CN108433785B - Medical scissors pincers convenient to tailor - Google Patents
Medical scissors pincers convenient to tailor Download PDFInfo
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- CN108433785B CN108433785B CN201810276239.XA CN201810276239A CN108433785B CN 108433785 B CN108433785 B CN 108433785B CN 201810276239 A CN201810276239 A CN 201810276239A CN 108433785 B CN108433785 B CN 108433785B
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- 210000000080 chela (arthropods) Anatomy 0.000 title 1
- 238000005520 cutting process Methods 0.000 claims abstract description 15
- 230000008859 change Effects 0.000 description 4
- 230000006378 damage Effects 0.000 description 3
- 208000027418 Wounds and injury Diseases 0.000 description 2
- 230000009471 action Effects 0.000 description 2
- 208000014674 injury Diseases 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- 238000010008 shearing Methods 0.000 description 2
- 238000009966 trimming Methods 0.000 description 2
- 208000002193 Pain Diseases 0.000 description 1
- 208000002847 Surgical Wound Diseases 0.000 description 1
- 208000031737 Tissue Adhesions Diseases 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 239000012530 fluid Substances 0.000 description 1
- 230000023597 hemostasis Effects 0.000 description 1
- 230000001788 irregular Effects 0.000 description 1
- 230000007246 mechanism Effects 0.000 description 1
- 229940127554 medical product Drugs 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 238000006748 scratching Methods 0.000 description 1
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/32—Surgical cutting instruments
- A61B17/3201—Scissors
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0467—Instruments for cutting sutures
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/28—Surgical forceps
- A61B17/2812—Surgical forceps with a single pivotal connection
- A61B17/2841—Handles
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/28—Surgical forceps
- A61B17/285—Surgical forceps combined with cutting implements
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F15/00—Auxiliary appliances for wound dressings; Dispensing containers for dressings or bandages
- A61F15/02—Devices for cutting bandages of any kind, e.g. shears, cast-cutting saws
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Abstract
本发明涉及一种便于裁剪的医用剪刀钳,包括上钳体、下钳体、下臂和上臂,上钳体与下钳体的右端铰接,上钳体与下臂相连,下钳体与上臂相连;下臂的右端有下握柄,上臂上有上握柄,上握柄的左端与上臂铰接,上握柄的左端有限位凸起;下臂上有调节臂,调节臂的左端与下臂铰接,调节臂的右端置于下臂的下方,调节臂上有支杆,支杆的下端与调节臂滑动连接;上钳体上有可滑动的刀片,刀片的刃部与下钳体相对且刀片的刃部向左倾斜设置,下钳体上有让位槽;上钳体上有可滑动的滑杆,滑杆的左端与刀片连接,滑杆的右端与支杆的上端铰接,滑杆上套装有弹簧;上握柄上有置于上握柄下方的压杆,压杆的上端与上握柄连接,压杆的下端与调节臂的右部接触。
The invention relates to a medical scissors forceps which is convenient for cutting, comprising an upper forceps body, a lower forceps body, a lower arm and an upper arm. Connected; the right end of the lower arm has a lower handle, the upper arm has an upper handle, the left end of the upper handle is hinged with the upper arm, and the left end of the upper handle has a limited protrusion; The arm is hinged, the right end of the adjusting arm is placed under the lower arm, the adjusting arm is provided with a support rod, and the lower end of the support rod is slidably connected with the adjusting arm; there is a slidable blade on the upper clamp body, and the blade of the blade is opposite to the lower clamp body In addition, the blade of the blade is inclined to the left, and the lower tong body is provided with a vacant slot; the upper tong body has a slidable sliding rod, the left end of the sliding rod is connected with the blade, and the right end of the sliding rod is hinged with the upper end of the support rod, and the sliding The rod is sleeved with a spring; the upper handle is provided with a pressure rod placed under the upper handle, the upper end of the pressure rod is connected with the upper handle, and the lower end of the pressure rod is in contact with the right part of the adjusting arm.
