CN208876623U

CN208876623U - The double endoclips of rotatable repeatable opening and closing disjunctor

Info

Publication number: CN208876623U
Application number: CN201820675806.4U
Authority: CN
Inventors: 张强; 白杨
Original assignee: Individual
Current assignee: Individual
Priority date: 2018-05-07
Filing date: 2018-05-07
Publication date: 2019-05-21
Anticipated expiration: 2028-05-07

Abstract

The utility model discloses a kind of rotatable repeatable opening and closing disjunctor pair endoclips, including handle, casing, interior hook, can connect and the rotation process hook of 360 degree rotation metal endoclip, metal endoclip；Interior hook and rotation process hook are respectively positioned on inside pipe casing, proximal end is fixedly connected with the control ring of interior hook and rotation process hook on handle respectively, distal end is connected by metal connecting piece and metal fixing clip piece with metal endoclip, and interior hook can be moved forward and backward by handle control and its distal end can be separated with metal endoclip；Metal endoclip includes folder cylinder, two pull-push pieces, card holding structure, intermediolateral column, two metal intermediate plates；Pull-push piece includes free segment, lock segments and linkage section, and pull-push piece is hooked proximally by metal connecting piece closes in corresponding interior hook distal end.The rotatable repeatable opening and closing of the double endoclips of the disjunctor of the utility model, can reclamp the other side after clamping the side mucous membrane of Alimentary Tract Perforation or mucomembranous defect, effectively repair to big Alimentary Tract Perforation or mucomembranous defect.

Description

The double endoclips of rotatable repeatable opening and closing disjunctor

Technical field

The utility model relates to medical instruments fields, more particularly to a kind of double endoclips of rotatable repeatable opening and closing disjunctor.

Background technique

As scope minimal invasive techniques develop, some endoscopic technics, such as Endoscopic submucosal dissection and endoscopic full-thickness are cut Except art, carried out extensively.At the same time, complication relevant to operation, such as Alimentary Tract Perforation also increase therewith, in addition, one A little endoscopic technics itself need actively to be formed the perforation or defect of gastrointestinal mucosal.Clinically, to these perforation and mucous membrane Defect repair most important.Currently, main endoscopic repair method to be used has, endoclip, nylon rope combines endoclip lotus Overseam closes and endoscopic suture device (OTSC).OTSC somewhat expensive, operation is more complex, and the training for needing early period could use.It is interior Mirror folder is relatively inexpensive using simple and expense, still, biggish perforation or mucomembranous defect is difficult to play repairing effect.Cause This, one " the double endoclips of rotatable repeatable opening and closing disjunctor " is designed, which is intended to can be quickly and easily by endoclip Large digestive tract perforation or mucomembranous defect are repaired.

Utility model content

The purpose of the utility model is to provide a kind of double endoclips of rotatable repeatable opening and closing disjunctor, can letter by endoclip It is single that quickly large digestive tract perforation or mucomembranous defect are repaired.

To achieve the above object, the utility model provides a kind of double endoclips of rotatable repeatable opening and closing disjunctor, including hand Handle, casing, two interior hooks, can connect and can 360 degree rotation metal endoclip a rotation process hook, metal endoclip；Two A interior hook and rotation process hook are respectively positioned on inside pipe casing, the proximal end control ring with interior hook and rotation process hook on handle respectively It is fixedly connected, distal end is connected by metal connecting piece and metal fixing clip piece with metal endoclip respectively, and interior hook passes through handle On corresponding control ring control can be moved forward and backward；Metal endoclip include metal clip cylinder, two in metal clip cylinder push away Draw piece, is fixed in the fixed plate of metal clip cylinder distal end the card holding structure for playing monodirectional locking function being fixed in metal clip cylinder Intermediolateral column, positioned at metal clip cylinder distal end and be symmetrically set in two metal intermediate plates that can be independently opened and closed of intermediolateral column two sides；Push-and-pull Part include from the near to the distant direction sequentially arrange the free segment that can be moved forward and backward, can when proximally movable monodirectional locking Lock segments on card holding structure and can link with metal intermediate plate and the linkage section that make metal intermediate plate be opened and closed.

Metal clip cylinder distal end part protrusion, which is formed at two, as a further improvement of the utility model, is relatively fixed Plate, the proximal, side wall of intermediolateral column are connected and fixed with corresponding fixed plate on folder cylinder, and the local concave shape in metal clip cylinder distal end is at two The center of opposite metal intermediate plate resigning groove, the vertical two metals intermediate plate resigning groove of the line of centres of two fixed plates connects Line；The distal end of metal clip cylinder is respectively equipped with the hinge of one with the articulated connection of metal intermediate plate in the two sides of each metal intermediate plate resigning groove Hole one is connect, four hinge holes one are opposite two-by-two, alternatively, metal clip cylinder distal end is intermediate immediately below each fixed plate to form one hingedly Hole two, two hinge holes are opposite.

The metal intermediate plate includes clamp arm, and and pull-push piece interior positioned at folder cylinder as a further improvement of the utility model, The articulated connection of linkage section transmission arm, transmission arm vertically connects clamp arm, and the lateral location of transmission arm close to clamp arm is equipped with hinged Hole three, transmission arm is articulated and connected by the hinge hole one on hinge hole three and metal clip cylinder side wall with metal clip cylinder, alternatively, linkage Arm distal end center position is equipped with hinge hole four, and transmission arm passes through hinge hole four and hinge hole two and metal on metal clip cylinder side wall Cylinder articulated connection is pressed from both sides, the oblique outside in lateral margin and is become narrow gradually in transmission arm proximal end；The bottom of transmission arm and the metal of metal clip cylinder Intermediate plate resigning bottom portion of groove is substantially flush, and under the thrust of pull-push piece, transmission arm can be with hinge hole three and hinge hole one or hinge It connects the connector on Kong Si and hinge hole two and is pushed out metal intermediate plate resigning groove for axis, to open the metal clip of side Piece.

A hollow out sliding slot knot is additionally provided on the transmission arm of the metal intermediate plate as a further improvement of the utility model, Structure is separated into two parts by the metal strip structure for playing position-limiting action that an end dissociative and the other end are connect with transmission arm, The distal part separated is arc chute track, and the linkage section of pull-push piece is hinged in the track, by this articulated connection, Pull-push piece can be pushed away and be drawn, so that intermediate plate opens and closure, when the pulling force that pull-push piece is subject to reaches some strength, be pushed away The articulated connection structure of draw piece, which can be broken through, to be played the metal strip structure of position-limiting action and is drawn into the close end of hollow out sliding groove structure Point, so that the lock segments of pull-push piece are pulled to proximal end, so that pull-push piece is unidirectionally locked on card holding structure；Alternatively, metal clip The transmission arm of piece forms a hinge hole five in proximal end, and the linkage section of pull-push piece is hinged in the hinge hole five.

The proximal end of the free segment of the pull-push piece is equipped with dog hole, dog hole and position as a further improvement of the utility model, It being hooked together in interior hook connects corresponding in casing or by metal connecting piece, lock segments are equipped with multiple elastic latchs being spaced apart, The section that links is equipped with T-shaped articulated connection structure limited block, and the hollow out that T-shaped articulated structure limited block is hinged on transmission arm is sliding In arc track in slot structure, elastic latch is respectively arranged on the two sides of pull-push piece, push-and-pull with T-shaped articulated structure limited block Part makes T-shaped articulated structure limited block cross the proximal part that metal strip structure moves to engraved structure by stress drawing It is locked in lock segments unidirectionally on card holding structure；Alternatively, the linkage section of pull-push piece is equipped with the crack shape along pull-push piece long axis The proximal end of elongate holes, crack shape elongate holes is slightly larger, is hinge hole six, which passes through the short slice stick of metal and metal The hinge hole five of the transmission arm proximal end of intermediate plate is articulated and connected, and the metal of connection pull-push piece linkage section and metal intermediate plate transmission arm is short thin One end of bar is closely hingedly fixed in the hinge hole five, and the hinged incarceration of the other end of the short slice stick of metal is in hinge hole six It is interior, and the end can slide into crack shape elongate holes distal end under by traction force.

