CN216135984U - Endoscope pincers convenient to sew up - Google Patents

Endoscope pincers convenient to sew up Download PDF

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Publication number
CN216135984U
CN216135984U CN202121680220.5U CN202121680220U CN216135984U CN 216135984 U CN216135984 U CN 216135984U CN 202121680220 U CN202121680220 U CN 202121680220U CN 216135984 U CN216135984 U CN 216135984U
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China
Prior art keywords
forceps
electrocoagulation
endoscopic
sewing
tissues
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Expired - Fee Related
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CN202121680220.5U
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Chinese (zh)
Inventor
程波
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Affiliated Hospital of Southwest Medical University
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Affiliated Hospital of Southwest Medical University
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Priority to CN202121680220.5U priority Critical patent/CN216135984U/en
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Abstract

The utility model discloses an endoscopic forceps convenient for suturing, which comprises a forceps handle, a forceps rod and two forceps heads, wherein the forceps handle is provided with a grip, the two forceps heads are respectively provided with a notch convenient for a suture needle to pass through, and the notches are in a V shape; the utility model sews by means of the gap on the endoscopic forceps, the endoscopic forceps can effectively extrude and fix tissues during sewing, so that the sewed tissues are thinned, a sewing needle can conveniently penetrate through the tissues, and the problems of tissue dislocation and difficult control of the direction of the needle head in the sewing process are avoided, thereby greatly reducing the sewing difficulty and shortening the sewing time; in addition, the endoscopic forceps adopt bipolar electrocoagulation, when two forceps heads contact tissues needing electrocoagulation, the electrocoagulation function is activated, blood vessels at the position of a suture needle channel can be coagulated, bleeding caused by puncture of a suture needle is reduced, current does not pass through a patient body for a long distance in the electrocoagulation process, the requirement of the patient with metal foreign bodies in the body is met, and the universality and the accuracy of the endoscopic forceps are improved.

