CN110505845A - 手术手柄组合件 - Google Patents
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- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B17/07207—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously the staples being applied sequentially
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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
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
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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
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/0023—Surgical instruments, devices or methods, e.g. tourniquets disposable
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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
- 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
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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
- 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
- A61B2017/00407—Ratchet means
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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
- A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
- A61B2017/00464—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable for use with different instruments
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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
- A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
- A61B2017/00473—Distal part, e.g. tip or head
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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
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B2017/07214—Stapler heads
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B2017/07214—Stapler heads
- A61B2017/07257—Stapler heads characterised by its anvil
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B2017/07214—Stapler heads
- A61B2017/07271—Stapler heads characterised by its cartridge
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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
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B17/2909—Handles
- A61B2017/2912—Handles transmission of forces to actuating rod or piston
- A61B2017/2923—Toothed members, e.g. rack and pinion
Abstract
本公开包含用于手术手柄组合件的设备。实例设备包含:可移动手柄部件和开关,所述开关经配置以为所述可移动手柄部件提供两个或多于两个操作模式;和驱动棘爪,其枢转地连接到摆轮,所述摆轮经配置以响应于所述可移动手柄部件的致动而在远侧方向上线性地推进致动轴。
Description
技术领域
本公开大体上涉及一种手术手柄组合件,并且更具体来说涉及一种经配置以提供两个或多于两个操作模式的手术手柄组合件。
背景技术
手术手柄组合件可用于多个手术装置中。一个实例包含用作手术缝合器。手术缝合器是紧固装置,其用于夹持相对夹钳结构之间的组织以使用手术紧固件接合组织。手术缝合器可包含用于夹持所述组织的两个细长部件。细长部件中的一个可包含一个或多个可再装载的筒,且另一细长部件可包含砧座,所述砧座可用于在从所述可再装载的筒驱动时形成缝钉。手术缝合器可收纳一或多个可再装载的筒。可再装载的筒的实例可包含具有若干行缝钉,其具有线性长度。举例来说,一行缝钉可具有在30mm与60mm之间的线性长度。可通过致动可移动手柄部件而弹出缝钉,所述可移动手柄部件是手术缝合器的手术手柄组合件的一部分。
附图说明
图1是手术缝合设备的示意图,所述手术缝合设备包含根据本公开的多个实施例的手术手柄组合件。
图2A是根据本公开的多个实施例的处于第一模式和第一可移动手柄部件位置的手术手柄组合件的示意图。
图2B是根据本公开的多个实施例的处于第一模式和第二可移动手柄部件位置的手术手柄组合件的示意图。
图3A是根据本公开的多个实施例的处于第二模式和第一可移动手柄部件位置的手术手柄组合件的示意图。
图3B是根据本公开的多个实施例的处于第二模式和第二可移动手柄部件位置的手术手柄组合件的示意图。
图4是根据本公开的多个实施例的包含第一开口、第二开口和槽的手术手柄组合件的示意图。
图5是根据本公开的多个实施例的包含耦合点开口的手术手柄组合件的示意图。
具体实施方式
本公开包含用于手术手柄组合件的设备。实例设备包含可移动手柄部件和模式选择能力,例如开关,其经配置以为可移动手柄部件提供两个或多于两个操作模式。驱动棘爪可枢转地连接到摆轮以响应于可移动手柄部件的致动而在远侧方向上线性地推进致动轴。
在多个实施例中,模式选择能力可以是开关。为易于理解和说明,贯穿本公开将手术手柄组合件描述成具有开关实例;然而,实施例不限于开关。举例来说,开关可包含用以设定操作模式的第一销和第二销。当作为实例展示第一销和第二销时,本文中所公开的实施例中包含多于两个销和/或两个操作模式。在此实例中,第一销在设定为特定位置时可为可移动手柄部件提供第一操作模式。第二销在设定为特定位置时可为可移动手柄部件提供第二操作模式。使用处于第一操作模式的具有手术缝合器的手术手柄组合件可在远侧方向上将致动轴推进第一距离,且耦合到可再装载的筒可部署第一数目个缝钉。使用处于第二操作模式的具有手术缝合器的手术手柄组合件可在远侧方向上将致动轴推进第二距离,且耦合到可再装载的筒可部署第二不同数目个缝钉。在多个实施例中,第一操作模式或第二操作模式可基于例如经紧固的组织的类型、待部署的缝钉的数目、经部署的缝钉的速度和/或待由用户施加以致动可移动手柄部件的力的量而选择。操作模式可基于经紧固的组织的类型而选择,例如当组织较厚时,用户可使用需要施加较少力的模式。举例来说,还可在用户疲劳或身体上不能够使用需要较多力的模式时,使用需要较少力的模式。操作模式可基于经部署到较低水肿的缝钉的速度而选择,例如经缝合的区域中血液较少,以允许缝合组织而非血液。
在多个实施例中,可移动手柄部件可耦合到摆轮。以此方式,可移动手柄部件和摆轮可在第一模式期间在第一枢转点处围绕第一销枢转。第一销可经由摆轮和可移动手柄部件中的第一开口连接到可移动手柄部件以接合可移动手柄部件。在多个实施例中,可移动手柄部件和摆轮可在第二模式期间在第二枢转点处围绕第二销枢转。第二销可经由摆轮和可移动手柄部件中的第二开口连接到可移动手柄部件以接合可移动手柄部件。当处于第一操作模式时,第二销不经由第二开口耦合到可移动手柄部件。当处于第二操作模式时,第一销不经由第一开口耦合到可移动手柄部件。
在多个实施例中,从第一操作模式到第二操作模式的转变可通过从第一开口去除第一销同时将第二销与第二开口接合来实现。开关可从第一位置移动到第二位置以便将第一和第二销与其相应开口接合和/或将第一和第二销与其相应开口脱离。从第二操作模式到第一操作模式的转变可通过从第二开口去除第二销同时将第一销与第一开口接合来实现。此处,开关可从第二位置移动到第一位置以便将第一和第二销与其相应开口接合和/或将第一和第二销与其相应开口脱离。