The double endoclips of the rotatable repeatable opening and closing disjunctor as a further improvement of the utility model, feature Be: the elastic latch proximal ends of the lock segments of the pull-push piece and pull-push piece integrally connected, distally separate with pull-push piece and with The angle of pull-push piece is 20 ° -30 °, which can be engaged with the card holding structure being fixed on inside metal clip cylinder, with one-way lock Determine pull-push piece.

The card holding structure is the deck of cylindrical type as a further improvement of the utility model, and the side wall of deck is fixed On folder cylinder inner wall, deck is equipped with two of perforation and the rectangular limit hole of column distribution, the free segment of two pull-push pieces limit respectively Position is in two rectangular limit holes and free segment can move freely, and the lock segments of two pull-push pieces are located at the distal end surface side of deck, After stress drawing, lock segments can move to the proximal end surface side of deck by limit hole.

The card holding structure is two clamping rod pieces being parallel to each other, clamping as a further improvement of the utility model, The both ends of rod piece are each attached on folder cylinder inner wall, and the lock segments of two pull-push pieces are located at the distal side of clamping rod piece, lead in stress After drawing, lock segments can move to the proximal lateral of clamping rod piece by clamping rod piece.

As a further improvement of the utility model, the card holding structure be from folder the two opposite side walls of cylinder on to folder cylinder in The latch being stamped and formed out, the lock segments of two pull-push pieces are located at the distal side of corresponding latch, and after stress drawing, lock segments can be with The proximal lateral of latch is moved to by latch.

The metal endoclip further includes one piece of metal fixing clip piece as a further improvement of the utility model, fixed The distal end two sides of card are fixed on folder cylinder inner wall, the proximal end of fixed card is relatively narrow and its two sides and folder cylinder inner wall have it is certain between Gap, proximal end are equipped with and hook together hole one, hook together with the rotation process hook distal end for being located at intermediate in casing, rotating handle control ring can One edge of hole that hooks together of linkage rotation operation hook, metal fixing clip piece, deck and folder cylinder, metal fixing clip piece proximal end is equipped at one Crack, hole is hooked together after by pulling force to be broken, so that hook is separated with metal endoclip in rotation process.

As a further improvement of the utility model, described sleeve pipe be metal narrow steel strip coiled coil made of can be bent, Flexible and be not easy the metal tube being flattened, distalmost end outer diameter slightly constriction can simultaneously be inserted into folder cylinder and be bonded with folder cylinder inner wall.

The metal connecting piece as a further improvement of the utility model, proximally by hooking together hook in Kong Eryu Distal end is fixedly connected, and distal end is connected by hooking together the proximal end of Kong Sanyu pull-push piece, which is equipped with small at one Crack, hole is hooked together after by pulling force to be broken, and separated with pull-push piece, so that interior hook is separated with metal endoclip.

Compared with prior art, the beneficial effect of the rotatable repeatable double endoclips of opening and closing disjunctor of the utility model is such as Under:

(1) pass through double interior hooks, double pull-push pieces, bimetallic intermediate plate and intermediate post design, the metal intermediate plate and intermediolateral column of two sides The double endoclips of disjunctor are formed, may be implemented first to be closed side intermediate plate and intermediolateral column, then other side intermediate plate and intermediolateral column are closed. It is this it is successive press from both sides the design closed, can be after folder closes the side mucous membrane of the surface of a wound, then row folder closes other side mucous membrane, can be used for suturing compared with The difficult mucomembranous defect surface of a wound of the big surface of a wound or suture.

(2) it is designed by the intermediate rotation process hook and metal fixing clip piece that are located inside pipe casing, it can be through rotating handle reality The function of existing endoclip 360 degree rotation facilitates the position of adjustment suture mucous membrane.

(3) it is designed, is able to achieve by metal clip cylinder, metal intermediate plate and pull-push piece and the card holding structure being fixed on inside folder cylinder Metal intermediate plate is opened and closed repeatedly and the function of monodirectional locking.When the lock segments of pull-push piece are located at the distal side of card holding structure, push-and-pull Part can be pushed and pull, to drive the opening and closure of metal intermediate plate by the principle of lever.Do not pass through also in lock segments When card holding structure, continuing to pull, intermediate plate can be made to be in closed state, when there is certain drawing resistance, suitably increasing traction force Continue to pull, lock segments can realize monodirectional locking pull-push piece by card holding structure, thus the metal intermediate plate of monodirectional locking closure. The working principle of monodirectional locking is as follows, positioned at the hollow out sliding groove structure design of the transmission arm of metal intermediate plate, realizes by appropriateness After strength drawing, the articulated structure limited block in the arc track of hollow out sliding groove structure of pull-push piece takes off in arc track From, thus pull-push piece can continue to be pulled after intermediate plate closure and it is whole move up and (move to the near end), cause pull-push piece Lock segments play the effect of monodirectional locking intermediate plate by card holding structure；Or it is respectively articulated with by the both ends of the short slice stick of metal Link the hinge hole six of the crack shape elongate holes proximal end of section and the hinge hole five of metal intermediate plate transmission arm proximal end in pull-push piece, After by appropriate strength drawing, the short slice stick of metal is located at the part in pull-push piece hinge hole six and is drawn into distal end crack shape strip In hole, so that pull-push piece can continue to be pulled and integrally move up and (move to the near end) after intermediate plate closure, cause pull-push piece Lock segments by the card holding structure of deck or clamping rod piece or latch, play the effect of monodirectional locking metal intermediate plate.

Through the following description and in conjunction with the attached drawings, the utility model will become more fully apparent, these attached drawings are for explaining this The embodiment of utility model.

Detailed description of the invention

Fig. 1 is overall schematic one (casing and the endoclip of the rotatable repeatable double endoclip embodiments one of opening and closing disjunctor Schematic diagram after connection).In the embodiment one, I type metal endoclip is used.

Fig. 2 is overall schematic two (casing and the endoclip of the rotatable repeatable double endoclip embodiments one of opening and closing disjunctor Not connected schematic diagram).In the embodiment one, I type metal endoclip is used.

Fig. 3 is the schematic diagram of metal connecting piece.Connector proximal end connects interior hook, and distal end connects pull-push piece.

Fig. 4 is the schematic diagram of the metal intermediate plate (I type) of embodiment one.I type metal intermediate plate includes clamp arm and transmission arm two Point.The type transmission arm distal end center position is equipped with hinge hole at one, the oblique outside in lateral margin and becomes narrow gradually and at it in transmission arm Proximal end forms another place's hinge hole.

Fig. 5 is the schematic diagram one of the pull-push piece (I type) of embodiment one.I type pull-push piece includes free segment, lock segments and linkage Section three parts.The type links section equipped with the crack shape elongate holes along pull-push piece long axis, and the proximal end of crack shape elongate holes is slightly It greatly, is hinge hole at one.

Fig. 6 is the schematic diagram two of the pull-push piece (I type) of embodiment one.

Fig. 7 is the schematic diagram of the metal clip cylinder (I type) of embodiment one.I type metal clip cylinder is characterized in its distal end each solid Intermediate immediately below fixed board to form a hinge hole, two hinge holes are opposite.

Fig. 8 is the schematic diagram of metal fixing clip piece.

