CN1132065A - 增强外科紧固装置的紧固机构的目视检验性 - Google Patents
增强外科紧固装置的紧固机构的目视检验性 Download PDFInfo
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Abstract
一种具有包括一紧固件和至少一个在锁紧位置适合于接纳和保持所说的紧固件和保持件的紧固机构的外科装置,所说的紧固件和保持件着以形成对比的颜色,由此,当紧固件由保持件锁紧就位时,在锁紧位置的紧固件的存在是从外部可见的。
Description
本发明涉及外科器械技术领域,特别是涉及具有紧固机构,如外科U形钉和接收器,结扎夹和类似物的外科装置。
由一个或两个零件构成的外科装置在本技术领域中是众所周知的。外科装置的例子(如外科固定器)在下列美国专利中已经说明,4,402,445;4,506,670;4,513,746;4,534,352;4,610,250;4,667,674和4,932,960,上述所有这些专利在此作为参考文献引入。典型地,这些外科装置包含由一种或多种可吸收材料制成的两个零件。这种装置通常由至少一个紧固件(即U形钉或固定器)和一个保持件组成。紧固件一般在一个或多个位置上刺穿组织并镇紧在保持件内。
在外科手术中,用机械施放器施加外科装置的外科大夫通常没有一种简易的方法决定紧固件是否已经锁紧在保持件内。目前,外科大夫必须拨弄组织检查松动或未紧固的U形钉,这是一耗时的步骤。此外,在该步骤中拨弄组织易于导致更多组织损伤和增加术后感染的危险。因此,需要一种外科装置,以便使外科大夫能很快地确定外科装置是否被固定。
因此,本发明的目的在于提供一种外科装置,该装置使外科大夫能很容易地确定外科装置是否被固定,由此减少外科操作所需的时间。本发明的另一个目的在于提供一种外科装置,以减少在外科操作过程中拨弄组织的量,由此,减少组织损伤和术后感染的危险。本发明的这个和其它目的以及优点通过下面本发明的说明,本专业的普通技术人员将会清楚。
已经发现具有一个紧固机构的外科装置,该机构包括一个紧固件;和一个至少具有一个适合于接纳并在锁紧位置时保持所说的紧固件的保持件,所说的紧固件和保持件具有形成对比的颜色,从而当紧固件由保持件紧固就位时,即在紧固位置时的紧固件的存在是可见的。
图1是紧固件和保持件的透视图;
图2是图1所示紧固件和保持件的剖面图;
图3是结扎夹的透视图;
图4是图3的结扎夹紧固到血管上的透视图。
图1至图4所示是本发明的聚合材料的外科紧固装置。图1和图2所示的紧固装置包括一个保持件104和紧固件101,后者具有一个底部116和至少两个掣子102,两个掣子102实际上是平行的且基本上垂直地从底部116的同一侧延伸。掣子102通常在靠近底部116的端部连接在底部116上。如果在底部116上装有多于两个掣子,那么,这些掣子沿底部116长度被隔开。掣子102具有连接到体干106上的倒钩105。倒钩105至少在倒钩105的一侧上,从其底部110到其顶部108成锥形。倒钩105的底部110比体干106宽。该倒钩的底部110连接到体干106上,在倒钩105的底部110和体干106连接处附近配有一个内锁的倒钩表面112。
在外科使用时,要被连接的组织定位在保持件104和紧固件101之间。紧固件101的两个掣子102通过组织(未示出)钉入在保持件104的孔103内。掣子102当它们穿过孔103时偏折,但是当内锁倒钩表面112与锁紧表面114叠合并啮合时,掣子102回复到原始取向。紧固件101的内锁倒钩表面112和保持件104的锁紧表面114的啮合使得在锁紧位置上两个件以及夹在两个件101和104之间就位的组织固定在一起。
图3和图4所示是一种结扎夹,它是本发明的第二个实施例。结扎夹包括一个紧固件212和一个保持件214,它们用一个弹性铰接部分216在它们的近端处连接。在紧固件212和保持件214的远端212b和214b配有一个用于在围绕人体组织(如血管220)的闭合位置锁紧件212和214的紧固机构,就如图4所示的那样。在所示的实施例中,紧固机构包括适合于锁紧地接纳在位于保持件214远端214b的保持器244内的掣子202。掣子202包括一个连接到体干206上的倒钩205。顶端208有一个用穿刺围绕血管的任何组织(未示出)的锋利的边208a。倒钩205从顶端208到底部210成锥形。倒钩210的底部比体干206宽。倒钩的底部210连接到体干206上。靠近掣子205的底部210和体干206连接处配有一个内锁倒钩表面211。保持器244具有一个适合于接纳掣子202的孔203和一个适合于啮合内锁倒钩表面211的锁紧表面234,以便在闭合或锁紧位置上保持结扎夹。保持件214的远端处的检查口230配有一个用于目视检查掣子202是否锁紧在保特器244内的装置。
