TW567051B

TW567051B - Multifunctional operation clamp and ligation ring for the operation clamp

Info

Publication number: TW567051B
Application number: TW92109565A
Authority: TW
Inventors: Fang-Chau Du
Original assignee: Fang-Chau Du
Priority date: 2003-04-24
Filing date: 2003-04-24
Publication date: 2003-12-21
Also published as: TW200422020A

Abstract

The present invention provides an operation clamp, which combines the functions of cutting and ligation. The operation clamp is used in conjunction with a ligation ring formed of two sutures into a deformed operation knot. When in use, the two ligation rings are installed in parallel at the opening of the operation clamp, and can be controlled by the operation clamp to shrink in size in order to complete a ligation function. The design of the operation clamp integrates the functions of an operation knife, a clamp, and simulated fingers. When a surgeon operates the device independently, the operation clamp can be used to clamp a target, and a knife is used to open the tissue, an then the two ligation rings each fasten a vascular pedicle and cut off an excessive suture. Thus, an operation is carried out faster and more convenient, and is particularly suitable for an operation in a narrow space, e.g. an endoscopic operation.

Description

567051 五、發明說明（1) 【發明所屬之技術領域】本發明係與手術用之哭b 術钳裝置，該裝置係具有詳而言之係指一種手織並將之結紮止血等一連貫^術部位之組織、切開組自操作者。、乍業之功能，並便於手術者獨【先前技術】按，利用手術刀片切開組織、線結紮出血點或大血管或含 & w械止血、用縫，是外科醫師-般手術：：；二==1…_ 手術空間狹小或較深之手術部位；程，但在廣為流行的内視鏡手術為例二展。以目前或血管里端都必需依靠昂貴的替 ” & 較λΙ的血其C血&吉^ SCalpel)為例，它們僅能對最乂二：在—以下)有止血效果；另以目前最廣泛使^的雙極電燒儀（bipQlar eleetWgery 'd:::孰么能對較大的血管凝固止▲，但對週邊組 ^有本大的”，、侩。，即使以最新的組織凝集儀 )以尚電流低電壓降低週邊組織熱傷害為優點，其能凝固用ϊΐ血官直徑雖據稱可達7nim，但較諸以一條普通手術 =秦即可以輕易結紮直徑達〗〇mm的血管而言，適用範圍 ’常用的欽合金單個夹子（ciip)或是直排的釘（Staplers)可以夾住血管或封住一片含血管的組織 -有永不及收的異物存留組織反應。單純為結紮用發展 567051 五、發明說明（2) 出的各式圈套（例如：r〇e(ier loop......等），其使用時遠不如想像的方便，而且大體積組織的結紮時其所具有之結糸力塁是否可靠值得存疑。上述各種替代結紮或止血方式所使用的裔械设備或能源，不僅是非常昂貴（動辄數拾萬或數百萬台幣）且須配合耗時的學習使用過程，部份設備使用不慎更有嚴重的重大危險。【發明内容】本發明旨於解決上揭缺失，其主要目的在於提供一種多功能手術钳，其操作非常容易、便利、安全，尤其適合深而狹小的手術空間。 [實施方式】為使貴審查委員能進一步瞭解本發明之目的、特徵以及所達成=功效，以下茲舉本發明一較佳實施例，並配合圖式詳細說明於后，其中，圖式之安排為：第/圖係一標準外科結之結構圖。第二圖顯不將標準外科結轉換成本發明之結紮圈套之中間過稃。第彡圖顯示本發明之結紮圈套之結構。第四圖係顯不結紮圈套可調整套口大小之狀態第五圖顯f將結紮圈套形成一安全結之狀態Γ 第六圖儀第五圖之局部放大圖。第七圖係本發明—較佳實施例之手術鉗之立體圖。第八圖係第七圖之大部分解立體圖。第九圖係第七圖之前半段之立體圖。567051 V. Description of the invention (1) [Technical field to which the invention belongs] The present invention relates to a surgical bladder forceps device, which has a coherent technique such as a kind of hand weaving and ligation to stop bleeding. The organization and incision of the site are performed by the operator. The function of Zhaye and it is convenient for the surgeon. [Previous technology] Press and use a surgical blade to cut open tissues, ligate bleeding points or large blood vessels or contain & w to stop bleeding and use sutures. It is a surgeon-like operation ::; Two == 1 ..._ Surgery site with narrow or deep surgical space; Cheng, but in the popular endoscopic surgery as an example. For example, the current or the inner end of the blood vessel must rely on expensive replacement "& C blood & ^ SCalpel) than λ1 blood, they can only have the best effect on the second most (below-below); The most widely used bipolar electric burner (bipQlar eleetWgery 'd ::: 孰 can stop coagulation of larger blood vessels ▲, but has a large size for peripheral groups ^, 侩, even with the latest organization Agglutination instrument) has the advantage of low current and low voltage to reduce thermal damage to surrounding tissues. Although its diameter can be up to 7nim, it can be easily ligated with a diameter of up to 0 mm compared with a common surgery = Qin. In terms of blood vessels, the scope of application 'common ciip alloy single clips (staples) or straight nails (staples) can clamp blood vessels or seal a piece of tissue containing blood vessels-there is never a foreign body retention tissue response. Development of 567051 for ligation only V. Various types of snares (for example: roe (ier loop ...)) from the description of invention (2), which are far less convenient than imagined, and have large volume of tissue It is doubtful whether the ligament strength it has at the time of ligation is reliable. The above-mentioned alternative equipment or energy used by various methods of ligation or hemostasis are not only very expensive (tens of thousands or millions of Taiwan dollars) and must be used. In conjunction with the time-consuming learning and use process, some equipment is used with care and has more serious and serious dangers. [Summary of the Invention] The present invention aims to solve the missing problem, and its main purpose is to provide a multifunctional surgical forceps, whose operation is very easy, Convenient and safe, especially suitable for deep and small surgical space. [Embodiment] In order to make your reviewers understand the purpose, features, and effectiveness of the present invention, a preferred embodiment of the present invention is given below and cooperated with The drawings are explained in detail later, among which, the arrangement of the drawings is as follows: Figure / Figure is a structural diagram of a standard surgical knot. The second figure shows a standard ligature loop that does not convert the standard surgical knot into an invention. The middle part of the sleeve is crossed. The second figure shows the structure of the ligature snare according to the present invention. The fourth figure shows the state where the size of the ligature can be adjusted and the size of the mouth is adjusted. The fifth figure shows the state where the ligation snare forms a safety knot. Partial enlarged view of the fifth figure of the plotter. The seventh figure is a perspective view of the surgical forceps of the preferred embodiment of the present invention. The eighth figure is a mostly exploded perspective view of the seventh figure. The ninth figure is the first half of the seventh figure Perspective view.

