WO2021042803A1 - Object removal net forceps - Google Patents

Object removal net forceps Download PDF

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Publication number
WO2021042803A1
WO2021042803A1 PCT/CN2020/095865 CN2020095865W WO2021042803A1 WO 2021042803 A1 WO2021042803 A1 WO 2021042803A1 CN 2020095865 W CN2020095865 W CN 2020095865W WO 2021042803 A1 WO2021042803 A1 WO 2021042803A1
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WO
WIPO (PCT)
Prior art keywords
net
fetching
ferrule
handle
wire
Prior art date
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PCT/CN2020/095865
Other languages
French (fr)
Chinese (zh)
Inventor
双建军
冯明浩
胡洁
沈正华
Original Assignee
南微医学科技股份有限公司
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Application filed by 南微医学科技股份有限公司 filed Critical 南微医学科技股份有限公司
Publication of WO2021042803A1 publication Critical patent/WO2021042803A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • 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
    • A61B10/04Endoscopic instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/50Instruments, other than pincettes or toothpicks, for removing foreign bodies from the human body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00358Snares for grasping

Definitions

  • This application relates to the technical field of endoscopic medical equipment, and in particular to a net forceps for retrieval.
  • Object extraction net forceps or sampling forceps are a common endoscopic surgical instrument, which is widely used to separate, recover and remove tissues or foreign objects from patients.
  • the snare can pass through the endoscopic channel, and then surround the polyp and cut off the polyp by tightening the snare or turning on an active device; while the net forceps can be released to the polyp through the endoscopic clamp channel Position, grab the cut polyp, and then withdraw the net bag to take out the polyp. Since the net-removing forceps have a strong capacity to accommodate foreign objects or tissues, compared to other retrieval devices, the net-removing forceps can take out larger foreign objects or tissues.
  • the existing fetching net pliers includes a handle, a pull cable, a catheter, and a fetching net.
  • the handle connects the catheter and the pull cable in the catheter to control the fetching net to perform the fetching action.
  • the net of the netting forceps needs to be tightly attached to the wall of the esophagus or intestine where the foreign body needs to be pulled so that the foreign body can enter the net bag.
  • the field of vision under the endoscope is limited, and the operating space is narrow, making it difficult to close the net clamp to the wall of the digestive tract.
  • the capacity of a single net bag is limited and only small foreign objects can be grasped, it cannot be grasped at one time when facing large foreign objects, which will increase the number of grasping.
  • the present application provides a net-grabbing forceps to solve the problem that the existing net-grabbing forceps have a small amount of grasping foreign objects in the body at one time and need to be repeatedly grasped, thereby reducing the number of grasping.
  • the present application provides a fetching net pliers, including: a handle, a catheter, a pull cable, and a plurality of fetching nets.
  • a fetching net pliers including: a handle, a catheter, a pull cable, and a plurality of fetching nets.
  • the proximal end of the catheter is connected to the handle;
  • the pull cable is arranged inside the catheter, and the proximal end of the pull cable is connected to the handle; and a plurality of fetching nets are connected to the distal end of the pull cable.
  • the fetching net includes a net bag, and a ferrule wire connected to the edge of the opening of the net bag; the ferrule wire is connected to the handle through the cable, so that the handle is used to control the production of the ferrule wire Elastically deforming, so that the opening of the net bag is opened or tightened; the ferrule wire is shaped into a curved structure, and the ferrule wire can be straightened into the duct under the traction of the cable, and Extend in the catheter and resume bending.
  • the handle includes a handle body, and a control slider slidably connected to the handle body;
  • the handle body is a hollow tubular structure, and the handle body is fixed at the proximal end of the catheter; the control slider passes through the wall tube of the handle body, and the inside of the handle body is connected to the cable Near end.
  • the handle body is provided with a plurality of the control sliders that are the same as the number of the fetching net; a plurality of pull cables are arranged inside the catheter; and the plurality of control sliders are connected to each by a pull cable.
  • the ferrule wire is used to individually control the opening or tightening of the fetching net.
  • the handle body is provided with one control slider; the ferrule wires in a plurality of fetching nets are jointly connected to the distal end of the pull cable, so that the single control slider is linked to control the The fetching net is opened or tightened.
  • the handle further includes a positioning cap and a positioning block;
  • the handle body is connected to the catheter through the positioning cap; the positioning block has elasticity, can be clamped on the handle body, and can slide back and forth on the handle.
  • the fetching net includes two sections of ferrule wires; the ferrule wire includes bending outwards relative to other fetching nets, and the two sections of ferrule steel wires of the same fetching net are mutually Separated bend.
  • the outward bending angle of the ferrule wire relative to the other fetching nets is 30°-140°.
  • the ferrule steel wire passes through the grid space at the edge of the opening of the net bag at intervals, and the distal end of the ferrule steel wire is fixedly connected to the net bag in a binding manner.
  • the surface of the ferrule steel wire is covered with a hose, the hose can slide relative to the ferrule steel wire, and the opening edge of the net bag is fixedly connected to the pipe wall of the hose.
  • the edge of the opening of the net bag is connected to the ferrule steel wire in a binding manner.
  • the fetching net further includes a riveting tube, and the ferrule wire is connected to the distal end of the cable through the riveting tube.
  • the fetching net pliers further includes an injection luer connector; the injection luer connector is arranged between the catheter and the handle, and the luer of the injection luer connector communicates with the catheter.
  • an object retrieval net pliers including: a handle, a catheter, a pull cable and a plurality of retrieval nets.
  • the pull cable is arranged inside the catheter, the proximal end is connected with a handle, and the distal end is connected with multiple fetching nets.
  • the fetching net further includes a net bag, and a ferrule wire connected to the edge of the opening of the net bag; the ferrule wire is connected to a handle through a cable, so that the handle controls the elastic deformation of the ferrule wire to open or tighten the opening of the net bag;
  • the ferrule wire is shaped into a curved structure, so that a plurality of fetching nets are mutually opened at a preset angle.
  • the retrieval net forceps provided by the present application increase the holding capacity of foreign objects through multiple net pockets, can conveniently retrieve foreign objects in a patient, have flexible operation, can grasp a large number of small-volume foreign objects at one time, effectively reduce the number of retrievals and reduce operation time.
  • Fig. 1 is a schematic diagram of the structure of a net pliers for fetching objects in this application;
  • Fig. 2 is a schematic cross-sectional structure diagram of a net pliers for fetching objects according to the present application
  • Fig. 3 is a schematic diagram of the structure of another netting pliers of the application.
  • Fig. 4 is a schematic cross-sectional structure diagram of another netting pliers according to the present application.
  • the distal end the end of the entire device placed in the human body
  • this end is mainly used to perform surgical actions on the tissue
  • the end outside the body is called the proximal end, and this end is mainly used Operate by the operator of the operation.
  • the distal end of each component refers to the end close to the side inside the body
  • the proximal end of each component refers to the end close to the side outside the body.
  • the retrieval net pliers provided in the present application include: a handle 1, a catheter 2, a pull cable 3, and a plurality of retrieval nets 4.
  • the handle 1 is used for performing surgical actions, and may include a handle body 11 and a control slider 12 slidably connected to the handle body 11.
  • the handle body 11 is a hollow tubular structure, and the handle body 11 is fixed at the proximal end of the catheter 2; the control slider 12 passes through the wall tube of the handle body 11 and is located inside the handle body 11 Connect the proximal end of the cable 3.
  • the net structure referred to in the fetching net 4 has a broad sense. As long as the fetching net 4 can prevent the penetration of foreign objects, it belongs to the protection scope of this application. That is, the fetching net 4 includes both a mesh hollow structure in the traditional sense and a polymer membrane structure. Among them, the polymer membrane structure can permeate some substances (such as liquid), or it can prevent any substance from permeating.
  • the inner core of the handle body 11 is provided with a cavity for introducing the proximal end of the cable 3.
  • the control slider 12 can slide on the handle body 11, and pass through the chute on the handle body 11 to connect the proximal end of the cable 3 to pull the cable 3 to move, and the fetching net 4 completes the opening and closing.
  • the control slider 12 can also be provided with operating components.
  • the operating components can be two circular rings provided on the slider, and a circular ring is also provided on the end of the handle body 11.
  • the slider The two rings on the top can be used to insert two fingers, such as the index finger and the middle finger, respectively; the ring on the end is used to insert the thumb, and the control slider 12 can be moved by the force of the kneading of the fingers.
  • the handle 1 further includes a positioning cap 13 and a positioning block 14; the handle body 11 is connected to the catheter 2 through the positioning cap 13; the positioning block 14 is elastic and can be clipped to the handle
  • the main body 11 can be slid back and forth on the handle body 11.
  • the positioning cap 13 can fix the catheter 2 and the handle body 11 through a threaded connection or a glued connection.
  • the positioning block 14 can not only slide on the handle body 11, but also can be fixed at any position on the handle body 11, thereby limiting the position of the control slider 12 and facilitating the implementation of surgical operations.
  • the implementation handle body 11 may also be provided with a scale mark to determine different positioning distances for different patient conditions, so as to adjust the position of the positioning block 14.
  • the position of the net bag 41 can be fixed by the corresponding slider to prevent loosening and causing the foreign object to fall off; at this time, other sliders can be conveniently operated to control another The net bag 41 performs fetching.
