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Clamp capable of being opened, closed and locked through guide block and intestinal canal implanting instrument

A technology of guide blocks and clamps, which is applied in the field of medical equipment, can solve the problems of unfavorable patient recovery, short intestinal indwelling time, and detachment, and achieve good structure maintenance, low structural complexity, and improved controllability.

Pending Publication Date: 2022-04-22
THE FIRST AFFILIATED HOSPITAL OF SHANTOU UNIV MEDICAL COLLEGE
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

[0008] Since the locking structures of these two types of clips are exposed, the purpose is to achieve relatively good tissue suturing and hemostasis effects, and to achieve self-detachment after tissue healing; however, when completing endoscopic intestinal tube implantation, Since the TET tube needs to be kept in the intestinal tract for several weeks to several months, and the exposed locking structure of these two types of titanium clips is easily separated by the peristalsis of the intestinal tract or the friction of the feces in the intestinal tract, so the indwelling time in the intestinal tract is relatively short; and In the event that the titanium clip falls off and the TET tube cannot be indwelled, the colonic route of endoscopic intestinal tube implantation again requires the patient to fast again, insert an endoscope, and perform new TET tube implantation and fixation. Bring discomfort to the patient, and is not conducive to the recovery of the patient's condition

Method used

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  • Clamp capable of being opened, closed and locked through guide block and intestinal canal implanting instrument
  • Clamp capable of being opened, closed and locked through guide block and intestinal canal implanting instrument
  • Clamp capable of being opened, closed and locked through guide block and intestinal canal implanting instrument

Examples

Experimental program
Comparison scheme
Effect test

Embodiment 1

[0059] See details Figure 1 to Figure 6 As shown, the embodiment of the present invention provides a clamp that is opened and closed by the guide block 12, including a sleeve 11, a control line 20, an axial protection tube 30, a control mechanism 40, and two clamping legs 13, wherein:

[0060] The distal end 111 of the sleeve is a tapered mouth shrinking toward the axis of the sleeve 11, the middle portion 113 of the sleeve is cylindrical and thin-walled, and the proximal end 114 of the sleeve is in the direction of the axis of the sleeve 11 relative to the middle portion 113 of the sleeve. Shrinking cylindrical thin-wall; two opening and closing grooves 112 are arranged symmetrically across the axis line of the sleeve 11 from the distal end 111 to the middle part 113 of the sleeve, surrounded by the distal end, middle part and proximal end (111, 113, 114) of the sleeve The inner space forms the inner space of the sleeve 11, and the sleeve top hole 115 of the proximal end 114...

Embodiment 2

[0072] Such as Figure 7-9 As shown, on the basis of the solution in Embodiment 1, this embodiment improves the structure of the guide block 12 . Specifically, in this embodiment, the guide block 12 is set in the shape of a rounded rectangular block as a whole, and the two side surfaces of the guide block 12 paired with the two clip legs 13 are arranged on the grooves paired with the two clip legs 13, and as a pair with each The bottom wall 122 of the groove contacted by the guide surface 130 and each engaging surface 133 is an arc surface, and both contact surfaces are located on the same fitting spherical surface.

[0073] Due to the stamping and folding of the clip leg 13, the stability of the clip leg 13 structure is limited by the structural strength of the sheet thin-walled material itself. When the control mechanism 40 applies a traction force greater than the first preset force to the guide block 12 via the control line 20, the guide block 12 is pulled from the guide ...

Embodiment 3

[0077] Such as Figure 10 As shown, in order to further improve the structural stability of the clamp legs, in this embodiment, the structure of the clamp legs in Embodiment 1 is improved to form a clamp one. Specifically, the clamp leg 13' as a whole or the proximal part located in the sleeve 11 is improved to a solid structure, and the length outside the proximal part of the clamp is further extended to the proximal end; at the same time, the groove bottom wall 122 of the guide block 12 is modified to be The curved surface structure is not a spherical structure. Correspondingly, the proximal part of each guide surface 130 and each engaging surface 133 are set in a concave shape matched with the arc surface structure of the bottom wall 122 of the groove. The distal part 132 of each guide surface The configuration is in the shape of a slope tangent to the arc structure of the groove bottom wall 122 .

[0078] Through this setting, the structure of the proximal part of the cla...

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PUM

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Abstract

A clamp capable of being opened, closed and locked through a guide block comprises a sleeve, an axial protection pipe, a control line, a control mechanism and at least two clamping legs, the guide block slides along guide faces in a far-and-near mode to control opening, closing and rotation of the clamping legs, and the operation process has good controllability. The clamping surfaces are used for locking the locking structure formed by the guide blocks, so that the clamp can be firmly fixed on the corrugated and zigzag intestinal wall, and the locking structure is positioned in the sleeve, so that the clamp is not easy to fall off due to intestinal tract movement or friction of excrement; according to the improved intestinal tract implanted tube instrument based on the clamp, direct fixation or pre-fixation of the intestinal tract implanted tube can be achieved by opening, closing and locking the clamp, the difficulty of adjusting an endoscope and the intestinal tract implanted tube when the endoscope is taken out for the first time can be effectively reduced, and the step of fixing a fixing wire ring by applying a titanium clamp through the endoscope can be omitted or reduced.

Description

technical field [0001] The invention relates to a medical device for endoscope application, in particular to a clamp which is opened and closed through a guide block and an intestinal tube planting device with the clamping device. Background technique [0002] Endoscopic titanium clips (referred to as titanium clips) are a type of medical device that achieves suture and hemostasis of tissues, especially the digestive tract. In clinical practice, it is not only used for tissue suture and hemostasis, but also used for internal fixation of medical equipment, such as the current endoscopic intestinal tube implantation (Transendoscopic Enteral Tubing, TET), using endoscope-guided titanium clips, through titanium Clamping and fixing the fixed wire ring and tissue of the TET tube, and realizing the whole colon drug delivery through intestinal tube implantation, colonic fecal bacteria transplantation and other treatments have been widely used and replaced the traditional rectal drug...

Claims

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Application Information

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Patent Type & Authority Applications(China)
IPC IPC(8): A61B17/122A61B17/128
CPCA61B17/122A61B17/1285
Inventor 王仕莲蔡妙娜郑文玲
Owner THE FIRST AFFILIATED HOSPITAL OF SHANTOU UNIV MEDICAL COLLEGE
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