CN103110439B - The control method of electric surgery binding instrument and control device - Google Patents

The control method of electric surgery binding instrument and control device Download PDF

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Publication number
CN103110439B
CN103110439B CN201310032654.8A CN201310032654A CN103110439B CN 103110439 B CN103110439 B CN 103110439B CN 201310032654 A CN201310032654 A CN 201310032654A CN 103110439 B CN103110439 B CN 103110439B
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closed
control device
binding instrument
submodule block
surgery binding
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CN201310032654.8A
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CN103110439A (en
Inventor
王树新
师云雷
李学军
刘青
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Beijing Panther Medical Technology Co Ltd
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Beijing Panther Medical Technology Co Ltd
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Priority to CN201310032654.8A priority Critical patent/CN103110439B/en
Publication of CN103110439A publication Critical patent/CN103110439A/en
Priority to PCT/CN2013/000939 priority patent/WO2014117312A1/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B17/115Staplers for performing anastomosis in a single operation
    • 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017Electrical control of surgical instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00367Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
    • A61B2017/00398Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like using powered actuators, e.g. stepper motors, solenoids
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0046Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
    • A61B2017/00464Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable for use with different instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00681Aspects not otherwise provided for
    • A61B2017/00725Calibration or performance testing
    • 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
    • A61B90/08Accessories or related features not otherwise provided for
    • A61B2090/0807Indication means
    • A61B2090/0811Indication means for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument

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

Abstract

The present invention provides control method and the control device of electric surgery binding instrument. The control method of electric surgery binding instrument, electric surgery binding instrument comprise can from different surgery binding instrument end effector with the use of universal handle and end effector, described method comprises: self-inspection step, in described self-inspection step, carry out the closed operation of part jaw and run with staple percussion operation and return starting position; Closed step, in described closed step, jaw closed and by tissue holder between jaw; Percussion step, in described percussion step, percussion staple; Returning step, return in step described, electric surgery binding instrument returns starting position. The control method of the electric surgery binding instrument of the present invention and control device carry out self-inspection before closed, percussion, it is possible to pinpoint the problems before surgery, prevent from going wrong in operation, it is to increase the security of operation.

