CN208989041U - A kind of pylorus operation elastic separating plier - Google Patents

Abstract

The utility model provides a kind of pylorus operation elastic separating plier, including the first caliper and the second caliper being hinged, first caliper includes the first tong arm and first handle, second caliper includes the second tong arm and second handle, the upward bending in one end of first tong arm forms the first arc clamping head, the upward bending in one end of second tong arm forms the second arc clamping head, first arc clamping head is bonded with the angle medial surface of the second arc clamping head, lateral surface is raised in cambered surface outward, and the outer surface of the first arc clamping head and the second arc clamping head is equipped with non-slip texture；The hinged place of first caliper and the second caliper is arranged with elasticity and support expansion set pipe in a circular table shape, and equipped with two sealing sleeve pipes, two sealing sleeve pipes are sheathed on first handle and second handle respectively and fit closely for the end face of support expansion set pipe；Its is easy to use, can block puncture in the course of surgery, prevent gas leakage, can reduce operating difficulty, and its structure is simple, cost is low, applied widely.

Description

A kind of pylorus operation elastic separating plier

Technical field

The utility model relates to medical instruments field, the elastic separating plier more particularly to a kind of pylorus is performed the operation.

Background technique

Pyloromyotomy is treatment newborn and young infant common disease congenital hypertrophic pyloric stenosis (pylorus fertilizer It is thick) routine operation, surgical procedure needs first to cut pylorus seromuscular layer along pylorus y direction, then uses pylorus elastic separating plier edge Pylorus X direction separation pylorus muscle layer makes the complete bulging of pylorus mucous membrane.Traditional operation is abdominal, still there is many bases at present Layer hospital uses the modus operandi, needs in art to be strutted pylorus circular muscle with small curved forceps until mucous membrane bulging is without rupturing, but small curved It is sharper to clamp end, is easy to make mucosal breaks and muscle tear.Pyloromyotomy has become tertiary hospitals head under existing laparoscope Modus operandi, but hysteroscope instrument pylorus elastic separating plier expensive price are selected, and need to be placed in through casing intraperitoneal, there is a certain distance, Sliding is easy when merging struts pylorus circular muscle, operation acquires a certain degree of difficulty, and dynamics and direction are such as held bad, and it is broken to easily cause mucous membrane Split, bleeding it is more, be difficult to grasp particularly with beginner, and instrument be easy loss.

Utility model content

In order to overcome the drawbacks of the prior art, the technical problem to be solved by the utility model is to propose a kind of pylorus hand Art elastic separating plier, pylorus operation elastic separating plier is primarily adapted for use in out abdomen and hysteroscope pyloromyotomy, easy to use, without warp Laparoscopic cannula directly enters through stomach wall puncture, and can block puncture in the course of surgery prevents gas leakage, acts convenient for subsequent procedures Progress, while being easy assurance dynamics and direction, reduce the probability of mucosal breaks and muscle tear, be easy to the grasp of beginner； And its structure is simple, cost is low, it is applied widely for the application of pediatric surgery, each level hospital；It also changes common The position for separating the anti-skidding design at bar hold can increase frictional force when strutting pylorus circular muscle, difficult to slide, firmly relatively steady It is fixed.

For this purpose, the following technical solution is employed for the utility model:

The utility model provides a kind of pylorus operation elastic separating plier, including the first caliper and the second caliper being hinged, First caliper includes integrally formed first tong arm and first handle, and second caliper includes integrally formed second pincers Arm and second handle, first caliper and second caliper in the junction of first tong arm and the first handle, The junction of second tong arm and the second handle is hinged；The first handle one end and institute far from first tong arm It states second handle and is equipped with finger ring far from one end of second tong arm；The described one end of first tong arm far from the first handle Upward bending forms the first arc clamping head, and the upward bending in the one end of second tong arm far from the second handle forms the second arc The section of clevis head, first arc clamping head and second arc clamping head is in semicircle shape, and first arc clamping head Be bonded with the opposite flank of second arc clamping head, reverse side outward in cambered surface protrusion, first arc clamping head and The outer surface of second arc clamping head is equipped with non-slip texture；The hinged place of first caliper and second caliper covers Equipped with flexible support expansion set pipe, the support expansion set pipe is coated on the hinged place of first caliper and second caliper, The support expansion set pipe is in a circular table shape and its diameter by first tong arm and second tong arm side towards the first handle and The second handle side is gradually increased, and the support expansion set pipe is equipped with close to the end face of the first handle and the second handle Two sealing sleeve pipes, two sealing sleeve pipes be sheathed on respectively the first handle and the second handle and respectively with it is described First handle and the second handle fit closely, and the sealing sleeve pipe is an integral molding structure with the support expansion set pipe.

