WO2017107489A1 - 电动吻合器 - Google Patents

电动吻合器 Download PDF

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Publication number
WO2017107489A1
WO2017107489A1 PCT/CN2016/092394 CN2016092394W WO2017107489A1 WO 2017107489 A1 WO2017107489 A1 WO 2017107489A1 CN 2016092394 W CN2016092394 W CN 2016092394W WO 2017107489 A1 WO2017107489 A1 WO 2017107489A1
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Prior art keywords
firing
closing
switch
closed
control unit
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PCT/CN2016/092394
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English (en)
French (fr)
Inventor
张翚
杜运峰
刘殿臣
黄爱玉
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苏州英途康医疗科技有限公司
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Priority to US15/567,161 priority Critical patent/US10695056B2/en
Priority to EP16877301.8A priority patent/EP3395264A4/en
Publication of WO2017107489A1 publication Critical patent/WO2017107489A1/zh

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B17/07207—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously the staples being applied sequentially
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B17/115—Staplers for performing anastomosis in a single operation
    • A61B17/1155—Circular staplers comprising a plurality of staples
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B17/1114—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis of the digestive tract, e.g. bowels or oesophagus
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017—Electrical control of surgical instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00022—Sensing or detecting at the treatment site
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00022—Sensing or detecting at the treatment site
    • A61B2017/00039—Electric or electromagnetic phenomena other than conductivity, e.g. capacity, inductivity, Hall effect
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00115—Electrical control of surgical instruments with audible or visual output
    • A61B2017/00119—Electrical control of surgical instruments with audible or visual output alarm; indicating an abnormal situation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00115—Electrical control of surgical instruments with audible or visual output
    • A61B2017/00128—Electrical control of surgical instruments with audible or visual output related to intensity or progress of surgical action
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00221—Electrical control of surgical instruments with wireless transmission of data, e.g. by infrared radiation or radiowaves
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
    • A61B2017/00398—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like using powered actuators, e.g. stepper motors, solenoids
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
    • A61B2017/00464—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable for use with different instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00681—Aspects not otherwise provided for
    • A61B2017/00734—Aspects not otherwise provided for battery operated
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214—Stapler heads
    • A61B2017/07257—Stapler heads characterised by its anvil
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214—Stapler heads
    • A61B2017/07271—Stapler heads characterised by its cartridge
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/03—Automatic limiting or abutting means, e.g. for safety
    • A61B2090/032—Automatic limiting or abutting means, e.g. for safety pressure limiting, e.g. hydrostatic
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/06—Measuring instruments not otherwise provided for
    • A61B2090/064—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension
    • A61B2090/065—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension for measuring contact or contact pressure
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08—Accessories or related features not otherwise provided for
    • A61B2090/0807—Indication means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/90—Identification means for patients or instruments, e.g. tags
    • A61B90/98—Identification means for patients or instruments, e.g. tags using electromagnetic means, e.g. transponders

Definitions

  • the present invention relates to the field of medical device technology, and in particular to an electric stapler.
  • the electric stapler helps to solve the artificial impact on the accuracy of nailing, and can also achieve the goal of environmental protection and cost reduction by reusing the electric handle.
  • the electric stapler can be comfortably used and accurately closed, nailed and cut depends on the good communication between the handle and the working head, and it is necessary to ensure that misoperation is avoided, and excessive tissue closure is prevented to cause tissue necrosis and excessive firing.
  • the nail is shaped to improve the efficiency of surgery and accelerate postoperative recovery.
  • An electric stapler comprising: a drive motor having an output shaft;
  • the working head includes a nail anvil head, a staple cartridge, a closing mechanism, a firing mechanism, a closing limit switch, and a firing safety switch, wherein the closing limit switch is configured to detect whether a closing stroke of the closing mechanism reaches a predetermined range,
  • the firing switch has a closed position and a firing position, in which the firing safety switch transmits power to the output shaft to a closing mechanism at which the firing safety switch transmits power to the output shaft to the firing mechanism;
  • Control unit including:
  • a work head identification module configured to obtain identity information of the work head
  • a motor control module for controlling start and stop of the drive motor
  • a closing and firing control module configured to receive the closed travel information transmitted by the closed limit switch, and receive the position information sent by the fireproof safety switch;
  • the switch is turned on to send an open command to the motor control module.
  • control unit is provided with a plurality of modules, in the process of closing the firing,

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  • 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

一种电动吻合器及其闭合、击发控制方法，吻合器包括：驱动电机（113），具有输出轴（1132）；工作头（120），包括钉砧头（121）、钉仓（122）、闭合机构、击发机构、闭合限位开关（128）、击发保险开关（126），其中，闭合限位开关（128）用以检测闭合机构的闭合行程，击发保险开关（126）具有闭合位和击发位，在闭合位，击发保险开关（126）使输出轴（1132）的动力传递给闭合机构，在击发位，击发保险开关（126）使输出轴（1132）的动力传递给击发机构；控制单元（114），包括：工作头识别模块（1142）；电机控制模块（1143）；及闭合、击发控制模块（1144），用于接收闭合限位开关（128）和击发保险开关（126）传递的信息；闭合开关（1123）；打开开关（1124）。控制单元（114）设置有多个模块，在闭合击发的过程中，能够与工作头（120）实时通讯，能避免手术中的异常或误操作，提高器械使用的安全性。