在本公开的以下详细描述中,参考形成本公开的部分的附图,且图中通过图解方式展示可实践本公开的一或多个实施例的方式。足够详细地描述这些实施例以使得所属领域的一般技术人员能够实践本公开的实施例,且应理解,可利用其它实施例,且可在不脱离本公开的范围的情况下进行工艺、电气和结构改变。
如本文中所使用,例如“X”、“Y”、“N”、“M”等等指定符,尤其是关于图式中的附图标记,指示可包含多个如此指定的特定特征。还应理解,本文中所使用的术语仅仅是为了描述特定实施例且并不意图为限制性的。如本文中所使用,除非上下文另外明确规定,否则单数形式“一”和“所述”可包含单个及多个指示物。另外,“多个”、“至少一个”和“一或多个”(例如,多个枢转点)可指一或多个枢转点,而“多个”已图是指此类枢转点中的多于一个。此外,贯穿本申请案在容许意义上(即,可能,能够)而非在强制性意义上(即,必须)使用词语“可(can/may)”。术语“包含”和其派生词意指“包含但不限于”。术语“耦合(coupled/coupling)”意指以物理方式直接或间接连接,或用于可移动手柄部件的接入和移动,视情况而定。
本文中的图遵循编号定则,其中第一一或多个数字对应于图号,且剩余的数字标识所述图中的元件或组件。可通过使用类似数字来识别不同图之间的类似元件或组件。举例来说,210可参考图2A中的元件“10”,且类似元件可表示为图3A中的310。如应了解,可添加、交换和/或去除本文中的各种实施例中展示的元件,从而提供本公开的多个额外实施例。另外,图中提供的元件的比例和/或相对尺度意图说明本公开的某些实施例,并且不应被视作限制性意义。
图1是手术缝合设备102的示意图,所述手术缝合设备包含根据本公开的多个实施例的手术手柄组合件106。在所述实例中,手术缝合器设备102可包含手术手柄组合件106和可再装载的筒组合件103。如图1的实例中所展示,可再装载的筒组合件103,例如一次性装载单元,可以可拆卸方式紧固到手术手柄组合件106的细长主体的远端。在此实例中,可再装载的筒组合件103可包含可用于夹持组织的第一细长部件104和第二细长部件105。细长部件中的一个可容纳一或多个钉筒。另一细长部件可具有砧座,其可用于当从钉筒驱动时形成缝钉。如所提及,手术缝合设备102可收纳具有若干行缝钉的可再装载的筒组合件。在多个实施例中,第三方可再装载的筒和/或可再装载的筒组合件可与手术手柄组合件106一起使用,且手术手柄组合件106的实施例可经配置以收纳所述可再装载的筒组合件。可通过可移动手柄部件110的致动弹出缝钉,所述可移动手柄部件是手术缝合设备102的手术手柄组合件106的一部分。可移动手柄部件110的致动可致动致动轴(例如图2A中的致动轴240)以弹出多个缝钉。举例来说,在第一操作模式中,可移动手柄部件110的致动可弹出30个缝钉。在第二模式中,可移动手柄部件110的致动可弹出60个缝钉。然而,实施例不限于在第一或第二模式中弹出的特定数目个缝钉。此外,实施例不限于与手术缝合设备一起使用。为易于理解和说明,贯穿本公开将手术手柄组合件106描述为具有手术缝合设备102实例。
图2A是根据本公开的多个实施例的处于第一模式和第一可移动手柄部件位置(例如,“预备”位置)的手术手柄组合件的示意图。手术手柄设备206可包含可移动手柄部件210、开关220和驱动棘爪230。开关220可为可移动手柄部件210提供两个或多于两个操作模式。在多个实施例中,驱动棘爪230可枢转地连接到摆轮226,且可经配置以响应于可移动手柄部件210的致动而在远侧方向上线性地推进致动轴240。
在多个实施例中,手术手柄组合件206可处于第一模式,如图2A中所展示。在第一模式中,手术手柄组合件206可具有在围绕第一销222的枢转点与驱动棘爪230的耦合销232之间的第一距离(例如图5中的距离513)。在第二模式中,手术手柄组合件206可具有在围绕第二销224的枢转点与驱动棘爪230的耦合销232之间的第二距离(例如图5中的距离515)。在此实例中,第二距离(例如图5中的距离515)大于第一距离(例如图5中的第一距离513)。在多个实施例中,可存在多个枢转点,且枢转点可围绕放置于可移动手柄210中的开口中的销。在图2A中,在第一模式中,第一销222可在第一开口中耦合到可移动手柄部件210,且第二销224可从第二开口(例如图4中的第二开口454)脱离以便不耦合到可移动手柄部件210。在第一模式中,第一销222可充当用于具有在枢转点与耦合销232之间的第一距离(例如图5中的距离513)的可移动手柄部件210的枢转点。在第二模式中,第二销224可耦合到可移动手柄部件210。在此实例中,第一销222可从第一开口(例如图4中的第一开口452)脱离以便不耦合到可移动手柄部件210。在第二模式中,第二销224可充当用于可移动手柄部件210的枢转点。在此实例中,第二距离(例如图5中的距离515)大于第一距离(例如图5中的第一距离513)。因而,在第一模式中,当第一销222是枢转点时,用于在远侧方向上线性地推进致动轴240的力的量小于在使用第二销224作为枢转点的情况下用于在第二操作模式中在远侧方向上线性地推进致动轴240的力的量。在此实例中,由于枢转点与驱动棘爪230的耦合销232之间的距离并且因为行进距离较小,因此,在第一模式中所使用的力的量相比于在第二模式中较小。
