CN111227886B - 带有柔性电缆组合件、柔性指状件和接触夹的手术缝合器适配器 - Google Patents

带有柔性电缆组合件、柔性指状件和接触夹的手术缝合器适配器 Download PDF

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CN111227886B
CN111227886B CN201911141302.XA CN201911141302A CN111227886B CN 111227886 B CN111227886 B CN 111227886B CN 201911141302 A CN201911141302 A CN 201911141302A CN 111227886 B CN111227886 B CN 111227886B
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assembly
contact
electrical contact
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surgical device
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戴维·乔瓦尼克
伊桑·柯林斯
帕维尔·阿布拉梅克
瑞安·威廉斯
马修·乔瓦尼奇
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Covidien LP
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Abstract

手术装置包括手柄组合件，该手柄组合件包括控制器和第一电连接器。所述手术装置还包括适配器组合件，所述适配器组合件具有：管状壳体，所述管状壳体具有被配置为联接至所述手柄组合件的近端部分、和远端部分；第二电连接器，其设置在所述近端部分，并被配置成联接至第一电连接器；电接触件组合件，其布置在所述远端部分；和线束，其设置在所述管状壳体内并且将第二电连接器和所述电接触件组合件互连。手术装置还包括配置成联接至所述适配器组合件的所述远端部分的手术端部执行器，所述手术端部执行器包括配置成联接至所述电接触件组合件的电接触件。

Description

带有柔性电缆组合件、柔性指状件和接触夹的手术缝合器适 配器
相关申请的交叉引用
本申请要求2018年11月28日申请的美国临时专利申请第62/772,281号的权益和优先权，所述美国临时专利申请的全部公开内容以引用的方式并入本文中。
技术领域
本公开涉及手术装置。更具体地，本公开涉及与手术缝合器装置一起使用的适配器组合件，其具有夹在柔性电缆的柔性指状件上的电接触件。
背景技术
用于将紧固件或钉施加到组织的手术紧固件装置是众所周知的。这些紧固件装置包含单次使用装置，其预载有一个或多个钉且在单次使用之后可抛弃。多次使用装置也是可用的并且预载有多个钉。多次使用装置可包含机电(例如，供电式)的或手动致动的手柄组合件。这些装置可与单次使用加载单元(SULU)或多次使用加载单元(MULU)一起使用。加载单元包含主体和端部执行器，并且直接或经由可联接到手柄组合件的适配器组合件附接到手柄组合件。
许多手术装置制造商已开发具有用于操作和/或操控手术装置的专用的动力驱动系统的产品线。电动手柄组合件和加载单元可以电互连。因此，适配器组合件包括电气组件，例如电缆、开关、电路板等。因此，需要适合于与适配器组合件一起使用的电连接器，该电连接器能够承受在使用过程中遇到的机械应力。
发明内容
