CN102058431A - Operating device of medical instrument - Google Patents

Operating device of medical instrument Download PDF

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Publication number
CN102058431A
CN102058431A CN2010101122309A CN201010112230A CN102058431A CN 102058431 A CN102058431 A CN 102058431A CN 2010101122309 A CN2010101122309 A CN 2010101122309A CN 201010112230 A CN201010112230 A CN 201010112230A CN 102058431 A CN102058431 A CN 102058431A
Authority
CN
China
Prior art keywords
slide block
guide rod
rib
groove
rotary steering
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.)
Granted
Application number
CN2010101122309A
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Chinese (zh)
Other versions
CN102058431B (en
Inventor
辛卿珉
明炳喆
元容铉
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.)
Taewoong Medical Co Ltd
Original Assignee
Taewoong Medical 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 Taewoong Medical Co Ltd filed Critical Taewoong Medical Co Ltd
Publication of CN102058431A publication Critical patent/CN102058431A/en
Application granted granted Critical
Publication of CN102058431B publication Critical patent/CN102058431B/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B17/2909Handles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B17/295Forceps for use in minimally invasive surgery combined with cutting implements
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B2017/2901Details of shaft
    • A61B2017/2905Details of shaft flexible
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B17/2909Handles
    • A61B2017/2912Handles transmission of forces to actuating rod or piston
    • A61B2017/2913Handles transmission of forces to actuating rod or piston cams or guiding means

Abstract

An operating device applied in medical instruments such as tweezers, snares, hemostatic clamps and stone baskets comprises a guide rod with a vertical groove, a handle integrally formed with the guide rod, a reciprocating slide block slidably and rotatingly equipped inside the guide rod to move along the axial direction and the circumferential direction, and a rotational guide member slidably equipped in the groove of the guide rod and combined with the reciprocating slide block so as to make the reciprocating slide block rotate relative to the rotational guide member. The operating device further comprises a metal wire unit which comprises an elastic wire sleeve with one end connected on the guide rod and an operating metal wire. One end of the operating metal wire which is equipped inside the elastic wire sleeve is fixed on the rotational guide member of the operating unit.