Description

The control method of electric surgery binding instrument and control device
Technical field
The present invention relates to medical instruments field, particularly relate to control method and the control device of electric surgery binding instrument.
Background technology
Staple class surgery binding instrument is easy to use because of it since invention, sewing effect good thus obtains a large amount of application in operation. Stapler is the first stapler in the world, for a gastrointestinal anastomosis nearly century, until the seventies in 19th century, tube type anastomat was just extensively for gastro-intestinal surgery. It is the equipment that the replacement traditional-handwork medically used is sewed up, due to the development of modern science and technology and the improvement of manufacturing technology, the stapler reliable in quality of current clinical upper use, easy to use, tightly, degree of tightness is suitable, especially its stitching is quick, easy and simple to handle and seldom have the advantage such as side effect and postoperative complication, sometimes the tumor operation that cannot excise of also making over is able to lesion resection, very by favor and the high praise of domestic and international Clinical Surgery doctor, it it is the conventional instruments that a kind of consumption is very big. Traditional surgery binding instrument, using the manual propulsion source as control device, the operation of doctor there is higher requirement, different sewing effects may be had for different doctors, or owing to user is firmly uneven or strength adds not greatly the uncertainty of sewing process, this is that surgeon is unacceptable, simultaneously owing to adjustment devices can not be carried out according to the difference of operation kind and operative site, and cause the poor compatibility of apparatus, need to be equipped with the parts (such as nail kit) of plurality of specifications clinically, thus cause the significant wastage of material and manpower.
Summary of the invention
It is desirable to provide the control method of the electric surgery binding instrument of replaceable end effector and control device.
According to an aspect of the present invention, the control method of electric surgery binding instrument, electric surgery binding instrument comprise can from different surgery binding instrument end effector with the use of universal handle and end effector, described method comprises: self-inspection step, in described self-inspection step, carry out the closed operation of part jaw and run with staple percussion operation and return starting position; Closed step, in described closed step, jaw closed and by tissue holder between jaw; Percussion step, in described percussion step, percussion staple; Returning step, return in step described, electric surgery binding instrument returns starting position.
Preferably, in described self-inspection step, the type of end effector is also detected.
Preferably, also comprising semi-closure step between self-inspection step and closed step, in described semi-closure step, closed distance completes the major part of setpoint distance, if make-position is improper, return starting position, if make-position is suitable, confirm to enter closed step.
According to another aspect of the present invention, the control device of electric surgery binding instrument, electric surgery binding instrument comprise can from different surgery binding instrument end effector with the use of universal handle and end effector, described control device comprises treater module, described treater module comprises: self-inspection submodule block, in described self-inspection submodule block, carry out the closed operation of part jaw and run with staple percussion operation and return starting position; Closed submodule block, in described closed submodule block, jaw closed and by tissue holder between jaw; Percussion submodule block, in described percussion submodule block, percussion staple; Returning submodule block, return in submodule block described, electric surgery binding instrument returns starting position.
Preferably, in described self-inspection submodule block, the type of end effector is also detected.
Preferably, also comprising semi-closure submodule block between self-inspection submodule block and closed submodule block, in described semi-closure submodule block, closed distance completes the major part of setpoint distance, if make-position is improper, return starting position, if make-position is suitable, confirm to enter closed submodule block.
Preferably, described control device also comprises motor drive module, described motor drive module accepts the actuate signal that treater module provides, and gives drive-motor after being amplified by signal, makes drive-motor complete speed and position control according to the requirement of treater module.
Preferably, described control device also comprises flow process display module, and described flow process display module adopts the mode of traffic light system current flow process to be shown.
Preferably, described control device also comprises voltage transformation module, and voltage of supply is converted to the operating voltage of electric surgery binding instrument each several part by described voltage transformation module.
Preferably, described control device also comprises download program interface, and treater module can be carried out read-write operation, update routine or data under the control of position machine software on computers by described download program interface.
The control method of the electric surgery binding instrument of the present invention and control device carry out self-inspection before closed, percussion, it is possible to pinpoint the problems before surgery, prevent from going wrong in operation, it is to increase the security of operation.
Accompanying drawing explanation
Above-mentioned is only the general introduction of technical solution of the present invention, and in order to better understand the present invention, below in conjunction with accompanying drawing and embodiment, the present invention is described in further detail.
The schematic diagram of the electric surgery binding instrument of Fig. 1 to be end effector be straight line stapler end.
Fig. 2 is end effector is the schematic diagram of the electric surgery binding instrument of circular staplers end.
The schematic diagram of Fig. 3 to be end effector be electric surgery binding instrument of stapler end under the mirror of chamber.
Fig. 4 is the structure block diagram of the control device of electric surgery binding instrument according to one embodiment of present invention.
Fig. 5 is the running lamp schematic diagram of the control device of electric surgery binding instrument according to one embodiment of present invention.
Fig. 6 is the schema of the control method of electric surgery binding instrument according to another embodiment of the present invention.
Embodiment
The schematic diagram of the electric surgery binding instrument of Fig. 1 to be end effector be straight line stapler end. Fig. 2 is end effector is the schematic diagram of the electric surgery binding instrument of circular staplers end. The schematic diagram of Fig. 3 to be end effector be electric surgery binding instrument of stapler end under the mirror of chamber.
