Novel endoscope closing clamp and use method
By designing a new endoscopic closing clip, the tightening mechanism of the rotating handwheel and pulling wire is used to achieve fixed-point occlusion of larger tissues, solving the problem of small clamping range of traditional hemostatic clamps, and improving hemostatic and rehabilitation effect.
Patent Information
- Application Number
- CN202411862851.7
- Authority / Receiving Office
- CN · China
- Patent Type
- Applications(China)
- Current Assignee / Owner
- Filing Date
- 2024-12-17
- Publication Date
- 2025-02-21
AI Technical Summary
The traditional endoscopic hemostasis clip has a small clamping range, making it difficult to effectively deal with large tissue wounds, and the large clip cannot accurately bite.
A new type of endoscopic closure clip is designed, including a releaser, pulling wire, clamping cap, stapling clip and secondary clamping device. The rotating handwheel drives the rotating block to wind the pulling wire, tighten the pulling wire to extrude Anastomosis clips achieve fixed-point occlusal to larger tissues.
It achieves accurate positioning and accurate occlusal of larger pieces of tissue, is easy to use, and effectively stop bleeding and healing of organ tissues.
Smart Images

Figure CN119488332A_ABST
Abstract
Description
Technical Field
[0001] The invention relates to the field of endoscopes, and in particular to a novel closing clip for endoscopes and a use method thereof. Background Art
[0002] An endoscope is a detection instrument that integrates traditional optics, ergonomics, precision machinery, modern electronics, mathematics, and software. It has an image sensor, optical lens, light source, mechanical device, etc. It can enter the stomach through the mouth or enter the body through other natural channels. Endoscopes can be used to see lesions that cannot be displayed by X-rays, so it is very useful for doctors. In clinical surgery, small clips are used to clamp the wound when stopping bleeding or suturing the patient's organ tissue. However, traditional hemostatic clips have a small clamping range and sometimes require multiple clamping treatments. It is especially difficult to operate on slightly larger tissue wounds. Some large clips cannot accurately bite the wound, which is inconvenient to use. Summary of the invention
[0003] The object of the present invention is to provide a novel closure clip for endoscope and a method of using the same to solve the problems raised in the above-mentioned background technology.
[0004] To achieve the above-mentioned purpose, the present invention provides the following technical solutions: a new type of endoscopic closing clip and a method of using the same, comprising a releaser, one side of the releaser is connected with a retraction wire wrapped around it, one side of the retraction wire is provided with a clamp cap, and one end of the retraction wire close to the clamp cap is provided with an anastomosis clip, the bottom of the clamp cap is clamped with a bottom fixing cap, one side of the releaser is provided with a support, the middle part of the support is rotatably connected with a rotating block, one side of the rotating block is connected with a rotating hand wheel, the bottom of the support is provided with a wire tube, and the wire The bottom of the cylinder is connected with a guide tube, the middle part of the anastomotic clip is provided with engaging teeth, one side of the clamp cap is provided with a side baffle, the top and the bottom of the side baffle are provided with threading holes, and the rotating block can be driven to rotate by rotating the rotating hand wheel, and the rotating block winds up the pull wire so that the pull wire is tightened at one end of the clamp cap, and the pull wire can squeeze the anastomotic clip from the secondary clamping device while being tightened, so that the anastomotic clip is separated from the clamp cap, and when the anastomotic clip is separated, it restores the occlusal state under the action of its own elastic force and bites the target tissue.
[0005] As a preferred technical solution of the present invention, a wire-tying groove is provided in the middle of the rotating block, and the end of the take-up wire close to the releaser is wound and connected to the rotating block, and the wire-tying groove facilitates the fixation of one end of the take-up wire.
[0006] As a preferred technical solution of the present invention, the retracting wire is interlaced and connected with the wire barrel and the guide tube, and the surface of the rotating hand wheel is provided with anti-slip convex strips.
[0007] As a preferred technical solution of the present invention, the anastomotic clip is clamped with the top of the clip cap, hollow grooves are provided on both sides of the anastomotic clip, and a tooth nail is provided at one end of the occlusal tooth, which is used to improve the clamping force of the occlusal tooth.