Description

The operating means that is used for medical apparatus and instruments
Technical field
The present invention relates to a kind of operating means that is used for medical apparatus and instruments, particularly, relate to a kind of operating means that is used for medical apparatus and instruments, it can make the operator easily operate medical apparatus and instruments, such as tweezers, snare, hemostatic clamp, stone basket (stone basket) etc.
Background technology
As medical apparatus and instruments, usually known have, be used at endoscopic surgery or laparoscopic surgery tweezers, be used to remove the snare of support of being positioned at damage location etc., and be used to obtain and remove foreign substance as being present in the stone basket of intravital stone of people etc. from the damage location chorista.These medical apparatus and instruments are operated by the operator.
With reference to Figure 1A and Figure 1B tweezers are described, tweezers are representative instances of medical apparatus and instruments.As shown in the figure, tweezers comprise operating unit 1, metal wire unit 2 and work implement unit 3.Metal wire unit 2 and work implement unit 3 are inserted to the injury of human position.The operator can finish the mode operating operation unit 1 of expectation task by metal wire unit 2 and work implement unit 3.
The work implement unit 3 of tweezers is provided with the cutting folder 4 that is used for removing from damage location tissue.Snare (sanre) is provided with hook, and stone basket comprises broken string.
More specifically, operating unit 1 comprises main body 9, and it has the guide part 11 that is provided with groove 10 longitudinally and the handle 5 integrally formed with guide part 11; And be installed in the groove 10 of guide part 11 the reciprocal slide block 12 that moves with on direction back and forth slidably.Elastica cover 30 is connected the tip of guide part 11.
Back and forth slide block 12 is made up of two and half ones that combine by binding agent.Each half one all have keep groove 21 be used for keeping being arranged in the elastica cover 30 operation metal wire 20 and with guide part 11 bonded a pair of side channels 22 so that back and forth slide block 12 can be along guide part 11 gliding motilities.
Work implement unit 3 is connected to the most advanced and sophisticated of operation metal wire 20 and comprises that a pair of hinge is connected in the cutting folder 4 at the tip of elastica cover 30, so that they can open and close along with the gliding motility of reciprocal slide block 12.
In operation, if back and forth slide block 12 slides forward or backward, operation metal wire 20 is together with back and forth slide block 12 motions.Therefore, the cutting folder 4 that hinge is connected in the tip of elastica cover 30 opens or closes, thereby cuts and obtain the tissue of damage location.Thereby isolating tissue takes out in the human body and is checked.
There are a lot of problems in the operating unit 1 of the traditional medical apparatus that describes in detail above.A problem is that back and forth slide block 12 has cylindrical shape and therefore takies big space.Another problem is that the task of producing two and half ones of reciprocal slide block 12 and utilizing binding agent to bond them together is difficult to realize.
When operator's thumb is inserted in the handle 5, and forefinger and middle finger are handled cutting folder 4 by the reciprocal slide block 12 of push-and-pull when clamping reciprocal slide block 12.
In this operating process, when forefinger and middle finger moved reciprocatingly with reciprocal slide block 12, thumb kept holding handle 5.Therefore, forefinger and middle finger need repeat open and close, so the operator is tired soon.Owing to this reason, the operator is organizing the position of clamping that changes forefinger and middle finger when obtaining task continually.
As the solution of this problem, can buy medical apparatus and instruments and comprise reciprocal slide block with non-circular cross-section.But this medical apparatus and instruments can not fully solve the problem that occurs in the operation.
Summary of the invention
Consider above-mentioned and background technology in other inherent problem, the object of the present invention is to provide a kind of operating means that is used for medical apparatus and instruments, this medical apparatus and instruments uses easily and operates in reliable mode.
The invention provides a kind of operating means that is used for medical apparatus and instruments such as tweezers, snare, hemostatic clamp and stone basket, comprising:
Operating unit, it comprises having the guide rod of groove longitudinally; The hands handle integrally formed with guide rod; Be assemblied in the reciprocal slide block on axial and circumferencial direction, to move in the guide rod slidably and rotatably; And be assembled to slidably and cooperate in the groove of guide rod and with reciprocal slide block so that the reciprocal guiding member rotating that is rotated of the relative guiding member rotating of slide block; With
The metal wire unit, it comprises the elastica cover that at one end is connected on the guide rod, and is arranged in the elastica cover and at one end is fixed to operation metal wire on the guiding member rotating of operating unit.
Use the operating means that is used for medical apparatus and instruments of the present invention, this reciprocal slide block can be independent of the unitary operation metal wire of metal wire and move back and forth and rotatablely move.This make the operator needn't change forefinger and middle finger the position and easily the task of carry out desired become possibility.
The accompanying drawing summary
In conjunction with the accompanying drawings and according to the following explanation of preferred implementation, above and other objects of the present invention and characteristics will be more obvious, wherein:
Figure 1A has described a kind of decomposition diagram that is used for the routine operation device of medical apparatus and instruments, and Figure 1B is the perspective view of the operating means that is assembled together;
Fig. 2 is a kind of decomposition diagram of the operating means that is used for medical apparatus and instruments according to one embodiment of the invention;
Fig. 3 is the perspective view of the operating means shown in Fig. 2, and its component part partly is assembled together;
