CN209236282U - A kind of titanium folder with resilient coil - Google Patents

A kind of titanium folder with resilient coil Download PDF

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Publication number
CN209236282U
CN209236282U CN201822214550.XU CN201822214550U CN209236282U CN 209236282 U CN209236282 U CN 209236282U CN 201822214550 U CN201822214550 U CN 201822214550U CN 209236282 U CN209236282 U CN 209236282U
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China
Prior art keywords
folder
clamp holder
titanium
resilient coil
ontology
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CN201822214550.XU
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Chinese (zh)
Inventor
陈莹
许树长
孙会会
董智瑀
王莉萍
展婷婷
张勤
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Shanghai Tongji Hospital
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Shanghai Tongji Hospital
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Abstract

The utility model relates to a kind of, and the titanium with resilient coil presss from both sides, including titanium folder ontology, left clamp holder, right clamp holder, resilient coil, non-slipping block, bending folder, the left clamp holder, right clamp holder are fixedly connected with titanium folder ontology, resilient coil is located at titanium folder ontology midline position, and it is fixedly connected with titanium folder ontology, non-slipping block is fixedly connected with left clamp holder, and bending folder is fixedly connected with right clamp holder, and bending folder is in 90 ° with right clamp holder front end position.When use, the present apparatus is fixed in lesion first, further pass through second general titanium folder, nylon rope (rubber band) resilient coil is fixed in the intestinal wall of opposite side, the draw that dental floss is simulated by the tensity of nylon rope (rubber band) resilient coil makes every effort to the operation difficulty for reducing enteron aisle ESD art.The mode that partition nylon rope (rubber band) resilient coil is burnt finally by argon gas, lesion is taken out.Its advantage is shown: the present apparatus can reach traction, sufficiently expose lesion, assist the purpose of surgical procedure.

