CN212234520U - Continuous sampling biopsy forceps - Google Patents
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- CN212234520U CN212234520U CN202020144536.1U CN202020144536U CN212234520U CN 212234520 U CN212234520 U CN 212234520U CN 202020144536 U CN202020144536 U CN 202020144536U CN 212234520 U CN212234520 U CN 212234520U
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- 238000005070 sampling Methods 0.000 title claims abstract description 104
- 238000001574 biopsy Methods 0.000 title claims abstract description 52
- 230000000903 blocking effect Effects 0.000 claims description 8
- 230000007704 transition Effects 0.000 claims description 2
- 239000000523 sample Substances 0.000 description 19
- 238000010586 diagram Methods 0.000 description 18
- 230000003902 lesion Effects 0.000 description 8
- 230000000740 bleeding effect Effects 0.000 description 2
- 238000001839 endoscopy Methods 0.000 description 2
- 238000007689 inspection Methods 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- 238000013188 needle biopsy Methods 0.000 description 2
- 229910000831 Steel Inorganic materials 0.000 description 1
- 210000000683 abdominal cavity Anatomy 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 230000001575 pathological effect Effects 0.000 description 1
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Abstract
本实用新型公开了一种连续取样活检钳,包括钳头架、左钳头、右钳头、支撑机构和取样针;钳头架包括基台、左支架、右支架和拱形平台;支撑机构可旋转地连接左钳头到左支架,并可旋转地连接右钳头到右支架;支撑机构的中部设置有通孔,用于容纳取样针;支撑机构的中部间隔左钳头的钳头柄和右钳头的钳头柄;取样针位于支撑机构上方、左钳头的钳头柄与右钳头的钳头柄之间的部分形成样本储存空间。在上述结构中,支撑机构可以保证取样针针尖的位置准确并且不会出现晃动,同时,支撑机构可以增强钳头架的稳定性,方便连续取样操作。
The utility model discloses a continuous sampling biopsy forceps, comprising a forceps head frame, a left forceps head, a right forceps head, a support mechanism and a sampling needle; the forceps head frame includes a base, a left bracket, a right bracket and an arched platform; a support mechanism The left clamp head is rotatably connected to the left bracket, and the right clamp head is rotatably connected to the right support; the middle part of the support mechanism is provided with a through hole for accommodating the sampling needle; the middle part of the support mechanism is spaced from the clamp head handle of the left clamp head and the plier head handle of the right plier head; the sampling needle is located above the support mechanism, and the part between the plier head handle of the left plier head and the plier head handle of the right plier head forms a sample storage space. In the above structure, the support mechanism can ensure that the position of the needle tip of the sampling needle is accurate and does not shake, and at the same time, the support mechanism can enhance the stability of the forceps head frame and facilitate continuous sampling operations.
Description
技术领域technical field
本实用新型涉及一种连续取样活检钳,属于医疗器械领域。The utility model relates to a continuous sampling biopsy forceps, which belongs to the field of medical instruments.
背景技术Background technique
活检钳是一种用于对人体腹腔内病灶部位进行咬切取样的工具,一般与内窥镜配合使用。在内窥镜检查中,当需要对病变部位进行病理检查时,通过内窥镜钳道将活检钳送入病人体内,夹取病变部位的组织。通过活检钳取样痛苦小、创伤小,故深受医生和病人的欢迎。Biopsy forceps is a tool used for biting and sampling the lesions in the human abdominal cavity, and is generally used in conjunction with endoscopes. In endoscopy, when the pathological examination of the lesion site is required, the biopsy forceps are sent into the patient through the endoscope forceps channel, and the tissue of the lesion site is clamped. Sampling with biopsy forceps is less painful and less invasive, so it is very popular among doctors and patients.
在现有活检钳的钳头组件中,两个钳头通过同一铆钉铰接在钳头架上。受限于钳头组件内样品储存空间狭小,现有的有针活检钳和无针活检钳仅可用于一次或少量取样。而在常规内窥镜检查时,一个病灶或一例活检通常需要取检3至4块左右的标本,使用上述活检钳需要通过内窥镜钳道进退钳各3至4次左右,且每次进钳后还要对内窥镜的物镜和活检钳的钳头作调整,操作耗时耗力。再者,每次取检的创面在取检后几秒钟内会开始有少量出血,需1~5分钟才能自行停止。这种少量的出血会污染病灶,影响视野,使后续取检的准确性降低。为此,如果可以制作出连续取样的活检钳,使之在一次进钳操作的过程中,快速完成对同一病灶或同一例活检的取样,将会降低取样的操作难度,减少取样时间,从而减少病人痛苦。In the forceps head assembly of the existing biopsy forceps, the two forceps heads are hinged on the forceps head frame by the same rivet. Due to the limited sample storage space in the forceps head assembly, the existing needle biopsy forceps and needleless biopsy forceps can only be used for one or a small amount of sampling. However, during routine endoscopy, a lesion or a biopsy usually requires about 3 to 4 specimens. Using the above biopsy forceps requires about 3 to 4 times of advancing and retreating the forceps through the endoscope channel, and each insertion After the forceps, the objective lens of the endoscope and the forceps head of the biopsy forceps must be adjusted, which is time-consuming and labor-intensive. Furthermore, a small amount of bleeding will begin to occur within a few seconds after the inspection of each wound surface, and it will take 1 to 5 minutes to stop on its own. This small amount of bleeding will contaminate the lesion, affect the visual field, and reduce the accuracy of subsequent inspections. For this reason, if a biopsy forceps for continuous sampling can be made, so that it can quickly complete the sampling of the same lesion or the same biopsy during one operation of the forceps, it will reduce the difficulty of sampling operation, reduce the sampling time, and thus reduce the The patient suffers.
