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CN111658023A - Peripheral telescopic forceps flap type multifunctional cavity biopsy forceps device - Google Patents

Peripheral telescopic forceps flap type multifunctional cavity biopsy forceps device Download PDF

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Publication number
CN111658023A
CN111658023A CN202010653725.6A CN202010653725A CN111658023A CN 111658023 A CN111658023 A CN 111658023A CN 202010653725 A CN202010653725 A CN 202010653725A CN 111658023 A CN111658023 A CN 111658023A
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forceps
gear
biopsy forceps
biopsy
sliding
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李臻
李鑫
王彩鸿
刘杨
周纪妹
詹鹏超
石洋
张玉元
任克伟
任建庄
韩新巍
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First Affiliated Hospital of Zhengzhou University
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First Affiliated Hospital of Zhengzhou University
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Priority to CN202010653725.6A priority Critical patent/CN111658023A/en
Publication of CN111658023A publication Critical patent/CN111658023A/en
Priority to CN202110354629.6A priority patent/CN112971869B/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00Instruments 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
    • A61B10/02Instruments for taking cell samples or for biopsy
    • A61B10/06Biopsy forceps, e.g. with cup-shaped jaws
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00Instruments 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
    • A61B10/02Instruments for taking cell samples or for biopsy
    • A61B10/0233Pointed or sharp biopsy instruments
    • A61B10/0266Pointed or sharp biopsy instruments means for severing sample
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y02TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
    • Y02ATECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
    • Y02A50/00TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE in human health protection, e.g. against extreme weather
    • Y02A50/30Against vector-borne diseases, e.g. mosquito-borne, fly-borne, tick-borne or waterborne diseases whose impact is exacerbated by climate change

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  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Biomedical Technology (AREA)
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  • Heart & Thoracic Surgery (AREA)
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  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
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  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention relates to the field of medical instruments, in particular to a peripheral telescopic clamp flap type multifunctional cavity biopsy forceps device; the invention comprises a handle, an outer sleeve, a hinge joint and biopsy forceps which are connected in sequence, wherein a pushing mechanism is arranged in the biopsy forceps, penetrates through the outer sleeve and is connected with a sliding handle, and the sliding handle can drive the pushing mechanism to move so as to expand the biopsy forceps; a shearing mechanism is also arranged in the biopsy forceps, a pressing elastic mechanism is arranged on the handle, and the pressing elastic mechanism can drive the shearing mechanism to cut the biopsy tissue on the side wall of the blood vessel; in the invention, the pushing mechanism is driven to move by sliding the sliding handle, so that the biopsy forceps are unfolded, the pressing elastic mechanism is pressed, and the shearing mechanism is driven to cut the biopsy tissue on the side wall of the blood vessel, therefore, the operation is convenient, the practicability is strong, and the safety factor is high.

Description

周向伸缩钳瓣式多功能腔道活检钳装置Circumferential retractable forceps flap type multifunctional lumen biopsy forceps device

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 structural representation 2 of the shearing mechanism of the present invention;

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 handle 1 , an outer sleeve 2 , a hinged head 3 and a biopsy forceps 4 that are connected in sequence.

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 biopsy forceps 4 is provided with a pushing mechanism 5 for opening the biopsy forceps 4. The pushing mechanism 5 passes through the outer sleeve 2 and is connected to a sliding handle 11 provided on the handle 1. The sliding handle 11 can be The pushing mechanism 5 is driven to move so that the biopsy forceps 4 is unfolded.

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 biopsy forceps 4 is also provided with a shearing mechanism 6 for cutting the biopsy tissue of the sidewall of the blood vessel, and a pressing elastic mechanism 5 is provided on the handle 1. The pressing elastic mechanism 5 is connected with the shearing mechanism 6, and the pressing elastic mechanism 5 can drive the shears. The cutting mechanism 6 cuts the biopsy tissue of the side wall of the blood vessel.