In the preferable technical solution of the utility model, the support expansion set pipe and the sealing sleeve pipe are by medical grade silicon rubber system At.

In the preferable technical solution of the utility model, it is equal that the outer wall of the support expansion set pipe is convexly equipped with multiple parallel and interval Even bulge loop, the top surface evagination of the bulge loop are in arc surfaced.

In the preferable technical solution of the utility model, the section of first arc clamping head and second arc clamping head The semicircle shape for being 1.5mm in radius, the support expansion set pipe is close to first tong arm and the end face diameter of second tong arm In 3.1mm~3.3mm.

In the preferable technical solution of the utility model, the support expansion set pipe is close to first arc clamping head and described The edge of the end face of two arc clamping head sides is equipped with chamfering and seamlessly transits.

In the preferable technical solution of the utility model, the end of first arc clamping head and second arc clamping head Be in round end shape, and first tong arm, second tong arm, first arc clamping head and second arc clamping head rib Round and smooth chamfering is equipped at side.

In the preferable technical solution of the utility model, first arc clamping head and the first tong arm plane extended line Angle be 40 °~45 °；The angle of second arc clamping head and the second tong arm plane extended line is 40 °~45 °.

In the preferable technical solution of the utility model, the hinged place of first caliper and second caliper is described in The linear distance of first arc clamping head free end and second arc clamping head free end is between 8cm~10cm.

In the preferable technical solution of the utility model, the angle of first arc clamping head and second arc clamping head Opposite flank is equipped with skid resistance strip.

In the preferable technical solution of the utility model, the first handle is equipped with the on the inside of one end of the finger ring One fixture block, the second handle are equipped with the second fixture block, the top surface of first fixture block and institute on the inside of one end of the finger ring The bottom surface for stating the second fixture block is equipped with inclined zigzag protrusion, second fixture block and first fixture block be oppositely arranged and It is mutually twisted by the zigzag protrusion.

The utility model has the following beneficial effects:

A kind of pylorus operation elastic separating plier provided by the utility model, pylorus operation elastic separating plier are primarily adapted for use in out abdomen and chamber Mirror pyloromyotomy, it is easy to use, without through laparoscopic cannula, directly enter through stomach wall puncture, supports expansion set pipe and close The design of big envelope pipe can block puncture in the course of surgery prevents gas leakage, convenient for the progress of subsequent procedures movement, while being easy handle Grip degree and direction reduce the probability of mucosal breaks and muscle tear, are easy to the grasp of beginner；And its structure is simple, cost It is at low cost, it is applied widely for the application of pediatric surgery, each level hospital；And non-slip texture is set to the first arc clamping head and the The outside of two arc clamping heads changes the position of the anti-skidding design at common separation bar hold, can increase and strut pylorus circular muscle When frictional force, difficult to slide, it is firmly more stable.

Detailed description of the invention

Fig. 1 is a kind of schematic perspective view for pylorus operation elastic separating plier that specific embodiment of the present invention provides；

Fig. 2 is the cross-sectional view of the specific embodiment of the present invention support expansion set pipe provided and sealing sleeve pipe；

Fig. 3 is the structural schematic diagram of the first fixture block that specific embodiment of the present invention provides and the second fixture block.

In figure:

100, the first caliper；110, the first tong arm；120, first handle；121, the first fixture block；130, the first arc clamping head； 200, the second caliper；210, the second tong arm；220, second handle；221, the second fixture block；230, the second arc clamping head；300, refer to Ring；410, non-slip texture；420, skid resistance strip；500, expansion set pipe is supportted；510, sealing sleeve pipe；520, bulge loop.

Specific embodiment

Further illustrate the technical solution of the utility model below with reference to the accompanying drawings and specific embodiments.

