WO2012121439A1 - Clip capable d'ouverture/fermeture et outil de manipulation de clip capable d'ouverture/fermeture l'utilisant - Google Patents

Clip capable d'ouverture/fermeture et outil de manipulation de clip capable d'ouverture/fermeture l'utilisant Download PDF

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Publication number
WO2012121439A1
WO2012121439A1 PCT/KR2011/001691 KR2011001691W WO2012121439A1 WO 2012121439 A1 WO2012121439 A1 WO 2012121439A1 KR 2011001691 W KR2011001691 W KR 2011001691W WO 2012121439 A1 WO2012121439 A1 WO 2012121439A1
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WO
WIPO (PCT)
Prior art keywords
clip
wire
opening
closing
assembly
Prior art date
Application number
PCT/KR2011/001691
Other languages
English (en)
Korean (ko)
Inventor
전성우
Original Assignee
주식회사 파인메딕스
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by 주식회사 파인메딕스 filed Critical 주식회사 파인메딕스
Publication of WO2012121439A1 publication Critical patent/WO2012121439A1/fr

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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
    • A61B17/122—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
    • A61B17/12—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
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2926—Details of heads or jaws
    • A61B2017/2927—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft
    • A61B2017/2929—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft with a head rotatable about the longitudinal axis of the shaft

