CN116327286B - Shapable cutting suture device for surgical operation - Google Patents

Shapable cutting suture device for surgical operation Download PDF

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Publication number
CN116327286B
CN116327286B CN202310591662.XA CN202310591662A CN116327286B CN 116327286 B CN116327286 B CN 116327286B CN 202310591662 A CN202310591662 A CN 202310591662A CN 116327286 B CN116327286 B CN 116327286B
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CN
China
Prior art keywords
traction rope
sleeve
traction
cutting
rotation
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Application number
CN202310591662.XA
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Chinese (zh)
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CN116327286A (en
Inventor
廖贻达
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Sichuan Peoples Hospital of Sichuan Academy of Medical Sciences
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Sichuan Peoples Hospital of Sichuan Academy of Medical Sciences
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Priority to CN202310591662.XA priority Critical patent/CN116327286B/en
Publication of CN116327286A publication Critical patent/CN116327286A/en
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Classifications

    • 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00292Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means

Abstract

The invention relates to the technical field of medical instruments, in particular to a shapable cutting suture device for surgical operation, which comprises a universal shaping tube, an execution part and a control part, wherein one end of the universal shaping tube is connected with the execution part, and the other end of the universal shaping tube is connected with the control part; the universal shaping pipe comprises a metal pipe and a traction rope, the metal pipe has shaping capability, the metal pipe is used for shaping and supporting, the traction rope is positioned in the metal pipe, and the traction rope is matched with the executing part and the control part; the execution part comprises a nail bin, the traction rope is used for providing driving force, and the control part controls the traction rope to enable the nail bin to complete rotation, cutting and stitching operations. In the scheme of this application, the setting of its universal design pipe makes the angle modulation of nail storehouse more nimble, more is suitable for the internal operation environment under the single hole environment, simultaneously, haulage rope looks adaptation is in executive part and control part, and the haulage rope of being convenient for provides the driving force to make the nail storehouse accomplish rotation, cutting and sewing up the operation.

Description

Shapable cutting suture device for surgical operation
Technical Field
The invention relates to the technical field of medical instruments, in particular to a shapable cutting suture device for surgical operation.
Background
Currently, most of endoscopic minimally invasive surgery in chest surgery and abdominal surgery tends to be developed into single-hole operation, a batch of surgical instruments which are suitable for the endoscopic minimally invasive surgery is correspondingly produced, and some surgical materials and single-hole operation environments are required to be suitable for the surgical instruments, wherein a cutting stitching instrument is a very important surgical consumable.
The current cutting stitching instrument is usually a hard straight arm, the front end working head of the current cutting stitching instrument is a nail cabin, the front end working head can rotate left and right and adjust a certain angle, and meanwhile, the control rod can also rotate, so that the adaptation of the nail cabin to different angles can be realized.
However, during actual use, the inventors have found that the current cutting suture apparatus has disadvantages, in particular:
because current cutting staplers are typically stiff straight arms, while capable of angular adjustment of the front working head, their angular adjustment is limited, and it is very difficult to operate at certain angles, especially in a single hole operating environment, and at certain angles, it is difficult for conventional stiff straight arm cutting staplers to adjust their front working head at a desired angle.
Therefore, in view of the above-mentioned shortcomings, there is a need to design a cutting stapler with more flexible angle adjustment.
Disclosure of Invention
The invention aims at: aiming at the defects existing in the actual use process of the current cutting stitching instrument, the cutting stitching instrument with more flexible angle adjustment is provided.
In order to achieve the above object, the present invention provides the following technical solutions:
a shapable cutting suture device for surgical operation comprises a universal shaping tube, an execution part and a control part, wherein one end of the universal shaping tube is connected with the execution part, and the other end of the universal shaping tube is connected with the control part;
the universal shaping pipe comprises a metal pipe and a traction rope, the metal pipe has shaping capability, the metal pipe is used for shaping and supporting, the traction rope is positioned in the metal pipe, and the traction rope is matched with the executing part and the control part;
the executing part comprises a nail bin, the traction rope is used for providing driving force, and the control part enables the nail bin to complete rotation, cutting and stitching operation by controlling the traction rope.
As a preferred technical scheme of the application, the universal shaping tube comprises four traction ropes, and the control part comprises a rotation drive and a cutting drive;
the two traction ropes are first traction ropes, and the first traction ropes are matched with the rotation driving and are used for controlling the rotation of the nail bin; the other two haulage ropes are second haulage ropes, and the second haulage ropes are matched with the cutting drive and are used for controlling the cutting and sewing operation of the nail bin.
As a preferred technical scheme of the present application, the executing part further comprises a rotating assembly, wherein the rotating assembly is used for controlling the rotation of the nail bin;
the rotating assembly comprises a base and a rotating seat, the base is fixed at the end part of the metal tube, the rotating seat is rotationally connected with the base, and the rotating seat is used for being connected with the nail bin;
and the first traction rope is used for being connected with the swivel base and controlling the rotating angle of the swivel base relative to the base when rotating.
