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WO2020051864A1 - Continuous clip feeding apparatus of vascular clip applier - Google Patents

Continuous clip feeding apparatus of vascular clip applier Download PDF

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Publication number
WO2020051864A1
WO2020051864A1 PCT/CN2018/105625 CN2018105625W WO2020051864A1 WO 2020051864 A1 WO2020051864 A1 WO 2020051864A1 CN 2018105625 W CN2018105625 W CN 2018105625W WO 2020051864 A1 WO2020051864 A1 WO 2020051864A1
Authority
WO
WIPO (PCT)
Prior art keywords
nail
rear end
jaw
shaft
driving
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/CN2018/105625
Other languages
French (fr)
Chinese (zh)
Inventor
孙建伟
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
TAIWAN SURGICAL Corp
Original Assignee
TAIWAN SURGICAL Corp
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by TAIWAN SURGICAL Corp filed Critical TAIWAN SURGICAL Corp
Priority to PCT/CN2018/105625 priority Critical patent/WO2020051864A1/en
Publication of WO2020051864A1 publication Critical patent/WO2020051864A1/en
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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Classifications

    • 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

Definitions

  • the invention relates to a structure of a surgical instrument, in particular to a continuous nail feeding device of a blood vessel clip applier for guiding plastic nails by rails in a clamp mouth.
  • vascular clip applier a surgical instrument that closes the blood vessel, such as a vascular clip applier, is used to close the blood vessel.
  • the use method of the vascular clip applier is that a plastic nail is provided in the clamp mouth of the front end of the vascular clip applier, and the clip mouth and the plastic nail are extended into the human body from the opening cut off by the human body surface, and then the vascular clip applier is operated.
  • the grip of the device drives the clamping mouth to close, so that the plastic nail is clamped on the blood vessel of the human body to close the blood vessel.
  • the structure of the plastic nail used in the above-mentioned vascular clip applier is that a buckle is formed at the front end of the two clamp arms connected at the rear end, and a lateral columnar positioning rod is formed at the front end of the two clip arms respectively.
  • the front end of the clamp mouth is opened to a nail box, and a plastic nail is used, so that the plastic nail is engaged in the clamp mouth in an open state for use, but since each time the clamp is applied, Both need to clamp the plastic nail once. If the operation requires the use of multiple plastic nails to stop bleeding, the vascular clip applier needs to enter and exit the human body multiple times to access the plastic nail, which makes the operation very troublesome.
  • the existing vascular clip applying device can only take one plastic nail for clamping at a time, it causes trouble in use. For this reason, the present invention is provided with a structure for continuously inserting nails in the vascular clip applier, so as to achieve the effect that the vascular clip applicator can continuously clip.
  • the present invention provides a continuous nail-feeding device for a vascular clip applier, comprising: a shaft, the inside of the shaft forms a nail-injection track extending in the front and rear directions; A nail retaining cavity is formed at the front end; a blocking rod is fixed on a side wall of the nail feeding rail, and a plurality of blockings are extended into the nail feeding rail in an equal interval arrangement manner before and after the blocking rod.
  • a stopper piece, the stopper bar is provided with a positioning spring piece on the front side of the frontmost stopper piece, the front end of the positioning spring piece extends into the nail retention cavity, and the front and rear between the positioning spring piece and the frontmost stopper piece The distance is shorter than the front-to-back distance between two adjacent stoppers;
  • a staple box is a long rod body extending in the front and rear directions and is slidably inserted in the nail-feeding track and formed in the staple box
  • a nail placing groove extending in the front and rear directions, a plurality of positioning elastic pieces are inserted into the nail placing groove, and the positions of the plurality of positioning elastic pieces are aligned with the nail placing grooves at equal intervals before and after the inner surface of the nail placing groove.
  • a plurality of propulsion shrapnels are extended in the ditch.
  • a plurality of plastic nails are slidably embedded in the nail groove.
  • Each plastic nail is respectively located between two advancing elastic pieces adjacent to the front and rear, and the rear end of each plastic nail abuts.
  • each positioning spring In front of each positioning spring; and a clamping mouth, which is coupled to the front end of the shaft and includes an upper jaw and a lower jaw, the clamping mouth is driven to open or close the upper jaw and the lower jaw to form a An upper guide track, the front end of which is connected to an upper bracket, the rear end of which is in communication with the nail retention cavity, and a lower guide track is formed in the lower jaw, and the front end of the lower guide track is connected Lower bracket, the rear end of the lower guide track communicates with the nail retention cavity.
  • the present invention is provided with a gripper seat at the front end of the shaft, the gripper mouth is pivotally connected to the front end of the gripper seat, and the nail feeding track passes through the gripper seat, corresponding to the nail retention cavity.
  • a recess is formed on the side in front of the mouthpiece seat, and the nail indwelling cavity is located at the position of the recess;
  • a cover is extended on the side of the upper jaw, and the cover It is the shell and covers the upper half of the nail indwelling cavity.
  • a lower cover is formed at one side of the lower jaw, and the lower cover is the shell and covers the lower half of the nail indwelling cavity.
  • the bottom edge of the upper cover according to the present invention is arc-shaped and recessed inward at the middle to form an upper view window; the top edge of the lower cover is arc-shaped and recessed inward at the middle to form a lower view window .
  • the shaft according to the present invention further includes an outer tube and a bundle of sleeves.
  • the outer tube includes two left and right half-shells combined, and the front end of the half-shell is projected from the other half-shell
  • a front hook is formed at the front end of the half-shell that protrudes forward; according to the shape of the rear hook, a front hook is formed at the rear end of the chuck seat, and the front hook and the The rear hook is engaged so that the mouthpiece seat is connected to the front end of the outer tube, and the bundle sleeve is sleeved and positioned around the front hook and the rear hook.
  • the present invention penetrates a long groove of a driving pin extending in the front-to-rear direction, and a fixed bolt is pivotally provided at the rear end of the shaft; in the shaft A driving rod is penetrated, and the front end of the driving rod is connected to drive the clamping mouth to open or close the upper jaw and the lower jaw.
  • the rear end of the driving rod extends out of the rear end of the shaft and passes through.
  • a coupling perforation is provided with a driving coupling hole at the rear end of the magazine; a driving ring is sleeved around the shaft, and a driving pin is laterally penetrating the driving ring, and the driving pin passes through the driving
  • the rear end of the long slot of the bolt and the drive coupling hole are combined with a return spring between the fixed bolt and the magazine; a rear end cover is slidably sleeved at the rear end of the outer tube, An end is pivoted laterally through a coupling pin that passes through the coupling perforation of the driving rod, and a top support spring is provided in the rear end cover, and both ends of the top support spring abut against the rear of the rear end cover. Between the end and the rear end of the outer tube.
  • the magazine When the present invention is used, the magazine is driven to move back and forth in the front-to-rear direction in sequence.
  • the magazine When the magazine is driven to reciprocate for the first time, the second advance of the magazine by the front of the magazine will move the plastic nail in the forefront. Push forward into the nail indwelling cavity, and the remaining plastic nails will be pushed forward by the pushing springs in the back and over the blocking springs in the front, and then the nail box will be moved back to the original position. The nails are blocked by the blocking springs at the rear, so they will not follow. Then the nail magazine is driven to advance again.
  • the pushing spring at the front end of the nail magazine pushes the plastic nail located in the nail indwelling cavity into the clamp mouth, so that the plastic nail follows the upper guide track and The lower guide rail slides forward to the front end of the clip end, and the second plastic nail from the top is added to the nail retention cavity for use.
  • the nail box is retracted back to the original position, the user can The upper jaw and lower jaw of the clamp mouth are driven to close, so that the plastic nail is clamped around the blood vessel, and then the clamp mouth is opened to disengage the fastened plastic nail from the clamp mouth. Repeat the above operation so that the user can continuously apply the clamp. Multiple plastic nails.
  • the effect of the present invention is that when the nail magazine is driven for reciprocating motion, multiple plastic nails can be sequentially conveyed into the clamping mouth for clamping, so that the effect of continuously applying multiple plastic nails is achieved, and it is very convenient to use and does not require multiple times Get in and out of the body with plastic nails.
  • the plastic nails when the plastic nails are indwelled in the nail indwelling cavity, since the plastic nails are abutted laterally by the positioning elastic sheet, the plastic nails can be stably positioned in the nail indwelling cavity for use.
  • FIG. 1 is a perspective view of a preferred embodiment of the present invention
  • FIG. 3 is a partially enlarged exploded view of a preferred embodiment of the present invention.
  • FIG. 4 is an exploded view of a clamping mouth of a preferred embodiment of the present invention.
  • FIG. 5 is a partially enlarged perspective view of a preferred embodiment of the present invention.
  • FIG. 6 is a cross-sectional view of a clamping nozzle of a preferred embodiment of the present invention.
  • FIG. 7 is another angle sectional view of the clamping nozzle of the preferred embodiment of the present invention.
  • FIG. 8 is a cross-sectional view of a preferred embodiment of the present invention.
  • FIG. 9 is another cross-sectional view of a preferred embodiment of the present invention.
  • FIG. 10 is a schematic diagram of the action of pushing a plastic nail for the first time in a preferred embodiment of the present invention.
  • FIG. 11 is a schematic diagram of the operation of pushing a plastic nail into a nail indwelling cavity according to a preferred embodiment of the present invention.
  • FIG. 12 is a schematic diagram of an operation of pushing a plastic nail into a clamp mouth according to a preferred embodiment of the present invention.
  • FIG. 13 is a perspective view of a plastic nail provided in a clamping mouth of a preferred embodiment of the present invention.
  • FIG. 14 is a perspective view of a preferred embodiment of the present invention mounted on a driver.
  • the present invention provides a continuous nail feeding device for a vascular clip applier, which includes a shaft 10 and a clip pivotally connected to the front end of the outer tube 10.
  • Nozzle 20 a driving rod 30 inserted in the outer tube 10 to drive the clamping nozzle 20 to open or close, a stopper rod 40 fixed in the outer tube 10, a The nail box 50, a plurality of plastic nails 60 disposed in the nail box 50, and a driving structure 70, wherein:
  • the shaft 10 includes an outer tube 11, a mouthpiece holder 12 and a bundle of sleeves 13.
  • the outer tube 11 is a long tube body extending in the front-rear direction.
  • the tube 11 includes two left and right half-shells 111, in which the front end of the half-shell 111 on the right side protrudes from the front end of the half-shell 111 on the left and the half-shell 111 on the right
  • a rear hook 112 is formed at the front end of the outer tube 11, and a driving pin long groove 113 extending in the front-rear direction is transversely penetrated in the rear half of the outer tube 11.
  • a fixed bolt hole 114 is transversely penetrated in the rear end of the outer tube 11.
  • a fixed bolt 115 is inserted through the fixed bolt hole 114;
  • the clamp base 12 is a rod-shaped block extending in the front and rear directions, and is formed on the left side of the rear end of the clamp base 12 in accordance with the shape of the rear hook 112.
  • a front hook 121 protruding backward, the front hook 121 is engaged with the rear hook 112, so that the rear end of the chuck seat 12 is connected to the front end of the outer tube 11; the bundle sleeve 13 is positioned to fit.
  • the front end of the bundle sleeve 13 extends against the rear end of the mouthpiece holder 12 and covers the front hook 121 and the rear hook 112, so that The clip 12 engaged with the nozzle housing outer tube 11 is fixed.
  • a cutout 122 is formed in the left half of the front of the jaw base 12 and is opened in the front.
  • the right half of the front of the jaw base 12 is recessed backward to form a notch 123.
  • the rear edge of the notch 123 is The shape of the concave arc surface corresponds to the left and right sides of the cutout.
  • a shaft hole 124 is formed in the front end portion of the jaw holder 12 in the transverse direction, and the shaft hole 124 passes through the front end portion of the cutout 122.
  • the shaft The right end of the hole 124 communicates with the notch 123 and corresponds to the position of the cutout 122.
  • a left-half portion of the mouthpiece holder 12 and a left-hand side of the outer tube 11 penetrate through the front and rear directions to form a driving rod perforation 14
  • the front end of the driving rod perforation 14 communicates with the slit 122.
  • a right-half portion of the mouthpiece holder 12 and a right-hand side of the outer tube 11 penetrate through the front-rear direction to form a nail-injection track 15.
  • a nail retaining cavity 151 is formed at the front end of the nail rail 15.
  • the nail retaining cavity 151 is formed at the position of the notch 123 in the preferred embodiment.
  • the gripping nozzle 20 includes an upper gripping nozzle 21 and a lower gripping nozzle 22 which are mated up and down.
  • the upper gripping nozzle 21 and the lower gripping nozzle 22 are located on the gripper seat 12.
