CN101184445B - 手术器械 - Google Patents
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Abstract
一种手术器械包括钳口组件(2),钳口组件包括彼此枢转连接、以在相应的打开和关闭状态之间可移动的第一和第二钳口件(3和4)。第一和第二手柄件(8和12)分别连接到第一和第二钳口件(3和4),第一和第二手柄件都包括在其远端的中空管状部分(10和14)。第一和第二钳口件(3和4)都包括在其近端的加长部分(6和7)。每个加长部分(6和7)的外径和每个管状部分(10和14)的内径是这样的,每个手柄件(8和12)通过压配合连接被连接到相关的一个钳口件(3和4)。为了适应制造公差,加长部分(6和7)都包括一个或多个面向外的肋(19a到19j),所述肋的高度从朝向加长部分(6和7)第一端的第一高度增加到朝向加长部分第二端的第二高度。
Description
技术领域
本发明涉及一种比如钳子或者剪子工具的手术器械。
这样的工具许多年来已经为人所熟知,1937年以来的美国专利说明书2,111,161描述了一个早期的例子。本发明的目的在于提供一种这样的工具的现代改进方案。
发明内容
因此,提供一种手术器械,包括钳口组件和第一及第二手柄件,所述钳口组件包括彼此枢转连接、以在相应的打开和关闭状态之间可移动的第一和第二钳口件,所述第一和第二手柄件分别被连接到第一和第二钳口件,所述第一和第二手柄件都包括在其远端处并具有内径的中空管状部分,而且所述第一和第二钳口件都包括在其近端并具有外径的加长部分,于是每个手柄件通过压配合连接被连接到相关的钳口件。
所述器械便利地作为一种开口手术器械,即一种用于开切手术的器械。这样的器械类似于在上述美国专利说明书中描述的,因为它包括带有孔的剪子式手柄,外科医生的手指能够容纳在所述孔中。这种类型的器械与内窥镜检查手术中使用的类型成明显对比,后者通常具有安装在长轴上的驱动元件,该长轴用于插进病人身体内的小孔中。
通常地,所述器械是钳子器械,尽管它可选择被理解为剪子器械。所述器械优选为电外科学器械,具有安装在所述钳口组件上的一个或者多个电极。所述压配合连接是永久连接,与现有技术比如在美国专利US6,511,480中描述的相反,该专利提供可拆卸的电极组件。压配合连接足够牢固,能够适用手术器械的频繁使用,不用担心所述连接会脱离。因此,本发明的连接是“一次”连接,在手术器械的建议寿命内持久使用。
本发明的压配合连接允许在器械的成本、重量和部件制造方面的改进。比如,手柄的单一设计能够被制造并连接到不同类型的钳口组件(钳子、剪子等),目的是产生一系列的器械。可选择地,借助钳口组件的单一设计,将不同设计的手柄连接在上面,能够提供一系列的器械。这可以适应手柄的不同尺寸和形状,或者仅仅适应一个外科医生与另一个医生之间的偏爱选择。
按照优选的布置,在每个手柄件远端处的中空管状部分由基本不可压缩的材料制成,比如不锈钢。这与其它的压配合连接形成鲜明的对比,其它的压配合连接更通常地是使用弹性体材料,比如软塑料和橡胶材料。方便地,每个钳口件近端处的加长部分也由基本不可压缩的材料,比如不锈钢制成。
每个钳口件近端处的加长部分优选具有朝向其顶端的第一端,和朝向钳口组件的本体部分的第二端,并且包括一个或多个面向外的肋,每个肋的高度从朝向加长部分第一端的第一高度增加到朝向加长部分第二端的第二高度。为了描述方便,加长部分的第一端是朝着加长部分顶端的端部,加长部分的第二端是加长部分在此被连接到钳口组件的本体的那一端。这些术语得到使用,于是术语“近”和“远”能够在与手术器械作为整体有关的整体含义上使用,正好与在具体部件比如加长部分中局部使用的含义相反。
优选地,每个钳口件的加长部分设有多个肋,这些肋或者纵向沿着加长部分延伸或者围绕加长部分径向延伸。所述肋使得在钳口件和手柄件之间建立可靠的压配合连接,即使当管状部分和加长部分具有制造公差时也是如此。所述肋能够适应两个部件的尺寸上的微小变动,不会产生不适当的松动的压配合连接,或者产生不适当地难以组装的连接。
