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CN116869603A - Vascular damage repairing device under endoscope - Google Patents

Vascular damage repairing device under endoscope Download PDF

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Publication number
CN116869603A
CN116869603A CN202311110397.5A CN202311110397A CN116869603A CN 116869603 A CN116869603 A CN 116869603A CN 202311110397 A CN202311110397 A CN 202311110397A CN 116869603 A CN116869603 A CN 116869603A
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repair device
damage repair
blood vessel
vascular damage
clamping
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Granted
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CN202311110397.5A
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CN116869603B (en
Inventor
陈思禹
刘阳
龚太乾
鲁静
王振华
李军
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6th Medical Center of PLA General Hospital
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6th Medical Center of PLA General Hospital
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/12Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/128Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord for applying or removing clamps or clips
    • A61B17/1285Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord for applying or removing clamps or clips for minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/00234Surgical instruments, devices or methods for minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/12Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/12Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/122Clamps or clips, e.g. for the umbilical cord
    • A61B17/1227Spring clips
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/71Suction drainage systems
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/00234Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00292Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/00296Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means mounted on an endoscope
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00743Type of operation; Specification of treatment sites
    • A61B2017/00796Breast surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/12Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B2017/12004Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord for haemostasis, for prevention of bleeding
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2202/00Special media to be introduced, removed or treated
    • A61M2202/04Liquids
    • A61M2202/0413Blood

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Vascular Medicine (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Reproductive Health (AREA)
  • Hematology (AREA)
  • Anesthesiology (AREA)
  • External Artificial Organs (AREA)
  • Surgical Instruments (AREA)

Abstract

The application relates to the technical field of medical equipment, in particular to a vascular damage repair device under a endoscope, which comprises a vascular damage repair device pipe body, wherein one end of the vascular damage repair device pipe body is used for connecting a negative pressure aspirator, and the other end of the vascular damage repair device pipe body extends into a patient body to carry out negative pressure aspiration; the vascular damage repair device comprises a vascular damage repair device body, and is characterized in that a titanium clamp is arranged at one end, far away from the negative pressure suction device, of the vascular damage repair device body, a driving assembly is arranged in the vascular damage repair device body, the driving assembly is connected with the titanium clamp, and the titanium clamp is controlled to clamp and stop bleeding on a vascular damage port. The vascular damage repair device tube body and the titanium clamp are combined, so that the structure can rapidly judge the position of a bleeding point when the visual field is exposed by negative pressure suction to the bleeding at the break, clamp hemostasis is carried out, the devices entering the patient body are reduced, the operation on the position which is not directly exposed or is directly drilled at the angle is facilitated, the convenience of operation is improved, and the learning curve for the hemostasis of the study of a surgeon is reduced.

Description

一种腔镜下血管破损修补器A kind of endoscopic blood vessel damage repair device

技术领域Technical field

本发明涉及医疗器械技术领域,特别是涉及一种腔镜下血管破损修补器。The invention relates to the technical field of medical devices, and in particular to an endoscopic blood vessel damage repair device.

背景技术Background technique

在胸外科手术时多为游离血管,在游离过程中容易导致血管管壁损伤,造成大出血,会危及患者生命。对于血管损伤的处理,往往需要使用针线缝合,在缝合前使用吸引器将血管破口溢出的血吸取干净,暴露视野。然而对于现在的胸腔镜手术主操作孔往往较小,无法同时进入多个器械暴露视野调整角度,使得出现一些无法缝合的角度,以及在淘通血管过程中,发生在血管背面的破损,几乎没有缝合的机会。会导致缝合止血的失败,增加开胸的几率甚至发生死亡。During thoracic surgery, most blood vessels are freed. During the freeing process, the blood vessel wall is easily damaged, causing massive bleeding and endangering the patient's life. For the treatment of blood vessel injuries, it is often necessary to use needles and threads to suture. Before suturing, use a suction device to absorb the blood that overflows from the blood vessel break and expose the field of vision. However, the main operating hole of current thoracoscopic surgeries is often small, and it is impossible to access multiple instruments at the same time to expose the field of view and adjust the angle, resulting in some angles that cannot be sutured. In addition, during the process of removing blood vessels, there is almost no damage to the back of the blood vessels. Opportunity to sew. It will lead to failure of suture hemostasis, increase the chance of thoracotomy and even death.

发明内容Contents of the invention

(一)解决的技术问题(1) Technical problems solved

针对现有技术的不足,本发明提供一种腔镜下血管破损修补器,将血管破损修补器管体和钛夹结合,使得该结构在对破口出血进行负压吸引暴露视野的同时能够快速判断出血点位置,并对出血点进行夹闭止血,进而减少进入患者体内的器械,方便对角度刁钻或无法直接暴露的位置进行操作,提高了手术的便捷性,减少外科医生学习止血的学习曲线。In view of the shortcomings of the existing technology, the present invention provides a endoscopic vascular damage repair device, which combines the vascular damage repair device tube body and a titanium clip, so that the structure can quickly absorb and expose the field of view while applying negative pressure to the bleeding wound. Determine the location of the bleeding point and clamp the bleeding point to stop bleeding, thereby reducing the number of instruments entering the patient's body, making it easier to operate on difficult-to-reach locations or locations that cannot be directly exposed, improving the convenience of surgery and reducing the surgeon's learning curve for hemostasis. .