As shown in Figure 1 and Figure 2, a kind of pylorus operation elastic separating plier, including phase are disclosed in specific embodiment of the utility model Mutually hinged the first caliper 100 and the second caliper 200, first caliper 100 include integrally formed first tong arm 110 and the One handle 120, second caliper 200 include integrally formed second tong arm 210 and second handle 220, first caliper 100 with second caliper 200 in the junction of first tong arm 110 and the first handle 120, second tong arm 210 and the second handle 220 junction it is hinged；The first handle 120 one end and institute far from first tong arm 110 It states second handle 220 and is equipped with finger ring 300 far from one end of second tong arm 210；First tong arm 110 is far from described The upward bending in one end of one handle 120 forms the first arc clamping head 130, and second tong arm 210 is far from the second handle 220 The upward bending in one end form the second arc clamping head 230, first arc clamping head 130 and second arc clamping head 230 Section is in semicircle shape, and first arc clamping head 130 is bonded with the opposite flank of second arc clamping head 230, is opposite Side is raised in cambered surface outward, and the outer surface of first arc clamping head 130 and second arc clamping head 230 is equipped with Non-slip texture 410；The hinged place of first caliper 100 and second caliper 200 is arranged with flexible support expansion set pipe 500, the support expansion set pipe 500 is coated on the hinged place of first caliper 100 and second caliper 200, the support expansion set Pipe 500 is in a circular table shape and its diameter by first tong arm 110 and 210 side of the second tong arm towards the first handle 120 And 220 side of second handle is gradually increased, the support expansion set pipe 500 is close to the first handle 120 and the second-hand The end face of handle 220 is equipped with two sealing sleeve pipes 510, and two sealing sleeve pipes 510 are sheathed on the first handle 120 and institute respectively It states second handle 220 and is fitted closely respectively with the first handle 120 and the second handle 220, the sealing sleeve pipe 510 are an integral molding structure with the support expansion set pipe 500.

A kind of pylorus operation elastic separating plier provided by the utility model, pylorus operation elastic separating plier are primarily adapted for use in out abdomen and chamber Mirror pyloromyotomy, it is easy to use, without directly entering through stomach wall puncture, the support expansion set pipe through laparoscopic cannula 500 and the design of the sealing sleeve pipe 510 can block puncture in the course of surgery and prevent gas leakage, convenient for subsequent procedures movement into Row, while it being easy assurance dynamics and direction, the probability of mucosal breaks and muscle tear is reduced, the grasp of beginner is easy to；And its Structure is simple, cost is low, applied widely for the application of pediatric surgery, each level hospital；And the non-slip texture 410 Set on the outside of first arc clamping head 130 and second arc clamping head 230, change anti-at common separation bar hold The position of sliding design can increase frictional force when strutting pylorus circular muscle, difficult to slide, firmly more stable.

Further, pylorus operation elastic separating plier is according to hypertrophic pyloric stenosis pathological characteristic and newborn and small The related data of relationship designs and produces near abdominal viscera under baby's pneumoperitoneum, can be not only used for direct under abdominal direct-view The pylorus seromuscular layer that insertion is cut, which struts pylorus circular muscle, makes the complete bulging of pylorus mucous membrane, and can be used for laparoscopic surgery and directly pass through 3mm stomach wall puncture and the pylorus seromuscular layer for being fast and accurately inserted into incision under television monitoring without laparoscopic cannula, strut deep and remote Knocker flesh makes the complete bulging of pylorus mucous membrane.

More specifically, when preparing the utility model, first caliper 100 and second caliper 200 are pacified first It installs, and is arranged a thin slice gum sleeve in the hinged place of first caliper 100 and second caliper 200, for preventing Only the hinged gap of rubber filling in casting process, avoid hindering hingedly matching for first caliper 100 and second caliper 200 It closes, then the hinged place is placed in the support expansion set pipe 500 and the molding die of the sealing sleeve pipe 510, is poured rubber, It finally forms, it should be noted that the support expansion set pipe 500 and hinged place allow there are certain gap error, but described It needs to fit closely between sealing sleeve pipe 510 and the first handle 120 and the second handle 220.

Further, the support expansion set pipe 500 and the sealing sleeve pipe 510 are made of medical grade silicon rubber, the support expansion set Pipe 500 and the sealing sleeve pipe 510 need to have certain elasticity, prevent it from influencing first caliper 100 and described second The progress that is hinged, the movements such as strutting and be closed of caliper 200, therefore select rubber or silica gel to be prepared, and the utility model As medical machinery, therefore select medical grade silicon rubber.

Further, the outer wall of the support expansion set pipe 500 is convexly equipped with multiple parallel and evenly spaced bulge loop 520, described The top surface evagination of bulge loop 520 is in arc surfaced, and the design of the bulge loop 520 can enhance the frictional force of support 500 outer wall of expansion set pipe, Prevent the support expansion set pipe 500 when carrying out distracting action from falling off, it should be noted that the bulge loop 520 and it is described support it is swollen Casing 500 is an integral molding structure.

