WO2016116069A1 - 一种夹合消化道内软组织的软组织夹 - Google Patents

一种夹合消化道内软组织的软组织夹 Download PDF

Info

Publication number
WO2016116069A1
WO2016116069A1 PCT/CN2016/076679 CN2016076679W WO2016116069A1 WO 2016116069 A1 WO2016116069 A1 WO 2016116069A1 CN 2016076679 W CN2016076679 W CN 2016076679W WO 2016116069 A1 WO2016116069 A1 WO 2016116069A1
Authority
WO
WIPO (PCT)
Prior art keywords
clip
sleeve
soft tissue
elastic
base end
Prior art date
Application number
PCT/CN2016/076679
Other languages
English (en)
French (fr)
Inventor
刘富忠
李姣
李小杰
Original Assignee
沈阳尚贤微创医疗器械股份有限公司
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 沈阳尚贤微创医疗器械股份有限公司 filed Critical 沈阳尚贤微创医疗器械股份有限公司
Publication of WO2016116069A1 publication Critical patent/WO2016116069A1/zh

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/122Clamps or clips, e.g. for the umbilical cord
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/122Clamps or clips, e.g. for the umbilical cord
    • A61B17/1227Spring clips
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/128Surgical 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B2017/12004Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for haemostasis, for prevention of bleeding

