CN104688289B - 将手术装置与手术附加装置相互连接的接合器组件及其手术系统 - Google Patents

将手术装置与手术附加装置相互连接的接合器组件及其手术系统 Download PDF

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CN104688289B
CN104688289B CN201410734905.1A CN201410734905A CN104688289B CN 104688289 B CN104688289 B CN 104688289B CN 201410734905 A CN201410734905 A CN 201410734905A CN 104688289 B CN104688289 B CN 104688289B
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迈克尔·英曼松
马修·乔瓦尼奇
拉米罗·卡夫雷拉
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Abstract

本发明提供了将手术装置与手术附加装置相互连接的接合器组件及其手术系统。接合器组件选择性地将手术装置与构造为执行至少一种功能的手术附加装置相互连接。所述接合器组件包括近侧端，该近侧端包括至少一个配合件，该配合件适于可拆卸地连接到手术装置并且构造为容许接合器组件至少在第一连接方位和第二连接方位上联接到手术装置。本发明还公开了装配机电式手术系统的方法。

Description

将手术装置与手术附加装置相互连接的接合器组件及其手术 系统
相关申请的交叉引用
本申请要求于2013年12月4日提交的序列号为61/911,774的美国临时专利申请的权益及优先权，将其全部公开以引用方式并入本申请。
技术领域
本公开涉及用于手术系统的接合器组件。更具体地，本公开涉及用于与机电式手术装置一起使用从而将机电式手术装置与手术附加装置(例如，手术装载单元)相互电连接以及相互机械连接的接合器组件。还描述了包括手持式机电式手术装置以及用于将手术装载单元连接到手持式机电式手术装置的接合器组件的手术系统。
背景技术
许多手术装置制造商已经开发了具有用于操作和/或操纵机电式手术装置的专有驱动系统的生产线。在许多情况下，机电式手术装置包括可重复使用的手柄组件，以及可置换装载单元和/或单次使用装载单元。所述装载单元在使用前选择性地连接到手柄组件并且随后在使用后从手柄组件分离以便丢弃或者在有些情况下经消毒后重复使用。
在某些情况下，接合器组件用于使机电式手术装置与诸如手术装载单元的许多手术附加装置中的任何一个手术附加装置相互连接，从而在二者之间建立机械连接和/或电连接。然而，目前，机电式手术装置限于只在一个连接方位上与接合器组件连接，这限制了手术装置的多功能性以及使用的舒适性。例如，如果医生相对于他或她的手颠倒了手术装置的方位，则用于致动手术附加装置的功能的致动器也会相对于医生的手颠倒，使医生不熟悉手术装置的操作。
进一步地，手术装置通常包括用于驱动手术附加装置的不同零件的功能的若干个马达。每个零件都需要特定量的转矩、速度和/或运转时间，这导致每个马达的使用寿命不一致。同样地，如果特定的马达发生故障，由该马达驱动的手术附加装置的具体的功能将变得不可用。
因此，需要一种在多于一个的连接方位上能够连接到手术装置和/或手术附加装置的接合器组件，从而能够提供克服现有技术的至少上述缺陷的机电式手术系统。
发明内容
在一个方案中，本公开涉及用于与机电式手术装置一起使用从而使机电式手术装置与手术附加装置相互电连接以及机械连接的接合器组件。在另一方案中，本公开涉及包括手持式机电式手术装置以及用于将手术附加装置连接到手持式机电式手术装置的接合器组件的手术系统。
根据本公开的一个方案，提供有用于选择性地使手术装置与手术附加装置相互连接的接合器组件。在实施例中，接合器组件具有包括适于可拆卸地连接到手术装置的至少一个配合件的近侧端。至少一个配合件可以被构造为容许接合器组件在至少第一连接方位和第二连接方位上联接到手术装置。
在实施例中，至少一个配合件包括以对称的构造排列的多个配合件。在实施例中，接合器组件被构造为判定与手术装置的连接方位。接合器组件可以被构造为当连接方位在第一连接方位和第二连接方位之间移动时相互交换由手术装置致动的功能。
