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CN109091185A - A kind of surgical instruments is easy the articulation locking mechanism of contraposition - Google Patents

A kind of surgical instruments is easy the articulation locking mechanism of contraposition Download PDF

Info

Publication number
CN109091185A
CN109091185A CN201811062641.4A CN201811062641A CN109091185A CN 109091185 A CN109091185 A CN 109091185A CN 201811062641 A CN201811062641 A CN 201811062641A CN 109091185 A CN109091185 A CN 109091185A
Authority
CN
China
Prior art keywords
locking
locking mechanism
surgical instruments
elongated shaft
end effector
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Withdrawn
Application number
CN201811062641.4A
Other languages
Chinese (zh)
Inventor
姚建清
向长林
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Suzhou Frankenman Medical Equipment Co Ltd
Original Assignee
Suzhou Frankenman Medical Equipment Co Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Suzhou Frankenman Medical Equipment Co Ltd filed Critical Suzhou Frankenman Medical Equipment Co Ltd
Priority to CN201811062641.4A priority Critical patent/CN109091185A/en
Publication of CN109091185A publication Critical patent/CN109091185A/en
Withdrawn legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B17/07207Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously the staples being applied sequentially
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/03Automatic limiting or abutting means, e.g. for safety
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214Stapler heads
    • A61B2017/07271Stapler heads characterised by its cartridge
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214Stapler heads
    • A61B2017/07285Stapler heads characterised by its cutter

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

Abstract

The present invention provides a kind of articulation locking mechanism of easy contraposition of surgical instruments, the tool present invention improves the joint structure locking mechanism between surgical end effectors and elongated shaft, cooperated using round end structure and multiple semi-circular recesses, facilitate contraposition and locking, and it solves in the operating process of end effector angular adjustment, soft tissue is easy the technical issues of being damaged by the tooth on joint, reaches safe and reliable technical effect.

