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CN110786912A - Stone extractor for hepatobiliary surgery - Google Patents

Stone extractor for hepatobiliary surgery Download PDF

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CN110786912A
CN110786912A CN201911156100.2A CN201911156100A CN110786912A CN 110786912 A CN110786912 A CN 110786912A CN 201911156100 A CN201911156100 A CN 201911156100A CN 110786912 A CN110786912 A CN 110786912A
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arc
handle
arc clamp
stone
clamp
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CN110786912B (en
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俞富祥
温正德
马乃菁
骆珊
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First Affiliated Hospital of Wenzhou Medical University
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/22Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/22031Gripping instruments, e.g. forceps, for removing or smashing calculi
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A61B18/22Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
    • A61B18/26Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor for producing a shock wave, e.g. laser lithotripsy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/22Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/22031Gripping instruments, e.g. forceps, for removing or smashing calculi
    • A61B2017/22034Gripping instruments, e.g. forceps, for removing or smashing calculi for gripping the obstruction or the tissue part from inside
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/22Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/22031Gripping instruments, e.g. forceps, for removing or smashing calculi
    • A61B2017/22035Gripping instruments, e.g. forceps, for removing or smashing calculi for retrieving or repositioning foreign objects
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A61B2018/2015Miscellaneous features

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Abstract

本发明公开了一种肝胆科手术用取石器,其技术方案要点是包括有取石器本体,取石器本体包括有取石管、第一弧形夹和第二弧形夹、控制部件、第一手柄和第二手柄,取石管的长度方向与第一弧形夹和第二弧形夹的长度方向呈L形结构设置,第一弧形夹上铰接有若干第一延伸杆,第二弧形夹上铰接有若干第二延伸杆,相邻两第一延伸杆之间设置有第一间隙,相邻两第二延伸杆之间设置有第二间隙,取石管内设置有拉绳,拉绳的一端通过若干分叉绳与所有第一延伸杆和第二延伸杆的内侧壁固定连接,第一延伸杆与第一弧形夹之间、以及第二延伸杆与第二弧形夹之间均设置有复位装置,该取石器能够方便、准确的抓取胆道内的结石。

Figure 201911156100

The invention discloses a stone extractor for hepatobiliary surgery. The main point of the technical solution is that it includes a stone extractor body, and the stone extractor body includes a stone extractor tube, a first arc-shaped clip and a second arc-shaped clip, a control part, and a first handle. and the second handle, the length direction of the stone extraction tube and the length direction of the first arc clamp and the second arc clamp are arranged in an L-shaped structure, the first arc clamp is hinged with a number of first extension rods, and the second arc clamp Several second extension rods are hinged on the upper part, a first gap is set between two adjacent first extension rods, a second gap is set between two adjacent second extension rods, a pulling rope is arranged in the stone extraction pipe, and one end of the pulling rope is arranged. Several bifurcated ropes are fixedly connected to the inner side walls of all the first extension rods and the second extension rods, and the first extension rods and the first arc-shaped clips and between the second extension rods and the second arc-shaped clips are both arranged With a reset device, the stone extractor can easily and accurately grasp the stones in the biliary tract.

Figure 201911156100

Description

一种肝胆科手术用取石器A stone extractor for hepatobiliary surgery

技术领域technical field

本发明涉及医疗器械技术领域,更具体地说,它涉及一种肝胆科手术用取石器。The invention relates to the technical field of medical devices, and more particularly, to a stone extractor for hepatobiliary surgery.

背景技术Background technique

人体内的导管腔中或者腔性器官的腔中会因为个人生活习惯不良形成固体块状物,也就是结石。结石可造成管腔梗阻,影响受累器官液体的排出,产生疼痛、出血或继发性感染等症状。Solid lumps, that is, stones, may be formed in the lumen of the catheter in the human body or in the cavity of the luminal organ due to poor personal living habits. Stones can cause lumen obstruction, affecting the drainage of fluid from the affected organ, resulting in symptoms such as pain, bleeding, or secondary infection.

现有的医疗解决方法,根据不同部位的结石治疗方法不尽相同,同一部位的结石治疗方案应根据患者结石大小、患者身体状况等因素做出综合决定。整体分为碎石与取石,碎石一般分为声波碎石和激光碎石,声波碎石较为安全、方便,但是当结石过大时声波碎石就不能取得很好的治疗效果,同时声波碎石并不适用于胆道结石患者,激光碎石通过钬激光碎石,钬激光存在精度低的缺点,并且需要多次碎石排石操作,另一种治疗手段是微创取石,通过在患处开一小口,伸入取石器进行取石,该方法具有创伤轻微、出血少、并发症低、节省手术经费、手术技巧易于掌握等好处。Existing medical solutions vary according to the treatment of stones in different parts. The treatment plan for stones in the same part should be comprehensively decided according to factors such as the size of the stone and the physical condition of the patient. The whole is divided into stone crushing and stone extraction. Stone crushing is generally divided into sonic lithotripsy and laser lithotripsy. Sonic lithotripsy is relatively safe and convenient, but when the stone is too large, sonic lithotripsy cannot achieve a good therapeutic effect. Lithotripsy is not suitable for patients with biliary calculi. Laser lithotripsy uses holmium laser lithotripsy. The holmium laser has the disadvantage of low precision and requires multiple lithotripsy and stone removal operations. Another treatment method is minimally invasive lithotripsy. A small mouth is inserted into the stone extraction tool for stone extraction. This method has the advantages of minor trauma, less bleeding, lower complications, saving operation costs, and easy to master operation skills.

现有的取石方式是通过取石网篮进行胆道取石,在微创手术中,当结石较大时需要插入能够撑开后形成较大抓取空间的取石网篮,对于不规则形状的结石需要多次调整取石网篮角度并需要将取石网篮尽量撑开后抓取,造成操作的繁琐,甚至经常出现取石失败的情况发生。The existing stone extraction method is to remove biliary stones through a stone extraction basket. In minimally invasive surgery, when the stone is large, a stone extraction basket that can be opened to form a larger grasping space needs to be inserted. The angle of the stone-removing basket needs to be adjusted once and the stone-removing basket needs to be stretched as far as possible before grabbing, resulting in cumbersome operations, and even failure of stone extraction often occurs.

发明内容SUMMARY OF THE INVENTION

针对现有技术存在的不足,本发明的目的在于提供一种肝胆科手术用取石器,该取石器能够方便、准确的抓取胆道内的结石。In view of the deficiencies in the prior art, the purpose of the present invention is to provide a stone extractor for hepatobiliary surgery, which can conveniently and accurately grasp the stones in the bile duct.

