CN213722227U - Multipurpose blood vessel blocking clamp under endoscope - Google Patents

Multipurpose blood vessel blocking clamp under endoscope Download PDF

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Publication number
CN213722227U
CN213722227U CN202022499357.2U CN202022499357U CN213722227U CN 213722227 U CN213722227 U CN 213722227U CN 202022499357 U CN202022499357 U CN 202022499357U CN 213722227 U CN213722227 U CN 213722227U
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handle
multipurpose
arm
tail
clip
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CN202022499357.2U
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李学松
许洋洋
冯宁翰
杨昆霖
陈翔
李志华
代晓飞
周利群
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Peking University First Hospital
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Peking University First Hospital
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Abstract

The utility model discloses a multipurpose is vascular under chamber mirror blocks and is pressed from both sides, including mutual articulated a pair of arm lock that blocks, every block the arm lock include the chuck and with chuck end-to-end connection's connecting handle, wherein: each blocking clamping arm also comprises a tail handle which is arranged at the tail end of the connecting handle and used for positioning an endoscopic surgical instrument; the tail handle of each blocking clamping arm protrudes outwards from the outer side surface of the connecting handle of the blocking clamping arm. The utility model discloses a multipurpose is vascular under chamber mirror and is blocked clamp can be directly executed by art person's operation arm and press from both sides, adjust, pine operation such as press from both sides, and compatible multiple common surgical instruments is laborsaving and easy-to-use more, reaches safe, accurate, efficient operation effect.

