WO2020220425A1 - 腔镜切割吻合器的切割刀 - Google Patents

腔镜切割吻合器的切割刀 Download PDF

Info

Publication number
WO2020220425A1
WO2020220425A1 PCT/CN2019/089145 CN2019089145W WO2020220425A1 WO 2020220425 A1 WO2020220425 A1 WO 2020220425A1 CN 2019089145 W CN2019089145 W CN 2019089145W WO 2020220425 A1 WO2020220425 A1 WO 2020220425A1
Authority
WO
WIPO (PCT)
Prior art keywords
cutting knife
cutting
blade
knife
groove
Prior art date
Application number
PCT/CN2019/089145
Other languages
English (en)
French (fr)
Inventor
徐维华
Original Assignee
上海博洽医疗器械有限公司
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.)
Filing date
Publication date
Application filed by 上海博洽医疗器械有限公司 filed Critical 上海博洽医疗器械有限公司
Publication of WO2020220425A1 publication Critical patent/WO2020220425A1/zh

Links

Images

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • 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
    • A61B17/32—Surgical cutting instruments
    • A61B17/3209—Incision instruments
    • 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
    • A61B2017/07285—Stapler heads characterised by its cutter

Definitions

  • the present invention relates to a cutting knife of an endoscopic cutting stapler used in laparoscopic surgery, and particularly relates to a cutting knife of an endoscopic cutting stapler used in laparoscopic surgery, and particularly relates to a cutting knife used in thoracoscopic surgery
  • the cutting knife of the endoscopic cutting stapler used in, more particularly the cutting knife of the manual endoscopic cutting stapler, the cutting knife of the electric endoscopic cutting stapler, and the surgical robot The cutting knife of the endoscope cutting stapler used.
  • laparoscopic surgery and thoracoscopic surgery various manual, electric and surgical robot-used laparoscopic cutting staples are usually used for cutting and anastomosing in the abdominal cavity, thoracic cavity and genitourinary system. Reduce surgical trauma, shorten surgical time, and improve surgical quality.
  • the various endoscope cutting staplers introduced in the United States patents US20180126504A1 and US20180310931A1 include an executive component, an extension component and an operating component.
  • the extension component connects the operation component and the execution component.
  • the executive components include a staple cartridge component and a staple anvil component.
  • the operating component controls the drive to move back and forth in the executing component.
  • the operation component controls the actions of the execution component.
  • Various operating components can be manual operating components, electric operating components, or operating components of surgical robots.
  • the cutting knife of the endoscopic cutting stapler of US20180126504A1 is directly processed on the driving head of the driving part.
  • the cutting knife of the endoscopic cutting stapler of the US patent US20180310931A1 is directly processed on the driving part.
  • the first unsatisfactory aspect of the above-mentioned two endoscope cutting staplers is that because the shape of the driving part or the driving head of the driving part is relatively complicated, the cutting knife is directly processed on the driving part or on the driving head of the driving part.
  • the processing process is complicated, the processing cost is also high, the sharpness of the blade is difficult to guarantee, and the storage of the driving part with the cutting knife is difficult.
  • the second unsatisfactory point of the above-mentioned two endoscope cutting staplers is that the cutting knife directly processed on the driving head of the driving part or the cutting knife directly processed on the driving part is not replaceable, so in the endoscope During the use of the cutting stapler, if the cutting knife on the driving part is found to be damaged, another endoscopic cutting stapler needs to be replaced, which results in higher operation costs and inconvenient use.
  • the first object of the present invention is to provide a cutting knife for a cavity mirror cutting stapler, which adopts the technical feature of processing a plurality of dents on the surface of a long metal sheet with a knife edge;
  • the dents of the elongated metal sheet with the blade are bent sideways, so that the elongated metal sheet with the blade is broken along the dents, and the technical solution of the cutting knife of the required size and shape can be obtained.
  • the cutting knife of the cavity mirror cutting stapler of the present invention achieves the technical effects of simple, convenient, fast processing, sharp blade and convenient storage; achieving the technical effect of greatly reducing the processing cost of the cutting knife of the cavity mirror cutting stapler; In the process or during endoscopic surgery, bend the dents of the long metal foil with a knife edge on both sides of each dent in turn, so that the long metal foil with a knife edge breaks along the dent, that is, Obtain the technical effect of multiple cutting knives of required size and shape.
  • the second object of the present invention is to provide a cutting knife for an endoscope cutting stapler, which adopts the technical feature of a cutting knife inserting groove with an opening at the front of the driving member; when the cutting knife is inserted into the cutting knife inserting groove, the cutting knife is Installed on the driving part, the cutting blade of the cutting knife is located at the opening of the cutting knife inlay groove at this time; the technical solution is realized that the cutting knife is moved out of the driving part when the cutting knife is moved out of the cutting knife inlay groove.
  • the cutting knife of the cavity mirror cutting stapler of the present invention can be manufactured separately from materials different from the driving part, so that the cutting knife and the driving part are more convenient to process, the processing quality is higher, and the processing cost is lower.
  • the third object of the present invention is to provide a cutting knife for an endoscopic cutting stapler, which adopts the technical feature that the cutting knife is installed in the cutting knife inlay groove of the driving part; and the operation assembly controls the cutting knife on the driving part to move forward. , Until the cutting knife extends out of the actuator seat, the cutting knife is taken out from the cutting knife inlay groove, and then the cutting knife can be moved out of the driving part and then another cutting knife is installed.
  • the cutting knife of the endoscopic cutting stapler of the present invention achieves the technical effects of simple, convenient, fast and safe replacement of the cutting knife, and achieves the technical effects of reducing the cost of endoscopic surgery and improving the quality of surgery.
  • the endoscopic cutting stapler of the present invention includes an executive component, an extension component and an operating component.
  • the extension component connects the operation component and the execution component.
  • the executive components include a staple cartridge component and a staple anvil component.
  • the operating component controls the drive to move back and forth in the executing component.
  • the operating component can be a manual operating component or an electric operating component, or an operating component used by a surgical robot.
  • the front part of the driving member is provided with a cutting knife inlay groove and a cutting knife.
  • the cutting edge of the cutting knife can be located on one side of the cutting knife or on both sides of the cutting knife.
  • the corners of the cutting knife without blades can be chamfered, and the front lower corners with blades can also be chamfered.
  • the chamfer on the cutting knife can be a right angle or a rounded corner.
  • the cutting knife has an opening at the front of the insert groove. After the cutting knife is inserted into the cutting knife inlay slot, the cutting knife is installed on the driving member; at this time, the cutting knife edge is located at the opening of the cutting knife inlay slot. When the cutting knife is moved out of the cutting knife inlay groove, the cutting knife is moved out of the driving member. When the staple cartridge assembly and the staple anvil assembly are in a closed state, the opening of the cutting blade insert groove is located at the gap between the tissue contact surface of the staple cartridge assembly and the tissue contact surface of the staple anvil assembly.
  • the cutting knife of the endoscopic cutting stapler of the present invention is a long metal thin sheet before use.
  • the elongated metal sheet has a blade on the long side and a plurality of dents at an angle to the blade on the surface.
  • the dimples can be parallel to each other or non-parallel to each other.
  • the first step is to bend the long metal with the knife on both sides of the dent closest to the short side of the long metal with the knife.
  • the dents of the thin sheet cause the elongated metal thin sheet with a knife edge to break along the dents to obtain a cutting knife of the required size and shape; in the second step, the cutting knife is installed on the drive member. After that, the dents of the elongated metal sheet with blades are sequentially bent on both sides of each dent to obtain a plurality of cutting knives.
  • the position of the hole can be controlled to move and restrain the elongated metal sheet with a knife edge.
  • the long side of the long metal foil can have double-sided blades. When the dents of the elongated metal sheet with double-sided blades are bent on both sides of the dents, a cutting knife with double-sided blades is obtained.
  • the long side of the long metal foil can also have a single-sided blade. When the dents of the elongated metal sheet with a single-sided blade are bent on both sides of the dent, a cutting knife with a single-sided blade is obtained.
  • the dents of the elongated metal sheet with the blade without the blade may be bent on both sides of the dents, and the obtained cutting knife has chamfers on the corners without blades.
  • a hole may be provided between adjacent dents of the elongated metal sheet with a blade, so that the cut obtained by bending the dents of the elongated metal sheet with a blade on both sides of the dent
  • the middle part of the knife has a restraint notch.
  • the upper and lower parts of the obtained cutting knife are respectively provided with an upper restraint notch and a lower restraint notch.
  • the front part of the inserting groove of the cutting knife of the endoscopic cutting stapler of the present invention has a binding edge with an opening.
  • the constraint edge on the cutting knife inlay groove prevents the cutting knife from moving forward.
  • the two sides of the constraining edge of the cutting knife insert groove can have left constraining bumps and right constraining bumps staggered.
  • the inserting groove of the cutting knife of the cavity mirror cutting stapler of the present invention is provided with constraining protrusions.
  • the restriction notch of the cutting knife is inserted on the restriction protrusion of the cutting knife inlay groove, the cutting knife inlay groove blocks the front and back movement of the cutting knife.
  • the constraining notch of the cutting knife moves out of the constraining protrusion of the cutting knife inlay groove, the cutting knife is moved out of the driving member.
  • the cutting knife insert groove of the endoscopic cutting stapler of the present invention penetrates the left and right sides of the driving member.
  • the cutting knife blade is located in the middle of the left and right sides of the cutting knife inlay groove.
  • the cutting knife insert groove of the cavity mirror cutting stapler of the present invention has a bottom wall.
  • the executive component of the endoscopic cutting stapler of the present invention has a front-back direction actuator seat sliding groove and a staple cartridge sliding groove.