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 biopsy forceps 4 is hinged on the hinge joint 3 , and the biopsy forceps 4 includes a first forceps flap 41 and a second forceps flap 42 , the first forceps flap 41 and the second forceps flaps 42 are provided with a way out 43, the edges of the first clamp valve 41 and the second clamp valve 42 are provided with evenly arranged serrations 44, and the roots of the first clamp valve 41 and the second clamp valve 42 are provided with rings. Slot 45, an elastic tightening band 46 is arranged in the annular groove 45; specifically, the outer sleeve 2 is a slender round tube, the handle 1 is provided with a sliding handle 11 that can guide and slide, and is coaxially fixed at the front end of the outer sleeve 2 A hinged joint 3 is provided, and a biopsy forceps 4 is hinged on the hinged joint 3. The biopsy forceps 4 is formed by hingedly connecting the first forceps flap 41 and the second forceps flap 42. There are serrations 44 evenly arranged before and after the place is designed, and a gap with a certain depth and width is provided in the middle area of the upper edge of the first clamp valve 41 and the second clamp valve 42 as a way out 43, and the first clamp valve 41 and the second clamp valve are provided with a gap 43. The second jaws 42 are opposite to each other. When the first jaw 41 and the second jaw 42 are closed, the two opposite jaws can make the inner and outer sides of the jaws have a channel opening with a certain area area. , when the biopsy forceps 4 is closed, the protruding tissue on the inner wall of the blood vessel is clamped into the first forceps flap 41 and the second forceps flap 42 . Two ring grooves 45 are provided on the circumferential outer walls of the root regions of the first jaw 41 and the second jaw 42 along the front-rear direction, and the two ring grooves 45 have a certain interval in the front-rear direction. All are covered with elastic tightening belts 46, and the ring grooves 45 play a role in locking the elastic tightening belts 46 to prevent slipping. The elastic tightening belts 46 have the characteristics of elastic expansion and contraction, and are used in elastic In the stretched state, the first forceps 41 and the second forceps 42 of the biopsy forceps 4 are always in a closed state under the elastic tightening action of the front and rear elastic tightening bands 46 when there is no external force.

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 shearing mechanism 6 includes a fixed frame piece 61 , a gear fixed piece 62 and a gear drive frame 63 , the fixed frame piece 61 includes a left frame piece 611 and a right frame piece 612 , and the left The frame piece 611 and the right frame piece 612 are respectively connected with the left rotating knife 631 and the right rotating knife 632. 613 is provided with a serrated edge 616 for cutting, an arc-shaped rack 617 is provided on the narrow side section 614, a gear 621 is hinged to the gear fixing plate 62, and the gear 621 is meshed with the gear drive frame 63 and the arc-shaped rack 617 respectively. connect.

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 frame piece 61 is fixedly connected to the front end of the hinge joint 3, and the fixing frame piece 61 is divided into a left frame piece 611 and a right frame piece 612 which are symmetrically distributed, and the left frame piece 611 and the right frame piece 612 have a certain radian. There is a gap of a certain width between the left frame 611 and the lower edge of the right frame 612, and the left frame 611 and the right frame 612 are fixedly connected near the root area, and are connected to the hinge joint 3 through the root. Fixed connection. A gear fixing piece 62 is fixed in the middle of the gap between the left frame piece 611 and the right frame piece 612 . The gear fixing piece 62 is fixed between the gap between the left frame piece 611 and the right frame piece 612 like a beam.

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 left frame piece 611 and the right frame piece 612 are provided with guide blocks 615 , the left rotary knife 631 and the right rotary knife 632 are both provided with guide grooves 635 , and the guide blocks 615 are stuck in the guide grooves 635 Specifically, on the left frame 611 of the fixed frame sheet 61 and the outer side of the right frame sheet 612, two guide blocks 615 protruding to the outside are respectively provided, and the section of the guide block 615 is a T-shaped, and the left frame sheet The two guide blocks 615 of 611 are axially close to the front end, the two guide blocks 616 of the right frame piece 612 are axially close to the rear end, and the two guide blocks of the same side frame piece are at the same axial depth. . A left rotating knife 631 and a right rotating knife 632 are connected to the left frame piece 611 and the right frame piece 612 respectively through the guide stopper. structure, and the overall outline is similar to the "7"-shaped right-angle structure, that is, the wider area in the axial direction is the broad side segment 613, and the area with the narrower axial width that is integrally connected with the lower edge is the narrow side In section 614, a guide groove 635 with a certain arc is formed on the left rotating knife 631 and the right rotating knife 632 along the circumferential direction. Both the left rotating knife 631 and the right rotating knife 632 pass through the guide groove 635 and its corresponding guide block 615 are mutually locked, so that the left rotating knife 631 and the right rotating knife 632 can only rotate against the arc outer wall of the frame, and cannot move relative to each other in the axial direction. The upper edges of the broad side sections 613 of the left rotary knife 631 and the right rotary knife 632 are designed as serrated edges 616, and the serrated edges 616 have cutting edges and serrations. The right-angle side end edges of the narrow side segments 614 of the left rotary knife 631 and the right rotary knife 632 are designed as evenly arranged arc-shaped racks 617 .

