CN204765767U - Exempt from to knot and clamp from trimming pocket - Google Patents
Exempt from to knot and clamp from trimming pocket Download PDFInfo
- Publication number
- CN204765767U CN204765767U CN201520500868.8U CN201520500868U CN204765767U CN 204765767 U CN204765767 U CN 204765767U CN 201520500868 U CN201520500868 U CN 201520500868U CN 204765767 U CN204765767 U CN 204765767U
- Authority
- CN
- China
- Prior art keywords
- purse
- snare
- magnetic tape
- trimming
- coil
- 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.)
- Withdrawn - After Issue
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Abstract
The utility model relates to a medical pocket pincers, especially an exempt from to knot and clamp from trimming pocket belong to medical instrument's technical field. According to the utility model provides a technical scheme, exempt from to knot and clamp from trimming pocket including the first pincers handle of mutually transposition with second pincers handle, install in the nail storehouse of first pincers handle and second pincers button end respectively and the pocket nail, preassemble at the circle cuff belt tail pocket line under first nail storehouse and second nail storehouse pocket are followed closely and be used for a ring cuff belt tail pocket line pole. The utility model is used for cavity digestion internal organs pocket need not hand tying and trimming when sewing up, and the operation is convenient, and is low to the operation space requirement, simple structure, effect safe and reliable.
Description
Technical field
This utility model relates to a kind of purse-string forceps, and especially a kind of pre-knotted, from trimming purse-string forceps, belongs to the technical field of medical apparatus and instruments.
Background technology
Purse-string forceps is for carrying out the closed operation tool of temporary transient pocket to hollow organ in the operation of digestive tract hollow organ.The application of purse-string forceps alleviates the workload of doctor, makes purse string suture accurate and fast, shortens operating time, improve the quality of purse string suture, decrease operation risk.
Current purse-string forceps common drawback is that pocket stitches and needs after implanting anastomat " mushroom head ", to the manual knotting of purse wire, tighten up anastomotic stoma and wipe out unnecessary purse wire.Hypomere in esophagus, operation very difficulty during the purse string suture of the narrow spaces such as cardia position, and may operation risk be brought.
Israelis is is researching and developing the purse-string forceps of automatic knotting, and principle is by arranging metal clamp, uses clamp static line body after tightening up purse wire, replaces manual knotting.Its complex structure, cost is high; Because clamp fixes purse wire weak effect, cause effect unreliable; The clamp of hard metal may cause interference to Anastomat hemorrhoidal circumcision operation.
Summary of the invention
The purpose of this utility model overcomes the deficiencies in the prior art, provides a kind of pre-knotted from trimming purse-string forceps, and without the need to knotting during purse string suture, low to operation space requirement, trimming is convenient, simple to operate, and effect is safe and reliable.
According to the technical scheme that this utility model provides, described pre-knotted is from trimming purse-string forceps, a kind of pre-knotted, from trimming purse-string forceps, comprises the first stranded mutually clamp handle and the second clamp handle, the first band nail nail bin being arranged on the first clamp handle and the second clamp handle head end and the second band nail nail bin, head end are preset coil and tighten up the snare magnetic tape trailer purse wire of coil and the action bars for operating snare magnetic tape trailer purse wire by drag wire tail.The coil of described snare magnetic tape trailer purse wire is that boundary's point is divided into embedding half astragal body and external half astragal body with toe-in, described embedding half astragal body is contained in the pocket nail outlet opening of the first band nail nail bin and the second band nail nail bin in advance, and described external Douglas' line body and embedding half astragal body are arranged in the first band in the same way and follow closely nail bin and second and be with the pocket following closely nail bin to follow closely to make outside outlet opening the coil configuration of snare magnetic tape trailer purse wire to be U-shaped to lateral opening.
