CN114403987A - Multifunctional surgical grasper for laparoscope and replacement method of grasper - Google Patents

Multifunctional surgical grasper for laparoscope and replacement method of grasper Download PDF

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Publication number
CN114403987A
CN114403987A CN202210094590.3A CN202210094590A CN114403987A CN 114403987 A CN114403987 A CN 114403987A CN 202210094590 A CN202210094590 A CN 202210094590A CN 114403987 A CN114403987 A CN 114403987A
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Prior art keywords
forceps
forceps member
handle
control piece
grasper
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Pending
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CN202210094590.3A
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Chinese (zh)
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李益香
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Individual
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Priority to CN202210094590.3A priority Critical patent/CN114403987A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B17/2909Handles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00367Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
    • A61B2017/00389Button or wheel for performing multiple functions, e.g. rotation of shaft and end effector
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00367Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
    • A61B2017/00389Button or wheel for performing multiple functions, e.g. rotation of shaft and end effector
    • A61B2017/00393Button or wheel for performing multiple functions, e.g. rotation of shaft and end effector with means for switching between functions
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B2017/2901Details of shaft

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Ophthalmology & Optometry (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention discloses a multifunctional surgical grasper for laparoscope and a grasper replacement method, the multifunctional surgical grasper comprises an operation part, a cylindrical part and a forceps member, wherein a fixed handle is arranged on the operation part, a forceps tail is arranged at the lower end of the fixed handle, a supporting handle is arranged at the upper end of the fixed handle, the fixed handle is of a regular circular ring structure, the forceps member comprises a first forceps member, a second forceps member, a third forceps member and a fourth forceps member, the first forceps member, the second forceps member, the third forceps member and the fourth forceps member are respectively surgical graspers of four different types, one ends of the first forceps member, the second forceps member, the third forceps member and the fourth forceps member are respectively provided with a forceps base part with an adjustable opening, four different forceps heads are movably arranged in each forceps base part, and a corresponding forceps head clamping part is arranged in each forceps head. The invention does not need to repeatedly replace the surgical nipper apparatus, reduces the workload of the surgical doctor and saves the time of the surgery.

