Background technology
In surgical operation, various medical apparatus and instruments become the requisite instrument of doctor, the application and popularization of medical apparatus and instruments
Make that modus operandi is more various, operating time is shorter, reduce error hand-manipulated, avoid infection, postoperative function recovers fast etc. many
Advantage.
In various medical apparatus and instruments, doctor operates apparatus for convenience, it will usually which setting can make the device that apparatus is turned to,
And have the device of suggesting effect, such as color alerts, action prompt, auditory tone cueses etc..Wherein, the surgery with turning function
Operating theater instruments are relatively common and effective.
In existing hand-held medical apparatus, some have external transfer, and some have built-in action prompt dress
Put, while appliance function is increased, the also operation to doctor is made troubles or easily produce maloperation, and in operation apparatus
During generally require doctor with the hands to control leader's holder tool, greatly reduce the utilization rate of doctor's both hands, to doctor
Operation brings a little inconvenience.
In the medical apparatus and instruments with turning function, hysteroscope is most representative with Endo-GIA, and the product was being designed
Cheng Zhong, is designed with left and right turn action according to actual needs, doctor when tool operation is operated (by taking right hand-held apparatus as an example), one
As right hand-held apparatus, left hand needs the steering knob for rotating apparatus to carry out the angle of adjusting instrument head, preferably to complete handss
Art, in operation process, doctor is needed with the continuous adjusting knob of left hand to adjust cephalad direction, this right and wrong in endoscope-assistant surgery
Often inconvenient, general endoscope-assistant surgery operating doctor both hands all hold apparatus, the rotatable kiss of R & D design one-hand operation
Clutch is extremely urgent.
The transfer complex structure of existing rotatable anastomat, steering feel are more stiff, need doctor's both hands
Operation, during operation apparatus, often colored exering great efforts carrys out adjusting instrument to doctor, and increasing operating time makes the effect of operation
Rate is reduced, and is affected the effect of operation, is brought more pains to patient.
The content of the invention
The invention provides a kind of rotatable anastomat of one-hand operation, needs bimanualness at least to solve doctor
The technical problem of rotatable anastomat.
A kind of rotatable anastomat is embodiments provided, it is including steering link and firing handle, above-mentioned to coincide
Device also includes:Circumtractor, above-mentioned circumtractor include annular ring;And stop bit drag hook, above-mentioned stop bit drag hook includes position-arresting part
Part and steering toggle, above-mentioned steering toggle are located near the position of above-mentioned firing handle so that above-mentioned steering toggle is above-mentioned
Firing handle can be struck while being held;Above-mentioned stop bit drag hook is slidably connected to above-mentioned annular ring, and above-mentioned annular is drawn
Hook is connected with above-mentioned steering link, and when above-mentioned steering toggle is stirred by external force, above-mentioned steering toggle makes above-mentioned stop bit drag hook
Above-mentioned circumtractor is driven, rotates above-mentioned steering link.
Optionally, above-mentioned anastomat also includes handle casing, and above-mentioned handle casing includes the component of stop bit part, on
The component and above-mentioned stop bit part for stating stop bit part coordinates, and makes above-mentioned stop bit drag hook be fixed on predetermined gear.
Optionally, when above-mentioned stop bit part is at least set to one, the component of above-mentioned stop bit part is at least set to two
It is individual;Or when above-mentioned stop bit part is at least set to two, the component of above-mentioned stop bit part is at least set to one.
Optionally, above-mentioned stop bit part is set to three, and the component of above-mentioned stop bit part is set to three.
Optionally, above-mentioned handle casing also includes drag hook slideway, and above-mentioned stop bit drag hook is slidably mounted on above-mentioned drag hook
In slideway.
Optionally, till above-mentioned stop bit part during the hoodle of position, the component of above-mentioned stop bit part is hoodle pit;Or
When above-mentioned stop bit part is hoodle pit, the component of above-mentioned stop bit part is stop bit hoodle.
Optionally, the driving lever of dialling torsion or symmetrical structure of the above-mentioned steering toggle for absolute construction.
