CN210077720U - Biopsy Forceps and Biopsy Systems - Google Patents

Biopsy Forceps and Biopsy Systems Download PDF

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CN210077720U
CN210077720U CN201821704742.2U CN201821704742U CN210077720U CN 210077720 U CN210077720 U CN 210077720U CN 201821704742 U CN201821704742 U CN 201821704742U CN 210077720 U CN210077720 U CN 210077720U
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assembly
slider
sliding
forceps
core wire
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李时悦
钟长镐
李阳
张庭超
董壮
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First Affiliated Hospital of Guangzhou Medical University
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Hangzhou Kunbo Biotechnology Co Ltd
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Abstract

The utility model provides a biopsy forceps and biopsy system. The handle of the biopsy forceps is connected with the near end of the elastic tube, the forceps head component is connected with the far end of the elastic tube, the core wire component is movably arranged in the elastic tube in a penetrating mode, the sliding component is connected with the near end of the core wire component, and the forceps head component is connected with the far end of the core wire component; the elastic pipe comprises a pre-bending section adjacent to the tong head assembly and straight sections respectively connected with two ends of the pre-bending section, and the pre-bending section keeps an initial pre-bending angle in a natural state; the binding clip assembly comprises two binding clips which are oppositely opened and closed; the sliding assembly moves towards the near end of the handheld assembly so that the core wire assembly drives the bending angle of the pre-bending section to change from the initial pre-bending angle to 0 degree, and the two forceps heads are closed; the sliding assembly is moved distally of the handle assembly to spread the two jaws apart. The utility model provides a bending angle can not be adjusted according to individual tissue structure's difference to the preflex portion of biopsy forceps, the relatively poor technical problem of suitability of biopsy forceps.

Description

活检钳及活检系统Biopsy Forceps and Biopsy Systems

技术领域technical field

本实用新型涉及医疗器械技术领域,特别涉及一种活检钳及活检系统。The utility model relates to the technical field of medical instruments, in particular to a biopsy forceps and a biopsy system.

背景技术Background technique

支气管镜、胃镜、肠镜等内窥镜可以直观地观察肺部、肠胃等脏器内的病变,内窥镜检查是目前临床常用的检查手段。在内窥镜检查过程中,医生往往借助活体组织取样钳,简称活检钳,进行活检:活检钳通过内窥镜钳道直接到达患者体内,采用切取、钳取或穿刺等方式从患者体内取出一定量的病变组织进行病理学检查,从而做出明确的组织病理学诊断。这种检查方法是人体内部病变组织取得病理诊断最方便高效的途径,因此,活检钳在临床内窥镜检查中应用非常广泛。Bronchoscopy, gastroscope, colonoscopy and other endoscopes can visually observe the lesions in the lungs, stomach and other organs, and endoscopy is currently a commonly used clinical examination method. In the process of endoscopy, doctors often use biopsy forceps, or biopsy forceps for short, to perform biopsy: biopsy forceps directly reach the patient's body through the endoscope forceps, and take out a certain amount from the patient's body by incision, forceps or puncture. Pathological examination was performed on a large amount of diseased tissue to make a definite histopathological diagnosis. This inspection method is the most convenient and efficient way to obtain pathological diagnosis of diseased tissue in the human body. Therefore, biopsy forceps are widely used in clinical endoscopy.

现有的活检钳一般包括一具有特定曲率与弯曲角度的预弯部,预弯部在内窥镜钳道或输送鞘管中通过时会变成直态,一旦伸出钳道或输送鞘管时,预弯部恢复成弯曲状态,以进入与所述预弯部形状相契合或比较接近的管腔内进行活检。故此种活检钳只能针对特定的个体组织结构进行活检,活检钳的预弯部并不能根据个体组织结构的差异而调整弯曲角度,活检钳的适用性较差。Existing biopsy forceps generally include a pre-curved portion with a specific curvature and a bending angle, and the pre-curved portion will become straight when passing through the endoscope channel or delivery sheath, and once the forceps channel or delivery sheath is extended. When the pre-bending portion is restored to a curved state, the pre-bending portion can be entered into a lumen that matches or is relatively close to the shape of the pre-bending portion for biopsy. Therefore, this kind of biopsy forceps can only perform biopsy on a specific individual tissue structure, and the pre-bending part of the biopsy forceps cannot adjust the bending angle according to the differences of individual tissue structures, and the applicability of the biopsy forceps is poor.

实用新型内容Utility model content

本实用新型的目的在于提供一种活检钳及活检系统,以解决活检钳的预弯部不能根据个体组织结构的差异而调整弯曲角度,活检钳的适用性较差的技术问题。The purpose of the utility model is to provide a biopsy forceps and a biopsy system to solve the technical problem that the pre-bending part of the biopsy forceps cannot adjust the bending angle according to the difference of individual tissue structures, and the applicability of the biopsy forceps is poor.

本实用新型提供一种活检钳,包括手柄、弹性管、钳头组件以及芯丝组件,所述手柄包括手持组件以及安装于所述手持组件上沿所述手持组件轴向移动的滑动组件,所述手柄连接于所述弹性管的近端,所述钳头组件连接于所述弹性管的远端,所述芯丝组件活动穿装于所述弹性管内,所述滑动组件连接于所述芯丝组件的近端,所述钳头组件连接于所述芯丝组件的远端;The utility model provides a biopsy forceps, comprising a handle, an elastic tube, a forceps head assembly and a core wire assembly. The handle includes a hand-held assembly and a sliding assembly mounted on the hand-held assembly to move along the axial direction of the hand-held assembly. The handle is connected to the proximal end of the elastic tube, the forceps head assembly is connected to the distal end of the elastic tube, the core wire assembly is movably inserted into the elastic tube, and the sliding assembly is connected to the core the proximal end of the wire assembly, the forceps head assembly is connected to the distal end of the core wire assembly;

所述弹性管包括邻近所述钳头组件的预弯段以及分别连接所述预弯段两端的平直段,在自然状态下,所述预弯段保持初始预弯角度;所述钳头组件包括两个相对开合的钳头;The elastic tube includes a pre-bending section adjacent to the pliers head assembly and a straight section respectively connecting two ends of the pre-bending section. In a natural state, the pre-bending section maintains an initial pre-bending angle; the pliers head assembly Including two relatively open and closed pliers;

所述滑动组件向所述手持组件近端移动以使所述芯丝组件带动所述预弯段的弯曲角度在初始预弯角度至0°之间变化,并使两个所述钳头闭合;所述滑动组件向所述手持组件远端移动以使两个所述钳头张开。The sliding assembly moves toward the proximal end of the hand-held assembly, so that the core wire assembly drives the bending angle of the pre-bending section to change between the initial pre-bending angle and 0°, and closes the two jaws; The slide assembly is moved distally of the hand-held assembly to expand the two jaws.

其中,所述初始预弯角度≤45°。Wherein, the initial pre-bending angle is less than or equal to 45°.

其中,所述手持组件包括滑杆,所述滑杆上设有沿所述滑杆轴向设置的滑槽,所述滑动组件包括滑块,所述滑块设于所述滑槽内并沿所述滑槽移动,所述芯丝组件的近端固定于所述滑块上。Wherein, the hand-held assembly includes a sliding rod, and the sliding rod is provided with a sliding groove arranged along the axial direction of the sliding rod, and the sliding assembly includes a sliding block, and the sliding block is arranged in the sliding groove and extends along the sliding rod. The chute moves, and the proximal end of the core wire assembly is fixed on the slider.

其中,所述手持组件还包括手指耳,所述手指耳的远端与所述滑杆的近端卡接。Wherein, the hand-held assembly further includes a finger ear, and the distal end of the finger ear is clamped with the proximal end of the sliding rod.

其中,所述手指耳的远端设有连接座,所述滑杆的近端设有连接头,所述连接头卡在所述连接座内以使所述手指耳的远端与所述滑杆的近端卡接。Wherein, the distal end of the finger ear is provided with a connecting seat, and the proximal end of the sliding rod is provided with a connecting head, and the connecting head is clamped in the connecting seat so that the distal end of the finger ear is connected with the sliding rod. The proximal end of the rod snaps into place.

其中,所述滑动组件还包括滑筒,所述滑筒滑动套设于所述滑杆上,并与所述滑块固定。Wherein, the sliding assembly further includes a sliding cylinder, and the sliding cylinder is slidably sleeved on the sliding rod and fixed with the sliding block.

其中,所述滑块包括第一子滑块与第二子滑块,所述第一子滑块与所述第二子滑块对接。Wherein, the slider includes a first sub-slider and a second sub-slider, and the first sub-slider is butted with the second sub-slider.