  • the proximal end of the catheter 2 is connected to the handle 1.
  • one end (proximal end) of the catheter 2 is located outside the patient's body, and the other end (distal end) extends into the patient's body.
  • the catheter 2 may be a plastic hose, and optionally a spirally extending support spring is arranged inside it, so that the catheter 2 can still maintain a tubular state when being squeezed by the tissues of the sidewall of the digestive tract, so as to avoid affecting the actions of internal devices.
  • the cable 3 is arranged inside the catheter 2, and the proximal end of the cable 3 is connected to the handle 1.
  • the cable 3 serves as an action transmission component, which can transmit the force applied by the operator to the retrieval net 4 at the distal position. Therefore, the length of the cable 3 is greater than the length of the catheter 2.
  • the cable 3 can be a stainless steel multi-strand wire or a single wire to be able to transmit thrust and tension.
  • the fetching net 4 includes a net bag 41 and a ferrule wire 42 connected to the edge of the opening of the net bag 41; the ferrule wire 42 is connected to the handle 1 through the cable 3 , In order to control the elastic deformation of the ferrule wire 42 through the handle 1 to open or tighten the opening of the net bag 41; the ferrule wire 42 is shaped into a curved structure, so that the ferrule wire 42 It can be straightened into the catheter 2 under the traction of the cable 3, and can be stretched out of the catheter 2 to resume bending.
  • the ferrule wire 42 can be gathered in the catheter 2 before performing the operation, and under the restriction of the wall of the catheter 2, it can be in a straight state.
  • the sliding block on the handle 2 can be pushed to the distal end to push the ferrule wire 42 out of the catheter 2. Since the catheter 2 no longer restricts the ferrule wire 42, the ferrule wire 42 will be restored to a fixed curved shape under the action of elastic force.
  • the shaped and curved shape can expand the opening of the retrieval net 4 to increase the retrieval area and facilitate retrieval.
  • the retrieval net 4 can be folded in the catheter 2, so as to facilitate the catheter 2 to walk in the forceps of the endoscope and facilitate the retrieval of the retrieval net.
  • the forceps are inserted into the human body through an endoscope to perform the operation. It is also possible to expand the opening of the fetching net through a shaped curved structure, and to form a structure in which a plurality of fetching nets are open to each other, which is convenient for fetching and reduces the operation difficulty of the operation.
  • the fetching net 4 includes two sections of ferrule steel wire 42; the bending structure of the ferrule steel wire 42 includes the outward bending relative to the other fetching nets 4, and the same
  • the two sections of the ferrule wire 42 of the material net 4 are bent apart from each other.
  • the angle between the fetching nets 4 outwardly bends, so that an open opening can be formed between the fetching nets 4, so that foreign objects can be collected between the two fetching nets 4 through the opened opening.
  • the outward bending angle of the ferrule wire 42 with respect to the other fetching nets 4 should not be too small, so that the fetching net 4 can collect larger foreign matter.
  • the ferrule wire 42 The outward bending angle of the fetching net 4 should not be too large to ensure that the fetching steel wire 42 can be completely retracted into the catheter 2.
  • the outward bending angle of the ferrule wire 42 of one fetching net 4 relative to the ferrule wire 42 of the other fetching net 4 is 30°-140°. That is, the outward bending angle of the ferrule wire 42 of each fetching net 4 is 15°-70°.
  • Such an angle can not only meet the fetching requirements of most foreign objects, but also make the ferrule wire 42 fully maintain elasticity. Can be straightened, tightened and restored to bend.
  • the retrieval net 4 includes two sections of ferrule wires 42 means that in actual application, each retrieval net 4 can be composed of two ferrule wires 42, and The distal end of the ferrule wire 42 is connected by components such as a head end cap, or two ferrule wires 42 are directly welded to form at the distal end. It can also be formed by bending a ferrule wire 42, that is, by bending the middle part of a ferrule wire 42 to maintain the distal bending structure, so that the two ferrule wires 42 on both sides of the distal end can produce It is elastically deformed, so that the opening of the fetching net 4 is folded and opened.
  • the fetching net 4 further includes a riveting tube 43, and the ferrule wire 42 is connected to the distal end of the cable 3 through the riveting tube 43.
  • the distal end of the retrieval net pliers is first extended into the clamp channel of the endoscope, and then the distal end of the retrieval net pliers is placed at the target position.
  • Position the positioning block 14 to the required scale, and the positioning block 14 can act as a stop for the control slider 12.
  • the booster tube fixed on the control slider 12 can push the cable 3, so that the cable 3 pushes the ferrule wire 42 riveted to it, and the ferrule wire 42 drives the net pocket 41 compressed in the duct 2
  • the entire fetching net 4 is pushed out of the catheter 2, and is fully expanded by the elastic force of the ferrule wire 42.
  • the booster tube drives the cable 3
  • the cable 3 drives the ferrule wire 42 to shrink the opening of the net bag 41.
  • the foreign matter is pushed into the inside of the retrieval net 4 by the edge of the ferrule wire 42, and then is tightly wrapped in the retrieval net 4.
  • the retrieval net 4 wrapped with the foreign body will be clamped to the distal end of the catheter 2, and at this time, the entire retrieval net forceps and the endoscope are pulled out together.
  • two or more fetching nets 4 can be arranged at the distal end of the cable 3 to increase the amount of foreign bodies captured each time and increase the ability to capture large-volume foreign bodies.
  • this application uses the following embodiments to illustrate the control form of the pull cable 3 on the two fetching nets 4, that is, the fetching net 4 can be controlled by a single handle and a single control slider.
  • Two net pockets 41 enter and exit the duct 2 at the same time; two control sliders 12 can also be used to control the two fetch nets 4 respectively, so that the operation of the entire fetch net pliers is flexible and has good adaptability.
  • the handle body 11 is provided with a control slider 12; the ferrule wires 42 in the plurality of fetching nets 4 are commonly connected to each other.
  • the distal end of the cable 3 is linked to control the opening or tightening of the fetching net 4 through a single control slider 12.
  • the ferrule wire 42 is riveted with the cable 3 through the riveting tube 43, the cable 3 is wrapped in the pipe 2, and the pipe 2 is glued to the nut, and is threaded to the positioning cap 13 through the nut, and the positioning cap 13 is connected to the handle.
  • the main body 11 is fixed by a groove.
  • the positioning block 14 has certain elasticity, can be clamped on the handle body 11, and can slide relatively.
  • the control slider 12 cooperates with the handle body 11 to control the fetching action.
  • the control slider 12 can also slide back and forth on the handle body 11.
  • the control slider 12 can be riveted with the booster tube inside the handle body 11 to realize the connection with the cable 3 and complete the assembly.
  • the size of the foreign body can be initially determined through an endoscope or imaging equipment, and then the retrieval net 4 can be contracted in the catheter 2 by pulling back the control slider 12, and then the retrieval net 4 can be removed through the endoscope clamp channel. Place it in the target location. Then push the control slider 12 to the position of the positioning block 14 to fully open the fetching net. Then slowly pull back the control slider 12 to shrink the fetching net 4 to wrap the foreign objects, and then push the positioning block 14 to the target scale for positioning to prevent the control slider 12 from sliding when the finger is released. The net 4 will be stuck at the distal end of the catheter 2. Finally, slowly pull out the entire net forceps and the endoscope to remove the foreign body outside the body. If necessary, the retrieval net 4 can be retracted into the catheter 2 first, and then the retrieval net forceps can be extended into the endoscope forceps channel to retrieve the object.
  • the handle body 11 is provided with a plurality of the control sliders 12 in the same number as the fetching net 4; A plurality of pull cables 3; a plurality of the control sliders 12 are respectively connected to each ferrule wire 42 through the pull cables 3 to individually control the opening or tightening of the fetching net 4.
  • the ferrule wire 42 can be elastically deformed under the pulling force of the cable 3, thereby controlling the opening and closing of the net bag 41. Therefore, the ferrule wire 42 and the opening edge of the net bag 41 must be able to produce a certain amount of relative sliding to ensure the flexibility of the opening and closing process of the net bag 41. Therefore, the ferrule wire 42 and the net bag 41 41
  • the connection mode of the edge of the opening includes but not limited to the following three forms:
  • the ferrule wires 42 pass through the grid space at the edge of the opening of the net bag 41 at intervals, and the distal end of the ferrule wires 42 is fixedly connected to the net bag 41 by means of tying. That is, in this embodiment, the ferrule wire 42 passes through the grid space at intervals to connect the opening edges of the entire net bag 41 in series. At this time, it is necessary to fix the net bag 41 and the ferrule wire 42 at the foremost end of the ferrule wire 42.
  • the specific fixing method can be a wire binding method.
  • the net bag 41 is opened when the ferrule wire 42 is elastically deformed, and the net bag 41 is tightened after the ferrule wire 42 recovers its shape.
  • the surface of the ferrule steel wire 42 is covered with a hose, and the opening edge of the net bag 41 is fixedly connected to the pipe wall of the hose.
  • the hose covered on the ferrule wire 42 may be a polymer tube made of plastic material, which can be flexibly controlled with a lower tube body hardness, and then the net bag 41 and the polymer tube are heat-melted and fixed on the ferrule wire 42.
  • the ferrule wire 42 is elastically deformed and bent, the opening edge of the net bag 41, the hose, and the ferrule wire 42 are thermally fused together, so that the ferrule wire 42 can support the polymer tube, and the polymer tube is also deformed.
