CN205083556U - Pincers are blocked to income sheath formula blood vessel of reply angiorrbagia among thoracoscope pulmonary surgery - Google Patents
Pincers are blocked to income sheath formula blood vessel of reply angiorrbagia among thoracoscope pulmonary surgery Download PDFInfo
- Publication number
- CN205083556U CN205083556U CN201520889165.9U CN201520889165U CN205083556U CN 205083556 U CN205083556 U CN 205083556U CN 201520889165 U CN201520889165 U CN 201520889165U CN 205083556 U CN205083556 U CN 205083556U
- Authority
- CN
- China
- Prior art keywords
- tip
- angiorrbagia
- arm
- forearm
- close device
- 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
Links
- 238000001356 surgical procedure Methods 0.000 title claims abstract description 22
- 230000002685 pulmonary effect Effects 0.000 title claims abstract description 20
- 210000004204 blood vessel Anatomy 0.000 title abstract description 26
- 210000000080 chela (arthropods) Anatomy 0.000 title abstract description 12
- 210000000245 forearm Anatomy 0.000 claims abstract description 41
- 241000463219 Epitheca Species 0.000 claims abstract description 23
- 206010053648 Vascular occlusion Diseases 0.000 claims description 21
- 208000021331 vascular occlusion disease Diseases 0.000 claims description 21
- 239000011362 coarse particle Substances 0.000 claims description 3
- 230000008878 coupling Effects 0.000 claims description 3
- 238000010168 coupling process Methods 0.000 claims description 3
- 238000005859 coupling reaction Methods 0.000 claims description 3
- 230000015572 biosynthetic process Effects 0.000 claims description 2
- 208000032843 Hemorrhage Diseases 0.000 abstract description 15
- 230000006378 damage Effects 0.000 abstract description 5
- 208000007536 Thrombosis Diseases 0.000 abstract description 4
- 230000000903 blocking effect Effects 0.000 abstract 2
- 238000005452 bending Methods 0.000 abstract 1
- 230000002792 vascular Effects 0.000 abstract 1
- 238000000034 method Methods 0.000 description 6
- 230000000740 bleeding effect Effects 0.000 description 5
- 210000000115 thoracic cavity Anatomy 0.000 description 5
- 208000027418 Wounds and injury Diseases 0.000 description 4
- 238000010586 diagram Methods 0.000 description 4
- 230000007423 decrease Effects 0.000 description 3
- 238000009958 sewing Methods 0.000 description 3
- 208000004550 Postoperative Pain Diseases 0.000 description 2
- 206010071229 Procedural haemorrhage Diseases 0.000 description 2
- 210000000481 breast Anatomy 0.000 description 2
- 230000008859 change Effects 0.000 description 2
- 210000000038 chest Anatomy 0.000 description 2
- 201000010099 disease Diseases 0.000 description 2
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 208000014674 injury Diseases 0.000 description 2
- 238000002324 minimally invasive surgery Methods 0.000 description 2
- 208000032456 Hemorrhagic Shock Diseases 0.000 description 1
- 206010049771 Shock haemorrhagic Diseases 0.000 description 1
- 238000009825 accumulation Methods 0.000 description 1
- 230000009471 action Effects 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 238000003745 diagnosis Methods 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 230000008407 joint function Effects 0.000 description 1
- 238000010030 laminating Methods 0.000 description 1
- 210000004072 lung Anatomy 0.000 description 1
- 239000002184 metal Substances 0.000 description 1
- 239000007769 metal material Substances 0.000 description 1
- 208000002154 non-small cell lung carcinoma Diseases 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 210000000323 shoulder joint Anatomy 0.000 description 1
- 208000029729 tumor suppressor gene on chromosome 11 Diseases 0.000 description 1
- 230000007306 turnover Effects 0.000 description 1
Landscapes
- Surgical Instruments (AREA)
Abstract
The utility model discloses a pincers are blocked to income sheath formula blood vessel of reply angiorrbagia among thoracoscope pulmonary surgery. The utility model discloses a going into sheath formula blood vessel and blocking pincers and open and shut ware two parts by epitheca and having a double meaning festival and constitutes, the having a double meaning festival opens and shuts the ware including the two arms body parallelly connected each other, and the arm body divide into forearm, well arm and postbrachium triplex, and the preceding part of two forearms is the tip of two pairs of syntropys bendings of stretching out forward respectively for go into sheath formula blood vessel when blocking pincers and closing up, the tip of inside and outside side is identical respectively, in simultaneously between the tip of the outside and the back tip of inboard tip and two forearms do not form the clearance, the epitheca is 2, and it is prepared from the medical grade rubber, and the size of two epithecas, shape are respectively and two forearm phase -matchs. The utility model discloses it is convenient, swift, accurate that control is bled, can avoid aggravating the damage around the vascular wall cut, reduces thrombus, narrow, emergence that the secondary is hemorrhage.
