Kidney surgery clamp
By designing a renal surgical clamp with multiple hemostasis clip installation groove and shear mechanism, the problem of multiple clamping operations in the prior art is solved, and the single-time clamping and shearing of multiple hemostasis clips is achieved, reducing the workload of doctors and the risk of infection in patients.
Patent Information
- Application Number
- CN202411707548.X
- Authority / Receiving Office
- CN · China
- Patent Type
- Patents(China)
- Current Assignee / Owner
- Filing Date
- 2024-11-27
- Publication Date
- 2025-05-13
- Estimated Expiration
- 2044-11-27
AI Technical Summary
In the prior art, multiple clamping operations are required during renal surgery, and the clamping operations of multiple hemostasis clamps cannot be completed at one time, which increases the workload of doctors and the risk of infection of patients.
A renal surgical clamp is designed, using a multi-hemostatic clamp installation groove and shear mechanism. By closing and opening the clamping head, the single-time clamping and cutting of the multi-hemostatic clamp is achieved, reducing the number of times the doctor operates.
The reduction of multiple clamping work to one clamping work has been achieved, reducing the workload of doctors and the exposure time of patients, reducing the risk of infection, and preventing body fluids from oozing through drainage mechanisms.
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Figure CN119184782B_ABST
Abstract
Description
Technical Field
[0001] The present invention relates to the technical field of medical instruments, and in particular to a kidney surgery clamp. Background Art
[0002] The kidney is one of the important organs in the human body, with the physiological functions of excreting metabolic products and regulating water and electrolyte balance. In kidney surgery, especially nephrectomy, it is usually necessary to use a clamp to clamp the blood vessels and ureters connected to the kidney to assist in the fixation of the kidney and the surgical operation of the blood vessels and ureters. However, the existing clamp usually extends the hemostatic clamp into the patient's body through the surgical incision, and squeezes the clamp to close the hemostatic clamp on the blood vessel. In this way, the clamp needs to be repeatedly taken out and put in for multiple uses of the hemostatic clamp, which increases the workload of the doctor and the risk of infection for the patient.
[0003] In the prior art, multiple hemostatic clips are pre-stored and delivered to the end of the clamp through a push-pull structure, thereby forming a continuous hemostatic clip clamping operation. In this method, multiple clamping operations are still required, and the clamping operations of multiple hemostatic clips cannot be completed at one time, which is not conducive to reducing the workload of doctors and increases the risk of infection caused by exposure in the patient's body. An auxiliary driving mechanism is used to move the sleeve toward the distal side to partially close the jaw assembly, thereby completing the effect of delivering the hemostatic clip. In this method, when the hemostatic clip is delivered into the incision by the clamp, there is a lack of fixation of the hemostatic clip, and when the clamp works to close the hemostatic clip, there is a lack of ejection of the hemostatic clip, which makes it easy for the hemostatic clip to fall off when it is delivered to the patient's incision and is not easy to detach from the clamp when clamping the blood vessel, thereby affecting the progress and effect of the operation. Summary of the invention
[0004] The purpose of the present invention is to solve the problem that in the prior art, multiple clamping operations are still required, and the clamping operations of multiple hemostatic clips cannot be completed at one time, which is not conducive to reducing the workload of doctors and increases the risk of infection in patients exposed to the body. A kidney surgery clamp is proposed.
[0005] In order to achieve the above-mentioned object, the present invention adopts the following technical scheme: a renal surgery clamp, comprising an application clamp, wherein the output end of the application clamp is connected to an upper clamping block and a lower clamping block, and the application clamp is used to control the closing and separation of one end of the upper clamping block and the lower clamping block, and further comprising:
[0006] Hemostatic clip installation slots, the upper clamping block and the lower clamping block are each provided with three hemostatic clip installation slots on opposite sides, and the three hemostatic clip installation slots are in one-to-one correspondence, and the two corresponding hemostatic clip installation slots are clamped with the same hemostatic clip;
[0007] A hemostatic clip disassembly and assembly mechanism, wherein each of the six hemostatic clip disassembly and assembly mechanisms comprises two first connecting rod assemblies hinged to each other, the input ends of the twelve first connecting rod assemblies correspond to the two sides of the six hemostatic clip installation slots one by one and are hinged to each other, the output ends of the first connecting rod assemblies are connected to a rotating shaft, the first connecting rod assembly drives the rotating shaft to rotate when the upper clamping block and the lower clamping block are closed and separated, the rotating shaft is connected to a limiting member, one end of the limiting member abuts against the hemostatic clip in an initial state, and the other end pushes the hemostatic clip to disengage the hemostatic clip from the hemostatic clip installation slot after rotation;
[0008] Shear grooves, the upper clamping block and the lower clamping block are provided with mutually corresponding shear grooves on opposite sides, and the shear grooves are located between two adjacent hemostatic clip installation grooves;
[0009] A shearing mechanism, which is connected in the two shearing grooves and shears between the upper clamping block and the lower clamping block when they are closed;
[0010] A drainage mechanism is connected to a shear groove and is used to draw out the liquid in the shear groove by negative pressure.
