CN208404747U - Pipe side wall pincers are cut - Google Patents

Pipe side wall pincers are cut Download PDF

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Publication number
CN208404747U
CN208404747U CN201721007002.9U CN201721007002U CN208404747U CN 208404747 U CN208404747 U CN 208404747U CN 201721007002 U CN201721007002 U CN 201721007002U CN 208404747 U CN208404747 U CN 208404747U
Authority
CN
China
Prior art keywords
arm
tong arm
hinged shaft
tool
tool arm
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
CN201721007002.9U
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Chinese (zh)
Inventor
张水军
郭文治
陈亚斌
李冉冉
方红波
温培豪
张嘉凯
王智慧
史晓奕
曹胜利
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
First Affiliated Hospital of Zhengzhou University
Original Assignee
First Affiliated Hospital of Zhengzhou University
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by First Affiliated Hospital of Zhengzhou University filed Critical First Affiliated Hospital of Zhengzhou University
Priority to CN201721007002.9U priority Critical patent/CN208404747U/en
Application granted granted Critical
Publication of CN208404747U publication Critical patent/CN208404747U/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 pipe side wall pincers to cut, including tissue shear and gripper clamp, and tissue shear includes the first, second tool arm being integrated that is hinged by the first hinged shaft, and the first, second tool arm front end is respectively arranged with the first, second blade;Gripper clamp includes the first, second tong arm being integrated that is hinged by the second hinged shaft, and the first, second hinged shaft is correspondingly arranged up and down and is linked together by adjusting bolt spiral shell;Positioning sleeve is equipped on first, second tool arm, the first, second tong arm is connected with the first, second tool arm respectively by positioning sleeve;It is arranged between first, second tong arm by locking mechanism;First tong arm and the second tong arm front end are respectively arranged with homotropous first, second binding clip.The utility model has clamping action and shear action simultaneously, and tissue shear and gripper clamp are between the upper and lower every setting, it is ensured that pipeline stump distance;Tissue shear is detachable with gripper clamp, the gravity that pipeline is subject to when mitigating suture, avoids duct slot from running mouth overturning jointly, it is ensured that suture quality.

