CN102397091A - Exquisite pushing tube double-vision minimally invasive surgery instrument - Google Patents

Exquisite pushing tube double-vision minimally invasive surgery instrument Download PDF

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CN102397091A
CN102397091A CN2010102782486A CN201010278248A CN102397091A CN 102397091 A CN102397091 A CN 102397091A CN 2010102782486 A CN2010102782486 A CN 2010102782486A CN 201010278248 A CN201010278248 A CN 201010278248A CN 102397091 A CN102397091 A CN 102397091A
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minimally invasive
end
portion
push tube
link
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CN2010102782486A
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Chinese (zh)
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CN102397091B (en
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王鹏
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王鹏
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Abstract

The invention discloses an exquisite pushing tube double-vision minimally invasive surgery instrument. The exquisite pushing tube double-vision minimally invasive surgery instrument comprises an execution mechanism, a long rod, a holding mechanism, a middle connection piece, a pushing tube, and a connecting rod operation mechanism; the execution mechanism comprises two movable parts which are used for realizing the specified closing or opening operation; a first end of the long rod is fixedly connected with the execution mechanism; the holding mechanism is held by a human hand to produce initial power and is provided with a first holding part and a second holding part; the middle connection piece is hinged with the first holding part and the second holding part respectively; the pushing tube is sleeved outside the long rod and a first end of the pushing tube is pressed against two movable parts; and the connecting rod operation mechanism is connected with a second end of the pushing tube and the holding mechanism respectively and is used for receiving the initial power so as to drive the execution mechanism to move.

Description

精巧型推管式双视微创手术器械 Jing Qiaoxing double push tube depends minimally invasive surgical instrument

技术领域 FIELD

[0001] 本发明涉及的是一种外科手术器械,特别适用于直视微创、双视微创和一孔双视免气腹腔镜手术中使用的手术器械。 [0001] The present invention relates to a surgical instrument, especially for minimally invasive direct vision, the dual-view and a minimally invasive aperture dual view Free gas surgical instrument for use in laparoscopic surgery.

背景技术 Background technique

[0002] 随着微创外科和微创外科新概念的发展,微创外科原理与技术的革新项目有了蓬勃发展。 [0002] With the development of minimally invasive surgery and minimally invasive surgery of new concepts, principles and techniques of minimally invasive surgery with innovative projects to flourish. 本作者在传统气腹腔镜的基础上经过长期的医学基础和临床实践的探索,相继研究成功的高新微创技术项目:直视微创手术,双视微创手术,一孔双视免气腹腹腔镜手术; 使微创手术成为“一孔”外科,具有免C02人工气腹、全麻,不需留置胃管、导尿管等优点,手术创伤更小,更安全,疗效更好,更加人性化,设备投资和医疗费用更低,适合我国国情。 After exploring the author's long-term basic and clinical medical practice based on the traditional gas laparoscopy on, one after another successful high-tech research projects minimally invasive technique: look minimally invasive surgery, minimally invasive surgery dual view, dual view a hole Gasless laparoscopic surgery; minimally invasive surgery to become "a hole" surgery, with a free C02 pneumoperitoneum, anesthesia, no indwelling gastric tube, catheter, etc., surgery less invasive, safer, better efficacy, more humane, less investment in equipment and medical costs, China's national conditions. 具有“钥匙孔”之称的微创外科手术,特别是“一孔”外科,具有小孔途径,术野深在,操作精细、 精准等特点,因此需要通过“一孔”途径的细长,精细灵巧,具有与其相适应的一系列专用手术器械,来完成这种高新微创手术技术并且达到手术的高效性和安全性。 Minimally invasive surgery having a "keyhole" said, in particular, "a hole" surgery, having apertures way, in deep surgical field, fine operation, accuracy and other characteristics, it is necessary by way of an elongated "a hole", fine dexterity, has a series of special surgical instrument adapted thereto, hi this is done minimally invasive surgical techniques and to achieve high efficiency and safety of surgery. 本器械的发明同手术原理与技巧同样重要。 The present invention is just as important as the surgical instrument principles and techniques. 是本作者多年研究微创外科的器械设备成果之一。 Appliances and equipment is one of the results of this minimally invasive surgery of years of research.

