WO2023109820A1 - Closure switching mechanism and medical stapler - Google Patents

Closure switching mechanism and medical stapler Download PDF

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Publication number
WO2023109820A1
WO2023109820A1 PCT/CN2022/138722 CN2022138722W WO2023109820A1 WO 2023109820 A1 WO2023109820 A1 WO 2023109820A1 CN 2022138722 W CN2022138722 W CN 2022138722W WO 2023109820 A1 WO2023109820 A1 WO 2023109820A1
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WO
WIPO (PCT)
Prior art keywords
closing
switching
rod assembly
driving
connecting rod
Prior art date
Application number
PCT/CN2022/138722
Other languages
French (fr)
Chinese (zh)
Inventor
丁水澄
史晓杰
Original Assignee
天臣国际医疗科技股份有限公司
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from CN202111529332.5A external-priority patent/CN116262057A/en
Priority claimed from CN202111529336.3A external-priority patent/CN116262059A/en
Priority claimed from CN202111529338.2A external-priority patent/CN116262061A/en
Priority claimed from CN202123139637.3U external-priority patent/CN217118485U/en
Priority claimed from CN202123139600.0U external-priority patent/CN217118484U/en
Priority claimed from CN202123142827.0U external-priority patent/CN217118488U/en
Application filed by 天臣国际医疗科技股份有限公司 filed Critical 天臣国际医疗科技股份有限公司
Publication of WO2023109820A1 publication Critical patent/WO2023109820A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B17/115Staplers for performing anastomosis in a single operation

Definitions

  • the invention relates to the technical field of medical instruments, in particular to a closed switching mechanism and a medical stapler.
  • the medical stapler includes a medical stapler body, a firing handle movably connected to the medical stapler body, and a nail head matched with the body.
  • the nail head includes a nail cartridge assembly and a nail anvil which are oppositely arranged.
  • the operator first holds the firing handle, and pulls the closing tab to move toward the proximal side of the stapler through the closing switching mechanism, thereby closing the staple cartridge assembly and the staple anvil, that is, closing the staple head.
  • the operator holds the firing handle again, and can push the staples to move toward the tissue.
  • the tissues are anastomosed.
  • the cutter moves to the distal side to cut the tissue. Realize the triggering of the stapler.
  • the existing closing switching mechanism the structure is relatively complicated, and after the stapler is fired, it may be difficult to open the nail head, which brings inconvenience to the operator.
  • the object of the present invention is to provide a closing switching mechanism and a medical stapler, by operating the switching driving member to move in different directions, the manual closing and manual opening of the nail head can be realized.
  • An embodiment of the present invention provides a closed switching mechanism for a medical stapler, the stapler includes a stapler body, and the closed switching mechanism includes:
  • closing pull rod assembly is pivotally connected to the second pivot joint
  • switching driving member is configured to be operable to drive the linkage assembly from the second state into the first state, and the second pivot portion drives the closing pull rod assembly to the second direction sports.
  • the linkage assembly includes a first rod and a second rod, the second rod is located on the proximal side of the first rod, the first rod includes the first pivot portion and a third pivotal portion, the second rod includes the second pivotal portion and a fourth pivotal portion, the third pivotal portion is pivotally connected to the fourth pivotal portion;
  • the switching driving member moves toward the second
  • the switching driving member drives the third pivotal part and the fourth pivotal part to move in a fourth direction, and the third direction is opposite to the fourth direction.
  • a connecting rod is further included, the third direction is a direction toward the connecting rod, and the fourth direction is a direction away from the connecting rod;
  • the switching driving member includes a first driving part and a first sheath part, the first sheathing part is sheathed on the outside of the connecting rod or the outside of the closing rod assembly, and the first driving part is located on the first An outer sleeve portion faces one side of the connecting rod assembly, and when the first outer sleeve portion moves toward the first direction, it drives the closing rod assembly to move toward the first direction, so that the connecting rod assembly is moved by the The first state enters the second state.
  • the first direction is toward the proximal side of the stapler
  • the second direction is toward the distal side of the stapler
  • the first direction and the second The directions are all along the axial direction of the stapler.
  • the link assembly when the link assembly is in the second state, and the switching driving member moves toward the second direction, the link assembly is driven to enter the first state, and the second The two pivot joints drive the closing rod assembly to move in the second direction.
  • the first rod or the second rod is provided with a second driving part, and when the linkage assembly is in the second state, the second driving part is relatively the rod or the second rod protrudes towards the direction of the connecting rod;
  • the switching driving member presses the second driving part in a direction away from the connecting rod, so that the The connecting rod assembly enters the first state.
  • the switching driving member moves toward the first direction, so that after the linkage assembly enters the second state from the first state, the first driving part is located in the second state. Proximal side of the drive unit.
  • the distal side of the first driving part is provided with a first guiding surface
  • the proximal side of the second driving part is provided with a second guiding surface
  • the second driving portion is disposed on the third pivot portion or the fourth pivot portion.
  • the switching driving member includes two first driving parts, and the two first driving parts are arranged symmetrically with respect to the axial direction of the stapler; the connecting rod assembly is provided with two The second driving part, the switching driving part is configured to be operable to drive the connecting rod assembly from the second state to the first state, and each of the first driving parts respectively drives one of the first driving parts. 2. Drive unit.
  • the first driving part is a driving arm extending from the first outer casing part to the second direction.
  • a switching biasing member is provided between the switching driving member and the stapler body, and the switching biasing member gives the switching driving member a first bias toward the first direction force.
  • the switch biasing member is a switch return spring
  • one side of the first jacket part is provided with a spring fitting groove
  • one end of the switch return spring is arranged in the spring fitting groove.
  • the closing pull rod assembly includes a second outer casing part and a third driving part, the second outer casing part is sleeved on the outside of the connecting rod, and the first outer casing part of the switching driving part is connected to the third driving part.
  • the second outer casing part is matched, the first end of the third driving part is pivotally connected to the second pivotal part, and the second end of the third driving part is fixedly connected to the second outer casing part.
  • a closing biasing member is disposed between the closing rod assembly and the stapler body, and the closing biasing member gives the closing rod assembly a second bias toward the second direction force.
  • the closure rod assembly includes a first closure member and a second closure member, the first closure member is sleeved on the outside of the connecting rod, and the second closure member includes the second outer sleeve part and the driving part, the first closure part is axially fixed to the second outer casing part, and the part of the first closure part protruding from the distal end side of the second outer casing part passes through the switch The interior of the first housing portion of the driver.
  • the closing biasing member is a closing return spring
  • a spring matching stepped surface is provided inside the first closing member, and one end of the closing returning spring is opposed to the spring matching stepped surface.
  • the switching driving member includes an operating portion protruding from the outer surface of the housing of the stapler body, and the housing is provided with a receiving groove for accommodating the operating portion.
  • it further includes a closure pull piece, the proximal side of the closure pull piece is connected to the closure pull rod assembly through a connecting pin.
  • the switching drive member is pivotally connected to the closing rod assembly, the link assembly is in the second state, and the switching driving member is in a fifth direction relative to the closing rod assembly
  • the connecting rod assembly is driven to enter the first state, and the second pivot portion drives the closing pull rod assembly and the switching driving member to move in the second direction.
  • the switching driving member includes a first driving part and a rotating fitting part, the rotating fitting part is pivotally connected to the closing pull rod assembly through a rotating shaft, and the link assembly includes a second driving part ;
  • the first driving part drives the second driving part in a direction away from the connecting rod, so that the The linkage assembly enters the first state.
