CN107019535B - 手持式机电手术系统 - Google Patents

手持式机电手术系统 Download PDF

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CN107019535B
CN107019535B CN201611257451.9A CN201611257451A CN107019535B CN 107019535 B CN107019535 B CN 107019535B CN 201611257451 A CN201611257451 A CN 201611257451A CN 107019535 B CN107019535 B CN 107019535B
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CN107019535A (zh
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约翰·比尔兹利
拉塞尔·普里巴尼奇
保罗·里纳尔迪
马修·乔瓦尼奇
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Abstract

手持式机电手术装置构造为选择性地与手术配件连接。手术装置包括动力单元，外壳壳体和垫圈。动力单元构造为选择性地控制手术配件。外壳壳体包括远侧半部和近侧半部，远侧半部和近侧半部一起限定空腔，空腔构造为选择性地将大体上整个动力单元包封在其中。垫圈位于外壳壳体的远侧半部和近侧半部之间。垫圈构造为使远侧半部和近侧半部之间形成密封件，并且构造为在动力单元和外壳壳体之外的环境之间设置无菌屏障。

Description

手持式机电手术系统
技术领域
本公开涉及手术装置。更具体地，本公开涉及用于执行手术程序的手持式机电手术系统。
背景技术
通常，手持式机电手术系统包括可重复使用的动力手柄组件及一次性端部执行器等，一次性端部执行器等在使用之前选择性地连接到动力手柄组件，并且然后在使用后从动力手柄组件断开从而被处理或在一些情况下被灭菌以重复使用。动力手柄组件可以包括无菌外壳壳体和可选择性地装载到外壳壳体中的动力单元(power-pack)。
为了维持手术室中的无菌环境，需要一种在动力单元和手术室之间结合有改进的密封件的外壳壳体。
发明内容
根据本公开的一个方案，构造为选择性地与手术配件连接的手持式机电手术装置包括动力单元，外壳壳体和垫圈。所述动力单元构造为选择性地控制手术配件。所述外壳壳体包括远侧半部和近侧半部，所述远侧半部和所述近侧半部一起限定空腔，所述空腔构造为选择性地将大体上整个动力单元包封在其中。所述垫圈位于所述外壳壳体的所述远侧半部和所述近侧半部之间，所述垫圈构造为形成密封件，从而在所述动力单元和外部环境之间设置无菌屏障。
所述远侧半部可以包括近侧朝向边缘，并且所述近侧半部可以包括远侧朝向边缘。在第一位置中，所述近侧朝向边缘和所述远侧朝向边缘被隔开，并且在第二位置中，所述近侧朝向边缘和所述远侧朝向边缘被接近，从而限定它们之间的交接面。所述垫圈可以布置在限定于所述外壳壳体的所述近侧半部的所述远侧朝向边缘和所述外壳壳体的所述远侧半部的所述近侧朝向边缘之间的交接面处。
所述外壳壳体的所述远侧半部的所述近侧朝向边缘可以限定凹槽，所述凹槽构造为容纳所述垫圈。所述近侧半部的所述远侧朝向边缘可以限定突起，所述突起构造为接合所述垫圈，使得在所述第二位置，当所述近侧半部和所述远侧半部接近时所述垫圈的至少一部分嵌套在限定于所述远侧半部中的所述凹槽中。
所述垫圈可以包括加强构件，所述加强构件构造为加强所述远侧半部和所述近侧半部之间的所述密封件。所述加强构件可以构造为当所述近侧半部和所述远侧半部接近时嵌套在限定于所述外壳壳体的远侧半部中的所述凹槽中。