Description
Technical field
This utility model relates to technical field of medical instruments, and what be specifically related to tackle in a kind of thoracoscope pulmonary surgery angiorrbagia enters sheath structure vascular occlusion clamp.
Background technology
Thoracoscopic operation is carried out in early 1990s, through vicennial development, has been widely used in diagnosis and the operative treatment of thoracic surgery various diseases at present.Thoracoscope pulmonary surgery treatment I, II phase nonsmall-cell lung cancer and Lung benign disease, its safety and efficacy is affirmed, has the advantages such as wound is little, recovery is fast, postoperative pain is light, shoulder joint function impact is little.The operative approach of thoracoscope pulmonary surgery experienced by the course change of thoracoscopic operation under auxiliary incision, three holes, single operation hole (holes), single hole (unique hole).Along with the raising of patient's operation skill and the accumulation of experience, present operation further decreases otch quantity, alleviates postoperative pain, decreases operation wound, really reaches Wicresoft, embodies the huge superiority of Wicresoft.
But along with the minimizing of thoracoscope pulmonary surgery otch, higher, meticulousr to the operation requirements of patient in the middle of operation, this is stern challenge for patient.Patient must carry out, more accurately control, minimizing to the injury of patient for the fortuitous event occurred in art.
Intraoperative hemorrhage is the common fortuitous event of pulmonary surgery, hemorrhage ratio in open chest surgery is easier to control, and patient can pass through the interim control of the hemorrhage acquisition of finger presses, then the two ends of free blood vessel, block proximal part and distal end with vascular occlusion clamp, then sewed up cut.But in thoracoscope pulmonary surgery, because otch is little, finger cannot extend in thoracic cavity, can only by the interim Bleeding control of apparatus, conventional has sponge holding forceps, sponge forceps, thoracic forceps etc.But after obtaining interim hemorrhage control, due to the restriction of otch, chance is not dissociated the two ends of damaged blood vessels, and conventional vascular occlusion clamp cannot block fully, is difficult to further sew up cut.Even if the effectively clamp cut of blood vessel, thick and the metal-toothed of jaw is all unfavorable for the stitching of blood vessel cut to the infringement of blood vessel: the thick of such as jaw causes the area by clamp around blood vessel cut to increase, and now sews up and easily causes the narrow of blood vessel and thrombosis in the future; Such as, after metal-toothed clamp blood vessel cut, tooth can not be gone up and tighten up, can only close gently, poor stability, easily cause secondary to tear, increase the weight of hemorrhage, turn on breast in haveing no alternative but and remove Bleeding control.Due to otch restriction, some patients select not obtain interim Bleeding control, avoid apparatus to the interference of stitching action, sew up hemorrhage, but be applicable to very little cut.Nonetheless, still can cause too much losing blood, when larger cut exists, this kind of method can cause hemorrhagic shock to patient.
In holes even the thoracoscope pulmonary surgery of single hole, real operation otch only has one, the even all apparatuses of majority are are all come in and gone out from handle hole, collision between apparatus has increased the weight of the hemorrhage control difficulty brought and has sewed up difficulty, often strengthen the injury of patient, become huge invasive procedures from Minimally Invasive Surgery.
How to solve these drawbacks above-mentioned, the control of pulmonary of thoracoscope Wicresoft intraoperative hemorrhage be more prone to, precisely, fast, noinvasive, reduce Minimally Invasive Surgery and change the chance of huge invasive procedures into, become problem in the urgent need to address.
Summary of the invention
For the operating defect of process hemorrhage in thoracoscope pulmonary surgery, the purpose of this utility model be to provide in a kind of thoracoscope pulmonary surgery tackle angiorrbagia enter sheath structure vascular occlusion clamp.Of the present utility model enter sheath structure vascular occlusion clamp Bleeding control convenient, fast, accurate, can avoid increasing the weight of the damage around blood vessel wall cut, minimizing thrombosis, the generation that narrow, secondary is hemorrhage, and then the operation being conducive to sewing up blood vessel cut after Bleeding control is carried out smoothly.
The technical solution of the utility model is specific as follows.