(二)技术方案(2) Technical solutions

为实现上述目的,本申请实施例提供了一种腔镜下血管破损修补器,包括血管破损修补器管体,所述血管破损修补器管体的一端用于连接负压吸引器,另一端伸入患者体内进行负压吸引;所述血管破损修补器管体远离所述负压吸引器的一端设置有钛夹,所述血管破损修补器管体内设置有驱动组件,所述驱动组件连接所述钛夹,且控制所述钛夹对血管破损口进行夹闭止血。In order to achieve the above object, an embodiment of the present application provides a endoscopic blood vessel damage repair device, which includes a blood vessel damage repair device body. One end of the blood vessel damage repair device body is used to connect a negative pressure suction device, and the other end extends Enter the patient's body to perform negative pressure suction; the end of the tube body of the damaged blood vessel repair device away from the negative pressure suction device is provided with a titanium clip, and a driving component is provided in the tube body of the damaged blood vessel repair device, and the driving component is connected to the A titanium clip is used to control the titanium clip to clamp the damaged opening of the blood vessel to stop bleeding.

优选的,所述钛夹包括形状为V形的第一夹持部和第二夹持部,所述第一夹持部和第二夹持部一端一体成型,另一端形成对血管破损口夹持的夹持口,所述第一夹持部和第二夹持部对称设置,所述夹持口位于血管破损修补器管体外的一侧,所述第一夹持部和第二夹持部相互远离的一侧形成抵接部,所述驱动组件通过抵接所述抵接部控制所述夹持口进行夹闭动作。Preferably, the titanium clip includes a V-shaped first clamping part and a second clamping part. One end of the first clamping part and the second clamping part is integrally formed, and the other end forms a clamp for damaged blood vessels. The first clamping part and the second clamping part are symmetrically arranged. The clamping opening is located on one side of the outer body of the vascular damage repair device. The first clamping part and the second clamping part are arranged symmetrically. A contact portion is formed on the side away from each other, and the driving assembly controls the clamping port to perform a clamping action by contacting the contact portion.

优选的,所述血管破损修补器管体内部且远离所述负压吸引器的一端开设有弧形孔,所述弧形孔在血管破损修补器管体的管壁上对称开设有两个;所述弧形孔包括第一孔段和第二孔段,所述第一孔段和第二孔段相互远离的一端分别贯穿所述血管破损修补器管体的内壁;所述第一孔段位于所述第二孔段远离所述负压吸引器的一端,且所述第一孔段贯穿所述血管破损修补器管体内壁的一端垂直于所述内壁;所述驱动组件穿过两个所述弧形孔,且对所述钛夹进行驱动。Preferably, an arc-shaped hole is provided inside the body of the damaged blood vessel repair device and at one end away from the negative pressure aspirator, and two of the arc-shaped holes are symmetrically provided on the wall of the body of the damaged blood vessel repair device; The arc-shaped hole includes a first hole section and a second hole section, and the ends of the first hole section and the second hole section that are far away from each other penetrate the inner wall of the blood vessel damage repair device body; the first hole section Located at one end of the second hole segment away from the negative pressure aspirator, and one end of the first hole segment penetrating the inner wall of the vascular damage repair device tube is perpendicular to the inner wall; the driving component passes through two The arc-shaped hole is used to drive the titanium clip.

优选的,所述驱动组件包括位于所述血管破损修补器管体内的连接管,所述连接管靠近所述钛夹的一端形成有两个分接口,在每一个分接口上分别连通有分支管,每一个所述分支管远离所述连接管的一端分别插接于所述弧形孔内,且所述分支管与所述弧形孔固定连接;在每一个所述分支管内滑动设置有橡胶柱,所述橡胶柱内壁与所述分支管内壁抵接;在所述连接管远离所述分支管的一端连接有驱动件,所述驱动件能向所述连接管内注入液体;所述驱动件通过液体传递压力,使所述橡胶柱由弧形孔滑出对所述钛夹进行压紧。Preferably, the driving assembly includes a connecting tube located in the body of the blood vessel damage repair device. Two branch ports are formed on one end of the connecting tube close to the titanium clip, and branch tubes are connected to each branch port. , one end of each branch pipe away from the connecting pipe is inserted into the arc-shaped hole, and the branch pipe is fixedly connected to the arc-shaped hole; a rubber is slidably provided in each branch pipe column, the inner wall of the rubber column is in contact with the inner wall of the branch pipe; a driving member is connected to one end of the connecting pipe away from the branch pipe, and the driving member can inject liquid into the connecting pipe; the driving member The pressure is transmitted through the liquid, so that the rubber column slides out from the arc hole to compress the titanium clamp.

优选的,所述驱动件包括外接管和注射器,所述血管破损修补器管体远离所述钛夹一端的侧壁上开设有安装孔,所述外接管外壁与所述安装孔密封固定连接;所述外接管伸入血管破损修补器管体的一端与连接管连通,另一端与所述注射器的出口连通。Preferably, the driving member includes an external tube and a syringe, a mounting hole is provided on the side wall of the end of the vascular damage repair device body away from the titanium clip, and the outer wall of the external tube is sealed and fixedly connected to the mounting hole; One end of the external tube extending into the body of the damaged blood vessel repair device is connected to the connecting tube, and the other end is connected to the outlet of the syringe.