Description

电动吻合器 技术领域
本发明涉及医疗器械技术领域，特别是涉及一种电动吻合器。
背景技术
当前手动外科吻合器占主导时代里，电动吻合器有助于解决人为对成钉精度的影响，同时也能通过重复使用电动手柄达到环保降成本的目标。
然而电动吻合器能否被舒适的使用和精准的闭合、成钉、切割取决于手柄与工作头的良好的通讯沟通，需要确保避免误操作，避免过度闭合压榨组织导致组织坏死、过度击发导致成钉异型，以提高手术的效率和加快术后恢复。
发明内容
基于此，有必要提供一种电动吻合器，能避免手术中的异常或误操作，提高器械使用的安全性。还提出一种电动吻合器闭合、击发的控制方法。
一种电动吻合器，包括：驱动电机，具有输出轴；
工作头，包括钉砧头、钉仓、闭合机构、击发机构、闭合限位开关、击发保险开关，其中所述闭合限位开关用以检测所述闭合机构的闭合行程是否达到预定范围，所述击发保险开关具有闭合位和击发位，在所述闭合位，所述击发保险开关使输出轴的动力传递给闭合机构，在所述击发位，所述击发保险开关使输出轴的动力传递给击发机构；
控制单元，包括：
工作头识别模块，用于获取工作头的身份信息；
电机控制模块，用于控制所述驱动电机的启停；及
闭合、击发控制模块，用于接收所述闭合限位开关传递的闭合行程信息、接收所述击发保险开关发送的位置信息；
闭合开关，用以向电机控制模块发送闭合指令；
打开开关，用以向电机控制模块发送打开指令。
本发明的电动吻合器，控制单元设置有多个模块，在闭合击发的过程中，

Claims (1)

  1. 能够与工作头实时通讯，当反馈正常时，才能进行下一道动作的执行，能避免手术中的异常或误操作，提高器械使用的安全性。
    在其中一个实施例中，所述电动吻合器还包括控制输出轴转动的调节旋钮，用以手动调节输出轴以控制闭合机构或击发机构。
    在其中一个实施例中，所述电动吻合器还包括压力传感器，用以检测钉砧头、钉仓在闭合过程中的闭合压力值并发送给控制单元。
    在其中一个实施例中，所述电动吻合器还包括击发限位开关，用以检测所述击发机构的击发行程是否达到预定范围并发送给控制单元。
    在其中一个实施例中，所述控制单元还包括电池检测模块，所述电动吻合器还包括电池包，所述电池检测模块检测电池包的电量信息。
    在其中一个实施例中，所述控制单元还包括电池检测模块，用以检测电池电量。
    在其中一个实施例中，所述控制单元还包括数据记录与存储模块，用以记录每次的闭合行程。
    一种电动吻合器的闭合、击发控制方法，包括以下步骤：
    获取工作头的身份信息；
    获取击发保险开关在闭合位或击发位的状态信息，当检测到击发保险开关处于闭合位且闭合限位开关被触发时，根据工作头的身份信息，控制工作头的钉砧头与钉仓由闭合状态至打开相应的距离；
    检测闭合开关是否被触发及击发保险开关是否处于闭合位，是，启动驱动电机并控制闭合机构工作，使钉砧头与钉仓逐步闭合，当闭合限位开关被触发时，使驱动电机停止工作，否，则将击发保险开关切换为闭合位同时继续检测闭合开关是否被触发；
    检测闭合开关是否被触发及击发保险开关是否处于击发位且闭合限位开关处于触发位，是，启动驱动电机并带动击发机构工作，否，则将击发保险开关切换为击发位同时继续检测闭合开关是否被触发。
    上述控制方法，闭合、击发过程中，每一道工作执行均在上次反馈结果与预设标准相符时进行，保证在整个工作头的选取、使用过程中，均不会出
PCT/CN2016/092394 2015-12-22 2016-07-29 电动吻合器 WO2017107489A1 (zh)

Priority Applications (2)

Application Number Priority Date Filing Date Title
US15/567,161 US10695056B2 (en) 2015-12-22 2016-07-29 Electric surgical stapler
EP16877301.8A EP3395264A4 (en) 2015-12-22 2016-07-29 ELECTRIC STAPLER

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Application Number Priority Date Filing Date Title
CN201510975918.2A CN105411642B (zh) 2015-12-22 2015-12-22 电动吻合器及其闭合、击发控制方法
CN201510975918.2 2015-12-22

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