CN204562278U - Tissue closure presss from both sides - Google Patents

Tissue closure presss from both sides Download PDF

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Publication number
CN204562278U
CN204562278U CN201520149633.9U CN201520149633U CN204562278U CN 204562278 U CN204562278 U CN 204562278U CN 201520149633 U CN201520149633 U CN 201520149633U CN 204562278 U CN204562278 U CN 204562278U
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China
Prior art keywords
jig arm
snap fit
folder
tissue closure
arc
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CN201520149633.9U
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Chinese (zh)
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石星明
吴飞
裴世宁
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NANJING DONGWAN BIOLOGICAL TECHNOLOGY Co Ltd
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NANJING DONGWAN BIOLOGICAL TECHNOLOGY Co Ltd
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Abstract

The utility model discloses a kind of tissue closure folder, comprise a pair arc jig arm in a certain angle, this arc jig arm is made up of the first jig arm and the second jig arm, and the link elasticity of two arc jig arm connects, and is provided with adjustment hole in junction; The free end of the first jig arm is provided with snap fit, and the free end of the second jig arm is provided with snap fit gathering sill, and when folder closes, the free end of two arc jig arm forms interlocking structure; First jig arm is provided with snap fit cramping body near one end of snap fit, and the second jig arm is provided with draw-in groove cramping body near one end of snap fit gathering sill; First jig arm and the second jig arm in opposite directions clamping surface are provided with anti-slop serrations, and this anti-slop serrations is two row slant edges, and the longitudinal axis both sides of this two row slant edge arcuately jig arm laterally separate.Advantage is that the anti-slop serrations of slant edge shape to increase when closed clamp folder closes anti-slop serrations and blood vessel or organize the contact area of restrainting, and decreases to be pressed from both sides the transverse direction of closing tissue and slide, and folder is closed more closely, and not easily slippage, improves the chucking power of closed clamp and closed reliability.

