CN108209996A - Surgical operating instrument - Google Patents

Surgical operating instrument Download PDF

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Publication number
CN108209996A
CN108209996A CN201711400658.1A CN201711400658A CN108209996A CN 108209996 A CN108209996 A CN 108209996A CN 201711400658 A CN201711400658 A CN 201711400658A CN 108209996 A CN108209996 A CN 108209996A
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CN
China
Prior art keywords
nail
stent
nail bin
bin groupware
closure
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CN201711400658.1A
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Chinese (zh)
Other versions
CN108209996B (en
Inventor
张翚
刘殿臣
杜运峰
李凡
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Suzhou IntoCare Medical Technology Co Ltd
Original Assignee
Suzhou IntoCare Medical Technology Co Ltd
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Application filed by Suzhou IntoCare Medical Technology Co Ltd filed Critical Suzhou IntoCare Medical Technology Co Ltd
Priority to CN201711400658.1A priority Critical patent/CN108209996B/en
Publication of CN108209996A publication Critical patent/CN108209996A/en
Application granted granted Critical
Publication of CN108209996B publication Critical patent/CN108209996B/en
Active legal-status Critical Current
Anticipated expiration legal-status Critical

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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
    • A61B2017/00017Electrical control of surgical instruments
    • 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
    • A61B2017/07214Stapler heads

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

The present invention relates to a kind of surgical operating instruments,It includes housing,It is arranged on the nail-anvil assembly of housing side,The nail bin groupware stent of jaw is formed with nail-anvil assembly,Nail bin groupware on nail bin groupware stent,The closure drive component that jaw is driven to open or be closed,Trigger shaft,And the cutting assembly for being arranged on trigger shaft and being driven by trigger shaft,It is characterized in that,Surgical operating instrument further includes power input device,It is closed transmission component,Fire transmission component and switching part,Power input device includes motor,Switching part is optionally through closure transmission component by the power transmission of power input device to closure drive component or by firing transmission component by the power transmission of power input device to trigger shaft,It can realize Electronic control,And then it can be accurately controlled and have an effect,Help avoid the tissue that excessive compression is sewn,Help to improve match result.

Description

Surgical operating instrument
Technical field
The present invention relates to a kind of surgical operating instruments.
Background technology
In general surgery treatment, the cutting that stapler is commonly used for completing tissue coincide function.Existing stapler It is to rely on manually disposable using apparatus more.In surgical operation, it is near to be closed that doctor often needs the knob of rotational end End and the tissue of distal end, then both hands closure trigger shaft completion coincide.Percussion process needs huge percussion force that could complete to kiss The cutting healed up is closed, and huge closing force brings the shake of arm during firing to cause excessively to pull, so as to influence quilt The docking closure of the structural previous anastomotic of suture and into nail effect, in addition, due to firing manually, so, percussion force without Method controls, the tissue that excessive compression is caused to be sewn, if Cheng Ding is not complete or excessive compression, will lead to the potential leakage of previous anastomotic With it is irregular narrow, influence surgical effect and be unfavorable for the post-operative recovery of patient.In addition to this, the speed that manual knob is closed Slowly, it is and unstable.
Invention content
The purpose of the present invention is to provide a kind of surgical operating instruments, can improve percussion stability and improve sewing effect, And it can realize one-handed performance.
In order to achieve the above objectives, the present invention provides following technical solution:A kind of surgical operating instrument, including housing, setting Nail-anvil assembly and the nail-anvil assembly in the housing side form the nail bin groupware stent of jaw, mounted on the nail bin Closure drive component, trigger shaft and the setting that nail bin groupware, the driving jaw on assembly support are opened or be closed The cutting assembly driven on the trigger shaft and by the trigger shaft, the surgical operating instrument further include power input dress It puts, electric control part, be closed transmission component, percussion transmission component and switching part, the power input device includes motor, institute State switching part optionally through be closed transmission component by the power transmission of power input device to be closed drive component or By firing transmission component by the power transmission of power input device to trigger shaft.
Further, the surgical operating instrument further includes trigger switch and triggers the triggering application of the trigger switch Part, the trigger switch are fixed in the housing, and the side of the trigger switch is provided with fixed plate, in the fixed plate The first elastic component is provided with, the triggering application member is arranged on the side of first elastic component;The cutting assembly supports tactile Application member is sent out, when the cutting assembly percussion resets, the cutting assembly pushes the triggering application member to be moved towards trigger switch And trigger trigger switch;When the cutting assembly fires, the first elastic component driving application member that triggers is towards cutting assembly Direction move away from trigger switch.
Further, the nail bin groupware stent includes frame body portion to install nail bin groupware and from the frame body portion The connecting portion extended rearwardly to form, the closure drive component include being closed axis, the connecting portion activity of the nail bin groupware stent On the closure axis, and the nail bin groupware stent is moved in the longitudinally that axis is closed described in the closure axis upper edge It is dynamic;Thrust, the connecting portion of the nail bin groupware stent are applied to the frame body portion of the nail bin groupware stent in the nail-anvil assembly Can relatively described closure drive component swing along the first direction, the first direction acts on the nail for the nail anvil stent The direction of power on the assembly support of storehouse.
Further, the drive component that is closed further includes the closure nut being arranged on the closure axis, the closure Nut is connect with the closure axle thread, and the connecting portion has mounting hole, and the closure nut includes pressure section, described in The axle portion and the lateral convex block formed from the outside projection of the axle portion, the axle portion that pressure section is downwardly extending are inserted in institute It states in mounting hole, is clearance fit between the axle portion and mounting hole, the connecting portion of the nail bin groupware stent, which is clamped in, to be compressed Between portion and lateral convex block.
Further, pre-bending shrapnel is provided on the nail bin groupware stent, the pre-bending shrapnel is clamped in the nail bin Between assembly support and housing, the pre-bending shrapnel supports the frame body portion.
Further, the closure drive component includes being closed axis, and the surgical operating instrument includes frame body, described to close Sympodium is fixed on the housing by rigid support.
