WO2014040369A1 - 一种可自动打荷包的圆形荷包钳 - Google Patents

一种可自动打荷包的圆形荷包钳 Download PDF

Info

Publication number
WO2014040369A1
WO2014040369A1 PCT/CN2013/000866 CN2013000866W WO2014040369A1 WO 2014040369 A1 WO2014040369 A1 WO 2014040369A1 CN 2013000866 W CN2013000866 W CN 2013000866W WO 2014040369 A1 WO2014040369 A1 WO 2014040369A1
Authority
WO
WIPO (PCT)
Prior art keywords
needle
pliers
purse
fixed
driving device
Prior art date
Application number
PCT/CN2013/000866
Other languages
English (en)
French (fr)
Inventor
李学军
刘青
Original Assignee
北京中法派尔特医疗设备有限公司
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 北京中法派尔特医疗设备有限公司 filed Critical 北京中法派尔特医疗设备有限公司
Publication of WO2014040369A1 publication Critical patent/WO2014040369A1/zh

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/062—Needle manipulators
    • A61B17/0625—Needle manipulators the needle being specially adapted to interact with the manipulator, e.g. being ridged to snap fit in a hole of the manipulator
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06066—Needles, e.g. needle tip configurations
    • A61B2017/0608—J-shaped

Definitions

  • the present invention relates to the field of medical devices, and in particular to a circular pliers that can automatically load a purse.
  • a circular pliers that can automatically load a purse.
  • the medical stapler has become an indispensable medical device in the process of assisting the suture.
  • more and more staple products are used in clinical practice.
  • the scope of application of this kind of products has been involved in the fields of gastrointestinal surgery, hepatobiliary surgery, thoracic surgery, urology, obstetrics and gynecology, etc., and has become one of the essential tools for doctors.
  • the application of this kind of tool has the advantages of less intraoperative bleeding and shorter operation time for patients, and the use of instruments instead of manual can reduce errors and infections caused by manual, so that patients can recover faster after surgery.
  • Doctors often use a tubular stapler to perform the end-to-end anastomosis of the digestive tract. Before the anastomosis, the tissue must be sutured at one end to implant the abutment of the tubular stapler so that it can be firmly ligated after the central rod is placed, and then the tissue anastomosis can be performed. At present, many doctors manually suture the purse, which can not guarantee the proper amount of tissue at the purse. If there is too much residual tissue, the stapler will fail to be fired.
  • the human tissue is naturally clamped and a part of the tissue is squeezed into the gap of the slot. At this time, a tail is used from the end of the pliers.
  • the needle is inserted into the upper circular hole of the pliers, pulled out from the other side, then the needle is turned around, and then passed out through the lower hole of the pong pliers, and finally the two ends of the purse string are knotted on one side.
  • This requires at least twice the length of the pliers to complete the operation (the needle requires a lot of room for operation), but for a surgical site where the position is limited, such as rectal resection or esophagectomy, use this pliers to hit The purse cannot complete the operation or there is a great risk of surgery.
  • the other is a linear staple-type automatic pliers.
  • the tissue is clamped by the jaws, and then the notch is locked.
  • the human tissue is naturally clamped and a part of the tissue is squeezed into the gap of the slot.
  • the staples press the purse string on the tissue.
  • the notch is loosened, and the device is lifted.
  • the purse string will be lengthened along the track along which the staple is nailed.
  • the instrument has a wire compartment and can store 600mm. Long sutures) Then hit the purse.
  • This device has major drawbacks for surgical sites where rectal or esophageal resection is limited: First, the purse The thread can only be pulled along the cross-section of the organ tissue, which requires that there must be a suitable operating space, otherwise it is easy to obliquely force the staple to detach from the tissue, resulting in failure of the purse, and for the location-limited part It is impossible to have a suitable operating space, so the risk of surgery in this area is extremely high. Secondly, because the pulling force is too large, the nail may fall into the human body. Because of the limited position and the small nails, it is not easy to find. Dropped staples may eventually cause the staples to remain in the body and may pose a life threat to the patient.
  • the technical problem to be solved by the present invention is to provide a circular load pliers capable of automatically charging a purse, which can automatically, conveniently and reliably perform a purging package when performing operations on a limited position such as rectal resection or esophagectomy. Thereby overcoming the deficiencies of the prior art.
  • the present invention provides a circular load pliers capable of automatically charging a purse, comprising a caliper body, a needle assembly and a needle driving device, wherein: an annular needle chute is arranged in the caliper head; The assembly is slidably mounted in the annular needle chute; the needle driving device is rotatably coupled to the caliper body, and the head of the needle driving device drives the needle assembly to move around the annular needle chute.
  • the needle driving device comprises a rotating shaft, a driving knob, a transmission gear, a swing arm gear and a swing arm, wherein: the rotating shaft is rotatably mounted in the caliper; the driving knob and the rotating shaft end Fixed connection; the transmission gear is fixedly connected with the front end of the rotating shaft; the swing arm gear is different from the rotating shaft and meshes with the transmission gear; one end of the swing arm is fixedly connected with the swing arm gear, and the other end is fixedly connected with the needle assembly.
  • the needle assembly includes a slider and inner and outer arcuate needles fixedly coupled to the slider, and the swing arm of the needle driving device is fixedly coupled to the slider of the needle assembly.
  • the safety device includes a safety knob, a safety shaft fixedly coupled to the safety knob, and a locking block fixed to the safety shaft, and the tail portion of the needle driving device is disposed.
  • the cross section of the rotating shaft tail portion is mostly semi-circular, and the card slot is a notch of the cross section.
  • the two ends of the swing arm gear are provided with axial positioning bosses.
