CN1397256A - Clip applicator for surgery - Google PatentsClip applicator for surgery Download PDF
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- CN1397256A CN1397256A CN 02140382 CN02140382A CN1397256A CN 1397256 A CN1397256 A CN 1397256A CN 02140382 CN02140382 CN 02140382 CN 02140382 A CN02140382 A CN 02140382A CN 1397256 A CN1397256 A CN 1397256A
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本发明涉及在外科治疗中把夹子赋予身体组织的外科用夹子赋予装置及其操作者操作用的操作手柄中的分解结构。 The present invention relates to the surgical treatment to impart a surgical clip body tissue with a clip device and an operator operating the lever to impart an exploded configuration in operation.
现有技术例如，在内窥镜手术中，在腹部施行小的切开，在该开口处插入沟通体内和体外的细长管子或套管等医疗用具，通过它们把外科用夹子赋予装置插过，靠此一外科用夹子赋予装置把夹子赋予体内的例如气管、血管、导管、其他身体组织，进行止血等。 The prior art example, in endoscopic surgery, a small incision in the abdomen purposes, the insertion opening communicating vivo and in vitro tube or other elongated medical device sleeve, through which is inserted through the surgical clip applying apparatus , a surgical clip by this means imparting to impart the clip body, for example the trachea, blood vessels, catheters, other body tissues, hemostasis and the like.
作为这种外科用夹子赋予装置，例如特开平10-118083号公报中所述者是公知的。 As such a surgical clip applying apparatus, for example, in JP-A No. 10-118083 are well known to the person.
可是，上述公报中所述的外科用夹子赋予装置需要多个零件数，构成复杂，其装配困难，结果存在着制造成本高这样的问题。 However, according to the above-described publication surgical clip applying apparatus requires a plurality of the number of parts constituting the complex, which is difficult to assemble, there results a problem of high production cost.
此外，作为另一个问题，现有技术中这种外科用器具有一次型和能够再次利用的回收型两种类型，在前者一次型的场合，在一位患者身上使用后，不再利用而必须废弃。 In addition, as another problem, this prior art surgical Appliances have recovered a type of two types and can be used again, once in the former type of occasion, after the body of a patient use, but must no longer use discarded.
可是，如前所述的现有技术的一次型外科用器具因为不是以分别废弃金属零件和塑料零件为前提的结构，故如果从外科用器具分出金属零件，则存在着需要大量工作量和时间这样的问题，现状是几乎照整体原样废弃。 However, once the prior art type previously described surgical instrument as not to waste metal are parts and plastic parts as a precondition structure, so if the metal part is separated from the surgical instrument, it requires a lot of effort and there is such a problem of time, the status quo is almost as a whole as discarded. 因此，为了照整体原样进行焚烧等废弃处理，存在着其处理成本提高的问题等。 Thus, as a whole as to incineration disposal, etc., there are problems that processing cost increases.
发明的内容本发明是鉴于现有技术的这些问题而作成的，其第1目的在于提供一种能够使零件数减少，简化其构成，降低制造成本的外科用夹子赋予装置。 SUMMARY OF THE INVENTION The present invention is made in view of such problems of the prior art and made of, its first object is to provide a the number of parts can be reduced, to simplify its configuration and reduce the manufacturing cost of the surgical clip applying apparatus with.
此外，本发明的第2目的在于提供一种使用后能够简单地分别处理的外科操作用手柄分解结构。 Further, a second object of the present invention is to provide a surgical operation can easily be used after treated with a handle separately breakdown structure.
为了实现前述目的，技术方案1所述的发明是备有：手柄部，从手柄部向前端侧延伸的杆部，固定于前述杆部内，沿轴向引导在杆部内直列配置的多个夹子的导向机构，配置于该杆部的前端部附近、具有能够在离开位置与接近位置之间移动的一对钳口要素的钳口，伸过杆部内并能根据前述手柄部的操作轴向移动的推杆，根据推杆的轴向移动使前述钳口的钳口要素移动到接近位置用的钳口闭锁构件，以及配置于杆部内、把前述夹子逐个依次推入前述钳口的一对钳口要素间的夹子供给机构，并把夹子赋予身体组织上的外科用夹子赋予装置，其特征在于，前述夹子供给机构由伸过杆部内而把夹子供给到前述钳口要素间的夹子架，给夹子架朝轴向后方加力的加力机构，安装于推杆上并具有靠自身的弹性力朝卡止于夹子架的方向弹压的卡止部的能够弹性变形的 To achieve the foregoing object, according to one aspect of the invention is provided with: a handle portion, a handle portion extending from the stem portion toward the distal end, the rod is fixed to the inner portion, guided axially in the plurality of clips arranged in series of the rod portion guide means disposed in the vicinity of the distal end portion of the rod portion having a pair of jaws capable of close elements move between the jaws, and extends through a position away axially movable according to the operation of the handle portion of the inner rod portion the push rod, the push rod causes the axial movement of the jaw elements of the mobile jaw of the jaw member to the close position with a locking, and a portion disposed in the rod, one by one to sequentially push the clamp jaws of the pair of jaws clip feed mechanism between the elements, and to impart the clip on the body tissue with a surgical clip applying apparatus, wherein the clip feed means extending through the rod by the inner portion of the clip and the clip carrier is supplied between the jaw elements, the clip holder to axially rearward urging mechanism urging, mounted on the push rod engaging portion and having a direction against the elastic force of itself toward the locked clip holder capable of biasing elastically deformable 卡止构件，以及在前述卡止构件前方在杆部内固定并使前述卡止构件的卡止部向与夹子架的非卡止位置移动的复位构件构成。 The locking member, and a stop member in the forward portion of the fixed shaft and the locking member of the card locking unit configured to reset the clip holder member non-movable in the locking position of the card.
如果操作手柄部，使推杆在杆部内前进，则安装于推杆上的夹子供给机构的卡止构件整体地前进。 If the operating handle portion, advancing the push rod in the rod portion, the clip is attached to the card feeding mechanism on the plunger stop member integrally advance. 因为卡止构件的卡止部卡止于夹子架上，故夹子架也克服前述加力机构而前进。 Because the card engaging member is engaged with the locking portion of the clip holder, the clip holder so that also overcomes the biasing mechanism proceeds. 而且，夹子架把靠导向机构所导向的夹子推入钳口要素间。 Further, the clip holder by the guide means between the guide clip is pushed into jaws elements. 接着，在杆部内与推杆一起前进的卡止构件达到在前方固定于杆部内的复位构件处。 Subsequently, the push rod in the forward portion of the lever with the locking member reaches the reset member fixed at the front in the rod portion. 于是，因为复位构件使能够弹性变形的卡止构件变形而使其卡止部向与前述夹子架的非卡止位置移动，故夹子架被从卡止构件上解脱，靠加力机构向后方返回。 Accordingly, since the reset member so that the locking member can be deformed elastically deformable so that the locking portion and the locking position non-card holder to clamp, so that the clip bracket is freed from the stop member on the card by the urging means to return backward . 进而，如果继续手柄部的操作，则因为钳口闭锁构件根据推杆的移动而使钳口的钳口要素向接近位置移动，故靠夹子架推入钳口要素间的夹子在钳口要素间挤拢而赋予到身体组织上。 Further, if the continue operating handle portion, since the locking jaw elements jaw member according to the movement of the push rod moves the jaws to the proximate position, the clip holder by pushing it between the jaws of the clip element between the jaw elements squeezing together and given to body tissue.
因为卡止构件本身由能够弹性变形的构件构成，故可以省略作为另外的零件的弹簧等构成零件，可以以较少的零件来使构成简单，可以降低制造成本。 Since the locking member itself is made of an elastically deformable member, it is possible to omit the spring as a constituent part of the additional parts and the like, may be fewer parts to make a simple structure, the manufacturing cost can be reduced.
技术方案2所述的发明特征在于，技术方案1所述的前述卡止构件制成'ヘ'字形，在其顶上部设置卡止于前述夹子架上的卡止部，在一方的边部上设置铰支于前述推杆上的铰支部，在另一方的边部上设置板弹簧部，前述复位构件具有作用于前述卡止构件上并把前述卡止部向下方方向推压的凸轮面。 2, the aspect of the invention characterized in that the aspect 1, the locking member is made of 'ヘ' shape, the clip bracket beyond the engaging portion is provided at its top portion cards, one upper edge portion hinged to the branch portion provided on the pusher hinge, the plate spring portion is provided on the other side portion, said return member which acts on the cam surface engaging member and the engaging portion in the direction of the pressed downward.
虽然在卡止构件的顶上部所形成的卡止部始终卡止于前述夹子架上，但是复位构件靠卡止构件而作用，借此卡止部被朝下方方向推压，可以使卡止部向离开夹子架的非卡止位置移动。 Although the engaging portion is always on top of the card portion of the locking member is locked to the clip of the frame formed, but the return member acting against the locking member, whereby the engaging portion is pressed toward the downward direction, the locking portion can be made moved away from the clip carrier to the non-locking position.
技术方案3所述的发明特征在于，技术方案1所述的前述卡止构件由板簧组成并能够左右摇动地安装于前述推杆上，在其顶上部设置卡止于前述夹子架上的卡止部，前述复位构件具有作用于前述卡止构件上并把前述卡止部向左或右方向推压的凸轮面。 The invention of claim 3 is characterized, according to an aspect of the locking member and can be composed of a leaf spring mounted on the right and left swing the push rod, the clip bracket beyond the top portion of the card in which the card is provided stop portion, said return member which acts on the cam surface engaging member and the engaging portion the left or right direction pressed.
虽然在卡止构件的顶上部所形成的卡止部始终卡止于前述夹子架上，但是复位构件靠板簧而作用，借此卡止部被朝左或右方向推压，可以使卡止部向离开夹子架的非卡止位置移动。 Although the engaging portion is always on top of the card portion of the locking member is locked to the clip of the frame formed, but a plate spring acting against the reset member, whereby the engaging portion is pushed to the left or right direction, the locking can be made away from the clip carrier portion is moved to a non-locking position.
技术方案4所述的发明特征在于，技术方案1至3中的任何一项中所述的前述导向机构内备有当最后的夹子靠夹子架推入钳口要素间时阻止夹子架后退的阻止机构，在夹子架的后端上形成阻止前述推杆后退的挡片部。 The invention described in claim 4 wherein, with any one of aspect 1 to 3, said guide means prevents the retracted to prevent the clip when the last frame of the clip by pushing the clip between the jaw holder element means, prevents the formation of the flap portion at the rear end of the push rod back in the clip holder.
因为如果夹子架把最后的夹子推入钳口要素间，则夹子架的后退被阻止机构所阻止，故靠在夹子架的后端上所形成的挡片部可以阻止推杆的后退。 If the last frame of the clip as the clip is pushed into jaws between the elements, the back of the clip holder is prevented by stop means, so that the flap portion against the rear end of the clip holder may be formed to prevent the pusher retracted. 通过这种动作，可以告知操作者用光了所有的夹子的情况。 By this operation, the operator may inform the light of all of the clip. 因为夹子架直接阻止推杆的后退，故可以以较少的零件使构成简单，可以降低制造成本。 Because the clip carrier is directly prevent plunger retraction, it is possible to make the configuration simple fewer parts, the manufacturing cost can be reduced.
技术方案5所述的发明特征在于，技术方案1至4中的任何一项中所述的前述钳口闭锁构件整体地连接于前述推杆上。 The invention described in claim 5 wherein, in any one of 1 to 4 in the aspect of the jaw locking member is integrally attached to the push rod. 而且，钳口闭锁构件也可以与推杆形成一体。 Moreover, the jaw locking member may be formed integrally with the push rod.
技术方案6所述的发明特征在于，技术方案1至5中的任何一项中所述的前述导向机构由夹子盒和覆盖在该夹子盒上侧的夹子盒盖来构成，夹子盒和夹子盒盖结合而划分成夹子盒内部空间，在夹子盒内部空间内配置给夹子向前方加力的夹子弹簧，靠夹子盒和夹子盒盖中的某一方来承受来自该夹子弹簧后端的弹簧力，并且该夹子盒和夹子盒盖通过使前述夹子盒和夹子盒盖中的某一方对某另一方向后方相对滑动来结合，通过使前述夹子盒和夹子盒盖中的某一方对某另一方向前方相对滑动来解除结合。 The invention according to aspect 6 wherein any one of aspect 1 to 5 in the guide means by a clip of the box and the cover clips cover the upper side of the clip cartridge constructed, the cartridge clip and the cartridge clip binding lid into the inner space of the cartridge clip, spring clip arranged to clamp the forward biasing the internal space of the clip in the cartridge, the cartridge clip and the clip on the lid to withstand the spring force either from the rear end of the spring clip, and the cartridge clip and the clip slide relative to the rear cover of a binding pair in the other direction by the clip and the clip cartridge cover either one, the other one of the front direction by the clip cartridge cover of the clip and either binding relative sliding movement is released.
在把夹子盒与夹子盒盖结合时，通过使夹子盒和夹子盒盖中的某一方对另一方向后方相对滑动来进行。 When the combined clip the clip cartridge cover, performed by the clip and the clip cartridge cover in either direction relative to the other slide backward. 结合之后，承受来自夹子弹簧的向后方的弹簧力的夹子盒和夹子盒盖中的某一方即使因该弹簧力而向后方滑动，结合也不脱开。 After binding, spring-loaded clip from the rearward spring clip and the clip cartridge cover either one of the spring force even if the slide backward, disengaging not binding. 这样一来，可以防止夹子盒和夹子盒盖的结合因夹子弹簧的弹簧力而意外地脱开。 Thus, the cartridge can be prevented in conjunction with the clip and the clip cover by the spring force of the spring clip being accidentally disengaged.
