CN109925009A - Regulating device and surgical instrument for surgical instrument - Google Patents
Regulating device and surgical instrument for surgical instrument Download PDFInfo
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- CN109925009A CN109925009A CN201711354209.8A CN201711354209A CN109925009A CN 109925009 A CN109925009 A CN 109925009A CN 201711354209 A CN201711354209 A CN 201711354209A CN 109925009 A CN109925009 A CN 109925009A
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- 230000001105 regulatory effect Effects 0.000 title claims abstract description 42
- 230000005540 biological transmission Effects 0.000 claims abstract description 149
- 230000033001 locomotion Effects 0.000 claims description 15
- 230000002093 peripheral effect Effects 0.000 claims description 12
- 229920000742 Cotton Polymers 0.000 claims description 3
- 230000003094 perturbing effect Effects 0.000 claims description 2
- 230000009471 action Effects 0.000 description 5
- 210000000707 wrist Anatomy 0.000 description 5
- 230000003902 lesion Effects 0.000 description 4
- 230000000694 effects Effects 0.000 description 3
- 238000005516 engineering process Methods 0.000 description 3
- 238000001356 surgical procedure Methods 0.000 description 3
- 238000010586 diagram Methods 0.000 description 2
- 238000002357 laparoscopic surgery Methods 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 210000000056 organ Anatomy 0.000 description 2
- 238000012549 training Methods 0.000 description 2
- 208000004550 Postoperative Pain Diseases 0.000 description 1
- 206010060862 Prostate cancer Diseases 0.000 description 1
- 208000000236 Prostatic Neoplasms Diseases 0.000 description 1
- 210000001015 abdomen Anatomy 0.000 description 1
- 210000000683 abdominal cavity Anatomy 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 238000002192 cholecystectomy Methods 0.000 description 1
- 230000008878 coupling Effects 0.000 description 1
- 238000010168 coupling process Methods 0.000 description 1
- 238000005859 coupling reaction Methods 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 238000013461 design Methods 0.000 description 1
- 238000011161 development Methods 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 238000002224 dissection Methods 0.000 description 1
- 238000002674 endoscopic surgery Methods 0.000 description 1
- 238000002474 experimental method Methods 0.000 description 1
- 230000005484 gravity Effects 0.000 description 1
- 238000002324 minimally invasive surgery Methods 0.000 description 1
- 238000012544 monitoring process Methods 0.000 description 1
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Abstract
The present invention relates to a kind of regulating devices and surgical instrument for surgical instrument, wherein regulating device includes: fixed part；Rotation section, the rotation section rotationally clamp the fixed part；Transmission parts, the transmission parts pass through the fixed part and can be mobile relative to the fixed part, and one end that the transmission parts stretch out the fixed part is connect by locking device with the rotation section；When the locking device is in the unlocked state, the transmission parts do not link with the rotation section；When the locking device is in the lock state, the transmission parts and the rotation section are linked.The initial position of the hand-held part of surgical instrument can be adjusted using regulating device of the invention, to meet the comfort requirement under different use conditions.
Description
Technical field
The present invention relates to the field of medical instrument technology, and in particular to a kind of regulating device and surgical device for surgical instrument
Tool.
Background technique
From after French operator's successful implementation first case Laparoscopic Cholecystectomy in 1987, using laparoscopic surgery as representative
Micro-wound surgical operation undergo development in 30 years, formd a relatively independent subject.
Micro-wound surgical operation, which refers to, makees several perforation in body surface, by endoscope and operation instrument by above-mentioned aperture into
Enter in body cavity, such as abdominal cavity, thoracic cavity, pelvic cavity, articular cavity, by patient under the monitoring of endoscope, is grasped outside patient body by hand
Make instrument, the working end for protruding into instrument in patient's body cavity cuts off intracavitary lesion, or is repaired, sutured to organ
Deng operation, art, which finishes, takes out endoscope and instrument, and entire operation can be completed in the aperture for suturing body surface.
Minimally invasive surgery is compared with conventional surgical, and small with its operation wound, intraoperative compliaction is few, and postoperative pain mitigates, in hospital
The advantages that time is short has become the diagnoses and treatment goldstandard of numerous surgery common diseases.But since it is usually with 3-5 2cm
The perforation of left and right is as intervention channel, so that manpower can no longer directly contact target organ, and must be by leptosomatic special
It is operated with laparoscopic surgical instruments.
However, leptosomatic surgical instrument makes work angle critical constraints and touch feedback weakens, become laparoscope skill
One of ultimate challenge of art.For some beginners, need to carry out a large amount of dry type (external model operation training) with it is wet
Formula (living animal experiment) training could establish more stable surgical experience curve, to complete some simple laparoscopic surgeries.
If beginner wants to complete function relative complex such as partial nephrectomy under Prostate Cancer after Radical, laparoscope under laparoscope
Reconstructive procedure then needs to complete to be competent at after a large amount of clinical operation operation.One of main cause is traditional abdomen
" wrist " movement that hysteroscope instrument does not have manpower the same, and only 3 freedom degrees, it is conventional for suture, such operation that knots
But complicated and fine surgical procedure, then it is inconvenient must to make up device design defect bring with more experiences.