  • the net bag 41 is driven to open, and after the ferrule wire 42 returns to its shape, the polymer tube also returns to its shape, so that the net bag 41 is tightened.
  • the edge of the opening of the net bag 41 is connected to the ferrule wire 42 in a binding manner.
  • the net bag 41 and the ring wire 42 are fixed by a binding method, and the net bag 41 can be tied up along the edge of the ring wire 42 with a thin nylon rope.
  • the net bag 41 can be opened when the ferrule wire 42 is elastically deformed, and the net bag 41 can be tightened after the loop wire 42 is restored to its shape.
  • control slider 12 can be set on one handle 1, or they can be set on two or two respectively. More than two handles 1. In practical applications, it is preferably made on a handle 1 to achieve the purpose of simplifying the structure and convenient operation.
  • the fetching net pliers further includes an injection luer connector 5; the injection luer connector 5 is arranged on the catheter 2, and the inner part of the injection luer connector 5 The cavity communicates with the conduit 2.
  • the ferrule wire 42 is riveted with the cable 3 through the riveting tube 43, the cable 3 is wrapped in the pipe 2, the pipe 2 is glued to the nut, the nut is glued to the injection luer connector 5, and the injection luer connector 5 Then it is fixed with the handle body 11 through the groove, and the assembly is completed.
  • injection can be carried out through the injection luer connector 5, so that multiple net pockets 41 can be pushed out of the catheter 2 to reduce the friction of the contact part, and the corresponding medical solution, physiological saline or other can be delivered when the operation requires liquid.
  • a netting pliers including: a handle 1, a catheter 2, a pull cable 3, and a plurality of nets 4 for retrieval.
  • the cable 3 is arranged inside the catheter 2, the proximal end is connected to the handle 1, and the distal end is connected to a plurality of fetching nets 4.
  • the fetching net 4 further includes a net bag 41 and a ferrule wire 42 connected to the edge of the opening of the net bag 41; the ferrule wire 42 is connected to the handle 1 through the cable 3, so that the handle 1 controls the ferrule wire 42 to produce elastic deformation, and
  • the opening of the net bag 41 is opened or tightened; the ferrule steel wire 42 is shaped into a curved structure, so that a plurality of fetching nets are mutually opened at a predetermined angle.
  • the retrieval net forceps provided by the present application increase the holding capacity of foreign objects through multiple net pockets, can conveniently retrieve foreign objects in a patient, have flexible operation, can grasp a large number of small-volume foreign objects at one time, effectively reduce the number of retrievals and reduce operation time.

Abstract

Disclosed is a pair of object removal net forceps, comprising a handle (1), a catheter (2), a pull cable (3), and a plurality of object removal nets (4). The pull cable (3) is arranged inside the catheter (2), with a proximal end thereof being connected to the handle (1), and a distal end thereof being connected to the plurality of object removal nets (4). Each object removal net (4) comprises a net bag (41), and a loop steel wire (42) connected to an edge of an opening of the net bag (41), wherein the loop steel wire (42) is connected to the handle (1) via the pull cable (3), such that the loop steel wire (42) is controlled by the handle (1) to generate elastic deformation in order to open or close the net bag (41); and the loop steel wire (42) is shaped into a bent structure, such that the plurality of object removal nets (4) open with a preset angle therebetween. The object removal net forceps have an improved foreign matter holding capacity due to the plurality of net bags (41), can conveniently remove foreign matter from the patient's body, is flexible in operation, and can remove a large amount of small-volume foreign matter in one step, thereby effectively reducing the number of operations needed for object removal and shortening the operation time.

Description

一种取物网钳Net pliers for fetching
本申请要求在2019年9月5日提交中国专利局、申请号为201910835972.5、发明名称为“一种取物网钳”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 a Chinese patent application filed with the Chinese Patent Office, the application number is 201910835972.5, and the invention title is "a kind of fetching net pliers" on September 5, 2019, the entire content of which is incorporated into this application by reference.
技术领域Technical field
本申请涉及内镜医疗器械技术领域,尤其涉及一种取物网钳。This application relates to the technical field of endoscopic medical equipment, and in particular to a net forceps for retrieval.
背景技术Background technique
取物网钳或取样钳是一种常见的内镜手术器械,被广泛用于从患者体内分离、回收和取出组织或异物。例如,在内镜息肉切除手术中,圈套器能通过内镜通道,然后环绕息肉并通过收紧圈套或接通有源设备来切断息肉;而取物网钳能通过内镜钳道释放到息肉位置,抓取切割下来的息肉,然后撤回网兜,取出息肉。由于取物网钳对异物或组织的容纳能力较强,因此,相对于其他取物器械,取物网钳能取出体积较大的异物或组织。Object extraction net forceps or sampling forceps are a common endoscopic surgical instrument, which is widely used to separate, recover and remove tissues or foreign objects from patients. For example, in endoscopic polypectomy, the snare can pass through the endoscopic channel, and then surround the polyp and cut off the polyp by tightening the snare or turning on an active device; while the net forceps can be released to the polyp through the endoscopic clamp channel Position, grab the cut polyp, and then withdraw the net bag to take out the polyp. Since the net-removing forceps have a strong capacity to accommodate foreign objects or tissues, compared to other retrieval devices, the net-removing forceps can take out larger foreign objects or tissues.
现有的取物网钳包括手柄、拉索、导管以及取物网,其中手柄通过连接导管和导管内的拉索,控制取物网实施取物动作。在抓取异物时,需要将取物网钳的取物网紧贴在需要套取异物的食道或肠道壁上,以便异物能够进入到网兜内部。然而在内镜下视野有限,而且操作空间狭小,将网钳紧贴在消化道壁上的难度偏大。同时由于单个网兜的容量有限,且只能对小的异物进行抓取,在面对较大异物时不能一次性抓取,会增加抓取次数。The existing fetching net pliers includes a handle, a pull cable, a catheter, and a fetching net. The handle connects the catheter and the pull cable in the catheter to control the fetching net to perform the fetching action. When grabbing a foreign body, the net of the netting forceps needs to be tightly attached to the wall of the esophagus or intestine where the foreign body needs to be pulled so that the foreign body can enter the net bag. However, the field of vision under the endoscope is limited, and the operating space is narrow, making it difficult to close the net clamp to the wall of the digestive tract. At the same time, because the capacity of a single net bag is limited and only small foreign objects can be grasped, it cannot be grasped at one time when facing large foreign objects, which will increase the number of grasping.
另外,由于取物网钳在抓取异物后不能进入内窥镜钳道,需要将内窥镜与网钳同时取出,现有网钳需要分若干次进行抓取,同时内窥镜也要来回进出若干次,这会对患者的消化道粘膜造成二次伤害,手术过程中也会引起患者不适。对于量大且体积小的异物,需要进行分次抓取,现有取物网钳的应用具有很大的局限性。In addition, since the net forceps cannot enter the endoscope forceps after grasping foreign objects, the endoscope and net forceps need to be taken out at the same time. The existing net forceps need to be grasped several times, and the endoscope must go back and forth. Entering and exiting several times will cause secondary damage to the gastrointestinal mucosa of the patient, and will also cause discomfort to the patient during the operation. Large and small foreign objects need to be grasped in stages, and the application of the existing fetching net pliers has great limitations.
发明内容Summary of the invention
本申请提供了一种取物网钳,以解决现有取物网钳对体内异物的一次抓取量小,需要重复进行抓取的问题,减少抓取次数。The present application provides a net-grabbing forceps to solve the problem that the existing net-grabbing forceps have a small amount of grasping foreign objects in the body at one time and need to be repeatedly grasped, thereby reducing the number of grasping.
本申请提供一种取物网钳,包括:手柄、导管、拉索以及多个取物网。其中,导管的近端连接所述手柄;拉索设置在所述导管内部,所述拉索的近端连接手柄;多个取物网连接所述拉索的远端。The present application provides a fetching net pliers, including: a handle, a catheter, a pull cable, and a plurality of fetching nets. Wherein, the proximal end of the catheter is connected to the handle; the pull cable is arranged inside the catheter, and the proximal end of the pull cable is connected to the handle; and a plurality of fetching nets are connected to the distal end of the pull cable.
其中,所述取物网包括网兜,以及连接在所述网兜开口边缘的套圈钢丝;所述套圈钢丝通过所述拉索连接所述手柄,以通过所述手柄控制所述套圈钢丝产生弹性变形,从而使所述网兜的开口张开或收紧;所述套圈钢丝定型为弯曲结构,所述套圈钢丝可在所述拉索的牵引下被拉直进入所述导管内,以及在所述导管中伸出恢复弯曲。Wherein, the fetching net includes a net bag, and a ferrule wire connected to the edge of the opening of the net bag; the ferrule wire is connected to the handle through the cable, so that the handle is used to control the production of the ferrule wire Elastically deforming, so that the opening of the net bag is opened or tightened; the ferrule wire is shaped into a curved structure, and the ferrule wire can be straightened into the duct under the traction of the cable, and Extend in the catheter and resume bending.
