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CN102100573B - Clamp for fallopian tube recanalization under laparoscope - Google Patents

Clamp for fallopian tube recanalization under laparoscope Download PDF

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Publication number
CN102100573B
CN102100573B CN 201110060457 CN201110060457A CN102100573B CN 102100573 B CN102100573 B CN 102100573B CN 201110060457 CN201110060457 CN 201110060457 CN 201110060457 A CN201110060457 A CN 201110060457A CN 102100573 B CN102100573 B CN 102100573B
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forceps
tube
hole
blade
pincer
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CN102100573A (en
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李法升
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Shenzhen Second Peoples Hospital
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Shenzhen Second Peoples Hospital
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Abstract

本发明公开了一种腹腔镜输卵管复通钳具,要解决的技术问题是简单、有效、安全地完成腹腔镜下输卵管通液试验、输卵管缝合或输卵管宫植入手术。本发明的腹腔镜输卵管复通钳具设有主管,主管前端连接有可张开的钳叶组,主管后端连接有把手,主管中设有拉管,拉管前端与钳叶组铰接,把手控制拉管后端使其前后移动,导管从拉管和钳叶组中穿过,导管后端连接注射器的针头。本发明与现有技术相比,采用钳叶组及拉管控制钳叶的开合,利用钳叶组内的拉管使得导管能够直接进入输卵管腔内,并在导管的后端连接注射器进行输卵管通液实验,而导管作为输卵管内支架,有利于输卵管吻合及输卵管宫角植入,可提高技术水平,节省手术时间和费用。

Figure 201110060457

The invention discloses a laparoscopic fallopian tube recanalization forceps. The technical problem to be solved is to simply, effectively and safely complete the laparoscopic fallopian tube fluid test, fallopian tube suturing or fallopian tube implantation operation. The laparoscopic tubal recanalization forceps of the present invention is provided with a main tube, the front end of the main tube is connected with an expandable forceps leaf group, the rear end of the main tube is connected with a handle, the main tube is provided with a pull tube, the front end of the pull tube is hinged with the forceps leaf group, and the handle The rear end of the tube is controlled to move back and forth, the catheter passes through the tube and forceps, and the rear end of the catheter is connected to the needle of the syringe. Compared with the prior art, the present invention adopts the forceps blade group and the pulling tube to control the opening and closing of the forceps blades, uses the pulling tube in the forceps blade group to make the catheter directly enter the lumen of the fallopian tube, and connects the syringe at the rear end of the catheter to open and close the fallopian tube. Fluid test, and the catheter as a stent in the fallopian tube is conducive to tubal anastomosis and implantation of the fallopian tube uterine horn, which can improve the technical level and save operation time and cost.

Figure 201110060457

Description

腹腔镜输卵管复通钳具Laparoscopic fallopian tube reversal forceps

技术领域 technical field

本发明涉及一种医疗器械,特别是一种治疗腹部疾病的手术器械。The invention relates to a medical device, in particular to a surgical device for treating abdominal diseases.

背景技术 Background technique

近20年来,随着科学技术的进步,腹腔镜手术受到医生及患者的广泛认同,随着腹腔镜手术的广泛开展和技术的提高,腹腔镜手术的安全性、有效性及微创性逐渐被认识,应用范围越来越广。输卵管性不孕症是腹腔镜手术的适应症,但到目前仍是主要是诊断,分离粘连、输卵管伞成形及造口,虽有腹腔镜下输卵管吻合的报道,但受手术器械的限制,绝大多数医院不具备镜下输卵管吻合或输卵管植入的条件,导致无法安全、有效地完成腹腔镜下输卵管通液试验、输卵管吻合或输卵管宫植入手术。In the past 20 years, with the advancement of science and technology, laparoscopic surgery has been widely recognized by doctors and patients. Awareness, the scope of application is getting wider and wider. Tubal infertility is an indication for laparoscopic surgery, but until now it is still mainly diagnosis, separation of adhesions, tubal umbrella formation and stoma, although there are reports of laparoscopic tubal anastomosis, but due to the limitations of surgical instruments, it must not be performed. Most hospitals do not have the conditions for endoscopic tubal anastomosis or fallopian tube implantation, resulting in the inability to safely and effectively complete laparoscopic tubal fluid test, fallopian tube anastomosis, or fallopian tube implantation.

发明内容 Contents of the invention

本发明的目的是提供一种腹腔镜输卵管复通钳具,要解决的技术问题是简单、有效、安全地完成腹腔镜下输卵管通液试验、输卵管缝合或输卵管宫植入手术。The object of the present invention is to provide a laparoscopic fallopian tube reversal forceps. The technical problem to be solved is to simply, effectively and safely complete the laparoscopic tubal fluid test, fallopian tube suture or fallopian tube implantation operation.

本发明采用以下技术方案:一种腹腔镜输卵管复通钳具,所述腹腔镜输卵管复通钳具设有主管,主管前端连接有可张开的钳叶组,主管后端连接有把手,主管中设有拉管,拉管前端与钳叶组铰接,把手控制拉管后端使其前后移动,导管从拉管和钳叶组中穿过,导管后端连接注射器的针头。The present invention adopts the following technical solutions: a laparoscopic fallopian tube reversal forceps, the laparoscopic fallopian tube reversal forceps is provided with a main tube, the front end of the main tube is connected with an expandable forceps leaf group, the rear end of the main tube is connected with a handle, the main tube There is a drawing tube in the middle, the front end of the drawing tube is hinged with the forceps leaf group, the handle controls the rear end of the drawing tube to move back and forth, the catheter passes through the drawing tube and the forceps leaf group, and the rear end of the catheter is connected to the needle of the syringe.