第一和第二横向延伸部份224a和22b与紧固件212一体成形,而第三和第四横向延伸部份224C和224d从保持件214的相对的宽壁向外延伸,且适合于接受夹紧闭合力。施加到横向延伸部份224a-224d的力使件212和214的远端212b和214b能彼此相向运动。紧固件202的顶端208穿过组织(未示出)钉入在保持器244的孔203内。掣子202当它通过孔203时偏转,但当内锁倒钩表面211与锁紧表面234叠合和啮合时,掣子202基本上回复到它原始取向。紧固件202的内锁紧倒钩表面211和保持件244的锁紧表面234的啮合使得在锁紧位置上两个件及夹在两个件212和214间就位的组织固定在一起。同时,如图4所示,血管220啮合在其间。
为了便于外科大夫能确定外科紧固装置是否在锁紧位置上,一部份掣子,亦即倒钩(105,205),当与一部分保持器比较时,亦即锁紧面(114,234)和/或孔(103,203)应该具有形成对比的颜色。整个紧固件(102,212)也可以有形成对比的颜色,以便提高紧固件锁入保持件(104,214)内的可视性。如在图4中所示,所提供的检查口230使得能目视检查结扎夹证明其是在锁紧位置上。检查口可以包括开口或实际上透明的目视孔。
形成对比的颜色优选地应该相对于血液薄膜易于显出,更优选的颜色之一应该呈暗色,而另一个颜色呈明亮的。形成对比的颜色 可以用,如染料或颜料产生。着色剂可以加到用于制造紧固件或保持件的聚合材料中。着色剂也可以作为一种外涂覆施加。合适的着色剂列在由Daniel M.Marmion的用于食品、药物和化妆品的美国着色剂手册第二版中,该手册在此作为参考文献引入通常使用的着色剂包括:D&C紫NO.2,D&C绿NO.6,D&C绿NO.5,D&C兰NO.6,[[酞菁](2-)]铜和黑苏木染料。此外,当外科装置是由聚合材料制造时,形成对比的颜色可以通过使一个零件保有它本来的颜色,″未染色的″(即白色到金色)而使另一个零件用适当的形成对比的着色剂着色来产生。现行优选的形成对比的颜色包括但不限于从下列这组中选取;未染色/绿,未染色/紫,未染色/兰,未染色/黑,绿/黑,绿/紫,绿/兰和兰黑。
本发明的外科装置可以用生物相容的金属,或生物可吸收的或不吸收的聚合材料制成。优选的可吸收的聚合物包括:聚(P-二噁烷酮,聚(乙交酯),聚(丙交酯),聚(己内酯),聚(羟丁酸酯),聚(羟基基戊醛酯),聚(酐),它们的共聚物和它们的掺合物。优选的非吸收聚合物包括:尼龙,聚酯和聚丙烯。外科装置可以由这些生物材料模制或机制。
本发明的外科装置可以用许多机械施放器施放,为在欧洲专利申请93308924.5(公开号609612中所描述的,该文献在此作为参考文献引入。
Claims (10)
1.一种具有紧固机构的外科装置,包括:
一个紧固件和一个至少具有一个适合于接纳和在锁紧位置保持所说的紧固件的孔的保持件,所说紧固件的一部份和所说的保持件的一部份着以形成对比的颜色,因此,当紧固件由保持件锁紧就位时,在锁紧位置的紧固件的存在是从外部可见的。
2.按照权利要求1所述的外科装置,其中外科装置是聚合材料构成的。
3.按照权利要求2所述的外科装置,其中形成对比的颜色从下列这组中选取,该组包括:未染色/绿,未染色/紫,未染色/兰,未染色/黑,绿/黑,绿/紫,绿/兰和兰黑。
4.按照权利要求3所述的外科装置,其中外科装置有至少一种加到聚合材料中的着色剂,以便提供形成对比的颜色。
5.按照权利要求4所述的外科装置,其中紧固件具有带端顶的倒钩,而保持件具有一个孔和锁紧表面。
6.按照权利要求5所述的外科装置,其中至少在一部份顶端的聚合材料中含有着色剂。
7.一个具有紧固机构的外科装置,包括:
一个具有两个端部的底部和至少两个基本上平行的从垂直于该底部延伸的掣子的紧固件,每个掣子具有连接到体干上的倒钩,所说的体干连接到上述底部上;
一个具有两个适合于接纳和在锁紧位置上保持所说的两个掣子的孔的保持件;
其中所说的紧固件的一部份和所说的保持件的一部分着以形成对比的颜色,由此,当紧固件由保持件锁紧就位时,在锁紧位置的紧固件的存在是从外部可见的。
8.一种具有紧固装置的外科装置,包括:
一个具有一紧固件的结扎夹和一个具有近端和远端的保持件;
一个把所说的紧固件和保持件在它们的近端连接的弹性铰链;
一个具有连接到紧固件远端上的体干的倒钩的掣子;
一个具有适合于在保持件的远端在闭合位置接纳掣子和锁紧结扎夹的孔的保持器;
在位于保持件的远端有一个口,该口使得能够对紧固件和保持器的啮合情况目视检查;
其中所说的紧固件的一部份和保持件的一部份被着以形成对比的颜色,由此,当紧固件由保持件锁紧就位时,在锁紧位置的紧固件的存在是从外部可见的。