Fig. 9 is the schematic diagram of intermediolateral column.

Figure 10 is the schematic diagram of deck type card holding structure.

Figure 11 is the side schematic view one of one metal endoclip of embodiment (I type).The I type metal endoclip is by I type metal Intermediate plate, I type pull-push piece, I type folder cylinder, deck type card holding structure, intermediolateral column and metal fixing clip piece composition.

Figure 12 is that the schematic diagram two of the metal endoclip of embodiment one (is located at deck type clamping knot in the free segment of pull-push piece In the limit hole of structure, two sides metal intermediate plate is in schematic diagram when closure).

Figure 13 is that the schematic diagram three of the metal endoclip of embodiment one (is located at deck type clamping knot in the free segment of pull-push piece In the limit hole of structure, pull-push piece, schematic diagram when intermediate plate is opened are pushed).

Figure 14 is the schematic diagram four of the metal endoclip of embodiment one (in connection " the linkage section of pull-push piece " and " intermediate plate One end of the short slice stick of the metal of transmission arm " is drawn into the distal end of crack shape strip position limiting structure from pull-push piece hinge hole six Afterwards, the lock segments of pull-push piece are drawn into the limit hole of deck type card holding structure, make signal when intermediate plate closure and monodirectional locking Figure).

Figure 15 is the metal clip cylinder (I type) of embodiment two and the schematic diagram of rod piece type card holding structure.With the area of embodiment one It is not, embodiment two is rod piece type card holding structure, and other structures are identical.

Figure 16 is that the schematic diagram two of the metal endoclip of embodiment two (is located at rod piece type clamping knot in the lock segments of pull-push piece The distal side of structure, two sides metal intermediate plate are in schematic diagram when closure).

Figure 17 is that the schematic diagram three of the metal endoclip of embodiment two (is located at rod piece type clamping knot in the lock segments of pull-push piece The distal side of structure pushes pull-push piece, schematic diagram when metal intermediate plate is opened).

Figure 18 is the schematic diagram four of the metal endoclip of embodiment two (in connection " the linkage section of pull-push piece " and " intermediate plate One end of the short slice stick connector of the metal of transmission arm " is drawn into the distal end of crack shape strip position limiting structure from hinge hole six Afterwards, the lock segments of pull-push piece are drawn into the proximal lateral of rod piece type card holding structure, make signal when intermediate plate closure and monodirectional locking Figure).

Figure 19 is the metal clip cylinder (I type) of embodiment three and the schematic diagram for engaging flute profile card holding structure.

Figure 20 is that the schematic diagram two of the metal endoclip of embodiment three (is located at engaging flute profile clamping in the lock segments of pull-push piece The distal side of structure, schematic diagram when metal intermediate plate is closed).

Figure 21 is that the schematic diagram three of the metal endoclip of embodiment three (is located at the distal end of engaging tooth in the lock segments of pull-push piece Side pushes pull-push piece, schematic diagram when intermediate plate is opened).

Figure 22 is the schematic diagram four of the metal endoclip of embodiment three (in connection " the linkage section of pull-push piece " and " intermediate plate One end of the short slice stick connector of the metal of transmission arm " is drawn into the distal end of crack shape strip position limiting structure from hinge hole six Afterwards, the lock segments of pull-push piece are drawn into the proximal lateral of engaging flute profile card holding structure, make signal when intermediate plate closure and monodirectional locking Figure).

Figure 23 is overall schematic one (casing and the endoclip of the rotatable repeatable double endoclip example IVs of opening and closing disjunctor Schematic diagram after connection).In the example IV, II type metal endoclip is used.

Figure 24 is overall schematic two (casing and the endoclip of the rotatable repeatable double endoclip example IVs of opening and closing disjunctor Not connected schematic diagram).In the example IV, II type metal endoclip is used.

Figure 25 is the schematic diagram of the metal intermediate plate (II type) of example IV.II type metal intermediate plate includes clamp arm and transmission arm two Part.It is different from I type, the marginal position of the type transmission arm close to clamp arm is equipped at one and is equipped with one among hinge hole and transmission arm Hollow out sliding groove structure.

Figure 26 is the side schematic view one of the pull-push piece (II type) of example IV.II type pull-push piece includes free segment, locking Section and linkage section three parts.It is different from I type, which links section equipped with T-shaped articulated structure limited block, can be hinged on metal In arc chute track in the hollow out sliding groove structure of intermediate plate transmission arm.

Figure 27 is the schematic top plan view two of the pull-push piece (II type) of example IV.

Figure 28 is the schematic diagram of the metal clip cylinder (II type) of example IV.It is different from I type, II type metal clip cylinder is characterized in The two sides of the metal intermediate plate resigning groove of the distal end of metal clip cylinder be respectively equipped with one with metal intermediate plate articulated connection it is hinged Hole, four hinge holes are opposite two-by-two.

Figure 29 is the side schematic view one of the metal endoclip (II type) of example IV.In the example IV, II is used Type metal endoclip is consolidated by II type metal intermediate plate, II type pull-push piece, II type folder cylinder, deck type card holding structure, intermediolateral column and metal Determine card composition.

Figure 30 is that the schematic diagram two of the metal endoclip of example IV (is located at deck type clamping knot in the free segment of pull-push piece In the limit hole of structure, metal intermediate plate be closed when schematic diagram).

Figure 31 is that the schematic diagram three of the metal endoclip of example IV (is located at deck type clamping knot in the free segment of pull-push piece In the limit hole of structure, pull-push piece, schematic diagram when metal intermediate plate is opened are pushed).

Figure 32 be example IV metal endoclip schematic diagram four (pull-push piece linkage section T-type position limiting structure from After the arc track abjection of the sliding slot of metal intermediate plate transmission arm, the lock segments of pull-push piece are drawn into the limit hole of deck card holding structure It is interior, make schematic diagram when intermediate plate closure and monodirectional locking).

Figure 33 is the metal clip cylinder (II type) of embodiment five and the schematic diagram of rod piece type card holding structure.

Figure 34 is that the schematic diagram two of the metal endoclip of embodiment five (is located at rod piece type clamping knot in the lock segments of pull-push piece The distal side of structure, schematic diagram when metal intermediate plate is closed).

Figure 35 is that the schematic diagram three of the metal endoclip of embodiment five (is located at rod piece type clamping knot in the lock segments of pull-push piece The distal side of structure pushes pull-push piece, schematic diagram when metal intermediate plate is opened).

Figure 36 be embodiment five metal endoclip schematic diagram four (pull-push piece linkage section T-type position limiting structure from After the arc track abjection of the sliding slot of metal intermediate plate transmission arm, the lock segments of pull-push piece are drawn into rod piece type card holding structure proximal end Side makes schematic diagram when intermediate plate closure and monodirectional locking).

Figure 37 is the metal clip cylinder (II type) of embodiment six and the schematic diagram for engaging flute profile card holding structure.

Figure 38 is that the schematic diagram two of the metal endoclip of embodiment six (is located at the distal end of engaging tooth in the lock segments of pull-push piece Side, schematic diagram when metal intermediate plate is closed).

Figure 39 is that the schematic diagram three of the metal endoclip of embodiment six (is located at the distal end of engaging tooth in the lock segments of pull-push piece Side pushes pull-push piece, schematic diagram when metal intermediate plate is opened).

Figure 40 be embodiment six metal endoclip schematic diagram four (pull-push piece linkage section T-type position limiting structure from After the arc track abjection of the sliding slot of metal intermediate plate transmission arm, the lock segments of pull-push piece are drawn into engaging flute profile card holding structure proximal end Side makes schematic diagram when intermediate plate closure and monodirectional locking).

Figure 41 is the instance graph one (intermediate plate for opening two sides) for suturing mucomembranous defect.