在实施例中，接合器组件被构造为当连接方位在第一连接方位和第二连接方位之间轮换时颠倒由手术装置的至少两个致动器致动的功能。
在实施例中，至少一个配合件包括电连接件，该电连接件适于连接到手术装置的电连接件，使至少一个配合件的电连接件判定接合器组件与手术装置之间的连接方位。
根据本公开的另一个方案，提供有机电式手术系统。在实施例中，该机电式手术系统包括构造为致动手术附加装置的手持式机电式手术装置。手术装置可以包括壳体以及与壳体一起布置的用于驱动手术附加装置的移动的至少一个马达。接合器组件可以选择性地使手术装置与手术附加装置相互连接。在实施例中，接合器组件与至少一个马达可操作地连通。接合器组件可以包括适于与手术装置和手术附加装置中的至少一个可拆卸连接的至少一个配合件。在实施例中，所述至少一个配合件被构造为容许接合器组件在至少第一连接方位和第二连接方位上联接到手术装置。
在实施例中，手术装置包括第一致动器和第二致动器。致动器可以被构造为致动手术附加装置的不同的功能。在实施例中，在第一连接方位上，第一致动器致动手术附加装置的第一功能，并且第二致动器致动手术附加装置的第二功能。在第二连接方位上，第一致动器可以致动第二功能，并且第二致动器可以致动第一功能。在实施例中，第一致动器和第二致动器包括用户输入按钮。
在实施例中，至少一个马达可以包括适于连接到接合器组件的第一驱动轴用于执行手术附加装置的第一功能的第一马达。至少一个马达可以进一步包括适于连接到接合器组件的第二驱动轴用于执行手术附加装置的第二功能的第二马达。在实施例中，在第一连接方位上，第一马达与第一驱动轴联接，并且第二马达与第二驱动轴联接。在第二连接方位上，第一马达与第二驱动轴联接，并且第二马达与第一驱动轴联接。
在实施例中，接合器组件与手术装置可在多个方位上连接。当手术附加装置被致动时，多个方位中的每一个方位可以对应手术附加装置的不同的运动速率。
在实施例中，接合器组件被构造为当连接方位在第一连接方位和第二连接方位之间移动时相互交换由手术装置致动的功能。在实施例中，接合器组件被构造为当连接方位在第一连接方位与第二连接方位之间轮换时颠倒由手术装置的至少两个致动器致动的功能。
在实施例中，接合器组件被构造为判定与手术装置的连接。至少一个配合件可以包括电连接件接合器，该电连接件接合器用于连接到手术装置的电连接件，从而使接合器组件的电连接件可以判定与手术装置的连接方位。
根据本公开的另一个方案，提供一种装配机电式手术系统的方法。在实施例中，该方法包括提供手术附加装置。还提供了被构造为致动手术附加装置的手持式机电式手术装置。在实施例中，手术装置包括：壳体，该壳体包括第一致动器和第二致动器；以及与壳体一起布置用于驱动手术附加装置的移动的至少一个马达。在实施例中，提供有接合器组件。该接合器组件可以包括构造为容许接合器组件在第一连接方位和第二连接方位的其中一个上联接到手术装置的至少一个配合件。手术装置可以通过接合器组件在已选择的第一和第二连接方位中的一个连接方位上与手术附加装置连接。
在实施例中，装配机电式手术系统的方法进一步包括：当接合器组件在第一连接方位和第二连接方位中的另一个连接方位上连接到手术装置时，颠倒由致动器致动的功能。
在实施例中，手术装置和手术附加装置适于通过接合器组件在多个连接方位上连接。多个连接方位中的每一个连接方位可以对应手术附加装置的不同的运动速率，从而使手术附加装置的运动速率通过连接方位的调整而可调整。
附图说明
在此参照附图描述本公开的实施例，其中：
图1A为根据本公开实施例的机电式手术系统的立体图，其中接合器组件在第一连接方位上与手术装置连接；
图1B为在图1A中示出的系统的立体图，其中，接合器组件在第二连接方位上与手术装置连接；
图2为在图1A和图1B中示出的系统在分离构造下的接合器组件与手术装置的前侧立体图；
图3为在图1A、图1B以及图2中示出的系统的接合器组件的后侧立体图；以及
图4为在图1A和图1B中示出的系统的手术附加装置的部件分解的立体图。
具体实施方式
参照附图详细描述当前公开的手术装置、接合器组件、以及手术附加装置的实施例，其中在多个视图的每一个中，相同的附图标记指定相同或对应的元件。如此处所使用的术语“远侧”指的是接合器组件或者手术装置的较远离使用者的部分或者其部件，术语“近侧”指的是接合器组件或者手术装置的较靠近使用者的部分或者其部件。