As a preferred technical scheme of the present application, the two first traction ropes are wound on the swivel base, and the winding direction of one of the first traction ropes is opposite to the winding direction of the other first traction rope; when one of the first traction ropes is pulled, the winding degree of the other first traction rope is increased, and the swivel base rotates relative to the base.
As the preferential technical scheme of this application, haulage rope includes haulage rope body and sleeve pipe, the haulage rope body is flexible rope, the sleeve pipe has the shaping ability, the haulage rope body is arranged in the sleeve pipe, just be used for on the tubular metal resonator with the tip that the base is fixed mutually is first tip, be used for on the tubular metal resonator with the tip that the control portion links to each other is the second tip, sheathed tube one end is fixed on the first tip, the sheathed tube other end is fixed on the second tip or fix on the control portion.
As a preferred technical solution of the present application, the sleeve includes a first sleeve and a second sleeve, the first sleeve is sleeved outside the second sleeve, the first sleeve is a rigid pipe, the first sleeve is fixed on the first end, the end, far away from the first sleeve, of the second sleeve is fixed on the second end or on the control part, the second sleeve has shaping capability, and the second sleeve can move relative to the first sleeve to change the total length of the sleeve;
and an adjusting component is arranged in the first sleeve, and the adjusting component is used for adjusting the length of the haulage rope body, so that the moving amount of the second sleeve when moving relative to the first sleeve is matched with the length change amount of the haulage rope body adjusted by the adjusting component.
As a preferred technical scheme of the application, the adjusting component comprises a gear component and a reel, a rack is arranged on the second sleeve, the gear component is matched with the rack and the reel, a first penetrating hole is formed in the reel, the first penetrating hole is used for the traction rope body to penetrate through, and the reel is used for winding the traction rope body; when the second sleeve moves relative to the first sleeve, the rack moves relative to the first sleeve, so that the rack drives the gear assembly to rotate, and the gear assembly drives the reel to rotate, and therefore the winding amount of the traction rope body on the reel is changed.
As the preferential technical scheme of this application, gear assembly includes first gear and second gear, first gear and second gear mesh and are the bevel gear mutually, first gear with the reel is fixed mutually, just gear assembly still includes worm wheel and worm, the worm wheel with the second gear is fixed mutually, just be provided with on the worm with rack engaged with third gear.
As the preferential technical scheme of this application, still be provided with two baffles in the first sleeve pipe, be provided with the second puncture hole on the baffle, the second puncture hole is used for haulage rope body passes, just the reel is located two regional between the baffle.
As the preferential technical scheme of this application, the surface of haulage rope body is smooth, and/or, the surface of haulage rope body is scribbled lubricating oil.
As a preferred technical scheme of the application, the rotation drive comprises a rotation handle, and the traction rope bodies on the two first traction ropes are connected to the rotation handle; and the rotating handle is controlled to rotate, so that the traction rope body on one of the first traction ropes is pulled, and the rotating seat is controlled to rotate relative to the base.
As a preferred technical solution of the present application, the cutting drive includes a movable block and a driving handle, where the driving handle is used for driving the movable block to move back and forth, and one of the traction rope bodies on the second traction rope is connected to one end portion of the movable block along the movement direction, and the other traction rope body on the second traction rope is connected to the other end portion of the movable block along the movement direction; the driving handle drives the movable block to move, and the movable block pulls the traction rope body on one of the second traction ropes.
As the preferential technical scheme of this application, the execution portion still include the impeller and with impeller matched with movable groove, the impeller is used for the cooperation cutting blade, just the impeller with haulage rope body on the second haulage rope links to each other, when the pulling haulage rope body on the second haulage rope, the impeller is followed the movable groove removes, makes the impeller drives the cutting blade removes, and makes the removal cutting blade with accomplish cutting and sewing up the operation after the nail storehouse cooperatees.
As a preferred technical solution of the present application, the control portion further includes a safety switch, where the safety switch is configured to block the movable block, so as to control the movable range of the movable block.
As a preferred technical scheme of the application, the rotary seat comprises a first rotary seat and a second rotary seat, the first rotary seat is used for being connected with the nail bin, the second rotary seat is rotationally connected with the base, a connecting piece is fixedly arranged on the second rotary seat, and the connecting piece is rotationally connected with the first rotary seat;
the universal shaping tube further comprises a fifth traction rope and a sixth traction rope, wherein the fifth traction rope and the sixth traction rope are used for controlling the first rotating seat to deflect relative to the second rotating seat, one end of the fifth traction rope and one end of the sixth traction rope are fixed on the base, the control part further comprises a second rotating handle, the other end of the fifth traction rope and the other end of the sixth traction rope are both connected to the second rotating handle, one of the fifth traction rope and the sixth traction rope is pulled through controlling the second rotating handle to rotate, so that the first rotating seat is controlled to deflect relative to the second rotating seat, the deflection directions of the fifth traction rope and the first rotating seat when the sixth traction rope is pulled are different, two elastic components are further arranged on the second rotating seat, and when one of the fifth traction rope and the sixth traction rope is pulled, the deformation of one elastic component is increased.
