card slot of constraint clamping arm roots.
8. a kind of application method of the medical clip as described in claim 1~7 is any, it is characterised in that:
Specifically includes the following steps:
Step 1: above-mentioned medical clip is connect with release device, pass through scope together with release device after taking in release device On channel enter human body;
Step 2: above-mentioned medical clip is clipped at destination organization, release device is exited after discharging medical clip;
Step 3: one piece of above-mentioned medical clip is taken to connect with release device again, lead to together with release device after taking in release device The channel for crossing scope enters human body;
Step 4: the clamping limb of the medical clip taken after utilizing passes through the resilient coil of upper one piece of medical clip, and pull elasticity Coil, the tissue that resilient coil can pull a clip position is mobile, until what is taken after operation is medical after being moved to required position Clip implements tissue clamping.
Step 5: the medical clip taken after release, exits release device.
CN201910176738.6A 2019-03-08 2019-03-08 A kind of medical clip Withdrawn CN109805987A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201910176738.6A CN109805987A (en) 2019-03-08 2019-03-08 A kind of medical clip

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201910176738.6A CN109805987A (en) 2019-03-08 2019-03-08 A kind of medical clip

Publications (1)

Publication Number Publication Date
CN109805987A true CN109805987A (en) 2019-05-28

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Family Applications (1)

Application Number Title Priority Date Filing Date
CN201910176738.6A Withdrawn CN109805987A (en) 2019-03-08 2019-03-08 A kind of medical clip

Country Status (1)

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CN (1) CN109805987A (en)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110292405A (en) * 2019-07-25 2019-10-01 宋若怡 A kind of cable type skin drawing and stretching closing device
CN114469266A (en) * 2022-01-26 2022-05-13 中国人民解放军北部战区总医院 Metal dental floss clamping integrated traction forceps assisting endoscope submucosal stripping and method

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110292405A (en) * 2019-07-25 2019-10-01 宋若怡 A kind of cable type skin drawing and stretching closing device
CN110292405B (en) * 2019-07-25 2023-11-24 宋若怡 Cable type skin stretching and closing device
CN114469266A (en) * 2022-01-26 2022-05-13 中国人民解放军北部战区总医院 Metal dental floss clamping integrated traction forceps assisting endoscope submucosal stripping and method
CN114469266B (en) * 2022-01-26 2023-07-07 中国人民解放军北部战区总医院 Metal clamp dental floss integrated traction forceps and method for assisting endoscopic submucosal stripping

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Application publication date: 20190528