[0008] As a preferred technical solution of the present invention, a secondary clamp is clamped in the middle of the clamp cap, and the anastomotic clip matches the secondary clamp. An inner cavity is provided in the middle of the secondary clamp, and the inner cavity corresponds to the bottom fixing cap.
[0009] As a preferred technical solution of the present invention, a scope positioning seat is provided at the bottom of the inner wall of the bottom fixing cap, the bottom of the clip applicator cap is snap-connected with the top of the bottom fixing cap, and the clip applicator cap is used for installing the anastomotic clip.
[0010] A method for using a novel closure clip for an endoscope comprises the following steps:
[0011] Step 1: Insert the releaser into the rubber valve on the working chamber and connect it to the endoscope with a cable tie;
[0012] Step 2: Move the clip applicator cap to the end of the endoscope, pull the retraction wire on the working cavity of the endoscope, the retraction wire is tightened in the corresponding gap, thereby achieving fixation with the releaser, and rotate the rotating hand wheel away from the endoscope handle, and the retraction wire can be wound up;
[0013] Step 3: Place the clip applicator cap on the tip of the endoscope, with the knot of the retraction wire located above the open area of the endoscope working cavity. Install the clip applicator cap on the tip of the endoscope and continue to wind the retraction wire using the rotating hand wheel until you feel the appropriate force position.
[0014] Step 4: After installation, the flexible endoscope will enter the patient's body. During this process, the endoscope equipped with the OTSC clip system will enter the patient's body through clear imaging. The anastomotic clip can be released by rotating the handwheel during use.
[0015] Compared with the prior art, the present invention has the following beneficial effects:
[0016] The anastomotic clip is stuck on the secondary clamping device of the clamp cap. During use, the endoscope, the grasping clip, the clamp cap and the bottom fixing cap will all be extended into the patient's body organs, which can be observed through the endoscope, and the target tissue can be clamped and pulled into the secondary clamping device of the clamp cap through the small grasping clip. Then the staff can drive the rotating block to rotate by rotating the rotating handwheel. The rotating block winds up the retracting wire, so that the retracting wire is tightened at one end of the clamp cap. The retracting wire can squeeze the anastomotic clip from the secondary clamping device while being tightened, so that the anastomotic clip is separated from the clamp cap. When the anastomotic clip is separated, it restores the occlusal state under the action of its own elastic force, bites the target tissue, and completes the occlusal processing. The entire endoscopic occlusal clip is convenient for the fixed-point correct occlusal release of larger pieces of tissue. It is easy to use and is beneficial to the effective hemostasis and rehabilitation of organ tissues. BRIEF DESCRIPTION OF THE DRAWINGS
[0017] Figure 1 It is a structural schematic diagram of the present invention;
[0018] Figure 2 It is a structural diagram of the clip applicator cap of the present invention;
[0019] Figure 3 It is a connection diagram of the clip applicator cap and the bottom fixing cap of the present invention;
[0020] Figure 4 This is a diagram of the long-shoulder tooth-shaped anastomotic clip of the present invention;
[0021] Figure 5 This is a diagram of an outer circular anastomotic clip of the present invention;
[0022] Figure 6 This is a diagram of the scalloped anastomotic clip of the present invention;
[0023] Figure 7 Figure 1 is a diagram of a toothed anastomotic clip of the present invention;
[0024] Figure 8 It is a schematic diagram of the installation of the secondary clamp of the present invention.
[0025] In the figure: 1. releaser; 2. retracting wire; 3. clamping cap; 4. bottom fixing cap; 5. anastomotic clip; 6. support; 7. rotating hand wheel; 8. rotating block; 9. wire guide tube; 10. guide tube; 11. wire tying groove; 12. anti-skid convex strip; 13. bite teeth; 14. tooth nails; 15. hollow groove; 16. secondary clamp; 17. side baffle; 18. inner cavity; 19. threading hole; 20. endoscope positioning seat. DETAILED DESCRIPTION
[0026] The following will be combined with the drawings in the embodiments of the present invention to clearly and completely describe the technical solutions in the embodiments of the present invention. Obviously, the described embodiments are only part of the embodiments of the present invention, not all of the embodiments. Based on the embodiments of the present invention, all other embodiments obtained by ordinary technicians in this field without creative work are within the scope of protection of the present invention.