[0003] 鉴于上述诉求,本发明创作者根据其在该领域的深厚造诣经过多年的微创外科手术实践和研究终于获得本创作。 [0003] In view of the above demands, the creator of the invention according to its deep knowledge in the field of minimally invasive surgery after years of practice and research finally get this creation.

发明内容 SUMMARY

[0004] 本发明的目的在于,提供一种精巧型推管式双视微创手术器械,用以克服上述缺陷。 [0004] The object of the present invention is to provide a dual-view Jingqiao Xing push tube minimally invasive surgical instrument, to overcome the aforementioned drawbacks.

[0005] 为实现上述目的,本发明采用的技术方案在于,提供一种精巧型推管式双视微创手术器械,其特征在于,其包括: [0005] To achieve the above object, the present invention adopts the technical solution is to provide a dual-view Jingqiao Xing push tube minimally invasive surgical instrument, characterized in that it comprises:

[0006] 一执行机构,其包括:两个动部,用以实现指定的闭合或张开操作; [0006] an actuator, comprising: two movable portions, for closing or opening to achieve the specified operation;

[0007] —长杆,其第一端与所述的执行机构相固接; [0007] - the mast, a first end of the actuator is fixedly connected;

[0008] 一握持机构,其供人手握持产生初始动力,所述的握持机构具有第一握持部和第 [0008] a gripping mechanism, which generates an initial power for manual gripping, the gripping mechanism having a first and second gripping portions

二握持部; Two gripping portions;

[0009] 一中间连接件,其分别与所述的第一握持部和第二握持部相铰接; [0009] an intermediate connecting member, respectively with said first and second gripping portion gripping portion is hinged;

[0010] 一推管,其套设在所述的长杆外,且第一端顶靠在所述的两个动部上; [0010] a push tube, which is disposed in an outer sleeve of the mast, and the first end against the top of the two movable portions;

[0011] 一连杆操作机构,其分别连接所述推管的第二端和所述的握持机构,用以接收所述的初始动力进而驱动所述执行机构的动作。 [0011] a link operating mechanism, which are connected to the second end of the push tube and said gripping means for receiving said initial power turn drives the operation of the actuator mechanism.

[0012] 其中,所述的中间连接件具有一中空部,所述的长杆和所述推管穿过所述的中空部。 [0012] wherein said intermediate connecting member having a hollow portion, the hollow portion of the mast and passing through the push tube.

[0013] 其中,所述的连杆操作机构包括: [0013] wherein, said link operating mechanism comprising:

[0014] 一第一连杆,其第一端与所述的第一握持部相铰接; [0014] a first link having a first end connected to said first hinged gripping portion;

[0015] 一第二连杆,其第一端与所述的第二握持部相铰接; [0015] a second link having a first end and a second grip portion of the hinged;

[0016] 一定部,其具有一中空部,分别与所述的中间连接件以及所述的长杆的第二端相固接,所述的定部具有一滑槽; [0016] a certain portion having a hollow portion, said intermediate connecting member, respectively, and the second end of said fixed mast, said fixed portion having a sliding slot;

[0017] 一连接件,其在所述的滑槽内滑动,并与所述推管的第二端相固接,所述的第一连杆和第二连杆的第二端分别与所述的连接件的两翼相铰接,并且所述的第一连杆和第二连杆的第一端相较与推管呈轴对称。 [0017] a connecting member which slides within the chute, and with a second end of the push tube is fixedly connected to the second end of the first link and second link, respectively the the wings of said connecting member is hinged, and the first link and the first end of the second link was compared with the symmetry axis of the push tube.

[0018] 较佳的,还包括:一锁扣结构,其具有第一锁扣和第二锁扣,其中,所述的第一锁扣与所述的第一握持部相固连;所述的第二锁扣与所述的第二握持部相固连;所述的第一锁扣和第二锁扣相对侧设有至少一级锁齿。 [0018] Preferably, further comprising: a locking structure having a first latch and a second latch, wherein said first latch with said first grip portion fixedly connected; the the second gripping portion of said second latch to said phase secured; said first latch and a second latch opposite side is provided with at least one lock tooth.

