CN105266863B - 用于封装手柄组件的一次性壳体及使用方法 - Google Patents

用于封装手柄组件的一次性壳体及使用方法 Download PDF

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CN105266863B
CN105266863B CN201510330820.1A CN201510330820A CN105266863B CN 105266863 B CN105266863 B CN 105266863B CN 201510330820 A CN201510330820 A CN 201510330820A CN 105266863 B CN105266863 B CN 105266863B
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handle assembly
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core handle
end effector
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陈兴瑞
马修·乔瓦尼奇
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Covidien LP
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Abstract

本发明提供了用于封装手柄组件的一次性壳体及使用方法。一次性壳体包括壳体部和存储器。所述壳体部在其中限定了构造成接纳能电机操作的内芯手柄组件的腔室。壳体部的至少一部分具有与一种类型的末端执行器或一种类型的接合器组件的颜色对应的颜色。所述存储器具有储存于其中的用于内芯手柄组件的至少一个操作参数。

Description

用于封装手柄组件的一次性壳体及使用方法
相关申请的交叉引用
本申请要求2014年6月18日提交的序号为62/013,607的美国临时专利申请的权益和优先权，其全部内容通过引用结合于此。
技术领域
本公开涉及构造成封装能电机操作的、内芯手柄组件的一次性壳体。更具体地，本公开涉及一种包括一次性壳体的手术器械系统，通过将一次性壳体的颜色与接合器组件的颜色和/或末端执行器的颜色匹配，所述一次性壳体被选择用于特定的手术操作。
背景技术
诸多手术装置制造商已经开发出具有用于操作和/或操纵机电手术装置的专用驱动系统的生产线。在很多情况下，机电手术装置包括可重复使用的手柄组件和一次性的装载单元和/或单次使用的装载单元等，一次性的装载单元和/或单次使用的装载单元等包括布置在其末端的末端执行器并且在使用之前被选择性地连接至手柄组件然后在使用后与手柄组件断开以便处理掉或者在一些情况下经消毒后再次使用。
在某些情况下，接合器组件被用以将机电手术装置与多个手术附加装置(例如，诸如为手术装载单元或末端执行器)中的任意一个互连，以在它们之间建立机械的和/或电气的连接。每个末端执行器和/或接合器组件均具有与将要执行的相应的手术操作对应的独有功能特点。因此，在执行特定的手术操作之前，基于将要执行的手术操作来选择一种类型的末端执行器和/或接合器组件并将其附接至驱动所选择的末端执行器的功能的手柄组件。
为了将要执行的特定的手术操作，存在对于辅助医师准确且高效地识别和选择将要附接至手柄组件的合适的末端执行器和/或接合器组件的方式的需求。
发明内容
根据本公开的方案，提供了一种一次性壳体。所述一次性壳体构造成封装能电机操作的内芯手柄组件，所述内芯手柄组件构造成驱动多种类型的末端执行器的操作。一次性壳体包括壳体部和存储器。壳体部在其中限定了构造成接纳内芯手柄组件的腔室。壳体部的至少一部分具有与一种类型的末端执行器的颜色对应的颜色。存储器具有储存于其中的用于内芯手柄组件的至少一个操作参数。
在实施例中，至少一个操作参数可为内芯手柄组件的电机的运转速度、在内芯手柄组件的电机的运转期间由其输送的功率量、选择要致动内芯手柄组件的哪些电机或者通过内芯手柄组件将要执行的末端执行器的功能类型。
