WO2021035785A1 - Disposable biopsy forceps - Google Patents

Disposable biopsy forceps Download PDF

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Publication number
WO2021035785A1
WO2021035785A1 PCT/CN2019/104506 CN2019104506W WO2021035785A1 WO 2021035785 A1 WO2021035785 A1 WO 2021035785A1 CN 2019104506 W CN2019104506 W CN 2019104506W WO 2021035785 A1 WO2021035785 A1 WO 2021035785A1
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WO
WIPO (PCT)
Prior art keywords
pliers
distal end
biopsy forceps
forceps
proximal end
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Application number
PCT/CN2019/104506
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French (fr)
Chinese (zh)
Inventor
黄云凤
丁小良
冷德嵘
陈凤江
Original Assignee
南微医学科技股份有限公司
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Publication of WO2021035785A1 publication Critical patent/WO2021035785A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
    • A61B10/02Instruments for taking cell samples or for biopsy
    • A61B10/06Biopsy forceps, e.g. with cup-shaped jaws

Definitions

  • This application relates to a disposable biopsy forceps, which belongs to a medical device used in the human body.
  • Biopsy forceps are an indispensable tool for endoscopy to take pathological specimens. They are usually used to collect living tissue samples in human cavities such as the digestive tract and respiratory tract. If contaminated biopsy forceps are used to obtain specimens, nosocomial infections will occur. Therefore, disposable biopsy forceps are gradually being recognized by people.
  • the following steps are usually required: actuate the control wire through the drive module on the handle, and then drive the jaw assembly at the distal end of the biopsy forceps to open, and then drive the jaws through an actuation tool such as an endoscope
  • the components are aligned with the tissue to be clamped in the human body cavity, and finally the jaw assembly is closed to clamp the tissue through the actuation control line, and the biopsy clamp is taken out from the endoscopic channel, thereby completing the biopsy sampling.
  • the biopsy forceps are discarded and used as a one-time use to avoid the possibility of cross-infection.
  • the two clamp heads in the clamp head assembly need to be able to fit as much as possible to effectively cover the tissue to be tested.
  • the tissue must be clamped appropriately to avoid excessive tissue damage.
  • the movement structure such as the head assembly and the control line should be centered as much as possible to reduce the resistance caused by the radial deviation, and realize the flexible use of the biopsy forceps.
  • the existing biopsy forceps mainly have the following three problems:
  • the existing disposable biopsy forceps are usually connected by a transition block or a direct riveting method due to the clamp head assembly and the proximal control line head.
  • the clamp heads are easy to be misaligned, and the relative positions of the two clamp heads are not easy to fix, and they are not easy to fix. It is automatically corrected, and the movement structure in the biopsy forceps is easy to run off. These problems may cause tissue tearing caused by the dislocation of the clamp head when the clamp is sampled.
  • the clamping amount of the existing biopsy forceps is not easy to control, and the clamping amount is often too large, which leads to an increase in the risk of injury to the human body.
  • the biopsy forceps can realize a stable and reliable biopsy forceps, including:
  • the pliers head assembly includes at least two pliers heads whose distal ends can be relatively opened or closed;
  • a clamp base the proximal end of the clamp head is connected to the distal end of the clamp base through a connecting piece;
  • a control line the distal end of which is connected with the proximal end of the pliers head assembly to drive the pliers head assembly to open or close
  • the distal end of the gasket is connected to the clamp base through the connecting piece, the proximal side has two oppositely arranged extensions extending toward the proximal end, and an extension channel is formed between the two extensions, The distal end of the control wire moves in the extension channel.
  • the proximal end of the forceps head has an insert structure with a sliding groove, and the connector positioned at the distal end of the forceps base is accommodated in the sliding groove, and when the control line is along the longitudinal axis of the biopsy forceps When moving back and forth, the connecting piece moves along the sliding groove to open or close the pliers head assembly.
  • each pliers head has two parallel inserting piece structures with sliding grooves, and the sliding grooves on the two inserting piece structures are mirror-symmetrical; the two oppositely arranged inserts at the proximal end of the pliers head The chip structure is inserted into each other.
  • the distal end of the spacer has a tissue restricting portion extending along the longitudinal axis of the biopsy forceps at the distal end, and the distal end of the tissue restricting portion has a radially extending structure.
  • the distal end surface of the radially extending structure is flat, convex or concave, and the shape of the distal end surface is rectangular, circular or elliptical.
  • the proximal end of the clamp base has a lumen channel, and the control wire is located in the lumen channel and extends from the proximal end to the distal end; the distal end of the clamp base is symmetrically provided with two distally extending channels.
  • the clamp arm, the connecting piece connects the spacer and the proximal end of the clamp head to the clamp arm.
  • the proximal end of the extension portion is received in the lumen channel of the clamp base to limit the radial movement of the control wire.
  • the connecting member is a fixed pin
  • the distal end of the washer has a washer pin hole that is interference fit with the fixed pin
  • the washer pin hole is open or closed.
  • the fixing pin in this application is any part with a shaft structure in the prior art, such as rivets, rivets, screws, and mandrels, etc., subject to the fact that this part can be fixed to the pliers base, all of which are described in this application Within the scope of the fixed pin shaft.
  • the distal end of the control wire and the proximal end of the pliers head assembly are connected by a drive pin shaft, and the distal end of the control wire has a control wire pin shaft hole that is interference fit with the drive pin shaft.
  • the proximal end of the pliers head has a pliers head pin hole that is rotatably connected with the drive pin, the distal end of the control wire is clamped between the two proximal ends of the pliers head, and the drive pin extends radially through the The pliers pin hole and the control wire pin hole, and both sides of the drive pin in the radial direction protrude from the outer surface of the proximal end of the pliers head, so as to restrict the movement of the control wire in the radial direction.
  • This application further provides a method for preparing the above-mentioned disposable biopsy forceps, which includes the following steps:
  • Step 1 Connect the control wire to the pliers head assembly, so that the control line can drive the pliers head assembly to open or close;
  • Step 2 Pull the control wire and clamp head assembly from step 1 into the clamp head base;
  • Step 3 Pass the connector radially through the distal end of the pliers base, the pliers head assembly and the gasket;
  • Step 4 Fix the connecting piece on the clamp base.
  • the pliers head assembly in this application has a simple structure and only includes at least two self-annotated pliers heads, a gasket and a pliers seat structure.
  • the special structure gasket in this application the relative positioning and control of the two pliers head components are realized
  • the radial positioning of the distal end of the wire simplifies the structure on the one hand, and minimizes the connection points for anchoring and welding in the structure.
  • this application provides a biopsy forceps with a self-anastomosing forceps head, moderate sampling volume, fixed forceps head position and centered movement, which can realize a biopsy forceps with a stable and reliable structure, reduce the risk of tearing during clinical forceps sampling, and reduce the amount of bleeding. And shorten the operation time.
  • Figure 1 is a schematic diagram of the three-dimensional structure of the disposable biopsy forceps of the present application.
  • Figure 2 is an exploded view of the disposable biopsy forceps in this application
  • Figure 3 is a cross-sectional view of the disposable biopsy forceps of the present application along the jaw anastomotic surface
  • FIG. 4 is a cross-sectional view of the vertical jaw anastomosis surface of the disposable biopsy forceps of the present application
  • Figures 5a-5i are perspective views of different configurations of the distal surface of the disposable biopsy forceps pad of the present application.
  • FIG. 6 is an assembly view of the replacement method 1 of the gasket structure in the disposable biopsy forceps of the present application
  • FIG. 7 is a view to be assembled of the replacement method of the gasket structure in the disposable biopsy forceps of the present application.
  • FIG. 8 is an assembly view of the second method of replacing the gasket structure in the disposable biopsy forceps according to the present application.
  • Fig. 9 is a view of the inter-insertion cooperation of the insert structures of the proximal ends of the two jaws of the disposable biopsy forceps of the present application.
  • Figure 10 is a closed view of the jaw assembly of the disposable biopsy forceps of the present application.
  • Fig. 11 is a schematic diagram of sampling with disposable biopsy forceps according to the present application.
  • Figures 12a-12c are corresponding views of the first step of preparing the disposable biopsy forceps of the present application.
  • Figures 13a-13b are views corresponding to the second step of preparing the disposable biopsy forceps of the present application.
  • 1-clamp head assembly 11-clamp head, 12-insert structure, 13-sliding groove, 14-coating structure, 15-clamp pin shaft hole, 2-clamp seat, 21-lumen channel, 22-clamp seat Arm, 23-clamp base arm pin hole, 3-control wire, 31-control wire pin hole, 32-control wire distal part, 4-spacer, 41-extension, 42-extension channel, 43-diameter Toward extension structure, 44-distal face, 45-spacer pin hole, 5-fixed pin, 6-drive pin, A-human tissue
  • the proximal end refers to the section close to the operator outside the body; the distal end refers to the end of the tissue to be closed in the body; the axial direction refers to the direction along the longitudinal axis of the biopsy forceps; the radial refers to the direction perpendicular to the axial direction; the circumferential direction refers to the circumferential direction along the circumferential axis.
  • the disposable biopsy forceps in this application includes a forceps head assembly 1, a forceps base 2, and a control wire 3 of a forceps head 11 whose distal ends can be relatively opened or closed, wherein, The proximal end of the pliers head 11 is movably connected to the distal end of the pliers base 2 through a fixed pin 5, and the distal end of the control line 3 is rotatably connected with the proximal end of the pliers head assembly 1 through a drive pin 6 to drive the pliers head Module 1 is opened or closed.
  • the driving process of the control wire can be driven by actuating an actuation module (not shown in the figure) such as a slider on the proximal handle to drive the control wire to move up and down along the axis of the control wire in the biopsy forceps.
  • an actuation module such as a slider on the proximal handle
  • the opening or closing of the biopsy forceps can be controlled.
  • this embodiment describes that the pliers head assembly and the control wire are rotationally connected in the form of a drive pin, in the actual manufacturing process, it can be replaced with any structure that can realize the rotational connection between the control line and the end of the pliers head assembly, such as the remote control wire.
  • the end has a hook-shaped structure
  • the end of the pliers head assembly has a hole matching the hook-shaped structure, which can also realize the rotational connection between the two.
  • any conventional way to achieve the rotational connection should be covered by the scope of protection of this application; in addition;
  • the fixed pin shaft can be replaced with any existing conventional method to realize the connection between the pliers head and the pliers base, and is not limited to the specific implementation described in this application.
