WO2022122001A1 - Surgical instrument - Google Patents

Surgical instrument Download PDF

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Publication number
WO2022122001A1
WO2022122001A1 PCT/CN2021/136917 CN2021136917W WO2022122001A1 WO 2022122001 A1 WO2022122001 A1 WO 2022122001A1 CN 2021136917 W CN2021136917 W CN 2021136917W WO 2022122001 A1 WO2022122001 A1 WO 2022122001A1
Authority
WO
WIPO (PCT)
Prior art keywords
state
timing
switch
jaw
assembly
Prior art date
Application number
PCT/CN2021/136917
Other languages
French (fr)
Chinese (zh)
Inventor
孙宝峰
孙海盟
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 WO2022122001A1 publication Critical patent/WO2022122001A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical 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
    • A61B17/07207Surgical 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08Accessories or related features not otherwise provided for
    • HELECTRICITY
    • H01ELECTRIC ELEMENTS
    • H01HELECTRIC SWITCHES; RELAYS; SELECTORS; EMERGENCY PROTECTIVE DEVICES
    • H01H3/00Mechanisms for operating contacts
    • H01H3/02Operating parts, i.e. for operating driving mechanism by a mechanical force external to the switch
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00367Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
    • A61B2017/00398Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like using powered actuators, e.g. stepper motors, solenoids
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical 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
    • A61B2017/07214Stapler heads
    • A61B2017/07271Stapler heads characterised by its cartridge
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical 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
    • A61B2017/07214Stapler heads
    • A61B2017/07278Stapler heads characterised by its sled or its staple holder
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical 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
    • A61B2017/07214Stapler heads
    • A61B2017/07285Stapler heads characterised by its cutter

Definitions

  • the invention relates to the technical field of medical instruments, in particular to a surgical instrument that can avoid false triggering.
  • the stapler includes a jaw assembly, a cutting knife assembly and a staple cartridge assembly.
  • the jaw assembly is closed to clamp the tissue, then the cutting knife assembly is driven to cut the tissue, while the cutting knife assembly pushes the staple cartridge assembly out of staples to staple the tissue.
  • tissue has a certain thickness and there is tissue fluid in it. If the stapler clamps the tissue, it will be cut and sutured immediately, and the tissue will not be fully squeezed. As a result, the thickness of the target tissue cannot reach the safe range for effective suturing, and nail formation will occur. Inconsistency, secondary nailing and other phenomena, resulting in postoperative symptoms such as bleeding at the incision and suture.
  • the prior art waits for a period of pressing time after the jaw assembly is closed, the tissue is sufficiently pressed within the pressing time, and then the tissue is cut and sutured, but the pressing time of the existing stapler does not take into account the adjustment action of clamping and other variables. Factors, the pressing time cannot guarantee a good pressing effect, and the tissue fluid cannot be fully discharged.
  • the present invention aims to provide a surgical instrument: comprising a jaw assembly, a cutting knife assembly, a control module and a trigger, the trigger is electrically connected to the control module, and the trigger includes Manually triggered jaw opening switch, jaw closing switch and firing switch; the control module controls the jaw assembly to perform jaw opening action according to the trigger state of the jaw opening switch, and The trigger state executes the jaw closing action, the jaw assembly is in the jaw closed state when it is closed to the end, and the jaw assembly is in the jaw open state when the jaw assembly is not closed to the end, and the control module controls the trigger state according to the firing switch
  • the cutting knife assembly performs a knife feeding action;
  • the trigger further includes a manually triggered safety switch;
  • the control module further includes a timing unit set with a preset time for timing;
  • the surgical instrument further includes a timing indicating module is used to instruct the timing unit to reach the preset time, and the timing indicating module is electrically connected to the control module; when the jaw assembly is in the jaw open state, the control
  • the safety switch is triggered again, and the control module closes the timing unit, and controls the timing indicating module to indicate that the preset time is reached, And control the safety switch to turn from the valid state to the invalid state, and the firing switch to turn from the invalid state to the valid state.
  • the jaw opening switch is triggered, and the control module turns off the timing indication module, and controls the jaw assembly to perform the clamping operation.
  • the mouth opening action, and control the jaw closing switch to turn from the invalid state to the valid state, and control the firing switch to turn from the valid state to the invalid state.
  • the cutting knife assembly when the firing switch in the valid state is triggered, the cutting knife assembly performs the knife feeding action and is in the knife out state, and then operates the stapler to perform the knife retracting action, when the cutting knife assembly changes from the knife out state to the knife retraction completed state , the control module turns off the indication module.
  • the jaw opening switch is triggered, the control module closes the timing unit, and controls the jaw assembly to perform the jaw opening action, and
  • the safety switch is controlled to change from the valid state to the invalid state, and the jaw closing switch is controlled to change from the invalid state to the valid state.
  • the timing indication module is a timing display module, and the timing display module includes an LED light, and the on or off state of the LED light changes to indicate that the preset time is reached.
  • the timing indication module is a timing sound module, and the timing sound module emits a sound to indicate that the preset time is reached.
  • the timing indication module is further configured to indicate the real-time duration of the timing operation of the timing unit; when the timing unit is turned on, the control module simultaneously turns on the timing indication module.
  • the jaw opening switch is triggered, and the control module also turns off the timing unit and the timing indication module, and controls the jaw assembly to execute the jaw Open action, and control the safety switch from the valid state to the invalid state, and control the jaw closing switch to turn from the invalid state to the valid state.
  • the timing indication module is a timing display module
  • the timing display indication module includes a plurality of LED lights, and different lighting numbers of the plurality of LED lights are used to indicate the real-time time length and reach the preset time. time.
  • the timing indication module further includes a buzzer, and the buzzer emits a sound to indicate that the preset time is reached.
  • the timing indication module is a timing sound module
  • the timing sound module is a buzzer
  • the buzzer emits different sounds to indicate the real-time length of time and reaching the preset time.
  • the jaw closing switch and the firing switch are integrated into one switch, and when the switch is triggered in an effective state, if the jaw assembly is in a jaw opening state, the control module controls the jaw assembly A jaw closing action is performed. If the jaw assembly is in a jaw closing state, the control module controls the cutting knife assembly to perform a knife feeding action.
  • the number of the safety switches is two, and when any one safety switch is triggered, the control module performs the same control.
  • the jaw opening switch is only in an inactive state during the advancing and retracting operations of the cutting blade assembly, and is in an active state at other times.
  • the beneficial effect of the present invention is that: the surgical instrument of the present invention needs to be triggered by the user's external force to switch the working state of the safety switch, thereby controlling the working state of the timing display module, thereby, the working state of the timing display module is It must be triggered by the user's external force to work, and can provide accurate information on the pressing time.
  • the doctor will have sufficient time to observe and adjust the position of the jaw assembly to clamp the tissue until it reaches the maximum pressure on the tissue.
  • the doctor will actively trigger the safety switch to time the pressing time, so as to ensure that the tissue is fully pressed for the preset time, and the tissue enters the best pressing state to ensure the effect of subsequent firing.
  • FIG. 1 is a schematic diagram of the external structure of the first embodiment of the surgical instrument of the present invention
  • FIG. 2 is a schematic diagram of the internal structure of the first embodiment of the surgical instrument of the present invention.
  • FIG. 3 is a schematic view of the internal structure of the first embodiment of the surgical instrument of the present invention from a second perspective;
  • FIG. 4 is a schematic diagram of a control circuit of the first embodiment of the surgical instrument of the present invention.
  • FIG. 5 is a schematic diagram of a control circuit of a fourth embodiment of the surgical instrument of the present invention.
  • Fig. 6 is the partial structural schematic diagram of the fourth embodiment of the surgical instrument of the present invention.
  • FIG. 7 is a partial structural schematic diagram of the first embodiment of the surgical instrument of the present invention.
  • the user of the surgical instrument may be a clinician, a doctor who manipulates the surgical instrument during surgery to perform surgery.
  • proximal refers to the part relatively close to the clinician
  • distal refers to the part relatively far from the clinician.
  • Left and “Right” refer to the position of the surgical instrument shown in Figure 1, eg, the end effector is “left” and the cannula is “right”.
  • upper and “lower” refer to the relative positions of the anvil seat and the staple cartridge seat of the end effector.
  • the anvil seat is “upper” and the staple cartridge seat is “lower”.
  • the orientations “near”, “rear”, “far”, “front”, “left”, “right”, “up” and “down” are defined for ease of description, however, surgical instruments can be in many orientations and positions use, so these terms expressing relative positional relationships are not restrictive and absolute.
  • the embodiments described below with reference to the accompanying drawings are exemplary, and are intended to explain the present invention and should not be construed as limiting the present invention.
  • the connection in the present invention includes electrical connection and mechanical connection.
  • the present invention provides a surgical instrument, particularly an electric stapler 100 , which includes an operating assembly 10 , a shaft assembly 20 extending from the operating assembly 10 , and a shaft assembly 20 disposed on the shaft. An end effector 30 at one end of the assembly 20 .
  • the stapler 100 further includes a transmission mechanism.
  • the transmission mechanism includes a first transmission mechanism and a second transmission mechanism. The transmission mechanism is located at the operating assembly 10 and the shaft assembly 20. The specific positional relationship and function are described below.
  • the operating assembly 10 includes a power module, a motor 70 and the above-mentioned first transmission mechanism.
  • the power module is composed of a plurality of electrically connected batteries, which provide electric power to the motor 80; the first transmission mechanism is connected to the motor, and when the motor obtains electric power and works, the motor outputs power to drive the first transmission mechanism to move.
  • the shaft assembly 20 includes a mandrel 21 and a sleeve 22 sleeved on the mandrel 21.
  • the shaft assembly 20 belongs to the second transmission mechanism.
  • the first transmission mechanism drives the second transmission mechanism to move.
  • the end effector 30 includes a jaw assembly and a cartridge assembly (not numbered).
  • the jaw assembly includes a cartridge base 31 for operably supporting the cartridge assembly located therein and an anvil 32 pivotally connected to the cartridge base 31, the anvil 32 being in an open position Selectively move between the closed position and the staple cartridge seat 31 and the staple cartridge assembly to clamp or loosen the tissue.
  • One end of the sleeve 22 is connected to the anvil seat 32 of the end effector 30, and the other end is connected to the first transmission mechanism, the first transmission mechanism can drive the sleeve 22 to move backward and forward, and the backward movement of the sleeve 22
  • the anvil 32 is pivoted upward to open the end effector 30, ie, the jaw assembly of the end effector 30 is opened, and forward movement of the sleeve 21 causes the anvil 32 to pivot downward to close the end effector 30 , the jaw assembly that closes the end effector 30 .
  • the stapler also includes a cutting blade assembly 40 , which includes a pushing blade 42 and is inseparably secured to the cutting blade 41 .
  • the mandrel 21 has two ends, one end is connected to the first transmission mechanism, and the other end is located in the sleeve 22 .
  • a part of the pushing element 42 is located in the sleeve 22 and is connected with the other end of the mandrel 21 , and the other part of the pushing element 42 is connected with the cutting knife 41 .
  • the cutting knife 41 is located in the space formed between the cartridge seat 31 and the anvil seat 32 of the jaw assembly.
  • the first transmission mechanism can drive the forward and backward movement of the mandrel 21.
  • the mandrel 21 moves forward so that the cutting blade assembly 40 moves forward, cuts the tissue and pushes the staples of the staple cartridge assembly.
  • the staples are pulled out to staple the tissue, and the rearward movement of the mandrel 21 causes the cutter assembly 40 to move rearward to return to the original position.
  • the stapler realizes the power transmission from the motor 80 to the jaw assembly and the cutting blade assembly 40 through the above-mentioned transmission mechanism.
  • the motor 80 first drives the jaw assembly to close through the transmission mechanism to clamp the tissue, then the motor 80 drives the cutting blade assembly 40 forward through the transmission mechanism to cut and staple the tissue, and then the motor 80 drives the cutting blade assembly 40 to retreat through the transmission mechanism. Finally, the motor 80 drives the jaw assembly to open through the transmission mechanism to loosen the tissue, thereby realizing the functions of the stapler for cutting and anastomosis.
  • the operating assembly 10 further includes a casing, which includes a handle casing and a head casing connected in a positional relationship.
  • the head casing accommodates at least part of the transmission mechanism, and the handle casing can be held by a user.
  • the handle housing can also accommodate part of the transmission mechanism at the same time.
  • the handle cavity of the handle case accommodates the motor 80
  • the head cavity of the head case accommodates the battery module
  • the handle cavity is connected to the head cavity
  • the first transmission mechanism is located in the head cavity body and handle cavity.
  • the operating assembly 10 also includes a trigger 60 and a control module 90, which are respectively connected to the power module to obtain electrical power to work.
  • the control module 90 is a circuit board assembly 90', which is accommodated in the housing and includes a detection unit, a control unit, a switch driving unit and a switch unit.
  • the trigger is electrically connected to the detection unit
  • the detection unit is electrically connected to the control unit
  • the control unit is electrically connected to the switch driving unit
  • the switch driving unit is electrically connected to the switch unit.
  • the detection unit detects the state of the trigger, and when triggered, transmits a signal to the control unit, and the control unit analyzes and processes the signal, and then controls the stapler.
  • Trigger 60 includes a motor control trigger for controlling the operating state of the motor.
  • the control unit receives a signal for controlling the motor from this type of trigger, the control unit generates a corresponding low-voltage PWM signal to the switch drive unit, and the switch drive unit converts the low-voltage PWM signal input to the switch unit into a high-voltage signal available to the switch unit.
  • the PWM signal of the voltage is output to the switch unit, thereby controlling the on-off of the switch unit.
  • the power module is connected to both ends of the motor through the switch unit, and the on-off frequency of the switch unit determines whether the power module supplies or powers off the motor 80, thereby determining the running state of the motor—the speed and direction of the motor.
  • the switch unit includes four Mos switches forming the H-bridge.
  • the on-off of the Mos switches of the H-bridge determines whether the power supply module supplies or powers off the motor 80 , and the switch driving unit is a Mos driving chip.
  • the design of the H-bridge enables the control unit to control the H-bridge to realize the forward or reverse rotation of the motor. It should be noted that, the above-mentioned H-bridge control and forward and reverse rotation control of the motor are all in the prior art, and will not be described again.
  • the control unit is a microcontroller chip.
  • the motor control trigger of trigger 60 includes a jaw open switch 61, a jaw close switch 62 and a firing switch 63 manually activated by user operation to control motor start and stop.
  • the jaw opening switch 61 , the jaw closing switch 62 and the firing switch 63 respectively have a button arranged on the above-mentioned casing, especially the handle casing.
  • the user operates the button including pressing the button, which can trigger the corresponding switch.
  • the unit inputs an electrical signal to the control unit, and the buttons corresponding to the jaw opening switch 61 , the jaw closing switch 62 and the firing switch 63 are the first button 71 , the second button 72 and the third button 73 respectively.
  • the jaw opening switch 61 , the jaw closing switch 62 and the firing switch 63 are all normally open switches, and the control module 90 is based on the jaw opening switch 61 , the jaw closing switch 62 and the firing switch 63 respectively.
  • the trigger state is used to control the running state of the motor - start or stop, so as to execute the corresponding action of the stapler.
  • Trigger states include trigger and non-trigger. When triggered, the normally open switch is turned into a closed state, and a low-level signal is generated. The control unit of the control module 90 obtains the low-level signal, controls the motor to start, and continuously obtains a low-level signal, which means that the switch is continuously triggered. When the normally open switch is in the open state, a high level is generated, and the control unit of the control module 90 obtains the high level signal and controls the motor to stop.
  • the control unit controls the motor 80 to run, drives the jaw assembly to perform the jaw closing action, stops operating the second button 72, does not trigger the jaw closing switch 62, and controls
  • the unit controls the motor 80 to stop;
  • the user operates the first button 71 to trigger the jaw opening switch 61 ,
  • the control unit controls the motor to run, drives the jaw assembly to perform the jaw opening action, stops operating the first button 71 , and does not trigger the jaw opening switch 61 , the control unit controls the motor to stop;
  • the user operates the third button 73 to trigger the firing switch 63, the control unit controls the motor to run, and drives the cutter assembly to perform the feeding action.
  • the control unit controls the motor to stop.
  • the motor control trigger of the trigger 60 further includes a first travel switch 65, a second travel switch 66, a third travel switch 67 and a fourth travel switch 68 to control the motor to stop.
  • the first travel switch 65 , the second travel switch 66 , the third travel switch 67 and the fourth travel switch 68 are arranged in the casing, especially the head cavity of the head casing, and the user cannot directly trigger it by hand.
  • the first travel switch 65 and the second travel switch 66 are used to detect whether the jaw assembly is opened or closed and the control module 90 stops the motor to stop the anvil 32 from pivoting.
  • the control module 90 stops the motor to stop the anvil 32 from pivoting.
  • the jaw assembly is in a state where the jaws are opened to the end.
  • the jaw open state includes the jaw fully opened state.