在实施例中，壳体部的至少一部分的颜色可对应于一个或多个操作参数。
可以想到，存储器具有储存于其中的对应于一种类型的末端执行器的识别码。一次性壳体可进一步包括处理器，所述处理器构造成确定储存在存储器中的识别码何时对应于可操作地联接至内芯手柄组件的末端执行器的类型。
在实施例中，壳体部的至少一部分的颜色可对应于一种类型的接合器组件的颜色，所述一种类型的接合器组件构造成将一种类型的末端执行器与内芯手柄组件可操作地互连。至少一个操作参数可对应于一种类型的末端执行器和一种类型的接合器组件。
可以想到，壳体部可包括第一壳体部和第二壳体部。第一壳体部和第二壳体部彼此可移动地联接，以使得第一壳体部和第二壳体部相对于彼此在闭合、完全联接的构造和开启、部分分开的构造之间是可移动的。
在本公开的另一方案中，提供了一种手术器械系统。所述手术器械系统包括能电机操作的内芯手柄组件、至少一种类型的末端执行器和至少一个一次性壳体。内芯手柄组件能够执行多个操作参数。至少一种类型的末端执行器构造成可操作地联接至内芯手柄组件。每种类型的末端执行器均至少具有与其关联的实质上独立(discrete)的颜色，并且具有与其关联的至少一种独立功能。至少一个一次性壳体包括壳体部和存储器。壳体部在其中限定了构造成接纳内芯手柄组件的腔室。壳体部的至少一部分具有与一种类型的末端执行器的颜色对应的颜色。存储器具有储存于其中的用于内芯手柄组件的至少一个操作参数。用于内芯手柄组件的至少一个操作参数对于可操作地联接至内芯手柄组件的末端执行器的类型是特定的。
在实施例中，手术器械系统可进一步包括至少一种类型的接合器组件，所述至少一种类型的接合器组件构造成将内芯手柄组件与至少一种类型的末端执行器可操作地互连。壳体部的至少一部分的颜色可对应于至少一种类型的接合器组件的颜色。至少一个操作参数可对应于至少一种类型的末端执行器和至少一种类型的接合器组件。
可以想到，存储器可具有储存于其中的对应于至少一种类型的末端执行器的识别码。至少一个一次性壳体可进一步包括处理器，所述处理器构造成确定储存在存储器中的识别码何时对应于至少一种类型的接合器组件。
在一些实施例中，至少一种类型的末端执行器可包括各自具有彼此不同颜色的多种类型的末端执行器。至少一个一次性壳体可包括各自具有彼此不同颜色的多个一次性壳体。每个一次性壳体的颜色可对应于一种类型的末端执行器的颜色。每个一次性壳体的存储器可具有储存于其中的对应于一种类型的末端执行器的识别码。在每个一次性壳体的存储器中储存的至少一个操作参数可彼此不同，以使得内芯手柄组件基于通过其进行封装的一次性壳体而不同地进行操作。
在实施例中，壳体部可包括第一壳体部和第二壳体部。所述第一壳体部和所述第二壳体部可彼此可移动地联接，以使得第一壳体部和第二壳体部相对于彼此在闭合、完全联接的构造和开启、部分分开的构造之间是可移动的。
在本公开的又一方案中，提供了一种构造手持式动力手术器械的方法。所述方法包括：提供能电机操作的内芯手柄组件，其能够执行多个操作参数；提供多个一次性壳体，所述多个一次性壳体中的每个一次性壳体至少具有与其关联的实质上独立的颜色并且包括存储器，所述存储器具有储存于其中的内芯手柄组件的至少一个操作参数；提供多种类型的末端执行器，每种类型的末端执行器均至少具有与其关联的实质上独立的颜色；选择多个一次性壳体中的一个一次性壳体；将内芯手柄组件插入到选定的一个一次性壳体内；基于所述选定的一个一次性壳体的颜色而选择多种类型的末端执行器中的一种类型的末端执行器；以及将选定的一种类型的末端执行器可操作地联接至所述选定的一个一次性壳体。
在实施例中，所述方法可进一步包括根据至少一个操作参数操作所述手持式动力手术器械。
可以想到，各个一次性壳体的颜色可对应于至少一个操作参数的不同操作参数。
在实施例中，所述方法可进一步包括确定识别码何时对应于所选定的联接至一次性壳体的一种类型的末端执行器。所述方法可进一步包括以下至少一个步骤：当识别码不对应于所选定的联接至一次性壳体的一种类型的末端执行器时，禁用内芯手柄组件的操作；或者当识别码对应于所选定的联接至一次性壳体的一种类型的末端执行器时，使得内芯手柄组件能够操作。
