CN204364075U - A kind of scope nipper - Google Patents

A kind of scope nipper Download PDF

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Publication number
CN204364075U
CN204364075U CN201420803860.4U CN201420803860U CN204364075U CN 204364075 U CN204364075 U CN 204364075U CN 201420803860 U CN201420803860 U CN 201420803860U CN 204364075 U CN204364075 U CN 204364075U
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CN
China
Prior art keywords
scope
binding clip
handle
draught line
nipper
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Fee Related
Application number
CN201420803860.4U
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Chinese (zh)
Inventor
窦春燕
苏军凯
赵冰莲
张帅
张兰霞
张鸣青
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175th Hospital of PLA
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175th Hospital of PLA
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Publication date
Application filed by 175th Hospital of PLA filed Critical 175th Hospital of PLA
Priority to CN201420803860.4U priority Critical patent/CN204364075U/en
Application granted granted Critical
Publication of CN204364075U publication Critical patent/CN204364075U/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

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Abstract

The utility model discloses a kind of scope nipper, comprise sheath pipe, pedestal and at least two group side clip assemblies; Pedestal is fixed on sheath pipe front end and is extended with fixed pliers head forward; Each group side clip assembly comprises side binding clip, draught line and handle respectively, and wherein side binding clip to be articulated with on pedestal and to be matched with the side of fixed pliers head, and handle is arranged at sheath pipe rear end, and draught line is through sheath pipe and connect this side binding clip and this hands handle; Each handle drives corresponding side binding clip opposite base to rotate respectively by corresponding draught line, makes corresponding side binding clip and fixed pliers head in opening or closed state.Scope nipper of the present utility model coordinates pneumatic looping and binding device or hemostatic clamp application, can gather and closed digestive tract large perforation, easy to operate.