发明内容SUMMARY OF THE INVENTION
本实用新型所要解决的技术问题在于提供一种连续取样活检钳。The technical problem to be solved by the utility model is to provide a continuous sampling biopsy forceps.
为了实现上述技术目的,本实用新型采用下述技术方案:In order to realize the above-mentioned technical purpose, the utility model adopts the following technical scheme:
根据本实用新型所提供的实施例,一种连续取样活检钳,包括钳头架、左钳头、右钳头、支撑机构和取样针;According to the embodiment provided by the present utility model, a continuous sampling biopsy forceps includes a forceps head frame, a left forceps head, a right forceps head, a support mechanism and a sampling needle;
所述钳头架包括基台、左支架、右支架,所述左支架和所述右支架相对设置在所述基台的两侧;The forceps head frame includes a base, a left support, and a right support, and the left support and the right support are oppositely arranged on two sides of the base;
所述支撑机构可旋转地连接所述左钳头到所述左支架,并可旋转地连接所述右钳头到所述右支架;the support mechanism rotatably connects the left pliers head to the left bracket, and rotatably connects the right pliers head to the right bracket;
所述支撑机构的中部设置有通孔;所述通孔容纳所述取样针;所述支撑机构的中部间隔所述左钳头的钳头柄与所述右钳头的钳头柄,所述取样针位于所述支撑机构上方、所述左钳头的钳头柄与所述右钳头的钳头柄之间的部分形成样本储存空间。The middle part of the support mechanism is provided with a through hole; the through hole accommodates the sampling needle; the middle part of the support mechanism is spaced apart from the clamp head handle of the left clamp head and the clamp head handle of the right clamp head, the The sampling needle is located above the support mechanism, and the part between the forceps handle of the left forceps head and the forceps handle of the right forceps head forms a sample storage space.
根据本实用新型所提供的实施例,所述支撑机构包括第一连接件和第二连接件,其中,第一连接件包括第一连接部和支撑部;所述第一连接部从所述支撑部面向所述左支架的一侧延伸;所述第一连接部用于将所述左钳头的钳头柄铰接到所述左支架;所述支撑部远离所述第一连接部的一侧设置有与所述通孔垂直的连接孔;According to an embodiment provided by the present invention, the support mechanism includes a first connecting member and a second connecting member, wherein the first connecting member includes a first connecting portion and a supporting portion; the first connecting portion is connected from the supporting portion. The first connecting part is used for hingedly connecting the pliers handle of the left pliers to the left bracket; the supporting part is away from the side of the first connecting part A connecting hole perpendicular to the through hole is provided;
所述第二连接件用于将所述右钳头的钳头柄铰接到所述右支架,并且,所述第二连接件的一端穿入所述连接孔内,The second connecting piece is used for hingedly connecting the plier head handle of the right pliers head to the right bracket, and one end of the second connecting piece penetrates into the connecting hole,
所述通孔设置在所述支撑部。The through hole is provided in the support portion.
根据本实用新型所提供的实施例,所述支撑机构包括对称的第一支撑部件和第二支撑部件;According to the embodiment provided by the present invention, the support mechanism includes a symmetrical first support member and a second support member;
所述第一支撑部件包括左连接部、左支撑部、左半圆柱形通孔、第一配合部和第二配合部;the first supporting part includes a left connecting part, a left supporting part, a left semi-cylindrical through hole, a first matching part and a second matching part;
所述第二支撑部件包括右连接部、右支撑部、右半圆柱形通孔、第一配合部和第二配合部;the second supporting part includes a right connecting part, a right supporting part, a right semi-cylindrical through hole, a first matching part and a second matching part;
所述左连接部用于将所述左钳头的钳头柄铰接到所述左支架;所述右连接部用于将所述右钳头的钳头柄铰接到所述右支架;The left connecting part is used for hingedly connecting the plier head handle of the left plier head to the left bracket; the right connecting part is used for hingedly connecting the plier head handle of the right plier head to the right bracket;
通过所述第一配合部和所述第二配合部的连接,所述左支撑部和所述右支撑部组成支撑部,所述左半圆柱形通孔和所述右半圆柱形通孔组成所述通孔。Through the connection of the first matching part and the second matching part, the left support part and the right support part form a support part, and the left semi-cylindrical through hole and the right semi-cylindrical through hole form a support part. the through hole.