  • the biopsy forceps further includes a spacer 4, the distal side of the spacer 4 is connected to the forceps base 2 by a fixed pin 5, and the proximal side has two oppositely arranged and extending proximally
  • An extension channel 42 is formed between the two extension portions 41, and the distal end of the control wire 3 moves back and forth in the extension channel 42.
  • control line is limited in the extension channel 42 of the gasket 4 to move back and forth, that is, the motion trajectory of the control line 3 is limited. This ensures that the pliers head assembly connected to the distal end of the control line through the drive pin can move along the central axis to the utmost extent without deviation. In the open position, the control line and the pliers head assembly can be kept fixed and not shaken.
  • the insert structure 12 at the proximal end of the two clamp heads 11 is inserted into each other, and the distal end plane of the spacer 4 and the insert structure 12 are parallel to each other and interlaced and inserted into each other.
  • the 4-plane is further revised and defines the sliding direction of the jaw assembly during the opening and closing process, ensuring the stability of the opening and closing track of the jaw, and facilitating the tooth anastomosis on the jaw structure.
  • the proximal end of the pliers head 11 in the present application is an insert structure 12 with a sliding groove 13, and the fixed pin 5 is penetrated by the pliers arm pin hole 23 on the pliers arm 22 at the distal end of the pliers base 2.
  • the fixed pin 5 is accommodated in the sliding groove 13, and when the control wire 3 moves back and forth along the longitudinal axis of the biopsy forceps, the fixed pin 5 follows the sliding groove 13 Sliding to achieve opening or closing of the pliers head assembly 1.
  • the proximal end of the clamp base 2 has a lumen channel 21, and the control wire 3 is located in the lumen channel 21 and extends from the proximal end to the distal end, The proximal end of the extension 41 of the spacer 4 is received in the lumen channel 21 of the clamp base 2.
  • the structure of the spacer 4 can limit the radial deviation of the control line 3 in the lumen channel 21, Avoid the bad situation that the control line 3 is not on the central axis and deviate radially; on the other hand, the extension 41 of the gasket 4 in the present application is directly inserted into the lumen channel 21 at the proximal end of the clamp base 2, without complicated welding The process can fix the position of the gasket 4, which greatly simplifies the assembly process.
  • the distal end of the spacer 4 has a tissue restriction portion (not marked in the figure) extending along the longitudinal axis of the biopsy forceps.
  • the distal end of the restricting portion has a radially extending structure 43.
  • the distal end surface of the radially extending structure 43 is flat (as shown in Figure 5a, Figure 5d and Figure 5g), convex (as shown in Figure 5b, Figure 5e and Figure 5h) or concave (as shown in Figure 5c, Figure 5f and Figure 5i), the shape of the distal surface is rectangular (as shown in Figure 5a, Figure 5b and Figure 5c), circular (as shown in Figure 5d, Figure 5e and Figure 5f) or elliptical (as shown in Figure 5d, Figure 5e and Figure 5f).
  • the body tissue entering into the clamp head can be effectively controlled by the radially extending structure 43 of different shapes.
  • the clamp head assembly 1 and the control line 3 are omitted in FIG. , Does not mean that the biopsy forceps structure or the installation process does not have the forceps head assembly 1 and the control line 3 structure.
  • the shim pin hole 45 on the distal side of the shim 4 is in interference fit with the fixed pin 5 so that the shim and the fixed pin are closely matched.
  • the shim 4 It will not be shifted or rotated by the movement of the forceps head assembly 1 or the control wire 3.
  • the extension 41 at the proximal end of the spacer 4 in this embodiment is shortened to not be stored in the inner wall of the forceps seat In this way, on the basis of reducing the overall length of the gasket, it is also possible to realize the limiting function of the control line 3 in the radial direction.
  • This structure does not need to consider the matching of the distance between the gasket pin hole 45 and the proximal end of the extension 41 in the gasket and the distance between the fixed pin 5 and the clamp base 2 during installation, and only needs to shorten the length of the extension to a minimum. It only needs to be in contact with the clamp base, which reduces the difficulty of the gasket processing process, while still achieving the technical effects that can be achieved by the present application.
  • the clamp head assembly 1 and the control does not mean that the biopsy forceps structure or the structure of the forceps head assembly 1 and the control line 3 are not provided during the installation process.
  • the gasket pin hole 45 on the distal side of the gasket 4 is an open hole, and the open gasket pin hole 45 is an interference fit with the fixed pin 5 so that the gasket and the fixed pin With close cooperation, during the movement operation of the biopsy forceps, the spacer 4 will not be shifted or rotated due to the movement of the forceps head assembly 1 or the control wire 3.
  • the gasket pin hole 45 in this embodiment is open. This difference makes the gasket installation process more flexible, except that the fixed pin 5 can be used. Pass through the gasket pin hole 45 radially to realize the way of fixing the gasket. You can also clamp the gasket to the fixed pin 5 from above in the direction of the dashed arrow in Figure 7.
  • the assembler can restrict the assembly according to the actual assembly. According to actual needs, choose a more advantageous assembly method, which greatly improves the flexibility of installation.
  • each forceps head 11 has two insert structures 12 that are both parallel to the longitudinal axis of the biopsy forceps, and the sliding groove 13 is provided on the insert structure 12, and the two The slide grooves on the insert structure 12 are mirror-symmetrical to ensure that when the fixed pin 5 slides in the slide groove 13, the planes of the two insert structures 12 are always along the direction parallel to the longitudinal axis of the biopsy forceps without offset, ensuring the forceps Stability of head opening and closing.
  • the inserting piece structures 12 at the proximal ends of the two oppositely arranged jaws 11 are mated with each other, which can achieve the operation of mutually restricting the radial offset of the jaws.
  • one insert structure 12 at the proximal end of each pliers head 11 has a pliers pin shaft hole 15, and the two pliers 11 have a pliers pin hole 15 on the insert structure 12 respectively located on the gasket 4 Both sides, so as to achieve the purpose of movably connecting the clamp head assembly 1 with the gasket 4, the clamp base 2 and the control line by the fixed pin 5.
  • each of the forceps 11 has a jaw structure (not marked in the figure), the jaw structure is set toward the longitudinal axis of the biopsy forceps, and the two oppositely arranged forceps 11 are facing all the way.
  • One side of the longitudinal axis of the biopsy forceps is respectively provided with a toothing structure 14 which is located at the edge of the jaw structure.
  • the rodent structure 14 on the two jaw structures realizes the automatic meshing correction effect of the rodent structure of the clamp head, which can further correct the center position of the clamp head, and achieve the self-anastomosis function of the clamp head without additional assembly process assistance. , Effectively avoid tissue tearing defects caused by the dislocation of the clamp head.
  • the distal portion 32 of the control wire 3 in the present application has a control wire pin shaft hole 31 that is in interference fit with the drive pin 6, and the proximal end of each clamp head 11
  • the distal end portion 32 of the control wire is clamped between the two insert structures 12 at the proximal end of the pliers, and the drive pin 6 is along the diameter Extends through the pliers pin shaft hole 15 and the control line pin shaft hole 31, and both sides of the drive pin 6 in the radial direction protrude from the outer surface of the insert structure 12 at the proximal end of the pliers head (away from The side of the longitudinal axis, that is, the side close to the inner surface of the lumen channel 21), is almost in contact with the inner wall of the lumen channel 21 at the proximal end of the clamp base 2, thereby limiting the control line 3 in the lumen channel 21 to the greatest extent.
  • the basic operation process of the disposable biopsy forceps in this application is as follows: as shown in Figures 10-11, the control line (not shown) is actuated by the drive module on the handle, which then drives two of the jaw assemblies 1 at the distal end of the biopsy forceps.
  • the forceps head 11 is relatively opened, and then the forceps head assembly 1 is driven to align with the tissue A in the body cavity to be clamped by an actuating tool such as an endoscope, so that the tissue A enters the space defined by the jaw structures of the two forceps heads 11 opposed to each other.
  • an actuating tool such as an endoscope
  • the rodent structure 14 can play the role of occluding and grasping the tissue at this time.
  • the radially extending structure 43 on the distal surface of the spacer 4 abuts the tissue A and defines the volume of tissue that enters the internal space of the forceps head assembly.
  • the jaw assembly 1 is closed and the tissue A is clamped.
  • the rodent structures 14 in the forceps head assembly 1 are close to each other and then engage to form a closed state of the clamp head.
  • the rodent structure 14 of the clamp head automatically The meshing correction can further correct the center position of the forceps head 11, achieve the self-anastomosis function of the forceps heads, and effectively avoid tissue tearing defects caused by the dislocation of the forceps heads.
  • the biopsy forceps are taken out of the endoscope channel to complete the biopsy sampling. After sampling, the biopsy forceps are discarded and used as a one-time use to avoid the possibility of cross-infection.
  • Step 1 firstly insert the two pliers 11 into each other so that the pliers pin holes 15 on the two pliers are aligned, and move the distal end 32 of the control wire in the direction of the dashed arrow 1 in Figure 12 Insert between the two pliers pin holes 15 and align the pliers pin holes 15 on the two pliers heads with the control wire pin shaft holes 31 at the distal end of the control wire;
  • the drive pin 6 is passed through the jaw pin hole 15 of the insert structure 12 at the proximal end of the jaw on one side, the control wire pin hole 31 at the distal end of the control wire, and the other in turn in the radial direction.
  • the clamp pin hole 15 of the insert structure 12 at the proximal end of the clamp head completes the connection between the control line 3 and the clamp head assembly (as shown in Figure 12b and Figure 12c);
  • Step 2 shown in Figure 13 first insert the washer 4 between the two pliers 11 in the direction of the dashed arrow 1 in Figure 13, so that the four sliding grooves 13 in the two pliers 11 are far away from the washer.
  • the shim pin hole 45 on the end side is aligned; then in the direction of the dashed arrow 2 in Fig. 13, the two pliers heads 11 and the shim are simultaneously inserted between the two pliers base arms 22 of the pliers base 2, and the pliers
  • the two pin holes of the clamp seat arm at the far end of the seat arm are aligned with the four sliding grooves 13 and the spacer pin hole 45; finally, in the direction of the dashed arrow 3 in Figure 13, move the fixed pin 5 away from the clamp seat 2.
  • the pin hole 23 of the pliers seat arm on the end of the pliers seat arm 22 penetrates and sequentially passes through the two pliers sliding grooves 13 on one side, the gasket pin hole 45 and the two pliers sliding grooves 13 on the other side. Then the pin hole 23 of the forceps base arm on the other side is penetrated and riveted and fixed on the forceps base arm 22, and the fixed pin 5 is accommodated in the sliding groove 13, thereby realizing the assembly of the disposable biopsy forceps of the present application ( As shown in Figure 13b).
  • the fixed pin 5 slides along the sliding groove 13 to open or close the forceps head assembly 1.
  • the assembly of the biopsy forceps can be realized in two simple steps, and the mating connection of various components can be realized through a single riveting process, which greatly simplifies the assembly process of the existing biopsy forceps and improves the assembly efficiency.