[0027] Embodiment 1:
[0028] See also Figure 1 , Figure 2 , Figure 3 , Figure 4 and Figure 8 The present invention provides a novel endoscopic closing clip and a method for using the same, comprising a releaser 1, a retracting wire 2 is wound around one side of the releaser 1, a clamp cap 3 is disposed on one side of the retracting wire 2, and an anastomotic clip 5 is disposed at one end of the retracting wire 2 close to the clamp cap 3, a bottom fixing cap 4 is clamped at the bottom of the clamp cap 3, a support 6 is disposed on one side of the releaser 1, a rotating block 8 is rotatably connected to the middle of the support 6, a rotating hand wheel 7 is connected to one side of the rotating block 8, a guide wire tube 9 is disposed at the bottom of the support 6, a guide tube 10 is connected to the bottom of the guide wire tube 9, an engaging tooth 13 is disposed at the middle of the anastomotic clip 5, a side baffle 17 is disposed on one side of the clamp cap 3, and threading holes 19 are disposed at the top and the bottom of the side baffle 17;
[0029] In this embodiment, the endoscope and the gripper are both arranged inside the bottom fixing cap 4, one end of the retracting wire 2 passes through the inside of the bottom fixing cap 4 and the clamping cap 3, and then passes through the top of the clamping cap 3, and one end of the retracting wire 2 passes through the threading hole 19 at the top and then passes through the threading hole 19 at the bottom, and the end of the retracting wire 2 is knotted so as to be blocked on the threading hole 19 at the bottom;
[0030] In this embodiment, the anastomotic clamp 5 is a long-shoulder tooth-shaped anastomotic clamp. The long-shoulder tooth shape will increase the clamping force, the clamping will be tighter, and it will also be more secure.
[0031] See also Figure 1 , Figure 2 , Figure 3 , Figure 4 and Figure 8 A wire tying groove 11 is provided in the middle of the rotating block 8, and the end of the take-up wire 2 close to the releaser 1 is wound and connected with the rotating block 8, the take-up wire 2 is inserted and connected with the wire tube 9 and the guide tube 10, and an anti-slip convex strip 12 is provided on the surface of the rotating hand wheel 7. The anastomotic clip 5 is clamped with the top of the clip cap 3, and hollow grooves 15 are provided on both sides of the anastomotic clip 5. A tooth nail 14 is provided at one end of the biting tooth 13.
[0032] A method for using a novel closure clip for an endoscope comprises the following steps:
[0033] Step 1: Insert the releaser 1 into the rubber valve on the working chamber and connect it to the endoscope with a cable tie;
[0034] Step 2: Move the clip applicator cap 3 to the end of the endoscope, pull the retraction wire 2 on the working cavity of the endoscope, and the retraction wire 2 is tightened in the corresponding gap, thereby achieving fixation with the releaser 1, and rotate the rotating hand wheel 7 away from the endoscope handle, and the retraction wire 2 can be wound up;
[0035] Step 3: Place the clip applicator cap 3 on the tip of the endoscope, with the knot of the retraction wire 2 located above the open area of the endoscope working cavity. Install the clip applicator cap 3 on the tip of the endoscope, and continue to wind the retraction wire 2 by rotating the hand wheel 7 until you feel the appropriate force position;
[0036] Step 4: After the installation is completed, the flexible endoscope will enter the patient's body. During this process, the endoscope equipped with the OTSC clip system will enter the patient's body through clear imaging. During use, the anastomotic clip 5 can be released by rotating the hand wheel 7.
[0037] In this embodiment, the engaging teeth 13 of the anastomotic clip 5 are opened, and the anastomotic clip 5 is clamped on the clip cap 3 with the engaging teeth 13 facing upwards. At the same time, the anastomotic clip 5 can be pressed on the retraction wire 2. The anastomotic clip 5 is installed on the clip cap 3 to facilitate its insertion into the patient's body.