可选的,所述手柄包括手柄主体,以及滑动连接在所述手柄主体上的控制滑块;Optionally, the handle includes a handle body, and a control slider slidably connected to the handle body;
所述手柄主体为中空管状结构,所述手柄主体固定在所述导管的近端;所述控制滑块穿过所述手柄主体的壁管,在所述手柄主体的内部连接所述拉索的近端。The handle body is a hollow tubular structure, and the handle body is fixed at the proximal end of the catheter; the control slider passes through the wall tube of the handle body, and the inside of the handle body is connected to the cable Near end.
可选的,所述手柄主体上设有与取物网数量相同多个所述控制滑块;所述导管内部设 有多条拉索;多个所述控制滑块分别通过拉索连接每个套圈钢丝,以单独控制所述取物网张开或收紧。Optionally, the handle body is provided with a plurality of the control sliders that are the same as the number of the fetching net; a plurality of pull cables are arranged inside the catheter; and the plurality of control sliders are connected to each by a pull cable. The ferrule wire is used to individually control the opening or tightening of the fetching net.
可选的,所述手柄主体上设有一个所述控制滑块;多个取物网中的套圈钢丝共同连接所述拉索的远端,以通过单个所述控制滑块联动控制所述取物网张开或收紧。Optionally, the handle body is provided with one control slider; the ferrule wires in a plurality of fetching nets are jointly connected to the distal end of the pull cable, so that the single control slider is linked to control the The fetching net is opened or tightened.
可选的,所述手柄还包括设置定位帽和定位块;Optionally, the handle further includes a positioning cap and a positioning block;
所述手柄主体通过所述定位帽连接所述导管;所述定位块具有弹性,可卡接在所述手柄主体上,并能够在所述手柄上往复滑动。The handle body is connected to the catheter through the positioning cap; the positioning block has elasticity, can be clamped on the handle body, and can slide back and forth on the handle.
可选的,所述取物网包括两段套圈钢丝;所述套圈钢丝包括相对于其他所述取物网向外的弯曲,以及同一所述取物网两段套圈钢丝之间相互分离的弯曲。Optionally, the fetching net includes two sections of ferrule wires; the ferrule wire includes bending outwards relative to other fetching nets, and the two sections of ferrule steel wires of the same fetching net are mutually Separated bend.
可选的,所述套圈钢丝相对于其他所述取物网向外的弯曲角度为30°-140°。Optionally, the outward bending angle of the ferrule wire relative to the other fetching nets is 30°-140°.
可选的,所述套圈钢丝间隔穿过所述网兜开口边缘位置上的网格空间,所述套圈钢丝的远端,通过捆扎方式固定连接所述网兜。Optionally, the ferrule steel wire passes through the grid space at the edge of the opening of the net bag at intervals, and the distal end of the ferrule steel wire is fixedly connected to the net bag in a binding manner.
可选的,所述套圈钢丝表面包覆有软管,所述软管可相对于所述套圈钢丝滑动,所述网兜的开口边缘固定连接所述软管的管壁上。Optionally, the surface of the ferrule steel wire is covered with a hose, the hose can slide relative to the ferrule steel wire, and the opening edge of the net bag is fixedly connected to the pipe wall of the hose.
可选的,所述网兜的开口边缘通过捆扎的方式连接在所述套圈钢丝上。Optionally, the edge of the opening of the net bag is connected to the ferrule steel wire in a binding manner.
可选的,所述取物网还包括铆接管,所述套圈钢丝通过所述铆接管连接在所述拉索的远端。Optionally, the fetching net further includes a riveting tube, and the ferrule wire is connected to the distal end of the cable through the riveting tube.
可选的,所述取物网钳还包括注射鲁尔接头;所述注射鲁尔接头设置在所述导管与所述手柄之间,所述注射鲁尔接头的内腔连通所述导管。Optionally, the fetching net pliers further includes an injection luer connector; the injection luer connector is arranged between the catheter and the handle, and the luer of the injection luer connector communicates with the catheter.
由以上技术方案可知,本申请提供一种取物网钳包括:手柄、导管、拉索以及多个取物网。其中,拉索设置在导管内部,近端连接手柄,远端连接多个取物网。所述取物网进一步包括网兜,以及连接在网兜开口边缘的套圈钢丝;套圈钢丝通过拉索连接手柄,以通过手柄控制套圈钢丝产生弹性变形,而张开或收紧网兜的开口;套圈钢丝定型为弯曲结构,以使多个取物网之间相互张开预设角度。本申请提供的取物网钳通过多个网兜提高异物容纳量,能够方便地在患者体内取出异物,操作灵活,能一次抓取大量小体积异物,有效减少取物次数,减少手术时间。It can be seen from the above technical solutions that the present application provides an object retrieval net pliers including: a handle, a catheter, a pull cable and a plurality of retrieval nets. Wherein, the pull cable is arranged inside the catheter, the proximal end is connected with a handle, and the distal end is connected with multiple fetching nets. The fetching net further includes a net bag, and a ferrule wire connected to the edge of the opening of the net bag; the ferrule wire is connected to a handle through a cable, so that the handle controls the elastic deformation of the ferrule wire to open or tighten the opening of the net bag; The ferrule wire is shaped into a curved structure, so that a plurality of fetching nets are mutually opened at a preset angle. The retrieval net forceps provided by the present application increase the holding capacity of foreign objects through multiple net pockets, can conveniently retrieve foreign objects in a patient, have flexible operation, can grasp a large number of small-volume foreign objects at one time, effectively reduce the number of retrievals and reduce operation time.
附图说明Description of the drawings
图1为本申请一种取物网钳的结构示意图;Fig. 1 is a schematic diagram of the structure of a net pliers for fetching objects in this application;
图2为本申请一种取物网钳的剖视结构示意图;Fig. 2 is a schematic cross-sectional structure diagram of a net pliers for fetching objects according to the present application;
图3为本申请另一种取物网钳的结构示意图;Fig. 3 is a schematic diagram of the structure of another netting pliers of the application;
图4本申请另一种取物网钳的剖视结构示意图。Fig. 4 is a schematic cross-sectional structure diagram of another netting pliers according to the present application.
具体实施方式detailed description
下面将详细地对实施例进行说明,其示例表示在附图中。下面的描述涉及附图时,除非另有表示,不同附图中的相同数字表示相同或相似的要素。以下实施例中描述的实施方式并不代表与本申请相一致的所有实施方式。仅是与权利要求书中所详述的、本申请的一些方面相一致的系统和方法的示例。The embodiments will be described in detail below, and examples thereof are shown in the accompanying drawings. When the following description refers to the drawings, unless otherwise indicated, the same numbers in different drawings indicate the same or similar elements. The implementation manners described in the following examples do not represent all implementation manners consistent with this application. It is only an example of a system and method consistent with some aspects of the application as detailed in the claims.
本申请提供的技术方案中,为了便于描述,将整个装置置入人体内的一端称为远端,这一端主要用于对组织实施手术动作;位于体外的一端称为近端,这一端主要用于手术实 施者进行操作。本申请除另有说明外,各部件所称的远端都是靠近体内一侧的一端,各部件所称的近端都是指靠近体外一侧的一端。In the technical solution provided in this application, for ease of description, the end of the entire device placed in the human body is called the distal end, and this end is mainly used to perform surgical actions on the tissue; the end outside the body is called the proximal end, and this end is mainly used Operate by the operator of the operation. Unless otherwise specified in the present application, the distal end of each component refers to the end close to the side inside the body, and the proximal end of each component refers to the end close to the side outside the body.
参见图1,为本申请一种取物网钳的结构示意图。由图1可知,本申请提供的取物网钳包括:手柄1、导管2、拉索3以及多个取物网4。其中,手柄1用于实施手术动作,可以包括手柄主体11,以及滑动连接在所述手柄主体11上的控制滑块12。所述手柄主体11为中空管状结构,所述手柄主体11固定在所述导管2的近端;所述控制滑块12穿过所述手柄主体11的壁管,在所述手柄主体11的内部连接所述拉索3的近端。Refer to Fig. 1, which is a schematic diagram of the structure of a net pliers for fetching in this application. As can be seen from FIG. 1, the retrieval net pliers provided in the present application include: a handle 1, a catheter 2, a pull cable 3, and a plurality of retrieval nets 4. Wherein, the handle 1 is used for performing surgical actions, and may include a handle body 11 and a control slider 12 slidably connected to the handle body 11. The handle body 11 is a hollow tubular structure, and the handle body 11 is fixed at the proximal end of the catheter 2; the control slider 12 passes through the wall tube of the handle body 11 and is located inside the handle body 11 Connect the proximal end of the cable 3.
需要说明的是,在本申请提供的技术方案中,所述取物网4中所称的网结构具有广义性,只要取物网4能够阻止异物透过,都属于本申请的保护范围。即,所述取物网4既包括传统意义上的网状镂空结构,又包括高分子膜结构。其中,高分子膜结构可以透过部分物质(如液体),也可以是阻止任何物质透过。It should be noted that in the technical solution provided by this application, the net structure referred to in the fetching net 4 has a broad sense. As long as the fetching net 4 can prevent the penetration of foreign objects, it belongs to the protection scope of this application. That is, the fetching net 4 includes both a mesh hollow structure in the traditional sense and a polymer membrane structure. Among them, the polymer membrane structure can permeate some substances (such as liquid), or it can prevent any substance from permeating.