Description

Multifunctional surgical grasper for laparoscope and replacement method of grasper
Technical Field
The invention relates to a surgical instrument for a laparoscope, in particular to a multifunctional surgical grasper for the laparoscope and a replacement method of the grasper.
Background
2-4 hole operation methods are mostly adopted in laparoscopic surgery, and in order to avoid leaving long-strip scars on the abdominal cavity of a patient, a long hole of about 10 cm is formed in the navel of the patient and used for inflating and expanding the abdominal cavity and extending into a laparoscopic lens; meanwhile, two or three small holes are drilled at the other position on the belly, and the surgical instrument is inserted into the small holes. After the patient recovers, only 1-3 linear scars of 0.5-1 cm are left on the abdominal cavity part, so that the operation with small wound surface and pain is said to be a key hole operation. The development of laparoscopic surgery reduces the pain of operation of a patient and shortens the recovery period of the patient, and is a surgical project which develops rapidly in recent years.
Because laparoscopic surgery apparatus enters from the aperture, current operation nipper is single operation nipper only, but often needs multiple operation nipper in a laparoscopic surgery, different positions need corresponding operation nipper to accomplish, need often change the cooperation of operation nipper, reciprocating change surgical instruments not only can increase operation doctor's work load, increase the length of operation, change surgical instruments at patient's operation position round trip moreover, can cause the injury to patient's health.
Disclosure of Invention
The invention aims to provide a multifunctional surgical grasper for a laparoscope and a replacement method of the grasper, which can effectively solve the problems in the background art.
The technical scheme adopted by the invention for solving the technical problems is as follows: a multifunctional surgical grasper for laparoscope comprises an operation part 1, a cylindrical part 2 and a forceps component 3, wherein the operation part 1 is provided with a fixed handle 11, the lower end of the fixed handle 11 is provided with a forceps tail 13, the upper end of the fixed handle 11 is provided with a supporting handle 14, and the fixed handle 11 is in a right circular ring structure;
the forceps member 3 is composed of a first forceps member 31, a second forceps member 32, a third forceps member 33 and a fourth forceps member 34, the first forceps member 31, the second forceps member 32, the third forceps member 33 and the fourth forceps member 34 are respectively surgical graspers of four different types, one end of each of the first forceps member 31, the second forceps member 32, the third forceps member 33 and the fourth forceps member 34 is provided with a forceps base 37 with an adjustable opening, each forceps base 37 is movably provided with four different forceps heads 35, each forceps head 35 is provided with a corresponding forceps head clamping part 36, and the other end of each of the first forceps member 31, the second forceps member 32, the third forceps member 33 and the fourth forceps member 34 is internally provided with a forceps slot 124;
the interior of the operation part 1 is of a cavity structure, a handle supporting groove 115 is arranged in the cavity, two movable sliding blocks 116 are arranged in the handle supporting groove 115, a movable handle 12 is arranged in the operation part 1, a handle head 110 is arranged at one end of the movable handle 12, two hard springs 114 are arranged at the upper part of the handle head 110, the two hard springs 114 are respectively and fixedly arranged below the sliding blocks 116, a handle hook piece 111 is arranged at one end of the handle head 110, and a hook piece groove 112 is arranged in the handle hook piece 111;
an inserting rod control piece 119 is arranged in the cavity of the operating part 1, an inserting rod 120 is arranged at the bottom end of the inserting rod control piece 119, blocking pieces 123 are arranged on two sides of the inserting rod control piece, an inserting rod cover 121 and a pull ring 122 are arranged at the top end of the inserting rod control piece 119, two large springs 118 are arranged below the inserting rod control piece 119, and the two large springs 118 are respectively fixed below the inserting rod control piece 119 and in the cavity of the operating part 1 through large spring fixing buckles 117;
first pliers component 31, second pliers component 32, third pliers component 33 and fourth pliers component 34 all set up with gear wheel 17 on, gear wheel 17 sets up in operation portion 1 intracavity, and the activity of gear wheel 17 bottom sets up in gear wheel draw-in groove 18, and the top is connected and is provided with pinion 15, pinion 15 passes through swing joint 16 to be connected and sets up on operation portion 1 chamber wall, set up on the pinion 15 in four different pinion marks 19.
The cylindrical portion 2 and the forceps member 3 are provided at one end of the operation portion 1, the cylindrical portion 2 is screwed to the operation portion 1, and the forceps member 3 is placed inside the cylindrical portion 2.
The forceps head 35 is fixed to a forceps base 37 via an adjustment shaft 38.
The two hard springs 114 are fixed on the handle head 110 and the sliding block 116 through the small spring fixing buckle 113, when the movable handle 12 is pushed and pulled, the sliding block 116 moves in the handle supporting groove 115, and the hard springs 114 drive the handle head 110 to adjust the position of the movable handle 12.
The four pinion marks 19 correspond to the positions of the first forceps member 31, the second forceps member 32, the third forceps member 33, and the fourth forceps member 34, respectively.
The invention has the beneficial effects that: the invention contains four different operation graspers, uses different types of operation graspers when grasping different organ parts, only needs to rotate the pinion when another operation grasper needs to be replaced after the operation grasper is inserted once, and rotates the corresponding operation grasper until the pinion marks the corresponding operation grasper, does not need to repeatedly replace the operation grasper instrument, lightens the workload of an operator, and saves the operation time.
Drawings
FIG. 1 is a perspective view of the structure of the present invention.