567051 五、發明說明（3) 第十圖係本發明之手術鉗之後半段之立體圖。第十一圖顯示各該下顎前端之結構。第十二圖係各該下顎末端之結構。第十三圖係第十二圖中將小刀片裝設於下顎末端之狀態。第十四圖顯示結紮圈套與定位元件之配合狀態。第十五圖係本發明之局部構造圖，顯示拉引件之相關位置。567051 V. Description of the invention (3) The tenth figure is a perspective view of the second half of the surgical forceps of the present invention. The eleventh figure shows the structure of each front end of the lower jaw. The twelfth figure is the structure of each end of the lower jaw. The thirteenth figure is a state in which the small blade is installed at the end of the lower jaw in the twelfth figure. The fourteenth figure shows the mating state of the ligation collar and the positioning element. The fifteenth figure is a partial structural drawing of the present invention, showing the relevant position of the pull-in member.

第十六圖顯示結紮圈套裝設於鉗口之狀態。第十七圖顯示本發明操作時夾住組織之狀態。第十八圖顯示切割組織之狀態。第十九圖及第二十圖係顯示使結紮圈套結紮切割後之莖端之過程。第二十一圖係顯示扣壓扳機以拉動第二拉動件之狀態。第二十二圖顯示連動第三拉動件之狀態。The sixteenth figure shows the state where the ligature ring set is set in the jaw. Figure 17 shows the state where the tissue is clamped during operation of the present invention. The eighteenth figure shows the state of the cut tissue. Figures 19 and 20 show the process of ligating the cut end of the ligature loop after cutting. The twenty-first figure shows a state in which the trigger is pulled to pull the second puller. The twenty-second figure shows the state of interlocking the third puller.

第二十三圖係顯示切割結紮圈套之多餘缝線之狀態。第二十四圖係顯示本發明實際操作之連續示意圖，即夾住-> 切割—套住—套牢—固結—切餘線。本發明一較佳實施例係提供如第七圖所示之一手術鉗裝置’包含：一手術甜以及二裝設於該手術甜上之結紮圈套。以下首先說明有關該結紮圈套之部份。本發明之結紮圈套（2 0 )之構形係如第三圖所示，各該結紮圈套可由一標準的外科結衍變而成。請參閱第一圖，The twenty-third figure shows the state of the extra suture of the cutting and ligation snare. The twenty-fourth figure is a continuous schematic diagram showing the actual operation of the present invention, that is, clamping-> cutting-locking-fixing-consolidation-cutting line. A preferred embodiment of the present invention provides a surgical forceps device 'as shown in FIG. 7 including: a surgical sweet and two ligatures mounted on the surgical sweet. The following first explains the part about the ligation snare. The configuration of the ligating snare (20) of the present invention is shown in the third figure, and each of the ligating snares can be derived from a standard surgical knot. See the first picture,

第6頁 567051 五、發明說明（4) 顯示一般用以結紮組織（如血管）之標準外科結（1〇)，係以外科Μ用的多股編織及表面處理過（braided & coated) ，縫線（本實施例係以coated usp"〇” p〇lyglactin91〇為簽考縫線）編結而成。所編結成之標準外科結（丨〇 )具有一兩次纏繞部位（1 2 )、一位於外側之第一單次交纏部位（丨4 ) 以及一位於最外側之第二單次交纏部位（16)。將該外科結 (10)之線#又A於該一單次交纏部位（14)(16)之處拉直時，可呈第二圖之狀態，接著再將線段A於該二次纏繞部位 (12)之處拉直時，即可形成第三圖所示之本發明之呈變形 =科結的結紮圈套（2〇)。該結紮圈套具有一套口（21)以及二/了結部位（22)，該打結部位（22)具有由線段b繞設於線 ^ A t之多數個圈部··線段6首先自套口（ 2 1 ) 一側纏繞於線 ^上，形成一第一圈部（23)，接著於該圈部（23)近套口之侧繞成一第二圈部（2 4 )，自該第二圈部（2 4 )形成一一圈部（23)之第一跨部（25)後，於第一圈部（23)另二==成了第三圈部（26)，復於該第三圈部（26)之自由側 ^ 第四圈部（27)，該第三、第四圈部（26)(27)間並具有一苐二跨部（28)。般之Ξ ΐ ί之該變形的結紮圈套於使用狀態上即有別於一之端Α科結，盍，標準外科結係將縫線兩端（即圖一纏緊於每一交纏部位（12)(14)(16)均施以拉力進而 —死了；而本發明之結紮圈套係具有二項特色：姓，於每f結紮圈套（2〇)並非為死結，而係呈可滑動之活 ° :該打結部位（22)被定位之狀態下，例如以手捏住該Page 6 567051 V. Description of the invention (4) The standard surgical knot (10), which is generally used to ligate tissue (such as blood vessels), is braided &coated; The suture (coated usp " 〇 "p〇lyglactin 91〇 is used as the signature suture in this embodiment) is knitted. The knitted standard surgical knot (丨〇) has one or two entangled parts (1 2), one The first single entanglement site (丨 4) located on the outer side and the second single entanglement site (16) located on the outermost side. The line #A of the surgical knot (10) is in the single entanglement When the part (14) (16) is straightened, it can be in the state of the second figure, and then when the line segment A is straightened at the secondary winding part (12), it can be formed as shown in the third figure According to the present invention, the ligature loop (20) is deformed = knotted. The ligature loop has a set of mouths (21) and two / knotted portions (22), and the knotted portions (22) have a line b wound around the line ^ Most loops of A t ... The line segment 6 is first wound on the thread ^ from one side of the ferrule (2 1) to form a first loop (23), and then the loop The side of the sleeve (23) near the mouth of the sleeve is wound into a second loop portion (2 4). After the second loop portion (2 4) forms a first span portion (25) of a loop portion (23), One lap section (23) and the other two == become the third lap section (26), which is the free side of the third lap section (26) ^ The fourth lap section (27), the third and fourth lap sections (26) (27) and has a two-span section (28). 之 Ξ ΐ The deformed ligature loop is different from the one at the end of the department A knot, 盍, standard surgical tie The two ends of the suture (that is, the figure 1 is entangled to each entangled part (12) (14) (16) are all pulled and died—and the ligating loop of the present invention has two characteristics: surname, Yu Each ligature loop (20) is not a dead knot, but is slidable. °: The knotted part (22) is positioned, for example, the pinch