实际应用中,手柄主体11的内芯设有空腔,以引入拉索3的近端。控制滑块12可以在手柄主体11上滑动,并且穿过手柄主体11上的滑槽连接拉索3的近端,以牵引拉索3进行移动,取物网4完成开启和闭合。为了便于操作,控制滑块12上还可以设有操作部件,操作部件可以为设置在滑块上的两个圆环,并且在手柄主体11末端上也设有圆环,实际应用中,滑块上的两个圆环可以分别用于插入两个手指,如食指和中指;末端上的圆环用于插入拇指,以通过手指捏合的力量移动控制滑块12。In practical applications, the inner core of the handle body 11 is provided with a cavity for introducing the proximal end of the cable 3. The control slider 12 can slide on the handle body 11, and pass through the chute on the handle body 11 to connect the proximal end of the cable 3 to pull the cable 3 to move, and the fetching net 4 completes the opening and closing. In order to facilitate the operation, the control slider 12 can also be provided with operating components. The operating components can be two circular rings provided on the slider, and a circular ring is also provided on the end of the handle body 11. In practical applications, the slider The two rings on the top can be used to insert two fingers, such as the index finger and the middle finger, respectively; the ring on the end is used to insert the thumb, and the control slider 12 can be moved by the force of the kneading of the fingers.
进一步地,所述手柄1还包括设置定位帽13和定位块14;所述手柄主体11通过所述定位帽13连接所述导管2;所述定位块14具有弹性,可卡接在所述手柄主体11上,并能够在所述手柄主体11上往复滑动。定位帽13可以通过螺纹连接或胶合连接的方式将导管2与手柄主体11进行固定。定位块14不仅可以在手柄主体11上滑动,而且能够在手柄主体11上的任意位置上进行固定,从而限制控制滑块12的位置,方便实施手术操作。另外,为了便于进行定位控制,实施手柄主体11上还可以设置有刻度标识,针对不同患者情况,确定不同的定位距离,从而调节定位块14的位置。并且,本实施例还可以在一个网兜41套住异物后,通过对应的滑块将网兜41位置固定,防止松开,导致异物脱落;此时,可以很方便的操作其他滑块以控制另一个网兜41进行取物。Further, the handle 1 further includes a positioning cap 13 and a positioning block 14; the handle body 11 is connected to the catheter 2 through the positioning cap 13; the positioning block 14 is elastic and can be clipped to the handle The main body 11 can be slid back and forth on the handle body 11. The positioning cap 13 can fix the catheter 2 and the handle body 11 through a threaded connection or a glued connection. The positioning block 14 can not only slide on the handle body 11, but also can be fixed at any position on the handle body 11, thereby limiting the position of the control slider 12 and facilitating the implementation of surgical operations. In addition, in order to facilitate positioning control, the implementation handle body 11 may also be provided with a scale mark to determine different positioning distances for different patient conditions, so as to adjust the position of the positioning block 14. In addition, in this embodiment, after a foreign object is covered in one net bag 41, the position of the net bag 41 can be fixed by the corresponding slider to prevent loosening and causing the foreign object to fall off; at this time, other sliders can be conveniently operated to control another The net bag 41 performs fetching.
导管2近端连接所述手柄1。实际应用中,导管2的一端(近端)位于患者的体外部分,另一端(远端)延伸到患者的体内。导管2可以为塑料软管,并且可选其内部设有螺旋延伸的支撑弹簧,使导管2在受到消化道侧壁组织的挤压时,仍然能够保持管状状态,避免影响到内部器件的动作。The proximal end of the catheter 2 is connected to the handle 1. In practical applications, one end (proximal end) of the catheter 2 is located outside the patient's body, and the other end (distal end) extends into the patient's body. The catheter 2 may be a plastic hose, and optionally a spirally extending support spring is arranged inside it, so that the catheter 2 can still maintain a tubular state when being squeezed by the tissues of the sidewall of the digestive tract, so as to avoid affecting the actions of internal devices.
如图2所示,拉索3设置在所述导管2内部,所述拉索3的近端连接手柄1。拉索3作为动作传递部件,可以将手术者实施的作用力传递给远端位置上的取物网4,因此拉索3的长度要大于导管2的长度。实际应用中,拉索3可以是不锈钢多股丝或单丝,以能够传递推力和拉力作用。As shown in FIG. 2, the cable 3 is arranged inside the catheter 2, and the proximal end of the cable 3 is connected to the handle 1. The cable 3 serves as an action transmission component, which can transmit the force applied by the operator to the retrieval net 4 at the distal position. Therefore, the length of the cable 3 is greater than the length of the catheter 2. In practical applications, the cable 3 can be a stainless steel multi-strand wire or a single wire to be able to transmit thrust and tension.
多个取物网4连接所述拉索3的远端。本申请提供的技术方案中,所述取物网4包括网兜41,以及连接在所述网兜41开口边缘的套圈钢丝42;所述套圈钢丝42通过所述拉索3连接所述手柄1,以通过所述手柄1控制所述套圈钢丝42产生弹性变形,而张开或收紧所述网兜41的开口;所述套圈钢丝42定型为弯曲结构,以使所述套圈钢丝42可在所述拉索3的牵引下被拉直进入所述导管2内,以及在所述导管2中伸出恢复弯曲。A plurality of fetching nets 4 are connected to the distal end of the cable 3. In the technical solution provided by this application, the fetching net 4 includes a net bag 41 and a ferrule wire 42 connected to the edge of the opening of the net bag 41; the ferrule wire 42 is connected to the handle 1 through the cable 3 , In order to control the elastic deformation of the ferrule wire 42 through the handle 1 to open or tighten the opening of the net bag 41; the ferrule wire 42 is shaped into a curved structure, so that the ferrule wire 42 It can be straightened into the catheter 2 under the traction of the cable 3, and can be stretched out of the catheter 2 to resume bending.
实际应用中,套圈钢丝42可以在实施手术前,收拢在导管2之中,并在导管2管壁的限制下,呈现为直线的状态。当需要收起异物时,可以通过向远端推动手柄2上的滑块,使套圈钢丝42从导管2中推出。由于导管2不再限制套圈钢丝42,套圈钢丝42会在弹力作用下,恢复到定型的弯曲形状。定型的弯曲形状可以张大取物网4的开口,使取物面积增大,方便进行取物。In practical applications, the ferrule wire 42 can be gathered in the catheter 2 before performing the operation, and under the restriction of the wall of the catheter 2, it can be in a straight state. When foreign objects need to be stored, the sliding block on the handle 2 can be pushed to the distal end to push the ferrule wire 42 out of the catheter 2. Since the catheter 2 no longer restricts the ferrule wire 42, the ferrule wire 42 will be restored to a fixed curved shape under the action of elastic force. The shaped and curved shape can expand the opening of the retrieval net 4 to increase the retrieval area and facilitate retrieval.
可见,在本申请中,通过所述套圈钢丝42定型为弯曲结构,可以使取物网4能够收拢在导管2中,以方便导管2在内窥镜的钳道中行走,便于将取物网钳通过内窥镜置入人体内实施手术。还可以通过定型的弯曲结构使取物网开口张开,以及形成多个取物网相互开口的结构,便于取物,以降低手术的操作难度。It can be seen that in the present application, by shaping the ferrule wire 42 into a curved structure, the retrieval net 4 can be folded in the catheter 2, so as to facilitate the catheter 2 to walk in the forceps of the endoscope and facilitate the retrieval of the retrieval net. The forceps are inserted into the human body through an endoscope to perform the operation. It is also possible to expand the opening of the fetching net through a shaped curved structure, and to form a structure in which a plurality of fetching nets are open to each other, which is convenient for fetching and reduces the operation difficulty of the operation.
在本申请的部分实施例中,所述取物网4包括两段套圈钢丝42;所述套圈钢丝42的弯曲结构包括相对于其他所述取物网4向外的弯曲,以及同一所述取物网4两段套圈钢丝42之间相互分离的弯曲。其中,取物网4之间向外弯曲的角度,可以使取物网4之间形成张开的开口,以通过张开的开口,将异物收集在两个取物网4之间。显然在本实施例中,套圈钢丝42相对于其他所述取物网4向外的弯曲角度不宜过小,以使取物网4能够收集体积较大的异物,进一步地,套圈钢丝42相对于其他所述取物网4向外的弯曲角度也不宜过大,以保证取物钢丝42能够完全收拢至导管2中。In some embodiments of the present application, the fetching net 4 includes two sections of ferrule steel wire 42; the bending structure of the ferrule steel wire 42 includes the outward bending relative to the other fetching nets 4, and the same The two sections of the ferrule wire 42 of the material net 4 are bent apart from each other. Wherein, the angle between the fetching nets 4 outwardly bends, so that an open opening can be formed between the fetching nets 4, so that foreign objects can be collected between the two fetching nets 4 through the opened opening. Obviously, in this embodiment, the outward bending angle of the ferrule wire 42 with respect to the other fetching nets 4 should not be too small, so that the fetching net 4 can collect larger foreign matter. Further, the ferrule wire 42 The outward bending angle of the fetching net 4 should not be too large to ensure that the fetching steel wire 42 can be completely retracted into the catheter 2.