Definitions

  • the present invention relates to the field of medical treatment, and in particular to a soft tissue clip, and in particular to a soft tissue clip that clamps soft tissue in the digestive tract.
  • the soft tissue clip can grasp the edge of the bleeding tissue to prevent the bleeding, and the soft tissue clip known from the Japanese Patent Publication No. 2002-121609 and the Japanese Patent Laid-Open Publication No. 2004-121485, the clip assembly and the push system, The gripping direction of the clip assembly, the gripping position are controlled by corresponding components in the push system, and the gripping device correspondingly controls the device to grasp the soft tissue and leave the clip in the tissue.
  • the soft tissue clip portion is a single-use device, and the push system correspondingly controls the device to be used repeatedly. People often use a sealing device in the clip assembly portion to keep the claws, sleeves and the like intact and to ensure their hygiene and safety.
  • a soft tissue clip for clamping soft tissue in a digestive tract, comprising: a clip assembly 1 and a push system 2; the clip assembly 1 for suturing a wound, the push system 2 for operating the a clip assembly 1, the push system 2 is inserted into a clamp of an endoscope that has been inserted into a living body cavity, and a front portion of the push system 2 is coupled to the clip assembly 1 and controls the clip assembly 1 to operate,
  • the clip assembly 1 comprises a sleeve 3, a tie rod member 4 and a clip 5; the pull rod front end 42 of the pull rod member 4 is connected to the clip 5, and the pull rod base end 44 is connected to the front portion of the push system 2,
  • the pull rod member 4 moves within the sleeve 3 under the action of the push system 2, wherein the pull rod front end 42 is made of a hard material, the pull rod base end 44 is made of a resin material; and the pull rod front end 42 is 42 Connected to the base end 44 of
  • the fracture portion 41 is a hole in the column of holes.
  • the breaking portion is a cross section on the base end of the tie rod, and the breaking portion is located on the base end 44 of the tie rod near the front end 42 of the tie rod.
  • the cross-sectional area of the portion of the base end 44 of the drawbar near the front end 42 of the drawbar is smaller than the cross-sectional area of other portions of the base end 44 of the drawbar. Accordingly, the front end 42 of the drawbar is adjacent to the base end 44 of the drawbar.
  • the cross-sectional area of the portion is smaller than the cross-sectional area of the other portion of the front end 42 of the tie rod.
  • the middle portion or the whole of the fracture portion is in a zigzag shape.
  • the fracture portion may also be composed of any one or more of the following:
  • the sleeve 3 is provided with an elastic wing 32 near the side of the base end 44 of the tie rod.
  • the elastic wing 32 extends obliquely from the inner arm of the tubular passage 31 of the sleeve 3, and the elastic wing 32 can be elastically opened and closed along the sleeve 3 in a radial direction;
  • the elastic flap 32 is wrapped by a sealing device in a closed state. In the working state, the elastic flap 32 is outwardly popped and protrudes from the outer wall of the sleeve 3 and the front card of the push system 2 Hehe.
  • the structural relationship between the elastic wing 32 and the sleeve 3 is any one of the following structures:
  • the elastic flap 32 is of a 360 degree structure
  • the elastic flap 32 is of a structure that is less than 360 degrees, i.e. the elastic flap 32 extends only in the portion of the partial tunnel 31 of the sleeve 3.
  • the tie rod front end 42 of the tie rod member 4 connects the clip 5 by any of the following means:
  • the pushing system 2 comprises a flexible component 6 and an operating portion 7; wherein the flexible component 6 is a hollow structure, the pull rod member 4 passes through the hollow structure, and the operating portion 7 extends The hollow structure is coupled to the drawbar base end 44 of the tie rod member 4.
  • the pushing system 2 comprises a flexible component 6 and an operating portion 7; wherein the flexible component 6 is a hollow structure, the pull rod member 4 passes through the hollow structure, and the operating portion 7 extends The hollow structure is coupled to the drawbar base end 44 of the tie rod member 4.
  • the operating portion 7 includes a pushing portion 71 and a tapered head 72, wherein the pushing portion 71 is a cylindrical hollow structure recessed in the middle annular shape, and the pushing portion 71 can be in a specific area on the straight rod 73 Sliding left and right, the straight rod 73 is a hollow structure, and the straight rod 73 is connected to the base end of the flexible component 6.
  • a guide wire 74 is fixed to the center of the pushing portion 71, and the guide wire 74 passes through the straight rod 73 and the flexible member 6, and is connected to the end of the tapered head 72.
  • the pushing portion 71 is any one of the following structures:
  • An annular baffle that surrounds the outer surface of the flexible component 6 at 360 degrees or less.
  • the end of the base end 44 of the tie rod is provided with an elastic hole.
  • the elastic hole is opened until the tapered head 72 is completely immersed.
  • the resilient aperture is closed such that the tapered head 72 is secured within the resilient bore.
  • the outer diameter of the sleeve 3 is smaller than the inner diameter of the opening of the top end portion 61 of the flexible component 6, and in the initial stage of the working state, the pull rod member 4 is pulled to drive the sleeve 3 into the flexible component. 6.
  • the soft tissue clip further comprises a sealing device that at least wraps the sleeve 3 and causes the resilient tab 32 of the sleeve 3 to remain closed until entering the operational state, and In the initial stage of the operating state, after the pull rod member 4 is pulled to bring the sleeve 3 into the flexible assembly 6, the sealing device is peeled off.
  • the sleeve 3 is pulled into the flexible assembly 6, the sleeve 3 is pushed out of the flexible assembly 6 by pushing the pull rod member 4 in reverse, at which time the elastic card
  • the wings 32 are opened such that the sleeve 3 is engaged with the front portion of the push system 2, and then the pull rod member 4 is pulled again to break the broken portion 41 of the tie rod member 4.
  • the clip 5 comprises at least two elastic claw arms 51, which can grasp the soft tissue in the digestive tract, and the clip 5 moves under the tension to the sleeve 3 of the sleeve 3 to open The claw 53 is closed.
  • the elastic claw arm 51 has a rib structure.
  • a portion of the elastic claw arm 51 protrudes from an outer surface of the elastic claw arm 51, and the portion is correspondingly recessed into an inner surface of the elastic claw arm 51.
  • the invention provides a soft tissue clip which clamps the soft tissue in the digestive tract, and improves the hardness of the material of the front end of the rod by preventing the gripping position from being caused by the biasing force problem; by using the clip of the rib structure, the soft tissue clip is made Does not cause failure of grasping soft tissue due to deformation of the paw; by strengthening the stability between the clip and the tie rod member To the extent that the clip can accurately and effectively grasp the soft tissue; by using the elastic resin as the rupture of the base end of the tie rod, the maximum tensile force that the fracture portion can bear is at a certain target threshold, thereby improving the success rate of the operation.
  • FIG. 1 is a schematic view showing the overall structure of a soft tissue clip that sandwiches soft tissue in a digestive tract according to an embodiment of the present invention
  • FIG. 2 shows a cross-sectional structural view of the drawbar member in a soft tissue clip that sandwiches soft tissue in the digestive tract, in accordance with an embodiment of the present invention
  • FIG. 3 is a cross-sectional structural view of the operation portion in a soft tissue clip that sandwiches soft tissue in the digestive tract according to an embodiment of the present invention
  • Figure 4 shows a side view of the sleeve in a soft tissue clip that clamps soft tissue within the digestive tract, in accordance with an embodiment of the present invention
  • FIG. 5 is a schematic view showing the structure of the flexible component and a part of the operation portion in a soft tissue clip that sandwiches soft tissue in the digestive tract according to an embodiment of the present invention
  • FIG. 6 shows a perspective view of the clip assembly in a soft tissue clip that sandwiches soft tissue in the digestive tract, in accordance with an embodiment of the present invention
  • Figure 7 is a cross-sectional view showing the clip assembly in a soft tissue clip that sandwiches soft tissue in the digestive tract, in accordance with an embodiment of the present invention
  • Figure 8 shows a schematic view of the structure of a clip in a soft tissue clip that sandwiches soft tissue within the digestive tract, in accordance with an embodiment of the present invention.
  • Figure 9 is a schematic view showing the structure of the zigzag fracture portion when the fracture portion is a place in a soft tissue clamp that sandwiches soft tissue in the digestive tract according to an embodiment of the present invention
  • Fig. 10 is a view showing the structure of the zigzag fracture portion in a plurality of soft tissue clips sandwiching soft tissue in the digestive tract according to a specific embodiment of the present invention.
  • FIG. 1 is a schematic view showing the overall structure of a soft tissue clip of a soft tissue in a clip and a digestive tract according to an embodiment of the present invention. Further, FIG. 1 only shows the overall structure of the soft tissue clip, and Identifying all the components of the soft tissue clip, in particular, the structure of the soft tissue clip is mainly composed of a clip assembly and a push system. In such a variation, the present invention will be detailed according to the two parts. Descriptions, the description will be described in the drawings and examples to be described later, and will not be described herein.
  • the soft tissue clip mainly comprises a clip assembly 1 for suturing a wound, and a push system 2 for operating the clip assembly 1, the push The system 2 is inserted into a clamp of an endoscope that has been inserted into a lumen of a living body, which is understood by those skilled in the art to be primarily used for suturing the wound by the clip, and the clip is primarily passed
  • the push system controls in such a variation, the operator controls the clip assembly 1 by inserting the push system 2 into a clamp of an endoscope that has been inserted into a living body cavity, The wound is sutured.
  • the front portion of the push system 2 is coupled to the clip assembly 1 and controls the operation of the clip assembly 1, and those skilled in the art understand that the front portion of the push system 2 can An insertion head is provided, at the base end of the clip assembly 1, a fitting end adapted to the insertion head can be provided, and when the insertion head is inserted into the insertion end, the push system 2 is connected to the clip assembly Further, the manner of connecting the push system 2 to the clip assembly 1 will be described in detail in the preferred embodiments described later, and details are not described herein.
  • the clip assembly 1 comprises a sleeve 3, a tie rod member 4 and a clip 5, as shown in Fig. 1, the pull rod front end 42 of the pull rod member 4 is connected to the clip 5, and the pull rod base end 44 is connected to the a front portion of the push system 2, further, the sleeve 3 is sleeved on the pull rod front end 42 of the pull rod member 4, and the pull rod member 4 is connected to the clip assembly through an outer wall of the sleeve 3 as a connecting passage Further, the pull rod member 4 can be driven by pulling the push system 2 to drive the sleeve 3 and the clip 5 move.
  • the pull rod member 4 is mainly shown. It is composed of a front end 42 of the tie rod and a base end 44 of the pull rod. Further, a break portion 41 is disposed between the front end 42 of the pull rod member 4 and the base end 44 of the pull rod, and a latching groove 43 is formed at the front end 42 of the pull rod. And the rod front end 42 and the rod base end 44 are connected at 45.
  • the breaking portion 41 is a part of the base end 44 of the tie rod, and further, in the initial stage of the working state, when the pushing system is pulled, the sleeve 3 and the pushing system
  • the front portion of the 2 is engaged, and when the pull rod member 4 continues to be pulled, the clip 5 will be pulled into the sleeve 3, and further, the bias applied to the clip 5 by the outer wall of the sleeve 3
  • the force causes the clip 5 to close, and further, when the pulling force is continuously applied, the breaking portion 41 is broken, so that the sleeve 3 and the clip 5 are simultaneously left in the body.
  • the drawbar base end 44 is coupled to the drawbar front end 42 by a post that is located anywhere on the post.
  • the hole post is preferably a cylinder.
  • the base end 44 of the tie rod has a columnar structure, and the columnar structure and the front end of the tie rod are in contact with the fracture portion.
  • the shape of the gradual structure is the fracture portion.
  • the fracture portion 41 is located on any cross section of the column, specifically, those skilled in the art understand that
  • the fracture portion 41 is preferably made of a material that is easily broken. Further, there is a certain breakable portion on the pore column, and the portion is divided into two segments when subjected to a certain degree of tensile force. Further, The breakable portion 41 in the above is the fracture portion 41.
  • the fracture 41 is a one on the column of holes hole. Further, due to the hole-like structure on the hole column, the cross-sectional area of the fracture portion 41 is smaller than the cross-sectional area of other portions of the hole column, and the fracture portion 41 is when the hole column is subjected to a tensile force. Breaking, further, it is understood by those skilled in the art that in another variation, if a plurality of the hole-like structures are disposed on the column, there may be more than one part of the fracture, which does not affect the present. The technical solution of the invention will not be described herein.
  • the rupture portion is located on the base end 44 of the tie rod near the front end 42 of the tie rod, and the portion of the base end 44 of the tie rod near the front end 42 of the tie rod is made of a rupturable resin material.
  • the breaking portion 41 is located on the base end 44 of the tie rod, and the person skilled in the art understands that the breaking portion 41 may be disposed at the joint of the base end 44 of the tie rod and the hole column, or may be disposed. At any point on the base end 44 of the drawbar, it can also be placed adjacent the front end 42 of the drawbar.
  • the breaking portion 41 is placed close to the front end 42 of the tie rod.
  • the column of holes belong to a portion of the base end of the tie rod.
  • the breaking portion 41 is the joint of the rod front end 42 with the hole in the base end 44 of the rod, and preferably the base end of the rod is made of the breakable resin material, in such an embodiment.
  • the cross-sectional area of the fracture portion is preferably smaller than the cross-sectional area of other portions of the base end of the tie rod, and the fracture portion is broken when the base end of the tie rod receives a tensile force.
  • the portion where the fracture occurs is preferably the position of the fracture portion 41 in the drawing, and further, the location of the fracture is selected according to the results of thousands of clinical experiments, and further, The sleeve, the clip and the material of the fracture portion and the like will remain in the living body. If the fracture portion is located away from the front end of the tie rod, the impurities remaining in the body will be relatively relatively high after the fracture occurs. More, not conducive to the rehabilitation of patients.
  • the fracture portion is preferably a cross section instead of a hole-like structure on the hole post, the fracture portion being made of a resin material, in such a manner
  • the base end 44 of the tie rod when the base end 44 of the tie rod is subjected to a certain force, a break occurs, thereby separating the sleeve 3 and the clip 5 from the push system 2. Further, the base end 44 of the tie rod does not break when pressed, only in the It will break when stretched.
  • the cross-sectional area of the portion of the base end 44 of the drawbar near the front end 42 of the drawbar is smaller than the cross-sectional area of other portions of the base end 44 of the drawbar, and accordingly, The cross-sectional area of the portion of the pull rod front end 42 adjacent to the base end 44 of the pull rod is smaller than the cross-sectional area of other portions of the front end 42 of the pull rod.
  • the cross-sectional area of the base end of the tie rod to the front end of the tie rod forms a process of first becoming smaller and then becoming larger, resulting in a tensile strength smaller than the cross-sectional area. The tensile strength of the larger area further forms the fracture.
  • the breaking portion is located on the base end of the drawbar, and the cross-sectional area of the broken portion of the base end of the drawbar is smaller than the cross-sectional area of other portions of the base end of the drawbar, and
  • the shape of the fracture portion is adapted to the concave shape of the front end of the tie rod, and the cross-sectional area of the front end of the tie rod has no corresponding relationship with the cross-sectional area of the fracture portion, but this does not affect the technical solution of the present invention. I will not repeat them here.
  • the middle portion or the whole of the fracture portion is in a zigzag shape. It will be understood by those skilled in the art that the fracture portion may be formed only by the zigzag structure. In such a variation, as shown in FIG. 8, if the middle portion of the fracture portion is serrated, the fracture The cross-sectional area of the portion is smaller than the cross-sectional area at other positions on the base end of the tie rod, and in another preferred variation, as shown in FIG. 9, if the hole column as a whole exhibits a row of serrated structures, then occurs The location of the break may be multiple, which does not affect the specific embodiment of the present invention and will not be described herein.
  • the fracture portion 41 described above is made of a resin material to cause fracture, and in a preferred variation, the fracture may be carried out in a variety of ways, specifically, for example.
  • the breaking portion 41 is a part of the base end 44 of the tie rod, and the cross-sectional area of the rod front end 42 and the rod base end 44) is larger than the cross-sectional area of the breaking portion 41, and the rod front end 42 is Evenly transitioning to the fracture portion and then evenly transitioning to the base end 44 of the tie rod, in such an embodiment, the front end 42 of the tie rod to the base end 44 of the tie rod forms a thick and intermediate structure at both ends, further In the case where the pull rod member 4 is pulled, the intermediate thin portion can withstand a pulling force smaller than the thick portions of the two ends, and the intermediate thin portion preferentially breaks when a large force is applied.
