CN110772328A

CN110772328A - Surgical instrument

Info

Publication number: CN110772328A
Application number: CN201910338303.7A
Authority: CN
Inventors: 王建辰; 高元倩; 徐桂银; 姚雪峰; 李由
Original assignee: Shenzhen Edge Medical Co Ltd
Current assignee: Shenzhen Edge Medical Co Ltd
Priority date: 2019-04-25
Filing date: 2019-04-25
Publication date: 2020-02-11
Anticipated expiration: 2039-04-25
Also published as: CN110772328B

Abstract

A surgical instrument, comprising: a tip instrument, a body, and an electrocoagulation assembly, the tip instrument having jaws; the main body is provided with a connecting component which is connected with the tail end instrument and is used for adjusting the position and/or the posture of the tail end instrument; the electrocoagulation assembly has a lead having a distal end electrically connected to the jaws such that the jaws form an electrode, the lead being in a relaxed state at a portion of the connection assembly, the lead having a fixed connection region secured to the body and/or the terminal instrument such that a distal region of the lead is proximate the terminal instrument.

Description

Surgical instrument

Technical Field

The invention relates to the field of medical instruments, in particular to a surgical instrument.

Background

The minimally invasive surgery is a surgery mode for performing surgery in a human body cavity by using modern medical instruments such as a laparoscope, a thoracoscope and the like and related equipment. Compared with the traditional minimally invasive surgery, the minimally invasive surgery has the advantages of small wound, light pain, quick recovery and the like.

With the progress of science and technology, surgical instruments for minimally invasive surgery are gradually mature and widely applied. The present surgical instrument generally has a connecting component capable of adjusting the posture and position of the distal end instrument, and the posture and position of the distal end instrument are adjusted by the bending and moving of the connecting component during the surgical operation, so that the distal end instrument performs the surgical operation at the desired position. When the surgical instrument is provided with the electrode, the electrode can form a loop with tissues in the surgical process and perform the desired operation, and the lead wire connected with the electrode in the current surgical instrument is stressed greatly when being bent along with the connecting component, so that the service life of the surgical instrument is short.

Disclosure of Invention

Based on this, there is a need for a surgical instrument having a long service life.

A surgical instrument, comprising:

a tip instrument having a jaw;

the main body is provided with a connecting component, is connected with the tail end instrument and is used for adjusting the position and/or the posture of the tail end instrument;

an electrocoagulation assembly having a lead having a distal end electrically connected to the jaws such that the jaws form an electrode, the lead being in a relaxed state at a portion of the connection assembly, the lead having a fixed connection region secured to the body and/or the terminal instrument such that a distal region of the lead is proximate the terminal instrument.

Drawings

FIG. 1 is a schematic diagram of an embodiment of a surgical robot;

fig. 2 and 3 are partial schematic views of different embodiments of the surgical robot;

FIG. 4 is a schematic structural view of an embodiment of a surgical instrument;

FIGS. 5-32 and 34 are respective partial schematic views of different embodiments of a surgical instrument;

fig. 33 is a partially enlarged view of fig. 32A.

Detailed Description

To facilitate an understanding of the invention, the invention will now be described more fully with reference to the accompanying drawings. Preferred embodiments of the present invention are shown in the drawings. This invention may, however, be embodied in many different forms and should not be construed as limited to the embodiments set forth herein. Rather, these embodiments are provided so that this disclosure will be thorough and complete.

It will be understood that when an element is referred to as being "disposed on" another element, it can be directly on the other element or intervening elements may also be present. When an element is referred to as being "connected" to another element, it can be directly connected to the other element or intervening elements may also be present. When an element is referred to as being "coupled" to another element, it can be directly coupled to the other element or intervening elements may also be present. The terms "vertical," "horizontal," "left," "right," and the like as used herein are for illustrative purposes only and do not represent the only embodiments. As used herein, the terms "distal" and "proximal" are used as terms of orientation that are conventional in the art of interventional medical devices, wherein "distal" refers to the end of the device that is distal from the operator during a procedure, and "proximal" refers to the end of the device that is proximal to the operator during a procedure.

Unless defined otherwise, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs. The terminology used herein in the description of the invention is for the purpose of describing particular embodiments only and is not intended to be limiting of the invention. As used herein, the term "and/or" includes any and all combinations of one or more of the associated listed items.

As shown in fig. 1, the surgical robot includes a master operation table 1 and a slave operation device 2. The main console 1 is configured to transmit a control command to the slave operating device 2 according to a doctor's operation to control the slave operating device 2, and is configured to display an image acquired by the slave operating device 2. The slave operation device 2 is used for responding to the control command sent by the master operation table 1 and performing corresponding operation, and the slave operation device 2 is also used for acquiring the images in the body.

The slave operation device 2 includes a robot arm 21, a power mechanism 22 provided on the robot arm 21, a surgical instrument 23 provided on the power mechanism 22, and a cannula 24 in which the surgical instrument 23 is sleeved. The robotic arm 21 is used to adjust the position of the surgical instrument 23; the power mechanism 22 is used for driving the surgical instrument 23 to perform corresponding operation; the surgical instrument 23 is used to extend into the body and perform surgical procedures, and/or acquire in vivo images, with its distally located end instrument. Specifically, as shown in fig. 2 and 3, the surgical instrument 23 is inserted into the cannula 24, and the distal end instrument 100 extends out of the cannula 24 and is driven to perform an operation by the power mechanism 22. In fig. 2, the region of the surgical instrument 23 within the cannula 24 is a rigid region; in fig. 3, the region of the surgical instrument 23 within the cannula 24 is a flexible region, and the cannula bends with the flexible region. The sleeve 24 may also be omitted.