As shown in Figure 1, 2, 3, the universal handle of electric surgery binding instrument is general, it is possible to connect stapler under different end effectors-straight line stapler, circular staplers, chamber mirror. Except several end effectors shown in figure, universal handle can also connect band cutter stapler, other stapler.
Fig. 4 is the structure block diagram of the control device of electric surgery binding instrument according to one embodiment of present invention.
Control device can distribute, to motor driving part, the number of delivering letters, so that driver drives motor makes nail kit move to the closed gap of setting towards nail anvil, and makes staple reach the forming height of setting after actuating staple percussion.
Control device can be used in the control of electronic stapler and driving and collecting sensor signal and feedback. Described sensor comprises motor code-disc signal and pressure sensor signal, complete closed and the collection of percussion distance, the collection of Tissue approximation power respectively, it is supplied to treater and ensures that treater can go out suitable closed distance by comprehensive descision, ensure to bind effect and quality.
As shown in Figure 4, control device is with a treater, described treater can complete code-disc signal and organizational stress signals collecting function, user's control command can be accepted and export drive command to motor driver, to complete the function that electric surgery binding instrument is carried out speed and position control.
Being integrated with a motor drive module on control device, described motor drive module can accept the actuate signal that treater provides, and gives drive-motor after being amplified by signal, then motor can complete speed and position control according to the requirement of treater.
Being integrated with flow process display module on control device, described flow process display module adopts the mode of traffic light system, and signal flow is divided into 4 steps: self-inspection, closed, and percussion, returns. Therefore having 4 signal lamps to indicate current state, the current state being instructed to is blink states, and the step completed is shown as normal bright state, and the step not completed is designated as the state of turning off the light. This control device is except carrying out accurately transmission step and operational motion, control safely, can also clearly illustrate out by operating process and current process, it is convenient to the whole process that doctor understands operation, and there is " key " operating function so that doctor only needs to press according to signal prompt to confirm that key can complete operation under normal circumstances always.
Control device is integrated with voltage transformation module, it is possible to be first converted to 12V from 220V alternating-current power taking, by 12V electricity supply motor drive module; 12V electricity turns into 5V through step-down and supplies treater and other electricity consumption interfaces.
Control device is with mode detection module, can automatically detect the end effectors such as the stapler of the different size being arranged on handle, stapler, circular staplers, chamber mirror stapler, thus for select different steering routine, ensure that doctor operates comfortable and simple and easy.
Being integrated with download program interface on control device, treater can be carried out read-write operation, update routine or data under the control of position machine software on computers by described download program interface.
Fig. 5 is the running lamp schematic diagram of the control device of electric surgery binding instrument according to one embodiment of present invention.
Running lamp described in Fig. 5, when doctor installs end effector first with certain frequency scintillation self-inspection lamp, prompting doctor carries out self-inspection, and now doctor presses execution button, and apparatus carries out machinery and electric self-inspection; Self-inspection lamp Chang Liang after oneself, closed lamp starts flicker, and prompting doctor oneself has completed to carry out closed operation, and doctor presses and performs that button is then closed to start to carry out, in closing course, doctor can press pause button at any time and stops closed operation, then system automatically restores to self-inspection and terminates; If doctor does not carry out other operations in closing course, then program determines closed gap according to the distance of setting and the observed value of pressure transmitter automatically, ensures best closure effect; Closed lamp and self-inspection lamp Chang Liang after closed end, percussion lamp starts flash for prompting doctor and carries out next step percussion operation, and doctor presses execution button, and instrument carries out percussion operation automatically, and percussion has operated rear time delay several seconds auto-returned and completed whole percussion process.
Fig. 6 is the schema of the control method of electric surgery binding instrument according to another embodiment of the present invention.
As shown in Figure 6, first doctor takes out stapler handle and end effector, check outward appearance without damage after by end effector and stapler handle grafting; After connecting with the mains, controller automatically detect end effector type detection errorless after, and program carries out electrically self-and mechanical detection in controller chip, the form of detection means is that closed operation runs a little with percussion operation and returns starting position, if electric or machinery goes wrong causes fail self-test, then program cannot proceed, and doctor cannot carry out next step operation; After self-inspection is passed through, after waiting that doctor confirms to carry out closed operation, carry out closed operation, first semi-closure operation is carried out, it is about to closed distance and completes 2/3rds of setpoint distance, whether suitable observe make-position, if improper, can return and reorientate make-position by button, if make-position is suitable, it is possible to press and confirm that key carries out fully closed conjunction operation; After fully closed conjunction operation, doctor observes closure effect, and judgement can carry out percussion operation and then press and confirm that button carries out closed operation, if thinking closed undesirable or be not suitable for carrying out percussion operation, can return; Pull the trigger device after confirming automatically to carry out percussion operation and return, pull the trigger guarantee of rear system automatic time delay for some time surgical effect; After percussion is return, doctor presses and confirms closed returning, and completes operation technique.
The above; it it is only the better embodiment of the present invention; not the present invention being done any restriction in form, those skilled in the art utilize the technology contents of above-mentioned announcement to make a little simple modification, equivalent variations or modification, all drop in protection scope of the present invention.

