CN213310030U - Device for operating snare and clamping harmoniously simultaneously - Google Patents

Device for operating snare and clamping harmoniously simultaneously Download PDF

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Publication number
CN213310030U
CN213310030U CN202020593663.XU CN202020593663U CN213310030U CN 213310030 U CN213310030 U CN 213310030U CN 202020593663 U CN202020593663 U CN 202020593663U CN 213310030 U CN213310030 U CN 213310030U
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clamp
snare
sheath
harmonious
clamping
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Inventor
冯程
寸新华
杜映荣
吴磊
黄红丽
马云红
陈友惠
李黎
宁小黎
寸晋骁
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Third Peoples Hospital of Kunming
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Third Peoples Hospital of Kunming
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/128Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips
    • A61B17/1285Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips for minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/122Clamps or clips, e.g. for the umbilical cord
    • A61B17/1227Spring clips

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Vascular Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Reproductive Health (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

The utility model relates to a device that simultaneous operation snare harmonious clamp, its characterized in that: comprises a harmonious clamp, a snare, a sheath tube and an operating handle; the harmonious clamp comprises a clamp body and a clamp sheath; the clamp body is Y-shaped, and the tail end of the clamp body is a circular tube; the front section of the clamping sheath is a cylinder, the rear end of the clamping sheath is a circular tube with a slightly smaller diameter, and the harmonious clamp can be collected in the clamping sheath; the control wire of the snare is the push guide wire of the existing snare, the front section of the control wire is provided with a small raised cylinder, and circular tubes on the small cylinder clamp body are connected; the sleeve is connected with the front end of the small cylinder at the front section of the control line and is bundled in the small cylinder of the clamp body; the main body of the sheath tube is the existing interventional catheter, the front end of the sheath tube is connected with the harmonious clamp, and the tail end of the sheath tube is fixedly connected with the operating handle; the holding handle is a cylindrical head and is fixedly connected with the sheath tube, the middle cylinder of the holding handle is hollow and communicated with the sheath tube, and the control wire is fixedly connected with the operating rod from the sheath tube to the inside of the holding handle; the operating rod is a cylinder and is placed in the holding handle to slide. The utility model can send the snare and the harmonious clamp into the gastroscope catheter.

