WO2021197330A1 - Séparateur pour instrument chirurgical, et instrument chirurgical - Google Patents

Séparateur pour instrument chirurgical, et instrument chirurgical Download PDF

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Publication number
WO2021197330A1
WO2021197330A1 PCT/CN2021/083994 CN2021083994W WO2021197330A1 WO 2021197330 A1 WO2021197330 A1 WO 2021197330A1 CN 2021083994 W CN2021083994 W CN 2021083994W WO 2021197330 A1 WO2021197330 A1 WO 2021197330A1
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WO
WIPO (PCT)
Prior art keywords
clamping
surgical instrument
separator
separating
card interface
Prior art date
Application number
PCT/CN2021/083994
Other languages
English (en)
Chinese (zh)
Inventor
孙宝峰
付建新
周小朋
Original Assignee
江苏风和医疗器材股份有限公司
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 江苏风和医疗器材股份有限公司 filed Critical 江苏风和医疗器材股份有限公司
Publication of WO2021197330A1 publication Critical patent/WO2021197330A1/fr

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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
    • A61B17/068—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
    • 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
    • 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 the technical field of medical devices, and in particular to a separating piece for surgical instruments, which is used for separating tissues.
  • the present invention also relates to a surgical instrument that can be installed with the separating member.
  • the stapler suitable for surgical operation is a surgical instrument that can remove excess tissue while suturing the wound of the patient. It is widely used in the removal and anastomosis of tissue in minimally invasive surgery such as abdominal surgery, gynecology, pediatrics, and thoracic surgery.
  • the stapler enters the human body through the cannula of the trocar accurately positioned at the surgical site, and then makes a longitudinal incision in the tissue and applies sutures on the opposite side of the incision, thereby separating and anastomosing the tissue, similar to a stapler.
  • the stapler includes an end effector, the end effector includes a staple cartridge seat and a staple seat, the staple cartridge seat is used to receive the staple cartridge; the stapler also includes a cutting member, the cutting member is operable relative to the staple cartridge seat ⁇ Support.
  • doctors sometimes need to cut and suture specific target tissues, and these target tissues are attached to other tissues.
  • doctors sometimes need to cut and suture blood vessels, but blood vessels are usually attached to other tissues.
  • doctors need to peel the blood vessels from other tissues, and then make the blood vessels enter the staple seat and staple cartridge seat. In between, finally use the stapler to cut and suture the blood vessel.
  • doctors operate existing surgical instruments, if they need to cut and sew specific target tissues, they usually need to repeatedly adjust the angle of the surgical instruments so that the distal end of the end effector is aligned with the target tissue and aligned in the direction toward the distal end.
  • the surgical instrument applies force to first separate the target tissue from the distal end of the end effector, and then locate the target tissue between the staple abutment seat and the staple cartridge seat, thereby cutting and suturing the target tissue.
  • the design of the distal end of the existing end effector is not suitable for peeling the target tissue, and the operation of the doctor using the end effector of the surgical instrument to separate the target tissue is time-consuming and laborious.
  • the present invention aims to provide a separating piece for surgical instruments. After the separating piece is installed on the surgical instrument, the doctor uses the separating piece to separate the target tissue, and the operation is convenient.
  • a separating piece for surgical instruments includes a connected mounting part and a working part, the mounting part and the surgical instrument are detachably mounted through a matching mechanism, the The working part is used for peeling tissues, and the matching mechanism includes a clamping mechanism that allows the separating member to be elastically fitted or disengaged from the surgical instrument, so that the mounting part and the surgical instrument are detachable ⁇ installed.
  • the clamping mechanism includes a clamping portion provided on the separating piece and a card interface provided on the surgical instrument.
  • the clamping portion In the first state, the clamping portion is clamped into the card interface under the action of elastic force. In order to realize the elastic coupling; in the second state, the clamping portion overcomes the elastic force to break away from the card interface.
  • the clamping portion has a first end and a second end, the first end is connected to the mounting portion, and the second end is elastically connected to or detached from the card interface.
  • the second end rotates around the first end.
  • the first end includes a rotating shaft
  • the mounting portion is provided with a shaft hole
  • the rotating shaft is received in the shaft hole.
  • the shaft hole is partially open, and part of the rotating shaft is accommodated in the shaft hole.
  • the separating member further includes a support portion, the support portion has a first portion and a second portion, the first portion is connected to the mounting portion and covers the shaft hole, and the second portion is connected to the clamping portion Abut to elastically support the clamping portion.
  • the axis of rotation is perpendicular to the central symmetry plane of the longitudinal direction of the separating member.
  • the second end protrudes from the surface of the mounting portion.
  • the second end includes a clamping surface and an inclined surface arranged at an angle to the clamping surface, and the clamping surface extends vertically.
  • the second end further includes a top surface arranged between the clamping surface and the inclined surface.
  • the mounting portion is provided with an accommodating space, and part of the clamping portion is accommodated in the accommodating space.
  • the accommodating space includes an opening penetrating the mounting portion, and in the first state, the second end of the clamping portion protrudes from the opening.
  • the separating member further includes an elastic body abutting against the clamping portion, and at least part of the elastic body is accommodated in the accommodating space.
  • the separating member further includes an elastic body abutting against the clamping portion, and the elastic body abuts against the clamping portion to elastically support the clamping portion.
  • the elastic body is a support part, at least a part of the support part is made of elastic material, the support part has a first part and a second part, the first part is connected to the mounting part, and the first part is connected to the mounting part. The two parts abut against the clamping part.
  • the separating member further includes another elastic body arranged between the supporting part and the clamping part.
  • At least a part of the clamping part is made of elastic material.
  • the mating mechanism further includes a plug-in mechanism, the plug-in mechanism includes a plug-in portion provided on the separating piece, a plug-in channel provided on the surgical instrument, the plug-in portion and the card The connecting part is inserted into the surgical instrument along the insertion channel.
  • the insertion channel extends from the distal end of the surgical instrument in a direction toward the proximal end, and the card interface communicates with the distal end of the insertion channel and penetrates the side wall of the insertion channel.
  • the side wall is provided with a first hollowed part and a second hollowed part that are sequentially connected to the distal end of the card interface, and the width of the second hollowed part is greater than the width of the first hollowed part, and the card The width of the interface is greater than the width of the first hollowed-out part.
  • the card interface, the first hollowed-out part, and the second hollowed-out part are coaxially arranged.
  • the surgical instrument is a stapler
  • the separating member is detachably installed with the end effector of the stapler.
  • the separating member and the nail abutment seat of the end effector are detachably installed.
  • the clamping mechanism includes a clamping portion provided on the separating member and a card interface provided on the nail seat; the clamping portion is elastically mated with the card interface, and the card interface is provided On the nail abutment surface or the back of the nail abutment seat.
  • the distal end of the stud seat is provided with a first wedge-shaped portion, the first wedge-shaped portion has a first inclined surface, the proximal end of the working portion is provided with a second wedge-shaped portion, and the second wedge-shaped portion has A second inclined surface; after the separating member is installed on the nail seat, the first inclined surface abuts against the second inclined surface.
  • the combined thickness of the first wedge-shaped portion and the second wedge-shaped portion is approximately the same as the thickness of the nail abutting seat at the proximal end adjacent to the first inclined surface, and/or is the same as the thickness adjacent to the second inclined surface
  • the thickness of the separating piece at the distal end of the two is approximately the same.
  • the mounting portion extends from the second inclined surface in a direction toward the proximal end.
  • the working part includes a proximal end and a distal end, and the width of the working part gradually decreases along the direction from the proximal end to the distal end.
  • the beneficial effect of the present invention is that after the separating element of the present invention is installed on the surgical instrument, the doctor first uses the separating element to peel the target tissue from other tissues, and then the doctor moves the surgical instrument forward to make The target tissue enters between the staple cartridge seat and the staple abutment seat, and surgical instruments are operated to cut and suture the target tissue.
  • the doctor's operation is easier and more convenient; and the separating piece is elastically matched with the surgical instrument, the connection is reliable, and the disassembly and assembly are convenient.