Figure 42 is the instance graph two (the side mucous membrane that folder closes defect) for suturing mucomembranous defect.

Figure 43 is that the instance graph three of suture mucomembranous defect (pulls the side mucous membrane that folder closes, makes endoclip close to the another of defect Side mucous membrane).

Figure 44 is the instance graph four (other side mucous membrane that folder closes defect) for suturing mucomembranous defect.

Figure 45 is that the instance graph five of suture mucomembranous defect (after folder closes defect two sides mucous membrane, keeps endoclip and casing de- From).

Main picture mark is described as follows, handle 1, casing 2, socket part 21, interior hook 3, metal endoclip 4, metal clip cylinder 41, the fixed plate 411 of metal clip cylinder, metal intermediate plate resigning groove 412 engages flute profile card holding structure 413, and pull-push piece 42 is free Section 421, dog hole 421a, lock segments 422, elastic latch 422a, link section 423, crack shape strip position limiting structure 423a, hingedly Six 423b of hole, deck 43, the rectangular limit hole 431 of deck, intermediolateral column 44, mucous membrane intermediate plate 2 441, metal intermediate plate 45, metal intermediate plate Clamp arm 451, mucous membrane intermediate plate 1, the transmission arm 453 of metal intermediate plate, sliding slot 453a, position limiting structure 453b in sliding slot, arc Railway limit slot 453c, hinge hole five 453d, hinge hole a, metal short slice stick connector d, metal connecting piece c hook together hole two C1, hooked part c2, hook together three c21 of hole, two c22 of crack, the short slice stick d of metal, metal fixing clip piece 46, metal fixing clip piece Hook together hole 1, one 461a of crack, rod piece type card holding structure 47, rotation process hook 5, interior hook control ring 6, rotation process hook control Ring 7 processed.

Specific embodiment

The embodiments of the present invention are described referring now to the drawings, similar element numbers represent similar member in attached drawing Part.

Embodiment one

The example uses I type metal endoclip, presss from both sides cylinder, deck type card with I type metal intermediate plate, I type pull-push piece, I type Structure is held to be characterized.

Please refer to Fig. 1-2, the double endoclips of the rotatable repeatable opening and closing disjunctor include handle 1, in casing 2, two Hook 3,6, rotation control rings 7 of the interior hook control ring of 5, two, the rotation process hook of metal endoclip 4, one and two metals connect Fitting C.

Please refer to Fig. 1-2, described sleeve pipe 2 be it is flexible, flexible made of metal narrow steel strip coiled coil and be not easy by The metal tube shriveled, the socket part 21 that distal end has an outer diameter to be slightly smaller than 2 pipe shaft of casing, metal endoclip 4 are sleeved on socket part 21 peripheries.Two interior hooks 3 and a rotation process hook 5 are installed in inside handle 1 and casing 2, and two interior hooks 3 can be in casing It is moved in 2 and can be pushed out or pull in casing 2.Two interior hook control rings 6 and a rotation control ring 7 are from the near to the distant successively It arranges and is sleeved on 1 periphery of handle.Hook control ring 6 is fixedly connected in the proximal end of each interior hook 3 is corresponding on handle 1.Rotation The proximal end of operation hook 5 is fixedly connected with the rotation control ring 7 on handle 1.Rotate the rotational energy band fixed handle 1 and interior of control ring 7 Hook 6 rotates integrally, so that rotation process hook 5 and interior hook 3 link, metal endoclip 4 realizes 360 degree of rotations.

Referring to FIG. 3, being equipped with for the proximal end of metal connecting piece c hooks together two c1 of hole, it is connect with the distal end of interior hook 3, metal connects The distal end of fitting c is equipped with hooked part c2, and three c21 of hole is hooked together between hooked part c2 and metal connecting piece c and is connected to circular hole Small two c22 of crack.The dog hole 421a connection for hooking together three c21 of hole and pull-push piece, under some strength pulling force, hooked part c2 from It splits at two c22 of crack, so that interior hook 3 is detached from.

Referring to FIG. 4, and Figure 11-14, the I type metal intermediate plate 45 include the distal end of clamp arm 451, clamp arm 451 towards metal The transmission arm that the mucous membrane intermediate plate 1 of folder 41 axis direction of cylinder bending, the proximal end of clamp arm 451 are bent to form towards folder cylinder axis direction 453.The vertical 451 place plane of clamp arm of 453 place plane of transmission arm, lateral location and metal of the transmission arm 453 close to clamp arm 451 The side walls hinged connection of cylinder 41 is pressed from both sides, specifically in 453 distal side center position of the transmission arm of two metal intermediate plates 45 and in metal Pressing from both sides and opening up hinge hole a among immediately below two fixed plates 411 of 41 distal end of cylinder (is hinge hole two, transmission arm on metal clip cylinder 41 It is hinge hole four on 453), and connected four hinge hole a using a connector b.The proximal end of transmission arm 453 is formed One hinge hole, five 453d, the linkage section of pull-push piece 42 are hinged in five 453d of the hinge hole.Specifically, the linkage section of pull-push piece 42 Six 423b of hinge hole by the short slice stick d of metal and five 453d of hinge hole of 453 proximal end of transmission arm of metal intermediate plate 45 it is hinged Connection.The mucous membrane intermediate plate 1 of two metal intermediate plates 45 is opposite with the mucous membrane intermediate plate 2 441 on corresponding intermediolateral column 44 respectively, Mucous membrane intermediate plate 1 is the tooth-shape structure that can be mutually twisted with mucous membrane intermediate plate 2 441.

Fig. 5-6 and Figure 11-14 is please referred to, the dog hole 421a of the proximal end of the I type pull-push piece 42 passes through metal connecting piece c It is closed by hooking in the distal end of corresponding interior hook 3.Arrangement is located in metal clip cylinder 41 two pull-push pieces 42 face-to-face and close folder cylinder 41 is close Side, the line of centres are vertical with the line of centres of clamp arm 451 of two metal intermediate plates 45.The distal end of two pull-push pieces 42 is in There is gap, so as to the movement of pull-push piece 42 between the proximal end of studding 44.Pull-push piece 42 includes from the near to the distant that direction is sequentially arranged The movable limit hole 431 for being installed through deck 43 of energy free segment 421, can when proximally movable one-way lock The connection for being scheduled on the lock segments 422 of the limit hole 431 of deck 43 and being opened and closed metal intermediate plate 45 with the metal intermediate plate 45 that can link Dynamic section 423.The free segment 421 is installed through in the limit hole 431 of deck 43, and deck limit is stretched out in the proximal end of free segment 421 431 proximal end face of position hole is outer and is equipped with dog hole 421a, and dog hole 421a is hooked together by metal connecting piece c by corresponding interior hook 3.Locking Section 422 is equipped with multiple elastic latch 422a being spaced apart.There is angle, folder between the elastic latch 422a and pull-push piece 42 The angle at angle is 20 ° -30 °, can guarantee that the elastic force of elastic latch 422a is in preferable states.The elastic latch 422a's is close End and 42 integrally connected of pull-push piece, the distal end of elastic latch 422a is the free end isolated with pull-push piece 42.423 distal end of the section that links There is gap between the proximal end of intermediolateral column 44, to guarantee that pull-push piece 42 is pushed without being obstructed.The section 423 that links is equipped with limit knot Structure 423a, position limiting structure 423a are provided at the crack along 42 long axis of pull-push piece of 423 distal surface of linkage section of pull-push piece 42 Shape elongate holes, the middle in linkage section 423.The proximal end of crack shape elongate holes is slightly larger, is six 423b of hinge hole.

