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CN109259813B - Clamping device of endoscopic purse-string suture device - Google Patents

Clamping device of endoscopic purse-string suture device
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Publication number
CN109259813B
CN109259813BCN201811248581.5ACN201811248581ACN109259813BCN 109259813 BCN109259813 BCN 109259813BCN 201811248581 ACN201811248581 ACN 201811248581ACN 109259813 BCN109259813 BCN 109259813B
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rod
head
base shell
handle
jaw
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CN109259813A (en
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李欣欣
陈少克
郭东明
沈楠
刘淑雅
邓启宇
肖鸿威
罗兆翔
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Shantou University
First Affiliated Hospital of Shantou University Medical College
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First Affiliated Hospital of Shantou University Medical College
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Abstract

The embodiment of the invention discloses a clamping device of a purse-string suture device under a endoscope, which comprises a handle part power forming device, a transmission outer rod part power transmission device and a clamp head part power conversion clamping device; the handle part power forming device comprises a base shell, a handle rotatably installed on the base shell, a fixing rod rotatably arranged on the base shell, an outer rod sleeved outside the fixing rod, and a sliding block slidably arranged in the base shell, wherein the jaw part power conversion clamping device comprises an upper jaw and a lower jaw which are rotatably connected with each other, the lower jaw is provided with a head end connected with the fixing rod, the transmission outer rod part power transmission device comprises a jaw lantern ring and a hinging rod, and the jaw lantern ring, the hinging rod and the outer rod are sequentially hinged. The invention can be used for operation in narrow space of minimally invasive surgery and open surgery, reduces the risk of surgery, is beneficial to recovery of patients in a minimally invasive mode, can rotate the heads of the pliers to adapt to operation at different positions, and is suitable for corresponding medical occasions due to large clamping force.

Description

Translated fromChinese
一种腔镜下荷包缝合器的钳合装置A clamping device for laparoscopic purse-string suturing device

技术领域Technical field

本发明涉及一种手术器械,尤其涉及一种腔镜下荷包缝合器的钳合装置。The present invention relates to a surgical instrument, and in particular to a clamping device of a laparoscopic purse-string suture device.

背景技术Background technique

随着科学技术和医学水平的迅速发展,目前人们普遍追求微创及快速康复,微创手术已经成为当今外科发展的主要方向。荷包吻合器在食管及胃肠手术中的使用能够有效节省手术时间,避免不必要的副损伤,保证手术质量,其性能的优劣直接影响手术进程,对手术效果起着非常重要的作用。With the rapid development of science, technology and medical level, people are generally pursuing minimally invasive and rapid recovery, and minimally invasive surgery has become the main direction of surgical development today. The use of purse-string staplers in esophageal and gastrointestinal surgeries can effectively save surgical time, avoid unnecessary side injuries, and ensure surgical quality. Its performance directly affects the surgical process and plays a very important role in the surgical results.

然而,目前在临床使用的荷包吻合器,存在着头端体积过大、操作杆太粗、头端无法转换角度等缺点,不适用于微创手术及开放手术狭小空间内的操作。虽然目前已有开放手术用的一次性荷包缝合钳面世,但到目前为止,这些产品和新设计均未能完美地解决以上难题。However, the purse-string staplers currently used clinically have shortcomings such as the head end is too large, the operating rod is too thick, and the head end cannot convert the angle. It is not suitable for operations in minimally invasive surgeries and open surgeries in small spaces. Although disposable purse-string suture forceps for open surgery are currently available, so far, these products and new designs have not been able to perfectly solve the above problems.

发明内容Contents of the invention

本发明实施例所要解决的技术问题在于,提供一种腔镜下荷包缝合器的钳合装置。可在微创手术及开放手术狭小空间内进行荷包缝合的钳合操作,对待缝合组织进行钳合。The technical problem to be solved by embodiments of the present invention is to provide a clamping device for a laparoscopic purse-string suture device. The clamping operation of purse-string suture can be performed in small spaces of minimally invasive surgery and open surgery, and the tissue to be sutured can be clamped.

