CN107951521B - Electric endoscope anastomat and clutch safety device thereof - Google Patents

Electric endoscope anastomat and clutch safety device thereof Download PDF

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Publication number
CN107951521B
CN107951521B CN201711234484.6A CN201711234484A CN107951521B CN 107951521 B CN107951521 B CN 107951521B CN 201711234484 A CN201711234484 A CN 201711234484A CN 107951521 B CN107951521 B CN 107951521B
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China
Prior art keywords
clutch
safety
state
anastomat
electric
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CN201711234484.6A
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CN107951521A (en
Inventor
高祥民
赵宇
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BJ ZHF Panther Medical Equipment Co Ltd
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BJ ZHF Panther Medical Equipment Co Ltd
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Priority to CN201711234484.6A priority Critical patent/CN107951521B/en
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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical 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
    • A61B17/07207Surgical 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B17/115Staplers for performing anastomosis in a single operation
    • A61B17/1155Circular staplers comprising a plurality of staples
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017Electrical control of surgical instruments

Abstract

The invention discloses a clutch safety device of an electric endoscope anastomat, which comprises a clutch switching unit, a clutch driving unit and a clutch safety unit, wherein the clutch switching unit realizes the clutch switching of the anastomat between a firing state, a closing state and an opening state and a left-right transmission state under the action of the clutch driving unit; the clutch safety unit comprises a safety slide block, a guide rod and a clutch safety circuit board, wherein the safety slide block is slidably arranged on the guide rod, a conductive elastic sheet is arranged on the upper portion of the safety slide block, a slide way is arranged on the clutch safety circuit board, a safety electric contact end of the anastomat in a firing, closing and opening state and a safety electric contact end in a left-right transmission state are arranged in the slide way, a driving pin shaft is arranged at the lower portion of the safety slide block, the driving pin shaft is connected with the clutch driving unit, and electric switching of the anastomat in two states is realized under the driving of the clutch driving unit. An electric endoscopic stapler is also disclosed. The invention realizes the consistent clutch control of mechanical engagement and electrical control, and is safe and reliable.

Description

Electric endoscope anastomat and clutch safety device thereof
Technical Field
The invention relates to the technical field of surgical instruments, in particular to an electric endoscopic anastomat and a clutch safety device thereof.
Background
Along with the development of medicine and the research and development of products, the anastomat is widely applied to various fields of gastrointestinal surgery, hepatobiliary surgery, thoracic surgery, urology surgery, obstetrics and gynecology and the like, and becomes one of the indispensable tools of doctors.
The current endoscopic anastomat mainly has two types: a manual endoscope anastomat mainly uses racks and a firing pushing piece to realize the forward movement and the backward movement of a cutting knife, and the manual pulling back is needed. Opening and closing of the nail bin assembly are realized by pushing the inclined plane on the nail supporting seat by the cutter pin on the cutter. The whole structure is relatively simple, but the operation is complex, the stability of the instrument in working is poor, the change of the firing force is obvious, the speed and the speed of the instrument in transmission are greatly influenced by manual operation, particularly, the difference of the gripping force of each person is large, the speed of the cutter in cutting tissues is easy to be faster and slower, the cut tissue surfaces are uneven, the speed of the nail pushing sheet is also faster and slower, the problems of poor nail shape and the like are also caused, and the final effect of the operation is easy to be influenced. The other is an electric endoscope anastomat, which comprises a storage battery, a circuit control system, a motor and a transmission system, and because only one motor provides power, the switching functions of closing, opening, firing and left and right transmission of the anastomat are realized, a clutch switching device is required to be configured, but because the existing clutch switching device only realizes the switching failure of a mechanical function, the electric control switch does not correspondingly match the mechanical function failure, misoperation is easy to occur, and the stable and reliable work of the electric endoscope anastomat is not facilitated.