Further, the nail bin groupware is including described in warehouse, several suturing nails being arranged in the warehouse, driving The nail-pushing part of the relatively described warehouse movement of suturing nail and the actuator of the relatively described warehouse movement of the driving nail-pushing part, it is described The sliding trigger member for pushing and occurring in the warehouse change in location by the actuator is provided in warehouse;The warehouse First position and the second position are inside defined, the actuator pushes the sliding trigger member to be moved from the first position To the second position, the surgical operating instrument further includes the triggering triggered by the sliding trigger member on first position Inductive switch.
Further, it is provided in the warehouse and is moved inside it for the sliding trigger member and cause the sliding The slid chamber of the change in location of trigger member, the actuator push the sliding trigger member to be moved in the slid chamber.
Further, the surgical operating instrument further include along the moving direction of the nail bin groupware stent setting and To sense at least two sensing devices of the nail bin groupware stent;In on the closing direction of the jaw, at least two institutes Sensing device is stated to correspond in the closure height setting at various height of jaw.
Further, the surgical operating instrument, which further includes, is arranged on the moving direction of the nail bin groupware stent One optoelectronic switch;The nail bin groupware stent has the Extendible flake extended towards the nail-anvil assembly, is opened up on the Extendible flake There is the trepanning coordinated with the optoelectronic switch.
The beneficial effects of the present invention are:The surgical operating instrument of the present invention is inputted by power of the setting with motor Device is closed transmission component, percussion transmission component and switching part, and by switching part optionally through closure transmission group Part is by the power transmission of power input device to closure drive component or by firing transmission component by power input device Power transmission so as to fulfill Electronic control, and then can be accurately controlled and have an effect, help avoid excessive compression quilt to trigger shaft The tissue of suture, helps to improve match result.
Above description is only the general introduction of technical solution of the present invention, in order to better understand the technological means of the present invention, And can be implemented in accordance with the contents of the specification, below with presently preferred embodiments of the present invention and after attached drawing is coordinated to be described in detail such as.
Description of the drawings
Fig. 1 is the structure diagram of the surgical operating instrument shown in the embodiment of the present invention one;
Fig. 2 is the exploded view of surgical operating instrument shown in FIG. 1;
Fig. 3 is Fig. 1 end effectors, is closed axis and rigidly fixes the exploded view of frame;
Fig. 4 is the exploded view of nail-anvil assembly, trigger shaft, cutting assembly in Fig. 1;
Fig. 5 is the part-structure sectional view after nail-anvil assembly in Fig. 1, trigger shaft, cutting assembly assembling;
Fig. 6 is the sectional view of the part-structure after another nail-anvil assembly, trigger shaft, cutting assembly assembling;
Fig. 7 is the assembling figure of percussion nut and blade in Fig. 1;
Fig. 8 is the exploded view of percussion nut and blade shown in Fig. 9;
Fig. 9 be trigger shaft in Fig. 1, percussion nut and after give up the throne the exploded view of positioning and recognizing device;
Figure 10 is the exploded view of nail bin groupware and the first identification switch in Fig. 1;
Figure 11 is the sectional view of nail bin groupware in Figure 10;
Figure 12 is the assembling figure between nail bin groupware and housing in Fig. 1;
Figure 13 is the enlarged drawing of circle B in Figure 12;
Figure 14 a to Figure 14 c be three kinds to realize two kinds closure height end effector optical cable;
Figure 15 is the exploded view of the part-structure of the surgical operating instrument shown in another embodiment of the present invention;
Figure 16 is surgical operating instrument end effector shown in another embodiment of the present invention, the structures such as nail bin groupware Exploded view.
Specific embodiment
With reference to the accompanying drawings and examples, the specific embodiment of the present invention is described in further detail.Implement below Example is used to illustrate the present invention, but be not limited to the scope of the present invention.Following described up, down, left, right, before and after positions Relationship is using Fig. 1 as benchmark with reference to figure, and arrow a-a directions are upper and lower directions in Fig. 1, and arrow b-b directions are front-rear direction, Arrow c-c directions are left and right directions.
Fig. 1 and Fig. 2 are referred to, the surgical operating instrument shown in one embodiment of the invention (calls kiss in the following text for electric drive stapler Clutch), it is used to suturing and cutting tissue.The stapler includes the body of a gun and the nail bin groupware on the body of a gun 100.The body of a gun includes handle portion (not shown) and work head 10, and in the present embodiment, the handle portion is reusable Sterilize electric handle, be internally provided with fast connector and signal transmission port, be additionally provided with to carry in the handle portion For the replaceable battery group of electric power, power input device (not shown) and electricity to input power are provided in the handle portion Part is controlled, which includes motor.The connection mode of the motor and battery is design conventional in the prior art, Therefore it is not described in detail herein.Electric control part is closed and percussion, signal feedback, indicator light are shown, fool proof communication Control.The actions such as closure, opening and the percussion of work head 10 are driven by the handle portion.
The work head 10 includes housing 1, center bearing bracket 2, is closed transmission component (non-label), percussion transmission component (not Label), switching part and end effector 3.The center bearing bracket 2 is fixed in the housing 1, the closure transmission group Part, percussion transmission component be enclosed in the housing 1, the closure transmission component, fire runner assembly one end passed by power Dynamic component (not shown) is connect with motor, and the other end for being closed transmission component, firing transmission component performs respectively with end Device 3 is connected and is supported by center bearing bracket 2.The closure transmission component, percussion transmission component are connect with handle portion with by handle portion Power transmission to end effector 3, so as to drive the end effector 3 real by closure transmission component, percussion transmission component It is now closed, fires, firing reset and open, the closure transmission component, percussion transmission component are the conventional design in this field, Therefore it is not described in detail herein.The switching that the switching part includes changer lever 12 and connect with the changer lever 12 is pressed Button 11.The changer lever 12 optionally through be closed transmission component by the power transmission of power input device to be closed driving Component or by firing transmission component by the power transmission of power input device to trigger shaft, the switching push button 11 is in shell On body.Changer lever 12 is driven to move to realize on closure transmission component, percussion transmission component by stirring switching push button 11 It is closed and switches between percussion two states, which is with the connection mode for being closed transmission component, percussion transmission component Conventional design in this field, therefore be not described in detail herein.