  • the driving part can move back and forth along the chute of the actuator seat and the chute of the staple cartridge of the actuator.
  • the executive component of the endoscopic cutting stapler of the present invention has an executive member seat.
  • the staple cartridge assembly can be installed and disassembled on the actuator seat.
  • Cutting knives are divided into active cutting knives and spare cutting knives.
  • the cutting knife is installed in the cutting knife inlay groove of the driving part.
  • the first step is to move the staple cartridge assembly out of the actuator seat; in the second step, the operating assembly controls the cutting knife in use on the drive to move forward until the cutting knife is extended to execute Piece holder; the third step, take out the cutting knife in use from the cutting knife inlay slot, then the in-use cutting knife can be moved out of the driving part; in the fourth step, insert the spare cutting knife into the cutting knife inlay slot, then the spare The cutting knife is installed on the driving part; the fifth step, the operating assembly controls the spare cutting knife on the driving part to move backwards until the spare cutting knife returns to the actuator seat; the sixth step, the staple cartridge assembly is installed on the actuator seat.
  • the executive component of the endoscopic cutting stapler of the present invention has an executive member seat.
  • the staple cartridge assembly and the staple anvil assembly can be assembled and disassembled on the actuator seat.
  • Cutting knives are divided into active cutting knives and spare cutting knives.
  • the cutting knife is installed in the cutting knife inlay groove of the driving part.
  • the first step is to move the staple cartridge assembly and the anvil assembly out of the actuator seat;
  • the second step the operating assembly controls the cutting knife in use on the drive to move forward until the cutting is in use The knife extends out of the actuator seat;
  • the third step is to take out the cutting knife in use from the cutting knife inlay slot, then the in use cutting knife can be moved out of the driving part;
  • the fourth step insert the spare cutting knife into the cutting knife inlay slot, The spare cutting knife can be installed on the driving part;
  • the fifth step the operating assembly controls the spare cutting knife on the driving part to move backwards until the spare cutting knife returns to the actuator seat;
  • the sixth step the staple cartridge assembly and the nail anvil The components are installed on the actuator seat.
  • Figure 1 is a perspective view showing the endoscopic cutting stapler of the present invention
  • Figure 2 is a perspective view showing the cutting knife of the first embodiment of the present invention.
  • Fig. 3 is a perspective view showing the first metal sheet used for processing the cutting knife of Fig. 2;
  • FIG. 4 is a perspective view showing the metal foil after reprocessing using the metal foil of FIG. 3;
  • FIG. 5 is a perspective view showing a second type of metal sheet with holes used for processing the cutting knife of FIG. 2;
  • FIG. 6 is a perspective view showing the metal foil after reprocessing using the metal foil of FIG. 5;
  • Figure 7 is a perspective view showing a cutting knife according to a second embodiment of the present invention.
  • FIG. 8 is a perspective view showing a metal sheet used for processing the cutting knife of FIG. 7 after reprocessing the metal sheet of FIG. 3;
  • FIG. 9 is a perspective view showing a metal sheet used for processing the cutting knife of FIG. 7 after reprocessing the metal sheet of FIG. 5;
  • Figure 10 is a perspective view of a cutting knife according to a third embodiment of the present invention.
  • FIG. 11 is a perspective view showing the first metal sheet used for processing the cutting knife of FIG. 10;
  • FIG. 12 is a perspective view showing a blade and dents after reprocessing the metal sheet of FIG. 11;
  • Figure 13 is a perspective view showing a second type of metal sheet with holes for processing the cutting knife of Figure 10;
  • Fig. 14 is a perspective view showing the metal sheet of Fig. 13 with blades and dents after reprocessing
  • Figure 15 is a perspective view showing a cutting knife according to a fourth embodiment of the present invention.
  • Fig. 16 is a perspective view showing the first metal sheet used for processing the cutting knife of Fig. 15;
  • FIG. 17 is a perspective view showing a second metal sheet used for processing the cutting knife of FIG. 15;
  • Figure 18 is a perspective view of a cutting knife according to a fifth embodiment of the present invention.
  • FIG. 19 is a perspective view showing the first metal sheet used for processing the cutting knife of FIG. 18;
  • FIG. 20 is a perspective view showing a second type of metal sheet used for processing the cutting knife of FIG. 18;
  • Figure 21 is a perspective view showing a cutting knife according to a sixth embodiment of the present invention.
  • Figure 22 is a perspective view showing the first metal sheet used for processing the cutting knife of Figure 21;
  • FIG. 23 is a perspective view showing a second metal sheet used for processing the cutting knife of FIG. 21;
  • Figure 24 is a perspective view of a cutting knife according to a seventh embodiment of the present invention.
  • Figure 25 is a perspective view showing the first metal sheet used for processing the cutting knife of Figure 24;
  • FIG. 26 is a perspective view showing a second metal sheet used for processing the cutting knife of FIG. 24;
  • Figure 27 is a perspective view showing a cutting knife and a cutting knife inlay groove of the first embodiment of the present invention.
  • Figure 28 is a perspective view showing the cutting knife removed from the driving member of Figure 27;
  • Figure 29 is a perspective view showing a cutting knife and a cutting knife inlay groove according to a second embodiment of the present invention.
  • FIG. 30 is a perspective view showing the cutting knife when it is rotated out from the driving member of FIG. 29;
  • Figure 31 is a perspective view showing the cutting knife removed from the driving member of Figure 29;
  • Figure 32 is a perspective view showing a cutting knife and a cutting knife inlay groove according to a third embodiment of the present invention.
  • Figure 33 is a perspective view showing the cutting knife removed from the driving member of Figure 32;
  • Figure 34 is a perspective view showing a cutting knife and a cutting knife insert groove of a fourth embodiment of the present invention.
  • Figure 35 is a perspective view showing the cutting knife removed from the driving member of Figure 34;
  • 36 is a perspective view showing a cutting knife and a cutting knife inlay groove of a fifth embodiment of the present invention.
  • Figure 37 is a perspective view showing the cutting knife removed from the driving member of Figure 36;
  • FIG. 38 is a perspective view showing a cutting knife and a cutting knife inlay groove of a sixth embodiment of the present invention.
  • Figure 39 is a perspective view showing the cutting knife removed from the driving member of Figure 38;
  • Figure 40 is a bottom view showing the staple cartridge assembly and the staple anvil assembly of the present invention in a closed state
  • Fig. 41 is a cross-sectional view showing 41-41 of Fig. 40;
  • Fig. 42 is a cross-sectional view showing 42-42 of Fig. 40;
  • Figure 43 is a perspective view showing the cutting knife of the first embodiment of the present invention before or after replacement;
  • Figure 44 is a perspective view showing that the cutting knife of Figure 43 extends out of the actuator seat
  • Figure 45 is a perspective view showing the cutting knife removed from the driving member of Figure 44;
  • Figure 46 is a perspective view showing the cutting knife of the second embodiment of the present invention before or after replacement;
  • Figure 47 is a perspective view showing the cutting knife of Figure 46 extending out of the actuator seat
  • Fig. 48 is a perspective view showing the cutting blade after being removed from the driving member of Fig. 47;
  • the term “rear” refers to a position close to the operator of the endoscopic cutting stapler
  • the term “front” refers to a position away from the operator of the endoscopic cutting stapler.
  • the term “left” refers to the left side of the operator of the endoscopic cutting stapler
  • the term “right” refers to the right side of the operator of the endoscopic cutting stapler.
  • the term “upper” refers to the upper position of the operator of the endoscopic cutting stapler
  • the term “lower” refers to the lower position of the operator of the endoscopic cutting stapler.
  • the terms “rear”, “front”, “left”, “right”, “upper” and “lower” can refer to the positions in the corresponding Figure 1.
  • Fig. 1 is a manual endoscopic cutting stapler 1 of the present invention.
  • the endoscopic cutting stapler 1 includes an executive component 2, a manual operating component 3, and an extension component 4.
  • the extension component 4 connects the operation component 3 and the execution component 2.
  • the actuator assembly 2 includes a staple cartridge assembly 5, an anvil assembly 6 and an actuator seat 7.
  • the staple cartridge assembly 5 and the staple anvil assembly 6 are installed on the actuator seat 7.
  • the operating component 3 controls the driving member 8 to move back and forth in the executing component 2.
  • the extension assembly 4 has a joint assembly 9.
  • a cutting knife 40 is provided at the front of the driving member 8 (see FIG. 27).
  • FIG 2 to 6 illustrate the cutting knife 10 and the processing method of the cutting knife 10 of the first embodiment.
  • the cutting knife 10 has a parallelogram shape.
  • the parallelogram-shaped cutting knife 10 has a double-sided blade 11 on one side (see FIG. 2).
  • the cutting knife 10 is processed from a long metal sheet 12 (see FIG. 3).
  • a double-sided blade 13 is processed on the long side of the elongated metal sheet 12, and the surface of the elongated metal sheet 12 is processed at an angle with the double-sided blade 13 A plurality of parallel dents 14 (see Figure 4);
  • the dent 15 of the shaped metal sheet 16 causes the elongated metal sheet 16 to break along the dent 15 to obtain the cutting knife 10 of the required size and shape (see Figure 2);
  • the third step is to sequentially place the dent
  • a plurality of cutting knives 10 can be obtained by bending the elongated metal sheets 16 with the double-sided blades 13 on both sides of 14.
  • Another type of cutting knife 10 has a hole 18 at one end of the elongated metal sheet 17 (see FIG. 5).
  • a double-sided blade 19 is processed on the long side of the long metal foil 17.
  • a plurality of mutually parallel dents 20 angled with the double-sided blade 19 are processed on the surface of the elongated metal sheet 17 (see FIG. 6).
  • the dents 20 of the elongated metal sheet 21 of the processed double-sided blade 19 are bent on both sides of the dent 20, so that the elongated metal sheet 21 of the processed double-sided blade 19 is broken along the dent 20, namely
  • the cutting knife 10 of the required size and shape can be obtained (see Fig. 2).
  • the position of the hole 18 can be controlled to move the elongated metal sheet 21 with the processed double-sided blade 19 And the role of constraints.
  • FIGS. 7 to 7 illustrate the cutting knife 25 and the processing method of the cutting knife 25 of the second embodiment.
  • the cutting blade 25 has a parallelogram shape.
  • the parallelogram-shaped cutting knife 25 has a single-sided blade 26 on one side (see FIG. 7).
  • the cutting knife 25 is processed by a long metal sheet 12 (see FIG. 3).
  • a single-sided blade 27 is processed on the long side of the elongated metal sheet 12, and the surface of the elongated metal sheet 12 is processed at an angle with the single-sided blade 27
  • a plurality of parallel dents 28 (see Figure 8); in the second step, first bend the long strips on both sides of the short-side dents 29 of the long metal sheet 30 closest to the processed single-sided blade 27