优选的,所述钛夹在弹性作用下张开时,所述抵接部与第二孔段端部抵接。Preferably, when the titanium clip is opened under the action of elasticity, the contact portion contacts the end of the second hole section.

优选的,所述血管破损修补器管体内壁且位于所述第一孔段远离第二孔段的一端形成有截面为V形的限位槽,在夹闭前,所述钛夹的抵接部抵接于所述限位槽内。Preferably, a limiting groove with a V-shaped cross-section is formed on the inner wall of the tube of the blood vessel damage repair device and at one end of the first hole section away from the second hole section. Before clamping, the titanium clip contacts The part abuts in the limiting groove.

优选的,所述驱动件控制所述钛夹夹闭前,所述第一夹持部和第二夹持部靠近所述夹持口的一侧分别位于所述弧形孔内,且所述夹持口与所述血管破损修补器管体的内径相同。Preferably, before the driving member controls the titanium clip to close, the sides of the first clamping part and the second clamping part close to the clamping opening are respectively located in the arc-shaped hole, and the The inner diameter of the clamping opening is the same as the tube body of the damaged blood vessel repair device.

(三)有益效果(3) Beneficial effects

本发明提供了一种腔镜下血管破损修补器,在进行胸外科手术时, 当发现血管破损情况,将血管破损修补器管体插入患者体内进行负压吸引,调整血管破损修补器管体至合适位置,将出血吸走,当血管破损修补器管体外周无血渗出时,出血全部由血管破损修补器管体吸出时,可判断血管破损修补器管体全部覆盖出血点,通过注射器向连接管内注射液体,通过液压向分支管内的橡胶柱施加压力,使得橡胶柱向外滑动,在滑动过程中,与钛夹的抵接部抵紧,使得钛夹夹闭血管破损口,达到止血目的。该方式将血管破损修补器管体和钛夹结合,使得该结构既可以对出血进行负压吸引,也能协助查找出血点,同时能够进行夹闭止血,且减少进入患者体内的器械,方便对角度刁钻或无法直接暴露的位置进行操作,提高了手术的便捷性,同时,减少外科医生学习止血的学习曲线。The invention provides an endoscopic blood vessel damage repair device. During thoracic surgery, when blood vessel damage is discovered, the blood vessel damage repair device tube body is inserted into the patient's body for negative pressure suction, and the blood vessel damage repair device tube body is adjusted to Suction the bleeding away at the appropriate position. When there is no blood leaking out from the outer periphery of the damaged blood vessel repair device and all the bleeding is sucked out by the damaged blood vessel repair device body, it can be judged that the entire blood vessel repair device body covers the bleeding point. Use the syringe to Liquid is injected into the connecting tube, and hydraulic pressure is applied to the rubber column in the branch pipe, causing the rubber column to slide outward. During the sliding process, it is in contact with the abutting part of the titanium clip, causing the titanium clip to clamp the damaged opening of the blood vessel to stop bleeding. . This method combines the body of the damaged blood vessel repair device with a titanium clip, so that the structure can not only perform negative pressure suction for bleeding, but also assist in finding the bleeding point. At the same time, it can clamp and stop bleeding, and reduce the number of instruments entering the patient's body, making it easier to treat bleeding. Operating at awkward angles or in locations that cannot be directly exposed improves the convenience of surgery and at the same time reduces the surgeon's learning curve for hemostasis.

附图说明Description of the drawings

图1为本发明一种腔镜下血管破损修补器的结构示意图;Figure 1 is a schematic structural diagram of a laparoscopic blood vessel damage repair device according to the present invention;

图2为本发明一种腔镜下血管破损修补器中突出血管破损修补器管体和驱动组件连接关系的剖视图;Figure 2 is a cross-sectional view of the connection relationship between the tube body and the driving assembly of the protruding blood vessel damage repair device of the endoscopic blood vessel damage repair device of the present invention;

图3为本发明一种腔镜下血管破损修补器中突出血管破损修补器管体的剖视图;Figure 3 is a cross-sectional view of the tube body of a protruding blood vessel damage repair device in a laparoscopic blood vessel damage repair device according to the present invention;

图4为本发明一种腔镜下血管破损修补器中突出钛夹的示意图;Figure 4 is a schematic diagram of a protruding titanium clip in a laparoscopic vascular damage repair device according to the present invention;

图5为本发明一种腔镜下血管破损修补器中突出控制钛夹夹闭时的状态图。Figure 5 is a state diagram of the protrusion-controlled titanium clip in the laparoscopic vascular damage repair device according to the present invention.

