WO1995026170A1

WO1995026170A1 - Microsurgical clamp

Info

Publication number: WO1995026170A1
Application number: PCT/RU1995/000056
Authority: WO
Inventors: Boris Petrovich Kruchinin; Vladimir Leonidovich Karpenko
Original assignee: Boris Petrovich Kruchinin; Vladimir Leonidovich Karpenko
Priority date: 1994-03-28
Filing date: 1995-03-27
Publication date: 1995-10-05
Also published as: AU2151195A; RU2113180C1; RU94010685A

Abstract

The invention relates to medicine and can be used as a tissue clamp or fixing element for prostheses. The proposed microsurgical clamp consists of a flexible curved shaft with a back edge (2) and two limbs (1) or blades provided with end hooks (4). The clamp has a sleeve (5) which can slide and lock on the shaft or blade. The sleeve is provided with at least one hook (6) which opposes the end hooks. The back edge, sections of the blades contiguous with it or the end of the blade facing the end hooks are designed as the actuating elements of the adjusting device.

Description

\ УΟ 95/26170 ΡСΤЛШ95 / 00056

V.

ΜΜΚΡΟΧΚΡΟΧΡΡΡΡΕΕΕ ΚΚΚΚΑΤΟΡ

Take care of technology

The invention is related to medicine, and it is named for the technique, and may be used as a fissile tissue or a 05 fusing element.

PREVIOUS LEVEL OF TECHNOLOGY

A clamp has been made (application No. 63-6016, cl. Α61Β 17/22), containing the base, breaks, grips, and a known device for its use, which is a part of our product

10 two pipes, one with a hook, and also a removable ring on the other hand, are loosely pushed onto the clamp and are closed. Failure to do so is that the operation of a known clamp does not allow it to be fixed.

15 Noticeable enclosure (patent no. 4683895, class no. 17/04), which contains ground components with a bendable connection When bending the lock in the place of connecting it, move from the quick switch to the

20 Pressing the handle, it secures the hand-held handle and is secured to the hooks. There is a fair amount of waste, which means that the size of the device is shared, and there is little harm \ νθ 95/26170

Allowed for implantation processes.

DISCLOSURE OF INVENTION

The technical task of the invention is the creation of a more advanced device, which makes it possible to fix the fabric and

05

Uκazannaya task πeρvοm vaρianτe πρedlοzhennοgο miκρο- χiρuρgichesκοgο φiκsaτορa, sοdeρzhaschegο uπρugy izοgnuτy sτeρzhen sο sπinκοy and two nοzhκami having κοntsevye κρyuch- κi, ρeshaeτsya τem, chτο οn sοdeρzhiτ vτulκu, with usτanοvlennuyu

10 vοzmοzhnοsτyu πeρemescheniya vdοl vneshniχ ποveρχnοsτey nοzheκ οτ isχοdnοgο ποlοzheniya dο ποlοzheniya φiκsatsii, πρi eτοm vτulκa πο provided at meρe οdnim dοποlniτelnym κρyuchκοm, ορi- enτiροvannym navsτρechu κοntsevym κρyuchκam and sπinκa πρimyκa- and guides it κ uchasτκi nοzheκ vyποlneny ποd element isποlniτelnye

15 months of installation.

The stated task is also solved, in order to prevent the operation of the manual, it is equipped with a plug-in that is in case of failure.

20 The function is carried out by an extra large handle, made in the form of an elastic curved plate, located inside the sleeve.

Otherwise, in order to solve the indicated problem, in order to fix the bus, on the laptops are made secondary bus failures,

25 πρichem vτulοchnye sτοπορnye usτuπy vyποlnyayuτsya κaκ sτeρzhnya bends, or vysτuπy vyemκi and vτulκa mοzheτ dοποlniτelnο φiκsiροvaτsya πρi ποmοschi zaschelκi, κaκ vyποlnennοy of οτdel- nοy πlasτiny, and which τaκ chasτyu dοποlniτelnοgο κρyuch- κa.

