WO2023102904A1 - Power system suitable for flexible bending - Google Patents

Power system suitable for flexible bending Download PDF

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Publication number
WO2023102904A1
WO2023102904A1 PCT/CN2021/137138 CN2021137138W WO2023102904A1 WO 2023102904 A1 WO2023102904 A1 WO 2023102904A1 CN 2021137138 W CN2021137138 W CN 2021137138W WO 2023102904 A1 WO2023102904 A1 WO 2023102904A1
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WO
WIPO (PCT)
Prior art keywords
flexible
distal end
power system
joint
system suitable
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PCT/CN2021/137138
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French (fr)
Chinese (zh)
Inventor
孟思源
李璐
朱军辉
汝长海
孙钰
Original Assignee
江苏集萃微纳自动化系统与装备技术研究所有限公司
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Application filed by 江苏集萃微纳自动化系统与装备技术研究所有限公司 filed Critical 江苏集萃微纳自动化系统与装备技术研究所有限公司
Priority to PCT/CN2021/137138 priority Critical patent/WO2023102904A1/en
Publication of WO2023102904A1 publication Critical patent/WO2023102904A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • 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

Definitions

  • the invention relates to the technical field of medical devices, in particular to a power system suitable for flexible bending.
  • Surgical instruments transmit the axial braking force from the handle to the end effector to achieve a predetermined instrument action.
  • linear staplers require axial braking force to push the blade, thus relying on the contact between the blade and the anvil and the staple cartridge seat.
  • the slide rail structure completes the grasping, cutting and anastomosis of tissues.
  • Surgical instruments such as surgical forceps and surgical scissors need axial braking force to pull/push the connecting rod mechanism at the end of the instrument to achieve the closed state and closed state of the instrument. Switch between them, so as to complete the grabbing and cutting of tissues.
  • the transmission chain When the above solution is used in a medical surgical instrument that requires a large braking force, the transmission chain will exert a strong squeeze on the curved side wall, thereby compressing the flexible and bendable part so that it cannot maintain the initial bending range. Due to the reason of its own structural scheme, there will be an undesirable force to restore the bending part mechanism to the initial state, so that it cannot maintain the set bending range.
  • the surgical instrument of the prior art solution has low rigidity and poor stability. Therefore, it is urgent to design a power system that can provide sufficient axial braking force in the case of flexible bending without generating force to restore the structure to its original state.
  • the technical problem to be solved by the present invention is to overcome the defects of low rigidity and poor stability of surgical instruments in the prior art, and provide a power system that can still provide sufficient axial braking force in the case of flexible bending, and Does not affect the amount of bending.
  • the present invention provides a power system suitable for flexible bending, including:
  • the power assembly is used to generate axial braking force, including a sleeve, a push rod and a piston rod.
  • the distal end of the sleeve is an instrument joint, and the proximal end of the sleeve is a curved joint.
  • the piston rod will The sleeve is divided into a first chamber and a second chamber, the proximal end of the push rod is connected to the piston rod, and the distal end of the push rod passes through the first chamber from the sleeve the distal end of the tube protrudes;
  • the driving assembly is used to drive the push rod to move, including a hose and a hydraulic pump.
  • the distal end of the hose passes through the curved joint to communicate with the second chamber, and the proximal end of the hose communicates with the second chamber. the hydraulic pump.
  • the first chamber is separated from the instrument joint by an end cover, and a vent is provided on the end cover.
  • a detection component is connected to the hose between the second chamber and the hydraulic pump.
  • the detection component includes a flow meter and/or an air pressure detector.
  • a sealing groove is arranged on the circumference of the piston rod, and a sealing ring is arranged in the sealing groove.
  • the hose is a spring tube.
  • the hydraulic pump is connected to a hydraulic pool, and the hydraulic pool is filled with fluid.
  • the fluid is high-pressure gas, water or hydraulic oil.
  • it further includes a flexible component and a support base, the distal end of the flexible component is connected to the bending joint, and the proximal end of the flexible component is connected to the distal end of the support base , the flexible component and the support seat are provided with an intermediate channel, and the hose passes through the intermediate channel.
  • the flexible assembly includes a catheter base, a joint part and an instrument base, and there are multiple joint parts, and the joint parts are connected successively in a chain shape, and between adjacent joint parts Can rotate around the contact surface, the distal end of the catheter base is connected to the proximal end of the chain composed of the joint parts, the proximal end of the catheter base is connected to the support base, the proximal end of the instrument base It is connected to the distal end of the chain composed of the joint parts, and the distal end of the instrument base is connected to the curved joint.
  • the flexible assembly is driven to bend by a handle assembly
  • the handle assembly is installed at the proximal end of the support base
  • the handle assembly is connected to one end of the posture force member
  • the flexible assembly and the support A plurality of peripheral channels are arranged in the circumferential direction of the middle channel, and the posture force member passes through the peripheral channels and is fixedly connected with the distal end of the flexible component.
  • the handle assembly includes a plurality of inner wheels, the plurality of inner wheels are arranged coaxially, and the inner wheels pass through the support seat and are connected with dials.
  • the power system of the present invention can not only provide sufficient axial braking force when the surgical instrument is flexibly bent in any direction relative to the axial direction, but will not produce adverse force that affects the bending range, thereby improving the use of the surgical instrument. stability.
  • Fig. 1 is a schematic diagram of the power system of the present invention
  • Fig. 2 is the structural representation of hose of the present invention
  • Fig. 3 is a schematic diagram of an embodiment of the surgical instrument of the present invention.
  • Fig. 4 is a sectional view of the present invention.
  • Fig. 5 is a schematic diagram of Embodiment 1 of the flexible component of the present invention.
  • Fig. 6 is a schematic diagram of the second embodiment of the flexible component of the present invention.
  • Fig. 7 is a schematic diagram of Embodiment 3 of the flexible component of the present invention.
  • Fig. 8 is a schematic diagram of the closed state of the surgical instrument assembly of the present invention.
  • Fig. 9 is a schematic diagram of the opened state of the surgical instrument assembly of the present invention.
  • Multi-link link structure 3011. Single link; 302. Snake-like chain structure; 303. Multi-hinge hinge structure; 3031. Single hinge joint; 3032. Hinge point; 3033. Hinge joint group ;3034, group joint hinge point;
  • Surgical instrument components 41. Stapler end effector components; 411. Open jaws; 412. Close jaws;
  • proximal is generally used to refer to the portion of the device that is close to the clinician
  • distal is generally used to refer to the portion of the device that is remote from the clinician.
  • the "surgical instrument assembly” referred to in this specification generally refers to a surgical instrument such as a linear stapler that needs to transmit an axial braking force from a handle to an end effector to achieve a predetermined instrument action.
  • this specification generally introduces flexible components and posture force members that can achieve relative axial two-degree-of-freedom and multi-directional deflection in the embodiments, and introduces the handle of the surgical instrument
  • the part connected with the end effector assembly is used as the input to realize the intended function of the end effector.
  • this manual uses the end effector of a linear stapler as an example to illustrate how the axial braking force is transformed into instrument action.
  • FIG. 1 it is a schematic diagram of a power system 10 suitable for flexible bending according to the present invention.
  • the power system 10 of the present invention includes:
  • the power assembly is used to generate an axial braking force 81, including a sleeve 1, a push rod 2 and a piston rod 5, the distal end of the sleeve 1 is an instrument joint 9, and the proximal end of the sleeve 1 is a curved Joint 8, the piston rod 5 divides the casing 1 into a first chamber and a second chamber, the proximal end of the push rod 2 is connected to the piston rod 5, and the distal end of the push rod 2 end protrudes from the distal end of the cannula 1 through the first chamber;
  • the driving assembly is used to drive the push rod 2 to move, including a hose 3 and a hydraulic pump 11.
  • the distal end of the hose 3 passes through the curved joint 8 and communicates with the second chamber.
  • the hose The proximal end of 3 communicates with the hydraulic pump 11.
  • the hydraulic pump 11 is used as the power source input of the power system 10, and the hydraulic pump 11 uses the fluid 13 as the medium for providing the power source.
  • a hydraulic pool 12 is also provided, and the hydraulic pump 11 is connected to the hydraulic pool 12 to pump the fluid 13 in the hydraulic pool 12 into the power assembly.
  • the fluid 13 includes, but is not limited to, flowable substances such as high-pressure gas, water, and hydraulic oil.
  • the power assembly serves as the final actuator of the power system 10 . In this way, the surgical instrument assembly 40 can provide the axial braking force 81 for the end effector under the condition that the two degrees of freedom of the pitch 93 and the yaw 94 can be changed.
