CN104706395A - 将接合器组件与手术装置互连的联接组件及其手术系统 - Google Patents

将接合器组件与手术装置互连的联接组件及其手术系统 Download PDF

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CN104706395A
CN104706395A CN201410773567.2A CN201410773567A CN104706395A CN 104706395 A CN104706395 A CN 104706395A CN 201410773567 A CN201410773567 A CN 201410773567A CN 104706395 A CN104706395 A CN 104706395A
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connector
drive shaft
rotatable drive
operation device
gear
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CN104706395B (zh
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保罗·理查德
约瑟夫·皮埃尔
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Covidien LP
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B17/115—Staplers for performing anastomosis in a single operation
    • A61B17/1155—Circular staplers comprising a plurality of staples
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B17/07207—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously the staples being applied sequentially
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017—Electrical control of surgical instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
    • A61B2017/00398—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like using powered actuators, e.g. stepper motors, solenoids
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
    • A61B2017/00464—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable for use with different instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00477—Coupling
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00681—Aspects not otherwise provided for
    • A61B2017/00734—Aspects not otherwise provided for battery operated
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2901—Details of shaft
    • A61B2017/2902—Details of shaft characterized by features of the actuating rod
    • A61B2017/2903—Details of shaft characterized by features of the actuating rod transferring rotary motion
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B17/2909—Handles
    • A61B2017/2912—Handles transmission of forces to actuating rod or piston
    • A61B2017/2923—Toothed members, e.g. rack and pinion
    • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
    • Y10T29/00—Metal working
    • Y10T29/49—Method of mechanical manufacture
    • Y10T29/49002—Electrical device making
    • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
    • Y10T74/00—Machine element or mechanism
    • Y10T74/19—Gearing
    • Y10T74/19023—Plural power paths to and/or from gearing
    • Y10T74/19126—Plural drivers plural driven
    • Y10T74/1913—Bevel

Abstract

