KR20160079989A - A biopsy forceps - Google Patents

A biopsy forceps Download PDF

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Publication number
KR20160079989A
KR20160079989A KR1020140190933A KR20140190933A KR20160079989A KR 20160079989 A KR20160079989 A KR 20160079989A KR 1020140190933 A KR1020140190933 A KR 1020140190933A KR 20140190933 A KR20140190933 A KR 20140190933A KR 20160079989 A KR20160079989 A KR 20160079989A
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South Korea
Prior art keywords
wire
driving
groove
flexible wire
identification
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KR1020140190933A
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Korean (ko)
Inventor
이태경
황중보
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주식회사 파인메딕스
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Priority to KR1020140190933A priority Critical patent/KR20160079989A/en
Publication of KR20160079989A publication Critical patent/KR20160079989A/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00064Constructional details of the endoscope body
    • A61B1/00071Insertion part of the endoscope body
    • A61B1/0008Insertion part of the endoscope body characterised by distal tip features
    • A61B1/00087Tools
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00131Accessories for endoscopes
    • A61B1/00137End pieces at either end of the endoscope, e.g. caps, seals or forceps plugs
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
    • A61B10/02Instruments for taking cell samples or for biopsy
    • A61B10/04Endoscopic instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
    • A61B10/02Instruments for taking cell samples or for biopsy
    • A61B10/06Biopsy forceps, e.g. with cup-shaped jaws
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • Molecular Biology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Pathology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Biophysics (AREA)
  • Physics & Mathematics (AREA)
  • Optics & Photonics (AREA)
  • Ophthalmology & Optometry (AREA)
  • Biodiversity & Conservation Biology (AREA)
  • Surgical Instruments (AREA)
  • Endoscopes (AREA)

Abstract

The present invention provides an easy operation of assembly and production while preventing separation and separation of a driving part and facilitating identification of a size of a driving part. It is connected to a handle part that can be gripped, And a driving part having a cutting wire for collecting tissue at an end of the flexible wire; The handle portion includes a body having a handle formed at the rear and having a pair of slide bars formed by an operation hole formed at the center, a wire groove formed in front of the operation hole to allow the drive wire of the drive portion to enter the operation hole, A flexible wire groove formed in front of the wire groove so that the flexible wire can be positioned; And a slider for coupling the driving wire to move the cutter clip forward and backward to connect the body to the slider.
Driving unit holding means for facilitating replacement of the driving unit while preventing flow and dropout of the driving unit; An identification body provided at a front portion of the body and having different colors according to the size of the driving wire and an identification body hole through which the identification body can be exposed is formed in the finishing cap in which the identification body is located, thereby enabling a practitioner to visually determine the size of the driving body It is characterized by further comprising an identification means.

Figure P1020140190933

Description

Endoscopic forceps {A BIOPSY FORCEPS}

BACKGROUND OF THE INVENTION 1. Field of the Invention [0001] The present invention relates to an endoscopic forceps, and more particularly, to an endoscopic forceps having an improved form capable of preventing detachment while clearly fixing a driving coil while ensuring smooth operability, Quot;

In general, a medical endoscope is a medical device that is inserted into an organ, body cavity, or the like so that the inside of the endoscope can be seen without directly performing surgery. Unlike other medical imaging devices, the endoscope is inserted directly into the body, It has the advantage of observing the shape and condition of the organ and body cavity.

Such an endoscope is provided with a biopsy function for collecting body tissues in addition to a function of observing the body organs and body cavity of the body, and histologically examining the body tissues recovered from the endoscope to detect the presence or the progress of the disease To be diagnosed.

For this purpose, the endoscope has a biopsy channel in which a biopsy forceps for inserting a biopsy force for collecting a body tissue inside the insertion section is formed along the longitudinal direction of the insertion section, and a biopsy forceps is inserted into the biopsy channel through the biopsy channel In vitro, the operator manipulates the biopsy forceps to collect the body tissue. Then, the biopsy forceps can be taken out of the biopsy channel and the tissue can be recovered from the forceps.