  • the hydraulic pump 11 starts to work, and the fluid 13 is injected into the second chamber of the cannula 1, The fluid 13 pushes the piston rod 5 to move toward the distal end of the cannula 1 , drives the push rod 2 to move, and reduces the volume of the first chamber of the cannula 1 , thereby providing an axial distal braking force 81 .
  • the hydraulic pump 11 starts to work, sucks out the fluid 13 in the second chamber, increases the volume of the first chamber, pushes the piston rod 5 to move toward the proximal end of the casing 1, and drives the The lever 2 returns to provide an axial proximal braking force 81 .
  • the piston rod 5 and the push rod 2 connected to the piston rod 5 are displaced, and the position of the hose 3 used to transport the fluid 13 remains unchanged. Therefore, when the posture of the surgical instrument is determined relative to the axial direction and multi-direction, the posture of the flexible tube 3 is consistent with the determined posture, and changes with the change of the set posture. Does not change posture.
  • the axial braking force 81 is provided, under the condition that the bending position and attitude of the hose 3 do not change, the hose 3 will not squeeze the bending position of the outer wall and affect its attitude, thereby ensuring the realization of the surgical instrument.
  • sufficient axial braking force 81 is provided.
  • the distal end of the push rod 2 is provided with a brake joint 7 .
  • the first chamber is separated from the instrument connector 9 by an end cover 4, so that the push rod 2 and the piston rod 5 can be inserted into the sleeve by opening the end cover 4 Inside tube 1.
  • the outer diameter of the end cap 4 should be smaller than or equal to the outer diameter of the casing 1 and larger than the inner diameter of the casing 1.
  • a detection component 14 is also connected to the hose 3 between the second chamber and the hydraulic pump 11 .
  • the detection component 14 detects the flow, volume, pressure and other information of the power system 10 in real time to provide feedback for system implementation.
  • the hydraulic pump 11 starts to work and sucks the fluid 13 from the hydraulic pool 12.
  • the detection component 14 detects that the volume of the sucked liquid reaches the corresponding casing 1, and the hydraulic pump 11 stops.
  • the detection component 14 detects that the pressure of the gas reaches a corresponding value, the hydraulic pump 11 stops working, and maintains the pressure at this time to complete the action of providing the braking force 81 . Therefore, the detection component 14 includes but is not limited to flow meters and/or air pressure detectors and other detection devices for the flow, volume and pressure of the fluid 13 .
  • a sealing groove is arranged on the circumference of the piston rod 5, and a sealing ring 6 is arranged in the sealing groove.
  • the piston rod 5 is short cylindrical, and the sealing groove is located on the circumference of the short cylindrical shape.
  • the diameter of the piston rod 5 should be slightly smaller than the inner diameter of the casing 1, so that it can be easily loaded into the casing 1.
  • the outer diameter of the sealing ring 6 should be slightly larger than the inner diameter of the casing 1 to ensure the sealing effect.
  • the push rod 2 connected to the piston rod 5 should provide a larger thrust, so the push rod 2 should be a cuboid or cylindrical structure that can withstand a larger thrust, and the maximum length of its section should be smaller than the diameter of the piston, and its length should be slightly longer than the casing 1 length.
  • FIG. 2 it is a structural diagram of several embodiments of the hose 3, which are the initial state without deflection 94 or bending at any degree of freedom relative to the axial direction and after deflection 94 at any degree of freedom relative to the axial direction. status.
  • Figure 3 shows the bending of one degree of freedom on the plane of the reader's front view, and it can also realize the bending of another degree of freedom on the plane perpendicular to this plane and passing through the axis.
  • the hose 3 is a spring tube, including but not limited to a spring-like structure, and also includes other structures that can be bent with two degrees of freedom and have only a small axial length change.
  • the spring-like structure When the hose 3 deflects 94 or bends relative to any degree of freedom in the axial direction, the spring-like structure will compress the part facing the left side of the reader, and the part facing the right side of the reader will elongate to ensure the overall axis Only minor changes occur in length.
  • the driving method of the additional fluid 13 ensures that the bending part mechanism relative to any degree of freedom in the axial direction will not produce adverse force to restore it to the original state, and maintain its set bending range. Therefore, during the process of providing the axial braking force 81 , the bending position will not change, so that the outer wall of the surgical instrument will not be squeezed and the bending range will not be changed.
  • the power system 10 of the present invention also includes a flexible assembly 30 and a support seat
  • the support seat includes a shell and a support tube 20
  • the shell is connected to the support tube 20 to play a supporting role
  • the lower part can be connected with a trigger 91, which is connected to the switch of the hydraulic pump 11 in the driving assembly and can be used to control the operation of the hydraulic pump 11.
  • the support tube 20 is installed at the distal end of the casing.
  • the distal end of the support tube 20 is fixedly connected to the proximal end of the flexible assembly 30, and the distal end of the flexible assembly 30 is connected to the bending joint 8, and the flexible assembly 30 can realize bending with two degrees of freedom along the axial direction (Fig.
  • the proximal end of the power assembly is fixedly connected to the distal end of the flexible assembly 30 .
  • An intermediate channel 50 is disposed in the flexible component 30 and the support seat, and the hose 3 passes through the intermediate channel 50 .
  • the hose 3 is bent with two degrees of freedom relative to the axial direction along the middle channel 50 .
  • the flexible assembly 30 in order to meet the free bending of the flexible assembly 30 relative to the axial direction, is a joint structure, including joint parts. There are a plurality of joint parts, and the joint parts are connected successively in a chain shape. The joint parts can rotate around the contact surface, so as to realize the bending of the flexible component 30 .
  • the support tube 20 at the proximal end of the flexible assembly 30 and the power assembly at the distal end it also includes a catheter base and an instrument base, the distal end of the catheter base is connected to the proximal end of the chain formed by the joint parts, The proximal end of the catheter base is connected to the support base, specifically the support tube 20, the proximal end of the instrument base is connected to the distal end of the chain formed by the joint parts, and the distal end of the instrument base is The power assembly is connected, specifically the bending joint 8 .
  • FIGS. 5-7 they are cross-sectional views of several embodiments of the flexible component 30 in the side view direction.
  • the flexible component 30 in FIG. 5 is a multi-link link structure 301, in which joint parts are chain links. Both ends of a single chain link 3011 are provided with rotating surfaces, the distal end is convex, and the proximal end is concave, which can realize the relative axial direction of two degrees of freedom.
  • a deflection 94 with two degrees of freedom relative to the axial direction can be formed. The size of the deflection 94 angle is determined by the radian of the rotating surface of the chain link and the number of chain links.
  • the flexible component 30 in Fig. 6 includes but is not limited to a snake-like chain structure 302, and is made of a round tube material with plastic deformation as a whole, and equally spaced grooves are opened in the circumferential direction of the round tube to ensure the stability of the whole when deflection 94 occurs sex.
  • the flexible assembly 30 in Fig. 7 is a multi-hinge hinge structure 303, and the joint parts are hinge joints.
  • a single hinge joint 3031 of this structure is provided with a hinge point 3032 at the proximal end and the distal end, and the two hinge joints can be carried out along the hinge point 3032.
  • the rotation forms the hinge joint group 3033 , and the hinge joint groups 3033 are articulated through the joint hinge point 3034 , and the two hinge joint groups 3033 can rotate relative to each other along the joint hinge point 3034 .
  • the size of the angle of deflection 94 is determined by the number of hinge joint groups 3033, the larger the arc and the more the number, the larger the angle of rotation.
  • the flexible assembly 30 is driven to bend by the handle assembly 80, and the handle assembly 80 is installed on the proximal end of the support seat, the The handle assembly 80 is connected to one end of the posture force member 70, the flexible assembly 30 and the support seat are provided with a plurality of peripheral passages 60 in the circumferential direction of the middle passage 50, and the posture force member 70 passes through the peripheral passage 60 and all the peripheral passages.
  • the distal end of the flexible component 30 is fixedly connected.
  • the handle assembly 80 drives the posture force member 70 to move axially along the peripheral passages 60 .
  • the handle assembly 80 includes a plurality of inner wheels arranged coaxially, and the inner wheels pass through the support seat and are connected with dials.
  • the dial includes an upper dial 95 and a lower dial 96, and the upper dial 95 and the lower dial 96 can be installed on one side of the housing or evenly distributed on both sides.
  • the upper dial 95 provides the posture force 82 required for the bending of the posture force member 70 relative to the axial pitch 93 direction by rotating, it controls the bending range of the posture force member 70 in the relative axial pitch 93 direction, and the lower dial 96 passes The rotation provides the posture force 82 required for bending the posture force member 70 in the direction of relative axial deflection 94 , and at the same time controls the bending amplitude of the posture force member 70 in the direction of relative axial deflection 94 .