方便地,每个中空管状部分的内径具有第一制造公差,相关加长部分的所述肋的高度具有第二制造公差,所述肋的高度是这样的,即在最小实体条件下,中空管状部分的内径在第一高度和第二高度之间。此处限定的最小实体条件是这样的情况,即钳口件上的加长部分是制造公差允许的最小直径,相关的管状部分的内径是制造公差允许的最大直径。因此,最小实体条件限定在制造公差允许下可能最松动的配合条件。即使在该最松动的配合下,各个肋的高度梯度意味着,一个或者多个肋与相关的管状部分的内径形成干涉配合。优选地,每个加长部分的肋的高度是这样的,即在最小实体条件下,相关中空管状部分的内径在第一高度和第二高度之间的范围内的中间三分之一内。例如,如果在每个加长部分上有九个径向延伸的肋并且在肋的高度上有渐进的增加,相关管状部分的内径将与第四肋到第六肋形成干涉配合。因此,即使在最小实体条件下,每个管状部分将与相关加长部分上的几个肋形成干涉配合。
另外,每个加长部分的肋的高度优选是这样的,即在最大实体条件下,相关中空管状部分的内径大于或者等于第一高度。此处所限定的最大实体条件是这样的情况,即在钳口件上的加长部分是制造公差允许下的最大直径,相关管状部分的内径是制造公差允许下的最小直径。因此,最大实体条件限定了制造公差允许下可能最紧密的配合。即使在该最紧配合下,每个加长部分的肋的高度梯度意味着,相关管状部分的内径至少在一个肋上配合而形成干涉配合。
如上所述,每个加长部分的肋的高度从第一高度到第二高度以稳定的级数增加。在可选的布置中,具有以不同的高度区别于肋的其它组的不同组,但是对于每一组中的各个肋都处于一样的高度。在一个方便的布置中,朝向每个加长部分的第一端具有在第一高度的一个或多个附加的肋。这保证,在最大实体条件下,每个加长部分的同等高度的几个肋会与相关的管状部分成干涉配合。可选择地,或者另外地,朝向每个加长部分的第二端方便地具有一个或多个在第二高度的附加肋。
附图说明
现在参照附图仅通过举例的方式进一步描述本发明,其中:
图1是按照本发明制造的钳子器具的侧视图;
图1a和1b是图1中圆圈部分的放大截面图;
图2是图1器具的钳口件的侧视图;
图3是图2所述部件一部分的放大视图,表示它上面的肋;和
图4是图2的钳口件的一部分的放大视图,表示它上面的肋的可选实施方式。
具体实施方式
参照附图,图1表示包括钳口组件2的开口钳器具1,所述钳口组件2包括借助枢转销5彼此枢转连接的第一钳口件3和第二钳口件4。所述钳口件3在其近端设有加长部分6,所述钳口件4设有类似的加长部分7。
设有第一手柄件8,所述第一手柄件包括本体部分9、与本体部分联接的管状部分10、以及在该手柄件近端的抓握部分11。手柄件8的本体部分9被超模压在管状部分10上。手柄件8借助管状部分10与加长部分6形成压配合而被连接到钳口件3。以类似的方式,设有第二手柄件12,所述第二手柄件包括本体部分13、与本体部分联接的管状部分14和在该手柄件近端的抓握部分15。手柄件12借助管状部分14与加长部分7形成压配合而被连接到钳口件4。
手柄件8和12的移动引起钳口件3和4相对彼此打开和关闭,于是能够它们之间夹住组织。在每一个手柄件8,12上设置棘齿机构16,用于当这些机构被向一起移动进入它们的关闭状态时锁住所述手柄件。
钳口件3更详细地在图2中画出,包括中心的本体部分17,从该本体部分向一个方向悬垂有加长部分6,向另一个方向悬垂有钳口元件18。所述加长部分6是实心件,在它上面具有一系列的肋19,所述肋更详细在图3中画出。
加长部分6具有十个肋19a到19j,从加长部分的第一端21处的锥形导入部分20延伸到位于加长部分的第二端处的钳口件3的本体部分17。在图3的实施方式中,肋19a到19j具有下述直径;
肋 | 直径 |
19a | 4.0538mm(0.1596英寸) |
19b | 4.0538mm(0.1596英寸) |
19c | 4.0792mm(0.1606英寸) |
19d | 4.0996mm(0.1614英寸) |
19e | 4.1250mm(0.1624英寸) |
19f | 4.1504mm(0.1634英寸) |
19g | 4.1707mm(0.1642英寸) |
19h | 4.1901mm(0.1652英寸) |
19i | 4.1901mm(0.1652英寸) |
19j | 4.1901mm(0.1652英寸) |
所有这些尺寸以毫米(英寸)为单位,并具有±0.0254mm(0.001英寸)的公差。
手柄件8的管状部分10具有4.0894±0.0254mm(0.161±0.001英寸)的内径。因此它可以在4.064和4.1148mm(0.160和0.162英寸)之间变化。在最小实体条件下,所述管状部分10会具有4.1148mm(0.162英寸)的内径,肋19a到19j将是上述给出的值减去0.0254mm(0.001英寸)。因此,管状部分10将越过肋19a到19e,而与肋19f到19j形成干涉配合。根据材料(不锈钢)的可压缩性和由机器从手柄件8施加给钳口件3的力,管状部分10将与肋19f到19j中的一些或者全部配合。由于应用在手柄件8的自动机器的使用,管状部分10能够作用在肋19f到19j上,没有引起该管状部分的劈裂。因此,将有五个肋(19f到19j)将加长部分6固定在管状部分10内。
