WO2019031620A1 - Hemostatic clip providing device - Google Patents

Abstract

The present invention relates to a hemostatic clip providing device, and the subject matter of the present invention is the hemostatic clip providing device comprising: a main body; a trigger coupled to the main body; a piston part elastically operated according to the operation of the trigger; a clip pressing part fastened to the inside of the piston part so as to be operated while linked to the piston part; a clip accommodating part accommodating clips therein so as to supply the clips by means of the operation of the clip pressing part; an outer pipe, which is coupled to the front end portion of the piston part, accommodates the clip pressing part and the clip accommodating part therein, and is elastically operated while linked to the piston part; and a tweezer part, which is disposed such that the rear end portion thereof is accommodated at the front end portion of the outer pipe, is coupled to the clip accommodating part and is formed to be elastically opened and closed by means of the operation of the outer pipe, thereby holding the clip.

Description

Hemostatic clip providing device

The present invention relates to a device for providing a clip for hemostasis, wherein the movement of the trigger, the piston, and the outpipe cooperate to transfer and supply the hemostatic clip, whereby the hemostatic clip is rapidly and rapidly So that it can be accurately performed.

In general, surgical operations are open or endoscopic, and these surgical procedures require a condition in which the blood vessels are cut and the blood vessels need to be checked.

Particularly, in order to prevent hemorrhage before cutting blood vessels such as veins or arteries, the operation of hemostasis on both sides of the cutting site is performed first.

In general, hemostasis of blood vessels requires the use of a surgical thread to suture or ligature blood vessels, which is time consuming and difficult to perform in limited limited space and time limited operations (particularly, endoscopic surgery).

In addition, there is always the possibility of vascular ligation when ligation of the vascular ligaments using surgical threads, or loosening due to loosening or slipping of ligated surgical threads. This is especially true for large vessels, which can lead to serious bleeding problems have.

On the other hand, hemostatic clips have been widely used to solve problems caused by using the surgical thread.

The hemostatic clips are formed in the form of a "U" -shaped tongue so that blood from the blood vessels can easily be eclipsed. As compared with the method of using a surgical thread, the hemostatic clip can be applied relatively easily and quickly. The frequency of use is also increasing.

It is very important that such a hemostatic clip is quickly applied to the hemostatic portion during surgery, and that a hemostatic clip is quickly supplied if necessary. To this end, a device for providing a hemostatic clip is provided separately.

US Pat. Nos. 6,824,547 and 7,585,304 disclose devices for providing conventional hemostatic clips. Hemostatic clips are provided on both sides of the hemostatic portion and hemostatic clips are gripped to press blood vessels to induce occlusion of blood vessels. .

In general, such a device for providing a blood-clot clip is required to be moved and controlled by controlling timing with a precise timing. Therefore, the configuration of the blood-clipping clip is very complicated and malfunctions often occur. The price of the hemostatic clip providing apparatus is increasing.

The conventional hemostatic clip providing apparatus includes a housing having a plurality of clips to be supplied through a shaft, the holder having a trigger movably coupled to the hemostatic holder, and a jaw extending from the housing and having opposed jaws formed at the distal end thereof. And the trigger is configured to advance the clip to position the clip between the jaws and move the jaws from the open position to the closed position to crimp the clip positioned therebetween.

The conventional hemostatic clip providing device is provided in various ways to supply the clip. The conventional hemostatic clip providing device is slidably provided for facilitating advancement and supply of the hemostatic clip, so that at least one hemostatic clip can be supplied through the shaft. Means.

The feeding and feeding of the blood clotting clip must be performed at a precise timing by a continuous operation by a spring-loaded operation with a piston, pusher or the like formed inside the shaft linked to the operation of the trigger, And control to the closed position must be made quickly and accurately.

However, the conventional techniques are insufficient in terms of such requirements, and it is difficult to confirm the number and the remaining number of the hemostatic clips contained in the hemostatic clip feeding means, so that the user always uses the hemostatic clips during the procedure And there is a limit to this recognition method in imminent situations.

In addition, the operation of the trigger, the feeding and feeding of the blood clipping clip, and the operation of the jaws must be performed by continuous and precise timing. If the jaws are operated with the bleeding clip not properly supplied, It can cause serious problems such as human accidents.

SUMMARY OF THE INVENTION The present invention has been made to solve the above problems, and it is an object of the present invention to provide a blood supply apparatus and a blood supply method in which a blood supply clip is fed and supplied by an interlocking operation of a trigger, a piston unit and an out pipe, And to provide a hemostatic clip providing device capable of performing hemostasis.