Description

A kind of surgical instruments is easy the articulation locking mechanism of contraposition
Technical field
The present invention relates to the articulation locking mechanism that a kind of surgical instruments is easy contraposition, it is easy on specially a kind of stapler The articulation locking mechanism of contraposition.
Background technique
It is known in the prior art, stapler as medically use substitution traditional-handwork suture equipment, user Just, tight, elastic suitable, especially its suture is quick, easy to operate and few side effects and the advantages that postoperative complication, and also So that the tumor operation that can not be cut off in the past is able to lesion resection, very by the favor and high praise of domestic and international Clinical Surgery doctor.Outside Section's stapler such as scope Endo-GIA may include that can be moved or be carried out joint motions relative to elongated shaft assembly End effector.End effector, which is usually configured to, will need the tissue cut off to be fixed between clamping device, wherein clamping It generally includes to be configured to the structure with nail bin is accommodated in device.Handle portion for operation is then configured to can control The closure of clamping device, and control push blade cutting and staple are pushed to be sutured.
But due to the limitation of abdominal cavity or chest cavity space, in surgical procedure, traditional linear cutting anastomat cannot Enough carry out angular adjustment, cannot effectively reach operative site clamped, be cross-section, anastomosed tissue, so gradually developing The hysteroscope stapler that stapler actuator can turn, and widely used.
Such as Ethicon Endo Surgery Inc of the U.S. (ETHICON ENDO-SURGERY) is to the patent of its request for product, application It number is CN200910130759.0, surgical instruments may include axis, end effector and connector, wherein the end effector can be with It is moved around the connector relative to the axis.It proposes in that patent, referring to attached drawing 1, the joint of pervious end effector is transported Dynamic connector includes locking component, such as locking component 299, and the locking component 299 may include the outer circumferential direction from locking component The tooth 298 to extend out outside.Therefore, when making shaft assembly of the end effector relative to surgical instruments carry out joint motions, tooth 298 can tangle or impact the soft tissue of surrounding, and may cause wound.In different situations, tissue capture may be existed Between adjacent teeth 298, so that soft tissue may be pulled in actuated articulation joints simultaneously when end effector carries out joint motions And it may be jammed by the relative motion part of connector.In embodiments of the present invention, wherein the tooth of locking component is Have angled or inclined, soft tissue, which can easily flow out and be reduced from tooth, pulls joint motions for soft tissue A possibility that in connector.Although reducing the damage of tissue to the improvement of tooth form, but there is a possibility that damage, therefore should Patent still uses cover structure as protection, and cover may be coupled at least one of the end effector and axis, and The soft tissue adjacent to connector positioning is dragged into connector and/or by joint-clamping in order to prevent, and cover is configured at least portion Divide and surrounds connector.
Although the setting of cover solves the technical issues of locking component injury tissue, the presence of cover increases part Quantity, assembling process is comparatively laborious, and covers on during transluminal operation in the presence of the risk fallen.Therefore, it is necessary to a kind of improvement The joint structure of type, so that joint motions will not generate damage to tissue, and be easy contraposition in the case where not needing using cover And enough frictional force can be provided.
Summary of the invention
The present invention provides a kind of articulation locking mechanism of easy contraposition of surgical instruments, and the tool present invention holds surgical end Joint structure locking mechanism between row device and elongated shaft is improved, and is matched using round end structure and multiple semi-circular recesses It closes, facilitates contraposition and locking, and solve in the operating process of end effector angular adjustment, soft tissue is easy by joint On tooth damage the technical issues of, reach safe and reliable technical effect.
The technical scheme of the present invention is realized as follows:
A kind of articulated joint locking mechanism on surgical instruments, the surgical instruments ball and socket joint specially on stapler lock machine Structure, comprising: end effector, elongated shaft and Handleset;
End effector may include anvil block and nail bin groupware, and surgical instruments further includes closed system and trigger system, closure System is configured to generate closed action, and including the close handles in Handleset, close handles can control anvil block opposite Rotation generates closed action, to clamp tissue, trigger system then includes firing handle, can be made by firing handle operation Blade be pushed forward in nail bin staple release, to carry out cutting suture to tissue.Closed system and trigger system Drive connection part is all disposed in elongated shaft, i.e., elongated shaft is as transmission mechanism receiving portion between end effector and Handleset Point.