That tackles angiorrbagia in a kind of thoracoscope pulmonary surgery that this utility model provides enters sheath structure vascular occlusion clamp, is made up of doublejointed open and close device and epitheca two parts;
Described doublejointed open and close device comprises two-arm body parallel with one another, and arm body is divided into forearm, middle arm and postbrachium three part, and the middle arm of arm body is contiguous side by side to be arranged, in two arm corresponding end between be flexibly connected respectively; The middle arm of two-arm body is flexibly connected with the forearm of respective arm body and postbrachium respectively; The afterbody of described postbrachium arranges and is held by force;
The front face of two forearms is respectively to the homotropous tip of two couple front stretched out, when making to close up into sheath structure vascular occlusion clamp, the tip of medial and lateral matches respectively, simultaneously between the tip of outside and the rearward end of inner side tip and two forearms form gap respectively;
Described epitheca is 2, and it is prepared from by medical grade rubber, and size, shape respectively and two forearm of two epithecas match, and during use, two forearms of doublejointed open and close device stretch in two corresponding epithecas respectively, mutually fit tightly.
In this utility model, the outside of two forearms of doublejointed open and close device is symmetrical arranged fluted respectively, fixes epitheca for facilitating silk thread.
In this utility model, the force that is held by of doublejointed open and close device is ring-type.
In this utility model, between the interior outside tip of doublejointed open and close device and the gap of the rearward end formation of inner side tip and two forearms, facilitates the turnover of suture needle; Preferably, gap is sleeve configuration.
In this utility model, doublejointed open and close device two in the corresponding end of arm be flexibly connected by spring or bearing pin; The middle arm of the two-arm body of described doublejointed open and close device is coupling with the forearm of respective arm body and postbrachium respectively.
In this utility model, the tip of epitheca arranges coarse particles.
The beneficial effects of the utility model are:
1. it is convenient to operation, and end furcations is sharp-pointed and become two strands, can the two ends up and down of accurate clamp blood vessel cut, decreases the contact area with blood vessel, reach with open chest surgery in block the effect of blood vessel cut proximal part and distal end;
2. end avoids the infringement of sharp metal thing to blood vessel wall after entering sheath, adds frictional force, avoids increasing the weight of the damage around to blood vessel wall cut while the accurate clamp of guarantee, minimizing thrombosis, the generation that narrow, secondary is hemorrhage;
3. end closes up and there is long and narrow gap afterwards, facilitates suture needle from then on to pass in and out, sews up, fast easily under the prerequisite not needing adjustment devices.
Accompanying drawing explanation
Fig. 1 is the epitheca schematic diagram that this utility model enters sheath structure vascular occlusion clamp.
Fig. 2 is the doublejointed open and close device schematic diagram that this utility model enters sheath structure vascular occlusion clamp.
Fig. 3 is position, the positive side schematic diagram before and after two forearms close up; A is normotopia, and b is position, side.
Fig. 4 sews up cut method schematic diagram after blood vessel cut place clamped by sheath structure vascular occlusion clamp pincers further.
Number in the figure: 1-epitheca; 2-doublejointed open and close device; 3A, 3B, 4C, 4D-clamp sharp sheath; 5A, 5B, 6C, 6D-clamp point; 5E, 6F-groove; 7-first forearm; Arm in 8-first; 9-first postbrachium; 10-second forearm; Arm in 11-second; 12-second postbrachium; 13-first junction; 14-second junction; 15-is held by force.
Detailed description of the invention
Below in conjunction with drawings and Examples, this utility model is elaborated further.
As shown in Figure 1, 2, this device is made up of the epitheca 1 and doublejointed open and close device 2 two parts entering sheath structure vascular occlusion clamp, and doublejointed open and close device 2 is made up of the parallel connection of two-arm body, and two-arm body is metal material.Arm body is respectively by arm 8 and the first postbrachium 9 in the first forearm 7, first; And second arm 11 in forearm 10, second and the second postbrachium 12 connect, be flexibly connected and form.Its movable connection method can be any suitable form in prior art in this area.In the present embodiment, take the mode be coupling.
In first, in arm 8 and second, arm 11 is contiguous side by side places, and its two ends are flexibly connected, and realize in parallel.Its flexible connection can be any suitable form in prior art in this area.In the present embodiment, be flexibly connected by spring or bearing pin mode.Be held by force 15 in the afterbody setting of the first postbrachium 9 and the second postbrachium 12, be held by force 15 for ring-type, so that folding.
The front face of the first forearm 7 and the second forearm 10 is respectively to the homotropous tip of two couple front stretched out, and is designated as the sharp 5A of pincers respectively, clamps sharp 5B, clamps sharp 6C and clamp sharp 6D; Enter sheath structure vascular occlusion clamp when closing up, the tip of medial and lateral matches respectively, simultaneously between the tip of outside and the rearward end of inner side tip and two forearms form gap respectively.
