Integrated laparoscopic dissection suture fixing forceps

Abstract

The invention discloses an integrated laparoscopic dissection suture fixing clamp which comprises an instrument body, a fixing clamp, a rotating shaft, a traction direction converter, a limiting sliding groove, a traction rope, a brake rope, a fixing clamp selector, a brake shifting rod and a handle, the rotating shaft is movably installed in the instrument body, and the fixing clamp is installed on the outer surface of the rotating shaft; a traction direction converter is installed on the outer surface of the rotating shaft, a fixing clamp selector is installed at the bottom of the instrument body, a handle is installed at the bottom of the tail end of the instrument body, a traction rope is arranged between the traction direction converter and the fixing clamp selector, and the interior of the fixing clamp selector is connected with the handle. The relative distance between the two fixing clamps can be adjusted, the first fixing clamp or the second fixing clamp can be independently controlled, meanwhile, the movable handle can be pulled to control rotation of the traction direction converter so that the fixing clamps can be opened and closed, and a doctor can operate and use the fixing clamp conveniently.

Description

Technical Field

[0001] The invention relates to the technical field of medical auxiliary equipment, in particular to an integrated laparoscopic amputation and suturing fixing forceps. Background Art

[0002] Currently, in pyeloureteroplasty, in order to ensure the stable implementation of the operation, the renal pelvis and ureter need to be separated separately, and a vascular clamp is used to hang them in the abdominal cavity with wire traction, and sutured in the air. The operation is difficult and the tension after traction is large, which is not conducive to the alignment and suturing of the renal pelvis and ureter.

[0003] Unlike open surgery, laparoscopic division and suturing need to be performed in mid-air. Since there are no dedicated division, suturing and fixation instruments, the doctor's operational level is required to be high, and operational errors are prone to occur during the operation, such as inappropriate hanging position, suturing angle, inappropriate reserved length, etc.

[0004] It can be seen that the existing medical devices have the defects of inconvenient operation of laparoscopic suturing and fixation devices and high requirements for doctors. The defects of the existing fixation devices used for laparoscopic suturing are: 1. Application document CN111110320A discloses an organ support and fixation device for minimally invasive abdominal surgery. However, during the use of the fixation device, the length of the organ after the cut and resection may not be suitable for suturing; 2. In the traditional surgery, the ureteroplasty is performed by manual clamping and suturing in the abdominal cavity, which is difficult for doctors to operate. 3. Patent document CN207356139U proposes a dura mater suture fixing clamp, but the suture fixing clamp in the patent document is not convenient for medical staff to control the two fixing clamps with one hand; 4. In the prior art, the position of the fixing clip in the fixing device for laparoscopic suturing is fixed, and the entry and exit of the device impose certain restrictions on the size of the hole punched by the laparoscope. Summary of the invention

[0005] The purpose of the present invention is to provide an integrated laparoscopic suturing and fixing forceps to solve the problems raised in the above-mentioned background technology.

[0006] To achieve the above-mentioned object, the present invention provides the following technical solutions: an integrated laparoscopic suturing and fixing forceps, comprising an instrument body, a fixing clamp, a rotating shaft, a traction direction converter, a limiting slide, a traction rope, a brake rope, a fixing clamp selector, a brake lever and a handle, wherein the fixing clamp comprises a first fixing clamp and a second fixing clamp, and the rotating shaft comprises a first rotating shaft and a second rotating shaft; A limited sliding groove is provided at the bottom of the instrument body, a rotating shaft is movably installed inside the instrument body, a fixing clamp is installed on the outer surface of the rotating shaft, a connecting slot hole is provided at the center of the fixing clamp, a brake rope is connected to the fixing clamp through the connecting slot hole, a brake rope is connected to the center of the rotating shaft, a brake lever is installed on the back of the instrument body, and one end of the brake rope is connected to the brake lever; A traction direction converter is installed on the outer surface of the rotating shaft, and the traction direction converter includes a first traction direction converter and a second traction direction converter. The first traction direction converter is arranged on the left side of the first rotating shaft, and the second traction direction converter is arranged on the right side of the second rotating shaft. The traction rope includes a first traction rope and a second traction rope. The first traction rope is installed on the left outer wall of the first traction direction converter, and the second traction rope is installed on the right outer wall of the second traction direction converter. A handle is installed at the bottom of the end of the instrument body, and a fixing clamp selector is installed at the bottom of the instrument body, and the fixing clamp selector is located in front of the handle. The fixing clamp selector is connected to the other end of the traction rope, and the internal setting of the fixing clamp selector is connected to the handle.

