CN104523217A - Fiber choledochoscope forceps - Google Patents

Fiber choledochoscope forceps Download PDF

Info

Publication number
CN104523217A
CN104523217A CN201510029852.8A CN201510029852A CN104523217A CN 104523217 A CN104523217 A CN 104523217A CN 201510029852 A CN201510029852 A CN 201510029852A CN 104523217 A CN104523217 A CN 104523217A
Authority
CN
China
Prior art keywords
tong arm
connecting rod
binding clip
pincers
fiber
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.)
Pending
Application number
CN201510029852.8A
Other languages
Chinese (zh)
Inventor
鲁葆春
余建华
沈志宏
唐海军
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Shaoxing Peoples Hospital
Original Assignee
Shaoxing Peoples Hospital
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Shaoxing Peoples Hospital filed Critical Shaoxing Peoples Hospital
Priority to CN201510029852.8A priority Critical patent/CN104523217A/en
Publication of CN104523217A publication Critical patent/CN104523217A/en
Pending legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/313Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for introducing through surgical openings, e.g. laparoscopes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00131Accessories for endoscopes

Abstract

The invention discloses a pair of fiber choledochoscope forceps and belongs to the field of medical equipment. The fiber choledochoscope forceps comprise a fixed handle and a movable handle, the fixed handle is connected with the movable handle in a rotating mode, a connecting rod is connected with the movable handle, and a forcep head is connected with the connecting rod. The fiber choledochoscope forceps are characterized in that the forcep head comprises an upper forcep arm and a lower forcep arm, arc-shaped grooves are formed in the inner surface of the upper forcep arm and the inner surface of the lower forcep arm in a corresponding mode, when the upper forcep arm and the lower forcep arm are in a closed state, a through hole is formed in the middle of the forcep head, and the vertical diameter of the through hole is set to range from 0.3 cm to 0.60 cm. Through the fiber choledochoscope forceps, grabbing is convenient, fixing is easy, damage to a choledochoscope outer sheath is small, daily maintenance cost is reduced, and the service life of fiber choledochoscopes is effectively prolonged.