Description

Device for operating snare and clamping harmoniously simultaneously
Technical Field
The utility model relates to the field of medical equipment, concretely relates to device that harmonious clamp of simultaneous operation snare ware.
Background
The harmonious clamp is mainly used for clamping and fixing tissues in the cavity during the gastrointestinal endoscope operation; the snare is an instrument for ligating blood vessels, polyps or other pipeline structures by tightening a sliding knot which is tied by an absorbable thread or a synthetic thread in advance by using a nylon rod, is convenient to operate and is applied to various gastrointestinal endoscope abdominal operations; when removing polyps in the stomach and intestine, firstly, the position of the polyps is detected by a gastroscope, and then a snare and a harmonious clamp are arranged in a gastroscope catheter to carry out operations of polyp removal and wound closure; the snare and the harmonious clamp belong to two different medical instruments, the snare is drawn out after polyp is picked up by sequentially putting the snare from the gastroscope catheter into the snare, and then the snare is put into the harmonious clamp to close the wound, the position needs to be found again after the gastroscope catheter is put into the harmonious clamp due to the movement of the gastroscope catheter, the operation time is prolonged, and the patient who puts into the medical instrument twice is more uncomfortable.
To sum up, the utility model discloses the technical problem that will solve is:
the operation of placing the harmonious clamp and the snare twice when picking up the gastrointestinal polyp prolongs the operation time, and the polyp and the wound position need to be ascertained by moving the gastroscope more times, so that the discomfort of the patient is increased, and the occupational exposure risk of medical staff is increased by repeatedly drawing and placing the endoscope accessory.
Disclosure of Invention
For solving the above technical problem, the technical scheme of the utility model is that: provides a device for simultaneously operating a snare 2 and a harmonic clamp 1, which comprises the harmonic clamp 1, the snare 2, a sheath tube 3 and an operating handle 4;
the harmonious clamp 1 comprises a clamp body 1-1 and a clamp sheath 1-2; the clamp body 1-1 is Y-shaped, the clamping end is bent inwards by 90 degrees, the tail end is a circular pipe, and the tail end of the circular pipe is provided with an internal thread at one end; the harmonious clamp 1 is divided into a front section and a rear section, wherein the front section is a cylinder, the bottom surface of the cylinder is provided with a square hole with circular arcs at two ends, the rear end is a circular tube with a slightly smaller diameter, the circular tube and the cylinder are connected to form 2-3 circles of external thread threads, and the harmonious clamp 1 can be contracted in the clamp sheath 1-2;
the snare 2 comprises a snare 2-1 and a control wire 2-2; the control wire 2-2 is a push guide wire of the existing snare 2, a section of small raised cylinder is arranged at the front section of the control wire 2-2, and the small cylinder is provided with threads to be connected with a round tube on the clamp body 1-1; the snare 2-1 is a snare 2-1 of the existing snare 2, is connected to the front end of a small cylinder at the front section of the control wire 2-2, and is bundled in a small circular tube of a clamp body 1-1 of the harmonious clamp 1;
the main body of the sheath tube 3 is an existing interventional catheter, the front end of the catheter is provided with an internal thread which is matched with the round tube of the clamping sheath 1-2, and the tail end of the catheter is fixedly connected with the operating handle 4;
the operation handle 4 comprises a holding handle 4-1 and an operation rod 4-2; the grip handle 4-1 is a cylindrical head fixedly connected with the sheath tube 3, the middle cylinder of the grip handle 4-1 is hollow and communicated with the sheath tube 3, and the control wire 2-2 is fixedly connected with the operating rod 4-2 from the sheath tube 3 to the inside of the grip handle 4-1; the operating rod 4-2 is a cylinder and is placed in the holding handle 4-1 to slide.
Furthermore, the width of the head end of the clamping arm of the harmonious clamp 1 is wider than that of the rear section of the clamping arm and the tail end circular tube of the harmonious clamp 1, and the outer diameter of the front section cylinder of the clamping sheath 1-2 is equal to that of the sheath tube 3.
Furthermore, the harmonious clamp 1 is made of elastic titanium alloy, the clamping arms are opened in a natural state, the tail end circular tube is drawn into the clamping sheath 1-2, and the clamping arms are closed.
Furthermore, two sides of the holding handle 4-1 are provided with circular rings, and the tail end of the operating handle 4 is provided with a circular ring.
Further, the thread of the control wire 2-2 and the clamp body 1-1 is opposite to the thread of the sheath 3 and the clamp sheath 1-2.
Beneficial effects of the utility model
The device combines the snare and the harmonious clamp into a whole, can complete the operations of polyp picking and wound closing by one-time placement, simplifies the operation steps and shortens the operation time.
Drawings
In order to more clearly illustrate the technical solutions in the embodiments of the present invention, the drawings needed to be used in the embodiments will be briefly described below, and it is obvious that the drawings in the following description are only some embodiments described in the present invention, and it is obvious for those skilled in the art to obtain other drawings without creative efforts.
FIG. 1 is a schematic view of the structure of a device for simultaneous operation of a snare and a harmonic clamp;
FIG. 2 is a schematic view of the harmonious snare connection of a device for simultaneous manipulation of a snare and harmonious clamping;
FIG. 3 is a schematic diagram of a harmonious clamp configuration;
the parts and their numbers in the drawings are as follows:
a harmonious clamp 1, a clamp body 1-1 and a clamp sheath 1-2; a snare 2, a snare 2-1 and a control line 2-2; a sheath tube 3; an operating handle 4, a holding handle 4-1 and an operating rod 4-2.
Detailed Description
The technical solution of the present invention will be clearly and completely described below with reference to the specific embodiments.