  • the fracture portion 41 employs a material having a weaker tensile strength than the tie rod front end 42 and the tie rod base end 44, and in such an embodiment, due to the fracture portion
  • the tensile strength is weak, and the fracture portion 41 preferably breaks when the pull rod member 4 is pulled.
  • the breaking portion 41 can also adopt a string, which does not affect the technical solution of the present invention, and details are not described herein.
  • the front end 42 of the pull rod is made of a hard material, and the front end 42 of the pull rod is connected with the clip 5. More specifically, the front end 42 of the pull rod has a card slot, and the card slot can be stuck.
  • the base end of the clip 5 is fixed, and further, the fixing will be described in detail in the specific embodiments described later, and will not be described herein.
  • the pull rod front end 42 is preferably employed.
  • the hard material in such a variation, does not deform the pull rod front end 42 regardless of how much force the pull rod member 4 uses to pull the clip 5.
  • FIG 3 is a cross-sectional structural view of the operation portion in a soft tissue clip that sandwiches soft tissue in the digestive tract, the operation portion 7 including a pushing portion 71 and a conical head 72, in accordance with an embodiment of the present invention
  • the pushing portion 71 is a cylindrical hollow structure recessed in the middle annular shape, and the pushing portion 71 can slide left and right in a specific area on the straight rod 73.
  • the straight rod 73 is a hollow structure, and the straight rod 73 is connected.
  • the pushing portion 71 can slide left and right on the straight rod 73. Specifically, the pushing portion 71 can also rotate freely, specifically, the outer wall shape of the sliding area on the straight rod. In accordance with the shape of the inner wall of the hollow structure of the pushing portion 71, in such an embodiment, the cross-sectional area of the sliding portion is preferably smaller than the cross-sectional area of other portions of the straight rod, and the straight rod is connected at one end. A handle pull rod is coupled to the base end of the flexible component 6 at one end. Further, as understood by those skilled in the art, the straight bar is a hollow structure, and the flexible component is also a hollow structure.
  • a guide wire 74 is fixed to the center of the pushing portion 71, and the guide wire is 74 passes through the straight rod 73 and the flexible member 6, and is connected to the end of the tapered head 72.
  • the pushing portion 71 is a cylindrical hollow structure recessed in the middle annular shape, and the pushing portion 71 fixes the guide wire by welding, bonding, etc., and the guiding wire 74 is preferably a comparison.
  • the user pushes the pushing portion 71 to cause the pushing portion 71 to move the guide wire 74 at the straight rod 73, and the guiding wire 74 drives the guiding wire 74.
  • the tapered head 72 moves, the tapered head 72 connects the pull rod member, and further, the pushing portion 71 drives the pull rod member to move.
  • the operating portion 7 includes a pushing portion 71 and a tapered head 72, the shape of the rear portion of the tapered head 72 is adapted to the hollow structure and is placed in the hollow structure and the tapered portion
  • the front portion of the head 72 extends beyond the hollow structure and connects the base end 44 of the drawbar to control the clip assembly 1. It is understood by those skilled in the art that a pusher ring and a push rod for controlling the direction may be disposed on the pushing portion 71 for controlling the up and down and left and right movement of the clip, which does not affect the technical solution of the present invention. Do not repeat them.
  • the tapered head 72 is configured to connect the base end 44 of the drawbar.
  • the shape of the tapered head 72 is a structure in which the front portion is gradually tapered to a larger inner diameter of the rear portion, and in the above flexible assembly
  • the inner diameter of the hollow structure is adapted to the inner diameter of the tapered tail portion.
  • the front portion of the tapered head 72 projects out of the hollow structure and is coupled to the front end of the tie rod. Further, the tapered head 72 is driven by pulling the pushing portion 71 to drive the base end 44 of the pull rod to move.
  • the rear portion of the tapered head 72 is the straight rod.
  • the rear portion of the tapered head 72 is fixed to the push.
  • the pushing portion 71 drives the conical head 72 to move, and the conical head 72 drives the rod member 4 to move.
  • the pushing portion 71 may be a symmetrical thin straight rod.
  • the pushing portion 71 is connected to both sides of the tail portion of the tapered head, by applying an external force to the thin straight rod, thereby Driving the base end of the pull rod.
  • the pushing portion 71 can also be a symmetrical finger ring into which a finger can be inserted.
  • the operator hooks the finger ring by a finger to move the base end of the pull rod, or is an annular baffle that surrounds the outer surface of the flexible component 6 at 360 degrees or less.
  • the pushing portion 71 may also be located at the tail of the tapered head.
  • the end of the base end 44 of the tie rod is provided with an elastic hole.
  • the elastic hole is opened until the cone head 72 is completely immersed.
  • the resilient aperture is closed such that the tapered head 72 is secured within the resilient bore.
  • the maximum radius of the elastic hole at the end of the base end 44 of the tie rod is slightly larger than the maximum radius of the tapered head 72.
  • the elastic hole is gradually opened, but when the tapered head 72 all enters the elastic hole, the radius of the tapered head 72 suddenly becomes small, so that the elastic hole is naturally closed, so that the tapered head 72 is fixed in the elastic hole.
  • Figure 4 shows a side view of the sleeve in a soft tissue clip sandwiching soft tissue in the digestive tract, as shown in Figure 4, the sleeve 3 being close to the One side of the base end 44 of the tie rod is provided with an elastic wing 32 extending obliquely from the inner arm of the barrel 31 of the sleeve 3, and the elastic wing 32 can be along the sleeve 3 Radial elastic opening and closing; in the non-operating state, the elastic wing 32 is wrapped by a sealing device, in a closed state, in the working state, the elastic wing 32 is outwardly popped and protrudes from the sleeve 3 The outer wall is then engaged with the front of the push system 2.
  • the elastic wing 32 is fixed on both sides of the outer wall of the sleeve 3. Further, the elastic wing 32 extends obliquely from the inner arm of the cylinder 31 of the sleeve 3. The extending oblique direction is directed to the direction of the pushing system. Further, the elastic wing 32 can be elastically opened and closed along the sleeve 3 in the radial direction. It is understood by those skilled in the art that the elastic wing 32 is not present. Under the action of external force, it will be in the open and close state, and in the present invention, the elastic flap 32 is wrapped by a sealing device in a non-operating state and is in a closed state.
  • the sealing device is formed according to the shape and shape of the soft tissue clip in the clip and the digestive tract, and the sealing device is hygienic, disposable and can fix the shape of the soft tissue clip to prevent the soft tissue clip from being squeezed by an external force. Deformation. Further, said Both of the tabs of the resilient tab 32 are held in a closed state by the inner wall of the sealing device.
  • the elastic flap 32 is outwardly ejected and protrudes from the outer wall of the sleeve 3 to engage with the front portion of the pushing system 2.
  • the elastic flaps 32 will enter the push system 2 after being pushed out of the sealing device.
  • the elastic flaps 32 will be replaced by corresponding parts of the push system 2.
  • the elastic flaps 32 in the sleeve 3 will naturally open, and at this time, if the sleeve is being pulled At the time of the cylinder 3, the outer wall of the sleeve 3 is engaged with the front portion of the push system 2.
  • the structural relationship between the elastic wing 32 and the sleeve 3 is a 360 degree structure.
  • the elastic wing 32 has an annular structure surrounding the sleeve 3, when pulled When the resilient tabs 32 of the sleeve 3 are attached to the push system 2, the annular structure tab projections will engage the push system.
  • the resilient flaps 32 are of a structure that is less than 360 degrees, i.e., only the portions of the portion of the barrel 31 of the sleeve 3 extend the resilient tabs 32.
  • the elastic wing 32 is divided into a plurality of parts. Specifically, the elastic wing 32 may have two mutually symmetrical structures. Further, the elastic wing 32 may also be 4, 6, 9, or more, which does not affect the technical solution of the present invention, and details are not described herein.
  • the distance between the raised portion and the end of the clip is The length of the sleeve is adapted, and the sleeve 3 is relatively fixedly disposed at the end of the clip 5 and at the raised portion of the tie rod member. Further, the convex portion can fix the sleeve 3 so that the sleeve 3 does not move backward.
  • the pull rod front end 42 of the pull rod member 4 is fixed by means of a locking nut.
  • a threaded hole may be provided at the front end 42 of the pull rod, and the clip base may be provided at the clip base.
  • the end is provided with a screw, which is screwed and fixed, and can also be fastened by a circlip or a bonding method, which does not affect the technical solution of the present invention and will not be described herein.
  • FIG. 5 is a schematic view showing the structure of the flexible component and a part of the operation portion in a soft tissue clip that sandwiches the soft tissue in the digestive tract according to an embodiment of the present invention.
  • the push system 2 is shown in FIG.
  • the flexible assembly 6 includes an operating portion 7; wherein the flexible member 6 is a hollow structure, the pull rod member 4 passes through the hollow structure, and the operating portion 7 extends into the hollow structure and The tie rod base ends 44 of the tie rod members 4 are connected.
  • the above-mentioned operation portion 7 mainly includes a pusher portion and a tapered head portion.
  • the pusher portion is not shown in FIG. 4, but this does not represent the soft tissue clip.
  • the pusher is not provided and will not be described here.
  • the conical head 72 of the operating portion 7 is shown in FIG. 4, and the conical head 72 is used to connect the elastic holes of the base end of the tie rod, which will be elaborated in the specific embodiments described later. I will not repeat them here.
  • the flexible assembly 6 is illustrated in FIG. 5, which is understood by those skilled in the art to be understood as a spring device through which the pusher 71 is controlled.
  • the rear of the tapered head controls the drawbar member 4.
  • the operation portion 7 mainly refers to the tapered head portion, and the push portion portion and the tapered head portion will be described in detail later, the tapered head Connecting the drawbar base end 44, further, the push system 2 includes a flexure assembly 6 and an operating portion 7, the flexure assembly 6 being a spring-like device, the The component 6 is for fitting the sleeve 3. Further, the spring tube is a bendable tube, and the pushing system 2 can adjust the direction of the clip according to the characteristic of the flexible component 6, thereby further The soft tissue is easily grasped.
  • the end of the base end 44 of the tie rod is provided with an elastic hole.
  • the elastic hole is opened until the cone head 72 is completely immersed.
  • the resilient aperture is closed such that the tapered head 72 is secured within the resilient bore.
  • the maximum radius of the elastic hole at the end of the base end 44 of the tie rod is slightly larger than the maximum radius of the tapered head 72.
  • the elastic hole is gradually opened, but when the tapered head 72 all enters the elastic hole, the radius of the tapered head 72 suddenly becomes small, so that the elastic hole is naturally closed, so that the tapered head 72 is fixed in the elastic hole.
  • the outer diameter of the sleeve 3 is smaller than the inner diameter of the opening of the top end portion 61 of the flexible component 6, and in the initial stage of the working state, the pull rod member 4 is pulled by the external force of the pushing portion while driving the sleeve 3 extends into the flexible component 6.
  • the outer diameter of the sleeve 3 referred to in the above refers to the outer diameter of the elastic flap when it is in the closed state.
  • the outer diameter of the sleeve 3 is smaller than the inner diameter of the opening of the top end portion 61 of the flexible component 6. The sleeve 3 can be inserted into the flexible component 6.
  • the front end pull rod front end 42 of the tie rod member 4 is preferably connected to the clip 5, at the beginning of the working state.
  • the clip 5 In the stage, the clip 5 is in an open state, the claw wall of the clip 5 is in contact with the outer wall edge of the sleeve, and further, when the pull rod member is pulled, the claw arm of the clip 5 gives the sleeve
  • the cartridge 3 provides a force in the direction of movement of the drawbar member, thereby causing the sleeve 3 to move, and further, the sleeve 3 projects into the hollow structure within the flexible assembly 6.
  • the soft tissue clip further includes a sealing device that at least wraps the sleeve 3 and causes the elastic tab 32 of the sleeve 3 to be in a closed state before entering the working state, and In the initial stage of the working state, after the pull rod member 4 is pulled to drive the sleeve 3 into the flexible component 6, the sealing device is peeled off.
  • the sealing device wraps the sleeve 3, in the initial stage of the sealing device, the elastic card is in an open state, the sealing device forms a conical structure inside, and further, the conical structure has a tapered diameter structure, with the sleeve The movement of the cylinder within the sealing device, the gradient diameter is getting smaller and smaller, the elastic card receives a force from the inner wall of the sealing device to gradually close, and finally the elastic card is in a closed state. And entering the flexible assembly in a closed state.
  • the sealing device is a disposable packaging outer casing of the soft tissue clip, the outer casing not only wrapping the sleeve 3, in particular, the outer casing according to the appearance shape of the soft tissue clip, A layer of hard rubber material covering the soft tissue clip is formed to effectively protect the soft tissue clip.
  • the pull rod member 4 drives the sleeve 3 to move, the sleeve 3 is gradually separated from the outer casing, and those skilled in the art understand that the sleeve 3 is relatively fixed and placed in the Within the sealing device, a certain pulling force is required to bring the sleeve 3 and the paws out, and in this case, the pulling force does not reach the pulling force required to break the breaking portion.
  • the sealing device is peeled off after the sleeve has fully entered the flexible component 6.
  • the sleeve 3 is pulled into the flexible component 6, the sleeve 3 is pushed out of the flexible component 6 by pushing the puller member 4 in reverse, at which time the elasticity The tab 32 is opened such that the sleeve 3 is engaged with the front portion of the push system 2, and then the pull rod member 4 is pulled again to break the break portion 41 of the pull rod member 4.
  • the sleeve 3 since the outer diameter of the sleeve 3 is smaller than the inner diameter of the opening of the top end portion 61 of the flexible component 6, the sleeve 3 can be inserted into the hollow structure of the flexible component 6, and further, The resilient tab 32 of the sleeve 3 is in a closed state when not in the flexible assembly 6, and when the sleeve 3 enters the flexible assembly 6, the outer surface of the sleeve 3 The elastic tab 32 is pressed by the inner wall of the flexible component 6 and is also in a closed state, and when the puller member 4 is pushed, the sleeve 3 comes out from the end of the flexible component 6, which At this time, the elastic flap 32 will not be deployed by any external force, and at this time, the sleeve 3 is engaged with the front portion of the push system 2 when the pull rod member is pulled. Further, as the force is gradually increased, when the tensile force is greater than the maximum tensile force that the fracture portion 41 can withstand,
  • FIG. 5 illustrates a soft tissue clip that sandwiches soft tissue in the digestive tract according to an embodiment of the present invention.
  • FIG. 7 illustrates a cross-sectional view of the clip assembly in a soft tissue clip that sandwiches soft tissue within the digestive tract, in accordance with an embodiment of the present invention.
  • the drawbar base end 44 of the tie rod member 4 is coupled to a tapered head in the push system 2, the drawbar member 4 passing through the sleeve 3
  • the clip 5 is preferably welded to the front end of the pull rod, and further, there is a broken portion between the front end of the pull rod member and the base end of the pull rod member, and in the initial working state, when the pull rod is pulled
  • the resilient tab of the sleeve 3 engages the flexible assembly described above to move the clip relative to the sleeve 3, in such an embodiment, the process of pulling the pull rod member 4
  • the clip is closed by an external force and the soft tissue is tightened.
  • the clip 5 and the sleeve are further A device such as a cartridge is detached from the push system 2, and further, the clip 5 remains inside the living body.
  • the clip 5 includes at least two elastic claw arms 51, which can grip the soft tissue in the digestive tract, and the clip 5 is pulled to the sleeve 3 under the pulling force. Moved in 31 to close the open jaw 53.
  • the front end 42 of the pull rod is fixedly coupled to the base end 52 of the clip 5, preferably by welding, and further, the middle section 51 of the claw and the rear section of the claw 54 is connected and formed at an angle of between 150 and 170 degrees, the front portion 53 of the claw being coupled to the mid-section 51 of the jaw and forming an angle, the angle being between 120 and 150 degrees,
  • the claw front section 53, the claw middle section 51 and the claw rear section 54 form a claw-like structure in one plane, by which the soft tissue can be more easily grasped and stitched.
  • the clip 5 is moved into the sleeve 3 of the sleeve 3 by the pulling force to close the opened claw 53.
  • the The rear portion 54 of the jaw enters the sleeve 3, and further, the rear portion 54 of the jaw is slowly closed and closed under the biasing force of the outer wall of the sleeve 3, thereby closing the opened jaw 53.
  • the elastic claw arm 51 has a rib structure. Further, as understood by those skilled in the art, as shown in FIG. 6, on the outer surface of the middle portion 51 of the claw and the rear portion 54 of the claw, there are partial protrusions and partial depressions, specifically, as shown in FIG. The upper and lower jaws of the clip are shown in Fig. 6, the upper claw portion of the elastic claw arm is projected on the outer surface of the elastic claw arm 51, and the lower claw portion of the elastic claw arm is recessed The inner surface of the elastic claw arm 51 is described. In such an embodiment, the design can more smoothly grasp the soft tissue within the digestive tract without deforming.

