CN114533165A - Electric endoscope anastomat and control method and control device thereof - Google Patents

Electric endoscope anastomat and control method and control device thereof Download PDF

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Publication number
CN114533165A
CN114533165A CN202210067516.2A CN202210067516A CN114533165A CN 114533165 A CN114533165 A CN 114533165A CN 202210067516 A CN202210067516 A CN 202210067516A CN 114533165 A CN114533165 A CN 114533165A
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China
Prior art keywords
nail bin
bin assembly
timing
control method
assembly
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CN202210067516.2A
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Chinese (zh)
Inventor
高祥民
齐明英
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Transeasy Medical Tech Co ltd
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Transeasy Medical Tech Co ltd
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Priority to CN202210067516.2A priority Critical patent/CN114533165A/en
Publication of CN114533165A publication Critical patent/CN114533165A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical 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
    • A61B17/07207Surgical 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017Electrical control of surgical instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00115Electrical control of surgical instruments with audible or visual output
    • A61B2017/00119Electrical control of surgical instruments with audible or visual output alarm; indicating an abnormal situation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0042Surgical instruments, devices or methods, e.g. tourniquets with special provisions for gripping
    • A61B2017/00424Surgical instruments, devices or methods, e.g. tourniquets with special provisions for gripping ergonomic, e.g. fitting in fist
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00681Aspects not otherwise provided for
    • A61B2017/00725Calibration or performance testing
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2560/00Constructional details of operational features of apparatus; Accessories for medical measuring apparatus
    • A61B2560/02Operational features

Abstract

An electric endoscope anastomat and a control method and a control device thereof. The control method comprises the following steps: after electrifying, when confirming that the nail bin assembly is assembled and closed, starting timing; and determining whether to unlock the nail cartridge assembly according to the timing duration and the unlocking instruction. The control method provided by the embodiment of the application can start timing after electrification and when the nail bin assembly is confirmed to be assembled and closed, and determines whether to unlock the nail bin assembly according to timing duration and an unlocking instruction, so that a doctor can conveniently perform firing operation at a proper time, the error firing of the instrument caused by the fact that the doctor operates the instrument by mistake is prevented, and the use convenience and the use safety of the electric endoscope anastomat are improved.

Description

Electric endoscope anastomat and control method and control device thereof
Technical Field
The present disclosure relates to, but not limited to, stapler technologies, and in particular, to a control method and a control device for an electric endoscopic stapler, and an electric endoscopic stapler.
Background
The stapler replaces the traditional manual suture and utilizes titanium nails to perform separation and anastomosis on tissues. The anastomotic nails are blocked by the front nail anvil after penetrating through the two layers of tissues and are bent inwards to form B-shaped staggered arrangement, so that the two layers of tissues are permanently nailed together. Since small blood vessels can pass through the gaps of the "B" shaped staples, the blood supply at the suture site and the distal end thereof is not affected. Because the anastomotic nails are arranged regularly and have equal intervals, the defects of over-sparse and over-dense manual suture, over-tight and over-loose ligation and the like are avoided, the good healing of tissues is ensured, and the operation time is shortened.
Endoscopic staplers make it possible to perform surgery through smaller incisions. This results in less tissue damage than conventional surgery. Through a small incision, the surgeon may insert a tiny light source, camera, and surgical instrument. The surgeon guides the operation of the surgical instruments to perform the procedure through the images transmitted to the monitor. It causes less damage than traditional operation, and laparoscopic surgery has many advantages: the hospital stay is shorter (most cases), the postoperative pain is less, the patient can return to the working position earlier, and the scar is smaller.
The endoscope anastomat is widely applied to the fields of thoracic surgery, gastrointestinal surgery, hepatobiliary, splenic-pancreatic surgery, general surgery, urinary surgery and other operations, and is used for treating gastric cancer, weight-reducing gastrectomy, rectal cancer, colon cancer, bronchogenic carcinoma, lung cancer, chronic obstructive pulmonary disease, lung cyst, duodenal tumor, esophageal cancer, cirrhosis portal hypertension and other diseases.
At present, a special suturing device for an endoscope, namely a common one-time linear cutting endoscope anastomat, has six rows of suturing nails, a nail box is internally provided with a brand new blade, and the blade cuts off tissues from the middle when the suturing nails are closed, so that three rows of suturing nails at two sides can finish the functions of suturing, stopping bleeding and the like. At present, the proportion of the foreign minimally invasive surgery reaches 80-90 percent, but the proportion of the best hospital minimally invasive surgery in China reaches 70 percent, and the proportion of the second and third-line hospital minimally invasive surgery is lower. Therefore, the minimally invasive surgery still has a large development space in China. Among them, laparoscopic surgery is a newly developed minimally invasive method, which is an inevitable trend for the development of future surgical methods.
In actual use at present, the suturing device special for the endoscope mainly has two types: one is a manual endoscope anastomat, and the other is an electric endoscope anastomat.
The manual endoscope anastomat mainly realizes the forward movement of a cutting knife by a rack and a triggering propelling piece, and the backward movement needs to be manually pulled back. The nail bin assembly is opened and closed by pushing the inclined plane on the nail abutting seat by a cutter pin on the cutting knife so as to realize the opening and closing of the nail abutting seat. The whole structure is relatively simple, the operation is complex, the stability of the instrument in working is poor, and the change of the firing force is obvious. The speed and the speed of the transmission of the instrument are greatly influenced by manual operation, and particularly the difference of the gripping power of each person is large. The result is that the cutting blade cuts tissue at a slower rate, which can easily cause irregularities in the cut tissue surface. The speed of the nail pushing sheet is also low, so that the problems of poor nail shape and the like are easily caused, and the final effect of the operation is easily influenced.
The electric endoscope anastomat comprises a storage battery, a circuit control system, a miniature motor with a speed reducer, a transmission system, a safety system and the like. Through the electromechanical combination, the operation becomes simple, the stability of the apparatus during operation that can be fine control, use and obtain extensive popularization. Compared with the traditional endoscope anastomat, the electric endoscope anastomat has the following advantages besides the advantages of the traditional endoscope anastomat: 1) the tissue cutting and suturing functions are automatically realized, so that the instrument is stably fired in the operation process, and the risk of manual intervention on the instrument is reduced; 2) the anastomotic nail has good forming and regular tissue incision; 3) the electric operation is simple, convenient and quick, and the operation time is greatly shortened.
In recent years, the use of staplers in surgery has become relatively common, subject to factors such as the rapid increase in the amount of surgery, particularly minimally invasive surgery. The clinical utilization rate of the direct prefecture market exceeds 90%, the grade market exceeds 70%, the basic level is limited by the level of doctors, the clinical utilization rate is relatively low, a large lifting space is provided, and particularly, the electric endoscope linear cutting anastomat has a larger requirement on clinical application. How to further improve the operation convenience and the use safety of the electric endoscope anastomat is a research hotspot of technicians in the field to meet the increasing market demand.
Disclosure of Invention
The embodiment of the application provides a control method for an electric endoscope anastomat, which can improve the operation convenience and the use safety of the electric endoscope anastomat.
The embodiment of the application provides a control method for an electric endoscopic stapler, wherein the electric endoscopic stapler comprises a stapler main body and a staple cartridge assembly connected with the stapler main body, and the control method comprises the following steps: after electrifying, when the nail bin assembly is confirmed to be assembled and closed, timing is started; and determining whether to unlock the nail cartridge assembly according to the timing duration and the unlocking instruction.
In an exemplary embodiment, the determining whether to unlock the cartridge assembly based on the timed length and the unlock instruction comprises: when the timing duration is longer than or equal to a set duration, receiving the unlocking instruction, and unlocking the nail bin assembly to enable the nail bin assembly to be fired; and when the timing duration is less than the set timing duration, receiving the unlocking instruction, and keeping locking the nail bin assembly to limit the nail bin assembly to be fired.