在多个实施例中,手术手柄组合件206可处于第一模式。在第一模式中,手术手柄组合件206可用以将致动轴240推进第三距离(例如图5中的距离544)。第三距离(例如图5中的距离544)是在第一模式中致动可移动手柄部件210后致动轴240在远侧方向上的推进的长度。手术手柄组合件206可替代地改变为第二操作模式。在第二模式中,手术手柄组合件206可用以将致动轴240推进第四距离(例如图5中的距离546)。第四距离(例如图5中的距离546)是在第二模式中致动可移动手柄部件210后致动轴240在远侧方向上的推进的长度。在此实例中,第四距离(例如图5中的距离546)大于第三距离(例如图5中的第三距离544)。
在多个实施例中,手术手柄组合件206可处于预备位置,如图2A中所展示。在预备位置中,手术手柄组合件206准备好在致动可移动手柄部件210后在远侧方向上线性地推进致动轴240。
图2B是根据本公开的多个实施例的处于第一模式和第二可移动手柄部件位置(例如“经压缩”和/或“闭合”位置)的手术手柄组合件的示意图。手术手柄组合件206可包含可移动手柄部件210、开关220和驱动棘爪230。开关220可为可移动手柄部件210提供两个或多于两个操作模式。在多个实施例中,驱动棘爪230可枢转地连接到摆轮226,且可经配置以响应于可移动手柄部件210的致动而在远侧方向上线性地推进致动轴240。
在多个实施例中,手术手柄组合件206可处于第一模式,如图2B中所展示。在第一模式中,手术手柄组合件206可具有在围绕第一销222的枢转点与驱动棘爪230的耦合销232之间的第一距离(例如图5中的距离513)。在第二模式中,手术手柄组合件206可具有从围绕第二销224的枢转点到驱动棘爪230的耦合销232的第二距离(例如图5中的距离515)。在此实例中,第二距离(例如图5中的距离515)大于第一距离(例如图5中的距离513)。在多个实施例中,可存在多个枢转点,且枢转点可围绕放置于可移动手柄210中的开口中的销。在图2B中,在第一模式中,第一销222可在第一开口(例如图4中的第一开口452)中耦合到可移动手柄部件210,且第二销224可从第二开口(例如图4中的第二开口454)脱离以便不耦合到可移动手柄部件2010。在第一模式中,第一销222可充当用于具有在枢转点与耦合销232之间的第一距离(例如图5中的距离513)的可移动手柄部件210的枢转点。在第二模式中,第二销224可充当用于可移动手柄部件210的枢转点。在此实例中,第二距离(例如图5中的距离515)大于第一距离(例如图5中的距离513)。再次,在第一模式中,当第一销222是枢转点时,用于在远侧方向上线性地推进致动轴240的力的量小于在使用第二销224作为枢转点的情况下用于在第二操作模式中在远侧方向上线性地推进致动轴的力的量。在此实例中,由于枢转点与驱动棘爪230的耦合销232之间的距离且行进距离较小,因此,在第一模式中的力的量相比于在第二模式中较小。
在第一模式中,手术手柄组合件206可用以将致动轴240推进第三距离(例如图5中的第三距离544)。第三距离(例如图5中的距离544)是在致动可移动手柄部件210后致动轴240在远侧方向上的推进的长度。手术手柄组合件206可处于第二模式。在第二模式中,手术手柄组合件206可用以将致动轴240推进第四距离(例如图5中的距离546)。第四距离(例如图5中的距离546)是致动轴240在远侧方向上的推进的长度。在此实例中,第四距离(例如图5中的距离546)大于第三距离(例如图5中的距离544)。在多个实施例中,第四距离可以是第三距离的两倍。因而,致动轴240在第二模式中的推进距离可以是在第一模式中的推进距离的两倍。
在多个实施例中,手术手柄组合件206可处于闭合位置,如图2B中所展示。将结合图4更详细地解释。在闭合位置中,手术手柄组合件206可通过使驱动棘爪230从与致动轴240相关联的棘轮的轮齿脱离且在棘轮的起点处与轮齿再次重新接合而在释放可移动手柄部件210后防止致动轴240在远侧和/或近侧方向上线性地移动。