附图中标记:Markings in the attached picture:

100、血管破损修补器管体;110、弧形孔;111、第一孔段;112、第二孔段;120、限位槽;200、钛夹;210、第一夹持部;220、第二夹持部;230、夹持口;240、抵接部;300、驱动组件;310、连接管;320、分支管;330、橡胶柱;340、外接管;350、注射器;400、负压吸引器。100. Tube body of blood vessel damage repair device; 110. Arc-shaped hole; 111. First hole section; 112. Second hole section; 120. Limiting groove; 200. Titanium clip; 210. First clamping part; 220. Second clamping part; 230, clamping mouth; 240, contact part; 300, drive assembly; 310, connecting pipe; 320, branch pipe; 330, rubber column; 340, external pipe; 350, syringe; 400, negative Press the suction device.

具体实施方式Detailed ways

下面将结合本发明实施例中的附图,对本发明实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例仅仅是本发明一部分实施例,而不是全部的实施例。基于本发明中的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例,都属于本发明保护的范围。The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present invention. Obviously, the described embodiments are only some of the embodiments of the present invention, rather than all the embodiments. Based on the embodiments of the present invention, all other embodiments obtained by those of ordinary skill in the art without creative efforts fall within the scope of protection of the present invention.

实施例Example

本发明提供了一种腔镜下血管破损修补器,参见图1-图5,包括血管破损修补器管体100,血管破损修补器管体100的一端用于连接负压吸引器400,另一端伸入患者体内进行负压吸引。其中,负压吸引器400为医院中现有使用的设备,血管破损修补器管体100在靠近负压吸引器400的一端设置为能够与负压吸引器400连接的形状,具体基于负压吸引器400型号进行确定,在此不限。The present invention provides an endoscopic blood vessel damage repair device, see Figures 1 to 5, which includes a blood vessel damage repair device body 100. One end of the blood vessel damage repair device body 100 is used to connect a negative pressure aspirator 400, and the other end Reach into the patient's body to perform negative pressure suction. Among them, the negative pressure aspirator 400 is a device currently used in the hospital. The tube body 100 of the damaged blood vessel repair device is set in a shape that can be connected to the negative pressure aspirator 400 at one end close to the negative pressure aspirator 400. Specifically, based on the negative pressure suction Determine the model of the device 400, which is not limited here.

血管破损修补器管体100远离负压吸引器400的一端设置有钛夹200,钛夹200的部分位于血管破损修补器管体100端口处。血管破损修补器管体100内设置有驱动组件300,驱动组件300连接钛夹200,且控制钛夹200对血管破损口进行夹闭。通过该设置,在进行胸外科手术时,如果出现血管破损情况,将血管破损修补器管体100插入患者体内进行负压吸引,将出血吸出,逐步寻找出血点,当出血全部从血管破损修补器管体100吸走时,可以认为血管破损修补器管体100已将出血点全部覆盖,通过驱动组件300控制钛夹200对出血点进行夹闭,达到止血目的,该方式将血管破损修补器管体100和钛夹200结合,使得该结构既可以对出血进行负压吸引,同时能够进行夹闭止血,减少进入患者体内的器械,方便对角度刁钻或无法直接暴露的位置进行操作,提高了手术的便捷性。A titanium clip 200 is provided at one end of the vascular damage repair device body 100 away from the negative pressure suction device 400. The titanium clip 200 is located at the port of the vascular damage repair device body 100. A driving assembly 300 is provided in the body 100 of the blood vessel damage repair device. The driving assembly 300 is connected to the titanium clip 200 and controls the titanium clip 200 to clamp the damaged opening of the blood vessel. With this setting, during thoracic surgery, if a blood vessel is damaged, the tube body 100 of the damaged blood vessel repair device is inserted into the patient's body for negative pressure suction, and the bleeding is sucked out, and the bleeding point is gradually found. When all the bleeding is from the damaged blood vessel repair device, When the tube body 100 is sucked away, it can be considered that the blood vessel damage repair device tube body 100 has completely covered the bleeding points, and the titanium clip 200 is controlled by the driving assembly 300 to clamp the bleeding points to achieve the purpose of hemostasis. In this way, the blood vessel damage repair device tube body The combination of 100 and titanium clip 200 allows this structure to not only perform negative pressure suction for bleeding, but also perform clamping and hemostasis, reducing the number of instruments entering the patient's body, making it easier to operate on positions with tricky angles or that cannot be directly exposed, and improves the efficiency of surgery. Convenience.

其中,钛夹200包括形状为V形的第一夹持部210和第二夹持部220,第一夹持部210和第二夹持部220一端一体成型,另一端形成对血管破损口夹持的夹持口230,第一夹持部210和第二夹持部220对称设置,夹持口230位于血管破损修补器管体100外的一侧,第一夹持部210和第二夹持部220相互远离的一侧形成抵接部240,驱动组件300通过抵接抵接部240控制夹持口230进行夹闭动作。The titanium clip 200 includes a V-shaped first clamping part 210 and a second clamping part 220. One end of the first clamping part 210 and the second clamping part 220 is integrally formed, and the other end forms a clamp for damaged blood vessels. The first clamping part 210 and the second clamping part 220 are symmetrically arranged. The clamping opening 230 is located on one side outside the vascular damage repair device body 100. The first clamping part 210 and the second clamping part 230 are arranged symmetrically. A contact portion 240 is formed on the side of the holding portions 220 that is far away from each other. The driving assembly 300 controls the clamping opening 230 to perform a clamping action by contacting the contact portion 240 .

