JP5138715B2 - 止血クリップ - Google Patents
止血クリップ Download PDFInfo
- Publication number
- JP5138715B2 JP5138715B2 JP2010039073A JP2010039073A JP5138715B2 JP 5138715 B2 JP5138715 B2 JP 5138715B2 JP 2010039073 A JP2010039073 A JP 2010039073A JP 2010039073 A JP2010039073 A JP 2010039073A JP 5138715 B2 JP5138715 B2 JP 5138715B2
- Authority
- JP
- Japan
- Prior art keywords
- clip
- forceps
- hemostatic clip
- hemostatic
- bleeding
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Fee Related
Links
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/132—Tourniquets
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/122—Clamps or clips, e.g. for the umbilical cord
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/128—Surgical 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/128—Surgical 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
- A61B17/1285—Surgical 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
- A61B2017/00646—Type of implements
- A61B2017/00659—Type of implements located only on one side of the opening
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2901—Details of shaft
- A61B2017/2906—Multiple forceps
Description
しかし、このような従来の止血クリップ操作装置を用いて中・大口径の動脈血管の出血部位を止血する場合に、出血部位のみならず血管全体を閉塞させて止血するため、血流の循環に深刻な問題を誘発するおそれがある。よって、中・大口径血管で部分的な出血が発生する場合、血管全体を閉塞せずかつ出血部位を迅速に止血しうる新しい止血クリップ及び止血クリップ操作装置が要求されている。
前記曲げ部は、前記クリップ本体の長軸上に位置することが望ましい。
図1及び図2に示したように、本発明の一実施例による止血クリップ10は、クリップ本体11、曲げ部(13a、13b)、及び係止部(15a、15b)などを含むことができる。
曲げ部(13a、13b)は、クリップ本体11が中心を基準にして(即ち対称中心線を線対称の中心として)左右対称となるように曲げられるよう、クリップ本体11の対称中心線上の上下側(図2参照)の部位(即ち左右方向と垂直な方向における両側の部位)に一対に形成することができる。
係止部(15a、15b)は、血管1の出血部位3にクリッピングされた止血クリップ10を別途のクリップ除去装置30(図21及び図22を参照)を用いて容易に除去できるよう、クリップ本体11に一対に形成することができる。
鉗子駆動部300は、取っ手部100と第1鉗子部210及び第2鉗子部220とを連結するように具備される。これのために、鉗子駆動部300は、プッシュロッド310、第1リンク部材320、第2リンク部材330、第1作動ロッド350、第2作動ロッド360、及びガイドケース370などを含むことができる。
ここで、一対の操作ハンドル(121、122)を内側へ完全に回動させるとき、プッシュロッド310のヘッド部311が第2作動ロッド360を前方に押すことができるよう、プッシュロッド310のヘッド部311と第2作動ロッド360との相互接触部位の断面積は同一に形成することが望ましい。
第1リンク部材320は、操作ハンドル(121、122)の回動にしたがって、プッシュロッド310の前後移動をガイドするように操作ハンドル(121、122)とプッシュロッド310とをリンク連結する。
図10は、本実施例の止血クリップ操作装置に止血クリップを把持した状態を示した例示図であり、図11は、図10のD部分を拡大した断面図であり、図12は、図10のE部分を拡大して示した斜視図である。
図19及び図20に示したように、中・大口径血管のような重要な動脈類血管1の一部分で出血が発生する場合、血管全体を閉塞させることなく出血部位3のみを部分的にクリッピングして止血させることで、血管1の機能を継続維持させることができる。よって、本発明の止血クリップ10及びこれを用いる止血クリップ操作装置20は、中・大口径血管のような重要な血管1の出血のとき、全体閉塞が困難な動脈血管の止血用途に適合する。
20 止血クリップ操作装置
100 取っ手部
110 取っ手本体
121、122 操作ハンドル
210 第1鉗子部
220 第2鉗子部
300 鉗子駆動部
310 プッシュロッド
320 第1リンク部材
330 第2リンク部材
340 弾性部材
350 第1作動ロッド
360 第2作動ロッド
370 ガイドケース
Claims (2)
- 血管の出血部位の外周をクリッピングして止血するクリップ本体と、
前記クリップ本体が対称中心線を中心にして左右対称に曲げられるように前記クリップ本体の対称中心線上に形成される一対の曲げ部と、
前記出血部位にクリッピングされた前記止血クリップを係止して除去しうるように前記クリップ本体に形成される一対の係止部と
を含み、
前記クリップ本体は、左右対称の円形または多角形の閉ループ形状を有し、
前記一対の係止部は、前記出血部位に接する一対の面とは反対側の一対の面において互いに反対側に突出して形成される
ことを特徴とする止血クリップ。 - 前記曲げ部は、前記クリップ本体の長軸上に位置することを特徴とする請求項1に記載の止血クリップ。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
KR1020090086286A KR101075531B1 (ko) | 2009-09-14 | 2009-09-14 | 지혈 클립 및 이를 이용하는 지혈 클립 조작 장치 |
KR10-2009-0086286 | 2009-09-14 |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2011056242A JP2011056242A (ja) | 2011-03-24 |
JP5138715B2 true JP5138715B2 (ja) | 2013-02-06 |
Family
ID=43334612
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2010039073A Expired - Fee Related JP5138715B2 (ja) | 2009-09-14 | 2010-02-24 | 止血クリップ |
Country Status (5)
Country | Link |
---|---|
US (1) | US20110066163A1 (ja) |
EP (1) | EP2294990A3 (ja) |
JP (1) | JP5138715B2 (ja) |
KR (1) | KR101075531B1 (ja) |
CN (1) | CN102018547A (ja) |
Families Citing this family (53)
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-
2009
- 2009-09-14 KR KR1020090086286A patent/KR101075531B1/ko active IP Right Grant
-
2010
- 2010-02-10 EP EP10153207.5A patent/EP2294990A3/en not_active Withdrawn
- 2010-02-18 US US12/708,107 patent/US20110066163A1/en not_active Abandoned
- 2010-02-24 JP JP2010039073A patent/JP5138715B2/ja not_active Expired - Fee Related
- 2010-02-25 CN CN201010125966XA patent/CN102018547A/zh active Pending
Also Published As
Publication number | Publication date |
---|---|
KR101075531B1 (ko) | 2011-10-20 |
CN102018547A (zh) | 2011-04-20 |
EP2294990A2 (en) | 2011-03-16 |
KR20110028721A (ko) | 2011-03-22 |
JP2011056242A (ja) | 2011-03-24 |
EP2294990A3 (en) | 2017-07-19 |
US20110066163A1 (en) | 2011-03-17 |
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