Description

A kind of scope nipper
Technical field
This utility model relates to medical device technology, particularly relates to a kind of scope nipper for huge wound closures such as Alimentary Tract Perforations.
Background technology
Sew up and be used in various medical procedures, comprise and utilize repetitive sewing type method by two or more surface or edge conjunction together.Such as, in digestive endoscopy operation process, can adopt clip that nylon ring is fixed on keyhole periphery, then tighten up nylon ring and come sew up wound or conjunctive tissue.But for comparatively large digestive tract perforation such as gastric perforatioies, common nipper jaw is less, is often difficult to intactly to grab perforation wound surface periphery and makes it gather; And it is very difficult to use multiple clip to operate simultaneously, and clip easily comes off, and success rate is also very low.
Utility model content
The purpose of this utility model is the deficiency overcoming prior art, provides a kind of scope nipper.
This utility model solves the technical scheme that its technical problem adopts: a kind of scope nipper comprises sheath pipe, pedestal and at least two group side clip assemblies; Pedestal is fixed on sheath pipe front end and is extended with fixed pliers head forward; Each group side clip assembly comprises side binding clip, draught line and handle respectively, and wherein side binding clip to be articulated with on pedestal and to be matched with the side of fixed pliers head, and handle is arranged at sheath pipe rear end, and draught line is through sheath pipe and connect this side binding clip and this hands handle; Each handle drives corresponding side binding clip opposite base to rotate respectively by corresponding draught line, makes corresponding side binding clip and fixed pliers head in opening or closed state.
Preferably, described side clip assembly comprises left side clip assembly and right side clip assembly, and the left side binding clip of left side clip assembly lays respectively at the relative both sides of described fixed pliers head with the right side binding clip of right side clip assembly.
Preferably, described side binding clip comprises a clamping part coordinated with described fixed pliers head, is extended and the kink bent and the tractive unit extended by kink by clamping part; Described kink is articulated with described pedestal front end; Described tractive unit has an installing hole, and described draught line is by stretching out inside described pedestal and being connected to installing hole.
Preferably, described clamping part is rubber head dummy, the crocodile degree of lip-rounding, Mus profile of tooth, band crocodile mouth Mus profile of tooth or gannet mouth shape, and described fixed pliers head has the side of matching with described clamping part.
Preferably, described sheath pipe rear end is divided at least two the sub-sheath pipes coordinated one by one with described each draught line, and each sub-sheath pipe is connected to corresponding handle.
Preferably, described handle end is provided with draw ring.
Preferably, described handle is also provided with the axially extended chute along described draught line and the Handheld Division that extends transversely, Handheld Division to be connected in chute and to slide along the relatively described draw ring of chute, and the both sides of wherein said Handheld Division transverse direction are respectively arranged with groove.
Preferably, described draught line is wire.
The beneficial effects of the utility model are: adopt Multidirectional side binding clip to coordinate the design of fixed pliers head, take fixed pliers head as anchor point, each side binding clip can independently and fixed pliers head combine and capture the edge of wound, not homonymy binding clip successively action make wound edge gather folder to fixed pliers head to close, structure is simple, with low cost, easy to operate.When scope nipper is applied to digestive endoscope operation, coordinating example is as the use of the apparatus such as Pneumatic ligator or hemostatic clamp, single or multiple continuous print ligation can be realized or folder closes, the accuracy that lifting Alimentary Tract Perforation endoscopic ligation or folder close and quality, be particularly useful for the perforation that area is difficult to more greatly gather, be suitable for clinical practice.
Below in conjunction with drawings and Examples, this utility model is described in further detail; But a kind of scope nipper of the present utility model is not limited to embodiment.
Accompanying drawing explanation
Fig. 1 is the structural representation of this utility model scope nipper;
Fig. 2 is the partial structurtes schematic diagram of this utility model pedestal and left and right sides binding clip;
Fig. 3 is the structural representation of this utility model handle;
Fig. 4 is that the scope nipper of this utility model one embodiment coordinates pneumatic looping and binding device to be applied to the schematic flow sheet of endoscopic surgery.
Detailed description of the invention
With reference to figure 1, a kind of scope nipper comprises sheath pipe 1, pedestal 2, left side clip assembly 3 and right side clip assembly 4.Pedestal 2 is fixed on sheath pipe 1 front end and is extended with forward fixed pliers head 21.Left side clip assembly 3 comprises left side binding clip 31, left draught line 32 and left handle 33, left side binding clip 31 to be articulated with on pedestal 2 and to be matched with the side of fixed pliers head 21, left handle 33 is arranged at sheath pipe 1 rear end, left draught line 32 also connects left side binding clip 31 and left handle 33 through sheath pipe 1, left handle 33 drives left side binding clip 31 opposite base 2 to rotate by left draught line 32, makes left side binding clip 31 and fixed pliers head 21 in opening or closed state.Right side clip assembly 4 comprise right side binding clip 41, right draught line 42 and right handles 43, its relative position and annexation identical with left side clip assembly 3.Left side binding clip 31 and right side binding clip 41 are laid respectively at the relative both sides of fixed pliers head 21 (such as left side and right side) and are driven and self contained function by draught line by corresponding handle.Left draught line 32 and right draught line 42 are lines of rigidity, such as, can be wire.