在实施例中，每个一次性壳体的存储器可具有内芯手柄组件的操作参数的子集。操作参数的子集中的每个操作参数可对应于一种类型的手术操作。所述方法可进一步包括在内芯手柄组件插入到选定的一个一次性壳体内时激活操作参数的子集。
在本公开的又一方案中，提供了构造手持式动力手术器械的另一方法。所述方法包括：选择将要执行的特定手术操作；提供能电机操作的内芯手柄组件，其能够执行多个操作参数；提供多个一次性壳体，多个一次性壳体中的每个一次性壳体至少具有与其关联的实质上独立的颜色并且包括存储器，所述存储器具有储存于其中的内芯手柄组件的至少一个操作参数；提供多种类型的末端执行器，每种类型的末端执行器均具有与其关联的实质上独立的颜色；选择多种类型的末端执行器中的适于执行选定的手术操作的一种类型的末端执行器；基于选定的一种类型的末端执行器的颜色而选择多个一次性壳体中的一个一次性壳体；将内芯手柄组件插入到选定的一个一次性壳体内；以及将选定的一种类型的末端执行器可操作地联接至选定的一个一次性壳体。
在实施例中，当将内芯手柄组件插入选定的一个一次性壳体内时，内芯手柄组件可从选定的一个一次性壳体的存储器接收内芯手柄组件将进行操作所借助的操作参数。操作参数可包括：专用于选定的一种类型的末端执行器的操作的一组参数；以及专用于选定的手术操作的参数子集。
可以想到，所述方法可进一步包括：选择与选定的一种类型的末端执行器和选定的一种类型的一次性壳体的颜色具有相同颜色的接合器组件；以及将选定的接合器组件可操作地连接至内芯手柄组件和选定的一种类型的末端执行器。
附图说明
在此参照附图描述本公开的实施例，其中：
图1是根据本公开的实施例的手持式机电手术器械系统的立体图；
图2是根据本公开的实施例的能电机操作的内芯手柄组件的立体图；
图3A是处于开启构造的一次性壳体的实施例和图2中所示的内芯手柄组件的立体图；
图3B是具有与之关联的不同颜色并且处于闭合构造的图3A的一次性壳体和图2中所示的内芯手柄组件的立体图；
图4A是示出为可操作地联接至图1中所示的手术器械系统的接合器组件的实施例的侧视图；
图4B是示出为可操作地联接至图1中所示的手术器械系统的接合器组件的另一实施例的侧视图；
图5A是构造成可操作地联接至图4A中所示的接合器组件的末端执行器的实施例的立体图；以及
图5B是构造成可操作地联接至图4B中所示的接合器组件的末端执行器的另一实施例的立体图。
具体实施方式
参照附图详细描述当前公开的机电手术器械的实施例，该机电手术器械包括内芯手柄组件、接合器组件和末端执行器，其中相同的附图标记在若干视图的每个图中指代相同或者对应的元件。正如在此所使用的，术语“远侧”指代手术器械、接合器组件、手柄组件、末端执行器或其部件的更远离用户的部分，而术语“近侧”指代手术器械、接合器组件、手柄组件、末端执行器或其部件的更靠近用户的部分。
参照图1至图5B，提供了一种手术器械系统，例如，诸如为机电手术器械系统10。系统10包括：手柄组件100；多种类型的接合器组件，例如，接合器组件200a、200b(图4A和图4B)；以及多种类型的末端执行器，例如，末端执行器300a、300b(图5A和图5B)。手柄组件100构造用于与多个接合器组件中的任意一个选择性地附接，例如接合器组件200a(图4A)和/或接合器组件200b(图4B)，并且依次地，每个独特的接合器组件200a或200b分别构造用于与任意数目的手术装载单元或末端执行器选择性连接，例如，诸如为末端执行器300a(图5A)和/或末端执行器300b(图5B)。末端执行器300a、300b和接合器组件200a、200b构造用于由手柄组件100致动和操纵。在将一个接合器组件200a或200b连接至手柄组件100并且将一种类型的末端执行器300a或300b连接至所选择的接合器组件200a或200b时，形成了主要指代为20的动力手持式机电手术器械。
为了详细描述示例性机电手持式动力手术器械的构造和操作，可参考公开号为WO2009/039506的国际公开和公开号为2011/0121049的美国专利申请，其全部内容通过引用结合于此。