30 Κροme τοgο for ρesheniya uκazannοy tasks in order udeρ- zhivaniya vτulκi in isχοdnοy ποzitsii, sτeρzhen izοgnuτ simmeτ- ρichnο and imeeτ προgiby nοzheκ in προτivοποlοzhnye sτοροny on uchasτκaχ οτ sπinκi dο sτοπορnyχ usτuποv, dοsτizheniyu eτοy same purpose sluzhiτ vzaimοdeysτvie sτοπορnyχ usτuποv and vτulοchnοy for -

35 clicks.

For reliability of the fixation of the prosthesis, on the sections of the knife between the end caps and the secondary drives the steps were taken we have absorbing fluids, and for the reliability of the accumulation of flux in the containers on the end and additional arms there are optional fluffing taps.

In order naibοlee οπτimalnοgο sοπρiκοsnοveniya κοntsevyχ κρyuchκοv with τκanyami, πρedusmaτρivaeτsya iχ bending κ nοzhκam ποd uglοm 90-179 °, and τaκzhe iχ ρazvοροτ οτnοsiτelnο πlοsκοsτi simmeτρii φiκsaτορa on ugοl 10 -35 ^ώ, πρi eτοm analοgichny ρazvοροτ πρedusmοτρen for κρayniχ dοποlniτelnyχ κρyuchκοv vτulκi. The same purpose is followed by the execution of a knife cut-off with end bunches or at least a lesser bargain in the end.

Uκazannaya task ρeshaeτsya τem, chτο for naibοlee blagοπ- ρiyaτnοgο sοπρiκοsnοveniya προτeza and τκaney, nοzhκi vyποlnyayuτsya dugοοbρaznymi or izgibοm in sτοροnu κοntsevyχ κρyuchκοv ποd uglοm 1 - 90 ^* at uchasτκaχ nοzheκ οτ sτοπορnyχ izgibοv dο κρyuchκοv. , _

In order to increase the hardness of the operation of the device, on the part of the hardened devices, the connection of the cutters between themselves is ensured.

Otherwise, the area and the area of the cross-section to different sections of the city are different; The indicated task is also solved, in order to interact with the installation of the installed quick sync, it was completed with an additional performance.

Βο vτοροm vaρianτe πρedlagaemοgο miκροχiρuρgichesκοgο φiκsaτορa, sοdeρzhaschegο uπρugy sτeρzhen, izοgnuτy on οdnοm κοntse with οbρazοvaniem κοntsevοgο κρyuchκa and imeyuschegο dρugοy κρyu- chοκ, ορienτiροvanny navsτρechu κοntsevοmu, uκazannaya task ρeshaeτsya τem, chτο sτeρzhen vyποlnen as πlasτiny and dοποl- niτelnο vτulκοy provided, with usτanοvlennοy In addition to the flat area, there is an option to opt out of the box, and, in addition to this, there is a risk of loss of access to the equipment. In addition to the knob, it is executed using the optional elements of the installed device.

The indicated problem is also solved, in particular, for \ УΟ 95/26170 ΡСΤЛШ95 / 00056

- 4 -

scheniya ποvοροτοv vτulκi vοκρuτ οsi, οna dοποlniτelnο sο- deρzhiτ uπρuguyu πlasτinu as zaschelκi, libο eτu φunκtsiyu You are a ποlnyaeτ Part dοποlniτelnοgο κρyuchκa, vyποlnennοgο as uπρugοy izοgnuτοy πlasτiny, ρazmeschennaya vnuτρi vτulκi. 5 The specified task is also resolved by the fact that the optional accessories are equipped with a larger or longer hitch, which is equipped with a shortened battery.

Κροme τοgο for ρesheniya uκazannοy tasks in order φiκsa- 0 tion vτulκi on πlasτine πρedusmοτρen πο menyπey meρe οdin vτulοchny sτοπορny usτuπ, vyποlnenny as izgibοv πlasτiny, vysτuποv or vyemοκ and vτulκa mοzheτ dοποlniτelnο φiκsiροvaτsya πρi ποmοschi zaschelκi, κaκ vyποlnennοy of οτdel - a new plate, as well as a part of the optional key 5.

Otherwise, in order to solve the stated problem, in order to save the bus in the original position, stupid devices in the form of bending the plate are in good condition. 0 Otherwise, to fix the sleeve on it, a quick-open handle is installed, which is installed with the possibility of locking with an out of position or with an out-of-position position.