Compared with the prior art, the invention has the beneficial effects that:
1. in the scheme of the application, through setting up universal design pipe for the metal pipe in the universal design pipe plays the effect of design support, in the operation in-process, can more nimble the regulation universal design pipe get crooked form and bending angle, compared with the hard straight arm of current ordinary use, the setting up of its universal design pipe makes the angle modulation of nail storehouse more nimble, more be adapted to the internal operation environment under the single hole environment, simultaneously, haulage rope looks adaptation is in executive part and control part, the haulage rope of being convenient for provides the driving force, in order to make the nail storehouse accomplish rotation, cutting and suturing operation;
2. further, the two first traction ropes are wound on the rotary seat, and the winding direction of one first traction rope is opposite to the winding direction of the other first traction rope, so that the winding degree of the other first traction rope is increased when one first traction rope is pulled, the winding degree of the pulled first traction rope is reduced, the rotary seat is rotated relative to the base, and the rotating direction of the rotary seat can be changed when the other first traction rope is pulled, so that the forward and reverse rotation of the nail bin can be controlled conveniently;
3. further, the traction rope comprises a traction rope body and a sleeve, wherein the traction rope is a flexible rope, the sleeve has shaping capability, the sleeve is convenient to deform along with the metal pipe when the metal pipe is shaped, and meanwhile, the traction rope body is convenient to provide driving force to control the nail bin, so that the flexibility of angle adjustment of the nail bin and the stability of driving force provided by the traction rope are improved;
4. further, through setting up first sleeve pipe and second sleeve pipe, can have the condition that the tubular metal resonator twists reverse in the crooked in-process of tubular metal resonator, thereby make the haulage rope receive the effect of tensile force, and then can make the second sleeve pipe remove with respect to first sleeve pipe, thereby adjust the length of whole sheathed tube, and under the effect of adjusting component, the amount of movement and the length variation volume of the haulage rope body that adjusting component adjusted when making the second sleeve pipe remove with respect to first sleeve pipe are adapted, make the haulage rope body of initial state be in the tight state, no matter how crooked or torsion of tubular metal resonator, can make the haulage rope body be in the tight state all the time, and then when not sending control command to rotation drive and cutting drive, bending or torsion change of tubular metal resonator can avoid having an influence to the state of haulage rope body, can improve the precision when the haulage rope body control nail storehouse rotates and cuts the suture operation, especially in the operation, when tubular metal resonator offsets with patient tissue and leads to the bending deformation of tubular metal resonator, can carry out rotation or cut suture operation when the control command of control portion is not carried out by personnel, thereby safety in use of the medical care suture operation is improved;
5. further, through setting up worm wheel and worm, when the relative first sleeve pipe of second sleeve pipe removes, make the rack remove and drive the third gear and rotate, and then make the worm drive worm wheel rotate, thereby make the worm wheel drive the second gear rotate, and then make the second gear drive first gear rotate, thereby realize the rotation of reel, and then be convenient for adjust the winding volume of haulage rope body on the reel, and, when pulling the haulage rope body, worm wheel and worm can play the auto-lock effect, make the worm wheel unable drive worm rotate, can avoid making the reel rotate when manual control rotates drive or cutting drive in order to pull the haulage rope body, stability and accuracy when further having improved the haulage rope body and having provided the driving force.
Drawings
FIG. 1 is a schematic view of a shapeable cutting stapler of the present application for use in surgical procedures;
FIG. 2 is an enlarged schematic view of the portion A of FIG. 1 of a shapable cutting stapler for surgical use in accordance with the present application;
FIG. 3 is a schematic view in partial cross-section of a pull-cord in a shapeable cutting stapler for use in surgery in accordance with the present application;
FIG. 4 is a schematic view in partial cross-section of another view of a pull-cord in a shapeable cutting stapler used in surgery in accordance with the present application;
FIG. 5 is a schematic view of a partial structure of a shapeable cutting stapler of the present application at a control portion for use in a surgical procedure;
FIG. 6 is a schematic view of a partial structure of a shapable cutting stapler of the present application at a swivel mount for use in surgery;
FIG. 7 is a schematic view of a shapeable cutting stapler embodiment five for use in surgical procedures of the present application in a configuration at a control portion;
the figures indicate: the device comprises a 1-universal shaping tube, a 2-actuating part, a 3-control part, a 4-metal tube, a 5-traction rope, a 6-nail bin, a 7-rotation drive, an 8-cutting drive, a 9-first traction rope, a 10-second traction rope, a 11-rotation component, a 12-base, a 13-rotation seat, a 14-traction rope body, a 15-sleeve, a 16-first end, a 17-second end, a 18-first sleeve, a 19-second sleeve, a 20-adjustment component, a 21-gear component, a 22-reel, a 23-rack, a 24-first penetration hole, a 25-first gear, a 26-second gear, a 27-worm wheel, a 28-worm, a 29-third gear, a 30-baffle, a 31-second penetration hole, a 32-rotation handle, a 33-connecting rod, a 34-rotation handle body, a 35-movable block, a 36-driving handle, a 37-pushing piece, a 38-movable groove, a 39-safety switch, a 40-first rotation seat, a 41-second rotation seat, a 42-connecting piece, a 43-fifth rope, a 44-sixth traction rope, a 45-second traction rope and a 46-elastic handle.