根据本公开的实施例，手术装置被总体指定为100，并且是动力驱动的手持式机电式手术装置的形式，该动力驱动的手持式机电式手术装置构造为用于将多个不同的末端执行器选择性附接至其上。末端执行器可以是多种手术附加装置中的任何一种，包括但不限于手术吻合器、手术切割器、手术吻合器-切割器、线性手术吻合器、线性手术吻合器-切割器、圆形手术吻合器、圆形手术吻合器-切割器、手术施夹器、手术夹绷带(surgical clipligator)、手术夹紧装置、脉管扩张装置、管腔扩张装置、解剖刀、流体输送装置或者任何其他类型的手术器械。这些手术附加装置中的每一个被构造为由动力驱动的手持式机电式手术装置来致动和操纵。
如在图1A和图1B中示出的，提供有一种手术系统，例如机电式手术系统10。系统10包括构造为用于与接合器组件200选择性连接的手持式机电式手术装置100，并且依次地，接合器组件200被构造为用于与构造为执行至少一种功能的手术附加装置300(例如，末端执行器、多次使用装载单元或者单次使用装载单元，参见图4)选择性连接。手术装置100被构造并适用于致动手术附加装置300。如此处所描述的，接合器组件200在至少如在例如图1A中示出的第一连接方位以及在例如图1B中示出的第二连接方位上能与手术装置100连接。
如在图1A和图1B中示出的，手术装置100包括壳体，例如，包括位于其中的电路板(未示出)和驱动机构(未示出)的手柄壳体102。电路板构造为控制手术装置100的多种操作。手柄壳体102在其中限定有空腔(未示出)，该空腔用于在其中选择性的可拆卸地收纳可再充电的电池(未示出)。电池构造为向手术器械100的包括用于驱动手术附加装置300的操作的马达在内的任何电动部件提供电力。
手柄壳体102包括容纳手术装置100的各种部件的上壳体部102a，以及从上壳体部102a延伸的下手握部102b。下手握部102b可以布置在上壳体部102a的最近侧端的远侧。在一些实施例中，下手握部102b具有多种表面特征，例如，压花的、光滑的、粗糙的和/或网纹的，以便加强从业者对下手握部102b的掌握。
手柄壳体102提供安置驱动机构的壳体。驱动机构被构造为驱动轴和/齿轮部件以执行手术装置100的多种操作。特别地，驱动机构被构造为驱动轴和/或齿轮部件以相对于手术附加装置300的近侧主体部302选择性地移动手术附加装置300(参见图4)的工具组件304，从而使手术附加装置300相对于手柄壳体102关于纵轴线旋转，使手术附加装置300的砧座组件306和钉仓组件308相对于彼此移动/靠近，和/或发射在手术附加装置300的钉仓组件308内的吻合与切割钉仓。
如在图2中示出的，手柄壳体102包括形成在其表面中的凹槽104，该凹槽限定构造为在多个方位上(例如第一连接方位以及第二连接方位)接受接合器组件200的对应地定形的阳配件210的阴配件，例如连接部108。连接部108包括平面110以及大致圆形的构造。在一些实施例中，连接部108具有构造为用于与接合器组件200的对应地定形的阳配件210匹配接合的替换构造，例如，卵形、椭圆形、三角形、正方形、矩形、六边形、多边形或星形。
连接部108容纳从平面110突出的三个可旋转驱动连接件118、120、122。可旋转驱动连接件118、120、122彼此布置在共同的平面或直线“A1-A1”上，使可旋转驱动连接件118、120、122排列为对称的构造。另外，在图2和图3中示出的实施例中，可以预期，第二驱动连接件120和第三驱动连接件122可以与第一驱动连接件118等距离地隔开。
在一个实施例中，可旋转驱动连接件118、120、122可以布置为圆形样式。可以预期，可旋转驱动连接件118、120、122可以布置为多种构造，例如，在上下文中对此处描述的替换构造。在一些实施例中，连接部108可以容纳多于三个可旋转驱动连接件。
连接部108的平面110进一步包括：第一电连接件，例如，第一电插头/插座130；以及第二电连接件，例如，第二电插头/插座132，第一电连接件和第二电连接件各自布置在与可旋转驱动轴118、120、122相交的平面“A1-A1”的相对侧。电插头/插座130、132被构造为用于根据接合器组件200相对于手术装置100的方位与接合器组件200的第一套电接触销230或者第二套电接触销232电连接。如将在下文对此处更加详细描述的，接触销套件230、232可以支撑在电路板(未示出)上。电插头130、132可以关于第一驱动连接件118沿着平面“B1-B1”对称地隔开。可以预期，连接部108可以包括多于两个电插头。在一些实施例中，连接部108可以包括关于可旋转驱动连接件118、120、122在周向上布置的多个电插头/插座。