With single-hole laparoscopic technology and the appearance through natural cavity endoscopic surgery technology, so that multiple degrees of freedom laparoscope hand
Art instrument has obtained exploitation and application, because its instrument head end is flexible, solves conventional laparoscopic instrumentation to a certain extent
The limited problem of angle.For example, patent document 1 (CN101909526B) and patent document 2 (CN102076268A) disclose one
Kind surgical instrument, including the proximal control handle and Distal tool interconnected by elongated apparatus axis, the elongated apparatus axis is for leading to
Enter inside dissection；Interconnect proximal end movable link and the distal end of proximal control handle and Distal tool respectively by the apparatus axis
Movable link；Cable control device between the movable link is set；At the handle and for by it is described can
Dynamic component controls the actuating component of the Distal tool；And the shaft portion and the handle portion for making the instrument select
Property engagement or disengagement coupling.The handle has distal receiver portion, and is located at the proximal end and moves
Mandrel connector on component can be engaged selectively with the receiver part and be discharged from the receiver part.
But the initial position of the handle of existing surgical instrument be it is fixed, be unfavorable for operator's operation instrument to trouble
The lesion of person's different parts is treated.
Summary of the invention
To solve the above-mentioned problems, the purpose of the present invention is to provide a kind of regulating devices for surgical instrument, comprising:
Fixed part；Rotation section, the rotation section rotationally clamp the fixed part；Transmission parts, the transmission parts pass through described
Fixed part simultaneously can be mobile relative to the fixed part, the transmission parts stretch out one end of the fixed part by locking device with
The rotation section connection；When the locking device is in the unlocked state, the transmission parts do not link with the rotation section；It is described
When locking device is in the lock state, the transmission parts and the rotation section are linked.
Further, when the locking device is in the unlocked state, the transmission parts do not link with the locking device,
The locking device and the rotation section are linked；When the locking device is in the lock state, the transmission parts and the lock
Determine device linkage, the locking device and the rotation section are linked.
Further, when the locking device is in the unlocked state, the transmission parts and the locking device link, institute
Locking device is stated not link with the rotation section；When the locking device is in the lock state, the transmission parts and the lock
Determine device linkage, the locking device and the rotation section are linked.
Further, the locking device includes: disk body, the disk body be equipped with it is multiple for transmission parts pass through along week
To the adjustment hole for extending and being spaced apart；
Rotation key, the rotation key are set on the outer peripheral surface of the disk body, and the rotation section is opposite with the rotation key
The part answered is equipped with through-hole, stretches out for the rotation key, so that the disk body and the rotatable parts link；
The disk body is rotated along the first rotation direction, the adjustment hole can be in radial direction and transmission parts clamping, so that the biography
Dynamic component and the disk body link；
The disk body is rotated along with described first the second oppositely oriented rotation direction, the adjustment hole can be in radial and transmission
Parts clearance cooperation, so that the transmission parts do not link with the disk body.
Further, rotate the disk body along first rotation direction, the rotation key can with the through-hole clamping so that
The locking device is in the lock state；The disk body is rotated along second rotation direction, the rotation key can be with the through-hole
Clearance fit, so that the locking device is in the unlocked state.
Further, along same direction of rotation, the radial dimension of the adjustment hole is become larger, the minimum of the adjustment hole
Radial dimension is less than or equal to the outer diameter of transmission parts, and the maximum radial dimension of the adjustment hole is greater than the diameter of transmission parts
To size.
Further, along same direction of rotation, the adjustment hole has the first radial dimension and the second radial dimension, described
First radial dimension is less than or equal to the outer diameter of transmission parts, and second radial dimension is greater than the radial ruler of transmission parts
It is very little.
Further, along the same direction of rotation, the first radial dimension of the adjustment hole and described second radial
The third radial dimension of part between size is equal or becomes larger or gradually becomes smaller, and the third radial dimension is big
In first radial dimension and it is less than second radial dimension.
Further, the disk body is in the form of annular discs.
Further, at clamping, the adjustment hole is designed as and the clamping in consistent manner of transmission parts shape.
It further, further include transmission parts clamp device, the transmission parts pass through the transmission parts clamp device,
The transmission parts clamp device is fixedly connected with the rotation section, and is set to the adjustment hole, the transmission parts fastening dress
Setting can be when rotating the disk body along first rotation direction, the transmission parts described in radial clamping.
Further, the locking device includes: ball cover, and the ball cover has the opening being connected to the inner cavity of ball cover, institute
Ball cover is stated between the fixed part and the rotation section, the inner peripheral surface of the ball cover rotationally clamps the fixed part,
The rotation section clamps the outer peripheral surface of the ball cover, and the inner peripheral surface of the ball cover is equipped with the first groove；
Secure component, when the secure component binds the ball cover and the rotation section, the ball cover with described turn
Dynamic portion's linkage；The secure component and the rotating part from when, the ball cover does not link with the rotation section；
Pin, for connecting with transmission parts, the other end and the first groove are clamped, and can be moved along the first groove for one end
It is dynamic, so that the transmission parts are linked by the pin and the ball cover.
