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CN107198553B - Hemostat for cavity mirror exploration - Google Patents

Hemostat for cavity mirror exploration Download PDF

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Publication number
CN107198553B
CN107198553B CN201710534480.3A CN201710534480A CN107198553B CN 107198553 B CN107198553 B CN 107198553B CN 201710534480 A CN201710534480 A CN 201710534480A CN 107198553 B CN107198553 B CN 107198553B
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Prior art keywords
pressing part
circular arc
arc groove
finger
wearing
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CN201710534480.3A
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CN107198553A (en
Inventor
段林灿
黄云超
蔡昕怡
张勇
钱可宝
巫正伟
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/12Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/02Detecting, measuring or recording for evaluating the cardiovascular system, e.g. pulse, heart rate, blood pressure or blood flow
    • A61B5/02042Determining blood loss or bleeding, e.g. during a surgical procedure
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/00234Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00238Type of minimally invasive operation
    • A61B2017/00265Hand assisted surgery, i.e. minimally invasive surgery with at least part of an assisting hand inside the body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/12Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B2017/12004Surgical 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

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

Abstract

The invention provides a hemostat for endoscopic exploration, which comprises a pressing part and a sleeving part for sleeving a finger, wherein the lower surface of the pressing part is an outwards convex cambered surface, the front part of the pressing part is a cambered surface or a ball head, the rear end of the pressing part extends backwards to be connected with the sleeving part, the sleeving part is provided with a first circular arc groove matched with the abdomen of the finger, and the first circular arc groove is connected with a clamping part for fixing. The invention ensures that an operator has sensitive touch sense and easy control when probing and stopping bleeding of the focus in operation, can perform fine operation, is convenient and flexible to use, is beneficial to accurately positioning and stopping bleeding of the focus, occupies small space and is convenient for the cooperation use of other surgical instruments.