  • the invention also provides a surgical instrument installed with the separating member.
  • a surgical instrument comprising an end effector, and the end effector is installed with any one of the above-mentioned separating parts.
  • the present invention has the beneficial effects that the separation member is used to peel off the target tissue, and the operation of the doctor is easier and more convenient; and the clamping mechanism enables the separation member to be elastically matched with the surgical instrument, the connection is reliable and the disassembly and assembly are convenient.
  • Figure 1 is a front view of a surgical instrument provided by the present invention
  • Figure 2 is a three-dimensional view that cooperates with the nail abutment base and the separating member of the surgical instrument shown in Figure 1, respectively showing the front and part of the back;
  • FIGS 3 and 4 are perspective views of the separator shown in Figure 2;
  • Fig. 5 is a perspective exploded view of the separating piece shown in Fig. 4;
  • Fig. 6 is a partial perspective view of the nail seat of the surgical instrument shown in Fig. 1;
  • Figures 7 and 8 are perspective views of the combination of a nail seat, a separating member, and a packaging box;
  • Figures 9 and 10 are perspective exploded views of the combination shown in Figure 8.
  • Figure 11 is a perspective view of the packaging box shown in Figure 10;
  • Figures 12 and 13 are cross-sectional views of Figure 7 along the longitudinal direction, and the state changes of Figures 12 to 13 show the state change process of using the packaging box to disassemble the separating member;
  • Figure 14 is an enlarged view of part A in Figure 12;
  • Figure 15 is an enlarged view of part B in Figure 12;
  • Fig. 16 is a perspective view of a separator provided by the second embodiment of the present invention
  • Fig. 17 is a perspective exploded view of the separator shown in Fig. 16;
  • Figure 18 is a perspective exploded view of a separator provided by the third embodiment of the present invention.
  • Figure 19 is a perspective view of a separator provided by a fourth embodiment of the present invention.
  • Fig. 20 is a perspective exploded view of the separating piece shown in Fig. 19;
  • FIG. 21 is a perspective view of the separator provided in the fifth embodiment of the present invention installed to the nail seat;
  • Fig. 22 is a perspective view of the separating piece shown in Fig. 21;
  • FIG. 23 is a perspective view of the separator provided in the sixth embodiment of the present invention installed to the nail seat;
  • Figures 24 and 25 are perspective exploded views of Figure 23;
  • Fig. 26 is a perspective view of the separating piece shown in Fig. 23;
  • FIG. 27 is a perspective view of the separator provided in the seventh embodiment of the present invention installed to the nail seat;
  • Fig. 28 is a perspective view of the separating piece shown in Fig. 27;
  • Fig. 29 is an exploded perspective view of the separator shown in Fig. 28.
  • the terms “near”, “rear”, “distal”, and “front” used in the present invention are relative to the clinician who manipulates the handle assembly of the surgical instrument.
  • the terms “near” and “rear” refer to the part close to the clinician, and the terms “far” and “front” refer to the part far away from the clinician.
  • the handle assembly is on the proximal and rear sides, and the end effector is on the distal and front sides; for another example, the proximal end of a component means the end that is relatively close to the handle assembly, and the distal end means that it is relatively close to the end.
  • One end of the actuator is one end of the actuator.
  • the relative positional relationship of the various components of the separating element is based on the state in which the separating element is installed in the surgical instrument as a reference.
  • the terms “upper” and “lower” refer to the relative positions of the staple seat and the staple cartridge seat of the end effector. Specifically, the staple seat is “upper” and the staple cartridge seat is “lower”.
  • the “longitudinal” of the separating piece is defined in the state where the separating piece is mounted to the surgical instrument.
  • the “longitudinal direction” of the packaging box is defined in the state where the separated part is installed on the packaging box, that is, the longitudinal direction of the packaging box is parallel to the longitudinal direction of the separated part.
  • the lengthwise extension of a component means that the length of the component is greater than its width, for example, the whole is elongated, but it should be understood that “longitudinal extension” does not limit the specific shape and placement of the component.
  • the side surface of the separator close to the target tissue is defined as the "front”, and the side surface away from the target tissue is defined as the "back”. Specifically, when the separator works, the concave surface of the working part is close to the target tissue and the target tissue can be peeled off from other tissues.
  • the side surface where the concave surface is located is defined as the front side, and the side surface where the convex surface is located is defined as the back side.
  • connection should be understood in a broad sense. For example, it may be a fixed connection, a detachable connection, a movable connection, or a whole; It is directly connected, or indirectly connected through an intermediate medium, which can be the internal communication between two elements or the interaction relationship between two elements. "Connected” does not include integration. Otherwise, “connected” has the same meaning as “connected”. For those of ordinary skill in the art, the specific meanings of the above-mentioned terms in the present invention can be understood according to specific situations.
  • Fig. 1 shows a surgical instrument 100 in the present invention.
  • the surgical instrument provided by the present invention is a stapler, preferably an electric stapler.
  • the surgical instrument 100 includes a main body 10 and a battery pack 12 detachably installed with the main body 10.
  • the surgical instrument may also be a manual stapler, and any solution that is the same or similar to the present embodiment is covered by the protection scope of the present invention.
  • the main body 10 includes a shaft assembly 14, a housing 16 provided at one end of the shaft assembly 14, and an end effector 18 provided at the other end of the shaft assembly 14.
  • a cutting member (not shown) is provided in the end effector 18 .
  • the shaft assembly 14 includes a sleeve 20 and a mandrel (not shown) received in the sleeve 20.
  • the housing 16 is provided with a motor and a transmission mechanism, and the motor drives the end effector 18 and the cutting member through the transmission mechanism.
  • the end effector 18 includes a staple cartridge seat 28 and a staple seat 30 rotatably connected to the staple cartridge seat 28.
  • the staple cartridge seat 28 is used to operably support a staple cartridge assembly (not shown) located therein.
  • the seat 30 can be selectively moved between an open position and a closed position to clamp or loosen tissue.
  • the cutting member is arranged in the end effector 18 for cutting the tissue, and the staple cartridge assembly is used for suturing the tissue.
  • the transmission mechanism includes an end effector driving device.
  • the end effector driving device drives the nail seat 30 of the end effector 18 to rotate relative to the staple cartridge seat 28 to selectively move between the closed position and the open position.
  • the driving device of the end effector 18 includes a gear, a cam, and a sleeve 20.
  • the gear drives the sleeve 20 to linearly move through the conversion of the cam, and the sleeve 20 linearly moves through the conversion mechanism to drive the nail seat 30 to rotate.
  • the specific structure of the end effector driving device is the same as or similar to the prior art, and will not be repeated.
  • the transmission mechanism also includes a cutting member driving device.
  • the cutting member driving device includes a gear, a rack, and a mandrel.
  • the gear rotates to drive the rack, the mandrel, and the cutting member to linearly move, so that the cutting member can cut tissue.
  • the specific structure of the cutting member driving device is the same as or similar to the prior art, and will not be repeated.
  • the end effector drive device drives the sleeve 20 and then drives the nail seat 30 to rotate and cooperate with the staple cartridge seat 28 to clamp the target tissue; then, the motor is activated and rotates forward, and the cutting member drive device passes through the core
  • the shaft drives the cutting member into the knife. The cutting member moves from the initial position to the end position in the end effector 18 of the surgical instrument.
  • the cutting member synchronously pushes the nail pusher block in the staple cartridge to move from the initial position to the end position, so as to realize cutting excess The effect of suturing the cut tissue at the same time as the tissue; then, the motor is reversed, and the cutting member driving device drives the cutting member to retract to the initial position through the mandrel; then, the end effector driving device drives the sleeve 20 and then The nail seat 30 is driven to open to loosen the tissue; finally, the end effector drive device drives the sleeve 20 to drive the nail seat 30 to close.
  • FIGS. 2 to 15 show the separating member according to the first embodiment of the present invention, and the separating member is used in cooperation with the surgical instrument 100.
