WO2021027669A1 - 一次性组织闭合夹的夹子座和底座及支撑装置 - Google Patents
一次性组织闭合夹的夹子座和底座及支撑装置 Download PDFInfo
- Publication number
- WO2021027669A1 WO2021027669A1 PCT/CN2020/107302 CN2020107302W WO2021027669A1 WO 2021027669 A1 WO2021027669 A1 WO 2021027669A1 CN 2020107302 W CN2020107302 W CN 2020107302W WO 2021027669 A1 WO2021027669 A1 WO 2021027669A1
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- WIPO (PCT)
- Prior art keywords
- clip
- seat
- supporting
- base
- sliding
- Prior art date
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Classifications
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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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/122—Clamps or clips, e.g. for the umbilical cord
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/128—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips
Definitions
- the invention relates to the technical field of medical devices, in particular to a clip seat, a base and a supporting device of a disposable tissue closure clip.
- the clip applier is a commonly used medical device, usually used in the operation of needle suture, used to clamp the blood vessel to stop bleeding, so it is sometimes called hemostatic forceps.
- hemostatic forceps In medical operations, especially minimally invasive techniques, patients who are bleeding, after taking hemostatic drugs, clamp the vascular and large arteries with a clip applier to prevent blood from flowing out.
- the principle of the clip applier is the same as the clip, but it is sterilized.
- Clip appliers are divided into large, small, toothed, non-toothed, straight and curved. Choose different types of clip appliers according to different operating parts.
- the clip applier Since the clip applier is used during the surgical operation, for example, first clamp the part that may bleed or the bleeding point that has been seen. Therefore, it is required to be accurate when clamping the bleeding point, and it is best to succeed at the first time, and not to bring in too much healthy tissue. Due to the narrow and complicated operating space of this type of minimally invasive surgery, the instrument has a small stroke and high precision requirements.
- the ultimate purpose of the clip applier is to clamp the disposable tissue to the hemostatic part and to clamp the blood vessel through the disposable tissue closure clamp to stop bleeding.
- the traditional clip appliers are only used with a closed clip.
- the existing clip appliers can only carry one plastic clip, and the clips are all disposable.
- the existing application number is 201810646052.4
- Chinese invention patent application discloses a continuous hair clip applier, which can clamp more than three closing clips at the same time.
- the patent application discloses a continuous hair clip applier, including a push handle 1, a pipe rod 2, a pliers head 3 mounted on the front end of the pipe rod 2, a push-pull rod 72 driven by the push handle 1, and a feeding device 4
- the storage compartment 5 has a front end movably connected to the clamp head 3 and a rear end opposite to the front end, one end of the push-pull rod 72 is connected to the push handle 1, and the other end is connected to the storage compartment 5
- the rear end is connected to and acts on the storage compartment 5 to open or clamp the clamp head 3.
- the feeding device 4 includes a transmission member 41, and the storage compartment 5 is built with a plurality of clamps for clamping blood vessels.
- the transmission member 41 extends into the storage compartment 5 to push the clip into the clamp head 3.
- the continuous hair clip applier is installed in a plurality of closed clips, the outermost one is in a freely opened state, and the rest is in a compressed state.
- the traditional clip holder is to position the disposable tissue closure clip on the clip holder. This traditional clip holder is fundamentally not suitable for loading a clip applier with multiple closure clips in succession, especially not suitable for such compression. State feed.
- a clip base for a disposable tissue closure clip that can stably support the closure clip and quickly install a compressed closure clip on the clip applier, a base with the clip base and a supporting device.
- a clip seat of a disposable tissue closure clip which is used to load a closure clip, the closure clip is used to mount a clip applier, the clip applier has a storage compartment for receiving the closure clip, the closure
- the clip has a first clip arm and a second clip arm, the clip seat includes a clip seat body and a supporting outer seat, the clip seat body includes two clip side walls, and a receiving storage is defined between the two clip side walls.
- the two clip side walls are formed with a clamping slot at the bottom end, the clamping slot has a hollow hole to pass through the gap, and the clamping slot has a combination of closing clips on both sides of the hollow hole
- the supporting surface of the first clamp arm, the hollow hole is used for positioning the curved part of the closing clamp
- the supporting outer seat is sleeved on the bottom of the clip seat body
- the bottom of the supporting outer seat has a supporting position
- the supporting position is used to support the second clamp arm of the closing clamp.
- a disposable tissue closure clip base for accommodating a plurality of closure clips, which includes a base, and more than one clip seat as described above provided on the base, and each clip seat is one
- the sliding clip seat is slidably mounted on the base, the base defines more than one cavity, each cavity is equipped with one sliding clip seat, and the side wall of each cavity is provided with a guide sliding
- the sliding guide structure of the clip seat, the sliding clip seat slides into the bottom of the cavity through the sliding guide structure.
- a disposable tissue closure clip base for accommodating multiple closure clips, which is characterized in that it comprises a base, a fixed clip seat provided on the base, and One or more sliding clip seats on the seat, the fixed clip seat is fixed on the base, the fixed clip seat is equipped with a first supporting component for supporting the first closing clip, each of the sliding clip seats There is a second supporting component for supporting the second closing clip, the base defines more than one cavity, each cavity is equipped with a sliding clip seat, and the side wall of each cavity is provided with a guide sliding
- a disposable tissue closure clip support device is provided.
- the support device is provided on a base on which the closure clip is placed.
- the support device is used to support the closure clip.
- the base includes a base.