As shown in fig. 4 and 5, the surgical instrument 23 includes: end instrument 100, connection assembly 200, linkage 300, drive housing 400, and end drive 500. The distal instrument 100, the connecting assembly 200, the connecting rod 300 and the driving housing 400 are sequentially connected, and the distal driving part 500 is partially disposed in the driving housing and connected to the distal instrument 100 for driving the distal instrument to perform a surgical operation, for example, when the distal instrument is a gripper, the distal instrument is driven to open and close. In other embodiments, the linkage and drive housing may be omitted.

The connection assembly 200 includes a plurality of connection units 210 connected in sequence. The connecting units can be directly connected, for example, each connecting unit is provided with a connecting shaft, and two adjacent connecting units are rotatably connected through the connecting shafts; it may also be connected to each other by other components, for example, a plurality of connection units are connected to each other by a connection unit driving wire for driving the connection assembly 200. The specifications and structures of the plurality of connecting units may be the same or different. In other embodiments, the connecting assembly may have other structures.

The distal driving part 500 includes a soft rod 510 and a driving wire 520 penetrating the soft rod 510, the driving wire 520 is connected to the distal instrument 100 for driving the distal instrument 100, and the soft rod 510 is used for limiting the movement of the driving wire 520. The rigidity of the driving wire is larger than that of the soft rod, the driving wire can be bent along with the connecting assembly, and the jaws can be driven to open and close. For example a stiffness of 65N/mm. When the driving wire moves along the direction from the near end to the far end to drive the terminal instrument, the soft rod can limit the bending of the driving wire, and then the terminal instrument can move more accurately. The coefficient of friction between drive silk and the soft pole is less than its and coupling assembling between coefficient of friction, like this, compares the drive silk and does not directly set up in coupling assembling through the soft pole, and the soft pole can reduce the friction when driving, prolongs the drive silk life-span on the one hand, and on the other hand further improves driven accuracy.

In one embodiment, the flexible rod 510 is located in the axial region of the connection assembly 200 and extends along the connection assembly 200. I.e. the soft rod is located in the middle area of the connecting assembly and extends along the connecting assembly. Wherein, a gap is arranged between the soft rod 510 and the connecting component 200, so that the soft rod 510 can swing relative to the connecting component 200 to reduce the friction between the two. For example, the gap is 0.1 to 3 mm; as another example, the gap is 0.2 mm. In other embodiments, the flexible rod 510 may not be located in the middle region of the connection assembly 200, for example, the flexible rod may be located in the edge region of the connection assembly and extend along the connection assembly. For another example, the connecting unit may also be provided with a plurality of receiving holes at intervals, and the soft rod is located in one of the receiving holes, so that the receiving holes can be selectively installed on the soft rod according to the requirement.

As shown in fig. 6, the soft rod 510 is provided with a threading hole 511, and the driving wire 520 is threaded through the threading hole 511. In one embodiment, the threading hole 511 is located at the axial region of the soft shaft 510 and extends along the soft shaft 510, i.e., the driving wire 520 is located at the middle region of the soft shaft 510. In other embodiments, the threading holes may be located in other areas, for example, the threading holes are located adjacent to the axis of the soft shaft 510 and extend along the soft shaft 510, i.e., the driving wire 520 is offset from the middle area of the soft shaft 510. For another example, the plurality of threading holes are spaced apart from each other, and the driving wire 520 is disposed in one or a part of the threading holes. Wherein, a gap is arranged between the driving wire 520 and the inner wall of the threading hole. For example, the gap is 0.05-0.5 mm; as another example, the gap is 0.2 mm.

In one embodiment, the flexible rod 510 is inserted through the connecting assembly 200, and at least one end thereof is a free end. Wherein, the free end indicates the tip that can change the tip direction according to the atress condition, like this, when soft pole 510 atress is crooked, can reduce its deformation, makes the drive silk 520 position of wearing to establish soft pole 510 more accurate, further guarantees the driven degree of accuracy of apparatus. In the embodiment shown in fig. 6 and 7, the free end is an unfixed end of the soft rod 510, which is limited in position by the blocking layer 220 on the connecting assembly 200, as will be described later. In one embodiment, the free end is an end portion of the soft rod 510 disposed on the connection unit through a universal structure, so that the direction of the end portion of the free end can be changed according to the stress condition of the free end, and the stretching of the soft rod 510 is reduced. In other embodiments, the free end may be limited in position by other structures, as long as it is ensured that the deformation is reduced when the force is applied. It should be noted that in other embodiments, the soft rod may not have a free end, and the ends of the soft rod are all fixedly disposed.

When the soft rod 510 has two ends, it may have either one free end or two free ends. When the soft rod 510 has one free end, the other end is fixedly disposed, for example, the distal end of the soft rod 510 is the free end, and the proximal end of the soft rod 510 is fixedly connected to at least one of the connection assembly 200, the connecting rod 300, and the driving housing 400. Wherein the fixed arrangement can be not only undetachable connection, but also detachable connection. When having two free ends, the two free ends of the soft rod 510 respectively correspond to the structures restricting the positions thereof and are disposed adjacent to each other. For example, the two free ends are respectively disposed corresponding to the two barrier layers 220. As another example, one of the two free ends corresponds to the barrier layer and the other corresponds to the gimbal structure. When the soft rod 510 is a soft rod 510 with multiple ends, the number of free ends can be configured according to actual needs, for example, the proximal end of the soft rod 510 has one end, the distal end has two ends, and both ends of the distal end can be free ends.