为了解决上述技术问题,本发明实施例提供了一种腔镜下荷包缝合器的钳合装置,包括手柄部分动力形成装置、传动外杆部分动力传递装置、钳头部分动力转化钳合装置;In order to solve the above technical problems, embodiments of the present invention provide a clamping device for an endoscopic purse-string suture device, which includes a handle part power forming device, a transmission outer rod part power transmission device, and a forceps head part power conversion clamping device;

所述手柄部分动力形成装置包括基壳、转动安装于所述基壳上的手柄、转动设置于所述基壳上的固定杆、套设于所述固定杆之外的外杆、滑动设置于所述基壳内的滑块,所述手柄联动所述滑块沿所述外杆轴向滑动,所述外杆头端转动套设于所述滑块之上;The power forming device of the handle part includes a base shell, a handle rotatably installed on the base shell, a fixed rod rotatably installed on the base shell, an outer rod sleeved outside the fixed rod, and a sliding rod mounted on the base shell. The slider in the base shell, the handle links the slider to slide in the axial direction of the outer rod, and the head end of the outer rod is rotated and sleeved on the slider;

所述钳头部分动力转化钳合装置包括头部的转动连接的上颚、下颚,所述下颚具有与所述固定杆连接的头端,The partial power conversion clamping device of the plier head includes an upper jaw and a lower jaw that are rotationally connected to the head, and the lower jaw has a head end connected to the fixed rod,

所述传动外杆部分动力传递装置包括钳头套环、铰接杆,所述钳头套环、铰接杆、外杆依次铰接,所述钳头套环滑动套设于所述上颚、下颚的头部。The power transmission device of the outer rod part includes a clamp head collar and a hinge rod. The clamp head collar, the hinge rod, and the outer rod are hinged in sequence. The clamp head collar is slidably sleeved on the heads of the upper jaw and the lower jaw.

进一步地,所述下颚头部设置有导向槽,所述上颚头部设置有滑动设置于所述导向槽内的圆柱轴。Further, the lower jaw head is provided with a guide groove, and the upper jaw head is provided with a cylindrical shaft slidably disposed in the guide groove.

更进一步地,所述上颚头部外壁设置有推块,所述钳头套环设置有置入所述推块的卡槽,所述卡槽内具有作用于所述推块的推舌。Furthermore, the outer wall of the upper jaw head is provided with a push block, the plier head collar is provided with a slot into which the push block is inserted, and a push tongue acting on the push block is provided in the slot.

更进一步地,所述滑块具有第一弧形卡座,所述外杆头部外周设置有转动安装于所述第一弧形卡座上的第一卡环。Furthermore, the slider has a first arc-shaped clamping seat, and a first snap ring is provided on the outer periphery of the outer rod head and is rotatably mounted on the first arc-shaped clamping seat.

更进一步地,所述基壳内设置有第二弧形卡座,所述固定杆头部外周设置有转动安装于所述第二弧形卡座上的第二卡环。Furthermore, a second arc-shaped clamping seat is provided in the base shell, and a second snap ring is provided on the outer periphery of the fixed rod head and is rotatably mounted on the second arc-shaped clamping seat.

更进一步地,所述手柄通过手柄连杆与所述滑块转动连接。Furthermore, the handle is rotatably connected to the slider through a handle link.

实施本发明实施例,具有如下有益效果:本发明钳头部分最大直径小于12mm,可以在微创手术及开放手术狭小空间内的操作,降低手术风险,采用微创的方式有利于患者恢复,钳子头部可以转动,以适应不同位置的操作,同时,钳合的力很大,适用于相应的医疗场合。Implementing the embodiments of the present invention has the following beneficial effects: the maximum diameter of the forceps head part of the present invention is less than 12 mm, and can be operated in small spaces in minimally invasive surgeries and open surgeries, reducing surgical risks. The use of minimally invasive methods is conducive to patient recovery, and the forceps The head can be rotated to adapt to operations in different positions. At the same time, the clamping force is large, making it suitable for corresponding medical situations.

附图说明Description of the drawings

图1是本发明的整体结构示意图;Figure 1 is a schematic diagram of the overall structure of the present invention;

图2是示出图1中A部的局部放大结构示意图;Figure 2 is a schematic diagram showing a partial enlarged structure of part A in Figure 1;

图3是示出图1中B部的局部放大结构示意图;Figure 3 is a partially enlarged structural schematic diagram showing part B in Figure 1;

图4是钳头部分动力转化钳合装置的结构示意图;Figure 4 is a schematic structural diagram of the power conversion clamping device of the plier head part;

图5是示出图4中C部的局部放大结构示意图;Figure 5 is a partially enlarged structural schematic diagram showing part C in Figure 4;

图6是钳头套环与上颚头部配合的结构示意图。Figure 6 is a structural schematic diagram of the cooperation between the plier head collar and the upper jaw head.

具体实施方式Detailed ways

为使本发明的目的、技术方案和优点更加清楚,下面将结合附图对本发明作进一步地详细描述。In order to make the purpose, technical solutions and advantages of the present invention clearer, the present invention will be described in further detail below with reference to the accompanying drawings.

参照图1所示的结构示意图。Refer to the schematic structural diagram shown in Figure 1.