根据本实用新型所提供的实施例,所述支撑机构包括第一枢接件、第二枢接件和支撑件;在所述支撑件的两侧分别开设有连接孔,所述第一枢接件和所述第二枢接件分别通过连接孔连接到所述支撑件的两侧;According to the embodiment of the present invention, the support mechanism includes a first pivot piece, a second pivot piece and a support piece; connecting holes are respectively opened on both sides of the support piece, and the first pivot piece The part and the second pivoting part are respectively connected to both sides of the supporting part through connecting holes;
所述第一枢接件用于将所述左钳头的钳头柄铰接到所述左支架;所述第二枢接件用于将所述右钳头的钳头柄铰接到所述右支架;The first pivot piece is used to hinge the plier head handle of the left plier head to the left bracket; the second pivot piece is used to hinge the plier head handle of the right plier head to the right bracket;
所述通孔设置在所述支撑件上。The through hole is provided on the support.
其中较优地,所述钳头架还包括拱形平台,所述拱形平台从所述基台前端延伸至所述左支架和所述右支架之间;Preferably, the forceps head frame further comprises an arched platform, and the arched platform extends from the front end of the base to between the left bracket and the right bracket;
在所述拱形平台上设置有所述取样针,所述取样针从所述通孔中穿过,并且,所述取样针的前端延伸至所述左钳头的钳口和所述右钳头的钳口之间。The sampling needle is arranged on the arched platform, the sampling needle passes through the through hole, and the front end of the sampling needle extends to the jaws of the left forceps head and the right forceps between the jaws of the head.
其中较优地,所述连续取样活检钳还包括左连杆和右连杆;Preferably, the continuous sampling biopsy forceps further comprises a left connecting rod and a right connecting rod;
所述左钳头的后端与所述右连杆的前端铰接,所述右连杆的后端从所述钳头架内拱形平台右侧的空隙进入所述基台内部;所述右钳头的后端与所述左连杆的前端铰接,所述左连杆的后端从所述钳头架内拱形平台左侧的空隙进入所述基台内部。The rear end of the left clamp head is hinged with the front end of the right connecting rod, and the rear end of the right connecting rod enters the inside of the base from the gap on the right side of the arched platform in the clamp head frame; The rear end of the forceps head is hinged with the front end of the left connecting rod, and the rear end of the left connecting rod enters the interior of the base from the gap on the left side of the arched platform in the forceps head frame.
其中较优地,所述左连杆和所述右连杆的厚度分别等于或略小于所述拱形平台两侧的空隙的宽度。Preferably, the thicknesses of the left link and the right link are respectively equal to or slightly smaller than the width of the gaps on both sides of the arched platform.
其中较优地,所述左连杆和所述右连杆的后端通过导向铆钉与所述拉杆的顶端铰接。Preferably, the rear ends of the left link and the right link are hinged with the top end of the pull rod through guide rivets.
其中较优地,所述拉杆的后端连接有连接管。Preferably, the rear end of the pull rod is connected with a connecting pipe.
其中较优地,在所述钳头架的下部连接有套管,所述套管两端开设盲孔,并在中部形成有封堵部,在封堵部的中心设置有用于限位的通孔;Preferably, a sleeve is connected to the lower part of the forceps head frame, blind holes are formed at both ends of the sleeve, and a blocking part is formed in the middle, and a through hole for limiting the position is arranged in the center of the blocking part. hole;
所述拉杆及所述连接管从所述用于限位的通孔中穿过。The tie rod and the connecting pipe pass through the through hole for positioning.
其中较优地,所述取样针包括圆柱形的针体,在针体的前端形成有圆锥柱形的针尖,并在针尖的前端形成有向外侧突出的箭头形状的凸起。Preferably, the sampling needle comprises a cylindrical needle body, a conical cylindrical needle tip is formed at the front end of the needle body, and an arrow-shaped protrusion protruding outward is formed at the front end of the needle tip.
本实用新型所提供的连续取样活检钳,左钳头的钳头柄和右钳头的钳头柄通过支撑机构可旋转地连接到钳头架前端的两侧,在支撑机构的中部设置有上下贯通的通孔,取样针从通孔中穿过,支撑机构可以保证针尖的位置准确并且不会出现晃动,同时,可以增强钳头架的稳定性,减少左钳头和右钳头的晃动,方便连续取样操作。在上述结构中,支撑机构的中部间隔左钳头的钳头柄和右钳头的钳头柄,从而在支撑机构上方两个钳头的钳头柄之间和钳口之间形成容纳样品的空间,样本储存空间大,有利于多次连续取样。In the continuous sampling biopsy forceps provided by the utility model, the forceps head handle of the left forceps head and the forceps head handle of the right forceps head are rotatably connected to both sides of the front end of the forceps head frame through a supporting mechanism, and upper and lower jaws are arranged in the middle of the supporting mechanism. Through the through hole, the sampling needle passes through the through hole, the support mechanism can ensure the accurate position of the needle tip and will not shake, at the same time, it can enhance the stability of the clamp head frame and reduce the shaking of the left clamp head and the right clamp head. It is convenient for continuous sampling operation. In the above structure, the middle part of the support mechanism is spaced apart from the clamp head handle of the left clamp head and the clamp head handle of the right clamp head, so that a sample accommodating sample is formed between the clamp head handles of the two clamp heads and between the jaws above the support mechanism. Space, sample storage space is large, which is conducive to multiple consecutive sampling.