Landscapes

  • 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

一种在内窥镜引导下夹合消化道内软组织的软组织夹,其包括:夹子组件(1),可相对于插入到内窥镜钳子通道的挠性管(62)的顶端部(61)装卸;推送系统(2),其可以操控操作部(7)的基端推拉环使其顶端锥形头(72)与夹子组件(1)连接。夹子组件(1)具有:夹子(5),其具有多个弹性爪臂(51),可抓紧夹合消化道内软组织;拉杆构件(4),是夹子(5)与推送系统(2)连接的桥梁,包括拉杆前端(42)、拉杆基端(44)以及夹子组件(1)与推动系统(2)分离断裂部(41);套筒(3),可进出于挠性管(62),其套在拉杆构件(4)的外周,拉杆构件(4)带着夹子(5)可在其筒道(31)内出入并能使张开的弹性爪臂(51)闭合。推送系统(2)具有:挠性组件(6),其包括挠性管(62),可插入到内窥镜管道内并供夹子组件(1)进入及退出卡阻;操作部(7),其在挠性组件(6)的挠性管(62)内延伸,可连接夹子组件(1)在挠性管(62)内移动。

Description

一种夹合消化道内软组织的软组织夹 技术领域
本发明涉及医疗领域,尤其涉及一种软组织夹,具体地,涉及一种夹合消化道内软组织的软组织夹。
背景技术
随着科技发展的不断进步,医学技术的不断发展,人们对于身体内部病变的治疗技术也越来越先进、越来越高科技,而对于消化道内的病变,人们往往会使用通过内窥镜下器械进行手术治疗,然而其中很多手术都会造成治疗区域出血。阻止治疗区域出血可以加快伤口的愈合、使术后消化道内软组织愈合速度变快,进而使所述组织夹从体内脱落排出。
软组织夹可抓紧出血组织的边缘阻止出血,而根据相关文献记载,如日本特开2002-191609号公报及日本特开2004-121485号公报而公知的软组织夹,通过夹子组件以及推送系统两部分,通过推送系统中的相应地部件控制夹子组件的抓取方向、抓取部位,并通过夹子组件相应地控制装置使夹子抓紧软组织,并使夹子留在组织体内。
软组织夹夹子部分为一次性使用装置,而推送系统相应地控制装置是可以反复使用的,人们往往在夹子组件部分使用密封装置使爪子、套筒等部件保存完好并保证其卫生、安全。
目前使用的软组织夹虽然能够加紧软组织,但有时会因为力度使用不当、伤口面积不确定等因素,影响正常的使用,而目前使用的夹子有时也会因为伤口面积的不确定而造成夹子的变形,目前并没有一种能够解决上述问题的有效手段以及技术。
发明内容
根据本发明的一个方面,提供一种夹合消化道内软组织的软组织夹,主要包括:夹子组件1以及推送系统2;所述夹子组件1用于缝合伤口,所述推送系统2用于操作所述夹子组件1,所述推送系统2插入到已插入生物体腔内的内窥镜的钳道中,且所述推送系统2的前部与所述夹子组件1相连接并控制所述夹子组件1工作,其中,所述夹子组件1包括套筒3、拉杆构件4和夹子5;所述拉杆构件4的拉杆前端42与所述夹子5相连接,拉杆基端44连接所述推送系统2的前部,在所述推送系统2的作用下所述拉杆构件4在所述套筒3内移动,其中,所述拉杆前端42采用硬质材料,所述拉杆基端44为树脂材料;所述拉杆前端42与拉杆基端44通过孔柱的方式连接,所述拉杆前端42具有固定夹子5的卡槽43,所述拉杆基端44具有断裂部41;在工作状态的初始阶段,所述套筒3与所述推送系统2的前部卡合,此时通过拉动所述推送系统2,所述拉杆构件4的断裂部41断裂。
优选地,所述断裂部41为在所述孔柱上的一个洞。
在一个变化例中,所述断裂部为所述拉杆基端上的横截面,且所述断裂部位于所述拉杆基端44上靠近拉杆前端42处。
优选地,所述拉杆基端44上靠近拉杆前端42的部位的横截面积小于所述拉杆基端44其他部位的横截面积,相应地,所述拉杆前端42上靠近所述拉杆基端44的部位的横截面积小于所述拉杆前端42其他部位的横截面积。
优选地,所述断裂部的中部或者整体为锯齿状。
优选地,所述断裂部还可以由如下方式中的任一种或任多种组成:
-与所述拉杆前端42以及所述拉杆基端44相比抗拉性弱的材料;以及
-细绳。
优选地,所述套筒3靠近所述拉杆基端44一侧设置有弹性卡翼32, 所述弹性卡翼32从所述套筒3的筒道31内臂斜向延伸而出,所述弹性卡翼32可沿所述套筒3径向弹性开闭;在不工作状态下,所述弹性卡翼32被一密封装置包裹,处于闭合状态,在工作状态下所述弹性卡翼32向外弹出并凸出于所述套筒3的外壁后与所述推送系统2的前部卡合。
优选地,所述弹性卡翼32与所述套筒3的结构关系为如下结构中的任一种:
-所述弹性卡翼32为360度结构;或者
-所述弹性卡翼32为小于360度的结构,即仅仅在所述套筒3的部分筒道31的部分延伸所述弹性卡翼32。
优选地,所述拉杆构件4的拉杆前端42通过如下方式中的任一种连接所述夹子5:
-焊接;
-紧锁螺母;
-卡簧卡销;或者
-粘结。
优选地,所述推送系统2包括挠性组件6、操作部7;其中,所述挠性组件6为一中空结构,所述拉杆构件4穿过所述中空结构,所述操作部7伸入所述中空结构并与所述拉杆构件4的拉杆基端44相连接。
优选地,所述推送系统2包括挠性组件6、操作部7;其中,所述挠性组件6为一中空结构,所述拉杆构件4穿过所述中空结构,所述操作部7伸入所述中空结构并与所述拉杆构件4的拉杆基端44相连接。
优选地,所述操作部7包括推动部71以及锥形头72,其中,所述推动部71为中间环形内凹陷的圆柱形中空结构,所述推动部71可在一直杆73上特定区域内左右滑动,所述直杆73为中空结构,所述直杆73连接所述挠性组件6的基端。
优选地,所述推动部71的圆心处固定有一导丝74,所述导丝74穿过所述直杆73以及挠性组件6,与所述锥形头72末端相连。
优选地,所述推动部71为如下结构中的任一种:
-对称的细直杆;
-对称的可供手指伸入的指环;或者
-环形挡板,所述环形挡板360度或小于360度环绕所述挠性组件6的外表面。
优选地,所述拉杆基端44末端设有弹性孔,在所述锥形头72进入所述弹性孔的过程中,所述弹性孔张开,到所述锥形头72全部没入后所述弹性孔闭合,使得所述锥形头72固定于所述弹性孔内。
优选地,所述套筒3外径小于挠性组件6的顶端部61的开口内径,在工作状态的初始阶段,所述拉杆构件4被拉动带动所述套筒3伸入所述挠性组件6。
优选地,所述软组织夹还包括一个密封装置,所述密封装置至少包裹所述套筒3,且使得所述套筒3的弹性卡翼32在进入所述工作状态之前一直处于闭合状态,且在工作状态的初始阶段,所述拉杆构件4被拉动带动所述套筒3伸入所述挠性组件6之后,所述密封装置被剥离。
优选地,在所述套筒3被拉入所述挠性组件6后,通过反向推动所述拉杆构件4将所述套筒3推出所述挠性组件6,此时,所述弹性卡翼32张开,使得所述套筒3与所述推送系统2的前部卡合,然后,再拉动所述拉杆构件4使得所述拉杆构件4的断裂部41断裂。
优选地,所述夹子5至少包括两个弹性爪臂51,所述弹性爪臂51可抓紧夹合消化道内软组织,所述夹子5在拉力作用下向套筒3筒道31中移动,使张开的爪53闭合。
优选地,所述弹性爪臂51具有加强筋结构。
优选地,所述弹性爪臂51的部分凸起于所述弹性爪臂51的外表面,且该部分相应地凹入所述弹性爪臂51的内表面。
本发明提供了一种夹合消化道内软组织的软组织夹,通过对拉杆前端材料的硬度进行提高,防止了因为偏向力问题而造成的抓取部位错误;通过使用加强筋结构的夹子,使软组织夹不会因为爪子变形而造成抓取软组织失败;通过加强夹子与拉杆构件之间的稳固 程度,使夹子能够准确、有效地抓取软组织;通过使用弹性树脂作为拉杆基端断裂部的方式,使断裂部所能承受的最大拉力处于某一目标阈值,提高手术的成功率。
附图说明
通过阅读参照以下附图对非限制性实施例所作的详细描述,本发明的其它特征、目的和优点将会变得更明显:
图1示出根据本发明的具体实施方式的,一种夹合消化道内软组织的软组织夹的整体结构示意图;
图2示出根据本发明的具体实施方式的,在一种夹合消化道内软组织的软组织夹中,所述拉杆构件的剖面结构示意图;
图3示出根据本发明的具体实施方式的,在一种夹合消化道内软组织的软组织夹中,所述操作部的剖面结构示意图;
图4示出根据本发明的具体实施方式的,在一种夹合消化道内软组织的软组织夹中,所述套筒的侧视结构示意图;
图5示出根据本发明的具体实施方式的,在一种夹合消化道内软组织的软组织夹中,所述挠性组件以及部分操作部的结构示意图;
图6示出根据本发明的具体实施方式的,在一种夹合消化道内软组织的软组织夹中,所述夹子组件的立体结构示意图;
图7示出根据本发明的具体实施方式的,在一种夹合消化道内软组织的软组织夹中,所述夹子组件的剖面结构示意图;
图8示出根据本发明的具体实施方式的,在一种夹合消化道内软组织的软组织夹中,所述夹子的结构示意图。
图9示出根据本发明的具体实施方式的,在一种夹合消化道内软组织的软组织夹中,所述断裂部为一处时,所述锯齿状断裂部的结构示意图;以及
图10示出根据本发明的具体实施方式的,在一种夹合消化道内软组织的软组织夹中,所述断裂部为多处时,所述锯齿状断裂部的结构示意图。
具体实施方式
图1示出了根据本发明的具体实施方式的,一种夹和消化道内软组织的软组织夹的整体结构示意图,进一步地,所述图1仅仅示出了所述软组织夹的整体结构,并未标识处所述软组织夹的全部构件,具体地,所述软组织夹的结构主要是由夹子组件以及推送系统两大部分组成,在这样的变化例中,本发明将根据所述两大部分进行详细描述,所述描述将在后述的图例以及实施例中讲到,在此不予赘述。
具体地,如图1所示,所述软组织夹主要包括夹子组件1以及推送系统2;所述夹子组件1用于缝合伤口,所述推送系统2用于操作所述夹子组件1,所述推送系统2插入到已插入生物体腔内的内窥镜的钳道中,本领域技术人员理解,所述夹子组件1主要是用于通过所述夹子对所述伤口进行缝合处理,而所述夹子主要通过所述推送系统控制,在这样的变化例中,所述操作者通过将所述推送系统2插入到已插入生物体腔内的内窥镜的钳道中,同时控制所述夹子组件1,对所述伤口进行缝合。
进一步地,在这样的实施例中,所述推送系统2的前部与所述夹子组件1相连接并控制所述夹子组件1工作,本领域技术人员理解,所述推送系统2的前部可以设置一个嵌入头,在所述夹子组件1的基端可以设置一个与所述嵌入头相适应地嵌入端,当所述嵌入头插入所述嵌入端时,所述推送系统2连接所述夹子组件1,更进一步地,所述推送系统2与所述夹子组件1的连接方式将在后述的优选实施例中作详细描述,在此不予赘述。
进一步地,所述夹子组件1包括套筒3、拉杆构件4和夹子5,如图1所示,所述拉杆构件4的拉杆前端42与所述夹子5相连接,拉杆基端44连接所述推送系统2的前部,进一步地,所述套筒3套在所述拉杆构件4的拉杆前端42上,所述拉杆构件4通过所述套筒3的外壁作为一连接通道连接所述夹子组件,进一步地,可以通过拉动所述推送系统2带动所述拉杆构件4,从而带动所述套筒3以及夹子 5移动。