本发明的钳叶组由雌钳叶和雄钳叶构成,雌钳叶和雄钳叶沿其长度方向对置设置,拉管前端连接雌钳叶和雄钳叶的后端。The pincer blade set of the present invention is composed of a female pincer blade and a male pincer blade. The female pincer blade and the male pincer blade are oppositely arranged along the length direction thereof, and the front end of the drawing tube is connected to the rear ends of the female pincer blade and the male pincer blade.

本发明的主管由管体和管体后端内设置的连接环组成,管体与连接环形成过盈配合;所述管体前端开有沉孔,后端外径大于管体中部和前端的外径,后端的后端内孔内径大于管体的中部内孔的内径,后端内孔与中部内孔之间为隔环,隔环中间开有小于中部内孔的小孔,后端内孔内壁沿周向开有环形的槽;所述连接环为环状,连接环的外径和长度与后端内孔相同,其外壁上设有环型的突起,嵌入槽内。The main pipe of the present invention is composed of a pipe body and a connecting ring arranged in the rear end of the pipe body, and the pipe body and the connecting ring form an interference fit; the front end of the pipe body is provided with a counterbore, and the outer diameter of the rear end is larger than that Outer diameter, the inner diameter of the inner hole at the rear end is greater than the inner diameter of the inner hole in the middle of the pipe body. There is a spacer ring between the inner hole at the rear end and the inner hole in the middle. There is a small hole in the middle of the spacer ring that is smaller than the inner hole in the middle. The inner wall of the hole is provided with an annular groove along the circumference; the connecting ring is annular, the outer diameter and length of the connecting ring are the same as those of the inner hole at the rear end, and the outer wall is provided with an annular protrusion embedded in the groove.

本发明的雌把手和雄把手设有剪刀臂,剪刀臂的一端设有圆环,另一端通过铰链连接;雌把手铰链铰接处与剪刀臂相对的一端连接有管状的连接座,连接座的轴线与其连接的剪刀臂呈90°至120°角,连接座的端部外径与连接环内径相同,与连接环形成间歇配合。The female handle and the male handle of the present invention are provided with a scissor arm, one end of the scissor arm is provided with a ring, and the other end is connected by a hinge; the opposite end of the hinge joint of the female handle is connected with a tubular connecting seat, and the axis of the connecting seat is connected to that of the scissor arm. The connected scissor arms are at an angle of 90° to 120°, and the outer diameter of the end of the connecting seat is the same as the inner diameter of the connecting ring, forming an intermittent fit with the connecting ring.

本发明的铰链铰接条状拉管连接座一端,拉管连接座另一端开有孔,孔内的相对两侧开有卡槽。In the present invention, one end of the hinged strip tube connecting seat is hinged, the other end of the tube connecting seat is provided with a hole, and the opposite sides of the hole are provided with card slots.

本发明的雌钳叶前端部分与雄钳叶相对的一面截面为内凹的半圆弧面,后端部分为管状钳身,钳身的前端部开有开口;雌钳叶后端部分后端部外缘周上设有相对两面为平面的第一连接头,第一连接头的两平面与钳身的前端部开口的宽度方向平行;所述钳身内的孔为第一通孔,其半径与雌钳叶前端部分内凹的半圆弧面的半径相同,第一通孔轴线与半圆弧面轴线同轴;在钳身前端部钻有同轴的第一连接孔,雌钳叶的后端第一连接头的端部为螺纹柱。The cross-section of the front end part of the female pincer blade opposite to the male pincer blade is a concave semicircular arc surface, the rear end part is a tubular forceps body, and the front end of the forceps body has an opening; the rear end part of the female pincers blade The outer edge of the body is provided with a first connecting head whose opposite two sides are planes, and the two planes of the first connecting head are parallel to the width direction of the opening of the front end of the pliers body; the hole in the pliers body is the first through hole, and its radius The radius of the concave semicircular surface at the front end of the female pliers blade is the same, and the axis of the first through hole is coaxial with the axis of the semicircular surface; a coaxial first connecting hole is drilled at the front end of the pliers body, and the female pliers blade The end of the first connector at the rear end is a threaded post.

本发明的雄钳叶前端部分与雌钳叶相对的一面截面为内凹的半圆弧面,该半圆弧面的半径与雌钳叶前端部分内凹的半圆弧面的半径相同;雄钳叶后端部分为截面为矩形的钳身连接头,钳身连接头的宽度不大于雌钳叶后端钳身的前端部开口,其一端连接在雄钳叶前端部分末端的半圆柱形端部,钳身连接头的长度尺寸方向与雄钳叶前端部分的长度尺寸方向呈120°,钳身连接头开有第二通孔,第二通孔轴线与雄钳叶前端部分的半圆弧面轴线同轴;所述钳身连接头的两端分别开有第二连接孔及第三连接孔,第二通孔设置在第二连接孔和第三连接孔之间,第二通孔轴线与第二连接孔和第三连接孔轴线垂直。The cross-section of the opposite side of the front end of the male pincer blade and the female pincer blade is a concave semi-arc surface, and the radius of the semi-arc surface is the same as that of the concave semi-arc surface at the front end of the female pincer blade; The rear end of the pincer blade is a clamp body connector with a rectangular cross-section. The width of the pincer body connector is not larger than the front end opening of the female pincer blade rear end pincer body, and one end is connected to the semi-cylindrical end of the male pincer blade front end. The length dimension direction of the connecting head of the pliers body is 120° to the length dimension direction of the front end of the male pliers blade. The plane axes are coaxial; the two ends of the clamp body connector are respectively provided with a second connection hole and a third connection hole, the second through hole is arranged between the second connection hole and the third connection hole, and the axis of the second through hole It is perpendicular to the axes of the second connection hole and the third connection hole.