附图说明Description of drawings
图1是第一实施例所提供的连续取样活检钳的张开状态示意图;Fig. 1 is the schematic diagram of the open state of the continuous sampling biopsy forceps provided by the first embodiment;
图2是图1所示连续取样活检钳的俯视结构示意图;Fig. 2 is the top view structure schematic diagram of continuous sampling biopsy forceps shown in Fig. 1;
图3是图2所示连续取样活检钳的O-O剖视结构示意图;Fig. 3 is the O-O sectional structure schematic diagram of the continuous sampling biopsy forceps shown in Fig. 2;
图4是图1所示连续取样活检钳的闭合状态示意图;Fig. 4 is the closed state schematic diagram of the continuous sampling biopsy forceps shown in Fig. 1;
图5A是图4所示连续取样活检钳的一种视角的剖视结构示意图;FIG. 5A is a cross-sectional structural schematic diagram of a viewing angle of the continuous sampling biopsy forceps shown in FIG. 4;
图5B是图4所示连续取样活检钳的另一种视角的剖视结构示意图;5B is a cross-sectional structural schematic diagram of another view of the continuous sampling biopsy forceps shown in FIG. 4;
图6是钳头架的结构示意图;Fig. 6 is the structural representation of the clamp head frame;
图7是钳头架的俯视结构示意图;Fig. 7 is the top view structure schematic diagram of the clamp head frame;
图8A是图7所示钳头架的A-A剖视结构示意图;Fig. 8A is the A-A sectional structure schematic diagram of the forceps head frame shown in Fig. 7;
图8B是图7所示钳头架的B-B剖视结构示意图;Fig. 8B is a B-B cross-sectional structural schematic diagram of the forceps head holder shown in Fig. 7;
图9是钳头的结构示意图;Fig. 9 is the structural representation of pliers head;
图10是支撑机构中第一连接件的结构示意图;10 is a schematic structural diagram of a first connector in the support mechanism;
图11是第一连接件的正视结构示意图;Figure 11 is a schematic front view of the first connector;
图12是第一连接件的剖视结构示意图;Figure 12 is a schematic cross-sectional view of the first connector;
图13是支撑机构中第二连接件的结构示意图;Figure 13 is a schematic structural diagram of the second connector in the support mechanism;
图14是连杆的结构示意图;Figure 14 is a schematic structural diagram of a connecting rod;
图15是拉杆的结构示意图;Figure 15 is a schematic structural diagram of a pull rod;
图16是套管的结构示意图;Figure 16 is a schematic structural diagram of the casing;
图17是套管的剖视结构示意图;Figure 17 is a schematic cross-sectional view of the casing;
图18是取样针的结构示意图;Figure 18 is a schematic structural diagram of a sampling needle;
图19是第二实施例中支撑机构的结构示意图;Figure 19 is a schematic structural diagram of the support mechanism in the second embodiment;
图20是第三实施例中支撑机构的结构示意图;Fig. 20 is the structural schematic diagram of the support mechanism in the third embodiment;
图21是图20所示支撑机构中支撑件的剖面结构示意图。FIG. 21 is a schematic cross-sectional structural diagram of a support member in the support mechanism shown in FIG. 20 .
具体实施方式Detailed ways
下面结合附图和具体的实施例对本实用新型的技术方案进行进一步地详细描述。The technical solutions of the present invention will be described in further detail below with reference to the accompanying drawings and specific embodiments.
为方便理解,本实用新型下文中的“上”、“下”“左”、“右”均为附图中的方向,并不构成对本实用新型的限制。For the convenience of understanding, "up", "down", "left" and "right" in the following description of the present invention are the directions in the drawings, and do not constitute a limitation to the present invention.