As shown in fig. 6 and 7, when the free end is limited by the blocking layer 220, the connecting unit 210 is provided with a receiving hole 211, and the soft rod 510 penetrates through the receiving hole 211. At least one of the connection units is provided with a blocking layer 220 for blocking a free end of the soft rod 510 to limit the displacement of the free end, and a blocking part receiving hole 211 for blocking the free end. Wherein, the connection unit is provided with a blocking layer 220, the blocking layer does not close the receiving hole 211, so that the driving wire 520 can pass through the receiving hole 211 to be connected with the terminal instrument 100. The blocking layer 220 and the receiving hole 211 form a receiving cavity for receiving the free end of the soft rod 510. When the connecting assembly comprises two connecting units with barrier layers, the two barrier layers and the accommodating holes of the connecting units between the two barrier layers form accommodating cavities to accommodate the soft rods. The receiving holes of the plurality of connection units may have the same or different specifications.

The barrier layer can have a variety of configurations. For example, in the embodiment shown in fig. 6 and 7, the barrier layer 220 is a continuous region, i.e., only the passage of the driving wire 520 is left on the barrier layer 220, and the rest of the receiving hole 211 is closed. For another example, in the embodiment shown in fig. 8, the barrier layer 220 is a net structure, and the driving wires 520 extend from the meshes of the net structure, or the driving wires 520 extend from the openings formed in the barrier layer. As another example, in the embodiment shown in fig. 9, the surface of the blocking layer 220 for blocking the driving rod is a curved surface, and in this case, the soft rod 510 may have a curved surface corresponding to the curved surface. The barrier layer may be integrally formed with the connecting unit, or may be of a separable structure, for example, detachably connected to the connecting unit.

The connection mode of the fixed end of the soft rod 510 has various modes, as shown in the embodiment of fig. 10, the end of the soft rod 510 for fixing extends to form a clamping edge 512, and the clamping edge 512 is clamped with the connection component. Specifically, the connection unit 210 is provided with a blocking layer 220, the clamping edge 512 is clamped with the blocking layer 220, and the connection assembly is provided with a blocking cover 230 matched with the blocking layer 220 for clamping, so that the clamping edge 512 is positioned between the blocking cover 230 and the blocking layer 220, and the end part of the soft rod 510 is further fixed. In other embodiments, the barrier layer may be omitted, and the edges of the connecting assembly may be clamped. Alternatively, the blocking cover can be omitted, in which case the clamping can be effected by adjacent structures, for example by adjacent connection units, which clamping edges are clamped. In other embodiments, the soft rod may be fixed by other means, such as adhesion.

In one embodiment, the position of the soft rod 510 and the drive wire 520 may also be limited by limiting the position of the middle region of the soft rod 510. In the embodiment shown in fig. 11, the receiving hole 211 has a first receiving hole 211A and a second receiving hole 211B, and the diameter of the second receiving hole 211B is smaller than that of the first receiving hole 211A, so that the gap between the soft rod 510 and the inner wall of the first receiving hole 211A is larger than that between the soft rod 211 and the inner wall of the second receiving hole 211B. The soft rod can swing relative to the second accommodating hole, namely, a large gap is formed between the soft rod and the second accommodating hole, the soft rod can swing in the hole, and the soft rod can also be fixed relative to the second accommodating hole, namely, no gap or a small gap is formed between the soft rod and the second accommodating hole, so that the position of the soft rod relative to the second accommodating hole is basically fixed, or the soft rod and the connecting assembly are fixed with each other through a fixing structure. When the position of the soft rod relative to the second accommodating hole is basically fixed, the connecting unit provided with the second accommodating hole can be of a splicing structure so as to facilitate the installation of the soft rod. The second accepting hole can reduce the swing of soft pole, and then makes the control of end apparatus more accurate.

When the connecting component has a plurality of second receiving holes, the plurality of second receiving holes are arranged at intervals, that is, at most one of two adjacent connecting units is provided with the second receiving hole. This can reduce the deformation of the soft rod when it is bent. It should be noted that the second receiving hole may be located in the middle region of the soft rod, or may be located at the proximal end or the distal end of the soft rod.

It should be noted that, the position of the soft rod can also be limited by making different areas of the soft rod have different sizes so as to make the gaps between the different areas and the accommodating holes with the same specification different. Or the gap between the soft rod and the accommodating hole is adjusted by the size of the soft rod and the size of the accommodating hole. The gap distribution between the soft rod and the receiving hole can be the same as the above embodiments, and will not be repeated here. In addition, the connecting assembly does not limit the swing of the middle area of the soft rod, and in addition, the connecting assembly swings like the free end according to the stress condition, so that the deformation of the soft rod during bending can be reduced.

In the embodiment shown in fig. 4 to 16, a gap 240 is formed between two adjacent connection units 210 of the connection assembly 200 to facilitate the movement of the connection units relative to each other, and the soft rod 510 covers at least a part of the gap 240 in the connection assembly 200. When the soft rod 510 covers the gap 240, the soft rod 510 can limit the bending of the driving wire 520 in the gap area, thereby reducing the bending of the driving wire 520 and improving the driving accuracy.

The flexible rod may cover either each void in the connector assembly or only a portion of the voids in the connector assembly. When only part of the gaps in the coupling assembly are covered, the covered gaps of the coupling assembly are substantially evenly distributed along the coupling assembly, or the gaps between the coupling units with a relatively large relative movement are covered, so that bending of the drive wire can be minimized. In one embodiment, the uncovered space is spaced apart from the covered space, wherein one uncovered space or a plurality of uncovered spaces may be provided between two covered spaces. The connecting units in the connecting assembly may have different structures, for example, some of the connecting units may not have a gap therebetween.

The covered gap can be closed by the soft rod, i.e. the gap is covered, or can be partially closed by the soft rod, i.e. the gap is not covered by the soft rod. When the gap is partially covered by the soft rod, the gap can limit the bending of the driving wire, and in one embodiment, the height of the region where the gap is not closed is 1-4 mm.