Line tail and the head end coil junction point of described snare magnetic tape trailer purse wire arrange toe-in, and described toe-in can slide thus tighten up coil by body along the line, and described toe-in comprises surgery Slipped Clove Hitch and strengthens around returning knot.
When described snare magnetic tape trailer purse wire coil configuration is the U-shaped to lateral opening, described toe-in is arranged in the top of the peristome of the U-shaped to lateral opening.When the coil of described snare magnetic tape trailer purse wire tightens up, the line body of the external half astragal body side of coil slides in toe-in.
Described action bars comprises for promoting toe-in thus tightening up the shaft-like ligaturing rod of the sleeve of coil, described ligaturing rod head end arranges knot mouth, the bore of described knot mouth is less than the external diameter of the toe-in of snare magnetic tape trailer purse wire, and the length of described ligaturing rod is less than the thread end length of snare magnetic tape trailer purse wire.
Described action bars comprises knot thread cutter, and described knot thread cutter comprises solidus bar and trimming bar.Described solidus rod head end arrange toe-in can be promoted push away interface and can by solidus hole temporary fixed for the line tail of snare magnetic tape trailer purse wire, described snare magnetic tape trailer purse wire line tail is arranged through solidus hole.Described trimming bar can be close to solidus bar surface and slide along the major axis of solidus bar through solidus hole, and the line tail of snare magnetic tape trailer purse wire can be cut off when trimming rod head end slides through solidus hole.
Described first clamp handle arranges holder away from the side of the second clamp handle, and for described action bars is temporarily fixed at the first clamp handle, described holder comprises the draw-in groove, latch or the band that mate with described action bars.
Advantage of the present utility model: be arranged on the cavity digestive tract organ surface under being with the embedding half astragal body of nail nail bin outlet to be fixed on pocket nail during purse string suture, external half astragal body is overturn after wiping out hollow organ, insert anastomat " mushroom head " to operate action bars afterwards and can complete purse string suture, structure is simple, cost is low, simple operation, safe and reliable.
Accompanying drawing explanation
Fig. 1 is structural representation of the present utility model;
Fig. 2 is a kind of embodiment schematic diagram of this utility model snare magnetic tape trailer purse wire;
Fig. 3 is the another embodiment schematic diagram of this utility model snare magnetic tape trailer purse wire;
Fig. 4-1 is the position view of front snare magnetic tape trailer purse wire and pocket nail opposing cavities internal organs before this utility model pocket clamp closes;
Fig. 4-2 is the cross-sectional view of Fig. 4-1 in hollow organ purse string suture face;
Fig. 5-1 closes rear snare magnetic tape trailer purse wire for this utility model pocket clamp and relative position schematic diagram followed closely by pocket;
Fig. 5-2 is the cross-sectional view of Fig. 5-1 in hollow organ purse string suture face;
Fig. 6-1 is the snare magnetic tape trailer purse wire of this utility model from disconnected hollow organ and after overturning external half astragal body and the position view of pocket nail opposing cavities internal organs;
Fig. 6-2 is Fig. 6-1 at the cross-sectional view of hollow organ from section;
Fig. 7 is that this utility model wire-drive rod promotes toe-in and tightens up the schematic diagram of coil;
Fig. 8 is this utility model knot thread cutter knot trimming schematic diagram;
Fig. 9 is that this utility model arranges a kind of embodiment schematic diagram of holder in the first clamp handle.
Description of reference numerals: 11-first clamp handle, 12-second clamp handle, 21-first band nail nail bin, 22-second are with nail nail bin, 3-snare magnetic tape trailer purse wire, 30-line tail, 31-toe-in, 32-coil, the embedding half astragal body of 321-, the external half astragal body of 322-, 4-action bars, 41-ligaturing rod, 411-knot mouth, 42-knot thread cutter, 421-solidus bar, 422-trimming bar, 5-holder, A-solidus hole.
Detailed description of the invention
Below in conjunction with concrete accompanying drawing, the utility model is described in further detail.