为了实现前述第2目的，技术方案7所述的发明是推棒能够向前后方向移动地设在手柄外壳内，推棒通过操作能够移动地安装于手柄外壳的扳机而向前方移动的外科用操作手柄，其特征在于，在手柄外壳的前端开口上配置筒体，推棒靠夹在筒体与推棒之间的复位弹簧朝后方加力，前述筒体备有配置于手柄外壳内部的基部，配置于手柄外壳外部的外部连接部，以及在基部与外部连接部之间所形成的脆弱部，通过相对于基部拧动外部连接部，筒体能够在该脆弱部处破断，前述复位弹簧可以从该破断了的筒体中取出。 To achieve the foregoing second object, an invention of claim 7 is the forward direction of the pushing rod can be movably disposed within the handle housing, a pushing rod movably mounted to the handle housing by operation of the trigger is moved forward the surgical operation a handle, wherein the cylinder arranged at the front end of the handle housing opening, against the push rod is sandwiched between the cylinder and the push rod return spring urging rearward, with the cylindrical base portion arranged inside the handle housing, the external connection portion disposed outside the handle housing, and a frangible portion between the base portion and the external connection is formed, relative to the base by screwing the external connection portion, the cylindrical body can be broken at the fragile portion, from the return spring the breaking of the cylinder removed.
使用后相对于基部拧动筒体的外部连接部，使筒体破断，借此可以把通常金属制的复位弹簧简单地从手柄外壳中取出，可以分别处理复位弹簧和其他零件。 After using the base with respect to the screwing of the external connection cylinder, the cylindrical body broken, whereby the return spring can simply be made of a metal is generally removed from the handle housing can be treated the return spring and other parts, respectively.
技术方案8所述的发明特征在于，技术方案7所述的前述基部能够相对于手柄外壳旋转地配置，在前述基部的手柄外壳上形成能够弹性变形的弹性片，该弹性片能够卡合于前述基部上。 The invention according to aspect 8 wherein the aspect 7, the base portion rotatably disposed with respect to the handle housing, is formed elastically deformable elastic sheet on the base of the handle housing, the resilient piece can be engaged with the the base portion. 把在手柄外壳上所形成的弹性片向手柄外壳内部推入，与基部卡合，借此阻止筒体的基部对手柄外壳的旋转。 The elastic piece formed on the handle housing is pushed toward the interior of the handle housing, engaging the base, thereby preventing rotation of the cylinder base of the handle housing. 这样一来，通过使外部连接部旋转，就可以相对于基部拧动外部连接部。 Thus, by rotating the external connection portion, can twist relative to the base portion of the external connection.
技术方案9所述的发明特征在于，技术方案7或8所述的前述基部的前面侧形成多个能够与在前述手柄外壳的前述前端开口的外周部上所形成的多个窄缝连通的多个附件插入孔，在附件上所形成的突起能够插入该窄缝和附件插入孔中。 The invention according to aspect 9 wherein, the plurality of slits can be in communication with a plurality of the outer periphery of the distal end portion of the handle housing plurality of openings formed in the front side of the base 7 or 8 is formed aspect Annex insertion holes, formed in the attachment projections can be inserted into the accessory insertion hole and the slit. 把附件的突起插入手柄外壳的窄缝和基部的附件插入孔中，使附件与基部卡合，借此阻止筒体的基部相对手柄外壳旋转。 The attachment projection insertion handle housing attachment base portion of the slit and insertion hole, the accessory is engaged with the base, whereby the base of the barrel to prevent rotation of the housing relative to the handle. 这样一来，通过使外部连接部旋转，就可以相对于基部拧动外部连接部。 Thus, by rotating the external connection portion, can twist relative to the base portion of the external connection.
技术方案10所述的发明特征在于，技术方案7至9中的任何一项中所述的推棒上沿其移动方向形成棘齿，在手柄外壳内配置棘爪构件，该棘爪构件的头部中央部铰支于手柄外壳上，该棘爪构件的头部前端制成人字形，在其两斜面上分别形成与推棒的棘齿啮合的棘齿，在棘爪构件上进而形成从其头部向对着前端方向延伸的板簧部，在该手柄外壳中形成限制棘爪构件的板弹簧部以前述铰支部为中心的转动范围的限制部。 The invention according to aspect 10 wherein, the technical solution is formed along the moving direction of the ratchet 7 to 9 in a push rod according to any of the pawl member is disposed within the handle housing, the first pawl member portion hinged to the central portion of the handle housing, the front end of the head portion of the pawl member is made chevron, mesh with the ratchet teeth formed in ratchet teeth of the push rod in its two inclined surfaces, respectively, thereby forming a head on the pawl member from portion of the plate spring portion extending toward the distal direction, the plate spring portion is formed to limit the rotational range of the pawl member hinged to the branch portion at the center of the restriction in the handle housing.
如果随着此一推棒的移动，推棒的棘齿移动，则棘爪构件的头部以铰支点为中心旋转，其头部前端向推棒的移动方向倾斜，头部前端的两斜面的一方上所形成的棘齿啮合于推棒的棘齿上。 If with the movement of the ratchet move the push rod pushing rod, the head portion of the pawl member is rotated to pivot the hinge, the front end of the head is inclined in the moving direction of the push rod, the front end of the two inclined surfaces of the head one of the ratchet teeth formed in the pushing rod engaging ratchet teeth. 此时，因为板簧部的转动范围由限制部所限制，故板弹簧部弯曲，头部前端的棘齿靠板簧部向啮合于推棒的棘齿的方向加力。 At this time, since the rotation range is limited by the leaf spring portion restricting portion, so that the plate spring portion is bent, the distal end of the ratchet head portion of the plate spring in a direction against the urging of the push rod engaging ratchet teeth. 在此一状态下，因为棘爪构件的头部不可能退避而允许向与推棒移动中的方向相反方向的移动，故这种推棒向相反方向的移动被禁止。 In this state, since the head portion of the pawl member can not be retracted to allow movement in the opposite direction to the direction of movement of the pushing rod, so that the push rod is moved in the opposite direction to the prohibited. 这样一来，直到其棘齿完全通过棘爪构件的棘齿，推棒仅沿移动中的方向移动。 Thus, until it is completely through the ratchet teeth of the ratchet pawl member, the push bar moves only in the moving direction.
接着，如果推棒沿着与前述移动方向相反的方向移动，则棘爪构件的头部沿着与先前相反的方向旋转，其头部前端向推棒的移动方向倾斜，在头部前端的两斜面的另一方上所形成的棘齿啮合于推棒的棘齿上。 Subsequently, if the push rod is moved in a direction opposite the direction of movement, the head portion of the pawl member along a direction opposite to the previous rotation, the front end of the head is inclined in the moving direction of the pushing rod, two in the front of the head ratchet teeth on the other of the inclined surface formed on the push rod engaging ratchet teeth. 借此，通过与前面同样的作用，因为棘爪构件的头部不可能退避而允许向与推棒移动中的方向相反方向的移动，故这种推棒向相反方向的移动被禁止。 Accordingly, the same effects as with the foregoing, since the head portion of the pawl member is retracted to allow the possible direction of movement of the pushing rod in the opposite direction, so that the push rod moves in the opposite direction is prohibited. 这样一来，直到其棘齿完全通过棘爪构件的棘齿，推棒仅沿移动中的方向移动。 Thus, until it is completely through the ratchet teeth of the ratchet pawl member, the push bar moves only in the moving direction. 因为前述棘爪构件备有板簧部，故不需要弹簧，仅靠棘爪构件就可以限制推棒的移动方向。 Because the pawl member is provided with a plate spring portion, it does not require a spring, the pawl member can be restricted only by the direction of movement of the push rod. 因为此一棘爪构件不需要弹簧，故使用后可以在收容于前述手柄外壳中的状态下处置。 Because this does not require a spring pawl member, so that after use can be disposed in a state accommodated in the handle housing.
此外，技术方案11所述的发明是备有：手柄部，从手柄部向前端侧延伸的杆部，固定于前述杆部内，沿轴向导向在杆部内直列配置的多个夹子的导向机构，配置于该杆部的前端部附近、具有能够在离开位置与接近位置之间移动的一对钳口要素的钳口，伸过杆部内并能根据前述手柄部的操作轴向移动的推杆，根据推杆的轴向移动使前述钳口的钳口要素移动到接近位置用的钳口闭锁构件，以及配置于杆部内、把前述夹子逐个依次推入前述钳口的一对钳口要素间的夹子供给机构，并把夹子赋予身体组织上的外科用夹子赋予装置，其特征在于，前述手柄部与前述杆部能够分离。 Further, the invention according to aspect 11 is provided with: a handle portion, a handle portion extending from the stem portion toward the distal end, the rod is fixed to the inner portion, a plurality of clips along the axial direction in the rod guide portion of the guide means arranged in series, disposed in the vicinity of the distal end portion of the stem portion, capable of having a position in proximity to leave a pair of jaws movable between elements of the jaws, extends through the shank and the handle portion operable to axially move the push rod in accordance with, the axial movement of the push rod causes the jaws to move the jaws of the jaw elements near the position for the blocking member, and disposed in the shank, between a pair of jaw elements one by one to sequentially push the clamp jaws of the clip feed means and the clip on the body tissue to impart a surgical clip applying apparatus, wherein the handle portion and the lever portion can be separated.
使用后可以把手柄部和杆部分离，交付以后的处理。 After use the handle portion and the shaft portion from the, after-delivery processing.
如果用以上说明的本发明，则不仅零件数减少，而且构成变得简单，装配也可以容易地进行。 If the present invention described above, not only reduces the number of parts and the configuration becomes simple, the assembly can be easily performed. 此外，使用后的手柄部通过相对于基部拧动筒体的外部连接部使筒体破断，通常可以简单地把金属制的复位弹簧从手柄壳体中取出，可以分别处理复位弹簧和其他零件，可以降低废弃处理用的成本。 Furthermore, after use the handle portion relative to the base by screwing the external connection of the cylindrical body of the barrel broken, generally can simply return spring made of metal removed from the handle housing can be treated the return spring and other parts, respectively, It can reduce the cost of processing waste. 此外，零件的再利用成为可能，在再利用的场合可以制成环境上有所考虑的制品。 In addition, the re-use of parts is made possible, in the case of re-use of products can be made on the environment has been taken into account.
附图的简要说明图1是本发明的夹子赋予装置的总体透视图。 BRIEF DESCRIPTION OF THE DRAWINGS FIG. 1 is an overall perspective view of the clip applying apparatus of the present invention.
图2是表示取下手柄部的手柄左壳观看的内部构成的图。 FIG 2 is a diagram showing the internal configuration of the handle portion of the handle to remove the shell left viewing.
图3是手柄部的推棒的侧视图。 FIG 3 is a side view of the handle portion of the pushing rod.
图4是手柄部的棘爪构件的侧视图。 FIG 4 is a side view of the handle portion of the pawl member.
图5是手柄部的旋转接套的(a)透视图，(b)半纵剖视图，(c)破断状态的侧视图。 FIG 5 is a side perspective view of the rotation of the handle portion of the sleeve part (a), (b) a half longitudinal sectional view, (c) breaking state.
图6(a)是表示取下手柄部的手柄左壳观看的扣动扳机的中途的内部构成的图，(b)是推棒的棘齿和棘爪构件的棘齿的放大图。 FIG 6 (a) shows the internal configuration of the middle of the handle of FIG. Remove the left case of pulling the trigger of the handle portion of the view, (b) is an enlarged view of a ratchet pawl member and ratchet pushing rod.
图7是表示取下手柄部的手柄左壳观看的完全扣动扳机的状态的内部构成的图。 FIG. 7 shows an internal state of pulling the trigger fully viewed handle grip portion of the left case constituted removed.
图8(a)是表示取下手柄部的手柄左壳观看的使扳机复位中途的内部构成，(b)是推棒的棘齿和棘爪构件的棘齿的放大图。 FIG 8 (a) is a diagram showing an internal reset in the middle of the trigger of the handle portion of the handle to remove the shell left viewing configuration, (b) is an enlarged view of a ratchet pawl member and ratchet pushing rod.
图9是旋转接套和杆部的纵剖视图。 9 is a rotating longitudinal rod portion and the sleeve sectional view.
图10是导向机构的分解透视图。 FIG 10 is an exploded perspective view of a guide mechanism.
图11是导向机构的横剖视图。 FIG 11 is a cross sectional view of the guide mechanism.
图12是表示(a)使夹子盒盖与夹子盒结合之前，(b)使夹子盒盖与夹子盒结合的状态的透视图。 FIG 12 shows (a) that the clip before the clip cartridge cover binding, (b) that the state of the clip the clip cartridge cover bound perspective.
图13是导向机构、钳口和夹子架的透视图。 FIG 13 is a guide means, a perspective view of the jaws and the clip holder.
图14是钳口的(a)俯视图、(b)侧视图、(c)仰视图。 FIG 14 is a top view of the jaw part (a), (b) side view, (c) a bottom view.
图15是推杆的分解透视图。 FIG 15 is an exploded perspective view of the push rod.
图16是后推杆的(a)俯视图、(b)纵剖视图。 FIG 16 is a (a) top plan view of the push rod, (b) a longitudinal sectional view.
图17是钳口闭锁构件的透视图。 FIG 17 is a perspective view of the latch jaw member.
图18是钳口闭锁构件的(a)俯视图、(b)纵剖视图。 FIG 18 is (a) a plan view of the latch jaw member, (b) a longitudinal sectional view.
