WO2022127065A1 - Electrode clamp - Google Patents

Electrode clamp Download PDF

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Publication number
WO2022127065A1
WO2022127065A1 PCT/CN2021/102357 CN2021102357W WO2022127065A1 WO 2022127065 A1 WO2022127065 A1 WO 2022127065A1 CN 2021102357 W CN2021102357 W CN 2021102357W WO 2022127065 A1 WO2022127065 A1 WO 2022127065A1
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WO
WIPO (PCT)
Prior art keywords
clamp
knife
push
handle
pusher
Prior art date
Application number
PCT/CN2021/102357
Other languages
French (fr)
Chinese (zh)
Inventor
谢立平
林敏�
Original Assignee
珠海市司迈科技有限公司
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by 珠海市司迈科技有限公司 filed Critical 珠海市司迈科技有限公司
Publication of WO2022127065A1 publication Critical patent/WO2022127065A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor

Definitions

  • the utility model relates to the technical field of medical instruments, in particular to an electrode forceps.
  • Laparoscopic surgery is a newly developed minimally invasive method, and it is also an inevitable trend in the development of future surgical methods.
  • Surgical instruments are increasingly important in laparoscopic and gynecological surgery.
  • the existing multifunctional surgical instruments have the following technical defects: when clamping tissues of different thicknesses, due to the different closing heights of the clamps, the distance of the blades of the separation structure changes when they are pushed out to cut the tissue; , the blade will collide with the clamp after the blade is completely pushed out when cutting thin components, and it will become dull; if the cutting distance of thin tissue is ensured, the pushing distance of the blade will be shortened when cutting thick components, the cutting position will be inaccurate, and the efficiency will be low, which is not conducive to surgery.
  • the blade will become blunt after cutting the tissue for many times, and if it continues to be used, it will increase the risk of surgery, and the bluntness of the blade will lead to the failure of the blade, and finally the entire surgical instrument cannot be used. cause a waste of resources.
  • the purpose of the present utility model is to provide an electrode forceps, which solves the technical defects of the above-mentioned prior art, and ensures accurate electric cutting capability when clamping tissues of different thicknesses through the linkage limit relationship between the pusher assembly and the clamp assembly.
  • the use of the electrode clamp makes the operation safer, more convenient, more accurate and more efficient, saves the operation time and improves the success rate of the operation.
  • An electrode forceps which includes a middle-pass support tube; a clamp assembly, including a clamp drive assembly, a clamp handle, and a first clamp and a second clamp arranged oppositely; a knife push assembly, including a push knife drive assembly, a push a knife handle and a push knife; the first clamp, the second clamp and the push knife pass through the middle-pass support pipe, and the push knife is located in the first clamp and the first clamp
  • the clamp handle is linked with the clamp drive assembly, and the clamp drive assembly drives the first clamp and the second clamp to move into the middle-pass support pipe to move Clamp and electrocoagulate tissue
  • the push knife handle is linked with the push knife drive assembly, and the push knife drive assembly drives the push knife to move outward from the middle-pass support tube to cut the electrocoagulated tissue tissue
  • the push knife drive assembly is provided with a limiting portion, and the limiting portion moves toward the clamp drive assembly to abut the clamp drive assembly.
  • the electrode forceps further includes a support handle, which is connected to one end of the middle-pass support pipe, the clamp drive assembly and the push knife drive assembly are mounted on the support handle, and the clamp handle and the The push-knife handle is rotatably connected to the side of the support handle facing the middle-pass support pipe.
  • the distance between the first clamp and the second clamp gradually decreases along the direction toward the mid-pass support tube.
  • the clamp assembly further comprises elastically deformable first deformation strips and second deformation strips, two ends of the first deformation strip are respectively fixedly connected to the first clamp and the clamp drive assembly, The two ends of the second deformation strip are respectively fixedly connected with the second clamp and the clamp drive assembly.
  • the clamp drive assembly drives the first clamp and the clamp drive assembly.
  • the second clamp is retracted and moved toward the mid-pass support tube to clamp the tissue.
  • the clamp drive assembly includes a clamp linkage mechanism and a clamp return spring, the first deformation strip and the second deformation strip are both connected to one end of the clamp linkage mechanism, and the clamp The other end of the linkage mechanism is connected with the clamp handle, and the clamp return spring is installed in the inner cavity of the support handle and abuts with the clamp linkage mechanism.
  • the knife push assembly further includes a connecting rod
  • the knife push drive assembly includes a push knife reset spring and a push knife linkage mechanism
  • both ends of the connecting rod are respectively connected with the push knife and the push knife linkage mechanism
  • One end of the knife pusher linkage mechanism is connected to the knife pusher handle
  • the knife pusher return spring is installed in the inner cavity of the support handle and abuts with the knife pusher linkage mechanism.
  • the knife push linkage mechanism includes a knife push block and a limit bar
  • the limit bar is fixedly connected to the knife push block
  • one end of the knife push handle is drivingly connected to the knife push block
  • the The limiting bar is provided with the limiting portion, and the limiting portion can abut the clamp driving assembly to stop the movement of the pusher.
  • one end of the pusher handle is drivingly connected to the pusher block by being provided with a guide chute.
  • the electrode forceps provided by the utility model wherein, the clamp handle is linked with the clamp drive assembly, and the clamp drive assembly drives the first clamp and the second clamp to move into the central support tube to clamp and electrocoagulate the tissue; the push knife handle The push knife drive assembly is linked, and the push knife drive assembly drives the push knife to move outward from the middle-pass support tube to cut the tissue after electrocoagulation. Connect the clamp drive assembly.
  • the electrode forceps are used in surgery.
  • the distance between the first and second forceps moving into the middle-passing support tube is relatively large, and the limit part of the push-knife drive assembly can move a relatively small distance.
  • the clamp drive assembly Connected to the clamp drive assembly to stop driving the pusher to move outwards from the middle-pass support tube; for thicker tissue, the first clamp and the second clamp move a smaller distance into the middle-pass support tube, and the pusher
  • the limit part of the knife drive assembly needs to move a large distance before it can abut on the clamp drive assembly, so as to stop driving the push knife to move outwards from the middle-pass support pipe; from the above, the electrode clamp can pass
  • the linkage limit relationship between the pusher assembly and the clamp assembly ensures accurate electrical cutting capability when clamping tissues of different thicknesses and avoids damage caused by the collision between the pusher blade and the clamp.
  • the use of the electrode clamp makes the operation safer and more convenient , Accurate and efficient, saving operation time and improving
  • FIG. 1 is a schematic diagram of the overall structure of the electrode clamp of this embodiment
  • FIG. 2 is a schematic diagram of the overall structure of the electrode clamp of the present embodiment from another perspective;
  • FIG. 3 is a schematic diagram of the overall internal structure of the electrode clamp of the present embodiment
  • FIG. 4 is a schematic diagram of the internal partial structure of the electrode clamp of the present embodiment.
  • FIG. 5 is a cross-sectional view of the electrode clamp head assembly of the present embodiment
  • FIG. 6 is a cross-sectional view of the electrode forceps support handle of the present embodiment
  • FIG. 7 is a schematic diagram of the electrode clamp electrocoagulation tissue of the present embodiment.
  • Fig. 8 is an enlarged view of the cutter head portion of Fig. 7;
  • Fig. 9 is the internal partial structure of the electrode clamp in the state of electrocoagulation of the tissue in Fig. 7;
  • FIG. 10 is a schematic diagram of the electrode forceps of the present embodiment for electrical cutting of thin tissue
  • Fig. 11 is an enlarged view of the cutter head portion of Fig. 10;
  • Fig. 12 is the internal partial structure of the electrode forceps in the state of electric cutting tissue of Fig. 10;
  • FIG. 13 is a schematic diagram of the electrode forceps electrically cutting thick tissue according to the present embodiment.
  • Figure 14 is an enlarged view of the cutter head portion of Figure 13;
  • Fig. 15 is the internal partial structure of the electrode forceps in the state of electric cutting of tissue in Fig. 13 .
  • FIG. 1 is a schematic diagram of the overall structure of the electrode clamp of this embodiment
  • FIG. 2 is a schematic diagram of the overall structure of the electrode clamp of this embodiment from another perspective
  • FIG. 3 is a schematic diagram of the overall structure of the electrode clamp of this embodiment.
  • 4 is a schematic diagram of the internal partial structure of the electrode forceps of this embodiment
  • FIG. 5 is a cross-sectional view of the electrode forceps head assembly of this embodiment
  • FIG. 6 is a cross-sectional view of the electrode forceps support handle of this embodiment
  • FIG. 7 is this embodiment.
