WO2014142454A1 - Hemoclip - Google Patents

Hemoclip Download PDF

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Publication number
WO2014142454A1
WO2014142454A1 PCT/KR2014/001661 KR2014001661W WO2014142454A1 WO 2014142454 A1 WO2014142454 A1 WO 2014142454A1 KR 2014001661 W KR2014001661 W KR 2014001661W WO 2014142454 A1 WO2014142454 A1 WO 2014142454A1
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WO
WIPO (PCT)
Prior art keywords
pressing
hemoclip
bar
guide groove
clip
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PCT/KR2014/001661
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French (fr)
Korean (ko)
Inventor
한희상
Original Assignee
Han Hee Sang
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Publication date
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Publication of WO2014142454A1 publication Critical patent/WO2014142454A1/en

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/08—Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound
    • 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

Abstract

The present invention relates to a hemoclip (100) comprising: a bent part (110) having a guide slot (111) formed therein; a pressing part (120) having upper and lower sandwiching bars (121) integrally formed in the bent part (110) and corresponding to upper and lower sides of the bent part (110), and having a plurality of pressing protuberances (123) arranged in a lengthwise direction on upper and lower sandwiching surfaces (122) of the upper and lower sandwiching bars (121), the upper and lower sandwiching surfaces facing each other; and a coupling part (130) having a stopping protuberance (132) and a guide groove (131) integrally formed at ends of the upper and lower sandwiching bars (121) of the pressing part (120), and fastening the stopping protuberance (132) and the guide groove (131) to each other, thereby allowing the hemoclip fastened to an affected area being operated on to stanch the affected area being operated on and maintain a firmly fastened state, thus preventing the hemoclip from slipping to the left or right, and hygienically stanching the affected area at the same time.