In an exemplary embodiment, the determining whether to unlock the cartridge assembly based on a timed length and an unlock command further comprises: after the unlocking instruction is received when the timing duration is shorter than the set duration, the unlocking instruction is received again, the timing duration is still shorter than the set duration when the unlocking instruction is received again, and the lock on the nail bin assembly is released so that the nail bin assembly can be triggered; and/or after the unlocking instruction is received when the timing duration is less than the set timing duration, the lock on the nail bin assembly is released until the timing duration is greater than or equal to the set timing duration, so that the nail bin assembly can be fired.
In an exemplary embodiment, the set time period is in a range of 10s to 15 s.
In an exemplary embodiment, the control method further includes: when the locking of the nail bin assembly is released, a first prompt signal is sent out to prompt the unlocking of the nail bin assembly; and when the locking of the nail cartridge assembly is kept, a second prompt signal is sent out to prompt that the nail cartridge assembly is not unlocked.
In an exemplary embodiment, the first cue signal comprises: displaying a flashing forward arrow; the second cue signal comprises: and displaying the flashing timing duration.
In an exemplary embodiment, the control method further includes: after the locking of the nail bin assembly is released, a firing instruction is received, the nail bin assembly is controlled to fire, and a third prompt signal is sent out; and after the nail bin assembly is controlled to finish the firing, a fourth prompt signal is sent out and the nail bin assembly is controlled to automatically retract to the initial position.
In an exemplary embodiment, the third cue signal includes: displaying a normally bright forward arrow; the fourth cue signal comprises: a normally bright back arrow is displayed.
In an exemplary embodiment, the control method further includes: when the current is detected to exceed a set threshold value in the firing process of the nail bin assembly, a fifth prompt signal is sent to prompt the input of an electric backspacing instruction; and when the electric backspacing instruction is received but the nail cartridge assembly fails, a sixth prompt signal is sent to prompt the nail cartridge assembly to be manually backspaced.
In an exemplary embodiment, the fifth cue signal includes: displaying the first error code; the sixth cue signal comprises: and displaying the second error code.
In an exemplary embodiment, the control method further includes: and when the nail bin assembly is electrically retracted and opened, a seventh prompt signal is sent to prompt that the use is finished.
In an exemplary embodiment, the seventh prompt signal is: the back arrow is off.
In an exemplary embodiment, after the energizing, before the step of starting timing when it is confirmed that the cartridge assembly is assembled and closed, the control method further comprises: carrying out system self-check after electrifying to confirm whether the electric endoscope anastomat is normal or not; and when the electric endoscope anastomat is confirmed to be abnormal, an eighth prompt signal is sent to prompt the replacement of the electric endoscope anastomat.
In an exemplary embodiment, the eighth prompt signal is: displaying a second error code or displaying a black screen.
In an exemplary embodiment, after the energizing, when the cartridge assembly is confirmed to be assembled and closed, the timing step and the step of determining whether to unlock the cartridge assembly according to the timing length and the unlocking instruction further comprise at least one of the following steps: stopping timing and clearing when the nail bin component is detected to be opened, and restarting timing when the nail bin component is detected to be closed again; in the step of determining whether to unlock the nail bin assembly according to the timing duration and the unlocking instruction, the timing duration is the timing duration of the last timing process in the step.
In an exemplary embodiment, the control method further includes: and after the power is switched on, the residual electric quantity of the electric endoscope anastomat is displayed.
The embodiment of the application also provides a control device for the electric endoscopic stapler, which comprises a processor and a memory, wherein the memory stores a computer program, and the processor executes the computer program to realize the steps of the control method in any one of the above embodiments.
The embodiment of the application also provides an electronic chamber mirror anastomat, includes: a stapler body; the nail bin assembly is movably connected with the anastomat main body; the control device is electrically connected with the anastomat main body and comprises a timing module and a control module; the timing module is arranged to start timing when the nail bin assembly is completely assembled and closed after being electrified; the control module is configured to determine whether to unlock the staple cartridge assembly based on a timed length and an unlock command.
In an exemplary embodiment, the control apparatus further includes: and the display component is electrically connected with the control module and used for displaying corresponding prompt signals according to the working state of the electric endoscope anastomat.
In one exemplary embodiment, the stapler body includes a closure trigger having an annular shape with an inner wall surface provided with a mating surface for mating with a finger.
Compared with the prior art, the control method and the control device for the electric endoscope anastomat and the electric endoscope anastomat provided by the embodiment of the application have the following beneficial technical effects:
1) have the apparatus self-checking function: before starting to use the instrument, the system automatically detects whether switches of the instrument are in an initial state or not. Or after the instrument finishes one cutting and before the nail box replacing component is cut again, the switch is detected and determined whether the switch is in the initial position state or not. If the switches are not in the initial positions, the instrument can give out error reminding.
2) Whether the locking of the nail bin assembly is released or not is judged by combining a confirmation key (namely a safety button) with the timing duration. Before the cutting tissue is fired, the doctor controls a confirmation button to confirm the time when the tissue is squeezed and select the time when the tissue is cut, and confirms whether the operation can be fired or not. The function can prevent the error firing of the instrument under the condition that the doctor operates the instrument by mistake.
3) The closed trigger adopts a closed annular design, so that the phenomenon of slipping between the closed handle and a hand due to repeated jaw closing or opening actions of a doctor is prevented, the requirements of ergonomics are met, and the operation is safer, more convenient and faster.
4) And a safety reminding function of the display screen. The display screen has an indication arrow which indicates the state (closing/opening/firing/retracting, etc.) of the instrument at the moment; displaying the residual electric quantity when the electric quantity is available; timing display: the time of seconds after the jaw is closed is convenient for a doctor to record time and remind the doctor to trigger.
5) The control system for the operation of the instrument ensures that the operation steps are more reasonable, safe and reliable. The jaw closing/opening, the percussion confirmation, the electric percussion, the electric returning and the jaw opening are carried out, the whole instrument operation process has the functions of safety reminding, misoperation reminding, function failure reminding and instrument failure safety returning, and various risks in the use process can be effectively avoided.
Additional features and advantages of the application will be set forth in the description which follows, and in part will be obvious from the description, or may be learned by the practice of the application. Other advantages of the present application may be realized and attained by the instrumentalities and combinations particularly pointed out in the specification and the drawings.
Drawings
The accompanying drawings are included to provide an understanding of the present disclosure and are incorporated in and constitute a part of this specification, illustrate embodiments of the disclosure and together with the examples serve to explain the principles of the disclosure and not to limit the disclosure.
Fig. 1 is a schematic flowchart of a control method according to an embodiment of the present application;
fig. 2 is a schematic flowchart of a control method according to an embodiment of the present application;
fig. 3 is a schematic diagram of a control device according to an embodiment of the present application.
FIG. 4 is an exploded view of an electric endoscopic stapler according to an embodiment of the present application;
FIG. 5 is an assembled schematic view of the stapler body of the electric endoscopic stapler shown in FIG. 4;
FIG. 6 is an assembled schematic view of the electric endoscopic stapler shown in FIG. 4;
FIG. 7 is a schematic view of the electric endoscopic stapler of FIG. 6 in an open state;
FIG. 8 is a schematic view of the electric endoscopic stapler shown in FIG. 6 in a closed state;
FIG. 9 is a schematic view of the rotating head assembly swinging the jaws in a first direction;
FIG. 10 is a schematic view of the rotating head assembly swinging the jaws in a second direction;
FIG. 11 is a schematic view of a display assembly according to an embodiment of the present application in a first state;
FIG. 12 is a schematic view of the display assembly of FIG. 11 in a second state;
FIG. 13 is a schematic view of the display assembly of FIG. 11 in a third state;
FIG. 14 is a schematic view of the motorized endoscopic stapler of FIG. 6 with the display assembly removed;
FIG. 15 is a schematic view of the electric endoscopic stapler of FIG. 14 being manually retracted;
FIG. 16 is a schematic view of an electric endoscopic stapler according to an embodiment of the present application;
FIG. 17 is a schematic view of an electric endoscopic stapler according to an embodiment of the present application;
wherein the reference numbers are as follows:
1, a stapler main body, 11 a stapler body component, 111 a closing trigger, 1111 a matching surface, 112 a confirmation key, 113 a firing key, 114 a reverse key, 115 a reset key, 116 an operating handle, 12 a rotating head component, 121 a jaw, 122 a knob, 13 a display component, 131 a first display area, 132 a second display area, 133 a third display area, 134 a first reserved display area, 135 a second reserved display area and 14 a battery component;
2, a nail bin assembly;
3 control device, 31 processor, 32 memory.