Description
技术领域technical field
本发明涉及医疗用品领域,特别是一种便于裁剪的医用剪刀钳。The invention relates to the field of medical supplies, in particular to a medical scissors forceps which is convenient for cutting.
背景技术Background technique
剪刀和夹钳作为常用的医学器械,被广泛用于各个医疗环节,目前常用的剪刀和夹钳相对独立使用,使用时需要频繁更换,虽然在一定程度上能够满足使用需求,但是仍存在着诸多不足。Scissors and clamps are commonly used medical instruments and are widely used in various medical links. At present, commonly used scissors and clamps are used relatively independently and need to be replaced frequently. Although they can meet the needs of use to a certain extent, there are still many insufficient.
剪刀常用于剪线、纱布、绷带或用于拆线等,目前常用的剪刀在剪切纱布、绷带或类似的片状结构医疗品时,由于无法可靠定位,因此剪裁后的切口不整齐,尤其是纱布或绷带类编织而成的用品,切口不整齐很容易导致切口部位线头散乱或脱落,不便于使用;此外,在进行拆线操作时,需要将剪刀的尖部伸入绷带或纱布与患者身体接触的部位才能进行剪切,而剪刀的尖部通常较锋利,极易将患者的皮肤划破,给患者带来不必要的困扰。Scissors are often used for thread trimming, gauze, bandage or stitch removal, etc. Currently, commonly used scissors cannot be reliably positioned when cutting gauze, bandage or similar sheet-like medical products, so the incision after trimming is not neat, especially It is a woven product made of gauze or bandage. An irregular incision can easily cause the thread at the incision site to be scattered or fall off, which is inconvenient to use. In addition, when removing sutures, it is necessary to insert the tip of the scissors into the bandage or gauze and the patient. Only the parts that are in contact with the body can be cut, and the tips of the scissors are usually sharp, which can easily cut the patient's skin and cause unnecessary trouble to the patient.
夹钳通常用于止血、夹取人体组织或取出异物等,而夹取人体组织或取出异物时,由于人体组织之间相互连接,体内的异物也会在体内产生组织粘连,因此在夹取或取出前往往需要先利用刀具将人体组织或异物从患者身体切除;当手术切口较小时,在体内进行切除缺少有力的受力支撑点,切除操作过程较为困难,切除后的组织或异物因失去与人体的连接还可能会出现移位或落入组织液中而难以找到,不利于手术的快速完成。Clamps are usually used for hemostasis, grasping human tissue or taking out foreign objects, etc. When clipping human tissue or taking out foreign objects, due to the interconnection between human tissues, the foreign objects in the body will also cause tissue adhesion in the body. Before removal, it is often necessary to use a knife to excise human tissues or foreign bodies from the patient's body; when the surgical incision is small, the excision in the body lacks a strong force support point, and the excision operation is more difficult. The connection of the human body may also be displaced or fall into the tissue fluid and be difficult to find, which is not conducive to the rapid completion of the operation.
发明内容SUMMARY OF THE INVENTION
针对上述情况,为弥补现有技术所存在的技术不足,本发明提供一种便于裁剪的医用剪刀钳,以解决现有剪刀和夹钳独立使用导致的频繁更换和使用过程中存在的功能不足的问题。In view of the above situation, in order to make up for the technical deficiencies in the prior art, the present invention provides a kind of medical scissors pliers that is easy to cut, so as to solve the problem of frequent replacement caused by the independent use of the existing scissors and pliers and the insufficiency of functions in the use process. question.