本发明的拉管由管、雄钳叶连接头和卡块组成;所述雄钳叶连接头为板,竖直设置在管的前端,在雄钳叶连接头上开有第四连接孔;所述管的后端管壁上连接有180°分布的突出卡块。The drawing tube of the present invention is composed of a tube, a male pincer blade connector and a block; the male pincer blade connector is a plate, which is vertically arranged at the front end of the tube, and a fourth connection hole is opened on the male pincer blade connector; Protruding blocks distributed in 180° are connected to the pipe wall at the rear end of the pipe.

本发明的导管上设有密封拉管与导管的密封帽。The catheter of the present invention is provided with a sealing cap for sealing the pull tube and the catheter.

本发明的密封帽采用硅胶,形状为中间开有孔的凹形。The sealing cap of the present invention adopts silica gel, and the shape is a concave shape with a hole in the middle.

本发明与现有技术相比,采用钳叶组及拉管控制钳叶的开合,利用钳叶组内的拉管使得导管能够直接进入输卵管腔内,并在导管的后端连接注射器进行输卵管通液实验,而导管作为输卵管内支架,有利于输卵管吻合及输卵管宫角植入,可提高技术水平,节省手术时间和费用。Compared with the prior art, the present invention adopts the forceps blade group and the pulling tube to control the opening and closing of the forceps blades, uses the pulling tube in the forceps blade group to make the catheter directly enter the lumen of the fallopian tube, and connects the syringe at the rear end of the catheter to open and close the fallopian tube. Fluid test, and the catheter as a stent in the fallopian tube is conducive to tubal anastomosis and implantation of the fallopian tube uterine horn, which can improve the technical level and save operation time and cost.

附图说明 Description of drawings

图1为本发明的结构示意图。Fig. 1 is a structural schematic diagram of the present invention.

图2为本发明主管的结构示意图。Fig. 2 is a structural schematic diagram of the main pipe of the present invention.

图3为本发明把手的结构示意图。Fig. 3 is a structural schematic diagram of the handle of the present invention.

图4为本发明雌钳叶的结构示意图。Fig. 4 is a schematic structural view of the female pincer blade of the present invention.

图5为本发明雄钳叶的结构示意图。Fig. 5 is a schematic structural view of the male pincer blade of the present invention.

图6为本发明拉管的结构示意图。Fig. 6 is a schematic diagram of the structure of the draw tube of the present invention.

图7为图1的A向视图。Fig. 7 is a view along the direction A of Fig. 1 .

图8为本发明钳叶组与拉管的连接结构示意图。Fig. 8 is a schematic diagram of the connection structure between the pincer blade set and the drawing tube of the present invention.

图9为本发明导管与注射器的连接结构示意图。Fig. 9 is a schematic diagram of the connection structure between the catheter and the syringe of the present invention.

具体实施方式 Detailed ways

下面结合附图和实施例对本发明作进一步详细说明。The present invention will be described in further detail below in conjunction with the accompanying drawings and embodiments.

如图1所示,本发明的腹腔镜输卵管复通钳具,设有主管1、把手2、钳叶组18、拉管5、导管6、注射器及针头7。钳叶组18由雌钳叶3和雄钳叶4构成。主管1后端与把手2的前端形成转动连接,主管1前端连接雌钳叶3和雄钳叶4的后端,雌钳叶3和雄钳叶4沿其长度方向对置设置,拉管5同轴设置在主管1内,拉管5前端接雌钳叶3和雄钳叶4的后端,拉管5后端伸出主管1,导管6的前端经拉管5内、在雌钳叶3和雄钳叶4之间、沿雌钳叶3和雄钳叶4长度方向伸出雌钳叶3和雄钳叶4前端,导管6后端连接注射器的针头7。As shown in FIG. 1 , the laparoscopic fallopian tube reversal forceps of the present invention are provided with a main tube 1 , a handle 2 , a forceps blade group 18 , a pulling tube 5 , a catheter 6 , a syringe and a needle 7 . The pincer blade group 18 is composed of the female pincer blade 3 and the male pincer blade 4 . The rear end of the main pipe 1 forms a rotational connection with the front end of the handle 2. The front end of the main pipe 1 is connected to the rear ends of the female forceps blade 3 and the male forceps blade 4. The female forceps blade 3 and the male forceps blade 4 are arranged opposite to each other along their length direction, and the pulling pipe 5 is coaxial. Set in the main pipe 1, the front end of the drawing tube 5 is connected to the rear ends of the female forceps leaf 3 and the male forceps leaf 4, the rear end of the drawing pipe 5 extends out of the main pipe 1, and the front end of the conduit 6 passes through the drawing pipe 5, between the female forceps leaf 3 and the male forceps Between the leaves 4, the front ends of the female forceps leaves 3 and the male forceps leaves 4 protrude along the length direction of the female forceps leaves 3 and the male forceps leaves 4, and the rear end of the conduit 6 is connected to the needle 7 of the syringe.

