CN114176668A - Indication mechanism for use condition of surgical instrument, use method and anti-counterfeiting method of surgical instrument - Google Patents

Indication mechanism for use condition of surgical instrument, use method and anti-counterfeiting method of surgical instrument Download PDF

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Publication number
CN114176668A
CN114176668A CN202111663913.8A CN202111663913A CN114176668A CN 114176668 A CN114176668 A CN 114176668A CN 202111663913 A CN202111663913 A CN 202111663913A CN 114176668 A CN114176668 A CN 114176668A
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CN
China
Prior art keywords
surgical instrument
indicating
instrument
rotating
piece
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Granted
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CN202111663913.8A
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Chinese (zh)
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CN114176668B (en
Inventor
程敏
潘鸿宇
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Nanjing Tuodao Medical Technology Co Ltd
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Nanjing Tuodao Medical Technology Co Ltd
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Priority to CN202111663913.8A priority Critical patent/CN114176668B/en
Publication of CN114176668A publication Critical patent/CN114176668A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08Accessories or related features not otherwise provided for
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08Accessories or related features not otherwise provided for
    • A61B2090/0803Counting the number of times an instrument is used
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08Accessories or related features not otherwise provided for
    • A61B2090/0807Indication means

Abstract

The invention discloses a surgical instrument use condition indicating mechanism, a use method and a surgical instrument anti-counterfeiting method, wherein a surgical instrument and a driving seat are installed through an adapter; the method is characterized in that: the surgical instrument is provided with an indicating assembly for indicating the use condition of the surgical instrument through the state change of the indicating assembly, and the indicating assembly is driven by a driving shaft of the driving seat to realize the state change of the indicating assembly. The invention can judge the using condition of the instrument, approximately using times and whether the instrument is invalid or not in a visual identification mode, and is more beneficial to a doctor to clearly know the remaining using times of the existing inventory instrument; but also can be used for anti-counterfeiting identification.

Description

Indication mechanism for use condition of surgical instrument, use method and anti-counterfeiting method of surgical instrument
Technical Field
The invention relates to the technical field of surgical instruments, in particular to an indicating mechanism for the use condition of a surgical instrument and a use method thereof.
Background
Minimally Invasive Surgery (MIS) (e.g., endoscopy, laparoscopy, thoracoscopy, cystoscopy, etc.) allows a patient to be operated through a small incision using elongated surgical instruments that are introduced to an internal surgical site. Typically, a cannula is inserted through an incision to provide an access port for a surgical instrument. The surgical site typically includes a body cavity, such as the abdominal cavity of a patient. The body cavity may optionally be inflated with a transparent fluid such as insufflation gas. In conventional minimally invasive surgery, a surgeon manipulates tissue by using a manual end effector of an elongated surgical instrument while viewing the surgical site on a video monitor.
Because the performance is still slightly reduced within the use times, even if the performance is reduced and the actual operation is not influenced, doctors need to know the use condition of the instruments, the property of the surgical instruments causes the limited times of the practical service life, the instruments need to be forcibly scrapped after the use times, in the practical use, the instruments belong to non-sterile supply, and the hospitals are required to sterilize and disinfect before each use, if no instrument state display happens, the instruments are used to the service life, doctors and nurses do not know, the instruments are prepared for operation, the instruments are found to be invalid, the operation is delayed if the instruments are invalid, and the operation is not carried out or the operation is failed if the instruments are not invalid. This can be avoided if there is a status indication on the instrument that is disabled or not. As a hospital needs to prepare a certain number of instruments for standby, the time from the first use to the use abandonment of the instruments is short as much as possible in the use process, the number of the instruments is the minimum under the condition that the number of the instruments used in a warehouse is the same, the condition of the residual number of the instruments used is needed to be known, and the number of the instruments used is large under the condition of no understanding, but each instrument has only 1-2 service lives, so that the material management cannot know how many operations are supported by the existing instrument, the materials cannot be prepared in advance, the instruments are insufficient, and the operation delay is caused. Or a large number of instruments are prepared for a long time to ensure the sufficiency of the instruments, which occupies the inventory and the cost of the instruments, and the problem can be solved if a structure for visually identifying the use condition of the instruments is arranged on the instruments.
Disclosure of Invention
The purpose of the invention is as follows: in view of the above disadvantages, the present invention provides a surgical instrument use condition indicating mechanism and a method for using the same, which can display the used state of the surgical instrument.