Description

Tissue closure presss from both sides
Technical field
This utility model relates to a kind of Srgery grafting class medical apparatus and instruments, particularly relates in surgical operation for pressing from both sides the closed clamp closing tissue bundle.
Background technology
For fully to expose surgical field of view in surgical procedures, need to carry out ligation to the fracture blood vessel in otch, hemorrhage to stop.Hemostatic technique has become one of core of basic operative techniques technology, and the surgical procedures at any position of human body almost relates to hemorrhage with hemostasis bar none.The advantage that tissue holder closes conveniently because it presss from both sides, can stop blooding rapidly is widely used clinically.But in use there is two problems in existing tissue holder: one is after tissue holder folder closes tissue, tissue holder generation slip phenomenon is made by the elastic restoring force of folder tissue, not only can not play tissue closure effect, and easily landing becomes foreign body in vivo, causes other cause of diseases of human body; Two is that tissue holder conventional mostly at present is Titanium clip, development and artifact phenomenon easily occurs when patient carries out x-ray, MRI and CT examination, affects the judgement of assay.
Chinese patent 201310334127.2 describes a kind of ligation clip, as can be seen from description and accompanying drawing thereof, its two rows anti-slop serrations is parallel to each other, and perpendicular with the longitudinal axis of arc jig arm, when the design of this anti-slop serrations makes folder close to organize, closed tissue by folder and easily occur laterally to slide, and folder close a period of time after, the elastic restoring force of being closed tissue by folder can offset with the chucking power of clip relatively easily, thus clip flicks, and slippage occurs.
Utility model content
Utility model object: it is anti-slop serrations that the purpose of this utility model is to provide a kind of employing slant edge, and not easily slippage during use, safely and effectively tissue closure are pressed from both sides.
Technical scheme: the said tissue closure folder of this utility model, comprise a pair arc jig arm in a certain angle, this arc jig arm is made up of the first jig arm and the second jig arm, and the link elasticity of two arc jig arm connects, or two arc jig arm are one-body molded, are provided with adjustment hole in junction; The free end of the first jig arm is provided with snap fit, and the free end of the second jig arm is provided with snap fit gathering sill, and when folder closes, the free end of two arc jig arm forms interlocking structure; First jig arm is provided with snap fit cramping body near one end of snap fit, and the second jig arm is provided with draw-in groove cramping body near one end of snap fit gathering sill; First jig arm and the second jig arm in opposite directions clamping surface are provided with anti-slop serrations, and this anti-slop serrations is two row slant edges, and the longitudinal axis both sides of this two row slant edge arcuately jig arm laterally separate.
Intersection point is formed unlike, two row slant edges at the longitudinal axis place of arc jig arm with such scheme.
Furtherly, two row slant edges are parallel to each other; Or two row slant edges are crisscross arranged, in wheat head shape.
Two row slant edges are that forward wheat head shape is arranged in the side near arc jig arm free end, are that reverse wheat head shape is arranged near the side of arc jig arm link.
Curved of the section of slant edge arcuately jig arm longitudinal axis; Further, arcwall face comprises the less gently sloping surface of a gradient and the larger sty of a gradient.
Meanwhile, snap fit cramping body is be located near the free end of the first jig arm and the cylinder along the sidewall horizontal expansion of the first jig arm or the rear wall horizontal expansion along the first jig arm exceed the cylinder of rear wall transverse edge.Draw-in groove cramping body is a pair dop, and this dop is symmetrically set in the both sides, top of snap fit gathering sill.
Snap fit cramping body be near the first jig arm free end and in two side
In addition, tissue closure folder is the closed clamp adopting medical POM to make.
Beneficial effect: this utility model compared with prior art, its remarkable advantage is: first, anti-slop serrations is designed to slant edge by this tissue closure folder, increase folder anti-slop serrations and blood vessel or organize the contact area of restrainting when closing, folder is closed tightr, not easily slippage, improves the chucking power of closed clamp and closed reliability, can also prevent by under the effect of folder tissue elasticity restoring force, the horizontal slippage that may occur and flick phenomenon; Secondly, just because of the reliable not easily slippage of closed clamp clamping, the consumption of clip can be reduced clinically, both reduced the risk of operation, also reduce the operation cost of patient simultaneously; In addition, this closed clamp can medical POM be that raw material is made, and development when effectively prevent x-ray, MRI and CT examination and artifact, guarantee the accurate and effective of check result.
Accompanying drawing explanation
Fig. 1 is the structural representation of tissue closure of the prior art folder;
Fig. 2 is the first structural representation of this utility model tissue closure folder;
Fig. 3 is the second structural representation of this utility model tissue closure folder;
Fig. 4 is the third structural representation of this utility model tissue closure folder;
Fig. 5-1 is the D portion enlarged drawing of a kind of slant edge in Fig. 2-4;
Fig. 5-2 is the A-A sectional view of Fig. 5-1 slant edge;
Fig. 6-1 is the D portion enlarged drawing of another kind of slant edge in Fig. 2-4;
Fig. 6-2 is the A '-A ' sectional view of the slant edge of Fig. 6-1.
Detailed description of the invention
Below in conjunction with accompanying drawing, the technical solution of the utility model is described further.