In the embodiment shown in fig. 12, the flexible rod 510 is located in the area of the gap 240 and is not received in the receiving hole 211, and only the gap blocks the bending of the driving wire 520. At this time, the diameter of the receiving hole is set according to the driving wire 520, and may be slightly larger than the diameter of the driving wire 520 to limit the bending of the driving wire 520, and also to leave a large movement space for the driving wire 520 to reduce friction. Wherein, the number of the soft rods 510 is plural, and the soft rods are all arranged on the corresponding connection units and cover the corresponding gaps.

The soft rod can also penetrate through at least part of the connecting unit. In the embodiment shown in fig. 13, the soft rod 510 is received in the receiving hole 211 and covers the gap 240, wherein at least one end of the soft rod 510 is received in the connecting unit 210 forming the gap, i.e. the end of the soft rod 510 is not in the gap area. For example, both end portions of the soft rod are correspondingly accommodated in the accommodating holes of the connecting unit forming the gap. In other embodiments, the soft rod may also be inserted through the complete connection unit, for example, the soft rod is inserted through three connection units arranged in sequence. For another example, the soft rod is inserted through a connecting unit, and part of the soft rod is inserted through a connecting unit adjacent to the connecting unit. In other embodiments, the ends of the flexible rods may be located in the interstitial regions, for example, the free ends of the flexible rods may be located in the interstitial regions. The position limitation and fixing of the soft rod can be achieved by referring to the above embodiments, and will not be repeated here.

In the embodiment shown in fig. 14, there are a plurality of soft rods 510, the soft rods 510 are sequentially arranged along the extending direction of the connecting assembly 200, and the driving wire 520 sequentially penetrates through the soft rods 510. Wherein the plurality of soft rods 510 are spaced apart from each other, that is, the ends of the plurality of soft rods 510 are not connected to each other, and when they rotate with the coupling assembly 200, the ends of two adjacent soft rods 510 do not interfere with each other. When the connecting assembly 200 is bent, the plurality of soft rods 510 are deformed less than one soft rod 510, so that the control is more accurate.

In this embodiment, the adjacent ends of the two soft rods 510 are located inside the connection unit 210. In other embodiments, the critical ends of the two flexible rods may be located in the region of the gap, for example, in the same gap, or, for example, in different gaps.

In one embodiment, each flexible rod covers at least one void. For example, each soft rod covers only one void. As another example, each flexible rod covers a plurality of voids. Wherein each soft rod can cover the gap completely or partially

In one embodiment, the plurality of soft rods 510 are the same length. In other embodiments, at least two of the soft rods 510 are different lengths. For example, the plurality of soft rods 510 are all different in length. As another example, the connection assembly 200 often has a shorter length for the flexible shaft 510 in the curved portion and a longer length in the less curved region. As another example, the soft shaft 510 at the distal end may have a length that is less than the length of the soft shaft 510 at the proximal end.

In one embodiment, the gaps between the soft rods and the accommodating holes can be set according to requirements. For example, the gaps between at least two soft rods and the corresponding accommodating holes are different. For another example, the gaps between the soft rods and the corresponding receiving holes are the same. The gap specification can be limited by the sizes of different areas of the soft rod and the size of the containing hole.

In one embodiment, the cross sections of the soft rods have the same specification, and the soft rods have a cylindrical structure and the cross sections have the same specification, wherein the specification includes shapes and sizes, and the cross sections of the soft rods can have various shapes, such as circles, ellipses, triangles, polygons, and the like. In other embodiments, the cross-sectional dimensions of at least two soft rods are different. For example, the size of the cross section of the soft rod at the far end is smaller than that of the soft rod at the near end, so that the clearance between the soft rod at the far end and the accommodating hole is larger than that between the soft rod at the near end and the accommodating hole. For another example, the size of the flexible rod of the frequently bent portion of the connecting assembly is smaller than that of the flexible rod of the less bent region, so that the clearance between the flexible rod of the frequently bent portion and the accommodating hole is larger than that between the flexible rod of the less bent region and the accommodating hole. As another example, the cross-section of the soft rod includes two sizes, and the soft rods with different sizes are arranged at intervals.

The cross-section of the same flexible rod may also vary in size in different regions, for example, the cross-sectional dimension at the proximal end of the flexible rod may be smaller than the cross-sectional dimension at the distal end. As another example, the soft rod may have a cross-sectional shape in the proximal region that is different from the cross-sectional shape in the distal region.

When the soft rod cross section specification is different, the clearance between soft rod and the accepting hole is different, and the regional soft rod that the clearance is great is more nimble when turning along with coupling assembling, and the soft rod can reduce its removal in the accepting hole when the clearance is less, and then the position of restriction drive silk better.

The rigidity of the soft rods can be set according to requirements. For example, the plurality of soft rods are all the same in stiffness. As another example, the stiffness of at least two soft rods is different. As another example, the soft rod in the often curved region of the connection assembly is less rigid and the less curved region is more rigid.

It should be noted that in other embodiments, the soft rod may be located in the connection unit, and it does not cover the gap, or covers a part of the gap. The specific arrangement, structure and connection thereof may be the same as those of the above embodiments, and will not be repeated here.