The technical scheme is as follows:
the surgical instrument use condition indicating mechanism is characterized in that the surgical instrument and the driving seat are installed through an adapter; the surgical instrument is provided with an indicating assembly for indicating the use condition of the surgical instrument through the state change of the indicating assembly, and the indicating assembly is driven by a driving shaft of the driving seat to realize the state change of the indicating assembly.
The indicating component comprises a rotating part and an indicating part which are matched with each other, the rotating part is in butt joint with a driving shaft of the driving seat to transmit torque, and the indicating part is matched with the rotating part and converts the transmitted torque into linear motion of the rotating part to realize state change of the indicating part.
The indicating piece is provided with at least two indicating areas, and the indicating areas are an indicating surgical instrument unavailable area and an indicating surgical instrument use condition area in sequence along the moving direction of the indicating piece;
an indicating hole for displaying the indicating area is arranged on the instrument seat; the indicator realizes the change of the indicating area on the indicator in the indicating hole through the position change of the indicator.
The indication piece is provided with three areas, and the areas for indicating the unavailable area of the surgical instrument, the area for indicating the high using times and the area for indicating the low using times are sequentially arranged along the movement direction of the indication piece.
The area provided on the indicator is designed in the direction of movement of the indicator as a numerical area which indicates in turn the area in which the surgical instrument is not available and the number of times a particular surgical instrument has been used or remains to be used.
The indicator is installed in the surgical instrument in an interference fit mode, so that the rotating piece drives the indicator to move in a single direction.
The surgical instrument is internally provided with a movable groove, the rotating piece is rotatably arranged in the movable groove, and the movable groove is provided with an opening for limiting the indicating piece, so that the rotating piece is driven to do linear motion when rotating.
The indicating piece comprises a matching ring matched with the rotating piece to realize the up-and-down movement of the rotating piece in the movable groove and an indicating block arranged on the side of the matching ring, the matching ring is installed in the movable groove in an interference fit mode, and the indicating area is arranged on the indicating block.
The rotating piece is provided with a spiral surface outside, the indicating piece is provided with a spiral matching surface, and the spiral surface on the rotating piece is matched with the spiral matching surface on the indicating piece so that the rotating piece drives the indicating piece to move linearly when rotating.
The lower end of the rotating piece is provided with a wrenching groove, and the rotating piece rotates to realize manual operation so as to change the state of the indicating piece through manual operation and wrenching of the wrenching groove corresponding to a wrench.
A use method applying the surgical instrument use condition indicating mechanism comprises the following steps:
a memory used for storing the use condition of the surgical instrument is arranged in the surgical instrument;
a driving shaft in the driving seat drives the indicating assembly to realize state change so as to indicate the use condition of the surgical instrument;
comparing the use condition of the surgical instrument indicated by the current state of the indicating assembly with the use condition of the surgical instrument stored in the memory, and using the surgical instrument according to the use condition of the surgical instrument if the information of the surgical instrument and the use condition of the surgical instrument are matched; and if not, performing active failure judgment.
And calculating according to the maximum number of times of use of the surgical instrument and the state change of the indication assembly corresponding to the rotation angle of the driving shaft of the driving seat, so as to obtain the number of times of use of the surgical instrument increased by one rotation angle step length corresponding to the driving shaft of the driving seat, and after the surgical instrument is used, controlling the driving shaft of the driving seat to rotate by the corresponding angle step length, so as to increase the number of times of use of the surgical instrument.
The active failure judging step comprises the following steps: and if the surgical instrument use condition indicated by the current state of the indicating assembly is that the surgical instrument is not usable, modifying the surgical instrument information in the memory into a failure state.
And the active failure judging step also comprises the step of judging whether the current state of the indicating assembly is operated by mistake or not if the operation condition of the surgical instrument indicated by the current state of the indicating assembly is that the surgical instrument can be used.