In order to solve the problems of the existing electric endoscope anastomat, the invention provides a novel clutch safety device of the electric endoscope anastomat and the electric endoscope anastomat comprising the clutch safety device, so that the whole anastomat is safer and more reliable in the use process.
Disclosure of Invention
The invention aims to provide the clutch safety device of the electric endoscope anastomat, which is safer and more reliable in the use process, thereby overcoming the defects of the traditional endoscope anastomat.
In order to solve the technical problems, the invention provides a clutch safety device of an electric endoscope anastomat, which comprises a clutch conversion unit, a clutch driving unit and a clutch safety unit,
the clutch switching unit realizes the clutch switching of the anastomat between the firing state, the closing state, the opening state and the left and right transmission state under the action of the clutch driving unit;
the clutch safety unit comprises a safety slide block, a guide rod and a clutch safety circuit board, wherein the safety slide block is slidably arranged on the guide rod, a conductive elastic sheet with protruding two ends is arranged on the upper portion of the safety slide block, one side of the clutch safety circuit board, which is close to the conductive elastic sheet, is provided with a slide way parallel to the guide rod, the slide way is internally provided with an safety electric contact end of the anastomat in a firing state, a closing state and an opening state and an safety electric contact end in a left-right transmission state, the lower portion of the safety slide block is provided with a driving pin shaft, the driving pin shaft is connected with the clutch driving unit, the sliding of the safety slide block along the guide rod is realized under the driving of the clutch driving unit, and then the connection of the conductive elastic sheet and the safety electric contact end in the firing state, the closing state and the opening state or the safety electric contact end in the left-right transmission state is realized, and finally the clutch switching between the firing state safety control of the anastomat corresponding to the clutch switching unit and the firing state, the closing state and the left-right transmission state safety control of the anastomat is realized.
As an improvement of the invention, a first electric contact end, a second electric contact end and a third electric contact end are sequentially arranged in the slideway, and when the conductive elastic sheet is connected with the first electric contact end and the second electric contact end, the safety control for switching on the firing, closing and opening states of the anastomat is realized; when the conductive elastic sheet is connected with the second electric contact end and the third electric contact end, safety control for connecting the left and right transmission states of the anastomat is realized.
Further improved, the clutch safety circuit board is provided with two parallel slide ways, and the upper part of the safety slide block is provided with two conductive spring pieces corresponding to the two slide ways.
Further improved, the clutch driving unit is provided with a guide groove, and the driving pin shaft extends into the guide groove and moves in the guide groove under the driving of the clutch driving unit.
Further improved, the guide groove is a slotted hole.
Further improvement, the clutch driving unit includes clutch spacing piece and separation and reunion control piece, clutch spacing piece and separation and reunion control piece all include two and have the extension end of contained angle, Y type structure is constituteed with opposite mode of contained angle to separation and reunion spacing piece and separation and reunion control piece, the contained angle department of separation and reunion spacing piece and separation and reunion control piece passes through the locating pin to be connected, the first extension end of separation and reunion spacing piece and the first extension end coincidence setting of separation and reunion control piece and its tip pass through connecting rod fixed connection, the second of separation and reunion spacing piece is stretched out and is offered the guide slot for control separation and reunion insurance unit is in the separation and reunion switching between firing, closure, open state and the left and right transmission state insurance control about, the second of separation and reunion control piece stretches out the end and is used for controlling separation and reunion switching between the transmission state of separation and reunion switching unit.
The clutch driving unit is provided with three radial extending rods with a central positioning shaft, wherein the first extending rod controls the second extending rod and the third extending rod to rotate around the central positioning shaft, the second extending rod is a clutch control rod and is used for controlling clutch switching of the clutch switching unit between a firing state, a closing state and an opening state and a left-right transmission state, and the third extending rod is provided with a guide groove and is used for controlling clutch switching of the clutch safety unit between the firing state, the closing state and the opening state safety control and the left-right transmission state safety control.