Description

Hemostat for cavity mirror exploration
Technical Field
The invention belongs to endoscopic surgical instruments, and particularly relates to an endoscopic exploration hemostat.
Background
The endoscopic surgery makes it possible to perform the surgery through a small incision, which has less damage to tissue than the conventional surgery, and through a smaller incision, a tiny light source, a camera and surgical instruments are inserted, and a surgeon guides the operation of the surgical instruments through images transmitted to a monitor, and has the characteristics of less trauma, less complications, safety and quick recovery. Although the endoscopic surgery has the advantages, the operator can operate the long-handle surgical instrument outside the body through the monitor, feel less sensitive than the traditional surgical instrument, the operation part is longer, the endoscopic surgery is like stepping on a stilt to walk, the operation is difficult, and the endoscopic surgery is a new technology and has high technical requirements on the operator. In the endoscopic surgery, a focus needs to be touched and determined, a pair of oval forceps is often used for small focuses to touch the focus, positioning is felt through sliding touch of the oval forceps or positioning is conducted under the guidance of preoperative CT, but positioning is difficult, time and money are wasted, complications are increased, and even a doctor with abundant experience sometimes has difficulty in accurately positioning, which is a great difficulty in the endoscopic surgery. But hemostasis in endoscopic surgery is also important, cotton balls or gauze clamped by oval forceps, long bends and the like or attractors are often used for hemostasis in surgery, but because an operation part is longer, an operator feels relatively slow and cannot perform fine operation easily, the required operation space is also larger, the use of other appliances is influenced, the rescuing time is delayed, chest or abdomen opening is caused by improper treatment, and even massive hemorrhage endangers the life safety of patients.
Disclosure of Invention
In order to solve the problems, the invention provides a cavity mirror exploration hemostat which occupies small space when in use, is easy to control, can perform fine operation, is sensitive to an operator, is convenient to use, and is beneficial to accurately positioning and stopping bleeding of a focus.
The technical scheme of the invention is as follows: the utility model provides a hemostat is explored to chamber mirror, includes pressing part and is used for wearing the cover portion of overlapping on the finger, pressing part's lower surface is the cambered surface of evagination, and pressing part's front portion is cambered surface or bulb, and pressing part's rear end extends backward and is connected with the cover portion, wears the cover portion and is equipped with the first circular arc groove with the adaptation of finger abdomen, and first circular arc groove is connected with the clamp portion of fixed usefulness.
The invention creatively provides a endoscopic surgical instrument with the functions of probing and stopping bleeding, which is equivalent to an extender of one finger, is generally sleeved on an index finger, and the finger feel is the most sensitive and direct, and the position is quickly and accurately determined by the sliding touch of a pressing part and a focus nodule; the fine operation can be performed by using the joint movement of one finger, the use is flexible, convenient and safe, and the damage and bleeding of the organ tissues caused by the poor control of the traditional long-handle instrument are not easy to occur; in order to ensure safety and good contact, the lower surface of the pressing part is a convex cambered surface, the front end of the pressing part is a cambered surface or a ball head, and the pressing part can perform exploration positioning, pressing hemostasis and tissue separation; the wearing part is used for wearing the instrument on fingers, and the clamping part is used for ensuring that the instrument cannot slip off the fingers.
Further, as an embodiment, the clip portion is a half-ring belt that is abutted with the first circular arc groove.
Further, in order to improve the stability of the sleeving and not to influence the movement of the first joint at the front part of the finger, the first arc groove is two sections hinged with each other, and the number of the half ring belts is 2-4.
Further, as another embodiment, the clip portion includes a second circular arc groove that is abutted with the first circular arc groove, the two circular arc grooves are abutted to form a cone shape, and the front end of the cone extends forward to form the pressing portion.
Further, in order to adjust the size of the clamp part, fingers with different thicknesses can be well adapted, one side of the clamp part is connected with the first circular arc groove, and the other side of the clamp part is a free end separated from the first circular arc groove.
Further, the clamp part further comprises a ring and a connecting rod, two sections of connecting rods hinged with each other are symmetrically arranged on two sides of the ring respectively, the rear end of the connecting rod is connected with the ring, and the front end of the connecting rod is hinged with two sides of the rear end of the first circular arc groove. The mode can improve the steadiness of this apparatus cover better, and the ring wears at the finger root like the ring, is connected with pressing part through articulated connecting rod, both guaranteed to fix reliably, does not influence pressing part's nimble activity again, also reduces the cover coverage area of wearing on the finger simultaneously, uses more nimble, convenient.
Further, in order to improve safety and touch feeling, the upper surface of the pressing portion is also a convex arc surface.
Further, the pressing part and the sleeving part are made of metal materials or high-temperature resistant plastics, and after the sleeving part is sleeved in place on a finger, the distance between the front end of the pressing part and the finger tip is 4-6 cm.
Further, the high-temperature-resistant plastic is transparent plastic, and the transparent plastic can transmit light.
Further, the pressing part and the sleeve penetrating part are made of metal, a hole penetrating through the upper surface and the lower surface of the pressing part is formed in the front part of the pressing part, an I-shaped high-temperature resistant rubber sheet is arranged through the hole, the middle part of the high-temperature resistant rubber sheet is clamped in the hole, the upper film and the lower film are attached to the upper surface and the lower surface of the pressing part, and the upper surface of the upper film and the lower surface of the lower film are cambered surfaces. The touch sense of metal materials is promoted through the high-temperature-resistant rubber sheet, gaps are not easy to appear in elasticity, the hemostatic effect of blood vessels is better and safer, the metal base material is used as a framework, the touch sense of the double-material can be truly conveyed, and the touch positioning is accurate.
The beneficial effects of the invention are as follows: the surgical operation device has the advantages that an operator can sensitively and easily control the touch sense when probing and stopping bleeding of a focus in the operation, fine operation can be performed, the use is convenient and flexible, accurate positioning and stopping of the focus are facilitated, the occupied space is small, and the surgical operation device is convenient to use in cooperation with other surgical instruments.