在多个实施例中,手术手柄组合件206的枢转点可使用开关220改变。在一实例中,开关220在经致动时可旋转齿轮223。齿轮223可接触第一销222的一或多个齿轮和第二销224的一或多个齿轮。当在第一方向上致动开关220时,手术手柄组合件206可放置于第一模式中。当在第一方向上致动开关220时,齿轮223可在第一旋转方向上旋转。当在第一旋转方向上旋转齿轮223时,齿轮223可讲第一销222插入到第一开口(例如图4中的第一开口452)中且可从第二开口(例如图4中的第二开口454)去除第二销224。当在第二方向上致动开关220时,手术手柄组合件206可放置于第二模式中。当在第二方向上致动开关220时,齿轮可在第二旋转方向上旋转。当在第二旋转方向上旋转齿轮223时,齿轮223可将第二销224插入到第二开口(例如图4中的第二开口454)中,且可从第一开口(例如图4中的第一开口452)去除第一销222。为易于理解和说明,贯穿本公开使用此实例。实施例不限于在操作模式之间转变的齿轮(例如,图2A中的齿轮223)。用以将多个销插入在可移动手柄部件中的多个开口中并去除所述多个销以用于在多个模式中操作的多个机构(例如开关)可根据本公开的多个实施例加以使用以在操作模式之间转变。举例来说,推动销可用于将手术手柄组合件206从一个模式切换到另一模式。开关可耦合到第一销和第二销,使得当第一销经推动到第一开口(例如图4中的第一开口452)中时,第二销从第二开口(例如图4中的第二开口454)去除。且当第二销经推动到第二开口(例如图4中的第二开口454)中时,第一销从第一开口(例如图4中的第一开口452)去除。
图3A是根据本公开的多个实施例的处于第二模式和第一可移动手柄位置(例如,“预备”位置)的手术手柄组合件的示意图。手术手柄组合件306可包含可移动手柄部件310、开关320和驱动棘爪330。开关320可为可移动手柄部件310提供两个或多于两个操作模式。在多个实施例中,驱动棘爪330可枢转地连接到摆轮326,且可经配置以响应于可移动手柄部件310的致动而在远侧方向上线性地推进致动轴340。
在多个实施例中,手术手柄组合件306可处于第二模式,如图3A中所展示。在第二模式中,手术手柄组合件306可具有在围绕第二销324的枢转点与驱动棘爪330的耦合销332之间的第二距离(例如图5中的距离515)。在此实例中,第二距离大于第一距离(例如图5中的距离513)。在多个实施例中,可存在多个枢转点,且枢转点可围绕放置于可移动手柄310中的开口中的销。在图3A中,在第二模式中,第二销324可耦合到可移动手柄部件310。在此实例中,第一销322可从第一开口(例如图4中的第一开口452)脱离,以便不耦合到可移动手柄部件310。在第二模式中,第二销324可充当用于可移动手柄部件310的枢转点。在多个实施例中,驱动棘爪330经配置以接触致动轴340的齿形齿条342以在远侧方向上线性地推进致动轴。可响应于致动可移动手柄部件310来推进致动轴340。在此实例中,第二距离(例如图5中的距离515)大于第一距离(例如图5中的第一距离513)。因而,当第二销324是枢转点时,第二模式操作所推进的齿形齿条342的棘轮的数目是第一操作模式所推进的棘轮的数目的两倍。在此实例中,由于枢转点与驱动棘爪330的耦合销332之间的距离,在第二模式中推进两倍数目的棘轮。
在多个实施例中,摆轮326连接到可移动手柄部件310。并且,在多个实施例中,可移动手柄部件可包含耦合开口(例如图5中的耦合开口516)。摆轮326和耦合开口(例如图5中的耦合开口516)可用于第二操作模式中以允许将力从可移动手柄部件310传递到驱动棘爪330。将力从可移动手柄部件310传递到驱动棘爪330允许致动轴340在远侧方向上线性地推进。
在多个实施例中,手术手柄组合件306可处于预备位置,如图3A中所展示。在预备位置中,手术手柄组合件306准备好在致动可移动手柄部件310后在远侧方向上线性地推进致动轴340。
图3B是根据本公开的多个实施例的处于第二模式和第二可移动手柄部件位置(例如“经压缩”和/或“闭合”位置)的手术手柄组合件的示意图。手术手柄组合件306可包含可移动手柄部件310、开关320和驱动棘爪330。开关320可为可移动手柄部件310提供两个或多于两个操作模式。在多个实施例中,驱动棘爪330可枢转地连接到摆轮326,且可经配置以响应于可移动手柄部件310的致动而在远侧方向上线性地推进致动轴340。