手术装置100包括图2中的虚线所示的第一马达140、第二马达142以及第三马达144(例如，电动马达(electric motor))。马达140、142、144布置在手柄壳体102内，用于通过连接到可旋转驱动连接件118、120、122的接合器组件200来驱动手术附加装置300的移动。马达140、142、144被分别连接到可旋转驱动连接件118、120、122，使每个马达140、142、144单独地驱动每个可旋转驱动连接件118、120、122的旋转。
如在图1A、图1B和图2中示出的，手柄壳体102支撑多个致动器，例如，手指致动的用户输入按钮，其各自构造为致动由手术附加装置300执行的不同的功能。致动器与马达140、142、144可操作的机械连通和/或电连通，使当用户致动其中致动器中的一个时，马达140、142、144中对应的一个被起动，并且依次致动由分配到该正在致动的特定的致动器的手术附加装置300所执行的功能。
第一致动器，例如，第一用户输入按钮150被布置在下手握部102b的第一侧面112，并且第二致动器，例如，第二用户输入按钮152被布置在下手握部102b的与第一侧面112相对的第二侧面114。第三致动器，例如，第三用户输入按钮154被布置在下手握部102b的远侧面116。第一用户输入按钮150被构造为致动第一功能，例如，手术附加装置300的夹紧和松开。第二用户输入按钮152被构造为致动第二功能，例如，手术附加装置300的旋转。第三用户输入按钮154被构造为致动第三功能，例如，手术附加装置300的闭合/打开和/或吻合/切割功能。在一些实施例中，用户输入按钮150、152、154被分配为致动将由不同的手术附加装置实施的不同的功能。可以预想，致动器可以有各种构造，例如，像开关、摇杆、拨片、锁定件或者杠杆。在一些实施例中，手术装置100包括位于手柄壳体102的各部位的多个致动器。
如此处描述的，当接合器组件200与手术装置100配合时，在第一连接方位上，手术装置100的每个可旋转驱动连接件118、120、122与接合器组件200的对应的驱动轴218、220、222联接。在这点上，对应的第一驱动连接件118与第一驱动轴218之间的接触面、对应的第二驱动连接件120与第二驱动轴220之间的接触面以及对应的第三驱动连接件122与第三驱动轴222之间的接触面被锁住，以使手术装置100的每个驱动连接件118、120、122的旋转引起接合器组件200的对应的驱动轴218、220、222的对应的旋转。
手术装置100的驱动连接件118、120、122与接合器组件200的驱动轴218、220、222的配合使旋转力通过三个对应的连接器接触面中的每一个独立地传输。手术装置100的驱动连接件118、120、122被构造为被手术装置100的每个对应的马达140、142、144独立地旋转。
由于手术装置100的每个驱动连接件118、120、122与接合器组件200的对应的驱动轴218、220、222之间具有锁住和/或基本无法旋转的接触面，当接合器组件200在第一连接方位上联接到手术装置100时，旋转力被选择性地从手术装置100的驱动连接件118、120、122向接合器组件200的对应的驱动轴218、220、222传递。
手术装置100的驱动连接件118、120和/或122的选择性的旋转使手术装置100选择性地致动手术附加装置300的不同功能。例如，手术装置100的第一驱动连接件118的选择性的且独立的旋转对应于手术附加装置300的工具组件304的选择性的和独立的打开和闭合，并且对应手术附加装置300的工具组件304的吻合/切割部件的驱动。如一个附加的例子，手术装置100的第二驱动连接件120的选择性的且独立的旋转对应于手术附加装置300的工具组件304的横向于纵轴线“X-X”(参见图1A)的选择性的且独立的关节式运动。另外，例如，手术装置100的第三驱动连接件122的选择性的且独立的旋转对应于手术附加装置300的关于纵轴线“X-X”(参见图1A)相对于手术装置100的手柄壳体102的选择性的且独立的旋转。