Fig. 1, Fig. 3 and Fig. 4 are referred to, the end effector 3 includes nail-anvil assembly 31, relatively described nail-anvil assembly 31 It moves to complete nail bin groupware stent 32, driving 32 court of nail bin groupware stent that the end effector 3 closes or opens 31 direction of nail-anvil assembly moves so that the closure drive component and be arranged on nail anvil that the end effector 3 closes or opens Trigger shaft 37 in component 31, the cutting assembly 33 being arranged on the trigger shaft 37.End effector 3 closes or opens It is completed by nail-anvil assembly 31 and nail bin groupware stent 32, which forms jaw, the jaw with nail bin groupware stent 32 Closure be end effector 3 closure, the jaw opening be end effector 3 opening.The nail bin groupware 100 are mounted on the nail bin groupware stent 32.
Fig. 3 to Fig. 6 is referred to, the nail-anvil assembly 31 includes nail anvil stent 311, is arranged on the nail anvil stent 311 It nail anvil head 312 on end, the transparent shield 313 being arranged on institute's nail anvil stent 311 and is located on the nail anvil stent 311 Resist-nailed seat 314.The nail anvil stent 311 includes the bottom wall 3114 that is oppositely arranged and from the left and right sides of the bottom wall 3114 The side wall 3112 extended to form in phase.The side wall 3112 and bottom wall 3114, which enclose, to be set to form containing cavities (non-label).The nail anvil The front end of stent 311 is embedded with casey 3113.The resist-nailed seat 314 is fixed on the bottom wall 3114, and with 3114 phase of bottom wall To setting.Longitudinally (the lengthwise side of the direction and work head 10 along the nail-anvil assembly 31 is offered on the bottom wall 3114 It is a-a directions in Fig. 1 to identical) observation panel 315 of the elongated shape of extension, the transparent shield 313 is covered in the observation On mouth 315, in the present embodiment, the scale zone to play mark action, the scale area are provided on the bottom wall 3114 Domain is located at the side of the observation panel 315.The nail anvil head 312 is removably plugged on the front end of the nail anvil stent 311, leads to The front end that nail anvil head 312 is removably plugged on to the nail anvil stent 311 is crossed, it is convenient to be somebody's turn to do in order to replace the nail anvil head 312 The maintenance of end effector 3 improves the service life of the end effector 3.In the present embodiment, the nail anvil head 312 and nail Anvil stent 311 snaps connection, specifically:The nail anvil head 312 includes head 316 and extends back shape from the head 316 Into hook part 317, be provided with the buckle slot 318 coordinated with the hook part 317, the buckle slot in the nail anvil stent 311 318 are formed on bottom wall 3114.In the present embodiment, incorporated by reference to Fig. 5 and Fig. 6, the quantity of the hook part 317 is one, institute Hook part 317 is stated to include the cantilever 3171 extended rearwardly to form from the head 316 and perform along end from the cantilever 3171 The rectangular fixture block 3172 that the upward projection of short transverse of device 3 is formed.In other embodiments, Fig. 6, the hook are referred to The quantity in portion 317 ' can be two, and two hook parts 317 are disposed opposite to each other along the central axes of the end effector 3, often A hook part 317 ' has the cantilever 3171 ' that extends rearwardly to form from the head 316 ' and from the cantilever 3171 ' The brachycephalic fixture block 3172 ' that projection is formed, has been recessed and the brachycephalic card in this embodiment, in two side walls 3112 ' The buckle slot 318 ' that block 3172 ' coordinates.
Fig. 3 is referred to, the nail bin groupware stent 32 is cantilever design, and the nail bin groupware stent 32 is included to solid The connecting portion 322 determined the frame body portion 321 of nail bin groupware 100 and extended rearwardly to form from the frame body portion 321.The frame body portion 321 With front end 323, the front end 323 of the nail bin groupware stent 32 is vacantly set, which sets far from connecting portion 322 It puts.The connecting portion 322 of the nail bin groupware stent 32 is movably arranged on the closure drive component, in the nail-anvil assembly The frame body portion 321 of 31 pairs of nail bin groupware stents 32 applies thrust, and the connecting portion 322 of the nail bin groupware stent 32 can phase To the closure drive component, (arrow d directions in Fig. 3) is swung along the first direction, and the first direction is the nail anvil Stent 311 acts on the direction of the power on the nail bin groupware stent 32.It is provided in the frame body portion 321 and the nail bin The fixing slot (non-label) that component 100 coordinates.The connecting portion 322 includes connection sheet 324 and from the connection sheet 324 or so The Extendible flake 325 that both sides are downwardly extending.Mounting hole 326 is offered in the connection sheet 324, the mounting hole 326 includes Axis hole 327 and the escape groove 328 for tearing formation outward from the both ends of the axis hole 327.