参考图1和图2，手柄组件100包括内芯手柄组件101和构造成选择性接纳并封装内芯手柄组件101的一次性壳体或外壳110a。内芯手柄组件101是能电机操作的并且构造成驱动多种类型的末端执行器的操作。内芯手柄组件101具有多个操作参数组(例如，内芯手柄组件101的电机的运转速度、由内芯手柄组件101的电机将要输送给接合器组件的功率量、将要被致动的内芯手柄组件101的电机的选择、通过内芯手柄组件101将要执行的末端执行器的功能等)。内芯手柄组件101的每个操作参数组被设计成在末端执行器联接至内芯手柄组件101时驱动对于相应类型的末端执行器来说独有的特定功能组的致动。例如，内芯手柄组件101可以根据是末端执行器300a还是末端执行器300b联接至内芯手柄组件101来改变其功率输出、无效或触发其某些按钮和/或致动其不同的电机，正如下面更详细描述的。
具体参照图2，内芯手柄组件101在其中限定有内壳腔室(未示出)，动力组106位于内壳腔室中。动力组106构造成控制内芯手柄组件101的各种操作。动力组106包括分别与其可操作地接合的多个电机108a、108b。电机108a、108b的旋转用于驱动接合器组件200a(图4A)和/或接合器组件200b(图4B)的轴和/或齿轮部件(未示出)以便驱动与其附接的末端执行器的各种操作，末端执行器例如为末端执行器300a或300b(图5A和图5B)。
具体地，当末端执行器300a(图5A)被联接至内芯手柄组件101时，动力组106的电机构造成驱动接合器组件200a(图4A)的轴和/或齿轮部件以便选择性地使末端执行器300a的工具组件304a相对于末端执行器300a的近侧体部302a移动、使末端执行器300a绕纵向轴线“X”旋转、使末端执行器300a的钉仓组件308a和砧座组件306a相对于彼此移动和/或从末端执行器300a的钉仓组件308a内发射吻合钉。当末端执行器300b(图5B)联接至内芯手柄组件101时，动力组106的电机108a、108b构造成驱动接合器组件200b(图4B)的轴和/或齿轮部件以便选择性地使砧座308b相对于圆形钉仓组件306b移动、从末端执行器300b的钉仓组件306b内发射吻合钉以及从圆形钉仓组件306b内推进环形刀片。
参照图1、图3A和图3B，手术器械系统10进一步包括多个一次性壳体，例如，一次性壳体110a(图3A)和/或一次性壳体110b(图3B)。在实施例中，正如下面更为详细描述的，手术器械系统10包括多个独有地着色的一次性壳体。一次性壳体110a、110b构造成封装内芯手柄组件101，从而在手术操作期间抑制手术碎片渗入并且污染内芯手柄组件101。一次性壳体110a、110b中的一个选择性地在使用之前封装内芯手柄组件101并且可随后在使用之后从内芯手柄组件101拆下以便处理掉或在一些情况下消毒来再次使用。
参照图3A，一次性壳体110a包括壳体部112a和由壳体部112a支撑的存储器114a。壳体部112a包括第一壳体部或远侧半段116a和第二壳体部或近侧半段118a。近侧半段118a通过沿着远侧半段116a和近侧半段118a的上边缘定位的铰链120a而可移动地联接至远侧半段116a。远侧半段116a和近侧半段118a相对于彼此在图3B中所示的闭合、完全联接构造和图3A中所示的开启、部分分开构造之间是能枢转的。当结合时，远侧半段116a和近侧半段118a在其中限定了腔室122a，内芯手柄组件101、存储器114a和微处理器140a可选择性地位于其中。
远侧半段116a和近侧半段118a分别包括各自的上壳部116a1、118a1和各自的下壳部116a2、118a2。下壳部116a2、118a2限定了搭扣关闭部件124a，用于选择性地将下壳部116a2、118a2彼此稳固并且用于将壳体部112a维持在闭合构造。壳体部112a的远侧半段116a和近侧半段118a可由任何合适的材料制造而成，例如，该材料诸如为聚碳酸酯。
壳体部112a的远侧半段116a限定了连接部126a，连接部126a构造成接纳接合器组件200a(图4A)的对应的驱动联接组件(未示出)。具体地，壳体部112a的远侧半段116a具有凹口128a，当接合器组件200a与内芯手柄组件101配接时，凹口128a接纳接合器组件200a的驱动联接组件的近侧盖(未示出)。