  • the caliper body comprises a fixed caliper body and a movable caliper body, wherein: the fixed caliper body comprises a fixed handle and a fixed head, and a fixed toothed edge is arranged on one side of the fixed head, and the needle driving device is mounted on the fixed tong
  • the movable caliper body includes a handle portion, a fork portion and a curved head portion, and the curved head portion is provided with a tooth structure that can be closed with the fixed head portion; the fixed handle of the fixed caliper body passes through the fork portion of the movable caliper body And being rotatably connected by a fixing pin; the swing arm gear of the needle driving device corresponds to the position of the fork portion of the movable caliper body.
  • the fixed handle of the fixed caliper body and the handle portion of the movable caliper body are correspondingly provided with a jaw locking hook.
  • the circular automatic pursing pliers is suitable for narrow surgical sites such as rectal resection or esophagectomy, which can ensure proper tissue volume at the purse, automatic and convenient. , reliable to carry the purse.
  • the technical solution of the present invention will be further described in detail below through the accompanying drawings and embodiments. DRAWINGS The above is only an overview of the technical solutions of the present invention, and the present invention will be further described in detail below with reference to the accompanying drawings and specific embodiments.
  • FIG. 1 is a schematic structural view of a circular pliers of the present invention which can automatically load a purse.
  • FIG. 2 is a schematic exploded view of a circular pliers of the present invention capable of automatically charging a purse.
  • Figure 3 is a schematic exploded view of the fixed caliper portion of the present invention.
  • Fig. 4 is a schematic exploded view showing the movable caliper portion of the present invention.
  • Fig. 5 is a structural schematic view showing the needle insertion of the needle sleeve in the jaw closed state of the present invention.
  • Figure 6 is a schematic view showing the structure of a needle assembly of the present invention.
  • Fig. 7 is a schematic exploded view showing the needle driving device of the present invention.
  • Fig. 8 is a structural schematic view showing the state in which the safety device of the present invention is locked.
  • Fig. 9 is a structural schematic view showing the unlocked state of the safety device of the present invention.
  • DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENT Referring to Figures 1 and 2, a circular load pliers for automatically charging a purse pack according to the present invention includes a caliper body, a needle assembly 3 and a needle driving device 4.
  • the right side in FIG. 1 is the front side, the head, and the left side is the rear side and the tail.
  • the needle driving device 4 is rotatably connected with the caliper body, and the head of the needle driving device 4 drives the needle assembly 3 to move around the annular needle chute.
  • the needle driving device 4 includes a rotating shaft 41, a driving knob 42, a transmission gear 43, a swing arm gear 44, and a swing arm 45.
  • the rotating shaft 41 is located in the middle of the needle driving device 4, and is rotatably mounted in the caliper body.
  • the driving knob 42 is fixedly connected with the tail of the rotating shaft 41
  • the transmission gear 43 is fixedly connected with the head of the rotating shaft 41.
  • the swing arm 45 is fixedly connected to the swing arm gear 44, and the other end is fixedly connected to the needle assembly 3.
  • the swing arm gear 44 is axially positioned by the bosses at both ends, the swing arm 45-end is connected to the swing arm gear 44 by bolts, and the other end is connected to the needle assembly 3 by bolts.
  • the fixed caliper body 1 includes a fixed handle 11 and a fixed head.
  • the fixed head side is provided with a curved toothed edge, and the rotating shaft of the needle driving device 4 is rotatably mounted on the fixed handle. 11 inside.
  • the fixed head is mainly assembled by bolts of the fixed caliper front piece 12, the fixed caliper back piece 13, the top cover 14, the head bottom plate 15, and the head baffle 16.
  • one side of the fixed caliper rear piece 13 and the fixed caliper front piece 12 is an arc-shaped toothed edge, and the corresponding angle of the toothed structure is not more than 180°, and the fixed caliper rear piece 13 and the fixed caliper front piece 12 are An annular needle chute is formed between them.
  • the top cover 14 is fan-shaped and is mounted on the front surface of the fixed caliper front panel 12, corresponding to the portion of the non-toothed structure.
  • the head bottom plate 15 is semicircular or semi-circular, and is mounted on the rear side of the fixed caliper rear piece 13, corresponding to the portion of the non-toothed structure.
  • the head baffle 16 is mounted on one side of the fixed caliper rear piece 13, and cooperates with the head bottom plate 15 to close the rear side space of the non-toothed portion of the fixed caliper rear piece 13.
  • the movable caliper body 2 includes a handle portion 21, a fork portion 22 and a curved head portion 23, wherein the curved head portion 23 and the toothed side of the fixed head of the fixed caliper body 1 are provided.
  • the fork portion 22 is fixedly connected to both ends of the curved head portion 23.
  • the outer side of the handle portion 21 can be sleeved with an outer sleeve by an interference fit.
  • the curved head portion 23 of the movable caliper body 2 can also be assembled by bolts from the front and rear panels, and a curved needle chute is provided between the front and rear panels.
  • the hollow structure of the fork has sufficient space for the scissors to cut the tissue during surgery.
  • the fixed handle 11 of the fixed caliper body 1 passes through the fork portion 22 of the movable caliper body 2, and is rotatably connected by the fixing pin 25, and also the fixed handle 11 of the fixed caliper body 1 and the handle portion 21 of the movable caliper body 2
  • a jaw locking hook 26 is provided.
  • the jaw locking hook 26 can be an L-shaped barb as shown in FIG.
  • the two L-shaped barbs are hooked to each other, and the fixing head of the fixed caliper body 1 is fixed.
  • the curved head of the portion and the movable caliper body 2 is closed and locked. If the movable caliper body is to be loosened, it is necessary to ensure that the needle returns to the initial position, and then a certain lateral force is applied to the handle portion 21 of the movable caliper body 2, the L-shaped barbs are disengaged from each other, and the jaws are opened.