  • the first transmission mechanism includes a matching portion, and the matching portion includes a first protrusion and a second protrusion.
  • the jaw assembly has been closed in place, and the jaws are in a closed state; the first transmission mechanism is driving the sleeve 22 to move backwards and drive the anvil seat 32 to open and rotate.
  • the second bump triggers the second travel switch 66
  • the control module 90 receives the signal from the second travel switch 66 and instructs the motor to stop rotating.
  • the jaw assembly has been opened in place, and the jaws are in the state of being fully opened.
  • the first bump and the second bump can be replaced by one bump, and the above-mentioned one bump triggers the first travel switch 65 during the forward movement, and triggers the second travel switch 66 during the backward movement .
  • the fitting portion includes the above-mentioned one bump.
  • the third travel switch 67 and the fourth travel switch 68 are used to detect the position of the cutting knife assembly 40 to determine whether the cutting knife assembly cuts to the end or retracts the knife to the end and stops the motor 80 through the control module 90 to stop the cutting knife assembly 40 move.
  • the cutting blade assembly 40 moves under the driving of the above-mentioned transmission mechanism, and moves a moving stroke with a fixed length according to the working mode of the surgical instrument, and moves forward or backward within the moving stroke, and the farthest end of the moving stroke is the front moving forward.
  • the dead point is the position where the cutting is completed, and the nearest end is the starting point of the forward movement and the rear dead point of the backward movement.
  • the cutting knife and the push-knife member are inseparable. After the knife piece drives the cutting knife to move from the initial position to the firing bottom position, that is, after the firing is completed, when the transmission device drives the pushing knife piece to reset to the initial position, the cutting knife is also driven to return to the initial position. In another optional embodiment, the cutting blade and the blade pushing member are provided separately. After the knife pusher drives the cutting knife to move from the initial position to the firing bottom position, that is, after the firing is completed, when the knife pusher is driven to reset to the initial position, the cutting knife does not move with it, but stays in the firing bottom position.
  • the cutting blade since the cutting blade may not be reset to the initial position together with the pushing member, that is, not all parts of the cutting blade assembly 40 can reciprocate between the initial position and the firing bottom position. Therefore, the position of the cutter assembly 40 is based on the pusher.
  • the cutting blade is located in front of the blade pushing member, and the front end of the blade pushing member or the part in contact with the cutting blade can be used as a reference position.
  • the reference position is at the initial position or the firing bottom position, it can be considered that the pusher is at the corresponding position.
  • the initial position is the position where the cutting blade does not contact the tissue, which may be the above-mentioned rear dead center.
  • the firing bottom position is the position after the cutting knife completes the full stroke of the staple cartridge seat, that is, the position after the firing action is completed, which can be the above-mentioned front dead point.
  • the cutting blade assembly 40 Before firing, the cutting blade assembly 40 is at the initial position; for firing, the cutting blade assembly 40 moves from the initial position to the firing bottom position, cuts the tissue, and stops at the middle point of the moving stroke, or finally reaches the firing bottom position; the knife is retracted , the cutter assembly moves backwards from the middle point or the firing bottom position until it returns to the initial position.
  • the cutting blade assembly 40 when the cutting blade assembly 40 is at the initial position, the cutting blade assembly is in the initial state of the cutting blade, and the state when the cutting blade assembly 40 leaves the initial position is the knife-out state, including when it is located at the middle point or at the bottom of the firing position; when the cutting blade assembly is at the bottom of the firing position
  • the cutting knife assembly is in the state of the end of the knife; according to whether the firing occurs, the initial state of the cutting knife is divided into two different states - the state of not firing the knife and the state of retracting the knife.
  • the knife state if the firing has occurred and is in the initial position, it is in the state of retracting the knife.
  • the matching portion of the above-mentioned first transmission mechanism further includes a third protrusion and a fourth protrusion.
  • the third bump triggers the third travel switch 67
  • the control module 90 receives the signal sent by the third travel switch 67 to The motor is instructed to stop rotating.
  • the cutting blade assembly 40 cuts to the end; when the first transmission mechanism drives the cutting blade assembly 40 to move backward through the mandrel 31, it reaches the rear dead center, and the fourth bump triggers the fourth travel switch 68.
  • the control module 90 receives the signal sent by the fourth travel switch and instructs the motor to stop rotating. At this time, the cutting knife assembly is completely retracted, that is, the knife is retracted to the end.
  • the third bump and the fourth bump may be replaced by one bump.
  • the first travel switch 65 , the second travel switch 66 , the third travel switch 67 and the fourth travel switch 68 are also normally open switches, which control the motor to stop when triggered.
  • the control unit controls the motor to stop.
  • the control unit automatically controls the motor 80 to reversely rotate to perform the knife retracting action, and the cutting knife assembly 40 moves backward until the fourth travel switch 68 is triggered to stop. Therefore, when the cutting knife assembly 40 finishes firing, the knife is automatically retracted in one step by releasing the third button 61, which saves the user's operation time.
  • the first assembly includes a first bump and a second bump, or the first assembly includes one bump in place of the first bump and the second bump.
  • the second assembly includes the third bump and the fourth bump, or the second assembly includes one bump in place of the third bump and the fourth bump.
  • the above is an embodiment in which four stroke switches and protrusions are used to calibrate the opening/closing position of the jaws and the firing/retracting position of the knife in a mechanical manner.
  • identifying whether the jaws are opened/closed, and whether the firing/retraction is in place is not limited to the above-mentioned embodiment of using a travel switch to make mechanical contact with the protrusion.
  • the opening and closing of the jaws, and the firing and retraction of the cutter assembly 40 are accomplished by the motor 80 by driving the sleeve 22 and the mandrel 21, respectively.
  • the opening and closing of the jaws are taken as an example for description.
  • the motor 80 drives the sleeve 82 to move forward, which can switch the jaw assembly from the open state to the closed state.
  • the motor 80 drives the sleeve 82 to move backward, so that the jaw assembly can be switched from the closed state to the open state.
  • the axial movement of the sleeve 82 is a certain distance, and the motor 80 drives the sleeve 82 to move axially for a certain distance. The number is also fixed.
  • a displacement sensor or a proximity sensor may be provided on the sleeve 82 to detect the axial movement distance of the sleeve 82 to determine whether the sleeve 82 moves forward or backward in place, In turn, it reflects whether the jaw assembly is fully closed or fully opened.
  • distance detection elements such as displacement sensors or proximity sensors can also be replaced by other forms of structures, such as photoelectric sensors, infrared sensors, etc., which are not listed here.
  • the principle is to use four position detection units to detect four position states: the cutting blade assembly is at the initial position, the cutting blade assembly is at the cutting end position, the jaw assembly is at the open position, and the jaw assembly is at the closed end position.
  • the number of motors is one
  • the first transmission mechanism includes a gear and a clutch mechanism
  • the gear is driven by the motor
  • the gear selectively drives the first component and the second component through the clutch mechanism to achieve an action logic relationship
  • the first component can be connected with the clutch mechanism.
  • the matched push rod and the second component may be a rack matched with the clutch mechanism.
  • the number of motors is two
  • the first transmission mechanism includes two gears
  • each gear is driven by a different motor
  • the first assembly includes a first rack
  • the second assembly includes a second rack
  • the first rack is meshed with different gears respectively, and the action logic relationship is realized by starting and stopping of different motors.
  • the casing is also provided with a forced retract button 79 manually pressed by the user, which is mechanically connected to the third travel switch 67 .
  • a forced retract button 79 manually pressed by the user, which is mechanically connected to the third travel switch 67 .
  • the control unit receives the low level signal of the switch and starts the motor to reverse, until the fourth stroke switch 69 is triggered to stop the reverse rotation, realizing the forced one-step retraction to the end.
  • the stapler needs to perform the jaw closing action, firing action, retracting action and jaw opening action in sequence to complete the entire working process, and the above four actions corresponding to the entire working process are preferably
  • the control module 90 sequentially drives the motor forward, forward, reverse, and reverse to drive the first components in sequence. , the second component, the second component, the first component, and finally realize the sequential execution of the jaw closing action, the firing action, the retracting action and the jaw opening action.
  • the trigger 60 also includes a safety switch 69 that is manually triggered by user operation, and is electrically connected to the control module 90 .
  • the safety switch 69 has a button arranged on the above-mentioned casing, especially the handle casing, which is the fourth button 74.
  • the user operates the button including pressing the button, which can trigger the corresponding switch.
  • the switch inputs a power input to the control unit through the detection unit. Signal.
  • the control module 90 also includes a timing unit, which is set with a preset time, for example, 15s. The timing unit starts and starts timing. When the timing reaches the preset time, the timing unit is turned off and the timing is cleared.
  • the timing unit can be a circuit module independent of the microcontroller, or it can be a timing unit that comes with the microcontroller.
  • the stapler also includes a timing indication module, which is electrically connected to the control unit and has two functions: the first function: used to indicate that the timing unit has reached the preset time, and inform the user of the state; the second function: used to instruct the timing unit to count the time
  • the real-time working time length enables the user to know the elapsed time length.
  • the control module 90 simultaneously turns on the timing indicating module to realize the second function. For example, if the timing unit counts for 10s, the timing indicating module indicates that 10s has elapsed.
  • the control module 90 controls the safety switch 69 to be in a disabled state, and controls the firing switch 63 to be in a disabled state; when the jaw closing action is performed, the jaw assembly changes from the jaw open state to the jaw closed state , the control module 90 controls the safety switch 69 to change from the invalid state to the valid state, and the jaw closing switch 62 to change from the valid state to the invalid state; the user triggers the safety switch 69 in the valid state for the first time, then the timing unit is turned on and timed, and the timing indication is at the same time The module is turned on; when the timing unit reaches the preset time, the control module 90 closes the timing unit, controls the timing indicating module to indicate that the preset time is reached, and controls the safety switch 69 to change from the valid state to the invalid state, and the firing switch 63 to change from the invalid state to valid state.
  • the safety switch 69 is in an active state
  • the firing switch 63 remains in an inactive state, that is, even if the user operates
  • the safety switch 63, the timing unit, and the timing indication module form a pressing holding mechanism that is convenient for the user to know that the pressing has been fully squeezed.
  • the retention mechanism may not allow forward movement of the cutting blade assembly for a certain period of time and keep the jaw assembly closed to enhance the pressing effect of the jaw assembly on the tissue.
  • the combination of the timing unit and the timing indication module ensures a sufficient amount of pressing time and ensures the pressing effect; .
  • the valid state and the invalid state of the three switches of the jaw closing switch 62, the safety switch 69 and the firing switch 63 are switched.
  • the three actions of jaw closing, pressing timing and firing have a fixed sequence, which must be performed first.
  • the jaws are closed and then squeezed and the timing is finally fired.
  • the two actions before firing are indispensable and cannot be exchanged.
  • only one switch is active between the three switches at the same time to ensure that the three actions cannot affect each other.
  • the above-mentioned safety switch 69 is convenient for the doctor to control the timing of when to start pressing the holding mechanism: in the use of the stapler, one closing of the jaw assembly to clamp the tissue may not be in place in one step, for example, the tissue may be clamped crookedly. , Too many clips or too few clips, need to be adjusted. If the pressing timer is turned on without sufficient preparation, the actual pressing time will be insufficient although the timing of the timing indicator module has ended.
  • the doctor cannot accurately know the actual pressing time, and the tissue fluid is not fully discharged. Start firing, the firing effect is poor, and in the above scheme, the above-mentioned safety switch 69 is used to start the pressing timing, on the one hand, before the timing starts, the doctor will have sufficient time to observe and adjust the position of the jaw assembly to clamp the tissue until it reaches The optimal clamping position for the tissue, on the other hand, when the optimal clamping position is in place, the doctor actively triggers the safety switch 69 to time the pressing time to ensure that the tissue is fully pressed for the preset time, and the tissue enters the optimal pressing state to ensure The effect of subsequent shots.
  • the control module 90 turns off the timing unit, controls the timing indicating module to indicate that the preset time is reached, and controls the firing switch 63 to change from the invalid state to the valid state, and controls the The safety switch 69 goes from the active state to the inactive state. That is, the pressing timing action is completed.
  • the pressing holding mechanism is automatically turned off, and the firing switch becomes effective, which ensures sufficient pressing time and can improve the pressing effect; Completed, the doctor can choose when to fire independently, for example, start firing after doing some preparations to improve the user experience.
  • the second method If the doctor thinks that the tissue to be cut and sutured is suitable for direct cutting and suture or short-term pressing, it is not necessary to perform pressing for a certain period of time. To save time, the second method can be used - the safety switch 69 is in the In the valid state, the safety switch 69 is triggered for the first time, and when the timing unit is timing and the preset time is not reached, the safety switch 69 is triggered again, the control module 90 closes the timing unit, and controls the timing indicating module to indicate that the preset time is reached. Set the time, and control the safety switch 69 from the active state to the inactive state, and control the firing switch 63 from the inactive state to the active state. That is, the pressing timing action is completed.
  • the timing indication module indicates that the preset time has been reached, and its purpose is to indicate to the user that the pressing timing action is completed and can be fired.
  • the user does not want to wait and actively closes the pressing and holding mechanism to improve the user experience; at the same time, the timing indication module still indicates that the preset time has been reached, so as to remind the user that the shot can be fired at any time and improve the user experience.
  • the third method When entering the pressing timing action, it is possible that the doctor needs to readjust the jaw assembly to clamp the tissue, and does not need to enter the firing action.
  • the third method can be adopted - the safety switch 69 is in an effective state, the first time Trigger the safety switch 69, when the timing unit is timing and the preset time is not reached, trigger the jaw opening switch, the control module 90 closes the timing unit and the timing indication module, and controls the jaw assembly to perform jaw opening act, and control the safety switch 69 to change from the valid state to the invalid state, and control the jaw closing switch to turn from the invalid state to the valid state. That is, the pressing timing action is interrupted. During the pressing timing action, the jaw opening switch remains active all the time.
  • the above scheme for the user to actively close the pressing holding mechanism, can also return to the jaw open state at any time during the pressing timing action and perform the jaw closing action again to perform a new clamping position adjustment. More time to consider whether to fire, improve the ease of operation of the stapler, and improve the user experience. It should be noted that when the safety switch 69 is in an active state, if the safety switch 69 is not triggered for the first time, and the timing unit and the timing indicating module are not activated, the jaw assembly can still be opened by triggering the jaw opening switch to achieve the above. Purpose.
  • the timing indication module when the pressing timing action is completed, the timing indication module will keep indicating the preset time to inform the stapler that the pressing has been completed and the user can fire at any time.
  • the first action option is conventional firing
  • the user triggers the firing switch 63
  • the stapler executes the knife feeding action
  • the second action option is to close the timing indication module and return in the execution sequence.
  • the control module 90 Turn off the timing indication module, control the jaw assembly to perform a jaw opening action, and control the jaw closing switch 62 to change from a disabled state to an active state.
  • the completion of the operation of the pressing holding mechanism includes: pressing the fourth button 74 and releasing it immediately, the timing unit and the timing indicating module start to work until the work is completed and the preset time is reached; the operation of the pressing holding mechanism is terminated includes: pressing the fourth button 74 and immediately Release, press the fourth button 74 again within a preset time and release it immediately; the operation of the pressing holding mechanism is interrupted includes: pressing the first button 71 .
  • the preset time, the pressing duration can also be set to 10 seconds, 20 seconds, 30 seconds, 40 seconds, 50 seconds and 60 seconds, the pressing effect of 10 seconds is less effective, but acceptable, between 15 seconds and 60 seconds In the interval of seconds, the longer the time, the better the squeezing effect, but the squeezing effect does not increase linearly with the extension of time, but if it exceeds 15s, the user will feel that the waiting time is too long, which will affect the user's experience. Setting the pressing hold time to 15 seconds is a balance between waiting time and pressing effect.
  • the firing action is entered, and the user operates the firing switch 63 to execute the knife feeding action, and then execute the knife retracting action. Close the timing indicator module to enter the jaw opening action. That is to say, during the firing action and the retracting action, the timing indication module will also keep an indication state, that is, the preset time is reached, indicating that the pressing has been completed. Such timing indication module is a good reminder for the doctor.
  • the cutting knife assembly When the cutting knife assembly is in the state of readying to take out the knife or the knife is out of the knife, the cutting knife is about to be applied to human tissue or is being applied to human tissue, so it should be handled with caution; when the knife is completely retracted, the timing indicator module will be closed at the same time, and this closing action will play a role in The function of prompting the user to withdraw the knife to complete, the cutting knife 42 enters a safe position and cannot act on human tissue. Conversely, if the timing indication module is turned off when the pressing timing action is completed and the firing switch 63 is triggered for the first time, the above beneficial effects cannot be achieved. good.
  • the maximum time length indicated by the timing indication module is the above preset time.
  • the timing indication module is a timing display module 110 disposed on the casing, especially the head casing, which can be directly observed by the user, and includes an indicator light.