- the base has a plurality of side walls that define a plurality of cavities, and is characterized in that the supporting device includes a supporting column extending upward from the bottom surface of the base, a clip seat for placing a closing clip, and a
- the support column supports one of the clip arms of the closing clip
- the support outer seat is slidably installed in the corresponding cavity
- the bottom of the clip seat is used to accommodate Close the bent part of the clip
- the supporting outer seat has an accommodating cavity
- the accommodating cavity is used to install the clip seat
- the bottom of the supporting outer seat has a supporting position
- the supporting position is supported by a clamp arm, so
- the supporting outer seat and the clip seat cooperate to support the other clip arm of the closing clip.
- the clip base and the supporting outer seat can stably support the closure clip, and the two clip arms of the closure clip can find support points or positions or supporting surfaces.
- the above structure not only plays the role of holding, but also facilitates the clip applier to clamp the closing clip from the clip seat.
- the base has more than one cavity, each The cavity is equipped with one of the sliding clip seats, and the side wall of each cavity is provided with a sliding guide structure for guiding the sliding clip seat.
- the sliding clip seat slides into the bottom of the cavity through the guide sliding structure, so that the clip is applied
- the clamp head is allowed to have a certain stroke.
- Figure 1 is a schematic structural diagram of a disposable tissue closure clip base provided by an embodiment of the present invention.
- Fig. 2 is a schematic sectional view of the base of the embodiment of the present invention along the central axis of the sliding clip seat.
- Fig. 3 is a schematic sectional view of a fixed clip base provided by an embodiment of the present invention.
- Fig. 4 is a schematic structural diagram of a fixing seat of a fixing clip seat according to an embodiment of the present invention.
- Fig. 5 is a schematic structural view of the clip base body of the sliding clip base of the disposable tissue closure clip base separated from the supporting outer base of the embodiment of the present invention.
- Fig. 6 is a schematic structural diagram of the disposable tissue closure clip base inserted into the jaw of the clip applier according to an embodiment of the present invention.
- Fig. 7 is a schematic diagram of a three-dimensional exploded structure of a conventional clip applier.
- Fig. 8 shows a three-dimensional structure of a disposable tissue closure clip supporting device according to an embodiment of the present invention.
- Fig. 9 is a cross-sectional structural diagram of the clip seat and cavity where the closure clip is placed in the disposable tissue closure clip support device of the embodiment of the present invention.
- Fig. 10 is a three-dimensional structural diagram of the supporting outer seat of the disposable tissue closure clip supporting device according to an embodiment of the present invention.
- Fig. 11 is a three-dimensional structural diagram of the clip holder of the disposable tissue closure clip supporting device according to an embodiment of the present invention.
- Figure 12 is a right side view of the base of the disposable tissue closure clip supporting device according to the embodiment of the present invention.
- a disposable tissue closure clip base 100 provided by an embodiment of the present invention, which is used to accommodate multiple closure clips.
- the closing clip 60, 60' is used to load a clip applier, the clip applier has a storage compartment 51 for receiving the closing clip 60, 60', each of the closing clip 60, 60' has a first A clamping arm and a second clamping arm.
- the base 100 includes a base 10 and one or more clip holders 30 arranged on the base 10.
- Each of the clip holders 30 is a sliding clip holder 30 and can be slidably mounted on the base 10.
- the seat 10 defines more than one cavity 12, each cavity 12 is equipped with one sliding clip seat 30, and the side wall of each cavity 12 defines a sliding guide structure for guiding the sliding clip seat 30.
- the clip base 30 slides into the bottom of the cavity 12 through the sliding guide structure.
- the base 10 is also provided with a fixed clip base 20, the fixed clip base 20 is fixed on the base 10, and the fixed clip base 20 is equipped with a first supporting component for supporting the first closing clip 60'.
- Each of the sliding clip seats 30 has a second supporting component for supporting the second closing clip 60. It can be understood that the difference between the first closure clip 60' and the second closure clip 60 is for the convenience of being applied to the clip applier.
- the disposable tissue closure clip base 100 provided by the embodiment of the present invention supports each closure There is no difference between the clips, and preferably closed clips that are all in a free state.
- closure clip applied by the present invention is different from Figure 7 in that the closure clip has multiple ribs.
- the detailed structure of this new closure clip please refer to Huang Rongquan’s submission on August 9, 2019 as Application for utility model of “sexual tissue closed clip”.
- the number of the sliding clip holders 30 described above can be set as required, for example, three or more, while the fixed clip holder 20 is fixed by one, of course, there may be two or more in other embodiments. Since the outermost first closing clip 60' is in a freely opened state, the fixed clip seat 20 is used to place the first closing clip 60', and the first closing clip 60' can be directly clamped when taking materials. Therefore, the entire base 100 is suitable for the assembly of 1+N closure clips, where 1 refers to the first closure clips 60', N refers to the number of the second closure clips 60, and the value of N is 2 or more.
- each cavity 12 further includes a second side wall 122 opposite to the first side wall 121, respectively
- the third side wall 123 and the fourth side wall 124 adjacent to the first side wall 121 and the second side wall 122, the third side wall 123 and the fourth side wall 124 are opposite, the third side wall 123 and the second side wall 123
- the four side walls 124 extend upwards with a plurality of top posts 112, and the top posts 112 have barbs 113 at the top for allowing the clip holder to slide in and prevent the clip holder from exiting.
- the first side wall 121 and the second side A plurality of guide sliding posts 115 extend upward from the wall 122.