Detailed Description
The present application describes embodiments, but the description is illustrative rather than limiting and it will be apparent to those of ordinary skill in the art that many more embodiments and implementations are possible within the scope of the embodiments described herein. Although many possible combinations of features are shown in the drawings and discussed in the detailed description, many other combinations of the disclosed features are possible. Any feature or element of any embodiment may be used in combination with or instead of any other feature or element in any other embodiment, unless expressly limited otherwise.
The present application includes and contemplates combinations of features and elements known to those of ordinary skill in the art. The embodiments, features and elements disclosed in this application may also be combined with any conventional features or elements to form a unique inventive concept as defined by the claims. Any feature or element of any embodiment may also be combined with features or elements from other inventive aspects to form yet another unique inventive aspect, as defined by the claims. Thus, it should be understood that any of the features shown and/or discussed in this application may be implemented alone or in any suitable combination. Accordingly, the embodiments are not limited except as by the appended claims and their equivalents. Furthermore, various modifications and changes may be made within the scope of the appended claims.
Further, in describing representative embodiments, the specification may have presented the method and/or process as a particular sequence of steps. However, to the extent that the method or process does not rely on the particular order of steps set forth herein, the method or process should not be limited to the particular sequence of steps described. Other orders of steps are possible as will be understood by those of ordinary skill in the art. Therefore, the particular order of the steps set forth in the specification should not be construed as limitations on the claims. Further, the claims directed to the method and/or process should not be limited to the performance of their steps in the order written, and one skilled in the art can readily appreciate that the sequences may be varied and still remain within the spirit and scope of the embodiments of the present application.
The embodiment of the application provides a control method for an electric endoscope anastomat. As shown in fig. 4 to 7, the electric endoscopic stapler comprises a stapler body 1 and a cartridge assembly 2 connected to the stapler body 1. The stapler body 1 includes: a rotating head assembly 12, a display assembly 13, a body assembly 11 and a battery assembly 14.
The rotating head assembly 12 and the body assembly 11 are fixedly connected along the axial direction of the rotating head assembly 12 and can rotate 360 degrees around the axis of the rotating head assembly. The display component 13 is assembled with the body component 11 through the upper and lower clamping grooves and is detachably connected. The battery assembly 14 is assembled with the body assembly 11 through a card slot and is detachably connected. Cartridge assembly 2 is assembled with jaw 121 of rotary head assembly 12 and is removable for replacement with a new cartridge assembly 2.
As shown in fig. 7 and 8, the body assembly 11 includes various functional operating members, including but not limited to the following: a closure trigger 111, a confirmation button 112, a fire button 113, a reverse button 114, and a reset button 115.
Closing the trigger 111: the opening and closing of the closure trigger 111 corresponds to the opening and closing of the jaws 121, namely: when the closing trigger 111 is closed, the jaws 121 are closed, that is, the cartridge assembly 2 is closed; the closure trigger 111 is opened and the jaws 121 are opened, i.e., the cartridge assembly 2 is opened.
Confirmation key 112: and the lock is matched with a safety system of the nail bin assembly 2 in a linkage manner, and an unlocking instruction is input when the confirmation key 112 is pressed, so that the nail bin assembly 2 is unlocked. The confirmation button 112 is used for confirming the time when the tissue is pressed and selecting the time when the tissue is cut before the cutting tissue is fired, and confirming whether the operation can be fired. The key is mainly arranged to prevent the possibility of error firing of the instrument under the condition of error operation of a doctor.
The trigger button 113: and the trigger button 113 is linked and matched with a driving device of the nail bin assembly 2, and a trigger instruction is input when the trigger button 113 is pressed, so that the nail bin assembly 2 is started, and the trigger operation is executed.
Reverse key 114: and the reverse button 114 is pressed in linkage fit with a driving device of the nail bin assembly 2, namely, an electric backspacing instruction is input, and the electric backspacing instruction is used for controlling the nail bin assembly 2 to electrically backspace.
Reset button 115: in cooperation with the locking device of the jaw 121, the reset button 115 is pressed to unlock the jaw 121, so that the jaw 121 can be opened.
The rotating head assembly 12 is provided with a knob 122, when the jaw 121 needs to be bent to clamp the tissue, the knob 122 of the rotating head assembly 12 only needs to be rotated to swing the jaw 121 left and right.
In use, the surgeon would open the jaws 121, install the cartridge assembly 2, then install the battery assembly 14 and energize the instrument, inserting the instrument into the patient's lesion, and close the trigger 111. The surgeon then presses the confirmation button 112 at the appropriate time to unlock the cartridge module 2 and then presses the firing button 113 to fire. After the percussion is finished, the nail bin assembly 2 automatically retracts to the initial position. If the cartridge module 2 cannot complete the firing and cannot advance further, the surgeon is required to press the reverse button 114 to electrically retract the cartridge module 2. If the electric retraction fails, manual operation by a surgeon is required to retract the cartridge assembly 2.
As shown in fig. 1, the control method includes:
step S102: after electrifying, when confirming that the nail bin assembly is assembled and closed, starting timing;
step S104: and determining whether to unlock the nail cartridge assembly according to the timing duration and the unlocking instruction.
The control method provided by the embodiment of the application can start timing after electrification and when the nail bin assembly 2 is confirmed to be assembled and closed, and determines whether to unlock the nail bin assembly 2 according to timing duration and an unlocking instruction, so that a doctor can conveniently perform firing operation at a proper time, the doctor can be prevented from mistakenly firing an instrument under the condition of mistakenly operating the instrument, and the use convenience and the use safety of the electric endoscope anastomat are improved.
Specifically, when the cartridge assembly 2 is fully assembled and closed after power is applied, it indicates that the instrument is beginning to squeeze tissue. At the moment, timing is started, and the timing duration is the squeezing duration of the instrument on the tissues. Because the locking of the nail bin assembly 2 is released for triggering operation only when the squeezing time is proper, the instrument has a better using effect. Therefore, when the locking of the cartridge module 2 is released to start the firing operation is a key operating point of the electric endoscopic stapler during the use process.
Conventionally, the unlocking of the cartridge module 2 is subjectively determined directly by the unlocking instruction of the doctor. On the one hand, doctors can perform rough timing according to own subjective experience or by using an external timing tool (such as a clock or other equipment), and the starting time and the timing duration of the timing are difficult to avoid the situation that the accuracy is not enough and even a large deviation is generated. On the other hand, the doctor may also cause the cartridge module 2 to be unlocked due to misoperation, and further cause the misoperation of firing, thereby affecting the use effect.
According to the scheme, the timing can be automatically started when the instrument starts to squeeze the tissues, the timing is accurate, a doctor does not need to additionally time, and therefore the operation convenience of the product is improved. On the other hand, the unlocking of the nail bin assembly 2 is not subjectively determined by the unlocking instruction of a doctor but is determined by dual factors of the timing duration and the unlocking instruction, so that the phenomenon that the locking of the nail bin assembly 2 is mistakenly unlocked and then mistaken firing operation is caused due to subjective timing deviation or misoperation of the doctor can be effectively avoided, and the use safety of the product is improved.