Definitions

  • the present invention can not only open or at least open and close a pair of clip pieces of the opening and closing clip as well as the clip can be separated from the clip body, the clip body, the clip assembly after the clamping the biological tissue, the user
  • the opening and closing clip with the opening and closing property that does not reduce the use of the clip and does not transfer the economic cost caused by the user's mistake to the patient by preventing the mistake that may occur during the procedure of clipping and pinching the biological tissue.
  • Endoscopic hemostatic clips are used to premature bleeding from internal organs and tissues.
  • Endoscopic hemostatic clip developed by these companies is characterized in that in the case of the Japanese Olympus company, the clip can be rotated within a certain range when inserted into the body through the endoscope, but the clip can not be opened and closed freely.
  • the present invention has been made to improve the above problems,
  • Opening and closing clips which can open or close a pair of clip pieces of the clip body as much as possible, as well as open and close clips that can separate the clip body and the clip assembly from the clip treatment tool after the clip is clamped by clipping the biological tissue. And to propose an opening and closing clip treatment tool using the same.
  • the opening and closing clip according to the present invention is a pair of clip pieces are coupled to the clip piece connecting body, the clip body is provided with an elastic body provided inside the pair of clip pieces, conical shape, coupled to a predetermined depth on the outer peripheral surface
  • a clip assembly having a groove formed therein, a through-hole penetrating therein, a wire assembly including a wire insertion groove and a connection line penetrating through the inside of the clip assembly to be connected to the clip piece connecting member of the clip body, and the clip body and the clip. It is provided on the outside of the assembly, the wire assembly, the connection protrusion and the connection groove is formed at one end of the outer side, characterized in that it comprises a clip housing formed on the inner peripheral surface engaging jaw.
  • the opening and closing clip treatment tool using the opening and closing clip and the opening and closing clip;
  • An insert inserted into the wire insertion groove of the wire assembly of the opening and closing clip, a wire connector connected to one end of the insert, a wire connected to one end of the wire connector, and one end of the wire
  • a wire part including a wire handle connected with the wire handle
  • a tube part including an insert of the wire part, a wire connector, a tube provided outside the wire, and a fixed part provided at one end of the tube.
  • the present invention relates to an opening and closing clip and a clip treatment tool having an opening and closing property, the opening and closing clip to push and pull the wire handle of the wire portion, as well as open or at least open and close the pair of clip pieces of the clip body as well as the wire portion
  • the clip body and the clip assembly can be separated from the clip treatment tool, thereby preventing the user from making a mistake in the procedure of clipping and pinching the tissue. This reduces the use of the clip and at the same time does not pass the economic cost of the user's mistake to the patient.
  • the clip piece of the clip body of the opening and closing clip is rotated only by rotating the wire handle of the wire part, the user has an effect of smoothing the procedure of clipping and pinching the biological tissue.
  • FIG. 1 is a cross-sectional view showing an opening and closing clip according to an embodiment of the present invention.
  • Figure 2 is a perspective view showing a clip body of the opening and closing clip according to an embodiment of the present invention.
  • FIG 3 is a cross-sectional view showing a clip body of the opening and closing clip according to an embodiment of the present invention.
  • Figure 4 is a perspective view of the clip assembly of the opening and closing clip according to an embodiment of the present invention.
  • Figure 5 is a cross-sectional view showing a combined state of the clip body, the clip assembly, the wire assembly of the opening and closing clip according to an embodiment of the present invention.
  • FIG. 6 is a cross-sectional view showing a clip housing of the opening and closing clip according to an embodiment of the present invention.
  • FIG. 7 is a cross-sectional view showing the opening and closing clip treatment tool according to an embodiment of the present invention.
  • FIG. 8 is a cross-sectional view showing a wire portion of the opening and closing clip treatment tool according to an embodiment of the present invention.
  • FIG. 9 is a cross-sectional view showing a tube portion of the opening and closing clip treatment tool according to an embodiment of the present invention.
  • FIG. 10 is a cross-sectional view showing an open state of the clip body in the opening and closing clip treatment tool according to an embodiment of the present invention.
  • FIG. 11 is a cross-sectional view showing a closed state of the clip body in the opening and closing clip treatment tool according to an embodiment of the present invention.
  • FIG. 12 is a cross-sectional view showing a clipping state of the clip body in the opening and closing clip treatment tool according to an embodiment of the present invention.
  • FIG. 13 is a cross-sectional view showing a state in which the clip body and the clip assembly separated in the opening and closing clip treatment tool according to an embodiment of the present invention.
  • FIG. 14 is a cross-sectional view showing a state in which the clip body rotates in the opening and closing clip treatment tool according to an embodiment of the present invention.
  • FIG. 1 is a cross-sectional view showing an opening and closing clip according to an embodiment of the present invention
  • Figure 2 is a perspective view showing a clip body of the opening and closing clip according to an embodiment of the present invention
  • Figure 3 is a preferred embodiment of the present invention 4 is a cross-sectional view illustrating a clip main body of an opening and closing clip according to an embodiment
  • FIG. 4 is a perspective view illustrating a clip assembly of an opening and closing clip according to an embodiment of the present invention
  • FIG. 5 is an opening and closing clip according to an embodiment of the present invention.
