MX2014005684A - Mecanismo de impulsion para engrapadora de articulacion. - Google Patents

Mecanismo de impulsion para engrapadora de articulacion.

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Publication number
MX2014005684A
MX2014005684A MX2014005684A MX2014005684A MX2014005684A MX 2014005684 A MX2014005684 A MX 2014005684A MX 2014005684 A MX2014005684 A MX 2014005684A MX 2014005684 A MX2014005684 A MX 2014005684A MX 2014005684 A MX2014005684 A MX 2014005684A
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MX
Mexico
Prior art keywords
drive shaft
stapler according
links
stapler
trigger assembly
Prior art date
Application number
MX2014005684A
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English (en)
Other versions
MX343523B (es
Inventor
Nir Altman
Izhak Fabian
Original Assignee
Easylap Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
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Publication date
Application filed by Easylap Ltd filed Critical Easylap Ltd
Publication of MX2014005684A publication Critical patent/MX2014005684A/es
Publication of MX343523B publication Critical patent/MX343523B/es

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/064—Surgical staples, i.e. penetrating the tissue
    • A61B2017/0649—Coils or spirals
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2901—Details of shaft
    • A61B2017/2902—Details of shaft characterized by features of the actuating rod
    • A61B2017/2903—Details of shaft characterized by features of the actuating rod transferring rotary motion
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2901—Details of shaft
    • A61B2017/2908—Multiple segments connected by articulations
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B17/2909—Handles
    • A61B2017/2925—Pistol grips
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2926—Details of heads or jaws
    • A61B2017/2927—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
  • Portable Nailing Machines And Staplers (AREA)

Abstract

Una engrapadora (10) para la aplicación de una grapa giratoria (42) incluye un eje conductor (16) acoplado con un montaje de gatillo (14), en donde la operación del montaje de gatillo provoca la rotación del eje conductor, una porción distante del eje conductor que pasa hacia un brazo articulado (18) retiene las grapas giratorias, en donde en función de la operación del montaje de gatillo, el eje conductor gira para provocar el despliegue de las grapas en forma distante del brazo articulado, y en donde el eje conductor incluye un cable (70) en el cual se localiza una pluralidad de eslabones de mando axialmente separados (72) que transfieren el movimiento rotacional del eje conductor para la rotación de los sujetadores o grapas.