机电手术装置可以设置有可定位在所述外壳壳体的所述近侧半部的所述远侧朝向边缘上的插入引导件。所述插入引导件构造为当所述动力单元被插入所述外壳壳体的所述空腔中时，将所述外壳壳体的外表面与所述动力单元隔离。所述插入引导件可以包括限定轨道的主体，所述轨道构造为接合所述外壳的所述近侧半部的所述远侧朝向边缘。所述垫圈可以定位在所述插入引导件的所述轨道中，使得当所述插入引导件布置在所述外壳壳体的所述近侧半部的所述远侧朝向边缘上时，所述垫圈布置在所述外壳壳体的所述近侧半部的所述远侧朝向边缘上。所述插入引导件可以包括机械释放件，所述机械释放件构造为从所述轨道释放所述垫圈。
根据本公开的一个方案，一种组装手持式机电手术装置的方法包括：设置包括外壳壳体的手持式机电手术装置，将垫圈安装在所述外壳壳体上，将所述动力单元插入所述外壳壳体的容纳腔中，同时保持所述外壳壳体的无菌性，以及闭合所述外壳壳体以将所述动力单元包封在所述外壳壳体内。
将所述垫圈安装到所述外壳壳体上可以包括从所述垫圈的第二侧移除可移除的涂层，并且将所述垫圈的所述第二侧定位在所述外壳壳体的所述近侧半部上。将所述垫圈安装到所述外壳壳体上可以进一步包括将所述垫圈插入到限定于插入引导件中的轨道中，所述插入引导件构造为引导所述动力单元插入所述外壳壳体的所述容纳腔中，将所述插入引导件定位在所述外壳壳体的所述近侧半部上，使得所述垫圈位于所述外壳壳体的所述近侧半部的远侧朝向边缘上，并且从限定于所述插入引导件中的所述轨道释放所述垫圈，使得当所述插入引导件从所述外壳壳体的所述近侧半部移除时，所述垫圈保持位于所述外壳壳体的所述近侧半部的所述远侧朝向边缘上。
根据本公开的一个方案，提供一种包括动力单元，机电手术装置和插入引导件的套件。所述机电手术装置包括具有远侧半部和近侧半部的外壳壳体，所述远侧半部和所述近侧半部一起限定空腔，所述空腔构造为选择性地将大体上整个所述动力单元包封在其中。所述插入引导件可定位在所述外壳壳体的所述近侧半部的所述远侧朝向边缘上，所述插入引导件构造为当所述动力单元被插入所述外壳壳体的所述空腔中时，将所述外壳壳体的外表面与所述动力单元隔离。
所述插入引导件可以包括限定轨道的主体，所述轨道构造为接合所述外壳的所述近侧半部的所述远侧朝向边缘。
所述套件可以进一步包括垫圈，其中所述垫圈定位在所述插入引导件的所述轨道中，使得当所述插入引导件布置在所述外壳壳体的所述近侧半部的所述远侧朝向边缘上时，所述垫圈布置在所述外壳壳体的所述近侧半部的所述远侧朝向边缘上。
所述插入引导件可以包括机械释放件，所述机械释放件构造为从其中的轨道释放所述垫圈。
附图说明
在此参照附图描述了本公开的实施例，其中：
图1是根据本公开的实施例的示出了与端部执行器的连接的机电手持式手术装置和适配器组件的透视图；
图2是图1的机电手持式手术装置的外壳壳体的透视图；
图3是图1和图2的机电手持式手术装置的外壳壳体的各部分分离所得的正透视图；
图4是限定于图1的机电手持式手术装置的外壳壳体中的交接面的实施例的截面图；
图5A是限定于机电手持式手术装置的外壳壳体中的交接面的另一实施例的截面图；
图5B是限定于机电手持式手术装置的外壳壳体中的交接面的又一实施例的截面图；
图5C是限定于机电手持式手术装置的外壳壳体中的交接面的另外一实施例的截面图；
图5D是限定于机电手持式手术装置的外壳壳体中的交接面的再一实施例的截面图；
图5E是限定于机电手持式手术装置的外壳壳体中的交接面的另一实施例的截面图；
图5F是限定于机电手持式手术装置的外壳壳体中的交接面的又一实施例的截面图；
图6是示出了将动力单元插入到机电式手持式手术装置的外壳壳体中的透视图；
图7是示出了嵌套在手持式手术装置的外壳壳体中的动力单元的透视图；
图8是示出了将垫圈插入到用于手持式外科装置的插入引导件中的透视图；
图9是示出了嵌套到外壳壳体中的动力单元和位于限定于手持式手术装置的外壳壳体中的交接面上的垫圈的正视图；
图10是根据本公开的包括根据图1的机电手持式手术装置，垫圈和插入引导件的套件；
