Disclosure of Invention
In view of the foregoing, it would be desirable to provide a disposable tissue closure clip base that is capable of quickly attaching multiple closure clips to clip appliers, having a fixed clip base and a sliding clip base, by providing a predetermined number of sliding clip bases to accommodate clip appliers having multiple closure clips.
A disposable tissue closing clamp base is used for loading a plurality of closing clamps, the base comprises a base, a fixing clamp seat arranged on the base and more than one sliding clamp seat arranged on the base, the fixing clamp seat is fixedly arranged on the base, a first supporting component is arranged on the fixing clamp seat and used for supporting a first closing clamp, each sliding clamp seat is provided with a second supporting component and used for supporting a second closing clamp, the base is limited with more than one cavity, each cavity is provided with one sliding clamp seat, the side wall of each cavity is provided with a sliding guide structure for guiding the sliding clamp seat, and the sliding clamp seat slides into the bottom of the cavity through the sliding guide structure.
Further, the number of the sliding clamp seats is more than two, the number of the cavities is two, the two sliding clamp seats are correspondingly accommodated, the more than two sliding clamp seats are arranged in parallel and are arranged in parallel with the fixed clamp seat, and the fixed clamp seat is located at the outermost side.
Further, two adjacent cavities share a first side wall, each cavity further comprises a second side wall opposite to the first side wall, a third side wall and a fourth side wall adjacent to the first side wall and the second side wall respectively, the third side wall is opposite to the fourth side wall, a plurality of jacking posts extend upwards from the third side wall and the fourth side wall, a plurality of jacking posts are provided with barbs at the top ends for enabling the clip seat to slide in to prevent the clip seat from withdrawing, and a plurality of guide sliding posts extend upwards from the first side wall and the second side wall.
Further, the first side wall and the second side wall are hollowed and then remain the guide slide column part, the guide slide column is located at two ends of the second side wall and is adjacent to the third side wall and the fourth side wall, each cavity comprises a sliding cavity and a fixing cavity, when the closed clamp is taken out, each clamp seat slides into the fixing cavity through the sliding cavity, the third side wall and the fourth side wall are hollowed partially along the sliding direction, an anti-back hook is arranged at the position of the partial hollowed part, and the anti-back hook is downwards extended by the inner wall of the sliding cavity and is provided with an inverted buckle part which enables the clamp seat to slide to prevent the clamp seat from upwards retracting at the bottommost end.
Further, the plurality of jacking posts and the plurality of guide slide posts are arranged around the sliding clamp seat in a ring mode, the plurality of jacking posts and the plurality of guide slide posts are provided with inner cylindrical surfaces, the inner cylindrical surfaces and the inner wall surfaces of the cavities are located on the same vertical plane, the clamp seat slides into the sliding cavity and the fixed cavity along the plurality of inner cylindrical surfaces and the inner wall surfaces, and the guide slide structure comprises the inner cylindrical surfaces and the inner wall surfaces of the side walls.
Further, the plurality of closing clamps arranged on the base are sequentially arranged in the binding clip of one clip applier, the arrangement sequence of the plurality of closing clamps from outside to inside is that the first closing clamps and the second closing clamps are arranged when the plurality of closing clamps are arranged in the binding clip, and the sliding length of the sliding guide structure is larger than the stroke of the binding clip of the clip applier for arranging all the closing clamps.
Further, the base comprises an upper base and a lower base, the sliding cavity is arranged on the upper base, the fixing cavity is arranged on the lower base, and the fixing clamp seat is arranged on a fixing seat part on one side edge of the lower base.
Further, the fixing clip seat comprises a first clip seat body, a first support column and a fixing seat, wherein the first clip seat body comprises two side walls, a gap for accommodating a first closing clip is defined between the two side walls, the first support column is arranged in the gap to support a bending part of the first closing clip, the fixing seat is provided with a support position for stopping the tail ends of two clip arms of the first closing clip and a fixing foot for fixing the fixing clip seat on a base, and the first support assembly comprises a first support column and the fixing seat.