An anti-counterfeiting method of a surgical instrument applying the using condition indicating mechanism of the surgical instrument comprises the following steps:
the indicating assembly comprises a rotating piece which is in butt joint with a driving shaft of the driving seat to transmit torque;
the position of a rotating part in the surgical instrument is randomly set before the surgical instrument is used, and the rotating angle of the set position relative to the initial position of the surgical instrument is used as an anti-counterfeiting angle to be written into a memory in the surgical instrument;
the instrument is used for the first time, the driving shaft of the driving seat is controlled to drive the rotating part to rotate to the set position, and whether the rotating angle of the driving shaft of the driving seat is matched with the anti-counterfeiting angle in the surgical instrument is judged;
if the matching is carried out, the anti-counterfeiting authentication is passed;
if the matching is wrong, the surgical instrument is judged to be an illegal instrument.
Writing the serial number of the used surgical equipment into a memory in the surgical instrument each time the surgical instrument is used;
when the surgical instrument is used again, the number of the surgical equipment used in the history is compared with the number of the surgical equipment used at this time; if the used equipment is consistent, skipping anti-counterfeiting judgment, and if not, comparing whether the difference between the time of using the surgical instrument last time and the time of using the surgical instrument this time exceeds the set time;
if the time difference exceeds the set time, the surgical instrument is judged to be an illegal instrument;
if the time difference does not exceed the set time, the surgical instrument is judged to be a legal instrument.
Has the advantages that: the invention can judge the use condition of the surgical instrument by a visual identification mode, approximately use times and whether the surgical instrument is invalid, and is more beneficial for doctors to clearly know the remaining use times of the existing inventory instruments; but also can be used for anti-counterfeiting identification.
Drawings
FIG. 1 is a schematic view of a tool holder according to the present invention;
FIG. 2 is a schematic view of the indicating mechanism installation of the present invention;
FIG. 3 is a schematic diagram of the structure of the instrument holder fixing plate according to the present invention;
FIG. 4 is a schematic view of the indicating mechanism of the present invention mounted on the fixture plate of the instrument holder;
FIG. 5 is a schematic view of a rotating member according to the present invention;
FIG. 6 is a schematic view of another angle of the rotating member of the present invention;
FIG. 7 is a schematic view of the lower end face of the rotor of the present invention;
FIG. 8 is a schematic view of the construction of an indicator of the present invention;
FIG. 9 is a schematic view of another angle of the indicator of the present invention;
FIG. 10 is a schematic view of the indicator and the rotating member of the present invention.
Wherein, 10 is an instrument seat, 11 is a shell, 12 is an instrument seat fixing plate, 13 is an instrument seat mounting plate, and 14 is an indicating mechanism;
111 is an indicator hole; 121 is a matching hole, and 122 is a C-shaped groove; 1221 is a projection;
141 is a rotating member, 142 is an indicating member;
1411 is a rotating shaft, 1412 is a spiral block, 1413 is a butt joint disc, 1414 is a butt joint groove, and 1415 is a pulling groove;
a matching ring 1421, a matching block 1422, and an indicator block 1423.
Detailed Description
The invention is further elucidated with reference to the drawings and the embodiments.
Fig. 1 is a schematic view of an instrument base according to the present invention, fig. 2 is a schematic view of an indicating mechanism according to the present invention, and as shown in fig. 1 and 2, an indicating mechanism 14 for indicating the use condition of a surgical instrument according to the present invention is installed in the instrument base 10, and an indicating hole 111 is formed at a corresponding position on a housing 11 of the instrument base 10 for observing a state change of the indicating mechanism 14.
Specifically, as shown in fig. 2, the instrument holder 10 is provided with an instrument holder fixing plate 12 and an instrument holder mounting plate 13 which are fitted to each other, and the indicating mechanism 14 is mounted between the instrument holder fixing plate 12 and the instrument holder mounting plate 13. As shown in fig. 3, a fitting hole 121 is formed in the instrument holder fixing plate 12 at a position corresponding to an output shaft on the motor base of the instrument assembly, a C-shaped groove 122 is formed in the inner end surface of the instrument holder fixing plate 12 at the side of the fitting hole and extends in the axial direction, and an opening of the C-shaped groove 122 faces the outer side surface of the instrument holder 10; a plurality of axially extending projections 1221 are uniformly arranged in the circumferential direction of the groove wall of the C-shaped groove 122.