  • the second driving portion is disposed on the third pivot portion or the fourth pivot portion.
  • the first driving part when the connecting rod assembly is in the second state, the first driving part is located on the side of the second driving part facing the connecting rod, and the first driving part and the There is a certain height gap between the opposite surfaces of the second driving part.
  • the first driving part is a driving arm extending from the rotating fitting part to the second direction, and the rotating fitting part is connected to the first outer casing part and the first driving arm. There is a bending part between the parts, and a fixed angle is set between the first driving part and the first jacket part.
  • the rotating fitting part is pivotally connected to the third driving part of the closing rod assembly through the rotating shaft.
  • a switching bias is provided between the switching driving member and the closing rod assembly, and when the switching driving member rotates in the fifth direction relative to the closing rod assembly, the switching bias The member is deformed to give the switching driving member a second biasing force to rotate in a sixth direction, the sixth direction being opposite to the fifth direction.
  • the switching biasing member is a switching return spring
  • a first spring installation part is provided on the closing rod assembly
  • a second spring installation part is provided on the switching driving part
  • the switching return spring The two ends of the two ends are respectively fixed on the first spring mounting part and the second spring mounting part, and when no external force is applied, the proximal end surface of the switching driving member is at least partially abutted against the closing rod assembly.
  • the switching driving member is fixed in the axial direction of the stapler relative to the closing rod assembly, and the switching driving member can move in a seventh direction relative to the closing rod assembly, so A fixed angle is set between the seventh direction and the first direction or the second direction;
  • the included angle is a right angle
  • the switching driving member can move in an up and down direction relative to the closing rod assembly.
  • the switching driving member includes a first driving part and a connecting fitting part, and the connecting fitting part is fixed in the axial direction relative to the closing rod assembly, and can be relative to the closing rod assembly for movement in the seventh direction, the linkage assembly includes a second drive portion;
  • the seventh direction is a direction toward the connecting rod or a direction away from the connecting rod.
  • the switching driving member further includes a first connecting part
  • the closing rod assembly includes a second outer casing part and a third driving part
  • the first connecting part is movably connected to the second outer casing part
  • the second outer sleeve part is sheathed on the outside of the connecting rod
  • the third driving part is pivotally connected to the second pivot part of the connecting rod assembly.
  • the first connection part is a first outer casing part, and the first connection part is sleeved on the second outer casing part.
  • the connecting fitting part is provided with a sliding slot extending along the seventh direction
  • the closing rod assembly is provided with a boss, or, the closing rod assembly is provided with a sliding groove extending along the seventh direction.
  • the chute, the connecting part is provided with a boss;
  • the protrusion at least partially enters the interior of the chute, and can move along the extending direction of the chute.
  • a switching biasing member is provided between the switching driving member and the closing rod assembly, and the switching biasing member gives a second biasing force to the switching driving member, and the second The direction of the biasing force is opposite to the seventh direction.
  • the protruding post at least partly enters the interior of the chute, and can move along the extending direction of the chute, and the two ends of the switching biasing member are respectively arranged on the protruding post and the spring fitting part.
  • the second driving portion is disposed on the third pivotal portion and/or the fourth pivotal portion.
  • the switching driving member further includes a first sheath part
  • the closing pull rod assembly includes a second sheath part
  • the second sheath part is sheathed on the outside of the connecting rod, and the first sheath The part is sheathed on the outside of the second sheath part; the first driving part is located at the distal end side of the connection matching part.
  • the first driving part when the connecting rod assembly is in the second state, the first driving part is located on the side of the second driving part facing the connecting rod, and the first driving part faces the One side surface of the second driving part is a plane parallel to the axial direction.
  • the second pivotal part is rotatably connected to the closing rod assembly through a third pin shaft
  • the second driving part is arranged on the second pivotal part
  • the second The driving part and the fourth pivot part are respectively located on two sides of the third pin.
  • the switching driving part includes two side walls, and the two side walls are respectively located on both sides of the third driving part, and the first driving part is connected to the switching driving part. Fourth pin between the two side walls.
  • the second driving part when the connecting rod assembly is in the first state, the second driving part is located on the side of the first driving part facing the connecting rod, and the second driving part is connected to the connecting rod. There is a height gap between the opposite surfaces of the first driving part;
  • a fitting groove is provided on a side of the second driving part away from the connecting rod, and when the connecting rod assembly is in the second state, the first driving part at least partially enters into the fitting groove.
  • the invention provides a closure switching mechanism for a medical stapler.
  • the connecting rod assembly can be switched between different states without passing through the handle of the stapler, and the closing rod assembly can be controlled to move axially along the stapler.
  • the closing rod assembly moves to the first direction
  • the nail head can be closed
  • the closing rod assembly moves to the second direction
  • the nail head can be opened, so that manual closing and manual opening of the nail head can be realized, and the structure is simple , easy to operate.
  • Fig. 1 is a schematic structural view of a stapler according to a first embodiment of the present invention
  • Fig. 2 is the structural representation of the nail head of the first embodiment of the present invention
  • FIG. 3 is a schematic structural view of the stapler body in the first embodiment of the present invention after one side of the housing is removed, wherein the connecting rod assembly is in the first state, and the switching drive member is in the first position range;
  • Fig. 4 is a structural schematic diagram of the cooperation between the connecting rod assembly and the closing rod assembly according to the first embodiment of the present invention
  • Fig. 5 is a schematic diagram of the structure of the cooperation of the connecting rod assembly, the closing pull rod assembly and the switching drive member according to the first embodiment of the present invention
  • Fig. 6 is a schematic structural view of the closed switching mechanism according to the first embodiment of the present invention, wherein the connecting rod assembly is in the second state, and the switching driving member is in the second position range;
  • Fig. 7 is a schematic diagram of cooperation between the connecting rod assembly and the second closing member according to the first embodiment of the present invention.
  • Fig. 8 is a schematic structural view of the closing rod assembly according to the first embodiment of the present invention.
  • Fig. 9 is an exploded view of the closing rod assembly of the first embodiment of the present invention.
  • Fig. 10 is a schematic structural view of the first closing member of the first embodiment of the present invention.
  • Fig. 11 is a schematic diagram of the cooperation between the closing rod assembly and the switching drive member according to the first embodiment of the present invention.
  • Fig. 12 is a schematic structural diagram of a switching drive member according to the first embodiment of the present invention.
  • Fig. 13 is a schematic structural view of the closed switching mechanism according to the first embodiment of the present invention, wherein the connecting rod assembly is in the second state, and the switching driving member moves to the first position range;
  • Fig. 15 is a schematic structural view of the stapler body with part of the casing removed according to the second embodiment of the present invention.
  • Fig. 16 is a schematic structural view of the closing switching mechanism of the second embodiment of the present invention.
  • Fig. 17 and Fig. 18 are schematic diagrams of the cooperation between the closing rod assembly and the switching driving member according to the second embodiment of the present invention.
  • Fig. 19 is a schematic structural view of the closing switching mechanism when the connecting rod assembly is in the first state according to the second embodiment of the present invention.
  • Fig. 21 is a schematic structural view of the closing switching mechanism when the connecting rod assembly is in the second state according to the second embodiment of the present invention.
  • Fig. 22 is a schematic diagram of the cooperation between the switching drive member and the connecting rod assembly according to the second embodiment of the present invention.