为实现上述目的,本发明提供了如下技术方案:一种肝胆科手术用取石器,包括有取石器本体,所述取石器本体包括有呈空心筒状结构设置的取石管、用于夹持患处结石的第一弧形夹和第二弧形夹、和用于控制第一弧形夹和第二弧形夹闭合或打开的控制部件、以及用于手动牵动控制部件达到控制第一弧形夹和第二弧形夹闭合或打开的第一手柄和第二手柄,所述取石管的长度方向与第一弧形夹和第二弧形夹的长度方向呈L形结构设置,第一手柄和第二手柄闭合时控制部件能够牵动第一弧形夹和第二弧形夹闭合;In order to achieve the above purpose, the present invention provides the following technical solutions: a stone extraction tool for hepatobiliary surgery, comprising a stone extraction tool body, and the stone extraction tool body includes a stone extraction tube arranged in a hollow cylindrical structure for clamping the affected part. A first arc-shaped clip and a second arc-shaped clip for stones, and a control part for controlling the closing or opening of the first arc-shaped clip and the second arc-shaped clip, and a control part for manually pulling the control part to control the first arc-shaped clip The first handle and the second handle that are closed or opened with the second arc clamp, the length direction of the stone extraction tube and the length direction of the first arc clamp and the second arc clamp are arranged in an L-shaped structure, and the first handle and When the second handle is closed, the control part can pull the first arc clip and the second arc clip to close;

所述第一弧形夹远离控制部件的端面上铰接有若干第一延伸杆,所述第一延伸杆沿第一弧形夹的长度方向延伸设置,所述第二弧形夹远离控制部件的端面上铰接有若干第二延伸杆,所述第二延伸杆沿第二弧形夹的长度方向延伸设置,相邻两第一延伸杆之间设置有供第二延伸杆嵌入的第一间隙,相邻两第二延伸杆之间设置有供第一延伸杆嵌入的第二间隙,所述取石管内设置有拉绳,所述拉绳的一端通过若干分叉绳与所有第一延伸杆和第二延伸杆的内侧壁固定连接,所述拉绳的另一端从取石管开口伸出,拉动拉绳过程中第一延伸杆和第二延伸杆逐渐嵌入至第二间隙和第一间隙中直至第一延伸杆和第二延伸杆嵌入至第一弧形夹和第二弧形夹的夹持区内,所述第一延伸杆与第一弧形夹之间、以及第二延伸杆与第二弧形夹之间均设置有复位装置,放开拉绳时复位装置能够将第一延伸杆和第二延伸杆复位打开并且使拉绳复位。A plurality of first extension rods are hinged on the end surface of the first arc-shaped clip away from the control part, the first extension rods are extended along the length direction of the first arc-shaped clip, and the second arc-shaped clip is away from the control part. A plurality of second extension rods are hinged on the end surface, the second extension rods are extended along the length direction of the second arc clamp, and a first gap for embedding the second extension rods is provided between two adjacent first extension rods. A second gap for the first extension rod to be embedded is provided between two adjacent second extension rods, a pulling rope is arranged in the stone extraction tube, and one end of the pulling rope is connected to all the first extension rods and the first extension rods through several bifurcated ropes. The inner side walls of the two extension rods are fixedly connected, and the other end of the pull rope protrudes from the opening of the stone extraction tube. During the pulling of the pull rope, the first extension rod and the second extension rod are gradually embedded into the second gap and the first gap until the third An extension rod and a second extension rod are embedded in the clamping areas of the first arc clip and the second arc clip, between the first extension rod and the first arc clip, and between the second extension rod and the second arc clip A reset device is arranged between the arc clips, and the reset device can reset and open the first extension rod and the second extension rod and reset the draw rope when the pull rope is released.

本发明进一步设置为:所述取石管的长度方向与第一手柄和第二手柄的长度方向呈L形结构设置,所述取石器本体呈Z形结构设置。The present invention is further configured as follows: the length direction of the stone extraction tube and the length direction of the first handle and the second handle are arranged in an L-shaped structure, and the stone extraction tool body is arranged in a Z-shaped structure.

本发明进一步设置为:所述第一手柄和第二手柄均成弧形结构设置,所述第一手柄的中部与第二手柄的中部通过第一铰接部铰接设置,所述第一手柄与取石管固定连接,所述控制部件包括有设置在取石管内呈Y形结构设置的控制绳,所述控制绳的两端分别与第一弧形夹和第二弧形夹靠近取石管的一端固定连接,所述控制绳的另一端与第二手柄的上端固定连接,第二手柄沿第一铰接部朝第一手柄方向转动过程中第二手柄的上端能够牵动控制绳向外移动使得控制绳带动第一弧形夹和第二弧形夹闭合,所述第一弧形夹和第二弧形夹之间设置有使第一弧形夹和第二弧形夹复位打开的复位弹簧,放开第二手柄时复位弹簧能够将第一弧形夹和第二弧形夹打开并且使控制绳复位。The present invention further provides that: the first handle and the second handle are both arranged in an arc structure, the middle part of the first handle and the middle part of the second handle are hingedly arranged through a first hinge part, and the first handle is connected to the stone extraction The tube is fixedly connected, and the control component includes a control rope arranged in a Y-shaped structure in the stone extraction tube, and the two ends of the control rope are respectively fixedly connected with one end of the first arc-shaped clip and the second arc-shaped clip close to the stone extraction tube. , the other end of the control rope is fixedly connected with the upper end of the second handle, and the upper end of the second handle can pull the control rope to move outward during the rotation of the second handle along the first hinge part toward the first handle, so that the control rope drives the first handle An arc-shaped clip and a second arc-shaped clip are closed, and a return spring is arranged between the first arc-shaped clip and the second arc-shaped clip to reset the first arc-shaped clip and the second arc-shaped clip to open, and release the first arc-shaped clip and the second arc-shaped clip. When the two handles are used, the return spring can open the first arc clip and the second arc clip and reset the control rope.

本发明进一步设置为:所述第一弧形夹和第二弧形夹通过活动部件与取石管活动连接,所述取石管内设置有用于控制第一弧形夹和第二弧形夹沿取石管长度方向转动的活动杆,推动活动杆过程中第一弧形夹和第二弧形夹能够沿取石管长度方向转动直至与第一弧形夹和第二弧形夹的长度方向与取石管的长度方向平行,当放开活动杆过程中活动部件能够复原第一弧形夹和第二弧形夹使得第一弧形夹和第二弧形夹的长度方向与取石管的长度方向垂直。The present invention is further configured as follows: the first arc-shaped clip and the second arc-shaped clip are movably connected with the stone extraction tube through movable parts, and the stone extraction tube is provided with a function for controlling the first arc-shaped clip and the second arc-shaped clip along the stone extraction tube. The movable rod that rotates in the length direction, the first arc-shaped clip and the second arc-shaped clip can rotate along the length direction of the stone extraction tube in the process of pushing the movable rod until the length direction of the first arc-shaped clip and the second arc-shaped clip is the same as that of the stone extraction tube. The length direction is parallel, when the movable rod is released, the movable part can restore the first arc clamp and the second arc clamp so that the length direction of the first arc clamp and the second arc clamp is perpendicular to the length direction of the stone extraction tube.

本发明进一步设置为:所述第一手柄的中部与第二手柄的中部通过第一铰接部铰接设置,所述第一手柄和第二手柄交叉铰接设置,所述第一铰接部上外接有连接支架,所述第一铰接部通过连接支架与取石管固定连接,所述控制部件包括有设置在取石管内的连接杆,所述连接杆设置有两个并且平行设置,其一连接杆的一端与第一手柄的上端固定连接另一端与第二弧形夹靠近取石管的一端固定连接,另一连接杆的一端与第二手柄的上端固定连接另一端与第一弧形夹靠近取石管的一端固定连接。The present invention is further provided as follows: the middle part of the first handle and the middle part of the second handle are hingedly arranged through a first hinge part, the first handle and the second handle are hinged crosswise, and the first hinge part is externally connected with a connection Bracket, the first hinge part is fixedly connected with the stone extraction tube through the connection bracket, the control part includes a connecting rod arranged in the stone extraction tube, the connecting rods are provided with two and are arranged in parallel, and one end of the connecting rod is connected to the stone extraction tube. The upper end of the first handle is fixedly connected and the other end is fixedly connected with one end of the second arc-shaped clip close to the stone extraction tube, and one end of the other connecting rod is fixedly connected with the upper end of the second handle, and the other end is fixedly connected with the first arc-shaped clip at one end of the stone extraction tube. Fixed connection.