The indicating mechanism 14 of the present invention is mounted in the C-shaped groove 122, and as shown in fig. 4, the indicating mechanism 14 of the present invention includes a rotor 141 rotatably mounted in the C-shaped groove 122 and an indicator 142 mounted in the C-shaped groove 122 and engaged with the rotor 141. Fig. 5 is a schematic structural diagram of the rotating member of the present invention, as shown in fig. 5, the rotating member 141 is a rotating shaft 1411 inserted into the matching hole 121 and the C-shaped groove 122 of the fixed plate 12 of the instrument holder, the lower end of the rotating shaft 1411 is fixedly connected to a docking tray 1413, a docking groove 1414 for docking with the docking protrusion on the adapter of the instrument assembly is formed on the lower end surface of the docking tray 1413, and the output shaft of the motor holder of the instrument assembly is in docking fit with the docking groove 1414 on the docking tray 1413 through the adapter to drive the rotating shaft 1411 to rotate, as shown in fig. 7.
A spiral block 1412 is further arranged outside the rotating shaft 1411, and the upper end face of the spiral block 1412 is a spiral surface; the radian of the spiral surface on the spiral block 1412 in the circumferential direction is less than 360 degrees, and the spiral block 1412 at the end point of the spiral surface is designed into a vertical limiting surface arranged along the axis, as shown in fig. 6.
As shown in fig. 2, the rotating shaft 1411 of the rotating member 141 passes through the fitting hole 121 and the C-shaped groove 122 of the instrument holder fixing plate 12, and has an upper end rotatably mounted on the instrument holder mounting plate 13 via a bearing, and a lower end abutting against the abutting plate 1413 on the lower end surface of the instrument holder fixing plate 12; further, a mounting hole for penetrating the rotating shaft 1411 is formed in a corresponding position on the instrument base mounting plate 13; the upper end of the rotating shaft 1411 is rotatably mounted through a bearing mounted on the instrument holder mounting plate 13 and is in interference fit with the mounting hole.
Further, a counter bore is provided on the lower end surface of the instrument holder fixing plate 12 on the side of the fitting hole 121, and a docking plate 1413 on the lower end of the rotating member 141 is provided in the counter bore.
Further, a pulling groove 1415 is formed in the center of the lower end surface of the docking tray 1413 of the rotating member 141, the pulling groove 1415 is designed to be a polygonal hole, and the rotating member 141 can be driven to rotate by a corresponding polygonal shaft wrench, so that the rotating member 141 can be manually operated to rotate, as shown in fig. 7. Further, the polygonal hole is designed as a hexagonal hole.
Fig. 8 is a schematic structural diagram of the indicator of the present invention, as shown in fig. 8, the indicator 142 includes a fitting ring 1421 sleeved outside the rotating shaft 1411 of the rotating member 141 and an indicating block 1423 radially and outwardly extending from an outer wall of the fitting ring 1421, an outer diameter of the fitting ring 1421 is equal to or slightly smaller than an inner diameter of the C-shaped groove 122, and since a plurality of protrusions 1221 axially extending are disposed on a wall of the C-shaped groove 122, an interference fit is formed between the fitting ring 1421 and the C-shaped groove 122; a matching block 1422 matched with the spiral block 1412 arranged outside the rotating shaft 1411 is arranged in the matching ring 1421, a spiral matching surface correspondingly matched with the spiral surface on the spiral block 1412 is arranged on the matching block 1422, and the other end of the matching block 1422 is designed to be a limit matching surface correspondingly matched with the vertical limit surface at the end point of the spiral surface, as shown in fig. 9. In the present invention, the helix angle of the helical mating surface on the mating block 1422 is determined according to the correspondence between the rotation and the vertical movement required in practice, and the helical surface on the helical block 1412 is designed correspondingly.
As shown in fig. 2, 3, 4, and 8, when the rotating member 141 is installed in the instrument holder 10, the indicating block 1423 is disposed at the opening of the C-shaped groove 122, the C-shaped groove 122 limits the rotation of the engaging ring 1421, and the indicating block 1423 is movable in the vertical direction along the opening of the C-shaped groove 122; three continuous areas are divided on the outer end surface of the indicating block 1423 along the vertical direction, wherein the uppermost area is a low-use-frequency area (denoted by green in the present invention), the middle area is a high-use-frequency area (denoted by yellow in the present invention), the lowermost area is an unusable area (denoted by red in the present invention), the length of each area in the vertical direction is determined according to the maximum usable frequency of the actual instrument, and the uppermost area of the indicating block 1423 is located at the position of the indicating hole 111 of the housing 11 for displaying by the position of the matching ring 1421 at the beginning, and the rotating member 141 is driven to rotate once by the motor base output shaft after each instrument use, so that the indicating block 1423 moves one step upwards in the vertical direction by the matching between the rotating shaft 1411 and the matching ring 1421, thereby adjusting the area state displayed at the indicating hole 111 of the housing 11, as shown in fig. 10. The number of uses of the instrument indicated in each region is determined by the maximum number of uses of the actual instrument, the size of the region, and the rotation angle of the rotating member 141 after each use of the instrument.