  • the upper jaw 21 is provided with an upper jaw 211 extending in the front and rear directions.
  • Two upper jaw sidewalls 2111 are formed on the left and right sides of the upper jaw 211, and the upper and lower positions of the opposite sides of the two upper jaw sidewalls 2111 are respectively inward.
  • the upper jaw ridges 2112 are formed to protrude in the front and rear directions. The distance between the two upper jaw ridges 2112 protruding inward is shorter than the distance between the two upper jaw side walls 2111.
  • An upper guide track 23 is formed between 2112 and extends in the front and rear directions.
  • the rear end of the upper guide rail 23 is an open end and communicates with the upper side of the nail indwelling cavity 151.
  • a forward inclined portion 231 is formed at the front end of the upper guide rail 23 and is inclined downward.
  • the bottom surface is recessed to form a horizontal column-shaped upper bracket 232, and the front end of the upper inclined section 231 forms an upper outlet 233 connected to the upper bracket 232; a forward and backward direction is formed below the upper guide rail 23
  • the extended upper penetration opening 234 is narrower than the left and right widths of the upper guide rail 23, and the front and rear ends of the upper penetration opening 234 are respectively connected to the upper bracket 232 and the nail.
  • the rails 15 communicate with each other, and an upper release slot 235 extending in the front and rear directions is formed above the upper guide rail 23.
  • an upper cover 212 is formed to extend rearwardly on the right side of the rear end of the upper jaw 211.
  • the upper cover 212 is a shell and is shaped to fit the contour of the periphery of the mouthpiece seat 12.
  • the upper cover 212 covers
  • the notch 123 is the upper half of the nail retention cavity 151.
  • the bottom edge of the upper cover 212 is arc-shaped and recessed inwardly in the middle to form a top view window 2121.
  • an upper operation arm 213 is formed to extend rearwardly on the left side of the rear end of the upper jaw 211, the upper operation arm 213 extends into the slit 122, and is laterally inserted on the front side of the upper operation arm 213
  • An upper shaft hole 2131 is overlapped with the shaft hole 124 of the chuck base 12, and an upper inclined hole 2132 is formed in the rear side of the upper operation arm 213, which is low in front and high in back.
  • the lower jaw 22 is provided with a lower jaw 221 extending in the front and rear directions.
  • Two lower jaw side walls 2211 are formed on the left and right sides of the lower jaw 221, and the upper and lower positions of the opposite sides of the two lower jaw side walls 2211 are respectively inward
  • a lower jaw ridge 2212 is formed to protrude in the front and rear directions. The distance between the two lower jaw ridges 2212 protruding inward is shorter than the distance between the two lower jaw side walls 2211.
  • a lower guide rail 24 is formed between 2212 and extends in the front and rear directions.
  • the rear end of the lower guide rail 24 is an open end and communicates with the lower side of the nail indwelling cavity 151.
  • a forward inclined lower inclined section 241 is formed at the front end portion of the lower guide rail 24.
  • the top surface is recessed to form a horizontal column-shaped lower bracket 242, and the front end of the lower inclined section 241 forms a lower outlet 243 connected to the lower bracket 242; and a front and rear are formed above the lower guide rail 24
  • the lower through hole 244 extending in the direction is narrower than the left and right widths of the lower guide rail 24, and the front and rear ends of the lower through hole 244 are respectively connected to the lower bracket 242 and the inlet.
  • the nail rails 15 communicate with each other, and a lower demolding long hole 245 extending in the front and rear directions is formed below the lower guide rail 24.
  • a lower cover 222 is formed to extend rearwardly on the right side of the rear end of the lower jaw 221.
  • the lower cover 222 is a housing and has a shape matching the shape of the contour around the mouthpiece seat 12.
  • the lower cover 222 covers
  • the notch 123 is the lower half of the nail retention cavity 151 outside.
  • the top edge of the lower cover 222 is arc-shaped and recessed inward in the middle to form a lower viewing window 2221.
  • a lower operating arm 223 is formed to extend backward on the left side of the rear end of the lower jaw 221.
  • the lower operating arm 223 extends into the cutout 122 and overlaps the upper operating arm 213, and operates at the lower position.
  • a lower shaft hole 2231 is horizontally penetrated on the front side of the arm 223.
  • the lower shaft hole 2231 coincides with the upper shaft hole 2131 and the shaft hole 124.
  • a shaft 25 is inserted and fixed in the shaft hole 124, and the shaft 25 pivots through the lower shaft.
  • the shaft hole 2231 and the upper shaft hole 2131 pass through a lower inclined hole 2232 with a front height and a lower height on the rear side of the lower operating arm 223, and the lower inclined hole 2232 coincides with a part of the upper inclined hole 2132.
  • the driving rod 30 is a long rod body extending in the front and rear directions and is slidably formed in the driving rod perforation 14.
  • a rear end of the driving rod 30 is provided with a A driving piece 32, the rear end of the driving piece 32 penetrating backward from the rear end of the outer tube 11 is matched with the position of the driving pin long groove 113, and an inner driving pin length extending in the front-rear direction is provided on the driving piece 32
  • a groove 321 matches the position of the fixing pin hole 114, and a driving pin 31 is provided with a fixing pin groove 322 extending in the front-rear direction.
  • the fixing pin 115 passes through the front side of the fixing pin groove 322, and the driving The rear end of the sheet 31 is provided with a combined perforation 323.
  • the driving portion 32 can be driven by the driving structure 70 to cause the driving rod 30 as a whole to reciprocate in the front and rear directions.
  • a shaft 31 is provided at the front end of the driving rod 30.
  • the shaft 31 passes through the overlap of the lower inclined hole 2232 and the upper inclined hole 2132.
  • the driving rod 30 is driven to reciprocate in the front and rear directions, the shaft 31 can be moved along the lower inclined hole.
  • the manner in which 2232 slides with the upper inclined hole 2132 enables the upper jaw 21 and the lower jaw 22 to
  • the rotary shaft 25 is opened or closed operation as a rotation center.
  • the blocking bar 40 is a long piece extending in the front-rear direction and is fixed on the outer side wall of the nail feeding track 15.
  • the front end of the blocking bar 40 extends.
  • a plurality of blocking elastic pieces 41 are extended into the nail feeding track 15 at an equal interval before and after the blocking rod 40.
  • Each blocking elastic piece 41 is slanted forward by the blocking rod 40.
  • the inwardly extending sheet body extends obliquely forward from the front end of the blocking bar 40 to form a positioning spring piece 42.
  • the front end of the positioning spring piece 42 extends into the nail retention cavity 151.
  • the positioning spring piece 42 and the frontmost stopper The front-to-back distance between the bullet stops 41 is shorter than the front-to-back distance between the two adjacent bullet stops 41.
  • the nail box 50 is a long rod body extending in the front and rear directions and is arranged on the nail feeding track 15 in a slidable manner.
  • the rear end of the nail box 50 extends into the rear half of the outer tube 11.
  • a driving coupling hole 53 is formed in the rear end of the magazine 50.
  • the front and rear positions of the driving coupling hole 53 are located at the rear of the driving pin long groove 113.
  • a return spring hook is formed in the rear end of the magazine 50.
  • Hole 54 The rear end of the nail feeding track 15 can be driven by the driving structure 70 to reciprocate in the front and rear directions.
  • the nail box 50 is located on the inner side of the blocking bar 40.
  • the front ends of the plurality of positioning elastic pieces 42 are inserted into the nail-receiving groove 51, and the positions of the plurality of positioning elastic pieces 42 are aligned to the inner surface of the nail-receiving groove 51 at equal intervals before and after.
  • a plurality of pushing elastic pieces 52 are protruded in the nail-receiving groove 51, and each of the pushing elastic pieces 52 is a body extending obliquely forward. In the preferred embodiment, the foremost pushing elastic piece 52 is located at the front end of the nail box 50.
  • each positioning rod 63 conforms to the shape of the upper bracket 232 and the lower bracket 242, and each positioning rod 63 It can slide forward along the upper guide track 23 or the lower guide track 24, respectively.
  • a plurality of plastic nails 60 are arranged in the nail groove 51 of the magazine 50 at equal intervals in front and back.
  • the plurality of plastic nails 60 are respectively located between two advancing elastic pieces 52 adjacent to the front and the rear.
  • the rear end of the nail 60 abuts in front of the positioning elastic pieces 42.
  • the height of the plastic nails 60 is limited by the height of the nail-receiving groove 51 and compressed into pairs.
  • the clamp arms 61 are close to each other.
  • the driving structure 70 includes a driving ring 71 and a rear end cover 72.
  • the driving ring 71 is sleeved around the outer tube 11 and is located behind the beam tube 13.
  • the driving ring 71 is provided with a driving pin hole 711 laterally, and a driving pin 712 is fixed through the driving pin hole 711.
  • the driving pin 712 passes through the rear end of the driving pin long groove 113 and the inner driving pin long groove 321.
  • a rear end of the rear end and the driving coupling hole 53 are engaged with a return spring 73 between the fixing bolt 115 and the return spring hook hole 54; when the drive ring 71 is driven forward, the magazine 50 can be driven forward and stretched The return spring 73 and the stretched return spring 73 provide the power for the magazine 50 to return backward.
  • the rear end cap 72 is slidably sleeved on the rear end of the outer tube 11.
  • a coupling pin hole 721 is transversely formed at the rear end of the rear end cap 72, and a coupling pin 722 is fixed in the coupling pin hole 721.
  • the coupling pin 722 passes through the coupling perforation 323 at the rear end of the driving rod 30.
  • a top support spring 74 is provided in the rear end cover 72, and both ends of the top support spring 74 abut against the rear end cover 72. Between the rear end and the rear end of the outer tube 11, when the rear end cover 72 is driven forward, the driving rod 30 can be driven forward and compress the top support spring 74, and the compressed top support spring 74 provides the driving rod 30 rearward reset power.
  • the shaft 10 is mounted on a driver 80, and the driving ring 71 and the driving ring 71 are connected by the structure in the driver 80.
  • the rear cover 72 is used to drive the magazine 50 and the driving rod 30 to reciprocate with the driving ring 71 and the rear cover 72, respectively.
  • the driving ring 71 controls the driving rod 30 to reciprocate, it drives The mouthpiece 20 is opened or closed.
  • the rear end cover 72 manipulates the magazine 50 to reciprocate, each plastic nail 60 will be forwarded into the mouthpiece 20 in turn, and the remaining multiple plastic nails 60 will be forwarded simultaneously. Forward, each plastic nail 60 is continuously delivered to the clamping mouth 20 for clamping blood vessels.
  • the vascular clip applier of the present invention When the vascular clip applier of the present invention is used for the first time, please refer to FIG. 8 to FIG. 11. It is necessary to firstly send a plastic nail 60 at the front to the nail indwelling cavity 151 at the front of the nail feeding track 15 for use. As shown in FIG. 9, at this time, the nail box 50 is driven forward by the driving ring 71, and the second pushing elastic piece 52 from the front pushes the front plastic nail 60 forward into the nail retention cavity 151.
  • the foremost plastic nail 60 will pass the foremost blocking elastic piece 41, and the remaining plastic nails 60 will also pass over the respective foremost blocking elastic piece 41, and then the nail box 50 is driven back to the original Position, the foremost plastic nail 60 is caught by the foremost blocking spring 41 in the process, so the plastic nail 60 left in the nail indwelling cavity 151 will not retreat with the nail box 50, and the remaining plastic nails 60 are in the After moving forward, it will be caught by each of the blocking elastic pieces 41 at the rear and stay in the moved position.
  • the foremost plastic nail 60 is indwelled in the nail indwelling cavity 151, it will be abutted laterally by the positioning elastic piece 42, so it can be stably positioned in the nail indwelling cavity 151.
  • the driving rod 30 When the driving rod 30 is used to drive the front end of the clamping mouth 20 to open, and then the plastic nail 60 is pushed into the clamping mouth 20, the nail box 50 is also driven forward. At this time, the nail box 50 is most forward.
  • the pushing elastic piece 52 will push the plastic nail 60 in the direction of the clamping mouth 20. Please refer to FIG. 12 and FIG. 13.
  • the positioning rods 63 on the upper side and the lower side of the plastic nail 60 will respectively enter the upper side.
  • the narrow entry hole 234 and the lower entry hole 244 of the guide track 24 make the two positioning rods 63 restricted to slide forward in the upper guide track 23 and the lower guide track 24, respectively.
  • the two positioning rods 63 of the plastic nail 60 will move along the upper guide track 23 and the lower guide track because the clamping mouth 20 is in an open state. 24 advances and is forced to gradually open, which can prevent the plastic nails 60 from being placed in the nail groove 51 for too long, resulting in elastic fatigue. When leads need not rely on elastic itself open and not make use of the problem.
  • the two positioning rods 63 of the plastic nail 60 are respectively moved from the upper inclined section 231 and the lower inclined section 241 to the positions of the upper bracket 232 and the lower bracket 242.
  • the plastic nail 60 is located at the clamp mouth 20
  • the inner front end and the two clamping arms 61 are fully open.
  • the driving lever 30 can be operated to drive the upper clamp mouth 21 and the upper clamp mouth 21 to close.
  • the buckle 62 of the clamp mouth 20 can be fastened to two The clamp arm 61 clamps the blood vessel.
  • the driving lever 30 is operated to open the clamp mouth 20 again, the two positioning levers 63 of the plastic nail 60 will be separated from the upper clamp mouth 21 and the lower lever from the upper exit 233 and the lower exit 243. ⁇ ⁇ 22 ⁇ The mouth 22.

