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CN108969043B - Releasable alimentary canal incision closure device - Google Patents

Releasable alimentary canal incision closure device Download PDF

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Publication number
CN108969043B
CN108969043B CN201810943050.1A CN201810943050A CN108969043B CN 108969043 B CN108969043 B CN 108969043B CN 201810943050 A CN201810943050 A CN 201810943050A CN 108969043 B CN108969043 B CN 108969043B
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China
Prior art keywords
clamping
clamp
arm
closing
control
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CN108969043A (en
Inventor
刘建强
王雯
刘辉
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/10Surgical instruments, devices or methods for applying or removing wound clamps, e.g. containing only one clamp or staple; Wound clamp magazines
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/08Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/08Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound
    • A61B17/083Clips, e.g. resilient

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
  • Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)

Abstract

The invention relates to a releasable digestive tract incision closing device, which comprises a closing clamp which clamps tissues at the digestive tract incision and takes a V shape, and a releasing component which is connected with two clamping arms of the closing clamp and controls the two clamping arms of the closing clamp to open and close and release the closing clamp; the bottom ends of the two clamping arms of the closed clamp are hinged with each other, and the invention has the advantages that: the bottom ends of the two clamping arms of the closed clamp are hinged to each other, so that the opening and closing of the single-side clamping arms of the closed clamp can be realized through the control release assembly, under the condition that the angle of the single-side clamping arms of the closed clamp needs to be adjusted to achieve a good clamping effect, the closed clamp capable of being opened and closed by the single arm can achieve an unexpected effect.