[0007] Preferably, a rotating structure is formed between the rotating shaft and the fixing clamp, and the center of the rotating shaft is connected to the brake lever.

[0008] Preferably, the limiting slide groove is located below the traction direction converter, a sliding structure is formed between the first traction direction converter and the second traction direction converter and the limiting slide groove, and the traction direction converter and the limiting slide groove cooperate with each other.

[0009] Preferably, the inner side of the traction direction converter is connected to the fixing clamp, and the outer side surface of the traction direction converter is connected to the traction rope.

[0010] Preferably, the traction rope is fixedly connected to the traction direction converter, and the proximal end of the first traction rope is connected to the left side of the first traction direction converter, and the distal end of the first traction rope is connected to the left side of the first rotating shaft.

[0011] Preferably, one end of the second traction rope is connected to the right side surface of the second traction direction converter, and the other end of the second traction rope is connected to the right side surface of the second rotation shaft.

[0012] Preferably, the brake rope passes through the interior of the rotating shaft, and the brake rope is connected to the brake lever by welding, and the position below the rotating shaft of the instrument body is set as a hollow structure.

[0013] Preferably, the traction direction converter and the fixing clip are configured as a chimeric structure.

[0014] Preferably, the handle includes a movable handle and a holding handle, the movable handle is arranged below the fixing clamp selector, and the internal arrangement of the fixing clamp selector is connected to the movable handle.

[0015] Preferably, the proximal end of the traction rope is connected to a fixed clamp selector and a movable handle, the fixed clamp selector is set to three gears: left, middle and right, the middle gear of the fixed clamp selector is not connected to anything, the left gear of the fixed clamp selector is connected to the first traction rope, and the right gear of the fixed clamp selector is connected to the second traction rope.

[0016] Compared with the prior art, the present invention has the following beneficial effects: 1. The present invention provides a limiting slide groove, so that medical staff can adjust the relative distance between the two fixing clamps by sliding the rotating shaft along the limiting slide groove before surgery, thereby avoiding the situation where the length of the amputation after resection is not suitable for suturing.

[0017] 2. The present invention moves the brake lever to pull the brake rope to limit the rotating shaft, fix the swing angle of the first fixing clamp and the second fixing clamp, and reduce the tension during suturing; the set fixing clamp can effectively avoid the traditional surgical manual clamping and suture hanging in the abdominal cavity, reduce the doctor's operating difficulty, and facilitate the doctor's use.

[0018] 3. The present invention can realize the individual control of the first fixing clamp or the second fixing clamp by means of the fixing clamp selector and the traction rope. At the same time, the rotation of the traction direction converter can be controlled by pulling the movable handle to open and close the fixing clamp, thereby realizing flexible clamping of the renal pelvis and ureter in the abdominal cavity, which is convenient for doctors to operate and use.

[0019] 4. The present invention provides a rotating shaft so that the fixing clamp can be completely rotated and retracted into the main body of the instrument before surgery, thereby reducing the limitation of the entry and exit of the instrument on the size of the laparoscopic hole. BRIEF DESCRIPTION OF THE DRAWINGS

[0020] Figure 1 It is a side schematic diagram of the working state structure of the present invention; Figure 2 It is a front cross-sectional view of the rotating shaft structure of the present invention; Figure 3 It is a bottom view of the limiting slide groove structure of the present invention.

[0021] In the figure: 1. fixing clamp; 11. first fixing clamp; 12. second fixing clamp; 2. rotating shaft; 21. first rotating shaft; 22. second rotating shaft; 3. traction direction converter; 31. first traction direction converter; 32. second traction direction converter; 4. limiting slide; 5. traction rope; 51. first traction rope; 52. second traction rope; 6. brake rope; 7. fixing clamp selector; 8. brake lever; 9. handle; 91. movable handle; 92. holding handle. DETAILED DESCRIPTION

[0022] 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.

[0023] In the description of the present invention, it should be noted that the terms "upper", "lower", "inner", "outer", "front end", "rear end", "two ends", "one end", "the other end" and the like indicate positions or positional relationships based on the positions or positional relationships shown in the drawings, and are only for the convenience of describing the present invention and simplifying the description, and do not indicate or imply that the device or element referred to must have a specific orientation, be constructed and operated in a specific orientation, and therefore cannot be understood as limiting the present invention. In addition, the terms "first" and "second" are used for descriptive purposes only and cannot be understood as indicating or implying relative importance.