本发明实施例的一种腔镜下荷包缝合器的钳合装置,包括手柄部分动力形成装置1、传动外杆部分动力传递装置2、钳头部分动力转化钳合装置3。A clamping device for a laparoscopic purse-string suture device according to an embodiment of the present invention includes a power generating device 1 for the handle part, a power transmission device 2 for the transmission outer rod part, and a power conversion and clamping device 3 for the forceps head part.

手柄部分动力形成装置1包括基壳11、手柄12、固定杆13、外杆14、滑块 15,手柄12通过转动支点转动设置在基壳11上,可以操作手柄12使其绕基壳 11转动,手柄12和手柄连杆16铰接,手柄连杆16和滑块15铰接。The power forming device 1 of the handle part includes a base shell 11, a handle 12, a fixed rod 13, an outer rod 14, and a slider 15. The handle 12 is rotated on the base shell 11 through a rotation fulcrum, and the handle 12 can be operated to rotate around the base shell 11 , the handle 12 and the handle connecting rod 16 are hinged, and the handle connecting rod 16 and the slider 15 are hinged.

基壳11内设置有平行外杆14方向的滑轨17,滑块15滑动设置于滑轨17 上,滑块15具有弧形卡座151,而外杆14头部外周设置有转动安装于弧形卡座 151上的第一卡环141,使得外杆14不仅可以伸缩还可以转动。The base shell 11 is provided with a slide rail 17 parallel to the direction of the outer rod 14. The slider 15 is slidably installed on the slide rail 17. The slider 15 has an arc-shaped clamping seat 151, and the outer rod 14 is provided with a rotationally mounted arc-shaped base 151 on the outer periphery of the head. The first snap ring 141 on the shaped clamp base 151 allows the outer rod 14 to not only telescope but also rotate.

基壳1内设置有弧形卡座18,固定杆13头部外周设置有转动安装于弧形卡座18上的第二卡环131,使得固定杆13可以与基壳形成转动连接,外杆14套设于固定杆13之外。An arc-shaped clamping seat 18 is provided in the base shell 1, and a second snap ring 131 is mounted on the outer circumference of the head of the fixed rod 13 and is rotatably mounted on the arc-shaped clamping seat 18, so that the fixed rod 13 can form a rotational connection with the base shell, and the outer rod 14 is set outside the fixed rod 13.

钳头部分动力转化钳合装置3包括头部的转动连接的上颚31、下颚32,下颚32具有与固定杆13连接的头端321,该连接为转动连接,更为优选的实施方式是销连接,如图5,下颚32具有销柱323,用于连接固定杆13。The power conversion clamping device 3 of the plier head part includes an upper jaw 31 and a lower jaw 32 that are rotationally connected to the head. The lower jaw 32 has a head end 321 connected to the fixed rod 13. The connection is a rotational connection, and a more preferred embodiment is a pin connection. As shown in Figure 5, the lower jaw 32 has a pin 323 for connecting the fixing rod 13.

下颚32头部设置有导向槽322,导向槽322呈蛇形结构,上颚31头部设置有滑动设置于导向槽322内的圆柱轴311,使得上颚31可沿下颚32的导向槽322 实现开闭动作。The head of the lower jaw 32 is provided with a guide groove 322, which has a serpentine structure. The head of the upper jaw 31 is provided with a cylindrical shaft 311 that is slidably disposed in the guide groove 322, so that the upper jaw 31 can be opened and closed along the guide groove 322 of the lower jaw 32. action.

传动外杆部分动力传递装置2包括钳头套环21、铰接杆22,钳头套环21 一端上下部均通过铰接杆22与外杆14铰接。钳头套环21滑动套设于上颚31、下颚32的头部。The power transmission device 2 of the outer rod part includes a clamp head collar 21 and a hinge rod 22. The upper and lower parts of one end of the clamp head collar 21 are hinged with the outer rod 14 through the hinge rod 22. The plier head collar 21 is slidably mounted on the heads of the upper jaw 31 and the lower jaw 32 .

上颚31头部外壁设置有推块312,而钳头套环21设置有置入推块312的卡槽211,卡槽211内具有作用于推块312的推舌212。The outer wall of the head of the upper jaw 31 is provided with a push block 312, and the pliers head collar 21 is provided with a slot 211 into which the push block 312 is inserted. The slot 211 has a push tongue 212 that acts on the push block 312.

