WO2023036263A1 - 一种吻合器及其控制方法 - Google Patents
一种吻合器及其控制方法 Download PDFInfo
- Publication number
- WO2023036263A1 WO2023036263A1 PCT/CN2022/117913 CN2022117913W WO2023036263A1 WO 2023036263 A1 WO2023036263 A1 WO 2023036263A1 CN 2022117913 W CN2022117913 W CN 2022117913W WO 2023036263 A1 WO2023036263 A1 WO 2023036263A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- driving
- stapler
- control
- current value
- time
- Prior art date
Links
- 238000000034 method Methods 0.000 title claims abstract description 19
- 238000010304 firing Methods 0.000 claims description 53
- 230000005540 biological transmission Effects 0.000 claims description 42
- 230000009471 action Effects 0.000 claims description 18
- 230000006698 induction Effects 0.000 claims description 10
- 230000001960 triggered effect Effects 0.000 claims description 3
- 230000004913 activation Effects 0.000 claims description 2
- 230000003872 anastomosis Effects 0.000 abstract description 4
- 238000010586 diagram Methods 0.000 description 5
- 238000009434 installation Methods 0.000 description 4
- 238000012790 confirmation Methods 0.000 description 3
- 230000033001 locomotion Effects 0.000 description 3
- 230000008569 process Effects 0.000 description 3
- 230000000903 blocking effect Effects 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 241000894006 Bacteria Species 0.000 description 1
- 230000000712 assembly Effects 0.000 description 1
- 238000000429 assembly Methods 0.000 description 1
- 238000006243 chemical reaction Methods 0.000 description 1
- 230000006870 function Effects 0.000 description 1
- 238000009413 insulation Methods 0.000 description 1
- 238000002955 isolation Methods 0.000 description 1
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B17/07207—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously the staples being applied sequentially
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/90—Identification means for patients or instruments, e.g. tags
- A61B90/98—Identification means for patients or instruments, e.g. tags using electromagnetic means, e.g. transponders
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00017—Electrical control of surgical instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00017—Electrical control of surgical instruments
- A61B2017/00022—Sensing or detecting at the treatment site
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00017—Electrical control of surgical instruments
- A61B2017/00115—Electrical control of surgical instruments with audible or visual output
- A61B2017/00119—Electrical control of surgical instruments with audible or visual output alarm; indicating an abnormal situation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00017—Electrical control of surgical instruments
- A61B2017/00115—Electrical control of surgical instruments with audible or visual output
- A61B2017/00128—Electrical control of surgical instruments with audible or visual output related to intensity or progress of surgical action
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
- A61B2017/00398—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like using powered actuators, e.g. stepper motors, solenoids
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
- A61B2017/00473—Distal part, e.g. tip or head
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00681—Aspects not otherwise provided for
- A61B2017/00734—Aspects not otherwise provided for battery operated
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B2017/07214—Stapler heads
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/08—Accessories or related features not otherwise provided for
- A61B2090/0803—Counting the number of times an instrument is used
-
- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y02—TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
- Y02E—REDUCTION OF GREENHOUSE GAS [GHG] EMISSIONS, RELATED TO ENERGY GENERATION, TRANSMISSION OR DISTRIBUTION
- Y02E60/00—Enabling technologies; Technologies with a potential or indirect contribution to GHG emissions mitigation
- Y02E60/10—Energy storage using batteries
Definitions
- the invention relates to the field of medical instruments, in particular to a stapler and a control method thereof.
- an embodiment of the present invention provides a stapler, including a housing, the housing is provided with a control part and a driving part for providing power, and the control part is electrically connected to the driving part;
- the control part is used to obtain the real-time driving current value and the average value of the jump current of the driving part; determine the difference between the driving current value at the current moment and the driving current value at the previous moment; Compared with the average value of the current, if the difference is greater than the average value of the jump current, the driving part is controlled to stop working.
- control part is also used to obtain the historical driving current value of the driving part; determine the difference between the driving current values at two adjacent moments; and determine the jump current average value according to all the differences.
- control unit is further configured to compare the real-time driving current value with a driving current threshold, and control the driving unit to stop working when the real-time driving current value is greater than or equal to the driving current threshold.
- the control part is used to control the driving part to drive the firing rod through the transmission part to perform a reset calibration action when the stapler is activated.