Description

Endoscope pincers convenient to sew up
Technical Field
The utility model relates to the technical field of medical instruments, in particular to an endoscopic forceps convenient to suture.
Background
The laparoscopic surgery is a newly developed minimally invasive surgery and is a necessary trend for the development of future surgical methods. With the rapid advance of industrial manufacturing technology, the fusion of related disciplines lays a firm foundation for the development of new technology and new method, and the more and more skillful operation of doctors makes many of the past open operations replaced by the intracavitary operations, thereby greatly increasing the operation selection opportunities.
When laparoscopic prostate cancer radical surgery is performed, the pubic prostate ligament needs to be sutured. Because the pubic prostatic ligament is internally provided with a plurality of blood vessel nets formed by blood vessels, if the pubic prostatic ligament is not sutured or sutured in place, the blood vessels are easy to bleed, but because the pubic prostatic ligament tissue is thicker, the width can be about one centimeter, and the blood vessels are rich and have small space, the suturing is difficult, and the blood vessels are easy to bleed in the suturing process. The traditional sewing method is as follows: doctors draw the prostate to directly suture after exposing the pubic prostate ligament, but because the suture space is small and only a small suture needle (the length of the needle is about 1 cm) can be placed, the length of the needle is close to the thickness of the pubic prostate ligament, and the needle head is not easy to expose; in addition, the suture needle is arc-shaped, the tissue is too thick, and the needle outlet point is not easy to be accurately controlled, so that the suture is difficult. Because the ligament is not fixed in the sewing process, the ligament can be dislocated when a doctor punctures the ligament by using a sewing needle, the sewing is not in place, and the sewing difficulty is increased.
SUMMERY OF THE UTILITY MODEL
Aiming at the technical problem that ligaments cannot be effectively fixed under the traditional laparoscopic surgery, the utility model provides an endoscopic forceps convenient to suture.
The technical scheme adopted by the utility model is as follows: the endoscopic forceps convenient to suture comprise a forceps handle, a forceps rod and two forceps heads, wherein a handle is arranged on the forceps handle, the forceps heads are made of metal, two notches convenient for a suture needle to penetrate are formed in the forceps heads, each notch is in a V shape, the bottom of each notch is wide, and the top of each notch is narrow. Although the pubic prostate ligament is about one centimeter wide, the pubic prostate ligament is a soft tissue that is soft and can be compressed. When in suturing, a doctor uses the forceps of the endoscopic forceps to press the thin ligament, and the ligament to be sutured is flattened or clamped; when the ligament tissue is pressed to be thin, the endoscopic forceps are reserved, a doctor uses the suture needle to penetrate through the bottom of the notch back and forth to suture the ligament, and after the suture is sewn, the suture can be taken out from the top of the notch, so that the endoscopic forceps are prevented from being sewn on the tissue. Compared with the traditional single suture mode, the endoscopic forceps suture the tissue by means of the notches on the endoscopic forceps, the endoscopic forceps can effectively fix the tissue during suture, and the problems that the tissue is dislocated and the direction of a needle head is not easy to control in the suture process are solved, so that the suture difficulty is greatly reduced, and the suture time is shortened.
Furthermore, the inner sides of the two forceps heads are toothed, so that the friction force between the forceps heads and tissues is increased, the forceps heads can better clamp the tissues, and the tissues are prevented from sliding.
Furthermore, an electrode joint electrically connected with the forceps head is arranged on the forceps handle, so that the endoscopic forceps have an electrocoagulation function, after the electrode joint is electrified, the forceps head heats tissues when contacting with the body through high-frequency high-voltage current generated by the tip of the effective electrode, and the coagulation of the body tissues is realized, thereby achieving the purpose of hemostasis.
Further, the forceps heads are coated with insulating coatings, and electrocoagulation parts are arranged at positions, close to the end parts, of the inner sides of the two forceps heads. That is, the electrocoagulation portion is bare metal, the electrocoagulation portion is not coated with an insulating coating, and the rest parts of the forceps head except the electrocoagulation portion are coated with the insulating coating. The purpose of this is to: because the exposed metal area of the forceps head is too large, side damage is easy to occur to electrocoagulation, and because the contact area is too large, even the electrocoagulation function cannot be excited. Therefore, under the condition of ensuring the length of the traditional laparoscope forceps head, the utility model coats most of the insulating coating on the forceps head, and does not coat a small part of the forceps head. The forceps head coated with the insulating coating does not have the electrocoagulation function, and the electrocoagulation part not coated with the insulating coating has the electrocoagulation function, so that the electrocoagulation range is narrowed, and medical staff can achieve accurate electrocoagulation.
Furthermore, the insulating coating is one of an alumina ceramic coating or a ceramic polymer coating, and the two coatings have mature technologies and can realize an insulating function.
Furthermore, the electrode joint comprises a positive electrode joint and a negative electrode joint arranged beside the positive electrode joint, the positive electrode joint is electrically connected with one binding clip, and the negative electrode joint is electrically connected with the other binding clip. The electrocoagulation mode is monopolar electrocoagulation, wherein during operation, the electrode joint is connected with a positive electrode or a negative electrode, and then a corresponding negative electrode or a positive electrode patch is adhered to the skin surface of a patient. After the electric coagulation function of the forceps head is excited, the positive electrode and the negative electrode are communicated, and weak current can pass through the patient. For a common patient, a weak current in the body cannot cause damage, but for the patient with a metal foreign body (such as a pacemaker, an orthopedic metal steel plate, a steel nail and the like) in the body, the metal foreign body can conduct electricity and be excited, so that the performance of the metal foreign body is influenced, and the body of the patient is damaged. Therefore, the technical scheme adopts a bipolar type, when two forceps heads contact tissues needing electrocoagulation, the electrocoagulation function is activated, blood vessels at the position of a suture needle channel can be coagulated, bleeding caused by puncture of a suture needle is reduced, a current forms a loop through a positive electrode connector, the forceps heads, the tissues and a negative electrode connector, and the current burns and coagulates the tissues between the two forceps heads through the tissues between the two forceps heads. That is to say, the electric coagulation process can not have the electric current and pass through from the internal long distance of patient to can satisfy the patient that installs the metallic foreign matter in the health and use, improve chamber mirror pincers's commonality and accurate nature. After the bipolar coagulation is utilized, the operation visual field is clear in the suturing process, and the visual field cannot be polluted by bleeding to cause the visual field to be unclear.
The utility model has the beneficial effects that:
1. the utility model sews by means of the gap on the endoscopic forceps, the endoscopic forceps can effectively fix the tissue during sewing, and the dislocation of the tissue during sewing is avoided, thereby greatly reducing the sewing difficulty and shortening the sewing time.
2. The endoscopic forceps not only can play a role in assisting in suturing, but also has an electrocoagulation function, and the forceps head heats tissues when contacting with the body through high-frequency high-voltage current generated by the tip of the effective electrode, so that the coagulation of the body tissues is realized, and the purpose of stopping bleeding is achieved.