Description

헤모클립 Hemo Clip
본 발명은 헤모클립에 관한 것으로, 상세하게는 내시경을 통해 시술한 환부에 결착되어 지혈하는 헤모클립이 견고하게 결착 상태를 유지하도록 하되 좌우로 밀리는 현상을 방지하도록 함과 동시에 위생적으로 환부를 지혈하는 헤모클립에 관한 것이다.The present invention relates to a hemo clip, and in detail, the hemoclip is fixed to the affected part through the endoscope to hemostatic hemoclip to maintain the binding state to prevent the phenomenon of being pushed to the left and right while at the same time hygienically hemostatic the affected part It is about a hemo clip.
통상적으로 내시경은 신체의 내부를 검사하기 위해서는 관체에 신체 내부 영상을 볼 수 있도록 광학기기가 장착되어 검사자 또는 환자의 입이나 항문에 삽입시켜 검사가 이루어지고, 검사를 통해 용종 등의 생체 이상조직이 발견되면 올가미 등의 제거 클립을 관체에 도입시켜 생체조직을 제거하고, 제거된 조직의 환부에 지혈 클립을 결착하여 지혈하는 시술을 진행하게 된다.In general, the endoscope is equipped with an optical device for examining the inside of the body in order to examine the inside of the body and is inserted into the mouth or anus of the examiner or the patient, and the examination is performed. If found, the removal clip of the noose and the like is introduced into the tube to remove the biological tissue, and the hemostasis is performed by binding the hemostatic clip to the affected part of the removed tissue.
상기의 지혈 클립은 체내에서 제거된 생체조직에서 나오는 피를 용이하게 지혈하도록 집게형태의 구조로 형성되어 있으며, 이러한 집게를 이용해 지혈하는 구성은 다양하게 공개되어 있다. 그 예로써, 종래에는 특허등록 제918723호 결착장치 및 특허등록 제832957호 내시경용 처치구 시스템 및 처치구가 내포된 카트리지가 공개되어 시술에 사용되고 있다.The hemostatic clip is formed in the form of a forceps so as to easily bleed the blood coming from the biological tissue removed from the body, the configuration for bleeding using such forceps is disclosed in various ways. For example, in the related art, Patent Registration No. 918723 and Patent Registration No. 832957, an endoscope treatment instrument system, and a cartridge containing the treatment instrument are disclosed and used in a procedure.
이러한 처치구는 와이어에 연결된 지혈 클립을 도입관 내부로 삽입시킨 후, 와이어를 밀거나 당기는 동작으로 헤모클립을 진퇴시켜 환부에 결착하는 구조로 되어 있다.The treatment instrument has a structure in which a hemostatic clip connected to a wire is inserted into an introduction tube, and the hemoclip is retracted and attached to the affected area by pushing or pulling the wire.
그러나 상기와 같은 종래의 헤모클립은 인체의 다양한 조직을 결착할 때 좌우방향으로 밀리는 현상이 발생할 뿐만 아니라 이로 인하여 정확한 위치에 결착되지 못하는 문제점이 있었다.However, the conventional hemo clip as described above not only occurs when the various tissues of the human body are bound in the left and right directions, thereby failing to be bound in the correct position.
따라서 본 발명의 주목적은 환자의 시술한 환부에 결착되어 지혈하는 헤모클립이 견고하게 결착 상태를 유지하도록 하되 좌우로 밀리는 현상을 방지하도록 함과 동시에 위생적으로 환부를 지혈할 수 있도록 하는 헤모클립을 제공하는 데 있다.Therefore, the main purpose of the present invention is to provide a hemoclip that is fixed to the patient's surgical site to hemostasis hemoclip to maintain the binding state, while preventing the phenomenon of being pushed to the left and right while sanitizing the affected area hygienically. There is.
상기한 목적을 달성하기 위하여 본 발명의 헤모클립은 내측에 가이드장공을 형성한 절곡부와, 상기 절곡부에 일체로 상하에 대응하는 협지바를 형성하되 상하 협지바의 상호 마주하는 상하 협지면 표면에 가압돌기를 길이방향으로 다수개 형성한 가압부, 및 상기 가압부의 상하 협지바 단부에 걸림돌기와 가이드홈을 일체로 각각 형성한 결합부로 구성하되, 상하의 가압돌기를 각각 지그재그로 배열하여 돌출시키고 상측 가압돌기와 하측 가압돌기가 엇갈리게 구성함을 그 기술적 구성상의 기본 특징으로 한다.In order to achieve the above object, the hemo clip of the present invention forms a bent portion formed with a guide hole therein, and a narrowing bar corresponding to the upper and lower portions integrally with the bent portion, but the upper and lower narrowing surfaces of the upper and lower narrowing bars face each other. Consists of a pressing portion formed in the longitudinal direction a plurality of pressing projections, and a coupling portion formed integrally with the engaging projection and the guide groove at the upper and lower pinching bar end of the pressing portion, respectively, the upper and lower pressing projections are arranged in a zigzag to protrude and press the upper side It is a basic feature of the technical configuration that the projection and the lower pressurizing protrusion are alternately configured.