转到图2和图3，如前文简述的，系统10包括用于选择性地将手术装置100与手术附加装置300相互连接的接合器组件200。当接合器组件200联接到手术装置100时，接合器组件200与手术装置100的马达140、142、144可操作连通。接合器组件200起到传输马达140、142、144的旋转从而驱动将由手术附加装置300实施的功能的作用。接合器组件200包括外旋钮壳体202和从旋钮壳体202的远侧端242延伸的外管206。旋钮壳体202和外管206被构造和设定尺寸为容纳接合器组件200的部件。外管206被设定尺寸用于内窥镜插入。特别地，外管206可供通过典型的套管针接口、插管或类似物。旋钮壳体202定尺寸为不会进入套管针接口、插管或类似物。旋钮壳体202构造并适于连接到手术装置100的手柄壳体102的远侧端。
接合器组件200包括布置在旋钮壳体202内的近侧内壳体组件204。近侧内壳体204限定了近侧端204a以及远侧端204b。近侧端204a包括配合件，例如，阳配件210。阳配件210能与手术装置100的连接部108可拆卸地连接，从而使手术装置100与手术附加装置300能通过接合器组件200连接。
阳配件210被构造为使接合器组件200在至少第一连接方位和第二连接方位上联接到手术装置100。在一个实施例中，内壳体组件204的远侧端204b能以与接合器组件200和手术装置100的联接相似的方式与手术附加装置300的对应的配合件(未示出)可拆卸地连接。阳配件210从旋钮壳体202的近侧端204a突出。阳配件210具有大致圆形的构造，该大致圆形的构造定形为并构造为适合手术装置100的连接部108，从而使阳配件210以及连接部108能相对于彼此在不同的连接方位上连接。
例如，接合器组件200的阳配件210可以与手术装置100的连接部108在相对于连接部108的第一径向方位或者第二径向方位上连接。手术装置100与接合器组件20关于纵轴线“X-X”相对地旋转大约180°从而定位在第一径向方位或者第二径向方位上。在一些实施例中，阳配件210多种地定形，例如，三角形、卵形、正方形、矩形、菱形或者星形。
阳配件210包括多个配合件，例如，可旋转地支撑在内壳体组件204中的第一驱动轴218、第二驱动轴220以及第三驱动轴222。驱动轴218、220、222彼此布置在共同的平面或直线“A2-A2”上，从而使驱动轴218、220、222以对称的构造排列。另外，在图2和图3示出的实施例中，可以预期，第二驱动轴220和第三驱动轴222可以与第一驱动轴218等距离地隔开。
驱动轴218、220、222的近侧端各自限定了构造为与手术装置100的可旋转驱动连接件118、120、122的远侧突起匹配接合的凹槽。如在示出的实施例中示出的，驱动轴218、220、222的凹槽和可旋转驱动连接件118、120、122的远侧突起具有非圆形构造。在一些实施例中，可以预测凹槽与远侧突起的多种构造，例如，三角形、正方形、矩形、卵形、锥形、椭圆形、星形、菜豆形、多边形和/或非圆形。每个驱动轴218、220、222作为旋转接收构件起作用，从而在马达140、142、144的致动过程中接收来自手术装置100的对应的可旋转驱动连接件118、120、122的旋转力。
接合器组件200的驱动轴218、220、222能通过手术装置100的可旋转驱动连接件118、120、122分别可与马达140、142、144连接。在第一连接方位上，接合器组件200与手术装置100接合，使第一马达140与接合器组件200的第二驱动轴220联接并且第三马达144与接合器组件200的第三驱动轴222联接。在第二连接方位上，接合器组件200与手术装置100接合，使第二马达142与接合器组件200的第三驱动轴222联接并且第三马达144与接合器组件200的第二驱动轴220联接。为了从第一连接方位移动到第二连接方位，接合器组件200可以与手术装置100分离并且相对于手术装置100沿纵轴线“X-X”旋转大约180°，随后再连接到手术装置100。
在示出的实施例中，在第一连接方位和第二连接方位中的任一个上，由于驱动轴218、220、222的直线或者平面布置的结果，第一马达140与接合器组件200的第一驱动轴218联接。然而，在驱动轴218、220、222以替换样式，例如圆形样式，布置的替换实施例中，第二马达142会与不同的驱动轴在每一个连接方位上联接。