Further, it is equipped in first groove along the protrusion that the extending direction of first groove extends, the pin
The other end of nail is recess portion, and the protrusion and the recess portion are clamped；Alternatively, being equipped in first groove along described first
The recess portion that the extending direction of groove extends, the other end of the pin are protrusion, and the protrusion and the recess portion are clamped.
Further, the outer surface of the fixed part is equipped at intervals with multiple second grooves, the extension side of second groove
To different with the extending direction of first groove, the inside of the fixed part is additionally provided with multiple a pair of with second groove one
The channel answered and be connected to；The transmission parts are set in second groove after passing through the channel, and are connect with the pin.
Further, described one end of the pin can be rotatablely connected along the circumferential direction and transmission parts of pin.
Further, one end that the transmission parts are connect with the pin is spherical, circumferential direction of the pin along pin
Rotationally it is inserted in one end in the spherical transmission parts.
Further, it is equipped with third groove circumferentially in the outer surface of the opening of the rotation section, for holding
Receive the secure component.
Further, the fixed part is sphere, and the transmission parts are spherical shell.
Further, the transmission parts include one or more of seal wire, cotton rope, rigid rod, rigid pipe.
The present invention also provides a kind of surgical instruments characterized by comprising
Regulating device described in any of the above embodiments；
Hand-held part；
Instrument shaft, the transmission parts are set in the instrument shaft, and the proximal end of the fixed part and the instrument shaft is fixed
Connection, the rotation section are fixedly connected with the tail end of the hand-held part, and the hand-held part passes through the rotation section and the instrument
Bar can be rotated or can connect with perturbing；
Make using the centre of motion of fixed part point as vertex conllinear or parallel with the central axes of the hand-held part and along the
The first of one direction refers to ray, makees using the centre of motion of fixed part point as vertex conllinear with the central axes of the instrument shaft
Or second in parallel and in a second direction refers to ray, described first with reference to the angle between ray and the second reference ray
It is 0 ° and≤90 ° of >,
Wherein, the first direction is the direction that the tail end of the hand-held part is directed toward the head end of the hand-held part, described the
Two directions are the direction that the distal end of the instrument shaft is directed toward in the proximal end of the instrument shaft.
The present invention provides a kind of regulating device for surgical instrument, comprising: fixed part, rotation section, transmission parts；Its
In, rotation section rotationally grips portion, and fixed part with the handle of surgical instrument for connecting；Transmission parts pass through fixed part
And can be mobile relative to fixed part, one end that transmission parts stretch out fixed part is connect by locking device with fixed part.Locking dress
When setting in the unlocked state, transmission parts do not link with rotation section, in this way can be by the initial position of regulation handle until behaviour
Author's operation is comfortable；After the initial position adjusting for completing handle, locking device is in the lock state, and transmission parts and rotation section join
It is dynamic, it can control the movement of transmission parts, by operation handle to carry out corresponding operative treatment.
For above content of the invention can be clearer and more comprehensible, be cited below particularly preferred embodiment and in conjunction with attached drawing specifically
It is bright.
Detailed description of the invention
Fig. 1 is the cross-sectional view one of regulating device of the embodiment of the present invention；
Fig. 2 is the perspective view one of disk body in regulating device of the embodiment of the present invention；
Fig. 3 is the perspective view two of disk body in regulating device of the embodiment of the present invention；
Fig. 4 is the side view of regulating device of the embodiment of the present invention；
Fig. 5 is the cross-sectional view two of regulating device of the embodiment of the present invention；
Fig. 6 is the enlarged drawing of part A in Fig. 5；
Fig. 7 is the perspective view that the fixed part in regulating device of the embodiment of the present invention is installed on the instrument shaft of surgical instrument；
Fig. 8 is the perspective view of ball cover in regulating device of the embodiment of the present invention；
Fig. 9 is the connection schematic diagram of transmission parts and pin in regulating device of the embodiment of the present invention；
Figure 10 is the structural block diagram of surgical instrument of the embodiment of the present invention.
Specific embodiment
Embodiments of the present invention are illustrated by particular specific embodiment below, those skilled in the art can be by this specification
Revealed content is understood other advantages and efficacy of the present invention easily.Although description of the invention will combine preferred embodiment
It introduces together, but this feature for not representing the invention is only limitted to the embodiment.On the contrary, being invented in conjunction with embodiment
The purpose of introduction is to be possible to the other selections extended or transformation to cover based on claim of the invention.In order to mention
For that will include many concrete details in depth understanding of the invention, being described below.The present invention can also be thin without using these
Section is implemented.In addition, in order to avoid confusion or obscuring emphasis of the invention, some details will be omitted in the de-scription.
The present invention provides a kind of regulating device for surgical instrument, with reference to Fig. 1, comprising: fixed part 10 is used for and performs the operation
The instrument shaft 50 of instrument connects；Rotation section 20, rotation section 20 rotationally grip portion 10, for hand-held with surgical instrument
Portion (not shown go out) connection.Fixed part 10 and the concrete shape of rotation section 20 with no restrictions, as long as rotation section 20 can be rotated
Ground grips portion 10.For example, fixed part 10 is sphere in the embodiment of the present invention, rotation section 20 is spherical shell.It further include passing
Dynamic component 30, for the control action of hand-held part to be transferred to the function part (not shown go out) of surgical instrument in proportion.Driving section
Part 30 passes through fixed part 10 and can be mobile relative to fixed part 10, and one end that transmission parts 30 stretch out fixed part 10 passes through locking dress
40 are set to connect with rotation section 20.The type of transmission parts 30 with no restrictions, including one in seal wire, cotton rope, rigid rod, rigid pipe
It is a or multiple.Transmission parts 30 are seal wire in the present embodiment.