Referring to FIG. 7, the proximal end of the I type metal clip cylinder 41 is covered in 21 periphery of the socket part of casing 2, metal clip cylinder 41 is remote Distally protrusion forms fixed plate 411 respectively for end two opposite sides, and it is recessed that another two opposite sides are respectively equipped with metal intermediate plate resigning Slot 412, from the remote edge of metal clip cylinder 41, proximally direction is recessed and to be formed metal intermediate plate resigning groove 412, and intermediolateral column 44 Between two fixed plates 411 and the proximal end two sides of intermediolateral column 44 respectively correspond and are fixed in corresponding fixed plate 411.Two gold Two lateral borders for belonging to the transmission arm 453 of intermediate plate 45 are located at respective metal intermediate plate resigning groove 412, two fixed plates 411 The vertical two metals intermediate plate resigning groove 412 of the line of centres the line of centres.Metal clip cylinder 41 two fixed plates 411 just under It is opposite that hinge hole an a, two hinge hole a is opened up respectively among side.

Referring to FIG. 8, the two sides of the metal fixing clip piece 46 are fixed on 41 inner wall of metal clip cylinder, fixed form can be with It is riveting, is also possible to weld.The proximal end of metal fixing clip piece 46, which is equipped with, hooks together hole 1, and the distal end of rotation process hook 5, which hooks, closes In hooking together on hole 1 for 46 proximal end of metal fixing clip piece, rotates control ring 7 and pass through the linkage metal fixing clip of rotation process hook 5 Piece 46, metal clip cylinder 41.Hooking together hole 1, there are one 461a of a crack, under some strength pulling force, hook together hole 1 from It splits at one 461a of crack, so that rotation process hook 5 is distally detached from, is separated with metal endoclip.

Referring to FIG. 9, and Figure 11-14, the two sides of the intermediolateral column 44 respectively with 451 phase of clamp arm of two metal intermediate plates 45 Right, the distal end of the intermediolateral column 44 is equipped with the mucous membrane intermediate plate 2 441 towards two metal intermediate plates 45, the mucous membrane intermediate plate 2 441 Centre is weldingly fixed on the distal end of intermediolateral column 44 or mucous membrane intermediate plate 2 441 is integrally formed with intermediolateral column 44, mucous membrane intermediate plate two 441 be tooth-shape structure.

Referring to FIG. 10, and Figure 11-14, the lateral wall of the deck 43 be fixed on 41 inner wall of metal clip cylinder, fixation side Formula can be riveting, be also possible to weld.The deck 43 is equipped with two rectangular limit holes of perforation its distal face and proximal end face 431, the free segment 421 of two pull-push pieces 42 is limited respectively in corresponding rectangular limit hole 431.The lock segments of two pull-push pieces 42 422 are located at the distal face side of deck 43, and pull-push piece 42, when stress pulls mobile toward proximal direction, lock segments 422 can To pass through rectangular limit hole 431, the elastic latch 422a on lock segments 422 can be stuck in 43 proximal end face of deck, so that locking pushes away Draw piece 42.

Figure 11 is please referred to, the I type metal endoclip 4 includes I type metal clip cylinder 41, two in metal clip cylinder 41 I type pull-push piece 42, be fixed in metal clip cylinder 41 and close to the deck type card holding structure 43 of 41 proximal end of metal clip cylinder, be fixed on gold Belong to the intermediolateral column 44 in the fixed plate 411 of folder 41 distal end of cylinder, positioned at the distal end of metal clip cylinder 41 and be symmetrically set in 44 two sides of intermediolateral column Two I type metal intermediate plates 45 that can be independently opened and closed, in metal clip cylinder 41 and solid close to the metal of 41 proximal end of metal clip cylinder Determine card 46.In the present embodiment, card holding structure is the deck 43 of cylindrical type.

Please refer to Fig. 1-2, Figure 12-14, the double endoclip working principles of rotatable repeatable opening and closing disjunctor: in casing 2 What hook 3 hooked two proximal ends metal connecting piece c in bilateral hooks together two c1 of hole, and the hooked part c2 of the distal end metal connecting piece c, which is hooked, to be pushed away The dog hole 421a of draw piece 42, what rotation process hook 5 hooked metal fixing clip piece 46 hooks together hole 1；Rotation control ring 7 passes through rotation Turn the linkage of operation hook 5 metal fixing clip piece 46, the rotation of metal clip cylinder 41, so that entire metal endoclip 4 rotates, Ke Yijin 360 degree of row adjustment, to be adjusted to the position of optimal clamping mucous membrane；Push and drawing side pull-push piece 42, so that outreach is opened And collapse and be closed corresponding side metal intermediate plate 45: pushing or pull interior hook 3 by the interior hook control ring 6 of 1 side of handle to push Or drawing metal connecting piece c, the dog hole 421a of pull-push piece 42 is pushed or pulled by metal connecting piece c, to push or pull one Side pull-push piece 42 passes through the linkage section 423 of pull-push piece 42, metal when in the limit hole 431 that free segment 421 is in deck 43 Short slice stick d, metal intermediate plate 45 transmission arm 453 and metal clip cylinder 41 between hinged relationship (lever principle) so that The clamp arm 451 and one 452 outreach of mucous membrane intermediate plate of metal intermediate plate 45, which expand away from intermediolateral column 44 or reset, draws close intermediolateral column 44, real The opening and closing repeatedly of existing endoclip.This repeatedly opening and closing function be adjusted to it is optimal clamping mucous membrane position；Metal intermediate plate 45 is repeatedly During opening and closing, the proximal end of the short slice stick d of metal is always positioned in six 423b of pull-push piece hinge hole, and as pull-push piece is moved It is dynamic.By the opening and closing repeatedly of metal intermediate plate 45 to adjust position, after so that metal intermediate plate 45 is clamped to the mucous membrane of proper site, continue Proximally direction slightly firmly pulls interior hook 3 that pull-push piece 42 is made to move up (i.e. proximally direction is mobile), and during this, metal is short thin The proximal end of bar d pushes away at the same time from the distal end that six 423b of hinge hole of pull-push piece 42 is drawn into crack shape elongate holes 423a Also proximally direction is mobile and is in the limit hole 431 of deck 43 for the lock segments 422 of draw piece 42, makes clamp arm 451 and mucous membrane Intermediate plate 2 452 and intermediolateral column 44 and mucous membrane intermediate plate 2 441 tightly clamp mucous membrane, play the effect of monodirectional locking metal intermediate plate 45. Other side pull-push piece 42 is pulled, to tighten corresponding other side metal intermediate plate 45, process is consistent with the above.In closure and one-way lock After deposit category endoclip, metal endoclip 4 breaks off relations and is released: firstly, the interior hook control ring 6 by handle 1 is exerted oneself in drawing Hook 3, so that interior hook 3 is detached from, then, passes through hand so that the hooked part c2 of the distal end metal connecting piece c splits from two c22 of crack The rotation control ring 7 of handle 1 firmly pulls rotation process hook 5, so that 46 proximal end of metal fixing clip piece hooks together hole 1 from crack It splits at one 461a, so that rotation process hook 5 is distally detached from.

Embodiment two

The example uses I type metal endoclip, presss from both sides cylinder, rod piece type card with I type metal intermediate plate, I type pull-push piece, I type Structure is held to be characterized.

Figure 15-18 is please referred to, is the embodiments of the present invention two, the present embodiment and the difference of above-mentioned implementation one only exist In: card holding structure is two clamping rod pieces 47 being parallel to each other, and the deck 43 of embodiment one, fastening rod are replaced with clamping rod piece 47 It is that be also possible to cross section be rectangular rod piece to round rod piece that part 47, which can be cross section, and the both ends of clamping rod piece 47 are each attached to On 41 inner wall of metal clip cylinder, before the lock segments 422 of two pull-push pieces 42 are unlocked, the lock segments of two pull-push pieces 42 422 In the distal side of clamping rod piece 47, after stress drawing, lock segments 422 can move to clamping rod piece 47 by clamping rod piece 47 Proximal lateral achievees the effect that monodirectional locking metal endoclip.

