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CN205947837U - Measurable quantity tissue tension organize nipper - Google Patents

Measurable quantity tissue tension organize nipper Download PDF

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Publication number
CN205947837U
CN205947837U CN201620652182.5U CN201620652182U CN205947837U CN 205947837 U CN205947837 U CN 205947837U CN 201620652182 U CN201620652182 U CN 201620652182U CN 205947837 U CN205947837 U CN 205947837U
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fixed
clamp
tissue
handle
rest pad
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梅杰
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Lishui City Peoples Hospital
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Lishui City Peoples Hospital
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Abstract

一种可测量组织张力的组织抓钳,包括抓钳本体,抓钳本体包括支承块固定在支承块上的固定手柄,与固定手柄转动连接的活动手柄,支承块的端部固定有钳杆,钳杆的端部安装有钳夹,活动手柄上转动连接有控制钳夹张开或夹持的拉杆,支承块上安装有能使活动手柄复位的复位弹簧,固定手柄的内侧固定有卡板一,活动手柄的内侧固定有卡板二,卡板一的内表面和卡板二的外表面都固定有锯齿钩,卡板一和卡板二形状位置匹配,支承块的外端部设有微型拉力传感器,微型拉力传感器的一端固定在支承块的外端部处,其另一端固定有拉环,微型拉力传感器与钳杆在同一轴线上。本实用新型结构设计巧妙,该组织抓钳能够测量组织张力,效果好、直观,值得推广应用。

A tissue grasping forceps capable of measuring tissue tension, comprising a forceps body, a forceps body comprising a fixed handle with a support block fixed on the support block, a movable handle rotatably connected to the fixed handle, and a forceps rod fixed at the end of the support block, The end of the clamp rod is equipped with clamps, the movable handle is rotated and connected with a pull rod to control the opening or clamping of the clamps, the supporting block is installed with a return spring that can reset the movable handle, and the inner side of the fixed handle is fixed with a clamping plate. , the inner side of the movable handle is fixed with the second clamp, the inner surface of the first clamp and the outer surface of the second clamp are fixed with sawtooth hooks, the shape and position of the first clamp and the second clamp are matched, and the outer end of the support block is provided with a miniature Tension sensor, one end of the miniature tension sensor is fixed at the outer end of the support block, and the other end is fixed with a pull ring, and the miniature tension sensor is on the same axis as the pliers rod. The utility model has an ingenious structural design, the tissue grasping forceps can measure the tissue tension, the effect is good and intuitive, and it is worth popularizing and applying.

Description

可测量组织张力的组织抓钳Tissue Graspers to Measure Tissue Tension

技术领域technical field

本实用新型涉及一种医疗器械,尤其是一种可测量组织张力的组织抓钳。The utility model relates to a medical device, in particular to a tissue grasping forceps capable of measuring tissue tension.

背景技术Background technique

当人体组织撕裂后(比如肩袖组织),手术时需要将撕裂的组织抓持住,然后对组织进行牵拉、复位、缝合、固定等操作,让人体组织自行愈合。新鲜的组织撕裂很容易牵拉回原来的解剖部位进行缝合固定操作,陈旧的撕裂由于组织退变及回缩,会造成组织张力过大,张力越大的组织越难牵拉回原来的解剖部位(如果强行将张力很大的组织固定在原来的解剖部位,会造成人体力学紊乱,而且会影响组织的愈合),所以组织缝合固定时需取一个合适的张力值,过大的张力或者过小的张力都是不合适的。况且若没有大量的临床具体数据的产生,也不利于医学科学的研究。目前医生都是根据自身的经验来自行判断缝合固定时合适的张力值是多少,目前市面上还没有一种用于测量组织张力的组织抓钳。When the human tissue is torn (such as the rotator cuff tissue), the torn tissue needs to be grasped during the operation, and then the tissue is pulled, reset, sutured, fixed, etc., so that the human tissue can heal itself. Fresh tissue tears are easily pulled back to the original anatomical site for suturing and fixation. Old tears will cause excessive tissue tension due to tissue degeneration and retraction. The greater the tension, the harder it is to pull the tissue back to the original Anatomical site (if the tissue with high tension is forcibly fixed on the original anatomical site, it will cause human mechanical disorder and affect the healing of the tissue), so an appropriate tension value should be taken when suturing and fixing the tissue. Too little tension is not appropriate. Moreover, if there is no large amount of specific clinical data, it is not conducive to the research of medical science. At present, doctors judge the appropriate tension value for suturing and fixing according to their own experience. At present, there is no tissue grasping forceps for measuring tissue tension on the market.