Wherein, locking device 40 has unlocked state and lock state, when locking device 40 is in the unlocked state, transmission
Component 30 does not link with rotation section 20；When locking device 40 is in the lock state, transmission parts 30 and rotation section 20 are linked.In this way
After setting, when operator holds hand-held part, it is uncomfortable that the initial position of hand-held part holds operator, can control locking
Device 40 is in the unlocked state.Since transmission parts 30 do not link with rotation section 20, it is relatively solid that rotation section 20 is arbitrarily adjusted in this way
Determine the position in portion 10, so that hand-held part is in during operator's gripping comfortably, transmission parts 30 will not be by the control of hand-held part
Braking is transferred to function part.To also will not influence the function of surgical instrument while adjusting the initial position of hand-held part
The use in portion.Operator can the position according to locating for the lesion of patient adjust hand-held part initial position, made with meeting difference
Comfort requirement under the conditions of, conducive to the treatment to corresponding lesion.
Complete hand-held part initial position adjust after, control locking device 40 be in the lock state, transmission parts 30 with
Rotation section 20 is linked, and be can control the movement of transmission parts 30 by operating hand-held part, can then be incited somebody to action by transmission parts 30
The control action of hand-held part is transferred to the function part of surgical instrument in proportion, carries out corresponding operative treatment by function part.Function
The concrete type in energy portion with no restrictions, can be various articulated tools, such as scissors, grasper, needle holder etc., be also possible to non-
Articulated tool, such as cutting blade, probe, flusher, conduit etc..
It should be noted that when the locking device 40 of the embodiment of the present invention is in the unlocked state, transmission parts 30 not with locking
Device 40 links, and locking device 40 and rotation section 20 are linked；When locking device 40 is in the lock state, transmission parts 30 and locking
Device 40 links, and locking device 40 and rotation section 20 are linked.Alternatively, when locking device 40 is in the unlocked state, transmission parts 30
It links with locking device 40, locking device 40 does not link with rotation section 20；When locking device 40 is in the lock state, transmission parts
30 link with locking device 40, and locking device 40 and rotation section 20 are linked.Wherein, under lock state, the linkage of two components can be with
Understand are as follows: one of component will drive another component while moving and move synchronously；Under unlocked state, two component linkages
It is moved synchronously it is to be understood that one of component will drive another component while moving；Alternatively, one of component fortune
Another component can be driven to move while dynamic, but can be with Asynchrony.Under unlocked state, two components do not link can be with
Understand are as follows: one of component movement, another component do not move synchronously therewith.
Specifically, continuing to refer to figure 1 and combining shown in Fig. 2 and Fig. 3, locking device 40 includes:
Disk body 41, with no restrictions, disk body 41 is in the form of annular discs in this example for the shape of disk body 41.Disk body 41 is equipped with multiple confessions
The adjustment hole 42 circumferentially extended (in Fig. 2 shown in the direction T) and be spaced apart that transmission parts 30 pass through；The quantity of adjustment hole 42
Corresponding selection can be done according to the quantity of transmission parts 30, and four adjustment holes 42 are shown in Fig. 2.On the outer peripheral surface of disk body 41
Equipped with rotation key 43, the quantity of rotation key 43 shows four circumferentially spaced rotation keys 43 with no restrictions, in Fig. 2.
With reference to Fig. 4 and as shown in connection with fig. 1, rotation section 20 is equipped with through-hole 24 in part corresponding with rotation key 43, stretches for rotation key 43
Out, so that disk body 41 and rotation section 20 are linked.
With reference to Fig. 3, disk body 41 is rotated along the first rotation direction (in Fig. 3 shown in X-direction), adjustment hole 42 can be in radial and transmission
30 clamping of component, so that transmission parts 30 and disk body 41 link；At clamping, adjustment hole 42 is designed as and 30 shape of transmission parts
Clamping in consistent manner, such as the circular in cross-section of transmission parts 30, then, at clamping, the inner wall of adjustment hole 42 is arc surface.
Disk body 41 is rotated along with first oppositely oriented the second rotation direction (in Fig. 3 shown in Y-direction), adjustment hole 42 can be in diameter
To with 30 clearance fit of transmission parts so that transmission parts 30 not with disk body 41 link.Wherein, " radial direction " is to pass through disk body 41
The direction of the straight line of central point, when disk body 41 is disk, " radial direction " is the rectilinear direction along radius.
In addition, along the first rotation direction rotate disk body 41, rotation key 43 can with 24 clamping of through-hole so that locking device 40 is in
Lock state；Along the second rotation direction rotate disk body 41, rotation key 43 can with 24 clearance fit of through-hole so that locking device 40 is in
Unlocked state.It is in the lock state or unlocked state it is thus possible to control locking device 40 by rotation disk body 41.
