CN108403160A - A kind of surgical instrument containing hollow trigger - Google Patents
A kind of surgical instrument containing hollow trigger Download PDFInfo
- Publication number
- CN108403160A CN108403160A CN201810284959.0A CN201810284959A CN108403160A CN 108403160 A CN108403160 A CN 108403160A CN 201810284959 A CN201810284959 A CN 201810284959A CN 108403160 A CN108403160 A CN 108403160A
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- CN
- China
- Prior art keywords
- trigger
- button
- handle
- front handlebar
- cantilever
- 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.)
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/0042—Surgical instruments, devices or methods, e.g. tourniquets with special provisions for gripping
Abstract
The invention discloses a kind of surgical instruments containing hollow trigger, including distal end working head, proximal handle and the lengthening bar portion extended therebetween;The handle includes front handlebar, rear handle and the arm pivot post for connecting it, and the front handlebar and rear handle can rotate relative to the arm pivot post;The handle also includes latch mechanism;The latch mechanism includes the cantilever being linked together with rear handle, and the latch mechanism also includes trigger;The trigger is mounted in the front handlebar and its partial denudation is in the outside of front handlebar, and the trigger includes the blind cavity configuration of trigger shaft and a side opening;After handle closes up towards the front handlebar after described, the cantilever can penetrate the through-hole of front handlebar and enter in the blind cavity configuration;The trigger can surround the trigger shaft and rotate, and the shape and size of the blind cavity configuration meet:Do not interfere with the cantilever when the trigger is rotated, while the cantilever distal end of the cantilever is not exposed except front handlebar and trigger.
Description
Technical field
The present invention relates to Minimally Invasive Surgery instrument more particularly to a kind of surgical instruments containing hollow trigger.
Background technology
Surgical operating instrument has had centuries history, and doctor completes tissue with different surgical instruments in surgical operation
The operations such as crawl is sheared, separation, blood coagulation, and suture is closed, surgical operating instrument develop ripe by centuries.Laparoscope
The clinical of operation is carried out more than 30 years, just in rapid advances.Briefly, laparoscopic surgery, that is, operative doctor is using lengthening
Laparoscope hand-held apparatus, enter patient's body via the puncture channel of natural cavity or structure, complete tissue crawl, shearing,
Separation, blood coagulation, the operations such as suture closure.
Laparoscopic surgery opens abdomen ophthalmic surgical relative to tradition, and main advantage is to mitigate slight illness for patient trauma is small
Restore with acceleration.Current endoscope-assistant surgery generally includes operation on gallbladder, laparoscopic inguinal hernia repair, and peritoneoscope stomach bottom folds
Operation, laparoscopic splenectomy, the operations such as laparoscopic appendectomy operation, the whole operation difficulty of endoscope-assistant surgery is larger,
Used time is longer, and operative doctor needs 1~3 hour in lasting surgical procedure.Due to the limitation of operative space, operative doctor often needs
Will be for a long time with difficult gesture operation instrument, doctor is easy fatigue, or even induces arthritis, scapulohumeral periarthritis equivalent risk.Laparoscope
Hand-held apparatus should meet Human Engineering Principle, support a variety of gripping gimmicks, reduce extreme operation posture and the sense that lessens fatigue.
Operate it is same instrument when, different operative doctors or same operative doctor are in different operations or same operation
In in specific a certain operating process, the gimmick that doctor holds surgical instrument is had nothing in common with each other.Studies have shown that in endoscope-assistant surgery, such as
Finger gripping shown in Fig. 2 is enforced the law pinch grip (or be precision grip method precision grip) and hand as shown in Figure 3
The grasp pam grip (or for energetically clinch force grip) that enforce the law are most common two kinds of gimmicks.
In existing hysteroscope hand-held apparatus, for example, endoscope-assistant surgery scissors, endoscope-assistant surgery elastic separating plier, endoscope-assistant surgery nipper etc.,
As shown in Figure 1, generally use scissorstype handle, can support a variety of gripping gimmicks.In order to which organ or tissue is clamped in lasting realization,
It is existing that corresponding locking mechanism, such as Patent No. are increased using the surgery hand-held apparatus of scissorstype handle
The Chinese patent of CN2014108503121 discloses a kind of card locking device and surgical instrument of carrier state handoff functionality, however existing
Although some patents realize the clamping of tissue or organ and unlock uses, but due to the individual difference and hand of operative doctor
The complexity of art environment mainly has problems with urgently to be resolved hurrily:
On the one hand, the hand-type of different operative doctors is of different sizes, and the operation handedness of different operative doctors is also not quite similar,
The finger that existing surgical instrument can generally meet most operative doctors can carry out being normally carried out operation in operation, but seldom
It considers how to make the finger of operative doctor comfortably to operate, needless to say meets the need that minority has the operative doctor of particular/special requirement
It asks, such as:It is accustomed to the operative doctor of left slash and matching finger is carried out according to the different firmly custom of each finger of operative doctor
The zone of action;
On the other hand, how operative doctor uses the same hand, easily carries out a variety of differences in continuous surgical procedure
Gimmick switches over, for example finger gripping is enforced the law the switching between palm grip method, or is carried out under different gimmick states
The switching of different conditions facilitates operative doctor that best hand-held posture may be used and carries out various accurate operations, and reduces length
The fatigue of time operation;
In addition, how to need continuously clamping and the operation unclamped for tissue or organ and be not necessarily to what locking mechanism participation carried out
Quickly operation etc. is switched fast between drawing and strip operation.
By increase operation path, use mainly is combined using the surgical instrument of different function for the prior art, or
Using modes such as more people auxiliary:For example the hand-held apparatus of with locking mechanism is used in an operation path, another operation is logical
Common hand-held apparatus is used in road;Or in the same operation path by the surgical instrument of different function into traveling out abdomen
Switching.Nonetheless, also only part can meet the realization requirement of operative doctor, but really increase the pain of patient, increase
Operating time and the various operation risks thus brought.
Invention content
Therefore, in order to solve problems in the prior art, in one aspect of the invention, a kind of hand containing hollow trigger is proposed
Art instrument, including distal end working head, proximal handle and the lengthening bar portion extended therebetween;The handle includes front handlebar, after
Handle and the arm pivot post for connecting it, and the front handlebar and rear handle can rotate relative to the arm pivot post;Institute
It states working head and includes a pair of of binding clip and the driving mechanism being attached thereto;The lengthening bar portion includes runner, outer bar portion and Nei La
Bar, the outer bar portion and runner are fixed together and are mounted in front handlebar, and described draw-in bar one end connects with the driving mechanism
It connects and its other end is connect with rear handle, the handle also includes latch mechanism;The latch mechanism includes to be linked together with rear handle
Cantilever, the latch mechanism also include trigger;The trigger is mounted in the front handlebar and its partial denudation is in front handlebar
Outside, the trigger include the blind cavity configuration of trigger shaft and a side opening;After handle closes up towards the front handlebar after described,
The cantilever can penetrate the through-hole of front handlebar and enter in the blind cavity configuration;The trigger can surround the trigger shaft and revolve
Turn, and the shape and size of the blind cavity configuration meet:Do not interfere with the cantilever when the trigger is rotated, while described outstanding
The cantilever distal end of arm is not exposed except front handlebar and trigger.
A kind of optional technical solution, wherein the latch mechanism also includes locking plate, button and elastic element;The lock machine
Structure includes effective model and invalid mode;The locking plate includes the lockhole to match with the cantilever shape and size, described outstanding
Arm penetrates the lockhole;The trigger also includes the first cam surface, the second cam surface and finger buckle, the button and described first
Cam surface interacts, and the trigger is driven to be rotated around trigger shaft, realization latch mechanism effective model and invalid mode it
Between switch.