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

Abstract

A continuous clip feeding apparatus of a vascular clip applier, comprising a rod body (10). The front end of the rod body (10) is provided with a jaw (20) which is driven to open or close; a clip feeding passage (15) is formed in the rod body (10); a clip accommodating cavity (151) is formed at the front end of the clip feeding passage (15); one side of the clip feeding passage (15) is fixedly provided with a blocking rod (40); the blocking rod (40) is provided with a plurality of stop elastic members (41); the front end of the blocking rod is provided with a positioning elastic member (42) extending into the clip accommodating cavity (151); a clip box (50) is provided with respect to the blocking rod (40); a plurality of propulsion elastic members (52) matching the plurality of stop elastic members (41) is provided on the clip box (50); a plastic clip (60) is accommodated between every two adjacent propulsion elastic members (52); the propulsion elastic members (52) move back and forth through the clip box (50) in a reciprocating mode to push the plastic clips (60) into the clip accommodating cavity (151) in sequence, and the plastic clips (60) in the clip accommodating cavity (151) are pushed to the front end of the jaw (20), thereby achieving the effect of continuous clip pushing and applier application.

Description

血管施夹器的连续进钉装置Continuous nail feeding device for vascular clip applier 技术领域Technical field

本发明涉及一种手术器械的构造,尤其涉及一种夹嘴内以轨道导引塑胶钉的血管施夹器的连续进钉装置。The invention relates to a structure of a surgical instrument, in particular to a continuous nail feeding device of a blood vessel clip applier for guiding plastic nails by rails in a clamp mouth.

背景技术Background technique

在腹腔镜手术的进行中,需要将血管闭合以避免血液由手术部位的切口流失,这时会使用闭合血管的手术器械,例如血管施夹器来将血管闭合。上述血管施夹器的使用方式,是在该血管施夹器前端的夹嘴内设有塑胶钉,将该夹嘴连同塑胶钉由人体表面划开的开口伸入人体内,接着操作血管施夹器的握把驱动该夹嘴闭合,使得该塑胶钉夹合在人体的血管上而将血管封闭。During the laparoscopic surgery, the blood vessel needs to be closed to avoid blood loss from the incision at the surgical site. At this time, a surgical instrument that closes the blood vessel, such as a vascular clip applier, is used to close the blood vessel. The use method of the vascular clip applier is that a plastic nail is provided in the clamp mouth of the front end of the vascular clip applier, and the clip mouth and the plastic nail are extended into the human body from the opening cut off by the human body surface, and then the vascular clip applier is operated. The grip of the device drives the clamping mouth to close, so that the plastic nail is clamped on the blood vessel of the human body to close the blood vessel.

上述血管施夹器使用的塑胶钉的构造,是在后端连接的两夹臂的前端形成卡扣,并在两夹臂的前端分别形成横向柱状的定位杆,当血管施夹器每次施夹使用时,是将该夹嘴的前端张开至一钉匣处取用一塑胶钉,使该塑胶钉以张开的状态卡合在该夹嘴内待用,但由于每次施夹时都需要夹取一次塑胶钉,若手术需要使用多个塑胶钉止血时,该血管施夹器就需要多次进出人体来取用塑胶钉,使得操作十分地麻烦。The structure of the plastic nail used in the above-mentioned vascular clip applier is that a buckle is formed at the front end of the two clamp arms connected at the rear end, and a lateral columnar positioning rod is formed at the front end of the two clip arms respectively. When the clamp is used, the front end of the clamp mouth is opened to a nail box, and a plastic nail is used, so that the plastic nail is engaged in the clamp mouth in an open state for use, but since each time the clamp is applied, Both need to clamp the plastic nail once. If the operation requires the use of multiple plastic nails to stop bleeding, the vascular clip applier needs to enter and exit the human body multiple times to access the plastic nail, which makes the operation very troublesome.

发明内容Summary of the Invention

由于现有血管施夹装置每次只能取用一个塑胶钉施夹,造成使用上的麻烦。为此,本发明在血管施夹器设有连续进钉的构造,达到血管施夹装置可连续施夹的效果。Because the existing vascular clip applying device can only take one plastic nail for clamping at a time, it causes trouble in use. For this reason, the present invention is provided with a structure for continuously inserting nails in the vascular clip applier, so as to achieve the effect that the vascular clip applicator can continuously clip.

为达到上述目的,本发明提供一种血管施夹器的连续进钉装置,包括:一杆身,该杆身的内部形成一沿前、后方向延伸的进钉轨道,在该进钉轨道的前端形成一钉留置腔;一挡杆,该挡杆固设在该进钉轨道一侧的侧壁,在该挡杆以前、后等间隔的排列方式向该进钉轨道内伸设多个挡止弹片,该挡杆在最前方的该挡止弹片的前侧伸设一定位弹片,该定位弹片的前端伸入该钉留置腔,该定位弹片与最前方的该挡止弹片之间的前后距离短于相邻两挡止弹片之间的前后距离;一钉匣,该钉匣是沿前、后方向延伸的长杆体并且可滑动地穿置在该进钉轨道,在该钉匣内形成一沿前、后方向延伸的置钉沟, 多个定位弹片伸入该置钉沟,配合多个定位弹片的位置,在该置钉沟的内面以前、后等间隔的排列方式向该置钉沟内伸设多个推进弹片,最前方的该推进弹片位于该钉匣的前端;多个塑胶钉,是可滑动地嵌设在该置钉沟内,各塑胶钉分别位于前、后相邻的两推进弹片之间,各塑胶钉的后端抵靠在各定位弹片前;以及一夹嘴,该夹嘴结合在该杆身的前端并包括一上颚以及一下颚,该夹嘴受驱动而使该上颚与该下颚开启或闭合,在该上颚形成一上导引轨道,该上导引轨道的前端连接一上托槽,该上导引轨道的后端与该钉留置腔相通,在该下颚形成一下导引轨道,该下导引轨道的前端连接一下托槽,该下导引轨道的后端与该钉留置腔相通。In order to achieve the above object, the present invention provides a continuous nail-feeding device for a vascular clip applier, comprising: a shaft, the inside of the shaft forms a nail-injection track extending in the front and rear directions; A nail retaining cavity is formed at the front end; a blocking rod is fixed on a side wall of the nail feeding rail, and a plurality of blockings are extended into the nail feeding rail in an equal interval arrangement manner before and after the blocking rod. A stopper piece, the stopper bar is provided with a positioning spring piece on the front side of the frontmost stopper piece, the front end of the positioning spring piece extends into the nail retention cavity, and the front and rear between the positioning spring piece and the frontmost stopper piece The distance is shorter than the front-to-back distance between two adjacent stoppers; a staple box is a long rod body extending in the front and rear directions and is slidably inserted in the nail-feeding track and formed in the staple box A nail placing groove extending in the front and rear directions, a plurality of positioning elastic pieces are inserted into the nail placing groove, and the positions of the plurality of positioning elastic pieces are aligned with the nail placing grooves at equal intervals before and after the inner surface of the nail placing groove. A plurality of propulsion shrapnels are extended in the ditch. At the front of the nail box, a plurality of plastic nails are slidably embedded in the nail groove. Each plastic nail is respectively located between two advancing elastic pieces adjacent to the front and rear, and the rear end of each plastic nail abuts. In front of each positioning spring; and a clamping mouth, which is coupled to the front end of the shaft and includes an upper jaw and a lower jaw, the clamping mouth is driven to open or close the upper jaw and the lower jaw to form a An upper guide track, the front end of which is connected to an upper bracket, the rear end of which is in communication with the nail retention cavity, and a lower guide track is formed in the lower jaw, and the front end of the lower guide track is connected Lower bracket, the rear end of the lower guide track communicates with the nail retention cavity.