  • the end effector of the surgical instrument assembly 40 is an example of a stapler end effector assembly 41 .
  • the attitude force 82 is transmitted to the flexible assembly 30 through the attitude force member 70 to make the joints rotate relative to each other, thereby realizing two degrees of freedom. Bending, ie pitch 93 and yaw 94 shown in FIG. 3 .
  • the attitude force 82 can also be controlled in other ways such as electric, which will not be described in detail.
  • the external hydraulic pump 11 acts on the push rod 2 in the power assembly through the injection and withdrawal of the fluid 13 through the hose 3 in the drive assembly, and finally transmits it to the surgical instrument assembly 40, along the axial direction
  • the reciprocating motion provides a braking force 81, so as to complete the predetermined instrument actions (grasping, cutting and stapling of tissues).
  • a distal braking force 811 pull the trigger 91, the hydraulic pump 11 starts to work, and sucks the fluid 13 from the hydraulic pool 12.
  • the detection component 14 detects the suction
  • the liquid volume reaches the corresponding casing 1
  • the hydraulic pump 11 stops working and maintains the pressure at this time.
  • the detection component 14 detects that the pressure of the gas reaches a corresponding value, and the hydraulic pump 11 stops working and maintains the pressure at this time.
  • the jaw 411 is opened, it is necessary to provide a braking force 812 to the distal end, pull the trigger 91 again, the hydraulic pump 11 starts to work, and the fluid 13 is sucked out from the casing 1.
  • the detection component 14 detects the volume of the sucked liquid When reaching the corresponding casing 1, the hydraulic pump 11 stops working and maintains the pressure at this time.
  • the detection component 14 detects that the pressure of the gas reaches a corresponding value, and the hydraulic pump 11 stops working and maintains the pressure at this time.

Abstract

The present invention relates to a power system suitable for flexible bending, comprising: a power assembly, used for generating an axial braking force, and comprising a sleeve, a push rod, and a piston rod, the distal end of the sleeve being an instrument joint, the proximal end of the sleeve being a bending joint, the piston rod dividing the sleeve into a first cavity and a second cavity, the proximal end of the push rod being connected to the piston rod, and the distal end of the push rod passing through the first cavity to extend out of the distal end of the sleeve; and a driving assembly, used for driving the push rod to move, and comprising a flexible tube and a hydraulic pump, the distal end of the flexible tube passing through the bending joint to be communicated with the second cavity, and the proximal end of the flexible tube being communicated with the hydraulic pump. According to the present invention, when a surgical operation instrument is flexibly bent in any direction relative to the axial direction, enough axial braking force can be provided, moreover, no adverse acting force affecting the bending range will be generated, and the use stability of the surgical operation instrument is improved.

Description

一种适于柔性弯曲的动力系统A power system suitable for flexible bending 技术领域technical field
本发明涉及医疗器械技术领域,尤其是指一种适于柔性弯曲的动力系统。The invention relates to the technical field of medical devices, in particular to a power system suitable for flexible bending.
背景技术Background technique
许多外科手术器械是将轴向的制动力从手柄传递到末端执行器以实现既定的器械动作,例如线性吻合器需要轴向的制动力推动刀片,从而依靠刀片和砧板、钉仓座之间的滑轨结构完成对于组织的抓取、切割和吻合,手术钳、手术剪等夹取形式的手术器械需要轴向的制动力拉动/推动器械末端的连杆机构以实现器械闭合状态和关闭状态之间的切换,从而完成对于组织的抓取、切割等。Many surgical instruments transmit the axial braking force from the handle to the end effector to achieve a predetermined instrument action. For example, linear staplers require axial braking force to push the blade, thus relying on the contact between the blade and the anvil and the staple cartridge seat. The slide rail structure completes the grasping, cutting and anastomosis of tissues. Surgical instruments such as surgical forceps and surgical scissors need axial braking force to pull/push the connecting rod mechanism at the end of the instrument to achieve the closed state and closed state of the instrument. Switch between them, so as to complete the grabbing and cutting of tissues.
此类需要传递轴向制动力的现有外科手术器械大多为刚性结构,少数器械的末端也只能在轴向垂直平面实现一个自由度的弯曲。在已知的此类手术器械中,其末端均不能达到两个自由度(俯仰、偏转)或以上。其原因主要在于,为了实现器械末端的弯曲,轴向制动力的传动链必然需要有一部分是柔性可弯曲的。因此现有可实现两个自由度转动的轴向制动力传动方案只能用于很小的力(例如消化道内镜活检钳)。当以上方案用于需要较大制动力的医用外科器械时,传动链会对弯曲的侧壁产生强大挤压,从而压迫柔性可弯曲的部分使其无法保持初始的弯曲幅度。由于自身结构方案的原因,会产生使弯曲部分机构恢复初始状态的不良作用力,使其无法保持设定的弯曲幅度。Most of the existing surgical instruments that need to transmit axial braking force are rigid structures, and the ends of a few instruments can only be bent with one degree of freedom in the axial vertical plane. In the known surgical instruments of this type, the tips do not have two degrees of freedom (pitch, yaw) or more. The main reason is that, in order to realize the bending of the end of the instrument, a part of the transmission chain of the axial braking force must be flexible and bendable. Therefore, the existing axial braking force transmission scheme that can realize two degrees of freedom rotation can only be used for a small force (for example, alimentary canal endoscopic biopsy forceps). When the above solution is used in a medical surgical instrument that requires a large braking force, the transmission chain will exert a strong squeeze on the curved side wall, thereby compressing the flexible and bendable part so that it cannot maintain the initial bending range. Due to the reason of its own structural scheme, there will be an undesirable force to restore the bending part mechanism to the initial state, so that it cannot maintain the set bending range.
现有技术方案的外科手术器械刚度低、稳定性差。因此亟需设计一种在柔性弯曲的情况下能够提供足够的轴向制动力且不会产生使结构恢复到初 始状态的作用力的动力系统。The surgical instrument of the prior art solution has low rigidity and poor stability. Therefore, it is urgent to design a power system that can provide sufficient axial braking force in the case of flexible bending without generating force to restore the structure to its original state.
发明内容Contents of the invention
为此,本发明所要解决的技术问题在于克服现有技术中外科手术器械刚度低、稳定性差的缺陷,提供一种在柔性弯曲的情况下依然能够提供足够的轴向制动力的动力系统,且不会影响弯曲幅度。For this reason, the technical problem to be solved by the present invention is to overcome the defects of low rigidity and poor stability of surgical instruments in the prior art, and provide a power system that can still provide sufficient axial braking force in the case of flexible bending, and Does not affect the amount of bending.
为解决上述技术问题,本发明提供了一种适于柔性弯曲的动力系统,包括:In order to solve the above technical problems, the present invention provides a power system suitable for flexible bending, including:
动力组件,用于产生轴向制动力,包括套管、推动杆和活塞柱,所述套管的远侧端为器械接头,所述套管的近侧端为弯曲接头,所述活塞柱将所述套管分隔为第一腔室和第二腔室,所述推动杆的近侧端连接所述活塞柱,所述推动杆的远侧端穿过所述第一腔室从所述套管的远侧端伸出;The power assembly is used to generate axial braking force, including a sleeve, a push rod and a piston rod. The distal end of the sleeve is an instrument joint, and the proximal end of the sleeve is a curved joint. The piston rod will The sleeve is divided into a first chamber and a second chamber, the proximal end of the push rod is connected to the piston rod, and the distal end of the push rod passes through the first chamber from the sleeve the distal end of the tube protrudes;
驱动组件,用于驱动所述推动杆移动,包括软管和液压泵,所述软管的远侧端穿过所述弯曲接头连通所述第二腔室,所述软管的近侧端连通所述液压泵。The driving assembly is used to drive the push rod to move, including a hose and a hydraulic pump. The distal end of the hose passes through the curved joint to communicate with the second chamber, and the proximal end of the hose communicates with the second chamber. the hydraulic pump.
在本发明的一个实施例中,所述第一腔室与器械接头之间通过端盖分隔,所述端盖上设置有通气口。In one embodiment of the present invention, the first chamber is separated from the instrument joint by an end cover, and a vent is provided on the end cover.
在本发明的一个实施例中,所述第二腔室与液压泵之间的所述软管上连接有检测组件。In one embodiment of the present invention, a detection component is connected to the hose between the second chamber and the hydraulic pump.