Description

Pipe side wall pincers are cut
Technical field
The utility model relates to medical auxiliary apparatus, cut more particularly, to a kind of pipe side wall pincers.
Background technique
Clinical operation is related to pipeline suture mostly;Wherein, end-to-side anastomosis and side-to-side anastomosis are common sutures, As piggyback liver transplantation operation in liver for the end-to-side anastomosis and gastrointestinal tract surgical operation between vena systemica and receptor inferior caval vein In side-to-side neurorrhaphy between two intestinal walls.Before end-to-side anastomosis or side to side anastomosis, need first with side wall pincers and operating scissors in pipe side A round or ellipse opening is cut on wall, is then sutured again.The tong arm of existing side wall pincers is curved handle structure, binding clip For double angle elbows or arc elbow;In use, being needed to select specific jaw positions and depth according to operation, the binding clip clamped with side wall Pipe side wall is clamped, then cuts pipeline according to reserved width the pipeline of side wall pincers inside to form a circle with operating scissors Or ellipse suture opening, it is then sutured again, side wall is clamped again after the completion of to be stapled and is taken out.But it is tied since side wall clamps Structure limitation, so that operating scissors operating space is extremely limited, pipe side wall shearing is inconvenient, and pipeline stump (i.e. suture opening) is irregular not Together, suture quality is influenced, the complication such as thrombus or leakage are easily caused, the rupture of pipeline suture is even resulted in when serious, is increased Operation risk;Since the weight of side wall pincers tong arm is larger, it is existing that the opening in sewing process on pipe side wall is easy to appear overturning As needing to increase suture difficulty with hand steered tong arm when, suture.
Summary of the invention
The utility model aim is that providing easy to operate, the highly-safe pipe side wall pincers of one kind cuts, the pipe side wall Pincers, which are cut, not only has clamping action, also has shear action.
To achieve the above object, the utility model takes following technical proposals:
Pipe side wall pincers described in the utility model are cut, including spaced tissue shear and gripper clamp up and down, and described group It knits and cuts including identical first tool arm of structure and the second tool arm, first tool arm and the second tool arm are hinged by the first hinged shaft and are One, the front end of first tool arm and the second tool arm, which respectively corresponds, is vertically installed with the first blade and the second blade, and described the One blade and the arc-shaped structure of the second blade are simultaneously formed by bending arc shear line in the same direction;On first tool arm and the second tool arm It is equipped with positioning sleeve, the rear end of the first tool arm and the second tool arm is fixed with finger ring;
The gripper clamp includes identical first tong arm of structure and the second tong arm, and first tong arm and the second tong arm pass through Second hinged shaft hinge is integrated, and the length of the first tong arm is less than the length of first tool arm, and the length of the second tong arm is less than institute The length of the second tool arm is stated, offers the through-hole matched with the first tong arm and the second tong arm on the positioning sleeve respectively, first Tong arm and the second tong arm are connected with the first tool arm and the second tool arm respectively by positioning sleeve;Between first tong arm and the second tong arm It is arranged by locking mechanism;The front end of first tong arm and the second tong arm, which respectively corresponds, is vertically installed with the first binding clip and the second pincers Head, first binding clip and the arc-shaped structure of the second binding clip are simultaneously formed by bending arc clamping face in the same direction, the first binding clip and described First blade is bent in the same direction;
First hinged shaft and the setting of the second hinged shaft upper and lower corresponding, the first hinged shaft and the second hinged shaft are with internal screw thread The hollow structure in hole, the nominal diameter and screw pitch of the first hinged shaft and the second hinged shaft internal thread hole are equal, the first hinged shaft and second Hinged shaft is linked together by adjusting bolt spiral shell.
The length of first tong arm and the second tong arm is 1~10 centimetre.
It is provided on first tool arm and the second tool arm and limits the retention bead that the positioning sleeve slides, described first The locating groove matched with the positioning sleeve through-hole is offered on tong arm and the second tong arm.
The locking mechanism is the reset spring being connected between first tong arm and the second tong arm.
The free end of first binding clip and the second binding clip is provided with spherical protective cap.
The advantages of the utility model, embodies following aspect:
(1), the tissue shear of the utility model and gripper clamp are linked together by adjusting bolt, at the same the tool arm of tissue shear with The tong arm of gripper clamp is linked together by positioning sleeve, i.e., the utility model not only has the function of clamping duct wall, is also had and is cut The effect of cutting;There are difference in height between first hinged shaft and the second hinged shaft, guarantee the distance between the first binding clip and the first blade and The distance between second binding clip and the second blade prevent tissue shear from wiping out pipeline from holding position, guarantee shear distance, and the The distance between one hinged shaft and the second hinged shaft are adjustable, to meet different pipelines to shearing stump width requirement;By arc-shaped The first blade and the second blade of structure can cut round (or ellipse) suture opening on pipe side wall, it is ensured that pipeline stump Neat and consistent, convenient for suture;The distance between the first hinged shaft and the second hinged shaft are adjusted by micro- stubborn adjusting bolt downwards, and then is adjusted Save gripper clamp holding position at tissue shear clipped position at a distance from, to meet the operation demand of different pipelines.
(2), the tissue shear of the utility model and gripper clamp are dismountable structure, after the completion of shearing, will adjust bolt and tear open Under tissue shear can be taken out, gripper clamp continues to clamp pipeline to suture and terminate, tissue shear and gripper clamp convenient disassembly, and press from both sides Pincers small volume and less weight is held, effectively avoids occurring pipeline opening overturning or twisted phenomena when suture, it is ensured that suture quality.
(3), in sewing process, the first tong arm and the second tong arm of gripper clamp close automatically under the action of reset spring It closes, and then ensures that the first binding clip and the second binding clip tightly clamp pipe side wall, prevent gripper clamp binding clip in surgical procedure from loosening, really Protect operation safety.
(4), the free end of the first binding clip and the second binding clip is provided with spherical protective cap, protects patient's body lumen.