Example I
The structure of the device for simultaneously operating the snare 2 and the harmonic clamp 1 is shown in the figure: comprises a harmonious clamp 1, a snare 2, a sheath tube 3 and an operating handle 4;
the harmonious clamp 1 comprises a clamp body 1-1 and a clamp sheath 1-2; the clamp body 1-1 is Y-shaped, the clamping end is bent inwards by 90 degrees, the tail end is a round pipe, the tail end of the round pipe is provided with an internal thread at one end, the clamp sheath 1-2 is divided into a front section and a rear section, the front section is a cylinder, the bottom surface of the cylinder is provided with a square hole with circular arcs at two ends, the rear end is a round pipe with a slightly smaller diameter, the round pipe and the cylinder are connected to form 2-3 circles of external thread threads, and the harmonious clamp 1 can be collected in the clamp sheath 1-2;
the snare 2 comprises a snare 2-1 and a control wire 2-2; the control wire 2-2 is a push guide wire of the existing snare 2, a section of small raised cylinder is arranged at the front section of the control wire 2-2, and the small cylinder is provided with threads to be connected with a round tube on the clamp body 1-1; the snare 2-1 is a snare 2-1 of the existing snare 2, is connected to the front end of a small cylinder at the front section of the control wire 2-2, and is bundled in a small circular tube of a clamp body 1-1 of the harmonious clamp 1;
the main body of the sheath tube 3 is an existing interventional catheter, the front end of the catheter is provided with an internal thread which is matched with the round tube of the clamping sheath 1-2, and the tail end of the catheter is fixedly connected with the operating handle 4; the sheath 3 is connected with the thread of the clamping sheath 1-2, so that the rotation of the sheath can drive the harmonious clamp 1 to rotate, thereby adjusting the clamping angle and position of the harmonious clamp 1, preventing the sheath 3 from being pushed out when the clamp body 1-1 is pushed out, and fixedly connecting the tail end with the operating handle 4;
the operation handle 4 comprises a holding handle 4-1 and an operation rod 4-2; the grip handle 4-1 is a cylindrical head fixedly connected with the sheath tube 3, the middle cylinder of the grip handle 4-1 is hollow and communicated with the sheath tube 3, and the control wire 2-2 is fixedly connected with the operating rod 4-2 from the sheath tube 3 to the inside of the grip handle 4-1; the operating rod 4-2 is a cylinder and is placed in the holding handle 4-1 to slide.
The width of the head end of the clamping arm of the harmonious clamp 1 is wider than that of the back section of the clamping arm and the tail end circular tube of the harmonious clamp 1, the outer diameter of a front section cylinder of the clamping sheath 1-2 is equal to that of the sheath tube 3, the width of the head end of the clamping arm is wide so as to increase the clamping range, and the tail end is thin so as to be conveniently retracted into the clamping sheath 1-2.
The harmonious clamp 1 is made of elastic titanium alloy, the clamping arms are opened in a natural state, the tail end circular tube is retracted into the clamping sheath 1-2 under the tension force, and the clamping arms are closed; the control line 2-2 pushes the harmonious clamp 1 out of the tube sheath, the harmonious clamp 1 elastically restores to open the clamping arms, after the gastrointestinal tissues are clamped, the control line 2-2 pulls the circular tube of the harmonious clamp 1 backwards, and the angles of the clamping arms shrink to clamp the gastrointestinal tissues.
The two sides of the holding handle 4-1 are provided with circular rings to rotate the holding handle 4-1 so as to drive the sheath tube 3 to rotate, and the tail end of the operating handle 4 is provided with a circular ring to push and pull the control wire 2-2 conveniently.
The thread connected with the control line 2-2 and the clamp body 1-1 is opposite to the thread connected with the sheath 3 and the clamp sheath 1-2 in the rotating direction, so that the harmonious clamp 1 is rotated and the harmonious clamp 1 is separated from the sheath 3 without mutual interference.
Example II
The utility model discloses a method for using the device of simultaneous operation snare 2 harmonious clamp 1 is as follows:
when in use, the snare 2 is firstly inserted into the operating handle 4 from the tail end and is inserted out of the sheath tube 3, the snare 2-1 is placed into the harmonious clamp 1 small round tube, the small cylinder is combined with the small round tube, the control wire 2-2 is pulled backwards to place the tail end of the clamp sheath 1-2 into the hole at the head end of the sheath tube 3, and the thread of the clamp sheath 1-2 is combined with the thread of the sheath tube 3; the gastroscope is placed in the intestines and stomach of a patient to find out the position of polyp, the device is placed in from the gastroscope catheter value, after the harmonious clamp 1 is pushed out of a catheter hole, a hand holds a holding handle 4-1 to push an operating rod 4-2 and a control line 2-2 to push the harmonious clamp 1 out of a clamping sheath 1-2, the clamping arms are restored to an open state, the root of the polyp is clamped by the head ends of the clamping arms, the operating rod 4-2 is pulled backwards, the control line 2-2 pulls a clamp body 1-1 to be retracted towards the inside of the clamping sheath 1-2, and the gastrointestinal tissue is; rotating the operating rod 4-2, separating the control line 2-2 from the clamp body 1-1, rotating the holding handle 4-1 to separate the tube sheath from the clamp sheath 1-2, pulling the operating rod 4-2 backwards, separating the harmonious clamp 1 from the control line 2-2 and clamping the root of the polyp; then the control line 2-2 is pushed forwards, the snare 2-1 is unfolded, and the holding handle 4-1 is rotated to pick up the polyp on the snare 2.
The above-mentioned embodiments are only described as the preferred embodiments of the present invention, and are not intended to limit the concept and scope of the present invention, and without departing from the design concept of the present invention, various modifications and improvements made by the technical solutions of the present invention by the ordinary engineers in the art should fall into the protection scope of the present invention.