Optionally, above-mentioned steering toggle is rotatable or is slidably installed on above-mentioned handle casing, above-mentioned steering toggle
Positioned near the position of above-mentioned firing handle so that above-mentioned steering toggle can be dialled while above-mentioned firing handle is held
It is dynamic.
Optionally, above-mentioned circumtractor is provided with drag hook, and above-mentioned drag hook is snapped in above-mentioned steering link, and above-mentioned stop bit drag hook sets
Fluted, the above-mentioned annular ring of above-mentioned circumtractor is snapped in above-mentioned groove.
Optionally, above-mentioned rotatable anastomat is Endo-GIA under rotatable stiching instrument or hysteroscope.
The invention provides a kind of rotatable anastomat of one-hand operation, can turning with singlehanded convenient adjusting instrument
To and other operations, and there is the clear and definite procedure efficiency clearly pointed out feel, improve doctor, reduce operating time, reduce disease
The pain of people.
Description of the drawings
Confined explosion schematic diagrams of the Fig. 1 for a kind of optional hysteroscope Endo-GIA of the embodiment of the present invention;
Confined explosions of the Fig. 2 for the hysteroscope Endo-GIA of a kind of optional display steering link of the embodiment of the present invention
Schematic diagram;
Schematic diagrams of the Fig. 3 for a kind of optional circumtractor of the embodiment of the present invention;
Schematic diagrams of the Fig. 4 for a kind of optional stop bit drag hook of the embodiment of the present invention;
Schematic diagrams of the Fig. 5 for a kind of optional handle casing of the embodiment of the present invention;
Schematic diagrams of the Fig. 6 for a kind of optional steering link of the embodiment of the present invention;
Confined explosion schematic diagrams of the Fig. 7 for the optional hysteroscope Endo-GIA of another kind of the embodiment of the present invention;
Fig. 8 is quick-fried for the local of the optional hysteroscope Endo-GIA for showing steering link of another kind of the embodiment of the present invention
Fried schematic diagram;
Schematic diagrams of the Fig. 9 for the optional stop bit drag hook of another kind of the embodiment of the present invention;
Schematic diagrams of the Figure 10 for the optional handle casing of another kind of the embodiment of the present invention;
Schematic diagrams of the Figure 11 for a kind of optional Linear stapler of the embodiment of the present invention.
Labelling in accompanying drawing:Circumtractor 1, drag hook 11, annular ring 12;Stop bit drag hook 2, groove 21, stop bit hoodle 22 are turned to
Toggle 23, connecting rod 23.1, driving lever 24, the first circular hole 24.1, the second circular hole 25;Handle casing 3, hoodle pit 31, drag hook slideway
32, turn to toggle installation axle 33, driving lever installation axle 34, driving lever chute 35;Steering link 4, square hole 41, steering link drag hook 42;
Firing handle 5.
Specific embodiment is used for further illustrating but being not limited to the present invention below, and example below is only that the present invention is a kind of
It is preferably carried out mode.
Embodiment 1
As shown in Figures 1 to 4, a kind of hysteroscope Endo-GIA is present embodiments provided, including steering link 4 and percussion
Handle 5, above-mentioned anastomat also include:Circumtractor 1, above-mentioned circumtractor 1 include annular ring 12;And stop bit drag hook 2, it is above-mentioned
Stop bit drag hook 2 includes stop bit hoodle 22 and turns to toggle 23, and above-mentioned steering toggle 23 is located near the position of above-mentioned firing handle 5
Put so that above-mentioned steering toggle 23 can be struck while above-mentioned firing handle 5 is held, i.e., only just can be grasped simultaneously with one hand
Make above-mentioned firing handle 5 and above-mentioned steering toggle 23, hold firing handle in overcoming prior art and rotation steering group torsion must
Must simultaneously using the technical problem of bimanualness;Above-mentioned stop bit drag hook 2 is slidably connected to above-mentioned annular ring 12, above-mentioned annular
Drag hook 1 is connected with above-mentioned steering link 4, and when above-mentioned steering toggle 23 is stirred by external force, above-mentioned steering toggle 23 makes above-mentioned
Stop bit drag hook 2 drives above-mentioned circumtractor 1, rotates above-mentioned steering link 4.