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 rotating knife 631 and the right rotating knife 632 are both the above-described structures, and the serrated cutting edges 616 of the left rotating knife 631 and the right rotating knife 632 are in the upper position, and are at the same top with the vacant opening 43, and the left The arc-shaped racks 617 of the rotating knife 631 and the right rotating knife 632 are facing opposite, and there is a certain interval between the two arc-shaped racks 617 . A gear 621 is provided below the gear fixing piece 62 to be hinged with the gear fixing piece 62 , and the gear 621 meshes with the arc-shaped rack 617 in the front and rear directions respectively. When the gear 621 rotates, the left rotating knife 631 and the right rotating knife 632 can be driven to rotate synchronously in the opposite direction or in the opposite direction under the arc limit of the guide block 615 of the fixed frame piece 62 . When the serrated cutting edges 616 on the upper edges of the left rotating knife 631 and the right rotating knife 632 are rotated in opposite directions and approach each other, the cutting edges are located at the upper shearing surfaces where the cutting edge surfaces of the cutting edges are respectively, so that the left rotating knife 631 and the The right rotary knives 632 have a cutting effect on each other.

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 gear drive frame 63 is provided with a gear sliding port 633 engaged with the gear 621 , and a rack 636 is provided on one side of the gear sliding port 633 . The other side is provided with a guide 637, and the gear 621 is provided with a circumferential guide groove 622 for the guide bar 637 to be inserted into; the gear drive frame 63 is connected with the moving push-pull bar 634, and the moving push-pull bar 634 passes through the outer sleeve 2 and presses the elastic Mechanism 7; Specifically, the thickness of the gear 621 is greater than the thickness of the left rotating knife 631 and the right rotating knife 632, and when the gear 621 is engaged with the arc-shaped rack 617, the bottom surface of the gear 621 and the left rotating knife 631 and The bottom of the meshing portion of the right rotary knife 632 is flush, so that the upper end of the gear 621 extends a certain height relative to the upper end of the arc-shaped rack 617 . A gear drive frame 63 is sleeved outside the gear segment in the area above the arc gear 617 , and the gear drive frame 63 is located at the gear segment in the area between the gear fixing plate 62 and the arc rack 617 .

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 gear drive frame 63 is a rectangle. An oval gear sliding port 633 is provided in the middle area of the gear drive frame 63. The gear 621 is sleeved inside the gear sliding port 633 and can move back and forth inside. On the two straight side walls inside the oval gear sliding port 633 , one of the straight side walls is integrally provided with a uniformly distributed rack 636 , the rack 636 can engage with the gear 621 , and the other side A raised guide bar 637 is arranged on the side wall of the straight side along the direction of the side wall of the straight section, and a circumferential guide groove 622 is arranged on the gear 621 to match the guide 637, so that the guide bar 637 is connected to the ring. Under the guiding action of the peripheral guide groove 622, the gear drive frame 63 can slide in the front and rear directions. During the sliding process of the gear drive frame 63, at the same time, the gear rack on the straight side wall of the gear drive frame 63 can drive the rotation of the gear. . A movable push-pull bar 634 is fixedly connected to the rear end of the gear drive frame 63 , and the movable push-pull bar 634 passes through the hinge joint 3 backwards, and has been extended backward in the pipe wall of the outer casing 2 to the handle 1 on the rear side, and the movable push-pull bar 634 It has a certain strength, and can drive the front gear drive frame 63 to move back and forth when pushed back and forth.