In the present invention, when the instrument is brand new and not in use, the engaging ring 1421 is in the initial position, and the area displayed by the indicating hole 111 is the uppermost area, i.e. the area is displayed in full green; as the instrument is used more times, the uppermost region (i.e., green region) is displayed less and the middle region (i.e., yellow region) is displayed more; when the instrument is not available, the lowermost region (i.e., the red region) is displayed in its entirety, and the instrument is discarded.
In the present invention, the indicating hole 111 of the housing 11 of the instrument holder 10 is located at the center of the indicating block 1423 in the horizontal direction.
In the present invention, the number of the continuous regions divided in the vertical direction on the outer end surface of the indication block 1423 may also be designed to be 2, which are the number of usage times indication region and the unavailable region, respectively, and when the instrument is still usable, the usage condition of the instrument is indicated by the positional relationship between the usage times indication region and the unavailable region displayed by the indication hole; the instrument is not usable when the indicator aperture displays an unusable area.
Further, the continuous region divided in the vertical direction on the outer end face of the indicator block 1423 may also be designed into a finer number of regions to achieve more accurate display of the instrument usage; it is also possible to divide the area into an unusable area and several numerical areas indicating the number of uses of the instrument, so that the number of uses of the instrument can be displayed.
In the present invention, the length of each region on the indication block 1423 in the vertical direction may be designed such that the rotation angle corresponding to each state transition is at least 50 °, that is, the change from the full green region to the green-free region is at least 50 °; when the number of times of using the instrument is 10, and the angle is changed to be at least 5 degrees every time, the instrument is completely green when being brand new, about ten percent yellow is displayed when being used once, the rest areas are green, about ten percent green is displayed when being used once, the rest areas are yellow, and red is directly displayed when the rest number of times of using is 0; the rotation angle of the rotation member 141 is designed to be larger when the remaining number of times of use is changed from one time to 0 than when the remaining number of times of use is larger than 0, so that the change process from yellow to red is an abrupt process, and the change from green to yellow is a gradual process.
In the invention, because the matching ring 1421 is in interference fit with the C-shaped groove 122, the rotating shaft 1411 can only drive the matching ring 1421 to move upwards, and when the upward movement force of the rotating shaft is lost, the matching ring 1421 cannot move downwards under the action of the friction force between the matching ring 1421 and the groove wall of the C-shaped groove 122, so that the indicating mechanism is in one-way adjustment.
The working principle of the invention is as follows:
an RFID chip used for storing instrument information on the instrument seat 10 is arranged in the instrument seat 10, the instrument information generally comprises the use times of the instrument, the highest use times and an instrument unique identification code, and the information in the RFID chip is written in an encrypted mode; a reader-writer used for reading and writing the instrument information in the RFID chip is arranged in the surgical equipment, the RFID chip is decrypted and read by the reader-writer, the instrument information on the instrument seat 10 can be obtained or modified, and the specific content of the information in the RFID chip cannot be decrypted under the condition of no authorization;
calculating the angle step length of the rotation part 141 required by increasing the use times of the instrument for one time according to the maximum use times of the instrument, the length of the upper area of the indication block 1423 and the movement distance of the indication block 1423 corresponding to the rotation angle of the rotation part 141 in the vertical direction, and after the instrument is used each time, controlling the corresponding motor base output shaft to rotate the angle step length so as to increase the use times of the instrument for one time and reflect the increase through the movement of the upper area of the indication block 1423;
the rotating part 141 on the instrument base 10 rotates to the initial position, the instrument base 10 is installed in a butt joint mode with the adapter, the butt joint disc 1413 of the rotating part 141 is in butt joint with the butt joint bulge of the adapter through the butt joint groove 1414 of the rotating part, the motor base output shaft drives the rotating part 141 to rotate synchronously in a low-torque output mode, and when the motor is moved to the position of the indicating part 142, the motor is locked to obtain the current position of the rotating part 141, so that the corresponding instrument use times are obtained; after the instrument is used, the corresponding motor base output shaft is controlled to rotate by the angle step length (at the moment, the torque output by the motor base output shaft is larger than the friction force of the indicating piece 142 in the C-shaped groove 122, so that the indicating piece 142 can be driven to rotate), the using frequency of the instrument is increased once, and the using frequency is recorded into the RFID chip; if the used times of the instruments are detected to reach the maximum used times, the instruments are discarded.