  • the installation position of the swing arm gear 44 of the needle driving device 4 corresponds to the fork portion 22.
  • the axis of the rotating shaft 41 can be offset with respect to the axis of the swing arm gear 44, so that the distance between the fixed caliper body 1 and the movable caliper body 2 is increased, and the movable caliper body
  • the curved design of the 2 and the deviation of the gear axis provide space for the scissors to cut tissue during surgery.
  • the purse pliers needle insertion and the threading process are completed, It is necessary to cut the tissue to release the jaws.
  • the doctor can take the scissors to cut the tissue from the side and the front side of the movable caliper body 2. Therefore, the design of the axial offset is necessary.
  • the fixed head of the fixed caliper body 1 and the curved head of the movable caliper body 2 are completely rounded, and the circular diameter is between 30-80 ,, and the closed pliers are closed.
  • the needle assembly 3 is installed in the annular groove 4 ⁇ chute.
  • the needle assembly 3 includes a needle seat slider 31 and an inner needle 32 and an outer needle 33 which are inserted into the needle seat slider 31 at one end and locked by a screw.
  • the needle block slider 31 is an arc.
  • the needles of the inner and outer needles are all curved, the needle body has a circular cross section of Q. 6-3mm, the head is tapered and has barbs.
  • the annular needle chute is two thinner and parallel inner and outer needle chutes corresponding to the tooth-shaped structure, corresponding to the non-toothed structure corresponding section. It is a wider slider chute.
  • the sutures 17 should also accommodate two sutures, and the ends of the sutures protrude from the thimble baffle 18 and are respectively connected to the inner needle sleeve 34 and the outer needle sleeve 35.
  • the inner and outer needle sleeves are hollow inside, corresponding to the cross-sectional diameter of the inner and outer needle bodies, the edges are chamfered, the inverted cone is tapered, and the head is slotted so that the needle can be smoothly inserted.
  • the needle forms a prominent boss to catch the slot of the needle sleeve.
  • the needle When the needle is rotated into position, it will be squeezed into the needle sleeve, and the needle sleeve is tightened. , so that the needle cover can be brought back.
  • the initial position of the needle is located at one end of the tooth structure of the head of the pliers, the needle sleeve is located at the other end, the suture is connected to the tail of the needle sleeve and is placed on the thimble stopper 18, and the suture is passed through the rear piece of the fixed caliper 13
  • the holes are wound in the wire groove 17.
  • the present invention can also be installed with a safety device 5 at the end of the fixed handle 1 for ensuring that the components are in an initial state before being fired.
  • the safety device 5 includes a safety knob 51, a safety shaft 52 fixedly coupled to the safety knob 51, and a locking block 53 fixed to the safety shaft 52.
  • the tail portion of the needle driving device 4 is correspondingly provided with the locking block 53. Card slot.
  • the cross section of the tail portion of the rotating shaft 41 of the suture driving device can be designed to be semi-circular, and the card slot is a notch of the cross section, and the locking block 53 of the safety device can adopt a cubic structure to be compared with the notch. Good card death.
  • a positioning pin 54 can be fixed inside the safety knob 51 to cooperate with the groove on the fixed handle 11, so that the locking block 53 can be accurately and quickly inserted into the card slot.
  • the locking block 53 presses the card slot of the rotary shaft 41 so that the rotary shaft 41 cannot be rotated by the drive knob 42, so that the needle can not be moved, thereby providing an insurance function.
  • the safety knob 51 is rotated to separate the locking block 53 from the slot of the rotating shaft 41.
  • the unlocking state is released, and the driving knob 42 is rotated, and the rotating shaft 41 can be rotated with the driving knob 42, thereby driving the slit.
  • the needle moves to perform the purse operation.
  • first open the jaw locking hook 26 put the intestine part of the purging bag into the grip portion 21 of the movable jaw body 2, and clamp the jaw locking hook 26 to keep the pocket lock closed.
  • the intestinal tissue In a tight state, the intestinal tissue is kept in a compressed state. Turn the safety knob 51 to open the fuse so that the drive knob 42 can be rotated.
  • the drive knob 42 When the drive knob 42 is rotated by about one-half of the circumference, the torsional force is transmitted to the hub slider 31 through the rigidly connected needle driver 4, thereby pushing the needles 32, 33 on the hub slider 31
  • the circular needle moves in the chute, and the needle pierces the human tissue in the gap of the jaw.
  • the needle tip rotates to the needle sleeve at the other end of the chute, the needle is inserted into the needle sleeve and caught by the barb, and the needle pushes
  • the needle sleeve rests on the thimble stopper 18, and the drive knob 42 cannot be further rotated to ensure that the needle and the needle sleeve are in place.
  • the knob 42 is driven in the reverse direction, and the needle carries the needle sleeve back through the portion where the jaw is closed, so that the suture of the tail portion of the needle sleeve passes through the human body tissue.
  • the needle sleeve and the suture connected to the rear portion pass through the body tissue being tightened, and the two purse lines pass through the sides of the tissue respectively, due to the jaws.
  • the toothed action causes the purse string to pass through the tissue for a period of time.
  • the drive knob 42 is rotated about one-half of a circumference, the hand has a shock that the hook is stuck, and the needle assembly 3 is returned to the initial position.
  • open the jaw lock hook 26 pull the pocket pliers, and let the money be released.
  • the line is enough, cut the stitches on both sides, take out the pliers, stretch the stitches on both sides, adjust the position, and fix the position.
  • This round automatic purse pliers is suitable for use in stenotic surgical sites where rectal or esophageal resection is limited. It can also be used to operate other areas where space is spacious.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (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