Further, the sliding clip seat comprises a second clip seat body and a supporting outer seat, a second supporting column is upwards extended from the bottom surface of the base, the second clip seat body comprises two clip side walls, the clip applier is provided with a storage cabin for receiving the closed clip, a gap for accommodating the storage cabin is limited between the two clip side walls, a clamping groove is formed in the bottom end of the two clip side walls, the clamping groove is provided with a hollow hole to penetrate through the gap and is provided with supporting surfaces for combining second closed clip arms at two sides of the hollow hole, the second supporting column is supported at the tail end of one clip arm of the second closed clip, the hollow hole positions a bending part of the second closed clip, the second closed clip is held by the clamping groove and the supporting column, and the second supporting component comprises the second supporting column and the supporting outer seat.
Further, the cavity is opened upwards, the top column and the guide sliding column are arranged at the edge of the opening, the lower base is provided with a base plate, the second support column is a sheet column body and protrudes out of the base plate, and the second support column is provided with a supporting concave-convex structure which is matched with the second closing clamp to support the second closing clamp.
The base of the disposable tissue closing clamp is provided with the fixing clamp seat and the sliding clamp seat, wherein the fixing clamp seat can be used for fixing the first closing clamp, and the first closing clamp is usually positioned at the periphery of the clip applier and is in a free opening state. Moreover, by providing a predetermined number of slide clamp holders for the co-installation of a plurality of non-external second closure clamps, because the plurality of second closure clamps are in a compressed state in the clip applier, the base has more than one cavity, one slide clamp holder is provided per cavity, the side wall of each cavity is provided with a slide guiding structure for guiding the slide clamp holders, the slide clamp holders slide into the bottoms of the cavities through the slide guiding structures, thus allowing the clip applier to have a certain stroke when loading, and the plurality of second closure clamps are compressively loaded in the clip applier through the co-operation of the clip applier with the slide clamp holders and the second support column. Therefore, the disposable tissue closing clamp base solves the defect that the traditional clamp base cannot be used for loading the closing clamp in a compressed state, and the second closing clamp can be rapidly and accurately loaded in the clamp applier in a compressed mode only by matching the clamping action and the pushing function of the clamp applier, so that the operation efficiency is improved, and the medical time is saved.
Detailed Description
The present utility model will be described in detail with reference to specific embodiments and drawings.
Referring to fig. 1 and 2, a disposable tissue closure clip base 100 for receiving a plurality of closure clips is provided in accordance with an embodiment of the present utility model, and referring to fig. 8, a first closure clip 60 'and a second closure clip 60 are illustrated, wherein the first closure clip 60' is positioned outermost of the clip head and the remaining second closure clips 60 are positioned relatively inwardly in a compressed state. The base 100 comprises a base 10, a fixed clip seat 20 arranged on the base 10, and more than one sliding clip seat 30 arranged on the base 10, wherein the fixed clip seat 20 is fixedly arranged on the base 10, the fixed clip seat 20 is provided with a first supporting component for supporting a first closing clip 60', each sliding clip seat 30 is provided with a second supporting component for supporting a second closing clip 60, the base 10 is limited with more than one cavity 12, each cavity 12 is provided with one sliding clip seat 30, the side wall of each cavity 12 is limited with a sliding guide structure for guiding the sliding clip seat 30, and the sliding clip seat 30 slides into the bottom of the cavity 12 through the sliding guide structure. Two cavities 12 are shown, each of which houses one of the slide clamp bases 30.
It should be noted that the closing clip used in the present utility model differs from that shown in fig. 8 in that the closing clip has a plurality of ribs, and the detailed structure of the new closing clip is referred to as Huang Rongquan in the application entitled "disposable tissue closing clip" filed on 2019, 8 and 9.
Specifically, in the illustrated embodiment, the number of the sliding clip seats 30 is two or more, the cavities 12 are two and accommodate two sliding clip seats 30 correspondingly, the two or more sliding clip seats 30 are arranged in parallel and are arranged in parallel with the fixing clip seat 20, and the fixing clip seat 20 is located at the outermost side.