The clutch conversion unit comprises a first transmission gear, a second transmission gear, a shaft sleeve and a connecting shaft, wherein the first transmission gear and the second transmission gear are respectively and fixedly connected to the lower end and the upper end of the shaft sleeve, and the shaft sleeve is sleeved on the connecting shaft in a sliding way;
the first transmission gear is used for being meshed with a driving gear of the motor, and the second transmission gear is selectively meshed with a rack of the anastomat or meshed with left and right gears of the anastomat under the action of the clutch driving unit.
The invention also provides an electric endoscope anastomat, which comprises the clutch safety device.
With such a design, the invention has at least the following advantages:
1. according to the clutch safety device, the clutch safety unit which is connected with the clutch driving unit and driven by the clutch driving unit is arranged, the safety control of the anastomat controlled by the clutch safety unit between the firing state, the closing state and the opening state and the left and right transmission state is switched, and the mechanical switching of the anastomat controlled by the clutch switching unit between the firing state, the closing state and the opening state and the left and right transmission state is correspondingly realized, so that the consistency of mechanical engagement and electrical control is realized, the operation of the electric cavity mirror anastomat is more stable, safer and more reliable, the use cost is reduced, and the popularization is facilitated.
2. According to the invention, the clutch driving unit is arranged into the Y-shaped combination of the clutch limiting plate and the clutch control plate, or three radial extending rods with the central positioning shaft, so that the corresponding switching between the clutch switching unit and the clutch safety unit can be realized at the same time, and the clutch switching unit is accurate and reliable. And the first electric contact end, the second electric contact end and the third electric contact end are sequentially arranged in the slideway, so that the electricity obtaining and losing control of the conductive elastic sheet on the two states is easily and skillfully realized, the operation is simple, and the operation is safe.
Drawings
The foregoing is merely an overview of the present invention, and the present invention is further described in detail below with reference to the accompanying drawings and detailed description.
Fig. 1 is a schematic exploded view of a clutch safety device of an electric endoscopic stapler of the present invention.
Fig. 2 is a schematic diagram of a clutch safety device of the electric endoscope anastomat in a left-right transmission state.
Fig. 3 is a schematic view of the clutch safety device of the electric endoscopic stapler of the present invention in a fired, closed, open state.
Fig. 4 is a schematic linkage diagram between the clutch limiting plate and the safety slide block in the present invention, wherein the (b) diagram is a state diagram of the (a) diagram after clockwise rotation.
Fig. 5 is a schematic linkage diagram between the clutch limiting plate and the safety slide block in the present invention, wherein the (b) diagram is a state diagram of the (a) diagram after counterclockwise rotation.
Fig. 6 is a schematic structural diagram of the conductive spring connected to the first electrical contact terminal and the second electrical contact terminal in the present invention.
Fig. 7 is a schematic structural diagram of the conductive spring connected to the second electrical contact terminal and the third electrical contact terminal in the present invention.
Fig. 8 is a schematic diagram showing the distribution of electrical contacts in two slides on a clutch fuse circuit board according to the present invention.
Fig. 9 is a schematic contact diagram of the conductive spring and the section of the D-D line in fig. 8.
Fig. 10 is a schematic contact diagram of the conductive spring and the section of the D-D line in fig. 8.
Detailed Description
Referring to fig. 1 to 3, the clutch safety device of the electric endoscope anastomat of the present invention comprises a clutch switching unit, a clutch driving unit and a clutch safety unit.
The clutch switching unit in this embodiment includes a first transmission gear 11, a second transmission gear 12, a shaft sleeve 13 and a connecting shaft 14, the first transmission gear 11 and the second transmission gear 12 are respectively fixedly connected to the lower end and the upper end of the shaft sleeve 13, and the shaft sleeve 13 is slidably sleeved on the connecting shaft 14. The first transmission gear 11 is used for being meshed with a driving gear of a motor all the time, and the second transmission gear 12 can be selectively meshed with a rack 15 of the anastomat or meshed with left and right gears 16 of the anastomat under the action of a clutch driving unit. When the second transmission gear 12 is meshed with the rack 15 of the anastomat, the anastomat is in a firing, closing and opening state, as shown in figure 3; when the second drive gear 12 is engaged with the left and right gears 16 of the stapler, the stapler is in a left and right drive condition, as shown in fig. 2. The clutch switching unit realizes the clutch switching of the anastomat between the firing state, the closing state, the opening state and the left and right transmission state under the action of the clutch driving unit.
