CN209629747U - The disjunctor two-sided clip of hemostasis and suture through digesting endoscope duct - Google Patents

The disjunctor two-sided clip of hemostasis and suture through digesting endoscope duct Download PDF

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CN209629747U
CN209629747U CN201821983221.5U CN201821983221U CN209629747U CN 209629747 U CN209629747 U CN 209629747U CN 201821983221 U CN201821983221 U CN 201821983221U CN 209629747 U CN209629747 U CN 209629747U
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holding frame
clamping
actuator
suture
disjunctor
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张强
白杨
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Abstract

The disjunctor two-sided clip through digesting endoscope duct the utility model discloses a kind of hemostasis and suture, including handle, clamp assemblies and driving assembly, the clamp assemblies include holding frame and two clamping parts, two clamping parts are encircled the two sides in holding frame and are rotatablely connected with holding frame, and the driving component drives two clamping parts that can be respectively relative to holding frame opening and closing;The driving component is detachably connected with the clamp assemblies.The utility model provide it is a kind of hemostasis and suture with through digest endoscope duct disjunctor two-sided clip, two clamping limbs of two-sided clip respectively can individually be opened, clamp and be closed, have the function of that bilateral clamping is closed big Wound Defect, and can easily be separated with driving assembly, the only unilateral clamping of conventional hemostatic clamp is overcome to be difficult to handle the defect of the Wound Defect of large-sized or difficult operating position.