一种可自动打荷包的圆形荷包钳，包括钳体（1）、缝针组件（3）和缝针驱动装置（4），其中：钳体（1）头部内设有环形缝针滑槽；缝针组件（3）可滑动的安装在所述的环形缝针滑槽内；缝针驱动装置（4）与钳体（1）可转动连接，缝针驱动装置（4）的头部带动缝针组件（3）绕环形缝针滑槽移动。该圆形荷包钳能够保证荷包处组织适量，可自动、方便、可靠的打荷包。

Description

说 明 书 一种可自动打荷包的圆形荷包钳
技术领域 本发明涉及医疗器械领域，特别是涉及一种可自动打荷包的圆形 荷包钳。 背景技术 在外科手术中，自从 20世纪 60年代发明第一把缝钉类产品以来， 医用吻合器已成为辅助刀口缝合过程中必不可少的一种医疗器械。 随着医学的发展和医疗器械产品的研发，越来越多的缝钉类产品 被应用于临床。 该类产品的适用范围已涉及到胃肠外科、 肝胆外科、 胸外科、 泌尿外科、 妇产科等领域， 成为医生必不可少的工具之一。 该类工具的应用对于患者而言， 具有术中出血较少、手术时间较短的 优点， 并且用器械代替手工可减少由于手工而造成的误差、 感染， 从 而使患者术后恢复更快。 医生在做消化道端端吻合时， 经常使用管型吻合器来操作。 在吻 合前必须在一端对组织进行荷包缝合来植入管型吻合器的抵钉座，以 便在置入中心杆后能够牢固结扎， 然后才能实施组织吻合手术。 目前 很多医生是手工缝合荷包， 这样无法保证荷包处组织的量是否合适， 如果残留组织过多会造成吻合器击发失败； 如果过少， 则吻合后会有 瘘的风险。 因此， 在使用过程中， 医生愈来愈多的使用荷包钳来缝合 荷包， 该器械性能的好坏直接影响手术进程，对于手术效果起着非常 重要的作用。 目前实际使用的荷包钳主要有两种类型，一种是直线型全金属手 动荷包钳， 另一种是直线型缝钉式自动荷包钳。 对于直线型手动荷包钳，需要以一根尾部带有缝线的缝针穿过夹 有组织的钳口进行手动荷包缝合。 手术时先把组织用钳口夹住， 然后 锁紧槽口，人体组织会自然的被夹紧并有一部分组织挤入槽口空隙内， 此时从荷包钳的一端用一根尾部带线的缝针穿入荷包钳的上部圓孔 内， 从另一侧拔出， 然后针掉头， 再从荷包钳的下部圆孔内穿出， 最 后在一侧将荷包线的两个端头打结，这至少需要相当于两倍的荷包钳 长度才能完成手术的操作 （针需要很大的操作空间）， 然而对于直肠 切除或食道切除等位置受局限的手术部位来说，使用此种荷包钳来打 荷包无法完成手术或存在极大的手术风险，由于没有很好的手术视野， 又是手工缝针， ί艮容易伤到相邻的其他组织器官，存在巨大的手术风 险。 另一种是直线型缝钉式自动荷包钳，手术时先把组织用钳口夹住， 然后锁紧槽口，人体组织会自然的被夹紧并有一部分组织挤入槽口空 隙内。 同时缝钉将荷包线压在组织上， 此时松开槽口， 提拉器械， 荷 包线会沿着缝钉所钉出的轨道随器械提出一段长度（器械内藏一个线 仓， 可以存储 600mm长的缝合线） 然后打荷包。 此器械对于直肠切除 或食道切除等位置受局限的手术部位来说，存在很大缺点： 首先荷包 线只能沿着器官组织横切面提拉，这样就要求必须有合适的操作空间， 否则很容易斜向受力使缝钉与组织脱离， 导致打荷包失败， 而对位置 受限的部位来说， 恰恰不可能有合适的操作空间， 所以在此种部位做 手术风险极大； 其次， 因提拉力过大， 可能导致缝钉落入人体内， 因 位置局限且缝钉很小， 不容易发现掉落的缝钉， 最终可能导致缝钉留 在人体体内， 可能给病人带来生命威胁。 由此可见， 现有荷包钳存在明显的缺陷和不足， 如何创设一种能 在手术狭窄部位自动、 方便、可靠打荷包的荷包缝合器实属当前重要 的研发课题之一。 发明内容 本发明要解决的技术问题是提供一种可自动打荷包的圆形荷包 钳， 使其对于直肠切除或食道切除等位置受局限部位进行手术时， 能 够自动、 方便、 可靠地进行打荷包， 从而克服现有技术的不足。 为解决上述技术问题， 本发明一种可自动打荷包的圓形荷包钳， 包括钳体、 缝针组件和缝针驱动装置， 其中： 钳体头部内设有环形缝 针滑槽； 缝针组件可滑动的安装在所述的环形缝针滑槽内； 缝针驱动 装置与钳体可转动连接，缝针驱动装置的头部带动缝针组件绕环形缝 针滑槽移动。 作为本发明的进一步改进， 所述的缝针驱动装置包括旋转轴、驱 动旋钮、 传动齿轮、 摆臂齿轮和摆臂， 其中： 旋转轴可转动的安装在 钳体内； 驱动旋钮与旋转轴尾端固定连接； 传动齿轮与旋转轴的前端 固定连接； 摆臂齿轮与旋转轴不同轴， 并与传动齿轮啮合； 摆臂一端 与摆臂齿轮固定连接， 另一端与缝针组件固定连接。 所述的缝针组件包括滑块以及与滑块固定连接的内、 外弧形缝 针， 所述的缝针驱动装置的摆臂与缝针组件的滑块固定连接。 所述的钳体尾端还安装有保险装置， 该保险装置包括保险旋钮、 与保险旋钮固定连接的保险轴、 以及固定在保险轴上的锁紧块， 所述 的缝针驱动装置的尾部设有与锁紧块对应的卡槽。 所述的卡槽设置在缝针驱动装置的旋转轴上。