- the cavity 12 is preferably rectangular with the above four side walls, and the outer wall surfaces of the fixed clip base 20 and the sliding clip base 30 are preferably rectangular. Of course, in other embodiments, it is not limited to a rectangle, and may be a racetrack or even a circle. At this time, the shape of the outer wall surface of the sliding clip seat 30 corresponds to the inner wall surface of the cavity 12. Of course, in other embodiments, sliding mechanisms, such as sliding bars and sliding guide structures, may also be provided on the inner walls of the sliding clip base 30 and the cavity 12, but are not limited thereto. In addition, the cavity 12 is opened upward, and the top post 112 and the guide sliding post 115 are formed on the edge of the opening.
- each cavity 12 includes a sliding cavity 12a and a fixed cavity 12b.
- An anti-retraction hook 126 is provided at the partially hollowed out position, and the anti-retraction hook 126 extends downward from the inner wall of the sliding cavity 12a And at the bottom end there is an undercut portion 127 that allows the clip seat to slide over and prevents the clip seat from retreating upward. Because the hollow part 125 can reduce the friction area, it is convenient for the sliding clip seat 30 to slide, and it is also convenient for the anti-back hook 126 to buckle the sliding clip seat 30 that slides to the bottom, thereby avoiding the second closing clip 60 from being taken out while taking out the sliding clip seat 30 .
- a plurality of the top pillars 112 and a plurality of the guide sliding pillars 115 are arranged around the sliding clip base 30, and the plurality of the top pillars 112 and the plurality of guide sliding pillars 115 have an inner cylindrical surface 116
- the inner cylindrical surface 116 and the inner wall surface 120 of the cavity 12 are located on the same vertical plane, and the clip holder 30 slides into the sliding cavity 12a and the fixed cavity 12b along the plurality of inner cylindrical surfaces 116 and the inner wall surface 120.
- the sliding guide structure is defined by the inner cylindrical surface 116 and the side wall.
- the sliding guide structure includes the inner cylindrical surface 116 and the inner wall surface 120 of the side wall.
- the sliding surface is the inner cylindrical surface 116 and the inner wall surface. 120.
- the multiple closing clips 60', 60 installed on the base 100 are used to sequentially install the clamp head 3 of the clip applier, and the multiple closing clips are arranged from outside to inside when the clamp head 3 is installed
- the sequence is the first closing clip 60' and each second closing clip 60, with the first closing clip 60' being the outermost.
- the sliding length of the sliding guide structure is preferably greater than the stroke of the clamp head 3 of the clamp applicator when all the closing clamps are installed, so that when the clamp head 3 is inserted into the sliding clamp seat 30, the plurality of second closing clamps 60 can be smoothly inserted into the clamp head 3 .
- the base 10 includes an upper base 101 and a lower base 102, the sliding cavity 12a is provided on the upper base 101, and the fixed cavity 12b is provided on the lower base 102,
- the fixed clip seat 20 is provided on a fixed seat portion on one side of the lower base 102.
- the clip seat 30 includes a clip seat body 31 and a supporting outer seat 32.
- the clip seat body 31 is hereinafter referred to as a sliding clip seat body.
- the clip holder 30 is referred to as a sliding clip holder 30 hereinafter.
- a second support column 13 extends upward on the inner bottom surface of the base 10, and the sliding clip base 31 includes two clip side walls 312.
- a gap 313 for accommodating the storage compartment 51 is defined between the two clip side walls 312, and a retaining slot 315 is formed at the bottom end of the two clip side walls 312, and the retaining slot 315 has a hollow hole 315a.
- the retaining groove 315 has a supporting surface 316 on both sides of the hollow hole 315a that is combined with the first clip arm of the closing clip, and the hollow hole 315a is used to position the bent portion of the closing clip.
- the supporting outer seat 32 is sleeved on the bottom of the clip seat body 31, and the bottom of the supporting outer seat has a supporting position for supporting the second clamping arm of the closing clip.
- the clip applier shown in FIG. 7 has a pliers head 3, and the supporting seat 317 has a supporting base 317a for The clamp head 3 is supported when the clamp applier takes the closed clamp.
- two supporting side walls 317b close to the gap 313 define two sides of the gap 313, each supporting side wall 317b close to the gap sandwiched between two Between the two clip side walls 312, when the clip applier clamps the closed clip, the two supporting side walls 317b close to the gap guide the clamp head 3 on one side, and the storage compartment 51 on the other side, and extend around the supporting base 317a
- the two supporting side walls 317c and 317d overlap with the two clip side walls, or in other words, there are two supporting side walls 317c that extend outward from the two clip side walls 312.
- the outer wall of the storage compartment 51 will fit into the two supporting side walls 317b and the two clip side walls 312 defining the gap 313.
- the four supporting side walls 317a, 317b, 317c, and 317d are enclosed in a frame shape so as to accommodate the foremost end of the clamp head 3.
- the supporting seat 317 is mainly used to support the clamp head 3.
- individual side walls can be omitted or lower structures can be applied.
- the outermost supporting side wall 317d can be omitted. It is understood that the support The side wall 317d is convenient to cover the supporting outer seat 32, and the combination is tighter, and the combination with the clamp head 3 is also tight, and the material is more robust and reliable.
- the width of the connection between the hollow hole 315a and the gap 313 gradually increases, and the gap 313 and the hollow hole 315a form a horn-shaped channel.
- the cross section shown in FIG. 2 is horn-shaped and perpendicular to the cross section shown in FIG. The direction is flat, that is, the gap 313 and the hollow hole 315a form a channel similar to a flat horn shape.
- the second supporting column 13 is supported on the end of the second clamp arm of the second closing clamp 60.
- the end of the second clip arm of the second closing clip 60 has a concave-convex structure, preferably a recess 61.