其中,所述第一子滑块包括设于远端的第一延伸部,所述第二子滑块包括设于远端的第二延伸部,所述第一延伸部与所述第二延伸部对接。Wherein, the first sub-slider includes a first extension part disposed at the distal end, the second sub-slider includes a second extension part disposed at the distal end, the first extension part and the second extension part Department docking.

其中,所述第一子滑块包括设于近端的锲形槽,所述第二子滑块包括设于近端的锲形部,所述锲形部锲入所述锲形槽内。Wherein, the first sub-slider includes a wedge-shaped groove disposed at the proximal end, and the second sub-slider includes a wedge-shaped portion disposed at the proximal end, and the wedge-shaped portion is wedge-shaped into the wedge-shaped groove.

其中,所述滑筒包括第一卡位以及与所述第一卡位相对设置的第二卡位,所述第一延伸部卡入所述第一卡位内,且所述第二延伸部卡入所述第二卡位内,以限制所述滑块相对所述滑筒向近端位移。Wherein, the sliding cylinder includes a first latching position and a second latching position opposite to the first latching position, the first extending portion is clipped into the first latching position, and the second extending portion is The sliding block is clamped into the second clamping position to limit the proximal displacement of the sliding block relative to the sliding cylinder.

其中,所述第一子滑块还包括设于所述第一延伸部与所述锲形槽之间的第一凸起,所述第一凸起位于背离所述第二子滑块的一侧,所述第二子滑块还包括设于所述第二延伸部与所述锲形部之间的第二凸起,所述第二凸起位于背离所述第一子滑块的一侧,所述滑筒包括第一卡槽以及与所述第一卡槽相对设置的第二卡槽,所述第一凸起卡入所述第一卡槽内,且所述第二凸起卡入所述第二卡槽内,以限制所述滑块相对所述滑筒向远端位移。Wherein, the first sub-slider further includes a first protrusion disposed between the first extension portion and the wedge-shaped groove, and the first protrusion is located at a position away from the second sub-slider side, the second sub-slider further includes a second protrusion disposed between the second extension portion and the wedge-shaped portion, the second protrusion is located on a side facing away from the first sub-slider side, the sliding cylinder includes a first card slot and a second card slot opposite to the first card slot, the first protrusion is snapped into the first card groove, and the second protrusion The sliding block is clamped into the second clamping groove to limit the distal displacement of the sliding block relative to the sliding cylinder.

其中,所述芯丝组件包括导杆、芯丝股以及牵引杆,所述导杆的远端与所述芯丝股的近端相连,所述牵引杆的近端与所述芯丝股的远端相连,所述导杆的近端固定于所述滑动组件,所述牵引杆的远端连接于所述钳头组件。The core wire assembly includes a guide rod, a core wire strand and a draw rod, the distal end of the guide rod is connected to the proximal end of the core wire strand, and the proximal end of the draw rod is connected to the core wire strand. The distal ends are connected, the proximal end of the guide rod is fixed to the sliding assembly, and the distal end of the pulling rod is connected to the forceps head assembly.

其中,所述钳头组件还包括钳头架与两个连杆,每个所述钳头包括钳柄及工作钳头,所述牵引杆的远端设有第一铰接头,所述钳头架的远端设有第二铰接头,所述两个连杆的近端交叉并铰接在第一铰接头上,所述两个钳头的钳柄交叉并铰接在第二铰接头上,所述两个连杆的远端与所述两个钳柄的近端分别对应铰接,以使所述两个连杆与所述两个钳头形成四连杆结构。Wherein, the pliers head assembly further includes a pliers head frame and two connecting rods, each pliers head includes a pliers handle and a working pliers head, the distal end of the traction rod is provided with a first hinge joint, the pliers head The distal end of the frame is provided with a second hinge joint, the proximal ends of the two connecting rods intersect and are hinged on the first hinge joint, and the clamp handles of the two plier heads intersect and are hinged on the second hinge joint, so The distal ends of the two connecting rods and the proximal ends of the two pliers handles are respectively hinged correspondingly, so that the two connecting rods and the two plier heads form a four-link structure.

其中,所述活检钳还包括润滑管,所述润滑管套设于所述芯丝股与所述弹性管之间。Wherein, the biopsy forceps further includes a lubricating tube, and the lubricating tube is sleeved between the core wire strand and the elastic tube.

其中,所述活检钳还包括保护管,所述保护管套在所述弹性管近端上。Wherein, the biopsy forceps further comprises a protection tube, and the protection tube is sleeved on the proximal end of the elastic tube.

本实用新型提供一种活检系统,包括内窥镜与如上述的活检钳,所述内窥镜包括钳道,所述活检钳的弹性管活动穿装在所述钳道内。The utility model provides a biopsy system, comprising an endoscope and the above-mentioned biopsy forceps, wherein the endoscope includes a forceps channel, and an elastic tube of the biopsy forceps is movably fitted in the forceps channel.

综上所述,本申请只需操控滑动组件向近端端或远端运动,即可改变弹性管预弯段的弯曲角度以及使得两个钳头张开或闭合,不仅解决了活检钳的预弯部不能根据个体组织结构的不同而调整角度,活检钳的适用性较差的技术问题,而且简化了活检钳的结构,更加方便操作者操作。To sum up, in the present application, the bending angle of the pre-bending section of the elastic tube can be changed and the two forceps heads can be opened or closed only by manipulating the sliding component to move to the proximal end or the distal end, which not only solves the problem of pre-bending the biopsy forceps. The angle of the curved portion cannot be adjusted according to the individual tissue structure, which is a technical problem of poor applicability of the biopsy forceps, and the structure of the biopsy forceps is simplified, which is more convenient for the operator to operate.

附图说明Description of drawings

为了更清楚地说明本实用新型实施例或现有技术中的技术方案,下面将对实施例或现有技术描述中所需要使用的附图作简单地介绍,显而易见地,下面描述中的附图仅仅是本实用新型的一些实施例,对于本领域普通技术人员来讲,在不付出创造性劳动的前提下,还可以根据这些附图获得其他的附图。In order to more clearly illustrate the embodiments of the present utility model or the technical solutions in the prior art, the following briefly introduces the accompanying drawings that need to be used in the description of the embodiments or the prior art. Obviously, the accompanying drawings in the following description These are just some embodiments of the present invention, and for those of ordinary skill in the art, other drawings can also be obtained from these drawings without creative effort.

图1是本实用新型提供的活检系统的结构示意图;Fig. 1 is the structural representation of the biopsy system provided by the utility model;

图2是图1中的活检钳的主视示意图;Figure 2 is a schematic front view of the biopsy forceps in Figure 1;

图3是图2中弹性管弯曲与拉直的主视示意图,其中包括了钳头组件;FIG. 3 is a schematic front view of the elastic tube in FIG. 2 being bent and straightened, including a pliers head assembly;

图4是图2中手柄的立体分解结构示意图;Fig. 4 is the three-dimensional exploded structure schematic diagram of the handle in Fig. 2;

图5是图4中滑块的立体分解示意图,其中包括了导杆;Fig. 5 is a perspective exploded schematic view of the slider in Fig. 4, which includes a guide rod;

图6是图4中滑动组件的剖面结构示意图;Fig. 6 is the sectional structure schematic diagram of the sliding assembly in Fig. 4;

图7是图4中滑筒的剖面结构示意图;Fig. 7 is the sectional structure schematic diagram of the sliding cylinder in Fig. 4;

图8是图2中芯丝组件的主视示意图;FIG. 8 is a schematic front view of the core wire assembly in FIG. 2;

图9是图2中钳头组件在钳头张开状态下的主视示意图;FIG. 9 is a schematic front view of the pliers head assembly in FIG. 2 when the pliers head is opened;

图10是图2中钳头组件在钳头闭合状态下的主视示意图;FIG. 10 is a schematic front view of the pliers head assembly in FIG. 2 when the pliers head is closed;

图11是图2中钳头组件的剖面示意图,其中包括了牵引杆;Figure 11 is a schematic cross-sectional view of the pliers assembly in Figure 2, including a drawbar;

图12是图2中钳头组件的立体示意图,其中包括了弹性管连接该钳头组件的部分。FIG. 12 is a schematic perspective view of the forceps head assembly in FIG. 2 , which includes the part of the elastic tube connecting the forceps head assembly.

具体实施方式Detailed ways

下面将结合本实用新型实施例中的附图,对本实用新型实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例仅仅是本实用新型的一部分实施例,而不是全部的实施例。基于本实用新型中的实施例,本领域普通技术人员在没有作出创造性劳动前提下所获得的所有其他实施例,都属于本实用新型保护的范围。The technical solutions in the embodiments of the present utility model will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present utility model. Obviously, the described embodiments are only a part of the embodiments of the present utility model, not all of them. Example. Based on the embodiments of the present invention, all other embodiments obtained by those of ordinary skill in the art without creative work fall within the protection scope of the present invention.