进一步,本发明在所述的杆身前端设有一夹嘴座,所述的夹嘴枢接在该夹嘴座的前端,所述的进钉轨道贯穿该夹嘴座,对应该钉留置腔的位置,在该夹嘴座前面的一侧向后凹入形成一凹口,该钉留置腔位于该凹口的位置;在所述的上颚的一侧向后延伸形成一上盖,该上盖是壳体并且覆盖该钉留置腔外侧的上半部分,在所述的下颚的一侧向后延伸形成一下盖,该下盖是壳体并且覆盖该钉留置腔外侧的下半部分。Further, the present invention is provided with a gripper seat at the front end of the shaft, the gripper mouth is pivotally connected to the front end of the gripper seat, and the nail feeding track passes through the gripper seat, corresponding to the nail retention cavity. Position, a recess is formed on the side in front of the mouthpiece seat, and the nail indwelling cavity is located at the position of the recess; a cover is extended on the side of the upper jaw, and the cover It is the shell and covers the upper half of the nail indwelling cavity. A lower cover is formed at one side of the lower jaw, and the lower cover is the shell and covers the lower half of the nail indwelling cavity.

进一步,本发明所述的上盖的底缘是弧形并且在中间向内凹入形成一上视窗口;所述的下盖的顶缘是弧形并且在中间向内凹入形成一下视窗口。Further, the bottom edge of the upper cover according to the present invention is arc-shaped and recessed inward at the middle to form an upper view window; the top edge of the lower cover is arc-shaped and recessed inward at the middle to form a lower view window .

更进一步,本发明所述的杆身进一步包括一外管以及一束套管,该外管包括两左、右对半结合的半管壳,其中一半管壳的前端凸出于另一半管壳的前端,在向前凸出的该半管壳的前端形成一后卡勾;配合该后卡勾的形状,在所述的夹嘴座后端形成一前卡勾,该前卡勾与该后卡勾扣合使得该夹嘴座衔接在该外管的前端,该束套管套合在该前卡勾以及该后卡勾的周围定位。Furthermore, the shaft according to the present invention further includes an outer tube and a bundle of sleeves. The outer tube includes two left and right half-shells combined, and the front end of the half-shell is projected from the other half-shell A front hook is formed at the front end of the half-shell that protrudes forward; according to the shape of the rear hook, a front hook is formed at the rear end of the chuck seat, and the front hook and the The rear hook is engaged so that the mouthpiece seat is connected to the front end of the outer tube, and the bundle sleeve is sleeved and positioned around the front hook and the rear hook.

较佳的,本发明在所述杆身的后半段横向贯穿一沿前后方向延伸的驱动插销长沟,在该杆身的后端部横向枢穿设有一固定插销;在所述的杆身内穿置一驱动杆,该驱动杆的前端连结驱动所述的夹嘴而使所述的上颚与所述的下颚开启或闭合,该驱动杆的后端伸出该杆身的后端并穿设一结合穿孔,在所述钉匣的后端穿设一驱动结合孔;在该杆身的周围套设一驱动环,在该驱动环横向枢穿设有一驱动插销,该驱动插销穿过该驱动插销长沟的后端以及该驱动结合孔,在该固定插销以及该钉匣之间结合一复位弹簧;在该外管的后端滑动地套盖一后端盖,在该后端盖的后端横向枢穿一结合插销,该结合 插销穿过该驱动杆的该结合穿孔,在该后端盖内设置一顶撑弹簧,该顶撑弹簧的两端顶靠在该后端盖内的后端以及该外管的后端之间。Preferably, in the second half of the shaft, the present invention penetrates a long groove of a driving pin extending in the front-to-rear direction, and a fixed bolt is pivotally provided at the rear end of the shaft; in the shaft A driving rod is penetrated, and the front end of the driving rod is connected to drive the clamping mouth to open or close the upper jaw and the lower jaw. The rear end of the driving rod extends out of the rear end of the shaft and passes through. A coupling perforation is provided with a driving coupling hole at the rear end of the magazine; a driving ring is sleeved around the shaft, and a driving pin is laterally penetrating the driving ring, and the driving pin passes through the driving The rear end of the long slot of the bolt and the drive coupling hole are combined with a return spring between the fixed bolt and the magazine; a rear end cover is slidably sleeved at the rear end of the outer tube, An end is pivoted laterally through a coupling pin that passes through the coupling perforation of the driving rod, and a top support spring is provided in the rear end cover, and both ends of the top support spring abut against the rear of the rear end cover. Between the end and the rear end of the outer tube.

本发明使用时,是依次驱动该钉匣沿前后方向往复移动,当首次驱动该钉匣往复移动时,过程中该钉匣以前面数来第二个的推进弹片会将最前方的该塑胶钉向前推至该钉留置腔内,其余各塑胶钉也会被后方的各推进弹片向前推而越过前方的各挡止弹片,接着该钉匣往后退回原本的位置,过程中由于各塑胶钉被后方的各挡止弹片阻挡,因此不会跟着后退。接着该钉匣被驱动再次前进,这时该钉匣前端的该推进弹片会将位于该钉留置腔内的该塑胶钉推入该夹嘴内,使该塑胶钉沿着该上导引轨道以及该下导引轨道向前滑动至该夹端的前端,同时由前数来第二个的塑胶钉被补充至该钉留置腔内待用,当该钉匣再次后退回原位后,使用者可以驱动该夹嘴的上颚与下颚闭合,使该塑胶钉夹扣在血管的周围,接着张开该夹嘴使该扣合的塑胶钉脱离该夹嘴,重复上述的操作让使用者可以连续施夹多个塑胶钉。When the present invention is used, the magazine is driven to move back and forth in the front-to-rear direction in sequence. When the magazine is driven to reciprocate for the first time, the second advance of the magazine by the front of the magazine will move the plastic nail in the forefront. Push forward into the nail indwelling cavity, and the remaining plastic nails will be pushed forward by the pushing springs in the back and over the blocking springs in the front, and then the nail box will be moved back to the original position. The nails are blocked by the blocking springs at the rear, so they will not follow. Then the nail magazine is driven to advance again. At this time, the pushing spring at the front end of the nail magazine pushes the plastic nail located in the nail indwelling cavity into the clamp mouth, so that the plastic nail follows the upper guide track and The lower guide rail slides forward to the front end of the clip end, and the second plastic nail from the top is added to the nail retention cavity for use. When the nail box is retracted back to the original position, the user can The upper jaw and lower jaw of the clamp mouth are driven to close, so that the plastic nail is clamped around the blood vessel, and then the clamp mouth is opened to disengage the fastened plastic nail from the clamp mouth. Repeat the above operation so that the user can continuously apply the clamp. Multiple plastic nails.

本发明的功效在于,驱动该钉匣进行往复运动时,能够将多个塑胶钉依次输送至该夹嘴内夹合,达到可连续施夹多个塑胶钉的功效,使用十分方便不需要多次进出人体来取用塑胶钉。此外,当各塑胶钉留置在该钉留置腔内时,由于该塑胶钉会被该定位弹片侧向地抵靠,因此能稳固地将该塑胶钉定位在该钉留置腔内待用。The effect of the present invention is that when the nail magazine is driven for reciprocating motion, multiple plastic nails can be sequentially conveyed into the clamping mouth for clamping, so that the effect of continuously applying multiple plastic nails is achieved, and it is very convenient to use and does not require multiple times Get in and out of the body with plastic nails. In addition, when the plastic nails are indwelled in the nail indwelling cavity, since the plastic nails are abutted laterally by the positioning elastic sheet, the plastic nails can be stably positioned in the nail indwelling cavity for use.

附图说明BRIEF DESCRIPTION OF THE DRAWINGS

图1为本发明较佳实施例的立体图;FIG. 1 is a perspective view of a preferred embodiment of the present invention;

图2为本发明较佳实施例的分解图;2 is an exploded view of a preferred embodiment of the present invention;

图3为本发明较佳实施例的部分放大分解图;3 is a partially enlarged exploded view of a preferred embodiment of the present invention;

图4为本发明较佳实施例夹嘴的分解图;FIG. 4 is an exploded view of a clamping mouth of a preferred embodiment of the present invention; FIG.

图5为本发明较佳实施例部分放大的立体图;5 is a partially enlarged perspective view of a preferred embodiment of the present invention;

图6为本发明较佳实施例夹嘴的剖面图;6 is a cross-sectional view of a clamping nozzle of a preferred embodiment of the present invention;

图7为本发明较佳实施例夹嘴的另一角度剖面图;FIG. 7 is another angle sectional view of the clamping nozzle of the preferred embodiment of the present invention; FIG.

图8为本发明较佳实施例的剖面图;8 is a cross-sectional view of a preferred embodiment of the present invention;

图9为本发明较佳实施例的另一剖面图;9 is another cross-sectional view of a preferred embodiment of the present invention;

图10为本发明较佳实施例首次推进塑胶钉的动作示意图;FIG. 10 is a schematic diagram of the action of pushing a plastic nail for the first time in a preferred embodiment of the present invention; FIG.

图11为本发明较佳实施例将塑胶钉推至钉留置腔的动作示意图;FIG. 11 is a schematic diagram of the operation of pushing a plastic nail into a nail indwelling cavity according to a preferred embodiment of the present invention; FIG.

图12为本发明较佳实施例将塑胶钉推至夹嘴内的动作示意图;FIG. 12 is a schematic diagram of an operation of pushing a plastic nail into a clamp mouth according to a preferred embodiment of the present invention; FIG.

图13为本发明较佳实施例夹嘴内设有塑胶钉的立体图;13 is a perspective view of a plastic nail provided in a clamping mouth of a preferred embodiment of the present invention;

图14为本发明较佳实施例安装在驱动器的立体图。FIG. 14 is a perspective view of a preferred embodiment of the present invention mounted on a driver.