根据本公开的一个实施例，公开一种手术装置。该手术装置包括手柄组合件，该手柄组合件包括控制器和第一电连接器。所述手术装置还包括适配器组合件，所述适配器组合件具有：管状壳体，所述管状壳体具有被配置为联接至所述手柄组合件的近端部分、和远端部分；第二电连接器，其设置在所述近端部分处，并被配置成联接至第一电连接器；电接触件组合件，其布置在所述远端部分处；和线束，其设置在所述管状壳体内并且将第二电连接器和所述电接触件组合件互连。手术装置还包括配置成联接至所述适配器组合件的所述远端部分的手术端部执行器，所述手术端部执行器包括配置成联接至所述电接触件组合件的电接触件。
根据本公开的另一个实施例，公开了手术装置适配器组合件。所述手术装置适配器组合件包括：管状壳体，所述管状壳体具有配置成联接至手柄组合件的近端部分和配置成联接至手术端部执行器的远端部分；电连接器，其设置在所述近端部分；电接触件组合件，其设置在所述远端部分；和线束，其设置在所述管状壳体内并且将所述电连接器和所述电接触件组合件互连。
根据以上实施例中任一个的一个方面，线束是柔性电缆。适配器组合件还可以包括开关，该开关响应于手术端部执行器联接到适配器组合件而被致动。柔性电缆可以联接到所述开关并且包括联接到电接触件组合件的柔性指状件。
根据以上实施例中任一个的一个方面，适配器组合件可以包括可旋转的锁定构件。电接触件组合件可包括具有悬臂舌片的壳体，该悬臂舌片被配置成将电接触件组合件附接到可旋转的锁定构件。
根据以上实施例中任一个的另一方面，电接触件组合件还可包括固定在形成于壳体上的凹陷中的接触夹。柔性指状件可以电联接到接触夹，接触夹可以包括接触部分和配置成接合电接触件的附接部分。附接部分可以被折叠以将柔性指状件固定到接触夹。柔性指状件可以包括被焊接到接触夹的导电层的暴露部分。
附图说明
本文结合了附图对本发明的实施例进行了描述，其中：
图1是根据本公开的实施例的手持式手术装置、适配器组合件、端部执行器的透视图；
图2是示出根据本公开的实施例的图1的适配器组合件和手柄组合件的连接的透视图；
图3是根据本公开的实施例的手柄组合件的内部组件的透视图；
图4是根据本公开的实施例沿图1的截平面“4-4”截取的适配器组合件的横截面视图；
图5是根据本公开的实施例沿图1的截平面“5-5”截取的适配器组合件的横截面视图；
图6是图1的手术加载单元的零件分离的透视图；
图7是适配器组合件和加载单元的透视图，示出了根据本公开的激活机构；
图8是根据本公开的实施例的线束的侧视图；
图9是根据本公开实施例的图8的线束的柔性指状件的零件分离的透视图；
图10是根据本公开的实施例的适配器组合件的内部组件的透视图；
图11是根据本公开的实施例的适配器组合件的远端部分的透视图；
图12是根据本公开的实施例的适配器组合件的远端部分的透视图，其中柔性指状件被联接至电接触件；
图13是根据本公开的实施例的图12的柔性指状件的透视图，所述柔性指状件联接到附接至可旋转的锁定构件的电接触件；
图14是根据本公开的实施例的联接到电接触件的柔性指状件的透视图；
图15是根据本公开的实施例的接触夹的俯视图；
图16是图15的接触夹的透视图；
图17是根据本公开的另一实施例的接触夹的俯视图；
图18是图17的接触夹的透视图；和
图19是根据本公开的另一实施例的接触夹的透视图。
具体实施方式
现在参看图式详细地描述本公开的实施例，在图式中，相似的参考标号在若干视图中的每个视图中指代相同或对应的元件。如本文中所使用，术语“临床医生”是指医生、护士或任何其它医护人员且可以包含辅助人员。贯穿本说明书，术语“近侧”将是指更接近临床医生的装置的部分或其组件，并且术语“远侧”将是指更远离临床医生的装置的部分或其组件。此外，在附图中和在以下描述中，为描述方便起见简单地使用术语，如前部、后部、上部、下部、顶部、底部和类似的方向术语并且不旨在限制本公开。在以下描述中，未详细描述众所周知的功能或构造，以免以不必要的细节使本公开模糊不清。
