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CN105832389B - A kind of caliper structure of medical foreign matter net pincers - Google Patents

A kind of caliper structure of medical foreign matter net pincers Download PDF

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CN105832389B
CN105832389B CN201610334429.3A CN201610334429A CN105832389B CN 105832389 B CN105832389 B CN 105832389B CN 201610334429 A CN201610334429 A CN 201610334429A CN 105832389 B CN105832389 B CN 105832389B
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tube
pipe joint
capsule
support tube
utricule
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CN105832389A (en
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杜建新
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Affiliated Hospital of University of Qingdao
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/50Instruments, other than pincettes or toothpicks, for removing foreign bodies from the human body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/00234Surgical instruments, devices or methods for minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/24Surgical instruments, devices or methods for use in the oral cavity, larynx, bronchial passages or nose; Tongue scrapers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/00234Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00238Type of minimally invasive operation

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  • Life Sciences & Earth Sciences (AREA)
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  • Oral & Maxillofacial Surgery (AREA)
  • Otolaryngology (AREA)
  • Pulmonology (AREA)
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Abstract

本发明公开了一种医用异物网钳的钳体结构,所述钳体由椭球形的囊体以及一体连接在囊体长轴方向一端的圆管形的管接头b构成,且管接头b与囊体连接的一端成型有隔板部;所述的囊体为中空结构,囊体短轴方向一端的壁面上成型有一个圆形或椭圆形的夹口,所述的夹口内周成型有一个伸缩管;各个支撑管靠近管接头b的一端与隔板部相连,隔板上对应各个支撑管的位置成型有连通支撑管与管接头b的通孔;所述的钳体结构紧凑巧妙,通过3D打印可实现一次加工成型,钳体外壁光滑且呈椭圆球状,对体内组织管道产生的刺激和损伤小钳体大小可加工出不同大小以适应不同的部位。

The invention discloses a clamp body structure of a medical foreign body mesh forceps. The forceps body is composed of an ellipsoidal capsule body and a round tube-shaped pipe joint b integrally connected to one end of the capsule body in the direction of the long axis, and the pipe joint b and One end connected to the capsule is formed with a partition; the capsule is a hollow structure, and a round or elliptical jaw is formed on the wall at one end of the capsule in the direction of the short axis, and the inner circumference of the jaw is formed with a Telescopic tubes; one end of each support tube close to the pipe joint b is connected to the partition part, and the position corresponding to each support tube on the partition is formed with a through hole connecting the support tube and the pipe joint b; the structure of the clamp body is compact and ingenious. 3D printing can realize one-time processing and molding. The outer wall of the forceps is smooth and elliptical, and the size of the forceps body can be processed into different sizes to suit different parts due to the small irritation and damage to the tissue pipeline in the body.

Description

一种医用异物网钳的钳体结构A clamp body structure of medical foreign body net forceps

本专利申请是:This patent application is:

发明名称为:一种医用异物网钳结构The name of the invention is: a medical foreign body net forceps structure

申请号为:201410768557XThe application number is: 201410768557X

申请日为:2014.12.14The application date is: 2014.12.14

的专利申请的分案申请。divisional application of the patent application.

技术领域technical field

本发明属于医疗器械领域,具体涉及一种用于气管的异物钳结构。The invention belongs to the field of medical instruments, and in particular relates to a structure of foreign body forceps for trachea.