以包含两个取物网4为例,一个取物网4的所述套圈钢丝42相对于另一个取物网4的套圈钢丝42向外的弯曲角度为30°-140°。即每个取物网4的套圈钢丝42向外弯曲的角度为15°-70°,这样的角度既能够满足大部分异物的取物需求,又能够使套圈钢丝42充分保持弹性,以能够被拉直收紧和恢复弯曲。Taking two fetching nets 4 as an example, the outward bending angle of the ferrule wire 42 of one fetching net 4 relative to the ferrule wire 42 of the other fetching net 4 is 30°-140°. That is, the outward bending angle of the ferrule wire 42 of each fetching net 4 is 15°-70°. Such an angle can not only meet the fetching requirements of most foreign objects, but also make the ferrule wire 42 fully maintain elasticity. Can be straightened, tightened and restored to bend.
需要说明的是,在本申请中,所述取物网4包括两段套圈钢丝42是指在实际应用时,每个取物网4可以由两根套圈钢丝42构成,并且在两根套圈钢丝42的远端通过头端帽等组件连接而成,或者直接在远端将两根套圈钢丝42焊接成型。也可以是一根套圈钢丝42折弯形成,即在一根套圈钢丝42的中部通过折弯变形,使其维持远端弯曲结构,以致远端两侧的两段套圈钢丝42可以产生弹性变形,从而将取物网4的开口进行收拢和撑开。It should be noted that in this application, the retrieval net 4 includes two sections of ferrule wires 42 means that in actual application, each retrieval net 4 can be composed of two ferrule wires 42, and The distal end of the ferrule wire 42 is connected by components such as a head end cap, or two ferrule wires 42 are directly welded to form at the distal end. It can also be formed by bending a ferrule wire 42, that is, by bending the middle part of a ferrule wire 42 to maintain the distal bending structure, so that the two ferrule wires 42 on both sides of the distal end can produce It is elastically deformed, so that the opening of the fetching net 4 is folded and opened.
进一步地,为了实现对取物网4的控制,所述取物网4还包括铆接管43,所述套圈钢丝42通过所述铆接管43连接在所述拉索3的远端。Further, in order to achieve control of the fetching net 4, the fetching net 4 further includes a riveting tube 43, and the ferrule wire 42 is connected to the distal end of the cable 3 through the riveting tube 43.
由以上技术方案可知,本申请提供的取物网钳在实际工作时,先将取物网钳的远端伸进内窥镜的钳道中,然后将取物网钳的远端安放到目标位置,将定位块14定位到需要的刻度,定位块14可以起到止动控制滑块12的作用。再缓慢推出控制滑块12,控制滑块12上固定的助推管可以推动拉索3,使拉索3推动与其铆接的套圈钢丝42,套圈钢丝42带动压缩在导管2内的网兜41,将整个取物网4推出导管2,并借助套圈钢丝42的弹力完全撑开。It can be seen from the above technical solutions that in actual work, the distal end of the retrieval net pliers is first extended into the clamp channel of the endoscope, and then the distal end of the retrieval net pliers is placed at the target position. , Position the positioning block 14 to the required scale, and the positioning block 14 can act as a stop for the control slider 12. Then slowly push out the control slider 12, the booster tube fixed on the control slider 12 can push the cable 3, so that the cable 3 pushes the ferrule wire 42 riveted to it, and the ferrule wire 42 drives the net pocket 41 compressed in the duct 2 , The entire fetching net 4 is pushed out of the catheter 2, and is fully expanded by the elastic force of the ferrule wire 42.
再将完全张开的网兜41开口调整到适当位置,确保异物已经在网兜41开口之间。缓慢拉回控制滑块12,此时助推管带动拉索3,拉索3带动套圈钢丝42,使网兜41的开口收缩。异物被套圈钢丝42的边缘推到取物网4内部,进而被紧紧包裹在取物网4中。包裹有异物的取物网4会卡紧在导管2的远端,此时将整个取物网钳和内窥镜一同拉出。拉出后将包裹有异物的网兜41放到标本瓶或其他收集容器中,然后慢慢推出控制滑块12,取物网4再次张开,使取出的异物掉落在容器内,操作结束。如需再次取出异物,可先将 取物网4收入导管2内,再将取物网钳伸入内窥镜钳道重复上述操作,如不需要则完成取物。Then adjust the opening of the fully opened net bag 41 to an appropriate position to ensure that the foreign matter has been between the openings of the net bag 41. Pull back the control slider 12 slowly. At this time, the booster tube drives the cable 3, and the cable 3 drives the ferrule wire 42 to shrink the opening of the net bag 41. The foreign matter is pushed into the inside of the retrieval net 4 by the edge of the ferrule wire 42, and then is tightly wrapped in the retrieval net 4. The retrieval net 4 wrapped with the foreign body will be clamped to the distal end of the catheter 2, and at this time, the entire retrieval net forceps and the endoscope are pulled out together. After pulling it out, put the net bag 41 wrapped with foreign objects into a specimen bottle or other collection container, and then slowly push out the control slider 12, and the fetching net 4 is opened again to make the removed foreign objects fall into the container, and the operation ends. If you need to take out the foreign body again, you can first put the retrieval net 4 into the catheter 2, and then extend the retrieval net forceps into the endoscope forceps to repeat the above operation, if not needed, complete retrieval.
本申请提供的技术方案中,拉索3的远端可以设置两个或两个以上的取物网4,以增大每次对异物的抓取量,以及增加对大体积异物的抓取能力。以两个取物网4的情况为例,本申请通过以下实施例阐述拉索3对两个取物网4的控制形式,即取物网4可以采用单手柄、单控制滑块联动控制,两个网兜41同时进出导管2;还可以通过两个控制滑块12,分别控制两个取物网4,以使整个取物网钳的操作灵活,适应性好。In the technical solution provided by the present application, two or more fetching nets 4 can be arranged at the distal end of the cable 3 to increase the amount of foreign bodies captured each time and increase the ability to capture large-volume foreign bodies. . Taking the case of two fetching nets 4 as an example, this application uses the following embodiments to illustrate the control form of the pull cable 3 on the two fetching nets 4, that is, the fetching net 4 can be controlled by a single handle and a single control slider. Two net pockets 41 enter and exit the duct 2 at the same time; two control sliders 12 can also be used to control the two fetch nets 4 respectively, so that the operation of the entire fetch net pliers is flexible and has good adaptability.
即在本申请的一个实施例中,如图1、图2所示,所述手柄主体11上设有一个所述控制滑块12;多个取物网4中的套圈钢丝42共同连接所述拉索3的远端,以通过单个所述控制滑块12联动控制所述取物网4张开或收紧。That is, in an embodiment of the present application, as shown in Figures 1 and 2, the handle body 11 is provided with a control slider 12; the ferrule wires 42 in the plurality of fetching nets 4 are commonly connected to each other. The distal end of the cable 3 is linked to control the opening or tightening of the fetching net 4 through a single control slider 12.
实际应用中,套圈钢丝42通过铆接管43与拉索3铆接,拉索3被包裹在导管2内,导管2与螺母胶接,并通过螺母与定位帽13螺纹连接,定位帽13与手柄主体11通过凹槽固定。定位块14具有一定弹性,可以卡在手柄主体11上,并能相对滑动。控制滑块12与手柄主体11配合,控制取物动作。控制滑块12还能够在手柄主体11上往复滑动。控制滑块12可以在手柄主体11的内部与助推管铆接,以实现与拉索3的连接,完成装配。In actual application, the ferrule wire 42 is riveted with the cable 3 through the riveting tube 43, the cable 3 is wrapped in the pipe 2, and the pipe 2 is glued to the nut, and is threaded to the positioning cap 13 through the nut, and the positioning cap 13 is connected to the handle. The main body 11 is fixed by a groove. The positioning block 14 has certain elasticity, can be clamped on the handle body 11, and can slide relatively. The control slider 12 cooperates with the handle body 11 to control the fetching action. The control slider 12 can also slide back and forth on the handle body 11. The control slider 12 can be riveted with the booster tube inside the handle body 11 to realize the connection with the cable 3 and complete the assembly.
手术时,可以通过内窥镜或影像设备,先初步确定异物大小,再通过回拉控制滑块12,使取物网4收缩在导管2内,然后通过内窥镜钳道将取物网4放置到目标位置。再推动控制滑块12到定位块14位置,使取物网完全张开。然后缓慢拉回控制滑块12,使取物网4收缩包裹住异物,再将定位块14推到目标刻度进行定位,防止控制滑块12在松开手指时产生滑动,此时含有异物的取物网4会卡在导管2远端。最后缓慢拉出整个取物网钳和内窥镜,将异物取出至体外。如有需要,可先将取物网4收回导管2内,再次将取物网钳伸入内窥镜钳道进行取物,如不需要则完成取物。During the operation, the size of the foreign body can be initially determined through an endoscope or imaging equipment, and then the retrieval net 4 can be contracted in the catheter 2 by pulling back the control slider 12, and then the retrieval net 4 can be removed through the endoscope clamp channel. Place it in the target location. Then push the control slider 12 to the position of the positioning block 14 to fully open the fetching net. Then slowly pull back the control slider 12 to shrink the fetching net 4 to wrap the foreign objects, and then push the positioning block 14 to the target scale for positioning to prevent the control slider 12 from sliding when the finger is released. The net 4 will be stuck at the distal end of the catheter 2. Finally, slowly pull out the entire net forceps and the endoscope to remove the foreign body outside the body. If necessary, the retrieval net 4 can be retracted into the catheter 2 first, and then the retrieval net forceps can be extended into the endoscope forceps channel to retrieve the object.