血管破损修补器管体100内部且远离负压吸引器400的一端开设有弧形孔110,弧形孔110在血管破损修补器管体100的管壁上对称开设有两个。An arc-shaped hole 110 is provided inside the body 100 of the blood vessel damage repair device and at one end away from the negative pressure suction device 400 . Two arc-shaped holes 110 are symmetrically provided on the wall of the body 100 of the blood vessel damage repair device.

弧形孔110包括相互连通的第一孔段111和第二孔段112,第一孔段111和第二孔段112相互远离的一端分别贯穿血管破损修补器管体100的内壁;第一孔段111位于第二孔段112远离负压吸引器400的一端,且第一孔段111贯穿血管破损修补器管体100内壁的一端垂直于内壁。The arc hole 110 includes a first hole section 111 and a second hole section 112 that are connected to each other. The ends of the first hole section 111 and the second hole section 112 that are far away from each other penetrate the inner wall of the blood vessel damage repair device body 100 respectively; the first hole The segment 111 is located at one end of the second hole segment 112 away from the negative pressure suction device 400, and one end of the first hole segment 111 penetrates the inner wall of the vascular damage repair device body 100 and is perpendicular to the inner wall.

更好的,在血管破损修补器管体100内壁且位于第一孔段111远离第二孔段112的一端形成有截面为V形的限位槽120,在夹闭前,钛夹200的抵接部240抵接于限位槽120内。Preferably, a limiting groove 120 with a V-shaped cross-section is formed on the inner wall of the vascular damage repair device body 100 and located at one end of the first hole section 111 away from the second hole section 112. Before clamping, the titanium clip 200 resists. The connecting portion 240 is in contact with the limiting groove 120 .

进一步的,驱动件控制钛夹200夹闭前,第一夹持部210和第二夹持部220靠近夹持口230的一侧分别位于所述弧形孔110内,且夹持口230与血管破损修补器管体100的内径相同。进而,当血管破损修补器管体100覆盖出血点后,吸出出血后,判断出血点位于血管破损修补器管体100内时,通过将夹持口230和血管破损修补器管体100内径设置为相同,可以尽可能的扩大钛夹夹闭的范围,进而覆盖出血点。Further, before the driver controls the titanium clamp 200 to clamp, the sides of the first clamping part 210 and the second clamping part 220 close to the clamping opening 230 are respectively located in the arc-shaped hole 110, and the clamping opening 230 and The inner diameters of the blood vessel damage repair device tube bodies 100 are the same. Furthermore, when the blood vessel damage repair device body 100 covers the bleeding point and the bleeding is sucked out, and it is judged that the bleeding point is located within the blood vessel damage repair device body 100, the inner diameter of the clamping port 230 and the blood vessel damage repair device body 100 is set to Similarly, the titanium clip can expand the clamping range as much as possible to cover the bleeding point.

驱动组件300穿过两个弧形孔110,且对钛夹200进行驱动。钛夹200在弹性作用下张开时,抵接部240与第二孔段112端部抵接。在进入患者体内时,钛夹200能够通过两个第二孔段112限位。需要说明的是,在操作过程中,即使钛夹200掉落,因为血管破损修补器管体100一直保持负压吸引的状态,且钛夹200位于血管破损修补器管体100的管口位置,所以钛夹200如果掉落,也能够由血管破损修补器管体100排出体外不会进入血管内血液循环。The driving assembly 300 passes through the two arc-shaped holes 110 and drives the titanium clip 200. When the titanium clip 200 is opened under elasticity, the contact portion 240 contacts the end of the second hole section 112 . When entering the patient's body, the titanium clip 200 can be limited by the two second hole sections 112 . It should be noted that during the operation, even if the titanium clip 200 falls, because the vascular damage repair device body 100 always maintains the state of negative pressure suction, and the titanium clip 200 is located at the nozzle position of the vascular damage repair device body 100, Therefore, if the titanium clip 200 falls, it can be discharged from the body 100 of the damaged blood vessel repair device without entering the intravascular blood circulation.

驱动组件300包括位于血管破损修补器管体100内的连接管310,连接管310靠近钛夹200的一端形成有两个分接口,在每一个分接口上分别连通有分支管320,每一个分支管320远离连接管310的一端分别插接于弧形孔110内,且分支管320与弧形孔110固定连接。其中,分接口与分支管320的连接方式为固定连接。The driving assembly 300 includes a connecting tube 310 located in the body 100 of the vascular damage repair device. The connecting tube 310 is formed with two branch ports at one end close to the titanium clip 200. Each branch port is connected to a branch tube 320, and each branch is connected to the connecting tube 310. One end of the tube 320 away from the connecting tube 310 is inserted into the arc hole 110 respectively, and the branch tube 320 is fixedly connected to the arc hole 110 . The connection between the branch port and the branch pipe 320 is a fixed connection.