  • the dents 29 of the shaped metal sheet 30 cause the elongated metal flakes 30 to break along the dents 29 to obtain the cutting knife 25 of the required size and shape (see Figure 7);
  • the third step is to place the dents in sequence
  • a plurality of cutting knives 25 can be obtained by bending the elongated metal sheet 30 with the single-sided blade 27 on both sides of the 28
  • Another type of cutting knife 25 has a hole 18 at one end of the elongated metal sheet 17 (see FIG. 5).
  • a single-sided blade 31 is processed on the long side of the long metal foil 17.
  • a plurality of mutually parallel dents 32 at an angle to the single-sided blade 31 are processed on the surface of the elongated metal sheet 16 (see FIG. 9). Bend the indents 32 of the elongated metal sheet 33 with the single-sided blade 31 on both sides of the indentation 32, so that the elongated metal sheet 33 is broken along the indentation 32 to obtain the desired size and shape
  • the cutting knife 25 (see Figure 7). When bending the elongated metal sheet 33 of the processed single-sided blade 31 on both sides of the dent 32, the position of the hole 18 can be controlled to move the elongated metal sheet 33 of the processed single-sided blade 31 And the role of constraints.
  • FIG. 27 illustrate the cutting knife 40 of the third embodiment.
  • the cutting knife 40 is processed by a long metal sheet 44 (see FIG. 11) with an angular groove 43.
  • the processed elongated metal sheet 48 has a double-sided blade 45 on the long side, and a plurality of mutually parallel dents 46 at an angle to the double-sided blade 45 on the surface (see FIG. 12).
  • the first step is to bend the dents 47 on both sides of the short side of the elongated metal sheet 48 with the double-sided blade 45.
  • the indentation 47 of the elongated metal sheet 48 with the double-sided blade 45 makes the elongated metal sheet 48 with the double-sided blade 45 break along the indentation 47 to obtain the cutting knife 40 of the required size and shape. (See Fig. 10);
  • the cutting knife 40 is installed on the driving member 8 (See Fig. 27). Thereafter, the dents 46 of the elongated metal sheet 48 with double-sided blades 45 are sequentially bent on both sides of each dent 46 to obtain a plurality of cutting knives 40.
  • Another type of processing cutting knife 40 has a hole 51 on one end of the elongated metal sheet 50 with an angular slot 49 (see FIG. 13).
  • the processed elongated metal sheet 54 has a double-sided blade 52 on its long side, and a plurality of parallel dents 53 at an angle to the double-sided blade 52 on the surface (see FIG. 14).
  • the dents 53 of the elongated metal sheet 54 with the double-sided blade 52 are bent on both sides of the dent 53, so that the elongated metal sheet 54 with the double-sided blade 52 is broken along the dent 53, namely A cutting knife 40 of the required size and shape can be obtained (see FIG. 10).
  • the position of the hole 51 can be adjusted to the elongated metal sheet with the double-sided blade 52.
  • 54 plays the role of movement and restraint.
  • FIGS 15 to 17 and Figure 34 illustrate the cutting blade 60 of the fourth embodiment.
  • One side of the cutting knife 60 has a single-sided blade 61 (see FIG. 15).
  • the corner of the cutting knife 60 without the blade 61 has a chamfer 62.
  • the cutting knife 60 is processed by a long metal sheet 44 (see FIG. 11) with an angular groove 43.
  • the processed elongated metal sheet 66 has a single-sided blade 63 on the long side and a plurality of parallel dents 64 at an angle to the single-sided blade 63 on the surface (see FIG. 16).
  • the first step is to bend the dents 65 on both sides of the short side of the elongated metal sheet 66 with the single-sided blade 63.
  • the dent 65 of the elongated metal sheet 66 with the single-sided blade 63 makes the elongated metal sheet 66 with the single-sided blade 63 break along the dent 65 to obtain a cutting knife 60 of the desired size and shape. (See Fig. 15);
  • the cutting knife 60 is installed on the driving member 161 (See Fig. 34).
  • the dents 64 of the elongated metal sheet 66 with the single-sided blade 63 are sequentially bent on both sides of each dent 64 to obtain a plurality of cutting knives 60.
  • Another type of processing cutting knife 60 has a hole 51 at one end of the elongated metal sheet 50 with an angular groove 49 (see FIG. 13).
  • the processed elongated metal sheet 69 has a single-sided blade 67 on the long side, and a plurality of parallel dents 68 at an angle to the single-sided blade 67 on the surface (see FIG. 17).
  • the indentation 68 of the elongated metal sheet 69 with the single-sided blade 67 is bent on both sides of the indentation 68, so that the elongated metal sheet 69 with the single-sided blade 67 is broken along the indentation 68, namely A cutting knife 60 of the required size and shape can be obtained (see FIG. 15).
  • FIGS 18 to 20 and Figure 32 illustrate the cutting blade 70 of the fifth embodiment.
  • a double-sided blade 71 is provided on one side of the cutting knife 70 (see FIG. 18).
  • the corner of the cutting knife 70 without the blade 71 is chamfered 72.
  • the upper part and the lower part of the cutting knife 70 are respectively provided with an upper restriction notch 73 and a lower restriction notch 74.
  • the cutting knife 70 is processed from a long metal sheet 44 (see FIG. 11) with an angular groove 43.
  • the processed elongated metal sheet 80 has a double-sided blade 75 on the long side, notches 86 and 87 on the short sides at both ends, and a plurality of dents 76 at an angle to the double-sided blade 75 on the surface.
  • There are holes 78 in the indentation 76 see Figure 19).
  • the first step is to bend the two sides of the dent 79 closest to the short side of the elongated metal sheet 80 with the double-sided blade 75.
  • the dents 79 of the elongated metal foil 80 of the face blade 75 cause the elongated metal foil 80 with the double-sided blade 75 to break along the dent 79, and the cutting blade 70 of the desired size and shape can be obtained. (See Figure 18);
  • the second step install the cutting knife 70 on the driving member 151 (see Figure 32). After that, the dents 76 of the elongated metal sheet 80 with double-sided blades 75 are sequentially bent on both sides of the dents 76 to obtain a plurality of cutting knives 70.
  • Another type of processing cutting knife 70 has a hole 51 at one end of the elongated metal sheet 50 with an angular slot 49 (see FIG. 13).
  • the processed long metal sheet 85 has a double-sided blade 81 on the long side, a notch 83 on the short side at one end, and a plurality of dents 82 at an angle to the double-sided blade 81 on the surface.
  • the indentation 82 of the elongated metal sheet 85 with the double-sided blade 81 is bent on both sides of the indentation 82, so that the elongated metal sheet 85 with the double-sided blade 81 is broken along the indentation 82, namely A cutting knife 70 of the required size and shape can be obtained (see FIG. 18).
  • a cutting knife 70 of the required size and shape can be obtained (see FIG. 18).
  • FIGS 21 to 23 and Figure 38 illustrate the cutting blade 90 of the sixth embodiment.
  • One side of the cutting knife 90 has a single-sided blade 91 (see FIG. 21).
  • the corners of the cutting knife 90 without the blade 91 are chamfered 92.
  • the upper part and the lower part of the cutting knife 90 are respectively provided with an upper restriction notch 93 and a lower restriction notch 94.
  • the cutting knife 90 is processed by an elongated metal sheet 44 with an angular groove 43 (see FIG. 11).
  • the processed long metal sheet 100 has a single-sided blade 95 on the long side, grooves 106 and 107 on the short sides at both ends, and a plurality of dents 96 at an angle to the single-sided blade 95 on the surface. , There is a hole 98 in the dent 96 (see Figure 22).
  • the cutting knife 90 In the process of installing the cutting knife 90 on the driving member 181, in the first step, bend the dent 99 on both sides of the short side of the long metal sheet 100 with the single-sided blade 95 that has a single side.
  • the dent 99 of the elongated metal sheet 100 of the face blade 95 makes the elongated metal sheet 100 with the single-sided blade 95 break along the dent 99, and a cutting knife 90 of the desired size and shape can be obtained.
  • the cutting knife 90 is installed on the driving member 181 (see Figure 38). Thereafter, the indentations 96 of the elongated metal sheet 100 with the single-sided blade 95 are sequentially bent on both sides of the indentations 96 to obtain a plurality of cutting knives 90.
  • Another type of processing cutting knife 90 has a hole 51 at one end of the elongated metal sheet 50 with an angular slot 49 (see FIG. 13).
  • the processed elongated metal sheet 105 has a single-sided blade 101 on the long side, a notch 102 on the short side at one end, and a plurality of dents 103 at an angle to the single-sided blade 101 on the surface.
  • FIGS. 24 to 26 and 36 illustrate the cutting blade 110 of the seventh embodiment.
  • One side of the cutting knife 110 has a single-sided blade 111 (see FIG. 24).
  • the corners of the cutting knife 110 without the blade 111 are chamfered 112.
  • the cutting knife 110 is processed by a long metal sheet 44 (see FIG. 11) with an angular groove 43.
  • the processed elongated metal sheet 118 has a single-sided blade 114 on the long side, and a plurality of dents 115 at an angle to the single-sided blade 114 on the surface.
  • There are gaps 116 between adjacent dimples 115 see Figure 25).
  • the cutting knife 110 In the process of installing the cutting knife 110 on the driving member 171, in the first step, bend the dent 117 on both sides of the short side of the long metal sheet 118 with the single-sided blade 114.
  • the dents 117 of the elongated metal sheet 118 with the single-sided blade 114 make the elongated metal sheet 118 with the single-sided blade 114 break along the dent 117, and the cutting knife 110 of the required size and shape can be obtained. (See Fig. 24);
  • the cutting knife 110 is installed on the driving member 171 (See Fig. 36). Thereafter, the indentations 115 of the elongated metal sheet 118 with the single-sided blade 114 are sequentially bent on both sides of the indentations 115 to obtain a plurality of cutting knives 110.
  • Another type of processing cutting knife 110 has a hole 51 on one end of the elongated metal sheet 50 with an angular slot 49 (see FIG. 13).
  • the processed elongated metal sheet 122 has a single-sided blade 119 on the long side, and a plurality of dents 120 at an angle to the single-sided blade 119 on the surface. There are gaps 121 between adjacent dimples 120 (see Figure 26).
  • the dent 120 of the elongated metal sheet 122 with a single-sided blade 119 is bent on both sides of the dent 120, so that the elongated metal sheet 122 with a single-sided blade 119 is broken along the dent 120, namely
  • the cutting knife 110 of the required size and shape can be obtained (see FIG. 24).
  • 27 and 28 illustrate the cutting knife 40 and the cutting knife insert groove 130 of the first embodiment.
  • the front part of the driving member 8 has a cutting knife 40 with double-sided blades and a cutting knife inserting groove 130 penetrating the left and right sides of the driving member 8.
  • the front part of the cutting knife inserting groove 130 has a binding edge 132 with an opening 131.
  • 29 to 31 illustrate the cutting knife 40 and the cutting knife insert groove 140 of the second embodiment.
  • the front part of the driving member 141 has a cutting knife 40 with double-sided blades and a cutting knife inserting groove 140 penetrating the left and right sides of the driving member 141.
  • the front part of the cutting knife inserting groove 140 has a restraining edge 143 with an opening 142.