According to an aspect of the present invention, there is provided a piston device including a main body, a trigger coupled to the main body, a piston portion elastically operated in the first direction and the second direction in accordance with the operation of the trigger, A clip holding portion for holding the clip therein and supplying the clip in the first direction by the operation of the clip pressing portion in the first direction; An out pipe accommodated in the clip pressing part and the clip receiving part and being elastically operated by being interlocked with the piston part and a rear end part disposed at the front end of the out pipe and being coupled to the clip receiving part, And a tweezer formed to be elastically opened and closed by the operation of the out pipe and configured to grip the clip. To provide a clip for a hemostasis.

The piston unit may include a pusher pin fixedly attached to the main body, a first guide path through which the pusher pin is received and coupled, and a piston spring coupled to the outer circumference of the pusher pin, And a second guide path corresponding to the first guide path is formed, and the pusher pin is inserted into the pipe-shaped piston cover, And a piston having a side surface formed with a coupling groove for coupling the clip pressing portion.

The counting means may include a count gear formed to be coupled to the main body and configured to rotate and to display a remaining number of clips outside the main body, And a piston connector which is connected by a clincher spring and is axially coupled by a clincher shaft and which is fastened to one end of the piston.

Here, it is preferable that the clip pressing portion has a fastening hole formed at one side thereof to be engaged with the fastening groove of the piston, and a third guide passage corresponding to the second guide passage is formed to receive the fastening pin .

The out pipe may include an out pipe spring coupled to an outer circumferential surface of the one side portion and being elastically operated by interlocking with the piston portion. After the clip is supplied in the first direction, It is preferable to make elastic movement.

It is preferable that the tweezers are formed so as to press both sides of the clip supplied in the first direction and that the tweezers are formed by a pair of And a plate spring connected at one end to the clip receiving part and at the other end to the side surfaces of the pair of jaws, respectively.

In addition, the main body may be formed with a sensing groove continuously sensing the degree of operation of the trigger, and the trigger may be formed with a tapered region.

The front body may further include a front body for receiving the front end of the piston and the rear end of the out pipe at the front end of the main body. Is formed so as to rotate.

The present invention has an effect of transferring and supplying a blood clotting clip by an interlocking operation of a trigger, a piston and an out pipe, and enabling a hemostatic clip to be quickly and accurately performed on a bleeding site by continuous and accurate timing .

In addition, the number of remaining clips and the number of used clips can be recognized from the outside at the same time as the operation of the trigger, thereby providing an advantage in ease of use.

In addition, since the operation of the trigger can be sensed by the sensing groove formed in the main body and the sensing region formed in the trigger, the user can predict the operation state of the entire structure, and the supply and movement of the clip can be accurately performed So that it is possible for the user to confirm the stability of the operation and the procedure.

Further, since the leaf spring is implemented in the tweezers, the tweezers are formed so as to be elastically opened and closed in association with the movement of the out pipe in the first direction and the second direction, so that rapid supply and grip of the clip to the bleeding site are continuously realized There is a possible effect.

In addition, since the clip receiving portion, the clip pressing portion, and the tweeter portion are rotated by the rotation of the front body, the clip can be supplied regardless of the angle or direction of the bleeding portion and can be gripped thereby, .

1 is a perspective view of a hemostatic clip providing apparatus according to the present invention;

2 is an exploded perspective view of a hemostatic clip providing apparatus according to the present invention;

FIG. 3 is a partially cutaway perspective view of the hemostatic clip providing apparatus according to the present invention. FIG.

4 is a longitudinal sectional view of the hemostatic clip providing apparatus according to the present invention.

5 is a top cross-sectional view of the hemostatic clip providing apparatus according to the present invention.

6 to 8 are diagrams illustrating operation examples of an apparatus for providing a hemostatic clip according to the present invention.

The present invention relates to a device for providing a clip for hemostasis, wherein the movement of the trigger, the piston, and the outpipe cooperate to transfer and supply the hemostatic clip, whereby the hemostatic clip is rapidly and rapidly So that it can be accurately performed.

Further, the number of clips remaining in the hemostatic clip providing device and the number of used clips can be recognized from the outside at the same time as the operation of the trigger, thereby facilitating use.

Hereinafter, embodiments of the present invention will be described in detail with reference to the accompanying drawings.