实用新型内容Utility model content

本实用新型要解决上述现有技术的缺点,提供一种能够测量组织张力的抓钳,满足了医生根据组织撕裂程度和时间,能够精确知道需要牵拉组织时,所需牵拉力对撕裂组织恢复最佳效果的需求。The utility model aims to solve the above-mentioned shortcomings of the prior art, and provides a grasping forceps capable of measuring tissue tension, which satisfies the doctor's need to accurately know when the tissue needs to be pulled according to the degree and time of tissue tearing, and the required pulling force for tearing The need for optimal results in fissured tissue recovery.

本实用新型解决其技术问题采用的技术方案:这种可测量组织张力的组织抓钳,包括抓钳本体,抓钳本体包括支承块,固定在支承块上的固定手柄,与固定手柄转动连接的活动手柄,支承块的端部固定有钳杆,钳杆的端部安装有钳夹,活动手柄上转动连接有控制钳夹张开或夹持的拉杆,支承块上安装有能使活动手柄复位的复位弹簧,固定手柄的内侧固定有卡板一,活动手柄的内侧固定有卡板二,卡板一的内表面和卡板二的外表面都固定有锯齿钩,卡板一和卡板二形状位置匹配,支承块的外端部设有微型拉力传感器,微型拉力传感器的一端固定在支承块的外端部处,其另一端固定有拉环,微型拉力传感器与钳杆在同一轴线上。这里选用的微型拉力感器为市面上的现有产品,可选用蚌埠传感器系统工程有限公司的产品,产品型号为JLBM,也可选用具有等同功能的部件;这里拉环的作用是, 可以方便利用手指钩住拉环牵拉整个抓钳本体,从而能够精确的测量出抓钳对于撕裂组织牵拉的牵拉力,精度准,效率高,而且体积小;微型拉力传感器与钳杆在同一轴线上的作用是,增加牵拉精度,避免微型拉力传感器牵拉时与钳杆呈角度,而使牵拉力不准确。The technical solution adopted by the utility model to solve its technical problems: the tissue grasping forceps that can measure tissue tension include a forceps body, the forceps body includes a support block, a fixed handle fixed on the support block, and a handle connected to the fixed handle in rotation. Movable handle, the end of the support block is fixed with a clamp rod, the end of the clamp rod is installed with a clamp, the movable handle is connected with a pull bar that controls the opening or clamping of the clamp, and the support block is equipped with a handle that can reset the movable handle. The return spring of the fixed handle is fixed with the first clamp, the inner side of the movable handle is fixed with the second clamp, the inner surface of the first clamp and the outer surface of the second clamp are fixed with sawtooth hooks, the first clamp and the second clamp The shape and position are matched, and the outer end of the support block is provided with a miniature tension sensor. One end of the miniature tension sensor is fixed at the outer end of the support block, and the other end is fixed with a pull ring. The miniature tension sensor and the pincer rod are on the same axis. The miniature tension sensor selected here is an existing product on the market, and the product of Bengbu Sensor System Engineering Co., Ltd., the product model is JLBM, or a component with the same function can also be selected; the function of the pull ring here is that it can be used conveniently Fingers hook the pull ring to pull the entire grasper body, so that the pulling force of the grasper for tearing tissue can be accurately measured, with accurate precision, high efficiency, and small size; the miniature tension sensor and the forceps rod are on the same axis The above function is to increase the pulling accuracy and avoid the angle between the micro tension sensor and the pliers rod when pulling, which will make the pulling force inaccurate.

进一步完善,支承块的侧部设置有长形平面,长形平面上固定有沿“X”方向设置的滑轨,滑轨上滑动连接有滚珠滑块,滚珠滑块的外端面固定有长杆。这里长形平面、滑轨、滚珠滑块、长杆的作用是,可以一手握住长杆来保持整个抓钳的平衡,另一只手来拉动拉环,从而能够保持抓钳在相对稳定不偏移的情况下来牵拉组织,减少抓钳偏移拉动而造成病人的不舒服;这里滚珠滑块和滑轨之间的摩擦力很小可以忽略不计,如果有摩擦力,也可以利用抓钳没有夹住撕裂组织前进行牵拉得到的数值,抓钳夹持住撕裂组织后进行牵拉得到的数值,两者相差,即可得到准确的数值。Further improvement, the side of the support block is provided with a long plane, on which a slide rail along the "X" direction is fixed, a ball slider is slidably connected to the slide rail, and a long rod is fixed on the outer end of the ball slide . Here, the functions of the long plane, the slide rail, the ball slider, and the long rod are to hold the long rod with one hand to maintain the balance of the entire gripper, and pull the pull ring with the other hand, so as to keep the gripper in a relatively stable position. Pull the tissue in the case of deviation, reduce the patient's discomfort caused by the deviation and pulling of the grasper; here, the friction between the ball slider and the slide rail is very small and can be ignored. If there is friction, the grasper can also be used The value obtained by stretching before the torn tissue is not clamped, and the value obtained by pulling the torn tissue after the grasper clamps the torn tissue, the difference between the two can obtain the accurate value.