With continued reference to Fig. 2, in the present embodiment, along same direction of rotation, the radial dimension of adjustment hole 42 (in Fig. 2 shown in L)
It becomes larger, the smallest radial size of adjustment hole 42 is less than or equal to the outer diameter of transmission parts 30, the maximum of adjustment hole 42
Radial dimension is greater than the radial dimension of transmission parts 30.The radial dimension that transmission parts 30 are located at adjustment hole 42 is greater than transmission parts
When at 30 outer diameter, adjustment hole 42 and 30 clearance fit of transmission parts, transmission parts 30 do not link with the disk body 41.It passes
When the radial dimension that dynamic component 30 is located at adjustment hole 42 is less than at the outer diameter of transmission parts 30, adjustment hole 42 and transmission parts
30 clampings, transmission parts 30 and disk body 41 link.
In other embodiments, the radial dimension of adjustment hole is not limited to said circumstances, as long as meeting: rotating along the first rotation direction
Disk body, adjustment hole can be in radial directions and transmission parts clamping, so that transmission parts and disk body link；Along the second rotation direction rotating disk
Body, adjustment hole can be in radial directions and transmission parts clearance fit, so that transmission parts do not link with disk body.For example, along same rotation
Turn direction, adjustment hole has the first radial dimension and the second radial dimension, and the first radial dimension is less than or equal to transmission parts
Outer diameter, the second radial dimension are greater than the radial dimension of transmission parts.Along same direction of rotation, the first radial ruler of adjustment hole
The third radial dimension of part between very little place and the second radial dimension is equal or becomes larger or gradually becomes smaller, third
Radial dimension is greater than the first radial dimension and less than the second radial dimension.
With continued reference to Fig. 3 and as shown in connection with fig. 1, regulating device further includes transmission parts clamp device 25, and transmission parts are tight
It is fixedly mounted with and sets 25 and be fixedly connected with rotation section 20, and be set to adjustment hole 42.Transmission parts 30 pass through transmission parts clamp device 25, pass
Dynamic component clamp device 25 can be when along the first rotation direction or the second rotation direction rotation disk body 41, and transmission parts clamp device 25 is being adjusted
Opposite sliding in knothole 42 in radial clamping transmission parts 30 or is unclamped transmission parts by the radial dimension variation of adjustment hole 42
30.Wherein, when transmission parts clamp device 25 unclamps transmission parts 30, transmission parts 30 can be with respect to transmission parts clamp device 25
Sliding.
Specifically, when operator wants to adjust the initial position of hand-held part, the first step rotates disk body along the second rotation direction
41, so that 25 relative adjustment hole 42 of transmission parts clamp device slides into the biggish one end of radial dimension, transmission parts 30 at this time
In releasing orientation, transmission parts 30 do not link with rotation section 20；Second step, operator want pair of effect according to surgical instrument
As position, and then hand-held part is held, wait to rotation section 20 operating up and down, it is more comfortable to be adjusted to operator
Position；Third step rotates disk body 41 along the first rotation direction, so that 25 relative adjustment hole 42 of transmission parts clamp device slides into radial direction
The lesser one end of size, transmission parts 30 are in gripping orientation at this time, lock the relative position of transmission parts 30 and fixed part 10,
Transmission parts 30 will not be slided with respect to transmission parts clamp device 25, and transmission parts 30 and fixed part 10 link, and complete hand-held part
The adjusting of initial position.It can control the movement of transmission parts 30 by operating hand-held part, can then pass through transmission parts 30
The control action of hand-held part is transferred to the function part of surgical instrument in proportion, corresponding operative treatment is carried out by function part.
With continued reference to Fig. 5 and as shown in connection with fig. 8, in other embodiments, locking device includes: ball cover 44, and ball cover 44 has
There is the opening being connected to the inner cavity 45 of ball cover 44, for ball cover 44 between fixed part 10 and rotation section 20, ball cover 44 passes through opening
So that the inner peripheral surface of ball cover 44 rotationally grips portion 10, rotation section 20 clamps the outer peripheral surface of ball cover 44.With reference to Fig. 8, ball
The inner peripheral surface of set 44 is equipped with the first groove 46, and the first groove 46 circumferentially surrounds one week or have notch.As shown in connection with fig. 4, it locks
Determining device 40 further includes secure component 22, when secure component 22 binds ball cover 44 and rotation section 20, ball cover 44 and rotation section
20 linkages；When secure component 22 is separated with rotation section 20, ball cover 44 does not link with rotation section 20.The specific shape of secure component 22
Formula with no restrictions, as long as can be by ball cover 44 and the binding of rotation section 20 to realize the linkage of ball cover 44 and rotation section 20.This
In embodiment, secure component 22 is bandage.
With reference to Fig. 5 and Fig. 6, locking device 40 further include: pin 60, one end is used for and transmission parts 30 connect, the other end
It is clamped, and can be moved along the first groove 46 with the first groove 46, so that transmission parts 30 are linked by pin 60 and ball cover 44.
The implementation of the clamping of pin 60 and the first groove 46 with no restrictions, in the present embodiment, is equipped in the first groove 46 along first
The protrusion 47 that the extending direction of groove 46 extends, with reference to Fig. 9, the other end of pin 60 is recess portion, protrusion 47 and recess portion card
It connects.In other embodiments, the recess portion extended along the extending direction of the first groove is equipped in the first groove, the other end of pin is
Protrusion, protrusion and recess portion are clamped.