The clutch driving unit in this embodiment includes a clutch limiting plate 21 and a clutch control plate 22. The clutch limiting plate 21 and the clutch control plate 22 each comprise two protruding ends with an included angle. The clutch limiting plate 21 and the clutch control plate 22 form a Y-shaped structure in a mode of opposite included angles. The included angle between the clutch limiting plate 21 and the clutch control plate 22 is connected by a locating pin 23, the first extending end of the clutch limiting plate 21 and the first extending end of the clutch control plate 22 are overlapped and the end parts are fixedly connected by a connecting rod 24. The second protruding end of the clutch limiting plate 21 is provided with the guide groove 25 for controlling the action of the clutch safety unit. The guide groove 25 is preferably a slotted hole. The second extended end of the clutch control plate 22 is used to control the clutch switching of the clutch switching unit between the firing, closing, opening and left and right transmission states.
The clutch safety unit in this embodiment includes a safety slide 31, a guide bar 32, and a clutch safety circuit board 33. The safety slide block 31 is slidably disposed on the guide rod 32, a conductive spring plate 34 with two protruding ends is disposed on the upper portion of the safety slide block 31, a slide parallel to the guide rod 32 is disposed on one side of the clutch safety circuit board 33 close to the conductive spring plate 34, and a safety electric contact end of the stapler in a firing, closing and opening state and a safety electric contact end in a left-right transmission state are disposed in the slide. As shown in fig. 8 to 10, the present embodiment specifically includes a first electrical contact terminal 36, a second electrical contact terminal 37, and a third electrical contact terminal 38 that are disposed in this order. When the conductive spring piece 34 is connected with the first electric contact end 36 and the second electric contact end 37, safety control for connecting the firing, closing and opening states of the anastomat is realized; when the conductive spring piece 34 is connected with the second electric contact end 37 and the third electric contact end 38, safety control for connecting the left and right transmission states of the anastomat is realized.
Referring to fig. 4 to 7, a driving pin 35 is disposed at the lower part of the safety slide 31, the driving pin 35 extends into the guiding slot 25 of the clutch driving unit and moves in the guiding slot 25 under the driving of the clutch driving unit, so as to drive the safety slide 31 to slide along the guiding rod 32, thereby realizing the sliding of the conductive elastic sheet 34 in the slideway, and finally realizing the clutch switching between the firing, closing and opening state safety control and the left-right transmission state safety control of the anastomat.
According to the invention, the clutch driving unit is in driving connection with the clutch switching unit and the clutch safety unit, so that the clutch switching unit and the clutch safety unit can be synchronously linked, and the clutch switching unit corresponds to the clutch state of the anastomat realized by the clutch safety unit, when the clutch switching unit controls the anastomat to be in the firing, closing and opening states, the clutch safety unit realizes the safety control on the firing, closing and opening states of the anastomat, and the safety control on the left and right transmission states is powered off; when the clutch switching unit controls the anastomat to be in a left-right transmission state, the clutch safety unit realizes safety control on the left-right transmission state of the anastomat, so that the safety control on the firing, closing and opening states is powered off, the mechanical switching function is matched with the electric switch switching function, the electric cavity mirror anastomat works more stably, safely and reliably, and the use cost is reduced.
Referring to fig. 8, the clutch safety circuit board 33 is provided with two parallel slides, and two conductive elastic sheets 34 corresponding to the two slides are arranged on the upper portion of the safety slide 31, so that the running stability and reliability of the clutch safety device are further ensured.