其解决的技术方案是:包括分别水平设置的上钳体、下钳体、下臂和上臂,上钳体置于下钳体的上方且上钳体与下钳体贴合,上臂置于下臂的上方;上钳体与下钳体的右端铰接相连形成钳口,上钳体的右端与下臂的左端相连,下钳体的右端与上臂的左端相连;所述的下臂的右端有下握柄,上臂上有上握柄,上握柄的左端与上臂的左部铰接,上握柄的左端有限位凸起,当上握柄在上臂上逆时针转动时,限位凸起随上握柄转动并与上臂逐渐接触使上握柄的转动停止,防止上握柄与上臂之间的角度过大导致钳口张开时操作不便;所述的下臂上有调节臂,调节臂的左端与下臂的左部铰接,调节臂的右端置于下臂的下方,调节臂上有可沿调节臂的长度方向滑动的支杆,支杆的下端与调节臂滑动连接;所述的上钳体上装有可沿上钳体的长度方向滑动的刀片,刀片的刃部与下钳体相对且刀片的刃部向左倾斜设置,下钳体上有与刀片的刃部相匹配的让位槽,刀片的刃部的下端置于让位槽内;上钳体上有可沿上钳体的长度方向滑动的水平设置的滑杆,滑杆的左端与刀片连接,滑杆的右端与支杆的上端铰接,滑杆上套装有弹簧,弹簧的一端与上钳体连接,弹簧的另一端与滑杆的右端连接;所述的上握柄上有置于上握柄下方的压杆,压杆的上端与上握柄连接,压杆的下端与调节臂的右部接触。The technical solution of the invention is as follows: the upper clamp body, the lower clamp body, the lower arm and the upper arm are respectively arranged horizontally, the upper clamp body is placed above the lower clamp body, the upper clamp body is fitted with the lower clamp body, and the upper arm is placed on the lower arm The upper clamp body is hingedly connected with the right end of the lower clamp body to form a jaw, the right end of the upper clamp body is connected with the left end of the lower arm, and the right end of the lower clamp body is connected with the left end of the upper arm; The handle, there is an upper handle on the upper arm, the left end of the upper handle is hinged with the left part of the upper arm, and the left end of the upper handle has a limited protrusion. When the upper handle is rotated counterclockwise on the upper arm, the limited protrusion follows the upper The handle rotates and gradually contacts with the upper arm to stop the rotation of the upper handle, preventing the angle between the upper handle and the upper arm from being too large to cause inconvenience when the jaws are opened; The left part of the lower arm is hinged, the right end of the adjusting arm is placed under the lower arm, the adjusting arm is provided with a support rod that can slide along the length direction of the adjusting arm, and the lower end of the support rod is slidably connected with the adjusting arm; the upper clamp body A blade that can slide along the length direction of the upper pliers body is installed on it, the blade of the blade is opposite to the lower pliers body and the blade of the blade is inclined to the left, and the lower pliers body has a matching groove with the edge of the blade, The lower end of the blade portion of the blade is placed in the abdication groove; the upper clamp body is provided with a horizontally arranged sliding rod that can slide along the length direction of the upper clamp body, the left end of the sliding rod is connected with the blade, and the right end of the sliding rod is connected with the support rod. The upper end is hinged, the sliding rod is sleeved with a spring, one end of the spring is connected with the upper clamp body, and the other end of the spring is connected with the right end of the sliding rod; the upper handle has a pressure rod placed under the upper handle, the pressure rod The upper end of the rod is connected with the upper handle, and the lower end of the pressing rod is in contact with the right part of the adjusting arm.
本发明结构精巧,操作简单,可根据需要作为夹钳或剪刀使用,不仅可以实现剪切时的有效定位,保证切口的整齐,还可以有效避免拆线等与患者有直接接触的操作过程中可能出现的二次伤害,提高了使用安全性。The invention has exquisite structure and simple operation, and can be used as clamps or scissors as required, which can not only achieve effective positioning during cutting, ensure the neatness of the incision, but also effectively avoid the possibility of stitches being removed and other operations in direct contact with the patient. The occurrence of secondary damage improves the safety of use.
附图说明Description of drawings
图1为本发明钳口闭合时的正视图。Figure 1 is a front view of the present invention when the jaws are closed.
图2为本发明钳口闭合时的轴测图。Figure 2 is an axonometric view of the present invention when the jaws are closed.
图3为本发明钳口张开时的正视图。Figure 3 is a front view of the present invention when the jaws are opened.
图4为本发明钳口张开时的轴测图。Figure 4 is an axonometric view of the present invention when the jaws are opened.
