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CN106667540B - Laparoscopic Detachable Vascular Occlusion Forceps - Google Patents

Laparoscopic Detachable Vascular Occlusion Forceps Download PDF

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Publication number
CN106667540B
CN106667540B CN201510744807.0A CN201510744807A CN106667540B CN 106667540 B CN106667540 B CN 106667540B CN 201510744807 A CN201510744807 A CN 201510744807A CN 106667540 B CN106667540 B CN 106667540B
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China
Prior art keywords
connecting rod
operating mechanism
handle
detachable
casing
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Expired - Fee Related
Application number
CN201510744807.0A
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Chinese (zh)
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CN106667540A (en
Inventor
石更强
王婷
李丹
杨波
默志普
蒋媛
李君�
李一君
陶晶晶
李婉君
周彬滨
李方宇
项岚芸
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University of Shanghai for Science and Technology
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University of Shanghai for Science and Technology
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Priority to CN201510744807.0A priority Critical patent/CN106667540B/en
Publication of CN106667540A publication Critical patent/CN106667540A/en
Application granted granted Critical
Publication of CN106667540B publication Critical patent/CN106667540B/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/122—Clamps or clips, e.g. for the umbilical cord
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/128—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord for applying or removing clamps or clips
    • A61B17/1285—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord for applying or removing clamps or clips for minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B2017/12004—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord for haemostasis, for prevention of bleeding
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2901—Details of shaft
    • A61B2017/2902—Details of shaft characterized by features of the actuating rod
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2901—Details of shaft
    • A61B2017/2908—Multiple segments connected by articulations

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Public Health (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Reproductive Health (AREA)
  • Vascular Medicine (AREA)
  • Ophthalmology & Optometry (AREA)
  • Surgical Instruments (AREA)

Abstract

一种腹腔镜下可分离式血管阻断钳，包括套管、操纵机构和阻断钳夹，阻断钳夹设置在套管内并通过操纵机构操纵其动作，套管包括前套管和后套管，前套管与后套管可拆卸式嵌接相连；操纵机构包括前部操纵机构和后部操纵机构，前部操纵机构与阻断钳夹活动相连，后部操纵机构与前部操纵机构可分离式活动相连。本发明结构设计合理，可分离式的结构设计可为手术提供尽可能大的操作视野，以利于其它操作的进行，大大提高了腹腔镜手术的效率及安全性，为医务工作者提供了便捷。

A laparoscopic detachable blood vessel blocking forceps, comprising a casing, a manipulation mechanism and a blocking forceps, the blocking forceps are arranged in the casing and manipulated by the manipulation mechanism, and the casing comprises a front casing and a rear casing The front sleeve is detachably connected with the rear sleeve; the operating mechanism includes a front operating mechanism and a rear operating mechanism, the front operating mechanism is movably connected with the blocking clamp, and the rear operating mechanism is connected with the front operating mechanism. Detachable activities are connected. The present invention has reasonable structural design, and the detachable structural design can provide the largest possible operating field of vision for the operation to facilitate other operations, greatly improve the efficiency and safety of laparoscopic surgery, and provide convenience for medical workers.