Claims (5)

1. A device for simultaneously operating a snare and a harmonic clamp, characterized in that: comprises a harmonious clamp, a snare, a sheath tube and an operating handle;
the harmonious clamp comprises a clamp body and a clamp sheath; the clamping body is Y-shaped, the clamping end is bent inwards by 90 degrees, the tail end of the clamping body is a circular tube, and the tail end of the circular tube is provided with an internal thread at one end; the clamping sheath is divided into a front section and a rear section, the front section is a cylinder, the bottom surface of the cylinder is provided with a square hole with circular arcs at two ends, the rear end is a circular tube with a slightly smaller diameter, the circular tube and the cylinder are connected to form 2-3 circles of external thread threads, and the harmonious clamp can be constricted in the clamping sheath;
the snare comprises a snare and a control wire; the control wire is a push guide wire of the existing snare, a section of small raised cylinder is arranged at the front section of the control wire, and the small cylinder is provided with threads and connected with a round tube on the clamp body; the snare is a snare of the existing snare, is connected to the front end of a small cylinder at the front section of the control wire and is bundled in a small circular tube of a harmonious clamp;
the main body of the sheath tube is an existing intervention catheter, the front end of the catheter is provided with an internal thread which is wedged with the sheath clamping circular tube, and the tail end of the catheter is fixedly connected with the operating handle;
the operation handle comprises a holding handle and an operation rod; the grip handle is a cylindrical head and is fixedly connected with the sheath tube, the middle cylinder of the grip handle is hollow and communicated with the sheath tube, and the control wire is fixedly connected with the operating rod from the sheath tube to the inside of the grip handle; the operating rod is a cylinder and is placed in the holding handle to slide.
2. A device for simultaneous manipulation of a snare and a harmonic clamp according to claim 1, wherein: the width of the clamping arm head end of the harmonious clamp is wider than the clamping arm rear section and the harmonious clamp tail end circular tube, and the outer diameter of the front section cylinder of the clamping sheath is equal to the outer diameter of the sheath tube.
3. A device for simultaneous manipulation of a snare and a harmonic clamp according to claim 1, wherein: the harmonious clamp is made of elastic titanium alloy, the clamping arms are opened in a natural state, the tail end circular tube is retracted into the clamping sheath under the tensile force, and the clamping arms are closed.
4. A device for simultaneous manipulation of a snare and a harmonic clamp according to claim 1, wherein: the two sides of the holding handle are provided with circular rings, and the tail end of the operating handle is provided with a circular ring.
5. A device for simultaneous manipulation of a snare and a harmonic clamp according to claim 1, wherein: the thread connected with the control wire and the clamp body is opposite to the thread connected with the sheath tube and the clamp sheath in the rotating direction.
CN202020593663.XU 2020-04-20 2020-04-20 Device for operating snare and clamping harmoniously simultaneously Active CN213310030U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202020593663.XU CN213310030U (en) 2020-04-20 2020-04-20 Device for operating snare and clamping harmoniously simultaneously

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202020593663.XU CN213310030U (en) 2020-04-20 2020-04-20 Device for operating snare and clamping harmoniously simultaneously

Publications (1)

Publication Number Publication Date
CN213310030U true CN213310030U (en) 2021-06-01

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Family Applications (1)

Application Number Title Priority Date Filing Date
CN202020593663.XU Active CN213310030U (en) 2020-04-20 2020-04-20 Device for operating snare and clamping harmoniously simultaneously

Country Status (1)

Country Link
CN (1) CN213310030U (en)

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