本公开提供了一种适配器组合件，其包括在适配器组合件内纵向延伸的柔性电缆。适配器组合件将手柄组合件和加载单元互连。电缆将电信号从与加载单元接合的旋转环传输到手柄组合件。通过使用直接将指状件结合到柔性电缆的远端中的线，柔性电缆避免了使用绞合线来将信号从旋转环传递到柔性电缆。柔性指状件被焊接到附接到旋转环上的电接触件组合件的接触夹。接触夹传导来自加载单元的信号。接触夹具有可夹在柔性指状件上的特征件，以从焊接头自身释放应力。特别地，将柔性电缆的柔性指状件联接至电接触件组合件，电接触件组合件又联接至可旋转的锁定构件，从而将物理应变施加到柔性指状件与电接触件组合件之间的电连接上。本公开依赖于将柔性指状件直接焊接和固定到相应的电接触夹，这减轻了由于可旋转的锁定构件的旋转而施加在柔性指状件和电接触夹上的机械应力，其防止了柔性指状件从电接触件组合件上脱离。
使用单根柔性电缆还通过消除额外电线的需要减少了适配器组合件中使用的零件数量。使用电线连接器还需要将电线切割成一定长度并剥皮至预定长度。焊接电线并形成使用环路以从焊接头释放应力也是一项劳动密集型过程。柔性指状件消除了切割/剥皮过程的需要，并提供了松弛的环路。与将电线切割和剥皮相比，将柔性指状件制造为适当的长度更具重复性，并且更易于控制。远侧电子系统的组装也通过柔性指状件更具重复性。柔性电缆可以以扁平状态被印刷并且在组装过程中形成为期望的构造。柔性电缆的尺寸也可以容易调整和重新印刷以进行优化。
参看图1，供电式手术装置10包含手柄组合件20，其被配置成与适配器组合件30选择性地连接，所述适配器组合件继而被配置成与具有端部执行器44的加载单元40选择性地连接。尽管通常被称为供电式手术装置，但预期，手术装置10可以是手动致动的且可包含各种配置。
手柄组合件20包含手柄壳体22，其具有下部壳体部分24、从下部壳体部分24延伸和/或支撑在下部壳体部分24的一部分上的中间壳体部分26，和从中间壳体部分26延伸和/或支撑在中间壳体部分26的一部分上的上部壳体部分28。如图2所示，上部壳体部分28的远侧部分限定鼻部或连接部分28a，其配置成接纳适配器组合件30的近端部分30b。
参考图2，上部壳体部分28的连接部分28a包含具有多个电接触件31的电插座29，所述电接触件与手柄组合件20(图3)的电子(例如，主控制器38)和电组件(例如，电源37)电连通。适配器组合件30包含配置成接合电插座29的对应电连接器32。电连接器32还包含多个电接触件34，其接合且电连接到其对应电接触件31。
参看图3，手柄组合件20包含联接到电源37的一个或多个电机36。手柄组合件20还包含主控制器38，其用于操作手柄组合件20、适配器组合件30和加载单元40的电机36和其它电子组件。电机36联接到对应驱动轴39(图2)，所述对应驱动轴配置成将插口33接合在近端部分30b上，使得在插口33上施加驱动轴39的旋转。
参看图4和5，适配器组合件30包含管状壳体30a，所述管状壳体30a在配置成用于可操作地连接到手柄组合件20的连接部分28a的近端部分30b和配置成用于可操作地连接到加载单元40的相对远端部分30c之间延伸。适配器组合件30包含致动组合件35，其中的每一个联接到插口33中的一个。致动组合件35被配置成将插口33的旋转运动转换成线性运动和/或旋转运动，使得适配器组合件30配置成将由手柄组合件20提供的旋转运动转变成轴向平移，用于使适配器组合件30围绕纵向轴线X-X旋转，铰接加载单元40，夹持组织，弹射紧固件，以及切割紧固的组织。
参考图1和6，示出加载单元40的实施例。加载单元40包含近侧主体部分42和手术端部执行器44。近侧主体部分42可拆卸地附接到适配器组合件30的远端部分30c，并且端部执行器44可枢转地附接到近侧主体部分42的远端。端部执行器44包含砧座组合件46和仓组合件48。仓组合件48相对于砧座组合件46枢转并且在打开或未夹持位置和闭合或夹持位置之间可移动。近侧主体部分42包含驱动组合件50和铰接连杆52。