In one embodiment, the flexible rod 510 is formed with a bending opening 513 to assist the flexible rod 510 to bend, thereby further reducing the deformation of the flexible rod 510 during bending. The bending openings can be distributed in various ways. In the embodiment shown in fig. 15, a plurality of bending openings 513 are arranged on one side of the center line of the soft rod 510. In the embodiment shown in fig. 16, the bending openings 513 are provided at two opposite sides of the center line of the soft rod 510. In this embodiment, the bending openings 513 on both sides are staggered along the flexible rod 510, and the staggered arrangement means that the bending opening on the first side 11 is between the two bending openings on the second side 12, wherein the bending opening on the first side may be disposed adjacent to the bending openings on the second sides, or may be disposed non-adjacent to the bending openings on the first side, for example, three first bending openings are located between the two bending openings on the second side, and the three first bending openings are sequentially disposed. It should be noted that the bending openings on the two sides which are arranged in a staggered manner may be staggered regularly or irregularly. In the embodiment shown in fig. 17, the soft rod 510 has a plurality of bending openings 513, and the plurality of bending openings 513 are distributed along the circumference of the soft rod 510 in the extending direction of the soft rod 510. In the embodiment shown in fig. 18, the plurality of bending holes 513 are distributed in a step shape along the extending direction of the soft rod 510.

It should be noted that the bending opening may be located in the gap area of the connection assembly 200, or may be located in the connection unit of the connection assembly 200, or may be partially located in the gap area and partially located in the connection unit.

The bend can have a variety of shapes, for example, the bend is a strip opening. For another example, the bending opening is a strip-shaped tangent line, i.e., the bending opening is a notch on the soft rod 510. As another example, the bending opening is wavy

As shown in fig. 19 to 22, the inner wall of the receiving hole 211 and/or the soft rod 510 has an abutting region, so that the soft rod 510 partially abuts against the receiving hole 211, that is, when the soft rod and the connecting component both extend along a straight line and the soft rod is located at one side in the connecting component, the soft rod and the receiving hole abut against each other through the abutting region, and the side of the non-receiving hole abuts against the soft rod. Thus, the abutting region causes the soft rod 510 to abut against the connecting assembly 200, reducing the contact area with the connecting assembly 200, and further reducing friction.

The abutment region may have a variety of configurations, wherein the abutment region may be a curved surface, a flat surface, or the like. In the embodiment shown in fig. 19, the receiving hole 211 is a tapered hole, and the contact area is an area with a smaller diameter of the tapered hole. I.e. the abutment area is the area of the opening with the smaller diameter of the conical hole. It should be noted that the connection unit with the tapered hole can also be used to limit the position of the free end of the soft rod, when one of the open areas is small and the soft rod 510 cannot pass through the open area, the position of the free end of the soft rod is limited. In the embodiment shown in fig. 20, the inner wall of the receiving hole 211 is extended with a protrusion, and the abutting region is located on the protrusion. One or more protrusions may be provided. For example, the protrusion is plural and distributed along the periphery of the connection unit, that is, distributed along the periphery of the receiving hole. In the embodiment shown in fig. 21, the receiving hole 211 has an hourglass shape, and the convex area of the inner wall is the abutting area. It can also be understood that the receiving hole 211 is two tapered holes communicating with each other, and the protruding area is an area where the two tapered holes are connected, wherein the two tapered holes forming the receiving hole may have the same or different specifications, i.e. the protruding area may be located at the middle of the connecting unit or near the edge. In the embodiment shown in fig. 22, the abutting region is provided on the soft rod 510, and specifically, the soft rod 510 is provided with a protrusion to abut against the inner wall of the receiving hole.

In one embodiment, the contact areas of the connection units are the same, and in other embodiments, the contact areas of at least two connection units may be different.

In the embodiment shown in fig. 23, the distal instrument 100 has two clamping portions 110 rotatably connected, wherein the clamping portion 110 has a jaw 111, an insulating member 112, and a rotating member 113 connected in sequence, the jaw 111 forms an electrode and is insulated from the rotating member 113 by the insulating member 112, and the two rotating members 113 are rotatably connected to open and close the two jaws 111. In this way, the jaw 111 is insulated from the rotation member 113 and the connection assembly 200 by the insulating member 112, thereby improving the stability of the surgical instrument. In this embodiment, the jaw 111 and the rotating member 113 are made of metal material to ensure rigidity; in other embodiments, the rotating member 113 may be made of an insulating material, in which case the rotating member 113 is connected to the jaw 111 through the insulating member 112, or the insulating member 112 may be omitted.

It should be noted that the distal instrument 100 may have other configurations, such as an insulator 112 positioned between the two rotors 113 to insulate the two rotors 113 from each other. For another example, the jaw 111 is connected to the rotating member 113, the insulating member 112 is located on the body, so that the jaw 111 is insulated from the connecting assembly 200, and the insulating member 112 insulates the two rotating members 113 from each other, wherein the two rotating members 113 are disposed on the body through a rotating shaft to rotate relative to the body, and the connecting assembly is connected to the body. As another example, the clamping portion omits the insulator.

In the embodiment shown in fig. 23, jaw 111 extends beyond insulator 112, which extends beyond insulator 112 in a distal direction. In the embodiment shown in fig. 24, the jaw 111 does not protrude from the insulating member 112 in the distal direction, and specifically, the jaw 111 is embedded in the insulating member 112 and has clamping surfaces 101, and the clamping surfaces 101 of the two jaws are disposed opposite to each other. At this time, the clamping surface 101 of the jaw 111 protrudes from the insulator 112. In other embodiments, the clamping surface 101 of the jaw 111 may be flush with the surface of the insulator 112 or embedded within the insulator 112. For example, one clamping surface 101 protrudes from the insulator 112, and the other clamping surface 101 is embedded in the insulator 112. For another example, both clamping surfaces 101 are flush with the insulator 112. It should be noted that when the clamping surface is embedded in the insulating member 112, the embedding degree can still ensure that the two electrodes can be conducted when clamping the tissue.

In one embodiment, each jaw 111 forms one electrode, and in the embodiment shown in fig. 25, a plurality of electrodes 102 may be formed on each jaw 111, where the electrodes 102 on the two jaws 111 are correspondingly arranged to form a loop when clamping tissue. In this embodiment, the jaws 111 are provided with conductive sheets, which form electrodes, and when one jaw 111 has one electrode, there is one conductive sheet. In addition, one electrode may be formed for the entire jaw 111.