[0011] In the above-mentioned kidney surgery clamp, the applying forceps include a fixed clamp handle, a clamping clamp handle is rotatably mounted on the fixed clamp handle, a clamp tube is mounted on the output end of the clamping clamp handle, and is connected to an upper clamping block and a lower clamping block through a linkage structure, the upper clamping block and the lower clamping block constitute a clamping head, the clamping head is mounted on one end of the clamp tube away from the clamping clamp handle, a rotating wheel is mounted on the clamp tube, and the rotating wheel is used to adjust the angle of the clamp head.
[0012] In the above-mentioned clamp for kidney surgery, positioning grooves are provided on both side walls of the hemostatic clip installation groove, and the positioning protrusions of the hemostatic clip are snap-fitted with the positioning grooves.
[0013] In the above-mentioned kidney surgery clamp, the first connecting rod assembly includes a push rod, which is T-shaped, and one end of the top of the push rod is hinged to the outer side of the hemostatic clamp installation groove, and the other end of the top is hinged to the corresponding end of the push rod in the first connecting rod assembly, and a small slider is hinged to one end of the bottom, and the two push rods hinged to each other form a push rod structure, and the small slider is slidably connected to a rotating rod, and a sliding groove for the small slider to slide is provided on the rotating rod, and one end of the rotating rod is fixedly connected to the rotating shaft, and the hemostatic clamp is fixedly connected to the rotating shaft. Bosses are fixedly connected to the tops of both side walls of the clip mounting groove, the rotating shaft is rotatably connected to the boss on the same side, the limiting component includes a limiting block and a top block fixedly connected to the bottom of the limiting block, the limiting block is connected to the middle part of the rotating shaft, a through groove for the limiting block and the top block to move is opened on the boss, one end of the limiting block extends into the top of the positioning groove and abuts against the top of the limiting protrusion of the hemostatic clip, and the bottom of the other end is fixedly connected to the top block, and the top block rotates to extend into the positioning groove and push out the limiting protrusion of the hemostatic clip when the upper clamping block and the lower clamping block are closed.
[0014] In the above-mentioned kidney surgery clamp, the middle part of the rotating shaft is milled into a square shaft, a direction groove is opened in the middle of the limit block, the square shaft and the square groove are slidably matched, a spring is fixedly connected between the square shaft and the inner wall of the square groove, and the limit block extends into the upper end of the positioning groove and is wedge-shaped, and the wedge-shaped inclined surface faces away from the positioning groove.
[0015] In the above-mentioned kidney surgery clamp, the shearing mechanism includes two blade assemblies, and the two blade assemblies correspond one-to-one to two shearing grooves. The blade assembly includes a knife body, a blade is fixedly connected to the top of the knife body, and multiple clamping blocks are fixedly connected to the bottom. Multiple clamping slots are connected in the shearing groove, and multiple clamping blocks correspond one-to-one and are snap-fitted with the multiple clamping slots. Multiple positioning holes are opened on the knife body, and a knife holder and multiple positioning protrusions are fixedly connected in the shearing groove. The multiple positioning holes correspond one-to-one with the multiple positioning protrusions for sliding and limiting cooperation. The knife body is abutted against the knife holder on one side away from the positioning protrusion, and the two blades shear between the upper clamping block and the lower clamping block when the two are closed.