Fig. 2 and Fig. 3 are referred to, the drive component that is closed includes 34 He of closure axis being mounted on the center bearing bracket 2 The closure nut 35 being arranged on the closure axis 34.Taper biography is provided between the closure axis 34 and closure transmission component Moving gear group, the taper driving gear set include the first bevel gear 41 being arranged on the closure transmission component and setting Second bevel gear 42 in the center bearing bracket 2 support, one end of the closure axis 34 is inserted into the second bevel gear 42 And pass through flat structure and connect.The closure axis 34 is used with the closure nut 35 being disposed thereon and is threadedly coupled, the closure spiral shell The rotary motion for being closed axis 34 is converted into linear motion so that the closure nut 35 can be on the closure axis 34 by mother 35 It moves linearly along the longitudinally for being closed axis 34.The closure nut 35 is inserted into the mounting hole 326, the closure It is clearance fit between nut 35 and mounting hole 326, the closure nut 35 drives the nail bin groupware stent 32 to be closed described The longitudinally movement of axis 34 is closed described in 34 upper edge of sympodium.The closure nut 35 includes pressure section 351, is compressed described in The axle portion 352 and the lateral convex block 353 formed from the 352 outside projection of axle portion that portion 351 is downwardly extending, the axle portion 352 are inserted into axis hole 327 so that the axle portion 352 coordinates with axis hole 327, are gap between the mounting portion and axis hole 327 Cooperation.When being closed nut 35 with the assembling of nail bin groupware stent 32, lateral convex block 353 is first aligned with escape groove 328, so that institute It states 35 sets of nut of closure to be set on nail bin groupware stent 32, then, nut 35 will be closed and rotate so that the lateral convex block 353 It misplaces with escape groove 328, at this point, the connecting portion 322 of nail bin groupware 100 is clamped between pressure section 351 and lateral convex block 353, It is detached to prevent non-magnetic shim storehouse assembly support 32 with being closed nut 35, simultaneously as the nail bin groupware stent 32 is with being closed nut 35 again For socket, axle portion 352 is polished rod, mounting hole 326 is unthreaded hole, therefore can be opposite between nail bin groupware stent 32 and closure nut 35 Do the swing in slight amplitude.In the present embodiment, 32 relatively closed nut 35 of nail bin groupware stent rotates in order to prevent, institute It states and fixing piece 36 is fixed on nail bin groupware stent 32, the card coordinated with the convex block 353 is provided on the fixing piece 36 Slot 361, the convex block 353 are located in the card slot 361, and the fixing piece 36 is located at the lower section of the connecting portion 322, in this reality It applies in example, which welds with nail bin groupware stent 32.The fixing piece 36 is accommodated in nail bin groupware stent 32.It is described Center bearing bracket 2 has accommodating second bevel gear 42, the accommodating cavity 21 for being closed axis 34, the side phase of left and right two of the accommodating cavity 21 To being provided with cavity wall 211, the connecting portion 322 is accommodated in the accommodating cavity 21, and the connecting portion 322 fits in described accommodating In chamber 21 and the connecting portion 322 can move in the accommodating cavity 21 along the longitudinally for being closed axis 34.The connecting portion 322 two Extendible flakes 325 correspond to two cavity walls 211 and set respectively, and Extendible flake 325 is bonded to limit the nail with cavity wall 211 Storehouse assembly support 32 shakes in the left and right directions of nail bin groupware stent 32.In other embodiments, it is mobile smart in order to mention Degree is provided with lead, and is provided on accommodating cavity 21 and connecting portion 322 with being somebody's turn to do between the connecting portion 322 and accommodating cavity 21 The arcuate guide hole of lead cooperation, so as to evade face contact, improves mobile accuracy.The arcuate guide hole, which is arranged on, prolongs It stretches on piece 325, really, Extendible flake 325 can be not provided with, then the arcuate guide hole is formed directly into connection sheet 324.
Pre-bending shrapnel 37 is provided on the nail bin groupware stent 32, the pre-bending shrapnel 37 is clamped in nail bin groupware branch Between frame 32 and housing 1, the pre-bending shrapnel 37 includes being located at the first sheet body portion 371, the setting of 324 top of connection sheet The second sheet body portion 372 above the frame body portion 321 and the folding from the fold-down formation in the second sheet body portion 372 Portion 373, which is located at the lower section in the second sheet body portion 372, and the folding part 373 is set close to connection sheet 324, described Folding part 373 supports frame body portion 321.There is folding line between first sheet body portion, the 371 and second sheet body portion 372.By following closely Set pre-bending shrapnel 37 that can both prevent to generate between nail bin groupware stent 32 and housing 1 between storehouse assembly support 32 and housing 1 Rigid shock, and reduce the beat that end effector 3 is closed and is generated in opening procedure, be conducive to obtain better Cheng Ding Form.
3 closing course of end effector is as follows:Closure axis 34 is driven by taper transmission gear when being closed transmission component When rotating along the first direction of rotation (first direction of rotation can be clockwise), which is being closed axis 34 On move down, at this point, being closed nut 35 drives direction movement of the nail bin groupware stent 32 towards nail-anvil assembly 31 until the end Actuator 3 is closed.Since nail bin groupware stent 32 is cantilever design, in order to ensure the match result of end effector 3, generally The front end 323 of nail bin groupware stent 32 is arranged to less than connecting portion 322, the purpose of the design is:If front end 323 Be arranged to it is concordant with connecting portion 322, then end effector 3 be closed during, front end (the nail bin group of nail bin groupware 100 It is located at the part of 32 front end 323 of nail bin groupware stent in part 100) elder generation is contacted with the tissue for being sewn and cutting, at this point, The end effector 3 is also to be closed completely, if starting firing action at this time, match result is bad.Therefore, the nail bin groupware Stent 32 has to move towards the direction of nail-anvil assembly 31 again, to realize being closed completely for jaw.During this, nail bin group The front end 323 of part stent 32 will be applied to by the front end of nail bin groupware 100 be sewn and cut it is structural opposite Power and micro- lift upwards, and then cause the whole slight oscillatory upward along the first direction of the nail bin groupware stent 32, due to nail bin groupware 100 be movably arranged on be closed nut 35 on, nail bin groupware stent 32 can relatively closed nut 35 swing along the first direction, therefore, even Socket part 322 is stress weak part by the way that front end 323 to be arranged to the structure type less than connecting portion 322, thin to stress Weak position is strengthened, and can avoid 32 bending of nail bin groupware stent, reduces the fatigue damage of nail bin groupware 100, improves nail bin The service life of component 100.