  • this embodiment also provides a separation piece 200 used in conjunction with the surgical instrument 100.
  • the separation piece 200 is used to peel tissues. Specifically, the separation piece 200 is used to peel the target tissue from other tissues. It is convenient for the surgical instrument 100 to cut and suture the target tissue. For example, the doctor first uses the separator 200 to peel the blood vessel from other tissues, and then uses the surgical instrument 100 to cut and suture the peeled blood vessel.
  • the separator 200 is detachably connected to the surgical instrument 100. That is, the separator 200 is switched between the first state and the second state. In the first state, the separator 200 is connected to the surgical instrument 100; in the second state, the separator 200 is separated from the surgical instrument 100.
  • the doctor connects the separator 200 with the surgical instrument 100.
  • the doctor first uses the separator 200 to peel the target tissue from other tissues. Then, the doctor moves the surgical instrument 100 forward to make the target tissue Enter between the staple cartridge seat 28 and the staple abutment seat 30, and operate the surgical instrument 100 to cut and suture the target tissue.
  • the doctor switches the separating piece 200 from the first state to the second state, and the separating piece 200 is separated from the surgical instrument 100 to prevent the separating piece 200 from occupying the operation space and affecting the surgical instrument 100 to cut and suture other tissues.
  • the separator 200 is detachably connected to the end effector 18 of the surgical instrument 100.
  • the end effector 18 is a working part of the surgical instrument 100 that directly contacts the tissue and cuts and sutures the tissue.
  • the separating piece 200 is detachably connected to the end effector 18, which conforms to the doctor's operating habits and facilitates the doctor's operation.
  • the separating member 200 is detachably connected to the nail seat 30 of the end effector 18. Since the staple holder 30 of the existing surgical instrument 100 is not equipped with other components such as the staple cartridge, the separating piece 200 is detachably connected to the staple holder 30, and the staple holder 30 is reasonably used without affecting the performance of other components (such as the staple cartridge). Installation and disassembly are more reasonable in design. More specifically, the separating member 200 is detachably connected to the distal end of the nail seat 30, which is more in line with the doctor's operating habits and facilitates the doctor's operation.
  • the separating member 200 includes a mounting part 220 and a working part 230.
  • the mounting portion 220 is detachably connected with the surgical instrument 100, specifically, detachably connected with the distal end of the nail seat 30 of the end effector 18.
  • the working part 230 is used to peel the tissue.
  • the mounting part 220 is detachably connected to the surgical instrument 100 by a matching mechanism.
  • the matching mechanism includes a plug-in mechanism and a snap-in mechanism.
  • the plug-in mechanism includes a plug-in portion 222 provided on the separator 200 and a plug-in channel 50 provided on the surgical instrument 100.
  • the clamping mechanism includes a clamping portion 240 provided on the separator 200 and a card interface 60 provided on the upper surgical instrument 100.
  • the insertion channel 50 communicates with the card interface 60. Specifically, the card interface 60 communicates with the proximal end of the insertion channel 50 and penetrates the side wall of the insertion channel.
  • the clamping part 240 is inserted into the card interface 60, and the separating element 200 is fixed to the surgical instrument 100.
  • the installation part 220 of the separator 200 and the surgical instrument 100 are detachably connected through insertion and clamping, and the installation is reliable and the disassembly is convenient.
  • the mounting part 220 includes a plug-in part 222 and a card-connecting part 240 connected to each other.
  • the clamping portion 240 is elastically connected to the surgical instrument 100. That is, the clamping part 240 is connected with the surgical instrument 100 under the action of elastic force, and is separated from the surgical instrument 100 under the action of the elastic force, and the connection is reliable and the disassembly and assembly are convenient.
  • the source of the elastic force may be the elasticity of the clamping portion 240 itself; or, other elastic bodies abut against the clamping portion 240, and the other elastic bodies provide elasticity for the clamping portion 240.
  • the card connection portion 240 is elastically connected to the card interface 60. That is, the clamping portion 240 is clamped into the card interface 60 under the action of elastic force, so that the separating member 200 is fixed to the surgical instrument 100. Overcoming the effect of the elastic force, the clamping portion 240 can be detached from the card interface 60, so that the separating member 200 can be detached from the surgical instrument 100.
  • the clamping part 240 has a first end 241 and a second end 242.
  • the first end 241 is connected to the insertion part 222, and the second end 242 is elastically connected to the surgical instrument 100.
  • the second end 242 rotates around the first end 241, so that the separating member 200 is fixed to or separated from the surgical instrument 100, thereby achieving a detachable connection.
  • the second end 242 rotates around the first end 241, that is, the rotation axis is located at the position of the first end 241.
  • the rotation axis of the second end 242 is perpendicular to the central symmetry plane of the separating member 200 in the longitudinal direction.
  • the first end 241 is located at the distal end relative to the second end 242. Those skilled in the art can imagine that the first end 241 may be located at the proximal end relative to the second end 242.
  • the first end 241 includes a rotating shaft 243
  • the insertion portion 222 is provided with a shaft hole 224
  • the rotating shaft 243 is installed in the shaft hole 224. It is detachably connected with the surgical instrument 100.
  • the rotation axis is the center axis of the rotation shaft 243.
  • the shaft hole 224 is partially open, and the rotating shaft 243 is partially received in the shaft hole 224. That is, the circumferential extension angle of the shaft hole 224 is less than 360 degrees, for example, the circumferential extension angle of the shaft hole 224 is 180 degrees.
  • the shaft hole 224 is partially open, and the operation of installing the rotating shaft 243 into the shaft hole 224 is very convenient, and the size of the separating member 200 can also be reduced, making the separating member 200 more compact in structure.
  • the first end 241 of the clamping portion 240 is mounted on the first side surface 229 of the insertion portion 222.
  • first side surface 229 refers to the surface on the back side of the insertion portion 222, and this surface is not limited to the plane area indicated by the reference numeral 229.
  • the second end 242 of the clamping portion 240 protrudes from the second side surface 227 of the insertion portion 222.
  • second side surface 227 refers to the surface on the front side of the insertion portion 222, and this surface is not limited to the plane area indicated by the reference number 227.
  • the insertion portion 222 is provided with an opening 228 penetrating through the first side surface 229 and the second side surface 227, and the second end 242 protrudes from the first side surface 229 through the opening 228 to the second side surface 227.
  • the opening 228 provides space for the movement stroke of the second end 242 of the clamping portion 240, that is, the thickness of the plug portion 222 itself provides space for the movement stroke of the second end 242 of the clamping portion 240, not only the structure It is reliable, and can also reduce the size of the separator 200, and the structure design is very reasonable.
  • the second end 242 of the clamping portion 240 is elastically connected to the clamping interface 60 on the surgical instrument 100.
  • the clamping portion 240 itself does not have elasticity
  • the separating member 200 further includes a supporting portion 250 abutting against the clamping portion 240, and the supporting portion 250 elastically supports the clamping portion 240.
  • the supporting portion 250 is at least partially made of an elastic material, and the supporting portion 250 provides elastic force for the clamping portion 240.
  • the clamping portion 240 only needs to realize the function of mating or disengaging with the surgical instrument 100, and the supporting portion 250 only needs to realize the function of providing elasticity, and the two components of the clamping portion 240 and the supporting portion 250 each perform their functions. Therefore, the process requirements for the clamping portion 240 and the supporting portion 250 can be reduced, which is more in line with mass production requirements.
  • the portion 250 is disposed on the first side surface 229 of the clamping portion 240 and away from the second side surface 227 relative to the clamping portion 240.
  • the supporting portion 250 has a first portion 251 and a second portion 252 connected to each other.
  • the first portion 251 is connected to the first side surface 229, and the second portion 252 abuts the clamping portion 240 to provide elastic force to the clamping portion 240 to make
  • the clamping part 240 has a tendency to be clamped into the card interface 60.
  • the mounting portion 220 is provided with a connecting portion 260, and the supporting portion 250 and the mounting portion 220 are welded and fixed at the connecting portion 260.