[0038] See also Figure 1 , Figure 2 , Figure 3 and Figure 8 The middle part of the clip applicator cap 3 is clamped with a secondary clamp 16, and the anastomotic clip 5 matches the secondary clamp 16. The middle part of the secondary clamp 16 is provided with an inner cavity 18, and the inner cavity 18 corresponds to the bottom fixing cap 4. The bottom of the inner wall of the bottom fixing cap 4 is provided with a scope positioning seat 20, and the bottom of the clip applicator cap 3 is clamped with the top of the bottom fixing cap 4;
[0039] In this embodiment, the target tissue can be clamped up and pulled into the secondary clamp 16 of the clamp cap 3 by the small grasping clamp of the endoscope, and then the personnel can drive the rotating block 8 to rotate by rotating the rotating hand wheel 7. The rotating block 8 winds up the retracting wire 2, so that the retracting wire 2 is tightened at one end of the clamp cap 3. The retracting wire 2 can squeeze the anastomotic clip 5 out of the secondary clamp 16 while being tightened, so that the anastomotic clip 5 is separated from the clamp cap 3. When the anastomotic clip 5 is separated, it restores the biting state under the action of its own elastic force and bites the target tissue. The anastomotic clip 5 can be reinstalled multiple times when the clamp cap 3 is treating the same surgical site. The second anastomotic clip 5 can be installed on the clamp cap 3 using the secondary clamp 16. Specifically, the anastomotic clip 5 is put on the secondary clamp 16, and the secondary clamp 16 is clamped on the clamp cap 3. Then, the clip is moved to the clamp cap 3 to complete the installation.
[0040] Embodiment 2:
[0041] See also Figure 1 , Figure 2 , Figure 3 and Figure 5 The present invention provides a novel endoscopic closing clip and a method for using the same, comprising a releaser 1, a retracting wire 2 is wound around one side of the releaser 1, a clamp cap 3 is disposed on one side of the retracting wire 2, and an anastomotic clip 5 is disposed at one end of the retracting wire 2 close to the clamp cap 3, a bottom fixing cap 4 is clamped at the bottom of the clamp cap 3, a support 6 is disposed on one side of the releaser 1, a rotating block 8 is rotatably connected to the middle of the support 6, a rotating hand wheel 7 is connected to one side of the rotating block 8, a guide wire tube 9 is disposed at the bottom of the support 6, a guide tube 10 is connected to the bottom of the guide wire tube 9, an engaging tooth 13 is disposed at the middle of the anastomotic clip 5, a side baffle 17 is disposed on one side of the clamp cap 3, and threading holes 19 are disposed at the top and the bottom of the side baffle 17;
[0042] In this embodiment, the endoscope and the gripper are both arranged inside the bottom fixing cap 4, one end of the retracting wire 2 passes through the inside of the bottom fixing cap 4 and the clamping cap 3, and then passes through the top of the clamping cap 3, and one end of the retracting wire 2 passes through the threading hole 19 at the top and then passes through the threading hole 19 at the bottom, and the end of the retracting wire 2 is knotted so as to be blocked on the threading hole 19 at the bottom;
[0043] In this embodiment, the anastomotic clip 5 is an outer circular anastomotic clip. The circular anastomotic clip is released. After release, it clamps more firmly, the root tissue is tightened, and the wound is more firm.
[0044] See also Figure 1-3 A wire-tying groove 11 is provided in the middle of the rotating block 8, and one end of the retracting wire 2 close to the releaser 1 is wound and connected with the rotating block 8, the retracting wire 2 is interlaced with the guide tube 9 and the guide tube 10, and an anti-slip convex strip 12 is provided on the surface of the rotating hand wheel 7, and the anastomotic clip 5 is clamped with the top of the clip cap 3;
[0045] In this embodiment, the engaging teeth 13 of the anastomotic clip 5 are opened, and the anastomotic clip 5 is clamped on the clip cap 3 with the engaging teeth 13 facing upwards. At the same time, the anastomotic clip 5 can be pressed on the retraction wire 2. The anastomotic clip 5 is installed on the clip cap 3 to facilitate its insertion into the patient's body.