本发明提供一种将接合器组件与手术装置相互连接的联接组件及其手术系统。所述联接组件选择性地使手术装置与接合器组件相互连接。接合器组件构造为用于与手术用附加装置连接。联接组件包括第一连接件、第二连接件以及外管。第一连接件构造为用于与手术装置匹配接合。第二连接件构造为用于与接合器组件匹配接合。外管具有限定有纵轴的第一端和第二端并在第一端和第二端之间延伸。外管的第一端支撑第一连接件。外管的第二端支撑第二连接件。外管的纵轴线相对于手术装置所限定的纵轴线横向地延伸。本发明还公开了一种装配机电式手术系统的方法。

Description

将接合器组件与手术装置互连的联接组件及其手术系统
相关申请的交叉引用
本申请要求于2013年12月13日提交的序列号为61/915,667的美国临时专利申请的权益及优先权，其全部公开内容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联接组件。更具体地，本公开涉及用于使机电式手术装置同依次与诸如手术用装载单元的手术用附加装置连接的接合器组件相互电连接以及相互机械连接的联接组件。本公开还提供包括手持式机电式手术装置以及用于减少手术系统的总长度和/或将手术系统的重心向使用者近侧移动的联接组件的手术系统。
背景技术
许多手术装置生产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等，该可置换装载单元和/或单次使用装载单元等在使用前选择性地连接至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多个手术用附加装置(诸如手术用装载单元)中的任何一个相互连接，从而在二者之间建立机械连接和/或电连接。然而，目前，这种使用接合器组件的手术系统达到了不期望的长度，这对于特定的手术应用是存在问题的和/或不方便的。例如，随着手术系统的长度增加，手术系统的重心更远地偏离医生的手(即，向远侧)，因此在使用中导致医生出现疲劳。
因此，需要一种包括手术装置、接合器组件以及手术用附加装置的手术系统，其中该手术系统与现有技术先前提供的手术系统相比具有减小的长度。
发明内容
本公开涉及用于机电式手术装置与手术用附加装置之间的相互电连接以及机械连接的联接组件。本公开还涉及一种手术系统，其包括手持式机电式手术装置、接合器组件、手术用附加装置以及设置于接合器组件与手术装置之间以便减小手术系统的总长度的联接组件。
根据本公开的方案，提供有联接组件。所述联接组件选择性地将手术装置与构造为用于与手术用附加装置连接的接合器组件相互连接。手术装置限定了纵轴线。联接组件包括第一连接件、第二连接件以及外管。第一连接件构造为用于与手术装置匹配接合。第二连接件构造为用于与接合器组件匹配接合。外管具有限定纵轴线的第一端和第二端并且在第一端和第二端之间延伸。外管的第一端支撑第一连接件，并且外管的第二端支撑第二连接件。外管的纵轴线相对于手术装置的纵轴线横向地延伸。
在本公开的方案中，当第一连接件连接至手术装置时，可以将第一连接件设置在第二连接件的远侧。
可以预期，外管可以相对于第一连接件和第二连接件横向地延伸。
在本公开的方案中，联接组件可以进一步包括至少一个设置在外管内的可旋转驱动轴。
在一些实施例中，联接组件的至少一个可旋转驱动轴可以支撑第一锥齿轮和第二锥齿轮。第一锥齿轮可以设置为与第一连接件邻近，并且可以构造为用于与手术装置的至少一个可旋转驱动轴连接。第二锥齿轮可以设置为与第二连接件邻近，并且可以构造为用于与接合器组件的至少一个可旋转驱动轴连接。手术装置的至少一个可旋转驱动轴的旋转可以通过联接组件的至少一个可旋转驱动轴引起接合器组件的至少一个可旋转驱动轴的旋转。
可以设想，第一连接件和第二连接件中的每一个均可以包括至少一个齿轮轴。第一连接件的至少一个齿轮轴可以是可连接于手术装置的至少一个驱动轴和第一锥齿轮之间。第二连接件的至少一个齿轮轴可以是可连接于接合器组件的至少一个驱动轴与第二锥齿轮之间。
在另一个实施例中，第一连接件和第二连接件可以各自包括限定了与贯穿外管的长度延伸的通道连通的空腔的内表面。
在实施例中，外管可以相对于手术装置的纵轴线以小于90度的角度延伸。
在本公开的另一个方案中，提供有机电式手术系统。该机电式手术系统包括构造为致动手术用附加装置的手持式机电式手术装置，该手术用附加装置构造为执行至少一个功能。手术装置包括壳体和至少一个设置于该壳体内用于驱动手术用附加装置的致动的可旋转驱动轴。手术装置的至少一个可旋转驱动轴限定纵轴线。
手术系统进一步包括用于手术装置与手术用附加装置之间的选择性的相互连接的接合器组件。该接合器组件包括至少一个可旋转驱动轴，并且构造为将手术装置的至少一个可旋转驱动轴的旋转力转换成用于致动手术用附加装置的轴向力。
手术系统进一步包括用于使手术装置与接合器组件联接的联接组件。该联接组件包括构造为用于与手术装置匹配接合的第一连接件。联接组件的第二连接件构造为用于与接合器组件匹配接合。联接组件的外管具有第一端和第二端并在二者之间延伸，所述第一端和第二端限定纵轴线。外管的第一端支撑第一连接件，并且外管的第二端支撑第二连接件。联接组件的纵轴线相对于手术装置的纵轴线横向地延伸。
在本公开的方案中，当第一连接件连接至手术装置时，可以将第一连接件设置第二连接件的远侧。
可以预期，外管可以相对于第一连接件和第二连接件横向地延伸。
在一些实施例中，联接组件可以进一步包括至少一个设置于外管内的可旋转驱动轴，该联接组件可以是可与手术装置的至少一个可旋转驱动轴以及接合器组件的至少一个可旋转驱动轴连接。
可以想象，联接组件的至少一个可旋转驱动轴可以支撑第一锥齿轮和第二锥齿轮。第一锥齿轮可以设置为与第一连接件邻近，并且可以构造为用于与手术装置的至少一个可旋转驱动轴连接。第二锥齿轮可以设置为与第二连接件邻近，并且可以构造为用于与接合器组件的至少一个可旋转驱动轴连接。手术装置的至少一个可旋转驱动轴的旋转可以通过联接组件的至少一个可旋转驱动轴引起接合器组件的至少一个可旋转驱动轴的旋转。
在本公开的方案中，第一连接件和第二连接件可以各自包括限定与贯穿外管的长度延伸的通道连通的空腔的内表面。
在一些实施例中，外管可以相对于手术装置的纵轴线以小于90度的角度延伸。
可以预测，壳体可以包括上壳体部。该上壳体部可以具有近侧端和远侧端并且在近侧端和远侧端之间延伸。下手握部可以从上壳体部的近侧端延伸。