所述的旋转轴尾部横截面为多半圓形，所述的卡槽即为该横截面 的缺口。 所述的摆臂齿轮的两端设有轴向定位凸台。 所述的钳体包括固定钳体和活动钳体， 其中： 固定钳体包括固定 手柄和固定头部， 固定头部一侧设有弧形齿状边缘， 缝针驱动装置即 安装在该固定钳体内； 活动钳体包括把手部、 叉形部和弧形头部， 弧 形头部设有可与固定头部闭合的齿状结构； 固定钳体的固定手柄穿过 活动钳体的叉形部， 并通过固定销可转动连接； 所述的缝针驱动装置 的摆臂齿轮与活动钳体的叉形部位置对应。 所述的固定钳体的固定手柄和活动钳体的手把部对应设有钳口 锁紧挂钩。 采用上述设计后， 本发明与现有技术相比有以下有益效果： 该圆 形自动荷包钳适用于直肠切除或食道切除等位置受局限的狭窄手术 部位， 能够保证荷包处组织适量， 自动、 方便、 可靠进行打荷包。 下面通过附图和实施例，对本发明的技术方案做进一步的详细描 述。 附图说明 上述仅是本发明技术方案的概述， 为了能够更清楚了解本发明， 以下结合附图与具体实施方式对本发明作进一步的详细说明。
图 1是本发明可自动打荷包的圓形荷包钳的结构示意图。
图 2是本发明可自动打荷包的圓形荷包钳的分解结构示意图。 图 3是本发明的固定钳体部分的分解结构示意图。
图 4是本发明的活动钳体部分的分解结构示意图。
图 5是本发明钳口闭合状态缝针插入针套的的结构示意图。 图 6是本发明的缝针组件的结构示意图。
图 7是本发明缝针驱动装置的分解结构示意图。
图 8是本发明保险装置锁紧状态的结构示意图。
图 9是本发明保险装置解锁状态的结构示意图。 具体实施方式 请参阅图 1、图 2所示，本发明一种可自动打荷包的圆形荷包钳， 包括钳体、 缝针组件 3和缝针驱动装置 4。 以下为了清楚描述本发明 的产品结构， 以图 1中右侧为前侧、 头部， 以左侧为后侧、 尾部进行 说明。
其中， 缝针驱动装置 4与钳体可转动连接， 缝针驱动装置 4的头 部带动缝针组件 3绕环形缝针滑槽移动。 具体来说， 请配合参阅图 7 所示， 缝针驱动装置 4 包括旋转轴 41、 驱动旋鈕 42、 传动齿轮 43、 摆臂齿轮 44和摆臂 45。 其中， 旋 转轴 41位于缝针驱动装置 4的中部， 可转动的安装在钳体内， 驱动 旋钮 42与旋转轴 41的尾部固定连接，传动齿轮 43与旋转轴 41的头 部固定连接， 摆臂齿轮 44与旋转轴 41不同轴， 并与传动齿轮 43啮 合，摆臂 45—端与摆臂齿轮 44固定连接， 另一端与缝针组件 3固定 连接。 较佳的， 摆臂齿轮 44靠两端的凸台轴向定位， 摆臂 45—端通过 螺栓与摆臂齿轮 44相连， 另一端通过螺栓与缝针组件 3连接。 当驱 动旋鈕 42转动时， 扭转力通过旋转轴 41、 传动齿轮 43、 摆臂齿轮 44传导到摆臂 45 , 摆臂 45带动缝针在环形封装滑槽中运动。 钳体可由固定钳体 1和活动钳体 2组成。 请配合参阅图 3所示， 固定钳体 1包括固定手柄 11和固定头部， 固定头部一侧设有弧形齿 状边缘，缝针驱动装置 4的旋转轴即可转动的安装在固定手柄 11内。 具体来说， 固定头部主要由固定钳体前片 12、 固定钳体后片 13、 顶盖板 14、 头部底板 15和头部挡板 16通过螺栓组装而成。 其中， 固定钳体后片 13和固定钳体前片 12的一侧为弧形齿状边缘，齿状结 构对应的角度不大于 180° ， 固定钳体后片 13和固定钳体前片 12之 间形成环形缝针滑槽。 顶盖板 14为扇形， 安装在固定钳体前片 12前 表面， 与非齿状结构的部分对应。 头部底板 15为半圆或多半圆形， 安装在固定钳体后片 13的后侧， 与非齿状结构的部分对应。 头部挡 板 16安装在固定钳体后片 13的一侧， 与头部底板 15配合， 封闭固 定钳体后片 13非齿状部分的后侧空间。 此外， 在固定钳体 1的固定头部内 （例如固定钳体后片 13上）， 在齿状结构的一端处设有线槽 17和顶针挡板 18， 线槽 17外侧被线 槽挡板 19封闭， 线槽 17内容置有可吸收的缝线， 线槽挡板 19通过 插槽插接在固定头部后片 1 3上。 请配合参阅图 4所示， 活动钳体 2包括把手部 21、 叉形部 22和 弧形头部 23， 其中， 弧形头部 23与固定钳体 1的固定头部的齿状边 缘对应， 并设有可与固定头部闭合的齿状结构， 叉形部 22与弧形头 部 23的两端固定连接。 具体来说， 把手部 21外侧可利用过盈配合套有柄套 24。 活动钳 体 2的弧形头部 23也可由前、 后片通过螺栓组装而成， 前、 后片之 间设有弧形缝针滑槽。叉形部中空结构有足够的空间， 以便手术时剪 刀剪断组织。 较佳的， 固定钳体前片 12与固定钳体后片 13之间、 固定钳体后 片 13与头部底板 15之间、 以及活动钳体 2弧形头部 23的前、 后片 之间均设有对应的弧形凸起和凹槽， 以保证连接位置的精度， 提高组 装效率。 固定钳体 1的固定手柄 11穿过活动钳体 2的叉形部 22 , 并通过 固定销 25可转动连接，还可在固定钳体 1的固定手柄 11和活动钳体 2的手把部 21对应设有钳口锁紧挂钩 26。钳口锁紧挂钩 26可为如图 4所示的 L型倒钩， 下压活动钳体 2的^ ^手部 21时， 两 L型倒钩相 互钩在一起，固定钳体 1的固定头部和活动钳体 2的弧形头部闭合锁 紧。 如果要松开活动钳体， 必须保证缝针回到初始位置， 然后在活动 钳体 2的把手部 21上施加一定的侧向力， L型倒钩相互脱开， 钳口 得以张开。 缝针驱动装置 4的摆臂齿轮 44的设置位置即与叉形部 22对应。 通过摆臂齿轮 44和传动齿轮 43的配合可以使旋转轴 41的轴线相对 于摆臂齿轮 44的轴线偏移， 从而使固定钳体 1与活动钳体 2之间的 距离加大， 活动钳体 2的弧形设计和齿轮轴线的偏离， 为手术时剪刀 剪断组织提供空间。在手术过程中， 当荷包钳进针及带线过程完成后， 需要剪断组织松开钳口， 此时医生可以拿剪刀从活动钳体 2的侧面及 正面剪断组织， 因此， 本轴线偏移的设计十分必要的。