Description

Detachable vascular occlusion clamp under laparoscope
Technical field
The present invention relates to detachable vascular occlusion clamps under medical instrument more particularly to a kind of laparoscope.
Background technique
Minimally invasive surgery technology develops rapidly in recent years, is the trend of the following operation development, laparoscopic surgery is as minimally invasive hand The representative of art, is widely used in clinic.Laparoscopic surgery wound is small, and post-operative recovery is fast, mitigates the pain of patient significantly, But requirement of the laparoscope than traditional operation to technology and instrument is high, if because surgical technic misoperation or other imprevisions Property reason causes other complication such as big bleeding, it has to which conversion into open surgery, this can be unfavorable for the prognosis problem of patient.
Summary of the invention
The purpose of the present invention is exactly to solve the above-mentioned problems, to provide detachable vascular occlusion clamp under a kind of laparoscope.
In order to achieve the above object, the invention adopts the following technical scheme: detachable blood vessel resistance under a kind of laparoscope Disconnected pincers, including casing, operating mechanism and blocking clamp block clamp setting to manipulate it in casing and through operating mechanism dynamic Make, described sleeve pipe includes anterior cannula and rear sleeve, and anterior cannula is connected with the detachable interlocking of rear sleeve；The operating mechanism includes Front operating mechanism and rear portion operating mechanism, front operating mechanism are movably connected with clamp is blocked, rear portion operating mechanism and front Operating mechanism is detachable to be movably connected.
The front operating mechanism includes detachable connector, pull rod and two connecting rods, is set on detachable connector Have for the T-slot with the detachable connection of rear portion operating mechanism, and for buckling four elastic cards being connected with anterior cannula Button, one end of pull rod is fixedly linked with detachable connector, and the other end is movably connected with two connecting rods, two connecting rods it is another End is movably connected with two clamp handles for blocking clamp respectively, forms parallelogram between two connecting rods and two clamp handles and stretches Shrinking structure.
The rear portion operating mechanism includes handle, push button, push rod, knob and connecting rod separating/closing mechanism, and handle is equipped with push button Hole and knob hole, push button are arranged in push button hole and are connected with push rod transmission；Knob setting knob hole in and with connecting rod division Mechanism driving is connected, connecting rod separating/closing mechanism with front operating mechanism is detachable is connected；It pushes push button that can realize and blocks clamp It opens and clamps, pull and shake hands that the division of front operating mechanism and rear portion operating mechanism can be achieved.
The connecting rod separating/closing mechanism includes first connecting rod, second connecting rod, third connecting rod and fourth link, first connecting rod and One end of two connecting rods is connected with the knob, and the other end is movably connected with third connecting rod, fourth link respectively, third connecting rod and the Double leval jib intersection is movably connected, and forms V-arrangement prong in the other end, is connected with return spring on the inside of V-arrangement prong, V-arrangement prong Outside is connected separately with short axle, the short axle can be inlaid in the T-slot on detachable connector Nei realize it is separable with T-slot Formula connection；It is described to shake hands and be movably connected at the interconnection of third connecting rod and fourth link.
The rear portion of the rear sleeve is equipped with knob, which is slidably connected with handle, turn knobs can realize rear sleeve and The division of anterior cannula.
The anterior cannula is equipped with four card slots being adapted to four Elastic buckles of front operating mechanism.
Using detachable vascular occlusion clamp under laparoscope of the invention, it can enable patient more safely under laparoscope The operation for receiving high risk avoids operation conversion into open surgery.
Rationally, detachable structure design can provide the operation visual field as big as possible for operation for structure of the invention design, In favor of the progress of other operations, the efficiency and safety of laparoscopic surgery are substantially increased, is provided just for medical personnel It is prompt.
Detailed description of the invention
Fig. 1 is the overall structure diagram of detachable vascular occlusion clamp under laparoscope；
Fig. 2, Fig. 3, Fig. 4 are the structural schematic diagrams of the front operating mechanism in the present invention, and the A that wherein Fig. 3 is Fig. 2 is cutd open to A View；
Fig. 5 is the structural schematic diagram of the rear portion operating mechanism in the present invention；
Fig. 6 is the structural schematic diagram of the rear sleeve in the present invention；
Fig. 7 is the structural schematic diagram of the anterior cannula in the present invention.
Specific embodiment