- the stapler also includes a loading switch and a detachable nail magazine assembly; the control unit is electrically connected to the loading switch;
- the nail magazine assembly When the nail magazine assembly is installed, the nail magazine assembly triggers the loading switch;
- the control part is used for recording the trigger time of the loading switch, and comparing the trigger time with a time threshold, and if the trigger time is greater than or equal to the time threshold, it is determined that the nail magazine assembly is successfully loaded.
- control part is also used to compare the real-time driving current value with a preset variable speed current value, and when the real-time driving current value is greater than the preset variable speed current value, control the driving part to pass the
- the transmission part drives the firing rod to continue to move away from the driving part to increase the closing stroke of the nail magazine assembly and reduce the rotational speed of the driving part to increase the tissue positioning capability of the nail magazine assembly.
- control part is also used to control the driving part to drive the firing rod through the transmission part to perform a reset calibration action when the nail magazine assembly is removed.
- the stapler also includes an induction part arranged in the housing; a protrusion is provided on the transmission part, and the induction area of the induction part is located on the moving path of the protrusion on the transmission part,
- the control part is electrically connected to the sensing part;
- the control part is used to control the driving part to drive the firing rod to move towards the driving part through the transmission part when the stapler is activated or the nail magazine assembly is removed, so that the sensing part will the protrusion is sensed once;
- the driving part is controlled to drive the firing rod to move away from the driving part through the transmission part, so that the protrusion is separated from the The sensing area of the sensing part;
- the driving part When leaving the sensing area of the sensing part, the driving part is controlled to drive the firing rod to move towards the driving part through the transmission part, so that the sensing part senses the sensing part for the second time.
- said protrusion
- the driving part is controlled to stop working.
- the stapler also includes a detachable power supply and a battery circuit board disposed inside the housing, and the control unit is electrically connected to the battery circuit board;
- the control part is used to collect the voltage on the battery circuit board when the power supply is installed, and determine whether the voltage is an operating voltage, and if the voltage is an operating voltage, determine that the stapler is activation.
- the stapler also includes an identification part electrically connected to the control part, and an information mark is also provided on the nail magazine assembly;
- the identification part is used to identify the information mark on the nail magazine assembly
- the control part is used to control the stapler to be in a shutdown state if the recognition fails, and to control the stapler to be in an activated state if the recognition is successful.
- control unit is also used to record the total number of recognition times and the total number of successful recognition times of the recognition unit, and obtain a preset corresponding relationship between the total number of recognition times and the total number of successful recognition times; according to the corresponding relationship and the identification
- the total number of times is to determine the preset total number of successful recognitions; comparing the total number of successful recognitions with the preset total number of successful recognitions, if the total number of successful recognitions is greater than or equal to the preset total number of successful recognitions,
- the stapler is then controlled to be in a shutdown state.
- an embodiment of the present invention provides a method for controlling a stapler, which is applied to the above-mentioned stapler, including:
- the difference is compared with the average value of the jump current, and if the difference is greater than the average value of the jump current, the control drive unit stops working.
- the driving part drives the firing rod to retreat or advance.
- the control part of the stapler is used to obtain the real-time driving current value and the average value of the jump current of the driving part; The difference of the driving current value at a moment; then compare the difference with the average value of the jump current, if the difference is greater than the average value of the jump current, the control drive part will stop working, so that the operator does not need to judge whether the matching is completed
- the stapler is operated after the action, thereby improving the operation efficiency.
- Fig. 2 is a structural diagram of a nail magazine assembly according to an alternative embodiment of the present invention.
- Fig. 3 is a structural diagram of a transmission part according to an alternative embodiment of the present invention.
- FIG. 4 is a structural diagram of a power supply according to an alternative embodiment of the present invention.
- Fig. 5 is a structural diagram of a power supply and an insulating sheet according to the present invention.
- Fig. 6 is a schematic circuit diagram of a stapler according to an alternative embodiment of the present invention.
- 1-power supply 101-conducting piece, 102-battery, 103-signal conducting piece, 2-housing, 3-indicating light, 4-driving part, 5-trigger, 6-identifying part, 7-gear, 8 -rack, 9-nail magazine assembly, 10-information mark, 11-protrusion, 12-firing trigger link, 13-backward trigger link, 14-confirmation switch, 15-battery circuit board, 16-circlip slice, 17-control unit, 1701-processor, 1702-power management unit, 1703-memory, 18-insulation slice.