Its end effector can be pivotly connected with elongated shaft by articulated joint.Articulated joint is arranged so that End effector carries out joint motions around book shaft opposite elongate axis, so that operator can carry out end effector Joint motions are adjusted to suitable angle, to be easy access to the surgical site of patient's body.
In order to enable relatively fixed after adjusting end effector angle, articulated joint is equipped with locking mechanism;Locking End effector and the opposite locking of elongated shaft are achieved in that locking mechanism includes locking disk and locking level, locking by mechanism Disk is relatively fixed with end effector, and locking level is located in elongated shaft, can be with elongated shaft relative motion, locking disk and locking level phase Pair side with multiple pits with arc-shaped inner surface, the shape and the pit for locking rod end surface match.It is recessed Hole inner surface is spherical inside surface, and locking boom end is to lock the spherical appearance of boom end with spherical outer surface part sphere Face is identical with pit spherical inside surface diameter.Such setting reduces pair so that the surface that locking disk outer surface is not sharp The damage of inside of human body tissue, also, using the cooperation of spherical pit and ball-shaped end, the process of locking is more smooth, i.e., Making to wait at the time of contact and be not aligned with, locking level can also smoothly slide into pit under the action of sphere-contact, so that Locking level is completely into the mutually locking that in locking disk, ensure that the two.In addition, being additionally provided with pad on rear side of the end of locking level Block, locking disk have arc-shaped outer surface, and cushion block outer surface matches with locking disk outer surface radian, and cushion block is elastic material system At, such as the deformable high molecular material such as rubber.Locking level is connected with reset spring, under the elastic force effect of reset spring, lock Fixed pole be in normal state bias to locking disk generate active force.The thickness for wherein locking boom end is slightly less than the depth of pit Degree, under such setting, cushion block is configured to, and locking level is only under the biasing member partial pressure, when the ball of locking level After shape end enters pit, cushion block outer surface is in contact with locking disk arc-shaped outer surface, and cushion block is slightly to generate shape at this time Become.Such setting provides bigger anti-so that contact of the locking disk with locking level is more close when locking Torque, and cushion block can play the role of cushion, reduce under the action of the spring, and locking level is moved towards locking disk When, part injury caused by shock.
In order to unlocking, it is additionally provided with unlocking part,
It further include unlocking part and biasing member, unlocking part is operably connected on locking level, biasing member construction At for pushing the locking level towards locking disk bias, lock assembly can overcome the biasing force of biasing member drive locking level to Direction far from locking disk moves, and specifically, biasing member is preferably the returning spring being set on locking level, and unlocking part is set It sets outside elongated shaft and is connect with locking level, when pulling unlocking part far from end effector direction, locking can be driven Bar overcomes the biasing force of returning spring to be moved, so that locking level and locking disk relative separation, form unlocked state.
Biasing member can also be selected as magnetic means, hydraulic device, pneumatic device etc. all the machine of biasing force can be provided Structure.
Above technical scheme is used, the invention has the following advantages:
(1) articulation locking mechanism is attached using the connection boom end of spherical groove and part sphere instead of traditional tooth Shape connection, solves in the operating process of end effector angular adjustment, and soft tissue is easy the skill damaged by the tooth on joint Art problem.
(2) cushion block is set on rear side of connection boom end, so that the connection of part is even closer when locking, and reduces zero The damage of part.
Detailed description of the invention
Attached drawing 1 is actuated articulation joints structural schematic diagram in background technique;
Attached drawing 2 is overall appearance schematic diagram of the present invention;
Attached drawing 3 is the structural schematic diagram of articulation locking mechanism of the invention;
Attached drawing 4 is the part drawing of locking level;
Attached drawing 5 be it is in the unlocked state under joint structure schematic diagram;
Attached drawing 6 is that joint adjusts the structural schematic diagram being in the lock state after angle.
Specific embodiment
Corresponding appended drawing reference indicates corresponding component in the drawings.The present invention shows of the invention in one form Preferred embodiment, and such embodiment should be construed as limitation of the scope of the invention in no instance.This Field is it will be appreciated by the skilled person that the device and method be described in detail and be shown in the accompanying drawings herein are non-limiting schematically Embodiment, and the range of various embodiments of the invention is limited only by claim.A kind of schematic embodiment party The feature that formula shows and describes can be in conjunction with the feature of other embodiment, it is intended that by such modifications and variations include this In the range of invention.