The biopsy forceps, which is an endoscopic treatment instrument, is operated by operating a forceps fixed to the distal end of the endoscope to open and close the endoscope. Thus, the forceps is generally used to operate an end effector It is a configuration that is required to use the operator ' s thumb.

Various types of endoscopic forceps have been developed and used. A representative example of the endoscopic forceps will be described with reference to FIG.

A conventional endoscope forceps 30 is largely composed of an operation section 1, a wire section 2 and an operation section 3. The operation section 3 and the wire section 2 are inserted into a lesion portion of a human body The operator operates the wire unit 2 and the operation unit 3 through the operation unit 1 and the tissue at the lesion site is detached at the end of the wire unit 2 A cutting clip 4 is provided.

The manipulation part 1 is composed of a body 9 composed of a handle 5 integrally formed with a guide rod 11 which is divided into a long hole 10 at the center thereof and a body 9 coupled to the long hole 10, And a flexible wire 15 is coupled to an end of the guide rod 11. The flexible wire 15 is fixed to the end of the guide rod 11. [

The reciprocating table 12 includes a groove 21 for fixing an operating wire 16 provided inside the flexible wire 15 and an operation for inserting the guide rod 11 into the reciprocating operation And a half-round carriage (12) having a groove (22) formed therebetween.

The operation part 3 is installed at the end of the operation wire 16 and a pair of cutout clips 4 are hinged to the end of the flexible wire 15 by the operation of the reciprocating table 12 It can be opened or closed.

Patent No. 10 - 1109734 - 0000 Patent No. 10 - 1385942 - 0000 Patent No. 10 - 1446883 - 0000

The endoscope forceps to which the above-described conventional technique is applied not only maintains a state of being simply coupled with the flexible wire coupled to the front of the body, but also forms a locking projection at the inner end of the operation wire embedded in the flexible wire, The operating wire and the reciprocating unit are separated from each other in the course of performing the operation using the forceps, so that the resilient force applied to the outer end of the flexible wire Causing the clip to fail to operate.

In particular, since endoscopic forceps have different sizes (diameters, etc.) of flexible wires (including operating wires and resection clips) depending on the purpose and use of the endoscope, the practitioner or procedure assistant should visually and promptly judge this visually, It is often difficult to perform the procedure wrongly.

In addition, when the size of the flexible wire having the ablation clips is changed, all of the components including the grips must be assembled and assembled in a changed state. Therefore, unnecessary cost is unnecessarily wasted, And the forceps are not operated during the procedure in actual operation without confirming the forceps in the assembled state, which makes the operation difficult.

There is a problem that the flexible wire can not be maintained in a firmly coupled state and is not operated separately in order to perform a reciprocating operation and a cutting operation for operation in the course of performing operation using the forceps.

SUMMARY OF THE INVENTION Accordingly, the present invention has been made in order to solve the above-mentioned problems, and it is an object of the present invention to provide a flexible wire for wire harvesting, A drive unit having a clip; The handle portion includes a body having a handle formed at the rear and having a pair of slide bars formed by an operation hole formed at the center, a wire groove formed in front of the operation hole to allow the drive wire of the drive portion to enter the operation hole, A flexible wire groove formed in front of the wire groove so that the flexible wire can be positioned; And a slider for coupling the driving wire to move the cutter clip forward and backward to connect the body to the slider.

Driving unit holding means for facilitating replacement of the driving unit while preventing flow and dropout of the driving unit; An identification body provided at a front portion of the body and having different colors according to the size of the driving wire and an identification body hole through which the identification body can be exposed is formed in the finishing cap in which the identification body is located, thereby enabling a practitioner to visually determine the size of the driving body Further comprising identification means;

It is possible to share the handle portion to provide ease of assembly and production while preventing separation and separation of the drive portion to ensure smooth operation while easily identifying the size of the drive portion and providing ease of operation.

The present invention can be used for common use regardless of the size of the drive unit including the handle, the body, and the slide, regardless of the size of the drive unit including the flexible wire and the cutter clip, It is possible to prevent unnecessary expenses from being wasted while making it excellent.