可以想象，当联接组件的第一连接件与手术装置匹配地接合时，第二连接件可以设置在上壳体部的远侧端近侧。
在本公开的方案中，当第一连接件与手术装置匹配地接合时，联接组件可以相对于上壳体部的远侧端以小于90度的角度延伸。
在本公开的再另一个方案中，提供一种装配机电式手术系统的方法。该方法包括：提供构造为用于执行至少一个功能的手术用附加装置；以及提供构造为致动该手术用附加装置的手持式机电式手术装置。
该手术装置包括壳体和至少一个设置于该壳体内的可旋转驱动轴。该至少一个可旋转驱动轴驱动手术用附加装置的至少一个功能。手术装置的该至少一个可旋转驱动轴限定纵轴线。
该方法进一步包括提供用于手术装置与手术用附加装置之间的选择性的相互连接的接合器组件。该接合器组件包括至少一个可旋转驱动轴。该至少一个可旋转驱动轴构造为将手术装置的至少一个可旋转驱动轴的旋转力转换为用于致动手术用附加装置的轴向力。
该方法进一步包括提供用于使手术装置与接合器组件联接的联接组件。该联接组件包括：构造为用于与手术装置匹配接合的第一连接件；构造为用于与接合器组件匹配接合的第二连接件；以及具有第一端和第二端并在第一端和第二端之间限定纵轴线的外管。外管的第一端支撑第一连接件，并且外管的第二端支撑第二连接件。外管的纵轴线相对于手术装置的纵轴线横向地延伸。
该方法另外包括将手术装置与联接组件的第一连接件连接以便联接组件相对于手术装置以小于90度的角度设置；以及将接合器组件与联接组件的第二连接件以及手术用附加装置连接。
在有些实施例中，该方法可以进一步包括将手术装置的至少一个可旋转驱动轴与联接组件的设置为与第一连接件邻近的第一锥齿轮连接；以及将接合器组件的至少一个可旋转驱动轴与联接组件的设置为与第二连接件邻近的第二锥齿轮连接。手术装置的至少一个可旋转驱动轴的旋转可以通过联接组件的第一锥齿轮和第二锥齿轮引起接合器组件的至少一个可旋转驱动轴的旋转，从而致动手术用附加装置的至少一个功能。
如此处所使用的，术语平行和垂直应理解为包括从完全平行和完全垂直偏离+/-10度的大致平行和大致垂直的相对构造。
附图说明
在此参照附图对本公开的实施例进行说明，其中：
图1为根据本公开实施例的机电式手术系统的后视立体图；
图2为图1中示出的系统的侧视剖面示意图；
图3为图2的细节的指示区域的放大图；
图4为用于与图1中示出的系统一起使用的手术用附加装置的零件分解立体图；
图5为根据本公开的主旨的不具有联接构件的手持式机电式手术系统的侧视图；以及
图6为根据本公开的主旨的包括图2中示出的联接构件的手持式机电式手术系统的侧视图。
具体实施方式
参照附图对本实施例公开的手术装置、联接组件、接合器组件以及手术用附加装置进行详细地说明，其中在几个视图的每一个中，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”指的是手术装置、联接组件或者接合器组件的较远离使用者的部分或者其部件。术语“近侧”指的是手术装置、联接组件或者接合器组件的较接近使用者的部分或者其部件。
参照图1至图4，根据本公开的实施例，手术装置被总体指定为100，并且是以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，所述末端执行器为例如手术用附加装置400，该手术用附加装置400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、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用器械，这些当中的每一个被构造为用于由动力驱动的手持式机电式手术装置100来致动和操纵。
如图1中示出的，提供有手术系统，例如机电式手术系统10。系统10包括构造为用于与联接组件200选择性连接的手持式机电式手术装置100，该联接组件200构造为用于与接合器组件300选择性连接，并且依次地，接合器组件300被构造为用于与构造为执行至少一个功能的手术用附加装置400(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用附加装置400。构造联接组件200以便当其接合于手术装置100与接合器组件300之间时，相比于不具有使手术装置100与接合器组件300相互连接的联接组件200的手术系统，联接组件200减小了手术系统10的总长度。
如图1和图2中示出的，手术装置100包括壳体，例如，在其中安置有电路板120和驱动机构122的手柄壳体102。电路板120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，该空腔用于可再充电电池124在其中选择性的可拆装收纳。电池124构造为向手术装置100的包括用于驱动手术用附加装置400的操作的电动机在内的任何电气部件提供电力。
如上所述，手柄壳体102包括在近侧端110和远侧端112之间延伸的上壳体部102a。上壳体部102a容纳手术装置110的多种部件。手柄壳体102进一步包括从上壳体部102a延伸的下手握部102b。在实施例中，下手握部102b可以设置在上壳体部102a的最近端的远侧。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，以便加强医生对下手握部102b的掌握。
手柄壳体102构造为在其中容纳驱动机构122。驱动机构构造为驱动轴和/齿轮部件以执行手术装置100的多种操作。特别地，驱动机构构造为驱动轴和/或齿轮部件以相对于手术用附加装置400的近侧主体部402选择性地移动手术用附加装置400(参见图4)的工具组件404，从而使手术用附加装置400相对于手柄壳体102关于纵轴线旋转、使手术用附加装置400的砧座组件406和钉仓组件408相对于彼此移动/靠近、和/或在手术用附加装置400的钉仓组件408内发射吻合与切割钉仓，将在下文中对此进一步详细说明。
如在图1至图3中示出的，手柄壳体102包括阳配件，例如，从远侧端112延伸出的连接部108。连接部108构造为与联接组件200的对应地定形的阴配件236接合，从而将手术装置100与联接组件200连接，这将在下文更加详细地说明。连接部108具有大致圆形的构造。在有些实施例中，连接部108具有可替换的构造，例如，卵形、非圆形、椭圆形、三角形、正方形、矩形、六边形、多边形或星形，连接部108的构造被构造为用于与联接组件200的对应地定形的阴配件236匹配接合。