图19是表示钳口与钳口闭锁构件的关系的图，(a)表示钳口闭锁构件的凸轮面位于钳口的钳口要素的凸轮面后方的状态，(b)表示钳口闭锁构件的凸轮面与钳口的钳口要素的凸轮面相关的状态。 FIG 19 is a diagram showing the relationship between the locking jaws and the jaw member, (a) shows a state of the rear cam face the cam surface jaw jaw element located in the locking jaw member, (b) showing the locking jaw member state of the cam surface of the associated jaw element and the cam surface of the jaw.
图20是夹子供给机构的局部纵剖视图。 FIG 20 is a partial longitudinal sectional view of the clip feeding mechanism.
图21是夹子供给机构的局部放大纵剖视图。 FIG 21 is a fragmentary clip feed mechanism enlarged longitudinal sectional view.
图22是表示夹子架、导向机构和钳口前端附近的透视图。 FIG 22 is a clip holder, a perspective view of the guide means and the vicinity of the distal jaw.
图23是表示夹子架后端附近的透视图。 FIG 23 is a perspective view of the clip frame near the rear end.
图24是卡止构件的(a)俯视图、(b)侧视图。 FIG 24 is a plan view of the locking member (a), (b) a side view.
图25是表示夹子架、导向机构和钳口前端附近的透视图，表示夹子架前进的状态。 FIG 25 is a clip holder, the guide mechanism and a perspective view of the vicinity of the front end of the jaws, the clip carrier showing the state of progress.
图26是夹子供给机构的局部放大纵剖视图，表示卡止构件干涉于复位棒的凸轮面的状态。 FIG 26 is a fragmentary clip feed mechanism enlarged longitudinal sectional view showing the locking member in an interference state of the reset rod cam surface.
图27是表示夹子架后端附近的透视图，表示卡止构件干涉于复位棒的凸轮面的状态。 FIG 27 is a perspective view showing the vicinity of the rear end of the clip carrier showing the locking member in the interference of the reset rod cam surface state.
图28是表示夹子供给机构的变形例的局部透视图。 FIG 28 is a partial perspective view showing a modification of the clip feeding mechanism.
图29是表示夹子供给机构的变形例的夹子架后端附近的透视图，表示卡止构件干涉于复位棒的凸轮面的状态。 29 is a perspective view of the clip carrier showing the vicinity of a modification of the rear end of the clip feed mechanism, showing the locking member in the interference of the reset rod cam surface state.
图30是分解手柄部时的图。 FIG 30 is an exploded view of the handle portion.
图31是装配架的透视图。 FIG 31 is a perspective view of the mounting structure.
图32是用装配架的场合的透视图。 FIG 32 is a perspective view of the case with a jig.
具体实施方式 detailed description
下面用附图来说明本发明的实施例。 It will be described below with reference to the accompanying drawings of embodiments of the present invention. 再者，以下的实施例并不限定本发明。 Further, the following embodiment does not limit the present invention.
图1是根据本发明的外科用夹子赋予装置的总体透视图。 FIG 1 is an overall perspective view of the clip means imparting surgical present invention. 此一外科用夹子赋予装置10作为总体备有：手柄部12，从手柄部12向前端侧延伸的杆部14，配置在杆部14内的导向机构16，配置在杆部14的前端部附近的钳口18，伸过杆部14、内根据前述手柄部12的操作能轴向移动的推杆20，根据推杆20的轴向移动使前述钳口18的钳口要素移到接近位置用的钳口闭锁构件22，以及配置在杆部14内，把夹子逐个依次置于前述钳口18的一对钳口要素间的夹子供给机构24。 This surgical clip applying apparatus 10 as generally provided with: a handle portion 12, the rod portion from the handle portion 12 extends toward the distal end 14, guide mechanism 16 disposed within the portion 14, arranged in the vicinity of the distal end portion 14 of the stem portion jaw 18, extends through the stem portion 14, the operation of the inner handle portion 12 of the push rod 20 axially movable with the axial movement of the push rod 20 so that the jaw 18 is moved close jaw element position the jaw locking member 22, and disposed within the stem portion 14, the clip is placed sequentially one by the pair of clamp jaws 18 supply mechanism 24 between the jaw elements. 下面进行各部的详细说明。 A detailed description of each part below.
〔1〕手柄部12如图1中所示，手柄部12有手柄右壳121和手柄左壳122，由这些手柄右壳121和手柄左壳122来构成手柄外壳124，在其内部划分成壳体内部空间。  As shown in FIG. 1 the handle portion 12, the handle 12 has a handle portion 121 and a right handle shell left case 122 from the right handle shell 121 and the left valve handle 122 configured to handle housing 124, housing in its interior divided into body interior space. 在手柄外壳124上，形成适合于操作者握持的握持部124a。 In the handle housing 124, 124a is adapted to form a grip portion gripped by an operator. 如图2中所示，在壳体内部空间中铰支着扳机123，突出设置于手柄外壳124的壳体内部空间的销子124b贯通扳机123的销子贯通孔123a。 As shown in FIG. 2, in the interior space of the housing of the trigger 123 pivotally carries, projecting pins arranged in the inner space of the housing 124b of handle housing 124 through trigger pin 123 through hole 123a. 扳机123的下端部从手柄外壳124突出，能够接近、远离握持部124a地摇动运动。 Trigger 123 protrudes from the lower end portion of the handle housing 124, is accessible, away from the grip portion 124a shaking motion. 握持握持部124a的操作者通过扣动操作扳机123如后所述把夹子C置于钳口18上，可以进行夹紧夹子C，赋予身体组织的想要部位的一系列动作。 An operator gripping the grip portion 124a of the clip C as described series of operations desired portion disposed on the jaw 18, clamping the clip C can, given body tissue pulled by operation of the trigger 123.
如图2中所示，扳机123的上端部配合在配置于与前述杆部14同一直线上的推棒126上所形成的突起126a。 As shown in FIG. 2, the upper end portion 123 of the trigger fit projections 126a disposed at the upper portion of the lever 126 pushes the rod 14 with the straight line formed. 推棒126能够沿杆部14的轴向移动地配置于在壳体内部空间中，扳机123的摇动运动变换成推棒126的杆部14轴向的移动。 Push rod 126 is axially movable rod portion 14 is disposed in the internal space in the housing, rocking movement of the trigger 123 is converted into axial movement of the stem portion 126 of the pushing rod 14. 如图3中所示，在推棒126的后端部形成向下鼓出的部分，在此一鼓出部分的下面形成棘齿126b。 As shown in FIG. 3, a downwardly bulged portion at a rear end portion of the push rod 126, in the following this bulging portion is formed ratchet teeth 126b. 此一棘齿126b的各齿制成直角等腰三角形的形状。 This ratchet teeth 126b made of a right-angled isosceles triangle. 棘齿126所形成的鼓出部分的前侧和后侧，成为退避部126c和126d。 Front and rear sides of the bulging portion ratchet teeth 126 formed into the retracted portions 126c and 126d. 推棒126的前端部有轴部126e伸出，在其前端形成能够旋转地收容后述的推杆20的后推杆202后端的被收容部202a的收容部126f。 The distal end portion of the pushing rod 126 has a shaft portion 126e extends, is formed after the ram is rotatably housed in said front end thereof after the rear end of the push rod 202 is housed portion 202a of the accommodating portion 126f 20. 收容部126f为筒形的部分周面带缺口的形状。 Accommodating portion 126f is a portion of the peripheral surface of the cylindrical shape of the notch band.
进而，在壳体内部空间中铰支着棘爪构件128，在手柄壳体124的壳体内部空间中突出设置的销子124c贯通棘爪构件128的销子贯通孔128a。 Further, in the interior space of the housing member pivotally carries a pawl 128, a pin in the interior space of the housing in the handle housing 124 through a pin 124c provided projecting pawl member 128 through hole 128a. 棘爪构件128如图4中所示，其前端头部形成人字形，在该人字形的两斜面上分别形成棘齿128b、128c。 As shown in FIG. 4 of the pawl member 128, the tip head portion is formed with herringbone ratchet teeth 128b are formed on the two inclined surfaces, respectively herringbone, 128c. 这些棘齿128b、128c制成将能够与前述推棒126的棘齿126b啮合的直角等腰三角形的形状。 These ratchet teeth 128b, 128c will be made right-angled isosceles triangle shape engageable with the pushing rod 126b 126 of the ratchet. 从棘爪构件128的头部向对着前端方向形成具有挠性的薄板形板弹簧部128d。 Forming a thin plate-shaped plate spring portion 128d having flexibility toward the distal direction from the head portion 128 of the pawl member. 棘爪构件128的板弹簧部128d通过在手柄外壳124的壳体内部空间中所形成的门(限制部)124d内，棘爪构件128能够以前述销子124c为中心在板弹簧部128d处于此一门124d内的范围内转动。 The plate spring portion 128d of the pawl member 128 through the inner door (restriction portion) 124d in the interior space of the housing of the handle housing 124 formed in the pawl member 128 can be centered on the pin 124c in the plate spring portion 128d in this within the range of rotation of one 124d. 门124d对棘爪构件128左右对称地形成，以便在棘爪构件128处于对推棒126垂直的中立位置时，板弹簧部128d通过中间位置(图2因为是从稍斜方向观看的图所以看到不对称)。 When the door 124d of the left and right symmetrically formed pawl members 128, 128 so that the push rod in a neutral position of the pawl member 126 in the vertical, the plate spring portion 128d via the intermediate position (FIG. 2 because it is viewed from an oblique direction slightly so see FIG. to asymmetry).
在手柄外壳124的前端开口处能够旋转地设置旋转接套(筒体)130。 Opening at the front end of the handle housing 124 is rotatably provided rotating the sleeve (cylinder) 130. 旋转接套130如图5中所示，包括配置于壳体内部空间的基部130a，位于旋转接套130的基部130a前端侧，配置于手柄外壳124的外部的螺纹部(外部连接部)130c，以及在基部130a与螺纹部130c之间所形成的脆弱部130e。 Rotation of the sleeve 130 shown in Figure 5, comprises a base disposed in the interior space of the housing 130a, the rotating side of the sleeve distal end 130a of the base 130 is disposed on the handle housing exterior thread portion (external connection section) 124 130c, fragile portion 130e and between the base 130a and the threaded portion 130c is formed. 脆弱部130e虽然可以制成任意的构成，但是本实施例的是沿圆周方向设置多个开口130g，比其他部分脆弱地构成。 Although the fragile portion 130e can be made of any configuration, but the present embodiment is disposed in the circumferential direction a plurality of openings 130g, than the other portions constituting the fragile.
此外，在基部130a上形成沿外径方向延伸的多个肋130b，在这些肋130b之间能够啮合通过冲压分别在前述手柄右壳121和手柄左壳122的壳体面上所形成的弹性片121a、122a(图1中仅示出122a)。 Further, a plurality of ribs 130b extending in an outer diameter direction on the base 130a, 130b between the ribs on the elastic pieces are stamped the right handle shell 121 and a left handle shell surface of the housing 122 can be formed by engaging 121a , 122a (shown only in FIG. 1 122a).
进而，在基部130a的前面侧，沿圆周方向间隔地形成多个附件插入孔130f。 Further, the front side of the base 130a, are formed at equal intervals in the circumferential direction inserted into a plurality of attachment holes 130f. 在本实施例中，附件插入孔130f跨越基部130a的全长而形成。 In the present embodiment, the insertion hole 130f attachment over the entire length of the base 130a is formed.
在前述推棒126的轴部126e的外周上，卷绕着复位弹簧132，复位弹簧132的前端接触于在前述旋转接套130的内部所形成的阶梯部130d(图5(b))。 On the outer periphery of the shaft portion 126e of the pushing rod 126, the return spring 132 is wound around the front end of the return spring 132 in contact with the contact stepped portion 13Od (FIG. 5 (b)) formed inside the sleeve 130 in the rotary. 此外，复位弹簧132的后端接触于推棒126的阶梯部126g，推棒126由复位弹簧132始终朝后退方向加力。 Further, the rear end of the return spring 132 contacts the stepped portion 126g of the push rod 126, the push rod 126 is always urged by a return spring 132 toward the backward direction. 此外，如果前述推棒126的收容部126f和轴部126e的前端使推棒126克服复位弹簧132的加载力而前进，则插过前述旋转接套130而从手柄部12突出成为可能。 Further, if the accommodating portion 126f and the shaft portion of the push rod 126 so that the distal end 126e of the pushing rod 126 against the biasing force of the return spring 132 is advanced, it is inserted through the rotation of the sleeve 130 is made possible from the protruding portion 12 of the handle.
构成以上的手柄部12的零件仅有复位弹簧132是金属制的，其余零件，手柄右壳121、手柄左壳122、扳机123、推棒126、棘爪构件128、旋转接套130全都是塑料制的。 Reset only parts constituting the handle portion 12 above the spring 132 is made of metal, the remaining parts, the right handle shell 121, left handle shell 122, the trigger 123, the push rod 126, the pawl members 128, 130 are all rotatably attached plastic sleeve system. 最好是，如果这些塑料零件全都用相同的塑料来形成，则在如后所述的进行再利用处理的场合，更为有利。 Preferably, if all of the plastic parts formed by the same plastic, then as the case of the reuse processing, is more advantageous.