方位定义:在介入式医疗器械领域,通常将手术过程中,距离操作者较近的一端称为“近端”,距离操作者较远的一端称为“远端”。Orientation definition: In the field of interventional medical devices, the end that is closer to the operator is usually called the "proximal end" and the end that is farther from the operator is called the "distal end" during the operation.

请参阅图1,本实用新型提供一种活检系统,包括活检钳100与内窥镜200。内窥镜200不限于现有的各种类型的支气管镜、胃镜、肠镜等,其远端设有超声波探测器或/和光学摄像头(未图示)。内窥镜200内设有钳道(未图示),钳道为活检钳100进入人体腔道提供通道。如下将对活检钳100进行详细介绍。Please refer to FIG. 1 , the present invention provides a biopsy system including a biopsy forceps 100 and an endoscope 200 . The endoscope 200 is not limited to existing various types of bronchoscopes, gastroscopes, enteroscopes, etc., and the distal end of the endoscope 200 is provided with an ultrasonic probe or/and an optical camera (not shown). The endoscope 200 is provided with a forceps channel (not shown), and the forceps channel provides a channel for the biopsy forceps 100 to enter the human body cavity. Biopsy forceps 100 will be described in detail below.

请参阅图2,活检钳100包括手柄10、弹性管20、钳头组件30以及芯丝组件40。手柄10包括手持组件101以及安装在所述手持组件101上并能够沿手持组件101轴向移动的滑动组件102。手柄10连接于弹性管20的近端,钳头组件30连接于弹性管20的远端,芯丝组件40活动穿装于弹性管20内,滑动组件102连接于芯丝组件40的近端,钳头组件30连接于芯丝组件40的远端。内窥镜200的钳道为活检钳100的弹性管20及钳头组件30进入人体腔道提供通道。Referring to FIG. 2 , the biopsy forceps 100 includes a handle 10 , an elastic tube 20 , a forceps head assembly 30 and a core wire assembly 40 . The handle 10 includes a hand-held assembly 101 and a sliding assembly 102 mounted on the hand-held assembly 101 and capable of moving axially along the hand-held assembly 101 . The handle 10 is connected to the proximal end of the elastic tube 20, the forceps head assembly 30 is connected to the distal end of the elastic tube 20, the core wire assembly 40 is movably inserted into the elastic tube 20, the sliding assembly 102 is connected to the proximal end of the core wire assembly 40, The forceps head assembly 30 is attached to the distal end of the core wire assembly 40 . The forceps channel of the endoscope 200 provides a channel for the elastic tube 20 of the biopsy forceps 100 and the forceps head assembly 30 to enter the human body cavity.

弹性管20优选弹簧管,其具有一定的柔性及弹性,在受到短暂性的外力时会发生顺应性的变形,外力撤销后会恢复原始形状。弹性管20包括邻近钳头组件30的预弯段201以及分别连接预弯段201两端的平直段202。在本实施例中,预弯段201经过预定型处理形成,预定型处理的方法可以但不限于通过较持久的机械外力压弯该区段或者在编织弹性管20时直接将该区段编织成弯曲的。弹性管20远端与钳头组件30通过焊接等方式固定连接。The elastic tube 20 is preferably a spring tube, which has certain flexibility and elasticity, and will deform compliantly when subjected to a temporary external force, and will return to its original shape after the external force is removed. The elastic tube 20 includes a pre-bent section 201 adjacent to the jaw assembly 30 and a straight section 202 respectively connecting two ends of the pre-bend section 201 . In this embodiment, the pre-bending section 201 is formed through a pre-forming process, and the pre-forming processing method may be, but not limited to, bending the section through a relatively long-lasting mechanical external force or directly braiding the section into a curved. The distal end of the elastic tube 20 is fixedly connected with the forceps head assembly 30 by welding or the like.

在自然状态下,即不施力状态下,将预弯段201远、近两端切线之间的夹角定义为预弯段201的初始预弯角度α,在一具体实施例中,预弯段201的初始预弯角度α小于等于45度。In a natural state, that is, in a state where no force is applied, the angle between the tangent lines at the far and near ends of the pre-bending section 201 is defined as the initial pre-bending angle α of the pre-bending section 201. In a specific embodiment, the pre-bending The initial pre-bending angle α of the segment 201 is less than or equal to 45 degrees.

芯丝组件40具有柔性。请同时参阅图2与图3,当操控滑动组件102沿手持组件101轴向朝手持组件101的近端运动时,滑动组件102拉动芯丝组件40在弹性管20内向近端运动,芯丝组件40便带动预弯段201的弯曲角度发生变化。即芯丝组件40在受到滑动组件102朝向近端的拉力时,预弯段201的弯曲角度发生变化。在本实施例中,随着滑动组件102逐渐向近端运动,预弯段201的弯曲角度逐渐减小。The core wire assembly 40 has flexibility. Please refer to FIG. 2 and FIG. 3 at the same time, when the sliding component 102 is manipulated to move toward the proximal end of the handheld component 101 along the axial direction of the handheld component 101, the sliding component 102 pulls the core wire component 40 to move proximally in the elastic tube 20, and the core wire component 40 drives the bending angle of the pre-bending section 201 to change. That is, when the core wire assembly 40 is pulled toward the proximal end of the sliding assembly 102, the bending angle of the pre-bending section 201 changes. In this embodiment, as the sliding assembly 102 gradually moves toward the proximal end, the bending angle of the pre-bending section 201 gradually decreases.

也就是说,在芯丝组件40受到滑动组件102的朝向近端的拉力时,柔性的芯丝组件40表现出一定的刚性,并产生作用于预弯段201上的抵推力,该抵推力使得预弯段201的弯曲角度逐渐减小,即在受力状态下预弯段201远、近两端切线之间的夹角变小,甚至可被拉直,从而预弯段201的弯曲角度可从初始预弯角度α到0°之间调整变化。当芯丝组件40不再受到滑动组件102朝向近端的拉力时,上述抵推力消失,预弯段201可恢复至原始的弯曲形状。因此,当弹性管20从内窥镜400的钳道伸出后,可根据活检钳100要进入并实施活检的个体组织结构的不同,通过操控滑动组件102能够使得活检钳100的弹性管20的预弯段201的弯曲角度在0°与初始预弯角度α之间灵活调整变化,以顺利进入具有不同弯曲角度的管腔内,提高了活检钳的适用性。That is to say, when the core wire assembly 40 is pulled towards the proximal end of the sliding assembly 102, the flexible core wire assembly 40 exhibits a certain rigidity, and generates a pushing force acting on the pre-bending section 201, and the pushing force makes The bending angle of the pre-bending section 201 gradually decreases, that is, the angle between the tangents at the far and near ends of the pre-bending section 201 becomes smaller under the stress state, and can even be straightened, so that the bending angle of the pre-bending section 201 can be adjusted. Adjust the change from the initial prebend angle α to 0°. When the core wire assembly 40 is no longer subjected to the pulling force of the sliding assembly 102 toward the proximal end, the above-mentioned pushing force disappears, and the pre-bending section 201 can return to the original curved shape. Therefore, after the elastic tube 20 protrudes from the forceps channel of the endoscope 400 , the elastic tube 20 of the biopsy forceps 100 can be manipulated by manipulating the sliding assembly 102 according to the different tissue structures of the individual into which the biopsy forceps 100 is to enter and perform biopsy. The bending angle of the pre-bending section 201 can be flexibly adjusted and changed between 0° and the initial pre-bending angle α, so as to smoothly enter the lumen with different bending angles, which improves the applicability of the biopsy forceps.

请参阅图2、图4,手持组件101包括滑杆1011,滑杆1011上设有沿滑杆1011轴向设置的滑槽101b,滑动组件102包括滑块104,滑块104设于滑槽101b内并能够沿滑槽101b移动,芯丝组件40的近端固定于滑块104上。也就是说,操控滑块104在滑槽101b内朝近端移动时,滑块104带动芯丝组件40朝近端移动,以使预弯段201的弯曲角度发生变化。在本实施例中,弹性管20的近端与滑杆101的远端通过粘结等方式固定连接。Please refer to FIGS. 2 and 4 , the hand-held assembly 101 includes a sliding rod 1011 . The sliding rod 1011 is provided with a sliding groove 101b axially arranged along the sliding rod 1011 . The proximal end of the core wire assembly 40 is fixed on the slider 104 inside and can move along the chute 101b. That is, when the slider 104 is controlled to move toward the proximal end in the chute 101b, the slider 104 drives the core wire assembly 40 to move toward the proximal end, so that the bending angle of the pre-bending section 201 changes. In this embodiment, the proximal end of the elastic tube 20 and the distal end of the sliding rod 101 are fixedly connected by means of bonding or the like.