  • On both sides of the restraining edge 143 of the cutting knife insert groove 140 there are staggered left restraining protrusions 144 and right restraining protrusions 145 (see FIG. 31). First insert the blade 41 of the cutting knife 40 into the left and right constraining projections 144 and 145 of the cutting knife inlay groove 140, and then rotate the blade 41 of the cutting knife 40 around the constraining edge 143, so that the cutting knife 40 is turned into the cutting knife.
  • the cutting knife 40 can be installed on the driving member 141 (see FIG. 29).
  • the restraining edge 143 on the cutting knife insert groove 140 blocks the cutting knife 40 from moving forward, and the left restraining protrusion 144 and the right restraining protrusion 145 on the cutting knife insert groove 140 restrain the blade 41 of the cutting knife 40 to the cutting knife.
  • the blade 41 of the cutting knife 40 is located in the middle of the left and right sides of the cutting knife insert groove 140 (see FIG. 29). Then, the blade 41 of the cutting knife 40 is rotated around the restraining edge 143 (see FIG. 30), so that the cutting knife 40 is moved out of the cutting knife insertion groove 140, and the cutting knife 40 can be moved out of the driving member 141 (see FIG. 31).
  • the front part of the driving member 151 has a cutting knife 70 with double-sided blades and a cutting knife inserting groove 150 penetrating the left and right sides of the driving member 151.
  • An opening 152 is formed at the front of the cutting knife insert groove 150.
  • the upper part and the lower part of the cutting blade insert groove 150 are respectively provided with an upper restraining protrusion 153 and a lower restraining protrusion 154 (see FIG. 33).
  • the cutting knife inserting groove 150 blocks the cutting knife 70 from moving forward and backward, and cutting The knife 70 is installed on the driving member 151.
  • the blade 71 of the cutting knife 70 is located in the middle of the left and right sides of the cutting knife insertion groove 150 (see FIG. 32).
  • the cutting knife 70 moves out of the cutting knife insertion groove 150, the cutting knife 70 is moved out of the driving member 151 (see FIG. 33).
  • the front part of the driving member 161 has a cutting knife 60 with a single blade edge and a cutting knife insert groove 160 with a bottom wall 162.
  • the front part of the cutting knife inserting groove 160 has a restraining edge 164 with an opening 163 (see FIG. 35).
  • the cutting edge 61 of the cutting knife 60 is located in the middle of the left and right sides of the opening 163 of the cutting knife insertion slot 160 (see FIG. 34).
  • the cutting knife 60 moves out of the cutting knife insertion groove 160, the cutting knife 60 is moved out of the driving member 161 (see FIG. 35).
  • the front part of the driving member 171 has a cutter 110 with a single-sided blade 111 and a cutter insert groove 170 with a bottom wall 172.
  • the bottom wall 172 of the cutting knife inserting groove 170 has a restraining protrusion 173.
  • the restriction notch 113 of the cutting knife 110 When the restriction notch 113 of the cutting knife 110 is inserted on the restriction protrusion 173 of the cutting knife inserting groove 170, the surface of the cutting knife 110 without the blade 111 is attached to the bottom wall 172 of the cutting knife inserting groove 170, and the cutting knife inserting groove 170 The restraining protrusion 173 of 170 prevents the cutting knife 110 from moving forward and backward, and the cutting knife 110 is installed on the driving member 171. At this time, the blade 111 of the cutting knife 110 is located in the middle of the left and right sides of the opening 174 of the cutting knife insert groove 170 (see Figure 36). When the restriction notch 113 of the cutting knife 110 moves out of the restriction protrusion 173 of the cutting knife insertion groove 170, the cutting knife 110 is moved out of the driving member 171 (see FIG. 37).
  • the front part of the driving member 181 has a cutting knife 90 with a single-sided knife edge 91 and a cutting knife inserting groove 180 with a bottom wall 182.
  • the upper part and the lower part of the bottom wall 182 of the cutting knife inserting groove 180 are respectively provided with an upper restraining protrusion 183 and a lower restraining protrusion 184.
  • FIGS. 40 to 48 illustrate the state in which the cutting knife 40 is located in the actuator 2.
  • the actuator assembly 2 has an actuator seat sliding groove 190 and a staple cartridge sliding groove 191 in the front and rear direction.
  • the driving member 8 can move back and forth along the actuator seat sliding groove 190 and the staple cartridge sliding groove 191 of the actuator assembly 2 (see FIG. 40, FIG. 43, and FIG. 46).
  • the actuator seat slide groove 190 and the staple cartridge slide groove 191 blocks the cutting knife 40 from leaving the cutting knife insert groove 130 (see Figs. 43 and 46).
  • the opening 131 of the cutting knife insert groove 130 is located at the gap 194 between the staple cartridge tissue contact surface 192 and the staple anvil tissue contact surface 193 (see Figure 41 and 42).
  • FIGS. 43 to 45 illustrate the first embodiment of the replacement process of the cutting blade 40.
  • the staple cartridge assembly 5 can be assembled and disassembled on the actuator seat 7.
  • the cutting knife 40 is divided into an active cutting knife 40 and a spare cutting knife 40.
  • the cutting knife 40 is installed in the cutting knife insertion groove 130 of the driving member 8, and the spare cutting knife 40 has not been installed in the cutting knife insertion groove 130 of the driving member 8 at this time.
  • the first step is to move the staple cartridge assembly 5 out of the actuator seat 7 (see Figure 43); in the second step, the operating assembly 3 controls the direction of the cutting knife 40 on the driving member 8 Move forward until the cutting knife 40 in use extends out of the actuator seat 7 (see Figure 44); in the third step, clamp the cutting knife 40 with pliers (not shown), and insert the cutting knife 40 in use from the cutting knife. Take it out of the slot 130, and then move the cutting knife 40 in use out of the driving member 8 (see Figure 45); in the fourth step, use pliers to clamp the strip of metal sheet 54 closest to the double-sided blade 52 (see Figure 45).
  • the spare cutting knife 40 clamped by the pliers can be obtained; the fifth step, insert the spare cutting knife 40 clamped by the pliers into the cutting knife inlay groove 130 and then loosen the pliers, the spare cutting knife 40 can be obtained.
  • the operating assembly 3 controls the spare cutting knife 40 on the driving member 8 to move backwards until the spare cutting knife 40 returns to the actuator seat 7 (see Figure 43); Seven steps, install the staple cartridge assembly 5 on the actuator seat 7 (see Figure 1).
  • FIGS. 46 to 48 illustrate the second embodiment of the replacement process of the cutting blade 40.
  • the staple cartridge assembly 5 and the staple anvil assembly 6 can be assembled and disassembled on the actuator seat 7.
  • the cutting knife 40 is divided into an active cutting knife 40 and a spare cutting knife 40.
  • the cutting knife 40 is installed in the cutting knife insertion groove 130 of the driving member 8, and the spare cutting knife 40 has not been installed in the cutting knife insertion groove 130 of the driving member 8 at this time.
  • the first step is to move the staple cartridge assembly 5 and the staple anvil assembly 6 out of the actuator seat 7 (see Figure 46); in the second step, the operating assembly 3 controls the drive member 8 Use the cutting knife 40 to move forward until the cutting knife 40 in use extends out of the actuator seat 7 (see Figure 47); in the third step, the cutting knife 40 in use is taken out of the cutting knife inlay groove 130, and the in use The cutting knife 40 is moved out of the driving member 8 (see Figure 48); the fourth step is to insert the spare cutting knife 40 into the cutting knife inlay groove 130, and then the spare cutting knife 40 can be installed on the driving member 8 (see Figure 47); In the fifth step, the operating assembly 3 controls the spare cutter 40 on the driving member 8 to move backwards until the spare cutter 40 returns to the actuator seat 7 (see Figure 46); in the sixth step, the staple cartridge assembly 5 and the staple anvil assembly 6 Installed on the actuator seat 7 (see Figure 1).
  • the manual operating component 3 of the manual endoscopic cutting stapler 1 of the present invention can also be composed of electric operating components to form an electric endoscopic cutting stapler, or it can adopt operating components used by surgical robots to form endoscopic cutting used by surgical robots. Stapler.
  • the cutting knife of the endoscope cutting stapler of the present invention has the following technical effects:
  • the cutting knife of the endoscopic cutting stapler of the present invention adopts the technical feature of processing a plurality of dents on the surface of a long strip of metal sheet with a knife edge; realizes that the long edge with the knife is bent on both sides of the dent
  • the dents of the strip-shaped metal flakes cause the strip-shaped metal flakes with a knife edge to break along the dents, and the technical solution of the cutting knife of the required size and shape can be obtained.
  • the cutting knife of the cavity mirror cutting stapler of the present invention achieves the technical effects of simple, convenient, fast processing, sharp blade and convenient storage; achieving the technical effect of greatly reducing the processing cost of the cutting knife of the cavity mirror cutting stapler; In the process or during endoscopic surgery, bend the dents of the long metal foil with a knife edge on both sides of each dent in turn, so that the long metal foil with a knife edge breaks along the dent, that is, Obtain the technical effect of multiple cutting knives of required size and shape.
  • the cutting knife of the endoscopic cutting stapler of the present invention can adopt the technical feature of the cutting knife inlay slot with an opening at the front of the driving member; it is realized that when the cutting knife is inserted into the cutting knife inlay slot, the cutting knife is installed on the driving member, At this time, the technical solution that the blade of the cutting knife is located at the opening of the cutting knife inlay groove; the technical solution that the cutting knife is moved out of the driving member when the cutting knife is moved out of the cutting knife inlay groove.
  • the fit between the inlay groove of the cutting knife and the cutting knife can be either a clearance fit, a transition fit, or an interference fit.
  • the cutting knife of the cavity mirror cutting stapler of the present invention can be manufactured separately from materials different from the driving part, so that the cutting knife and the driving part are more convenient to process, the processing quality is higher, and the processing cost is lower.
  • the cutting knife of the endoscopic cutting stapler of the present invention can adopt the technical feature that the cutting knife is installed in the cutting knife inlay groove of the driving member; the operation assembly controls the cutting knife on the driving member to move forward until the cutting knife extends A technical solution in which the cutting knife is taken out of the cutting knife inlay groove, and then the cutting knife can be moved out of the driving part and then another cutting knife is installed.
  • the cutting knife of the endoscopic cutting stapler of the present invention achieves the technical effects of simple, convenient, fast and safe replacement of the cutting knife, and achieves the technical effects of reducing the cost of endoscopic surgery and improving the quality of surgery.
  • the cutting knife of the endoscopic cutting stapler of the present invention is not only suitable for manual endoscopic cutting staplers and electric endoscopic cutting staplers, but also suitable for endoscopic cutting staplers used by surgical robots.