FIG. 1 is a perspective view of a hemostatic clip providing apparatus according to the present invention, FIG. 2 is an exploded perspective view of a hemostatic clip providing apparatus according to the present invention, FIG. 3 is a partially cutaway perspective view of the hemostatic clip providing apparatus according to the present invention, FIG. 4 is a vertical cross-sectional view of an apparatus for providing a bleeding clip according to the present invention, FIG. 5 is a top cross-sectional view of the apparatus for providing a bleeding clip according to the present invention, Fig.

As shown in the figure, an apparatus for providing a hemostatic clip according to the present invention includes a main body 100, a trigger 200 provided on the main body 100, And a clip pressing part 400 coupled to the piston part 300 to be operated in conjunction with the piston part 300. The clip pressing part 400 is accommodated in the inside of the piston part 300, A clip accommodating part 500 for supplying the clip in a first direction by an operation of the clip pressing part 400 in the first direction; An out pipe 600 accommodating a part 400 and a clip receiving part 500 and elastically operated by being interlocked with the piston part 300 and a rear end part disposed at a front end of the out pipe 600, And is coupled to the clip accommodating part 500 so as to be elastically opened and closed by the operation of the out pipe 600 And a tweezer 700 formed to grip the clip.

In the present invention, the clip is formed in a form that is easy to surround and compress the hemorrhage part such as a blood vessel, and is generally formed in various shapes such as a U shape, a V shape, and a diagonally shaped shape.

When one clip is pressed toward the bleeding site by the clip pressing part 400, the clip is pushed toward the front side of the clip receiving part 500 As the clip slides, the clip is positioned between the tweezers 700, and the clip is gripped by the tweezers 700 to fix the blood vessels on both sides of the bleeding site.

The first direction in the present invention is a direction in which the bleeding part exists in the opposite direction to the front end, that is, the rear end where the trigger 200 is positioned, in the apparatus for providing a hemostasis clip according to the present invention. When the trigger 200 is pulled Most of the components move in the first direction, and when the trigger 200 is restored to its original position, the parts moved in the first direction return to their original positions, which is referred to as the second direction.

First, the main body 100 is a part for supporting the trigger 200 to be operated by the user by holding the hand of the user, in which two parts formed symmetrically are assembled and assembled, A coupling groove, a coupling hole, and the like are formed so as to receive the structure according to the present invention, fix the coupling at a predetermined position, and operate the same.

The trigger 200 is coupled to the main body 100 and is configured to engage the main body 100 with the pivot of the trigger 200 so that the trigger 200 is pivotally coupled to the main body 100 .

When the trigger 200 is operated by the user in a second direction and the trigger 200 is operated by the user, the piston 300 or the like to be described later is operated in the first direction and the piston 200, The trigger 200 is returned to its original position, and the operation of the blood clipping clip is completed.

The operation of the trigger 200 primarily activates the piston 300 and the other components are operated in response to the operation of the piston 200. In order to sense the degree of operation of the trigger 200, A sensing groove 110 is continuously formed, and the trigger 200 is formed with a tapered region 210 coupled thereto.

That is, the sensing groove 110 of the main body 100 is divided into the first, second, and third stages according to the degree of operation of the trigger 200, As shown in FIG.

For example, at the position of the first-stage sensing groove 110, the trigger 200 starts to operate and starts to pressurize the piston 300. At the position of the second-stage sensing groove 110, In the position of the three-step detection groove 110, the piston 300 is fully pressed to move the out pipe 600 to be described later, and the supplied clip is gripped and fixed to the blood vessel When the trigger 200 is positioned in each of the detection grooves 110, the user can predict the operation state of the trigger 200, so that the user can confirm that the supply and movement of the clip is accurately performed. Process safety is assured.

The piston 300 is formed to be elastically operated in the first direction and the second direction in accordance with the operation of the trigger 200 and includes a clip pressing part 400 And is operated in conjunction with each other.

That is, the piston 300 is installed inside the main body 100 and is operated to elastically move in the first direction and the second direction according to the operation of the trigger 200, The trigger portion 200 is formed to be restored to its original position by the resilient restoring force of the piston portion 300 if the piston portion 300 moved in the direction does not exert any force on the trigger portion 200. [

The piston 300 includes a pusher pin 310 fixed to the main body 100 and a first guide path 321 through which the pusher pin 310 is received and coupled A piston-shaped piston cover 320 formed to be engaged with a piston spring 322 on an outer circumferential surface of the piston 200 so as to be resiliently operated, and to be engaged with one end of the trigger 200; A second guide path 331 corresponding to the first guide path 321 is formed to be coupled to the clipper means 340 so that the pusher pin 310 is received and coupled and the clip pressing portion 400 And a piston 330 in which a coupling groove 332 is formed.