Left side binding clip 31 comprises the clamping part 311 coordinated with fixed pliers head 21, extended by clamping part 311 and the kink 312 bent and the tractive unit 313 extended by kink 312, kink 312 is articulated with pedestal 2 front end, tractive unit 313 has an installing hole 313a, and left draught line 32 is by stretching out inside pedestal 2 and being connected to installing hole 313a.The angle that kink 312 bends can be such as 90 ° makes clamping part 311 and tractive unit 313 in vertical relation, when left draught line 32 pushes towards fixed pliers head 21 direction vertically, clamping part 311 and fixed pliers head 21 are in closure state, when pulling out in reverse direction, clamping part 311 and the open-shaped state of fixed pliers head 21.The shape of clamping part 311 can be various shape, and fixed pliers head 21 has to the side that the matching form of clamping part 311 closes to form corresponding nipper.Right side binding clip 41 has the structure identical with left side binding clip 31, and fixed pliers head 21 also has the side that coordinates to right side binding clip 31 to form corresponding nipper, not in this to go forth.
Sheath pipe 1 rear end is divided into two the sub-sheath pipes 11 coordinated respectively with left draught line 32 and right draught line 42, and each sub-sheath pipe 11 is connected to corresponding handle.Left handle 33 and right handles 43 also have identical structure, are described below for left handle 33.Left handle 33 end is provided with draw ring 331, along the axially extended chute 332 of left draught line 32 and the Handheld Division 333 that extends transversely.Handheld Division 333 is flat tabulars, and intermediate portion is connected in chute 332 and also can slides along the relative draw ring 331 of chute 332.The both sides of Handheld Division 333 transverse direction are respectively arranged with groove so that hand-held.During use, the groove that available two finger clamp live Handheld Division 333 is fixed, and another finger stretches into draw ring 331 by the left draught line 32 of the action push-and-pull of push-and-pull, and when pushing, clamping part 311 closes with fixed pliers head 21, opens during pull-out.Right-hand man can coordinate left and right handle to operate respectively.In addition, three groups of side clip assemblies organized at the most also can be set according to actual needs.
With reference to figure 4a-f, be that the scope nipper of this utility model one embodiment coordinates pneumatic looping and binding device 5 to be applied to the schematic flow sheet of the endoscopic surgery that digestive tract large perforation closes.The elastic bag pipe that pneumatic looping and binding device 5 comprises ligation tube 51, is sheathed on the ligation ring 52 on ligation tube 51 outer circumference surface and is located on rear side of ligation ring 52 on ligation tube 51 surface.Airsac tube is connected with a common medical syringe by connecting duct 53.Airsac tube is contraction state, and when syringe passes through connecting duct 53 to airsac tube gas injection, airsac tube expands.Pneumatic looping and binding device 5 is installed on the end of scope 6, scope nipper is inserted through pneumatic looping and binding device 5 by endoscope movable detecting hole and enters Alimentary Tract Perforation, the left side clamp that operation left handle 33 makes left side binding clip 31 and fixed pliers head 21 be formed firmly is bored a hole the edge of side, then operating scope makes nipper shift to opposite side, and operate right side clamp that right handles 43 makes right side binding clip 41 and fixed pliers head 21 be formed and firmly to bore a hole the edge of opposite side, thus perforation both sides tissue is gathered together.Then both sides tissue is drawn in ligation tube 51 by the rising of scope nipper, forms certain negative pressure while of scope during air-breathing in ligation tube 51, and to suck in ligation tube 51 by more both sides tissue, the grip needed for minimizing scope nipper, avoids coming off.Syringe makes airsac tube expand by connecting duct 53 to airsac tube gas injection, thus the ligation ring 52 outside it is pushed to ligation tube 51 front and discharged, and ligation ring 52 falls also ligation in the basilar part of perforation both sides of the edge gastrointestinal tissue, forms cover and pricks sphere.Unclamp scope nipper, exit scope, ligation ring 52 tightens voluntarily, and both sides of the edge of boring a hole are tightly closed.After the edge of wound healing of both sides to be perforated, ligation ring 52 can self falling.
Another embodiment of this utility model is coordinated by scope nipper hemostatic clamp to be applied to the closed endoscopic surgery of digestive tract large perforation.Scope nipper is inserted by a pincers road of Shuan Qian road scope, gathers perforation two rear flank by preceding method, and hemostatic clamp inserts through another pincers road of Shuan Qian road scope, in the other closed perforation wound surface of scope nipper.The present embodiment is applicable to esophagus and intestinal tube site of perforation, and wound surface tension force is little, and required grip force is less, folder closes and organizes thinner wound surface.
In above-described embodiment, according to perforation size, can multiple spot cover prick or upper hemostatic clamp close.What side binding clip and fixed pliers head were formed can be rubber head dummy nipper, for easily perforation, carefully thin small intestine; Crocodile degree of lip-rounding nipper, ability to speak is engaged, for stomach, colon; Mus profile of tooth nipper, does not penetrate for capturing only mucous layer, muscularis propria, and closed wound surface is used; Band crocodile mouth Mus profile of tooth nipper, disturbs eely wound both sides for poly-; Gannet mouth shape nipper, for capturing out thicker gastric antrum portion tissue etc.
Above-described embodiment is only used for further illustrating a kind of scope nipper of the present utility model; but this utility model is not limited to embodiment; every above embodiment is done according to technical spirit of the present utility model any simple modification, equivalent variations and modification, all fall in the protection domain of technical solutions of the utility model.

