WO2015147440A1 - Surgical vascular clip and vascular clip applier using same - Google Patents

Surgical vascular clip and vascular clip applier using same Download PDF

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Publication number
WO2015147440A1
WO2015147440A1 PCT/KR2015/001074 KR2015001074W WO2015147440A1 WO 2015147440 A1 WO2015147440 A1 WO 2015147440A1 KR 2015001074 W KR2015001074 W KR 2015001074W WO 2015147440 A1 WO2015147440 A1 WO 2015147440A1
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WO
WIPO (PCT)
Prior art keywords
blood vessel
leg
clip
vessel clip
surgical
Prior art date
Application number
PCT/KR2015/001074
Other languages
French (fr)
Korean (ko)
Inventor
김성민
권지연
성시찬
Original Assignee
동국대학교 산학협력단
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 동국대학교 산학협력단 filed Critical 동국대학교 산학협력단
Priority claimed from KR1020150016138A external-priority patent/KR20150112760A/en
Publication of WO2015147440A1 publication Critical patent/WO2015147440A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/122Clamps or clips, e.g. for the umbilical cord
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/128Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/128Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips
    • A61B17/1285Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips for minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831Material properties
    • A61B2017/00893Material properties pharmaceutically effective
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831Material properties
    • A61B2017/00964Material properties composite

