CN208598459U - Nail-anvil assembly and surgical operating instrument - Google Patents

Nail-anvil assembly and surgical operating instrument Download PDF

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Publication number
CN208598459U
CN208598459U CN201721824149.7U CN201721824149U CN208598459U CN 208598459 U CN208598459 U CN 208598459U CN 201721824149 U CN201721824149 U CN 201721824149U CN 208598459 U CN208598459 U CN 208598459U
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CN
China
Prior art keywords
nail
anvil
bracket
assembly
anvil assembly
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Active
Application number
CN201721824149.7U
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Chinese (zh)
Inventor
张翚
刘殿臣
杜运峰
李凡
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Suzhou IntoCare Medical Technology Co Ltd
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Suzhou IntoCare Medical Technology Co Ltd
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Priority to CN201721824149.7U priority Critical patent/CN208598459U/en
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Abstract

The utility model relates to a kind of nail-anvil assembly and surgical operating instruments, the surgical operating instrument has nail-anvil assembly, the nail-anvil assembly includes nail anvil bracket and the resist-nailed seat that is arranged on the nail anvil bracket, and the nail-anvil assembly further includes the nail anvil head being removably mounted on the nail anvil bracket.Nail anvil head by being removably plugged on the front end of the nail anvil bracket by the nail-anvil assembly and surgical operating instrument of the utility model, it is easy to connect reliable, assembly is simple, manufacture is simple, cost is relatively low, in order to replace the nail anvil head, facilitates the maintenance of the end effector, extend the service life of the end effector.

Description

Nail-anvil assembly and surgical operating instrument
Technical field
The utility model relates to a kind of nail-anvil assembly and surgical operating instruments.
Background technique
In general surgery treatment, surgical instruments is the operation tool in medical operating, and stapler is surgical instruments A kind of operation tool for being commonly used for completing the identical function of cutting of tissue, medically uses, substitutes manual suture Equipment, main operational principle are to carry out detachment to tissue using titanium nail (suturing nail) or coincide, and are similar to stapler.It is existing Nail bin in stapler is disposable component, and the body of a gun of stapler is reusable part, still, at present in the body of a gun Use process in, since the nail anvil head of nail-anvil assembly is made by plastic material, and the nail anvil head easily receives pressure at the time of surgery, Power and deform and easily being corroded property substance and wear, when the nail anvil head deform or wear after will be unable to using, so, due to nail The damage of anvil head and abandon entire stapler to causing many wastings of resources.
Utility model content
The purpose of this utility model is to provide a kind of nail-anvil assembly and surgical operating instrument, structure is simple, reliable, The service life of the end effector can be extended.
In order to achieve the above objectives, the utility model provides the following technical solutions: a kind of nail-anvil assembly, including nail anvil bracket and Resist-nailed seat on the nail anvil bracket is set, which is characterized in that the nail-anvil assembly further include be removably mounted on it is described Nail anvil head on nail anvil bracket.
Further, the nail anvil head is plugged on the front end of the nail anvil bracket.
Further, the nail anvil head includes head and the hook part that extends to form from the head back, the nail anvil The buckle slot with hook part cooperation is provided on bracket.
Further, the quantity of the hook part is one, and the hook part includes extending to form from the head back Cantilever and the rectangular fixture block that is formed from the cantilever along the upward projection of short transverse of end effector.
Further, the quantity of the hook part is two, central axes phase of two hook parts along end effector Back setting, each hook part is with the cantilever extended to form from the head back and the circle formed from the cantilever projection Head dummy fixture block.
Further, the nail-anvil assembly further includes the transparent shield being arranged on institute's nail anvil bracket, the nail anvil bracket Bottom wall on offer along the nail-anvil assembly longitudinally extension elongated shape and to exposure cutting assembly observation Mouthful, the transparent shield covers the observation panel.
Further, the scale zone to play mark action, the scale are provided on the upper wall of the nail anvil bracket Region is located at the side of the observation panel.
In order to achieve the above objectives, the utility model provides the following technical solutions: a kind of surgical operating instrument, feature exist In, including above-mentioned nail-anvil assembly.
Further, the surgical operating instrument further includes the body of a gun, and the body of a gun includes firing transmission component, hitting with described The trigger shaft for sending out runner assembly connection, the cutting assembly being arranged on the trigger shaft, the trigger shaft are arranged in the nail anvil group In part, the trigger shaft drives the cutting assembly mobile, and the surgical operating instrument further includes electric control part, the electric control part Dividing includes trigger switch and the triggering application member for triggering the trigger switch, and the trigger switch is fixed in the body of a gun, institute The side for stating trigger switch is provided with fixed plate, and the first elastic component, the triggering application member setting are provided in the fixed plate In the side of first elastic component;The cutting assembly supports triggering application member, described when the cutting assembly percussion resets Cutting assembly pushes the triggering application member mobile towards trigger switch and triggers trigger switch;When cutting assembly percussion, First elastic component drives the triggering application member far from trigger switch and close to cutting assembly.
Further, the cutting assembly includes that the percussion nut being threadedly coupled with the trigger shaft and setting are hit described Blade on fat nut is arranged with slipping block, the slipping block and trigger shaft clearance fit, the percussion spiral shell on the trigger shaft Female to support the triggering application member by the slipping block, the side of the slipping block is provided with the driving slipping block towards percussion The second mobile elastic component of the direction of nut.