[0019] 较佳的,还包括:一电凝接线柱,其设置在所述的第一握持部或第二握持部上。 [0019] Preferably, further comprising: a coagulation upper terminal, a first gripping portion disposed in said second or gripping portion.

[0020] 较佳的,所述的执行机构为环形横齿抓钳、无创细齿抓钳、无创逆齿抓钳、无创齿抓钳或输卵管抓钳。 [0020] Preferably, the actuator is an annular cross tooth grasping forceps, grasping forceps serrations noninvasive, non-invasive inverted tooth grasping forceps, grasping forceps or noninvasive teeth tubal grasping forceps.

[0021 ] 较佳的,所述的执行机构为双极电凝钳。 [0021] Preferably, the actuator is a bipolar coagulation forceps.

[0022] 与现有技术进行比较,本发明的有益效果在于,创新了一种精准、灵巧型微创外科手术操作器械用连杆动作机构,而且为本产品清洗、干燥和保养提供了方便,使本产品使用的可靠性和使用寿命得到保证。 [0022] comparison with the prior art, the beneficial effects of the present invention is that a precise innovation, smart type with a minimally invasive surgical operation instrument link motion mechanism, and this product was washed, dried and maintenance provides a convenient, reliability and service life of this product is guaranteed.

附图说明 BRIEF DESCRIPTION

[0023] 图IA为本发明精巧型推管式双视微创手术器械较佳实施例一的结构示意图; [0023] FIG IA Jing Qiaoxing double push tube depends minimally invasive surgical instrument schematic structural diagram of a preferred embodiment of the present invention;

[0024] 图IB为本发明精巧型推管式双视微创手术器械较佳实施例二的结构示意图; [0024] FIG IB Jing Qiaoxing push tube type dual-view structure diagram of minimally invasive surgical instrument according to a second preferred embodiment of the present invention;

[0025] 图2为本发明精巧型推管式双视微创手术器械中定部的结构示意图; [0025] FIG. 2 is a schematic view of a minimally invasive surgical instrument in view of a given portion of the double tube push Jing Qiaoxing invention;

[0026] 图3为本发明精巧型推管式双视微创手术器械中连接件工作状态的结构示意图。 Schematic structural diagram of minimally invasive surgical instrument in the operating state of the connector the push tube Jing Qiaoxing dual view [0026] FIG. 3 of the present invention.

[0027] 图4A-图9A本发明精巧型推管式双视微创手术器械较佳实施例中执行机构的结构示意图; [0027] FIG. 4A- FIG. 9A Jing Qiaoxing present invention, the push tube minimally invasive surgical instrument dual-view structure diagram of the preferred embodiment of the actuator embodiment;

[0028] 图4B-图9B本发明精巧型推管式双视微创手术器械较佳实施例中执行机构的动部侧视结构示意图。 [0028] FIG. 4B- FIG. 9B Jing Qiaoxing present invention, the push tube minimally invasive surgical instrument dual-view schematic side view of the structure of the movable portion of the preferred embodiment of the actuator embodiment.

[0029] 图9C为本发明精巧型推管式双视微创手术器械较佳实施例中执行机构为双极电凝钳钳芯结构示意图。 [0029] FIG. 9C of the present Jingqiao Xing double push tube depends minimally invasive surgical instrument preferred embodiment the actuator is a schematic view of a bipolar coagulation forceps jaw structure of the core embodiment of the invention.

具体实施方式 Detailed ways

[0030] 以下结合附图,对本发明上述的和另外的技术特征和优点作更详细的说明。 [0030] conjunction with the drawings, the above and other features and advantages of the present invention will be described in more detail.

