TWI745326B - Anchoring device and method for accurate positioning and insertion of an anchor assembly - Google Patents
Anchoring device and method for accurate positioning and insertion of an anchor assembly Download PDFInfo
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- TWI745326B TWI745326B TW105141811A TW105141811A TWI745326B TW I745326 B TWI745326 B TW I745326B TW 105141811 A TW105141811 A TW 105141811A TW 105141811 A TW105141811 A TW 105141811A TW I745326 B TWI745326 B TW I745326B
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Abstract
Description
本發明是關於一種錨定裝置。 The invention relates to an anchoring device.
各種類型的錨定裝置已知用於各種應用。 Various types of anchoring devices are known for various applications.
本發明旨在提供一種改進的錨定裝置。 The present invention aims to provide an improved anchoring device.
因此,根據本發明的一較佳實施例,提供了一種錨定裝置,其包含:一手指可安裝的工作通道定義組件,其界定了一手指安裝軸和一工作通道軸,該工作通道軸相對於該手指安裝軸形成角度,該手指可安裝的工作通道定義組件界定了一通孔,該通孔一般位於一通孔平面,該通孔平面相對於該手指安裝軸形成角度,且該通孔平面相對於該工作通道軸形成角度;一錨插入組件,其被安排來沿著相對於該通孔的該工作通道軸做有限的軸向位移,以便相交於該通孔平面;以及一錨定組件,其包含至少一錨定部和一連接於該錨定部的柔性細長部,該錨定部具有一預錨定操作方向和一錨定操作方向。 Therefore, according to a preferred embodiment of the present invention, an anchoring device is provided, which includes: a finger-installable working channel defining component, which defines a finger mounting shaft and a working channel shaft, the working channel shaft is opposite An angle is formed on the finger mounting axis, and the finger-installable working channel defining component defines a through hole. The through hole is generally located on a through hole plane, the through hole plane forms an angle with respect to the finger mounting axis, and the through hole plane is opposite An angle is formed on the axis of the working channel; an anchor insertion component arranged to make a limited axial displacement along the axis of the working channel relative to the through hole so as to intersect the plane of the through hole; and an anchor component, It comprises at least one anchoring part and a flexible elongated part connected to the anchoring part, and the anchoring part has a pre-anchor operation direction and an anchor operation direction.
根據本發明的另一較佳實施例,還提供了一種錨定裝置,其包含:一手指可安裝的工作通道定義組件,其界定了一手指安裝軸和一工 作通道軸,該工作通道軸相對於該手指安裝軸形成角度,該手指可安裝的工作通道定義組件界定了一通孔,該通孔一般位於一通孔平面,該通孔平面相對於該手指安裝軸形成角度,且該通孔平面相對於該工作通道軸形成角度;一錨插入組件,其被安排來沿著相對於該通孔的該工作通道軸做軸向位移,以便相交於鄰近該通孔的該通孔平面;以及一錨定組件,其包含至少一錨定部和一連接於該錨定部的柔性細長部,該錨定部具有一預錨定操作方向和一錨定操作方向。 According to another preferred embodiment of the present invention, there is also provided an anchoring device, which comprises: a finger-installable working channel defining component, which defines a finger-mounted shaft and a working channel. As a channel axis, the working channel axis forms an angle with respect to the finger mounting axis. The finger-mounted working channel defining component defines a through hole. The through hole is generally located on a through hole plane, which is relative to the finger mounting axis. Form an angle, and the plane of the through hole forms an angle with respect to the working channel axis; an anchor insertion assembly is arranged to be axially displaced along the working channel axis relative to the through hole so as to intersect adjacent to the through hole The through-hole plane; and an anchoring component, which includes at least one anchoring portion and a flexible elongated portion connected to the anchoring portion, the anchoring portion has a pre-anchor operation direction and an anchor operation direction.
根據本發明的又一較佳實施例,更提供了一種錨定裝置,其包含:一手指可安裝的工作通道定義組件,其界定了一手指安裝軸和一工作通道軸,該工作通道軸相對於該手指安裝軸形成角度,該手指可安裝的工作通道定義組件界定了一通孔,該通孔一般位於一通孔平面,該通孔平面相對於該手指安裝軸形成角度,且該通孔平面相對於該工作通道軸形成角度;一錨插入組件,其被安排來沿著相對於該通孔的該工作通道軸做軸向位移,以便相交於鄰近該通孔的該通孔平面;以及一錨定組件,其包含至少一錨定部和一連接於該錨定部的柔性細長部,具有一預錨定操作方向和一錨定操作方向,藉由該錨插入組件且同時在該預錨定操作方向中,該錨定部沿著該工作通道軸可位移穿過該通孔平面。 According to another preferred embodiment of the present invention, an anchoring device is further provided, which comprises: a finger-installable working channel defining component, which defines a finger mounting shaft and a working channel shaft, the working channel shaft is opposite An angle is formed on the finger mounting axis, and the finger-installable working channel defining component defines a through hole. The through hole is generally located on a through hole plane, the through hole plane forms an angle with respect to the finger mounting axis, and the through hole plane is opposite Forming an angle at the working channel axis; an anchor insertion assembly arranged to be axially displaced along the working channel axis relative to the through hole so as to intersect the through hole plane adjacent to the through hole; and an anchor The anchoring component includes at least one anchoring portion and a flexible elongated portion connected to the anchoring portion, having a pre-anchoring operation direction and an anchoring operation direction, by which the anchor is inserted into the component and at the same time in the pre-anchor In the operating direction, the anchoring portion is displaceable along the working channel axis and passing through the through hole plane.
根據本發明的再一較佳實施例,更提供了一種錨定裝置,其包含:一手指可安裝的工作通道定義組件,其界定了一手指安裝軸和一工作通道軸,該工作通道軸相對於該手指安裝軸形成角度,該手指可安裝的工作通道定義組件界定了一通孔,該通孔一般位於一通孔平面,該通孔平面相對於該手指安裝軸形成角度,且該通孔平面相對於該工作通道軸形成 角度,該手指安裝軸位於一手指安裝軸平面,該工作通道軸位於一工作通道軸平面,該工作通道軸平面是平行於該手指安裝軸平面,該通孔平面是正交於該相互平行的手指安裝軸平面,且該通孔平面是正交於該工作通道軸平面;一錨插入組件,該錨插入組件被安排來沿著相對於該通孔的該工作通道軸做軸向位移,以便相交於該通孔平面;以及一錨定組件,該錨定組件包含至少一錨定部和一連接於該錨定部的柔性細長部。 According to still another preferred embodiment of the present invention, an anchoring device is further provided, which includes: a finger-installable working channel defining component, which defines a finger mounting shaft and a working channel shaft, the working channel shaft is opposite An angle is formed on the finger mounting axis, and the finger-installable working channel defining component defines a through hole. The through hole is generally located on a through hole plane, the through hole plane forms an angle with respect to the finger mounting axis, and the through hole plane is opposite Formed on the axis of the working channel Angle, the finger mounting axis is located on a finger mounting axis plane, the working channel axis is located on a working channel axis plane, the working channel axis plane is parallel to the finger mounting axis plane, and the through hole plane is orthogonal to the mutually parallel Finger installation axis plane, and the through hole plane is orthogonal to the working channel axis plane; an anchor insertion assembly, the anchor insertion assembly is arranged to make an axial displacement along the working channel axis relative to the through hole, so that Intersecting the plane of the through hole; and an anchoring component, the anchoring component including at least one anchoring portion and a flexible elongated portion connected to the anchoring portion.