Description

The disjunctor two-sided clip of hemostasis and suture through digesting endoscope duct
Technical field
The utility model relates to the gastrointestinal mucosal defect sutures for medical endoscope treatment operation, including alimentary canal to stop Blood technical field, it is specifically a kind of independently to be opened directly through endoscope work duct and bilateral, clamp, be closed Disjunctor/two-sided scope clamp device.
Background technique
As scope minimal invasive techniques develop, some disease of digestive tracts that surgery opens abdomen or laparoscope processing are previously required to, Such as alimentary canal infantile tumour, it can be in the minimally invasive lower treatment of digestive endoscopy.In scope minimal invasive surgical procedures, gastrointestinal mucosal is lacked Damage suture, including hemorrhage of digestive tract and perforation, are the most common problems.Currently, main defect sewing method to be used has, scope Folder, nylon rope combine endoclip purse string suture and endoscopic suture device (OTSC).Endoclip is relatively inexpensive using simple and expense, but It is that the defect of biggish defect or difficult position is difficult to play repairing effect.OTSC is taken by external expert's utility model With valuableness, operation is more complex, and the training for needing early period could use.It is therefore, a kind of that " hemostasis and suture are with through digesting endoscope hole The disjunctor two-sided clip in road " is designed, which is intended to can be simple and fast and effectively to large digestive tract defect and difficult operation The defect at position is sutured.
Utility model content
The technical problem to be solved by the utility model is to provide a kind of hemostasis and suture with through digestion endoscope duct Two clamping limbs of disjunctor two-sided clip, two-sided clip respectively can individually be opened, clamp and be closed, with bilateral clamping closure lacking greatly The function in damage face, and can easily be separated with driving assembly, the only unilateral clamping of conventional hemostatic clamp is overcome to be difficult to Handle the defect of the Wound Defect of large-sized or difficult operating position.
In order to solve the above technical problems, the technical solution that the utility model uses is:
The utility model provide it is a kind of hemostasis and suture with through digest endoscope duct disjunctor two-sided clip, including handle, Clamp assemblies and driving assembly, the clamp assemblies are set to the front end of handle, and the clamp assemblies include holding frame and two clampings Portion, two clamping parts are encircled the two sides in holding frame and are rotatablely connected with the front end of holding frame, the driving component driving two Clamping part can be respectively relative to holding frame opening and closing;
The driving component is detachably connected with the clamp assemblies.
It further says, the holding frame includes integrally formed center claw bar, interconnecting piece and tail chamber, the connecting portion Between center claw bar and tail chamber, the interconnecting piece is equipped with the first sliding groove of bar shaped, and the first sliding groove is connected to the tail chamber, The interconnecting piece is equipped with the first fixation hole, and the pin hole is set to the front end of first sliding groove;The middle part of the clamping part is equipped with second Fixation hole, the clamping part and the holding frame are rotatablely connected by fixed pin and the sealed realization of the first and second fixation hole.
It further says, the clamping part includes clamping limb and linking arm, and the linking arm and the clamping limb activity connect It connects, the driving component includes actuator, and the actuator is flexibly connected with the linking arm, and the actuator is drivingly connected arm To drive clamping limb to move.
It further says, the rear end of the clamping limb is equipped with third sliding slot, and the both ends of the linking arm are respectively equipped with connection Hole, the actuator are equipped with second sliding slot, and one end of the linking arm is flexibly connected with the clamping limb, the other end and the drive Moving part is flexibly connected, and the actuator is drivingly connected arm and moves back and forth to drive clamping limb along the along the direction of its second sliding slot Three sliding slots move back and forth the opening and closing for realizing clamping limb.
It further says, the clamp assemblies are additionally provided with locking plate, and the tail end two sides of the locking plate are equipped with clamping block, institute State locking plate set on holding frame tail is intracavitary and its clamping block sticks into the lock slots of holding frame and achieves a fixed connection, the locking plate Tail chamber is divided into symmetrical two parts;The two sides of the locking plate are respectively equipped with channel, and the two sides in the channel are set respectively There is locking step, two actuators can be moved along the channel of locking plate respectively.
It further says, the tail end of the linking arm is equipped with elastic slice, the locking step of the locking plate and the linking arm Elastic slice constitutes pawl structures: the elastic slice pushes against locking step to prevent linking arm from moving forward, actuator Forward can extrusion elastic from And release the locking between elastic slice and locking step.
It further says, is detachably connected between the driving component and the clamp assemblies by linking up with realization.
Further to say, the driving component further includes two flexible axles, it is respectively equipped with release ring in two hook arm of the hook, The front end of two flexible axle is each passed through release ring connection actuator, and the front end of the actuator is equipped with fracture zone.
The beneficial effects of the utility model at least have the following:
The utility model include two clamping parts and holding frame, two clamping parts encircle the two sides in holding frame and with holding frame Front end rotation connection, driving assembly drive two clamping parts that can be respectively relative to holding frame and open, are closed and lock, this is practical new The two-sided clip of type directly through endoscope work duct and can realize that bilateral clamps, can be first with two-sided clip for Wound Defect One lateral holding portion and holding frame clamp the one side edge of wound, then draw another side edge of wound, then clamped with the other side Portion and holding frame clamp another side edge of wound, finally realize the clamping closure to Wound Defect, simple and fast, effectively The only unilateral clamping of conventional hemostatic clamp is solved to be difficult to handle the Wound Defect of large-sized or difficult operating position Problem, and can easily be separated with driving assembly, greatly facilitate the surgical procedure of doctor.
Detailed description of the invention
Fig. 1 is the structural schematic diagram one (main view) of the utility model;
Fig. 2 is the structural schematic diagram two (top view) of the utility model;
Fig. 3 is the structural schematic diagram one (side clamping) of single open state of the utility model;
Fig. 4 is the structural schematic diagram two (bilateral clamping) of single open state of the utility model;
Fig. 5 is the structural schematic diagram one (main view) of the closed state of the utility model;
Fig. 6 is the structural schematic diagram two (top view) of the closed state of the utility model;
Fig. 7 is the structural schematic diagram of the release conditions of the utility model;
Fig. 8 is the structural schematic diagram of the clamping limb of the utility model;
Fig. 9 is the structural schematic diagram of the holding frame of the utility model;
Figure 10 is the structural schematic diagram of the fixed pin of the utility model;
Figure 11 is the structural schematic diagram of the linking arm of the utility model;
Figure 12 is the structural schematic diagram of the locking plate of the utility model;
Figure 13 is the structural schematic diagram of the actuator of the utility model;
Figure 14 is the structural schematic diagram of the holder of the utility model;
Figure 15 is the structural schematic diagram of the release ring of the utility model;
The appended drawing reference of each section is as follows in figure:
Clamp assemblies 10, clamping limb 11, gripper jaw 11a, the second fixation hole 11b, third sliding slot 11c, holding frame 12, center Claw bar 12a, the first fixation hole 12b, first sliding groove 12c, tail chamber 12d, the through-hole 12e of holding frame, lock slots 12f, fixed pin 13, Linking arm 14, front end connecting hole 14a, tail end connecting hole 14b, elastic slice 14c, the first pin shaft 15, the first shank 15a, first flange 15b, the first pin cap 15c, the second pin shaft 16, the second shank 16a, the second pin cap 16c, locking plate 17, locking step 17a, channel 17b, clamping block 17c, driving assembly 20, actuator 21, second sliding slot 21a, the tail portion 21b of actuator, fracture zone 21c, flexible axle 22, holder 23, the through-hole 23b of holder, hook 24, spring hose 25, handle 26, slip ring 27 and release ring 28.
Specific embodiment
The following examples illustrate the utility model, but is not intended to limit the scope of the present invention.Without departing substantially from this In the case where utility model spirit and essence, to modifications or substitutions made by the utility model method, step or condition, belong to The protection scope of the utility model.
Embodiment: a kind of to stop blooding and suture with the disjunctor two-sided clip through digesting endoscope duct, as shown in Fig. 1-Figure 15, packet Handle 26, clamp assemblies 10 and driving assembly 20 are included, the clamp assemblies are set to the front end of handle, and the clamp assemblies include folder Frame 12 and two clamping parts are held, two clamping parts are encircled the two sides in holding frame and are rotatablely connected with the front end of holding frame, described Driving assembly drives two clamping parts that can be respectively relative to holding frame opening and closing;
The driving component is detachably connected with the clamp assemblies.
The holding frame 12 include integrally formed center claw bar 12a, interconnecting piece and tail chamber 12d, the connecting portion in Between center claw bar and tail chamber, the interconnecting piece is equipped with the first sliding groove 12c of bar shaped, and the first sliding groove and the tail chamber connect Logical, the interconnecting piece is equipped with the first fixation hole 12b, and the pin hole is set to the front end of first sliding groove;It is set in the middle part of the clamping part There is the second fixation hole 11b, the clamping part and the holding frame pass through fixed pin 13 and the first fixation hole, the sealed reality of two fixation holes Now it is rotatablely connected.
The clamping part includes clamping limb 11 and linking arm 14, and the linking arm is flexibly connected with the clamping limb, described Driving assembly 20 includes actuator 21, and the actuator is flexibly connected with the linking arm, the actuator drive connection arm from And clamping limb is driven to move.
The center prongs bar of the clamping limb and holding frame forms bilateral clamp structure, is used for trapping human's mucosal tissue.
The rear end of the clamping limb 11 is equipped with third sliding slot 11c, and the both ends of the linking arm are respectively equipped with connecting hole and divide Not Wei front end connecting hole 14a and tail end connecting hole 14b, the actuator be equipped with second sliding slot 21a, one end of the linking arm with The clamping limb is flexibly connected by the first pin shaft 15, and the other end is flexibly connected with the actuator by the second pin shaft 16, institute Actuator drive connection arm is stated to move back and forth that clamping limb is driven to move back and forth along third sliding slot along the direction of its second sliding slot Realize the opening and closing of clamping limb.
It is equipped with respectively between the front end connecting hole 14a of two linking arms 14 and the third sliding slot 11c of two clamping limbs 11 First pin shaft 15, which is formed, to be flexibly connected, and the first pin shaft 15 can slide in the third sliding slot 11c of clamping limb 11, and two linking arms 14 divide Be not limited to the limitation of the tail chamber 12d and locking plate 17 of holding frame 12, can only do axial linear movement, linking arm 14 be connected Clamping limb 11 can relative translation and rotation in same limited plane.