When an accident occurs during the use of the instrument, and the instrument cannot be used continuously, the wrench can be inserted into the wrenching groove 1415, and the rotating member 141 is manually controlled to rotate to the red display area of the indicating hole 111, so that active failure treatment is performed; and because of unidirectional adjustment, the failure operation of the instrument is in an irreversible manner.
Wherein, before the apparatus uses, motor cabinet output shaft takes a rotation piece 141 synchronous revolution with low moment output mode to obtain the apparatus number of times of use according to the current position of rotating the piece after and compare with information in the RFID chip, if both apparatuses number of times of use unanimous then the apparatus can normal use, if inconsistent need carry out initiative failure judgement, specifically as follows:
if the rotation position of the rotating member 141 is not consistent with the number of times of using the device in the RFID chip and the rotation position of the rotating member 14 is a failure position, the number of times of using the device in the RFID chip is changed to a failure state by the reader/writer, and the device is prohibited from being used;
if the rotating position of the rotating part 141 is inconsistent with the use times of the instruments in the RFID chip and the rotating position of the rotating part 14 is not in a failure state, the surgical equipment prompts and needs to manually judge whether the instruments fail; when active failure processing is performed, the rotating member is not rotated to the position when operated by the wrench, that is, not rotated to the failure position, or the rotating member 141 is rotated by the wrench for instrument misoperation but not rotated to the failure position; if the instrument is judged to be invalid manually, the information of the instrument in the RFID chip is changed into invalid and/or the instrument is actively subjected to invalidation treatment by using a wrench through a reader-writer of the surgical equipment, if the instrument is judged not to be invalid manually, the instrument is continuously used, the indicating piece cannot move until the actual use frequency of the instrument reaches the indication frequency of the current indicator, and the indicating piece can continue to move to correctly indicate the use frequency of the instrument when the actual use frequency of the instrument reaches the indication frequency of the current indicator.
The invention also provides a use method of the surgical instrument use condition indicating mechanism, which comprises the following steps:
the rotating part 141 on the instrument base 10 rotates to the initial position, the instrument base 10 is installed in a butt joint mode with the adapter, the butt joint disc 1413 of the rotating part 141 is in butt joint with the corresponding adapter, and the surgical equipment controls the motor base output shaft corresponding to the rotating part 141 to rotate so as to drive the rotating part 141 to rotate to the position corresponding to the current instrument use frequency; after the instrument is used, the corresponding motor base output shaft is controlled to rotate by the angle step length so as to increase the use times of the instrument for one time; if the used times of the instruments are detected to reach the maximum used times, the instruments are discarded.
Further, when the instrument base 10 is configured to leave a factory, the position of the rotating member 141 is randomly programmed and stored in the RFID chip, that is, the leaving position of the rotating member 141 is not fixed, and the motor base output shaft drives the rotating member 141 to rotate synchronously and stops when moving to the programmed position of the rotating member 141, generally rotating by 1-5 ° relative to the initial position; the rotation angle of the factory position of the rotating part 141 relative to the zero position thereof is used as an anti-counterfeiting angle, the unique identification code of the instrument and the corresponding anti-counterfeiting angle are written into the RFID chip of the instrument seat 10, and the display of the indicating part 142 is green when the anti-counterfeiting angle is positioned;
when the instrument is used for the first time, the number of the used surgical equipment is written into an RFID chip in a mechanical seat through a reader-writer in the surgical equipment, the output shaft of the motor seat is controlled to rotate to enable an adapter of an adapter to be in butt joint with a rotating piece 141, the output shaft of the motor seat drives the rotating piece 141 to rotate synchronously in a low-torque output mode, and the motor stops rotating when the motor stops rotating (at the moment, the torque output by the output shaft of the motor seat is smaller than the friction force applied to an indicating piece 142 in a C-shaped groove 122, so that the motor stops rotating), and at the moment, the rotating angle of the rotating piece 141 is matched with the anti-counterfeiting angle recorded in the RFID chip in the mechanical seat; if the matching is carried out, the anti-counterfeiting authentication is passed; if the matching is wrong, the instrument is judged to be an illegal instrument, the manufacturer is required to be contacted for confirmation, the unique identification code of the instrument is sent to the manufacturer for confirmation, instrument information is returned, and a doctor confirms whether the instrument information is real according to the identification code and judges whether the instrument is usable according to the identification code.