Description

A kind of titanium folder with resilient coil
Technical field
The utility model relates to clinical medicine-Gastroenterology dept.s-to apply equipment technology field, specifically, being a kind of band bullet Property coil titanium folder.
Background technique
With the development of digestive endoscopy technology, the recall rate of alimentary canal morning cancer and precancerous lesion increases year by year.It controls at present It treats early carcinoma of stomach and the most common method of precancerous lesion is decollement under endoscopic mucosal (endoscopysubmucosaldissection,ESD).Decollement (ESD) under mucous membrane under scope, as early esophageal cancer, stomach The radical correction of tumprigenicity non-cancer lesion as cancer, colorectal cancer, is a kind of low-risk, Low Damage, and practicable treatment side Method, serviceability is to obtain extensive common recognition.But because its operating difficulties, risk are high, this technology cannot still carry out extensively.Particularly with When enteron aisle morning cancer, precancerous lesion carry out ESD art, operation difficulty is just more increased.
In carrying out unit for endoscope operation, detachment organ needs folder to close blood vessel with when organizing, and prevents bleeding.Presently, there are folder Device is closed to have the following problems:
(1) medical bio presss from both sides single-shot Clip Applier, although such Clip Applier can effectively solve unit for endoscope operation medium vessels knot Bundle problem, but doctor needs to take out Clip Applier out of human body after folder closes each piece of biology folder, gives nurse, nurse will be new Hemostatic clamp be packed into binding clip clip, then give again doctor realize second of clamp, repeat operation, every completion is once applied Folder needs two people's operations, spends the time longer;And Clip Applier enters and leaves human body repeatedly, also increases infection and bleeding risk.
(2) extremely inconvenient using existing titanium folder moreover, being closed for the folder of some minute blood vessels, bile duct etc.;
(3) in addition, for stomach mucosa lesion, some hospitals use the ESD art of dental floss auxiliary, and this method achieves preferably Effect.If being assisted with dental floss, can reach during ESD operation realize on demand pull draught line help the visual field exposure and One biggish supplement of hyaline cap and help are given in control, while avoiding the " subconsciousness occurred because hyaline cap visual-field space is too small Fortuitous event caused by lasting inflation ", the difficulty either operated in art is also or the risk of postoperative bad complication has A degree of reduction.However due to enteron aisle is too long etc., dental floss ancillary technique can not be acted on well to enteron aisle morning In cancer, the ESD art of precancerous lesion.
(4) in addition, existing titanium folder medial surface is very smooth in the prior art, after folder closes, tissue therein is possible to slip, The secondary folder of repetition is caused to close, operation trouble can not meet ideal surgical effect.
Therefore, in view of the above problems, inventor devises a kind of titanium folder with resilient coil of the utility model, should The design of device overcomes the above problem, has the advantages that significant.
Summary of the invention
The purpose of this utility model is in view of the deficiencies of the prior art, to provide a kind of titanium folder with resilient coil.
To achieve the above object, the technical scheme adopted by the utility model is that:
It is a kind of with resilient coil titanium folder, including titanium folder ontology (1), left clamp holder (2), right clamp holder (3), resilient coil (4), Non-slipping block (5), bending folder (6), the left clamp holder (2), right clamp holder (3) tail end are fixedly connected with titanium folder ontology (1) head end, institute It states resilient coil (4) and is located at titanium folder ontology (1) midline, and be embedded connection, the non-slipping block (5) with titanium folder ontology (1) It is fixedly connected with left clamp holder (2), non-slipping block (5) head end is in coarse structure, and the bending folder (6) is fixed with right clamp holder (3) head end Connection, bending folder (6) plane and right clamp holder (3) head end plane are in 90 ° of angles.
As a preferred embodiment of the utility model, the cross-sectional shape of titanium folder ontology (1) includes rectangular Shape, square, the titanium press from both sides the fluted structure in ontology (1) surface, are convenient for the insertion of resilient coil (4).
As a preferred embodiment of the utility model, it is head end respectively that the left clamp holder (2), which is divided into two parts, And tail end, the angle of angle is 100 ° -135 ° between head end and tail end, and left clamp holder (2) inner surface is coarse structure.
As a preferred embodiment of the utility model, it is head end respectively that the right clamp holder (3), which is divided into two parts, And tail end, the angle of angle is 100 ° -135 ° between head end and tail end, and right clamp holder (3) inner surface is coarse structure.
As a preferred embodiment of the utility model, the resilient coil (4) uses length for the rubber of 10-20cm Rubber band or the preparation of nylon rope material, the cross section of resilient coil (4) is the circle that diameter is 0.1-0.5cm, on resilient coil (4) It is accompanied by medical adhesive, resilient coil (4) is dual by way of insertion and gluing to be connect with titanium folder ontology (1), the connection type It can avoid resilient coil (4) and titanium press from both sides the problem of ontology (1) falls off generation.
As a preferred embodiment of the utility model, the non-slipping block (5) is evenly distributed on left clamp holder (2) interior table The quantity in face, left clamp holder (2) shares 3-7.
As a preferred embodiment of the utility model, the thickness of the bending folder (6) and the thickness of right clamp holder (3) Identical, the inner surface of the bending folder (6) is coarse structure.
The present apparatus is disposable product, and each titanium folder with resilient coil is placed in sterilization bag after disinfecting In;The design concept has effectively acted as preventing the effect of infection, increases one of defence line for the health of patient.