在本发明的一个实施例中,所述检测组件包括流量计和/或气压检测计。In one embodiment of the present invention, the detection component includes a flow meter and/or an air pressure detector.
在本发明的一个实施例中,所述活塞柱圆周设置有密封凹槽,所述密封凹槽内设置有密封圈。In one embodiment of the present invention, a sealing groove is arranged on the circumference of the piston rod, and a sealing ring is arranged in the sealing groove.
在本发明的一个实施例中,所述软管为弹簧管。In one embodiment of the present invention, the hose is a spring tube.
在本发明的一个实施例中,所述液压泵连接液压池,所述液压池内装载有流体。In one embodiment of the present invention, the hydraulic pump is connected to a hydraulic pool, and the hydraulic pool is filled with fluid.
在本发明的一个实施例中,所述流体为高压气体、水或液压油。In one embodiment of the present invention, the fluid is high-pressure gas, water or hydraulic oil.
在本发明的一个实施例中,还包括柔性组件和支撑座,所述柔性组件的远侧端与所述弯曲接头相连,所述柔性组件的近侧端与所述支撑座的远侧端相连,所述柔性组件和支撑座内设置有中间通道,所述软管从所述中间通道中穿过。In one embodiment of the present invention, it further includes a flexible component and a support base, the distal end of the flexible component is connected to the bending joint, and the proximal end of the flexible component is connected to the distal end of the support base , the flexible component and the support seat are provided with an intermediate channel, and the hose passes through the intermediate channel.
在本发明的一个实施例中,所述柔性组件包括导管座、关节件和器械座,所述关节件设置有多个,所述关节件呈链条状依次相连,相邻所述关节件之间可绕接触面转动,所述导管座的远侧端连接于所述关节件组成的链条的近侧端,所述导管座的近侧端连接所述支撑座,所述器械座的近侧端连接于所述关节件组成的链条的远侧端,所述器械座的远侧端连接所述弯曲接头。In one embodiment of the present invention, the flexible assembly includes a catheter base, a joint part and an instrument base, and there are multiple joint parts, and the joint parts are connected successively in a chain shape, and between adjacent joint parts Can rotate around the contact surface, the distal end of the catheter base is connected to the proximal end of the chain composed of the joint parts, the proximal end of the catheter base is connected to the support base, the proximal end of the instrument base It is connected to the distal end of the chain composed of the joint parts, and the distal end of the instrument base is connected to the curved joint.
在本发明的一个实施例中,所述柔性组件通过手柄组件驱动弯曲,所述手柄组件安装在所述支撑座的近侧端,所述手柄组件连接姿态力件一端,所述柔性组件和支撑座在所述中间通道的周向设置有多个外围通道,所述姿态力件穿过所述外围通道与所述柔性组件的远侧端固定连接。In one embodiment of the present invention, the flexible assembly is driven to bend by a handle assembly, the handle assembly is installed at the proximal end of the support base, the handle assembly is connected to one end of the posture force member, the flexible assembly and the support A plurality of peripheral channels are arranged in the circumferential direction of the middle channel, and the posture force member passes through the peripheral channels and is fixedly connected with the distal end of the flexible component.
在本发明的一个实施例中,所述手柄组件包括多个内部转轮,多个所述内部转轮同轴设置,所述内部转轮从所述支撑座内穿出连接有拨轮。In one embodiment of the present invention, the handle assembly includes a plurality of inner wheels, the plurality of inner wheels are arranged coaxially, and the inner wheels pass through the support seat and are connected with dials.
本发明的上述技术方案相比现有技术具有以下优点:The above technical solution of the present invention has the following advantages compared with the prior art:
本发明所述的动力系统在外科手术器械实现相对轴向任意方向柔性弯曲的情况下,不仅能够提供足够的轴向制动力,同时不会产生影响弯曲幅度的不良作用力,提高外科手术器械使用的稳定性。The power system of the present invention can not only provide sufficient axial braking force when the surgical instrument is flexibly bent in any direction relative to the axial direction, but will not produce adverse force that affects the bending range, thereby improving the use of the surgical instrument. stability.
附图说明Description of drawings
为了使本发明的内容更容易被清楚的理解,下面根据本发明的具体实施例并结合附图,对本发明作进一步详细的说明,其中In order to make the content of the present invention more easily understood, the present invention will be described in further detail below according to specific embodiments of the present invention in conjunction with the accompanying drawings, wherein
图1是本发明动力系统示意图;Fig. 1 is a schematic diagram of the power system of the present invention;
图2是本发明的软管结构示意图;Fig. 2 is the structural representation of hose of the present invention;
图3是本发明的手术器械实施例示意图;Fig. 3 is a schematic diagram of an embodiment of the surgical instrument of the present invention;
图4是本发明的剖视图;Fig. 4 is a sectional view of the present invention;
图5是本发明的柔性组件实施例一示意图;Fig. 5 is a schematic diagram of Embodiment 1 of the flexible component of the present invention;
图6是本发明的柔性组件实施例二示意图;Fig. 6 is a schematic diagram of the second embodiment of the flexible component of the present invention;
图7是本发明的柔性组件实施例三示意图;Fig. 7 is a schematic diagram of Embodiment 3 of the flexible component of the present invention;
图8是本发明的手术器械组件闭合状态示意图;Fig. 8 is a schematic diagram of the closed state of the surgical instrument assembly of the present invention;
图9是本发明的手术器械组件开启状态示意图。Fig. 9 is a schematic diagram of the opened state of the surgical instrument assembly of the present invention.
说明书附图标记说明:10、动力系统;1、套管;11、液压泵;111、通气口;12、液压池;13、流体;14、检测组件;2、推动杆;3、软管;4、端盖;5、活塞柱;6、密封圈;7、制动接头;8、弯曲接头;9、器械接头;Description of reference signs in the manual: 10. Power system; 1. Sleeve; 11. Hydraulic pump; 111. Air vent; 12. Hydraulic pool; 13. Fluid; 14. Detection component; 2. Push rod; 3. Hoses; 4. End cover; 5. Piston rod; 6. Seal ring; 7. Brake joint; 8. Bending joint; 9. Instrument joint;
20、支撑管;20. Support tube;
30、柔性组件;301、多链节链接结构;3011、单个链节;302、类蛇骨链结构;303、多铰链铰接结构;3031、单个铰链关节;3032、铰接点;3033、铰接关节组;3034、组关节铰接点;30. Flexible component; 301. Multi-link link structure; 3011. Single link; 302. Snake-like chain structure; 303. Multi-hinge hinge structure; 3031. Single hinge joint; 3032. Hinge point; 3033. Hinge joint group ;3034, group joint hinge point;
40、手术器械组件;41、吻合器末端执行器组件;411、开启钳口;412、关闭钳口;40. Surgical instrument components; 41. Stapler end effector components; 411. Open jaws; 412. Close jaws;
50、中间通道;50. Middle channel;
60、外围通道;60. Peripheral channel;
70、姿态力件;70. Attitude force piece;
80、手柄组件;81、制动力;811、向远端制动力;812、近端制动力;82、姿态力;80. Handle assembly; 81. Braking force; 811. Far-end braking force; 812. Near-end braking force; 82. Attitude force;
91、扳机;93、俯仰;94、偏转;95、上拨轮;96、下拨轮。91, trigger; 93, pitch; 94, deflection; 95, upper dial; 96, lower dial.
具体实施方式Detailed ways
下面结合附图和具体实施例对本发明作进一步说明,以使本领域的技术人员可以更好地理解本发明并能予以实施,但所举实施例不作为对本发明的限定。The present invention will be further described below in conjunction with the accompanying drawings and specific embodiments, so that those skilled in the art can better understand the present invention and implement it, but the examples given are not intended to limit the present invention.
在本说明书中,术语“近侧”通常用于指靠近临床医生的装置部分,而术语“远侧”通常用于指远离临床医生的装置部分。本说明书所指的“手术器械组件”通常指的是线性吻合器等需要将轴向的制动力从手柄传递到末端执行器以实现既定器械动作的外科手术器械。In this specification, the term "proximal" is generally used to refer to the portion of the device that is close to the clinician, while the term "distal" is generally used to refer to the portion of the device that is remote from the clinician. The "surgical instrument assembly" referred to in this specification generally refers to a surgical instrument such as a linear stapler that needs to transmit an axial braking force from a handle to an end effector to achieve a predetermined instrument action.