根據本發明的又另一較佳實施例,更提供了一種錨定裝置,其包含:一手指可安裝的工作通道定義組件,其界定了一手指安裝軸和一工作通道軸,該手指可安裝的工作通道定義組件界定了一通孔,該通孔一般位於一通孔平面,該通孔平面相對於該工作通道軸形成角度;一錨插入組件,該錨插入組件被安排來沿著相對於該通孔的該工作通道軸做軸向位移,以便相交於該通孔平面;以及一錨定組件,該錨定組件包含至少一錨定部和一連接於該錨定部的柔性細長部。 According to yet another preferred embodiment of the present invention, an anchoring device is further provided, which comprises: a finger-installable working channel defining component, which defines a finger mounting shaft and a working channel shaft, the finger can be installed The working channel definition component defines a through hole, the through hole is generally located in a through hole plane, the through hole plane forms an angle with respect to the working channel axis; an anchor insertion component, the anchor insertion component is arranged along with respect to the through hole The axis of the working channel of the hole is axially displaced so as to intersect the plane of the through hole; and an anchoring assembly including at least one anchoring part and a flexible elongated part connected to the anchoring part.
根據本發明的再另一較佳實施例,還提供了一種錨定裝置,其包含:一手指可安裝的工作通道定義組件,其界定了一手指安裝軸和一工作通道軸,該手指可安裝的工作通道定義組件界定了一手指錨定位置接合部,該手指錨定位置接合部一般位於一與該工作通道軸形成角度的方向;一錨插入組件,其被安排來沿著相對於該接合部的該工作通道軸做軸向位移,以便接合鄰近該接合部的該錨定位置;以及一錨定組件,該錨定組件包含至少一錨定部和一連接於該錨定部的柔性細長部。 According to still another preferred embodiment of the present invention, there is also provided an anchoring device, which includes: a finger-installable working channel defining component, which defines a finger mounting shaft and a working channel shaft, the finger can be mounted The working channel defining component defines a finger anchoring position engagement portion, which is generally located in a direction that forms an angle with the working channel axis; an anchor insertion component, which is arranged to be along with respect to the engagement The working channel axis of the part is axially displaced to engage the anchoring position adjacent to the joint part; and an anchoring assembly including at least one anchoring part and a flexible slender connected to the anchoring part Department.
較佳地,該手指安裝軸位於一手指安裝軸平面,該工作通道軸位於一工作通道軸平面,該工作通道軸平面是平行於該手指安裝軸平 面,該通孔平面是正交於該相互平行的手指安裝軸平面,且該通孔平面是正交於該工作通道軸平面。 Preferably, the finger mounting axis is located on a finger mounting axis plane, the working channel axis is located on a working channel axis plane, and the working channel axis plane is parallel to the finger mounting axis plane. The through hole plane is orthogonal to the mutually parallel finger mounting axis plane, and the through hole plane is orthogonal to the working channel axis plane.
根據本發明的一較佳實施例,該手指可安裝的工作通道定義組件被配置為右手或左手。另外或或者,該手指可安裝的工作通道定義組件包含一手指安裝元件、一細長的工作通道定義元件和一插入及停止定義元件,該插入及停止定義元件被固定地安裝在該細長的工作通道定義元件上。較佳地,該手指可安裝的工作通道定義組件被形成為一單件的部分柔性塑膠材料,且界定了兩個連接於一端壁及下側壁的側壁,並被配置來使得操作者之手指的下側接合一錨定位點。另外或或者,該工作通道定義組件界定了向前及向後通過固定安裝通道,其用於該細長的工作通道定義元件的固定安裝。 According to a preferred embodiment of the present invention, the finger-installable working channel defining component is configured as a right-handed or a left-handed. Additionally or alternatively, the finger-installable working channel defining component includes a finger mounting element, an elongated working channel defining element, and an insertion and stop defining element, and the insertion and stopping defining element is fixedly installed in the elongated working channel Define the component. Preferably, the finger-installable working channel defining component is formed as a single piece of partially flexible plastic material, and defines two side walls connected to one end wall and the lower side wall, and is configured to make the operator’s finger The underside engages an anchor positioning point. Additionally or alternatively, the working channel defining component defines a forward and backward passage through a fixed installation channel, which is used for fixed installation of the elongated working channel defining element.
根據本發明的一較佳實施例,該工作通道軸相對於該手指軸成7度角。另外或或者,該工作通道軸相對於該通孔平面成40度角。 According to a preferred embodiment of the present invention, the working channel axis forms an angle of 7 degrees with respect to the finger axis. Additionally or alternatively, the axis of the working channel forms an angle of 40 degrees with respect to the plane of the through hole.
較佳地,該插入及停止定義元件是一中空元件,該中空元件包含一大致圓柱形的中空部,該大致圓柱形的中空部與一界定一邊緣的中空漏斗狀部相通,該邊緣作為一精確的止擋部,該精確的止擋部限制了穿過其的該錨插入組件的位移的軸向範圍。 Preferably, the insertion and stop defining element is a hollow element, the hollow element includes a substantially cylindrical hollow portion, the substantially cylindrical hollow portion communicates with a hollow funnel-shaped portion defining an edge, and the edge serves as a A precise stopper that limits the axial range of displacement of the anchor insertion assembly passing therethrough.
根據本發明的一較佳實施例,該錨插入組件包含第一及第二外殼部,其上安裝有一內管及按鈕組件,該內管及按鈕組件包含一按鈕和一細長管,該細長管在該細長管的一端部被固定地安裝至該按鈕。此外,該錨定裝置還包含一外管及保持器組件,其被安裝在該第一及第二外殼部上。較佳地,該外管及保持器組件包含一保持盤,該保持盤被固定地安裝 在一細長管的一端部上,且一螺旋彈簧被安裝在該按鈕與該保持盤之間的該細長管上。此外,該錨定裝置還包含一按鈕保護元件,其被樞轉地安裝在該第一及第二外殼部上,用於與該按鈕可選擇地保護接合。 According to a preferred embodiment of the present invention, the anchor insertion assembly includes a first and a second housing part, on which an inner tube and a button assembly are mounted, the inner tube and the button assembly include a button and an elongated tube, the elongated tube It is fixedly mounted to the button at one end of the elongated tube. In addition, the anchoring device also includes an outer tube and a holder assembly, which are installed on the first and second housing parts. Preferably, the outer tube and holder assembly includes a holding plate, and the holding plate is fixedly installed On one end of an elongated tube, and a coil spring is installed on the elongated tube between the button and the holding plate. In addition, the anchoring device further includes a button protection element, which is pivotally mounted on the first and second housing parts for selectively protectively engaging with the button.