  • Fig. 25 is a schematic structural view of the stapler body after one side of the shell is removed according to the first embodiment of the present invention
  • Fig. 26 is a schematic structural view of the closing switching mechanism of the first embodiment of the present invention.
  • Fig. 27 is a perspective view of the closing switching mechanism of the first embodiment of the present invention.
  • Fig. 29 is a schematic structural view of the closing switching mechanism when the connecting rod assembly is in the first state according to the first embodiment of the present invention.
  • Fig. 30 is an exploded view of the closing switching mechanism of the first embodiment of the present invention.
  • Fig. 31 is a schematic structural view of the connecting rod assembly in the second state according to the first embodiment of the present invention.
  • Fig. 32 is a schematic structural view of the closing switching mechanism when the connecting rod assembly is in the second state according to the first embodiment of the present invention
  • Fig. 34 is a schematic structural view of the closing switching mechanism when the connecting rod assembly is in the first state according to the second embodiment of the present invention.
  • Fig. 35 is a schematic structural view of the closing rod assembly when the connecting rod assembly is in the second state according to the second embodiment of the present invention.
  • Fig. 36 is a perspective view of the closing rod assembly of the second embodiment of the present invention.
  • Fig. 37 is an exploded view of the closing rod assembly of the second embodiment of the present invention.
  • Fig. 38 is a schematic structural view of the closing switching mechanism when the nail head is opened according to the second embodiment of the present invention.
  • Example embodiments will now be described more fully with reference to the accompanying drawings.
  • Example embodiments may, however, be embodied in many forms and should not be construed as limited to the embodiments set forth herein; rather, these embodiments are provided so that this disclosure will be thorough and complete, and will fully convey the concept of example embodiments to those skilled in the art.
  • the same reference numerals denote the same or similar structures in the drawings, and thus their repeated descriptions will be omitted.
  • the invention provides a closing switching mechanism for a medical stapler and a medical stapler comprising the closing switching mechanism.
  • the stapler also includes a nail head and a stapler body, the nail head is arranged on the distal side of the stapler body, and the stapler body is provided with a closing tab for closing the nail head , the distal side of the closure tab is connected to the nail head.
  • the closing switching mechanism includes: a link assembly including a first pivot portion and a second pivot portion, the first pivot portion is pivotally connected to the stapler body, and the link assembly includes a first state and a second state; a switching drive member movable in a first direction and a second direction, the first direction being opposite to the second direction; a closing tie rod assembly pivotally connected on the second pivot joint.
  • the closing pull rod assembly When it is necessary to close the nail head of the stapler, when the switching driving member is operated to move toward the first direction, the closing pull rod assembly is driven to move toward the first direction, and the closing pull tab can be pulled toward the second direction. moving in one direction, so as to close the nail head and make the connecting rod assembly enter the second state from the first state. After the staple heads are closed, the firing of the stapler can proceed. After the firing of the stapler is completed, when the nail head needs to be opened, the switching driving member is manually operated, and the switching driving member is configured to be operable to drive the linkage assembly from the second state to the first state. In the state, the second pivotal part drives the closing rod assembly to move in the second direction, thereby opening the nail head. Therefore, the closing switching mechanism of the present invention can realize manual closing and manual opening of the nail head, and has a simple structure and convenient operation.
  • the switching driving member drives the The connecting rod assembly enters the first state, and the second pivot portion drives the closing pull rod assembly to move in the second direction, so as to open the nail head.
  • the first embodiment of the present invention provides a closing switching mechanism for a medical stapler and a medical stapler including the closing switching mechanism.
  • the stapler further includes a nail head 9 and a stapler body 1 , and the nail head 9 is disposed on the distal side of the stapler body 1 .
  • the stapler body 1 includes a housing 13 , and one side of the housing 13 is provided with a fixed handle 11 .
  • the inside of the stapler body 1 is provided with a closing tab 12 for closing the nail head 9 , and the distal side of the closing tab 12 is connected to the nail head 9 .
  • the distal side and the proximal side are relative to the operator, the end closer to the operator is the proximal side, and the end farther away from the operator, that is, the end closer to the surgical site is the far side.
  • the direction along the axis of the stapler is the axial direction, that is, the direction from the distal side to the proximal side of the stapler, or the direction from the proximal side to the distal side of the stapler.
  • the S1 direction in FIG. 1 is the direction from the distal side to the proximal side of the stapler.
  • the S2 direction in FIG. 3 is defined as the longitudinal direction, that is, the height direction.
  • the nail head 9 includes an anvil 91 and a nail cartridge assembly 92 oppositely arranged, and the proximal end side of the nail anvil 91 and the proximal end side of the nail cartridge assembly 92 are rotatable. ground connection, so that the anvil 91 has an open state and a closed state relative to the staple cartridge assembly 92.
  • the proximal side of the nail anvil 91 is provided with a first matching groove 911
  • the proximal side of the nail cartridge assembly 92 is provided with a second matching groove 921 extending axially
  • a closing pin 93 is simultaneously installed in the The first fitting groove 911 , the second fitting groove 921 and the distal side of the closing pull tab 12 .
  • the closing pin 93 also moves toward the proximal side, driving the nail anvil 91 to move toward the nail cartridge assembly 92 to close the nail head 9
  • the closing pin 93 also moves toward the distal side, driving the nail anvil 91 to move away from the nail cartridge assembly 92 to open the nail head Part 9.
  • the closing switching mechanism includes a link assembly 4 , a switching driving member 7 and a closing pull rod assembly 5 .
  • the link assembly 4 includes a first rod 41 and a second rod 42, the second rod 42 is located on the proximal side of the first rod 41, and the first rod 41 includes a first pivot portion 412 and a second rod 41.
  • the first pivotal part 412 is pivotally connected to the housing 13 of the stapler body 1 through the first pin shaft 43, so that the first pivotal part 412 is connected to the housing 13 of the stapler body 1 Relatively fixed in the axial direction.
  • the third pivotal part 413 is pivotally connected to the fourth pivotal part 423 through the second pin shaft 44
  • the second pivotal part 422 is pivotally connected to the closing rod assembly through the third pin shaft 45 5, so that the second pivot portion 422 is relatively fixed in the axial direction with the closing rod assembly 5, and the closing rod assembly 5 is fixedly connected with the proximal end side of the closing pull piece 12, so that the closing rod
  • the axial movement of the component 5 can drive the axial movement of the closing tab 12 .
  • the link assembly 4 includes a first state and a second state, both of which are relatively balanced states.
  • the switching drive 7 comprises a first position area and a second position area. In the initial state, the link assembly 4 is in the first state, and the link assembly 4 is in a relatively compact state, that is, the shaft between the first pivot portion 412 and the second pivot portion 422 If the direction distance is small, the switching drive member 7 is in the first position area.
  • the closing rod assembly 5 When it is necessary to drive the nail head to close, by driving the switching driving member 7 to move toward the first direction, the closing rod assembly 5 is driven to move toward the proximal side of the stapler, and the second pivot part 422 moves toward the proximal side of the stapler, the third pivot part 413 and the fourth pivot part 423 move toward the third direction, the link assembly 4 enters the second state, the The connecting rod assembly 4 enters a relatively stretched state, the axial distance between the first pivotal part 412 and the second pivotal part 422 increases, and at the same time, the closing pull rod assembly 5 drives the closing pull piece 12 moves proximally to close the nail head.
  • the switching driving member 7 moves to the second position area, the nail head is closed.