Described a kind of pre-knotted, from trimming purse-string forceps, comprises the first stranded mutually clamp handle 11 and the second clamp handle 12, is arranged on the first band nail nail bin 21 of the first clamp handle 11 and the second clamp handle 12 head end and the second band nail nail bin 22, head end are preset coil 32 and tighten up the snare magnetic tape trailer purse wire 3 of coil 31 and the action bars 4 for operating snare magnetic tape trailer purse wire 3 by drag wire tail 30.The coil 32 of described snare magnetic tape trailer purse wire 3 with toe-in 31 for boundary's point is divided into embedding half astragal body 321 and external half astragal body 322; Described embedding half astragal body 321 is contained in the pocket nail outlet opening of the first band nail nail bin 21 and the second band nail nail bin 22 in advance; Described external Douglas' line body 322 and embedding half astragal body 321 are arranged in the first band in the same way, and follow closely that nail bin 21 and second is with the pocket following closely nail bin 22 to follow closely to make the coil 32 of snare magnetic tape trailer purse wire 3 arrange outside outlet opening be U-shaped to lateral opening.
As shown in Figure 1, described a kind of pre-knotted is used for the purse string suture of the digestive tract hollow organ of open surgery from trimming purse-string forceps, its first stranded mutually clamp handle 11 and the second clamp handle 12, the first band nail nail bin 21 being arranged on the first clamp handle 11 and the second clamp handle 12 head end and the second band nail nail bin 22 are the common structure of current purse-string forceps.Brief description device operation principle: during use, flat for needs purse string suture hollow organ making in order is placed between two clamp handle head ends by line, the major axis of hollow organ is substantially vertical with two clamp handle head end major axis.By clamp first clamp handle 11 and the second clamp handle 12, first clamp handle 11 and the second clamp handle 12 head end folder are closed, thus make first of two clamp handle head ends the band nail nail bin 21 and second be with nail nail bin 22 folder to close, and then the pocket nail nail in two nail bins stings the lateral wall of fixing hollow organ.At this moment, the purse wire being arranged in two nail bins outlets to the U-shaped of lateral opening is in advance followed closely thorn and is fixed on ring hollow organ cavity cross section top layer, walk crosswise from disconnected anastomotic stoma place hollow organ, overturn two purse wire line tails, open internal organs cavity and insert anastomat " mushroom head ", can to have tied a knot purse string suture to two purse wire line tails.
For action bars 4 that snare magnetic tape trailer purse wire 3 is operated can with other structure-integrated settings, also can arrange separately, take during use temporarily.
As shown in Fig. 1, Fig. 4-2, in this utility model, the coil 32 that snare magnetic tape trailer purse wire 3 head end preset is arranged is arranged as U-shaped one side opening to lateral opening is hollow organ posting port.The line body of the embedding half astragal body 321 of coil 32 is arranged in the pocket nail exit of the first band nail nail bin 21 and the second band nail nail bin 22 in advance, and the external half astragal body 322 of coil 32 is arranged in outside caliper clamping jaw.Thus when causing the lateral wall of the fixing hollow organ of pocket nail nail thorn in two nail bins, the embedding half astragal body 321 of coil 32 is fixed on the flat top layer, hollow organ top and bottom made in order by pocket nail nail thorn; And though external half astragal body 322 and embedding half astragal body 321 are arranged in the same way, be free on outside hollow organ.When walking crosswise after disconnected anastomotic stoma place hollow organ, the external half astragal body 322 be free on outside hollow organ can through turning to the offside from section from section, form complete pocket coil with embedding half astragal body 321, namely drag wire tail 30 completes purse string suture after tightening up coil 31.