图11A和11B示出了根据本公开的实施例的可重复使用的手术器械模块的透视图；
图12示出了根据本公开的实施例的插入到具有铰接器械罩壳的外壳体外壳中的可重复使用的手术器械模块；
图13示出了根据本公开的另一实施例的插入到具有可卡扣器械罩壳的外壳体外壳中的可重复使用的手术器械模块；并且
图14是示出了插入外壳体外壳中的可重复使用的手术器械模块，并显示了绕可重复使用的手术器械模块的驱动轴布置的密封件的放大的示意性纵向截面图。
具体实施方式
参考附图详细描述本公开的手术装置，用于手术装置的适配器组件和/或手柄组件的实施例，其中，在每个视图中相同的附图标记标注同一或相应的元件。本文所用的术语“远侧”指的是适配器组件或手术装置或其部件离用户较远的部分，而术语“近侧”指的是适配器组件或手术装置或其部件更靠近用户的部分。
根据本公开的实施例的手术装置通常标注为100，并且其是动力手持式机机电器械的形式。动力手持式机电器械构造为用于选择性地将端部执行器附接到其上。端部执行器能够通过动力手持式机电手术器械致动和操纵。
如图1所示，手术装置100构造为用于与适配器200选择性地连接，并且适配器200进而构造为用于与端部执行器或单次使用装载单元(“SULU”)400选择性地连接。
如图1至图3所示，手术装置100包括动力单元101，其构造为选择性地控制端部执行器400，以及外壳壳体10，其构造为选择性地容纳并且大体上包封动力单元101。动力单元101包括电池，控制电路和电动机以致动端部执行器400。对于动力单元101的部件的详细解释，参见于2014年10月7日提交的申请号为62/060,734的美国临时专利申请，现在为于2015年9月24日提交的申请号为14/863,558的美国专利申请(现在为美国专利申请公开第2016/0095585号)，其全部内容通过引用并入本文。
外壳壳体10包括远侧半部10a和近侧半部10b，近侧半部10b通过沿着远侧半部10a和近侧半部10b的上边缘定位的铰链16可枢转地连接到远侧半部10a。远侧半部10a和近侧半部10b沿着横穿手术装置100的纵向轴线“X-X”的平面而被分开。
远侧半部10a包括近侧朝向边缘10d，近侧半部10b包括远侧朝向边缘10e(参见图3)。当远侧半部10a和近侧半部10b连结时，远侧半部10a的近侧朝向边缘10d和近侧半部10b的远侧朝向边缘10e限定了沿着远侧朝向边缘10d和远侧朝向边缘10e的周边的交接面11(参见图2)。同时，远侧半部10a和近侧半部10b限定了在其中的壳腔10c，动力单元101选择性地位于壳腔10c中。
外壳壳体10还可以包括选择性地支撑在远侧半部10a中的无菌隔板组件60。具体地，无菌隔板组件60布置在在远端半部10a的连接部20之后并处于外壳壳体10的壳腔10c内。
外壳壳体10的远侧半部10a和近侧半部10b中的每一个包括相应的上壳体部12a和上壳体部12b及相应的下壳体部14a和下壳体部14b。下壳体部14a和下壳体部14b限定了用于将下壳体部14a和下壳体部14b选择性地彼此紧固并用于将外壳壳体10保持在闭合状态的扣合特征件(snap closure feature)18。
当外壳壳体10处于闭合位置时，可以预、想的是，交接面11可以在远侧半部10a和近侧半部10b之间采用密封件或垫圈，以防止不期望的材料被引入到壳腔10c中，并且进而引入到动力单元101，或防止污染物从壳腔10c逸出并且被引入到无菌手术环境中。因此，如图4所示，在实施例中，远侧半部10a的近侧朝向边缘10d和近侧半部10b的远侧朝向边缘10e可以分别包括密封件或垫圈。
特别地，图4示出了交接面11沿着纵向轴线“X-X”的截面，其显示了榫舌和凹槽几何结构，其中近侧半部10b的远侧朝向边缘10e限定了榫舌13a，且远侧半部10a的近侧朝向边缘10d限定了被构造和成形为容纳榫舌13a的凹槽13b。尽管示出了榫舌和凹槽几何结构，但是可以预想的是，可以使用任何合适的密封件几何结构以在交接面11处设置密封件。