567051567051

J結部位；或將結紫圈套穿入於具有開口之弟四圖所示之環體（18)為例），使打結部位受到擋j而j 位，此％，拉動活動端A時，可改變套口（ 21)之^小。用J二ΐ套口(21)調整至適當尺寸後，如第五圖所示用力拉動固疋端Β，使該打結部位（22)之第四圈部拉直，而線段Α則被迫形成—結部（29) ’如第五圖，於線段B上，如此，該結紮圈套（2〇)係形成一牢靠的結（壬死結狀悲）。藉此，該套口（ 2丨）即無法被外張，產生束套作用。經發明人實際試驗，該安全結具有和標準外結一樣的結紮強度。須5兒明的疋，本發明於圖式上係將打結部位（2 2 )書的較寬鬆以便於瞭解，實際上係呈緊密狀態。旦而本發明所提供之手術鉗（30)，請參閱第七、八圖，包含有：一鉗體（32)，具有一固定柄（33)及一活動柄（36)，該固定柄（3 3 )上側設一朝前延伸之管身（3 4 ): 一指孔（3 5)，位於該管身（34)上方；該活動柄（36)頂端係樞接於該固定柄（3 3)頂端，並位於固定柄後方，而得與固定柄相開合。活動柄（36)設有一通孔（361)，恰對應於該管身（34)後端，一對開槽（3 7)’係沿該管身轴向設於管身中段之周面。一對透空部（3 8 )，設於管身前端二側。一第一連桿（40)與一第二連桿（45)，係穿設於該管身 (3 4 )中，而得沿管身滑移，且該二連桿前端均凸伸至管身前端。其中，第一連桿（40)後端係樞接於該活動柄（36)之J-knot position; or put the knot of purple knot into the ring body (18) shown in Figure 4 with the opening brother as an example), so that the knotted part is blocked by j and j position, this%, when pulling the movable end A, The size of the mouthpiece (21) can be changed. After adjusting to the proper size with the J2 sleeve (21), pull the fixed end B strongly as shown in the fifth figure, so that the fourth circle of the knotted part (22) is straightened, and the line segment A is forced Formation-knot (29) 'As shown in the fifth figure, on the line segment B, so, the ligature loop (20) is formed into a firm knot (undead knot-like sadness). As a result, the sleeve opening (2 丨) cannot be stretched out, which causes a binding effect. After practical experiments by the inventors, the safety knot has the same ligating strength as a standard external knot. To be clear, the present invention is to loosen the knotted part (2 2) of the book on the drawing for easy understanding, but it is actually in a tight state. Once the surgical forceps (30) provided by the present invention, please refer to the seventh and eighth figures, including: a forceps body (32) having a fixed handle (33) and a movable handle (36), the fixed handle ( 3 3) A pipe body (3 4) extending forward is provided on the upper side: a finger hole (3 5) is located above the pipe body (34); the top of the movable handle (36) is pivotally connected to the fixed handle (3 3) The top end is located behind the fixed handle so as to open and close with the fixed handle. The movable handle (36) is provided with a through hole (361), which corresponds to the rear end of the pipe body (34). A pair of slots (37) are arranged along the axial direction of the pipe body on the circumferential surface of the middle section of the pipe body. A pair of hollow portions (38) are provided on two sides of the front end of the tube body. A first connecting rod (40) and a second connecting rod (45) are threaded through the tube body (3 4) to slide along the tube body, and the front ends of the two connecting rods both protrude to the tube. Body front. The rear end of the first link (40) is pivotally connected to the movable handle (36).