本发明进一步设置为:所述第一手柄与第二手柄之间设置有测量第一手柄与第二手柄之间距离的测量装置。The present invention further provides that: a measuring device for measuring the distance between the first handle and the second handle is arranged between the first handle and the second handle.

本发明进一步设置为:所述拉绳靠近第一手柄的一端设置有方便供使用者手指插放的拉环,所述拉环位于第一手柄和第二手柄的上端位置处。The present invention is further provided that: one end of the pull rope close to the first handle is provided with a pull ring which is convenient for the user's fingers to be inserted, and the pull ring is located at the upper end of the first handle and the second handle.

本发明进一步设置为:第一弧形夹内侧壁上对应第一延伸杆的位置处设置有供第一延伸杆闭合时嵌入的第一嵌入槽,所述第二弧形夹内侧壁上对应第二延伸杆的位置处设置有供第二延伸杆闭合时嵌入的第二嵌入槽。The present invention is further provided as follows: a position corresponding to the first extension rod on the inner side wall of the first arc-shaped clip is provided with a first insertion groove for embedding the first extension rod when the first extension rod is closed; The positions of the two extension rods are provided with second insertion grooves for embedding when the second extension rods are closed.

本发明进一步设置为:所述第一嵌入槽和第二嵌入槽内均设置有供分叉绳穿插的通道,所述通道沿第一弧形夹和第二弧形夹长度方向延伸设置,所述通道的另一开口与取石管的内腔相连通。The present invention is further provided that: the first embedding groove and the second embedding groove are both provided with a channel for the bifurcated rope to pass through, and the channel extends along the length direction of the first arc clip and the second arc clip, so The other opening of the channel is communicated with the inner cavity of the stone extraction tube.

综上所述,本发明具有以下有益效果:L形结构设置在取石器伸入到患处对结石进行抓取操作时,能够有效保证手术医生的操作视野,从而起到方便抓取的效果;第一延伸杆与第二延伸杆的设计能够在抓取较长的结石时,起到额外伸长的作用,在抓取适当的结石时,能够将第一延伸杆与第二延伸杆回收,对第一弧形夹和第二弧形夹夹持区内的结石起到固定效果,从而保证后续将结石从体内取出时的稳定性;该第一间隙和第二间隙的设计能够使得第一延伸杆和第二延伸杆嵌合时能够犹如十指嵌合,即保证嵌合时具有足够的密闭性,也同样保证第一延伸杆有第二延伸杆不会碰触,出现相互阻碍的情况;在伸入前先通过手动控制拉绳将第一延伸杆和第二延伸杆收缩到第一弧形夹和第二弧形夹的夹持区内,使得取石器的有效体积减小,从而更加方便伸入,并在伸入后放开对拉绳的控制,复位装置将第一延伸杆和第二延伸杆复位,变成展开的待夹持状态,实现了自由变化有效体积的作用。To sum up, the present invention has the following beneficial effects: the L-shaped structure is arranged when the stone extractor extends into the affected part to grasp the calculus, which can effectively ensure the operating vision of the surgeon, thereby achieving the effect of convenient grasping; The design of the first extension rod and the second extension rod can play an extra stretch when grabbing a long stone. The stones in the clamping area of the first arc-shaped clip and the second arc-shaped clip have a fixing effect, thereby ensuring the stability when the stones are subsequently taken out of the body; the design of the first gap and the second gap can make the first extension When the rod and the second extension rod are fitted, they can be fitted like ten fingers, that is, to ensure sufficient airtightness when fitting, and also to ensure that the first extension rod and the second extension rod will not touch and hinder each other; The first extension rod and the second extension rod are retracted into the clamping area of the first arc-shaped clip and the second arc-shaped clip by manually controlling the pulling rope before extending in, so that the effective volume of the stone extractor is reduced, which is more convenient After extending in, and releasing the control of the pull rope after extending, the reset device resets the first extension rod and the second extension rod into the unfolded to-be-clamped state, realizing the effect of freely changing the effective volume.

附图说明Description of drawings

图1为控制部件为控制绳的取石器的结构示意图;Fig. 1 is the structural representation of the stone extractor whose control part is a control rope;

图2为控制部件为控制绳的取石器伸入状态下的结构示意图;Fig. 2 is the structural representation under the state that the control part is the stone extractor of the control rope extending into;

图3为控制部件为连接杆的取石器的结构示意图;Fig. 3 is the structural representation of the stone extractor whose control part is a connecting rod;

图4为第一弧形夹和第二弧形夹闭合伸入的工作示意图;Fig. 4 is the working schematic diagram of the first arc clip and the second arc clip closed and extended;

图5为第一弧形夹和第二弧形夹撑开时工作示意图。Fig. 5 is a working schematic diagram when the first arc-shaped clip and the second arc-shaped clip are opened.

附图标记:1、取石器本体;11、取石管;111、拉绳;112、分叉绳;113、拉环;12、第一弧形夹;121、第一延伸杆;122、第一间隙;123、第一嵌入槽;1231、通道;13、第二弧形夹;131、第二延伸杆;132、第二间隙;133、第二嵌入槽;14、控制部件;141、控制绳;142、连接杆;15、第一手柄;151、第一铰接部;152、连接支架;16、第二手柄;17、复位弹簧;2、测量装置;3、活动杆。Reference numerals: 1. Stone extractor body; 11. Stone extraction tube; 111, Pull rope; 112, Bifurcated rope; 113, Pull ring; gap; 123, the first embedding groove; 1231, the channel; 13, the second arc clamp; 131, the second extension rod; 132, the second gap; 133, the second embedding groove; 14, the control part; 141, the control rope 142, connecting rod; 15, first handle; 151, first hinge; 152, connecting bracket; 16, second handle; 17, return spring; 2, measuring device; 3, movable rod.

具体实施方式Detailed ways

下面结合附图和实施例,对本发明进一步详细说明。其中相同的零部件用相同的附图标记表示。需要说明的是,下面描述中使用的词语“前”、“后”、“左”、“右”、“上”和“下”指的是附图中的方向,词语“底面”和“顶面”、“内”和“外”分别指的是朝向或远离特定部件几何中心的方向。The present invention will be described in further detail below with reference to the accompanying drawings and embodiments. Wherein the same parts are denoted by the same reference numerals. It should be noted that the words "front", "rear", "left", "right", "upper" and "lower" used in the following description refer to directions in the drawings, and the words "bottom" and "top" "Face", "inner" and "outer" refer to directions toward or away from the geometric center of a particular part, respectively.

参照图1至图5所示,为实现上述目的,本发明提供了如下技术方案:一种肝胆科手术用取石器,包括有取石器本体1,取石器本体1包括有呈空心筒状结构设置的取石管11、用于夹持患处结石的第一弧形夹12和第二弧形夹13、和用于控制第一弧形夹12和第二弧形夹13闭合或打开的控制部件14、以及用于手动牵动控制部件14达到控制第一弧形夹12和第二弧形夹13闭合或打开的第一手柄15和第二手柄16,取石管11的长度方向与第一弧形夹12和第二弧形夹13的长度方向呈L形结构设置,L形结构设置在取石器伸入到患处对结石进行抓取操作时,能够有效保证手术医生的操作视野,从而起到方便抓取的效果,第一手柄15和第二手柄16闭合时控制部件14能够牵动第一弧形夹12和第二弧形夹13闭合;1 to 5, in order to achieve the above purpose, the present invention provides the following technical solutions: a stone extractor for hepatobiliary surgery, comprising a stone extractor body 1, and the stone extractor body 1 includes a hollow cylindrical structure set The stone extraction tube 11, the first arc-shaped clip 12 and the second arc-shaped clip 13 for holding the stones in the affected part, and the control part 14 for controlling the closing or opening of the first arc-shaped clip 12 and the second arc-shaped clip 13 , and the first handle 15 and the second handle 16 for manually pulling the control part 14 to control the closing or opening of the first arc clamp 12 and the second arc clamp 13, the length direction of the stone taking tube 11 and the first arc clamp 12 and the length direction of the second arc-shaped clip 13 are arranged in an L-shaped structure, and the L-shaped structure is arranged when the stone extractor extends into the affected part to grasp the stone, which can effectively ensure the operating vision of the surgeon, so as to facilitate grasping. In this way, when the first handle 15 and the second handle 16 are closed, the control part 14 can pull the first arc clamp 12 and the second arc clamp 13 to close;