The utility model has the beneficial effects that: the nail-anvil assembly and surgical operating instrument of the utility model are by by nail anvil Head is removably mounted on the front end of the nail anvil bracket, and easy to connect reliable, assembly is simple, and manufacture is simple, and cost is relatively low, so as to In replacing the nail anvil head, facilitates the maintenance of the end effector, extend the service life of the end effector.
The above description is merely an outline of the technical solution of the present invention, in order to better understand the skill of the utility model Art means, and can be implemented in accordance with the contents of the specification, below on the preferred embodiment of the present invention and the accompanying drawings in detail It describes in detail bright as after.
Detailed description of the invention
Fig. 1 is the structural schematic diagram of surgical operating instrument shown in the embodiment of the present invention one;
Fig. 2 is the exploded view of surgical operating instrument shown in FIG. 1;
Fig. 3 is Fig. 1 end effector, is closed axis and rigidly fixes the exploded view of frame;
Fig. 4 is the exploded view of nail-anvil assembly, trigger shaft, cutting assembly in Fig. 1;
Fig. 5 is the part-structure sectional view after nail-anvil assembly in Fig. 1, trigger shaft, cutting assembly assembling;
Fig. 6 is the cross-sectional view of the part-structure after another nail-anvil assembly, trigger shaft, cutting assembly assembling;
Fig. 7 is the assembling figure that nut and blade are fired in Fig. 1;
Fig. 8 is the exploded view of percussion nut and blade shown in Fig. 7;
Fig. 9 be trigger shaft in Fig. 1, percussion nut and after give up the throne the exploded view of positioning and recognizing device;
Figure 10 is the exploded view of nail bin groupware and the first identification switch in Fig. 1;
Figure 11 is the cross-sectional view of nail bin groupware in Figure 10;
Figure 12 is the assembling figure in Fig. 1 between nail bin groupware and shell;
Figure 13 is the enlarged drawing of circle B in Figure 12;
Figure 14 a to Figure 14 c is three kinds to the optical cable for the end effector for realizing two kinds of closure height;
Figure 15 is the exploded view of the part-structure of surgical operating instrument shown in another embodiment of the present invention;
Figure 16 is isostructural for surgical operating instrument end effector shown in another embodiment of the present invention, nail bin groupware Exploded view.
Specific embodiment
With reference to the accompanying drawings and examples, specific embodiments of the present invention will be described in further detail.Implement below Example is not intended to limit the scope of the invention for illustrating the present invention.It closes following described up, down, left, right, before and after positions System is using Fig. 1 as benchmark referring to figure, and the direction arrow a-a is up and down direction in Fig. 1, and the direction arrow b-b is front-rear direction, arrow The direction c-c is left and right directions.
Referring to Figure 1 and Fig. 2, surgical operating instrument shown in one embodiment of the invention is that electric drive stapler (calls kiss in the following text Clutch), it is used to suture and cut tissue.The stapler includes the body of a gun and the nail bin groupware 100 that is mounted on the body of a gun. The body of a gun includes handle portion (not shown) and work head 10, in the present embodiment, the handle portion be it is reusable can Electric handle is sterilized, fast connector and signal transmission port is internally provided with, is additionally provided in the handle portion to provide electricity The replaceable battery group of power, the power input device (not shown) to input power is provided in the handle portion, and the power is defeated Entering device includes motor.The connection type of the motor and battery is design conventional in the prior art, therefore is not carried out herein detailed Description.The movement such as closure, opening and percussion of work head 10 is driven by the handle portion.
The work head 10 includes shell 1, center bearing bracket 2, closure transmission component (not labeled), fires transmission component (not Label), switching part and end effector 3.The center bearing bracket 2 is fixed in the shell 1, the closure transmission component, Percussion transmission component is enclosed in the shell 1, and the closure transmission component, the one end for firing runner assembly pass through power transmission group Part (not shown) is connected to motor, and the closure transmission component, the other end for firing transmission component connect with end effector 3 respectively It connects and is supported by center bearing bracket 2.The closure transmission component, percussion transmission component are connect with moving handle portion with handle portion Power is transmitted to end effector 3, to drive the realization of end effector 3 to close by closure transmission component, percussion transmission component It closing, percussion, fires reset and open, the closure transmission component, percussion transmission component are the conventional design in this field, therefore herein It is not described in detail.The switching part includes changer lever 12 and the switching push button 11 that connect with the changer lever 12.Institute State changer lever 12 optionally through closure transmission component by the power transmission of power input device to closure driving assembly or By percussion transmission component by the power transmission of power input device to trigger shaft, the switching push button 11 is on shell.Pass through Stirring switching push button 11 drives the movement on closure transmission component, percussion transmission component of changer lever 12 being closed and firing to realize Switch between two states, the changer lever 12 and closure transmission component fire the connection type of transmission component as in this field Conventional design, therefore be not described in detail herein.
Referring to Figure 1, Fig. 3 and Fig. 4, the end effector 3 include nail-anvil assembly 31, the relatively described shifting of nail-anvil assembly 31 It is dynamic to complete the nail bin groupware bracket 32 that the end effector 3 closes or opens, the driving nail bin groupware bracket 32 towards nail 31 direction of anvil assembly moves so that the closure driving assembly that the end effector 3 closes or opens and is arranged in nail-anvil assembly The cutting assembly 33 on the trigger shaft 37 is arranged in trigger shaft 37 in 31.End effector 3 is closed or opened by following closely Anvil assembly 31 and nail bin groupware bracket 32 are completed, and the nail-anvil assembly 31 and nail bin groupware bracket 32 form jaw, which closes The closure of as end effector 3 is closed, the opening of the jaw is the opening of end effector 3.The nail bin groupware 100 is pacified On the nail bin groupware bracket 32.