567051 五、發明說明（6) 通孔（361)中；而該第二連桿（45)後端則自該通孔（361)穿出’並凸伸出活動柄後方。一第一彈性元件（4 6 )，套設於該第二連桿（45)上，一端抵於第二連桿末端，而另一端則抵於該活動柄，使第二連桿於未受外力作用時保持往後滑移之狀態。一狹槽（42)，自該第一連桿（40)前端沿軸向往内開設；一刀片（48)，固設於該第二連桿（45)前端。該第一連桿（45)係置於第一連桿（40)頂面，如第十圖，該刀片 (48)恰置入於該狹槽（42)中，如第九圖。一按壓裝置（5 0 )，於本實施例係包括一扳機（5丨）與一槓桿（60)。 ^ 該扳機（51)於本實施例中具有一圓盤狀之身部（52)及一連接於身部周面之扳桿（55)，該身部周面另設有一凸輪部（5 3 )。扳機（51 )係以其身部（5 2 )樞設於該钳體上而可轉動；該扳桿（55)係朝前凸伸出鉗體前緣，以供人手扳動。一保險栓（56)，係樞設於該鉗體上而可角位移，其一知具一鉤部（5 7 )。當該保險栓位於--^扣位置時，該鉤部恰可鉤接於扳機之凹部（54)，使扳機無法轉動。該槓桿（6 0 )底端係樞設於固定柄（3 3 )而可擺動，並位於扳機（51)後方，·一第二彈性元件（65)，係連接於該扳機與=f桿，其彈性能一方面使槓桿未受外力作用時，保持往前靠之狀態，而另一方面則使扳機保持於未扳動之位置。該槓桿（6 0 )所設凸部係觸接於扳機之身部（5 2 )，扳動扳機時，其凸輪部（53)得撥動槓桿（60)之凸部（62)，使槓桿之自由端向後擺動。須說明的是，該扳機不以圖式所示者 567051 五、發明說明（7) 為限，將一扳機以可前後滑移之方式裝設於該鉗體，將扳機往後按壓時，同樣可使扳機後端推動槓桿往後位移。一拉環（70)，具有一環身（72)以及二分別固接於該環身頂底端之環部（74);該拉環係以該環身（72)穿套設於总身（3 4 )外周而可滑移。 g 拉動件（75) 拉動件（76)以及一第三拉第第動件（78)，如第九、十圖，係以鋼絲為佳，其均設於&管身（34)内，而可前後滑動。該二第一、第二拉動件（75) (76 )刀別位於官身二側；而該第三拉動件（78 )係位於管身底側。須說明的是，管身内周壁於設置該等拉動件（75) (76)(78)及該第二連桿（45)之處可製成較大壁厚，並於壁厚處設置細小的孔道，以供該等物件穿設其中。 ^苐拉動件（7 5 )後端係分別固設於拉環之環身件(di如第十圖’俾可受拉環所拉動。該二第二拉動 = ? = :別連接於該槓桿(6°)之自由端，俾受槓兮其身:欠第一拉動件（75)(76)之前端係暴露於 :二身（34)之各該透空部（38)之處，如第七九圖。該第端屮係自該管身(34)近钳體(32)處之底緣所二Vi Γ:Λ，並連接於一設在鉗體上之連接鈕本〜: ί連ί(79?可於固定柄(33)上上下位移。，二】\ fi不疋柄丽緣係一斷面呈ΐ形之導軌（331) 該導=接紐(79)係—呈㈣之桿件，欲接於成等軌而可上下移動。惟，車此為限。一第三彈性元件（/如移動之方式不以 TViai)，如弟八、十圖所示，其 567051 五、發明說明（8) 一端係連接於該連接鈕（79)，而另一端係連接^_連接部 (58)，該連接部係為該保險栓（"56—部份同步位移；該彈性元件（7 9 1 )之彈性能係使該保險栓保持於卡扣位置，並使該連接紐（7 9 )保持於其位移行程中之上止點’該連接鈕位於上止點時，恰位於該扳機之扳桿（5 5 ) 正下方。一鉗口（80)，具有二併列之下顎（82)及二併列之上顯 (84)。本實施例中，該二下顎（82)係一體成型於一桿體^ (81 )之前端，該二下顎間並具有一間隙（821 )。藉由將該桿體（81)自管身（34)前端固設於管身中，即可使該二下^ (82)位於管身前端，同時，該桿體（81)係位於第一連桿^ (40)下方。該二上顎（84)後端各具有二樞接點（c)(d)，位於下方之樞接點（c )係分別樞接於桿體（8丨），形成一轉動支點j位於上方之樞接點（d)則樞接於該第一連桿（4〇)前端。藉此，該二上顎係樞接於該二下顎上方，當第一連桿位移而連動上顎（84)時，該二上顎即可與該二下顎產生開、合之作動。另，於該二上顎前端可共同以一釘體（87) 口疋叮更確保上顎之開合動作一致。該二上顎間係且一間隙⑽），上、下顎之間隙（821 )(841 )與第一連桿之/狹槽（4 2 )係位於同一軸向。此外，各該上顎（84)周面係環設一凹槽（842);各該 Z顎（82)叫配合參閱第十一圖，於前端頂緣係設一漏斗 ^之凹入（821)，略大於結紮圈套（2〇)之打結部位（22)之積且各下顎之外側面前緣於臨近該凹入（821 )處係設第11頁 567051 五、發明說明（9) " ~ 一小溝（ 822)，略大於縫線之直徑。二鋼片（85)，分別固設於該二下顆（82)前端，並各具有一透孔（85〇對應於各該凹入（821) °復凊參閱苐十二圖，各該下顆（μ)之末端外側面於近樞接關節處係往内開設一小縫（8 2 3 )，且其底面於該小缝（823)後方係設一導槽（824)。 ’… 二小刀片（95)，如第十二、十三圖，其刀刃係朝上，該二小刀片係分別塞設於該二小縫（823)中，並可取出更換。各該小刀片外端並設一保護片（9 5 1 )。一定位元件（1 0 0 )，呈細桿狀，請參閱第十四圖，乃係於一塑膠外皮内包覆一銅絲，銅絲二端並凸伸出塑膠外皮，形成二可受力變形之鉤部（102)。一拉引件（105)，如第十五圖所示，本實施所示者係為一圈套，該拉引件（105)中段係鉤接於該第三拉動件 (7 8 )鈾端之鉤部（7 8 1 )’而其二端係分別跨在各下顎底面之導槽（824)並可反折向上，用以拉引縫線。上述之各結紮圈套（20)係裝設各對上、下顆（82)(84) 中，請參閱第十四圖，首先將其套口（21)調整於配合各對顎夾之大小，復將該定位元件（1 〇〇 )二端之鉤部（丨〇 2 )鉤接於該套口二侧。接著如第十六圖所示，將套口（ 21)之上緣嵌設於各上顎（84)之凹槽（842)中，並將各定位元件（1〇〇) 嵌設於各下顎頂面末端所設之嵌槽（825)，之後將結紮圈套（20)之^一線端A、B穿入各鋼片（85)之透孔，並使活動端之線段A自該小溝（8 2 2)往後穿出，而固定端B之線段則自該凹入（821)穿出，結紮圈套（20)之打結部位（22)係被定567051 V. Description of the invention (6) in the through hole (361); and the rear end of the second link (45) penetrates through the through hole (361) and protrudes behind the movable handle. A first elastic element (4 6) is sleeved on the second link (45), one end of which is against the end of the second link, and the other end of which is against the movable handle, so that the second link is When external force is applied, it keeps sliding backward. A slot (42) is opened axially inward from the front end of the first link (40); a blade (48) is fixed on the front end of the second link (45). The first link (45) is placed on the top surface of the first link (40), as shown in the tenth figure, and the blade (48) is just inserted into the slot (42), as shown in the ninth figure. A pressing device (50) includes a trigger (5) and a lever (60) in this embodiment. ^ In this embodiment, the trigger (51) has a disc-shaped body (52) and a lever (55) connected to the peripheral surface of the body, and a cam portion (5 3) is provided on the peripheral surface of the body. ). The trigger (51) is pivoted on the pliers body with its body (5 2) pivoted; the trigger lever (55) protrudes forward from the front edge of the pliers body for human hand to move. A safety bolt (56) is pivotally arranged on the pliers body and is angularly displaceable. One of the grips (57) is known. When the safety bolt is in the-^ buckle position, the hook portion can be hooked to the recess (54) of the trigger, so that the trigger cannot rotate. The bottom end of the lever (60) is pivotally mounted on the fixed handle (33) and is swingable, and is located behind the trigger (51). A second elastic element (65) is connected to the trigger and the = f lever. On the one hand, its elastic energy keeps the lever leaning forward when it is not subjected to external force, and on the other hand, it keeps the trigger in the un-trigger position. The convex part of the lever (60) is in contact with the trigger body (5 2). When the trigger is triggered, the cam part (53) of the lever (60) must move the convex part (62) of the lever (60) to make the lever Its free end swings backwards. It should be noted that the trigger is not limited to the one shown in the figure 567051 V. Invention description (7) is limited. When a trigger is installed on the pliers body in a way that can be slid forward and backward, when the trigger is pressed backward, the same The rear end of the trigger can move the lever backward. A pull ring (70) has a ring body (72) and two ring portions (74) respectively fixed to the top and bottom ends of the ring body; the pull ring is sleeved on the body with the ring body (72) ( 3 4) Sliding around the periphery. g pulling member (75) pulling member (76) and a third pulling member (78), as shown in the ninth and tenth drawings, it is better to use steel wires, which are all set in the & body (34), And can slide back and forth. The two first and second pulling members (75) (76) are located on the two sides of the official body; and the third pulling member (78) is located on the bottom side of the pipe body. It should be noted that the inner peripheral wall of the pipe body can be made with a larger wall thickness at the place where the pulling members (75) (76) (78) and the second link (45) are provided, and a small thickness can be provided at the wall thickness. Perforations for the passage of such objects. ^ 苐 The rear ends of the pull parts (7 5) are respectively fixed to the ring body parts of the pull ring (di as shown in the tenth figure '俾 can be pulled by the pull ring. The second and second pull =? =: Do not connect to the lever The free end of (6 °), the bearing body: its front end is owed to the first puller (75) (76) is exposed to: each of the hollow portions (38) of the second body (34), such as Figure 79. The second end is connected to the bottom edge of the tube body (34) near the clamp body (32), Vi Γ: Λ, and is connected to a connection button set on the clamp body ~: ί Lian (79?) Can be moved up and down on the fixed handle (33)., [2] \ fi does not have a handle. The edge of the rim is a cross-shaped guide rail (331). The guide = the joint (79) system-showing ㈣ The rod can be moved up and down if it is connected to an equal track. However, the car is limited to this. A third elastic element (/ if the way of movement is not TViai), as shown in figure 8 and 10, its 567051 5 2. Description of the invention (8) One end is connected to the connection button (79), and the other end is connected to the connection part (58), and the connection part is the safety bolt (" 56-partial synchronous displacement; the elasticity The elastic energy of the element (7 9 1) keeps the safety bolt in the snap position And keep the connecting button (7 9) at the top dead center in its displacement stroke. When the connecting button is located at the top dead center, it is just below the trigger lever (5 5) of the trigger. A jaw (80), There are two juxtaposed lower jaws (82) and two juxtaposed upper jaws (84). In this embodiment, the two lower jaws (82) are integrally formed at the front end of a rod body (81), and there is a space between the two lower jaws. The gap (821). By fixing the rod body (81) from the front end of the tube body (34) in the tube body, the two bottoms (82) can be located at the front end of the tube body, and at the same time, the rod body (81 ) Is located below the first link ^ (40). The rear ends of the two upper jaws (84) each have two pivot joints (c) (d), and the pivot joints (c) located below are pivotally connected to the rod respectively. (8 丨), forming a pivot joint point (d) where the pivot point j is located above is pivotally connected to the front end of the first link (40). Thus, the two upper jaws are pivotally connected above the two lower jaws. When the first link is displaced and the upper jaw (84) is linked, the two upper jaws can be opened and closed with the two lower jaws. In addition, a nail body (87) can be used at the front end of the two upper jaws to ensure more Opening and closing of palate The actions are the same. The gap between the two upper jaws and a gap ⑽), the gap between the upper and lower jaws (821) (841) and the first slot / slot (4 2) are in the same axial direction. In addition, each of the upper jaws ( 84) A groove (842) is provided on the peripheral ring; each Z jaw (82) is called as shown in FIG. 2〇) The product of the knotted part (22) and the front edge of the outer side of each jaw is adjacent to the recess (821). Page 11 567051 V. Description of the invention (9) " ~ a small groove (822), Slightly larger than the diameter of the suture. Two steel plates (85) are fixed on the front ends of the two lower pieces (82), respectively, and each has a through hole (85 ° corresponding to each of the recesses (821)). A small slit (8 2 3) is opened inward at the outer side of the end of the particle (μ) near the pivot joint, and a bottom surface is provided with a guide groove (824) behind the slit (823). The small blades (95), as shown in the twelfth and thirteenth drawings, have the blades facing upwards, and the two small blades are respectively inserted in the two small slits (823) and can be removed and replaced. The outer ends of the small blades A protective sheet (9 5 1) is also provided. A positioning element (100 0) is thin rod-shaped, please refer to the fourteenth figure, which is covered with a copper wire inside a plastic sheath, and the two ends of the copper wire are connected together. The plastic sheath protrudes to form two hooks (102) that can be deformed by force. A pull-out piece (105), as shown in FIG. 15, is shown in this embodiment as a snare, the pull-out piece ( 105) The middle section is hooked to the hook portion (7 8 1) 'of the uranium end of the third pulling member (7 8), and the two ends thereof respectively cross over the guide grooves (824) on the bottom surface of each jaw and can be folded back upward, Used to pull the sutures. The ligature ring (20) is installed in each pair of upper and lower particles (82) (84), please refer to the fourteenth figure, first adjust its sleeve (21) to match the size of each pair of jaws, The hooks (丨〇2) at the two ends of the positioning element (100) are hooked to the two sides of the sleeve. Then, as shown in FIG. 16, the upper edge of the sleeve (21) is embedded in each upper jaw ( 84) in the groove (842), and each positioning element (100) is embedded in the recess (825) provided at the top end of each lower jaw, and then the first end A, B penetrates the through hole of each steel sheet (85), and makes the line segment A of the movable end pass out of the small groove (8 2 2), and the line segment of the fixed end B passes out of the recess (821), The knotted part (22) of the ligature snare (20) is fixed

