CN103505263A - Fallopian tube crushing clamp for laparoscope - Google Patents
Fallopian tube crushing clamp for laparoscope Download PDFInfo
- Publication number
- CN103505263A CN103505263A CN201210213225.6A CN201210213225A CN103505263A CN 103505263 A CN103505263 A CN 103505263A CN 201210213225 A CN201210213225 A CN 201210213225A CN 103505263 A CN103505263 A CN 103505263A
- Authority
- CN
- China
- Prior art keywords
- fallopian tube
- clamp piece
- extruding clamp
- drive link
- described extruding
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1442—Probes having pivoting end effectors, e.g. forceps
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2901—Details of shaft
- A61B2017/2902—Details of shaft characterized by features of the actuating rod
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B17/2909—Handles
- A61B2017/2912—Handles transmission of forces to actuating rod or piston
- A61B2017/2919—Handles transmission of forces to actuating rod or piston details of linkages or pivot points
- A61B2017/292—Handles transmission of forces to actuating rod or piston details of linkages or pivot points connection of actuating rod to handle, e.g. ball end in recess
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
- A61B2017/2927—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft
- A61B2017/2929—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft with a head rotatable about the longitudinal axis of the shaft
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
- A61B2017/2932—Transmission of forces to jaw members
- A61B2017/2933—Transmission of forces to jaw members camming or guiding means
Abstract
The invention relates to a fallopian tube crushing clamp for a laparoscope. The fallopian tube crushing clamp comprises a control clamp, a transmission rod and two hinged crushing clamp pieces. The crushing clamp pieces are bent rigid clamp pieces. The middle of the inner side of each crushing clamp piece is in an arc shape, the two crushing clamp pieces form a flat circular opening when closed, and therefore a fallopian tube to be crushed can be placed in the flat circular opening. The two crushing clamp pieces are bent outwards to form free end in an opposite mode from closed points, and the free ends are in the shape of an opened opening when the crushing pieces are closed. The fallopian tube crushing clamp for the laparoscope has the advantages that no-damage crushing method is adopted under the direct viewing of the laparoscope, and a gestational sac is crushed out of the umbrella end of the fallopian tube, so that the structure of the fallopian tube is not damaged in the operation process, and the fallopian tube injury caused by a salpingectomy or a windowing embryo-removing operation of the fallopian tube is avoided.
Description
Technical field
The present invention relates to bio-medical equipment field, particularly relate to a kind of fallopian tube crush inhury of using of being applicable under peritoneoscope.
Background technology
Ectopic pregnancy is one of modal disease of gynecological.Peritoneoscope diagnosis and treatment art is the important means for the treatment of ectopic pregnancy, and its definite effect can process other gynecological's problems of merging, and wound is little simultaneously, recovers fast, and economical and efficient has become the goldstandard for the treatment of ectopic pregnancy and replaced Tradtional laparotomy.The common method for the treatment of ectopic pregnancy under peritoneoscope has two kinds: 1, Ipsilateral salpingectomy: this art formula is suitable for the women that atoke requires, but for child-bearing woman not, its pregnancy rate at least declines 50%, if merge bad being more not suitable for of Ipsilateral Tubal Function of Sterility, adopt Ipsilateral salpingectomy, and patient's acceptance level is low; 2, Ipsilateral fallopian tube is windowed and is got embryo art: method is to cut fallopian tube in oviducal pregnant implantation portion, take out pregnant thing, then fallopian tube is carried out to coagulation or Suture hemostasis, the shortcoming that this art formula exists has: 1) fallopian tube damage, after windowing, can cause fallopian tube to destroy, no matter lose blood, be that coagulation or stitching all can cause damage to fallopian tube; 2) window after wound healing and have cicatrization, endosalpinx cilium destroys, and affects oviducal convey of fertilized ovum function, can cause the possibility of ectopic pregnancy for the second time.