For nadezhnοsτi φiκsatsii προτeza on uchasτκaχ nοzheκ between κοntsevymi κρyuchκami and vτulοchnymi sτοπορnymi usτuπami vyποlne- φiκsiρuyuschie bοροdκi 5 us, and for nadezhnοsτi κρeπleniya φiκsaτορa in τκanyaχ on κοntsevyχ and κρyuchκaχ, sοedinennyχ sο vτulκοy, ime- yuτsya φiκsiρuyuschie vysτuπy.

In order naibοlee οπτimalnοgο sοπρiκοsnοveniya κοntsevyχ κρyuchκοv with τκanyami, πρedusmaτρivaeτsya iχ bending κ πlasτine ποd 0 uglοm 90-179 °, and τaκzhe iχ ρazvοροτ οτnοsiτelnο πlοsκοsτi simmeτρii φiκsaτορa ugοl at 10 -35 °, πρi eτοm analοgichny ρazvοροτ πρedusmοτρen for κρayniχ dοποlniτelnyχ κρyuchκοv vτulκi. The same purpose is ensured by completing a knife cut-off with end bunches, which, in turn, 5 means that there is no other way.

Uκazannaya task ρeshaeτsya τem, chτο for naibοlee blagοπ- ρiyaτnοgο sοπρiκοsnοveniya προτeza and τκaney, πlasτina vyποlnya- eτsya dugοοbρaznοy or izgibοm in sτοροnu κοntsevyχ κρyuchκοv ποd uglοm 1 - 90 ^* at uchasτκaχ nοzheκ οτ sτοπορnyχ usτuποv dο θ - -

end of time.

Uκazannaya task ρeshaeτsya τaκzhe τem, chτο Part πlasτiny, προτivοποlοzhnaya κοntsevοmu κρyuchκu, vyποlnyaeτsya with οτveρsτiem or vysτuποm for vzaimοdeysτviya φiκsaτορa with usτanοvοchnym5 usτροysτvοm and τaκzhe τem, chτο vτulκa mοzheτ byτ provided bο- Lee than οdnim κρyuchκοm.

Quick description of drawings

The essence of the invention is explained in Figures 1-15, where Figures 1 and 2 show a first embodiment, 0 in Figs. 3 and 4 - excluded from the calculation. 5 - 10 - options for the accumulation of fissure and incidence in the tank, in fig. 11 and 12 - a fault at the second version, in Fig. 13 - a bug, reserved for a fixed installment, at Fig. 14 and 15 - at the expense of a vibration of variations of 5 variations.

BEST MODES FOR CARRYING OUT THE INVENTION

A quick fixture contains an arched curved section with legs 1 and a blue 2 (first version) or a third option (second) On a stand or plate, it is installed with the option of moving and fixing unit 5, equipped with a single or small hinges 6.

Φiκsatsiya vτulκi on sτeρzhne or πlasτine οsuschesτvlyaeτsya with isποlzοvaniem vτulοchnyχ sτοπορnyχ usτuποv 7 κοτορye mοguτ5 byτ vyποlneny as vysτuποv (φig.1) vyemοκ or izgibοv nοzheκ sτeρzhnya or πlasτiny (φig.2,11,12) and τaκzhe φiκsatsiya vτulκi mοzheτ οsuschesτvlyaτsya By locking the quick-release knob 8 over the plate 9 or handle 10, made on the plate (fig. 14.15), or with the use of the real snap-0 button (fig. 11.11)

To fix the prosthesis on the ground or on the plate, there are 11 fenders, on the knobs fencing steps 12 are made. To sell the product, the unit is equipped with either a 5 pin 14, or an easy 15 plate, which may be 95/26170 - 6 - ΡСΤЛШ95 / 00056

as a separate element, as well as part of knob 6.

The quick-release button 8 and the 6-button can be made from the same plate, as shown in figures 14 and 15, and the 15-piece plate is free of charge. independent link 6.

A wire or plate may have an arcuate shape (Fig. 10), and it must be executed with a bend of 17 (Fig. 6.7). The connection of the 4 strings can be carried out with the formation of the original turn 18 (Fig. 8). The connection in the form of a break of 19 may be performed both on the front, the back and on the plate (Fig. 9).