With continued reference to Fig. 7 and as shown in connection with fig. 5, the outer surface of fixed part 10 is equipped at intervals with multiple second grooves 11, and second
The extending direction of the extending direction of groove 11 and the first groove 46 is different, and the inside of fixed part 10 is additionally provided with multiple and the second groove
11 channels 12 for corresponding and being connected to；Transmission parts 30 are set in the second groove 11 after passing through channel 12, and are connected with pin 60
It connects, and can be slided in the second groove 11.Described one end of pin 60 can along pin 60 circumferential direction with 30 turns of transmission parts
Dynamic connection.Wherein, with reference to Fig. 9, one end that transmission parts 30 are connect with pin 60 be it is spherical, pin 60 can along the circumferential direction of pin 60
Rotationally it is inserted in one end in spherical transmission parts 30.
After being arranged in this way, with reference to Fig. 5, when operator wants to adjust the initial position of hand-held part, the first step, by fastening part
Part 22 is lightened restrictions on, and rotation section 20 is not linked with ball cover 44；Second step, operator want the object's position of effect according to surgical instrument,
And then hand-held part is held, wait to rotation section 20 operating up and down, is adjusted to the more comfortable position of operator；The
Ball cover 44 and rotation section 20 are bound the linkage to realize ball cover 44 and rotation section 20, ball cover 44 by secure component 22 by three steps
It can be moved synchronously with rotation section 20, while transmission parts 30 and ball cover 44 link, and complete the adjusting of hand-held part initial position.It is logical
Crossing operation hand-held part can control the movements of transmission parts 30, then can be by transmission parts 30 by the control action of hand-held part
It is transferred to the function part of surgical instrument in proportion, corresponding operative treatment is carried out by function part.
It should be noted that in the present embodiment, since one end that transmission parts 30 are connect with pin 60 is spherical, and pin 60
One end in spherical transmission parts 30 is rotationally inserted in along the circumferential direction of pin 60.So, lock is in locking device 40
When determining state, hand-held part can be held, control ball cover 44 rotates any angle around pin 60, and then control function portion carries out corresponding
Movement.In addition, can equally hold hand-held part due to being provided with the first groove 46 and the second groove 11, transmission parts are controlled
30 slide along the first groove 46 and the second groove 11, and then control function portion is acted accordingly.That is, passing through above-mentioned knot
Multivariant surgical procedure may be implemented after having used the regulating device of the embodiment of the present invention in structure, surgical instrument, so that operation
Instrument it is easy to operate.
With continued reference to Fig. 5, in the present embodiment, third circumferentially is equipped in the outer surface of the opening of rotation section 20
Groove 21, for accommodating secure component 22, secure component 22 is bandage.With reference to Fig. 4, the appearance circumferential surface of the opening of rotation section 20
With spaced multiple notches 23, after secure component 22 is installed in third groove 21, the aperture of the opening of rotation section 20
Become smaller；After the unbundlings of third groove 21, the aperture of the opening of rotation section 20 becomes larger secure component 22.
It with reference to Figure 10, and combines shown in Fig. 1, Fig. 4 and Fig. 7, the embodiment of the present invention also provides a kind of surgical instrument, comprising:
The regulating device of any of the above-described embodiment；
Hand-held part 80；
Instrument shaft 50, transmission parts 30 are set in instrument shaft 50, and fixed part 10 is fixedly connected with the proximal end of instrument shaft 50, are turned
Dynamic portion 20 is fixedly connected with the tail end of hand-held part 80, and hand-held part 80 can be rotated by rotation section 20 and instrument shaft 50 or can perturb ground
Connection；
Function part 70 is fixedly connected with the distal end of instrument shaft 50；
Make using the centre of motion of fixed part 10 point as vertex conllinear or parallel with the central axes of hand-held part 80 and along first party
To first refer to ray E, using the centre of motion of fixed part 10 point be vertex make with the central axes of instrument shaft 50 collinearly or it is parallel
And second in a second direction refers to ray F, first with reference to ray E and second with reference to angle (the α institute in Figure 10 between ray F
Show) for 0 ° of > and≤90 °,
Wherein, it is to be understood that for regular axial symmetry component, in-between line is central axes for central axes；For not advising
Non-axis symmetry component then, central axes pass through the center of gravity of the component, and the extending direction of central axes is parallel to the extension side of component
To.First direction is the direction that the tail end of hand-held part 80 is directed toward the head end of hand-held part 80, and second direction is the proximal end of instrument shaft 50
It is directed toward the direction of the distal end of instrument shaft 50.The proximal end of instrument shaft 50 is by one end of proximal operator.
The surgical instrument of the embodiment of the present invention can make operator's gripping hand-held part 80 carried out to it in use, can be in hand
In the case that arm is motionless, only wrist actuation can make the proximal end of the relatively described instrument shaft 50 in hand-held part 80 by rotation section 20
It generates rotation or perturbs.