在本申请的另一个实施例中,如图3、图4所示,所述手柄主体11上设有与取物网4数量相同多个所述控制滑块12;所述导管2内部设有多条拉索3;多个所述控制滑块12分别通过拉索3连接每个套圈钢丝42,以单独控制所述取物网4张开或收紧。In another embodiment of the present application, as shown in FIGS. 3 and 4, the handle body 11 is provided with a plurality of the control sliders 12 in the same number as the fetching net 4; A plurality of pull cables 3; a plurality of the control sliders 12 are respectively connected to each ferrule wire 42 through the pull cables 3 to individually control the opening or tightening of the fetching net 4.
实际手术时,先通过内窥镜或影像设备初步确定异物大小,再根据需要,选择两个取物网4的张开角度,再分别通过回拉两个控制滑块12,确定取物网收缩在导管2内。通过内窥镜钳道放置到目标位置。分别推动控制滑块12到预设刻度位置使取物网完全张开,然后缓慢拉回控制滑块12使取物网4收缩包裹住异物。同理,需要将定位块14推到目标刻度,防止控制滑块12在松开手指时产生滑动。此时含有异物的取物网4会卡在导管2的远端,最后缓慢拉出取物网兜整个设备和内窥镜,取物完成。During the actual operation, first determine the size of the foreign body through the endoscope or imaging equipment, and then select the opening angle of the two retrieval nets 4 according to the needs, and then pull back the two control sliders 12 to determine the contraction of the retrieval net Inside the catheter 2. Place it to the target location through the endoscope clamp channel. Push the control slider 12 to the preset scale position to fully open the fetching net, and then slowly pull back the control slider 12 to shrink the fetching net 4 to wrap the foreign objects. Similarly, the positioning block 14 needs to be pushed to the target scale to prevent the control slider 12 from sliding when the finger is released. At this time, the retrieval net 4 containing foreign objects will be stuck at the distal end of the catheter 2, and finally the entire equipment and endoscope of the retrieval net bag are slowly pulled out, and the retrieval is completed.
在本申请提供的技术方案中,套圈钢丝42在拉索3的拉力作用下,可以发生弹性形变,从而控制网兜41张开和收拢。因此,所述套圈钢丝42与所述网兜41的开口边缘要能够产生一定量的相对滑动,以保证网兜41张开和收拢过程的灵活性,因此,所述套圈钢丝42与所述网兜41开口边缘的连接方式包括但不限于以下三种形式:In the technical solution provided by the present application, the ferrule wire 42 can be elastically deformed under the pulling force of the cable 3, thereby controlling the opening and closing of the net bag 41. Therefore, the ferrule wire 42 and the opening edge of the net bag 41 must be able to produce a certain amount of relative sliding to ensure the flexibility of the opening and closing process of the net bag 41. Therefore, the ferrule wire 42 and the net bag 41 41 The connection mode of the edge of the opening includes but not limited to the following three forms:
即在本申请的一个实施例中,套圈钢丝42间隔穿过所述网兜41开口边缘位置上的网格空间,所述套圈钢丝42的远端,通过捆扎方式固定连接所述网兜41。即在本实施例中,套圈钢丝42间隔穿过网格空间,将整个网兜41的开口边缘串联起来,这时需要在套圈钢丝42的最前端将网兜41与套圈钢丝42固定住,具体固定方式可采用线捆扎的方式。进 而在套圈钢丝42发生弹性形变时网兜41张开,以及在套圈钢丝42恢复形状后网兜41收紧。That is, in an embodiment of the present application, the ferrule wires 42 pass through the grid space at the edge of the opening of the net bag 41 at intervals, and the distal end of the ferrule wires 42 is fixedly connected to the net bag 41 by means of tying. That is, in this embodiment, the ferrule wire 42 passes through the grid space at intervals to connect the opening edges of the entire net bag 41 in series. At this time, it is necessary to fix the net bag 41 and the ferrule wire 42 at the foremost end of the ferrule wire 42. The specific fixing method can be a wire binding method. Furthermore, the net bag 41 is opened when the ferrule wire 42 is elastically deformed, and the net bag 41 is tightened after the ferrule wire 42 recovers its shape.
在本申请的一个实施例中,套圈钢丝42表面包覆有软管,网兜41的开口边缘固定连接在软管的管壁上。套圈钢丝42上包覆的软管可以为塑料材质的聚合物管,以较低的管体硬度实现灵活控制,再将网兜41与聚合物管热熔后固定在套圈钢丝42上。在套圈钢丝42发生弹性形变弯曲时,由于网兜41的开口边缘、软管以及套圈钢丝42热熔在一起,使套圈钢丝42能够支撑起聚合物管,使聚合物管也发生形变,驱使网兜41张开,以及在套圈钢丝42恢复形状后,聚合物管也恢复形状,实现网兜41收紧。In an embodiment of the present application, the surface of the ferrule steel wire 42 is covered with a hose, and the opening edge of the net bag 41 is fixedly connected to the pipe wall of the hose. The hose covered on the ferrule wire 42 may be a polymer tube made of plastic material, which can be flexibly controlled with a lower tube body hardness, and then the net bag 41 and the polymer tube are heat-melted and fixed on the ferrule wire 42. When the ferrule wire 42 is elastically deformed and bent, the opening edge of the net bag 41, the hose, and the ferrule wire 42 are thermally fused together, so that the ferrule wire 42 can support the polymer tube, and the polymer tube is also deformed. The net bag 41 is driven to open, and after the ferrule wire 42 returns to its shape, the polymer tube also returns to its shape, so that the net bag 41 is tightened.
在本申请的一个实施例中,所述网兜41的开口边缘通过捆扎的方式连接在所述套圈钢丝42上。网兜41与套圈钢丝42采用捆扎法固定,可以用细的尼龙绳沿套圈钢丝42的边缘将网兜41捆扎起来。同样,可以在套圈钢丝42发生弹性形变时,使网兜41张开,以及在套圈钢丝42恢复形状后实现网兜41收紧。In an embodiment of the present application, the edge of the opening of the net bag 41 is connected to the ferrule wire 42 in a binding manner. The net bag 41 and the ring wire 42 are fixed by a binding method, and the net bag 41 can be tied up along the edge of the ring wire 42 with a thin nylon rope. Similarly, the net bag 41 can be opened when the ferrule wire 42 is elastically deformed, and the net bag 41 can be tightened after the loop wire 42 is restored to its shape.
需要说明的是,在本申请提供的技术方案中,如果多个取物网4之间采用单独控制的方式,可以将控制滑块12设置在一个手柄1上,也可以分别设置在两个或两个以上的手柄1上。实际应用中,优选做在一个手柄1上,达到简化结构,操作方便的目的。It should be noted that, in the technical solution provided in this application, if a separate control method is adopted between multiple fetching nets 4, the control slider 12 can be set on one handle 1, or they can be set on two or two respectively. More than two handles 1. In practical applications, it is preferably made on a handle 1 to achieve the purpose of simplifying the structure and convenient operation.
进一步地,在本申请的部分实施例中,所述取物网钳还包括注射鲁尔接头5;所述注射鲁尔接头5设置在所述导管2上,所述注射鲁尔接头5的内腔连通所述导管2。实际应用时,套圈钢丝42通过铆接管43与拉索3铆接,拉索3被包裹在导管2内,导管2与螺母胶接,螺母与注射鲁尔接头5胶接,注射鲁尔接头5再与手柄主体11通过凹槽固定,装配完成。在整个取物过程中可以通过注射鲁尔接头5进行注射,以便多个网兜41从导管2中推出,减少接触部位的摩擦力,也可以在手术需要时输送相应的药液、生理盐水或其他液体。Further, in some embodiments of the present application, the fetching net pliers further includes an injection luer connector 5; the injection luer connector 5 is arranged on the catheter 2, and the inner part of the injection luer connector 5 The cavity communicates with the conduit 2. In actual application, the ferrule wire 42 is riveted with the cable 3 through the riveting tube 43, the cable 3 is wrapped in the pipe 2, the pipe 2 is glued to the nut, the nut is glued to the injection luer connector 5, and the injection luer connector 5 Then it is fixed with the handle body 11 through the groove, and the assembly is completed. During the whole extraction process, injection can be carried out through the injection luer connector 5, so that multiple net pockets 41 can be pushed out of the catheter 2 to reduce the friction of the contact part, and the corresponding medical solution, physiological saline or other can be delivered when the operation requires liquid.
由以上技术方案可知,本申请提供一种取物网钳包括:手柄1、导管2、拉索3以及多个取物网4。其中,拉索3设置在导管2内部,近端连接手柄1,远端连接多个取物网4。所述取物网4进一步包括网兜41,以及连接在网兜41开口边缘的套圈钢丝42;套圈钢丝42通过拉索3连接手柄1,以通过手柄1控制套圈钢丝42产生弹性变形,而张开或收紧网兜41的开口;套圈钢丝42定型为弯曲结构,以使多个取物网之间相互张开预设角度。本申请提供的取物网钳通过多个网兜提高异物容纳量,能够方便地在患者体内取出异物,操作灵活,能一次抓取大量小体积异物,有效减少取物次数,减少手术时间。It can be seen from the above technical solutions that the present application provides a netting pliers including: a handle 1, a catheter 2, a pull cable 3, and a plurality of nets 4 for retrieval. Wherein, the cable 3 is arranged inside the catheter 2, the proximal end is connected to the handle 1, and the distal end is connected to a plurality of fetching nets 4. The fetching net 4 further includes a net bag 41 and a ferrule wire 42 connected to the edge of the opening of the net bag 41; the ferrule wire 42 is connected to the handle 1 through the cable 3, so that the handle 1 controls the ferrule wire 42 to produce elastic deformation, and The opening of the net bag 41 is opened or tightened; the ferrule steel wire 42 is shaped into a curved structure, so that a plurality of fetching nets are mutually opened at a predetermined angle. The retrieval net forceps provided by the present application increase the holding capacity of foreign objects through multiple net pockets, can conveniently retrieve foreign objects in a patient, have flexible operation, can grasp a large number of small-volume foreign objects at one time, effectively reduce the number of retrievals and reduce operation time.