第12頁 567051 五、發明說明（10) 位於各鋼片之透孔（851)以及該凹入（821)中。而套口（21) 下緣則環繞於各下顎（82)周面。下顎前端（或鋼片）周面可設凹痕（ 852)，以利套口之下緣定位。藉此，該二結紫圈套（2 0 )即分別定位於該二對顎夾（8 2 )上。 ” 接著’將各該結紮圈套（20)二端A、B穿過拉引件 (105) —端，如第十五圖，並使各該第一拉動件（75)之鉤部（7 5 1)鉤接於結紮圈套（2 〇 )之活動端a所設之死結，如十六圖，各該第二拉動件（76)之鉤部（761)前鉤接於固定端B 之死結。如此，即完成本發明之裝設狀態。本發明於手術過程中之操作狀態說明如下：首先以一手（如右手）握住該手術鉗（3〇)之固定柄（33) 及活動柄（36)，將活動柄（36)外張，該第一連桿（4〇)即被往後拉動而帶動該二上顆（84)往上張開。將張開之钳口（80)對正待結紮之組織，復將活動柄 (36)往前靠合’如第十七圖，即可經由第一連桿（4〇)連動上顆（84)閉合’將組織夾住於鉗口（8〇)中。活動柄（36)底面之凸出部（361)所設之棘齒，可咬合於固定柄（33)後端所設之棘齒（3 3 2 )，使手術鉗之把手保持閉合。接著以另一手（如左手）往前推動該第二連桿（45)，如第十八圖，使該刀片（48)移入該二對顎夾間之間隙（821) (841)，並移位至鉗口（80)前端進而切開組織。此外，如第七圖所示，第二連桿（45)上得設一定位元件（49)，可抵於活動柄（36)背面，以作為第二連桿位移時之前止點。釋放按壓之施力後，該第一彈性元件（46)之彈性能可將該第 567051 五、發明說明（11) 二連桿（45)推回，使刀片（48)歸位於桿體（81)間之狹槽 (42)中。手術者復如第十九、二十圖所示，以左手之拇指穿入钳體（32)之指孔（35)、食指與中指分別穿入拉環（7〇)之該二環部（74)，將拉環（70)往後拉動，經由該二第一拉動件 (75)同步將該二結紮圈套（2〇)之活動端a往後拉引，使結紮圈套之套口（ 21 )縮小，此時，各定位元件（丨〇〇 )之鉤部 (102)係受力變形，使得各套口脫離被各定位元件鉤住之狀恶，套口被拉引細小時，即脫離钳口，並往該二下顎之前端外側收縮，且隨著手術者收攏套口之狀態，該二套口即分別套住被切割分開後之莖端。之後，如第二十圖所示，操作者右手可逐漸將該活動柄（36)扳開，而左手則持續的拉動拉環（70)，以完成套口將莖端結紮至足夠緊度之動完成上述動作後，扳動該保險栓（56)於解扣位置，如第二十一圖，使其脫離扳機（51)之凹部（54)，以右手食指 ^壓扳，，使身部（52)轉動，並由該凸輪部（53)將該 (6〇)在後推移，該二第二拉動件（76)即同步被槓桿往後拉動’而拉引該二結紮圈套之固定端B ’使五圖之安全結，令結紮圈套保持於結紮之大小翁办成弟繼=往下㈣扳機⑸）時’即可觸動該連接鈕（？9)， H :圖：進而拉動該第三拉動件(78)及該拉引件 (105)，拉引件（1{)5)被拉動時其：端即分別套（20)之a、B線斷下拉，如第-十-圓 :以…糸圈乐一十二圖，並受各該小刀片Page 12 567051 V. Description of the invention (10) is located in the through hole (851) of each steel sheet and in the recess (821). The lower edge of the sleeve (21) surrounds the periphery of each jaw (82). The front surface of the lower jaw (or steel sheet) can be provided with dents (852) to facilitate positioning of the lower edge of the sleeve. As a result, the two-knot purple loops (20) are respectively positioned on the two pairs of jaw clamps (82). "Next, pass the two ends A and B of each of the ligating loops (20) through the end of the pull member (105), as shown in the fifteenth figure, and make the hook portion (7 5) of each of the first pull members (75). 1) The dead knot provided on the movable end a of the ligature loop (20) is hooked to the dead knot on the fixed end B in front of the hook portion (761) of each of the second pulling members (76), as shown in FIG. In this way, the installation state of the present invention is completed. The operation state of the present invention during surgery is described as follows: First, hold the fixed handle (33) and movable handle (36) of the surgical forceps (30) with one hand (such as the right hand). ), The movable handle (36) is stretched out, and the first link (40) is pulled backward to drive the two upper pieces (84) to open upward. Align the opened jaws (80) to be ligated For the organization, move the movable handle (36) forward, as shown in the seventeenth figure, and then close the upper (84) through the first link (40) to clamp the tissue in the jaw (80). ). The ratchet teeth provided on the protruding portion (361) on the bottom surface of the movable handle (36) can be engaged with the ratchet teeth (3 3 2) provided on the rear end of the fixed handle (33) to keep the handle of the surgical forceps closed. . Then with the other hand (Such as the left hand) push the second link (45) forward, as shown in the eighteenth figure, move the blade (48) into the gap (821) (841) between the two pairs of jaw clamps, and shift to the jaw ( 80) The front end further cuts the tissue. In addition, as shown in the seventh figure, a positioning element (49) must be provided on the second link (45), which can abut the back of the movable handle (36) as a second link displacement Before the dead center. After the pressing force is released, the elastic energy of the first elastic element (46) can push the 567051 V. Description of the invention (11) the two connecting rods (45) back to return the blade (48) It is located in the slot (42) between the rods (81). As shown in Figures 19 and 20, the operator uses the thumb of his left hand to penetrate the finger holes (35), index and middle fingers of the forceps (32). The two ring portions (74) of the pull ring (70) are respectively penetrated, the pull ring (70) is pulled backward, and the two ligature loops (20) are synchronized by the two first pull members (75). The end a is pulled back to shrink the sleeve opening (21) of the ligature loop. At this time, the hook portion (102) of each positioning element (丨〇〇) is deformed by force, so that each sleeve opening is disengaged from the hook of each positioning element. State of living Evil, the sleeve is pulled for a small time, that is, it is released from the jaw and contracted to the outside of the front end of the two lower jaws, and as the operator gathers the sleeve, the two sleeves respectively cover the cut stems. Afterwards, as shown in the twentieth picture, the operator can gradually pull the movable handle (36) away with the right hand, while the pull ring (70) is continuously pulled by the left hand to complete the sleeve mouth and ligate the stem end sufficiently tightly. After completing the above action, move the safety bolt (56) to the unlocking position, as shown in Figure 21, to release it from the recess (54) of the trigger (51). The body part (52) rotates, and the cam part (53) pushes the (60) back, and the two second pulling members (76) are simultaneously pulled backward by the lever, thereby pulling the two ligature loops. Fixed end B 'When the safety knot of the five pictures is made, and the ligature loop is kept at the size of the ligature, then the brother can turn the trigger button (⑸), then the connection button (? 9), H: Figure: The third pulling member (78) and the pulling member (105) are further pulled. When the pulling member (1 {) 5) is pulled, its: ends are respectively a, (a) of the sleeve (20), The B line is pulled down, such as the -Tenth-circle: take the picture of the circle 12 and ...