在实施例中，外壳壳体10的远侧半部10a和近侧半部10b可以由聚碳酸酯或类似聚合物制成。在实施例中，材料可以是透明的刚性聚合物。在实施例中，外壳壳体10的远侧半部10a和近侧半部10b可以包覆成型(overmolded)在基板上。可以预想的是，类似于远侧半部10a和近侧半部10b，如图4中的榫舌和凹槽几何结构的实例所示的密封件也可以在该过程期间由聚碳酸酯或类似聚合物制成。
如图5A至图5F所示，还可以预想的是，外部密封件插入件或垫圈40可以与图4所示的交接面构造一起使用，或代替(参见图5F)图4所示的交接面构造，以在动力单元101和手术室之间提供无菌屏障。在实施例中，垫圈40可以是一次性的或可重用达预定使用量，并且可包括一种或多种掺入其中的抗菌物质。
可以预想的是，垫圈40可以构造为压缩到例如图5A至图5E所示的榫舌和凹槽几何结构的交接面11的几何结构中。为此，垫圈40可以是低粘度和低硬度的材料，以允许垫圈40与交接面11的几何结构相符。
垫圈40包括具有第一侧41a和第二侧41b的主体40a。在实施例中，第一侧41a位于外壳壳体10的远侧半部10a附近，第二侧41b位于外壳壳体10的近侧半部10b附近。然而，在实施例中，相反的方位是可能的。为了将垫圈40紧固到交接面11，可以预想的是，第一侧41a和第二侧41b可以包括固定机构，诸如例如粘合剂或任何合适的紧固件。
在实施例中，垫圈40可以包括加强构件，诸如例如图5C和图5E所示的杆42。杆42可以嵌入到垫圈40的主体40a中。在实施例中，杆42可以构造为增加垫圈40的刚性。
在实施例中，其中交接面11包括表面几何结构或形貌，例如如图5C和5E所示，杆42可以构造和定尺寸为集成到交接面11的表面几何结构中。例如，在图5C和5E中，外壳壳体10的远侧半部10a的凹槽13b可以包括直径“D1”，且杆42可以包括直径“D2”，其中直径“D1”等于直径“D2”。这样，当远侧半部10a和近侧半部10b接近时，近侧半部10b的榫舌13a朝向凹槽13b推动垫圈40的杆42，使得在垫圈40的主体40a符合交接面11的周围几何结构时，垫圈40的杆42可以被嵌套在凹槽13b内。
具体参考图5A至图5C和图5F，在实施例中，垫圈40可以预先形成为交接面11的几何形状。例如，如图5B，图5C和图5F所示，垫圈40可以包括大体为H形的横截面轮廓。可预想的是，预先形成的垫圈40可以更容易分别定位在远侧半部10a和近侧半部10b的近侧朝向边缘10d或远侧朝向边缘10e上。
在如图5A所示的实施例中，垫圈40可以包括限定在主体40a中的减小厚度的线或穿孔线40b，使得在垫圈40定位在交接面11之后，可以沿着穿孔线40b移除垫圈40的凸缘部40c。
可预想的是，当将垫圈40定位在远侧半部10a和近侧半部10b之间的交接面11上时，可以采用各种方法和装置。在实施例中，医务人员，诸如例如护士可以用他们的手安装垫圈40。为此，可预想的是，垫圈40可以包括可移除的涂层，诸如例如在垫圈40的第一侧41a和第二侧41b(见图8)中的每一个上的膜44。
在操作中，在从垫圈40的侧面之一(例如，从侧面41b)移除膜44之后，医务人员将侧面41b抵靠外壳壳体的近侧半部10b的远侧朝向边缘10e。在动力单元101插入外壳壳体10的壳腔10c中的情况下，医务人员然后从相对侧(例如从侧面41a)移除剩余的膜(未明确示出)，并且接近外壳壳体10的远侧半部10a和近侧半部10b。
可替换地，如下文详细描述的，垫圈40可以在定位在交接面11中之前结合到插入引导件50中。如图6至图8所示，构造和成形为安置在近侧半剖面10b的面向远侧边缘10e(参见图3)上并且完全围绕近侧半剖面10b的面向远侧边缘10e(参见图3)的插入引导件50可以设置于手术装置100中。插入引导件50构造为将动力单元101和外壳壳体10的外表面10f(见图6和图7)隔开，以防止动力单元101和外表面10f之间的不期望的接触。