A kind of optional technical solution, wherein when the latch mechanism is effective model, described in the elastic element driving
Locking plate be allowed to anodontia cantilever tight fit, handle closes up towards front handlebar after permission and handle is opened away from front handlebar after limiting,
As lock function;Second cam surface selective can be contacted with the locking plate, apply finger buckle described in outer power drive
So that the trigger is rotated around trigger shaft, and the second cam surface drives the locking plate movement, is allowed to and anodontia cantilever gap
Cooperation, handle is opened away from front handlebar after permission, as unlocking function.
A kind of optional technical solution, wherein the button include the first button and the second button, first button and
Second button is separately mounted to two sides of the front handlebar;The front handlebar includes the long and narrow cunning through two side
Slot, first button and the second button can slide in the long and narrow sliding slot;It is characterized in that, the direction of the long and narrow sliding slot
It is basically parallel to the lengthening bar portion.
A kind of optional technical solution, wherein the rear side in runner is arranged in the long and narrow sliding slot, and meets following require:
Left or right hand is enforced the law using finger gripping when operating the handle, the index finger of the hand of operation can easily stir one of them by
Button;When left or right hand operates the handle using palm grip method, the thumb of the hand of operation can easily stir wherein one
A button.
A kind of optional technical solution, wherein the latch mechanism also includes locking bolt, button and elastic element;The lock machine
Structure includes effective model and invalid mode;The cantilever includes multiple sawtooth, and the locking bolt includes to match with the sawtooth
Lock tooth;The trigger also includes the first cam surface, the second cam surface and finger buckle, the button and the first cam surface phase
Interaction drives the trigger to be rotated around trigger shaft, realizes that latch mechanism switches between effective model and invalid mode.
A kind of optional technical solution, wherein when the latch mechanism is effective model, described in the elastic element driving
Locking bolt makes the lock tooth and the sawtooth be mutually twisted, before handle deviates from after handle closes up towards front handlebar and limited after permission
Handle opens, as lock function;Second cam surface selective can be contacted with the locking bolt, apply outer power drive institute
Stating finger buckle makes the trigger be rotated around trigger shaft, and the second cam surface drives the locking bolt movement, makes the lock tooth
It is mutually disengaged with sawtooth, handle is opened away from front handlebar after permission, as unlocking function;
A kind of optional technical solution, wherein the button includes the first button and the second button, first button and second
Button is separately mounted to two sides of the front handlebar;The front handlebar includes the long and narrow sliding slot through two side, institute
Stating the first button and the second button can slide in the long and narrow sliding slot;The direction of the long and narrow sliding slot is basically parallel to described add
Long bar portion.
A kind of optional technical solution, wherein the rear side in runner is arranged in the long and narrow sliding slot, and meets following require:
Left or right hand is enforced the law using finger gripping when operating the handle, the index finger of the hand of operation can easily stir one of them by
Button;When left or right hand operates the handle using palm grip method, the thumb of the hand of operation can easily stir wherein one
A button.
Description of the drawings
In order to more fully understand the present invention essence, be described in detail below in conjunction with attached drawing, wherein:
Fig. 1 is a kind of surgical operating instrument simulation schematic diagram of the prior art;
Fig. 2 is enforced the law schematic diagram using finger gripping shown in Fig. 1;
Fig. 3 is that palm grip method schematic diagram is used shown in Fig. 2;
Fig. 4 is the surgical operating instrument stereoscopic schematic diagram of the present invention;
Fig. 5 is surgical instrument finger control partition schematic diagram described in Fig. 4;
Fig. 6 is that effective model switches schematic diagram to invalid mode when Fig. 4 is enforced the law using right hand progress finger gripping;
Fig. 7 is that invalid mode switches schematic diagram to effective model when Fig. 4 is enforced the law using right hand progress finger gripping;
Fig. 8 is that effective model switches side schematic diagram to invalid mode when Fig. 4 carries out palm grip method using the right hand;
Fig. 9 is that effective model switches other side schematic diagram to invalid mode when Fig. 7 carries out palm grip method using the right hand;
Figure 10 is the exploded view of surgical instrument described in Fig. 4;
Figure 11 is the stereogram of button sliding block shown in Figure 10;
Figure 12 is the another three-dimensional view of button sliding block shown in Figure 11;
Figure 13 is the stereogram of trigger shown in Figure 10;
Figure 14 is locking plate schematic diagram described in Figure 10;
Figure 15 is front handlebar schematic internal view shown in Figure 10;
Figure 16 is the schematic internal view of front handlebar lid shown in Fig. 10;
Figure 17 is the cut away view under invalid mode of the present invention;
Figure 18 is 18-18 partial enlarged views shown in Figure 17;
Figure 19 is the lock-out state cut away view under effective model of the present invention;
Figure 20 is 20-20 partial enlarged views shown in Figure 19;
Figure 21 is unlocked state cut away view of the present invention;
Figure 22 is 22-22 partial enlarged views shown in Figure 21;
Figure 23 is the exploded view of the surgical instrument of another embodiment;
Figure 24 is 24-24 partial enlarged views shown in Figure 23;
In all views, identical label indicates equivalent part or component.
Specific implementation mode
Disclosed herein is embodiment of the present invention, it should be understood, however, that disclosed embodiment is only of the invention
Example, the present invention can be realized by different modes.Therefore, this disclosure is not to be construed to be restrictive, and
It is the basis only as claim, and how basis of the invention is used as introduction those skilled in the art.
With reference to figure 1-4, for convenience of stating, the side of follow-up all Proximity operation persons is defined as proximal end, and far from operator
One side is defined as distal end.
As shown in Figs. 1-3, in conjunction with described in foregoing background, work as casing especially in endoscope-assistant surgery carrying out surgical operation
Component (not shown) is inserted in place, and various Minimally Invasive Surgery instruments, such as surgery hand-held apparatus 10 can pass through sheath assembly shape
At channel be inserted into body cavity.Possibility needs while the one or more sheath assemblies of use in surgical procedure, and surgery hander
Tool 10 needs to configure one or more progress also according to operation while operating.Fig. 1 is a kind of typical surgery hand of the prior art
Holder tool 10 includes the working head 106 of distal end, proximal handle 11 and the lengthening bar portion 105 extended therebetween;The handle packet
Containing front handlebar 101, rear handle 102 and the arm pivot post 103 for connecting it, the front handlebar 101 and rear handle 102 can be relative to institutes
Arm pivot post 103 is stated to rotate;The front handlebar 101 includes preceding finger loop 110, and the rear handle 102 includes thumb circle
120,111 bottom of preceding finger loop is provided with support arm 112.The upside setting unlock trigger 115 of the preceding finger loop 111 is used
In the locking and unlock of realizing the front handlebar 101 and rear handle 102.
Current endoscope-assistant surgery generally includes operation on gallbladder, laparoscopic inguinal hernia repair, peritoneoscope stomach bottom folding hand
Art, laparoscopic splenectomy, the operations such as laparoscopic appendectomy operation.The whole operation difficulty of endoscope-assistant surgery is larger, uses
When it is longer, operative doctor needs 1~3 hour in lasting surgical procedure.In order to mitigate operation Chinese medicine growth time with difficult posture
Instrument is operated, existing surgery hand-held apparatus is a degree of to consider Human Engineering Principle, can usually support a variety of hold
Gimmick is held, it is a degree of to reduce extreme operation posture and the sense that lessens fatigue.Finger gripping as shown in Figure 2 enforces the law and such as Fig. 3 institute
The palm grip method shown is most common two kinds of gimmicks.
As Fig. 1 and Fig. 2 illustrate operative doctor using typical surgical hand-held apparatus 10 with finger gripping enforce the law carry out tractor
The grip state of official or grasping tissue:The third finger of a certain hand of operative doctor passes through the preceding finger loop 111, and middle finger is attached to
115 position of unlock trigger of the upside of preceding finger loop 111, medial surface of little finger press on the support arm 112;Its thumb
The rear handle 102 is set to be rotated back and forth around the arm pivot post 103 across the thumb circle 120 movement thumb, and by described
The movement of handle 102 is converted into the movement of the distal end working head 106 after bar portion 105 will be described.