Epitheca is 2, and it is prepared from by medical grade rubber, and size, shape respectively and two forearm of two epithecas match, and the tip portion of epitheca is designated as the sharp sheath 3A of pincers respectively, clamps sharp sheath 3B, clamps sharp sheath 4C and clamp sharp sheath 4D.The tip of epitheca arranges coarse particles, and frictional force is large, is conducive to the operation of performing the operation.
In doublejointed open and close device 2, the previous section of the first forearm 7, second forearm 10 stretches in two epithecas 1 respectively, makes to close up forceps major point sheath 3A, 3B, 4C, 4D and pincers point 5A, 5B, 6C, 6D fit tightly, being respectively of concrete contact laminating: 3A--5A; 3B--5B; 4C--6C; 4d--6D; Shape is as cutter and sheath.The epitheca 1 that the available silk thread ligation in groove 5E, 6F place of the forearm of doublejointed open and close device 2 as shown in Figure 3 is fixedly inserted in, conveniently closes up forceps major point 5A and the sharp 6C of pincers, clamps sharp 5B and clamp combining closely between sharp 6D.
Send in thoracic cavity by thoracoscope otch, by the effect of doublejointed open and close device 2 when operation is implemented, open the first forearm 7 and the second forearm 10, accurate clamp blood vessel cut, make the upper and lower two ends of blood vessel cut be blocked after closing up, centre is by the sharp long and narrow gap formed between 5A, 5B, 6C, 6D of pincers.As shown in the direction of arrow of Fig. 4, only need from pincers sharp 6D inserting needle when sewing up blood vessel cut, clamp sharp 5B place and go out pin, through long and narrow gap, purl sutures pin, again from 6C inserting needle, clamp sharp 5A place and go out pin, general three pins just can unclamp into sheath structure vascular occlusion clamp, give suture little tension, another mistake gets back to the sharp 6D point of pincers to stitching, can tie a knot and terminate to sew up.
Use step: in one's handsly hold in force 15 when finger is inserted in, when opening the gap of the first postbrachium 9 and the second postbrachium 12, act on the second junction 14, promote arm 8 forward slip in first again, and then act on the first junction 13, second forearm 10 is outwards opened, open the gap between the first forearm 7 and the second forearm 10, enter breast chamber, find blood vessel cut, firmly make to be held by force 15 to close, reduce the gap between two postbrachiums, retract arm 8 in first, second forearm 10 is drawn close to the first forearm 7, reduce gap between the two, thus blood vessel cut is closed by folder.Open after sewing up blood vessel cut and be held by force 15, doublejointed open and close device 2 is taken out in thoracic cavity.
Claims (6)
1. that tackles angiorrbagia in thoracoscope pulmonary surgery enters a sheath structure vascular occlusion clamp, it is characterized in that, it is made up of doublejointed open and close device and epitheca two parts; Wherein:
Described doublejointed open and close device comprises two-arm body parallel with one another, and arm body is divided into forearm, middle arm and postbrachium three part, and the middle arm of arm body is contiguous side by side to be arranged, in two arm corresponding end between be flexibly connected respectively; The middle arm of two-arm body is flexibly connected with the forearm of respective arm body and postbrachium respectively; The afterbody of described postbrachium arranges and is held by force; The previous section of two forearms is respectively to the homotropous tip of two couple front stretched out, when making to close up into sheath structure vascular occlusion clamp, the tip of medial and lateral matches respectively, simultaneously between the tip of outside and the rearward end of inner side tip and two forearms form gap respectively;
Described epitheca is 2, and it is prepared from by medical grade rubber, and size, shape respectively and two forearm of two epithecas match, and during use, two forearms of doublejointed open and close device stretch in two corresponding epithecas respectively, mutually fit tightly.
2. that tackles angiorrbagia in thoracoscope pulmonary surgery according to claim 1 enters sheath structure vascular occlusion clamp, and it is characterized in that, the outside of two forearms of doublejointed open and close device is symmetrical arranged fluted respectively, fixes epitheca for facilitating silk thread.
3. that tackles angiorrbagia in thoracoscope pulmonary surgery according to claim 1 enters sheath structure vascular occlusion clamp, it is characterized in that, the force that is held by of doublejointed open and close device is ring-type.
4. that tackles angiorrbagia in thoracoscope pulmonary surgery according to claim 1 enters sheath structure vascular occlusion clamp, it is characterized in that, between the interior outside tip of doublejointed open and close device and the gap of the rearward end formation of inner side tip and two forearms is sleeve configuration.