Description

Multipurpose blood vessel blocking clamp under endoscope
Technical Field
The utility model relates to the field of medical technology, especially, relate to a multipurpose is vascular under chamber mirror and is blocked clamp.
Background
The laparoscopic surgery is to insert a puncture cannula through an incision of 5-12mm on the body surface, insert surgical instruments, a light source and an image acquisition system through the puncture cannula, fill carbon dioxide and keep a closed state with the outside to form a sufficient surgical space, observe the surgical field on an in vitro display and complete the surgery. After 2000 years, the robot-assisted laparoscopic surgery is gradually applied to abdominal surgery, namely a robot-assisted platform is added on the basis of the traditional laparoscope, and the laparoscopic surgery is favored by patients and surgeons due to the advantages of minimal invasion, short hospitalization time, fine operation, trembling of filtering instruments, low fatigue degree of operators and the like.
In the current robot-assisted endoscopic surgery, there are more steps that need to block blood vessels, such as: renal artery blocks, vena cava blocks etc., all are that the assistant puts into the vascular operation pincers by the auxiliary hole and presss from both sides the vascular block clamp and close the blood vessel, because carry out the operation through the small passage, the robot arm can occupy certain internal and external operating space, therefore can't operate freely like open operation in the operation process, especially when needing to block the blood vessel temporarily, because angle, assistant cooperation, the art field exposes, block press from both sides the scheduling problem that drops, often accomplish the vascular block in the operation and need consume a large amount of time, even because touch block the clamp and cause block press from both sides the skew, block incompletely, drop, vascular injury, peripheral tissue side damage etc. bring serious operation complication. The current clinical common blood vessel blocking clip has the following obvious disadvantages in the practical use process: the existing product is relatively labor-consuming in the actual operation process, the clamping device is difficult to be occluded with the clamping groove at the tail part of the blocking clamp when the blocking clamp is released and taken out, repeated attempts are needed, and the low power is combined. Secondly, the universality is poor, and the operation process is limited. The existing blood vessel blocking clip needs to be matched with a special clip applier for use, the blood vessel blocking operation in the operation process usually needs to enter the clip applier from an operation hole of an assistant, the operation is completed by the assistant, and a doctor cannot complete the blood vessel blocking or intervene the blocking process under some special conditions. The safety of the operation is therefore dependent on the skilled operation of the assistant. And accidental dropping in the blood vessel blocking clamp operation makes finding difficult. Occasionally, the blocking clamp falls into the abdominal cavity in clinical operation, and particularly, when the blocking clamp is operated in a deep place in an operation field, the blocking clamp is difficult to find due to small size, so that potential safety hazards exist.
Therefore, a blood vessel blocking clamp which is labor-saving and can be directly operated by an operator operating arm, namely an operating forceps, is urgently needed in robot-assisted endoscopic surgery.
Disclosure of Invention
The utility model aims at solving the above problem, provide a multipurpose is vascular under chamber mirror blocks and is pressed from both sides, can directly execute by art person's operation arm and press from both sides, adjust, loose operation such as press from both sides, compatible multiple common surgical instruments, it is laborsaving and easy-to-use more, reach safe, accurate, efficient operation effect.
In order to realize the above object of the utility model, the utility model provides a multipurpose is vascular under chamber mirror blocks and is pressed from both sides, including mutual articulated a pair of arm lock that blocks, every block the arm lock include the chuck and with chuck end-to-end connection's connecting handle, wherein: each blocking clamping arm also comprises a tail handle which is arranged at the tail end of the connecting handle and used for positioning an endoscopic surgical instrument; the tail handle of each blocking clamping arm protrudes outwards from the outer side surface of the connecting handle of the blocking clamping arm.
Wherein, the surface of the tail handle is a smooth surface.
Or the surface of the tail handle is an anti-skid surface with an anti-skid structure.
Preferably, the anti-slip structure is a plurality of protrusions or a plurality of raised grains arranged on the outer surface of the tail handle.
And a clamping groove is formed in the outer side surface of each blocking clamping arm connecting handle.
Preferably, the clamping groove on the outer side surface of the connecting handle of each blocking clamping arm extends along the length direction of the connecting handle.
And the connecting handle of each blocking clamping arm is also provided with an occlusion groove and an occlusion hole, and the occlusion hole is close to the tail handle.
Compared with the prior art, the utility model discloses a multipurpose is vascular under chamber mirror blocks anchor clamps has following beneficial effect:
1. the utility model discloses a multipurpose is vascular under chamber mirror and is blocked clamp, simple structure, convenient to use and laborsaving, and the compatibility is good, can cooperate the use closely with multiple apparatus, and the commonality is good, can directly execute by art person's operation arm and press from both sides, adjust, pine press from both sides the operation such as press from both sides, can reach safety, accurate, efficient operation effect, has higher novelty, advance and practicality.
2. The utility model discloses a multipurpose is vascular under chamber mirror blocks and is pressed from both sides, can be firmly the centre gripping by surgical instruments in laparoscopic surgery, be difficult for droing, avoids prior art to be difficult to look for, prolong operation time and the potential safety hazard brought when dropping in the art accidentally because of blocking the clamp.
The present invention will be described in detail with reference to the accompanying drawings.
Drawings
Fig. 1 is a front view of the multipurpose endoscopic vessel occlusion clip according to the embodiment of the present invention;
fig. 2 is a top view of the multipurpose endoscopic vessel occlusion clip according to the embodiment of the present invention.
Detailed Description
As shown in fig. 1 and 2, which are the front view and the top view of the multipurpose endoscopic blood vessel blocking clamp according to the embodiment of the present invention, as shown in fig. 1 and 2, the multipurpose endoscopic blood vessel blocking clamp of the present embodiment includes a pair of blocking clamp arms hinged to each other, each blocking clamp arm includes a clamp head and a connecting handle connected to the end of the clamp head, in addition, each blocking clamp arm further includes a tail handle disposed at the end of the connecting handle for positioning an appliance for endoscopic surgery, and each tail handle blocking a clamp arm protrudes outward from the outer side of the connecting handle of the blocking clamp arm.