- the second support column 13 is a one-piece column and protrudes from a base plate 103 of the lower base 102, and the second support column 13 has a support concave-convex structure and a second closing clip 60.
- the end of the second clamp arm cooperates to support the second closing clamp 60.
- the recess 61 of the second clamp arm of the second closing clamp 60 cooperates with the supporting concave-convex structure on the second supporting column 13, and the second clamp The arm is fixed, the first clamp arm is combined with the supporting surface 316, and the curved part of the second closing clamp 60 is combined with the hollow hole, that is, the bottom of the gap 313.
- the retaining slot 315 is in the shape of a slide and extends to both sides, and the two clamping arms are supported at least near the curved portion by the supporting surfaces 316 on both sides of the retaining slot 315.
- the supporting surface 316 is the bottom surface of the locking groove 315.
- one of the supporting surfaces 316 (the left side shown in FIG. 2) is an arc-shaped landslide surface.
- the arc-shaped surface is conducive to the movement of the arc-shaped clamping arm, and the other supports
- the surface 316 is a sloped surface with a groove shape, which is convenient for accommodating a protruding edge of the second closing clip 60. Therefore, the hollow hole locates the bent portion of the second closing clip 60, and the second closing clip 60 is held by the retaining slot 315 and the second supporting column 13.
- the second closing clip 60 can be stably supported without any restriction.
- the size of the second support column 13 is smaller than the space size of the storage compartment 51, so that the storage compartment 51 can cover the second support column 13 when the storage compartment 51 is loaded, and the second closing clip 60 is placed in the storage compartment 51.
- the support outer seat 32 is configured in a frame shape, has a plurality of outer frames and a bottom frame, and is sleeved on the support side wall of the support seat.
- the frame shape of the support outer seat 32 matches the frame shape of the support seat 317.
- the support outer seat 32 is provided to facilitate the sliding of the sliding clip seat 30 and support the second closing clip 60.
- the outer surface of the outer frame around the support outer seat 32 is smooth, which is convenient for sliding.
- One of the outer frames of the support outer seat 32 is provided with a buckle 322, and the sliding clip seat body 31 is provided with a buckle groove 318 on the corresponding clip side wall 312.
- the buckle 322 is fastened to the buckle groove 318 to support the outer seat 32 is integrated with the sliding clip base 31.
- the bottom frame 325 supporting the outer seat 32 is relatively thin and has a hollow portion to allow the second clamping arm of the second closing clip 60 to pass through and to be supported on the second supporting column 13.
- the supporting position includes a supporting piece extending from the bottom frame 325 to the hollow portion 327.
- the supporting piece has a notch, and the notch is used to support the waist or middle of the second clip arm of the second closing clip to give the second closing clip 60 auxiliary support.
- the principle and structure of the bottom frame 325 and the supporting closing clip on the top of the fixing seat 23 are basically The same, the difference is that the placement direction is different.
- the parking position 24 of the fixing seat 23 is upward, and the parking position 24 is also extended from the top frame, including a sheet body, the end of the sheet body has Notch, and the clamping arm of the closing clip rests on the notch.
- the bottom frame 325 is the bottom, which extends from the bottom edge of the support outer seat 32 (see FIG. 2).
- the second support assembly includes a second support column 13 and a support outer seat 32, and in a preferred embodiment, may also include a retaining slot 315.
- the fixed clip seat 20 includes a fixed clip seat body 21, a first support column 22 and a fixed seat 23, the fixed clip seat body 21 includes two side walls 212, two A gap 213 for accommodating the first closing clip 60' is defined between the side walls 212.
- the clip applier has a storage compartment 51 for receiving a closing clip, and a gap 213 for accommodating the storage compartment 51 is defined between the two side walls 212.
- the two side walls 212 are respectively provided with an introduction surface 215 on both sides of the gap 213, and the introduction surface 215 is used as a sliding surface, so that the pliers head 2 can move downward along the introduction surface 215 when it slides in.
- the first supporting column 22 is provided in the gap to support the curved portion of the first closing clip 60', and the fixing seat 23 has a stopping position 24 for stopping the two clamping arms of the first closing clip 60' and
- the fixing clip base 20 is fixed to the fixing foot 25 of the base 10.
- the first supporting assembly includes a first supporting column 22 and a fixing seat 23.
- the structure of the first closing clip 60' and the second closing clip 60 are exactly the same, and each has two clip arms, one of the end of the clip arm is an inwardly bent end, and the end of the other has a protrusion.
- the supporting position and the parking position 24 are preferably provided with grooves, and the parking position 24 is a notch at the end of a sheet (similar to a supporting sheet), or called a groove.
- the fixing seat 23 is a frame, the fixing feet 25 extend from the bottom of the frame, and the docking position 24 extends inward from the two top edges of the frame.
- the two grooved docking positions 24 are opposed to each other, and one is supported by the first closing clip.
- the protrusion of 60', the protrusion of the first closing clip 60' is stuck on the groove, and the other is supported on the arm of the first closing clip 60' (as shown in Figure 3).
- the first closing clip 60' can be stably held by the two parking positions 24 of the fixing seat 23 and the first supporting column 22, but the removal of the first closing clip 60' is not hindered.
- the parking position 24 is relatively thin, so that it has a certain degree of elasticity, which can support the clamp arm, and can avoid the removal by elasticity when the first closing clip 60' is removed.
- another preferred base 100 includes a fixed clip seat and more than one sliding clip seat at the same time, so that the number of clip seats is 1+N.
- the number 1 represents the fixed clip seat
- the number N represents the sliding clip seat.