[0024] In the description of the present invention, it should be noted that, unless otherwise clearly specified and limited, the terms "installed", "provided with", "connected", etc. should be understood in a broad sense. For example, "connected" can be a fixed connection, a detachable connection, or an integral connection; it can be a mechanical connection or an electrical connection; it can be a direct connection, or it can be indirectly connected through an intermediate medium, or it can be the internal communication of two components. For ordinary technicians in this field, the specific meanings of the above terms in the present invention can be understood according to specific circumstances.

[0025] See also Figure 1 The integrated laparoscopic suturing and fixing forceps comprises an instrument body, a fixing clamp 1, a rotating shaft 2, a traction direction converter 3, a limiting slide 4, a traction rope 5, a brake rope 6, a fixing clamp selector 7, a brake lever 8 and a handle 9. The fixing clamp 1 comprises a first fixing clamp 11 and a second fixing clamp 12, and the rotating shaft 2 comprises a first rotating shaft 21 and a second rotating shaft 22. A limited position slide groove 4 is provided at the bottom of the instrument body, a rotating shaft 2 is movably installed inside the instrument body, a fixing clamp 1 is installed on the outer surface of the rotating shaft 2, a connecting slot hole is provided at the center of the fixing clamp 1, a brake rope 6 is connected to the fixing clamp 1 through the connecting slot hole, a brake rope 6 is connected to the center of the rotating shaft 2, a brake lever 8 is installed on the back of the instrument body, and one end of the brake rope 6 is connected to the brake lever 8; A traction direction converter 3 is installed on the outer surface of the rotating shaft 2. The traction direction converter 3 includes a first traction direction converter 31 and a second traction direction converter 32. The first traction direction converter 31 is arranged on the left side of the first rotating shaft 21, and the second traction direction converter 32 is arranged on the right side of the second rotating shaft 22. The traction rope 5 includes a first traction rope 51 and a second traction rope 52. The first traction rope 51 is installed on the left outer wall of the first traction direction converter 31, and the second traction rope 52 is installed on the right outer wall of the second traction direction converter 32. A handle 9 is installed at the bottom of the end of the instrument body. A fixing clamp selector 7 is installed at the bottom of the instrument body, and the fixing clamp selector 7 is located in front of the handle 9. The fixing clamp selector 7 is connected to the other end of the traction rope 5, and the internal setting of the fixing clamp selector 7 is connected to the handle 9; A rotating structure is formed between the rotating shaft 2 and the fixing clamp 1 , and the center of the rotating shaft 2 is connected to the brake lever 8 .

[0026] Furthermore, by providing the brake rope 6, the medical staff can toggle the brake lever 8 from the outside, and after the brake lever 8 is toggle, the brake rope 6 is pulled to restrain the rotating shaft 2 by the brake rope 6, thereby fixing the rotating shaft 2 inside the instrument body, and preventing the fixing clamp 1 from moving at an angle randomly due to the rotation of the rotating shaft 2 during the operation. During the operation, medical staff can also release the restriction of the brake lever 8 to allow the rotating shaft 2 to rotate and adjust the angle of the fixing clamp 1. By adjusting the angle of the fixing clamp 1, the tension during suturing can be effectively reduced.

[0027] See also Figure 1 and Figure 2 , an integrated laparoscopic suturing and fixing forceps, a limiting slide groove 4 is located below the traction direction converter 3, a sliding structure is formed between the first traction direction converter 31 and the second traction direction converter 32 and the limiting slide groove 4, and the traction direction converter 3 and the limiting slide groove 4 cooperate with each other, the inner side of the traction direction converter 3 is connected to the fixing clamp 1, and the outer side of the traction direction converter 3 is connected to the traction rope 5, the traction rope 5 and the traction direction converter 3 are fixedly connected, and the proximal end of the first traction rope 51 is connected to the left side surface of the first traction direction converter 31, the distal end of the first traction rope 51 is connected to the left side surface of the first rotating shaft 21, one end of the second traction rope 52 is connected to the right side surface of the second traction direction converter 32, and the other end of the second traction rope 52 is connected to the right side surface of the second rotating shaft 22.