Fig. 3 to Fig. 6 is referred to, the nail-anvil assembly 31 includes nail anvil bracket 311, the nail anvil bracket 311 is arranged in It nail anvil head 312 on end, the transparent shield 313 being arranged on institute's nail anvil bracket 311 and is located on the nail anvil bracket 311 Resist-nailed seat 314.The nail anvil bracket 311 includes the bottom wall 3114 being oppositely arranged and the left and right sides phase from the bottom wall 3114 On the side wall 3112 that extends to form.The side wall 3112 and bottom wall 3114, which enclose, to be set to form containing cavities (not labeled).The nail anvil branch The front end of frame 311 is embedded with card plug 3113.The resist-nailed seat 314 is fixed on the bottom wall 3114, and opposite with bottom wall 3114 Setting.Longitudinally (the longitudinally of the direction and work head 10 along the nail-anvil assembly 31 is offered on the bottom wall 3114 Identical, it is the direction a-a in Fig. 1) observation panel 315 of elongated shape that extends, the transparent shield 313 is covered on the observation panel On 315, in the present embodiment, the scale zone to play mark action, the scale zone are provided on the bottom wall 3114 Positioned at the side of the observation panel 315.The nail anvil head 312 is removably plugged on the front end of the nail anvil bracket 311, pass through by Nail anvil head 312 is removably plugged on the front end of the nail anvil bracket 311, in order to replace the nail anvil head 312, the end is facilitated to hold The maintenance of row device 3 improves the service life of the end effector 3.In the present embodiment, the nail anvil head 312 and nail anvil bracket 311 snap connection, specific: the hook that the nail anvil head 312 includes head 316 and extends rearwardly to form from the head 316 Portion 317 is provided with the buckle slot 318 with the hook part 317 cooperation, the buckle slot 318 formation in the nail anvil bracket 311 On bottom wall 3114.In the present embodiment, incorporated by reference to Fig. 5 and Fig. 6, the quantity of the hook part 317 is one, the hook part 317 include the cantilever 3171 extended rearwardly to form from the head 316 and the height from the cantilever 3171 along end effector 3 The rectangular fixture block 3172 that the upward projection in direction is formed.In other embodiments, Fig. 6, the number of the hook part 317 ' are referred to Amount can be two, and two hook parts 317 are disposed opposite to each other along the central axes of the end effector 3, each hook The circle that portion 317 ' has the cantilever 3171 ' extended rearwardly to form from the head 316 ' and formed from the 3171 ' projection of cantilever Head dummy fixture block 3172 ' is recessed and the brachycephalic fixture block 3172 ' cooperation in this embodiment, in two side walls 3112 ' Buckle slot 318 '.
Fig. 3 is referred to, the nail bin groupware bracket 32 is cantilever design, and the nail bin groupware bracket 32 includes to fixation The frame body portion 321 of nail bin groupware 100 and the interconnecting piece 322 extended rearwardly to form from the frame body portion 321.The frame body portion 321 tool There is front end 323, the front end 323 of the nail bin groupware bracket 32 is vacantly arranged, which is arranged far from interconnecting piece 322. The interconnecting piece 322 of the nail bin groupware bracket 32 is movably arranged on the closure driving assembly, right in the nail-anvil assembly 31 The frame body portion 321 of the nail bin groupware bracket 32 applies thrust, and the interconnecting piece 322 of the nail bin groupware bracket 32 can be with respect to institute It states closure driving assembly to swing along first direction (arrow d direction in Fig. 3), the first direction is the nail anvil bracket 311 act on the direction of the power on the nail bin groupware bracket 32.It is provided in the frame body portion 321 and the nail bin groupware The fixing slot (not labeled) of 100 cooperations.The interconnecting piece 322 is including connection sheet 324 and from left and right sides of the connection sheet 324 The Extendible flake 325 being downwardly extending.Mounting hole 326 is offered in the connection sheet 324, the mounting hole 326 includes axis hole 327 and tear the escape groove 328 of formation outward from the both ends of the axis hole 327.