Definitions

  • the present invention relates to a surgical vascular clip used for cutting or hemostasis of a blood vessel in a surgical operation, and a vascular clip applier using the same.
  • Surgical procedures such as resection of organs frequently involve cutting or bleeding veins or arteries.
  • the operation of bleeding both sides of the blood vessels to be cut before blood vessel cutting is performed.
  • hemostasis of blood vessels consists of suture or ligation of blood vessels using a surgical thread.
  • the hemostasis of blood vessels using the surgical thread has to be sutured or ligation of blood vessels manually by using a needle and a suture material, it takes a lot of time in a limited space and vision such as endoscopy surgery.
  • there is always a possibility of vascular damage or detachment due to loosening or slipping of the ligated surgical thread when vascular ligation using the surgical thread which is particularly likely in large blood vessels and may cause serious bleeding after surgery. .
  • surgical hemostatic clips have been proposed and widely used to solve the problems caused by using the surgical seal as described above.
  • Such surgical hemostatic clip can be applied relatively easily and quickly compared to the method using a surgical thread, the frequency of use is increasing in not only open surgery but also endoscopy surgery.
  • Surgical hemostatic clip according to the prior art, such as the Republic of Korea Patent Publication No. 10-2010-0033850 "surgical hemostatic clip” but there is a technology, such a technique to form a protrusion inside the other organ damage when inserting the human body There is a possibility of squeezing the blood vessels due to excessive compression, making it difficult to find a suitable compression point. On the other hand, if the blood vessels are squeezed loosely to avoid excessive compression, there may be a problem that the hemostatic clip is released during blood vessel beat.
  • the present invention is to provide a surgical vessel clip and a blood vessel clip applicator using the same to prevent damage to other organs during surgery, and prevent the vascular detachment of the clip.
  • the present invention provides a leg member including a first leg and a second leg connected to each other; At least one first pin member formed to protrude from an inner surface of the first leg; At least one second pin member protruded from an inner surface of the second leg; And a hemostatic member positioned to surround inner surfaces of the first leg and the second leg. It provides a surgical vessel clip comprising a.
  • the present invention comprises: a forceps unit for receiving the blood vessel clip; And an operation unit configured to provide a driving force to the forceps so that the blood vessel clip is applied to body tissue. It provides a blood vessel clip applicator comprising a.
  • the first pin member and the second pin member penetrates through the blood vessel to fix the blood vessel, when installed in the blood vessel between the legs Even if there is a small gap in the joint, the bonding force is maintained stably, and by including the hemostatic member on the inner surface of the first leg and the second leg, the frictional force with the blood vessels can be increased to prevent the blood vessels from sliding and increase the hemostatic effect. have.
  • the blood vessel clip accommodated in the forceps may be clipped to the correct bleeding position by simple manipulation of the manipulation unit to easily bleed the bleeding portion of the blood vessel.
  • FIG. 1 is a perspective view of a surgical blood vessel clip according to an embodiment of the present invention.
  • FIG. 2 is an exploded perspective view of a surgical blood vessel clip according to an embodiment of the present invention.
  • FIG 3 is an exploded perspective view of a surgical vessel clip according to an embodiment of the present invention.
  • Figure 4 is a side view of the surgical vessel clip when applying the surgical vessel clip in accordance with an embodiment of the present invention.
  • FIG. 5 is a perspective view of a blood vessel clip applier in accordance with an embodiment of the present invention.
  • Figure 6 is a partial detailed view of the blood vessel clip applier according to an embodiment of the present invention.
  • Figure 7 is a perspective view briefly showing the operation of the blood vessel clip applier according to an embodiment of the present invention.
  • FIG. 8 is a perspective view of a blood vessel clip applier in accordance with an embodiment of the present invention.
  • FIG. 9 is a partial detailed view of a blood vessel clip applier according to an embodiment of the present invention.
  • FIG. 10 is an exploded perspective view of a blood vessel clip applier according to an embodiment of the present invention.
  • the present invention relates to a surgical vascular clip used for cutting or hemostasis of blood vessels during surgery and a vascular clip applier using the same.
  • the surgical blood vessel clip refers to a hemostatic clip used for bleeding both sides of a blood vessel to be cut before the blood vessel cutting in order to prevent excessive bleeding during the blood vessel cutting in the surgical operation.
  • the surgical vessel clip of the present invention is a leg member including a first leg and a second leg connected to each other, at least one first pin member formed to protrude from the inner surface of the first leg, the second leg At least one second pin member formed to protrude from the inner surface of the first leg and the hemostatic member positioned to surround the inner surface of the second leg is configured to include.
  • first pin member and the second pin member may be formed in a staggered position when the first leg and the second leg is compressed, the first pin member and the second pin member is formed in a staggered position
  • first leg and the second leg are compressed, they can be opposed to the inner surface of the opposite leg.
  • the hemostatic member is formed of a synthetic fiber of porous and / or hygroscopic, characterized in that when applied to the blood vessels to prevent hemostasis of the blood vessels.
  • the hemostatic member may be impregnated with a hemostatic material, and the hemostatic material is selected from the group consisting of fibrin glue, calcium chloride, thrombin, vitamin C, vitamin K, collagen, gelatin and microfoam (gelfoam). It may be at least one.
  • the present invention also relates to a blood vessel clip applier, and includes a forceps unit for receiving the blood vessel clip and an operation unit for providing a driving force to the forceps so that the blood vessel clip is applied to body tissue.
  • the tongs portion is composed of a first tong member and a second tong member which are cross-coupled with each other around a hinge pin, the operation portion is extended in the longitudinal direction from the first and second tong members, respectively
  • the operator may be composed of a first operating member and a second operating member for holding.
  • it may include an elastic means for elastically restoring between the first operating member and the second operating member, wherein the first and second tong members and the guide to accommodate the vessel clip on the front surface facing each other Grooves may be formed.
  • the tongs portion is composed of a fixed tong and a movable tongs which are cross-coupled with each other about a hinge pin, and the operation portion is connected to the tongs portion on one side, and the hollow is extended in the longitudinal direction
  • the sleeve, the adjustment handle is connected to the other side of the sleeve, the operation unit is rotatably coupled to the control handle and the sleeve is inserted and coupled, the one side is coupled to the tongs and the other side is coupled to the operation unit, It may include a forceps operation unit for receiving the operation of the operation unit to move the movable forceps.
  • the operation portion is provided in the inside of the sleeve, the clip receiving portion for receiving a plurality of the blood vessel clip, provided in the inside of the sleeve to translate along the hollow, the pressure to move the vessel clip to the forceps It may include a trigger that is connected to the rod and the pressure rod is provided to provide a driving force to translate the pressure rod, the fixing forceps and the movable forceps are formed on the front surface of the guide to accommodate the blood vessel clip opposite to each other Can be.
  • FIG. 1 is a perspective view of a surgical vascular clip according to an embodiment of the present invention
  • Figure 2 is an exploded perspective view of a surgical vascular clip according to an embodiment of the present invention
  • Figure 3 is a surgical according to an embodiment of the present invention 4 is an exploded perspective view of a blood vessel clip
  • FIG. 4 is a side view of the surgical blood vessel clip when a surgical vessel clip according to an embodiment of the present invention is applied to a blood vessel
  • FIG. 5 is a blood vessel clip according to an embodiment of the present invention.
  • 6 is a partial detailed view of a blood vessel clip applier according to an embodiment of the present invention
  • FIG. 7 is a perspective view briefly showing an operation process of the blood vessel clip applier according to an embodiment of the present invention
  • 8 is a perspective view of a blood vessel clip applier according to an embodiment of the present invention
  • FIG. 9 is a partial detailed view of a blood vessel clip applier according to an embodiment of the present invention
  • FIG. 10 is a blood vessel clip according to an embodiment of the present invention. Applier An exploded perspective view.
  • the surgical blood vessel clip 100 refers to a hemostatic clip used to bleed both sides of a blood vessel to be cut before the blood vessel cutting in order to prevent excessive bleeding in the blood vessel cutting in the surgical operation.
  • the surgical vessel clip 100 comprises a leg member 110, the pin member 120 and the hemostatic member 130.
  • the surgical vessel clip 100 is to position the vessel between a pair of legs that are opposed to each other and connected during surgery, the pair of legs to press the vessel by pressing the vessel to close the vessel To act.
  • one leg of the pair of legs is referred to as a first leg 111, and the other leg is referred to as a second leg (112).
  • the first leg 111 and the second leg 112 are opposed to each other when applied to the surgical site, one side is closed to be connected at the connection portion and the other side may be a 'U' shape is open.
  • first leg 111 may be positioned around one side of the bleeding portion to press the corresponding portion
  • second leg 112 may be positioned around the other side of the bleeding portion to press the corresponding portion
  • the surgical vessel clip 100 may be formed of a material commonly used, and may be formed of, for example, stainless steel, titanium, or synthetic resin, which is a biocompatible metal. Such materials are nontoxic and will have to be resistant to the body for the required period of time.
  • the leg member 110 may be any metal that is harmless to the human body, and may be a material that does not change shape by force when deformation occurs.
  • the surgical vessel clip 100 includes a pin formed to protrude from the inner surface of the leg member 110 in contact with the blood vessel 10 so that the pin is pressed when the leg member 110 is pressed by the vessel ( 10 may be pressed to fix the blood vessel 10.
  • the pin formed to protrude from the inner surface of the first leg 111 is referred to as the first pin member 121
  • the pin formed to protrude from the inner surface of the second leg 112 is referred to as the second pin member 122.
  • first pin member 121 and the second pin member 122 may each include at least one, the number of the first pin member 121 and the second pin member 122 is the first leg ( 111 and the second leg 112 may vary in size.
  • the shape of the pin member 120 may be any shape as long as it can fix blood vessels, and as shown in FIG. 2, the pin member 110 may be formed using the leg member 110 itself. As shown in 3, it may be a cylindrical projection formed on the inner surface of the leg member (110).
  • the first pin member 121 and the second pin member 122 are in a staggered position. Can be formed.
  • the pins are provided on the first leg 111 and the second leg, respectively, so that the pins have a fixed structure in which the pins cross each other when compressed to the blood vessel 10, thereby more effectively securing the coupling force.
  • first pin member 121 and the second pin member 122 when they are coupled to the blood vessel 10, they are formed to be opposed to the inner surface of the opposite leg when they are installed in a staggered position and pressed. Can be.
  • Such surgical blood vessel clip 100 is coupled to the blood vessel 10 by the pin member 120, so that even if the gap is relatively large due to loose compression, it is possible to effectively maintain the binding force while achieving stable hemostasis.
  • first pin member 121 and the second pin member 122 are formed to face the inner surface of the opposite leg, it is possible to prevent excessive compression, and even if a relatively large gap is generated, The bonding force can be maintained large.
  • the surgical vessel clip 100 of the present invention can be produced in various ways depending on the size of the blood vessel 10 to be hemostatic.
  • the length of the leg member 110 may be 8 to 30mm
  • the length of the pin member 120 may be 1 to 3mm.
  • the length of the leg member 110 is less than 8mm, the size of the surgical vessel clip 100 is small, which makes it difficult to manufacture.
  • the length of the leg member 110 is greater than 30mm, it is not suitable for the blood vessel 10 because it is larger than the portion to be applied. You may not.
  • the length of the leg member 110 may be an outer diameter of 3.14 / (2 + 1 to 2) mm, the length of the pin member 120 may vary depending on the type of blood vessel (10).
  • the length of the pin member 120 may vary due to the difference in the thickness of the blood vessel 10 of the artery and the vein.
  • the length of the leg member 110 may be 17 to 18mm, the length of the pin is 2mm when applied to arteries, 1.5mm when applied to veins Can be.
  • the length of the leg member 110 may be 9 to 10mm, the length of the pin may be 1.5mm when applied to the artery, 1mm when applied to the vein have.
  • the surgical vessel clip 100 of the present invention is characterized in that it comprises a hemostatic member 130 to surround the inner surface of the leg member 110. That is, it is in close contact with the inner surfaces of the first leg 111 and the second leg 112, and when the surgical vessel clip 100 of the present invention is applied to the vessel 10 to prevent the sliding of the vessel 10 Ligation can be done by ligation.
  • the hemostatic member 130 on the inner surface of the first leg 111 and the second leg 112
  • blood vessels Minimize damage of the 10 and prevent the bleeding of the through portion due to the penetration of the first pin member 121 and the second pin member 122 very effectively, and also due to excessive compression of the leg member 110
  • the blood vessel 10 may be cut off, and the blood vessel 10 may be prevented from being pushed out of the surgical vessel clip 100 by blood pressure. That is, by increasing the friction between the hemostatic member 130 and the blood vessel 10 of the present invention can prevent the blood vessel 10 from rolling and increase the hemostatic effect.
  • the hemostatic member 130 of the present invention may be formed of synthetic fibers of porous and / or hygroscopic, and may be made of a material such as Teflon (polytetrafluoroetylene), Dacron (polyethylene terephthalate) or PTFE (polytetrafluoroethylene). .
  • Teflon polytetrafluoroetylene
  • Dacron polyethylene terephthalate
  • PTFE polytetrafluoroethylene
  • any material used as a material of artificial blood vessels may be used.
  • such a hemostatic member 130 may include a pin member 120 when the surgical vessel clip 100 enters around the blood vessel 10. It may be a material that can prevent damage to the.
  • the hemostatic member 130 may be a material capable of minimizing the volume of the hemostatic member 130 when compressed by the pin member 120.
  • the hemostatic member 130 may be formed by impregnating a hemostatic material.
  • the hemostatic substance means a hemostatic substance commonly used in the clinic, and may be thrombin, microgel foam, or fibrin glue, in addition to calcium chloride, vitamin C, vitamin K, collagen or gelatin. Can be.
  • the present invention relates to the blood vessel clip applicator (200, 300), and comprises a forceps (210, 310) and the operation unit (220, 320).
  • the forceps 210 and 310 mean a portion in which the blood vessel clip 100 is accommodated, and the manipulation units 220 and 320 may be applied to the forceps 210 and 310 so that the blood vessel clip 100 is applied to body tissues. It means the part that provides driving force to.
  • the operation unit (220, 320) is a portion for transmitting a driving force to the forceps (210, 310), when the blood vessel clip applicator (200, 300) of the present invention is mounted on a surgical robot from the surgical robot The driving force is transmitted, and when manually operated, the operator directly grabs and manipulates the driving force to generate the driving force. In this regard, a detailed description will be made later.
  • the vascular clip applier 200 is a pair of scissors to the pair of forceps member and a pair of operation member extending extending around the hinge 240 is coupled Can be.
  • the tongs 210 is composed of a first tongs member 211 and the first tongs member 212 which are mutually coupled to each other around the hinge 240
  • the operation unit 220 is the first tongs
  • Each of the first and second operating members 221 and 222 may be configured to extend from the member 211 and the first tong member 212 for the operator to grip. That is, the front end portions of the first manipulation member 221 and the second manipulation member 222 are coupled to the first tong member 211 and the first tong member 212 and the hinge 240, the first manipulation member At the rear end of the 221 and the second manipulation member 222, a finger insertion part 250 may be formed so that the operator can grip and hold the finger.
  • the tongs 210 is formed to accommodate the blood vessel clip 100, which is opposed to each other of the first tongs member 211 and the first tongs member 212
  • Guide groove 230 may be formed on the front surface.
  • the guide groove 230 may be formed in a bar shape so that the blood vessel clip 100 of the present invention is mounted by sliding movement, the outer surface of the leg member 110 of the blood vessel clip 100 It may be formed to correspond to the width of the width of the leg member 110 to be mounted.
  • first control member 221 and the second control member 222 may include an elastic means (not shown) for elastic recovery.
  • the elastic means connects and supports portions of the first manipulating member 221 and the second manipulating member 222, and when the driving force of the manipulator 220 is removed, the first tongs member 211 and the first tongs member It serves to return 212 to the original position, and may be composed of a V-shaped leaf spring, a helical spring, a hydraulic cylinder, and the like.
  • FIG. 7 the operation of the blood vessel clip applier 200 shown in FIGS. 4 and 5 and the process of mounting, discharging, and clipping of the blood vessel clip 100 will be described.
  • FIG. 7 is a perspective view briefly illustrating the operation of the blood vessel clip applier 200 shown in FIGS. 5 and 6 of the present invention. Referring to FIG. 7, the front end portions of the first manipulating member 221 and the second manipulating member 222 are coupled to the first tong members 211, the first tong members 212, and the hinge 240. Vascular clip applier 200 is shown.
  • Surgical vessel clip 100 is a structure in which the end portions of the first leg 111 and the second leg 112 are normally opened, and then clipped to bleed the blood vessel 10.
  • Vascular clip appliers 200 as in FIGS. 5-6 can be used to use surgical vascular clip 100.
  • the blood vessel clip 100 may be contained in a plurality of cartridges (not shown) in normal times, and in order to bleed the blood vessel 10, a surgeon first inserts a finger into the finger insertion unit 250 of the manipulation unit 220. After gripping, the blood vessel clip 100 contained in the cartridge is mounted on the forceps 210.
  • the operator selects a position on both sides of the blood vessel 10 to be cut before cutting the blood vessel 10 to prevent bleeding when the blood vessel 10 is cut, and then places the blood vessel clip 100 on one side of both sides.
  • the operation unit 220 By pressing the operation unit 220 to provide a driving force to the forceps 210, the vessel clip 100 is mounted, ligation to the blood vessel 10 is performed to haemostatic. The same goes for the other side. Then, the blood vessel 10 between the two blood vessel clips 100 is cut.
  • the blood vessel clip applier 200 may be mounted with the surgical vessel clip 100 illustrated in FIGS. 1 to 4.
  • the blood vessel clip applier 300 may include a plurality of blood vessel clips 100 in a sleeve 330 connected to the forceps 310. It can be in the form of an autogun embedded. A more detailed description will be made later.
  • the blood vessel clip applier 300 is illustrated with a forceps portion 310 in which the blood vessel clips 100 are accommodated, and an operation portion 320 for providing a driving force to the forceps 310. .
  • the forceps 310 is composed of a fixing forceps 312 and the movable forceps 311, the fixing forceps 312 and the movable forceps 311 can accommodate the blood vessel clip 100 on the front surface facing each other.
  • Guide grooves 330 are formed.
  • the guide groove 330 may be formed in a bar shape so that the blood vessel clip 100 is mounted by sliding movement, the leg so that the outer surface of the leg member 110 of the blood vessel clip 100 is mounted It may be formed corresponding to the width of the member 110.
  • the operation unit 320 may be divided into a configuration for moving the built-in blood vessel clip 100 to the forceps 310 and a configuration for clipping the blood vessel clip 100 moved to the forceps 310.
  • the operation unit 320 is one side is connected to the forceps 310, the hollow sleeve 330 extending in the longitudinal direction, the inside of the sleeve 330, a plurality of blood vessel clip ( Clip receiving unit 360 for receiving 100, the inside of the sleeve 330 is provided in the translational movement along the hollow, the pressure rod 361 to move the blood vessel clip 100 to the forceps 310 And a trigger 370 connected to the pressure rod 361 and providing a driving force to translate the pressure rod 361.
  • one side of the sleeve 330 has a structure in which a discharge portion that serves as a passage through which the surgical vessel clip 100 is discharged is formed.
  • the pressure rod 361 according to the present invention is provided in the hollow inside of the sleeve 330 of the present invention for the translational movement along the hollow, if the conventional pressure rod 361 in the art having this purpose in particular It is not limited.
  • one side of the trigger 370 may be exposed to the outside of the sleeve 330, the other side is located inside the sleeve 330, the operator operates the trigger 370 exposed to the outside, the clip
  • the blood vessel clip 100 accommodated in the accommodation unit 360 is pushed and moved by the movement of the pressure rod 361, and may be moved to the forceps unit 310.
  • a locking jaw (not shown) may be formed to prevent normal movement so that the blood vessel clip 100 is discharged only by manipulation of the trigger 370, and the locking jaw is an outlet of the sleeve 330. It can be formed in the vicinity.
  • the operation unit 320 of the present invention may include an adjustment knob 340, an operation unit 341, and a forceps operation unit.
  • the adjustment handle 340 is connected to the other side of the sleeve 330 so that the operating unit 341 is rotatably coupled to the adjustment handle 340.
  • the forceps operating portion is inserted into the sleeve 330 hollow, one side is coupled to the forceps 310, the other side is coupled to the operation unit 341, to transfer the operation of the operation unit 341 Receiving, to move the tongs 310. That is, the forceps operating unit 350 moves the movable forceps 311 in conjunction with the operation unit 341 coupled with the adjustment knob 340 to drive the hemostatic and clipping operations of the surgical vessel clip 100. Do it.
  • the forceps operating unit 350 is hinged to the movable forceps 311 to move the movable forceps 311 by the operation of the operation unit 341.
  • the operator loads the plurality of blood vessel clips 100 into the clip receiving portion 360, and then inserts the clip receiving portion 360 loaded with the blood vessel clips 100 into the sleeve 330.
  • the operator selects a position on both sides of the blood vessel 10 to be cut before the blood vessel 10 is cut in order to prevent bleeding during the cutting of the blood vessel 10, and then the forceps part on one side of both sides ( 310 is positioned, the trigger 370 is operated and then the operating unit 341 is operated. Do the same for the other part.
  • the trigger 370 transmits a driving force to the pressure rod 361 in the sleeve 330, and the pressure rod 361 has a plurality of clips loaded with a clip portion 310. To make it move.
  • the blood vessel clip 100 moves to the guide groove 330 of the forceps 310.
  • the forceps operating unit 350 coupled to the operation unit 341 is moved to the other side of the sleeve 330, and the forceps operating unit 350 and the hinge coupling
  • the movable forceps 311 are moved to ligation the blood vessel clip 100 located in the forceps 310.
  • the blood vessel 10 between the two blood vessel clips 100 is cut.
  • the blood vessel clip applier 300 according to the present embodiment may be mounted with the surgical vessel clip 100 illustrated in FIGS. 1 to 4.
  • the blood vessel clip 100 accommodated in the tongs 210 and 310 by a simple manipulation of the manipulation units 220 and 320 is placed at an accurate bleeding position. Clipping can easily bleed the bleeding portion of the blood vessel 10.
  • first leg 112 second leg
  • first pin member 122 second pin member
  • first tong member 212 second tong member
  • first operating member 222 second operating member

Abstract

The present invention relates to a surgical vascular clip, comprising: a leg member including a first leg and a second leg connected to each other; at least one first pin member protruding from the inner surface of the first leg; at least one second pin member protruding from the inner surface of the second leg; and a hemostasis member positioned to surround the inner surfaces of the first leg and the second leg.