- the fixed clip seat can also be two, located on both sides of the entire sliding clip seat, or multiple fixed clip seats and multiple The sliding clip seats are arranged at intervals.
- the base 100 includes a base 10, a fixed clip base 20 provided on the base 10, and one or more sliding clip bases 30 provided on the base 10.
- the fixed clip base 20 is fixed on the base 10 to fix
- the clip seat 20 is equipped with a first supporting component for supporting the first closing clip 60'
- each sliding clip seat 30 has a second supporting component for supporting the second closing clip 60
- the base 10 defines more than one cavity 12
- Each cavity 12 is equipped with a sliding clip seat 30, and the side wall of each cavity 12 defines a guiding structure for guiding the sliding clip seat 30.
- the sliding clip seat 30 slides into the cavity 12 through the guiding structure.
- the second support assembly includes a support outer seat 32, and the bottom of the support outer seat 32 has a support position, and the support position is used to support a clamp arm of the closing clamp. As shown in the figure, there are two cavities 12, each equipped with a sliding clip seat 30.
- the structures of the fixed clip base 20 and the sliding clip base 30 are the same as those described above.
- the fixed clip seat 20 includes a first clip seat body 21, a first support column 22 and a fixed seat 23.
- the first clip seat body 21 is the aforementioned fixed clip seat body 21.
- the sliding clip seat 30 includes a second clip seat body 31 and a supporting outer seat 32.
- the second clip seat body 31 is the aforementioned sliding clip seat body 31.
- a second support column 13 extends upward from the bottom surface of the base 10, and the second clip base 31 includes two clip side walls 312.
- An adhesive layer is attached to the bottom surface of the base 100, and a layer of release paper is pasted on the adhesive layer.
- the release paper is torn off, and the base 100 is glued to a table such as an operating table through an adhesive layer.
- the base 100 has been installed with the first and second closing clips 60', 60 during application.
- the head 3 of the clip applier is first seated on the support seat 317.
- the bin 51 can stay in place or extend properly.
- the clip applier continues to push downwards, and the sliding clip seat 30 slides down. Of course, the sliding clip seat 30 is allowed to slide down when the pliers head 3 is just inserted.
- the sliding clip seat 30 slides over the anti-back hook 126 and the anti-back hook 126 There will be a clicking sound when the clip seat 30 is buckled upside down.
- the second closing clip 60 is loaded into the storage compartment 51. Therefore, when a clicking sound is heard, it means that the second closing clip 60 is in The storage compartment 51 has been filled in place. This is the first filling process of the second closing clip 60. Then, following the same process as described above, the clip applier is then loaded from another sliding clip base 30 into the second second closing clip 60, and if there are more sliding clip bases 30, they are loaded sequentially.
- the first closing clip 60' is then loaded, and the filling process is described with reference to FIG. 3 as follows: Load a plurality of second closing clips 60
- the head 3 directly passes through the resting position 24 of the thin fixing seat 23. While the clamp head 3 moves down along the introduction surface 215, the convex rib 62 of the first closing clamp 60' clamp arm is corresponding to the clamp 3 In this way, the first closing clip 60' is placed at the jaw position of the clamp head 3, and the first closing clip 60' is in a freely open state, instead of being loaded into the storage compartment 51.
- the pliers head 3 downward to install the first closing clip 60' in the storage compartment 51.
- the first closing clip 60' in this embodiment is placed in the jaw position of the forceps head 3 in the freely opened state, so that it is convenient to directly clamp the blood vessel during the operation without pushing this closing clip 60'.
- the filling of 1+N closed clips is completed, which can be used continuously during surgery, which is well matched with the continuous clamping operation of the continuous hair clip applier.
- the support device is provided on the base 10 where the closure clip is placed, and the support device is used to support the closure clip 5a .
- the closing clip 5a is equivalent to the closing clip and closing clip 60 or 60' in gastric cancer 1-5.
- the base 10 includes a base, the base has a plurality of side walls, and the plurality of side walls define a plurality of cavities.
- the support device includes a support column 211 extending upward from the bottom surface of the base, and is used for placing a closing clip.
- the supporting outer seat 3a and the clip seat body 31a cooperate to support the other clip arm of the closing clip 5a.
- the supporting column 211 here is the second supporting column 13 in FIG. 2.
- the clip base 31a may be the first clip base 21 or the second clip base 31 shown in FIGS. 1-5.
- the base has a base plate 103
- the support column 211 is a piece of columnar body and protrudes upward from the base plate 103
- the two clamping arms of the closing clip 5a are a first clamping arm 51 and a second clamping arm 52.
- the supporting column 211 is supported at the end of the first clamping arm 51.
- the first clamping arm 51 in this embodiment is the second clamping arm in the embodiment shown in FIGS. 1-7
- the second clamping arm 52 is the embodiment shown in FIGS. 1-7. In the first clamp arm.
- the supporting column 211 has a supporting concave-convex structure 132 that cooperates with the end of the first clip arm 51 of the closing clip 5a to support and position the closing clip 5a, and the supporting concave-convex structure 132 is used to prevent the closing clip 5a from sliding, Fix the closing clip 5a.
- the supporting outer seat 3a includes a first side surface, a second side surface, and a third side surface and a fourth side surface in the width direction, and the four side surfaces enclose the receiving cavity 331.
- the top of the first side surface is provided with a plurality of notches, and second anti-return hooks 332 are respectively provided at the positions of the notches.
- the height of the second anti-return hooks 332 is lower than the height of the first side surface.
- An undercut portion 321 is provided on the top of the second anti-return hook 332, and the second side surface has the same structure as the first side surface and is symmetrically arranged.