背景技术Background technique

异物被误吸入呼吸道之后会妨碍呼吸,严重时会导致窒息甚至死亡,吸入异物后必须及时取出。通常异物取出是使用气管镜配合气管异物钳进行操作,现有技术的异物钳都是金属材质,经过清洗消毒后多次重复使用,但异物钳的钳爪部位通常与钳体主体是铰接形式连接,连接位置存在死角,难以彻底清洗干净,重复使用时存在感染风险,使用效果不理想。而金属材质的异物钳若是一次性使用又成本过高且浪费资源。申请人于2014年9月21日申请的名称为:一种气管异物钳及钳体,申请号为:2014104843355的专利申请解决了上述问题,然该种异物钳的钳体在夹取异物时钳爪在钳体的前方张开,夹取某些不规则形状且体积较大甚至带有尖刺的异物时不能完全将异物包裹起来,在夹紧异物后向外拖拽的过程中容易伤及患者组织,使用效果不理想。Foreign objects that are accidentally inhaled into the respiratory tract will hinder breathing, and in severe cases, it will cause suffocation or even death. After inhaling foreign objects, they must be removed in time. Usually, foreign body removal is performed by using a bronchoscope with tracheal foreign body forceps. The foreign body forceps in the prior art are made of metal, and are reused many times after cleaning and disinfection. However, the jaws of the foreign body forceps are usually connected to the main body of the forceps in a hinged form. , There is a dead angle in the connection position, it is difficult to clean thoroughly, there is a risk of infection when it is reused, and the use effect is not ideal. However, if the foreign body forceps made of metal are used once, the cost is too high and resources are wasted. The name of the applicant's application on September 21, 2014 is: a tracheal foreign body forceps and forceps body, the patent application number is: 2014104843355 solves the above problems, but the forceps body of this foreign body forceps clamps The claws are opened in front of the pliers body, and when grasping certain irregularly shaped, large-sized or even spiked foreign objects, they cannot completely wrap up the foreign objects, and it is easy to injure them during the process of clamping the foreign objects and dragging them outward. Patient tissue, the use effect is not ideal.

发明内容Contents of the invention

本发明所要解决的技术问题是:针对现有技术存在的不足,提供一种结构简单,使用操作方便,夹取异物可靠,避免尖锐异物在取出过程中损伤患者组织的医用异物网钳。The technical problem to be solved by the present invention is to provide a medical foreign body net forceps with simple structure, convenient use and operation, reliable gripping of foreign bodies, and avoiding damage to patient tissues during removal of sharp foreign bodies.

为实现本发明之目的,采用以下技术方案予以实现:一种医用异物网钳的钳体结构,由弹性橡胶材料一体成型,所述钳体由椭球形的囊体以及一体连接在囊体长轴方向一端的圆管形的管接头b构成,且管接头b与囊体连接的一端成型有一个将管接头b与囊体分隔的隔板部;所述管接头b与所述连接管配合连接;所述的囊体为中空结构,囊体所处椭圆球的长轴为短轴长度的1.5倍;囊体短轴方向一端的壁面上成型有一个椭圆形的夹口,所述的夹口内周成型有一个伸缩管;所述囊体内壁沿长轴方向均匀成型有多个支撑管;各个支撑管远离管接头b的一端相连通,各个支撑管靠近管接头b的一端与隔板部相连,隔板上对应各个支撑管的位置成型有连通支撑管与管接头b的通孔;所述伸缩管与至少一个支撑管相连通,且所述伸缩管厚度小于支撑管的厚度;所述伸缩管的内壁均匀成型有螺旋形的筋条,且螺旋形的筋条的螺距为伸缩管内径的1/10;支撑管受空气压力作用撑住囊体使之处于展开状态,伸缩管受空气压力作用伸长从而使夹口张大,失去空气压力后支撑管、伸缩管均失去支撑,夹口恢复至初始大小。In order to achieve the purpose of the present invention, the following technical proposals are adopted to achieve: a clamp body structure of a medical foreign body net forceps, which is integrally formed by an elastic rubber material, and the forceps body is composed of an ellipsoidal capsule and is integrally connected to the long axis of the capsule The pipe joint b at one end of the direction is composed of a pipe joint b, and the end of the pipe joint b connected to the capsule is formed with a partition part that separates the pipe joint b from the capsule; the pipe joint b is mated with the connecting pipe The capsule is a hollow structure, and the long axis of the ellipse where the capsule is located is 1.5 times the length of the short axis; an elliptical jaw is formed on the wall at one end of the short axis of the capsule, and the inside of the jaw is There is a telescopic tube formed around; the inner wall of the capsule is uniformly formed with a plurality of support tubes along the long axis direction; the ends of each support tube away from the pipe joint b are connected, and the ends of each support tube close to the pipe joint b are connected to the partition , the position corresponding to each support tube on the partition is formed with a through hole connecting the support tube and the pipe joint b; the telescopic tube communicates with at least one support tube, and the thickness of the telescopic tube is smaller than the thickness of the support tube; the telescopic tube The inner wall of the tube is evenly formed with spiral ribs, and the pitch of the spiral ribs is 1/10 of the inner diameter of the telescopic tube; the support tube supports the capsule under the action of air pressure to make it in an expanded state, and the telescopic tube is under the action of air pressure The effect of elongation makes the jaw open, and when the air pressure is lost, the support tube and the telescopic tube lose their support, and the jaw returns to its original size.