Tractor is carried out with palm grip method using typical surgical hand-held apparatus 10 as Fig. 1 and Fig. 3 illustrate operative doctor
The grip state of official or grasping tissue:The palm of a certain hand of operative doctor is adjacent to the side of the handle 11, and thumb is pinned
Rear handle 102 is clamped in palm side by handle 11, forms a U-shaped clamping, and little finger of toe is pressed at described preceding
On the support arm 112 of hand 101, the third finger passes through the preceding finger loop 110, middle finger to be attached to the upper of the preceding finger loop 110
115 position of unlock trigger of side, movement make the front handlebar 101 be rotated back and forth around the arm pivot post 103, and by the bar
The movement of handle 102 is converted into the movement of the distal end working head after portion 105 will be described.
In clinical application, the finger gripping is enforced the law of equal importance with palm grip method, and usually requires frequent switching.
Such as when needing to carry out tissue stripping and appear blood vessel in clinical operation, one hand of operating doctor holds ultrasound knife or elastic separating plier is small
The heart it is thriving carry out tissue stripping, another hand generally has to hold nipper operation organ or tissue, forms synergistic effect, side
Tissue strip operation can accurately be completed.When operative site does not appear fully, or carry out tissue stripping position it is short
When variation spatial extent in time is larger, operative doctor generally use finger gripping enforces the law to operate instrument, and needs lock machine
Structure is set as invalid state.Those skilled in the art is to be understood that be enforced the law and latch mechanism invalid state using finger gripping
When, operation instrument is the most flexible, therefore can quickly open and close instrument to capture, and clamp draws organ or tissue, flexibly
Mobile organ or tissue, so as to matching tissue stripping nimbly and freely.However it is enforced the law using finger gripping and there is no secondary locking
When, the finger of operative doctor is quite tired.It is not moved when the position short time that operative site fully appears or carry out tissue stripping
When, operative doctor is it is generally desirable to quickly be switched to lock function effective status, by the coupling mechanism force clamp tightly of instrument itself
Organ or tissue pulls or stirs the organ or tissue of block vision.Under lock function effective status, instrument progress is not operated usually
Multiple quick opening and closing movement.When the organ or tissue of crawl or drawing is larger or heavier, operative doctor or assistant are logical
It often is switched to palm grip method, because palm grip method tends to force and the freer diastole of posture, facilitates and is grasped energetically
Make or can lessen fatigue.
Latch mechanism effective status and the invalid state switching of the surgical instrument 10 of the prior art described in Fig. 1 are inconvenient, especially
The extremely difficult switching for carrying out effective status and invalid state when being using palm grip method.Further, since middle finger is exerted oneself, position is just
It is 115 position of unlock trigger of the upside of preceding finger loop 111, when operating instrument progress organ crawl, if middle finger is slightly exerted oneself, holds
Easily cause middle finger keeps handle 11 in the unlocked state by trigger squeeze 115, that is, is easy to cause latch mechanism false triggering unlock.
A kind of surgical instrument 20 containing hollow trigger of the embodiment of the present invention is illustrated in detail in Fig. 4-22, including distal end work head
Portion 23, proximal end scissorstype handle 21 and the lengthening bar portion 22 extended therebetween;The handle 21 includes front handlebar 206, rear handle
202 and its arm pivot post 261 is connected, and the front handlebar 206 and rear handle 202 can be made relative to the arm pivot post 261
Rotary motion;The arm pivot post 261 and 206 integrated injection molding of front handlebar and by shaft hole 222, by front handlebar 206 and handle afterwards
Hand 202 is flexibly connected.The arm pivot post 261 may be set to be independent part for being flexibly connected front handlebar 206 and afterwards handle
Hand 202.The lengthening bar portion 22 includes runner 214, outer bar portion 213 and draw-in bar 215, and the outer bar portion 213 and runner 214 are solid
It is scheduled on together and in front handlebar 206,215 one end of the draw-in bar is connect and its other end with the driving mechanism 211
It connect with rear handle 202 and is fixed in 202 mounting hole 221 of rear handle by fixing axle 218.
The working head 23 includes a pair of of binding clip 210 and the driving mechanism that is attached thereto, and the driving mechanism includes the
One link block 217, the second link block 216, sliding block 212, actuating arm 211 and pin 219.First link block 217, the
Two link blocks 216 respectively with the connection symmetrical above and below of a pair of of binding clip 210 and be fitted into together in actuating arm 211 with sliding block 212 and use pin
219 fix.215 distal end of draw-in bar is connect with sliding block 212, drives the movement band movable slider 212 of the draw-in bar 215 to move, with cunning
First link block 217 that block 212 is connected, the second link block 216 drive a pair of of binding clip 210 to realize opening and closing.This field
Technical staff it is readily conceivable that other link mechanisms for having disclosed, slide way mechanism or simple adaptation is done based on the prior art
Property modification, may be used to substitute the invention working head 23 and realize same or analogous function.20 basis of hand-held apparatus
The working head 23 configures difference, can be divided into the operating scissors with scissors head, the nipper with serration friction clamp head, band curved forceps
The hoe scaler etc. on head.With the development of surgery hand-held apparatus, in order to coordinate different operation needs, occur more and more not
The working head of same type is within the scope of the invention, and is no longer enumerated one by one herein.
In a kind of case study on implementation, the front handlebar 206 includes preceding finger loop 262, it is described after handle 202 include thumb circle
224.It operates the front handlebar 206 and rear handle 202 rotates relative to the arm pivot post 261 and is converted into draw-in bar
215 linear motion, and make driving mechanism 211 that binding clip 210 be driven to realize and be closed or unclamp.The handle 21 also includes latch mechanism
24, the latch mechanism 24 includes effective model and invalid mode.Under invalid mode, the front handlebar 206 and rear handle 202 can
It rotates relative to the arm pivot post 261 and realizes the opening and closing of working head 23;Under effective model, described preceding
Hand 206 and rear handle 202 can rotate relative to the arm pivot post 261, and handle 202 is towards front handlebar 206 after permission
Close up and handle 202 is opened away from front handlebar 206 after limiting, as lock function;It is rotated when applying outer power drive trigger shaft,
Handle 202 is opened away from front handlebar after permission, as unlocking function.
Those skilled in the art is to be understood that in laparoscopic surgery, due to the limitation of operative space, operative doctor
It is frequently necessary to for a long time with difficult gesture operation instrument, doctor is easy fatigue, or even induces arthritis, scapulohumeral periarthritis equivalent risk.
Therefore meet ergonomics or the laparoscope hand-held apparatus for mankind's Ergonomy (Ergonomics), can support a variety of grippings
Gimmick reduces extreme operation posture and the sense that lessens fatigue, is even more important.It is published about the relevant mankind's work(of laparoscopic surgery
It is many to imitate the correlative study learned:Representational research includes being published in Journal of Healthcare Engineering
No. 4 the 587-603 pages of volume 3 of a review of the ergonomic issues in the in 2012
Laparoscopic operating rom detail mankind's Ergonomy harm of laparoscopic surgical instruments, other more parts of documents
In also refer to the both effectiveness defect of the mankind and its harm of hysteroscope instrument, but do not provide solution.It is published in Journal
2001 years of of laparoendoscopic&advanced surgical techniques volume 11 the 1st
Technical report,new ergonomic design criteria for handles of laparoscopic
Some human efficiency subject's evaluation measures are listed in dissection forceps, however its evaluation measures is confined to be based on human body
Surveying counts the decreased food size obtained, finger loop size design suggestion, and rough giving and evaluates existing handle
The method that difference holds experience, however do not provide for the relevant design recommendation of functional performance or hint.