为了更好地理解所提出动力系统的设计方案,本说明书在实施例中概括性地引入了可实现相对轴向两自由度多方向偏转的柔性组件和姿态力件,又引入外科手术器械的手柄及其与末端执行器组件相连的部分以作为实现末端执行器既定功能的输入。此外,本说明书以线性吻合器的末端执行器为例对轴向制动力如何转变成器械动作进行了阐述。In order to better understand the design scheme of the proposed power system, this specification generally introduces flexible components and posture force members that can achieve relative axial two-degree-of-freedom and multi-directional deflection in the embodiments, and introduces the handle of the surgical instrument The part connected with the end effector assembly is used as the input to realize the intended function of the end effector. In addition, this manual uses the end effector of a linear stapler as an example to illustrate how the axial braking force is transformed into instrument action.
参照图1所示,为本发明的一种适于柔性弯曲的动力系统10示意图。本发明的动力系统10包括:Referring to FIG. 1 , it is a schematic diagram of a power system 10 suitable for flexible bending according to the present invention. The power system 10 of the present invention includes:
动力组件,用于产生轴向制动力81,包括套管1、推动杆2和活塞柱5,所述套管1的远侧端为器械接头9,所述套管1的近侧端为弯曲接头8,所述活塞柱5将所述套管1分隔为第一腔室和第二腔室,所述推动杆2的近侧端连接所述活塞柱5,所述推动杆2的远侧端穿过所述第一腔室从所述套管1的远侧端伸出;The power assembly is used to generate an axial braking force 81, including a sleeve 1, a push rod 2 and a piston rod 5, the distal end of the sleeve 1 is an instrument joint 9, and the proximal end of the sleeve 1 is a curved Joint 8, the piston rod 5 divides the casing 1 into a first chamber and a second chamber, the proximal end of the push rod 2 is connected to the piston rod 5, and the distal end of the push rod 2 end protrudes from the distal end of the cannula 1 through the first chamber;
驱动组件,用于驱动所述推动杆2移动,包括软管3和液压泵11,所述软管3的远侧端穿过所述弯曲接头8连通所述第二腔室,所述软管3的近侧端连通所述液压泵11。The driving assembly is used to drive the push rod 2 to move, including a hose 3 and a hydraulic pump 11. The distal end of the hose 3 passes through the curved joint 8 and communicates with the second chamber. The hose The proximal end of 3 communicates with the hydraulic pump 11.
本发明的实施例中,液压泵11作为动力系统10的的动力源输入,液压泵11以流体13作为提供动力源的介质。为保证流体13的持续供应,还设置有液压池12,液压泵11连接液压池12,将液压池12内的流体13泵入动力组件中。本实施例中,流体13包括但不限于高压气体、水、液压油等可流动的物质。动力组件作为动力系统10的最终执行机构。以此来实现手术器械组件40实现俯仰93、偏转94两个自由度空间姿态变化的条件下,为末端执行器提供轴向制动力81。具体的,当外科手术器械既定好相对轴向两自由度的姿态后,需要提供轴向远侧制动力81时,液压泵11开始工作, 向套管1的第二腔室内开始注入流体13,流体13推动活塞柱5向套管1远侧端运动,带动推动杆2移动,使套管1的第一腔室体积减小,以此来提供轴向远侧的制动力81。需要提供轴向近侧制动力81时,液压泵11开始工作,将第二腔室内的流体13吸出,使第一腔室体积增加,推动活塞柱5向套管1近侧端运动,带动推动杆2复位,以此来提供轴向近侧的制动力81。在此过程中,产生位移的仅包括活塞柱5及与活塞柱5相连的推动杆2,用于输送流体13的软管3的位置不变。因此当外科手术器械既定好相对轴向多方向的姿态后,软管3的姿态与定好的姿态一致,随设定的姿态的变化而变化,在外壁姿态不变的情况下,软管3自身不会改变姿态。即使有流体13通过,流体13的主要流动方向是软管3的轴向,因此流体13对软管3的压力不会使软管3的姿态产生变化。从而提供轴向制动力81时,在软管3的弯曲位置及姿态不发生变化的情况下,软管3不会对外壁的弯曲位置产生挤压,影响其姿态,从而在保证外科手术器械实现相对轴向的多方向姿态变化稳定的情况下,提供足够的轴向制动力81。为便于与手术器械组件40中所需提供拉力和推力的部件连结,推动杆2的远侧端设置有制动接头7。In the embodiment of the present invention, the hydraulic pump 11 is used as the power source input of the power system 10, and the hydraulic pump 11 uses the fluid 13 as the medium for providing the power source. In order to ensure the continuous supply of fluid 13, a hydraulic pool 12 is also provided, and the hydraulic pump 11 is connected to the hydraulic pool 12 to pump the fluid 13 in the hydraulic pool 12 into the power assembly. In this embodiment, the fluid 13 includes, but is not limited to, flowable substances such as high-pressure gas, water, and hydraulic oil. The power assembly serves as the final actuator of the power system 10 . In this way, the surgical instrument assembly 40 can provide the axial braking force 81 for the end effector under the condition that the two degrees of freedom of the pitch 93 and the yaw 94 can be changed. Specifically, when the surgical instrument has a predetermined posture relative to the two degrees of freedom in the axial direction, when the axial distal braking force 81 needs to be provided, the hydraulic pump 11 starts to work, and the fluid 13 is injected into the second chamber of the cannula 1, The fluid 13 pushes the piston rod 5 to move toward the distal end of the cannula 1 , drives the push rod 2 to move, and reduces the volume of the first chamber of the cannula 1 , thereby providing an axial distal braking force 81 . When the axial proximal braking force 81 needs to be provided, the hydraulic pump 11 starts to work, sucks out the fluid 13 in the second chamber, increases the volume of the first chamber, pushes the piston rod 5 to move toward the proximal end of the casing 1, and drives the The lever 2 returns to provide an axial proximal braking force 81 . During this process, only the piston rod 5 and the push rod 2 connected to the piston rod 5 are displaced, and the position of the hose 3 used to transport the fluid 13 remains unchanged. Therefore, when the posture of the surgical instrument is determined relative to the axial direction and multi-direction, the posture of the flexible tube 3 is consistent with the determined posture, and changes with the change of the set posture. Does not change posture. Even if the fluid 13 passes through, the main flow direction of the fluid 13 is the axial direction of the hose 3 , so the pressure of the fluid 13 on the hose 3 will not change the posture of the hose 3 . Therefore, when the axial braking force 81 is provided, under the condition that the bending position and attitude of the hose 3 do not change, the hose 3 will not squeeze the bending position of the outer wall and affect its attitude, thereby ensuring the realization of the surgical instrument. In the case of stable multi-directional attitude changes relative to the axial direction, sufficient axial braking force 81 is provided. In order to facilitate connection with the components in the surgical instrument assembly 40 that need to provide pulling force and pushing force, the distal end of the push rod 2 is provided with a brake joint 7 .
参照图1所示,为方便推动杆2的安装,所述第一腔室与器械接头9之间通过端盖4分隔,从而能够通过打开端盖4将推动杆2和活塞柱5装入套管1内。为保证端盖4与套管1安装的紧密,端盖4的外径应小于等于套管1外径,大于套管1的内径。当液压泵11在向第二腔室内注入或抽出流体13时,为保证第一腔室和第二腔室压强的一致,第一腔室需要排气或进气,因此在所述端盖4上设置有通气口111。Referring to Fig. 1, in order to facilitate the installation of the push rod 2, the first chamber is separated from the instrument connector 9 by an end cover 4, so that the push rod 2 and the piston rod 5 can be inserted into the sleeve by opening the end cover 4 Inside tube 1. In order to ensure that the end cap 4 is tightly installed with the casing 1, the outer diameter of the end cap 4 should be smaller than or equal to the outer diameter of the casing 1 and larger than the inner diameter of the casing 1. When the hydraulic pump 11 injects or extracts the fluid 13 into the second chamber, in order to ensure the consistency of the pressure in the first chamber and the second chamber, the first chamber needs to exhaust or intake air, so the end cover 4 Vent 111 is arranged on it.