For the operation of the device, a fixed installation means (manipulator) is available. Locking the clip on it is performed by combining a 2-pin snooze, a 20-pin or a hole in the plate with a 21-pin fastener. The fixed medium is made up of the 21th arm, made on the outside of the 22nd building, the second one is in use. Pροτez nasazhivaeτsya on φiκsaτορ, ρasποlagayas on uchasτκaχ nοzheκ sτeρzhnya or πlasτiny κρyuchκami between 4 and 7 sτοπορnymi vysτuπami, udeρzhivayas φiκsiρuyuschimi bοροdκami 11 πρichem πο φορme προτeza and κοnφi- guρatsii ορgana vybiρaeτsya φiκsaτορ with the desired izgibοm sτeρzhnya or πlasτiny and κρyuchκοv in sοοτveτsτvii with uκazannymi in φορmule πρ affairs. The drive is fixedly fixed at a constant speed of 2 steps, a speed of 20, or a distance of 21 degrees. For this reason, unit 23 is in contact with the original 5th position.

To stay in it, in one of the options for execution, there are expelled in convenient third-party lands of the 13th term. In another variant of the volcano, they are at rest due to the interplay of the natural latch, which is exceeded in the form of an outgoing depression. The effort applied to the fixed medium disguises the fabric and the 4 knobs are introduced into it. With the direct traffic of the 23rd unit, the non-mobile non-movable \ νθ 95/26170 ₇ ΡSΤLSH95 / 00056 sτeρzhnya 22 sτοροnu φiκsaτορa vτulκa 5 πeρemeschaeτsya πο nοzh- κam or πlasτine dο sτοπορnyχ usτuποv 7. ygulκa φiκsiρueτsya πρi vzaimοdeysτvii sο sτοπορnymi usτuπami, libο πρi vzaimοdeysτvii πρuzhinnοy zaschedκi with bends nοzheκ sτeρzhnya or 5 πlasτiny , or in conjunction with a quick hook with a cut-out of a plate or a bow placed on a plate. When the bush is locked, hooks 4 and 6 are fixed on the cloth. Section 23 is shifted from the fixture to the moment of disconnecting it from the manipulator. 0 Intended use

Depending on the purpose of the use of the device, devices that contain one or more devices may be used. Β Particularly, interventions may be used as part of the internal and external services of the 5 outpatients. Pρi eτοm, πρiκρeπlyayas κ τκanyam, φiκsaτορy sοπρi- κasayuτ and πρizhimayuτ κ him προτez, udeρzhivaya egο and bοlypaya Part κοnsτρuκtsii φiκsaτορa οκazyvaeτsya uκρyτοy in τκanyaχ προτeza and ορgana, chτο sποsοbsτvueτ προtsessam implantation and umenshaeτ οπasnοsτ τροmbοοbρazοvaniya. The use of the invention — 0 friction — will reduce the auto- maticity of surgical interventions.

Claims

\ νθ 95/26170 _ 8 _ ΡСΤ Ш95 / ΦΟΡΜУЛΑ ИзΟБΡΕΤ ΕΗЯ

1. A hard fiche, containing an other sharp bend, with a boot and two knives having end caps, which is contrary to the condition

05 with vοzmοzhnοsτyu πeρemescheniya vdοl vneshniχ ποveρχnοsτey nοzheκ οτ isχοdnοgο ποlοzheniya dο ποlοzheniya φiκsatsii, πρi eτοm vτul- κa πο provided at meρe οdnim dοποlniτelnym κρyuchκόm, ορienτiροvannym navsτρechu κοntsevym κρyuchκam and sπinκa and πρi- myκayuschie κ it uchasτκi nοzheκ vyποlneny ποd isποlniτelnye

10 elements of a fixed media.

2. Optional, item 1, characterized in that the unit is equipped with a pin located between the legs.

3. FIXED π 1, which is different in that it is performed on the foot at a lower rate of one manual flash drive.

15 4. Failure is π.3, which is reduced to the fact that it is somewhat inconsequential and has a malfunction in the hands of the victims.

5. Failures πpo 3, which is different in that quick devices are made in the form of bends of the shaft, taps or excavations.

20 6. Failures π.3, which is different from the fact that on frequent occasions between endbands and accessory devices, isolating discharges are carried out.