第一弧形夹12远离控制部件14的端面上铰接有若干第一延伸杆121,第一延伸杆121沿第一弧形夹12的长度方向延伸设置,第二弧形夹13远离控制部件14的端面上铰接有若干第二延伸杆131,第二延伸杆131沿第二弧形夹13的长度方向延伸设置,第一延伸杆121与第二延伸杆131的设计能够在抓取较长的结石时,起到额外伸长的作用,在抓取适当的结石时,能够将第一延伸杆121与第二延伸杆131回收,对第一弧形夹12和第二弧形夹13夹持区内的结石起到固定效果,从而保证后续将结石从体内取出时的稳定性,除此之外在抓取不规则形状的结石时,也能够通过第一弧形夹12和第二弧形夹13将其稳固的夹持住,相邻两第一延伸杆121之间设置有供第二延伸杆131嵌入的第一间隙122,相邻两第二延伸杆131之间设置有供第一延伸杆121嵌入的第二间隙132,该第一间隙122和第二间隙132的设计能够使得第一延伸杆121和第二延伸杆131嵌合时能够犹如十指嵌合,即保证嵌合时具有足够的密闭性,也同样保证第一延伸杆121有第二延伸杆131不会碰触,出现相互阻碍的情况,取石管11内设置有拉绳111,拉绳111的一端通过若干分叉绳112与所有第一延伸杆121和第二延伸杆131的内侧壁固定连接,拉绳111的另一端从取石管11开口伸出,拉动拉绳111过程中第一延伸杆121和第二延伸杆131逐渐嵌入至第二间隙132和第一间隙122中直至第一延伸杆121和第二延伸杆131嵌入至第一弧形夹12和第二弧形夹13的夹持区内,拉绳111的设计通过线控的方法对所有的第一延伸杆121和第二延伸杆131起到同步控制,该方法不仅控制方便而且通过手动控制拉绳111能够起到控制灵活的效果,第一延伸杆121与第一弧形夹12之间、以及第二延伸杆131与第二弧形夹13之间均设置有复位装置,放开拉绳111时复位装置能够将第一延伸杆121和第二延伸杆131复位打开并且使拉绳111复位,通过该复位装置的设计,在伸入前先通过手动控制拉绳111将第一延伸杆121和第二延伸杆131收缩到第一弧形夹12和第二弧形夹13的夹持区内,使得取石器的有效体积减小,从而更加方便伸入,并在伸入后放开对拉绳111的控制,复位装置将第一延伸杆121和第二延伸杆131复位,变成展开的待夹持状态,该复位装置可以为设置在铰接处的扭簧。A plurality of first extension rods 121 are hinged on the end surface of the first arc-shaped clip 12 away from the control part 14 , the first extension rods 121 are extended along the length direction of the first arc-shaped clip 12 , and the second arc-shaped clip 13 is away from the control part 14 . A plurality of second extension rods 131 are hinged on the end surface of the second extension rod 131. The second extension rods 131 are extended along the length direction of the second arc-shaped clip 13. The first extension rods 121 and the second extension rods 131 are designed to catch longer When the stone is removed, it plays an extra elongation role. When grasping an appropriate stone, the first extension rod 121 and the second extension rod 131 can be recovered, and the first arc-shaped clip 12 and the second arc-shaped clip 13 can be clamped. The stones in the area have a fixing effect, thereby ensuring the stability of the subsequent removal of the stones from the body. In addition, when grasping the stones with irregular shapes, the first arc clip 12 and the second arc can also be used. The clip 13 holds it firmly, a first gap 122 for embedding the second extension rods 131 is provided between two adjacent first extension rods 121, and a first gap 122 for the second extension rods 131 to be embedded is provided between two adjacent second extension rods 131. The second gap 132 in which the extension rod 121 is embedded, the design of the first gap 122 and the second gap 132 can make the first extension rod 121 and the second extension rod 131 fit like a ten-finger fit, that is, to ensure that there is a Sufficient airtightness also ensures that the first extension rod 121 and the second extension rod 131 will not touch each other, and mutual obstruction occurs. A pull rope 111 is provided in the stone extraction tube 11, and one end of the pull rope 111 passes through several bifurcated ropes. 112 is fixedly connected with the inner side walls of all the first extension rods 121 and the second extension rods 131, the other end of the pull rope 111 protrudes from the opening of the stone extraction tube 11, and the first extension rod 121 and the second extension rod in the process of pulling the pull rope 111. 131 is gradually embedded into the second gap 132 and the first gap 122 until the first extension rod 121 and the second extension rod 131 are embedded in the clamping area of the first arc clip 12 and the second arc clip 13, and the pull rope 111 The design of the wire control method plays a synchronous control on all the first extension rods 121 and the second extension rods 131. This method is not only convenient to control, but also can play a flexible control effect by manually controlling the pull rope 111. The first extension rod A reset device is provided between 121 and the first arc clamp 12, and between the second extension rod 131 and the second arc clamp 13. When the pull rope 111 is released, the reset device can connect the first extension rod 121 and the second extension rod 121 to the second arc clamp 13. The extension rod 131 is reset and opened and the pull rope 111 is reset. Through the design of the reset device, the first extension rod 121 and the second extension rod 131 are retracted to the first arc-shaped clip 12 by manually controlling the pull rope 111 before extending in. and the clamping area of the second arc-shaped clamp 13, so that the effective volume of the stone extractor is reduced, so that it is more convenient to stretch in, and after stretching in, the control of the pulling rope 111 is released, and the reset device pushes the first extension rod 121 And the second extension rod 131 is reset to become the unfolded state to be clamped, and the reset device can be a torsion spring provided at the hinge.

除此之外,通过取石管11的长度方向与第一弧形夹12和第二弧形夹13的长度方向呈L形结构设置,该设计能够从侧面抓取患处结石,相对于正面抓取来说,能够更加直观的看出结石与第一弧形夹12和第二弧形夹13之间的距离,从而起到更方便移动定位的作用,还有L形设计配合上第一弧形夹12和第二弧形夹13的设计相对现有的取石网篮而言,无需多次调整角度,直接在移动到位后,通过闭合第一弧形夹12和第二弧形夹13就能够直接夹持抓取结石,操作方便,抓取牢固。In addition, because the length direction of the stone extraction tube 11 and the length direction of the first arc-shaped clip 12 and the second arc-shaped clip 13 are arranged in an L-shaped structure, the design can grasp the stones in the affected area from the side, and grasp the stones from the front. In other words, the distance between the stone and the first arc-shaped clip 12 and the second arc-shaped clip 13 can be seen more intuitively, thereby making it easier to move and locate, and the L-shaped design is matched with the first arc-shaped clip. The design of the clip 12 and the second arc clip 13 is compared with the existing stone extraction basket, which does not need to adjust the angle multiple times. After moving in place, the first arc clip 12 and the second arc clip 13 are closed directly It can directly clamp and grasp the stone, which is easy to operate and firm to grasp.