Ergonomics is an extremely complex subject, according to international ergonomics association (IEA) definition,
Ergonomics be one " anatomy, physiology and the psychology of research people in certain working environment etc. it is various because
Element;Study the interaction of people and machine and environment;Research people is at work, how family life neutralization unified consider when having a holiday
Working efficiency, the health of people, safety and it is comfortable the problems such as subject.However up to the present, few in disclosed patented technology
It is disclosed about laparoscope hand-held apparatus ergonomic applications case or correlative study.The present invention is former using ergonomics
Reason, the experiment using interdisciplinary studies such as anthropometry, biomethanics, time and work sutdies and statistical research, it is proposed that
A kind of laparoscope hand-held apparatus meeting ergonomics and its design method, application method.
Briefly, surgical instrument 20 is substantially carried out subregion by the present invention as shown in Figure 5:After definition arm pivot post 261 arrives
224 center position length of thumb circle of handle 202 be D, lengthen bar portion 22 include first axle 1000, cross arm pivot post 261 with
Second axis 2000 is arranged in 1000 vertical direction of first axle, and the first axle 1000 and second axis 2000 intersect at intersection point
1001, intersection point 1001 is along 1000 proximate direction of first axle and along second axis 2000 by intersection point to handle rotor shaft direction
The square area that length is D is set, by square area along 1000 liang of deciles (D/2) of first axle, along second axis 2000
Trisection (D/3) is set as the regions A1, the regions A2, the regions A3 and the regions B1, the regions B2, the regions B3.It needs further to refer to
Go out, aforementioned " 224 center position length of thumb circle of arm pivot post 261 to rear handle 202 is D ", the concrete numerical value of D is not fixed
Value, numerical value change in a smaller section.Experimental study and statistics are carried out based on anthropometry and biomechanical principle
It is 60≤D≤70 (unit to obtain optimal D values section:Millimeter).
The hand-type of different crowd and different gripping gimmicks in order to balance in a kind of optional scheme, are arranged in the regions A1
Control effective model and when invalid mode switching state the first button 237, setting trigger 205 in the regions A2, A3 sets in region
Middle finger pressing area is set, while runner 214 is set in the regions B1.In another preferred technical solution, first button
237 settings are arranged in the regions A1 in the 21 corresponding regions A1 of handle, the second button 237a along second axis 2000 and described first
The positions symmetric position A1-1 for the plane that axis 1000 is formed, operating the first button 237 or the second button 237a can control
Handle 21 realizes the switching of effective model and invalid mode.
The operation principle of button, trigger and roller position design is described more particularly below.Such as Fig. 6-8, when using finger gripping
When enforcing the law, by taking the operation of the right hand of operative doctor as an example, the third finger passes through the preceding finger loop 262, middle finger to be attached to preceding finger loop
The regions A3 of 262 upside, index finger can flexibly control the regions A1, the regions A2 or the regions B1.The index finger is in the regions A1
Mainly play the role of along proximate, or the first button of promotion 237 of distal end proximally, the regions A2 primarily serve by
Voltage-controlled trigger processed 205 primarily serves the effect for the rotating wheel 214 that fiddles with along 214 direction of rotation of runner in the regions B1.
Further, when being enforced the law using finger gripping, index finger reaches the regions B1 and is substantially at straight configuration.In stretching shape
The index finger of state does push action or does front and back pushing action along 1000 direction of first axle in the regions B1, it has not been convenient to force hair
Power, therefore status button should not be set.Index finger comfortably can do rotary dial fortune in the regions B1 along 214 direction of rotation of runner
It is dynamic.For index finger at the regions A1 and the regions A2, finger is in flexuosity, it is possible to comfortably be pressed or be pushed and is dynamic
Make.By the setting of the first button 237 in the regions A1, and trigger 205 is arranged in the regions A2, and runner 214 is arranged in the regions B1, this
Kind of setting so that index finger can easily stir with rotating wheel 214, while the first button 237 can easily be pushed to realize effective mould
The switching of formula and invalid mode, while easily can press or pull the switching that trigger 205 realizes lock-out state and unlocked state.
Those skilled in the art is to be understood that surgical field especially endoscope-assistant surgery field, the index finger of operative doctor are logical
Index finger are commonly referred to as, selection of the index finger usually not as output operating force operation handle, index finger is commonly used to control
Instrument direction or switching state button etc..Aforementioned various states, the switching or operation of function are quite frequent, and in abdominal cavity
In videoendoscopic surgery, the monitor in the concern front horizontal direction wanted closely since the eyes of operative doctor are usual, and sight of bowing of having no time
Oneself manipulation hand or patient region are examined, therefore the switching manipulation convenience of this various states is extremely important.
As shown in figure 9, when the right hand of operative doctor is enforced the law by finger gripping and switches to palm grip method, surgeon
Palm be adjacent to the side of the scissorstype handle 21, thumb pins the pressing from both sides rear handle 202 to side of scissorstype handle 21
Tightly in palm, a U-shaped clamping is formed.At this point, its index finger still can easily stir with rotating wheel 214, simultaneously
It easily can press or pull the switching that trigger 205 realizes lock-out state and unlocked state;At this time since the clamping of palm stops,
Index finger can not operate the first button 237 of switching state in the regions A1, however the thumb of operative doctor is just pressed in A1- at this time
1 region, therefore can easily push the switching of the second button 237a realization effective model and invalid mode.
In currently preferred technical solution, first button, 237 and second button 237a is relative to along the second axis
The plane that line 2000 and the first axle 1000 are formed it is substantially symmetric, those skilled in the art it will be easily understood that this
Kind symmetric relation makes doctor with left-hand finger clinch or palm grip method operation instrument 20, and the present invention is used with the right hand
Surgical instrument 20 operation it is substantially equivalent, therefore repeat no more.
In conclusion the position relationship setting of the first button of the present invention, the second button, trigger and runner, it can be same
When meet index finger when the right hand (left hand) finger gripping is enforced the law be conveniently accomplished runner rotation, effective model and invalid mode switching, lock
Determine state and unlocked state switching.Index finger is conveniently accomplished runner rotation when can also meet the right hand (left hand) palm grip method simultaneously
Turn, lock-out state and unlocked state switching, thumb complete the switching of effective model and invalid mode.Moreover, this position relationship
Setting, can also meet simultaneously finger gripping enforce the law and finger gripping enforce the law between facilitate switching.Advantage can be simply general
What is included is described as:The touch feedback of operative doctor can only be relied on, convenient and efficient progress finger gripping is enforced the law to be converted with palm grip method,
Conveniently operation runner rotation, effective model and invalid mode switching, lock-out state and unlocked state switching.
Studies have shown that up to the present, there are no patented technology or document disclose laparoscopic instrument of the present invention and
Its design method, application method.Also without any enterprise, group or personal disclosure, or production, or sale abdomen of the present invention
Hysteroscope instrument.It is disclosed in the prior art, common laparoscopic surgical instruments by its latch mechanism state switching push button setting exist
The regions B1 (such as structure of U.S. patent Nos US5626608 disclosures), the mass production similar with this patented technology, and make
Laparoscopic surgical instruments (such as with laparoscope grasping forceps series of Auto Suture brands sale), latch mechanism state is pressed
Button setting is enforced the law when operating this kind of instrument using finger gripping in the regions B1, the comfort of effective model and invalid mode switching
It is not good enough, and be inconvenient to support the effective model under palm grip method and invalid mode switching.Another common laparoscope hand
It in the regions B2 and only includes that two states of lock-out state and invalid state are (such as beautiful that art instrument, which is locked/unlocks trigger and is arranged,
The structure that state patent of invention US6117158 is disclosed), the mass production similar with this patented technology and the laparoscopic surgery used
Instrument (such as with ENDOPATH brands sale laparoscope grasping forceps series), be locked/unblock button be arranged in the regions B2, adopt
It is enforced the law with finger gripping or when palm grip method operates be inconvenient to carry out the correlation of lock function and switches.Another common laparoscope
Surgical instrument will lock locking/unlocking trigger setting the regions A3 and by invalidating mode switch button setting the regions A2 (such as
U.S. patent Nos US8551077, the structure that American invention application US20060004406 is disclosed), it is similar with this patented technology
Mass production, and the laparoscopic surgical instruments (such as the laparoscope grasping forceps series sold with CLICKline brands) that use, will
The setting of locking/unlocking trigger is locked in the regions A3 and by invalidating mode switch button to be arranged in the regions A2.This design, usually
Lock locking/unlocking switching need to be carried out with middle finger operating trigger, and invalidating pattern switching is carried out with middle finger or index finger operation button,
It operates and switches uncomfortable.It is important to note that trigger is arranged may cause inconvenience in the regions A3.It is most common to ask
Topic includes mainly, and when the instrument is in the lock state, operative doctor either finger gripping is enforced the law or palm grip method, behaviour
When making instrument (nipper) clamping organ or tissue and pulling mobile, middle finger is almost required for for assisting exerting a force, under this state
Trigger is easily touched, false triggering is caused so that instrument is unexpectedly switched to unlocked state from lock-out state, leads to organ or tissue
It slips, causes Clinical practice inconvenient, or even induce malpractice.
