CN111658023A - Peripheral telescopic forceps flap type multifunctional cavity biopsy forceps device - Google Patents
Peripheral telescopic forceps flap type multifunctional cavity biopsy forceps device Download PDFInfo
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- A61B10/00—Instruments for taking body samples for diagnostic purposes; Other methods or instruments for diagnosis, e.g. for vaccination diagnosis, sex determination or ovulation-period determination; Throat striking implements
- A61B10/02—Instruments for taking cell samples or for biopsy
- A61B10/06—Biopsy forceps, e.g. with cup-shaped jaws
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- A61B10/0233—Pointed or sharp biopsy instruments
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Abstract
Description
技术领域technical field
本发明涉及医疗器械领域,具体而言,涉及一种周向伸缩钳瓣式多功能腔道活检钳装置。The invention relates to the field of medical instruments, in particular to a circumferential telescopic forceps valve type multifunctional cavity biopsy forceps device.
背景技术Background technique
活检钳是现代介入科诊断和治疗中最重要和最常用的工具之一,用于获取在血管、胆管、肝总管等各管腔中进行活检取样,为诊断提供病理学依据,而病理学活检一直被认为是肿瘤诊断的“金标准”。Biopsy forceps is one of the most important and commonly used tools in the diagnosis and treatment of modern interventional departments. It is used to obtain biopsy samples in various lumens such as blood vessels, bile ducts, and common hepatic ducts to provide pathological basis for diagnosis. It has long been considered the "gold standard" for tumor diagnosis.
在血管内壁的活检组织取样操作中,同样需要通过活检钳进行活检取样,然而在实际操作过程中,现有活检钳具有以下缺陷:In the biopsy tissue sampling operation of the inner wall of the blood vessel, biopsy sampling is also required by biopsy forceps. However, in the actual operation process, the existing biopsy forceps have the following defects:
1、在常规取活检操作时,对于不易脱落的活检组织,单纯通过活检钳钳取活检,十分容易出现造成组织大面积撕裂,引发发炎感染等一系列后续反应,而通过活检在血管内部探寻随机式探寻易脱落的活检组织,不一定能够顺利找到,且需要耗费大量的时间,对医生也是一种人力浪费,同时延长了患者手术时间,对患者也是一种煎熬。1. During routine biopsy operations, for biopsy tissue that is not easy to fall off, simply taking biopsy with biopsy forceps is very likely to cause large-scale tearing of the tissue, causing a series of subsequent reactions such as inflammation and infection. Randomly searching for biopsies that are easy to fall off may not be able to be found smoothly, and it takes a lot of time, which is a waste of manpower for doctors, and prolongs the operation time of patients, which is also a torment for patients.
2、目前市面上有高频热活检钳,通过高频电切的方式对活检组织进行切除夹取,该方法在一定程度上具有切除组织的效果,但采用高频电切会对组织造成一定的烧焦效果,对活检组织的活性具有杀伤,同时在活检钳的钳口处会残留有烧焦的活检组织残渣,十分难易取出,清洗及其不便。2. At present, there are high-frequency thermal biopsy forceps on the market. The biopsy tissue is excised and clipped by high-frequency electric cutting. This method has the effect of excising tissue to a certain extent, but the use of high-frequency electric cutting will cause certain damage to the tissue. The scorching effect of the biopsies can kill the activity of the biopsy tissue. At the same time, the charred biopsy tissue residue will remain at the jaws of the biopsy forceps, which is very difficult to remove and inconvenient to clean.
3、现有活检钳内部通过活检钳管内部设置管道对活检钳内部以及组织区域输注药液,无法对管腔内部组织起到复制治疗的效果。3. In the existing biopsy forceps, a pipeline is set inside the biopsy forceps tube to infuse the medicine solution into the biopsy forceps and the tissue area, which cannot replicate the treatment effect on the internal tissues of the lumen.
发明内容SUMMARY OF THE INVENTION
为解决上述问题,本发明的目的在于提供一种周向伸缩钳瓣式多功能腔道活检钳装置,其通过滑动滑柄,带动顶推机构运动,使得活检钳展开,再对按压弹性机构进行按压,带动剪切机构对血管侧壁活检组织进行切削,操作方便。In order to solve the above problems, the purpose of the present invention is to provide a circumferentially retractable forceps flap type multifunctional cavity biopsy forceps device, which drives the pushing mechanism to move by sliding the sliding handle, so that the biopsy forceps is unfolded, and then the pressing elastic mechanism is pressed. By pressing, the cutting mechanism is driven to cut the biopsy tissue of the side wall of the blood vessel, and the operation is convenient.