取石管11的长度方向与第一手柄15和第二手柄16的长度方向呈L形结构设置,取石器本体1呈Z形结构设置,取石器整体呈Z形设计,主要是在夹取过程中保证夹持部位的视野足够空旷,操作第一手柄15和第二手柄16时不会对夹持部位的视野造成干扰,从而保证了手术的顺利进行。The length direction of the stone extracting tube 11 and the length direction of the first handle 15 and the second handle 16 are arranged in an L-shaped structure, the stone extractor body 1 is arranged in a Z-shaped structure, and the stone extractor is designed in a Z shape as a whole, mainly in the clipping process. It is ensured that the visual field of the clamping part is sufficiently open, and the first handle 15 and the second handle 16 are operated without disturbing the visual field of the clamping part, thereby ensuring the smooth operation of the operation.

第一手柄15和第二手柄16均成弧形结构设置,第一手柄15的中部与第二手柄16的中部通过第一铰接部151铰接设置,第一手柄15与取石管11固定连接,控制部件14包括有设置在取石管11内呈Y形结构设置的控制绳141,控制绳141的两端分别与第一弧形夹12和第二弧形夹13靠近取石管11的一端固定连接,控制绳141的另一端与第二手柄16的上端固定连接,第二手柄16沿第一铰接部151朝第一手柄15方向转动过程中第二手柄16的上端能够牵动控制绳141向外移动使得控制绳141带动第一弧形夹12和第二弧形夹13闭合,第一弧形夹12和第二弧形夹13之间设置有使第一弧形夹12和第二弧形夹13复位打开的复位弹簧17,放开第二手柄16时复位弹簧17能够将第一弧形夹12和第二弧形夹13打开并且使控制绳141复位。The first handle 15 and the second handle 16 are both arranged in an arc-shaped structure, the middle part of the first handle 15 and the middle part of the second handle 16 are hingedly arranged through the first hinge part 151, the first handle 15 is fixedly connected with the stone extraction tube 11, and the control The component 14 includes a control rope 141 arranged in a Y-shaped structure in the stone extraction pipe 11, and the two ends of the control rope 141 are respectively fixedly connected with one end of the first arc clamp 12 and the second arc clamp 13 close to the stone extraction pipe 11, The other end of the control rope 141 is fixedly connected with the upper end of the second handle 16 , and the upper end of the second handle 16 can pull the control rope 141 to move outward during the rotation of the second handle 16 along the first hinge portion 151 toward the first handle 15 . The control rope 141 drives the first arc-shaped clip 12 and the second arc-shaped clip 13 to close. When the second handle 16 is released, the return spring 17 can open the first arc clamp 12 and the second arc clamp 13 and reset the control rope 141 .

第一弧形夹12和第二弧形夹13通过活动部件与取石管11活动连接,取石管11内设置有用于控制第一弧形夹12和第二弧形夹13沿取石管11长度方向转动的活动杆3,推动活动杆3过程中第一弧形夹12和第二弧形夹13能够沿取石管11长度方向转动直至与第一弧形夹12和第二弧形夹13的长度方向与取石管11的长度方向平行,当放开活动杆3过程中活动部件能够复原第一弧形夹12和第二弧形夹13使得第一弧形夹12和第二弧形夹13的长度方向与取石管11的长度方向垂直,该活动部件可以为设置在第一弧形夹12和第二弧形夹13的铰接处与取石管11之间的扭簧,通过活动杆3推动第一弧形夹12和第二弧形夹13使得第一弧形夹12和第二弧形夹13的长度方向与取石管11的长度方向一致,使得取石器在伸入过程中面积较小,方便伸入,并且在伸入后放开活动杆3,第一弧形夹12和第二弧形夹13在扭簧的作用下复原使得第一弧形夹12和第二弧形夹13的长度方向与取石管11的长度方向垂直,保持第一弧形夹12和第二弧形夹13与取石管11呈L形结构,从而保证后续抓取过程能够保证手术医生的手术视野足够充裕。The first arc-shaped clamp 12 and the second arc-shaped clamp 13 are movably connected with the stone-extracting tube 11 through the movable parts, and the stone-extracting tube 11 is provided with the first arc-shaped clamp 12 and the second arc-shaped clamp 13 along the length direction of the stone-extracting tube 11. The rotating movable rod 3, the first arc-shaped clamp 12 and the second arc-shaped clamp 13 can rotate along the length direction of the stone extraction tube 11 in the process of pushing the movable rod 3 until the length of the first arc-shaped clamp 12 and the second arc-shaped clamp 13. The direction is parallel to the length direction of the stone extraction tube 11. When the movable rod 3 is released, the movable part can restore the first arc-shaped clamp 12 and the second arc-shaped clamp 13, so that the first arc-shaped clamp 12 and the second arc-shaped clamp 13. The length direction is perpendicular to the length direction of the stone extraction tube 11, and the movable part can be a torsion spring arranged between the hinged place of the first arc clip 12 and the second arc clip 13 and the stone extraction tube 11, and the movable rod 3 pushes the first An arc-shaped clip 12 and a second arc-shaped clip 13 make the length direction of the first arc-shaped clip 12 and the second arc-shaped clip 13 consistent with the length direction of the stone extraction tube 11, so that the area of the stone extraction tool is small during the protruding process. It is convenient to reach in, and after extending the movable rod 3, the first arc clip 12 and the second arc clip 13 are restored under the action of the torsion spring, so that the first arc clip 12 and the second arc clip 13 are restored. The length direction is perpendicular to the length direction of the stone extraction tube 11, and the first arc clip 12 and the second arc clip 13 and the stone extraction tube 11 are kept in an L-shaped structure, so as to ensure that the subsequent grasping process can ensure that the surgeon's surgical field is sufficient.

该设计方法是通过线控的方式来控制第一弧形夹12和第二弧形夹13的闭合,由于第一手柄15与取石管11固定连接,只能通过转动第二手柄16带动控制绳141向外移动,相对于两只手柄均可以转动而言,单只手柄转动更加准确,第二手柄16移动一定距离第一弧形夹12和第二弧形夹13就会打开一定宽度,控制绳141的另外两端与第一弧形夹12和第二弧形夹13的末端固定连接,控制绳141向外移动时能够带动第一弧形夹12和第二弧形夹13的末端相互靠拢,由于第一弧形夹12的中下部与第二弧形夹13的中下部是铰接的,所以在末端靠拢的同时,第一弧形夹12和第二弧形夹13的上端也会同时靠拢,完成闭合操作,当取石器需要打开时,只需通过放开第二手柄16,复位弹簧17就能够将第一弧形夹12和第二弧形夹13撑开,并且将控制绳141复位,以备下次操作的进行。The design method is to control the closing of the first arc clamp 12 and the second arc clamp 13 by wire control. Since the first handle 15 is fixedly connected to the stone extraction tube 11, the control rope can only be driven by rotating the second handle 16 141 moves outward. Compared with the two handles that can be rotated, the rotation of a single handle is more accurate. When the second handle 16 moves a certain distance, the first arc clamp 12 and the second arc clamp 13 will be opened to a certain width. The other two ends of the rope 141 are fixedly connected with the ends of the first arc clamp 12 and the second arc clamp 13. When the control rope 141 moves outward, it can drive the ends of the first arc clamp 12 and the second arc clamp 13 to each other. Move closer, since the middle and lower parts of the first arc clip 12 and the second arc clip 13 are hinged, the upper ends of the first arc clip 12 and the second arc clip 13 will also be At the same time, move closer to complete the closing operation. When the stone extractor needs to be opened, just by releasing the second handle 16, the return spring 17 can stretch the first arc clamp 12 and the second arc clamp 13 apart, and pull the control rope 141 is reset for the next operation.