  • the connecting portion 260 is provided with a connecting portion 260, and the supporting portion 250 and the mounting portion 220 are welded and fixed at the connecting portion 260.
  • the shaft hole 224 where the rotating shaft 243 is installed is partially open.
  • the support portion 250 covers the open portion of the shaft hole 224.
  • the connecting portion 260 is arranged adjacent to the shaft hole 224, and the connecting portion 260 is away from the second end 242 of the clamping portion 240 relative to the shaft hole 224.
  • the distal end of the first part 251 of the supporting portion 250 is fixed on the connecting portion 260, so that the supporting portion 250 extending from the distal end to the proximal end can naturally cover the shaft hole 224, and the structural design is very reasonable.
  • the position of a part of the rotating shaft 243 is defined by the shaft hole 224 and the position of the other part is defined by the supporting portion 250.
  • the size of the separating element 200 can be significantly reduced, making the structure of the separating element 200 more compact.
  • the present invention strives to reduce the size of the separator 200 in many aspects. Although these designs may not detect the size reduction (for example, less than 1 mm), it is very important to the size of the separator 200 because: Both the end effector 18 and the separator 200 of the surgical instrument 100 need to pass through the trocar sleeve to enter the patient's body for operation. In order to achieve the purpose of minimally invasive surgery, the trocar sleeve has a standard size (for example, 5mm ⁇ 10mm ⁇ 12mm). ⁇ 15mm), the width of the end effector 18 and the separating piece 200 must be smaller than the diameter of the trocar sleeve. Therefore, when designing the end effector 18 and the separating piece 200, even if the size of the end effector 18 and the separating piece 200 is reduced, it is necessary The designer repeatedly considers and optimizes the structure to achieve.
  • the first end 241 of the clamping portion 240 is mounted on the first side surface 229 of the insertion portion 222, and the first portion 251 of the supporting portion 250 is connected to the first side surface 229.
  • the first side surface 229 of the insertion portion 222 is recessed inward to form an accommodation space 226, that is, the insertion portion 222 of the installation portion 220 is provided with an accommodation space 226, part of The clamping portion 240 is received in the accommodating space 226.
  • the accommodating space 226 includes an opening 228 penetrating the insertion portion 222, and the second end 240 of the clamping portion 240 protrudes from the opening 228 in the first state to be clamped with the card interface 60.
  • part of the clamping portion 240 is received in the accommodating space 226.
  • part of the supporting portion 250 is also contained in the accommodating space 226.
  • the accommodating space 226 can accommodate at least part of the clamping portion 240, and even at least a portion of the supporting portion 250, it is avoided that the clamping portion 240 and the supporting portion 250 protrude out of the first side surface 229 of the plug portion 222, and the plugging portion can be used reasonably.
  • the space of the connecting portion 222 can not only reduce the size of the connecting portion 222, but also make the structure of the connecting portion 222 more regular.
  • the accommodating space 226 accommodates part of the clamping portion 240, which can also limit the clamping portion 240; and the second end 242 of the clamping portion 240 is located in the opening 228, so that the second end 242 can be changed under the action of elastic force Position to perform its function.
  • part of the supporting portion 250 is accommodated in the accommodating space 226, which can also prevent the supporting portion from interfering with the plug-in channel when the plug-in portion is inserted into the plug-in channel.
  • the separating member 200 further includes an elastic body abutting against the clamping portion 240, and the elastic body abuts against the clamping portion 240 to elastically support the clamping portion. 240.
  • the elastic body is the supporting portion 250, the supporting portion 250 is at least partially made of an elastic material, and the supporting portion 250 provides elastic force for the clamping portion 240.
  • the clamping portion 240 itself may be flexible, and any solution that is the same as or similar to the present embodiment is covered by the protection scope of the present invention.
  • the supporting portion 250 there is no other elastic body between the supporting portion 250 and the clamping portion 240, and only the supporting portion 250 provides elastic force for the clamping portion 240, that is, abuts against the clamping portion 240 and elastically supports the clamping portion.
  • the elastic body of 240 only includes the supporting part 250.
  • another elastic body such as a second elastic body, is arranged between the supporting portion 250 and the clamping portion 240.
  • the second elastic body and the supporting portion 250 are both a clamping
  • the connecting portion 240 provides elasticity.
  • the supporting portion 250 is not provided, and only other elastic bodies provide elasticity for the clamping portion 240. Any solution that is the same or similar to the embodiment is covered by the protection scope of the present invention.
  • the second end 242 of the clamping portion 240 includes a clamping surface 244 and an inclined surface 246 arranged at an angle to the clamping surface 244.
  • the clamping surface 244 extends vertically.
  • the inclined surface 246 extends obliquely upward from the proximal end to the distal end, and upward here refers to the direction toward the opening of the card interface 60.
  • the position of the second end 242 is changed due to the rotation of the clamping portion 240 during the insertion into the insertion channel 50, so that the insertion portion 222 and the clamping portion 240 of the separator 200 can be more smoothly free.
  • the distal end is inserted into the insertion channel 50 in the direction of the proximal end.
  • the second end 242 of the clamping portion 240 further includes a top surface 248 disposed between the clamping surface 244 and the inclined surface 246.
  • the top surface 248 has a certain width, which can make the structure of the second end 242 more reliable.
  • the top surface 248 may be a straight surface or an inclined inclined surface 246. If the top surface 248 is an inclined surface, it is preferable that the inclination angle of the top surface 248 is smaller than the inclination angle of the inclined surface 246.
  • the clamping portion 240 is integrally formed. Those skilled in the art can imagine that each part of the clamping portion 240 may be separately formed and connected by a specific connection method. The same as in this embodiment is adopted. Or similar solutions are all covered by the protection scope of the present invention.
  • the installation portion 220 of the separator 200 includes the insertion portion 222 for installing the clamping portion 240.
  • the insertion part 222 extends longitudinally.
  • the insertion channel 50 extends from the distal surface of the surgical instrument 100 in a direction toward the proximal end.
  • the insertion channel 50 extends from the nail seat 30 The distal end surface of the device extends in the direction toward the proximal end.
  • a longitudinally extending knife slot 33 is provided on the nail seat 30.
  • the knife slot 33 accommodates part of the cutting member of the surgical instrument 100 and guides the movement of the cutting member.
  • the knife slot 33 is provided on the abutment.
  • the central position of the nail base 30 extends longitudinally.
  • the insertion channel 50, the card interface 60, and the knife slot 33 are connected and coaxially arranged, and the structure is regular.
  • the card interface 60 communicates with the proximal end of the insertion channel 50 and penetrates the side wall of the insertion channel 50. Specifically, the card interface 60 penetrates the side wall of the nail abutting surface 31 of the nail abutment base 30.
  • the separator 200 when it is necessary to install the separator 200 to the surgical instrument 100, align the insertion portion 222 of the separator 200 with the insertion channel 50, and push the separator 200 in the direction from the distal end to the proximal end.
  • the channel 50 abuts against the inclined surface 246 of the second end 242 of the clamping portion 240, so that the clamping portion 240 rotates against the elastic force provided by the supporting portion 250 until the second end 242 of the clamping portion 240 and the insertion portion 222 are smoothly inserted into the insertion channel 50 ,
  • the second end 242 of the clamping portion 240 is reversely rotated under the elastic force provided by the supporting portion 250, and the second end 242 is convex From the second side surface 227 of the plug-in portion 222 and snap into the card interface 60, the separating piece 200 is installed in place.
  • the side wall of the insertion channel 50 specifically, the side wall of the insertion channel 50 located on the nail abutment surface 31 of the nail seat 30 includes a first hollow portion 51 and a second hollow portion 52 communicating with the card interface 60.
  • the second hollow portion 52 is located at the far end relative to the first hollow portion 51, the width of the second hollow portion 52 is greater than the width of the first hollow portion 51, and the width of the card interface 60 is greater than the width of the first hollow portion 51.
  • the wider second hollow portion 52 can make the insertion operation of the separator 200 easier.
