CN1025001C - 可变形的塑料制外科用小夹的施放设施 - Google Patents
可变形的塑料制外科用小夹的施放设施 Download PDFInfo
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- CN1025001C CN1025001C CN90101229A CN90101229A CN1025001C CN 1025001 C CN1025001 C CN 1025001C CN 90101229 A CN90101229 A CN 90101229A CN 90101229 A CN90101229 A CN 90101229A CN 1025001 C CN1025001 C CN 1025001C
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/10—Surgical instruments, devices or methods, e.g. tourniquets for applying or removing wound clamps, e.g. containing only one clamp or staple; Wound clamp magazines
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/08—Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound
- A61B17/083—Clips, e.g. resilient
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B17/1114—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis of the digestive tract, e.g. bowels or oesophagus
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B2017/1107—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis for blood vessels
Abstract
一种塑料制外科用小夹含有一对具有相对向内弯的顶端的臂,两臂用一个截面较小的桥部连接,该桥部通过顶靠一个中间支承将两耳平行后拉而使桥部弯曲。
Description
本发明涉及外科领域,具体涉及特别用于显微外科吻合术的塑料小夹及其在组织上的施放方法。
术语“吻合术”包括将血管或诸如结肠部分的其他管状组织连接或重新接合的各种手术。血管可按各种相对取向连接,包括端对壁和端对端的连接。诸如末梢神经的实心管形组织也可以接合,诸如皮下组织和皮肤的实心组织也可以接合。
吻合术的传统施行方法,是将血管在接合处缝合。取代缝合的方法已有发展,以防止在缝合中的穿刺点容易发生的血栓形成。这种取代方法之一,尤其用于较大血管时,涉及到使用诸如颈圈的机械连接件。第二种取代方法是用外科用小夹,沿血管的接口施放,实现与缝合类同的接合功能,但不刺穿血管壁。本发明人等设计的两种这样的小夹,公开在美国专利第4,586,503及4,733,660号中。如前一专利所述,小夹被施放在血管的对置边缘上,首先将边缘外翻以形成凸缘,然后将凸缘夹紧在小夹的钳口之间。
公开在上述专利中的小夹最好用金属制造,并在外翻组织的边缘上进行卷弯(塑性变形)就位。本发明与上述专利区别之处在于所提议的小夹用塑料制造,其优点在下面提出,并且与进行卷弯不同,先将小夹的钳口暂时展开以打开小夹,然后使之围绕着对置的组织恢复到原来形状。
塑料材料具有“记忆”,使其在变形后一个时间内恢复到原来形状。这特点有利地用于本发明。而且,使用塑料的优点在于具有可生
理吸收的塑料,这些塑料可用于生理吸收对正确愈合有利或者必需的体内部位。
鉴于上述原因,本发明的目的在于提供一种其结构便于用简单工具放置的塑料制的外科用小夹。
另一目的是提供一种可生理吸收的外科用小夹。
上述及其他目的通过一种外科小夹来达到,这种外科用小夹含有一个塑料制成的整体本体,该本体包括有一对臂,该对臂具有相对向内弯的顶端、一个连接两臂的桥部和一对从桥部朝相反方向外伸的耳部,桥部具有基本平坦的外缘,因此可用一个工具在支承住桥部的同时将耳部拉动,以产生一个力偶,将两臂打开以便放置到对置的组织边缘上。
本发明还涉及一种施放其上具有把持耳部的外科用小夹的方法,该方法包含以下步骤:用一个工具在小夹耳部上夹持着小夹,在两耳间的中点支承着小夹,将耳部向后拉以打开小夹,将桥部朝着组织边缘放置,再将耳部从工具中放出,使小夹弹回在组织上就位。
在附图中:
图1 是实施本发明的外科用小夹的透视图;
图2 是示出小夹装在施放工具内准备使用的状态的剖视图;
图3 是相应于图2的视图,示出小夹以暂时打开的状态放置在血管的对置的外翻边缘上;
图4 示出从工具中放出的小夹将组织夹紧在一起。