As shown in Figure 2, Figure 3 and Figure 4 shown in-2, line tail 30 and head end coil 32 junction point of described snare magnetic tape trailer purse wire 3 arrange toe-in 31, and described toe-in 31 can slide thus tighten up coil 32 by body along the line.Only have toe-in 31 body slip along the line the circle body of coil 32 just can be made constantly to tighten up thus reach practical effect.Can slide by body along the line for reaching toe-in 31, the preferred surgery Slipped Clove Hitch of described toe-in 31 and strengthening are around returning knot.Surgery Slipped Clove Hitch specifically see Fig. 3 around knot method, strengthen and specifically see Fig. 4 around knot method around what return knot.But when specifically implementing, adoptable knot tying fashion is a lot, can body slip along the line not easily get loose as long as toe-in 31 can be reached.
As shown in Fig. 6-1, Fig. 6-2, Fig. 7 and Fig. 8, when described snare magnetic tape trailer purse wire 3 coil configuration is the U-shaped to lateral opening, described toe-in 31 is preferably arranged in the top of the peristome of the U-shaped to lateral opening, when the coil 32 of described snare magnetic tape trailer purse wire 3 tightens up, the line body of external half astragal body 322 side of coil 32 slides in toe-in 31.
The advantage of such design is: the function coil forming purse string suture after embedding half astragal body 321 is fixed on the flat top layer, hollow organ top and bottom made in order by pocket nail nail thorn.When walking crosswise from disconnected anastomotic stoma place hollow organ and tighten up coil 32 by toe-in 31, first external half astragal body 322 is slided by toe-in 31.When external half astragal body 322 is completely after toe-in 31, embedding half astragal body 321 just slides and continues to tighten up coil 32.Avoid and be fixed on the lower embedding half astragal body 321 of pocket nail and too much slide and cause pocket nail to get loose.
As shown in Figure 7, tightening up the concrete implementation and operation of coil 32 is realize by promoting toe-in 31.For the ease of promoting toe-in 31, described action bars 4 comprises for promoting toe-in 31 thus tightening up the shaft-like ligaturing rod 41 of the sleeve of coil 32, described ligaturing rod 41 head end arranges knot mouth 411, the bore of described knot mouth 411 is less than the external diameter of the toe-in 31 of snare magnetic tape trailer purse wire 3, and the length of described ligaturing rod 41 is less than line tail 30 length of snare magnetic tape trailer purse wire 3.
What the external diameter only having the bore of knot mouth 411 to be less than the toe-in 31 of snare magnetic tape trailer purse wire 3 just can avoid toe-in 31 to enter ligaturing rod 41 pushes away interface 411, and ligaturing rod 41 could be utilized to promote toe-in 31.In the present embodiment, line tail 30 is nested with the inner chamber at ligaturing rod 41, and the length of ligaturing rod 41 is less than line tail 30 length of snare magnetic tape trailer purse wire 3, makes the tail end of line tail 30 expose ligaturing rod 41 tail end.During practical operation, utilize the knot mouth 411 of ligaturing rod 41 head end to hold fixing toe-in 31, pull and support the line tail 30 be free in outside ligaturing rod 41 tail end, line body is outwards slided, and then coil 32 is constantly tightened up reach practical effect.
Ligaturing rod 41 also can be arranged to the push rod of head end band prong, and prong card cross wires ties 31 drag wire tails 30, thus tightens up coil 32, reaches same effect.
As shown in Figure 8, described action bars 4 comprises knot thread cutter 42, and described knot thread cutter 42 comprises solidus bar 421 and trimming bar 422.Described solidus bar 421 head end arrange toe-in 31 can be promoted push away interface 411 and can by solidus hole A temporary fixed for the line tail of snare magnetic tape trailer purse wire 3, described snare magnetic tape trailer purse wire 3 line tail is arranged through solidus hole A.Described trimming bar 422 can be close to solidus bar 421 surface and slide along the major axis of solidus bar 421 through solidus hole A, and the line tail 30 of snare magnetic tape trailer purse wire 3 can be cut off by trimming bar 422 head end when solidus hole A slides.