The utility model advantage is:
1, all to encounter intestinal mucosa ESD art, bad, operating difficulties the patient of visual field exposure, can be used present apparatus tail in art Disposable small titanium folder of the end with nylon rope ((rubber band)) resilient coil, is fixed on opposite side intestines for coil by second titanium folder Wall assists the purpose of surgical procedure to reach traction, sufficiently expose lesion.
2, the resilient coil structure of present apparatus setting exposes visual area sufficiently, alleviates work load for staff, together When be also that the health of patient increases one of defence line;
The present apparatus setting non-slipping block play the role of it is anti-skidding, can stable folder close blood vessel, make operation go on smoothly, shorten Operating time improves work efficiency;
When the bending of present apparatus setting is clipped in folder and closes microtubule (such as minute blood vessel, bile duct), there is clamping well Effect plays the role of preventing tissue from slipping well;
Left clamp holder, right clamp holder, anti-skidding fast, the bending folder inner surface of the present apparatus are coarse structure, which sets Meter keeps tissue clamping even closer, and effect is reliable.
The angle design of each structure and resilient coil Design of length are reasonable in the present apparatus, close tissue convenient for folder;
3, present apparatus structure is simple, easy to use, effect is reliable, can shorten operating time, improve working efficiency, have very Good application prospect.
Detailed description of the invention
Attached drawing 1 is the overall structure diagram of the embodiment 1 of the present apparatus.
Attached drawing 2 is the overall structure diagram of the embodiment 2 of the present apparatus.
Attached drawing 3 is the structural schematic diagram at left clamp holder position.
Attached drawing 4 is the use state diagram of the present apparatus in embodiment 1.
Attached drawing 5 is the use state diagram of the present apparatus in embodiment 2.
Specific embodiment
The following further describes the utility model with specific embodiments.It should be understood that these embodiments are merely to illustrate The utility model rather than limitation the scope of the utility model.In addition, it should also be understood that, having read in the utility model record After appearance, those skilled in the art can be made various changes or modifications the utility model, and such equivalent forms equally fall within this Apply for the appended claims limited range.
1. titanium presss from both sides the 2. right clamp holder of left clamp holder 3. of ontology
4. 5. non-slipping block 6. of resilient coil bending folder
A kind of titanium with resilient coil of embodiment 1 presss from both sides (one)
Fig. 1 is please referred to, attached drawing 1 is the overall structure diagram of the present embodiment.
A kind of titanium folder with resilient coil, including titanium press from both sides ontology 1, left clamp holder 2, right clamp holder 3, resilient coil 4, the left folder Handle 2,3 tail end of right clamp holder are fixedly connected with titanium folder 1 head end of ontology, and the resilient coil 4 is located at titanium folder 1 midline of ontology, and It is embedded connection with titanium folder ontology 1, as a preferred embodiment of the utility model, the titanium presss from both sides the transversal of ontology 1 Face shape includes rectangle, square, and the titanium presss from both sides the fluted structure in 1 surface of ontology, convenient for the insertion of resilient coil 4.As One preferred embodiment of the utility model, the left clamp holder 2 are divided into two parts, are head end and tail end respectively, head end and The angle of angle is 100 ° -135 ° between tail end, and left 2 inner surface of clamp holder is coarse structure.One as the utility model is excellent Embodiment is selected, the right clamp holder 3 is divided into two parts, is head end and tail end, the angle of angle between head end and tail end respectively It is 100 ° -135 °, right 3 inner surface of clamp holder is coarse structure.As a preferred embodiment of the utility model, the elasticity Coil 4 uses length to prepare for the rubber band of 10-20cm or nylon rope material, and the cross section of resilient coil 4 is that diameter is 0.1- The circle of 0.5cm, medical adhesive is accompanied by resilient coil 4, and resilient coil 4 and titanium folder ontology 1 are dual by insertion and gluing Mode connects, and can avoid the case where resilient coil 4 falls off with titanium folder ontology 1.
Referring to figure 4., attached drawing 4 is the use state diagram of the present apparatus in the present embodiment.
When implementing ESD operation, steps are as follows:
1) calcination marks;
2) locally injecting;
3) mucous membrane is cut;
4) mucous membrane is pulled open;
5) pathological tissues are removed, as shown in figure 4, taking the titanium folder with resilient coil from sterilization bag first, pass through a left side The effect of clamp holder 2, right clamp holder 3 is fixed in lesion, then takes a titanium folder not with resilient coil (in the prior art Existing titanium folder), it is nested into inside resilient coil 4, nylon rope (rubber band) resilient coil 4 is fixed on to the intestinal wall of opposite side On, it is drawn by the tensity of nylon rope (rubber band) resilient coil 4, makes every effort to the operation difficulty for reducing enteron aisle ESD art.Finally In such a way that argon gas burns partition nylon rope (rubber band) resilient coil 4, lesion is taken out.
It should be noted that being during use the waste for avoiding resource, the titanium folder not with resilient coil can be used Nylon rope (rubber band) resilient coil 4 is fixed in the intestinal wall of opposite side by (existing common titanium folder in the prior art).
The present apparatus is disposable product, and each titanium folder with resilient coil is placed in sterilization bag after disinfecting In;The design concept has effectively acted as preventing the effect of infection, increases one of defence line for the health of patient.
A kind of titanium with resilient coil of embodiment 2 presss from both sides (two)
Referring to figure 2., attached drawing 2 is the overall structure diagram of the present embodiment.