图2示出根据本发明的具体实施方式的,在一种夹合消化道内软组织的软组织夹中,所述拉杆构件的剖面结构示意图,具体地,如图2所示,所示拉杆构件4主要是由拉杆前端42以及拉杆基端44组成,进一步地,所述拉杆构件4的拉杆前端42与拉杆基端44之间设有断裂部41,在所述拉杆前端42处设有卡槽43,且所述拉杆前端42与所述拉杆基端44连接于45处。
进一步地,所述拉杆构件4的拉杆前端42与拉杆基端44之间存在断裂部41,在所述推送系统2的作用下所述拉杆构件4在所述套筒3内移动,其中,所述拉杆前端42采用硬质材料;在工作状态的初始阶段,所述套筒3与所述推送系统2的前部卡合,此时通过拉动所述推送系统2,所述拉杆构件4的断裂部41断裂。本领域技术人员理解,所述断裂部41为所述拉杆基端44的一部分,进一步地,在工作状态的初始阶段下,当拉动所述推送系统时,所述套筒3与所述推送系统2的前部卡合,当继续拉动所述拉杆构件4时,所述夹子5将被拉到所述套筒3中,进一步地,通过所述套筒3外壁施加给所述夹子5的偏向力,使所述夹子5闭合,更进一步地,当继续施加拉力时,所述断裂部41断裂,从而使所述套筒3以及夹子5同时留在体内。
在一个优选地变化例中,所述拉杆基端44通过一孔柱连接所述拉杆前端42,所述断裂部41位于所述孔柱上任一处。所述孔柱优选地为一圆柱物,更为具体地,如图2所示,所述拉杆基端44上有一柱状结构,所述柱状结构与所述拉杆前端与所述断裂部相接触部位的形状相适应,所述渐变结构处即为所述断裂部,在这样的实施例中,所述断裂部41位于所述孔柱上任一横截面上,具体地,本领域技术人员理解,所述断裂部41优选地采用易断裂的材料制成,进一步地,在所述孔柱上存在某一易断裂部位,所述部位在受到一定程度的拉力时,会分为两段,进一步地,上述中的易断裂部位即为所述断裂部41。
在一个优选地变化例中,所述断裂部41为在所述孔柱上的一个 洞。进一步地,由于所述孔柱上的洞状结构,所述断裂部41的横截面积小于所述孔柱其他部分的横截面积,当所述孔柱受到拉力作用时,所述断裂部41断裂,进一步地,本领域技术人员理解,在另一种变化例中,若所述孔柱上设置有多个所述洞状结构,则发生断裂的部位可以有多个,这都不影响本发明的技术方案,在此不予赘述。
而在另一个优选地变化例中,所述断裂部位于所述拉杆基端44上靠近拉杆前端42处,且所述拉杆基端44靠近拉杆前端42的部位采用易断裂的树脂材料。在这样的变化例中,所述断裂部41位于所述拉杆基端44上,本领域技术人员理解,所述断裂部41可以设置在拉杆基端44与所述孔柱连接处,也可以设置在所述拉杆基端44上的任一处,还可以设置在靠近拉杆前端42处。
在一个优选地变化例中,所述断裂部41被置于靠近拉杆前端42处,在这样的变化例中,本领域技术人员优选地认为所述孔柱属于所述拉杆基端的一部分,而所拉杆前端42与所述拉杆基端44中的孔柱连接处即为所述断裂部41,优选地,所述拉杆基端是由所述易断裂的树脂材料制成,在这样的实施例中,所述断裂部的横截面积优选地小于所述拉杆基端上其他部分的横截面积,当所述拉杆基端收到拉力作用时,所述断裂部断裂。具体地,可以参考后述的优选实施方式,在此不予赘述。
进一步地,如图2所示,所述发生断裂的部位优选地为图中断裂部41的位置,进一步地,所述断裂的部位选取是根据千百次临床实验的结果,进一步地,所述套筒、夹子以及断裂部材料等将留在生物体体内,若所述断裂部位于所述拉杆基端远离所述拉杆前端的位置,则发生断裂后,所述留在体内的杂质会相对较多,不利于病人的康复。
本领域技术人员理解,在上述优选地变化例中,所述断裂部优选地为一横截面,而不是一个所述孔柱上的洞状结构,所述断裂部由树脂材料制成,在这样的实施例中,当所述拉杆基端44在受到一定作用力时,发生断裂,从而使所述套筒3以及夹子5与所述推送系统2分离。进一步地,所述拉杆基端44在受到挤压时不会断裂,只有在 受到拉伸时,才会断裂。
更进一步地,结合上述优选实施例,本领域技术人员理解,所述拉杆基端44上靠近拉杆前端42的部位的横截面积小于所述拉杆基端44其他部位的横截面积,相应地,所述拉杆前端42上靠近所述拉杆基端44的部位的横截面积小于所述拉杆前端42其他部位的横截面积。在这样的实施例中,所述拉杆基端至所述拉杆前端的横截面积形成了先变小再变大的过程,导致所述横截面积较小处的抗拉能力小于所述横截面积较大处的抗拉能力,进一步地,形成了所述断裂部。更为具体地,在一个优选地实施例中,所述断裂部位于所述拉杆基端上,拉杆基端断裂部位的横截面积小于所述拉杆基端其它部位的横截面积,而所述断裂部的形状与所述拉杆前端的凹状形状相适应,则所述拉杆前端的横截面积与所述断裂部的横截面积并没有对应的关系,但这并不影响本发明的技术方案,在此不予赘述。
更进一步地,所述断裂部的中部或者整体为锯齿状。本领域技术人员理解,所述断裂部可以仅仅是由所述锯齿状结构形成的,在这样的变化例中,如图8所示,若所述断裂部的中部为锯齿状,则所述断裂部的横截面积小于所述拉杆基端上其他位置的横截面积,而在另一个优选地变化例中,如图9所示,若所述孔柱整体呈现一排锯齿状结构,则发生断裂的地方可以为多处,这并不影响本发明的具体实施方式,在此不予赘述。
进一步地,上述中的断裂部41采用树脂材料从而产生断裂,而在一个优选地变化例中,所述断裂的方式还可以有很多种,具体地,比如。所述断裂部41为所述拉杆基端44的一部分,所述拉杆前端42以及所述拉杆基端44)的横截面积大于所述断裂部41的横截面积,且由所述拉杆前端42均匀过渡至所述断裂部后再均匀过渡至所述拉杆基端44,在这样的实施例中,所述拉杆前端42至所述拉杆基端44形成了一个两头粗、中间细的结构,进一步地,当拉动所述拉杆构件4时,中间细的部分能承受的拉力小于所述两头粗部分,进而在施加很大力气时,所述中间细的部分会优先发生断裂。
而在另一个优选地变化例中,所述断裂部41采用与所述拉杆前端42以及所述拉杆基端44相比抗拉性弱的材料,而在这样的实施例中,由于断裂部部位的抗拉性弱,在拉动所述拉杆构件4时,所述断裂部41优选地发生断裂。更进一步地,本领域技术人员理解,所述断裂部41还可以采用细绳,这都不影响本发明的技术方案,在此不予赘述。
本领域技术人员理解,所述拉杆前端42采用硬质材料,所述拉杆前端42与所述夹子5连接,更为具体地,所述拉杆前端42具有一卡槽,所述卡槽可以卡住并固定所述夹子5的基端,进一步地,所述固定将在后述的具体实施方式中作详细描述,在此不予赘述。进一步地,为了使所述夹子5在被拉入所述套筒3的过程中不会因为拉力过大而造成偏向力的转移以及夹子5的加紧方向的转移,所述拉杆前端42优选地采用硬质材料,在这样的变化例中,无论所述拉杆构件4使用多大的力拉动所述夹子5,所述拉杆前端42都不会变形。
图3示出根据本发明的具体实施方式的,在一种夹合消化道内软组织的软组织夹中,所述操作部的剖面结构示意图,所述操作部7包括推动部71以及锥形头72,其中,所述推动部71为中间环形内凹陷的圆柱形中空结构,所述推动部71可在一直杆73上特定区域内左右滑动,所述直杆73为中空结构,所述直杆73连接所述挠性组件6的基端。
本领域技术人员理解,所述推动部71可以在所述直杆73上左右滑动,具体地,所述推动部71还可以自由转动,具体地,所述直杆上所述滑动区的外壁形状与所述推动部71的中空结构内壁形状大小相适应,在这样的实施例中,所述滑动区的横截面积优选地小于所述直杆其他部位的横截面积,所述直杆一端连接一手柄拉杆,一端连接于所述挠性组件6的基端,进一步地,本领域技术人员理解,所述直杆是中空结构,所述挠性组件也是中空结构。
进一步地,所述推动部71的圆心处固定有一导丝74,所述导丝 74穿过所述直杆73以及挠性组件6,与所述锥形头72末端相连。如图3所示,所述推动部71为中间环形内凹陷的圆柱形中空结构,所述推动部71通过焊接、粘结等方式固定所述导丝,所述导丝74优选地为一较细的金属直杆,所述导丝一端固定所述推动部71,另一端穿过所述直杆73的中空结构以及所述挠性组件6的中空结构,并与所述锥形头72的末端相连接。在这样的实施例中,使用者通过推动所述推动部71,使所述推动部71在所述直杆73,所述推动部71带动所述导丝74移动,所述导丝74带动所述锥形头72移动,所述锥形头72连接所述拉杆构件,进一步地,所述推动部71带动所述拉杆构件移动。
进一步地,所述操作部7包括推动部71以及锥形头72,所述锥形头72的后部的形状与所述中空结构相适应并被置于所述中空结构内且所述锥形头72的前部伸出所述中空结构后连接所述拉杆基端44,从而控制所述夹子组件1。本领域技术人员理解,可以在所述推动部71上设置有手拉环以及控制方向的推动杆,用于控制所述夹子的上下、左右移动,这并不影响本发明的技术方案,在此不予赘述。所述锥形头72用于连接所述拉杆基端44,进一步地,所述锥形头72的形状为前部较尖逐渐过渡到后部内径较大的结构,而上述挠性组件中的中空结构的内径与所述锥形头尾部的内径大小相适应,进一步地,所述锥形头72的前部伸出所述中空结构并与所述拉杆前端相连接。更进一步的,通过拉动所述推动部71带动所述锥形头72,从而带动所述拉杆基端44移动。
本领域技术人员理解,在另一个变化例中,所述锥形头72的后部即为所述直杆,在这样的实施例中,所述锥形头72的后部固定于所述推动部71,所述推动部71带动所述锥形头72移动,所述锥形头72带动所述拉杆构件4移动。进一步地,所述推动部71可以为对称的细直杆,在这样的实施例中,所述推动部71连接所述锥形头的尾部两侧,通过对所述细直杆施加外力,从而带动所述拉杆基端。所述推动部71还可以为对称的可供手指伸入的指环,在这样的实施例中, 操作者通过手指勾住所述指环从而带动所述拉杆基端移动,或者为环形挡板,所述环形挡板360度或小于360度环绕所述挠性组件6的外表面。所述推动部71还可以位于所述锥形头的尾部。
进一步地,所述拉杆基端44末端设有弹性孔,在所述锥形头72进入所述弹性孔的过程中,所述弹性孔张开,到所述锥形头72全部没入后所述弹性孔闭合,使得所述锥形头72固定于所述弹性孔内。本领域技术人员理解,所述拉杆基端44末端的弹性孔最大半径稍微大于所述锥形头72的最大半径,在这样的实施例中,随着锥形头72逐渐进入所述弹性孔,所述弹性孔逐渐张开,但当所述锥形头72全部进入所述弹性孔时,所述锥形头72的半径骤然变小,使得所述弹性孔自然闭合,使得所述锥形头72固定于所述弹性孔内。
图4示出根据本发明的具体实施方式的,在一种夹合消化道内软组织的软组织夹中,所述套筒的侧视结构示意图,如图4所示,所述套筒3靠近所述拉杆基端44一侧设置有弹性卡翼32,所述弹性卡翼32从所述套筒3的筒道31内臂斜向延伸而出,所述弹性卡翼32可沿所述套筒3径向弹性开闭;在不工作状态下,所述弹性卡翼32被一密封装置包裹,处于闭合状态,在工作状态下所述弹性卡翼32向外弹出并凸出于所述套筒3的外壁后与所述推送系统2的前部卡合。