根據本發明的一較佳實施例,該按鈕被配置以具有一接合表面,該接合表面形成有一對保持凹槽,該對保持凹槽被排列在一橫向狹縫和一軸向孔的相對側上,該軸向孔延伸穿過且界定了一於該橫向狹縫處的該接合表面中的通孔。 According to a preferred embodiment of the present invention, the button is configured to have an engagement surface formed with a pair of holding grooves arranged on opposite sides of a transverse slit and an axial hole Above, the axial hole extends through and defines a through hole in the joint surface at the transverse slit.
根據本發明的一較佳實施例,還提供了一種使用該錨定裝置的方法,該錨定裝置是用於將一錨定組件定位及插入於一錨定基板中,該方法包含:將一使用者的一手指插入至該手指可安裝的工作通道定義組件中,因此該手指的一末端指骨被安排來接合該錨定基板;以及將該錨插入組件插入至其中預裝載有該錨定組件之該手指可安裝的工作組件中,以致該使用者的該手指的方向精確地界定了具有該錨定基板的該錨定組件的錨定接合的位置。 According to a preferred embodiment of the present invention, there is also provided a method of using the anchoring device. The anchoring device is used for positioning and inserting an anchoring component into an anchoring substrate. The method includes: A user's finger is inserted into the working channel defining component where the finger can be installed, so a terminal phalanx of the finger is arranged to engage the anchoring base plate; and the anchor insertion component is inserted into the anchoring component preloaded therein In the working assembly where the finger can be installed, the direction of the user's finger accurately defines the anchor joint position of the anchor assembly with the anchor substrate.
較佳地,該錨定基板中的該錨定組件的插入的程度是藉由該錨插入組件與該手指可安裝的工作通道定義組件之間的接合而被精確地限制。 Preferably, the degree of insertion of the anchor component in the anchor substrate is precisely restricted by the engagement between the anchor insertion component and the finger-installable working channel defining component.
100:右手指可安裝的工作通道定義組件 100: The working channel definition component that can be installed by the right finger
110、210:手指安裝元件 110, 210: Finger-mounted components
120、220:細長的工作通道定義元件 120, 220: Slender working channel definition components
130、230:插入及停止定義元件 130, 230: Insert and stop defining components
140、240:手指安裝軸 140, 240: Finger mount shaft
142、242:第一側壁 142, 242: first side wall
144、244:端壁 144, 244: end wall
146、246:下側壁 146, 246: lower side wall
148、248:通孔 148, 248: Through hole
149、249:通孔平面 149, 249: Through hole plane
150、250:向前通過固定安裝通道 150, 250: Forward through the fixed installation channel
152、252:向後通過固定安裝通道 152, 252: Backward through the fixed installation channel
153、253:手指安裝軸平面 153, 253: Finger mounting axis plane
154、254:工作通道軸 154, 254: working channel axis
155、255:工作通道軸平面 155, 255: working channel axis plane
156、256:第一端 156, 256: first end
158、258:位置 158, 258: location
162、262:大致圓柱形的中空部 162, 262: roughly cylindrical hollow part
164、264:第二端 164, 264: second end
166、266:中空漏斗狀部 166, 266: Hollow funnel
168、268:邊緣 168, 268: Edge
200:左手指可安裝的工作通道定義組件 200: The working channel definition component that can be installed by the left finger
240:手指軸 240: Finger axis
254:軸 254: Axis
300:錨插入組件 300: Anchor Insertion Assembly
310:第一外殼部 310: The first housing part
320:第二外殼部 320: second housing part
330:內管及按鈕組件 330: inner tube and button assembly
332:按鈕 332: Button
334:細長管 334: Slender tube
336:端部 336: end
340:外管及保持器組件 340: Outer tube and retainer assembly
342:保持盤 342: hold the disk
344:端部 344: end
346:細長管 346: slender tube
350:螺旋彈簧 350: coil spring
360:按鈕保護元件 360: Button protection element
400:結構內部肋條 400: internal ribs of the structure
402、404:插座 402, 404: socket
410:軸 410: Shaft
412、414:插座 412, 414: socket
416、418:切口 416, 418: notch
420、422:切口 420, 422: Incision
430、432:樞軸安裝插座 430, 432: Pivot mount socket
444、446:螺絲插座及通道 444, 446: Screw socket and channel
448:面向前的出口端表面 448: Front-facing exit surface
502:軸向位移導引突起部 502: Axial displacement guide protrusion
504:面向後的表面 504: Rear-facing surface
506:保持凹槽 506: keep groove
508:橫向狹縫 508: Horizontal slit
510:軸向孔 510: Axial hole
512:通孔 512: Through hole
700:主幹部 700: main cadre
702:支腳 702: Feet
704:樞軸安裝突起部 704: Pivot mounting protrusion
706:下側表面 706: lower side surface
712、714:接合突起部 712, 714: engagement protrusion
800:錨定組件 800: Anchor component
810:穿透元件 810: penetrating element
820:柔性細長元件 820: Flexible slender element
830:錨定元件 830: anchoring element
842:尖頭前部 842: pointed front
844:頸部 844: neck
846:後接合部 846: rear joint
848:柔性保持指狀物 848: Flexible Holding Finger
849:末端邊緣表面 849: End edge surface
850:通孔 850: Through hole
852:最前面的錐形邊緣表面 852: The foremost tapered edge surface
853:中間錐形邊緣表面 853: Middle tapered edge surface
854:橫向邊緣表面 854: horizontal edge surface
856:軸向邊緣表面 856: Axial edge surface
858:橫向邊緣表面 858: horizontal edge surface
860:軸向邊緣表面 860: Axial edge surface
902:後環部 902: rear ring
904:向後打開的翼片 904: Backward opening flap
906:面向後的邊緣表面 906: Rear-facing edge surface
908:翼片支腳 908: Wing feet
910:保持通孔 910: Keep through hole
912:面向後的邊緣表面、面向通孔邊緣表面 912: The edge surface facing the rear, the edge surface facing the through hole
920:切口 920: cut
922:面向前的邊緣表面 922: Front-facing edge surface
1000:錨定基板 1000: Anchor substrate
1002:陰道壁 1002: vaginal wall
1004:左手食指 1004: left index finger
1006:表面 1006: surface
從以下的詳細描述將可更充分的理解與鑑別本發明,其中:第1A、1B、1C、1D和1E圖分別是形成本發明一實施例中該錨定裝置的一部分的一右手指可安裝的工作通道定義組件的簡化圖像組裝 視圖、分解圖、頂視圖、仰視圖和簡化剖視圖(沿第1C圖中線E-E所截取的)。 The present invention will be more fully understood and distinguished from the following detailed description, in which: Figures 1A, 1B, 1C, 1D and 1E are respectively a right finger that forms part of the anchoring device in an embodiment of the present invention. Simplified image assembly of working channel definition components Views, exploded views, top views, bottom views and simplified cross-sectional views (taken along the line E-E in Figure 1C).