Summary of the invention
In order to overcome the technological deficiency for the treatment of clinically ectopic pregnancy at present, the invention provides a kind of fallopian tube crush inhury of using of being applicable under peritoneoscope, thereby realize under peritoneoscope direct-view fallopian tube is pushed to treatment ectopic pregnancy, this crush inhury is slight on Tubal Function of Sterility impact, can obviously reduce fallopian tube damage.
For achieving the above object, technical scheme of the present invention is:
A laparoscopically fallopian tube crush inhury, comprises and controls pincers, drive link and two hinged extruding clamp pieces; Described control pincers comprise two hinged clamp handles, and one of them mobilizable described clamp handle is connected with drive link, and move between open position and make position by the described extruding clamp piece of mobile control of described drive link; Described extruding clamp piece is crooked rigidity folder; Wherein, the mid portion of the inner side of described extruding clamp piece is circular-arc, forms one oblate mouthful, for putting the fallopian tube that needs extruding when two described extruding clamp pieces are closed; Two relatively outwardly-bent free ends that extend to form of described extruding clamp piece self-closing point, described free end is the opening shape opening when described extruding clamp piece is closed, and opening shape is preferably fish mouth shape.
Further, the widest part of oblate mouthful that two described extruding clamp pieces form when closed is not more than 2.4mm, preferably 2mm.
Further, the outermost end of described extruding clamp piece to the length of the closing point nearest with it is 5-6mm, and when closure, the free-ended port distance of two described extruding clamp pieces is 4.7-5.0mm.
Further, the bandy radius of curvature of the free end of described extruding clamp piece is between 9-13mm.
Further, the length of described extruding clamp piece is 26-30mm.
Preferably, the other end of described drive link is arranged with link, and described link comprises Plug Division and limiting section; Described Plug Division can be built in sleeve pipe sliding freely, and is provided with for the through hole through described drive link; Described limiting section is provided with for the stiff end of accommodating described extruding clamp piece and the slot of STATEMENT OF FEDERALLY SPONSORED; The stiff end of described extruding clamp piece is hinged with one end of a described STATEMENT OF FEDERALLY SPONSORED respectively, and the other end of described STATEMENT OF FEDERALLY SPONSORED is articulated with the end of described drive link.
As selectively, described sleeve pipe is provided with the runner assembly to diverse location for rotating casing and drive link.
Fallopian tube crush inhury provided by the invention can push fallopian tube under peritoneoscope direct-view, fallopian tube crush inhury can 360 ° of rotations, two the inner You Yi of clamp piece spaces, the oblate mouth of i.e. closed rear formation, can just " contain " firmly fallopian tube tube chamber, both guarantee certain compressing, can not cause excessive crush injury to fallopian tube again, the free end of extruding clamp piece is fish mouth sample, can effectively prevent that clamp piece far-end from causing lacerated wound to oviduct tissue.The present invention can be without fallopian tube is cut under the state of windowing pregnant thing is extruded from Ipsilateral fallopian tube, have little to fallopian tube wound, to its function effect slightly, do not damage endosalpinx, without synulotic advantage, be specially adapted to fallopian tube destructiveness not heavy, the ectopic pregnancy at the following position of isthmus of uterine tube.
Accompanying drawing explanation
Fig. 1 is the structural representation of embodiments of the invention, and in figure, pushing clamp piece is closure state;
Fig. 2 is the structural representation of embodiments of the invention, and in figure, pushing clamp piece is open mode;
Fig. 3 is the enlarged drawing of the clamp handle part in Fig. 2;
Fig. 4 is the enlarged drawing that pushes clamp piece part in Fig. 1;
Fig. 5 is the side view that pushes clamp piece part in Fig. 1;
Fig. 6 is the axonometric chart of the extruding clamp piece part of embodiments of the invention; In figure, pushing clamp piece is closure state;
Fig. 7 is the axonometric chart of the extruding clamp piece part of embodiments of the invention; In figure, pushing clamp piece is open mode.
The specific embodiment
Below by embodiment, further illustrate the present invention, but not as limit.