请配合参阅图 5所示，固定钳体 1的固定头部和活动钳体 2的弧 形头部闭合呈整圓形， 该圆形的直径在 30-80瞧之间， 闭合后的荷包 钳的头部内具有完整的环形缝针滑槽，缝针组件 3即安装在环形缝 4† 滑槽内。 请配合参阅图 6所示， 缝针组件 3包括针座滑块 31以及一端插 入针座滑块 31并通过螺钉锁定的内缝针 32和外缝针 33， 针座滑块 31 为一圓弧块， 内、 外缝针的针体均为弧形， 针体截面为 Q. 6-3mm 的圓形， 头部为锥形并设有倒钩。 对应的， 请配合参阅图 5、 图 6所示， 环形缝针滑槽在与齿状结 构对应段为两条较细且相互平行的内、 外缝针滑槽，在非齿状结构对 应段则为一条较宽的滑块滑槽。 而线槽 17 内也应容置两条缝线， 缝 线端头探出顶针挡板 18， 并分别与内针套 34、 外针套 35连接。 内、 外针套内部中空， 与内、 外针体的截面直径相当， 边缘有倒角， 为倒 锥形， 头部开槽， 以便针头顺利插入。 连接针头与针体之间还可设有 过渡段， 在过渡段处针头形成明显的凸台以便挂住针套头部开槽， 针 头旋转到位后， 会挤入针套中， 钩紧针套， 使针套能够被带回。 缝针的初始位置位于荷包钳头部齿状结构的一端，针套位于另一 端， 针套尾部连接有缝线且靠在顶针挡板 18上， 缝线通过设置在固 定钳体后片 1 3的孔道缠绕在线槽 17中。缝针沿环形缝针滑槽穿过夹 在固定钳体 1和活动钳体 2之间的组织， 移动到针套处， 针头插入针 套， 之后反向转动缝针， 缝针的倒钩把针套带回， 使缝线穿过组织。 此外， 请配合参阅图 8、 图 9所示， 本发明还可在固定手柄 1的 尾端安装保险装置 5， 用于保证各部件击发前处于初始状态。 该保险 装置 5包括保险旋钮 51、 与保险旋钮 51固定连接的保险轴 52、 以及 固定在保险轴 52上的锁紧块 53， 缝针驱动装置 4的尾部对应设有与 锁紧块 53对应的卡槽。 进一步来说， 可将缝线驱动装置的旋转轴 41尾部的横截面设计 为多半圓形， 卡槽即为该横截面的缺口， 保险装置的锁紧块 53采用 立方体结构即可与该缺口较好的卡死。 此外， 还可在保险旋钮 51内侧固定一定位销 54, 与固定手柄 11 上的凹槽配合， 可使锁紧块 53准确快速的卡入卡槽内。 当保险装置处于锁定状态时， 锁紧块 53压紧旋转轴 41的卡槽， 使得通过驱动旋钮 42不能转动旋转轴 41， 从而使缝针无法运动， 起 到保险作用。 当使用荷包钳时， 旋转保险旋钮 51使锁紧块 53与旋转轴 41的 卡槽分离， 此时， 解除锁定状态， 转动驱动旋钮 42, 旋转轴 41可以 随着驱动旋钮 42转动， 从而带动缝针运动， 进行打荷包操作。 使用时， 先将钳口锁紧挂钩 26打开， 将需要打荷包的肠道部位 放入钳口 闭合活动钳体 2的把手部 21，使钳口锁紧挂钩 26卡住， 保持荷包钳闭合锁紧状态， 使肠道组织保持压缩状态。 拨动保险旋钮 51 , 打开保险， 使驱动旋钮 42可以转动。 当驱动 旋钮 42旋转约二分之一圆周时， 扭转力通过刚性连接的缝针驱动装 置 4传递到针座滑块 31 , 从而推动针座滑块 31上的缝针 32、 33在 环形缝针滑槽内运动， 缝针刺穿钳口间隙内的人体组织， 当针尖旋转 到滑槽的另一端的针套处时， 针头插入针套并通过倒钩卡住， 同时针 头会推动针套靠在顶针挡板 18上， 驱动旋钮 42无法进一步转动， 以 保证针头与针套的连接到位。 之后， 反向旋转驱动旋钮 42， 缝针将针套带回， 经过钳口闭合 的部分， 使针套尾部的缝线穿过人体组织。在针套被缝针拉到钳口另 一边的过程中， 针套及其后部连接的缝线穿过被加紧的人体组织， 两 根荷包线分别从组织的两侧穿过，由于钳口的齿形作用使荷包线一段 一段穿过组织。 当旋转驱动旋钮 42约二分之一圆周后， 手部有挂钩 卡住的震感， 这时缝针组件 3回到初始位置。 最后， 打开钳口锁紧挂钩 26， 拉扯荷包钳， 使缝钱放出来， 当 放出的线足够用时， 剪断两侧缝线， 取出荷包钳， 两侧拉伸缝线， 调 整位置， 将吻合器的头部置于组织内， 拉紧两侧缝线， 将缝线系在圆 形吻合器头部的中心杆上手动系紧， 打荷包完成。 本圆形自动荷包钳适用于直肠切除或食道切除等位置受局限的 狭窄手术部位， 也可用于操作空间宽敞的其它部位的手术。
以上所述，仅是本发明的较佳实施例而已， 并非对本发明作任何 形式上的限制，本领域技术人员利用上述揭示的技术内容做出些许简 单修改、 等同变化或修饰， 均落在本发明的保护范围内。