  • FIG. 6 is a cross-sectional view showing a combined state of the clip body, the clip assembly, the wire assembly
  • Figure 6 is a cross-sectional view showing a clip housing of the opening and closing clip according to an embodiment of the present invention
  • Figure 7 is a preferred embodiment of the present invention 8 is a cross-sectional view illustrating the opening and closing clip treatment tool according to the present invention
  • FIG. 8 illustrates a wire part of the opening and closing clip treatment tool according to an exemplary embodiment of the present invention.
  • FIG. 9 is a cross-sectional view showing a tube portion of the opening and closing clip treatment tool according to an embodiment of the present invention
  • Figure 10 is an open state of the clip body in the opening and closing clip treatment tool according to an embodiment of the present invention
  • 11 is a cross-sectional view showing a closed state of the clip body in the opening and closing clip treatment tool according to an embodiment of the present invention
  • Figure 12 is an opening and closing clip treatment according to a preferred embodiment of the present invention 13 is a cross-sectional view showing a clipping state of the clip body in the sphere
  • Figure 13 is a cross-sectional view showing a state in which the clip body and the clip assembly separated in the opening and closing clip treatment tool according to an embodiment of the present invention
  • Figure 14 Cross-sectional view showing a state in which the clip body rotates in the opening and closing clip treatment tool according to an embodiment of the present invention.
  • the opening / closing clip A includes a clip body 100, a clip assembly 200, a wire assembly 300, and a clip housing 400. Include.
  • a pair of clip pieces 110 and 110 ′ is coupled to the clip piece connecting body 120, and the pair of clip pieces 110 is provided.
  • the elastic body 130 is provided inside the.
  • the pair of clip pieces (110, 110 ') is formed at both ends of the first clamping portion 111 and the second clamping portion 112 bent inward, the first clamping portion 111 is a biological tissue Clipping is sandwiched by the clamping, and the second clamping portion 112 clamps the clip assembly 200.
  • the central portion of the pair of clip pieces 110 is formed in the refractive portion refracted inward, the insertion groove 114 is formed inside the refracting portion (113).
  • the refracting portion 113 in the direction of the second clamping portion 112 among the first clamping portion 111 and the second clamping portion 112 formed at both ends of the clip piece 110. More preferably, the refracting portion 113 is refracted at 110 to 130 ° in the direction of the second clamping portion 112 with respect to the first clamping portion 111.
  • forming the refracting portion 113 in the direction of the second clamping portion 112 among the first clamping portion 111 and the second clamping portion 112 may be opened as much as possible when the clip body 100 is opened. In addition to being able to open and close with minimal external force.
  • the clip piece connecting body 120 is inserted into an insertion groove 114 formed inside the bends 113 and 113 'of the pair of clip pieces 110 and 100' and connected to the pair of clip pieces 110 and 100 '. .
  • the clip piece connecting body 120 may be formed in various forms, but preferably formed in a cylindrical shape. As described above, the cylindrical shape of the clip piece connecting body 120 is for smoothly opening and closing the clip body 100.
  • the elastic body 130 is provided between the pair of clip pieces (110, 110 ') inside, and generally used in the art, regardless of the type or shape, detailed description thereof will be omitted.
  • the clip assembly 200 is formed in a conical shape, a coupling groove 210 of a predetermined depth is formed on the outer circumferential surface, a through hole 220 penetrating the inside is formed.
  • the clip assembly 200 is formed in a conical shape, the coupling groove 210 of a predetermined depth is formed on the outer circumference to smoothly clip the second clamping portion 112 of the clip body 100. In addition, to prevent the clip body 100 sandwiching the clip assembly 200 is easily released by an external force.
  • the through holes 220 penetrating the inside of the clip assembly 200 are formed in the clip assembly 200 by connecting the line 320 connecting the clip body 100 and the wire assembly 200 to be described later. This is to penetrate the interior.
  • the through hole 220 penetrating the inside of the clip assembly 200 may be formed in a singular or plural number depending on the number of connecting lines 320 connecting the clip body 100 and the wire assembly 200.
  • the wire assembly 300 penetrates the wire insertion groove 310 into which the wire part 500 to be described later is inserted and the clip assembly 200 to clip the clip body 100. It includes a connecting line 320 connected to the piece connecting body 120.
  • the wire insertion groove 310 is not limited to the shape and material, but the material of the wire insertion groove 310 is preferably used a material having an elastic force. As described above, using the material of the wire insertion groove 310 as a material having an elastic force not only to smoothly insert the wire portion 500, but also to prevent the inserted wire portion 500 easily escapes to the outside. For sake.
  • connection line 320 is separated from the wire insertion groove 310 by an external force after pinching by clipping the raw tissue to the clip body 100.
  • the connecting line 320 uses a synthetic resin such as polyamide, polyester, ultra high molecular weight polyethylene, etc. in order to smoothly separate from the wire insertion groove 310 by an external force.
  • the clip housing 400 has a connection protrusion 410 and a connection groove 420 formed at an outer end thereof, and a locking jaw 430 is formed at an inner circumferential surface thereof.
  • connection protrusion 410 and the connection groove 420 is connected to one end of the tube portion 600 which will be described later, the connection protrusion 410 is formed at the outer end is the clip housing 400 and This is to facilitate the connection when the tube portion 600 is connected, and the connection groove 420 is formed at the outer end thereof so that the connection is easily performed by external force after connecting the clip housing 400 and the tube portion 600. This is to prevent separation.