9.一种外科装置,包括:
一个用于把至少一个具有一紧固机构的外科U形钉施加到在人体组织内以便连接和靠近伤口边缘的装置;
该外科U形钉具有一个紧固件和一个保持件,紧固件具有一个有两个端部和至少两个实际上平行的从底部的基本上相同的方向垂直延伸的掣子,每个掣子具有一个连接到体干上的倒钩,所说的体干连接到靠近一个端部的底部上,一个保持件具有两个适合于接纳和在锁紧位置上保持所说的两个掣子的孔;其中所说的紧固件的一部份和所说的保持件的一部份被着以形成对比的颜色,由此,当紧固件由保持件锁紧就位时,在锁紧位置的紧固件的存在是从外部可见的。
10.一种外科装置,包括:
一个用于把至少一个结扎夹施加到人体组织的装置;
结扎夹具有一个紧固件和具有近端和远端和保持件,一个把所说的紧固件和保持件在它们的近端连接起来的弹性铰链,一个具有连接到一个体干上的倒钩的掣子,该体干连接到上述紧固件的远端,一个在保持件远端在闭合位置具有适合于接纳掣子和锁紧结扎夹的孔和锁紧表面的保持器,和一个位于保持件远端的口,以便能目视检查紧固件和保持器的啮合情况;其中所说的紧固件的一部份和保持件的一部份着以形成对比的颜色,由此,当紧固件由保持件锁紧就位时,在锁紧位置的紧固件的存在是从外部可见的。
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US08/348,699 US6206897B1 (en) | 1994-12-02 | 1994-12-02 | Enhanced visualization of the latching mechanism of latching surgical devices |
US348,699 | 1994-12-02 |
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EP (1) | EP0714633B1 (zh) |
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CN (1) | CN1132065A (zh) |
AU (1) | AU3903095A (zh) |
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- 1995-11-30 CA CA002164181A patent/CA2164181A1/en not_active Abandoned
- 1995-12-01 BR BR9505605A patent/BR9505605A/pt not_active Application Discontinuation
- 1995-12-01 CN CN95121778A patent/CN1132065A/zh active Pending
- 1995-12-01 DE DE69515423T patent/DE69515423T2/de not_active Expired - Lifetime
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- 1995-12-01 ZA ZA9510240A patent/ZA9510240B/xx unknown
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CN108852451A (zh) * | 2017-05-11 | 2018-11-23 | 柯惠Lp公司 | 弹簧释放式外科手术夹具 |
CN108852451B (zh) * | 2017-05-11 | 2023-03-10 | 柯惠Lp公司 | 弹簧释放式外科手术夹具 |
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CA2164181A1 (en) | 1996-06-03 |
BR9505605A (pt) | 1997-11-04 |
ZA9510240B (en) | 1997-06-02 |
DE69515423D1 (de) | 2000-04-13 |
US6206897B1 (en) | 2001-03-27 |
EP0714633A1 (en) | 1996-06-05 |
DE69515423T2 (de) | 2000-07-20 |
AU3903095A (en) | 1996-06-13 |
JPH08215201A (ja) | 1996-08-27 |
EP0714633B1 (en) | 2000-03-08 |
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