本发明的目的是通过以下技术方案实现的:The purpose of this invention is to realize through the following technical solutions:
本发明提供的一种周向伸缩钳瓣式多功能腔道活检钳装置,其中,包括依次连接的手柄、外套管、铰接头和活检钳,活检钳内设置有用于将活检钳张开的顶推机构,顶推机构穿过外套管与设置在手柄上的滑柄连接,滑柄可带动顶推机构运动而使得活检钳展开;活检钳内还设置有用于对血管侧壁活检组织进行切削的剪切机构,手柄上设置有按压弹性机构,按压弹性机构与剪切机构连接,按压弹性机构可带动剪切机构对血管侧壁活检组织进行切削。The invention provides a circumferential telescopic forceps flap type multifunctional cavity biopsy forceps device, which comprises a handle, an outer sleeve, an articulated head and a biopsy forceps which are connected in sequence, and the biopsy forceps are provided with a top for opening the biopsy forceps. Pushing mechanism, the pushing mechanism is connected with the sliding handle arranged on the handle through the outer sleeve, and the sliding handle can drive the pushing mechanism to move to make the biopsy forceps unfold; The shearing mechanism is provided with a pressing elastic mechanism on the handle, the pressing elastic mechanism is connected with the shearing mechanism, and the pressing elastic mechanism can drive the shearing mechanism to cut the biopsy tissue of the blood vessel side wall.
作为本发明的一种改进,活检钳铰接在铰接头上,活检钳包括第一钳瓣和第二钳瓣,第一钳瓣和第二钳瓣内均设置有让位口,第一钳瓣和第二钳瓣的边沿均设置有均匀排布的锯齿。As an improvement of the present invention, the biopsy forceps is hinged on the hinge joint, and the biopsy forceps includes a first forceps flap and a second forceps flap. The first forceps flap and the second forceps flap are both provided with an abdication opening, and the first forceps flap And the edges of the second clamp petal are provided with evenly arranged sawtooth.
作为本发明的进一步改进,第一钳瓣和第二钳瓣的根部均设置有环槽,环槽内设置有弹性束紧带。As a further improvement of the present invention, an annular groove is arranged at the root of the first jaw and the second jaw, and an elastic tightening band is arranged in the annular groove.
作为本发明的更进一步改进,顶推机构包括斜劈块、斜楔顶头和顶推拉条,斜劈块呈敞口状,斜楔顶头通过顶推拉条穿过斜劈块与滑柄连接。As a further improvement of the present invention, the pushing mechanism includes a wedge block, a wedge head and a push-pull bar, the wedge block is open, and the wedge head is connected to the sliding handle through the push-pull bar through the wedge block.
作为本发明的更进一步改进,剪切机构包括固定架片、齿轮固定片和齿轮驱动框,固定架片包括左架片和右架片,左架片和右架片分别与左转动刀、右转动刀连接,左转动刀、右转动刀均设置有宽边段和窄边段,宽边段上设置有用于剪切的锯齿刃口,窄边段上设置有弧形齿条,齿轮固定片铰接有齿轮,齿轮分别与齿轮驱动框、弧形齿条啮合连接。As a further improvement of the present invention, the shearing mechanism includes a fixed frame piece, a gear fixed piece and a gear drive frame, the fixed frame piece includes a left frame piece and a right frame piece, and the left frame piece and the right frame piece are respectively connected with the left rotary knife, The right rotary knife is connected, the left rotary knife and the right rotary knife are both provided with a wide side section and a narrow side section, the wide side section is provided with a serrated edge for cutting, and the narrow side section is provided with an arc-shaped rack The gear fixing plate is hinged with gears, and the gears are respectively meshed and connected with the gear drive frame and the arc-shaped rack.
作为本发明的更进一步改进,左架片和右架片均设置有导向挡块,左转动刀、右转动刀均设置有导向槽,导向挡块卡在导向槽内。As a further improvement of the present invention, both the left frame piece and the right frame piece are provided with guide blocks, the left and right rotary knives are provided with guide grooves, and the guide blocks are stuck in the guide grooves.
作为本发明的更进一步改进,齿轮驱动框内设置有与齿轮啮合连接的齿轮滑动口,齿轮滑动口的一侧设置有齿条,齿轮滑动口的另一侧设置有导条,齿轮上设置有用于导条卡入的环周导槽。As a further improvement of the present invention, the gear drive frame is provided with a gear sliding port meshingly connected with the gear, one side of the gear sliding port is provided with a rack, the other side of the gear sliding port is provided with a guide bar, and the gear is provided with a useful Circumferential guide groove into which the guide bar is snapped.