  • the link assembly 4 is in the relatively stable second state, and the switching drive member 7 is located in the second position area, at this time, the stability of the nail head closure can be maintained , and the firing of the stapler can be carried out, and the accidental movement of the closure tab 12 will not occur when the stapler is firing, which will affect the stability of the closure of the nail head.
  • the switching driving member 7 is operated to move from the second position area toward the second direction, and the switching driving member 7 presses the connecting rod in the fourth direction
  • the assembly 4 can drive the link assembly 4 to enter the first state from the second state, and the second pivot portion 422 of the link assembly 4 drives the closing rod assembly 5 to move toward the distal side, and the closing rod assembly 5 can
  • the closing pull piece 12 is driven to move in the direction of the distal end to open the nail head, so that the nail head can be opened manually, the structure is simple, and the operation is convenient.
  • the second position area of the switching driver 7 is located on the proximal side of the first position area, therefore, the first direction is toward the proximal side of the stapler (S1 in FIG. 3 direction), the second direction is a direction toward the distal side of the stapler (a direction opposite to the S1 direction). And the first direction and the second direction are both along the axial direction of the stapler.
  • the first position area refers to the position area where the switching drive member 7 is located in the initial state as shown in Figures 3-5
  • the second position area refers to the nail head as shown in Figure 6 After the closing is completed, the position area where the driving member 7 is located is switched.
  • the closing switching mechanism also includes a connecting rod 18 .
  • the closing pull piece 12 passes through the inside of the connecting rod 18 .
  • the connecting rod 18 is sleeved with the actuating rod 2 , the switching driving member 7 and the closing pull rod assembly 5 .
  • the stapler also includes a firing handle 3 pivotally connected to the housing 13 of the stapler body 1 , and the firing handle 3 is connected to a handle return spring 15 .
  • the initial position of the firing handle 3 is located away from the fixed handle 11. When the firing handle 3 is held, the handle return spring 15 is elastically deformed.
  • the firing handle 3 When the firing handle 3 is released, the elastic deformation of the handle return spring 15 Under the action of restoring force, the firing handle 3 can return to the initial position.
  • One end of the firing handle 3 is provided with a claw 31 , and the claw 31 cooperates with the rack 21 on one side of the actuating rod 2 .
  • the claw 31 of the firing handle 3 can drive the rack 21 to move toward the distal side, thereby firing the stapler.
  • the third direction is the direction from bottom to top in the viewing angle of FIG. direction.
  • the fourth direction is a direction from top to bottom in the perspective of FIG.
  • the switching drive member 7 includes an operating portion 73 , a first driving portion 72 and a first sheathing portion 71 , the operating portion 73 is connected to the first sheathing portion 71 and protrudes from the first sheathing portion 71 .
  • the outer surface of the casing 13 of the above-mentioned stapler body 1 is convenient for the operator to use.
  • the housing 13 is correspondingly provided with a receiving groove for accommodating the operating portion 73 , the operating portion 73 is partly located in the receiving groove, and partly extends out of the housing 13 .
  • the first sheath portion 71 is sleeved on the outside of the connecting rod 18 or the outside of the closing rod assembly 5 , and can move axially relative to the connecting rod 18 .
  • the first driving part 72 is located on a side of the first outer casing part 71 facing the connecting rod assembly 4 .
  • the third pivot portion 413 of the first rod 41 is provided with a second driving portion 46 , and the second driving portion 46 protrudes from a side surface of the first rod 41 facing the connecting rod 18 .
  • the connecting rod assembly 4 is in the second state (the state shown in FIG. 6 )
  • the second driving part 46 faces toward the connecting rod relative to the first rod 41 or the second rod 42
  • the direction of 18 protrudes.
  • the second driving part 46 is located at a position relatively away from the connecting rod 18 along with the third pivot part 413, and will not contact the first driving part 72, and the first driving part 72
  • the portion 72 will not apply force to the second driving portion 46 .
  • the closing rod assembly 5 includes a first closing member 51 and a second closing member 52, the first closing member 51 is sleeved on the outside of the connecting rod 18, and the second closing member
  • the member 52 includes a second outer casing part 521 and a third driving part 522, the proximal side of the first closure part 51 at least partly enters the second outer casing part 521, the first closure part 51 and the second closure part 51
  • the sheath part 521 is axially fixed, and the part of the first closure part 51 protruding from the distal side of the second sheath part 521 passes through the inside of the first sheath part 71 of the switching drive part 7 .
  • the distal side of the first closing member 51 is provided with a through hole 511, and the connecting pin 53 (shown in FIG. 8 ) passing through the through hole 511 of the first closing member 51 can close the first closing member 51.
  • the distal side of the member 51 is fixedly connected to the proximal side of the closure pull piece 12 .
  • a first end of the third driving part 522 is pivotally connected to the second pivot part 422 of the second lever 42 , and a second end of the third driving part 522 is connected to the second outer sleeve part 521 .
  • One or two guiding parts 5221 are provided on the side of the third driving part 522 .
  • the inner surface of the housing 13 of the stapler body 1 is provided with one or two guide grooves 131, the guide grooves 131 extend in the axial direction, the guide portion 5221 at least partially enters the guide grooves 131, and can Move along the extending direction of the guide groove 131 .
  • the cooperation of the guide portion 5221 and the guide groove 131 restricts the movement of the second closing member 52 only in the axial direction.
  • a guide part may also be provided on the inner surface of the housing 13 of the stapler body 1, and a guide groove may be provided on the side of the third driving part 522, which also belongs to the scope of protection of the present invention. Inside.
  • the first sheath portion 71 of the switch driving member 7 is located at the distal side of the second sheath portion 521 of the second closing member 52 .
  • the distal end surface of the second sheath portion 521 is a switching mating surface 5211 , and the switching mating surface 5211 abuts against the proximal end surface of the first sheathing portion 71 of the switching driving member 7 .
  • a switching biasing member is provided between the switching driving member 7 and the stapler body 1 , and the switching biasing member gives the switching driving member 7 a first biasing force toward the proximal side.
  • the switching biasing member is a switching return spring 62 , and can optionally be a compression spring disposed on the distal side of the switching driving member 7 .
  • the switching biasing member may also be a spring, a tension spring disposed on the proximal side of the switching driving member 7 or other types of elastic members.
  • a stop portion 14 is provided inside the housing 13 of the stapler body 1 .
  • a closing biasing member is disposed between the closing rod assembly 5 and the stopper portion 14 , and the closing biasing member gives the closing rod assembly 5 a second biasing force toward the distal end side.
  • the closing biasing member is a closing return spring 61 , and can optionally be a compression spring disposed on the proximal side of the closing pull rod assembly 5 .
  • the closing biasing member may also be an elastic piece, a tension spring provided on the distal side of the closing rod assembly 5 or other types of elastic members.
  • the closing return spring 61 basically does not deform or only slightly deforms. Under the action of the second biasing force of the closing return spring 61 , the closing pull rod assembly 5 abuts against the switching driving member 7 and keeps the switching driving member 7 in the first position area. However, the first biasing force of the switching return spring 62 is not enough to overcome the second biasing force of the closing return spring 61 , therefore, the switching return spring 62 is compressed and deformed.
  • the closing return spring 61 Through the effect of the closing return spring 61, it is possible to further prevent the switching drive member 7 from moving in the direction of the proximal end under the action of the switching return spring 62, and further keep the closing switching mechanism when it is not subjected to external force. state stability. As shown in FIG. 5 , in the initial state, the axial length of the closing return spring 61 is L11 , and the axial length of the switching return spring 62 is L21 .