Referring to Fig. 1, cooperation is referring to fig. 2 to Fig. 7, detachable vascular occlusion clamp under laparoscope of the invention, including casing, Operating mechanism and blocking clamp 1, block clamp 1 to be arranged in casing and manipulate its movement by operating mechanism, before casing includes Casing 2 and rear sleeve 3, anterior cannula are connected with the detachable interlocking of rear sleeve；Operating mechanism includes front operating mechanism and rear portion Operating mechanism, front operating mechanism are movably connected with clamp is blocked, rear portion operating mechanism and the detachable work of front operating mechanism It is dynamic to be connected.
Referring to fig. 2, Fig. 3, Fig. 4, the front operating mechanism in the present invention includes detachable connector 4, pull rod 5 and two Connecting rod 6, detachable connector 4 be equipped with for the T-slot 41 with the detachable connection of rear portion operating mechanism, and for Four connected Elastic buckles 42 of anterior cannula buckle, one end of pull rod 5 are fixedly linked with detachable connector, the other end and two A connecting rod 6 is movably connected, and the other end of two connecting rods 6 is movably connected with two clamp handles of clamp 1 are blocked respectively, two connecting rods with Parallelogram stretching structure is formed between two clamp handles.
Referring to Fig. 1, Fig. 5, the rear portion operating mechanism in the present invention includes handle 7, push button 8, push rod 9, knob 10 and connecting rod Separating/closing mechanism, handle 7 are equipped with push button hole and knob hole, and push button 8 is arranged in push button hole and is connected with the transmission of push rod 9；Knob 10 settings are connected in knob hole and with the transmission of connecting rod separating/closing mechanism, connecting rod separating/closing mechanism and the detachable phase of front operating mechanism Even；It pushes push button that can realize the opening and clamping for blocking clamp, the achievable front operating mechanism of knob and rear portion is pulled to manipulate machine The division of structure.
Above-mentioned connecting rod separating/closing mechanism includes first connecting rod 11, second connecting rod 12, third connecting rod 13 and fourth link 14, and first One end of connecting rod and second connecting rod is connected with knob 10, and the other end is movably connected with third connecting rod, fourth link respectively, and third connects Bar and fourth link intersection are movably connected, and form V-arrangement prong in the other end, are connected with return spring 15, V on the inside of V-arrangement prong Short axle 16 is connected separately on the outside of shape prong, which can be inlaid in realization and the T T-slot 41 on detachable connector Nei The detachable connection of shape slot；Knob 10 be movably connected at the interconnection of third connecting rod and fourth link.
Referring to Fig. 1, Fig. 6, the rear portion of the rear sleeve 3 in the present invention is equipped with knob 31, which is slidably connected with handle 7, Turn knobs can realize the division of rear sleeve and anterior cannula.
Referring to Fig. 1, Fig. 7, anterior cannula 2 in the present invention is equipped with to be adapted to four Elastic buckles of front operating mechanism Four card slots 21.
Course of work principle of the invention is as follows in combination with Detailed description of the invention:
The first step blocks clamp to clamp target blood: clamp is in open configuration when initial, in surgical procedure, blood vessel blocking Pincers protrude into the micropore eye of abdominal cavity aperture, reach specified target blood, push button 8 are pushed certain distance backward, at this time front Four Elastic buckles 42 of operating mechanism clasp corresponding four card slots 21 in anterior cannula 2, while clamp closure being blocked to clamp Target blood.
Second step blocks clamp to separate with operating mechanism: first separating anterior cannula 2 and rear sleeve 3, then separates front manipulation machine Structure and rear portion operating mechanism, the anterior cannula 2 and the release of rear sleeve 3 that turning knob 31 is lived to get script spinner.Doctor holds handle 7, knob 10 of holding with a firm grip makes return spring 15 be in impaction state, and entire rear portion operating mechanism is moved backward, and is detached from front manipulation T-slot 41 in mechanism is separated with jaw portion is blocked.
Third step finds blocking clamp, and operating mechanism is integrated with clamp is blocked: first closing operating mechanism trap pipe again.It is right After the completion of internal lesions treatment, operating mechanism enters in vivo, and after finding clamp, knob 10 of holding with a firm grip makes return spring 15 be in pressure Tight state, two short axles 16 enter T-slot 41 at the same time, can unclamp knob 10,15 reset of card of return spring is in T-slot In.Then turning knob 31, so that separated front and back casing spinner closes up, operating mechanism is integrated with clamp at this time.
4th step, which is unclamped, blocks clamp: push button 8 being pushed forward a certain distance, four Elastic buckles 42 are detached from four at this time A card slot 21 blocks clamp to open, and unclamps target blood.