如图1所示,实施本发明的外科用小夹包括一个用可生理吸收的塑料制造的整体件。外科界可鉴定适合各种用途的塑料。
小夹含有一对具有带夹紧缘18的向内弯的顶端14、16的臂10、12,夹紧缘18轻微倒圆以免将小夹施放在其上的组织刺穿或撕裂。其圆弧半径对一个高度为0.01英寸的小夹来说应至少是0.0001英寸。
臂具有倒圆的外缘20,内缘22在其大部分长度上为直线形。形成的增厚部将臂加劲以防止在中部弯曲,并形成一个有利于挠曲的Z形区。
两臂通过桥部26相互连接,桥部在松弛状态下基本上是直线形,伸展通过与臂的连接处到达相对的“耳部”28、30。可以见到小夹的宽度在臂的中点处比在桥部的附近大相当多。因此在承受弯曲力时,小夹的桥部比臂部较易变形。图3清楚地示出这特点,通过将耳部向下拉,同时在中点32支承住桥部来向桥部施加一个弯矩。
图2-4示出一个打开与操作小夹的工具的一部分。该工具含有一对相对固定的夹爪40、42和一个具有一个倒圆的、带拔梢的顶端46的中间支承或砧44。每一夹爪在靠近其顶端50处具有一个槽48,用于夹持小夹的耳部,如图2所示。该工具包括用于根据外科医生的一定的操作、例如收紧一对手柄来使夹爪与砧之间产生相对位移的装置(未示出)。熟悉本领域的人员会很容易想到各种适当的工具结构。
操作时,在砧处在图2所示的缩入位置上时将一个小夹横向插入工具的夹爪之间,使耳部留在槽48内并夹持住。该工具现在就可用作操作器,将小夹送到可向对置的组织、例如图3所示的外翻血管的端部施放的位置上。
一旦小夹处在正确的位置上,工具的砧就被向前送进,向小夹的桥部的中心施加一个力,这个力抗御着小夹耳部和夹爪槽之间的反作用力。由此产生的力偶在桥部产生一个弯矩,这弯矩在最靠近桥部中心处最大;弯曲变形在靠近桥部中心点特别大,如图3所示。小夹的材料选用具有承受相当大的应变的能力的,使其桥部能够弯曲足够的程度,从而使耳部在桥部继续围绕砧的顶端弯曲时从槽中脱出。此时,小夹就会向前弹跳到组织上,这弹跳有助于小夹的牢固接合。弹回的速度取决于选用的塑料材料的滞后特性,但无论如何,小夹要很快恢
复原来的构形,将组织接合而不将其刺穿。小夹可在愈合后拆除或吸收掉,视放置位置和材料而定。
由于上文所述及的附图所示的实施方案可作各种变化与改进,因此以上的描述应理解为仅仅是作为由随同的权利要求书所界定的发明的例证。
Claims (3)
1、一种外科用小夹,它包含有一个本体,其特征在于该本体是一个用塑料制造的整体本体,该本体包括有一对臂,该对臂具有相对向内弯的顶端,该本体还包括有一个将该两臂连接起来的桥部和一对朝相反方向从该桥部伸出的耳部,该桥部具有基本上平坦的外缘,
所述耳部可通过一个工具在支承着所述桥部的平坦外缘的同时向后拉动以产生一个力偶,将该两臂暂时打开,以便放置到对置的组织边缘上。
2、一种用其上带有把持耳部的外科用小夹来接合组织边缘的方法,包括如下步骤:
用一个工具夹持住该小夹的耳部;
在两耳之间的中点上支承住该小夹;
将所述两耳向后拉以打开该小夹;
将所述桥部朝着所述组织边缘装置;
从该工具中放出所述耳部,从而使小夹件弹回在该组织上就位。
3、一种外科用的夹紧设施,其特征在于所述夹紧设施包含有权利要求1中所述的小夹和一个工具,该工具具有一对带间距设置的夹爪,夹爪上带有用于跟所述小夹耳部接合的相对设置的槽,在所述夹爪间设有一个可相对于夹爪活动的砧,该砧用于对在所述耳部间的桥部施加弯曲力以将小夹打开,
所述槽与所述耳部的形状设计成使该小夹在该桥部的弯曲达到一个预定量后能够从所述槽中脱出。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US319,297 | 1989-03-06 | ||
US07/319,297 US4983176A (en) | 1989-03-06 | 1989-03-06 | Deformable plastic surgical clip |
Publications (2)
Publication Number | Publication Date |
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CN1045521A CN1045521A (zh) | 1990-09-26 |
CN1025001C true CN1025001C (zh) | 1994-06-15 |
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Application Number | Title | Priority Date | Filing Date |
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CN90101229A Expired - Fee Related CN1025001C (zh) | 1989-03-06 | 1990-03-06 | 可变形的塑料制外科用小夹的施放设施 |
Country Status (7)
Country | Link |