Fig. 4 is the perspective view of the operating means shown in Fig. 3, and its component part fully is assembled together;
Fig. 5 shows the guiding member rotating that is in decomposition and confined state;
Fig. 6 shows the guiding member rotating that is in reverse state;
Fig. 7 is the phantom of the operating means that shows among Fig. 4;
Fig. 8 is the phantom of operating means, reciprocal Slipper is shown is installed to the guiding combining unit;
Fig. 9 is the profile of operating means along A-A line among Fig. 8;
Figure 10 is the phantom of operating means, reciprocal slide block is shown revolves from position shown in Figure 8 and turn 90 degrees;
Figure 11 is the profile of operating means along B-B line among Figure 10;
Figure 12 is the phantom of operating means, reciprocal slide block is shown fully is assembled in the guiding combining unit;
Figure 13 is the profile of operating means along C-C line among Figure 12;
Figure 14 is the profile of operating means along D-D line among Figure 12;
Figure 15 is the phantom of operating means, and wherein reciprocal slide block revolves from position shown in Figure 12 and turn 90 degrees;
Figure 16 is the profile of operating means along E-E line among Figure 15;
Figure 17 is the profile of operating means along F-F line among Figure 15;
Figure 18 is the cutaway view of operating means, reciprocal slide block is shown turns clockwise from Figure 16 and position shown in Figure 17;
Figure 19 is the cutaway view of operating means, reciprocal slide block is shown is rotated counterclockwise from Figure 16 and position shown in Figure 17; And
Figure 20 is the user mode figure of the operating means that is used for medical apparatus and instruments according to an embodiment of the present invention.
The specific embodiment
Hereinafter describe a preferred implementation of the present invention with reference to the accompanying drawings in detail.
At first arrive Fig. 7, be used for the operating means of medical apparatus and instruments such as tweezers, snare, hemostatic clamp and stone basket, comprise operating unit 1, metal wire unit 2 and work implement unit 3 with reference to Fig. 2.Operating unit 1 comprises main body 9, it has the guide rod 11 that is provided with groove 10 longitudinally and the handle 5 integrally formed with guide rod 11, and be assembled to slidably in the guide rod 11 with axially and the reciprocal slide block 12 that moves on the circumferencial direction, and detachably and slidably be assembled to guiding member rotating 60 on the cannelure 10 of guide rod 11.Back and forth slide block 12 is assembled on the guide rod 11 so that it can slide and rotate under the guiding of guiding member rotating 60 along the direction of guide rod 11.
Metal wire unit 2 comprises elastica cover 30 that at one end is connected on the guide rod 11 and the operation metal wires 20 that are arranged in the elastica cover 30.Work implement unit 3 comprises the various work implements that are used for tweezers, snare, hemostatic clamp and stone basket, and they are inserted into the interior task with carry out desired of human body.
The reciprocal slide block 12 of operating unit 1 is made forefinger that can the person of being operated and the shape that middle finger is clamped.Back and forth slide block 12 has first circular hole 51, diameter is less than second circular hole 52 of first circular hole, 51 diameters, the shoulder surface 50 of first circular hole 51 and second circular hole, 52 intersections, a pair of first projection 56 and 56 ' that in first circular hole 51, relatively forms, and first circular hole 51 in, form relatively and with a pair of second projection 57 and 57 ' of first projection 56 and the formation of 56 ' axially spaced-apart.
The guiding member rotating 60 of operating unit 1 comprises that the first rotary steering parts 70 and the second rotary steering parts, 80, the first rotary steering parts 70 and the second rotary steering parts 80 are assembled on the groove 10 of guide rod 11 and by binding agent or other fixed form that is fit to slidably and connects together.The first rotary steering parts 70 and the second rotary steering parts 80 comprise separately in the groove 10 that is inserted into guide rod 11 prolongation body 61 and at the front end that the prolongs body 61 semicircle wing 77 integrally formed with prolonging body 61.
The prolongation body 61 of the first rotary steering parts 70 have operation metal wire 20 1 ends that are used to keep metal wire unit 2 maintenance groove 21 and and a pair of side channel 22 that cooperates of guide rod 11 so that the first rotary steering parts 70 and the second rotary steering parts 80 can be along groove 10 gliding motilities of guide rod 11.
The prolongation body 61 of the first rotary steering parts 70 has the slightly little thickness of width than the groove 10 of guide rod 11.Prolongation body 61 has the end of extending with the right angle and gives prominence to 71, the bending lid 73 that forms on fit 72 apparent surfaces near fit 72 that forms this end outstanding 71 and prolongation body 61.The semicircle wing 77 of the first rotary steering parts 70 comprises first rib 74, second rib 75 and the 3rd rib 76 in outer surface and and apart gap " t " outstanding from outer surface.First rib 74, second rib 75 and the 3rd rib 76 have and the essentially identical radius of curvature of the diameter of first circular hole 51.
At place, the opposite end of first rib 74, be formed with opening, each opening has the circumferential width that equates substantially with a half width of each first projection 56 of reciprocal slide block 12 and 56 ' width.At the middle part of second rib 75, be formed with and connect groove 78, it has the circumferential width that equates substantially with the width of each second projection 57 of reciprocal slide block 12 and 57 '.The gap " t " between first rib 74, second rib 75 and the 3rd rib 76 be traditionally arranged to be with first projection 56 and 56 ' and second projection 57 and 57 ' between distance equate substantially or big slightly.
The prolongation body 61 of the first rotary steering parts 70 have operation metal wire 20 1 ends that are used to keep metal wire unit 2 maintenance groove 21 and with guide rod 11 bonded a pair of side channels 22 so that the first rotary steering parts 70 and the second rotary steering parts 80 carry out gliding motility along the groove 10 of guide rod 11.