首先仅说明像以上这样所构成的手柄部12的作用。 First of illustration only handle portion 12 thus constituted as above. 如果操作者握持前述握持部124a，扣动扳机123使之接近握持部124a，则因为扳机123的上端配合于推棒126的突起126a，所以推棒126前进，也就是向杆部14一方移动。 If the operator holds the grip portion 124a, so as to pull the trigger 123 closer to the grip portion 124a, the upper end of the trigger 123 as the push rod fitting projection 126 is 126a, the pushing rod 126 forward, i.e. toward the rod section 14 party movement. 借此，棘爪构件128的前端头部接触于推棒126的棘齿126b，如图6中所示，其前端头部被向前侧，也就是杆部14一侧压倒。 Accordingly, the distal head portion of the pawl member 128 in contact with the pushing rod 126b 126 of the ratchet tooth, as shown in Figure 6, the front end of the head which is the front side, i.e. the side of the rod portion 14 overwhelming. 而且，棘齿128b与推棒126的的棘齿126b啮合。 Further, the ratchet 128b of the push rod 126 engages the ratchet teeth 126b. 同时，板弹簧部128d接触门124d的位于图6中右端的柱，图6中，向右凸地弯曲。 Meanwhile, the plate spring portion 128d contacts the door 124d is located in the right end column in FIG. 6, FIG. 6, right convexly curved. 靠此一板弹簧部128d的弹簧力，棘爪构件128的前端头部向推棒126的棘齿126b一方压住，特别是向图6的右上方压住。 By a spring force of this spring plate portion 128d of the front end of the pawl member 128 presses the head portion to one of the ratchet teeth 126b of the pushing rod 126, in particular pressed to the upper right of FIG. 6. 如果继续推棒126的前进，则棘爪构件128的前端头部摇动过图6的右上方和左下方之间，其棘齿128b一边从棘齿126b适当退避一边对棘齿126b相对移动。 If the bar 126 continues to push forward, the front end of the pawl member between the head portion 128 of the swing through the upper right and lower left in FIG. 6, the ratchet 128b side from the side ratchet teeth 126b of the ratchet teeth properly retracted 126b relative movement. 如果停止扳机123的摇动运动，推棒126的前进运动停止，则棘爪构件128的前端头部向右上方向棘齿126b一方推压，确保棘齿128b与棘齿126b之间的啮合，推棒126的停止被保持。 If the shaking motion of the trigger stop 123, forward movement of the push rod 126 is stopped, the front end of the pawl member 128 in the rightward direction and a head portion ratchet teeth 126b pressed one, to ensure the engagement between the ratchet teeth of the ratchet teeth 128b and 126b, push rods 126 cease to be maintained. 此时，虽然在推棒126上靠复位弹簧132的加载力作用着使推棒126后退的力，但是因为棘齿128b与棘齿126b啮合，棘齿128b无法向允许推棒126后退的方向退避，故推棒126的后退被禁止。 In this case, although the effect of making the push rod 126 backward force against the biasing force of the return spring 132 in the pushing rod 126, but because the engaging ratchet teeth 128b of the ratchet teeth 126b, 128b ratchet directions Unable to allow pushing rod 126 is retracted back , so that the pushing rod 126 is retracted prohibited.
如果进一步扣动扳机123，推棒126进一步前进，则如图7中所示，棘爪构件128的棘齿128b与推棒126的棘齿126b的啮合脱开，棘爪构件128的前端头部进入退避部126d处。 If further pull the trigger 123, push rod 126 is advanced further, the engaging 7, the ratchet pawl member 128b of the pushing rod 128 and ratchet teeth 126 of FIG 126b is disengaged from the front end of head portion 128 of the pawl member enter at the retreat portion 126d. 这样一来，推棒126就从棘爪构件128解脱了。 Thus, the push rod 126 to the pawl member 128 freed.
如果解除对扳机123的力，则推棒126靠复位弹簧132的加载力后退。 If the force on the trigger 123 is released, the push rods 126 against the biasing force of the return spring 132 is retracted. 此时，棘爪构件128的前端头部接触于推棒126的棘齿126b，如图8中所示，其前端头部被向后侧，也就是与杆部14相反一侧压倒。 At this time, the front end of the pawl member 128 in contact with the head of the ratchet teeth 126 of the pushing rod 126b, shown in Figure 8, the front end of the head which is to the rear side, i.e. opposite to the rod portion 14 overwhelming. 而且，棘齿128c与推棒126的棘齿126b啮合。 Further, the ratchet teeth 128c with the ratchet 126 engages the pushing rod 126b. 同时板弹簧部128d接触门124d的位于图8中左端的柱，图8中，向左凸地弯曲。 While the plate spring portion 128d contacts the door 124d is located in the left end column in FIG. 8, FIG. 8, leftward convexly curved. 靠此一板弹簧部128d的弹簧力，棘爪构件128的前端头部向推棒126的棘齿126b一方压住，特别是向图8的左上方压住。 By a spring force of this spring plate portion 128d of the front end of the pawl member 128 presses the head portion to one of the ratchet teeth 126b of the pushing rod 126, in particular pressed to the left in FIG. 8. 如果继续推棒126的后退，则棘爪构件128的前端头部摇动过图8的左上方和右下方之间，其棘齿128c一边从棘齿126b适当退避一边对棘齿126b相对移动。 If you continue to push back the rod 126, the head portion 128 of the front end of the pawl member between the upper left and lower right swing through FIG. 8, which ratchet teeth 128c from the side ratchet teeth 126b of the ratchet teeth properly retracted side 126b relative movement. 假如在图8那样的中途状态下再次扣动扳机123，使推棒126前进，则棘齿128c与棘齿126b啮合，因为棘齿128c无法向允许推棒126前进的方向退避，故推棒126的前进被禁止。 If the trigger is pulled again in the intermediate state of FIG. 8 as 123, so that the push rod 126 advances, the ratchet engagement with the ratchet teeth 128c 126b, 128c as not to allow the ratchet advancing direction of the pushing rod 126 is retracted, the push rod 126 so the advance is prohibited.
而且，如果推棒126进一步后退，则返回到图2的状态，棘爪构件128的棘齿128c与推棒126的棘齿126b的啮合脱开，棘爪构件128的前端头部进入退避部126c处。 Further, if the rod 126 is further pushed back, the process returns to the state of FIG. 2, the ratchet member engaging pawl 128c and the push rod 128 the ratchet 126 is disengaged from the teeth 126b, distal head portion 128 of the pawl member into the retracted portion 126c place. 这样一来，推棒126就从棘爪构件128解脱了。 Thus, the push rod 126 to the pawl member 128 freed.
通过以上推棒126和棘爪构件128的作用，可靠地进行由扳机123的完全扣动动作和完全解除动作组成的一个循环的动作，阻止半途而废的动作，如后所述夹子C的赋予和下一个夹子C的准备得以可靠地进行。 Reliably operated by a cycle operation the trigger 123 is fully pulled, and movements and completely released by the action of the above pushing rod 126 and the pawl member 128, preventing the halfway operation, as described later, and imparting the clip C preparation of a clip C is reliably performed.
在此一手柄部12中，因为棘爪构件128本身备有板弹簧部128d，故可以省略另外的弹簧构件，可以减少零件数。 In this handle portion 12, since the pawl member 128 itself is provided with a plate spring portion 128d, it is possible to omit an additional spring member, the number of parts can be reduced.
〔2〕杆部14其次，杆部14如图1中所示，由旋钮142和导管144来构成。  Second lever portion 14, the stem portion 14 shown in FIG. 1, is constituted by a knob 142 and the conduit 144.
如图9中所示，旋钮142在其内周面上形成拧在前述手柄部12的旋转接套130的螺纹部130c上的螺纹部142b。 As shown in FIG knob 9142 threaded portion 142b is screwed onto the threaded portion 130c rotation of the handle portion 130 of the sleeve 12 on its inner peripheral surface. 此外，在导管144的后端所形成的法兰部144a夹在旋转接套130的前端面与在旋钮142的内周面上所形成的阶梯部142a之间。 Further, the flange portion 144a at the rear end of the conduit 144 is formed sandwiched between the sleeve 130 rotatably attached to the front end surface of the stepped portion 142a in the circumferential surface of the knob 142 to be formed. 借此，旋钮142、导管144和旋转接套130整体地结合。 Accordingly, the knob 142, the conduit 144 and the sleeve 130 rotating integrally bonded. 因而，操作者通过旋转旋钮142，导管144和旋转接套130整体地旋转，配置于导管144内的以下说明的零件也整体地旋转。 Accordingly, the operator by turning the knob 142, the conduit 144 and the sleeve 130 rotating integrally rotated, in part arranged in the following description of the conduit 144 is also integrally rotated. 由此，在操作者打算使赋予夹子C的方向旋转的场合，通过旋转旋钮142就可以适当调整。 Accordingly, when the operator intends to impart a direction of rotation of the case where the clip C can be appropriately adjusted by turning the knob 142.
〔3〕导向机构16其次，导向机构16在杆部14的导管144的前方部分，且在导管144的圆形横断面内占有其几乎上半部分，由夹子盒162，和夹子盒盖164来构成。  Second guide means 16, guide means 16 in the front portion 144 of the catheter shaft portion 14, and which occupies almost half of the conduit 144 in a circular cross-section, the cartridge 162 by a clip, and a clip cover 164 constitute.
如图10和图11中所示，夹子盒162有多个夹子C直列放置的底面162a，和在该底面162a的两侧所形成的侧部162b，侧部162a的上端弯曲成与底面162a几乎平行，侧部162b包围夹子C的侧部。 As shown, the clip case 10 and bottom surface 11 162 C plurality of clips are placed in tandem 162a, 162b and the side portions 162a at both sides of the bottom surface being formed, the upper end side portion of the bottom surface 162a and 162a is bent into a nearly parallel side portions 162b surrounds the side portion of the clip C. 夹子盒盖164覆盖夹子盒162的上侧，与夹子盒162一起划分成夹子盒内部空间。 The clip cover 164 covering the upper side of the cartridge clip 162, the clip 162 is divided together with the cartridge clip into the inner space of the cartridge.
在此一夹子盒内部空间内收容着多个夹子C、位于最后部的夹子C后方而推压夹子C的夹子推出棒166、以及给夹子推出棒166向前方方向加力的夹子弹簧168。 In this inner space of the clip case accommodating a plurality of clips C, C located behind the last clip portion and the clip C is pushed out bar clamp 166, and the spring clip 168 to the clip Release urging rod 166 forward direction. 夹子C制成大致U字形，使其基端部朝向后方地排列在夹子盒162的底面162a上。 A generally U-shaped clip C is made, so that the base toward the rear end portion arranged on the bottom surface 162a of the clip 162 of the cartridge.
此外，在夹子盒162的侧面162b上沿轴向间隔地形成多个取为大致倒L字形的卡止片部162c。 Further, the clip cartridge side surface 162b 162 formed at regular intervals along the axial direction is taken as a plurality of substantially inverted L-shape engaging piece portion 162c. 此一大致倒L字形的卡止片部162c由向上方延伸的垂直部162c1，和从垂直部162c1直角弯曲而向后方沿轴向延伸的平行部162c2来构成。 This is a substantially inverted L-shape engaging portion 162c is constituted by a vertical piece portion 162c1 extending upward, and a parallel portion extending axially rearward from the bent right-angle to the vertical portion 162c1 162c2.
在夹子盒盖164的侧缘端上，对应前述卡止片部162c，沿轴向间隔地形成多个缺口部164a，和邻接此一缺口部164a形成多个比其他部分低的支撑面164b。 End of the clip on the edges of the cover 164, corresponding to the engagement piece portion 162c, a plurality of cutout portions are formed at intervals along the axial direction 164a, and 164a adjacent to this notch portion lower than the other portions of the plurality of support surface 164b is formed.
为要把夹子盒162与夹子盒盖164接合，如图12中所示，使夹子盒162的卡止片部162c的位置符合于夹子盒盖164的缺口部164a的位置，把卡止片部162c插入缺口部164a(图12(a))。 To make the clip 164 engaging the clip cartridge cover 162, shown in Figure 12, the clip 162 of the cassette locking piece portion 162c is in line with the position to the position of the notch portion 164a of the lid of the clip 164, the locking piece portion 162c inserted into the notch 164a (FIG. 12 (a)). 接着，使夹子盒盖164相对于夹子盒162向前方滑动(图12(a)的箭头方向)，夹子盒162的卡止片部162c的平行部162c2进到夹子盒盖164的支撑面164b上。 Then, the clip cartridge cover 164 of the clip 162 slides forward (FIG. 12 (a) in the direction of the arrow) relative to the parallel portion of the clip card 162 of the cartridge retaining piece portion 162c is 162c2 into the clip 164 of the cover support surface 164b . 借此，卡止片部162c支撑于支撑面164b，夹子盒162与夹子盒盖164一体化。 Whereby the locking piece portion 162c supported on the supporting surface 164b, 162 clip the clip cartridge cover 164 are integrated.
因为夹子弹簧168的后端接触于后述的连接于夹子盒162后端的复位棒248，故夹子弹簧168的弹簧力成为把夹子盒162对夹子盒盖164相对地向后方推出的力，作用于夹子盒162上。 Because the rear end of the spring clip 168 contact is connected to a rear end of said clip cartridge 162 is reset rod 248, a spring 168 so that the spring force of the clip of the clip cartridge 162 becomes the lid 164 opposite the pair of clips Release rearward force acting on the the clip cartridge 162. 即使夹子盒162受到这种力，也因为只要夹子盒162不对夹子盒盖164相对地前进，夹子盒162与夹子盒盖164的结合就不脱开，故夹子盒162与夹子盒盖164的结合不会意外地脱开。 The clip cartridge 162 even if subjected to such a force, but also as long as the clip cartridge cover 164 relative to the clip 162 does not move forward, the clip case binding cover 164 of the clip 162 is not released, so that the clip 162 in conjunction with the clip cartridge cover 164 not accidentally disengaged.