在本实用新型所提供的实施例中,连续取样活检钳包括如图1至图5B所示的钳头组件,还包括与钳头组件连接的拉索、弹簧管及操作手柄(未图示)。钳头组件包括钳头架1、左钳头2a、右钳头2b、支撑机构3、左连杆4a、右连杆4b、拉杆5、导向铆钉6、取样针7、套管8和连接管9。其中,钳头架1包括基台11、左支架12a、右支架12b,左支架12a和右支架12b相对设置在基台11的两侧;支撑机构3可旋转地连接左钳头2a到左支架12a,并可旋转地连接右钳头2b到右支架12b;支撑机构3的中部设置有通孔32;通孔32容纳取样针7;支撑机构3的中部间隔左钳头2a的钳头柄21a与右钳头2b的钳头柄21b,取样针7位于支撑机构3上方、左钳头2a的钳头柄21a与右钳头2b的钳头柄21b之间的部分形成样本储存空间。In the embodiment provided by the present utility model, the continuous sampling biopsy forceps includes the forceps head assembly as shown in Fig. 1 to Fig. 5B , and also includes a cable, a spring tube and an operating handle (not shown) connected to the forceps head assembly. . The pliers head assembly includes a
在本实用新型所提供的第一实施例中,支撑机构3包括第一连接件3a和第二连接件3b。为方便理解,以下描述中,以铆钉3b为例表示第二连接件。类似的,第二连接件还可以采用连接柱或其他实现枢接功能的连接件。In the first embodiment provided by the present invention, the support mechanism 3 includes a first connecting
其中,如图6、图7、图8A和图8B所示,钳头架1包括基台11(例如圆管)、左支架12a、右支架12b和拱形平台10;左支架12a、右支架12b、拱形平台10与基台11一体成型。6, 7, 8A and 8B, the
优选地,基台11可以采用圆管实现,以方便连续取样活检钳在人体内部的活动和旋转。下文中以圆管11为例进行描述。Preferably, the
左支架12a和右支架12b分别从圆管11前端向前延伸。本申请中的“前”是指操作者手持活检钳时,从操作者视角而言的前方。左支架12a和右支架12b相对设置在圆管11的前端的两侧,并在左支架12a和右支架12b之间形成导向槽100。The
在导向槽100的底部设置有拱形平台10,拱形平台10从圆管11前端向导向槽100内延伸。拱形平台10位于左支架12a和右支架12b之间的位置。拱形平台10的长度方向与左支架12a和右支架12b的连线垂直。在拱形平台10与左支架12a之间形成供左连杆4a穿过的间隙101;在拱形平台10与右支架12b之间形成供右连杆4b穿过的间隙102。An
第一连接件3a的结构如图10至12所示。第一连接件3a包括第一连接部30和支撑部31。第一连接部30从支撑部31面向左支架12a的一侧延伸。支撑部31位于支撑机构3中间的位置,支撑部31中部具有通孔32以及连接孔33。通孔32上下贯通,用于容纳取样针7。连接孔33设置在支撑部31远离第一连接部30的一侧,连接孔33与通孔32垂直。连接孔33可以是与通孔32相通的通孔,也可以是不与通孔32相通的盲孔。The structure of the
如图2所示,第一连接部30用于将左钳头2a的钳头柄21a(在图9中的用钳头柄21表示)铰接在左支架12a的前端内侧(如图4所示,即左支架12a与右支架12b相对的侧面)。如图13所示的铆钉3b用于将右钳头2b的钳头柄21b(在图9中的用钳头柄21表示)铰接在右支架12b的前端内侧(如图4所示,即右支架12b与左支架12a相对的侧面)。并且,铆钉3b的一端穿入连接孔33内,实现第一连接件3a和铆钉3b(即第二连接件)的连接,第一连接件3a和第二连接件3b组成支撑机构3。设置在支撑机构3中部的支撑部31用于间隔左钳头2a和右钳头2b的钳头柄21a、21b。As shown in FIG. 2 , the first connecting
在左支架12a和右支架12b的前端分别设置有连接孔13a和13b。如图5A所示,第一连接部30依次穿过设置在左钳头2a腰部的铰接孔25a(图9中显示为25)和设置在左支架12a前端的连接孔13a,使左钳头2a的钳头柄21a铰接在左支架12a的前端内侧,第一连接部30与左支架12a固定。铆钉3b依次穿过设置在右钳头2b腰部的铰接孔25b(图9中显示为25)和设置在右支架12b前端的连接孔13b,使右钳头2b的钳头柄21b铰接在右支架12b的前端内侧,并且,铆钉3b靠近支撑部31的一端穿入连接孔33内,铆钉3b的另一端与右支架12b固定。Connecting
在该连续取样活检钳中,左钳头2a和右钳头2b分别通过第一连接部30和铆钉3b(即第二连接件)铰接在钳头架前端的两侧。其中,第一连接部30设置在支撑部31的左侧,铆钉3b连接到支撑部31的右侧,使得第一连接部30与铆钉3b相隔。左钳头2a和右钳头2b分别安装在第一连接部30与铆钉3b上,所以通过使支撑部31的外部尺寸大于第一连接部30和铆钉3b的外部尺寸,并使左钳头2a的钳头柄21a和右钳头2b的钳头柄21b间的宽度尺寸与支撑部31的尺寸相匹配,使得支撑部31间隔左钳头2a的钳头柄和右钳头2b的钳头柄,从而在钳头2a和钳头2b的钳头柄之间和钳口之间形成样本储存空间,用于容纳取样的样品。在上述结构中,已经取样的样本可以下落到支撑部31上方的两个钳头柄21a和21b之间,因此,样本储存空间大,同样有利于多次连续取样。同时,由于第一连接件3a与铆钉3b将钳头架1的左支架12a和右支架12b固定在一起,增强了钳头架1的稳定性,减少左钳头2a和右钳头2b的晃动,方便连续取样操作。较优地,左钳头2a的钳头柄的厚度与支撑部31和左支架12a之间的距离接近;右钳头2b的钳头柄的厚度与支撑部31和右支架12b之间的距离接近,可进一步减少左钳头2a和右钳头2b的晃动和错位。In the continuous sampling biopsy forceps, the