进一步完善,长杆上套有防滑胶套。这里防滑胶套的作用是,可以增加手与长杆之间的摩擦力,从而防止抓钳滑动或掉落,影响手术,减少病人的不舒服。As a further improvement, the long rod is covered with a non-slip rubber sleeve. The role of the anti-slip rubber sleeve here is to increase the friction between the hand and the long rod, thereby preventing the grasping forceps from sliding or falling, affecting the operation and reducing the discomfort of the patient.

进一步完善,长杆上安装有能显示微型拉力传感器拉力数值的显示屏。这里显示屏能显示微型拉力传感器的拉力数值,从而能够方便观察竖直并记录下来。For further improvement, a display screen capable of displaying the tension value of the miniature tension sensor is installed on the long pole. Here the display screen can display the tension value of the miniature tension sensor, so that it can be conveniently observed and recorded vertically.

本实用新型有益的效果是:本实用新型结构设计巧妙、合理,利用抓钳上安装微型拉力传感器的方式,可以精准的知道抓钳牵拉撕裂组织的拉力,从而记录下数值,根据病人的恢复情况,来判断该牵拉数值对于该撕裂组织的恢复情况,恢复的好就可采用该数值,恢复不好,再通过下个案例来精确牵拉数值,通过大量临床案例,从而得到精确的牵拉数值对应不同组织撕裂大小、萎缩情况,进而产生一个数值标准来执行相关撕裂组织恢复的相关手术,达到任何一个医生根据相关参数就能进行该类手术的效果也有利于医学科学的研究,值得推广应用。The beneficial effects of the utility model are: the structure design of the utility model is ingenious and reasonable, and by using the way of installing a miniature tension sensor on the grasping forceps, the pulling force of the grasping forceps pulling the torn tissue can be accurately known, thereby recording the value, and according to the patient's To judge the recovery of the stretching value for the torn tissue, if the recovery is good, the value can be used, and if the recovery is not good, then the next case can be used to accurately stretch the value, and a large number of clinical cases can be used to obtain accurate The stretching value corresponds to the tear size and atrophy of different tissues, and then generates a numerical standard to perform related operations related to the recovery of the torn tissue. It is also beneficial to medical science to achieve the effect that any doctor can perform this type of operation according to relevant parameters. The research is worthy of popularization and application.

附图说明Description of drawings

图1为本实用新型的结构示意图;Fig. 1 is the structural representation of the utility model;

图2为图1的A方向视角视图;Fig. 2 is a perspective view in direction A of Fig. 1;

图3为抓钳本体的原理图。Figure 3 is a schematic diagram of the grasper body.

附图标记说明:抓钳本体1,支承块1-1,固定手柄1-2,卡板一1-2a,活动手柄1-3,卡板二1-3a,锯齿钩a,钳杆1-4,钳夹1-5,拉杆1-6,复位弹簧1-7,微型拉力传感器2, 拉环3,滑轨4,滚珠滑块5,长杆6,防滑胶套6-1,显示屏7。Explanation of reference numerals: pliers body 1, supporting block 1-1, fixed handle 1-2, clamping plate 1-2a, movable handle 1-3, clamping plate 2 1-3a, sawtooth hook a, pliers rod 1- 4. Clamp 1-5, pull rod 1-6, return spring 1-7, miniature tension sensor 2, pull ring 3, slide rail 4, ball slider 5, long rod 6, anti-slip rubber sleeve 6-1, display screen 7.