本实施例中,所述第二腔室与液压泵11之间的所述软管3上还连接有检测组件14。检测组件14实时检测动力系统10的流量、体积、压强等信息,为系统实施提供反馈。需要提供向远端制动力811时,液压泵11开始工作,从液压池12中吸入流体13,当流体13为液体时,检测组件14检测吸入液体体积达到对应套管1时,液压泵11停止工作并保持此时压强;当流体13为气体时,检测组件14检测气体的压强达到对应值时,液压泵11停止工作,并保持此时压强,完成提供制动力81的动作。需要提供向向远 端制动力812时,液压泵11开始工作,从套管1中吸出流体13,流体13为液体时,检测组件14检测吸出液体体积达到对应套管1时,液压泵11停止工作并保持此时压强。当流体13为气体时,检测组件14检测气体的压强达到对应值时,液压泵11停止工作,并保持此时压强,完成提供制动力81的动作。因此所述检测组件14包括但不限于流量计和/或气压检测计等对流体13流量、体积、压强的检测装置。In this embodiment, a detection component 14 is also connected to the hose 3 between the second chamber and the hydraulic pump 11 . The detection component 14 detects the flow, volume, pressure and other information of the power system 10 in real time to provide feedback for system implementation. When it is necessary to provide the braking force 811 to the remote end, the hydraulic pump 11 starts to work and sucks the fluid 13 from the hydraulic pool 12. When the fluid 13 is liquid, the detection component 14 detects that the volume of the sucked liquid reaches the corresponding casing 1, and the hydraulic pump 11 stops. Work and maintain the pressure at this time; when the fluid 13 is gas, when the detection component 14 detects that the pressure of the gas reaches the corresponding value, the hydraulic pump 11 stops working, and maintain the pressure at this time to complete the action of providing the braking force 81 . When it is necessary to provide a braking force 812 to the distal end, the hydraulic pump 11 starts to work and sucks out the fluid 13 from the sleeve 1. When the fluid 13 is liquid, the detection component 14 detects that the volume of the suctioned liquid reaches the corresponding sleeve 1, and the hydraulic pump 11 stops. Work and maintain pressure at this point. When the fluid 13 is a gas, the detection component 14 detects that the pressure of the gas reaches a corresponding value, the hydraulic pump 11 stops working, and maintains the pressure at this time to complete the action of providing the braking force 81 . Therefore, the detection component 14 includes but is not limited to flow meters and/or air pressure detectors and other detection devices for the flow, volume and pressure of the fluid 13 .
由于第二腔室内通入流体13,为保证第二腔室的密封,所述活塞柱5圆周设置有密封凹槽,所述密封凹槽内设置有密封圈6。活塞柱5为短圆柱形,密封凹槽位于短圆柱形的圆周,活塞柱5的直径应略小于套管1的内径,方便装入套管1内。密封圈6外径应略大于套管1的内径,保证密封的效果。活塞柱5相连的推动杆2要提供较大的推力,因此推动杆2应为可承受较大推力的长方体或者圆柱体结构,其截面最大长度应小于活塞的直径,其长度应略大于套管1长度。Since the fluid 13 flows into the second chamber, in order to ensure the sealing of the second chamber, a sealing groove is arranged on the circumference of the piston rod 5, and a sealing ring 6 is arranged in the sealing groove. The piston rod 5 is short cylindrical, and the sealing groove is located on the circumference of the short cylindrical shape. The diameter of the piston rod 5 should be slightly smaller than the inner diameter of the casing 1, so that it can be easily loaded into the casing 1. The outer diameter of the sealing ring 6 should be slightly larger than the inner diameter of the casing 1 to ensure the sealing effect. The push rod 2 connected to the piston rod 5 should provide a larger thrust, so the push rod 2 should be a cuboid or cylindrical structure that can withstand a larger thrust, and the maximum length of its section should be smaller than the diameter of the piston, and its length should be slightly longer than the casing 1 length.
参照图2所示,为软管3的几个实施例结构示意图,分别为在相对轴向任一自由度都无偏转94或弯曲的初始状态以及产生相对轴向任一自由度进行偏转94后的状态。图3所示为读者正视平面上的一个自由度弯曲,其还可在与该平面垂直且经过轴线的平面上实现另外一个自由度的弯曲。所述软管3为弹簧管,包括且不限于类似弹簧的结构,也包括可两个自由度弯折且仅有较小轴向上的长度变化的其他结构。当软管3产生相对轴向任一自由度的偏转94或弯曲后,类弹簧结构在面对读者左侧的部分会进行压缩,面对读者右侧部分的会伸长,保证总体的轴线上长度仅发生较小的变化。附加流体13的驱动方式,确保相对轴向任一自由度弯曲部分机构不会产生使之恢复初始状态的不良作用力,保持其设定的弯曲幅度。从而在提供轴向制动力81的过程中,弯曲位置不会发生变化,从而不会对外科手术器械外壁造成挤压,改变弯曲幅度。Referring to FIG. 2 , it is a structural diagram of several embodiments of the hose 3, which are the initial state without deflection 94 or bending at any degree of freedom relative to the axial direction and after deflection 94 at any degree of freedom relative to the axial direction. status. Figure 3 shows the bending of one degree of freedom on the plane of the reader's front view, and it can also realize the bending of another degree of freedom on the plane perpendicular to this plane and passing through the axis. The hose 3 is a spring tube, including but not limited to a spring-like structure, and also includes other structures that can be bent with two degrees of freedom and have only a small axial length change. When the hose 3 deflects 94 or bends relative to any degree of freedom in the axial direction, the spring-like structure will compress the part facing the left side of the reader, and the part facing the right side of the reader will elongate to ensure the overall axis Only minor changes occur in length. The driving method of the additional fluid 13 ensures that the bending part mechanism relative to any degree of freedom in the axial direction will not produce adverse force to restore it to the original state, and maintain its set bending range. Therefore, during the process of providing the axial braking force 81 , the bending position will not change, so that the outer wall of the surgical instrument will not be squeezed and the bending range will not be changed.
参照图3和图4所示,本发明的动力系统10还包括柔性组件30和支撑座,支撑座包括外壳和支撑管20,外壳与支撑管20相连接起到支撑作用,外壳的近侧端下部可以连接有扳机91,扳机91与驱动组件中的液压泵11 开关相连,可以用于控制液压泵11的工作,支撑管20安装在外壳的远侧端。支撑管20的远侧端与柔性组件30的近侧端固定连接,所述柔性组件30的远侧端与所述弯曲接头8相连,柔性组件30可实现沿轴线方向两自由度的弯曲(图4所示为读者正视平面上的一个自由度弯曲,其还可在与该平面垂直且经过轴线的平面上实现另外一个自由度的弯曲)。动力组件的近侧端与柔性组件30的远侧端固定连接。所述柔性组件30和支撑座内设置有中间通道50,所述软管3从所述中间通道50中穿过。软管3随着中间通道50相对轴向两自由度弯曲。3 and 4, the power system 10 of the present invention also includes a flexible assembly 30 and a support seat, the support seat includes a shell and a support tube 20, the shell is connected to the support tube 20 to play a supporting role, and the proximal end of the shell The lower part can be connected with a trigger 91, which is connected to the switch of the hydraulic pump 11 in the driving assembly and can be used to control the operation of the hydraulic pump 11. The support tube 20 is installed at the distal end of the casing. The distal end of the support tube 20 is fixedly connected to the proximal end of the flexible assembly 30, and the distal end of the flexible assembly 30 is connected to the bending joint 8, and the flexible assembly 30 can realize bending with two degrees of freedom along the axial direction (Fig. 4 shows a bending of one degree of freedom on the plane of the reader's front view, which can also realize bending of another degree of freedom on a plane perpendicular to this plane and passing through the axis). The proximal end of the power assembly is fixedly connected to the distal end of the flexible assembly 30 . An intermediate channel 50 is disposed in the flexible component 30 and the support seat, and the hose 3 passes through the intermediate channel 50 . The hose 3 is bent with two degrees of freedom relative to the axial direction along the middle channel 50 .
本发明中为满足柔性组件30相对轴向的自由弯曲,所述柔性组件30为关节结构,包括关节件,所述关节件设置有多个,所述关节件呈链条状依次相连,相邻所述关节件之间可绕接触面转动,从而实现柔性组件30的弯曲。为方便与柔性组件30近侧端的支撑管20和远侧端的动力组件相连,还包括导管座和器械座,所述导管座的远侧端连接于所述关节件组成的链条的近侧端,所述导管座的近侧端连接所述支撑座,具体为支撑管20,所述器械座的近侧端连接于所述关节件组成的链条的远侧端,所述器械座的远侧端连接所述动力组件,具体为弯曲接头8。In the present invention, in order to meet the free bending of the flexible assembly 30 relative to the axial direction, the flexible assembly 30 is a joint structure, including joint parts. There are a plurality of joint parts, and the joint parts are connected successively in a chain shape. The joint parts can rotate around the contact surface, so as to realize the bending of the flexible component 30 . In order to be conveniently connected with the support tube 20 at the proximal end of the flexible assembly 30 and the power assembly at the distal end, it also includes a catheter base and an instrument base, the distal end of the catheter base is connected to the proximal end of the chain formed by the joint parts, The proximal end of the catheter base is connected to the support base, specifically the support tube 20, the proximal end of the instrument base is connected to the distal end of the chain formed by the joint parts, and the distal end of the instrument base is The power assembly is connected, specifically the bending joint 8 .