It is a kind of with resilient coil titanium folder, including titanium folder ontology 1, left clamp holder 2, right clamp holder 3, resilient coil 4, non-slipping block 5, Bending folder 6, the left clamp holder 2,3 tail end of right clamp holder are fixedly connected with titanium folder 1 head end of ontology, and the resilient coil 4 is located at titanium 1 midline of ontology is pressed from both sides, and is embedded connection with titanium folder ontology 1, the non-slipping block 5 is fixedly connected with left clamp holder 2, non-slipping block 5 Head end is in coarse structure, and the bending folder 6 is fixedly connected with right 3 head end of clamp holder, bending 6 planes of folder and right 3 head end plane of clamp holder In 90 ° of angles.As a preferred embodiment of the utility model, the cross-sectional shape of the titanium folder ontology 1 includes rectangular Shape, square, the titanium presss from both sides the fluted structure in 1 surface of ontology, convenient for the insertion of resilient coil 4.One as the utility model A preferred embodiment, the left clamp holder 2 are divided into two parts, are head end and tail end, angle between head end and tail end respectively Angle is 100 ° -135 °, and left 2 inner surface of clamp holder is coarse structure.It is described as a preferred embodiment of the utility model Right clamp holder 3 is divided into two parts, is head end and tail end respectively, the angle of angle is 100 ° -135 ° between head end and tail end, right folder 3 inner surface of handle is coarse structure.As a preferred embodiment of the utility model, the resilient coil 4 use length for Prepared by the rubber band or nylon rope material of 10-20cm, the cross section of resilient coil 4 is the circle that diameter is 0.1-0.5cm, elasticity Medical adhesive is accompanied by coil 4, resilient coil 4 is connect by way of insertion and gluing with titanium folder ontology 1, can avoid elastica The case where circle 4 falls off with titanium folder ontology 1.As a preferred embodiment of the utility model, the non-slipping block 5 is uniformly It is distributed in left 2 inner surface of clamp holder, the quantity of left clamp holder 2 shares 3-7.As a preferred embodiment of the utility model, The thickness of the bending folder 6 is identical as the thickness of right clamp holder 3, and the inner surface of the bending folder 6 is coarse structure.
Referring to figure 3., attached drawing 3 is the structural schematic diagram at left clamp holder position.
Non-slipping block 5 is fixedly connected with left clamp holder 2, and 5 head end of non-slipping block is in coarse structure, and one as the utility model is excellent Embodiment is selected, the left clamp holder 2 is divided into two parts, is head end and tail end, the angle of angle between head end and tail end respectively It is 100 ° -135 °, left 2 inner surface of clamp holder is coarse structure.It is described anti-skidding as a preferred embodiment of the utility model Block 5 is evenly distributed on left 2 inner surface of clamp holder, and the quantity of left clamp holder 2 shares 3-7.
Referring to figure 5., attached drawing 5 is the use state diagram of the present apparatus in the present embodiment.
When implementing ESD operation, steps are as follows:
1) calcination marks;
2) locally injecting;
3) mucous membrane is cut;
4) mucous membrane is pulled open;
5) pathological tissues are removed, as shown in figure 5, taking the titanium folder with resilient coil from sterilization bag first, pass through a left side The effect of clamp holder 2, right clamp holder 3 is fixed in lesion, during use, the tissue that need to be clamped is made to be located at non-slipping block 5 In, fine tissue is located in bending folder 6, then takes a titanium folder (already present titanium in the prior art not with resilient coil Folder), it is nested into inside resilient coil 4, nylon rope (rubber band) resilient coil 4 is fixed in the intestinal wall of opposite side, is passed through The tensity of nylon rope (rubber band) resilient coil 4 is drawn, and the operation difficulty for reducing enteron aisle ESD art is made every effort to.Finally by argon Gas burns the mode of partition nylon rope (rubber band) resilient coil 4, and lesion is taken out.
It should be noted that being during use the waste for avoiding resource, the titanium folder not with resilient coil can be used Nylon rope (rubber band) resilient coil 4 is fixed in the intestinal wall of opposite side by (existing common titanium folder in the prior art).
The present apparatus is disposable product, and each titanium folder with resilient coil is placed in sterilization bag after disinfecting In;The design concept has effectively acted as preventing the effect of infection, increases one of defence line for the health of patient.
It is pressed from both sides using present apparatus tail end with the disposable small titanium of nylon rope ((rubber band)) resilient coil, passes through second titanium Coil is fixed on opposite side intestinal wall by folder, to reach traction, sufficiently expose lesion, assists the purpose of surgical procedure.Present apparatus setting Resilient coil structure expose visual area sufficiently, alleviate work load for staff, while also increasing for the health of patient One defence line;The present apparatus setting non-slipping block play the role of it is anti-skidding, can stable folder close blood vessel, make operation go on smoothly, contract Short operating time, improves work efficiency;The bending of present apparatus setting is clipped in folder and closes microtubule (such as minute blood vessel, bile duct Deng) when, there is good clamping effect, can play the role of preventing tissue from slipping well;Left clamp holder, the right folder of the present apparatus Handle, anti-skidding fast, bending folder inner surface are coarse structure, and the design of the coarse structure keeps tissue clamping even closer, and effect can It leans on.
Present apparatus structure is simple, easy to use, effect is reliable, can shorten operating time, improve working efficiency, has fine Application prospect.
The above is only the preferred embodiment of the utility model, it is noted that for the common skill of the art Art personnel can also make several improvement and supplement without departing from the principle of this utility model, these are improved and supplement Also it should be regarded as the protection scope of the utility model.