Claims (4)

1.一种腹腔镜下可分离式血管阻断钳，包括套管、操纵机构和阻断钳夹，阻断钳夹设置在套管内并通过操纵机构操纵其动作，其特征在于：所述套管包括前套管和后套管，前套管与后套管可拆卸式嵌接相连；所述操纵机构包括前部操纵机构和后部操纵机构，前部操纵机构与阻断钳夹活动相连，后部操纵机构与前部操纵机构可分离式活动相连；1. a laparoscopic detachable blood vessel blocking forceps, comprising a casing, a manipulation mechanism and a blocking forceps, the blocking forceps is arranged in the casing and manipulates its action by a manipulation mechanism, it is characterized in that: the described sleeve The pipe includes a front casing and a rear casing, and the front casing and the rear casing are detachably connected to each other; the operating mechanism includes a front operating mechanism and a rear operating mechanism, and the front operating mechanism is movably connected with the blocking clamp , the rear control mechanism is detachably connected with the front control mechanism; 所述前部操纵机构包括可分离式连接体、拉杆和两个连杆，可分离式连接体上设有用于与后部操纵机构可分离式连接的T形槽，以及用于与前套管卡扣相连的四个弹性卡扣，拉杆的一端与可分离式连接体固定相连，另一端与两个连杆活动相连，两个连杆的另一端分别与所述阻断钳夹的两个钳柄活动相连，两个连杆与两个钳柄之间形成平行四边形伸缩结构；The front operating mechanism includes a separable connecting body, a pull rod and two connecting rods, and the separable connecting body is provided with a T-shaped groove for separable connection with the rear operating mechanism, and a T-shaped groove for detachable connection with the front sleeve. The four elastic buckles connected by the buckle, one end of the pull rod is fixedly connected with the detachable connecting body, the other end is movably connected with two connecting rods, and the other ends of the two connecting rods are respectively connected with the two connecting rods of the blocking clamp. The clamp handle is movably connected, and a parallelogram telescopic structure is formed between the two connecting rods and the two clamp handles; 所述后部操纵机构包括手柄、推钮、推杆、拉手和连杆分合机构，手柄上设有推钮孔和拉手孔，推钮设置在推钮孔中并与推杆传动相连；拉手设置在拉手孔中并与连杆分合机构传动相连，连杆分合机构与前部操纵机构可分离式相连；推动推钮可实现阻断钳夹的张开及夹紧，拉动拉手可实现前部操纵机构与后部操纵机构的分合。The rear control mechanism includes a handle, a push button, a push rod, a handle and a connecting rod splitting mechanism. The handle is provided with a push button hole and a handle hole, and the push button is arranged in the push button hole and is connected to the push rod for transmission; the handle It is arranged in the handle hole and connected with the connecting rod opening and closing mechanism. The connecting rod opening and closing mechanism is detachably connected with the front operating mechanism; pushing the push button can block the opening and clamping of the clamp, and pulling the handle can realize The opening and closing of the front control mechanism and the rear control mechanism. 2.如权利要求1所述的腹腔镜下可分离式血管阻断钳，其特征在于：所述连杆分合机构包括第一连杆、第二连杆、第三连杆和第四连杆，第一连杆和第二连杆的一端与所述拉手相连，另一端分别与第三连杆、第四连杆活动相连，第三连杆和第四连杆交叉活动相连，并在另一端形成V形叉口，V形叉口内侧连接有回位弹簧，V形叉口的外侧分别连接有短轴，该短轴可嵌装在可分离式连接体上的T形槽内实现与T形槽的可分离式连接；所述拉手与第三连杆和第四连杆的交叉连接处活动相连。2 . The laparoscopic detachable blood vessel occluding forceps according to claim 1 , wherein the connecting rod opening and closing mechanism comprises a first connecting rod, a second connecting rod, a third connecting rod and a fourth connecting rod. 3 . One end of the first connecting rod and the second connecting rod are connected with the handle, and the other ends are respectively movably connected with the third connecting rod and the fourth connecting rod. The other end forms a V-shaped fork, the inner side of the V-shaped fork is connected with a return spring, and the outer side of the V-shaped fork is respectively connected with a short shaft, which can be embedded in the T-shaped groove on the detachable connecting body. A separable connection with the T-shaped groove; the handle is movably connected with the cross connection of the third connecting rod and the fourth connecting rod. 3.如权利要求1所述的腹腔镜下可分离式血管阻断钳，其特征在于：所述后套管的后部设有旋钮，该旋钮与手柄滑动连接，旋动旋钮可实现后套管与前套管的分合。3. The laparoscopic detachable blood vessel blocking forceps according to claim 1, wherein the rear part of the rear sleeve is provided with a knob, the knob is slidably connected with the handle, and the knob can be rotated to realize the rear sleeve The opening and closing of the tube and the front casing. 4.如权利要求1所述的腹腔镜下可分离式血管阻断钳，其特征在于：所述前套管上设有与前部操纵机构的四个弹性卡扣适配的四个卡槽。4. The laparoscopic detachable blood vessel occluding forceps according to claim 1, wherein the front sleeve is provided with four snap grooves that fit with the four elastic snaps of the front manipulation mechanism .
CN201510744807.0A 2015-11-05 2015-11-05 Laparoscopic Detachable Vascular Occlusion Forceps Expired - Fee Related CN106667540B (en)