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Abstract

Disposable biopsy forceps, at least comprising the following structure: a forceps head assembly, comprising at least two forceps heads having distal ends can be relatively opened or closed; a forceps base, proximal ends of the forceps heads being connected to a distal end of the forceps base by means of a connector; a control wire, a distal end thereof being connected to a proximal end of the forceps head assembly to drive the forceps head assembly to open or close, and further comprising a gasket, a distal end side thereof being connected to the forceps base by means of the connector, and a proximal end side thereof being provided with two extension portions that are oppositely arranged and extend toward the proximal end, an extension channel being formed between the two extension portions, and the distal end of the control wire moving in the extension channel. The biopsy forceps have a simple structure and stable and reliable technical effects.

Description

一次性活检钳Disposable biopsy forceps
相关申请的交叉引用Cross-references to related applications
本申请要求于2019年08月27日提交中国专利局的申请号为201910794141.8、名称为“一次性活检钳”的中国专利申请的优先权,其全部内容通过引用结合在本申请中。This application claims the priority of the Chinese patent application with the application number 201910794141.8 and the name "Disposable Biopsy Forceps" filed with the Chinese Patent Office on August 27, 2019, the entire content of which is incorporated into this application by reference.
技术领域Technical field
本申请涉及一次性活检钳,属于人体内使用的医用装置。This application relates to a disposable biopsy forceps, which belongs to a medical device used in the human body.
背景技术Background technique
活检钳是内镜检查取病理标本不可缺少的工具,通常用于在消化道和呼吸道等人体腔道内进行活体组织样本的采集。若使用污染的活检钳进行操作获取标本,将会导致院内感染的发生,故一次性活检钳逐渐被人们所认可。一次性活检钳在使用过程中,通常需要以下操作步骤:通过手柄上的驱动模块致动控制线,进而带动活检钳远端的钳口组件打开,随后通过内窥镜等致动工具驱动钳头组件对准待钳取人体腔道内组织,最后再通过致动控制线将钳口组件闭合钳紧组织并将活检钳由内镜通道中取出,从而完成活检取样。完成取样后活检钳废弃,作为一次性使用,避免了交叉感染的可能。在钳取组织时,需要钳头组件中两个钳头能够尽可能地吻合以有效包覆住待检测组织,同时还要适量地钳取组织,避免过多组织被破坏,当然这个过程中钳头组件和控制线等运动结构要尽可能地居中以降低径向偏移带来的阻力,实现活检钳的灵活使用。Biopsy forceps are an indispensable tool for endoscopy to take pathological specimens. They are usually used to collect living tissue samples in human cavities such as the digestive tract and respiratory tract. If contaminated biopsy forceps are used to obtain specimens, nosocomial infections will occur. Therefore, disposable biopsy forceps are gradually being recognized by people. In the process of using disposable biopsy forceps, the following steps are usually required: actuate the control wire through the drive module on the handle, and then drive the jaw assembly at the distal end of the biopsy forceps to open, and then drive the jaws through an actuation tool such as an endoscope The components are aligned with the tissue to be clamped in the human body cavity, and finally the jaw assembly is closed to clamp the tissue through the actuation control line, and the biopsy clamp is taken out from the endoscopic channel, thereby completing the biopsy sampling. After sampling, the biopsy forceps are discarded and used as a one-time use to avoid the possibility of cross-infection. When clamping tissue, the two clamp heads in the clamp head assembly need to be able to fit as much as possible to effectively cover the tissue to be tested. At the same time, the tissue must be clamped appropriately to avoid excessive tissue damage. Of course, the forceps in this process The movement structure such as the head assembly and the control line should be centered as much as possible to reduce the resistance caused by the radial deviation, and realize the flexible use of the biopsy forceps.
现有的活检钳主要以下存在三种问题:The existing biopsy forceps mainly have the following three problems:
1、现有的一次性活检钳由于钳头组件与近端的控制线头部通常采用过渡块或者直接铆接的方式连接,钳头容易错位,两个钳头相对位置不易固定,且错位后不会自动矫正,活检钳中运动结构容易跑偏,这些问题点都有可能导致钳取样本时钳头错位造成的组织撕扯。1. The existing disposable biopsy forceps are usually connected by a transition block or a direct riveting method due to the clamp head assembly and the proximal control line head. The clamp heads are easy to be misaligned, and the relative positions of the two clamp heads are not easy to fix, and they are not easy to fix. It is automatically corrected, and the movement structure in the biopsy forceps is easy to run off. These problems may cause tissue tearing caused by the dislocation of the clamp head when the clamp is sampled.
2、为了保证钳头打开闭合顺畅,且不发生错位,需要对钳头及钳头座的连接点进行复杂的焊接,需要耗费大量工时和人力,由于焊接的要求高,增加了活检钳质量控制的难度,次品率较高。2. In order to ensure that the clamp head opens and closes smoothly without misalignment, it is necessary to perform complex welding on the connection point of the clamp head and the clamp head seat, which requires a lot of man-hours and manpower. Due to the high welding requirements, the quality control of the biopsy forceps is increased. The difficulty is higher, and the defective rate is higher.
3、现有活检钳的钳取量不易控制,往往会出现钳取量过大的情况,导致对人体损伤风险的增加。3. The clamping amount of the existing biopsy forceps is not easy to control, and the clamping amount is often too large, which leads to an increase in the risk of injury to the human body.
有鉴于此,特提出本申请。In view of this, this application is hereby submitted.
发明内容Summary of the invention
基于现有技术存在的结构复杂、钳头位置容易跑偏、装配困难以及钳取量过大等技术问题,本申请提供一种自吻合钳头、适中取样量、钳头位置固定并且运动结构居中的活检钳,能够实现结构稳定可靠的活检钳,包括:Based on the technical problems existing in the prior art such as complex structure, easy deviation of the position of the clamp head, difficulty in assembly, and excessive clamping amount, the present application provides a self-consistent clamp head, moderate sampling volume, fixed position of the clamp head and centered movement structure. The biopsy forceps can realize a stable and reliable biopsy forceps, including:
钳头组件,包括至少两个远端可相对打开或闭合的钳头;The pliers head assembly includes at least two pliers heads whose distal ends can be relatively opened or closed;
钳座,所述钳头近端通过连接件与所述钳座远端连接;A clamp base, the proximal end of the clamp head is connected to the distal end of the clamp base through a connecting piece;
控制线,其远端与所述钳头组件近端连接以驱动所述钳头组件打开或闭合,A control line, the distal end of which is connected with the proximal end of the pliers head assembly to drive the pliers head assembly to open or close,
还包括垫片,所述垫片远端侧通过所述连接件与钳座连接,近端侧具有两个相对设置并向近端延伸的延长部,两个所述延长部间形成延伸通道,所述控制线远端在所述延伸通道内移动。It also includes a gasket, the distal end of the gasket is connected to the clamp base through the connecting piece, the proximal side has two oppositely arranged extensions extending toward the proximal end, and an extension channel is formed between the two extensions, The distal end of the control wire moves in the extension channel.
优选地,所述钳头近端为具有滑槽的插片结构,定位于所述钳座远端的连接件容纳于所述滑槽内,当所述控制线沿所述活检钳纵轴方向前后移动时,所述连接件沿所述滑槽移动以打开或闭合所述钳头组件。Preferably, the proximal end of the forceps head has an insert structure with a sliding groove, and the connector positioned at the distal end of the forceps base is accommodated in the sliding groove, and when the control line is along the longitudinal axis of the biopsy forceps When moving back and forth, the connecting piece moves along the sliding groove to open or close the pliers head assembly.
优选地,每个所述钳头近端具有两个相互平行的具有滑槽的插片结构,两个所述插片结构上的滑槽镜像对称;相对设置的两个钳头近端的插片结构互插配合。Preferably, the proximal end of each pliers head has two parallel inserting piece structures with sliding grooves, and the sliding grooves on the two inserting piece structures are mirror-symmetrical; the two oppositely arranged inserts at the proximal end of the pliers head The chip structure is inserted into each other.
优选地,所述垫片远端侧具有沿所述活检钳纵轴向远端延伸的组织限制部,所述组织限制部的远端具有径向延伸结构。Preferably, the distal end of the spacer has a tissue restricting portion extending along the longitudinal axis of the biopsy forceps at the distal end, and the distal end of the tissue restricting portion has a radially extending structure.
优选地,所述径向延伸结构的远端面呈平面、凸面或凹面,远端面的形状呈矩形、圆形或椭圆形。Preferably, the distal end surface of the radially extending structure is flat, convex or concave, and the shape of the distal end surface is rectangular, circular or elliptical.
优选地,所述钳座近端具有管腔通道,所述控制线位于所述管腔通道内并由近端向远端延伸;所述钳座远端对称设有向远端延伸的两个钳座臂,所述连接件将所述垫片和钳头近端连接至所述钳座臂上。Preferably, the proximal end of the clamp base has a lumen channel, and the control wire is located in the lumen channel and extends from the proximal end to the distal end; the distal end of the clamp base is symmetrically provided with two distally extending channels. The clamp arm, the connecting piece connects the spacer and the proximal end of the clamp head to the clamp arm.
优选地,所述延长部近端收纳于所述钳座的管腔通道内,以限定控制线径向移动。Preferably, the proximal end of the extension portion is received in the lumen channel of the clamp base to limit the radial movement of the control wire.
优选地,所述连接件为固定销轴,所述垫片远端侧具有与所述固定销轴过盈配合的垫片销轴孔,所述垫片销轴孔为开放式或闭合式。本申请中固定销轴为现有技术中任意的具有轴结构的零件,如铆钉、拉铆、螺钉和芯轴等,以能够实现将这个部件固定于钳座为准,均属于本申请所述的固定销轴的范畴内。Preferably, the connecting member is a fixed pin, the distal end of the washer has a washer pin hole that is interference fit with the fixed pin, and the washer pin hole is open or closed. The fixing pin in this application is any part with a shaft structure in the prior art, such as rivets, rivets, screws, and mandrels, etc., subject to the fact that this part can be fixed to the pliers base, all of which are described in this application Within the scope of the fixed pin shaft.
优选地,所述控制线远端与所述钳头组件近端通过驱动销轴连接,所述控制线远端具有与所述驱动销轴过盈配合的控制线销轴孔,每个所述钳头近端具有与所述驱动销轴转动连接的钳头销轴孔,所述控制线远端夹设于两个钳头近端间,所述驱动销轴沿径向延伸穿过所述钳头销轴孔和控制线销轴孔,且所述驱动销轴径向上的两侧均突出于所述钳头近端外侧面,以限制所述控制线在径向上的移动。Preferably, the distal end of the control wire and the proximal end of the pliers head assembly are connected by a drive pin shaft, and the distal end of the control wire has a control wire pin shaft hole that is interference fit with the drive pin shaft. The proximal end of the pliers head has a pliers head pin hole that is rotatably connected with the drive pin, the distal end of the control wire is clamped between the two proximal ends of the pliers head, and the drive pin extends radially through the The pliers pin hole and the control wire pin hole, and both sides of the drive pin in the radial direction protrude from the outer surface of the proximal end of the pliers head, so as to restrict the movement of the control wire in the radial direction.