Description

Releasable alimentary canal incision closure device
Technical Field
The present invention relates to a releasable digestive tract incision closure device.
Background
At present, a titanium clamp is generally used for closing a minimally invasive incision of the digestive tract endoscope, and as the traditional titanium clamp can only clamp two arms simultaneously, the opening and closing of a single arm cannot be realized, and certain use limitations exist; or the incision is clamped tightly by utilizing the double-arm grabbing pliers, then the incision is clamped and closed by utilizing the titanium clamp releaser to release the titanium clamp, the whole process can be completed by utilizing various instruments, the operation is extremely inconvenient, the incision closing efficiency is greatly influenced, the conditions of titanium clamp closing position deviation, unsatisfactory closing effect and the like are easy to occur, and the complications in the operations such as perforation and bleeding of the digestive tract can be caused by forcibly removing the titanium clamp.
Disclosure of Invention
The invention aims to provide a releasable digestive tract incision closing device which has a simple structure, can realize single-arm opening and closing and can release and clamp a closed incision.
The aim of the invention is realized by the following technical scheme: a closing device capable of releasing an incision of an alimentary canal comprises a closing clamp which clamps tissues at the incision of the alimentary canal and takes a V shape, and a releasing component which is connected with two clamping arms of the closing clamp and controls the two clamping arms of the closing clamp to open and close and release the closing clamp; the bottom ends of the two clamping arms of the closed clamp are hinged with each other, and the upper ends of the two clamping arms of the closed clamp are provided with clamping structures which are clamped with each other.
Compared with the prior art, the invention has the advantages that:
1. The bottom ends of the two clamping arms of the closed clamp are hinged with each other, so that the opening and closing of the single-side clamping arms of the closed clamp can be realized through the control release assembly, and the closed clamp capable of being opened and closed by the single arm can achieve unexpected effects under the condition that the angle of the single-side clamping arms of the closed clamp needs to be adjusted to achieve good clamping effects. If the control wire A or the control wire B is pulled, the opening and closing of the left clamping arm or the right clamping arm of the closed clamp can be indirectly controlled, so that the opening and closing of the single clamping arm of the closed clamp are realized; if the control wire A and the control wire B are synchronously pulled, the effect of simultaneously opening and closing the two arms of the closing clamp can be achieved, and therefore the closing clamp can be opened and closed by a single arm and simultaneously opening and closing the two arms, and the releasable digestive tract incision closing device has a wider application range.
2. The releasable digestive tract incision closing device can clamp the digestive tract incision and release the closing clamp for clamping the incision, so that the tissue grasping forceps and the closing release are integrated, the operation procedure of closing the digestive tract incision is greatly simplified, and the operation efficiency is improved.
3. The releasable digestive tract incision closing device also has the advantages of simple structure, high precision and simple operation.
4. Once the incision is closed and released, the closing clamp can firmly fasten the incision and is not easy to fall off.
5. The closure clip is made of degradable absorbing material, and the closure clip does not need to be taken out after operation, and meanwhile, the patient is not influenced to be reviewed through nuclear magnetic resonance in the future.
Drawings
Fig. 1 is a schematic structural view of the present invention.
Fig. 2 is an enlarged view of I in fig. 1.
Fig. 3 is a schematic view of the present invention before use.
Fig. 4 is a schematic view of the structure of the closure clip of the present invention.
Fig. 5 is a schematic view of the structure of the release assembly of the present invention.
Fig. 6 is a cross-sectional view of the sheath.
Fig. 7 is a schematic view of another embodiment of a closure clip.
Description of the reference numerals: the device comprises a release component 1, a sheath tube 11, a guide rod 12, a left control arm 13, a left clamping groove 131, a right control arm 14, a right clamping groove 141, a control wire A15, a control wire B16, a closing clamp 2, a left clamping arm 21, a clamping hook 211, a left lug 212, a clamping block groove 213, a right clamping arm 22, a clamping block 221, a right lug 222, a clamping block A223, a clamping assisting tooth 23, an elastic sheet 24, an auxiliary handle 3, a sliding groove A31, a sliding groove B32, a control ring A4, a control ring B5 and a control member 6.
Detailed Description
The present invention is described in detail below with reference to the drawings and examples of the specification:
fig. 1 to 6 show an embodiment of a releasable gastrointestinal incision closing device according to the present invention.
The releasable digestive tract incision closing device comprises a closing clamp 2 which clamps tissues at the digestive tract incision and is V-shaped, and a release component 1 which is connected with two clamp arms of the closing clamp 2 and controls the two clamp arms of the closing clamp 2 to open and close and release the closing clamp 2; the bottom of two arm clamps of the closed clamp 2 are connected with each other in a hinged manner, and the upper ends of the two arm clamps of the closed clamp are provided with clamping structures which are clamped with each other.
The release assembly 1 comprises a sheath tube 11 provided with a vertically through cavity, a guide rod 12 arranged in the cavity of the sheath tube 11 and extending along the vertical direction, a left control arm 13 arranged at the upper end of the guide rod 12, and a right control arm 14 arranged at the upper end of the guide rod 12 and symmetrically arranged with the left control arm 13 by taking the central axis of the guide rod 12 as a symmetrical axis; the middle parts of the left control arm 13 and the right control arm 14 are respectively hinged with the guide rod 12, the lower end of the left control arm 13 is connected with a control wire A15 which downwards extends out of the lower end of the sheath tube 11, and the lower end of the right control arm 14 is connected with a control wire B16 which downwards extends out of the lower end of the sheath tube 11;