作为本发明的更进一步改进,齿轮驱动框与移动推拉条连接,移动推拉条穿过外套管与按压弹性机构。As a further improvement of the present invention, the gear drive frame is connected with the movable push-pull bar, and the movable push-pull bar passes through the outer sleeve and presses the elastic mechanism.
作为本发明的更进一步改进,按压弹性机构包括固定壳、滑动块、压片和顶瓣,外套管上设置有滑槽,固定壳连接在滑槽内,固定壳内设置有顶板,滑动块与顶板之间设置有弹簧,压片与顶瓣铰接,顶瓣与滑动块连接。As a further improvement of the present invention, the pressing elastic mechanism includes a fixed casing, a sliding block, a pressing piece and a top flap, a sliding groove is arranged on the outer sleeve, the fixing casing is connected in the sliding groove, a top plate is arranged in the fixed casing, and the sliding block is connected to the sliding groove. A spring is arranged between the top plates, the pressing sheet is hinged with the top flap, and the top flap is connected with the sliding block.
作为本发明的更进一步改进,还包括用于输送药液的通液机构,通液机构包括内套管和导丝,外套管与铰接头上设置有圆孔通道,圆孔通道内设置有内套管,导丝导入内套管。As a further improvement of the present invention, it also includes a liquid-passing mechanism for transporting medicinal liquid. The liquid-passing mechanism includes an inner sleeve and a guide wire. The outer sleeve and the hinge head are provided with a circular hole channel, and an inner hole is arranged in the circular hole channel. The cannula, the guide wire is introduced into the inner cannula.
在本发明内,通过滑动滑柄,带动顶推机构运动,使得活检钳展开,再对按压弹性机构进行按压,带动剪切机构对血管侧壁活检组织进行切削,操作方便,实用性强,安全系数也高。In the present invention, by sliding the sliding handle, the pushing mechanism is driven to move, so that the biopsy forceps is unfolded, and then the pressing elastic mechanism is pressed to drive the shearing mechanism to cut the biopsy tissue of the blood vessel side wall, which is convenient to operate, has strong practicability and is safe. The coefficient is also high.
附图说明Description of drawings
此处所说明的附图用来提供对本发明的进一步理解,构成本申请的一部分,本发明的示意性实施例及其说明用于解释本发明,并不构成对本发明的不当限定。在附图中:The accompanying drawings described herein are used to provide a further understanding of the present invention and constitute a part of the present application. The exemplary embodiments of the present invention and their descriptions are used to explain the present invention and do not constitute an improper limitation of the present invention. In the attached image:
图1为本发明的结构示意图;Fig. 1 is the structural representation of the present invention;
图2为本发明的活检钳的结构示意图一;Fig. 2 is the structural representation one of biopsy forceps of the present invention;
图3为本发明的活检钳的结构示意图二;Fig. 3 is the structural representation two of biopsy forceps of the present invention;
图4为本发明的活检钳的结构示意图三;Fig. 4 is the structural representation three of biopsy forceps of the present invention;
图5为本发明的活检钳的爆炸示意图一;Fig. 5 is the exploded schematic diagram one of biopsy forceps of the present invention;
图6为本发明的活检钳的爆炸示意图二;Fig. 6 is the exploded schematic diagram two of biopsy forceps of the present invention;
图7为本发明的剪切机构的结构示意图一;7 is a schematic structural diagram 1 of the shearing mechanism of the present invention;
图8为本发明的剪切机构的结构示意图二;Fig. 8 is the
图9为本发明的剪切机构的结构示意图三;9 is a schematic structural diagram three of the shearing mechanism of the present invention;
图10为本发明的齿轮与齿轮驱动框的连接示意图一;Figure 10 is a schematic diagram 1 of the connection between the gear and the gear drive frame of the present invention;
图11为本发明的齿轮与齿轮驱动框的连接示意图二;Figure 11 is a second schematic diagram of the connection between the gear and the gear drive frame of the present invention;