In addition, the operator can easily identify the size of the driving part, and the driving part can be easily separated from the handle part during the procedure using the forceps, thereby improving the quality of the forceps while providing ease of operation And can have a variety of effects.

BRIEF DESCRIPTION OF THE DRAWINGS Fig. 1 is an overall external perspective view showing an endoscope forceps to which the technique of the present invention is applied. Fig.
2 is a perspective view of an endoscope in an exploded state showing an endoscope forceps to which the technique of the present invention is applied;
3 is a cross-sectional view taken along the line A-A of the endoscope forceps to which the technique of the present invention is applied.
Fig. 4 is a view showing a configuration of an endoscope forceps to which the technique of the present invention is applied. Fig.
FIG. 5 is a schematic view showing a coupling portion showing an endoscope forceps to which the technique of the present invention is applied; FIG.
FIG. 6 is a schematic view showing an identification part showing an endoscope forceps to which the technique of the present invention is applied; FIG.
7 is a configuration diagram showing an endoscope forceps to which a conventional technique is applied.

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS Hereinafter, preferred embodiments of the present invention will be described in detail with reference to the accompanying drawings.

FIG. 1 is a perspective view showing an endoscope forceps to which the technique of the present invention is applied, FIG. 2 is a perspective view of an endoscope in an exploded state showing a forceps for endoscope to which the technique of the present invention is applied, FIG. 3 is an endoscope FIG. 4 is a schematic view of a fastener showing an endoscope forceps to which the technique of the present invention is applied. FIG. 5 is a cross-sectional view taken along line A - A of FIG. Fig. 6 is a schematic view of an identification part showing an endoscope forceps to which the technique of the present invention is applied.

The endoscope forceps 100 to which the technique of the present invention is applied includes a handle portion 101 for allowing a practitioner to perform an operation in a state of being held by a hand and a handle portion 101 connected to the handle portion 101, And a driving unit 105 having a driving wire 103 inside the flexible wire 102 and a cutting clip 104 for collecting tissue at the end so that the lesion tissue can be taken in.

The handle portion 101 is formed with a handle 107 behind the bar shaped body 106 and a pair of slide bars 109 are formed on the body 106 by an operation hole 108 formed at the center. .

A wire groove 110 through which the driving wire 103 of the driving part 105 can enter the operation hole 108 is formed in the front of the operating hole 108 A flexible wire groove 111 is formed in front of the flexible wire 102 so that the flexible wire 102 can be placed thereon.

The driving wire 103 is coupled to the body 106 and moved along the slide bar 109 to the front and back of the body 106 so that the driving wire 103 can move the upper slide And a slider 115 constituted by a lower slide 112 and a lower slide 113.

In the present invention, the driving part holding means 120 for facilitating the exchange of the driving part 105 while preventing the flow of the driving part 105 and the driving part 105 are provided so that the operator can easily identify the size (type, etc.) And an identification means (150)

The driving portion holding means 120 is formed by forming an S-shaped bent portion 121 at an inner end of the driving wire 103 and forming the bent portion 121 at a connecting position of the upper and lower slides 112 and 113 The driving wire 103 can be easily removed in the operation direction of the slider 115 when the slider 115 is engaged with the S-shaped bent groove 122.

A coupling 125 fixed to an end of the flexible wire 102 is accommodated in a boundary position between the wire groove 110 formed at the tip of the body 106 and the flexible wire groove 111, And a coupling groove 126 for preventing detachment is integrally formed.

A finishing cap 130 is further coupled to the front of the body 106 so as to prevent the flexible wire 102 stored in the flexible wire groove 111 from separating or flowing from the flexible wire groove 111 once more.

The finishing cap 130 includes a receiving space 131 having a diameter equal to the outer diameter of the body 106 so as to prevent the flexible wire 102 received in the flexible wire groove 111 from escaping from the front of the body 106 And a positioning groove 133 is formed in the rear (handle direction) so as to correspond to the positioning protrusion 132 formed on the body 106 to prevent misassembly.