Description

외과용 혈관 클립 및 이를 이용하는 혈관 클립 어플라이어Surgical Vessel Clips and Vessel Clip Appliers Using the Same
본 발명은 외과수술시 혈관의 절단 또는 지혈시 사용되는 외과용 혈관 클립 및 이를 이용하는 혈관 클립 어플라이어에 관한 것이다.The present invention relates to a surgical vascular clip used for cutting or hemostasis of a blood vessel in a surgical operation, and a vascular clip applier using the same.
장기의 절제술과 같은 외과수술 중에는 정맥 또는 동맥을 절단하거나 지혈하여야 하는 시술이 빈번하게 발생한다. 특히, 혈관의 절단시 과도한 출혈을 방지하기 위해 혈관 절단 전에 절단하고자 하는 혈관의 양측을 지혈시키는 작업을 진행하게 된다.Surgical procedures such as resection of organs frequently involve cutting or bleeding veins or arteries. In particular, in order to prevent excessive bleeding during the cutting of blood vessels, the operation of bleeding both sides of the blood vessels to be cut before blood vessel cutting is performed.
일반적으로, 혈관의 지혈은 수술용 실을 사용해서 혈관을 봉합 혹은 결찰로 이루어지고 있다. 그러나, 이와 같이 수술용 실을 사용한 혈관의 지혈은 바늘과 봉합재료를 사용하여 수작업으로 혈관을 봉합 또는 결찰하여야 하므로, 내시경 외과수술과 같은 제한된 공간 및 시각이 한정되는 수술에서 시간이 많이 소요되고, 수행하기도 어려운 문제점이 있다. 또한 수술용 실을 이용한 혈관 결찰시 혈관 손상 가능성이나 결찰된 수술용 실의 풀림이나 미끄러짐으로 인한 이탈의 가능성이 항상 존재하며 이는 특히 큰 혈관일수록 가능성이 높고 수술 후 대량출혈의 심각한 문제를 일으킬 수 있다.In general, hemostasis of blood vessels consists of suture or ligation of blood vessels using a surgical thread. However, since the hemostasis of blood vessels using the surgical thread has to be sutured or ligation of blood vessels manually by using a needle and a suture material, it takes a lot of time in a limited space and vision such as endoscopy surgery. There is also a problem that is difficult to perform. In addition, there is always a possibility of vascular damage or detachment due to loosening or slipping of the ligated surgical thread when vascular ligation using the surgical thread, which is particularly likely in large blood vessels and may cause serious bleeding after surgery. .
한편, 이와 같이 수술용 실을 사용함으로써 발생되는 문제점을 해결하기 위해 외과용 지혈 클립이 제안되어 널리 사용되고 있다. 이와 같은 외과용 지혈클립은 수술용 실을 사용하는 방법에 비해 상대적으로 쉽고 빠르게 적용할 수 있어 개방형 외과수술뿐만 아니라 내시경 외과수술에서도 그 사용빈도가 증가하고 있다.On the other hand, surgical hemostatic clips have been proposed and widely used to solve the problems caused by using the surgical seal as described above. Such surgical hemostatic clip can be applied relatively easily and quickly compared to the method using a surgical thread, the frequency of use is increasing in not only open surgery but also endoscopy surgery.
이와 같은 종래 기술에 따른 외과용 지혈클립에 대하여 대한민국 공개특허 제10-2010-0033850호 "외과용 지혈 클립"과 같은 기술이 있으나, 이러한 기술은 내부에 돌기를 형성하고 있어 인체 삽입 시 타 장기 손상의 가능성이 있으며, 적절한 압착 지점을 찾기가 어려워 과도한 압착으로 인한 혈관 손상이 발생하기도 한다. 반면에, 과도한 압착을 피하기 위해 혈관을 느슨하게 압착시킬 경우에는 혈관 박동시 지혈클립이 이탈되는 문제점이 발생 될 수 있다.Surgical hemostatic clip according to the prior art, such as the Republic of Korea Patent Publication No. 10-2010-0033850 "surgical hemostatic clip" but there is a technology, such a technique to form a protrusion inside the other organ damage when inserting the human body There is a possibility of squeezing the blood vessels due to excessive compression, making it difficult to find a suitable compression point. On the other hand, if the blood vessels are squeezed loosely to avoid excessive compression, there may be a problem that the hemostatic clip is released during blood vessel beat.
본 발명은 외과수술시 타 장기 손상을 방지하며, 클립의 혈관 이탈을 방지할 수 있는 외과용 혈관 클립 및 이를 이용한 혈관 클립 어플라이어를 제공하고자 한다.The present invention is to provide a surgical vessel clip and a blood vessel clip applicator using the same to prevent damage to other organs during surgery, and prevent the vascular detachment of the clip.
본 발명은 서로 연결되는 제1레그 및 제2레그를 포함하는 레그부재; 상기 제1레그의 내면으로부터 돌출되도록 형성된 적어도 하나의 제1핀부재; 상기 제2레그의 내면으로부터 돌출되도록 형성된 적어도 하나의 제2핀부재; 및 상기 제1레그 및 제2레그의 내면을 감싸도록 위치한 지혈부재; 를 포함하는 외과용 혈관 클립을 제공한다.The present invention provides a leg member including a first leg and a second leg connected to each other; At least one first pin member formed to protrude from an inner surface of the first leg; At least one second pin member protruded from an inner surface of the second leg; And a hemostatic member positioned to surround inner surfaces of the first leg and the second leg. It provides a surgical vessel clip comprising a.
본 발명은 상기 혈관 클립이 수용되는 집게부; 및 상기 혈관 클립이 신체 조직으로 인가되도록 상기 집게부에 구동력을 제공하는 조작부; 를 포함하는 혈관 클립 어플라이어를 제공한다.The present invention comprises: a forceps unit for receiving the blood vessel clip; And an operation unit configured to provide a driving force to the forceps so that the blood vessel clip is applied to body tissue. It provides a blood vessel clip applicator comprising a.
본 발명에 따른 외과용 혈관 클립에 따르면, 제1레그 및 제2레그를 압착시킬 때, 제1핀부재 및 제2핀부재가 혈관을 관통하여 혈관을 고정시킴으로써, 혈관에 설치될 때 레그들 사이에 작은 갭이 존재하더라도 그 결합력이 안정적으로 유지되며, 제1레그 및 제2레그의 내면에 지혈부재를 포함함으로써, 혈관과의 마찰력을 증가해 혈관의 밀림을 방지하고, 지혈효과를 증대시킬 수 있다.According to the surgical blood vessel clip according to the present invention, when compressing the first leg and the second leg, the first pin member and the second pin member penetrates through the blood vessel to fix the blood vessel, when installed in the blood vessel between the legs Even if there is a small gap in the joint, the bonding force is maintained stably, and by including the hemostatic member on the inner surface of the first leg and the second leg, the frictional force with the blood vessels can be increased to prevent the blood vessels from sliding and increase the hemostatic effect. have.
또한, 본 발명에 따른 혈관 클립 어플라이어에 따르면, 조작부의 단순한 조작에 의해서 집게부에 수용되는 혈관 클립을 정확한 출혈 위치에 클리핑하여 혈관의 출혈 부위를 용이하게 지혈할 수 있다.In addition, according to the blood vessel clip applicator according to the present invention, the blood vessel clip accommodated in the forceps may be clipped to the correct bleeding position by simple manipulation of the manipulation unit to easily bleed the bleeding portion of the blood vessel.
도 1은 본 발명의 일 실시예에 따른 외과용 혈관 클립의 사시도이다.1 is a perspective view of a surgical blood vessel clip according to an embodiment of the present invention.
도 2는 본 발명의 일 실시예에 따른 외과용 혈관 클립의 분해 사시도이다.2 is an exploded perspective view of a surgical blood vessel clip according to an embodiment of the present invention.
도 3은 본 발명의 일 실시예에 따른 외과용 혈관 클립의 분해 사시도이다.3 is an exploded perspective view of a surgical vessel clip according to an embodiment of the present invention.
도 4는 본 발명의 일 실시예에 따른 외과용 혈관 클립을 혈관에 적용할 때의 상기 외과용 혈관 클립의 측면도이다.Figure 4 is a side view of the surgical vessel clip when applying the surgical vessel clip in accordance with an embodiment of the present invention.
도 5는 본 발명의 일 실시예에 따른 혈관 클립 어플라이어의 사시도이다.5 is a perspective view of a blood vessel clip applier in accordance with an embodiment of the present invention.
도 6은 본 발명의 일 실시예에 따른 혈관 클립 어플라이어의 부분상세도이다.Figure 6 is a partial detailed view of the blood vessel clip applier according to an embodiment of the present invention.
도 7은 본 발명의 일 실시예에 따른 혈관 클립 어플라이어의 작동과정을 간략하게 도시한 사시도이다.Figure 7 is a perspective view briefly showing the operation of the blood vessel clip applier according to an embodiment of the present invention.
도 8은 본 발명의 일 실시예에 따른 혈관 클립 어플라이어의 사시도이다.8 is a perspective view of a blood vessel clip applier in accordance with an embodiment of the present invention.
도 9는 본 발명의 일 실시예에 따른 혈관 클립 어플라이어의 부분상세도이다.9 is a partial detailed view of a blood vessel clip applier according to an embodiment of the present invention.
도 10은 본 발명의 일 실시예에 따른 혈관 클립 어플라이어의 분해사시도이다.10 is an exploded perspective view of a blood vessel clip applier according to an embodiment of the present invention.
본 발명은 외과수술시 혈관의 절단 또는 지혈시 사용되는 외과용 혈관 클립 과 이를 이용하는 혈관 클립 어플라이어에 관한 것이다.The present invention relates to a surgical vascular clip used for cutting or hemostasis of blood vessels during surgery and a vascular clip applier using the same.
먼저, 외과용 혈관 클립이라 함은 외과수술에 있어서 혈관의 절단시 과도한 출혈을 방지하기 위해 혈관 절단 전에 절단하고자 하는 혈관의 양측을 지혈시키기 위해서 사용되는 지혈 클립을 의미한다.First, the surgical blood vessel clip refers to a hemostatic clip used for bleeding both sides of a blood vessel to be cut before the blood vessel cutting in order to prevent excessive bleeding during the blood vessel cutting in the surgical operation.
보다 구체적으로, 본 발명의 외과용 혈관 클립은 서로 연결되는 제1레그 및 제2레그를 포함하는 레그부재, 상기 제1레그의 내면으로부터 돌출되도록 형성된 적어도 하나의 제1핀부재, 상기 제2레그의 내면으로부터 돌출되도록 형성된 적어도 하나의 제2핀부재 및 상기 제1레그 및 제2레그의 내면을 감싸도록 위치한 지혈부재를 포함하여 구성된다. More specifically, the surgical vessel clip of the present invention is a leg member including a first leg and a second leg connected to each other, at least one first pin member formed to protrude from the inner surface of the first leg, the second leg At least one second pin member formed to protrude from the inner surface of the first leg and the hemostatic member positioned to surround the inner surface of the second leg is configured to include.
특히, 상기 제1핀부재 및 제2핀부재는 상기 제1레그 및 제2레그가 압착하였을 때 서로 엇갈리는 위치에 형성될 수 있으며, 상기 제1핀부재 및 제2핀부재는 서로 엇갈리는 위치에 형성되어, 상기 제1레그 및 제2레그가 압착되었을때 반대측 레그의 내면에 맞대어질 수 있다.In particular, the first pin member and the second pin member may be formed in a staggered position when the first leg and the second leg is compressed, the first pin member and the second pin member is formed in a staggered position Thus, when the first leg and the second leg are compressed, they can be opposed to the inner surface of the opposite leg.
이에 더하여, 상기 지혈부재는 다공성 및/또는 흡습성의 합성섬유로 형성되어, 혈관에 적용시 상기 혈관의 밀림을 방지하여 지혈하는 것을 특징으로 한다. 이때, 상기 지혈부재는 지혈물질이 함침될 수 있으며, 상기 지혈물질은 피브린 글루(fibrin glue), 염화칼슘제, 트롬빈, 비타민C, 비타민 K, 콜라겐, 젤라틴 및 미세젤폼 (gelfoam)으로 이루어진 군으로부터 선택되는 적어도 하나일 수 있다.In addition, the hemostatic member is formed of a synthetic fiber of porous and / or hygroscopic, characterized in that when applied to the blood vessels to prevent hemostasis of the blood vessels. In this case, the hemostatic member may be impregnated with a hemostatic material, and the hemostatic material is selected from the group consisting of fibrin glue, calcium chloride, thrombin, vitamin C, vitamin K, collagen, gelatin and microfoam (gelfoam). It may be at least one.
또한, 본 발명은 혈관 클립 어플라이어에 관한 것으로, 상기 혈관 클립이 수용되는 집게부와 상기 혈관 클립이 신체 조직으로 인가되도록 상기 집게부에 구동력을 제공하는 조작부를 포함한다. The present invention also relates to a blood vessel clip applier, and includes a forceps unit for receiving the blood vessel clip and an operation unit for providing a driving force to the forceps so that the blood vessel clip is applied to body tissue.
하나의 양태로서, 상기 집게부는 힌지핀을 중심으로 서로 교차 결합되는 제1집게부재 및 제2집게부재로 구성되며, 상기 조작부는 상기 제1집게부재 및 제2집게부재로부터 각각 길이방향으로 연장되어 시술자가 파지하기 위한 제1조작부재 및 제2조작부재로 구성될 수 있다. In one embodiment, the tongs portion is composed of a first tong member and a second tong member which are cross-coupled with each other around a hinge pin, the operation portion is extended in the longitudinal direction from the first and second tong members, respectively The operator may be composed of a first operating member and a second operating member for holding.
이때, 상기 제1조작부재 및 제2조작부재 사이에서 탄성 복원시키는 탄성수단을 포함할 수 있으며, 상기 제1집게부재 및 제2집게부재는 서로 대향되는 전면에 상기 혈관 클립을 수용할 수 있는 가이드홈이 형성될 수 있다.In this case, it may include an elastic means for elastically restoring between the first operating member and the second operating member, wherein the first and second tong members and the guide to accommodate the vessel clip on the front surface facing each other Grooves may be formed.