따라서 본 발명의 헤모클립은 탄성체로 형성한 헤모클립의 상하 협지바 사이에 위치시키고 상하 협지바를 가압하여 가이드홈에 걸림돌기를 결착하여 결합시키면 협지바의 협지면이 환부를 가압하여 지열 함과 동시에 상하 협지면에 형성한 가압돌기가 엇갈리게 환부를 가압하여 환부를 견고하게 지지할 뿐만 아니라 상하 협지면에 형성한 가압돌기가 엇갈리게 환부를 가압하여 환부를 굴곡지게 하면서 지지하므로 헤모클립이 좌우로 밀려 결착위치가 틀어지는 것을 방지할 수 있도록 하는 효과가 있다.Therefore, the hemo clip of the present invention is located between the upper and lower pinching bars of the hemo clip formed of an elastic body and presses the upper and lower pinching bars to bind and engage the engaging protrusions in the guide grooves, and the pinch of the pinching bars presses the affected part to geothermally and at the same time up and down. Pressing protrusions formed on the narrow surface alternately press the affected part to firmly support the affected part, and the pressurized protrusions formed on the upper and lower narrowing planes support the pressed part to bend the affected part alternately so that the hemo clip is pushed from side to side to the binding position. There is an effect that can be prevented from twisting.
도 1 은 본 발명에 따른 헤모클립을 설명하기 위해 나타낸 사시도.1 is a perspective view for explaining the hemo clip according to the present invention.
도 2 는 본 발명에 따른 헤모클립을 설명하기 위해 나타낸 정면도.Figure 2 is a front view showing for explaining the hemo clip according to the present invention.
도 3 은 본 발명에 따른 헤모클립을 설명하기 위해 결착 상태를 나타낸 사시도.Figure 3 is a perspective view showing a binding state to explain the hemo clip according to the present invention.
도 4 는 본 발명에 따른 헤모클립을 설명하기 위해 사용 상태를 나타낸 사시도.Figure 4 is a perspective view showing the use state to explain the hemo clip according to the present invention.
도 5 는 본 발명에 따른 헤모클립을 설명하기 위해 임의로 확개시켜 나타낸 사시도.5 is a perspective view arbitrarily expanded to explain the hemo clip according to the present invention.
도 6 은 본 발명에 따른 헤모클립을 설명하기 위해 사용 상태를 나타낸 평면도.Figure 6 is a plan view showing a state used to explain the hemo clip according to the present invention.
이하 첨부한 도면을 참조하면서 본 발명의 실시 예를 상세하게 설명하면 다음과 같다.Hereinafter, exemplary embodiments of the present invention will be described in detail with reference to the accompanying drawings.
도 1 내지 도 6 에 나타낸 바와 같이, 본 발명의 헤모클립(100)은 내측에 가이드장공(111)을 형성한 절곡부(110)와, 상기 절곡부(110)에 일체로 상하에 대응하는 협지바(121)를 형성하되 상하 협지바(121)의 상호 마주하는 상하 협지면(122) 표면에 가압돌기(123)를 길이방향으로 다수개 형성한 가압부(120), 및 상기 가압부(120)의 상하 협지바(121) 단부에 걸림돌기(132)와 가이드홈(131)을 일체로 각각 형성한 결합부(130)로 구성한다.As shown in Figures 1 to 6, the hemo clip 100 of the present invention is a bent portion formed with a guide hole 111 in the inner side, and the clamping portion integrally corresponding to the upper and lower parts in the bent portion 110 A bar 121 is formed, but a pressing part 120 having a plurality of pressing protrusions 123 formed in a longitudinal direction on the upper and lower narrow surface 122 facing each other of the upper and lower pinching bars 121, and the pressing part 120. At the end of the upper and lower gripping bars 121), the engaging protrusions 132 and the guide grooves 131 are integrally formed with the coupling parts 130, respectively.
상기 절곡부(110)는 내측에 가이드장공(111)을 형성하여 원활하게 절곡할 수 있도록 한다.The bent portion 110 forms a guide long hole 111 on the inner side so that the bent portion can be smoothly bent.
상기 가압부(120)는 절곡부(110)에 일체로 상하에 대응하는 협지바(121)를 형성하고 상하 협지바(121)의 상호 마주하는 상하 협지면(122) 표면에 가압돌기(123)를 길이방향으로 다수개 형성하되, 상하의 가압돌기(123)를 각각 지그재그로 배열하여 돌출시키고 상측 가압돌기(123)와 하측 가압돌기(123)가 엇갈리도록 형성한다.The pressing unit 120 is formed integrally with the bent portion 110 to the pinching bar 121 corresponding to the upper and lower, and the pressing projection 123 on the surface of the upper and lower narrowing surface 122 facing each other of the upper and lower pinching bars 121. Is formed in a plurality in the longitudinal direction, the upper and lower pressing projections 123 are arranged in a zigzag, respectively, to protrude, and the upper pressing projection 123 and the lower pressing projection 123 is formed to be staggered.