接合器组件200被构造为能够建立或者判定与手术装置100的连接方位。阳配件210包括根据选择的连接方位而能够与手术装置100的第一电插头130或者第二电插头132连接的电接触销套件230、232。电接触销套件230、232各自布置在与接合器组件200的驱动轴218、220、222相交的平面“A2-A2”的相对侧。电接触销套件230、232可以关于第一驱动轴218沿平面“B2-B2”对称地隔开。电接触销套件230、232能够基于每个电接触销套件230、232被连接到哪个电插头130、132来判定手术装置100与接合器组件200之间的连接方位。
例如，如果第一电插头130和第二电插头132分别连接到第一电接触销套件230和第二电接触销套件232，则接合器组件200可以根据预编程序来判定这符合第一连接方位。如果第一电插头130和第二电插头132分别连接到第二电接触销套件232和第一电接触销套件230，则接合器组件200可以根据预编程序来判定这符合第二连接方位。
每个用户输入按钮150、152、154根据由接合器组件200判定的连接方位而被分配为致动由手术附加装置300实施的特定的功能。因此，当手术装置100与接合器组件200的连接方位在第一和第二连接方位之间移动时，接合器组件200可以相互交换或者倒转由手术装置100的用户输入按钮150、152、154致动的功能。接合器组件200和/或手术装置100可以包括处理器，该处理器构造为根据接合器组件200识别或者判定的手术装置100与接合器组件200的连接方位来分配将要由特定的用户输入按钮150、152、154致动的功能。
在一些实施例中，当手术装置100的致动器被用户激活，软件检查预先限定的条件。如果符合条件，则软件控制马达并且向手术附加装置300传送机械的驱动，该手术附加装置300可以根据被按下的致动器的功能而随后打开、闭合、旋转、关节式运动或者发射。软件还通过以限定的方式打开或者关闭彩色的灯来指示手术装置100、接合器组件200和/或手术附加装置300的状态，以向用户提供反馈。
如在图4示出的，系统10进一步包括手术附加装置300。在示出的实施例中，手术附加装置300在连接到接合器组件200的外体206的近侧主体部302与远侧工具组件304之间延伸。如在图1A和图1B中示出的，近侧主体部302可以具有弓形的构造。可以预测，近侧主体部302被多样地构造，例如，直的、弯曲的、U形的或者V形的。手术附加装置300相对于外体206关于纵轴线“X-X”能旋转。工具组件304包括钉仓组件306和砧座组件308。钉仓组件306包括吻合与切割钉仓。钉仓组件306和砧座组件308能够相对于彼此枢转从而夹紧或者松开它们之间的材料，例如组织。
可以参考于2009年8月31日提交的题目为“用于手术吻合装置的工具组件(TOOLASSEMBLY FOR A SURGICAL STAPLING DEVICE)”、公布号为2009/0314821的美国专利获得如在图1A、图1B和图4中示出的手术附加装置300的构造以及操作的详细论述。
可以构想，手术附加装置300可以是不同于在图示的实施例中示出的手术附加装置的装置，例如，手术吻合器、手术切割器、手术吻合器-切割器、线性手术吻合器、线性手术吻合器-切割器、圆形手术吻合器、圆形手术吻合器-切割器、手术施夹器、手术夹绷带、手术夹紧装置、脉管扩张装置、管腔扩张装置、解剖刀、流体输送装置或者任何其他类型的手术器械。这样的手术器械在例如序列号为6,315,184、6,443,973、6,264,087、6,348,061、6,716,233、6,533,157、6,491,201以及6,488,197的美国专利中有描述，其中的任一个可以以参考的形式将其全部内容明确地并入此处。
在操作中，手术附加装置300的近侧主体部302被接合到接合器组件200的外管206的远侧端从而将手术附加装置300连接到接合器组件200。在一种布置中，当处于第一连接方位时，阳配件210被插入手术装置100的连接部108内，使手术装置100的可旋转驱动连接件118、120、122分别接合接合器组件200的驱动轴218、220、222。接合器组件200的第一电接触销套件230和第二电接触销套件232分别接合第一电插头130和第二电插头132，使手术附加装置300的外体206如在图1A中所示地相对于手术装置100向上成角度。这样，接合器组件200与手术装置100在第一连接方位上联接。