[0031] 请参阅图IA所示,其为本发明精巧型推管式双视微创手术器械较佳实施例一的结构示意图。 [0031] Referring to FIG IA, the push tube which Jingqiao Xing minimally invasive surgical instrument dual view schematic structural diagram of a preferred embodiment of the present invention. 所述的精巧型推管式双视微创手术器械包括: Said tubular push Jing Qiaoxing dual view minimally invasive surgical instrument comprising:

[0032] 一执行机构,其包括:两个动部11、12,用以实现指定的闭合或张开操作; [0032] an actuator, comprising: two movable portions 11, 12 to achieve the specified opening or closing operations;

[0033] 一长杆4,其第一端与所述的执行机构相固接; [0033] a pole 4, with said first end fixedly connected actuator;

[0034] 一握持机构,其供人手握持产生初始动力,所述的握持机构具有第一握持部21和第二握持部22 ; [0034] a gripping mechanism, which generates an initial power for manual gripping, the gripping mechanism having a first holding portion 21 and the second gripping portion 22;

[0035] 一中间连接件5,其分别与所述的第一握持部21和第二握持部22相铰接; [0035] an intermediate connecting member 5, respectively 21 and 22 articulated with the second grip portion of the first grip portion;

[0036] 一推管33,其套设在所述的长杆4外,且第一端顶靠在所述的两个动部11、12结合的根部上; Mast [0036] a push tube 33, which is disposed in the sleeve 4, the top and the first end against the root of the two movable portions 11, 12 of the binding;

[0037] —连杆操作机构,其分别连接所述推管33的第二端和所述的握持机构,用以接收 [0037] - the link operating mechanism, which are connected to a second end of the tube 33 and the push said gripping means for receiving

4所述的初始动力进而驱动所述执行机构的动作。 The initial power turn drives 4 according to the operation execution mechanism.

[0038] 其中,所述的中间连接件5具有一中空部,所述的长杆4和所述推管33穿过所述的中空部;由于所述的推管33、长杆4可以和所述的定部34拆解,因此不需要清洗件,这是本发明的一个特点。 [0038] wherein said intermediate connecting member having a hollow portion 5, the mast 4 and the hollow portion 33 through the push tube; as the push tube 33, and the mast 4 can be the dismantling of the fixed portion 34, and therefore no cleaning member, which is a feature of the present invention.

[0039] 其中,所述的连杆操作机构包括: [0039] wherein, said link operating mechanism comprising:

[0040] 一第一连杆31,其第一端与所述的第一握持部21相铰接; [0040] a first link 31 having a first end 21 and a grip portion of said first hinge;

[0041] 一第二连杆32,其第一端与所述的第二握持部22相铰接; [0041] a second link 32 having a first end and a second grip portion 22 of the hinge;

[0042] 一定部34,请参阅图2所示,其为本发明精巧型推管式双视微创手术器械中定部的结构示意图;其具有一中空部,分别与所述的中间连接件5以及所述的长杆4的第二端相固接,所述的定部具有一滑槽341 ; [0042] a certain portion 34, see FIG. 2, which is a schematic view Jingqiao Xing push tube structure in a minimally invasive surgical instrument dual view portions of the present invention; having a hollow portion connected to said intermediate member 5 and a second end of said mast 4 is fixed, said fixed portion having a sliding slot 341;

[0043] 一连接件35,请参阅图3所示,其为本发明精巧型推管式双视微创手术器械中连接件工作状态的结构示意图;其在所述的滑槽341内滑动,并与所述推管33的第二端相固接,所述的第一连杆31和第二连杆32的第二端分别与所述的连接件35的两翼相铰接,并且所述的第一连杆31和第二连杆32的第一端相较与推管33呈轴对称。 [0043] a connecting member 35, see FIG. 3, a schematic structural diagram of the minimally invasive surgical instrument connector dual view the operating state of the push tube which Jing Qiaoxing present invention; sliding within the chute 341, and the push tube 33 is fixed to a second end, said first end of the second link 31 and the wings 32 are respectively connected to the second link member 35 relative to the hinge, and said the first link 31 and the second link and the first end 32 of push tube 33 as compared axisymmetric.

[0044] 为便于手术中锁定器械的功能状态,还包括:一锁扣结构,其具有第一锁扣41和第二锁扣42,其中,所述的第一锁扣41与所述的第一握持部21相固连;所述的第二锁扣42 与所述的第二握持部22相固连;所述的第一锁扣41和第二锁扣42相对侧设有至少一级锁齿,这种锁齿一般有3〜4级,便于手术中医师用于不同的锁紧状态。 [0044] In order to facilitate functional state locking surgical instrument further comprising: a locking structure having a first latch 42 and second latch 41, wherein said first and said second catch 41 a grip portion 21 fixedly connected; said second grip portion 42 and the second catch 22 fixedly connected; said first latch 42 and second latch 41 opposite the side provided with at least a lock tooth, the lock teeth generally have 3 to 4 stages, to facilitate the surgical practitioners different locked state.