具体实施方式detailed description

下面结合附图对本实用新型作进一步说明:Below in conjunction with accompanying drawing, the utility model is further described:

参照附图:这种可测量组织张力的组织抓钳,包括抓钳本体1,抓钳本体1包括支承块1-1,固定在支承块1-1上的固定手柄1-2,与固定手柄1-2转动连接的活动手柄1-3,支承块1-1的端部固定有钳杆1-4,钳杆1-4的端部安装有钳夹1-5,活动手柄1-3上转动连接有控制钳夹1-5张开或夹持的拉杆1-6,支承块1-1上安装有能使活动手柄1-3复位的复位弹簧1-7,固定手柄1-2的内侧固定有卡板一1-2a,活动手柄1-3的内侧固定有卡板二1-3a,卡板一1-2a的内表面和卡板二1-3a的外表面都固定有锯齿钩a,卡板一1-2a和卡板二1-3a形状位置匹配,支承块1-1的外端部设有微型拉力传感器2,微型拉力传感器2的一端固定在支承块1-1的外端部处,其另一端固定有拉环3,微型拉力传感器2与钳杆1-4在同一轴线上。Referring to the accompanying drawings: the tissue grasper capable of measuring tissue tension includes a grasper body 1, the grasper body 1 includes a support block 1-1, a fixed handle 1-2 fixed on the support block 1-1, and a fixed handle 1-2 Rotate the movable handle 1-3 connected, the end of the supporting block 1-1 is fixed with the clamp rod 1-4, the end of the clamp rod 1-4 is equipped with the clamp 1-5, and the movable handle 1-3 The pull bar 1-6 that is connected to control the opening or clamping of the clamp 1-5 is rotated, and the return spring 1-7 that can reset the movable handle 1-3 is installed on the support block 1-1, and the inner side of the fixed handle 1-2 Clamp one 1-2a is fixed, the inner side of movable handle 1-3 is fixed with clamp two 1-3a, the inner surface of clamp one 1-2a and the outer surface of clamp two 1-3a are all fixed with sawtooth hook a , the shape and position of the card board 1-2a and the card board 2 1-3a match, the outer end of the support block 1-1 is provided with a miniature tension sensor 2, and one end of the miniature tension sensor 2 is fixed on the outer end of the support block 1-1 Department, the other end of which is fixed with a pull ring 3, and the miniature tension sensor 2 is on the same axis as the pincer rod 1-4.

支承块1-1的侧部设置有长形平面1-1a,长形平面1-1a上固定有沿“X”方向设置的滑轨4,滑轨4上滑动连接有滚珠滑块5,滚珠滑块5的外端面固定有长杆6。The side of the support block 1-1 is provided with an elongated plane 1-1a, on which a slide rail 4 arranged along the "X" direction is fixed, and a ball slider 5 is slidably connected to the slide rail 4, and the balls The outer end surface of the slider 5 is fixed with a long rod 6 .

长杆6上套有防滑胶套6-1。The long pole 6 is covered with a non-slip rubber sleeve 6-1.

长杆6上安装有能显示微型拉力传感器2拉力数值的显示屏7。The long bar 6 is equipped with a display screen 7 that can show the tension value of the miniature tension sensor 2 .

使用时,把抓钳本体1的钳杆1-4伸入到病人体内,通过观察镜(如腹腔镜、关节镜头等)来观察撕裂组织,然后手捏活动手柄1-3,活动手柄1-3通过拉杆1-6,使钳夹1-5牢固夹住撕裂的组织,活动手柄1-3上的卡板二1-3a会根据活动手柄1-3的转动而转动,所以通过卡板二1-3a上的锯齿钩a,钩住卡板一1-2a上的锯齿钩a,进而达到握住活动手柄1-3上的手松开时,钳夹1-5依旧能夹持住撕裂组织,这时,医生的一只手手握住长杆6,另一只手钩住拉环3进行牵拉,经验丰富的医生根据撕裂组织的大小及组织萎缩程度来确定抓钳牵拉撕裂组织到哪个位置,并通过显示屏7记录下该状态下的拉力数值,最后通过固定装置固定住撕裂组织,通过固定装置固定好撕裂组织后,再通过活动手柄1-3相对固定手柄1-2错开一小段距离,从而使得活动手柄1-3上卡板二1-3a的锯齿钩a脱离固定手柄1-2上卡板一1-2a的锯齿钩a,最后通过复位弹簧1-7使活动手柄1-3复位到初始位置,这时钳夹1-5松开撕裂组织,钳杆1-4从病人体内拿出,这种组织抓钳能够有效转化医生 的丰富经验,从抽象的语言,准确的转换成数值,从而利于医学经验的传播,并能减轻医生的学习负担,也有利于医学科学的研究,值得推广应用。During use, put the pliers rod 1-4 of the grasping forceps body 1 into the patient's body, observe the torn tissue through an observation mirror (such as a laparoscope, a joint lens, etc.), then pinch the movable handle 1-3, and the movable handle 1 -3 through the pull rod 1-6, the clamp 1-5 firmly clamps the torn tissue, and the clamping plate 2 1-3a on the movable handle 1-3 can rotate according to the rotation of the movable handle 1-3, so through the clamping The sawtooth hook a on the board two 1-3a hooks the sawtooth hook a on the clamping board one 1-2a, and then when the hand on the movable handle 1-3 is released, the clamp 1-5 can still clamp At this time, the doctor holds the long rod 6 with one hand, and hooks the pull ring 3 with the other hand for pulling. The experienced doctor determines the size of the torn tissue and the degree of tissue atrophy. The forceps pulls the torn tissue to which position, and records the tension value in this state through the display screen 7, and finally fixes the torn tissue through the fixing device. 3 Stagger a small distance relative to the fixed handle 1-2, so that the sawtooth hook a of the clamp 1-3a on the movable handle 1-3 is separated from the sawtooth hook a of the clamp 1-2a on the fixed handle 1-2, and finally pass Back-moving spring 1-7 resets movable handle 1-3 to initial position, at this moment pincers 1-5 unclamps torn tissue, and pincer bar 1-4 is taken out from patient's body, and this tissue grasping pincers can effectively transform doctor's Rich experience, from abstract language, can be accurately converted into numerical value, which is conducive to the dissemination of medical experience, can reduce the learning burden of doctors, and is also conducive to the research of medical science, which is worthy of promotion and application.