5. that tackles angiorrbagia in thoracoscope pulmonary surgery according to claim 1 enters sheath structure vascular occlusion clamp, it is characterized in that, doublejointed open and close device two in the corresponding end of arm be flexibly connected by spring or bearing pin; The middle arm of the two-arm body of doublejointed open and close device is coupling with the forearm of respective arm body and postbrachium respectively.
6. that tackles angiorrbagia in thoracoscope pulmonary surgery according to claim 1 enters sheath structure vascular occlusion clamp, it is characterized in that, the tip of epitheca arranges coarse particles.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN201520889165.9U CN205083556U (en) | 2015-11-10 | 2015-11-10 | Pincers are blocked to income sheath formula blood vessel of reply angiorrbagia among thoracoscope pulmonary surgery |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN201520889165.9U CN205083556U (en) | 2015-11-10 | 2015-11-10 | Pincers are blocked to income sheath formula blood vessel of reply angiorrbagia among thoracoscope pulmonary surgery |
Publications (1)
Publication Number | Publication Date |
---|---|
CN205083556U true CN205083556U (en) | 2016-03-16 |
Family
ID=55474287
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CN201520889165.9U Expired - Fee Related CN205083556U (en) | 2015-11-10 | 2015-11-10 | Pincers are blocked to income sheath formula blood vessel of reply angiorrbagia among thoracoscope pulmonary surgery |
Country Status (1)
Country | Link |
---|---|
CN (1) | CN205083556U (en) |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN105250008A (en) * | 2015-11-10 | 2016-01-20 | 上海市肺科医院 | Sheathing type blood vessel occlusion clamp for dealing with hemorrhage of blood vessel during thoracoscope pulmonary surgery |
-
2015
- 2015-11-10 CN CN201520889165.9U patent/CN205083556U/en not_active Expired - Fee Related
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN105250008A (en) * | 2015-11-10 | 2016-01-20 | 上海市肺科医院 | Sheathing type blood vessel occlusion clamp for dealing with hemorrhage of blood vessel during thoracoscope pulmonary surgery |
CN105250008B (en) * | 2015-11-10 | 2018-07-13 | 上海市肺科医院 | Reply angiorrbagia enters sheath structure vascular occlusion clamp in a kind of thoracoscope pulmonary surgery |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
CN205107800U (en) | Pincers are blocked to detachable blood vessel under peritoneoscope | |
CN202654175U (en) | Nasal septum stitching instrument | |
CN203815515U (en) | Minimally invasive suturing device for tendo calcaneus and minimally invasive suturing aiming device for tendo calcaneus | |
CN105962979A (en) | Minimally invasive fascia closer | |
CN205083556U (en) | Pincers are blocked to income sheath formula blood vessel of reply angiorrbagia among thoracoscope pulmonary surgery | |
CN205144633U (en) | Supplementary lead wire ware of perforating of chest closes | |
CN105250008A (en) | Sheathing type blood vessel occlusion clamp for dealing with hemorrhage of blood vessel during thoracoscope pulmonary surgery | |
CN217592949U (en) | Meniscus stitching instrument | |
CN108078603B (en) | Automatic reset suture needle with wire for laparoscopic surgery | |
CN210124805U (en) | Reverse laparoscope incision stitching instrument | |
CN208274589U (en) | Clamp type hernia ring is closed needle | |
CN205795748U (en) | Knotting line group is sewed up under the mirror of chamber | |
CN217338659U (en) | Disposable abdominal wall suture tissue suspension device | |
CN204909533U (en) | Ware is sewed up to deep fascia with eccentric open slot structure | |
CN205964095U (en) | Ware is sewed up in high -order ligature of hernical sac under peritoneoscope | |
CN209332147U (en) | A kind of sewing needle for laparoscopic surgery | |
CN209186815U (en) | A kind of high ligation of hernial sac needle | |
CN209203375U (en) | A kind of bull bifurcated surgical stapling device | |
JP2018050986A (en) | Suture needle for pressurizing and stopping bleeding in uterus | |
CN207679498U (en) | A kind of surgical clamp of splanchnocoel Minimally Invasive Surgery | |
CN209713017U (en) | A kind of fixed stamp card with myometrial suture function | |
CN203564306U (en) | Minimally invasive knot tying forceps | |
JP2000023989A (en) | Miniature loop retractor | |
RU219277U1 (en) | SURGICAL INSTRUMENT WITH CREMALIER LOCK | |
CN208525073U (en) | A kind of medical laparoscope bile duct puncture pull needle |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
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: 20160316 |