Description

MECANISMO DE IMPULSION PARA ENGRAPADORA DE ARTICULACION CAMPO DE LA INVENCION La presente invención se refiere, de manera general, a dispositivos y métodos para la aplicación de sujetadores o grapas quirúrgicas, tales como las grapas giratorias, en los tejidos, para las reparaciones de la hernia y similares, y de manera particular, se refiere a una engrapadora de articulación y al mecanismo de impulsión para el mismo.
ANTECEDENTES DE LA INVENCION Un número de procedimientos quirúrgicos, laparoscópicos y endoscópicos requiere la aplicación de sujetadores o grapas giratorias en los tejidos, para las reparaciones de la hernia y similares.
La Solicitud de Patente de los Estados Unidos 12/166329 (número publicado 20100001038) de Levin y Altman, la descripción de la cual es incorporada en la presente como referencia, describe una engrapadora para la aplicación de estas grapas giratorias. La engrapadora incluye un eje conductor acoplado con un gatillo. La operación del gatillo provoca la rotación del eje conductor. El cargador retiene una grapa giratoria conectada, en forma giratoria, con el eje conductor. Un brazo aplicador articulado incluye un eje giratorio de salida y es conectado, en forma giratoria, con el cargador, el cual se encuentra próximo al brazo aplicador REF. 248517 articulado. El brazo aplicador articulado incluye uno o más eslabones giratorios, cada eslabón giratorio incluye un eje de eslabón. La operación del gatillo provoca que el eje conductor y los ejes de eslabón se desplacen para girar avanzando una distancia la grapa giratoria del cargador a través de los eslabones giratorios.
Se hace referencia a las Figuras 1 y 2, las cuales ilustran el brazo aplicador articulado 40 y el cargador de grapa 41 de la Solicitud de Patente de los Estados Unidos de la técnica anterior 12/166329 (basada en las Figuras 4 y 4A de esta solicitud) . El cargador de grapa 41 retiene las grapas giratorias 42. El cargador 41 incluye un alojamiento 43 en el cual es articulado un eje conductor 44. El eje conductor 44 es conectado en el extremo próximo del mismo con un montaje de impulsión (no se muestra) , el cual se conecta con un montaje de gatillo (no se muestra) . En función de la operación del montaje de gatillo, el montaje de impulsión gira el eje conductor 44 alrededor de su eje longitudinal.
El cargador de grapa 41 incluye un tubo roscado 46 situado en el extremo distante del eje conductor 44. Las grapas 42 son almacenadas en el cargador 41 con las espiras de las grapas 42 que están siendo recibidas en las roscas del tubo roscado 46. Cualquier número de las grapas 42 puede ser almacenado en el cargador 41, tal como una docena o más.
El brazo aplicador articulado 40 incluye los eslabones giratorios 47 conectados entre sí en serie en forma giratoria. Un alojamiento 52 de cada eslabón giratorio 47 incluye un eje de eslabón 48 con las conexiones próxima y distante de pivote (por ejemplo, las conexiones fijadas) . Por ejemplo, el eslabón giratorio 47 más cercano al cargador de grapa 41 es conectado, en forma giratoria, con el cargador 41 en una conexión de pivote 49. El siguiente eslabón giratorio más distante 47 es conectado, en forma giratoria, con el eslabón previo de giro 47 en una conexión de pivote 50. Por medio de la conexión fijada, cuando el eje conductor 44 gira todos los eslabones giratorios 47 estos también giran alrededor de sus respectivos ejes longitudinales.
Cada eslabón giratorio 47 incluye un tubo roscado 51, en forma similar al tubo roscado 46, y las grapas 42 avanzan a través de los eslabones giratorios 47 por medio de las espiras de las grapas 42 que están siendo roscadas a lo largo de la roscas de los eslabones adyacentes giratorios 47. Los eslabones adyacentes giratorios 47 pueden girar a través de un rango angular antes de que sus caras adyacentes de extremo se apoyen entre sí para evitar el giro angular adicional .
El alojamiento 52 de cada eslabón giratorio 47 y el alojamiento 43 del cargador 41 podrían ser formados con un par de agujeros diametralmente opuestos 53, en los cuales son situados los cables de tracción 118 y 126. Los cables de tracción 118 y 126 son acoplados con un montaje de gatillo (no se muestra) y son utilizados para manipular el brazo aplicador articulado 40.