与现有技术相比较,本发明的有益效果是:所述的钳体结构紧凑巧妙,通过3D打印可实现一次加工成型,钳体外壁光滑且呈椭圆球状,对体内组织管道产生的刺激和损伤小;钳体的囊体内壁通过支撑管充气使之保持在展开状态,伸缩管受空气压力作用伸长从而使夹口张大,巧妙利用伸缩管和支撑管的厚度差,从而使同一气压下两者分别产生两种动作,当夹口张开对准异物并使异物处于囊体范围内之后,活塞杆回复初始状态后支撑管、伸缩管均失去支撑,夹口恢复至初始大小,异物被完全包裹在囊体之内,在向外拉出钳体过程中,异物不会脱离,使用安全方便。所述气动控制手柄上的调节螺母可以调整活塞杆前进的幅度,可以根据异物的大小以及异物位置空间的大小事先调整调节螺母至适当位置,这样夹取异物时可一次性将活塞杆按到底,即可使夹口大小适当,利于缩短手术时间,减轻患者痛苦。该异物网钳适用于体内各位置的异物取出,所述伸缩管内壁螺旋形的筋条使得伸缩管轴向伸长,而在伸缩管径向由于筋条的螺距较小,伸缩管径向鼓起幅度微小,几乎可忽略,这样能够保证伸缩管伸长后不会导致钳体体积过分变大。钳体大小可加工出不同大小以适应不同的部位。Compared with the prior art, the beneficial effect of the present invention is that the structure of the clamp body is compact and ingenious, and can be processed and formed at one time through 3D printing. Small; the inner wall of the capsule of the pliers is inflated by the support tube to keep it in the unfolded state, and the telescopic tube is stretched by the air pressure to make the jaw open. The latter produce two actions respectively. When the jaws are opened to align with the foreign matter and make the foreign matter within the range of the capsule, the support tube and the telescopic tube lose support after the piston rod returns to the initial state, the jaws return to the original size, and the foreign matter is completely removed. Wrapped in the capsule body, foreign matter will not fall out during the process of pulling out the forceps body, which is safe and convenient to use. The adjusting nut on the pneumatic control handle can adjust the advancing range of the piston rod. The adjusting nut can be adjusted to an appropriate position in advance according to the size of the foreign object and the size of the foreign object position space, so that the piston rod can be pressed to the bottom at one time when clamping the foreign object. That is to say, the size of the jaw is appropriate, which is beneficial to shorten the operation time and relieve the pain of the patient. The foreign body net pliers are suitable for removing foreign matter from various positions in the body. The spiral ribs on the inner wall of the telescopic tube make the telescopic tube axially elongate, and in the radial direction of the telescopic tube, due to the small pitch of the ribs, the radial direction of the telescopic tube bulges. The starting range is small and almost negligible, which can ensure that the volume of the caliper body will not increase excessively after the telescopic tube is extended. The size of the pliers body can be processed into different sizes to suit different parts.

附图说明Description of drawings

图1是本发明的结构示意图。Fig. 1 is a structural schematic diagram of the present invention.

图2是气动控制手柄的结构示意图。Fig. 2 is a structural schematic diagram of the pneumatic control handle.

图3是钳体部分的结构示意图。Fig. 3 is a schematic diagram of the structure of the pliers body.

图4、图5是钳体部分的剖视结构示意图。Fig. 4 and Fig. 5 are schematic cross-sectional structure diagrams of the pliers body.