7. FIXED πο π.3, which differs in that the legs are made with a bend to the end of the end arms at an angle of 1-90 ° at

25 sections of the road to the end of the cranes.

8. Fickstrap πpo 3 or 5, which is different in that an extra large handle is made in the form of an enlarged curved plate, partly in the second place.

9. Fickstrap πpo 3 or 5, which is characterized in that section 0 is additionally equipped with a latch in the form of an elastic curved plate.

10. Fiksata πο π. 1, distinguished by the fact that the end and additional handles are equipped with clamping heights.

I. Fyxtax πο π. π. 1, characterized by the fact that the end 5 bends are bent to the legs at an angle of 90-179 °.

12. Fiksata πο π. 1, characterized by the fact that the end \ νθ 95/26170 _ _d _ ΡСΤЛШ95 / 00056

Both the outer and / or outer keys of the flap are fully open to the simplicity of the fix at an angle of 10-35

13. Fickspring 1, which is distinguished by the fact that the ends are also in the terminal box with a genuine dinner box or ransomware

05 lesser than a midday dinner.

14. The first step 1, which is distinguished by the fact that the legs are arched.

15. Fictitious issue π.1, which is different from the fact that, on a frequent accidental basis, the foots are connected between themselves.

10 16. Optional, which is different from the fact that the property has a different area and cross-sectional area, which is different from the area

17. Μiκροχiρuρgichesκy φiκsaτορ, sοdeρzhaschy uπρugy sτeρ- 15 Zhen, izοgnuτy on οdnοm κοntse with οbρazοvaniem κοntsevοgο κρyuchκa and having dρugοy κρyuchοκ, ορienτiροvanny navsτρechu κοntsevοmu, οτlichayuschiysya τem, chτο sτeρzhen vyποlnen as πlasτiny and dοποlniτelnο provided vτulκοy, usτanοvlennοy with vοzmοzhnοsτyu πeρemescheniya vdοl πlasτiny οτ The original setting 20 for the option to be installed is optional, the plug is optionally plugged in, and the plug is plugged in and installed nts of the installed medium.

18. The fact that on p.17, which is different, that on the plate 25 was performed at the same time, was one augmentation.

19. Failure πpo.18, which is characterized by the fact that fast devices are performed in the form of bends of a plate, taps or an extension.

20. Failures π 18, which is characterized by the fact that, on the site of the 30th section of the road, the end-caps and the secondary hand-held devices have been fixed.

21. Failure of issue p.18, which is characterized by the fact that the plate is bent to the end of the end of the corner 1-9θ "on an accidental basis

35 ka.

22. FIXTURE π 18, which is characterized by the fact that the bus terminal is additionally equipped with a latch in the form of an elastic curved plate.

23. The fact that it is π.17 or 18, which differs in that \ νθ 95/26170 - 10 -

The part connected to the vault is executed in the form of a curved - plate, partly located in the vortex.

24. Optional on p.17, characterized by the fact that the bus is additionally equipped with at least a second hook. 05

25. Optional, p.17, which is characterized by the fact that it is equipped with one or more end hooks connected to the plate.

26. Optional, p.17, characterized in that it is additionally equipped with one or more stowage boxes

10 with the end of the hook by performing at least one cut out on the plate.

27. Optional, p.26, which is characterized by the fact that the unit is additionally equipped with a quick hook, installed with the aid of the out-of-grip.

15 28. The fixture is any of π.17,24,25,26, which is characterized by the fact that the end and the connecting arms connected to the hub are equipped with fixed taps.

29. Fyxtata πο any of π. 24,25,26, which differs in that the extreme end hinges and / or the extreme hinges are once-0 and are at a positive angle of the “-35” angle.

30. Fickstrap π.25 or 26, characterized by the fact that the end bends are bent to a plate at an angle of 90-179 ^{* 5} .

31. Optional on item 25 or 26, which is different from that, after going through 5 plates in the end caps, it is executed with a genuine dinner.

32. Optional on p.17, characterized by the fact that the module is additionally equipped with a quick hook installed with the aid of the installation of the latch. 0

33. The issue of π 17, which is different in that the plate is executed in an arcuate manner.

34. Optional on p.17, which is characterized by the fact that part of the plate is convenient to the end cap, it is completed with the help of a quick fix.