Description

Fiber endoscopy clamps
technical field:
The present invention relates to a kind of fiber endoscopy pincers, belong to medical instruments field.
background technology:
Fiber endoscopy is a kind of new apparatus being mainly used to Diagnosing Biliary Tract Carcinoma disease invented along with fiberoptic development in recent years, it is a hollow pipe protecting sheath to form by many optical fibers and plastics, being that a kind of direct-view is lower observes gallbladder pipe, common hepatic duct, the special apparatus of process pathological changes, upwards can see that in liver, biliary tract reaches III deeply, the gallbladder pipe of IV level, common bile duct lower duodenal nipple can be seen downwards, even in duodenum, and directly can see that whether the mucosa in bile duct is congested, edema, the shape of erosion and cholelithiasis, color, size, number and whether incarceration, also can distinguish the clot in biliary tract, bubble, polyp and ascarid, get biopsy and make pathologic finding, the diagnosis of biliary tract can be done, understand position and the character of pathological changes, whether there is retained calculus etc.
Laparoscopic surgery is the invasive methods that a new development is got up, it is the minimal incision * by doing several 0.5-1 centimetre in patients abdomen, each insertion one is called the operation sheath of " trocar ", set up operation path, under television monitoring, complete the step same with open surgery by special operating theater instruments again, reach same surgical effect.
Fiber endoscopy is requisite instrument in operation on biliary tract, under peritoneoscope, operation is difficult to fixing, must be fixed and could enter biliary tract smoothly and operate with pliers, and in existing apparatus, there is no special fiber endoscopy pincers, generally all carry out capturing and fixing with nipper in operation, and the binding clip of nipper is metal casts, there is sharp groove, the protection sheath of fiber endoscopy is plastic material, be very easy to damaged after capturing several times, once damaged, optical fiber is easily sterilized solution corrosion damage, and keep in repair plastics sheath not only time-consuming (January) but also somewhat expensive (20,000 yuan), must repeatedly keep in repair every year, use cost is high.In order to the probability that the plastics epitheca reducing choledochoscope is scratched by sharp nipper, in use, doctor generally can on the cover of nipper binding clip position one deck plastic flexible pipe, the damage that can reduce plastics epitheca during crawl like this, but also exist and capture shakiness, fixing defect loosely.
summary of the invention:
For the defect existed in above-mentioned prior art, the object of the present invention is to provide a kind of fiber endoscopy pincers be exclusively used under peritoneoscope, it captures convenient, be easy to fixing, and it is minimum to the damage of choledochoscope epitheca, decrease daily maintenance cost and use cost, effectively extend the service life of fiber endoscopy.
To achieve these goals, the technical solution used in the present invention is:
A kind of fiber endoscopy pincers, comprise fixed handle and flexible handle, fixed handle and flexible handle are rotationally connected, connecting rod is connected with flexible handle, and binding clip is connected with connecting rod, it is characterized in that: described binding clip comprises tong arm and lower tong arm, the inner surface correspondence of upper tong arm, lower tong arm is provided with arcuate groove, when upper and lower tong arm is in closure state, the middle part of binding clip forms a through hole, and the vertical diameter of through hole is arranged on 0.3cm ~ 0.60cm.
The further setting of the present invention is:
Described binding clip entirety is cylindrical shape, and binding clip diameter is 0.4 ~ 0.9cm, and binding clip length is 1.5 ~ 2.5cm.
Preferably, described binding clip diameter is 0.5cm, and binding clip length is 2cm, and the vertical diameter of through hole is 0.36cm.
Line style tooth bar established by the arcuate groove of upper tong arm, lower tong arm, and the direction of tooth bar is the length direction of caliper.
The arcuate groove of upper tong arm, lower tong arm arranges embedded liner, liner arranges protuberant particles or cross cut.The material of described liner is timber or rubber.At the arc-shaped groove inner surface of upper tong arm, lower tong arm, frictional layer is set.Not only increase friction, easily fix, and sheath do not protected by easy damaged choledochoscope plastics.
Described upper tong arm, one end of lower tong arm are free end, the other end intersects mutually, hinged by connecting pin one at infall, the end of upper tong arm, lower tong arm is hinged with one end of the first brace, the second brace respectively, and the first brace, the second brace other end are connected with connecting rod by connecting pin two.
Also comprise connecting rod cover and clamp seat, connecting rod is contained in connecting rod cover, and one end and the fixed handle of connecting rod cover are rotationally connected, and can rotate relative to fixed handle, the other end of connecting rod cover is connected with clamp seat, and the infall of upper tong arm and lower tong arm is connected on clamp seat by connecting pin.
Arrange runner at the handle end of connecting rod cover, described runner is sleeved on connecting rod by rotaring wheeling sleeve and puts.
Rotaring wheeling sleeve is provided with the bath joint overlapping intracavity inter-connection with connecting rod, fixed handle is provided with coagulation interface.
Beneficial effect of the present invention is:
1, of the present invention by being provided with arcuate groove in the inner surface correspondence of upper tong arm, lower tong arm, make in the middle part of binding clip, to form the little through hole in two broad in the middle, and suitable through-hole diameter is set, choledochoscope is limited in the middle part of through hole, because the vertical diameter of through hole is suitable with choledochoscope diameter, exerting oneself to choledochoscope during clamping, dynamics is less just can be clamped, and can not move left and right because two of through hole is little, and clamping is firm.
2, the length by rationally arranging binding clip of the present invention makes binding clip under peritoneoscope, open less angle and just can realize choledochoscope clamping, long or the upper and lower tong arm of binding clip opens too general idea damage tissue around and blood vessel, rational binding clip diameter can ensure that upper and lower tong arm has certain thickness, not easily lose during use, the rational clamping face formed, chucking power is better.
3, the present invention arranges frictional layer at the inner surface of binding clip, originally sharp horizontal pointed tooth is replaced to the thin tooth of longitudinal line style or elastic liner, not only increase the frictional force of clamping face, and longitudinal direction tooth bar restriction choledochoscope in through-holes movable, fine and closely woven thin tooth and elastic insert damage minimum to the plastics epitheca of fiber endoscopy, found through experiments, use general nipper to capture and fixing choledochoscope, its plastics epitheca is employing tens times to twenties times just breakages, but use choledochoscope of the present invention to clamp to carry out capturing and fixing, choledochoscope epitheca employ up to a hundred time after, only occur necessarily grabbing print on device surface, not there is disrepair phenomenon, greatly reduce daily maintenance cost, the service life of effective prolongation fiber endoscopy.