Detailed description of the invention
Fig. 1 is the structural schematic diagram of the utility model.
Fig. 2 is the overlooking structure diagram of Fig. 1.
Fig. 3 be in Fig. 1 along A-A to section view enlarged structure schematic diagram.
Specific embodiment
As shown in Figure 1 and Figure 2, pipe side wall described in the utility model pincers are cut, including up and down spaced tissue shear and Gripper clamp, tissue shear and gripper clamp are Demountable, and tissue shear includes identical first tool arm 1 of structure and the second tool arm 2, First tool arm 1 and the second tool arm 2 are integrated by the first hinged shaft 3 hinge, and the front end of the first tool arm 1 is vertically installed with the first blade 4, the front end of the second tool arm 2 is correspondingly arranged on the second blade 5, and the first blade 4 and the second blade 5 are recessed downwards semi arch Shape structure is simultaneously formed by bending arc shear line in the same direction, and the center of circle of the first blade 4 and the second blade 5 is located at the first blade 4 With the top of the second blade 5, it is ensured that sew up the incision as circular configuration or ellipsoidal structure, it is ensured that quality of sewing up the incision, Jin Erbao Demonstrate,prove suture quality;Finger ring 6 is fixed in the rear end of the first tool arm 1 and the second tool arm 2;
The first tong arm 7 and the second tong arm 8 that structure is identical as shown in Figure 1-3, gripper clamp includes, length is 5 centimetres, first Tong arm 7 and the second tong arm 8 are integrated by the second hinged shaft 9 hinge, the length of the first tong arm 7 less than the first tool arm 1 length, the The length of two tong arms 8 and is equipped with less than the length of the second tool arm 2 on the first tool arm 1 of 7 rear end corresponding position of the first tong arm Positioning sleeve 10.2, two positioning sleeves are equipped on positioning sleeve 10.1, with the second tool arm 2 of 8 rear end corresponding position of the second tong arm 10.1, the through-hole matched with the first tong arm 7 and the second tong arm 8 is offered respectively on 10.2,7 rear end of the first tong arm is threaded through In the positioning sleeve 10.1 of one tool arm 1,8 rear end of the second tong arm is threaded through in the positioning sleeve 10.2 on the second tool arm 2, to ensure to connect Locating groove is offered on stability, the first tong arm 7 and the second tong arm 8 respectively, corresponding be fastened on of two positioning sleeves 10.1,10.2 is determined In the card slot of position;The front end of first tong arm 7 is vertically fixed with the first binding clip 11, and the front end of the second tong arm 8 is vertically fixed with the second pincers First 12, the first binding clip 11 and the second binding clip 12 are recessed downwards semicircular arc structure, the first binding clip 11 and the second binding clip 12 It is formed by bending arc clamping face in the same direction, and the center of circle of the first binding clip 11 and the second binding clip 12 is located at the first binding clip 11 and second Above binding clip 12, clamping tooth, the first blade 4 and the first binding clip are correspondingly arranged on 12 clamping face of the first binding clip 11 and the second binding clip About 11 are correspondingly arranged, and the second binding clip 12 and the second about 5 blade are correspondingly arranged;Gripper clamp compact structure mitigates pipeline and bears Weight prevents overturning of sewing up the incision;
As shown in Figure 1, the first hinged shaft 3 and the setting of 9 upper and lower corresponding of the second hinged shaft, the first hinged shaft 3 and the second hinged shaft 9 are Hollow structure with internal thread hole, the nominal diameter and screw pitch of 9 internal thread hole of the first hinged shaft 3 and the second hinged shaft are equal, the One hinged shaft 3 and the second hinged shaft 9 are linked together by adjusting 13 spiral shell of bolt, adjust i.e. adjustable first hinged shaft of bolt 13 by screwing 3 and second the distance between the hinged shaft 9, and then adjust the distance between tissue shear blade and gripper clamp binding clip, it is ensured that pipeline is sheared Mouth is at a distance from pipeline clip position;
As shown in Fig. 2, to prevent the first binding clip 11 and the second binding clip 12 in sewing process from opening, in the first binding clip 11 and the Locking mechanism is provided between two binding clips 12, locking mechanism is that reset spring 14(is tension spring), before clamping pipeline, pass through rotation Turning the first tool arm 1 and the second tool arm 2 makes the first binding clip 11 and the second binding clip 12 be in open configuration, in order to clamp pipeline, the After one tool arm 1 and the first tong arm 7 and the second tool arm 2 are separated with the second tong arm 8, the first binding clip 11, the second binding clip 12 are resetting It is closed automatically under the action of spring 14, and is constantly in clamp position, be convenient for surgical procedure.
When practical manufacture, as shown in Fig. 2, it is provided with retention bead 15.1,15.2 on the first tool arm 1 and the second tool arm 2, It prevents after being detached from positioning sleeve 10.1,10.2 after the first tong arm 7 and the second tong arm 8, positioning sleeve 10.1,10.2 is in 1 and of the first tool arm Second tool arm 2 is slided to the first hinged shaft 3;As shown in Figure 1 and Figure 2, to prevent the first binding clip 11 and the second binding clip 12 from accidentally injuring patient, Spherical protective cap 16 is provided in the end of the first binding clip 11 and the second binding clip 12, it is ensured that patient safety.
In use, adjusting the first hinged shaft 3 according to the practical specific location and clamp depth for suturing and needing to select to need clamp It with 9 height of the second hinged shaft, prevents tissue shear from accidentally injuring duct wall when clamping pipeline, then passes through the first tool arm 1 and second of rotation Tool arm 2 makes the first blade 4 and the second blade 5 be in open configuration, while ensuring that the first binding clip 11 and the second binding clip 12 are also at Then first binding clip 11 and the second binding clip 12 pincers are placed on the upper and lower surface of pipe side wall to be sheared, are then used by open configuration Hand respectively slides to the positioning sleeve on the first tong arm 7 and the second tong arm 8 on first tool arm 1 and the second tool arm 2, i.e. the first tong arm 7 and second tong arm 8 be detached from the first tool arm 1 and the second tool arm 2 control, the first binding clip 11 and the second binding clip 12 are in reset spring 14 Then automatic closure under effect adjusts bolt 13 adjusting the distance between tissue shear blade and gripper clamp binding clip by screwing, leads to It crosses the first blade 4 and pipe side wall is cut off and to form arc and sew up the incision by the second blade 5, taking-up group after bolt 13 is laid down will be adjusted It knits and cuts, then and then suture, after to be stapled, taken out gripper clamp by the first tong arm 7 of rotation and the second tong arm 8.