Axis 34 is closed for the ease of fixation is described, 34 one end of the closure axis is fixed on the housing 1, the other end It is fixed on center bearing bracket 2.In the present embodiment, the closure axis 34 is fixed on by rigid support 51 on the housing 1. The fixing groove (not shown) docked with the closure axis is recessed on the rigid support 51, it is in the present embodiment, described Bearing 52 is provided between rigid support 51 and closure axis 34, the bearing 52 is arranged in the fixing groove.The rigidity branch Frame 51 includes bottom plate 511 and upwardly extends the adjutage 512 to be formed from the bottom plate 511, and the adjutage 512 is fixed in institute It states on center bearing bracket 2, the fixing groove is arranged on the bottom plate 511.Since the closure axis 34 is fixed by rigid support 51 On the housing 1, it is directly anchored to cause to housing on housing 1 due to being closed axis 34 in the prior art so as to solve 1 damage and the problem of be closed offset of the axis 34 along axis itself, helps to improve the service life of housing 1, improves closure Accuracy.
Incorporated by reference to Fig. 4 and Fig. 8, the cutting assembly 33 includes the percussion nut 331 being threadedly coupled with the trigger shaft 37 With the blade 332 being arranged on the percussion nut 331.The extending direction of the trigger shaft 37 is the same as the lengthwise of nail-anvil assembly 31 Extending direction, the blade 332 have blade face and the knife spine (non-label) being disposed opposite to each other with the blade face (non-label), The interior concane gap 333 extended from the knife spine towards the blade face direction is provided on the knife spine, since the blade face has Interior concane gap, so that blade 332 forms buffering backward when cutting, help to improve blade 332 uses the longevity Life.The blade 332 can be integrally formed with percussion nut 331.In the present embodiment, the blade 332 and percussion nut 331 are separately set, which is fixed on percussion nut 331, can pass through weldering between blade 332 and percussion nut 331 It connects or riveting or passes through pin connection.The percussion nut 331 is located in the containing cavities of nail bin stent 311, the percussion Nut 331 is exposed in the observation panel 315, by the observation panel 315 it is observed that firing the position of nut 331, so as to Understand the real time position of percussion and percussion nut 331.In order to intuitively recognize the position of percussion nut 331, the percussion spiral shell There are aberration between mother 331 and nail-anvil assembly 31, transparent shield 313.
Incorporated by reference to Fig. 1 and Fig. 2, the electric control part is arranged in the body of a gun, and the electric control part identifies in place including withdrawing Device, triggering inductive switch 83 and closure level identification device.
Fig. 2 and Fig. 9 are referred to, identification device includes the trigger switch 81 being arranged on the housing 1 to the withdrawing in place With triggering application member 82, which can be optoelectronic switch, and the triggering application member 82 is pilot pin, when described fixed After position needle 82 is inserted into optoelectronic switch, which is triggered, then the electric control part of the surgical operating instrument is hit Fat nut 331 is retracted into the information in home position, and electric control part can be informed the information by way of acoustic control or photoelectricity Operator.The side of the trigger switch 81 is provided with fixed plate 14, which is fixed on housing 1, the fixed plate The first elastic component 15 is provided on 14.The pilot pin 82 is arranged on the side of first elastic component 15.The percussion nut 331 support pilot pin 82, and when percussion nut 331 percussion resets, the percussion nut 331 pushes 82 court of pilot pin Trigger switch 81 moves and triggers the trigger switch 81;When the percussion nut 331 fires, first elastic component 15 drives The pilot pin 82 is moved far from trigger switch 81 and close to cutting assembly 33.When specifically used, first elastic component 15 exists Apply the first power in the pilot pin 82, which detaches pilot pin 82 with trigger switch 81 so that the trigger switch 81 It does not trigger, the percussion nut 331 applies the second power in pilot pin 82, this second pushes dynamic pilot pin 82 towards trigger switch To trigger the trigger switch 81, which is more than the first power, and percussion spiral shell has been defined on the trigger shaft 37 for 81 direction movements First firing position (in Fig. 4 realize percussion nut 33 position) of the mother 331 when not firing, when 331, nut of percussion In the first firing position, the percussion nut 331 applies the second power to pilot pin 82, when the percussion nut 331 is not described First firing position, then second power cancelled from the pilot pin 82, described first pushes dynamic pilot pin 82 opens with triggering Close 81 separation.In the present embodiment, which is the spring being set in the pilot pin 82, the pilot pin Be provided on 82 compress the first elastic component 15 compress ring 821.Slipping block 16, the sliding are arranged on the trigger shaft 37 Block 16 and 37 clearance fit of trigger shaft, the percussion nut 331 supports the pilot pin 82 by the slipping block 16, described The side of slipping block 16 is provided with the second elastic component 17 for driving the slipping block 16 towards the direction movement of percussion nut 331, tool Body:The trigger shaft 37 is included with the thread segment 371 of percussion 331 thread fitting of nut and from 371 edge of thread segment The polished rod portion 372 of longitudinally extension, is arranged slipping block 16 in the polished rod portion 372.The percussion nut 331 supports sliding The slipping block 16 is simultaneously pushed away the first firing position by block 16, and the percussion nut 331, the second elastic component 17 are oppositely arranged on The both sides of slipping block 16.Second elastic component 17 is spring.By setting the withdrawing, identification device can the surgery in place Surgical instrument can know whether the percussion nut 331 retreats in place by automatically controlled mode, compared with prior art, Ke Yigui It keeps away the percussion nut 331 when the surgical operation repeatedly fires retrogressing and retreats the problem of not in place, driving electricity is calculated without passing through Retrogressing positioning can be realized in the number of turns of machine, helps to improve the quality of operation.