图5为本发明钳口闭合进行剪切时的正视图。FIG. 5 is a front view of the present invention when the jaws are closed for cutting.
图6为本发明钳口闭合进行剪切时的轴测图。6 is an axonometric view of the present invention when the jaws are closed for shearing.
具体实施方式Detailed ways
以下结合附图对本发明的具体实施方式作进一步详细说明。The specific embodiments of the present invention will be further described in detail below with reference to the accompanying drawings.
由图1至图6给出,本发明包括分别水平设置的上钳体1、下钳体2、下臂3和上臂4,上钳体1置于下钳体2的上方且上钳体1与下钳体2贴合,上臂4置于下臂3的上方;上钳体1与下钳体2的右端铰接相连形成钳口,上钳体1的右端与下臂3的左端相连,下钳体2的右端与上臂4的左端相连;所述的下臂3的右端有下握柄5,上臂4上有上握柄6,上握柄6的左端与上臂4的左部铰接,上握柄6的左端有限位凸起7,当上握柄6在上臂4上逆时针转动时,限位凸起7随上握柄6转动并与上臂4逐渐接触使上握柄6的转动停止,防止上握柄6与上臂4之间的角度过大导致钳口张开时操作不便;所述的下臂3上有调节臂8,调节臂8的左端与下臂3的左部铰接,调节臂8的右端置于下臂3的下方,调节臂8上有可沿调节臂8的长度方向滑动的支杆9,支杆9的下端与调节臂8滑动连接;所述的上钳体1上装有可沿上钳体1的长度方向滑动的刀片10,刀片10的刃部与下钳体2相对且刀片10的刃部向左倾斜设置,下钳体2上有与刀片10的刃部相匹配的让位槽11,刀片10的刃部的下端置于让位槽11内;上钳体1上有可沿上钳体1的长度方向滑动的水平设置的滑杆12,滑杆12的左端与刀片10连接,滑杆12的右端与支杆9的上端铰接,滑杆12上套装有弹簧13,弹簧13的一端与上钳体1连接,弹簧13的另一端与滑杆12的右端连接;所述的上握柄6上有置于上握柄6下方的压杆14,压杆14的上端与上握柄6连接,压杆14的下端与调节臂8的右部接触。1 to 6 , the present invention includes an
作为优选,所述的上握柄6与上臂4的铰接部有扭簧,扭簧使上握柄6始终保持逆时针转动的趋势。Preferably, the hinge part between the
作为优选,所述的调节臂8与下臂3的铰接部有扭簧,扭簧使调节臂8始终保持逆时针转动的趋势。Preferably, the hinge part of the adjusting
作为优选,所述的滑杆12与支杆9的铰接部有滚轮15,滚轮15的外缘面与上臂4的下端面接触,当滑杆12在上钳体1上滑动时,滚轮15可起到良好的导向与支撑作用。Preferably, a
作为优选,所述的支杆9的下部有滑块16,调节臂8上有与滑块16匹配的滑槽17,滑块16置于滑槽17内,构成支杆9经滑块16和滑槽17在调节臂8上沿调节臂8的长度方向滑动的结构。Preferably, the lower part of the
作为优选,所述的调节臂8上装有与支杆9的下端对应的定位螺栓18,通过定位螺栓18的旋紧或旋松实现支杆9在调节臂8上的定位控制。Preferably, the adjusting
本发明使用时,可根据实际需求选择作为夹钳或剪刀使用,当需要夹钳功能时,使本发明处于附图1所示的状态并旋紧螺栓18,滑块16被锁紧而无法在滑槽17内滑动,支杆9与调节臂8之间的相对位置固定;逆时针转动上握柄6,限位凸起7随之转动并逐渐与上臂4接触,当限位凸起7与上臂4接触后,继续转动上握柄6,此时上臂4经限位凸起7的推动随上握柄6同时转动,从而使下钳体2向下转动,同时,顺时针转动下握柄5,上钳体1经下臂3随下握柄5同时转动,上钳体1和下钳体2分离形成长开的钳口,移动本发明至需要夹取的组织或物品处并使该组织或物品置于钳口内,同时转动上握柄6和下握柄5使二者彼此靠近,由于上握柄6与上臂4的铰接部有扭簧,该扭簧的扭力使上臂4随上握柄6同时转动,因此钳口逐渐闭合而将物品夹紧;实际使用过程中,可根据需要选择合适的扭簧以保证钳口处有足够的夹紧力将组织或物品夹取,还可在上握柄6与上臂4之间设置螺栓或插销进行定位以获得更好的使用效果。When the present invention is used, it can be used as a clamp or scissors according to actual needs. When the clamp function is required, the present invention is placed in the state shown in FIG. 1 and the
