Multifunctional operating forceps

By designing multifunctional surgical forceps, combined with innovative design of the cutting head assembly and handle assembly, the existing surgical forceps have solved the problems of single function and complex operation, realizing the functions of multi-angle injection, cold cutting and electrocoagulation and hemostasis, and improving the stability and efficiency of the surgery.

CN222657177UActive Publication Date: 2025-03-25THE SECOND AFFILIATED HOSPITAL ARMY MEDICAL UNIV
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Patent Information

Application Number
CN202421123232.1
Authority / Receiving Office
CN · China
Patent Type
Utility models(China)
Current Assignee / Owner
Filing Date
2024-05-22
Publication Date
2025-03-25
Estimated Expiration
2034-05-22

AI Technical Summary

Technical Problem

The existing surgical forceps have a single function, making it difficult to achieve cold cutting and electrocoagulation and hemostasis at the same time while injections from multiple angles. The operation steps are complicated and multiple instruments are required to be replaced.

Method used

A multifunctional surgical forceps are designed, including a cutting head assembly, an outer tube assembly and a handle assembly, which has a rotatable second cutting head and an injection hole, and the handle assembly realizes the multi-angle movement and electrocoagulation function of the cutting head assembly through springs and conductive wires.

Benefits of technology

It realizes cold cutting and electrocoagulation and hemostasis at the same time as the bladder injection is performed at multiple angles, simplifying the operation steps, reducing the number of device replacements, and improving the stability and efficiency of the operation.

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Abstract

The pair of multifunctional operating forceps comprises a tool bit assembly, an outer tube assembly and a handle assembly, the tool bit assembly is arranged at one end of the outer tube assembly, the other end of the outer tube assembly is connected with the handle assembly, the tool bit assembly comprises a first tool bit and a second tool bit, the first tool bit is fixedly connected with the outer tube assembly, and the second tool bit is fixedly connected with the handle assembly. The handle assembly comprises a fixed handle and a sliding handle, the fixed handle is sleeved with the sliding handle in a sliding mode, a flow guide hole is formed in the bottom side of the fixed handle, a conducting rod is arranged on the top side of the sliding handle, a spring is arranged in the handle assembly, and one end of the spring is fixedly installed on the fixed handle. The sliding handle slides back and forth, so that the knife head assembly is driven to be opened and closed, the functions of cold cutting of bladder tumor, biopsy of bladder tissue and the like can be achieved, cold cutting and electric coagulation hemostasis can be achieved while multi-angle injection of the bladder is achieved, and excision stability is improved.
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Description

Technical Field

[0001] The utility model relates to the technical field of medical instruments, in particular to a pair of multifunctional surgical forceps. Background Art

[0002] Minimally invasive surgery is currently the main research hotspot in surgical treatment, and often requires one instrument to achieve multiple functions. However, current instruments, such as endoscopic tumor dissection surgery, require the use of multiple instruments such as injection needles, electrocoagulators, and ligation devices. They have single functions and complex operating steps, and require the replacement of multiple instruments.

[0003] Urological surgery refers to surgical procedures that treat urinary system diseases. The urinary system includes organs such as the kidneys, ureters, bladder and urethra. Common urological surgeries include ureterolithotomy, ureteral end-to-end anastomosis, urethral stricture incision, etc. Currently, many clinical diseases require bladder injections through the urethra. The scope of application of urological surgical instruments is also gradually extending. New technologies that require bladder injections, biopsies, and other treatments are also being gradually developed. However, the current routine basic steps are to use a bladder injection needle to complete the bladder injection first, and then replace other surgical equipment such as an electrosurgical ring to perform steps including cutting and hemostasis.

[0004] Patent No. CN201920334638.7 proposes a flexible laparoscopic surgical forceps, including a fixed handle, an outer protective tube is provided on the fixed handle, one end of the outer protective tube is connected to the fixed handle, and the other end is provided with a forceps head, and the forceps head is connected to a movable handle on the fixed handle, and is characterized in that the other end of the outer protective tube is connected to the forceps head through an active head, the active head is hinged to the other end of the outer protective tube, an elbow pull rod is provided between the active head and the outer protective tube, one end of the elbow pull rod is hinged to the active head, and the hinged part where the elbow pull rod is connected to the active head is far away from the hinged part where the active head is connected to the outer protective tube, thereby reducing the difficulty of the operation; however, only cutting can be performed, internal injection cannot be achieved at the same time, and cold cutting and electrocoagulation hemostasis cannot be achieved while injecting at multiple angles.