It should be noted that, the control pincers that extruding clamp piece of the present invention adopts, Main Function is to utilize manual clamp handle to control the open and close of the extruding clamp piece of front end.Therefore, based on this object, the present invention can use any abdominal operation pincers that can realize above-mentioned functions in existing laparoscopic surgery, and the structure that provides in following specific embodiment is provided.
As Figure 1-3, the invention provides a kind ofly for laparoscopically fallopian tube crush inhury, comprise and control pincers 1, drive link 2 and two hinged extruding clamp pieces 3; Drive link 1 is built in a shaft-like sleeve pipe 4, and sleeve pipe 4 is provided with wheel set assembly 8.Control pincers 1 and comprise two hinged clamp handles 11,12, be pistol type setting, wherein the front end of mobilizable clamp handle 11 is provided with loose slot 110, for the ball-shaped end 21 of accommodating drive link 2, rotates arbitrarily; Another fixedly the front end of clamp handle 12 be formed with bracing frame 10, for fixedly wheel set assembly 8 and sleeve pipe 4; The fixedly through hole of clamp handle 12 is passed in the rear end of drive link 2, is connected with movable clamp handle 11.Above-mentioned drive link 2 is built in the sleeve pipe 4 that a metal material makes, and the outside of sleeve pipe 4 is provided with insulation shell 41; Under the effect of mobilizable clamp handle 11, drive link 2 can freely slide in sleeve pipe 4; The front end of drive link 2 is connected with extruding clamp piece 31,32, when it moves, can control crush inhury sheet 31,32 and move between open position and make position.
As shown in Fig. 4-7, extruding clamp piece 31,32 is crooked rigidity folder, can adopt stainless steel material to make; And there is smooth surface and fillet.Wherein, the mid portion of the inner side of extruding clamp piece 31,32 is circular-arc, when two extruding clamp pieces 31,32 are closed, can form one oblate mouthful, for putting the fallopian tube that needs extruding; The free end 310,320 of two extruding clamp pieces 31,32 is relatively outwardly-bent, is the fish mouth shape of opening, to avoid, in extrusion process, fallopian tube being caused to damage when closure.In the present embodiment, as preferably, the length of extruding clamp piece is 28mm, and oblate mouthful the widest part forming when closed is 2mm, and this width can contain fallopian tube just, has both guaranteed certain compressing, can not cause excessive crush injury to fallopian tube again.Further, preferably, free end 310, the 320 bandy radius of curvature of two described extruding clamp pieces are between 9-13mm, and the outermost end of the free end 310,320 of design extruding clamp piece to the length of the closing point A nearest with it is 5mm, the port distance of two free ends 310,320 is 5.0mm, can extruding clamp piece is reduced to minimum to the damage of organ thus.In the present embodiment, the control structure of 2 pairs of extruding clamp pieces of drive link, the present invention has adopted the STATEMENT OF FEDERALLY SPONSORED 71,72 of a pair of laminated structure to realize especially.Certainly, to those skilled in the art, the effect of this STATEMENT OF FEDERALLY SPONSORED is exactly by the open and close of clamp handle, interlock passes to extruding clamp piece, make to push clamp piece and form opening and closing state, except the STATEMENT OF FEDERALLY SPONSORED structure shown in the present embodiment, can also adopt any other feasible mode of the prior art.Specifically, the lower end of drive link 2 is arranged with link 6, and link 6 comprises Plug Division 61 and limiting section 62.Above-mentioned Plug Division 61 can be built in sleeve pipe 4 sliding freely, and 61 centers, ，Gai Plug Division are provided with for the through hole through drive link 3 simultaneously.Above-mentioned limiting section 62 is provided with for the stiff end 311,321 of accommodating extruding clamp piece 31,32 and the U-shaped slot of STATEMENT OF FEDERALLY SPONSORED 71,72, extruding clamp piece 31,32 is hinged with a described STATEMENT OF FEDERALLY SPONSORED 71,72 one end respectively, and the other end of described STATEMENT OF FEDERALLY SPONSORED 71,72 is articulated with the lamellar end 22 of described drive link 2.Meanwhile, the stiff end 311,321 of extruding clamp piece matches and is flat with U-shaped slot, to guarantee to push clamp piece 31,32 by open and close stably.It should be noted that, in order to represent the syndeton between clear extruding clamp piece 31,32 and STATEMENT OF FEDERALLY SPONSORED 71,72, in Fig. 6,7, do not draw link 6.