[0016] In the above-mentioned kidney surgery clamp, the drainage mechanism includes a drainage tube, the bottom of the shear groove located on the lower clamping block is connected to a drainage port, the lower end of the drainage port is connected to a connector, one end of the drainage tube is connected to an end of the connector away from the shear groove, and the other end is connected to an input end of an external negative pressure bottle, and a valve is installed.
[0017] In the above-mentioned kidney surgery clamp, the drainage mechanism also includes a second connecting rod assembly, which includes connecting rod 1, one end of which is hinged in the shear groove of the upper clamping block, and the other end is hinged with connecting rod 2, and a support block is fixedly connected to the bottom of the shear groove on the lower clamping block, the middle part of connecting rod 2 is hinged to the top of the support block, and a sealing plug is hinged away from one end of connecting rod 1, and the sealing plug is elastic and sealingly clamped in the drainage port.
[0018] In the above-mentioned kidney surgery clamp, the drainage port, connector, second connecting assembly and seal are each provided with two, and are symmetrically spaced on both sides of the shearing mechanism. The end of the drainage tube is connected to a Y-type connecting tube and is connected to the two connector ends through the Y-type connecting tube.
[0019] In the above-mentioned clamp for kidney surgery, the two hemostatic clips located on one side of the shearing mechanism are close to the spine, and the one hemostatic clip located on the other side of the shearing mechanism is close to the kidney.
[0020] Compared with the prior art, the advantages of the present invention are:
[0021] 1. The present invention reduces multiple clamping operations to one clamping operation by providing a clamping head and a shearing mechanism with multiple hemostatic clip installation slots, and performs shearing operations simultaneously during clamping, thereby reducing the workload of doctors and saving time, reducing the exposure time in the patient's body, alleviating the burden on doctors and reducing the risk of infection for patients.
[0022] 2. The present invention provides a drainage mechanism. When the clamping head is closed, the drainage tube is connected to the shear groove through the second connecting rod assembly. The body fluid generated during the shearing operation is drained out through the drainage tube to prevent the body fluid from leaking, thereby reducing the doctor's cleaning work and preventing the leaked body fluid from infecting other tissues of the patient and obstructing the doctor's vision.
[0023] 3. The present invention provides a hemostatic clip disassembly and assembly mechanism. When the clamping head is opened, the hemostatic clip disassembly and assembly mechanism drives the limit block to rotate so that the limit block forms a squeezing and fixing effect on the hemostatic clip, ensuring that the hemostatic clip will not fall off before clamping. The doctor does not need to control the strength of holding the clamp and reduces the need to reinstall the hemostatic clip during surgery, thus saving time and reducing the difficulty of the doctor's operation, and preventing the hemostatic clip from falling off and falling into the patient's body. When the clamping head is closed to complete the clamping of the hemostatic clip, the lifting block is driven to rotate and lift the hemostatic clip, ensuring the smooth detachment of all hemostatic clips, preventing the hemostatic clip from being pulled open by the clamp or damaging the patient's tissue before it is detached, and greatly reducing the occurrence of medical accidents. BRIEF DESCRIPTION OF THE DRAWINGS
[0024] Figure 1 This is a working schematic diagram of a kidney surgery clamp proposed by the present invention;
[0025] Figure 2An axial side view of a clamping head in a clamping device for kidney surgery proposed by the present invention;
[0026] Figure 3 This is a bottom-up axonometric view of a clamping head in a clamping device for kidney surgery proposed by the present invention;
[0027] Figure 4 The local axial side of the clamping head in the clamping device for kidney surgery proposed by the present invention Figure 1 ;
[0028] Figure 5 The local axial side of the clamping head in the clamping device for kidney surgery proposed by the present invention Figure 2 ;
[0029] Figure 6 An axonometric view of a clamping head after a blade is removed from a clamping device for kidney surgery proposed by the present invention;
[0030] Figure 7 This is a partial axonometric view of the vicinity of the hemostatic clip installation slot in the kidney surgery clamp proposed by the present invention;
[0031] Figure 8 A kidney surgery clamp proposed by the present invention Figure 7 A local enlarged view of X;
[0032] Fig. 9 An axonometric view of a blade in a renal surgery clamp proposed by the present invention.