[0005] The patent number: CN202021098577.8 is based on the previous work of this research group and is further clarified on this basis, including a variety of handle types. Therefore, those skilled in the art provide a multifunctional surgical forceps to solve the problems raised in the above background technology. Utility Model Content

[0006] The purpose of the utility model is to provide a multifunctional surgical forceps to solve the problems raised in the above background technology.

[0007] To achieve the above-mentioned purpose, the utility model provides the following technical solutions: a multifunctional surgical forceps, comprising a blade head assembly, an outer tube assembly and a handle assembly, the blade head assembly being arranged at one end of the outer tube assembly, and the other end of the outer tube assembly being connected to the handle assembly, the blade head assembly comprising a first blade head and a second blade head, the first blade head being fixedly connected to one end of the outer tube assembly, and the second blade head being rotatably connected to one end of the outer tube assembly via a rotating shaft, the handle assembly comprising a fixed handle and a sliding handle, the sliding handle being slidably sleeved on the outside of the fixed handle, the fixed handle being connected to the other end of the outer tube assembly, a guide hole being arranged on the bottom side of the fixed handle, a conductive rod being arranged on the top side of the sliding handle, a spring being arranged inside the handle assembly, one end of the spring being fixedly mounted on the fixed handle, and the other end of the spring being fixedly mounted on the sliding handle.

[0008] As a further solution of the utility model: a guide tube is arranged inside the outer tube assembly, the first blade head is a hollow structure, one end of the hollow structure is provided with an injection hole, one end of the guide tube passes through the fixed handle and is arranged inside the guide hole, and the other end of the guide tube passes through the hollow structure and is connected to the injection hole of the first blade head.

[0009] As a further solution of the utility model: a conductive wire is arranged inside the outer tube assembly, one end of the conductive wire passes through the fixed handle and is connected to a conductive rod on the top side of the sliding handle, and the other end of the conductive wire is connected to the second blade head.

[0010] As a further solution of the utility model: a cable is slidably arranged inside the outer tube assembly, one end of the cable is hingedly connected to the second cutter head, and the other end of the cable is fixedly connected to the sliding handle.

[0011] As a further solution of the utility model: the outer tube assembly includes a first outer tube and a second outer tube, the first outer tube and the second outer tube are connected by a first connecting portion, the first outer tube can be set as a universal shaping tube, the length of the first outer tube is 3-5 cm, and the bending angle of the first outer tube is 0-45°.

[0012] As a further solution of the utility model: a second connecting part is provided at the connection between the cutter head assembly and the first outer tube, the cutter head assembly is connected to the first outer tube through the second connecting part, the first cutter head is fixedly connected to the second connecting part, and the second cutter head is hinged to the second connecting part through a rotating shaft.

[0013] As a further solution of the present invention: the surface of the first cutting head is engraved with scales and the maximum scale value is 1 cm.

[0014] As a further solution of the utility model: the conductive wire and the cable are both wrapped with insulating wire.

[0015] As a further solution of the utility model: a fixed knob is provided on the sliding handle, and the end thread of the fixed knob passes through the side wall of the sliding handle and can abut against the outer wall of the fixed handle.

[0016] As a further solution of the present invention: a protection portion is provided at the end of the second cutter head, and when the cutter head assembly is closed, the protection portion is covered on the outside of the end of the first cutter head.

[0017] Compared with the prior art, the utility model has the following beneficial effects: a multifunctional surgical forceps, when in use, by tightening the fixing knob, the blade assembly remains in a closed state during the process of the device entering the bladder tract. When the surgical instrument reaches the designated affected area, by loosening the fixing knob, the sliding handle moves forward and the blade assembly will be restored to a state of opening a certain angle under the action of the spring. At this time, the injection process can be performed, and the injection liquid flows to the first blade through the guide tube in the outer tube assembly, and then the injection is completed from the injection hole on the first blade.

[0018] When shearing is required, the sliding handle is moved backward and to the right, so that the sliding handle drives the cable to move backward, thereby driving the second blade head to rotate, so that the front end of the second blade head gradually approaches the first blade head to achieve the cutting effect. When the blade head assembly is opened, it is an oblique scissors with shearing function, and the cutting function can be achieved by controlling the movement of the sliding handle.