如图2所示,所述主管1由管体33和管体33后端内设置的连接环34组成,管体33与连接环34形成过盈配合。所述管体33为管状,其前端开有沉孔14,管体33后端331外径大于管体33中部和前端的外径,后端331的后端内孔332内径大于管体33的中部内孔336的内径,后端内孔332与中部内孔336之间为隔环334,隔环334中间开有小于中部内孔336的小孔335,小孔335连通后端内孔332与中部内孔336。后端内孔332内壁沿周向开有环形的槽36。所述管体33的槽、各个孔均同轴设置。所述连接环34为环状,连接环34的外径和长度与后端内孔332相同,径向方向为过盈配合,其外壁上设有环型的突起35,用于连接环34装配入后端内孔332时嵌入槽36内,限制连接环34与后端内孔332之间的轴向移动。As shown in FIG. 2 , the main pipe 1 is composed of a pipe body 33 and a connecting ring 34 provided in the rear end of the pipe body 33 , and the pipe body 33 and the connecting ring 34 form an interference fit. Described pipe body 33 is tubular, and its front end has counterbore 14, and pipe body 33 rear end 331 outer diameters are greater than pipe body 33 middle parts and the outer diameter of front end, and the rear end inner hole 332 inner diameter of rear end 331 is larger than pipe body 33 The inner diameter of the middle part inner hole 336, between the rear end inner hole 332 and the middle part inner hole 336 is a spacer ring 334, in the middle of the spacer ring 334, there is an aperture 335 smaller than the middle part inner hole 336, and the small hole 335 communicates with the rear end inner hole 332 and the middle part inner hole 336. Central bore 336 . An annular groove 36 is formed on the inner wall of the rear end inner hole 332 along the circumferential direction. The grooves and holes of the pipe body 33 are arranged coaxially. The connecting ring 34 is annular, the outer diameter and length of the connecting ring 34 are the same as the rear end inner hole 332, the radial direction is an interference fit, and the outer wall is provided with a ring-shaped protrusion 35 for assembling the connecting ring 34 When inserted into the inner hole 332 at the rear end, it is inserted into the groove 36 to limit the axial movement between the connecting ring 34 and the inner hole 332 at the rear end.

如图3所示,所述把手2设有雌把手15和雄把手16,雌把手15和雄把手16设有剪刀臂,剪刀臂的一端设有套住操作者手指的圆环,雌把手15的圆环上与剪刀臂相对的另一端设有卡住操作者手指的卡子。雌把手15和雄把手16剪刀臂的另一端通过铰链17连接,雌把手15铰链17铰接处与剪刀臂相对的一端连接有管状的连接座13,连接座13的轴线与其连接的剪刀臂呈90°至120°角,连接座13的端部为外径大于连接座13外径的连接头32,其外径与连接环34内径相同,用于装配到连接环34内,与连接环34形成间歇配合,管状连接座13的孔31用于拉管5从其中穿过。铰链17还铰接条状的拉管连接座30一端,拉管连接座30另一端开有孔12,用于拉管5穿过,孔12内的相对两侧开有卡槽121。As shown in Figure 3, described handle 2 is provided with female handle 15 and male handle 16, and female handle 15 and male handle 16 are provided with scissors arm, and one end of scissors arm is provided with the ring that entangles operator's finger, and the circle of female handle 15 The other end of the ring opposite to the scissors arm is provided with a catch for clamping the operator's fingers. The other end of the female handle 15 and the male handle 16 scissors arm are connected by a hinge 17, and the opposite end of the hinge 17 of the female handle 15 and the scissors arm is connected with a tubular connecting seat 13, and the axis of the connecting seat 13 is 90° to the scissors arm connected to it. To an angle of 120°, the end of the connecting seat 13 is a connecting head 32 whose outer diameter is larger than the outer diameter of the connecting seat 13, and its outer diameter is the same as the inner diameter of the connecting ring 34, which is used to fit into the connecting ring 34 and forms an interval with the connecting ring 34. Matching, the hole 31 of the tubular connection seat 13 is used for the pull tube 5 to pass therethrough. The hinge 17 also hinges one end of the strip-shaped draw tube connecting seat 30 , the other end of the draw tube connecting seat 30 has a hole 12 for the draw tube 5 to pass through, and the opposite sides in the hole 12 are provided with draw-in grooves 121 .

如图4所示,所述雌钳叶3前端部分与雄钳叶4相对的一面截面为内凹的半圆弧面,其他三面为半圆锥形和与其连接的半圆柱形。雌钳叶3后端部分为管状钳身19,钳身19的前端部开有开口,开口与雄钳叶4相对。雌钳叶3后端部分后端部外缘周上设有相对两面为平面的第一连接头20,第一连接头20的两平面与钳身19的前端部开口的宽度方向平行。管状钳身19内的孔为第一通孔21,其半径与雌钳叶3前端部分内凹的半圆弧面的半径相同,第一通孔21轴线与半圆弧面轴线同轴。第一连接头20设置在主管1内。在钳身19前端部开口的两个边钻有同轴的第一连接孔22,第一连接孔22用于与雄钳叶4上的第二连接孔25铰接时铰链轴穿过。雌钳叶3的后端第一连接头20的端部为外螺纹柱,用于连接在主管1的前端螺纹孔14内。As shown in FIG. 4 , the section of the front end of the female pincer blade 3 opposite to the male pincer blade 4 is a concave semicircular arc surface, and the other three sides are semi-conical and semi-cylindrical connected thereto. The rear end of the female pincer blade 3 is a tubular pincer body 19, and the front end of the pincer body 19 has an opening, which is opposite to the male pincer blade 4. The outer edge of the rear end portion of the female forceps blade 3 is provided with a first connecting head 20 whose opposite two surfaces are planes. The hole in the tubular forceps body 19 is the first through hole 21, the radius of which is the same as the radius of the concave semicircular surface at the front end of the female forceps blade 3, and the axis of the first through hole 21 is coaxial with the axis of the semicircular surface. The first connector 20 is arranged in the main pipe 1 . Coaxial first connecting hole 22 is drilled on two limits of the front end opening of the pliers body 19, and the hinge shaft passes through when the first connecting hole 22 is used to be hinged with the second connecting hole 25 on the male pincer blade 4. The end of the first connector 20 at the rear end of the female pliers blade 3 is an externally threaded column for connecting in the front threaded hole 14 of the main pipe 1 .