- the embodiment of the present invention provides a stapler, including a housing 2, a control part 17 and a driving part 4 for providing power are arranged in the housing 2, and the control part 17 is electrically connected with the drive unit 4; the control unit 17 is used to obtain the real-time drive current value and the jump current average value of the drive unit 4; determine the difference between the drive current value at the current moment and the drive current value at the previous moment; The value is compared with the average value of the jump current, and if the difference is greater than the average value of the jump current, the control drive unit 4 stops working.
- the housing 2 is tubular as a whole, and there is a handle shell formed along the radial extension of the housing 2 on the housing 2.
- the handle shell can be conveniently held by the operator; on the other hand, the housing cavity formed by the handle shell is arranged with a motor. The space of the shell cavity of the casing 2 is effectively utilized, and the volume of the stapler is reduced.
- control unit 17 of the stapler is used to acquire the real-time driving current value and the average value of the jump current of the driving unit 4 (acquisition methods include direct acquisition and conversion acquisition); then determine the current driving current value and The difference of the drive current value at the last moment; then the difference is compared with the average value of the jump current, if the difference is greater than the average value of the jump current, the control drive part 4 stops working, so that the operator does not need to judge whether the The stapler is operated after the anastomosis is completed, thereby improving the operation efficiency.
- acquisition methods include direct acquisition and conversion acquisition
- the control unit 17 controls the drive unit 4 to stop working.
- the housing 2 is also provided with an indicator light 3 electrically connected to the control unit 17.
- the control unit 17 controls the indicator light 3 to light up, thereby operating The operator can use the indicator light 3 to determine whether the stapler has completed the stapling action.
- control unit 17 is also used to obtain the historical driving current value of the driving unit 4; determine the difference between the driving current values at two adjacent moments; and determine the average value of the jump current according to all the differences.
- the historical driving current value may be the driving current value within a period of time during the fitting operation.
- the historical drive current value of the drive unit 4 determines the difference between the drive current values at two adjacent moments. For example, assume that the drive current value at the first moment is 5A, and the drive current at the second moment is 4.6A. A, the driving current value at the third moment is 4.3A, then the driving current difference between the first moment and the second moment is 0.4A, the driving current difference between the second moment and the third moment is 0.3A, and so on, Thereby, the difference values of the drive current values at all two adjacent moments are obtained. After all the differences are obtained, the average value of all the differences is calculated, and finally the average value of the jump current is determined.
- control unit 17 is also used to compare the real-time driving current value with the driving current threshold, and when the real-time driving current value is greater than or equal to the driving current threshold, control the driving unit 4 to stop working.
- the control unit 17 detects the driving current of the driving unit 4 in real time, and if the real-time driving current value is greater than or equal to the driving current threshold, the driving unit 4 is controlled to stop working, thereby avoiding the overcurrent operation of the driving unit 4 As a result, the driving portion 4 may be damaged.
- the driving current threshold is the maximum current value of the driving unit 4 under normal operation.
- the stapler also includes a transmission part and a firing rod; the driving part 4 is connected to one end of the firing rod through the transmission part; the control part 17 is electrically connected to the driving part 4; When activated, the control driving part 4 drives the firing rod through the transmission part to perform reset calibration action.
- the transmission part can adopt the existing transmission structure, specifically, as shown in Figure 1, the transmission part includes a rack 8 and a gear 7, one end of the rack 8 is connected with the firing rod, the drive part 4 is a motor, and the rotating shaft of the motor is connected to the firing rod.
- the gear 7 is coaxially connected and the gear 7 is meshed with the rack 8 for transmission.
- the specific working principle of the transmission part is: the rotation of the motor drives the rotation of the gear 7, thereby driving the rack 8 to perform linear reciprocating motion, and then driving the firing rod to perform linear reciprocating motion, so that the motor can drive the firing rod to move.
- the positive rotation direction of the motor is that the motor can drive the firing rod to move away from the motor, that is, the rotation direction of the extension action
- the direction of the motor’s rotation direction is that the motor can drive the firing rod to move towards the direction of the motor, that is, the retraction action direction of rotation.