This utility model said tissue closure folder 10, comprise a pair arc jig arm in a certain angle, this angle can be " V " type, " U " type or other analogous shape.This arc jig arm is made up of the first jig arm 1 and the second jig arm 2, and the link elasticity of two arc jig arm connects, or two arc jig arm are one-body molded, and junction is provided with adjustment hole 3.The free end of the first jig arm 1 is provided with snap fit 11, and the free end of the second jig arm 2 is provided with snap fit gathering sill 21, and when folder closes, the free end of two arc jig arm forms interlocking structure.First jig arm 1 is provided with snap fit cramping body 12, second jig arm 2 and is provided with draw-in groove cramping body 22 near one end of snap fit gathering sill 21 near one end of snap fit 11.The clamping surface in opposite directions of the first jig arm 1 and the second jig arm 2 is provided with anti-slop serrations 4, anti-slop serrations 4 is two row slant edges 41,42, slant edge herein refers to: the bearing of trend of rib and the longitudinal axis of arc jig arm are at an angle, this angle can regulate arbitrarily, such as 0-90 ° or 90-180 °, but do not comprise 90 °, i.e. out of plumb each other, this is formed with the anti-slop serrations (bearing of trend of rib is mutually vertical with the longitudinal axis of arc jig arm) in Fig. 1 and contrasts; And the longitudinal axis both sides of two row slant edges 41,42 arcuately jig arm laterally separate, and namely two row slant edges take longitudinal axis as demarcation line, separated from one another, without occuring simultaneously; Correspondingly thereto, two row slant edges 41,42 also can form intersection point in longitudinal axis place, and this is the different arrangement of slant edge two kinds.What deserves to be explained is, the rib in this utility model anti-slop serrations, be no matter rib respect to one another in same string or two row, the oblique of rib is unfixed, can adjust arbitrarily as required, and such as, some ribs are towards having a down dip, and some ribs are oblique etc. upward.
In addition, snap fit cramping body 12 is for being located near the free end of the first jig arm 1 and the cylinder along the sidewall horizontal expansion of the first jig arm 1 or the rear wall horizontal expansion along the first jig arm 1 exceed the cylinder of rear wall transverse edge.As Fig. 1, two sides adjacent with clamping surface in the first jig arm are defined as the sidewall of the first jig arm, face opposing with clamping surface in the first jig arm is defined as rear wall.This cylinder can be two, and symmetry is located on two sidewalls of the first jig arm, or this cylinder can be one, the first jig arm rear wall horizontal expansion and exceed rear wall both lateral sides edge, this cylinder can be cylinder simultaneously.Meanwhile, draw-in groove cramping body 22 is a pair dop, and this dop is symmetrically set in the both sides, top of snap fit gathering sill 21.
As shown in Figure 2, anti-slop serrations is the slant edge that two row are parallel to each other, when the design of this slant edge makes tissue closure folder folder close blood vessel or tissue bundle, blood vessel or tissue bundle increase with the contact area of anti-slop serrations, better chucking power can be obtained, and slant edge design makes to be pressed from both sides to close to organize and not easily laterally slides along tissue closure folder, adds the security reliability of pressing from both sides and closing.
As shown in Figure 3, two row slant edges 41,42 are crisscross arranged, in wheat head shape.The anti-slop serrations of wheat head shape has good guide effect to the slip of being closed tissue bundle by folder, when the clamping surface of arc jig arm be subject to by press from both sides close tissue bundle elastic restoring force effect, to be closed by folder tissue there is slip time, the anti-slop serrations of wheat head shape can slide to the link of arc jig arm by transmitting tissue's bundle, therefore, even if being closed by folder organizes Shu Fasheng to slide, also tissue can not be caused to restraint the free end generation slip phenomenon breaking through tissue closure folder, folder is closed reliably safer.
Fig. 4 is on the basis of Fig. 3, changes the alternate directions between part slant edge.In figure, O-O line place is the demarcation line of arc jig arm slant edge of the different alternate directions of clamping surface in opposite directions from free end to link, O-O line is defined as forward wheat head shape to the slant edge of arc jig arm free end portion is staggered, and O-O line is defined as reverse wheat head shape to the slant edge alternate directions of arc jig arm link part.When the clamping surface of arc jig arm be subject to by press from both sides close tissue bundle elastic restoring force effect, to be closed by folder tissue there is slip time, the link restrainted to arc jig arm near the anti-slop serrations transmitting tissue of arc jig arm free end slides, when organizing bundle to slide into O-O line, anti-slop serrations near arc jig arm link stops the further slip of tissue bundle, make to organize bundle to be fixed, no longer slide, ensure to press from both sides the reliability of closing.
As can be seen from Fig. 5-1 and Fig. 5-2, curved of the section of slant edge 41,42 arcuately jig arm longitudinal axis.This arcwall face is comparatively mild compared to fold-line-shaped face, be there is not the larger contact point of stress or comparatively sharp keen contact surface with when pressing from both sides and close contact tissue, avoids clipping broken blood vessel or tissue bundle when chucking power is larger, improves the safety of operation.
As can be seen from Fig. 6-1 and Fig. 6-2, the section also curved of slant edge 41,42 arcuately jig arm longitudinal axis, but this arcwall face comprises the less gently sloping surface of a gradient and the larger sty of a gradient, so can increase the surface area of slant edge, make slant edge and pressed from both sides the contact area of closing tissue to become greatly, the chucking power of closed clamp to blood vessel or tissue bundle is stronger, folder closes more firmly not easily slippage, while ensure that operation safety, folder closes better effects if, reliably safer.
Use procedure: in operation, when needs are to blood vessel or when organizing Shu Jinhang folder to close, snap fit cramping body and the draw-in groove cramping body of tissue closure folder is clamped with Clip Applier, closed clamp is delivered to surgery location, applying certain power makes snap fit and snap fit gathering sill interlock, blood vessel or tissue bundle folder are closed, exits Clip Applier.The anti-slop serrations of the interlocking structure that snap fit and snap fit gathering sill are formed and arc jig arm clamping surface guarantees gripping tissue, folder is closed more firm; The design of the two arc jig arm cooperatively interacted and the adjustment hole of link junction thereof, makes the ligation expanded range of closed clamp, and folder closes more flexible, can adapt to carry out folder to the tissue of different-thickness and close.
In addition, there is the phenomenons such as slippage not, easily in existing closed clamp owing to there is chucking power, usually operation is carried out smoothly at least to need to use at least 3 pieces of closed clamps to ensure clinically, and the reliable not easily slippage of tissue closure folder of the present utility model clamping, only respectively need press from both sides in operated vessels section or tissue segments both sides and close 1 piece, decrease the use of tissue closure folder, while reducing operation risk, also reduce the operation cost of patient.