따라서, 상하 협지바(121)의 협지면(122)이 환자의 시술한 환부를 가압하면 협지면(122)이 가압함과 동시에 가압돌기(123)가 상하에서 지그재그로 눌러 견고하게 결착하여 헤모클립(100)의 움직임을 억제하는 것이다.Therefore, when the pinch surface 122 of the upper and lower pinch bars 121 presses the affected part of the patient, the pinch surface 122 is pressed and at the same time, the pressing protrusion 123 is zigzagly pressed up and down to firmly bind to the hemo clip. It is to suppress the movement of (100).
상기 결합부(130)는 하부 협지바(121)의 단부 중앙에 가이드홈(131)을 형성하고 상부 협지바(121)의 단부 중앙에 걸림돌기(132)를 형성하여 가이드홈(131)에 대응하도록 하여 걸림돌기(132)가 가이드홈(131)에 끼워짐과 동시에 걸림 상태를 유지하도록 한다.The coupling part 130 corresponds to the guide groove 131 by forming a guide groove 131 at the center of the end of the lower gripping bar 121 and forming a locking protrusion 132 at the center of the end of the upper gripping bar 121. The locking projection 132 is inserted into the guide groove 131 and at the same time maintains the locking state.
여기서 헤모클립(100)의 탄성체로 형성하여 걸림돌기(132)가 가이드홈(131)에 걸려 결합상태에서 협지바(121)의 협지면(122)에 밀착되게 하되 환자의 시술한 환부를 끼우는 경우 탄성에 의해 견고하게 효율적으로 가압하여 결합상태를 유지하도록 한다.Where the hemo clip 100 is formed of an elastic body so that the engaging protrusion 132 is caught in the guide groove 131 to be in close contact with the narrow surface 122 of the pinching bar 121 in the coupled state, but the patient's surgical affected part is inserted It is firmly and efficiently pressurized by elasticity to maintain the bonded state.
이러한 본 발명의 헤모클립을 작용을 설명하면 다음과 같다.Referring to the action of the hemoclip of the present invention as follows.
환자의 입이나 항문에 삽입시켜 검사가 이루어지고, 검사를 통해 용종 등의 생체 이상조직이 발견되면 올가미 등의 제거 클립을 관체에 도입시켜 생체조직을 제거하고, 제거된 조직의 환부에 헤모클립(100)을 결착하여 지혈하는 시술을 진행한다.The test is performed by inserting it into the patient's mouth or anus, and when a biological abnormality such as a polyp is detected through the test, a removal clip such as a noose is introduced into the tube to remove the biological tissue, and a hemoclip The procedure of hemostasis is performed by binding 100).
이러한 본 발명은 환부를 탄성체로 형성한 헤모클립(100)의 상하 협지바(121) 사이에 위치시키고 상하 협지바(121)를 가압하여 가이드홈(131)에 걸림돌기(132)를 결착하여 결합시키면 협지바(121)의 협지면(122)이 환부를 가압하여 지열 함과 동시에 상하 협지면(122)에 형성한 가압돌기(123)가 엇갈리게 환부를 가압하므로 견고하게 환부를 지지하여 효율적으로 지압상태를 유지할 수 있도록 하는 것이다.The present invention is located between the upper and lower pinching bar 121 of the hemo clip 100 formed of the elastic portion of the annulus and press the upper and lower pinching bar 121 to bind the engaging projection 132 to the guide groove 131. When the narrowing surface 122 of the narrowing bar 121 pressurizes the affected part and heats it, the pressurizing protrusion 123 formed on the upper and lower narrowed surfaces 122 presses the affected part alternately, thus firmly supporting the affected part and effectively acupressure. Is to maintain state.
더욱이 상하 협지면(122)에 형성한 가압돌기(123)가 엇갈리게 환부를 가압하여 환부를 굴곡지게 하면서 지지하므로 좌우로 밀려 환부의 결착위치가 틀어지는 것을 억제할 수 있는 것이다.In addition, since the pressing protrusions 123 formed on the upper and lower narrow surfaces 122 support the pressure portions while being alternately pressurized to the curved portions, the binding positions of the affected portions can be suppressed by being pushed left and right.
본 발명에 따른 헤모클립은 환자의 시술한 환부에 결착되어 견고하게 결착 상태를 유지하도록 하되 좌우로 밀리는 현상을 방지하도록 함과 동시에 위생적으로 환부를 지혈할 수 있으므로 산업상 이용가능성이 있다.The hemo clip according to the present invention is firmly attached to the affected part of the patient to maintain a firmly attached state, but prevents the phenomenon of being pushed to the left and right while at the same time hygiene of the affected area can be industrially available.