图12为本发明的剪切机构中齿轮的连接示意图一;12 is a schematic diagram 1 of the connection of the gears in the shearing mechanism of the present invention;
图13为本发明的剪切机构中齿轮的连接示意图二;Figure 13 is a second schematic diagram of the connection of gears in the shearing mechanism of the present invention;
图14为本发明的剪切机构中齿轮的连接示意图三;Figure 14 is a schematic diagram 3 of the connection of the gears in the shearing mechanism of the present invention;
图15为本发明的剪切机构的结构示意图四;FIG. 15 is a schematic diagram 4 of the structure of the shearing mechanism of the present invention;
图16为本发明的顶推机构的结构示意图一;Fig. 16 is the first structural schematic diagram of the pushing mechanism of the present invention;
图17为本发明的顶推机构的结构示意图二;Fig. 17 is the second structural schematic diagram of the pushing mechanism of the present invention;
图18为本发明的固定架片的结构示意图;18 is a schematic structural diagram of a fixing frame piece of the present invention;
图19为本发明的右架片的结构示意图;Fig. 19 is the structural representation of the right frame piece of the present invention;
图20为本发明的按压弹性机构的结构示意图一;20 is a schematic structural diagram 1 of the pressing elastic mechanism of the present invention;
图21为本发明的按压弹性机构的结构示意图二;21 is a second structural schematic diagram of the pressing elastic mechanism of the present invention;
图22为本发明的按压弹性机构的剖视图;22 is a cross-sectional view of the pressing elastic mechanism of the present invention;
其中附图标记为:1-手柄,11-滑柄,2-外套管,3-铰接头,4-活检钳,41-第一钳瓣,42-第二钳瓣,43-让位口,44-锯齿,45-环槽,46-弹性束紧带,5-顶推机构,51-斜劈块,52-斜楔顶头,53-顶推拉条,6-剪切机构,61-固定架片,611-左架片,612-右架片,613-宽边段,614-窄边段,615-导向挡块,616-锯齿刃口,617-弧形齿条,62-齿轮固定片,621-齿轮,622-环周导槽,63-齿轮驱动框,631-左转动刀,632-右转动刀,633-齿轮滑动口,634-移动推拉条,635-导向槽,636-齿条,637-导条,7-按压弹性机构,71-固定壳,72-滑动块,73-压片,74-顶瓣,75-滑槽,76-顶板,77-弹簧,8-通液机构,81-内套管,82-导丝。The reference numerals are: 1-handle, 11-sliding handle, 2-outer casing, 3-articulated head, 4-biopsy forceps, 41-first forceps flap, 42-second forceps flap, 43-avoidance opening, 44-Sawtooth, 45-Ring groove, 46-Elastic tightening belt, 5-Jumping mechanism, 51-Bevel splitting block, 52-Bevel wedge head, 53-Top push-pull strip, 6-Shearing mechanism, 61-Fixing frame Plate, 611-left frame plate, 612-right frame plate, 613-wide side segment, 614-narrow side segment, 615-guide block, 616-serrated edge, 617-arc-shaped rack, 62-gear fixing plate , 621-gear, 622-circumferential guide groove, 63-gear drive frame, 631-left turning knife, 632-right turning knife, 633-gear sliding port, 634-moving push-pull bar, 635-guide groove, 636 -Rack, 637-Guide bar, 7-Press elastic mechanism, 71-Fixed shell, 72-Slide block, 73-Press piece, 74-Top flap, 75-Chute, 76-Top plate, 77-Spring, 8- Liquid-passing mechanism, 81-inner sleeve, 82-guide wire.
具体实施方式Detailed ways
为了使本技术领域的人员更好地理解本发明方案,下面将结合本发明实施例中的附图,对本发明实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例仅仅是本发明一部分的实施例,而不是全部的实施例。基于本发明中的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例,都应当属于本发明保护的范围。In order to make those skilled in the art better understand the solutions of the present invention, the technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present invention. Obviously, the described embodiments are only Embodiments are part of the present invention, but not all embodiments. Based on the embodiments of the present invention, all other embodiments obtained by persons of ordinary skill in the art without creative efforts shall fall within the protection scope of the present invention.