  • FIG. 8 is an enlarged view of the cutter head part of Figure 7
  • Figure 9 is a partial structure of the electrode forceps in the state of electrocoagulation of the tissue in Figure 7
  • Figure 10 is the electrode forceps in this embodiment.
  • Schematic diagram of tissue Fig. 11 is an enlarged view of the cutter head part of Fig. 10
  • Fig. 12 is a partial structure of the electrode forceps under the state of electric cutting tissue in Fig. 10
  • Fig. 13 is a schematic diagram of the electrode forceps in this embodiment for electric cutting of thick tissue
  • Fig. 14 is a schematic diagram of the tissue.
  • FIG. 13 is an enlarged view of the cutter head part
  • FIG. 15 is a partial structure of the electrode forceps in the state of electric cutting of tissue in FIG. 13 .
  • the electrode forceps provided by the utility model belongs to the field of medical equipment.
  • the electrode forceps adopts electric coagulation energy to provide the use functions of electric coagulation and electric cutting during operation.
  • the tissue is electrically cut, and the linkage limit relationship between the handle of the pusher and the handle of the clamp ensures accurate electrical cutting capability when clamping tissues of different thicknesses.
  • the use of this surgical instrument makes the operation safer, more convenient, more accurate, and Efficient, save operation time and improve the success rate of operation.
  • the electrode forceps includes a mid-pass support tube 13 , a clamp assembly, a push knife assembly, and a support handle 17 .
  • the clamp assembly includes a first clamp 11 , a second clamp 12 , a first deformable strip 33 and a second deformable strip 35 that can be elastically deformed.
  • the first clamp 11 is connected to the clamp through the first deformation strip 33 .
  • the clamp drive assembly is fixedly connected, the second clamp 12 is fixedly connected to the clamp drive assembly through the second deformation strip 35, the clamp assembly is penetrated in the middle-pass support tube 13, and the first clamp 11 and the second clamp 12 are spaced apart
  • the settings are mutually insulated; when the clamp handle 16 is triggered to drive the connecting rod 27, the clamp drive assembly drives the first clamp 11 and the second clamp 12 to shrink and move toward the central support tube 13 to clamp the tissue 100, which is convenient for the tissue 100 for stable clamping.
  • the connecting sections 112 ( 122 ) of the first clamp 11 and the second clamp 12 are all wrapped with insulation 31 , and the middle-pass support tube 13 is close to the first clamp 11 and the second clamp 12 .
  • One end of the inner tube wall is provided with an insulating guide sleeve 32, and the outer tube wall of the middle-pass support tube 13 is wrapped with an insulating protective sleeve 34 to ensure the connection between the middle-pass support tube 13 and the first clamp 11, the second clamp 12, and the push knife assembly. insulation between.
  • the connecting sections 112 ( 122 ) of the first clamp 11 and the second clamp 12 are provided with outwardly protruding limit parts, and the distance between the two limit parts is greater than that of the support pipe 13
  • the inner diameter of the pipe is limited, and the setting of the limiting portion limits the degree of contraction and movement of the first clamp 11 and the second clamp 12 toward the middle-pass support pipe 13, so as to avoid excessive contraction.
  • the clamp drive assembly includes a clamp slider 23 , a clamp rotation sleeve 24 , a clamp slider return spring 26 , and a guide rod 25 ; one end of the clamp slider 23 is connected to the clamp handle 16 through a connecting rod 27 The other end of the clamp slider 23 is connected with the first deformation strip 33 and the second deformation strip 35 through the clamp rotation sleeve 24; the clamp slider 23 is provided with a guide sliding hole, which cooperates with the guide rod 25 to ensure the clamp slider 23 moves smoothly in the axial direction of the guide rod 25 .
  • the first deforming strip 33 and the second deforming strip 35 are connected to the changeover switch sensor 28 at their tails by cables.
  • the knife pusher assembly includes a knife pusher 30, a knife pusher linkage mechanism, a knife pusher return spring 20, a limit bar 29 and a knife pusher handle 15; wherein the knife pusher linkage mechanism includes a knife pusher slider 21, a knife pusher Conductive block 22; the pusher slider 21 is fixedly connected to the pusher conductive block 22, and the pusher 30 is connected to the pusher linkage mechanism through its tail 303 in an "L" shape to form a clearance fit; when the pusher handle 15 is triggered Through the guide chute 151 , the contact 211 of the knife pusher slider 21 is driven, so that the knife pusher slider 21 moves to the side of the middle-pass support tube 13 , and the pusher knife 30 pushes out the electric cutting and clamping tissue 100 .
  • the knife pusher linkage mechanism includes a knife pusher slider 21, a knife pusher Conductive block 22; the pusher slider 21 is fixedly connected to the pusher conductive block 22, and the pusher 30 is connected to the pusher linkage mechanism through its tail
  • the knife push slider 21 is provided with a guide sliding hole, which cooperates with the guide rod 25 to ensure the smooth movement of the knife push block 21 in the axial direction of the guide rod 25 .
  • the push-knife conductive block 22 communicates with the switch sensor 28 through a cable.
  • the transfer switch sensor 28 is in communication with an external energy device (coagulation energy device) via a cable to receive the coagulation energy.
  • coagulation energy device coagulation energy device
  • the switching principle of electric coagulation and electric cutting of the electrode forceps provided in this embodiment is consistent with the switching principle described in the patent "A surgical instrument and its operation method".
  • the support tube 13 of the middle pass is fixedly connected with the knob 14 , and the operator can rotate the knob 14 and drive the first clamp 11 , the second clamp 12 and the pusher through the limiting mechanism on the support tube 13 of the pass
  • the knife 30 rotates freely within the range of ⁇ 120°, and the clamp assembly and the push knife assembly can be adjusted by rotating the knob 14 according to the position and angle of the target tissue to obtain accurate clamping, electrocoagulation, and electrocution angles.
  • the first clamp 11 and the second clamp 12 are serrated to facilitate fixing the tissue to be cut during use.
  • the clamp assembly and the pusher assembly are inserted into the support pipe 13, the pusher 30 is located between the first clamp 11 and the second clamp 12, and is insulated from each other at intervals; the support handle 17 is connected to one end of the support pipe 13 in the middle pass, the switch sensor 28, the clamp drive assembly and the push knife drive assembly are all installed in the inner cavity of the support handle 17, and the clamp handle 16 and the push knife handle 15 are connected to each other through the rotating shaft.
  • the support handle 17 faces the side of the middle-pass support tube 13, and the pusher handle 15 is located above the clamp handle 16, which is convenient for manual triggering operations.
  • two sides of the support handle 17 are respectively provided with a thumb support portion 172 and a forefinger support portion 173, and the end face away from the clamp is provided with a concave portion 171 for the palm of the hand to hold.
  • the middle finger, the ring finger and the little finger control the gripper handle 16, and the index finger controls the pusher handle 15, so as to realize simple one-handed operation.
  • the upper clamp 11 , the lower clamp 12 , the middle-pass support tube 13 , and the pusher 30 are driven by rotating the knob 14 to adjust the clamp assembly and the pusher assembly to obtain accurate Clamping, electric coagulation, electric cutting angle.
  • the operator drives the gripper handle 16 to drive the connecting rod 27 so that the gripper slider 23 moves along the axial direction of the guide rod 25 to the side away from the center-pass support tube 13 , and drives the first deformation bar 33 and the second deformation bar 35 They move in the same direction, so that the first clamp 11 and the second clamp 12 shrink and move toward the middle-pass support tube 13; because the tissue 100 to be clamped is thin, the first clamp 11 and the second clamp 12 need to be With a larger retraction distance, the clamp slider 23 needs to move a larger distance to the side away from the center-pass support tube 13 until the first clamp 11 and the second clamp 12 can effectively clamp the tissue 100, as shown in FIG. 8 and FIG.
  • the operator drives the pusher handle 15 and triggers the trigger point 211 of the pusher slider 21 through the guide chute 151 on the pusher handle 15 to drive the pusher slider 21 and the pusher.
  • the conductive block 22 and the push knife assembly 13 move along the axial direction of the guide rod 25 to the side of the support tube 13 , and compress the push knife sliding block return spring 20 ;
  • the trigger boss 212 is provided on it to trigger the switch pedal 281 set by the switch sensor 28 to realize the conversion of the current loop; at this time, the current loop changes, and the first clamp 11 and the second The two clamps 12 are both negative and the pusher 30 is the positive electrode, forming a current loop; the pusher slider 21 continues to move along the axial direction of the guide rod 25 to the side of the support tube 13 until the limit on the limit bar 29 is reached.
  • the operator releases the pusher handle 15, and the pusher slider 21 moves along the axial direction of the guide rod 25 to the side away from the middle-pass support tube 13 under the action of the pusher return spring 20 to drive the pusher to conduct electricity.