[0019] Moreover, the first outer tube is bendable, including the conductive wire, the drainage tube, and the cable passing inside, which are all movable structures. When the entire first outer tube is bent and moved, the internal components can move in a coordinated manner, and can achieve multi-angle conversion. The utility model can implement functions such as cold cutting of bladder tumors and biopsy of bladder tissues, and can achieve cold cutting and electrocoagulation hemostasis while injecting the bladder at multiple angles, thereby improving the stability of resection. The design uses of this device include but are not limited to biopsy, resection, and hemostasis of bladder tumors, as well as scenes such as colonoscopy, gastroscopy, and bronchofiberscope that require endoscopic resection. BRIEF DESCRIPTION OF THE DRAWINGS

[0020] Figure 1 It is a structural schematic diagram of the utility model;

[0021] Figure 2 This is a front view of the utility model;

[0022] Figure 3 It is a top view of the utility model;

[0023] Figure 4 It is a cross-sectional view of the utility model;

[0024] Figure 5 for Figure 4 A magnified view of middle;

[0025] Figure 6 This is a cross-sectional view of the cutter head assembly of the utility model.

[0026] In the figure: 1. blade head assembly; 101. first blade head; 102. second blade head; 2. outer tube assembly; 201. first outer tube; 202. second outer tube; 3. handle assembly; 301. fixed handle; 302. sliding handle; 4. guide hole; 5. conductive rod; 6. spring; 7. injection hole; 8. conductive wire; 9. pull rope; 10. first connecting part; 11. second connecting part; 12. fixed knob; 13. protection part; 14. guide tube. DETAILED DESCRIPTION

[0027] The following will be combined with the drawings in the embodiments of the utility model to clearly and completely describe the technical solutions in the embodiments of the utility model. Obviously, the described embodiments are only part of the embodiments of the utility model, not all of the embodiments. Based on the embodiments in the utility model, all other embodiments obtained by ordinary technicians in this field without creative work are within the scope of protection of the utility model.

[0028] See also Figures 1 to 6 In an embodiment of the utility model, a multifunctional surgical forceps includes a blade assembly 1, an outer tube assembly 2 and a handle assembly 3, the blade assembly 1 is arranged at one end of the outer tube assembly 2, and the other end of the outer tube assembly 2 is connected to the handle assembly 3, the blade assembly 1 includes a first blade 101 and a second blade 102, the first blade 101 is fixedly connected to one end of the outer tube assembly 2, and the second blade 102 is rotatably connected to one end of the outer tube assembly 2 through a rotating shaft, the handle assembly 3 includes a fixed handle 301 and a sliding handle 302, the sliding handle 302 is slidably sleeved on the outside of the fixed handle 301, the fixed handle 301 is connected to the other end of the outer tube assembly 2, a guide hole 4 is arranged on the bottom side of the fixed handle 301, a conductive rod 5 is arranged on the top side of the sliding handle 302, a spring 6 is arranged inside the handle assembly 3, one end of the spring 6 is fixedly mounted on the fixed handle 301, and the other end of the spring 6 is fixedly mounted on the sliding handle 302. The sliding handle 302 moves in a direction close to the cutter head assembly 1 as forward movement, and the sliding handle 302 moves in a direction away from the cutter head assembly 1 as backward movement.

[0029] A guide tube 14 is arranged inside the outer tube assembly 2. The first blade head 101 is a hollow structure, and an injection hole 7 is arranged at one end of the hollow structure. One end of the guide tube 14 passes through the fixed handle 301 and is arranged inside the guide hole 4. The other end of the guide tube 14 passes through the hollow structure and is connected to the injection hole 7 of the first blade head 101.

[0030] During use, when the blade assembly 1 is in a closed state, the spring 6 is in a stretched state. By loosening the fixed knob 12, the sliding handle 302 moves forward outside the fixed handle 301, and the blade assembly 1 is restored to a state of opening a certain angle under the action of the spring 6. At this time, the injection process can be performed, and the injection liquid flows to the first blade 101 through the guide tube 14 in the outer tube assembly 2, and then the injection is completed from the injection hole 7 on the first blade 101.

[0031] A conductive wire 8 is arranged inside the outer tube assembly 2, one end of the conductive wire 8 passes through the fixed handle 301 and is connected to the conductive rod 5 on the top side of the sliding handle 302, and the other end of the conductive wire 8 is connected to the second blade head 102. Among them, an avoidance groove is opened on the top side of the fixed handle 301, and the conductive wire 8 slides through the avoidance groove, which is convenient for the conductive wire 8 to slide through when the sliding handle 302 slides on the outside of the fixed handle 301. In practical applications, electrocoagulation hemostasis is often required in urological surgery. The conductive wire 8 is connected to the conductive rod 5 and can be connected to an external plasma host, and the electrocoagulation hemostasis function is completed by foot pedal excitation.

[0032] A cable 9 is slidably arranged inside the outer tube assembly 2 , one end of the cable 9 is hingedly connected to the end of the second blade head 102 close to the handle assembly 3 , and the other end of the cable 9 is fixedly connected to the sliding handle 302 .