在最大实体条件下,管状部分10将具有4.064mm(0.160英寸)的内径,肋19a到19j将是上述值加上0.0254mm(0.001英寸)。因此,管状部分10将与所有的肋19a到19j形成干涉配合。由此,有十个肋(19a到19j)将加长部分6固定在管状部分10内。尽管没有描述,应当认识到,手柄件12以同样的方式被固定到钳口件4的加长部分。
正如从上述说明书看到的,肋19a到19j的设定使得在手柄件8和12与钳口件3和4之间形成紧固的压配合连接,不管所制造部件的允许公差。这使得所述部件能够通过模制以传统的0.0254mm(±0.001英寸)的公差进行制造,正好和通过精密磨削以更紧的公差制造的部件相反。
图4表示可选实施方式,其中肋19a到19j沿着加长部分6纵向延伸。肋19a到19j是倾斜的,于是它们朝着加长部分的第一端21具有第一、相对浅的高度,朝着加长部分的第二端22具有第二、更显著的高度。肋19a到19j的高度是这样的,即在最小实体条件下,中空管状部分10的内径在肋19a到19j的中间三分之一内。因此,当管状部分10处于它的最松动状态时,它依旧与纵向肋19a到19j的大致轴向长度相配合。类似地,肋19a到19j的高度是这样的,即在最大实体条件下,中空管状部分10的内径大于或者等于第一高度。因此,当管状部分10处于最紧的状态时,它依旧安装在肋19a到19j的最浅部分之上,以在这些肋的纵向范围内与其配合。
Claims (20)
1.一种手术器械,包括钳口组件和第一及第二手柄件,所述钳口组件包括彼此枢转连接、以在相应的打开和关闭位置之间可移动的第一和第二钳口件,所述第一和第二手柄件分别永久连接到第一和第二钳口件,所述第一和第二手柄件都包括在其远端并具有内径的中空管状部分,而且所述第一和第二钳口件都包括在其近端的加长部分,每个加长部分具有外径并在其上形成有多个肋,每个加长部分的肋的高度从在加长部分第一端的第一高度增加到靠近相关钳口件的第二高度,以使当每个加长部分被压入相关的中空管状部分时,每个手柄件通过压配合连接而被连接到相关的钳口件。
2.如权利要求1所述的手术器械,其中所述器械是开口式手术器械。
3.如权利要求1所述的手术器械,其中所述器械是钳子器械。
4.如权利要求1所述的手术器械,其中所述器械是剪子器械。
5.如权利要求1至4任一所述的手术器械,其中所述器械是电外科学器械。
6.如权利要求1至4任一所述的手术器械,其中每个手柄件的远端处的中空管状部分由基本不可压缩的材料制成。
7.如权利要求1至4任一所述的手术器械,其中所述每个钳口件的近端处的加长部分由基本不可压缩的材料制成。
8.如权利要求1至4任一所述的手术器械,其中所述每个钳口件的近端处的加长部分具有朝向其顶端的第一端、和朝向钳口组件的本体的第二端。
9.如权利要求8所述的手术器械,其中每个加长部分的肋沿着加长部分纵向延伸。
10.如权利要求9所述的手术器械,其中每个中空管状部分的内径具有第一制造公差,相关加长部分的所述肋的高度具有第二制造公差,所述肋的高度是这样的,在最小实体条件下,即在制造公差下允许的可能最松动的配合,中空管状部分的内径在第一高度和第二高度之间。
11.如权利要求10所述的手术器械,其中每个加长部分的肋的高度是这样的,在最小实体条件下,相关中空管状部分的内径在第一高度和第二高度之间的中间三分之一的范围内。
12.如权利要求9所述的手术器械,其中每个加长部分的肋的高度是这样的,在最大实体条件下,即在制造公差下允许的可能最紧密的配合,相关中空管状部分的内径大于或者等于第一高度。
13.如权利要求9所述的手术器械,其中每个加长部分的肋的高度从第一高度以稳定的级数增加到第二高度。
14.如权利要求8所述的手术器械,其中每个加长部分的肋围绕加长部分径向延伸。
15.如权利要求14所述的手术器械,其中每个中空管状部分的内径具有第一制造公差,相关加长部分的所述肋的高度具有第二制造公差,所述肋的高度是这样的,在最小实体条件下,中空管状部分的内径在第一高度和第二高度之间。