  • the indicator light includes a plurality of LED lights, and multiple LED lights are lit in sequence, the first LED light is lit to indicate the start of the timing, and the last LED light is lit to indicate the end of the timing.
  • the number, arrangement, color and lighting time interval of LED lights can be set as required. For example, 4 LED lights can be set and arranged on the handle assembly in a linear manner.
  • the control module lights up 1 LED every 5 seconds.
  • the number of lights on in real time is the real-time length of time that indicates the timing operation of the timing unit.
  • all LED lights remain on, indicating that the timing unit has reached the preset time, and 15 seconds have elapsed when all four LEDs are lit.
  • Other numbers of LED lights such as 5, 6, etc., can also be selected.
  • the lighting time interval can also be set, for example, 1 second, 4 seconds, 10 seconds, etc.
  • multiple LEDs are turned off in sequence, all LED lights are turned on to indicate the start of timing, and when only the last LED light is turned on to indicate the end of timing, the last LED is turned on before the firing action is completed. The LED remains lit. When the firing action is completed, the last-minute LED light is turned off, that is, the timing indication module is turned off.
  • the change of the on or off state of the LED light indicates that the preset time has been reached, and the change of the on state means that the number of lights on is gradually increased, and the increase to the predetermined number means that the preset time has been reached.
  • the timing indication module also includes an alarm, and when the timing ends, a sound is emitted to indicate the end of the timing.
  • the alarm is a buzzer, and the duration of the buzzer sound can be set as required.
  • the invalid state of the above switch means that the switch is triggered, but the stapler does not perform an action
  • the valid state means that the switch is triggered and the stapler performs the corresponding action.
  • the switch when the switch is triggered in the failure state, the switch still sends a signal to the control module, but the control module 90 does not analyze and process the signal, nor does it instruct the motor to act or control the timing unit or control the timing display module according to the signal. 110.
  • the control module 90 will execute corresponding control according to the signal.
  • the first limit switch 65 , the second limit switch 66 , the third limit switch 67 and the fourth limit switch 68 are always in a valid state by default after the stapler is powered on, and the above-mentioned jaw closing switch 62 , safety switch 63 and firing switch 69 As described in the above solution, it is switched between the valid state and the invalid state, and the jaw opening switch 61 is only in the invalid state during the tool feeding action and the tool retracting action, and is in the valid state at the rest of the time.
  • the timing indication module is a timing sound module arranged in the casing and can be heard by the user.
  • the timing sound module uses different sounds, such as duration, volume, tone, etc., to indicate the real-time length of the timing unit timing operation.
  • Different tones are used to indicate the start of 0s, 5s, 10s, and 15s, respectively, and continuous or intermittent “hair” is issued to indicate that the preset time is reached.
  • a variety of ways can provide real-time sound indication of the length of time, and I will not list them one by one.
  • the timing indication module of the third embodiment only has the above-mentioned first function: it is used to indicate that the timing unit has reached the preset time and inform the user of this state, and no longer has the above-mentioned second function. Therefore, the control of the second function is cancelled: in the third embodiment, when the timing unit is turned on, the timing indicating module will not be turned on at the same time, and only when the timing unit reaches the preset time, the timing indicating module will be turned on and indicate that the preset time is reached ; When the timing unit is timing and the preset time is not reached, trigger the jaw to open the switch, then the control module only needs to close the timing unit, and does not need to close the timing indicating module.
  • the above-mentioned timing display module 110 of the third embodiment includes an LED light, when the timing unit reaches the preset time or when the safety switch is triggered for the second time as mentioned above, the LED light is lit, and continues to light up to indicate The preset time is reached.
  • the above-mentioned timing indication module may be a timing sound module for sound indication, which is a buzzer, and the buzzer is turned on only when the timing unit reaches the preset time or when the safety switch is triggered for the second time as described above. The buzzer will sound, and will continue to sound to indicate that the preset time is reached, and the timing sound module will not be turned on during the timer timing.
  • a timing sound module for sound indication which is a buzzer
  • the jaw closing switch 62 and the firing switch 63 of the fourth embodiment are integrated into one switch—the closing/firing switch 62 ′, which effectively When the switch is triggered in the state, if the jaw assembly is in the jaw open state, the control module 90 will control the jaw assembly to perform the jaw closing action when receiving the signal sent by the jaw assembly, if the jaw assembly is in the jaw closed state, When the control unit receives the signal sent by it, it controls the cutting knife assembly 40 to perform the knife feeding action.
  • the closing/firing switch 62' changes from the triggered state to the non-triggered state, then the control unit controls The cutter assembly 40 performs automatic one-step retraction to the end.
  • the operation process of the closing/firing switch 62' is as follows: 1) the jaw assembly is in an open state of the jaws, the closing/firing switch 62' is in an active state, the closing/firing switch 62' is triggered, and the control module controls the execution of the jaws Closing action; 2) When the jaw assembly is closed to the end, the jaw assembly turns to the jaw closed state, and the closing/fire switch 62' turns to the invalid state; 3) Trigger the safety switch 69, and activate the pressing holding mechanism until the pressing timing action is completed , or trigger the safety switch 69 again, at this time the safety switch 69 fails, and the closing/firing switch 62' is turned into a valid state; 4) triggering the closing/firing switch 62' again, the control module 90 controls the execution of the firing action
  • the number of the safety switches 69 in the fifth embodiment is two, the two safety switches 69 jointly perform the same function, and the valid state and the invalid state of the two safety switches are simultaneously controlled. Switch and keep consistent:
  • the jaw assembly changes from the jaw open state to the jaw closed state, then the two safety switches change from the invalid state to the valid state; the first time any safety switch in the valid state is triggered, the timing unit is turned on and timed , the timing display module is turned on; when the timing reaches the preset time, the two safety switches will change from the valid state to the invalid state; when the timing does not reach the preset time, trigger any safety switch in the valid state for the second time, then Both cutouts go from active to inactive.
  • each safety switch has a button, and the two buttons are located on both sides of the above-mentioned casing, especially the handle casing. No matter which one of the two buttons is pressed by the user, the same function is jointly performed. The principle is not as above. Repeat. Further, the pressing directions of the two keys are opposite and the two are fixedly connected, so that when one is pressed, the other cannot be pressed at the same time, which avoids the control conflict caused by the simultaneous triggering of the two safety switches.

Abstract

A surgical instrument, comprising a jaw assembly, a cutting blade assembly (40), a control module (90), and a trigger (60). The trigger (60) comprises a manually triggered safety switch (69); a timing unit and a timing display module (110) are further comprised; when the jaw assembly is in a jaw open state, the control module (90) controls the safety switch (69) to be in a disabled state, and controls a firing switch to be in a disabled state; when the jaw assembly switches from the jaw open state into a jaw closed stated, the control module (90) controls the safety switch (69) to switch from the disabled state into an enabled state; and the safety switch (69) in the enabled state is first triggered, the timing unit is started and starts timing, the timing display module (110) is started, and the firing switch is maintained in the disabled state when the safety switch (69) is in the enabled state. The surgical instrument needs to be triggered by a user by means of an external force so as to switch the working state of the safety switch (69) and then control the working of the timing display module (110) to perform squeezing timing, such that the squeezing timing is started after sufficient preparation, and squeezing time and a subsequent firing effect are ensured.

Description

一种外科器械a surgical instrument
相关申请Related applications
本申请要求于2020年12月11日提交至中国专利局、申请号为202011447454.5,发明名称为“一种外科器械”的中国专利申请的优先权,其全部内容通过引用结合在本申请中。This application claims the priority of the Chinese patent application with the application number 202011447454.5 and the title of the invention "a surgical instrument", which was submitted to the China Patent Office on December 11, 2020, the entire contents of which are incorporated herein by reference.
技术领域technical field
本发明涉及医疗器械技术领域,特别是涉及一种可避免误触发的外科器械。The invention relates to the technical field of medical instruments, in particular to a surgical instrument that can avoid false triggering.
背景技术Background technique
众所周知,腔内切割吻合器已经普遍应用于腹腔等腔内手术中。It is well known that intracavitary cutting staplers have been widely used in intracavitary surgery such as the abdominal cavity.
吻合器包括钳口组件、切割刀组件和钉仓组件,首先钳口组件闭合以夹持组织,然后切割刀组件被驱动来切割组织,同时切割刀组件推动钉仓组件出钉来缝合组织。需要关注的是,组织具有一定厚度并且内有组织液,如果吻合器夹持组织就立刻进行切割和缝合,组织液压榨不充分,导致目标组织的厚度达不到有效缝合的安全范围,会出现成钉不一致、二次成钉等现象,从而导致切割缝合处出血等术后症状。因此,希望通过压榨将组织液从被夹持的组织中充分排出,以利于吻合器进行切割和缝合。现有技术通过控制在钳口组件闭合之后等待一段压榨时间,压榨时间内充分压榨组织,然后再切割和缝合组织,但现有的吻合器的压榨时间未考虑夹持的调整动作等其它可变因素,压榨时间无法保证良好的压榨效果,组织液不能充分排出。The stapler includes a jaw assembly, a cutting knife assembly and a staple cartridge assembly. First, the jaw assembly is closed to clamp the tissue, then the cutting knife assembly is driven to cut the tissue, while the cutting knife assembly pushes the staple cartridge assembly out of staples to staple the tissue. It should be noted that the tissue has a certain thickness and there is tissue fluid in it. If the stapler clamps the tissue, it will be cut and sutured immediately, and the tissue will not be fully squeezed. As a result, the thickness of the target tissue cannot reach the safe range for effective suturing, and nail formation will occur. Inconsistency, secondary nailing and other phenomena, resulting in postoperative symptoms such as bleeding at the incision and suture. Therefore, it is desirable to sufficiently expel tissue fluid from the clamped tissue by pressing, so as to facilitate the cutting and suturing of the stapler. The prior art waits for a period of pressing time after the jaw assembly is closed, the tissue is sufficiently pressed within the pressing time, and then the tissue is cut and sutured, but the pressing time of the existing stapler does not take into account the adjustment action of clamping and other variables. Factors, the pressing time cannot guarantee a good pressing effect, and the tissue fluid cannot be fully discharged.
发明内容SUMMARY OF THE INVENTION
针对现有技术的不足,本发明旨在提供一种外科器械:包括钳口组件、切割刀组件、控制模块和触发器,所述触发器与所述控制模块电性连接,所述触发器包括手动触发的钳口打开开关、钳口闭合开关和击发开关;所述控制模块根据所述钳口打开开关的触发状态控制所述钳口组件执行钳口打开动作,根据所述钳口闭合开关的触发状态执行钳口闭合动作,所述 钳口组件闭合到底时处于钳口闭合状态,所述钳口组件未闭合到底时处于钳口打开状态,所述控制模块根据所述击发开关的触发状态控制所述切割刀组件执行进刀动作;所述触发器还包括手动触发的保险开关;所述控制模块还包括设置有预设时间的定时单元,用来计时;所述外科器械还包括计时指示模块,用于指示所述定时单元达到所述预设时间,述计时指示模块与所述控制模块电性连接;当钳口组件处于钳口打开状态,所述控制模块控制所述保险开关处于失效状态、控制所述击发开关处于失效状态;当钳口组件从钳口打开状态转为钳口闭合状态,所述控制模块控制所述保险开关从失效状态转为有效状态;首次触发所述有效状态下的所述保险开关,所述定时单元开启并计时;当所述定时单元达到所述预设时间,所述控制模块关闭所述定时单元、控制所述计时指示模块指示达到所述预设时间,并且控制所述保险开关从有效状态转为失效状态、所述击发开关从失效状态转为有效状态。In view of the deficiencies of the prior art, the present invention aims to provide a surgical instrument: comprising a jaw assembly, a cutting knife assembly, a control module and a trigger, the trigger is electrically connected to the control module, and the trigger includes Manually triggered jaw opening switch, jaw closing switch and firing switch; the control module controls the jaw assembly to perform jaw opening action according to the trigger state of the jaw opening switch, and The trigger state executes the jaw closing action, the jaw assembly is in the jaw closed state when it is closed to the end, and the jaw assembly is in the jaw open state when the jaw assembly is not closed to the end, and the control module controls the trigger state according to the firing switch The cutting knife assembly performs a knife feeding action; the trigger further includes a manually triggered safety switch; the control module further includes a timing unit set with a preset time for timing; the surgical instrument further includes a timing indicating module is used to instruct the timing unit to reach the preset time, and the timing indicating module is electrically connected to the control module; when the jaw assembly is in the jaw open state, the control module controls the safety switch to be in a failed state , control the firing switch to be in the invalid state; when the jaw assembly changes from the jaw open state to the jaw closed state, the control module controls the safety switch from the invalid state to the valid state; triggering the valid state for the first time When the timing unit reaches the preset time, the control module closes the timing unit, controls the timing indicating module to indicate that the preset time is reached, And control the safety switch to turn from the valid state to the invalid state, and the firing switch to turn from the invalid state to the valid state.
优选的,当所述定时单元计时中且未达到所述预设时间时,再次触发所述保险开关,则所述控制模块关闭定时单元、控制所述计时指示模块指示达到所述预设时间,并且控制所述保险开关从有效状态转为失效状态、所述击发开关从失效状态转为有效状态。Preferably, when the timing unit is timing and the preset time is not reached, the safety switch is triggered again, and the control module closes the timing unit, and controls the timing indicating module to indicate that the preset time is reached, And control the safety switch to turn from the valid state to the invalid state, and the firing switch to turn from the invalid state to the valid state.
优选的,当所述击发开关处于有效状态且所述切割刀组件处于切割刀初始状态时,触发所述钳口打开开关,则所述控制模块关闭所述计时指示模块,控制钳口组件执行钳口打开动作,并且控制所述钳口闭合开关从失效状态转为有效状态、控制所述击发开关从有效状态转为失效状态。Preferably, when the firing switch is in an effective state and the cutting knife assembly is in the initial state of the cutting knife, the jaw opening switch is triggered, and the control module turns off the timing indication module, and controls the jaw assembly to perform the clamping operation. The mouth opening action, and control the jaw closing switch to turn from the invalid state to the valid state, and control the firing switch to turn from the valid state to the invalid state.
优选的,触发有效状态下的所述击发开关,切割刀组件执行进刀动作并处于出刀状态,然后操作吻合器执行退刀动作,当切割刀组件从出刀状态转为退刀完毕状态时,所述控制模块关闭所述指示模块。Preferably, when the firing switch in the valid state is triggered, the cutting knife assembly performs the knife feeding action and is in the knife out state, and then operates the stapler to perform the knife retracting action, when the cutting knife assembly changes from the knife out state to the knife retraction completed state , the control module turns off the indication module.
优选的,当所述定时单元计时中且未达到所述预设时间时,触发所述钳口打开开关,则所述控制模块关闭所述定时单元,控制钳口组件执行钳口打开动作,并且控制所述保险开关从有效状态转为失效状态、控制所述钳口闭合开关从失效状态转为有效状态。Preferably, when the timing unit is timing and the preset time is not reached, the jaw opening switch is triggered, the control module closes the timing unit, and controls the jaw assembly to perform the jaw opening action, and The safety switch is controlled to change from the valid state to the invalid state, and the jaw closing switch is controlled to change from the invalid state to the valid state.
优选的,所述计时指示模块为计时显示模块,所述计时显示模块包括LED灯,所述LED灯的点亮或熄灭的状态改变以指示达到所述预设时间。Preferably, the timing indication module is a timing display module, and the timing display module includes an LED light, and the on or off state of the LED light changes to indicate that the preset time is reached.
优选的,所述计时指示模块为计时声音模块,所述计时声音模块发出声音以指示达到所述预设时间。Preferably, the timing indication module is a timing sound module, and the timing sound module emits a sound to indicate that the preset time is reached.
优选的,所述计时指示模块还用于指示所述定时单元计时工作的实时的时间长度;当所述定时单元开启时,控制模块同时开启所述计时指示模块。Preferably, the timing indication module is further configured to indicate the real-time duration of the timing operation of the timing unit; when the timing unit is turned on, the control module simultaneously turns on the timing indication module.
优选的,当所述定时单元计时中且未达到所述预设时间时,触发所述钳口打开开关,所 述控制模块还关闭所述定时单元和计时指示模块,控制钳口组件执行钳口打开动作,并且控制所述保险开关从有效状态转为失效状态、控制所述钳口闭合开关从失效状态转为有效状态。Preferably, when the timing unit is counting and the preset time is not reached, the jaw opening switch is triggered, and the control module also turns off the timing unit and the timing indication module, and controls the jaw assembly to execute the jaw Open action, and control the safety switch from the valid state to the invalid state, and control the jaw closing switch to turn from the invalid state to the valid state.
优选的,所述计时指示模块为计时显示模块,所述计时显示指示模块包括多个LED灯,所述多个LED灯的不同的点亮个数以指示实时的时间长度和达到所述预设时间。Preferably, the timing indication module is a timing display module, the timing display indication module includes a plurality of LED lights, and different lighting numbers of the plurality of LED lights are used to indicate the real-time time length and reach the preset time. time.
