CN212186623U

CN212186623U - Multifunctional operating forceps

Info

Publication number: CN212186623U
Application number: CN202020404305.XU
Authority: CN
Inventors: 马春华; 鲁静; 马金; 王婧; 冯国惠; 王琳; 昆多孜·乌赛那洪
Original assignee: Peoples Hospital of Xinjiang Uygur Autonomous Region
Current assignee: Peoples Hospital of Xinjiang Uygur Autonomous Region
Priority date: 2020-03-26
Filing date: 2020-03-26
Publication date: 2020-12-22
Anticipated expiration: 2030-03-26

Abstract

The utility model relates to the technical field of medical equipment, a multi-functional operation pincers, it includes preceding tong bar, back tong bar, preceding control rod, the back control rod, preceding tong bar, the right side afterbody of back tong bar is first ring of a body coupling respectively, the second ring, movably in the preceding control rod alternates in the sleeve on preceding tong bar, the left end body coupling of preceding control rod has the bellied arc that makes progress to lift palace pole, be provided with the clamping device that can inject preceding control rod activity on the preceding tong bar of first ring department, the back control rod sets up the rear side at back tong bar, the left end of back control rod articulates there is the arc top piece of undercut, be provided with the locking device that can inject the removal about the back control rod on the spout. The utility model has the advantages of reasonable and compact structure, the collection lifts uterus and back fornix function as an organic whole, simple structure, low in cost, convenient to use both can 360 lift uterus, swing uterus, also can expose the position of fornix to abdominal cavity one side, has very strong practicality.

Description

Multifunctional operating forceps

Technical Field

The utility model relates to the technical field of medical equipment, in particular to a multifunctional operating forceps.

Background

When hysteromyoma strips under the peritoneoscope, perhaps when carrying out the operation under the peritoneoscope of ovary operation, separation uterus rear pelvic cavity adhesion, what often used is that the palace ware is lifted to the pincers formula, and the lift palace pole length of current pincers formula uterus ware is fixed, during the use, the pincers of clamping portion clamp in lip department before the cervix, lift the palace pole and go deep into the palace chamber and lift up the uterus to expose the art wild, but every women's palace chamber is not of uniform size, consequently can appear following phenomenon: when the uterus is too large, the uterus lifting effect is not good due to the short uterus lifting rod; when the uterus is small and the uterus lifting rod is relatively long, the forceps can not be normally clamped on the anterior lip of the cervix. The uterus lifting cup can be widely used in hysterectomy under a laparoscope, a central guide rod penetrates through the interior of the uterus lifting cup and extends into a uterine cavity, the uterus lifting cup is used for containing a cervix and is used for pushing a uterus to an abdominal cavity, the purposes of full exposure and direction control are achieved, and particularly, a back fornix needs to be cut along the contour of a cup opening of the uterus lifting cup to resect the uterus in the laparoscopic total hysterectomy. In middle-aged and old women after menopause, the vagina and the cervix can be physically atrophied, the vagina can become narrow, the existing full-cup uterine lifting cup cannot be suitable for patients of the type, so that only one gauze ball can be plugged to lift the uterus relevantly, and adjacent organs (bladder, ureter and vagina) are easily damaged in the operation process.

Disclosure of Invention

The utility model provides a multi-functional operation pincers, overcome above-mentioned prior art not enough, its can effectively solve present pincers type and lift palace pole length of uterus ware fixed and can not rotate, cause the problem of inconvenient use among the operation process, it can also effectively solve present whole cup and lift palace cup and be difficult to enter into patient's when facing the constrictive female patient in vagina internal, and then can't lift, expose the problem to fornix's tissue.

The purpose of the application is realized as follows: the multifunctional surgical forceps comprises a front forceps rod, a rear forceps rod, a front operating lever and a rear operating lever, wherein the front forceps rod and the rear forceps rod are hinged together in an X shape by arranging a hinge shaft, the right tail parts of the front forceps rod and the rear forceps rod are respectively and integrally connected with a first finger ring and a second finger ring, the left clamping parts of the front forceps rod and the rear forceps rod are respectively and integrally connected with a first forceps tooth and a second forceps tooth which correspond to each other, a plurality of sleeves are arranged at intervals along the length direction of the front end face of the front forceps rod, the front operating lever is movably inserted in the sleeves, the left outer extending end of the front operating lever is integrally connected with an arc-shaped uterus lifting rod which protrudes upwards, the right outer extending end of the front operating lever is integrally connected with a handle, the front forceps rod at the position of the first finger ring is provided with a clamping device which can limit the movement of the front operating lever, the rear operating lever is arranged at the rear side of the rear forceps, the inner side of the arc-shaped top plate is provided with a swing rod, one end of the swing rod is hinged with the inner side arc surface of the arc-shaped top plate, the other end of the swing rod is hinged with the rear clamp lever on the left side of the hinged shaft, a long strip-shaped sliding groove which is low in left and high in right is arranged on the rear clamp lever at the second finger ring, and a locking device which can limit the left and right movement of the rear operating lever is arranged on.