图中,各组件与附图标记之间的对应关系为:In the figure, the corresponding relationship between each component and the reference numeral is:

10杆身                       11外管10-shaft: 11 outer tube

111半管壳                    112后卡勾111 half-tube shell 112 rear hook

113驱动插销长沟              114固定插销孔113 drive pin long groove 114 fixing pin hole

115固定插销                  12夹嘴座115Fixed Bolt 12 Clip Holder

121前卡勾                    122剖口121 front card hook 122 section

123凹口                      124轴孔123 notch 124 axis hole

13束套管                     14驱动杆穿孔13-beam tube 14 drive rod perforation

15进钉轨道                   151钉留置腔15 nails track 151 nail indwelling cavity

20夹嘴                       21上夹嘴20 clips, 21 clips

211上颚                      2111上颚侧壁211 upper jaw 2111 upper jaw side wall

2112上颚凸条                 212上盖2112 upper jaw ridges 212 upper cover

2121上视窗口                 213上操作臂2121 upper viewing window 213 upper operating arm

2131上轴孔                   2132上斜孔2131 upper shaft hole 2132 upper oblique hole

22下夹嘴                     221下颚22 Lower jaw 221 lower jaw

2211下颚侧壁                 2212下颚凸条2211 Side wall of the lower jaw

222下盖                      2221下视窗口222 Under cover 2221 Look down window

223下操作臂                  2231下轴孔223 lower operating arm 2231 lower shaft hole

2232下斜孔                   23上导引轨道2232 Lower oblique hole 23 upper guide track

231上倾斜段                  232上托槽231 upper inclined section 232 upper bracket

233上出口                    234上穿出口Exit 233, exit 234

235上脱模长孔                24下导引轨道235 upper demolding long holes 24 guide rails

241下倾斜段                  242下托槽241 lower incline section 242 lower bracket

243下出口                    244下穿出口Exit 243. Exit through 244

245下脱模长孔                25转轴245 long holes for demoulding under 25 rotary shafts

30驱动杆                     31轴杆30 drive lever 31 shaft lever

32驱动片                     321内驱动插销长沟32 driving film: 321 long grooves for driving bolts

322固定插销沟                323结合穿孔322 fixed latch groove 323 combined perforation

40挡杆                       41挡止弹片40 stopper bar 41 stopper shrapnel

42定位弹片                   50钉匣42 positioning shrapnel 50 nails

51置钉沟                     52推进弹片51 置 nail 沟 52 push the shrapnel

53驱动结合孔                 54复位弹簧勾孔53Drive combination hole 54Reset spring hook hole

60塑胶钉                     61夹臂60 plastic nails 61 clip arms

62卡扣                       63定位杆62 buckle 63 positioning rod

70驱动构造                   71驱动环70 drive structure 71 drive ring

711驱动插销孔                712驱动插销711 drive pin hole 712 drive pin

72后端盖                     721结合插销孔72 rear cover 721 combined bolt holes

722结合插销                  73复位弹簧722 Combined latch 73 Return spring 73

74顶撑弹簧                   80驱动器74 Top Support Spring 80 Drive

具体实施方式detailed description

为使本发明实施例的目的、技术方案和优点更加清楚,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,所描述的实施例是本发明的一部分实施例,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的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。In order to make the objectives, technical solutions, and advantages of the embodiments of the present invention clearer, the technical solutions in the embodiments of the present invention will be clearly and completely described with reference to the accompanying drawings in the embodiments of the present invention. Obviously, the described embodiments These are part of the embodiments of the present invention, but not all of them. Based on the embodiments of the present invention, all other embodiments obtained by a person of ordinary skill in the art without creative efforts shall fall within the protection scope of the present invention.

下面结合附图对本发明做进一步的详细描述:The present invention is described in further detail below with reference to the drawings:

请参看如图1至图7所示的本发明较佳实施例,本发明提供一种血管施夹器的连续进钉装置,包括一杆身10、一枢接在该外管10前端的夹嘴20、一穿置在该外管10内用以驱动该夹嘴20开启或闭合的驱动杆30、一固定在该外管10内的挡杆40、一穿置在该外管10内的钉匣50、多个设置在该钉匣50内的塑胶钉60,以及一驱动构造70,其中:Please refer to the preferred embodiment of the present invention shown in FIG. 1 to FIG. 7. The present invention provides a continuous nail feeding device for a vascular clip applier, which includes a shaft 10 and a clip pivotally connected to the front end of the outer tube 10. Nozzle 20, a driving rod 30 inserted in the outer tube 10 to drive the clamping nozzle 20 to open or close, a stopper rod 40 fixed in the outer tube 10, a The nail box 50, a plurality of plastic nails 60 disposed in the nail box 50, and a driving structure 70, wherein:

请配合参看图2至图4所示,该杆身10包括一外管11、一夹嘴座12以及一束套管13,该外管11是沿前后方向沿伸的长管体,该外管11包括两左、右对半结合的半管壳111,其中位于右侧的该半管壳111的前端凸出于左侧的该半管壳111的前端,在右侧的半管壳111的前端形成一后卡勾112,在该外 管11的后半段横向贯穿一沿前后方向延伸的驱动插销长沟113,在该外管11后端部横向贯穿一固定插销孔114,在该固定插销孔114穿置固定一固定插销115;该夹嘴座12是沿前、后方向延伸的杆状块体,配合该后卡勾112的形状,在该夹嘴座12后端的左侧形成一向后凸出的前卡勾121,该前卡勾121与该后卡勾112扣合,使得该夹嘴座12的后端衔接在该外管11的前端;该束套管13套合定位在该外管11的周围,该束套管13的前端伸抵该夹嘴座12的后端并包覆在该前卡勾121以及该后卡勾112的周围,使得该夹嘴座12与该外管11衔接固定。Please refer to FIG. 2 to FIG. 4. The shaft 10 includes an outer tube 11, a mouthpiece holder 12 and a bundle of sleeves 13. The outer tube 11 is a long tube body extending in the front-rear direction. The tube 11 includes two left and right half-shells 111, in which the front end of the half-shell 111 on the right side protrudes from the front end of the half-shell 111 on the left and the half-shell 111 on the right A rear hook 112 is formed at the front end of the outer tube 11, and a driving pin long groove 113 extending in the front-rear direction is transversely penetrated in the rear half of the outer tube 11. A fixed bolt hole 114 is transversely penetrated in the rear end of the outer tube 11. A fixed bolt 115 is inserted through the fixed bolt hole 114; the clamp base 12 is a rod-shaped block extending in the front and rear directions, and is formed on the left side of the rear end of the clamp base 12 in accordance with the shape of the rear hook 112. A front hook 121 protruding backward, the front hook 121 is engaged with the rear hook 112, so that the rear end of the chuck seat 12 is connected to the front end of the outer tube 11; the bundle sleeve 13 is positioned to fit. Around the outer tube 11, the front end of the bundle sleeve 13 extends against the rear end of the mouthpiece holder 12 and covers the front hook 121 and the rear hook 112, so that The clip 12 engaged with the nozzle housing outer tube 11 is fixed.

在该夹嘴座12前面的左半部形成一于前方开口的剖口122,在该夹嘴座12前面的右半部向后凹入形成一凹口123,该凹口123的后边缘是凹弧面的形状,对应该剖口的左、右两侧,在该夹嘴座12的前端部沿横向形成一轴孔124,该轴孔124穿过该剖口122的前端部,该轴孔124的右端与该凹口123相通,对应该剖口122的位置,在该夹嘴座12的左半部与该外管11内的左侧沿前、后方向贯穿形成一驱动杆穿孔14,该驱动杆穿孔14的前端与该剖口122相通,在该夹嘴座12的右半部与该外管11内的右侧沿前、后方向贯穿形成一进钉轨道15,在该进钉轨道15的前端形成一钉留置腔151,例如本较佳实施例的该钉留置腔151形成的位置是位于该凹口123的位置。A cutout 122 is formed in the left half of the front of the jaw base 12 and is opened in the front. The right half of the front of the jaw base 12 is recessed backward to form a notch 123. The rear edge of the notch 123 is The shape of the concave arc surface corresponds to the left and right sides of the cutout. A shaft hole 124 is formed in the front end portion of the jaw holder 12 in the transverse direction, and the shaft hole 124 passes through the front end portion of the cutout 122. The shaft The right end of the hole 124 communicates with the notch 123 and corresponds to the position of the cutout 122. A left-half portion of the mouthpiece holder 12 and a left-hand side of the outer tube 11 penetrate through the front and rear directions to form a driving rod perforation 14 The front end of the driving rod perforation 14 communicates with the slit 122. A right-half portion of the mouthpiece holder 12 and a right-hand side of the outer tube 11 penetrate through the front-rear direction to form a nail-injection track 15. A nail retaining cavity 151 is formed at the front end of the nail rail 15. For example, the nail retaining cavity 151 is formed at the position of the notch 123 in the preferred embodiment.

请配合参看图4至图7所示,该夹嘴20包括上、下配合的一上夹嘴21以及一下夹嘴22,该上夹嘴21以及该下夹嘴22位于该夹嘴座12的正前方。该上夹嘴21设有一沿前、后方向延伸的上颚211,在该上颚211的左、右两侧形成两上颚侧壁2111,在两上颚侧壁2111相对面的上、下位置分别向内凸出形成一沿前、后方向延伸的上颚凸条2112,两上颚凸条2112向内凸出的距离短于两上颚侧壁2111之间的距离,在两上颚侧壁2111与两上颚凸条2112之间形成一沿前、后方向延伸的上导引轨道23。Please refer to FIG. 4 to FIG. 7. The gripping nozzle 20 includes an upper gripping nozzle 21 and a lower gripping nozzle 22 which are mated up and down. The upper gripping nozzle 21 and the lower gripping nozzle 22 are located on the gripper seat 12. In front of. The upper jaw 21 is provided with an upper jaw 211 extending in the front and rear directions. Two upper jaw sidewalls 2111 are formed on the left and right sides of the upper jaw 211, and the upper and lower positions of the opposite sides of the two upper jaw sidewalls 2111 are respectively inward. The upper jaw ridges 2112 are formed to protrude in the front and rear directions. The distance between the two upper jaw ridges 2112 protruding inward is shorter than the distance between the two upper jaw side walls 2111. An upper guide track 23 is formed between 2112 and extends in the front and rear directions.

该上导引轨道23的后端是开口端并且与该钉留置腔151的上侧相通,在该上导引轨道23的前端部形成一向下倾斜的上倾斜段231,在该上颚211前端的底面凹入形成一横向柱状的上托槽232,该上倾斜段231的前端形成一与该上托槽232相连的上出口233;在该上导引轨道23的下方形成一沿前、后方向延伸的上穿出口234,该上穿出口234的左右宽度窄于该上导引轨道23的左右宽度,且该上穿出口234的前、后两端分别与该上托槽232以及该进 钉轨道15相通,在该上导引轨道23的上方形成一沿前、后方向延伸的上脱模长孔235。配合该凹口123的位置,在该上颚211后端的右侧向后延伸形成一上盖212,该上盖212是壳体并且形状配合该夹嘴座12周围轮廓的形状,该上盖212覆盖该凹口123,也就是该钉留置腔151外侧的上半部分,该上盖212的底缘是弧形并且在中间向内凹入形成一上视窗口2121。The rear end of the upper guide rail 23 is an open end and communicates with the upper side of the nail indwelling cavity 151. A forward inclined portion 231 is formed at the front end of the upper guide rail 23 and is inclined downward. The bottom surface is recessed to form a horizontal column-shaped upper bracket 232, and the front end of the upper inclined section 231 forms an upper outlet 233 connected to the upper bracket 232; a forward and backward direction is formed below the upper guide rail 23 The extended upper penetration opening 234 is narrower than the left and right widths of the upper guide rail 23, and the front and rear ends of the upper penetration opening 234 are respectively connected to the upper bracket 232 and the nail. The rails 15 communicate with each other, and an upper release slot 235 extending in the front and rear directions is formed above the upper guide rail 23. According to the position of the notch 123, an upper cover 212 is formed to extend rearwardly on the right side of the rear end of the upper jaw 211. The upper cover 212 is a shell and is shaped to fit the contour of the periphery of the mouthpiece seat 12. The upper cover 212 covers The notch 123 is the upper half of the nail retention cavity 151. The bottom edge of the upper cover 212 is arc-shaped and recessed inwardly in the middle to form a top view window 2121.