- the clip seat body 31a has a side groove 11
- the height of the side groove 11 is the same as the height of the side surface of the support outer seat 3a
- the side groove 11 has an outer surface
- the side groove 11 has an outer surface.
- the outer surface of the groove 11 is provided with a plurality of grooves 111
- the height of the grooves 111 is the same as the height of the second anti-return hook 332
- the clip seat body 31a is along the inner wall of the side surface of the supporting outer seat 3a. Slide downwards and clamp the undercut portion 321 in the groove 111 to prevent the clip base 31a from escaping from the supporting outer base 3a.
- the bottom of the first side surface and the bottom of the second side surface respectively extend toward the cavity of the accommodating cavity 331 with two long bottom edges of the outer seat, and the bottom of the third side and the fourth side surface respectively extend toward the cavity of the accommodating cavity 331 with two
- Each outer seat has a short base, and the long base and the short base are used to fix the clip base 31a, prevent the clip base 31a from moving downward, and ensure that the clip base 31a and the supporting outer base 3a move together.
- the two outer seat short bottom sides are respectively provided with a first bottom side 41a and a second bottom side 42 along the extending direction.
- the first bottom side 41a and the second bottom side 42 are sheet-shaped, and the length of the first bottom side 41a is smaller than the The second bottom 42.
- the first bottom edge 41a supports the middle of the first clamping arm 51, and the first clamping arm 51 will not deviate or deviate when pressed, so that it can be smoothly installed in the storage compartment of the clamp applicator.
- the side edge of the first bottom 41a along the extending direction is provided with a notch to cooperate with the depression in the middle of the first clamping arm 51, which is used for supporting the first clamping arm 51 of the closing clip 5a to prevent the closing clip 5a from moving upward.
- the clip seat body 31a includes two side walls 12b, and the side walls 12b are the clip side walls 312 in the aforementioned FIG. 5.
- the two side walls 12b are formed with a retaining slot at the bottom end.
- the retaining slot has a hollow hole 315a. Both sides of the hollow hole 315a are provided with a supporting surface 315b for connecting the second clamping arm 52.
- the hollow hole 315a is positioned The curved portion 53 of the closure clip.
- the supporting column 211 is opposite to the hollow hole 315a up and down.
- a notch 315c is provided on the side of the locking groove, and the notch 315c accommodates the protrusion of the second clamping arm 52.
- the locking groove extends on both sides of the hollow hole 315a, and the locking groove is in the hollow hole 315a.