插入引导件50包括具有大体为U形的横截面轮廓的主体部52和从主体部52的底部延伸的支座54。支座54构造为接合外壳壳体10的相应的远侧半部10a和近侧半部10b的下壳体部14a和下壳体部14b中的每个的扣合特征件18。
在使用中，当插入引导件50的主体部52安置在近侧半部10b的远侧朝向边缘10e上时，远侧半部10a的下壳体部14a的扣合特征件18接合支座54的第一端，并且近侧半部10b的下壳体部14b的扣合特征件18接合支座54的第一端。
主体部52还包括在插入引导件50的近侧朝向侧58上的轨道56。轨道56构造为接合近侧半部10b的远侧朝向边缘10e。在实施例中，如图8所示，轨道56还可被构造为容纳垫圈40。可以预想的是，将垫圈40结合到插入引导件50的轨道56中可以通过限制垫圈40被医务人员处理的时间量来简化将垫圈40定位在交接面11中的过程以及促进垫圈40的改进的无菌性。一旦垫圈40定位在期望的位置，可以预想的是，使用机械释放件(诸如，例如锁定件或喷射器58(参见图8)或通过重力)使垫圈40可以从插入引导件50释放，垫圈40留在外壳壳体10的近侧半部10b的远侧朝向边缘10e上(见图9)。
在操作中，垫圈40被压入插入引导件50的轨道56中，并且将膜44从第二侧41b移除。接下来，在新的和/或无菌的外壳壳体10处于打开构造(即，远侧半部10a与近侧半部10b关于铰链16分离)的情况下，并且在包括垫圈40的插入引导件50处于与外壳壳体10的近侧半部10b的远侧边缘相抵靠的位置的情况下，动力单元101插入外壳壳体10的壳腔10c中。随着动力单元101插入外壳壳体10的壳腔10c中，插入引导件50从近侧半部10b移除，将垫圈40留在近侧半部10b的远侧朝向边缘10e上。去除垫圈40的第一侧41a上的膜(未明确示出)，外壳壳体10的远侧半部10a绕铰链16枢转到闭合构造。在闭合构造中，远侧半部10a的下壳体部14a的扣合特征件18接合近侧半部10b的下壳体部14b的扣合特征件18。在闭合构造中，如图5A至图5F所示，垫圈40压缩并移动以填充交接面11的几何结构。
在操作中，在手术程序之后，远侧半部10a的下壳体部14a的扣合特征件18与近侧半部10b的下壳体部14b的扣合特征件18脱离，并且远侧半部10a绕铰链16枢转远离近端半部10b以打开外壳壳体10。在外壳壳体10打开的情况下，动力单元101从外壳壳体10(具体地，从外壳壳体10的近端半部10b)的壳腔10c移除，并且丢弃外壳壳体10。根据所使用的垫圈40的类型，垫圈40或者与外壳壳体10一起丢弃，或者在灭菌之后重新使用。然后对动力单元101进行灭菌和清洁。动力单元101不被浸没或灭菌。
根据本公开，还预想了可以提供如图10所示的套件500。套件500可以包括具有外壳壳体10的远侧半部10a和近侧半部10b的机电手术装置100，无菌隔板组件60和动力单元101。套件500还可以包括垫圈40和插入引导件50。套件500可以进一步包括用于组装机电手术装置100，机电手术装置100的使用的说明，以及构造为保留机电手术装置100的包装，容器或盒子。
参考图11A和图11B，示出了可重复使用的手术器械模块110的实施例，其与图1至图3的动力单元101具有相似之处。器械模块110限定上器械模块半部110A和下器械模块半部110B，上器械模块半部110A限定纵向轴线“B”。如下所述，器械模块110还包括用于将多个部件结合于其中的内壳体外壳111。
上器械模块半部110A包括至少一个电动机140以及显示屏160。至少一个电动机140设置在内壳体外壳111内。上器械模块半部110A的远端102构造为容纳端部执行器组件。端部执行器组件可以是钳夹构件，施夹器，血管密封装置，圆形吻合装置，解剖器，牵引器，切割器，抓紧器和钻头中的至少一个。