第14頁Page 14

JO/UMJO / UM

五、發明說明（12) 即順利完成置。只須重新將結紮後切除縫線之作業。二個結紮圈套裝設於該钳 (95)所切斷。藉此，即可移開該手術錯裝欲再次使用時，口即可。本發明所提供之手撤扭壯於手術者獨自操作，對於丄其設計相當合理，且易縫線等手術過程係一貫以；、!：結紫莖端及切除多餘 . 貝并菜迅速完成。在狹空間内所能*士糸1組織體積與厚度較現有昂貴之内視鏡手術器械為佳、: 同柃，本發明係摸擬手指功能而設計，及利用任何外科較師早已具備的手術技巧’故無需長時間學習。4复因本為機械性之設計，不需任可危險能源，故安全性極高，同 567051 圖式簡單說明第一圖係一標準外科結之結構圖。第二圖顯示將標準外科結轉換成本發明之結紮圈套之中間過程。第三圖顯示本發明之結紮圈套之結構。第四圖係顯示結紮圈套可調整套口大小之狀態。第五圖顯示將結紮圈套形成一安全結之狀態。第六圖係第五圖之局部放大圖。第七圖係本發明一較佳實施例之手術鉗之立體圖。第八圖係第七圖之大部分解立體圖。第九圖係第七圖之前半段之立體圖。第十圖係本發明之手術鉗之後半段之立體圖。第十一圖顯示各該下顎前端之結構。第十二圖係各該下顎末端之結構。第十三圖係第十二圖中將小刀片裝設於下顎末端之狀態。第十四圖顯示結紮圈套與定位元件之配合狀態。弟十五圖係本發明之局部構造圖’顯不拉引件之相關位置。第十六圖顯示結紮圈套裝設於钳口之狀態。第十七圖顯示本發明操作時夾住組織之狀態。第十八圖顯示切割組織之狀態。第十九圖及第二十圖係顯示使結紮圈套結紮切割後之莖端之過程。第二十一圖係顯示扣壓扳機以拉動第二拉動件之狀V. Description of the invention (12) The installation was completed successfully. It is only necessary to cut the suture again after ligation. Two sets of ligature rings are set in the forceps (95) for cutting. In this way, you can remove the surgical disguise when you want to use it again. The hand withdrawing provided by the present invention is stronger than the operation performed by the surgeon alone, which is quite reasonable in design and easy to suture. Surgical procedures such as easy suture are consistent;,!: Knotting purple stem ends and removing excess. Pipid vegetables are quickly completed. What can be done in a narrow space: The tissue volume and thickness of Shiyi 1 is better than the existing expensive endoscopic surgical instruments. Same as above, the present invention is designed to mimic the function of fingers, and to use any surgery that the surgeon already has. Skills' so it doesn't take long to learn. 4 The multi-factor is a mechanical design and does not require any dangerous energy, so it is extremely safe. It is briefly explained with the 567051 diagram. The first diagram is a structural diagram of a standard surgical knot. The second figure shows the intermediate process of converting a standard surgical knot into the ligation snare of the invention. The third figure shows the structure of the ligature snare of the present invention. The fourth picture shows the state of the adjustable mouth size of the ligature snare. The fifth figure shows a state in which the ligation snare is formed into a safety knot. The sixth figure is a partially enlarged view of the fifth figure. The seventh figure is a perspective view of a surgical forceps according to a preferred embodiment of the present invention. The eighth figure is a mostly exploded perspective view of the seventh figure. The ninth figure is a perspective view of the first half of the seventh figure. The tenth figure is a perspective view of the second half of the surgical forceps of the present invention. The eleventh figure shows the structure of each front end of the lower jaw. The twelfth figure is the structure of each end of the lower jaw. The thirteenth figure is a state in which the small blade is installed at the end of the lower jaw in the twelfth figure. The fourteenth figure shows the mating state of the ligation collar and the positioning element. The fifteenth figure is a partial structural drawing of the present invention 'showing the relevant position of the pull-out member. The sixteenth figure shows the state where the ligature ring set is set in the jaw. Figure 17 shows the state where the tissue is clamped during operation of the present invention. The eighteenth figure shows the state of the cut tissue. Figures 19 and 20 show the process of ligating the cut end of the ligature loop after cutting. The twenty-first picture shows the state that the trigger is pulled to pull the second puller.