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)

Abstract

一种腔镜切割吻合器（1）的切割刀（40）。该腔镜切割吻合器（1）包括执行组件（2）、延伸组件（4）和操作组件（3）。操作组件（3）中有驱动件（8），驱动件（8）前部有切割刀镶嵌槽（130）和切割刀（40）。采用在带有刀刃（45）的长条形的金属薄片（48）的表面上加工多个凹痕（46），在凹痕（46）的两侧弯折带有刀刃（45）的长条形的金属薄片（48）的凹痕（46），使得带有刀刃（45）的长条形的金属薄片（48）沿凹痕（46）断裂，即可获得所需尺寸和形状的切割刀（40）。该腔镜切割吻合器（1）的切割刀（40）加工过程较为简单，可以降低腔镜切割吻合器（1）的切割刀（40）的加工费用。

Description

腔镜切割吻合器的切割刀 技术领域
本发明涉及到在腔镜外科手术中使用的腔镜切割吻合器的切割刀，特别涉及到在腹腔镜外科手术中使用的腔镜切割吻合器的切割刀，也特别涉及到在胸腔镜外科手术中使用的腔镜切割吻合器的切割刀，更特别涉及到手动的腔镜切割吻合器的切割刀，也更特别涉及到电动的腔镜切割吻合器的切割刀，还更特别涉及到手术机器人使用的腔镜切割吻合器的切割刀。
背景技术
在腹腔镜外科手术和胸腔镜外科手术中，各种手动的、电动的和手术机器人使用的腔镜切割吻合器通常被用于腹腔中、胸腔中和泌尿生殖系统中的切割和吻合手术，可以减少手术创伤，缩短手术时间，提高手术质量。
美国专利US20180126504A1和US20180310931A1中介绍的各种腔镜切割吻合器，其组成部分包括执行组件、延伸组件和操作组件。延伸组件连接操作组件和执行组件。执行组件中有钉仓组件和钉砧组件。操作组件中有驱动件。驱动件的前部有切割刀。操作组件控制驱动件在执行组件中前后移动。延伸组件上可以有关节组件，也可以没有关节组件。操作组件控制执行组件的动作。各种操作组件既可以是手动的操作组件，也可以是电动的操作组件，还可以是手术机器人的操作组件。
美国专利US20180126504A1的腔镜切割吻合器的切割刀被直接加工在驱动件的驱动头上。美国专利US20180310931A1的腔镜切割吻合器的切割刀被直接加工在驱动件上。上述两种腔镜切割吻合器的第一令人不满意处是，由于驱动件或驱动件的驱动头的形状比较复杂，因此在驱动件上或在驱动件的驱动头上直接加工的切割刀的加工过程复杂，加工成本也较高，刀刃的锋利度难以保证，带有切割刀的驱动件储存较困难。上述两种腔镜切割吻合器的第二令人不满意处是，由于直接加工在驱动件的驱动头上的切割刀或直接加工在驱动件上的切割刀是不可更换的，因此在腔镜切割吻合器使用中，如果发现驱动件上的切割刀被损伤，则要更换另一把腔镜切割吻合器，造成手术费用较高，使用也不方便。
由上述显然可以看出，现在已经设计了不同式样的腔镜切割吻合器的切割刀，并且新的腔镜切割吻合器的切割刀的研制工作仍在继续，以便对每年世界上大量使用的腔镜切割吻合器作进一步的改进，使得加工时更方便和手术费用更低。
发明内容
本发明的第一目的在于提出一种腔镜切割吻合器的切割刀，采用在带有刀刃的长条形的金属薄片的表面上加工有多个凹痕的技术特征；实现在凹痕的两侧弯折带有刀刃的长条形的金属薄片的凹痕，使得带有刀刃的长条形的金属薄片沿凹痕断裂，即可获得所需尺寸和形状的切割刀的技术方案。本发明的腔镜切割吻合器的切割刀达到加工过程简单、方便、快速、刀刃锋利和便于储存的技术效果；达到大幅度降低腔镜切割吻合器的切割刀加工费用的技术效果；达到在生产过程中或腔镜外科手术中依次在各个凹痕的两侧弯折带有刀刃的长条形的金属薄片的凹痕，使得带有刀刃的长条形的金属薄片沿凹痕断裂，即可获得多个所需尺寸和形状的切割刀的技术效果。
本发明的第二目的在于提出一种腔镜切割吻合器的切割刀，采用驱动件的前部有开口的切割刀镶嵌槽的技术特征；实现切割刀插入切割刀镶嵌槽内时，切割刀被安装在驱动件上，此时切割刀的刀刃位于切割刀镶嵌槽的开口处的技术方案；实现在切割刀移出切割刀镶嵌槽内时切割刀即被移出驱动件的技术方案。本发明的腔镜切割吻合器的切割刀达到可以采用与驱动件不同的材料分别制造，使得切割刀和驱动件的加工都更方便，加工质量都更高和加工成本都更低的技术效果。
本发明的第三目的在于提出一种腔镜切割吻合器的切割刀，采用切割刀被安装在驱动件的切割刀镶嵌槽内的技术特征；实现操作组件控制驱动件上的切割刀向前移动，直至切割刀伸出执行件座，将切割刀从切割刀镶嵌槽内取出，即可将切割刀移出驱动件后再安装另一切割刀的技术方案。本发明的腔镜切割吻合器的切割刀达到更换切割刀的过程简单、方便、快速和安全的技术效果，达到降低腔镜外科手术费用和提高手术质量的技术效果。
本发明的目的是通过下述技术方案实现的：
本发明的腔镜切割吻合器包括执行组件、延伸组件和操作组件。延伸组件连接操作组件和执行组件。执行组件中有钉仓组件和钉砧组件。操作组件中有驱动件。操作组件控制驱动件在执行组件中前后移动。延伸组件上可以有关节组件，也可以没有关节组件。操作组件可以是手动的操作组件或电动的操作组件、也可以是手术机器人使用的操作组件。
驱动件的前部有切割刀镶嵌槽和切割刀。切割刀的刀刃既可以位于切割刀的单面，也可以位于切割刀的双面。切割刀的不带刀刃的角上可以有倒角，带刀刃的前下角上也可以有倒角。切割刀上的倒角可以是倒直角，也可以是倒圆角。切割刀镶嵌槽的前部有开口。在切割刀插入切割刀镶嵌槽内后，切割刀被安装在驱动件上；此时切割刀的刀刃位于切割刀镶嵌槽的开口处。在切割刀移出切割刀镶嵌槽内时，切割刀即被移出驱动件。当钉仓组件和钉砧组件处于闭合状态时，切割刀镶嵌槽的开口处位于钉仓组件的组织接触面和钉砧组件的组织接触面之间的缝隙处。
本发明的腔镜切割吻合器的切割刀在使用前为长条形的金属薄片。长条形的金属薄片在长边上有刀刃、在表面上有与刀刃成角度的多个凹痕。凹痕之间可以相互平行，也可以相互不平行。在切割刀被安装在驱动件上的过程中，第一步，在最靠近带有刀刃的长条形的金属薄片的短边的凹痕的两侧弯折带有刀刃的长条形的金属薄片的凹痕，使得带有刀刃 的长条形的金属薄片沿凹痕断裂，即可获得所需尺寸和形状的切割刀；第二步，将切割刀安装在驱动件上。此后，依次在各个凹痕的两侧弯折带有刀刃的长条形的金属薄片的凹痕，即可获得多个切割刀。
带有刀刃的长条形的金属薄片的一端上可以有孔。在凹痕的两侧弯折带有刀刃的长条形的金属薄片的凹痕时，控制孔的位置，可以对带有刀刃的长条形的金属薄片起到移动和约束的作用。
长条形的金属薄片的长边上可以有双面刀刃。在凹痕的两侧弯折带有双面刀刃的长条形的金属薄片的凹痕时，获得带有双面刀刃的切割刀。长条形的金属薄片的长边上也可以有单面刀刃。在凹痕的两侧弯折带有单面刀刃的长条形的金属薄片的凹痕时，获得带有单面刀刃的切割刀。
在带有刀刃的长条形的金属薄片的不带刀刃的凹痕处可以有角形槽。在凹痕的两侧弯折带有刀刃的长条形的金属薄片的凹痕，获得的切割刀在不带刀刃的角上有倒角。
在带有刀刃的长条形的金属薄片的凹痕的两侧可以有角形槽。在凹痕的两侧弯折带有刀刃的长条形的金属薄片的凹痕，获得的切割刀的角上带有倒角。
在带有刀刃的长条形的金属薄片的相邻凹痕之间可以带有孔，使得在凹痕的两侧弯折带有刀刃的长条形的金属薄片的凹痕后，获得的切割刀的中部带有约束缺口。在带有刀刃的长条形的金属薄片的凹痕上也可以带有孔、一端的短边上可以带有凹槽，使得在凹痕的两侧弯折带有刀刃的长条形的金属薄片的凹痕后，获得的切割刀的上部和下部分别带有上约束缺口和下约束缺口。
本发明的腔镜切割吻合器的切割刀镶嵌槽的前部有带有开口的约束边。在切割刀插入切割刀镶嵌槽内时，切割刀镶嵌槽上的约束边阻挡切割刀向前移动。
切割刀镶嵌槽的约束边的两侧可以有交错分布的左约束凸块和右约束凸块。先将切割刀的刀刃插入切割刀镶嵌槽的左约束凸块和右约束凸块内，再将切割刀的刀刃绕约束边转动，使得切割刀转入切割刀镶嵌槽内，即可将切割刀安装在驱动件上；此时，切割刀镶嵌槽上的左约束凸块和右约束凸块将切割刀的刀刃约束在切割刀镶嵌槽内。再将切割刀的刀刃绕约束边转动，使得切割刀移出切割刀镶嵌槽，即可将切割刀移出驱动件。
本发明的腔镜切割吻合器的切割刀镶嵌槽上有约束凸块。切割刀上有约束缺口。当切割刀的约束缺口插在切割刀镶嵌槽的约束凸块上时，切割刀镶嵌槽阻挡切割刀前后移动。当切割刀的约束缺口移出切割刀镶嵌槽的约束凸块时，切割刀即被移出驱动件。
本发明的腔镜切割吻合器的切割刀镶嵌槽贯穿驱动件的左右两侧。当带有双面刀刃的切割刀安装在切割刀镶嵌槽内时，切割刀的刀刃位于切割刀镶嵌槽的左右两侧的中间。
本发明的腔镜切割吻合器的切割刀镶嵌槽有底壁。当带有单面刀刃的切割刀安装在切割刀镶嵌槽内时，切割刀的不带刀刃的表面贴在切割刀镶嵌槽的底壁上。
本发明的腔镜切割吻合器的执行组件中有前后方向的执行件座滑槽和钉仓滑槽。驱动件可沿执行组件的执行件座滑槽和钉仓滑槽前后移动。当安装在驱动件的切割刀镶嵌槽内 的切割刀依次位于执行组件中的执行件座滑槽和钉仓滑槽内时，执行件座滑槽和钉仓滑槽阻挡切割刀脱离切割刀镶嵌槽。
本发明的腔镜切割吻合器的执行组件中有执行件座。在执行件座上可以装拆钉仓组件。切割刀分为在用切割刀和备用切割刀。在用切割刀安装在驱动件的切割刀镶嵌槽内。在更换在用切割刀的过程中，第一步，将钉仓组件移出执行件座；第二步，操作组件控制驱动件上的在用切割刀向前移动，直至在用切割刀伸出执行件座；第三步，将在用切割刀从切割刀镶嵌槽内取出，即可将在用切割刀移出驱动件；第四步，将备用切割刀插入切割刀镶嵌槽内，即可将备用切割刀安装在驱动件上；第五步，操作组件控制驱动件上的备用切割刀向后移动，直至备用切割刀返回执行件座；第六步，将钉仓组件安装在执行件座上。
本发明的腔镜切割吻合器的执行组件中有执行件座。在执行件座上可以装拆钉仓组件和钉砧组件。切割刀分为在用切割刀和备用切割刀。在用切割刀安装在驱动件的切割刀镶嵌槽内。在更换在用切割刀的过程中，第一步，将钉仓组件和钉砧组件移出执行件座；第二步，操作组件控制驱动件上的在用切割刀向前移动，直至在用切割刀伸出执行件座；第三步，将在用切割刀从切割刀镶嵌槽内取出，即可将在用切割刀移出驱动件；第四步，将备用切割刀插入切割刀镶嵌槽内，即可将备用切割刀安装在驱动件上；第五步，操作组件控制驱动件上的备用切割刀向后移动，直至备用切割刀返回执行件座；第六步，将钉仓组件和钉砧组件安装在执行件座上。
附图说明
图1是表示本发明的腔镜切割吻合器的立体图；
图2是表示本发明的第一实施例的切割刀的立体图；
图3是表示第一种用于加工图2的切割刀的金属薄片的立体图；
图4是表示采用图3的金属薄片再加工后的金属薄片的立体图；
图5是表示第二种用于加工图2的切割刀的带孔的金属薄片的立体图；
图6是表示采用图5的金属薄片再加工后的金属薄片的立体图；
图7是表示本发明的第二实施例的切割刀的立体图；
图8是表示采用图3的金属薄片再加工后用于加工图7的切割刀的金属薄片的立体图；
图9是表示采用图5的金属薄片再加工后用于加工图7的切割刀的金属薄片的立体图；
图10是表示本发明的第三实施例的切割刀的立体图；
图11是表示第一种用于加工图10的切割刀的金属薄片的立体图；
图12是表示再加工图11的金属薄片后带有刀刃和凹痕后的立体图；
图13是表示第二种用于加工图10的切割刀的带孔的金属薄片的立体图；
图14是表示再加工图13的金属薄片后带有刀刃和凹痕后的立体图；
图15是表示本发明的第四实施例的切割刀的立体图；
图16是表示第一种用于加工图15的切割刀的金属薄片的立体图；
图17是表示第二种用于加工图15的切割刀的金属薄片的立体图；
图18是表示本发明的第五实施例的切割刀的立体图；
图19是表示第一种用于加工图18的切割刀的金属薄片的立体图；
图20是表示第二种用于加工图18的切割刀的金属薄片的立体图；
图21是表示本发明的第六实施例的切割刀的立体图；
图22是表示第一种用于加工图21的切割刀的金属薄片的立体图；
图23是表示第二种用于加工图21的切割刀的金属薄片的立体图；
图24是表示本发明的第七实施例的切割刀的立体图；
图25是表示第一种用于加工图24的切割刀的金属薄片的立体图；
图26是表示第二种用于加工图24的切割刀的金属薄片的立体图；
图27是表示本发明的第一实施例的切割刀和切割刀镶嵌槽的立体图；
图28是表示从图27的驱动件移出切割刀后的立体图；