  • the locking jaw 430 is formed on the inner outer circumferential surface of the clip housing 400 as described above, the insert 510 of the wire part 500 to be described later is inserted into the wire insertion groove 310, The first clamping portion 111 of the pair of clip pieces 110 and 110 ′ simultaneously clips the biological tissue C and the second clamping portion 112 clips the clip assembly 200 to the clip body 100. This is for smoothly separating the connecting line 320 of the wire assembly 300 connected to the clip piece connecting member 120 of the present invention.
  • the locking jaw 430 formed on the inner circumferential surface of the clip housing 400 is not limited to the shape, but after the clip body 100 is clipped, the clip piece connecting body 120 of the clip body 100 and In order to smoothly separate the connecting line 320 of the connected wire assembly 300 is formed in a wide area in contact with the clip assembly 200, in order to project the clip body 100 smoothly out of the clip housing 400
  • One surface is preferably formed in a shape toward the inner center of the clip housing 400.
  • the opening and closing clip (A) of the present invention including the clip body 100, the clip assembly 200, the wire assembly 300, and the clip housing 400 as described above is used for living tissue, regardless of the material In view of the fact that it is preferably made of any one of metal such as stainless steel and carbon steel or synthetic resin such as polyamide, polyester and ultra high molecular weight polyethylene.
  • the opening and closing clip treatment tool B includes the opening and closing clip A, the wire part 500, and the tube part 600.
  • the wire part 500 sequentially connects the insert 510, the wire connector 520, the wire 530, and the wire handle 540.
  • the insert 510 is inserted into the wire insertion groove 310 of the wire assembly 300 of the opening and closing clip A.
  • the insert 510 is not limited to a shape, but is preferably formed in a conical shape so as to be smoothly inserted into the wire insertion groove 310.
  • wire connector 520 is to connect the insert 510 and the wire 530, it is generally used in the art and a detailed description thereof will be omitted.
  • the wire 530 and the wire handle 540 are generally used in the art, and may be formed in various forms as well as types and materials, and a detailed description thereof will be omitted.
  • the tube part 600 includes a tube 610 and a fixture 620.
  • the tube 610 forms a tube connecting groove 611 on the inner outer peripheral surface.
  • the tube connecting groove 611 is formed on the inner circumferential surface of the tube 610 so that the tube connecting groove 611 is connected to and connected to the connecting protrusion 410 and the connecting groove 420 of the clip housing 400, and thus, the clip housing is formed by an external force. This is to prevent the 400 and the tube portion 600 from being easily separated.
  • a bent protrusion may be provided on the outer circumferential surface of the tube 610.
  • the fixing body 620 is provided at the other end facing the one end where the tube connecting groove 611 is formed, and the insert 510, the wire connecting body 520, and the wire 530 to the tube 610.
  • the fixing body through-hole 621 is formed to be inserted into the inside of the.
  • the wire handle 540 of the wire part 500 is connected to the tube 600 while the opening / closing clip A, the wire part 500, and the tube part 600 are connected to each other.
  • the opening / closing clip A When pushed into the stagnation 620, a portion of the clip body 100 in the clip housing 400 of the opening and closing clip (A) protrudes out of the clip housing 400, the elastic force of the elastic body 130 of the clip body 100
  • the clip piece connecting body protrudes while protruding to the outside of the clip housing 400.
  • the internal angles of the pair of clip pieces 110 and 110 ' are opened at 60 to 80 degrees.
  • the wire handle 540 of the wire part 500 is fixed to the tube 600 in a state where the pair of clip pieces 110 and 110 ′ of the clip main body 100 are opened as much as possible. Pulling in the other direction of the (620), while the clip assembly 200 of the clip body 100 is caught on the locking jaw 430 provided in the clip housing 400, the clip body 100 protruding out of the clip housing 400 A portion of the back flows back into the clip housing 400 to at least close the pair of clip pieces 110 and 110 ′ which are opened as much as possible by the elastic force of the elastic body 130 of the clip body 100.
  • the wire handle 540 of the wire part 500 is fixed to the tube 600 while the pair of clip pieces 110 and 110 ′ of the clip main body 100 are at least opened and closed. Further pulling in the other direction of 620, the first clamping portion 111 of the pair of clip pieces 110 and 110 ′ clips and clamps the biological tissue C, and at the same time, the second clamping portion 112 The clip assembly 200 is clamped by clipping.
  • the first clamping portion 111 of the pair of clip pieces 110 and 110 ′ simultaneously serves the biological tissue C, and the second clamping portion 112 simultaneously moves the clip assembly 200.
  • the wire handle 540 of the wire part 500 is further pulled in the other direction of the fixing body 620 of the tube 600 in the state of being clipped and clamped, the clip piece connecting body 120 and the wire of the clip body 100 are pulled.
  • the clip body 100 and the clip assembly 200 are separated from the clip treatment tool B while the connection line 320 connecting the wire insertion groove 310 of the assembly 300 is separated.
  • the clip treatment tool (B) of the present invention by pushing and pulling the wire handle 540 of the wire portion 500, a pair of clip pieces of the clip main body 100 (110, 110 ') can be opened or closed as much as possible, as well as by pulling the wire handle 540 of the wire portion 500 to clip the biological tissue (C) and then pinching in the clip treatment tool (B)
  • the clip body 100 and the clip assembly 200 can be separated, thereby preventing the user from making mistakes in the procedure of clipping and pinching the biological tissue C, thereby reducing the use of the clip and the user. It is effective not to pass on the patient the economic costs incurred by the mistake.
  • the clip pieces 110 and 110 'of the clip main body 100 are rotated only by rotating the wire handle 540 of the wire part 500, so that the user clips and clamps the biological tissue. This has the effect of smoothing.
  • the present invention relates to an endoscopic hemostatic clip for bleeding bleeding occurring in internal organs and tissues during a surgical operation, and has applicability in the medical field related to surgical operations.