[0045] 请参阅图IB所示,其为本发明精巧型推管式双视微创手术器械较佳实施例二的结构示意图。 [0045] Referring to FIG IB, which Jing Qiaoxing push tube type dual-view structure diagram of minimally invasive surgical instrument according to a second preferred embodiment of the present invention. 与上述实施例一相比,本实施例去掉了第一锁扣41和第二锁扣42,添加了双极电凝接线柱111、121,用以连接高频电刀,以实现术中的电凝和电切操作,其中所述的双极电凝接线柱111连通动部11,双极电凝接线柱121连通12动部。 A comparison with the above embodiment, the present embodiment removes the first latch 42 and second latch 41, a bipolar coagulation added terminal 111, 121 for connecting the high-frequency electric knife in order to achieve surgery coagulation and transurethral operation, wherein said bipolar coagulation movable portion 11 communicating terminal 111, terminal 121 communicates bipolar coagulation movable portion 12.

[0046] 请参阅图4A-图8A所示,其分别为本发明精巧型推管式双视微创手术器械较佳实施例中执行机构的结构示意图;同时参阅图4B-图8B所示,其分别为本发明精巧型推管式双视微创手术器械较佳实施例中执行机构的动部侧视结构示意图。 [0046] FIG. 4A- see FIG. FIG. 8A, respectively, the push tube Jingqiao Xing dual-view structure diagram of minimally invasive surgical instrument actuator embodiment of the present invention, the preferred embodiment; FIG. Referring to FIG 4B- FIG. 8B, Jing Qiaoxing double push tube which depends minimally invasive surgical instrument schematic side view of the movable portion of the actuator structure of the preferred embodiment of the present invention, respectively. 其中A、B表示是相互对应的,其依次对应的执行机构为环形横齿抓钳、无创细齿抓钳、无创逆齿抓钳、无创齿抓钳以及输卵管抓钳。 Wherein A, B is represented by correspond to each other, which in turn corresponds to a cross-actuator is an annular tooth grasping forceps, grasping forceps serrations noninvasive, non-invasive inverted tooth grasping forceps, grasping forceps noninvasive tubal tooth forceps. 同时当对于实施例二而言,由于增加了双极电凝接线柱111、121,则相应的执行机构为双极电凝钳,此时所述的双极电凝钳执行机构的结构示意图如图9A,执行机构的动部侧视结构示意图如图9B,双钳芯结构示意图如图9C所示。 For the same time when the second embodiment, since the increase bipolar coagulation terminals 111 and 121, the corresponding actuator structure bipolar coagulation forceps bipolar coagulation forceps actuator at this time is a schematic, such as 9A, the movable portion of the actuator structure schematic side view in Figure 9B, a schematic view of the double clamp core structure shown in Figure 9C.

[0047] 以上说明对本发明而言只是说明性的,而非限制性的,本领域普通技术人员理解, 在不脱离以下所附权利要求所限定的精神和范围的情况下,可做出许多修改,变化,或等效,但都将落入本发明的保护范围内。 [0047] For the present invention described above is illustrative only, and not restrictive, those of ordinary skill in the art understand, without departing from the following claims as defined by the appended spirit and scope, many modifications may be made , change, or equivalent, but will fall within the scope of the present invention.