Embodiment three

The example uses I type metal endoclip, with I type metal intermediate plate, I type pull-push piece, I type folder cylinder, engaging flute profile Card holding structure is characterized.

Figure 19-22 is please referred to, is the embodiments of the present invention three, the present embodiment and the difference of above-mentioned implementation one only exist In: card holding structure is the latch 413 being stamped and formed out from the two opposite side walls of metal clip cylinder 41 into metal clip cylinder 41, uses latch 413 replace the deck 43 of embodiment one, distal end and 41 integrally connected of metal clip cylinder, the proximal end of latch 413 and the metal of latch 413 Press from both sides the angled setting of cylinder 41, before the lock segments 422 of two pull-push pieces 42 are unlocked, the lock segments of two pull-push pieces 42 422 In the distal side of corresponding latch 413, after stress drawing, lock segments 422 can move to the proximal end of latch 413 by latch 413 Side achievees the effect that monodirectional locking metal endoclip.

Example IV

The example four uses II type metal endoclip, is spy with II type metal intermediate plate, II type pull-push piece, II type folder cylinder Sign.Other structures feature is the same as example 1.

Figure 23-24 is please referred to, the double endoclips of the rotatable repeatable opening and closing disjunctor include handle 1, casing 2, two Interior hook 3, the interior hook control ring 6 of 5, two, the rotation process hook of metal endoclip 4, one and a rotation control ring 7 and two metals Connector c.

Figure 23-24 is please referred to, described sleeve pipe 2 is flexible, flexible made of metal narrow steel strip coiled coil and is not easy The metal tube being flattened, the socket part 21 that distal end has an outer diameter to be slightly smaller than 2 pipe shaft of casing, metal endoclip 4 are sleeved on socket 21 periphery of portion.Two interior hooks 3 and a rotation process hook 5 are installed in inside handle 1 and casing 2, and two interior hooks 3 can cover It is moved in pipe 2 and can be pushed out or pull in casing 2.Two interior hook control rings 6 and a rotation control ring 7 from the distant to the near according to It is secondary to arrange and be sleeved on 1 periphery of handle.Hook control ring 6 is fixedly connected in the proximal end of each interior hook 3 is corresponding on handle 1.Rotation The proximal end for turning operation hook 5 is fixedly connected with the rotation control ring 7 on handle 1.Rotate control ring 7 rotational energy band fixed handle 1 and Interior hook 6 rotates integrally, so that rotation process hook 5 and interior hook 3 link, metal endoclip 4 realizes 360 degree of rotations.

Please refer to Figure 25 and Figure 29-32, the II type metal intermediate plate 45 includes the distal end of clamp arm 451, clamp arm 451 towards gold The linkage that the proximal end of the mucous membrane intermediate plate 1, clamp arm 451 that belong to folder 41 axis direction of cylinder bending is bent to form towards folder cylinder axis direction Arm 453.The vertical 451 place plane of clamp arm of 453 place plane of transmission arm, transmission arm 453 close at clamp arm 451 with metal clip cylinder 41 Side walls hinged connection, specifically, in transmission arm 453 at clamp arm 451 and the metal clip of 412 two sides of metal intermediate plate resigning groove It is opened up hinge hole a (being hinge hole one on metal clip cylinder 41, be hinge hole three on transmission arm 453) on 41 walls of cylinder, and utilizes one A connector b connects three hinge hole a.The sliding slot 453a along far and near direction arrangement, sliding slot are additionally provided on transmission arm 453 Position limiting structure 453b, the arc limit slot constituted between position limiting structure 453b and the distal end of sliding slot 453a are equipped with by distal end in 453a 453c.Specifically, position limiting structure 453b is one end and the sliding slot 453a for being located at the sliding slot 453a of 45 transmission arm 453 of metal intermediate plate Inner wall connection, another end dissociative, and in the bending corynebacterium position limiting structure easily-deformable by pulling force, the T word of pull-push piece lock segments 423 Shape limited block 423a is limited in limiting slot 453c, realizes the transmission arm 453 of metal intermediate plate 45 and the linkage section 423 of pull-push piece 42 Articulated connection.The mucous membrane intermediate plate 1 of two metal intermediate plates 45 respectively with the mucous membrane intermediate plate 2 441 on corresponding intermediolateral column 44 Relatively, mucous membrane intermediate plate 1 is the tooth-shape structure that can be mutually twisted with mucous membrane intermediate plate 2 441.

Figure 26-27 and Figure 29-32 is please referred to, the dog hole 421a of the proximal end of the II type pull-push piece 42, which is hooked, to be closed corresponding The distal end of interior hook 3.Pull-push piece 42 is located at the proximal lateral of intermediolateral column 44, the proximal end of the distal ends of two pull-push pieces 42 and intermediolateral column 44 it Between have gap, so as to the movement of pull-push piece 42.Arrangement is located in metal clip cylinder 41 two pull-push pieces 42 face-to-face, and center connects Line is vertical with the line of centres of clamp arm 451 of two metal intermediate plates 45.Pull-push piece 42 includes from the near to the distant what direction was sequentially arranged Can the movable free segment 421 being installed through in deck type card holding structure 43, can when proximally movable one-way lock The lock segments 422 that are scheduled on deck type card holding structure 43 and it is opened and closed metal intermediate plate 45 with the metal intermediate plate 45 that can link Link section 423.The free segment 421 is installed through on deck 43, and the proximal end of free segment 421 is stretched out outside 43 proximal end face of deck simultaneously And it is equipped with dog hole 421a, dog hole 421a is hooked together by corresponding interior hook 3.Lock segments 422 are equipped with multiple elastic latchs being spaced apart 422a.There is angle, the angle of angle is 20 ° -30 °, can guarantee elasticity between the elastic latch 422a and pull-push piece 42 The elastic force of latch 422a is in preferable states.The proximal end of the elastic latch 422a and 42 integrally connected of pull-push piece, elastic latch The distal end of 422a is the free end isolated with pull-push piece 42.There is gap between 423 distal end of the section that links and the proximal end of intermediolateral column 44, To guarantee that pull-push piece 42 is pushed without being obstructed.The section 423 that links is equipped with position limiting structure 423a, and position limiting structure 423a is provided at push-and-pull The short metal strip that the T-shaped articulated structure limited block of 423 distal surface of linkage section of part 42 is either bent, T-shaped hinge Binding structure limited block slightly deviates the setting of pull-push piece distal center.

Figure 28 is please referred to, the proximal end of the II type metal clip cylinder 41 is covered in 21 periphery of the socket part of casing 2, metal clip cylinder 41 Distally protrusion forms fixed plate 411 respectively for distal end two opposite sides, and another two opposite sides are respectively equipped with metal intermediate plate resigning Groove 412, from the remote edge of metal clip cylinder 41, proximally direction is recessed and to be formed metal intermediate plate resigning groove 412, intermediolateral column 44 Between two fixed plates 411 and the proximal end two sides of intermediolateral column 44 respectively correspond and are fixed in corresponding fixed plate 411.Two Two lateral borders of the transmission arm 453 of metal intermediate plate 45 are located at respective metal intermediate plate resigning groove 412, two fixed plates The line of centres of the vertical two metals intermediate plate resigning groove 412 of 411 line of centres；Metal clip cylinder 41 is in two opposite resignings The distal end two sides of groove 412 are equipped with hinge hole a facing each other.