驱动组合件50包含具有远端部分54a和近侧接合区段54b的柔性驱动梁54。远端部分54a包含具有刀55a的I形梁55。I形梁55配置成行进通过砧座组合件46仓组合件48，借此朝向仓组合件48推动砧座组合件46以夹持组织。近侧接合区段54b包含直径相对的向内延伸的指状件54c，其接合驱动部件56(图5)以将驱动部件56固定地紧固到柔性驱动梁54的近端。驱动部件56由适配器组合件30的致动组合件35之一致动。
端部执行器44的仓组合件48包含可移除地支撑在载体60中的钉仓58。钉仓58限定中心纵向狭槽58a，并且呈直线的多排钉保持狭槽58b定位在中心纵向狭槽58a的每一侧上。钉保持狭槽58b中的每一个接收单个钉62和钉推动器64的一部分。在手术装置10的操作期间，驱动组合件50对接致动滑块66并且推动致动滑块66通过钉仓58。随着致动滑块66移动通过钉仓58，致动滑块66的凸轮楔循序接合钉推动器64以在钉保持狭槽58b内垂直移动钉推动器64，并且循序地从其弹射单个钉62，用于抵靠砧座组合件46的砧板46a形成。
手术加载单元40的近侧主体部分42包含具有从手术加载单元40的近端延伸的钩状近端部分52a的铰接连杆52，其接合联接到适配器组合件30的致动组合件35中的另一个的相对铰接连杆(未图示)。铰接连杆52具有可枢转地紧固到端部执行器44的远端部分52b。
参考图7，适配器组合件30包括激活机构70，该激活机构70向手柄组合件20提供加载单元40已经适当地安装到适配器组合件30的正反馈，并且与设置在加载单元40内的存储器或电路组件结合，提供关于加载单元40的各种参数(例如，钉尺寸)的信息给临床医生。激活机构70还允许重复地安装多个加载单元40，而不会在适配器组合件30内经历其机械和/或电组件的任何退化，从而增强可用性并确保适配器组合件30在扩大数量的用途中正常工作。
激活机构70包括开关72，该开关72响应于将加载单元40插入适配器组合件30的远端部分30c而被致动。在题为“Surgical Device”的美国专利申请公开号2017/0128067中更详细地描述了激活机构70，其全部公开内容通过引用结合于此。
参考图8和9，线束74将开关72和电接触件组合件80和81与电连接器32连接。线束74可以是柔性电缆，其具有设置在第一柔性电介质衬底77和第二柔性电介质衬底79上的一个或多个导电层75，所述柔性电介质衬底包围导电层75。电介质衬底77和79可由任何合适的柔性电介质材料形成，包含(但不限于)聚酯、聚酰亚胺、聚萘二甲酸伸乙酯、聚醚酰亚胺、氟聚合物、聚醚醚酮及其组合。导电层75可以包括多条迹线，并且可以由诸如铜或各种合金的任何导电材料形成，并且可以使用任何消减(例如，蚀刻)或加成(例如，丝网印刷)技术施加到电介质衬底，用于在柔性电介质衬底上形成导电层。
线束74可以包括任何数量的分段74a、74b、74c，以允许通过适配器组合件30进行布线。如图10和11所示，分段74b相对于分段74b和74c大致垂直，从而允许线束74被缠绕在适配器组合件30的远端部分30c的各个组件周围和内部。
参考图8，线束74包括近侧连接器部分76，其连接至电连接器32。线束74还包括远侧连接器部分78，其连接到开关72以及一对电接触件组合件80和81(图12-14)。
参考图7，加载单元40包括一对电接触件41，其配置为在将加载单元40插入适配器组合件30中时与布置在适配器组合件30的远端部分30c内的一对电接触件组合件80和81接合。一对电接触件41联接至布置在加载单元40内的存储装置43。存储装置43可以被加密并且可以存储与加载单元40有关的信息，例如使用次数、灭菌周期、钉尺寸、钳口尺寸等。存储装置43可以是任何合适的非易失性存储器，例如闪存。