如图5所示,所述雄钳叶4前端部分与雌钳叶3相对的一面截面为内凹的半圆弧面,其他三面为半圆锥形和与其连接的半圆柱形,半圆弧面的半径与雌钳叶3前端部分内凹的半圆弧面的半径相同。雄钳叶4后端部分为截面为矩形的钳身连接头23,钳身连接头23的宽度不大于雌钳叶3后端钳身19的前端部开口,其一端连接在雄钳叶4前端部分末端的半圆柱形端部,钳身连接头23的长度尺寸方向与雄钳叶4前端部分的长度尺寸方向呈120°,钳身连接头23开有第二通孔24,第二通孔24轴线与雄钳叶4前端部分的半圆弧面轴线同轴。在钳身连接头23的两端分别开有第二连接孔25及第三连接孔26,第二通孔24设置在第二连接孔25和第三连接孔26之间,第二通孔24轴线与第二连接孔25和第三连接孔26轴线垂直。装配时,雄钳叶4的钳身连接头23插入雌钳叶3的钳身19前端部开口,铰链轴穿过第一连接孔22和第二连接孔25,使雄钳叶4和雌钳叶3形成铰接。拉管5穿过第一通孔21、第二通孔24、伸出雌钳叶3和雄钳叶4前端部分半圆弧面合围的空间。As shown in Figure 5, the section of the front end part of the male pincer blade 4 opposite to the female pincer blade 3 is a concave semicircular arc surface, and the other three sides are semi-conical and semi-cylindrical connected thereto, and the semi-circular arc surface The radius is the same as the radius of the concave semicircular surface at the front end of the female pincer blade 3. The rear end part of the male pincer blade 4 is a clamp body connector 23 with a rectangular cross-section. The width of the pincer body connector 23 is not greater than the front end opening of the female pincer blade 3 rear end pincer body 19, and one end is connected to the front end of the male pincer blade 4 The semi-cylindrical end of the part end, the length dimension direction of the pincer body connector 23 and the length dimension direction of the male pincer blade 4 front end part are 120 °, the pincer body connector 23 has a second through hole 24, the second through hole 24 axes are coaxial with the axis of the semicircular surface of the male pincers blade 4 front end. The two ends of the clamp body connector 23 are respectively provided with a second connection hole 25 and a third connection hole 26, the second through hole 24 is arranged between the second connection hole 25 and the third connection hole 26, the second through hole 24 The axis is perpendicular to the axes of the second connection hole 25 and the third connection hole 26 . During assembly, the clamp body connector 23 of the male pincer blade 4 is inserted into the front end opening of the pincer body 19 of the female pincer blade 3, and the hinge shaft passes through the first connecting hole 22 and the second connecting hole 25, so that the male pincer blade 4 and the female pincer blade Leaf 3 forms a hinge. The pull tube 5 passes through the first through hole 21, the second through hole 24, and extends out of the space enclosed by the semicircular surface of the front end of the female pincer blade 3 and the male pincer blade 4.

如图6所示,所述拉管5由管28、雄钳叶连接头27和卡块8组成,雄钳叶连接头27为一较薄的板,其竖直设置在管28的前端,管28紧贴雄钳叶连接头27板,在雄钳叶连接头27上、管28下端开有第四连接孔29。装配时,雄钳叶连接头27嵌入在钳身19前端部开口内,第四连接孔29与第三连接孔26铰接。在管28的后端管壁上连接有180°分布的突出卡块8,卡块8用于连接拉管5穿过拉管连接座30孔12时,卡块8卡入孔12的槽体121内。As shown in Figure 6, the drawing tube 5 is composed of a tube 28, a male pincer blade connector 27 and a block 8, the male pincer blade connector 27 is a thinner plate, which is vertically arranged at the front end of the tube 28, The pipe 28 is close to the male pliers blade connecting head 27 plate, and the fourth connecting hole 29 is opened on the male pliers blade connecting head 27 and at the lower end of the pipe 28 . When assembling, the connecting head 27 of the male pliers blade is embedded in the opening at the front end of the pliers body 19 , and the fourth connecting hole 29 is hinged to the third connecting hole 26 . Protruding blocks 8 distributed at 180° are connected to the rear end of the tube 28. The blocks 8 are used to connect the pull tube 5 and pass through the hole 12 of the pull tube connection seat 30. The block 8 snaps into the groove of the hole 12. Within 121.

如图7所示,所述钳叶组18的前端部分为锥形,后端部分为圆柱形,锥形的一侧锥面上有略微向内凹的弧形,弧形的启始端与锥形的启始相同,弧形的末端长于锥形的末端,钳叶组18的端部为平面,钳叶组的后端为圆柱形,圆柱形的后端为直径小于圆柱形直径的第一连接头20。As shown in Figure 7, the front part of the pincer blade group 18 is conical, and the rear part is cylindrical, and there is a slightly concave arc on the conical surface of one side of the conical, and the starting end of the arc is in line with the conical surface. The beginning of the shape is the same, the end of the arc is longer than the end of the taper, the end of the pincer blade group 18 is a plane, the rear end of the pincer blade group is cylindrical, and the cylindrical rear end is the first diameter less than the cylindrical diameter. connector 20.

如图8所示,所述拉管5的管28穿过第一通孔21和第二通孔24,雄钳叶4的钳身连接头23和拉管5的钳叶连接头27嵌入在雌钳叶3的钳身19前端部开口内。铰链轴经雌钳叶3的第一连接孔22与雄钳叶4的第二连接孔25连接,使雌钳叶3和雄钳叶4铰接。铰链轴经钳叶连接头27的第四连接孔29与雄钳叶4的第三连接孔26连接,使拉管5与雄钳叶4铰接。As shown in Figure 8, the tube 28 of the pull tube 5 passes through the first through hole 21 and the second through hole 24, and the pincer body connector 23 of the male pincer blade 4 and the pincer blade connector 27 of the pull tube 5 are embedded in the Inside the opening of the front end of the pincer body 19 of the female pincer blade 3. The hinge shaft is connected to the second connecting hole 25 of the male pincer blade 4 through the first connecting hole 22 of the female pincer blade 3, so that the female pincer blade 3 and the male pincer blade 4 are hinged. The hinge shaft is connected to the third connecting hole 26 of the male pincer blade 4 through the fourth connecting hole 29 of the pincer blade connector 27, so that the pull tube 5 and the male pincer blade 4 are hinged.