手术装置100包括至少一个驱动轴，该至少一个驱动轴可旋转地设置在壳体102内，用于沿着路径将来自驱动机构122的电动机的转矩传输至手术用附加装置400。该至少一个驱动轴限定纵轴线“X1-X1”并且包括三个沿着连接部108且从连接部108延伸的可旋转驱动轴118、120、122。可旋转驱动轴118、120、122可以竖直地和水平地相互隔开。在有些实施例中，可旋转驱动轴118、120、122在共同的平面内布置并相互隔开(即，仅竖直或水平地隔开)以便可旋转驱动轴118、120、122以对称的构造排列。另外，在图2和图3示出的实施例中，可以想象，第二驱动轴120和第三驱动轴122可以与第一驱动轴118隔开相等的距离和/或在相反的方向隔开。可以想象，可旋转驱动轴118、120、122可以相对于彼此以多种定向布置，例如将在下文中对此进行说明的替换方式。在有些实施例中，手柄壳体102和连接部108可以容纳少于或者多于三个可旋转驱动轴。
手术装置100包括多个电动机(未示出)，该多个电动机设置在手柄壳体102内，用于驱动手术用附加装置400的移动。每个电动机独立地连接至可旋转驱动轴118、120、122中的一个以便每个电动机分别驱动可旋转驱动轴118、120、122中的每一个的旋转。替换地，手术装置100可以包括用于驱动可旋转驱动轴118、120、122的第一电动机(未示出)，以及用于致动选择模块和用于可操作地将第一电动机与所选择的驱动轴118、120、122接合的齿轮系的单独的电动机(未示出)。
如下文将要更详细说明的，当联接组件200与手术装置100配合时，手术装置100的可旋转驱动轴118、120、122中的每一个与联接组件200的对应的第一、第二以及第三齿轮轴218a、220a、222a联接，此处如下文说明。在这点上，对应的第一驱动轴118和第一齿轮轴218a之间的接触面、对应的第二驱动轴120和第二齿轮轴220a之间的接触面以及对应的第三驱动轴122和第三齿轮轴222a之间的接触面相互锁住，以便手术装置100的可旋转驱动轴118、120、122中的每一个的旋转引起联接组件200的对应的齿轮轴218a、220a、222a的对应的旋转。手术装置100的可旋转驱动轴118、120、122与联接组件200的齿轮轴218a、220a、222a的配合允许旋转力通过三个相应的驱动轴/齿轮轴接触面中的每一个独立地传输。
可旋转驱动轴118、120、122的远侧端可以各自限定构造为与联接组件200的第一、第二以及第三齿轮轴218a、220a、222a的近侧端匹配地接合的凹槽。可旋转驱动轴118、120、122的凹槽与齿轮轴218a、220a、222a的近侧端可以具有非圆形的横截面轮廓。在有些实施例中，可以预期可旋转驱动轴118、120、122的凹槽与齿轮轴218a、220a、222a的近侧端的多种构造，例如，三角形、正方形、矩形、卵形、锥形、椭圆形、星形、菜豆形和/或多边形。替换地，联接套筒(未示出)可以用于将驱动轴118、120、122的远侧端与对应的齿轮轴218a、220a、222a的近侧端相互连接。
当联接组件200联接至手术装置100时，由于手术装置100的可旋转驱动轴118、120、122中的每一个与联接组件200的对应的齿轮轴218a、220a、222a之间具有锁住的和/或基本上不可旋转的接触面，旋转力选择性地从手术装置100的可旋转驱动轴118、120、122传递至联接组件200的对应的齿轮轴218a、220a、222a。
手术装置100的可旋转驱动轴118、120和/或122的选择性的旋转使手术装置100通过联接组件200和接合器组件300选择性地致动手术用附加装置400的不同的功能。例如，手术装置100的第一可旋转驱动轴118的选择性的且独立的旋转与手术用附加装置400的工具组件404(参见图4)的选择性的且独立的打开和闭合、以及手术用附加装置400的工具组件404的吻合/切割部件的驱动相对应。作为一个另外的例子，手术装置100的第二可旋转驱动轴120的选择性的且独立的旋转与手术用附加装置400的工具组件404的横向于限定在接合器组件300的相对的端部之间的纵轴线“X3”-“X3”(参见图2)的选择性的且独立的关节式运动相对应。另外地，例如，手术装置100的第三可旋转驱动轴122的选择性的且独立的旋转与手术用附加装置400的相对于手术装置100的手柄壳体102关于纵轴线“X3”-“X3”的选择性的且独立的旋转相对应。
转向图2和图3，如上所述，系统10包括用于选择性地将手术装置100与接合器组件300相互连接的联接组件200。联接组件200包括第一连接件230、第二连接件270以及例如设置并连接在第一连接件230和第二连接件270之间的外管250的纵向元件。
如上所述，第一连接件230具有筒状的构造，并且构造为用于与手术装置100匹配接合。在有些实施例中，第一连接件230被多种地构造，例如，卵形、椭圆形、三角形、正方形、六边形、平面型、锥形、多边形和/或波浪形。第一连接件230大致为环形，并包括限定有空腔234或者凹槽的内表面232。空腔234与贯穿外管250的长度延伸的通道252连通。
第一连接件230包括设置在其近侧端的配合件，例如，阴配件236。如此处所述，阴配件236构造为用于与手术装置100的连接部108匹配接合。阴配件236与连接部108构造为用于以搭扣接合形式连接。在有些实施例中，阴配件236与连接部108通过可替换的接合机构连接，例如，螺纹接合、摩擦接合、锁与钥匙接合、插销、按钮、卡扣型连接、焊接、粘接和/或其他的机构。可以预测的，联接组件200可以与手术装置100连接以便抵抗和/或防止相对旋转。阴配件236定向在如图3中的箭头“B”所示的的第一方向上，面向手术装置100的远侧端112或者连接部108。
如上简短地说明，第一连接件230包括第一齿轮轴218a、第二齿轮轴220a以及第三齿轮轴222a，每一个设置在第一连接件230的空腔234内。齿轮轴218a、220a、222a的近侧端分别构造为用于与手术装置100的第一、第二以及第三可旋转驱动轴118、120、122连接。齿轮轴218a、220a、222a的远侧端可旋转地支撑在第一连接件230的远侧端壁238中或者远侧端壁238上。