the closing clamp 2 is clamped between the left control arm 13 and the right control arm 14, the outer wall surfaces of the two clamping arms of the closing clamp 2 are respectively provided with a convex block, and the left control arm 13 and the right control arm 14 are respectively correspondingly provided with a clamping groove which is clamped with the convex blocks; the closing clamp 2 is opened and closed by pulling the control wire a15 and/or the control wire B16.
The two clamping arms of the closing clamp 2 are a left clamping arm 21 and a right clamping arm 22 respectively, and the lower end of the left clamping arm 21 is hinged with the lower end of the right clamping arm 22, so that the whole closing clamp 2 is V-shaped; the upper end of the right clamping arm 22 is provided with a clamping block 221, and the upper end of the left clamping arm 21 is provided with a clamping hook 211 which bends towards the inner side of the V shape and is clamped with the clamping block 221; the protruding blocks are respectively arranged on the outer wall surfaces of the left clamping arm 21 and the right clamping arm 22.
The clamping hook 211 and the clamping block 221 form the clamping structure for clamping the two clamping arms of the closing clamp 2 to close and clamp tissues. Of course, the clamping structure may be any other structure capable of clamping and closing two clamping arms of the closing clamp 2, as shown in fig. 7, and in fig. 7, the clamping structure includes a clamping block a223 disposed at an upper end of the right clamping arm 22 and a clamping block groove 213 disposed at an upper end of the left clamping arm 21 and matched with the clamping block a223, where the clamping block groove 213 is in interference fit with the clamping block a 223.
The protrusions are divided into a left protrusion 212 on the outer wall surface of the left clip arm 21 and a right protrusion 222 on the outer wall surface of the right clip arm 22. Correspondingly, the clamping grooves are divided into a left clamping groove 131 which is positioned on the left control arm 13 and matched with the left lug 212, and a right clamping groove 141 which is positioned on the right control arm 14 and is engaged with the right lug 222.
The closure clip 2 is made of a degradable absorbent material. After the closure clip 2 made of degradable absorbent material is released, it does not need to be removed later and does not affect the patient's later review by nuclear magnetic resonance.
The inner wall surfaces of the two clamping arms of the closing clamp 2 are respectively provided with clamping assisting teeth 23, and the surfaces of the clamping assisting teeth 23 are provided with friction-increasing textures. The clamping assisting teeth 23 have an anti-slip function, so that the closing clamp 2 can clamp the incision conveniently.
The release assembly 1 further comprises an auxiliary handle 3 arranged at the lower end of the sheath tube 11, a control ring A4 connected with the lower end of the control wire A15 and a control ring B5 connected with the lower end of the control wire B16, a sliding block A is arranged on the control ring A4, and a sliding groove A31 for allowing the sliding block A to slide is arranged on the auxiliary handle 3; the control ring B5 is provided with a sliding block B, and the auxiliary handle 3 is provided with a sliding groove B32 for accommodating the sliding block B to slide. Because the sliding block and the sliding groove are matched to slide, the specific positions of the sliding block A and the sliding block B are not shown in the attached drawings of the specification.
Pulling of the control wire a15 and the control wire B16 can be achieved by pushing and pulling the control ring A4 and the control ring B5, respectively, and further opening and closing of the left clamp arm 21 and the right clamp arm 22 can be controlled respectively.
The guide rod 12 can slide up and down relative to the sheath tube 11, and a control piece 6 for controlling the sliding of the guide rod 12 is arranged at the lower end of the sheath tube 11. The control member 6 is a control knob. The control knob is rotated to realize the up-and-down sliding of the guide rod 12, and the control knob can control the guide rod 12 to rotate, so that the clamping direction of the closing clamp 2 can be conveniently adjusted.
The inner wall surface of the bottom end of the closing clamp 2 is coated with V-shaped elastic pieces 24, and the outer wall surfaces of the two side walls of the elastic pieces 24 are correspondingly attached to the inner wall surfaces of the two clamp arms of the closing clamp 2. The elastic sheet 24 is made of a degradable absorbent material. The elastic piece 24 has an expanding force facing the outer side of the V shape, so that the left clamping arm 21 and the right clamping arm 22 can be respectively embedded with the left control arm 13 and the right control arm 14 of the release assembly 1 more tightly, and the closing clamp 2 is prevented from falling.
The whole releasable digestive tract incision closing device is used in the mode that a sheath 11 of the releasable digestive tract incision closing device enters an incision of a digestive tract through a puncture, a control knob is rotated to push a guide rod 12 upwards, a left control arm 13 and a right control arm 14 which clamp a closing clamp 2 are exposed out of the sheath 11, then a control ring A4 and/or a control ring B5 are pushed and pulled according to actual needs, the closing clamp 2 clamps the incision, after a left clamp arm 21 and a right clamp arm 22 of the closing clamp 2 clamp, a clamping hook 211 at the upper end of the left clamp arm 21 is clamped with a clamping block 221 at the upper end of the right clamp arm 22, the incision is closed, then the releasable digestive tract incision closing device is pulled outwards, at the moment, a left clamping groove 131 on the left control arm 13 of the releasing assembly 1 is separated from a left lug 212 on the left clamp arm 21 of the closing clamp 2, a right clamping groove 141 on the right control arm 14 of the releasing assembly 1 is separated from a right lug 222 on the right clamp arm 22 of the closing clamp 2, the opening of the closing clamp 2 is released, after the control knob is rotated to clamp the left clamp 2, the guide rod 12 is clamped, and then the digestive tract incision 11 can be withdrawn.