As shown in Fig. 1, Fig. 4 and Fig. 5, optionally, above-mentioned anastomat also includes handle casing 3, and above-mentioned handle casing 3 includes
The component 31 of stop bit part, i.e. hoodle pit 31, above-mentioned hoodle pit 31 are coordinated with above-mentioned stop bit hoodle 22, make above-mentioned stopping
Position drag hook 2 is fixed on predetermined gear, i.e., above-mentioned hoodle pit 31 blocks above-mentioned stop bit hoodle 22, so that above-mentioned stop bit drag hook
2 are fixed on predetermined gear.
Optionally, when above-mentioned stop bit hoodle 22 is at least set to one, above-mentioned hoodle pit 31 is at least set to two;Or work as
When above-mentioned stop bit hoodle 22 is at least set to two, above-mentioned hoodle pit 31 is at least set to one.
As shown in Figures 4 and 5, optionally, above-mentioned stop bit hoodle 22 is set to three, and above-mentioned hoodle pit 31 is set to three.
As shown in Figures 1 and 5, optionally, above-mentioned handle casing 3 also includes drag hook slideway 32, and above-mentioned stop bit drag hook 2 can be slided
It is installed in above-mentioned drag hook slideway 32 dynamicly.
Optionally, when above-mentioned stop bit hoodle 22 is located on above-mentioned stop bit drag hook 2, above-mentioned handle casing 3 includes above-mentioned bullet
Pearl pit 31;Or when above-mentioned stop bit hoodle 22 is located on above-mentioned handle casing 3, above-mentioned stop bit drag hook 2 includes that above-mentioned hoodle is recessed
Hole 31, above-mentioned hoodle pit 31 is coordinated with above-mentioned stop bit hoodle 22, is made above-mentioned stop bit drag hook 2 be fixed on predetermined gear, that is, is gone up
State hoodle pit 31 and block above-mentioned stop bit hoodle 22, so that above-mentioned stop bit drag hook 2 is fixed on predetermined gear.
As shown in Fig. 4 and Fig. 9, optionally, above-mentioned steering toggle 23 is turned round or as schemed for dialling for absolute construction as shown in Figure 4
The driving lever of the symmetrical structure of the driving lever of the symmetrical structure shown in 9, i.e. connecting rod 23.1 and driving lever 24 composition.
As shown in Fig. 1, Fig. 4, Fig. 7 and Fig. 9, optionally, the replacement of above-mentioned steering toggle 23 or above-mentioned steering toggle 23 is dialled
Bar is rotatable or is slidably installed on above-mentioned handle casing 3, the replacement of above-mentioned steering toggle 23 or above-mentioned steering toggle 23
Driving lever is located near the position of above-mentioned firing handle 5 so that above-mentioned steering toggle 23 is while above-mentioned firing handle 5 is held
Can be struck.
Shown as shown in Figure 2, Figure 3 and Figure 4, optionally, above-mentioned circumtractor 1 is provided with drag hook 11, and above-mentioned drag hook 11 snaps in above-mentioned
In steering link 4, above-mentioned stop bit drag hook 2 is provided with groove 21, and the above-mentioned annular ring 12 of above-mentioned circumtractor 1 snaps in above-mentioned groove 21
In.
As shown in Figures 1 and 2, optionally, a kind of hysteroscope Endo-GIA that the present embodiment is provided, the one-handed performance
Transfer includes above-mentioned circumtractor 1, above-mentioned stop bit drag hook 2, above-mentioned handle casing 3 and above-mentioned steering link 4.
As shown in Figure 1, Figure 2, shown in Fig. 3 and Fig. 6,1 head of above-mentioned circumtractor is provided with drag hook 11, the above-mentioned drawing of head during assembling
Hook 11 is snapped in the square hole 41 at 4 rear portion of above-mentioned steering link, for pull back or before push to and state steering link 4, so as to drive head
Component is rotated;1 rear portion of above-mentioned circumtractor is provided with above-mentioned annular ring 12, and the function of above-mentioned annular ring 12 is to work as to stir rotation with finger
When rotary head carries out the angle adjustment of apparatus, the power of above-mentioned stop bit drag hook 2 can be delivered to into above-mentioned steering on 360 degree of directions and be connected
On bar 4.