567051 圖式簡單說明態。弟一十二圖顯不連動第三拉動件之狀雜。，二十三圖係顯示切割結紮圈套之多餘縫線之狀態。第二十四圖係顯示本發明實際操作之連續示意圖，即士7?划-卷/拿一> 卷定 —^ ΙΪ1 、 1 ^ i · 夹住·切割~~>套住圖號簡單說明：套牢—固結—切餘線。結紮圈套（20) 套口（21) 打結部位（22) 圈部（23)(34)(26)(27) 跨部（25)(28) 手術鉗（30) 鉗體（32) 固定柄（33) 管身（34) 指孔（35) 活動柄（3 6 ) 通孔（361 ) 開槽（37) 透空部（38) 連桿（40 )(45) 狹槽（42) 彈性元件（46) 刀片（48) 按壓裝置（50) 扳機（51) 身部（52) 凸輪部（53) 凹部（5 4 ) 扳桿（55) 保險栓（56) 鉤部（57) 連接部（58) 槓桿（60) 凸部（6 2 ) 彈性元件（65) 拉環（70) 環身（72) 環部（74) 拉動件（75)(76)(78) 連接鈕（79) 彈性元件（7 91) 钳口（ 8 0 ) 下顎（82) 間隙（821) 凹槽（842) 下顎（84) 凹入（821) 小溝（822) 小縫（823) 導槽（824) 鋼片（85) 透孔（851) 拉引件（105) 小刀片（95) 定位元件（1 0 0 )567051 Schematic description of the state. Brother Twelve shows that the shape of the third puller is not mixed. , Twenty-three pictures show the state of the extra suture of the cutting and ligation snare. The twenty-fourth figure is a continuous schematic diagram showing the actual operation of the present invention, that is, 7 strokes-roll / take one > roll-up— ^ ΙΪ1, 1 ^ i · pinch · cut ~~ > Description: Fasten-consolidation-tangent line. Ligation ferrule (20) Ferrule (21) Knotted part (22) Loop (23) (34) (26) (27) Span (25) (28) Surgical forceps (30) Forceps body (32) Fixing handle (33) Tubular body (34) Finger hole (35) Movable handle (3 6) Through hole (361) Slot (37) Hollow section (38) Connecting rod (40) (45) Slot (42) Elastic element (46) Blade (48) Pressing device (50) Trigger (51) Body (52) Cam (53) Recess (5 4) Trigger lever (55) Safety bolt (56) Hook (57) Connecting portion (58 ) Lever (60) Convex part (6 2) Elastic element (65) Pull ring (70) Ring body (72) Ring part (74) Pulling member (75) (76) (78) Connecting button (79) Elastic element ( 7 91) Jaw (80) Jaw (82) Clearance (821) Groove (842) Jaw (84) Recessed (821) Small groove (822) Small slit (823) Guide groove (824) Steel sheet (85) Through-hole (851) Pull-out piece (105) Small blade (95) Positioning element (1 0 0)

第17頁Page 17

Claims

567051 VI. Patent Application Fanyuan1 · A multifunctional surgical forceps, including: a forceps body with a fixed handle and a movable handle pivotally connected behind the fixed handle; the movable handle can be opened and closed with the fixed handle Action; a tube body that extends forward from the fixed handle:-a first link and a second link are threaded in the tube and slide along the official body; the rear end of the first link It is pivotally connected to the movable handle and can be displaced by the movement of the movement 2. The second link can be pushed by human hands; a blade, which is not at the front end of the second link and is located in the tube body; pushing the The second link !! 'It is necessary to drive the blade to displace in the tube, so that the blade protrudes from the other end of the body or into the tube; a pressing device is provided on the forceps body, which can Displacement between a trigger position and an un-trigger position by a human hand; a pull ring provided on the pipe body, which can slide along the pipe body; a first pull member, two second pull members, and a third pull member , Both set, can slide in the tube body; the rear end of the two second-pulling parts is fixed to the pull ring, and the pull ring is toward the rear end of the tube body When moving, you must drive the second first displacement; • Wait for the second puller and the third puller to be at the rear end. "Second: Pressing device 'When pressing the pressing device, you must pull the second and second pull. The two pieces are shifted backwards; a jaw with two adjacent to maintain proper clearance; two: fixed, at the front end of the tube body; the rear end of the two upper display is a pivot with the rear end, which can produce 3 δ action with the two jaws , The front end of the first link is pivotally connected to the two ^ when the first link is displaced, the two upper angular displacements are driven = the

Page 18 567051 6. When the patent application scope lever is moved forward, the blade may protrude from the gap between the upper and lower jaws and protrude from the front end of the jaw; two small blades are provided at appropriate positions at the rear end of the two lower jaws; A pulling member is flexible. The central part of the body is connected to the front end of the third pulling member, and the two ends are respectively located at appropriate positions on the rear side of the two lower jaws. The pulling member can be pulled by the third pulling member. And displacement. 2. The surgical forceps as described in item 1 of the scope of patent application, comprising: two ligature loops, each of which has a set of mouths, and the stitches have two of which extend outwardly from the cuffs. The line segment is knitted and is close to the first line segment of the snare. When the line segment can be contracted, the knotted part can be looped around each pair by the ferrule, and the end is connected to each of the first. Pull the two wire segments connected to the front ligature ring of the second pulling element; cut the two wire segments of the pulling sleeve to the small blades. It is made of a suture made by a suture, and the body of the thread is circled; the two segments of the suture; a knotted part, which is sutured by the suture at the mouth, and is in a knot state; Pull the second knotted state into a dead knot state; the outer periphery of each jaw; the front end of each piece of the first line segment; the end of each of the second line segments, each end of the pull piece is connected to each piece of quilt When pulling, the ligature ring can be moved, so that the second line segment of the ligature ring is subject to various actions: the surgical forceps described in item 1 of the scope of profit, I: the living system is pivotally connected in the through hole. Should be at the rear end of the tube; ㈣—the rear end of the connecting rod 4 · If the patent application Fan Tuchu s handle is provided with a through hole, the surgical pliers described above: the work should be at the rear end of the tube; Rear end of the second link