本发明在使用时,通过外力使手柄12绕支点转动,通过手柄连杆16 联动滑块15沿滑轨滑动,将手柄12的摆动转换成滑块的水平运动,滑块15通过弧形卡座151卡动外杆14头部的第一卡环141,使外杆实现伸缩,同时外杆 14也可按手术需要转动,固定杆13与基壳11同样为转动连接,可实现自由转动,当外杆14移动时,通过铰接杆22联动钳头套环21移动,而由于下颚32与固定杆13连接,使得上颚31头部的上颚31可沿下颚32的导向槽322实现开闭动作。When the present invention is in use, the handle 12 is rotated around the fulcrum through external force, and the slider 15 is linked to slide along the slide rail through the handle connecting rod 16, converting the swing of the handle 12 into the horizontal movement of the slider, and the slider 15 passes through the arc-shaped holder. 151 snaps the first snap ring 141 on the head of the outer rod 14 to allow the outer rod to telescope. At the same time, the outer rod 14 can also rotate according to surgical needs. The fixed rod 13 and the base shell 11 are also rotationally connected and can rotate freely. When the outer rod 14 moves, the hinge rod 22 links the pliers collar 21 to move, and because the lower jaw 32 is connected to the fixed rod 13, the upper jaw 31 of the upper jaw 31 can open and close along the guide groove 322 of the lower jaw 32.

以上所揭露的仅为本发明一种较佳实施例而已,当然不能以此来限定本发明之权利范围,因此依本发明权利要求所作的等同变化,仍属本发明所涵盖的范围。What is disclosed above is only a preferred embodiment of the present invention. Of course, it cannot be used to limit the scope of the present invention. Therefore, equivalent changes made in accordance with the claims of the present invention still fall within the scope of the present invention.

Claims (1)

Translated fromChinese
1.一种腔镜下荷包缝合器的钳合装置,其特征在于,包括手柄部分动力形成装置、传动外杆部分动力传递装置、钳头部分动力转化钳合装置;1. A clamping device for a laparoscopic purse-string suture device, which is characterized in that it includes a power forming device of the handle part, a power transmission device of the outer transmission rod part, and a power conversion and clamping device of the forceps head part;所述手柄部分动力形成装置包括基壳、转动安装于所述基壳上的手柄、转动设置于所述基壳上的固定杆、套设于所述固定杆之外的外杆、滑动设置于所述基壳内的滑块,所述手柄联动所述滑块沿所述外杆轴向滑动,所述外杆头端转动套设于所述滑块之上;The power forming device of the handle part includes a base shell, a handle rotatably installed on the base shell, a fixed rod rotatably installed on the base shell, an outer rod sleeved outside the fixed rod, and a sliding rod mounted on the base shell. The slider in the base shell, the handle links the slider to slide in the axial direction of the outer rod, and the head end of the outer rod is rotated and sleeved on the slider;所述钳头部分动力转化钳合装置包括头部的转动连接的上颚、下颚,所述下颚具有与所述固定杆连接的头端,所述下颚头部设置有导向槽,所述上颚头部设置有滑动设置于所述导向槽内的圆柱轴;所述导向槽呈蛇形结构;所述上颚头部外壁设置有推块,所述钳头套环设置有置入所述推块的卡槽,所述卡槽内具有作用于所述推块的推舌;The partial power conversion clamping device of the plier head includes an upper jaw and a lower jaw that are rotationally connected to the head. The lower jaw has a head end connected to the fixed rod. The lower jaw head is provided with a guide groove, and the upper jaw head is provided with a guide groove. There is a cylindrical shaft slidably disposed in the guide groove; the guide groove has a serpentine structure; the outer wall of the upper jaw head is provided with a push block, and the plier head collar is provided with a slot into which the push block is placed. , the slot has a push tongue that acts on the push block;所述传动外杆部分动力传递装置包括钳头套环、铰接杆,所述钳头套环、铰接杆、外杆依次铰接,所述钳头套环滑动套设于所述上颚、下颚的头部;所述钳头套环一端上下部均通过所述铰接杆与所述外杆铰接;The power transmission device of the outer rod part includes a clamp head collar and a hinge rod. The clamp head collar, the hinge rod, and the outer rod are hinged in sequence. The clamp head collar is slidably sleeved on the heads of the upper jaw and the lower jaw; The upper and lower parts of one end of the clamp head collar are hinged with the outer rod through the hinge rod;所述滑块具有第一弧形卡座,所述外杆头部外周设置有转动安装于所述第一弧形卡座上的第一卡环;所述基壳内设置有第二弧形卡座,所述固定杆头部外周设置有转动安装于所述第二弧形卡座上的第二卡环;The slider has a first arc-shaped holder, and a first snap ring is mounted on the outer circumference of the outer rod head and is rotated on the first arc-shaped holder; a second arc-shaped holder is provided in the base shell. Card holder, the outer periphery of the head of the fixed rod is provided with a second snap ring that is rotatably mounted on the second arc-shaped card holder;所述手柄通过手柄连杆与所述滑块转动连接。The handle is rotatably connected to the slider through a handle connecting rod.
CN201811248581.5A2018-10-242018-10-24Clamping device of endoscopic purse-string suture deviceActiveCN109259813B (en)

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