Specifically, the multipurpose is vascular under chamber mirror blocks and is pressed from both sides including a pair of arm lock that blocks of mutual articulated, every blocks the arm lock and has the chuck (like chuck 1, chuck 2), with correspond chuck end-to-end connection connecting handle 9 as an organic whole, the setting is formed at the terminal caudal peduncle 8 of corresponding connecting handle 9, the front end of a pair of connecting handle 9 is equipped with the position and corresponds the double-layered hole, a pair of connecting handle 9 rotates through the pin 4 of wearing to establish a pair of double-layered hole and connects as an organic whole, and the cover is equipped with torsional spring 3 on the part of pin 4 that is located between a pair of connecting handle 9. The outer side surfaces (the outer side surface is a surface deviating from the other blocking clamping arm) of the pair of blocking clamping arm connecting handles 9 are respectively provided with a clamping groove 7, the pair of connecting handles 9 are respectively provided with an occlusion groove 5 and an occlusion hole 6 which penetrate through the thickness of the connecting handles, the occlusion groove 5 is close to the hinged part of the pair of connecting handles, and the occlusion hole is close to the tail handle. The outer side surface of each blocking clamping arm connecting handle is provided with a tail handle protruding outwards.
Wherein, the heads of the chucks of the interdiction clamping arms are slightly bent, and the inner surfaces of the two chucks (namely the chuck 1 and the chuck 2) of the pair of interdiction clamping arms are mutually contacted and occluded. The torsion spring 3 at the connecting handle 9 of the pair of blocking clip arms can maintain the biting force of the pair of blocking clip arms. The occlusion groove 5 arranged on the connecting handle 9 is hemispherical, and the occlusion hole 6 adjacent to the occlusion groove 5 is an elliptical hole. The connecting handles 9 of the pair of blocking clamping arms can be occluded with the special clip applier through the occlusion groove 5 and the occlusion hole 6 respectively, so that the pair of chucks can be opened under the action of the special clip applier. The clamping groove 7 is a smooth clamping groove, extends along the length direction of the connecting handle, and when non-invasive forceps or gripping forceps are used for clamping a pair of blocked clamping arms, the non-invasive forceps or gripping forceps are clamped on the clamping groove on the outer side surface of the connecting handle 9, so that the head of the non-invasive forceps or gripping forceps can be firmly fixed through the pair of clamping grooves, and the pair of blocked clamping arms is prevented from rotating or sliding. The tail handle 8 at the tail end of the connecting handle 9 can be occluded with noninvasive forceps and grasping forceps, can also be directly clamped by a robot needle holder, and has the function of stable clamping.
In this design, the jaws of each blocking arm are arcuate (as shown in fig. 2), and the contacting inner surfaces of the jaws of a pair of blocking arms are provided with interengaging teeth which engage with one another, such as teeth provided on the surface of each jaw which contacts the other jaw, or alternatively, raised ridges (not shown). When the pair of clamping heads are closed and occluded together, the blood vessel to be blocked can be clamped by the pair of clamping heads and the clamping heads are prevented from falling off from the blood vessel, so that the pair of clamping heads for blocking the blood vessel cannot deviate, cannot be blocked incompletely, fall off, cause blood vessel damage, peripheral tissue side damage and the like due to the fact that the clamping arms are blocked in a touching mode, further serious surgery complications caused by the reasons in the prior art are prevented, the success rate of surgery is improved, and pain of patients is reduced.
The engagement grooves 5 and the engagement holes 6 on the connecting handles 9 are potential engagement points which are used for being engaged with a special clip applier, and when the clip applier is arbitrarily engaged with one of the engagement grooves 5 and the engagement holes 6 on the pair of connecting handles 9, the pair of connecting handles 9 can be stably clamped. When in design, the occlusion hole 6 is an elliptical hole, which is convenient for clamping and can leave a certain space when the clip applier clamps the connecting handle, during surgery, the suspension wire can be passed through the space, and the blocking clip is fixed through the suspension wire, thereby effectively preventing the blocking clip from falling in the abdominal cavity in surgery, and avoiding the unsafe hidden trouble that the prior art is difficult to find, prolongs surgery time and brings to patients when the blocking clip accidentally falls in surgery.
The tail handle 8 is a protruding structure protruding outwards from the outer side surface of the connecting handle, and the tail end of the tail handle 8 extends out of the tail end of the connecting handle, so that the tail handle 8 can be meshed with an opening of the noninvasive grasping forceps, and the robot needle holder can be used for direct operation and clamping. When in design, the surface of the tail handle 8 can be a smooth surface, and can also be an anti-skid surface with an anti-skid structure. The anti-slip structure may be a plurality of protrusions (not shown) disposed on the outer surface of the tail handle, or a plurality of raised grains disposed on the outer surface of the tail handle. Preferably, a corrugated surface may be used. Through 9 end settings in the connecting handle have anti-skidding surperficial caudal peduncle 8, can prevent among the prior art the operation when surgical instruments from the emergence of the smooth straight portion of connecting handle the slip condition to do benefit to and adopt clamp or hemlock pincers etc. to extrude the connecting handle, can be quick like this block the chuck that presss from both sides the blood vessel and loosen from the blood vessel, practice thrift operation time.
In conclusion, the clamping grooves and the clamping holes arranged on the pair of blocking clamp arms are convenient for the blocking clamp to be occluded with the clamp applicator in the robot-assisted endoscopic surgery operation process; the convex tail handle at the tail end of the blocking clamp arm can be occluded with the open holes on the noninvasive grasping forceps and the Maryland grasping forceps of the robot, and the anti-skidding structure on the tail handle can be stably clamped by using a needle holder of the robot, so that the purposes of clamping, adjusting and loosening the clamp are achieved. Therefore, the blocking clamp can be compatible with various common surgical instruments, has good universality, is more labor-saving and easy to use when used, and can achieve safe, accurate and efficient surgical effects. In addition, the clamp can be firmly clamped by surgical instruments in the endoscopic surgery and is not easy to fall off, the accident that the clamp falls off the abdominal cavity in the surgery is reduced, the surgery time is saved, and the potential safety hazard is eliminated.
Although the present invention has been described in detail, the present invention is not limited thereto, and those skilled in the art can modify the principle of the present invention, and therefore, various modifications performed according to the principle of the present invention should be understood as falling into the protection scope of the present invention.