  • the operating part 73 of the switching driving member 7 is operated, so that the switching driving member 7 moves from the first position area to the first direction, and the first outer sleeve part 71 acts on the second outer sleeve portion 521 to make the closing rod assembly 5 move toward the proximal side of the stapler as a whole.
  • the closing rod assembly 5 drives the second pivoting part 422 to move in the first direction through the third driving part 522 .
  • the third pivot portion 413 and the fourth pivot portion 423 move toward the third direction, that is, move upward and approach the connecting rod 18 , and the first rod 41 rotates counterclockwise around the first pivot 43 Rotate, the second lever 42 rotates clockwise around the third pivot 45, and the link assembly 4 enters the second state.
  • the state of the closed switching mechanism is shown in FIG. 6 . Comparing FIG. 6 and FIG. 5 , it can be seen that the switching driving member moves proximally to the second position area, and the axial length of the switching return spring 62 is extended to L22, and L22 is greater than L21.
  • the third driving part 522 of the second closing member 52 moves toward the proximal side, and the first closing member 51 drives the closing pull tab 12 to move toward the proximal side to close the nail head.
  • the closing return spring 61 is compressed and deformed, and the axial length of the closing return spring 61 is shortened to L12, and L12 is smaller than L11.
  • the first driving part 72 is located at the proximal side of the second driving part 46 and does not act on the second driving part 46 .
  • the connecting rod assembly 4 is in a relatively stable second state, and under the action of the connecting rod assembly 4 , the closing return spring 61 and the switching return spring 62 , the closing pull rod assembly 5 And the switching driving member 7 is also in a relatively stable state, so as to maintain the stability of the nail head after it is closed. Hold the firing handle 3 at this moment, and the stapler can be fired by driving the rack 21 .
  • the first driving part 72 is a driving arm extending from the first sheath part 71 toward the distal side of the stapler.
  • the third pivot portion 413 of the first rod 41 is provided with two second driving parts 46, and the switching driving part 7 includes two first driving parts 72, and the two first driving parts 72 are opposite to the The axial symmetry of the stapler is set.
  • the first closing member 51 and the second closing member 52 are two separate parts, and the proximal side of the first closing member 51 enters the second closing member at least partially.
  • the second sheath portion 521 of the closure member 52 cooperates with the stepped surface inside the second sheath portion 521 to form an axially fixed and relatively rotatable fit.
  • the guiding portion 5221 is a protruding bar disposed on the side of the third driving portion 522 .
  • a matching hole 5222 is provided at a distal side of the third driving part 522 for installing the third pin shaft 45 .
  • the inside of the first closing member 51 is provided with a spring matching step surface 512 , and one end of the closing return spring 61 is opposed to the spring matching step surface 512 .
  • a spring fitting groove 711 is disposed on the distal surface of the first outer casing portion 71 , and one end of the switching return spring 62 is disposed in the spring fitting groove 711 .
  • first closing member 51 and the second closing member 52 may also be integrally provided.
  • the second driving part 46 can also be in other shapes, and the number of the second driving part 46 and the first driving part 72 is not limited to two, for example, only one first driving part 72 is provided. Two driving parts 46 and a first driving part 72 .
  • the installation position and manner of the closing return spring 61 and the switching return spring 62 may also be different from this embodiment.
  • the second driving portion 46 may also be disposed on the fourth pivot portion 423 , or disposed on other positions of the first rod 41 or the second rod 42 .
  • the guide portion 5221 may also be set as a boss or other structures.
  • the stapler can be fired by holding the firing handle 3 .
  • the connecting rod assembly 4 and the closing pull rod assembly 5 and the state of the switching driving member 7 will not change, that is, the connecting rod assembly 4 remains in the second state, the switching driving member 7 remains in the second position area, and the closing pull tab 12 will not accidentally move axially Play to keep the nail head firmly closed.
  • the operator operates the operating part 73 protruding from the outside of the housing 13 to drive it to move in the direction of the distal end, so that the switching driving member 7 moves from the second position area to the stapler.
  • the distal side of the switch moves to the first position area, compressing the switching return spring 62, so that the axial length of the switching return spring 62 is shortened to the initial length L21, and enters the state of FIG. 13 .
  • the first driving part 72 moves to the top of the second driving part 46 in the direction of the distal end, and gives the second driving part 46 a motion along the fourth direction (the downward direction in FIG. 13 , that is, the direction away from the connecting rod 18).
  • the second closing member 52 drives the closing pull piece 12 to move toward the distal side through the first closing member 51 , so that the nail head can be opened. Therefore, after the firing of the stapler is completed, by operating the operating portion 73 of the switching drive member 7 to move in the direction of the distal end, the link assembly 4 can be driven from the second state to the first state, and the closing rod assembly 5 can be driven to the distal end. Move sideways to open the nail head, so that manual opening of the nail head can be realized, the structure is simple, and the operation is convenient.
  • the structure of the switching driving member is different from that of the first embodiment.
  • the switching driving member can be rotatably arranged relative to the closing rod assembly, and when the connecting rod assembly is in the second state and the switching driving member is operated to rotate in the fifth direction, it can drive the The connecting rod assembly enters the first state from the second state, and drives the closing pull rod assembly to move toward the distal end side to open the nail head.
  • the connecting rod assembly can be driven to switch between different states by operating the switching drive member, and the closing pull rod assembly can be controlled to move axially along the stapler, thereby controlling the closing and opening of the nail head.
  • the structure is simple and easy to use.
  • the second embodiment of the present invention provides a closing switching mechanism for a medical stapler and a medical stapler including the closing switching mechanism.
  • the main components of the stapler and the switching of the open and closed states of the nail head can be referred to the description in the first embodiment with reference to FIG. 1 and FIG. 2 , and will not be repeated here.
  • the closing switching mechanism includes a link assembly 4 , a switching driving member 7 and a closing pull rod assembly 50 .
  • the link assembly 4 includes a first rod 41 and a second rod 42, the second rod 42 is located on the proximal side of the first rod 41, and the first rod 41 includes a first pivot portion 412 and a second rod 41.
  • the connection relationship between the connecting rod assembly 4 and the closing rod assembly 50 is the same as that of the first embodiment, and will not be repeated here.
  • the closing rod assembly 50 is fixedly connected to the proximal side of the closing pull piece 12 , so that the axial movement of the closing pull rod assembly 50 can drive the axial movement of the closing pull piece 12 .
  • the switch driving member 7 is pivotally connected to the closing rod assembly 50, and the pivot connection position between the switching driving member 7 and the closing rod assembly 50 is in the axial direction of the stapler relative to the closing rod assembly 50. fixed.
  • being fixed in the axial direction of the stapler means that the pivotal connection position of the switching drive member 7 and the closing rod assembly 50 will not be displaced in the axial direction relative to the closing rod assembly 50 .
  • the switching driving member 7 can move in a first direction and a second direction, and the first direction and the second direction are two opposite directions.
  • the link assembly 4 includes a first state and a second state, both of which are relatively balanced states.
  • the switching drive 7 comprises a first position area and a second position area. In the initial state, the link assembly 4 is in the first state, and the link assembly 4 is in a relatively compact state, that is, the shaft between the first pivot portion 412 and the second pivot portion 422 If the direction distance is small, the switching drive member 7 is in the first position area.