参照图5-图7所示,为柔性组件30几种实施例的侧视方向的剖面图。其中图5中柔性组件30为多链节链接结构301,该结构中关节件链节。单个链节3011的两端均设置有旋转面,远端为凸面,近端为凹面,可实现相对轴向两自由度的转向。多个链节的远端和近端依次连接后,可形成具有相对轴向两自由度的偏转94,偏转94角度的大小由链节旋转面弧度的大小以及链节的个数决定,弧度越大、个数越多,可转动的角度越大。图6中的柔性组件30为包括但不仅限于类蛇骨链结构302,整体由具有塑性变形的圆管材料制成,在圆管的周向开等间距的槽,保证在发生偏转94,整体的稳定性。图7中的柔性组件30为多铰链铰接结构303,关节件为铰链关节,该结构单个铰链关节3031在近端和远端均设置有铰接点3032,两个铰链关节可沿着铰接点3032进行转动组成铰接关节组3033,铰接关节组3033之间通过组关节铰接点3034铰接,且两个铰接关节组3033可沿着组关节铰接 点3034相对转动。偏转94角度的大小由铰接关节组3033的个数决定,弧度越大、个数越多,可转动的角度越大。Referring to FIGS. 5-7 , they are cross-sectional views of several embodiments of the flexible component 30 in the side view direction. Wherein the flexible component 30 in FIG. 5 is a multi-link link structure 301, in which joint parts are chain links. Both ends of a single chain link 3011 are provided with rotating surfaces, the distal end is convex, and the proximal end is concave, which can realize the relative axial direction of two degrees of freedom. After the distal and proximal ends of multiple chain links are connected in sequence, a deflection 94 with two degrees of freedom relative to the axial direction can be formed. The size of the deflection 94 angle is determined by the radian of the rotating surface of the chain link and the number of chain links. The larger the number, the larger the angle of rotation. The flexible component 30 in Fig. 6 includes but is not limited to a snake-like chain structure 302, and is made of a round tube material with plastic deformation as a whole, and equally spaced grooves are opened in the circumferential direction of the round tube to ensure the stability of the whole when deflection 94 occurs sex. The flexible assembly 30 in Fig. 7 is a multi-hinge hinge structure 303, and the joint parts are hinge joints. A single hinge joint 3031 of this structure is provided with a hinge point 3032 at the proximal end and the distal end, and the two hinge joints can be carried out along the hinge point 3032. The rotation forms the hinge joint group 3033 , and the hinge joint groups 3033 are articulated through the joint hinge point 3034 , and the two hinge joint groups 3033 can rotate relative to each other along the joint hinge point 3034 . The size of the angle of deflection 94 is determined by the number of hinge joint groups 3033, the larger the arc and the more the number, the larger the angle of rotation.
进一步的,参照图3和图4所示,为实现柔性组件30的弯曲,所述柔性组件30通过手柄组件80驱动弯曲,所述手柄组件80安装在所述支撑座的近侧端,所述手柄组件80连接姿态力件70一端,所述柔性组件30和支撑座在所述中间通道50的周向设置有多个外围通道60,所述姿态力件70穿过所述外围通道60与所述柔性组件30的远侧端固定连接。本实施例中,外围通道60有三个及以上并沿支撑管20和柔性组件30的截面外轮廓均匀分布,手柄组件80驱动姿态力件70沿外围通道60做轴向运动。Further, as shown in FIG. 3 and FIG. 4, in order to realize the bending of the flexible assembly 30, the flexible assembly 30 is driven to bend by the handle assembly 80, and the handle assembly 80 is installed on the proximal end of the support seat, the The handle assembly 80 is connected to one end of the posture force member 70, the flexible assembly 30 and the support seat are provided with a plurality of peripheral passages 60 in the circumferential direction of the middle passage 50, and the posture force member 70 passes through the peripheral passage 60 and all the peripheral passages. The distal end of the flexible component 30 is fixedly connected. In this embodiment, there are three or more peripheral passages 60 and they are evenly distributed along the cross-sectional contours of the support tube 20 and the flexible assembly 30 . The handle assembly 80 drives the posture force member 70 to move axially along the peripheral passages 60 .
更进一步的,所述手柄组件80包括多个内部转轮,多个所述内部转轮同轴设置,所述内部转轮从所述支撑座内穿出连接有拨轮。本实施例中,设置两个方向的自由度,因此拨轮包括上拨轮95和下拨轮96,上拨轮95和下拨轮96可安装在外壳的一侧或者两侧均布。上拨轮95通过转动为姿态力件70提供相对轴向俯仰93方向的弯曲所需的姿态力82的同时,控制姿态力件70在相对轴向俯仰93方向的弯曲幅度,下拨轮96通过转动为姿态力件70提供相对轴向偏转94方向的弯曲所需的姿态力82的同时,控制姿态力件70在相对轴向偏转94方向的弯曲幅度。Furthermore, the handle assembly 80 includes a plurality of inner wheels arranged coaxially, and the inner wheels pass through the support seat and are connected with dials. In this embodiment, two degrees of freedom are set, so the dial includes an upper dial 95 and a lower dial 96, and the upper dial 95 and the lower dial 96 can be installed on one side of the housing or evenly distributed on both sides. While the upper dial 95 provides the posture force 82 required for the bending of the posture force member 70 relative to the axial pitch 93 direction by rotating, it controls the bending range of the posture force member 70 in the relative axial pitch 93 direction, and the lower dial 96 passes The rotation provides the posture force 82 required for bending the posture force member 70 in the direction of relative axial deflection 94 , and at the same time controls the bending amplitude of the posture force member 70 in the direction of relative axial deflection 94 .
参照图8和图9所示,手术器械组件40的末端执行器以吻合器末端执行器组件41为例。拨动手柄组件80,驱动姿态力件70沿外围通道60做轴向运动输出姿态力82,姿态力82经由姿态力件70传递至柔性组件30使其关节相对转动,从而实现两个自由度的弯曲,即图3所示的俯仰93和偏转94。此外,姿态力82控制也可以选用电动等其他方式,具体不做说明。完成姿态调整后,外部的液压泵11经由驱动组件中的软管3通过流体13的注入与抽回作用在动力组件中的推动杆2上,最终传递至手术器械组件40上,为沿轴线方向往复运动提供制动力81,从而完成既定的器械动作(对组织的抓取、切割和吻合)。具体的,关闭钳口412时,需要提供向远端制动力811,扣动扳机91,液压泵11开始工作,从液压池12中吸入流体13,当流体13为液体时,检测组件14检测吸入液体体积达到对应套管1时,液压泵 11停止工作并保持此时压强。当流体13为气体时,检测组件14检测气体的压强达到对应值时,液压泵11停止工作,并保持此时压强。开启钳口411时,需要提供向向远端制动力812,再次扣动扳机91,液压泵11开始工作,从套管1中吸出流体13,流体13为液体时,检测组件14检测吸出液体体积达到对应套管1时,液压泵11停止工作并保持此时压强。当流体13为气体时,检测组件14检测气体的压强达到对应值时,液压泵11停止工作,并保持此时压强。Referring to FIG. 8 and FIG. 9 , the end effector of the surgical instrument assembly 40 is an example of a stapler end effector assembly 41 . Toggle the handle assembly 80 to drive the attitude force member 70 to move axially along the peripheral channel 60 to output the attitude force 82. The attitude force 82 is transmitted to the flexible assembly 30 through the attitude force member 70 to make the joints rotate relative to each other, thereby realizing two degrees of freedom. Bending, ie pitch 93 and yaw 94 shown in FIG. 3 . In addition, the attitude force 82 can also be controlled in other ways such as electric, which will not be described in detail. After the attitude adjustment is completed, the external hydraulic pump 11 acts on the push rod 2 in the power assembly through the injection and withdrawal of the fluid 13 through the hose 3 in the drive assembly, and finally transmits it to the surgical instrument assembly 40, along the axial direction The reciprocating motion provides a braking force 81, so as to complete the predetermined instrument actions (grasping, cutting and stapling of tissues). Specifically, when closing the jaw 412, it is necessary to provide a distal braking force 811, pull the trigger 91, the hydraulic pump 11 starts to work, and sucks the fluid 13 from the hydraulic pool 12. When the fluid 13 is a liquid, the detection component 14 detects the suction When the liquid volume reaches the corresponding casing 1, the hydraulic pump 11 stops working and maintains the pressure at this time. When the fluid 13 is gas, the detection component 14 detects that the pressure of the gas reaches a corresponding value, and the hydraulic pump 11 stops working and maintains the pressure at this time. When the jaw 411 is opened, it is necessary to provide a braking force 812 to the distal end, pull the trigger 91 again, the hydraulic pump 11 starts to work, and the fluid 13 is sucked out from the casing 1. When the fluid 13 is a liquid, the detection component 14 detects the volume of the sucked liquid When reaching the corresponding casing 1, the hydraulic pump 11 stops working and maintains the pressure at this time. When the fluid 13 is gas, the detection component 14 detects that the pressure of the gas reaches a corresponding value, and the hydraulic pump 11 stops working and maintains the pressure at this time.
