CN117159101B - Wire control high suspension in-situ internal hemorrhoid excision clamp - Google Patents
Wire control high suspension in-situ internal hemorrhoid excision clamp Download PDFInfo
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- CN117159101B CN117159101B CN202311428119.4A CN202311428119A CN117159101B CN 117159101 B CN117159101 B CN 117159101B CN 202311428119 A CN202311428119 A CN 202311428119A CN 117159101 B CN117159101 B CN 117159101B
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- forceps
- handle
- wire
- knot
- internal hemorrhoid
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- 201000007772 internal hemorrhoid Diseases 0.000 title claims abstract description 42
- 238000011065 in-situ storage Methods 0.000 title claims abstract description 30
- 239000000725 suspension Substances 0.000 title claims abstract description 25
- 210000000080 chela (arthropods) Anatomy 0.000 claims description 17
- 238000002271 resection Methods 0.000 claims description 12
- 238000005452 bending Methods 0.000 claims description 2
- 210000000436 anus Anatomy 0.000 abstract description 8
- 230000006378 damage Effects 0.000 abstract description 5
- 238000000034 method Methods 0.000 abstract description 3
- 210000004877 mucosa Anatomy 0.000 abstract description 3
- 230000008569 process Effects 0.000 abstract description 3
- 210000002255 anal canal Anatomy 0.000 abstract description 2
- 208000014617 hemorrhoid Diseases 0.000 description 12
- 210000001519 tissue Anatomy 0.000 description 5
- 208000027418 Wounds and injury Diseases 0.000 description 4
- 238000010586 diagram Methods 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 206010030113 Oedema Diseases 0.000 description 1
- 208000015815 Rectal disease Diseases 0.000 description 1
- 208000028990 Skin injury Diseases 0.000 description 1
- 230000009471 action Effects 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000006872 improvement Effects 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 210000004400 mucous membrane Anatomy 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
Abstract
The invention belongs to the technical field of medical appliances, and discloses a wire-control high-suspension in-situ internal hemorrhoid excision clamp which comprises a left fixed clamp body, a right fixed clamp body, a sliding clamp piece, a pushing handle, a stretching handle, a pin shaft, fixed clamping teeth and a supporting spring, wherein the left fixed clamp body and the right fixed clamp body are composed of clamp heads, guide grooves and finger rings; the sliding clamp piece is positioned in the guide grooves of the left and right fixed clamp bodies, the front end of the sliding clamp piece is provided with a movable wire control ring, and the tail end of the sliding clamp piece is connected with a reset spring; the forefront end of the knot pushing handle is provided with a knot pushing head, the tail end of the knot pushing handle is provided with a finger ring, and the stretching handle and the knot pushing handle are respectively arranged at the middle positions of the left and right fixed clamp bodies and respectively control the movement of the sliding clamp pieces and the knot pushing head. The wire-control high-suspension in-situ internal hemorrhoid excision clamp provided by the invention can directly perform in-situ ligation in a rectal cavity, solves the problem of damage to rectal mucosa and anal canal skin caused by pulling the internal hemorrhoid out of the anus for operation in operation, can also fix a wire rope on the ligation clamp, avoids the condition that a sleeve wire falls off in the operation process, reduces operation risk and greatly improves operation efficiency.
Description
Technical Field
The invention belongs to the technical field of medical appliances, and particularly relates to a wire-control high-suspension in-situ internal hemorrhoid resection forceps.
Background
Hemorrhoids are the most common anorectal diseases in clinic, including internal hemorrhoids, external hemorrhoids and mixed hemorrhoids, and relatively, the treatment operation of internal hemorrhoids is complicated. In recent years, external and internal ligation, PPH and TST have been used for internal hemorrhoid treatment. PPH and TST are difficult to operate, require very stringent operators, are relatively expensive, and are unacceptable to many patients. The external stripping and internal ligation operation is simpler, and the operation can not cause great influence on patients, but the excision of internal hemorrhoids has great damage to the skin of the anal canal and the normal structure of the anus, and the complications are more. In recent years, many anorectal doctors are continuously trying to improve the problem of skin injury caused by traction hemorrhoids on the basis of keeping the advantages of the traditional external peeling and internal ligation, and an improvement operation mode is provided on the basis of the traditional external peeling and internal ligation.