The following are further optimization or/and improvement of the technical scheme of the utility model: furthermore, locking device includes slide bar, hood, spacing piece, and the slide bar is perpendicular and the activity alternates on the control rod of back, and the spout is worn to establish and is stretched out outward by the front side of slide bar, and the control rod of back is stretched out outward to the rear side of slide bar, and fixedly connected with pastes the spacing piece in the spout front side on the front side of slide bar stretches out outward, and threaded connection has the hood so that the control rod of back is blocked tightly between back tong pole and hood on the rear side of slide bar stretches out outward.

Furthermore, the bodies of the first finger ring and the second finger ring are integrally connected with locking teeth which correspond to each other.

Furthermore, the clamping device comprises a U-shaped clamping part and a screw rod, one side of the U-shaped clamping part is a long side, the other side of the U-shaped clamping part is a short side, the long side of the U-shaped clamping part is fixedly connected with the first ring, the screw rod is in threaded connection between the long side and the short side of the U-shaped clamping part, and the front operating lever is clamped in the U-shaped clamping part through the screw rod.

Furthermore, the left end of the arc-shaped uterus lifting rod is fixedly connected with a transition round bulge.

The utility model has reasonable and compact structure, integrates the functions of lifting uterus and fornix, when different parts of the uterus are required to be exposed, the arc-shaped uterus lifting rod can rotate in the uterus only by twisting the front operating lever through the handle, the uterus can be lifted and swung at 360 degrees without changing the position of the clamp for clamping the cervix, and in the process, if the length of the arc-shaped uterus lifting rod is not suitable, the extension length of the arc-shaped uterus lifting rod in the uterus can be adjusted by pulling and pushing the front operating lever; if the fornix position of the vagina needs to be exposed in the operation process, after the first forceps teeth and the second forceps teeth are clamped on the cervical orifice, a doctor can push the locking device leftwards along the sliding groove, so that the rear operating lever and the swing rod can generate an opening moment on the arc-shaped top plate, the arc-shaped top plate in a folded state is gradually opened under the moment and finally sleeved on the outer side of the cervix, the arc surface on the outer side of the arc-shaped top plate can gradually open the vagina at the moment to better expose the operation visual field on one side of the vagina, and the arc-shaped top plate can generate a pushing action towards the deep part of the vagina along with the continuous pushing downwards of the locking device, so that the fornix is pushed towards one side of the abdominal cavity, the purposes of fully exposing and controlling the direction are achieved, the damage to adjacent visceral organs (bladder, ureter and vagina) in the operation process is avoided, and.

Drawings

The specific structure of the application is given by the following figures and examples:

FIG. 1 is a schematic structural view of a closed state of a multifunctional surgical clamp;

FIG. 2 is a schematic structural view of the multifunctional surgical clamp in an open state;

FIG. 3 is a schematic structural view of the front joystick;

FIG. 4 is a partial left side view schematic of the clamping assembly;

fig. 5 is a structural schematic diagram of the multifunctional surgical clamp in a use state.

Legend: 1. front forceps rod, 2, rear forceps rod, 3, front operating rod, 4, rear operating rod, 5, first ring, 6, second ring, 7, first forceps tooth, 8, second forceps tooth, 9, sleeve, 10, arc uterine lifting rod, 11, handle, 12, clamping device, 1201, long edge, 1202, short edge, 1203, screw rod, 13, arc top plate, 14, swing rod, 15, articulated shaft, 16, chute, 17, slide rod, 18, top cap, 19, limiting piece, 20, locking tooth, 21, transition round convex, 22, vagina, 23, fornix, 24 and uterus.

Detailed Description

The present application is not limited to the following examples, and specific implementations may be determined according to the technical solutions and practical situations of the present application.