第一手柄15的中部与第二手柄16的中部通过第一铰接部151铰接设置,第一手柄15和第二手柄16交叉铰接设置,第一铰接部151上外接有连接支架152,第一铰接部151通过连接支架152与取石管11固定连接,控制部件14包括有设置在取石管11内的连接杆142,连接杆142设置有两个并且平行设置,其一连接杆142的一端与第一手柄15的上端固定连接另一端与第二弧形夹13靠近取石管11的一端固定连接,另一连接杆142的一端与第二手柄16的上端固定连接另一端与第一弧形夹12靠近取石管11的一端固定连接。The middle part of the first handle 15 and the middle part of the second handle 16 are hingedly arranged by the first hinge part 151, the first handle 15 and the second handle 16 are hingedly arranged in a cross, and the first hinge part 151 is externally connected with a connecting bracket 152, and the first hinge The part 151 is fixedly connected with the stone extraction tube 11 through the connecting bracket 152. The control part 14 includes a connecting rod 142 arranged in the stone extraction tube 11. Two connecting rods 142 are provided and are arranged in parallel. The upper end of the handle 15 is fixedly connected to the other end of the second arc-shaped clamp 13 that is close to the stone extraction tube 11, and one end of the other connecting rod 142 is fixedly connected to the upper end of the second handle 16. The other end is close to the first arc-shaped clamp 12. One end of the stone extraction tube 11 is fixedly connected.

该设计方法是通过杆控的方法来控制第一弧形夹12和第二弧形夹13的闭合和打开,相对线控来说,杆控不仅能手动控制闭合也能够手动控制打开,具有更加自主的控制方式,而且相对于线控来说,线具有一定韧性,在长时间使用情况下,线的韧性会下降,从而影响闭合情况,所以杆控相对来说,更加稳定,除此之外可以通过连接杆142与第一手柄15和第二手柄16以及第一弧形夹12和第二弧形夹13之间可拆卸连接,方便在术后对个个器件进行拆卸清洗,保证器械的干净,保证医用卫生。The design method is to control the closing and opening of the first arc clamp 12 and the second arc clamp 13 by lever control. Compared with the wire control, the lever control can not only manually control the closing but also manually control the opening, and has more advantages. Independent control method, and compared with wire control, the wire has a certain toughness. In the case of long-term use, the toughness of the wire will decrease, which will affect the closing situation, so the rod control is relatively more stable, in addition to The connecting rod 142 can be detachably connected with the first handle 15, the second handle 16, and the first arc clip 12 and the second arc clip 13, which facilitates the disassembly and cleaning of each device after surgery, and ensures the safety of the device. Clean and ensure medical hygiene.

第一手柄15与第二手柄16之间设置有测量第一手柄15与第二手柄16之间距离的测量装置2,该测量装置2的设置能够明确知道第一手柄15与第二手柄16之间的距离,并且通过合理的换算可以知道第一弧形夹12和第二弧形夹13撑开大小,从而方便了手术医生在手术过程中对夹持部位撑开大小的把控。A measuring device 2 for measuring the distance between the first handle 15 and the second handle 16 is provided between the first handle 15 and the second handle 16. The setting of the measuring device 2 can clearly know the distance between the first handle 15 and the second handle 16. The distance between the first arc-shaped clips 12 and the second arc-shaped clips 13 can be known through reasonable conversion, so that it is convenient for the surgeon to control the opening size of the clamping part during the operation.

拉绳111靠近第一手柄15的一端设置有方便供使用者手指插放的拉环113,拉环113位于第一手柄15和第二手柄16的上端位置处,该拉环113的设计能够方便使用者一只手操控第一手柄15和第二手柄16的同时,通过大拇指、中指控制第一手柄15和第二手柄16,就能够通过食指控制拉环113,实现单手对第一弧形夹12、第二弧形夹13、第一延伸杆121、第二延伸杆131的控制,解放了另一只手,方便手术操作。One end of the pull cord 111 close to the first handle 15 is provided with a pull ring 113 that is convenient for the user's fingers to insert. The pull ring 113 is located at the upper end of the first handle 15 and the second handle 16. While controlling the first handle 15 and the second handle 16 with one hand, the user controls the first handle 15 and the second handle 16 with the thumb and the middle finger, and can control the pull ring 113 with the index finger, so as to realize the first arc with one hand. The control of the shaped clip 12, the second arc-shaped clip 13, the first extension rod 121 and the second extension rod 131 frees the other hand and facilitates the operation.

第一弧形夹12内侧壁上对应第一延伸杆121的位置处设置有供第一延伸杆121闭合时嵌入的第一嵌入槽123,第二弧形夹13内侧壁上对应第二延伸杆131的位置处设置有供第二延伸杆131闭合时嵌入的第二嵌入槽133,第一嵌入槽123和第二嵌入槽133的设计能够方便第一弧形夹12和第二弧形夹13闭合是第一延伸杆121和第二延伸杆131能够嵌入至第一嵌入槽123和第二嵌入槽133内,从而使得第一弧形夹12和第二弧形夹13能够闭合的能加严密,使得取石器的有效体积减小,更加方便夹持部件的伸入与伸出。A first insertion groove 123 is provided on the inner side wall of the first arc-shaped clip 12 at a position corresponding to the first extension rod 121 for the first extension rod 121 to be embedded when the first extension rod 121 is closed, and the inner side wall of the second arc-shaped clip 13 corresponds to the second extension rod. The position of 131 is provided with a second insertion groove 133 for embedding when the second extension rod 131 is closed. The design of the first insertion groove 123 and the second insertion groove 133 can facilitate the first arc clip 12 and the second arc clip 13 Closing means that the first extension rod 121 and the second extension rod 131 can be inserted into the first insertion groove 123 and the second insertion groove 133, so that the first arc clip 12 and the second arc clip 13 can be closed tightly. , so that the effective volume of the stone extraction tool is reduced, and the insertion and extension of the clamping part are more convenient.

第一嵌入槽123和第二嵌入槽133内均设置有供分叉绳112穿插的通道1231,通道1231沿第一弧形夹12和第二弧形夹13长度方向延伸设置,通道1231的另一开口与取石管11的内腔相连通,该通道1231的设计能够防止由于分叉绳112过多,出现互相干扰的情况发生。The first embedding groove 123 and the second embedding groove 133 are both provided with a channel 1231 through which the bifurcated rope 112 is inserted. The channel 1231 extends along the length direction of the first arc clip 12 and the second arc clip 13. An opening is communicated with the inner cavity of the stone extraction tube 11 , and the design of the channel 1231 can prevent the occurrence of mutual interference due to too many bifurcated ropes 112 .

除此之外,该取石器很能用做钬激光装置的定位器,首先通过第一弧形夹12和第二弧形夹13、以及第一延伸杆121和第二延伸杆131对结石起到限位作用的时候,将钬激光从取石管11的进口端伸入,然后对夹持区内的结石进行激光碎石,从而解决了钬激光碎石中由于钬激光缺乏一定准确性造成的实用缺点,最后再将碎完的结石排出体外即可。In addition, the stone extractor can be used as a locator for a holmium laser device. First, the stone is lifted through the first arc-shaped clip 12 and the second arc-shaped clip 13, and the first extension rod 121 and the second extension rod 131. When the limit is reached, the holmium laser is extended from the inlet end of the stone extraction tube 11, and then the calculi in the clamping area are subjected to laser lithotripsy, thereby solving the problem of holmium laser lithotripsy caused by the lack of certain accuracy of the holmium laser. Practical shortcomings, and finally the broken stones can be excreted.