The clutch safety device of the electric endoscope anastomat has the following working principle:
1) Switching from firing, closing, opening to left and right transmission states: the first extending end of the clutch limiting plate 21 rotates clockwise, because the driving pin shaft 35 at the lower part of the safety slide block 31 is matched with the oblong hole 25 at the second extending end of the clutch limiting plate 21, when the oblong hole 25 performs plane rotation movement, the clutch limiting plate 21 drives the safety slide block 31 to move rightwards along the guide rod 32, as shown in fig. 4, two conductive elastic sheets 34 on the safety slide block 31 slide in a slideway, and at the moment, the safety control of the firing, closing and opening states is switched to the safety control of the left-right transmission states. At the same time, the second protruding end of the clutch control plate 22 also rotates clockwise, so that the second transmission gear 12 is separated from the engagement with the rack 15 and is switched to the engagement with the left and right gears 16, and the consistency of gear engagement and electrical control is further realized.
2) Switching from a left-right transmission state to a firing, closing and opening state: the first protruding end of the clutch limiting plate 21 rotates anticlockwise, so that the oblong hole 25 on the clutch limiting plate also rotates anticlockwise in a plane, and drives the safety slide block 31 to move leftwards along the guide rod 32, as shown in fig. 5. The two conductive sliding sheets 34 on the safety slide block 31 slide in the slide way, and at the moment, the safety control is switched from the left and right transmission state to the safety control of firing, closing and opening states. Simultaneously, the second extending end of the clutch control plate 22 also rotates anticlockwise, so that the second transmission gear 12 is separated from the engagement with the left and right gears 16 and is switched to be engaged with the rack 15, and the consistency of gear engagement and electric control is further realized.
Of course, the clutch driving unit may also adopt three radial extending rod structures with a central positioning shaft, wherein the first extending rod controls the second extending rod and the third extending rod to rotate around the central positioning shaft, the second extending rod is a clutch control rod for controlling the clutch switching of the clutch switching unit between the firing state, the closing state, the opening state and the left-right transmission state, and the third extending rod is provided with the guide groove for controlling the clutch safety unit to act. The first extending rod is rotated, and the second extending rod and the third extending rod simultaneously rotate, so that the clutch switching unit and the clutch safety unit are simultaneously driven to realize corresponding switching of mechanical structure and electric control of the anastomat between the firing state, the closing state and the opening state and the left-right transmission state.
The above description is only of the preferred embodiments of the present invention, and is not intended to limit the invention in any way, and some simple modifications, equivalent variations or modifications can be made by those skilled in the art using the teachings disclosed herein, which fall within the scope of the present invention.

Claims (10)

1. The clutch safety device of the electric endoscope anastomat is characterized by comprising a clutch switching unit, a clutch driving unit and a clutch safety unit,
the clutch switching unit realizes the clutch switching of the anastomat between the firing state, the closing state, the opening state and the left and right transmission state under the action of the clutch driving unit;
the clutch safety unit comprises a safety slide block, a guide rod and a clutch safety circuit board, wherein the safety slide block is slidably arranged on the guide rod, a conductive elastic sheet with protruding two ends is arranged on the upper portion of the safety slide block, one side of the clutch safety circuit board, which is close to the conductive elastic sheet, is provided with a slide way parallel to the guide rod, the slide way is internally provided with an safety electric contact end of the anastomat in a firing state, a closing state and an opening state and an safety electric contact end in a left-right transmission state, the lower portion of the safety slide block is provided with a driving pin shaft, the driving pin shaft is connected with the clutch driving unit, the sliding of the safety slide block along the guide rod is realized under the driving of the clutch driving unit, and then the connection of the conductive elastic sheet and the safety electric contact end in the firing state, the closing state and the opening state or the safety electric contact end in the left-right transmission state is realized, and finally the clutch switching between the firing state safety control of the anastomat corresponding to the clutch switching unit and the firing state, the closing state and the left-right transmission state safety control of the anastomat is realized.