Detailed Description
In order to make the objects, technical solutions and advantages of the embodiments of the present invention more clear, the technical solutions of the embodiments of the present invention will be clearly and completely described below with reference to the accompanying drawings. It will be apparent that the described embodiments are some, but not all, embodiments of the invention.
Thus, the following detailed description of the embodiments of the invention is not intended to limit the scope of the invention, as claimed, but is merely representative of some embodiments of the invention. All other embodiments, which can be made by those skilled in the art based on the embodiments of the invention without making any inventive effort, are intended to be within the scope of the invention.
It should be noted that, under the condition of no conflict, the embodiments of the present invention and the features and technical solutions in the embodiments may be combined with each other.
It should be noted that: like reference numerals and letters denote like items in the following figures, and thus once an item is defined in one figure, no further definition or explanation thereof is necessary in the following figures.
In the description of the present invention, it should be noted that, the terms "upper", "lower", and the like indicate an azimuth or a positional relationship based on the azimuth or the positional relationship shown in the drawings, or an azimuth or a positional relationship conventionally put in use of the inventive product, or an azimuth or a positional relationship conventionally understood by those skilled in the art, such terms are merely for convenience of describing the present invention and simplifying the description, and do not indicate or imply that the apparatus or element to be referred must have a specific azimuth, be constructed and operated in a specific azimuth, and thus should not be construed as limiting the present invention. Furthermore, the terms "first," "second," and the like, are used merely to distinguish between descriptions and should not be construed as indicating or implying relative importance.
Example 1
The shapable cutting suture device for the surgical operation provided by the embodiment, referring to fig. 1-5, comprises a universal shaping tube 1, an execution part 2 and a control part 3, wherein one end of the universal shaping tube 1 is connected with the execution part 2, and the other end of the universal shaping tube is connected with the control part 3;
the universal shaping pipe 1 comprises a metal pipe 4 and a traction rope 5, wherein the metal pipe 4 has shaping capability, the metal pipe 4 is used for shaping and supporting, the traction rope 5 is positioned in the metal pipe 4, and the traction rope 5 is matched with the executing part 2 and the control part 3;
the executing part 2 comprises a nail bin 6, the traction rope 5 is used for providing driving force, and the control part 3 controls the traction rope 5 to enable the nail bin 6 to complete rotation, cutting and stitching operation.
In this application, through setting up universal design pipe 1 for tubular metal resonator 4 in the universal design pipe 1 plays the effect of design support, in the operation in-process, can more nimble the regulation universal design pipe 1 get crooked form and bending angle, compare in the hard straight arm of present commonly used, the setting of its universal design pipe 1 makes the angle modulation of nail storehouse 6 more nimble, more be adapted to the internal operation environment under the haplopore environment, simultaneously, haulage rope 5 looks adaptation is in executive part 2 and control part 3, the haulage rope 5 of being convenient for provides the driving force, in order to make nail storehouse 6 accomplish rotation, cutting and sewing up the operation.
As a preferred embodiment, further, on the basis of the above mode, the universal-shaped tube 1 includes four traction ropes 5, and the control part 3 includes a rotation drive 7 and a cutting drive 8;
the two traction ropes 5 are first traction ropes 9, and the first traction ropes 9 are matched with the rotation driving 7 and are used for controlling the rotation of the nail bin 6; the other two haulage ropes 5 are second haulage ropes 10, and the second haulage ropes 10 are matched with the cutting drive 8 and are used for controlling the cutting and sewing operation of the nail bin 6.
Further, through setting up first haulage rope 9 and second haulage rope 10 for first haulage rope 9 and rotation drive 7 looks adaptation and control nail storehouse 6 rotate, simultaneously, make second haulage rope 10 and cutting drive 8 looks adaptation and control nail storehouse 6 cut and suture operation, so, be convenient for alone to the rotation of nail storehouse 6 and control the cutting suture operation of nail storehouse 6, improved the convenience of medical personnel's operation this cutting suture ware.
As a preferred embodiment, further, on the basis of the above manner, the executing part 2 further comprises a rotating assembly 11, wherein the rotating assembly 11 is used for controlling the rotation of the nail cartridge 6;
the rotating assembly 11 comprises a base 12 and a rotating seat 13, the base 12 is fixed at the end part of the metal tube 4, the rotating seat 13 is rotatably connected with the base 12, and the rotating seat 13 is used for being connected with the nail bin 6;
and the first traction rope 9 is connected with the swivel base 13 and controls the rotation angle of the swivel base 13 relative to the base 12.
Further, through setting up rotation component 11, be convenient for control the rotation of nail storehouse 6, simultaneously, be convenient for through pulling first haulage rope 9 in order to control the rotation angle of swivel mount 13 relative to base 12 to further improve the convenience of nail storehouse 6 rotation regulation.