  • the block 12, the pusher 30 is reset, the triggering boss 212 is separated from the switch pedal 281 that triggers the switch sensor 28, and the switch sensor 28 returns to the initial state; to realize the conversion of the current loop, the first clamp 11 (positive pole), the The second clamp 12 (negative pole), the circuit of the push knife 30 is disconnected; the operator releases the coagulation foot switch of the external energy device, and the electric cutting action is completed.
  • the operator releases the clamp handle 16, and under the action of the clamp slider reset spring 26, the clamp slider 23 resets and moves to the side of the central support tube 13 along the axial direction of the guide rod 25, and drives the first clamp 11.
  • the first deformed bar 33, the second clamp 12, and the second deformed bar 35 move, and the protruding limit portion of the connecting section 112 (122) of the first clamp 11 and the second clamp 12 is away from the center-pass support
  • the first deforming strip 33 and the second deforming strip 35 rebound, and the clamps are opened to release the clamped tissue 100 .
  • the operator drives the gripper handle 16 to drive the connecting rod 27 so that the gripper slider 23 moves along the axial direction of the guide rod 25 to the side away from the center-pass support tube 13 , and drives the first deformation bar 33 and the second deformation bar 35 Move in the same direction at the same time, so that the first clamp 11 and the second clamp 12 shrink and move toward the middle-pass support tube 13; because the tissue 100 to be clamped is thick, the first clamp 11 and the second clamp 12 need The retraction distance is small, and after the clamp slider 23 moves a short distance to the side away from the center-pass support tube 13, the first clamp 11 and the second clamp 12 can effectively clamp the tissue 101, see FIG.
  • the operator drives the pusher handle 15 and triggers the trigger point 211 of the pusher slider 21 through the guide chute 151 on the pusher handle 15 to drive the pusher slider 21 and the pusher.
  • the conductive block 22 and the knife pusher assembly 13 move along the axial direction of the guide rod 25 to the side of the support tube 13 , and compress the knife pusher slider return spring 20 ;
  • the trigger boss 212 is provided on it to trigger the switch pedal 281 set by the switch sensor 28 to realize the conversion of the current loop; at this time, the current loop changes, and the first clamp 11 and the second
  • the two clamps 12 are both negative and the pusher 30 is the positive, forming a current loop;
  • the pusher slider 21 continues to move a longer distance along the axial direction of the guide rod 25 to the side of the support tube 13 until it reaches the limit bar 29
  • the limit point 291 of the clamp slider 23 is in contact with the limit point 231
  • the movement of the pusher slider 21 stops, and the head of the pusher blade 301 leaves a design space with the first clamp 11 and the second clamp 12 to avoid their collision.
  • the pushing blade 301 completes the electric cutting action on the
  • the operator releases the pusher handle 15, and the pusher slider 21 moves along the axial direction of the guide rod 25 to the side away from the middle-pass support tube 13 under the action of the pusher return spring 20 to drive the pusher to conduct electricity.
  • the block 12, the pusher 30 is reset, the triggering boss 212 is separated from the switch pedal 281 that triggers the switch sensor 28, and the switch sensor 28 returns to the initial state; to realize the conversion of the current loop, the first clamp 11 (positive pole), the The second clamp 12 (negative pole), the circuit of the push knife 30 is disconnected; the operator releases the coagulation foot switch of the external energy device, and the electric cutting action is completed.
  • the operator releases the clamp handle 16, and under the action of the clamp slider reset spring 26, the clamp slider 23 resets and moves to the side of the central support tube 13 along the axial direction of the guide rod 25, and drives the first clamp 11.
  • the first deformed bar 33, the second clamp 12, and the second deformed bar 35 move, and the protruding limit portion of the connecting section 112 (122) of the first clamp 11 and the second clamp 12 is away from the center-pass support
  • the first deforming strip 33 and the second deforming strip 35 rebound, and the clamps are opened to release the clamped tissue 101 .

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Abstract

An electrode clamp. A first clamp (11), a second clamp (12), and a push broach (30) are arranged in a through supporting tube (13) in a penetrating mode; the push broach (30) is located at a position between the first clamp (11) and the second clamp (12); a clamp handle (16) is in linkage with a clamp driving assembly; the clamp driving assembly drives the first clamp (11) and the second clamp (12) to move toward the through supporting tube (13) so as to clamp and electrically coagulate a tissue (100, 101); a push broach handle (15) is in linkage with a push broach driving assembly; the push broach driving assembly drives the push broach (30) to move outwards from the through supporting tube (13) so as to cut the tissue (100, 101) that is electrically coagulated; the push broach driving assembly is provided with a limiting portion; and the limiting portion moves towards the clamp driving assembly so as to abut against the clamp driving assembly. According to the electrode clamp, it is ensured that an accurate electrical cutting capability is provided by means of the linkage limiting relationship of a push broach assembly and a clamp assembly when the tissues having different thicknesses are clamped, thereby avoiding damage caused by collision between a push broach edge (301) and the clamps (11, 12). The use of the electrode clamp enables an operation to be safer, more convenient, more accurate, and more efficient, and can reduce an operation time and improve the success rate of the operation.

Description

一种电极钳an electrode clamp 技术领域technical field
本实用新型涉及医疗器械的技术领域,特别是涉及一种电极钳。The utility model relates to the technical field of medical instruments, in particular to an electrode forceps.
背景技术Background technique
随着医疗技术的发展,微创手术已得到普及,腹腔镜手术是一门新发展起来的微创方法,也是未来手术方法发展的一个必然趋势;一种具有使用方便、安全、多功能、高效的外科手术器械在腹腔镜手术和妇科手术中显得越来越重要。With the development of medical technology, minimally invasive surgery has been popularized. Laparoscopic surgery is a newly developed minimally invasive method, and it is also an inevitable trend in the development of future surgical methods. Surgical instruments are increasingly important in laparoscopic and gynecological surgery.
现有的多功能外科手术器械,存在以下技术缺陷:在夹持不同厚度组织时,由于夹钳的闭合高度不同,分离结构的刀片在推出以切割组织时距离发生变化;若保证厚组织切割距离,则切割薄组件时刀片完全推出后刀刃会与夹钳发生碰撞,变钝;若保证薄组织切割距离,则切割厚组件时刀片推出距离变短,切割位置不准确,效率低,不利于手术中对切割部位的精准把握;另外,刀片在多次切割组织后会变钝,若是继续使用则增加手术风险性,而刀片变钝严重会导致刀片的失效,最后使得整个外科手术器械不能使用,造成资源的浪费。The existing multifunctional surgical instruments have the following technical defects: when clamping tissues of different thicknesses, due to the different closing heights of the clamps, the distance of the blades of the separation structure changes when they are pushed out to cut the tissue; , the blade will collide with the clamp after the blade is completely pushed out when cutting thin components, and it will become dull; if the cutting distance of thin tissue is ensured, the pushing distance of the blade will be shortened when cutting thick components, the cutting position will be inaccurate, and the efficiency will be low, which is not conducive to surgery. In addition, the blade will become blunt after cutting the tissue for many times, and if it continues to be used, it will increase the risk of surgery, and the bluntness of the blade will lead to the failure of the blade, and finally the entire surgical instrument cannot be used. cause a waste of resources.
实用新型内容Utility model content
本实用新型的目的在于提供一种电极钳,解决上述现有技术存在的技术缺陷,通过推刀组件、夹钳组件的联动限位关系确保在夹持不同厚度组织时提供精准的电切割能力,避免推刀刀刃与夹钳发生碰撞造成损坏,该电极钳的使用使手术更加安全、方便、精准、高效,节约手术时间,提高手术成功率。The purpose of the present utility model is to provide an electrode forceps, which solves the technical defects of the above-mentioned prior art, and ensures accurate electric cutting capability when clamping tissues of different thicknesses through the linkage limit relationship between the pusher assembly and the clamp assembly. To avoid damage caused by the collision between the blade of the pusher and the clamp, the use of the electrode clamp makes the operation safer, more convenient, more accurate and more efficient, saves the operation time and improves the success rate of the operation.