第2A、2B、2C、2D和2E圖分別是形成本發明一實施例中該錨定裝置的一部分的一左手指可安裝的工作通道定義組件的簡化圖像組裝視圖、分解圖、頂視圖、仰視圖和簡化剖視圖(沿第2C圖中線E-E所截取的)。 Figures 2A, 2B, 2C, 2D and 2E are respectively a simplified image assembly view, exploded view, top view, and top view of a left-finger-installable working channel definition component forming part of the anchoring device in an embodiment of the present invention. Bottom view and simplified cross-sectional view (taken along line EE in Figure 2C).
第3A、3B、3C和3D圖分別是形成本發明一實施例中該錨定裝置的一部分的一錨插入組件的簡化圖像組裝視圖、簡化分解圖、仰視圖和簡化剖視圖(沿第3C圖中線D-D所截取的)。 Figures 3A, 3B, 3C, and 3D are respectively a simplified image assembly view, a simplified exploded view, a bottom view, and a simplified cross-sectional view of an anchor insertion assembly forming part of the anchoring device in an embodiment of the present invention (along Figure 3C Intercepted by the midline DD).
第4A和4B圖是第3A至3D圖的該錨插入組件的第一及第二外殼部的簡化內部視圖。 Figures 4A and 4B are simplified internal views of the first and second housing parts of the anchor insertion assembly of Figures 3A to 3D.
第5A、5B、5C和5D圖分別是形成第3A至3D圖的該錨插入組件的一部分的一內管及按鈕組件的簡化組裝視圖、簡化末端視圖、簡化側視圖和簡化剖視圖(沿第5C圖的線D-D所截取的)。 Figures 5A, 5B, 5C, and 5D are respectively a simplified assembly view, simplified end view, simplified side view, and simplified cross-sectional view of an inner tube and button assembly forming part of the anchor insertion assembly of Figures 3A to 3D. The line DD of the figure is intercepted).
第6A和6B圖分別是形成第3A至3D圖的該錨插入組件的一部分的一外管及保持器組件的簡化圖像組裝視圖和分解圖。 Figures 6A and 6B are respectively simplified image assembly views and exploded views of an outer tube and holder assembly forming part of the anchor insertion assembly of Figures 3A to 3D.
第7A、7B和7C圖分別是形成第3A至3D圖的該錨插入組件的一部分的一按鈕保護元件的簡化圖像視圖、簡化內部視圖和簡化剖視圖,第7B圖是以一由第7A圖中箭頭B所表示的方向所取的視圖,第7C圖是沿著第7B圖的線C-C所取的視圖。 Figures 7A, 7B, and 7C are respectively a simplified image view, a simplified internal view, and a simplified cross-sectional view of a button protection element forming part of the anchor insertion assembly of Figures 3A to 3D. Figure 7B is a simplified view of Figure 7A. The view taken in the direction indicated by the arrow B in the middle, and Fig. 7C is a view taken along the line CC of Fig. 7B.
第8A、8B、8C和8D圖分別是形成本發明一實施例中該錨定裝置的一部份的一錨定組件(處於一非壓縮狀態)的簡化圖像組裝視圖、分 解圖、頂視圖和剖視圖(沿第8C圖中的線D-D所截取的)。 Figures 8A, 8B, 8C, and 8D are respectively simplified image assembly views and sub-views of an anchoring component (in a non-compressed state) forming part of the anchoring device in an embodiment of the present invention. Solution drawing, top view and cross-sectional view (taken along the line D-D in Figure 8C).
第9圖是形成第8A至8D圖的該錨定組件的一部份的一穿透元件的簡化示意圖。 Figure 9 is a simplified schematic diagram of a penetrating element forming part of the anchoring assembly of Figures 8A to 8D.
第10A、10B、10C和10D圖分別是形成第8A至8D圖的該錨定組件的一部份的一錨定元件(處於一非壓縮狀態)的簡化圖像視圖、簡化頂視圖、簡化剖視圖和簡化側視圖,第10C圖是沿著第10B圖的線C-C所取的視圖。 Figures 10A, 10B, 10C, and 10D are simplified image views, simplified top views, and simplified cross-sectional views of an anchor element (in a non-compressed state) forming part of the anchor assembly of Figures 8A to 8D, respectively And a simplified side view, Fig. 10C is a view taken along line CC of Fig. 10B.
第11A、11B、11C和11D圖分別是第10A至10D圖的該錨定元件(處於一壓縮狀態)的簡化圖像視圖、簡化頂視圖、簡化剖視圖和簡化側視圖,第11C圖是沿著第11B圖的線C-C所取的視圖。 Figures 11A, 11B, 11C, and 11D are simplified image views, simplified top views, simplified cross-sectional views, and simplified side views of the anchoring element (in a compressed state) of Figures 10A to 10D, respectively. Figure 11C is along A view taken on line CC of Figure 11B.
第12A、12B、12C和12D圖分別是第8A至11D圖的該錨定組件(處於一非壓縮狀態)的簡化圖像組裝視圖、分解圖、側視圖和剖視圖(沿第12C圖中的線D-D所截取的)。 Figures 12A, 12B, 12C, and 12D are simplified image assembly views, exploded views, side views, and cross-sectional views of the anchor assembly (in a non-compressed state) of Figures 8A to 11D, respectively (along the line in Figure 12C). DD intercepted).
第12E、12F、12G和12H圖分別是第8A至12D圖的該錨定組件(處於一壓縮狀態)的簡化圖像組裝視圖、分解圖、側視圖和剖視圖(沿第12G圖中的線H-H所截取的)。 Figures 12E, 12F, 12G, and 12H are simplified image assembly views, exploded views, side views, and cross-sectional views of the anchor assembly (in a compressed state) of Figures 8A to 12D, respectively (along line HH in Figure 12G). Intercepted).
第13A、13B和13C圖分別是第8A至12D圖的該錨定組件的組裝中的一個階段的簡化圖像視圖、側視圖和剖視圖,第13C圖是沿著第13B圖中的線C-C所取的視圖。 Figures 13A, 13B, and 13C are respectively a simplified image view, side view and cross-sectional view of a stage in the assembly of the anchor assembly of Figures 8A to 12D, Figure 13C is along the line CC in Figure 13B Take the view.
第14A、14B和14C圖分別是第8A至12D圖的該錨定組件的組裝中的一進一步的階段的簡化圖像視圖、側視圖和剖視圖,第14C圖是沿著第14B圖中的線C-C所取的視圖。 14A, 14B, and 14C are respectively a simplified image view, a side view and a cross-sectional view of a further stage in the assembly of the anchor assembly of FIGS. 8A to 12D, and FIG. 14C is along the line in FIG. 14B View taken by CC.
第15A、15B和15C圖分別是第8A至12D圖的該錨定組件的組裝中的一更進一步的階段的簡化圖像視圖、側視圖和剖視圖,第15C圖是沿著第15B圖中的線C-C所取的視圖。 Figures 15A, 15B, and 15C are simplified image views, side views, and cross-sectional views of a further stage in the assembly of the anchor assembly of Figures 8A to 12D, respectively. Figure 15C is along the line in Figure 15B. View taken from line CC.