The third sliding slot is arc groove.
First pin shaft 15 is made of the pin of the first shank 15a and first cap 15c, the first pin on the first shank 15a The clamping limb 11 and linking arm 14 that the pin of body 15a and first cap 15c connects it are formed and are flexibly connected, and the first shank 15a is placed in folder The first sliding groove 12c formation for holding frame is slidably connected.
Second pin shaft 16 is made of the pin of the second shank 16a and second cap 16c, the flange 16b on the second shank 16a It is formed and is flexibly connected with the second pin cap 16c linking arm 14 for connecting it and actuator 21, the second shank 16a is placed in actuator 21 Second sliding slot 21a formation be slidably connected.
The clamp assemblies are additionally provided with locking plate 17, and the tail end two sides of the locking plate are equipped with clamping block 17c, the locking The lock slots 12f that piece is set to the tail chamber center of holding frame and its clamping block sticks into holding frame achieves a fixed connection, the locking plate Tail chamber 12d is divided into symmetrical two parts by 17, accommodates linking arm and actuator respectively;The two sides of the locking plate are set respectively Have a channel 17b, the two sides in the channel are respectively equipped with locking step 17a, two actuators be located at the two sides of locking plate and It can be moved respectively along the channel of locking plate.
Linking arm and actuator are all limited to the limitation of the tail chamber 12d and locking plate 17 of holding frame, can only do axial straight line Movement, clamping part can relative translation and rotation in same limited plane.
The tail end of the linking arm sets flexible elastic slice 14c, the bullet of the locking step of the locking plate and the linking arm Piece constitutes pawl structures: the elastic slice pushes against locking step to prevent linking arm Forward from locking the clamping being connected with linking arm 14 in turn Portion 11 remains closed linking arm;Actuator Forward can extrusion elastic to release between elastic slice and locking step locking driving Part 21, which continues Forward, successively linking arm to be pushed to move forward, the third sliding slot of the first pin shaft of linking arm front end in linking arm Sliding in 11c makes clamping part 11 around the rotation of fixed pin 13, opens linking arm 11.
It is realized and is detachably connected by hook 24 between the driving component and the clamp assemblies.
The driving component further includes two flexible axles 22, and release ring 28 is respectively equipped on two hook arm 24b of the hook, described The front end of two flexible axles is each passed through release ring connection actuator, and the front end of the actuator is equipped with fracture zone 21c, the flexible axle Rear end is separately connected slip ring 27, and the slip ring is placed on handle, and the rear end connecting spring hose 25 of the holder, described two is soft It is located in spring hose, pulls slip ring to be broken the actuator under predetermined pull effect, continue the actuator moved back Tail portion 21b successively drives release ring 28 and hook 24 to move back, and hook 24 is successively from the through-hole 12e of holding frame and the through-hole of holder It is detached from 23b, holding frame 12 is removed with the connection of holder 23 and separated.
It is pushed forward slip ring, successively pushes flexible axle 22 and actuator 21 to move forward, actuator 21 advances through the channel of locking plate 17 17b, actuator 21 move forward with respect to linking arm 14, depress the elastic slice 14c, the elastic slice 14c and locking plate of linking arm 14 of linking arm 14 Latch-release between 17 locking step 17a, the Forward of linking arm 14 push the first pin shaft 15 in the third sliding slot 11c of clamping limb 11 It moves forward internally, drives 11 Unscrew of clamping limb, the gripper jaw 11a of clamping limb 11 and the center claw bar 12a of holding frame 12 are formed and opened Mouth is opened, in order to subsequent trapping human's mucosal tissue.
When two-sided clip is opened, linking arm is located at the outside of support tail chamber.
It pulls back the slip ring 27, can successively pull flexible axle 22 and actuator 21 and linking arm 14, the first pin shaft of linking arm 15 move back in the third sliding slot 11c of clamping limb 11, drive clamping limb 11 rotating closed, the gripper jaw 11a and folder of clamping limb 11 The center claw bar 12a formation for holding frame 12 dehisces to be closed, and closure clamps human body mucosal tissue;
When two-sided clip is closed, one end of linking arm is located at the outside of support tail chamber, and it is intracavitary that the other end is located at tail.
Continue post-tensioning actuator 21, actuator 21 is moved back with respect to linking arm 14, and the elastic slice 14c of linking arm 14 loses actuator 21 pressure bounce, the elastic slice 14c clamping lock of linking arm 14 is on the locking step 17a of locking plate 17, linking arm 14, the first pin shaft 15 It keeps relative position motionless with clamping limb 11 and locks.
It is persistently pulled back actuator 21 with bigger pull-back forces, the narrow fracture zone 21c fracture in 21 front of actuator continues to move back The tail portion 21b of actuator successively drive release ring 28 and hook 24 to move back, hook 24 is successively from the through-hole 12e of holding frame and folder It is detached from the through-hole 23b of seat, holding frame 12 is removed with the connection of holder 23 and separated.
Obviously, the above embodiments are merely examples for clarifying the description, and does not limit the embodiments.It is right For those skilled in the art, other various forms of variations or change can also be made on the basis of the above description It is dynamic.Here without exhaustion.And the guarantor that obvious changes or variations extended from this are created still in the utility model It protects among range.