回到图10，在夹子盒盖164的前端部形成后述的夹子供给机构24的夹子架242的前端进入用的长孔164c。 Returning to Figure 10, the distal end of the clip feed mechanism in the distal end portion of said clip cover 164 formed clip carrier 24 into the elongated hole 242 with 164c. 此外，在夹子盒162上，在与此一夹子盒盖164的长孔164c相对应的部分上形成按住前头的夹子C的基础部，使夹子C不能意外地飞出的爪部162e。 Further, the clip cartridge 162, forming the base portion of the hold down clip C on top of this a long hole 164 of the clip cover 164c corresponding to the portion, the claw portion 162e clip C can not be accidentally jumps out.
进而，在夹子盒162的爪部162e稍后位置上形成由底面162a冲压出的弹性片162f。 Further, the bottom surface is formed by a punched elastic plate 162a 162e 162f at a later position of the claw portion 162 of the cartridge clip. 弹性片162f能够与前述夹子推出棒166的底面上所形成的凹部卡合。 Release elastic piece 162f can be engaged with the bottom surface of the recess portion of the rod 166 is formed with the clip. 靠此一弹性片162f和夹子推出棒166，如后所述，在向钳口18推出最后的夹子C时，作为阻止后述的夹子供给机构24的夹子架242的后退的阻止机构发挥功能。 This elastic sheet 162f by a push-out bar and the clip 166, as described later, when the introduction of the last clip C to the jaws 18, as the clip holder after the clip feeding mechanism 24 described below to prevent the blocking mechanism 242 back to function .
进而，在夹子盒162的后端形成与后述的夹子供给机构24的复位弹簧248配合用的配合孔162d。 Further, the return spring forming a clip feed mechanism 24 described later at the rear end of the clip 248 of the cartridge 162 with a fitting hole 162d.
〔4〕钳口18其次，钳口18靠激光焊接等整体地结合于前述夹子盒162的下表面。  Second jaw 18, jaw 18 by laser welding or the like integrally bonded to the lower surface 162 of the cartridge clip. 如图13和图14中所示，钳口18的前端部分割成两股，分别成为夹住夹子C的一对钳口要素18a、18a。 13 and 14, the front end portion of the jaw 18 cut into two streams respectively into a pair of jaws elements 18a sandwiching the clip C, 18a. 这些钳口要素18a、18a利用其弹性能够移过分开位置和相互接近的接近位置之间。 Between the jaw elements 18a, 18a by the elastic can be moved through a position separated from close proximity to each other and position. 在钳口要素18a、18a的上面侧上形成接受夹子C用的导向倾斜面18b。 Jaw elements 18a, receiving clip C with a guide inclined surface 18b is formed on the upper side 18a. 另一方面，在钳口要素18a、18a的下面侧上分别形成凸轮面18c、18c(图14(c))。 On the other hand, are formed cam surfaces 18c, 18c (FIG. 14 (c)) on the jaw elements 18a, 18a of the lower surface side. 凸轮面18c、18c为越往前相互的距离越大的倾斜面。 Cam surfaces 18c, 18c of the forward inclined surface distance from each other larger. 此一凸轮面18c、18c是与后述的钳口闭锁构件22的凸轮面22c相关的。 18c, 18c locking the jaw members is described later cam face 22c 22 associated with this cam surface.
在钳口18的后部侧面上形成多个凸起18d、18d，这些凸起18d、18d嵌入在杆部14的导管144上所形成的开口144b(参照图1和图9)。 A plurality of protrusions 18d formed on the rear side of the jaw 18, 18d, these projections 18d, 18d fitted into the opening 144b (see FIG. 1 and FIG. 9) on the stem portion 14 of the conduit 144 is formed. 这样一来，钳口18和前述导向机构16被固定于杆部14的导管144。 Thus, the jaws 18 and the guide mechanism 16 is fixed to the rod portion 14 in conduit 144.
在钳口18的中央下表面上形成定位突起18e、18e，嵌入后述的钳口闭锁构件22的导向槽22b内。 Positioning projection is formed within 18e, 18e, the latch jaw member described later is embedded in the guide grooves 22b 22 on the central lower surface 18 of the jaw.
〔5〕推杆20其次，推杆20在杆部14的导管144的圆形横断面内配置于其几乎下半部，如图15中所示，由后推杆202和前推杆204来构成。  Second push rod 20, the push rod 20 thereof disposed in a circular cross-section 144 of the catheter shaft portion 14 is almost the lower half, as shown in FIG. 15, the push rod 202 and the plunger 204 to the front constitute. 这些后推杆202和前推杆204可以由整体零件形成，借此来减少零件数，或者也可以像本实施例这样优先考虑成形性而制成分开的零件。 The push rod 202 and the front plunger part 204 may be integrally formed of, thereby reducing the number of parts, or may be formed so that priority is made of separate parts as in the present embodiment.
在后推杆202的后端形成能够旋转地嵌合于前述推棒126的收容部126f的圆柱形被收容部202a。 After the rear end of the push rod 202 is rotatably fitted is formed in the accommodating portion 126f of the push rod 126 is accommodated in the cylindrical portion 202a. 此外，在后推杆202的前端部形成沿轴向延伸的长孔202b，在该长孔202b中铰支着后述的卡止构件246。 Further, the distal end portion 202 of the push rod in the elongated hole 202b is formed axially extending elongated hole in the card 202b are pivotally carries said stop member 246. 因此，卡止构件246的轴部246a嵌入用的轴承窝202d在长孔202b的侧面形成(参照图16(b))。 Thus, the shaft portion 246a of the locking member 246 is fitted with a bearing pocket 202d formed in the side surface of the long hole 202b (see FIG. 16 (b)). 此外，在长孔202b的侧面上形成容纳前述卡止构件246的第2轴部246c用的凹部202g。 Further, a locking member receiving the second shaft portion 246 with a recess portion 246c on the side surface 202g of the long hole 202b.
此外，沿轴向伸过后推杆202的后部的轴部202e制成断面为十字形，在轴部202e与长孔202b之间形成规定轴部202e的前端的阶梯部202f。 Further, the push rod extending through the shaft along the axial direction of the rear portion 202 of the cross-shaped cross section formed 202e, 202f formed in a predetermined portion of the stepped distal portion of the shaft between the shaft portion 202e and 202e elongated hole 202b.
在后推杆202的前端部形成与前推杆204连接用的凹凸形的钩部202c，另一方面，在前推杆204的后端部形成与后推杆202的钩部202c嵌合的凹凸形的钩部204a。 After the concavo-convex push rod connected to the front of the hook portion 202c of the plunger 204 with a distal end portion 202 is formed, on the other hand, the rear end of the front portion of the plunger 204 after the push rod 202 is formed a hook portion 202c fitted the hook-shaped convex portions 204a. 此外，在前推杆204的前端形成卡合于下一个钳口闭锁构件22的钩部204b。 Further, the front end of the plunger 204 is formed at a jaw engaging the latching member is hook portion 204b 22.
〔6〕钳口闭锁构件22钳口闭锁构件22连接于前述推杆20上，配置于前述钳口18的下侧。  The latch jaw 22 jaw member 22 is connected to the blocking member on the push rod 20 is disposed on the lower side of the jaw 18. 钳口闭锁构件22虽然与前述推杆20整体地形成也是可能的，但是在本实施例中为了使钳口18的钳口要素18a、18a可靠地闭锁，用金属制的板材制成与推杆20分开的零件。 While the jaw locking member 22 is formed integrally with the push rod 20 is possible, but in order to make the jaw 18 of the jaw elements 18a, 18a is reliably locked in the present embodiment, the pusher plate member made of metal 20 separate parts.
如图17和图18中所示，在钳口闭锁构件22的中央部形成卡合孔22a，在前述前推杆204的前端所形成的钩部204b卡合于此一卡合孔22a中。 As shown in FIG. 17 and FIG. 18, the engaging hole 22a is formed in the central portion of the jaw locking member 22, the front end of the plunger 204 is formed in front of the hook portions 204b engaged thereto in an engaging hole 22a. 此外，在该中央部的上表面形成两条导向槽22b，前述钳口18的定位突起18e插入此一导向槽22b内。 Further, two guide grooves 22b are formed on the surface of the central portion, the positioning protrusion 18e of the jaw 18 is inserted into this guide groove 22b. 前述钳口18的定位突起18e沿着此一导向槽22b相对滑动，借此钳口闭锁构件22对钳口18直线移动。 Positioning the jaws 18 of the protrusion 18e along a guide groove 22b of this relative sliding, thereby locking the jaw members 22 of jaws 18 move linearly. 而且，在钳口闭锁构件22的前端部形成为了使前述钳口要素18a、18a向闭锁方向移动而与钳口要素18a的凸轮面18c滑动接触的凸轮面22c。 Further, in order to make the jaw elements 18a, 18a moved in the closing direction in sliding contact with the cam surface 18c of the jaw elements 18a of the cam surface 22c is formed at a front end portion of the locking member 22 of the jaw.
图19是表示钳口18与钳口闭锁构件22的关系的图。 FIG 19 is a diagram showing the relationship between the locking jaw 18 of the jaw member 22. 图19(a)示出钳口闭锁构件22的凸轮面22c处于钳口18的钳口要素18a的凸轮面18c后方的状态，图19(b)示出钳口闭锁构件22与推杆20(前推杆204)的前进一起前进，钳口闭锁构件22的凸轮面22c与钳口要素18a的凸轮面18c相关，使钳口要素18a、18a向接近位置移动的状态。 State of the rear cam surface 18c in FIG. 19 (a) shows the jaw locking member 22 of the cam surface 22c in jaw 18 jaw elements 18a, FIG. 19 (b) shows the latch member 22 and the jaw pusher 20 ( 204 before the plunger forward together) forward, the cam surface 22c of the jaw locking member 22 associated with the cam surface 18c of the jaw elements 18a, so that the jaw elements 18a, 18a move closer to a position state.
〔7〕夹子供给机构24夹子供给机构24如图20和图21中所示，主要由沿杆部14的轴向延伸的夹子架242、给夹子架242向轴向后方加力的复位弹簧244(加力机构)、复位弹簧244卷绕在其周围的弹簧轴245、其轴部246a嵌入在后推杆202的长孔202b上所形成的轴承窝202d中，能够以该轴部246a为中心摇动的卡止构件246，以及卡合于在前述夹子盒162的后端所形成的卡合孔162d的复位棒248来构成。 The clip 24 of the clip feed means (7) supplying means 24 shown in FIG. 20 and FIG. 21, the axial direction of the main shaft portion 14 of the clip bracket 242 extending, clip carrier 242 to reset the axially rearward urging a spring 244 (urging means), the return spring 244 is wound around the spring shaft 245, shaft portion 246a fitted in the bearing pocket 202d on the push rod 202 is formed a long hole 202b, it is possible to the shaft portion 246a swing center of the locking member 246, and engaged with the engaging hole 162d at the rear end of the clip case 162 is formed a reset rod 248 is constituted.
夹子架242位于在杆部14的导管144的圆形横断面内占有其几乎上半部分的导向机构16的更上侧，沿杆部14的轴向延伸(参照图13)。 The clip bracket 242 is located within the circular cross-section rod portion 144 of the catheter 14 which occupies almost half of the guide on the upper side 16 further extends in the axial direction of the stem portion 14 (see FIG. 13). 而且，如图2中所示，其前端向在前述导向机构16的夹子盒盖164上所形成的长孔164c内进入，在其前端的两侧部形成把位于导向机构16的夹子盒内部空间的前头的夹子C向钳口18推出用的导向片部242a。 Further, as shown in FIG. 2, the front end of the elongated hole 164c which clamps the lid 164 in the guide mechanism 16 is formed into the formed clip the cassette guide mechanism 16 positioned at both sides of the inner space of the distal portion the guide piece 242a with a top portion of the clip to the jaws 18 Release C. 此外，如图20中所示，在夹子架242的中央后部形成向垂直下方冲压出的切起部242b，切起部242b通过在前述复位棒248上所形成的沿轴向延伸的开口248a，通过在弹簧轴245的后端上所形成的窄缝卡止于弹簧轴245的后端上。 Further, as shown in FIG. 20, an opening 248a is formed in the vertical downward punched out cut and raised portions 242b, 242b cut and raised portion extending in the axial direction on the reset rod 248 formed at the rear of the center of the clip holder 242 the rear end, beyond the spring shaft card through a narrow slit 245 in the rear end of spring shaft 245 is formed on. 此外，在夹子架242的后部形成卡止构件246卡止用的卡止孔242c。 Further, the locking member 246 form a snap engagement with a locking hole 242c in the rear frame 242 of the clip. 进而，在夹子架242后端的两端部上形成滑过前述后推杆202的前述制成横断面为十字形的轴部202c的挡片部242d(参照图23)。 Further, after the formation is made the push rod 202 slides over the cross-shaped cross section of the shaft portion 202c of the flap portion 242d (see FIG. 23) on both end portions of the rear end of the clip holder 242.
弹簧轴245如前所述，夹子架242的切起部242b卡止于其后端，并且其前端插入在复位棒248的前端部所形成的筒部248b的内部。 Spring shaft 245 as described above, the clip bracket 242 cut and raised portion 242b is engaged with a rear end thereof, and the tip is inserted inside the cylindrical portion 248b of the distal end portion of the reset rod 248 is formed. 而且，卷绕在弹簧轴245周围的复位弹簧244插在前述复位棒248的筒部248b与夹子架242的切起部242b之间，沿始终分离的方向给两者加力。 Further, the spring 245 is wound around the shaft of the return spring 244 is interposed between the cylindrical portion of the reset rod 248 of the clip bracket 248b 242b 242 is cut and raised portion, to both the urging direction is always separated. 夹子架242的切起部242b可一边压缩复位弹簧244，一边沿轴向前进到复位棒248的开口248a内。 The clip holder 242b may be cut and raised portion 242 while compressing the return spring 244, a reset rod in the axial direction proceeds into the opening 248a 248.