1、气动控制手柄;11、活塞筒;111、管接头a;112、拉环;12、调节螺母;131、推环;132、螺纹连接部;2、连接管;3、钳体;31、管接头b;311、隔板部;312、通孔;331、支撑管;332、伸缩管;35、囊体;351、夹口。1. Pneumatic control handle; 11. Piston cylinder; 111. Pipe joint a; 112. Pull ring; 12. Adjusting nut; 131. Push ring; Pipe joint b; 311, partition part; 312, through hole; 331, support tube; 332, telescopic tube; 35, capsule body; 351, clamping mouth.

具体实施方式detailed description

下面根据附图对本发明的具体实施方式做一个详细的说明。A detailed description will be given below of specific embodiments of the present invention according to the accompanying drawings.

实施例1Example 1

根据图1至图5所示,本实施例所述的一种医用异物网钳结构,包括有气动控制手柄1,钳体3,以及连接钳体和气动控制手柄的连接管2;所述的气动控制手柄包括有一个活塞筒11以及与活塞筒配合的活塞,活塞上连接有端部伸出至活塞筒外的活塞杆,所述的活塞杆远离活塞的一端成型有螺纹连接部132,活塞杆的螺纹连接部上连接有一个调节螺母12,活塞杆后端一体连接有一个推环131;活塞筒前端一体连接有一个与所述连接管配合连接的管接头a111,活塞筒靠近后端部的外壁一体连接有两个对称设置的拉环112,所述的钳体由弹性橡胶材料一体成型,所述钳体由椭球形的囊体35以及一体连接在囊体长轴方向一端的圆管形的管接头b31构成,且管接头b与囊体连接的一端成型有一个将管接头b与囊体分隔的隔板部311;所述管接头b与所述连接管配合连接;所述的囊体为中空结构,囊体所处椭圆球的长轴为短轴长度的1.5倍;囊体短轴方向一端的壁面上成型有一个椭圆形的夹口351,所述的夹口内周成型有一个伸缩管332;所述囊体内壁沿长轴方向均匀成型有多个支撑管331;各个支撑管远离管接头b的一端相连通,各个支撑管靠近管接头b的一端与隔板部相连,隔板上对应各个支撑管的位置成型有连通支撑管与管接头b的通孔312;所述伸缩管与至少一个支撑管相连通,且所述伸缩管厚度小于支撑管的厚度;所述伸缩管的内壁均匀成型有螺旋形的筋条,且螺旋形的筋条的螺距为伸缩管内径的1/10;活塞杆推动活塞向活塞筒前端移动压缩活塞筒内空气,经压缩的空气通过连接管进入支撑管和伸缩管中,支撑管受空气压力作用撑住囊体使之处于展开状态,伸缩管受空气压力作用伸长从而使夹口张大,活塞杆回复初始状态后支撑管、伸缩管均失去支撑,夹口恢复至初始大小。According to Fig. 1 to Fig. 5, the structure of a kind of medical foreign body mesh pliers described in this embodiment includes a pneumatic control handle 1, a pliers body 3, and a connecting pipe 2 connecting the pliers body and the pneumatic control handle; The pneumatic control handle includes a piston barrel 11 and a piston matched with the piston barrel. The piston is connected with a piston rod whose end extends out of the piston barrel. The end of the piston rod far away from the piston is formed with a threaded connection part 132. The piston An adjusting nut 12 is connected to the threaded part of the rod, and a push ring 131 is integrally connected to the rear end of the piston rod; a pipe joint a111 that is connected to the connecting pipe is integrally connected to the front end of the piston barrel, and the piston barrel is close to the rear end The outer wall of the body is integrally connected with two symmetrically arranged pull rings 112, and the pliers body is integrally formed by an elastic rubber material, and the pliers body is composed of an ellipsoidal capsule body 35 and a round tube integrally connected to one end of the capsule body in the direction of the long axis. Shaped pipe joint b31, and one end of the pipe joint b connected to the capsule is formed with a partition part 311 that separates the pipe joint b from the capsule; the pipe joint b is mated with the connecting pipe; the described The capsule is a hollow structure, and the long axis of the ellipse where the capsule is located is 1.5 times the length of the short axis; an elliptical jaw 351 is formed on the wall at one end in the direction of the short axis of the capsule, and the inner circumference of the jaw is formed with A telescopic tube 332; the inner wall of the capsule is uniformly formed with a plurality of support tubes 331 along the long axis direction; the ends of each support tube away from the pipe joint b are connected, and the end of each support tube close to the pipe joint b is connected to the partition part, The position corresponding to each support tube on the partition is formed with a through hole 312 connecting the support tube and the pipe joint b; the telescopic tube communicates with at least one support tube, and the thickness of the telescopic tube is smaller than the thickness of the support tube; The inner wall of the tube is evenly formed with spiral ribs, and the pitch of the spiral ribs is 1/10 of the inner diameter of the telescopic tube; the piston rod pushes the piston to move to the front end of the piston barrel to compress the air in the piston barrel, and the compressed air passes through the connection The tube enters the support tube and the telescopic tube, the support tube is supported by the air pressure to make it in the unfolded state, the telescopic tube is stretched by the air pressure to make the jaw open, and the piston rod returns to the initial state after the support tube and the telescopic tube Both lost their support, and the jaws returned to their original size.