请继续参阅图4,手持组件101还包括手指耳103,滑杆1011的近端卡入手指耳103远端内实现二者的固定。在一实施例中,手指耳103的远端设有连接座103a,滑杆101的近端设有连接头101a,连接头101a卡入连接座103a内以使手指耳103的远端与滑杆101的近端固定。具体地,连接座103a内部具有“U型”容置空间,连接座103a包括朝向连接头101a的一凸部103b,凸部103b内设有贯穿凸部103b且连通“U型”容置空间的通孔103c,连接头101a包括多个弹性臂101c,相邻的弹性臂101c之间具有间隙,且每一弹性臂101c近端均具有一凸缘101d。在连接头101a与连接座103a组装时,使连接头101a的各弹性臂101c相互聚拢,从而各凸缘101d穿入通孔103c,当连接头101a的每一弹性臂101c的凸缘101d完全穿过通孔103c进入“U型”容置空间内时,各弹性臂101c之间的间隙扩张,各弹性臂101c恢复原位,各凸缘101d卡接在连接座103a的内表面。且在本实施例中,连接头101a与连接座103a之间可相对转动,从而手指耳103与滑杆101之间可相对转动。Please continue to refer to FIG. 4 , the hand-held assembly 101 further includes a finger ear 103 , and the proximal end of the sliding rod 1011 is snapped into the distal end of the finger ear 103 to realize the fixing of the two. In one embodiment, the distal end of the finger ear 103 is provided with a connecting seat 103a, and the proximal end of the sliding rod 101 is provided with a connecting head 101a. The proximal end of 101 is fixed. Specifically, the connecting seat 103a has a "U-shaped" accommodating space inside, the connecting seat 103a includes a convex portion 103b facing the connecting head 101a, and the convex portion 103b is provided with a penetrating convex portion 103b and communicates with the "U-shaped" accommodating space. In the through hole 103c, the connector 101a includes a plurality of elastic arms 101c, and there is a gap between adjacent elastic arms 101c, and each elastic arm 101c has a flange 101d at its proximal end. When the connecting head 101a is assembled with the connecting seat 103a, the elastic arms 101c of the connecting head 101a are brought together so that the flanges 101d penetrate through the through holes 103c. When the flange 101d of each elastic arm 101c of the connecting head 101a completely penetrates When entering the "U-shaped" accommodating space through the through hole 103c, the gap between the elastic arms 101c expands, the elastic arms 101c return to their original positions, and the flanges 101d are clamped on the inner surface of the connecting seat 103a. And in this embodiment, the connection head 101a and the connection base 103a can rotate relative to each other, so that the finger ears 103 and the sliding rod 101 can rotate relative to each other.

请参阅图5,滑块104包括第一子滑块105与第二子滑块106,第一子滑块105与第二子滑块106对接在一起。具体地,为了方便将滑块104安装在滑槽101b内,第一子滑块105与第二子滑块106分别从滑槽101b的两侧装入。Referring to FIG. 5 , the slider 104 includes a first sub-slider 105 and a second sub-slider 106 , and the first sub-slider 105 and the second sub-slider 106 are butted together. Specifically, in order to facilitate the installation of the slider 104 in the chute 101b, the first sub-slider 105 and the second sub-slider 106 are respectively installed from both sides of the chute 101b.

第一子滑块105包括设于远端的第一延伸部105a,第二子滑块106包括设于远端的第二延伸部106a,第一延伸部105a与第二延伸部106a对接以使第一子滑块105的远端与第二子滑块106的远端对接。具体地,第一延伸部105a为环绕第一子滑块105远端的半圆形环,包括朝向第二延伸部106a的两个第一端面105b,每个第一端面105b上设有数个插孔105c,第二延伸部106a为环绕第二子滑块106远端的半圆形环,包括朝向第一延伸部105a的两个第二端面106b,每个第二端面106b上设有与插孔105c适配的数个凸柱106c,一个凸柱106c插进一个插孔105c内且凸柱106c与插孔105c之间形成紧配合,以使第一延伸部105a与第二延伸部106a对接。且当第一延伸部105a与第二延伸部106a对接时,第一延伸部105a与第二延伸部106a形成套设在滑杆1011外的套环,从而滑块104在滑槽101b内移动时,套环限制了滑块104在滑杆1011径向的运动,滑块104只能沿着滑杆1011的轴向运动,保证了芯丝组件40运动的稳定性,避免了芯丝组件40沿径向运动所导致的芯丝组件40与弹性管20的摩擦。The first sub-slider 105 includes a first extension portion 105a disposed at the distal end, the second sub-slider 106 includes a second extension portion 106a disposed at the distal end, and the first extension portion 105a is abutted with the second extension portion 106a to The distal end of the first sub-slider 105 is butted with the distal end of the second sub-slider 106 . Specifically, the first extension portion 105a is a semi-circular ring surrounding the distal end of the first sub-slider 105, and includes two first end faces 105b facing the second extension portion 106a, and each first end face 105b is provided with several inserts The hole 105c and the second extension portion 106a are semi-circular rings surrounding the distal end of the second sub-slider 106, including two second end faces 106b facing the first extension portion 105a, The holes 105c are fitted with several protruding posts 106c, one protruding post 106c is inserted into one socket 105c, and a tight fit is formed between the protruding post 106c and the socket 105c, so that the first extension part 105a and the second extension part 106a are butted together . And when the first extension part 105a and the second extension part 106a are butted together, the first extension part 105a and the second extension part 106a form a collar that is sleeved outside the sliding rod 1011, so that when the slider 104 moves in the sliding groove 101b , the collar restricts the movement of the slider 104 in the radial direction of the sliding rod 1011, and the sliding block 104 can only move along the axial direction of the sliding rod 1011, which ensures the stability of the movement of the core wire assembly 40 and prevents the core wire assembly 40 from moving along the axis of the sliding rod 1011. The friction between the core wire assembly 40 and the elastic tube 20 caused by the radial movement.

第一子滑块105包括设于近端的锲形槽105d,第二子滑块106包括设于近端的锲形部106d,锲形部106d锲入锲形槽105d内以使第一子滑块105的近端与第二子滑块106的近端相互对接。具体地,第一子滑块105基本呈“L形”,包括较长的主体部分105e以及与主体部分105e呈夹角连接的侧体部分105f,主体部分105e与侧体部分105f形成一“L形”空间,侧体部分105f内设有朝向“L型”空间的锲形槽105d,第二子滑块106基本呈长条形,收容在“L形”空间内,锲形部106d设于第二子滑块106朝向锲形槽105d的一端,从而在锲形部106d锲入锲形槽105d内时,第一子滑块105与第二子滑块106在近端相互对接。因此,本申请的第一子滑块105与第二子滑块106在近端与远端均对接,提高了第一子滑块105与第二子滑块106的连接稳定性。The first sub-slider 105 includes a wedge-shaped groove 105d provided at the proximal end, and the second sub-slider 106 includes a wedge-shaped portion 106d provided at the proximal end, and the wedge-shaped portion 106d is wedge-shaped The proximal end of the slider 105 and the proximal end of the second sub-slider 106 are butted against each other. Specifically, the first sub-slider 105 is substantially “L-shaped”, including a longer main body portion 105e and a side body portion 105f connected with the main body portion 105e at an angle, and the main body portion 105e and the side body portion 105f form an “L” The side body portion 105f is provided with a wedge-shaped groove 105d facing the "L-shaped" space. The second sub-slider 106 is substantially elongated and accommodated in the "L-shaped" space. The wedge-shaped portion 106d is provided in the "L-shaped" space. The second sub-slider 106 faces one end of the wedge-shaped groove 105d, so that when the wedge-shaped portion 106d is wedge-shaped into the wedge-shaped groove 105d, the first sub-slider 105 and the second sub-slider 106 abut each other at the proximal end. Therefore, both the proximal end and the distal end of the first sub-slider 105 and the second sub-slider 106 of the present application are butted, which improves the connection stability of the first sub-slider 105 and the second sub-slider 106 .