壳体部112a的远侧半段116a支撑面向远侧的切换控制按钮130a。切换控制按钮130a能够在向其施加相应的力或压下力时在左、右、上、下方向上被致动。壳体部112a的远侧半段116a支撑一对右侧控制按钮(未示出)和一对左侧控制按钮132a。右侧控制按钮和左侧控制按钮132a能够在向其施加相应的力或压下力时被致动。
一次性壳体110a的壳体部112a具有与其关联的颜色，包括阴影、黑色或白色。可以想到，壳体部112a能够具有与其关联的任意合适的颜色。壳体部112a的颜色对应于一种类型的末端执行器的颜色。例如，壳体部112a具有对应于末端执行器300a(图3A)的第一颜色以及对应于末端执行器300b(图5B)的第二颜色。类似地，接合器组件200a(图4A)可具有对应于末端执行器300a的第一颜色，并且接合器组件200b(图4B)可具有对应于末端执行器300b的第二颜色。
在实施例中，壳体部112a的外表面的至少一部分具有涂在其上的彩色涂层。在其他实施例中，壳体部112的至少一部分由彩色材料制造而成。在一个实施例中，壳体部112a的至少一部分可具有彩色图案、设计或其他标记。
因此，如下面更为详细描述的，多个一次性壳体的每个一次性壳体110a、110b均具有与一种类型的接合器组件200a、200b和/或一种类型的末端执行器300a、300b的独立颜色匹配的独立颜色。通过这种方式，每个一次性壳体110a、110b均对应于一种类型的接合器组件和/或一种类型的末端执行器。
继续参照图3A和图3B，一次性壳体110a、110b各自分别包括存储器114a、114b。可以想到，存储器114a、114b可为非易失性存储器，例如，诸如为电可擦可编程只读存储器。存储器114a、114b具有储存于其中的内芯手柄组件101的独立操作参数，该独立操作参数对应于一种类型的末端执行器(例如，末端执行器300a或300b)和/或一种类型的接合器组件(例如，接合器组件200a或200b)的操作。储存在存储器114a、114b中的(多个)操作参数可为以下中的至少一个：内芯手柄组件101的电机108a、108b的运转速度；在内芯手柄组件101的电机108a、108b的运转期间由电机108a、108b输送的功率量；在操作内芯手柄组件101时内芯手柄组件101的哪些电机108a、108b被致动；通过内芯手柄组件101将要执行的末端执行器的功能类型；等等。
储存在每个相应的一次性壳体110a、110b的存储器114a、114b中的(多个)操作参数针对各个一次性壳体110a、110b是不同的，使得内芯手柄组件101被指导成基于通过其进行封装的特定一次性壳体110a、110b而不同地操作，正如下面更为详细描述的。因此，一次性壳体的一种独立颜色对应于储存在一次性壳体的存储器中的(多个)独立操作参数(对应于特定的末端执行器和/或将要执行的特定手术操作)，存储器位于一次性壳体中。
各个一次性壳体110a、110b的存储器114a、114b分别进一步包括内芯手柄组件101的操作参数的子集。正如上面简单提到的，操作参数的每个子集也可对应于借助手术器械20将要执行的一种类型的手术操作，例如组织/器官的横切或切除、胸部或腹部操作中组织/器官的闭合、或吻合术中组织/器官的稳固。在将内芯手柄组件101插入选定的一次性壳体110a或110b的腔室内时，或者在由临床医生或外科医生选择时，对应于选定的一次性壳体110a或110b的操作参数的子集被激活，使得内芯手柄组件101适合于或者构造成在选定的手术操作中使用。
各个一次性壳体110a、110b的存储器114a、114b还具有储存于其中的独立的识别码或序列号，该独立的识别码或序列号对应于一种类型的末端执行器和/或一种类型的接合器组件。储存在存储器114a、114b中的识别码指示一次性壳体110a或110b意在使用的末端执行器和/或接合器组件的类型。