在每一个分支管320内滑动设置有橡胶柱330,橡胶柱330内壁与分支管320内壁抵接;在连接管310远离分支管320的一端连接有驱动件,驱动件能向连接管310内注入液体;驱动件通过液体提供水压,使橡胶柱330由弧形孔110滑出对钛夹200进行压紧。当夹闭止血后,橡胶柱330与钛夹200分离,钛夹200保持对出血口夹闭止血状态。A rubber column 330 is slidably provided in each branch pipe 320, and the inner wall of the rubber column 330 is in contact with the inner wall of the branch pipe 320; a driving member is connected to the end of the connecting pipe 310 away from the branch pipe 320, and the driving member can inject into the connecting pipe 310. Liquid; the driving member provides water pressure through the liquid, causing the rubber column 330 to slide out from the arc hole 110 and compress the titanium clamp 200. After clamping to stop bleeding, the rubber column 330 is separated from the titanium clip 200, and the titanium clip 200 remains in a clamping and hemostatic state to the bleeding port.

驱动件包括外接管340和注射器350,血管破损修补器管体100远离钛夹200一端的侧壁上开设有安装孔,外接管340外壁与安装孔密封固定连接。外接管340伸入血管破损修补器管体100的一端与连接管310连通,另一端与注射器350的出口连通。The driving component includes an external tube 340 and a syringe 350. A mounting hole is provided on the side wall of the end of the vascular damage repair device body 100 away from the titanium clip 200. The outer wall of the external tube 340 is sealed and fixedly connected to the mounting hole. One end of the external tube 340 extends into the body 100 of the damaged blood vessel repair device and is connected to the connecting tube 310 , and the other end is connected to the outlet of the syringe 350 .

本发明提供了一种腔镜下血管破损修补器,在进行胸外科手术时,当发现血管破损情况,将血管破损修补器管体100插入患者体内进行负压吸引,调整血管破损修补器管体100至合适位置,将出血吸走,当血管破损修补器管体100外周无血渗出时,出血全部由血管破损修补器管体100吸出时,可判断血管破损修补器管体100全部覆盖出血点,通过注射器350向连接管310内注射液体,通过液压向分支管320内的橡胶柱330施加压力,使得橡胶柱330向外滑动,在滑动过程中,与钛夹200的抵接部240抵紧,使得钛夹200夹闭血管破损口,达到止血目的。该方式将血管破损修补器管体100和钛夹200结合,使得该结构既可以对出血进行负压吸引,也能协助查找出血点,同时能够进行夹闭止血,且减少进入患者体内的器械,方便对角度刁钻或无法直接暴露的位置进行操作,提高了手术的便捷性,同时,减少外科医生学习止血的学习曲线。The invention provides an endoscopic blood vessel damage repair device. During thoracic surgery, when blood vessel damage is discovered, the blood vessel damage repair device tube body 100 is inserted into the patient's body for negative pressure suction, and the blood vessel damage repair device tube body is adjusted. 100 to the appropriate position, and suck away the bleeding. When there is no blood leaking out from the periphery of the damaged blood vessel repair device body 100 and all the bleeding is sucked out by the damaged blood vessel repair device body 100, it can be judged that the damaged blood vessel repair device body 100 fully covers the bleeding. point, inject liquid into the connecting tube 310 through the syringe 350, and apply pressure to the rubber column 330 in the branch pipe 320 through hydraulic pressure, so that the rubber column 330 slides outward, and during the sliding process, it abuts against the abutting portion 240 of the titanium clip 200. Tightly, the titanium clip 200 clamps the damaged opening of the blood vessel to achieve the purpose of stopping bleeding. This method combines the vascular damage repair device body 100 and the titanium clip 200, so that the structure can not only perform negative pressure suction for bleeding, but also assist in finding bleeding points. At the same time, it can clamp and stop bleeding, and reduce the number of instruments entering the patient's body. It is convenient to operate on positions with awkward angles or that cannot be directly exposed, which improves the convenience of surgery and at the same time reduces the learning curve for surgeons to learn to stop bleeding.

在本发明的描述中,需要说明的是,术语“中心”、“上”、“下”、“左”、“右”、“竖直”、“水平”、“内”、“外”、“前”、“后”等指示的方位或位置关系为基于附图所示的方位或位置关系,仅是为了便于描述本发明和简化描述,而不是指示或暗示所指的装置或元件必须具有特定的方位、以特定的方位构造和操作,因此不能理解为对本发明的限制。此外,术语“第一”、“第二”、“第三”仅用于描述目的,而不能理解为指示或暗示相对重要性。In the description of the present invention, it should be noted that the terms "center", "upper", "lower", "left", "right", "vertical", "horizontal", "inner", "outer", The orientation or positional relationship indicated by "front", "rear", etc. is based on the orientation or positional relationship shown in the drawings, and is only for the convenience of describing the present invention and simplifying the description, and does not indicate or imply that the device or element referred to must have Specific orientations, construction and operation in specific orientations and therefore are not to be construed as limitations of the invention. Furthermore, the terms “first”, “second” and “third” are used for descriptive purposes only and are not to be construed as indicating or implying relative importance.