参考图10-13，电接触件组合件80和81设置在可旋转锁定构件90的远端部分88处，该可旋转锁定构件90配置成响应于加载单元40的旋转而围绕限定为“X-X”的纵向轴线在锁定位置和解锁位置之间旋转。更具体地，在将加载单元40插入适配器组合件30中之后，在其中旋转加载单元40以固定加载单元40。因此，可旋转锁定构件90与加载单元40一起旋转，同时可旋转锁定构件90的电接触件组合件80和81保持与加载单元40的一对电接触件41电连通。
如图13和图14所示，远侧连接器部分78包括联接到开关72的开关部分82，以及一对指状件84和86(每个指状件分别联接到对应的电接触件组合件80和81)。参考图9，为简洁起见，仅示出了指状件84，尽管每个指状件84和86相同或基本相同。指状件84包括接触部分85，其中第二柔性介电衬底79的远端部分被去除以暴露导电层75。
参考图14，每个电接触件组合件80和81是相同或基本相同的。因此，为了简洁起见，下面仅描述电接触件组合件80的结构和组件。电接触件组合件80包括夹套式外壳92，其构造为夹在或扣在可旋转锁定构件90的环形部分94(图13)上。夹套式外壳92可以由任何合适的高强度拉伸材料形成，例如金属和/或热塑性塑料。夹套式外壳92在其第一表面93上包括悬臂舌片95，并且该悬臂舌片95从夹套式外壳92的近端部分96延伸。夹套式外壳92还包括设置在其远端部分97处的唇缘98，该唇缘98朝着第一表面93延伸。悬臂舌片95与唇缘98分开预定距离“d”，其基本上是环形部分94的宽度(例如大约±2％)，使得夹套式外壳92可以摩擦固定在其上。
夹套式外壳92还包括狭缝100，该狭缝过渡到形成在其第二表面104上的凹陷102中。夹套式外壳92容纳接触夹108或110，每个接触夹联接到指状件84和86的接触部分85。凹陷102形成在两个相对的壁105a和105b之间，并且从夹套式外壳92的远端部分97延伸直到到达架子106。凹陷102在其远端处不受阻碍，从而允许电接触件41在其外表面并且特别是在接触夹108或110上滑动。
如图15和图16所示，接触夹108可以由诸如铜的导电材料形成，并且可以具有平面形状。接触夹108包括接触部分112和附接部分114。接触部分112被配置成滑入狭缝100中并在凹陷102上方，从而为电接触件41提供电接触。接触部分112可以包括一个或多个突起102a，其将接触部分112固定在壁105a和105b之间。附接部分114平行于接触部分112，并且通过垂直于接触部分和附接部分114的段113连接到其上。由于接触夹108由金属形成，所以如图16所示，附接部分114可以弯曲以固定指状件84。特别地，指状件84的接触部分85可以通过焊接或任何其他合适的方法电联接到接触夹108的接触部分112。通过围绕指状件84弯曲附接部分114从而将其固定到接触夹108上来固定指状件84。指状件84被放置在段113上，即，平行于所述段并垂直于接触部分112。之后，将附接部分114围绕指状件84缠绕一次或多次，使得指状件84设置在附接部分114的两层之间。附接部分114可以围绕其背面缠绕。
参考图17和18，接触夹110基本上类似于接触夹108，并且下面仅描述它们之间的区别。接触夹110还包括接触部分122，然而，附接部分124直接联接到接触部分112并且垂直于接触部分112。指状件86放置在接触部分122上，即与其平行，并且附接部分124围绕指状件86缠绕一次或多次，使得指状件86设置在附接部分124的两层之间。附接部分124可以缠绕在接触部分122的背面周围。指状件86的接触部分85还通过钎焊或任何其他合适的方法电联接至接触夹110的接触部分122。
参考图19，接触夹130与接触夹108和110基本相似，并且下面仅描述它们之间的区别。接触夹130包括接触部分132和附接部分134，该附接部分134直接从接触部分132延伸并与其平行。附接部分134包括一对相对的指状件135a和135b，其配置为缠绕在接触部132上。指状件84或86跨过接触部分132放置，即垂直于接触部分132放置，并且附接部分134弯曲到接触部分132上。之后，使指状件135a和135b绕接触部分132的背面弯曲。