为了实现上述目的,本实用新型提供如下技术方案:In order to achieve the above object, the utility model provides the following technical solutions:
一种电极钳,其包括中通支承管;夹钳组件,包括夹钳驱动组件、夹钳手柄和相向设置的第一夹钳和第二夹钳;推刀组件,包括推刀驱动组件、推刀手柄和推刀;所述第一夹钳、所述第二夹钳和所述推刀穿设于所述中通支承管中,所述推刀位于所述第一夹钳和所述第二夹钳之间的位置;所述夹钳手柄联动所述夹钳驱动组件,所述夹钳驱动组件驱动所述第一夹钳和所述第二夹钳往所述中通支承管中移动以夹持并电凝组织;所述推刀手柄联 动所述推刀驱动组件,所述推刀驱动组件驱动所述推刀由所述中通支承管中朝外移动以切割电凝后的所述组织,所述推刀驱动组件设有限位部,所述限位部朝向所述夹钳驱动组件移动以抵接所述夹钳驱动组件。An electrode forceps, which includes a middle-pass support tube; a clamp assembly, including a clamp drive assembly, a clamp handle, and a first clamp and a second clamp arranged oppositely; a knife push assembly, including a push knife drive assembly, a push a knife handle and a push knife; the first clamp, the second clamp and the push knife pass through the middle-pass support pipe, and the push knife is located in the first clamp and the first clamp The position between the two clamps; the clamp handle is linked with the clamp drive assembly, and the clamp drive assembly drives the first clamp and the second clamp to move into the middle-pass support pipe to move Clamp and electrocoagulate tissue; the push knife handle is linked with the push knife drive assembly, and the push knife drive assembly drives the push knife to move outward from the middle-pass support tube to cut the electrocoagulated tissue tissue, the push knife drive assembly is provided with a limiting portion, and the limiting portion moves toward the clamp drive assembly to abut the clamp drive assembly.
进一步,所述电极钳还包括支撑手柄,连接于所述中通支承管的一端,所述夹钳驱动组件和所述推刀驱动组件安装于所述支撑手柄,所述夹钳手柄和所述推刀手柄转动连接于所述支撑手柄朝向所述中通支承管的一侧。Further, the electrode forceps further includes a support handle, which is connected to one end of the middle-pass support pipe, the clamp drive assembly and the push knife drive assembly are mounted on the support handle, and the clamp handle and the The push-knife handle is rotatably connected to the side of the support handle facing the middle-pass support pipe.
进一步,所述第一夹钳和所述第二夹钳之间的距离沿着朝向所述中通支承管的方向逐渐减小。Further, the distance between the first clamp and the second clamp gradually decreases along the direction toward the mid-pass support tube.
进一步,所述夹钳组件还包括可弹性变形的第一变形条和第二变形条,所述第一变形条的两端分别与所述第一夹钳、所述夹钳驱动组件固定连接,所述第二变形条的两端分别与所述第二夹钳、所述夹钳驱动组件固定连接,触发所述夹钳手柄时,所述夹钳驱动组件驱动所述第一夹钳、所述第二夹钳朝所述中通支承管内收缩移动,以夹持所述组织。Further, the clamp assembly further comprises elastically deformable first deformation strips and second deformation strips, two ends of the first deformation strip are respectively fixedly connected to the first clamp and the clamp drive assembly, The two ends of the second deformation strip are respectively fixedly connected with the second clamp and the clamp drive assembly. When the clamp handle is triggered, the clamp drive assembly drives the first clamp and the clamp drive assembly. The second clamp is retracted and moved toward the mid-pass support tube to clamp the tissue.
进一步,所述夹钳驱动组件包括夹钳连动机构与夹钳复位弹簧,所述第一变形条和所述第二变形条均与所述夹钳连动机构的一端连接,所述夹钳连动机构的另一端与所述夹钳手柄连接,所述夹钳复位弹簧安装在所述支撑手柄的内腔且与所述夹钳连动机构抵接。Further, the clamp drive assembly includes a clamp linkage mechanism and a clamp return spring, the first deformation strip and the second deformation strip are both connected to one end of the clamp linkage mechanism, and the clamp The other end of the linkage mechanism is connected with the clamp handle, and the clamp return spring is installed in the inner cavity of the support handle and abuts with the clamp linkage mechanism.
进一步,所述推刀组件还包括连接杆,所述推刀驱动组件包括推刀复位弹簧和推刀连动机构,所述连接杆两端分别与所述推刀、所述推刀连动机构的一端连接,所述推刀连动机构的另一端与所述推刀手柄连接,所述推刀复位弹簧安装在所述支撑手柄的内腔且与所述推刀连动机构抵接。Further, the knife push assembly further includes a connecting rod, the knife push drive assembly includes a push knife reset spring and a push knife linkage mechanism, and both ends of the connecting rod are respectively connected with the push knife and the push knife linkage mechanism One end of the knife pusher linkage mechanism is connected to the knife pusher handle, and the knife pusher return spring is installed in the inner cavity of the support handle and abuts with the knife pusher linkage mechanism.
进一步,所述推刀连动机构包括推刀块和限位条,所述限位条与所述推刀块固定连接,所述推刀手柄的一端与所述推刀块驱动连接,所述限位条开设有所述限位部,所述限位部可抵接所述夹钳驱动组件以停止所述推刀的移动。Further, the knife push linkage mechanism includes a knife push block and a limit bar, the limit bar is fixedly connected to the knife push block, one end of the knife push handle is drivingly connected to the knife push block, the The limiting bar is provided with the limiting portion, and the limiting portion can abut the clamp driving assembly to stop the movement of the pusher.
进一步,所述推刀手柄的一端通过设置有导滑槽与所述推刀块驱动连接。Further, one end of the pusher handle is drivingly connected to the pusher block by being provided with a guide chute.
本实用新型的有益效果:The beneficial effects of the present utility model:
本实用新型提供的电极钳,其中,夹钳手柄联动夹钳驱动组件,夹钳驱动组件驱动第一夹钳和第二夹钳往中通支承管中移动以夹持并电凝组织;推刀手柄联动推刀驱动组件,推刀驱动组件驱动推刀由中通支承管中朝外移动以切割电凝后的组织,推刀驱动组件设有限位部,限位部朝向夹钳驱动组件移动以抵接夹钳驱动组件。The electrode forceps provided by the utility model, wherein, the clamp handle is linked with the clamp drive assembly, and the clamp drive assembly drives the first clamp and the second clamp to move into the central support tube to clamp and electrocoagulate the tissue; the push knife handle The push knife drive assembly is linked, and the push knife drive assembly drives the push knife to move outward from the middle-pass support tube to cut the tissue after electrocoagulation. Connect the clamp drive assembly.
手术使用该电极钳,对于较薄的组织,第一夹钳和第二夹钳往中通支承管中移动的距离较大,推刀驱动组件所设的限位部移动较小的距离就可以抵接到夹钳驱动组件,以停止 驱动推刀由中通支承管中朝外移动;对于较厚的组织,第一夹钳和第二夹钳往中通支承管中移动的距离较小,则推刀驱动组件所设的限位部需移动较大的距离才可以抵接到夹钳驱动组件,以停止驱动推刀由中通支承管中朝外移动;由上述可得,该电极钳,通过推刀组件、夹钳组件的联动限位关系确保在夹持不同厚度组织时提供精准的电切割能力,避免推刀刀刃与夹钳发生碰撞造成损坏,该电极钳的使用使手术更加安全、方便、精准、高效,节约手术时间,提高手术成功率。The electrode forceps are used in surgery. For thin tissues, the distance between the first and second forceps moving into the middle-passing support tube is relatively large, and the limit part of the push-knife drive assembly can move a relatively small distance. Connected to the clamp drive assembly to stop driving the pusher to move outwards from the middle-pass support tube; for thicker tissue, the first clamp and the second clamp move a smaller distance into the middle-pass support tube, and the pusher The limit part of the knife drive assembly needs to move a large distance before it can abut on the clamp drive assembly, so as to stop driving the push knife to move outwards from the middle-pass support pipe; from the above, the electrode clamp can pass The linkage limit relationship between the pusher assembly and the clamp assembly ensures accurate electrical cutting capability when clamping tissues of different thicknesses and avoids damage caused by the collision between the pusher blade and the clamp. The use of the electrode clamp makes the operation safer and more convenient , Accurate and efficient, saving operation time and improving the success rate of operation.