A kind of appearance diagram of stapler with articulated joint 1 as shown in Fig. 2, comprising: end effector 2, Elongated shaft 3 and Handleset 4;
End effector 2 may include anvil block 21 and nail bin groupware 22, and surgical instruments further includes closed system and trigger system, Closed system is configured to generate closed action, and including the close handles 41 in Handleset 4, close handles 41 are controllable Anvil block 21, which relatively rotates, generates closed action, to clamp tissue, trigger system then includes firing handle 42, passes through percussion Handle 42, which operates, may make blade is pushed forward to release with the staple in nail bin, to carry out cutting suture to tissue.Closed system The drive connection part of system and trigger system is all disposed in elongated shaft 3, i.e., elongated shaft 3 is used as end effector 2 and Handleset 4 Between transmission mechanism accommodating portion.
Its end effector 2 can be pivotly connected with elongated shaft 3 by articulated joint 1.Articulated joint 1 is set as So that end effector 2 carries out joint motions around book shaft opposite elongate axis 3, so that operator can execute end Device 1 carries out joint motions and is adjusted to suitable angle, to be easy access to the surgical site of patient's body.
In conjunction with attached drawing 3-6, in order to enable relatively fixed after adjusting 2 angle of end effector, articulated joint 1 is equipped with Locking mechanism 5;End effector and the opposite locking of elongated shaft are achieved in that locking mechanism includes locking by locking mechanism 5 Disk 6 and locking level 7, locking disk 6 and end effector 1 are relatively fixed, and locking level 7 is located in elongated shaft 3, can be with 3 phase of elongated shaft To movement, the side opposite with locking level 7 of locking disk 6 locks 9 table of boom end with multiple pits 8 with arc-shaped inner surface The shape in face matches with the pit.There is spherical surface by attached 4 visible locking boom ends 9, in this embodiment, in pit 8 Surface is spherical inside surface, is specifically hemispherical, and locking boom end 9 is the hemispherical sphere with spherical outer surface, In his embodiment, pit 8 and 9 end 9 of locking level are to match less than hemispheroidal spherome surface, such as pit 8 is at other It can be 1/3 spherical inside surface of sphere in embodiment, and corresponding locking boom end 9 is the smaller of diameter same sphere In the spherical surface of 1/3 sphere.Such setting, so that the surface that 8 outer surface of locking disk is not sharp, reduces in human body The damage of portion's tissue, also, using the cooperation of spherical pit 8 and spherical locking level end 9, the process of locking is more smooth, It is not aligned with even if waiting at the time of contact, under the action of sphere-contact, locking boom end 9 can also smoothly slide into locking level 7 In pit 8, so that locking level 7 is completely into the mutually locking that in locking disk 6, ensure that the two.In addition, in locking level 9 rear sides are held to be additionally provided with cushion block 11, locking disk 8 has arc-shaped outer surface, 11 outer surface of cushion block and locking disk outer surface radian phase Matching, the arc length of cushion block 11 are chosen as the 1/3 to 1/5 of 6 outer surface arc length of locking disk, and cushion block 11 is made of elastic material, such as The deformable high molecular material such as rubber.Locking level is connected with reset spring (not shown), acts in the elastic force of reset spring Under, locking level 7 be in normal state bias to locking disk 6 generate active force.Since the thickness of locking boom end 9 is slightly less than The depth of pit 8, under such setting, locking level only returning spring elastic force effect under, when locking level 9 ball-shaped end enter After pit 8,11 outer surface of cushion block is in contact with 6 arc-shaped outer surface of locking disk, and cushion block 11 is slightly generation deformation at this time. Such setting, so that locking disk 6 and the contact of locking level 7 are more close, provide bigger anti-rotation power when locking Square, and cushion block 11 can play the role of cushion, reduce under the action of the spring, and locking level 7 is moved towards locking disk 6 When, part injury caused by shock.
In order to unlocking, it is additionally provided with unlocking part 10, unlocking part 10 connects in elongated shaft 3 and with locking level 7, when When unlocking part 10 is pulled far from 2 direction of end effector, the biasing force that locking level 7 can be driven to overcome returning spring is moved It is dynamic, so that 6 relative separation of locking level 7 and locking disk, forms unlocked state.
Referring to attached drawing 5, after locking mechanism is in the unlocked state, locking disk 6 and the opposite disengagement a distance of locking level 7, Locking disk 6 is relatively rotated with respect to locking level 7, then unclamps the releasing force of application, locking disk 6 and locking level opposite locking again, As shown in fig. 6, locking disk 6 is locked in corresponding angle.
As described above, we are illustrated fully according to spirit of the invention, but the present invention is not limited to above-mentioned reality Apply example and implementation method.The practitioner of correlative technology field can carry out different in the range of technical idea of the invention is permitted Variation and implementation.