以上仅是本发明的优选实施方式,本发明的保护范围并不仅局限于上述实施例,凡属于本发明思路下的技术方案均属于本发明的保护范围。应当指出,对于本技术领域的普通技术人员来说,在不脱离本发明原理前提下的若干改进和润饰,这些改进和润饰也应视为本发明的保护范围。The above are only preferred embodiments of the present invention, and the protection scope of the present invention is not limited to the above-mentioned embodiments, and all technical solutions that belong to the idea of the present invention belong to the protection scope of the present invention. It should be pointed out that for those skilled in the art, some improvements and modifications without departing from the principle of the present invention should also be regarded as the protection scope of the present invention.

Claims (9)

1.一种肝胆科手术用取石器,包括有取石器本体(1),其特征是:所述取石器本体(1)包括有呈空心筒状结构设置的、用于夹持患处结石的第一弧形夹(12)和第二弧形夹(13)、和用于控制第一弧形夹(12)和第二弧形夹(13)闭合或打开的控制部件(14)、以及用于手动牵动控制部件(14)达到控制第一弧形夹(12)和第二弧形夹(13)闭合或打开的第一手柄(15)和第二手柄(16),所述取石管(11)的长度方向与第一弧形夹(12)和第二弧形夹(13)的长度方向呈L形结构设置,第一手柄(15)和第二手柄(16)闭合时控制部件(14)能够牵动第一弧形夹(12)和第二弧形夹(13)闭合;1. a stone extractor for hepatobiliary surgery, comprising a stone extractor body (1), characterized in that: the stone extractor body (1) includes a hollow cylindrical structure set, for clamping the stone in the affected part. an arc clamp (12) and a second arc clamp (13), and a control member (14) for controlling the closing or opening of the first arc clamp (12) and the second arc clamp (13), and a After manually pulling the control part (14) to reach the first handle (15) and the second handle (16) for controlling the closing or opening of the first arc clamp (12) and the second arc clamp (13), the stone extraction tube ( The length direction of 11) and the length direction of the first arc clamp (12) and the second arc clamp (13) are arranged in an L-shaped structure, and when the first handle (15) and the second handle (16) are closed, the control part ( 14) The first arc clamp (12) and the second arc clamp (13) can be pulled to close; 所述第一弧形夹(12)远离控制部件(14)的端面上铰接有若干第一延伸杆(121),所述第一延伸杆(121)沿第一弧形夹(12)的长度方向延伸设置,所述第二弧形夹(13)远离控制部件(14)的端面上铰接有若干第二延伸杆(131),所述第二延伸杆(131)沿第二弧形夹(13)的长度方向延伸设置,相邻两第一延伸杆(121)之间设置有供第二延伸杆(131)嵌入的第一间隙(122),相邻两第二延伸杆(131)之间设置有供第一延伸杆(121)嵌入的第二间隙(132),所述取石管(11)内设置有拉绳(111),所述拉绳(111)的一端通过若干分叉绳(112)与所有第一延伸杆(121)和第二延伸杆(131)的内侧壁固定连接,所述拉绳(111)的另一端从取石管(11)开口伸出,拉动拉绳(111)过程中第一延伸杆(121)和第二延伸杆(131)逐渐嵌入至第二间隙(132)和第一间隙(122)中直至第一延伸杆(121)和第二延伸杆(131)嵌入至第一弧形夹(12)和第二弧形夹(13)的夹持区内,所述第一延伸杆(121)与第一弧形夹(12)之间、以及第二延伸杆(131)与第二弧形夹(13)之间均设置有复位装置,放开拉绳(111)时复位装置能够将第一延伸杆(121)和第二延伸杆(131)复位打开并且使拉绳(111)复位。A plurality of first extension rods (121) are hinged on the end surface of the first arc-shaped clamp (12) away from the control part (14), and the first extension rods (121) are along the length of the first arc-shaped clamp (12). The end surface of the second arc-shaped clip (13) away from the control part (14) is hingedly connected with a plurality of second extension rods (131), and the second extension rods (131) are arranged along the second arc-shaped clip (131). 13) is extended in the length direction, a first gap (122) for embedding the second extension rods (131) is provided between two adjacent first extension rods (121), and the space between the adjacent two second extension rods (131) A second gap (132) for embedding the first extension rod (121) is arranged between them, a pulling rope (111) is arranged in the stone extraction tube (11), and one end of the pulling rope (111) passes through a plurality of forked ropes (112) is fixedly connected to the inner side walls of all the first extension rods (121) and the second extension rods (131), the other end of the pull rope (111) protrudes from the opening of the stone extraction tube (11), pull the pull rope ( 111) During the process, the first extension rod (121) and the second extension rod (131) are gradually embedded into the second gap (132) and the first gap (122) until the first extension rod (121) and the second extension rod ( 131) is embedded in the clamping area of the first arc clamp (12) and the second arc clamp (13), between the first extension rod (121) and the first arc clamp (12), and between the first extension rod (121) and the first arc clamp (12). A reset device is provided between the two extension rods (131) and the second arc clamp (13). The reset opens and resets the pull cord (111). 2.根据权利要求1所述的一种肝胆科手术用取石器,其特征是:所述取石管(11)的长度方向与第一手柄(15)和第二手柄(16)的长度方向呈L形结构设置,所述取石器本体(1)呈Z形结构设置。2. The stone extractor for hepatobiliary surgery according to claim 1, wherein the length direction of the stone extraction tube (11) is in the same direction as the length direction of the first handle (15) and the second handle (16). The L-shaped structure is arranged, and the stone extractor body (1) is arranged in a Z-shaped structure. 3.根据权利要求2所述的一种肝胆科手术用取石器,其特征是:所述第一手柄(15)和第二手柄(16)均成弧形结构设置,所述第一手柄(15)的中部与第二手柄(16)的中部通过第一铰接部(151)铰接设置,所述第一手柄(15)与取石管(11)固定连接,所述控制部件(14)包括有设置在取石管(11)内呈Y形结构设置的控制绳(141),所述控制绳(141)的两端分别与第一弧形夹(12)和第二弧形夹(13)靠近取石管(11)的一端固定连接,所述控制绳(141)的另一端与第二手柄(16)的上端固定连接,第二手柄(16)沿第一铰接部(151)朝第一手柄(15)方向转动过程中第二手柄(16)的上端能够牵动控制绳(141)向外移动使得控制绳(141)带动第一弧形夹(12)和第二弧形夹(13)闭合,所述第一弧形夹(12)和第二弧形夹(13)之间设置有使第一弧形夹(12)和第二弧形夹(13)复位打开的复位弹簧(17),放开第二手柄(16)时复位弹簧(17)能够将第一弧形夹(12)和第二弧形夹(13)打开并且使控制绳(141)复位。3. The stone extractor for hepatobiliary surgery according to claim 2, wherein the first handle (15) and the second handle (16) are arranged in an arc structure, and the first handle (16) The middle part of 15) and the middle part of the second handle (16) are hingedly arranged through the first hinge part (151), the first handle (15) is fixedly connected with the stone extraction tube (11), and the control part (14) includes a A control rope (141) arranged in a Y-shaped structure in the stone extraction tube (11), the two ends of the control rope (141) are respectively close to the first arc-shaped clamp (12) and the second arc-shaped clamp (13) One end of the stone extraction tube (11) is fixedly connected, and the other end of the control rope (141) is fixedly connected to the upper end of the second handle (16), and the second handle (16) moves toward the first handle along the first hinge portion (151). (15) During the direction of rotation, the upper end of the second handle (16) can pull the control rope (141) to move outward so that the control rope (141) drives the first arc clamp (12) and the second arc clamp (13) to close A return spring (17) for resetting and opening the first arc clamp (12) and the second arc clamp (13) is provided between the first arc clamp (12) and the second arc clamp (13) , when the second handle (16) is released, the return spring (17) can open the first arc clamp (12) and the second arc clamp (13) and reset the control rope (141). 