3. The endoscope forceps adopt bipolar electrocoagulation, when two forceps heads contact tissues needing electrocoagulation, the electrocoagulation function is activated, and current forms a loop through a positive electrode joint, the forceps heads, the tissues and a negative electrode joint. That is to say, the electric coagulation process can not have the electric current and pass through from the internal long distance of patient to can satisfy the patient that installs the metallic foreign matter in the health and use, improve chamber mirror pincers's commonality and accurate nature.
4. After the endoscopic forceps utilize bipolar electrocoagulation, the surgical field of vision is clear in the suturing process, and the visual field is not clear due to hemorrhage pollution.
Drawings
Fig. 1 is a schematic structural view of the present invention.
Fig. 2 is a schematic view of fig. 1 taken along direction a.
Labeled as:
1. a forceps handle; 2. a clamp lever; 3. a binding clip; 4. a grip; 5. an electrode tab;
301. a notch; 302. an electrocoagulation section; 501. a positive electrode tab; 502. a negative terminal;
Detailed Description
In the description of the present invention, it should be noted that the terms "front", "upper", "lower", "left", "right", "vertical", "horizontal", and the like indicate orientations or positional relationships based on those shown in the drawings, and are only for convenience of description and simplification of description, but do not indicate or imply that the referred device or element must have a specific orientation, be configured in a specific orientation, and operate, and thus, should not be construed as limiting the present invention.
In the description of the present invention, it should be noted that, unless otherwise explicitly specified or limited, the terms "mounted," "connected," and "connected" are to be construed broadly, e.g., as meaning either a fixed connection, a removable connection, or an integral connection; they may be connected directly or indirectly through intervening media, or they may be interconnected between two elements. The specific meanings of the above terms in the present invention can be understood in specific cases to those skilled in the art.
The utility model is further described below with reference to the accompanying drawings.
Example one
Referring to fig. 1 and 2, the endoscopic forceps convenient for suturing of the utility model comprises a forceps handle 1, a forceps rod 2 and two forceps heads 3, wherein a grip 4 is arranged on the forceps handle 1, the forceps heads are made of metal, notches 301 convenient for a suture needle to pass through are arranged on the two forceps heads 3, the notches 301 are in a V shape, the bottoms of the notches are wide, and the tops of the notches are narrow. Although the pubic prostate ligament is about one centimeter wide, the pubic prostate ligament is a soft tissue that is very soft. When suturing, a doctor uses the forceps of the endoscope to take the ligament and flatten or clamp the ligament; when the ligament tissue is pressed to be thin, the endoscopic forceps are reserved, a doctor uses the suture needle to penetrate through the bottom of the notch back and forth to suture the ligament, and after the suture is sewn, the suture can be taken out from the top of the notch, so that the endoscopic forceps are prevented from being sewn on the tissue. Compared with the traditional single suture mode, the endoscopic forceps suture the tissue by means of the notches on the endoscopic forceps, the tissue can be effectively fixed by the endoscopic forceps during suture, and the tissue dislocation in the suture process is avoided, so that the suture difficulty is greatly reduced, and the suture time is shortened.
Referring to fig. 1 and 2, the inner sides of the two forceps heads 3 of the present embodiment are toothed, so as to increase the friction force between the forceps heads and the tissue, so that the forceps heads can better clamp the tissue, and the slippage between the forceps heads and the tissue is avoided.
Example two
Referring to fig. 1 and 2, on the basis of the first embodiment, the forceps handle 1 of the present embodiment is provided with the electrode connector 5 electrically connected with the forceps head 3, so that the endoscopic forceps has an electrocoagulation function, after the electrode connector is powered on, the forceps head heats the tissue when contacting with the body through the high-frequency high-voltage current generated by the tip of the effective electrode, so as to realize the coagulation of the body tissue, thereby achieving the purpose of hemostasis
Referring to fig. 2, in the present embodiment, an insulating coating is coated on the forceps heads 3, the electrocoagulation portion 302 is arranged at a position close to the end portion inside the two forceps heads, and the insulating coating is an alumina ceramic coating. That is, the electrocoagulation portion is bare metal, the electrocoagulation portion is not coated with an insulating coating, and the rest parts of the forceps head except the electrocoagulation portion are coated with the insulating coating. The purpose of this is to: because the exposed metal area of the forceps head is too large, side damage is easy to occur to electrocoagulation, and because the contact area is too large, even the electrocoagulation function cannot be excited. Therefore, under the condition of ensuring the length of the traditional laparoscope forceps head, the utility model coats most of the insulating coating on the forceps head, and does not coat a small part of the forceps head. The forceps head coated with the insulating coating does not have the electrocoagulation function, and the electrocoagulation part not coated with the insulating coating has the electrocoagulation function, so that the electrocoagulation range is narrowed, and medical staff can achieve accurate electrocoagulation.
EXAMPLE III
Referring to fig. 1, on the basis of the second embodiment, the electrode tab 5 of the present embodiment includes a positive electrode tab 501 and a negative electrode tab 502 disposed beside the positive electrode tab, the positive electrode tab is electrically connected to one of the binding clips, and the negative electrode tab is electrically connected to the other binding clip. The electrocoagulation mode of the second embodiment is monopolar electrocoagulation, wherein during operation, the electrode connector is connected with a positive electrode or a negative electrode, and then a corresponding negative electrode or positive electrode patch is adhered to the skin surface of a patient. After the electric coagulation function of the forceps head is excited, the positive electrode and the negative electrode are communicated, and weak current can pass through the patient. For a common patient, a weak current in the body cannot cause damage, but for the patient with a metal foreign body (such as a pacemaker, an orthopedic metal steel plate, a steel nail and the like) in the body, the metal foreign body can conduct electricity and be excited, so that the performance of the metal foreign body is influenced, and the body of the patient is damaged. Therefore, the technical scheme adopts a bipolar type, when two forceps heads contact tissues needing electrocoagulation, the electrocoagulation function is activated, blood vessels at the position of a suture needle channel can be coagulated, bleeding caused by puncture of a suture needle is reduced, a current forms a loop through a positive electrode connector, the forceps heads, the tissues and a negative electrode connector, and the current burns and coagulates the tissues between the two forceps heads through the tissues between the two forceps heads. That is to say, the electric coagulation process can not have the electric current and pass through from the internal long distance of patient to can satisfy the patient that installs the metallic foreign matter in the health and use, improve chamber mirror pincers's commonality and accurate nature. After the endoscopic forceps utilize bipolar electrocoagulation, the surgical field of vision is clear in the suturing process, and the visual field is not clear due to hemorrhage pollution.
The above description is only a preferred embodiment of the present invention and is not intended to limit the present invention, and various modifications and changes may be made by those skilled in the art. Any modification, equivalent replacement, or improvement made within the spirit and principle of the present invention should be included in the protection scope of the present invention.