优选的,所述计时指示模块还包括蜂鸣器,蜂鸣器发出声音指示达到所述预设时间。Preferably, the timing indication module further includes a buzzer, and the buzzer emits a sound to indicate that the preset time is reached.
优选的,计时指示模块为计时声音模块,所述计时声音模块为蜂鸣器,蜂鸣器发出不同声音以指示实时的时间长度和达到所述预设时间。Preferably, the timing indication module is a timing sound module, the timing sound module is a buzzer, and the buzzer emits different sounds to indicate the real-time length of time and reaching the preset time.
优选的,所述钳口闭合开关和所述击发开关集成为一个开关,有效状态下触发所述开关时,如所述钳口组件处于钳口打开状态,所述控制模块控制所述钳口组件执行钳口闭合动作,如所述钳口组件处于钳口闭合状态,所述控制模块控制所述切割刀组件执行进刀动作。Preferably, the jaw closing switch and the firing switch are integrated into one switch, and when the switch is triggered in an effective state, if the jaw assembly is in a jaw opening state, the control module controls the jaw assembly A jaw closing action is performed. If the jaw assembly is in a jaw closing state, the control module controls the cutting knife assembly to perform a knife feeding action.
优选的,所述保险开关的数量为两个,任意一个保险开关被触发时,控制模块执行相同的控制。Preferably, the number of the safety switches is two, and when any one safety switch is triggered, the control module performs the same control.
优选的,所述钳口打开开关仅在所述切割刀组件的进刀动作和退刀动作中处于失效状态,其余时刻均处于有效状态。Preferably, the jaw opening switch is only in an inactive state during the advancing and retracting operations of the cutting blade assembly, and is in an active state at other times.
与现有技术相比,本发明的有益效果在于:本发明外科器械需由使用者外力触发以切换保险开关的工作状态,进而控制计时显示模块的工作状态,由此,计时显示模块的工作状态必须接受使用者的外力触发而工作,能提供准确的压榨时间信息,一方面,在计时开始前医生将有充分的时间观察和调整钳口组件夹持组织的位置,直至其达到对组织的最佳的夹持位置,另一方面,最佳的夹持位置时医生再主动触发保险开关对压榨时间计时,保证预设时间对组织充分压榨,组织进入最佳压榨状态,保证后续击发的效果。Compared with the prior art, the beneficial effect of the present invention is that: the surgical instrument of the present invention needs to be triggered by the user's external force to switch the working state of the safety switch, thereby controlling the working state of the timing display module, thereby, the working state of the timing display module is It must be triggered by the user's external force to work, and can provide accurate information on the pressing time. On the one hand, before the timing starts, the doctor will have sufficient time to observe and adjust the position of the jaw assembly to clamp the tissue until it reaches the maximum pressure on the tissue. On the other hand, at the best clamping position, the doctor will actively trigger the safety switch to time the pressing time, so as to ensure that the tissue is fully pressed for the preset time, and the tissue enters the best pressing state to ensure the effect of subsequent firing.
附图说明Description of drawings
图1是本发明外科器械的第一实施例的外部的结构示意图;FIG. 1 is a schematic diagram of the external structure of the first embodiment of the surgical instrument of the present invention;
图2是本发明外科器械的第一实施例的内部的结构示意图;FIG. 2 is a schematic diagram of the internal structure of the first embodiment of the surgical instrument of the present invention;
图3是本发明外科器械的第一实施例的第二视角的内部的结构示意图;FIG. 3 is a schematic view of the internal structure of the first embodiment of the surgical instrument of the present invention from a second perspective;
图4是本发明外科器械的第一实施例的控制电路示意图;4 is a schematic diagram of a control circuit of the first embodiment of the surgical instrument of the present invention;
图5是本发明外科器械的第四实施例的控制电路示意图;5 is a schematic diagram of a control circuit of a fourth embodiment of the surgical instrument of the present invention;
图6是本发明外科器械的第四实施例的局部结构示意图;Fig. 6 is the partial structural schematic diagram of the fourth embodiment of the surgical instrument of the present invention;
图7是本发明外科器械的第一实施例的局部结构示意图。FIG. 7 is a partial structural schematic diagram of the first embodiment of the surgical instrument of the present invention.
具体实施方式Detailed ways
为了使本发明的目的、技术方案及优点更加清楚明白,以下结合附图及实施例,对本发明进行进一步详细说明。应当理解,此处所描述的具体实施例仅用以解释本发明,并不用于限定本发明。基于本发明中的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例,都属于本发明保护的范围。In order to make the objectives, technical solutions and advantages of the present invention clearer, the present invention will be further described in detail below with reference to the accompanying drawings and embodiments. It should be understood that the specific embodiments described herein are only used to explain the present invention, but not to limit the present invention. Based on the embodiments of the present invention, all other embodiments obtained by those of ordinary skill in the art without creative efforts shall fall within the protection scope of the present invention.
外科器械的用户可以为临床医生,医生在手术中操作外科器械来进行手术。本文所用术语“近”、“后”和“远”、“前”是相对于操纵外科器械的临床医生而言的。术语“近”、“后”是指相对靠近临床医生的部分,术语“远”、“前”则是指相对远离临床医生的部分。“左”、“右”以图1所示的外科器械的位置为参考,例如,端部执行器在“左”,套管在“右”。术语“上”、“下”以端部执行器的抵钉座和钉仓座的相对位置为参考,具体的,抵钉座在“上”,钉仓座在“下”。需要理解的是,“近”“后”“远”“前”“左”“右”“上”“下”这些方位是为了方便描述而进行的定义,然而,外科器械可以在许多方向和位置使用,因此这些表达相对位置关系的术语并不是受限和绝对的。下面通过参考附图描述的实施例是示例性的,旨在用于解释本发明,而不能理解为对本发明的限制。本发明中的连接包括电性连接和机械连接。The user of the surgical instrument may be a clinician, a doctor who manipulates the surgical instrument during surgery to perform surgery. The terms "proximal", "posterior" and "distal", "anterior" are used herein with respect to the clinician manipulating the surgical instrument. The terms "proximal" and "posterior" refer to the part relatively close to the clinician, and the terms "distal" and "anterior" refer to the part relatively far from the clinician. "Left" and "Right" refer to the position of the surgical instrument shown in Figure 1, eg, the end effector is "left" and the cannula is "right". The terms "upper" and "lower" refer to the relative positions of the anvil seat and the staple cartridge seat of the end effector. Specifically, the anvil seat is "upper" and the staple cartridge seat is "lower". It is to be understood that the orientations "near", "rear", "far", "front", "left", "right", "up" and "down" are defined for ease of description, however, surgical instruments can be in many orientations and positions use, so these terms expressing relative positional relationships are not restrictive and absolute. The embodiments described below with reference to the accompanying drawings are exemplary, and are intended to explain the present invention and should not be construed as limiting the present invention. The connection in the present invention includes electrical connection and mechanical connection.
请参阅图1至图4以及图7所示,本发明提供一种外科器械,具体是电动的吻合器100,其包括操作组件10、自操作组件10延伸的杆身组件20及设置于杆身组件20一端的端部执行器30。吻合器100还包括传动机构,传动机构包括第一传动机构和第二传动机构,传动机构位于操作组件10和杆身组件20处,具体的位置关系和功能如下所述。1 to FIG. 4 and FIG. 7 , the present invention provides a surgical instrument, particularly an electric stapler 100 , which includes an operating assembly 10 , a shaft assembly 20 extending from the operating assembly 10 , and a shaft assembly 20 disposed on the shaft. An end effector 30 at one end of the assembly 20 . The stapler 100 further includes a transmission mechanism. The transmission mechanism includes a first transmission mechanism and a second transmission mechanism. The transmission mechanism is located at the operating assembly 10 and the shaft assembly 20. The specific positional relationship and function are described below.
操作组件10包括电源模块、电机70和上述第一传动机构。电源模块由多个电连接的电池组成,对电机80提供电能;第一传动机构连接至电机,当电机获得电能而工作时,电机输出动力而驱动第一传动机构运动。The operating assembly 10 includes a power module, a motor 70 and the above-mentioned first transmission mechanism. The power module is composed of a plurality of electrically connected batteries, which provide electric power to the motor 80; the first transmission mechanism is connected to the motor, and when the motor obtains electric power and works, the motor outputs power to drive the first transmission mechanism to move.
杆身组件20包括芯轴21及套设于芯轴21的套管22,杆身组件20属于第二传动机构上述第一传动机构驱动第二传动机构运动。The shaft assembly 20 includes a mandrel 21 and a sleeve 22 sleeved on the mandrel 21. The shaft assembly 20 belongs to the second transmission mechanism. The first transmission mechanism drives the second transmission mechanism to move.
端部执行器30包括钳口组件和钉仓组件(未标号)。钳口组件包括钉仓座31和可枢转地相连于钉仓座31的抵钉座32,钉仓座31用于可操作地支撑位于其中的钉仓组件,抵钉座32可在打开位置和闭合位置之间选择性地运动,从而与钉仓座31和钉仓组件配合而夹紧或松开组织。套管22的一端连接于端部执行器30的抵钉座32,另一端连接于第一传动机构,第一传动机构可驱动套管22向后和向前移动,套管22的向后移动使得抵钉座32向上枢转以打开端部执行器30,即打开端部执行器30的钳口组件,套管21 的向前移动使得抵钉座32向下枢转以闭合端部执行器30,即闭合端部执行器30的钳口组件。The end effector 30 includes a jaw assembly and a cartridge assembly (not numbered). The jaw assembly includes a cartridge base 31 for operably supporting the cartridge assembly located therein and an anvil 32 pivotally connected to the cartridge base 31, the anvil 32 being in an open position Selectively move between the closed position and the staple cartridge seat 31 and the staple cartridge assembly to clamp or loosen the tissue. One end of the sleeve 22 is connected to the anvil seat 32 of the end effector 30, and the other end is connected to the first transmission mechanism, the first transmission mechanism can drive the sleeve 22 to move backward and forward, and the backward movement of the sleeve 22 The anvil 32 is pivoted upward to open the end effector 30, ie, the jaw assembly of the end effector 30 is opened, and forward movement of the sleeve 21 causes the anvil 32 to pivot downward to close the end effector 30 , the jaw assembly that closes the end effector 30 .
吻合器还包括切割刀组件40,切割刀组件包括推刀件42和不可分离固定至切割刀41。芯轴21具有两端,一端连接于第一传动机构,另一端位于套管22内。推刀件42的一部分位于套管22内且与芯轴21的另一端连接,推刀件42的另一部分与切割刀41连接。在切割和缝合的过程中,切割刀41位于钳口组件的钉仓座31和抵钉座32之间形成的空间内。第一传动机构可驱动芯轴21的向前和向后运动,当安装了钉仓组件时,芯轴21向前移动使得切割刀组件40向前移动,切割组织并推动钉仓组件的吻合钉出钉来缝合组织,芯轴21的向后移动使得切割刀组件40向后移动,以回复至初始位置。由此,吻合器通过上述传动机构实现了电机80到钳口组件和切割刀组件40的动力传递。The stapler also includes a cutting blade assembly 40 , which includes a pushing blade 42 and is inseparably secured to the cutting blade 41 . The mandrel 21 has two ends, one end is connected to the first transmission mechanism, and the other end is located in the sleeve 22 . A part of the pushing element 42 is located in the sleeve 22 and is connected with the other end of the mandrel 21 , and the other part of the pushing element 42 is connected with the cutting knife 41 . During cutting and stapling, the cutting knife 41 is located in the space formed between the cartridge seat 31 and the anvil seat 32 of the jaw assembly. The first transmission mechanism can drive the forward and backward movement of the mandrel 21. When the staple cartridge assembly is installed, the mandrel 21 moves forward so that the cutting blade assembly 40 moves forward, cuts the tissue and pushes the staples of the staple cartridge assembly. The staples are pulled out to staple the tissue, and the rearward movement of the mandrel 21 causes the cutter assembly 40 to move rearward to return to the original position. Thus, the stapler realizes the power transmission from the motor 80 to the jaw assembly and the cutting blade assembly 40 through the above-mentioned transmission mechanism.
由此,电机80通过传动机构先驱动钳口组件闭合而夹紧组织,然后电机80通过传动机构驱动切割刀组件40前进而切割和吻合组织,随后电机80通过传动机构驱动切割刀组件40后退,最后电机80通过传动机构驱动钳口组件打开而松开组织,从而实现吻合器切割及吻合的功能。Thus, the motor 80 first drives the jaw assembly to close through the transmission mechanism to clamp the tissue, then the motor 80 drives the cutting blade assembly 40 forward through the transmission mechanism to cut and staple the tissue, and then the motor 80 drives the cutting blade assembly 40 to retreat through the transmission mechanism. Finally, the motor 80 drives the jaw assembly to open through the transmission mechanism to loosen the tissue, thereby realizing the functions of the stapler for cutting and anastomosis.
操作组件10还包括壳体,壳体按照位置关系包括相连的手柄壳体和头部壳体,头部壳体收容至少部分的传动机构,手柄壳体可供用户握持。当然,在一些实施例中,手柄壳体亦可同时收容部分传动机构。在一些实施例中,手柄壳体的手柄腔体容纳电机80,头部壳体的头部腔体容纳上述电池模块,手柄腔体与头部腔体相连,上述第一传动机构位于头部腔体和手柄腔体内。The operating assembly 10 further includes a casing, which includes a handle casing and a head casing connected in a positional relationship. The head casing accommodates at least part of the transmission mechanism, and the handle casing can be held by a user. Of course, in some embodiments, the handle housing can also accommodate part of the transmission mechanism at the same time. In some embodiments, the handle cavity of the handle case accommodates the motor 80, the head cavity of the head case accommodates the battery module, the handle cavity is connected to the head cavity, and the first transmission mechanism is located in the head cavity body and handle cavity.
操作组件10还包括触发器60和控制模块90,分别连接电源模块来获得电能工作。控制模块90为一块电路板组件90’,收容于壳体内,包括检测单元、控制单元、开关驱动单元和开关单元。触发器电性连接于检测单元,检测单元电性连接于控制单元,控制单元电性连接于开关驱动单元,开关驱动单元电性连接于开关单元。检测单元检测触发器的状态,当被触发时传输一信号给控制单元,控制单元对信号进行分析处理,然后对吻合器执行控制。The operating assembly 10 also includes a trigger 60 and a control module 90, which are respectively connected to the power module to obtain electrical power to work. The control module 90 is a circuit board assembly 90', which is accommodated in the housing and includes a detection unit, a control unit, a switch driving unit and a switch unit. The trigger is electrically connected to the detection unit, the detection unit is electrically connected to the control unit, the control unit is electrically connected to the switch driving unit, and the switch driving unit is electrically connected to the switch unit. The detection unit detects the state of the trigger, and when triggered, transmits a signal to the control unit, and the control unit analyzes and processes the signal, and then controls the stapler.
触发器60包括用于控制电机运行状态的电机控制触发器。当控制单元从该类触发器接收到控制电机的信号时,控制单元生成相应的低电压的PWM信号给开关驱动单元,开关驱动单元对输入的低电压的PWM信号转为为开关单元可用的高电压的PWM信号,输出给开关单元,从而控制开关单元的通断。电源模块通过开关单元连接电机两端,开关单元的通断的频率决定电源模块对电机80供电或断电,从而决定电机的运转状态-电机 的转速和方向。本实施例中,开关单元包括组成H桥的4个Mos开关,H桥的Mos开关的通断决定电源模块对电机80供电或断电,开关驱动单元为Mos驱动芯片。并且,H桥的设计,使得控制单元可控制H桥实现电机的正转或反转。需要说明的是,电机的上述H桥控制和正反转控制,均为现有技术,不再赘述。本实施方式中,控制单元为微控制器芯片。 Trigger 60 includes a motor control trigger for controlling the operating state of the motor. When the control unit receives a signal for controlling the motor from this type of trigger, the control unit generates a corresponding low-voltage PWM signal to the switch drive unit, and the switch drive unit converts the low-voltage PWM signal input to the switch unit into a high-voltage signal available to the switch unit. The PWM signal of the voltage is output to the switch unit, thereby controlling the on-off of the switch unit. The power module is connected to both ends of the motor through the switch unit, and the on-off frequency of the switch unit determines whether the power module supplies or powers off the motor 80, thereby determining the running state of the motor—the speed and direction of the motor. In this embodiment, the switch unit includes four Mos switches forming the H-bridge. The on-off of the Mos switches of the H-bridge determines whether the power supply module supplies or powers off the motor 80 , and the switch driving unit is a Mos driving chip. Moreover, the design of the H-bridge enables the control unit to control the H-bridge to realize the forward or reverse rotation of the motor. It should be noted that, the above-mentioned H-bridge control and forward and reverse rotation control of the motor are all in the prior art, and will not be described again. In this embodiment, the control unit is a microcontroller chip.