附图说明Description of drawings
图1是本实施例的电极钳整体结构示意图;FIG. 1 is a schematic diagram of the overall structure of the electrode clamp of this embodiment;
图2是本实施例的电极钳另一视角整体结构示意图;FIG. 2 is a schematic diagram of the overall structure of the electrode clamp of the present embodiment from another perspective;
图3是本实施例的电极钳内部整体结构示意图;3 is a schematic diagram of the overall internal structure of the electrode clamp of the present embodiment;
图4是本实施例的电极钳内部局部结构示意图;FIG. 4 is a schematic diagram of the internal partial structure of the electrode clamp of the present embodiment;
图5是本实施例的电极钳头部组件的剖面图;5 is a cross-sectional view of the electrode clamp head assembly of the present embodiment;
图6是本实施例的电极钳支撑手柄的剖面图;6 is a cross-sectional view of the electrode forceps support handle of the present embodiment;
图7是本实施例的电极钳电凝组织示意图;7 is a schematic diagram of the electrode clamp electrocoagulation tissue of the present embodiment;
图8是图7的刀头部分的放大图;Fig. 8 is an enlarged view of the cutter head portion of Fig. 7;
图9是图7电凝组织状态下电极钳内部局部结构;Fig. 9 is the internal partial structure of the electrode clamp in the state of electrocoagulation of the tissue in Fig. 7;
图10是本实施例的电极钳电切割薄组织示意图;FIG. 10 is a schematic diagram of the electrode forceps of the present embodiment for electrical cutting of thin tissue;
图11是图10的刀头部分的放大图;Fig. 11 is an enlarged view of the cutter head portion of Fig. 10;
图12是图10电切割组织状态下电极钳内部局部结构;Fig. 12 is the internal partial structure of the electrode forceps in the state of electric cutting tissue of Fig. 10;
图13是本实施例的电极钳电切割厚组织示意图;FIG. 13 is a schematic diagram of the electrode forceps electrically cutting thick tissue according to the present embodiment;
图14是图13的刀头部分的放大图;Figure 14 is an enlarged view of the cutter head portion of Figure 13;
图15是图13电切割组织状态下电极钳内部局部结构。Fig. 15 is the internal partial structure of the electrode forceps in the state of electric cutting of tissue in Fig. 13 .
具体实施方式Detailed ways
下面将结合本实用新型实施例中的附图,对本实用新型实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例仅仅是本实用新型的一部分实施例,而不是全部的实施例。基于本实用新型中的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例,都属于本实用新型保护的范围。The technical solutions in the embodiments of the present utility model will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present utility model. Obviously, the described embodiments are only a part of the embodiments of the present utility model, not all of them. Example. Based on the embodiments of the present invention, all other embodiments obtained by those of ordinary skill in the art without creative work fall within the protection scope of the present invention.
参见图1-图15,图1是本实施例的电极钳整体结构示意图,图2是本实施例的电极钳另一视角整体结构示意图,图3是本实施例的电极钳内部整体结构示意图,图4是本实施例的电极钳内部局部结构示意图,图5是本实施例的电极钳头部组件的剖面图,图6是本实施例的电极钳支撑手柄的剖面图,图7是本实施例的电极钳电凝组织示意图,图8是图7的刀头部分的放大图,图9是图7电凝组织状态下电极钳内部局部结构,图10是本实施例的电极钳电切割薄组织示意图,图11是图10的刀头部分的放大图,图12是图10电切割组织状态下电极钳内部局部结构,图13是本实施例的电极钳电切割厚组织示意图,图14是图13的刀头部分的放大图,图15是图13电切割组织状态下电极钳内部局部结构。Referring to FIGS. 1-15, FIG. 1 is a schematic diagram of the overall structure of the electrode clamp of this embodiment, FIG. 2 is a schematic diagram of the overall structure of the electrode clamp of this embodiment from another perspective, and FIG. 3 is a schematic diagram of the overall structure of the electrode clamp of this embodiment. 4 is a schematic diagram of the internal partial structure of the electrode forceps of this embodiment, FIG. 5 is a cross-sectional view of the electrode forceps head assembly of this embodiment, FIG. 6 is a cross-sectional view of the electrode forceps support handle of this embodiment, and FIG. 7 is this embodiment. Figure 8 is an enlarged view of the cutter head part of Figure 7, Figure 9 is a partial structure of the electrode forceps in the state of electrocoagulation of the tissue in Figure 7, and Figure 10 is the electrode forceps in this embodiment. Schematic diagram of tissue, Fig. 11 is an enlarged view of the cutter head part of Fig. 10, Fig. 12 is a partial structure of the electrode forceps under the state of electric cutting tissue in Fig. 10, Fig. 13 is a schematic diagram of the electrode forceps in this embodiment for electric cutting of thick tissue, Fig. 14 is a schematic diagram of the tissue. FIG. 13 is an enlarged view of the cutter head part, and FIG. 15 is a partial structure of the electrode forceps in the state of electric cutting of tissue in FIG. 13 .
本实用新型提供的电极钳,属于医疗器械领域,该电极钳,采用电凝能量,在手术中提供电凝血和电切割的使用功能,通过操作推刀手柄以实现对电凝血后各种厚度的组织进行电切割,更是通过推刀手柄、夹钳手柄的联动限位关系确保在夹持不同厚度组织时提供精准的电切割能力,该外科手术器械的使用使手术更加安全、方便、精准、高效,节约手术时间,提高手术成功率。The electrode forceps provided by the utility model belongs to the field of medical equipment. The electrode forceps adopts electric coagulation energy to provide the use functions of electric coagulation and electric cutting during operation. The tissue is electrically cut, and the linkage limit relationship between the handle of the pusher and the handle of the clamp ensures accurate electrical cutting capability when clamping tissues of different thicknesses. The use of this surgical instrument makes the operation safer, more convenient, more accurate, and Efficient, save operation time and improve the success rate of operation.
本实施例中,参见图1-图15,该电极钳包括中通支承管13、夹钳组件、推刀组件、和支撑手柄17。In this embodiment, referring to FIG. 1 to FIG. 15 , the electrode forceps includes a mid-pass support tube 13 , a clamp assembly, a push knife assembly, and a support handle 17 .
本实施例中,夹钳组件包括第一夹钳11、第二夹钳12、可弹性变形的第一变形条33和第二变形条35,第一夹钳11通过第一变形条33与夹钳驱动组件固定连接,第二夹钳12通过第二变形条35与夹钳驱动组件固定连接,夹钳组件穿设于中通支承管13内,第一夹钳11和第二夹钳12间隔设置相互绝缘;当触发夹钳手柄16驱动连杆27,使夹钳驱动组件驱动第一夹钳11、第二夹钳12朝中通支承管13内收缩移动,以夹持组织100,便于组织100的稳定夹紧。In this embodiment, the clamp assembly includes a first clamp 11 , a second clamp 12 , a first deformable strip 33 and a second deformable strip 35 that can be elastically deformed. The first clamp 11 is connected to the clamp through the first deformation strip 33 . The clamp drive assembly is fixedly connected, the second clamp 12 is fixedly connected to the clamp drive assembly through the second deformation strip 35, the clamp assembly is penetrated in the middle-pass support tube 13, and the first clamp 11 and the second clamp 12 are spaced apart The settings are mutually insulated; when the clamp handle 16 is triggered to drive the connecting rod 27, the clamp drive assembly drives the first clamp 11 and the second clamp 12 to shrink and move toward the central support tube 13 to clamp the tissue 100, which is convenient for the tissue 100 for stable clamping.
本实施例中,第一夹钳11、第二夹钳12在其连接段112(122)均包裹了绝缘31,且中通支承管13靠近第一夹钳11、第二夹钳12的那一端的内管壁面设有绝缘导向套32,中通支承管13的外管壁包裹绝缘保护套34,保证中通支承管13与第一夹钳11、第二夹钳12、推刀组件之间的绝缘。In this embodiment, the connecting sections 112 ( 122 ) of the first clamp 11 and the second clamp 12 are all wrapped with insulation 31 , and the middle-pass support tube 13 is close to the first clamp 11 and the second clamp 12 . One end of the inner tube wall is provided with an insulating guide sleeve 32, and the outer tube wall of the middle-pass support tube 13 is wrapped with an insulating protective sleeve 34 to ensure the connection between the middle-pass support tube 13 and the first clamp 11, the second clamp 12, and the push knife assembly. insulation between.
本实施例中,第一夹钳11和第二夹钳12的连接段112(122)设置有朝外凸起的限位部,两者的限位部之间的距离大于中通支承管13的内管径,该限位部的设置,限制了第一夹钳11和第二夹钳12朝中通支承管13内收缩移动的程度,避免过分收缩。In this embodiment, the connecting sections 112 ( 122 ) of the first clamp 11 and the second clamp 12 are provided with outwardly protruding limit parts, and the distance between the two limit parts is greater than that of the support pipe 13 The inner diameter of the pipe is limited, and the setting of the limiting portion limits the degree of contraction and movement of the first clamp 11 and the second clamp 12 toward the middle-pass support pipe 13, so as to avoid excessive contraction.