Claims (6)

1. A releasable gastrointestinal incision closure apparatus, characterized by: the device comprises a closing clamp (2) which clamps tissues at the incision of the alimentary canal and takes a V shape, and a release component (1) which is connected with two clamp arms of the closing clamp (2) and controls the two clamp arms of the closing clamp (2) to open and close and release the closing clamp (2); the bottom ends of the two clamping arms of the closing clamp (2) are hinged with each other, and the upper ends of the two clamping arms of the closing clamp (2) are provided with clamping structures which are mutually clamped;
The release assembly (1) comprises a sheath tube (11) which is provided with a vertically through cavity, a guide rod (12) which is arranged in the cavity of the sheath tube (11) and extends along the vertical direction, a left control arm (13) which is arranged at the upper end of the guide rod (12), and a right control arm (14) which is arranged at the upper end of the guide rod (12) and is symmetrical to the left control arm (13) by taking the central axis of the guide rod (12) as a symmetrical axis; the middle parts of the left control arm (13) and the right control arm (14) are respectively hinged with the guide rod (12), the lower end of the left control arm (13) is connected with a control wire A (15) which downwards extends out of the lower end of the sheath tube (11), and the lower end of the right control arm (14) is connected with a control wire B (16) which downwards extends out of the lower end of the sheath tube (11);
The closing clamp (2) is clamped between the left control arm (13) and the right control arm (14), the outer wall surfaces of the two clamping arms of the closing clamp (2) are respectively provided with a convex block, and the left control arm (13) and the right control arm (14) are respectively correspondingly provided with a clamping groove which is clamped with the convex blocks; the opening and the closing of the closing clamp (2) are realized by pulling the control wire A (15) and/or the control wire B (16);
the release assembly (1) further comprises an auxiliary handle (3) arranged at the lower end of the sheath tube (11), a control ring A (4) connected with the lower end of the control wire A (15) and a control ring B (5) connected with the lower end of the control wire B (16), a sliding block A is arranged on the control ring A (4), and a sliding groove A (31) for allowing the sliding block A to slide is arranged on the auxiliary handle (3); a sliding block B is arranged on the control ring B (5), and a sliding groove B (32) for allowing the sliding block B to slide is arranged on the auxiliary handle (3);
The guide rod (12) can slide up and down relative to the sheath tube (11), and a control piece (6) for controlling the guide rod (12) to slide is arranged at the lower end of the sheath tube (11);
the control piece (6) is a control knob.
2. The releasable gastrointestinal incision closure device of claim 1, wherein: the two clamping arms of the closing clamp (2) are respectively a left clamping arm (21) and a right clamping arm (22), and the lower end of the left clamping arm (21) is hinged with the lower end of the right clamping arm (22) so that the whole closing clamp (2) is in a V shape; the upper end of the right clamping arm (22) is provided with a clamping block (221), and the upper end of the left clamping arm (21) is provided with a clamping hook (211) which bends towards the inner side of the V shape and is clamped with the clamping block (221); the convex blocks are respectively arranged on the outer wall surfaces of the left clamping arm (21) and the right clamping arm (22).
3. The releasable gastrointestinal incision closure device of claim 1, wherein: the inner wall surfaces of the two clamping arms of the closing clamp (2) are respectively provided with clamping assisting teeth (23), and the surfaces of the clamping assisting teeth (23) are provided with friction-increasing textures.
4. The releasable gastrointestinal incision closure device of claim 1, wherein: the closure clip (2) is made of a degradable absorbent material.
5. The releasable gastrointestinal incision closure device of any one of claims 1-4, wherein: the inner wall surface of the bottom end of the closing clamp (2) is stuck with V-shaped elastic sheets (24), and the outer wall surfaces of the two side walls of the elastic sheets (24) are correspondingly stuck with the inner wall surfaces of the two clamp arms of the closing clamp (2).
6. The releasable gastrointestinal incision closure device of claim 5, wherein: the elastic sheet (24) is made of a degradable absorbent material.
CN201810943050.1A 2018-08-17 2018-08-17 Releasable alimentary canal incision closure device Active CN108969043B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201810943050.1A CN108969043B (en) 2018-08-17 2018-08-17 Releasable alimentary canal incision closure device