[0033] When in use, pulling the sliding handle 302 backward drives the cable 9 to move backward, and the backward movement of the cable 9 drives the second blade head 102 to rotate, so that the front end of the second blade head 102 gradually approaches the first blade head 101 to achieve a cutting effect, similar to the cutting action of scissors; and the blade head assembly 1 is an oblique scissors with a shearing function when it is opened, and the cutting function can be achieved by controlling the movement of the sliding handle 302.

[0034] In this embodiment, the outer tube assembly 2 includes a first outer tube 201 and a second outer tube 202. The first outer tube 201 and the second outer tube 202 are connected by a first connecting portion 10. The first outer tube 201 can be set as a universal shaping tube. The length of the first outer tube 201 is 3-5 cm, and the bending angle of the first outer tube 201 is 0-45°.

[0035] Among them, a second connecting part 11 is provided at the connection between the cutter head assembly 1 and the first outer tube 201, the cutter head assembly 1 is connected to the first outer tube 201 through the second connecting part 11, the first cutter head 101 is fixedly connected to the second connecting part 11, and the second cutter head 102 is hinged on the second connecting part 11 through a rotating shaft; the end of the second outer tube 202 away from the first outer tube 201 is fixedly connected to the front end of the fixed handle 301.

[0036] As a further solution of the present invention: the surface of the first blade head 101 is engraved with scales and the maximum scale value is 1 cm.

[0037] The first blade 101 is engraved with scales to facilitate drug injection during surgery. At the same time, the thickness of the bladder wall can be observed to avoid excessive penetration and injuring other adjacent organs such as the intestines. In addition, the depth of the needle can be adjusted according to the deformation of the bladder mucosa during the injection process.

[0038] As a further solution of the utility model: the conductive wire 8 and the cable 9 are both wrapped with insulating wire.

[0039] The sliding handle 302 is provided with a fixed knob 12, the end of which is threaded through the side wall of the sliding handle 302 and can abut against the outer wall of the fixed handle 301. By tightening the fixed knob 12, the sliding handle 302 is fixed so that it does not slide on the fixed handle 301.

[0040] In this embodiment, a protective portion 13 is provided at the end of the second cutting head 102. When the cutting head assembly 1 is closed, the protective portion 13 is covered on the outer side of the end of the first cutting head 101. When the cutting head moves, it is used to protect the cutting head and prevent the injection hole 7 of the first cutting head 101 from scratching the tissue.

[0041] The working principle of the utility model is:

[0042] A multifunctional surgical forceps, when in use, the blade assembly 1 needs to remain in a closed state during the process of the device entering the bladder tract. At this time, the sliding handle 302 is in a locked state, so that the two parts of the blade assembly 1 are closed together; when the blade assembly 1 is closed, the fixed knob 12 on the sliding handle 302 can be tightened to fix the sliding handle 302 on the fixed handle 301 to maintain the closed state; when the surgical instrument reaches the designated affected area, the fixed knob 12 can be loosened, and the sliding handle 302 moves forward. At the same time, the blade assembly 1 will be restored to a state of opening a certain angle under the action of the spring 6. At this time, the injection process can be performed, and the injection liquid flows to the first blade head 101 through the guide tube 14 in the outer tube assembly 2, and then the injection is completed from the injection hole 7 on the first blade head 101.

[0043] When shearing is required, the sliding handle 302 is moved backward, the spring 6 is stretched, the sliding handle 302 moves backward, driving the cable 9 to move backward, and the cable 9 moves backward to drive the second blade 102 to rotate, so that the front end of the second blade 102 gradually approaches the first blade 101 to achieve a cutting effect, and the blade assembly 1 is an oblique scissors with a shearing function when it is opened, and the cutting function can be achieved by controlling the movement of the sliding handle 302.

[0044] Moreover, the first outer tube 201 is bendable, including the conductive wire 8, the guide tube 14, and the pull rope 9 passing inside, which are all movable structures. When the entire first outer tube 201 is bent and moved, its internal components can move in a coordinated manner to achieve multi-angle conversion. The conductive wire 8 is connected to the second blade head 102 to achieve electrocoagulation and hemostasis during the operation; the first blade head 101 is engraved with scales to achieve drug injection during the operation. At the same time, the thickness of the bladder wall can be observed to avoid excessive penetration and injuring other adjacent organs such as the intestines. The depth of the needle can be adjusted according to the deformation of the bladder mucosa during the injection process.