本领域技术人员理解,所述弹性卡翼32固定于所述套筒3外壁上两侧,进一步地,所述弹性卡翼32从所述套筒3的筒道31内臂斜向延伸而出,所述延伸斜出方向指向所述推送系统方向,进一步地,所述弹性卡翼32可沿所述套筒3径向弹性开闭,本领域技术人员理解,所述弹性卡翼32在没有外力作用下,将处于开合状态,而在本发明中,所述弹性卡翼32在不工作状态下,被一密封装置包裹,并处于闭合状态。所述密封装置是根据所述夹和消化道内软组织夹的外观形状浇筑而成,所述密封装置卫生、一次性并能固定所述软组织夹的形状防止所述软组织夹不被外力挤压而产生变形。进一步地,所述 弹性卡翼32的两个卡翼均被所述密封装置的内壁所抵住而处于闭合状态。
进一步地,在工作状态下所述弹性卡翼32向外弹出并凸出于所述套筒3的外壁后与所述推送系统2的前部卡合。如图1所示,所述弹性卡翼32在被推出所述密封装置后,会进入所述推送系统2中,具体地,所述弹性卡翼32会被所述推送系统2的相应部件的外壁所挤压而处于闭合状态,而再将所述套筒3推出所述推送系统2时,所述套筒3中的弹性卡翼32会自然张开,此时,若在拉动所述套筒3时,所述套筒3的外壁后与所述推送系统2的前部卡合。本领域技术人员理解,所述套筒3的工作原理将在后述的具体实施方式中作详细阐述,在此不予赘述。
优选地,所述弹性卡翼32与所述套筒3的结构关系为360度结构,在这样的实施例中,所述弹性卡翼32呈围绕所述套筒3的环状结构,当拉紧所述套筒3的弹性卡翼32贴合所述推送系统2时,所述环状结构卡翼凸起将与所述推送系统卡合。
而在另一个优选地变化例中,所述弹性卡翼32为小于360度的结构,即仅仅在所述套筒3的部分筒道31的部分延伸所述弹性卡翼32。而在这样的实施例中,所述弹性卡翼32分为多个部分,具体地,所述弹性卡翼32可以为2个相互对称的结构,进一步地,所述弹性卡翼32还可以为4个、6个、9个或者更多,这都不影响本发明的技术方案,在此不予赘述。
进一步地,本领域技术人员理解,在所述拉杆构件4的拉杆前端42与所述拉杆基端44之间还存在一凸起部位,所述凸起部位与夹子末端之间的距离与所述套筒的长度相适应,所述套筒3相对固定的被设置于所述夹子5的末端以及所述拉杆构件上凸起部位处。进一步地,所述凸起部位可以固定所述套筒3,使所述套筒3不会向后移动。
本领域技术人员理解,结合图1至图4所示出的具体实施方式,主要描述了当所述软组织夹处于工作状态的初始阶段的结构、原理以及所述拉杆构件4、套筒3的结构。在这样的实施例中,优选地,所 述拉杆构件4的拉杆前端42通过焊接的方式连接所述夹子5,本领域技术人员理解,在通过拉动所述拉杆构件4,从而带动所述夹子5移动的过程中,往往需要使用很大的力,进一步地,需要牢牢稳固偶数拉杆构件4以及所述夹子5,通过所述焊接的方式能够有效地固定住所述拉杆构件4以及所述夹子5。
而在另一个优选地变化例中,所述拉杆构件4的拉杆前端42通过紧锁螺母的方式进行固定,具体地,可以在所述拉杆前端42处设置有螺孔,而在所述夹子基端设置有螺丝,进而拧紧固定,还可以通过卡簧卡销或者粘结的方式,这都不影响本发明的技术方案,在此不予赘述。
图5示出根据本发明的具体实施方式的,在一种夹合消化道内软组织的软组织夹中,所述挠性组件以及部分操作部的结构示意图,如图5所示,所述推送系统2包括挠性组件6、操作部7;其中,所述挠性组件6为一中空结构,所述拉杆构件4穿过所述中空结构,所述操作部7伸入所述中空结构并与所述拉杆构件4的拉杆基端44相连接。
本领域技术人员理解,上述中的操作部7主要包括了推动部部分以及锥形头部分,进一步地,在图4中并未示出所述推动部部分,但这并不代表所述软组织夹不具有所述推动部,在此不予赘述。具体地,图4中示出了所述操作部7的锥形头72,所述锥形头72用于连接所述拉杆基端的弹性孔,这将在后述的具体实施方式中作详细阐述,在此不予赘述。进一步地,所述图5示出了所述挠性组件6,本领域技术人员理解,所述挠性组件6可以理解为一弹簧装置,所述推动部71通过控制穿过所述挠性组件的锥形头后部,从而控制拉杆构件4。
而在这样的实施例中,所述操作部7主要是指所述锥形头部分,所述推动部部分以及所述锥形头部分将在后述中作详细的描述,所述锥形头连接所述拉杆基端44,进一步地,所述推送系统2包括挠性组件6以及操作部7,所述挠性组件6为一类似于弹簧的装置,所述挠 性组件6用于贴合所述套筒3,进一步地,所述弹簧管为可以弯曲管,所述推送系统2可以根据所述挠性组件6这一特性调整所述夹子的方向,从而更加容易的对所述软组织进行抓取。
进一步地,所述拉杆基端44末端设有弹性孔,在所述锥形头72进入所述弹性孔的过程中,所述弹性孔张开,到所述锥形头72全部没入后所述弹性孔闭合,使得所述锥形头72固定于所述弹性孔内。本领域技术人员理解,所述拉杆基端44末端的弹性孔最大半径稍微大于所述锥形头72的最大半径,在这样的实施例中,随着锥形头72逐渐进入所述弹性孔,所述弹性孔逐渐张开,但当所述锥形头72全部进入所述弹性孔时,所述锥形头72的半径骤然变小,使得所述弹性孔自然闭合,使得所述锥形头72固定于所述弹性孔内。
优选地,所述套筒3外径小于挠性组件6的顶端部61的开口内径,在工作状态的初始阶段,所述拉杆构件4通过推动部的外力作用被拉动,同时带动所述套筒3伸入所述挠性组件6。进一步地,上述中所指的套筒3外径是指所述弹性卡翼处于闭合状态时的外径,具体地,所述套筒3外径小于挠性组件6的顶端部61的开口内径,使得所述套筒3可以进入到所述挠性组件6内,进一步地,本领域技术人员理解,所述拉杆构件4的前端拉杆前端42优选地连接所述夹子5,在工作状态的初始阶段,所述夹子5处于张开状态,所述夹子5的爪壁与所述套筒外壁边缘相接触,进一步地,当拉动所述拉杆构件时,所述夹子5的爪臂给所述套筒3提供了朝拉杆构件运动方向的作用力,从而带动所述套筒3运动,进一步地,所述套筒3伸入到所述挠性组件6内的中空结构中。
进一步地,所述软组织夹还包括一个密封装置,所述密封装置至少包裹所述套筒3,且使得所述套筒3的弹性卡翼32在进入所述工作状态之前处于闭合状态,且在工作状态的初始阶段,所述拉杆构件4被拉动带动所述套筒3伸入所述挠性组件6之后,所述密封装置被剥离。
进一步地,在一个优选地变化例中,所述密封装置包裹所述套筒 3,在所述密封装置初始阶段,所述弹性卡翼处于张开状态,所述密封装置内部形成一种圆锥形结构,进一步地,所述圆锥形结构具有渐变径结构,随着所述套筒在所述密封装置内的移动,所述渐变径越来越小,所述弹性卡翼收到来自所述密封装置内壁的作用力而逐渐闭合,最终使得所述弹性卡翼处于闭合状态,并以闭合状态进入所述挠性组件中。
本领域技术人员理解,所述密封装置即为所述软组织夹的一次性包装外壳,所述外壳不仅仅将所述套筒3包裹,具体地,所述外壳根据所述软组织夹的外观形状,形成了一层覆盖在所述软组织夹上的硬胶材料,可有效地保护所述软组织夹。进一步地,所述拉杆构件4带动所述套筒3移动时,所述套筒3正逐步地与所述外壳分离,本领域技术人员理解,所述套筒3相对固定的被置于所述密封装置内,需要一定的拉力才能将所述套筒3以及爪子带出,而在这种情况下,所述拉力并未达到分裂断裂部所需要的拉力。当所述套筒完全进入到所述挠性组件6之后,所述密封装置被剥离。
更进一步地,在所述套筒3被拉入所述挠性组件6后,通过反向推动所述拉杆构件4将所述套筒3推出所述挠性组件6,此时,所述弹性卡翼32张开,使得所述套筒3与所述推送系统2的前部卡合,然后,再拉动所述拉杆构件4使得所述拉杆构件4的断裂部41断裂。本领域技术人员理解,由于所述套筒3外径小于挠性组件6的顶端部61的开口内径,使所述套筒3能够进入所述挠性组件6的中空结构中,进一步地,所述套筒3的弹性卡翼32在未进入所述挠性组件6中时,处于闭合状态,而当所述套筒3进入到所述挠性组件6后,所述套筒3外表面上的弹性卡翼32被所述挠性组件6内壁所挤压,也处于闭合状态,而在推动所述拉杆构件4时,所述套筒3从进入所述挠性组件6的一端出来,此时,所述弹性卡翼32将不在受到任何外力作用而展开,此时,在拉动所述拉杆构件时,所述套筒3与所述推送系统2的前部卡合。更进一步地,随着力量的逐渐增加,当所述拉力大于所述断裂部41所能承受的最大拉力时,所述断裂部41断裂,从而使所述 夹子组件分离。
进一步地,本发明将结合图6至图8对所述夹子5作进一步地说明,具体地,图5示出根据本发明的具体实施方式的,在一种夹合消化道内软组织的软组织夹中,所述夹子组件的立体结构示意图;以及图7示出根据本发明的具体实施方式的,在一种夹合消化道内软组织的软组织夹中,所述夹子组件的剖面结构示意图。在这样的实施例中,如图6以及图7所示,所述拉杆构件4的拉杆基端44连接所述推送系统2中的锥形头,所述拉杆构件4穿过所述套筒3,并在所述拉杆前端上优选地焊接有所述夹子5,进一步地,在所述拉杆构件前端与所述拉杆构件基端之间存在断裂部,在工作初始状态下,当拉动所述拉杆构件4时,所述套筒3的弹性卡翼卡合上述的挠性组件而使得所述夹子相对于所述套筒3运动,在这样的实施例中,在拉动所述拉杆构件4的过程中,所述夹子在外力作用下闭合,并加紧软组织,进一步地,当力度到达所述断裂部所能承受的最大拉力时,所述断裂部断裂,进一步地,所述夹子5以及所述套筒等装置与所述推送系统2脱离,进一步地,所述夹子5留在了生物体内部。
进一步地,如图8所示,所述夹子5至少包括两个弹性爪臂51,所述弹性爪臂51可抓紧夹合消化道内软组织,所述夹子5在拉力作用下向套筒3筒道31中移动,使张开的爪53闭合。如图6以及图7所示,所述拉杆前端42固定与所述夹子5的爪基端52处相连接,优选地,采用焊接的方式使其固定,进一步地,爪中段51与爪后段54相连接并形成一定角度,所述角度在150度至170度之间,所述爪前段53与所述爪中段51相连接并形成一定角度,所述角度在120度至150度之间,更进一步地,所述爪前段53、爪中段51以及爪后段54在一个平面内形成一个爪状结构,通过所述爪状结构能够更容易对所述软组织进行抓取缝合。
进一步地,所述夹子5在拉力作用下向套筒3筒道31中移动,使张开的爪53闭合。在所述夹子5进入所述套筒3的过程中,所述 爪后段54进入所述套筒3中,进一步地,所述爪后段54在所述套筒3的外壁偏向力作用下,慢慢闭合收拢,从而使所述张开的爪53闭合。
进一步地,所述弹性爪臂51具有加强筋结构。进一步地,本领域技术人员理解,如图6所示,在所述爪中段51以及所述爪后段54的外表面上,有部分凸起、部分凹陷,具体地,如图6所示,图6中示出了所述夹子的上爪以及下爪,所述弹性爪臂的上爪部分凸起于所述弹性爪臂51的外表面,所述弹性爪臂的下爪部分凹入所述弹性爪臂51的内表面。在这样的实施例中,所述设计可以更加稳定的抓取所述消化道内的软组织而不产生形变。
以上对本发明的具体实施例进行了描述。需要理解的是,本发明并不局限于所述特定实施方式,本领域技术人员可以在权利要求的范围内做出各种变形或修改,这并不影响本发明的实质内容。