齿轮轴218a、220a、222a分别包括不可旋转地支撑于其上的第一、第二以及第三齿轮240、242、244。齿轮240、242、244绕相应的第一、第二以及第三齿轮轴218a、220a、222a在周向上设置。此处如下文所述，齿轮240、242、244分别构造为与联接组件200的第一、第二以及第三可旋转驱动轴218b、220b、222b的第一齿轮260a、262a、264a啮合接合。
齿轮240、242、244可以相对于彼此沿纵轴线“X1”-“X1”水平地间隔，以便第一齿轮240设置在第二齿轮242的远侧或近侧，并且第二齿轮242设置在第三齿轮244的远侧或近侧。除了齿轮240、242、244相对于彼此水平地隔开以外，齿轮240、242、244还可以相对于彼此竖直地或者径向地间隔，以便齿轮240、242、244相对于彼此交错排列(即，齿轮240、242、244三维间隔开)。在有些实施例，齿轮240、242、244处于竖直的排列。
继续参考图1至图3，联接组件200的外管250具有限定有纵轴线“X2”-“X2”的第一端254和第二端256并在第一端254和第二端256之间延伸。当联接组件200与手术装置100连接时，纵轴线“X2”-“X2”相对于手术装置100的纵轴线“X1”-“X1”以角度“α”横向地延伸。第一端254与第一连接件230连接并支撑第一连接件230。第二端256连接第二连接件270并支撑第二连接件270。第二连接件270限定有从外管250的纵轴线“X2”-“X2”以角度“β”横向地延伸的纵轴线“X3”-“X3”。在一个实施例中，外管250相对于手术装置100的纵轴线“X1”-“X1”和/或第二连接件270的纵轴线“X3”-“X3”以小于大约90度，优选小于大约60度的角度延伸。
外管250具有大体的矩形或者圆形的构造以及在其中延伸并限定有内部的相似地定形的通道252。在有些实施例中，外管250和通道252被多种地构造，例如那些在前文和下文中说明的替代方式。外管250与第一连接件230和第二连接件270一体地和/或整体地形成。可以预测，外管250可以与第一连接件230和第二连接件270可分离地接合。外管250由刚性材料(例如不锈钢、热塑性材料等)制作。
联接组件200包括设置在通道252中并且贯穿外管250的长度延伸的第一、第二以及第三可旋转驱动轴218b、220b、222b。外管250的第一、第二以及第三可旋转驱动轴218b、220b、222b分别相互连接在第一连接件230的第一、第二以及第三齿轮轴218a、220a、222a和第二连接件270的第一、第二以及第三齿轮轴218c、220c、222c之间并且与第一连接件230的第一、第二以及第三齿轮轴218a、220a、222a和第二连接件270的第一、第二以及第三齿轮轴218c、220c、222c可操作地接合。可旋转驱动轴218b、220b、222b相对于彼此大致平行，并且以关于第一连接件230的第一、第二以及第三齿轮轴218a、220a、222a的此前说明过的类似方式隔开。
联接组件200的第一可旋转驱动轴218b支撑设置为与第一连接件230邻近的第一齿轮260a。第一齿轮260a构造为用于与手术装置100的第一可旋转驱动轴118通过与第一齿轮轴218a的第一齿轮240的齿轮接合而连接。第一齿轮轴218a的第一齿轮240与第一可旋转驱动轴218b的第一齿轮260a相互接合，以便实现其间的转矩传输。在有些实施例中，第一齿轮轴218a的第一齿轮240与第一可旋转驱动轴218b的第一齿轮260a相对于彼此多样地成角度，例如，成钝角、成锐角或者成直角。联接组件200的第一可旋转驱动轴218b支撑设置为与第二连接件270邻近的第二齿轮260b。如此处将在下文中详细说明地，第二齿轮260b构造为用于与接合器组件300的第一可旋转驱动轴318通过与不可旋转地支撑在第二连接件270的第一齿轮轴218c上的第一齿轮280齿轮接合而连接。
联接组件200的第二可旋转驱动轴220b支撑设置为与第一连接件230邻近的且位于第一可旋转驱动轴218b的第一齿轮260a的下方的第一齿轮262a。第二可旋转驱动轴220b的第一齿轮262a构造为用于与手术装置100的第二可旋转驱动轴120通过与第二齿轮轴220a的第二齿轮242齿轮接合而连接。第二可旋转驱动轴220b支撑设置为与第二连接件270邻近的且位于第一可旋转驱动轴218b的第二齿轮260b的下方的第二齿轮262b。如此处将在下文中详细说明地，第二可旋转驱动轴220b的第二齿轮262b构造为用于与接合器组件300的第二可旋转驱动轴320通过与不可旋转地支撑在第二连接件270的第二齿轮轴220c上的第二齿轮282齿轮接合而连接。
联接组件200的第三可旋转驱动轴222b支撑设置为与第一连接件230邻近的且位于第二可旋转驱动轴220b的第一齿轮262a下方的第一齿轮264a。第三可旋转驱动轴222b的第一齿轮264a构造为用于与手术装置100的第三可旋转驱动轴122通过与第三齿轮轴222a的第三齿轮244齿轮接合而连接。第三可旋转驱动轴222b支撑设置为与第二连接件270邻近的且位于第二可旋转驱动轴220b的第二齿轮262b的下方的第二齿轮264b。如此处将在下文中详细说明地，第三可旋转驱动轴222b的第二齿轮264b构造为用于与接合器组件300的第三可旋转驱动轴322通过与不可旋转地支撑在第二连接件270的第三齿轮轴222c上的第三齿轮284齿轮接合而连接。
在使用中，手术装置100的第一、第二以及第三可旋转驱动轴118、120、122的旋转分别通过联接组件200的第一、第二以及第三可旋转驱动轴218b、220b、222b引起接合器组件300的第一、第二以及第三可旋转驱动轴318、320、322的旋转。
第二连接件270具有筒状的构造，并且构造为用于与接合器组件300匹配接合，该接合器组件300依次地构造为用于与手术用附加装置400接合。在有些实施例中，第二连接件270被多种地构造，例如，卵形、椭圆形、三角形、正方形、六边形、平面型、锥形、多边形和/或波浪形。第二连接件270大致为环形，并且包括限定有空腔276或者凹槽的内表面274。空腔276与外管250的通道252连通，以便空腔234、276与通道252相互连通。