第一子滑块105还包括设于第一延伸部105a与锲形槽105d之间的第一凸起105g,第一凸起105g位于背离第二子滑块106的一侧,第二子滑块106还包括设于第二延伸部106a与锲形部106d之间的第二凸起106g,第二凸起106g位于背离第一子滑块105的一侧。第一凸起105g与第一子滑块105的主体部分105e之间具有一夹角,且第一凸起105g朝向第一延伸部105a的方向延伸,第二凸起106g与第二子滑块106之间具有一夹角,且第二凸起106g朝向第二延伸部106a的方向延伸,The first sub-slider 105 further includes a first protrusion 105g disposed between the first extension portion 105a and the wedge-shaped groove 105d, the first protrusion 105g is located on the side away from the second sub-slider 106, and the second sub-slider The block 106 further includes a second protrusion 106g disposed between the second extension portion 106a and the wedge portion 106d , and the second protrusion 106g is located on the side facing away from the first sub-slider 105 . There is an included angle between the first protrusion 105g and the main body portion 105e of the first sub-slider 105, and the first protrusion 105g extends toward the direction of the first extension portion 105a, and the second protrusion 106g and the second sub-slider There is an included angle between 106, and the second protrusion 106g extends toward the direction of the second extending portion 106a,

请参阅图2、图4、图6以及图7,滑动组件102还包括滑筒107,滑筒107滑动套设于滑杆1011上,并与滑块104固定。在本实施例中,滑筒107与滑块104卡接固定。滑筒107带动滑块104在滑槽101b内移动。操控滑筒107带动滑块104在滑槽101b内朝近端移动时,滑块104带动芯丝组件40朝近端移动,以使预弯段201的弯曲角度发生变化。具体地,滑筒107为两端开口的中空柱状结构,滑筒107包括顶壁1071、底壁1072以及设于顶壁1071与底壁1072之间的侧壁1073,顶壁1071与底壁1072由侧壁1073的两端开口处垂直向外延伸形成,进而形成环形槽状结构,环形槽状结构方便操作者稳定握持与推拉滑筒107。Please refer to FIG. 2 , FIG. 4 , FIG. 6 and FIG. 7 , the sliding assembly 102 further includes a sliding cylinder 107 , and the sliding cylinder 107 is slidably sleeved on the sliding rod 1011 and fixed with the sliding block 104 . In this embodiment, the sliding cylinder 107 and the sliding block 104 are clamped and fixed. The sliding cylinder 107 drives the sliding block 104 to move in the chute 101b. When the sliding cylinder 107 drives the slider 104 to move proximally in the chute 101b, the slider 104 drives the core wire assembly 40 to move proximally, so that the bending angle of the pre-bending section 201 changes. Specifically, the sliding cylinder 107 is a hollow cylindrical structure with open ends. The sliding cylinder 107 includes a top wall 1071 , a bottom wall 1072 and a side wall 1073 disposed between the top wall 1071 and the bottom wall 1072 . The top wall 1071 and the bottom wall 1072 The two end openings of the side wall 1073 are formed by vertically extending outward, thereby forming an annular groove-shaped structure, which is convenient for the operator to stably hold and push and pull the sliding cylinder 107 .

请参阅图6、图7,滑筒107包括第一卡位107a以及与第一卡位107a相对设置的第二卡位107b,第一延伸部105a卡入第一卡位107a内,第二延伸部106a卡入第二卡位107b内,以限制滑块104相对滑筒107向近端位移。从而推动滑筒107向远端运动时,滑筒107带动滑块104运动,滑块104带动芯丝组件40运动,且在运动的过程中,由于第一卡位107a对第一延伸部105a的限位以及第二卡位107b对第二延伸部106a的限位,滑筒107与滑块104不会发生相对位移,进而提高了芯丝组件40运动的稳定性。在本实施例中,第一卡位107a与第二卡位107b相对设置且形成容置第一延伸部105a与第二延伸部106a对接所形成的套环的环形槽,套环卡在环形槽内。Please refer to FIG. 6 and FIG. 7 , the sliding cylinder 107 includes a first latching position 107a and a second latching position 107b opposite to the first latching position 107a. The portion 106a is snapped into the second locking position 107b to limit the proximal displacement of the slider 104 relative to the sliding cylinder 107 . Therefore, when the sliding cylinder 107 is pushed to move to the distal end, the sliding cylinder 107 drives the slider 104 to move, and the slider 104 drives the core wire assembly 40 to move. The position limit and the position limit of the second extension portion 106a by the second locking position 107b prevents the relative displacement of the sliding cylinder 107 and the sliding block 104, thereby improving the movement stability of the core wire assembly 40. In this embodiment, the first latching position 107a and the second latching position 107b are disposed opposite to each other and form an annular groove for accommodating the collar formed by the butt joint of the first extension portion 105a and the second extension portion 106a, and the collar is clamped in the annular groove Inside.

请参阅图7,滑筒107还包括第一卡槽107c以及与第一卡槽107c相对设置的第二卡槽107d,第一凸起105g卡入第一卡槽107c内,第二凸起106g卡入第二卡槽107d内,以限制滑块104相对滑筒107向远端位移。从而拉动滑筒107向近端运动时,滑筒107带动滑块104运动,滑块104带动芯丝组件40运动,且在运动的过程中,由于第一卡槽107c对第一凸起105g的限位以及第二卡槽107d对第二凸起106g的限位,滑筒107与滑块104不会发生相对位移,进而提高了芯丝组件40运动的稳定性。Please refer to FIG. 7 , the sliding cylinder 107 further includes a first slot 107c and a second slot 107d opposite to the first slot 107c. The first protrusion 105g is snapped into the first slot 107c, and the second protrusion 106g The slider 104 is locked into the second engaging slot 107d to limit the distal displacement of the slider 104 relative to the sliding cylinder 107 . Therefore, when the sliding cylinder 107 is pulled to move toward the proximal end, the sliding cylinder 107 drives the slider 104 to move, and the slider 104 drives the core wire assembly 40 to move. Due to the limit and the limit of the second protrusion 106g by the second locking groove 107d, the sliding cylinder 107 and the sliding block 104 will not be displaced relative to each other, thereby improving the movement stability of the core wire assembly 40.

请参阅图8,芯丝组件40包括导杆401、芯丝股402以及牵引杆403。导杆401的远端与芯丝股402的近端相连,牵引杆403的近端与芯丝股402的远端相连,导杆401的近端固定连接滑块104,牵引杆403的远端连接钳头组件30。在本实施例中,芯丝股402由数根芯丝加捻形成,一般为4-10根。Referring to FIG. 8 , the core wire assembly 40 includes a guide rod 401 , a core wire strand 402 and a pulling rod 403 . The distal end of the guide rod 401 is connected to the proximal end of the core wire strand 402 , the proximal end of the pulling rod 403 is connected to the distal end of the core wire strand 402 , the proximal end of the guiding rod 401 is fixedly connected to the slider 104 , and the distal end of the pulling rod 403 Connect the jaw assembly 30. In this embodiment, the core wire strand 402 is formed by twisting several core wires, generally 4-10.

请继续参阅图5,在本实施例中,第一子滑块105的主体部分105e包括朝向第二子滑块106的第一子容置槽105h,第二子滑块106包括朝向第一子容置槽105h的第二子容置槽106h,第一子滑块105与第二子滑块106对接时,第一子容置槽105h与第二子容置槽106h形成供所述导杆401穿过并通过粘结等方式固定导杆401的容置槽。Please continue to refer to FIG. 5. In this embodiment, the main body portion 105e of the first sub-slider 105 includes a first sub-receiving groove 105h facing the second sub-slider 106, and the second sub-slider 106 includes a first sub-slider 106 facing the first sub-slider. The second sub-accommodating groove 106h of the accommodating groove 105h, when the first sub-slider 105 and the second sub-slider 106 are butted together, the first sub-accommodating groove 105h and the second sub-accommodating groove 106h form a guide rod for the guide rod 401 passes through and fixes the accommodating groove of the guide rod 401 by means of bonding or the like.

活检钳100还包括润滑管(图中未示出),润滑管套设于芯丝股402与弹性管20之间。具体地,润滑管的长度至少等于芯丝股402的长度,当芯丝股402在弹性管20的管腔内运动时,润滑管可以减小芯丝股402与弹性管20的管壁之间的摩擦,进而方便芯丝股402的运动。The biopsy forceps 100 further includes a lubricating tube (not shown in the figure), and the lubricating tube is sleeved between the core wire strand 402 and the elastic tube 20 . Specifically, the length of the lubricating tube is at least equal to the length of the core wire strand 402 . When the core wire strand 402 moves in the lumen of the elastic tube 20 , the lubricating tube can reduce the gap between the core wire strand 402 and the tube wall of the elastic tube 20 . friction, thereby facilitating the movement of the core strand 402.