在本发明的描述中,需要说明的是,除非另有明确的规定和限定,术语“安装”、“相连”、“连接”应做广义理解,例如,可以是固定连接,也可以是可拆卸连接,或一体地连接、可以是机械连接,也可以是电连接、可以是直接相连,也可以通过中间媒介间接相连,可以是两个元件内部的连通。对于本领域的普通技术人员而言,可以具体情况理解上述术语在本发明中的具体含义。在不冲突的情况下,本发明中的实施例及实施例中的特征可以相互组合。In the description of the present invention, it should be noted that, unless otherwise clearly stated and limited, the terms "installation", "connection" and "connection" should be understood in a broad sense. For example, it can be a fixed connection or a detachable connection. Connection, or integral connection, may be a mechanical connection or an electrical connection, may be a direct connection, or may be an indirect connection through an intermediate medium, or may be an internal connection between two components. For those of ordinary skill in the art, the specific meanings of the above terms in the present invention can be understood on a case-by-case basis. The embodiments and features of the embodiments of the present invention may be combined with each other without conflict.

以上所述实施例仅表达了本发明的实施方式,其描述较为具体和详细,但并不能因此而理解为对本发明专利范围的限制。应当指出的是,对于本领域的普通技术人员来说,在不脱离本发明构思的前提下,还可以做出若干变形和改进,这些都属于本发明的保护范围。因此,本发明专利的保护范围应以所附权利要求为准。The above-mentioned embodiments only express the implementation of the present invention, and their descriptions are relatively specific and detailed, but they should not be construed as limiting the patent scope of the present invention. It should be noted that, for those of ordinary skill in the art, several modifications and improvements can be made without departing from the concept of the present invention, and these all belong to the protection scope of the present invention. Therefore, the scope of protection of the patent of the present invention should be determined by the appended claims.

Claims (8)