第二连接件270包括构造为用于与接合器组件300的配合件302匹配接合的配合件278。配合件278、302构造为用于以搭扣接合的方式连接。在有些实施例中，配合件278、302通过可替换的接合机构连接，例如，螺纹接合、摩擦接合、锁与钥匙接合、插销、按钮、卡扣型连接、焊接、粘接和/或其他的机构。可以预测的，联接组件200与接合器组件300连接，以便抵抗和/或防止相对旋转。联接组件200的配合件278定向在如图3中的箭头“C”所示的第二方向上，面向接合器组件300并远离手术装置100，以便第一连接件230和第二连接件270的配合件236、278设置在外管250的相对侧。
如上所述，第二连接件270包括每个均设置在空腔276内的第一齿轮轴218c、第二齿轮轴220c以及第三齿轮轴222c。第一、第二以及第三齿轮轴218c、220c、222c分别可连接在接合器组件300的第一、第二以及第三可旋转驱动轴318、320、322与外管250的第一、第二以及第三可旋转驱动轴218b、220b、222b的第二齿轮260b、262b、264b之间。齿轮轴218c、220c、222c的远侧端分别构造为用于与接合器组件300的可旋转驱动轴318、320、322接合。齿轮轴218c、220c、222c的近侧端可旋转地支撑在第二连接件270的近侧端壁272中或者近侧端壁272上。齿轮轴218c、220c、222c分别包括第一齿轮280、第二齿轮282以及第三齿轮284。齿轮280、282、284分别不可旋转地支撑在相应的第一、第二以及第三齿轮轴218c、220c、222c上。齿轮280、282、284分别构造为用于与联接组件200的第一、第二以及第三可旋转驱动轴218b、220b、222b的第二齿轮260b、262b、264b接合。
在有些实施例中，齿轮轴218c、220c、222c的齿轮280、282、284相对于彼此沿纵轴线“X3”-“X3”水平地隔开，以便第一齿轮280设置在第二齿轮282的近侧或远侧，并且第二齿轮282设置在第三齿轮284的近侧或远侧。除了齿轮280、282、284相对于彼此水平地隔开以外，齿轮280、282、284还可以相对于彼此竖直地或者径向地隔开，以便齿轮280、282、284相对于彼此交错排列(即，齿轮280、282、284在三个不同的维度上隔开)。在有些实施例中，齿轮280、282、284相对于彼此关于它们相应的齿轮轴218c、220c、222c不可旋转地支撑在多种空间位置上。在有些实施例中，齿轮280、282、284沿着垂直于纵轴线“X3”-“X3”的轴线竖直地排列。
在使用中，联接组件200的第一连接件230的阴配件236与手术装置100的上壳体部102a的连接部108匹配地接合。联接组件200相对于手术装置100的上壳体部102a的远侧端112以角度“α”(例如，小于大约90度的角度)延伸，以便第二连接件270设置在手术装置100的上壳体部102a的远侧端112的近侧或者在第一连接件230的近侧。这样，作为使用联接组件200的结果，手术系统10具有限定在手术装置100的最近侧端与手术用附加装置400的最远侧端之间的缩减的总长度。
此处如前文简短说明的，系统10包括接合器组件300或者可以与接合器组件300一起使用，其中接合器组件300用于在手术装置100与手术用附加装置400之间选择性的相互连接，或者用于在联接组件200与手术用附加装置400之间选择性的相互连接。接合器组件300包括外球形壳体(outer knobhousing)308和从球形壳体308的远侧端延伸的外管306。球形壳体308和外管306构造并且设定尺寸为容纳接合器组件300的部件。外管306设定尺寸用于内窥镜的插入。特别地，外管306可通过典型的套管针接口、插管或类似物。球形壳体308设定尺寸为不进入套管针接口、插管或者类似物。球形壳体308构造并适用于与联接组件200的第二连接件270连接。
此处如下文所说明的，接合器组件300包括构造为将联接组件200的第二连接件270的第一、第二以及第三齿轮轴218c、220c、222c的旋转力转换为用于致动手术用附加装置400的轴向力的第一、第二以及第三可旋转驱动轴318、320、322。驱动轴318、320、322以交错构造的方式布置，与前文所述的关于联接组件200的第二连接件270的第一、第二以及第三齿轮轴218c、220c、222c的构造相似。
可旋转驱动轴318、320、322的近侧端各自限定构造为与第二连接件270的第一、第二以及第三齿轮轴218c、220c、222c的远侧端匹配地接合的凹槽。可旋转驱动轴318、320、322的凹槽与齿轮轴218c、220c、222c的远侧端具有非圆形的构造。在有些实施例中，可以构想凹槽与齿轮轴218c、220c、222c的远侧端的多种构造，例如，三角形、正方形、矩形、卵形、锥形、椭圆形、星形、菜豆形和/或多边形。
可旋转驱动轴318、320、322的近侧端各自限定构造为与联接组件200的第一、第二以及第三齿轮轴218c、220c、222c的远侧端匹配地接合的凹槽。可旋转驱动轴318、320、322的凹槽与齿轮轴218c、220c、222c的远侧端可以具有非圆形的横截面轮廓。在有些实施例中，可以构想可旋转驱动轴318、320、322的凹槽与齿轮轴218c、220c、222c的远侧端的多种构造，例如，三角形、正方形、矩形、卵形、锥形、椭圆形、星形、菜豆形和/或多边形。可替换地，联接套筒(未示出)可以用于将驱动轴318、320、322的近侧端与对应的齿轮轴218c、220c、222c的远侧端相互连接。
每个驱动轴318、320、322用作在手术装置100的电动机的致动期间接收来自第二连接件270的相应的齿轮轴218c、220c、222c的旋转力的旋转接收构件。可旋转驱动轴318、320、322的远侧端可操作地与接合器组件300的力传递/转换构件接合，以便接合器组件300的可旋转驱动轴318、320、322传递旋转力或者将旋转力转换为用于致动手术用附加装置400的轴向力。