The patent with the application number of CN202020948348.4 discloses a clamp type anastomat, which has small volume, low requirement on a matching tool, convenient operation and wide application range, does not need purse string suture in the operation process, can suture and pull tissues in a splayed manner, and is suitable for various internal hemorrhoids. However, when the forceps-type anastomat is used for internal hemorrhoid ligation, the tissues can be pulled to damage skin mucous membrane, and certain pain is brought to patients.
The patent with the application number of CN2017193935. X discloses an internal hemorrhoid high suspension ligature forceps, wherein two forceps bodies of the ligature forceps are twisted into a whole through a pin shaft, the ligature forceps consist of a front end wire control ring, a forceps head, a finger ring and a pin hole, an opening is arranged at the lower rear part of a circular wire control ring, and a V-shaped thin slot is formed after the ligature. This patent has solved the problem that is difficult to ligature internal hemorrhoid in the rectal cavity, however this ligature pincers are difficult to fix when operating, and the knot need be tight with the help of other instruments by hand, has caused ligature position dislocation, and the ligature pricks to the skin and leads to pulling, extrudes the tissue and causes the risk of edema.
Disclosure of Invention
Aiming at the problems existing in the prior art, the invention aims to provide a surgical instrument which has reasonable structure, simple operation and small wound, can reduce surgical complications and pain of patients and solves the problems of ligature position dislocation, sliding knot and the like in the current anorectal surgery process, and particularly provides a surgical instrument for mixed hemorrhoids, which has simple operation and small wound. In order to achieve the above purpose, the present invention is realized by the following technical scheme:
the utility model provides an internal hemorrhoid high suspension normal position excision pincers, includes about fixed pincers body, slip pincers piece, pushes away knot handle, tensile handle, round pin axle, fixed latch and prop the spring, its characterized in that, about fixed pincers body comprises binding clip, guiding groove, finger circle, and the inboard has anti-skidding profile of tooth line, and the binding clip upwards bends into the arc, and the rear end outwards expands to be outer eight shapes. The sliding clamp piece is positioned in the left and right fixed clamp body guide grooves, the front end is provided with a movable wire control ring, the tail end is provided with a reset spring, an opening is formed in the lower rear of the movable wire control ring, the forefront end of the knot pushing handle is provided with a knot pushing head, the knot pushing handle is U-shaped, an upper sliding groove and a lower sliding groove are formed in the middle of the knot pushing handle, and the stretching handle and the knot pushing handle are respectively arranged at the middle positions of the left and right fixed clamp bodies and respectively control the movement of the sliding clamp piece and the knot pushing head.
Further, the left and right fixed clamp bodies and the pushing and knotting handle are twisted into a whole through a pin shaft.
Further, the outside of controlling fixed pincers body top is equipped with the guiding groove, and there is the spring in the centre to prop, and the afterbody has the finger ring, and there is fixed latch at pincers handle bottom, and wherein the guiding groove provides the removal track for sliding jaw piece, props the spring and can make pincers body rear end prop open in order to close the front end, and fixed latch can make the pincers body difficult slippage when pressing from both sides the internal hemorrhoid, plays the effect of fixed pincers body tension.
Further, the sliding clamp piece is positioned in the guide groove at the outer side above the left and right fixed clamp bodies, the front end of the sliding clamp piece is provided with a movable wire control ring, the tail end of the sliding clamp piece is connected with a reset spring, and the other end of the reset spring is fixedly connected with the inner wall of one side, close to the handle, of the guide groove; the sliding forceps sheet is movably connected with the stretching handle through the rivet for the joint sheet, the movable wire control ring in front of the sliding forceps sheet is moved through the stretching handle, ligature wires wound on the movable wire control ring are taken to the internal hemorrhoid, and the reset spring can enable the sliding forceps sheet to automatically restore to the original position, so that the operation efficiency is improved.