Claims (3)

  1. 내측에 가이드장공(111)을 형성한 절곡부(110)와, A bent part 110 having a guide slot 111 formed therein;
    상기 절곡부(110)에 일체로 상하에 대응하는 협지바(121)를 형성하되 상호 마주하는 상하 협지바(121)에 가압돌기(123)를 길이방향으로 다수개 형성한 가압부(120), 및 The pressing part 120 is formed integrally with the bent portion 110 corresponding to the upper and lower, but formed a plurality of pressing projections 123 in the longitudinal direction on the upper and lower pinching bars 121 facing each other, And
    상기 가압부(120)의 상하 협지바(121) 단부에 걸림돌기(132)와 가이드홈(131)을 일체로 각각 형성하여 결착하도록 하는 결합부(130)로 구성한 것을 특징으로 하는 헤모클립.Hemo clip, characterized in that consisting of the engaging portion 130 to form a binding protrusion 132 and the guide groove 131 integrally formed at the end of the upper and lower pincer bar 121 of the pressing portion 120.
  2. 제 1 항에 있어서, The method of claim 1,
    상기 가압부(120)는 상하 협지바(121)의 상호 마주하는 상하 협지면(122) 표면에 가압돌기(123)를 길이방향으로 다수개 형성하고, 상하의 가압돌기(123)를 각각 지그재그로 배열하여 상호 엇갈리게 형성하되, 상측 가압돌기(123)와 하측 가압돌기(123)가 가압 상태에서 등간격으로 일정하게 유지하도록 구성한 것을 특징으로 하는 헤모클립.The pressing unit 120 is formed in the longitudinal direction a plurality of pressing projections 123 in the longitudinal direction on the surface of the upper and lower narrow surface 122 of the upper and lower pinching bar 121, each arranged in a zigzag To form a staggered mutually, the upper pressurizing protrusion 123 and the lower pressurizing protrusion 123 is characterized in that hemoclip is configured to maintain a constant at equal intervals in the pressurized state.
  3. 제 1 항에 있어서, The method of claim 1,
    상기 절곡부(110)와 가압부(120) 및 결합부(130)는 일체로 형성하되 탄성체로 형성하여 걸림돌기(132)가 가이드홈(131)에 걸려 결합상태에서 협지바(121)의 협지면(122)에 밀착되게 하되 협지바(120) 사이에 환자의 시술한 환부를 끼워 탄성에 의해 견고하게 가압하여 결착상태를 유지하도록 구성한 것을 특징으로 하는 헤모클립.The bent portion 110, the pressing portion 120 and the coupling portion 130 is formed integrally, but formed of an elastic body so that the engaging projection 132 is caught by the guide groove 131, the narrowing bar 121 in the engaged state Hemo clip to be in close contact with the ground 122, but is configured to maintain a binding state by tightly pressurized by elasticity between the affected part of the patient between the pincer bar (120).
PCT/KR2014/001661 2013-03-13 2014-02-28 Hemoclip WO2014142454A1 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
KR10-2013-0026620 2013-03-13
KR1020130026620A KR20140112209A (en) 2013-03-13 2013-03-13 Hemo clip

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WO2016205343A1 (en) * 2015-06-16 2016-12-22 Nanova Biomaterials, Inc. Anti-migration surgical ligation clip

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Publication number Priority date Publication date Assignee Title
KR20160144951A (en) 2016-12-09 2016-12-19 한희상 Case for Medical Clip

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JP2974392B2 (en) * 1989-10-17 1999-11-10 ピリング・ウェック・インコーポレイテッド Penetration-type plastic ligating clip
US20050165422A1 (en) * 2004-01-22 2005-07-28 Pilling Weck Incorporated Ligating clip with integral cutting guide
JP2008543354A (en) * 2005-03-24 2008-12-04 テレフレックス・メディカル・インコーポレイテッド Ligation clip with reduced closing force
US20090171380A1 (en) * 2007-12-31 2009-07-02 Whiting Paul E Ligation clip with flexible clamping feature

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JP2974392B2 (en) * 1989-10-17 1999-11-10 ピリング・ウェック・インコーポレイテッド Penetration-type plastic ligating clip
US20050165422A1 (en) * 2004-01-22 2005-07-28 Pilling Weck Incorporated Ligating clip with integral cutting guide
JP2008543354A (en) * 2005-03-24 2008-12-04 テレフレックス・メディカル・インコーポレイテッド Ligation clip with reduced closing force
US20090171380A1 (en) * 2007-12-31 2009-07-02 Whiting Paul E Ligation clip with flexible clamping feature

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2016205343A1 (en) * 2015-06-16 2016-12-22 Nanova Biomaterials, Inc. Anti-migration surgical ligation clip
CN107708580A (en) * 2015-06-16 2018-02-16 纳华生物材料公司 The surgical ligation folder of anti-migration
US10881414B2 (en) 2015-06-16 2021-01-05 Nanoya Biomaterials, Inc. Anti-migration surgical ligation clip
CN107708580B (en) * 2015-06-16 2021-07-20 纳华生物材料公司 Anti-wandering surgical ligation clip

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