It will be appreciated that the number of the slide clamp holders 30 may be as many as desired, for example, three or more, while the fixed clamp holder 20 is fixed, and the first closing clamp 60 'is placed by the fixed clamp holder 20 and can be directly clamped when the material is taken because the first closing clamp 60' on the outermost side is in a freely opened state. Thus, the entire base 100 may be adapted for assembly of 1+N closure clips, where 1 refers to the first closure clip 60', N refers to the number of second closure clips 60, and N has a value of 2 or more.
Further, two adjacent cavities 12 share a first sidewall 121, each cavity 12 further includes a second sidewall 122 opposite to the first sidewall 121, a third sidewall 123 and a fourth sidewall 124 adjacent to the first sidewall 121 and the second sidewall 122, respectively, the third sidewall 123 and the fourth sidewall 124 are opposite, a plurality of pillars 112 extend upward from the third sidewall 123 and the fourth sidewall 124, a plurality of pillars 112 have barbs 113 at top ends for allowing the clip seat to slide in to prevent the clip seat from withdrawing, and a plurality of guide pillars 115 extend upward from the first sidewall 121 and the second sidewall 122. It will be appreciated that the cavity 12 is preferably rectangular with the four side walls described above, and that the outer wall surfaces of the stationary clip seat 20 and the sliding clip seat 30 are preferably rectangular. Of course, in other embodiments, but not limited to, rectangular, racetrack-shaped, or even circular, the outer wall surface of the slide clamp holder 30 corresponds in shape to the inner wall surface of the cavity 12. Of course, in other embodiments, the sliding mechanism, such as the sliding bar and the sliding guiding structure, may be provided on the inner walls of the sliding clip seat 30 and the cavity 12, respectively, but not limited thereto. In addition, the cavity 12 is upwardly opened, and the top post 112 and the slide guide post 115 are formed at the edges of the opening.
Further, the first side wall 121 and the second side wall 122 are hollowed out to leave the portion of the slide guide 115, and the hollowed-out portion facilitates the side view of the second closing clip 60. The slide guide 115 is located at both ends of the second side wall 122 and abuts the third and fourth side walls 123 and 124. Each cavity 12 comprises a sliding cavity 12a and a fixed cavity 12b, when the second closing clip 60 is taken out, each sliding clip seat 30 slides into the fixed cavity 12b from the sliding cavity 12a, the third side wall 123 and the fourth side wall 124 are partially hollowed out along the sliding direction, the hollowed-out parts 125 are provided with anti-back hooks 126 at the partially hollowed-out positions, and the anti-back hooks 126 extend downwards from the inner wall of the sliding cavity 12a and are provided with back-off parts 127 at the bottommost ends for allowing the clip seats to slide so as to prevent the clip seats from upwards retracting. Because the hollowed-out portion 125 can reduce the friction area, the sliding clip seat 30 is convenient to slide, and the anti-back-out hook 126 is convenient to buckle the sliding clip seat 30 which slides to the bottom, so that the second closing clip 60 is prevented from being taken out and the sliding clip seat 30 is prevented from being taken out.
Specifically, the plurality of top posts 112 and the plurality of slide guide posts 115 are disposed around the slide clamp seat 30, the plurality of top posts 112 and the plurality of slide guide posts 115 have inner cylindrical surfaces 116, the inner cylindrical surfaces 116 and the inner wall surfaces 120 of the cavity 12 are located on the same vertical plane, and the clamp seat 30 slides into the slide cavity 12a and the fixed cavity 12b along the plurality of inner cylindrical surfaces 116 and the inner wall surfaces 120. The sliding guide structure is defined by the inner pillar surface 116 and the side wall, and the sliding guide structure includes the inner pillar surface 116 and the side wall inner wall surface 120, and the sliding surfaces are the inner pillar surface 116 and the inner wall surface 120.