请参阅图2、图9-图12,钳头组件30包括两个相对开合的钳头303、钳头架301及两个连杆302。每个钳头303包括钳柄3031及工作钳头3032,牵引杆403的远端设有第一铰接头403a,钳头架301的远端设有第二铰接头301a,两个连杆302的近端交叉并铰接在第一铰接头403a上,两个钳头303的钳柄3031交叉并铰接在第二铰接头301a上,两个连杆302的远端与两个钳柄3031的近端分别对应铰接,以使两个连杆302与两个钳头303形成四连杆结构。在本实施例中,钳头架301与弹性管20的远端通过焊接等方式固定连接。Referring to FIGS. 2 , 9-12 , the forceps head assembly 30 includes two oppositely opening and closing forceps heads 303 , a forceps head frame 301 and two connecting rods 302 . Each pliers head 303 includes a pliers handle 3031 and a working pliers head 3032, the distal end of the draw rod 403 is provided with a first hinge joint 403a, the distal end of the forceps head frame 301 is provided with a second hinged joint 301a, The proximal ends are crossed and hinged on the first hinge joint 403a, the forceps handles 3031 of the two forceps heads 303 are intersected and hinged on the second hinge joint 301a, and the distal ends of the two links 302 are connected to the proximal ends of the two forceps handles 3031. The two connecting rods 302 and the two plier heads 303 form a four-link structure, respectively. In this embodiment, the forceps head frame 301 and the distal end of the elastic tube 20 are fixedly connected by welding or the like.

滑动组件102相对手持组件101朝远端移动时,滑动组件102推动芯丝组件40向远端运动,牵引杆403推动两个连杆302向远端运动,两个连杆302相对展开,从而带动两个钳头303张开。反之,滑动组件102相对手持组件101朝近端移动时,两个钳头303闭合,从而钳取或夹取待活检的病变组织。When the sliding assembly 102 moves distally relative to the hand-held assembly 101, the sliding assembly 102 pushes the core wire assembly 40 to move distally, the traction rod 403 pushes the two connecting rods 302 to move distally, and the two connecting rods 302 are relatively unfolded, thereby driving The two jaws 303 are opened. On the contrary, when the sliding assembly 102 moves toward the proximal end relative to the hand-held assembly 101, the two forceps heads 303 are closed, so as to clamp or clamp the diseased tissue to be biopsyed.

请结合图11与图12,具体的,钳头架301沿轴向设置有“U型”通槽3011,两个连杆302与两个钳头303的钳柄3031设在“U型”通槽3011内,“U型”通槽3011包括两个相对设置的“U型”开口3012,两个连杆302与两个钳头303形成的四连杆结构可朝向“U型”开口3012运动,或朝向“U型”通槽3011的中轴线运动。Please refer to FIG. 11 and FIG. 12 . Specifically, the clamp head frame 301 is provided with a “U-shaped” through groove 3011 along the axial direction, and the two connecting rods 302 and the clamp handles 3031 of the two clamp heads 303 are arranged in the “U-shaped” through groove 3011 . In the groove 3011, the “U-shaped” through groove 3011 includes two “U-shaped” openings 3012 arranged opposite to each other. , or move toward the central axis of the "U-shaped" through groove 3011 .

也就是说,当芯丝组件40的牵引杆403在滑动组件102的带动下向远端运动时,牵引杆403推动两个连杆302运动以使四连杆结构在“U型”通槽3011内朝向“U型”开口3012运动,通过四连杆结构的运动,两个工作钳头3032张开,准备钳取目标腔道内的病变组织;接下来,操控滑动组件102略微向近端移动,芯丝组件40的牵引杆403在滑动组件102的带动下向近端运动,牵引杆403拉动两个连杆302运动以使四连杆结构朝向“U型”通槽3011的中轴线运动,通过四连杆结构的运动,两个工作钳头3032闭合,在两个工作钳头3032由张开转至闭合的过程中,钳取或夹取目标腔道内的病变组织实施取样;然后,活检钳100在保持两个工作钳头3032闭合的状态下将样品取出人体。在本实施例中,滑筒107带动滑块104在滑槽101b内朝远端移动时,滑块104推动芯丝组件40向远端移动,以使两个工作钳头3032张开;反之,滑筒107带动滑块104在滑槽101b内朝近端移动时,滑块104拉动芯丝组件40向近端移动,以使两个工作钳头3032闭合。That is to say, when the pulling rod 403 of the core wire assembly 40 moves to the distal end under the driving of the sliding assembly 102 , the pulling rod 403 pushes the two links 302 to move so that the four-link structure is in the “U-shaped” through groove 3011 The inside moves toward the "U-shaped" opening 3012, and through the movement of the four-bar linkage structure, the two working forceps heads 3032 are opened, ready to clamp the diseased tissue in the target cavity; The pulling rod 403 of the core wire assembly 40 moves proximally under the driving of the sliding assembly 102, and the pulling rod 403 pulls the two connecting rods 302 to move so that the four-link structure moves toward the central axis of the “U-shaped” through-groove 3011. With the movement of the four-bar linkage structure, the two working forceps heads 3032 are closed, and during the process of turning the two working forceps heads 3032 from opening to closing, the diseased tissue in the target lumen is clamped or grasped for sampling; then, the biopsy forceps 100 The sample is taken out of the human body while keeping the two working forceps heads 3032 closed. In this embodiment, when the sliding cylinder 107 drives the sliding block 104 to move toward the distal end in the sliding groove 101b, the sliding block 104 pushes the core wire assembly 40 to move toward the distal end, so that the two working jaws 3032 are opened; otherwise, When the sliding cylinder 107 drives the sliding block 104 to move toward the proximal end in the chute 101b, the sliding block 104 pulls the core wire assembly 40 to move toward the proximal end, so that the two working jaws 3032 are closed.

本申请中,将滑动组件102向远端推动一微小的距离,芯丝组件40向钳头组件30施加轻微的推力,两个钳头303的工作钳头3032即可张开,而弹性管20的预弯段201要发生弯曲角度的改变需要较大的力,因此,控制两个工作钳头3032张开时,弹性管20的预弯段201基本不会发生变形。且在自然状态下及调整预弯段201的弯曲角度时,由于芯丝组件40不会向钳头组件30施加推力,所以两个工作钳头3032是闭合的。In the present application, the sliding assembly 102 is pushed to the distal end by a slight distance, the core wire assembly 40 exerts a slight pushing force on the forceps head assembly 30, the working forceps 3032 of the two forceps 303 can be opened, and the elastic tube 20 The pre-bending section 201 of the elastic tube 20 needs a large force to change the bending angle. Therefore, when the two working pliers 3032 are controlled to open, the pre-bending section 201 of the elastic tube 20 is basically not deformed. And in the natural state and when the bending angle of the pre-bending section 201 is adjusted, since the core wire assembly 40 does not apply a thrust to the clamp head assembly 30, the two working clamp heads 3032 are closed.

因此,本申请中,操控滑筒107向近端移动时,滑块104带动芯丝组件40向近端运动,能够使得弹性管20的预弯段201的弯曲角度发生变化以调整预弯段201的弯曲角度在初始预弯角α与0°之间变化,从而使得活检钳100能够适应不同的个体组织结构,扩大活检钳100的适用性,并使得两钳头303闭合;操控滑筒107向远端移动时,滑块104带动芯丝组件40向远端运动,能够使得两个钳头303张开。现有技术中的活检钳虽然也可以改变预弯段的弯曲角度,以及可以驱动钳头的张开与闭合,但是改变预弯段的弯曲角度需要单独的牵拉弯曲组件,驱动两个钳头张开或闭合需要单独的推拉组件,产品的整体结构较为复杂,操作不够便捷,而本申请只需操控滑筒107即可改变预弯段201的弯曲角度以及使得两个钳头303张开或闭合,从而简化了活检钳100的结构,更加方便操作者操作,解决了现有技术中需要分别设置牵拉弯曲组件以改变预弯段的弯曲角度以及推拉组件以驱动两个钳头张开或闭合所导致的产品结构复杂,操作不够便捷的技术问题。Therefore, in the present application, when the slider 107 is manipulated to move proximally, the slider 104 drives the core wire assembly 40 to move proximally, so that the bending angle of the pre-bending section 201 of the elastic tube 20 can be changed to adjust the pre-bending section 201 The bending angle varies between the initial pre-bending angle α and 0°, so that the biopsy forceps 100 can adapt to different individual tissue structures, expand the applicability of the biopsy forceps 100, and close the two forceps heads 303; When the distal end moves, the slider 104 drives the core wire assembly 40 to move to the distal end, so that the two forceps heads 303 can be opened. Although the biopsy forceps in the prior art can also change the bending angle of the pre-bending section and drive the opening and closing of the forceps head, changing the bending angle of the pre-bending section requires a separate pulling and bending assembly to drive the two forceps heads. Opening or closing requires a separate push-pull assembly, the overall structure of the product is relatively complex, and the operation is not convenient, and in the present application, the bending angle of the pre-bending section 201 can be changed and the two pliers 303 can be opened or closed, thereby simplifying the structure of the biopsy forceps 100, making it more convenient for the operator to operate, and solving the need to separately set a pulling and bending component to change the bending angle of the pre-bending section and a push-pull component to drive the two forceps heads to open or The technical problems of complex product structure and inconvenient operation caused by closure.