Drawings
The invention will be described in further detail with reference to the accompanying drawings:
fig. 1 is a schematic structural view of embodiment 1 of the present invention.
Fig. 2 is a schematic structural view of embodiment 2 of the present invention.
Fig. 3 is a schematic structural view of embodiment 3 of the present invention.
Fig. 4 is a schematic structural view of embodiment 4 of the present invention.
Fig. 5 is a schematic structural view of the high temperature resistant rubber sheet of fig. 4.
Fig. 6 is a schematic structural view of embodiment 5 of the present invention.
Detailed Description
The preferred embodiments of the present invention will be described below with reference to the accompanying drawings, wherein the high temperature resistant plastics and the high temperature resistant rubber refer to plastics and rubber with a heat resistant temperature of more than 100 ℃.
Example 1: referring to fig. 1, an endoscopic exploration hemostat comprises a pressing part 1 and a threading part 2 for threading on a finger, wherein the lower surface 12 of the pressing part 1 is an outwards convex cambered surface, the front part of the pressing part 1 is an cambered surface, the rear end of the pressing part 1 extends backwards to be connected with the threading part 2, the threading part 2 is provided with a first circular arc groove 21 matched with the abdomen of the finger, the first circular arc groove 21 is connected with a clamp part for fixing, the clamp part in the embodiment is a half ring belt 22 butted with the first circular arc groove 21, the number of the half ring belts 22 is 2, and after the threading part 2 is threaded on the finger in place, the distance between the front end of the pressing part 1 and the fingertip is 5-6 cm. The material of this embodiment is transparent high temperature plastics, can adopt stereoplasm polypropylene, polyvinyl chloride and polyethylene etc. transparent plastics can the light to it is comparatively safe.
Example 2: as shown in fig. 2, this embodiment is different from embodiment 1 in that the sleeve part 2 is provided with two sections of first arc grooves 21 hinged to each other, and each section of first arc groove 21 has 2 half-ring belts 22, 4 total. The hinge part is just positioned at the first joint of the front part of the finger, so that the stability of the wearing sleeve can be improved, and the movement of the first joint of the front part of the finger is not influenced. In order to adjust the size of the clamping part, the hand strap is better suitable for fingers with different thicknesses, one end of the half-ring belt 22 is connected with the first circular arc groove 21, the other end of the half-ring belt 22 is a free end separated from the first circular arc groove 21, a notch 26 is reserved between the half-ring belt 22 at the end and the first circular arc groove 21, and the half-ring belt 22 is pressed after the hand strap is worn so as to adjust the tightness of the half-ring belt 22. The components in this embodiment are all made of metal materials.
Example 3: as shown in fig. 3, the difference between this embodiment and embodiment 1 is that the clip portion includes a ring 23 and a connecting rod 24, two sections of hinged connecting rods 24 are symmetrically disposed on two sides of the ring 23, the rear end of the connecting rod 24 is connected with the ring 23, and the front end is hinged with two sides of the rear end of the first circular arc groove 21. The mode can better improve the stability of the appliance sleeve, the ring 23 is worn on the root of the finger like a ring, and is connected with the pressing part 1 through the hinged connecting rod 24, so that two sections of hinged positions exist, the reliable fixation is ensured, the flexible movement of the pressing part 1 is not influenced, the sleeve covering area on the finger is reduced, and the use is more flexible and convenient. In order to improve the safety and the touch feeling, the upper surface 11 of the pressing part 1 is also a convex cambered surface, i.e. the upper and lower surfaces 11 and 12 are both convex cambered surfaces and are duckbilled. The components in the embodiment are all made of metal materials, and have thin walls, smaller volume and more flexibility.
Example 4: as shown in fig. 4 and 5, this embodiment is basically the same as embodiment 3 except that a hole (not shown) penetrating the upper and lower surfaces of the pressing part 1 is opened at the front part thereof, a heat resistant rubber sheet 3 shaped like an "i" is installed through the hole, the middle part of the heat resistant rubber sheet 3 is caught in the hole, the upper and lower films 31, 32 are attached to the upper and lower surfaces 11, 12 of the pressing part 1 one by one, the diameter of the upper film 31 is slightly larger than the hole, and the upper and lower surfaces of the upper and lower films 31, 32 are arc surfaces. The high temperature resistant rubber sheet 3 can be made of medical silica gel and other materials. The high temperature resistant rubber sheet 3 is mounted on the pressing portion 1 by deforming the upper rubber sheet of the i-shaped high temperature resistant rubber sheet 3 through the hole due to the elasticity of the rubber. According to the embodiment, the touch feeling of the metal material is improved through the high-temperature-resistant rubber sheet 3, gaps are not easy to appear in elasticity, the blood vessel hemostatic effect is better and safer, the metal substrate is used as a framework, the touch feeling can be truly conveyed through the double-material, and the touch positioning is accurate.
Example 5: as shown in fig. 6, this embodiment is basically the same as embodiment 3, except that the half ring belt 22 in embodiment 3 is replaced by a second circular arc groove 25, the first circular arc groove 21 and the second circular arc groove 25 are butted to form a cone shape, the front end of the cone extends forward to form the pressing part 1, the top of the cone is a ball head, and the embodiment adopts a transparent high temperature resistant plastic material.
The invention creatively provides a endoscopic surgical instrument with the functions of probing and stopping bleeding, which is equivalent to an extender of one finger, and the finger feel is the most sensitive and direct, and the position is determined by the sliding touch of the pressing part 1 and the focus nodules, so that the endoscopic surgical instrument is rapid and accurate; the fine operation can be performed by using the joint movement of one finger, the use is flexible, convenient and safe, and the damage and bleeding of the organ tissues caused by the poor control of the traditional long-handle instrument are not easy to occur; in order to ensure good safety and contact, the lower surface of the pressing part 1 is a convex cambered surface, the front end of the pressing part 1 is a cambered surface or a ball head, and the pressing part 1 can perform exploration positioning, pressing hemostasis and tissue separation; the wearing part 2 is used for wearing the instrument on fingers, and the clamping part is used for ensuring that the instrument cannot slip off the fingers.
When in operation, the invention is sleeved on the index finger, the pressing part 1 faces downwards relative to the abdomen of the index finger, the clamping part is fixed at the proper position of the index finger and is clamped, and then the index finger can be used for penetrating into an operation incision to operate.
The foregoing description of the preferred embodiments of the invention is not intended to be limiting, but rather is intended to cover all modifications, equivalents, and alternatives falling within the spirit and principles of the invention.