如图9所示,导管6从拉管5穿出,在导管6上设有密封拉管5与导管6的密封帽10,密封帽10采用硅胶,形状为中间开有孔的凹形,导管6的后端连接注射器7。As shown in Figure 9, the conduit 6 passes through the pull tube 5, and the conduit 6 is provided with a sealing cap 10 that seals the pull tube 5 and the conduit 6. The seal cap 10 is made of silica gel, and the shape is a concave shape with a hole in the middle. The rear end of 6 is connected with syringe 7.

本发明的主管1与把手2之间形成转动连接,把手2为雌把手15和雄把手16,用铰链17铰接在一起。雄钳叶4与雌钳叶3铰接,雄钳叶4与拉管5铰接,雌钳叶3螺纹连接在主管1上,拉管5通过拉管连接座30连接在把手2上,把手2能够使雄钳叶4张开、闭合,达到撑开输卵管的目的。当操作雌把手15与雄把手16分开、绕铰链17旋转时,铰链17带动拉管连接座30的上端向前移动,拉管连接座30上端推动拉管5向前移动,使得雄钳叶4绕第三连接孔26的铰链轴转动,最终使得雄钳叶4向外张开。当操作雌把手15与雄把手16使雄钳叶4和雌钳叶3合拢时,雄钳叶4及雌钳叶3可以夹住输卵管周边组织。钳雌叶3、钳雄叶4和拉管5可与主管1和把手2分离,有利清洁与消毒,导管6上有密封帽10,用于密封接管5,导管6通过拉管5中心,进入雌钳叶3和雄钳叶4中间,直接进入输卵管腔内,导管6外接注射器及针头7可用于输卵管通液试验,导管6作为输卵管内支架,有利于输卵管吻合及输卵管宫角植入,可提高技术水平,节省手术时间和费用。Rotation connection is formed between the main pipe 1 of the present invention and the handle 2, and the handle 2 is a female handle 15 and a male handle 16, which are hinged together with a hinge 17. The male pincer blade 4 is hinged to the female pincer blade 3, the male pincer blade 4 is hinged to the pull tube 5, the female pincer blade 3 is threadedly connected to the main pipe 1, and the pull tube 5 is connected to the handle 2 through the pull tube connecting seat 30, and the handle 2 can The male forceps leaves 4 are opened and closed to achieve the purpose of stretching the fallopian tubes. When the female handle 15 is separated from the male handle 16 and rotates around the hinge 17, the hinge 17 drives the upper end of the draw tube connecting seat 30 to move forward, and the upper end of the draw tube connecting seat 30 pushes the draw tube 5 to move forward, so that the male forceps blade 4 Rotating around the hinge axis of the third connecting hole 26 finally makes the male pincer blades 4 expand outward. When the female handle 15 and the male handle 16 are operated to close the male forceps blade 4 and the female forceps blade 3, the male forceps blade 4 and the female forceps blade 3 can clamp the surrounding tissue of the fallopian tube. The female pincer 3, the male pincer 4 and the tube 5 can be separated from the main tube 1 and the handle 2, which is beneficial for cleaning and disinfection. There is a sealing cap 10 on the tube 6 for sealing the connecting tube 5. The tube 6 passes through the center of the tube 5 and enters the The middle of the female forceps leaf 3 and the male forceps leaf 4 directly enters the fallopian tube cavity. The catheter 6 is externally connected with a syringe and a needle 7 and can be used for tubal fluid test. The catheter 6 is used as a stent in the fallopian tube, which is conducive to tubal anastomosis and implantation of the fallopian tube uterine horn, which can improve Technical level, saving operation time and cost.

输卵管性不孕症是腹腔镜手术的适应症,腹腔镜手术中可用本发明的腹腔镜输卵管复通钳具,分离盆腔粘连、进行输卵管伞成形及造口,进而将钳叶组18伸入输卵管壶腹部,此时,将导管6从体外经拉管5的中心和雌钳叶3及雄钳叶4中间进入输卵管峡部或间质部,配合注射器及针头7进行输卵管通美兰液试验,判断输卵管是否通畅。对于输卵管不通部位,预以剪除,以导管6作为输卵管管腔内的支架,医生进行端-端缝合,达到输卵管导通的目的;若输卵管间质阻塞,则由导管6引导下判断阻塞的输卵管部分,切断阻塞部分,保留通畅部分,并将断端行宫角开窗式切开,由导管6引导近端输卵管植入宫腔内。简单、有效、安全完成手术过程。Tubal infertility is an indication for laparoscopic surgery. In laparoscopic surgery, the laparoscopic tubal recanalization forceps of the present invention can be used to separate pelvic adhesions, perform tubal umbrella formation and stoma, and then extend the forceps leaf group 18 into the fallopian tube. At the ampulla, at this time, the catheter 6 is inserted into the isthmus or interstitium of the fallopian tube through the center of the pull tube 5 and the middle of the female forceps leaf 3 and the male forceps leaf 4, and the fallopian tube is tested with melanin with the syringe and needle 7 to judge Whether the fallopian tubes are unobstructed. For the obstructed part of the fallopian tube, it is cut off in advance, and the catheter 6 is used as the stent in the lumen of the fallopian tube, and the doctor performs end-to-end suture to achieve the purpose of tubal conduction; if the interstitium of the fallopian tube is blocked, the blocked fallopian tube is judged under the guidance of the catheter 6 part, cut off the blocked part, keep the unobstructed part, and cut the cut end into a fenestration, and guide the proximal fallopian tube into the uterine cavity by catheter 6. Simple, effective and safe to complete the operation process.