本申请进一步提供制备上述一次性活检钳的方法,包括如下步骤:This application further provides a method for preparing the above-mentioned disposable biopsy forceps, which includes the following steps:
步骤1,将控制线与钳头组件连接,以实现控制线能够驱动所述钳头组件打开或闭合; Step 1. Connect the control wire to the pliers head assembly, so that the control line can drive the pliers head assembly to open or close;
步骤2,将步骤1中的控制线与钳头组件拉入钳头座; Step 2. Pull the control wire and clamp head assembly from step 1 into the clamp head base;
步骤3,将连接件径向穿过钳座远端、钳头组件以及垫片; Step 3. Pass the connector radially through the distal end of the pliers base, the pliers head assembly and the gasket;
步骤4,将连接件固定在钳座上。 Step 4. Fix the connecting piece on the clamp base.
基于上述技术方案,本申请具有如下优点:Based on the above technical solution, this application has the following advantages:
本申请中的钳头组件结构简单,仅包括至少两个自吻合钳头,垫片和钳座结构,通过采用本申请中的特殊结构垫片,实现了两个钳头组件的相对定位以及控制线远端的径向定位,一方面简化结构,最大限度降低了结构中锚定和焊接等的连接点,具有零件少、结构简单并且生产制造工艺精减,无需复杂的焊接工艺和过多的安装工序的优点;另一方面实现了钳头的相对位置的稳定,控制线径向上的稳定,极大提高活检钳在使用中的顺滑程度,提高了活检钳的使用操作灵活性和使用舒适度。The pliers head assembly in this application has a simple structure and only includes at least two self-annotated pliers heads, a gasket and a pliers seat structure. By using the special structure gasket in this application, the relative positioning and control of the two pliers head components are realized The radial positioning of the distal end of the wire simplifies the structure on the one hand, and minimizes the connection points for anchoring and welding in the structure. It has fewer parts, simple structure and streamlined manufacturing processes, without complicated welding processes and excessive The advantages of the installation process; on the other hand, it realizes the stability of the relative position of the forceps head and the stability of the control line in the radial direction, which greatly improves the smoothness of the biopsy forceps in use, and improves the operating flexibility and comfort of the biopsy forceps. degree.
综上,本申请提供了一种自吻合钳头、适中取样量、钳头位置固定并且居中运动的活检钳,能够实现结构稳定可靠的活检钳,降低了临床钳取样时撕扯风险、减少出血量并且缩短手术时间。In summary, this application provides a biopsy forceps with a self-anastomosing forceps head, moderate sampling volume, fixed forceps head position and centered movement, which can realize a biopsy forceps with a stable and reliable structure, reduce the risk of tearing during clinical forceps sampling, and reduce the amount of bleeding. And shorten the operation time.
附图说明Description of the drawings
图1是本申请一次性活检钳立体结构示意图;Figure 1 is a schematic diagram of the three-dimensional structure of the disposable biopsy forceps of the present application;
图2是本申请一次性活检钳爆炸图;Figure 2 is an exploded view of the disposable biopsy forceps in this application;
图3是本申请一次性活检钳沿钳口吻合面剖视图;Figure 3 is a cross-sectional view of the disposable biopsy forceps of the present application along the jaw anastomotic surface;
图4是本申请一次性活检钳垂直钳口吻合面剖视图;4 is a cross-sectional view of the vertical jaw anastomosis surface of the disposable biopsy forceps of the present application;
图5a-图5i是本申请一次性活检钳垫片远端面不同构型立体图;Figures 5a-5i are perspective views of different configurations of the distal surface of the disposable biopsy forceps pad of the present application;
图6是本申请一次性活检钳中垫片结构替换方式一的装配视图;FIG. 6 is an assembly view of the replacement method 1 of the gasket structure in the disposable biopsy forceps of the present application;
图7是本申请一次性活检钳中垫片结构替换方式二的待装配视图;FIG. 7 is a view to be assembled of the replacement method of the gasket structure in the disposable biopsy forceps of the present application; FIG.
图8是本申请一次性活检钳中垫片结构替换方式二的装配视图;FIG. 8 is an assembly view of the second method of replacing the gasket structure in the disposable biopsy forceps according to the present application;
图9是本申请一次性活检钳两个钳头近端的插片结构互插配合视图;Fig. 9 is a view of the inter-insertion cooperation of the insert structures of the proximal ends of the two jaws of the disposable biopsy forceps of the present application;
图10是本申请一次性活检钳钳头组件闭合视图;Figure 10 is a closed view of the jaw assembly of the disposable biopsy forceps of the present application;
图11是本申请一次性活检钳取样示意图;Fig. 11 is a schematic diagram of sampling with disposable biopsy forceps according to the present application;
图12a-图12c是本申请一次性活检钳制备步骤一所对应视图;Figures 12a-12c are corresponding views of the first step of preparing the disposable biopsy forceps of the present application;
图13a-图13b是本申请一次性活检钳制备步骤二所对应视图。Figures 13a-13b are views corresponding to the second step of preparing the disposable biopsy forceps of the present application.
附图标记说明:Description of reference signs:
1-钳头组件,11-钳头,12-插片结构,13-滑槽,14-啮齿结构,15-钳头销轴孔,2-钳座,21-管腔通道,22-钳座臂,23-钳座臂销轴孔,3-控制线,31-控制线销轴孔,32-控制线远端部,4-垫片,41-延长部,42-延伸通道,43-径向延伸结构,44-远端面,45-垫片销轴孔,5-固定销轴,6-驱动销轴,A-人体组织1-clamp head assembly, 11-clamp head, 12-insert structure, 13-sliding groove, 14-coating structure, 15-clamp pin shaft hole, 2-clamp seat, 21-lumen channel, 22-clamp seat Arm, 23-clamp base arm pin hole, 3-control wire, 31-control wire pin hole, 32-control wire distal part, 4-spacer, 41-extension, 42-extension channel, 43-diameter Toward extension structure, 44-distal face, 45-spacer pin hole, 5-fixed pin, 6-drive pin, A-human tissue
具体实施方式detailed description
结合附图和具体实施例对本申请的技术内容作详细说明。The technical content of this application will be described in detail with reference to the drawings and specific embodiments.
下面将结合实施例对本申请的实施方案进行详细描述,但是本领域技术人员将会理解,下列实施例仅用于说明本申请,而不应视为限制本申请的范围。The embodiments of the present application will be described in detail below in conjunction with examples, but those skilled in the art will understand that the following examples are only used to illustrate the present application, and should not be regarded as limiting the scope of the present application.
对本申请中涉及的一些名词进行说明。近端是指靠近体外操作者的一段;远端是指位于体内待闭合组织的一端;轴向是指沿活检钳纵轴延伸的方向;径向是指与轴向垂直方向延伸方向;周向是指沿环绕轴向的圆周方向。Some terms involved in this application are explained. The proximal end refers to the section close to the operator outside the body; the distal end refers to the end of the tissue to be closed in the body; the axial direction refers to the direction along the longitudinal axis of the biopsy forceps; the radial refers to the direction perpendicular to the axial direction; the circumferential direction Refers to the circumferential direction along the circumferential axis.
如图1-图4所示本申请中的一次性活检钳,其包括由两个远端可相对打开或闭合的钳头11的钳头组件1、钳座2、以及控制线3,其中,所述钳头11近端通过固定销轴5与所述钳座2远端活动连接,控制线3远端与所述钳头组件1近端通过驱动销轴6转动连接以驱动所述钳头组件1打开或闭合。作为本领域中的现有技术,控制线的驱动过程可以通过致动位于近端手柄上的滑块等致动模块(图中未示)来带动控制线沿活检钳内控制线轴向上前后移动,进而实现控制活检钳的打开或关闭。本实施例中虽然记载采用驱动销轴的形式将钳头组件与控制线转动连接,但实际制造过程中,可以替换为任意能够实现控制线与钳头组件末端转动连接的结构,如控制线远端具有钩形结构,钳头组件末端具有与钩形结构配合的孔,同样能够实现两者的转动连接,除此,任何实现转动连接的常规方式都应涵盖在本申请的保护范围内;此外,本实施例中固定销轴可以替换为现有任意常规方式以实现钳头和钳座的连接,不限于本申请中记载的特定实施方式。As shown in Figures 1 to 4, the disposable biopsy forceps in this application includes a forceps head assembly 1, a forceps base 2, and a control wire 3 of a forceps head 11 whose distal ends can be relatively opened or closed, wherein, The proximal end of the pliers head 11 is movably connected to the distal end of the pliers base 2 through a fixed pin 5, and the distal end of the control line 3 is rotatably connected with the proximal end of the pliers head assembly 1 through a drive pin 6 to drive the pliers head Module 1 is opened or closed. As a prior art in the field, the driving process of the control wire can be driven by actuating an actuation module (not shown in the figure) such as a slider on the proximal handle to drive the control wire to move up and down along the axis of the control wire in the biopsy forceps. In turn, the opening or closing of the biopsy forceps can be controlled. Although this embodiment describes that the pliers head assembly and the control wire are rotationally connected in the form of a drive pin, in the actual manufacturing process, it can be replaced with any structure that can realize the rotational connection between the control line and the end of the pliers head assembly, such as the remote control wire. The end has a hook-shaped structure, and the end of the pliers head assembly has a hole matching the hook-shaped structure, which can also realize the rotational connection between the two. In addition, any conventional way to achieve the rotational connection should be covered by the scope of protection of this application; in addition; In this embodiment, the fixed pin shaft can be replaced with any existing conventional method to realize the connection between the pliers head and the pliers base, and is not limited to the specific implementation described in this application.