所述的钳体通过3D打印一次性加工成型。所述囊体的内壁还成型有与各个支撑管垂直且与各个支撑管相连通的副支撑管(图中未示出)。副支撑管使得囊体能够更稳定地被撑住,使钳体能够适应体内不同部位的各种复杂环境。The pliers body is processed and formed at one time by 3D printing. The inner wall of the capsule is also formed with auxiliary support tubes (not shown in the figure) which are perpendicular to each support tube and communicate with each support tube. The auxiliary support tube enables the capsule to be supported more stably, enabling the forceps to adapt to various complex environments in different parts of the body.

使用时,将纤维内窥镜连同钳体及连接管伸入患者体内患处异物附近位置,通过纤维内窥镜观察,使夹口对准异物;按压活塞杆使气动控制手柄产生气压,钳体的支撑管在气压作用下变硬,从而起到支撑囊体的作用,所述伸缩管在气压作用下伸长,从而使夹口张大,微调钳体的位置使夹口对准异物并使异物处于夹口内侧后,只要松开活塞杆,伸缩管失去气压作用恢复初始形状,异物便被包裹在囊体之中,随后将钳体连同连接管拉出即可取出异物。When in use, insert the fiber endoscope together with the clamp body and the connecting tube into the position near the foreign body in the patient's body, observe through the fiber endoscope, and align the jaws with the foreign body; press the piston rod to make the pneumatic control handle generate air pressure, and the clamp body The support tube hardens under the action of air pressure, thereby playing the role of supporting the capsule, and the telescopic tube is stretched under the action of air pressure, so that the jaws are expanded, and the position of the pliers body is fine-tuned so that the jaws are aligned with the foreign matter and the foreign matter is in the After the inside of the clamp, as long as the piston rod is released, the telescopic tube loses the air pressure and returns to its original shape, and the foreign matter is wrapped in the capsule, and then the pliers and the connecting tube are pulled out to remove the foreign matter.

实施例2Example 2

本实施例与实施例1的区别特征在于:所述的伸缩管成型在囊体内壁,且与夹口边缘的距离为伸缩管外径的1-1.5倍。这样既能保证伸缩管能够带动夹口张大,同时避免伸缩管充气伸长状态时被异物上可能存在的尖刺刺破而损坏。The difference between this embodiment and Embodiment 1 is that the telescopic tube is formed on the inner wall of the capsule, and the distance from the edge of the jaw is 1-1.5 times the outer diameter of the telescopic tube. This can not only ensure that the telescopic tube can drive the clamp to expand, but also prevent the telescopic tube from being punctured and damaged by the possible thorns on the foreign matter when it is inflated and stretched.