FIG. 2 is a cross-sectional view of the pliers members being replaced according to the present invention.
FIG. 3 is a cross-sectional view of the pliers members replaced with another one according to the present invention.
Fig. 4 is a perspective view of the pinion structure of the present invention.
FIG. 5 is a schematic sectional view of a bull gear according to the present invention.
FIG. 6 is a partial cross-sectional view of the pliers members being replaced according to the invention.
FIG. 7 is a partial cross-sectional view of the pliers members being replaced.
Figure 8 is a perspective view of the construction of the pliers members of the invention.
FIG. 9 is a schematic cross-sectional view of a perspective view of the present invention.
Detailed Description
The present invention is described in detail below with reference to fig. 1-9.
As shown in fig. 1-9, the present invention comprises an operation part 1, a cylindrical part 2 and a forceps member 3, wherein the operation part 1 is provided with a fixed handle 11, the lower end of the fixed handle 11 is provided with a forceps tail 13, the upper end is provided with a supporting handle 14, and the fixed handle 11 is a right circular ring structure;
the forceps member 3 is composed of a first forceps member 31, a second forceps member 32, a third forceps member 33 and a fourth forceps member 34, the first forceps member 31, the second forceps member 32, the third forceps member 33 and the fourth forceps member 34 are respectively surgical graspers of four different types, one end of each of the first forceps member 31, the second forceps member 32, the third forceps member 33 and the fourth forceps member 34 is provided with a forceps base 37 with an adjustable opening, each forceps base 37 is movably provided with four different forceps heads 35, each forceps head 35 is provided with a corresponding forceps head clamping part 36, and the other end of each of the first forceps member 31, the second forceps member 32, the third forceps member 33 and the fourth forceps member 34 is internally provided with a forceps slot 124;
the interior of the operation part 1 is of a cavity structure, a handle supporting groove 115 is arranged in the cavity, two movable sliding blocks 116 are arranged in the handle supporting groove 115, a movable handle 12 is arranged in the operation part 1, a handle head 110 is arranged at one end of the movable handle 12, two hard springs 114 are arranged at the upper part of the handle head 110, the two hard springs 114 are respectively and fixedly arranged below the sliding blocks 116, a handle hook piece 111 is arranged at one end of the handle head 110, and a hook piece groove 112 is arranged in the handle hook piece 111;
an inserting rod control piece 119 is arranged in the cavity of the operating part 1, an inserting rod 120 is arranged at the bottom end of the inserting rod control piece 119, blocking pieces 123 are arranged on two sides of the inserting rod control piece, an inserting rod cover 121 and a pull ring 122 are arranged at the top end of the inserting rod control piece 119, two large springs 118 are arranged below the inserting rod control piece 119, and the two large springs 118 are respectively fixed below the inserting rod control piece 119 and in the cavity of the operating part 1 through large spring fixing buckles 117;
first pliers component 31, second pliers component 32, third pliers component 33 and fourth pliers component 34 all set up with gear wheel 17 on, gear wheel 17 sets up in operation portion 1 intracavity, and the activity of gear wheel 17 bottom sets up in gear wheel draw-in groove 18, and the top is connected and is provided with pinion 15, pinion 15 passes through swing joint 16 to be connected and sets up on operation portion 1 chamber wall, set up on the pinion 15 in four different pinion marks 19.
The cylindrical portion 2 and the forceps member 3 are provided at one end of the operation portion 1, the cylindrical portion 2 is screwed to the operation portion 1, and the forceps member 3 is placed inside the cylindrical portion 2.
The forceps head 35 is fixed to a forceps base 37 via an adjustment shaft 38.
The two hard springs 114 are fixed on the handle head 110 and the sliding block 116 through the small spring fixing buckle 113, when the movable handle 12 is pushed and pulled, the sliding block 116 moves in the handle supporting groove 115, and the hard springs 114 drive the handle head 110 to adjust the position of the movable handle 12.
The four pinion marks 19 correspond to the positions of the first forceps member 31, the second forceps member 32, the third forceps member 33, and the fourth forceps member 34, respectively.
During laparoscopic surgery, when different types of surgical graspers are used, the rotary insertion rod control piece 119 is pressed for ninety degrees, the insertion rod control piece 119 is upwards moved to a (figure six) state under the influence of the elastic force of the two large springs 118, the movable handle 12 is slightly pulled backwards, the rotary pinion 15 finds the pinion mark 19 corresponding to the required surgical grasper, the movable handle 12 is slightly pushed forwards, the rotary insertion rod control piece 119 is pressed for ninety degrees, the blocking piece 123 is clamped in the corresponding clamping groove, the insertion rod 120 is fixed in the hook groove 112, the position of the insertion rod control piece 119 is fixed, and the surgical grasper is replaced.
It will be evident to those skilled in the art that the invention is not limited to the details of the foregoing illustrative embodiments, and that the present invention may be embodied in other specific forms without departing from the spirit or essential attributes thereof. The present embodiments are therefore to be considered in all respects as illustrative and not restrictive, the scope of the invention being indicated by the appended claims rather than by the foregoing description, and all changes which come within the meaning and range of equivalency of the claims are therefore intended to be embraced therein. Any reference sign in a claim should not be construed as limiting the claim concerned.
Moreover, it should be understood that although the present description refers to embodiments, not every embodiment may contain only a single embodiment, and such description is for clarity only, and those skilled in the art will be able to make the description as a whole, and the embodiments in each embodiment may be appropriately combined to form other embodiments understood by those skilled in the art.