1.一种腔镜下血管破损修补器,其特征在于:包括血管破损修补器管体(100),1. A endoscopic vascular damage repair device, characterized by: including a vascular damage repair device body (100), 所述血管破损修补器管体(100)的一端用于连接负压吸引器(400),另一端伸入患者体内进行负压吸引;One end of the tube body (100) of the damaged blood vessel repair device is used to connect the negative pressure suction device (400), and the other end is extended into the patient's body for negative pressure suction; 所述血管破损修补器管体(100)远离所述负压吸引器(400)的一端设置有钛夹(200),所述血管破损修补器管体(100)内设置有驱动组件(300),所述驱动组件(300)连接所述钛夹(200),且控制所述钛夹(200)对血管破损口进行夹闭止血。A titanium clip (200) is provided at one end of the blood vessel damage repair device body (100) away from the negative pressure suction device (400), and a driving assembly (300) is provided in the blood vessel damage repair device body (100). , the driving assembly (300) is connected to the titanium clip (200), and controls the titanium clip (200) to clamp the damaged opening of the blood vessel to stop bleeding. 2.根据权利要求1所述的一种腔镜下血管破损修补器,其特征在于:所述钛夹(200)包括形状为V形的第一夹持部(210)和第二夹持部(220);2. A endoscopic vascular damage repair device according to claim 1, characterized in that: the titanium clip (200) includes a V-shaped first clamping part (210) and a second clamping part. (220); 所述第一夹持部(210)和第二夹持部(220)一端一体成型,另一端形成对血管破损口夹持的夹持口(230);所述第一夹持部(210)和第二夹持部(220)对称设置,所述夹持口(230)位于血管破损修补器管体(100)外的一侧;One end of the first clamping part (210) and the second clamping part (220) is integrally formed, and the other end forms a clamping opening (230) for clamping the damaged opening of the blood vessel; the first clamping part (210) It is arranged symmetrically with the second clamping part (220), and the clamping port (230) is located on one side outside the vascular damage repair device body (100); 所述第一夹持部(210)和第二夹持部(220)相互远离的一侧形成抵接部(240),所述驱动组件(300)通过抵接所述抵接部(240)控制所述夹持口(230)进行夹闭动作。The side of the first clamping part (210) and the second clamping part (220) that is far away from each other forms a contact part (240), and the driving assembly (300) abuts against the contact part (240) The clamping port (230) is controlled to perform a clamping action. 3.根据权利要求2所述的一种腔镜下血管破损修补器,其特征在于:所述血管破损修补器管体(100)内部且远离所述负压吸引器(400)的一端开设有弧形孔(110),所述弧形孔(110)在血管破损修补器管体(100)的管壁上对称开设有两个;3. An endoscopic blood vessel damage repair device according to claim 2, characterized in that: an end inside the body (100) of the blood vessel damage repair device and away from the negative pressure suction device (400) is provided with a Arc-shaped holes (110), two of which are symmetrically opened on the wall of the vascular damage repair device body (100); 所述弧形孔(110)包括第一孔段(111)和第二孔段(112),所述第一孔段(111)和第二孔段(112)相互远离的一端分别贯穿所述血管破损修补器管体(100)的内壁;The arc-shaped hole (110) includes a first hole section (111) and a second hole section (112). The ends of the first hole section (111) and the second hole section (112) that are far away from each other penetrate through the arc hole section (110) respectively. The inner wall of the body (100) of the damaged blood vessel repair device; 所述第一孔段(111)位于所述第二孔段(112)远离所述负压吸引器(400)的一端,且所述第一孔段(111)贯穿所述血管破损修补器管体(100)内壁的一端垂直于所述内壁;The first hole section (111) is located at an end of the second hole section (112) away from the negative pressure aspirator (400), and the first hole section (111) penetrates the blood vessel damage repair device tube. One end of the inner wall of the body (100) is perpendicular to the inner wall; 所述驱动组件(300)穿过两个所述弧形孔(110),且对所述钛夹(200)进行驱动。The driving assembly (300) passes through the two arc-shaped holes (110) and drives the titanium clip (200). 4.根据权利要求3所述的一种腔镜下血管破损修补器,其特征在于:所述驱动组件(300)包括位于所述血管破损修补器管体(100)内的连接管(310),4. The endoscopic vascular damage repair device according to claim 3, characterized in that the driving component (300) includes a connecting tube (310) located in the vascular damage repair device body (100). , 所述连接管(310)靠近所述钛夹(200)的一端形成有两个分接口,在每一个分接口上分别连通有分支管(320),每一个所述分支管(320)远离所述连接管(310)的一端分别插接于所述弧形孔(110)内,且所述分支管(320)与所述弧形孔(110)固定连接;The connecting pipe (310) is formed with two branch ports at one end close to the titanium clip (200), and branch pipes (320) are respectively connected to each branch port. Each of the branch pipes (320) is away from the One end of the connecting pipe (310) is inserted into the arc-shaped hole (110), and the branch pipe (320) is fixedly connected to the arc-shaped hole (110); 在每一个所述分支管(320)内滑动设置有橡胶柱(330),所述橡胶柱(330)内壁与所述分支管(320)内壁抵接;A rubber column (330) is slidably provided in each branch pipe (320), and the inner wall of the rubber column (330) is in contact with the inner wall of the branch pipe (320); 在所述连接管(310)远离所述分支管(320)的一端连接有驱动件,所述驱动件能向所述连接管(310)内注入液体;所述驱动件通过液体传递压力,使所述橡胶柱(330)由弧形孔(110)滑出对所述钛夹(200)进行压紧。A driving member is connected to one end of the connecting pipe (310) away from the branch pipe (320). The driving member can inject liquid into the connecting pipe (310); the driving member transmits pressure through the liquid, so that The rubber column (330) slides out from the arc hole (110) to compress the titanium clamp (200). 5.根据权利要求4所述的一种腔镜下血管破损修补器,其特征在于:所述驱动件包括外接管(340)和注射器(350),所述血管破损修补器管体(100)远离所述钛夹(200)一端的侧壁上开设有安装孔,所述外接管(340)外壁与所述安装孔密封固定连接;5. The endoscopic blood vessel damage repair device according to claim 4, characterized in that: the driving member includes an external tube (340) and a syringe (350), and the blood vessel damage repair device body (100) A mounting hole is provided on the side wall of one end away from the titanium clip (200), and the outer wall of the outer pipe (340) is sealed and fixedly connected to the mounting hole; 所述外接管(340)伸入血管破损修补器管体(100)的一端与连接管(310)连通,另一端与所述注射器(350)的出口连通。One end of the external tube (340) extends into the body (100) of the damaged blood vessel repair device and is connected to the connecting tube (310), and the other end is connected to the outlet of the syringe (350). 6.根据权利要求3所述的一种腔镜下血管破损修补器,其特征在于:所述钛夹(200)在弹性作用下张开时,所述抵接部(240)与第二孔段(112)端部抵接。6. An endoscopic vascular damage repair device according to claim 3, characterized in that when the titanium clip (200) is opened under the action of elasticity, the contact portion (240) and the second hole segment ( 112) End abutment. 7.根据权利要求3-6任一项所述的一种腔镜下血管破损修补器,其特征在于:所述血管破损修补器管体(100)内壁且位于所述第一孔段(111)远离第二孔段(112)的一端形成有截面为V形的限位槽(120),在夹闭前,所述钛夹(200)的抵接部(240)抵接于所述限位槽(120)内。7. The endoscopic vascular damage repair device according to any one of claims 3 to 6, characterized in that: the inner wall of the vascular damage repair device body (100) is located on the first hole section (111) ) A limit groove (120) with a V-shaped cross-section is formed at one end away from the second hole section (112). Before clamping, the abutment portion (240) of the titanium clip (200) abuts against the limit groove (120). bit slot (120). 8.根据权利要求7所述的一种腔镜下血管破损修补器,其特征在于:所述驱动件控制所述钛夹(200)夹闭前,所述第一夹持部(210)和第二夹持部(220)靠近所述夹持口(230)的一侧分别位于所述弧形孔(110)内,且所述夹持口(230)与所述血管破损修补器管体(100)的内径相同。8. The endoscopic vascular damage repair device according to claim 7, characterized in that: before the driving member controls the titanium clip (200) to clamp, the first clamping part (210) and Sides of the second clamping part (220) close to the clamping opening (230) are respectively located in the arc-shaped holes (110), and the clamping opening (230) and the vascular damage repair device tube body (100) have the same inner diameter.
CN202311110397.5A 2023-08-31 2023-08-31 Laparoscopic vascular damage repair device Active CN116869603B (en)

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