As Figure 10-16 depicts the Nomenclature Composition and Structure of Complexes of latch mechanism 24.As shown in Figure 10, the latch mechanism 24 includes trigger
205, locking plate 208, the anodontia cantilever 226 being linked together with rear handle 202.The anodontia cantilever 226 include from rear handle 202 to
Anodontia cantilever 223 and the cantilever distal end 227 of outer protrusion.The anodontia cantilever 223 is set as arcuate structure, including cantilever
The shape of inner wall 229 and cantilever outer wall 228, the cantilever inner wall 229 and cantilever outer wall 228 is substantially from 202 junction edge of handle
Arm pivot post 261 is that the center of circle extends the anodontia cantilever 223 into composition isocentric circular arc.223 material packet of the anodontia cantilever
The plastic material for carrying out integrated injection molding with rear handle 202 is included, can also be the even flexible material of other semi-rigid or rigid materials
Material is made.The latch mechanism 24 also includes button assembly 25 and elastic element 250, and the trigger 205 and is pressed elastic element 250
Button component 25 is installed along in the front handlebar 206.The elastic element 250 drives trigger 205 to be realized after pressing
It resets.The trigger 205 controls locking plate 208 and realizes locking and unlock with the cooperation of anodontia cantilever 226.Generally use in the prior art
Lock strap with teeth, the lock tooth of the lock strap are easy to expose outside handle, are likely to result in operative doctor finger or gloves scratch.Have simultaneously
When in use, the density degree for locking tooth determines the spacing of each lock tooth to tooth lock strap, and then determines the working head of surgical instrument
The degree of grip tissue organ.It should be appreciated by those skilled in the art that in drawing operation energetically, in order to keep continuing clamping leading
It draws, if dynamics is inadequate, hold mode when can not achieve drawing energetically is susceptible to histoorgan landing, influences procedure,
Even cause operative failure;If on the other hand working head excessively clamps, and may cause the damage of histoorgan, it is unfavorable for
Patient restores.The lock strap is although working head clamping degree can be adjusted by encryption lock tooth, since lock tooth is too small
Latch mechanism may be made unreliable, cause latch mechanism failure mode, otherwise and keep certain lock space width that may cause to clamp
Power is inadequate or clamping force is excessive.The anodontia cantilever 223 of the present invention coordinates with locking plate 208, and the lock of any position may be implemented
It is fixed, meet the clamping requirement that chucking power conforms exactly to different operations and different tissues organ site, realizes electrodeless variation, make operation
Instrument 20 can keep suitable chucking power position and clamping force.
As shown in figs. 10-12, the button assembly 25 includes button sliding block 203 and the first button 237 and the second button
237a.The button block 203 includes the slide body 230 with limiting slot 231, and the slide body 230 includes slider side wall 234
(235) and limited block 233.The slider side wall 234 (235) and limited block 233 limit limiting slot 231 together.It is described
Slider side wall 234 (235) is extended outward coordinates fixed button mounting post with the first button 237 and the second button 237a
232, push the first button 237 or the second button 237a to can be used for driving the button sliding block 203 from distally proximally sliding
Or proximally slided to distal end, and then the trigger 205 is pushed to rotate, realize the switching of effective model and invalid mode.It is described
First button 237 includes the fricting strip 238 with cambered surface, can facilitate finger force.
As shown in figure 13, the trigger 205 includes trigger shaft hole 258, the first cam surface 251,255 He of the second cam surface
Finger buckle 259.The trigger 205 includes the trigger body 254 for being substantially in crescent shape, and the trigger body 254 can also be other shapes
Shape, the setting of the first cam surface 251 is in 254 side of trigger body, and finger buckle 259 is arranged in 254 other side of trigger body.It is described
Trigger body 254 is used for elastic elements 250 close to first cam surface, 251 position providing holes 257.The trigger shaft hole
258 are arranged through the trigger body 254 between the first cam surface 251 and finger buckle 259.First cam surface 251 includes
Cam curve section 253 and cam planarea 252.When promoting button component 25 is proximally mobile to distal end, the button assembly
25 limited block 233 is engaged respectively with the cam curve section 253 and cam planarea 252 of the first cam surface 251, into
And the rotation of the trigger 205 is pushed to realize that effective model switches to invalid mode.Second cam surface 255 is along the trigger body 254
Side extend outwardly, second cam surface 255 is with locking plate 208 described in 205 rotation forces of the trigger and the nothing
Tooth cantilever 226 realizes locking and unlock.Blind cavity configuration 207, the blind cavity configuration 207 is arranged in 259 departing direction of the finger buckle
Including blind chamber opening 271 and blind cavity 272.The cantilever 226 can penetrate front handlebar 206 and enter institute by blind chamber opening 271
It states in blind cavity configuration 207.In the prior art, trigger is usually arranged as solid form, such as the one of which prior art in A2
Empty avoiding region is arranged in region, and trigger position is arranged in the regions A3, and this setup, one side empty avoiding region can stop finger
Its is set to be inconvenient to exert oneself, another aspect trigger position is exactly that middle finger is exerted oneself regional location, easily causes the maloperation of trigger.This
272 geomery of blind cavity of invention is bigger than 226 geomery of the cantilever, and under any state, the cantilever 226
Do not interfered with the blind cavity 272, the blind cavity 272 keep cantilever distal end 227 not exposed front handlebar and trigger it
Outside.Cantilever 226 under closed configuration can be accommodated, be kept away by the way that hollow blind cavity configuration 207 is arranged by the trigger 205 just
Exempt from that the empty avoiding region of protrusion is additionally arranged on front handlebar 206, to accommodate cantilever 226, effectively to simplify the zero of front handlebar 206
Component keeps front handlebar 206 more succinct, simultaneously because being not provided with the limitation in empty avoiding region, the trigger 205 can be arranged
The shape in the regions A2, the front handlebar 206 can preferably match the firmly situation of finger, avoid the empty avoiding region blocks of protrusion
Finger is exerted oneself.