[0033] In the figure: 1. fixed clamp handle; 2. clamp handle; 3. clamp tube; 4. rotating wheel; 5. clamp head; 6. drainage tube; 51. upper clamp block; 52. lower clamp block; 53. shear groove; 54. hemostatic clip installation groove; 55. push rod structure; 56. positioning groove; 57. connecting rod one; 58. sealing; 59. knife holder; 510. joint; 511. blade; 512. connecting rod two; 513. drainage port; 514. clamping groove; 515. rotating rod; 516. limit block; 517. boss; 518. rotating shaft; 519. spring; 551. push rod; 591. positioning convex block; 5111. knife body; 5112. positioning hole; 5113. clamping block; 5161. top block; 61. Y-type pipe. DETAILED DESCRIPTION
[0034] The following examples are for illustrative purposes only and are not intended to limit the scope of the present invention.
[0035] Reference Figure 1 A renal surgery clamp includes an application clamp, an upper clamping block 51 and a lower clamping block 52 are connected to the output end of the application clamp, and the application clamp is used to control the closing and separation of one end of the upper clamping block 51 and the lower clamping block 52, and also includes:
[0036] The applying pliers include a fixed pliers handle 1, on which a clamping pliers handle 2 is rotatably mounted, a pliers tube 3 is mounted at the output end of the clamping pliers handle 2, and is connected to an upper clamping block 51 and a lower clamping block 52 through a linkage structure, the upper clamping block 51 and the lower clamping block 52 form a clamping head 5, and the clamping head 5 is mounted at one end of the pliers tube 3 away from the clamping pliers handle 2, and a rotating wheel 4 is mounted on the pliers tube 3, and the rotating wheel 4 is used to adjust the angle of the clamping head 5.
[0037] The clamp applicator and the linkage structure within the clamp applicator adopt the hemostatic clip applicator commonly used in the prior art. The clamp handle 2 is squeezed and pressed to bring the clamp handle 2 close to the fixed clamp handle 1, and the upper clamp block 51 and the lower clamp block 52 are closed through the linkage structure. The clamp handle 2 is released to move the clamp handle 2 away from the fixed clamp handle 1, and the upper clamp block 51 and the lower clamp block 52 are opened through the linkage structure to complete the clamping action.
[0038] Reference Figure 2 , a hemostatic clip installation groove 54, three hemostatic clip installation grooves 54 are opened on the opposite side of the upper clamping block 51 and the lower clamping block 52, and they correspond to each other, and the two corresponding hemostatic clip installation grooves 54 are clamped with the same hemostatic clip.
[0039] Positioning grooves 56 are formed on both side walls of the hemostatic clip installation groove 54 , and the positioning protrusions of the hemostatic clip are snap-fitted into the positioning grooves 56 .
[0040] Reference Figure 6-Figure 8 , hemostatic clip disassembly and assembly mechanism, the six hemostatic clip disassembly and assembly mechanisms all include two first connecting rod assemblies hinged to each other, the input ends of the twelve first connecting rod assemblies correspond one to one to the two sides of the six hemostatic clip mounting grooves 54, and are hinged to each other, the output end of the first connecting rod assembly is connected with a rotating shaft 518, the first connecting rod assembly drives the rotating shaft 518 to rotate when the upper clamping block 51 and the lower clamping block 52 are closed and separated, and a limiting member is connected to the rotating shaft 518, and one end of the limiting member is against the hemostatic clip in the initial state, and the other end pushes the hemostatic clip after rotation to make the hemostatic clip detach from the hemostatic clip mounting groove 54.