Simultaneously, further, can make nail storehouse 6 and swivel mount 13 detachable connection, specifically, can set up the buckle and connect to this nail storehouse 6 of changing different models is convenient for, in order to satisfy different cutting and suturing demands.
As a preferable embodiment, further, on the basis of the above-mentioned mode, two first traction ropes 9 are wound around the swivel base 13, and the winding direction of one of the first traction ropes 9 is opposite to the winding direction of the other first traction rope 9; when one of the first traction ropes 9 is pulled, the winding degree of the other first traction rope 9 is increased, and the swivel base 13 rotates relative to the base 12.
Further, the two first traction ropes 9 are wound on the swivel base 13, meanwhile, the winding direction of one first traction rope 9 is opposite to the winding direction of the other first traction rope 9, when one first traction rope 9 is pulled, the winding degree of the other first traction rope 9 is increased, the winding degree of the pulled first traction rope 9 is reduced, the swivel base 13 rotates relative to the base 12, and when the other first traction rope 9 is pulled, the rotating direction of the swivel base 13 when rotating relative to the base 12 can be changed, so that forward and reverse rotation of the nail bin 6 can be controlled more conveniently.
As a preferred embodiment, on the basis of the above mode, the traction rope 5 further includes a traction rope body 14 and a sleeve 15, the traction rope body 14 is a flexible rope, the sleeve 15 has a shaping capability, the traction rope body 14 is placed in the sleeve 15, an end portion of the metal tube 4 for being fixed with the base 12 is a first end portion 16, an end portion of the metal tube 4 for being connected with the control portion 3 is a second end portion 17, one end of the sleeve 15 is fixed on the first end portion 16, and the other end of the sleeve 15 is fixed on the second end portion 17 or fixed on the control portion 3.
Further, the haulage rope 5 includes haulage rope body 14 and sleeve pipe 15, and wherein haulage rope 5 is flexible rope, and sleeve pipe 15 has the shaping ability, and when tubular metal resonator 4 moulded, the sleeve pipe 15 of being convenient for warp along with tubular metal resonator 4 together, and the haulage rope body 14 of being convenient for simultaneously provides driving force in order to control nail storehouse 6, and then improves the flexibility of nail storehouse 6 angle modulation and haulage rope 5 and provide driving force's stability.
Example two
On the basis of a technical solution of the embodiment, further, referring to fig. 1-5, the sleeve 15 includes a first sleeve 18 and a second sleeve 19, the first sleeve 18 is sleeved outside the second sleeve 19, the first sleeve 18 is a rigid straight tube, the first sleeve 18 is fixed on the first end 16, the end, away from the first sleeve 18, of the second sleeve 19 is fixed on the second end 17 or on the control part 3, the second sleeve 19 has a shaping capability, and the second sleeve 19 can move relative to the first sleeve 18 to change the total length of the sleeve 15;
and an adjusting component 20 is disposed in the first sleeve 18, and the adjusting component 20 is used for adjusting the length of the traction rope body 14, so that the moving amount of the second sleeve 19 when moving relative to the first sleeve 18 is adapted to the length change of the traction rope body 14 adjusted by the adjusting component 20.
Further, through setting up first sleeve pipe 18 and second sleeve pipe 19, make at the crooked in-process of tubular metal resonator 4, can have the condition that tubular metal resonator 4 took place to twist reverse, thereby make haulage rope 5 receive the effect of tensile force, and then enable the relative first sleeve pipe 18 of second sleeve pipe 19, thereby adjust the length of whole sleeve pipe 15, and under the effect of adjusting part 20, the amount of movement and the length variation looks adaptation of haulage rope body 14 that adjusting part 20 adjusted when making the relative first sleeve pipe 18 of second sleeve pipe 19, make the tubular metal resonator 4 and patient's tissue offset the motion, make the initial state haulage rope body 14 be in the tight state, how crooked or torsion of tubular metal resonator 4, can make haulage rope body 14 be in the tight state all the time, and then when not sending control command to rotation drive 7 and cutting drive 8, can avoid the crooked or torsion change of tubular metal resonator 4 to bring the influence to the state of haulage rope body 14, can improve the precision when the nail storehouse 6 is controlled to rotate and cutting suture operation, especially in the operation process, the motion of tubular metal resonator 4 and the control wire harness 3 when the bending deformation of tubular metal resonator 4 and patient's tissue offset causes the bending deformation of tubular metal resonator 4, can be compared with the control wire 3, the control wire harness 3 is executed and the control wire harness is carried out and the control is more stable when the wire is cut and the stability is compared with the steady and the wire 5 is cut and can be used when the wire is cut and the steady is cut and the mode is used to be compared.