Claims (4)

  1. 在内窥镜引导下夹合消化道内软组织的软组织夹,其特征在于,具备:夹子组件(1)和推送系统(2);上述推送系统(2)包括挠性组件(6)、操作部(7);夹子组件(1)包括套筒(3)、拉杆构件(4)和夹子(5);
    上述挠性组件(6)包括顶端部(6a)、基端部(6c)以及在顶端部(6a)与基端部(6c)之间的挠性管(6b),顺上述顶端部(6a)前头插入到已插入生物体腔内的内窥镜的钳道中;
    上述操作部(7)包括可在挠性组件(6)的挠性管(6b)内延伸移动,有锥形头(7b)能与夹子组件(1)连接,其锥形头(7b)在挠性组件(6)顶端部(6a)进出;在操作部(7)的基端有推拉环(7a),可通过操作该推拉环(7a)使锥形头(7b)进出挠性组件(6)顶端部(6a)并连接夹子组件(1)进出挠性组件(6)顶端部(6a),同时控制夹子组件(1)的夹子(5)开闭;
    上述套筒(3)外径小于挠性组件(6)的顶端部(6a)的开口内径,可使夹子(5)沿着其圆形筒道(3a)中心线进出,同时使夹子(5)多个弹性爪臂(5a)在其筒道(3a)进出过程中弹性开闭;该套筒(3)有弹性卡翼(3b),其从筒道(3a)内臂斜向延伸而出,其可沿着套筒(3)径向弹性开闭,控制操作部(7)连接特质包装盒内夹子组件(1)后,在夹子组件(1)拉进挠性组件(6)的顶端部(6a)前,弹性卡翼(3b)处在盒子内不会张开,拉入挠性组件(6)内又被其内周臂推压阻止了其打开,在操作部(7)将夹子组件(1)推出挠性组件(6)的顶端部(6a)期间,弹性卡翼(3b)在刚被推出顶端部(6a)时,脱离了挠性组件(6)的顶端部(6a)内周壁的束缚而弹性打开,此时,拉紧操作部(7)可弹性卡翼(3b)的端 面与挠性组件(6)的顶端部(6a)的管道臂端面卡合;
    上述拉杆构件(4)设置在套筒(3)的筒道(3a)中,可沿着筒道(3a)延伸方向自由移动,夹子(5)的多个弹性爪臂(5a)的多个爪臂基端(5b)卡在拉杆前端(4b)的卡槽(4c)内,操作部(7)的锥形头(7b)连接拉杆基端(4d)孔内,由操作部(7)的基端推拉环(7a)进行操作而与夹子(5)一起沿套筒(3)筒道(3a)中移动,其具有断裂部(4a),当套筒(3)的弹性卡翼(3b)与挠性组件(6)顶端部(6a)端面卡合后,操作部(7)给予施加所规定以上的拉力载荷使该断裂部(7)断裂;
    上述夹子(5)具有多个弹性爪臂(5a),可抓紧夹合消化道内软组织,爪臂基端(5b)与拉杆构件(4)的卡槽(4c)连接,在拉杆构件(4)断裂部(4a)断裂过程中,夹子(5)在拉力作用下向套筒(3)筒道(3a)中移动,使张开的爪(5c)闭合;
  2. 根据权利要求1所述其特征在于,上述软组织夹用拉杆构件(4)是由两个部件组成,一个是拉杆前端(4b),其设有卡槽(4c),卡槽(4c)深度越过于中心轴的深度。另一个是拉杆基端(4d),其末端设有弹性孔,在推动系统(2)的锥形头(7b)推力下张开,到锥形头(7b)全部末入孔内后弹性孔闭合,锥形头(7b)即被锁在了弹性孔内。拉杆前端(4b)与拉杆基端(4d)通过孔柱的方式连接,拉杆基端(4d)在孔柱连接处到拉杆前端(4b)部件末端之间部位设计有薄料区,该区即为断裂部。
  3. 根据权利要求1所述其特征在于,夹子(5)的弹性爪臂(5a)存在凸起凹陷的加强筋结构(5d),此结构可增加各弹性爪臂(5a)的强度,能使爪(5c)更牢固的爪(5c)取软组织,弹性爪臂(5a)不易弯曲变形。
  4. 根据权利要求1所述其特征在于,夹子(5)与拉杆前端(4b)的卡槽(4c) 处连接,连接方式为焊接,避免夹子(5)在拉杆前端(4b)的卡槽(4c)处脱落。
PCT/CN2016/076679 2015-01-23 2016-03-18 一种夹合消化道内软组织的软组织夹 WO2016116069A1 (zh)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
CN201510034021.X 2015-01-23
CN201510034021.XA CN104605910A (zh) 2015-01-23 2015-01-23 一种夹合消化道内软组织的软组织夹