As shown in fig. 23 and 24, the insulating member 112 covers at least two surfaces of the end of the jaw 111 and/or the rotating member 113, so as to be firmly connected with the jaw 111 and/or the rotating member 113. Alternatively, the jaw 111 and/or the rotating member 113 may be wrapped around at least two surfaces of the distal end of the insulating member 112 to provide a secure connection. Wherein, the insulating member 112 and the clamp 111 and/or the connecting member can be connected in various ways, for example, by a connecting structure; for another example, integrally molded; for another example, the insulator 112 may be riveted to the jaw 111 and/or the rotator 113. In other embodiments, the insulating member 112 may be connected to only one surface of the jaw 111 and/or the rotating member 113.

In the embodiment shown in fig. 23 to 26, the distal instrument 100 further has a body 120, and two rotating members 113 are disposed on the body 120 via a rotating shaft to rotate relative to the body 120, wherein the rotating shaft is fixed relative to the body 120. In this embodiment, the distal instrument 100 further includes a push rod 130 coupled to the rotation member 113, the push rod 130 and the rotation member 113 forming a four-bar mechanism to actuate the jaws 111 to open and close by actuating the push rod 130. Wherein the driving wire 520 of the distal end driving part 500 is connected to the push rod and drives the jaw 111 through the push rod.

In other embodiments, the gripping portion 110 may be driven by other structures. Alternatively, the push rod may be omitted, and the driving wire 520 of the end driving part 500 is directly connected to the rotation member 113 to drive the rotation thereof.

In the embodiment of fig. 27-29, the surgical device further comprises an electrocoagulation assembly. Specifically, the electrocoagulation assembly has a wire 610, the distal end of which is electrically connected to the jaws 111, such that the jaws 111 form an electrode; the portion of the conductor 610 located in the connection assembly 200 is in a relaxed state; the lead has a fixed connection region 611 secured to the body and/or the tip instrument 100 such that the distal region of the lead is proximate the tip instrument 100. The main body comprises at least one of a connecting assembly, a connecting rod and a driving shell, for example, the main body comprises a connecting assembly and a connecting rod; for another example, the main body includes a connection assembly and a drive housing. When the fixedly connected region of the conductor is within the connection assembly, at least one of the plurality of regions of the conductor within the connection assembly is in a relaxed state. The relaxed state means that when the connecting assembly extends in a straight line, the length of the conductor located within the connecting assembly is greater than the length of the connecting assembly; or when the connecting assembly is bent, the length of at least one conductor in the connecting assembly is greater than that of the conductor in the connecting assembly when the connecting assembly extends along a straight line, and the tension of the conductor is basically kept unchanged. For example, the length of the conductor in the connecting rod is greater than that of the connecting rod, and when the connecting assembly is bent, the part of the conductor in the connecting rod is moved into the connecting assembly so as to meet the bending requirement of the connecting assembly; for another example, the wire is received by the wire receiving portion, the receiving portion can receive the wire, and when the connecting assembly is bent, the receiving portion releases the wire to lengthen a portion of the wire located in the connecting assembly. The distal end instrument may be a surgical instrument such as an electric hook, and in the case of the electric hook, the electric hook is connected to a lead to form an electrode.

Above-mentioned surgical instrument is because coupling assembling part is the lax state, and when coupling assembling was crooked, the wire can not be too tight, has improved the precision of surgical instrument operation, and has prolonged its life-span. The fixed connection area can limit the slack in the wire and thereby avoid excessive slack in the wire in the distal instrument area.

The fixed connection area can be set as desired. In the embodiment shown in fig. 27, the fixed attachment area 611 is located in the area of the rotational member 113. The area of the rotating member 113 can be an element on the rotating member 113, the main body 130, or the rotating shaft, which is located in the area of the rotating member 113. In this embodiment, the fixed connection region 611 is fixed to a region of the body 130 adjacent to the rotation shaft, so that when the clamping portion 110 is opened and closed, the first distance between the region of the body 130 where the fixed connection region 611 is arranged and the region of the jaw 111 where the distal end is arranged is substantially constant. In addition, in this embodiment, the second distance between the fixed connection region and the distal end of the wire is substantially the same as the first distance, so that the wire is substantially attached to the clamping portion 110, and the wire is prevented from being too loose to affect operation or bring potential safety hazard. At this point, the first distance does not pull the wire because it remains substantially constant.

In other embodiments, the fixed connection area of the conductive wire in the area of the rotating member 113 may also be disposed on the rotating member 113, for example, in the area of the rotating shaft of the rotating member 113. Alternatively, the fixed connection region may be provided on the rotary shaft. Or as shown in fig. 28, the fixed connection region 611 is not located in the region of the rotating shaft, and it can also be understood that it is not located on the rotating shaft or other regions corresponding to the rotating shaft, and in this case, the second distance needs to be slightly larger than the first distance, so as to leave a space when the clamping portion 110 is opened and closed, and to prevent the wire from being tightened.

In other embodiments, the second distance on the conductive wire may be slightly greater than the first distance, for example, the second distance is 1-3 mm greater than the first distance. At this time, the wire extends along the clamping portion and is in a relaxed state.

The fixed attachment area may also be located on the body of the surgical instrument. In one embodiment, the fixed connection area is located at the proximal end of the body and is located closer to the proximal end than the proximal end of the connection assembly 200. As shown in fig. 29, the fixed attachment area is provided in the link 300; as another example, the fixed connection area is disposed on the drive housing. In one embodiment, the fixed connection region is disposed on the connection unit at the proximal end of the connection assembly. Therefore, the connecting assembly can not be tightened when being bent, and the near end of the lead can not be pulled.