다른 양태로서, 본 발명의 혈관 클립 어플라이어에서 집게부는 힌지핀을 중심으로 서로 교차 결합되는 고정집게 및 가동집게로 구성되며, 상기 조작부는 일측이 상기 집게부와 연결되며, 길이방향으로 확장된 중공의 슬리브, 상기 슬리브의 타측과 연결되는 조절 손잡이, 상기 조절 손잡이에 회동가능하게 결합되는 작동유닛 및 상기 슬리브 중공으로 삽입결합되어, 일측은 상기 집게부와 결합되고 타측은 상기 작동유닛과 결합되며, 상기 작동유닛의 작동을 전달받아 상기 가동집게를 움직일 수 있게 하는 집게작동부를 포함할 수 있다.In another aspect, in the blood vessel clip applier of the present invention, the tongs portion is composed of a fixed tong and a movable tongs which are cross-coupled with each other about a hinge pin, and the operation portion is connected to the tongs portion on one side, and the hollow is extended in the longitudinal direction The sleeve, the adjustment handle is connected to the other side of the sleeve, the operation unit is rotatably coupled to the control handle and the sleeve is inserted and coupled, the one side is coupled to the tongs and the other side is coupled to the operation unit, It may include a forceps operation unit for receiving the operation of the operation unit to move the movable forceps.
이에 더하여, 상기 조작부는 상기 슬리브의 내부에 구비되어, 복수개의 상기 혈관 클립을 수용하는 클립 수용부, 상기 슬리브의 내부에 구비되어 중공을 따라 병진운동하여, 상기 혈관 클립을 상기 집게부로 이동시키는 가압로드 및 상기 가압로드에 연결설치되어 가압로드가 병진운동하도록 구동력을 제공하는 트리거를 포함할 수 있으며, 상기 고정집게 및 가동집게는 서로 대향되는 전면에는 상기 혈관 클립을 수용할 수 있는 가이드홈이 형성될 수 있다.In addition, the operation portion is provided in the inside of the sleeve, the clip receiving portion for receiving a plurality of the blood vessel clip, provided in the inside of the sleeve to translate along the hollow, the pressure to move the vessel clip to the forceps It may include a trigger that is connected to the rod and the pressure rod is provided to provide a driving force to translate the pressure rod, the fixing forceps and the movable forceps are formed on the front surface of the guide to accommodate the blood vessel clip opposite to each other Can be.
이하 첨부된 도면을 참조하여 본 발명의 바람직한 실시예를 상세히 설명하도록 한다. 이에 앞서, 본 명세서 및 청구범위에 사용된 용어나 단어는 통상적이거나 사전적인 의미로 한정해서 해석되어서는 아니 되며, 발명자는 그 자신의 발명을 가장 최선의 방법으로 설명하기 위해 용어의 개념을 적절하게 정의할 수 있다는 원칙에 입각하여 본 발명의 기술적 사상에 부합하는 의미와 개념으로 해석되어야만 한다.Hereinafter, exemplary embodiments of the present invention will be described in detail with reference to the accompanying drawings. Prior to this, terms or words used in the present specification and claims should not be construed as being limited to the common or dictionary meanings, and the inventors should properly explain the concept of terms in order to best explain their own invention. Based on the principle that can be defined, it should be interpreted as meaning and concept corresponding to the technical idea of the present invention.
따라서, 본 명세서에 기재된 실시예와 도면에 도시된 구성은 본 발명의 가장 바람직한 일 실시예에 불과할 뿐이고 본 발명의 기술적 사상을 모두 대변하는 것은 아니므로, 본 출원시점에 있어서 이들을 대체할 수 있는 다양한 균등물과 변형 예들이 있을 수 있음을 이해하여야 한다.Therefore, the embodiments described in the specification and the drawings shown in the drawings are only the most preferred embodiment of the present invention and do not represent all of the technical idea of the present invention, various modifications that can be replaced at the time of the present application It should be understood that there may be equivalents and variations.
도 1은 본 발명의 일 실시예에 따른 외과용 혈관 클립의 사시도, 도 2는 본 발명의 일 실시예에 따른 외과용 혈관 클립의 분해 사시도, 도 3은 본 발명의 일 실시예에 따른 외과용 혈관 클립의 분해 사시도, 도 4는 본 발명의 일 실시예에 따른 외과용 혈관 클립을 혈관에 적용할 때의 상기 외과용 혈관 클립의 측면도, 도 5는 본 발명의 일 실시예에 따른 혈관 클립 어플라이어의 사시도, 도 6은 본 발명의 일 실시예에 따른 혈관 클립 어플라이어의 부분상세도, 도 7은 본 발명의 일 실시예에 따른 혈관 클립 어플라이어의 작동과정을 간략하게 도시한 사시도, 도 8은 본 발명의 일 실시예에 따른 혈관 클립 어플라이어의 사시도, 도 9는 본 발명의 일 실시예에 따른 혈관 클립 어플라이어의 부분상세도, 도 10은 본 발명의 일 실시예에 따른 혈관 클립 어플라이어의 분해사시도이다.1 is a perspective view of a surgical vascular clip according to an embodiment of the present invention, Figure 2 is an exploded perspective view of a surgical vascular clip according to an embodiment of the present invention, Figure 3 is a surgical according to an embodiment of the present invention 4 is an exploded perspective view of a blood vessel clip, FIG. 4 is a side view of the surgical blood vessel clip when a surgical vessel clip according to an embodiment of the present invention is applied to a blood vessel, and FIG. 5 is a blood vessel clip according to an embodiment of the present invention. 6 is a partial detailed view of a blood vessel clip applier according to an embodiment of the present invention, and FIG. 7 is a perspective view briefly showing an operation process of the blood vessel clip applier according to an embodiment of the present invention; 8 is a perspective view of a blood vessel clip applier according to an embodiment of the present invention, FIG. 9 is a partial detailed view of a blood vessel clip applier according to an embodiment of the present invention, and FIG. 10 is a blood vessel clip according to an embodiment of the present invention. Applier An exploded perspective view.
이하, 도 1 내지 도 10과 실시예를 통해 본 발명인 외과용 혈관 클립을 상세히 설명한다.Hereinafter, the present invention surgical vessel clip will be described in detail with reference to FIGS. 1 to 10 and the embodiment.
먼저, 외과용 혈관 클립(100)이라 함은 외과수술에 있어서 혈관의 절단시 과도한 출혈을 방지하기 위해 혈관 절단 전에 절단하고자 하는 혈관의 양측을 지혈시키기 위해서 사용되는 지혈 클립을 의미한다.First, the surgical blood vessel clip 100 refers to a hemostatic clip used to bleed both sides of a blood vessel to be cut before the blood vessel cutting in order to prevent excessive bleeding in the blood vessel cutting in the surgical operation.
도 1과 도 3에 도시된 바와 같이, 본 발명에 따른 외과용 혈관 클립(100)은 레그부재(110), 핀부재(120) 및 지혈부재(130)를 포함하여 구성된다.As shown in Figure 1 and 3, the surgical vessel clip 100 according to the present invention comprises a leg member 110, the pin member 120 and the hemostatic member 130.
보다 구체적으로, 본 발명에 따른 외과용 혈관 클립(100)은 외과수술시 서로 대향되며 연결되는 한 쌍의 레그 사이에 혈관을 위치시키고, 한 쌍의 레그를 압착시켜 혈관을 누르도록 하여 혈관을 폐쇄시키는 작용을 한다.More specifically, the surgical vessel clip 100 according to the present invention is to position the vessel between a pair of legs that are opposed to each other and connected during surgery, the pair of legs to press the vessel by pressing the vessel to close the vessel To act.
본 발명에서는 상기 한 쌍의 레그 중 하나의 레그를 제1레그(111)라 하고, 다른 하나의 레그를 제2레그(112)라 한다.In the present invention, one leg of the pair of legs is referred to as a first leg 111, and the other leg is referred to as a second leg (112).
상기 제1레그(111)와 제2레그(112)는 수술부위에 적용하였을때 서로 대향하며, 일측이 연결부에서 연결되도록 폐쇄되어 있고 타측은 개방되어 있는 'U'자 형태일 수 있다.The first leg 111 and the second leg 112 are opposed to each other when applied to the surgical site, one side is closed to be connected at the connection portion and the other side may be a 'U' shape is open.
이때, 제1레그(111)는 출혈부위의 일측 둘레에 위치하여 해당 부위를 가압하고, 제2레그(112)는 출혈 부위의 타측 둘레에 위치하여 해당부위를 가압할 수 있다.In this case, the first leg 111 may be positioned around one side of the bleeding portion to press the corresponding portion, and the second leg 112 may be positioned around the other side of the bleeding portion to press the corresponding portion.
특정양태로서, 외과용 혈관 클립(100)은 통상적으로 사용되는 소재로 형성될 수 있으며, 일 예로 생체적합성 금속재질인 스테인리스, 티타늄 또는 합성수지로 형성될 수 있다. 이와 같은 소재는 무독성이며, 요구되는 기간동안 신체내에 내성을 갖추어야 할 것이다. 이에 더하여, 상기 레그부재(110)는 인체에 무해한 모든 금속이 사용될 수 있으며, 변형이 일어났으면 힘에 의해 모양이 변화되지 않는 물질일 수 있다.As a specific embodiment, the surgical vessel clip 100 may be formed of a material commonly used, and may be formed of, for example, stainless steel, titanium, or synthetic resin, which is a biocompatible metal. Such materials are nontoxic and will have to be resistant to the body for the required period of time. In addition, the leg member 110 may be any metal that is harmless to the human body, and may be a material that does not change shape by force when deformation occurs.
이에 더하여, 본 발명에 따른 외과용 혈관 클립(100)은 혈관(10)에 접촉되는 레그부재(110)의 내면으로부터 돌출되도록 형성된 핀을 구비하여 레그부재(110)를 압착시킬 때 핀이 혈관(10)을 압박하여 혈관(10)을 고정시킬 수 있다.In addition, the surgical vessel clip 100 according to the present invention includes a pin formed to protrude from the inner surface of the leg member 110 in contact with the blood vessel 10 so that the pin is pressed when the leg member 110 is pressed by the vessel ( 10 may be pressed to fix the blood vessel 10.
이때, 제1레그(111)의 내면으로부터 돌출되도록 형성된 핀은 제1핀부재(121)라 하고, 제2레그(112)의 내면으로부터 돌출되도록 형성된 핀은 제2핀부재(122)라 한다.In this case, the pin formed to protrude from the inner surface of the first leg 111 is referred to as the first pin member 121, and the pin formed to protrude from the inner surface of the second leg 112 is referred to as the second pin member 122.
이때, 상기 제1핀부재(121) 및 제2핀부재(122)는 각각 적어도 하나를 포함할 수 있으며, 제1핀부재(121) 및 제2핀부재(122)의 갯수는 제1레그(111) 및 제2레그(112)의 크기에 따라 달라질 수 있다.At this time, the first pin member 121 and the second pin member 122 may each include at least one, the number of the first pin member 121 and the second pin member 122 is the first leg ( 111 and the second leg 112 may vary in size.
또한, 핀부재(120)의 형태는 혈관을 고정할 수 있는 형태라면 어떠한 형태라도 무관하며, 도 2에 도시된 바와 같이, 레그부재(110) 자체를 이용하여 핀부재를 형성할 수 있으며, 도 3에 도시된 바와 같이, 레그부재(110)의 내면에 형성된 원통형의 돌기형태일 수 있다.In addition, the shape of the pin member 120 may be any shape as long as it can fix blood vessels, and as shown in FIG. 2, the pin member 110 may be formed using the leg member 110 itself. As shown in 3, it may be a cylindrical projection formed on the inner surface of the leg member (110).
또한, 도 4에 도시된 바와 같이, 상기 제1핀부재(121) 및 제2핀부재(122)는 상기 제1레그(111) 및 제2레그(112)가 압착되었을 때, 서로 엇갈리는 위치에 형성될 수 있다. 이는 제1레그(111) 및 제2레그에 각각 핀을 설치함으로써, 혈관(10)에 압착되었을 때 핀이 서로 엇갈리는 고정구조를 갖도록 하여 그 결합력이 더욱 효과적으로 확보할 수 있다. In addition, as shown in FIG. 4, when the first leg 111 and the second leg 112 are compressed, the first pin member 121 and the second pin member 122 are in a staggered position. Can be formed. The pins are provided on the first leg 111 and the second leg, respectively, so that the pins have a fixed structure in which the pins cross each other when compressed to the blood vessel 10, thereby more effectively securing the coupling force.
특정 양태로서, 제1핀부재(121) 및 제2핀부재(122)에 의해 혈관(10)과의 결합이 이루어질 때, 서로 엇갈리는 위치에 설치되어 압착되었을 때 반대측 레그의 내면에 맞대어지도록 형성될 수 있다. 이와 같은 외과용 혈관 클립(100)은 핀부재(120)에 의하여 혈관(10)과의 결합이 이루어지므로 느슨한 압착으로 인해 갭이 상대적으로 크게 발생되더라도 안정적인 지혈을 이루면서 결합력을 효과적으로 유지할 수 있다. 또한, 제1핀부재(121) 및 제2핀부재(122)가 반대측 레그의 내면에 맞대어지도록 형성되므로써, 과도한 압착이 이루어지지 않도록 함과 아울러 상대적으로 큰 갭이 발생되더라도 혈관(10)과의 결합력을 크게 유지할 수 있다.In a particular embodiment, when the first pin member 121 and the second pin member 122 are coupled to the blood vessel 10, they are formed to be opposed to the inner surface of the opposite leg when they are installed in a staggered position and pressed. Can be. Such surgical blood vessel clip 100 is coupled to the blood vessel 10 by the pin member 120, so that even if the gap is relatively large due to loose compression, it is possible to effectively maintain the binding force while achieving stable hemostasis. In addition, since the first pin member 121 and the second pin member 122 are formed to face the inner surface of the opposite leg, it is possible to prevent excessive compression, and even if a relatively large gap is generated, The bonding force can be maintained large.
한편, 본 발명의 외과용 혈관 클립(100)은 지혈하고자 하는 혈관(10)의 크기에 따라 다양하게 제조될 수 있다. 일 예로 레그부재(110)의 길이는 8 내지 30mm 일 수 있으며, 핀부재(120)의 길이는 1 내지 3mm 일 수 있다. 이때, 레그부재(110)의 길이가 8mm 미만일 경우에는 외과용 혈관 클립(100)의 크기가 작아 제조시 어려움이 있으며, 30mm 를 초과할 경우에는 적용하고자하는 부위보다 커서 혈관(10)에 적합하지 않을 수 있다.On the other hand, the surgical vessel clip 100 of the present invention can be produced in various ways depending on the size of the blood vessel 10 to be hemostatic. For example, the length of the leg member 110 may be 8 to 30mm, the length of the pin member 120 may be 1 to 3mm. In this case, when the length of the leg member 110 is less than 8mm, the size of the surgical vessel clip 100 is small, which makes it difficult to manufacture. When the length of the leg member 110 is greater than 30mm, it is not suitable for the blood vessel 10 because it is larger than the portion to be applied. You may not.