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Vascular Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Reproductive Health (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

La présente invention concerne un clip capable d'ouverture/fermeture présentant l'aptitude à arrêter le saignement qui survient pendant une chirurgie et un outil de manipulation d'un clip capable d'ouverture/fermeture l'utilisant. Le clip capable d'ouverture/fermeture comprend : un corps principal du clip, une paire de pièces de clip étant combinées par un raccord de pièces de clip et un corps élastique étant situé à l'intérieur de la paire de pièces de clip ; un raccord de clip conique présentant une rainure de couplage dotée d'une profondeur prédéterminée sur sa surface circonférentielle externe et un trou de passage pénétrant à l'intérieur ; un raccord en fil métallique présentant un fil métallique de raccordement qui pénètre dans une rainure d'insertion de fil métallique et à l'intérieur du raccord de clip à raccorder au raccord de pièces de clip du corps principal du clip ; et un logement de clip qui est situé au niveau des parties externes du corps principal du clip, du raccord de clip et du raccord en fil métallique et présentant une saillie de raccordement et une rainure de raccordement au niveau d'une extrémité externe et une saillie d'arrêt au niveau de la surface circonférentielle externe de la partie interne. De plus, l'outil de manipulation du clip capable d'ouverture/fermeture utilisant le clip capable d'ouverture/fermeture comprend : un clip capable d'ouverture/fermeture ; une partie en fil métallique présentant un corps d'insertion pour l'insertion, dans une rainure d'insertion de fil métallique d'un corps couplé au fil métallique du clip capable d'ouverture/fermeture, un raccord en fil métallique pour le raccordement à une extrémité du corps d'insertion un fil métallique pour le raccordement à une extrémité du raccord en fil métallique et une poignée de fil métallique pour le raccordement à une extrémité du fil métallique ; et une partie tubulaire présentant un tube situé au niveau des parties externes du corps d'insertion, du raccord en fil métallique et du fil métallique de la partie en fil métallique, et un corps de fixation situé au niveau d'une extrémité du tube.
PCT/KR2011/001691 2011-03-10 2011-03-10 Clip capable d'ouverture/fermeture et outil de manipulation de clip capable d'ouverture/fermeture l'utilisant WO2012121439A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
KR10-2011-0021232 2011-03-10
KR20110021232 2011-03-10

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Publication Number Publication Date
WO2012121439A1 true WO2012121439A1 (fr) 2012-09-13

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PCT/KR2011/001691 WO2012121439A1 (fr) 2011-03-10 2011-03-10 Clip capable d'ouverture/fermeture et outil de manipulation de clip capable d'ouverture/fermeture l'utilisant

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WO (1) WO2012121439A1 (fr)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN117717383A (zh) * 2024-02-07 2024-03-19 哈尔滨医科大学 一种经鼻内镜单端缝合装置

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2003000609A (ja) * 2001-06-19 2003-01-07 Pentax Corp 内視鏡用クリップ装置
JP2007097664A (ja) * 2005-09-30 2007-04-19 Sumitomo Bakelite Co Ltd 内視鏡用クリップ
KR100918723B1 (ko) * 2004-12-24 2009-09-24 올림푸스 가부시키가이샤 결찰 장치

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2003000609A (ja) * 2001-06-19 2003-01-07 Pentax Corp 内視鏡用クリップ装置
KR100918723B1 (ko) * 2004-12-24 2009-09-24 올림푸스 가부시키가이샤 결찰 장치
JP2007097664A (ja) * 2005-09-30 2007-04-19 Sumitomo Bakelite Co Ltd 内視鏡用クリップ

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN117717383A (zh) * 2024-02-07 2024-03-19 哈尔滨医科大学 一种经鼻内镜单端缝合装置
CN117717383B (zh) * 2024-02-07 2024-04-16 哈尔滨医科大学 一种经鼻内镜单端缝合装置

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