In the present embodiment, described solidus bar 421 head end is provided with knot mouth 411, identical with Fig. 7 function, plays the effect fixing toe-in 31 when tightening up coil 32.Arrange solidus hole A after a while at solidus bar 421 head end, line body goes out solidus bar 411 through solidus hole A after the knot mouth 411 of solidus bar 421 head end enters solidus bar 411 inner chamber.Trimming bar 422 is set to the sleeve of thin-walled, is nested with outside solidus bar 421.Tighten up coil 32 when needing to wipe out line tail 30, to tighten up and static line tail 30, driven forward trimming bar 422, cut off at the shear action of trimming bar 422 head end thin-walled to the line body the going out solidus hole A tail 30 that rolls off the production line, purse string suture completes, and enters the anastomosis procedure of next step hollow organ.
Legend is only the one of specific embodiment, and concrete enforcement similar scheme is a lot, repeats no more.
As shown in Figure 9, for the ease of the use of action bars 4, described first clamp handle 11 arranges holder 5 away from the side of the second clamp handle 12, and for described action bars 4 is temporarily fixed at the first clamp handle 11, described holder 5 comprises the draw-in groove, latch or the band that mate with described action bars 4.
It is very convenient that such action bars 4 is taken, and certainly, action bars 4 can adopt alternate manner to be fixed on other positions of clamp handle, but effect is similar.
As shown in Fig. 4-1, Fig. 4-2, Fig. 5-1, Fig. 5-2, Fig. 6-1, Fig. 6-2 and Fig. 7 or Fig. 8, the concrete purse string suture operation of this utility model is:
1, the flat hollow organ made in order is inserted binding clip, clamp operation is implemented to the first clamp handle 11 and the second clamp handle 12, make embedding half astragal body 321 by nail thorn Fixing shrink ring in the lateral wall of hollow organ.
2, hold from disconnected hollow organ through coincideing, removal operation bar 4 is for subsequent use.
3, implement opening operation to the first clamp handle 11 and the second clamp handle 12, clamp head end is opened, and is deviate from by the hollow organ of nail thorn pocket nail and embedding half astragal body 321 in the first clamp handle 11 and the second clamp handle 12 head end.
Inserting " mushroom head " from fracture 4, through hollow organ.
5, the coil of hand-held bar 4 pairs of snare magnetic tape trailer purse wires 7 tightens up operation, coil is tightened up and reaches appropriate level.
6, wipe out line tail 30, depart from action bars 4, complete operation.
In a word, this utility model can complete purse string suture when purse string suture without the need to knotting, and extremely low to operation space requirement, trimming, also without the need to shears, can not be accidentally injured surrounding tissue, and structure is simple, and cost is low, simple operation, safe and reliable.
Claims (6)
1. a pre-knotted is from trimming purse-string forceps, comprise the first clamp handle (11) stranded mutually and the second clamp handle (12), be arranged on the first band nail nail bin (21) and second band nail nail bin (22) of the first clamp handle (11) and the second clamp handle (12) head end, head end is preset coil (32) and is tightened up the snare magnetic tape trailer purse wire (3) of coil (32) by drag wire tail (30), and the action bars (4) for operating snare magnetic tape trailer purse wire (3), it is characterized in that: the coil (32) of described snare magnetic tape trailer purse wire (3) with toe-in (31) for boundary's point is divided into embedding half astragal body (321) and external half astragal body (322), described embedding half astragal body (321) is contained in the pocket nail outlet opening of the first band nail nail bin (21) and the second band nail nail bin (22) in advance, described external Douglas' line body (322) and embedding half astragal body (321) are arranged in the first band in the same way, and follow closely that nail bin (21) and second is with the pocket following closely nail bin (22) to follow closely to make the coil (32) of snare magnetic tape trailer purse wire (3) arrange outside outlet opening be U-shaped to lateral opening.