作为本申请的核心改进点,所述活检钳还包括垫片4,所述垫片4远端侧通过固定销轴5与钳座2连接,近端侧具有两个相对设置并向近端延伸的延长部41,两个所述延长部41间形成延伸通道42,所述控制线3的远端部在所述延伸通道42内前后移动。通过设置垫片4结构,一方面,垫片4近端的延长部41限定了控制线3在径向上移动,有效避免了控制线在前后移动过程中在径向上偏移和跑偏所导致的与外套管和钳座等部件的接触摩擦,提高了操作的手感和灵活度,进一步由于控制线被限定在垫片4的延伸通道42内前后移动,即控制线3的运动轨迹被限定下来,从而确保与控制线远端部通过驱动销轴连接的钳头组件能够最大限度的沿中心轴线移动而不跑偏,在打开位置下可以保持控制线和钳头组件等运动结构固定不晃动,保证了取样位置的准确性;另一方面,两个钳头11近端的插片结构12互插配合,而垫片4远端平面与插片结构12相互平行且交错插接配合,通过垫片4平面进一步修正并限定了钳头组件开闭过程中滑动方向,确保了钳头开闭轨道的稳定,有利于钳口结构上的啮齿吻合。接下来对钳头组件1与钳座2、控制线3和垫片4三者的具体连接关系做具体说明。本申请中所述钳头11近端为具有滑槽13的插片结构12,所述固定销轴5由钳座2远端的钳座臂22上的钳座臂销轴孔23穿入并依次穿过一侧的两个钳头滑槽13、垫片销轴孔45和另一侧的两个钳头滑槽13后从另一侧的钳座臂销轴孔23穿出并铆接固定在钳座臂22上,固定销轴5容纳于所述滑槽13内,当所述控制线3沿所述活检 钳纵轴方向前后移动时,所述固定销轴5沿所述滑槽13滑动从而实现打开或闭合所述钳头组件1。As a core improvement point of the present application, the biopsy forceps further includes a spacer 4, the distal side of the spacer 4 is connected to the forceps base 2 by a fixed pin 5, and the proximal side has two oppositely arranged and extending proximally An extension channel 42 is formed between the two extension portions 41, and the distal end of the control wire 3 moves back and forth in the extension channel 42. By arranging the structure of the spacer 4, on the one hand, the extension 41 at the proximal end of the spacer 4 limits the movement of the control wire 3 in the radial direction, effectively avoiding the radial deviation and deviation of the control wire during the forward and backward movement. The contact friction with the outer casing and the clamp base improves the feel and flexibility of the operation. Furthermore, because the control line is limited in the extension channel 42 of the gasket 4 to move back and forth, that is, the motion trajectory of the control line 3 is limited. This ensures that the pliers head assembly connected to the distal end of the control line through the drive pin can move along the central axis to the utmost extent without deviation. In the open position, the control line and the pliers head assembly can be kept fixed and not shaken. On the other hand, the insert structure 12 at the proximal end of the two clamp heads 11 is inserted into each other, and the distal end plane of the spacer 4 and the insert structure 12 are parallel to each other and interlaced and inserted into each other. The 4-plane is further revised and defines the sliding direction of the jaw assembly during the opening and closing process, ensuring the stability of the opening and closing track of the jaw, and facilitating the tooth anastomosis on the jaw structure. Next, the specific connection relationship between the pliers head assembly 1 and the pliers base 2, the control wire 3 and the spacer 4 will be described in detail. The proximal end of the pliers head 11 in the present application is an insert structure 12 with a sliding groove 13, and the fixed pin 5 is penetrated by the pliers arm pin hole 23 on the pliers arm 22 at the distal end of the pliers base 2. Pass through the two pliers sliding grooves 13 on one side, the gasket pin hole 45 and the two pliers sliding grooves 13 on the other side in turn, then pass through the pliers arm pin hole 23 on the other side and be riveted and fixed. On the forceps base arm 22, the fixed pin 5 is accommodated in the sliding groove 13, and when the control wire 3 moves back and forth along the longitudinal axis of the biopsy forceps, the fixed pin 5 follows the sliding groove 13 Sliding to achieve opening or closing of the pliers head assembly 1.
如图2-图4以及图5a-图5i所示,所述钳座2近端具有管腔通道21,所述控制线3位于所述管腔通道21内并由近端向远端延伸,所述垫片4的延长部41近端收纳于所述钳座2的管腔通道21内,一方面,通过垫片4结构可以限定控制线3在管腔通道21内在径向上的偏移,避免控制线3不在中心轴线上而径向跑偏的不良情况;另一方面,本申请中垫片4的延长部41直接插入至钳座2近端的管腔通道21中,无需繁复的焊接工艺即可将垫片4的位置固定下来,极大简化了装配工艺。As shown in FIGS. 2 to 4 and 5a to 5i, the proximal end of the clamp base 2 has a lumen channel 21, and the control wire 3 is located in the lumen channel 21 and extends from the proximal end to the distal end, The proximal end of the extension 41 of the spacer 4 is received in the lumen channel 21 of the clamp base 2. On the one hand, the structure of the spacer 4 can limit the radial deviation of the control line 3 in the lumen channel 21, Avoid the bad situation that the control line 3 is not on the central axis and deviate radially; on the other hand, the extension 41 of the gasket 4 in the present application is directly inserted into the lumen channel 21 at the proximal end of the clamp base 2, without complicated welding The process can fix the position of the gasket 4, which greatly simplifies the assembly process.
如图4以及图5a-图5i所示,本申请中优选所述垫片4远端侧具有沿所述活检钳纵轴向远端延伸的组织限制部(图中未标示),所述组织限制部的远端具有径向延伸结构43。通过在垫片4上设置组织限制部,可以有效控制进入到钳头组件1内部空间的组织量,防止过多的组织进入到钳头内部腔体内,避免对人体过大损伤。本申请中,径向延伸结构43的远端面呈平面(如图5a、图5d和图5g所示)、凸面(如图5b、图5e和图5h所示)或凹面(如图5c、图5f和图5i所示),远端面的形状呈矩形(如图5a、图5b和图5c所示)、圆形(如图5d、图5e和图5f所示)或椭圆形(如图5g、图5h和图5i所示),通过不同形状的径向延伸结构43可以有效控制进入到钳头内的人体组织。As shown in FIGS. 4 and 5a-5i, in the present application, it is preferable that the distal end of the spacer 4 has a tissue restriction portion (not marked in the figure) extending along the longitudinal axis of the biopsy forceps. The distal end of the restricting portion has a radially extending structure 43. By arranging the tissue restricting portion on the spacer 4, the amount of tissue entering the internal space of the forceps head assembly 1 can be effectively controlled, preventing excessive tissue from entering the internal cavity of the forceps head, and avoiding excessive damage to the human body. In the present application, the distal end surface of the radially extending structure 43 is flat (as shown in Figure 5a, Figure 5d and Figure 5g), convex (as shown in Figure 5b, Figure 5e and Figure 5h) or concave (as shown in Figure 5c, Figure 5f and Figure 5i), the shape of the distal surface is rectangular (as shown in Figure 5a, Figure 5b and Figure 5c), circular (as shown in Figure 5d, Figure 5e and Figure 5f) or elliptical (as shown in Figure 5d, Figure 5e and Figure 5f). As shown in Fig. 5g, Fig. 5h and Fig. 5i), the body tissue entering into the clamp head can be effectively controlled by the radially extending structure 43 of different shapes.
如图6所示,作为本申请垫片4结构的替换方式一,为了清楚地展示垫片与固定销轴5和钳座2的连接关系,图6中将钳头组件1和控制线3省略,并不代表活检钳结构或安装过程中不具备钳头组件1和控制线3结构。本实施例中,垫片4远端侧的垫片销轴孔45与所述固定销轴5过盈配合从而使得垫片与固定销轴紧密配合,在活检钳运动操作过程中,垫片4不会受钳头组件1或控制线3的移动而产生偏移或转动,此时,区别于前述实施方式,本实施方式中垫片4近端的延长部41缩短至不收纳于钳座内壁中,在减少垫片整体长度的基础上同样能够实现对控制线3径向上的限位作用。这种结构在安装时不用考虑垫片中垫片销轴孔45和延长部41近端间距离与固定销轴5与钳座2间距离相互匹配的问题,仅需将延长部长度缩短至不与钳座接触即可,降低了垫片加工过程的难度,同时仍然能够实现本申请所能达到的技术效果。As shown in FIG. 6, as an alternative to the structure of the gasket 4 of the present application, in order to clearly show the connection relationship between the gasket and the fixed pin 5 and the clamp base 2, the clamp head assembly 1 and the control line 3 are omitted in FIG. , Does not mean that the biopsy forceps structure or the installation process does not have the forceps head assembly 1 and the control line 3 structure. In this embodiment, the shim pin hole 45 on the distal side of the shim 4 is in interference fit with the fixed pin 5 so that the shim and the fixed pin are closely matched. During the movement operation of the biopsy forceps, the shim 4 It will not be shifted or rotated by the movement of the forceps head assembly 1 or the control wire 3. At this time, unlike the previous embodiment, the extension 41 at the proximal end of the spacer 4 in this embodiment is shortened to not be stored in the inner wall of the forceps seat In this way, on the basis of reducing the overall length of the gasket, it is also possible to realize the limiting function of the control line 3 in the radial direction. This structure does not need to consider the matching of the distance between the gasket pin hole 45 and the proximal end of the extension 41 in the gasket and the distance between the fixed pin 5 and the clamp base 2 during installation, and only needs to shorten the length of the extension to a minimum. It only needs to be in contact with the clamp base, which reduces the difficulty of the gasket processing process, while still achieving the technical effects that can be achieved by the present application.
如图7-图8所示,作为本申请垫片4结构的替换方式二,为了清楚地展示垫片与固定销轴5和钳座2的连接关系,图6中将钳头组件1和控制线3省略,并不代表活检钳结构或安装过程中不具备钳头组件1和控制线3结构。本实施例中,垫片4远端侧的垫片销轴孔45呈开放式孔,该开放式垫片销轴孔45与所述固定销轴5过盈配合从而使得垫片与固定销轴紧密配合,在活检钳运动操作过程中,垫片4不会受钳头组件1或控制线3的移动而产生偏移或转动。区别于前述实施方式中垫片销轴孔45呈闭合式,本实施方式中垫片销 轴孔45呈开放式,这一区别使得垫片的安装过程更为灵活,除了可以采用固定销轴5径向穿过垫片销轴孔45以实现将垫片固定的方式,还可以如图7中虚线箭头方向,将垫片由上方卡接至固定销轴5上,装配人员可以根据实际装配限制和实际需求,选择更为有利的装配方式,极大提高安装的灵活性。As shown in Figures 7-8, as the second alternative to the structure of the gasket 4 of the present application, in order to clearly show the connection relationship between the gasket and the fixed pin 5 and the clamp base 2, the clamp head assembly 1 and the control The omission of line 3 does not mean that the biopsy forceps structure or the structure of the forceps head assembly 1 and the control line 3 are not provided during the installation process. In this embodiment, the gasket pin hole 45 on the distal side of the gasket 4 is an open hole, and the open gasket pin hole 45 is an interference fit with the fixed pin 5 so that the gasket and the fixed pin With close cooperation, during the movement operation of the biopsy forceps, the spacer 4 will not be shifted or rotated due to the movement of the forceps head assembly 1 or the control wire 3. Different from the previous embodiment in which the gasket pin hole 45 is closed, the gasket pin hole 45 in this embodiment is open. This difference makes the gasket installation process more flexible, except that the fixed pin 5 can be used. Pass through the gasket pin hole 45 radially to realize the way of fixing the gasket. You can also clamp the gasket to the fixed pin 5 from above in the direction of the dashed arrow in Figure 7. The assembler can restrict the assembly according to the actual assembly. According to actual needs, choose a more advantageous assembly method, which greatly improves the flexibility of installation.
进一步,对本申请中优选的钳头组件1结构作进一步说明。如图9所示,每个所述钳头11近端具有均平行于活检钳纵轴方向的两个插片结构12,且滑槽13设置在所述插片结构12上,两个所述插片结构12上的滑槽镜像对称,以确保固定销轴5在滑槽13中滑动时两个插片结构12平面始终沿平行于活检钳纵轴方向,而不发生偏移,确保了钳头开合的稳定。本实施例中,相对设置的两个钳头11近端的插片结构12互插配合,可以起到钳头件相互限定径向偏移的作业。本实施例中,每个钳头11近端的一个插片结构12上具有钳头销轴孔15,两个钳头11具有钳头销轴孔15的插片结构12分别位于垫片4的两侧,从而实现固定销轴5将钳头组件1与垫片4、钳座2和控制线活动连接组装在一起的目的。Further, the preferred structure of the clamp head assembly 1 in the present application will be further described. As shown in Figure 9, the proximal end of each forceps head 11 has two insert structures 12 that are both parallel to the longitudinal axis of the biopsy forceps, and the sliding groove 13 is provided on the insert structure 12, and the two The slide grooves on the insert structure 12 are mirror-symmetrical to ensure that when the fixed pin 5 slides in the slide groove 13, the planes of the two insert structures 12 are always along the direction parallel to the longitudinal axis of the biopsy forceps without offset, ensuring the forceps Stability of head opening and closing. In this embodiment, the inserting piece structures 12 at the proximal ends of the two oppositely arranged jaws 11 are mated with each other, which can achieve the operation of mutually restricting the radial offset of the jaws. In this embodiment, one insert structure 12 at the proximal end of each pliers head 11 has a pliers pin shaft hole 15, and the two pliers 11 have a pliers pin hole 15 on the insert structure 12 respectively located on the gasket 4 Both sides, so as to achieve the purpose of movably connecting the clamp head assembly 1 with the gasket 4, the clamp base 2 and the control line by the fixed pin 5.