触发器60的电机控制触发器包括由用户操作来手动触发的钳口打开开关61、钳口闭合开关62和击发开关63,来控制电机启动和停机。钳口打开开关61、钳口闭合开关62和击发开关63分别具有设置在上述壳体特别是手柄壳体上的一个按键,用户操作按键包括按下按键,可触发对应的开关,该开关通过检测单元向控制单元输入一个电信号,对应钳口打开开关61、钳口闭合开关62和击发开关63的按键分别为第一按键71、第二按键72、第三按键73。本实施例中,所述钳口打开开关61、钳口闭合开关62和击发开关63均为常开开关,控制模块90分别根据所述钳口打开开关61、钳口闭合开关62和击发开关63的触发状态来控制电机的运行状态-启动或停机,从而执行相应的吻合器的动作。触发状态包括触发和不触发。当被触发时所述常开开关转变为闭合状态,产生低电位信号,控制模块90的控制单元获得该低电位信号,控制电机启动,持续获得低电位信号即表示开关被持续触发,当不触发时所述常开开关在打开状态,产生高电平,控制模块90的控制单元获得该高电平信号,控制电机停机。The motor control trigger of trigger 60 includes a jaw open switch 61, a jaw close switch 62 and a firing switch 63 manually activated by user operation to control motor start and stop. The jaw opening switch 61 , the jaw closing switch 62 and the firing switch 63 respectively have a button arranged on the above-mentioned casing, especially the handle casing. The user operates the button including pressing the button, which can trigger the corresponding switch. The unit inputs an electrical signal to the control unit, and the buttons corresponding to the jaw opening switch 61 , the jaw closing switch 62 and the firing switch 63 are the first button 71 , the second button 72 and the third button 73 respectively. In this embodiment, the jaw opening switch 61 , the jaw closing switch 62 and the firing switch 63 are all normally open switches, and the control module 90 is based on the jaw opening switch 61 , the jaw closing switch 62 and the firing switch 63 respectively. The trigger state is used to control the running state of the motor - start or stop, so as to execute the corresponding action of the stapler. Trigger states include trigger and non-trigger. When triggered, the normally open switch is turned into a closed state, and a low-level signal is generated. The control unit of the control module 90 obtains the low-level signal, controls the motor to start, and continuously obtains a low-level signal, which means that the switch is continuously triggered. When the normally open switch is in the open state, a high level is generated, and the control unit of the control module 90 obtains the high level signal and controls the motor to stop.
由此,用户操作第二按键72,触发钳口闭合开关62,控制单元控制电机80运转,驱动钳口组件执行钳口闭合动作,停止操作第二按键72,不触发钳口闭合开关62,控制单元控制电机80停机;用户操作第一按键71,触发钳口打开开关61,控制单元控制电机运转,驱动钳口组件执行钳口打开动作,停止操作第一按键71,不触发钳口打开开关61,控制单元控制电机停机;用户操作第三按键73,触发击发开关63,控制单元控制电机运转,驱动切割刀组件执行进刀动作,在进刀的过程中,停止操作第三按键73,不触发击发开关63,控制单元控制电机停机。Thus, the user operates the second button 72 to trigger the jaw closing switch 62, the control unit controls the motor 80 to run, drives the jaw assembly to perform the jaw closing action, stops operating the second button 72, does not trigger the jaw closing switch 62, and controls The unit controls the motor 80 to stop; the user operates the first button 71 to trigger the jaw opening switch 61 , the control unit controls the motor to run, drives the jaw assembly to perform the jaw opening action, stops operating the first button 71 , and does not trigger the jaw opening switch 61 , the control unit controls the motor to stop; the user operates the third button 73 to trigger the firing switch 63, the control unit controls the motor to run, and drives the cutter assembly to perform the feeding action. When the switch 63 is fired, the control unit controls the motor to stop.
触发器60的电机控制触发器还包括第一行程开关65、第二行程开关66、第三行程开关67和第四行程开关68,来控制电机停机。第一行程开关65、第二行程开关66、第三行程开关67和第四行程开关68设置在壳体特别是头部壳体的头部腔体内,用户无法用手直接触发。The motor control trigger of the trigger 60 further includes a first travel switch 65, a second travel switch 66, a third travel switch 67 and a fourth travel switch 68 to control the motor to stop. The first travel switch 65 , the second travel switch 66 , the third travel switch 67 and the fourth travel switch 68 are arranged in the casing, especially the head cavity of the head casing, and the user cannot directly trigger it by hand.
第一行程开关65和第二行程开关66用于检测钳口组件是否开启到位或闭合到位并通过控制模块90使电机停机从而使抵钉座32停止枢转。抵钉座32在闭合位置时,抵钉 座32的远端和钉仓座31的远端在上下方向的距离最小,两者夹住组织,此时钳口组件处于钳口闭合状态;在钳口闭合状态下执行钳口打开动作,抵钉座32脱离闭合位置进入打开位置,钳口组件从钳口闭合状态进入钳口打开状态;由于结构的限制,抵钉座不能无限制的打开,打开位置包括一个打开到底位置,此时抵钉座32的远端和钉仓座31的远端在上下方向的距离最大,两者完全松开组织,此时钳口组件处于钳口打开到底状态,钳口打开状态包括钳口打开到底状态。第一传动机构包括配合部,配合部包括第一凸块和第二凸块。第一传动机构在驱动套管22向前移动而驱动抵钉座32闭合转动的过程中,抵钉座32达到闭合位置,第一凸块触发第一行程开关65,控制模块90接收第一行程开关65发出的信号并指令电机停止转动,此时,钳口组件已闭合到位,处于钳口闭合状态;第一传动机构在驱动套管22向后移动而驱动抵钉座32打开转动的过程中,第二凸块触发第二行程开关66,控制模块90接收第二行程开关66发出的信号并指令电机停止转动,此时,钳口组件已打开到位,处于钳口打开到底状态。需要说明的是,第一凸块和第二凸块可由一个凸块代替,上述一个凸块在向前移动的过程中触发第一行程开关65,向后移动的过程中触发第二行程开关66。此时,配合部包括上述一个凸块。The first travel switch 65 and the second travel switch 66 are used to detect whether the jaw assembly is opened or closed and the control module 90 stops the motor to stop the anvil 32 from pivoting. When the anvil seat 32 is in the closed position, the distance between the distal end of the anvil seat 32 and the distal end of the staple cartridge seat 31 in the up-down direction is the smallest, and the two clamp the tissue. At this time, the jaw assembly is in the jaw closed state; The jaw opening action is performed in the closed state, the anvil seat 32 leaves the closed position and enters the open position, and the jaw assembly enters the jaw open state from the jaw closed state; The position includes an open bottom position. At this time, the distance between the distal end of the anvil seat 32 and the distal end of the staple cartridge seat 31 is the largest in the vertical direction, and the two completely release the tissue. At this time, the jaw assembly is in a state where the jaws are opened to the end. The jaw open state includes the jaw fully opened state. The first transmission mechanism includes a matching portion, and the matching portion includes a first protrusion and a second protrusion. When the first transmission mechanism drives the sleeve 22 to move forward and drives the anvil seat 32 to close and rotate, the anvil seat 32 reaches the closed position, the first bump triggers the first travel switch 65, and the control module 90 receives the first travel The signal sent by the switch 65 instructs the motor to stop rotating. At this time, the jaw assembly has been closed in place, and the jaws are in a closed state; the first transmission mechanism is driving the sleeve 22 to move backwards and drive the anvil seat 32 to open and rotate. , the second bump triggers the second travel switch 66 , the control module 90 receives the signal from the second travel switch 66 and instructs the motor to stop rotating. At this time, the jaw assembly has been opened in place, and the jaws are in the state of being fully opened. It should be noted that the first bump and the second bump can be replaced by one bump, and the above-mentioned one bump triggers the first travel switch 65 during the forward movement, and triggers the second travel switch 66 during the backward movement . At this time, the fitting portion includes the above-mentioned one bump.
第三行程开关67和第四行程开关68用于检测切割刀组件40所处的位置以判断切割刀组件是否切割到底或退刀到底并通过控制模块90使电机80停机从而使切割刀组件40停止移动。切割刀组件40在上述传动机构的驱动下移动,根据外科器械的工作方式,移动具有固定长度的移动行程,在移动行程内向前或向后运动,移动行程的最远端为向前移动的前止点,即切割完毕的位置,最近端为向前移动的起点和向后移动的后止点。The third travel switch 67 and the fourth travel switch 68 are used to detect the position of the cutting knife assembly 40 to determine whether the cutting knife assembly cuts to the end or retracts the knife to the end and stops the motor 80 through the control module 90 to stop the cutting knife assembly 40 move. The cutting blade assembly 40 moves under the driving of the above-mentioned transmission mechanism, and moves a moving stroke with a fixed length according to the working mode of the surgical instrument, and moves forward or backward within the moving stroke, and the farthest end of the moving stroke is the front moving forward. The dead point is the position where the cutting is completed, and the nearest end is the starting point of the forward movement and the rear dead point of the backward movement.
如上文所述的切割刀组件40,切割刀与推刀件为不可分离设置,推刀件推动着切割刀前进击发,推刀件被驱动在初始位置与击发到底位置之间往复移动,在推刀件带动切割刀由初始位置运动到击发到底位置后,也就是完成击发后,传动装置驱动推刀件向初始位置复位时,切割刀被一并带动回归至初始位置。在另一个可选的实施例中,切割刀与推刀件为分离设置。在推刀件带动切割刀由初始位置运动到击发到底位置后,也就是完成击发后,推刀件被驱动向初始位置复位时,切割刀并不随之一起移动,而是留在击发到底位置。As in the above-mentioned cutting knife assembly 40, the cutting knife and the push-knife member are inseparable. After the knife piece drives the cutting knife to move from the initial position to the firing bottom position, that is, after the firing is completed, when the transmission device drives the pushing knife piece to reset to the initial position, the cutting knife is also driven to return to the initial position. In another optional embodiment, the cutting blade and the blade pushing member are provided separately. After the knife pusher drives the cutting knife to move from the initial position to the firing bottom position, that is, after the firing is completed, when the knife pusher is driven to reset to the initial position, the cutting knife does not move with it, but stays in the firing bottom position.
因此,在本发明某些可选的实施例中,由于切割刀可能并不随推刀件一起复位至初始位置,也就是切割刀组件40并非所有部件均能在初始位置与击发到底位置之间往复移动,因此切割刀组件40所处位置是以推刀件为基准的。Therefore, in some optional embodiments of the present invention, since the cutting blade may not be reset to the initial position together with the pushing member, that is, not all parts of the cutting blade assembly 40 can reciprocate between the initial position and the firing bottom position. Therefore, the position of the cutter assembly 40 is based on the pusher.
在本发明各个实施例中,切割刀位于推刀件的前方,可将推刀件的前端或者与切割 刀接触的部位作为基准部位。当该基准部位位于初始位置或击发到底位置时,可认为推刀件处于相应的位置。In various embodiments of the present invention, the cutting blade is located in front of the blade pushing member, and the front end of the blade pushing member or the part in contact with the cutting blade can be used as a reference position. When the reference position is at the initial position or the firing bottom position, it can be considered that the pusher is at the corresponding position.
在本实施例中,初始位置为切割刀未接触到组织的位置,可以为上述后止点。击发到底位置为切割刀走完钉仓座的满行程后的位置,也就是完成击发动作后所处的位置,可以为上述的前止点。In this embodiment, the initial position is the position where the cutting blade does not contact the tissue, which may be the above-mentioned rear dead center. The firing bottom position is the position after the cutting knife completes the full stroke of the staple cartridge seat, that is, the position after the firing action is completed, which can be the above-mentioned front dead point.
击发前,切割刀组件40位于初始位置;进行击发,切割刀组件40从初始位置向击发到底位置移动,进行切割组织,并停止在移动行程的中间点,或最终到达击发到底位置;进行退刀,切割刀组件从中间点或击发到底位置向后移动,直至回到初始位置。定义切割刀组件40位于初始位置时切割刀组件处于切割刀初始状态,切割刀组件40离开初始位置的状态为出刀状态,包括位于中间点或击发到底位置时;切割刀组件位于击发到底位置时切割刀组件处于出刀到底状态;根据是否发生击发,切割刀初始状态又分为两个不同状态——未出刀状态和退刀完毕状态,如未发生击发且位于初始位置,则处于未出刀状态,如已发生击发且位于初始位置,则处于退刀完毕状态。Before firing, the cutting blade assembly 40 is at the initial position; for firing, the cutting blade assembly 40 moves from the initial position to the firing bottom position, cuts the tissue, and stops at the middle point of the moving stroke, or finally reaches the firing bottom position; the knife is retracted , the cutter assembly moves backwards from the middle point or the firing bottom position until it returns to the initial position. It is defined that when the cutting blade assembly 40 is at the initial position, the cutting blade assembly is in the initial state of the cutting blade, and the state when the cutting blade assembly 40 leaves the initial position is the knife-out state, including when it is located at the middle point or at the bottom of the firing position; when the cutting blade assembly is at the bottom of the firing position The cutting knife assembly is in the state of the end of the knife; according to whether the firing occurs, the initial state of the cutting knife is divided into two different states - the state of not firing the knife and the state of retracting the knife. The knife state, if the firing has occurred and is in the initial position, it is in the state of retracting the knife.
上述第一传动机构的配合部还包括第三凸块和第四凸块。第一传动机构通过芯轴21驱动切割刀组件40向前移动的过程中,到达前止点,第三凸块触发第三行程开关67,控制模块90接收到第三行程开关67发出的信号并指令电机停止转动,此时,切割刀组件40切割到底;第一传动机构通过芯轴31驱动切割刀组件40向后移动的过程中,到达后止点,第四凸块触发第四行程开关68,控制模块90接收到第四行程开关发出的信号并指令电机停止转动,此时,切割刀组件退刀完毕,即退刀到底。需要说明的是,第三凸块和第四凸块可由一个凸块代替。The matching portion of the above-mentioned first transmission mechanism further includes a third protrusion and a fourth protrusion. When the first transmission mechanism drives the cutting blade assembly 40 to move forward through the mandrel 21, when it reaches the front dead center, the third bump triggers the third travel switch 67, and the control module 90 receives the signal sent by the third travel switch 67 to The motor is instructed to stop rotating. At this time, the cutting blade assembly 40 cuts to the end; when the first transmission mechanism drives the cutting blade assembly 40 to move backward through the mandrel 31, it reaches the rear dead center, and the fourth bump triggers the fourth travel switch 68. , the control module 90 receives the signal sent by the fourth travel switch and instructs the motor to stop rotating. At this time, the cutting knife assembly is completely retracted, that is, the knife is retracted to the end. It should be noted that the third bump and the fourth bump may be replaced by one bump.
本实施例中,所述第一行程开关65、第二行程开关66、第三行程开关67和第四行程开关68同样均为常开开关,当被触发时控制电机停机。In this embodiment, the first travel switch 65 , the second travel switch 66 , the third travel switch 67 and the fourth travel switch 68 are also normally open switches, which control the motor to stop when triggered.
进一步的,当用户触发击发开关63并保持触发,电机80正转,执行进刀动作直至触发第三行程开关67,控制单元控制电机停机,此时,用户松开第三按键73,不再触发击发开关63,则控制单元自动控制电机80反转,执行退刀动作,切割刀组件40向后移动,直至触发第四行程开关68而停机。从而在切割刀组件40完成击发时,通过松开第三按键61而自动一步退刀,节省了使用者的操作时间。Further, when the user triggers the firing switch 63 and keeps it triggered, the motor 80 rotates forward, and performs the feeding action until the third stroke switch 67 is triggered, and the control unit controls the motor to stop. At this time, the user releases the third button 73 and no longer triggers When the switch 63 is fired, the control unit automatically controls the motor 80 to reversely rotate to perform the knife retracting action, and the cutting knife assembly 40 moves backward until the fourth travel switch 68 is triggered to stop. Therefore, when the cutting knife assembly 40 finishes firing, the knife is automatically retracted in one step by releasing the third button 61, which saves the user's operation time.
需要说明的是,第一传动机构的第一组件驱动套管22移动进而驱动钳口组件打开和闭合,第一传动机构的第二组件驱动芯轴31移动进而驱动切割刀组件40进刀和退刀,第一组件与第二组件不同时动作,以满足钳口组件与切割刀组件40之间的动作逻辑关系。 第一组件包括第一凸块和第二凸块,或者,第一组件包括代替第一凸块和第二凸块的一个凸块。第二组件包括第三凸块和第四凸块,或者,第二组件包括代替第三凸块和第四凸块的一个凸块。It should be noted that the first component of the first transmission mechanism drives the sleeve 22 to move and then drives the jaw assembly to open and close, and the second component of the first transmission mechanism drives the mandrel 31 to move to drive the cutting knife assembly 40 to advance and retract. For the knife, the first component and the second component do not act at the same time, so as to satisfy the action logic relationship between the jaw component and the cutting blade component 40 . The first assembly includes a first bump and a second bump, or the first assembly includes one bump in place of the first bump and the second bump. The second assembly includes the third bump and the fourth bump, or the second assembly includes one bump in place of the third bump and the fourth bump.