During use, only need to be by the finger cocked movable clamp handle 11 that makes progress, drive link 2 moves to sleeve pipe 4 outer ends thereupon, be subject to the spatial constraints of the U-shaped slot of link 6, drive link 2 promotes STATEMENT OF FEDERALLY SPONSORED 71,72 and moves laterally, the fixed part of extruding clamp piece 31,32 also moves thereupon laterally, thereby the free end 310,320 of extruding clamp piece is opened.Find after operative site, then regain movable clamp handle 11 downwards, drive link 2 retractions, drive the stiff end 311,321 of STATEMENT OF FEDERALLY SPONSORED 71,72 and extruding clamp piece inwardly to regain, and extruding clamp piece 31,32 is returned to closure state, thereby just fallopian tube is contained.Subsequently, mobile extruding clamp piece 3, can squeeze out intratubal foreign body.
Further consult Fig. 3, sleeve pipe 4 of the present invention is provided with the runner assembly 8 for rotating casing 4 and drive link 2, for realizing 360 degree rotations of extruding clamp piece 3, but is not limited only to this, and the present invention can also adopt any one known runner assembly in prior art.This runner assembly 8 comprises runner 81, wheel carrier 82 and wheel seat 83, and wheel seat 83 is threadedly connected to runner 81.Runner 81 one end can be set on bracing frame 10, and with wheel carrier 82 interlocks, wheel carrier 82 is connected with sleeve pipe 4, wheel carrier 82 is provided with limit spring 84 and the locating part 85 cooperatively interacting, in bracing frame 10, be provided with 8 locating slots 86 that match with locating part 85, the different anglec of rotation corresponding to locating slot 86.During use, only need rotating wheel 81, sleeve pipe 4, trace 2 and extruding clamp piece 3 just turn to different directions thereupon and position.
Further, fixedly on the bracing frame 10 of clamp handle, can also be provided with coagulating electrode assembly by selectivity, this coagulating electrode assembly can be selected from of the prior art any one.Certainly, extruding clamp piece 3 of the present invention also can not be provided with the function of coagulating electrode.Electrode plug 9 positions are only shown in Fig. 1-3, do not provide structure and the position of concrete conducting strip.This coagulating electrode assembly can, in operation, carry out electric coagulation hemostasis to operative site.
The related parts of above-described embodiment all will meet all surgical operations avirulence and clean requirement.
Certainly; the present invention also can have other various embodiments; in the situation that not deviating from invention spirit and essence thereof, those of ordinary skill in the art can make various corresponding changes and distortion according to invention, but these corresponding changes and distortion all should belong to protection domain of the presently claimed invention.
Claims (9)
1. for a laparoscopically fallopian tube crush inhury, comprise and control pincers, drive link and two hinged extruding clamp pieces; Described control pincers comprise two hinged clamp handles, and one of them mobilizable described clamp handle is connected with drive link, and move between open position and make position by the described extruding clamp piece of mobile control of described drive link; It is characterized in that, described extruding clamp piece is crooked rigidity folder; Wherein, the mid portion of the inner side of described extruding clamp piece is circular-arc, forms one oblate mouthful, for putting the fallopian tube that needs extruding when two described extruding clamp pieces are closed; Two relatively outwardly-bent free ends that extend to form of described extruding clamp piece self-closing point, described free end is the opening shape opening when described extruding clamp piece is closed.
2. crush inhury as claimed in claim 1, is characterized in that, the widest part of oblate mouthful that two described extruding clamp pieces form when closed is not more than 2.4mm.
3. crush inhury as claimed in claim 2, is characterized in that, the widest part of oblate mouthful that two described extruding clamp pieces form when closed is 2mm.