A locking protrusion 134 formed at a front end of the body 106 is positioned in front of the finishing cap 130 to form a locking recess 135 for preventing the finishing cap 130 coupled to the body 106 from coming off It is preferable to prevent them from being separated once they are assembled once by forced coupling.

The identification means 150 includes an identification body 151 having a color different from that of the driving wire 103 in the front portion of the body 106 and a finishing cap 130 An identification body hole 152 through which the identification body 151 can be exposed is formed so that the operator can easily identify it.

Although the identification body 151 may be formed integrally with the body 106 through insert injection molding, it is preferable to attach a color sticker or tape to the identification body 151 because a large cost is incurred. It is not necessary to specify any one of the shapes and shapes since it can be formed to have various shapes and shapes.

The use state of the endoscope forceps 100 to which the technique of the present invention is applied will be described as follows.

The operation of the endoscope forceps 100 is the same as in the prior art. When the forceps 100 is coupled to the endoscope, the operator holds the handle 101 in a state in which the drive unit 105 has approached the target body part, It is possible to collect and draw the lesion tissue by the resection clip 104 located at the distal end of the driving unit 105 by moving the resection unit 115 in the forward and backward directions of the body 106. Therefore, The advantages obtained by omitting the forceps 100 of the present invention will be described in detail.

The endoscope forceps 100 to which the technique of the present invention is applied is characterized in that the flexible wire 102 and the driving wire 103 constituting the driving part 105 are firmly fixed to the handle part 101 by the driving part holding means 120 It is possible to ensure smooth operation by eliminating the separation, dropout and flow of the driving part 105 in the course of the operation in the course of operation and to ensure the smooth operation of the parts of the handle part 101 regardless of the size of the driving part 105 It is possible to prevent unnecessarily large manufacturing cost and assembly cost or time from being wasted.

In addition, the size of the driving unit 105 can be easily identified by the identification means 150 without any difficulty for the operator or a procedure assistant visually, thereby providing the advantage of ease of operation.

The S-shaped bent portion 121 formed at the inner end of the driving wire 103 inserted into the inner diameter of the flexible wire 102 is connected to the upper portion and the lower portion of the slider 115, The upper and lower slides 112 and 113 are coupled to the S shaped bent grooves 122 integrally formed on the inner surfaces of the slides 112 and 113 so that the driving wire 103 is coupled to the body 106 by the slider 115, It is possible to omit the phenomenon that it is easily separated or separated even if it moves to the front and rear of the vehicle.

The flexible wire 102 accommodated in the flexible wire groove 111 formed at the front end of the body 106 has a coupling 125 fixed to the rear end of the flexible wire 102 coupled to the coupling groove 126, And the handle portion 101 can be commonly used irrespective of the standard of the drive portion 105. In addition, .

The flexible wire 102 housed in the flexible wire groove 111 at the front end of the body 106 is once more interrupted by the finishing cap 130 coupled to the front of the body 106, It can be excluded.

Particularly, in the case of the finishing cap 130, the positioning projections 132 and the positioning grooves 133 prevent the possibility of erroneous assembling, and at the same time, And the driving unit 105 can be stably maintained firmly since the driving unit 105 is maintained in a form that is not easily released after the driving unit 105 is coupled (forced coupling).

In the case of the identification means 150, the identification body 151 capable of identifying the size of the driving unit 105 is exposed to the outside through the identification body hole 152 formed in the finishing cap 130, Thereby making it possible for anyone to easily grasp the size of the driving unit 105, thereby preventing the possibility of false chaos and enabling efficient operation.

100; An endoscopic forceps 101; The handle portion
102; Flexible wire 103; Driving wire
105; A driving unit 106; Body
107; Handle 115; Slider
120; Driving unit holding means 121; Bent portion
122; Bending grooves 125; Coupling
126; A coupling groove 130; Closing cap
132; Positioning projections 133; Positioning groove
134; A locking protrusion 135; Latching groove
150; Identification means 151; Identifier
152; Identification body hole

Claims (3)