[0046] A method for using a novel closure clip for an endoscope comprises the following steps:
[0047] Step 1: Insert the releaser 1 into the rubber valve on the working chamber and connect it to the endoscope with a cable tie;
[0048] Step 2: Move the clip applicator cap 3 to the end of the endoscope, pull the retraction wire 2 on the working cavity of the endoscope, and the retraction wire 2 is tightened in the corresponding gap, thereby achieving fixation with the releaser 1, and rotate the rotating hand wheel 7 away from the endoscope handle, and the retraction wire 2 can be wound up;
[0049] Step 3: Place the clip applicator cap 3 on the tip of the endoscope, with the knot of the retraction wire 2 located above the open area of the endoscope working cavity. Install the clip applicator cap 3 on the tip of the endoscope, and continue to wind the retraction wire 2 by rotating the hand wheel 7 until you feel the appropriate force position;
[0050] Step 4: After the installation is completed, the flexible endoscope will enter the patient's body. During this process, the endoscope equipped with the OTSC clip system will enter the patient's body through clear imaging. During use, the anastomotic clip 5 can be released by rotating the hand wheel 7.
[0051] See also Figure 1-3 A secondary clamp 16 is clamped in the middle of the clamp cap 3, and the anastomotic clip 5 matches the secondary clamp 16. An inner cavity 18 is provided in the middle of the secondary clamp 16, and the inner cavity 18 corresponds to the bottom fixing cap 4. A endoscope positioning seat 20 is provided at the bottom of the inner wall of the bottom fixing cap 4. The bottom of the clamp cap 3 is clamped with the top of the bottom fixing cap 4. The anastomotic clip 5 can be reinstalled multiple times on the clamp cap 3 when treating the same surgical site. The second anastomotic clip 5 can be installed on the clamp cap 3 using the secondary clamp 16. Specifically, the anastomotic clip 5 is put on the secondary clamp 16, and the secondary clamp 16 is clamped on the clamp cap 3. Then, the clip is moved to the clamp cap 3 to complete the installation.
[0052] Embodiment 3:
[0053] See also Figure 1 , Figure 2 , Figure 3 and Figure 6 The present invention provides a novel endoscopic closing clip and a method for using the same, comprising a releaser 1, a retracting wire 2 is wound around one side of the releaser 1, a clamp cap 3 is disposed on one side of the retracting wire 2, and an anastomotic clip 5 is disposed at one end of the retracting wire 2 close to the clamp cap 3, a bottom fixing cap 4 is clamped at the bottom of the clamp cap 3, a support 6 is disposed on one side of the releaser 1, a rotating block 8 is rotatably connected to the middle of the support 6, a rotating hand wheel 7 is connected to one side of the rotating block 8, a guide wire tube 9 is disposed at the bottom of the support 6, a guide tube 10 is connected to the bottom of the guide wire tube 9, an engaging tooth 13 is disposed at the middle of the anastomotic clip 5, a side baffle 17 is disposed on one side of the clamp cap 3, and threading holes 19 are disposed at the top and the bottom of the side baffle 17;
[0054] In this embodiment, the endoscope and the gripper are both arranged inside the bottom fixing cap 4, one end of the retracting wire 2 passes through the inside of the bottom fixing cap 4 and the clamping cap 3, and then passes through the top of the clamping cap 3, and one end of the retracting wire 2 passes through the threading hole 19 at the top and then passes through the threading hole 19 at the bottom, and the end of the retracting wire 2 is knotted so as to be blocked on the threading hole 19 at the bottom;
[0055] In this embodiment, the anastomotic clip 5 is a round-toothed anastomotic clip, and the round teeth have a better hemostatic effect.
[0056] See also Figure 1-3 A wire-tying groove 11 is provided in the middle of the rotating block 8, and one end of the retracting wire 2 close to the releaser 1 is wound and connected with the rotating block 8, the retracting wire 2 is interlaced with the guide tube 9 and the guide tube 10, and an anti-slip convex strip 12 is provided on the surface of the rotating hand wheel 7, and the anastomotic clip 5 is clamped with the top of the clip cap 3;
[0057] In this embodiment, the engaging teeth 13 of the anastomotic clip 5 are opened, and the anastomotic clip 5 is clamped on the clip cap 3 with the engaging teeth 13 facing upwards. At the same time, the anastomotic clip 5 can be pressed on the retraction wire 2. The anastomotic clip 5 is installed on the clip cap 3 to facilitate its insertion into the patient's body.