Claims (7)

1. 一种精巧型推管式双视微创手术器械,其特征在于,其包括:一执行机构,其包括:两个动部,用以实现指定的闭合或张开操作;一长杆,其第一端与所述的执行机构相固接;一握持机构,其供人手握持产生初始动力,所述的握持机构具有第一握持部和第二握持部;一中间连接件,其分别与所述的第一握持部和第二握持部相铰接;一推管,其套设在所述的长杆外,且第一端顶靠在所述的两个动部上;一连杆操作机构,其分别连接所述推管的第二端和所述的握持机构,用以接收所述的初始动力进而驱动所述执行机构的动作。 A dual view Jingqiao Xing push tube minimally invasive surgical instrument, characterized in that it comprises: an actuator, comprising: two movable portions, for closing or opening to achieve the specified operation; a mast, a first end of the actuator is fixedly connected; a gripping mechanism for manual grasping produce an initial power, the gripping mechanism having a first gripping portion and a second gripping portion; an intermediate connector member, which are respectively hinged with said first holding portion and a second gripping portion; a push tube, which is disposed in an outer sleeve of the mast, and a first end abutting against said two movable upper portion; a link operating mechanism, which are connected to the second end of the push tube and said gripping means for receiving said initial power turn drives the operation of the actuator mechanism.
2.根据权利要求1所述的精巧型推管式双视微创手术器械,其特征在于,所述的中间连接件具有一中空部,所述的长杆和所述推管穿过所述的中空部。 The Jing Qiaoxing push tube according to claim 1 double-vision minimally invasive surgical instrument, characterized in that said intermediate connecting member having a hollow portion, the push and the mast tube passes through the the hollow portion.
3.根据权利要求1或2所述的精巧型推管式双视微创手术器械,其特征在于,所述的连杆操作机构包括:一第一连杆,其第一端与所述的第一握持部相铰接;一第二连杆,其第一端与所述的第二握持部相铰接;一定部,其具有一中空部,分别与所述的中间连接件以及所述的长杆的第二端相固接, 所述的定部具有一滑槽;一连接件,其在所述的滑槽内滑动,并与所述推管的第二端相固接,所述的第一连杆和第二连杆的第二端分别与所述的连接件的两翼相铰接,并且所述的第一连杆和第二连杆的第一端相较与推管呈轴对称。 The push tube Jing Qiaoxing claim 1 or claim 2 double-vision minimally invasive surgical instrument, characterized in that the link operating mechanism comprising: a first link having a first end with said the first gripping portion is hinged; a second link having a first end and a second grip portion of the hinged; certain portion having a hollow portion, said intermediate connecting member, respectively, and the a second end fixed to the mast, said fixed portion having a sliding slot; a connecting member which slides within the chute, and with a second end of the push tube fixed, the the first link and a second end of said second link of said wings respectively hinged connection of the first link and the second link and the first end of the push tube was compared Axisymmetric.
4.根据权利要求3所述的精巧型推管式双视微创手术器械,其特征在于,还包括:一锁扣结构,其具有第一锁扣和第二锁扣,其中,所述的第一锁扣与所述的第一握持部相固连; 所述的第二锁扣与所述的第二握持部相固连;所述的第一锁扣和第二锁扣相对侧设有至少一级锁齿。 The Jing Qiaoxing push tube according to claim 3 double-vision minimally invasive surgical instrument, characterized by further comprising: a locking structure having a first latch and a second latch, wherein said a first latch with said first grip portion fixedly connected; said second grip portion and said second latch fixedly connected; said first latch and a second latch relative at least one side is provided with locking teeth.
5.根据权利要求3所述的精巧型推管式双视微创手术器械,其特征在于,还包括:一电凝接线柱,其设置在所述的第一握持部或第二握持部上。 The Jing Qiaoxing push tube according to claim 3 double-vision minimally invasive surgical instrument, characterized by further comprising: a coagulation terminal, a first gripping portion disposed in said second or gripping the department.
6.根据权利要求3所述的精巧型推管式双视微创手术器械,其特征在于,所述的执行机构为环形横齿抓钳、无创细齿抓钳、无创逆齿抓钳、无创齿抓钳或输卵管抓钳。 The Jing Qiaoxing push tube according to claim 3 double-vision minimally invasive surgical instrument, wherein said actuator is an annular cross tooth grasping forceps, grasping forceps serrations noninvasive, non-invasive inverted tooth grasping forceps, noninvasive or tubal tooth grasping forceps grasping forceps.
7.根据权利要求5所述的精巧型推管式双视微创手术器械,其特征在于,所述的执行机构为双极电凝钳。 The Jing Qiaoxing push tube according to claim 5 dual view minimally invasive surgical instrument, wherein said actuator is a bipolar coagulation forceps.
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