CN215821035U - Nail seat placer supports under chamber mirror - Google Patents

Nail seat placer supports under chamber mirror Download PDF

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Publication number
CN215821035U
CN215821035U CN202121993662.5U CN202121993662U CN215821035U CN 215821035 U CN215821035 U CN 215821035U CN 202121993662 U CN202121993662 U CN 202121993662U CN 215821035 U CN215821035 U CN 215821035U
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CN
China
Prior art keywords
sleeve
fixed sleeve
fixed
gear
steering
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Expired - Fee Related
Application number
CN202121993662.5U
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Chinese (zh)
Inventor
张春敭
柳紫阳
乌拉木·玉努斯
朱博学
赵世雷
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Hami Central Hospital
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Hami Central Hospital
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Publication date
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Priority to CN202121993662.5U priority Critical patent/CN215821035U/en
Application granted granted Critical
Publication of CN215821035U publication Critical patent/CN215821035U/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

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Abstract

The utility model discloses a placing device for a nail propping seat under an endoscope, which relates to the field of medical instruments and comprises a fixed sleeve and a fixed handle, wherein the bottom of the rear end of the fixed sleeve is connected with the fixed handle, and the front side of the fixed handle is provided with a movable handle; the front end of the fixed sleeve is hinged with the steering sleeve through a hinge shaft, one hinge shaft is connected with the movable handle through a transmission mechanism, and a loop bar is arranged inside the fixed sleeve and the steering sleeve; the elastic clamp is arranged inside the loop bar, the front end of the elastic clamp is connected with the clamping head positioned on the front side of the loop bar, the rear end of the elastic clamp is connected with the traction plate positioned on the front side of the movable handle through the traction wire, and the top end of the traction plate is hinged and installed in the fixed sleeve. The device has the functions of clamping and steering, is convenient to operate, is favorable for reducing the operation difficulty, and well solves the problem of placing the nail supporting seat in the laparoscopic operation clinically.