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 mechanism 5 includes a wedge block 51 , a wedge head 52 and a push-pull strip 53 , the wedge block 51 is open, and the wedge head 52 is pushed and pulled The bar 53 is connected with the sliding handle 11 through the oblique splitting block 51; in particular, an inwardly protruding oblique splitting block 51 is integrally fixed in the inner area of the root of the biopsy forceps 4, and the oblique splitting block 51 is in the inwardly protruding part. The length decreases once from the root toward the front, so that the two bevel blocks 51 form an open structure as a whole. A wedge head 52 is arranged in the middle area of the front end of the hinge joint 3. The outer diameter of the wedge head 52 increases sequentially from the rear end root to the front end, and the overall outline is similar to a conical structure. Two push-pull bars 53 are connected, and the push-pull bars 53 extend backward in the channel in the pipe wall of the outer casing 2 to the rear end handle 1. When the 52 is located in front of the middle area of the two wedge blocks 51, the wedge head 52 is not in contact with the wedge block 51, and at this time, the two forceps flaps of the biopsy forceps 4 are in a closed state.

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 wedge head 52 is pulled backward by the push-pulling strip 53, the conical wedge head 52 with a thin rear and a thick front moves backward at the open channel between the two wedge blocks 51. During the movement The oblique splitting blocks 51 on both sides of the wedge head 52 gradually play a supporting role to the outside, so that the two forceps flaps of the biopsy forceps 4 gradually open; During the block, the first clamp valve 41 and the second clamp valve 42 are gradually tightened under the elastic tightening action of the elastic tightening belt 46 during the forward movement of the wedge head 52. When closed, the two parallel push-pull bars 53 are connected with a sliding handle 11 at the rear handle section of the outer sleeve 2. By sliding the sliding handle forward and backward in the axial direction, 11 can drive the wedge head 52 to move forward and backward.

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 elastic mechanism 7 includes a fixed shell 71 , a sliding block 72 , a pressing piece 73 and a top flap 74 , the outer sleeve 2 is provided with a chute 75 , and the fixed shell 71 is connected to the In the chute 75, a top plate 76 is arranged in the fixed shell 71, a spring 75 is arranged between the sliding block 72 and the top plate 76, the pressing piece 73 is hinged with the top flap 74, and the top flap 74 is connected with the sliding block 72; The push-pull bar 634 is connected with the pressing elastic push-pull mechanism 7 on the pipe wall of the outer casing 2 extending backward to the rear handle 11 , and a sliding groove 75 with a certain depth concave inward is provided at the pipe wall of the outer casing 2 that presses the elastic push-pull mechanism 7 , the chute 75 has a certain length along the axial front and rear directions, a fixed shell 71 is fixed inside the chute 75, and a sliding block 72 is sleeved inside the fixed shell 71. The rear end of the movable push-pull bar 634 is fixedly connected with the sliding block 72 , a vertical top plate 76 is integrally fixed in the interior of the fixed shell 71 , and a spring 77 is connected between the top plate 76 of the fixed shell 71 and the sliding block 72 . The outside is fixed with a synchronously hinged pressing piece 73 and a top flap 74, the top flap 74 is located in the middle area of the pressing piece 73 and is hinged on the same hinge shaft, there is a certain angle between the top flap 74 and the pressing piece 73, and the top flap 74 is hinged on the same hinge axis. The lower side receives the pressing force of the pressing sheet 73 , and the upper side of the top flap 74 is provided with the top corner of the sliding block 72 for receiving the pressing action of the top flap 74 .

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 pressing piece 73 is pressed upward, the pressing piece 73 presses the top flap 74 to deflect the angle of the top flap 74 , so that the sliding block 72 slides backward inside the chute 75 by pressing the top angle of the sliding block 72 Therefore, by moving the push-pull bar 634, the gear drive frame 63 is moved backward, and the gear 621 is driven to rotate, so that the left rotating knife 631 and the right rotating knife 632 rotate in opposite directions, and finally the two serrated edges 616 are mutually sheared and cut. In this state, the length of the spring 77 is shortened by compression, and the whole is in a compressed state. When the pressing piece 73 is stopped, the spring 77 resets and pushes the sliding block 72 to move forward, thereby driving the gear driving frame 63 to move forward synchronously by moving the push-pull bar 634, and driving the left rotating knife 631 and the right rotating knife through the gear 621 The 632 rotates in the opposite direction synchronously, and the two serrated edges 616 move away from each other, so that the distance between the two serrated edges 616 is larger than the width of the biopsy channel formed by the upper side openings 43 of the two forceps flaps.