---|---|
US (1) | US4983176A (zh) |
EP (1) | EP0462999B1 (zh) |
JP (1) | JP3124027B2 (zh) |
CN (1) | CN1025001C (zh) |
AT (1) | ATE141480T1 (zh) |
DE (1) | DE69028200T2 (zh) |
WO (1) | WO1990010418A1 (zh) |
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CN115884721A (zh) * | 2022-03-21 | 2023-03-31 | 宁波新跃医疗科技股份有限公司 | 插入式组织夹闭装置及其夹持件 |
CN115916073A (zh) * | 2022-03-21 | 2023-04-04 | 宁波新跃医疗科技股份有限公司 | 插入式组织夹闭装置及其夹持件 |
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US4217902A (en) * | 1977-05-02 | 1980-08-19 | March Alfred L | Hemostatic clip |
US4637395A (en) * | 1983-10-04 | 1987-01-20 | Aesculap-Werke Ag | Applicator for C-shaped scalp clips |
US4821721A (en) * | 1985-01-14 | 1989-04-18 | Thomas J. Fogarty | Apparatus and method for applying hemostatic scalp clips |
CH668691A5 (de) * | 1985-05-31 | 1989-01-31 | Alice Dr Med Utz | Wundklammer. |
US4741337A (en) * | 1985-07-17 | 1988-05-03 | Ethicon, Inc. | Surgical fastener made from glycolide-rich polymer blends |
US4796627A (en) * | 1986-08-26 | 1989-01-10 | Tucker Wilson H | Clip applicator and spreadable clips for use therein |
-
1989
- 1989-03-06 US US07/319,297 patent/US4983176A/en not_active Expired - Lifetime
-
1990
- 1990-03-06 JP JP02504440A patent/JP3124027B2/ja not_active Expired - Fee Related
- 1990-03-06 AT AT90904124T patent/ATE141480T1/de not_active IP Right Cessation
- 1990-03-06 EP EP90904124A patent/EP0462999B1/en not_active Expired - Lifetime
- 1990-03-06 WO PCT/US1990/001043 patent/WO1990010418A1/en active IP Right Grant
- 1990-03-06 CN CN90101229A patent/CN1025001C/zh not_active Expired - Fee Related
- 1990-03-06 DE DE69028200T patent/DE69028200T2/de not_active Expired - Fee Related
Also Published As
Publication number | Publication date |
---|---|
JPH04507201A (ja) | 1992-12-17 |
JP3124027B2 (ja) | 2001-01-15 |
CN1045521A (zh) | 1990-09-26 |
DE69028200D1 (de) | 1996-09-26 |
EP0462999B1 (en) | 1996-08-21 |
WO1990010418A1 (en) | 1990-09-20 |
DE69028200T2 (de) | 1997-02-06 |
EP0462999A4 (en) | 1992-01-22 |
EP0462999A1 (en) | 1992-01-02 |
ATE141480T1 (de) | 1996-09-15 |
US4983176A (en) | 1991-01-08 |
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