As shown in Fig. 1, Fig. 3, Fig. 4 and Fig. 5, above-mentioned stop bit drag hook 2 can be slidably mounted at the above-mentioned drawing of above-mentioned handle casing 3
In hook slideway 32, above-mentioned 2 head of stop bit drag hook is provided with above-mentioned groove 21, for the transmission of strength, makes on above-mentioned circumtractor 1
Above-mentioned annular ring 12 is snapped in wherein, drives above-mentioned circumtractor 1 to move forward and backward;2 middle setting tool of above-mentioned stop bit drag hook is resilient
Above-mentioned stop bit hoodle 22, for above-mentioned stop bit drag hook 2 to be fixed on the position of needs, the bossing of above-mentioned stop bit hoodle 22 with
Above-mentioned hoodle pit 31 on above-mentioned handle casing 3 coordinates, so that the component anglec of rotation is fixed, will not send out in operation process
Raw resilience, makes operation process cause danger, left and right handle casing each be designed with 3 pits, left and right is identical, and this example is with right handles
Shell can change the quantity and distance of pit illustrating according to gear demand, as long as space allows, component is turned to 5
Gear, when there is external force to promote or pull back above-mentioned stop bit drag hook 2, above-mentioned stop bit hoodle 22 slides into next above-mentioned hoodle pit
31, as the elasticity of hoodle itself can produce sound and vibration, so as to produce suggesting effect;Above-mentioned 2 afterbody of stop bit drag hook is provided with
Above-mentioned steering toggle 23, above-mentioned steering toggle 23 are turned round for dialling for absolute construction, as shown in figure 4, stirring for finger or pulling back, are
The drive part that component is rotated, above-mentioned steering toggle 23 are fixed on above-mentioned handle casing 3 by the first circular hole 24.1 is rotatable
On corresponding cylinder, above-mentioned 2 front-rear reciprocation movement of stop bit drag hook can be made when by external force.Above-mentioned handle casing 3 is main to be used
In fixing and supporting each part, above-mentioned hoodle pit 31, above-mentioned drag hook slideway 32 is which is provided with, and turns to toggle installation axle 33.
Above-mentioned steering toggle 23 facilitates manipulator to be in one's hands before dynamic above-mentioned firing handle 5 and adjusts component near the position of above-mentioned firing handle 5
Angle.The position that the position of above-mentioned steering toggle 23 be able to can be touched in the forefinger of operator or thumb.
As shown in fig. 6, the back of above-mentioned steering link 4 is provided with square hole 41, for tangling the head of above-mentioned circumtractor 1,
The front end of above-mentioned steering link 4 is provided with steering link drag hook 42, for hooking the turning-bar on component.
As shown in figure 9, optional, the above-mentioned steering toggle 23 of above-mentioned stop bit drag hook 2 can also be the driving lever of symmetrical structure,
That is the replacement driving lever of above-mentioned steering toggle 23, the afterbody of above-mentioned 2 straight bar part of stop bit drag hook are provided with connecting rod 23.1, relative can turn
Dynamic, for horizontal rectilinear motion is converted into rotary motion, the other end rotation of above-mentioned connecting rod 23.1 is connected with driving lever 24, dress
Two ends with above-mentioned driving lever 24 after finishing are stirred for finger or are pulled back higher than the outer surface of apparatus, are the drivings that component is rotated
Part, the afterbody of above-mentioned driving lever 24 are provided with the second circular hole 25 so as to rotatable to be fixed on 3 corresponding cylinder of above-mentioned handle casing
On, above-mentioned 2 front-rear reciprocation movement of stop bit drag hook can be made when by external force.