实施例3Example 3

本实施例所述的一种医用异物网钳钳体结构,由弹性橡胶材料一体成型,所述钳体由椭球形的囊体35以及一体连接在囊体长轴方向一端的圆管形的管接头b31构成,且管接头b与囊体连接的一端成型有一个将管接头b与囊体分隔的隔板部311;所述管接头b与所述连接管配合连接;所述的囊体为中空结构,囊体所处椭圆球的长轴为短轴长度的1.5倍;囊体短轴方向一端的壁面上成型有一个椭圆形的夹口351,所述的夹口内周成型有一个伸缩管332;所述囊体内壁沿长轴方向均匀成型有多个支撑管331;各个支撑管远离管接头b的一端相连通,各个支撑管靠近管接头b的一端与隔板部相连,隔板上对应各个支撑管的位置成型有连通支撑管与管接头b的通孔312;所述伸缩管与至少一个支撑管相连通,且所述伸缩管厚度小于支撑管的厚度;所述伸缩管的内壁均匀成型有螺旋形的筋条,且螺旋形的筋条的螺距为伸缩管内径的1/10;支撑管受空气压力作用撑住囊体使之处于展开状态,伸缩管受空气压力作用伸长从而使夹口张大,失去空气压力后支撑管、伸缩管均失去支撑,夹口恢复至初始大小。The clamp body structure of a medical foreign body mesh forceps described in this embodiment is integrally formed by an elastic rubber material, and the forceps body is composed of an ellipsoidal capsule 35 and a round tubular tube integrally connected to one end of the capsule in the direction of the long axis. A joint b31 is formed, and one end of the pipe joint b connected to the capsule is formed with a partition part 311 separating the pipe joint b from the capsule; the pipe joint b is connected with the connecting pipe; the capsule is Hollow structure, the long axis of the ellipse where the capsule is located is 1.5 times the length of the short axis; an oval jaw 351 is formed on the wall at one end in the direction of the short axis of the capsule, and a telescopic tube is formed on the inner periphery of the jaw 332; the inner wall of the capsule is uniformly formed with a plurality of support tubes 331 along the long axis direction; the end of each support tube away from the pipe joint b is connected, and the end of each support tube close to the pipe joint b is connected to the partition part, and on the partition Corresponding to the position of each support tube, a through hole 312 connecting the support tube and the pipe joint b is formed; the telescopic tube communicates with at least one support tube, and the thickness of the telescopic tube is smaller than the thickness of the support tube; the inner wall of the telescopic tube The spiral ribs are evenly formed, and the pitch of the spiral ribs is 1/10 of the inner diameter of the telescopic tube; the support tube supports the capsule under the action of air pressure to make it in an expanded state, and the telescopic tube is elongated under the action of air pressure As a result, the jaws are widened, and the support tube and the telescopic tube lose support after the air pressure is lost, and the jaws return to the original size.

Claims (1)

1. a kind of caliper structure of medical foreign matter net pincers, it is characterised in that:Be integrally formed by elastic rubber material, the caliper by The utricule of elliposoidal and it is integrally attached to the pipe joint b of tubular of utricule long axis direction one end and constitutes, and pipe joint b and capsule One end of body connection forms a partition board portion for separating pipe joint b and utricule;The pipe joint b coordinates with connecting tube and connected Connect;Described utricule is hollow structure, and the major axis of elliptical shape ball residing for utricule is 1.5 times of minor axis length;Utricule short-axis direction one An oval jaws is formed on the wall at end, described jaws inner circumferential forms a telescoping tube;The utricule inwall Multiple support tubes are uniformly formed along long axis direction;The one end of each support tube away from pipe joint b is connected, and each support tube is leaned on Nearly pipe joint b one end is connected with partition board portion, and the position of each support tube of correspondence forms connection support tube and connect with pipe on dividing plate Head b through hole;The telescoping tube is connected with least one support tube, and the flexible tube thickness is less than the thickness of support tube; The inwall of the telescoping tube uniformly forms spiral rib, and the pitch of spiral rib is the 1/ of flexible bore 10;Support tube by air pressure effect prop up utricule be allowed to be in deployed condition, telescoping tube by air pressure effect elongation so as to Magnify jaws, lose air pressure rear supporting tube, telescoping tube and lose support, jaws is recovered to initial size.
CN201610334429.3A 2014-12-14 2014-12-14 A kind of caliper structure of medical foreign matter net pincers Expired - Fee Related CN105832389B (en)

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CN106073866A (en) 2016-11-09

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