2. according to claim 1 pre-knotted from trimming purse-string forceps, it is characterized in that: line tail (30) and head end coil (32) junction point of described snare magnetic tape trailer purse wire (3) arrange toe-in (31), described toe-in (31) can slide thus tighten up coil (32) by body along the line; Described toe-in (31) comprises surgery Slipped Clove Hitch and strengthens around returning knot.
3. pre-knotted, from trimming purse-string forceps, is characterized in that according to claim 1: when described snare magnetic tape trailer purse wire (3) coil configuration is the U-shaped to lateral opening, described toe-in (31) is arranged in the top of the peristome of the U-shaped to lateral opening; When the coil (32) of described snare magnetic tape trailer purse wire (3) tightens up, the line body of external half astragal body (322) side of coil (32) slides in toe-in (31).
4. according to claim 1 pre-knotted from trimming purse-string forceps, it is characterized in that: described action bars (4) comprises for promoting toe-in (31) thus tightening up the shaft-like ligaturing rod (41) of the sleeve of coil (32), described ligaturing rod (41) head end arranges knot mouth (411), the bore of described knot mouth (411) is less than the external diameter of the toe-in (31) of snare magnetic tape trailer purse wire (3), and the length of described ligaturing rod (41) is less than line tail (30) length of snare magnetic tape trailer purse wire (3).
5. pre-knotted, from trimming purse-string forceps, is characterized in that according to claim 1: described action bars (4) comprises knot thread cutter (42), and described knot thread cutter (42) comprises solidus bar (421) and trimming bar (422); Described solidus bar (421) head end arrange toe-in (31) can be promoted push away interface (411) and can by solidus hole (A) temporary fixed for the line tail of snare magnetic tape trailer purse wire (3), described snare magnetic tape trailer purse wire (3) line tail is arranged through solidus hole (A); Described trimming bar (422) can be close to solidus bar (421) surface and slide along the major axis of solidus bar (421) through solidus hole (A), and the line tail (30) of snare magnetic tape trailer purse wire (3) can be cut off by trimming bar (422) head end when solidus hole (A) slides.
6. according to claim 1 pre-knotted from trimming purse-string forceps, it is characterized in that: described first clamp handle (11) arranges holder (5) away from the side of the second clamp handle (12), for described action bars (4) is temporarily fixed at the first clamp handle (11), described holder (5) comprises the draw-in groove, latch or the band that mate with described action bars (4).
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201520500868.8U CN204765767U (en) | 2015-07-10 | 2015-07-10 | Exempt from to knot and clamp from trimming pocket |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201520500868.8U CN204765767U (en) | 2015-07-10 | 2015-07-10 | Exempt from to knot and clamp from trimming pocket |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN204765767U true CN204765767U (en) | 2015-11-18 |
Family
ID=54505913
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201520500868.8U Withdrawn - After Issue CN204765767U (en) | 2015-07-10 | 2015-07-10 | Exempt from to knot and clamp from trimming pocket |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN204765767U (en) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN104905831A (en) * | 2015-07-10 | 2015-09-16 | 高宏 | Knotting-free self-trimming purse-string forceps |
| CN108261222A (en) * | 2016-12-31 | 2018-07-10 | 天津市维峰科技有限公司 | A kind of medical surgical clamp |
-
2015
- 2015-07-10 CN CN201520500868.8U patent/CN204765767U/en not_active Withdrawn - After Issue
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN104905831A (en) * | 2015-07-10 | 2015-09-16 | 高宏 | Knotting-free self-trimming purse-string forceps |
| CN108261222A (en) * | 2016-12-31 | 2018-07-10 | 天津市维峰科技有限公司 | A kind of medical surgical clamp |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| C14 | Grant of patent or utility model | ||
| GR01 | Patent grant | ||
| AV01 | Patent right actively abandoned | ||
| AV01 | Patent right actively abandoned |
Granted publication date: 20151118 Effective date of abandoning: 20170405 |