在一具体实施例中,若该活检钳100是配合支气管镜使用的,在自然状态下,弹性管20的预弯段201保持在预弯角度α,两个钳头303闭合,限定自然状态下两个钳头303铰接的第二铰接头301a与预弯段201的曲率中心的轴向距离L在20-30mm之间来适应支气管结构,如图2所示。In a specific embodiment, if the biopsy forceps 100 is used in conjunction with a bronchoscope, in a natural state, the pre-bending section 201 of the elastic tube 20 is kept at the pre-bending angle α, and the two forceps heads 303 are closed, limiting the natural state. The axial distance L between the second hinge joint 301a hinged by the two forceps heads 303 and the center of curvature of the pre-bending section 201 is between 20-30mm to adapt to the bronchial structure, as shown in FIG. 2 .

请继续参阅图2,活检钳还包括保护管50,保护管50套在弹性管20近端上,防止弹性管20近端在其与滑杆1011远端的垂直相交处折断。保护管50具有柔性及一定的抗弯折性。Please continue to refer to FIG. 2 , the biopsy forceps further includes a protection tube 50 , which is sheathed on the proximal end of the elastic tube 20 to prevent the proximal end of the elastic tube 20 from breaking at the perpendicular intersection with the distal end of the sliding rod 1011 . The protection tube 50 has flexibility and certain bending resistance.

请返回至图1,以内窥镜200为支气管镜为例来说明本申请的活检系统的使用过程为:将活检钳100的弹性管20及钳头组件30穿入内窥镜200的钳道;活检钳100与内窥镜200一起置入气管;使活检钳100的钳头组件30及弹性管20从内窥镜200的钳道伸出;向近端拉动活检钳100的滑筒107,调整弹性管20的预弯段201的弯曲角度,当角度调整至适应要进入的目标气管腔道时,推送活检钳100使弹性管20的远端及钳头组件30进入该目标腔道;使钳头组件30靠近目标腔道内的病变组织,先松动滑筒107再将滑筒107向远端推动,两个钳头303打开,对准病变组织;然后再次向近端拉动滑筒107,使两个钳头303闭合钳取病变组织;保持两个钳头303的闭合状态,将弹性管20及钳头组件30撤回内窥镜200的钳道中,然后同内窥镜200一起撤出人体,获取病变组织样品。Please return to FIG. 1 , taking the endoscope 200 as a bronchoscope as an example to illustrate the use process of the biopsy system of the present application. The forceps 100 is placed into the trachea together with the endoscope 200; the forceps head assembly 30 and the elastic tube 20 of the biopsy forceps 100 are extended from the forceps channel of the endoscope 200; the sliding cylinder 107 of the biopsy forceps 100 is pulled proximally to adjust the elasticity The bending angle of the pre-bending section 201 of the tube 20, when the angle is adjusted to suit the target tracheal lumen to be entered, push the biopsy forceps 100 to make the distal end of the elastic tube 20 and the forceps head assembly 30 enter the target lumen; make the forceps head The assembly 30 is close to the diseased tissue in the target cavity, first loosen the sliding cylinder 107 and then push the sliding cylinder 107 to the distal end, the two forceps heads 303 are opened, and aim at the diseased tissue; then pull the sliding cylinder 107 to the proximal end again, so that the two The forceps head 303 is closed to clamp the diseased tissue; the two forceps heads 303 are kept closed, the elastic tube 20 and the forceps head assembly 30 are withdrawn into the forceps channel of the endoscope 200, and then withdrawn from the human body together with the endoscope 200 to obtain the lesions tissue samples.

以上所揭露的仅为本实用新型较佳实施例而已,当然不能以此来限定本实用新型之权利范围,本领域普通技术人员可以理解实现上述实施例的全部或部分流程,并依本实用新型权利要求所作的等同变化,仍属于实用新型所涵盖的范围。The above disclosures are only the preferred embodiments of the present invention, and of course, it cannot limit the scope of the rights of the present invention. Those of ordinary skill in the art can understand that all or part of the procedures for realizing the above-mentioned embodiments can be implemented according to the present invention. The equivalent changes made by the claims still belong to the scope covered by the utility model.

Claims (16)