- the control part 17 controls the rotation direction of the transmission part, thereby driving the transmission part to drive the firing rod to complete the reset calibration action, so as to avoid reset blocking, so that the installation operation of the nail magazine assembly 9 is smoother; and
- the firing rod is reset without manual operation, which brings convenience to the use of the stapler.
- the stapler also includes a loading switch and a detachable nail box assembly 9; the control part 17 is electrically connected to the loading switch; when the nail box assembly 9 is installed, the nail box assembly 9 Trigger the loading switch; the control unit 17 is used to record the triggering time of the loading switch, and compare the triggering time with the time threshold, if the triggering time is greater than or equal to the time threshold, it is determined that the nail magazine assembly 9 is loaded successfully.
- the nail magazine assembly 9 can adopt the existing nail magazine assembly 9, which is not strictly limited in this embodiment.
- nail box assembly 9 can trigger loading switch by pushing part
- control Part 17 records the triggering time of the loading switch, and compares the triggering time with the time threshold, if the triggering time is greater than or equal to the time threshold, then it is determined that the nail magazine assembly 9 is loaded successfully, thereby realizing automatic identification of whether the nail magazine assembly 9 is installed successfully. Further, if the trigger time is less than the time threshold, the control unit 17 can control the indicator light 3 to light up, so as to remind the operator to check the installation state of the nail magazine assembly 9 .
- control part 17 is also used to compare the real-time driving current value with the preset variable speed current value, and when the real-time driving current value is greater than the preset variable speed current value, the control drive part 4 is driven by the transmission part.
- the firing rod continues to move away from the driving part 4 to increase the closing stroke of the nail magazine assembly 9 , and reduce the rotational speed of the driving part 4 to increase the tissue positioning capability of the nail magazine assembly 9 .
- the control unit 17 detects the real-time driving current value of the driving motor.
- the real-time driving current value is greater than the preset variable speed current value, it indicates that the tissue clamped by the stapler is thick, so the control unit 17 controls the driving unit. 4 Drive the firing rod to continue to move away from the driving part 4 through the transmission part, so as to increase the closing stroke of the nail magazine assembly 9, so as to achieve the purpose that the thick tissue can still completely close and clamp the tissue, and reduce the rotating speed of the driving part 4, so as to Increase the tissue positioning ability of the nail box assembly 9, so as to achieve the purpose that thick tissue can still be anastomotic.
- the preset variable speed current value can be set by the staff themselves, which is not strictly limited in this embodiment.
- control part 17 is also used to control the drive part 4 to drive the firing rod through the transmission part to perform reset calibration action when the nail magazine assembly 9 is removed.
- the control part 17 controls the driving part 4 to drive the firing rod through the transmission part to perform a reset calibration action, thereby facilitating the next use of the stapler.
- the stapler also includes an induction part arranged in the housing 2; a protrusion 11 is provided on the transmission part, and the sensing area of the induction part is positioned at the movement of the protrusion 11 on the transmission part.
- the control unit 17 is electrically connected to the sensing unit;
- the control part 17 is used to control the driving part 4 to drive the firing rod to move in a direction close to the driving part 4 through the transmission part when the stapler is activated or the nail magazine assembly 9 is removed, so that the sensing part senses the protrusion 11 for the first time;
- the driving part 4 is controlled to drive the firing rod to move away from the driving part 4 through the transmission part, so that the protrusion 11 is separated from the sensing area of the sensing part;
- the driving part 4 When leaving the sensing area of the sensing part, the driving part 4 is controlled to drive the firing rod to move in a direction close to the driving part 4 through the transmission part, so that the sensing part senses the protrusion 11 for the second time;
- the driving part 4 is controlled to stop working.
- the protrusion 11 can be arranged on the rack 8, and the sensing part can adopt a photoelectric sensing component. If the protrusion 11 is located in the sensing area of the sensing part, it can be determined that the firing lever is in the initial position. In this embodiment, when the driving part 4 drives the rack 8 to retreat so that the protrusion 11 is located in the sensing area for the first time, The driving part 4 drives the rack 8 to extend-retreat until the protrusion 11 is located in the sensing area for the second time, so as to avoid the zero position blocking of the firing rod, thereby ensuring that the nail magazine assembly 9 can be installed smoothly.