In an exemplary embodiment, determining whether to unlock the cartridge module 2 based on the timed length and the unlock command includes:
when the timing duration is longer than or equal to the set timing duration, receiving an unlocking instruction, and unlocking the nail bin assembly 2 to enable the nail bin assembly 2 to be fired;
when the timing duration is shorter than the set timing duration, an unlocking instruction is received, and the nail bin assembly 2 is kept locked to limit the percussion of the nail bin assembly 2.
The set time period may be a suitable pressing time period of the device to the tissue, and may be set empirically, such as 10s or 15 s.
When the timing duration is longer than or equal to the set duration, the tissue is squeezed by the instrument for a proper squeezing duration, and the firing operation can be carried out. Therefore, when an unlocking instruction is received at this time, the locking of the cartridge module 2 can be released, so that the cartridge module 2 can be fired.
When the timing duration is shorter than the set duration, the tissue squeezing by the instrument does not reach the proper squeezing duration, and the locking of the nail cartridge component 2 is not suitable to be released, so that the unlocking instruction received at the moment may be the unlocking instruction sent due to misoperation of a doctor. Therefore, when the unlocking instruction is received at this time, the cartridge module 2 is kept locked, so that the cartridge module 2 cannot be fired, and adverse effects caused by misoperation are prevented.
This is equivalent to double insurance on the nail bin assembly 2, and not only the insurance system locks on the mechanical structure, but also a set of insurance on the electric control is added, so as to prevent the nail bin assembly 2 from being mistakenly triggered due to misoperation.
In an exemplary embodiment, determining whether to unlock the cartridge module 2 according to the timing length and the unlock instruction further comprises:
after the unlocking instruction is received when the timing duration is shorter than the set timing duration, the unlocking instruction is received again, the timing duration is still shorter than the set duration when the unlocking instruction is received again, and the lock on the nail bin assembly 2 is released so that the nail bin assembly 2 can be fired.
After the unlocking instruction is received when the timing length is shorter than the set timing length, the unlocking instruction is received again, and the timing length is still shorter than the set timing length after the unlocking instruction is received again, which indicates that under the condition that the timing length is shorter than the set timing length, the doctor sends the unlocking instruction twice in sequence, and at the moment, the instrument executes the unlocking instruction to unlock the nail bin assembly 2, so that the nail bin assembly 2 can be fired.
Since the specific conditions of different patients vary widely, doctors need to reasonably select the specific time for the percussion operation according to the specific conditions of each patient. While it is most appropriate to unlock the cartridge module 2 after a set period of time for the firing operation, in a few cases, it may be necessary to perform the firing operation within the set period of time.
Therefore, according to the scheme of unlocking the nail bin assembly 2 through two unlocking instructions within the set time, the requirements of a doctor can be met, the doctor can reasonably select the specific time for unlocking the nail bin assembly 2 and triggering according to actual conditions, the use flexibility of the product is improved, the use scene range of the product is expanded, and the use experience of a user is improved. Of course, the cartridge module 2 may be unlocked by three or more unlocking commands within a set period of time.
In an exemplary embodiment, determining whether to unlock the cartridge module 2 according to the timing length and the unlock instruction further comprises:
after the unlocking instruction is received when the timing duration is less than the set timing duration, the lock on the nail bin assembly 2 is released until the timing duration is greater than or equal to the set timing duration, so that the nail bin assembly 2 can be fired.
After the unlocking instruction is received when the timing duration is less than the set timing duration, the doctor does not send the unlocking instruction again until the timing duration is greater than or equal to the set timing duration, and the fact that the last unlocking instruction is possibly misoperation of the doctor is shown. When the timing duration reaches the set timing duration, the appropriate squeezing duration is reached, and the lock on the nail bin assembly 2 is automatically released at the moment, so that the nail bin assembly 2 can be fired, a doctor does not need to send an unlocking instruction again, the instrument can be directly operated to fire, and the operation convenience of the product is improved.
In an exemplary embodiment, the set time period is in a range of 10s to 15 s.
According to the summary of clinical operation experience, in order to ensure that the squeezing time of tissues is controlled, the optimal squeezing time is generally 10s to 15s, and the optimal effect is achieved by performing the firing operation. Therefore, the set time period may be limited to a range of 10s to 15s, such as 10s, 11s, 12s, 13s, 14s, 15s, and the like.
Of course, the set time period is not limited to the above range, and may be adjusted as necessary.
In one example, the set time period is 10 s.
In another example, the set time period is 15 s.
In an exemplary embodiment, the control method further includes:
when the lock on the nail bin assembly 2 is released, a first prompt signal is sent out to prompt the nail bin assembly 2 to be unlocked;
when the locking of the cartridge component 2 is kept, a second prompt signal is sent out to prompt that the cartridge component 2 is not unlocked.
When the locking of the nail bin assembly 2 is released, a first prompt signal is sent, so that the unlocking of the nail bin assembly 2 can be clearly prompted to a doctor, the percussion operation can be performed, the doctor can know the information in time, and the use convenience of the product is improved.
Similarly, when the unlocking instruction is received when the set time length is not reached, and the nail bin assembly 2 is kept locked, a second prompt signal is sent, so that the condition that the nail bin assembly 2 is not unlocked by a doctor can be clearly prompted, and the doctor is indirectly prompted to check whether the nail bin assembly is misoperation or not. If the operation is wrong, the user can be triggered again after waiting for a certain time; if the operation is not misoperation, the unlocking instruction can be sent again to confirm that the self really needs to carry out the firing operation in advance.
In an exemplary embodiment, the first cue signal comprises: the flashing forward arrow is displayed and is consistent with the firing direction, so that the doctor can understand the arrow conveniently. The second cue signal comprises: and displaying the timing duration of the flicker.
Wherein, the flicker frequency of the forward arrow and/or the timing duration can also be adjusted according to the requirement. Such as: when the set time length is 10s, the lamp flickers once per second; when the set time period is 15s, it blinks twice per second.
Of course, the first prompt signal and the second prompt signal are not limited to the above-mentioned schemes, and other prompt modes, such as voice, music, picture, video, etc., may be used for prompting.
In an exemplary embodiment, the control method further includes: further comprising:
after the lock on the nail bin assembly 2 is released, a firing instruction is received, the nail bin assembly 2 is controlled to fire, and a third prompt signal is sent out;
and after the nail bin assembly 2 is controlled to finish the firing, a fourth prompt signal is sent out and the nail bin assembly 2 is controlled to automatically retract to the initial position.
After the locking of the nail bin assembly 2 is released, a firing instruction is received, the firing operation is executed to control the nail bin assembly 2 to fire, a third prompt signal is sent out, the third prompt signal can prompt that the instrument is in a firing state at present, and a doctor can conveniently and timely know the firing state of the instrument.
After the percussion operation is finished, the nail bin assembly 2 is controlled to automatically return to the initial position, and the nail bin assembly 2 is convenient to replace for next percussion. And a fourth prompt signal is sent out at the moment, so that the doctor can timely know that the instrument is fired at the current time, and the nail bin assembly 2 can be timely replaced so as to perform next firing.
In an exemplary embodiment, the third cue signal includes: and displaying a normally bright forward arrow, wherein the forward arrow is changed from a flashing state to a normally bright state, and the forward arrow is indicated to be in a firing state. The fourth cue signal includes: and displaying a normally bright retreat arrow to indicate that the retreat is finished and the retreat direction is consistent, so that the retreat is convenient for a doctor to understand.
Of course, the third prompt signal and the fourth prompt signal are not limited to the above-mentioned schemes, and other prompt modes, such as voice, music, picture, video, etc., may be used for prompting.