[0041] The first connecting rod assembly includes a push rod 551, which is T-shaped. One end of the top of the push rod 551 is hinged to the outer side of the hemostatic clip installation groove 54, and the other end of the top is hinged to the end of the push rod 551 in the corresponding first connecting rod assembly, and a small slider is hinged at one end of the bottom. The two mutually hinged push rods 551 form a push rod structure 55, and the small slider is slidably connected to a rotating rod 515. A sliding groove for the small slider to slide is provided on the rotating rod 515. One end of the rotating rod 515 is fixedly connected to the rotating shaft 518, and the tops of the two side walls of the hemostatic clip installation groove 54 are fixedly connected to bosses 517 The rotating shaft 518 is rotatably connected to the boss 517 on the same side, and the limiting member includes a limiting block 516 and a top block 5161 fixedly connected to the bottom of the limiting block 516. The limiting block 516 is connected to the middle part of the rotating shaft 518, and the boss 517 is provided with a through groove for the limiting block 516 and the top block 5161 to move. One end of the limiting block 516 extends into the top of the positioning groove 56 and abuts against the top of the limiting protrusion of the hemostatic clip, and the bottom of the other end is fixedly connected to the top block 5161. When the upper clamping block 51 and the lower clamping block 52 are closed, the top block 5161 rotates to extend into the positioning groove 56 and pushes out the limiting protrusion of the hemostatic clip.
[0042] The middle part of the rotating shaft 518 is milled into a square shaft, and a direction groove is opened in the middle of the limit block 516. The square shaft and the square groove are slidably matched. A spring 519 is fixedly connected between the square shaft and the inner wall of the square groove. The limit block 516 extends into the upper end of the positioning groove 56 and is wedge-shaped, and the wedge-shaped inclined surface faces away from the positioning groove 56.
[0043] Reference Figure 2-Figure 4 and Fig. 9 , shear groove 53, the upper clamping block 51 and the lower clamping block 52 are provided with corresponding shear grooves 53 on opposite sides, and the shear groove 53 is located between two adjacent hemostatic clip installation grooves 54.
[0044] The shearing mechanism is connected in the two shearing grooves 53 and performs shearing between the upper clamping block 51 and the lower clamping block 52 when they are closed.
[0045] The shearing mechanism includes two blade assemblies, which correspond to the two shearing grooves 53 one by one. The blade assembly includes a knife body 5111, a blade 511 is fixedly connected to the top of the knife body 5111, and multiple clamping blocks 5113 are fixedly connected to the bottom. Multiple clamping grooves 514 are connected in the shearing groove 53, and the multiple clamping blocks 5113 correspond to the multiple clamping grooves 514 one by one and are snap-fitted. A plurality of positioning holes 5112 are opened on the knife body 5111, and a knife holder 59 and a plurality of positioning protrusions 591 are fixedly connected in the shearing groove 53. The plurality of positioning holes 5112 correspond to the plurality of positioning protrusions 591 one by one for sliding and limiting cooperation. The side of the knife body 5111 away from the positioning protrusion 591 rests on the knife holder 59, and the two blades 511 shear between the upper clamping block 51 and the lower clamping block 52 when they are closed.
[0046] Reference Figure 3 - Figure 6, drainage mechanism, the drainage mechanism is connected to a shear groove 53 and is used to draw out the liquid in the shear groove 53 under negative pressure.
[0047] The drainage mechanism includes a drainage tube 6, and the bottom of the shear groove 53 on the lower clamping block 52 is connected to a drainage port 513, and the lower end of the drainage port 513 is connected to a connector 510. One end of the drainage tube 6 is connected to the end of the connector 510 away from the shear groove 53, and the other end is connected to the input end of the external negative pressure bottle, and a valve is installed.
[0048] The drainage mechanism also includes a second connecting rod assembly, which includes a connecting rod 1 57. One end of the connecting rod 1 57 is hinged in the shear groove 53 of the upper clamping block 51, and the other end is hinged with a connecting rod 2 512. A support block is fixedly connected to the bottom of the shear groove 53 on the lower clamping block 52. The middle part of the connecting rod 2 512 is hinged to the top of the support block, and a sealing plug 58 is hinged at the end away from the connecting rod 1 57. The sealing plug 58 is elastic and is sealed and clamped in the drainage port 513.
[0049] There are two drainage ports 513 , connectors 510 , second connection components and seals 58 , which are symmetrically spaced on both sides of the shear mechanism. The end of the drainage tube 6 is connected to a Y-type connecting pipe 61 , and is connected to the ends of the two connectors 510 through the Y-type connecting pipe 61 .
[0050] Two hemostatic clips located on one side of the shearing mechanism are close to the spine, and one hemostatic clip located on the other side of the shearing mechanism is close to the kidney, so as to conveniently clamp the blood vessels or ureters at the corresponding positions.