En operación, el usuario jala un gatillo u otro dispositivo de accionamiento para provocar que giren el eje conductor 44 y todos los eslabones giratorios 47. Esto provoca que avancen una distancia las grapas 42, una por una, del cargador 41 a través y por medio de cada eslabón giratorio 47 hasta que la grapa 42 es avanzada fuera del eslabón giratorio más distante 47 y se enrosca en el tejido (no se muestra) . Los cables de tracción 118 y 126 son manipulados por el operador del montaje de gatillo para girar el brazo aplicador articulado 40 hasta cualquier ángulo deseado. De esta manera, el brazo aplicador articulado 40 puede ser utilizado en una variedad de ángulos, incluso en una orientación recta o vertical.
SUMARIO DE LA INVENCION La presente invención busca proporcionar mecanismos mejorados de impulsión para la engrapadora de la Solicitud de Patente de los Estados Unidos 12/166329, como es descrito de manera más detallada de aquí en adelante. En particular, la presente invención busca proporcionar una construcción simplificada y menos costosa del eje de eslabón y/o el eje conductor y del tubo roscado.
De esta manera, de acuerdo con una modalidad no limitante de la presente invención, es proporcionada una engrapadora para la aplicación de una grapa giratoria que incluye un eje conductor acoplado con un montaje de gatillo, en donde la operación del montaje de gatillo provoca la rotación del eje conductor, una porción distante del eje conductor que pasa hacia un brazo articulado retiene las grapas giratorias, en donde en función de la operación del montaje de gatillo, el eje conductor gira para provocar el despliegue de los sujetadores o grapas en forma distante del brazo articulado, y en donde el eje conductor incluye un cable en el cual es localizada una pluralidad de eslabones de mando axialmente separados que transfieren el movimiento rotacional del eje conductor para la rotación de las grapas.
De acuerdo con una modalidad de la presente invención, los eslabones de mando son moldeados sobre el cable, o en forma alterna, son unidos sobre el cable.
De acuerdo con una modalidad de la presente invención, los eslabones de mando tienen un contorno exterior que se acopla con el contorno interior de las grapas. El contorno exterior incluye las superficies de leva que se acoplan con las aperturas correspondientemente configuradas en el contorno interior de las grapas .
De acuerdo con una modalidad de la presente invención, el brazo articulado incluye una pluralidad de eslabones giratorios formados con formas de rosca. El eslabón giratorio podría incluir un conector de pivote macho y un conector de pivote hembra en los extremos opuestos del mismo. Cada eslabón giratorio podría ser construido de dos medio-eslabones, los cuales se acoplan entre sí.
BREVE DESCRIPCION DE LAS FIGURAS La presente invención será entendida y apreciada, de manera más completa, a partir de la siguiente descripción detallada tomada en conjunto con las figuras, en las cuales: Las Figuras 1 y 2 son ilustraciones simplificadas en perspectiva del mecanismo de impulsión de la engrapadora de la técnica anterior (la Solicitud de Patente de los Estados Unidos 12/166329) ; La Figura 3 es una ilustración simplificada en perspectiva de una engrapadora, construida y operativa de acuerdo con una modalidad de la presente invención; Las Figuras 4 y 5 son ilustraciones simplificadas en perspectiva y alargada, de manera respectiva, de un eje conductor o eje de eslabón de la engrapadora de la Figura 3, construido y operativo de acuerdo con una modalidad de la presente invención; La Figura 6 es una ilustración simplificada en perspectiva de un brazo articulado de la engrapadora de la Figura 3, construida y operativa de acuerdo con una modalidad de la presente invención, que incluye una pluralidad de eslabones giratorios (los tubos roscados son girados entre sí) ; Las Figuras 7 y 8 son ilustraciones simplificadas en perspectiva del eslabón giratorio del brazo aplicador articulado; y La Figura 9 es una ilustración simplificada en perspectiva de un sujetador o grapa, que podría ser desplegada por la engrapadora de la Figura 3.
DESCRIPCION DETALLADA DE LA INVENCION A continuación, se hace referencia a la Figura 3, que ilustra una engrapadora 10, construida y operativa de acuerdo con una modalidad de la presente invención.
La engrapadora 10 podría incluir un mango 12 con un montaje de gatillo 14. Un eje conductor 16 es acoplado con el montaje de gatillo 14. Una porción distante del eje conductor 16 pasa hacia un brazo aplicador articulado 18, que retiene las grapas giratorias 42 (Figura 1) . Como es similarmente descrito para la engrapadora de la Solicitud de Patente de los Estados Unidos 12/166329, en función de la operación del montaje de gatillo 14, el montaje de impulsión gira el eje conductor 16 para provocar el despliegue de las grapas 42 en forma distante fuera del brazo aplicador articulado 18.