Claims (8)

1.一种腹腔镜输卵管复通钳具,其特征在于:所述腹腔镜输卵管复通钳具设有主管(1),所述主管(1)的前端连接有可张开的钳叶组(18),主管(1)的后端连接有把手(2),在主管(1)中设有拉管(5),所述拉管(5)的前端与钳叶组(18)铰接,所述把手(2)控制拉管(5)的后端使拉管(5)前后移动,导管(6)从拉管(5)和钳叶组(18)中穿过,所述导管(6)的后端连接注射器的针头(7),所述钳叶组(18)由雌钳叶(3)和雄钳叶(4)构成,所述雌钳叶(3)的前端部分与雄钳叶(4)相对一面的截面为内凹的半圆弧面,所述雌钳叶(3)的后端部分为管状的钳身(19),钳身(19)的前端部开有开口;所述雌钳叶(3)的所述后端部分的后端部外缘周上设有相对两面为平面的第一连接头(20),第一连接头(20)的两平面与钳身(19)的前端部开口的宽度方向平行;所述钳身(19)内的孔为第一通孔(21),所述第一通孔(21)的半径与所述雌钳叶(3)的所述前端部分内凹的半圆弧面的半径相同,所述第一通孔(21)的轴线与所述雌钳叶(3)的所述前端部分内凹的半圆弧面轴线同轴;在钳身(19)的前端部钻有同轴的第一连接孔(22),所述第一连接头(20)的端部为螺纹柱,所述雄钳叶(4)的前端部分与雌钳叶(3)相对一面的截面为内凹的半圆弧面,所述雄钳叶(4)的所述前端部分内凹的半圆弧面的半径与所述雌钳叶(3)的所述前端部分内凹的半圆弧面的半径相同;雄钳叶(4)的后端部分的截面为矩形的钳身连接头(23),钳身连接头(23)的宽度不大于所述雌钳叶(3)的所述钳身(19)的前端部开口,钳身连接头(23)的一端连接在所述雄钳叶(4)的所述前端部分末端的半圆柱形端部,所述钳身连接头(23)的长度尺寸方向与雄钳叶(4)的前端部分的长度尺寸方向呈120°,钳身连接头(23)开有第二通孔(24),第二通孔(24)的轴线与所述雄钳叶(4)的所述前端部分内凹的半圆弧面的轴线同轴;所述钳身连接头(23)的两端分别开有第二连接孔(25)及第三连接孔(26),所述第二通孔(24)设置在第二连接孔(25)和第三连接孔(26)之间,所述第二通孔(24)的轴线与第二连接孔(25)的轴线和第三连接孔(26)的轴线垂直。1. A laparoscopic fallopian tube reversal forceps, characterized in that: the laparoscopic fallopian tube reversal forceps is provided with a main pipe (1), and the front end of the competent pipe (1) is connected with an expandable forceps leaf group ( 18), the rear end of the main pipe (1) is connected with a handle (2), and the main pipe (1) is provided with a drawing pipe (5), and the front end of the drawing pipe (5) is hinged with the pincer leaf group (18), so The handle (2) controls the rear end of the draw tube (5) to move the draw tube (5) back and forth, and the conduit (6) passes through the draw tube (5) and the forceps leaf group (18), and the conduit (6) The rear end is connected to the needle (7) of the syringe, and the forceps leaf group (18) is composed of the female forceps leaf (3) and the male forceps leaf (4), and the front part of the female forceps leaf (3) is connected with the male forceps leaf ( 4) The cross-section of the opposite side is a concave semicircular arc surface, and the rear end part of the female forceps blade (3) is a tubular forceps body (19), and the front end of the forceps body (19) has an opening; The outer edge of the rear end portion of the rear end portion of the female pincers blade (3) is provided with a first connecting head (20) whose opposite two surfaces are planes, and the two planes of the first connecting head (20) are connected with the body of the forceps (19 ) is parallel to the width direction of the front end opening; the hole in the pincer body (19) is the first through hole (21), and the radius of the first through hole (21) is the same as that of the female pincer blade (3) The radius of the concave semicircular surface of the front part is the same, and the axis of the first through hole (21) is coaxial with the axis of the concave semicircular surface of the front part of the female forceps blade (3). Drill a coaxial first connection hole (22) at the front end of the pliers body (19), the end of the first connection head (20) is a threaded post, and the front end of the male pliers blade (4) The cross-section of the side opposite to the female pincer blade (3) is a concave semicircular arc surface, and the radius of the concave semicircular arc surface of the front part of the male pincer blade (4) is the same as that of the female pincer blade (3). ) has the same radius as the concave semicircular surface at the front end portion; the cross-section of the rear end portion of the male pincer blade (4) is a rectangular pincer body connector (23), and the width of the pincer body connector (23) is different It is larger than the front end opening of the pincer body (19) of the female pincer blade (3), and one end of the pincer body connector (23) is connected to the semi-cylindrical half cylinder at the end of the front part of the male pincer blade (4). shaped end, the length dimension direction of the clamp body connector (23) is 120° with the length dimension direction of the front end part of the male pincer blade (4), and the clamp body connector (23) has a second through hole (24 ), the axis of the second through hole (24) is coaxial with the axis of the concave semicircular surface of the front part of the male pincer blade (4); the two ends of the clamp body connector (23) are respectively A second connection hole (25) and a third connection hole (26) are opened, and the second through hole (24) is arranged between the second connection hole (25) and the third connection hole (26). The axis of the second through hole (24) is perpendicular to the axis of the second connecting hole (25) and the axis of the third connecting hole (26). 2.根据权利要求1所述的腹腔镜输卵管复通钳具,其特征在于:所述雌钳叶(3)和雄钳叶(4)沿雄钳叶(4)的长度方向对置设置,所述拉管(5)的前端分别连接雌钳叶(3)的后端和雄钳叶(4)的后端。