Figure 29 is please referred to, the II type metal endoclip 4 includes II type metal clip cylinder 41, two in metal clip cylinder 41 A II type pull-push piece 42, be fixed in metal clip cylinder 41 and close to the card holding structure of 41 proximal end of metal clip cylinder, be fixed on metal clip Intermediolateral column 44 in the fixed plate 411 of 41 distal ends of cylinder positioned at the distal end of metal clip cylinder 41 and is symmetrically set in the two of 44 two sides of intermediolateral column A II type metal intermediate plate 45 that can be independently opened and closed, in metal clip cylinder 41 and close to the metal fixing clip of 41 proximal end of metal clip cylinder Piece 46.In the present embodiment, card holding structure is the deck 43 of cylindrical type.

Please refer to Figure 30-32, the double endoclip working principles of rotatable repeatable opening and closing disjunctor: in the bilateral in casing 2 Hook 3 hooks the dog hole 421a of two pull-push pieces 42, and what rotation process hook 5 hooked metal fixing clip piece 46 hooks together hole 1；Rotation Control ring 7 is rotated by the linkage of rotation process hook 5 metal fixing clip piece 46, metal clip cylinder 41, so that entire metal scope 4 rotation of folder, can carry out 360 degree of adjustment, to be adjusted to the position of optimal clamping mucous membrane；Push and drawing side pull-push piece 42, so that outreach, which is opened and collapsed, is closed corresponding side metal intermediate plate 45: by interior hook control ring 6 push of 1 side of handle or Interior hook 3 is pulled to push or pull the dog hole 421a of pull-push piece 42, to push or pull side pull-push piece 42.In free segment 421 When in the limit hole 431 in deck type card holding structure 43, pass through the transmission arm 453 of metal intermediate plate 45 and the linkage of pull-push piece 42 Hinged relationship (lever principle) between section 423 and metal clip cylinder 41 pushes and pulls interior hook 3 and makes the linkage metal intermediate plate of pull-push piece 42 45, so that so that 451 outreach of clamp arm of metal intermediate plate 45 is expanded away from intermediolateral column 44 or is resetted draws close intermediolateral column 44, it is anti-to realize Multiple opening and closing, the position of the opening and closing function to be adjusted to optimal clamping mucous membrane repeatedly.Proper site is clamped in metal intermediate plate 45 Mucous membrane after, continue proximally direction pull in hook 3 so that pull-push piece 42 is moved up (i.e. proximally direction mobile), during this, When there is centainly drawing resistance, slightly proximally direction pulls interior hook 3 to the continuation of increase traction force, makes the transmission arm of metal intermediate plate 45 453 position limiting structure 453b is by the position limiting structure 423a stretch bending of pull-push piece 42 and then makes the position limiting structure 423a of pull-push piece 42 from cunning Abjection in the arc limit slot 453c of the distal end of slot 453a, so that proximally direction is mobile simultaneously for the lock segments 422 of pull-push piece 42 It is drawn into the limit hole 431 of deck 43, the elastic latch 422a on lock segments 422 is stuck in 43 proximal end face of deck, makes metal clip Piece clamp arm 451 and mucous membrane intermediate plate 452 are tightly closed with intermediolateral column 44, play the effect of monodirectional locking metal intermediate plate 45.Drawing is another Side pull-push piece 42, to tighten corresponding other side metal intermediate plate 45, process is consistent with the above.Metal endoclip 4 break off relations and by Release: firstly, hook 3 in firmly being pulled by the interior hook control ring 6 of handle 1 so that the hooked part c2 of the distal end metal connecting piece c from It splits at two c22 of crack, so that interior hook 3 is detached from, then, rotation process hook 5 is firmly pulled by the rotation control ring 7 of handle 1, So that the hole 1 that hooks together of 46 proximal end of metal fixing clip piece is split from one 461a of crack, so that rotation process hook 5 distally takes off From.

Embodiment five

The example uses II type metal endoclip, presss from both sides cylinder, rod piece with II type metal intermediate plate, II type pull-push piece, II type Type card holding structure is characterized.Other features are identical as example IV.

Figure 33-36 is please referred to, is the embodiments of the present invention five, the present embodiment and the difference of above-mentioned implementation four only exist In: card holding structure is two clamping rod pieces 47 being parallel to each other, and the deck 43 of embodiment one, fastening rod are replaced with clamping rod piece 47 It is that be also possible to cross section be rectangular rod piece to round rod piece that part 47, which can be cross section, and the both ends of clamping rod piece 47 are each attached to On 41 inner wall of metal clip cylinder, before the lock segments 422 of two pull-push pieces 42 are unlocked, the lock segments 422 of two pull-push pieces 42 are located at The distal side of clamping rod piece 47, after stress drawing, lock segments 422 can move to the close of clamping rod piece 47 by clamping rod piece 47 End side.

Embodiment six

The example uses II type metal endoclip, with II type metal intermediate plate, II type pull-push piece, II type folder cylinder, engaging Flute profile card holding structure is characterized.Other features are identical as example IV.

Figure 37-40 is please referred to, is the embodiments of the present invention six, the present embodiment and the difference of above-mentioned implementation four only exist In: card holding structure is the engaging tooth 413 being stamped and formed out from the two opposite side walls of metal clip cylinder 41 into metal clip cylinder 41, with card Close tooth 413 replace embodiment one deck 43, distal end and 41 integrally connected of metal clip cylinder of engaging tooth 413, engaging tooth 413 it is close End and the angled setting of metal clip cylinder 41, before the lock segments 422 of two pull-push pieces 42 are unlocked, the lock segments of two pull-push pieces 42 422 are located at the distal side of corresponding engaging tooth 413, and after stress drawing, lock segments 422 can move to engaging by engaging tooth 413 The proximal lateral of tooth 413.

Please refer to Figure 41-45, the double endoclips of the endoscopic suture disjunctor of embodiment one to embodiment six, suture mucomembranous defect wound The operating procedure in face.1. making outside metal intermediate plate 45 in the original outreach open configuration of nature；2. selecting the one of surface of a wound side mucous membrane Locate position, by tightening the pull-push piece 42 of the side, side metal intermediate plate 45 is closed, so that the side that clamp fixes the surface of a wound is viscous Film；3. then the mucous membrane that drawing side has been clamped by tightening the pull-push piece 42 of the side, is closed close to the other side mucous membrane of the surface of a wound The side metal intermediate plate 45 is closed, so that clamp fixes the side mucous membrane；4. after the metal intermediate plate 45 of bilateral is closed completely, discharging in metal Mirror folder 4；5. using the double scope clamp devices of another disjunctor instead, operation above is repeated, until suturing the surface of a wound.

Combine most preferred embodiment that the utility model is described above, but the utility model is not limited to above take off The embodiment shown, and modification, equivalent combinations that various essence according to the present utility model carry out should be covered.

Claims

1. a kind of double endoclips of rotatable repeatable opening and closing disjunctor, including handle, casing, it is characterised in that: further include in two Hook, can connect and can 360 degree rotation metal endoclip a rotation process hook, metal endoclip；Two interior hooks and rotation behaviour It is respectively positioned on inside pipe casing as hook, proximal end is fixedly connected with the control ring of interior hook and rotation process hook on handle respectively, remote End is connected by metal connecting piece and metal fixing clip piece with metal endoclip respectively, and interior hook passes through the corresponding control ring on handle Control can be moved forward and backward；Metal endoclip includes metal clip cylinder, two pull-push pieces in metal clip cylinder, is fixed on metal The card holding structure of monodirectional locking function in folder cylinder, is located at metal clip cylinder distal end at the intermediolateral column for being fixed on metal clip cylinder distal end And the metal intermediate plate that two for being symmetrically set in intermediolateral column two sides can independently be opened and closed；Pull-push piece includes from the near to the distant that direction is sequentially arranged The free segment that can be moved forward and backward, can when proximally movable lock segments of the monodirectional locking on card holding structure and The linkage section that can be linked with metal intermediate plate and be opened and closed metal intermediate plate.