Further, the centre of motion point of fixed part 10 is located in space folded by the first plane and the second plane.Wherein,
First plane is using the cutting plane of operator's wrist as reference plane, and proximally parallel plane made by 10 centimetres of direction, second is flat
Face is the distally parallel plane made by 10 centimetres using the cutting plane of operator's wrist as reference plane.That is, as behaviour
When author holds hand-held part 80, it is closer between the centre of motion point of wrist and fixed part 10, so that operator couple
The control of hand-held part 80 is more flexible.
It should be noted that working as behaviour after the surgical instrument of the embodiment of the present invention is using regulating device described in above-described embodiment
Author hold hand-held part 80 when, the adjusting of the initial position of hand-held part 80 be first with reference to ray E with second refer to ray F it
Between angle adjusting, passing through regulating device, to adjust first real with reference to the size of the angle between ray F with reference to ray E and second
The adjusting of existing 80 initial position of hand-held part, to meet the comfort requirement under different use conditions.
In conclusion provided by the invention, the above-described embodiments merely illustrate the principles and effects of the present invention, rather than
For limiting the present invention.Any person skilled in the art all without departing from the spirit and scope of the present invention, to above-mentioned reality
It applies example and carries out modifications and changes.Therefore, such as those of ordinary skill in the art without departing from disclosed
Spirit with technical idea under all equivalent modifications or change for being completed, should be covered by the claims of the present invention.
Claims (19)
1. a kind of regulating device for surgical instrument characterized by comprising
Fixed part；
Rotation section, the rotation section rotationally clamp the fixed part；
Transmission parts, the transmission parts pass through the fixed part and can be mobile relative to the fixed part, the transmission parts
The one end for stretching out the fixed part is connect by locking device with the rotation section；
When the locking device is in the unlocked state, the transmission parts do not link with the rotation section；
When the locking device is in the lock state, the transmission parts and the rotation section are linked.
2. regulating device according to claim 1, which is characterized in that described when the locking device is in the unlocked state
Transmission parts do not link with the locking device, and the locking device and the rotation section are linked；The locking device is in lock
When determining state, the transmission parts and the locking device link, and the locking device and the rotation section are linked.
3. regulating device according to claim 1, which is characterized in that described when the locking device is in the unlocked state
Transmission parts and the locking device link, and the locking device does not link with the rotation section；The locking device is in lock
When determining state, the transmission parts and the locking device link, and the locking device and the rotation section are linked.
4. regulating device according to claim 2, which is characterized in that the locking device includes:
Disk body, the disk body be equipped with it is multiple for transmission parts pass through circumferentially and the adjustment hole that is spaced apart；
Rotation key, the rotation key are set on the outer peripheral surface of the disk body, and the rotation section is corresponding with the rotation key
Part is equipped with through-hole, stretches out for the rotation key, so that the disk body and the rotatable parts link；
The disk body is rotated along the first rotation direction, the adjustment hole can be in radial direction and transmission parts clamping, so that the driving section
Part and the disk body link；
The disk body is rotated along with described first the second oppositely oriented rotation direction, the adjustment hole can be in radial direction and transmission parts
Clearance fit, so that the transmission parts do not link with the disk body.
5. regulating device according to claim 4, which is characterized in that along same direction of rotation, the radial direction of the adjustment hole
Size becomes larger, and the smallest radial size of the adjustment hole is less than or equal to the outer diameter of transmission parts, the adjustment hole
Maximum radial dimension be greater than transmission parts radial dimension.
6. regulating device according to claim 4, which is characterized in that along same direction of rotation, the adjustment hole has the
One radial dimension and the second radial dimension, first radial dimension are less than or equal to the outer diameter of transmission parts, and described the
Two radial dimensions are greater than the radial dimension of transmission parts.
7. regulating device according to claim 6, which is characterized in that along the same direction of rotation, the adjustment hole
The third radial dimension of part at first radial dimension and between second radial dimension it is equal or become larger or
Person gradually becomes smaller, and the third radial dimension is greater than first radial dimension and is less than second radial dimension.
8. regulating device according to claim 4, which is characterized in that the disk body is in the form of annular discs.
9. regulating device according to claim 4, which is characterized in that at clamping, the adjustment hole is designed as and is driven
Component shape clamping in consistent manner.
10. regulating device according to claim 4, which is characterized in that further include transmission parts clamp device, the transmission
Component passes through the transmission parts clamp device, and the transmission parts clamp device is fixedly connected with the rotation section, and is set to
The adjustment hole, the transmission parts clamp device can be when rotating the disk body along first rotation direction, in radial clamping
The transmission parts.
11. regulating device according to claim 3, which is characterized in that the locking device includes:
Ball cover, the ball cover have the opening being connected to the inner cavity of ball cover, and the ball cover is located at the fixed part and the rotation
Between portion, the inner peripheral surface of the ball cover rotationally clamps the fixed part, and the rotation section clamps the outer peripheral surface of the ball cover,
The inner peripheral surface of the ball cover is equipped with the first groove；
Secure component, when the secure component binds the ball cover and the rotation section, the ball cover and the rotation section
Linkage；The secure component and the rotating part from when, the ball cover does not link with the rotation section；
Pin, for connecting with transmission parts, the other end and the first groove are clamped, and can be moved along the first groove for one end, with
The transmission parts are made to link by the pin and the ball cover.