一次性壳体110a、110b均进一步包括处理器，例如微处理器140a、140b。微处理器140a、140b构造成确定储存在各个存储器114a、114b中的识别码是否并且何时对应于可操作地联接至内芯手柄组件101的末端执行器的类型和/或接合器组件的类型。各个一次性壳体110a、110b的微处理器140a、140b构造成当储存在各个存储器114a、114b中的识别码并不对应于联接至内芯手柄组件101的特定类型的末端执行器和/或接合器组件时，使内芯手柄组件101的操作禁用。例如，如果储存在存储器114a中的识别码对应于胃肠内吻合末端执行器300a(参见图5A)，并且如果圆形端对端的吻合末端执行器300b(参见图5B)联接至内芯手柄组件101，则将通过处理器140a进行否定识别并且内芯手柄组件101将变为不可操作。
各个一次性壳体110a、110b的微处理器140a、140b进一步构造成当储存在各个存储器114a、114b中的识别码对应于联接至内芯手柄组件101的特定类型的末端执行器和/或接合器组件时，使内芯手柄组件101是可操作的。例如，如果存储器114b的识别码对应于圆形端对端的吻合末端执行器300b(图5B)并且圆形端对端的吻合末端执行器联接至内芯手柄组件101，则将通过处理器140b进行肯定的识别并且内芯手柄组件101将使得能够操作。
参照图4A和图4B，手术器械系统10进一步包括多个接合器组件，例如，正如上面所提到的接合器组件200a和200b。可以想到，手术器械系统10可包括各种替代构造的接合器组件，其适用于将内芯手柄组件101联接至各种类型的末端执行器。
参照图4A，接合器组件200a构造成将例如末端执行器300a(图5A)的胃肠内吻合末端执行器联接至内芯手柄组件101。接合器组件200a包括旋钮壳体(knob housing)202a和从旋钮壳体202a的远侧端延伸出的细长体204a。旋钮壳体202a和细长体204a构造成并且定尺寸为容纳接合器组件200a的部件。细长体204a定尺寸用于内窥镜插入。例如，细长体204a能穿过典型的套管针口、插管等。旋钮壳体202a定尺寸成不进入套管针口、插管等。接合器组件200a的细长体204a具有联接至旋钮壳体202a的近侧部206a和构造成联接至末端执行器300a(图5A)的远侧部208a。
参照图4B，提供了类似于接合器组件200a的接合器组件的另一实施例，并且将其指代为200b。接合器组件200b构造成将端对端的吻合末端执行器(例如，末端执行器300b(图5B))联接至内芯手柄组件101。
继续参照图4A和图4B，接合器组件200a、200b均具有与其关联的独立颜色。每个接合器组件200a、200b的颜色可对应于或匹配于一个相应的一次性壳体110a或110b的独立颜色，以使得临床医生或外科医生能够在视觉上识别出将要同特定一次性壳体使用的接合器组件的类型。可替换地，每个接合器组件200a、200b的颜色可对应于或匹配于一个相应的末端执行器300a、300b的独立颜色，以使得临床医生或外科医生能够在视觉上识别出将要同特定末端执行器使用的接合器组件的类型。
参照图5A和图5B，手术器械系统10进一步包括多个末端执行器，例如正如上面所提到的末端执行器300a和300b。可以想到，手术器械系统10可包括适用于连接至各种相应的接合器组件的各种替代构造的末端执行器。例如，手术器械系统10可包括至少一个手术吻合器、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、缝合装置、施钉装置或者任意其他类型的手术器械。例如，在专利号为6,315,184；6,443,973；6,264,087；6,348,061；6,716,233；6,533,157；6,491,201；6,488,197；7,931,660；和8,628,545的美国专利中描述了这些手术器械，上述每个专利的全部内容通过引用特别结合于此。
参照图5A，末端执行器300a在构造成联接至接合器组件200a的远侧端208a(图4A)的近侧体部302a和远侧工具组件304a之间延伸。末端执行器300a相对于接合器组件200a的远侧端208a绕着纵向轴线“X”是可旋转的。工具组件304a包括砧座组件306a和钉仓组件308a。钉仓组件308a包括吻合和切割钉仓。钉仓组件308a和砧座组件306a相对于彼此是可枢转的以夹紧或松开它们之间的物质，例如，诸如为组织。