특히, 상기 레그부재(110)의 길이는 외경 3.14 / (2+1 내지 2)mm 일 수 있으며, 핀부재(120)의 길이는 혈관(10)종류에 따라 달라질 수 있다.In particular, the length of the leg member 110 may be an outer diameter of 3.14 / (2 + 1 to 2) mm, the length of the pin member 120 may vary depending on the type of blood vessel (10).
보다 구체적으로, 동맥과 정맥의 혈관(10)두께의 차이에 의해서 핀부재(120)의 길이는 달라질 수 있다. 일 예로 외경이 10mm 의 혈관(10)에 적용시, 레그부재(110)의 길이는 17 내지 18mm 일 수 있으며, 핀의 길이는 동맥에 적용할 경우에는 2mm, 정맥에 적용할 경우에는 1.5mm 일 수 있다. 또한, 외경이 5mm 의 혈관(10)에 적용시, 레그부재(110)의 길이는 9 내지 10mm 일 수 있으며, 핀의 길이는 동맥에 적용할 경우에는 1.5mm, 정맥에 적용할 경우 1mm일 수 있다.More specifically, the length of the pin member 120 may vary due to the difference in the thickness of the blood vessel 10 of the artery and the vein. For example, when the outer diameter is applied to the blood vessel 10 of 10mm, the length of the leg member 110 may be 17 to 18mm, the length of the pin is 2mm when applied to arteries, 1.5mm when applied to veins Can be. In addition, when the outer diameter is applied to the blood vessel 10 of 5mm, the length of the leg member 110 may be 9 to 10mm, the length of the pin may be 1.5mm when applied to the artery, 1mm when applied to the vein have.
이에 더하여, 본 발명의 외과용 혈관 클립(100)은 레그부재(110)의 내면을 감싸도록 지혈부재(130)를 포함하는 것을 특징으로 한다. 즉, 제1레그(111) 및 제2레그(112)의 내면에 밀착되어 있어, 본 발명의 외과용 혈관 클립(100)을 혈관(10)에 적용할 때 혈관(10)의 밀림을 방지하고 결찰함으로써 지혈할 수 있다.In addition, the surgical vessel clip 100 of the present invention is characterized in that it comprises a hemostatic member 130 to surround the inner surface of the leg member 110. That is, it is in close contact with the inner surfaces of the first leg 111 and the second leg 112, and when the surgical vessel clip 100 of the present invention is applied to the vessel 10 to prevent the sliding of the vessel 10 Ligation can be done by ligation.
보다 구체적으로, 제1레그(111) 및 제2레그(112)의 내면에 지혈부재(130)를 포함함으로써, 혈관(10)에 본 발명의 외과용 혈관 클립(100)을 적용할 때, 혈관(10)의 손상을 최소화하고 상기 제1핀부재(121) 및 제2핀부재(122)의 관통으로 인한 관통부위의 출혈을 매우 효과적으로 막을 수 있으며, 아울러 레그부재(110)의 과도한 압착으로 인해 발생할 수 있는 혈관(10)의 잘림 현상을 막을 수 있으며, 혈압에 의해 혈관(10)이 외과용 혈관 클립(100)으로부터 밀려 빠지는 현상을 방지할 수 있다. 즉, 본 발명의 지혈부재(130)와 혈관(10)과의 마찰력을 증가시켜 혈관(10)의 밀림을 방지하고 지혈효과를 증대시킬 수 있다.More specifically, by including the hemostatic member 130 on the inner surface of the first leg 111 and the second leg 112, when applying the surgical vessel clip 100 of the present invention to the blood vessel 10, blood vessels Minimize damage of the 10 and prevent the bleeding of the through portion due to the penetration of the first pin member 121 and the second pin member 122 very effectively, and also due to excessive compression of the leg member 110 The blood vessel 10 may be cut off, and the blood vessel 10 may be prevented from being pushed out of the surgical vessel clip 100 by blood pressure. That is, by increasing the friction between the hemostatic member 130 and the blood vessel 10 of the present invention can prevent the blood vessel 10 from rolling and increase the hemostatic effect.
이때, 본 발명의 지혈부재(130)는 다공성 및/또는 흡습성의 합성섬유로 형성될 수 있으며, 테플론(polytetrafluoroetylene), 데이크론(Dacron, Polyethylene terephthalate) 또는 PTFE(polytetrafluoroethylene) 등의 재질로 이루어질 수 있다. 이 외에도 인공혈관의 재료로 사용되는 모든 물질이 사용될 수 있으며, 특히, 이와 같은 지혈부재(130)는 외과용 혈관 클립(100)이 혈관(10) 주위로 들어갈 때, 핀부재(120)가 혈관벽에 손상을 주는 것을 방지할 수 있는 재질 일 수 있다. 이에 더하여, 상기 지혈부재(130)는 핀부재(120)에 의한 압착이 되었을 때, 지혈부재(130)의 부피가 최소화될 수 있는 재질일 수 있다.At this time, the hemostatic member 130 of the present invention may be formed of synthetic fibers of porous and / or hygroscopic, and may be made of a material such as Teflon (polytetrafluoroetylene), Dacron (polyethylene terephthalate) or PTFE (polytetrafluoroethylene). . In addition to this, any material used as a material of artificial blood vessels may be used. In particular, such a hemostatic member 130 may include a pin member 120 when the surgical vessel clip 100 enters around the blood vessel 10. It may be a material that can prevent damage to the. In addition, the hemostatic member 130 may be a material capable of minimizing the volume of the hemostatic member 130 when compressed by the pin member 120.
특정 양태로서, 상기 지혈부재(130)는 지혈물질이 함침되어 형성될 수 있다. 여기서, 지혈물질이란, 임상에서 흔이 사용되는 지혈물질을 의미하는 것으로 트롬빈, 미세젤폼(gelfoam) 또는 피브린 글루(fibrin glue)일 수 있으며, 이 외에도 염화칼슘제, 비타민C, 비타민 K, 콜라겐 또는 젤라틴일 수 있다. In a particular embodiment, the hemostatic member 130 may be formed by impregnating a hemostatic material. Here, the hemostatic substance means a hemostatic substance commonly used in the clinic, and may be thrombin, microgel foam, or fibrin glue, in addition to calcium chloride, vitamin C, vitamin K, collagen or gelatin. Can be.
또한, 본 발명은 혈관 클립 어플라이어(200, 300)에 관한 것으로, 집게부(210, 310)와 조작부(220, 320)를 포함하여 구성된다.In addition, the present invention relates to the blood vessel clip applicator (200, 300), and comprises a forceps (210, 310) and the operation unit (220, 320).
여기서, 집게부(210, 310)는 혈관 클립(100)이 수용되는 부분을 의미하여, 조작부(220, 320)는 상기 혈관 클립(100)이 신체 조직으로 인가되도록 상기 집게부(210, 310)에 구동력을 제공하는 부분을 의미한다. 특히, 상기 조작부(220, 320)는 상기 집게부(210, 310)에 구동력을 전달하는 부분으로서, 본 발명인 혈관 클립 어플라이어(200, 300)가 수술용 로봇에 장착될 경우에는 수술용 로봇으로부터 구동력을 전달받는 부분이고, 수동으로 조작되는 경우에는 시술자가 손으로 잡아 조작함으로써 사람의 손에 의해 직접 구동력이 생성되는 부분이다. 이와 관련하여 구체적인 설명은 후술하도록 한다.Here, the forceps 210 and 310 mean a portion in which the blood vessel clip 100 is accommodated, and the manipulation units 220 and 320 may be applied to the forceps 210 and 310 so that the blood vessel clip 100 is applied to body tissues. It means the part that provides driving force to. In particular, the operation unit (220, 320) is a portion for transmitting a driving force to the forceps (210, 310), when the blood vessel clip applicator (200, 300) of the present invention is mounted on a surgical robot from the surgical robot The driving force is transmitted, and when manually operated, the operator directly grabs and manipulates the driving force to generate the driving force. In this regard, a detailed description will be made later.
먼저, 도 5와 도 6에 도시된 바에 따르면, 본 발명에 따른 혈관 클립 어플라이어(200)는 한 쌍의 집게부재와 한 쌍의 조작부재가 힌지(240)를 중심으로 연장되어 결합되는 가위형태일 수 있다.First, as shown in Figures 5 and 6, the vascular clip applier 200 according to the present invention is a pair of scissors to the pair of forceps member and a pair of operation member extending extending around the hinge 240 is coupled Can be.
보다 구체적으로, 상기 집게부(210)는 힌지(240)를 중심으로 서로 교차 결합되는 제1집게부재(211) 및 제1집게부재(212)로 구성되며, 조작부(220)는 상기 제1집게부재(211) 및 제1집게부재(212)로부터 각각 연장되어 시술자가 파지하기 위한 제1조작부재(221) 및 제2조작부재(222)로 구성될 수 있다. 즉, 상기 제1조작부재(221) 및 제2조작부재(222)의 전단부는 상기 제1집게부재(211) 및 제1집게부재(212)와 힌지(240) 결합되며, 상기 제1조작부재(221) 및 제2조작부재(222)의 후단에는 시술자가 손가락을 끼워서 파지할 수 있도록 손가락 삽입부(250)가 형성될 수 있다.More specifically, the tongs 210 is composed of a first tongs member 211 and the first tongs member 212 which are mutually coupled to each other around the hinge 240, the operation unit 220 is the first tongs Each of the first and second operating members 221 and 222 may be configured to extend from the member 211 and the first tong member 212 for the operator to grip. That is, the front end portions of the first manipulation member 221 and the second manipulation member 222 are coupled to the first tong member 211 and the first tong member 212 and the hinge 240, the first manipulation member At the rear end of the 221 and the second manipulation member 222, a finger insertion part 250 may be formed so that the operator can grip and hold the finger.
특히, 도 6에 도시된 바와 같이, 상기 집게부(210)는 혈관 클립(100)이 수용되기 용이하도록 형성되어 있으며, 이는 제1집게부재(211) 및 제1집게부재(212)의 서로 대향되는 전면에 가이드홈(230)이 형성될 수 있다. 이때, 상기 가이드홈(230)은 본 발명의 혈관 클립(100)이 슬라이딩 이동하여 장착되도록, 바형태로 홈이 형성될 수 있으며, 상기 혈관 클립(100)의 레그부재(110)의 바깥면이 장착되도록 레그부재(110)의 폭의 넓이와 대응되어 형성될 수 있다.In particular, as shown in Figure 6, the tongs 210 is formed to accommodate the blood vessel clip 100, which is opposed to each other of the first tongs member 211 and the first tongs member 212 Guide groove 230 may be formed on the front surface. In this case, the guide groove 230 may be formed in a bar shape so that the blood vessel clip 100 of the present invention is mounted by sliding movement, the outer surface of the leg member 110 of the blood vessel clip 100 It may be formed to correspond to the width of the width of the leg member 110 to be mounted.
한편, 제1조작부재(221) 및 제2조작부재(222)의 사이에는 탄성 복원시키는 탄성수단(미도시)를 포함할 수 있다. 상기 탄성수단은 제1조작부재(221) 및 제2조작부재(222) 부분을 연결 및 지지해주며, 조작부(220)의 구동력이 제거되면, 상기 제1집게부재(211) 및 제1집게부재(212)를 원 위치로 복귀시키는 역할을 하는 것으로, V형 판 스프링, 나선형 스프링, 유압 실린더 등으로 구성될 수 있다. On the other hand, between the first control member 221 and the second control member 222 may include an elastic means (not shown) for elastic recovery. The elastic means connects and supports portions of the first manipulating member 221 and the second manipulating member 222, and when the driving force of the manipulator 220 is removed, the first tongs member 211 and the first tongs member It serves to return 212 to the original position, and may be composed of a V-shaped leaf spring, a helical spring, a hydraulic cylinder, and the like.
이하, 도 7을 참조로 하여, 도 4와 도 5에 도시된 혈관 클립 어플라이어(200)의 작동 방식 및 혈관 클립(100)이 장착, 배출, 클립핑되는 과정을 설명한다.Hereinafter, referring to FIG. 7, the operation of the blood vessel clip applier 200 shown in FIGS. 4 and 5 and the process of mounting, discharging, and clipping of the blood vessel clip 100 will be described.
도 7은 본 발명의 도 5와 도 6에 도시된 혈관 클립 어플라이어(200)의 작동과정을 간략하게 도시한 사시도이다. 도 7을 참조로 하면, 제1조작부재(221) 및 제2조작부재(222)의 전단부가 상기 제1집게부재(211) 및 제1집게부재(212)와 힌지(240) 결합된 가위형태의 혈관 클립 어플라이어(200)가 도시되어 있다.7 is a perspective view briefly illustrating the operation of the blood vessel clip applier 200 shown in FIGS. 5 and 6 of the present invention. Referring to FIG. 7, the front end portions of the first manipulating member 221 and the second manipulating member 222 are coupled to the first tong members 211, the first tong members 212, and the hinge 240. Vascular clip applier 200 is shown.
본 실시예에 따른 외과용 혈관 클립(100)은 평상시에는 제1레그(111) 및 제2레그(112)의 말단부가 열려져 있다가, 혈관(10)을 지혈하기 위해 클립핑이 되는 구조로서, 이러한 외과용 혈관 클립(100)을 사용하기 위해 도 5 내지 도 6에서와 같은 혈관 클립 어플라이어(200)가 사용될 수 있다. Surgical vessel clip 100 according to the present embodiment is a structure in which the end portions of the first leg 111 and the second leg 112 are normally opened, and then clipped to bleed the blood vessel 10. Vascular clip appliers 200 as in FIGS. 5-6 can be used to use surgical vascular clip 100.
보다 구체적으로, 평상시에 혈관 클립(100)은 카트리지(미도시)에 복수개로 담겨질 수 있으며, 혈관(10)을 지혈하기 위해서는 먼저 시술자가 조작부(220)의 손가락 삽입부(250)에 손가락을 삽입하여 파지한 후에 상기 카트리지에 담겨진 혈관 클립(100)을 집게부(210)에 장착한다.More specifically, the blood vessel clip 100 may be contained in a plurality of cartridges (not shown) in normal times, and in order to bleed the blood vessel 10, a surgeon first inserts a finger into the finger insertion unit 250 of the manipulation unit 220. After gripping, the blood vessel clip 100 contained in the cartridge is mounted on the forceps 210.