The pusher pin 310 is fixed to the main body 100 and extends in the horizontal clearance range of the first guide path 321 and the second guide path 331 with the pusher pin 310 as a fixed shaft, Thereby causing the pipe-shaped piston cover 320 and the piston 330 to be operated.

The pipe-shaped piston cover 320 is disposed so as to be engaged with a structure inside the main body 100 so as to operate within a clearance of the first guide path 321 with the pusher pin 310 as a fixed shaft And is formed into an empty pipe shape. One end portion is formed as an arc-shaped head having a larger cross-sectional area than other portions so that the trigger 200 can be easily pressed and the force of the trigger 200 can be transmitted well. And is formed to be caught by the operation of the trigger 200.

A piston spring 322 is coupled to an outer circumferential surface of the pipe-type piston cover 320 and the piston spring 322 is engaged with a predetermined structure in the main body 100. The pipe- 320 are formed to be capable of elastic movement in the first direction and the second direction.

The piston 330 is accommodated in the pipe-type piston cover 320 and is formed to be long in the longitudinal direction. A locking groove 332 is formed in the side surface of the piston 330 to fasten the clip pressing portion 400 Thereby guiding the operation of the clip pressing part 400.

One end of the piston 330 is coupled to a later-described clipper means 340 so that the count gear 341 is rotated by 1 / n (n is a distance The number of clips). The degree of rotation of the count gear 341 can be displayed on the outer side of the main body 100 so that the remaining number or number of clips can be checked.

The clincher means 340 includes a count gear 341 coupled to the main body 100 and configured to rotate and configured to display the remaining number of clips on the outside of the main body 100, A gear click 342 which is gear-engaged to the count gear 341 and a gear click 342 connected to the gear click 342 by a clincher spring 344 and axially coupled by a clincher shaft 345, And a piston connector 343 which is fastened to one end portion.

7, when the piston 330 is operated in the first direction, the piston connector 343 and the gear click 342 shaft-coupled by the clincher shaft 345 are engaged with the first In this case, the gear click 342 rotates as shown by the clicker 344 connecting between the piston connector 343 and the gear click 342, The gear click 342 advances in the first direction without touching the gear 341.

Then, when the piston 330 is restored in the second direction by the restoring force of the pipe-type piston cover 320, the piston connector 343 and the gear click 342 are reversed in the second direction. In this case, So that the count gear 341 is rotated.

As a result, the remaining number or number of used clips displayed on the count gear 341 is displayed outside the main body 100, so that the number of clips can be checked.

Here, the first guide path 321 of the pipe-type piston cover 320 and the second guide path 331 of the piston 330 are formed to receive and couple the pusher pin 310 at the same time, The first guide path 321 of the piston cover 320 is formed to be longer than the second guide path 331 of the piston 330 so that the movement distance of the pipe- .

This is because when the clip pushing portion 400 is moved by the operation of the piston 330 and the clip is advanced in the first direction, the piston 330 and the clip pushing portion 400 are moved forward However, the pipe-type piston cover 320 is further advanced in the first direction to advance the out pipe 600 so that the tweezers 700 can be elastically opened and closed to grip the clip.

The clip pressing part 400 is coupled to the piston part 300 and operates in conjunction with the piston part 300. The clip receiving part 500 receives a clip therein, And the clip 400 is supplied in the first direction by the operation of the part 400 in the first direction.

The configuration of the clip pressing part 400 and the clip receiving part 500 is formed to include various technical features for facilitating the transfer and supply of the conventional clip.

In an embodiment of the present invention, as shown in the figure, the clip holder 500 and the clip presser 400 are formed long in the longitudinal direction so as to smoothly clip the bleeding part in the body, And the clip is moved in the first direction by the clip pressing part 400 which is operated by being interlocked with the piston part 300.

The clip pressing portion 400 is formed with a fastening hole 410 to be engaged with the fastening groove 332 of the piston 330 at one side of the piston portion 300 and corresponds to the second guide path 331 A third guide path 420 is formed to receive the pusher pin 310. As shown in FIG.

Specifically, the pipe-type piston cover 320, the piston 330, and the clip pressing portion 400 are connected to the first guide path 321, the second guide path 321, The piston 330 and the clip pressing portion 400 are operated within the range of the horizontal clearance distance of the first guide path 331 and the third guide path 420 and the second guide path 331 is operated, And the third guide path 420 are formed to have the same length so that the piston 330 and the clip pressing part 400 are moved in the first direction by the same distance by the operation of the trigger 200 and then stopped.