In one embodiment, the fixed connection region may also be disposed on the connection assembly. The fixed connection region divides the conductor located within the connection assembly into at least two regions, wherein at least one region is in a relaxed state, e.g., both are in a relaxed state. The fixed connection area, when located within the connection assembly, can reduce displacement of the conductor when the connection assembly is deflected.

The number of the fixed connection regions of the lead may be one or more. When there are plural, they may be disposed at the positions in the above embodiments. For example, one in the area of the rotating member 113 and one in the connecting rod 300 or drive housing. As another example, one is located in the linkage assembly 300 and the remaining are located in the linkage assembly 200.

In one embodiment, the clamping portion 110 is provided with a guide, and the region of the conductive wire on the clamping portion 110 extends along the guide, so that the conductive wire is adjacent to the clamping portion 110. As shown in fig. 30, the guide member 114 is opened with a guide hole 103 and an opening 104 communicating with the guide hole 103 so that the wire is received in the guide hole through the opening. In other embodiments, the opening may be omitted, and the wire is inserted into the guide hole to be received in the guide hole. For another example, the guide member is a guide groove formed in the clamping portion 110, and the wire is accommodated in the guide groove, wherein the guide groove is located on the surface opposite to the clamping portion 110. In other embodiments, the guide groove may be located on other surfaces of the clamping portion 110, such as on a side surface of the clamping portion 110, wherein the side surface refers to a surface adjacent to a surface opposite to the two clamping portions 110. For another example, the guide member includes a guide groove opened on the clamping portion 110 and a guide unit guiding in cooperation with the guide groove, and the wire is accommodated in the guide groove and is limited in the guide groove by the guide unit. For example, the guide unit is a stopper rod, and the extending direction of the stopper rod is not parallel to the extending direction of the guide groove.

In one embodiment, the wire passes through the connecting component and extends along the connecting component, and the wire is located in the axial region of the connecting component. For example, the wires extend along the axis of the connection assembly. As another example, the conductors are disposed adjacent to the axis of the connector assembly. The two wires can penetrate through the connecting component through one perforation and also can penetrate through the connecting component through two perforations.

In one embodiment, the surgical instrument further comprises a wire accommodating rod penetrating through the connecting component, wherein an accommodating cavity is formed in the wire accommodating rod, the wire penetrates through the wire accommodating rod, and the wire and the inner wall of the accommodating cavity are arranged at intervals, namely, gaps are formed. The structure of the receiving rod can be the same as the soft rod in the above embodiments, and is used for protecting and limiting the conducting wire, which is not repeated here.

In the embodiment shown in fig. 31-34, the distal drive portion 500 of the surgical instrument has a drive wire 520, a drive assembly 530, and a positioning assembly 540. The driving wire 520 is connected with the distal instrument 100 through the connecting assembly 200 and can be bent along with the connecting assembly 200, the driving wire 520 is provided with a driving connecting area 521 which is connected with the driving assembly 530, and at least a partial area of the driving wire 520 outside the connecting assembly 200 is positioned by the positioning assembly 540, so that the driving assembly drives the driving wire 520 to move along a straight line, and further drives the distal instrument 100. The rigidity of the driving wire 520 is greater than that of the connecting unit driving wire 520 which drives the connecting assembly 200 to bend, the driving wire 520 can bend along with the connecting assembly 200, the driving assembly 530 drives the driving wire 520 to move linearly, and at least the driving connecting area 521 of the driving wire 520 moves linearly along with the driving assembly 530. The tip instrument 100 may be selected as desired, for example, it may have jaws 111 with a drive wire 520 that drives the jaws 111 open and closed by advancement; as another example, the drive wire 520 may be advanced to drive rotation of the tip instrument 100, in which case the tip instrument 100 may have a worm gear configuration that is coupled to the distal end of the drive wire 520.

Above-mentioned surgical instruments when drive wire 520 promotes towards distal end direction, positioning mechanism can be spacing to it, and then can reduce drive wire 520 crooked and the error that produces, makes surgical instruments operation more accurate.

In one embodiment, when the connecting assembly 200 is in the initial state, the moving direction of the driving connecting region is the same as the extending direction of the connecting assembly 200, wherein the initial position of the connecting assembly 200 means that the connecting assembly 200 extends along a straight line without bending, and when the connecting assembly 200 is in the initial state, the driving wire 520 is in a straight line state and has the same moving direction as the driving connecting region thereon. In other embodiments, when the connecting assembly 200 is in the initial state, the moving direction of the driving connecting region forms an included angle with the extending direction of the connecting assembly 200, for example, the included angle is an obtuse angle, and at this time, the region of the driving wire 520 in the connecting assembly 200 is limited in position by the internal structure of the connecting assembly 200, for example, the position of the driving wire is limited by the receiving hole 211 on the connecting unit. It should be noted that in one embodiment, the driving wire 520 extends along the axis of the connecting assembly 200, i.e., the driving wire 520 is located in the middle region of the connecting assembly 200, which further improves the operation accuracy.

The positioning assembly can have a variety of configurations. In the embodiment shown in fig. 31, the end driving part 500 has a soft rod 510 penetrating the connecting assembly 200, the driving wire 520 penetrates the soft rod 510, and the soft rod 510 extends out of the connecting assembly 200, so that the part of the soft rod 510 extending out of the connecting assembly 200 forms a positioning assembly 540, thereby reducing the bending of the driving wire 520. In the embodiment shown in fig. 32 and 33, the positioning assembly 540 includes a positioning slot, and the driving wire 520 is located in the positioning slot and moves along the positioning slot to limit the bending thereof by the positioning slot. As shown in fig. 34, a positioning member 540 is disposed on the driving member and moves with the driving member together with the driving wire 520 to surround the driving connection region to prevent the region from bending. The driving connection area can be arranged on the driving component through the positioning component, and can also be directly arranged on the driving component. In one embodiment, the positioning element is a strip, for example, the length of the positioning element is 5 to 10 mm. Alternatively, the positioning assembly can be a plurality of positioning assemblies, and the plurality of positioning assemblies are arranged at intervals and distributed along a straight line.