As a preferred embodiment, further, the adjusting assembly 20 includes a gear assembly 21 and a reel 22, and a rack 23 is disposed on the second sleeve 19, the gear assembly 21 is matched with the rack 23 and the reel 22, a first penetration hole 24 is disposed on the reel 22, the first penetration hole 24 is used for the traction rope body 14 to penetrate, and the reel 22 is used for winding the traction rope body 14; when the second sleeve 19 moves relative to the first sleeve 18, the rack 23 moves relative to the first sleeve 18, so that the rack 23 drives the gear assembly 21 to rotate, and the gear assembly 21 drives the reel 22 to rotate, thereby changing the winding amount of the traction rope body 14 on the reel 22.
Further, the traction rope body 14 passes through the first penetration hole 24, so that when the second sleeve 19 moves relative to the first sleeve 18, the reel 22 is rotated, the traction rope body 14 is wound on the reel 22, and the winding amount of the traction rope body 14 on the reel 22 is different along with the difference of the rotation angle of the reel 22, so that the length of the traction rope body 14 is convenient to adjust, wherein the length of the traction rope body 14 in the application is the distance between two ends of the traction rope body 14 in the state that the metal pipe 4 is in a straight line, so that the traction rope body 14 can be prevented from being in an excessively loose or excessively tight state when the metal pipe 4 is bent or twisted, and the accuracy of driving force provided by the traction rope body 14 is improved, wherein the traction rope body 14 can still be pulled when the traction rope body 14 is in a winding state.
Example III
On the basis of the second technical solution of the embodiment, further, referring to fig. 1-5, the gear assembly 21 includes a first gear 25 and a second gear 26, the first gear 25 and the second gear 26 are meshed and are bevel gears, the first gear 25 is fixed with the reel 22, the gear assembly 21 further includes a worm gear 27 and a worm 28, the worm gear 27 is fixed with the second gear 26, and a third gear 29 meshed with the rack 23 is disposed on the worm 28.
Further, through setting up worm wheel 27 and worm 28, when second sleeve pipe 19 removes relative first sleeve pipe 18, make rack 23 remove and drive third gear 29 rotation, and then make worm 28 drive worm wheel 27 rotation, thereby make worm wheel 27 drive second gear 26 rotation, and then make second gear 26 drive first gear 25 rotation, thereby realize reel 22's rotation, and then be convenient for adjust the winding volume of haulage rope body 14 on reel 22, and when pulling haulage rope body 14, worm wheel 27 and worm 28 can play the auto-lock effect, make worm wheel 27 unable drive worm 28 rotate, can avoid making reel 22 rotate when artificial control rotation drive 7 or cutting drive 8 are in order to pulling haulage rope body 14, stability and accuracy when further improved haulage rope body 14 provides the driving force.
In a preferred embodiment, further, two baffles 30 are disposed in the first sleeve 18, and a second through hole 31 is disposed on the baffles 30, the second through hole 31 is used for the traction rope body 14 to pass through, and the reel 22 is located in a region between the two baffles 30.
Further, by providing the baffle 30 and providing the second penetration hole 31 on the baffle 30, the movement path of the traction rope body 14 is restrained, so that the traction rope body 14 is wound on the reel 22 conveniently.
As a preferred embodiment, in addition to the above, the surface of the traction rope body 14 is smooth and/or the surface of the traction rope body 14 is coated with lubricating oil.
Further, by making the surface of the traction rope body 14 smooth or coating lubricating oil on the surface of the traction rope body 14, the traction rope body 14 can be pulled conveniently, especially the traction rope body 14 in a winding state can be pulled conveniently.
Example IV
On the basis of the third technical solution of the embodiment, further, referring to fig. 1 to 5, the rotation driving device 7 includes a rotation handle 32, and the traction rope bodies 14 on the two first traction ropes 9 are both connected to the rotation handle 32; by controlling the rotation handle 32 to rotate, the traction rope body 14 on one of the first traction ropes 9 is pulled, so as to control the rotation of the swivel base 13 relative to the base 12.
Further, by arranging the rotating handle 32, the rotation of the rotating handle 32 is controlled conveniently, so that the pulling of the traction rope body 14 on the first traction rope 9 is controlled, and the rotation of the nail bin 6 is controlled conveniently; specifically, the rotating handle 32 includes a connecting rod 33 and a rotating handle body 34, and simultaneously the connecting rod 33 is connected on the control portion 3, one end of the connecting rod 33 is connected with the traction rope body 14 on one of the first traction ropes 9, the other end of the connecting rod 33 is connected with the traction rope body 14 on the other first traction rope 9, and the rotating handle body 34 is connected with the connecting rod 33, and the rotating handle body 34 is controlled to rotate, so that the connecting rod 33 rotates, and then the connecting rod 33 can pull the traction rope body 14 on one of the first traction ropes 9, so that the rotating base 13 is controlled to rotate relative to the base 12.
As a preferred embodiment, further, the cutting drive 8 includes a movable block 35 and a driving handle 36, the driving handle 36 is used for driving the movable block 35 to move back and forth, and one end portion of the traction rope body 14 on one second traction rope 10 along the movement direction is connected to the movable block 35, and the other end portion of the traction rope body 14 on the other second traction rope 10 along the movement direction is connected to the movable block 35; the driving handle 36 drives the movable block 35 to move, and the movable block 35 pulls the traction rope body 14 on one of the second traction ropes 10.