4.根据权利要求3所述的一种肝胆科手术用取石器,其特征是:所述第一弧形夹(12)和第二弧形夹(13)通过活动部件与取石管(11)活动连接,所述取石管(11)内设置有用于控制第一弧形夹(12)和第二弧形夹(13)沿取石管(11)长度方向转动的活动杆(3),推动活动杆(3)过程中第一弧形夹(12)和第二弧形夹(13)能够沿取石管(11)长度方向转动直至与第一弧形夹(12)和第二弧形夹(13)的长度方向与取石管(11)的长度方向平行,当放开活动杆(3)过程中活动部件能够复原第一弧形夹(12)和第二弧形夹(13)使得第一弧形夹(12)和第二弧形夹(13)的长度方向与取石管(11)的长度方向垂直。4. A stone extractor for hepatobiliary surgery according to claim 3, characterized in that: the first arc clamp (12) and the second arc clamp (13) pass through the movable parts and the stone extraction tube (11) Active connection, the stone extraction pipe (11) is provided with a movable rod (3) for controlling the rotation of the first arc clamp (12) and the second arc clamp (13) along the length direction of the stone extraction pipe (11), and pushes the movement During the rod (3) process, the first arc clamp (12) and the second arc clamp (13) can be rotated along the length direction of the stone extraction tube (11) until the first arc clamp (12) and the second arc clamp ( The length direction of 13) is parallel to the length direction of the stone extraction tube (11). When the movable rod (3) is released, the movable part can restore the first arc clamp (12) and the second arc clamp (13) so that the first arc clamp (12) and the second arc clamp (13) are restored. The length direction of the arc clamp (12) and the second arc clamp (13) is perpendicular to the length direction of the stone extraction pipe (11). 5.根据权利要求2所述的一种肝胆科手术用取石器,其特征是:所述第一手柄(15)的中部与第二手柄(16)的中部通过第一铰接部(151)铰接设置,所述第一手柄(15)和第二手柄(16)交叉铰接设置,所述第一铰接部(151)上外接有连接支架(152),所述第一铰接部(151)通过连接支架(152)与取石管(11)固定连接,所述控制部件(14)包括有设置在取石管(11)内的连接杆(142),所述连接杆(142)设置有两个并且平行设置,其一连接杆(142)的一端与第一手柄(15)的上端固定连接另一端与第二弧形夹(13)靠近取石管(11)的一端固定连接,另一连接杆(142)的一端与第二手柄(16)的上端固定连接另一端与第一弧形夹(12)靠近取石管(11)的一端固定连接。5. The stone extractor for hepatobiliary surgery according to claim 2, wherein the middle part of the first handle (15) and the middle part of the second handle (16) are hinged through the first hinge part (151) Arrangement, the first handle (15) and the second handle (16) are cross hinged, the first hinge part (151) is externally connected with a connecting bracket (152), and the first hinge part (151) is connected by The bracket (152) is fixedly connected with the stone extraction tube (11), the control component (14) includes a connecting rod (142) arranged in the stone extraction tube (11), and the connecting rods (142) are provided with two and parallel Set, one end of one connecting rod (142) is fixedly connected with the upper end of the first handle (15) and the other end is fixedly connected with one end of the second arc clamp (13) close to the stone extraction tube (11), and the other connecting rod (142 ) is fixedly connected with the upper end of the second handle (16) and the other end is fixedly connected with the end of the first arc clamp (12) close to the stone extraction tube (11). 6.根据权利要求5所述的一种肝胆科手术用取石器,其特征是:所述第一手柄(15)与第二手柄(16)之间设置有测量第一手柄(15)与第二手柄(16)之间距离的测量装置(2)。6. The stone extractor for hepatobiliary surgery according to claim 5, characterized in that: between the first handle (15) and the second handle (16), a measuring first handle (15) and a A device (2) for measuring the distance between two handles (16). 7.根据权利要求1所述的一种肝胆科手术用取石器,其特征是:所述拉绳(111)靠近第一手柄(15)的一端设置有方便供使用者手指插放的拉环(113),所述拉环(113)位于第一手柄(15)和第二手柄(16)的上端位置处。7. The stone extractor for hepatobiliary surgery according to claim 1, characterized in that: one end of the pull rope (111) close to the first handle (15) is provided with a pull ring that is convenient for the user's fingers to insert (113), the pull ring (113) is located at the upper end positions of the first handle (15) and the second handle (16). 8.根据权利要求1所述的一种肝胆科手术用取石器,其特征是:第一弧形夹(12)内侧壁上对应第一延伸杆(121)的位置处设置有供第一延伸杆(121)闭合时嵌入的第一嵌入槽(123),所述第二弧形夹(13)内侧壁上对应第二延伸杆(131)的位置处设置有供第二延伸杆(131)闭合时嵌入的第二嵌入槽(133)。8. A stone extractor for hepatobiliary surgery according to claim 1, characterized in that: a position corresponding to the first extension rod (121) on the inner side wall of the first arc clamp (12) is provided with a first extension rod (121). A first embedding groove (123) inserted when the rod (121) is closed, and a position corresponding to the second extension rod (131) on the inner side wall of the second arc clip (13) is provided for the second extension rod (131) The second insertion groove (133) to be inserted when closed. 9.根据权利要求7所述的一种肝胆科手术用取石器,其特征是:所述第一嵌入槽(123)和第二嵌入槽(133)内均设置有供分叉绳(112)穿插的通道(1231),所述通道(1231)沿第一弧形夹(12)和第二弧形夹(13)长度方向延伸设置,所述通道(1231)的另一开口与取石管(11)的内腔相连通。9 . The stone extractor for hepatobiliary surgery according to claim 7 , wherein the first embedding groove ( 123 ) and the second embedding groove ( 133 ) are both provided with a bifurcation rope ( 112 ). 10 . An interpenetrating channel (1231), the channel (1231) is extended along the length direction of the first arc-shaped clip (12) and the second arc-shaped clip (13), and another opening of the channel (1231) is connected to the stone extraction tube ( 11) The inner cavity is connected.
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CN107582131A (en) * 2017-10-24 2018-01-16 锡山区东港晓鸣电子产品经营部 Claw single-chamber three saves constipation stool drawing device
CN208725825U (en) * 2018-06-05 2019-04-12 王鹤 A kind of clinical novel stone dislodger of liver and gall surgical department
CN110368060A (en) * 2019-07-31 2019-10-25 西安交通大学医学院第二附属医院 Liver and gall surgical department's clinic stone taking device

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4088134A (en) * 1976-08-05 1978-05-09 Joseph A. Caprini Forceps
CN2409915Y (en) * 2000-01-25 2000-12-13 俞南 Forceps for breaking stone in bladder
CN201958956U (en) * 2010-12-03 2011-09-07 余姚市柳叶刀医疗器械科技有限公司 Biliary tract stone taking forceps capable of being bent
CN201949092U (en) * 2010-12-31 2011-08-31 中国人民解放军第三军医大学第一附属医院 Muscle tendon clamping pliers
CN104605906A (en) * 2015-02-06 2015-05-13 刘涛 Alimentary canal purse-string forceps with length of jaws capable of being adjusted
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