Background technology
In recent years Endoscope hemostasis folder because of its traumatic little, anthemorrhagic speed soon, the feature such as low, the few intercurrent disease of hemorrhage incidence rate, determined curative effect again, become critical patient acute gastrointestinal bleeding non-operative treatment the most effectively, have the method for clinical value most.Under scope, metal clip hemostasis is one of hemostasis means of comparatively extensive use, and appropriate case is carried out to skilled metal clip operation, can effectively stop blooding and prevent more hemorrhage, and minimizing untoward reaction, improves safety and the cure rate of digestive tract hemorrhage therapeutic endoscopy greatly.The hemostatic mechanism of metal hemostatic clamp is with surgery vascular ligation or sew up identical, for a kind of physical mechanical method, the mechanical force producing while utilizing hemostatic clamp closed, by its surrounding tissue and the ligation in the lump of hemorrhage blood vessel, thereby closed hemorrhage blood vessel, with blocking blood flow, reach hemostasis object, be applicable to the hemostatic treatment of nonvariceal active hemorrhage and visible vessels stump pathological changes.
While there is little perforation in endoscopic surgery, applied metal folder is organized clamp by cut, by cut sealing, prevents that alimentary canal content from leaking to abdominal cavity.For local organization, the poor or postoperative Suspected Area of APC presss from both sides and closes, can pre-blowout resistant generation.
Metal clip is visible under X-ray examination, if endoscopic surgery cannot complete resection focus, while needing further surgical operation, at lesions position, places 1~2 piece of metal clip, can be peritoneoscope or abdominal inspection provides indicative function.Metal current hemostatic clamp external product is in the great majority.The TriClip Endoscopic Clipping Device of COOK for example, opening diameter is 12mm, it is better to eminence lesion, as the residual base of a fruit after polypectomy, and application process, without rotation, can reduce the usage quantity of metal clip, but there are some researches show, because this design contacts with 3 of human bodies, this metal clip haemostatic effect is slightly poor.Bostonian
![Figure BDA0000391273430000011](https://patentimages.storage.googleapis.com/19/e6/ae/ae7deb9b640c0f/BDA0000391273430000011.png)
clip, opening and closing is no more than five times repeatedly, metal clip opening is 11mm, can make repeated attempts closure or open to adjust position of operator, but the partial-length that this metal clip is kept somewhere is in vivo about 15mm, after operation, keeping somewhere part can close the offside tissue friction at place with folder, cause ulcer, especially in esophagus or intestinal, more easily occurs.The patent 2005143767 of Olympus is mentioned a kind of rotatable metal clip, can select the metal clip of respective diameters according to the size of pathological changes diameter.Its clip is the joggle piece that has locking design between curved intersection type structure, clip and clamping element and prevent from again opening after clamp.Complex structure, has higher requirement to the proficiency level of user.About the spacing design of conveyer device; Boston clip is to utilize the casing protection clip of outside not open in entering scope process; avoid Dui Qian road to damage; enter behind human body relevant position; the positioner at handle place is shifted out; then by sleeve pipe to operator's one side shifting, convenience is inadequate in actual applications.
Utility model content
Utility model object: technical problem to be solved in the utility model is for the deficiencies in the prior art, provides a kind of medical clip carrier.
In order to solve the problems of the technologies described above, the utility model discloses a kind of medical clip carrier, comprise cavity, be positioned at convey handle, the clip on cavity and the connecting rope that connects convey handle and clip, described cavity is provided with mobilizable locking component and locating slot; Described locking component comprises locating piece and spill spin block, described spill spin block is provided with rotation circular groove, in rotation circular groove, be provided with locating platform, described locating piece one end is nested on connecting rope, the other end stretches in the rotation circular groove of spill spin block through the locating slot of cavity, when spill spin block being rotated to locating platform and locating piece butt, the other end of locating piece leaves center by the location bias of connecting rope, thereby realize, the position of connecting rope is fixed.
In this utility model, the Different Plane of described spill spin block is provided with two rotation circular grooves, and the other end of locating piece stretches in two rotation circular grooves of spill spin block simultaneously.
In this utility model, the same position in described two rotation circular grooves is respectively provided with a locating platform.
In this utility model, described spill spin block outside is provided with is convenient to the projection that finger is conflicted.
In this utility model, described connecting rope overcoat has boost tube, and locating piece is nested on boost tube.
This utility model beneficial effect is that the latch-up structure of clip carrier, by the skew of middle boost tube, can avoid clip to stretch out when carrier enters scope, causes the risk in damage pincers road, and spacing simple to operate.
The specific embodiment
As shown in Figure 1, Figure 3 and Figure 4, the utility model discloses a kind of medical clip carrier, comprise cavity 1, be positioned at convey handle 3, the clip 4 on cavity and the connecting rope 5 that connects convey handle and clip, described cavity is provided with mobilizable locking component and locating slot 2; Described locking component comprises locating piece 6 and spill spin block 7, described spill spin block is provided with rotation circular groove 7a, in rotation circular groove, be provided with locating platform 7b, described locating piece 6 one end are nested on connecting rope 5, the other end stretches in the rotation circular groove 7a of spill spin block through the locating slot 2 of cavity 1, and when spill spin block 7 is rotated to locating platform 7b and locating piece 6 butt, the other end of locating piece 6 leaves center by the location bias of connecting rope 5, thereby realize, the position of connecting rope 5 is fixed, as shown in Figure 2 b.When described in spill spin block 7 rotates to Fig. 2 a during position, locating piece 6 is in normal condition, and connecting rope 5 is free to mobile.Described spill spin block outside is provided with is convenient to the projection 7c that finger is conflicted.Described connecting rope 5 overcoats have boost tube 8, and locating piece is nested on boost tube 8.