配合该剖口122的位置,在该上颚211后端的左侧向后延伸形成一上操作臂213,该上操作臂213伸入该剖口122,在该上操作臂213的前侧横向穿设一上轴孔2131,该上轴孔2131与该夹嘴座12的该轴孔124重合,在该上操作臂213的后侧横向穿设一前低后高的上斜孔2132。According to the position of the slit 122, an upper operation arm 213 is formed to extend rearwardly on the left side of the rear end of the upper jaw 211, the upper operation arm 213 extends into the slit 122, and is laterally inserted on the front side of the upper operation arm 213 An upper shaft hole 2131 is overlapped with the shaft hole 124 of the chuck base 12, and an upper inclined hole 2132 is formed in the rear side of the upper operation arm 213, which is low in front and high in back.

该下夹嘴22设有一沿前、后方向延伸的下颚221,在该下颚221的左、右两侧形成两下颚侧壁2211,在两下颚侧壁2211相对面的上、下位置分别向内凸出形成一沿前、后方向延伸的下颚凸条2212,两下颚凸条2212向内凸出的距离短于两下颚侧壁2211之间的距离,在两下颚侧壁2211与两下颚凸条2212之间形成一沿前、后方向延伸的下导引轨道24。The lower jaw 22 is provided with a lower jaw 221 extending in the front and rear directions. Two lower jaw side walls 2211 are formed on the left and right sides of the lower jaw 221, and the upper and lower positions of the opposite sides of the two lower jaw side walls 2211 are respectively inward A lower jaw ridge 2212 is formed to protrude in the front and rear directions. The distance between the two lower jaw ridges 2212 protruding inward is shorter than the distance between the two lower jaw side walls 2211. A lower guide rail 24 is formed between 2212 and extends in the front and rear directions.

该下导引轨道24的后端是开口端并且与该钉留置腔151的下侧相通,在该下导引轨道24的前端部形成一向上倾斜的下倾斜段241,在该下颚221前端的顶面凹入形成一横向柱状的下托槽242,该下倾斜段241的前端形成一与该下托槽242相连的下出口243;在该下导引轨道24的上方形成一沿前、后方向延伸的下穿出口244,该下穿出口244的左右宽度窄于该下导引轨道24的左右宽度,且该下穿出口244的前、后两端分别与该下托槽242以及该进钉轨道15相通,在该下导引轨道24的下方形成一沿前、后方向延伸的下脱模长孔245。配合该凹口123的位置,在该下颚221后端的右侧向后延伸形成一下盖222,该下盖222是壳体并且形状配合该夹嘴座12周围轮廓的形状,该下盖222覆盖该凹口123,也就是该钉留置腔151外侧的下半部分,该下盖222的顶缘是弧形并且在中间向内凹入形成一下视窗口2221。The rear end of the lower guide rail 24 is an open end and communicates with the lower side of the nail indwelling cavity 151. A forward inclined lower inclined section 241 is formed at the front end portion of the lower guide rail 24. The top surface is recessed to form a horizontal column-shaped lower bracket 242, and the front end of the lower inclined section 241 forms a lower outlet 243 connected to the lower bracket 242; and a front and rear are formed above the lower guide rail 24 The lower through hole 244 extending in the direction is narrower than the left and right widths of the lower guide rail 24, and the front and rear ends of the lower through hole 244 are respectively connected to the lower bracket 242 and the inlet. The nail rails 15 communicate with each other, and a lower demolding long hole 245 extending in the front and rear directions is formed below the lower guide rail 24. According to the position of the notch 123, a lower cover 222 is formed to extend rearwardly on the right side of the rear end of the lower jaw 221. The lower cover 222 is a housing and has a shape matching the shape of the contour around the mouthpiece seat 12. The lower cover 222 covers The notch 123 is the lower half of the nail retention cavity 151 outside. The top edge of the lower cover 222 is arc-shaped and recessed inward in the middle to form a lower viewing window 2221.

配合该剖口122的位置,在该下颚221后端的左侧向后延伸形成一下操作臂223,该下操作臂223伸入该剖口122并与该上操作臂213交迭,在该下操作臂223的前侧横向穿设一下轴孔2231,该下轴孔2231与该上轴孔2131以及该轴孔124重合,在该轴孔124穿置固定一转轴25,该转轴25枢穿该下轴孔2231以及该上轴孔2131,在该下操作臂223的后侧横向穿设一前高后低 的下斜孔2232,该下斜孔2232与该上斜孔2132的部分重合。According to the position of the cutout 122, a lower operating arm 223 is formed to extend backward on the left side of the rear end of the lower jaw 221. The lower operating arm 223 extends into the cutout 122 and overlaps the upper operating arm 213, and operates at the lower position. A lower shaft hole 2231 is horizontally penetrated on the front side of the arm 223. The lower shaft hole 2231 coincides with the upper shaft hole 2131 and the shaft hole 124. A shaft 25 is inserted and fixed in the shaft hole 124, and the shaft 25 pivots through the lower shaft. The shaft hole 2231 and the upper shaft hole 2131 pass through a lower inclined hole 2232 with a front height and a lower height on the rear side of the lower operating arm 223, and the lower inclined hole 2232 coincides with a part of the upper inclined hole 2132.

请配合参看图2至图4所示,该驱动杆30是沿前、后方向延伸的长杆体并且以可前后滑动的形态穿设在该驱动杆穿孔14,该驱动杆30的后端设有一驱动片32,该驱动片32的后端向后穿出该外管11的后端,配合该驱动插销长沟113的位置,在该驱动片32穿设一沿前后方向延伸的内驱动插销长沟321,配合该固定插销孔114的位置,在该驱动片31穿设一沿前后方向延伸的固定插销沟322,所述的固定插销115穿过该固定插销沟322的前侧,在该驱动片31的后端穿设一结合穿孔323,该驱动部32可受该驱动构造70驱动而使该驱动杆30整体沿前、后方向往复移动,在该驱动杆30的前端设有一轴杆31,该轴杆31穿过该下斜孔2232与该上斜孔2132的重合处,当该驱动杆30被驱动沿前、后方向往复移动时,能以该轴杆31沿着该下斜孔2232与该上斜孔2132滑动的方式,使该上夹嘴21以及该下夹嘴22能够以该转轴25为旋转中心进行开启或者闭合的动作。Please refer to FIG. 2 to FIG. 4. The driving rod 30 is a long rod body extending in the front and rear directions and is slidably formed in the driving rod perforation 14. A rear end of the driving rod 30 is provided with a A driving piece 32, the rear end of the driving piece 32 penetrating backward from the rear end of the outer tube 11 is matched with the position of the driving pin long groove 113, and an inner driving pin length extending in the front-rear direction is provided on the driving piece 32 A groove 321 matches the position of the fixing pin hole 114, and a driving pin 31 is provided with a fixing pin groove 322 extending in the front-rear direction. The fixing pin 115 passes through the front side of the fixing pin groove 322, and the driving The rear end of the sheet 31 is provided with a combined perforation 323. The driving portion 32 can be driven by the driving structure 70 to cause the driving rod 30 as a whole to reciprocate in the front and rear directions. A shaft 31 is provided at the front end of the driving rod 30. The shaft 31 passes through the overlap of the lower inclined hole 2232 and the upper inclined hole 2132. When the driving rod 30 is driven to reciprocate in the front and rear directions, the shaft 31 can be moved along the lower inclined hole. The manner in which 2232 slides with the upper inclined hole 2132 enables the upper jaw 21 and the lower jaw 22 to The rotary shaft 25 is opened or closed operation as a rotation center.

请配合参看图2、图3以及图5、图8所示,该挡杆40是沿前后方向延伸的长片体并结合在该进钉轨道15的外侧壁固定,该挡杆40的前端伸抵该钉留置腔151,在该挡杆40以前、后等间隔的排列方式向该进钉轨道15内伸设多个挡止弹片41,各挡止弹片41是由该挡杆40往前斜向朝内延伸的片体,在该挡杆40的前端往前斜向延伸形成一定位弹片42,该定位弹片42的前端伸入该钉留置腔151,该定位弹片42与最前方的该挡止弹片41之间的前后距离短于相邻两挡止弹片41之间的前后距离。Please refer to FIG. 2, FIG. 3, and FIG. 5 and FIG. 8. The blocking bar 40 is a long piece extending in the front-rear direction and is fixed on the outer side wall of the nail feeding track 15. The front end of the blocking bar 40 extends. Abutting the nail retaining cavity 151, a plurality of blocking elastic pieces 41 are extended into the nail feeding track 15 at an equal interval before and after the blocking rod 40. Each blocking elastic piece 41 is slanted forward by the blocking rod 40. The inwardly extending sheet body extends obliquely forward from the front end of the blocking bar 40 to form a positioning spring piece 42. The front end of the positioning spring piece 42 extends into the nail retention cavity 151. The positioning spring piece 42 and the frontmost stopper The front-to-back distance between the bullet stops 41 is shorter than the front-to-back distance between the two adjacent bullet stops 41.

该钉匣50是沿前、后方向延伸的长杆体并且以可前、后滑动的形态穿设在该进钉轨道15,该钉匣50的后端延伸至该外管11的后半部内,在该钉匣50的后端穿设一驱动结合孔53,该驱动结合孔53的前后位置位于该驱动插销长沟113的后端,在该钉匣50的后端部穿设一复位弹簧勾孔54,该进钉轨道15的后端可受该驱动构造70驱动而沿前、后方向往复移动,该钉匣50位于该挡杆40的内侧,在该钉匣50内形成一沿前、后方向延伸的置钉沟51,多个定位弹片42的前端伸入该置钉沟51,配合多个定位弹片42的位置,在该置钉沟51的内面以前、后等间隔的排列方式向该置钉沟51内伸设多个推进弹片52,各推进弹片52是往前斜向延伸的片体,在本较佳实施例中最前方的推进弹片52位于该钉匣50的前端。The nail box 50 is a long rod body extending in the front and rear directions and is arranged on the nail feeding track 15 in a slidable manner. The rear end of the nail box 50 extends into the rear half of the outer tube 11. A driving coupling hole 53 is formed in the rear end of the magazine 50. The front and rear positions of the driving coupling hole 53 are located at the rear of the driving pin long groove 113. A return spring hook is formed in the rear end of the magazine 50. Hole 54. The rear end of the nail feeding track 15 can be driven by the driving structure 70 to reciprocate in the front and rear directions. The nail box 50 is located on the inner side of the blocking bar 40. In the nail-receiving groove 51 extending in the rear direction, the front ends of the plurality of positioning elastic pieces 42 are inserted into the nail-receiving groove 51, and the positions of the plurality of positioning elastic pieces 42 are aligned to the inner surface of the nail-receiving groove 51 at equal intervals before and after. A plurality of pushing elastic pieces 52 are protruded in the nail-receiving groove 51, and each of the pushing elastic pieces 52 is a body extending obliquely forward. In the preferred embodiment, the foremost pushing elastic piece 52 is located at the front end of the nail box 50.