下器械模块半部110B包括电池120(或能量源)和至少一个控制板130。电池120和至少一个控制板130布置在内壳体外壳111内。下器械模块半部110B构造为在手术操作期间由诸如外科医生的使用者抓紧。另外，可以组合上器械模块半部110A和下器械模块半部110B以形成大体为L形或手枪式握持构造。
至少一个控制板130一方面电连接到电池120，并且另一方面连接到至少一个电动机140。为此，在电池120的上侧设置有电触点(未示出)以与至少一个控制板130建立电连接。另外，至少一个控制板130与至少一个处理器(未示出)电通信以使电外科能量能够在能量源(例如，电池120)和每个电动机140之间流动。
每个马达140构造为包括例如驱动轴142。驱动轴142限定操作旋转轴线“B”。每个马达140构造为致动端部执行器组件(未示出)的功能或操作，包括但不限于，关节式运动，旋转，钳夹构件的闭合，弹出紧固件，切割等。
器械模块110可以包括位于其近端104处的扬声器150(参见图11B)，其用于提供与在手术操作期间测量的组织参数和手术器械参数相关的反馈信息。扬声器150可以用于提供听觉反馈。听觉反馈可以与视觉输出结合使用或代替视觉输出。
器械模块110可以包括布置于其中的显示屏160，显示屏160显示与在手术操作期间测量的组织参数和手术器械参数相关的信息。显示屏160可以构造成为外科医生提供各种合适的输出信息。显示屏160可以包括数字指示器和颜色指示器中的至少一个。
器械模块110还可以包括夹紧按钮170和返回按钮180。夹紧按钮170可以构造为将连接到器械模块110的远端102的端部执行器组件(未示出)致动至第一位置。端部执行器组件可以是用于在第一位置夹紧组织的一对钳夹构件。返回按钮180可以构造为使钳夹构件返回到打开的未夹紧位置(或第二位置)。
参照图12，呈现了根据本公开的实施例的将可重复使用的手术器械模块110插入具有铰接的器械罩壳290的外壳体外壳280中的方法。
外壳体外壳280中限定了空腔282。外壳体外壳280限定上外壳体半部280A和下外壳体半部280B。上外壳半部280A限定了穿过其延伸的纵向轴线“A”。外壳体外壳280还包括经由铰接连接件292连接到下外壳体半部280B的器械壳罩290。如下文中所述，在器械模块110已经完全地插入外壳体外壳280中之后，器械外壳罩290可沿方向“C”旋转或枢转。根据本公开的实施例，外壳体外壳280可以没有可移动开关。
在操作或使用中，器械模块110以如下方式插入外壳体外壳280的空腔282中：至少一个电动机140的操作轴线“B”基本上平行于上外壳体半部280A的纵向轴线“A”。换言之，器械模块110构造成插入可重复使用的外壳体外壳280中，使得器械模块110沿着至少一个电动机140的运转轴线或者沿着纵向轴线“B”插入和取出。上器械模块半部110A构造成位于上外壳体半部280A之下或嵌套上外壳体半部280A，而下器械模块半部110B构造成位于下外壳体半部280B之下或嵌套下外壳体半部280B。一旦器械外壳110完全地插入外壳体外壳280中，器械壳罩290沿方向“C”旋转，从而形成与外壳体外壳280的牢固密封。
在手术程序之后，打开器械壳罩290，并且将器械模块110从外壳体外壳280的空腔282抽出或移除，使得可以根据本领域已知的方法和程序(例如，灭菌，高压灭菌，蒸汽清洁，用清洁产品/溶剂擦拭等)来清洁外壳体外壳280和壳罩290。因此，外壳体外壳280和壳罩290可以在不损害插入其中的器械模块110的情况下被清洁或灭菌。一旦完成清洁或灭菌，在执行进一步的手术程序之前，器械模块110可以被重新引入外壳体外壳280的空腔282中。
参照图13，示出了根据本公开的另一实施例的将可重复使用的手术器械模块110插入具有可卡扣器械罩壳390的外壳体外壳380中的方法。