accompanying drawing illustrates:
Fig. 1 is the structural representation of the embodiment of the present invention;
Fig. 2 is the structural representation of the binding clip closure state of the embodiment of the present invention;
Fig. 3 is the axonometric chart of the embodiment of the present invention 1 binding clip;
Fig. 4 is the axonometric chart of the embodiment of the present invention 2 binding clip;
Fig. 5 is the structural representation that embodiment of the present invention binding clip is connected with pull bar.
Below in conjunction with the drawings and specific embodiments, the present invention is further detailed.
detailed description of the invention:
Embodiment 1:
As shown in Figure 1, a kind of fiber endoscopy pincers of the embodiment of the present invention, comprise fixed handle 1 and flexible handle 2, both are rotationally connected by bearing pin 3, circle 4 is referred to before the end of fixed handle 1 is arranged, after the end of flexible handle 2 is arranged, referring to circle 5, be inserted in by finger in front finger circle 4, rear finger circle 5 respectively, is that the folding controlling flexible handle 2 and fixed handle 1 is rotated in rotating shaft up and down by finger push flexible handle 2 with bearing pin 3; Connecting rod 8 one end is connected with flexible handle 2, the other end of connecting rod 8 with can the binding clip 9 of folding be connected, flexible handle 2 relative to fixed handle 1 rotation process, drivening rod 8 movable, thus control the folding of binding clip 9.
As Fig. 2, shown in Fig. 3, described binding clip 9 comprises tong arm 91 and lower tong arm 92, upper tong arm 91 and lower tong arm 92 cooperatively interact, at upper tong arm 91, the inner surface correspondence of lower tong arm 92 is provided with arcuate groove, when upper, when lower tong arm is in closure state, the middle part of binding clip 9 forms the little through hole in two broad in the middle 93, be convenient to when performing the operation, choledochoscope epitheca is clamped in through hole 93, in order to reach better fixed effect, at upper tong arm 91, the arc-shaped groove inner surface of lower tong arm 92 arranges line style tooth bar 94, the direction of line style tooth bar 94 is the length direction of caliper, by upper, lower tong arm inner surface arranges the line style tooth bar 94 of caliper length direction, when clamping choledochoscope epitheca, the tooth bar 9 vertical with retaining part can increase the frictional force of clamping face, restriction choledochoscope epitheca is movable in through hole 93, and line style tooth bar 94 teeth groove is thin, tooth bar is carefully little to the damage of mirror sheath, not easily that the plastic outer ring of mirror sheath is damaged.
As Fig. 1, shown in Fig. 5, in the present embodiment, one end of described upper tong arm 91 and lower tong arm 92 is free end, can opening and closing under the control of flexible handle 2, the other end intersects mutually, hinged by connecting pin 1 at infall, the end of upper tong arm 91 and lower tong arm 92 respectively with the first brace 95, one end of second brace 96 is hinged, first brace 95, second brace 96 other end is connected with connecting rod 8 by connecting pin 2 14, connecting rod 8 is movable under the promotion of flexible handle 2, drive the first brace 95, the motion of the second brace 96, thus realize upper, the folding of lower tong arm controls.
Fiber endoscopy of the present invention pincers, the structure controlling binding clip 9 folding is not limited thereto, and anyly can realize controlling upper and lower tong arm and to open or closed distressed structure is included in protection scope of the present invention.
As shown in Figure 1, in order to obtain more smooth appearance, the fiber endoscopy pincers of the present embodiment, also comprise connecting rod cover 6 and clamp seat 13, connecting rod 8 is contained in connecting rod cover 6, and one end and the fixed handle 1 of connecting rod cover 6 are rotationally connected, and connecting rod cover 6 can relative to fixed handle 1 left-right rotation, the other end of connecting rod cover 6 is fixedly connected with clamp seat 13, and the infall of upper tong arm 91 and lower tong arm 92 is connected on clamp seat 13 by connecting pin 1.
In addition, conveniently in use, convert the direction of binding clip 9 as required at any time, the handle end of connecting rod cover 6 arranges runner 7, described runner 7 is sleeved on connecting rod cover 6 by rotaring wheeling sleeve 71, when stirring runner 7 with hands and rotating, drivening rod cover 6 rotates together with clamp seat 13, thus changes the direction of the binding clip 9 be connected with clamp seat 13 at any time.Binding clip 9, clamp seat 13 and connecting rod cover 6 under the control of runner 7 can along pitman shaft to, left, 360 degree of rotations to the right.
Fiber endoscopy pincers of the present invention, can also be provided with the bath joint 10 overlapping 6 intracavity inter-connections with connecting rod, fixed handle 1 is provided with coagulation interface 11 on rotaring wheeling sleeve 71, the convenient flushing to caliper inside
Described binding clip 9 entirety is cylindrical, and the vertical diameter of through hole 93 is arranged on 0.3cm ~ 0.60cm, in use, selects through hole 93 diameter equal or be slightly smaller than the binding clip 9 of choledochoscope clamping part diameter, ensures the stability of clamping.Through hole 93 is preferably manhole, and through-hole diameter is 0.36cm, and the diameter of choledochoscope epitheca is identical, both circumferential seamless cooperations, and binding clip is in closure state just can be fixed, carrying out smoothly of convenient operation.
The diameter of cylindrical binding clip 9 can be 0.4cm ~ 0.9cm, to insert smoothly in the duct-like pathways of " trocar ", and ensure that upper and lower tong arm has certain thickness, not easily lose during use, and upper and lower tong arm has wider clamping face, chucking power is better.The length of binding clip 9 can be set to 1.5 ~ 2.5cm, and the length of the binding clip 9 of the present embodiment is preferably 2cm, and upper and lower plumbous arm opens the clamping that less angle just can realize choledochoscope.
Fiber endoscopy of the present invention pincers, can not only to be exclusively used under peritoneoscope the crawl of fiber endoscopy pincers and fixing, also can be used in other laparoscopic surgeries, realize the crawl of tissue, blood vessel and apparatus and fixing.
Embodiment 2:
As shown in Figure 4; the present embodiment basic structure is with embodiment 1; difference is; replace with arranging line style tooth bar 94 at the arc-shaped groove inner surface of upper tong arm 91, lower tong arm 92 in embodiment 1 embedded liner 97 is set at the arc-shaped groove inner surface of upper tong arm 91, lower tong arm 92; the optional timber of material of liner or rubber elastomeric material, liner arranges protuberant particles or cross cut, to increase frictional force; thus be convenient to clamping and fix, also can obtain same effect.
The foregoing is only the preferred implementation of invention; be to be understood that for those skilled in the art, under the premise without departing from the principles of the invention; can also make some improvement and modification, these improve and modify and also should be considered as protection scope of the present invention.In the drawings, in order to clearly represent structure of the present invention, may be exaggerated the thickness of some region or parts.