Claims (8)

1. a kind of disjunctor two-sided clip of hemostasis and suture through digesting endoscope duct, it is characterised in that: including handle (26), folder Component (10) and driving assembly (20) are held, the clamp assemblies are set to the front end of handle, and the clamp assemblies include holding frame (12) two sides in holding frame are encircled and are rotatablely connected with holding frame, the driving component with two clamping parts, two clamping parts Drive two clamping parts that can be respectively relative to holding frame opening and closing;
The driving component is detachably connected with the clamp assemblies.
2. the disjunctor two-sided clip of hemostasis according to claim 1 and suture through digesting endoscope duct, it is characterised in that: The holding frame (12) includes integrally formed center claw bar (12a), interconnecting piece and tail chamber (12d), and the connecting portion is in Between heart claw bar and tail chamber, the interconnecting piece is equipped with the first sliding groove (12c) of bar shaped, and the first sliding groove and the tail chamber connect Logical, the interconnecting piece is equipped with the first fixation hole (12b), and first fixation hole is set to the front end of first sliding groove;The clamping part Equipped with the second fixation hole (11b), the clamping part and the holding frame pass through fixed pin (13) and the sealed reality of the first and second fixation hole Now it is rotatablely connected.
3. the disjunctor two-sided clip of hemostasis according to claim 1 and suture through digesting endoscope duct, it is characterised in that: The clamping part includes clamping limb (11) and linking arm (14), and the linking arm is flexibly connected with the clamping limb, the driving Component (20) includes actuator (21), and the actuator is flexibly connected with the linking arm, the actuator be drivingly connected arm from And clamping limb is driven to move.
4. the disjunctor two-sided clip of hemostasis according to claim 3 and suture through digesting endoscope duct, it is characterised in that: The rear end of the clamping limb (11) be equipped with third sliding slot (11c), the both ends of the linking arm be respectively equipped with connecting hole (14a, 14b), the actuator is equipped with second sliding slot (21a), and one end of the linking arm is flexibly connected with the clamping limb, the other end It is flexibly connected with the actuator, the actuator is drivingly connected arm and moves back and forth to drive folder along the direction of its second sliding slot Gripping arm moves back and forth the opening and closing for realizing clamping limb along third sliding slot.
5. the disjunctor two-sided clip of hemostasis according to claim 3 and suture through digesting endoscope duct, it is characterised in that: The clamp assemblies are additionally provided with locking plate (17), and the tail end two sides of the locking plate are equipped with clamping block (17c), and the locking plate is set The lock slots (12f) that and its clamping block intracavitary in the tail of holding frame sticks into holding frame achieve a fixed connection, the locking plate (17) Tail chamber (12d) is divided into symmetrical two parts;The two sides of the locking plate are respectively equipped with channel (17b), the channel Two sides are respectively equipped with locking step (17a), and two actuators can be moved along the channel of locking plate respectively.
6. the disjunctor two-sided clip of hemostasis according to claim 5 and suture through digesting endoscope duct, it is characterised in that: The tail end of the linking arm is equipped with elastic slice (14c), and the elastic slice of the locking step of the locking plate and the linking arm constitutes pawl knot Structure: the elastic slice pushes against locking step to prevent linking arm from moving forward, actuator Forward can extrusion elastic to release elastic slice and lock Determine the locking between platform.
7. the disjunctor two-sided clip of hemostasis according to claim 1 and suture through digesting endoscope duct, it is characterised in that: It is realized and is detachably connected by hook (24) between the driving component and the clamp assemblies.
8. the disjunctor two-sided clip of hemostasis according to claim 7 and suture through digesting endoscope duct, it is characterised in that: The driving component further includes two flexible axles (22), and release ring (28), two flexible axle are respectively equipped in two hook arm of the hook Front end be each passed through release ring connection actuator, the front end of the actuator is equipped with fracture zone (21c).
CN201821983221.5U 2018-11-29 2018-11-29 The disjunctor two-sided clip of hemostasis and suture through digesting endoscope duct Active CN209629747U (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109350171A (en) * 2018-11-29 2019-02-19 张强 Hemostasis and suture disjunctor two-sided clip and operating method through digesting endoscope duct
WO2021184969A1 (en) * 2020-03-18 2021-09-23 南微医学科技股份有限公司 Endoscope channel suture clip

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109350171A (en) * 2018-11-29 2019-02-19 张强 Hemostasis and suture disjunctor two-sided clip and operating method through digesting endoscope duct
CN109350171B (en) * 2018-11-29 2024-04-12 张强 Conjoined double-sided clip for hemostasis and suturing through-digestive endoscope duct and operation method
US12096942B2 (en) 2018-11-29 2024-09-24 Micro-Tech (Nanjing) Co., Ltd. Hemostasis and suturing conjoined dual-clamp capable of passing through channel of digestive endoscope and operation method
WO2021184969A1 (en) * 2020-03-18 2021-09-23 南微医学科技股份有限公司 Endoscope channel suture clip

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