Further, by arranging the movable block 35 and the driving handle 36, the driving handle 36 drives the movable block 35 to move back and forth, and when the driving handle 36 drives the movable block 35 to move, the movable block 35 pulls the traction rope body 14 on the second traction rope 10, so that the second traction rope 10 can provide driving force to control cutting and stitching operations of the nail bin 6, and the specific control mode of controlling the movable block 35 by the driving handle 36 is the prior art, so that details are not repeated herein.
As a preferred embodiment, on the basis of the above manner, the executing portion 2 further includes a pushing member 37 and a movable slot 38 matched with the pushing member 37, the pushing member 37 is used for matching with a cutting blade, the pushing member 37 is connected with the traction rope body 14 on the second traction rope 10, when the traction rope body 14 on the second traction rope 10 is pulled, the pushing member 37 moves along the movable slot 38, so that the pushing member 37 drives the cutting blade to move, and the moving cutting blade is matched with the nail bin 6 to complete cutting and stitching operations.
Further, the executing portion 2 includes a pushing member 37 and a movable slot 38, specifically, the pushing member 37 is disposed in the movable slot 38 to be matched with the movable slot, and the pulling rope body 14 on the second pulling rope 10 is pulled to control the movement of the pushing member 37, so that the pushing member 37 drives the cutting blade to move, and the cutting blade is matched with the nail bin 6 to complete the cutting and suturing operation.
In a preferred embodiment, in addition to the above, the control unit 3 further includes a safety switch 39, where the safety switch 39 is used to block the movable block 35 to control the movable range of the movable block 35.
Further, by setting the safety switch 39, the safety switch 39 blocks the movable block 35, so as to control the movable range of the movable block 35, and further improve the use safety of the cutting suture device.
Example five
On the basis of the fourth technical solution of the embodiment, further, referring to fig. 6 and 7, the swivel mount 13 includes a first swivel mount 40 and a second swivel mount 41, the first swivel mount 40 is used for being connected with the nail bin 6, the second swivel mount 41 is rotationally connected with the base 12, a connecting piece 42 is fixedly arranged on the second swivel mount 41, and the connecting piece 42 is rotationally connected with the first swivel mount 40;
the universal shaping tube 1 further comprises a fifth traction rope 43 and a sixth traction rope 44 for controlling the first swivel mount 40 to deflect relative to the second swivel mount 41, one end of the fifth traction rope 43 and one end of the sixth traction rope 44 are fixed on the base 12, the control part 3 further comprises a second rotating handle 45, the other end of the fifth traction rope 43 and the other end of the sixth traction rope 44 are both connected to the second rotating handle 45, one of the fifth traction rope 43 and the sixth traction rope 44 is pulled by controlling the second rotating handle 45 to rotate, so that the first swivel mount 40 is controlled to deflect relative to the second swivel mount 41, the deflection directions of the first swivel mount 40 when the fifth traction rope 43 and the sixth traction rope 44 are pulled are different, two elastic components 46 are further arranged on the second swivel mount 41, and when one of the fifth traction rope 43 and the sixth traction rope 44 is pulled, the elastic deformation amount of one of the elastic components 46 is increased.
The above embodiments are only for illustrating the present invention and not for limiting the technical solutions described in the present invention, and although the present invention has been described in detail in the present specification with reference to the above embodiments, the present invention is not limited to the above specific embodiments, and thus any modifications or equivalent substitutions are made to the present invention; all technical solutions and modifications thereof that do not depart from the spirit and scope of the invention are intended to be included in the scope of the appended claims.

Claims (5)

1. A shapeable cutting stapler for use in surgery, comprising: the device comprises a universal shaping pipe, an executing part and a control part, wherein one end of the universal shaping pipe is connected with the executing part, and the other end of the universal shaping pipe is connected with the control part;
the universal shaping pipe comprises a metal pipe and a traction rope, the metal pipe has shaping capability, the metal pipe is used for shaping and supporting, the traction rope is positioned in the metal pipe, and the traction rope is matched with the executing part and the control part;
the execution part comprises a nail bin, the traction rope is used for providing a transmission force, and the control part controls the traction rope to enable the nail bin to complete rotation, cutting and stitching operations;
the universal shaping pipe comprises four traction ropes, and the control part comprises a rotation drive and a cutting drive;
the two traction ropes are first traction ropes, and the first traction ropes are matched with the rotation driving and are used for controlling the rotation of the nail bin; the other two traction ropes are second traction ropes which are matched with the cutting drive and are used for controlling the cutting and sewing operation of the nail bin;
the execution part further comprises a rotating assembly, wherein the rotating assembly is used for controlling the rotation of the nail bin;
the rotating assembly comprises a base and a rotating seat, the base is fixed at the end part of the metal tube, the rotating seat is rotationally connected with the base, and the rotating seat is used for being connected with the nail bin;
the first traction rope is connected with the swivel base and used for controlling the rotation angle of the swivel base relative to the base;
the two first traction ropes are wound on the rotary seat, and the winding direction of one first traction rope is opposite to the winding direction of the other first traction rope; when one of the first traction ropes is pulled, the winding degree of the other first traction rope is increased, and the swivel base rotates relative to the base;
the traction rope comprises a traction rope body and a sleeve, wherein the traction rope body is a flexible rope, the sleeve has shaping capability, the traction rope body is arranged in the sleeve, the end part, which is arranged on the metal pipe and is used for being fixed with the base, is a first end part, the end part, which is arranged on the metal pipe and is connected with the control part, is a second end part, one end of the sleeve is fixed on the first end part, and the other end of the sleeve is fixed on the second end part or the control part;
the sleeve comprises a first sleeve and a second sleeve, the first sleeve is sleeved outside the second sleeve, the first sleeve is a hard straight pipe, the first sleeve is fixed on the first end part, the end part, far away from the first sleeve, of the second sleeve is fixed on the second end part or the control part, the second sleeve has shaping capability, and the second sleeve can move relative to the first sleeve so as to change the total length of the sleeve;
and an adjusting component is arranged in the first sleeve, and the adjusting component is used for adjusting the length of the haulage rope body, so that the moving amount of the second sleeve when moving relative to the first sleeve is matched with the length change amount of the haulage rope body adjusted by the adjusting component.