Claims (8)

1. a scope nipper, is characterized in that comprising sheath pipe, pedestal and at least two group side clip assemblies; Pedestal is fixed on sheath pipe front end and is extended with fixed pliers head forward; Each group side clip assembly comprises side binding clip, draught line and handle respectively, and wherein side binding clip to be articulated with on pedestal and to be matched with the side of fixed pliers head, and handle is arranged at sheath pipe rear end, and draught line is through sheath pipe and connect this side binding clip and this hands handle; Each handle drives corresponding side binding clip opposite base to rotate respectively by corresponding draught line, makes corresponding side binding clip and fixed pliers head in opening or closed state.
2. scope nipper according to claim 1, is characterized in that: described side clip assembly comprises left side clip assembly and right side clip assembly, and the left side binding clip of left side clip assembly lays respectively at the relative both sides of described fixed pliers head with the right side binding clip of right side clip assembly.
3. scope nipper according to claim 1, is characterized in that: described side binding clip comprises a clamping part coordinated with described fixed pliers head, is extended and the kink bent and the tractive unit extended by kink by clamping part; Described kink is articulated with described pedestal front end; Described tractive unit has an installing hole, and described draught line is by stretching out inside described pedestal and being connected to installing hole.
4. scope nipper according to claim 3, is characterized in that: described clamping part is rubber head dummy, the crocodile degree of lip-rounding, Mus profile of tooth, band crocodile mouth Mus profile of tooth or gannet mouth shape, and described fixed pliers head has the side of matching with described clamping part.
5. scope nipper according to claim 1, is characterized in that: described sheath pipe rear end is divided at least two the sub-sheath pipes coordinated one by one with described each draught line, and each sub-sheath pipe is connected to corresponding handle.
6. scope nipper according to claim 1, is characterized in that: described handle end is provided with draw ring.
7. scope nipper according to claim 6, it is characterized in that: described handle is also provided with the axially extended chute along described draught line and the Handheld Division that extends transversely, Handheld Division to be connected in chute and to slide along the relatively described draw ring of chute, and the both sides of wherein said Handheld Division transverse direction are respectively arranged with groove.
8. scope nipper according to claim 1, is characterized in that: described draught line is wire.
CN201420803860.4U 2014-12-17 2014-12-17 A kind of scope nipper Expired - Fee Related CN204364075U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201420803860.4U CN204364075U (en) 2014-12-17 2014-12-17 A kind of scope nipper

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Application Number Priority Date Filing Date Title
CN201420803860.4U CN204364075U (en) 2014-12-17 2014-12-17 A kind of scope nipper

Publications (1)

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CN204364075U true CN204364075U (en) 2015-06-03

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Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104586444A (en) * 2014-12-17 2015-05-06 中国人民解放军第一七五医院 Endoscopic grasper for closing digestive tract perforation
CN106214203A (en) * 2016-08-31 2016-12-14 令狐恩强 A kind of device closing otch for folder
CN111772733A (en) * 2020-07-24 2020-10-16 中国人民解放军陆军第七十三集团军医院 Two-way grasping forceps for digestive endoscopy
CN113616302A (en) * 2021-09-10 2021-11-09 希罗镜下医疗科技发展(上海)有限公司 Grabber used under endoscope

Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104586444A (en) * 2014-12-17 2015-05-06 中国人民解放军第一七五医院 Endoscopic grasper for closing digestive tract perforation
CN106214203A (en) * 2016-08-31 2016-12-14 令狐恩强 A kind of device closing otch for folder
CN106214203B (en) * 2016-08-31 2019-09-27 令狐恩强 It is a kind of for pressing from both sides the device for closing notch
CN111772733A (en) * 2020-07-24 2020-10-16 中国人民解放军陆军第七十三集团军医院 Two-way grasping forceps for digestive endoscopy
CN111772733B (en) * 2020-07-24 2021-05-14 中国人民解放军陆军第七十三集团军医院 Two-way grasping forceps for digestive endoscopy
CN113616302A (en) * 2021-09-10 2021-11-09 希罗镜下医疗科技发展(上海)有限公司 Grabber used under endoscope
CN113616302B (en) * 2021-09-10 2023-03-03 希罗镜下医疗科技发展(上海)有限公司 Grabber used under endoscope

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C14 Grant of patent or utility model
GR01 Patent grant
CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20150603

Termination date: 20181217

CF01 Termination of patent right due to non-payment of annual fee