第16A、16B、16C、16D、16E和16F圖是第3A至7C圖的該錨插入組件的組裝中的階段的簡化示意圖。 Figures 16A, 16B, 16C, 16D, 16E, and 16F are simplified schematic diagrams of the stages in the assembly of the anchor insertion assembly of Figures 3A to 7C.
第17A、17B、17C、17D、17E和17F圖是第8A至12D圖的該錨定組件插入至第3A至7C圖的該錨插入組件中的階段的簡化示意圖。 Figures 17A, 17B, 17C, 17D, 17E, and 17F are simplified schematic diagrams of the stages in which the anchor assembly of Figures 8A to 12D is inserted into the anchor insertion assembly of Figures 3A to 7C.
第18A、18B、18C、18D、18E、18F、18G、18H、18I和18J圖是第1A至17F圖的該錨定裝置的操作的階段的簡化示意圖。 Figures 18A, 18B, 18C, 18D, 18E, 18F, 18G, 18H, 18I, and 18J are simplified schematic diagrams of the stages of operation of the anchoring device of Figures 1A to 17F.
請參照第1A、1B、1C、1D和1E圖,其分別是形成本發明一實施例中一錨定裝置的一部分的一右手指可安裝的工作通道定義組件的簡化圖像組裝視圖、分解圖、頂視圖、仰視圖和簡化剖視圖(沿第1C圖中線E-E所截取的)。 Please refer to Figures 1A, 1B, 1C, 1D, and 1E, which are respectively a simplified image assembly view and an exploded view of a right finger-installable working channel definition component forming part of an anchoring device in an embodiment of the present invention , Top view, bottom view and simplified cross-sectional view (taken along line EE in Figure 1C).
如第1A至1E圖所示,該右手指可安裝的工作通道定義組件(在此以標號100來表示)較佳地包含一手指安裝元件110、一細長的工作通道定義元件120(其較佳被固定地安裝(在其第一端)在該手指安裝元件110上)和一插入及停止定義元件130,該插入及停止定義元件130較佳被固定地安裝在該細長的工作通道定義元件120上(在其第二端)。
As shown in Figures 1A to 1E, the right-finger-installable working channel defining component (indicated by
該手指安裝元件110較佳地被配置來可移除地容納一操作者的右手食指。該手指安裝元件110較佳被形成為一單件的部分柔性塑膠材料(如聚碳酸酯),其沿著一手指軸140延伸,且界定了兩個側壁142(其較佳
連接於一端壁144及一下側壁146),並界定了一通孔148。該通孔148並被配置來使得該操作者之手指的下側(當完全被插入至該手指安裝元件110中時)被曝露及接合一潛在的錨定位點。通孔148一般位於一通孔平面149。
The
該手指安裝元件110較佳地還界定了(在其第一側壁142)各自的向前及向後通過固定安裝通道150、152,其是用於將細長的工作通道定義元件120沿著軸154而固定安裝至各自的向前及向後通過固定安裝通道150、152。具體如第1E圖所示,軸154較佳地相對於該手指軸140成7度角,且較佳地相對於通孔平面149成40度角。
The
具體如第1D圖所示,本發明一實施例的一具體特徵在於,手指安裝軸140位於一手指安裝軸平面153,且該工作通道軸154位於一工作通道軸平面155,該工作通道軸平面155是平行於該手指安裝軸平面153,該通孔平面149是正交於該相互平行的手指安裝軸平面153,且該通孔平面149是正交於該工作通道軸平面155。
Specifically as shown in Figure 1D, a specific feature of an embodiment of the present invention is that the
細長的工作通道定義元件120較佳地是一細長中空管,較佳地是由不銹鋼形成,且較佳地具有一2.6毫米(mm)的內徑,並藉由一合適的黏著劑而被固定到該手指安裝元件110的通道150、152。細長的工作通道定義元件120的第一端156被固定地坐落在沿著通道150中間的位置158。
The elongated working
插入及停止定義元件130較佳是一中空元件,該中空元件包含一大致圓柱形的中空部162,該大致圓柱形的中空部162容納了細長的工作通道定義元件120的第二端164,該細長的工作通道定義元件120較佳是藉由一合適的黏著劑而被固定到其上。大致圓柱形的中空部162較佳地與一中空漏斗狀部166相通。該中空漏斗狀部166界定了一邊緣168。該邊緣168作
為一精確的止擋部,該精確的止擋部限制了穿過其的該錨插入組件的位移的軸向範圍。
The insertion and stop defining
請參照第2A、2B、2C、2D和2E圖,其分別是形成本發明一實施例中該錨定裝置的一部分的一左手指可安裝的工作通道定義組件的簡化圖像組裝視圖、分解圖、頂視圖、仰視圖和簡化剖視圖(沿第2C圖中線E-E所截取的)。 Please refer to Figures 2A, 2B, 2C, 2D, and 2E, which are respectively a simplified image assembly view and an exploded view of a left-finger-installable working channel definition component forming part of the anchoring device in an embodiment of the present invention , Top view, bottom view and simplified cross-sectional view (taken along line EE in Figure 2C).
如第2A至2E圖所示,該左手指可安裝的工作通道定義組件(在此以標號200來表示)較佳地包含一手指安裝元件210、一細長的工作通道定義元件220(其較佳被固定地安裝(在其第一端)在該手指安裝元件210上)和一插入及停止定義元件230,該插入及停止定義元件230較佳被固定地安裝在該細長的工作通道定義元件220上(在其第二端)。
As shown in Figures 2A to 2E, the left finger-installable working channel defining component (indicated by the
該手指安裝元件210較佳地被配置來可移除地容納一操作者的左手食指。該手指安裝元件210較佳被形成為一單件的部分柔性塑膠材料(如聚碳酸酯),其沿著一手指軸240延伸,且界定了兩個側壁242(其較佳連接於一端壁244及一下側壁246),並界定了一通孔248。該通孔248並被配置來使得該操作者之手指的下側(當完全被插入至該手指安裝元件210中時)被曝露及接合一潛在的錨定位點。通孔248一般位於一通孔平面249。
The
該手指安裝元件210較佳地還界定了(在其第一側壁242)各自的向前及向後通過固定安裝通道250、252,其是用於將細長的工作通道定義元件220沿著軸254而固定安裝至各自的向前及向後通過固定安裝通道250、252。具體如第2E圖所示,軸254較佳地相對於該手指軸240成7度角,且較佳地相對於通孔平面249成40度角。
The
具體如第2D圖所示,本發明一實施例的一具體特徵在於,手指安裝軸240位於一手指安裝軸平面253,且該工作通道軸254位於一工作通道軸平面255,該工作通道軸平面255是平行於該手指安裝軸平面253,該通孔平面249是正交於該相互平行的手指安裝軸平面253,且該通孔平面249是正交於該工作通道軸平面255。
Specifically as shown in Figure 2D, a specific feature of an embodiment of the present invention is that the
細長的工作通道定義元件220較佳地是一細長中空管,較佳地是由不銹鋼形成,且較佳地具有一2.6毫米(mm)的內徑,並藉由一合適的黏著劑而被固定到該手指安裝元件210的通道250、252。細長的工作通道定義元件220的第一端256被固定地坐落在沿著通道250中間的位置258。
The elongated working
插入及停止定義元件230較佳是一中空元件,該中空元件包含一大致圓柱形的中空部262,該大致圓柱形的中空部262容納了細長的工作通道定義元件220的第二端264,該細長的工作通道定義元件220較佳是藉由一合適的黏著劑而被固定到其上。大致圓柱形的中空部262較佳地與一中空漏斗狀部266相通。該中空漏斗狀部266界定了一邊緣268。該邊緣268作為一精確的止擋部,該精確的止擋部限制了穿過其的該錨插入組件的軸向範圍。