A continuación, se hace referencia a las Figuras 4 y 5, que ilustran la construcción del eje conductor 16, de acuerdo con una modalidad de la presente invención. El eje conductor 16 incluye un cable 70, elaborado de plástico o metal, en el cual se localiza la pluralidad de los eslabones de mando axialmente separados 72. Los eslabones de mando 72 podrían ser moldeados sobre el cable 70 en un proceso de moldeo de inyección (que podría ser realizado, ya sea para partes de plástico o metal) . En forma alterna, los eslabones de mando 72 podrían ser unidos en el cable 70, tal como aunque no se limita a, mediante unión o soldadura. Los eslabones de mando 72 tienen un contorno exterior que se acopla con el contorno interior de las grapas 42. El contorno exterior de los eslabones de mando 72 no es perfectamente redondo; más bien, este incluye las superficies de leva 73 que se acoplan con los rebajos o aperturas correspondientemente configuradas 74 en el contorno interior de las grapas 42 (un ejemplo del cual es mostrado en la Figura 9) , de modo que la rotación del eje conductor 16 es transmitida por medio de los eslabones de mando 72 para girar las grapas 42 y las avanza de manera eventual fuera del eje conductor 16 hacia el tejido (no se muestra) . Las grapas 42 avanzan a medida que giran en virtud del acoplamiento con las roscas internas de los tubos roscados, los cuales son los eslabones giratorios 80 descritos más adelante.
En una modalidad, el eje conductor 16 es completamente rígido. En otra modalidad, el eje conductor 16 es parcialmente rígido, en su extremo próximo en donde se acopla con el montaje de gatillo 14, mientras una porción distante es flexible y puede doblarse. Todavía en otra modalidad, el eje conductor 16 es completamente flexible y puede doblarse. En donde el eje conductor 16 es flexible y puede doblarse, las separaciones 75 entre los eslabones de mando 72 mejoran la capacidad de doblado o flexión del eje conductor 16. Las separaciones 75 podrían ser iguales. En otra modalidad, algunas de las separaciones 75 son diferentes de otras. Esto podría transmitir una capacidad especial de flexión al eje conductor 16.
A continuación, se hace referencia a las Figuras 6-8, que ilustran el brazo articulado 18 de la engrapadora de la Figura 3, construida y operativa de acuerdo con una modalidad de la presente invención. El brazo articulado 18 incluye una pluralidad de eslabones giratorios 80 (se observan mejor en las Figuras 7-8) . En una modalidad de la invención, cada eslabón giratorio 80 incluye un conector de pivote macho 82 y un conector de pivote hembra 84 en los extremos opuestos del enlace. El conector de pivote macho 82 es una orejeta redonda que oscila en un agujero redondo del conector de pivote hembra 84. El conector de pivote hembra 84 podría ser formado con un apoyo arqueado elevado 86 que se coloca en una ranura arqueada 88 del conector de pivote macho 82, que sirve para limitar el giro de un eslabón con respecto a su eslabón vecino.
En una modalidad de la invención, cada eslabón giratorio 80 es construido de dos medio-eslabones 90, los cuales se acoplan entre sí, ya sean juntos mediante su colocación a presión, o mediante la unión o soldadura u otro proceso adecuado. Cada eslabón giratorio 80 es formado con formas de rosca 92. En consecuencia, los eslabones giratorios 80 son los tubos roscados girados entre sí, como se observa en la Figura 6. Las formas de rosca podrían estar completamente alrededor del perímetro interior o solo podrían estar parcialmente alrededor del perímetro interior.
Los eslabones giratorios 80 podrían ser elaborados mediante el proceso de moldeo de inyección de plástico. En forma alterna, los eslabones giratorios 80 podrían ser elaborados mediante el moldeo de inyección de metal (MIM) , por ejemplo, utilizando una aleación de acero, por ejemplo, una aleación de acero inoxidable, tal como aunque no se limita a, un acero inoxidable martensítico de endurecimiento de precipitación 17-4PH.
Sin embargo, aun cuando es preferido el MIM para la reducción de costos y el mantenimiento de buenas tolerancias de manufactura, es reconocido que las partes podrían ser elaboradas mediante otros métodos, tales como el maquinado.
Se hace constar que con relación a esta fecha el mejor método conocido por la solicitante para llevar a la práctica la citada invención, es el que resulta claro de la presente descripción de la invención.