In an exemplary embodiment, the control method further includes:
when the current is detected to exceed a set threshold value in the firing process of the nail bin assembly 2, a fifth prompt signal is sent to prompt the input of an electric backspacing instruction;
and when the electric backspacing instruction is received and the electric backspacing nail cartridge assembly 2 fails, a sixth prompt signal is sent to prompt the manual backspacing nail cartridge assembly 2.
When the firing operation is not completed, but the instrument cannot continue to fire forward, the system automatically starts the protection mode at the moment, which may cause excessive current in the circuit due to excessive cutting force. Therefore, when the current exceeds the set threshold value in the firing process of the nail bin assembly 2, a fifth prompt signal is sent out, so that a user can know the state in time, an electric backspacing instruction can be input in time, and the nail bin assembly 2 can be backspaced in time.
When the electric backspacing instruction is received but the electric backspacing nail bin assembly 2 fails, the instrument is indicated to be in fault, and a sixth prompt signal is sent out at the moment, so that a user can know the state in time, the operation handle 116 can be operated in time in a manual mode, the nail bin assembly 2 is made to backspace, and the disadvantages of the patient are reduced as much as possible.
In an exemplary embodiment, the fifth cue signal includes: and displaying the first error code. The sixth cue signal includes: and displaying the second error code.
Of course, the fifth prompt signal and the sixth prompt signal are not limited to the above-mentioned schemes, and other prompt modes, such as voice, music, pictures, video, etc., may be used for prompting.
In an exemplary embodiment, the control method further includes:
and when the nail bin assembly 2 is electrically retracted and opened, a seventh prompt signal is sent to prompt that the use is finished.
No matter whether the nail bin assembly 2 automatically backs after being fired or automatically backs by inputting an electric back-off instruction, when the nail bin assembly 2 is electrically backed off and opened, a seventh prompt signal is sent to prompt that the use is finished, and a user can conveniently know the state of the completion of the back-off in time.
In an exemplary embodiment, the seventh cue signal is: the back arrow is off.
Of course, the seventh prompt signal is not limited to the above scheme, and other prompt modes, such as voice, music, picture, video, etc., may also be used for prompting.
In an exemplary embodiment, as shown in fig. 2, before step S102, the control method further includes:
step S100: carrying out system self-check after electrifying to confirm whether the electric endoscope anastomat is normal or not;
step S106: and when the abnormity of the electric endoscope anastomat is confirmed, an eighth prompt signal is sent to prompt the replacement of the electric endoscope anastomat.
After the power is on, system self-checking is firstly carried out to confirm whether the electric endoscope anastomat is normal or not, so that a doctor can know whether the instrument is normal or not clearly. If the electric endoscope anastomat is confirmed to be normal, the doctor can use the anastomat normally. If the abnormity of the electric endoscope anastomat is confirmed, an eighth prompt signal is sent to prompt the abnormal state of the appliance of the doctor, so that the doctor can replace the new electric endoscope anastomat conveniently in time, and inconvenience or other adverse effects caused by the need of replacing the appliance temporarily due to the use of the abnormal appliance in the operation are avoided.
The scheme enables the electric endoscope anastomat to have an instrument self-checking function. Before the instrument is used, whether the switches of all parts are in the initial state or not is automatically detected, or whether the switches are in the initial position state or not is determined and detected before the instrument finishes one-time cutting and replacing the nail cartridge assembly 2 and cuts again. If yes, the instrument can be used normally; if not, an error prompt is sent out.
In an exemplary embodiment, the eighth cue signal is: displaying a second error code or displaying a black screen. Thus, the instrument has only two error codes, so that a doctor can easily distinguish the fault state of the instrument so as to make a correct response. When the first error code (e.g., E00) is displayed, it indicates that the instrument is only in the over-current protection mode and can still be used normally. When a second error code (e.g., E11) is displayed, it indicates that the instrument is malfunctioning and is not being used properly, requiring replacement with a new instrument.
Of course, the eighth prompt signal is not limited to the above-mentioned scheme, and other prompt modes, such as voice, music, picture, video, etc., may be used for prompting.
In an exemplary embodiment, between step S102 and step S104, the control method further includes at least one of the following steps:
after the nail bin assembly 2 is closed, a doctor can repeat the opening and closing process according to the requirement, in the process, only when the nail bin assembly is closed for the last time, the tissue is squeezed, and therefore the timing duration and the unlocking instruction of the last time are used as the judgment basis for judging whether the nail bin assembly 2 is unlocked or not.
In an exemplary embodiment, the control method further includes:
and after the power is switched on, the residual electric quantity of the electric endoscope anastomat is displayed.
Because the electric endoscope anastomat is powered by a battery generally, the residual electric quantity is displayed after the electric endoscope anastomat is powered on, so that a doctor can know the electric quantity condition in time, and the battery or the instrument can be replaced in time.
As shown in fig. 3, the embodiment of the present application further provides a control device 3 for an electric endoscopic stapler, which includes a processor 31 and a memory 32 storing a computer program, and the steps of the control method in any of the above embodiments are implemented when the processor 31 executes the computer program, so that all the above advantages are achieved, and are not described herein again.
The processor 31 may be an integrated circuit chip having signal processing capabilities. The Processor 31 may be a general-purpose Processor 31, and includes a Central Processing Unit 31 (CPU), a Network Processor 31 (NP), and the like; but may also be a digital signal processor 31(DSP), an Application Specific Integrated Circuit (ASIC), an off-the-shelf programmable gate array (FPGA) or other programmable logic device, discrete gate or transistor logic device, discrete hardware components. The various methods, steps, and logic blocks disclosed in the embodiments of the present invention may be implemented or performed. The general purpose processor 31 may be a microprocessor 31 or the processor 31 may be any conventional processor 31 or the like.
The embodiment of the application also provides an electric endoscope anastomat which comprises the control device 3 of the embodiment, so that all the beneficial effects are achieved, and the details are not repeated.
The embodiment of the application also provides an electronic chamber mirror anastomat, includes: the stapler comprises a stapler body 1, a cartridge assembly 2 and a control device 3.
Wherein, the nail bin component 2 is movably connected with the anastomat main body 1.
The control device 3 is electrically connected with the anastomat main body 1. The control device 3 comprises a timing module and a control module. The timing module is set to start timing when the nail bin assembly 2 is completely assembled and closed after being electrified. The control module is configured to determine whether to unlock the cartridge assembly 2 based on the timed length and the unlock command.
The electric endoscope anastomat provided by the embodiment of the application can start timing after being electrified and when confirming that the assembly of the nail bin assembly 2 is finished and the nail bin assembly is closed, and whether the locking of the nail bin assembly 2 is released or not is determined according to timing duration and an unlocking instruction, so that a doctor can conveniently perform firing operation at a proper time, the error firing of instruments caused by the fact that the doctor operates the instruments by mistake is favorably prevented, and the use convenience and the use safety of the electric endoscope anastomat are improved.
In an exemplary embodiment, the control device 3 further comprises: display assembly 13, as shown in fig. 4. The display component 13 is electrically connected with the control module and used for displaying corresponding prompt signals according to the working state of the electric endoscope anastomat.
The display assembly 13 is arranged, so that different prompt signals can be sent out according to the working state of the instrument in the using process, the operation and use of a doctor are facilitated, and the convenience and safety in use of the product are further improved.
In an exemplary embodiment, the display assembly 13 includes a display screen. The display screen is provided with a first display area 131 as shown in fig. 11, 12 and 13, and the first display area 131 is set to display the time-keeping period as shown in fig. 12. Therefore, the locking of the nail bin assembly 2 can be released by a doctor at a proper time for triggering operation, and the use convenience and the use safety of the product can be improved.
In an exemplary embodiment, the display screen is further provided with a second display area 132, as shown in fig. 12. The second display area 132 is configured to display the operating status of the cartridge assembly 2. Therefore, the doctor can know the working state of the nail bin assembly 2 in time, and convenience is brought to the doctor.