Further, the section of first arc clamping head 130 and second arc clamping head 230 is in radius The semicircle shape of 1.5mm, the support expansion set pipe 500 exist close to the end face diameter of first tong arm 110 and second tong arm 210 3.1mm~3.3mm；The section of first arc clamping head 130 and second arc clamping head 230 is in that radius is 1.5mm Semicircle shape, can form approximate diameter when first arc clamping head 130 and second arc clamping head 230 fitting is 3mm's Cylinder meets newborn and young infant and often uses hysteroscope penetration hole diameter；And the support expansion set pipe 500 is close to first tong arm 110 And the end face diameter of second tong arm 210 can reduce the support expansion set pipe 500 and first tong arm in 3.1mm~3.3mm Drop between 110 and second tong arm 210, can be with first tong arm 110 and described convenient for the support expansion set pipe 500 Second tong arm 210 is smoothly inserted into puncture.

Further, the support expansion set pipe 500 is close to first arc clamping head 130 and second arc clamping head 230 The edge of the end face of side is equipped with chamfering and seamlessly transits, which can be by first tong arm 110, second tong arm 210 And the drop between the support expansion set pipe 500 is further reduced, it can be with first tong arm convenient for the support expansion set pipe 500 110 and second tong arm 210 smoothly insertion puncture.

Further, the end of first arc clamping head 130 and second arc clamping head 230 is in round end shape, and First tong arm 110, second tong arm 210, first arc clamping head 130 and second arc clamping head 230 rib Round and smooth chamfering is equipped at side；The design has been passivated first tong arm 110, second tong arm 210, first arc folder First 130 and second arc clamping head 230 seamed edge and corner angle, effectively prevent causing secondary damage to patient in surgical procedure.

Further, the angle of first arc clamping head 130 and the 110 plane extended line of the first tong arm be 40 °~ 45°；The angle of second arc clamping head 230 and the 210 plane extended line of the second tong arm is 40 °~45 °；First pincers The hinged place of body 100 and second caliper 200 is to 130 free end of the first arc clamping head and second arc clamping head The linear distance of 230 free ends is between 8cm~10cm；The utility model is mainly used for the hypertrophic pyloric of newborn and baby In operation, above-mentioned design is according to abdominal cavity under hypertrophic pyloric stenosis pathological characteristic and newborn and infant pneumoperitoneum The definitions relevant that the related data of relationship carries out near internal organs facilitates doctor to grasp suitable for the physiological condition of newborn and infant Make.

Further, the angle opposite flank of first arc clamping head 130 and second arc clamping head 230 is all provided with There is skid resistance strip 420；Although the utility model primarily serves separation supporting role, but emergency case Shi Youfa in the course of surgery It is raw, the utility model can also be used when needing to clamp tissue and serve as common clamp use, reduce the time with changing surgical instrument, And the design of the skid resistance strip 420 can increase frictional force, guarantee that clamping is stablized.

Further, as shown in Figure 1, Figure 3, the first handle 120 is equipped with the on the inside of one end of the finger ring 300 One fixture block 121, the second handle 220 are equipped with the second fixture block 221, first folder on the inside of one end of the finger ring 300 The top surface of block 121 and the bottom surface of second fixture block 221 are equipped with inclined zigzag protrusion, second fixture block 221 and institute The first fixture block 121 is stated to be oppositely arranged and be mutually twisted by the zigzag protrusion；First fixture block 121 and described second The zigzag protrusion designed on fixture block 221, which is mutually twisted down, may act as gulleting, in the course of surgery, it is certain unrelated and Useless tissue is excessive to interfere when being normally carried out of operation, can pass through first fixture block 121 being mutually twisted and described second Fixture block 221 is cut off.

The utility model is described with reference to the preferred embodiments, and those skilled in the art know, is not departing from this reality In the case where with novel spirit and scope, various changes or equivalence replacement can be carried out to these features and embodiment.This reality It is not limited to the particular embodiment disclosed with novel, other embodiments fallen into claims hereof all belong to In the range of the utility model protection.