此外，复位棒248的筒部248b插入前述由夹子盒162和夹子盒盖164所形成的夹子盒内部空间的后端部，该筒部248b的前端收容前述夹子弹簧168。 In addition, the reset rod 248 is inserted into the cylindrical portion 248b of the rear end portion of the inner space of the cartridge clip and the clip 162 from the clip cartridge cover 164 is formed, the distal end of the cylindrical portion 248b of the housing 168 of the spring clip. 进而，在筒部248b附近形成卡合于夹子盒162的卡合孔162d中的卡合突起248c。 Further, the cylindrical portion 248b is formed in the vicinity of the clip engaging hole 162d 162 engaging the cassette in the engagement protrusion 248c. 因而，复位棒248被固定于导向机构16上。 Accordingly, the reset rod 248 is fixed to the guide means 16.
其次，卡止构件246由塑料等制成，如图24中所示，从侧面看呈'ヘ'字形，如前所述，在其一方边部的端部处横向突出的轴部246a嵌入在后推杆202的长孔202b上所形成的轴承窝202d。 Secondly, the locking member 246 is made of plastic or the like, shown in Figure 24, seen from the side 'ヘ' shape, as described above, the shaft portion at the end of which one edge portion 246a fitted in laterally projecting after the long push rod bearing pocket holes 202b 202 202d is formed. 在卡止构件246上，在其顶上部形成从后推杆202向其上方伸出的伸出部(卡止部)246b，在另一方的边部，在伸出部246b的下方，形成向侧方突出的第2轴部246c、从第2轴部246c向下方延伸的板簧部246d、和位于板簧部246d的下端的下端部246e。 On the card locking member 246 is formed projecting portion (engaging portion) 246b from its push rod 202 projecting above its top portion, the other side portion, below the protruding portion 246b is formed to second shaft portion 246c side projecting from the plate spring portion 246c 246d extending downward, and the lower portion of the leaf spring at the lower end portion 246d of the second shaft portion 246e. 下端部246e接触于导管144的内周面。 The lower end portion 246e contacts the inner circumferential surface 144 of the catheter. 卡止构件246在其本身处靠板弹簧部246d而具有弹性，如图21或图23中所示，伸出部246b被始终向上方伸出的方向，也就是向前述夹子架242一方加力。 The locking member 246 against the plate spring itself and the elastic portion 246d, as shown in FIG. 23 or FIG. 21, the direction of projecting portion 246b is always projecting upwardly, i.e. urging the clamp holder 242 to one side . 而且，在正常时前述卡止构件246的伸出部246b被定位成向夹子架242的前述卡止孔242c之中进入。 Further, in the normal locking member 246 protruding stopper portion 246b is positioned to clamp the card holder 242 in the hole 242c to enter.
此外，在复位棒248的后端形成越往前越低的凸轮面248d。 Further, forming the lower forward cam surface 248d at the rear end of the reset rod 248. 此一凸轮面248d与前述卡止构件246相关，把卡止构件246的伸出部246b向下方拉入，发挥使夹子架242后退的作用。 This cam surface 248d and the associated latch member 246, the engaging portion 246b of the member 246 extending downwardly pulled, so that play the role of a clip bracket 242 backward.
〔8〕总体作用下面，说明夹子赋予装置10的总体动作。  The overall effect will be described below the overall operation of the clip applying device 10. 首先，把钳口18的钳口要素18a、18a对打算赋予夹子的身体组织的部位定位。 First, jaw jaw elements 18 18a, 18a positioning of parts intended to confer clip of body tissue. 接着，进行扣动手柄部12的扳机123的操作。 Next, operation of the trigger 123 of the handle portion 12 is pulled. 如已经在〔1〕手柄部12项中说明的那样，通过此一操作前述推棒126克服复位弹簧132的加载力而前进。 As in  has a handle portion 12 described above, this operation by the push rod 126 against the biasing force of the return spring 132 is advanced. 借此，连接于推棒126上的推杆20，也就是后推杆202和前推杆204一起在杆部14内前进。 Accordingly, the push rod 126 is connected to a push rod 20, i.e. the front and rear push rod 202 with the plunger 204 in the forward portion of the rod 14.
随着后推杆202的前进，其轴部246a铰支于后推杆202上的卡止构件246前进。 As the push rod 202 advances, the shaft portion 246a hinged to the locking member on the plunger 202 246 forward. 因为卡止构件246的伸出部246b进入夹子架242的卡止孔242c中而卡止(参照图21)，所以夹子架242也一起前进。 Since the locking member 246 extends into the clip portion 246b of the holder 242 and the locking hole 242c of the engagement (see FIG. 21), the clamp holder 242 move forward together. 如果夹子架242前进，则如图25中所示，进入导向机构16的夹子盒内部空间的夹子架242的前端在夹子盒内部空间中前进。 If the clip holder 242 advances, as shown in FIG. 25, the guide means into the inner space of the cartridge clip holder clip 16 advances the distal end 242 of the inner space of the clip in the cartridge. 借此，夹子架242前端的导向片部242a把夹子盒内部空间的前头的夹子C推出，向前方的钳口18的钳口要素18a、18a之间导向。 Accordingly, the head of the internal space of the frame 242 of the clamp portion 242a leading end of the sheet guide clip C Release the clip cartridge, the front jaw 18a of jaw element 18, between the guide 18a.
进而，如果继续扣动扳机123的操作，则连接于推棒126上的推杆20和卡止构件246进一步前进，卡止构件246的第2轴部246c如图26和图27中所示，与位于连接在前述导向机构16的后端上的复位棒248后端处的凸轮面248d干涉。 Further, if the operator continues to pull the trigger 123, the push rod 20 is connected to the locking member and the pushing rod 126 246 is further advanced, the locking member 246 of the second shaft portion 246c shown in FIG. 26 and FIG. 27, is connected to the rear end of the guide means 16 with the cam surface 248 at the rear end of the reset rod 248d interference. 靠此一凸轮面248d向下方推卡止构件246，卡止构件246的伸出部246b从夹子架242的卡止孔242c退出。 This cam surface 248d by a stop member 246 downward to push the card, projecting locking member 246 of locking holes 242c exit portion 246b of the clip from the card holder 242. 借此，夹子架242因为从卡止构件246解脱，故靠复位弹簧244的加载力而后退。 Whereby the clip bracket 242 because the stop member 246 free from the card, it is reset by the biasing force of spring 244 is retracted.
进而，如果继续扣动扳机123的操作，则连接于推杆20的钳口闭锁构件22的凸轮面22c与钳口18的钳口要素18a、18a的凸轮面18c相关，使钳口要素18a、18a向相互接近的接近位置移动(参照图19(b))。 Further, if the operator continues to pull the trigger 123, the latch jaw member is connected to the push rod 20 of the cam surface 22 22c, 18c associated with the jaw 18 is jaw element 18a of the cam surface 18a, so that the jaw elements 18a, 18a move closer to each other close to the position (see FIG. 19 (b)). 借此，钳口要素18a、18a夹住先前由夹子架242所导向的夹子C，夹子C的赋予作业结束。 Accordingly, the jaw elements 18a, 18a imparted by the clamped end of the previous operation of the clip holder 242 of the guide clip C, the clip C.
接着，如果减弱对扳机123施加的力，则前述推棒126靠复位弹簧132的加载力后退，由此，连接于推棒126上的后推杆202、前推杆204、进而连接于前推杆204上的钳口闭锁构件22后退。 Next, if the weakening of the force applied to the trigger 123, 126 is the retracted against the biasing force of the return spring pushing rod 132, whereby the connection to the pushing rod 126 after the plunger 202, the plunger 204 before, in turn connected to the front push jaw locking member 22 is retracted on the lever 204. 此外，铰支于后推杆202上的卡止构件246也后退，卡止构件246的伸出部246b再次卡止于先前已经后退的夹子架242的卡止孔242c中。 In addition, the push rod hinged to the card member 246 on the stopper 202 is also retracted, the locking projecting portion 246b of the member 246 has been previously locked again retracted clip carrier 242 in the locking hole 242c.
此外，在夹子盒内部空间中，下一个成为前头的夹子C靠夹子弹簧168向夹子盒内部空间的前端推出。 Further, in the interior space of the clip case, the next to become the head of the clip spring 168 against the clip C introduced to the front end of the inner space of the cartridge clip. 再者，此一前头的夹子C被保持于在夹子盒162的前端部所形成的爪部162e。 Furthermore, this is the head of the clip C held by the claw portion 162e at the front end portion of the clip cartridge 162 is formed. 此外，夹子架242的导向片部242a就位于前头的夹子C基端部的后方，等待着此一前头的夹子C的推出。 Further, the guide plate portion 242a of clip carrier 242 is located behind the clip base end portion C of the head, waiting for the introduction of a clip C ahead of this.
如果夹子架242把位于夹子盒内部空间内的最后的夹子C推出到钳口要素18a、18a之间，则推压夹子C的夹子推出棒166卡合于前述在夹子盒162的底面162a的前端所形成的弹性片162f上，夹子推出棒166既不能前进又不能后退，而在该位置上停止。 If the clip 242 located at the last frame of the clip C in the clip case introduced into the inner space of the jaw elements 18a, between 18a, the clip of the clip C is pushed out bar 166 engages the bottom surface of the front end of the cartridge clip of 162a 162 elastic sheet 162f is formed, introduction of rod 166 can neither clip can not advance backward and stops at the position. 借此，因为夹子推出棒166占有夹子盒内部空间前端部，故把最后的夹子C推出到钳口要素18a、18a之间的夹子架242的头部夹在夹子推出棒166与夹子盒盖164的前端部之间，不能向后方返回。 Accordingly, since the clip-out bar 166 occupies the inner space of the distal end portion of the cartridge clip, so that the last clip to the jaw elements 18a Release C, the head 242 of the clip bracket 18a interposed between the clip 166 and clip cover Release rod 164 between the front end portion, can not return to the rear. 而且，如果在把最后的夹子C赋予身体组织后，减弱扳机123的力，则如前所述，虽然后推杆202欲后退，但是由于前述夹子架242不能向后方返回，后推杆202的阶梯部202f接触于前述夹子架242的挡块片部242d，后推杆就不能继续后退。 Further, if, after the last clip C imparting body tissue, weakening the force of the trigger 123 is described above, although the plunger 202 to be retracted, but because the clip 242 can not return to the rear frame, the push rod 202 a stepped portion 202f contacts the stopper piece 242 of the clip bracket 242d, can not continue after the pusher retracted. 借此，扳机123维持在扣动状态，已经不能操作扳机123。 Accordingly, the trigger 123 is maintained in a pulled state, the trigger 123 can not operate.
根据本发明的夹子赋予装置，在各处都谋求零件的减少，其最具特征的部分是夹子供给机构24的卡止构件246。 The clip applying device according to the present invention, are sought everywhere in the reduction of parts, which is the most characteristic part of the clip feeding mechanism 24, the locking member 246. 通过使用具有板簧部246d的卡止构件246，不像现有技术品那样多用弹簧，可以以少的零件来构成。 By using a 246, unlike the prior art products as much as a leaf spring with a spring portion 246d of the locking member, may be constituted fewer parts.
此外，在本发明中，因为谋求零件的减少也使构成简化，故其装配性，特别是在把导向机构16、钳口18、推杆20、钳口闭锁构件22和夹子供给机构24的各零件收容于非常细的杆部14内方面有优越性。 In the present invention, since the parts also seek to reduce the configuration is simplified, the assembling of which, particularly in the guide mechanism 16, the jaws 18, the push rod 20, the latch jaw member 22 and the clip feeding mechanism 24 each part accommodated in a very thin stem portion 14 aspect of superiority. 下面就其装配步骤进行说明。 Its assembly will now be described step.
〔9〕装配步骤首先，在把零件插入杆部14内的导管144内之前，预先把多个夹子C、夹子推出棒166、夹子弹簧168放在钳口18所焊接的夹子盒162内部，按已经说明的那样的图12的步骤把夹子盒162和夹子盒盖164结合起来，装配导向机构16。  The first assembly step, before the catheter 144 is inserted into the inner part of the rod portion 14, a plurality of clips C in advance, introduction of rod clamps 166, 168 on the spring clip 162 inside the welding jaws 18 of the clip case, press FIG step as already described in the clip 12 and the clip cartridge cover 162 combined 164, guide assembly 16. 进而，把夹子架242的切起部242b经由复位棒248的开口248a插入弹簧轴245后端的窄缝中，把复位弹簧244配置于弹簧轴245的外周，把弹簧轴245的前端插入复位棒248的筒部248b内，把这些夹子架242、复位弹簧244、弹簧轴245、复位棒248整体地装配起来。 Further, the cut and raised portion of the clip holder 242b 242 via a reset rod spring 248 is inserted into the shaft 248a of the slit opening 245 in the rear end, the return spring 244 disposed on the outer periphery of the spring shaft 245, the shaft 245 is inserted into the distal end of the spring reset rod 248 the inner cylindrical portion 248b, these frame clips 242, return spring 244, the spring shaft 245, the reset rod 248 integrally assembled. 而且，进一步把复位棒248的筒部248b插入前述导向机构16的后端。 Moreover, the further cylindrical portion 248 of the reset rod 248b is inserted into the rear end 16 of the guide means.
此外，把卡止构件246的轴部246a插入后推杆202的长孔202b的轴承窝202d中。 Further, the shaft portion 246 of the engaging member 246a is inserted into the long hole 202d pusher bearing pocket 202 in 202b.