In the present invention, for convenience of description, the description of the relative position relationship of the components is described according to the layout mode of the attached drawing 1 in the specification, such as: the positional relationship of up, down, left, right, etc. is determined in accordance with the layout direction of fig. 1 in the specification.

The invention will be further described with reference to the following examples and drawings, in which: as shown in the attached figures 1 to 5, the multifunctional surgical forceps comprises a front forceps rod 1, a rear forceps rod 2, a front operating lever 3 and a rear operating lever 4, wherein the front forceps rod 1 and the rear forceps rod 2 are hinged together in an X shape by arranging a hinge shaft 15, the right tail parts of the front forceps rod 1 and the rear forceps rod 2 are respectively and integrally connected with a first finger ring 5 and a second finger ring 6, the left clamping parts of the front forceps rod 1 and the rear forceps rod 2 are respectively and integrally connected with a first forceps tooth 7 and a second forceps tooth 8 which correspond to each other, a plurality of sleeves 9 are arranged at intervals along the length direction of the front end surface of the front forceps rod 1, the front operating lever 3 is movably inserted in the sleeves 9, the left overhanging end of the front operating lever 3 is integrally connected with an arc uterine lifting rod 10 which protrudes upwards, the right overhanging end of the front operating lever 3 is integrally connected with a handle 11, a clamping device 12 which can limit the movement of the front operating lever 3 is arranged on the front forceps rod 1 at the position, the rear operating lever 4 is arranged at the rear side of the rear clamp lever 2, the left end of the rear operating lever 4 is hinged with a downward-sunken arc-shaped top plate 13, the inner side of the arc-shaped top plate 13 is provided with a swing rod 14, one end of the swing rod 14 is hinged with the inner arc surface of the arc-shaped top plate 13, the other end of the swing rod 14 is hinged with the rear clamp lever 2 at the left side of a hinge shaft 15, a long strip-shaped sliding groove 16 with a lower left side and a higher right side is arranged on the rear clamp lever 2 at the second finger ring 6, and a locking device capable of limiting the.

The utility model discloses a use as follows: after the perineal vagina 22 is disinfected, the thumb of the right hand of a user is placed in the second finger ring 6, the index finger or the middle finger of the right hand is placed in the first finger ring 5, the whole device is grasped, a forceps body consisting of the front forceps rod 1 and the rear forceps rod 2 firstly enters the vagina 22 of the patient in a completely closed state, the arc-shaped uterus lifting rod 10 enters the uterus 24 through the cervical orifice along with the gradual deepening of the forceps body, the user can relatively rotate the front forceps rod 1 and the rear forceps rod 2 to adjust the opening angle between the front forceps rod 1 and the rear forceps rod 2 by controlling the bending and stretching of the fingers, and the first forceps teeth 7 and the second forceps teeth 8 are finally occluded and fix the cervix at the outer edge of the cervical orifice to prevent the forceps body from falling off and influencing the normal operation.

The effect that palace pole 10 was lifted to arc is uterus 24, when the different positions of uterus 24 need be exposed, only need to twist front control rod 3 through handle 11, just can make palace pole 10 take place the rotation in uterus 24 is lifted to arc, need not change the position of the pincers body centre gripping cervix, just can 360 lift uterus 24, swing uterus 24, at this in-process, if the length that palace pole 10 was lifted to arc is improper, can lift the overhanging length of palace pole 10 in uterus 24 with the mode adjustment that the control rod 3 was lifted to arc with taking out, push away front, it can to fix the position of front control rod 3 through clamping device 12 at last. Compare among the prior art lift palace pole length fixed and can not the pivoted design, the utility model discloses a flexible and rotation of 10 length of palace poles are lifted to arc has satisfied the palace requirement of lifting of equidimension palace chamber not, and accommodation is wider, and it is better to lift the palace effect, can expose the operation field of vision better, makes things convenient for doctor's operation.