Similarly, the prolongation body 61 of the second rotary steering parts 80 has the slightly little thickness of width than the groove 10 of guide rod 11.The prolongation body 61 of the second rotary steering parts 80 is provided with the end engagement protrusion 81 that cooperates with the fit 72 of the first rotary steering parts 70, and prolong on the body 61 with end engagement protrusion 81 apparent surfaces on the bending lid 83 that forms.The semicircle wing 77 of the second rotary steering parts 80 comprises first rib 84, second rib 85 and the 3rd rib 86 in outer surface and and apart gap " t " outstanding from outer surface.First rib 84, second rib 85 and the 3rd rib 86 have and the essentially identical radius of curvature of the diameter of first circular hole 51.
At place, the opposite end of first rib 84, be formed with opening, wherein each all has the circumferential width that equates substantially with a half width of each first projection 56 of reciprocal slide block 12 and 56 ' width.At the middle part of second rib 85, be formed with and connect groove 78, it has the circumferential width that equates substantially with the width of each second projection 57 of reciprocal slide block 12 and 57 '.The recessed Cao 95 of first circumference and second circumferential groove 96 are limited between first rib 84, second rib 85 and the 3rd rib 86.As optimum demonstration the among Fig. 6, the first obstruction projection 82 and second is blocked projection 89 and is had the inclined surface 97 that is formed on first circumferential groove 95 and second circumferential groove 96 separately.Gap " t " between first rib 84, second rib 85 and the 3rd rib 86 be set to first projection 56 and 56 ' and second projection 57 and 57 ' between distance equate substantially or big slightly.
The operating unit 1 of foregoing description assembles in the following manner.At first, the guide rod 11 of main body 9 is inserted in first circular hole 51 and second circular hole 52 of reciprocal slide block 12, and second circular hole 52 is arranged at handle 5 sides by this way.
Then, the first rotary steering parts 70 and the second rotary steering parts 80 above slide bar and below be installed to the groove 10 of guide rod 11.At this moment, the end engagement protrusion 81 of the second rotary steering parts 80 combines with the fit 72 of the first rotary steering parts 70.Therefore, the semicircle wing 77 of the first rotary steering parts 70 and the second rotary steering parts 80 and crooked lid 73 and crooked lid 83 circumferential extensions along guide rod 11.Thereby the first rotary steering parts 70 and the second rotary steering parts 80 installed utilize binding agent to combine.
In case the first rotary steering parts 70 and the second rotary steering parts 80 combine, be used for and back and forth first projection 56 of slide block 12 and 56 ' the bonded engagement groove 90 and engagement groove 91 are limited between the opposite end of first rib 84 of the semicircle wing 77 of the opposite end of first rib 74 of the semicircle wing 77 of the first rotary steering parts 70 and the second rotary steering parts 80.Engagement groove 90 and engagement groove 91 are spent the circle spacing setting with 180.
The first rib 74 of the first rotary steering parts 70, second rib 75 and the 3rd rib 76 are accurately aimed at first rib 84, second rib 85 and the 3rd rib 86 of the second rotary steering parts 80 so that they can form three annulus axially going up each interval.First circumferential groove 95 and second circumferential groove 96 are limited in the annulus by this way, with engagement groove 78, engagement groove 88, engagement groove 90 and engagement groove 91 combinations.
In this state, back and forth slide block 12 towards guiding member rotating 60 motions so that back and forth second projection 57 of slide block 12 and 57 ' can be by engagement groove 90 and engagement groove 91 and can be in first circumferential groove 95 that is limited between first rib 74 and first rib 84 and second rib 75 and the second rib 85.If back and forth slide block 12 revolves and turn 90 degrees, second projection 57 and 57 ' can be aimed at engagement groove 78 and engagement groove 88, and first projection 56 and 56 ' is aimed at engagement groove 90 and engagement groove 91 simultaneously.
If back and forth slide block travels forward under this state again, second projection 57 and 57 ' enters into second circumferential groove 96 by engagement groove 78 and engagement groove 88, and first projection 56 and 56 ' enters into first circumferential groove 95 by engagement groove 90 and engagement groove 91 simultaneously.
In above process, the prolongation body 61 of guiding member rotating 60 is inserted in second circular hole 52 of reciprocal slide block 12.At this moment, the first rib 74 of the first rotary steering parts 70 and the second rotary steering parts 80 contacts with shoulder surface 50 with first rib 84, simultaneously, crooked lid 73 and crooked lid 74 in the rear end of reciprocal slide block 12 separately to stop the without reason motion of guiding member rotating 60 from slide block 12.
If back and forth slide block 12 rotates under this state, first projection 56 and 56 ' is moved along first circumferential groove 95, and simultaneously, second projection 57 and 57 ' is moved along second circumferential groove 96.Having first of inclined surface 97 separately blocks projection 82 and second and blocks projection 89 and allow slide blocks 12 to rotate in one direction but stop it to rotate on other direction.
By above-mentioned structure, operator's forefinger and middle finger are clamped reciprocal slide block 12 and are caused and rotatablely move and axially reciprocating.This makes the operator easily move reciprocal slide block 12 in any direction and does not need to change the position of forefinger and middle finger.This mainly is because back and forth slide block 12 is not the operation metal wire 20 that is directly connected to metal wire unit 2.
This operating means that is used for medical apparatus and instruments can be applied to various medical apparatus and instruments such as tweezers, snare, hemostatic clamp, stone basket etc.
Though describe specific implementations of the present invention hereinbefore, the invention is not restricted to this.Those skilled in the art should know, do not break away from limit in the claim of the present invention scope can make variations and modifications.