接着，把后推杆202从其后端插入导管144中。 Next, after the pusher bar 202 is inserted into conduit 144 from its rear end. 在把后推杆202插入导管144内一定程度时，使与夹子架242、前述导向机构16等整体地装配的夹子架242的后端从上边盖住后推杆202的前端。 When the push rod 202 is inserted into the catheter 144 after the certain degree, the distal end of the clip bracket 242, the rear end of the guide means 16 and the like integrally mounted bracket clip 242 after the push rod 202 from the top cover. 此时，注意使卡止构件246的伸出部246b卡止于夹子架242的卡止孔242c中。 In this case, note that the locking member 246 protruding portions 246b latch onto the clip holder 242 of the locking hole 242c. 而且，把后推杆202与夹子架242一起插入导管144内，在后推杆202即将完全插入导管144内时，把后推杆202与前推杆204结合起来，前推杆204也一起插入。 Moreover, after the push rod 202 of the clip 242 are inserted together into the catheter holder 144, when the push rod 202 will be completely inserted into the catheter 144, the plunger 202 after the pre-fader 204 combined with the front plunger 204 inserted together . 此外，预先装配成一体的弹簧轴245、复位弹簧244、复位棒248、导向机构16和钳口18也与夹子架242一起插入导管144内。 In addition, pre-assembled into a shaft integral spring 245, return spring 244, a reset rod 248, a guide mechanism 16 and the jaws 18 are also inserted into the clip holder 242 along conduit 144. 而且在前推杆204即将完全插入导管144内时，把前述钳口闭锁构件22连接于前推杆204上，插入导管144内。 When the plunger 204 and the front will be completely inserted into the catheter 144, to the latch jaw member 22 is connected to the front of the plunger 204, the conduit 144 is inserted. 而且，把钳口18的突起18d、18d推入导管144的开口144b并固定。 Further, the jaws 18 of the projection 18d, 18d is pushed into the opening 144b of the conduit 144 and is fixed. 最初插入的后推杆202的被收容部202a从导管144的后端突出。 After the initial insertion of the push rod 202 is housed portion 202a projecting from the rear end 144 of the catheter.
像以上这样，对导管144内的插入简单地结束。 As set forth above, is simply inserted into the end of the conduit 144. 接着，扣动预先装配的手柄部12的扳机123，使推棒126前进，使其收容部126f从手柄部12的前端开口突出。 Next, pull the trigger of the handle portion 12 of the pre-assembled 123, so that the push rod 126 advances, so that the housing from the front end portion 126f of the handle portion 12 of the projecting opening. 而且，当把从前述导管144的后端突出的后推杆202的被收容部202a连接于推棒126的收容部126f，解除扳机123时，则后推杆202的后端与推棒126一起被拉入手柄部12。 Further, when the rear end of the plunger after the conduit 144 protrudes from the accommodating portion 126f is housed portion 202a is connected to a push rod 126 202, the trigger 123 is released, the rear end of the push rod 126 and push rod 202 with pulled into the handle portion 12. 最后把旋钮142从导管144的前端通过，拧在前述手柄部12的旋转接套130上，用旋转接套130和旋钮142夹住导管144后端的法兰部144a，借此手柄部12与杆部14完全连接起来。 Finally, the knob 142 from the distal end of the catheter 144 through, screwed onto the handle portion 12 of the rotation of the sleeve 130, the sleeve 130 by rotating knob 142 and the flange portion 144 sandwiched between the rear end of the conduit 144a, whereby the grip portion 12 with the rod section 14 is completely connected. 通过以上的作业，装配结束。 By the above operation, the end of the assembly.
像这样，与现有技术品相比，零件数减少了，进而，因为削减了小的弹簧零件等，简化了构成，故装配变得非常简单。 Thus, compared to the prior art products, the number of parts can be reduced, and further, since the cut parts of the small spring like configuration is simplified, it becomes very simple assembly.
〔10〕夹子供给机构的变形例图28是表示夹子供给机构34的另一种构成的图。  The modification of FIG clip feed mechanism 28 is a clip feed mechanism of another configuration 34 of FIG. 本变形例中的夹子供给机构34沿由杆部14的轴向延伸的夹子架342、给夹子架342向轴向后方加力的复位弹簧244(加力机构)、复位弹簧244卷绕于其周面上的弹簧轴245、插入后推杆202且能够沿横向也就是左右方向摇动的卡止构件346、以及卡合于前述在夹子盒162的后端所形成的卡合孔162d中的复位棒348来构成。 The clip feeding mechanism of the present modified embodiment of the clip 34 along the carrier by an axially extending portion 14 of the stem 342, the clip body 342 to the rearward axial biasing of the return spring 244 (urging means), the return spring 244 wound around the its spring axis peripheral surface 245, the push rod 202 and can be inserted in the lateral direction is about swinging locking member 346, and engaged with the engaging holes 162d at the rear end of the clip cartridge 162 formed in reset rod 348 is constituted. 再者，与前述构成同一的构件，被赋予同一标号。 Further, with the identical constituting member is denoted by the same reference numerals.
夹子架342与夹子架242的不同之处在于，没有卡止孔242c，而是形成侧部缺欠的缺口孔342c。 The clip of the clip bracket 342 that is different from the frame 242, there is no locking holes 242c, 342c hole but a cutout portion side imperfections. 缺口孔342c由位于后部而缺欠大于夹子架342的左右方向中心线的第1缺口孔342c1，和位于第1缺口孔342c1前方，缺欠小于左右方向中心线的第2缺口孔342c2组成。 Cutout hole 342c of the cutout in the rear right and left direction of the clip body 342 is greater than the first notch centerline hole 342c1, and a second notch located at the first hole 342c1 front hole cutout, the cutout is smaller than the left-right direction center line 342c2 composition. 其他方面与夹子架242几乎相同。 Other aspects of the clip bracket 242 is almost the same.
卡止构件346是由金属制成的板簧，嵌入后推杆202的长孔202b中，一端安装于后推杆202的长孔202b中。 The locking member 346 is a plate spring made of metal, the push rod fitted in the long hole 202b 202, attached to the rear end of the push rod in the elongated hole 202b 202. 此外，在顶上部形成从长孔202b突出的卡止部346b，该卡止部346b能够在长孔202b的范围内以前述安装点为中心沿左右方向摇动。 Further, the top portion 202b is formed projecting from the long hole 346b of the engaging portion, the engaging portion 346b can be in the range of the long hole 202b of the attachment point to the center of swinging left and right direction. 卡止构件346靠其板簧的弹性始终在长孔202b内加力以便沿轴向成为平行，前述卡止部346b卡止于前述夹子架342的缺口孔342c的第1缺口孔342c1。 The locking member 346 is always urged in the elongated hole 202b of the leaf spring against its elasticity so as to be parallel to the axial direction, the engaging portion 346b is engaged with the cutout holes 342 of the bracket clip 342c of the first notches hole 342c1.
此外，在复位棒348的后端形成越往前左右方向越宽的凸轮面348d。 Further, a wider lateral direction of the forward cam surface 348d at the rear end of the reset rod 348. 此一凸轮面348d与前述卡止构件346相关，使卡止构件346的卡止部346b向横向也就是左右方向移动，发挥使夹子架342后退的作用。 This cam surface 348d and the associated latch member 346, so that the card locking member 346 of locking portion 346b is moved laterally to the left and right direction, so that play a role in the clip holder 342 is retracted.
在像以上这样所构成的夹子供给机构34中也与夹子供给机构24同样地作用。 24 also act similarly with the clip feeding mechanism 34 as the clip feeding mechanism constituted in the above this. 也就是说，如果后推杆202前进，则卡止构件346一起前进，因为卡止构件346的卡止部346b卡止于夹子架342的第1缺口孔342c1中，所以夹子架342也一起前进。 That is, if the push rod 202 advances, the engagement member 346 are advanced together, because the card locking member 346 is engaged with the stopper portion 346b of the first hole 342c1 notch in the clip body 342, the body 342 also advances with the clip . 夹子架342前进，其前端推出前头的夹子C而向钳口18的钳口要素18a、18a之间导向如图25中所示。 The clip bracket 342 forward, the front end of the clip C and introduced to the top of the jaw 18 of the jaw elements 18a, 18a between the guide 25 shown in FIG. 接着，卡止构件346的卡止部346b与位于复位棒348后端的凸轮面348d干涉。 Next, the card locking member 346 of locking portion 346b and the cam surface 348d of the rear end of the reset rod 348 to interfere. 如图29中所示，靠此一凸轮面348d使卡止构件346向左右方向摇动，卡止构件346的卡止部346b从夹子架342的第1缺口孔342c1退出。 In Figure 29, against a cam surface 348d so that this locking member 346 swing in the lateral direction, the locking member locking portion 346b of the card 346 exits from the first hole 342c1 cutout 342 of the clip bracket. 借此，夹子架342从卡止构件346解脱，故靠复位弹簧244的加载力后退。 Accordingly, the clip body 342 is freed from the locking member 346, so that the biasing force of the return spring 244 on the back.
此外，如果夹子C的赋予作业结束，后推杆202后退，则卡止构件346也后退，其卡止部346b通过夹子架342的第2缺口孔342c2，再次卡止于先前已经后退的夹子架342的第1缺口孔342c1中。 Furthermore, if the clip C imparting job end, the push rod 202 retracted, the locking member 346 is also retracted, its engaging portion 346b 342c2, back again has been previously engaged by the second clip frame cutout holes 342 of the clip bracket the first notch in the hole 342 342c1.
这样一来，与夹子供给机构24同样，也可以使用由板弹簧组成的卡止构件346来构成夹子供给机构34。 Thus, the same clip feeding mechanism 24, the locking member may be used consisting of a plate spring 346 constitute a clip feeding mechanism 34.
〔11〕手柄部的分解结构如果用光了夹子，则有必要进行处置。  If an exploded structure of a handle portion of the clip runs out, it is necessary for disposal. 下面就此一手柄部12的处置步骤进行说明。 The following step of this disposal a handle portion 12 will be described. 首先，旋松杆部14的旋钮142与手柄部12的旋转接套130的螺纹连接，把杆部14从手柄部12分离。 First, the knob portion 14 unscrewing of the rotary shaft 142 and the handle portion 12 of the threaded nipple 130, the handle portion 14 is separated from the portion 12.
接着，如果向壳体内方向推动分别在前述手柄右壳121和手柄左壳122的壳体面上通过冲压而形成的弹性片121a、122a，使弹性片121a、122a卡合于肋130b上，则基部130a不能相对手柄壳体124旋转。 Subsequently, if the push surface of the elastic pieces, respectively the handle housing 121 and the right case 122 of the left case the handle is formed by stamping 121a, 122a into the direction of the housing, the elastic piece 121a, 122a engages ribs 130b, the base 130a relative to the handle housing 124 can not rotate. 如果在此一状态下用扳手等相对于基部130a拧动螺纹部130c，则旋转接套130在脆弱部130e处破断(参照图5(c))，位于壳体内部空间内的复位弹簧132可以取出(图30)。 If, in this state using a wrench and the like with respect to the base 130a screwing the screw portion 130c, the rotation of the sleeve 130 broken (see FIG. 5 (c)) in the fragile portion 130e situated along the return spring within the interior space of the housing 132 can be removed (FIG. 30). 这样一来，因为可以取出作为唯一的金属零件的复位弹簧132，其余是塑料零件，故可以分别处置金属零件和塑料零件。 Thus, as can be taken as the only metal parts of the return spring 132, the remaining plastic parts, it is possible to dispose the metal parts and plastic parts, respectively.
此外，也可以随意地用图31中所示的附件134来止住旋转接套130的旋转。 Further, the attachment 134 can optionally be used as shown in FIG. 31 to stop the rotation of the sleeve 130 in rotation. 附件134形成环形的主体134a和从主体134a对应于前述附件插入孔130f而形成的突起134b。 Accessory 134 forming an annular body 134a and the projections 134b of the main body 134a corresponding to the accessory insertion hole 130f formed. 前述旋转接套130的螺纹部130c可以通过环形主体134a的内侧。 The rotation of the sleeve 130 can be threaded portion 130c by the inner annular body 134a. 此外，在手柄壳体124的前端开口处，在手柄右壳121与手柄左壳122之间形成间隙，此一间隙成为窄缝124e、124e，窄缝124e、124e在与附件插入孔130f调整时，成为与附件插入孔130f连通的间隔和数目。 Further, the front end opening 124 of the handle housing, a gap is formed between the handle and the right handle shell 121 left case 122, the gap becomes a slit 124e, 124e, a slit 124e, 124e when the accessory insertion hole 130f adjustment , becomes accessory insertion spacing and number of holes 130f communication.
在分解时，卸下旋钮142，分解了杆部14和手柄部12之后，如图32中所示，把旋转接套130的螺纹部130c插过附件134的主体134a，把突起134b经由前述窄缝124e、124e插入附件插入孔130f中。 When the decomposition, removing the knob 142, after the decomposition of the stem portion 14 and the handle portion 12, as shown in FIG. 32, the rotation of the threaded portion 130 of the sleeve 130c is inserted through the body 134 of the attachment 134a, the protrusion 134b via the narrow slits 124e, 124e is inserted into the insertion hole 130f of the accessory. 借此，旋转接套130的基部130a就不能相对于手柄壳体124旋转。 Whereby rotation of the sleeve 130a of the base 130 can not rotate the handle 124 relative to the housing. 如果在此一状态下用扳手等相对于基部130a拧动螺纹部130c，则旋转接套130在脆弱部130e处破断，位于壳体内部空间内的复位弹簧132可以取出。 If in this state with respect to the base 130a wrench screwing the screw portion 130c, the rotation of the sleeve 130 in the broken at the fragile portion 130e, the return spring located within the internal space of the housing 132 can be removed.