[0028] Furthermore, the medical staff can adjust the position of the rotating shaft 2 so that the fixing clip 1 slides under the limiting action of the limiting slide groove 4, thereby adjusting the relative distance between the first fixing clip 11 and the second fixing clip 12, ensuring that the stenosis section of the renal pelvis and ureter is completely removed and accurately clamped, thereby ensuring the accuracy of the removal, reducing the difficulty of suturing by the doctor, and facilitating the doctor's operation; Medical staff can use the first traction rope 51 and the second traction rope 52 to restrain the first traction direction converter 31 and the second traction direction converter 32 respectively, so as to adjust the fixing clamp 1 .

[0029] See also Figure 1 and Figure 3 , an integrated laparoscopic suturing and fixing forceps, the brake rope 6 runs through the interior of the rotating shaft 2, and the brake rope 6 is connected to the brake lever 8 by welding, the position below the rotating shaft 2 of the instrument body is set as a hollow structure, the traction direction converter 3 and the fixed clamp 1 are set as a chimeric structure, the handle 9 includes a movable handle 91 and a holding handle 92, a movable handle 91 is set below the fixed clamp selector 7, and the internal setting of the fixed clamp selector 7 is connected to the movable handle 91, the proximal end of the traction rope 5 is connected to the fixed clamp selector 7 and the movable handle 91, the fixed clamp selector 7 is set to three gears: left, middle and right, the middle gear of the fixed clamp selector 7 is not connected to anything, the left gear of the fixed clamp selector 7 is connected to the first traction rope 51, and the right gear of the fixed clamp selector 7 is connected to the second traction rope 52; The proximal end of the traction rope 5 is connected to the fixed clamp selector 7 and the movable handle 91. The fixed clamp selector 7 is set to three gears: left, middle and right. The middle gear of the fixed clamp selector 7 is not connected to anything. The left gear of the fixed clamp selector 7 is connected to the first traction rope 51, and the right gear of the fixed clamp selector 7 is connected to the second traction rope 52.

[0030] Furthermore, the bottom of the rotating shaft 2 is a hollow structure, and the medical staff can rotate the rotating shaft 2 so that the fixing clamp 1 is completely retracted into the instrument body, thereby reducing the restriction on the size of the laparoscope drilling caused by the entry and exit of the instrument; The left and right gears of the fixing clamp selector 7 correspond to the first traction rope 51 and the second traction rope 52 respectively, the first traction rope 51 and the second traction rope 52 correspond to the first traction direction converter 31 and the second traction direction converter 32 respectively, the first traction direction converter 31 and the second traction direction converter 32 correspond to the first fixing clamp 11 and the second fixing clamp 12 respectively, when the medical staff uses the fixing clamp, they can use the index finger to toggle the gear of the fixing clamp selector 7 to realize the operation selection of the first fixing clamp 11 or the second fixing clamp 12; After the first fixing clamp 11 or the second fixing clamp 12 is selected by the fixing clamp selector 7, the medical staff can pull the movable handle 91 while holding the gripping handle 92. The pulling of the movable handle 91 can pull the traction rope 5. Under the control of the traction rope 5, the rotation of the traction direction converter 3 is controlled, so that the opening and closing of the fixing clamp 1 can be realized by the rotation of the traction direction converter 3. Through the setting of the fixing clamp selector 7 and the movable handle 91, the doctor can complete the selection and opening and closing operations of the fixing clamp 1 with one hand. The use of this integrated laparoscopic cutting and suturing forceps can fully simplify the operation process on the basis of meeting the requirements of laparoscopic operation, safely and effectively perform the cutting and suturing of the lumen, ensure the safety of the operation, reduce the difficulty of the doctor's operation, and improve the efficiency of the operation.

[0031] It will be apparent to those skilled in the art that the invention is not limited to the details of the exemplary embodiments described above and that the invention can be implemented in other specific forms without departing from the spirit or essential features of the invention. Therefore, the embodiments should be considered exemplary and non-limiting in all respects, and the scope of the invention is defined by the appended claims rather than the foregoing description, and it is intended that all variations falling within the meaning and scope of the equivalent elements of the claims be included in the invention. Any reference numeral in a claim should not be considered as limiting the claim to which it relates.