在多个实施例中,手术手柄组合件306可处于第二模式,如图3B中所展示。在第二模式中,手术手柄组合件306可具有从围绕第二销324的枢转点到驱动棘爪330的耦合销332的第二距离(例如图5中的第二距离515)。在此实例中,第二距离(例如图5中的距离515)大于第一距离(例如图5中的第一距离513)。在多个实施例中,可存在多个枢转点,且枢转点可围绕放置于可移动手柄310中的开口中的销。在第二模式中,第二销324可耦合到可移动手柄部件310。在此实例中,第一销322可从第一开口(例如图4中的第一开口452)脱离,以便不耦合到可移动手柄部件310。在第二模式中,第二销324可充当用于可移动手柄部件310的枢转点。在第二模式中,第二销324可充当用于可移动手柄部件310的枢转点。在此实例中,第二距离(例如图5中的距离515)大于第一距离(例如图5中的距离513)。在多个实施例中,驱动棘爪330经配置以接触致动轴340的齿形齿条342以响应于可移动手柄部件310的致动而在远侧方向上线性地推进致动轴。在此实例中,第二距离(例如图5中的距离515)大于第一距离(例如图5中的第一距离513)。因而,当第二销324充当枢转点时,第二操作模式将致动轴340所推进的距离及所推进的齿形齿条的棘轮的数目是第一操作模式将致动轴340所推进的距离及所推进的棘轮的数目的两倍。在此实例中,由于枢转点与驱动棘爪330的耦合插脚332之间的距离,在第二模式中致动轴340经推进了两倍的距离,且推进了两倍的棘轮数目。
在多个实施例中,手术手柄组合件306可处于闭合位置,如图3B中所展示。在闭合位置中,手术手柄组合件306可防止在释放可移动手柄部件310后致动轴340在远侧和/或近侧方向上线性地移动。
图4是根据本公开的多个实施例的包含第一开口、第二开口和槽的手术手柄组合件的示意图。在图4中,可移动手柄部件410可包含第一开口452和第二开口454。第一销(例如图2A中的第一销222)可插入到第一开口452中以用于第一模式。第二销(例如图2A中的第二销224)可插入到第二开口454中以用于第二模式。在多个实施例中,摆轮426可包含槽428。无论第一销(例如图2A中的第一销222)是插入到第一开口452中还是第一销(例如图2A中的第一销222)从第一开口452去除,槽428可允许摆轮426旋转。
图5是根据本公开的多个实施例的包含耦合开口516的手术手柄组合件的示意图。在多个实施例中,可移动手柄部件510可包含耦合开口516。耦合插脚(例如图2A中的耦合插脚232)可枢转地连接到耦合开口516。耦合开口516可允许致动轴540在远侧方向上线性地推进,而不会由于耦合开口516的形状使耦合插脚232结合。举例来说,耦合开口516形状可以是“U”形状,例如鞍形,从而允许平移和移动的程度与固定点形成对比。
在多个实施例中,手术手柄组合件506可处于第一模式。在第一模式中,第一销(例如图2A中的第一销222)充当枢转点,具有第一距离513。在第二模式中,第二销(例如图2A中的第二销224)充当枢转点,具有第二距离515。在此实例中,第二距离515大于第一距离513。
在多个实施例中,手术手柄组合件506可处于第一模式,具有第三距离544。第三距离544是致动轴540在远侧方向上的推进的长度。手术手柄组合件506可处于第二模式,具有第四距离546。第四距离546是致动轴540在远侧方向上的推进的长度。在此实例中,第四距离546大于第三距离544。
图5说明在第二模式中的手术手柄组合件506和在闭合位置中的可移动手柄部件510。在此实例中,驱动棘爪(例如图2A中的驱动棘爪230)位于第四距离546的末端,且充分推进致动轴540以用于在第二操作模式中致动可移动手柄部件510。在第一模式中且当可移动手柄部件510处于闭合位置中时,驱动棘爪(例如图2A中的驱动棘爪230)可在第三距离544的末端,且充分推进致动轴540以用于在第一操作模式中致动可移动手柄部件510。
尽管已在本文中说明并描述了具体实施例,但所属领域的一般技术人员应了解,经计算以实现相同结果的布置可取代所展示的具体实施例。本公开意图涵盖本公开的一或多个实施例的改编或变化。应理解,已以说明性方式而非限制性方式进行以上描述。对于所属领域的技术人员而言在审阅上述描述之后上述实施例的组合以及本文中未具体描述的其它实施例将是显而易见的。本公开的一或多个实施例的范围包括在其中使用以上结构和过程的其它应用。因此,应参考所附权利要求书连同此类权利要求书有权享有的等效物的全范围确定本公开的一或多个实施例的范围。
在前述具体实施方式中,出于简化本公开的目的而将一些特征一起分组在单个实施例中。本公开的这一方法不应被理解为反映本公开的所公开实施例必须比在每项权利要求中明确叙述那样使用更多特征的意图。实际上,如所附权利要求书所反映,本发明标的物在于单个所公开实施例的不到全部的特征。因此,所附权利要求书特此并入于具体实施方式中,其中每项权利要求就其自身而言作为单独实施例。
Claims (20)
1.一种手术手柄组合件设备,其包括:
可移动手柄部件;
开关,其经配置以:
为所述可移动手柄部件提供两个或多于两个操作模式;及
驱动棘爪,其枢转地连接到摆轮,所述摆轮经配置以:
响应于所述可移动手柄部件的致动在远侧方向上线性地推进致动轴。