And a driving wire 103 is provided inside the flexible wire 102 so as to be able to collect the lesion tissue by being connected to the handle part 101. [ And a driving part (105) having a cutting clip (104) for collecting tissue at an end thereof;
The handle portion 101 includes a body 106 having a pair of slide bars 109 formed at the center thereof with an operation hole 108 formed at the rear and a body 106 having a pair of slide bars 109, A wire groove 110 formed in front of the wire groove 110 so as to allow the drive wire 103 of the drive unit 105 to enter the operation hole 108 and a flexible wire 102 disposed in front of the wire groove 110, A flexible wire groove 111 formed so as to be able to be formed;
And a slider 113 composed of an upper slide 112 and a lower slide 113 for moving the resection clip 104 by moving the driving wire 103 along the slide bar 109 to the front and rear of the body 106, (115) to the body (106);
(120) for facilitating the exchange of the driving part (105) while preventing the flow and dropout of the driving part (105);
An identification body 151 provided at a front portion of the body 106 and having a different color according to the size of the driving wire 103 and an identification body 151 formed on the finishing cap 130 on which the identification body 151 is located Further comprising an identification means (150) for forming an identification body hole (152) that can be exposed so that an operator can visually determine the size of the driving unit (105).
The method of claim 1, further comprising:
The driving portion holding means 120 includes an S-shaped bent portion 121 formed at the inner end of the driving wire 103 and an S-shaped bent groove 122 formed at the connecting position of the upper and lower slides 112, So as to exclude the phenomenon that the driving wire 103 is easily dropped in the operating direction of the slider 115;
A coupling 125 which is fixed to an end of the flexible wire 102 is housed in a boundary position between the wire groove 110 formed at the tip of the body 106 and the flexible wire groove 111, Forming a coupling groove (126) that can be prevented from being detached;
And a finishing cap (130) coupled to the front of the body (106) to prevent the flexible wire (102) housed in the flexible wire groove (111) from being separated or flowing.
3. The method of claim 2,
The finishing cap 130 includes a receiving space 131 for receiving the front of the body 106 and having a diameter equal to the outer diameter of the body 106 so that the flexible wire 102 housed in the flexible wire groove 111 does not deviate )and;
A positioning groove 133 formed at the rear of the body 106 so as to correspond to the positioning protrusion 132 for preventing erroneous assembly;
And an engagement groove (135) which is coupled to a locking protrusion (134) formed at the tip of the body (106) in front of the finishing cap (130) For forceps.
KR1020140190933A 2014-12-26 2014-12-26 A biopsy forceps KR20160079989A (en)

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR102014087B1 (en) 2019-01-04 2019-08-26 (주)메디컬에이드 Disposable biopsy forceps for endoscope
KR20220148524A (en) 2021-04-29 2022-11-07 자이메드 주식회사 Method for determining location of lesion and endoscopic system therefor
KR20220149981A (en) 2021-05-03 2022-11-10 자이메드 주식회사 Endoscopic Tool Assembly and Endoscopic Apparatus Having the Same

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR101109734B1 (en) 2009-11-16 2012-02-16 (주) 태웅메디칼 A Controll Device for the medical Instrument as a like the Forcep
KR101385942B1 (en) 2013-08-20 2014-04-16 최동열 Biopsy forceps for endoscope
KR101446883B1 (en) 2013-12-02 2014-10-06 경북대학교 산학협력단 A forceps for ophthalmic surgery

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR101109734B1 (en) 2009-11-16 2012-02-16 (주) 태웅메디칼 A Controll Device for the medical Instrument as a like the Forcep
KR101385942B1 (en) 2013-08-20 2014-04-16 최동열 Biopsy forceps for endoscope
KR101446883B1 (en) 2013-12-02 2014-10-06 경북대학교 산학협력단 A forceps for ophthalmic surgery

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR102014087B1 (en) 2019-01-04 2019-08-26 (주)메디컬에이드 Disposable biopsy forceps for endoscope
KR20220148524A (en) 2021-04-29 2022-11-07 자이메드 주식회사 Method for determining location of lesion and endoscopic system therefor
KR20220149981A (en) 2021-05-03 2022-11-10 자이메드 주식회사 Endoscopic Tool Assembly and Endoscopic Apparatus Having the Same

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