In an exemplary embodiment, the second display area 132 includes a forward arrow display area and a backward arrow display area, as shown in fig. 12. The forward arrow may indicate that the cartridge module 2 has been unlocked to be fired or is being fired. The back arrow may indicate that the cartridge assembly 2 is backing or has completed backing. The prompt identification of the scheme is simple and clear and is easy to understand.
In an exemplary embodiment, the second display area 132 is located on a side of the first display area 131 adjacent to the cartridge assembly 2, as shown in FIG. 12. Therefore, the second display area 132 is close to the magazine assembly 2, corresponds to the position of the magazine assembly 2, and is reasonable in layout. Of course, the second display area 132 may be disposed at other positions.
In an exemplary embodiment, as shown in fig. 12, a first reserved display area 134 is provided between one end of the display screen close to the cartridge assembly 2 and the second display area 132, so that the layout is compact, and the reserved display area can be provided for upgrading and improving subsequent display contents. Of course, the first reserved display area 134 may also be eliminated.
In an exemplary embodiment, the stapler body 1 includes a battery assembly 14, as shown in fig. 4. The display screen is also provided with a third display area 133 as shown in fig. 11, 12 and 13. The third display area 133 is configured to display the remaining power of the battery assembly 14, so that the doctor can know the remaining power of the battery assembly 14 in time, and danger caused by insufficient power in operation can be avoided.
In an exemplary embodiment, the third display area 133 is located on a side of the first display area 131 away from the cartridge assembly 2, as shown in fig. 11, 12 and 13. Thus, the third display area 133 is close to the battery assembly 14, corresponding to the position of the battery assembly 14, and the layout is reasonable. Of course, the third display area 133 may be disposed at other positions.
In an exemplary embodiment, a second reserved display area 135 is provided between the end of the display screen far from the cartridge assembly 2 and the third display area 133, as shown in fig. 12, the layout is compact, and the reserved display area can be provided for upgrading and improving subsequent display contents. Of course, the second reserved display area 135 may also be eliminated.
In an exemplary embodiment, the first display area 131 includes a plurality of figure-8 display areas, as shown in figure 12. The first display area 131 is also arranged to display an error code, as shown in fig. 11 and 13. Thus, the first display area 131 can display the timing duration and also can display the error code, thereby improving the integration level of the display assembly 13 and simplifying the product structure.
In an exemplary embodiment, the stapler body 1 includes a closure trigger 111, as shown in FIG. 4. The closure trigger 111 is annular in shape and the inner wall surface of the closure trigger 111 is provided with an engagement surface 1111 for engaging a finger, as shown in FIG. 5.
The closure trigger 111 is of a closed loop design to prevent slippage between the closure trigger 111 and the hand of the clinician during use due to repeated closing and opening motions of the jaws 121. By adopting the design of the closed annular handle, the slipping phenomenon can be effectively avoided, the requirement of human engineering is met, and the operation is safer, more convenient and faster. The inner wall surface of the closing trigger 111 is provided with a matching surface 1111 for matching fingers, so that the fingers of a doctor can be matched with the matching surface 1111, and the slipping phenomenon is further avoided.
In one example, the engagement surface 1111 is undulated, such that the fingers can engage with the engagement surface 1111 in a concave-convex manner, thereby effectively avoiding the occurrence of a slip phenomenon.
In one example, the engagement surface 1111 is rough, so that the friction between the fingers and the engagement surface 1111 can be increased, thereby preventing the slipping phenomenon.
The rough surface can be a frosted structure or a plurality of parallel or staggered grains.
In an exemplary embodiment, the control module is configured to: when the timing duration is longer than or equal to the set timing duration, receiving an unlocking instruction, and unlocking the nail bin assembly 2 to enable the nail bin assembly 2 to be fired; when the timing duration is shorter than the set timing duration, an unlocking instruction is received, and the nail bin assembly 2 is kept locked to limit the percussion of the nail bin assembly 2.
In an exemplary embodiment, the control module is further configured to: after the unlocking instruction is received when the timing duration is shorter than the set timing duration, the unlocking instruction is received again, the timing duration is still shorter than the set duration when the unlocking instruction is received again, and the lock on the nail bin assembly 2 is released so that the nail bin assembly 2 can be fired.
In an exemplary embodiment, the control module is further configured to: after the unlocking instruction is received when the timing duration is less than the set timing duration, the lock on the nail bin assembly 2 is released until the timing duration is greater than or equal to the set timing duration, so that the nail bin assembly 2 can be fired.
In an exemplary embodiment, the set time period is in a range of 10s to 15 s.
In an exemplary embodiment, the control module is further configured to: when the lock on the nail bin assembly 2 is released, the display assembly 13 is controlled to send out a first prompt signal to prompt the nail bin assembly 2 to be unlocked; when the cartridge component 2 is kept locked, the display component 13 is controlled to send out a second prompt signal to prompt that the cartridge component 2 is not unlocked.
In an exemplary embodiment, the first cue signal comprises: a flashing forward arrow is displayed. The second cue signal comprises: and displaying the timing duration of the flicker.
In an exemplary embodiment, the control module is further configured to: after the lock on the nail bin assembly 2 is released, a firing instruction is received, the nail bin assembly 2 is controlled to fire, and the display assembly 13 is controlled to send out a third prompt signal; after the cartridge module 2 is controlled to complete the firing, the display module 13 is controlled to send out a fourth prompt signal and control the cartridge module 2 to automatically retract to the initial position.
In an exemplary embodiment, the third cue signal includes: displaying a normally bright forward arrow; the fourth cue signal includes: a normally bright back arrow is displayed.
In an exemplary embodiment, the control module is further configured to: when the current is detected to exceed a set threshold value in the firing process of the nail bin assembly 2, the display assembly 13 is controlled to send a fifth prompt signal to prompt the input of an electric backspacing instruction; when the electric retraction instruction is received but the electric retraction nail bin assembly 2 fails, the control display assembly 13 sends a sixth prompt signal to prompt the manual retraction nail bin assembly 2.
In an exemplary embodiment, the fifth cue signal includes: the first error code is displayed as shown in fig. 13. The sixth cue signal includes: the second error code is displayed as shown in fig. 11.
In an exemplary embodiment, the control module is further configured to: when the nail bin assembly 2 is electrically retracted and opened, the control display assembly 13 sends out a seventh prompt signal to prompt that the use is finished.
In an exemplary embodiment, the seventh cue signal is: the back arrow is off.
In an exemplary embodiment, the control module is further configured to: after electrification, when the nail bin assembly 2 is confirmed to be assembled and closed, before the timing step is started, system self-checking is carried out after electrification, and whether the electric endoscope anastomat is normal or not is confirmed; when the electric endoscope anastomat is confirmed to be abnormal, the display component 13 is controlled to send an eighth prompt signal to prompt the replacement of the electric endoscope anastomat.
In an exemplary embodiment, the eighth cue signal is: displaying a second error code or displaying a black screen.
In an exemplary embodiment, the control module is further configured to: after electrifying, when the nail bin assembly 2 is assembled and closed, between the step of starting timing and the step of determining whether to unlock the nail bin assembly 2 according to the timing duration and the unlocking instruction, controlling the timing module to stop timing and clear when the nail bin assembly 2 is detected to be opened, and restarting timing when the nail bin assembly 2 is detected to be closed again; in the step of determining whether to unlock the cartridge module 2 according to the timing length and the unlocking instruction, the timing length is the timing length of the last timing process of the above steps.
In an exemplary embodiment, the control module is further configured to: further comprising: after the power is on, the control display assembly 13 displays the residual electric quantity of the electric endoscope anastomat.
The beneficial effects of the foregoing embodiments can be understood by referring to the description of the foregoing embodiment of the control method, which is not described herein again.