[0045] Moreover, the intended uses of this device include but are not limited to biopsy, resection, and hemostasis of bladder tumors, as well as scenarios such as colonoscopy, gastroscopy, and bronchofiberoscopy that require endoscopic resection.

[0046] The above are only preferred specific implementations of the utility model, but the protection scope of the utility model is not limited to them. Any technician familiar with the technical field can make equivalent replacements or changes according to the technical solutions and utility model concepts of the utility model within the technical scope disclosed by the utility model, such as different lengths, different bending angles, and different materials under soft and hard mirrors. Similarly, the device can be used in similar cases requiring peeling, cutting, electrocoagulation, etc. under gastroscopes and fiberoptic bronchoscopes, and has clinical promotion. This application should be covered within the protection scope of the utility model.

Claims

1. A multifunctional surgical forceps, comprising a blade assembly (1), an outer tube assembly (2) and a handle assembly (3), characterized in that: The cutter head assembly (1) is arranged at one end of the outer tube assembly (2), and the other end of the outer tube assembly (2) is connected to the handle assembly (3). The cutter head assembly (1) comprises a first cutter head (101) and a second cutter head (102). The first cutter head (101) is fixedly connected to one end of the outer tube assembly (2), and the second cutter head (102) is rotatably connected to one end of the outer tube assembly (2) via a rotating shaft. The handle assembly (3) comprises a fixed handle (301) and a sliding handle (302). The sliding handle (302) is slidably sleeved on the outside of the fixed handle (301), the fixed handle (301) is connected to the other end of the outer tube assembly (2), the bottom side of the fixed handle (301) is provided with a flow guide hole (4), the top side of the sliding handle (302) is provided with a conductive rod (5), and the handle assembly (3) is provided with a spring (6), one end of the spring (6) is fixedly mounted on the fixed handle (301), and the other end of the spring (6) is fixedly mounted on the sliding handle (302).

2. The multifunctional surgical forceps according to claim 1, characterized in that: A guide tube (14) is arranged inside the outer tube assembly (2); the first blade head (101) is a hollow structure; an injection hole (7) is arranged at one end of the hollow structure; one end of the guide tube (14) passes through the fixed handle (301) and is arranged inside the guide hole (4); the other end of the guide tube (14) passes through the hollow structure and is connected to the injection hole (7) of the first blade head (101).

3. The multifunctional surgical forceps according to claim 2, characterized in that: A conductive wire (8) is arranged inside the outer tube assembly (2), one end of the conductive wire (8) passes through the fixed handle (301) and is connected to the conductive rod (5) on the top side of the sliding handle (302), and the other end of the conductive wire (8) is connected to the second blade head (102).

4. The multifunctional surgical forceps according to claim 3, characterized in that: A cable (9) is slidably arranged inside the outer tube assembly (2), one end of the cable (9) is hingedly connected to the second cutter head (102), and the other end of the cable (9) is fixedly connected to the sliding handle (302).

5. The multifunctional surgical forceps according to claim 4, characterized in that: The outer tube assembly (2) comprises a first outer tube (201) and a second outer tube (202); the first outer tube (201) and the second outer tube (202) are connected via a first connecting portion (10); the length of the first outer tube (201) is 3-5 cm; and the first outer tube (201) can be bent at an angle of 0-45°.

6. The multifunctional surgical forceps according to claim 5, characterized in that: A second connection portion (11) is provided at the connection between the cutter head assembly (1) and the first outer tube (201); the cutter head assembly (1) is connected to the first outer tube (201) via the second connection portion (11); the first cutter head (101) is fixedly connected to the second connection portion (11); and the second cutter head (102) is hinged to the second connection portion (11) via a rotating shaft.

7. The multifunctional surgical forceps according to claim 1, characterized in that: The surface of the first blade head (101) is engraved with scales, and the maximum scale value is 1 cm.

8. The multifunctional surgical forceps according to claim 4, characterized in that: The conductive wire (8) and the cable (9) are both wrapped with insulating wires.

9. The multifunctional surgical forceps according to claim 1, characterized in that: The sliding handle (302) is provided with a fixed knob (12), and the end of the fixed knob (12) is threadedly passed through the side wall of the sliding handle (302) and can abut against the outer wall of the fixed handle (301).

10. The multifunctional surgical forceps according to claim 1, characterized in that: The end of the second cutter head (102) is provided with a protection portion (13); when the cutter head assembly (1) is closed, the protection portion (13) covers the outer side of the end of the first cutter head (101).

Citation Information

Patent Citations

  • Multifunctional urinary surgery operation instrument

    CN213047255U

  • Bendable laparoscope operating forceps

    CN216570118U