在该连续取样活检钳中所使用的左钳头2a和右钳头2b的结构基本相同,下文以图9所示的单个钳头为例对两个钳头的结构进行详细描述。The structures of the
钳头包括位于前部的钳口22和位于后部的钳头柄21。其中,钳口22包括光滑的弧形外壳,在弧形外壳内部形成钳口腔,钳口腔的中心开设贯通孔23,在钳口腔的边缘设置刃口24。两个钳头的刃口24均开设在钳头的外侧,当两个钳头2a和2b闭合时,两个刃口24对齐吻合,并在两个钳头的闭合位置形成剪切面。The pliers head includes a
钳头柄21是一个近似Z字形的连接部,钳头柄21的前端与钳口22的一侧边沿连接,后端通过弧形过渡形成向钳口中心线靠近的弯柄26。The pliers handle 21 is an approximately zigzag connecting part, the front end of the pliers handle 21 is connected to one side edge of the
左钳头2a和右钳头2b分别通过第一连接件3a和第二连接件3b铰接在左支架12a和右支架12b的前端内侧,左钳头2a的前端2a-1和右钳头2b的前端2b-1(即左钳头2a和右钳头2b的钳口22)执行开合动作,左钳头2a的后端2a-2和右钳头2b的后端2b-2(即左钳头2a和右钳头2b的钳头柄21)可以在导向槽100内活动。The
在钳头柄21的中部(即钳头的腰部)形成铰接孔25。优选地,铰接孔25是由内径不同的两个圆孔组成的阶梯孔;其中,靠近钳头内侧的圆孔的内径大于靠近外侧的圆孔的内径,便于铆接。第一连接件3a的第一连接部30穿过左钳头2a的铰接孔后将左钳头2a铰接在左支架12a前端的内侧,以使左钳头2a的钳头柄可旋转地连接到左支架12a上;铆钉3b穿过右钳头2b的铰接孔后将右钳头2b的钳头柄铰接在右支架12b前端的内侧,以使右钳头2b的钳头柄可旋转地连接到右支架12b上。A
在钳头柄21的后端(即在弯柄位置26)形成铰接孔27。在上述钳头组件中,两个连杆和两个钳头在拱形平台10的两侧交错连接。左钳头2a通过其后端的铰接孔27与右连杆4b的前端铰接;右钳头2b通过其后端的铰接孔27与左连杆4a的前端铰接。左钳头2a、右钳头2b、左连杆4a和右连杆4b组成四连杆机构。通过四连杆机构驱动左钳头2a和右钳头2b前端的开合。左钳头2a和右连杆4b的连接状态参见图4,右钳头2b和左连杆4a的连接状态参见图4。A
左连杆4a和右连杆4b的结构如图14所示。左连杆4a和右连杆4b结构相同,下文以单个连杆为例对两个连杆的结构进行详细描述。左连杆4a和右连杆4b分别包括杆体41,在杆体41的前端形成有台阶状的凸台42,用于与钳头后端的铰接孔27连接,在杆体41的后端设置有铰接孔43,用于和拉杆5铰接。The structures of the
左连杆4a的杆体41的后端从拱形平台10左侧的空隙101进入圆管11内部;右连杆4b的杆体41的后端从拱形平台10右侧的空隙102进入圆管11内部。左连杆4a和右连杆4b的杆体41的厚度t等于或略小于拱形平台10两侧的空隙的宽度d。通过使两个连杆的厚度尺寸与拱形平台两侧空隙的尺寸相匹配,可以使左支架12a、右支架12b、左钳头2a、右钳头2b、左连杆4a、右连杆4b、与拱形平台10相互挤压配合,同样可以增强钳头架1的稳定性,减少左钳头2a和右钳头2b的晃动,方便连续取样操作。The rear end of the
如图5A所示,左连杆4a和右连杆4b的后端通过导向铆钉6与拉杆5的顶端铰接。拉杆5的结构如图15所示,拉杆5包括圆柱形的杆体51,在杆体51的前端设置有环形端部52。左连杆4a和右连杆4b后端的铰接孔43和拉杆5前端的环形端部52通过导向铆钉6铰接。As shown in FIG. 5A , the rear ends of the
如图5B、图6至图8B所示,拱形平台10包括水平部15、倾斜部17和垂直部14。两个垂直部14分别从圆管11前端向上向前延伸。倾斜部17的一端与垂直部14的前端连接,另一端与水平部15的一端连接,因此,倾斜部17如桥一样跨接圆管11的相对两侧。As shown in FIGS. 5B , 6 to 8B , the
如图8A和8B所示,在拱形平台10下方,在拱形平台10与圆管11之间围绕而成的内部,形成供左连杆4a、右连杆4b及拉杆5上下活动的内部空间103;拱形平台10的高度根据左钳头2a和右钳头2b张开到最大时,左连杆4a、右连杆4b及拉杆5所需要向前推动的最大行程确定,保证不发生干涉。左支架12a和右支架12b具有与拱形平台10的内部空间103重合的底部区域20,底部区域20的内径大于左支架12a前端(即图8A中的上端,靠近钳口22的一端)和右支架12b前端(即图8A中的上端,靠近钳口22的一端)之间的距离。换言之,左支架12a和右支架12b在底部区域20形成凹槽。圆管10的内径和底部区域20的内径相等。As shown in FIGS. 8A and 8B , below the
拉杆5带动左连杆4a和右连杆4b的后端在拱形平台10与圆管11之间围绕形成的内部空间103内上下移动的状态参见图3、图5A和图5B。其中,在图3中示出了左连杆4a和右连杆4b的后端所能到达的最上方位置,在该位置,左钳头2a和右钳头2b处于最大张开状态。在图5A和5B中示出了拉杆5将左连杆4a和右连杆4b的后端所能拉到的最下方位置,在该位置,左钳头2a和右钳头2b处于闭合状态。The state in which the
如图3、图5A和图5B所示,拉杆5的后端连接有连接管9。拉杆5的后端插入连接管9中固定。连接管9的后端与拉索连接。通过将拉索插入连接管9后端的孔中并固定,实现连接管9和拉索的连接。As shown in FIG. 3 , FIG. 5A and FIG. 5B , a connecting