That is, by the operation of the trigger 200, the piston 330 and the clip pressing portion 400 interlock with each other and move in the first direction by the second guide path 331 and the third guide path 420, The pressing portion 400 presses the clip received in the clip receiving portion 500 in the first direction so that the clip is positioned on the position of the tweezer portion 700 to be described later with the front end of the clip receiving portion 500 and then stopped.

In addition, a trap is formed in the clip receiving part 500 so that at least one clip can be accommodated therein at a predetermined interval, and the clip pressing part 400 can easily press the clip in the first direction And the clip receiving portion 500 and the clip pressing portion 400 are formed so that the clip can move only in the first direction.

The out pipe 600 is coupled to the front end of the piston 300 and accommodates the clip pressing part 400 and the clip receiving part 500 therein and is coupled to the piston part 300. [ So that it is elastically operated.

The out pipe 600 is formed in a cylindrical shape and is formed so as not to move in a second direction at a specific position inside the main body 100 due to the engagement jaw structure inside the main body 100.

The out pipe 600 is coupled to the front end of the piston 300, that is, the front end of the pipe-type piston cover 320, and presses the pipe-type piston cover 320 in the first direction The out pipe 600 is also moved in the first direction.

That is, the pipe-shaped piston cover 320 is moved in the first direction along the first guide path 321, the second guide path 331 and the third guide path 420 with the pusher pin 310 as a fixed shaft, The piston 330 and the clip pressing portion 400 are simultaneously moved so that the piston 330 and the clip pressing portion 400 are stopped within the clearances of the second guide path 331 and the third guide path 420 , The pipe-type piston cover 320 is further moved within the clearance of the first guide path 321 to press the out pipe 600 coupled to the front end of the pipe-type piston cover 320 in the first direction The out pipe 600 is moved in the first direction and the out pipe 600 moved in the first direction elastically opens and closes the tweezers 700 to be described later (FIG. 8).

An out pipe spring 610 is coupled to an outer circumferential surface of one side of the out pipe 600 to be elastically operated by interlocking with the piston 300 or the pipe type piston cover 320, The piston-shaped piston cover 320 is elastically moved in the first direction to be elastically moved to close the twisted portion 700 and then elastically restored in the second direction so that the twisted portion 700 is opened .

The tweezer 700 is disposed to receive the rear end portion of the out pipe 600 and is coupled to the clip receiving portion 500 so that the tweezer 700 is rotated by the operation of the out pipe 600 And is formed to elastically open and close so as to grip the clip.

8, the tweeter unit 700 is closed by the movement of the out pipe 600 in the first direction as described above, and the out pipe 600 is moved in the second direction of the out pipe 600 So that the clip supplied to the bleeding site is held in the closed state of the tweezers 700 so as to urge the blood vessel. When the grip of the clip is completed, the out pipe 600 is moved in the second direction The tweezers 700 are in an open state.

The tweezers 700 are formed with a pair of jaws 710 arranged on both sides of the clip receiving part 500 and are formed so as to grasp four points on the clip supplied to the bleeding part, So that clip operation is performed.

One end portion of the tweeter portion 700 is coupled to the clip receiving portion 500 and the other end portion is formed of a leaf spring 720 coupled to a side surface of the pair of jaws 710, As the pipe 600 is moved in the first direction, the tweezers 700 are closed to grip the clip. However, after the out pipe 600 is moved in the second direction, The jaws 710 are elastically opened to return to their original positions.

In other words, the leaf spring 720 is implemented in the tweezers 700 so that the tweezers 700 can be elastically opened and closed in association with the movement of the out pipe 600 in the first direction and the second direction. So that rapid supply and gripping of the clip to the bleeding site can be continuously implemented.

The front body 800 may be formed at a front end of the main body 100 to receive and engage the front end of the piston 300 and the rear end of the outpipe 600, So that the direction of the tweezers 700 can be rotated. That is, the front body 800 is rotatably formed at the front end of the main body 100, and the direction of the tweezers 700 is changed by this operation.

Here, the front body 800 is rotatably formed at a front end of the main body 100, and is composed of a pair of assemblies like the main body 100.

As shown in the figure, the pusher pin 310 is fixed to the front body 800 and is fixed to the pusher pin 310 by the rotation of the front body 800, The clip accommodating part 500 is rotated at the same time as the clip pressing part 400 is rotated and the piston 330 and the clip pressing part 400 are rotated. The combined tweezers 700 are rotated.