Fig. 2 and Fig. 3 are referred to, the closure driving assembly includes 34 He of closure axis being mounted on the center bearing bracket 2 Closure nut 35 on the closure axis 34 is set.Taper transmission is provided between the closure axis 34 and closure transmission component Gear set, the taper driving gear set include the first bevel gear 41 being arranged on the closure transmission component and are arranged in institute The second bevel gear 42 in the support of center bearing bracket 2 is stated, one end of the closure axis 34 is inserted into the second bevel gear 42 and leads to Cross the connection of flat structure.The closure axis 34 is used with the closure nut 35 being disposed thereon and is threadedly coupled, the closure nut 35 The rotary motion for being closed axis 34 is converted into linear motion so that the closure nut 35 can close on edge on the closure axis 34 The longitudinally of sympodium 34 moves linearly.The closure nut 35 is inserted into the mounting hole 326, the closure nut It is clearance fit between 35 and mounting hole 326, the closure nut 35 drives the nail bin groupware bracket 32 in the closure axis Longitudinally on 34 along the closure axis 34 moves.The closure nut 35 includes pressure section 351, from the pressure section 351 The axle portion 352 being downwardly extending and the lateral convex block 353 formed from the outside projection of the axle portion 352, the axle portion 352 are inserted Enter in axis hole 327 so that the axle portion 352 and axis hole 327 cooperate, be clearance fit between the mounting portion and axis hole 327. When being closed nut 35 and the assembly of nail bin groupware bracket 32, lateral convex block 353 is first aligned with escape groove 328, so that the closure 35 sets of nut are set on nail bin groupware bracket 32, then, closure nut 35 are rotated so that the lateral convex block 353 and evacuation Slot 328 misplaces, at this point, the interconnecting piece 322 of nail bin groupware 100 is clamped between pressure section 351 and lateral convex block 353, to prevent Nail bin groupware bracket 32 is separated with closure nut 35, simultaneously as the nail bin groupware bracket 32 and closure nut 35 are again socket, Axle portion 352 is polished rod, mounting hole 326 is unthreaded hole, therefore slight width opposite can be done between nail bin groupware bracket 32 and closure nut 35 Swing on degree.In the present embodiment, the relatively closed nut 35 of nail bin groupware bracket 32 rotates in order to prevent, the nail bin groupware It is fixed with fixing piece 36 on bracket 32, the card slot 361 with the convex block 353 cooperation, the convex block are provided on the fixing piece 36 353 are located in the card slot 361, and the fixing piece 36 is located at the lower section of the interconnecting piece 322, and in the present embodiment, this is fixed Part 36 and nail bin groupware bracket 32 weld.The fixing piece 36 is accommodated in nail bin groupware bracket 32.The center bearing bracket 2, which has, to be held The accommodating cavity 21 set second bevel gear 42, be closed axis 34, the side of left and right two of the accommodating cavity 21 are relatively set with cavity wall 211, The interconnecting piece 322 is accommodated in the accommodating cavity 21, and the interconnecting piece 322 fits in the accommodating cavity 21 and the connection Portion 322 can move in the accommodating cavity 21 along the longitudinally for being closed axis 34.Two Extendible flakes 325 of the interconnecting piece 322 It respectively corresponds two cavity walls 211 to be arranged, Extendible flake 325 is bonded to limit the nail bin groupware bracket 32 in nail bin group with cavity wall 211 The left and right directions of part bracket 32 shakes.In other embodiments, in order to mention mobile accuracy, the interconnecting piece 322 and accommodating It is provided with guide post between chamber 21, and is provided with the arcuate guide with guide post cooperation on accommodating cavity 21 and interconnecting piece 322 Hole improves mobile accuracy to evade face contact.The arcuate guide hole is arranged on Extendible flake 325, really, can not Extendible flake 325 is set, then the arcuate guide hole is formed directly into connection sheet 324.
Pre-bending elastic slice 37 is provided on the nail bin groupware bracket 32, the pre-bending elastic slice 37 is clamped in nail bin groupware bracket Between 32 and shell 1, the pre-bending elastic slice 37 includes the first sheet body portion 371 for being located at 324 top of connection sheet, is arranged in institute It states the second sheet body portion 372 of 321 top of frame body portion and is folded down the folding part 373 formed from second sheet body portion 372, The folding part 373 is located at the lower section in the second sheet body portion 372, and the folding part 373 is arranged close to connection sheet 324, the folding part 373 support frame body portion 321.There is folding line between first sheet body portion 371 and the second sheet body portion 372.By in nail bin groupware Pre-bending elastic slice 37 is arranged between bracket 32 and shell 1 can both prevent to generate rigidity punching between nail bin groupware bracket 32 and shell 1 It hits, and reduces the beat generated in the closure of end effector 3 and opening procedure, help to obtain preferably into nail form.
3 closing course of end effector is as follows: when closure transmission component passes through taper transmission gear driving closure axis 34 When rotating along the first direction of rotation (first direction of rotation can be for clockwise), the closure nut 35 be on closure axis 34 It moves down, at this point, closure nut 35 drives nail bin groupware bracket 32 mobile towards the direction of nail-anvil assembly 31 until the end is held Row device 3 is closed.It, generally will nail in order to guarantee the match result of end effector 3 since nail bin groupware bracket 32 is cantilever design The front end 323 of storehouse assembly support 32 is arranged to lower than interconnecting piece 322, and the purpose of the design is: if front end 323 is arranged At concordant with interconnecting piece 322, then during end effector 3 is closed, the front end (nail bin groupware of nail bin groupware 100 It is located at the part of 32 front end 323 of nail bin groupware bracket in 100) elder generation is contacted with the tissue for being sewn and cutting, at this point, the end Portion's actuator 3 is also to be closed completely, if starting firing action at this time, match result is bad.Therefore, the nail bin groupware bracket 32 It has to again towards the movement of the direction of nail-anvil assembly 31, to realize being closed completely for jaw.During this, nail bin groupware bracket 32 Front end 323 front end by nail bin groupware 100 is applied to the structural relative to force for being sewn and cutting and upward Micro- lift, and then cause the nail bin groupware bracket 32 whole along the upward slight oscillatory of first direction, due to 100 activity peace of nail bin groupware Mounted in closure nut 35 on, nail bin groupware bracket 32 can relatively closed nut 35 along first direction swing, therefore, interconnecting piece 322 is Stress weak part carries out stress weak part by the way that front end 323 to be arranged to the structure type lower than interconnecting piece 322 Reinforce, can avoid 32 bending of nail bin groupware bracket, reduce the fatigue damage of nail bin groupware 100, improves making for nail bin groupware 100 Use the service life.