虽然本实用新型已通过参考优选的实施例进行了图示和描述,但是,本专业普通技术人员应当了解,在权利要求书的范围内,可作形式和细节上的各种各样变化。Although the present invention has been illustrated and described with reference to preferred embodiments, it will be understood by those skilled in the art that various changes in form and details may be made within the scope of the claims.

Claims (4)

1. a kind of tissue grasper measuring tissue tension, including nipper body (1), described nipper body (1) includes rest pad (1-1), it is fixed on the fixed handle (1-2) on rest pad (1-1), rotate, with fixed handle (1-2), the flexible handle (1- being connected 3), the end of described rest pad (1-1) is fixed with claw beam (1-4), and the end of described claw beam (1-4) is provided with clamp (1-5), institute State and the pull bar (1-6) controlling clamp (1-5) to open or clamp, described rest pad (1-1) are rotatably connected on flexible handle (1-3) On the back-moving spring (1-7) that flexible handle (1-3) can be made to reset is installed, the inner side of described fixed handle (1-2) is fixed with card Plate one (1-2a), the inner side of described flexible handle (1-3) is fixed with clamp two (1-3a), the inner surface of described clamp one (1-2a) All it is fixed with sawtooth hook (a) with the outer surface of clamp two (1-3a), described clamp one (1-2a) and clamp two (1-3a) shape position Put coupling, it is characterized in that:The outer end of described rest pad (1-1) is provided with Minitype tension sensor (2), described miniature spring sensing One end of device (2) is fixed at the outer end of rest pad (1-1), and its other end is fixed with draw ring (3), described miniature spring sensing Device (2) is with claw beam (1-4) on the same axis.
2. the tissue grasper measuring tissue tension according to claim 1, is characterized in that:Described rest pad (1-1) Sidepiece is provided with elongated plane (1-1a), and described elongated plane (1-1a) is fixed with the slide rail (4) along the setting of " X " direction, institute State and ball slider (5) is slidably connected on slide rail (4), the outer face of described ball slider (5) is fixed with stock (6).
3. the tissue grasper measuring tissue tension according to claim 2, is characterized in that:It is cased with described stock (6) Antiskid glue sleeve (6-1).
4. the tissue grasper of the measured tissue tension according to Claims 2 or 3, is characterized in that:Described stock (6) is upper to pacify Equipped with the display screen (7) that can show Minitype tension sensor (2) pulling force numerical value.
CN201620652182.5U 2016-06-23 2016-06-23 Measurable quantity tissue tension organize nipper Expired - Fee Related CN205947837U (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107837451A (en) * 2017-12-05 2018-03-27 重庆医科大学附属儿童医院 A kind of double J pipe extractor
RU220955U1 (en) * 2023-07-26 2023-10-11 Федеральное государственное бюджетное образовательное учреждение высшего образования "Самарский государственный медицинский университет" Министерства здравоохранения Российской Федерации Device for intraoperative determination of the degree of tension of threads and tissues

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107837451A (en) * 2017-12-05 2018-03-27 重庆医科大学附属儿童医院 A kind of double J pipe extractor
RU220955U1 (en) * 2023-07-26 2023-10-11 Федеральное государственное бюджетное образовательное учреждение высшего образования "Самарский государственный медицинский университет" Министерства здравоохранения Российской Федерации Device for intraoperative determination of the degree of tension of threads and tissues

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