上述为采用四个行程开关与凸起的配合这种机械方式来标定钳口打开/闭合到位以及击发/退刀到位的实施例。但识别钳口打开/闭合、击发/退刀是否到位,并不仅限于上述采用行程开关与凸起发生机械接触这一种实施例。事实上,钳口的打开和闭合,以及切割刀组件40的击发和退刀是由电机80分别通过驱动套管22和芯轴21来实现的。因此,在其他可替换的实施例中,可通过检测套管22和芯轴21的轴向位移,或者电机80的转过圈数,也同样可以识别钳口是否打开/闭合到位,以及切割刀组件40是否击发/退刀到位。The above is an embodiment in which four stroke switches and protrusions are used to calibrate the opening/closing position of the jaws and the firing/retracting position of the knife in a mechanical manner. However, identifying whether the jaws are opened/closed, and whether the firing/retraction is in place is not limited to the above-mentioned embodiment of using a travel switch to make mechanical contact with the protrusion. In fact, the opening and closing of the jaws, and the firing and retraction of the cutter assembly 40 are accomplished by the motor 80 by driving the sleeve 22 and the mandrel 21, respectively. Therefore, in other alternative embodiments, by detecting the axial displacement of the sleeve 22 and the mandrel 21, or the number of revolutions of the motor 80, it is also possible to identify whether the jaws are opened/closed in place, and whether the cutting blade is in place. Whether the assembly 40 is fired/retracted in place.
具体的,以钳口打开和闭合为例进行说明。如上文描述,电机80驱动套管82向前移动,可使钳口组件由打开状态向闭合状态切换。反之,电机80驱动套管82向后移动,可使钳口组件由闭合状态向打开状态切换。钳口组件由打开到底切换至闭合到底,或者由闭合到底切换至打开到底的过程中,套管82的轴向移动距离一定,而电机80驱动套管82轴向移动一定距离所转过的圈数也是固定的。Specifically, the opening and closing of the jaws are taken as an example for description. As described above, the motor 80 drives the sleeve 82 to move forward, which can switch the jaw assembly from the open state to the closed state. Conversely, the motor 80 drives the sleeve 82 to move backward, so that the jaw assembly can be switched from the closed state to the open state. During the process of switching the jaw assembly from opening to closing, or switching from closing to opening to the end, the axial movement of the sleeve 82 is a certain distance, and the motor 80 drives the sleeve 82 to move axially for a certain distance. The number is also fixed.
基于此,在一个可选的实施例中,可通过在套管82上设置位移传感器或者接近传感器来检测套管82的轴向移动距离,来判断套管82向前或向后移动是否到位,进而反映钳口组件是否闭合到底或打开到底。Based on this, in an optional embodiment, a displacement sensor or a proximity sensor may be provided on the sleeve 82 to detect the axial movement distance of the sleeve 82 to determine whether the sleeve 82 moves forward or backward in place, In turn, it reflects whether the jaw assembly is fully closed or fully opened.
上述位移传感器或者接近传感器等距离检测元件也可被其他形式的构造所替换,举例,如光电传感器、红外传感器等,不在此一一列举。The above-mentioned distance detection elements such as displacement sensors or proximity sensors can also be replaced by other forms of structures, such as photoelectric sensors, infrared sensors, etc., which are not listed here.
由上可知,原理为利用四个位置检测单元分别检测四个位置状态:切割刀组件位于初始位置,切割刀组件位于切割到底位置,钳口组件位于打开位置,钳口组件位于闭合到底位置。As can be seen from the above, the principle is to use four position detection units to detect four position states: the cutting blade assembly is at the initial position, the cutting blade assembly is at the cutting end position, the jaw assembly is at the open position, and the jaw assembly is at the closed end position.
电机的数量为一个,第一传动机构包括齿轮、离合机构,齿轮被电机驱动,齿轮通过离合机构选择性地驱动第一组件、第二组件以实现动作逻辑关系,第一组件可以是与离合机构配合的推杆,第二组件可以是与离合机构配合的齿条,上述第一传动机构的具体结构组成参见申请人的在先申请CN202010365525.0,在此不再赘述。或者,电机的数量为两个,第一传动机构包括两个齿轮,每个齿轮分别被不同的电机驱动,第一组件包括第一齿条,第二组件包括第二齿条,第一齿条、第二齿条分别与不同的齿轮相啮合,通过不同电机的启停,实现动作逻辑关系,上述内容是现有技术,在此不再赘述。The number of motors is one, the first transmission mechanism includes a gear and a clutch mechanism, the gear is driven by the motor, and the gear selectively drives the first component and the second component through the clutch mechanism to achieve an action logic relationship, and the first component can be connected with the clutch mechanism. The matched push rod and the second component may be a rack matched with the clutch mechanism. For the specific structural composition of the first transmission mechanism, please refer to the applicant's previous application CN202010365525.0, which will not be repeated here. Alternatively, the number of motors is two, the first transmission mechanism includes two gears, each gear is driven by a different motor, the first assembly includes a first rack, the second assembly includes a second rack, and the first rack , The second rack is meshed with different gears respectively, and the action logic relationship is realized by starting and stopping of different motors. The above content is the prior art and will not be repeated here.
进一步的,所述外壳还设置有用户手动按下的强制退刀按键79,机械连接到第三行程开关67。当击发动作中,停止触发击发开关,而电机停止正转、切割刀组件未击发到底处于中间点时,用户可选择强制退刀,方式为按下强制退刀按键79,强制退刀按键触发第三行程开关67,此时控制单元接收到该开关的低电平信号而启动电机反转,直到触发第四行程开关69停止反转,实现强制一步退刀到底。Further, the casing is also provided with a forced retract button 79 manually pressed by the user, which is mechanically connected to the third travel switch 67 . During the firing action, stop triggering the firing switch, and the motor stops rotating forward, and the cutting knife assembly is not fired to the end at the middle point, the user can choose to force the knife to retract by pressing the forced retract button 79, and the forced retract button triggers the first The three-stroke switch 67, at this time, the control unit receives the low level signal of the switch and starts the motor to reverse, until the fourth stroke switch 69 is triggered to stop the reverse rotation, realizing the forced one-step retraction to the end.
需要说明的是,在一个执行周期内,需要吻合器顺序执行钳口闭合动作、击发动作、退刀动作和钳口打开动作来完成整个工作过程,而对应整个工作过程的上述四个动作,优选地当采用同一个电机对第一传动机构的第一组件和第二组件提供动力时,是由控制模块90顺序地驱动电机正转、正转、反转、反转来依次顺序驱动第一组件、第二组件、第二组件、第一组件,最终实现顺序地执行钳口闭合动作、击发动作、退刀动作和钳口打开动作。It should be noted that in one execution cycle, the stapler needs to perform the jaw closing action, firing action, retracting action and jaw opening action in sequence to complete the entire working process, and the above four actions corresponding to the entire working process are preferably When the same motor is used to provide power to the first component and the second component of the first transmission mechanism, the control module 90 sequentially drives the motor forward, forward, reverse, and reverse to drive the first components in sequence. , the second component, the second component, the first component, and finally realize the sequential execution of the jaw closing action, the firing action, the retracting action and the jaw opening action.
触发器60还包括由用户操作来手动触发的保险开关69,电性连接于控制模块90。保险开关69具有设置在上述壳体特别是手柄壳体上的一个按键,为第四按键74,用户操作按键包括按下按键,可触发对应的开关,该开关通过检测单元向控制单元输入一个电信号。控制模块90还包括一个定时单元,设置有一个预设时间,例如15s,定时单元启动,开始计时,计时达到预设时间时,定时单元关闭,计时清零。定时单元可以是独立于微控制器的电路模块,也可以是微控制器自带的定时单元。吻合器还包括计时指示模块,电性连接于控制单元,具有两个功能:第一功能:用于指示定时单元达到了预设时间,告知用户该状态;第二功能:用于指示定时单元计时工作的实时的时间长度,使用户获知经过的时间长度,当定时单元开启时,控制模块90同时开启计时指示模块实现第二功能。例如定时单元计时了10s,则计时指示模块则指示经过了10s。The trigger 60 also includes a safety switch 69 that is manually triggered by user operation, and is electrically connected to the control module 90 . The safety switch 69 has a button arranged on the above-mentioned casing, especially the handle casing, which is the fourth button 74. The user operates the button including pressing the button, which can trigger the corresponding switch. The switch inputs a power input to the control unit through the detection unit. Signal. The control module 90 also includes a timing unit, which is set with a preset time, for example, 15s. The timing unit starts and starts timing. When the timing reaches the preset time, the timing unit is turned off and the timing is cleared. The timing unit can be a circuit module independent of the microcontroller, or it can be a timing unit that comes with the microcontroller. The stapler also includes a timing indication module, which is electrically connected to the control unit and has two functions: the first function: used to indicate that the timing unit has reached the preset time, and inform the user of the state; the second function: used to instruct the timing unit to count the time The real-time working time length enables the user to know the elapsed time length. When the timing unit is turned on, the control module 90 simultaneously turns on the timing indicating module to realize the second function. For example, if the timing unit counts for 10s, the timing indicating module indicates that 10s has elapsed.
当钳口组件处于钳口打开状态,控制模块90控制保险开关69处于失效状态,控制击发开关63处于失效状态;当执行钳口闭合动作,钳口组件从钳口打开状态转为钳口闭合状态,控制模块90控制保险开关69从失效状态转为有效状态、钳口闭合开关62从有效状态转为失效状态;用户首次触发有效状态下的保险开关69,则定时单元开启并计时,同时计时指示模块开启;当定时单元达到预设时间时,控制模块90关闭定时单元、控制计时指示模块指示达到预设时间,并控制保险开关69从有效状态转为失效状态、击发开关63从失效状态转为有效状态。保险开关69处于有效状态时击发开关63保持失效状态,即此时即使用户操作击发开关63,但击发开关63不起作用,吻合器不会击发。When the jaw assembly is in the jaw open state, the control module 90 controls the safety switch 69 to be in a disabled state, and controls the firing switch 63 to be in a disabled state; when the jaw closing action is performed, the jaw assembly changes from the jaw open state to the jaw closed state , the control module 90 controls the safety switch 69 to change from the invalid state to the valid state, and the jaw closing switch 62 to change from the valid state to the invalid state; the user triggers the safety switch 69 in the valid state for the first time, then the timing unit is turned on and timed, and the timing indication is at the same time The module is turned on; when the timing unit reaches the preset time, the control module 90 closes the timing unit, controls the timing indicating module to indicate that the preset time is reached, and controls the safety switch 69 to change from the valid state to the invalid state, and the firing switch 63 to change from the invalid state to valid state. When the safety switch 69 is in an active state, the firing switch 63 remains in an inactive state, that is, even if the user operates the firing switch 63, the firing switch 63 does not work, and the stapler will not be fired.
由此,保险开关63、定时单元、计时指示模块形成了便于用户获知已充分压榨的压 榨保持机构,压榨保持机构可使得钳口组件对目标组织的压榨持续一定时长,组织液排除更加充分,即压榨保持机构可以在一定时长内不允许切割刀组件向前移动并且保持钳口组件闭合以提升钳口组件对于组织的压榨效果。上述方案中,上述定时单元和计时指示模块的组合,一方面,确保足量的压榨时间,保证压榨效果,另一方面,便于用户获知已达到预设的压榨时间,掌握手术节奏,提升用户体验。上述方案中,钳口闭合开关62、保险开关69和击发开关63三个开关的有效状态和失效状态切换,第一,使得钳口闭合、压榨计时、击发三个动作有固定的顺序,必须先钳口闭合再压榨计时最后击发,击发前的两个动作缺一不可且不能调换顺序,第二,同一时刻三个开关之间只有一个开关在有效状态,保证三个动作不能相互影响。上述方案中,上述保险开关69便于医生自主控制何时开始压榨保持机构的计时:吻合器的使用中,钳口组件的一次闭合来夹住组织可能不会一步到位,例如可能会组织夹歪了、夹多了或夹少了,需要调整,若未充分准备好而开启压榨计时会导致虽然计时指示模块的计时已结束但实际压榨时间不足,医生无法准确获知实际压榨时间,组织液未充分排出而启动击发,击发效果差,而在上述方案采用上述保险开关69开启压榨计时,则在一方面,在计时开始前医生将有充分的时间观察和调整钳口组件夹持组织的位置,直至其达到对组织的最佳的夹持位置,另一方面,最佳的夹持位置时医生再主动触发保险开关69对压榨时间计时,保证预设时间对组织充分压榨,组织进入最佳压榨状态,保证后续击发的效果。As a result, the safety switch 63, the timing unit, and the timing indication module form a pressing holding mechanism that is convenient for the user to know that the pressing has been fully squeezed. The retention mechanism may not allow forward movement of the cutting blade assembly for a certain period of time and keep the jaw assembly closed to enhance the pressing effect of the jaw assembly on the tissue. In the above solution, the combination of the timing unit and the timing indication module, on the one hand, ensures a sufficient amount of pressing time and ensures the pressing effect; . In the above scheme, the valid state and the invalid state of the three switches of the jaw closing switch 62, the safety switch 69 and the firing switch 63 are switched. First, the three actions of jaw closing, pressing timing and firing have a fixed sequence, which must be performed first. The jaws are closed and then squeezed and the timing is finally fired. The two actions before firing are indispensable and cannot be exchanged. Second, only one switch is active between the three switches at the same time to ensure that the three actions cannot affect each other. In the above solution, the above-mentioned safety switch 69 is convenient for the doctor to control the timing of when to start pressing the holding mechanism: in the use of the stapler, one closing of the jaw assembly to clamp the tissue may not be in place in one step, for example, the tissue may be clamped crookedly. , Too many clips or too few clips, need to be adjusted. If the pressing timer is turned on without sufficient preparation, the actual pressing time will be insufficient although the timing of the timing indicator module has ended. The doctor cannot accurately know the actual pressing time, and the tissue fluid is not fully discharged. Start firing, the firing effect is poor, and in the above scheme, the above-mentioned safety switch 69 is used to start the pressing timing, on the one hand, before the timing starts, the doctor will have sufficient time to observe and adjust the position of the jaw assembly to clamp the tissue until it reaches The optimal clamping position for the tissue, on the other hand, when the optimal clamping position is in place, the doctor actively triggers the safety switch 69 to time the pressing time to ensure that the tissue is fully pressed for the preset time, and the tissue enters the optimal pressing state to ensure The effect of subsequent shots.
当压榨保持机构被关闭时,一种情况是压榨计时动作完成,吻合器可执行击发动作,另一种情况是压榨计时动作中断,吻合器退回至钳口动作而不能击发。具体的,关闭压榨保持机构有以下三种方式:When the press retention mechanism is closed, either the press timing action is complete and the stapler can perform the firing action, or the press timing action is interrupted and the stapler returns to the jaw action without firing. Specifically, there are three ways to close the press holding mechanism:
第一种方式:如上所述,当定时单元计时达到预设时间时,控制模块90关闭定时单元,控制计时指示模块指示达到预设时间,并且控制击发开关63从失效状态转为有效状态,控制保险开关69从有效状态转为失效状态。即压榨计时动作完成。上述方案中,达到预设时间时自动关闭压榨保持机构,击发开关才转为有效,保证了充分的压榨时间,可以提升压榨效果;计时指示模块一直指示达到所述预设时间,保持告知医生压榨已完成,医生可自主选择何时击发,例如做一些准备工作后才启动击发,提升用户体验。The first way: as described above, when the timing unit reaches the preset time, the control module 90 turns off the timing unit, controls the timing indicating module to indicate that the preset time is reached, and controls the firing switch 63 to change from the invalid state to the valid state, and controls the The safety switch 69 goes from the active state to the inactive state. That is, the pressing timing action is completed. In the above scheme, when the preset time is reached, the pressing holding mechanism is automatically turned off, and the firing switch becomes effective, which ensures sufficient pressing time and can improve the pressing effect; Completed, the doctor can choose when to fire independently, for example, start firing after doing some preparations to improve the user experience.