The insertion and stop defining
請參照第3A、3B、3C和3D圖,其分別是形成本發明一實施例中該錨定裝置的一部分的一錨插入組件300的簡化圖像組裝視圖、簡化分解圖、仰視圖和簡化剖視圖。
Please refer to Figures 3A, 3B, 3C and 3D, which are respectively a simplified image assembly view, a simplified exploded view, a bottom view and a simplified cross-sectional view of an
如第3A至3D圖所示,該錨插入組件300較佳包含第一及第二外殼部310、320,其上安裝有一內管及按鈕組件330,該內管及按鈕組件330包含一按鈕332和一細長管334,該細長管334在該細長管334的一端部336被
固定地安裝至該按鈕332,如藉由螺紋或黏著劑。還被安裝在第一及第二外殼部310、320上,且部分地包圍內管及按鈕組件330的是一外管及保持器組件340。該外管及保持器組件340包含一保持盤342。該保持盤342被固定地安裝在一細長管346的一端部344上。一螺旋彈簧350被安裝在按鈕332與保持盤342之間的細長管334上。一按鈕保護元件360被樞轉地安裝在第一及第二外殼部310、320上,用於與按鈕332可選擇地保護接合。
As shown in FIGS. 3A to 3D, the
請參照第4A和4B圖,其分別是第3A至3D圖的該錨插入組件300的第一及第二外殼部310、320的簡化內部視圖。如第4A和4B圖所示,第一及第二外殼部310、320皆包含複數個結構內部肋條400,該等結構內部肋條400界定了,除其他外,各自的插座402、404,其用於共同容納按鈕332,並且允許它的有限的軸向平移(沿著一軸410)。
Please refer to FIGS. 4A and 4B, which are simplified internal views of the first and
第一及第二外殼部310、320中的肋條400還界定了各自相對的插座412、414,其用於共同容納按鈕保持盤342,且不允許它的軸向平移(沿著軸410)。第一及第二外殼部310、320中的肋條400還界定了各自相對的切口416、418(其用於容納細長管346)及各自相對的切口420、422(其用於容納按鈕332)。較佳地,第一及第二外殼部310、320還共同界定了一對樞軸安裝插座430、432。
The
第一及第二外殼部310、320可包含各自的螺絲插座及通道444、446,其用於接收螺絲(未示出),該螺絲是用於連接該第一及第二外殼部310、320。或者,第一及第二外殼部310、320可以以其它方式連接在一起,如藉由一卡扣機構(snap-fit mechanism)。
The first and
第一及第二外殼部310、320共同界定了一面向前的出口端表
面448(第3A圖)。
The first and
請參照第5A、5B、5C和5D圖,其分別是形成第3A至3D圖的該錨插入組件300的一部分的內管及按鈕組件330(包含按鈕332和細長管334)的簡化組裝視圖、簡化末端視圖、簡化側視圖和簡化剖視圖。
Please refer to Figures 5A, 5B, 5C, and 5D, which are respectively a simplified assembly view of the inner tube and button assembly 330 (including the
可以看出,按鈕332是一大致矩形的元件,該大致矩形的元件在其相對側表面上具有一對軸向位移導引突起部502,該對軸向位移導引突起部502被配置來與切口420、422可滑動的接合。按鈕332的一面向後的表面504較佳地形成有一對保持凹槽506,該對保持凹槽506被排列在一橫向狹縫508的相對側上。按鈕332形成有一軸向孔510,該軸向孔510延伸穿過且界定了一於橫向狹縫508處的表面504中的通孔512。細長管334較佳具有1毫米的內徑和2毫米的外徑。
It can be seen that the
請參照第6A和6B圖,其分別是外管及保持器組件340(包含保持盤342)的簡化組裝視圖和簡化分解圖。該保持盤342較佳是藉由雷射焊接被固定地安裝在細長管346的端部344上。較佳地,細長管346具有一略超過2毫米之內徑(用於界定與細長管334的間隙配合)和一2.5毫米之外徑。
Please refer to FIGS. 6A and 6B, which are a simplified assembly view and a simplified exploded view of the outer tube and the holder assembly 340 (including the holding plate 342), respectively. The holding
請參照第7A、7B和7C圖,其分別是形成第3A至3D圖的該錨插入組件300的一部分的按鈕保護元件360的簡化圖像視圖、簡化內部視圖和簡化剖視圖。如第7A至7C圖所示,按鈕保護元件360較佳地定義成一拱形件,該拱形件具有一主幹部700和一對支腳702,該對支腳702的每一個較佳地形成有一樞軸安裝突起部704,該樞軸安裝突起部704接合一個相應的樞軸安裝插座430、432。主幹部700的一下側表面706較佳地界定了一對接合突起部712、714,其用於與按鈕332的對應的保持凹槽506樞轉地可移動的
接合。
Please refer to FIGS. 7A, 7B, and 7C, which are respectively a simplified image view, a simplified internal view, and a simplified cross-sectional view of the
請參照第8A、8B、8C和8D圖,其分別是形成本發明一實施例中該錨定裝置的一部份的一錨定組件800(處於一非壓縮狀態)的簡化圖像組裝視圖、分解圖、頂視圖和剖視圖(沿第8C圖中的線D-D所截取的)。如第8A至8D圖所示,該錨定組件800包含一穿透元件810(其被耦合到一柔性細長元件820,如縫合線)和一錨定元件830,該錨定元件830較佳具有兩個操作方向、一非壓縮狀態(界定一預錨定操作方向)和一壓縮狀態(界定一錨定操作方向)。
Please refer to Figures 8A, 8B, 8C and 8D, which are respectively a simplified image assembly view of an anchoring assembly 800 (in a non-compressed state) forming part of the anchoring device in an embodiment of the present invention, Exploded view, top view and cross-sectional view (taken along line DD in Figure 8C). As shown in Figures 8A to 8D, the anchoring
請參照第9圖,其是穿透元件810的簡化示意圖。如第9圖所示,穿透元件810(其較佳地由鎳鈦合金形成)包含一尖頭前部842、一頸部844和一後接合部846。後接合部846較佳包含一對柔性保持指狀物848(具有末端邊緣表面849),以及複數個通孔850,該等通孔850是用於與柔性細長元件820穿線接合。頸部844的相鄰及向前的,穿透元件810較佳界定了多對的接合側邊緣表面,其包含一對最前面的錐形邊緣表面852和一對中間錐形邊緣表面853、
向後終止於一對橫向邊緣表面854、向後終止於一對軸向邊緣表面856、向後終止於另一對橫向邊緣表面858、向後終止於另一對軸向邊緣表面860(其位於各自的柔性保持指狀物848的內側)。
Please refer to FIG. 9, which is a simplified schematic diagram of the penetrating
請參照第10A、10B、10C和10D圖,其分別是形成第8A至8D圖的該錨定組件的一部份的錨定元件830(處於一非壓縮狀態)的簡化圖像視圖、簡化頂視圖、簡化剖視圖和簡化側視圖。請參照第11A、11B、11C和11D圖,其分別是錨定元件830(處於一壓縮狀態)的簡化圖像視圖、簡 化頂視圖、簡化剖視圖和簡化側視圖。 Please refer to Figures 10A, 10B, 10C, and 10D, which are respectively a simplified image view and a simplified top view of the anchor element 830 (in a non-compressed state) forming part of the anchor assembly of Figures 8A to 8D. Views, simplified cross-sectional views, and simplified side views. Please refer to Figures 11A, 11B, 11C, and 11D, which are a simplified image view and a simplified view of the anchoring element 830 (in a compressed state), respectively. Improved top view, simplified cross-sectional view and simplified side view.