Fig. 1, Fig. 2, Figure 10 are referred to Figure 13, the nail bin groupware 100 includes warehouse 91, is arranged on the warehouse 91 Nail-pushing part (not shown) that interior several suturing nails (not shown), the relatively described warehouse 91 of the driving suturing nail move, driving Actuator 92 that the nail-pushing part warehouse 91 relatively moves, the bracket 93 fixed on the warehouse 91, be arranged on it is described Shield top plate 90 on warehouse 91, the sliding trigger member 99 being arranged in the warehouse 91.Inductive switch 83 is triggered to trigger this Trigger inductive switch 83.The staple cavity 94 of several storage suturing nails is provided in the warehouse 91, the warehouse 91 includes Tissue contact platform 95 and warehouse side wall 96, the staple cavity 94 contact platform 95 through the tissue.The sliding triggering Part 99 is arranged in warehouse 91, and the sliding trigger member 99 is pushed by the actuator 92 and position occurs in the warehouse 91 Put variation.It is provided with to store the slid chamber 97 for sliding trigger member 99 in the warehouse 91, which can To be moved in the slid chamber 97 so that 99 change in location of sliding trigger member, the sliding trigger member 99 pass through actuating Device 92 pushes it to be moved in the slid chamber 97.In the present embodiment, the general configuration of the actuator 92 in the prior art Actuated piece it is identical, difference is:Actuator 92 in the present embodiment is equipped with that the sliding trigger member 99 is driven to move Pushing portion 921.In order to make the compact-sized of the pushing portion 921, recess portion 922 is offered on the actuator 92, the pushing portion 921 are located at the rear of the recess portion 922 to form the rear wall of recess portion 922.The sliding trigger member 99 is mounted on the recess portion 922 It is interior.First position and the second position have been defined in the warehouse 91 (in figure four, where the sliding trigger member 99 of solid line Position for first position, 99 position of sliding trigger member of dotted line is the second position), the actuator 92 pushes described Sliding trigger member 99 is moved to the second position from the first position.It is described triggering inductive switch 83 by positioned at by positioned at Sliding trigger member 99 on first position triggers.First position is left when the actuator 92 promotion slides trigger member 99, it is described Sliding trigger member 99 is detached from actuator 92 and enters to the second position, at this point, the sliding trigger member 99 on the second position It misplaces with triggering inductive switch 83, the sliding trigger member 99 on the second position can not trigger the triggering inductive switch 83. In this implementation, which is located on housing 1.The bottom of the slid chamber 97 has the slot for being inclined outwardly setting Road 971, the sliding trigger member 99 are located in the conduit 971 and are moved along the direction of the conduit 971.The warehouse 91 Third elastic component 98 is inside additionally provided with, the actuator 92 pushes the sliding trigger member 99 to be moved to from the first position The second position, when the sliding trigger member 99 is moved to the second position, the third elastic component 98 and sliding trigger member 99 Interference is formed so that the sliding trigger member 99 is maintained at the second position.The third elastic component 98 can be shrapnel. In the present embodiment, when slide trigger member 99 in first position when, shrapnel 98 support sliding trigger member 99 warehouse side wall 96 with Prevent the sliding trigger member 99 from being detached out of recess portion 922, when the sliding trigger member 99 moves under the drive of actuator 92 During to the second position, shrapnel 98 will deform upon, and 2 are moved to from 1 in Figure 13, and shrapnel 98 is supported at this time touches in sliding It is described the sliding trigger member 99 to be fixed on to form interference for the rear of outbox 99 between shrapnel 98 and sliding trigger member 99 The second position.For the ease of sensing, sensing window (non-label), the specific sensing window are offered on nail bin groupware 100 Side wall 3112 and bracket 93 are observed, when the sliding trigger member 99 is located at the first position, the sensing window is by described in Sliding trigger member 99 is exposed to outer.In the present embodiment, shrapnel 98 is formed on bracket 93.When specifically used, the triggering Inductive switch 83 is Hall switch, and the sliding trigger member 99 is the magnet to trigger the Hall switch;It is alternatively, described Triggering inductive switch 83 is reflection-type optoelectronic switch, and the sliding trigger member 99 is to trigger the reflection-type optoelectronic switch Reflecting element.In specific implementation, it is pushed and in the warehouse 91 by the actuator 92 due to being provided in warehouse 91 The sliding trigger member 99 of change in location occurs, is so as to the nail bin groupware 100 according to the position judgment of sliding trigger member 99 It is no to be previously used, and surgical operating instrument is in use, since electric control part is provided with what is triggered by the sliding trigger member 99 Whether trigger member so as to be fired by automatically controlled identification nail bin groupware 100, and then avoids medical unexpected.
Figure 14 a are referred to, which includes the moving direction along 100 stent 32 of nail bin groupware Upper setting and the first sensing device 85 and the second sensing device 86 to sense 100 stent 32 of nail bin groupware;In described On the closing direction of jaw, the closure that 85 and second sensing device 86 of the first sensing device corresponds to jaw is highly arranged on In different height.First sensing device, 85 and second sensing device 86 senses the Extendible flake 325, which can With on centrally disposed stent 2.First sensing device, 85 and second sensing device, the 86 opposite nail bin groupware stent 32 is set In the same side of nail bin groupware stent 32.Figure 14 b are referred to, in other embodiments, first sensing device 85 and second Sensing device 86 can also be arranged on the both sides of nail bin groupware stent 32 with respect to nail bin groupware stent 32.In Figure 14 a and Figure 14 b In, the first sensing device 85 and the second sensing device 86 are optoelectronic switch, when end effector 3 is closed, positioned at different height Optoelectronic switch on degree position is extended piece 325 and blocks respectively, to identify two different closure height of end effector 3, Complete the closure height of automatically controlled feedback end effector 3.Really, first sensing device, the second sensing device can be suddenly You switch, at this point, need to set to trigger the magnet of the first sensing device, the second sensing device on the nail-anvil assembly.
In other embodiments, it when nail-anvil assembly 31 is moving member, is closed drive component and drives the nail-anvil assembly 31 move so that the jaw closes or opens towards 32 direction of nail bin groupware stent, at this point, the first sensing device 85 and second Sensing device 86 is set and along the moving direction of the nail-anvil assembly 31 to sense the nail-anvil assembly 31;In the pincers On the closing direction of mouth, the closure that 85 and second sensing device 86 of the first sensing device corresponds to jaw is highly arranged on not In same height.First sensing device 85, the second sensing device 86 can also be optoelectronic switch.Likewise, first sense It can also be Hall switch to answer device 85, the second sensing device 86, so need to then set to touch on the nail-anvil assembly 31 Send out the magnet of the first sensing device 85, the second sensing device 86.The quantity of above-mentioned sensing device can also be according to actual demand Setting is more than two.