Claims (10)

1. fiber endoscopy pincers, comprise fixed handle and flexible handle, fixed handle and flexible handle are rotationally connected, connecting rod is connected with flexible handle, and binding clip is connected with connecting rod, it is characterized in that: described binding clip comprises tong arm and lower tong arm, the inner surface correspondence of upper tong arm, lower tong arm is provided with arcuate groove, when upper and lower tong arm is in closure state, the middle part of binding clip forms the little through hole in two broad in the middle, and the vertical diameter of through hole is arranged on 0.3cm ~ 0.60cm.
2. a kind of fiber endoscopy pincers according to claim 1, is characterized in that: described binding clip entirety is for cylindrical, and binding clip diameter is 0.4 ~ 0.9cm, and binding clip length is 1.5 ~ 2.5cm.
3. a kind of fiber endoscopy pincers according to claim 2, it is characterized in that: described binding clip diameter is 0.5cm, binding clip length is 2cm.
4., according to a kind of fiber endoscopy pincers one of claim 1-3 Suo Shu, it is characterized in that: on the arcuate groove of upper tong arm, lower tong arm, establish line style tooth bar, the direction of tooth bar is the length direction of caliper.
5., according to a kind of fiber endoscopy pincers one of claim 1-3 Suo Shu, it is characterized in that: embedded liner is set on the arcuate groove of upper tong arm, lower tong arm, liner arranges protuberant particles or cross cut.
6. a kind of fiber endoscopy pincers according to claim 5, is characterized in that: the material of described liner is timber or rubber.
7. according to a kind of fiber endoscopy pincers one of claim 1-3 Suo Shu, it is characterized in that: described upper tong arm, one end of lower tong arm are free end, the other end intersects mutually, hinged by connecting pin one at infall, the end of upper tong arm, lower tong arm is hinged with one end of the first brace, the second brace respectively, and the first brace, the second brace other end are connected with connecting rod by connecting pin two.
8. a kind of fiber endoscopy pincers according to claim 7, it is characterized in that: also comprise connecting rod cover and clamp seat, connecting rod is contained in connecting rod cover, one end and the fixed handle of connecting rod cover are rotationally connected, can rotate relative to fixed handle, the other end of connecting rod cover is connected with clamp seat, and the infall of upper tong arm and lower tong arm is connected on clamp seat by connecting pin.
9. a kind of fiber endoscopy pincers according to claim 8, is characterized in that: arrange runner at the handle end of connecting rod cover, described runner is sleeved on connecting rod by rotaring wheeling sleeve and puts.
10. a kind of fiber endoscopy pincers according to claim 9, is characterized in that: on rotaring wheeling sleeve, be provided with the bath joint overlapping intracavity inter-connection with connecting rod, fixed handle is provided with coagulation interface.
CN201510029852.8A 2015-01-21 2015-01-21 Fiber choledochoscope forceps Pending CN104523217A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201510029852.8A CN104523217A (en) 2015-01-21 2015-01-21 Fiber choledochoscope forceps