그 후, 시술자는 혈관(10)의 절단시 출혈을 방지하기 위하여 혈관(10) 절단 전에 절단하고자 하는 혈관(10)의 양측에 위치를 선정한 후 양측 중 한측에 혈관 클립(100)을 위치시키고, 조작부(220)를 가압하여 상기 혈관 클립(100)이 장착된 집게부(210)에 구동력을 제공하여, 혈관(10)에 결찰하여 지혈시키는 작업을 실시한다. 이는 나머지 한쪽도 동일하게 진행된다. 그리고, 두 개의 혈관 클립(100) 사이의 혈관(10)을 절단한다. 본 실시예에 따른 혈관 클립 어플라이어(200)는 도 1 내지 도 4에 도시된 외과용 혈관 클립(100)이 장착될 수 있음은 전술한 바와 같다.Thereafter, the operator selects a position on both sides of the blood vessel 10 to be cut before cutting the blood vessel 10 to prevent bleeding when the blood vessel 10 is cut, and then places the blood vessel clip 100 on one side of both sides. By pressing the operation unit 220 to provide a driving force to the forceps 210, the vessel clip 100 is mounted, ligation to the blood vessel 10 is performed to haemostatic. The same goes for the other side. Then, the blood vessel 10 between the two blood vessel clips 100 is cut. As described above, the blood vessel clip applier 200 according to the present embodiment may be mounted with the surgical vessel clip 100 illustrated in FIGS. 1 to 4.
다음으로, 도 8 내지 도 10에 도시된 바에 따르면, 본 발명의 일 실시예에 따른 혈관 클립 어플라이어(300)는 집게부(310)와 연결된 슬리브(330) 내에 복수개의 혈관 클립(100)을 내장하고 있는 오토건 형태일 수 있다. 보다 구체적인 설명은 후술하도록 한다.Next, as shown in FIGS. 8 to 10, the blood vessel clip applier 300 according to an embodiment of the present invention may include a plurality of blood vessel clips 100 in a sleeve 330 connected to the forceps 310. It can be in the form of an autogun embedded. A more detailed description will be made later.
도 8 내지 도 10을 참조하면, 혈관 클립 어플라이어(300)는 혈관 클립(100)이 수용되는 집게부(310)와 상기 집게부(310)에 구동력을 제공하는 조작부(320)가 도시되어 있다.8 to 10, the blood vessel clip applier 300 is illustrated with a forceps portion 310 in which the blood vessel clips 100 are accommodated, and an operation portion 320 for providing a driving force to the forceps 310. .
이때, 집게부(310)는 고정집게(312)와 가동집게(311)로 구성되며, 상기 고정집게(312)와 가동집게(311)가 서로 대향되는 전면에는 혈관 클립(100)을 수용할 수 있는 가이드홈(330)이 형성된다. 이때, 상기 가이드홈(330)은 혈관 클립(100)이 슬라이딩 이동하여 장착되도록, 바형태로 홈이 형성될 수 있으며, 상기 혈관 클립(100)의 레그부재(110)의 바깥면이 장착되도록 레그부재(110)의 폭의 넓이와 대응되어 형성될 수 있다.At this time, the forceps 310 is composed of a fixing forceps 312 and the movable forceps 311, the fixing forceps 312 and the movable forceps 311 can accommodate the blood vessel clip 100 on the front surface facing each other. Guide grooves 330 are formed. In this case, the guide groove 330 may be formed in a bar shape so that the blood vessel clip 100 is mounted by sliding movement, the leg so that the outer surface of the leg member 110 of the blood vessel clip 100 is mounted It may be formed corresponding to the width of the member 110.
그리고, 조작부(320)는 내장된 혈관 클립(100)을 집게부(310)로 이동시키는 구성과 집게부(310)로 이동된 혈관 클립(100)을 클리핑하는 구성으로 나뉠 수 있다.And, the operation unit 320 may be divided into a configuration for moving the built-in blood vessel clip 100 to the forceps 310 and a configuration for clipping the blood vessel clip 100 moved to the forceps 310.
보다 구체적으로, 조작부(320)는 일측이 상기 집게부(310)와 연결되며, 길이방향으로 확장된 중공의 슬리브(330), 상기 슬리브(330)의 내부에 구비되어, 복수개의 상기 혈관 클립(100)을 수용하는 클립 수용부(360), 상기 슬리브(330)의 내부에 구비되어 중공을 따라 병진운동하여, 상기 혈관 클립(100)을 상기 집게부(310)로 이동시키는 가압로드(361) 및 상기 가압로드(361)에 연결설치되어 가압로드(361)가 병진운동하도록 구동력을 제공하는 트리거(370)를 포함한다. More specifically, the operation unit 320 is one side is connected to the forceps 310, the hollow sleeve 330 extending in the longitudinal direction, the inside of the sleeve 330, a plurality of blood vessel clip ( Clip receiving unit 360 for receiving 100, the inside of the sleeve 330 is provided in the translational movement along the hollow, the pressure rod 361 to move the blood vessel clip 100 to the forceps 310 And a trigger 370 connected to the pressure rod 361 and providing a driving force to translate the pressure rod 361.
여기서, 슬리브(330)의 일측은 외과용 혈관 클립(100)이 배출되는 통로 역할을 하는 배출부가 형성되는 구조로 이루어진다. 또한, 본 발명에 따른 가압로드(361)는 본 발명의 슬리브(330)의 중공 내부에 구비되어 중공을 따라 병진운동하기 위한 것으로서, 이러한 목적을 갖는 당업계의 통상적인 가압로드(361)라면 특별히 한정되지 않는다.Here, one side of the sleeve 330 has a structure in which a discharge portion that serves as a passage through which the surgical vessel clip 100 is discharged is formed. In addition, the pressure rod 361 according to the present invention is provided in the hollow inside of the sleeve 330 of the present invention for the translational movement along the hollow, if the conventional pressure rod 361 in the art having this purpose in particular It is not limited.
특히, 상기 트리거(370)는 일측이 상기 슬리브(330)의 외부로 노출될 수 있으며, 타측은 슬리브(330)의 내부에 위치하여, 시술자가 외부에 노출된 트리거(370)를 작동시켜, 클립 수용부(360)에 수용된 혈관 클립(100)은 가압로드(361)의 이동에 의해 밀려 이동하며, 집게부(310)로 이동시킬 수 있다. 이에 더하여, 상기 혈관 클립(100)은 트리거(370)의 조작에 의해서만 배출되도록, 평상시 이동을 방지하기 위한 걸림턱(미도시)이 형성될 수 있으며, 상기 걸림턱은 슬리브(330)의 배출부 근방에 형성될 수 있다. In particular, one side of the trigger 370 may be exposed to the outside of the sleeve 330, the other side is located inside the sleeve 330, the operator operates the trigger 370 exposed to the outside, the clip The blood vessel clip 100 accommodated in the accommodation unit 360 is pushed and moved by the movement of the pressure rod 361, and may be moved to the forceps unit 310. In addition, a locking jaw (not shown) may be formed to prevent normal movement so that the blood vessel clip 100 is discharged only by manipulation of the trigger 370, and the locking jaw is an outlet of the sleeve 330. It can be formed in the vicinity.
다음으로, 도 8 내지 도 10을 참조하면, 본 발명의 조작부(320)는 조절 손잡이(340)와 작동유닛(341) 및 집게 작동부를 포함할 수 있다.Next, referring to FIGS. 8 to 10, the operation unit 320 of the present invention may include an adjustment knob 340, an operation unit 341, and a forceps operation unit.
보다 구체적으로, 상기 조절 손잡이(340)는 슬리브(330)의 타측과 연결되어 상기 작동유닛(341)은 상기 조절 손잡이(340)에 회동가능하게 결합된다. 또한, 상기 집게 작동부는 슬리브(330) 중공으로 삽입결합되어, 일측은 상기 집게부(310)와 결합되고, 타측은 상기 작동유닛(341)과 결합되어, 상기 작동유닛(341)의 작동을 전달받아, 상기 집게부(310)를 움직일 수 있도록 한다. 즉, 집게작동부(350)는 조절 손잡이(340)와 결합되어있는 작동유닛(341)과 연동하여 가동집게(311)를 움직여, 외과용 혈관 클립(100)의 지혈 및 클리핑 동작을 구동하는 역할을 한다. 특히, 도 10을 참조하면, 상기 집게작동부(350)는 가동집게(311)와 힌지결합되어 상기 작동유닛(341)의 작동에 의해서, 가동집게(311)를 움직일 수 있게한다.More specifically, the adjustment handle 340 is connected to the other side of the sleeve 330 so that the operating unit 341 is rotatably coupled to the adjustment handle 340. In addition, the forceps operating portion is inserted into the sleeve 330 hollow, one side is coupled to the forceps 310, the other side is coupled to the operation unit 341, to transfer the operation of the operation unit 341 Receiving, to move the tongs 310. That is, the forceps operating unit 350 moves the movable forceps 311 in conjunction with the operation unit 341 coupled with the adjustment knob 340 to drive the hemostatic and clipping operations of the surgical vessel clip 100. Do it. In particular, referring to FIG. 10, the forceps operating unit 350 is hinged to the movable forceps 311 to move the movable forceps 311 by the operation of the operation unit 341.
이하, 도 8 내지 도 10에 도시된 혈관 클립 어플라이어(300)의 작동과정을 설명하도록 한다.Hereinafter, the operation of the blood vessel clip applier 300 shown in FIGS. 8 to 10 will be described.
먼저, 시술자는 복수개의 혈관 클립(100)을 클립 수용부(360)에 장전시킨후, 혈관 클립(100)이 장전된 클립 수용부(360)를 슬리브(330)의 내부에 삽입하도록 한다.First, the operator loads the plurality of blood vessel clips 100 into the clip receiving portion 360, and then inserts the clip receiving portion 360 loaded with the blood vessel clips 100 into the sleeve 330.
그 후, 앞에 전술한 바와 같이, 시술자는 혈관(10)의 절단시 출혈을 방지하기 위하여 혈관(10) 절단 전에 절단하고자 하는 혈관(10)의 양측에 위치를 선정한 후 양측 중 한측에 집게부(310)를 위치시키고, 트리거(370)를 작동시킨 후 작동유닛(341)을 작동시킨다. 나머지 한 부분도 동일하게 진행한다. Thereafter, as described above, the operator selects a position on both sides of the blood vessel 10 to be cut before the blood vessel 10 is cut in order to prevent bleeding during the cutting of the blood vessel 10, and then the forceps part on one side of both sides ( 310 is positioned, the trigger 370 is operated and then the operating unit 341 is operated. Do the same for the other part.
특히, 트리거(370)를 작동시키면, 상기 트리거(370)가 슬리브(330) 내의 가압로드(361)에 구동력을 전달하고, 상기 가압로드(361)는 복수개로 장전된 클립이 집게부(310)로 움직일 수 있도록 한다. 이때, 집게부(310)의 가이드홈(330)으로 혈관 클립(100)이 이동하게 된다. 그 후에 시술자는 작동유닛(341)을 작동시키면, 상기 작동유닛(341)과 결합된 집게작동부(350)가 슬리브(330)의 타측으로 이동하게 되고, 상기 집게작동부(350)와 힌지결합된 가동집게(311)가 움직이게 되어, 집게부(310)에 위치한 혈관 클립(100)을 결찰하여 지혈시키게 된다.In particular, when the trigger 370 is operated, the trigger 370 transmits a driving force to the pressure rod 361 in the sleeve 330, and the pressure rod 361 has a plurality of clips loaded with a clip portion 310. To make it move. At this time, the blood vessel clip 100 moves to the guide groove 330 of the forceps 310. After that, when the operator operates the operation unit 341, the forceps operating unit 350 coupled to the operation unit 341 is moved to the other side of the sleeve 330, and the forceps operating unit 350 and the hinge coupling The movable forceps 311 are moved to ligation the blood vessel clip 100 located in the forceps 310.
그리고, 두 개의 혈관 클립(100) 사이의 혈관(10)을 절단한다. 본 실시예에 따른 혈관 클립 어플라이어(300)는 도 1 내지 도 4에 도시된 외과용 혈관 클립(100)이 장착될 수 있음은 전술한 바와 같다.Then, the blood vessel 10 between the two blood vessel clips 100 is cut. As described above, the blood vessel clip applier 300 according to the present embodiment may be mounted with the surgical vessel clip 100 illustrated in FIGS. 1 to 4.
이로써, 본 발명에 따른 혈관 클립 어플라이어(200, 300)를 이용하여, 조작부(220, 320)의 단순한 조작에 의해서 집게부(210, 310)에 수용되는 혈관 클립(100)을 정확한 출혈 위치에 클리핑하여 혈관(10)의 출혈 부위를 용이하게 지혈할 수 있다.Thus, by using the blood vessel clip appliers 200 and 300 according to the present invention, the blood vessel clip 100 accommodated in the tongs 210 and 310 by a simple manipulation of the manipulation units 220 and 320 is placed at an accurate bleeding position. Clipping can easily bleed the bleeding portion of the blood vessel 10.
이상에서 설명한 바와 같이, 본 발명이 속하는 기술분야의 당업자는 본 발명이 그 기술적 사상이나 필수적 특징을 변경하지 않고서 다른 구체적인 형태로 실시될 수 있다는 것을 이해할 수 있을 것이다. 그러므로 이상에서 기술한 실시예는 모두 예시적인 것이며, 한정적인 것이 아닌 것으로서 이해해야만 한다. 본 발명의 범위는 상기 상세한 설명보다는 후술하는 특허청구범위의 의미 및 범위 그리고 그 등가개념으로부터 도출되는 모두 변경 또는 변형된 형태가 본 발명의 범위에 포함되는 것으로 해석되어야 한다.As described above, those skilled in the art will understand that the present invention can be implemented in other specific forms without changing the technical spirit or essential features. Therefore, all the above-described embodiments are to be understood as illustrative and not restrictive. The scope of the present invention should be construed as being included in the scope of the present invention all changes or modifications derived from the meaning and scope of the claims to be described later rather than the detailed description and equivalent concepts thereof.
[부호의 설명][Description of the code]
10: 혈관10: blood vessel
100: 혈관 클립100: blood vessel clip
110: 레그부재110: leg member
111: 제1레그 112: 제2레그111: first leg 112: second leg
120: 핀부재120: pin member
121: 제1핀부재 122: 제2핀부재121: first pin member 122: second pin member
130: 지혈부재130: hemostatic member
200: 혈관 클립 어플라이어200: blood vessel clip applier
210: 집게부210: tongs
211: 제1집게부재 212: 제2집게부재211: first tong member 212: second tong member
220: 조작부220: control panel
221: 제1조작부재 222: 제2조작부재221: first operating member 222: second operating member
230: 가이드홈 240: 힌지230: guide groove 240: hinge
250: 손가락 삽입부250: finger insertion
300: 혈관 클립 어플라이어300: blood vessel clip applier
310: 집게부310: tongs
311: 가동집게 312: 고정집게311: movable clamp 312: clamping clamp
320: 조작부 330: 슬리브320: operation unit 330: sleeve
340: 조절 손잡이 341: 작동유닛340: adjustment knob 341: operating unit
350: 집게작동부350: forceps operating part
360: 클립 수용부 361: 가압로드360: clip receiving portion 361: pressure rod
370: 트리거 380: 가이드홈370: trigger 380: guide groove