2. the double endoclips of rotatable repeatable opening and closing disjunctor as described in claim 1, it is characterised in that: the metal clip cylinder is remote Portion, end office (EO) protrudes to form the plate that is relatively fixed at two, and the proximal, side wall of intermediolateral column is connected and fixed with corresponding fixed plate on folder cylinder, The local concave shape in metal clip cylinder distal end is at opposite metal intermediate plate resigning groove at two, the line of centres of two fixed plates vertical two The line of centres of a metal intermediate plate resigning groove；The distal end of metal clip cylinder is respectively equipped in the two sides of each metal intermediate plate resigning groove One hinge hole one being articulated and connected with metal intermediate plate, four hinge holes one are opposite two-by-two, alternatively, metal clip cylinder distal end is each solid Intermediate immediately below fixed board to form a hinge hole two, two hinge holes are opposite.

3. the double endoclips of rotatable repeatable opening and closing disjunctor as claimed in claim 2, it is characterised in that: the metal intermediate plate packet Clamp arm, the transmission arm in folder cylinder and with the articulated connection of the linkage section of pull-push piece are included, transmission arm vertically connects clamp arm；Transmission arm Lateral location close to clamp arm is equipped with hinge hole three, transmission arm by hinge hole one on hinge hole three and metal clip cylinder side wall with The articulated connection of metal clip cylinder, alternatively, transmission arm distal end center position is equipped with hinge hole four, transmission arm passes through hinge hole four and metal The hinge hole two and metal clip cylinder pressed from both sides on cylinder side wall is articulated and connected, and the oblique outside in lateral margin and becomes narrow gradually in transmission arm proximal end；Connection The bottom of swing arm and the metal intermediate plate resigning bottom portion of groove of metal clip cylinder are substantially flush, under the thrust of pull-push piece, transmission arm energy The resigning of metal intermediate plate is pushed out using the connector on hinge hole three and hinge hole one or hinge hole four and hinge hole two as axis Groove, to open the metal intermediate plate of side.

4. the double endoclips of rotatable repeatable opening and closing disjunctor as claimed in claim 3, it is characterised in that: the metal intermediate plate Transmission arm is equipped with a hollow out sliding groove structure, the gold for playing position-limiting action being connect by an end dissociative and the other end with transmission arm Belong to strip structure and be separated into two parts, the distal part separated is arc chute track, and the linkage section of pull-push piece is hinged on this In track, alternatively, being not provided with hollow out sliding groove structure, but a hinge hole five is formed in the proximal end of the transmission arm of metal intermediate plate, pushed away The linkage section of draw piece is hinged in the hinge hole five.

5. the double endoclips of rotatable repeatable opening and closing disjunctor as claimed in claim 4, it is characterised in that: the pull-push piece oneself Dog hole is equipped with by the proximal end of section, dog hole interior hook corresponding in casing is hooked together by metal connecting piece, and lock segments are equipped with more A elastic latch being spaced apart, linkage section are equipped with T-shaped articulated structure limited block, T-shaped articulated structure limited block hinge It connects in the arc chute track in the hollow out sliding groove structure of metal intermediate plate transmission arm, elastic latch and T-shaped articulated structure Limited block is respectively arranged on the two sides of pull-push piece, and pull-push piece makes T-shaped articulated structure limited block cross metal strip by firmly drawing Shape structure moves to the proximal part of hollow out sliding groove structure, so that the lock segments of pull-push piece are unidirectionally locked in card holding structure On, alternatively, being not provided with T-shaped limited block, but the crack shape strip along pull-push piece long axis is equipped in pull-push piece linkage section The proximal end in shape hole, crack shape elongate holes is slightly larger, is hinge hole six, which passes through the short slice stick of metal and metal intermediate plate Transmission arm proximal end hinge hole five be articulated and connected, connection pull-push piece linkage section and metal intermediate plate transmission arm the short slice stick of metal One end be closely hingedly fixed in the hinge hole five, the other end of the short slice stick of metal be hinged in hinge hole six and The end can slide into crack shape elongate holes distal end under by traction force.

6. the double endoclips of rotatable repeatable opening and closing disjunctor as claimed in claim 5, it is characterised in that: the lock of the pull-push piece Elastic latch proximal end and the pull-push piece integrally connected for determining section, distally separate with pull-push piece and with the angle of pull-push piece be 20 °- 30 °, which can be engaged with the card holding structure being fixed on inside metal clip cylinder, with monodirectional locking pull-push piece.

7. rotatable repeatable opening and closing disjunctor pair endoclips as claimed in claim 6, it is characterised in that: the card holding structure is The deck of cylindrical type, the side wall of deck are fixed on folder cylinder inner wall, and deck is equipped with two of perforation and the rectangular limit of column distribution Hole, the free segment of two pull-push pieces is limited in two rectangular limit holes respectively and free segment can move freely, two pull-push pieces Lock segments be located at the distal end surface side of deck, after stress drawing, lock segments can move to the proximal end face of deck by limit hole Side.

8. rotatable repeatable opening and closing disjunctor pair endoclips as claimed in claim 6, it is characterised in that: the card holding structure is Two clamping rod pieces being parallel to each other, the both ends of clamping rod piece are each attached on folder cylinder inner wall and are located at folder cylinder two sides, and two push away The lock segments of draw piece are located at the distal side of clamping rod piece, and after stress drawing, lock segments can move to clamping by clamping rod piece The proximal lateral of rod piece.

9. rotatable repeatable opening and closing disjunctor pair endoclips as claimed in claim 6, it is characterised in that: the card holding structure is The latch being stamped and formed out from the folder two opposite side walls of cylinder into folder cylinder, the lock segments of two pull-push pieces are located at the remote of corresponding latch End side, after stress drawing, lock segments can move to the proximal lateral of latch by latch.

10. the double endoclips of rotatable repeatable opening and closing disjunctor as described in claim 1, it is characterised in that: the metal scope Folder further includes one piece of metal fixing clip piece, and the distal end two sides of fixed card are fixed on folder cylinder inner wall, the proximal end of fixed card compared with Narrow and its two sides and folder cylinder inner wall have certain interval, and proximal end is equipped with and hooks together hole one, with the rotation process being located among in casing Hook distal end hooks together, rotating handle control ring can linkage rotation operation hook, metal fixing clip piece, deck and folder cylinder, metal fixes One edge of hole that hooks together of card proximal end is equipped with crack at one, and hole is hooked together after by pulling force to be broken, so that in rotation process Hook is separated with metal endoclip.

11. the double endoclips of rotatable repeatable opening and closing disjunctor as described in claim 1, it is characterised in that: described sleeve pipe is gold Belonging to can be bent made of narrow steel strip coiled coil, is flexible and be not easy the metal tube being flattened, and distalmost end outer diameter slightly constriction is simultaneously Folder cylinder can be inserted into and be bonded with folder cylinder inner wall.

12. the double endoclips of rotatable repeatable opening and closing disjunctor as described in claim 1, it is characterised in that: the metal connection Part is fixedly connected proximally by the distal end for hooking together hook in Kong Eryu, and distal end is connected by hooking together the proximal end of Kong Sanyu pull-push piece It connects, which is equipped with minute crack at one, and hole is hooked together after by pulling force to be broken, and separated with pull-push piece, to make Hook is separated with metal endoclip in obtaining.