本实施例中,夹钳驱动组件包括夹钳滑块23、夹钳旋转套24、夹钳滑块复位弹簧26、 导杆25;夹钳滑块23一端通过连杆27与夹钳手柄16连接;夹钳滑块23另一端通过夹钳旋转套24与第一变形条33和第二变形条35连接;夹钳滑块23设有导滑孔,与导杆25配合,保证夹钳滑块23在导杆25的轴向上顺畅移动。第一变形条33和第二变形条35在其尾部通过电缆线连接到转换开关传感器28上。In this embodiment, the clamp drive assembly includes a clamp slider 23 , a clamp rotation sleeve 24 , a clamp slider return spring 26 , and a guide rod 25 ; one end of the clamp slider 23 is connected to the clamp handle 16 through a connecting rod 27 The other end of the clamp slider 23 is connected with the first deformation strip 33 and the second deformation strip 35 through the clamp rotation sleeve 24; the clamp slider 23 is provided with a guide sliding hole, which cooperates with the guide rod 25 to ensure the clamp slider 23 moves smoothly in the axial direction of the guide rod 25 . The first deforming strip 33 and the second deforming strip 35 are connected to the changeover switch sensor 28 at their tails by cables.
本实施例中,推刀组件包括推刀30、推刀连动机构、推刀复位弹簧20、限位条29和推刀手柄15;其中推刀连动机构包括推刀滑块21、推刀导电块22;推刀滑块21与推刀导电块22固定连接,推刀30通过其尾部303设置呈“L”型连接到推刀连动机构上,形成间隙配合;当触发推刀手柄15通过其导滑槽151,带动推刀滑块21的触点211,使得推刀滑块21向中通支承管13一侧移动,推刀30推出电切割夹持组织100。In this embodiment, the knife pusher assembly includes a knife pusher 30, a knife pusher linkage mechanism, a knife pusher return spring 20, a limit bar 29 and a knife pusher handle 15; wherein the knife pusher linkage mechanism includes a knife pusher slider 21, a knife pusher Conductive block 22; the pusher slider 21 is fixedly connected to the pusher conductive block 22, and the pusher 30 is connected to the pusher linkage mechanism through its tail 303 in an "L" shape to form a clearance fit; when the pusher handle 15 is triggered Through the guide chute 151 , the contact 211 of the knife pusher slider 21 is driven, so that the knife pusher slider 21 moves to the side of the middle-pass support tube 13 , and the pusher knife 30 pushes out the electric cutting and clamping tissue 100 .
本实施例中,推刀滑块21设有导滑孔,与导杆25配合,保证推刀滑块21在导杆25的轴向上顺畅移动。推刀导电块22通过电缆线与转换开关传感器28连通。In the present embodiment, the knife push slider 21 is provided with a guide sliding hole, which cooperates with the guide rod 25 to ensure the smooth movement of the knife push block 21 in the axial direction of the guide rod 25 . The push-knife conductive block 22 communicates with the switch sensor 28 through a cable.
转换开关传感器28通过电缆线与外部能量设备(电凝能量设备)连通以接收电凝能量。本实施所提供的电极钳的进行电凝血与进行电切割的切换原理与专利“一种外科手术器械及其操作方法”所述的切换原理是一致的。The transfer switch sensor 28 is in communication with an external energy device (coagulation energy device) via a cable to receive the coagulation energy. The switching principle of electric coagulation and electric cutting of the electrode forceps provided in this embodiment is consistent with the switching principle described in the patent "A surgical instrument and its operation method".
本实施例中,中通支承管13与旋钮14固定连接,通过中通支承管13上的限位机构,操作者可以旋动旋钮14并带动第一夹钳11、第二夹钳12和推刀30一同在±120°范围内自由转动,可根据目标组织的位置、角度,通过旋转旋钮14来调整夹钳组件和推刀组件来获取准确的夹持、电凝血、电切割角度。In the present embodiment, the support tube 13 of the middle pass is fixedly connected with the knob 14 , and the operator can rotate the knob 14 and drive the first clamp 11 , the second clamp 12 and the pusher through the limiting mechanism on the support tube 13 of the pass The knife 30 rotates freely within the range of ±120°, and the clamp assembly and the push knife assembly can be adjusted by rotating the knob 14 according to the position and angle of the target tissue to obtain accurate clamping, electrocoagulation, and electrocution angles.
优选地,第一夹钳11、第二夹钳12为锯齿形,以利于使用时固定需要剪切的组织。Preferably, the first clamp 11 and the second clamp 12 are serrated to facilitate fixing the tissue to be cut during use.
本实施例中,夹钳组件、推刀组件穿设于中通支承管13内,推刀30位于第一夹钳11和第二夹钳12之间的位置,且间隔设置相互绝缘;支撑手柄17连接于中通支承管13的一端,转换开关传感器28、夹钳驱动组件和推刀驱动组件均安装在支撑手柄17的内腔中,夹钳手柄16和推刀手柄15通过转轴转动连接于支撑手柄17朝向中通支承管13的一侧,且推刀手柄15位于夹钳手柄16的上方位置,便于人手触发操作。In this embodiment, the clamp assembly and the pusher assembly are inserted into the support pipe 13, the pusher 30 is located between the first clamp 11 and the second clamp 12, and is insulated from each other at intervals; the support handle 17 is connected to one end of the support pipe 13 in the middle pass, the switch sensor 28, the clamp drive assembly and the push knife drive assembly are all installed in the inner cavity of the support handle 17, and the clamp handle 16 and the push knife handle 15 are connected to each other through the rotating shaft. The support handle 17 faces the side of the middle-pass support tube 13, and the pusher handle 15 is located above the clamp handle 16, which is convenient for manual triggering operations.
本实施例中,支撑手柄17的两个侧面分别设有拇指支撑部172与食指支撑部173,且在远离夹钳的端面上设有供手掌虎口握持的凹陷部171。中指、无名指和小指控制夹钳手柄16,食指控制推刀手柄15,实现简易的单手操作。In this embodiment, two sides of the support handle 17 are respectively provided with a thumb support portion 172 and a forefinger support portion 173, and the end face away from the clamp is provided with a concave portion 171 for the palm of the hand to hold. The middle finger, the ring finger and the little finger control the gripper handle 16, and the index finger controls the pusher handle 15, so as to realize simple one-handed operation.
本实施例中,根据目标组织的位置、角度,通过旋转旋钮14来带动上夹钳11、下夹钳12、中通支承管13、推刀30调整夹钳组件和推刀组件来获取准确的夹持、电凝血、电 切割角度。In this embodiment, according to the position and angle of the target tissue, the upper clamp 11 , the lower clamp 12 , the middle-pass support tube 13 , and the pusher 30 are driven by rotating the knob 14 to adjust the clamp assembly and the pusher assembly to obtain accurate Clamping, electric coagulation, electric cutting angle.
当目标组织为薄组织100时,本电极钳的工作过程如下,具体参见图7—图12:When the target tissue is thin tissue 100, the working process of the electrode forceps is as follows, please refer to Fig. 7-Fig. 12 for details:
首先,操作者驱动夹钳手柄16带动连杆27使得夹钳滑块23沿导杆25轴向方向往远离中通支撑管13一侧移动,并带动第一变形条33、第二变形条35一并同向移动,使得第一夹钳11、第二夹钳12朝中通支承管13内收缩移动;由于被夹持组织100较薄,使得第一夹钳11、第二夹钳12需要更大的收缩距离,夹钳滑块23往远离中通支撑管13一侧需移动较大距离,直到第一夹钳11、第二夹钳12能够有效夹持组织100,如图8和图9中所示,触发外部能量设备的凝血脚踏开关,并保持触发状态;通过第一夹钳11(正极)、第二夹钳12(负极)和被夹紧目标组织,形成电流回路,实现对目标组织100的电凝血功能。First, the operator drives the gripper handle 16 to drive the connecting rod 27 so that the gripper slider 23 moves along the axial direction of the guide rod 25 to the side away from the center-pass support tube 13 , and drives the first deformation bar 33 and the second deformation bar 35 They move in the same direction, so that the first clamp 11 and the second clamp 12 shrink and move toward the middle-pass support tube 13; because the tissue 100 to be clamped is thin, the first clamp 11 and the second clamp 12 need to be With a larger retraction distance, the clamp slider 23 needs to move a larger distance to the side away from the center-pass support tube 13 until the first clamp 11 and the second clamp 12 can effectively clamp the tissue 100, as shown in FIG. 8 and FIG. As shown in 9, trigger the coagulation foot switch of the external energy device, and keep the trigger state; through the first clamp 11 (positive pole), the second clamp 12 (negative pole) and the clamped target tissue, a current loop is formed to achieve Electrocoagulation function on target tissue 100 .