图29是表示本发明的第二实施例的切割刀和切割刀镶嵌槽的立体图；
图30是表示从图29的驱动件转出切割刀时的立体图；
图31是表示从图29的驱动件移出切割刀后的立体图；
图32是表示本发明的第三实施例的切割刀和切割刀镶嵌槽的立体图；
图33是表示从图32的驱动件移出切割刀后的立体图；
图34是表示本发明的第四实施例的切割刀和切割刀镶嵌槽的立体图；
图35是表示从图34的驱动件移出切割刀后的立体图；
图36是表示本发明的第五实施例的切割刀和切割刀镶嵌槽的立体图；
图37是表示从图36的驱动件移出切割刀后的立体图；
图38是表示本发明的第六实施例的切割刀和切割刀镶嵌槽的立体图；
图39是表示从图38的驱动件移出切割刀后的立体图；
图40是表示本发明的钉仓组件和钉砧组件处于闭合状态的仰视图；
图41是表示图40的41-41剖视图；
图42是表示图40的42-42剖视图；
图43是表示本发明的第一实施例的切割刀的更换前或更换后的立体图；
图44是表示图43的切割刀伸出执行件座的立体图；
图45是表示从图44的驱动件移出切割刀后的立体图；
图46是表示本发明的第二实施例的切割刀的更换前或更换后的立体图；
图47是表示图46的切割刀伸出执行件座的立体图；
图48是表示从图47的驱动件移出切割刀后的立体图。
具体实施方法
下面用举例方式，结合附图陈述本发明的腔镜切割吻合器的切割刀的最佳实施例。本 发明的范围将在权利要求中指出。应当认识到某些或全部附图都是为了说明本发明的最佳实施例的说明简图，而并未描绘出所示部分的真实尺寸。参考最佳实施例的详细叙述，将会更加清楚地理解达到本发明上述的和其它的目的和优点的实际方式。
在附图和下面的描述中，术语“后”是指靠近腔镜切割吻合器操作者的位置，而术语“前”是指远离腔镜切割吻合器操作者的位置。术语“左”是指腔镜切割吻合器操作者的左侧，而术语“右”是指腔镜切割吻合器操作者的右侧。术语“上”是指腔镜切割吻合器操作者的上方位置，而术语“下”是指腔镜切割吻合器操作者的下方位置。术语“后”、“前”、“左”、“右”、“上”和“下”可以参照对应附图1中的位置，当腔镜切割吻合器及其各组件的位置发生变动时，各术语的位置也会发生变动。
为了突出本发明的腔镜切割吻合器的切割刀和相关零部件的图形及其说明，在附图中对其他零部件不作详细介绍。有关各种腔镜切割吻合器的零部件的结构、安装、用途和动作过程可参考本说明书中引用的各个专利和相关的其他文献。
图1是本发明的手动的腔镜切割吻合器1。腔镜切割吻合器1包括执行组件2、手动的操作组件3和延伸组件4。延伸组件4连接操作组件3和执行组件2。执行组件2中有钉仓组件5、钉砧组件6和执行件座7。钉仓组件5和钉砧组件6安装在执行件座7上。操作组件3中有驱动件8。操作组件3控制驱动件8在执行组件2中前后移动。延伸组件4上有关节组件9。驱动件8的前部有切割刀40(见图27)。
图2至图6是描述第一实施例的切割刀10和切割刀10的加工方法。
切割刀10呈平行四边形。平行四边形的切割刀10的一条边上有双面刀刃11(见图2)。切割刀10由长条形的金属薄片12(见图3)加工而成。在加工切割刀10的过程中，第一步，在长条形的金属薄片12的长边上加工双面刀刃13，在长条形的金属薄片12的表面上加工与双面刀刃13成角度的多个相互平行的凹痕14(见图4)；第二步，首先在最靠近已加工双面刀刃13的长条形的金属薄片16短边的凹痕15的两侧弯折长条形的金属薄片16的凹痕15，使得长条形的金属薄片16沿凹痕15断裂，即可获得所需尺寸和形状的切割刀10(见图2)；第三步，依次在凹痕14的两侧弯折已加工双面刀刃13的长条形的金属薄片16，即可获得多个切割刀10。
另一种加工切割刀10的长条形的金属薄片17的一端上带有孔18(见图5)。在长条形的金属薄片17的长边上加工双面刀刃19。在长条形的金属薄片17的表面上加工与双面刀刃19成角度的多个相互平行的凹痕20(见图6)。在凹痕20的两侧弯折已加工双面刀刃19的长条形的金属薄片21的凹痕20，使得已加工双面刀刃19的长条形的金属薄片21沿凹痕20断裂，即可获得所需尺寸和形状的切割刀10(见图2)。在凹痕20的两侧弯折已加工双面刀刃19的长条形的金属薄片21时，控制孔18的位置，可以对已加工双面刀刃19的长条形的金属薄片21起到移动和约束的作用。
图7至图是描述第二实施例的切割刀25和切割刀25的加工方法。
切割刀25呈平行四边形。平行四边形的切割刀25的一条边上有单面刀刃26(见图7)。 切割刀25由长条形的金属薄片12(见图3)加工而成。在加工切割刀25的过程中，第一步，在长条形的金属薄片12的长边上加工单面刀刃27，在长条形的金属薄片12的表面上加工与单面刀刃27成角度的多个相互平行的凹痕28(见图8)；第二步，首先在最靠近已加工单面刀刃27的长条形的金属薄片30短边的凹痕29的两侧弯折长条形的金属薄片30的凹痕29，使得长条形的金属薄片30沿凹痕29断裂，即可获得所需尺寸和形状的切割刀25(见图7)；第三步，依次在凹痕28的两侧弯折已加工单面刀刃27的长条形的金属薄片30，即可获得多个切割刀25。
另一种加工切割刀25的长条形的金属薄片17的一端上带有孔18(见图5)。在长条形的金属薄片17的长边上加工单面刀刃31。在长条形的金属薄片16的表面上加工与单面刀刃31成角度的多个相互平行的凹痕32(见图9)。在凹痕32的两侧弯折已加工单面刀刃31的长条形的金属薄片33的凹痕32，使得长条形的金属薄片33沿凹痕32断裂，即可获得所需尺寸和形状的切割刀25(见图7)。在凹痕32的两侧弯折已加工单面刀刃31的长条形的金属薄片33时，控制孔18的位置，可以对已加工单面刀刃31的长条形的金属薄片33起到移动和约束的作用。
图10至图14和图27是描述第三实施例的切割刀40。
切割刀40的一条边上有双面刀刃41(见图10)。切割刀40的不带刀刃41的角上有倒角42。切割刀40由带有角形槽43的长条形的金属薄片44(见图11)加工而成。加工后的长条形的金属薄片48在长边上有双面刀刃45、在表面上有与双面刀刃45成角度的多个相互平行的凹痕46(见图12)。在切割刀40被安装在驱动件8上的过程中，第一步，在最靠近带有双面刀刃45的长条形的金属薄片48的短边的凹痕47的两侧弯折带有双面刀刃45的长条形的金属薄片48的凹痕47，使得带有双面刀刃45的长条形的金属薄片48沿凹痕47断裂，即可获得所需尺寸和形状的切割刀40(见图10)；第二步，将切割刀40安装在驱动件8上(见图27)。此后，依次在各个凹痕46的两侧弯折带有双面刀刃45的长条形的金属薄片48的凹痕46，即可获得多个切割刀40。
另一种加工切割刀40的带有角形槽49的长条形的金属薄片50的一端上带有孔51(见图13)。加工后的长条形的金属薄片54在长边上有双面刀刃52、在表面上有与双面刀刃52成角度的多个相互平行的凹痕53(见图14)。在凹痕53的两侧弯折带有双面刀刃52的长条形的金属薄片54的凹痕53，使得带有双面刀刃52的长条形的金属薄片54沿凹痕53断裂，即可获得所需尺寸和形状的切割刀40(见图10)。在凹痕53的两侧弯折带有双面刀刃52的长条形的金属薄片54的凹痕53时，控制孔51的位置，可以对带有双面刀刃52的长条形的金属薄片54起到移动和约束的作用。
图15至图17和图34是描述第四实施例的切割刀60。
切割刀60的一条边上有单面刀刃61(见图15)。切割刀60的不带刀刃61的角上有倒角62。切割刀60由带有角形槽43的长条形的金属薄片44(见图11)加工而成。加工后的长条形的金属薄片66在长边上有单面刀刃63、在表面上有与单面刀刃63成角度的多个 相互平行的凹痕64(见图16)。在切割刀60被安装在驱动件161上的过程中，第一步，在最靠近带有单面刀刃63的长条形的金属薄片66的短边的凹痕65的两侧弯折带有单面刀刃63的长条形的金属薄片66的凹痕65，使得带有单面刀刃63的长条形的金属薄片66沿凹痕65断裂，即可获得所需尺寸和形状的切割刀60(见图15)；第二步，将切割刀60安装在驱动件161上(见图34)。此后，依次在各个凹痕64的两侧弯折带有单面刀刃63的长条形的金属薄片66的凹痕64，即可获得多个切割刀60。
另一种加工切割刀60的带有角形槽49的长条形的金属薄片50的一端上带有孔51(见图13)。加工后的长条形的金属薄片69在长边上有单面刀刃67、在表面上有与单面刀刃67成角度的多个相互平行的凹痕68(见图17)。在凹痕68的两侧弯折带有单面刀刃67的长条形的金属薄片69的凹痕68，使得带有单面刀刃67的长条形的金属薄片69沿凹痕68断裂，即可获得所需尺寸和形状的切割刀60(见图15)。在凹痕68的两侧弯折带有单面刀刃67的长条形的金属薄片69的凹痕68时，控制孔51的位置，可以对带有单面刀刃67的长条形的金属薄片69起到移动和约束的作用。
图18至图20和图32是描述第五实施例的切割刀70。
切割刀70的一条边上有双面刀刃71(见图18)。切割刀70的不带刀刃71的角上有倒角72。切割刀70的上部和下部分别带有上约束缺口73和下约束缺口74。切割刀70由带有角形槽43的长条形的金属薄片44(见图11)加工而成。加工后的长条形的金属薄片80在长边上有双面刀刃75、在两端的短边上有缺口86和87、在表面上有与双面刀刃75成角度的多个凹痕76，在凹痕76上有孔78(见图19)。在切割刀70安装在驱动件151上的过程中，第一步，在最靠近带有双面刀刃75的长条形的金属薄片80的短边的凹痕79的两侧弯折带有双面刀刃75的长条形的金属薄片80的凹痕79，使得带有双面刀刃75的长条形的金属薄片80沿凹痕79断裂，即可获得所需尺寸和形状的切割刀70(见图18)；第二步，将切割刀70安装在驱动件151上(见图32)。此后，依次在各个凹痕76的两侧弯折带有双面刀刃75的长条形的金属薄片80的凹痕76，即可获得多个切割刀70。
另一种加工切割刀70的带有角形槽49的长条形的金属薄片50的一端上带有孔51(见图13)。加工后的长条形的金属薄片85在长边上有双面刀刃81、一端的短边上有缺口83、在表面上有与双面刀刃81成角度的多个凹痕82。在凹痕82上有孔84(见图20)。在凹痕82的两侧弯折带有双面刀刃81的长条形的金属薄片85的凹痕82，使得带有双面刀刃81的长条形的金属薄片85沿凹痕82断裂，即可获得所需尺寸和形状的切割刀70(见图18)。在凹痕82的两侧弯折带有双面刀刃81的长条形的金属薄片85的凹痕82时，控制孔51的位置，可以对带有双面刀刃81的长条形的金属薄片85起到移动和约束的作用。
图21至图23和图38是描述第六实施例的切割刀90。
切割刀90的一条边上有单面刀刃91(见图21)。切割刀90的不带刀刃91的角上有倒角92。切割刀90的上部和下部分别带有上约束缺口93和下约束缺口94。切割刀90由带有角形槽43的长条形的金属薄片44(见图11)加工而成。加工后的长条形的金属薄片100 在长边上有单面刀刃95、在两端的短边上有凹槽106和107、在表面上有与单面刀刃95成角度的多个凹痕96，在凹痕96上有孔98(见图22)。在切割刀90安装在驱动件181上的过程中，第一步，在最靠近带有单面刀刃95的长条形的金属薄片100的短边的凹痕99的两侧弯折带有单面刀刃95的长条形的金属薄片100的凹痕99，使得带有单面刀刃95的长条形的金属薄片100沿凹痕99断裂，即可获得所需尺寸和形状的切割刀90(见图21)；第二步，将切割刀90安装在驱动件181上(见图38)。此后，依次在各个凹痕96的两侧弯折带有单面刀刃95的长条形的金属薄片100的凹痕96，即可获得多个切割刀90。
另一种加工切割刀90的带有角形槽49的长条形的金属薄片50的一端上带有孔51(见图13)。加工后的长条形的金属薄片105在长边上有单面刀刃101、一端的短边上有缺口102、在表面上有与单面刀刃101成角度的多个凹痕103。在凹痕103上有孔104(见图23)。在凹痕103的两侧弯折带有单面刀刃101的长条形的金属薄片105的凹痕103，使得带有单面刀刃101的长条形的金属薄片105沿凹痕103断裂，即可获得所需尺寸和形状的切割刀90(见图21)。在凹痕103的两侧弯折带有单面刀刃101的长条形的金属薄片105的凹痕103时，控制孔51的位置，可以对带有单面刀刃101的长条形的金属薄片105起到移动和约束的作用。