When the instrument is used every time, the used surgical equipment number needs to be written into the RFID chip in the instrument seat through a reader-writer in the surgical equipment.
When the instrument is used again, the number of the operation equipment used in the history is compared with the number of the operation equipment at this time; if the used equipment is consistent, skipping anti-counterfeiting judgment, and if not, comparing whether the difference between the last time of using the equipment and the current time exceeds the set time; if the used devices are different and the time difference exceeds the set time, judging that the instrument is an illegal instrument, wherein the set time is 180 days; if the used surgical equipment is different, but the time difference does not exceed the set time, the instrument is judged to be legal.
In the present invention, the rotational member 141 is provided to convert the torque of the motor into linear motion, and the linear motion can provide more body displays in a limited space.
Although the preferred embodiments of the present invention have been described in detail, the present invention is not limited to the details of the foregoing embodiments, and various equivalent changes (such as number, shape, position, etc.) may be made to the technical solution of the present invention within the technical spirit of the present invention, and these equivalent changes are all within the protection scope of the present invention.

Claims (16)

1. The surgical instrument use condition indicating mechanism is characterized in that the surgical instrument and the driving seat are installed through an adapter; the method is characterized in that: the surgical instrument is provided with an indicating assembly for indicating the use condition of the surgical instrument through the state change of the indicating assembly, and the indicating assembly is driven by a driving shaft of the driving seat to realize the state change of the indicating assembly.
2. The surgical instrument use indication mechanism of claim 1, wherein: the indicating component comprises a rotating part and an indicating part which are matched with each other, the rotating part is in butt joint with a driving shaft of the driving seat to transmit torque, and the indicating part is matched with the rotating part and converts the transmitted torque into linear motion of the rotating part to realize state change of the indicating part.
3. The surgical instrument use indication mechanism of claim 2, wherein: the indicating piece is provided with at least two indicating areas, and the indicating areas are an indicating surgical instrument unavailable area and an indicating surgical instrument use condition area in sequence along the moving direction of the indicating piece;
an indicating hole for displaying the indicating area is arranged on the instrument seat; the indicator realizes the change of the indicating area on the indicator in the indicating hole through the position change of the indicator.
4. A surgical instrument use indication mechanism as claimed in claim 3, wherein: the indication piece is provided with three areas, and the areas for indicating the unavailable area of the surgical instrument, the area for indicating the high using times and the area for indicating the low using times are sequentially arranged along the movement direction of the indication piece.
5. A surgical instrument use indication mechanism as claimed in claim 3, wherein: the area provided on the indicator is designed in the direction of movement of the indicator as a numerical area which indicates in turn the area in which the surgical instrument is not available and the number of times a particular surgical instrument has been used or remains to be used.
6. The surgical instrument use indication mechanism of claim 2, wherein: the indicator is installed in the surgical instrument in an interference fit mode, so that the rotating piece drives the indicator to move in a single direction.
7. The surgical instrument use indication mechanism of claim 2, wherein: the surgical instrument is internally provided with a movable groove, the rotating piece is rotatably arranged in the movable groove, and the movable groove is provided with an opening for limiting the indicating piece, so that the rotating piece is driven to do linear motion when rotating.
8. The surgical instrument use indication mechanism of claim 7, wherein: the indicating piece comprises a matching ring matched with the rotating piece to realize the up-and-down movement of the rotating piece in the movable groove and an indicating block arranged on the side of the matching ring, the matching ring is installed in the movable groove in an interference fit mode, and the indicating area is arranged on the indicating block.
9. The surgical instrument use indication mechanism of claim 2, wherein: the rotating piece is provided with a spiral surface outside, the indicating piece is provided with a spiral matching surface, and the spiral surface on the rotating piece is matched with the spiral matching surface on the indicating piece so that the rotating piece drives the indicating piece to move linearly when rotating.