如图1至图5B所示,在钳头架1的下部连接有套管8。如图6所示,在钳头架1的圆管11的下端的外部形成有台阶状的卡合部18,通过将圆管11的下端插入套管8的上端后进行卡合,实现两者的连接。As shown in FIGS. 1 to 5B , a
如图16和17所示,套管8两端开设盲孔,并在中部形成有封堵部81,在封堵部81两侧形成两个空腔82和83,套管8后端的空腔83的内径小于套管8前端的空腔82的内径。在封堵部81的中心设置有用于限位的通孔84,拉杆5及连接管9从用于限位的通孔84中穿过,从而限定拉杆5的上下运动,保证两个连杆及两个钳头的运动的稳定性。拉杆5的环形端部51及左连杆4a和右连杆4b的后端可以在封堵部81前方的空腔82和拱形平台10的内部空间内上下移动。As shown in Figures 16 and 17, blind holes are formed at both ends of the
套管8的后端与弹簧管连接,拉索从弹簧管中延伸至控制手柄,弹簧管的后端固定在控制手柄上。上述连续取样活检钳,拉索的一端通过连接管9与拉杆5相连,另一端与控制手柄相连,弹簧管的一端与套管8相连,另一端与控制手柄相连。推、拉控制手柄带动拉索,拉索带动拉杆及四连杆机构动作,四连杆机构带动钳头组件中的两个对称设置的钳头2a和2b实现开、合,从而连续多次切取样本。The rear end of the
如图6和图7所示,在拱形平台10的中部(即,水平部15的中部)形成安装孔16用于设置取样针7。安装孔16可以是通孔或盲孔。取样针7的底部可以与安装孔16固定连接。取样针7的底部也可以从拱形平台10中心的安装孔16穿过并与拱形平台10的底部固定,例如可以采用激光焊接将取样针7的底部固定在拱形平台10的底部。As shown in FIGS. 6 and 7 , a mounting
取样针7设置在拱形平台10上,并向钳头架1的导向槽100内延伸;取样针7的前端从支撑部31的通孔32中穿过并延伸至左钳头2a和右钳头2b前端的钳口之间。The
在该连续取样活检钳中所使用的取样针7的结构如图18所示,取样针7包括圆柱形的针体71,在针体71的前端形成有圆锥柱形的针尖72,并在针尖72的前端进行压扁处理形成有向外侧突出的箭头形状的凸起73,有利于防止样本滑落。上述取样针使用圆锥柱形的针尖,针体比较尖细且有一定的刚性,可以比较容易穿入样本,箭头型的针尖可以有效地防止样本滑脱。相比传统有针活检钳所使用的钢片针,圆柱针样本针更有利于多块样本在针体71上的滑动和排列。The structure of the
取样针7用于病灶定位及获取样品。当该连续取样活检钳被送入体内进行取样时,可以先将取样针7刺入取检部位进行定位,然后闭合两个钳头2a和2b摘取样品,所摘取的样品将会储存在取样针7的针体上。然后,移动连续取样活检钳至下一目标位置,再次将取样针7刺入下一取检部位进行定位,然后闭合两个钳头2a和2b摘取样品。在连续取样的过程中,每次摘取的样品会将前面摘取的样品向针体71的后端推进,从而使得连续取样获得的多个样品在取样针7上以摘取的先后顺序从后端向前端依次排列,而设置在针尖前端的凸起73可以防止已经摘取的样品从针体71上脱落,从而保证最终可以获得多次取样获得的样品,保证取样的质量。The
该连续取样活检钳,由于支撑部31间隔两个钳头2a和2b的钳头柄21a和21b,从而在支撑部31上方两个钳头2a和2b的钳头柄之间和钳口之间形成可以容纳更多样品的空间,多次连续切取的样本可以在取样针7位于支撑部31上方的部分进行储存。结合现有活检钳的整体尺寸设计,取样针位于支撑部31上方的部分的长度可以保证储存3~4个样品,从而仅需一次进退钳操作即可在短时间内完成对同一病灶和同一活检的连续取样。In the continuous sampling biopsy forceps, since the
参考图19,在本实用新型所提供的第二实施例中,支撑机构3包括对称的两个支撑部件3a-1和3a-2。Referring to FIG. 19 , in the second embodiment provided by the present invention, the supporting mechanism 3 includes two symmetrical supporting
如图19中左侧所示的第一支撑部件3a-1,包括左连接部30a、左支撑部31a、左半圆柱形通孔32a和第一配合部38、第二配合部39。其中,左连接部30a设置在左支撑部31a左侧,左支撑部31a的右侧竖直设置有内凹的左半圆形通孔32a,并在左支撑部31a面向第二支撑部件3a-2的端面上设置有第一配合部38和第二配合部39。The
如图19中右侧所示的第二支撑部件3a-2所示,包括右连接部30b、右支撑部31b、右半圆柱形通孔32b和第一配合部38、第二配合部39。其中,右连接部30b设置在右支撑部31b右侧,右支撑部31b的左侧竖直设置有内凹的右半圆形通孔32b,并在右支撑部31b面向第一支撑部件3a-1的端面上设置有第一配合部38和第二配合部39。As shown in the
设置在两个支撑部31a和31b上的第一配合部38和第二配合部39,可以相互卡合,从而使两个支撑部件3a-1和3a-2固定在一起,左支撑部31a和右支撑部31b组成第一实施例中的支撑部31,同时,两个半圆柱形通孔32a和32b拼成一个完整的通孔32。The
设置在第一支撑部件3a-1中的左连接部30a相当于第一实施例中的第一连接部30,设置在第二支撑部件3a-2中的右连接部30b相当于第一实施例中的第二连接件3b。第一支撑部件3a-1的左连接部30a用于连接左钳头2a,第二支撑部件3a-2的右连接部30b用于连接右钳头2b。因此,左钳头2a和右钳头2b间隔着拼接而成的支撑部31被固定到左支架和右支架上。The