- the stapler also includes a detachable power supply 1 and a battery circuit board 15 disposed inside the casing 2, and the control unit 17 is electrically connected to the battery circuit board 15; the control unit 17 is used for installing the power supply 1 , collect the voltage on the battery circuit board 15, and determine whether the voltage is an operating voltage, and if the voltage is an operating voltage, determine that the stapler is activated.
- the power supply 1 includes a battery 102 , a conduction plate 101 and a signal conduction plate 103 provided on the battery 102 , and a clip spring 16 is provided on the circuit board.
- the battery 102 supplies power to each component through the conductive sheet 101
- the battery circuit board 15 is connected to the battery 102 through the clip spring 16
- the battery circuit board 15 communicates with each component through the signal conductive sheet 103 .
- the control unit 17 can determine that the power supply 1 is successfully installed by collecting the voltage of the battery circuit board 15 and determining that the voltage is the working voltage, thereby determining that the stapler is in an activated state and can be used by the operator. It is possible to automatically identify whether the power supply 1 is installed successfully, thereby facilitating the operator to use the stapler. Similarly, after determining that the power supply 1 is successfully installed, the control unit 17 can also control the power supply 1 to light up the indicator light 3, so that the operator can intuitively understand the installation situation of the power supply 1 .
- the power supply 1 can also include an insulating sheet 18, and the operator can insert the insulating sheet 18 between the spring sheet 16 and the battery 102 without using a stapler, so as to play an important role.
- the function of isolation thereby reducing the power consumption of the battery 102 .
- the stapler also includes an identification part 6 electrically connected to the control part 17, and an information identification 10 is also provided on the nail magazine assembly 9; the identification part 6 is used to identify the information identification 10 on the nail magazine assembly 9; The control unit 17 is used to control the stapler to be in a shutdown state if the recognition fails, and to control the stapler to be in an activated state if the recognition is successful.
- the identification part 6 can be an RFID reader (Radio Frequency Identification, referred to as RFID), and the RFID reader can read the electronic tag data, that is, the RFID reader.
- the recognition part 6 includes a recognition coil, and the recognition part 6 is arranged on the outer surface or the inner surface of the housing 2. According to actual use conditions, the recognition part 6 is arranged at an appropriate position of the stapler, for example, the recognition part 6 is arranged at the rear end of the stapler part or top or side.
- the information sign 10 can be installed on the front, side or top surface of the nail magazine assembly 9, which is not strictly limited in this embodiment.
- the information label 10 can be fixedly connected to the nail magazine assembly 9 or detachably connected, which is not strictly limited in this embodiment.
- control unit 17 can control the stapler to be in an active state, so that the stapler can be used normally, so that it can be identified whether the nail magazine assembly 9 meets the use standard, so as to avoid installation failures Or the nail box assembly 9 of other problems, thereby improving the safety of operation.
- control unit 17 is also used to record the total number of recognition times and the total number of successful recognition times of the recognition unit 6, and obtain the preset correspondence between the total number of recognition times and the total number of successful recognition times; according to the corresponding relationship and the total number of recognition times, determine the preset The total number of successful recognitions; the total number of successful recognitions is compared with the preset total number of successful recognitions, if the total number of successful recognitions is greater than or equal to the preset total number of successful recognitions, the control stapler is in a shutdown state.
- the identification part 6 can identify multiple different nail magazine assemblies 9 .
- the total number of successful recognitions is limited by the total number of recognitions, so that the total number of successful recognitions can be limited.
- the stapler is in a shutdown state, that is, a state that cannot be used, which limits the number of times the main body of the stapler is used, thereby avoiding excessive use of the main body of the stapler.
- the stapler is prone to failure or the bacteria exceed the standard.
- the identification part 6 obtains the identification record of the information identification 10 on the nail magazine assembly 9, and if the identification record is a successful identification record, it determines that the identification of the information identification 10 fails.
- the nail magazine assembly 9 if the nail magazine assembly 9 has been successfully identified, it indicates that the nail magazine assembly 9 may have been used. In this case, the identification result of the identification part 6 is still an identification failure, so as to avoid the nail magazine assembly. 9 Duplicate use occurs.
- the stapler of the present application also includes a confirmation switch 14, a firing switch and a retraction switch.