Publications (1)

Publication Number Publication Date
WO2016116069A1 true WO2016116069A1 (zh) 2016-07-28

Family

ID=53140760

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/CN2016/076679 WO2016116069A1 (zh) 2015-01-23 2016-03-18 一种夹合消化道内软组织的软组织夹

Country Status (2)

Country Link
CN (1) CN104605910A (zh)
WO (1) WO2016116069A1 (zh)

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108420493A (zh) * 2018-03-16 2018-08-21 刘陈邦 一种手术机器人用柔性施夹钳
CN108784775A (zh) * 2018-08-28 2018-11-13 诸暨市鹏天医疗器械有限公司 多连发组织夹
CN108969043A (zh) * 2018-08-17 2018-12-11 刘建强 可释放消化道切口闭合装置
CN109589150A (zh) * 2018-07-20 2019-04-09 浙江中医药大学 一种可注水的消化内镜钛夹装置
CN114768081A (zh) * 2022-03-31 2022-07-22 申莉莉 一种新型预充式导管冲洗器
CN115444491A (zh) * 2022-10-11 2022-12-09 常州市久虹医疗器械有限公司 夹闭组件及内窥镜用止血装置

Families Citing this family (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104605910A (zh) * 2015-01-23 2015-05-13 沈阳尚贤科技股份有限公司 一种夹合消化道内软组织的软组织夹
CN107072668B (zh) * 2015-08-14 2020-07-17 杭州安杰思医学科技股份有限公司 软组织夹
CN107072669B (zh) * 2015-10-10 2021-04-30 杭州安杰思医学科技股份有限公司 可清理出血点渗血的止血夹
CN105615938A (zh) * 2016-03-15 2016-06-01 沈阳尚贤微创医疗器械股份有限公司 一次性使用消化道软组织夹
CN106236182B (zh) * 2016-08-15 2018-11-02 金梦 一种止血夹夹持装置
US11622765B2 (en) * 2019-01-03 2023-04-11 Olympus Corporation Clipping device for large defects, perforations and fistulas
CN109805986A (zh) * 2019-03-21 2019-05-28 南京微创医学科技股份有限公司 一种医用多爪钳
CN109953800B (zh) * 2019-05-05 2023-10-10 南微医学科技股份有限公司 一种滑槽式多臂夹
CN113855147A (zh) * 2021-11-04 2021-12-31 南微医学科技股份有限公司 推送机构和止血夹

Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20020045909A1 (en) * 2000-10-16 2002-04-18 Olympus Optical Co., Ltd. Physiological tissue clipping apparatus, clipping method and clip unit mounting method
US20050143767A1 (en) * 2002-08-21 2005-06-30 Olympus Corporation Living tissue ligation device
CN1917820A (zh) * 2004-12-07 2007-02-21 奥林巴斯株式会社 用于内窥镜的插入装置
CN1953712A (zh) * 2004-12-07 2007-04-25 奥林巴斯株式会社 用于内窥镜的处置装置系统和容纳该处置装置的壳
CN103054621A (zh) * 2011-09-15 2013-04-24 富士胶片株式会社 夹片单元及使用该夹片单元的结扎装置
CN203539404U (zh) * 2013-10-25 2014-04-16 常州乐奥医疗科技有限公司 一种新型可重复闭合的消化道止血夹
CN104248461A (zh) * 2014-09-25 2014-12-31 安瑞医疗器械(杭州)有限公司 夹钳、夹钳推送装置和止血夹
CN104605910A (zh) * 2015-01-23 2015-05-13 沈阳尚贤科技股份有限公司 一种夹合消化道内软组织的软组织夹
CN204562277U (zh) * 2015-01-23 2015-08-19 沈阳尚贤科技股份有限公司 一种夹合消化道内软组织的软组织夹

Family Cites Families (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP4145149B2 (ja) * 2003-01-17 2008-09-03 オリンパス株式会社 生体組織のクリップ装置
ATE545373T1 (de) * 2003-11-07 2012-03-15 Scimed Life Systems Inc Endoskopisches hämoskopisches clip-gerät
EP2098176A3 (en) * 2008-03-06 2009-10-07 FUJIFILM Corporation Magazine type clipping device
DE202009019043U1 (de) * 2008-06-19 2015-10-28 Boston Scientific Scimed, Inc. Hämostatische Klemmvorrichtung
JP5427858B2 (ja) * 2011-09-15 2014-02-26 富士フイルム株式会社 結紮装置、及び内視鏡システム
CN202699217U (zh) * 2012-05-28 2013-01-30 杭州安杰思医学科技有限公司 带推送器可重复开合的止血夹
CN202699218U (zh) * 2012-07-05 2013-01-30 安瑞医疗器械(杭州)有限公司 组织止血夹持装置
CN204106102U (zh) * 2014-09-25 2015-01-21 安瑞医疗器械(杭州)有限公司 夹钳、夹钳推送装置和止血夹

Patent Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20020045909A1 (en) * 2000-10-16 2002-04-18 Olympus Optical Co., Ltd. Physiological tissue clipping apparatus, clipping method and clip unit mounting method
US20050143767A1 (en) * 2002-08-21 2005-06-30 Olympus Corporation Living tissue ligation device
CN1917820A (zh) * 2004-12-07 2007-02-21 奥林巴斯株式会社 用于内窥镜的插入装置
CN1953712A (zh) * 2004-12-07 2007-04-25 奥林巴斯株式会社 用于内窥镜的处置装置系统和容纳该处置装置的壳
CN103054621A (zh) * 2011-09-15 2013-04-24 富士胶片株式会社 夹片单元及使用该夹片单元的结扎装置
CN203539404U (zh) * 2013-10-25 2014-04-16 常州乐奥医疗科技有限公司 一种新型可重复闭合的消化道止血夹
CN104248461A (zh) * 2014-09-25 2014-12-31 安瑞医疗器械(杭州)有限公司 夹钳、夹钳推送装置和止血夹
CN104605910A (zh) * 2015-01-23 2015-05-13 沈阳尚贤科技股份有限公司 一种夹合消化道内软组织的软组织夹
CN204562277U (zh) * 2015-01-23 2015-08-19 沈阳尚贤科技股份有限公司 一种夹合消化道内软组织的软组织夹

Cited By (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108420493A (zh) * 2018-03-16 2018-08-21 刘陈邦 一种手术机器人用柔性施夹钳
CN108420493B (zh) * 2018-03-16 2023-07-28 艾默(南京)机器人技术有限公司 一种手术机器人用柔性施夹钳
CN109589150A (zh) * 2018-07-20 2019-04-09 浙江中医药大学 一种可注水的消化内镜钛夹装置
CN108969043A (zh) * 2018-08-17 2018-12-11 刘建强 可释放消化道切口闭合装置
CN108969043B (zh) * 2018-08-17 2024-05-28 刘建强 可释放消化道切口闭合装置
CN108784775A (zh) * 2018-08-28 2018-11-13 诸暨市鹏天医疗器械有限公司 多连发组织夹
CN114768081A (zh) * 2022-03-31 2022-07-22 申莉莉 一种新型预充式导管冲洗器
CN114768081B (zh) * 2022-03-31 2023-08-22 重庆大学附属肿瘤医院 一种新型预充式导管冲洗器
CN115444491A (zh) * 2022-10-11 2022-12-09 常州市久虹医疗器械有限公司 夹闭组件及内窥镜用止血装置
CN115444491B (zh) * 2022-10-11 2024-01-30 常州市久虹医疗器械有限公司 夹闭组件及内窥镜用止血装置

Also Published As

Publication number Publication date
CN104605910A (zh) 2015-05-13

Similar Documents

Publication Publication Date Title
WO2016116069A1 (zh) 一种夹合消化道内软组织的软组织夹
JP7235811B2 (ja) 複数の組織縁を接近させるためのデバイス
EP1523946B1 (en) Clip operation device
EP1829489B1 (en) Ligation device
US20030109874A1 (en) Surgical snare with steering tether and method of using same
US20060271072A1 (en) Method and device for the endoscopic application of self-closing medical clips
US20160000433A1 (en) Hemostatic Clip With Needle Passer
WO2020186839A1 (zh) 一种医用多爪钳
US12076015B2 (en) Hemostasis clip short system
JP2006508781A (ja) 組織レトラクタ装置およびその使用方法
EP3808286B1 (en) Reloadable applicator for hemostatic clips
JP4360374B2 (ja) 生体組織切除補助具
EP3937798B1 (en) Spring loaded mechanism for the deployment of a hemostatic clip
CN112754578A (zh) 一种用于内窥镜下分体式可反复闭合重复使用的软组织夹
CN114680992A (zh) 止血夹用的夹头组件及止血夹
CN114144129A (zh) 带有扩口囊体变形的可重装夹子
JP7516556B2 (ja) 分離可能に接続しかつ接続力可変なクリップ装置
KR20230162693A (ko) 순응성 메커니즘을 갖춘 오버 더 스코프 클립
KR20230162699A (ko) 포지티브 잠금장치를 갖춘 내시경 클립
WO2010013059A1 (en) Endoscopic surgical instrument
JP2024505544A (ja) 再配置可能なオーバーザスコープクリップ
KR20240019338A (ko) 지혈 클립 분리용 후크 및 루프
US20090198259A1 (en) Apparatus and method for facilitating access to vessels

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: 16739816

Country of ref document: EP

Kind code of ref document: A1

NENP Non-entry into the national phase

Ref country code: DE

122 Ep: pct application non-entry in european phase

Ref document number: 16739816

Country of ref document: EP

Kind code of ref document: A1