金属制的复位弹簧132检查后用高压釜进行高温高压杀菌可以再次使用。 After the return spring 132 made of metal for high temperature and pressure checked autoclave sterilization can be used again. 此外，关于其余的塑料制的零件也可以杀菌后再次使用。 In addition, with regard to the rest of the plastic parts can be reused after sterilization. 例如如果用特开平9-990919号公报中所述的处理方法，则通过把有氨基的生物学物质所附着的塑料零件与有环氧乙烷环的环氧化合物混合，产生前述氨基引起的环氧化合物的环氧乙烷环的开环反应，生成塑料零件与环氧固化树脂的固结物，进行灭菌后，进行再利用是可能的。 If treatment with e.g. JP-A No. 9-990919 was used, the amino group by the attached biological material is mixed with the plastic part epoxy compound having an oxirane ring, the cyclic amino group is generated due to ring-opening reaction of the oxirane ring-oxygen compound, and plastic parts to generate a cured epoxy resin was consolidated, after sterilization, is possible to be reused.
- 1.一种外科用夹子赋予装置，备有：手柄部，从手柄部向前端侧延伸的杆部，固定于前述杆部内，沿轴向引导在杆部内直列配置的多个夹子的导向机构，配置于该杆部的前端部附近、具有能够在离开位置与接近位置之间移动的一对钳口要素的钳口，伸过杆部内并能根据前述手柄部的操作轴向移动的推杆，根据推杆的轴向移动使前述钳口的钳口要素移动到接近位置用的钳口闭锁构件，以及配置于杆部内、把前述夹子逐个依次推入前述钳口的一对钳口要素间的夹子供给机构，并把夹子赋予身体组织上，其特征在于，前述夹子供给机构由伸过杆部内而把夹子供给到前述钳口要素间的夹子架，给夹子架朝轴向后方加力的加力机构，安装于推杆上并具有靠自身的弹性力朝卡止于夹子架的方向弹压的卡止部的能够弹性变形的卡止构件，以及在前述卡止构件前方 A surgical clip applying apparatus, provided with: a handle portion, a handle portion extending from the stem portion toward the distal end, the rod is fixed to the inner portion, a plurality of guide means guided axially in the shaft portion of the clip disposed in series, disposed in the vicinity of the distal end portion of the stem portion, capable of having a position in proximity to leave a pair of jaws movable between elements of the jaws, extends through the shank and the handle portion operable to axially move the push rod in accordance with, the axial movement of the push rod causes the jaws to move the jaws of the jaw elements near the position for the blocking member, and disposed in the shank, between a pair of jaw elements one by one to sequentially push the clamp jaws of the clip feed means and the clip imparting body tissue, characterized in that the feed mechanism comprises a clip extending through the shaft portion of the clip the clip is supplied to the frame between the jaw elements to clamp axially rearward urging carrier urging means, the locking member is elastically deformable card mounted on the push rod and having a direction against the elastic force of its own frame toward the engaged clip urging the locking portion, and the front of the locking member 杆部内固定并使前述卡止构件的卡止部向与夹子架的非卡止位置移动的复位构件构成。 The inner rod portion fixed to the card and the locking member and the locking portion constituting the stop position of the clip card holder non-return member.
- 2.根据权利要求1所述的外科用夹子赋予装置，其特征在于，前述卡止构件制成'ヘ'字形，在其顶上部设置卡止于前述夹子架上的卡止部，在一方的边部上设置铰支于前述推杆上的铰支部，在另一方的边部上设置板弹簧部，前述复位构件具有作用于前述卡止构件上并把前述卡止部向下方方向推压的凸轮面。 The surgical clip according to claim 1 imparting means, characterized in that the locking member is made of 'ヘ' shape, is provided at its top portion engaged with the card stopper portion of the clip holder, in one is provided on the side portion pivotally supported on the pusher hinge branch, the plate spring portion is provided on the other side portion, and the effect of the return member having the engaging portion is pressed downward direction on the locking member cam surface.
- 3.根据权利要求1所述的外科用夹子赋予装置，其特征在于，前述卡止构件由板弹簧组成并能够左右摇动地安装于前述推杆上，在其顶上部设置卡止于前述夹子架上的卡止部，前述复位构件具有作用于前述卡止构件上并把前述卡止部向左或右方向推压的凸轮面。 According to claim 1, wherein said surgical clip for imparting means, characterized in that the locking member is composed of a plate spring and can be mounted on the right and left swing the push rod, the stop at its top portion a clip carrier disposed in the card the locking portion, the reset member which acts on the cam surface engaging member and the engaging portion the left or right direction pressed.
- 4.根据权利要求1至3中的任何一项中所述的外科用夹子赋予装置，其特征在于，在前述导向机构内备有当最后的夹子由夹子架推入钳口要素之间时阻止夹子架后退的阻止机构，在夹子架的后端形成阻止前述推杆后退的挡片部。 4. preventing the clip applying apparatus 1 to 3 of any one of said surgical, characterized in that, in the guide mechanism comprises a clip by a clip when the last frame is pushed into between the jaw element according to claim the clip holder preventing mechanism retracted, the flap portion is formed to prevent the rear end of the plunger in the retracted clamp frame.
- 5.根据权利要求1至4中的任何一项中所述的外科用夹子赋予装置，其特征在于，前述钳口闭锁构件整体地连接于前述推杆上。 5. The surgical any one of claim 1 to 4 claim clip applying device, wherein the jaw latch member is integrally attached to the push rod.
- 6.根据权利要求1至5中的任何一项中所述的外科用夹于赋予装置，其特征在于，前述导向机构由夹子盒和覆盖在该夹子盒上侧的夹子盒盖来构成，夹子盒和夹子盒盖结合而划分成夹子盒内部空间，在夹子盒内部空间内配置给夹子向前方加力的夹子弹簧，靠夹子盒和夹子盒盖中的某一方来承受来自该夹子弹簧后端的弹簧力，并且该夹子盒和夹子盒盖通过使前述夹子盒和夹子盒盖中的某一方对某另一方向后方相对滑动来结合，通过使前述夹子盒和夹子盒盖中的某一方对某另一方向前方相对滑动来解除结合。 According to the claims 1 to 5 used in any of the surgical clip applying apparatus in which characterized in that the guide means by a clip cartridge cover and the cover side of the clip constituted in the cartridge clip as claimed in claim clip and combining the clip cartridge cover into the inner space of the cartridge clip, spring clip arranged to clamp the forward biasing the internal space in the cartridge clip, and the clip by the clip cartridge cover to bear from either one of the rear end of the spring clip spring force, and the clip and the clip cartridge cover by the clip and the clip cartridge cover either one of the rear binding to a relative sliding in the other direction, by the cartridge clip and the clip cover either one of a another slide relative to the forward direction to release the binding.
- 7.一种外科用操作手柄分解结构，该外科用操作手柄是在手柄外壳内能够向前后方向移动地设置推棒，推棒通过操作能够移动地安装于手柄外壳的扳机而向前方移动，其特征在于，在手柄外壳的前端开口上配置筒体，推棒靠夹在筒体与推棒之间的复位弹簧朝后方加力，前述筒体备有配置于手柄外壳内部的基部，配置于手柄外壳外部的外部连接部，以及在基部与外部连接部之间所形成的脆弱部，通过相对于基部拧动外部连接部，筒体能够在该脆弱部处破断，前述复位弹簧可以从该破断了的筒体中取出。 A surgical operating handle WBS, the surgical operating handle is moved in the direction of the handle housing arranged after the rod can be pushed forward, the pushing rod movably mounted to the housing by operation of the trigger handle is moved forward, its characterized in that, arranged on the front end opening of the barrel of the handle housing, interposed between the push rod against the cylinder and the push rod return spring urging rearward, with the cylindrical base portion arranged inside the handle housing is disposed in the handle external connection portion outside the housing, and a fragile portion between the base and the external connection portion formed by relative to the base screwing the external connection portion, the cylindrical body can be broken at the fragile portion, the return spring can be cut off from the breaking remove the cylinder.
- 8.根据权利要求7所述的外科用操作手柄分解结构，其特征在于，前述基部能够相对于手柄外壳旋转地配置，在前述基部的手柄外壳上形成能够弹性变形的弹性片，该弹性片能够卡合于前述基部上。 According to claim 7, wherein said surgical operating handle decomposition structure, wherein the base portion is rotatably disposed with respect to the handle housing, is formed elastically deformable elastic sheet on the base of the handle housing, the resilient sheet can engaged on the base.
- 9.根据权利要求7或8所述的外科用操作手柄分解结构，其特征在于，在前述基部的前面侧形成多个能够与在前述手柄外壳的前述前端开口的外周部上所形成的多个窄缝连通的多个附件插入孔，在附件上所形成的突起能够插入该窄缝和附件插入孔中。 The surgical according to claim 7 or claim 8 WBS operating handle, wherein the plurality can be a plurality of portions on the outer periphery of the distal end of the handle housing is formed of an opening formed in the front side of said base a plurality of slits communicating the attachments insertion holes, formed in the attachment projections can be inserted into the slit and the accessory insertion hole.
- 10.根据权利要求7至9中的任何一项中所述的外科用操作手柄分解结构，其特征在于，在推棒上沿其移动方向形成棘齿，在手柄外壳内配置棘爪构件，该棘爪构件的头部中央部铰支于手柄外壳上，该棘爪构件的头部前端制成人字形，在其两斜面上分别形成与推棒的棘齿啮合的棘齿，在棘爪构件上进而形成从其头部向对着前端方向伸出的板簧部，在该手柄外壳中形成限制棘爪构件的板弹簧部以前述铰支部为中心的转动范围的限制部。 10. The surgical any of claims 7 to 9 in a decomposition of the operating handle structure, wherein the ratchet teeth are formed along the moving direction of the push rod, the pawl member is disposed within the handle housing, the center of the head portion of the pawl member is pivotally supported on a handle housing, the front end of the head portion of the pawl member is made chevron, mesh with the ratchet teeth formed in ratchet teeth of the push rod in its two inclined surfaces, respectively, on the pawl member thereby forming the plate spring portion projecting toward the distal direction, the plate spring portion is formed to limit the rotational range of the pawl member hinged to the branch portion at the center of the handle housing restriction from its head.
- 11.一种外科用夹子赋予装置，备有：手柄部，从手柄部向前端侧延伸的杆部，固定于前述杆部内，沿轴向导向在杆部内直列配置的多个夹子的导向机构，配置于该杆部的前端部附近、具有能够在离开位置与接近位置之间移动的一对钳口要素的钳口，伸过杆部内并能根据前述手柄部的操作轴向移动的推杆，根据推杆的轴向移动使前述钳口的钳口要素移动到接近位置用的钳口闭锁构件，以及配置于杆部内、把前述夹子逐个依次推入前述钳口的一对钳口要素间的夹子供给机构，并把夹子赋予身体组织上，其特征在于，前述手柄部与前述杆部能够分离。 A surgical clip applying apparatus, provided with: a handle portion, a handle portion extending from the stem portion toward the distal end, the rod is fixed to the inner portion, a plurality of clips along the axial direction in the rod guide portion of the guide means arranged in series, disposed in the vicinity of the distal end portion of the stem portion, capable of having a position in proximity to leave a pair of jaws movable between elements of the jaws, extends through the shank and the handle portion operable to axially move the push rod in accordance with, the axial movement of the push rod causes the jaws to move the jaws of the jaw elements near the position for the blocking member, and disposed in the shank, between a pair of jaw elements one by one to sequentially push the clamp jaws of the clip feed means and the clip imparting body tissue, characterized in that the handle portion and the lever portion can be separated.
Priority Applications (2)
|Application Number||Priority Date||Filing Date||Title|
|JP2001201311A JP4632582B2 (en)||2001-07-02||2001-07-02||Surgical operation handle decomposition structure|
|JP2001223661A JP4689099B2 (en)||2001-07-24||2001-07-24||The surgical clip applier|
|Publication Number||Publication Date|
|CN1397256A true true CN1397256A (en)||2003-02-19|
Family Applications (1)
|Application Number||Title||Priority Date||Filing Date|
|CN 02140382 CN1397256A (en)||2001-07-02||2002-07-02||Clip applicator for surgery|
Country Status (1)
|CN (1)||CN1397256A (en)|
Cited By (4)
|Publication number||Priority date||Publication date||Assignee||Title|
|CN100571640C (en)||2005-04-14||2009-12-23||伊西康内外科公司||Force limiting mechanism for medical instrument|
|US9717504B2 (en)||2005-04-14||2017-08-01||Ethicon Llc||Clip applier with migrational resistance features|
|US9782181B2 (en)||2005-04-14||2017-10-10||Ethicon Llc||Surgical clip applier methods|
|WO2018035796A1 (en) *||2016-08-25||2018-03-01||Covidien Lp||Endoscopic surgical clip applier and clip applying systems|
Cited By (6)
|Publication number||Priority date||Publication date||Assignee||Title|
|CN100571640C (en)||2005-04-14||2009-12-23||伊西康内外科公司||Force limiting mechanism for medical instrument|
|CN101703412B (en)||2005-04-14||2013-04-03||伊西康内外科公司||Overloading mechanism for medical instrument|
|US8915930B2 (en)||2005-04-14||2014-12-23||Ethicon Endo-Surgery, Inc.||Force limiting mechanism for medical instrument|
|US9717504B2 (en)||2005-04-14||2017-08-01||Ethicon Llc||Clip applier with migrational resistance features|
|US9782181B2 (en)||2005-04-14||2017-10-10||Ethicon Llc||Surgical clip applier methods|
|WO2018035796A1 (en) *||2016-08-25||2018-03-01||Covidien Lp||Endoscopic surgical clip applier and clip applying systems|
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|C02||Deemed withdrawal of patent application after publication (patent law 2001)|