12. regulating device according to claim 11, which is characterized in that be equipped in first groove recessed along described first
The protrusion that the extending direction of slot extends, the other end of the pin are recess portion, and the protrusion and the recess portion are clamped；Or
Person, first groove is interior to be equipped with the recess portion extended along the extending direction of first groove, the other end of the pin
For protrusion, the protrusion and the recess portion are clamped.
13. regulating device according to claim 11, which is characterized in that the outer surface of the fixed part is equipped at intervals with multiple
The extending direction of second groove, the extending direction of second groove and first groove is different, the inside of the fixed part
It is additionally provided with multiple channels for corresponding and being connected to second groove；
The transmission parts are set in second groove after passing through the channel, and are connect with the pin.
14. regulating device according to claim 13, which is characterized in that described one end of the pin can be along pin
It is circumferential to be rotatablely connected with transmission parts.
15. regulating device according to claim 14, which is characterized in that the transmission parts connect with the pin one
It is spherical for holding, and the pin is rotationally inserted in one end in the spherical transmission parts along the circumferential direction of pin.
16. regulating device according to claim 11, which is characterized in that set in the outer surface of the opening of the rotation section
There is third groove circumferentially, for accommodating the secure component.
17. -16 described in any item regulating devices according to claim 1, which is characterized in that the fixed part is sphere, described
Transmission parts are spherical shell.
18. -16 described in any item regulating devices according to claim 1, which is characterized in that the transmission parts include seal wire,
One or more of cotton rope, rigid rod, rigid pipe.
19. a kind of surgical instrument characterized by comprising
The described in any item regulating devices of claim 1-18；
Hand-held part；
Instrument shaft, the transmission parts are set in the instrument shaft, and the fixed part is fixedly connected with the proximal end of the instrument shaft,
The rotation section is fixedly connected with the tail end of the hand-held part, and the hand-held part can be turned by the rotation section with the instrument shaft
It moves or can connect with perturbing；
Make using the centre of motion of fixed part point as vertex conllinear or parallel with the central axes of the hand-held part and along first party
To first refer to ray, using the centre of motion of fixed part point be vertex work it is conllinear or flat with the central axes of the instrument shaft
It goes and in a second direction second refers to ray, the angle between the first reference ray and the second reference ray is >
0 ° and≤90 °,
Wherein, the first direction is the direction that the tail end of the hand-held part is directed toward the head end of the hand-held part, the second party
The direction of the distal end of the instrument shaft is directed toward to the proximal end for the instrument shaft.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201711354209.8A CN109925009A (en) | 2017-12-15 | 2017-12-15 | Regulating device and surgical instrument for surgical instrument |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201711354209.8A CN109925009A (en) | 2017-12-15 | 2017-12-15 | Regulating device and surgical instrument for surgical instrument |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN109925009A true CN109925009A (en) | 2019-06-25 |
Family
ID=66980577
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201711354209.8A Pending CN109925009A (en) | 2017-12-15 | 2017-12-15 | Regulating device and surgical instrument for surgical instrument |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN109925009A (en) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111991045A (en) * | 2020-09-09 | 2020-11-27 | 中国人民解放军空军特色医学中心 | Disposable intestinal anastomat for gastrointestinal surgery in hospital |
| CN115052547A (en) * | 2020-04-24 | 2022-09-13 | 瑞德医疗机器股份有限公司 | Surgical system |
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| US5891018A (en) * | 1997-09-19 | 1999-04-06 | Genzyme Corporation | Ball joint retractor |
| CN101516273A (en) * | 2006-09-13 | 2009-08-26 | 坎布里奇内窥镜设备有限公司 | Surgical instrument |
| CN101801278A (en) * | 2007-09-11 | 2010-08-11 | 坎布里奇内窥镜设备有限公司 | Surgical operating instrument |
| CN107320178A (en) * | 2017-08-11 | 2017-11-07 | 上海建世生物科技有限公司 | A kind of medical science backup actuating device |
| CN208693339U (en) * | 2017-12-15 | 2019-04-05 | 中国人民解放军第二军医大学 | Regulating device and surgical instrument for surgical instrument |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| US5891018A (en) * | 1997-09-19 | 1999-04-06 | Genzyme Corporation | Ball joint retractor |
| CN101516273A (en) * | 2006-09-13 | 2009-08-26 | 坎布里奇内窥镜设备有限公司 | Surgical instrument |
| CN101801278A (en) * | 2007-09-11 | 2010-08-11 | 坎布里奇内窥镜设备有限公司 | Surgical operating instrument |
| CN107320178A (en) * | 2017-08-11 | 2017-11-07 | 上海建世生物科技有限公司 | A kind of medical science backup actuating device |
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Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN115052547A (en) * | 2020-04-24 | 2022-09-13 | 瑞德医疗机器股份有限公司 | Surgical system |
| CN111991045A (en) * | 2020-09-09 | 2020-11-27 | 中国人民解放军空军特色医学中心 | Disposable intestinal anastomat for gastrointestinal surgery in hospital |
| CN111991045B (en) * | 2020-09-09 | 2021-09-14 | 中国人民解放军空军特色医学中心 | Disposable intestinal anastomat for gastrointestinal surgery in hospital |
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