2. The laparoscopic tubal reversal forceps according to claim 1, characterized in that: the female forceps blade (3) and the male forceps blade (4) are arranged oppositely along the length direction of the male forceps blade (4), so The front end of the drawing tube (5) is respectively connected to the rear end of the female pincer blade (3) and the rear end of the male pincer blade (4). 3.根据权利要求2所述的腹腔镜输卵管复通钳具,其特征在于:所述主管(1)由管体(33)和管体(33)的后端内设置的连接环(34)组成,所述管体(33)与连接环(34)形成过盈配合;所述管体(33)的前端开有沉孔(14),管体(33)的后端(331)外径大于管体(33)的中部外径和前端的外径,后端(331)的后端内孔(332)的内径大于管体(33)的中部内孔(336)的内径,所述后端内孔(332)与中部内孔(336)之间为隔环(334),所述隔环(334)中间开有小于中部内孔(336)的小孔(335),所述后端内孔(332)内壁沿周向开有环形的槽(36);所述连接环(34)为环状,连接环(34)的外径和长度与后端内孔(332)的内径和长度相同,所述连接环(34)的外壁上设有环型的突起(35),所述突起(35)嵌入槽(36)内。3. The laparoscopic tubal reversal forceps according to claim 2, characterized in that: the main pipe (1) is formed by a connecting ring (34) arranged in the rear end of the tubular body (33) and the tubular body (33). The tube body (33) forms an interference fit with the connecting ring (34); the front end of the tube body (33) has a counterbore (14), and the rear end (331) outer diameter of the tube body (33) Greater than the outer diameter of the middle part of the body (33) and the outer diameter of the front end, the inner diameter of the rear end inner hole (332) of the rear end (331) is greater than the inner diameter of the middle part inner hole (336) of the body (33), the rear end There is a spacer ring (334) between the end inner hole (332) and the middle part inner hole (336), and there is a small hole (335) smaller than the middle part inner hole (336) in the middle of the spacer ring (334), and the rear end The inner wall of the inner hole (332) has an annular groove (36) along the circumference; the connecting ring (34) is annular, and the outer diameter and length of the connecting ring (34) are the same as the inner diameter and length of the rear end inner hole (332) , the outer wall of the connecting ring (34) is provided with a ring-shaped protrusion (35), and the protrusion (35) is embedded in the groove (36). 4.根据权利要求3所述的腹腔镜输卵管复通钳具,其特征在于:所述把手(2)设有雌把手(15)和雄把手(16),所述雌把手(15)和雄把手(16)均设有剪刀臂,剪刀臂的一端设有圆环,另一端通过铰链(17)连接;所述雌把手(15)在铰链(17)的铰接处与剪刀臂相对的一端连接有管状的连接座(13),连接座(13)的轴线与连接座(13)连接的剪刀臂呈90°至120°角,所述连接座(13)的端部外径与连接环(34)的内径相同,所述连接座(13)与连接环(34)形成间隙配合。4. The laparoscopic tubal reversal forceps according to claim 3, characterized in that: the handle (2) is provided with a female handle (15) and a male handle (16), and the female handle (15) and the male handle ( 16) are equipped with scissors arms, one end of the scissors arms is provided with a ring, and the other end is connected by a hinge (17); the female handle (15) is connected with a tubular The connecting seat (13), the axis of the connecting seat (13) and the scissor arm connected to the connecting seat (13) are at an angle of 90° to 120°, and the outer diameter of the end of the connecting seat (13) is connected to the connecting ring (34) The inner diameters are the same, and the connecting seat (13) forms a clearance fit with the connecting ring (34). 5.根据权利要求4所述的腹腔镜输卵管复通钳具,其特征在于:所述铰链(17)铰接条状拉管连接座(30)的一端,所述拉管连接座(30)的另一端开有孔(12),孔(12)内的相对两侧开有卡槽(121)。5. The laparoscopic fallopian tube recanalization forceps according to claim 4, characterized in that: the hinge (17) is hinged to one end of the strip-shaped tube-drawing connecting seat (30), and the connecting seat (30) of the tube-drawing A hole (12) is formed at the other end, and card slots (121) are formed on opposite sides of the hole (12). 6.根据权利要求5所述的腹腔镜输卵管复通钳具,其特征在于:所述拉管(5)由管(28)、雄钳叶连接头(27)和卡块(8)组成;所述雄钳叶连接头(27)为板,竖直设置在管(28)的前端,在雄钳叶连接头(27)上开有第四连接孔(29);所述管(28)的后端管壁上连接有180°分布的突出的所述卡块(8)。6. The laparoscopic tubal recanalization forceps according to claim 5, characterized in that: the pulling tube (5) is composed of a tube (28), a male forceps blade connector (27) and a block (8); The male pincer blade connector (27) is a plate, which is vertically arranged on the front end of the pipe (28), and a fourth connection hole (29) is opened on the male pincer blade connector (27); the tube (28) The protruding blocks (8) distributed at 180° are connected to the wall of the rear end of the tube. 7.根据权利要求6所述的腹腔镜输卵管复通钳具,其特征在于:所述导管(6)上设有密封帽(10),所述密封帽(10)密封所述拉管(5)与导管(6)。7. The laparoscopic tubal recanalization forceps according to claim 6, characterized in that: the catheter (6) is provided with a sealing cap (10), and the sealing cap (10) seals the pulling tube (5 ) and conduit (6). 8.根据权利要求7所述的腹腔镜输卵管复通钳具,其特征在于:所述密封帽(10)采用硅胶,形状为中间开有孔的凹形。8. The laparoscopic fallopian tube reversal forceps according to claim 7, characterized in that: the sealing cap (10) is made of silica gel, and its shape is concave with a hole in the middle.
CN 201110060457 2011-03-14 2011-03-14 Clamp for fallopian tube recanalization under laparoscope Expired - Fee Related CN102100573B (en)

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