如第10A至11D圖所示,錨定元件830(其較佳地由鎳鈦合金形成)是一大致中空圓柱形的元件(特別是當處於一壓縮狀態時)。錨定元件830較佳包含一後環部902,其前部提供有一對相互方位相對排列的向後打開的翼片904。該對相互方位相對排列的向後打開的翼片904通常是向外延伸,但可以向內擠壓到一壓縮狀態。每個翼片較佳界定了一面向後的邊緣表面906,翼片的每一個界定了一對翼片支腳908。翼片904較佳被定義為該大致中空圓柱形的元件中的翼片輪廓切口,該大致中空圓柱形的元件界定了錨定元件830。
As shown in Figures 10A to 11D, the anchoring element 830 (which is preferably formed of Nitinol) is a substantially hollow cylindrical element (especially when in a compressed state). The anchoring
方位正交於鄰近錨定元件830之前部的翼片904,較佳地形成有一對相互方位相對排列的保持通孔910。該對相互方位相對排列的保持通孔910的每一個具有一面向後的邊緣表面912。該面向後的邊緣表面912被安排來與穿透元件810的柔性保持指狀物848接合。在通孔910的每一個的前方,較佳地形成有一切口920。切口920具有一面向前的表面922,其用於容納穿透元件810的最前面的錐形邊緣表面852和橫向邊緣表面854。
The
請參照第12A、12B、12C和12D圖,其分別是第8A至11D圖的該錨定組件800(處於一非壓縮狀態)的簡化圖像組裝視圖、分解圖、側視圖和剖視圖(沿第12C圖中的線D-D所截取的)。如上面參照第8A至8D圖所述,該錨定組件800包含穿透元件810(其被耦合到柔性細長元件820,如縫合線和錨定元件830。
Please refer to Figures 12A, 12B, 12C, and 12D, which are simplified image assembly views, exploded views, side views, and cross-sectional views (along the first The line DD in Figure 12C is intercepted). As described above with reference to FIGS. 8A to 8D, the anchoring
如第12A至12D圖(處於一非壓縮狀態)所示,以及如第8A至8D圖所示,該錨定組件800的柔性細長元件820被穿過穿透元件810中的通
孔850,且該錨定元件830被卡扣於該穿透元件810上。該錨定元件830是藉由穿透元件810的柔性保持指狀物848與該錨定元件830的通孔910的接合而與該穿透元件810保持接合,以致末端邊緣表面849是藉由穿透元件810的橫向表面854與面向前的邊緣表面922的接合而接合該錨定元件830的通孔910的相應的面向通孔邊緣表面912。
As shown in Figures 12A to 12D (in a non-compressed state), and as shown in Figures 8A to 8D, the flexible
當處於該非壓縮狀態(顯示於第12A至12D圖)時,錨定元件830的向後打開的翼片904向外延伸(如圖所示)。該柔性細長元件820(其藉由其與穿透元件810的接合而被有效地折疊)向後延伸成兩細絲(從穿透元件810及錨定元件830到錨定元件830的後環部902)。
When in this uncompressed state (shown in Figures 12A to 12D), the rearwardly opened
請參照第12E、12F、12G和12H圖,其分別是第8A至12D圖的該錨定組件800(處於一壓縮狀態)的簡化圖像組裝視圖、分解圖、側視圖和剖視圖(沿第12G圖中的線H-H所截取的)。如通過比較第12E-12H至12A-12D圖所示,可以看出,當處於一壓縮狀態時(如當被保持於該錨插入組件300的細長管346的前端時),錨定元件830的向後打開的翼片904被強制向內進入一大致圓柱形方向而與該錨定元件830的剩餘部分(包含其後環部902)在一起。
Please refer to Figures 12E, 12F, 12G, and 12H, which are simplified image assembly views, exploded views, side views, and cross-sectional views of the anchor assembly 800 (in a compressed state) of Figures 8A to 12D, respectively (along 12G The line HH in the figure is intercepted). As shown by comparing Figures 12E-12H to 12A-12D, it can be seen that when in a compressed state (such as when held at the front end of the
請參照第13A至15C圖,其闡明了第8A至12D圖的該錨定組件的組裝。第13A、13B和13C圖顯示該柔性細長元件820穿過該穿透元件810中的通孔850。第14A、14B和14C圖顯示該錨定元件830滑過該柔性細長元件820的該兩細絲。第15A、15B和15C圖顯示該錨定元件830被完全接合於及卡固於該穿透元件810。
Please refer to Figures 13A to 15C, which illustrate the assembly of the anchor assembly of Figures 8A to 12D. 13A, 13B, and 13C show that the flexible
請參照第16A、16B、16C、16D、16E和16F圖,其是第3A
至7C圖的該錨插入組件的組裝中的階段的簡化示意圖。如第16A圖所示,螺旋彈簧350被安裝在鄰近按鈕332的內管及按鈕組件330的細長管334上。如第16B圖所示,第16A圖的該組件被插入至外管及保持器組件340。如第16C和16D圖所示,第16B圖的該組件被插入而與第一外殼部310接合。具體地,按鈕332被插入至插座402中,且按鈕保持盤342被插入至插座412中。
Please refer to drawings 16A, 16B, 16C, 16D, 16E and 16F, which is 3A
A simplified schematic diagram of the stage in the assembly of the anchor insertion assembly to Figure 7C. As shown in FIG. 16A, the
第16E圖闡明了按鈕保護元件360樞軸安裝在第一外殼部310的樞軸安裝插座430、432上,用於與按鈕332可選擇地保護接合。第16F圖顯示了該第一及第二外殼部310、320的結合,作為一最終組裝步驟。
FIG. 16E illustrates that the
請參照第17A、17B、17C、17D、17E和17F圖,其是第8A至12D圖的該錨定組件800插入至第3A至7C圖的該錨插入組件300中的階段的簡化示意圖。如第17A圖所示,該錨定組件800被佈置在該錨插入組件300的前方,準備好插入。第17B圖顯示該錨定組件800的柔性細長元件820的該兩細絲初始穿線到該錨插入組件300的大致同軸的細長管334、346中。第17C圖顯示該錨定組件800幾乎被完全插入至該錨插入組件300中。
Please refer to FIGS. 17A, 17B, 17C, 17D, 17E, and 17F, which are simplified schematic diagrams of the stages in which the
此後,該錨定元件830被手動地或其他方式地擠壓成壓縮狀態。第17D圖顯示該錨定組件800被完全插入至該錨插入組件300中,以致該錨定元件830憑藉著其與細長管346之內表面的接合而保持在壓縮狀態。還能看出的是,該錨定組件800的柔性細長元件820的該兩細絲的自由端直線延伸通過了按鈕332的橫向狹縫508處的表面504中的通孔512。
Thereafter, the anchoring
請參照第17E圖,其顯示該錨定組件800的柔性細長元件820的該兩細絲沿著按鈕332的橫向狹縫508延伸彎曲。第17F圖闡明了一最終組裝步驟,其中按鈕保護元件360相對於第一及第二外殼部310、320可樞轉地
旋轉,且在柔性細長元件820的該兩細絲上可選擇的與按鈕332的保護接合。
Please refer to FIG. 17E, which shows that the two filaments of the flexible
請參照第18A、18B、18C、18D、18E、18F、18G、18H、18I和18J圖,其是第1A至17F圖的該錨定裝置的操作中的階段(用於左手食指的使用)的簡化示意圖。 Please refer to Figures 18A, 18B, 18C, 18D, 18E, 18F, 18G, 18H, 18I, and 18J, which are the stages in the operation of the anchoring device in Figures 1A to 17F (for the use of the left index finger) Simplify the schematic.