图24至图26和图36是描述第七实施例的切割刀110。
切割刀110的一条边上有单面刀刃111(见图24)。切割刀110的不带刀刃111的角上有倒角112。切割刀110的中部有约束缺口113。切割刀110由带有角形槽43的长条形的金属薄片44(见图11)加工而成。加工后的长条形的金属薄片118在长边上有单面刀刃114、在表面上有与单面刀刃114成角度的多个凹痕115。在相邻凹痕115之间有缺口116(见图25)。在切割刀110被安装在驱动件171上的过程中，第一步，在最靠近带有单面刀刃114的长条形的金属薄片118的短边的凹痕117的两侧弯折带有单面刀刃114的长条形的金属薄片118的凹痕117，使得带有单面刀刃114的长条形的金属薄片118沿凹痕117断裂，即可获得所需尺寸和形状的切割刀110(见图24)；第二步，将切割刀110安装在驱动件171上(见图36)。此后，依次在各个凹痕115的两侧弯折带有单面刀刃114的长条形的金属薄片118的凹痕115，即可获得多个切割刀110。
另一种加工切割刀110的带有角形槽49的长条形的金属薄片50的一端上带有孔51(见图13)。加工后的长条形的金属薄片122在长边上有单面刀刃119、在表面上有与单面刀刃119成角度的多个凹痕120。在相邻凹痕120之间有缺口121(见图26)。在凹痕120的两侧弯折带有单面刀刃119的长条形的金属薄片122的凹痕120，使得带有单面刀刃119的长条形的金属薄片122沿凹痕120断裂，即可获得所需尺寸和形状的切割刀110(见图24)。在凹痕120的两侧弯折带有单面刀刃119的长条形的金属薄片122的凹痕120时，控制孔51的位置，可以对带有单面刀刃119的长条形的金属薄片122起到移动和约束的作用。
图27和图28是描述第一实施例的切割刀40和切割刀镶嵌槽130。
驱动件8的前部有双面刀刃的切割刀40和贯穿驱动件8的左右两侧的切割刀镶嵌槽 130。切割刀镶嵌槽130的前部有带有开口131的约束边132。当切割刀40插入切割刀镶嵌槽130内时，切割刀40被安装在驱动件8上，切割刀镶嵌槽130上的约束边132阻挡切割刀40向前移动，此时切割刀40的刀刃41位于切割刀镶嵌槽130的左右两侧的中间(见图27)。当切割刀40移出切割刀镶嵌槽130时，切割刀40即被移出驱动件8(见图28)。
图29至图31是描述第二实施例的切割刀40和切割刀镶嵌槽140。
驱动件141的前部有双面刀刃的切割刀40和贯穿驱动件141的左右两侧的切割刀镶嵌槽140。切割刀镶嵌槽140的前部有带有开口142的约束边143。切割刀镶嵌槽140的约束边143的两侧有交错分布的左约束凸块144和右约束凸块145(见图31)。先将切割刀40的刀刃41插入切割刀镶嵌槽140的左约束凸块144和右约束凸块145内，再将切割刀40的刀刃41绕约束边143转动，使得切割刀40转入切割刀镶嵌槽140内(见图30)，即可将切割刀40安装在驱动件141上(见图29)。此时，切割刀镶嵌槽140上的约束边143阻挡切割刀40向前移动，切割刀镶嵌槽140上的左约束凸块144和右约束凸块145将切割刀40的刀刃41约束在切割刀镶嵌槽140内，切割刀40的刀刃41位于切割刀镶嵌槽140的左右两侧的中间(见图29)。再将切割刀40的刀刃41绕约束边143转动(见图30)，使得切割刀40移出切割刀镶嵌槽140，即可将切割刀40移出驱动件141(见图31)。
图32和图33是描述第三实施例的切割刀70和切割刀镶嵌槽150。
驱动件151的前部有双面刀刃的切割刀70和贯穿驱动件151的左右两侧的切割刀镶嵌槽150。切割刀镶嵌槽150的前部有开口152。切割刀镶嵌槽150的上部和下部分别有上约束凸块153和下约束凸块154(见图33)。当切割刀70的上约束缺口73和下约束缺口74分别插在切割刀镶嵌槽150的上约束凸块153和下约束凸块154上时，切割刀镶嵌槽150阻挡切割刀70前后移动，切割刀70被安装在驱动件151上，此时切割刀70的刀刃71位于切割刀镶嵌槽150左右两侧的中间(见图32)。当切割刀70移出切割刀镶嵌槽150时，切割刀70即被移出驱动件151(见图33)。
图34图35是描述第四实施例的切割刀60和切割刀镶嵌槽160。
驱动件161的前部有单面刀刃的切割刀60和带有底壁162的切割刀镶嵌槽160。切割刀镶嵌槽160的前部有带有开口163的约束边164(见图35)。当切割刀60插入切割刀镶嵌槽160内时，切割刀60被安装在驱动件161上，切割刀60的不带刀刃61的表面贴在切割刀镶嵌槽160的底壁162上，切割刀镶嵌槽160上的约束边164阻挡切割刀60向前移动，此时切割刀60的刀刃61位于切割刀镶嵌槽160的开口163处的左右两侧的中间(见图34)。当切割刀60移出切割刀镶嵌槽160时，切割刀60即被移出驱动件161(见图35)。
图36和图37是描述第五实施例的切割刀110和切割刀镶嵌槽170。
驱动件171的前部有单面刀刃111的切割刀110和带有底壁172的切割刀镶嵌槽170。切割刀镶嵌槽170的底壁172上有约束凸块173。切割刀镶嵌槽170的前部有开口174(见图37)。当切割刀110的约束缺口113插在切割刀镶嵌槽170的约束凸块173上时，切割刀110的不带刀刃111的表面贴在切割刀镶嵌槽170的底壁172上，切割刀镶嵌槽170的 约束凸块173阻挡切割刀110前后移动，切割刀110被安装在驱动件171上，此时切割刀110的刀刃111位于切割刀镶嵌槽170的开口174处的左右两侧的中间(见图36)。当切割刀110的约束缺口113移出切割刀镶嵌槽170的约束凸块173时，切割刀110即被移出驱动件171(见图37)。
图38和图39是描述第六实施例的切割刀90和切割刀镶嵌槽180。
驱动件181的前部有单面刀刃91的切割刀90和带有底壁182的切割刀镶嵌槽180。切割刀镶嵌槽180的底壁182的上部和下部分别有上约束凸块183和下约束凸块184。切割刀镶嵌槽180的前部有开口185(见图39)。当切割刀90的上约束缺口93和下约束缺口94分别插在切割刀镶嵌槽180的上约束凸块183和下约束凸块184上时，切割刀90的不带刀刃91的表面贴在切割刀镶嵌槽180的底壁182上，切割刀镶嵌槽180的上约束凸块183和下约束凸块184阻挡切割刀90前后移动，切割刀90被安装在驱动件181上，此时切割刀90的刀刃91位于切割刀镶嵌槽180的开口185处的左右两侧的中间(见图38)。当切割刀90移出切割刀镶嵌槽180的上约束凸块183和下约束凸块184时，切割刀90即被移出驱动件181(见图39)。
图40至图48是描述切割刀40位于执行组件2内的状态。
执行组件2中有前后方向的执行件座滑槽190和钉仓滑槽191。驱动件8可沿执行组件2的执行件座滑槽190和钉仓滑槽191前后移动(见图40、图43和图46)。当安装在驱动件8的切割刀镶嵌槽130内的切割刀40依次位于执行组件2中的执行件座滑槽190和钉仓滑槽191内时，执行件座滑槽190和钉仓滑槽191阻挡切割刀40脱离切割刀镶嵌槽130(见图43和图46)。当钉仓组件5和钉砧组件6处于闭合状态时，切割刀镶嵌槽130的开口131处位于钉仓组织接触面192和钉砧组织接触面193之间的缝隙194处(见图41和图42)。
图43至图45是描述切割刀40的更换过程的第一实施例。
执行组件2中有执行件座7。在执行件座7上可以装拆钉仓组件5。切割刀40分为在用切割刀40和备用切割刀40。在用切割刀40安装在驱动件8的切割刀镶嵌槽130内，而此时备用切割刀40尚未被安装在驱动件8的切割刀镶嵌槽130内。在更换在用切割刀40的过程中，第一步，将钉仓组件5移出执行件座7(见图43)；第二步，操作组件3控制驱动件8上的在用切割刀40向前移动，直至在用切割刀40伸出执行件座7(见图44)；第三步，用钳子(未图示)钳夹在用切割刀40，将在用切割刀40从切割刀镶嵌槽130内取出，即可将在用切割刀40移出驱动件8(见图45)；第四步，用钳子钳夹最靠近带有双面刀刃52的长条形的金属薄片54(见图14)的短边，在凹痕53的两侧弯折带有双面刀刃52的长条形的金属薄片54的凹痕53，使得带有双面刀刃52的长条形的金属薄片54沿凹痕53断裂，即可获得钳子钳夹的备用切割刀40；第五步，将钳子钳夹的备用切割刀40插入切割刀镶嵌槽130内后再松开钳子，即可将备用切割刀40安装在驱动件8上(见图44)；第六步，操作组件3控制驱动件8上的备用切割刀40向后移动，直至备用切割刀40返回执行件座7(见图43)；第七步，将钉仓组件5安装在执行件座7上(见图1)。
图46至图48是描述切割刀40的更换过程的第二实施例。
执行组件2中有执行件座7。在执行件座7上可以装拆钉仓组件5和钉砧组件6。切割刀40分为在用切割刀40和备用切割刀40。在用切割刀40安装在驱动件8的切割刀镶嵌槽130内，而此时备用切割刀40尚未被安装在驱动件8的切割刀镶嵌槽130内。在更换在用切割刀40的过程中，第一步，将钉仓组件5和钉砧组件6移出执行件座7(见图46)；第二步，操作组件3控制驱动件8上的在用切割刀40向前移动，直至在用切割刀40伸出执行件座7(见图47)；第三步，将在用切割刀40从切割刀镶嵌槽130内取出，即可将在用切割刀40移出驱动件8(见图48)；第四步，将备用切割刀40插入切割刀镶嵌槽130内，即可将备用切割刀40安装在驱动件8上(见图47)；第五步，操作组件3控制驱动件8上的备用切割刀40向后移动，直至备用切割刀40返回执行件座7(见图46)；第六步，将钉仓组件5和钉砧组件6安装在执行件座7上(见图1)。
本发明的手动的腔镜切割吻合器1的手动的操作组件3也可以采用电动的操作组件组成电动的腔镜切割吻合器，也可以采用手术机器人使用的操作组件组成手术机器人使用的腔镜切割吻合器。
本发明的上述各个实施例的的腔镜切割吻合器中的各个技术特征和技术方案既可以单独实施，也可以交叉实施，还可以组合实施，以到达最佳技术效果。
根据上述详细介绍可知，与现有的各种腔镜切割吻合器的切割刀相比较，本发明的腔镜切割吻合器的切割刀具有如下技术效果：
本发明的腔镜切割吻合器的切割刀采用在带有刀刃的长条形的金属薄片的表面上加工有多个凹痕的技术特征；实现在凹痕的两侧弯折带有刀刃的长条形的金属薄片的凹痕，使得带有刀刃的长条形的金属薄片沿凹痕断裂，即可获得所需尺寸和形状的切割刀的技术方案。本发明的腔镜切割吻合器的切割刀达到加工过程简单、方便、快速、刀刃锋利和便于储存的技术效果；达到大幅度降低腔镜切割吻合器的切割刀加工费用的技术效果；达到在生产过程中或腔镜外科手术中依次在各个凹痕的两侧弯折带有刀刃的长条形的金属薄片的凹痕，使得带有刀刃的长条形的金属薄片沿凹痕断裂，即可获得多个所需尺寸和形状的切割刀的技术效果。
本发明的腔镜切割吻合器的切割刀可以采用驱动件的前部有开口的切割刀镶嵌槽的技术特征；实现当切割刀插入切割刀镶嵌槽内时，切割刀被安装在驱动件上，此时切割刀的刀刃位于切割刀镶嵌槽的开口处的技术方案；实现在切割刀移出切割刀镶嵌槽内时切割刀即被移出驱动件的技术方案。切割刀镶嵌槽和切割刀之间的配合，既可以是间隙配合，也可以是过渡配合，还可以是过盈配合。本发明的腔镜切割吻合器的切割刀达到可以采用与驱动件不同的材料分别制造，使得切割刀和驱动件的加工都更方便，加工质量都更高和加工成本都更低的技术效果。
本发明的腔镜切割吻合器的切割刀可以采用切割刀被安装在驱动件的切割刀镶嵌槽内的技术特征；实现操作组件控制驱动件上的切割刀向前移动，直至切割刀伸出执行件座， 将切割刀从切割刀镶嵌槽内取出，即可将切割刀移出驱动件后再安装另一切割刀的技术方案。本发明的腔镜切割吻合器的切割刀达到更换切割刀的过程简单、方便、快速和安全的技术效果，达到降低腔镜外科手术费用和提高手术质量的技术效果。
本发明的腔镜切割吻合器的切割刀既适用于手动腔镜切割吻合器和电动腔镜切割吻合器，也适用于手术机器人使用的腔镜切割吻合器。
于是可以看出，上述所陈述的目标，包括由前面说明所显示的那些目标被有效地达到了。这里所述的仅仅是本发明申请的典型的最佳实施形式，可以对上述结构作某些变化也不违背本发明的精神和范围。本发明不局限或被限止于这里所陈述的具体细节，而应保留对所属领域中等技术人员来说是显而易见的任何改进或改型。