2. The shapeable cutting stapler for surgical use as set forth in claim 1, wherein: the adjusting assembly comprises a gear assembly and a reel, a rack is arranged on the second sleeve, the gear assembly is matched with the rack and the reel, a first penetrating hole is formed in the reel, the first penetrating hole is used for the traction rope body to penetrate through, and the reel is used for winding the traction rope body; when the second sleeve moves relative to the first sleeve, the rack moves relative to the first sleeve, so that the rack drives the gear assembly to rotate, and the gear assembly drives the reel to rotate, and therefore the winding amount of the traction rope body on the reel is changed.
3. The shapeable cutting stapler for surgical procedures of claim 2, wherein: the gear assembly comprises a first gear and a second gear which are meshed and are bevel gears, the first gear is fixed with the reel, the gear assembly further comprises a worm wheel and a worm, the worm wheel is fixed with the second gear, and a third gear meshed with the rack is arranged on the worm.
4. The shapeable cutting stapler for surgical operations of claim 3, wherein: the first sleeve is internally provided with two baffles, the baffles are provided with second penetrating holes, the second penetrating holes are used for the traction rope body to penetrate through, and the reel is positioned in the area between the two baffles;
the rotation drive comprises a rotation handle, and traction rope bodies on the two first traction ropes are connected to the rotation handle; the rotation of the rotating handle is controlled, so that the traction rope body on one first traction rope is pulled, and the rotating seat is controlled to rotate relative to the base;
the cutting drive comprises a movable block and a drive handle, the drive handle is used for driving the movable block to move back and forth, one of the traction rope bodies on the second traction rope is connected with one end part of the movable block along the movement direction, and the other traction rope body on the second traction rope is connected with the other end part of the movable block along the movement direction; the driving handle drives the movable block to move, and the movable block pulls the traction rope body on one of the second traction ropes;
the execution part further comprises a pushing piece and a movable groove matched with the pushing piece, the pushing piece is used for being matched with a cutting blade, the pushing piece is connected with the traction rope body on the second traction rope, when the traction rope body on the second traction rope is pulled, the pushing piece moves along the movable groove, so that the pushing piece drives the cutting blade to move, and the moving cutting blade is matched with the nail bin to finish cutting and sewing operation;
the control part also comprises a safety switch, wherein the safety switch is used for blocking the movable block so as to control the movable range of the movable block.
5. The shapeable cutting stapler for surgical use as set forth in claim 1, wherein: the rotary seat comprises a first rotary seat and a second rotary seat, the first rotary seat is used for being connected with the nail bin, the second rotary seat is rotationally connected with the base, a connecting piece is fixedly arranged on the second rotary seat, and the connecting piece is rotationally connected with the first rotary seat;
the universal shaping tube further comprises a fifth traction rope and a sixth traction rope, wherein the fifth traction rope and the sixth traction rope are used for controlling the first rotating seat to deflect relative to the second rotating seat, one end of the fifth traction rope and one end of the sixth traction rope are fixed on the base, the control part further comprises a second rotating handle, the other end of the fifth traction rope and the other end of the sixth traction rope are both connected to the second rotating handle, one of the fifth traction rope and the sixth traction rope is pulled through controlling the second rotating handle to rotate, so that the first rotating seat is controlled to deflect relative to the second rotating seat, the deflection directions of the fifth traction rope and the first rotating seat when the sixth traction rope is pulled are different, two elastic components are further arranged on the second rotating seat, and when one of the fifth traction rope and the sixth traction rope is pulled, the deformation of one elastic component is increased.
CN202310591662.XA 2023-05-24 2023-05-24 Shapable cutting suture device for surgical operation Active CN116327286B (en)

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