For the ease of the fixation closure axis 34, described 34 one end of closure axis is fixed on the shell 1, the other end is solid It is scheduled on center bearing bracket 2.In the present embodiment, the closure axis 34 is fixed on the shell 1 by rigid support 51.Institute The fixing groove (not shown) for being recessed on rigid support 51 and docking with the closure axis is stated, it is in the present embodiment, described rigid Property bracket 51 and closure axis 34 between be provided with bearing 52, the bearing 52 is arranged in the fixing groove.The rigid support 51 include bottom plate 511 and upwardly extend the adjutage 512 to be formed from the bottom plate 511, and the adjutage 512 fixes in described On cardiac skeleton 2, the fixing groove is arranged on the bottom plate 511.Since the closure axis 34 is fixed on institute by rigid support 51 It states on shell 1, to solve in the prior art since closure axis 34 is directly anchored to cause the damage to shell 1 on shell 1 The problem of bad and closure axis 34 itself is along the offset of axis, helps to improve the service life of shell 1, improves the accurate of closure Property.
Incorporated by reference to Fig. 4 and Fig. 8, the cutting assembly 33 includes the percussion nut 331 being threadedly coupled with the trigger shaft 37 With the blade 332 being arranged on the percussion nut 331.The extending direction of the trigger shaft 37 prolongs with the lengthwise of nail-anvil assembly 31 Direction is stretched, the knife spine (not labeled) that the blade 332 has blade face and is disposed opposite to each other with the blade face (not labeled) is described The interior concane gap 333 extended from the knife spine towards the blade face direction is provided on knife spine, since the blade face has indent Notch helps to improve the service life of blade 332 so that blade 332 forms buffering when cutting backward.It is described Blade 332 can be integrally formed with percussion nut 331.In the present embodiment, nut 331 is seperated sets with percussion for the blade 332 It sets, which is fixed on percussion nut 331, can pass through the company of welding or riveting between blade 332 and percussion nut 331 Connect or pass through pin connection.The percussion nut 331 is located in the containing cavities of nail bin bracket 311, the exposure of percussion nut 331 In the observation panel 315, by the observation panel 315 it can be observed that the position of percussion nut 331, fires and hit to understand The real time position of fat nut 331.In order to intuitively recognize the position of percussion nut 331, the percussion nut 331 and nail anvil group There are color difference between part 31, transparent shield 313.
Incorporated by reference to Fig. 1 and Fig. 2, electric control part is provided in the body of a gun, the electric control part includes that withdrawing identifies in place Device, triggering inductive switch 83 and closure level identification device.
Fig. 2 and Fig. 9 are referred to, identification device includes the trigger switch 81 being arranged on the shell 1 to the withdrawing in place With triggering application member 82, which can be optoelectronic switch, and the triggering application member 82 is pilot pin, when described fixed After position needle 82 is inserted into optoelectronic switch, which is triggered, then the electric control part of the surgical operating instrument is hit Fat nut 331 is retracted into the information in home position, and electric control part can inform the information by way of acoustic control or photoelectricity Operator.The side of the trigger switch 81 is provided with fixed plate 14, which is fixed on shell 1, the fixed plate The first elastic component 15 is provided on 14.The side of first elastic component 15 is arranged in the pilot pin 82.The percussion nut 331 support pilot pin 82, and when the percussion of percussion nut 331 resets, the percussion nut 331 pushes 82 court of pilot pin Trigger switch 81 is mobile and triggers the trigger switch 81;When the percussion nut 331 percussion, first elastic component 15 is driven The pilot pin 82 is far from trigger switch 81 and close to cutting assembly 33.When specifically used, first elastic component 15 is in institute It states and applies the first power in pilot pin 82, which separates pilot pin 82 with trigger switch 81 so that the trigger switch 81 is not touched Hair, the percussion nut 331 applies the second power in pilot pin 82, this second pushes dynamic pilot pin 82 towards 81 direction of trigger switch Mobile to trigger the trigger switch 81, second power is greater than the first power, and percussion nut 331 has been defined on the trigger shaft 37 The first firing position (percussion 33 position of nut is realized in Fig. 4) when not firing, hits when percussion nut 331 is located at first Position is sent out, the percussion nut 331 applies the second power to pilot pin 82, when the percussion nut 331 is not in first percussion Position, then second power is cancelled from the pilot pin 82, and described first pushes dynamic pilot pin 82 separates with trigger switch 81. In the present embodiment, which is the spring being set in the pilot pin 82, is provided in the pilot pin 82 Compress the first elastic component 15 compresses ring 821.Slipping block 16, the slipping block 16 and percussion are arranged on the trigger shaft 37 37 clearance fit of bar, the percussion nut 331 support the pilot pin 82 by the slipping block 16, the slipping block 16 Side is provided with the second mobile elastic component 17 of the direction for driving the slipping block 16 towards percussion nut 331, specific: described to hit Hair bar 37 includes the thread segment 371 being threadedly engaged with the percussion nut 331 and prolongs from the thread segment 371 along longitudinally The polished rod portion 372 stretched is arranged slipping block 16 in the polished rod portion 372.The percussion nut 331 supports slipping block 16 and will be described Slipping block 16 pushes away the first firing position, and the percussion nut 331, the second elastic component 17 are oppositely arranged on the two of slipping block 16 Side.Second elastic component 17 is spring.By the way that the withdrawing is arranged, identification device can make the surgical operating instrument can be in place Know whether the percussion nut 331 retreats in place by automatically controlled mode, compared with prior art, can evade in the surgical operation Percussion nut 331 retreats problem not in place when repeatedly percussion retreats, and can be realized without the circle number by calculating driving motor Positioning is retreated, the quality of operation is helped to improve.