567051 VI. The scope of patent application is protruding from the through hole behind the movable handle; an elastic element is provided between the end of the second link and the movable handle, so that the second link stays in the direction when no external force is applied. After sliding. 5. The surgical forceps according to item 1 of the scope of the patent application, wherein the front end of the first connecting rod is provided with a slot inward in the axial direction, and the slot is directly opposite the gap between the pair of clips; The blade is accommodated in the slot and can be displaced in the gap between the slot and the two pairs of jaw clamps. 6. The surgical forceps according to item 1 of the scope of patent application, wherein: when pressing the pressing device, the second pulling members are pulled first, and the third pulling members are repeatedly pulled. 7 · The surgical forceps as described in item 1 of the patent application scope, wherein: the pressing device includes a trigger, which is pivotally set on the forceps body and can be pulled by a human hand, Displacement between triggering positions; a lever pivoted on the caliper body and swinging; when the trigger is triggered, the lever can be moved to displace; the rear ends of the two second pullers are connected to the lever. 8 · The surgical forceps as described in item 7 of the scope of patent application, wherein: the trigger has a body portion and a lever connected to the body portion; a cam portion provided on the peripheral surface of the body portion; the trigger is based on the body portion The pivot is arranged on the fixed handle to be rotatable; the trigger is for manual operation; the lever is located behind the trigger; when the trigger is in the trigger position, the cam moves the lever backwards; A piece is arranged between the appropriate position on the pliers body and the lever to keep the lever swinging forward when no external force is applied. 9. The surgical forceps as described in item 8 of the scope of patent application, wherein: a concave portion is further provided on the peripheral surface of the trigger body; further includes: a safety bolt, a pivot

Page 20 567051 6. The scope of the patent application is set on the fixed handle, which can be displaced between a snap position and an unbutton position. When it is in the snap position, it is hooked to the recess; when it is in the unlock position , To release the hooking state with the recess. I 0. The surgical forceps according to item 7 of the scope of patent application, wherein after the trigger is pressed, the trigger is linked to the lever displacement, and the third pulling member is displaced. II · The surgical forceps as described in item 10 of the scope of patent application, further comprising: a connection button, which is arranged on the forceps body and is displaceable; when the trigger is pressed, the connection button can be moved to displace; The rear end of the three pulling members is connected to the connecting button. _ 1 2 · The surgical forceps as described in item 11 of the scope of patent application, wherein: the connection button can be moved up and down on the fixed handle; and it is located just below the trigger and can be displaced by the trigger. 1 3 · The surgical forceps according to item 1 of the scope of patent application, wherein: a small slit is provided inwardly at the outer side of the rear end of each jaw; each small blade is disposed in the small slit. 14. The surgical forceps according to item 13 of the scope of patent application, wherein: each of the small blades is provided with a protective sheet. 1 5 · The surgical forceps as described in item 1 of the scope of patent application, wherein: the bottom surface of the rear end of the two jaws is provided with a guide groove; the two ends of the pull-out member are respectively straddled over the two guide grooves, and Fold up on the outer sides of the two lower jaws and connect to the two sutures of the two ligature loops. 16 · The surgical forceps according to item 1 of the scope of patent application, wherein: the two lower jaws are integrally formed at the front end of a rod body; the rod system is fixed on the tube body

567051 6. The scope of patent application. 1 7 · The surgical forceps as described in item 2 of the patent claim, wherein the front end of each of the lower jaws is provided with a recess slightly larger than the volume of the knotted part of each of the ligature loops, and the leading edge of the outer side of the lower jaw is adjacent to A small groove is set in the recess, slightly larger than the diameter of the suture. 18. The surgical forceps as described in item 17 of the scope of patent application, further comprising: a steel sheet, each provided with a through hole, each of the steel sheets is fixed at the front end of each jaw, and the through hole corresponds to each The recess. , ~ 19 · The surgical forceps as described in item 2 of the scope of patent application, further including: < 7L pieces, each of which is provided with a hook portion at each end; each of the positioning elements is not located at each of the next The rear end of the top surface is near the pivot joint; the two sides of the sleeve mouth of each ligation loop are respectively hooked by the two hooks. 2j. The surgical forceps as described in item 19 of the scope of patent application, wherein: each 1 = top surface rear end system-embedded groove; each of the positioning elements is & provided in each of the surgical forceps, wherein: the front end of the tube The two sides are each formed by a knot of the surgical forceps described above, the suture has two knotted parts extending outward from the mouth of the sleeve, and most of the loops on the knot are wound around the second 21 · As described in item 1 of the scope of the patent application, the hand body is provided with a slot on each side of the middle surface of the middle section; in the hollow part.扎 2 2 · —A kind of used in the scope of the patent application No. 1 糸 81 sets 'The ligature loop is a sleeve made of a thread stitched by a suture to make it accessible to the line segment' the two line segments At the mouth of the sleeve, it is braided into a section. It has: the first line segment is wound around the second line segment.

567051 6. A first loop portion is formed on the line segment of the patent application; on the side of the first loop portion near the sleeve, the first line segment is wound around the second line segment to form a second loop portion. The second circle portion forms a first span portion that spans the first circle portion. On the other side of the first circle portion, the first line segment is wound around the second line segment and a third circle portion is wound. A fourth turn portion is further formed on the free side of the third turn portion, and a second span portion is provided between the third and fourth turn portions. 2 3. —Multifunctional surgical forceps, including:

A sweet body that has a fixed handle and a movable handle that are pivotally connected to produce an opening and closing action; a tube body that extends forward from the forceps body: ^ a first link and a second link, tied It is arranged in the pipe body and can slide along the pipe body; the rear end of the first link is pivotally connected to the movable handle and can be displaced by the movable handle; the second link can be pushed by human hands; The blade is fixed at the front end of the second link and is located in the tube body; when the second link is pushed, the blade must be driven to displace in the tube body, so that the blade must protrude from the front end of the tube body, Or move into the pipe body; a pressing device is set on the pliers body, which can be displaced between a toggled position and an un-toggled position by a human hand; a pull ring is arranged on the pipe body and can slide along the pipe body shift;

At least one first pulling member, at least one second pulling member, and at least one third pulling member are all provided on the pipe body 0, and can be slid in the pipe body; the rear part of the moving member is fixed to the pull ring, When pulling around the rear end of the tube, you must drive the second temple-pulling member to move backward; the rear ends of the second pulling members such as fhai are connected to the pressing device; pressing the pressing device ^: = first driving the second The pulling member is displaced backward, and then the third pulling is driven

Page 23 567051 6. The scope of the patent application is that the moving part is a forceps Π, and the two lower jaws are pivoted at the front end of the two lower jaw rods to drive the two so that the blade is pulled from the two small knives and located on the two pulls to move ; With two lower jaws and two upper jaws that are juxtaposed and maintained with proper clearance are fixed at the front of the tube body; the rear end of the two upper jaws: the pivot: the rear end can be opened and closed with the two lower jaws; the first connected to When the rear ends of the two upper jaws control the displacement of the first link, the upper angular displacement is controlled; when the second link is controlled to move forward, the gap between the upper and lower jaws protrudes from the front end of the jaw; It is provided at a proper position at the rear end of the two lower jaws; a piece is connected to the front end of the third pulling member, and the two ends thereof are respectively at appropriate positions at the rear side of the jaw;

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