If the position of the dome 23 in the vagina 22 needs to be exposed in the operation process, after the first forceps teeth 7 and the second forceps teeth 8 are clamped between the cervical orifice, the fixing of the rear operating rod 4 can be released through the locking device, a doctor pushes the locking device leftwards along the sliding groove 16, the rear operating rod 4 and the swing rod 14 can generate an opening moment on the arc-shaped top plate 13, the arc-shaped top plate 13 in the folded state is gradually opened under the moment, and is finally sleeved outside the cervix, the arc-shaped surface of the outer side of the arc-shaped top plate 13 can gradually open the vagina 22 at the moment so as to better expose the operation visual field on one side of the vagina 22, and as the locking device is continuously pushed leftwards, the arc-shaped top plate 13 can generate an action of pressing towards the deep part of the vagina 22 to push the dome 23 towards the abdominal cavity side, so as to achieve the purposes of full exposure and direction control, and avoid damaging the adjacent organs (bladder, ureter, vagina 22), especially when the full uterus 24 excision of peritoneoscope, can follow the left side edge profile cutting fornix of arc top plate 13 in order to excise uterus 24, according to the cervical diameter variation of different people, can prepare in advance that the suitable arc top plate 13 of size is installed the utility model discloses on. When the forceps body composed of the front forceps rod 1 and the rear forceps rod 2 enters the vagina 22 of a patient in a completely closed state, the arc-shaped top plate 13 controlled by the rear operating rod 4 is also in a folded state, the arc-shaped surface of the inner side of the arc-shaped top plate 13 is tightly attached to the lower end of the left clamping part of the rear forceps rod 2, so that even for old people with atrophic vagina 22, as long as the forceps body in the closed state can enter the vagina 22, the arc-shaped top plate 13 can enter along with the vagina, and the arc-shaped top plate 13 is an arc-shaped curved surface not larger than 180 degrees.

The utility model discloses the function that collects lift uterus 24 and fornix 23 is as an organic whole, simple structure, low in cost, convenient to use both can 360 lift uterus 24, swing uterus 24, also can expose the position of fornix 23 to abdominal cavity one side, has very strong practicality.

According to the actual needs, the multifunctional surgical clamp is further optimized or/and improved: further, as shown in fig. 1, 2, 3, and 5, the locking device includes a sliding rod 17, a top cap 18, and a limiting piece 19, the sliding rod 17 vertically and movably penetrates the rear operating rod 4, a sliding slot 16 penetrates and extends outward from a front side of the sliding rod 17, the rear operating rod 4 extends outward from a rear side of the sliding rod 17, the limiting piece 19 attached to a front side of the sliding slot 16 is fixedly connected to an outward extending end of the front side of the sliding rod 17, and the top cap 18 is connected to the outward extending end of the rear side of the sliding rod 17 through a screw thread so that the rear operating rod 4 is tightly clamped between the rear clamp rod 2 and the top cap 18.

When the degree of opening of arc top piece 13 needs to be adjusted, unscrew hood 18, then push left or push right along spout 16, just can be through the degree of opening and shutting of back control rod 4 and pendulum rod 14 control arc top piece 13, when the degree of opening and shutting of needs fixed arc top piece 13, only need screw up hood 18 once more can, this locking device simple structure, very easy realization, the utility model discloses contain but not limited to this kind of technical scheme.

Further, as shown in fig. 1, 2 and 5, the body of the first finger ring 5 and the body of the second finger ring 6 are integrally connected with locking teeth 20 corresponding to each other.

The locking teeth 20 are known in the prior art, the structure can be seen from the surgical scissors, the surgical forceps and other similar devices, and the two locking teeth 20 are mutually clamped, so that the included angle between the front forceps rod 1 and the rear forceps rod 2 can be maintained at a certain angle, manpower is liberated, and the smooth operation is facilitated.

Further, as shown in fig. 1, 2 and 4, the clamping device 12 includes a U-shaped clamping portion and a screw 1203, one side of the U-shaped clamping portion is a long side 1201, the other side of the U-shaped clamping portion is a short side 1202, the long side 1201 of the U-shaped clamping portion is fixedly connected with the first finger ring 5, the screw 1203 is screwed between the long side 1201 and the short side 1202 of the U-shaped clamping portion, and the front operating lever 3 is clamped in the U-shaped clamping portion through the screw 1203.

When the overhanging length of uterus pole 10 is lifted to needs adjustment arc or the angle of lifting uterus 24, unscrew the screw rod 1203 in the U-shaped clamping portion, make preceding control rod 3 can freely rotate in the U-shaped clamping portion and control flexible, the doctor adjusts according to actual user demand, the back is accomplished in the adjustment, screws up screw rod 1203 and can realize the locking of preceding control rod 3, this clamping device 12 simple structure, very easy realization, the utility model discloses contain but not limited to this kind of technical scheme. For convenience of use, the screw 1203 is a screw with a knob.

Further, as shown in fig. 1, 2 and 5, a transition round protrusion 21 is fixedly connected to the left end of the arc-shaped womb lifting rod 10.