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 inner sleeve 81 and a guide wire 82. There is a round hole channel, an inner sleeve 81 is arranged in the round hole channel, and the guide wire 82 is introduced into the inner sleeve 81; The middle area of 52 is provided with a round hole channel through which the inner sleeve 81 can penetrate. When taking a biopsy, medicinal liquid is introduced for auxiliary treatment, and a port is provided at the rear end of the handle 11 for inserting the inner cannula 81 into the outer cannula 2 .

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 biopsy forceps 4 are in a closed state, and the serrated edges 616 of the left rotating knife 631 and the right rotating knife 632 are in a closed state. Also in the open state, when the present invention is delivered to the blood vessel in the body and needs to be cut and clamped to the position of the biopsy tissue, the sliding handle 11 is pulled backward, and the sliding handle 11 drives the wedge plug 52 to pull backward through the push-pull strip 53, and the wedge plug The 52 pairs of oblique splitting blocks 51 on both sides are supported to open the two forceps flaps; for the biopsy tissue that cannot be clamped normally, the upper side of the biopsy forceps 4 is placed close to the biopsy tissue, the sliding handle 11 is released, and the first forceps flap 41 And the second forceps valve 42 is closed under the elastic tightening action of the elastic tightening belt 46, at this time the biopsy forceps 4 is clamped at the passage opening at the upper end of the forceps valve; pressing the pressing piece 73, the pressing piece 73 is driven to slide by the top flap 74 The block 72 slides backward, so that the gear drive frame 63 is moved backward by moving the push-pull bar 634, and the gear 621 is driven to rotate, so that the left rotating knife 631 and the right rotating knife 632 rotate in opposite directions, and the clamps on the first clamp flap 41 and the The biopsy tissue at the upper channel opening of the second forceps flap 42 is cut and cut, and the cut biopsy tissue is stored inside the biopsy forceps 4, thereby completing the effect of cutting biopsy. , and the serrations of the first clamp flap 41 and the second clamp flap 42 can be clamped and dropped.

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 serrations 44 of the first clamp valve 41 and the second clamp valve 42 can not only clamp and collect the biopsy tissue that is easy to fall off the inner wall of the blood vessel, but also the rotating knife structure arranged inside the first clamp valve 41 and the second clamp valve 42, for The biopsy tissue that is not easy to fall off can be clipped into the inside of the channel opening and easily cut to make it detached. The operation is convenient, the effect is remarkable, and the efficiency is greatly improved.

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-side section 613 has a wider serrated edge 616, It can have more cutting length. The arc-shaped racks 617 of the left rotating knife 631 and the right rotating knife 632 can mesh with the gear 621 at the same time. The arc guide of the right rotary knife 632 enables the gear 621 to always drive the dual rotary knives to rotate in the opposite or reverse arc circular shape, which ensures the cutting stability of the dual rotary knives, and the serrated edge 616 has both serrations and cutting edges The design ensures that the double rotating knife can also generate a large shearing force generated by the larger oblique sawtooth when cutting in the opposite circular direction, and can smoothly cut the biopsy tissue without the situation that cannot be cut off. At the same time, the double rotating knife can The arc-shaped structure is adopted, and the fixed clip also adopts the arc-shaped plate, so that the above-mentioned structure can be as close to the inner wall of the forceps valve as possible, and the space in the middle area is reserved so that a larger volume of biopsy tissue can be clamped.

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 gear 621 is driven to rotate by the sliding action of the gear driving frame 63. The inner side of the gear driving frame 63 is provided with a guide bar 637 to match the circumferential guide groove 622 of the gear 621, which can guide the sliding of the gear driving frame 63. The rack 636 provided on the other side of the gear drive frame 63 can make it drive the gear 621 during the sliding process. On the basis of ensuring the functionality, the space occupied by the above structure is reduced to the greatest extent, and the availability of the internal space of the clamp valve is ensured, so that the clamp can be clamped to the greatest extent possible. Get more tissue.

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-pull bar 53 is connected by pressing the elastic push-pull mechanism 7, and the top flap 74 and the fixed shell 71 are hinged at the same time through the pressing piece 73, and a spring 77 is provided inside, which can play the effect of resetting and opening the double rotating knife after cutting, The pressing piece 73 is hinged to the top flap 74, and the top flap 74 supports the sliding block 72, which can realize the simple operation of pressing the pressing piece 73 to complete the process of double-rotating knife cutting, which greatly simplifies the operation.