Further, the forefront end of the knot pushing handle is provided with a knot pushing head which is U-shaped, an upper sliding groove and a lower sliding groove are arranged in the middle of the knot pushing handle, the tail part is a finger ring, the upper sliding groove provides a sliding track for the knot pushing head along with the movement of the knot pushing handle at the pin shaft so as to push the knot tying position of a string to the internal hemorrhoid, the lower sliding groove is movably connected with the sliding clamp piece and the stretching handle through rivets for the joint piece, the sliding track is provided for the stretching handle to drive the movement of the sliding clamp piece, and the finger ring is used for conveniently pushing and pulling the knot pushing handle in an operation.
Further, the forceps heads of the left and right fixing forceps bodies are bent upwards to form an arc shape, the bending angle is 5-15 degrees, so that the forceps are better suitable for anus structures, the operation accuracy is improved, and the pain of patients is relieved.
Further, the forceps heads of the left and right fixing forceps bodies are in a pointed cone shape so as to better adapt to the internal hemorrhoid part and reduce the damage to surrounding tissues.
Further, the length of the left and right fixed pliers body is 130-180 mm, the length of the pliers head to the pin shaft is 40-60 mm, the length of the pin shaft to the finger ring is 80-120 mm, the length of the reset spring is 30-44 mm, the length of the upper sliding groove of the push-junction handle is 48-72 mm, and the length of the lower sliding groove is 24-36 mm.
Further, the outer diameter of the movable wire control ring is 1-5 mm, and the inner diameter is 0.5-3 mm.
Further, the inner sides of the front ends of the left and right fixing clamp bodies are provided with anti-slip insections, the lengths of the anti-slip insections are 130-180 mm, and the rear ends of the anti-slip insections are outwards expanded to be in an external eight shape.
The technical scheme provided by the invention has the following beneficial effects:
(1) When the wire control high-suspension in-situ internal hemorrhoid excision clamp is operated, the knot of the wire is tied and pushed to the internal hemorrhoid part by the push-knot handle, so that internal hemorrhoid ligation can be directly carried out in the rectal cavity, the operation step of pulling the internal hemorrhoid out of the anus in the prior art is omitted, and the risk of damage to the rectal mucosa and anus skin caused by internal hemorrhoid traction is avoided.
(2) The sliding forceps piece of the wire control high-suspension in-situ internal hemorrhoid resection forceps is provided with the movable wire control ring, so that the ligature is ensured not to fall off easily when the ligature is driven to move by operation in operation, the operation is performed smoothly, the operation risk is reduced, and the operation time is shortened.
(3) The wire control high-suspension in-situ internal hemorrhoid excision clamp disclosed by the invention has the advantages that the left and right fixing clamps are bent upwards by a certain angle and are matched with the anus, so that the operation is more accurate, and the comfort level of a patient is improved.
(4) The wire-control high-suspension in-situ internal hemorrhoid excision clamp can clamp internal hemorrhoid and achieve the effect of ligating in-situ ligation.
Drawings
FIG. 1 is a general view of an in situ excision clamp with elevated internal hemorrhoid according to the present invention;
FIG. 2 is a first hierarchical view of an in situ resection forceps for treating internal hemorrhoid with high suspension according to the present invention;
FIG. 3 is a second layer of the present invention showing an in situ resection forceps for treating internal hemorrhoid;
FIG. 4 is a third layer diagram of an in situ excision clamp with internal hemorrhoid elevation
FIG. 5 is a close-up view of an in situ resection forceps for internal hemorrhoid elevation according to the present invention;
FIG. 6 is a side view of a sliding jaw;
FIG. 7 is a block diagram of a sliding jaw and a guide slot;
fig. 8 is a schematic view of a push junction.
Reference numerals: 1-fixing the clamp body left and right; 2-pushing a knot handle; 3-sliding clamp pieces; 4-guiding grooves; 5-a movable wire loop; 6-supporting springs; 7-fixing the latch; 8-a pin shaft; 9-upper sliding grooves; 10-pushing the knot; 11-joint pieces; 12-rivets; 13-a return spring; 14-clamp heads; 15-finger ring; 16-lower sliding groove, 17-stretching handle.