可参考于2009年8月31日提交的、标题为“用于手术吻合装置的工具组件(TOOLASSEMBLY FOR A SURGICAL STAPLING DEVICE)”的、公开号为2009/0314821的美国专利公开，用于详细论述末端执行器300a的构造和操作，其全部内容通过引用特别结合于此。
参照图5B，提供了末端执行器的另一实施例并且将其指代为300b。末端执行器300b包括可操作的圆形头部组件302b和细长体部304b。头部组件302b安装在细长体部304b的远侧端上并且主要包括安装在细长体部304b上的圆形吻合钉钉仓306b和相对于吻合钉钉仓306b是可移动的圆形砧座组件308b。砧座组件308b包括砧座板310b和从砧座板310b朝近侧延伸的砧座轴312b。能移动的砧座固持件或固持轴314b从细长体部304b伸出并且设置成可移除地接纳砧座轴312b。砧座组件308b相对于吻合钉钉仓306b是可移动的以抓取并且压紧位于它们之间的组织。
可参考于2011年4月29日提交的、标题为“具有控制器组织压缩的圆形吻合器(CIRCULAR STAPLER WITH CONTROLLER TISSUE COMPRESSIONS)”的、专利号为8,490,850的美国专利，用于详细讨论末端执行器300b的构造和操作，其全部内容通过引用特别结合于此。
继续参照图5A和图5B，正如上面简单提到的，末端执行器300a、300b均具有与其关联的独立颜色。每个末端执行器300a、300b的颜色对应于或匹配于一个相应的一次性壳体110a或110b的独立颜色和接合器组件200a或200b的独立颜色，以使得临床医生或外科医生能够在视觉上识别出将要同特定的一次性壳体和接合器组件使用的末端执行器的类型。
在装配、操作和使用时，选择特定的手术操作，例如，诸如为具有独有的和/或特定的手术操作参数组/要求/任务的胸腔手术。因此，从可使用的多个末端执行器中选择期望的/需要的末端执行器，例如末端执行器300a，以便实现手术操作参数/要求/任务。多个一次性壳体中的一个一次性壳体基于其颜色被选择。具体地，选择与末端执行器300a具有相同颜色的一次性壳体，例如，一次性壳体110a。内芯手柄组件101随后插入到选定的一次性壳体110a的腔室内。在将内芯手柄组件101插入一次性壳体110a内时，内芯手柄组件101从一次性壳体110a的存储器114a接收参数，借助该参数内芯手柄组件101将在使用期间操作，该参数例如包括专用于末端执行器300a的操作的一组参数和专用于胸腔手术的参数的子集。
随后选择匹配末端执行器300a和一次性壳体110a的或者与它们具有相同颜色的接合器组件。可以想到，接合器组件可在选择一次性壳体和/或末端执行器之前进行选择。选定的接合器组件(例如，接合器组件200a)可操作地连接至内芯手柄组件101，并且末端执行器300a可操作地连接至接合器组件200a，以使得完全装配好手术器械20。在将接合器组件200a和末端执行器300a与内芯手柄组件101联接时，一次性壳体110a的处理器140a将储存在一次性壳体110a的存储器114a内的识别码与末端执行器300a匹配以确定末端执行器300a是与选定的一次性壳体110a一起使用的合适类型的末端执行器。内芯手柄组件101随后准备好根据储存在一次性壳体110a的存储器114a中的操作参数组和操作参数的子集进行操作。
在手术操作之后，远侧半段116a的下壳部116a2的搭扣关闭部件124a与近侧半段118a的下壳部118a2的搭扣关闭部件124a脱离，并且远侧半段116a绕着铰链120a远离近侧半段118a枢转以开启壳体部112a。当壳体部112a开启时，内心手柄组件101被从壳体部112a的腔室122a(具体是从壳体部112a的近侧半段118a)移除，并且丢弃一次性壳体110a。内芯手柄组件101随后进行消毒和清洁。
应当理解，可对当前公开的手术器械系统10及其部件进行各种修改。因此，上面的描述不应当理解为限制，而是仅仅作为实施例的范例。本领域技术人员将会想到本公开的范围和精神内的其他修改。