如图9所示,每个所述钳头11远端具有钳口结构(图中未标示),钳口结构朝向所述活检钳纵轴设置,两个相对设置的所述钳头11朝向所述活检钳纵轴方向的一侧分别设有啮齿结构14,所述啮齿结构14位于所述钳口结构边缘,当钳头组件1闭合时,相对的两个钳口结构上的啮齿结构14相互啮合,并在两个钳口结构间形成容纳人体组织的容纳空间。本申请中通过在两个钳口结构上的啮齿结构14,从而实现了钳头啮齿结构的自动啮合矫正效果,能够进一步矫正钳头中心位置,达到钳头自吻合功能,无需额外的装配工艺辅助,有效避免由于钳头错位所产生组织撕扯缺陷。As shown in FIG. 9, the distal end of each of the forceps 11 has a jaw structure (not marked in the figure), the jaw structure is set toward the longitudinal axis of the biopsy forceps, and the two oppositely arranged forceps 11 are facing all the way. One side of the longitudinal axis of the biopsy forceps is respectively provided with a toothing structure 14 which is located at the edge of the jaw structure. When the jaw assembly 1 is closed, the toothing structures 14 on the two opposite jaw structures are mutually Engage, and form an accommodating space for accommodating human tissues between the two jaw structures. In the present application, the rodent structure 14 on the two jaw structures realizes the automatic meshing correction effect of the rodent structure of the clamp head, which can further correct the center position of the clamp head, and achieve the self-anastomosis function of the clamp head without additional assembly process assistance. , Effectively avoid tissue tearing defects caused by the dislocation of the clamp head.
如图2-图4所示,本申请中所述控制线3的远端部32具有与所述驱动销轴6过盈配合的控制线销轴孔31,每个所述钳头11近端具有与所述驱动销轴6转动连接的钳头销轴孔15,所述控制线远端部32夹设于两个钳头近端的插片结构12间,所述驱动销轴6沿径向延伸穿过所述钳头销轴孔15和控制线销轴孔31,且所述驱动销轴6径向上的两侧均突出于所述钳头近端的插片结构12外侧面(远离纵向轴线的一侧,即靠近管腔通道21内表面的一侧),与钳座2近端的管腔通道21内壁几近接触,从而最大限度的限制所述控制线3在管腔通道21径向方向上的移动,保证了拉杆轴始终处在中心位置,As shown in Figures 2 to 4, the distal portion 32 of the control wire 3 in the present application has a control wire pin shaft hole 31 that is in interference fit with the drive pin 6, and the proximal end of each clamp head 11 There is a pliers pin hole 15 rotatably connected with the drive pin 6, the distal end portion 32 of the control wire is clamped between the two insert structures 12 at the proximal end of the pliers, and the drive pin 6 is along the diameter Extends through the pliers pin shaft hole 15 and the control line pin shaft hole 31, and both sides of the drive pin 6 in the radial direction protrude from the outer surface of the insert structure 12 at the proximal end of the pliers head (away from The side of the longitudinal axis, that is, the side close to the inner surface of the lumen channel 21), is almost in contact with the inner wall of the lumen channel 21 at the proximal end of the clamp base 2, thereby limiting the control line 3 in the lumen channel 21 to the greatest extent. The movement in the radial direction ensures that the rod shaft is always in the center position.
对本申请中一次性活检钳操作过程做基本如下:如图10-图11,通过手柄上的驱动模块致动控制线(图中未示),进而带动活检钳远端的钳口组件1中两钳头11相对打开,随后通过内窥镜等致动工具驱动钳头组件1对准待钳取人体腔道内组织A,使组织A进入到由两个钳头11相对的钳口结构限定的空间内,啮齿结构14此时可以起到咬合抓取组织的作用,垫片4远端面径向延伸结构43与组织A抵接并限定了进入到钳头组件内部空间的组织体积,此时再通过致动控制线3将钳口组件1闭合进而钳紧组织A,此时,钳头组件 1中的啮齿结构14相互靠近进而啮合形成钳头闭合状态,闭合状态下钳头的啮齿结构14自动啮合矫正,能够进一步修正钳头11中心位置,达到钳头自吻合功能,有效避免由于钳头错位所产生组织撕扯缺陷。最后,通过抽拽手柄,将活检钳由内镜通道中取出,从而完成活检取样。完成取样后活检钳废弃,作为一次性使用,避免了交叉感染的可能。The basic operation process of the disposable biopsy forceps in this application is as follows: as shown in Figures 10-11, the control line (not shown) is actuated by the drive module on the handle, which then drives two of the jaw assemblies 1 at the distal end of the biopsy forceps. The forceps head 11 is relatively opened, and then the forceps head assembly 1 is driven to align with the tissue A in the body cavity to be clamped by an actuating tool such as an endoscope, so that the tissue A enters the space defined by the jaw structures of the two forceps heads 11 opposed to each other. Inside, the rodent structure 14 can play the role of occluding and grasping the tissue at this time. The radially extending structure 43 on the distal surface of the spacer 4 abuts the tissue A and defines the volume of tissue that enters the internal space of the forceps head assembly. By actuating the control wire 3, the jaw assembly 1 is closed and the tissue A is clamped. At this time, the rodent structures 14 in the forceps head assembly 1 are close to each other and then engage to form a closed state of the clamp head. In the closed state, the rodent structure 14 of the clamp head automatically The meshing correction can further correct the center position of the forceps head 11, achieve the self-anastomosis function of the forceps heads, and effectively avoid tissue tearing defects caused by the dislocation of the forceps heads. Finally, by pulling the handle, the biopsy forceps are taken out of the endoscope channel to complete the biopsy sampling. After sampling, the biopsy forceps are discarded and used as a one-time use to avoid the possibility of cross-infection.
此外,对于本申请中一次性活检钳的装配过程进行简述,但并不限于如下装配过程:In addition, the assembly process of the disposable biopsy forceps in this application is briefly described, but it is not limited to the following assembly process:
如图12所示的步骤1,首先将两个钳头11互插配合使得两个钳头上的钳头销轴孔15对准,沿图12中虚线箭头①方向,将控制线远端32插入到两个钳头销轴孔15之间,并使得两个钳头上的钳头销轴孔15与控制线远端的控制线销轴孔31三者对准;随后,沿图12中虚线箭头②方向,将驱动销轴6径向依次穿过一侧的钳头近端的插片结构12的钳头销轴孔15、控制线远端部的控制线销轴孔31以及另一侧的钳头近端的插片结构12的钳头销轴孔15,完成控制线3与钳头组件的连接(如图12b和图12c所示); Step 1, as shown in Figure 12, firstly insert the two pliers 11 into each other so that the pliers pin holes 15 on the two pliers are aligned, and move the distal end 32 of the control wire in the direction of the dashed arrow ① in Figure 12 Insert between the two pliers pin holes 15 and align the pliers pin holes 15 on the two pliers heads with the control wire pin shaft holes 31 at the distal end of the control wire; In the direction of the dashed arrow ②, the drive pin 6 is passed through the jaw pin hole 15 of the insert structure 12 at the proximal end of the jaw on one side, the control wire pin hole 31 at the distal end of the control wire, and the other in turn in the radial direction. The clamp pin hole 15 of the insert structure 12 at the proximal end of the clamp head completes the connection between the control line 3 and the clamp head assembly (as shown in Figure 12b and Figure 12c);
如图13所示的步骤2,首先沿图13中虚线箭头①方向,将垫片4插入两个钳头11间,以使两个钳头11中的四个滑槽13结构与垫片远端侧的垫片销轴孔45对准;随后沿图13中虚线箭头②方向,将两个钳头11以及垫片同步插入到钳座2的两个钳座臂22之间,并使得钳座臂远端的两个钳座臂销轴孔与四个滑槽13和垫片销轴孔45对准;最后,沿图13中虚线箭头③方向,将固定销轴5由钳座2远端的钳座臂22上的钳座臂销轴孔23穿入并依次穿过一侧的两个钳头滑槽13、垫片销轴孔45和另一侧的两个钳头滑槽13后从另一侧的钳座臂销轴孔23穿出并铆接固定在钳座臂22上,固定销轴5容纳于所述滑槽13内,从而实现了本申请一次性活检钳的装配(如图13b所示)。当所述控制线3沿所述活检钳纵轴方向前后移动时,所述固定销轴5沿所述滑槽13滑动从而实现打开或闭合所述钳头组件1。 Step 2 shown in Figure 13, first insert the washer 4 between the two pliers 11 in the direction of the dashed arrow ① in Figure 13, so that the four sliding grooves 13 in the two pliers 11 are far away from the washer. The shim pin hole 45 on the end side is aligned; then in the direction of the dashed arrow ② in Fig. 13, the two pliers heads 11 and the shim are simultaneously inserted between the two pliers base arms 22 of the pliers base 2, and the pliers The two pin holes of the clamp seat arm at the far end of the seat arm are aligned with the four sliding grooves 13 and the spacer pin hole 45; finally, in the direction of the dashed arrow ③ in Figure 13, move the fixed pin 5 away from the clamp seat 2. The pin hole 23 of the pliers seat arm on the end of the pliers seat arm 22 penetrates and sequentially passes through the two pliers sliding grooves 13 on one side, the gasket pin hole 45 and the two pliers sliding grooves 13 on the other side. Then the pin hole 23 of the forceps base arm on the other side is penetrated and riveted and fixed on the forceps base arm 22, and the fixed pin 5 is accommodated in the sliding groove 13, thereby realizing the assembly of the disposable biopsy forceps of the present application ( As shown in Figure 13b). When the control wire 3 moves back and forth along the longitudinal axis of the biopsy forceps, the fixed pin 5 slides along the sliding groove 13 to open or close the forceps head assembly 1.
本申请中通过简单的两个步骤即可实现活检钳的装配,通过一次铆接过程就能实现各个部件的配合连接,大大简化现有活检钳的装配工序,提供了装配效率。In the present application, the assembly of the biopsy forceps can be realized in two simple steps, and the mating connection of various components can be realized through a single riveting process, which greatly simplifies the assembly process of the existing biopsy forceps and improves the assembly efficiency.
最后应说明的是:以上各实施例仅用以说明本申请的技术方案,而非对其限制;尽管参照前述各实施例对本申请进行了详细的说明,但本领域的普通技术人员应当理解:其依然可以对前述各实施例所记载的技术方案进行修改,或者对其中部分或者全部技术特征进行等同替换;而这些修改或者替换,并不使相应技术方案的本质脱离本申请各实施例技术方案的范围。Finally, it should be noted that the above embodiments are only used to illustrate the technical solutions of the application, not to limit it; although the application has been described in detail with reference to the foregoing embodiments, those of ordinary skill in the art should understand: It is still possible to modify the technical solutions recorded in the foregoing embodiments, or equivalently replace some or all of the technical features; and these modifications or replacements do not make the essence of the corresponding technical solutions deviate from the technical solutions of the embodiments of the present application Range.