- the confirmation switch 14 When the confirmation switch 14 is closed, the trigger 5 is pulled, and the trigger 5 pushes the firing trigger link 12, and the firing trigger link 12 triggers the firing switch.
- the rack 8 can drive the firing rod to extend.
- the trigger 5 When the trigger 5 is pushed up, the trigger 5 pushes the retracting trigger link 13, and the retracting trigger link 13 triggers the retracting switch.
- the rack 8 can drive the firing rod to perform a retracting action, and the protrusion 11 of the rack 8 is in the induction
- the driving part 4 stops running to terminate the firing operation, so that the operator can also perform manual operation to improve the flexibility of using the stapler.
- the control unit 17 includes a processor 1701 (CPU), a power management unit 1702 (PWM) and a memory 1703.
- the processor 1701 communicates with the indicator light 3, the drive unit 4, the trigger 5 and the identification 6, so as to specifically transmit and receive input instructions and transmit corresponding control signals.
- the indicator light 3 and the trigger 5 can be connected with the processor 1701 in a PIO (programmable input and output) connection mode to realize data transmission.
- the memory 1703 is used to store transmission data.
- the battery management unit 1702 is connected to the battery 102 through the battery circuit board 15 , and the battery management unit 1702 is used to monitor the state of the battery 102 to prevent the battery 102 from over-current or over-voltage operation.
- an embodiment of the present invention provides a method for controlling a stapler, which is applied to the above-mentioned stapler, including:
- Step 101 Obtain the real-time driving current value and jump current average value of the driving unit 4 .
- Step 102 Determine the difference between the driving current value at the current moment and the driving current value at the previous moment.
- Step 103 compare the difference with the average value of the jump current, and if the difference is greater than the average value of the jump current, control the drive unit 4 to stop working.
- the method obtains the real-time driving current value and the average value of the jump current of the driving unit 4; then determines the driving current value at the current moment and the driving current value at the previous moment Then the difference is compared with the average value of the jump current, if the difference is greater than the average value of the jump current, the control drive part 4 stops working, so that the operator does not need to judge whether the matching action is completed before the matching The device is operated, thereby improving the operation efficiency.
- the method also includes:
- the driving part drives the firing rod to retreat or advance.
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Molecular Biology (AREA)
- General Health & Medical Sciences (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- Engineering & Computer Science (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Physics & Mathematics (AREA)