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 oblique splitting block 51 provided on the inner wall of the biopsy forceps 4 can achieve the effect of opening through the wedge head 52, and cooperate with the double elastic tightening belts 46 to achieve the effect of closing and resetting the forceps valve, not only The opening and closing effect with reset function can be achieved, and at the same time, the inner sleeve 81 can be passed through the wedge head 52 to achieve the purpose of injecting medicinal liquid, which not only has a therapeutic effect on the cut biopsy tissue, but also ensures that part of the biopsy tissue is cut. To a certain extent, the activity of biopsies can shorten the culture period before biopsy tissue diagnosis, and speed up the progress of diagnosis and treatment.

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.

Claims (10)

1.一种周向伸缩钳瓣式多功能腔道活检钳装置,其特征在于,包括依次连接的手柄、外套管、铰接头和活检钳,所述活检钳内设置有用于将所述活检钳张开的顶推机构,所述顶推机构穿过所述外套管与设置在所述手柄上的滑柄连接,所述滑柄可带动所述顶推机构运动而使得所述活检钳展开;所述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,所述手柄上设置有按压弹性机构,所述按压弹性机构与所述剪切机构连接,所述按压弹性机构可带动所述剪切机构对血管侧壁活检组织进行切削。1. a circumferential telescopic forceps flap type multifunctional cavity biopsy forceps device, is characterized in that, comprises handle, outer casing, hinged head and biopsy forceps connected successively, in described biopsy forceps, be provided with and be used for described biopsy forceps. an open push mechanism, the push mechanism passes through the outer sleeve and is connected to a sliding handle provided on the handle, and the sliding handle can drive the push mechanism to move to make the biopsy forceps unfold; The biopsy forceps is also provided with a shearing mechanism for cutting the biopsy tissue of the sidewall of the blood vessel, the handle is provided with a pressing elastic mechanism, the pressing elastic mechanism is connected with the shearing mechanism, and the pressing elastic mechanism is The cutting mechanism can be driven to cut the biopsy tissue of the side wall of the blood vessel. 2.根据权利要求1所述的一种周向伸缩钳瓣式多功能腔道活检钳装置,其特征在于,所述活检钳铰接在所述铰接头上,所述活检钳包括第一钳瓣和第二钳瓣,所述第一钳瓣和第二钳瓣内均设置有让位口,所述第一钳瓣和第二钳瓣的边沿均设置有均匀排布的锯齿。2. A circumferential telescopic forceps flap type multifunctional cavity biopsy forceps device according to claim 1, wherein the biopsy forceps is hinged on the hinge joint, and the biopsy forceps comprises a first forceps flap And the second clamp valve, the first clamp valve and the second clamp valve are both provided with an abdication opening, and the edges of the first clamp valve and the second clamp valve are provided with uniformly arranged serrations. 3.根据权利要求2所述的一种周向伸缩钳瓣式多功能腔道活检钳装置,其特征在于,所述第一钳瓣和第二钳瓣的根部均设置有环槽,所述环槽内设置有弹性束紧带。3. a kind of circumferentially retractable forceps valve type multifunctional cavity biopsy forceps device according to claim 2, is characterized in that, the root of described first forceps valve and the second forceps valve are provided with annular groove, described An elastic tightening band is arranged in the ring groove. 4.根据权利要求3所述的一种周向伸缩钳瓣式多功能腔道活检钳装置,其特征在于,所述顶推机构包括斜劈块、斜楔顶头和顶推拉条,所述斜劈块呈敞口状,所述斜楔顶头通过顶推拉条穿过所述斜劈块与所述滑柄连接。4. A kind of circumferential telescopic forceps flap type multifunctional cavity biopsy forceps device according to claim 3, characterized in that, the pushing mechanism comprises an oblique split block, an oblique wedge head and a push-pull strip, and the oblique The splitting block is open, and the wedge plug is connected to the sliding handle through the oblique splitting block through a push-pull strip. 5.根据权利要求4所述的一种周向伸缩钳瓣式多功能腔道活检钳装置,其特征在于,所述剪切机构包括固定架片、齿轮固定片和齿轮驱动框,所述固定架片包括左架片和右架片,所述左架片和右架片分别与左转动刀、右转动刀连接,所述左转动刀、右转动刀均设置有宽边段和窄边段,所述宽边段上设置有用于剪切的锯齿刃口,所述窄边段上设置有弧形齿条,所述齿轮固定片铰接有齿轮,所述齿轮分别与齿轮驱动框、弧形齿条啮合连接。