Claims (5)

1. the control device of electric surgery binding instrument, it is characterized in that, electric surgery binding instrument comprise can from different surgery binding instrument end effector with the use of universal handle and end effector, described control device comprises treater module, and described treater module comprises:
Self-inspection submodule block, in described self-inspection submodule block, carries out the closed operation of part jaw and runs with staple percussion operation and return starting position, detect the type of end effector;
Described self-inspection submodule block comprises motor code-disc signal and pressure sensor signal, completes closed and the collection of percussion distance, the collection of Tissue approximation power respectively, it is provided that ensure that treater can go out suitable closed distance by comprehensive descision to treater;
Semi-closure submodule block is also comprised between self-inspection submodule block and closed submodule block, in described semi-closure submodule block, closed distance completes the major part of setpoint distance, if make-position is improper, returns starting position, if make-position is suitable, confirms to enter closed submodule block;
Closed submodule block, in described closed submodule block, jaw closed and by tissue holder between jaw;
Percussion submodule block, in described percussion submodule block, percussion staple;
Returning submodule block, return in submodule block described, electric surgery binding instrument returns starting position.
2. the control device of electric surgery binding instrument as claimed in claim 1, it is characterized in that, described control device also comprises motor drive module, described motor drive module accepts the actuate signal that treater module provides, and give drive-motor after being amplified by signal, make drive-motor complete speed and position control according to the requirement of treater module.
3. the control device of electric surgery binding instrument as claimed in claim 1, it is characterised in that, described control device also comprises flow process display module, and described flow process display module adopts the mode of traffic light system current flow process to be shown.
4. the control device of electric surgery binding instrument as claimed in claim 1, it is characterised in that, described control device also comprises voltage transformation module, and voltage of supply is converted to the operating voltage of electric surgery binding instrument each several part by described voltage transformation module.
5. the control device of electric surgery binding instrument as claimed in claim 1, it is characterized in that, described control device also comprises download program interface, and treater module can be carried out read-write operation, update routine or data under the control of position machine software on computers by described download program interface.
CN201310032654.8A 2013-01-29 2013-01-29 The control method of electric surgery binding instrument and control device Active CN103110439B (en)

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CN201310032654.8A CN103110439B (en) 2013-01-29 2013-01-29 The control method of electric surgery binding instrument and control device
PCT/CN2013/000939 WO2014117312A1 (en) 2013-01-29 2013-08-09 Control method and control device for electric surgical stapling instrument

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CN201310032654.8A CN103110439B (en) 2013-01-29 2013-01-29 The control method of electric surgery binding instrument and control device

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CN105411642B (en) * 2015-12-22 2018-09-11 苏州英途康医疗科技有限公司 Electronic stapler and its closure, firing control method
CN106333720B (en) * 2016-10-14 2019-02-15 苏州英途康医疗科技有限公司 Intelligent hysteroscope stapler
CN108113725B (en) * 2017-12-21 2020-07-28 苏州英途康医疗科技有限公司 Anastomat control method and anastomat

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WO2014117312A1 (en) 2014-08-07

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