Claims (11)

  1. 一种腔镜切割吻合器的切割刀，所述腔镜切割吻合器包括执行组件、延伸组件和操作组件；所述延伸组件连接所述操作组件和所述执行组件，执行组件中有钉仓组件和钉砧组件，操作组件中有驱动件，操作组件控制驱动件在执行组件中前后移动；
    其特征在于：所述驱动件的前部有切割刀镶嵌槽和切割刀，所述切割刀镶嵌槽的前部有开口；在所述切割刀插入切割刀镶嵌槽内后，切割刀被安装在驱动件上，此时切割刀的刀刃位于切割刀镶嵌槽的开口处；在切割刀移出切割刀镶嵌槽内时，切割刀即被移出驱动件；当所述钉仓组件和所述钉砧组件处于闭合状态时，切割刀镶嵌槽的开口处位于钉仓组件的组织接触面和钉砧组件的组织接触面之间的缝隙处。
  2. 根据权利要求1所述的腔镜切割吻合器的切割刀，其特征是，所述切割刀在使用前为长条形的金属薄片；所述长条形的金属薄片在长边上有刀刃、在表面上有与所述刀刃成角度的多个凹痕；在切割刀被安装在所述驱动件上的过程中，第一步，在最靠近带有刀刃的长条形的金属薄片的短边的所述凹痕的两侧弯折带有刀刃的长条形的金属薄片的凹痕，使得带有刀刃的长条形的金属薄片沿凹痕断裂，即可获得所需尺寸和形状的切割刀，第二步，将切割刀安装在驱动件上；此后，依次在各个凹痕的两侧弯折带有刀刃的长条形的金属薄片的凹痕，即可获得多个切割刀。
  3. 根据权利要求2所述的腔镜切割吻合器的切割刀，其特征是，带有所述刀刃的所述长条形的金属薄片的一端上有孔；在所述凹痕的两侧弯折带有刀刃的长条形的金属薄片的凹痕时，控制所述孔的位置，可以对带有刀刃的长条形的金属薄片起到移动和约束的作用。
  4. 根据权利要求1所述的腔镜切割吻合器的切割刀，其特征是，所述切割刀镶嵌槽的前部有带有开口的约束边；在所述切割刀插入切割刀镶嵌槽内时，切割刀镶嵌槽上的所述约束边阻挡切割刀向前移动。
  5. 根据权利要求4所述的腔镜切割吻合器的切割刀，其特征是，所述切割刀镶嵌槽的所述约束边的两侧有交错分布的左约束凸块和右约束凸块；先将所述切割刀的所述刀刃插入切割刀镶嵌槽的所述左约束凸块和所述右约束凸块内，再将切割刀的刀刃绕约束边转动，使得切割刀转入切割刀镶嵌槽内，即可将切割刀安装在所述驱动件上；此时，切割刀镶嵌槽上的左约束凸块和右约束凸块将切割刀的刀刃约束在切割刀镶嵌槽内；再将切割刀的刀刃绕约束边转动，使得切割刀移出切割刀镶嵌槽，即可将切割刀移出驱动件。
  6. 根据权利要求1所述的腔镜切割吻合器的切割刀，其特征是，所述切割刀镶嵌槽上有约束凸块，所述切割刀上有约束缺口；当切割刀的所述约束缺口插在切割刀镶嵌槽的所述约束凸块上时，切割刀镶嵌槽阻挡切割刀前后移动；当切割刀的约束缺口移出切 割刀镶嵌槽的约束凸块时，切割刀即被移出所述驱动件。
  7. 根据权利要求1所述的腔镜切割吻合器的切割刀，其特征是，所述切割刀镶嵌槽贯穿所述驱动件的左右两侧；当带有双面刀刃的所述切割刀安装在切割刀镶嵌槽内时，切割刀的刀刃位于切割刀镶嵌槽的左右两侧的中间。
  8. 根据权利要求1所述的腔镜切割吻合器的切割刀，其特征是，所述切割刀镶嵌槽有底壁；当带有单面刀刃的所述切割刀安装在切割刀镶嵌槽内时，切割刀的不带刀刃的表面贴在切割刀镶嵌槽的所述底壁上。
  9. 根据权利要求1所述的腔镜切割吻合器的切割刀，其特征是，所述执行组件中有前后方向的执行件座滑槽和钉仓滑槽，所述驱动件可沿执行组件的所述执行件座滑槽和所述钉仓滑槽前后移动；当安装在驱动件的所述切割刀镶嵌槽内的所述切割刀依次位于执行组件中的执行件座滑槽和钉仓滑槽内时，执行件座滑槽和钉仓滑槽阻挡切割刀脱离切割刀镶嵌槽。
  10. 根据权利要求1所述的腔镜切割吻合器的切割刀，其特征是，所述执行组件中有执行件座，在所述执行件座上可以装拆所述钉仓组件，所述切割刀分为在用切割刀和备用切割刀，所述在用切割刀安装在所述驱动件的所述切割刀镶嵌槽内；在更换在用切割刀的过程中，第一步，将钉仓组件移出执行件座，第二步，所述操作组件控制驱动件上的在用切割刀向前移动，直至在用切割刀伸出执行件座，第三步，将在用切割刀从切割刀镶嵌槽内取出，即可将在用切割刀移出驱动件，第四步，将所述备用切割刀插入切割刀镶嵌槽内，即可将备用切割刀安装在驱动件上，第五步，操作组件控制驱动件上的备用切割刀向后移动，直至备用切割刀返回执行件座，第六步，将钉仓组件安装在执行件座上。
  11. 根据权利要求1所述的腔镜切割吻合器的切割刀，其特征是，所述执行组件中有执行件座，在所述执行件座上可以装拆所述钉仓组件和所述钉砧组件，所述切割刀分为在用切割刀和备用切割刀，所述在用切割刀安装在所述驱动件的所述切割刀镶嵌槽内；在更换在用切割刀的过程中，第一步，将钉仓组件和钉砧组件移出执行件座，第二步，所述操作组件控制驱动件上的在用切割刀向前移动，直至在用切割刀伸出执行件座，第三步，将在用切割刀从切割刀镶嵌槽内取出，即可将在用切割刀移出驱动件，第四步，将所述备用切割刀插入切割刀镶嵌槽内，即可将备用切割刀安装在驱动件上，第五步，操作组件控制驱动件上的备用切割刀向后移动，直至备用切割刀返回执行件座，第六步，将钉仓组件和钉砧组件安装在执行件座上。
PCT/CN2019/089145 2019-04-29 2019-05-30 腔镜切割吻合器的切割刀 WO2020220425A1 (zh)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
CN201910357803.5A CN109998616B (zh) 2019-04-29 2019-04-29 腔镜切割吻合器的切割刀
CN201910357803.5 2019-04-29

Publications (1)

Publication Number Publication Date
WO2020220425A1 true WO2020220425A1 (zh) 2020-11-05

Family

ID=67175111

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/CN2019/089145 WO2020220425A1 (zh) 2019-04-29 2019-05-30 腔镜切割吻合器的切割刀

Country Status (2)

Country Link
CN (1) CN109998616B (zh)
WO (1) WO2020220425A1 (zh)

Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109998617A (zh) * 2019-04-29 2019-07-12 上海博洽医疗器械有限公司 多用途的腔镜外科器械
CN111904514A (zh) * 2020-09-10 2020-11-10 常州安康医疗器械有限公司 一种可更换切割模块的直线切割吻合器

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1646245A (zh) * 2002-03-11 2005-07-27 贝克顿迪肯森公司 制造手术刀片的系统和方法
CN101966093A (zh) * 2010-09-28 2011-02-09 常州市康迪医用吻合器有限公司 带有可更换钉仓的腔镜外科切割吻合器
CN103190938A (zh) * 2012-01-05 2013-07-10 常州市康迪医用吻合器有限公司 外科线形切割吻合器的钉仓组件
CN104306038A (zh) * 2014-11-07 2015-01-28 常州威克医疗器械有限公司 一次性直线切割吻合器的吻切驱动装置
US20180168603A1 (en) * 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Surgical instrument comprising a cutting member
CN109419544A (zh) * 2017-08-31 2019-03-05 江苏风和医疗器材股份有限公司 一种吻合钉成型方法
CN109480941A (zh) * 2018-12-28 2019-03-19 江苏钱璟医疗器械有限公司 一种镜下带刀式吻合组件

Family Cites Families (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8657174B2 (en) * 2008-02-14 2014-02-25 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument having handle based power source
US9332974B2 (en) * 2010-09-30 2016-05-10 Ethicon Endo-Surgery, Llc Layered tissue thickness compensator
CN101991453B (zh) * 2010-12-10 2012-07-18 苏州天臣国际医疗科技有限公司 直线型切割缝合器
EP2887883A4 (en) * 2012-08-27 2016-08-31 Chris Salvino SCALPEL IMPROVED
US9572577B2 (en) * 2013-03-27 2017-02-21 Ethicon Endo-Surgery, Llc Fastener cartridge comprising a tissue thickness compensator including openings therein

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1646245A (zh) * 2002-03-11 2005-07-27 贝克顿迪肯森公司 制造手术刀片的系统和方法
CN101966093A (zh) * 2010-09-28 2011-02-09 常州市康迪医用吻合器有限公司 带有可更换钉仓的腔镜外科切割吻合器
CN103190938A (zh) * 2012-01-05 2013-07-10 常州市康迪医用吻合器有限公司 外科线形切割吻合器的钉仓组件
CN104306038A (zh) * 2014-11-07 2015-01-28 常州威克医疗器械有限公司 一次性直线切割吻合器的吻切驱动装置
US20180168603A1 (en) * 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Surgical instrument comprising a cutting member
CN109419544A (zh) * 2017-08-31 2019-03-05 江苏风和医疗器材股份有限公司 一种吻合钉成型方法
CN109480941A (zh) * 2018-12-28 2019-03-19 江苏钱璟医疗器械有限公司 一种镜下带刀式吻合组件

Also Published As

Publication number Publication date
CN109998616A (zh) 2019-07-12
CN109998616B (zh) 2021-03-30

Similar Documents

Publication Publication Date Title
US10307917B2 (en) Cutting blade for oscillating tool
EP3064144B1 (en) Jaw members and methods of manufacture
EP3431018B1 (en) Surgical stapler with expandable jaw
WO2020220425A1 (zh) 腔镜切割吻合器的切割刀
EP3001957B1 (en) Jaw members and methods of manufacture
CN103826549B (zh) 外科矢状锯和具有与锯片杆成一体的加强肋的锯片盒
US20190274679A1 (en) Staple cartridges for forming staples having differing formed staple heights
EP2774550B1 (en) Staple cartridge with shipping wedge
WO2012040984A1 (zh) 带有可更换钉仓的腔镜外科切割吻合器
WO2013143257A1 (zh) 具有e形导向件的直线型切割元件
US11771420B2 (en) Multipurpose endoscopic surgical instrument
CN111616764A (zh) 用于外科器械的钉仓组件及外科器械
CN115209818A (zh) 带有切割板的砧座组件
CN111616763A (zh) 用于外科器械的钉仓组件及外科器械
CN210077759U (zh) 用于外科器械的钉仓组件及外科器械
CN216984999U (zh) 安装切割刀的腔镜关闭吻合器
CN108113722B (zh) 外科手术器械
CN215306287U (zh) 腔镜外科吻合器的阻挡机构
CN215306286U (zh) 腔镜外科吻合器的钉仓支片
CN219089456U (zh) 一种用于吻合器的切割刀与吻合器
CN115068029B (zh) 一种防止抵钉座和钉仓脱落的双连杆吻合器
CN113180764A (zh) 安装切割刀的腔镜关闭吻合器
JP2002264035A (ja) ステープラー
CN113317835A (zh) 腔镜外科器械的可变更的驱动件
CN216984998U (zh) 腔镜关闭吻合器的执行组件

Legal Events

Date Code Title Description
121 Ep: the epo has been informed by wipo that ep was designated in this application

Ref document number: 19926940

Country of ref document: EP

Kind code of ref document: A1

NENP Non-entry into the national phase

Ref country code: DE

122 Ep: pct application non-entry in european phase

Ref document number: 19926940

Country of ref document: EP

Kind code of ref document: A1