Claims (7)

1. The utility model provides a multipurpose is vascular under chamber mirror blocks and is pressed from both sides, includes a pair of arm lock that blocks of mutual articulated, every blocks the arm lock and includes chuck and the connecting handle with chuck end-to-end connection, its characterized in that:
each blocking clamping arm also comprises a tail handle which is arranged at the tail end of the connecting handle and used for positioning an endoscopic surgical instrument;
the tail handle of each blocking clamping arm protrudes outwards from the outer side surface of the connecting handle of the blocking clamping arm.
2. The multipurpose laparoscopic vessel occlusion clip of claim 1, wherein the surface of said caudal stem is a smooth surface.
3. The multipurpose laparoscopic vessel occlusion clip of claim 1, wherein the surface of said tail handle is a non-slip surface with non-slip features.
4. The multipurpose laparoscopic vessel occlusion clip of claim 3, wherein said anti-slip structure is a plurality of protrusions or a plurality of raised ridges disposed on the outer surface of said tail handle.
5. The multipurpose endoscopic blood vessel occlusion clip as in any one of claims 1-4, wherein each occlusion clip arm has a clip groove on the outer side of the connection handle.
6. The multipurpose endoscopic vessel occlusion clip of claim 5, wherein the clip groove on the outer side of the stem of each occlusion clip arm extends along the length of the stem.
7. The multipurpose laparoscopic vessel occlusion clip of claim 1, wherein the connecting handle of each occlusion clip arm is further provided with an occlusion groove and an occlusion hole, and the occlusion hole is close to the caudal handle.
CN202022499357.2U 2020-11-03 2020-11-03 Multipurpose blood vessel blocking clamp under endoscope Active CN213722227U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202022499357.2U CN213722227U (en) 2020-11-03 2020-11-03 Multipurpose blood vessel blocking clamp under endoscope

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202022499357.2U CN213722227U (en) 2020-11-03 2020-11-03 Multipurpose blood vessel blocking clamp under endoscope

Publications (1)

Publication Number Publication Date
CN213722227U true CN213722227U (en) 2021-07-20

Family

ID=76818825

Family Applications (1)

Application Number Title Priority Date Filing Date
CN202022499357.2U Active CN213722227U (en) 2020-11-03 2020-11-03 Multipurpose blood vessel blocking clamp under endoscope

Country Status (1)

Country Link
CN (1) CN213722227U (en)

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