Referring to Figure 1, to Figure 13, the nail bin groupware 100 includes warehouse 91, is arranged in the warehouse 91 by Fig. 2, Figure 10 Several suturing nails (not shown), the relatively described warehouse 91 of the driving suturing nail move nail-pushing part (not shown), driving institute It states the relatively described warehouse 91 of the nail-pushing part actuator 92 moved, the bracket 93 fixed on the warehouse 91, be arranged in the storehouse The sliding trigger member 99 that on body 91 shield top plate 90, is arranged in the warehouse 91.Inductive switch 83 is triggered to trigger the touching Send out inductive switch 83.The staple cavity 94 of several storage suturing nails is provided in the warehouse 91, the warehouse 91 includes group Contact platform 95 and warehouse side wall 96 are knitted, the staple cavity 94 contacts platform 95 through the tissue.The sliding trigger member 99 It is arranged in warehouse 91, and the sliding trigger member 99 is pushed by the actuator 92 and position is occurred in the warehouse 91 and is become Change.The slid chamber 97 to store the sliding trigger member 99 is provided in the warehouse 91, which can be It moves in the slid chamber 97 and makes 99 change in location of sliding trigger member, the sliding trigger member 99 passes through actuator 92 It is pushed to move in the slid chamber 97.In the present embodiment, the general configuration and cause in the prior art of the actuator 92 Moving part is identical, and difference is: the actuator 92 in the present embodiment is equipped with to drive the sliding trigger member 99 is mobile to support Pushed section 921.In order to make the compact-sized of the pushing portion 921, recess portion 922 is offered on the actuator 92, the pushing portion 921 The rear wall of recess portion 922 is formed positioned at the rear of the recess portion 922.The sliding trigger member 99 is mounted in the recess portion 922.? First position and the second position (position in Figure 11, where the sliding trigger member 99 of solid line have been defined in the warehouse 91 For first position, 99 position of sliding trigger member of dotted line is the second position), the actuator 92 pushes the sliding to trigger Part 99 is moved to the second position from the first position.The triggering inductive switch 83 is located at and is located on first position Sliding trigger member 99 trigger.When the actuator 92 pushes sliding trigger member 99 to leave first position, the sliding trigger member 99 disengaging actuators 92 enter to the second position, at this point, the sliding trigger member 99 and triggering that are located on the second position are felt Inductive switch 83 misplaces, and the sliding trigger member 99 on the second position can not trigger the triggering inductive switch 83.In this embodiment, The triggering inductive switch 83 is located on shell 1.The bottom of the slid chamber 97 has the conduit 971 for being inclined outwardly setting, described Sliding trigger member 99 is located in the conduit 971 and moves along the direction of the conduit 971.Is additionally provided in the warehouse 91 Three elastic components 98, the actuator 92 push the sliding trigger member 99 to be moved to the second position from the first position, When the sliding trigger member 99 is moved to the second position, the third elastic component 98 is formed with sliding trigger member 99 interferes with by institute It states sliding trigger member 99 and is maintained at the second position.The third elastic component 98 can be elastic slice.In the present embodiment, work as cunning Trigger member 99 is moved at first position, elastic slice 98 supports the warehouse side wall 96 of sliding trigger member 99 to prevent the sliding trigger member 99 It is detached out of recess portion 922, when the sliding trigger member 99 is moved to the second position under the drive of actuator 92, elastic slice Deformation occurs by 98 generals, is moved to 2 from 1 in Figure 13, and elastic slice 98 is supported in the rear of sliding trigger member 99, elastic slice at this time Interference is formed between 98 and sliding trigger member 99 so that the sliding trigger member 99 is fixed on the second position.For the ease of sense It answers, induction window (not labeled), the specific induction window observation side wall 3112 and bracket is offered on nail bin groupware 100 93, when the sliding trigger member 99 is located at the first position, the sliding trigger member 99 is exposed to outer by the induction window. In the present embodiment, elastic slice 98 is formed on bracket 93.When specifically used, the triggering inductive switch 83 is Hall switch, The sliding trigger member 99 is the magnet to trigger the Hall switch;Alternatively, the triggering inductive switch 83 is reflection-type Optoelectronic switch, the sliding trigger member 99 are the reflecting element to trigger the reflection-type optoelectronic switch.In specific implementation, by In be provided in warehouse 91 by the actuator 92 push and in the warehouse 91 occur change in location sliding trigger member 99, so as to judge whether the nail bin groupware 100 is previously used according to the position of sliding trigger member 99, and surgical operating instrument In use, since electric control part is provided with the trigger member triggered by the sliding trigger member 99, to pass through automatically controlled identification nail Whether storehouse component 100 was fired, and then was avoided medical unexpected.
4a referring to Figure 1, the closure level identification device include along the moving direction of 100 bracket 32 of nail bin groupware It is arranged and the first sensing device 85 and the second sensing device 86 to incude 100 bracket 32 of nail bin groupware;In the pincers On the closing direction of mouth, the closure height of first sensing device 85 and the corresponding jaw of the second sensing device 86 is arranged not In same height.First sensing device 85 and the second sensing device 86 incude the Extendible flake 325, which can set It sets on center bearing bracket 2.First sensing device 85 and the opposite setting of nail bin groupware bracket 32 of the second sensing device 86 are being followed closely The same side of storehouse assembly support 32.4b referring to Figure 1, in other embodiments, first sensing device 85 and the second induction The two sides of nail bin groupware bracket 32 can also be arranged in device 86 with respect to nail bin groupware bracket 32.In Figure 14 a and Figure 14 b, the One sensing device 85 and the second sensing device 86 are optoelectronic switch, when end effector 3 is closed, are located at different height position The optoelectronic switch set is extended piece 325 respectively and blocks, and to identify two different closure height of end effector 3, completes The closure height of automatically controlled feedback end effector 3.Really, first sensing device, the second sensing device can be opened for Hall It closes, at this point, the magnet to trigger the first sensing device, the second sensing device need to be arranged on the nail-anvil assembly.