Description

Nail seat placer supports under chamber mirror
Technical Field
The utility model relates to the field of medical instruments, in particular to a nail abutting seat placing device under an endoscope.
Background
The endoscopic surgery is a newly developed minimally invasive method and is an inevitable trend for the development of future surgical methods. The operation is generally performed by inserting a tiny light source, a camera and surgical instruments through a plurality of incisions of about 2cm, such as the operations of excision of tumor tissues, abdominal cavity exploration, tissue biopsy and the like, and the endoscopic operation has the advantages of small wound, quick postoperative recovery, small scar, light postoperative pain and the like, and is widely applied to various surgical fields of laparoscope, thoracoscope, hysteroscope and the like at present.
When the endoscopic surgery needs to cut and reconstruct a pipeline, such as gastrointestinal tumors, the intestinal canal needs to be anastomosed after the tumors are removed, the current pipeline anastomosis generally uses an anastomat, the anastomat comprises a nail supporting seat and a body part of the anastomat, the nail supporting seat of the anastomat is placed into a broken end of the intestinal canal to be anastomosed during use, the body part is inserted into the other broken end, an annular anastomotic nail is arranged at the interface of the nail supporting seat and the body part of the anastomat, and the anastomat is butted with the body part and then screwed with a handle to cut and anastomose.
At present, carry out the operation through a plurality of slender shaft-like surgical instruments in laparoscopic surgery, need place it in the pipeline of coelomic lumen several centimeters when placing the laparoscopic anastomat and supporting the nail seat, it supports nail seat head to place through centre gripping such as laparoscopic bent pincers more when placing at present, do not place the instrument that supports the nail seat specially, when current laparoscopic forceps carry out the centre gripping, it is the columniform that supports nail seat head to be a plane centre gripping more, the operation is inconvenient, lead to supporting the nail seat slippage easily, can tear the stub of pipeline even and lead to complication such as postoperative anastomotic stoma hourglass, endanger patient's life health. Therefore, the device for conveniently clamping and placing the nail abutting seat of the anastomat has very important clinical significance.
SUMMERY OF THE UTILITY MODEL
In order to overcome the problems in the prior art, the utility model provides a placing device for a nail propping seat under a cavity mirror, which has the functions of clamping and steering and is very convenient to operate.
The technical scheme adopted by the utility model for solving the technical problems is as follows: a nail propping seat placing device under an endoscope comprises a fixed sleeve and a fixed handle; the fixed sleeve is of a hollow structure with an opening at the front end, the bottom of the rear end of the fixed sleeve is connected with a fixed handle, a movable handle is arranged on the front side of the fixed handle, and the top end of the movable handle is hinged and installed in the fixed sleeve; the front end of the fixed sleeve is hinged with a steering sleeve through a hinge shaft, and the steering sleeve is of a hollow structure with two open ends; one of the hinge shafts is connected with a movable handle through a transmission mechanism, and the movable handle can control the hinge shaft to rotate through the transmission mechanism; a loop bar is arranged inside the fixed sleeve and the steering sleeve; the sleeve rod consists of an elastic part and hard parts positioned on the front side and the rear side of the elastic part, the elastic part is positioned in the hinge area of the fixed sleeve and the steering sleeve, the hard part on the rear side of the elastic part is positioned in the fixed sleeve, and the hard part on the front side of the elastic part extends to the front side of the steering sleeve; the loop bar is a hollow structure with two open ends, an elastic clamp is arranged inside the loop bar, the front end of the elastic clamp is connected with a clamping head located on the front side of the loop bar, the rear end of the elastic clamp is connected with a pulling plate located on the front side of the movable handle through a pulling wire, the top end of the pulling plate is hinged and installed in a fixed sleeve, and the pulling plate controls the clamping head to clamp the nail supporting seat through the pulling wire and the elastic clamp.
The transmission mechanism comprises a first gear, a second gear, a rack and a support frame; one of the hinge shafts for hinging the fixed sleeve and the steering sleeve is connected with a first gear in the fixed sleeve, the hinge point at the top end of the movable handle is connected with a second gear, the first gear and the second gear are connected through a rack, and a support frame for supporting the rack to transmit between the first gear and the second gear is arranged in the fixed sleeve.
The fixed handle and the movable handle are provided with the lock catches with adjustable lengths, and after the position and the angle of the steering sleeve are determined, the lock catches are locked to enable the movable handle to keep the position and the angle fixed, so that the angle between the steering sleeve and the fixed sleeve is fixed.
The elastic clamp comprises clamping rods and a compression spring, the two clamping rods are hinged into an X shape, the compression spring is installed between the two clamping rods, the front ends of the two clamping rods are connected with a clamping head, the rear ends of the two clamping rods are connected with a traction wire together, and when the traction wire is pulled backwards, the two clamping rods overcome spring force and are closed in opposite directions, so that the clamping heads on the front sides of the two clamping rods are enabled to be closed to clamp the nail abutting seat.
The clamping heads are sheets with arc-shaped longitudinal sections, and the two clamping heads are matched to clamp the front end of the nail abutting seat.
The device for placing the nail-supporting seat under the endoscope has the advantages that the device has clamping and steering functions, is convenient to operate, enters a body cavity through the puncture hole of the endoscope after the nail-supporting seat is clamped by the clamping head, is adjusted to turn to a proper angle to be conveniently inserted into a stump to be anastomosed, is favorable for reducing the operation difficulty, and well solves the problem of placing the nail-supporting seat in the endoscope operation clinically.