In addition to this, Figure 14 c are referred to, the closure level identification device can also be to be arranged on the nail bin groupware An optoelectronic switch on the moving direction of stent 32 is offered on the Extendible flake 325 and is opened with what the optoelectronic switch coordinated Hole, since the optoelectronic switch is blocked or penetrating, so as to there is the optoelectronic switch to obtain two different working conditions, to know Two different closure height of other end effector 3.In the present embodiment, nail bin groupware stent 32 is closed axis 34 along described Longitudinally translation.The embodiment is also change to:One optoelectronic switch is arranged on the shifting of the nail-anvil assembly 31 On dynamic direction, the nail-anvil assembly 31 has the Extendible flake 325 extended towards the nail bin groupware stent 32, the Extendible flake 325 On offer the trepanning 329 coordinated with the optoelectronic switch.
Above-mentioned nail bin groupware identification switch two is by being set on the moving direction of storehouse assembly support and described to sense The two or more sensing devices of nail bin groupware stent 32, alternatively, by being set on the moving direction of the nail-anvil assembly 31 Put and the two or more sensing devices to sense the nail-anvil assembly 31, alternatively, in the nail bin groupware stent 32 or One optoelectronic switch is set on the moving direction of nail-anvil assembly 31, then in corresponding nail-anvil assembly 31 or nail bin groupware stent The trepanning 329 of setting and optoelectronic switch cooperation on 32, so as to identify two different closure height of end effector 3, such as This, can only suture the tissue of different-thickness with a kind of surgical operating instrument, and applicability is wide.
Incorporated by reference to Figure 15 and Figure 16, the stapler shown in another embodiment of the present invention and the stapler shown in embodiment one Structure is roughly the same, but has following three important difference point:First, transmission component, one switching of percussion transmission component composition will be closed Module, two, the structure of end effector, three, the structure of locking nut and center bearing bracket 2 '.It is provided with and cuts in the housing 1 ' Case 20 ' is changed, the closure transmission component, percussion transmission component and changer lever 12 ' are arranged in the a-b box 20 ', described to cut It changes on case 20 ' to offer to stretch out for the changer lever 12 ' and (non-label) is open with the connection being connect with switching push button 11 '.Pass through Transmission component will be closed, percussion transmission component is arranged in a-b box, so as to fulfill modular construction, convenient for assembling.The end Portion's actuator includes nail-anvil assembly, relative to the nail-anvil assembly movement to complete the nail that the end effector closes or opens Storehouse assembly support 32 ', the driving nail bin groupware stent 32 ' move so that the end effector towards nail-anvil assembly direction The closure drive component that closes or opens and it is arranged on cutting assembly on the nail-anvil assembly.The cutting assembly, nail-anvil assembly Structure is identical with the structure in embodiment one, repeats no more, and the nail anvil stent 311 ' is formed in side wall 3112 ' including projection On latch segment 318 '.The nail bin groupware stent 32 ' including top plate portion 321 ' and from the 321 ' left and right sides of the top plate portion to Under the adjutage 322 ' that extends to form, the top plate portion 321 ' and adjutage 322 ' surround to install the nail bin of nail bin groupware 100 Chamber (diagram), one end of the top plate portion 321 ' offer axis hole 327 '.It is described closure drive component include be arranged on it is described in Closure axis 34 ' on cardiac skeleton 2 ' and the closure nut 35 ' being threadedly coupled with the closure axis 34 '.The closure drive component is same Sample is connect by taper driving gear set with being closed transmission component.It is described closure nut 35 ' including block portion 351 ', from described in Block portion 351 ' has extended to form forward lock sheet 352 ', is formed on the lock sheet 352 ' and matches with the latch segment 318 ' The locking hole 353 ' of conjunction, in the present embodiment, the lock sheet 352 ' are that simultaneously downward bending prolongs forward from the block portion 351 ' It stretches to be formed, which is the notch extended to form by 352 ' bending of lock sheet.It is formed through on the block portion 351 ' Have and across the threaded hole 354 ' and be inserted into the threaded hole 354 ' for being closed 34 ' thread fitting of axis, the closure axis 34 ' In the axis hole 327 ' of nail bin groupware stent 32 ', nail bin groupware stent 32 ' is fixed by bearing 52 ' with being closed axis 34 '.Described piece Shape portion 351 ' is set in the accommodating cavity 21 ', is provided between the accommodating cavity 21 ' and block portion 351 ' along end effector Closing direction extension lead (not shown), be both provided with and the guiding on the accommodating cavity 21 ' and block portion 351 ' The arcuate guide hole 22 ' of column cooperation, in the present embodiment, the lead is arranged on the corner of accommodating cavity 21 '.By that will follow closely Storehouse assembly support 32 ', which is arranged on, to be closed on nut 35 ', and will be closed nut 35 ' and be arranged in accommodating cavity 21 ', passes through block portion 351 ', it is both provided with and lead cooperation on setting lead and accommodating cavity 21 ' and block portion 351 ' in accommodating cavity 21 ' Arcuate guide hole 22 ', swung along the longitudinal direction so as to limit nail bin groupware stent, compared with prior art, nail bin group The movement of part stent 32 ' is more steady, improves the match result of end effector.
Each technical characteristic of embodiment described above can be combined arbitrarily, to make description succinct, not to above-mentioned reality It applies all possible combination of each technical characteristic in example to be all described, as long as however, the combination of these technical characteristics is not deposited In contradiction, it is all considered to be the range of this specification record.
Embodiment described above only expresses the several embodiments of the present invention, and description is more specific and detailed, but simultaneously It cannot therefore be construed as limiting the scope of the patent.It should be pointed out that those of ordinary skill in the art are come It says, without departing from the inventive concept of the premise, various modifications and improvements can be made, these belong to the guarantor of the present invention Protect range.Therefore, the protection domain of patent of the present invention should be determined by the appended claims.