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201510029852.8A CN104523217A (en) 2015-01-21 2015-01-21 Fiber choledochoscope forceps

Publications (1)

Publication Number Publication Date
CN104523217A true CN104523217A (en) 2015-04-22

Family

ID=52838989

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201510029852.8A Pending CN104523217A (en) 2015-01-21 2015-01-21 Fiber choledochoscope forceps

Country Status (1)

Country Link
CN (1) CN104523217A (en)

Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5797939A (en) * 1989-12-05 1998-08-25 Yoon; Inbae Endoscopic scissors with longitudinal operating channel
EP1442717A1 (en) * 1999-06-18 2004-08-04 Novare Surgical Systems, Inc. Surgical clamp having replaceable pad
CN201211230Y (en) * 2008-05-13 2009-03-25 徐天松 Disposable celioscope operation gripping forceps
CN201578322U (en) * 2009-12-30 2010-09-15 杭州康基医疗器械有限公司 Forward-viewing minimal invasive O-shaped grasping forceps
CN201631301U (en) * 2010-02-25 2010-11-17 钟鸣 Direct vision smooth forceps
US20110098689A1 (en) * 2009-10-28 2011-04-28 Tyco Healthcare Group Lp Apparatus for Tissue Sealing
CN201968762U (en) * 2011-03-02 2011-09-14 桐庐洲济医疗器械有限公司 Direct -view gallbladder grasping forceps
CN203724177U (en) * 2014-02-24 2014-07-23 步祥健 Surgical clamping and locking operating forceps

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5797939A (en) * 1989-12-05 1998-08-25 Yoon; Inbae Endoscopic scissors with longitudinal operating channel
EP1442717A1 (en) * 1999-06-18 2004-08-04 Novare Surgical Systems, Inc. Surgical clamp having replaceable pad
CN201211230Y (en) * 2008-05-13 2009-03-25 徐天松 Disposable celioscope operation gripping forceps
US20110098689A1 (en) * 2009-10-28 2011-04-28 Tyco Healthcare Group Lp Apparatus for Tissue Sealing
CN201578322U (en) * 2009-12-30 2010-09-15 杭州康基医疗器械有限公司 Forward-viewing minimal invasive O-shaped grasping forceps
CN201631301U (en) * 2010-02-25 2010-11-17 钟鸣 Direct vision smooth forceps
CN201968762U (en) * 2011-03-02 2011-09-14 桐庐洲济医疗器械有限公司 Direct -view gallbladder grasping forceps
CN203724177U (en) * 2014-02-24 2014-07-23 步祥健 Surgical clamping and locking operating forceps

Similar Documents

Publication Publication Date Title
CN106659357B (en) The auxiliary system of thin diameter endoscope
CN102697552B (en) Executing instrument of flexible type endoscope system
JP2006014960A (en) Endoscope
JP2004033525A (en) Hardness variable treatment instrument
WO2015007233A1 (en) Ureterorenoscope with bendable head end
EP1935354A3 (en) Surgical treatment apparatus
CN203369935U (en) Electronic pyeloscope with bendable head end
JP4350420B2 (en) Endoscopy forceps
CN205019021U (en) Flexible type intervertebral foramen mirror with concertina type epitheca
CN108742496A (en) A kind of laparoscope
CN204445815U (en) Fiber endoscopy clamps
CN104523217A (en) Fiber choledochoscope forceps
CN206342503U (en) A kind of liver device for exposing in the laparoscope right lobe of liver tumorectomy for facilitating adjusting size
CN112641473A (en) Laparoscopic surgery instrument with aspirator function
CN207270328U (en) Grasp the laparoscopic instrument of choledochoscope
CN108348226A (en) The control assembly of Medical Devices and relevant application method
CN207666561U (en) Endoscope
CN109259813A (en) Purse-string suture device clamps together device under a kind of hysteroscope
CN108742497A (en) A kind of antifouling graphene laparoscope
CN202604782U (en) Flexible endoscope system implementing instrument
CN209405082U (en) A kind of Multifunctional ear endoscopic surgery device
CN209019768U (en) Artificial cochlea electrode implantation device
CN207928302U (en) Has the portable electronic nasopharyngolarygnoscope of leakage detection structure
JP2008307270A (en) Forceps for endoscope
CN112353362A (en) Integrated multifunctional endoscope equipment

Legal Events

Date Code Title Description
C06 Publication
PB01 Publication
C10 Entry into substantive examination
SE01 Entry into force of request for substantive examination
RJ01 Rejection of invention patent application after publication
RJ01 Rejection of invention patent application after publication

Application publication date: 20150422