如图1至22所示,本发明的一种周向伸缩钳瓣式多功能腔道活检钳装置,包括依次连接的手柄1、外套管2、铰接头3和活检钳4。As shown in FIGS. 1 to 22 , a circumferentially retractable forceps flap type multi-function lumen biopsy forceps device of the present invention includes a
如图1所示,活检钳4内设置有用于将活检钳4张开的顶推机构5,顶推机构5穿过外套管2与设置在手柄1上的滑柄11连接,滑柄11可带动顶推机构5运动而使得活检钳4展开。As shown in FIG. 1 , the
活检钳4内还设置有用于对血管侧壁活检组织进行切削的剪切机构6,手柄1上设置有按压弹性机构5,按压弹性机构5与剪切机构6连接,按压弹性机构5可带动剪切机构6对血管侧壁活检组织进行切削。The
如图2至图6所示,在本发明内,活检钳4铰接在铰接头3上,活检钳4包括第一钳瓣41和第二钳瓣42,第一钳瓣41和第二钳瓣42内均设置有让位口43,第一钳瓣41和第二钳瓣42的边沿均设置有均匀排布的锯齿44,第一钳瓣41和第二钳瓣42的根部均设置有环槽45,环槽45内设置有弹性束紧带46;具体地讲,外套管2为细长型圆管,手柄1上设置有可以导向滑动的滑柄11,在外套管2前端同轴固定设置有铰接头3,在铰接头3上铰接有活检钳4,活检钳4通过第一钳瓣41与第二钳瓣42相互铰接组成,在第一钳瓣41与第二钳瓣42的边沿处设计有前后均匀排布的锯齿44,在第一钳瓣41与第二钳瓣42的上侧边沿中间区域设置有具有一定深度与宽度的豁口作为让位口43,第一钳瓣41与第二钳瓣42各自让位口相对,在第一钳瓣41与第二钳瓣42相互闭合时,两个相对的让位口可以使钳瓣内外两侧具有一个一定区域面积大小的通道口,通道口在活检钳4闭合时,对血管内侧壁的凸起组织卡入第一钳瓣41与第二钳瓣42内部。在第一钳瓣41与第二钳瓣42的根部区域圆周外壁上沿前后方向设置有两圈环槽45,两圈环槽45在前后方向上具有一定的间隔,在每个环槽45内部均套有弹性束紧带46,环槽45对弹性束紧带46起到卡位防止滑移的作用,弹性束紧带46具有弹性伸缩的特性,且套于环槽45外周时使用处于弹性拉伸状态,使得活检钳4的第一钳瓣41与第二钳瓣42在无外力作用下时,在前后两个弹性束紧带46的弹性收紧作用下,始终处于闭合状态。As shown in FIGS. 2 to 6 , in the present invention, the
如图7至图9所示,在本发明内,剪切机构6包括固定架片61、齿轮固定片62和齿轮驱动框63,固定架片61包括左架片611和右架片612,左架片611和右架片612分别与左转动刀631、右转动刀632连接,左转动刀631、右转动刀632均设置有宽边段613和窄边段614,宽边段613上设置有用于剪切的锯齿刃口616,窄边段614上设置有弧形齿条617,齿轮固定片62铰接有齿轮621,齿轮621分别与齿轮驱动框63、弧形齿条617啮合连接。As shown in FIGS. 7 to 9 , in the present invention, the
具体地讲,在铰接头3前端固定连接有固定架片61,固定架片61分为左右对称分布的左架片611与右架片612,左架片611与右架片612为具有一定弧度的圆弧片,在左架片611与右架片612下沿之间具有一定宽度的间隙,在靠近根部区域左右的左架片611与右架片612固定连接,且通过根部与铰接头3固定连接。在左架片611与右架片612下沿间隙处中间位置固定有齿轮固定片62,齿轮固定片62类似横梁固定在左架片611与右架片612的间隙之间。Specifically, a fixing
在本发明内,左架片611与右架片612均设置有导向挡块615,左转动刀631、右转动刀632均设置有导向槽635,导向挡块615卡在导向槽635内;具体地讲,在固定架片61的左架片611与右架片612外侧面分别设置两个向外侧凸起的导向挡块615,导向挡块615的截面为T字型,左架片611的两个导向挡块615沿轴向靠近前端,右架片612的两个导向挡块616沿轴向靠近后端,且同侧架片的两个导向挡块均处于同一轴向深度上。在左架片611与右架片612上分别通过导向挡块卡位连接有左转动刀631与右转动刀632,左转动刀631与右转动刀632整体同样为圆弧型片结构,且整体轮廓类似“7”字型的直角边结构,即沿轴向方向上宽度较宽的区域为宽边段613,下边沿一体连接的沿轴向宽度较窄的区域的为窄边段614,在左转动刀631与右转动刀632上沿圆周方向开有一定弧度的导向槽635,左转动刀631与右转动刀632均通过导向槽635与其对应的导向挡块615相互卡位,使得左转动刀631与右转动刀632只能贴合架片圆弧外壁进行转动,无法沿轴向进行相对移动。在左转动刀631与右转动刀632的宽边段613上边沿设计为锯齿刃口616,锯齿刃口616具有切削刃口同时也具有锯齿。在左转动刀631与右转动刀632的窄边段614的直角侧端边设计为均匀排布的弧形齿条617。In the present invention, both the