In other embodiments, when nail-anvil assembly 31 is moving member, closure driving assembly drives the nail-anvil assembly 31 move so that the jaw closes or opens towards 32 direction of nail bin groupware bracket, at this point, the first sensing device 85 and second Sensing device 86 is arranged along the moving direction of the nail-anvil assembly 31 and to incude the nail-anvil assembly 31;In the jaw Closing direction on, the closure of the corresponding jaw of first sensing device 85 and the second sensing device 86 is highly arranged in different In height.First sensing device 85, the second sensing device 86 can also be optoelectronic switch.Likewise, the first induction dress Set the 85, second sensing device 86 so can also need to be then arranged to trigger for Hall switch on the nail-anvil assembly 31 The magnet of one sensing device 85, the second sensing device 86.The quantity of above-mentioned sensing device can also be arranged two according to actual needs More than a.
In addition to this, 4c, the closure level identification device can also be setting in the nail bin groupware branch referring to Figure 1 An optoelectronic switch on the moving direction of frame 32 offers the aperture with optoelectronic switch cooperation on the Extendible flake 325, Since the optoelectronic switch is blocked or penetrating, to there is the optoelectronic switch to obtain two different working conditions, to identify end Two different closure height of portion's actuator 3.In the present embodiment, lengthwise of the nail bin groupware bracket 32 along the closure axis 34 Direction translation.The embodiment is also change to: an optoelectronic switch is arranged on the moving direction of the nail-anvil assembly 31 On, the nail-anvil assembly 31 has the Extendible flake 325 extended towards the nail bin groupware bracket 32, opens up on the Extendible flake 325 There is the aperture 329 with optoelectronic switch cooperation.
Above-mentioned nail bin groupware identification switch two is by being arranged on the moving direction of storehouse assembly support and described to incude The two or more sensing devices of nail bin groupware bracket 32, alternatively, by being set on the moving direction of the nail-anvil assembly 31 Set and the two or more sensing devices to incude the nail-anvil assembly 31, alternatively, in the nail bin groupware bracket 32 or One optoelectronic switch is set on the moving direction of nail-anvil assembly 31, then in corresponding nail-anvil assembly 31 or nail bin groupware bracket 32 The aperture 329 of upper setting and optoelectronic switch cooperation, thus identify two different closure height of end effector 3, in this way, The tissue of different-thickness can be only sutured with a kind of surgical operating instrument, applicability is wide.
Incorporated by reference to Figure 15 and Figure 16, stapler knot shown in stapler shown in another embodiment of the present invention and embodiment one Structure is roughly the same, but by following three important difference point: one, closure transmission component, percussion transmission component being formed all mold changings Block, two, the structure of end effector, three, the structure of locking nut and center bearing bracket 2 '.A-b box is provided in the shell 1 ' 20 ', the closure transmission component, percussion transmission component and the setting of changer lever 12 ' are in the a-b box 20 ', the a-b box The connection opening (not labeled) stretched out for the changer lever 12 ' to connect with switching push button 11 ' is offered on 20 '.By that will close Transmission component, percussion transmission component setting are closed in a-b box, so that modular construction is realized, convenient for assembling.It holds the end Row device includes nail-anvil assembly, mobile to complete the nail bin groupware that the end effector closes or opens relative to the nail-anvil assembly Bracket 32 ', the driving nail bin groupware bracket 32 ' move so that the end effector closure towards nail-anvil assembly direction or beat Closure driving assembly and the setting cutting assembly on the nail-anvil assembly opened.The structure and reality of the cutting assembly, nail-anvil assembly The structure applied in example one is identical, repeats no more, and the nail anvil bracket 311 ' includes the locking that projection is formed on side wall 3112 ' Block 318 '.The nail bin groupware bracket 32 ' includes top plate portion 321 ' and extends downwardly shape from the 321 ' left and right sides of top plate portion At adjutage 322 ', the top plate portion 321 ' and adjutage 322 ' surround the nail bin chamber (figure to install nail bin groupware 100 Show), one end of the top plate portion 321 ' offers axis hole 327 '.The closure driving assembly includes being arranged in the center bearing bracket Closure axis 34 ' on 2 ' and the closure nut 35 ' being threadedly coupled with the closure axis 34 '.The closure driving assembly equally passes through Taper driving gear set is connect with closure transmission component.The closure nut 35 ' includes block portion 351 ', from the block portion 351 ' have extended to form forward lock sheet 352 ', and the locking with the latch segment 318 ' cooperation is formed on the lock sheet 352 ' Hole 353 ', in the present embodiment, the lock sheet 352 ' are that simultaneously downward bending extends to form forward from the block portion 351 ', should Locking hole 353 ' is the notch extended to form by 352 ' bending of lock sheet.It is formed through on the block portion 351 ' and is closed with described The threaded hole 354 ' that sympodium 34 ' is threadedly engaged, the closure axis 34 ' pass through the threaded hole 354 ' and are inserted into nail bin groupware bracket In 32 ' axis hole 327 ', nail bin groupware bracket 32 ' and closure axis 34 ' are fixed by bearing 52 '.The block portion 351 ' is arranged In the accommodating cavity 21 ', the closing direction being provided between the accommodating cavity 21 ' and block portion 351 ' along end effector prolongs The arc with guide post cooperation is provided on the guide post (not shown) stretched, the accommodating cavity 21 ' and block portion 351 ' Pilot hole 22 ', in the present embodiment, corner of the guide post setting in accommodating cavity 21 '.By by nail bin groupware bracket 32 ' Setting is arranged in accommodating cavity 21 ' on closure nut 35 ', and by closure nut 35 ', passes through block portion 351 ', accommodating cavity The arcuate guide hole cooperated with the guide post is provided on setting guide post and accommodating cavity 21 ' and block portion 351 ' in 21 ' 22 ', it is swung along the longitudinal direction so as to limit nail bin groupware bracket, compared with prior art, the shifting of nail bin groupware bracket 32 ' It moves more stable, improves the match result of end effector.