如图2以及图7、图8所示,上述的多个塑胶钉60分别在上、下位置设有一对夹臂61,各对夹臂61的后端相连,在各对夹臂61的前端之间形成一卡扣62,在各夹臂61的前端形成一横向柱状的定位杆63,各定位杆63的形状符合该上托槽232以及该下托槽242的形状,并且各定位杆63能分别沿着该上导引轨道23或该下导引轨道24向前滑动。多个塑胶钉60是以前、后等间隔的排列方式设置在该钉匣50的该置钉沟51内,多个塑胶钉60分别位于前、后相邻的两推进弹片52之间,各塑胶钉60的后端抵靠在各定位弹片42前,当各塑胶钉60设置在该置钉沟51内时,各塑胶钉60的高度被该置钉沟51的高度限制,被压缩为各对夹臂61相互靠近的状态。As shown in FIG. 2 and FIG. 7 and FIG. 8, the above-mentioned plastic nails 60 are respectively provided with a pair of clamp arms 61 at the upper and lower positions, the rear ends of each pair of clamp arms 61 are connected, and the front ends of each pair of clamp arms 61 A buckle 62 is formed therebetween, and a lateral columnar positioning rod 63 is formed at the front end of each clamp arm 61. The shape of each positioning rod 63 conforms to the shape of the upper bracket 232 and the lower bracket 242, and each positioning rod 63 It can slide forward along the upper guide track 23 or the lower guide track 24, respectively. A plurality of plastic nails 60 are arranged in the nail groove 51 of the magazine 50 at equal intervals in front and back. The plurality of plastic nails 60 are respectively located between two advancing elastic pieces 52 adjacent to the front and the rear. The rear end of the nail 60 abuts in front of the positioning elastic pieces 42. When the plastic nails 60 are disposed in the nail-receiving groove 51, the height of the plastic nails 60 is limited by the height of the nail-receiving groove 51 and compressed into pairs. The clamp arms 61 are close to each other.

如图2、图9所示,该驱动构造70包括一驱动环71以及一后端盖72,其中该驱动环71套设在该外管11的周围并位于该束套管13的后方,在该驱动环71横向穿设一驱动插销孔711,在该驱动插销孔711穿设固定一驱动插销712,该驱动插销712穿过该驱动插销长沟113的后端、该内驱动插销长沟321的后端以及该驱动结合孔53,在该固定插销115以及该复位弹簧勾孔54之间勾合一复位弹簧73;当该驱动环71被驱动前进时可带动该钉匣50前进并且拉长该复位弹簧73,被拉长的该复位弹簧73提供该钉匣50向后复位的动力。As shown in FIGS. 2 and 9, the driving structure 70 includes a driving ring 71 and a rear end cover 72. The driving ring 71 is sleeved around the outer tube 11 and is located behind the beam tube 13. The driving ring 71 is provided with a driving pin hole 711 laterally, and a driving pin 712 is fixed through the driving pin hole 711. The driving pin 712 passes through the rear end of the driving pin long groove 113 and the inner driving pin long groove 321. A rear end of the rear end and the driving coupling hole 53 are engaged with a return spring 73 between the fixing bolt 115 and the return spring hook hole 54; when the drive ring 71 is driven forward, the magazine 50 can be driven forward and stretched The return spring 73 and the stretched return spring 73 provide the power for the magazine 50 to return backward.

该后端盖72可滑动地套盖在该外管11的后端,在该后端盖72的后端横向穿设一结合插销孔721,在该结合插销孔721穿设固定一结合插销722,该结合插销722穿过该驱动杆30后端的该结合穿孔323,在该后端盖72内设置一顶撑弹簧74,该顶撑弹簧74的两端顶靠在该后端盖72内的后端以及该外管11的后端之间,当该后端盖72被驱动前进时可带动该驱动杆30前进并且压缩该顶撑弹簧74,被压缩的该顶撑弹簧74提供该驱动杆30向后复位的动力。The rear end cap 72 is slidably sleeved on the rear end of the outer tube 11. A coupling pin hole 721 is transversely formed at the rear end of the rear end cap 72, and a coupling pin 722 is fixed in the coupling pin hole 721. The coupling pin 722 passes through the coupling perforation 323 at the rear end of the driving rod 30. A top support spring 74 is provided in the rear end cover 72, and both ends of the top support spring 74 abut against the rear end cover 72. Between the rear end and the rear end of the outer tube 11, when the rear end cover 72 is driven forward, the driving rod 30 can be driven forward and compress the top support spring 74, and the compressed top support spring 74 provides the driving rod 30 rearward reset power.

请配合参看图1、图2以及图14所示,当本发明的血管施夹器使用时,是将该杆身10安装在一驱动器80,利用该驱动器80内的构造连结该驱动环71以及该后端盖72,藉此以该驱动环71以及该后端盖72分别带动该钉匣50以及该驱动杆30进行往复的运动,当该驱动环71操纵该驱动杆30往复运动时会驱动该夹嘴20开启或者闭合,当该后端盖72操纵该钉匣50往复运动时,会依次将各塑胶钉60往前输送至该夹嘴20内,同时将其余的多个塑胶钉60 往前推进,连续地将各塑胶钉60输送至该夹嘴20处用于夹合血管。Please refer to FIG. 1, FIG. 2 and FIG. 14. When the vascular clip applier of the present invention is used, the shaft 10 is mounted on a driver 80, and the driving ring 71 and the driving ring 71 are connected by the structure in the driver 80. The rear cover 72 is used to drive the magazine 50 and the driving rod 30 to reciprocate with the driving ring 71 and the rear cover 72, respectively. When the driving ring 71 controls the driving rod 30 to reciprocate, it drives The mouthpiece 20 is opened or closed. When the rear end cover 72 manipulates the magazine 50 to reciprocate, each plastic nail 60 will be forwarded into the mouthpiece 20 in turn, and the remaining multiple plastic nails 60 will be forwarded simultaneously. Forward, each plastic nail 60 is continuously delivered to the clamping mouth 20 for clamping blood vessels.

当本发明的血管施夹器首次使用时,请配合参看图8至图11所示,需要先将最前方的一个塑胶钉60送至该进钉轨道15前端的该钉留置腔151内待用,如图9所示,此时该钉匣50被该驱动环71驱动前进,以前面数来第二个的推进弹片52将最前方的该塑胶钉60向前推至该钉留置腔151内,过程中最前方的该塑胶钉60会越过最前方的挡止弹片41,其余的各塑胶钉60也会越过各自前方的各挡止弹片41,接着该钉匣50被驱动后退回到原本的位置,过程中最前方的该塑胶钉60被最前方的该挡止弹片41卡住,因此而留在该钉留置腔151内不会随着该钉匣50后退,其余的各塑胶钉60在前进后也会被后方的各挡止弹片41卡住而留在移动后的位置。当最前方的该塑胶钉60留置在该钉留置腔151内时,由于会被该定位弹片42侧向地抵靠,因此能稳固地定位在该钉留置腔151内。When the vascular clip applier of the present invention is used for the first time, please refer to FIG. 8 to FIG. 11. It is necessary to firstly send a plastic nail 60 at the front to the nail indwelling cavity 151 at the front of the nail feeding track 15 for use. As shown in FIG. 9, at this time, the nail box 50 is driven forward by the driving ring 71, and the second pushing elastic piece 52 from the front pushes the front plastic nail 60 forward into the nail retention cavity 151. In the process, the foremost plastic nail 60 will pass the foremost blocking elastic piece 41, and the remaining plastic nails 60 will also pass over the respective foremost blocking elastic piece 41, and then the nail box 50 is driven back to the original Position, the foremost plastic nail 60 is caught by the foremost blocking spring 41 in the process, so the plastic nail 60 left in the nail indwelling cavity 151 will not retreat with the nail box 50, and the remaining plastic nails 60 are in the After moving forward, it will be caught by each of the blocking elastic pieces 41 at the rear and stay in the moved position. When the foremost plastic nail 60 is indwelled in the nail indwelling cavity 151, it will be abutted laterally by the positioning elastic piece 42, so it can be stably positioned in the nail indwelling cavity 151.

以该驱动杆30驱动前端的该夹嘴20张开,接着要将留置在该塑胶钉60推进至该夹嘴20内时,同样是驱动该钉匣50前进,这时该钉匣50最前方的该推进弹片52会将该塑胶钉60向该夹嘴20的方向推进,请配合参看图12、图13所示,该塑胶钉60上侧以及下侧的各定位杆63会分别进入该上导引轨道23的后端以及该下导引轨道24的后端,且上、下两侧的两夹臂61会分别向下与向上穿过宽度分别较该上导引轨道23以及该下导引轨道24窄的该上穿出口234以及该下穿出口244,使得两定位杆63分别限制在该上导引轨道23与该下导引轨道24内往前滑动,当该钉匣50前端的该推进弹片52继续将该塑胶钉60前推时,由于该夹嘴20是张开的状态,因此该塑胶钉60的两定位杆63会沿着该上导引轨道23以及该下导引轨道24前进而被强制地逐渐张开,可避免各塑胶钉60在该置钉沟51内放置过久导致弹性疲乏,导致需要使用时无法靠着本身的弹性张开而不能使使用的问题。When the driving rod 30 is used to drive the front end of the clamping mouth 20 to open, and then the plastic nail 60 is pushed into the clamping mouth 20, the nail box 50 is also driven forward. At this time, the nail box 50 is most forward. The pushing elastic piece 52 will push the plastic nail 60 in the direction of the clamping mouth 20. Please refer to FIG. 12 and FIG. 13. The positioning rods 63 on the upper side and the lower side of the plastic nail 60 will respectively enter the upper side. The rear end of the guide track 23 and the rear end of the lower guide track 24, and the two clamping arms 61 on the upper and lower sides respectively pass through the upper and lower guide rails 23 and the lower guide respectively The narrow entry hole 234 and the lower entry hole 244 of the guide track 24 make the two positioning rods 63 restricted to slide forward in the upper guide track 23 and the lower guide track 24, respectively. When the pushing elastic piece 52 continues to push the plastic nail 60 forward, the two positioning rods 63 of the plastic nail 60 will move along the upper guide track 23 and the lower guide track because the clamping mouth 20 is in an open state. 24 advances and is forced to gradually open, which can prevent the plastic nails 60 from being placed in the nail groove 51 for too long, resulting in elastic fatigue. When leads need not rely on elastic itself open and not make use of the problem.

最后该塑胶钉60的两定位杆63分别由该上倾斜段231、下倾斜段241移动至该上托槽232以及该下托槽242的位置定位,这时该塑胶钉60位于该夹嘴20内的前端且两夹臂61为全开的状态,接着可以操作该驱动杆30驱动该上夹嘴21以及该上夹嘴21闭合,该夹嘴20的该卡扣62可扣合而以两夹臂61夹住血管,当操作该驱动杆30使该夹嘴20再次张开时,该塑胶钉60的两定位杆63会从该上出口233以及该下出口243脱离该上夹嘴21以及该下夹 嘴22。Finally, the two positioning rods 63 of the plastic nail 60 are respectively moved from the upper inclined section 231 and the lower inclined section 241 to the positions of the upper bracket 232 and the lower bracket 242. At this time, the plastic nail 60 is located at the clamp mouth 20 The inner front end and the two clamping arms 61 are fully open. Then, the driving lever 30 can be operated to drive the upper clamp mouth 21 and the upper clamp mouth 21 to close. The buckle 62 of the clamp mouth 20 can be fastened to two The clamp arm 61 clamps the blood vessel. When the driving lever 30 is operated to open the clamp mouth 20 again, the two positioning levers 63 of the plastic nail 60 will be separated from the upper clamp mouth 21 and the lower lever from the upper exit 233 and the lower exit 243.夹 嘴 22。 The mouth 22.