左转动刀631与右转动刀632结构均为上述描述结构,左转动刀631与右转动刀632的锯齿刃口616均处于上方位置,与让位口43同处于上方,且左转动刀631与右转动刀632的弧形齿条617朝向相对,且两个弧形齿条617之间具有一定的间隔。在齿轮固定片62的下方设置有齿轮621与齿轮固定片62铰接,齿轮621在前后方向上分别同时与弧形齿条617啮合。当齿轮621转动时,在固定架片62的导向挡块615的弧形限位下,可以带动左转动刀631与右转动刀632同步相向或者反向转动。左转动刀631与右转动刀632上边沿的锯齿刃口616在相向转动相互靠近时刃口处于刃口的切削刃面分别为上侧的剪切面处,使得左转动刀631与右转动刀632相互之间具有切削效果。The structures of the left
如图10和图11所示,在本发明内,齿轮驱动框63内设置有与齿轮621啮合连接的齿轮滑动口633,齿轮滑动口633的一侧设置有齿条636,齿轮滑动口633的另一侧设置有导637条,齿轮621上设置有用于导条637卡入的环周导槽622;齿轮驱动框63与移动推拉条634连接,移动推拉条634穿过外套管2与按压弹性机构7;具体地讲,齿轮621的厚度大于左转动刀631与右转动刀632的厚度,且齿轮621在与弧形齿条617啮合时,齿轮621的底面与左转动刀631与右转动刀632啮合处的底部平齐,使得齿轮621上端相对于弧形齿条617的上端延伸出一定高度。在弧形齿轮617上方区域的齿轮段外部套有齿轮驱动框63,齿轮驱动框63位于齿轮固定片62与弧形齿条617之间区域的齿轮段处。As shown in FIG. 10 and FIG. 11 , in the present invention, the
齿轮驱动框63轮廓为长方矩形,在齿轮驱动框63内部的中间区域处设置有长圆形的齿轮滑动口633,齿轮621套于齿轮滑动口633内部且可以在内部前后移动。在长圆形齿轮滑动口633内部的两个直边侧壁,其中一侧直段侧壁上一体设置有分布均匀的齿条636,该齿条636结构可以与齿轮621啮合,在另一侧直边侧壁上沿直段侧壁的走向设置有凸起的导条637,同时在齿轮621上环周设置有与该导637条吻合的环周导槽622,使得在导条637与环周导槽622的导向作用下,齿轮驱动框63可以沿前后方向进行滑动,在齿轮驱动框63滑动的过程中,同时又可以通过其直段侧壁的齿条对齿轮起到驱动转动的作用。在齿轮驱动框63的后端固定连接有移动推拉条634,移动推拉条634朝后通过铰接头3,一直在外套管2管壁中通道朝后延伸至后侧的手柄1,移动推拉条634具有一定的强度,前后推动时可以带动前端的齿轮驱动框63前后移动。The outline of the
如图16和图17所示,在本发明内,顶推机构5包括斜劈块51、斜楔顶头52和顶推拉条53,斜劈块51呈敞口状,斜楔顶头52通过顶推拉条53穿过斜劈块51与滑柄11连接;具体地讲,在活检钳4的根部内侧区域一体固定设置有朝内凸起的斜劈块51,斜劈块51在朝向内侧的凸起长度从根部朝前一次减少,使得两个斜劈块51整体形成敞口状结构。在铰接头3的前端中间区域设置有斜楔顶头52,斜楔顶头52从后端根部到前端外径依次增大,整体轮廓类似圆锥形结构,在斜楔顶头52后端靠近上下侧位置固定连接有两个顶推拉条53,顶推拉条53朝后在外套管2管壁中通道中延伸至后端手柄1,通过推拉顶推拉条53可以带动斜楔顶头52前后移动;在斜楔顶头52位于两个斜劈块51中间区域的前方时,斜楔顶头52与斜劈块51不接触,此时活检钳4的两个钳瓣处于闭合状态。As shown in FIGS. 16 and 17 , in the present invention, the pushing
当通过顶推拉条53带动斜楔顶头52向后拉动时,后细前粗的圆锥形斜楔顶头52在两个斜劈块51之间敞口型通道处朝后移动,在移动的过程中斜楔顶头52在两侧的斜劈块51逐渐起到向外侧的顶撑作用,从而使得活检钳4的两个钳瓣逐渐张开;当顶推拉条53带动斜楔顶头52逐渐脱离斜劈块时,第一钳瓣41和第二钳瓣42在弹性束紧带46的弹性束紧作用下,在斜楔顶头52的向前移动过程中第一钳瓣41和第二钳瓣42逐渐闭合,两条平行的顶推拉条53在外套管2的后端手柄段处连接有滑柄11,通过沿轴向前后滑动滑柄,11即可带动斜楔顶头52前后移动。When the