1.一种活检钳,其特征在于,包括手柄、弹性管、钳头组件以及芯丝组件,所述手柄包括手持组件以及安装于所述手持组件上沿所述手持组件轴向移动的滑动组件,所述手柄连接于所述弹性管的近端,所述钳头组件连接于所述弹性管的远端,所述芯丝组件活动穿装于所述弹性管内,所述滑动组件连接于所述芯丝组件的近端,所述钳头组件连接于所述芯丝组件的远端;1. a biopsy forceps, is characterized in that, comprises handle, elastic tube, forceps head assembly and core wire assembly, and described handle comprises hand-held assembly and the sliding assembly that is installed on described hand-held assembly and axially moves along described hand-held assembly , the handle is connected to the proximal end of the elastic tube, the forceps head assembly is connected to the distal end of the elastic tube, the core wire assembly is movably inserted into the elastic tube, and the sliding assembly is connected to the the proximal end of the core wire assembly, the forceps head assembly is connected to the distal end of the core wire assembly; 所述弹性管包括邻近所述钳头组件的预弯段以及分别连接所述预弯段两端的平直段,在自然状态下,所述预弯段保持初始预弯角度;所述钳头组件包括两个相对开合的钳头;The elastic tube includes a pre-bending section adjacent to the pliers head assembly and a straight section respectively connecting two ends of the pre-bending section. In a natural state, the pre-bending section maintains an initial pre-bending angle; the pliers head assembly Including two relatively open and closed pliers; 所述滑动组件向所述手持组件近端移动以使所述芯丝组件带动所述预弯段的弯曲角度在初始预弯角度至0°之间变化,并使两个所述钳头闭合;所述滑动组件向所述手持组件远端移动以使两个所述钳头张开。The sliding assembly moves toward the proximal end of the hand-held assembly, so that the core wire assembly drives the bending angle of the pre-bending section to change between the initial pre-bending angle and 0°, and closes the two jaws; The slide assembly is moved distally of the hand-held assembly to expand the two jaws. 2.根据权利要求1所述的活检钳,其特征在于,所述初始预弯角度≤45°。2 . The biopsy forceps according to claim 1 , wherein the initial pre-bending angle is less than or equal to 45°. 3 . 3.根据权利要求1所述的活检钳,其特征在于,所述手持组件包括滑杆,所述滑杆上设有沿所述滑杆轴向设置的滑槽,所述滑动组件包括滑块,所述滑块设于所述滑槽内并沿所述滑槽移动,所述芯丝组件的近端固定于所述滑块上。3 . The biopsy forceps according to claim 1 , wherein the hand-held component comprises a sliding rod, and the sliding rod is provided with a sliding groove axially arranged along the sliding rod, and the sliding component comprises a sliding block. 4 . , the slider is arranged in the chute and moves along the chute, and the proximal end of the core wire assembly is fixed on the slider. 4.根据权利要求3所述的活检钳,其特征在于,所述手持组件还包括手指耳,所述手指耳的远端与所述滑杆的近端卡接。4 . The biopsy forceps according to claim 3 , wherein the hand-held assembly further comprises a finger ear, and the distal end of the finger ear is clamped with the proximal end of the sliding rod. 5 . 5.根据权利要求4所述的活检钳,其特征在于,所述手指耳的远端设有连接座,所述滑杆的近端设有连接头,所述连接头卡在所述连接座内以使所述手指耳的远端与所述滑杆的近端卡接。5. The biopsy forceps according to claim 4, wherein the distal end of the finger ear is provided with a connecting seat, the proximal end of the sliding rod is provided with a connecting head, and the connecting head is stuck on the connecting seat so that the distal end of the finger ear is snapped with the proximal end of the sliding rod. 6.根据权利要求3所述的活检钳,其特征在于,所述滑动组件还包括滑筒,所述滑筒滑动套设于所述滑杆上,并与所述滑块固定。6 . The biopsy forceps according to claim 3 , wherein the sliding assembly further comprises a sliding cylinder, and the sliding cylinder is slidably sleeved on the sliding rod and fixed with the sliding block. 7 . 7.根据权利要求6所述的活检钳,其特征在于,所述滑块包括第一子滑块与第二子滑块,所述第一子滑块与所述第二子滑块对接。7 . The biopsy forceps according to claim 6 , wherein the slider comprises a first sub-slider and a second sub-slider, and the first sub-slider is abutted with the second sub-slider. 8 . 8.根据权利要求7所述的活检钳,其特征在于,所述第一子滑块包括设于远端的第一延伸部,所述第二子滑块包括设于远端的第二延伸部,所述第一延伸部与所述第二延伸部对接。8. The biopsy forceps of claim 7, wherein the first sub-slider comprises a first extension provided at the distal end, and the second sub-slider comprises a second extension provided at the distal end part, the first extension part is butted with the second extension part. 9.根据权利要求8所述的活检钳,其特征在于,所述第一子滑块包括设于近端的锲形槽,所述第二子滑块包括设于近端的锲形部,所述锲形部锲入所述锲形槽内。9 . The biopsy forceps according to claim 8 , wherein the first sub-slider comprises a wedge-shaped groove provided at the proximal end, and the second sub-slider comprises a wedge-shaped portion provided at the proximal end, 10 . The wedge-shaped portion is wedge-shaped into the wedge-shaped groove. 10.根据权利要求8所述的活检钳,其特征在于,所述滑筒包括第一卡位以及与所述第一卡位相对设置的第二卡位,所述第一延伸部卡入所述第一卡位内,且所述第二延伸部卡入所述第二卡位内,以限制所述滑块相对所述滑筒向近端位移。10 . The biopsy forceps according to claim 8 , wherein the sliding cylinder comprises a first clamping position and a second clamping position opposite to the first clamping position, and the first extension portion is clamped into the first clamping position. 11 . The second extension portion is locked into the second locking position, so as to limit the proximal displacement of the slider relative to the sliding cylinder. 11.根据权利要求9所述的活检钳,其特征在于,所述第一子滑块还包括设于所述第一延伸部与所述锲形槽之间的第一凸起,所述第一凸起位于背离所述第二子滑块的一侧,所述第二子滑块还包括设于所述第二延伸部与所述锲形部之间的第二凸起,所述第二凸起位于背离所述第一子滑块的一侧,所述滑筒包括第一卡槽以及与所述第一卡槽相对设置的第二卡槽,所述第一凸起卡入所述第一卡槽内,且所述第二凸起卡入所述第二卡槽内,以限制所述滑块相对所述滑筒向远端位移。11 . The biopsy forceps according to claim 9 , wherein the first sub-slider further comprises a first protrusion disposed between the first extension portion and the wedge-shaped groove, and the first sub-slider A protrusion is located on the side facing away from the second sub-slider, the second sub-slider further includes a second protrusion disposed between the second extension part and the wedge-shaped part, the first sub-slider Two protrusions are located on the side facing away from the first sub-slider. The sliding cylinder includes a first slot and a second slot opposite to the first slot. The first projection is inserted into the first slot. into the first slot, and the second protrusion is clipped into the second slot, so as to limit the displacement of the slider relative to the sliding cylinder toward the distal end. 12.根据权利要求1所述的活检钳,其特征在于,所述芯丝组件包括导杆、芯丝股以及牵引杆,所述导杆的远端与所述芯丝股的近端相连,所述牵引杆的近端与所述芯丝股的远端相连,所述导杆的近端固定于所述滑动组件,所述牵引杆的远端连接于所述钳头组件。12. The biopsy forceps according to claim 1, wherein the core wire assembly comprises a guide rod, a core wire strand and a draw rod, and the distal end of the guide rod is connected to the proximal end of the core wire strand, The proximal end of the pulling rod is connected to the distal end of the core wire strand, the proximal end of the guide rod is fixed to the sliding assembly, and the distal end of the pulling rod is connected to the forceps head assembly. 13.根据权利要求12所述的活检钳,其特征在于,所述钳头组件还包括钳头架与两个连杆,每个所述钳头包括钳柄及工作钳头,所述牵引杆的远端设有第一铰接头,所述钳头架的远端设有第二铰接头,所述两个连杆的近端交叉并铰接在第一铰接头上,所述两个钳头的钳柄交叉并铰接在第二铰接头上,所述两个连杆的远端与所述两个钳柄的近端分别对应铰接,以使所述两个连杆与所述两个钳头形成四连杆结构。13. The biopsy forceps according to claim 12, wherein the forceps head assembly further comprises a forceps head frame and two connecting rods, each of the forceps heads comprises a forceps handle and a working forceps head, and the draw rod The distal end of the clamp head frame is provided with a first hinge joint, the distal end of the clamp head frame is provided with a second hinge head, the proximal ends of the two connecting rods intersect and are hinged on the first hinge head, and the two clamp heads The pliers handles are crossed and hinged on the second hinge joint, and the distal ends of the two connecting rods are respectively hinged with the proximal ends of the two pliers handles, so that the two connecting rods are connected to the two pliers. The head forms a four-bar linkage structure. 14.根据权利要求12所述的活检钳,其特征在于,所述活检钳还包括润滑管,所述润滑管套设于所述芯丝股与所述弹性管之间。14 . The biopsy forceps according to claim 12 , wherein the biopsy forceps further comprises a lubricating tube, and the lubricating tube is sleeved between the core wire strand and the elastic tube. 15 . 15.根据权利要求1所述的活检钳,其特征在于,所述活检钳还包括保护管,所述保护管套在所述弹性管近端上。15 . The biopsy forceps according to claim 1 , wherein the biopsy forceps further comprises a protective tube, and the protective tube is sleeved on the proximal end of the elastic tube. 16 . 16.一种活检系统,其特征在于,包括内窥镜与如权利要求1-15任一项所述的活检钳,所述内窥镜包括钳道,所述活检钳的弹性管活动穿装在所述钳道内。16. A biopsy system, characterized in that it comprises an endoscope and the biopsy forceps according to any one of claims 1-15, wherein the endoscope comprises a forceps channel, and an elastic tube of the biopsy forceps is movably fitted in the clamp tunnel.
CN201821704742.2U 2018-10-19 2018-10-19 Biopsy Forceps and Biopsy Systems Active CN210077720U (en)

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Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111248947A (en) * 2018-11-30 2020-06-09 杭州堃博生物科技有限公司 Bendable Biopsy Needle and Biopsy System
CN115089231A (en) * 2022-08-25 2022-09-23 湖南省中医药研究院 Visual integral type lung sampling biopsy forceps
CN115919377A (en) * 2022-12-29 2023-04-07 常州朗合医疗器械有限公司 Biopsy accessories, biopsy devices, biopsy device mobile devices and biopsy systems
CN116115274A (en) * 2022-12-29 2023-05-16 常州朗合医疗器械有限公司 Bending control device, biopsy device mobile equipment and biopsy system
CN116407730A (en) * 2021-12-31 2023-07-11 杭州诺沁医疗器械有限公司 A guiding component and device and system with the component
WO2025015783A1 (en) * 2023-07-20 2025-01-23 中日友好医院(中日友好临床医学研究所) Bendable thoracoscope kit with straight working channel

Cited By (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111248947A (en) * 2018-11-30 2020-06-09 杭州堃博生物科技有限公司 Bendable Biopsy Needle and Biopsy System
CN111248947B (en) * 2018-11-30 2025-06-24 广州医科大学附属第一医院(广州呼吸中心) Adjustable curved biopsy needle and biopsy system
CN116407730A (en) * 2021-12-31 2023-07-11 杭州诺沁医疗器械有限公司 A guiding component and device and system with the component
CN115089231A (en) * 2022-08-25 2022-09-23 湖南省中医药研究院 Visual integral type lung sampling biopsy forceps
CN115919377A (en) * 2022-12-29 2023-04-07 常州朗合医疗器械有限公司 Biopsy accessories, biopsy devices, biopsy device mobile devices and biopsy systems
CN116115274A (en) * 2022-12-29 2023-05-16 常州朗合医疗器械有限公司 Bending control device, biopsy device mobile equipment and biopsy system
CN119791737A (en) * 2022-12-29 2025-04-11 常州朗合医疗器械有限公司 Bending control device, biopsy device, biopsy device mobile device and biopsy system
CN115919377B (en) * 2022-12-29 2025-04-18 常州朗合医疗器械有限公司 Biopsy accessories, biopsy devices, biopsy device mobile devices and biopsy systems
CN116115274B (en) * 2022-12-29 2025-04-18 常州朗合医疗器械有限公司 Bending control device, biopsy device, biopsy device mobile device and biopsy system
CN119791737B (en) * 2022-12-29 2025-11-18 常州朗合医疗器械有限公司 Bending control device, biopsy device, biopsy device mobile equipment and biopsy system
WO2025015783A1 (en) * 2023-07-20 2025-01-23 中日友好医院(中日友好临床医学研究所) Bendable thoracoscope kit with straight working channel

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