Claims (13)

  1. 서로 연결되는 제1레그 및 제2레그를 포함하는 레그부재;A leg member including a first leg and a second leg connected to each other;
    상기 제1레그의 내면으로부터 돌출되도록 형성된 적어도 하나의 제1핀부재;At least one first pin member formed to protrude from an inner surface of the first leg;
    상기 제2레그의 내면으로부터 돌출되도록 형성된 적어도 하나의 제2핀부재; 및At least one second pin member protruded from an inner surface of the second leg; And
    상기 제1레그 및 제2레그의 내면을 감싸도록 위치한 지혈부재; 를 포함하는 외과용 혈관 클립.A hemostatic member positioned to surround the inner surfaces of the first leg and the second leg; Surgical vessel clip comprising a.
  2. 제1항에 있어서,The method of claim 1,
    상기 제1핀부재 및 제2핀부재는 상기 제1레그 및 제2레그가 압착하였을 때 서로 엇갈리는 위치에 형성된 것을 특징으로 하는 외과용 혈관 클립.The first pin member and the second pin member is a surgical vessel clip, characterized in that formed in the position to cross each other when the first leg and the second leg is compressed.
  3. 제1항에 있어서,The method of claim 1,
    상기 제1핀부재 및 제2핀부재는 서로 엇갈리는 위치에 형성되어, 상기 제1레그 및 제2레그가 압착되었을때 반대측 레그의 내면에 맞대어지는 것을 특징으로 하는 외과용 혈관 클립.The first pin member and the second pin member is formed in a staggered position, the surgical vessel clip, characterized in that against the inner surface of the opposite leg when the first leg and the second leg is compressed.
  4. 제1항에 있어서,The method of claim 1,
    상기 지혈부재는 다공성 및/또는 흡습성의 합성섬유로 형성되어, 혈관에 적용시 상기 혈관의 밀림을 방지하여 지혈하는 것을 특징으로 하는 외과용 혈관 클립.The hemostatic member is formed of a porous fiber and / or hygroscopic synthetic fibers, when applied to the blood vessels, the surgical blood vessel clip, characterized in that to prevent the blood vessels from bleeding.
  5. 제4항에 있어서The method of claim 4
    상기 지혈부재는The hemostatic member is
    지혈물질이 함침되어 있는 것을 특징으로 하는 외과용 혈관 클립.Surgical blood vessel clip, characterized in that the hemostatic material is impregnated.
  6. 제5항에 있어서,The method of claim 5,
    상기 지혈물질은 피브린 글루(fibrin glue), 염화칼슘제, 트롬빈, 비타민C, 비타민 K, 콜라겐, 젤라틴 및 미세젤폼 (gelfoam)으로 이루어진 군으로부터 선택되는 적어도 하나인 것을 특징으로 하는 외과용 혈관 클립.The hemostatic material is a surgical vessel clip, characterized in that at least one selected from the group consisting of fibrin glue (calcium chloride), thrombin, vitamin C, vitamin K, collagen, gelatin and gelfoam (gelfoam).
  7. 제1항 내지 제6항 중 어느 한 항에 따른 혈관 클립이 수용되는 집게부; 및A forceps unit for receiving a blood vessel clip according to any one of claims 1 to 6; And
    상기 혈관 클립이 신체 조직으로 인가되도록 상기 집게부에 구동력을 제공하는 조작부; 를 포함하는 혈관 클립 어플라이어.An operation unit for providing a driving force to the forceps so that the blood vessel clip is applied to body tissue; Blood vessel clip applicator comprising.
  8. 제7항에 있어서,The method of claim 7, wherein
    상기 집게부는 힌지핀을 중심으로 서로 교차 결합되는 제1집게부재 및 제2집게부재로 구성되며,The tongs portion is composed of a first tong member and a second tong member which are cross-coupled with each other around the hinge pin,
    상기 조작부는 상기 제1집게부재 및 제2집게부재로부터 각각 길이방향으로 연장되어 시술자가 파지하기 위한 제1조작부재 및 제2조작부재로 구성되는 것을 특징으로 하는 혈관 클립 어플라이어.And the operation part extends in the longitudinal direction from the first and second tongs members, respectively, and includes a first and second manipulating members for gripping by the operator.
  9. 제8항에 있어서,The method of claim 8,
    상기 제1조작부재 및 제2조작부재 사이에서 탄성 복원시키는 탄성수단을 포함하는 혈관 클립 어플라이어.A blood vessel clip applier comprising elastic means for elastically restoring between the first manipulation member and the second manipulation member.
  10. 제8항에 있어서,The method of claim 8,
    상기 제1집게부재 및 제2집게부재는 서로 대향되는 전면에 상기 혈관 클립을 수용할 수 있는 가이드홈이 형성되는 것을 특징으로 하는 혈관 클립 어플라이어.The first clip member and the second clip member is a blood vessel clip applier, characterized in that a guide groove for receiving the vessel clip is formed on the front surface facing each other.
  11. 제7항에 있어서,The method of claim 7, wherein
    상기 집게부는The tongs part
    힌지핀을 중심으로 서로 교차 결합되는 고정집게 및 가동집게로 구성되며, It consists of fixed and movable tongs that are cross-coupled with each other around the hinge pins.
    상기 조작부는 일측이 상기 집게부와 연결되며, 길이방향으로 확장된 중공의 슬리브;The operation part is one side is connected to the tong portion, the hollow sleeve extending in the longitudinal direction;
    상기 슬리브의 타측과 연결되는 조절 손잡이;An adjustment knob connected to the other side of the sleeve;
    상기 조절 손잡이에 회동가능하게 결합되는 작동유닛; 및An operation unit rotatably coupled to the adjustment handle; And
    상기 슬리브 중공으로 삽입결합되어, 일측은 상기 집게부와 결합되고 타측은 상기 작동유닛과 결합되며, 상기 작동유닛의 작동을 전달받아 상기 가동집게를 움직일 수 있게 하는 집게작동부;를 포함하는 혈관 클립 어플라이어.The clamp is inserted into the sleeve hollow, one side is coupled to the forceps and the other side is coupled to the operation unit, a forceps operation unit for receiving the operation of the operation unit to move the movable forceps; vascular clip including Applier.
  12. 제11항에 있어서,The method of claim 11,
    상기 조작부는The operation unit
    상기 슬리브의 내부에 구비되어, 복수개의 상기 혈관 클립을 수용하는 클립 수용부;A clip receiving portion provided inside the sleeve to accommodate a plurality of the blood vessel clips;
    상기 슬리브의 내부에 구비되어 중공을 따라 병진운동하여, 상기 혈관 클립을 상기 집게부로 이동시키는 가압로드; 및A pressure rod provided inside the sleeve to translate along the hollow to move the blood vessel clip to the forceps; And
    상기 가압로드에 연결설치되어 가압로드가 병진운동하도록 구동력을 제공하는 트리거를 포함하는 혈관 클립 어플라이어.And a trigger connected to the pressure rod and including a trigger to provide a driving force to translate the pressure rod.
  13. 제11항에 있어서,The method of claim 11,
    상기 고정집게 및 가동집게는 서로 대향되는 전면에는 상기 혈관 클립을 수용할 수 있는 가이드홈이 형성되는 것을 특징으로 하는 혈관 클립 어플라이어.The clamp clip and the movable clip is a blood vessel clip applier, characterized in that a guide groove for receiving the vessel clip is formed on the front surface facing each other.
PCT/KR2015/001074 2014-03-26 2015-02-02 Surgical vascular clip and vascular clip applier using same WO2015147440A1 (en)