In this utility model, clip adopts metal material to make.For example Nitinol or rustless steel.Because Nitinol has shape memory function, clip is frequently subject to External Force Acting and also can be out of shape, and good biocompatibility, rustless steel has good comprehensive mechanical property and decay resistance, and easily processing, cheap, medically be widely used, as the artificial joint bone rod (handle) of orthopaedics, the artificial tooth implanting body of dentistry and correction wire etc., and tube chamber implant is if department of cardiac surgery interventional therapy is with angiocarpy bracket etc.. in this utility model, the limit function of clip carrier changes that to need to add inserted sheet spacing in the past, spacing by rotating eccentricity, handled easily.Can pass through the operation to handle, stretching out and recovery of control far-end clip freely, designs succinctly, reduces maloperation, more safe and reliable.
Clip adopts U-shaped design as shown in Figure 4, the clip of equal length, and U-shaped actual gripping amount is larger, can the larger tissue of ligation wound surface.Clip, with two or more arms, becomes U-shaped.Clip front end can be designed to the shape of the applicable biopsy tissues such as crocodile dentation, Mus dentation, and the stage casing part of arm has the gradual change of a width, can realize interference fit with tightener.Tightener is a tubular part, can be pushed forward, by clip income wherein.The far-end of tightener is can be metal material annulus, and near-end can be plastic material.There is a projection design at position, tightener stage casing, and the slightly larger in diameter of projection is in the internal diameter of inserter outer tube.The diameter of tightener is slightly less than the internal diameter of inserter outer tube.Connector is cylindrical, far-end is provided with a projection, can block U-shaped folder bottom, near-end is two or more arm separately, is pawl type, catches connecting rope 5 far-end arrow shaped head ends, there is a contraction in stage casing, can guarantee being connected and entangling after clip in tightener of clip and steel wire, by the above-mentioned contraction of further application of force position, can rupture, so that clip is retained in human body.
Embodiment
As shown in Figure 1, Figure 3 and Figure 4, the utility model discloses a kind of medical clip carrier, comprise cavity 1, be positioned at convey handle 3, the clip 4 on cavity and the connecting rope 5 that connects convey handle and clip, described cavity is provided with mobilizable locking component and locating slot 2; Described locking component comprises locating piece 6 and spill spin block 7, described spill spin block is provided with rotation circular groove 7a, in rotation circular groove, be provided with locating platform 7b, described locating piece 6 one end are nested on connecting rope 5, the other end stretches in the rotation circular groove 7a of spill spin block through the locating slot 2 of cavity 1, and when spill spin block 7 is rotated to locating platform 7b and locating piece 6 butt, the other end of locating piece 6 leaves center by the location bias of connecting rope 5, thereby realize, the position of connecting rope 5 is fixed, as shown in Figure 2 b.When described in spill spin block 7 rotates to Fig. 2 a during position, locating piece 6 is in normal condition, and connecting rope 5 is free to mobile.Described spill spin block outside is provided with is convenient to the projection 7c that finger is conflicted.Described connecting rope 5 overcoats have boost tube 8, and locating piece is nested on boost tube 8.The Different Plane of described spill spin block 7 is provided with two rotation circular grooves simultaneously, the other end of locating piece 6 stretches into interior corresponding two the rotation circular grooves of two boss 6a that form of two rotation circular grooves of spill spin block simultaneously, intermediate formation the parts of protruding in the middle of corresponding two the rotation circular grooves of groove 6b, formed thus the location of the steel wire rope moving direction of locating piece 6 and spill spin block 7, guaranteed that locating piece 6 can not move up and down along steel wire rope.。Same position in described two rotation circular grooves is provided with and is respectively provided with a locating platform.Certainly, such design also has all shape changeables, as long as can form the relative of position of locating piece 6 and spill spin block 7 fixes, for example the rotation groove of spill spin block can be arranged on to centre position, formation projection in the centre position of locating piece 6 rises up in rotation groove so, realized thus relative localization, but such Design and Machining difficulty is slightly high.
The clip that stops blooding in this utility model adopts Nitinol to make.
Spill spin block 7 dextrorotations in Fig. 2 a are turn 90 degrees, now become Fig. 2 b state, in spill spin block rotary course, locating piece 6 is owing to being stuck in the locating slot 2 of cavity 1, so holding position is constant, now can be by convey handle 3 lockings.In the careful work cavity that is inserted into scope of mounted conveyer device.After carrier far-end appears in the visual field, spill spin block 7 another mistake hour hands 90-degree rotations are become to the state of Fig. 2 a, now convey handle 3 releases, slowly promote convey handle 3 to far-end, and clip appears in the visual field.Make clip prop up target focus, then slowly to near-end, pull convey handle 3, clamp destination organization.Continue to near-end, to pull convey handle 3 gently, clip can be departed from from conveyer device.From scope, extract connecting rope 5 out.
Under the supervision of endoscope and x-ray, utilize conveyer device by matching used disposable use clip deliver to stop blooding in the position needing, ligation or labelling.