外壳体外壳380限定了在其中的空腔382。外壳体外壳380限定上外壳体半部380A和下外壳体半部380B。上外壳体半部380A限定穿过其延伸的纵向轴线“D”。外壳体外壳380的下外壳体半部380B可以经由例如包括紧固件(未示出)的可卡扣机构连接或附接到器械壳罩390。另外，可以构造清晰的观察窗口385，使得其覆盖显示屏(例如，如上文参照图11A和图11B所述)。观察窗口385被设计为用于观察设置在其中的显示屏，显示屏显示与在手术程序期间测量的组织参数和手术器械参数相关的信息。
根据本公开，可以预想的是，外壳体外壳380(以及外壳体外壳180，外壳体外壳280)可以由半透明或透明材料(诸如，例如热塑性聚碳酸酯树脂)制成。以此方式构造，来自器械模块110的显示屏幕160的标记等可见。还可以预想的是，外壳体外壳380的至少一部分可以是半透明的或透明的。
在操作或使用中，器械模块110以这样的方式插入外壳体外壳380的空腔382中：至少一个马达140(或至少一个驱动轴142)的操作轴线“E”大体平行于上外壳体半部110A的纵向轴线“D”。换句话说，器械模块110构造为插入器械外壳体外壳380中，使得器械模块110沿着至少一个马达140的运转轴线或沿着纵向轴线“E”插入和取出。上器械模块半部110A构造为位于上外壳体半部380A之下或嵌套上外壳体半部380A，而下器械模块半部110B构造为位于下外壳体半部380B之下或嵌套下外壳体半部380B。一旦器械外壳罩390附接到下外壳体半部380B的一部分，器械模块110插入外壳体外壳380中，使得上外壳体半部380A和下外壳体半部380B的剩余部分沿着连接区域395锁定或紧固或密封器械壳罩390。
在手术程序之后，将器械壳罩390从下外壳体半部380B(在连接区域395处)抽出或松开，并且将器械模块110从外壳体外壳380的空腔382抽出或移除，使得可以根据本领域已知的方法和程序来清洁外壳体外壳380和壳罩390。因此，外壳体外壳380可以在不损害插入其中的器械模块110的情况下被清洁或灭菌。一旦完成清洁或灭菌，在执行进一步的手术程序之前，器械模块110可以被重新引入外壳体外壳380的空腔382中。
现在转到图14，根据本公开，可以预想的是，外壳体外壳280，外壳体外壳380可以限定多个孔150，每个驱动轴142穿过孔150。密封件152设置在每个孔150中并且被支撑在其中，以便在器械模块110插入其中/从其中缩回期间与外壳体外壳280，外壳体外壳380保持在一起。密封件152可以采用O形圈等形式，并且可以由弹性聚合材料(诸如，例如橡胶)构造。密封件152构造和定尺寸为在外壳体外壳280，外壳体外壳380和驱动轴142之间建立液密的密封。另外，密封件152构造和定尺寸为允许驱动轴142旋转。在使用中，当壳罩290，壳罩390相对于相应的外壳体外壳280，外壳体外壳380闭合时，大体沿着或沿方向“B”对器械模块110施加力，从而按压上器械模块半部110A的远侧表面紧靠密封件152并且紧靠驱动轴142的外表面建立液密的密封。
应当理解，可以对上面公开的实施例进行各种修改。例如，可以使用专门的工具或轨道来代替插入引导件50来定位图1至图10的垫圈40。可以预想的是，可以使用高压灭菌器或类似装置对专门的工具或轨道进行灭菌。
因此，上述描述不应被解释为限制，而仅仅是作为实施例的示例。本领域技术人员将想到在本公开的范围和精神内的其它修改。

Claims (16)

1.一种手持式机电手术装置，包括：
动力单元，其构造为选择性地控制手术配件；
外壳壳体，其包括远侧半部、近侧半部以及支撑在远侧半部中的无菌隔板组件，所述远侧半部和所述近侧半部一起限定空腔，所述空腔被构造为选择性地将整个动力单元包封在其中，其中所述无菌隔板组件布置在远侧半部的连接部的近侧；和
垫圈，其位于所述外壳壳体的所述远侧半部和所述近侧半部之间，所述垫圈构造为使所述远侧半部和所述近侧半部之间形成密封件，并且构造为在所述动力单元和所述外壳壳体之外的环境之间设置无菌屏障。
2.根据权利要求1所述的机电手术装置，其中所述远侧半部包括近侧朝向边缘，并且所述近侧半部包括远侧朝向边缘，其中在第一位置中，所述近侧朝向边缘和所述远侧朝向边缘被隔开，并且其中在第二位置中，所述近侧朝向边缘和所述远侧朝向边缘被接近，从而限定它们之间的交接面。