The working principle of the electric endoscopic stapler according to the above embodiment is described below with reference to the accompanying drawings.
1) The self-checking function of the instrument:
before the instrument is used, the cartridge assembly 2 is installed first, and then the battery assembly 14 is installed. When the battery assembly 14 is installed, the circuitry in the instrument is energized. The system automatically detects whether the relative positions of the switches of the instrument are initial positions. When the detection confirms that the switches are in the initial positions, the instrument can be normally used. When the instrument display screen displays error E00 (i.e., displays a second error code, as shown in fig. 11), it indicates that the instrument initial position has changed. At the moment, the electric control part of the instrument fails to function, and the instrument should be replaced by a new instrument for use.
2) Closing and opening of the jaws 121:
the closing/opening movement of the closure trigger 111 corresponds one-to-one to the closing/opening movement of the jaws 121. In other words, closure trigger 111 is closed, jaws 121 are closed, and cartridge assembly 2 is closed, as shown in FIG. 8. The closure trigger 111 is opened, the jaws 121 are opened and the cartridge assembly 2 is opened, as shown in FIG. 7.
For ease of operation, the firing button 113 is hidden inside the body when the closure trigger 111 is open. When the closure trigger 111 is closed, the firing button 113 leaks out of the body handle. This effectively prevents the firing button 113 from being used in conjunction with the closure trigger 111, which could result in inadvertent operation, as shown in FIGS. 7 and 8.
3) Oscillation of the jaws 121:
when the jaw 121 needs to be bent to a certain angle to clamp the tissue, the knob 122 on the rotating head needs to be twisted to swing the jaw 121 left and right (as shown in fig. 9 and 10).
4) Confirming and firing:
the display screen begins when the closure trigger 111 is closed, i.e., the jaws 121 and cartridge assembly 2 are closed.
When the timing time is longer than or equal to 10s (or 15s), the confirmation key 112 is pressed, and the forward arrow on the display screen begins to flash (i.e. a first prompt signal is displayed), which indicates that the nail bin assembly 2 is unlocked. At this time, the trigger button 113 is triggered, and the electric trigger function can be realized.
When the timing duration is less than 10s (or 15s), the confirmation button 112 is pressed, the second counting on the display screen begins to flash (i.e., the second prompt signal is displayed), and the firing is still invalid, which indicates that the locking of the cartridge module 2 is maintained. If the confirm button 112 is pressed again within the timing duration <10s (or 15s), the forward arrow on the display begins to blink (i.e., a first prompt signal is displayed), indicating that the cartridge module 2 has been unlocked. At this time, the trigger button 113 is triggered, and the electric trigger function can be realized.
When the timing duration is less than 10s (or 15s), the confirmation button 112 is pressed, the second counting flash (i.e., the second prompt signal is displayed) on the display screen is started, and the firing is invalid, so that the locking of the cartridge component 2 is kept. If the timing duration is longer than or equal to 10s (or 15s), the forward arrow on the display screen begins to flash (i.e. the first prompt signal is displayed) without pressing the confirmation button 112, which indicates that the cartridge module 2 is unlocked. At this time, the trigger button 113 is triggered, and the electric trigger function can be realized.
The confirmation button 112 is provided to ensure that the tissue squeezing time is controlled, and the optimal squeezing time is generally 10s-15s, and then the triggering operation is performed. If the doctor wants to perform the firing operation within 10s (or 15s), the doctor needs to press the confirmation button 112 twice within 10s (or 15s) to realize the electric firing function (as shown in fig. 8 and 12).
5) Electric/mechanical rollback:
after the instrument is fired, the instrument can automatically cut and retreat to the firing starting position, at the moment, the reset button 115 is pressed, the jaw 121 is automatically opened, and the use of the instrument is finished.
When the instrument firing is not completed, but the instrument cannot continue to fire forward, which may result in excessive current in the circuit due to excessive cutting force, the system automatically starts the protection mode, i.e., the display screen displays error E11 (i.e., displays the first error code, as shown in fig. 13). At this time, the doctor needs to press the reverse button 114 to electrically retract the handle until the electric retraction is completed, and then open the jaws 121 to complete the use.
When the electric retraction of the instrument fails, the display screen may be blank due to power supply problems or the display error is E00 (i.e. the second error code is displayed), and then the manual retraction (the display assembly 13 is removed and the operating handle 116 is moved) is required, and then the jaws 121 are opened to complete the use, as shown in fig. 14 and 15.
6) Instrument usage and electrical control principle (as shown in fig. 16 and 17):
the use process of the instrument is as follows: installing the nail bin assembly 2, installing the battery assembly 14, closing/opening a trigger, pressing a confirmation key 112, pressing a firing key 113, electrically firing, electrically retracting, pressing a reset key 115, and repeatedly installing a new nail bin assembly 2.
An electric control part: various key switches (closing/opening/reversing and the like) are mechanically limited and electrically controlled, and the switches are required to be sequentially pressed and triggered according to the operation flow sequence of the instrument. The signal recognition by the processor 31 system during the triggering of the switch determines whether the next step of the execution action can be currently performed. (such as forward rotation and reverse rotation of the motor, state reminding of the display screen, etc.). The process ensures that the mechanical part and the electric control part jointly provide guarantee for the safety of the operation of the instrument.
In summary, the control method and the control device for the electric endoscope anastomat and the electric endoscope anastomat provided by the embodiment of the application have the advantages of simple structure, low price, high product safety and stable product use performance, are effective products with high cost performance, and are beneficial to improving the market competitiveness of domestic electric endoscope anastomats.
In any one or more of the exemplary embodiments described above, the functions described may be implemented in hardware, software, firmware, or any combination thereof. If implemented in software, the functions may be stored on or transmitted over as one or more instructions or code on a computer-readable medium and executed by a hardware-based processing unit. Computer-readable media may comprise computer-readable storage media corresponding to tangible media, such as data storage media, or communication media including any medium that facilitates transfer of a computer program from one place to another, such as according to a communication protocol. In this manner, the computer-readable medium may generally correspond to a non-transitory tangible computer-readable storage medium or a communication medium such as a signal or carrier wave. A data storage medium may be any available medium that can be accessed by one or more computers or one or more processors to retrieve instructions, code and/or data structures for implementing the techniques described in this disclosure. The computer program product may include a computer-readable medium.
By way of example, and not limitation, such computer-readable storage media can comprise RAM, ROM, EEPROM, CD-ROM or other optical disk storage, magnetic disk storage or other magnetic storage devices, flash memory, or any other medium that can be used to store desired program code in the form of instructions or data structures and that can be accessed by a computer. Also, any connection may be termed a computer-readable medium, and if instructions are transmitted from a website, server, or other remote source using a coaxial cable, fiber optic cable, twisted pair, Digital Subscriber Line (DSL), or wireless technologies such as infrared, radio, and microwave, for example, the coaxial cable, fiber optic cable, twisted pair, Digital Subscriber Line (DSL), or wireless technologies such as infrared, radio, and microwave are included in the definition of medium. It should be understood, however, that computer-readable storage media and data storage media do not include connections, carrier waves, signals, or other transitory (transitory) media, but are instead directed to non-transitory tangible storage media. Disk and disc, as used herein, includes Compact Disc (CD), laser disc, optical disc, Digital Versatile Disc (DVD), floppy disk or blu-ray disc where disks usually reproduce data magnetically, while discs reproduce data optically with lasers. Combinations of the above should also be included within the scope of computer-readable media.
For example, the instructions may be executed by one or more processors, such as one or more Digital Signal Processors (DSPs), general purpose microprocessors, Application Specific Integrated Circuits (ASICs), field programmable logic arrays (FPGAs), or other equivalent integrated or discrete logic circuitry. Thus, the term "processor," as used herein may refer to any of the foregoing structure or any other structure suitable for implementation of the techniques described herein. In addition, in some aspects, the functionality described herein may be provided within dedicated hardware and/or software modules configured for encoding and decoding, or incorporated in a combined codec. Also, the techniques may be fully implemented in one or more circuits or logic elements.