第二种方式:若医生认为待切割和缝合的组织适合于直接切割和缝合或短时间的压榨,不必施以一定时长的压榨,为节约时间,可以采用第二种方式——保险开关69处于有效状态下,首次触发保险开关69,定时单元计时中且未达到所述预设时间时,再次触发保险开关69,所述控制模块90关闭定时单元,控制所述计时指示模块指示达到所述 预设时间,并且控制保险开关69从有效状态转为失效状态、控制击发开关63从失效状态转为有效状态。即压榨计时动作完成。虽然定时模块未达到预设时间,但计时指示模块指示达到预设时间,其目的为向用户表示压榨计时动作完成,可以击发。上述方案中,用户不愿意等待而主动关闭压榨保持机构,提升用户体验;同时,计时指示模块依然一直指示达到预设时间,以提示用户可以随时击发,提升用户体验。The second method: If the doctor thinks that the tissue to be cut and sutured is suitable for direct cutting and suture or short-term pressing, it is not necessary to perform pressing for a certain period of time. To save time, the second method can be used - the safety switch 69 is in the In the valid state, the safety switch 69 is triggered for the first time, and when the timing unit is timing and the preset time is not reached, the safety switch 69 is triggered again, the control module 90 closes the timing unit, and controls the timing indicating module to indicate that the preset time is reached. Set the time, and control the safety switch 69 from the active state to the inactive state, and control the firing switch 63 from the inactive state to the active state. That is, the pressing timing action is completed. Although the timing module has not reached the preset time, the timing indication module indicates that the preset time has been reached, and its purpose is to indicate to the user that the pressing timing action is completed and can be fired. In the above solution, the user does not want to wait and actively closes the pressing and holding mechanism to improve the user experience; at the same time, the timing indication module still indicates that the preset time has been reached, so as to remind the user that the shot can be fired at any time and improve the user experience.
第三种方式:当进入压榨计时动作时,有可能医生需要重新调整钳口组件夹持组织,不需要进入击发动作,此时可以采取第三种方式——保险开关69处于有效状态下,首次触发保险开关69,定时单元计时中且未达到所述预设时间时,触发所述钳口打开开关,所述控制模块90关闭所述定时单元和计时指示模块,控制钳口组件执行钳口打开动作,并且控制所述保险开关69从有效状态转为失效状态、控制所述钳口闭合开关从失效状态转为有效状态。即压榨计时动作中断。在压榨计时动作中,钳口打开开关一直保持有效状态。上述方案,为用户主动关闭压榨保持机构,压榨计时动作中也可随时退回到钳口打开状态并且再次执行钳口闭合动作,执行重新的夹持位置调整,这样的设计,使在击发之前医生有更多的时间来考虑是否击发,提升了吻合器的易操作性,提升用户体验。需要说明的是,当保险开关69处于有效状态,如果保险开关69未被首次触发,定时单元和计时指示模块也未启动,此时依然可以通过触发钳口打开开关从而打开钳口组件以实现上述目的。The third method: When entering the pressing timing action, it is possible that the doctor needs to readjust the jaw assembly to clamp the tissue, and does not need to enter the firing action. At this time, the third method can be adopted - the safety switch 69 is in an effective state, the first time Trigger the safety switch 69, when the timing unit is timing and the preset time is not reached, trigger the jaw opening switch, the control module 90 closes the timing unit and the timing indication module, and controls the jaw assembly to perform jaw opening act, and control the safety switch 69 to change from the valid state to the invalid state, and control the jaw closing switch to turn from the invalid state to the valid state. That is, the pressing timing action is interrupted. During the pressing timing action, the jaw opening switch remains active all the time. The above scheme, for the user to actively close the pressing holding mechanism, can also return to the jaw open state at any time during the pressing timing action and perform the jaw closing action again to perform a new clamping position adjustment. More time to consider whether to fire, improve the ease of operation of the stapler, and improve the user experience. It should be noted that when the safety switch 69 is in an active state, if the safety switch 69 is not triggered for the first time, and the timing unit and the timing indicating module are not activated, the jaw assembly can still be opened by triggering the jaw opening switch to achieve the above. Purpose.
在上述第一种和第二种方式下,压榨计时动作完成,计时指示模块将一直保持指示达到预设时间,来告知吻合器已完成压榨、用户随时可以击发。进一步的,可以有如下两种动作选择:第一种动作选择为常规的击发,用户触发击发开关63,吻合器执行进刀动作,第二种动作选择为关闭计时指示模块并且在执行顺序上退回以执行钳口动作,如下:击发开关63处于有效状态且所述切割刀组件40处于切割刀初始状态时,钳口打开开关61处于有效状态,触发所述钳口打开开关61,所述控制模块90关闭所述计时指示模块,控制钳口组件执行钳口打开动作,并且控制所述钳口闭合开关62从失效状态转为有效状态。当通过第一种方式和第二种方式完成了压榨计时动作时,用户可随时初次击发,此时,上述方案(即第二种动作选择)提供给了用户仍然可退回到钳口闭合动作的选择,执行重新的夹持位置调整。这样的设计,效果与第三种方式相同,使在击发之前医生有更多的时间考虑是否激发,提升了吻合器的易操作性,提升用户体验。In the first and second ways above, when the pressing timing action is completed, the timing indication module will keep indicating the preset time to inform the stapler that the pressing has been completed and the user can fire at any time. Further, there can be the following two action options: the first action option is conventional firing, the user triggers the firing switch 63, and the stapler executes the knife feeding action, and the second action option is to close the timing indication module and return in the execution sequence. To perform the jaw action, as follows: when the firing switch 63 is in an active state and the cutter assembly 40 is in the initial state of the cutter, the jaw opening switch 61 is in an active state, triggering the jaw opening switch 61, the control module 90 Turn off the timing indication module, control the jaw assembly to perform a jaw opening action, and control the jaw closing switch 62 to change from a disabled state to an active state. When the pressing timing action is completed by the first method and the second method, the user can fire for the first time at any time. At this time, the above solution (ie, the second action option) provides the user with the possibility of returning to the jaw closing action. Select to perform a new clamping position adjustment. Such a design has the same effect as the third method, so that the doctor has more time to consider whether to activate or not before firing, which improves the ease of operation of the stapler and improves the user experience.
以上,压榨保持机构运行完毕包括:按压第四按键74并即刻释放,定时单元和计时指示模块开始工作直到工作完毕,达到预设时间;压榨保持机构运行被终止包括:按 压第四按键74并即刻释放,在预设时间内再次按压第四按键74并即刻释放;压榨保持机构运行被中断包括:按压第一按键71。预设时间,即压榨持续时间,也可以设定为10秒、20秒、30秒、40秒、50秒和60秒,10秒的压榨效果差一些,但尚可接受,在15秒至60秒的区间,时间越久压榨效果越好但压榨效果不随着时间延长而线性提升,但超过15s,用户会感觉等待时间过久,影响用户的使用体验。将压榨保持时间设定为15秒,是在等待时间和压榨效果之间取得的平衡点。Above, the completion of the operation of the pressing holding mechanism includes: pressing the fourth button 74 and releasing it immediately, the timing unit and the timing indicating module start to work until the work is completed and the preset time is reached; the operation of the pressing holding mechanism is terminated includes: pressing the fourth button 74 and immediately Release, press the fourth button 74 again within a preset time and release it immediately; the operation of the pressing holding mechanism is interrupted includes: pressing the first button 71 . The preset time, the pressing duration, can also be set to 10 seconds, 20 seconds, 30 seconds, 40 seconds, 50 seconds and 60 seconds, the pressing effect of 10 seconds is less effective, but acceptable, between 15 seconds and 60 seconds In the interval of seconds, the longer the time, the better the squeezing effect, but the squeezing effect does not increase linearly with the extension of time, but if it exceeds 15s, the user will feel that the waiting time is too long, which will affect the user's experience. Setting the pressing hold time to 15 seconds is a balance between waiting time and pressing effect.
上述压榨计时动作完成后,进入击发动作,用户操作击发开关63执行进刀动作,之后又执行退刀动作,当切割刀组件40从出刀状态转为退刀完毕状态时,控制模块90才控制关闭计时指示模块,可进入钳口打开动作。也就是说,在击发动作和退刀动作期间,计时指示模块也将一直保持一种指示状态即指示达到预设时间,表示压榨保持已完成的信息,这样的计时指示模块很好的提醒医生当前正处于切割刀组件准备出刀状态或出刀状态,切割刀即将作用施加于人体组织或正施加于人体组织,应当谨慎操作;彻底退刀时计时指示模块同时关闭,这样的关闭动作又起到提示用户退刀完成的作用,切割刀42进入安全位置,无法作用在人体组织上。反向地,假设在压榨计时动作完成并首次触发击发开关63时,计时指示模块即关闭,则达不到上述有益效果,击发动作、退刀动作和钳口打开动作无边界感,用户体验不佳。After the above-mentioned pressing timing action is completed, the firing action is entered, and the user operates the firing switch 63 to execute the knife feeding action, and then execute the knife retracting action. Close the timing indicator module to enter the jaw opening action. That is to say, during the firing action and the retracting action, the timing indication module will also keep an indication state, that is, the preset time is reached, indicating that the pressing has been completed. Such timing indication module is a good reminder for the doctor. When the cutting knife assembly is in the state of readying to take out the knife or the knife is out of the knife, the cutting knife is about to be applied to human tissue or is being applied to human tissue, so it should be handled with caution; when the knife is completely retracted, the timing indicator module will be closed at the same time, and this closing action will play a role in The function of prompting the user to withdraw the knife to complete, the cutting knife 42 enters a safe position and cannot act on human tissue. Conversely, if the timing indication module is turned off when the pressing timing action is completed and the firing switch 63 is triggered for the first time, the above beneficial effects cannot be achieved. good.
所述计时指示模块指示的最大时间长度为上述预设时间。The maximum time length indicated by the timing indication module is the above preset time.
本实施例中,所述计时指示模块为设置在所述壳体特别是头部壳体上、可被用户直接观察到的计时显示模块110,包括指示灯,例如,所述指示灯包括多颗LED灯,且多颗LED灯依序点亮,第一颗LED灯被点亮以指示开始计时,最后一颗LED灯被点亮以指示结束计时。可根据需要设置LED灯的数量、排列形式、颜色与点亮的时间间隔,例如,可设置4颗LED灯,按照线性排列于手柄组件上,所述控制模块每隔5秒点亮1颗LED灯,并持续保持点亮状态,实时的灯亮的个数即实现指示定时单元计时工作的实时的时间长度。结束计时后,全部LED灯保持点亮状态,即指示定时单元达到了预设时间,4颗LED全部点亮即经过了15秒。也可选择其它数量的LED灯,例如,5颗、6颗等。点亮的时间间隔也可以设置,例如为1秒、4秒、10秒等。在其它实施例中,采用多颗LED依序熄灭的方式,所有LED灯点亮以指示开始计时,熄灭到仅剩最后一颗LED灯点亮已指示结束计时,在击发动作完成前该最后一个LED保持点亮,当击发动作完成,则熄灭该最后一刻LED灯,即关闭计时指示模块。上述采用计时显示模块的方式,LED灯的点亮或熄灭状态的改变以指示达到了预设时间,点亮的状态改变即点亮的个数逐渐增多且 增多至预定个数即表示达到预设时间,熄灭的状态改变即熄灭的个数逐渐增多且增多至另一预定个数即表示达到预设时间。In this embodiment, the timing indication module is a timing display module 110 disposed on the casing, especially the head casing, which can be directly observed by the user, and includes an indicator light. For example, the indicator light includes a plurality of LED lights, and multiple LED lights are lit in sequence, the first LED light is lit to indicate the start of the timing, and the last LED light is lit to indicate the end of the timing. The number, arrangement, color and lighting time interval of LED lights can be set as required. For example, 4 LED lights can be set and arranged on the handle assembly in a linear manner. The control module lights up 1 LED every 5 seconds. The number of lights on in real time is the real-time length of time that indicates the timing operation of the timing unit. After the timing is over, all LED lights remain on, indicating that the timing unit has reached the preset time, and 15 seconds have elapsed when all four LEDs are lit. Other numbers of LED lights, such as 5, 6, etc., can also be selected. The lighting time interval can also be set, for example, 1 second, 4 seconds, 10 seconds, etc. In other embodiments, multiple LEDs are turned off in sequence, all LED lights are turned on to indicate the start of timing, and when only the last LED light is turned on to indicate the end of timing, the last LED is turned on before the firing action is completed. The LED remains lit. When the firing action is completed, the last-minute LED light is turned off, that is, the timing indication module is turned off. The above-mentioned way of using the timing display module, the change of the on or off state of the LED light indicates that the preset time has been reached, and the change of the on state means that the number of lights on is gradually increased, and the increase to the predetermined number means that the preset time has been reached. Time, the state of turning off changes, that is, the number of turning off gradually increases, and the increase to another predetermined number means that the preset time is reached.
所述计时指示模块还包括报警器,计时结束时发出声音以指示结束计时。报警器为蜂鸣器,蜂鸣器发出声音的持续时间可根据需要设定。The timing indication module also includes an alarm, and when the timing ends, a sound is emitted to indicate the end of the timing. The alarm is a buzzer, and the duration of the buzzer sound can be set as required.
上述开关的失效状态指,触发该开关,但吻合器不执行动作,有效状态指,触发该开关,吻合器执行相应的动作。本实施例中,失效状态下触发开关,开关仍发出一个信号给控制模块,但控制模块90不对该信号分析和处理,也不会根据该信号来指令电机动作或者控制定时单元或者控制计时显示模块110。与之相反的,有效状态下触发开关,则控制模块90将根据该信号执行对应的控制。上述第一行程开关65、第二行程开关66、第三行程开关67和第四行程开关68默认在吻合器上电后一直处于有效状态,上述钳口闭合开关62、保险开关63和击发开关69如上述方案所述均在有效状态和无效状态之间切换,钳口打开开关61仅在进刀动作和退刀动作中处于失效状态,其余时刻均处于有效状态。The invalid state of the above switch means that the switch is triggered, but the stapler does not perform an action, and the valid state means that the switch is triggered and the stapler performs the corresponding action. In this embodiment, when the switch is triggered in the failure state, the switch still sends a signal to the control module, but the control module 90 does not analyze and process the signal, nor does it instruct the motor to act or control the timing unit or control the timing display module according to the signal. 110. On the contrary, if the switch is triggered in the valid state, the control module 90 will execute corresponding control according to the signal. The first limit switch 65 , the second limit switch 66 , the third limit switch 67 and the fourth limit switch 68 are always in a valid state by default after the stapler is powered on, and the above-mentioned jaw closing switch 62 , safety switch 63 and firing switch 69 As described in the above solution, it is switched between the valid state and the invalid state, and the jaw opening switch 61 is only in the invalid state during the tool feeding action and the tool retracting action, and is in the valid state at the rest of the time.
第二实施例Second Embodiment
与第一实施例不同的是,计时指示模块为设置在壳体内的、可被用户听到的计时声音模块,功能与控制方式与上述计时显示模块相同,不再赘述。差别在于,计时声音模块用不同的声音,如持续时间、音量、音调等来指示定时单元计时工作的实时的时间长度,例如,用“哆”、“来”、“咪”、“发”的不同音调来分别指示启动的0s、达到5s、达到10s、达到15s,并且持续或间隔发出“发”来指示达到所述预设时间,又例如,用不同的乐器声或用人声来报时,有多种方式均能实时时间长度的声音指示,不在此一一列举。Different from the first embodiment, the timing indication module is a timing sound module arranged in the casing and can be heard by the user. The difference is that the timing sound module uses different sounds, such as duration, volume, tone, etc., to indicate the real-time length of the timing unit timing operation. Different tones are used to indicate the start of 0s, 5s, 10s, and 15s, respectively, and continuous or intermittent “hair” is issued to indicate that the preset time is reached. A variety of ways can provide real-time sound indication of the length of time, and I will not list them one by one.
第三实施例Third Embodiment
与第二实施例不同的是,第三实施例的所述计时指示模块仅具有上述第一功能:用于指示定时单元达到了预设时间,告知用户该状态,不再具备上述第二功能。因此,第二功能的控制被取消:第三实施例中,定时单元开启时,计时指示模块不会同时开启,仅在定时单元达到预设时间时,计时指示模块才开启并指示达到预设时间;当所述定时单元计时中且未达到所述预设时间时,触发所述钳口打开开关,则所述控制模块只需关闭定时单元,不需要关闭计时指示模块。Different from the second embodiment, the timing indication module of the third embodiment only has the above-mentioned first function: it is used to indicate that the timing unit has reached the preset time and inform the user of this state, and no longer has the above-mentioned second function. Therefore, the control of the second function is cancelled: in the third embodiment, when the timing unit is turned on, the timing indicating module will not be turned on at the same time, and only when the timing unit reaches the preset time, the timing indicating module will be turned on and indicate that the preset time is reached ; When the timing unit is timing and the preset time is not reached, trigger the jaw to open the switch, then the control module only needs to close the timing unit, and does not need to close the timing indicating module.
相应的,第三实施例的上述计时显示模块110包括一个LED灯,当定时单元达到预设时间时或如上述的第二次触发保险开关时,点亮该LED灯,并持续点亮以指示达到预 设时间。Correspondingly, the above-mentioned timing display module 110 of the third embodiment includes an LED light, when the timing unit reaches the preset time or when the safety switch is triggered for the second time as mentioned above, the LED light is lit, and continues to light up to indicate The preset time is reached.