As shown in fig. 8, a plurality of closing clips 60', 60 mounted on the base 100 are used to be sequentially mounted in the binding clip 3 of one clip applier, and the plurality of closing clips are mounted in the binding clip 3 in an order from outside to inside, that is, the first closing clip 60' and each second closing clip 60, and the first closing clip 60' is at the outermost side. The sliding length of the sliding guide structure is preferably longer than the stroke of the clip applier in which all the closing clips are mounted on the clip head 3, so that the plurality of second closing clips 60 can be smoothly sequentially inserted into the clip head 3 when the clip head 3 is inserted into the sliding clip seat 30.
Further, the base 10 includes an upper base 101 and a lower base 102, the sliding cavity 12a is disposed on the upper base 101, the fixing cavity 12b is disposed on the lower base 102, and the fixing clip seat 20 is disposed on a fixing seat portion of one side of the lower base 102.
Referring to fig. 1, 3 and 4, the fixing clip seat 20 includes a first clip seat body 21, a first supporting column 22 and a fixing seat 23, wherein the first clip seat body 21 includes two side walls 212, and a gap 213 for accommodating the first closing clip 60' is defined between the two side walls 212. The clip applier has a storage compartment 51 for receiving the closure clip, with a gap 213 defined between the two side walls 212 for receiving the storage compartment 51. The two side walls 212 are provided with a lead-in surface 215 on each side of the gap 213, the lead-in surface 215 serving as a sliding surface so that the binding clip 2 can move down along the lead-in surface 215 when slid in. The first support column 22 is disposed in the gap to be supported on the curved portion of the first closing clip 60', and the fixing base 23 has a support position 24 for resting on the ends of the two clip arms of the first closing clip 60' and a fixing leg 25 for fixing the fixing clip base 20 to the base 10. The first support assembly includes a first support column 22 and a fixing base 23.
The first closing clip 60' and the second closing clip 60 are identical in structure and each have two clip arms, one of which ends is an inwardly bent end and the other of which ends has a protrusion. The support 24 is preferably provided with a recess, the fixing seat 23 is a frame, the fixing leg 25 extends from the bottom of the frame, the support 24 extends inwardly from two top edges of the frame, the two recess support 24 are opposite, one support is supported on the protrusion of the first closing clip 60', the protrusion of the first closing clip 60' is clamped on the recess, and the other support is supported on the clamping arm of the first closing clip 60' (as shown in fig. 3). In this way, the first closing clip 60 'can be stably held by the two support positions 24 of the fixing base 23 and the first support column 22, but the first closing clip 60' is not hindered from being taken out. The support 24 is relatively thin, thereby providing some flexibility, both to support the clip arms and to avoid snagging by elasticity during removal of the first closure clip 60'.
As shown in fig. 1, 2, 5 and 6, the sliding clip seat 30 includes a second clip seat 31 and a supporting outer seat 32, the bottom surface of the base 10 extends upward to form a second supporting column 13, and the second clip seat 31 includes two clip side walls 312. A support seat 317 is provided between the two clip side walls 312 and at positions on both sides of the gap 313, the support seat 317 has a support base 317a, and four support side walls extend around the support base 317a, as shown in fig. 5, wherein the support side walls 317b near the gap 313 define both sides of the gap 313, and when the material is taken, the outer wall of the storage compartment 51 will be fitted to and introduced into the two support side walls 317b defining the gap 313 and the two clip side walls 312 when the storage compartment 51 is inserted into the gap 313. The other two support side walls 317c and 317d extending around the support base 317a overlap the clip side wall 312, or the clip side wall 312 extends outwardly, and the two support side walls 317e extending from the outermost support base 317a are outer walls. The four support side walls 317a, 317b, 317c, 317d enclose a frame shape to receive the foremost end of the binding clip 3. Of course, the support seat 317 mainly serves to support the binding clip 3, so that a single side wall may be omitted or a lower structure may be suitable, for example, the outermost support side wall 317d may be omitted, and it will be appreciated that the support side wall 317d is convenient to sleeve the support outer seat 32, is tightly combined with the binding clip 3, and is stronger and more reliable in material taking.