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CN109952861A (en) * 2019-04-29 2019-07-02 上海理工大学 A strawberry picking auxiliary device
CN112168290A (en) * 2020-09-27 2021-01-05 上海埃尔顿医疗器械有限公司 Four-connecting-rod movable rotating mechanism and hemostatic forceps with same

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CN102614006A (en) * 2012-04-16 2012-08-01 涂名超 Laparoscope operating forceps capable of allowing bending angle of forceps head to be locked
CN203802522U (en) * 2014-04-11 2014-09-03 江苏唯德康医疗科技有限公司 Hemoclip
CN205107800U (en) * 2015-11-11 2016-03-30 上海理工大学 Pincers are blocked to detachable blood vessel under peritoneoscope

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN201164490Y (en) * 2008-02-04 2008-12-17 钟鸣 Blocking pinching-tool for celioscope operation
WO2010124129A1 (en) * 2009-04-22 2010-10-28 Pare Surgical, Inc. Endoscopic tissue grasping apparatus and method
CN201683955U (en) * 2010-05-31 2010-12-29 杭州康基医疗器械有限公司 Clip applier for human body surgery
EP2474274A1 (en) * 2011-01-06 2012-07-11 University of Dundee Surgical instrument
CN102144935A (en) * 2011-04-18 2011-08-10 中国人民解放军第二军医大学 Laparoscopic separable primary porta hepatis blocker
CN102247187A (en) * 2011-04-18 2011-11-23 中国人民解放军第二军医大学 Separable hepatic laparoscopic vein blocker
CN102525592A (en) * 2011-12-05 2012-07-04 杭州康基医疗器械有限公司 Dismountable closer used for clipping operation of organs in human body
CN102614006A (en) * 2012-04-16 2012-08-01 涂名超 Laparoscope operating forceps capable of allowing bending angle of forceps head to be locked
CN203802522U (en) * 2014-04-11 2014-09-03 江苏唯德康医疗科技有限公司 Hemoclip
CN205107800U (en) * 2015-11-11 2016-03-30 上海理工大学 Pincers are blocked to detachable blood vessel under peritoneoscope

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