[0058] A method for using a novel closure clip for an endoscope comprises the following steps:
[0059] Step 1: Insert the releaser 1 into the rubber valve on the working chamber and connect it to the endoscope with a cable tie;
[0060] Step 2: Move the clip applicator cap 3 to the end of the endoscope, pull the retraction wire 2 on the working cavity of the endoscope, and the retraction wire 2 is tightened in the corresponding gap, thereby achieving fixation with the releaser 1, and rotate the rotating hand wheel 7 away from the endoscope handle, and the retraction wire 2 can be wound up;
[0061] Step 3: Place the clip applicator cap 3 on the tip of the endoscope, with the knot of the retraction wire 2 located above the open area of the endoscope working cavity. Install the clip applicator cap 3 on the tip of the endoscope, and continue to wind the retraction wire 2 by rotating the hand wheel 7 until you feel the appropriate force position;
[0062] Step 4: After the installation is completed, the flexible endoscope will enter the patient's body. During this process, the endoscope equipped with the OTSC clip system will enter the patient's body through clear imaging. During use, the anastomotic clip 5 can be released by rotating the hand wheel 7.
[0063] See also Figure 1-3A secondary clamp 16 is clamped in the middle of the clamp cap 3, and the anastomotic clip 5 matches the secondary clamp 16. An inner cavity 18 is provided in the middle of the secondary clamp 16, and the inner cavity 18 corresponds to the bottom fixing cap 4. A endoscope positioning seat 20 is provided at the bottom of the inner wall of the bottom fixing cap 4. The bottom of the clamp cap 3 is clamped with the top of the bottom fixing cap 4. The anastomotic clip 5 can be reinstalled multiple times on the clamp cap 3 when treating the same surgical site. The second anastomotic clip 5 can be installed on the clamp cap 3 using the secondary clamp 16. Specifically, the anastomotic clip 5 is put on the secondary clamp 16, and the secondary clamp 16 is clamped on the clamp cap 3. Then, the clip is moved to the clamp cap 3 to complete the installation.
[0064] Embodiment 4:
[0065] See also Figure 1 , Figure 2 , Figure 3 and Figure 7 The present invention provides a novel endoscopic closing clip and a method for using the same, comprising a releaser 1, a retracting wire 2 is wound around one side of the releaser 1, a clamp cap 3 is disposed on one side of the retracting wire 2, and an anastomotic clip 5 is disposed at one end of the retracting wire 2 close to the clamp cap 3, a bottom fixing cap 4 is clamped at the bottom of the clamp cap 3, a support 6 is disposed on one side of the releaser 1, a rotating block 8 is rotatably connected to the middle of the support 6, a rotating hand wheel 7 is connected to one side of the rotating block 8, a guide wire tube 9 is disposed at the bottom of the support 6, a guide tube 10 is connected to the bottom of the guide wire tube 9, an engaging tooth 13 is disposed at the middle of the anastomotic clip 5, a side baffle 17 is disposed on one side of the clamp cap 3, and threading holes 19 are disposed at the top and the bottom of the side baffle 17;
[0066] In this embodiment, the endoscope and the gripper are both arranged inside the bottom fixing cap 4, one end of the retracting wire 2 passes through the inside of the bottom fixing cap 4 and the clamping cap 3, and then passes through the top of the clamping cap 3, and one end of the retracting wire 2 passes through the threading hole 19 at the top and then passes through the threading hole 19 at the bottom, and the end of the retracting wire 2 is knotted so as to be blocked on the threading hole 19 at the bottom;
[0067] In this embodiment, the anastomotic clip 5 is a toothed anastomotic clip, which clamps more firmly when released, and the root tissue is more tightly connected, so that the wound will be more firm.