The clip side walls 312 are formed with a clamping groove 315 at the bottom, and the bottom of the clamping groove 315 is provided with a hollow hole 315a to be communicated with the gap 313 and is provided with supporting surfaces 316 at two sides of the hollow hole for combining the clip arms of the second closing clip 60. The gap 313 to the hollow hole is gradually increased in width, and the gap 313 and the hollow hole 315a constitute a channel having a horn shape, and the cross section shown in fig. 2 is horn-shaped and flat in a direction perpendicular to the cross section shown in fig. 2, that is, the gap 313 and the hollow hole 315a constitute a channel having a shape similar to a flat horn. As shown in fig. 2, the second support column 13 is supported at the end of one arm of the second closing clip 60. The arm ends of the second closure clip 60 have a concave-convex configuration, preferably a concave recess 61. The second support column 13 is a sheet-shaped column and protrudes from one base plate 103 of the lower base 102, the second support column 13 has a supporting concave-convex structure to be matched with the second closing clamp 60 to support the second closing clamp 60, as shown in fig. 2, the concave 61 of one clamping arm of the second closing clamp 60 is matched with the supporting concave-convex structure on the second support column 13, the clamping arm is fixed, the other clamping arm is combined with the supporting surface 316, and the bending part of the second closing clamp 60 is combined with the hollow hole, namely the bottom of the gap 313. The clamping groove 315 is in a slide shape and extends to two sides, and at least a part close to the bending is supported by the supporting surfaces 316 on two sides of the clamping groove 315. The supporting surfaces 316 are bottom surfaces of the clamping grooves 315, specifically, one of the supporting surfaces 316 (left side shown in fig. 2) is an arc-shaped sliding surface, the arc-shaped surface is beneficial to the movement of the arc-shaped clamping arm, and the other supporting surface 316 is a slope surface, is in a groove shape, and is convenient for accommodating one convex edge of the second closing clamp 60. Thus, the hollow positions the curved portion of the second closing clip 60, holding the second closing clip 60 by the catching groove 315 and the second supporting column 13. With this structure, the second closing clip 60 can be stably supported without any limitation. The second support column 13 is smaller in size than the space of the storage compartment 51 so that the storage compartment 51 can be charged while the second support column 13 is being covered, while the second closure clip 60 is placed in the storage compartment 51.
The support outer seat 32 is configured as a frame and is fitted over the bottom of the slide clamp seat 30, and the frame of the support outer seat 32 is matched with the frame of the support seat 317. The support outer seat 32 is provided to facilitate sliding movement of the slide clamp seat 30 and support the second closure clamp 60. The outer surfaces of the four side walls of the support outer seat 32 are smooth surfaces, so that the support outer seat is convenient to slide. The outer support 32 has a buckle 322 on one of the side walls, and the second clip seat 31 has a buckling groove 318 on the corresponding outer wall, and the outer support 32 and the second clip seat 31 are engaged together by the buckle 322 buckling in the buckling groove 318. Further, the bottom wall 325 of the support outer base 32 is thinner and has a hollowed-out portion such that the clamping arm of the second closing clamp 60 passes through and is supported on the second support column 13, one frame defining the hollowed-out portion has a notch against which the clamping arm of the second closing clamp 60 rests to give the second closing clamp 60 auxiliary support. The detailed structure of the bottom wall 325 of the support outer base 32 refers to the structure of the fixing base 23 and the supporting position 24 in fig. 4, and the principle and structure of the bottom wall 325 and the top of the fixing base 23 for supporting the closing clip are basically the same, except that the placement direction is different, on the fixing base 23 of the fixing clip base 20, the supporting position 24 of the fixing base 23 is upward and extends from the top frame, while the bottom wall 325 is bottom and extends from the bottom edge of the support outer base 32 (see fig. 2). The second support assembly includes the second support column 13 and the support outer base 32, and may further include a clamping groove 315.