应理解，可对目前公开的适配器组合件的实施例进行各种修改。因此，上文的描述不应解释为限制性的，而仅仅是作为实施例的例证。本领域的技术人员将设想在本公开的范围和精神内的其它修改。

Claims (15)

1.一种手术装置，其包括：
手柄组合件，其包含控制器和第一电连接器；
适配器组合件，其包含：
管状壳体，其具有配置成联接到所述手柄组合件的近端部分，和远端部分；
第二电连接器，其设置在所述近端部分，并配置成联接至第一电连接器；
电接触件组合件，其设置在所述远端部分；和
线束，其设置在所述管状壳体内并且将第二电连接器和所述电接触件组合件互连；以及
配置成联接至所述适配器组合件的所述远端部分的手术端部执行器，所述手术端部执行器包括配置成联接至所述电接触件组合件的电接触件，
其中所述线束是柔性电缆，所述柔性电缆具有设置在第一柔性电介质衬底和第二柔性电介质衬底上的一个或多个导电层，所述第一柔性电介质衬底和所述第二柔性电介质衬底包围所述导电层，其中所述适配器组合件还包括响应于所述手术端部执行器联接到所述适配器组合件而被致动的开关，其中所述柔性电缆联接到所述开关并且包括联接到所述电接触件组合件的柔性指状件。
2.根据权利要求1所述的手术装置，其中所述适配器组合件包括可旋转的锁定构件。
3.根据权利要求2所述的手术装置，其中所述电接触件组合件包括具有悬臂舌片的壳体，所述悬臂舌片被配置成将所述电接触件组合件附接到所述可旋转的锁定构件。
4.根据权利要求3所述的手术装置，其中所述电接触件组合件包括固定在形成于所述壳体上的凹陷中的接触夹。
5.根据权利要求4所述的手术装置，其中所述柔性指状件电联接到所述接触夹。
6.根据权利要求5所述的手术装置，其中所述接触夹包括接触部分和附接部分。
7.根据权利要求6所述的手术装置，其中所述接触部分被配置成接合所述电接触件。
8.根据权利要求7所述的手术装置，其中所述附接部分被折叠以将所述柔性指状件固定到所述接触夹。
9.根据权利要求8所述的手术装置，其中所述柔性指状件包括被焊接到所述接触夹的导电层的暴露部分。
10.一种手术装置适配器组合件，包括：
管状壳体，其具有配置成联接到手柄组合件的近端部分和配置成联接到手术端部执行器的远端部分；
电连接器，其设置在所述近端部分；
电接触件组合件，其设置在所述远端部分；和
线束，其设置在所述管状壳体内并且将所述电连接器和所述电接触件组合件互连，
其中所述线束是柔性电缆，所述柔性电缆具有设置在第一柔性电介质衬底和第二柔性电介质衬底上的一个或多个导电层，所述第一柔性电介质衬底和所述第二柔性电介质衬底包围所述导电层，其中所述手术装置适配器组合件还包括响应于所述手术端部执行器联接到所述适配器组合件而被致动的开关，其中所述柔性电缆联接到所述开关并且包括联接到所述电接触件组合件的柔性指状件。
11.根据权利要求10所述的手术装置适配器组合件，还包括配置成接合手术端部执行器的可旋转的锁定构件。
12.根据权利要求11所述的手术装置适配器组合件，其中所述电接触件组合件包括具有悬臂舌片的壳体，所述悬臂舌片被配置成将所述电接触件组合件附接到所述可旋转的锁定构件。
13.根据权利要求12所述的手术装置适配器组合件，其中所述电接触件组合件包括固定在形成于所述壳体上的凹陷中的接触夹并且所述柔性指状件被电联接到所述接触夹。
14.根据权利要求13所述的手术装置适配器组合件，其中所述接触夹包括接触部分和附接部分，所述接触部分被配置成接合手术端部执行器的电接触件，并且所述附接部分被折叠以将所述柔性指状件固定到所述接触夹。
15.根据权利要求14所述的手术装置适配器组合件，其中所述柔性指状件包括被焊接到所述接触夹的导电层的暴露部分。
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