Drawings
FIG. 1 is a schematic view of the left side of the present invention;
FIG. 2 is a cross-sectional view of the left side of the present invention;
FIG. 3 is a cross-sectional view of the top of the fixed sleeve, the steering sleeve;
FIG. 4 is a schematic view of the structure of the loop bar;
figure 5 is a schematic view of the structure of the gripping head.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
Referring to fig. 1-5, the present embodiment provides a device for placing a nail pushing seat under a scope, which includes a fixing sleeve 1 and a fixing handle 2; the fixed sleeve 1 is of a hollow structure with an opening at the front end, the bottom of the rear end of the fixed sleeve 1 is connected with the fixed handle 2, and the surface of the fixed handle 2 can be provided with anti-skid grains to increase the friction force during holding; the front side of the fixed handle 2 is provided with a movable handle 3, and the top end of the movable handle 3 is hinged and arranged in the fixed sleeve 1; the left side and the right side of the front end of the fixed sleeve 1 are hinged with a steering sleeve 16 through hinge shafts 4, the steering sleeve 16 is a hollow structure with openings at two ends, an angle between the fixed sleeve 1 and the steering sleeve 16 can be adjusted through rotating the two hinge shafts 4, the inner diameter of the steering sleeve 16 is larger than the outer diameter of the fixed sleeve 1, and a gap is arranged at one end, close to the fixed sleeve 1, of the steering sleeve 16 so as to realize a space required by rotating; one of the hinge shafts 4 is connected with the movable handle 3 through a transmission mechanism in the fixed sleeve 1, and the transmission mechanism comprises a first gear 9, a second gear 10, a rack 11 and a support frame 12; one of the hinge shafts 5 for hinging the fixed sleeve 1 and the steering sleeve 16 is fixedly connected with the center of the first gear, the hinge point at the top end of the movable handle 2 is fixedly connected with the center of the second gear 10, the first gear 9 and the second gear 10 are connected through a rack 11, and a plurality of support frames 12 for supporting the rack to be driven between the two gears are arranged on the inner wall of the fixed sleeve 1. When the movable handle 3 is pulled forwards or backwards, the hinge point at the top end of the movable handle 3 drives the second gear 10 to rotate, the second gear 10 drives the rack 11 to move transversely, the rack 11 drives the first gear 9 to rotate, and the first gear 9 drives the hinge shaft 4 connected with the first gear 9 to rotate, so that the steering sleeve 16 rotates.
In order to fix the angle of the steering sleeve 16 at the position after steering, the fixed handle 2 and the movable handle 3 are provided with the lock catches 13 with adjustable length, after the angle of the steering sleeve 16 is determined, the lock catches are locked, so that the movable handle 3 can keep the position and the angle fixed, and the angle between the steering sleeve 16 and the fixed sleeve 1 is fixed.
A loop bar 5 is arranged inside the fixed sleeve 1 and the steering sleeve 16; the loop bar 5 is a hollow structure with two open ends, the loop bar 5 is composed of an elastic part 501 and hard parts 502 positioned at the front and back sides of the elastic part 501, the elastic part 501 can adopt a metal corrugated pipe with good elasticity, and the hard parts 502 can adopt hard stainless steel pipes; the elastic part 501 is located in the hinge region of the fixed sleeve 1 and the steering sleeve 16, so that when the steering sleeve 16 rotates, the elastic part 501 can be driven to bend without breaking; the hard part 502 at the rear side of the elastic part 501 is positioned in the fixed sleeve 1, and the hard part 502 at the front side of the elastic part 501 extends to the front side of the steering sleeve 16; an elastic clamp is arranged in the sleeve rod 5 and close to the front part of the sleeve rod, the elastic clamp consists of two clamping rods 14 and a compression spring 15, the two clamping rods 14 are hinged into an X shape, the compression spring 15 is arranged between the two clamping rods 14, the front end of each clamping rod 14 is fixedly connected with a clamping head 6, the rear ends of the two clamping rods 14 are jointly connected with a traction wire 7 positioned in the sleeve rod 5, the rear end of the traction wire 7 is connected with a traction plate 8 positioned on the front side of the movable handle 3, and the top end of the traction plate 8 is hinged and arranged in the fixed sleeve 1; when the traction plate 8 is pulled backwards, the traction wire 7 is driven to be pulled backwards, so that the two clamping rods 14 are closed oppositely by overcoming the spring force, the clamping heads 6 on the front sides of the clamping rods are closed to clamp the nail abutting seat, after the traction plate 8 is released, the clamping rods 14 are restored under the action of the compression spring 15, and the clamping heads 6 are released to abut the nail abutting seat; since the inner diameter of the loop bar 5 is much larger than the diameter of the pull wire 7, even if the elastic portion 501 is bent to reduce the inner diameter, the movement of the pull wire 7 is not affected.
Because the front end of the nail abutting seat is cylindrical, the structure of the clamping head 6 is preferably a sheet with a circular arc-shaped longitudinal section, and two clamping heads 6 are required to be matched to clamp the front end of the nail abutting seat.
When the anastomat is used, the clamping head 6 clamps the nail abutting seat and then enters a body cavity through the puncture hole of the endoscope, then the body cavity is adjusted to turn to a proper angle so as to be conveniently inserted into a stump to be anastomosed, the rear direction is adjusted to move forwards integrally to place the nail abutting seat of the anastomat into the stump, the clamping head 6 is loosened, and the operation is completed.
Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that changes, modifications, substitutions and alterations can be made in these embodiments without departing from the principles and spirit of the utility model, the scope of which is defined in the appended claims and their equivalents.
The present embodiment is not intended to limit the shape, material, structure, etc. of the present invention in any way, and any simple modification, equivalent change and modification made to the above embodiments according to the technical spirit of the present invention are within the scope of the technical solution of the present invention.