当夹取成功后,继续在上握柄6与下握柄5上施加作用力使二者继续靠近,当压杆14与调节臂8接触后,由于滑块16被定位螺栓18锁定,而支杆9与调节臂8之间的角度固定,因此支杆9、调节臂8、滑杆12构成内角、边长均恒定的三角形结构,压杆14与调节臂8之间接触后的挤压作用力无法使该三角形产生改变,因此滚轮15位置不变,故刀片10位置也不改变,不会产生切割动作。When the clamping is successful, continue to exert force on the
当需要使用剪切功能时,旋松螺栓18,滑块16可在滑槽17内滑动,按上述操作使钳口张开,将下钳体2移动至需要剪切的物品下方,然后再上握柄6与下握柄5上施加一定的作用力使钳口闭合,当钳口完全闭合后,继续施加作用力在上握柄6与下握柄5上,压杆14与调节臂8挤压接触并推动调节臂8在下臂3上顺时针转动,由于支杆9与调节臂8之间的夹角固定,同时滑杆12的长度方向不变且支杆9长度不变,因此当调节臂8转动时,支杆9随之产生转动同时在调节臂8上向左滑动以补偿调节臂8转动后支杆9的下端与滑杆12之间的距离变化;支杆9的滑动带动滑杆12同时向左滑动并压缩弹簧13,从而使刀片10向左滑动而将物品切割。When the shearing function needs to be used, loosen the
当切割完成后,在上握柄6与下握柄5上施加反向作用力使二者远离,在作用力与弹簧13的共同作用下,刀片10向右滑动并逐渐复位,支杆9也滑动至初始位置,以便于下一次切割使用。When the cutting is completed, a reverse force is applied on the
利用本发明进行剪切操作时,钳口将物品夹紧后刀片10开始进行切割操作,因此物品被钳口有效定位,保证切割后的切口整齐;同时,利用本发明进行剪切时,由于刀片10的刃部下端置于让位槽11内,因此刀刃与物品完全接触,可保证一次性切割完成,不会产生局部无法切到的情况;此外,在进行拆线操作时,由于下钳体2本身没有刀刃部,因此在将下钳体2插入纱布或绷带与患者身体接触的部位时,不会对患者身体产生划伤或刺痛等二次伤害,提高了使用安全性。When using the present invention for cutting operation, the
本发明结构精巧,使用便捷,集夹钳与剪刀的功能于一体,只需对螺栓进行转动即可实现两种功能的切换;同时,不同于常规的剪刀,本发明所提供的剪切操作不仅可以实现剪切时的有效定位,保证切口的整齐,还可以有效避免拆线等与患者有直接接触的操作过程中可能出现的二次伤害,极大提高了使用安全性;此外,本发明作为夹钳或剪刀使用时,夹紧与剪切操作均是由握柄控制,不需要其他的控制机构,保证了使用时的便利性。The invention has exquisite structure and convenient use, integrates the functions of clamp and scissors, and only needs to rotate the bolt to realize the switching of the two functions; at the same time, different from the conventional scissors, the cutting operation provided by the invention not only It can achieve effective positioning during cutting, ensure the neatness of the incision, and can effectively avoid secondary injuries that may occur during operations that have direct contact with the patient such as suture removal, which greatly improves the safety of use; When the pliers or scissors are used, the clamping and cutting operations are controlled by the handle, and no other control mechanism is required, which ensures the convenience of use.
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