Claims

权 利 要 求 书
1、 一种可自动打荷包的圓形荷包钳， 其特征在于包括钳体、 缝 针组件和缝针驱动装置， 其中： 钳体头部内设有环形缝针滑槽； 缝针组件可滑动的安装在所述的环形缝针滑槽内； 缝针驱动装置与钳体可转动连接，缝针驱动装置的头部带动缝针 组件绕环形缝针滑槽移动。
2、 根据权利要求 1所述的可自动打荷包的圓形荷包钳， 其特征 在于所述的缝针驱动装置包括旋转轴、 驱动旋钮、 传动齿轮、 摆臂齿 轮和摆臂， 其中： 旋转轴可转动的安装在钳体内； 驱动旋钮与旋转轴尾端固定连接； 传动齿轮与旋转轴的前端固定连接； 摆臂齿轮与旋转轴不同轴， 并与传动齿轮啮合； 摆臂一端与摆臂齿轮固定连接， 另一端与缝针组件固定连接。
3、 根据权利要求 2所述的可自动打荷包的圆形荷包钳， 其特征 在于所述的缝针组件包括滑块以及与滑块固定连接的内、 外弧形缝 针， 所述的缝针驱动装置的摆臂与缝针组件的滑块固定连接。
4、 根据权利要求 2所述的可自动打荷包的圆形荷包钳， 其特征 在于所述的钳体尾端还安装有保险装置， 该保险装置包括保险旋钮、 与保险旋钮固定连接的保险轴、 以及固定在保险轴上的锁紧块， 所述 的缝针驱动装置的尾部设有与锁紧块对应的卡槽。
5、 根据权利要求 4所述的可自动打荷包的圆形荷包钳， 其特征 在于所述的卡槽设置在缝针驱动装置的旋转轴上。
6、 根据权利要求 5所述的可自动打荷包的圆形荷包钳， 其特征 在于所述的旋转轴尾部横截面为多半圆形，所述的卡槽即为该横截面 的缺口。
7、 根据权利要求 2所述的可自动打荷包的圆形荷包钳， 其特征 在于所述的摆臂齿轮的两端设有轴向定位凸台。
8、 根据权利要求 2-7中任一项所述的可自动打荷包的圓形荷包 钳， 其特征在于所述的钳体包括固定钳体和活动钳体， 其中： 固定钳体包括固定手柄和固定头部，固定头部一侧设有弧形齿状 边缘， 缝针驱动装置即安装在该固定钳体内； 活动钳体包括把手部、叉形部和弧形头部， 弧形头部设有可与固 定头部闭合的齿状结构； 固定钳体的固定手柄穿过活动钳体的叉形部，并通过固定销可转 动连接； 所述的缝针驱动装置的摆臂齿轮与活动钳体的叉形部位置对应。
9、 根据权利要求 8所述的可自动打荷包的圆形荷包钳， 其特征
Figure imgf000014_0001
PCT/CN2013/000866 2012-09-17 2013-07-18 一种可自动打荷包的圆形荷包钳 WO2014040369A1 (zh)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
CN201210345512.2 2012-09-17
CN201210345512.2A CN102824200B (zh) 2012-09-17 2012-09-17 一种可自动打荷包的圆形荷包钳

Publications (1)

Publication Number Publication Date
WO2014040369A1 true WO2014040369A1 (zh) 2014-03-20

Family

ID=47327653

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/CN2013/000866 WO2014040369A1 (zh) 2012-09-17 2013-07-18 一种可自动打荷包的圆形荷包钳

Country Status (2)

Country Link
CN (1) CN102824200B (zh)
WO (1) WO2014040369A1 (zh)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2020016125A1 (en) * 2018-07-18 2020-01-23 Atropos Limited Device and system for hernia repair
US11871969B2 (en) 2021-03-03 2024-01-16 Acustitch, Llc System and method for osseous reconstruction and repair and implant device

Families Citing this family (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102824200B (zh) * 2012-09-17 2014-12-24 北京中法派尔特医疗设备有限公司 一种可自动打荷包的圆形荷包钳
CN102813538B (zh) * 2012-09-17 2014-12-03 北京中法派尔特医疗设备有限公司 一种可自动打荷包的圆形荷包钳
CN103610480B (zh) * 2013-10-30 2015-11-25 北京中法派尔特医疗设备有限公司 荷包钳及其活动手柄
CN105250000B (zh) * 2014-07-16 2018-09-25 北京派尔特医疗科技股份有限公司 一种荷包缝合装置
CN109259813B (zh) * 2018-10-24 2023-10-31 汕头大学医学院第一附属医院 一种腔镜下荷包缝合器的钳合装置
US11779342B2 (en) 2020-02-19 2023-10-10 Covidien Lp Laparoscopic purse string suture device
CN111466971B (zh) * 2020-04-15 2021-06-11 四川大学华西医院 一种用于胸腔镜微创手术的缝合器及控制系统

Citations (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101143103A (zh) * 2006-09-15 2008-03-19 伊西康内外科公司 具有倾斜头部的缝合装置
US20100089971A1 (en) * 2008-09-10 2010-04-15 Milliman Keith L Surgical stapling device
CN102228385A (zh) * 2010-07-06 2011-11-02 北京中法派尔特医疗设备有限公司 一种圆形荷包钳
WO2012007941A2 (en) * 2010-07-11 2012-01-19 Mininvasive Ltd. Circular bone tunneling device
CN102813537A (zh) * 2012-09-17 2012-12-12 北京中法派尔特医疗设备有限公司 一种可自动打荷包的圆形荷包钳
CN102813538A (zh) * 2012-09-17 2012-12-12 北京中法派尔特医疗设备有限公司 一种可自动打荷包的圆形荷包钳
CN102824201A (zh) * 2012-09-17 2012-12-19 北京中法派尔特医疗设备有限公司 一种可自动打荷包的圆形荷包钳
CN102824202A (zh) * 2012-09-17 2012-12-19 北京中法派尔特医疗设备有限公司 一种可自动打荷包的圆形荷包钳
CN102824200A (zh) * 2012-09-17 2012-12-19 北京中法派尔特医疗设备有限公司 一种可自动打荷包的圆形荷包钳
CN202776430U (zh) * 2012-09-17 2013-03-13 北京中法派尔特医疗设备有限公司 一种可自动打荷包的圆形荷包钳
CN202776425U (zh) * 2012-09-17 2013-03-13 北京中法派尔特医疗设备有限公司 一种可自动打荷包的圆形荷包钳
CN202776432U (zh) * 2012-09-17 2013-03-13 北京中法派尔特医疗设备有限公司 一种可自动打荷包的圆形荷包钳
CN202776431U (zh) * 2012-09-17 2013-03-13 北京中法派尔特医疗设备有限公司 一种可自动打荷包的圆形荷包钳
CN202776424U (zh) * 2012-09-17 2013-03-13 北京中法派尔特医疗设备有限公司 一种可自动打荷包的圆形荷包钳