[0051] The present invention is applied to the clamping of blood vessels and ureters in open nephrectomy surgery. The attached figure in the text is a schematic diagram of a right kidney clamp, and the clamping head 5 of the left kidney clamp is a mirror image of the clamping head 5 of the right kidney clamp;
[0052] The hemostatic clip is installed in the hemostatic clip installation slot 54. During the operation, the doctor holds the fixed clamp handle 1 of the clamp and drives the clamp head 5 to close by holding the clamp handle 2 to clamp the renal blood vessels. The rotating wheel 4 adjusts the angle of the clamp head 5.
[0053] A joint 510 is provided at the bottom of the lower clamping block 52 to support quick replacement of the pipeline. The joint 510 is connected to the drainage tube 6 through a Y-type pipe 61. The end of the drainage tube 6 is connected to the negative pressure bottle. During the operation, the negative pressure instrument is turned on to generate negative pressure in the negative pressure bottle. The doctor cuts the patient's affected area and finds the kidney and its blood vessels and ureters. The doctor holds the clamp and extends the clamp tube 3 from the incision into the patient's body. The doctor ensures that the opening of the clamp head 5 is facing the blood vessel or ureter and then gently touches the clamp head 5 against the blood vessel or ureter. The doctor holds the clamp handle 2, the clamp head 5 is merged, and the three hemostatic clips installed in the clamp head 5 are clamped on the blood vessel or ureter. The clamp head 5 is provided with three hemostatic clip installation grooves 54 to ensure that the first hemostatic clip is clamped near the kidney and the second and third hemostatic clips are clamped near the spine.
[0054] At the same time, when the clamping heads 5 are combined, the blade 511 in the shearing groove 53 between the first hemostatic clip and the second hemostatic clip shears the blood vessel or ureter;
[0055] When cutting the blood vessel or ureter, the clamping head 5 is closed to make the connecting rod 1 57 press down the connecting rod 2 512, and the connecting rod 2 512 is rotated by the lever principle under the support of the pillar, and the sealing plug 58 at the other end of the connecting rod 2 512 is pulled up, and the body fluid exuded when the blood vessel or ureter is cut is absorbed and drained into the negative pressure bottle under the action of negative pressure;
[0056] When the clamping head 5 is reset, the plug 58 seals the drainage port 513 under the downward pressure of the connecting rod 2 512 to prevent the plug from adsorbing other tissues of the patient and causing damage to the patient. The doctor cuts the blood vessels and ureters in turn, separates the adrenal gland from the kidney, and then removes the kidney.
[0057] The multiple hemostatic clip installation slots 54 of the clamping head 5 are arranged to reduce multiple clamping operations to one clamping operation, and the shearing operation is performed simultaneously during clamping, thereby reducing the workload of doctors and saving time, and reducing the exposure time of patients. The drainage of the drainage tube 6 prevents the leakage of body fluids to reduce the cleaning work of doctors, and prevents the leaked body fluids from infecting other tissues of the patient and obstructing the doctor's sight, thereby reducing the burden on doctors and reducing the risk of infection for patients.
[0058] Before the operation, the hemostatic clip is installed in the clamping head 5 in advance. When the limiting protrusion of the hemostatic clip is inserted into the positioning groove 56, the limiting block 516 is pressed out of the positioning groove 56 along the wedge-shaped inclined surface of the limiting block 516 to overcome the elastic force of the spring 519. After the limiting protrusion of the hemostatic clip is inserted into the positioning groove 56, under the elastic force of the spring 519, the limiting block 516 is reset and extends into the positioning groove 56 to form an extrusion limit on the limiting protrusion, thereby improving the stability of the hemostatic clip when it moves with the clamp.