  • the clamping portion 240 does not need to overcome the support portion 250.
  • the elasticity of the support part 250 does not need to be deformed, which can extend the service life of the separating element 200, and can also avoid the increase in resistance caused by the contact between the clamping part 240 and the second hollow part; the second end of the separating element 200
  • the inclined surface 246 of 242 is in contact with the first hollow part 51
  • the second end 242 of the clamping part 240 will overcome the elasticity of the support part 250 to rotate and move inside the first hollow part 51, and the separating member 200 will move to
  • the second end 242 of the clamping portion 240 is aligned with the card interface 60, since the width of the card interface 60 is greater than the width of the first hollowed-out portion 51, the clamping surface 244 of the clamping portion 240 can be adjacent to the card interface 60.
  • the side wall of the hollow portion 51 abuts, and the second end 242 of the clamping portion 240 rotates in the opposite direction under the elastic force of the support portion 250 and protrudes from the second side surface 227, so that the second end 242 is smoothly clamped in The card interface 60 and the separating piece 200 are installed in place.
  • first hollowed-out part 51 and the second hollowed-out part 52 can not only extend the service life of the separator 200, but also make the installation and operation of the separator 200 easy and convenient.
  • the length of the second hollowed-out portion 52 is greater than the length of the first hollowed-out portion 51. In other words, during the movement of the longer second hollowed-out portion 52 of the clamping portion 240, the clamping portion 240 does not need to overcome the elasticity of the supporting portion 250 to rotate, and the supporting portion 250 will not be deformed, thereby prolonging the use of the separating member 200. life.
  • the width of the first hollow portion 51 is equal to the width of the cutting groove 33.
  • the knife slot 33, the card interface 60, the first hollow part 51, and the second hollow part 52 are arranged coaxially, which can ensure that the position of the separating member 200 after installation is proper and will not deviate from the central axis, which is convenient for the doctor to operate the separating member.
  • the second hollow part 52, the first hollow part 51, the card interface 60, and even the knife groove 33 form a channel groove in which the side wall of the insertion channel 50 extends from the distal end to the proximal end.
  • the distal end of the nail seat 30 is provided with a first wedge portion 39, the first wedge portion 39 has a first inclined surface 38, the proximal end of the working portion 230 is provided with a second wedge portion 239, and the second wedge portion 239 has a second inclined surface 238 After the separating member 200 is installed on the nail seat 30, the first inclined surface 38 and the second inclined surface 238 abut against each other.
  • the first inclined surface 38 abuts against the second inclined surface 238, so that the first wedge-shaped portion 39 and the second wedge-shaped portion 239 are superimposed, so that the separating member 200 can be mounted on the nail seat 30 more reliably.
  • the first wedge-shaped part 39 can make the distal end of the abutment base 30 thinner relative to other parts
  • the second wedge-shaped part 239 can make the proximal end of the working part thinner relative to other parts.
  • the stacking makes the installation reliable, and on the other hand, the stacking does not increase the size significantly, and the design is very reasonable.
  • the second hollow portion 52 is provided on the first inclined surface 38.
  • the mounting portion 220 extends from the second inclined surface 238 in a direction toward the proximal end, and has a compact structure and a reasonable design.
  • the combined thickness of the first wedge portion 39 and the second wedge portion 239 is equivalent to the thickness of the staple seat 30 near the proximal end of the first inclined surface 38, and/or the thickness of the separator near the distal end of the second inclined surface 238 quite.
  • the thickness is the same, that is, the thickness is approximately the same, so as to avoid a step at the junction of the separating member 200 and the nail seat 30, so as to avoid scratching the tissue.
  • the separating member 200 includes a mounting part 220 and a working part 230, and the working part 230 is used to peel tissues.
  • the working part 230 includes a proximal end 231 and a distal end 232, and the width of the working part 230 gradually decreases along the direction from the proximal end 231 to the distal end 232.
  • the narrower distal end 232 preferentially contacts the tissue, and the narrower distal end 232 can be easily inserted into the tissue and peeled off the target tissue from other tissues, making the operation more convenient.
  • At least a part of the working part 230 extends in an arc from the proximal end 231 toward the distal end 232, and the working part 230 has a working surface 234 that extends in an arc and is concave.
  • the arc-extending working surface 234 allows the working part 230 to smoothly pass through the gap between the target tissue and other tissues when peeling the tissue, and better guide the end effector 18 through the gap between the target tissue and other tissues. This makes the operation of the separator 200 and the surgical instrument 100 more convenient.
  • the working part 230 extends in an arc, and the working surface 234 extends in an arc, so the back of the work piece also extends in an arc.
  • the working department 230 has a regular structure and beautiful appearance.
  • the outer contour lines of the working part 230 and the mounting part 220 of the separator 200 have no obvious edges and corners, and all the contour lines are rounded, which can prevent the edges and corners from cutting tissue.
  • the separating member 200 is installed at the distal end of the surgical instrument 100.
  • the surgical instrument 100 has an installation end for installing the separating element 200, and the separating element 200 further includes an elastic element 280, which abuts against the end surface of the installation end.
  • the elastic member 280 abuts against the distal end surface of the abutment base 30.
  • the elastic member 280 Since the distal end surface of the mounting end is hard, and the elastic member 280 is soft and deformable, when the elastic member 280 abuts against the distal end surface of the mounting end, it can not only prevent the distal end surface of the mounting end from scratching the tissue, but also reduce tissue damage. The risk of being clamped in the gap between the distal end surface of the mounting end and the separating member 200 avoids unnecessary pulling on the tissue, thereby avoiding damage to the tissue.
  • the outer surface of the elastic member 280 protrudes from the outer surface of the mounting end or is flush with the outer surface of the mounting end.
  • the nail abutment base has a nail abutment surface 31 and a back surface 32.
  • the outer surface of the elastic member 280 is flush with or protrudes from the back surface 32 of the nail abutment base 30.
  • the outer surface of the elastic member 280 is flush with the back surface 32 of the staple cartridge or protrudes from the back surface 32. It is possible to avoid scratching the tissue at the distal end surface of the mounting end to the greatest extent, and to minimize the risk of the tissue being clamped in the gap between the distal end surface of the mounting end and the separator 200.
  • the separator 200 is provided with a slot 290.
  • the mounting end has a first outer surface 91, and the separating piece 200 has a second outer surface 202.
  • the slot 290 is located adjacent to the first outer surface 91 and the second outer surface 202.
  • the piece 280 is arranged in the slot 290.
  • the slot 290 can better install the elastic element 280 without affecting the function of the elastic element 280.
  • the outer surface of the elastic member 280 protrudes from the second outer surface 202 or is flush with the second outer surface 202.
  • the slot 290 can better install the elastic member 280, but there is a risk of scratching the tissue at the proximal and/or distal end of the slot 290, and by making the outer surface of the elastic member 280 protrude from the second outer surface 202 or with The second outer surface 202 is flush, which not only facilitates the installation of the elastic member 280, but also prevents the tissue from being scratched.
  • the shape of the elastic member 280 matches the shape of the slot 290, which can prevent the tissue from being scratched to the greatest extent.
  • the interference fit of the elastic member 280 and the slot 290 not only enables the elastic member 280 to be installed reliably, but also facilitates the elastic member 280 to protrude from the surface adjacent to the elastic member 280 to prevent the tissue from being scratched to the greatest extent.
  • the slot 290 extends circumferentially.
  • the installation of the elastic member 280 can be made more reliable.
  • the bottom surface of the slot 290 is uneven. Specifically, the bottom surface of the slot includes depressions and/or protrusions, which can increase the friction between the slot 290 and the elastic member 280, so that the elastic member 280 is reliably installed in the slot 290.
  • the shape of the bottom surface of the slot 290 is symmetrically arranged with respect to the central symmetry plane of the longitudinal direction of the separator 200.
  • the structure is regular, so that the elastic member 280 is uniformly stressed, and it can better play the role of preventing tissue scratches.