Claims (10)

1. a tissue closure folder, it is characterized in that: comprise a pair arc jig arm in a certain angle, this arc jig arm is made up of the first jig arm (1) and the second jig arm (2), the link elasticity of two arc jig arm connects, or two arc jig arm are one-body molded, be provided with adjustment hole (3) in junction; The free end of the first jig arm (1) is provided with snap fit (11), and the free end of the second jig arm (2) is provided with snap fit gathering sill (21), and when folder closes, the free end of two arc jig arm forms interlocking structure; First jig arm (1) is provided with snap fit cramping body (12) near one end of snap fit (11), and the second jig arm (2) is provided with draw-in groove cramping body (22) near one end of snap fit gathering sill (21); First jig arm (1) and the second jig arm (2) in opposite directions clamping surface are provided with anti-slop serrations (4), and this anti-slop serrations (4) is two row slant edges, and the longitudinal axis both sides of this two row slant edge arcuately jig arm laterally separate.
2. tissue closure folder according to claim 1, is characterized in that: described two row slant edges form intersection point at the longitudinal axis place of arc jig arm.
3. tissue closure folder according to claim 1, is characterized in that: described two row slant edges are parallel to each other.
4. tissue closure folder according to claim 1, is characterized in that: described two row slant edges are crisscross arranged, in wheat head shape.
5. tissue closure folder according to claim 4, is characterized in that: described two row slant edges are that forward wheat head shape is arranged in the side near arc jig arm free end, are that reverse wheat head shape is arranged near the side of arc jig arm link.
6. according to described tissue closure folder arbitrary in claim 1-5, it is characterized in that: curved of the section of described slant edge arcuately jig arm longitudinal axis.
7. tissue closure according to claim 6 folder, is characterized in that: described arcwall face comprises the less gently sloping surface of a gradient and the larger sty of a gradient.
8. tissue closure according to claim 1 folder, is characterized in that: described snap fit cramping body (12) is for being located at free end near the first jig arm (1) and the cylinder along the sidewall horizontal expansion of the first jig arm (1) or the rear wall horizontal expansion along the first jig arm (1) exceed the cylinder of rear wall transverse edge.
9. tissue closure folder according to claim 1, is characterized in that: described draw-in groove cramping body (22) is a pair dop, and this dop is symmetrically set in the both sides, top of snap fit gathering sill (21).
10. tissue closure folder according to claim 1, is characterized in that: described tissue closure folder is the closed clamp adopting medical POM to make.
CN201520149633.9U 2015-03-16 2015-03-16 Tissue closure presss from both sides Active CN204562278U (en)