[0059] When the clamping head 5 is merged, the two mutually hinged push rods 551 rotate and close, and the push rod 551 drives the rotating rod 515 to swing toward the bottom of the positioning groove 56 through the hinged small slider, thereby driving the rotating shaft 518 to rotate, and the rotating shaft 518 drives the limiting block 516 to rotate through the square shaft and the slide groove, and the limiting block 516 rotates and the top block 5161 at the bottom of the limiting block 516 rotates and enters the positioning groove 56, so that the limiting protrusion of the hemostatic clip in the positioning groove 56 is pushed out of the positioning groove 56, thereby releasing the fixation of the hemostatic clip;
[0060] When the clamping head 5 is reset, the two push rods 551 rotate to reset, pull the rotating rod 515 to reset through the small slider, and drive the limit block 516 to reset through the square shaft and the slide groove, so that the top block 5161 leaves the positioning groove 56;
[0061] The lifting of the top block 5161 ensures that all hemostatic clips are smoothly detached, and the setting of the limit block 516 ensures that the hemostatic clips will not fall off before clamping. The doctor does not need to control the strength of holding the clamp and reduces the need to reinstall hemostatic clips during surgery, which saves time and reduces the difficulty of operation for the doctor, and prevents the hemostatic clips from falling off and falling into the patient's body. After the hemostatic clips are clamped, the lifting effect of the top block 5161 ensures that they are detached, preventing the hemostatic clips from being pulled open by the clamp or damaging the patient's tissue before they are detached, thereby greatly reducing the occurrence of medical accidents.
[0062] The above description is only a preferred embodiment of the present invention and is not intended to limit the present invention. Any modifications, equivalent substitutions, improvements, etc. made within the spirit and principle of the present invention should be included in the protection scope of the present invention.
Claims
1. A renal surgery clamp, comprising an application forceps, wherein an output end of the application forceps is connected to an upper clamping block (51) and a lower clamping block (52), and the application forceps is used to control the closing and separation of one end of the upper clamping block (51) and the lower clamping block (52), characterized in that: Also includes: A hemostatic clip installation groove (54), wherein three hemostatic clip installation grooves (54) are respectively provided on opposite sides of the upper clamping block (51) and the lower clamping block (52), and the grooves correspond to each other, and the same hemostatic clip is clamped in two corresponding hemostatic clip installation grooves (54), and positioning grooves (56) are respectively provided on both side walls of the hemostatic clip installation groove (54), and the positioning protrusions of the hemostatic clip are clamped and matched with the positioning grooves (56); A hemostatic clip disassembly and assembly mechanism, wherein the six hemostatic clip disassembly and assembly mechanisms each comprise two first connecting rod assemblies hinged to each other, the input ends of the twelve first connecting rod assemblies correspond one to one to the two sides of the six hemostatic clip installation grooves (54) and are hinged to each other, the output ends of the first connecting rod assemblies are connected to a rotating shaft (518), the first connecting rod assembly drives the rotating shaft (518) to rotate when the upper clamping block (51) and the lower clamping block (52) are closed and separated, the rotating shaft (518) is connected to a limiting member, one end of the limiting member is against the hemostatic clip in an initial state, and the other end pushes the hemostatic clip after rotation so that the hemostatic clip is detached from the hemostatic clip installation The first connecting rod assembly comprises a push rod (551), the push rod (551) is T-shaped, one end of the top of the push rod (551) is hinged to the outer side of the hemostatic clip installation groove (54), and the other end of the top is hinged to the end of the push rod (551) in the corresponding first connecting rod assembly, and one end of the bottom is hinged to a small slider, the two push rods (551) hinged to each other form a push rod structure (55), the small slider is slidably connected to a rotating rod (515), and the rotating rod (515) is provided with a sliding groove for the small slider to slide, and one end of the rotating rod (515) is hinged to the outer side of the hemostatic clip installation groove (54). The hemostatic clip mounting groove (54) is fixedly connected to the top of the two side walls thereof, and the rotating shaft (518) is rotatably connected to the boss (517) on the same side. The limiting member comprises a limiting block (516) and a top block (5161) fixedly connected to the bottom of the limiting block (516). The limiting block (516) is connected to the middle of the rotating shaft (518). A through groove is provided on the boss (517) for the limiting block (516) and the top block (5161) to move. One end of the limiting block (516) extends into the top of the positioning groove (56) and abuts against the hemostatic clip. The top of the limiting protrusion of the clamp, and the bottom of the other end is fixedly connected to the top block (5161), the top block (5161) rotates and extends into the positioning groove (56) and pushes out the limiting protrusion of the hemostatic clamp when the upper clamping block (51) and the lower clamping block (52) are closed, the middle part of the rotating shaft (518) is milled into a square shaft, the middle part of the limiting block (516) is provided with a direction groove, the square shaft is slidably matched with the square groove, a spring (519) is fixedly connected between the square shaft and the inner wall of the square groove, and the upper end of the limiting block (516) extending into the positioning groove (56) is wedge-shaped, and the inclined surface of the wedge faces away from the positioning groove (56); Shear grooves (53), wherein the upper clamping block (51) and the lower clamping block (52) are provided with mutually corresponding shear grooves (53) on opposite sides, and the shear grooves (53) are located between two adjacent hemostatic clip mounting grooves (54); A shearing mechanism, the shearing mechanism being connected in the two shearing grooves (53) and shearing between the upper clamping block (51) and the lower clamping block (52) when the two are closed; A drainage mechanism, the drainage mechanism being in communication with a shear groove (53) and being used for draining liquid in the shear groove (53) by negative pressure.