Claims (5)

1. a kind of pipe side wall pincers are cut, it is characterised in that: including upper and lower spaced tissue shear and gripper clamp, the tissue shear Including identical first tool arm of structure and the second tool arm, it is one that first tool arm and the second tool arm are hinged by the first hinged shaft The front end of body, first tool arm and the second tool arm, which respectively corresponds, is vertically installed with the first blade and the second blade, and described first Blade and the arc-shaped structure of the second blade are simultaneously formed by bending arc shear line in the same direction;On first tool arm and the second tool arm It is equipped with positioning sleeve, the rear end of the first tool arm and the second tool arm is fixed with finger ring;
The gripper clamp includes identical first tong arm of structure and the second tong arm, and first tong arm and the second tong arm pass through second Hinged shaft hinge is integrated, and the length of the first tong arm is less than the length of first tool arm, and the length of the second tong arm is less than described the The length of two tool arms offers the through-hole matched with the first tong arm and the second tong arm, the first tong arm on the positioning sleeve respectively It is connected respectively with the first tool arm and the second tool arm with the second tong arm by positioning sleeve;It is arranged between first tong arm and the second tong arm By locking mechanism;The front end of first tong arm and the second tong arm, which respectively corresponds, is vertically installed with the first binding clip and the second binding clip, First binding clip and the arc-shaped structure of the second binding clip are simultaneously formed by bending arc clamping face in the same direction, the first binding clip and described first Blade is bent in the same direction;
First hinged shaft and the setting of the second hinged shaft upper and lower corresponding, the first hinged shaft and the second hinged shaft are with internal thread hole Hollow structure, the nominal diameter and screw pitch of the first hinged shaft and the second hinged shaft internal thread hole are equal, the first hinged shaft and the second hinged shaft It is linked together by adjusting bolt spiral shell.
2. pipe side wall pincers according to claim 1 are cut, it is characterised in that: the length of first tong arm and the second tong arm It is 1~10 centimetre.
3. pipe side wall pincers according to claim 1 are cut, it is characterised in that: be all provided on first tool arm and the second tool arm It is equipped with the retention bead for limiting the positioning sleeve sliding, is offered and the positioning sleeve on first tong arm and the second tong arm The locating groove that through-hole matches.
4. pipe side wall pincers according to claim 1 or 2 are cut, it is characterised in that: the locking mechanism is described to be connected in Reset spring between first tong arm and the second tong arm.
5. pipe side wall pincers according to claim 1 are cut, it is characterised in that: the freedom of first binding clip and the second binding clip End is provided with spherical protective cap.
CN201721007002.9U 2017-08-14 2017-08-14 Pipe side wall pincers are cut Expired - Fee Related CN208404747U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201721007002.9U CN208404747U (en) 2017-08-14 2017-08-14 Pipe side wall pincers are cut

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201721007002.9U CN208404747U (en) 2017-08-14 2017-08-14 Pipe side wall pincers are cut

Publications (1)

Publication Number Publication Date
CN208404747U true CN208404747U (en) 2019-01-22

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ID=65127132

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201721007002.9U Expired - Fee Related CN208404747U (en) 2017-08-14 2017-08-14 Pipe side wall pincers are cut

Country Status (1)

Country Link
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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107307894A (en) * 2017-08-14 2017-11-03 郑州大学第附属医院 Pipe side wall pincers are cut

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107307894A (en) * 2017-08-14 2017-11-03 郑州大学第附属医院 Pipe side wall pincers are cut
CN107307894B (en) * 2017-08-14 2019-11-26 郑州大学第一附属医院 Pipe side wall pincers are cut

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GR01 Patent grant
GR01 Patent grant
CF01 Termination of patent right due to non-payment of annual fee
CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20190122

Termination date: 20200814