Preceding claw beam 1, back claw beam 2, preceding control rod 3, back control rod 4, first ring 5, second finger ring 6, pendulum rod 14, palace pole 10 is lifted to the arc, first tong tooth 7, second tong tooth 8, sleeve 9, transition dome 21 are generally made by stainless steel material, and the surface of these parts is mellow and smooth, no burr, can not cause the damage to patient's tissue, and corrosion-resistant also be convenient for disinfect the device and reuse, transition dome 21's mellow and full appearance can not stab uterus 24 inner walls yet, further ensured the utility model discloses a security. The arc top plate 13 is preferably a non-conductive sheet structure, such as a ceramic sheet, so as to further ensure the safety of the utility model, and avoid the occurrence of electric conduction when using the electric cutting equipment in the operation.

The foregoing description is by way of example only and is not intended as limiting the embodiments of the present application. All obvious variations and modifications of the present invention are within the scope of the present invention.

Claims

1. A multifunctional surgical clamp is characterized by comprising a front clamp rod, a rear clamp rod, a front operating rod and a rear operating rod, wherein the front clamp rod and the rear clamp rod are hinged together in an X shape by arranging a hinge shaft, the right tail parts of the front clamp rod and the rear clamp rod are respectively and integrally connected with a first finger ring and a second finger ring, the left clamping parts of the front clamp rod and the rear clamp rod are respectively and integrally connected with a first clamp tooth and a second clamp tooth which correspond to each other, a plurality of sleeves are arranged along the length direction of the front end surface of the front clamp rod at intervals, the front operating rod is movably inserted in the sleeves, the left overhanging end of the front operating rod is integrally connected with an arc-shaped uterus lifting rod which protrudes upwards, the right overhanging end of the front operating rod is integrally connected with a handle, a clamping device which can limit the movement of the front operating rod is arranged on the front clamp rod at the position of the first finger ring, the rear operating rod is arranged at the rear side of the rear clamp rod, and the left, the inner side of the arc-shaped top plate is provided with a swing rod, one end of the swing rod is hinged with the inner side arc surface of the arc-shaped top plate, the other end of the swing rod is hinged with the rear clamp lever on the left side of the hinged shaft, a long strip-shaped sliding groove which is low in left and high in right is arranged on the rear clamp lever at the second finger ring, and a locking device which can limit the left and right movement of the rear operating lever is arranged on.

2. The multi-functional surgical forceps as claimed in claim 1, wherein the locking device comprises a slide bar, a top cap, and a position-limiting plate, the slide bar is vertically and movably inserted into the rear operating lever, the front side of the slide bar is inserted into and extends out of the slide groove, the rear side of the slide bar extends out of the rear operating lever, the position-limiting plate attached to the front side of the slide groove is fixedly connected to the front side of the slide bar, and the top cap is threadedly connected to the rear side of the slide bar so that the rear operating lever is tightly clamped between the rear forceps rod and the top cap.

3. The multifunctional forceps according to claim 1 or 2, wherein the bodies of the first finger ring and the second finger ring are integrally connected with locking teeth corresponding to each other.

4. The multifunctional surgical clamp according to claim 1 or 2, wherein the clamping device comprises a U-shaped clamping portion and a screw, one side of the U-shaped clamping portion is a long side, the other side of the U-shaped clamping portion is a short side, the long side of the U-shaped clamping portion is fixedly connected with the first finger ring, the screw is in threaded connection between the long side and the short side of the U-shaped clamping portion, and the front operating lever is clamped in the U-shaped clamping portion through the screw.

5. The multifunctional surgical clamp according to claim 3, wherein the clamping device comprises a U-shaped clamping portion and a screw, one side of the U-shaped clamping portion is a long side, the other side of the U-shaped clamping portion is a short side, the long side of the U-shaped clamping portion is fixedly connected with the first finger ring, the screw is in threaded connection between the long side and the short side of the U-shaped clamping portion, and the front operating lever is clamped in the U-shaped clamping portion through the screw.

6. A multifunctional surgical clamp as claimed in claim 1, 2 or 5, wherein a transition round bulge is fixedly connected to the left end of the arc-shaped uterus lifting rod.

7. The multifunctional surgical forceps as claimed in claim 3, wherein a transition boss is fixedly connected to the left end of the arc-shaped uterine lifting rod.

8. The multifunctional surgical forceps as claimed in claim 4, wherein a transition boss is fixedly connected to the left end of the arc-shaped uterine lifting rod.