Detailed Description
In order to make the objects, technical solutions and advantages of the embodiments of the present invention more clear, the technical solutions of the embodiments of the present invention will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present invention. It will be apparent that the described embodiments are some, but not all, of the embodiments of the invention. All other embodiments, which can be made by those skilled in the art without any inventive effort, are within the scope of the present invention based on the embodiments of the present invention. Accordingly, the following detailed description of the embodiments of the invention, which are provided in the accompanying drawings, are not intended to limit the scope of the invention, but are merely representative of selected embodiments of the invention, based on which they fall within the scope of the invention.
The invention discloses a wire-control internal hemorrhoid high-suspension in-situ excision clamp, which is shown in fig. 1 and comprises a left fixed clamp body 1, a right fixed clamp body, a sliding clamp piece 3, a push handle 2, a stretching handle 17, a pin shaft 8, fixed clamping teeth 7 and a supporting spring 6, and is characterized in that the left fixed clamp body 1 and the right fixed clamp body 1 are composed of clamp heads 14, guide grooves 4 and finger rings 15, the supporting spring 6 is arranged between the left fixed clamp body 1 and the right fixed clamp body 1, and the fixed clamping teeth 7 are arranged at the bottoms of the clamp handles. The sliding clamp piece 3 is positioned in the guide groove 4 of the left and right fixed clamp bodies 1, the front end is provided with a movable wire control ring 5, and an opening is arranged at the lower rear part of the movable wire control ring 5. The front end of the knot pushing handle 2 is provided with a knot pushing head 10 which is U-shaped, an upper sliding groove 9 and a lower sliding groove 16 are arranged in the middle of the knot pushing handle, the tail end of the knot pushing handle is provided with a finger ring 15, and the middle positions of the left and right fixed clamp bodies 1 are respectively provided with a stretching handle 17 and the knot pushing handle 2, so that the movement of the sliding clamp pieces 3 and the knot pushing head 10 can be controlled respectively.
When the high-suspension in-situ ligation is used, ligature wires sequentially pass through the movable wire control ring 5, in order to ensure that the ligature wires are not easy to fall off, the two ends of the ligature wires are wound on the movable wire control ring 5 again from the opening, the semi-standard anus drag hook is taken to retract anus, the pre-ligature hemorrhoids are fully exposed, two tissue forceps are taken to clamp the upper end and the upper mucosa of the hemorrhoids respectively, the high-suspension in-situ excision forceps are taken for wire control and are opened, the size and the position of the forceps head 14 are adjusted, the hemorrhoids are clamped by the forceps at the base part, the fixed clamping teeth 7 are buckled, pulling the stretching handle 17 drives the sliding forceps sheet 3 to move towards the handle direction to tighten and suspend the ligature, taking down the ligature, returning the movable wire control loop 5 to the forceps head under the action of the reset spring, knotting the ligature and placing the ligature into the knot pushing head 10, controlling and pulling two ends of the ligature by one hand, pushing the knot pushing handle 2 by the other hand to ligature at the internal hemorrhoid, pulling out the knot pushing handle 2, placing the ligature into the knot pushing head 10 again to finish internal hemorrhoid ligation, and removing the thread control and suspension in-situ excision forceps.
The above embodiments are only for illustrating the inventive concept of the present invention and not for limiting the protection of the claims of the present invention, and all the insubstantial modifications of the present invention using the concept shall fall within the protection scope of the present invention.
Claims (10)
1. The utility model provides a drive-by-wire highly suspended in situ internal hemorrhoid excision pincers, includes control fixed pincers body (1), slip pincers piece (3), pushes away knot handle (2), tensile handle (17), round pin axle (8), fixed latch (7) and prop spring (6), its characterized in that, control fixed pincers body (1) by binding clip (14), guide slot (4), finger circle (15) are constituteed, slip pincers piece (3) are located control fixed pincers body (1) guide slot (4) about, and the front end is equipped with movable accuse wire loop (5), and the tail end is equipped with reset spring (13), and there is an opening at movable accuse wire loop (5) lower rear, push away knot handle (2) forefront end for pushing away knot head (10), is equipped with sliding groove (9) and lower sliding groove (16) in the middle, and the tail end has finger circle (15), and tensile handle (17) and push away knot handle (2) all are controlling respectively and are pushed away the removal of knot head (10) in control fixed pincers body (1) intermediate position about.