保持外部能量设备的凝血脚踏开关处于触发状态,操作者通过驱动推刀手柄15,通过其上的导滑槽151触发推刀滑块21的触发点211,带动推刀滑块21、推刀导电块22和推刀组件13沿导杆25轴向方向往中通支撑管13一侧移动,并压缩推刀滑块复位弹簧20;同时使得推刀30与推刀导电块22连通。推刀滑块21移动过程中,通过其设有触发凸台212,触发转换开关传感器28所设的开关踏板281,实现电流回路的转换;此时电流回路发生变化,第一夹钳11和第二夹钳12同为负极,推刀30为正极,形成电流回路;推刀滑块21继续沿导杆25轴向方向往中通支撑管13一侧移动,直到限位条29上的限位点291夹钳滑块23限位点231抵触时推刀滑块21运动停止,推刀刀刃301与第一夹钳11和第二夹钳12留有设计空间避免其相碰撞导致推刀刀刃301损伤或变钝的情况,推刀刀刃301完成对目标组织100的电切割动作。To keep the coagulation foot switch of the external energy device in the triggered state, the operator drives the pusher handle 15 and triggers the trigger point 211 of the pusher slider 21 through the guide chute 151 on the pusher handle 15 to drive the pusher slider 21 and the pusher. The conductive block 22 and the push knife assembly 13 move along the axial direction of the guide rod 25 to the side of the support tube 13 , and compress the push knife sliding block return spring 20 ; During the movement of the knife pusher slider 21, the trigger boss 212 is provided on it to trigger the switch pedal 281 set by the switch sensor 28 to realize the conversion of the current loop; at this time, the current loop changes, and the first clamp 11 and the second The two clamps 12 are both negative and the pusher 30 is the positive electrode, forming a current loop; the pusher slider 21 continues to move along the axial direction of the guide rod 25 to the side of the support tube 13 until the limit on the limit bar 29 is reached. Point 291, when the clamp slider 23 collides with the limit point 231, the movement of the pusher slider 21 stops, and the pusher blade 301 and the first clamp 11 and the second clamp 12 leave a design space to avoid their collision and cause the pusher blade 301 In the case of damage or dullness, the pushing blade 301 completes the electrical cutting action on the target tissue 100 .
电切割完成之后,操作者释放推刀手柄15,推刀滑块21在推刀复位弹簧20的作用下,沿导杆25轴向方向往远离中通支撑管13一侧移动从而带动推刀导电块12、推刀30复位,其触发凸台212与触发转换开关传感器28的开关踏板281分离,转换开关传感器28回复为初始状态;实现电流回路的转换,第一夹钳11(正极)、第二夹钳12(负极),推刀30电路断开;操作者释放外部能量设备的凝血脚踏开关,电切割动作完成。After the electric cutting is completed, the operator releases the pusher handle 15, and the pusher slider 21 moves along the axial direction of the guide rod 25 to the side away from the middle-pass support tube 13 under the action of the pusher return spring 20 to drive the pusher to conduct electricity. The block 12, the pusher 30 is reset, the triggering boss 212 is separated from the switch pedal 281 that triggers the switch sensor 28, and the switch sensor 28 returns to the initial state; to realize the conversion of the current loop, the first clamp 11 (positive pole), the The second clamp 12 (negative pole), the circuit of the push knife 30 is disconnected; the operator releases the coagulation foot switch of the external energy device, and the electric cutting action is completed.
接着,操作者释放夹钳手柄16,在夹钳滑块复位弹簧26作用下,夹钳滑块23沿导杆25轴向方向往中通支撑管13一侧复位移动,并带动第一夹钳11、第一变形条33和第二夹钳12、第二变形条35运动,第一夹钳11和第二夹钳12的连接段112(122)的凸起的限位部远离中通支承管13内壁,第一变形条33与第二变形条35回弹,夹钳张开释放被 夹紧组织100。Next, the operator releases the clamp handle 16, and under the action of the clamp slider reset spring 26, the clamp slider 23 resets and moves to the side of the central support tube 13 along the axial direction of the guide rod 25, and drives the first clamp 11. The first deformed bar 33, the second clamp 12, and the second deformed bar 35 move, and the protruding limit portion of the connecting section 112 (122) of the first clamp 11 and the second clamp 12 is away from the center-pass support On the inner wall of the tube 13 , the first deforming strip 33 and the second deforming strip 35 rebound, and the clamps are opened to release the clamped tissue 100 .
当目标组织为厚组织101时,本电极钳的工作过程如下,具体参见图7—图9和图13—图15:When the target tissue is thick tissue 101, the working process of the electrode forceps is as follows, please refer to Fig. 7-Fig. 9 and Fig. 13-Fig. 15 for details:
首先,操作者驱动夹钳手柄16带动连杆27使得夹钳滑块23沿导杆25轴向方向往远离中通支撑管13一侧移动,并带动第一变形条33、第二变形条35一并同向移动,使得第一夹钳11、第二夹钳12朝中通支承管13内收缩移动;由于被夹持组织100较厚,第一夹钳11、第二夹钳12需要的收缩距离较小,夹钳滑块23往远离中通支撑管13一侧移动较短的距离后,第一夹钳11、第二夹钳12就能够有效夹持组织101,具体参见图14和图15,触发外部能量设备的凝血脚踏开关,并保持触发状态;通过第一夹钳11(正极)、第二夹钳12(负极)和被夹紧目标组织,形成电流回路,实现对目标组织101的电凝血功能。First, the operator drives the gripper handle 16 to drive the connecting rod 27 so that the gripper slider 23 moves along the axial direction of the guide rod 25 to the side away from the center-pass support tube 13 , and drives the first deformation bar 33 and the second deformation bar 35 Move in the same direction at the same time, so that the first clamp 11 and the second clamp 12 shrink and move toward the middle-pass support tube 13; because the tissue 100 to be clamped is thick, the first clamp 11 and the second clamp 12 need The retraction distance is small, and after the clamp slider 23 moves a short distance to the side away from the center-pass support tube 13, the first clamp 11 and the second clamp 12 can effectively clamp the tissue 101, see FIG. 14 and Figure 15: Trigger the coagulation foot switch of the external energy device and keep the trigger state; the first clamp 11 (positive electrode), the second clamp 12 (negative electrode) and the clamped target tissue form a current loop to achieve the target Electrocoagulation of tissue 101 .
保持外部能量设备的凝血脚踏开关处于触发状态,操作者通过驱动推刀手柄15,通过其上的导滑槽151触发推刀滑块21的触发点211,带动推刀滑块21、推刀导电块22和推刀组件13沿导杆25轴向方向往中通支撑管13一侧移动,并压缩推刀滑块复位弹簧20;同时使得推刀组件30与推刀导电块22连通。推刀滑块21移动过程中,通过其设有触发凸台212,触发转换开关传感器28所设的开关踏板281,实现电流回路的转换;此时电流回路发生变化,第一夹钳11和第二夹钳12同为负极,推刀30为正极,形成电流回路;推刀滑块21继续沿导杆25轴向方向往中通支撑管13一侧移动更长距离,直到限位条29上的限位点291夹钳滑块23限位点231抵触时推刀滑块21运动停止,推刀刀刃301头部与第一夹钳11和第二夹钳12留有设计空间避免其相碰撞导致推刀刀刃301损伤或变钝的情况,推刀刀刃301完成对目标组织101的电切割动作。To keep the coagulation foot switch of the external energy device in the triggered state, the operator drives the pusher handle 15 and triggers the trigger point 211 of the pusher slider 21 through the guide chute 151 on the pusher handle 15 to drive the pusher slider 21 and the pusher. The conductive block 22 and the knife pusher assembly 13 move along the axial direction of the guide rod 25 to the side of the support tube 13 , and compress the knife pusher slider return spring 20 ; During the movement of the knife pusher slider 21, the trigger boss 212 is provided on it to trigger the switch pedal 281 set by the switch sensor 28 to realize the conversion of the current loop; at this time, the current loop changes, and the first clamp 11 and the second The two clamps 12 are both negative and the pusher 30 is the positive, forming a current loop; the pusher slider 21 continues to move a longer distance along the axial direction of the guide rod 25 to the side of the support tube 13 until it reaches the limit bar 29 When the limit point 291 of the clamp slider 23 is in contact with the limit point 231, the movement of the pusher slider 21 stops, and the head of the pusher blade 301 leaves a design space with the first clamp 11 and the second clamp 12 to avoid their collision. In the case that the pushing blade 301 is damaged or dulled, the pushing blade 301 completes the electric cutting action on the target tissue 101 .
电切割完成之后,操作者释放推刀手柄15,推刀滑块21在推刀复位弹簧20的作用下,沿导杆25轴向方向往远离中通支撑管13一侧移动从而带动推刀导电块12、推刀30复位,其触发凸台212与触发转换开关传感器28的开关踏板281分离,转换开关传感器28回复为初始状态;实现电流回路的转换,第一夹钳11(正极)、第二夹钳12(负极),推刀30电路断开;操作者释放外部能量设备的凝血脚踏开关,电切割动作完成。After the electric cutting is completed, the operator releases the pusher handle 15, and the pusher slider 21 moves along the axial direction of the guide rod 25 to the side away from the middle-pass support tube 13 under the action of the pusher return spring 20 to drive the pusher to conduct electricity. The block 12, the pusher 30 is reset, the triggering boss 212 is separated from the switch pedal 281 that triggers the switch sensor 28, and the switch sensor 28 returns to the initial state; to realize the conversion of the current loop, the first clamp 11 (positive pole), the The second clamp 12 (negative pole), the circuit of the push knife 30 is disconnected; the operator releases the coagulation foot switch of the external energy device, and the electric cutting action is completed.