  • the elastic member 280 is an independently molded component, and the elastic member 280 is arranged in the slot 290 by manual installation. Those skilled in the art can imagine that the elastic member 280 can also be spray-molded in the slot 290. Any solution that is the same or similar to the embodiment is covered by the protection scope of the present invention.
  • this embodiment also provides a packaging box 300 of the separator 200, and the separator 200 can be contained in the packaging box 300.
  • the packaging box 300 provides an outer packaging for the separated piece 200 to facilitate the transportation and storage of the separated piece 200.
  • the separator 200 and the packaging box 300 form a component, which can be sold and purchased separately, or combined with the surgical instrument 100 to form a surgical kit. No matter which way of selling or purchasing, it can satisfy the doctor to strip the target tissue. Needs. Of course, the separator 200 of this embodiment can also be sold and purchased separately.
  • the packaging box 300 includes a receiving part 320 for accommodating the separating part 200, and the separating part 200 can be stored in the packaging box 300 by inserting the separating part 200 into the receiving part 320.
  • the packaging box 300 includes a casing 350. One side surface of the casing 350 is recessed inward to form an open receiving portion 320.
  • the receiving portion 320 has an open end, which is convenient for the separation member 200 to be loaded into the packaging box 300 from the open end or taken out of the packaging box 300. .
  • the receiving portion 320 has a closed end 330 spaced apart from the open end.
  • the shape of the closed end 330 can match the shape of the distal end 232 of the separator 200, and the shape of the closed end 330 can also not match the shape of the distal end 232 of the separator 200. As long as the closed end 330 can limit the insertion of the separator 200. Therefore, during the process of inserting the separating member 200 into the receiving portion 320, when the distal end 232 of the separating member 200 abuts the closed end 330 of the receiving portion 320, the operator can perceive that the separating member 200 has been stored in place.
  • the receiving portion 320 is provided with a convex rib 324, the convex rib 324 is provided with a guiding surface 326, and the separating member 200 slides into the receiving portion 320 along the guiding surface 326.
  • the guiding surface 326 can make the separating element 200 more easily and accurately inserted into the receiving portion 320.
  • the rib 324 is also provided with an abutting surface 328.
  • the abutting surface 328 meets the guiding surface 326 and is arranged at an angle, specifically an obtuse angle.
  • the abutting surface 328 is close to the closed end 330 of the receiving portion 320 relative to the guiding surface 326, and the abutting surface 328 limits the position of the separator 200. Specifically, when the separating element 200 is loaded into the receiving portion 320, the abutting surface 328 abuts against a part of the working surface 234 of the separating element 200, so that the separating element 200 is more reliably received in the receiving portion 320.
  • the ribs 324 can not only limit the size of the receiving portion 320, but also guide the operation of the separating piece 200 to slide into the receiving portion 320. After the separating piece 200 is slid into the receiving portion 320, the ribs 324 can also affect the separating piece. 200 for limit, the structure design is very reasonable.
  • the surface of the receiving portion 320 is provided with a protruding portion 322.
  • the protruding portion 322 can support the working portion 230 of the separator 200 and can also reduce the contact area between the working portion 230 and the receiving portion 320, thereby making the insertion and removal operations of the separator 200 easier.
  • the protruding portion 322 extends longitudinally and substantially in a strip shape, and the protruding portion 322 extends in the longitudinal direction. Those skilled in the art can think of the protrusion 322 in other shapes.
  • the separating member 200 includes an elastic member 280 that abuts against the end surface of the installation end of the surgical instrument 100.
  • the outer surface of the elastic member 280 protrudes from the outer surface of the working portion 230 of the separating member 200, so that the elastic member 280 elastically abuts against the inner surface of the receiving portion 320.
  • the elastic member 280 elastically abuts against the inner surface of the receiving portion 320, the operator can perceive the effect of this damping, and the effect of this damping is the operation
  • the operator provides operation feedback, and the operator can confirm whether the separator 200 is in place through this feedback. That is, in addition to the aforementioned closed end 330 enabling the operator to perceive that the separating member 200 has been inserted in place, the elastic abutment between the elastic member 280 and the inner surface of the receiving portion 320 further provides feedback for the operator and further enhances the operating experience.
  • the friction between the elastic member 280 and the inner surface of the receiving portion 320 can prevent the separating member 200 from falling off from the receiving portion 320.
  • the separating piece 200 is detachably connected to the surgical instrument 100 through a matching mechanism, and the separating piece 200 is switched between the first state and the second state.
  • the separating piece 200 In the first state, the separating piece 200 is connected to the surgical instrument 100; In the second state, the separating member 200 is separated from the surgical instrument 100.
  • the packaging box 300 can not only contain the separator 200, but also switch the separator 200 between the first state and the second state.
  • the packaging box 300 can not only provide packaging for the separator 200, but also can be used as a disassembly tool for the separator 200 relative to the surgical instrument 100, and the design is very clever.
  • the packaging box 300 includes an operating member 340 that acts on the matching mechanism to switch the separating member 200 from the first state to the second state. More specifically, the operating portion 342 acts on the clamping mechanism to switch the separator 200 from the first state to the second state.
  • the operating member 340 includes an operating portion 342 and a driving portion 348 connected to each other.
  • the operating portion 342 is pressed by the operator, and the driving portion 348 acts on the clamping mechanism to switch the separating member 200 from the first state to the second state.
  • the operating portion 342 performs the first movement to drive the driving portion 348 to perform the second movement so as to switch the separator 200 from the first state to the second state.
  • the first movement includes rotation; the second movement includes rotation.
  • the packaging box 300 includes a housing 350.
  • the housing 350 is partially recessed inward to form a receiving portion 320.
  • the housing 350 includes a first side wall 351 and a second side wall 352 surrounding the receiving portion 320, a first side wall 351 and a second side wall 352.
  • the gap 353 extends longitudinally from one end of the casing 350 toward the other end, and the extension length of the gap 353 is smaller than the extension length of the casing 350.
  • the first side wall 351 can move relative to the second side wall 352, thereby driving the driving portion 348 to move and finally acting on the separating member 200 to switch the separating member 200 from the first state to the second state.
  • the first side wall 351 is a part of the housing 350, and a part of the housing 350 forms the operating portion 342, and no additional components are required to form the operating portion 342.
  • the structure is simple and the design is reasonable.
  • the rotation of the operating portion 342 drives the rotation of the driving portion 348.
  • the first side wall 351 includes a connecting end 344 and a free end 346
  • the driving portion 348 is connected to the free end 346
  • the free end 346 rotates around the junction of the connecting end 344 and the second side wall to drive the driving portion 348 to rotate. No need to set up additional parts, simple structure and convenient operation.
  • the rotation axis of the free end 346 is perpendicular to the central symmetry plane of the packaging box 300 in the longitudinal direction.
  • the rotation axis of the free end 346 is also parallel to the rotation axis of the clamping portion 240.
  • the structure of the assembly formed by the separator 200 and the packaging box 300 can be regular.
  • the connecting end 344 of the operating portion 342 is made of an elastic material.
  • the operating portion 342 is entirely made of elastic material.
  • the doctor overcomes the elastic force of the operating portion 342 to drive the driving portion 348 to move, so that the separating member 200 can be switched from the first state to the second state.
  • the structure of the packaging box 300 can be made simpler.
  • the elasticity of the operating portion 342 allows the free end 346 to be kept in a raised state without external force, as shown in FIGS. 8, 11, and 12.
  • Both the operating portion 342 and the driving portion 348 extend vertically, and the extending directions of the operating portion 342 and the driving portion 348 are perpendicular to each other.
  • the operating portion 342 and the driving portion 348 that extend lengthwise and extend perpendicular to each other provide sufficient stroke, so that the driving portion 348 can effectively drive the clamping portion 240, so that the separating member 200 can be smoothly separated from the surgical instrument 100.
  • the operating portion 342 and the driving portion 348 are connected, and they cooperate to complete the abutment on the clamping portion 240.
  • the operating part 342 and the driving part 348 are two independent components.