Claims (7)

1. a kind of surgical instruments is easy the articulation locking mechanism of contraposition, surgical instruments includes: end effector, elongated shaft, and Handleset;
Articulated joint is connected between the end effector and the elongated shaft, the end effector is connect by the joint Head is pivoted relative to the elongated shaft;
The articulated joint is equipped with locking mechanism, and the locking mechanism is used for the end effector and the elongated shaft phase To locking;The locking mechanism includes locking disk and locking level, and the locking disk and end effector are relatively fixed, the locking Bar is located in the elongated shaft, can be with the elongated shaft relative motion;
It is characterized in that, the locking disk side opposite with the locking level be with multiple pits with arc-shaped inner surface, The shape of the locking rod end surface matches with the pit.
2. the articulation locking mechanism that a kind of surgical instruments according to claim 1 is easy contraposition, which is characterized in that further include Unlocking part and biasing member, the unlocking part are operably connected on the locking level, and the biasing member is configured to For pushing the locking level towards the locking disk bias, the unlocking part can overcome the biasing force of biasing member to drive Locking level is moved to the direction far from locking disk.
3. the articulation locking mechanism that a kind of surgical instruments according to claim 1 is easy contraposition, which is characterized in that described recessed Hole inner surface is spherical inside surface, and the locking boom end is the boom end that locks with spherical outer surface part sphere Spherical outer surface is identical with pit spherical inside surface diameter.
4. the articulation locking mechanism that a kind of surgical instruments according to claim 3 is easy contraposition, which is characterized in that the lock Price fixing has arc-shaped outer surface, and the locking boom end rear has cushion block, the cushion block outer surface and the locking disk appearance Face radian matches.
5. the articulation locking mechanism that a kind of surgical instruments according to claim 4 is easy contraposition, which is characterized in that the lock Fixed pole is only under the biasing member partial pressure, when the locking boom end enters the pit, the cushion block outer surface It is in contact with the locking disk arc-shaped outer surface.
6. the articulation locking mechanism that a kind of surgical instruments according to claim 5 is easy contraposition, which is characterized in that the pad Block is made of elastic material.
7. a kind of articulation locking mechanism of the easy contraposition of surgical instruments, feature according to claim 4-6 any one It is, the thickness of the locking boom end is slightly less than the depth of the pit.
CN201811062641.4A 2018-09-12 2018-09-12 A kind of surgical instruments is easy the articulation locking mechanism of contraposition Withdrawn CN109091185A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201811062641.4A CN109091185A (en) 2018-09-12 2018-09-12 A kind of surgical instruments is easy the articulation locking mechanism of contraposition

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201811062641.4A CN109091185A (en) 2018-09-12 2018-09-12 A kind of surgical instruments is easy the articulation locking mechanism of contraposition

Publications (1)

Publication Number Publication Date
CN109091185A true CN109091185A (en) 2018-12-28

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2023125115A1 (en) * 2021-12-29 2023-07-06 江苏风和医疗器材股份有限公司 Jaw assembly driving device for surgical instrument, and surgical instrument

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB703543A (en) * 1950-05-19 1954-02-03 Emi Ltd Improvements in or relating to mechanisms for imparting intermittent movement
CN2721802Y (en) * 2004-09-14 2005-08-31 朱建海 Safety bullet tapered end
CN101518459A (en) * 2008-02-14 2009-09-02 伊西康内外科公司 Surgical instrument articulation joint cover
CN102175897A (en) * 2011-01-18 2011-09-07 山东电力集团公司莱芜供电公司 Angle self-locking spark gap short-circuit fork for detecting porcelain bottle insulators
US20130161472A1 (en) * 2011-12-22 2013-06-27 Chi-Hsiung Chiu Telescopic Stand with Chain-type Lifting and lowering function
CN207214937U (en) * 2017-08-11 2018-04-10 江苏诚泰测绘科技有限公司 A kind of flexible horizon rule
CN209360784U (en) * 2018-09-12 2019-09-10 苏州法兰克曼医疗器械有限公司 A kind of surgical instruments is easy the articulation locking mechanism of contraposition

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB703543A (en) * 1950-05-19 1954-02-03 Emi Ltd Improvements in or relating to mechanisms for imparting intermittent movement
CN2721802Y (en) * 2004-09-14 2005-08-31 朱建海 Safety bullet tapered end
CN101518459A (en) * 2008-02-14 2009-09-02 伊西康内外科公司 Surgical instrument articulation joint cover
CN102175897A (en) * 2011-01-18 2011-09-07 山东电力集团公司莱芜供电公司 Angle self-locking spark gap short-circuit fork for detecting porcelain bottle insulators
US20130161472A1 (en) * 2011-12-22 2013-06-27 Chi-Hsiung Chiu Telescopic Stand with Chain-type Lifting and lowering function
CN207214937U (en) * 2017-08-11 2018-04-10 江苏诚泰测绘科技有限公司 A kind of flexible horizon rule
CN209360784U (en) * 2018-09-12 2019-09-10 苏州法兰克曼医疗器械有限公司 A kind of surgical instruments is easy the articulation locking mechanism of contraposition

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2023125115A1 (en) * 2021-12-29 2023-07-06 江苏风和医疗器材股份有限公司 Jaw assembly driving device for surgical instrument, and surgical instrument

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Application publication date: 20181228