16.如权利要求15所述的手术器械,其中每个加长部分的肋的高度是这样的,在最小实体条件下,相关中空管状部分的内径在第一高度和第二高度之间的中间三分之一的范围内。
17.如权利要求14所述的手术器械,其中每个加长部分的肋的高度是这样的,在最大实体条件下,相关中空管状部分的内径大于或者等于第一高度。
18.如权利要求14所述的手术器械,其中每个加长部分的肋的高度从第一高度以稳定的级数增加到第二高度。
19.如权利要求14所述的手术器械,其中朝向每个加长部分的第一端具有一个或者多个处于第一高度的附加肋。
20.如权利要求14所述的手术器械,其中朝向每个加长部分的第二端具有一个或者多个处于第二高度的附加肋。
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PCT/GB2006/001535 WO2006125940A1 (en) | 2005-05-25 | 2006-04-26 | A surgical instrument |
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CN101184445B true CN101184445B (zh) | 2010-05-19 |
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EP (1) | EP1883358B1 (zh) |
JP (1) | JP2008541814A (zh) |
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AT (1) | ATE450215T1 (zh) |
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- 2006-04-26 CN CN2006800178192A patent/CN101184445B/zh not_active Expired - Fee Related
- 2006-04-26 JP JP2008512895A patent/JP2008541814A/ja active Pending
- 2006-04-26 WO PCT/GB2006/001535 patent/WO2006125940A1/en not_active Application Discontinuation
- 2006-04-26 DE DE602006010849T patent/DE602006010849D1/de active Active
- 2006-04-26 EP EP06726919A patent/EP1883358B1/en not_active Not-in-force
- 2006-04-26 AU AU2006251051A patent/AU2006251051B2/en not_active Ceased
- 2006-04-26 AT AT06726919T patent/ATE450215T1/de not_active IP Right Cessation
- 2006-05-15 US US11/434,376 patent/US20060271102A1/en not_active Abandoned
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Also Published As
Publication number | Publication date |
---|---|
US20060271102A1 (en) | 2006-11-30 |
EP1883358A1 (en) | 2008-02-06 |
JP2008541814A (ja) | 2008-11-27 |
WO2006125940A1 (en) | 2006-11-30 |
EP1883358B1 (en) | 2009-12-02 |
DE602006010849D1 (de) | 2010-01-14 |
AU2006251051B2 (en) | 2009-07-16 |
CN101184445A (zh) | 2008-05-21 |
AU2006251051A1 (en) | 2006-11-30 |
ATE450215T1 (de) | 2009-12-15 |
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