Claims (10)

1. a kind of surgical operating instrument, including housing, the nail-anvil assembly that is arranged on the housing side, with the nail-anvil assembly shape Nail bin groupware stent into jaw, the nail bin groupware on the nail bin groupware stent, the driving jaw open or Closure drive component, trigger shaft and the cutting assembly for being arranged on the trigger shaft and being driven by the trigger shaft of closure, It is characterized in that, the surgical operating instrument further includes power input device, electric control part, is closed transmission component, percussion transmission Component and switching part, the power input device include motor, and the switching part is optionally through closure transmission component By the power transmission of power input device to closure drive component or by firing transmission component by the dynamic of power input device Power is transmitted to trigger shaft.
2. surgical operating instrument as described in claim 1, which is characterized in that the surgical operating instrument further includes trigger switch With the triggering application member for triggering the trigger switch, the trigger switch is fixed in the housing, and the one of the trigger switch Side is provided with fixed plate, and the first elastic component is provided in the fixed plate, and the triggering application member is arranged on first elasticity The side of part;The cutting assembly supports triggering application member, and when the cutting assembly percussion resets, the cutting assembly pushes institute Triggering application member is stated towards trigger switch movement and triggers trigger switch;When the cutting assembly fires, first elastic component The triggering application member is driven far from trigger switch and close to cutting assembly.
3. surgical operating instrument as described in claim 1, which is characterized in that the nail bin groupware stent includes installing nail The frame body portion of storehouse component and the connecting portion extended rearwardly to form from the frame body portion, the closure drive component include being closed axis, The connecting portion of the nail bin groupware stent is movably arranged on the closure axis, and the nail bin groupware stent is in the closure axis The longitudinally movement of axis is closed described in upper edge;The frame body portion of the nail bin groupware stent is applied in the nail-anvil assembly and is pushed away Power, the connecting portion of the nail bin groupware stent can relatively described closure drive component swing along the first direction, the first direction The direction of the power on the nail bin groupware stent is acted on for the nail anvil stent.
4. surgical operating instrument as claimed in claim 3, which is characterized in that the closure drive component, which further includes, is arranged on institute The closure nut being closed on axis is stated, the closure nut is connect with the closure axle thread, and the connecting portion has mounting hole, institute It states and is closed nut and includes pressure section, the axle portion being downwardly extending from the pressure section and formed from the outside projection of the axle portion Lateral convex block, the axle portion are inserted in the mounting hole, are clearance fit between the axle portion and mounting hole, the nail bin group The connecting portion of part stent is clamped between pressure section and lateral convex block.
5. surgical operating instrument as described in claim 1, which is characterized in that be provided with pre-bending bullet on the nail bin groupware stent Piece, the pre-bending shrapnel are clamped between the nail bin groupware stent and housing, and the pre-bending shrapnel supports the frame body portion.
6. surgical operating instrument as described in claim 1, which is characterized in that the closure drive component includes being closed axis, institute It states surgical operating instrument and includes frame body, the closure axis is fixed on the housing by rigid support.
7. surgical operating instrument as described in claim 1, which is characterized in that the nail bin groupware includes warehouse, is arranged on institute State the nail-pushing part and the driving nail-pushing part phase of the relatively described warehouse movement of several suturing nails, the driving suturing nail in warehouse To the actuator of warehouse movement, it is provided in the warehouse and is pushed by the actuator and position is occurred in the warehouse The sliding trigger member of variation;First position and the second position are defined in the warehouse, the actuator pushes the sliding Trigger member is moved to the second position from the first position, and the surgical operating instrument is further included by first position Sliding trigger member triggering triggering inductive switch.
8. surgical operating instrument as claimed in claim 7, which is characterized in that be provided in the warehouse and triggered for the sliding Part moves and causes the slid chamber of the change in location of the sliding trigger member inside it, and the actuator pushes the sliding to touch Outbox moves in the slid chamber.
9. surgical operating instrument as described in claim 1, which is characterized in that the surgical operating instrument is further included along the nail Setting and at least two sensing devices to sense the nail bin groupware stent on the moving direction of storehouse assembly support;In described On the closing direction of jaw, at least two sensing devices are corresponded in the closure height setting at various height of jaw.
10. surgical operating instrument as described in claim 1, which is characterized in that the surgical operating instrument, which further includes, to be arranged on An optoelectronic switch on the moving direction of the nail bin groupware stent;The nail bin groupware stent has towards the nail-anvil assembly The Extendible flake of extension offers the trepanning coordinated with the optoelectronic switch on the Extendible flake.
CN201711400658.1A 2017-12-22 2017-12-22 Surgical instrument Active CN108209996B (en)

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Publication number Priority date Publication date Assignee Title
CN111466981A (en) * 2019-01-24 2020-07-31 苏州英途康医疗科技有限公司 Nail bin assembly and surgical operation instrument
CN112716558A (en) * 2019-10-28 2021-04-30 苏州英途康医疗科技有限公司 Clamping device and surgical operation instrument

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US20170209145A1 (en) * 2014-09-05 2017-07-27 Ethicon Llc Powered medical device including measurement of closure state of jaws
CN209347117U (en) * 2017-12-22 2019-09-06 苏州英途康医疗科技有限公司 Surgical operating instrument

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US20170209145A1 (en) * 2014-09-05 2017-07-27 Ethicon Llc Powered medical device including measurement of closure state of jaws
CN106388893A (en) * 2016-09-30 2017-02-15 苏州英途康医疗科技有限公司 Linear type cutting anastomat
CN209347117U (en) * 2017-12-22 2019-09-06 苏州英途康医疗科技有限公司 Surgical operating instrument

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Publication number Priority date Publication date Assignee Title
CN111466981A (en) * 2019-01-24 2020-07-31 苏州英途康医疗科技有限公司 Nail bin assembly and surgical operation instrument
CN111466981B (en) * 2019-01-24 2021-05-28 苏州英途康医疗科技有限公司 Nail bin assembly and surgical operation instrument
CN112716558A (en) * 2019-10-28 2021-04-30 苏州英途康医疗科技有限公司 Clamping device and surgical operation instrument

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