Family Cites Families (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6520973B1 (en) * 2000-08-30 2003-02-18 Ethicon Endo-Surgery, Inc. Anastomosis device having an improved needle driver
CN102068291A (zh) * 2010-12-16 2011-05-25 苏州天臣国际医疗科技有限公司 直线型缝切器

Patent Citations (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101143103A (zh) * 2006-09-15 2008-03-19 伊西康内外科公司 具有倾斜头部的缝合装置
US20100089971A1 (en) * 2008-09-10 2010-04-15 Milliman Keith L Surgical stapling device
CN102228385A (zh) * 2010-07-06 2011-11-02 北京中法派尔特医疗设备有限公司 一种圆形荷包钳
WO2012007941A2 (en) * 2010-07-11 2012-01-19 Mininvasive Ltd. Circular bone tunneling device
CN102813537A (zh) * 2012-09-17 2012-12-12 北京中法派尔特医疗设备有限公司 一种可自动打荷包的圆形荷包钳
CN102813538A (zh) * 2012-09-17 2012-12-12 北京中法派尔特医疗设备有限公司 一种可自动打荷包的圆形荷包钳
CN102824201A (zh) * 2012-09-17 2012-12-19 北京中法派尔特医疗设备有限公司 一种可自动打荷包的圆形荷包钳
CN102824202A (zh) * 2012-09-17 2012-12-19 北京中法派尔特医疗设备有限公司 一种可自动打荷包的圆形荷包钳
CN102824200A (zh) * 2012-09-17 2012-12-19 北京中法派尔特医疗设备有限公司 一种可自动打荷包的圆形荷包钳
CN202776430U (zh) * 2012-09-17 2013-03-13 北京中法派尔特医疗设备有限公司 一种可自动打荷包的圆形荷包钳
CN202776425U (zh) * 2012-09-17 2013-03-13 北京中法派尔特医疗设备有限公司 一种可自动打荷包的圆形荷包钳
CN202776432U (zh) * 2012-09-17 2013-03-13 北京中法派尔特医疗设备有限公司 一种可自动打荷包的圆形荷包钳
CN202776431U (zh) * 2012-09-17 2013-03-13 北京中法派尔特医疗设备有限公司 一种可自动打荷包的圆形荷包钳
CN202776424U (zh) * 2012-09-17 2013-03-13 北京中法派尔特医疗设备有限公司 一种可自动打荷包的圆形荷包钳

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2020016125A1 (en) * 2018-07-18 2020-01-23 Atropos Limited Device and system for hernia repair
WO2020243143A1 (en) * 2019-05-28 2020-12-03 Atropos Limited Device and system for hernia repair
US11871969B2 (en) 2021-03-03 2024-01-16 Acustitch, Llc System and method for osseous reconstruction and repair and implant device

Also Published As

Publication number Publication date
CN102824200B (zh) 2014-12-24
CN102824200A (zh) 2012-12-19

Similar Documents

Publication Publication Date Title
WO2014040369A1 (zh) 一种可自动打荷包的圆形荷包钳
US7585305B2 (en) Suture passing instrument
US11439387B2 (en) Offset jaw suturing device, system, and methods
JP4855405B2 (ja) 最小侵襲の縫合のための装置および方法
CN102293672B (zh) 缝合装置、系统及方法
JP3622970B2 (ja) 縫合糸調節手段を有する縫合器具
US5728113A (en) Endoscopic vascular suturing apparatus
CN103315788B (zh) 适用于微创手术的切割吻合器
JP4071160B2 (ja) 外科用巾着縫合装置及び外科用針
WO2014040368A1 (zh) 一种可自动打荷包的圆形荷包钳
WO2005018467A2 (en) Suturing device
JP2013099530A (ja) 標本回収デバイス
JPH07155332A (ja) 装填機構を備えた手術用縫合装置
CN112494087B (zh) 一种小关节缝合穿线器
CN202776430U (zh) 一种可自动打荷包的圆形荷包钳
CN202776431U (zh) 一种可自动打荷包的圆形荷包钳
CN202776424U (zh) 一种可自动打荷包的圆形荷包钳
CN102824202B (zh) 一种可自动打荷包的圆形荷包钳
CN102813537B (zh) 一种可自动打荷包的圆形荷包钳
CN202776432U (zh) 一种可自动打荷包的圆形荷包钳
CN202776425U (zh) 一种可自动打荷包的圆形荷包钳
CN102824201B (zh) 一种可自动打荷包的圆形荷包钳
JP3115282U (ja) 腹腔鏡下手術用食道巾着縫合鉗子
AU2013205784B2 (en) Suturing device, system and method
CN111419312A (zh) 缝合器、具有缝合器的治疗装置以及治疗系统

Legal Events

Date Code Title Description
121 Ep: the epo has been informed by wipo that ep was designated in this application

Ref document number: 13837606

Country of ref document: EP

Kind code of ref document: A1

NENP Non-entry into the national phase

Ref country code: DE

32PN Ep: public notification in the ep bulletin as address of the adressee cannot be established

Free format text: NOTING OF LOSS OF RIGHTS PURSUANT TO RULE 112(1) EPC (EPO FORM 1205A DATED 16/07/2015)

122 Ep: pct application non-entry in european phase

Ref document number: 13837606

Country of ref document: EP

Kind code of ref document: A1