  • the closing rod assembly 50 is driven to move toward the first direction, and the second pivot joint 422 is driven toward the first direction.
  • the link assembly 4 moves towards the third direction, and the link assembly 4 enters the second state, at this time, the link assembly 4 enters a relatively stretched state , the axial distance between the first pivotal portion 412 and the second pivotal portion 422 increases, and at the same time, the closing pull rod assembly 50 drives the closing pull piece 12 to move in the first direction to close nail head.
  • the switching driving member 7 moves to the second position area, the nail head is closed.
  • the connecting rod assembly 4 is in the relatively stable second state, and the switching drive member 7 is located in the second position area.
  • the holding of the connecting rod assembly 4 Under the action, the stability of the closure of the nail head can be maintained, and the firing of the stapler can be performed.
  • the closure tab 12 will not accidentally move and affect the stability of the nail head closure.
  • the switching driving member 7 is operated to rotate in the fifth direction relative to the closing rod assembly 50, and the switching driving member 7 drives the connecting rod assembly 50 to the fourth direction.
  • the rod assembly 4 can drive the link assembly 4 to enter the first state from the second state, and the second pivot portion 422 of the link assembly 4 drives the closing rod assembly 50 to move in the second direction, and the closing rod assembly 50 can Drive the switching drive member 7 to move in the second direction and return to the first position area, and at the same time, the closing pull rod assembly 50 drives the closing pull piece 12 to move in the direction of the distal end to open the nail head, so that The manual opening of the nail head has simple structure and convenient operation.
  • the second location area is located proximally of the first location area.
  • Both the first direction and the second direction are along the axial direction of the stapler. Specifically, the first direction is toward the proximal side of the stapler (direction S1 in FIG. 15 ), and the second direction is toward the distal side of the stapler (direction opposite to S1).
  • the switching driving member 7 moves from the first position area to the proximal side, it can drive the nail head to close, and when the switching driving member 7 moves from the second position area to the distal side, it can drive the nail head to open. department.
  • the first position area refers to the position area where the switching drive member 7 is located in the initial state as shown in Figure 19, and the second position area refers to the completion of the nail head closure as shown in Figure 21 Afterwards, the position area where the driving member 7 is located is switched.
  • the closing switching mechanism further includes a connecting rod 18 .
  • the closing pull piece 12 passes through the inside of the connecting rod 18 .
  • the third direction is the direction from bottom to top in the viewing angle of FIG. direction.
  • the fourth direction is a direction from top to bottom in the perspective of FIG. 15 , that is, for the third pivotal portion 413 and the fourth pivotal portion 423 , the direction away from the connecting rod 18 .
  • FIG. 19 it is a schematic structural diagram of the closing switching mechanism in the initial state of this embodiment. In the state of FIG.
  • the third pivotal portion 413 and the fourth pivotal portion 423 are in a position relatively far away from the connecting rod 18, and the connecting rod assembly 4 is in a relatively stable first state. , the axial distance between the first pivotal portion 412 and the second pivotal portion 422 is small.
  • the switching drive 7 is in the first position range.
  • the switching driving member 7 includes an operating part 73 , a first driving part 72 , a first outer casing part 71 and a rotating matching part 75 , and the operating part 73 is connected to the first outer casing part 71 .
  • the operation part 73 is connected to the first outer casing part 71 .
  • the housing 13 is correspondingly provided with an accommodating groove for accommodating the operating portion 73 , the operating portion 13 partially enters the interior of the accommodating groove, is movable relative to the accommodating groove, and protrudes beyond the end of the stapler body 1 .
  • the outer surface of the housing 13 is convenient for the operator to use.
  • the first sleeve portion 71 is sheathed on the outside of the closing rod assembly 50 and can move axially relative to the connecting rod 18 .
  • the first driving part 72 is located on the side of the first outer casing part 71 facing the connecting rod assembly 4 , and the rotation matching part is arranged between the first driving part 72 and the first outer casing part 71 75 , the rotating fitting part 75 is pivotally connected to the closing rod assembly 5 through a rotating shaft 5023 , and the rotating fitting part 75 is provided with a second fitting hole 751 passing through the rotating shaft 5023 .
  • the first driving part 72 is a driving arm extending from the rotating matching part 75 to the distal end of the stapler, and the rotating matching part 75 is connected to the first driving part 72 and the second driving part 72.
  • a bent portion between the jacket portions 71 A fixed angle is set between the first driving part 72 and the first outer sleeve part 71, that is, the rotating matching part 75 is a bent part that will not deform, and preferably has a certain rigidity, so that the first The included angle (for example, a right angle, or an angle smaller than a right angle or greater than a right angle) between a driving part 72 and the first sheath part 71 remains unchanged.
  • a second driving portion 411 is disposed at the third pivot portion 413 of the first rod 41 , and the second driving portion 411 includes a mating surface facing the connecting rod 18 . In the initial state, the second driving part 411 is located at a position relatively far away from the connecting rod 18 along with the third pivot part 413, and will not contact the first driving part 72. The first driving part 72 The part 72 will not apply force to the second driving part 411.
  • the closing rod assembly 50 includes a second outer casing part 501 and a third driving part 502 .
  • the second sheath portion 501 is sheathed on the outside of the connecting rod 18, the second sheath portion 501 includes a distal portion and a proximal portion, the outer diameter of the distal portion is smaller than the outer diameter of the proximal portion, so A switching mating surface 5013 is provided between the distal portion and the proximal portion of the second sheath portion 501 .
  • the distal end portion of the second sheath portion 501 is at least partially passed through the inside of the first sheath portion 71 of the switching fitting 7 , and the switching mating surface 5013 of the second sheathing portion 501 is in contact with the first sheathing portion. 71 of the proximal surface to match.
  • the distal side of the second sheath part 501 is provided with a through hole 5011, and the connecting pin 19 passed through the through hole 5011 of the second sheath part 501 can connect the distal side of the second sheath part 501 with the The proximal side of the closure pull tab 12 is fixedly connected.
  • a first end of the third driving part 502 is pivotally connected to the second pivot part 422 of the second rod 42 , and a second end of the third driving part 502 is connected to the second outer sleeve part 501 .
  • the rotation shaft 5023 passes through the third driving part 052 , and is pivotally connected with the rotation matching part 75 of the switching driving part 7 through the rotation shaft 5032 .
  • One or two guiding parts 5021 are provided on the side of the third driving part 502 .
  • the inner surface of the shell 13 of the stapler body 1 is provided with one or two guide grooves (refer to the guide groove 131 in Fig.
  • a stopper portion 14 is provided inside the casing 13 of the stapler body 1 .
  • a closing biasing member is disposed between the closing rod assembly 50 and the stopper portion 14 , and the closing biasing member gives the closing rod assembly 50 a first biasing force toward the distal side.
  • the closing biasing member is a closing return spring 61 , and can optionally be a compression spring disposed on the proximal side of the closing rod assembly 50 .
  • a spring matching stepped surface 5012 is disposed inside the second outer casing portion 501 of the closing rod assembly 50 , and the closing return spring 61 is disposed between the spring fitting stepped surface 5012 and the stopper portion 14 .
  • the closing biasing member may also be an elastic piece, a tension spring disposed on the distal side of the closing rod assembly 50 or other types of elastic members.
  • the closing return spring 61 basically does not deform or only slightly deforms. Under the action of the first biasing force of the closing return spring 61 , the closing pull rod assembly 50 is kept at the initial position, and the switching driving member 7 is kept in the first position area. By means of the closing return spring 61 , the state stability of the closing switch mechanism can be further maintained when no external force is applied.