That is, the clip receiving portion 500, the clip pressing portion 400 and the tweezer portion 700 are rotated by the rotation of the front body 800 to supply the clip regardless of the angle or direction of the bleeding portion, So that it can be applied urgently in various surgical situations.

Hereinafter, an operating state of the hemostatic clip providing apparatus according to the present invention will be described with reference to FIGS. 6 to 8. FIG.

6, the operation of the trigger 200 is started at the position of the one-step detection groove 110 to start pressing the head portion of the piston portion 300, that is, the pipe-shaped piston cover 320. As shown in FIG.

7, when the pipe-shaped piston cover 320 starts to move in the first direction, the pipe-shaped piston cover 320, the piston (not shown) The gear click 342 and the piston connection 343 are moved in the first direction so that the gear click 342 is rotated while being moved by the click spring 344 so that the count gear 341 It is moved in the first direction without being touched.

At the same time, the movement of the piston 330 in the first direction and the clip pressing part 400 coupled thereto are moved in the first direction to supply the clip in the clip receiving part 500 to the first direction, that is, the bleeding part do.

8, when the trigger 200 reaches the position of the sensing groove 110 of the three stages, the advancement of the piston 330 and the clip pressing portion 400 in the first direction is stopped , The pipe-type piston cover 320 further advances in the first direction to advance the out pipe 600 in the first direction, thereby closing the tweeter unit 700, Is gripped, thereby compressing and occluding the blood vessel.

6, when the user releases the trigger 200, the out pipe 600 is returned to its original position by the out pipe spring 610, The piston 330 and the clip pressing portion 400 are restored to their original positions by the piston spring and the gear pressing (N is the number of clips received in the clip accommodating portion) of the count gear 341 and the degree of rotation of the count gear 341 To be recognized by the user outside the main body 100.

In this way, the trigger is restored to its original position. If the clip is to be performed at another bleeding site, the above operation is repeated again.

Claims (9)

Main body; A trigger coupled to the main body; A piston portion elastically operated in a first direction and a second direction according to the operation of the trigger; A clip presser coupled to the piston and operative to interlock with the piston; A clip accommodating portion for accommodating the clip therein and supplying the clip in the first direction by the operation of the clip pressing portion in the first direction; An out pipe coupled to a front end of the piston and accommodating the clip pressurizing portion and the clip accommodating portion therein and moving in the first direction by interlocking with the piston by pressing the piston in a first direction; And And a tweezer which is arranged to receive the rear end of the outpipe and is formed to be elastically opened and closed by the operation of the outpipe, And, Wherein the piston portion includes: A pusher pin fixedly attached to the main body; A pipe-shaped piston cover having a front end formed with a first guide path through which the pusher pin is received and coupled, a piston spring formed on an outer circumferential surface thereof so as to be elastically operated, And And a second guide path corresponding to the first guide path is formed to receive and engage the pusher pin, and the clip pressing portion is fastened to the side surface And a piston having a fastening groove formed therein. The apparatus according to claim 1, A count gear coupled to the main body and configured to rotate, and configured to display a remaining number or number of clips to the outside of the main body; A gear click which is gear-engaged with the count gear; And And a piston connector which is connected to the gear click by a clincher spring and is axially coupled by a clincher shaft and which is fastened to one end of the piston. The apparatus of claim 1, wherein the clip- And a third guide path corresponding to the second guide path is formed on one side to receive the pusher pin and to receive the pusher pin. The apparatus of claim 1, wherein the out- And an out pipe spring is coupled to an outer circumferential surface of the one side portion and is elastically operated by interlocking with the piston portion. After the clip is supplied in the first direction, the piston portion elastically moves in the first direction by the piston portion. A device for providing a hemostasis clip. 2. The tweezer of claim 1, wherein the tweezer comprises: Wherein the clip is provided so as to be able to press both sides of the clip supplied in the first direction. 2. The tweezer of claim 1, wherein the tweezer comprises: A pair of jaws arranged on both sides of the clip accommodating portion, Wherein one end portion is coupled to the clip receiving portion and the other end portion is formed by a leaf spring connected to the side surfaces of the pair of jaws. [2] The apparatus according to claim 1, wherein the main body is formed with a detection groove continuously for detecting an operation degree of the trigger, and the trigger is formed with a tapered globe. 2. The automatic transmission according to claim 1, And a front body for receiving and coupling the front end of the piston and the rear end of the out pipe. [10] The method of claim 8, And the direction of the tweezer is formed to be rotated.

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