Claims (14)

REIVINDICACIONES Habiéndose descrito la invención como antecede, se reclama como propiedad lo contenido en las siguientes reivindicaciones :
1. Una engrapadora para la aplicación de una grapa giratoria, caracterizada porque comprende: un eje conductor acoplado con un montaje de gatillo, en donde la operación del montaje de gatillo provoca la rotación del eje conductor, una porción distante del eje conductor que pasa hacia un brazo articulado retiene las grapas giratorias, en donde en función de la operación del montaje de gatillo, el eje conductor gira para provocar el despliegue de las grapas en forma distante del brazo articulado; y en donde el eje conductor comprende un cable en el cual es localizada una pluralidad de eslabones de mando axialmente separados que transfieren el movimiento rotacional del eje conductor para la rotación de las grapas.
2. La engrapadora de conformidad con la reivindicación 1, caracterizada porque los eslabones de mando son moldeados sobre el cable.
3. La engrapadora de conformidad con la reivindicación 1, caracterizada porque los eslabones de mando son unidos sobre el cable.
4. La engrapadora de conformidad con la reivindicación 1, caracterizada porque los eslabones de mando tienen un contorno exterior que se acopla con el contorno interior de las grapas .
5. La engrapadora de conformidad con la reivindicación 4, caracterizada porque el contorno exterior comprende superficies de leva que se acoplan con las aperturas correspondientemente configuradas en el contorno interior de las grapas .
6. La engrapadora de conformidad con la reivindicación 1, caracterizada porque el eje conductor es completamente rígido.
7. La engrapadora de conformidad con la reivindicación 1, caracterizada porque el eje conductor es rígido en donde se acopla con el montaje de gatillo, mientras una porción distante del eje conductor es flexible y puede doblarse .
8. La engrapadora de conformidad con la reivindicación 1, caracterizada porque el eje conductor es completamente flexible y puede doblarse.
9. La engrapadora de conformidad con la reivindicación 1, caracterizada porque el brazo articulado comprende una pluralidad de eslabones giratorios formados con formas de rosca.
10. La engrapadora de conformidad con la reivindicación 9, caracterizada porque cada eslabón giratorio comprende un conector de pivote macho y un conector de pivote hembra en los extremos opuestos del mismo.
11. La engrapadora de conformidad con la reivindicación 9, caracterizada porque cada eslabón giratorio es construido de dos medio-eslabones, los cuales se acoplan entre sí.
12. La engrapadora de conformidad con la reivindicación 9, caracterizada porque las formas de rosca se encuentran completamente alrededor del perímetro interior del eslabón giratorio.
13. La engrapadora de conformidad con la reivindicación 9, caracterizada porque las formas de rosca se encuentran parcialmente alrededor del perímetro interior del eslabón giratorio.
14. La engrapadora de conformidad con la reivindicación 9, caracterizada porque los eslabones giratorios son elaborados mediante el moldeo de inyección de metal (MIM) .
MX2014005684A 2011-11-14 2012-11-08 Mecanismo de impulsion para engrapadora de articulacion. MX343523B (es)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US13/295,225 US9486213B2 (en) 2011-11-14 2011-11-14 Drive mechanism for articulating tacker
PCT/US2012/064057 WO2013074359A1 (en) 2011-11-14 2012-11-08 Drive mechanism for articulating tacker

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MX2014005684A true MX2014005684A (es) 2014-08-22
MX343523B MX343523B (es) 2016-11-09

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US (1) US9486213B2 (es)
EP (1) EP2779916B1 (es)
JP (1) JP6147270B2 (es)
KR (1) KR20140104951A (es)
CN (1) CN104066387B (es)
AU (1) AU2012339927B2 (es)
BR (1) BR112014011537A2 (es)
CA (1) CA2855495A1 (es)
DK (1) DK2779916T3 (es)
ES (1) ES2572910T3 (es)
MX (1) MX343523B (es)
RU (1) RU2615281C2 (es)
WO (1) WO2013074359A1 (es)

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