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Cited By (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105078536A (en) * 2015-08-26 2015-11-25 施青青 Duplex tissue clip and clip applier
CN105105815A (en) * 2015-10-02 2015-12-02 北京光辉天成医疗科技有限公司 Medical ligating clip
CN107440755A (en) * 2017-09-01 2017-12-08 江苏省中医药研究院 A kind of full Microendoscopic minimal invasion intervertebral disc operation fibrous ring closer
CN110464413A (en) * 2019-08-09 2019-11-19 黄皆澔 The gripper seat and pedestal of disposable tissue closure folder
CN111265281A (en) * 2020-03-02 2020-06-12 陈浩鑫 Novel antiskid appendix pincers for peritoneoscope
CN111317539A (en) * 2018-12-14 2020-06-23 山东威瑞外科医用制品有限公司 Tissue clamp
CN111801057A (en) * 2018-03-07 2020-10-20 柯惠有限合伙公司 Ligating clip with retaining member
KR20200126783A (en) * 2019-04-30 2020-11-09 서울대학교병원 Surgical Clip
CN112263299A (en) * 2020-11-27 2021-01-26 袁维堂 Fastening type tissue clamp for operation and opening method thereof under laparoscope
WO2022077583A1 (en) * 2020-10-13 2022-04-21 常州安康医疗器械有限公司 Fully degradable metal-based vascular tissue ligating clip for endoscope
FR3118572A1 (en) * 2021-01-07 2022-07-08 Peters Surgical Surgical staple for pinching biological tissue

Cited By (15)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105078536A (en) * 2015-08-26 2015-11-25 施青青 Duplex tissue clip and clip applier
CN105105815A (en) * 2015-10-02 2015-12-02 北京光辉天成医疗科技有限公司 Medical ligating clip
CN105105815B (en) * 2015-10-02 2017-07-07 北京光辉天成医疗科技有限公司 A kind of Medical ligation clip
CN107440755A (en) * 2017-09-01 2017-12-08 江苏省中医药研究院 A kind of full Microendoscopic minimal invasion intervertebral disc operation fibrous ring closer
CN111801057A (en) * 2018-03-07 2020-10-20 柯惠有限合伙公司 Ligating clip with retaining member
CN111317539A (en) * 2018-12-14 2020-06-23 山东威瑞外科医用制品有限公司 Tissue clamp
KR20200126783A (en) * 2019-04-30 2020-11-09 서울대학교병원 Surgical Clip
KR102291258B1 (en) * 2019-04-30 2021-08-20 서울대학교병원 Surgical Clip
CN110464413A (en) * 2019-08-09 2019-11-19 黄皆澔 The gripper seat and pedestal of disposable tissue closure folder
CN110464413B (en) * 2019-08-09 2024-04-12 伟格尔(广州)医疗设备有限公司 Clip seat and base of disposable tissue closing clip
CN111265281A (en) * 2020-03-02 2020-06-12 陈浩鑫 Novel antiskid appendix pincers for peritoneoscope
WO2022077583A1 (en) * 2020-10-13 2022-04-21 常州安康医疗器械有限公司 Fully degradable metal-based vascular tissue ligating clip for endoscope
CN112263299A (en) * 2020-11-27 2021-01-26 袁维堂 Fastening type tissue clamp for operation and opening method thereof under laparoscope
FR3118572A1 (en) * 2021-01-07 2022-07-08 Peters Surgical Surgical staple for pinching biological tissue
WO2022148939A1 (en) * 2021-01-07 2022-07-14 Peters Surgical Surgical staple for clamping biological tissue

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