As shown in figure 14, the locking plate 208 includes the lockhole 284 to match with 226 shape of anodontia cantilever and size,
The anodontia cantilever 226 penetrates the lockhole 284.The locking plate 208 includes the first sheet body 281, the second sheet body 283, Yi Jilian
The changeover portion 282 of the two, first sheet body 281, the second sheet body 283 and set of transitions are connect into the locking plate for being substantially in " Z " font
208.The proximal end face setting locking plate spring 204 of second sheet body 283.Second sheet body 283 can pass through weldering with locking plate spring 204
It connects, or the modes such as movable axis limit connect.The lockhole 284 of first sheet body 281 includes the first lockhole wall 285 and the second lockhole
Wall 286, the cantilever inner wall 229 and cantilever outer wall 228 of the first lockhole wall 285 and the second lockhole wall 286 and anodontia cantilever 226
It is substantially matching, and the distance between the first lockhole wall 285 and the second lockhole wall 286 are more than cantilever inner wall 229 and cantilever outer wall 228
The distance between.208 material of the locking plate includes rigid material, such as metal material, thermoset plastic material, can also include half
Rigid type is made.When trigger 205 the second cam surface 255 can selectivity with the contact of the locking plate 208, apply external force drive
The dynamic finger buckle 259 is so that the trigger 205 is rotated around trigger shaft 161, and the second cam surface 255 drives the locking plate
208 movement, be allowed to 226 clearance fit of anodontia cantilever, after permission handle 206 away from front handlebar 202 opening;A kind of optional side
Formula, when first sheet body 281 is substantially vertical with the anodontia cantilever 226, the first lockhole wall 285 and cantilever inner wall 229
Clearance fit, the second lockhole wall 286 and 228 clearance fit of cantilever outer wall, the anodontia cantilever 226 are rotated around arm pivot post 261,
The anodontia cantilever 226 be free to pass through from the lockhole 284, and corresponding at this time is unlocked state or invalid mode.
When first sheet body 281 and anodontia 226 inclination contact of cantilever, the locking plate spring 204 drives the locking plate 208 to make
With 226 tight fit of anodontia cantilever, the first lockhole wall 285 is pressed into contact with cantilever inner wall 229, the second lockhole wall 286 with
Cantilever outer wall 228 is pressed into contact with, and the anodontia cantilever 226 is rotated around arm pivot post 261, and handle 202 is towards front handlebar after permission
206 close up and handle 202 is opened away from front handlebar 206 after limiting, and are at this time lock function.
The front handlebar 206 that latch mechanism 24 is fixed in installation is depicted as shown in Fig. 5, Fig. 6 and Figure 15-16.The front handlebar 206
It further include the front handlebar lid 209 coordinated with it.The front handlebar 206 removes preceding 262 part of finger loop, big with front handlebar lid 209
It causes to be in symmetrical structure.In the substantially regions A1-1 and the regions A1, the front handlebar lid 209 and front handlebar 206 are symmetrically arranged
One sliding slot 297 and second sliding slot 267, the first sliding groove 297 and second sliding slot 267 limit the button sliding block 203 along sliding slot
Direction is moved back and forth.In the present embodiment, the first sliding groove 297 and second sliding slot 267 are long and narrow sliding slots, the long and narrow cunning
The direction of slot is basically parallel to the lengthening bar portion 22, and it should be appreciated by those skilled in the art the first sliding grooves 297 and
Two sliding slots 267 may be set to be arc chute or straight slot.
In the substantially regions A1-1 and the regions A1, the front handlebar 206 turns comprising arm pivot post 261 and trigger fixed thereto
Axis 269, the arm pivot post 261 and trigger shaft 269 could be provided as independent part and fixed with the installation of front handlebar 206, also may be used
It is molded into a part with front handlebar 206.The front handlebar lid 209 is set with arm pivot post 261 and 269 corresponding position of trigger shaft
Set fixed column 291 (299).A kind of optional technical solution, trigger 205 include trigger shaft 269, the trigger shaft 269 with
The trigger shaft hole 269 of trigger 205 is arranged to an entirety, and the front handlebar lid 209 turns with the setting of 206 corresponding position of front handlebar
Axis hole.In the substantially regions B1 and its symmetrical region, the front handlebar 206 also includes the runner mounting groove 265 of remote location, described
Front handlebar lid 209 includes runner mounting groove 295.The runner mounting groove 265 (295) limits runner and does rotation fortune in slot together
It is dynamic.In the substantially regions A2 and its symmetrical region, the front handlebar 206 and front handlebar lid 209 are anodontia outstanding including handle 202 after accommodating
Arm 226 by cantilever groove 263 (293), the cantilever groove 263 (293) forms complete cantilever opening, the cantilever open-mouth ruler
It is very little to be more than 226 appearance and size of anodontia cantilever, and anodontia cantilever 226 when being rotated around arm pivot post not with the cantilever groove 263 (293)
Contact.The front handlebar 206 and front handlebar lid 209 further include the trigger channel 266 (296) for accommodating installation trigger 205, are hanged
The perforative through-hole of arm slot 263 (293) and trigger channel 266 (296) composition front handlebar 206.The trigger channel 266 (296)
When surgical instrument 20 is closed up, the trigger 205 can accommodate anodontia cantilever 226.The front handlebar 206 and front handlebar lid 209
Further include the support slot 264 (294) for limiting locking plate 208 and doing lever motion, the muscle that the support slot 264 (294) is protruded by both sides
Item 260 (290) limits.Rib 260 (290) conduct when locking plate 208 rotates of the support slot 264 (294)
Rotate supporting point.The front handlebar 206 and front handlebar lid 209 further include the spring groove 268 for limiting locking plate spring 204
(298), 204 one end of locking plate spring is connect with locking plate 208, and the other end is limited in spring groove 268 (298) in compression shape
State.
As the careful latch mechanisms 24 that depict of Fig. 5 and Figure 17-20 switch between effective model and invalid mode.Work as finger
Clinch, for the right hand operation of operative doctor, the third finger passes through the preceding finger loop 262, middle finger to be attached to preceding finger loop
The regions A3 of 262 upside, index finger can flexibly control the regions A1, the regions A2 or the regions B1.When surgical instrument 20 needs
When being rapidly performed by closure and opening operation, typically such as at this moment just needed hand when operation on gallbladder carries out blood vessel exfoliation
Art instrument 20 is switched to invalid mode by effective model.The index finger is in the regions A1 by along proximate promoting button component 25
The movement of the first button 237, first button 237 drives button block 203 along the first sliding groove 297 and second sliding slot 267
It is mobile.203 limited block 233 of the button block interacts with first cam surface 251, and the trigger 205 is driven to surround
Trigger shaft 269 rotates clockwise, and in the process, the second cam surface 255 of the trigger 205 is with 205 up time of the trigger
Second sheet body 283 of needle rotation forces locking plate 208 tilts and the lockhole along rotation counterclockwise, the rotation of the first sheet body 281
284 with 226 clearance fit of anodontia cantilever.When limited block 233 is moved to the cam planarea 252 of first cam surface 251
When, the trigger 205 forms self-locking with the button block 203, and the elastic element 250 cannot reset.At this time latch mechanism 24 by
Effective model is switched to invalid mode, and it should be appreciated by those skilled in the art under invalid mode, due to the lockhole 284
It is in clearance fit state always with 226 clearance fit of anodontia cantilever, so the front handlebar 206 and rear handle 202 of handle 21 can
Easily to be closed up and be opened, meet the needs for the tissue removed and sheared when finger gripping is enforced the law.And when operation
Doctor is carried out pulling organ or tissue energetically and when realizing occlusion using the right hand by finger gripping switching palm grip method of enforcing the law, at this moment
It just needs surgical instrument 20 being switched to effective model by invalid mode.The palm of surgeon is adjacent to the scissors-type hand
The side of handle 21, thumb pin scissorstype handle 21 rear handle 202 is clamped in palm to side, and formation one is U-shaped
Clamping.Since the clamping of palm stops that index finger is unable to control the first button 237 of switching state in the regions A1, and at this time just
Good thumb press is in the regions A1-1, it is possible to carry out the second button 237a of convenient promotion by thumb and distally proximally push away
Dynamic movement, the second button 237a drive button block 203 to be moved along the first sliding groove 297 and second sliding slot 267.It is described to press
203 limited block 233 of button block interacts with first cam surface 251, and the trigger 205 is driven to surround trigger shaft 269
Rotation counterclockwise, in the process, the trigger 205 does resetting movement, second cam under the action of elastic element 250
With the trigger 205, rotation drives the second sheet body 283 and drives the first sheet body 281 of the locking plate along up time counterclockwise in face 255
Needle spinning reduction, first sheet body 281 and 226 inclination contact of anodontia cantilever, the locking plate spring 204 drive the lock
Piece 208 is allowed to be pressed into contact with cantilever inner wall 229 with 226 tight fit of anodontia cantilever, the first lockhole wall 285, the second lockhole
Wall 286 is pressed into contact with cantilever outer wall 228, and the anodontia cantilever 226 is rotated around arm pivot post 261,202 direction of handle after permission
Front handlebar 206 closes up and handle 202 is opened away from front handlebar 206 after limiting.At this point, operative doctor can pass through the locking plate
208 are allowed to realize 23 snap-lock of working head with the pressing friction of anodontia cantilever 226, avoid being clamped for a long time and firmly cause
The fatigue of palm.It should be appreciated by those skilled in the art mutually switch over, nothing between above-mentioned effective model and invalid mode
By being to be enforced the law using finger gripping or when palm grip method, singlehanded can freely be operated.In the above operating process, rear handle 202
When closing up with front handlebar 206, the cantilever 226 can penetrate 206 perforative through-hole of front handlebar and enter the blind cavity configuration 207
In;Cantilever 226 can be accommodated and whenever not interfered just by the blind cavity configuration 207, be avoided in front handlebar 206
The empty avoiding region of protrusion is above additionally set to accommodate cantilever 226.