It should be noted that the positioning assembly can also be a combination of the above embodiments, for example, the positioning assembly includes a region of the soft rod 510 extending out of the positioning assembly and a positioning groove, wherein the soft rod 510 is located in the positioning groove, and the positioning groove positions the driving wire 520 through the soft rod 510.

In one embodiment, the positioning element 540 is positioned adjacent to the drive connection area 521 to minimize the distance between the positioning element and the connection area, thereby improving accuracy. As shown in fig. 31, the extended region of the soft rod 510 is disposed adjacent to the connection region 521, and the extended region of the soft rod 510 does not interfere with the driving assembly 530. For example, when the driving connection region 521 is located at the extreme position in the distal direction, it is located at the proximal end region of the soft rod 510, i.e. when the driving assembly drives the connection region to the extreme position in the distal direction, the proximal end of the soft rod 510 is located at the same plane as the edge of the connection region. For another example, when the driving connection region is located at the extreme position in the distal direction, the proximal end of the soft rod 510 is located at the distal end of the driving connection region, and the distance between the proximal end and the driving connection region is 3-10 mm. In the embodiment shown in fig. 32, the side wall of one side of the positioning groove covers the driving connection area when the driving connection area moves, so that the side wall of one side is located at the limit position of the moving connection area moving to the far end.

In one embodiment, the driving assembly is a belt driving assembly including two belt wheels and a belt connecting the two belt wheels, and the driving connection region of the driving wire 520 is connected to the belt and moves linearly with the belt. Wherein the driving component is a synchronous wheel component. In other embodiments, the pulley may drive the belt to move by friction. Alternatively, in other embodiments, the driving assembly may have other structures to drive the driving wire 520 to move, for example, the driving assembly is a rack-and-pinion mechanism, and the driving wire 520 is disposed on a rack.

In one embodiment, the drive wire 520 is welded to the drive assembly, e.g., the drive connection area of the drive wire 520 is welded to the conveyor belt. When the welding area is a strip, it is also understood that the welding area is a positioning element, which encloses the drive connection area. In one embodiment, the driving wire 520 may also be disposed on the driving assembly through a connecting member. For example, the connector is welded to the drive wire. If the driving wire 520 is clamped with the connecting piece, the connecting piece is arranged on the conveying belt. Specifically, the driving wire 520 extends to have a clamping edge, and the clamping edge is clamped with the connecting piece, wherein the connecting piece is provided with a clamping groove, the clamping edge is clamped with the clamping groove, and the clamping edge is located inside the connecting piece. In this case, it is also understood that the positioning assembly comprises a connecting piece.

In one embodiment, the distal end of the drive wire 520 is the drive connection region, in which case the drive assembly is at least partially disposed within the drive housing. In other embodiments, the proximal end of the drive wire may also be the drive connection region, i.e., the drive assembly is disposed at least partially adjacent to the distal instrument. Alternatively, the drive connection region may be a region in the middle of the drive wire, a non-end region.

The technical features of the embodiments described above may be arbitrarily combined, and for the sake of brevity, all possible combinations of the technical features in the embodiments described above are not described, but should be considered as being within the scope of the present specification as long as there is no contradiction between the combinations of the technical features.

The above-mentioned embodiments only express several embodiments of the present invention, and the description thereof is more specific and detailed, but not construed as limiting the scope of the invention. It should be noted that, for a person skilled in the art, several variations and modifications can be made without departing from the inventive concept, which falls within the scope of the present invention. Therefore, the protection scope of the present patent shall be subject to the appended claims.

Claims

1. A surgical instrument, comprising:

a tip instrument having a jaw;

2. The surgical instrument of claim 1, wherein the distal instrument further comprises a rotating member coupled to the jaws, the rotating member configured to move the jaws open and closed.

3. A surgical instrument as recited in claim 2, wherein the fixed connection region is located in the rotation member region.

4. A surgical instrument as recited in claim 3, wherein the fixed connection region is fixed to the rotational member.

5. A surgical instrument as recited in claim 3, wherein the distal instrument further includes a body coupled to the coupling assembly, the two rotatable members are disposed on the body via a shaft, the shaft is fixed relative to the body, and the fixed coupling region is fixed to the body.

6. A surgical instrument as recited in claim 3, wherein a distance between the portion of the rotation member region disposed at the fixed connection region and the distal end of the jaw disposed at the distal end is a first distance, and a distance between the fixed connection region of the wire located at the rotation member region and the distal end is a second distance, the first distance and the second distance being substantially the same.

7. A surgical instrument as recited in claim 6, wherein the fixed region is located in a region of a rotational axis of the rotational member.

8. A surgical instrument as recited in claim 3, wherein a distance between the portion of the rotation member region disposed at the fixed connection region and the distal end of the jaw disposed at the distal end is a first distance, and a distance between the fixed connection region of the wire located at the rotation member region and the distal end is a second distance, the first distance being less than the second distance.

9. A surgical instrument as recited in claim 1, wherein the connection unit has connection units connected in series, and the fixed connection region is disposed on the body at a location on the connection unit proximal to the connection assembly and/or at a location proximal to the connection unit proximal to the connection assembly.

10. A surgical instrument as recited in claim 1, wherein the fixed connection region is located on the connection assembly.