5. A circumferential telescopic forceps flap type multifunctional cavity biopsy forceps device according to claim 4, wherein the shearing mechanism comprises a fixed frame piece, a gear fixed piece and a gear drive frame, and the fixed The 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 rotating knife and the right rotating knife, and the left rotating knife and the right rotating knife are both provided with wide side sections and a narrow side segment, the broad side segment is provided with a serrated edge for shearing, an arc-shaped rack is provided on the narrow side segment, the gear fixing plate is hinged with a gear, and the gear is respectively driven with the gear The frame and the arc-shaped rack are meshed and connected. 6.根据权利要求5所述的一种周向伸缩钳瓣式多功能腔道活检钳装置,其特征在于,所述左架片和右架片均设置有导向挡块,所述左转动刀、右转动刀均设置有导向槽,所述导向挡块卡在所述导向槽内。6. A kind of circumferential telescopic forceps flap type multifunctional cavity biopsy forceps device according to claim 5, wherein the left frame piece and the right frame piece are both provided with guide blocks, and the left rotation Both the knife and the right rotating knife are provided with guide grooves, and the guide block is clamped in the guide grooves. 7.根据权利要求6所述的一种周向伸缩钳瓣式多功能腔道活检钳装置,其特征在于,所述齿轮驱动框内设置有与所述齿轮啮合连接的齿轮滑动口,所述齿轮滑动口的一侧设置有齿条,所述齿轮滑动口的另一侧设置有导条,所述齿轮上设置有用于所述导条卡入的环周导槽。7 . The circumferential telescopic forceps flap type multifunctional cavity biopsy forceps device according to claim 6 , wherein a gear sliding port meshingly connected with the gear is provided in the gear drive frame, and the gear sliding port is provided in the gear drive frame. 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 circumferential guide groove for the guide bar to be clamped into. 8.根据权利要求7所述的一种周向伸缩钳瓣式多功能腔道活检钳装置,其特征在于,所述齿轮驱动框与移动推拉条连接,所述移动推拉条穿过所述外套管与所述按压弹性机构。8 . The circumferential telescopic forceps flap type multifunctional cavity biopsy forceps device according to claim 7 , wherein the gear drive frame is connected with a moving push-pull bar, and the mobile push-pull bar passes through the outer jacket. 9 . tube and the pressing elastic mechanism. 9.根据权利要求8所述的一种周向伸缩钳瓣式多功能腔道活检钳装置,其特征在于,所述按压弹性机构包括固定壳、滑动块、压片和顶瓣,所述外套管上设置有滑槽,所述固定壳连接在所述滑槽内,所述固定壳内设置有顶板,所述滑动块与所述顶板之间设置有弹簧,所述压片与所述顶瓣铰接,所述顶瓣与所述滑动块连接。9 . The circumferential telescopic forceps valve type multifunctional cavity biopsy forceps device according to claim 8 , wherein the pressing elastic mechanism comprises a fixed shell, a sliding block, a pressing piece and a top valve, and the outer sleeve 9 . A chute is arranged on the pipe, the fixed shell is connected in the chute, a top plate is arranged in the fixed shell, a spring is arranged between the sliding block and the top plate, and the pressing piece is connected to the top plate. The flap is hinged, and the top flap is connected to the sliding block. 10.根据权利要求1所述的一种周向伸缩钳瓣式多功能腔道活检钳装置,其特征在于,还包括用于输送药液的通液机构,所述通液机构包括内套管和导丝,所述外套管与所述铰接头上设置有圆孔通道,所述圆孔通道内设置有内套管,所述导丝导入所述内套管。10. A circumferential telescopic forceps valve type multi-function lumen biopsy forceps device according to claim 1, characterized in that, further comprising a liquid-passing mechanism for transporting medicinal liquid, and the liquid-passing mechanism comprises an inner cannula and a guide wire, the outer sleeve and the hinge head are provided with a circular hole channel, an inner sleeve is arranged in the circular hole channel, and the guide wire is introduced into the inner sleeve.
CN202010653725.6A 2020-07-08 2020-07-08 Peripheral telescopic forceps flap type multifunctional cavity biopsy forceps device Pending CN111658023A (en)

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