10. The surgical instrument use indication mechanism of claim 2, wherein: the lower end of the rotating piece is provided with a wrenching groove, and the rotating piece rotates to realize manual operation so as to change the state of the indicating piece through manual operation and wrenching of the wrenching groove corresponding to a wrench.
11. A method of using the use condition indicating mechanism of the surgical instrument as claimed in any one of claims 1 to 10, wherein: the method comprises the following steps:
a memory used for storing the use condition of the surgical instrument is arranged in the surgical instrument;
a driving shaft in the driving seat drives the indicating assembly to realize state change so as to indicate the use condition of the surgical instrument;
comparing the use condition of the surgical instrument indicated by the current state of the indicating assembly with the use condition of the surgical instrument stored in the memory, and using the surgical instrument according to the use condition of the surgical instrument if the information of the surgical instrument and the use condition of the surgical instrument are matched; and if not, performing active failure judgment.
12. Use according to claim 11, characterized in that: and calculating according to the maximum number of times of use of the surgical instrument and the state change of the indication assembly corresponding to the rotation angle of the driving shaft of the driving seat, so as to obtain the number of times of use of the surgical instrument increased by one rotation angle step length corresponding to the driving shaft of the driving seat, and after the surgical instrument is used, controlling the driving shaft of the driving seat to rotate by the corresponding angle step length, so as to increase the number of times of use of the surgical instrument.
13. Use according to claim 11, characterized in that: the active failure judging step comprises the following steps: and if the surgical instrument use condition indicated by the current state of the indicating assembly is that the surgical instrument is not usable, modifying the surgical instrument information in the memory into a failure state.
14. Use according to claim 13, characterized in that: and the active failure judging step also comprises the step of judging whether the current state of the indicating assembly is operated by mistake or not if the operation condition of the surgical instrument indicated by the current state of the indicating assembly is that the surgical instrument can be used.
15. A surgical instrument anti-counterfeiting method using the surgical instrument use condition indicating mechanism according to any one of claims 1 to 10, characterized in that: the method comprises the following steps:
the indicating assembly comprises a rotating piece which is in butt joint with a driving shaft of the driving seat to transmit torque;
the position of a rotating part in the surgical instrument is randomly set before the surgical instrument is used, and the rotating angle of the set position relative to the initial position of the surgical instrument is used as an anti-counterfeiting angle to be written into a memory in the surgical instrument;
the instrument is used for the first time, the driving shaft of the driving seat is controlled to drive the rotating part to rotate to the set position, and whether the rotating angle of the driving shaft of the driving seat is matched with the anti-counterfeiting angle in the surgical instrument is judged;
if the matching is carried out, the anti-counterfeiting authentication is passed;
if the matching is wrong, the surgical instrument is judged to be an illegal instrument.
16. The surgical instrument anti-counterfeiting method according to claim 15, wherein: writing the serial number of the used surgical equipment into a memory in the surgical instrument each time the surgical instrument is used;
when the surgical instrument is used again, the number of the surgical equipment used in the history is compared with the number of the surgical equipment used at this time; if the used equipment is consistent, skipping anti-counterfeiting judgment, and if not, comparing whether the difference between the time of using the surgical instrument last time and the time of using the surgical instrument this time exceeds the set time;
if the time difference exceeds the set time, the surgical instrument is judged to be an illegal instrument;
if the time difference does not exceed the set time, the surgical instrument is judged to be a legal instrument.
CN202111663913.8A 2021-12-31 2021-12-31 Indication mechanism for use condition of surgical instrument, use method and anti-counterfeiting method for surgical instrument Active CN114176668B (en)

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CN212755769U (en) * 2020-08-12 2021-03-23 盈甲医疗器械制造(上海)有限公司 Electric anastomat capable of recording operation times by color change of indicator lamp
WO2021202869A1 (en) * 2020-04-02 2021-10-07 Intuitive Surgical Operations, Inc. Devices for instrument use recording, devices for recording instrument reprocessing events, and related systems and methods

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US5359993A (en) * 1992-12-31 1994-11-01 Symbiosis Corporation Apparatus for counting the number of times a medical instrument has been used
CN106102637A (en) * 2014-03-17 2016-11-09 直观外科手术操作公司 Indicator means for the surgical operating instrument that actuator controls
CN110772342A (en) * 2014-04-17 2020-02-11 柯惠Lp公司 End-of-life delivery system for surgical instruments
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