[0068] See also Figure 1-3 A wire-tying groove 11 is provided in the middle of the rotating block 8, and one end of the retracting wire 2 close to the releaser 1 is wound and connected with the rotating block 8, the retracting wire 2 is interlaced with the guide tube 9 and the guide tube 10, and an anti-slip convex strip 12 is provided on the surface of the rotating hand wheel 7, and the anastomotic clip 5 is clamped with the top of the clip cap 3;
[0069] In this embodiment, the engaging teeth 13 of the anastomotic clip 5 are opened, and the anastomotic clip 5 is clamped on the clip cap 3 with the engaging teeth 13 facing upwards. At the same time, the anastomotic clip 5 can be pressed on the retraction wire 2. The anastomotic clip 5 is installed on the clip cap 3 to facilitate its insertion into the patient's body.
[0070] See also Figure 1-3 A secondary clamp 16 is clamped in the middle of the clip cap 3, and the anastomotic clip 5 matches the secondary clamp 16. An inner cavity 18 is provided in the middle of the secondary clamp 16, and the inner cavity 18 corresponds to the bottom fixing cap 4. A scope positioning seat 20 is provided at the bottom of the inner wall of the bottom fixing cap 4. The bottom of the clip cap 3 is clamped with the top of the bottom fixing cap 4. The clip cap 3 can reinstall the anastomotic clip 5 multiple times when treating the same surgical site.
[0071] A method for using a novel closure clip for an endoscope comprises the following steps:
[0072] Step 1: Insert the releaser 1 into the rubber valve on the working chamber and connect it to the endoscope with a cable tie;
[0073] Step 2: Move the clip applicator cap 3 to the end of the endoscope, pull the retraction wire 2 on the working cavity of the endoscope, and the retraction wire 2 is tightened in the corresponding gap, thereby achieving fixation with the releaser 1, and rotate the rotating hand wheel 7 away from the endoscope handle, and the retraction wire 2 can be wound up;
[0074] Step 3: Place the clip applicator cap 3 on the tip of the endoscope, with the knot of the retraction wire 2 located above the open area of the endoscope working cavity. Install the clip applicator cap 3 on the tip of the endoscope, and continue to wind the retraction wire 2 by rotating the hand wheel 7 until you feel the appropriate force position;
[0075] Step 4: After the installation is completed, the flexible endoscope will enter the patient's body. During this process, the endoscope equipped with the OTSC clip system will enter the patient's body through clear imaging. During use, the anastomotic clip 5 can be released by rotating the hand wheel 7.
[0076] When in use, the present invention provides a new type of endoscope closing clip and a method for using the endoscope, wherein the endoscope and the grasping clip are both arranged inside the bottom fixing cap 4, one end of the retraction wire 2 passes through the bottom fixing cap 4 and the inside of the clamping cap 3, the clamping cap 3 is provided with a hole, and then passes through the hole on the top of the clamping cap 3, and one end of the retraction wire 2 passes through the threading hole 19 on the top and then passes through the threading hole 19 on the bottom, and the end of the retraction wire 2 is knotted so as to be blocked on the threading hole 19 on the bottom, the occlusal teeth 13 of the anastomotic clip 5 are opened, and the anastomotic clip 5 is clamped on the clamping cap 3, and the occlusal teeth 13 are facing upward, and the anastomotic clip 5 can be pressed on the retraction wire 2, and during the operation, the secondary clamp 16 can be used to install the second anastomotic clip 5 on the clamping cap 3, specifically, the anastomotic clip 5 is put on the secondary clamp 16, the secondary clamp 16 is clamped on the clamping cap 3, and then the clip is moved The installation can be completed by moving it to the clamp cap 3. During use, the endoscope, the grasping clamp, the clamp cap 3 and the bottom fixing cap 4 will all be extended into the patient's body organs, which can be observed through the endoscope and used in conjunction with an endoscopic anchor or a clamp-type double-arm grasper. The target tissue can be clamped up and pulled into the secondary clamp 16 of the clamp cap 3 through the small grasping clamp. Then, the personnel can drive the rotating block 8 to rotate by rotating the rotating handwheel 7. The rotating block 8 winds up the retracting wire 2, so that the retracting wire 2 is tightened at one end of the clamp cap 3. The retracting wire 2 can squeeze the anastomosis clip 5 out of the secondary clamp 16 while being tightened, so that the anastomosis clip 5 is separated from the clamp cap 3. When the anastomosis clip 5 is separated, it restores the occlusal state under the action of its own elastic force, bites the target tissue, completes the occlusal treatment, can bite a larger piece, is easy to use, and is conducive to effective hemostasis and rehabilitation of organ tissues.