3.根据权利要求2所述的机电手术装置，其中所述垫圈布置在限定于所述外壳壳体的所述近侧半部的所述远侧朝向边缘和所述外壳壳体的所述远侧半部的所述近侧朝向边缘之间的交接面处。
4.根据权利要求2或权利要求3所述的机电手术装置，其中所述外壳壳体的所述远侧半部的所述近侧朝向边缘限定了凹槽，所述凹槽构造为容纳所述垫圈。
5.根据权利要求4所述的机电手术装置，其中所述近侧半部的所述远侧朝向边缘限定了突起，所述突起构造为接合所述垫圈，其中在所述第二位置，当所述近侧半部和所述远侧半部被接近时所述垫圈的至少一部分嵌套在限定于所述远侧半部中的所述凹槽中。
6.根据权利要求4所述的机电手术装置，其中所述垫圈包括加强构件，所述加强构件构造为加强所述远侧半部和所述近侧半部之间的所述密封件。
7.根据权利要求6所述的机电手术装置，其中所述加强构件构造为当所述近侧半部和所述远侧半部接近时嵌套在限定于所述外壳壳体的远侧半部中的所述凹槽中。
8.根据权利要求1至3中任一项所述的机电手术装置，其中所述近侧半部通过铰链可枢转地连接到所述远侧半部。
9.根据权利要求8所述的机电手术装置，其中所述远侧半部和所述近侧半部包括用于选择性地将所述半部彼此紧固的扣合特征件。
10.一种组装手持式机电手术装置的方法，包括：
将垫圈安装在手持式机电手术装置的外壳壳体的近侧半部上；
将动力单元插入所述外壳壳体的容纳腔中，同时保持所述外壳壳体的无菌性；和
通过使所述外壳壳体的所述近侧半部与远侧半部接近来闭合所述外壳壳体以完全地将所述动力单元包封在所述外壳壳体内，所述远侧半部支撑其中的无菌隔板组件，所述垫圈在所述远侧半部和所述近侧半部之间形成密封件，并且在所述动力单元和所述外壳壳体之外的环境之间设置无菌屏障，其中所述无菌隔板组件布置在远侧半部的连接部的近侧。
11.根据权利要求10所述的方法，其中将所述垫圈安装到所述外壳壳体上包括：
从所述垫圈的第二侧移除可移除的涂层；和
将所述垫圈的所述第二侧定位在所述外壳壳体的所述近侧半部上。
12.根据权利要求10所述的方法，其中将所述垫圈安装到所述外壳壳体上包括：
将所述垫圈插入到限定于插入引导件中的轨道中，所述插入引导件构造为引导所述动力单元插入所述外壳壳体的所述容纳腔中；
将所述插入引导件定位在所述外壳壳体的所述近侧半部上，使得所述垫圈位于所述外壳壳体的所述近侧半部的远侧朝向边缘上；和
从限定于所述插入引导件中的所述轨道释放所述垫圈，使得当所述插入引导件从所述外壳壳体的所述近侧半部移除时，所述垫圈保持位于所述外壳壳体的所述近侧半部的所述远侧朝向边缘上。
13.一种套件，包括：
动力单元；
机电手术装置，其包括具有远侧半部、近侧半部以及支撑在所述远侧半部中的无菌隔板组件的外壳壳体，所述远侧半部和所述近侧半部一起限定空腔，所述空腔构造为选择性地将整个动力单元包封在其中，其中所述无菌隔板组件布置在远侧半部的连接部的近侧；和
插入引导件，所述插入引导件能定位在所述外壳壳体的所述近侧半部的远侧朝向边缘上，所述插入引导件构造为当所述动力单元被插入所述外壳壳体的所述空腔中时，将所述外壳壳体的外表面与所述动力单元隔离。
14.根据权利要求13所述的套件，其中所述插入引导件包括限定轨道的主体，所述轨道构造为接合所述外壳壳体的所述近侧半部的所述远侧朝向边缘。
15.根据权利要求14所述的套件，进一步包括垫圈，其中所述垫圈定位在所述插入引导件的所述轨道中，使得当所述插入引导件布置在所述外壳壳体的所述近侧半部的所述远侧朝向边缘上时，所述垫圈布置在所述外壳壳体的所述近侧半部的所述远侧朝向边缘上。
16.根据权利要求15所述的套件，其中所述插入引导件包括机械释放件，所述机械释放件构造为从所述插入引导件中的所述轨道释放所述垫圈。
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