如图4所示，系统10进一步包括手术用附加装置400，该手术用附加装置400构造为用于与接合器组件300的远侧端可操作连接。在图示的实施例中，手术用附加装置400在连接至接合器组件300的外管306的近侧主体部402与远侧工具组件404之间延伸。手术用附加装置400相对于外管306关于纵轴线“X3”-“X3”能旋转。工具组件404包括钉仓组件406以及砧座组件408。钉仓组件406包括吻合与切割钉仓。钉仓组件406与砧座组件408相对于彼此能枢转，从而夹紧或者松开其间的材料，例如，组织。
对于如图4所示的手术用附加装置400的结构与操作的详细讨论，可以参照于2009年8月31日提交的公布号为2009/0314821的、题目为“用于手术吻合装置的工具组件(TOOL ASSEMBLY FOR A SURGICAL STAPLINGDEVICE)”的美国专利。
可以构想，手术用附加装置400可以是除了在图示的实施例中示出的手术用附加装置以外的装置，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。这样的手术器械已经在例如在序号为6,315,184的美国专利、序号为6,443,973的美国专利、序号为6,264,087的美国专利、序号为6,348,061的美国专利、序号为6,716,233的美国专利、序号为6,533,157的美国专利、序号为6,491,201的美国专利和序号为6,488,197的美国专利中描述过，这些专利中的每一个的全部在此都以引用的方式明确地并入。
在装配、操作和使用中，如前文简短说明的，联接组件200的第一连接件230的阴配件236与手术装置100的上壳体部102a的连接部108匹配地接合。联接组件200相对于手术装置100的上壳体部102a的远侧端112以角度“α”(例如小于大约90度的角度)延伸，以便第二连接件270设置在手术装置100的上壳体部件102a的远侧端112的近侧。
容纳在手术装置100中的电动机选择性地致动，驱动手术装置100的第一、第二以及第三可旋转驱动轴118、120、122的独立的旋转。如上所述的，手术装置100的第一、第二以及第三可旋转驱动轴118、120、122的旋转通过带键的/非圆形的接触面分别引起第一连接件230的第一、第二以及第三齿轮轴218a、220a、222a的旋转。
依次地，第一、第二以及第三齿轮轴218a、220a、222a的第一、第二以及第三齿轮240、242、244的带有轮齿的外表面与外管250的第一、第二以及第三可旋转驱动轴218b、220b、222b的第一齿轮260a、262a、264a啮合并驱动地使外管250的第一、第二以及第三可旋转驱动轴218b、220b、222b的第一齿轮260a、262a、264a旋转。联接组件200的第一、第二以及第三可旋转驱动轴218b、220b、222b在外管250的通道252内旋转，从而将来自第一旋转轴线(例如，纵轴线“X1”-“X1”)的转矩传输至第二旋转轴线(例如，纵轴线“X2”-“X2”)，其中，纵轴线“X2”-“X2”相对于纵轴线“X1”-“X1”成角度。
依次地，联接组件200的第一、第二以及第三可旋转驱动轴218b、220b、222b的第二齿轮260b、262b、264b的带有轮齿的外表面与第二连接件270的第一、第二以及第三齿轮轴218c、220c、222c的第一、第二以及第三齿轮280、282、284啮合并驱动地使第二连接件270的第一、第二以及第三齿轮轴218c、220c、222c的第一、第二以及第三齿轮280、282、284旋转。这样，关于纵轴线“X1”-“X1”产生的转矩传输至与纵轴线“X1”-“X1”径向隔开的纵轴线“X3”-“X3”。
如上所述的，依次地，第一、第二以及第三齿轮轴218c、220c、222c在第二连接件270的空腔276内的旋转通过带键的/非圆形的接触面分别引起接合器组件300的第一、第二以及第三可旋转驱动轴318、320、322的旋转。接合器组件300的第一、第二以及第三可旋转驱动轴318、320、322的旋转或者被传输或者被转换从而驱动(即，旋转或者平移)手术用附加装置400的第一、第二以及第三驱动轴418、420、422。
参照图5，手术系统500被示出包括与手术装置100类似的手持式机电式手术装置502。手术装置502直接连接到手术用附加装置，例如，支撑末端执行器的接合器组件504，而不提供联接组件200。手术系统500具有限定在手术装置502的最近侧端与末端执行器的最远侧端之间的总长度“L1”。
参照图6，示出了提供有联接组件200的本公开的手术系统10。通过联接组件200将接合器组件504(以及末端执行器)与手术装置100相互连接，手术系统10具有比手术系统500的长度“L1”小的总长度“L2”。联接组件200的成角度的构造将末端执行器504相对于手术装置100的远侧端112的位置向近侧偏移。同样地，联接组件200具有与手术系统500相比被减小的手术系统10的总长度，并且使二者间的重心向近侧偏移。
可以设想，本公开的全部齿轮可以多种地构造，例如，正齿轮、螺旋齿轮、等径伞齿轮、蜗轮、无齿隙齿轮、锥齿轮、齿轮组、差动端齿轮、复合正齿轮以及本领域公知的其他齿轮。
考虑到强度、耐用性、耐磨性、重量、抗腐蚀、制造难易、制造成本等因素，此处说明的任何部件可以由任一种金属、塑料、树脂、复合材料或者类似材料制成。
可以明了，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主旨内的其他变更。

Claims (20)

1.一种联接组件，其用于选择性地使手术装置与构造为用于与手术用附加装置连接的接合器组件相互连接，所述联接组件包括：
第一连接件，其构造为用于与手术装置匹配接合；
第二连接件，其构造为用于与接合器组件匹配接合；以及
外管，其具有第一端和第二端，并且在所述第一端和所述第二端之间限定纵轴线，所述外管的所述第一端支撑所述第一连接件并且所述外管的所述第二端支撑所述第二连接件，其中所述外管的所述纵轴线相对于由手术装置限定的纵轴线横向地延伸。
2.根据权利要求1所述的联接组件，其中，当所述第一连接件与手术装置连接时，所述第一连接件设置在所述第二连接件的远侧。
3.根据权利要求1的所述的联接组件，其中，所述外管相对于所述第一连接件和第二连接件横向地延伸。