本申请提供的实施例之间的相似部分相互参见即可,以上提供的具体实施方式只是本申请总的构思下的几个示例,并不构成本申请保护范围的限定。对于本领域的技术人员而言,在不付出创造性劳动的前提下依据本申请方案所扩展出的任何其他实施方式都属于本申请的保护范围。The similar parts between the embodiments provided in this application can be referred to each other. The specific implementations provided above are only a few examples under the general concept of this application, and do not constitute a limitation of the protection scope of this application. For those skilled in the art, any other implementation manners expanded according to the scheme of this application without creative work shall fall within the protection scope of this application.

Claims (10)

  1. 一种取物网钳,其特征在于,包括:An object fetching net pliers, characterized in that it comprises:
    手柄(1);Handle(1);
    导管(2),近端连接所述手柄(1);A catheter (2), the proximal end of which is connected to the handle (1);
    拉索(3),设置在所述导管(2)内部,所述拉索(3)的近端连接手柄(1);The pull cable (3) is arranged inside the catheter (2), and the proximal end of the pull cable (3) is connected to the handle (1);
    多个取物网(4),连接所述拉索(3)的远端;A plurality of fetching nets (4) connected to the distal end of the pulling cable (3);
    其中,所述取物网(4)包括网兜(41),以及连接在所述网兜(41)开口边缘的套圈钢丝(42);所述套圈钢丝(42)通过所述拉索(3)连接所述手柄(1),以通过所述手柄(1)控制所述套圈钢丝(42)产生弹性变形,而张开或收紧所述网兜(41)的开口;所述套圈钢丝(42)定型为弯曲结构,所述套圈钢丝(42)可在所述拉索(3)的牵引下被拉直进入所述导管(2)内,以及在所述导管(2)中伸出恢复弯曲。Wherein, the fetching net (4) includes a net bag (41), and a ferrule wire (42) connected to the edge of the opening of the net bag (41); the ferrule wire (42) passes through the cable (3) ) Connect the handle (1) to control the ferrule wire (42) to produce elastic deformation through the handle (1) to open or tighten the opening of the net bag (41); the ferrule wire (42) Shaped into a curved structure, the ferrule wire (42) can be straightened into the duct (2) under the traction of the cable (3), and stretched in the duct (2) Out of recovery bend.
  2. 根据权利要求1所述的取物网钳,其特征在于,所述手柄(1)包括手柄主体(11),以及滑动连接在所述手柄主体(11)上的控制滑块(12);The net pliers according to claim 1, wherein the handle (1) comprises a handle body (11), and a control slider (12) slidably connected to the handle body (11);
    所述手柄主体(11)为中空管状结构,所述手柄主体(11)固定在所述导管(2)的近端;所述控制滑块(12)穿过所述手柄主体(11)的壁管,在所述手柄主体(11)的内部连接所述拉索(3)的近端。The handle body (11) is a hollow tubular structure, and the handle body (11) is fixed at the proximal end of the catheter (2); the control slider (12) passes through the wall of the handle body (11) A tube is connected to the proximal end of the cable (3) inside the handle body (11).
  3. 根据权利要求2所述的取物网钳,其特征在于,所述手柄主体(11)上设有与取物网(4)数量相同多个所述控制滑块(12);所述导管(2)内部设有多条拉索(3);多个所述控制滑块(12)分别通过拉索(3)连接每个套圈钢丝(42),以单独控制所述取物网(4)张开或收紧。The fetching net pliers according to claim 2, characterized in that, the handle body (11) is provided with a plurality of the control sliders (12) that are the same in number as the fetching net (4); the catheter ( 2) Multiple cables (3) are provided inside; multiple control sliders (12) are respectively connected to each ferrule wire (42) through cables (3) to individually control the fetching net (4) ) Open or tighten.
  4. 根据权利要求2所述的取物网钳,其特征在于,所述手柄主体(11)上设有一个所述控制滑块(12);多个取物网(4)中的套圈钢丝(42)共同连接所述拉索(3)的远端,以通过单个所述控制滑块(12)联动控制所述取物网(4)张开或收紧。The fetching net pliers according to claim 2, characterized in that, the handle body (11) is provided with a control slider (12); a plurality of fetching nets (4) in the ferrule wire ( 42) The distal ends of the pull cables (3) are jointly connected to control the opening or tightening of the fetching net (4) through a single control slider (12).
  5. 根据权利要求1所述的取物网钳,其特征在于,所述取物网(4)包括两段套圈钢丝(42);所述套圈钢丝(42)包括相对于其他所述取物网(4)向外的弯曲,以及同一所述取物网(4)两段套圈钢丝(42)之间相互分离的弯曲。The fetching net pliers according to claim 1, characterized in that, the fetching net (4) includes two sections of ferrule steel wire (42); The outward bending of the net (4) and the separation of the two ferrule steel wires (42) of the same fetching net (4).
  6. 根据权利要求5所述的取物网钳,其特征在于,所述套圈钢丝(42)相对于其他所述取物网(4)向外的弯曲角度为30°-140°。The fetching net pliers according to claim 5, characterized in that the outward bending angle of the ferrule wire (42) relative to the other fetching nets (4) is 30°-140°.
  7. 根据权利要求1所述的取物网钳,其特征在于,所述套圈钢丝(42)间隔穿过所述网兜(41)开口边缘位置上的网格空间,所述套圈钢丝(42)的远端,通过捆扎方式固定连接所述网兜(41)。The netting pliers according to claim 1, wherein the ferrule wires (42) pass through the grid space at the edge of the opening of the net bag (41) at intervals, and the ferrule wires (42) The distal end of the net bag (41) is fixedly connected to the net bag (41) by means of strapping.
  8. 根据权利要求1所述的取物网钳,其特征在于,所述套圈钢丝(42)表面包覆 有软管,所述网兜(41)的开口边缘固定连接所述软管的管壁上。The fetching net pliers according to claim 1, wherein the surface of the ferrule wire (42) is covered with a hose, and the opening edge of the net bag (41) is fixedly connected to the pipe wall of the hose .
  9. 根据权利要求1所述的取物网钳,其特征在于,所述网兜(41)的开口边缘通过捆扎的方式连接在所述套圈钢丝(42)上。The netting pliers according to claim 1, characterized in that the opening edge of the net bag (41) is connected to the ferrule wire (42) by means of binding.
  10. 根据权利要求1所述的取物网钳,其特征在于,所述取物网(4)还包括铆接管(43),所述套圈钢丝(42)通过所述铆接管(43)连接在所述拉索(3)的远端。The fetching net pliers according to claim 1, wherein the fetching net (4) further comprises a riveting tube (43), and the ferrule steel wire (42) is connected to the riveting tube (43) through the riveting tube (43). The distal end of the cable (3).
PCT/CN2020/095865 2019-09-05 2020-06-12 Object removal net forceps WO2021042803A1 (en)

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CN201910835972.5 2019-09-05

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Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN203970516U (en) * 2014-07-10 2014-12-03 江苏唯德康医疗科技有限公司 Overlay film band net foreign body forceps
US20150080904A1 (en) * 2012-02-22 2015-03-19 Carter J. Kovarik Selectively Bendable Remote Gripping Tool
CN105105832A (en) * 2015-10-14 2015-12-02 中国人民解放军第二军医大学 Protractor capable of penetrating to gastroscopic biopsy channel
CN206491857U (en) * 2016-11-17 2017-09-15 南京微创医学科技股份有限公司 A kind of medical foreign matter recover
CN206910370U (en) * 2016-08-30 2018-01-23 上海复堂生物科技有限公司 Basket-type foreign body forcepses
CN110013293A (en) * 2019-05-05 2019-07-16 熊璐嘉 Blanket net formula foreign body taking device and its method

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20150080904A1 (en) * 2012-02-22 2015-03-19 Carter J. Kovarik Selectively Bendable Remote Gripping Tool
CN203970516U (en) * 2014-07-10 2014-12-03 江苏唯德康医疗科技有限公司 Overlay film band net foreign body forceps
CN105105832A (en) * 2015-10-14 2015-12-02 中国人民解放军第二军医大学 Protractor capable of penetrating to gastroscopic biopsy channel
CN206910370U (en) * 2016-08-30 2018-01-23 上海复堂生物科技有限公司 Basket-type foreign body forcepses
CN206491857U (en) * 2016-11-17 2017-09-15 南京微创医学科技股份有限公司 A kind of medical foreign matter recover
CN110013293A (en) * 2019-05-05 2019-07-16 熊璐嘉 Blanket net formula foreign body taking device and its method

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