在另一种布置中，当处于第二连接方位上时，阳配件210被插入手术装置100的连接部108内，使手术装置100的可旋转驱动连接件118、120、122分别与接合器组件200的驱动轴218、220、222接合。接合器组件200的第一电接触销套件230和第二电接触销套件232分别接合第二电插头132和第一电插头130，使手术附加装置300的外体206如在图1B中地所示相对于手术装置100向下成角度。这样，接合器组件200与手术装置100在第二连接方位上联接。
当接合器组件200建立、判定或者识别其与手术装置100在第一连接方位上联接时，第一用户输入按钮150构造并适于致动手术附加装置300的夹紧功能，并且第二用户输入按钮152构造并适于致动手术附加装置300的松开功能。在第一连接方位上，当用户输入按钮150被致动时，工具组件304横向于纵轴线“X-X”进行关节式运动，而当用户输入按钮152被致动时，手术附加装置300相对于手术装置100的手柄壳体102关于纵轴线“X-X”旋转。
如在图1B中示出的，从业者可能更喜欢用户输入按钮150、152在手柄壳体102的下手握部102b上处于颠倒的方位，或者特定的手术操作需要手术装置100和/或手术附加装置300相对于从业者的手处于倒转的位置。在这样的情况下，优选地颠倒由用户输入按钮150、152致动的功能。系统10可以被预编程序或者改编程序，以便当手术装置100在第二连接方位上与接合器组件200联接时，使在第一连接方位上分配到用户输入按钮150、152的功能被颠倒或者相互交换。
在使用中，接合器组件200与手术装置100分离并且相对于手术装置100关于纵轴线“X-X”旋转大约180°。接合器组件200的阳配件210随后被重新插入手术装置100的连接部108内，使手术装置100的第一、第二以及第三可旋转驱动连接件118、120、122分别与接合器组件200的第一、第三以及第二驱动轴218、222、220接合。进一步地，接合器组件200的第一电接触销套件230和第二电接触销套件232分别与第二电插头132和第一电插头130接合，使手术附加装置300的外体206如图1B所示地相对于手术装置100定位在不同的方位上。这样，接合器组件200与手术装置100在第二连接方位上联接。一旦接合器组件200与手术装置100重新联接，手术装置100判定、建立或者识别接合器组件200在第二连接方位上联接到其上。
在第二连接方位上，当用户输入按钮150被致动时，手术附加装置300相对于手术装置100的手柄壳体102关于纵轴线“X-X”旋转，并且当用户输入按钮152被致动时，工具组件304横向于纵轴线“X-X”做关节式运动，因此颠倒由用户输入按钮150、152致动的功能。
在一个实施例中，接合器组件200被构造为使手术装置100具有根据特殊应用的需要而以多个速度设定致动手术附加装置300的能力。如此处所述，接合器组件200可与手术装置100在多个连接方位上连接。当手术附加装置300被致动时，多个连接方位中的每一个对应于手术附加装置300的不同运动速率。在使用中，如果从业者想要调整手术附加装置300的致动速度，则接合器组件200与手术装置100之间的连接方位以与上述类似的方式改变，使接合器组件200将手术附加装置的致动速度改变为与所选择的连接方位对应的速度。
考虑到强度、耐用性、耐磨性、重量、抗腐蚀、制造简易、制造成本等，此处说明的任何部件可以由金属、塑料、树脂、复合材料或者类似材料中的任一种制成。
可以理解，可以对本公开的接合器组件的实施例进行多种变更。因此，上述说明不应被解释为限定，而仅仅作为实施例的范例。本领域技术人员会想到在本公开的范围和精神内的其他变更。

Claims (20)

1.一种接合器组件，其用于选择性地将手术装置与手术附加装置相互连接，所述接合器组件包括：
近侧端和远侧端，所述近侧端包括适于可拆卸地连接到手术装置并且构造为容许所述接合器组件在至少第一连接方位和第二连接方位上联接到手术装置的至少一个配合件，所述至少一个配合件用于接收来自所述手术装置的对应的可旋转驱动连接件的旋转力。
2.根据权利要求1所述的接合器组件，其中，所述至少一个配合件包括以对称的构造排列的多个配合件。
3.根据权利要求1所述的接合器组件，其中，所述接合器组件被构造为判定与手术装置的连接方位。
4.根据权利要求3所述的接合器组件，其中，所述接合器组件被构造为当所述连接方位在所述第一连接方位和所述第二连接方位之间移动时相互交换由手术装置致动的功能。
5.根据权利要求3所述的接合器组件，其中，所述接合器组件被构造为当所述连接方位在所述第一连接方位和所述第二连接方位之间轮换时颠倒由手术装置的至少两个致动器致动的功能。