The bottom surface of the base of the disposable tissue closing clamp base 100 is further adhered with an adhesive layer, and a release paper layer is adhered outside the adhesive layer. In use, the release paper is removed and the base 100 is adhered to a table such as an operating table by means of an adhesive layer, the base 100 having been provided with the first and second closure clips 60', 60 when applied. Taking the clip applier shown in fig. 8 as an example, referring to fig. 1, 2 and 7, after the base 100 is fixed, the clip applier head 3 is first seated on the support seat 317, at this time, the storage compartment 51 may be fixed or properly extended, the clip applier continues to force downward, the slide clip holder 30 slides downward, and of course, the slide clip holder 30 is allowed to slide downward when the clip applier head 3 is just inserted, and the storage compartment 51 is pushed simultaneously when sliding downward, so that the storage compartment 51 extends out of the clip applier head 3 and extends out of the storage compartment 51 to the maximum extent, when sliding to the bottom, the slide clip holder 30 slides over the anti-back hook 126 and the anti-back hook 126 is snapped back into the slide clip holder 30, and at the same time, the second closing clip 60 is loaded into the storage compartment 51, so that when the snap is heard, the second closing clip 60 is already loaded into place in the storage compartment 51. This is the first second closing clip 60 loading process. Then, following the same procedure as described above, the clip applier then loads a second closure clip 60 from another slide clip seat 30, and in turn if there are more slide clip seats 30. After the second closure clip 60 is completely loaded on the entire slide clip seat 30, the first closure clip 60' is then loaded, and the loading process is described below with reference to fig. 3: the binding clip 3 of the second closing clip 60 is inserted directly through the supporting position 24 of the thinner fixing seat 23, and the binding clip 3 moves downwards along the guiding surface 215, and simultaneously the convex ribs 62 of the outer protruding arms of the first closing clip 60' are wedged into corresponding grooves or holes of the binding clip 3, so that the first closing clip 60' is placed at the jaw position of the binding clip 3, and the first closing clip 60' is in a free open state, but not in the storage cabin 51. Of course, in other embodiments, it is also possible to continue to move the binding clip 3 downwards to load the first closure clip 60' into the storage compartment 51. The free open position of the first closure clip 60 'in this embodiment is placed at the jaw position of the binding clip 3 to facilitate direct clamping of the vessel during surgery without pushing on the one closure clip 60'. Thus, the filling of 1+N closed clamps is completed, the continuous clamp can be continuously used during operation, and the continuous clamp vascular operation of the continuous clamp forceps can be well matched.
The disposable tissue closing clip base 100 is provided with the fixing clip base 20 and the sliding clip base 30, wherein the fixing clip base 20 can be used for fixing the first closing clip 60', and the first closing clip 60' is usually located at the periphery of the clip applier and is in a free open state, so that the base adopts the fixing clip base 20, and the structure of the base not only plays a role in fixing, but also facilitates the clip applier to clip the closing clip from the fixing clip base 20. Moreover, by providing a predetermined number of slide clamp bases 30 to accommodate a plurality of second closure clamps 60 that are not external, because the plurality of second closure clamps 60 are in a compressed state in the clip applier, the base has more than one cavity 12, one of the slide clamp bases 30 is provided in each cavity 12, the side walls of each cavity 12 define slide guiding structures that guide the slide clamp bases 30, the slide clamp bases 30 slide into the bottom of the cavity 12 through the slide guiding structures, thus allowing the clip heads to have a certain stroke when the clip applier is loaded, and the plurality of second closure clamps 60 are compressively accommodated in the clip applier by the cooperation of the clip applier with the slide clamp bases and the second support assemblies. Therefore, the disposable tissue closing clamp base solves the defect that the traditional clamp base cannot be used for loading the closing clamp in a compressed state, and the second closing clamp 60 can be rapidly and accurately loaded in the clamp applying clamp in a compressed mode only by matching the clamping action and the pushing function of the clamp applying clamp, so that the operation efficiency is improved, and the medical time is saved.
It should be noted that the present utility model is not limited to the above embodiments, and those skilled in the art can make other changes according to the inventive spirit of the present utility model, and these changes according to the inventive spirit of the present utility model should be included in the scope of the present utility model as claimed.