  • the switching driving member 7 applies a more uniform force toward the proximal side to the closing rod assembly 50, and drives the closing rod assembly 50 to move in the first direction, that is, to move toward the proximal side of the stapler.
  • the closing rod assembly 50 drives the second pivoting part 422 to move in the first direction through the third driving part 502 .
  • the second outer sleeve part 501 drives the closing pull tab 12 to move toward the proximal side, closing the nail head.
  • the first driving part 72 is located on the side of the second driving part 411 facing the connecting rod 18, and the first driving part 72 is opposite to the second driving part 411.
  • between the opposite surfaces of the first driving part 72 and the second driving part 411 refers to between the lower surface of the first driving part 72 and the upper surface of the second driving part 411 .
  • the connecting rod assembly 4 is in a relatively stable second state, and under the action of the connecting rod assembly 4, the closing pull rod assembly 50 and the switching driving member 7 are also in a relatively stable state , so as to maintain the stability of the nail head after it is closed.
  • hold the firing handle 3, and the stapler can be fired by driving the rack in the stapler body (refer to the rack 21 in FIG. 3 of the first embodiment).
  • the third pivotal part 413 of the first lever 41 is provided with the second drive part 411
  • the switching drive member 7 includes two first drive parts 72
  • the first The second driving portion 411 includes two mating surfaces opposite to the two first driving portions 72 , and the two mating surfaces are respectively located on the left and right sides of the fourth pivot portion 423 .
  • the two first driving parts 72 are arranged symmetrically with respect to the axial direction of the stapler, and are arranged corresponding to the two mating surfaces of the second driving part 411 .
  • the guide part 5021 is a convex line provided on the side of the third drive part 502 , and one guide part 5021 can be provided on the left and right sides of the third drive part 502 .
  • the distal side of the third driving part 502 is provided with a first matching hole 5022 for installing the third pin shaft 45 .
  • the number of the first driving part 72 is not limited to two, for example, only one first driving part 72 is provided.
  • the installation position and manner of the closing return spring 61 and the switching return spring 62 may also be different from this embodiment.
  • the second driving part 411 can also be arranged on the fourth pivot part 423 , or be arranged on other positions of the first rod 41 or the second rod 42 .
  • the guide part 5021 may also be set as a boss or other structures.
  • a switching biasing member is provided between the switching driving member 7 and the closing rod assembly 50, and when the switching driving member 7 rotates in the fifth direction, the switching biasing member Elastic deformation occurs, and a second biasing force to rotate in the sixth direction is given to the switching driving member 7 .
  • the proximal end surface of the switching driving member 7 at least partially bears against the closing rod assembly 50, specifically, the first outer sleeve portion 71 of the switching driving member 7
  • the proximal surface is at least partially abutted against the switching matching surface 5013 of the second outer sleeve portion 501 of the closing rod assembly 50 .
  • a second spring installation portion 74 is provided on the surface of the first outer sleeve portion 71 of the switching driving member 7, and a first spring installation portion 5014 is provided on the proximal end portion of the first outer sleeve portion 501 of the closing rod assembly 50.
  • the switch biasing member is a switch return spring 62, and can optionally be a tension spring. Two ends of the switching return spring 62 are installed on the first spring installation part 5014 and the second spring installation part 74 respectively.
  • the first spring installation part 5014 and the second spring installation part 74 are respectively a boss protruding from the surface of the second outer casing part 501 and a post protruding from the surface of the first outer casing part 71. Boss.
  • the switching biasing member can also be a torsion spring sleeved on the rotating shaft 5023, or the switching biasing member is a tension spring or a compression spring, and both ends are fixed on Other positions of the switching drive member 7 and the closing rod assembly 50 .
  • two switching biasing members are provided, and the two switching biasing members are arranged symmetrically with respect to the axial direction of the stapler so as to act on the switching driving member 7 more uniformly.
  • the present invention is not limited thereto. In other alternative implementation manners, for example, only one switching bias member or more switching bias members may be provided.
  • the stapler can be fired by holding the firing handle 3 .
  • the states of the link assembly 4, the closing rod assembly 50 and the switching drive member 7 will not change, that is, the link assembly 4 remains In the second state, the switching driving member 7 remains in the second position area, and the closing pull piece 12 will not move accidentally in the axial direction, so as to keep the nail head closed stably.
  • the operator operates the operating part 73 protruding from the outside of the housing 13 to drive it to move in the direction of the distal end, so that the switching drive member 7 is relatively close to the closing rod assembly 50.
  • Rotate around the rotation axis 5023, and the rotation direction is the fifth direction.
  • the fifth direction is the S3 direction shown in FIG. 21 , that is, the counterclockwise direction in the viewing angle of FIG. 21 .
  • the first driving part 72 presses the second driving part 411 in a direction away from the connecting rod 18, so that the second driving part 411
  • the driving part 411 drives the third pivotal part 413 and the fourth pivotal part 423 to move in a fourth direction, that is, to move away from the connecting rod 18, so that the connecting rod assembly 4 enters the first state .
  • the connecting rod assembly 4 returning from the second state to the first state in the perspective of FIG.
  • the second pivot part 422 moves in the second direction, that is, moves toward the distal side of the stapler, and the second pivot part 422 drives the third
  • the driving part 502 moves in the direction of the distal end, and then drives the switching driving member 7 to also move in the direction of the distal end to the first position area.
  • the second jacket part 501 drives the closing pull tab 12 to move toward the distal side, so as to open the nail head.
  • the closing return spring 61 also returns to the initial state, and the first biasing force of the closing return spring 61 further ensures that the closing pull rod assembly 50 can return to the initial position.
  • the link assembly 4 can be driven from the second state to the first state, and the closing rod assembly 50 can be driven to the distal end.
  • the switching return spring 62 (not shown in the figure) is elongated and elastically deformed. At this time, the operator releases the operation part 73, and the operation part 73 loses the effect of external force. Under the action of the second biasing force of the switching return spring 62, the switching driving member 7 rotates along the sixth direction and returns to the initial position (that is, the position and state of the switching driving member 7 shown in FIG. 19 ) .
  • the sixth direction is the S4 direction shown in FIG. 23 , that is, the clockwise direction in the viewing angle of FIG. 23 .
  • the second driving part of the linkage assembly 4 may be a raised part 414 provided at the third pivot part 413, and the raised part 414 protrudes in the direction of the connecting rod 18 relative to the first rod 41 .
  • the connecting rod assembly 4 is in the second state and the switching driving member 7 is not rotated by external force, there is a certain distance between the lower surface of the first driving part 72 and the top end of the protruding part 414 . The height gap, the switching drive member 7 will not act on the raised portion 414 .
  • the structure of the switching driving member is different from that of the first embodiment.
  • the switching driving member is fixed in the axial direction relative to the closing rod assembly, and the switching driving member can move in a third direction relative to the closing rod assembly, and the third direction is the same as the closing rod assembly.
  • a fixed angle is set between the first direction or the second direction.
  • the fourth embodiment of the present invention provides a closing switching mechanism for a medical stapler and a medical stapler including the closing switching mechanism.
  • the main components of the stapler and the switching of the open and closed states of the nail head can be referred to the description in the first embodiment with reference to FIG. 1 and FIG. 2 , and will not be repeated here.