Claims

1. An integrated laparoscopic amputation suture fixation forceps, comprising an instrument body, a fixing clamp (1), a rotating shaft (2), a traction direction converter (3), a limiting slide groove (4), a traction rope (5), a brake rope (6), a fixing clamp selector (7), a brake lever (8) and a handle (9), wherein the fixing clamp (1) comprises a first fixing clamp (11) and a second fixing clamp (12), and the rotating shaft (2) comprises a first rotating shaft (21) and a second rotating shaft (22); A limit slide groove (4) is provided at the bottom of the instrument body, a rotating shaft (2) is movably installed inside the instrument body, a fixing clamp (1) is installed on the outer surface of the rotating shaft (2), a connecting slot hole is provided at the center of the fixing clamp (1), a brake rope (6) is connected to the fixing clamp (1) through the connecting slot hole, the center of the rotating shaft (2) is connected to the brake rope (6), a brake lever (8) is installed on the back of the instrument body, and one end of the brake rope (6) is connected to the brake lever (8); A traction direction converter (3) is installed on the outer surface of the rotating shaft (2), and the traction direction converter (3) comprises a first traction direction converter (31) and a second traction direction converter (32). The first traction direction converter (31) is arranged on the left side of the first rotating shaft (21), and the second traction direction converter (32) is arranged on the right side of the second rotating shaft (22). The traction rope (5) comprises a first traction rope (51) and a second traction rope (52). The first traction rope (51) is installed on the left side outer wall of the first traction direction converter (31), and the second traction rope (52) is installed on the right side outer wall of the second traction direction converter (32). A handle (9) is installed at the bottom of the end of the instrument body, and a fixing clamp selector (7) is installed at the bottom of the instrument body, and the fixing clamp selector (7) is located in front of the handle (9). The fixing clamp selector (7) is connected to the other end of the traction rope (5), and the internal arrangement of the fixing clamp selector (7) is connected to the handle (9).

2. The integrated laparoscopic amputation and suturing fixation forceps according to claim 1, characterized in that: A rotating structure is formed between the rotating shaft (2) and the fixing clamp (1), and the center of the rotating shaft (2) is connected to the brake lever (8).

3. The integrated laparoscopic amputation and suturing fixation forceps according to claim 1, characterized in that: The limiting slide groove (4) is located below the traction direction converter (3); a sliding structure is formed between the first traction direction converter (31) and the second traction direction converter (32) and the limiting slide groove (4); and the traction direction converter (3) and the limiting slide groove (4) cooperate with each other.

4. The integrated laparoscopic amputation and suturing fixation forceps according to claim 1, characterized in that: The inner side of the traction direction converter (3) is connected to the fixing clamp (1), and the outer side surface of the traction direction converter (3) is connected to the traction rope (5).

5. The integrated laparoscopic amputation and suturing fixation forceps according to claim 1, characterized in that: The traction rope (5) is fixedly connected to the traction direction converter (3), and the proximal end of the first traction rope (51) is connected to the left side of the first traction direction converter (31), and the distal end of the first traction rope (51) is connected to the left side of the first rotating shaft (21).

6. The integrated laparoscopic amputation and suturing fixation forceps according to claim 1, characterized in that: One end of the second traction rope (52) is connected to the right side surface of the second traction direction converter (32), and the other end of the second traction rope (52) is connected to the right side surface of the second rotating shaft (22).

7. The integrated laparoscopic amputation and suturing fixation forceps according to claim 1, characterized in that: The brake rope (6) passes through the interior of the rotating shaft (2), and the brake rope (6) is connected to the brake lever (8) by welding, and the position below the rotating shaft (2) of the device body is arranged as a hollow structure.

8. The integrated laparoscopic amputation and suturing fixation forceps according to claim 1, characterized in that: The traction direction converter (3) and the fixing clamp (1) are arranged as a chimeric structure.

9. The integrated laparoscopic amputation and suturing fixation forceps according to claim 1, characterized in that: The handle (9) comprises a movable handle (91) and a holding handle (92); the movable handle (91) is arranged below the fixing clamp selector (7), and the interior of the fixing clamp selector (7) is connected to the movable handle (91).

10. The integrated laparoscopic amputation and suturing fixation forceps according to claim 1, characterized in that: The proximal end of the traction rope (5) is connected to the fixing clamp selector (7) and the movable handle (91); the fixing clamp selector (7) is set to three gears: left, middle and right; the middle gear of the fixing clamp selector (7) is not connected to anything; the left gear of the fixing clamp selector (7) is connected to the first traction rope (51); and the right gear of the fixing clamp selector (7) is connected to the second traction rope (52).

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