如图20至图22所示,在本发明内,按压弹性机构7包括固定壳71、滑动块72、压片73和顶瓣74,外套管2上设置有滑槽75,固定壳71连接在滑槽75内,固定壳71内设置有顶板76,滑动块72与顶板76之间设置有弹簧75,压片73与顶瓣74铰接,顶瓣74与滑动块72连接;具体地讲,移动推拉条634在外套管2管壁朝后延伸至后侧手柄11连接有按压弹性推拉机构7,在按压弹性推拉机构7的外套管2管壁处设置有朝内凹有一定深度的滑槽75,滑槽75沿轴向前后方向具有一定的长度,在滑槽75内部固定有固定壳71,固定壳71内部内套有滑动块72,固定壳71对滑动块72起到卡位导向作用,移动推拉条634后端与滑动块72固定连接,固定壳71那内部一体固定设置有竖直的顶板76,在固定壳71的顶板76与滑动块72之间连接有弹簧77,在固定壳71的外部固定有同步铰接有压片73与顶瓣74,顶瓣74位于压片73中间区域于同一铰接轴上铰接,顶瓣74与压片73之间具有一定的夹角,顶瓣74的下侧收到压片73的顶压,顶瓣74的上侧面设置有滑动块72的顶角处用于承受顶瓣74的顶压作用。As shown in FIGS. 20 to 22 , in the present invention, the pressing
当向上按压压片73时,压片73通过对顶瓣74顶压使得顶瓣74角度发生偏转,从而通过对滑动块72的顶角进行顶压使得滑动块72在滑槽75内部向后滑动,从而通过移动推拉条634打动齿轮驱动框63向后移动,带动齿轮621转动使得左转动刀631与右转动刀632相向转动,最终达到两个锯齿刃口616相互剪切切削的效果。此状态弹簧77长度受压变短,整体处于压缩状态。当停止按压压片73时,弹簧77复位顶推滑动块72向前移动,从而通过移动推拉条634带动齿轮驱动框63同步向前移动,通过齿轮621带动左转动刀631与右转动刀632同步朝相反方向旋向转动,两个锯齿刃口616相互远离,最终使得两个锯齿刃口616之间的间距大于两个钳瓣上侧让位口43组成的活检通道口宽度。When the
在本发明内,为了通入药液进行辅助治疗,其包括用于输送药液的通液机构8,通液机构8包括内套管81和导丝82,外套管2与铰接头3上设置有圆孔通道,圆孔通道内设置有内套管81,导丝82导入内套管81;具体地讲,在外套管2内部贯穿套有内套管81,在铰接头3以及斜楔顶头52的中间区域均设置有可供内套管81贯穿的圆孔通道,内套管81前端可穿过铰接头3以及斜楔顶头52通入至钳瓣内部,可在活检钳4进行切割夹取活检时通入药液进行辅助治疗,在手柄11后端设置有端口可供内套管81插入至外套管2内部。In the present invention, in order to pass the medicinal liquid for auxiliary treatment, it includes a liquid passing mechanism 8 for transporting medicinal liquid. The liquid passing mechanism 8 includes an
当需要通过本发明对患者体内血管侧壁切割夹取活检组织时,在初始状态时活检钳4的两个钳瓣处于闭合状态,左转动刀631与右转动刀632的锯齿刃口616同样处于张开状态,将本发明输送至体内血管需要切割夹取活检组织位置时,向后拉动滑柄11,滑柄11通过顶推拉条53带动斜楔顶头52向后侧拉动,斜楔顶头52对两侧的斜劈块51顶撑使得两个钳瓣张开;对于无法正常夹取脱落的活检组织,将活检钳4上侧贴近活检组织,松开滑柄11,第一钳瓣41和第二钳瓣42在弹性束紧带46的弹性束紧作用下闭合,此时活检钳4卡紧在钳瓣上端的通道口处;按压压片73,压片73通过顶瓣74带动滑动块72向后滑动,从而通过移动推拉条634打动齿轮驱动框63向后移动,带动齿轮621转动使得左转动刀631与右转动刀632相向转动,对卡紧在第一钳瓣41和第二钳瓣42上侧通道口处的活检组织剪切切削,被切削掉的活检组织存置于活检钳4内部,从而完成了切割活检的效果,而对于容易通过夹取脱落的活检组织来说,通过第一钳瓣41和第二钳瓣42的锯齿即可夹取脱落。When the present invention needs to cut and clip the biopsy tissue from the side wall of the blood vessel in the patient, in the initial state, the two forceps flaps of the
本发明的创新技术点及有益效果至少在于:The innovative technical points and beneficial effects of the present invention are at least as follows:
1、第一钳瓣41和第二钳瓣42的锯齿44不仅可以对血管内壁容易脱落的活检组织进行钳取收集,第一钳瓣41和第二钳瓣42内部设置的转动刀结构,对于不易脱落的活检组织可以卡入通道口内部并轻松切削使其脱离,操作方便,效果显著,极大的提高了效率。1. The
2、双转动刀均采用同步相向或反向的弧形圆周转动式,且整体形状采用圆弧片“7”型直角段,保证了宽边段613上沿具有较宽的锯齿刃口616,能够具有更多的切削长度,左转动刀631和右转动刀632的弧形齿条617能够前后同时与齿轮621啮合,配合弧形走向分布的导向挡块615对左转动刀631和右转动刀632的弧形导向,使得齿轮621始终能够同步驱动双转动刀相向或者反正弧形圆周转动,保证了双转动刀切削的稳定性,同时锯齿刃口616既有锯齿又有刃口的设计,保证了双转动刀在相向圆周转动切削时同样可以产生由较大斜向锯齿产生的大剪切力,能够顺利对活检组织进行切削,不会发生无法切断的情况,同时双转动刀采用圆弧片型结构,固定夹片同样采用圆弧片型可以使得上述结构能够尽可能的贴紧钳瓣内壁,将中间区域空间保留出以便能够夹取更大体积的活检组织。2. Both the double rotary knives adopt the synchronous opposite or opposite arc-shaped circular rotation type, and the overall shape adopts the "7" type right-angle section of the circular arc piece, which ensures that the upper edge of the broad-
3、齿轮621通过齿轮驱动框63的滑动作用驱动转动,齿轮驱动框63内部一侧设置有导条637配合齿轮621的环周导槽622,可以对齿轮驱动框63起到导向滑动的作用,齿轮驱动框63内部另一侧设置的齿条636可以使得其在滑动的过程中对齿轮621起到驱动的作用,结构环环相扣相互依存,既保证了齿轮621转动的稳定型,又解决了齿轮驱动框63前后移动的导向情况;在保证功能性的基础上,最大程度上减省了上述结构所占用的空间,保证了钳瓣内部空间的可利用性,使得可以在最大程度上夹取更多的组织。3. The
4、顶推拉条53后端通过按压弹性推拉机构7连接,通过压片73同时铰接顶瓣74与固定壳71,内部设置有弹簧77能够对双转动刀起到切削后复位张开的效果,压片73铰接顶瓣74,顶瓣74顶撑滑动块72,可以实现按压压片73的简单操作完成双转动刀切削的过程,极大的简化了操作。4. The rear end of the top push-
5、活检钳4内壁设置的斜劈块51通过斜楔顶头52顶撑可以达到张开的效果,配合,同时配合双条的弹性束紧带46能够对钳瓣起到闭合复位的效果,不仅可以达到具有复位功能的开合效果,同时能够通过斜楔顶头52在内部通入内套管81,达到注入药液目的,既对被切削的活检组织起到治疗效果,又可以保证切割部分活检组织的活性,在一定程度上缩减活检组织诊断前的培养周期,加快了诊疗进度。5. The
以上所述仅是本发明的优选实施方式,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的前提下,还可以做出若干改进和润饰,这些改进和润饰也应视为本发明的保护范围。The above are only the preferred embodiments of the present invention. It should be pointed out that for those skilled in the art, without departing from the principles of the present invention, several improvements and modifications can be made. It should be regarded as the protection scope of the present invention.
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CN115590677A (en) * | 2022-10-20 | 2023-01-13 | 微创视神医疗科技(上海)有限公司(Cn) | Trabecular mesh resection device |
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