  • the driving part 348 is a pin, and the pin is tightly fitted with the hole on the operating part 342 to realize the connection between the driving part 348 and the operating part 342.
  • the operating portion 342 and the driving portion 348 can also be integrally formed.
  • the housing 350 is provided with an opening 354 through which the driving portion 348 can pass.
  • the opening 354 is arranged opposite to the driving part 348. Therefore, when the driving part 348 is installed, the driving part 348 passes through the opening 354 and is connected to the operating part 342, and the opening 354 is convenient for the installation tool to extend in to apply force to the driving part 348. , The structure design is reasonable.
  • the driving portion 348 is connected to the free end 346 of the operating portion 342, and correspondingly, the opening 354 is opposite to the free end 346 of the operating portion 342, and the layout is reasonable.
  • the width of the driving portion 348 is smaller than the width of the channel groove (including the second hollow portion 52, the first hollow portion 51, and the card interface 60 that are sequentially connected). During the separation process of the separating member 200 and the surgical instrument 100, the driving part 348 can move in the channel groove and maintain the state of pressing the second end 242 of the clamping part 240.
  • the operating member 340 acts on the clamping mechanism to switch the separating member 200 from the first state to the second state.
  • the distal end of the receiving part 320 is closed to form a closed end 330.
  • the packaging box 300 containing the separating element 200 drives the separating element 200 to move toward the surgical instrument 100, and the closed end 330 pushes the separating element 200 to be inserted into the surgical instrument 100.
  • the closed end 330 of the receiving portion 320 of the packaging box 300 pushes the separator 200 to switch from the second state to the first state.
  • the packaging box 300 is made of a transparent material, which is not only beautiful, but also when using the packaging box 300 to disassemble and assemble the separating member 200, the transparent packaging box 300 is also very helpful for the operator to observe whether the disassembly and assembly operations are in place.
  • the separating member 200 After the separating member 200 is shipped from the factory and before being used, the separating member 200 is located in the accommodating portion 320 of the packaging box 300.
  • the elastic member 280 on the separating member 200 elastically abuts on the inner surface of the accommodating portion 320, and the separating member 200 is in the elastic member 280. It is held in the packing box 300 under the action of the elastic force.
  • the doctor In the process of using the surgical instrument 100, when the doctor needs to use the separator 200 to peel off the tissue, the doctor holds the housing 350 of the packaging box 300 and aligns the mounting part 220 of the separator 200 with the end effector 18 of the surgical instrument 100.
  • the insertion channel 50 is provided on the nail base 30, and the packaging box 300 is pushed along the direction toward the surgical instrument 100.
  • the insertion portion 222 and the clamping portion 240 of the separator 200 move along the insertion channel 50 until The second end 242 of the clamping portion 240 is aligned with the card interface 60 and is clamped into the card interface 60.
  • the separating member 200 has been installed on the surgical instrument 100.
  • the doctor overcomes the frictional force between the elastic member 280 and the inner surface of the accommodating portion 320, and pulls the packaging box 300 in a direction away from the surgical instrument 100 to separate the packaging box 300 from the separating member 200.
  • the doctor can
  • the separator 200 is used to peel off the target tissue. Specifically, the narrow distal end 232 of the working part 230 of the separating element 200 is aligned with the junction of the target tissue and other tissues, and the surgical instrument 100 and the separating element 200 are pushed forward until the separating element 200 connects the target tissue with other tissues. Peel off.
  • the doctor moves the surgical instrument 100 forward in the direction toward the distal end 232, so that the target tissue enters between the staple seat 30 and the staple cartridge seat, and then the doctor can use the surgical instrument 100 Cut and suture the target tissue.
  • the doctor can remove the separating piece 200 from the surgical instrument 100 when it is no longer necessary to strip the tissue, so as to avoid the separating piece 200 occupying space and affecting the operation of the surgical instrument 100 when the separating piece 200 is not needed.
  • Other operations Specifically, the doctor aligns the packaging box 300 with the separator 200 and moves the separator 200 to be housed in the receiving portion 320 of the packaging box 300. Then, the doctor presses the free end 346 of the operating portion 342, and the free end 346 rotates around the connecting end 344 to drive it.
  • the driving portion 348 rotates until the driving portion 348 abuts on the inclined surface 246 or the top surface 248 of the second end 242 of the clamping portion 240, and continues to press the free end 346 of the operating portion 342, and the driving portion 348 drives the second end of the clamping portion 240.
  • the end 242 overcomes the force of the support portion 250 and rotates until the second end 242 of the clamping portion 240 is separated from the card interface 60.
  • the doctor pulls the packaging box 300 away from the surgical instrument 100, and the packaging box 300 drives the separating member 200
  • the insertion part 222 is separated from the insertion channel 50, so that the separating piece 200 is separated from the surgical instrument 100.
  • the separating piece 200 separated from the surgical instrument 100 is located in the receiving part 320 of the packaging box 300, and returns to the unused before leaving the factory. state. It should be noted that after the driving part 348 disengages the second end 242 of the clamping part 240 from the card interface, the driving part 348 maintains the state of pressing the second end 242 of the clamping part 240, that is, when the separating member 200 is separated from the surgical instrument 100 During the process, the driving part 348 always presses the second end 242 of the clamping part 240 and applies force to the second end 242, the driving part 348 moves in the channel groove, and finally the packaging box 300 drives the separating element 200 to be separated from the surgical instrument 100.
  • Figures 16 to 17 show the separating member 200a used in conjunction with a surgical instrument provided by the second embodiment of the present invention.
  • the elastic member extends circumferentially into a ring shape, and the ring-shaped elastic member is installed in the slot between the separating member and the distal end surface of the nail seat.
  • the elastic member 280a is in the shape of a bag, at least a part of the working part 230a is housed in the elastic member 280a, and at least a part of the working part 230a has the same shape as the elastic member 280a.
  • the working part 230a is installed in the elastic member 280a from the distal end to the part adjacent to the installation end of the surgical instrument.
  • the open end surface of the proximal end of the elastic member 280a abuts against the distal surface of the mounting end to prevent the distal surface of the mounting end from scratching the tissue.
  • Fig. 18 shows a separating member used in conjunction with a surgical instrument provided by the third embodiment of the present invention.
  • the first end of the clamping portion includes a rotating shaft, and the rotating shaft is integrally formed with other parts of the clamping portion.
  • the plug-in portion is provided with an open shaft hole, the rotating shaft is partially received in the shaft hole, and the supporting portion covers the shaft. The opening part of the hole, so that the second end of the clamping part can rotate around the rotating shaft.
  • the separating piece 200b includes an independent rotating shaft 234b, the first end of the clamping portion 240b is provided with a pin hole 299b through which the rotating shaft 234b can pass; the mounting portion of the separating piece 200b is provided with two pin holes 299b The end corresponding to the round hole 298b, the rotating shaft 234b sequentially passes through the first round hole 298b, the pin hole 299b, and the second round hole 298b, so that the first end of the clamping portion 240b is rotatably mounted on the mounting portion.
  • the rotating shaft 234b fits tightly with the first round hole 298b and/or the second round hole 298b to prevent it from falling off.
  • the shape of the elastic member 280b of the separating member 200b and the cooperation mechanism between the elastic member 280b and the working part 230b are the same as those in the second embodiment, and will not be repeated.
  • Figures 19 to 20 show the separation piece used in conjunction with a surgical instrument provided by the fourth embodiment of the present invention.
  • the mounting portion of the separator is provided with a connecting portion on the far side adjacent to the first end of the clamping portion, the first part of the supporting portion is connected to the connecting portion, and the supporting portion extends from the connecting portion toward the proximal end,
  • the supporting part applies force to the clamping part relative to the second part located at the proximal end, so that the clamping part has a tendency to be clamped into the card interface of the surgical instrument.
  • the supporting portion 250c is arranged close to the proximal end of the clamping portion 240c, and the proximal end of the supporting portion 250c is connected to the mounting portion 220c by welding or the like.