接着,操作者释放夹钳手柄16,在夹钳滑块复位弹簧26作用下,夹钳滑块23沿导杆25轴向方向往中通支撑管13一侧复位移动,并带动第一夹钳11、第一变形条33和第二夹钳12、第二变形条35运动,第一夹钳11和第二夹钳12的连接段112(122)的凸起的限位部远离中通支承管13内壁,第一变形条33与第二变形条35回弹,夹钳张开释放被 夹紧组织101。Next, the operator releases the clamp handle 16, and under the action of the clamp slider reset spring 26, the clamp slider 23 resets and moves to the side of the central support tube 13 along the axial direction of the guide rod 25, and drives the first clamp 11. The first deformed bar 33, the second clamp 12, and the second deformed bar 35 move, and the protruding limit portion of the connecting section 112 (122) of the first clamp 11 and the second clamp 12 is away from the center-pass support On the inner wall of the tube 13 , the first deforming strip 33 and the second deforming strip 35 rebound, and the clamps are opened to release the clamped tissue 101 .
以上实施例仅用以说明本实用新型的技术方案而非限制,参照较佳实施例对本实用新型进行了详细说明,本领域技术人员应当理解,对本实用新型的技术方案进行修改或者等同替换,而不脱离本技术方案的宗旨和范围的方案,均应涵盖在本实用新型的权利要求范围内。The above embodiments are only used to illustrate the technical solutions of the present invention and are not intended to limit them. The present invention has been described in detail with reference to the preferred embodiments. Those skilled in the art should understand that the technical solutions of the present invention should be modified or equivalently replaced. Solutions that do not deviate from the purpose and scope of the technical solution should be included within the scope of the claims of the present invention.

Claims (8)

  1. 一种电极钳,其特征在于:其包括An electrode forceps, characterized in that: it comprises
    中通支承管;Zhongtong support pipe;
    夹钳组件,包括夹钳驱动组件、夹钳手柄和相向设置的第一夹钳和第二夹钳;a clamp assembly, including a clamp drive assembly, a clamp handle, and a first clamp and a second clamp disposed opposite to each other;
    推刀组件,包括推刀驱动组件、推刀手柄和推刀;Push knife assembly, including push knife drive assembly, push knife handle and push knife;
    所述第一夹钳、所述第二夹钳和所述推刀穿设于所述中通支承管中,所述推刀位于所述第一夹钳和所述第二夹钳之间的位置;The first clamp, the second clamp and the push knife are penetrated in the middle-pass support pipe, and the push knife is located between the first clamp and the second clamp. Location;
    所述夹钳手柄联动所述夹钳驱动组件,所述夹钳驱动组件驱动所述第一夹钳和所述第二夹钳往所述中通支承管中移动以夹持并电凝组织;The clamp handle is linked with the clamp drive assembly, and the clamp drive assembly drives the first clamp and the second clamp to move into the mid-pass support tube to clamp and coagulate tissue;
    所述推刀手柄联动所述推刀驱动组件,所述推刀驱动组件驱动所述推刀由所述中通支承管中朝外移动以切割电凝后的所述组织,所述推刀驱动组件设有限位部,所述限位部朝向所述夹钳驱动组件移动以抵接所述夹钳驱动组件。The push knife handle is linked with the push knife drive assembly, and the push knife drive assembly drives the push knife to move outward from the middle-pass support tube to cut the electrocoagulated tissue, and the push knife drives The assembly is provided with a limit portion, and the limit portion moves toward the clamp drive assembly to abut the clamp drive assembly.
  2. 根据权利要求1所述的电极钳,其特征在于:所述电极钳还包括The electrode clamp according to claim 1, wherein the electrode clamp further comprises:
    支撑手柄,连接于所述中通支承管的一端,所述夹钳驱动组件和所述推刀驱动组件安装于所述支撑手柄,所述夹钳手柄和所述推刀手柄转动连接于所述支撑手柄朝向所述中通支承管的一侧。A support handle is connected to one end of the middle-pass support pipe, the clamp drive assembly and the push knife drive assembly are mounted on the support handle, and the clamp handle and the push knife handle are rotatably connected to the The support handle faces one side of the middle-pass support tube.
  3. 根据权利要求2所述的电极钳,其特征在于:所述第一夹钳和所述第二夹钳之间的距离沿着朝向所述中通支承管的方向逐渐减小。The electrode clamp according to claim 2, wherein the distance between the first clamp and the second clamp gradually decreases along the direction toward the mid-pass support tube.
  4. 根据权利要求3所述的电极钳,其特征在于:所述夹钳组件还包括可弹性变形的第一变形条和第二变形条,所述第一变形条的两端分别与所述第一夹钳、所述夹钳驱动组件固定连接,所述第二变形条的两端分别与所述第二夹钳、所述夹钳驱动组件固定连接,触发所述夹钳手柄时,所述夹钳驱动组件驱动所述第一夹钳、所述第二夹钳朝所述中通支承管内收缩移动,以夹持所述组织。The electrode forceps according to claim 3, wherein the clamp assembly further comprises elastically deformable first deformation strips and second deformation strips, and two ends of the first deformation strips are respectively connected to the first deformation strips. The clamp and the clamp drive assembly are fixedly connected, and the two ends of the second deformation strip are respectively fixedly connected to the second clamp and the clamp drive assembly. When the clamp handle is triggered, the clamp The forceps driving assembly drives the first forceps and the second forceps to retract and move toward the mid-pass support tube, so as to clamp the tissue.
  5. 根据权利要求4所述的电极钳,其特征在于:所述夹钳驱动组件包括夹钳连动机构与夹钳复位弹簧,所述第一变形条和所述第二变形条均与所述夹钳连动机构的一端连接,所述夹钳连动机构的另一端与所述夹钳手柄连接,所述夹钳复位弹簧安装在所述支撑手柄的内腔且与所述夹钳连动机构抵接。The electrode forceps according to claim 4, wherein the forceps driving assembly comprises a forceps linkage mechanism and a forceps return spring, and the first deformation bar and the second deformation bar are connected with the forceps. One end of the clamp linkage mechanism is connected, the other end of the clamp linkage mechanism is connected with the clamp handle, and the clamp return spring is installed in the inner cavity of the support handle and is connected with the clamp linkage mechanism Abut.
  6. 根据权利要求2-5任一所述的电极钳,其特征在于:所述推刀组件还包括连接杆,所述推刀驱动组件包括推刀复位弹簧和推刀连动机构,所述连接杆两端分别与所述推刀、所述 推刀连动机构的一端连接,所述推刀连动机构的另一端与所述推刀手柄连接,所述推刀复位弹簧安装在所述支撑手柄的内腔且与所述推刀连动机构抵接。The electrode forceps according to any one of claims 2-5, wherein the knife pusher assembly further comprises a connecting rod, the knife pusher drive assembly comprises a pusher knife return spring and a knife pusher linkage mechanism, and the connecting rod Both ends are respectively connected with the push knife and one end of the push knife linkage mechanism, the other end of the push knife linkage mechanism is connected with the push knife handle, and the push knife return spring is installed on the support handle The inner cavity is in contact with the push-knife linkage mechanism.
  7. 根据权利要求6所述的电极钳,其特征在于:所述推刀连动机构包括推刀块和限位条,所述限位条与所述推刀块固定连接,所述推刀手柄的一端与所述推刀块驱动连接,所述限位条开设有所述限位部,所述限位部可抵接所述夹钳驱动组件以停止所述推刀的移动。The electrode forceps according to claim 6, characterized in that: the knife push linkage mechanism comprises a knife push block and a limit bar, the limit bar is fixedly connected with the knife push block, and the knife push handle has a fixed connection. One end is drivably connected to the pusher block, the limiting bar is provided with the limiting portion, and the limiting portion can abut the clamp drive assembly to stop the movement of the pusher.
  8. 根据权利要求7所述的电极钳,其特征在于:所述推刀手柄的一端通过设置有导滑槽与所述推刀块驱动连接。The electrode forceps according to claim 7, wherein one end of the pusher handle is drivably connected to the pusher block by being provided with a guide chute.
PCT/CN2021/102357 2020-12-15 2021-06-25 Electrode clamp WO2022127065A1 (en)

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