- the groove bottom extending on both sides is an arc-shaped bottom surface or a slope bottom surface, and the closing clip 5a is held by the locking groove, the first bottom edge 41a and the supporting column 211.
- a clip seat body 31a is provided to place the closure clip 5a, the clip seat body 31a is arranged in the cavity, and the bottom of the cavity is provided with a support column 13 or 211 for supporting one of the closure clip 5a Clamp arm; is provided with a supporting outer seat 3a to support the clip seat body 31a; the clip seat body 31a and the supporting outer seat 3a cooperate to support the other clip arm of the closing clip 5a, and the two clip arms are supported by different supports, which have good support
- the hollow hole 315a of the clip seat body 31a is used to locate the bent portion 53 of the closing clip, protecting the closing clip 5a and facilitating the clamping of the closing clip 5a, which has a wide range of application prospects.
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Abstract
Description
Claims (20)
- 一种一次性组织闭合夹的夹子座,用于装入闭合夹,所述闭合夹用于装入一个施夹钳,所述施夹钳具有用于接收闭合夹的储料舱,所述闭合夹具有第一夹臂和第二夹臂,其特征在于,所述夹子座包括夹子座体和支撑外座,所述夹子座体包括两个夹子侧壁,两个所述夹子侧壁之间限定有容纳储料舱的间隙,两个所述夹子侧壁在底端形成有一个卡位槽,所述卡位槽有中空孔以与间隙贯通,所述卡位槽在中空孔两侧具有结合闭合夹的第一夹臂的支撑面,所述中空孔用于定位所述闭合夹的弯曲部分,所述支撑外座套接于夹子座体的底部,所述支撑外座的底部具有支撑位,所述支撑位用于支撑闭合夹的第二夹臂。
- 如权利要求1所述的一次性组织闭合夹的夹子座,其特征在于,在两个夹子侧壁之间并位于间隙的两侧的位置各设有支撑座位,所述施夹钳具有一个钳头,所述支撑座位具有一个支撑基底用于在施夹钳夹取闭合夹时支撑住钳头。
- 如权利要求2所述的一次性组织闭合夹的夹子座,其特征在于,所述支撑基底四周延伸有多个支撑侧壁,其中靠近间隙的两个支撑侧壁限定间隙两侧,每个靠近间隙的支撑侧壁夹于两个所述夹子侧壁之间,在施夹钳夹取闭合夹时,两个靠近间隙的支撑侧壁一面导引钳头,另一面导引储料舱,所述支撑基底四周延伸的两个支撑侧壁与两个夹子侧壁重叠或者是两个夹子侧壁向外延伸的部分。
- 如权利要求3所述的一次性组织闭合夹的夹子座,其特征在于,所述中空孔与间隙连接处是宽度渐增的并构成一个呈喇叭形状的通道,两个所述支撑面分别为位于卡位槽两侧的槽底面,其中一个支撑面为弧形滑坡面,另一个支撑面为斜坡面,呈沟槽形状。
- 如权利要求3所述的一次性组织闭合夹的夹子座,其特征在于,所述支撑外座套接于支撑座位的支撑侧壁,所述支撑外座具有多个外边框和底边框,其中一个以上外边框设置有卡扣,所述夹子座体在对应的夹子侧壁设有扣合槽,通过卡扣扣合于扣合槽,使支撑外座与夹子座体接合于一体。
- 如权利要求5所述的一次性组织闭合夹的夹子座,其特征在于,所述支撑外座的底边框具有镂空部分以使得闭合夹的第二夹臂穿过,所述支撑位包括由底边框向镂空部分延伸的一个支撑片,所述支撑片具有缺口,所述缺口用于支撑闭合夹的第二夹臂的腰部或中部。
- 一种一次性组织闭合夹底座,用于装入多个闭合夹,其特征在于,包括基座、设于基座上的一个以上的如权利要求1-6任一项所述的夹子座,每个所述夹子座为一个滑动夹子座并可滑动地安装于基座上,所述基座限定有一个以上的空腔,每个空腔装设一个所述滑动夹子座,每个空腔的侧壁设有导引滑动夹子座的导滑结构,所述滑动夹子座通过导滑结构滑入于空腔的底部。
- 如权利要求7所述的一次性组织闭合夹底座,其特征在于,所述滑动夹子座为两个以上,所述空腔为两个且对应收容两个滑动夹子座,两个以上的滑动夹子座并列设置,所述基座上还装有一个固定夹子座,所述固定夹子座与两个以上的滑动夹子座平行设置,所述固定夹子座位于最外侧。
- 如权利要求8所述的一次性组织闭合夹底座,其特征在于,相邻的两个所述空腔共用一个第一侧壁,每个所述空腔还包括与第一侧壁相对的第二侧壁、分别与第一和第二侧壁邻接的第三侧壁及第四侧壁,所述第三侧壁和第四侧壁相对,所述第三侧壁和第四侧壁向上延伸有多个顶柱,多个所述顶柱在顶端具有倒钩用于让夹子座滑入而阻止夹子座退出,所述第一侧壁和第二侧壁向上延伸有多个导滑柱,多个所述顶柱和多个所述导滑柱环设于滑动夹子座的四周,多个所述顶柱和多个所述导滑柱具有内柱面,所述内柱面与空腔的内壁面位于同一竖直平面,所述夹子座沿着多个内柱面和内壁面滑入滑动腔体及固定腔体,所述导滑结构包括所述内柱面和侧壁的内壁面。
- 如权利要求8所述的一次性组织闭合夹底座,其特征在于,所述固定夹子座包括固定夹子座体、第一支撑柱和固定座,所述固定夹子座体包括两个侧壁,两个所述侧壁之间限定有容纳一个闭合夹的间隙,所述第一支撑柱设于间隙中以支撑于第一闭合夹的弯曲部分,所述固定座具有用于停靠第一闭合夹两个夹臂末端的停靠位以及将固定夹子座固定于基座的固定脚,所述基座的内底面向上延伸有第二支撑柱,所述第二支撑柱支撑于所述滑动夹子座中的闭合夹的一个第二夹臂的末端。