显然,上述实施例仅仅是为清楚地说明所作的举例,并非对实施方式的限定。对于所属领域的普通技术人员来说,在上述说明的基础上还可以做出其它不同形式变化或变动。这里无需也无法对所有的实施方式予以穷举。而由此所引伸出的显而易见的变化或变动仍处于本发明创造的保护范围之中。Apparently, the above-mentioned embodiments are only examples for clear description, and are not intended to limit the implementation. For those of ordinary skill in the art, on the basis of the above description, other changes or changes in various forms can also be made. It is not necessary and impossible to exhaustively list all the implementation manners here. And the obvious changes or changes derived therefrom are still within the scope of protection of the present invention.

Claims (12)

  1. 一种适于柔性弯曲的动力系统,其特征在于,包括:A power system suitable for flexible bending, characterized in that it includes:
    动力组件,用于产生轴向制动力,包括套管、推动杆和活塞柱,所述套管的远侧端为器械接头,所述套管的近侧端为弯曲接头,所述活塞柱将所述套管分隔为第一腔室和第二腔室,所述推动杆的近侧端连接所述活塞柱,所述推动杆的远侧端穿过所述第一腔室从所述套管的远侧端伸出;The power assembly is used to generate axial braking force, including a sleeve, a push rod and a piston rod. The distal end of the sleeve is an instrument joint, and the proximal end of the sleeve is a curved joint. The piston rod will The sleeve is divided into a first chamber and a second chamber, the proximal end of the push rod is connected to the piston rod, and the distal end of the push rod passes through the first chamber from the sleeve the distal end of the tube protrudes;
    驱动组件,用于驱动所述推动杆移动,包括软管和液压泵,所述软管的远侧端穿过所述弯曲接头连通所述第二腔室,所述软管的近侧端连通所述液压泵。The driving assembly is used to drive the push rod to move, including a hose and a hydraulic pump. The distal end of the hose passes through the curved joint to communicate with the second chamber, and the proximal end of the hose communicates with the second chamber. the hydraulic pump.
  2. 根据权利要求1所述的一种适于柔性弯曲的动力系统,其特征在于,所述第一腔室与器械接头之间通过端盖分隔,所述端盖上设置有通气口。The power system suitable for flexible bending according to claim 1, characterized in that, the first chamber is separated from the instrument joint by an end cover, and an air vent is provided on the end cover.
  3. 根据权利要求1所述的一种适于柔性弯曲的动力系统,其特征在于,所述第二腔室与液压泵之间的所述软管上连接有检测组件。The power system suitable for flexible bending according to claim 1, characterized in that a detection component is connected to the hose between the second chamber and the hydraulic pump.
  4. 根据权利要求3所述的一种适于柔性弯曲的动力系统,其特征在于,所述检测组件包括流量计和/或气压检测计。The power system suitable for flexible bending according to claim 3, wherein the detection component includes a flow meter and/or an air pressure detector.
  5. 根据权利要求1所述的一种适于柔性弯曲的动力系统,其特征在于,所述活塞柱圆周设置有密封凹槽,所述密封凹槽内设置有密封圈。The power system suitable for flexible bending according to claim 1, wherein a sealing groove is arranged on the circumference of the piston rod, and a sealing ring is arranged in the sealing groove.
  6. 根据权利要求1所述的一种适于柔性弯曲的动力系统,其特征在于,所述软管为弹簧管。The power system suitable for flexible bending according to claim 1, wherein the hose is a spring tube.
  7. 根据权利要求1所述的一种适于柔性弯曲的动力系统,其特征在于,所述液压泵连接液压池,所述液压池内装载有流体。The power system suitable for flexible bending according to claim 1, wherein the hydraulic pump is connected to a hydraulic pool, and the hydraulic pool is filled with fluid.
  8. 根据权利要求7所述的一种适于柔性弯曲的动力系统,其特征在于, 所述流体为高压气体、水或液压油。The power system suitable for flexible bending according to claim 7, wherein the fluid is high-pressure gas, water or hydraulic oil.
  9. 根据权利要求1所述的一种适于柔性弯曲的动力系统,其特征在于,还包括柔性组件和支撑座,所述柔性组件的远侧端与所述弯曲接头相连,所述柔性组件的近侧端与所述支撑座的远侧端相连,所述柔性组件和支撑座内设置有中间通道,所述软管从所述中间通道中穿过。A power system suitable for flexible bending according to claim 1, further comprising a flexible component and a support seat, the distal end of the flexible component is connected with the bending joint, and the proximal end of the flexible component is The side end is connected with the distal end of the support seat, and an intermediate passage is arranged in the flexible assembly and the support seat, and the hose passes through the intermediate passage.
  10. 根据权利要求9所述的一种适于柔性弯曲的动力系统,其特征在于,所述柔性组件包括导管座、关节件和器械座,所述关节件设置有多个,所述关节件呈链条状依次相连,相邻所述关节件之间可绕接触面转动,所述导管座的远侧端连接于所述关节件组成的链条的近侧端,所述导管座的近侧端连接所述支撑座,所述器械座的近侧端连接于所述关节件组成的链条的远侧端,所述器械座的远侧端连接所述弯曲接头。A power system suitable for flexible bending according to claim 9, characterized in that, the flexible assembly includes a catheter base, a joint part and an instrument base, and there are multiple joint parts, and the joint parts are in the form of a chain The shape is connected successively, and the adjacent joint parts can rotate around the contact surface. The distal end of the catheter adapter is connected to the proximal end of the chain composed of the joint parts, and the proximal end of the catheter adapter is connected to the The support seat, the proximal end of the instrument seat is connected to the distal end of the chain composed of the joint parts, and the distal end of the instrument seat is connected to the curved joint.
  11. 根据权利要求9所述的一种适于柔性弯曲的动力系统,其特征在于,所述柔性组件通过手柄组件驱动弯曲,所述手柄组件安装在所述支撑座的近侧端,所述手柄组件连接姿态力件一端,所述柔性组件和支撑座在所述中间通道的周向设置有多个外围通道,所述姿态力件穿过所述外围通道与所述柔性组件的远侧端固定连接。A power system suitable for flexible bending according to claim 9, wherein the flexible component is driven to bend through a handle component, and the handle component is installed at the proximal end of the support seat, and the handle component One end of the posture force member is connected, the flexible component and the support seat are provided with a plurality of peripheral channels in the circumferential direction of the middle channel, and the posture force member is fixedly connected to the distal end of the flexible component through the peripheral channels .
  12. 根据权利要求11所述的一种适于柔性弯曲的动力系统,其特征在于,所述手柄组件包括多个内部转轮,多个所述内部转轮同轴设置,所述内部转轮从所述支撑座内穿出连接有拨轮。The power system suitable for flexible bending according to claim 11, wherein the handle assembly includes a plurality of internal runners, the plurality of inner runners are arranged coaxially, and the inner runners are separated from the A thumbwheel is connected to the support seat.
PCT/CN2021/137138 2021-12-10 2021-12-10 Power system suitable for flexible bending WO2023102904A1 (en)

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CN103690222A (en) * 2013-12-11 2014-04-02 上海理工大学 Laparoscope operating forceps
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US20060074383A1 (en) * 2004-09-30 2006-04-06 Boulais Dennis R Steerable device and system
US20070152014A1 (en) * 2005-12-30 2007-07-05 Ethicon Endo-Surgery, Inc. Surgical instrument with bending articulation controlled articulation pivot joint
CN101116624A (en) * 2006-08-02 2008-02-06 伊西康内外科公司 Pneumatically powered surgical cutting and fastening instrument with actuator at distal end
CN103690222A (en) * 2013-12-11 2014-04-02 上海理工大学 Laparoscope operating forceps
CN104352264A (en) * 2014-10-20 2015-02-18 上海理工大学 Laparoscopic surgery instrument with multiple degrees of freedom
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