Claims (5)

1. A nail propping seat placing device under an endoscope comprises a fixed sleeve and a fixed handle; the fixed sleeve is of a hollow structure with an opening at the front end, the bottom of the rear end of the fixed sleeve is connected with a fixed handle, a movable handle is arranged on the front side of the fixed handle, and the top end of the movable handle is hinged and installed in the fixed sleeve; the steering mechanism is characterized in that the front end of the fixed sleeve is hinged with a steering sleeve through a hinge shaft, and the steering sleeve is of a hollow structure with openings at two ends; one of the hinge shafts is connected with the movable handle through a transmission mechanism; a loop bar is arranged inside the fixed sleeve and the steering sleeve; the sleeve rod consists of an elastic part and hard parts positioned on the front side and the rear side of the elastic part, the elastic part is positioned in the hinge area of the fixed sleeve and the steering sleeve, the hard part on the rear side of the elastic part is positioned in the fixed sleeve, and the hard part on the front side of the elastic part extends to the front side of the steering sleeve; the loop bar is of a hollow structure with two open ends, an elastic clamp is arranged inside the loop bar, the front end of the elastic clamp is connected with a clamping head located on the front side of the loop bar, the rear end of the elastic clamp is connected with a pulling plate located on the front side of the movable handle through a pulling wire, and the top end of the pulling plate is hinged and installed in the fixed sleeve.
2. The laparoscopic staple holder placement device according to claim 1, wherein said transmission mechanism comprises a first gear, a second gear, a rack and a support; one of the hinge shafts for hinging the fixed sleeve and the steering sleeve is connected with a first gear in the fixed sleeve, the hinge point at the top end of the movable handle is connected with a second gear, the first gear and the second gear are connected through a rack, and a support frame for supporting the rack to transmit between the first gear and the second gear is arranged in the fixed sleeve.
3. The device for placing an endoscopic nail abutting seat according to claim 1, wherein the fixed handle and the movable handle are provided with length-adjustable latches.
4. The device for placing the laparoscopic nail butting seat according to claim 1, wherein the elastic clamp comprises two clamping rods and a compression spring, the two clamping rods are hinged into an X shape, the compression spring is arranged between the two clamping rods, the front ends of the two clamping rods are connected with a clamping head, and the rear ends of the two clamping rods are connected with a traction wire together.
5. The laparoscopic staple holder placement device of claim 1, wherein said gripping head is a sheet with a circular arc-shaped longitudinal section.
CN202121993662.5U 2021-08-24 2021-08-24 Nail seat placer supports under chamber mirror Expired - Fee Related CN215821035U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202121993662.5U CN215821035U (en) 2021-08-24 2021-08-24 Nail seat placer supports under chamber mirror

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202121993662.5U CN215821035U (en) 2021-08-24 2021-08-24 Nail seat placer supports under chamber mirror

Publications (1)

Publication Number Publication Date
CN215821035U true CN215821035U (en) 2022-02-15

Family

ID=80196109

Family Applications (1)

Application Number Title Priority Date Filing Date
CN202121993662.5U Expired - Fee Related CN215821035U (en) 2021-08-24 2021-08-24 Nail seat placer supports under chamber mirror

Country Status (1)

Country Link
CN (1) CN215821035U (en)

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Granted publication date: 20220215