2. The clutch safety device of the electric endoscope anastomat according to claim 1, wherein a first electric contact end, a second electric contact end and a third electric contact end are sequentially arranged in the slide way, and when the conductive elastic sheet is connected with the first electric contact end and the second electric contact end, safety control for connecting the firing, closing and opening states of the anastomat is realized; when the conductive elastic sheet is connected with the second electric contact end and the third electric contact end, safety control for connecting the left and right transmission states of the anastomat is realized.
3. The clutch safety device of the electric endoscope anastomat according to claim 2, wherein the clutch safety circuit board is provided with two parallel slide ways, and the upper part of the safety slide block is provided with two conductive spring pieces corresponding to the two slide ways.
4. A clutch safety device of an electric endoscope anastomat according to any one of claims 1 to 3, wherein a guide groove is formed in the clutch driving unit, and the driving pin shaft extends into the guide groove and moves in the guide groove under the driving of the clutch driving unit.
5. The clutch safety device of the electric endoscopic stapler according to claim 4, wherein the guide groove is a slotted hole.
6. The clutch safety device of the electric endoscope anastomat according to claim 4, wherein the clutch driving unit comprises a clutch limiting plate and a clutch control plate, the clutch limiting plate and the clutch control plate both comprise two extending ends with included angles, the clutch limiting plate and the clutch control plate form a Y-shaped structure in a mode that the included angles are opposite, the included angles of the clutch limiting plate and the clutch control plate are connected through a locating pin, the first extending ends of the clutch limiting plate and the first extending ends of the clutch control plate are overlapped and are fixedly connected through a connecting rod, the second extending ends of the clutch limiting plate are provided with guide grooves for controlling clutch switching of the clutch safety unit between firing, closing and opening state safety control and left and right transmission state safety control, and the second extending ends of the clutch control plate are used for controlling clutch switching of the clutch switching unit between firing, closing and opening states and left and right transmission states.
7. The clutch safety device of the electric endoscope anastomat according to claim 6, wherein the clutch switching unit comprises a first transmission gear, a second transmission gear, a shaft sleeve and a connecting shaft, the first transmission gear and the second transmission gear are respectively fixedly connected to the lower end and the upper end of the shaft sleeve, and the shaft sleeve is sleeved on the connecting shaft in a sliding way;
the first transmission gear is used for being meshed with a driving gear of the motor, and the second transmission gear is selectively meshed with a rack of the anastomat or meshed with left and right gears of the anastomat under the action of the clutch driving unit.
8. The clutch safety device of the electric endoscope anastomat according to claim 4, wherein the clutch driving unit is three radial extending rods with a central positioning shaft, wherein the first extending rod controls the second extending rod and the third extending rod to rotate around the central positioning shaft, the second extending rod is a clutch control rod for controlling the clutch switching of the clutch switching unit between a firing state, a closing state and an opening state and a left and right transmission state, and the third extending rod is provided with the guide groove for controlling the clutch switching of the clutch safety unit between the firing state, the closing state and the opening state safety control and the left and right transmission state safety control.
9. The clutch safety device of the electric endoscope anastomat according to claim 8, wherein the clutch switching unit comprises a first transmission gear, a second transmission gear, a shaft sleeve and a connecting shaft, the first transmission gear and the second transmission gear are respectively fixedly connected to the lower end and the upper end of the shaft sleeve, and the shaft sleeve is sleeved on the connecting shaft in a sliding way;
the first transmission gear is used for being meshed with a driving gear of the motor, and the second transmission gear is selectively meshed with a rack of the anastomat or meshed with left and right gears of the anastomat under the action of the clutch driving unit.
10. An electrically powered endoscopic stapler comprising a clutch guard according to any one of claims 1 to 9.
CN201711234484.6A 2017-11-30 2017-11-30 Electric endoscope anastomat and clutch safety device thereof Active CN107951521B (en)

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