2.根据权利要求1所述的设备,其中用于在第一操作模式中在所述远侧方向上线性地推进所述致动轴的力的量小于用于在第二操作模式中在所述远侧方向上线性地推进所述致动轴的力的量。
3.根据权利要求1所述的设备,其中在第一操作模式中所述致动轴在所述远侧方向上的推进的长度小于在第二操作模式中所述致动轴在所述远侧方向上的推进的长度。
4.根据权利要求1所述的设备,其中所述摆轮连接到所述可移动手柄部件。
5.根据权利要求4所述的设备,其中在第二操作模式中使用所述摆轮以允许所述致动轴在所述远侧方向上线性地推进。
6.根据权利要求1所述的设备,其中所述开关包含第一销和第二销。
7.一种手术手柄组合件设备,其包括:
可移动手柄部件;
摆轮,其连接到所述可移动手柄部件;
开关,其包含用以为所述可移动手柄部件提供第一操作模式的第一销和用以为所述可移动手柄部件提供第二操作模式的第二销;及
驱动棘爪,其枢转地连接到所述摆轮,所述摆轮经配置以响应于所述可移动手柄部件的致动而在远侧方向上线性地推进致动轴。
8.根据权利要求7所述的设备,其中所述第一操作模式部署第一数目个缝钉,且所述第二操作模式部署第二数目个缝钉。
9.根据权利要求7所述的设备,其中所述第一操作模式或所述第二操作模式基于组织类型而加以选择。
10.根据权利要求7所述的设备,其中所述手柄在第一模式期间在第一枢转点处围绕所述第一销枢转。
11.根据权利要求7所述的设备,其中所述手柄在第二模式期间在第二枢转点处围绕所述第二销枢转。
12.根据权利要求10所述的设备,其中第一销经由所述可移动手柄部件中的第一开口连接到所述可移动手柄部件以用于所述第一操作模式。
13.根据权利要求12所述的设备,其中第二销经由所述可移动手柄部件中的第二开口连接到所述可移动手柄部件以用于所述第二操作模式。
14.一种手术手柄组合件设备,其包括:
可移动手柄部件;
摆轮,其连接到所述可移动手柄部件;
开关,其经配置以在第一操作模式期间经由第一开口将第一销连接到所述可移动手柄部件,且在第二操作模式期间经由第二开口将第二销连接到所述可移动手柄部件;及
驱动棘爪,其枢转地连接到所述摆轮,所述摆轮经配置以接触致动轴的齿形齿条以响应于所述可移动手柄部件的致动而在远侧方向上线性地推进所述致动轴。
15.根据权利要求14所述的设备,其中所述第一模式操作所推进的所述齿形齿条的棘轮少于所述第二操作模式所推进的棘轮。
16.根据权利要求14所述的设备,其中所述可移动手柄部件包含围绕所述第一销的第一枢转点和围绕所述第二销的第二枢转点。
17.根据权利要求14所述的设备,其中所述第一销在所述第二操作模式期间不经由所述第一开口耦合到所述可移动手柄部件。
18.根据权利要求14所述的设备,其中所述第二销在所述第一操作模式期间不经由所述第二开口耦合到所述可移动手柄部件。
19.根据权利要求18所述的设备,其中所述开关经配置以通过从所述第一开口去除所述第一销同时将所述第二销与所述第二开口接合而从所述第一操作模式转变到所述第二操作模式。
20.根据权利要求14所述的设备,其中所述可移动手柄部件在所述第一操作模式中的致动相比于所述可移动手柄部件在所述第二操作模式中的致动使用较少力。
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US15/481,949 US10433842B2 (en) | 2017-04-07 | 2017-04-07 | Surgical handle assembly |
PCT/US2018/025988 WO2018187399A1 (en) | 2017-04-07 | 2018-04-04 | Surgical handle assembly |
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US (3) | US10433842B2 (zh) |
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US20210346021A1 (en) | 2021-11-11 |
CN110505845B (zh) | 2020-11-13 |
US20200015818A1 (en) | 2020-01-16 |
EP3606446A4 (en) | 2021-01-13 |
US10433842B2 (en) | 2019-10-08 |
WO2018187399A1 (en) | 2018-10-11 |
US11103247B2 (en) | 2021-08-31 |
EP3606446A1 (en) | 2020-02-12 |
US20180289370A1 (en) | 2018-10-11 |
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