In addition, the operative doctor when lefthanded is completed mutually to switch between above-mentioned effective model and invalid mode
When operation, whole operation process is similar, difference mainly the right hand carry out finger gripping enforce the law when, what index finger was stirred be first by
Button 237, when using palm grip method, that thumb is stirred is the second button 237a;And left hand carries out finger gripping when enforcing the law, index finger is dialled
That dynamic is the second button 237a, and when using palm grip method, what thumb was stirred is the first button 237.Those skilled in the art
It should be understood that by the way that the first button 237 and the second button 237a is arranged in the regions A1 of handle 21 and A1-1, on the one hand can make
Operative doctor is in different surgical environments, for example needs the strip operation for being rapidly performed by closure and opening or prolonged
Organ operation etc. is pulled, can easily carry out mutually switching between effective model and invalid mode using the same hand, be not required to
Want an other hand carry out cooperation or other people carry out cooperation complete operation;On the other hand also meet either right-handed or left hand
Be accustomed to the operative doctor that is operated can a hand realize that effective model and invalid mode mutually switch.
As Fig. 5, Figure 14 and Figure 19-22 it is careful depict latch mechanism 24 under effective model, lock function and unlock work(
Switching between energy.The first button 237 or the second button 237a for first confiring that handle 21 are in proximal location, i.e. surgical instrument
20 under effective model.As shown in figures 15-16, it when needing to carry out pulling organ energetically for a long time, is used with operative doctor
It is sketched for palm grip method.The palm of surgeon is adjacent to the side of the scissorstype handle 21, and thumb is pressed
Firmly rear handle 202 is clamped in palm side by scissorstype handle 21, forms a U-shaped clamping, 202 conduct of rear handle
Fixed handle, little finger of toe press on the support arm 264 of the front handlebar 206, and the third finger passes through the preceding finger loop 262,
Middle finger is attached to the upper side position of the preceding finger loop 262, and by middle finger, nameless and little finger of toe is exerted oneself together, drives front handlebar 206
Closing up for handle 21 is realized in rotation, and then realizes working head 23 and be closed and be clamped.In the process, front handlebar 206 is by distal end
Clockwise rotary motion is proximally done, the rear handle 202 does rotary motion counterclockwise relative to front handlebar 206, described
Anodontia cantilever 226 is rotated around arm pivot post 261, and first sheet body 281 does counterclockwise movement by promotion, and the second sheet body 283 pushes away
Dynamic pressure contracting locking plate spring 204, at this time the first lockhole wall 285 contacted with cantilever inner wall 229, the second lockhole wall 286 and cantilever
Outer wall 228 contacts, but handle 202 closes up towards front handlebar 206 after not influencing, and the cantilever 226 runs through the through-hole of front handlebar 206
It enters in the blind cavity configuration 207 of trigger 205, the cantilever distal end 227 is not interfered by the blind cavity configuration 207 of trigger 205.Once
Stop closing movement, since 204 compressed reaction force of the locking plate spring drives the locking plate 208 to be allowed to and anodontia cantilever
In 226 tight fits, first sheet body 281 and 226 inclination contact of anodontia cantilever, the first lockhole wall 285 and cantilever
Wall 229 is pressed into contact with, and the second lockhole wall 286 is pressed into contact with cantilever outer wall 228, and handle 202 is opened away from front handlebar 206 after limitation
It opens.At this point, operative doctor can be allowed to realize working head with the pressing friction of anodontia cantilever 226 by the locking plate 208
23 snap-locks avoid that the fatigue for firmly causing palm is clamped for a long time.
As shown in Figure 14 and Figure 21-22, when needing to unlock operation, by operative doctor using for palm grip method into
Row summary.The palm of surgeon is adjacent to the side of the scissorstype handle 21, and thumb pins scissorstype handle 21
Rear handle 202 is clamped in palm by side, forms a U-shaped clamping, rear handle 202 is used as fixed handle, little finger of toe to press
It is pressed on the support arm 264 of the front handlebar 206, the third finger passes through the preceding finger loop 262, middle finger to be attached to the remote holder
Refer to the upper side position of circle 262, applying finger buckle 259 described in outer power drive by index finger pressing first rotates clockwise, and drives institute
It states the second cam surface 255 to rotate with the trigger 205, the second cam surface 255 of the trigger 205 is with 205 up time of the trigger
Second sheet body 283 of needle rotation forces locking plate 208 tilts and the lockhole along rotation counterclockwise, the rotation of the first sheet body 281
284 with 226 clearance fit of anodontia cantilever.Second sheet body 283 pushes compression locking plate spring 204, at this time first lockhole
Wall 285 is not contacted with cantilever inner wall 229, and the second lockhole wall 286 is not also contacted with cantilever outer wall 228, and handle 202 deviates from after permission
Front handlebar 206 opens, as unlocking function.In the case where keeping index finger to press 205 state of trigger, the handle 202 and preceding
Hand 206 can freely be closed up and opening operation.When index finger unclamps the finger buckle 259, the trigger 205 is in elasticity
It automatically resets under the action of element 250, second cam surface 255 is detached with the second sheet body 283, and the locking plate 208 is in locking plate
It automatically resets under the rebound effect of spring 204, the locking plate 208 is allowed to the compression with anodontia cantilever 226.
It should be appreciated by those skilled in the art the present invention realizes surgical instrument 20 using anodontia cantilever 226 and locking plate 208
Unlocking function and lock function the locking of any position may be implemented during handle 21 closes up, meet chucking power just
The clamping requirement for meeting different operations and different tissues organ site, realizes electrodeless variation, and the drawback for overcoming lock strap with teeth makes
Surgical instrument 20 can keep suitable chucking power position and clamping force.
If Figure 23-24 depicts another embodiment, surgical instrument 30 is roughly the same with surgical instrument 20, primarily directed to
Anodontia cantilever 226 and locking plate 208 of the latch mechanism 24 for locking are replaced, and are coordinated using cantilever 326 with teeth and locking bolt 308
Realize lock function and unlocking function.