如第18A圖所示,一使用者的左手食指被插入至該手指可安裝的工作通道定義組件200且大致沿著其手指安裝軸240延伸。如上所述,手指安裝軸240位於一手指安裝軸平面253,且工作通道軸254位於一工作通道軸平面255,該工作通道軸平面255是平行於該手指安裝軸平面253。該使用者的左手食指的末端指骨延伸穿過通孔248,該通孔248位於通孔平面249,該通孔248是正交於該相互平行的手指安裝軸平面253,且該通孔248是正交於該工作通道軸平面255。
As shown in FIG. 18A, the index finger of a user's left hand is inserted into the working
第18B圖顯示了該使用者的左手食指的末端指骨與一錨定基板(標號1000)的一部份接合。應理解的是,食指可以直耶或間接的與錨定基板1000接合。該錨定基板1000可以是任何合適的錨定基板。一個範例是一薦骨棘韌帶(sacrospinous ligament),其位於陰道壁(在此以標號1002來表示)後面,以該左手食指(在此以標號1004來表示)的末端指骨來接觸該陰道壁。
Figure 18B shows the end phalanx of the user's left index finger engaged with a portion of an anchoring base plate (number 1000). It should be understood that the index finger can be directly or indirectly connected to the
第18C圖顯示了該錨插入組件300軸向地與該工作通道軸254對齊,且即將插入至該手指可安裝的工作通道定義組件200的該工作通道定義元件220。該錨插入組件300較佳地是處於其操作方向(如第17F圖所示),其中該錨定組件800被預裝載於其中,如上文參考第17A至17F圖所述的。
Figure 18C shows that the
第18D和18E圖顯示該錨插入組件300沿著工作通道軸254被完全插入至該手指可安裝的工作通道定義組件200的該工作通道定義元件220。本發明一實施例的一具體特徵在於,該錨插入組件在工作通道定義元件220中的插入的程度,因此對於該穿透元件810延伸超出該通孔平面249(在此階段)的程度是受限於該第一及第二外殼部310、320的前端表面448與插入及停止定義元件230的邊緣268的結合。較佳地,穿透元件810的邊緣842的尖端沿該工作通道軸254延伸超過該通孔平面249的程度是介於10至20毫米之間,較佳是介於14至17毫米之間,更佳為15.5毫米。
Figures 18D and 18E show that the
第18D和18E圖還顯示出該錨插入組件300和該錨定組件800的最前面的部分,該錨定組件800已穿透該錨定基板1000且已插入於其中。該錨定元件830被保持在壓縮狀態,因為其部分地位於內管及按鈕組件330的細長管346內。
Figures 18D and 18E also show the
第18F和18G圖顯示了在該按鈕保護元件360旋轉到它的如第17E圖之方向之後按壓按鈕332。按鈕332的按壓較佳使得該錨定組件800透過沿該工作通道軸254的螺旋彈簧被進一步位移,較佳沿著其距離位移5毫米。此位移使得該錨定元件830完全地位於細長管346的前方,因而位於該錨定基板1000的前方,以呈現它的非壓縮狀態,如第8A圖所示。在此操作方向中,翼片904的面向後的邊緣表面906(其界定了翼片支腳908)是位於該錨定基板1000的前方,且與其表面1006隔開。
Figures 18F and 18G show that the
第18H和18I圖顯示該錨插入組件300沿著工作通道軸254收回,以致翼片904的面向後的邊緣表面906接合錨定基板1000的表面1006,且不允許該錨定組件從其脫離,因此使該柔性細長元件820錨定在錨定基板
1000上。
Figures 18H and 18I show that the
第18J圖顯示該手指可安裝的工作通道定義組件200和該錨插入組件300從該錨定組件800的脫離,留下了藉由該錨定元件830所錨定在該錨定基板1000上的該柔性細長元件820。
Figure 18J shows that the finger-installable working
本領域的技術人員應理解的是本發明不限制于上文具體所示和所述的情况。相反,本發明的範圍包括上文所述的各種特徵的組合和次組合,以及不是現有技術中的變化。 Those skilled in the art should understand that the present invention is not limited to the conditions specifically shown and described above. On the contrary, the scope of the present invention includes combinations and sub-combinations of the various features described above, as well as changes that are not in the prior art.
800‧‧‧錨定組件 800‧‧‧Anchor assembly
1000‧‧‧錨定基板 1000‧‧‧Anchor board
1006‧‧‧表面 1006‧‧‧surface
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CN1278749C (en) * | 2001-08-17 | 2006-10-11 | 贝克顿迪肯森公司 | Blood collection assembly |
WO2015189843A1 (en) * | 2014-06-10 | 2015-12-17 | Pop Medical Solutions Ltd. | Tissue repair device and method |
US20160235461A1 (en) * | 2016-01-07 | 2016-08-18 | Michael H. Sumko | Surgical Guide Apparatus and Method of Use |
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CN1278749C (en) * | 2001-08-17 | 2006-10-11 | 贝克顿迪肯森公司 | Blood collection assembly |
WO2015189843A1 (en) * | 2014-06-10 | 2015-12-17 | Pop Medical Solutions Ltd. | Tissue repair device and method |
CN106714699A (en) * | 2014-06-10 | 2017-05-24 | 泊普医疗解决方案有限公司 | Tissue repair device and method |
US20160235461A1 (en) * | 2016-01-07 | 2016-08-18 | Michael H. Sumko | Surgical Guide Apparatus and Method of Use |
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