Claims (7)

1. A hemostat for endoscopic exploration, characterized in that: the finger-wearing device comprises a pressing part and a wearing part for wearing on a finger, wherein the lower surface of the pressing part is a convex cambered surface, the front part of the pressing part is a cambered surface or a ball head, the rear end of the pressing part extends backwards to be connected with the wearing part, the wearing part is provided with a first circular arc groove matched with the abdomen of the finger, the first circular arc groove is connected with a clamp part for fixing, the clamp part is a semi-ring belt butted with the first circular arc groove, the first circular arc groove is two sections hinged with each other, and the number of the semi-ring belt is 2-4; after the wearing part is worn on the finger in place, the distance between the front end of the pressing part and the fingertip is 4-6 cm.
2. The endoscopic exploration hemostat of claim 1, wherein: the clamp part comprises a second circular arc groove which is butted with the first circular arc groove, the two circular arc grooves are butted to form a cone shape, and the front end of the cone extends forwards to form a pressing part.
3. The endoscopic exploration hemostat of claim 1, wherein: one side of the clamping part is connected with the first circular arc groove, and the other side of the clamping part is a free end separated from the first circular arc groove.
4. A hemostat for endoscopic exploration, characterized in that: the finger-wearing device comprises a pressing part and a wearing part for wearing on a finger, wherein the lower surface of the pressing part is a convex cambered surface, the front part of the pressing part is a cambered surface or a ball head, the rear end of the pressing part extends backwards to be connected with the wearing part, the wearing part is provided with a first circular arc groove matched with the abdomen of the finger, and the first circular arc groove is connected with a clamping hoop part for fixing; the clamp part further comprises a ring and a connecting rod, two sections of mutually hinged connecting rods are symmetrically arranged on two sides of the ring respectively, the rear end of the connecting rod is connected with the ring, the front end of the connecting rod is hinged with two sides of the rear end of the first circular arc groove, the front end of the pressing part and the fingertip are 4-6 cm apart after the sleeve part is sleeved in place on the finger, and the upper surface of the pressing part is also an outwards protruding cambered surface.
5. The endoscopic exploration hemostat of claim 4, wherein: the pressing part and the sleeving part are made of metal materials or high-temperature resistant plastics.
6. The endoscopic exploration hemostat of claim 5, wherein: the high-temperature-resistant plastic is transparent plastic.
7. The endoscopic exploration hemostat of claim 5, wherein: the pressing part and the penetrating part are made of metal, the front part of the pressing part is provided with a hole penetrating through the upper surface and the lower surface of the pressing part, an I-shaped high-temperature-resistant rubber sheet is arranged through the hole, the middle part of the high-temperature-resistant rubber sheet is clamped in the hole, the upper film and the lower film are attached to the upper surface and the lower surface of the pressing part, and the upper surface of the upper film and the lower surface of the lower film are cambered surfaces.
CN201710534480.3A 2017-07-03 2017-07-03 Hemostat for cavity mirror exploration Active CN107198553B (en)