The surgical instrument 30 include comprising distal end working head 23, proximal end scissorstype handle 31 and extend therebetween plus
Long bar portion 22;The handle 31 includes front handlebar 206, rear handle 202 and the arm pivot post 261 for connecting it, and the front handlebar
206 and rear handle 202 can rotate relative to the arm pivot post 261.The handle 31 includes latch mechanism 34, the lock
Mechanism 34 and latch mechanism 24 all include effective model and invalid mode, and the two switching mode is identical, is not repeated herein.The lock
Mechanism 34 includes realizing locking from cantilever 326 made of the extension of rear handle 202 and the cooperation of locking bolt 308.The cantilever 326 includes more
A sawtooth 327, and the locking bolt 308 includes the lock tooth 381 to match with the sawtooth 327;When the latch mechanism 34 is effective
When pattern, the elastic element 250 drives the locking bolt 308 so that the lock tooth 381 and the sawtooth 327 are mutually twisted, and permits
Perhaps handle 202 closes up towards front handlebar 206 after and handle is away from the opening of front handlebar 206, as lock function after limiting;It is described to pull
Second cam surface 255 of machine 205 selective can be contacted with the locking bolt 308, and applying finger buckle 259 described in outer power drive makes
The trigger 205 is obtained to rotate around trigger shaft 269, and the second cam surface 255 drives the locking bolt 308 to move, and makes the lock
Tooth 381 and sawtooth 327 are mutually disengaged, and handle is opened away from front handlebar 206 after permission, as unlocking function.In the process, institute
The hollow blind cavity configuration 207 of trigger 205 is stated, the cantilever 326 under closed configuration can be accommodated, be avoided in front handlebar 206 just
The empty avoiding region of protrusion is above additionally set to accommodate cantilever 326, effectively simplifies the parts of front handlebar 206, makes front handlebar
206 is more succinct, simultaneously because being not provided with the limitation in empty avoiding region, the trigger 205 can be arranged in the regions A2, before described
The shape of handle 206 can preferably match the firmly situation of finger, avoid exerting oneself for the empty avoiding region blocks finger of protrusion.
The many different embodiments and example of the present invention are had shown and described.One ordinary skill of this field
Personnel can make adaptive improvement by suitably modified to the method and instrument without departing from the scope of the invention.
Several kinds of amendment schemes are referred, and for those skilled in the art, other amendment schemes are also to be contemplated that.
Therefore the scope of the present invention should be according to accessory claim, while being understood not to be shown and recorded by specification and attached drawing
Structure, the particular content of material or behavior limited.
Claims (9)
1. a kind of surgical instrument containing hollow trigger, including distal end working head, proximal handle and the extension bar extended therebetween
Portion;The handle includes front handlebar, rear handle and the arm pivot post for connecting it, and the front handlebar and rear handle can be relative to institutes
Arm pivot post is stated to rotate;The working head includes a pair of of binding clip and the driving mechanism being attached thereto;The extension bar
Portion includes runner, outer bar portion and draw-in bar, and the outer bar portion and runner are fixed together and are mounted in front handlebar, the interior drawing
Bar one end is connect with the driving mechanism and its other end is connect with rear handle, which is characterized in that
1) handle also includes latch mechanism;
2) latch mechanism includes the cantilever being linked together with rear handle, and the latch mechanism also includes trigger;
3) trigger is mounted in the front handlebar and its partial denudation is in the outside of front handlebar, and the trigger turns comprising trigger
The blind cavity configuration of axis and a side opening;
4) after the rear handle closes up towards the front handlebar, the cantilever can penetrate the through-hole of front handlebar and enter the blind chamber
In structure;The trigger can surround the trigger shaft and rotate, and the shape and size of the blind cavity configuration meet:It is pulled when described
Do not interfere with the cantilever when machine rotates, while the cantilever distal end of the cantilever is not exposed except front handlebar and trigger.
2. surgical instrument as described in claim 1, which is characterized in that the latch mechanism also includes locking plate, button and elasticity member
Part;The latch mechanism includes effective model and invalid mode;The locking plate includes to match with the cantilever shape and size
Lockhole, the cantilever penetrate the lockhole;The trigger is described to press also comprising the first cam surface, the second cam surface and finger buckle
Button interacts with first cam surface, and the trigger is driven to be rotated around trigger shaft, realizes latch mechanism in effective model
Switch between invalid mode.
3. surgical instrument as claimed in claim 2, which is characterized in that when the latch mechanism is effective model, the elasticity
Element drive the locking plate be allowed to anodontia cantilever tight fit, handle closes up towards front handlebar after permission and handle deviates from after limiting
Front handlebar opens, as lock function;Second cam surface selective can be contacted with the locking plate, apply outer power drive
The finger buckle makes the trigger be rotated around trigger shaft, and the second cam surface drives locking plate movement, is allowed to and nothing
Tooth cantilever clearance fit, handle is opened away from front handlebar after permission, as unlocking function.
4. surgical instrument as claimed in claim 3, which is characterized in that the button includes the first button and the second button, institute
It states the first button and the second button is separately mounted to two sides of the front handlebar;The front handlebar includes to run through two side
The long and narrow sliding slot in face, first button and the second button can slide in the long and narrow sliding slot;It is characterized in that, described long and narrow
The direction of sliding slot is basically parallel to the lengthening bar portion.
5. surgical instrument as claimed in claim 4, which is characterized in that the rear side in runner is arranged in the long and narrow sliding slot, and full
Foot is following to be required:Left or right hand using finger gripping enforce the law operate the handle when, the index finger of the hand of operation can be dialled easily
Move one of button;When left or right hand operates the handle using palm grip method, the thumb of the hand of operation can facilitate
Stir one of button.
6. surgical instrument as described in claim 1, which is characterized in that the latch mechanism also includes locking bolt, button and elasticity member
Part;The latch mechanism includes effective model and invalid mode;The cantilever include multiple sawtooth, and the locking bolt include with it is described
The lock tooth that sawtooth matches;The trigger also includes the first cam surface, the second cam surface and finger buckle, the button and described the
One cam surface interacts, and the trigger is driven to be rotated around trigger shaft, realizes latch mechanism in effective model and invalid mode
Between switch.
7. surgical instrument as claimed in claim 6, which is characterized in that when the latch mechanism is effective model, the elasticity
Element drives the locking bolt that the lock tooth and the sawtooth are mutually twisted, and handle closes up towards front handlebar and limited after permission
Handle is opened away from front handlebar afterwards, as lock function;Second cam surface selective can be contacted with the locking bolt, be applied
Add finger buckle described in outer power drive that the trigger is rotated around trigger shaft, and the second cam surface drives the locking bolt fortune
It is dynamic, so that the lock tooth and sawtooth is mutually disengaged, handle is opened away from front handlebar after permission, as unlocking function.
8. surgical instrument as claimed in claim 7, which is characterized in that the button includes the first button and the second button, institute
It states the first button and the second button is separately mounted to two sides of the front handlebar;The front handlebar includes to run through two side
The long and narrow sliding slot in face, first button and the second button can slide in the long and narrow sliding slot;The direction of the long and narrow sliding slot
It is basically parallel to the lengthening bar portion.
9. surgical instrument as claimed in claim 8, which is characterized in that the rear side in runner is arranged in the long and narrow sliding slot, and full
Foot is following to be required:Left or right hand using finger gripping enforce the law operate the handle when, the index finger of the hand of operation can be dialled easily
Move one of button;When left or right hand operates the handle using palm grip method, the thumb of the hand of operation can facilitate
Stir one of button.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
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CN108236485A (en) * | 2018-04-02 | 2018-07-03 | 成都五义医疗科技有限公司 | A kind of surgical instrument for improving latch mechanism |
CN114052925A (en) * | 2022-01-12 | 2022-02-18 | 极限人工智能有限公司 | Handle mechanism, split type operation device and operation robot |
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CN208876619U (en) * | 2018-04-02 | 2019-05-21 | 成都五义医疗科技有限公司 | A kind of surgical instrument containing hollow trigger |
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CN101965156A (en) * | 2008-02-29 | 2011-02-02 | 外科创新有限公司 | The handle and the surgical instrument assemblies that are used for surgical operating instrument |
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CN108236485A (en) * | 2018-04-02 | 2018-07-03 | 成都五义医疗科技有限公司 | A kind of surgical instrument for improving latch mechanism |
CN114052925A (en) * | 2022-01-12 | 2022-02-18 | 极限人工智能有限公司 | Handle mechanism, split type operation device and operation robot |
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