在其他实施例中,上述计时指示模块可以为一个声音指示的计时声音模块,为一个蜂鸣器,仅当定时单元达到预设时间时或如上述的第二次触发保险开关时,才开启蜂鸣器发出声音,并持续发出声音以指示达到预设时间,定时器计时中不会开启该计时声音模块。In other embodiments, the above-mentioned timing indication module may be a timing sound module for sound indication, which is a buzzer, and the buzzer is turned on only when the timing unit reaches the preset time or when the safety switch is triggered for the second time as described above. The buzzer will sound, and will continue to sound to indicate that the preset time is reached, and the timing sound module will not be turned on during the timer timing.
第四实施例Fourth Embodiment
如图5和图6所示,与上述第一实施例不同的是,第四实施例的所述钳口闭合开关62和所述击发开关63集成为一个开关—闭合/击发开关62’,有效状态下触发所述开关时,如钳口组件处于钳口打开状态,则控制模块90接收到其发出的信号时将控制钳口组件执行钳口闭合动作,如钳口组件处于钳口闭合状态,所述控制单元接收到其发出的信号时控制所述切割刀组件40执行进刀动作,第三行程开关被触发时闭合/击发开关62’从触发状态转为未被触发状态,则控制单元控制切割刀组件40执行自动一步退刀到底动作。具体的,该闭合/击发开关62’的操作过程如下:1)钳口组件处于钳口打开状态,闭合/击发开关62’在有效状态,触发闭合/击发开关62’,控制模块控制执行钳口闭合动作;2)当钳口组件闭合到底时,钳口组件转为钳口闭合状态,闭合/击发开关62’转为失效状态;3)触发保险开关69,启动压榨保持机构直至压榨计时动作完成,或者再次触发保险开关69,此时保险开关69失效,闭合/击发开关62’转为有效状态;4)再触发闭合/击发开关62’,控制模块90控制执行击发动作;5)在切割完成-切割到底后,停止触发闭合/击发开关62’,执行自动一步退刀到底的退刀动作,直至退刀完成,切割刀组件40处于退刀完毕状态,闭合/击发开关62’转为失效状态。进一步的,如图6所示,闭合/击发开关62’由一个按键即第二按键72触发,不设有第三按键73。As shown in FIG. 5 and FIG. 6 , different from the first embodiment described above, the jaw closing switch 62 and the firing switch 63 of the fourth embodiment are integrated into one switch—the closing/firing switch 62 ′, which effectively When the switch is triggered in the state, if the jaw assembly is in the jaw open state, the control module 90 will control the jaw assembly to perform the jaw closing action when receiving the signal sent by the jaw assembly, if the jaw assembly is in the jaw closed state, When the control unit receives the signal sent by it, it controls the cutting knife assembly 40 to perform the knife feeding action. When the third travel switch is triggered, the closing/firing switch 62' changes from the triggered state to the non-triggered state, then the control unit controls The cutter assembly 40 performs automatic one-step retraction to the end. Specifically, the operation process of the closing/firing switch 62' is as follows: 1) the jaw assembly is in an open state of the jaws, the closing/firing switch 62' is in an active state, the closing/firing switch 62' is triggered, and the control module controls the execution of the jaws Closing action; 2) When the jaw assembly is closed to the end, the jaw assembly turns to the jaw closed state, and the closing/fire switch 62' turns to the invalid state; 3) Trigger the safety switch 69, and activate the pressing holding mechanism until the pressing timing action is completed , or trigger the safety switch 69 again, at this time the safety switch 69 fails, and the closing/firing switch 62' is turned into a valid state; 4) triggering the closing/firing switch 62' again, the control module 90 controls the execution of the firing action; 5) After the cutting is completed - After cutting to the end, stop triggering the closing/shooting switch 62', and perform the automatic one-step retracting action of the knife to the end, until the retracting is completed, the cutting knife assembly 40 is in the retracting completed state, and the closing/shooting switch 62' turns to the invalid state . Further, as shown in FIG. 6 , the closing/firing switch 62' is triggered by one key, namely the second key 72, and the third key 73 is not provided.
第五实施例Fifth Embodiment
与上述第二实施例不同的是,第五实施例的所述保险开关69的数量为二个,两个保险开关69共同执行同一个功能,并且两个保险开关的有效状态和失效状态同时被切换且保持一致:钳口组件从钳口打开状态转为钳口闭合状态,则两个保险开关从失效状态转为有效状态;首次触发有效状态下的任一保险开关,则定时单元开启并计时,计时显示模块开启;计时达到预设时间,则两个保险开关均从有效状态转为失效状态;计时未达到所述预设时间时,第二次触发有效状态下的任一保险开关,则两个保险开关均从有效状态转为失效状态。上述即,任意一个保险开关被触发时,控制模块90执行相同的控制。进一步的,每个保险开关均具有一个按键,两个按键分设于上述壳体特别是手柄壳 体的两侧,用户无论按压两个按键中的哪一个,都共同执行同一个功能,原理如上不在赘述。进一步的,两个按键的按压方向相反且两者固定连接,如此,按压其中一个时另一个不能被同时按压,避免了两个保险开关被同时触发导致控制冲突。Different from the second embodiment above, the number of the safety switches 69 in the fifth embodiment is two, the two safety switches 69 jointly perform the same function, and the valid state and the invalid state of the two safety switches are simultaneously controlled. Switch and keep consistent: The jaw assembly changes from the jaw open state to the jaw closed state, then the two safety switches change from the invalid state to the valid state; the first time any safety switch in the valid state is triggered, the timing unit is turned on and timed , the timing display module is turned on; when the timing reaches the preset time, the two safety switches will change from the valid state to the invalid state; when the timing does not reach the preset time, trigger any safety switch in the valid state for the second time, then Both cutouts go from active to inactive. That is, when any one of the safety switches is triggered, the control module 90 performs the same control. Further, each safety switch has a button, and the two buttons are located on both sides of the above-mentioned casing, especially the handle casing. No matter which one of the two buttons is pressed by the user, the same function is jointly performed. The principle is not as above. Repeat. Further, the pressing directions of the two keys are opposite and the two are fixedly connected, so that when one is pressed, the other cannot be pressed at the same time, which avoids the control conflict caused by the simultaneous triggering of the two safety switches.
应当理解,虽然本说明书按照实施方式加以描述,但并非每个实施方式仅包含一个独立的技术方案,说明书的这种叙述方式仅仅是为清楚起见,本领域技术人员应当将说明书作为一个整体,各实施方式中的技术方案也可以经适当组合,形成本领域技术人员可以理解的其他实施方式。It should be understood that although this specification is described in terms of embodiments, not each embodiment only includes an independent technical solution. This description in the specification is only for the sake of clarity, and those skilled in the art should take the specification as a whole, and each The technical solutions in the embodiments can also be appropriately combined to form other embodiments that can be understood by those skilled in the art.
上文所列出的一系列的详细说明仅仅是针对本发明的可行性实施方式的具体说明,它们并非用以限制本发明的保护范围,凡未脱离本发明技艺精神所作的等效实施方式或变更均应包含在本发明的保护范围之内。The series of detailed descriptions listed above are only specific descriptions for the feasible embodiments of the present invention, and they are not used to limit the protection scope of the present invention. Changes should all be included within the protection scope of the present invention.

Claims (15)

  1. 一种外科器械,包括钳口组件、切割刀组件、控制模块和触发器,A surgical instrument comprising a jaw assembly, a cutting blade assembly, a control module and a trigger,
    所述触发器与所述控制模块电性连接,所述触发器包括手动触发的钳口打开开关、钳口闭合开关和击发开关;The trigger is electrically connected to the control module, and the trigger includes a manually triggered jaw opening switch, a jaw closing switch and a firing switch;
    所述控制模块根据所述钳口打开开关的触发状态控制所述钳口组件执行钳口打开动作,根据所述钳口闭合开关的触发状态执行钳口闭合动作,所述钳口组件闭合到底时处于钳口闭合状态,所述钳口组件未闭合到底时处于钳口打开状态,所述控制模块根据所述击发开关的触发状态控制所述切割刀组件执行进刀动作;The control module controls the jaw assembly to perform the jaw opening action according to the trigger state of the jaw opening switch, and performs the jaw closing action according to the trigger state of the jaw closing switch. When the jaw assembly is closed to the end In the jaw closed state, the jaw assembly is in the jaw open state when the jaw assembly is not closed to the end, and the control module controls the cutting knife assembly to perform the knife feeding action according to the trigger state of the firing switch;
    其特征在于:It is characterized by:
    所述触发器还包括手动触发的保险开关;The trigger also includes a manually triggered safety switch;
    所述控制模块还包括设置有预设时间的定时单元,用来计时;The control module further includes a timing unit provided with a preset time for timing;
    所述外科器械还包括计时指示模块,用于指示所述定时单元达到所述预设时间,所述计时指示模块与所述控制模块电性连接;The surgical instrument further includes a timing indication module for instructing the timing unit to reach the preset time, and the timing indication module is electrically connected to the control module;
    当钳口组件处于钳口打开状态,所述控制模块控制所述保险开关处于失效状态、控制所述击发开关处于失效状态;当钳口组件从钳口打开状态转为钳口闭合状态,所述控制模块控制所述保险开关从失效状态转为有效状态;首次触发所述有效状态下的所述保险开关,所述定时单元开启并计时;When the jaw assembly is in the jaw open state, the control module controls the safety switch to be in a failed state and controls the firing switch to be in a failed state; when the jaw assembly changes from the jaw open state to the jaw closed state, the The control module controls the safety switch to change from the invalid state to the valid state; triggering the safety switch in the valid state for the first time, the timing unit is turned on and timed;
    当所述定时单元达到所述预设时间,所述控制模块关闭所述定时单元、控制所述计时指示模块指示达到所述预设时间,并且控制所述保险开关从有效状态转为失效状态、所述击发开关从失效状态转为有效状态。When the timing unit reaches the preset time, the control module closes the timing unit, controls the timing indicating module to indicate that the preset time is reached, and controls the safety switch to change from an effective state to an ineffective state, The firing switch transitions from an inactive state to an active state.
  2. 根据权利要求1所述的外科器械,其特征在于,当所述定时单元计时中且未达到所述预设时间时,再次触发所述保险开关,则所述控制模块关闭定时单元、控制所述计时指示模块指示达到所述预设时间,并且控制所述保险开关从有效状态转为失效状态、所述击发开关从失效状态转为有效状态。The surgical instrument according to claim 1, wherein when the timing unit is counting and the preset time is not reached, and the safety switch is triggered again, the control module closes the timing unit and controls the The timing indication module indicates that the preset time is reached, and controls the safety switch to change from an active state to an inactive state, and the firing switch to change from an inactive state to an active state.
  3. 根据权利要求1或2所述的外科器械,其特征在于,当所述击发开关处于有效状态且所述切割刀组件处于切割刀初始状态时,触发所述钳口打开开关,则所述控制模块关闭所述计时指示模块,控制钳口组件执行钳口打开动作,并且控制所述钳口闭合开关从失效状态转为有效状态、控制所述击发开关从有效状态转为失效状态。The surgical instrument according to claim 1 or 2, wherein when the firing switch is in an active state and the cutting knife assembly is in an initial state of the cutting knife, the jaw opening switch is triggered, and the control module The timing indication module is turned off, the jaw assembly is controlled to perform the jaw opening action, the jaw closing switch is controlled to change from a failed state to an active state, and the firing switch is controlled to be turned from an active state to a failed state.
  4. 根据权利要求1或2所述的外科器械,其特征在于,触发有效状态下的所述击发 开关,切割刀组件执行进刀动作并处于出刀状态,然后操作吻合器执行退刀动作,当切割刀组件从出刀状态转为退刀完毕状态时,所述控制模块关闭所述指示模块。The surgical instrument according to claim 1 or 2, characterized in that, when the firing switch in the valid state is triggered, the cutting knife assembly performs a knife feeding action and is in a knife out state, and then operates the stapler to perform a knife retracting action. When the knife assembly changes from the knife out state to the knife retraction completed state, the control module turns off the indication module.
  5. 根据权利要求1或2所述的外科器械,其特征在于,当所述定时单元计时中且未达到所述预设时间时,触发所述钳口打开开关,则所述控制模块关闭所述定时单元,控制钳口组件执行钳口打开动作,并且控制所述保险开关从有效状态转为失效状态、控制所述钳口闭合开关从失效状态转为有效状态。The surgical instrument according to claim 1 or 2, wherein when the timing unit is counting and the preset time is not reached, the jaw opening switch is triggered, and the control module closes the timing The unit controls the jaw assembly to perform a jaw opening action, and controls the safety switch to change from an active state to an inactive state, and controls the jaw closing switch to change from an inactive state to an active state.
  6. 根据权利要求1或2所述的外科器械,其特征在于,所述计时指示模块为计时显示模块,所述计时显示模块包括LED灯,所述LED灯的点亮或熄灭的状态改变以指示达到所述预设时间。The surgical instrument according to claim 1 or 2, wherein the timing indication module is a timing display module, and the timing display module includes an LED light, and the on or off state of the LED light changes to indicate that the the preset time.
  7. 根据权利要求1或2所述的外科器械,其特征在于,所述计时指示模块为计时声音模块,所述计时声音模块发出声音以指示达到所述预设时间。The surgical instrument according to claim 1 or 2, wherein the timing indication module is a timing sound module, and the timing sound module emits a sound to indicate that the preset time is reached.
  8. 根据权利要求1或2所述的外科器械,其特征在于,所述计时指示模块还用于指示所述定时单元计时工作的实时的时间长度;The surgical instrument according to claim 1 or 2, wherein the timing indication module is further configured to indicate the real time length of the timing operation of the timing unit;
    当所述定时单元开启时,控制模块同时开启所述计时指示模块。When the timing unit is turned on, the control module simultaneously turns on the timing indication module.
  9. 根据权利要求8所述的外科器械,其特征在于,当所述定时单元计时中且未达到所述预设时间时,触发所述钳口打开开关,所述控制模块还关闭所述定时单元和计时指示模块,控制钳口组件执行钳口打开动作,并且控制所述保险开关从有效状态转为失效状态、控制所述钳口闭合开关从失效状态转为有效状态。The surgical instrument according to claim 8, wherein when the timing unit is counting and the preset time is not reached, the jaw opening switch is triggered, and the control module further turns off the timing unit and the opening switch. The timing indication module controls the jaw assembly to perform the jaw opening action, and controls the safety switch to change from the valid state to the invalid state, and controls the jaw closing switch to turn from the invalid state to the valid state.
  10. 根据权利要求9所述的外科器械,其特征在于,所述计时指示模块为计时显示模块,所述计时显示指示模块包括多个LED灯,所述多个LED灯的不同的点亮个数以指示实时的时间长度和达到所述预设时间。The surgical instrument according to claim 9, wherein the timing indication module is a timing display module, the timing display indication module comprises a plurality of LED lights, and different lighting numbers of the plurality of LED lights are equal to Indicates the length of time in real time and the preset time is reached.
  11. 根据权利要求10所述的外科器械,其特征在于,所述计时指示模块还包括蜂鸣器,蜂鸣器发出声音指示达到所述预设时间。The surgical instrument according to claim 10, wherein the timing indication module further comprises a buzzer, and the buzzer emits a sound to indicate that the preset time is reached.
  12. 根据权利要求9所述的外科器械,其特征在于,计时指示模块为计时声音模块,所述计时声音模块为蜂鸣器,蜂鸣器发出不同声音以指示实时的时间长度和达到所述预设时间。The surgical instrument according to claim 9, wherein the timing indication module is a timing sound module, the timing sound module is a buzzer, and the buzzer emits different sounds to indicate the real-time length of time and reach the preset time time.
  13. 根据权利要求1或2所述的外科器械,其特征在于,所述钳口闭合开关和所述击发开关集成为一个开关,有效状态下触发所述开关时,如所述钳口组件处于钳口打开状态,所述控制模块控制所述钳口组件执行钳口闭合动作,如所述钳口组件处于钳口闭合状态,所述控制模块控制所述切割刀组件执行进刀动作。The surgical instrument according to claim 1 or 2, wherein the jaw closing switch and the firing switch are integrated into one switch, and when the switch is triggered in an effective state, the jaw assembly is in the jaw In an open state, the control module controls the jaw assembly to perform a jaw closing action. If the jaw assembly is in a jaw closed state, the control module controls the cutting knife assembly to perform a knife feeding action.
  14. 根据权利要求1或2的外科器械,其特征在于,所述保险开关的数量为两个,任意一个保险开关被触发时,控制模块执行相同的控制。The surgical instrument according to claim 1 or 2, wherein the number of the safety switches is two, and when any one safety switch is triggered, the control module performs the same control.
  15. 根据权利要求1或2所述的外科器械,其特征在于,所述钳口打开开关仅在所述切割刀组件的进刀动作和退刀动作中处于失效状态,其余时刻均处于有效状态。The surgical instrument according to claim 1 or 2, wherein the jaw opening switch is only in an inactive state during the advancing and retracting operations of the cutting blade assembly, and is in an active state at other times.
PCT/CN2021/136917 2020-12-11 2021-12-09 Surgical instrument WO2022122001A1 (en)

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