Claims (7)

1. operating means that is used for medical apparatus and instruments such as tweezers, snare, hemostatic clamp and stone basket comprises:
Operating unit, it comprises having the guide rod of groove longitudinally; The hands handle integrally formed with guide rod; Slidably and rotatably be installed to the reciprocal slide block on axial and circumferencial direction, to move in the guide rod; And be assembled to slidably in the groove of guide rod and with reciprocal slide block in conjunction with so that the reciprocal guiding member rotating of the relative guiding member rotating rotation of slide block; With
The metal wire unit, it comprises the elastica cover that at one end is connected on the guide rod, and is arranged in the elastica cover and at one end is fixed to operation metal wire on the guiding member rotating of operating unit.
2. the operating means that is used for medical apparatus and instruments described in claim 1, it is characterized in that, described reciprocal slide block has first circular hole, diameter is less than second circular hole of described first Circularhole diameter, shoulder surface in described first circular hole and the described second circular hole intersection, be formed on a pair of first projection that is oppositely arranged of the described first circular hole inside, and a pair of second projection that is oppositely arranged and is provided with the described first projection axially spaced-apart that is formed on the described first circular hole inside.
3. the operating means that is used for medical apparatus and instruments described in claim 2, it is characterized in that, the described guiding member rotating of described operating unit comprises the first rotary steering parts and the second rotary steering parts in the groove that is assembled to described guide rod slidably, the first rotary steering parts and the second rotation guide parts comprise separately in the groove that is inserted into described guide rod the prolongation body and with prolong the integrally formed semicircle wing of body.
4. the operating means that is used for medical apparatus and instruments described in claim 3 is characterized in that, described first rotary steering parts and second rotary steering parts prolongation body separately have the maintenance groove that is used to keep unitary operation metal wire one end of metal wire.
5. the operating means that is used for medical apparatus and instruments described in claim 3, it is characterized in that described first rotary steering parts and the described second rotary steering parts described prolongation body separately are provided with crooked lid to stop described reciprocal slide block to break away from unintentionally from guiding member rotating.
6. the operating means that is used for medical apparatus and instruments described in claim 3 is characterized in that, the described semicircle wing comprises outer surface and gives prominence to also first rib, second rib and the 3rd rib of each interval in the axial direction from described outer surface.
7. the operating means that is used for medical apparatus and instruments described in claim 6, it is characterized in that, the described semicircle wing has first circumferential groove and second circumferential groove that is limited between described first rib, second rib and the 3rd rib, and described first projection of described reciprocal slide block and described second projection are separately positioned in described first circumferential groove and described second circumferential groove.
CN2010101122309A 2009-11-16 2010-02-08 Operating device of medical instrument Expired - Fee Related CN102058431B (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
KR10-2009-0110340 2009-11-16
KR1020090110340A KR101109734B1 (en) 2009-11-16 2009-11-16 A Controll Device for the medical Instrument as a like the Forcep

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CN102058431A true CN102058431A (en) 2011-05-18
CN102058431B CN102058431B (en) 2013-02-20

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KR101494286B1 (en) * 2013-11-14 2015-02-17 (주) 태웅메디칼 Device for Expending Lumen in Body
KR20160079989A (en) 2014-12-26 2016-07-07 주식회사 파인메딕스 A biopsy forceps
KR20200043807A (en) 2018-10-18 2020-04-28 김평옥 Biopsy forceps
KR102014087B1 (en) 2019-01-04 2019-08-26 (주)메디컬에이드 Disposable biopsy forceps for endoscope
KR102571929B1 (en) 2021-06-18 2023-08-29 주식회사 파인메딕스 Forceps for Tissue Excision
CN116423196B (en) * 2023-03-23 2023-09-29 杭州圣石科技股份有限公司 Automatic assembly system of absorbable hemostatic ligature clamp

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CN102058431B (en) 2013-02-20
KR20110053695A (en) 2011-05-24
KR101109734B1 (en) 2012-02-16

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