Claims (10)

1. The elastic separating plier 1. a kind of pylorus is performed the operation, including the first caliper (100) and the second caliper (200) being hinged, feature exists In:

   First caliper (100) includes integrally formed first tong arm (110) and first handle (120), second caliper It (200) include integrally formed second tong arm (210) and second handle (220), first caliper (100) and described second are clamped The junction of body (200) first tong arm of Yu Suoshu (110) and the first handle (120), second tong arm (210) and described The junction of second handle (220) is hinged；The first handle (120) is far from one end of first tong arm (110) and described Second handle (220) is equipped with finger ring (300) far from one end of second tong arm (210)；First tong arm (110) is separate The upward bending in one end of the first handle (120) forms the first arc clamping head (130), and second tong arm (210) is far from institute The upward bending in one end for stating second handle (220) forms the second arc clamping head (230), first arc clamping head (130) and institute The section for stating the second arc clamping head (230) is in semicircle shape, and first arc clamping head (130) and second arc clamping head (230) opposite flank fitting, reverse side are raised in cambered surface outward, first arc clamping head (130) and described second The outer surface of arc clamping head (230) is equipped with non-slip texture (410)；

   The hinged place of first caliper (100) and second caliper (200) is arranged with flexible support expansion set pipe (500), support expansion set pipe (500) is coated on the hinged place of first caliper (100) and second caliper (200), institute It is in a circular table shape and its diameter is by first tong arm (110) and second tong arm (210) side court to state support expansion set pipe (500) The first handle (120) and the second handle (220) side are gradually increased, and the support expansion set pipe (500) is close to described the The end face of one handle (120) and the second handle (220) is equipped with two sealing sleeve pipes (510), two sealing sleeve pipes (510) Be sheathed on respectively the first handle (120) and the second handle (220) and respectively with the first handle (120) and institute It states second handle (220) to fit closely, the sealing sleeve pipe (510) is an integral molding structure with the support expansion set pipe (500).
2. The elastic separating plier 2. a kind of pylorus according to claim 1 is performed the operation, it is characterised in that:

   The support expansion set pipe (500) and the sealing sleeve pipe (510) are made of medical grade silicon rubber.
3. The elastic separating plier 3. a kind of pylorus according to claim 1 is performed the operation, it is characterised in that:

   The outer wall of support expansion set pipe (500) is convexly equipped with multiple parallel and evenly spaced bulge loop (520), the bulge loop (520) Top surface evagination be in arc surfaced.
4. The elastic separating plier 4. a kind of pylorus according to claim 1 is performed the operation, it is characterised in that:

   The section of first arc clamping head (130) and second arc clamping head (230) is in the semicircle that radius is 1.5mm Shape, support expansion set pipe (500) is close to the end face diameter of first tong arm (110) and second tong arm (210) in 3.1mm ~3.3mm.
5. The elastic separating plier 5. a kind of pylorus according to claim 1 is performed the operation, it is characterised in that:

   End of support expansion set pipe (500) close to first arc clamping head (130) and second arc clamping head (230) side The edge in face is equipped with chamfering and seamlessly transits.
6. The elastic separating plier 6. a kind of pylorus according to claim 1 is performed the operation, it is characterised in that:

   The end of first arc clamping head (130) and second arc clamping head (230) is in round end shape, and described first clamps Arm (110), second tong arm (210), first arc clamping head (130) and second arc clamping head (230) seamed edge Place is equipped with round and smooth chamfering.
7. The elastic separating plier 7. a kind of pylorus according to claim 1 is performed the operation, it is characterised in that:

   The angle of first arc clamping head (130) and the first tong arm (110) plane extended line is 40 °~45 °；Described The angle of two arc clamping heads (230) and the second tong arm (210) plane extended line is 40 °~45 °.
8. The elastic separating plier 8. a kind of pylorus according to claim 1 is performed the operation, it is characterised in that:

   The hinged place to the first arc clamping head (130) free end of first caliper (100) and second caliper (200) And the linear distance of the second arc clamping head (230) free end is between 8cm~10cm.
9. The elastic separating plier 9. a kind of pylorus according to claim 1 is performed the operation, it is characterised in that:

   The angle opposite flank of first arc clamping head (130) and second arc clamping head (230) is equipped with tread plate Line (420).
10. The elastic separating plier 10. a kind of pylorus according to claim 1 is performed the operation, it is characterised in that:

    The first handle (120) is equipped with the first fixture block (121) on the inside of the one end of the finger ring (300), the second-hand Handle (220) close to the finger ring (300) one end on the inside of be equipped with the second fixture block (221), the top surface of first fixture block (121) and The bottom surface of second fixture block (221) is equipped with inclined zigzag protrusion, second fixture block (221) and first fixture block (121) it is oppositely arranged and is mutually twisted by the zigzag protrusion.