As shown in Fig. 7 and Figure 10, optionally, above-mentioned handle casing 3 is in order to install the replacement with above-mentioned steering toggle 23
The above-mentioned stop bit drag hook 2 of driving lever, above-mentioned handle casing 3 are mainly used in fixing and supporting each part, and above-mentioned handle casing 3 is provided with bullet
Pearl pit 31, for screens and generation feel prompting, above-mentioned drag hook slideway 32 ensures that part is moved in the horizontal direction, driving lever chute
35 make above-mentioned driving lever 24 move back and forth in circular groove, and so as to drivening rod, mechanism moves back and forth, and driving lever installation axle 34 is used
In the above-mentioned driving lever 24 for installing above-mentioned 2 afterbody of stop bit drag hook, i.e., the second circular hole 25 as shown in Figure 9 is arranged on as shown in Figure 10
In above-mentioned driving lever installation axle 34.
Above-mentioned steering toggle 23 for absolute construction as shown in Figure 4 dial turn round when, a kind of optional assembling process is:First
Barrel assembly assembling is finished, and above-mentioned circumtractor 1 is enclosed within steering lock, then barrel assembly is mounted in above-mentioned handle casing by entirety
On 3, above-mentioned stop bit drag hook 2 is snapped in the slideway of above-mentioned handle casing 3, on above-mentioned stop bit hoodle 22 and above-mentioned handle casing 3
Above-mentioned hoodle pit 31 correspond, the above-mentioned groove 21 of above-mentioned 2 front end of stop bit drag hook is stuck in the above-mentioned of above-mentioned circumtractor 1
On annular ring 12, the above-mentioned steering toggle 23 of above-mentioned 2 rear end of stop bit drag hook is enclosed within the corresponding cylinder of above-mentioned handle casing 3
On, left handle shell is buckled on right handle shell, handle is welded together with ultrasonic bonding, upper and lower swivel head is buckled in
It is cased with the steering lock of above-mentioned circumtractor 1, upper and lower swivel head is welded together with ultrasonic bonding, apparatus assembling is finished.
Operation principle:After the completion of apparatus assembling, when rotatable component is installed in apparatus front end, rotary components end
Turning-bar can be snapped in the drag hook of apparatus steering link, so as to be rigidly connected with whole transfer.Operator is in handss
During holder tool, forefinger stirs swivel head for rotating the component adjustment direction of head part of apparatus, is now mounted in above-mentioned inside swivel head
Circumtractor 1 remains the concomitant rotation that is rigidly connected with above-mentioned steering link 4, stirs above-mentioned steering in operator backward with forefinger
During toggle 23, above-mentioned steering toggle 23 drives above-mentioned stop bit drag hook 2 to travel forward, above-mentioned 2 head design of stop bit drag hook it is above-mentioned
Groove 21 promotes the above-mentioned annular ring 12 at 1 rear portion of above-mentioned circumtractor, is allowed to promote above-mentioned circumtractor 1 to travel forward, so as to
Promote above-mentioned steering link 4 and the turning-bar of component internal to travel forward, make component turn left, set on above-mentioned stop bit drag hook 2
The above-mentioned stop bit hoodle 22 having passes through to produce feel and auditory tone cueses during the above-mentioned hoodle pit 31 on the shell of left and right, above-mentioned to stop
Position hoodle 22 can play position-limiting action when entering next pit, make the state fixation of apparatus in this position, keep head assembly
Angle will not change, when continuation forefinger stirs above-mentioned steering toggle 23 backward, above action can be repeated, hoodle can be entered
Next pit, the angle that component turns left can be increased, according to the angle of apparatus demand can set different hoodle gaps and
Quantity.