4. crush inhury as claimed in claim 2, is characterized in that, the outermost end of described extruding clamp piece to the length of the closing point nearest with it is 5-6mm, and when closure, the free-ended port distance of two described extruding clamp pieces is 4.7-5.0mm.
5. crush inhury as claimed in claim 4, is characterized in that, the bandy radius of curvature of free end of described extruding clamp piece is between 9-13mm.
6. crush inhury as claimed in claim 5, is characterized in that, the length of described extruding clamp piece is 26-30mm.
7. as the crush inhury as described in arbitrary in claim 1-6, it is characterized in that, the other end of described drive link is arranged with link, and described link comprises Plug Division and limiting section; Described Plug Division can be built in sleeve pipe sliding freely, and is provided with for the through hole through described drive link; Described limiting section is provided with for the stiff end of accommodating described extruding clamp piece and the slot of STATEMENT OF FEDERALLY SPONSORED; The stiff end of described extruding clamp piece is hinged with one end of a described STATEMENT OF FEDERALLY SPONSORED respectively, and the other end of described STATEMENT OF FEDERALLY SPONSORED is articulated with the end of described drive link.
8. crush inhury as claimed in claim 7, is characterized in that, described sleeve pipe is provided with the runner assembly to diverse location for rotating casing and drive link.
9. crush inhury as claimed in claim 1, is characterized in that, the free-ended opening shape of described extruding clamp piece is preferably fish mouth shape.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201210213225.6A CN103505263B (en) | 2012-06-26 | 2012-06-26 | Fallopian tube crushing clamp for laparoscope |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201210213225.6A CN103505263B (en) | 2012-06-26 | 2012-06-26 | Fallopian tube crushing clamp for laparoscope |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN103505263A true CN103505263A (en) | 2014-01-15 |
| CN103505263B CN103505263B (en) | 2015-07-01 |
Family
ID=49889060
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201210213225.6A Expired - Fee Related CN103505263B (en) | 2012-06-26 | 2012-06-26 | Fallopian tube crushing clamp for laparoscope |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN103505263B (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN105078467A (en) * | 2015-09-06 | 2015-11-25 | 上海凯利泰医疗科技股份有限公司 | Intra-cavity measurement apparatus and measurement method |
Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5217030A (en) * | 1989-12-05 | 1993-06-08 | Inbae Yoon | Multi-functional instruments and stretchable ligating and occluding devices |
| CN201642209U (en) * | 2010-03-12 | 2010-11-24 | 深圳市宝安区西乡人民医院 | Forceps for fallopian tube |
| CN102397091A (en) * | 2010-09-10 | 2012-04-04 | 王鹏 | Exquisite pushing tube double-vision minimally invasive surgery instrument |
| CN202682007U (en) * | 2012-06-26 | 2013-01-23 | 重庆市妇幼保健院 | Oviduct extruding clamp for laparoscope |
-
2012
- 2012-06-26 CN CN201210213225.6A patent/CN103505263B/en not_active Expired - Fee Related
Patent Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5217030A (en) * | 1989-12-05 | 1993-06-08 | Inbae Yoon | Multi-functional instruments and stretchable ligating and occluding devices |
| CN201642209U (en) * | 2010-03-12 | 2010-11-24 | 深圳市宝安区西乡人民医院 | Forceps for fallopian tube |
| CN102397091A (en) * | 2010-09-10 | 2012-04-04 | 王鹏 | Exquisite pushing tube double-vision minimally invasive surgery instrument |
| CN202682007U (en) * | 2012-06-26 | 2013-01-23 | 重庆市妇幼保健院 | Oviduct extruding clamp for laparoscope |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN105078467A (en) * | 2015-09-06 | 2015-11-25 | 上海凯利泰医疗科技股份有限公司 | Intra-cavity measurement apparatus and measurement method |
| CN105078467B (en) * | 2015-09-06 | 2018-01-12 | 上海凯利泰医疗科技股份有限公司 | Intracavitary measurement apparatus and measuring method |
Also Published As
| Publication number | Publication date |
|---|---|
| CN103505263B (en) | 2015-07-01 |
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Granted publication date: 20150701 Termination date: 20160626 |