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Application Number Priority Date Filing Date Title
CN201710534480.3A CN107198553B (en) 2017-07-03 2017-07-03 Hemostat for cavity mirror exploration

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201710534480.3A CN107198553B (en) 2017-07-03 2017-07-03 Hemostat for cavity mirror exploration

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CN107198553A CN107198553A (en) 2017-09-26
CN107198553B true CN107198553B (en) 2024-02-06

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Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113229880A (en) * 2021-04-15 2021-08-10 华融科创生物科技(天津)有限公司 Hollow tube type hemostatic mechanism

Citations (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH11192307A (en) * 1997-12-26 1999-07-21 Nippon Zeon Co Ltd Sheath and puncture needle assembly
JP2000102502A (en) * 1998-09-30 2000-04-11 Fuji Photo Optical Co Ltd Digit-mounting endoscope
JP2001275927A (en) * 2000-03-31 2001-10-09 Fuji Photo Optical Co Ltd Endoscopic device fitted on finger
JP2002200088A (en) * 2000-12-28 2002-07-16 Terumo Corp Hemostatic member and hemostatic instrument
EP1358851A1 (en) * 2002-05-03 2003-11-05 Lina Medical ApS Haemostatic device for an open blood vessel
CN2889185Y (en) * 2006-02-24 2007-04-18 张立凤 Finger press simulated uterus incision hemostat for cesaream birth
CN101138509A (en) * 2007-10-18 2008-03-12 中国人民解放军第三军医大学第一附属医院 Liver retractor for laparoscopic gastric surgery
CN101296660A (en) * 2004-02-12 2008-10-29 内布拉斯加大学董事会 Ergonomic handles and articulated laparoscopic instruments
CN201341909Y (en) * 2009-02-02 2009-11-11 李兰芳 Adjustable finger haemostat
CN203328770U (en) * 2013-06-26 2013-12-11 瑞奇外科器械(中国)有限公司 Ultrasound knife and adjustment device thereof
CN203354610U (en) * 2012-08-01 2013-12-25 郑圣鼐 Minimally-invasive intervertebral disc retractor
CN203417233U (en) * 2013-03-26 2014-02-05 周美丽 Compression tourniquet after angiocardiography
CN207821866U (en) * 2017-07-03 2018-09-07 段林灿 Laparoscopic Exploration Hemostat

Patent Citations (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH11192307A (en) * 1997-12-26 1999-07-21 Nippon Zeon Co Ltd Sheath and puncture needle assembly
JP2000102502A (en) * 1998-09-30 2000-04-11 Fuji Photo Optical Co Ltd Digit-mounting endoscope
JP2001275927A (en) * 2000-03-31 2001-10-09 Fuji Photo Optical Co Ltd Endoscopic device fitted on finger
JP2002200088A (en) * 2000-12-28 2002-07-16 Terumo Corp Hemostatic member and hemostatic instrument
EP1358851A1 (en) * 2002-05-03 2003-11-05 Lina Medical ApS Haemostatic device for an open blood vessel
CN101296660A (en) * 2004-02-12 2008-10-29 内布拉斯加大学董事会 Ergonomic handles and articulated laparoscopic instruments
CN2889185Y (en) * 2006-02-24 2007-04-18 张立凤 Finger press simulated uterus incision hemostat for cesaream birth
CN101138509A (en) * 2007-10-18 2008-03-12 中国人民解放军第三军医大学第一附属医院 Liver retractor for laparoscopic gastric surgery
CN201341909Y (en) * 2009-02-02 2009-11-11 李兰芳 Adjustable finger haemostat
CN203354610U (en) * 2012-08-01 2013-12-25 郑圣鼐 Minimally-invasive intervertebral disc retractor
CN203417233U (en) * 2013-03-26 2014-02-05 周美丽 Compression tourniquet after angiocardiography
CN203328770U (en) * 2013-06-26 2013-12-11 瑞奇外科器械(中国)有限公司 Ultrasound knife and adjustment device thereof
CN207821866U (en) * 2017-07-03 2018-09-07 段林灿 Laparoscopic Exploration Hemostat

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