2. A kidney surgery clamp according to claim 1, characterized in that: The applying pliers include a fixed pliers handle (1), a clamping pliers handle (2) is rotatably mounted on the fixed pliers handle (1), a pliers tube (3) is mounted on the output end of the clamping pliers handle (2), and the pliers tube (3) is connected to an upper clamping block (51) and a lower clamping block (52) via a linkage structure, the upper clamping block (51) and the lower clamping block (52) form a clamping head (5), the clamping head (5) is mounted on the end of the clamping tube (3) away from the clamping pliers handle (2), and a rotating wheel (4) is mounted on the clamping tube (3), and the rotating wheel (4) is used to adjust the angle of the clamping head (5).
3. A kidney surgery clamp according to claim 1, characterized in that: The shearing mechanism comprises two blade assemblies, the two blade assemblies corresponding one to one with the two shearing grooves (53), the blade assembly comprising a blade body (5111), the top of the blade body (5111) being fixedly connected with a blade (511), and the bottom of the blade body (5111) being fixedly connected with a plurality of clamping blocks (5113), the shearing groove (53) being connected with a plurality of clamping slots (514), the plurality of clamping blocks (5113) corresponding one to one with the plurality of clamping slots (514) and being clamped together, the blade body (5111) ) is provided with a plurality of positioning holes (5112), the shearing groove (53) is fixedly connected to the knife holder (59) and the plurality of positioning protrusions (591), the plurality of positioning holes (5112) and the plurality of positioning protrusions (591) are slidably limited in a one-to-one correspondence, the knife body (5111) is pressed against the knife holder (59) on one side away from the positioning protrusions (591), and the two blades (511) shear between the upper clamping block (51) and the lower clamping block (52) when the two are closed.
4. A kidney surgery clamp according to claim 3, characterized in that: The drainage mechanism comprises a drainage tube (6), the bottom of the shear groove (53) on the lower clamping block (52) is connected to a drainage port (513), the lower end of the drainage port (513) is connected to a connector (510), one end of the drainage tube (6) is connected to an end of the connector (510) away from the shear groove (53), and the other end is connected to an input end of an external negative pressure bottle, and a valve is installed.
5. A kidney surgery clamp according to claim 4, characterized in that: The drainage mechanism also includes a second connecting rod assembly, which includes a connecting rod 1 (57), one end of the connecting rod 1 (57) is hinged in the shear groove (53) of the upper clamping block (51), and the other end is hinged to a connecting rod 2 (512), and a support block is fixedly connected to the bottom of the shear groove (53) on the lower clamping block (52), the middle part of the connecting rod 2 (512) is hinged to the top of the support block, and a sealing plug (58) is hinged at one end away from the connecting rod 1 (57), and the sealing plug (58) is elastic and sealingly clamped in the drainage port (513).
6. A kidney surgery clamp according to claim 5, characterized in that: The drainage port (513), the connector (510), the second connection assembly and the sealing plug (58) are each provided with two and are symmetrically spaced and distributed on both sides of the shearing mechanism. The end of the drainage tube (6) is connected to a Y-shaped connecting pipe (61) and is connected to the ends of the two connectors (510) through the Y-shaped connecting pipe (61).
7. A renal surgery clamp according to claim 1, characterized in that: The two hemostatic clips located on one side of the shearing mechanism are close to the spine, and the one hemostatic clip located on the other side of the shearing mechanism is close to the kidney.
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