2. The wire-control high-suspension in-situ internal hemorrhoid resection forceps according to claim 1, wherein the left and right fixed forceps bodies (1) and the pushing and knotting handle (2) are twisted into a whole through a pin shaft (8).
3. The wire-control high-suspension in-situ internal hemorrhoid resection forceps according to claim 1, wherein a guide groove (4) is arranged on the upper outer side of the left and right fixed forceps bodies (1), a supporting spring (6) is arranged in the middle, a finger ring (15) is arranged at the tail part, and a fixed latch (7) is arranged at the bottom of a forceps handle.
4. The wire-control high-suspension in-situ internal hemorrhoid resection forceps according to claim 1, wherein the sliding forceps sheets (3) are arranged in the outer side guide grooves (4) above the left and right fixed forceps bodies (1), the front end of the sliding forceps sheets is provided with a movable wire control ring (5), the tail end of the sliding forceps sheets is connected with a return spring (13), and the other end of the return spring (13) is fixedly connected with the inner wall of one side of the guide groove (4) close to the handle.
5. The wire-control high-suspension in-situ internal hemorrhoid cutting forceps according to claim 1, wherein a knot pushing head (10) is arranged at the forefront end of the knot pushing handle (2), the knot pushing handle is U-shaped, an upper sliding groove (9) and a lower sliding groove (16) are arranged in the middle of the knot pushing handle, a finger ring (15) is arranged at the tail of the knot pushing handle, the knot pushing handle (2) and the left and right fixed forceps bodies (1) are stranded into a whole through a pin shaft (8), and the knot pushing head (10) can move back and forth along with the upper sliding groove (9) of the knot pushing handle (2) at the pin shaft (8).
6. The wire-control high-suspension in-situ internal hemorrhoid resection forceps according to claim 1, wherein the sliding forceps piece (3) is movably connected with the lower sliding groove (16) of the stretching handle (17) and the pushing handle (2) through the joint piece (11) by rivets (12), and the sliding forceps piece (3) can move back and forth on the lower sliding groove (16) of the pushing handle (2) along with the stretching handle (17) through the joint piece (11), so as to drive the movable wire control ring (5) to move back and forth.
7. The wire-control high-suspension in-situ internal hemorrhoid resection forceps according to claim 1, wherein the forceps head (14) of the left and right fixed forceps bodies (1) are bent upwards to form an arc, the bending angle is 5-15 degrees, and the forceps head (14) is in a pointed cone shape.
8. The wire control high suspension in-situ internal hemorrhoid cutting forceps according to claim 1, wherein the length of a left fixed forceps body (1) is 130-180 mm, the length of a forceps head (14) to a pin shaft (8) is 40-60 mm, the length of the pin shaft (8) to a finger ring (15) is 80-120 mm, the length of a return spring (13) is 30-44 mm, the length of an upper sliding groove (9) of a pushing and knotting handle (2) is 48-72 mm, and the length of a lower sliding groove (16) is 24-36 mm.
9. The wire-controlled high-suspension in-situ internal hemorrhoid resection forceps according to claim 1, wherein the outer diameter of the movable wire-controlling ring (5) is 1-5 mm, and the inner diameter is 0.5-3 mm.
10. The wire control high suspension in-situ internal hemorrhoid resection forceps according to claim 1, wherein the inner sides of the front ends of the left and right fixed forceps bodies (1) are provided with anti-slip insections, and the rear ends of the left and right fixed forceps bodies are outwards expanded to be in an external eight shape.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202311428119.4A CN117159101B (en) | 2023-10-31 | 2023-10-31 | Wire control high suspension in-situ internal hemorrhoid excision clamp |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202311428119.4A CN117159101B (en) | 2023-10-31 | 2023-10-31 | Wire control high suspension in-situ internal hemorrhoid excision clamp |
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| Publication Number | Publication Date |
|---|---|
| CN117159101A CN117159101A (en) | 2023-12-05 |
| CN117159101B true CN117159101B (en) | 2023-12-26 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202311428119.4A Active CN117159101B (en) | 2023-10-31 | 2023-10-31 | Wire control high suspension in-situ internal hemorrhoid excision clamp |
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| Publication number | Publication date |
|---|---|
| CN117159101A (en) | 2023-12-05 |
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