- 一种一次性组织闭合夹底座,用于装入多个闭合夹,其特征在于,包括基座、设于基座上的固定夹子座、设于基座上的一个以上的滑动夹子座,所述固定夹子座固设于所述基座上,所述固定夹子座装有第一支撑组件用于支撑第一闭合夹,每个所述滑动夹子座具有第二支撑组件用于支撑第二闭合夹,所述基座限定有一个以上的空腔,每个空腔装设一个所述滑动夹子座,每个空腔的侧壁设有导引滑动夹子座的导滑结构,所述滑动夹子座通过导滑结构滑入于空腔的底部,所述第二支撑组件包括支撑外座,所述支撑外座的底部具有支撑位,所述支撑位用于支撑闭合夹的一个夹臂。
- 如权利要求11所述的一次性组织闭合夹底座,其特征在于,所述滑动夹子座为两个以上,所述空腔为两个且对应收容两个滑动夹子座,两个以上的滑动夹子座并列设置且与固定夹子座平行设置,所述固定夹子座位于最外侧。
- 如权利要求12所述的一次性组织闭合夹底座,其特征在于,相邻的两个所述空腔共用一个第一侧壁,每个所述空腔还包括与第一侧壁相对的第二侧壁、分别与第一和第二侧壁邻接的第三侧壁及第四侧壁,所述第三侧壁和第四侧壁相对,所述第三侧壁和第四侧壁向上延伸有多个顶柱,多个所述顶柱在顶端具有倒钩用于让夹子座滑入而阻止夹子座退出,所述第一侧壁和第二侧壁向上延伸有多个导滑柱,所述第一侧壁和第二侧壁挖空后剩下所述导滑柱部分,所述导滑柱位于第二侧壁两端并邻接第三侧壁和第四侧壁,每个空腔包括滑动腔体和固定腔体,在取出闭合夹时,每个夹子座由滑动腔体滑入于固定腔体中,所述第三侧壁和第四侧壁沿着滑动方向局部挖空,在局部挖空的位置设有防退钩,所述防退钩由滑动腔体的内壁向下顺延并在最底端具有让夹子座滑过而防止夹子座向上退回的倒扣部,所述导滑结构的滑动长度大于施夹钳的钳头装设全部闭合夹的行程。
- 如权利要求13所述的一次性组织闭合夹底座,其特征在于,所述基座包括上基座和下基座,所述滑动腔体设于上基座,所述固定腔体设于下基座,所述固定夹子座设于所述下基座的一侧边的固定座位部分,所述空腔向上敞口,所述顶柱和导滑柱形成于敞口的边缘,所述下基座具有基板,所述第二支撑柱为一片状柱体并由基板上凸伸出,所述第二支撑柱上具有支撑凹凸结构与第二闭合夹配合以支撑第二闭合夹。
- 如权利要求11所述的一次性组织闭合夹底座,其特征在于,所述固定夹子座包括第一夹子座体、第一支撑柱和固定座,所述第一夹子座体包括两个侧壁,两个所述侧壁之间限定有容纳第一闭合夹的间隙,所述第一支撑柱设于间隙中以支撑于第一闭合夹的弯曲部分,所述固定座具有用于停靠第一闭合夹两个夹臂末端的支撑位以及将固定夹子座固定于基座的固定脚,所述第一支撑组件包括所述第一支撑柱和所述固定座,所述滑动夹子座包括第二夹子座体和支撑外座,所述基座的底面向上延伸有第二支撑柱,所述第二夹子座体包括两个夹子侧壁,所述施夹钳具有用于接收闭合夹的储料舱,两个所述夹子侧壁之间限定有容纳储料舱的间隙,两个所述夹子侧壁在底端形成有一个卡位槽,所述卡位槽有中空孔以与间隙贯通并在中空孔两侧具有结合第二闭合夹夹臂的支撑面,所述第二支撑柱支撑于第二闭合夹的一个夹臂的末端,所述中空孔定位所述第二闭合夹的弯曲部分,通过卡位槽以及支撑柱固持第二闭合夹,所述第二支撑组件包括所述第二支撑柱和所述支撑外座。
- 一次性组织闭合夹支撑装置,所述支撑装置设于放置闭合夹的底座,所述支撑装置用于支撑闭合夹,所述底座包括基座,所述基座具有多个侧壁,多个所述侧壁限定多个空腔,其特征在于,所述支撑装置包括由基座的底面向上延伸的支撑柱、用于放置闭合夹的夹子座和用于支撑所述夹子座的支撑外座,所述支撑柱支撑闭合夹的其中一个夹臂,所述支撑外座可滑动地装设于对应的空腔中,所述夹子座的底部用于容纳闭合夹的弯曲部分,所述支撑外座具有容纳腔,所述容纳腔用于装设所述夹子座,所述支撑外座的底部具有支撑位,所述支撑位支撑于一个夹臂,所述支撑外座和夹子座配合支撑闭合夹的另一个夹臂。
- 如权利要求16所述的一次性组织闭合夹支撑装置,其特征在于,所述基座具有基板,所述支撑柱为一片柱状体并由基板向上凸伸出,所述闭合夹的两个夹臂为第一夹臂和第二夹臂,所述支撑柱支撑于所述第一夹臂的末端,所述支撑柱上具有支撑凹凸结构与闭合夹第一夹臂的末端配合以支撑并定位闭合夹。
- 如权利要求17所述的一次性组织闭合夹支撑装置,其特征在于,所述支撑外座包括长度方向的第一侧面、第二侧面和宽度方向的第三侧面和第四侧面,四个所述侧面围成所述容纳腔,所述第一侧面顶部设有多个缺口,在缺口的位置分别设有第二防退钩,所述第二防退钩的高度低于所述第一侧面的高度,所述第二防退钩顶部设有倒扣部,所述第二侧面与所述第一侧面的结构相同并对称设置,所述夹子座具有侧槽,所述侧槽的高度与所述支撑外座的侧面高度一致,所述侧槽具有外表面,所述侧槽外表面设有多个凹槽,所述凹槽的高度与所述第二防退钩的高度一致,所述夹子座沿着所述支撑外座侧面的内壁向下滑动,并将所述倒扣部卡于所述凹槽,防止所述夹子座脱离所述支撑外座。
- 如权利要求18所述的一次性组织闭合夹支撑装置,其特征在于,所述第一侧面和第二侧面底部分别朝容纳腔的腔内延伸具有两个外座长底边,所述第三侧面和第四侧面底部分别朝容纳腔的腔内延伸具有两个外座短底边,两个所述外座短底边沿着延伸的方向分别设有第一底边和第二底边,所述第一底边和第二底边为片状,所述第一底边长度小于所述第二底边,所述第一底边支撑所述第一夹臂的中部,所述第一底边沿着延伸方向的侧边设有缺口配合第一夹臂中部上的凹陷,用于配合支撑闭合夹的第一夹臂。
- 如权利要求19所述的一次性组织闭合夹支撑装置,其特征在于,所述夹子座包括两个侧壁,两个所述侧壁在底端形成有一个卡位槽,所述卡位槽有中空孔,中空孔两侧具有结合第二夹臂的支撑面,所述中空孔定位所述闭合夹的弯曲部分,所述卡位槽侧面设有缺口,所述缺口容纳第二夹臂的凸起,所述卡位槽在中空孔两侧延伸,所述卡位槽在中空孔两侧延伸的槽底为弧形底面或斜坡底面,通过所述卡位槽、第一底边和支撑柱固持闭合夹。
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CN201910735264.4 | 2019-08-09 | ||
CN201910735272.9 | 2019-08-09 | ||
CN201910735264.4A CN110464411B (zh) | 2019-08-09 | 2019-08-09 | 一次性组织闭合夹支撑装置 |
CN201910736237.9 | 2019-08-09 | ||
CN201910735272.9A CN110464412B (zh) | 2019-08-09 | 2019-08-09 | 一次性组织闭合夹底座 |
CN201910736237.9A CN110464413B (zh) | 2019-08-09 | 2019-08-09 | 一次性组织闭合夹的夹子座和底座 |
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