由第一支撑部件3a-1中的左支撑部31a和第二支撑部件3a-2中的右支撑部31b拼接成的整体相当于第一实施例中的支撑部31。取样针7穿过第一支撑部件3a-1的通孔32a和第二支撑部件3a-2的通孔32b组成的完整通孔32设置在左钳头2a和右钳头2b之间。The whole formed by splicing the
参考图20和21,在本实用新型所提供的第三实施例中,支撑机构3包括第一枢接件34、第二枢接件34’以及支撑件35。第一枢接件34和第二枢接件34’可以是铆钉、连接柱或类似部件。如图21所示,支撑件35包括上下贯通的通孔36,以及与通孔36垂直的两个连接孔37和37’,连接孔37和连接孔37’对称设置在通孔37的两侧,连接孔37和37’可以是通孔也可以是盲孔。通过将第一枢接件34和第二枢接件34’分别与支撑件35两侧的连接孔37连接,组成支撑机构。20 and 21 , in the third embodiment provided by the present invention, the support mechanism 3 includes a
第一枢接件34相当于第一实施例中的第一连接部30,第二枢接件34’相当于第一实施例中的第二连接件3b,支撑件35相当于第一实施例中的支撑部31。第一枢接件34用于连接左钳头2a和左支架12a,第二枢接件34’用于连接右钳头2b和右支架12b。左钳头2a和右钳头2b间隔着支撑件35被固定到左支架和右支架上。取样针7穿过设置在支撑件35中心的通孔36,从而保证钳头支架的稳定性。The
综上所述,本实用新型所提供的连续取样活检钳,左钳头的钳头柄和右钳头的钳头柄通过支撑机构可旋转地连接到钳头架前端的两侧,取样针穿过支撑机构中部的通孔,支撑机构可以保证针尖的位置准确并且不会出现晃动,支撑机构增强了钳头架的稳定性,减少左钳头和右钳头的晃动,方便连续取样操作。在上述结构中,支撑机构的中部设置有支撑部,支撑机构的中部间隔左钳头的钳头柄和右钳头的钳头柄,从而在支撑机构上方两个钳头的钳头柄之间和钳口之间形成容纳样品的空间,样本储存空间大,有利于多次连续取样。To sum up, in the continuous sampling biopsy forceps provided by the present utility model, the handle of the left forceps head and the handle of the right forceps head are rotatably connected to both sides of the front end of the forceps head frame through the supporting mechanism, and the sampling needle passes through the forceps. Through the through hole in the middle of the support mechanism, the support mechanism can ensure the accurate position of the needle tip without shaking. The support mechanism enhances the stability of the clamp head frame, reduces the shaking of the left clamp head and the right clamp head, and facilitates continuous sampling operations. In the above structure, a support portion is provided in the middle of the support mechanism, and the middle portion of the support mechanism is spaced from the plier head handle of the left pliers head and the plier head handle of the right plier head, so that between the plier head handles of the two plier heads above the support mechanism A space for accommodating samples is formed between the jaws and the jaws, and the sample storage space is large, which is conducive to multiple continuous sampling.
以上对本实用新型所提供的一种连续取样活检钳进行了详细的说明。对本领域的一般技术人员而言,在不背离本实用新型实质精神的前提下对它所做的任何显而易见的改动,都将构成对本实用新型专利权的侵犯,将承担相应的法律责任。The continuous sampling biopsy forceps provided by the present utility model has been described in detail above. For those of ordinary skill in the art, any obvious changes made to the utility model without departing from the essential spirit of the present utility model will constitute an infringement of the patent right of the present utility model, and will bear corresponding legal responsibilities.
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