以上仅为本发明的优选实施例而已,并不用于限制本发明,对于本领域的技术人员来说,本发明可以有各种更改和变化。凡在本发明的精神和原则之内,所作的任何修改、等同替换、改进等,均应包含在本发明的保护范围之内。The above are only preferred embodiments of the present invention and are not intended to limit the present invention. For those skilled in the art, the present invention may have various modifications and changes. Any modification, equivalent replacement, and improvement made within the spirit and principle of the present invention shall be included in the protection scope of the present invention.

Claims (5)

一种血管施夹器的连续进钉装置,其特征在于,包括:A continuous nail-feeding device for a vascular clip applier, comprising: 一杆身,该杆身的内部形成一沿前、后方向延伸的进钉轨道,在该进钉轨道的前端形成一钉留置腔;A shaft, the inside of the shaft forms a nail-entry track extending in the front and rear directions, and a nail retention cavity is formed at the front end of the nail-entry track; 一挡杆,该挡杆固设在该进钉轨道一侧的侧壁,在该挡杆以前、后等间隔的排列方式向该进钉轨道内伸设多个挡止弹片,该挡杆在最前方的该挡止弹片的前侧伸设一定位弹片,该定位弹片的前端伸入该钉留置腔,该定位弹片与最前方的该挡止弹片之间的前后距离短于相邻两挡止弹片之间的前后距离;A blocking lever is fixed on a side wall of the nail-intake track. A plurality of blocking elastic pieces are extended into the nail-injecting track in an equal interval before and after the blocking lever. A positioning spring is extended on the front side of the frontmost blocking spring, the front end of the positioning spring extends into the nail retention cavity, and the front-to-back distance between the positioning spring and the front blocking spring is shorter than two adjacent blocks. Back and forth distance between the bullets; 一钉匣,该钉匣是沿前、后方向延伸的长杆体并且可滑动地穿置在该进钉轨道,在该钉匣内形成一沿前、后方向延伸的置钉沟,多个定位弹片伸入该置钉沟,配合多个定位弹片的位置,在该置钉沟的内面以前、后等间隔的排列方式向该置钉沟内伸设多个推进弹片,最前方的该推进弹片位于该钉匣的前端;A nail box is a long rod body extending in the front and rear directions and slidably penetrates the nail feeding track. A nail placing groove extending in the front and rear directions is formed in the nail box. The elastic pieces extend into the nail-setting groove, and in accordance with the positions of the plurality of positioning elastic pieces, a plurality of pushing elastic pieces are extended into the nail-setting groove at an equal interval in front of and behind the inner surface of the nail fixing groove, and the front-most pushing elastic piece Located at the front of the magazine; 多个塑胶钉,是可滑动地嵌设在该置钉沟内,各塑胶钉分别位于前、后相邻的两推进弹片之间,各塑胶钉的后端抵靠在各定位弹片前;以及A plurality of plastic nails are slidably embedded in the nail-receiving groove, each plastic nail is respectively located between two advancing elastic pieces adjacent to the front and rear, and the rear end of each plastic nail abuts in front of each positioning elastic piece; and 一夹嘴,该夹嘴结合在该杆身的前端并包括一上颚以及一下颚,该夹嘴受驱动而使该上颚与该下颚开启或闭合,在该上颚形成一导引轨道,该上导引轨道的前端连接一上托槽,该上导引轨道的后端与该钉留置腔相通,在该下颚形成一下导引轨道,该下导引轨道的前端连接一下托槽,该下导引轨道的后端与该钉留置腔相通。A clamping mouth is coupled to the front end of the shaft and includes an upper jaw and a lower jaw. The clamping mouth is driven to open or close the upper jaw and the lower jaw, and forms a guide track on the upper jaw. The upper guide The front end of the guide track is connected to an upper bracket, the rear end of the upper guide track communicates with the nail retention cavity, and a lower guide track is formed in the lower jaw, and the lower guide track is connected to a lower bracket and the lower guide The rear end of the track communicates with the nail retention cavity. 根据权利要求1所述的血管施夹器的连续进钉装置,其特征在于,其中在所述的杆身前端设有一夹嘴座,所述的夹嘴枢接在该夹嘴座的前端,所述的进钉轨道贯穿该夹嘴座,对应该钉留置腔的位置,在该夹嘴座前面的一侧向后凹入形成一凹口,该钉留置腔位于该凹口的位置;在所述的上颚的一侧向后延伸形成一上盖,该上盖是壳体并且覆盖该钉留置腔外侧的上半部分,在所述的下颚的一侧向后延伸形成一下盖,该下盖是壳体并且覆盖该钉留置腔外侧的下半部分。The continuous nail-feeding device for a vascular clip applier according to claim 1, wherein a clamping jaw base is provided at the front end of the shaft, and the clamping mouth is pivotally connected to the front end of the clamping jaw base, The nail-feeding track runs through the jaw base, corresponding to the position of the nail indwelling cavity, and a recess is formed at a side in front of the jaw base, and the nail indwelling cavity is located at the position of the notch; One side of the upper jaw extends rearward to form an upper cover, the upper cover is a shell and covers the upper half of the outer side of the nail indwelling cavity, and a lower cover is extended rearwardly on one side of the lower jaw, and the lower The cover is the housing and covers the lower half of the outside of the nail retention cavity. 根据权利要求2所述的血管施夹器的连续进钉装置,其特征在于:其中所述的上盖的底缘是弧形并且在中间向内凹入形成一上视窗口;所述的下盖的顶缘是弧形并且在中间向内凹入形成一下视窗口。The continuous nail-feeding device for a vascular clip applier according to claim 2, wherein: the bottom edge of the upper cover is arc-shaped and recessed inwardly in the middle to form a top-view window; The top edge of the cover is curved and recessed inward in the middle to form a lower viewing window. 根据权利要求2或3所述的血管施夹器的连续进钉装置,其特征在于,其中所述的杆身进一步包括一外管以及一束套管,该外管包括两左、右对半结合的半管壳,其中一半管壳的前端凸出于另一半管壳的前端,在向前凸出的该半管壳的前端形成一后卡勾;配合该后卡勾的形状,在所述的夹嘴座后端形成一前卡勾,该前卡勾与该后卡勾扣合使得该夹嘴座衔接在该外管的前端,该束套管套合在该前卡勾以及该后卡勾的周围定位。The continuous nail feeding device for a vascular clip applier according to claim 2 or 3, wherein the shaft further comprises an outer tube and a bundle of sleeves, and the outer tube includes two left and right halves. A combined half-shell, the front end of which half of the shell is protruded from the front end of the other half-shell, and a rear hook is formed at the front of the half-shell that protrudes forward; matching the shape of the rear hook, A rear hook is formed at the rear end of the clamp base, and the front hook is engaged with the rear hook so that the clamp base is connected to the front end of the outer tube, and the bundle sleeve is sleeved on the front hook and the Position around the rear hook. 根据权利要求1所述的血管施夹器的连续进钉装置,其特征在于,其中在所述杆身的后半段横向贯穿一沿前后方向延伸的驱动插销长沟,在该杆身的后端部横向枢穿设有一固定插销;在所述的杆身内穿置一驱动杆,该驱动杆的前端连结驱动所述的夹嘴而使所述的上颚与所述的下颚开启或闭合,该驱动杆的后端伸出该杆身的后端并穿设一结合穿孔,在所述钉匣的后端穿设一驱动结合孔;在该杆身的周围套设一驱动环,在该驱动环横向枢穿设有一驱动插销,该驱动插销穿过该驱动插销长沟的后端以及该驱动结合孔,在该固定插销以及该钉匣之间结合一复位弹簧;在该外管的后端滑动地套盖一后端盖,在该后端盖的后端横向枢穿一结合插销,该结合插销穿过该驱动杆的该结合穿孔,在该后端盖内设置一顶撑弹簧,该顶撑弹簧的两端顶靠在该后端盖内的后端以及该外管的后端之间。The continuous nail-feeding device for a vascular clip applier according to claim 1, wherein a long groove of a driving pin extending in the front-rear direction is transversely penetrated in the rear half of the shaft, and is rearward of the shaft. An end is pivotally provided with a fixed bolt; a driving rod is inserted in the shaft, and the front end of the driving rod is connected to drive the clamping mouth to open or close the upper jaw and the lower jaw. The rear end of the driving rod extends from the rear end of the shaft and is provided with a combined perforation, and a driving combination hole is provided at the rear end of the magazine; a driving ring is sleeved around the shaft and the driving The ring is pivotally provided with a driving pin, the driving pin passes through the rear end of the long slot of the driving pin and the driving coupling hole, and a return spring is combined between the fixed pin and the magazine; at the rear end of the outer tube A sliding cover covers a rear end cover, and a combination latch is pivoted laterally at the rear end of the rear end cover. The combination latch passes through the combination perforation of the driving rod, and a top support spring is provided in the rear end cover. Both ends of the push-up spring abut against the rear end in the rear end cover And between the rear ends of the outer tubes.
PCT/CN2018/105625 2018-09-14 2018-09-14 Continuous clip feeding apparatus of vascular clip applier Ceased WO2020051864A1 (en)

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Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20110218554A1 (en) * 2010-03-03 2011-09-08 Ming-Huei Cheng Automatic clip applier for clamping two ligating clips simultaneously
CN102327138A (en) * 2007-03-26 2012-01-25 Tyco医疗健康集团 Endoscopic surgical clip applier
CN102781344A (en) * 2009-10-09 2012-11-14 伊西康内外科公司 Gripper pusher with locking mechanism
CN104490446A (en) * 2014-12-12 2015-04-08 浙江微度医疗器械有限公司 Clip applier capable of continuously releasing hemostatic clips
CN106175870A (en) * 2016-07-12 2016-12-07 成都意町工业产品设计有限公司 A kind of hemostatic clamp applicator that can launch hemostatic clamp continuously
CN206612825U (en) * 2016-11-23 2017-11-07 张大宏 Cartridge-type running fire clip appliers
CN206867252U (en) * 2016-12-28 2018-01-12 成都意町工业产品设计有限公司 A kind of more hairdo hemostatic clamp Clip Appliers

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102327138A (en) * 2007-03-26 2012-01-25 Tyco医疗健康集团 Endoscopic surgical clip applier
CN102781344A (en) * 2009-10-09 2012-11-14 伊西康内外科公司 Gripper pusher with locking mechanism
US20110218554A1 (en) * 2010-03-03 2011-09-08 Ming-Huei Cheng Automatic clip applier for clamping two ligating clips simultaneously
CN104490446A (en) * 2014-12-12 2015-04-08 浙江微度医疗器械有限公司 Clip applier capable of continuously releasing hemostatic clips
CN106175870A (en) * 2016-07-12 2016-12-07 成都意町工业产品设计有限公司 A kind of hemostatic clamp applicator that can launch hemostatic clamp continuously
CN206612825U (en) * 2016-11-23 2017-11-07 张大宏 Cartridge-type running fire clip appliers
CN206867252U (en) * 2016-12-28 2018-01-12 成都意町工业产品设计有限公司 A kind of more hairdo hemostatic clamp Clip Appliers

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