Claims (7)

1. a kind of titanium folder with resilient coil, which is characterized in that press from both sides ontology (1), left clamp holder (2), right clamp holder (3), bullet including titanium Property coil (4), non-slipping block (5), bending folder (6), the left clamp holder (2), right clamp holder (3) tail end with titanium press from both sides ontology (1) head end It is fixedly connected, the resilient coil (4) is located at titanium folder ontology (1) midline, and is embedded connection, institute with titanium folder ontology (1) It states non-slipping block (5) to be fixedly connected with left clamp holder (2), non-slipping block (5) head end is in coarse structure, the bending folder (6) and right clamp holder (3) head end is fixedly connected, and bending folder (6) plane and right clamp holder (3) head end plane are in 90 ° of angles.
2. the titanium folder with resilient coil according to claim 1, which is characterized in that the cross section shape of titanium folder ontology (1) Shape includes rectangle, square, and the titanium presss from both sides the fluted structure in ontology (1) surface, is convenient for the insertion of resilient coil (4).
3. the titanium folder with resilient coil according to claim 1, which is characterized in that the left clamp holder (2) is divided into two parts, It is head end and tail end respectively, the angle of angle is 100 ° -135 ° between head end and tail end, and left clamp holder (2) inner surface is coarse knot Structure.
4. the titanium folder with resilient coil according to claim 1, which is characterized in that the right clamp holder (3) is divided into two parts, It is head end and tail end respectively, the angle of angle is 100 ° -135 ° between head end and tail end, and right clamp holder (3) inner surface is coarse knot Structure.
5. according to claim 1 with resilient coil titanium folder, which is characterized in that the resilient coil (4) use length for Prepared by the rubber band or nylon rope material of 10-20cm, the cross section of resilient coil (4) is the circle that diameter is 0.1-0.5cm, bullet Medical adhesive is accompanied by property coil (4).
6. the titanium folder with resilient coil according to claim 1, which is characterized in that the non-slipping block (5) is evenly distributed on a left side The quantity of clamp holder (2) inner surface, left clamp holder (2) shares 3-7.
7. the titanium folder with resilient coil according to claim 1, which is characterized in that the thickness and right folder of the bending folder (6) The thickness of handle (3) is identical, and the inner surface of the bending folder (6) is coarse structure.
CN201822214550.XU 2018-12-27 2018-12-27 A kind of titanium folder with resilient coil Active CN209236282U (en)

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Application Number Priority Date Filing Date Title
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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114469266A (en) * 2022-01-26 2022-05-13 中国人民解放军北部战区总医院 Metal dental floss clamping integrated traction forceps assisting endoscope submucosal stripping and method

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114469266A (en) * 2022-01-26 2022-05-13 中国人民解放军北部战区总医院 Metal dental floss clamping integrated traction forceps assisting endoscope submucosal stripping and method
CN114469266B (en) * 2022-01-26 2023-07-07 中国人民解放军北部战区总医院 Metal clamp dental floss integrated traction forceps and method for assisting endoscopic submucosal stripping

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