Each technical characteristic of embodiment described above can be combined arbitrarily, for simplicity of description, not to above-mentioned reality It applies all possible combination of each technical characteristic in example to be all described, as long as however, the combination of these technical characteristics is not deposited In contradiction, all should be considered as described in this specification.
The embodiments described above only express several embodiments of the present invention, and the description thereof is more specific and detailed, but simultaneously It cannot therefore be construed as limiting the scope of the patent.It should be pointed out that coming for those of ordinary skill in the art It says, without departing from the inventive concept of the premise, various modifications and improvements can be made, these belong to protection of the invention Range.Therefore, the scope of protection of the patent of the invention shall be subject to the appended claims.

Claims (10)

1. a kind of nail-anvil assembly, which is characterized in that described including nail anvil bracket and the resist-nailed seat being arranged on the nail anvil bracket Nail-anvil assembly further includes the nail anvil head being removably mounted on the nail anvil bracket.
2. nail-anvil assembly as described in claim 1, which is characterized in that before the nail anvil head is plugged on the nail anvil bracket End.
3. nail-anvil assembly as claimed in claim 2, which is characterized in that the nail anvil head includes head and from the head back The hook part extended to form is provided with the buckle slot with hook part cooperation on the nail anvil bracket.
4. nail-anvil assembly as claimed in claim 3, which is characterized in that the quantity of the hook part is one, the hook part The upward projection shape of short transverse including the cantilever extended to form from the head back and from the cantilever along end effector At rectangular fixture block.
5. nail-anvil assembly as claimed in claim 3, which is characterized in that the quantity of the hook part is two, two cards Hook part is disposed opposite to each other along the central axes of end effector, and each hook part, which has from what the head back extended to form, to be hanged Arm and the brachycephalic fixture block formed from the cantilever projection.
6. nail-anvil assembly as described in claim 1, which is characterized in that the nail-anvil assembly further includes being arranged in institute's nail anvil bracket On transparent shield, the elongated shape of the longitudinally extension along the nail-anvil assembly is offered on the bottom wall of the nail anvil bracket And the observation panel to exposure cutting assembly, the transparent shield cover the observation panel.
7. nail-anvil assembly as claimed in claim 6, which is characterized in that be provided on the upper wall of the nail anvil bracket to play mark The scale zone of knowledge effect, the scale zone is located at the side of the observation panel.
8. a kind of surgical operating instrument, which is characterized in that including the nail-anvil assembly as described in any one of claim 1 to 7.
9. surgical operating instrument as claimed in claim 8, which is characterized in that the surgical operating instrument further includes the body of a gun, institute Stating the body of a gun includes firing transmission component, the trigger shaft connecting with the percussion runner assembly, the cutting being arranged on the trigger shaft Component, the trigger shaft are arranged in the nail-anvil assembly, and the trigger shaft drives the cutting assembly mobile, the surgery hand Art instrument further includes electric control part, and the electric control part includes the triggering application member of trigger switch and the triggering trigger switch, The trigger switch is fixed in the body of a gun, and the side of the trigger switch is provided with fixed plate, is arranged in the fixed plate There is the first elastic component, the side of first elastic component is arranged in the triggering application member;The cutting assembly supports triggering and applies Add part, when the cutting assembly percussion resets, the cutting assembly pushes the triggering application member mobile towards trigger switch and touches Send out trigger switch;When cutting assembly percussion, first elastic component drives the triggering application member far from trigger switch And close to cutting assembly.
10. surgical operating instrument as claimed in claim 9, which is characterized in that the cutting assembly includes and the trigger shaft The percussion nut of threaded connection and the blade being arranged on the percussion nut, are arranged with slipping block on the trigger shaft, described Slipping block and trigger shaft clearance fit, the percussion nut support the triggering application member, the sliding by the slipping block The side of block is provided with the second mobile elastic component of the direction for driving the slipping block towards percussion nut.
CN201721824149.7U 2017-12-22 2017-12-22 Nail-anvil assembly and surgical operating instrument Active CN208598459U (en)

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Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201721824149.7U CN208598459U (en) 2017-12-22 2017-12-22 Nail-anvil assembly and surgical operating instrument

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2021174431A1 (en) * 2020-03-04 2021-09-10 Covidien Lp Anvil assembly with cutting plate

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2021174431A1 (en) * 2020-03-04 2021-09-10 Covidien Lp Anvil assembly with cutting plate

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