  • the supporting portion 250c is elastic, and the distal end of the supporting portion 250c is opposite to the clamping portion.
  • the second end of 240c exerts force, so that the clamping portion 240c has a tendency to be clamped into the card interface 60c on the surgical instrument.
  • Figures 21 to 22 show the separation member used in conjunction with a surgical instrument provided by the fifth embodiment of the present invention.
  • the clamping portion itself has no elasticity, and the support portion provides elastic force to the clamping portion so that the clamping portion has a tendency to be stuck into the card interface of the surgical instrument.
  • the clamping portion 240d itself is at least partially made of an elastic material, and the clamping portion 240d itself has a tendency to be inserted into the card interface of the surgical instrument. That is to say, no additional other elastic body is provided to provide elastic force for the clamping portion 240d, and the structure is simpler.
  • the proximal end of the clamping portion 240d is connected to the mounting portion 220d of the separator 200d, the clamping portion 240d is deformed, and the distal end of the clamping portion 240d rotates around the proximal end, so that the clamping portion 240d is locked into the card.
  • the interface may be detached from the card interface, and finally the separator 200d is switched between the first state and the second state.
  • the proximal end is not provided with an additional rotating shaft, and the distal end rotates around the connection between the proximal end and the mounting portion 220d.
  • the separator 200d of this embodiment has a simpler structure and a lower cost.
  • Fig. 23 to Fig. 26 show the separating member used in cooperation with the surgical instrument provided by the sixth embodiment of the present invention.
  • the clamping portion is provided on the front surface (second side surface) of the installation portion of the separator, and the clamping portion is matched with the card interface provided on the surgical instrument.
  • the clamping portion 240e is provided on the back of the mounting portion 220e of the separator 200e
  • the card interface 60e is provided on the back 32e of the nail seat 30e
  • the clamping portion 240e provided on the back of the mounting portion 220e is connected to the back of the mounting portion 220e.
  • the card interface 60e provided on the back 32e of the nail holder 30e cooperates to realize the detachable connection of the separating member 200e and the surgical instrument.
  • the operating member of the packaging box can be operated on the back 32e of the nail seat 30e to install and remove the separating member 200e.
  • the operation space is larger and the operation is more convenient.
  • the distal end of the clamping portion 240e is connected to the separating member 200e by welding or the like, and the clamping portion 240e itself has elasticity, so as to realize the switching between the first state and the second state, which will not be repeated.
  • Figures 27 to 29 show a separator for use with a surgical instrument provided by the seventh embodiment of the present invention.
  • the proximal end of the clamping part is fixed to the mounting part of the separator, and the distal end of the clamping part is mated with the card interface of the surgical instrument.
  • the distal end of the clamping portion 240f is fixed to the part of the separator 200f excluding the clamping portion 240f, and the proximal end of the clamping portion 240f is mated with the card interface of the surgical instrument.
  • the separator 200f is provided with a receiving cavity 297f.
  • the receiving cavity 297f extends from the proximal end of the mounting portion in a direction toward the working portion.
  • the extended mounting shaft 296f is provided with a mounting hole that can be sleeved on the mounting shaft 296f on the clamping portion 240f.
  • the mounting hole cooperates with the mounting shaft 296f to realize the mating between the distal end of the clamping portion 240f and the separating piece 200f.
  • the proximal end of the clamping portion 240f can be rotated relative to the distal end to realize the clamping and disengagement with the card interface.
  • the mounting shaft 296f is a cylindrical shaft and the mounting hole is a circular hole
  • the clamping portion 240f does not rotate around the axis of the mounting shaft 296f
  • the rotation axis of the clamping portion 240f is the same as the aforementioned
  • the rotation axis of the clamping portion 240f is parallel to the working surface of the separating member 200f.
  • the doctor first uses the separating member to peel the target tissue from other tissues. Then, the doctor moves the surgical instrument forward to make the target tissue enter between the staple cartridge seat and the staple seat, and operate the surgical instrument on the target tissue. Carry out cutting and stitching.
  • the use of the separating piece to peel off the target tissue makes the operation of the doctor easier and more convenient; and the clamping mechanism enables the separating piece to be elastically matched with the surgical instrument, and the connection is reliable and the disassembly and assembly are convenient.
  • the elastic body abuts against the end surface of the mounting end, which can avoid scratching the tissue at the distal end surface of the mounting end to the greatest extent, and minimize the risk of the tissue being clamped in the gap between the distal end surface of the mounting end and the separating member.
  • the packaging box can not only provide packaging for the separated parts, but also can be used as a tool for disassembling and assembling the separated parts relative to surgical instruments, and the design is very clever.
  • the above-mentioned elastic body can not only avoid scratching the tissue, but also prevent the separating piece from accidentally falling off when the separating piece is contained in the packaging box.

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

L'invention concerne un séparateur (200, 200a, 200b, 200c, 200d, 200e, 200f) pour un instrument chirurgical (100). Le séparateur (200, 200a, 200b, 200c, 200d, 200e, 200f) comprend une partie de montage (220, 220c, 220d, 220e) et une partie de travail (230, 230a, 230b) qui sont connectées ; la partie de montage (220, 220c, 220d, 220e) est montée de manière amovible sur l'instrument chirurgical (100) au moyen d'un mécanisme d'ajustement ; la partie de travail (230, 230a, 230b) est utilisée pour détacher un tissu ; le mécanisme d'ajustement comprend un mécanisme d'encliquetage ; le mécanisme d'encliquetage permet au séparateur (200, 200a, 200b, 200c, 200d, 200e, 200f) d'être monté élastiquement ou séparé de l'instrument chirurgical (100), de sorte que la partie de montage (220, 220c, 220d, 220e) est montée de manière amovible sur l'instrument chirurgical (100). Une fois que le séparateur (200, 200a, 200b, 200c, 200d, 200e, 200f) est monté sur l'instrument chirurgical (100), un médecin utilise d'abord le séparateur (200, 200a, 200b, 200c, 200d, 200e, 200f) pour détacher le tissu cible d'un autre tissu, puis déplace l'instrument chirurgical (100) vers l'avant pour permettre au tissu cible d'entrer dans l'espace entre une base de cartouche d'agrafes (28) et une base de butée d'agrafes (30), et actionne l'instrument chirurgical (100) pour couper et suturer le tissu cible. L'utilisation du séparateur (200, 200a, 200b, 200c, 200d, 200e, 200f) pour détacher le tissu cible rend l'opération par le médecin plus simple et plus pratique ; et le séparateur (200, 200a, 200b, 200c, 200d, 200e, 200f) est adapté élastiquement à l'instrument chirurgical (100), ce qui permet d'obtenir une connexion fiable et de faciliter le montage et le démontage.
PCT/CN2021/083994 2020-04-03 2021-03-30 Séparateur pour instrument chirurgical, et instrument chirurgical WO2021197330A1 (fr)

Applications Claiming Priority (2)

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CN202010261022.9 2020-04-03
CN202010261022.9A CN113491548A (zh) 2020-04-03 2020-04-03 用于外科器械的分离件及外科器械

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WO2023155370A1 (fr) * 2022-02-17 2023-08-24 宁波海泰科迈医疗器械有限公司 Accessoire pour instrument chirurgical, et instrument chirurgical

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CN117838336B (zh) * 2024-01-25 2024-08-27 瀚芯医疗科技(深圳)有限公司 组织限位装置

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WO2004096057A2 (fr) * 2003-04-29 2004-11-11 Tyco Healthcare Group, Lp Dispositif d'agrafage chirurgical avec pointe de dissection
US20190008515A1 (en) * 2006-09-08 2019-01-10 Covidien Lp Dissection tip and introducer for surgical instrument
CN101317779A (zh) * 2007-03-29 2008-12-10 Tyco医疗健康集团 用于手术缝合装置的安装于砧座的剖切尖端
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WO2023155370A1 (fr) * 2022-02-17 2023-08-24 宁波海泰科迈医疗器械有限公司 Accessoire pour instrument chirurgical, et instrument chirurgical

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