Claims (10)

  1. 一种一次性活检钳,至少包括如下结构:A disposable biopsy forceps, at least including the following structures:
    钳头组件,包括至少两个远端能相对打开或闭合的钳头;The pliers head assembly includes at least two pliers heads whose distal ends can be relatively opened or closed;
    钳座,所述钳头近端通过连接件与所述钳座远端连接;A clamp base, the proximal end of the clamp head is connected to the distal end of the clamp base through a connecting piece;
    控制线,其远端与所述钳头组件近端连接以驱动所述钳头组件打开或闭合,A control line, the distal end of which is connected with the proximal end of the pliers head assembly to drive the pliers head assembly to open or close,
    其特征在于:Its characteristics are:
    还包括垫片,所述垫片远端侧通过所述连接件与所述钳座连接,近端侧具有两个相对设置并向近端延伸的延长部,两个所述延长部间形成延伸通道,所述控制线远端在所述延伸通道内移动。It also includes a gasket, the distal side of the gasket is connected to the clamp base through the connecting piece, the proximal side has two oppositely arranged extensions extending toward the proximal end, and an extension is formed between the two extensions Channel, the distal end of the control line moves in the extension channel.
  2. 根据权利要求1所述的一次性活检钳,其特征在于:The disposable biopsy forceps according to claim 1, wherein:
    所述钳头近端为具有滑槽的插片结构,定位于所述钳座远端的连接件容纳于所述滑槽内,当所述控制线沿所述活检钳纵轴方向前后移动时,所述连接件沿所述滑槽移动以打开或闭合所述钳头组件。The proximal end of the forceps head has an insert structure with a sliding groove, and the connecting member positioned at the distal end of the forceps base is accommodated in the sliding groove, and when the control wire moves back and forth along the longitudinal axis of the biopsy forceps , The connecting piece moves along the sliding groove to open or close the pliers head assembly.
  3. 根据权利要求2所述的一次性活检钳,其特征在于:The disposable biopsy forceps according to claim 2, wherein:
    每个所述钳头近端具有两个相互平行的具有滑槽的插片结构,两个所述插片结构上的滑槽镜像对称;相对设置的两个钳头近端的插片结构互插配合。The proximal end of each pliers head has two parallel inserting piece structures with sliding grooves, and the sliding grooves on the two inserting piece structures are mirror-symmetrical; the two oppositely arranged inserting piece structures of the proximal end of the jaws are mutually Insert fit.
  4. 根据权利要求1所述的一次性活检钳,其特征在于:The disposable biopsy forceps according to claim 1, wherein:
    所述垫片远端侧具有沿所述活检钳纵轴向远端延伸的组织限制部,所述组织限制部的远端具有径向延伸结构。The distal end of the spacer has a tissue restricting portion extending along the longitudinal axis of the biopsy forceps at the distal end, and the distal end of the tissue restricting portion has a radially extending structure.
  5. 根据权利要求4所述的一次性活检钳,其特征在于:The disposable biopsy forceps according to claim 4, characterized in that:
    所述径向延伸结构的远端面呈平面、凸面或凹面,远端面的形状呈矩形、圆形或椭圆形。The distal surface of the radially extending structure is flat, convex or concave, and the shape of the distal surface is rectangular, circular or elliptical.
  6. 根据权利要求1所述的一次性活检钳,其特征在于:The disposable biopsy forceps according to claim 1, wherein:
    所述钳座近端具有管腔通道,所述控制线位于所述管腔通道内并由近端向远端延伸;所述钳座远端对称设有向远端延伸的两个钳座臂,所述连接件将所述垫片和钳头近端连接至所述钳座臂上。The proximal end of the forceps base has a lumen channel, and the control wire is located in the lumen channel and extends from the proximal end to the distal end; the distal end of the forceps base is symmetrically provided with two forceps base arms extending distally The connecting piece connects the spacer and the proximal end of the pliers head to the arm of the pliers base.
  7. 根据权利要求6所述的一次性活检钳,其特征在于:The disposable biopsy forceps according to claim 6, characterized in that:
    所述延长部近端收纳于所述钳座的管腔通道内,以限定所述控制线径向移动。The proximal end of the extension is received in the lumen channel of the clamp base to limit the radial movement of the control wire.
  8. 根据权利要求1-7任一项所述的一次性活检钳,其特征在于:The disposable biopsy forceps according to any one of claims 1-7, characterized in that:
    所述连接件为固定销轴,所述垫片远端侧具有与所述固定销轴过盈配合的垫片销轴孔,所述垫片销轴孔为开放式或闭合式。The connecting member is a fixed pin, the distal end of the washer has a washer pin hole that is interference fit with the fixed pin, and the washer pin hole is open or closed.
  9. 根据权利要求1-7任一项所述的一次性活检钳,其特征在于:The disposable biopsy forceps according to any one of claims 1-7, characterized in that:
    所述控制线远端与所述钳头组件近端通过驱动销轴连接,所述控制线远端具有与所述驱动销轴过盈配合的控制线销轴孔,每个所述钳头近端具有与所述驱动销轴转动连接的钳头销轴孔,所述控制线远端夹设于两个钳头近端间,所述驱动销轴沿径向延伸穿过所述钳头销轴孔和控制线销轴孔,且所述驱动销轴径向上的两侧均突出于所述钳头近端外侧面,以限制所述控制线在径向上的移动。The distal end of the control wire and the proximal end of the pliers head assembly are connected by a drive pin shaft, the distal end of the control wire has a control wire pin shaft hole that is interference fit with the drive pin shaft, and each of the pliers head is close to The end has a pliers pin hole rotatably connected with the drive pin, the distal end of the control wire is clamped between the two proximal ends of the pliers, and the drive pin extends radially through the pliers pin A shaft hole and a control wire pin shaft hole, and both sides of the drive pin in the radial direction protrude from the outer surface of the proximal end of the pliers head, so as to restrict the movement of the control wire in the radial direction.
  10. 一种装配如权利要求1-9任一项所述的一次性活检钳的方法,包括如下步骤:A method for assembling the disposable biopsy forceps according to any one of claims 1-9, comprising the following steps:
    步骤1,将控制线与钳头组件连接,以实现控制线能够驱动所述钳头组件打开或闭合;Step 1. Connect the control wire to the pliers head assembly to realize that the control line can drive the pliers head assembly to open or close;
    步骤2,将步骤1中的控制线与钳头组件拉入钳头座;Step 2. Pull the control wire and clamp head assembly from step 1 into the clamp head base;
    步骤3,将连接件径向穿过钳座远端、钳头组件以及垫片;Step 3. Pass the connector radially through the distal end of the pliers base, the pliers head assembly and the gasket;
    步骤4,将连接件固定在钳座上。Step 4. Fix the connecting piece on the clamp base.
PCT/CN2019/104506 2019-08-27 2019-09-05 Disposable biopsy forceps WO2021035785A1 (en)