The techniques of the embodiments of the present disclosure may be implemented in a wide variety of devices or apparatuses, including a wireless handset, an Integrated Circuit (IC), or a set of ICs (e.g., a chipset). Various components, modules, or units are described in embodiments of the disclosure to emphasize functional aspects of devices configured to perform the described techniques, but do not necessarily require realization by different hardware units. Rather, as noted above, the various units may be combined in a codec hardware unit or provided by a collection of interoperating hardware units (including one or more processors as noted above) in conjunction with suitable software and/or firmware.

Claims (19)

1. A control method for an electric endoscopic stapler, which is characterized by comprising a stapler body and a nail bin assembly connected with the stapler body, wherein the control method comprises the following steps:
after electrifying, when the nail bin assembly is confirmed to be assembled and closed, timing is started;
and determining whether to unlock the nail cartridge assembly according to the timing duration and the unlocking instruction.
2. The control method according to claim 1, wherein said determining whether to unlock the cartridge assembly according to the timed length and the unlock command comprises:
when the timing duration is longer than or equal to a set duration, receiving the unlocking instruction, and unlocking the nail bin assembly to enable the nail bin assembly to be fired;
and when the timing duration is less than the set timing duration, receiving the unlocking instruction, and keeping locking the nail bin assembly to limit the nail bin assembly to be fired.
3. The control method according to claim 2, wherein said determining whether to unlock the cartridge assembly according to the timed length and the unlock command further comprises:
after the unlocking instruction is received when the timing duration is shorter than the set duration, the unlocking instruction is received again, the timing duration is still shorter than the set duration when the unlocking instruction is received again, and the lock on the nail bin assembly is released so that the nail bin assembly can be triggered; and/or
After the unlocking instruction is received when the timing duration is less than the set timing duration, the lock on the nail bin assembly is released until the timing duration is greater than or equal to the set timing duration, so that the nail bin assembly can be fired.
4. The control method according to claim 2, characterized in that the set time period is in a range of 10s to 15 s.
5. The control method according to any one of claims 2 to 4, characterized by further comprising:
when the locking of the nail bin assembly is released, a first prompt signal is sent out to prompt the unlocking of the nail bin assembly;
and when the locking of the nail cartridge assembly is kept, a second prompt signal is sent out to prompt that the nail cartridge assembly is not unlocked.
6. The control method according to claim 5,
the first cue signal comprises: displaying a flashing forward arrow;
the second cue signal comprises: and displaying the flashing timing duration.
7. The control method according to claim 5, characterized by further comprising:
after the lock on the nail bin assembly is released, a firing instruction is received, the nail bin assembly is controlled to be fired, and a third prompt signal is sent out;
and after the nail bin assembly is controlled to finish the firing, a fourth prompt signal is sent out and the nail bin assembly is controlled to automatically retract to the initial position.
8. The control method according to claim 7,
the third cue signal comprises: displaying a normally bright forward arrow;
the fourth cue signal comprises: a normally bright back arrow is displayed.
9. The control method according to claim 7, characterized by further comprising:
when the current is detected to exceed a set threshold value in the firing process of the nail bin assembly, a fifth prompt signal is sent to prompt the input of an electric backspacing instruction;
and when the electric backspacing instruction is received but the nail cartridge assembly fails, a sixth prompt signal is sent to prompt the nail cartridge assembly to be manually backspaced.
10. The control method according to claim 9,
the fifth cue signal comprises: displaying the first error code;
the sixth cue signal comprises: and displaying the second error code.
11. The control method according to claim 9, characterized by further comprising:
and when the nail bin assembly is electrically retracted and opened, a seventh prompt signal is sent to prompt that the use is finished.
12. The control method according to claim 11,
the seventh prompt signal is: the back arrow is off.
13. The control method of any one of claims 1-4, further comprising, after the energizing, prior to the step of starting a timer upon confirming that the cartridge assembly is assembled and closed:
carrying out system self-check after electrifying to confirm whether the electric endoscope anastomat is normal or not;
and when the electric endoscope anastomat is confirmed to be abnormal, an eighth prompt signal is sent to prompt the replacement of the electric endoscope anastomat.
14. The control method according to claim 13,
the eighth prompt signal is: displaying a second error code or displaying a black screen.
15. The control method according to any one of claims 1 to 4, characterized in that, after the energizing, between the step of starting timing when it is confirmed that the cartridge assembly is assembled and closed and the step of determining whether to unlock the cartridge assembly according to the timing length and the unlock instruction, at least one of the following steps is further included:
stopping timing and clearing when the nail bin component is detected to be opened, and restarting timing when the nail bin component is detected to be closed again;
in the step of determining whether to unlock the nail bin assembly according to the timing duration and the unlocking instruction, the timing duration is the timing duration of the last timing process in the step.
16. The control method according to any one of claims 1 to 4, characterized by further comprising:
and after the power is switched on, the residual electric quantity of the electric endoscope anastomat is displayed.
17. A control device for an electric endoscopic stapler, characterized by comprising a processor and a memory in which a computer program is stored, which when executed by the processor implements the steps of the control method according to any one of claims 1 to 16.
18. An electric endoscope anastomat is characterized by comprising:
a stapler body;
the nail bin assembly is movably connected with the anastomat main body; and
the control device is electrically connected with the anastomat main body and comprises a timing module and a control module; the timing module is arranged to start timing when the nail bin assembly is assembled and closed after being electrified; the control module is configured to determine whether to unlock the staple cartridge assembly based on a timed length and an unlock command.
19. The electric endoscopic stapler of claim 18, wherein the control device further comprises:
and the display component is electrically connected with the control module and used for displaying corresponding prompt signals according to the working state of the electric endoscope anastomat.
CN202210067516.2A 2022-01-20 2022-01-20 Electric endoscope anastomat and control method and control device thereof Pending CN114533165A (en)

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Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20060278680A1 (en) * 2005-06-03 2006-12-14 Viola Frank J Surgical stapler with timer and feedback display
US20120223121A1 (en) * 2001-10-20 2012-09-06 Viola Frank J Surgical stapler with timer and feedback display
CN103405254A (en) * 2013-04-23 2013-11-27 北京中法派尔特医疗设备有限公司 Control method and control device for electric surgery suture nail installing instrument
CN110786900A (en) * 2019-12-05 2020-02-14 山东威瑞外科医用制品有限公司 Electric anastomat and control system thereof
CN111870318A (en) * 2019-05-01 2020-11-03 江苏风和医疗器材股份有限公司 Control device for surgical instrument, surgical instrument and control method thereof
WO2021109592A1 (en) * 2019-12-05 2021-06-10 山东威瑞外科医用制品有限公司 Electronic stapler and control system thereof

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20120223121A1 (en) * 2001-10-20 2012-09-06 Viola Frank J Surgical stapler with timer and feedback display
US20060278680A1 (en) * 2005-06-03 2006-12-14 Viola Frank J Surgical stapler with timer and feedback display
CN103405254A (en) * 2013-04-23 2013-11-27 北京中法派尔特医疗设备有限公司 Control method and control device for electric surgery suture nail installing instrument
CN111870318A (en) * 2019-05-01 2020-11-03 江苏风和医疗器材股份有限公司 Control device for surgical instrument, surgical instrument and control method thereof
CN110786900A (en) * 2019-12-05 2020-02-14 山东威瑞外科医用制品有限公司 Electric anastomat and control system thereof
WO2021109592A1 (en) * 2019-12-05 2021-06-10 山东威瑞外科医用制品有限公司 Electronic stapler and control system thereof

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