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KR20140035233 2014-03-26
KR10-2014-0035233 2014-03-26
KR1020150016138A KR20150112760A (en) 2014-03-26 2015-02-02 Surgical clip and clip applier using the same
KR10-2015-0016138 2015-02-02

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2021018687A1 (en) 2019-07-31 2021-02-04 Aesculap Ag Open-pore surgical vessel clip for closing blood vessels

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Publication number Priority date Publication date Assignee Title
US3631707A (en) * 1969-06-13 1972-01-04 Weck & Co Inc Edward Hemostatic clip applicator
JPH069570B2 (en) * 1985-08-08 1994-02-09 オリンパス光学工業株式会社 Fallopian tube ligature
KR20100033850A (en) * 2008-09-22 2010-03-31 부산대학교 산학협력단 Surgical hemostatic clips
WO2012130590A1 (en) * 2011-03-31 2012-10-04 Aesculap Ag Surgical clip applicator

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3631707A (en) * 1969-06-13 1972-01-04 Weck & Co Inc Edward Hemostatic clip applicator
JPH069570B2 (en) * 1985-08-08 1994-02-09 オリンパス光学工業株式会社 Fallopian tube ligature
KR20100033850A (en) * 2008-09-22 2010-03-31 부산대학교 산학협력단 Surgical hemostatic clips
WO2012130590A1 (en) * 2011-03-31 2012-10-04 Aesculap Ag Surgical clip applicator

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2021018687A1 (en) 2019-07-31 2021-02-04 Aesculap Ag Open-pore surgical vessel clip for closing blood vessels
DE102019120640A1 (en) * 2019-07-31 2021-02-04 Aesculap Ag Open-pored surgical vascular clip for closing blood vessels

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