- Electromagnetism (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Pathology (AREA)
- Portable Nailing Machines And Staplers (AREA)
Abstract
Description
Claims (14)
- 一种吻合器,其特征在于,包括壳体,所述壳体内设有控制部及用于提供动力的驱动部,所述控制部与所述驱动部电连接;所述控制部用于获取所述驱动部的实时驱动电流值及跳变电流平均值;确定当前时刻的驱动电流值与上一时刻的驱动电流值的差值;将所述差值与跳变电流平均值相比较,如果所述差值大于所述跳变电流平均值,则控制所述驱动部停止工作。
- 根据权利要求1所述的吻合器,其特征在于,所述控制部还用于获取驱动部的历史驱动电流值;确定相邻两个时刻的驱动电流值的差值;根据所有差值,确定所述跳变电流平均值。
- 根据权利要求1所述的吻合器,其特征在于,所述控制部还用于将所述实时驱动电流值与驱动电流阈值相比较,当所述实时驱动电流值大于或等于驱动电流阈值时,控制所述驱动部停止工作。
- 根据权利要求1所述的吻合器,其特征在于,所述吻合器还包括传动部及击发杆;所述驱动部通过所述传动部与所述击发杆的一端连接;所述控制部用于当所述吻合器被激活时,控制所述驱动部通过所述传动部带动所述击发杆进行复位校准动作。
- 根据权利要求1所述的吻合器,其特征在于,所述吻合器还包括装载开关及可拆卸的钉匣组件;所述控制部与所述装载开关电连接;当安装所述钉匣组件时,所述钉匣组件触发所述装载开关;所述控制部用于记录所述装载开关的触发时间,并将所述触发时间与时间阈值相比较,如果所述触发时间大于或等于时间阈值,则确定所述钉匣组件装载成功。
- 根据权利要求5所述的吻合器,其特征在于,所述控制部还用于将所述实时驱动电流值与预设的变速电流值相比较,当所述实时驱动电流值大于预设的变速电流值时,控制所述驱动部通过所述传动部带动所述击发杆继续向远离驱动部的方向移动,以增加钉匣组件的闭合行程,并降低所述驱动部的转速,以增加钉匣组件的组织定位能力。
- 根据权利要求5所述的吻合器,其特征在于,所述控制部还用于当拆除所述钉匣组件时,控制所述驱动部通过所述传动部带动所述击发杆进行复位校准动作。
- 根据权利要求4或7所述的吻合器,其特征在于,所述吻合器还包括设置在所述壳体内的感应部;所述传动部上设有凸起,所述感应部的感应区位于所述传动部上的凸起的移动路径上,所述控制部与所述感应部电连接;所述控制部用于当所述吻合器被激活或者拆除钉匣组件时,控制所述驱动部通过传动部带动所述击发杆向靠近所述驱动部的方向移动,以使所述感应部第一次感应到所述凸起;当所述感应部第一次感应到所述凸起时,控制所述驱动部通过所述传动部带动所述击发杆向远离所述驱动部的方向移动,以使所述凸起脱离所述感应部的感应区域;当所述脱离所述感应部的感应区域时,控制所述驱动部通过所述传动部带动所述击发杆向靠近所述驱动部的方向运动,以使所述感应部第二次感应到所述凸起;当所述感应部第二次感应到所述凸起时,控制所述驱动部停止工作。
- 根据权利要求4所述的吻合器,其特征在于,所述吻合器还包括可拆卸的电源以及设置在所述壳体内部的电池电路板,所述控制部与所述电池电路板电连接;所述控制部用于当所述安装所述电源时,采集所述电池电路板上的电压,并判定所述电压是否为工作电压,如果所述电压为工作电压,则确定所述吻合器被激活。
- 根据权利要求5所述的吻合器,其特征在于,所述吻合器还包括与所述控制部电连接的识别部,所述钉匣组件上还设有信息标识;所述识别部用于识别所述钉匣组件上的信息标识;所述控制部用于如果识别失败,则控制所述吻合器处于停机状态,如果识别成功,则控制所述吻合器处于激活状态。
- 根据权利要求10所述的吻合器,其特征在于,所述控制部还用于记录所述识别部的识别总次数及识别成功总次数,并获取识别总次数与识别成功总次数的预设对应关系;根据所述对应关系及所述识别总次数,确定预设的成功识别总次数;将所述识别成功总次数与预设的成功识别总次数相比较,如果所述识别成功总次数大于或等于所述预设的成功识别总次数,则控制所述吻合器处于停机状态。
- 根据权利要求10所述的吻合器,其特征在于,所述识别部获取所述钉匣 组件上的信息标识的识别记录,如果所述识别记录为成功识别记录,则确定所述信息标识识别失败。
- 一种吻合器的控制方法,应用于权利要求1-12任一项所述的吻合器,其特征在于,包括:获取驱动部的实时驱动电流值及跳变电流平均值;确定当前时刻的驱动电流值与上一时刻的驱动电流值的差值;将所述差值与跳变电流平均值相比较,如果所述差值大于所述跳变电流平均值,则控制驱动部停止工作。
- 根据权利要求13的控制方法,其特征在于,所述方法还包括:在回退触发连杆或击发触发连杆被触发的情况下,驱动部驱动击发杆回退或前进。
Applications Claiming Priority (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN202111062646.9 | 2021-09-10 | ||
CN202111062646 | 2021-09-10 | ||
CN202111098001.0A CN113907823B (zh) | 2021-09-10 | 2021-09-18 | 一种吻合器及其控制方法 |
CN202111098001.0 | 2021-09-18 |
Publications (1)
Publication Number | Publication Date |
---|---|
WO2023036263A1 true WO2023036263A1 (zh) | 2023-03-16 |
Family
ID=79235473
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/CN2022/117913 WO2023036263A1 (zh) | 2021-09-10 | 2022-09-08 | 一种吻合器及其控制方法 |
Country Status (2)
Country | Link |
---|---|
CN (1) | CN113907823B (zh) |
WO (1) | WO2023036263A1 (zh) |
Families Citing this family (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN113907823B (zh) * | 2021-09-10 | 2023-07-04 | 北京派尔特医疗科技股份有限公司 | 一种吻合器及其控制方法 |
CN218792363U (zh) * | 2022-08-25 | 2023-04-07 | 思卓瑞(深圳)医疗科技有限公司 | 状态显示式电动手术吻合器 |
Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN104224255A (zh) * | 2013-03-07 | 2014-12-24 | 柯惠Lp公司 | 动力手术吻合装置 |