[0077] Although the present invention has been described in detail with reference to the aforementioned embodiments, it is still possible for those skilled in the art to modify the technical solutions described in the aforementioned embodiments, or to make equivalent substitutions for some of the technical features therein. Any modifications, equivalent substitutions, improvements, etc. made within the spirit and principles of the present invention should be included in the protection scope of the present invention.
Claims
1. A novel closure clip for endoscope, comprising a releaser (1), characterized in that: A retraction wire (2) is wound around and connected to one side of the releaser (1), a clamping cap (3) is provided on one side of the retraction wire (2), and an anastomosis clamp (5) is provided at one end of the retraction wire (2) close to the clamping cap (3), and a bottom fixing cap (4) is clamped at the bottom of the clamping cap (3). A support (6) is provided on one side of the releaser (1), and a rotating block (8) is rotatably connected to the middle of the support (6), and a rotating hand wheel (7) is connected to one side of the rotating block (8). A guide tube (10) is provided at the bottom of the support (6), and a bite tooth (13) is provided at the middle of the anastomosis clamp (5). A side baffle (17) is provided on one side of the clamping cap (3), and threading holes (19) are provided at the top and bottom of the side baffle (17).
2. The novel closure clip for endoscope according to claim 1, characterized in that: A line-tying groove (11) is provided in the middle of the rotating block (8), and one end of the retracting line (2) close to the releaser (1) is wound and connected to the rotating block (8).
3. The novel endoscopic closure clip according to claim 1, characterized in that: The retracting wire (2) is interlacedly connected with the guide wire barrel (9) and the guide tube (10), and the surface of the rotating hand wheel (7) is provided with anti-slip convex strips (12).
4. The novel closure clip for endoscope according to claim 1, characterized in that: The anastomotic clip (5) is clamped with the top of the clip cap (3), hollow grooves (15) are provided on both sides of the anastomotic clip (5), and a tooth nail (14) is provided at one end of the bite tooth (13).
5. The novel closure clip for endoscope according to claim 1, characterized in that: The middle part of the clamp cap (3) is clamped with a secondary clamp (16), and the anastomotic clip (5) matches the secondary clamp (16). The middle part of the secondary clamp (16) is provided with an inner cavity (18), and the inner cavity (18) corresponds to the bottom fixing cap (4).
6. The novel endoscopic closure clip according to claim 1, characterized in that: A scope positioning seat (20) is provided at the bottom of the inner wall of the bottom fixing cap (4), and the bottom of the clip applying cap (3) is clamped with the top of the bottom fixing cap (4).
7. A method for using a novel endoscopic closure clip according to claims 1-6, characterized in that: The following steps are involved: Step 1: Insert the releaser (1) into the rubber valve on the working chamber and connect it to the endoscope with a cable tie; Step 2: Move the clip cap (3) to the end of the endoscope, pull the retraction wire (2) on the working cavity of the endoscope, and tighten the retraction wire (2) in the corresponding gap, thereby achieving fixation with the releaser (1), and rotate the rotating hand wheel (7) away from the endoscope handle, so that the retraction wire (2) can be wound up; Step 3: Place the clip applicator cap (3) on the tip of the endoscope, with the knot of the retraction wire (2) located above the open area of the endoscope working cavity. Install the clip applicator cap (3) on the tip of the endoscope, and continue to wind the retraction wire (2) using the rotating hand wheel (7) until the appropriate force position is felt; Step 4: After installation, the flexible endoscope will enter the patient's body. During this process, the endoscope equipped with the OTSC clip system will enter the patient's body through clear imaging. During use, the anastomotic clip (5) can be released by rotating the hand wheel (7).
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