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CN201910794141.8A CN110876631A (en) 2019-08-27 2019-08-27 Disposable biopsy forceps

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CN111449696A (en) * 2020-05-26 2020-07-28 南微医学科技股份有限公司 Binding clip and biopsy forceps

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US5535754A (en) * 1994-03-04 1996-07-16 Doherty; Thomas E. Endoscopic biopsy forceps - disposable
US6083150A (en) * 1999-03-12 2000-07-04 C. R. Bard, Inc. Endoscopic multiple sample biopsy forceps
DE202007009315U1 (en) * 2007-06-26 2007-08-30 Aesculap Ag & Co. Kg Surgical instrument e.g. tweezers, for use during e.g. neurosurgery, has actuating sections engaging and acting together such that tool unit is movable in between two tool unit positions due to relative movement of shaft and carrier unit
CN201436988U (en) * 2009-04-02 2010-04-14 浙江苏嘉医疗器械股份有限公司 disposable biopsy forceps
US20190150968A1 (en) * 2017-11-15 2019-05-23 United States Endoscopy Group, Inc. End effectors actuation platform

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US5535754A (en) * 1994-03-04 1996-07-16 Doherty; Thomas E. Endoscopic biopsy forceps - disposable
US6083150A (en) * 1999-03-12 2000-07-04 C. R. Bard, Inc. Endoscopic multiple sample biopsy forceps
DE202007009315U1 (en) * 2007-06-26 2007-08-30 Aesculap Ag & Co. Kg Surgical instrument e.g. tweezers, for use during e.g. neurosurgery, has actuating sections engaging and acting together such that tool unit is movable in between two tool unit positions due to relative movement of shaft and carrier unit
CN201436988U (en) * 2009-04-02 2010-04-14 浙江苏嘉医疗器械股份有限公司 disposable biopsy forceps
US20190150968A1 (en) * 2017-11-15 2019-05-23 United States Endoscopy Group, Inc. End effectors actuation platform

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