Claims (11)

1.一种手术器械系统，包括：
能电机操作的内芯手柄组件，其能够执行多个操作参数；
各自具有彼此不同颜色的多种类型的末端执行器，每种类型的末端执行器构造成选择性地、可操作地联接至所述内芯手柄组件，其中每种类型的末端执行器均具有与其关联的至少一种独立功能；以及
多个一次性壳体，每个一次性壳体包括：
壳体部，其在其中限定了构造成封装所述内芯手柄组件的腔室，其中所述多个一次性壳体中的每一个的所述壳体部具有彼此不同的颜色，每个壳体部的颜色与对应类型的末端执行器的颜色相同；以及
存储器，其具有储存于其中的用于所述内芯手柄组件的至少一个操作参数，其中，用于所述内芯手柄组件的所述至少一个操作参数对应于可操作地联接至所述内芯手柄组件的末端执行器的类型。
2.根据权利要求1所述的手术器械系统，其中，所述多个一次性壳体的每一个的所述至少一个操作参数从由以下参数构成的组中进行选择：所述内芯手柄组件的电机的运转速度；在所述内芯手柄组件的电机运转期间由其输送的功率量；选择将要致动所述内芯手柄组件的哪些电机；以及通过所述内芯手柄组件将要激活的对应类型的末端执行器的功能类型。
3.根据权利要求1所述的手术器械系统，其中，所述多个一次性壳体的每一个的所述壳体部的颜色对应于所述多个一次性壳体中的独立一次性壳体的所述至少一个操作参数，所述多个一次性壳体的每一个的至少一个操作参数针对对应类型的末端执行器的操作而定制。
4.根据权利要求1所述的手术器械系统，进一步包括多种类型的接合器组件，其中所述多种类型的接合器组件中的每一种构造成将所述内芯手柄组件与所述多种类型的末端执行器中的对应类型的末端执行器选择性地、可操作地互连。
5.根据权利要求4所述的手术器械系统，其中，所述多个一次性壳体中的每一个的所述壳体部的颜色与所述多种类型的接合器组件中的对应类型的接合器组件的颜色相同。
6.根据权利要求5所述的手术器械系统，其中，所述多个一次性壳体中的每一个的所述至少一个操作参数对应于所述多种类型的末端执行器中的独立类型的末端执行器和所述多种类型的接合器组件中的独立类型的接合器组件。
7.根据权利要求6所述的手术器械系统，其中，所述多个一次性壳体的每一个的所述存储器具有储存于其中的各自对应于多种类型的接合器组件中的所述独立类型的接合器组件的识别码。
8.根据权利要求7所述的手术器械系统，其中，所述多个一次性壳体的每一个进一步包括处理器，所述处理器构造成确定储存在所述存储器中的识别码何时对应于独立类型的接合器组件。
9.根据权利要求1所述的手术器械系统，其中，所述多个一次性壳体中的每个一次性壳体的存储器具有储存于其中的识别码，所述识别码对应于所述多种类型的末端执行器中的一种类型的末端执行器。
10.根据权利要求9所述的手术器械系统，其中，在所述多个一次性壳体中的每个一次性壳体的存储器中储存的所述至少一个操作参数彼此不同，以使得所述内芯手柄组件基于所述内芯手柄组件被封装在其中的所述一次性壳体而不同地进行操作。
11.根据权利要求1所述的手术器械系统，其中，所述多个一次性壳体中的每一个的所述壳体部包括第一壳体部和第二壳体部，所述第一壳体部和所述第二壳体部彼此可移动地联接，以使得所述第一壳体部和所述第二壳体部相对于彼此在闭合、完全联接的构造和开启、部分分开的构造之间是能移动的。
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US9987099B2 (en) 2018-06-05
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EP2957234B1 (en) 2018-04-04
US20150366560A1 (en) 2015-12-24
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CA2891180A1 (en) 2015-12-18
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