Conversely, when operator stirs forward above-mentioned steering toggle 23 with forefinger, above-mentioned steering toggle 23 pulls above-mentioned stop bit
Drag hook 2 is moved backward, and the above-mentioned groove 21 that above-mentioned 2 head of stop bit drag hook is provided with pulls the above-mentioned ring at 1 rear portion of above-mentioned circumtractor
Shape circle 12, is allowed to pull above-mentioned circumtractor 1 to move backward, so as to pull the turning-bar of above-mentioned steering link 4 and component internal
Move backward, make component turn right;Depending on rotational angle and gear setting can be according to apparatus demands, this programme designs 3 bullets
Pearl pit, can allow component or so respectively to rotate 22.5 ° and 45 °, even if component is turned to 5 gears, original state three is above-mentioned
Hoodle pit 31 is one-to-one relation with three above-mentioned stop bit hoodles 22, is now position one, travels forward once, that is, dial
Move once, second stop bit of first hoodle in three above-mentioned stop bit hoodles 22 to sky, in three above-mentioned stop bit hoodles 22
Hoodle is to first hoodle pit in three above-mentioned hoodle pits 31, the 3rd hoodle pair in three above-mentioned stop bit hoodles 22
Second hoodle pit in three above-mentioned hoodle pits 31, is now position two, and continuation is stirred forward, three above-mentioned stop bit bullets
First hoodle in pearl 22 to sky, second hoodle in three above-mentioned stop bit hoodles 22 to sky, three above-mentioned stop bit hoodles
The 3rd hoodle in 22, to first hoodle pit in three above-mentioned hoodle pits 31, is now position three, pole forward
Extreme position, opposite direction are exactly contrary, as the angle of devices call left and right turn is identical, so hoodle pit and stop bit
Symmetric design is wanted in hoodle position, and some apparatuses only require that head is rotated or only turned right to the left side, it is possible to asymmetric.Equally
Operation principle, when above-mentioned stop bit hoodle 22 be located at above-mentioned handle casing 3 on when, above-mentioned hoodle pit 31 then accordingly be located at it is upper
State on stop bit drag hook 2.
Above-mentioned steering toggle 23 for symmetrical structure as shown in Figure 9 driving lever when, i.e. the replacement of above-mentioned steering toggle 23 is dialled
Bar, a kind of optional assembling process is:It is similar with above-mentioned assembling process:Except that, above-mentioned 2 rear end of stop bit drag hook it is above-mentioned
Driving lever 24 is inserted on the corresponding above-mentioned driving lever chute 35 on above-mentioned handle casing 3, by above-mentioned second circular hole 25 of afterbody
It is enclosed within the corresponding above-mentioned driving lever installation axle 34 on above-mentioned handle casing 3.
Above-mentioned steering toggle 23 (i.e. the replacement driving lever of above-mentioned steering toggle 23) is the driving lever of symmetrical structure as shown in Figure 9
When operation principle it is similar with above-mentioned operation principle:Except that, when operator stirs above-mentioned driving lever 24 backward with forefinger,
Above-mentioned driving lever 24 drives above-mentioned connecting rod 23.1 to move backward, while pull above-mentioned 2 straight bar part of stop bit drag hook integrally to move backward,
The above-mentioned groove 21 of above-mentioned 2 head of stop bit drag hook pulls the above-mentioned annular ring 12 at 1 rear portion of above-mentioned circumtractor, is allowed to pull above-mentioned
Circumtractor 1 is moved backward, so as to the turning-bar for pulling above-mentioned steering link 4 and component internal is moved backward, makes component to the right
Rotate, the above-mentioned stop bit hoodle 22 on above-mentioned stop bit drag hook 2 passes through to produce handss during the above-mentioned hoodle pit 31 on the shell of left and right
Sense and auditory tone cueses, can play position-limiting action when above-mentioned stop bit hoodle 22 is into next above-mentioned hoodle pit 31, make apparatus
State fixation keeps the angle of head assembly not change in this position, when continuing to stir above-mentioned driving lever 24 backward, can repeat
Above action, above-mentioned stop bit hoodle 22 can enter next above-mentioned hoodle pit 31, and the angle that component turns right can be increased, root
Different hoodle gaps and quantity can be set according to the angle of apparatus demand.
Conversely, when operator stirs above-mentioned driving lever 24 forward, above-mentioned driving lever 24 promotes above-mentioned stop bit drag hook 2 to travel forward,
The above-mentioned groove 21 of above-mentioned stop bit drag hook 2 promotes the above-mentioned annular ring 12 at 1 rear portion of above-mentioned circumtractor, is allowed to promote above-mentioned annular
Drag hook 1 travels forward, and so as to the turning-bar for promoting above-mentioned steering link 4 and component internal travels forward, makes component turn left,
Depending on rotational angle and gear setting can be according to apparatus demands, this programme designs 3 above-mentioned hoodle pits 31, can allow component or so
22.5 ° and 45 ° of each rotation, component left rotation and right rotation principle is with above-mentioned.