6.根据权利要求3所述的接合器组件，其中，所述至少一个配合件包括电连接件，所述电连接件适于与所述手术装置的电连接件连接从而使所述至少一个配合件的所述电连接件判定所述接合器组件与所述手术装置之间的连接方位。
7.一种机电式手术系统，包括：
手持式机电式手术装置，其构造为致动手术附加装置，所述手术装置包括：
壳体；以及
至少一个马达，其与所述壳体一起布置用于驱动所述手术附加装置的致动；以及
接合器组件，其用于选择性地使所述手术装置与所述手术附加装置相互连接，所述接合器组件与所述至少一个马达可操作地连通并且包括至少一个配合件，所述配合件适于可拆卸地连接到所述手术装置并且构造为容许所述接合器组件在至少第一连接方位和第二连接方位上联接到所述手术装置，所述至少一个配合件用于接收来自所述手术装置的对应的可旋转驱动连接件的旋转力。
8.根据权利要求7所述的机电式手术系统，其中，所述手术装置包括各自构造为致动所述手术附加装置的不同功能的第一致动器和第二致动器。
9.根据权利要求8所述的机电式手术系统，其中，在所述第一连接方位上，所述第一致动器致动所述手术附加装置的第一功能，而所述第二致动器致动所述手术附加装置的第二功能，并且，在所述第二连接方位上，所述第一致动器致动所述手术附加装置的所述第二功能，而所述第二致动器致动所述手术附加装置的所述第一功能。
10.根据权利要求8所述的机电式手术系统，其中，所述第一致动器和第二致动器包括用户输入按钮。
11.根据权利要求7所述的机电式手术系统，其中，所述至少一个马达包括：适于与所述接合器组件的第一驱动轴连接以用于执行所述手术附加装置的第一功能的第一马达，以及适于与所述接合器组件的第二驱动轴连接以用于执行所述手术附加装置的第二功能的第二马达。
12.根据权利要求11所述的机电式手术系统，其中，在所述第一连接方位上，所述第一马达与所述第一驱动轴联接，而所述第二马达与所述第二驱动轴联接，并且，在所述第二连接方位上，所述第一马达与所述第二驱动轴联接，而所述第二马达与所述第一驱动轴联接。
13.根据权利要求7所述的机电式手术系统，其中，所述接合器组件与所述手术装置适于在多个方位上连接，其中，当所述手术附加装置被致动时，所述多个方位中的每一个方位对应于所述手术附加装置的不同的运动速率。
14.根据权利要求7所述的机电式手术系统，其中，所述接合器组件被构造为当所述连接方位在所述第一连接方位与所述第二连接方位之间移动时相互交换由所述手术装置致动的功能。
15.根据权利要求7所述的机电式手术系统，其中，所述接合器组件被构造为当所述连接方位在所述第一连接方位与所述第二连接方位之间轮换时颠倒由所述手术装置的至少两个致动器致动的功能。
16.根据权利要求7所述的机电式手术系统，其中，所述接合器组件被构造为判定与所述手术装置的连接。
17.根据权利要求16所述的机电式手术系统，其中，所述至少一个配合件包括电连接件，所述电连接件适于与所述手术装置的电连接件连接从而使所述接合器组件的所述电连接件能够判定与所述手术装置的连接方位。
18.一种装配机电式手术系统的方法，所述方法包括：
提供手术附加装置；
提供构造为致动所述手术附加装置的手持式机电式手术装置，所述手术装置包括：
壳体，其包括第一致动器和第二致动器；以及
至少一个马达，其与所述壳体一起布置用于驱动所述手术附加装置的移动；
提供接合器组件，所述接合器组件包括构造为容许所述接合器组件在第一连接方位和第二连接方位的其中一个上联接到所述手术装置的至少一个配合件；以及
通过所述接合器组件使所述手术装置和所述手术附加装置在已选择的所述第一连接方位和第二连接方位中的一个连接方位上连接，
其中，所述至少一个配合件用于接收来自所述手术装置的对应的可旋转驱动连接件的旋转力。
19.根据权利要求18所述的装配机电式手术系统的方法，进一步包括：当所述接合器组件在所述第一连接方位和所述第二连接方位中的另一个连接方位上连接到所述手术装置时，颠倒由所述致动器致动的功能。
20.根据权利要求18所述的装配机电式手术系统的方法，其中，所述手术装置与所述手术附加装置通过所述接合器组件在多个连接方位上能够连接，其中所述多个连接方位中的每一个连接方位对应于所述手术附加装置的不同的运动速率，以使所述手术附加装置的运动速率通过所述连接方位的调整而能调整。
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