CN104970843A (zh) * | 2010-04-16 | 2015-10-14 | 柯惠Lp公司 | 手持式手术器械 |
CN108141162A (zh) * | 2015-09-23 | 2018-06-08 | 伊西康有限责任公司 | 具有基于下游电流的马达控件的外科缝合器 |
CN110192903A (zh) * | 2018-11-08 | 2019-09-03 | 北京派尔特医疗科技股份有限公司 | 一种吻合器主体、钉匣、吻合器以及吻合器的控制方法 |
US20210077112A1 (en) * | 2019-09-18 | 2021-03-18 | Ethicon Llc | Method for controlling cutting member actuation for powered surgical stapler |
CN113907823A (zh) * | 2021-09-10 | 2022-01-11 | 北京派尔特医疗科技股份有限公司 | 一种吻合器及其控制方法 |
Family Cites Families (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US8210411B2 (en) * | 2008-09-23 | 2012-07-03 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument |
US9592056B2 (en) * | 2013-03-14 | 2017-03-14 | Covidien Lp | Powered stapling apparatus |
US10292704B2 (en) * | 2015-12-30 | 2019-05-21 | Ethicon Llc | Mechanisms for compensating for battery pack failure in powered surgical instruments |
-
2021
- 2021-09-18 CN CN202111098001.0A patent/CN113907823B/zh active Active
-
2022
- 2022-09-08 WO PCT/CN2022/117913 patent/WO2023036263A1/zh active Application Filing
Patent Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN104970843A (zh) * | 2010-04-16 | 2015-10-14 | 柯惠Lp公司 | 手持式手术器械 |
CN104224255A (zh) * | 2013-03-07 | 2014-12-24 | 柯惠Lp公司 | 动力手术吻合装置 |
CN108141162A (zh) * | 2015-09-23 | 2018-06-08 | 伊西康有限责任公司 | 具有基于下游电流的马达控件的外科缝合器 |
CN110192903A (zh) * | 2018-11-08 | 2019-09-03 | 北京派尔特医疗科技股份有限公司 | 一种吻合器主体、钉匣、吻合器以及吻合器的控制方法 |
US20210077112A1 (en) * | 2019-09-18 | 2021-03-18 | Ethicon Llc | Method for controlling cutting member actuation for powered surgical stapler |
CN113907823A (zh) * | 2021-09-10 | 2022-01-11 | 北京派尔特医疗科技股份有限公司 | 一种吻合器及其控制方法 |
Also Published As
Publication number | Publication date |
---|---|
CN113907823A (zh) | 2022-01-11 |
CN113907823B (zh) | 2023-07-04 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
WO2023036263A1 (zh) | 一种吻合器及其控制方法 | |
JP6841861B2 (ja) | 手動解放付電気自己駆動式手術器具 | |
US11759203B2 (en) | Electrical surgical instrument with minimum closure distance for staple firing control | |
JP6045048B2 (ja) | 電気式手術器具 | |
JP5763139B2 (ja) | 電気式手術器具 | |
US20100096431A1 (en) | Active braking electrical surgical iinstrument and method for braking such an instrument | |
AU2014202303B2 (en) | Electrical surgical instrument | |
AU2017232066A1 (en) | Electrical surgical instrument |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
121 | Ep: the epo has been informed by wipo that ep was designated in this application |
Ref document number: 22866724 Country of ref document: EP Kind code of ref document: A1 |
|
WWE | Wipo information: entry into national phase |
Ref document number: 18690475 Country of ref document: US |
|
REG | Reference to national code |
Ref country code: BR Ref legal event code: B01A Ref document number: 112024004706 Country of ref document: BR |
|
WWE | Wipo information: entry into national phase |
Ref document number: 2022866724 Country of ref document: EP |
|
NENP | Non-entry into the national phase |
Ref country code: DE |
|
ENP | Entry into the national phase |
Ref document number: 2022866724 Country of ref document: EP Effective date: 20240410 |