Claims (1)

1. A multifunctional surgical grasper for laparoscope, comprising an operating portion (1), a cylindrical portion (2), and a forceps member (3), characterized in that: a fixed handle (11) is arranged on the operating part (1), a forceps tail (13) is arranged at the lower end of the fixed handle (11), a supporting handle (14) is arranged at the upper end of the fixed handle (11), and the fixed handle (11) is of a right circular ring structure;
the forceps element (3) is composed of a first forceps element (31), a second forceps element (32), a third forceps element (33) and a fourth forceps element (34), the first forceps member (31), the second forceps member (32), the third forceps member (33) and the fourth forceps member (34) are respectively four different types of surgical graspers, one end of each of the first forceps member (31), the second forceps member (32), the third forceps member (33) and the fourth forceps member (34) is provided with a forceps base (37) with adjustable opening, each forceps base (37) is internally and movably provided with four different forceps heads (35), each forceps head (35) is internally provided with a corresponding forceps head clamping part (36), a forceps slot (124) is formed in the other end of each of the first forceps member (31), the second forceps member (32), the third forceps member (33) and the fourth forceps member (34);
the interior of the operation part (1) is of a cavity structure, a handle supporting groove (115) is formed in the cavity, two movable sliding blocks (116) are arranged in the handle supporting groove (115), a movable handle (12) is arranged in the operation part (1), a handle head (110) is arranged at one end of the movable handle (12), two hard springs (114) are arranged at the upper part of the handle head (110), the two hard springs (114) are respectively and fixedly arranged below the sliding blocks (116), a handle hook piece (111) is arranged at one end of the handle head (110), and a hook piece groove (112) is formed in the handle hook piece (111);
an inserted rod control piece (119) is arranged in the cavity of the operating part (1), an inserted rod (120) is arranged at the bottom end of the inserted rod control piece (119), blocking pieces (123) are arranged on two sides of the inserted rod control piece, an inserted rod cover (121) and a pull ring (122) are arranged at the top end of the inserted rod control piece (119), two large springs (118) are arranged below the inserted rod control piece (119), and the two large springs (118) are respectively fixed below the inserted rod control piece (119) and in the cavity of the operating part (1) through large spring fixing buckles (117);
the first forceps member (31), the second forceps member (32), the third forceps member (33) and the fourth forceps member (34) are all arranged on a large gear (17), the large gear (17) is arranged in a cavity of the operation part (1), the bottom end of the large gear (17) is movably arranged in a large gear clamping groove (18), the top end of the large gear is connected with a small gear (15), the small gear (15) is connected and arranged on the cavity wall of the operation part (1) through a movable connecting piece (16), and the small gear (15) is arranged on four different small gear marks (19);
the two hard springs (114) are fixed on the handle head (110) and the sliding block (116) through the small spring fixing buckle (113), when the movable handle (12) is pushed and pulled, the sliding block (116) moves in the handle supporting groove (115), and the hard springs (114) drive the handle head (110) to adjust the position of the movable handle (12);
the cylindrical part (2) and the forceps member (3) are both arranged at one end of the operation part (1), the cylindrical part (2) is connected to the operation part (1) through threads, and the forceps member (3) is arranged in the cylindrical part (2);
the forceps head (35) is fixed on the forceps base (37) through an adjusting shaft (38);
the four pinion marks (19) correspond to the positions of the first forceps member (31), the second forceps member (32), the third forceps member (33) and the fourth forceps member (34), respectively;
the replacement operation steps of the grasping forceps are as follows: the rotating inserted link control piece (119) is pressed for ninety degrees, the inserted link control piece (119) runs upwards under the influence of the elastic force of two large springs (118), the movable handle (12) is pulled backwards slightly, the pinion mark (19) corresponding to the required grasper is found out by the rotating pinion (15), the movable handle (12) is pushed forwards slightly, the rotating inserted link control piece (119) is pressed for ninety degrees, the stopper (123) is clamped in the corresponding clamping groove, the inserted link (120) is fixed in the hook piece groove (112), the position of the inserted link control piece (119) is fixed, and the replacement of the grasper is completed.
CN202210094590.3A 2018-04-09 2018-04-09 Multifunctional surgical grasper for laparoscope and replacement method of grasper Pending CN114403987A (en)

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CN202210094590.3A CN114403987A (en) 2018-04-09 2018-04-09 Multifunctional surgical grasper for laparoscope and replacement method of grasper

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CN202210094590.3A CN114403987A (en) 2018-04-09 2018-04-09 Multifunctional surgical grasper for laparoscope and replacement method of grasper
CN201810313146.XA CN108742782B (en) 2018-04-09 2018-04-09 Multifunctional operation grasping forceps for laparoscope

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CN201810313146.XA Division CN108742782B (en) 2018-04-09 2018-04-09 Multifunctional operation grasping forceps for laparoscope

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CN202210094590.3A Pending CN114403987A (en) 2018-04-09 2018-04-09 Multifunctional surgical grasper for laparoscope and replacement method of grasper

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Publication number Priority date Publication date Assignee Title
CN113679448B (en) * 2021-07-14 2022-11-04 新乡市中心医院 Handheld turnable single-port laparoscope

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Inventor after: Li Junlong

Inventor after: Tian Chen

Inventor after: Li Yixiang

Inventor before: Li Yixiang