4.根据权利要求1所述的联接组件，进一步包括设置在所述外管内的至少一个可旋转驱动轴。
5.根据权利要求4所述的联接组件，其中，所述联接组件的所述至少一个可旋转驱动轴支撑：
第一齿轮，其与所述第一连接件邻近设置，所述第一齿轮构造为用于与手术装置的至少一个可旋转驱动轴连接；以及
第二齿轮，其与所述第二连接件邻近设置，所述第二齿轮构造为用于与接合器组件的至少一个可旋转驱动轴连接，其中所述手术装置的所述至少一个可旋转驱动轴的旋转通过所述联接组件的所述至少一个可旋转驱动轴引起所述接合器组件的所述至少一个可旋转驱动轴的旋转。
6.根据权利要求5所述的联接组件，其中，所述第一连接件和第二连接件的每一个均包括至少一个齿轮轴，所述第一连接件的所述至少一个齿轮轴构造为用于所述手术装置的所述至少一个可旋转驱动轴与所述第一齿轮之间的连接，并且所述第二连接件的所述至少一个齿轮轴构造为用于所述接合器组件的所述至少一个可旋转驱动轴与所述第二齿轮之间的连接。
7.根据权利要求1所述的联接组件，其中，所述第一连接件和第二连接件各自包括限定了与贯穿所述外管的长度延伸的通道连通的空腔的内表面。
8.根据权利要求1所述的联接组件，其中，所述外管相对于手术装置的纵轴线以小于大约90度的角度延伸。
9.一种机电式手术系统，包括：
手持式机电式手术装置，其构造为致动手术用附加装置，所述手术装置包括：
壳体；以及
至少一个可旋转驱动轴，其支撑在所述壳体内用于驱动所述手术用附加装置的致动，所述手术装置的所述至少一个可旋转驱动轴限定纵轴线；
接合器组件，其用于所述手术装置与所述手术用附加装置之间的选择性的相互连接，所述接合器组件包括至少一个可旋转驱动轴，所述至少一个可旋转驱动轴构造为将所述手术装置的所述至少一个可旋转驱动轴的旋转力传递/转换成用于致动所述手术用附加装置的轴向力/旋转力；以及
联接组件，其用于使所述手术装置与所述接合器组件联接，所述联接组件包括：
第一连接件，其构造为用于与所述手术装置匹配接合；
第二连接件，其构造为用于与所述接合器组件匹配接合；以及
外管，其具有第一端和第二端，并且在所述第一端和所述第二端之间限定纵轴线，所述外管的所述第一端支撑所述第一连接件并且所述外管的所述第二端支撑所述第二连接件，其中所述联接组件的所述纵轴线相对于所述手术装置的所述纵轴线横向地延伸。
10.根据权利要求9所述的机电式手术系统，其中，当所述第一连接件与所述手术装置连接时，所述第一连接件设置在所述第二连接件的远侧。
11.根据权利要求9所述的机电式手术系统，其中，所述外管相对于所述第一连接件和第二连接件横向地延伸。
12.根据权利要求9所述的机电式手术系统，其中，所述联接组件进一步包括至少一个可旋转驱动轴，所述至少一个可旋转驱动轴设置在所述外管内并且构造为与所述手术装置的所述至少一个可旋转驱动轴以及所述接合器组件的所述至少一个可旋转驱动轴连接。
13.根据权利要求12所述的机电式手术系统，其中，所述联接组件的所述至少一个可旋转驱动轴支撑：
第一齿轮，其与所述第一连接件邻近设置，所述第一齿轮构造为用于与所述手术装置的所述至少一个可旋转驱动轴连接；
第二齿轮，其与所述第二连接件邻近设置，所述第二齿轮构造为用于与所述接合器组件的所述至少一个可旋转驱动轴连接，其中所述手术装置的所述至少一个可旋转驱动轴的旋转通过所述联接组件的所述至少一个可旋转驱动轴引起所述接合器组件的所述至少一个可旋转驱动轴的旋转。
14.根据权利要求9所述的机电式手术系统，其中，所述第一连接件和第二连接件各自包括限定了与贯穿所述外管的长度延伸的通道连通的空腔的内表面。
15.根据权利要求9所述的机电式手术系统，其中，所述外管相对于所述手术装置的所述纵轴线以小于大约90度的角度延伸。
16.根据权利要求9所述的机电式手术系统，其中，所述壳体包括具有近侧端和远侧端的上壳体部以及从所述上壳体部的所述近侧端延伸的下手握部。
17.根据权利要求16所述的机电式手术系统，其中，当所述第一连接件与所述手术装置匹配地接合时，所述第二连接件设置在所述上壳体部的所述远侧端的近侧。
18.根据权利要求16所述的机电式手术系统，其中，当所述第一连接件与所述手术装置匹配地接合时，所述联接组件相对于所述上壳体部的所述远侧端以小于大约90度的角度延伸。
19.一种装配机电式手术系统的方法，所述方法包括：
提供构造为用于执行至少一个功能的手术用附加装置；
提供构造为致动所述手术用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；以及
至少一个可旋转驱动轴，其支撑在所述壳体内用于驱动所述手术用附加装置的所述至少一个功能，所述手术装置的所述至少一个可旋转驱动轴限定纵轴线；
提供用于所述手术装置与所述手术用附加装置之间的选择性的相互连接的接合器组件，所述接合器组件包括至少一个可旋转驱动轴并且构造为将所述手术装置的所述至少一个可旋转驱动轴的旋转力转换/传递成用于致动所述手术用附加装置的轴向力/旋转力；
提供用于使所述手术装置与所述接合器组件联接的联接组件，所述联接组件包括：
第一连接件，其构造为用于与所述手术装置匹配接合；
第二连接件，其构造为用于与所述接合器组件匹配接合；
外管，其具有第一端和第二端，并且在所述第一端和所述第二端之间限定纵轴线，所述外管的所述第一端支撑所述第一连接件并且所述外管的所述第二端支撑所述第二连接件，其中所述外管的所述纵轴线相对于所述手术装置的所述纵轴线横向地延伸；
将所述手术装置与所述第一连接件连接，以便所述联接组件相对于所述手术装置以小于大约90度的角度设置；以及
将所述接合器组件与所述第二连接件和所述手术用附加装置连接。
20.根据权利要求19所述的装配机电式手术系统的方法，进一步包括：
将所述手术装置的所述至少一个可旋转驱动轴与所述联接组件的邻近所述第一连接件设置的第一齿轮连接；以及
将所述接合器组件的所述至少一个可旋转驱动轴与所述联接组件的邻近所述第二连接件设置的第二齿轮连接，其中所述手术装置的所述至少一个可旋转驱动轴的旋转通过所述联接组件的所述第一齿轮和第二齿轮引起所述接合器组件的所述至少一个可旋转驱动轴的旋转，从而致动所述手术用附加装置的所述至少一个功能。
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