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201810943050.1A CN108969043B (en) 2018-08-17 2018-08-17 Releasable alimentary canal incision closure device

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CN108969043A CN108969043A (en) 2018-12-11
CN108969043B true CN108969043B (en) 2024-05-28

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Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114129213B (en) * 2021-10-29 2024-11-19 中国人民解放军西部战区总医院 Endoscopic fixing clamp with variable arm length and its release mechanism

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CN103919589A (en) * 2014-03-10 2014-07-16 浙江微度医疗器械有限公司 Anti-shedding hemostatic clamp
CN204322098U (en) * 2014-12-15 2015-05-13 东莞市千岛机械制造有限公司 A robotic arm for automated manufacturing
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WO2016116069A1 (en) * 2015-01-23 2016-07-28 沈阳尚贤微创医疗器械股份有限公司 Soft tissue forceps for clamping soft tissue in digestive tract
CN206138164U (en) * 2016-08-24 2017-05-03 潘秀刚 Tissue closing clip for endoscope
WO2017156649A1 (en) * 2016-03-15 2017-09-21 沈阳尚贤微创医疗器械股份有限公司 Disposable digestive tract soft tissue clamp
CN206728355U (en) * 2017-05-14 2017-12-08 衢州科创工业设计服务有限公司 One kind alarm explosion-protection equipment is pressed from both sides with antistatic
CN206934138U (en) * 2016-12-30 2018-01-30 四川国纳科技有限公司 A kind of ligation clip
CN209153823U (en) * 2018-08-17 2019-07-26 刘建强 Releasable alimentary canal Tncision closing device

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US7331968B2 (en) * 2004-06-14 2008-02-19 Ethicon Endo-Surgery, Inc. Endoscopic clip applier with threaded clip
US8080021B2 (en) * 2005-01-11 2011-12-20 Boston Scientific Scimed, Inc. Multiple clip deployment magazine
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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101268957A (en) * 2008-05-12 2008-09-24 刘佳 Vascellum clamp
CN203506828U (en) * 2013-10-29 2014-04-02 杭州铭众生物科技有限公司 Clamping instrument used for ligature clip
CN103919589A (en) * 2014-03-10 2014-07-16 浙江微度医疗器械有限公司 Anti-shedding hemostatic clamp
CN204322098U (en) * 2014-12-15 2015-05-13 东莞市千岛机械制造有限公司 A robotic arm for automated manufacturing
WO2016116069A1 (en) * 2015-01-23 2016-07-28 沈阳尚贤微创医疗器械股份有限公司 Soft tissue forceps for clamping soft tissue in digestive tract
CN204765786U (en) * 2015-05-29 2015-11-18 嵊州领航信息科技有限公司 Take ligature of releaser to press from both sides
WO2017156649A1 (en) * 2016-03-15 2017-09-21 沈阳尚贤微创医疗器械股份有限公司 Disposable digestive tract soft tissue clamp
CN206138164U (en) * 2016-08-24 2017-05-03 潘秀刚 Tissue closing clip for endoscope
CN206934138U (en) * 2016-12-30 2018-01-30 四川国纳科技有限公司 A kind of ligation clip
CN206728355U (en) * 2017-05-14 2017-12-08 衢州科创工业设计服务有限公司 One kind alarm explosion-protection equipment is pressed from both sides with antistatic
CN209153823U (en) * 2018-08-17 2019-07-26 刘建强 Releasable alimentary canal Tncision closing device

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