Claims (6)

1. Laparoscopic forceps convenient to suture, including pincers handle (1), tong pole (2) and two binding clip (3), be provided with handle (4) on pincers handle (1), the binding clip is made by metal, its characterized in that, two all be provided with breach (301) convenient to suture needle and pass on binding clip (3), breach (301) are the V font.
2. Endoscopic forceps for facilitating suturing as claimed in claim 1, characterised in that the two jaws (3) are toothed on the inside.
3. Endoscopic forceps for facilitating suturing as defined in claim 1, characterized in that the handle (1) is provided with an electrode connector (5) electrically connected to the forceps head (3).
4. Endoscopic forceps for facilitating suturing as claimed in claim 3 characterised in that the jaws (3) are coated with an insulating coating and that the electrocoagulation portion (302) is provided inside both jaws close to the ends.
5. Endoscopic forceps as claimed in claim 4 in which the insulating coating is one of an alumina ceramic coating or a ceramic polymer coating.
6. Endoscopic forceps for facilitating suturing as claimed in claim 4, characterized in that the electrode connector (5) comprises a positive connector (501) and a negative connector (502) arranged beside the positive connector, the positive connector being electrically connected to one forceps head and the negative connector being electrically connected to the other forceps head.
CN202121680220.5U 2021-07-22 2021-07-22 Endoscope pincers convenient to sew up Expired - Fee Related CN216135984U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202121680220.5U CN216135984U (en) 2021-07-22 2021-07-22 Endoscope pincers convenient to sew up

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202121680220.5U CN216135984U (en) 2021-07-22 2021-07-22 Endoscope pincers convenient to sew up

Publications (1)

Publication Number Publication Date
CN216135984U true CN216135984U (en) 2022-03-29

Family

ID=80803869

Family Applications (1)

Application Number Title Priority Date Filing Date
CN202121680220.5U Expired - Fee Related CN216135984U (en) 2021-07-22 2021-07-22 Endoscope pincers convenient to sew up

Country Status (1)

Country Link
CN (1) CN216135984U (en)

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Granted publication date: 20220329