  • the closing switching mechanism includes a link assembly 4 , a switching driving member 7 and a closing pull rod assembly 50 .
  • the link assembly 4 includes a first rod 41 and a second rod 42, the second rod 42 is located on the proximal side of the first rod 41, and the first rod 41 includes a first pivot portion 412 and a second rod 41.
  • the matching structure of the first rod 41 and the second rod 42 and the closing rod assembly 50 is the same as that of the first embodiment, and will not be repeated here.
  • the closing rod assembly 50 is fixedly connected to the proximal side of the closing pull piece 12 , so that the axial movement of the closing pull rod assembly 50 can drive the axial movement of the closing pull piece 12 .
  • the switching driving member 7 is fixed in the axial direction of the stapler relative to the closing rod assembly 50, and the switching driving member 7 can move in a seventh direction relative to the closing rod assembly 50, and the seventh direction A fixed angle is set between the first direction or the second direction.
  • being fixed in the axial direction of the stapler means that the switching driving member 7 will not be displaced in the axial direction relative to the closing rod assembly 50 .
  • the switching driving member 7 can move in a first direction and a second direction, and the first direction and the second direction are two opposite directions. And when the switching driving member 7 moves in the axial direction, the closing rod assembly 50 also moves in the axial direction together with the switching driving member 7 .
  • the link assembly 4 includes a first state and a second state, both of which are relatively balanced states.
  • the switching drive 7 comprises a first position area and a second position area. As shown in FIG. 28 and FIG. 29 , in the initial state, the linkage assembly 4 is in the first state, and the linkage assembly 4 is in a relatively compact state, that is, the first pivot portion 412 and the second The axial distance between the two pivotal parts 422 is relatively small, and the switching driving member 7 is in the first position area.
  • the closing rod assembly 50 is driven to move toward the first direction, and the second pivot joint 422 is driven toward the first direction.
  • the third pivot portion 413 and the fourth pivot portion 423 rotate relatively, and the link assembly 4 enters the second state.
  • the connecting rod assembly 4 enters a relatively stretched state, the axial distance between the first pivotal portion 412 and the second pivotal portion 422 increases, and The first pivot portion 412 has no axial displacement relative to the stapler body 1 .
  • the closing pull rod assembly 50 drives the closing pull piece 12 to move in the first direction to close the nail head.
  • the connecting rod assembly 4 is in the relatively stable second state, and the switching drive member 7 is located in the second position area. In this way, the stability of the closure of the nail head can be maintained, and the firing of the stapler can be performed. When the stapler is fired, the closure tab 12 will not accidentally move and affect the stability of the nail head closure.
  • the switching drive member 7 is operated to move in the seventh direction relative to the closing pull rod assembly 50 to drive the connecting rod assembly 4 from the second state to the first state.
  • the second pivot portion 422 of the link assembly 4 drives the closing rod assembly 50 to move in the second direction, and the closing rod assembly 50 can drive the switching driving member 7 to move in the second direction and return to the first At the same time, the closing pull rod assembly 50 drives the closing pull piece 12 to move toward the distal side to open the nail head, so that the nail head can be opened manually, with simple structure and convenient operation.
  • the second location area is located proximally of the first location area.
  • Both the first direction and the second direction are along the axial direction of the stapler. Specifically, the first direction is toward the proximal side of the stapler (direction S1 in FIG. 25 ), and the second direction is toward the distal side of the stapler (direction opposite to S1).
  • the switching driving member 7 moves from the first position area to the proximal side, it can drive the nail head to close, and when the switching driving member 7 moves from the second position area to the distal side, it can drive the nail head to open. department.
  • the first position area refers to the position area where the switching drive member 7 is located in the initial state as shown in Figure 29, and the second position area refers to the completion of the nail head closure as shown in Figure 32 Afterwards, the position area where the driving member 7 is located is switched.
  • the closing switching mechanism further includes a connecting rod 18 .
  • the closing pull piece 12 passes through the inside of the connecting rod 18 .
  • the seventh direction is the direction from top to bottom in the viewing angle of FIG. direction.
  • the included angle between the seventh direction and the first direction is a right angle or an angle close to a right angle, and the switching driving member 7 moves in an up and down direction relative to the closing rod assembly 50 .
  • a third direction is defined here, and the third direction is the direction from bottom to top in the viewing angle of FIG. 18 directions.
  • Both the third direction and the fifth direction are perpendicular to the axial direction of the stapler, defined here as the longitudinal direction, and the two directions are opposite. As shown in FIG.
  • FIG. 29 it is a schematic structural diagram of the closing switching mechanism in the initial state of this embodiment.
  • the third pivotal portion 413 and the fourth pivotal portion 423 are in a position relatively far away from the connecting rod 18, and the connecting rod assembly 4 is in a relatively stable first state.
  • the axial distance between the first pivotal portion 412 and the second pivotal portion 422 is small.
  • the switching drive 7 is in the first position range.
  • the switching driving member 7 includes an operating part 73 , a first driving part 72 , a first connecting part and a connecting matching part 76 .
  • the operation part 73 is connected to the first connection part.
  • the first connecting portion is the first outer casing portion 71 .
  • the housing 13 is correspondingly provided with an accommodating groove for accommodating the operating portion 73 , the operating portion 13 partially enters the interior of the accommodating groove, is movable relative to the accommodating groove, and protrudes beyond the end of the stapler body 1 .
  • the outer surface of the housing 13 is convenient for the operator to use.
  • the first sleeve portion 71 is sheathed on the outside of the closing rod assembly 50 and can move axially relative to the connecting rod 18 .
  • the first driving part 72 and the connecting fitting part 76 are located on the side of the first outer sleeve part 71 facing the link assembly 4 , and the connecting fitting part 76 is located at the proximal end of the first driving part 72 side.
  • a second driving portion 46 is disposed at the third pivot portion 413 of the first rod 41 . In the initial state, the second driving part 46 is located at a position relatively away from the connecting rod 18 along with the third pivot part 413, and will not contact the first driving part 72, and the first driving part 72 The portion 72 will not apply force to the second driving portion 46 .
  • the second driving part 46 is integrated with the second pin, that is, the second driving part 46 is partly passed through the third pivot part 413 and the fourth pivot part 423 , so that the third pivotal part 413 and the fourth pivotal part 423 are pivotally connected, and the part of the second driving part 46 protrudes from the outside of the third pivotal part 413 and the fourth pivotal part 423
  • the surface is opposite to the first driving part 72 .
  • the closing rod assembly 50 includes a second outer casing part 501 and a third driving part 502 .
  • the second sheath portion 501 is sheathed on the outside of the connecting rod 18, the second sheath portion 501 includes a distal portion and a proximal portion, the outer diameter of the distal portion is smaller than the outer diameter of the proximal portion, so A switching mating surface 5013 is provided between the distal portion and the proximal portion of the second sheath portion 501 .
  • the distal end portion of the second sheath portion 501 is at least partially passed through the inside of the first sheath portion 71 of the switching fitting 7 , and the switching mating surface 5013 of the second sheathing portion 501 is in contact with the first sheathing portion. 71 of the proximal surface to match.
  • the proximal surface of the first sheath part 71 and the switching mating surface 5013 of the second sheath part 501 abut against each other.
  • the distal side of the second sheath part 501 is provided with a through hole 5011, and the connecting pin 19 passed through the through hole 5011 of the second sheath part 501 can connect the distal side of the second sheath part 501 with the The proximal side of the closure pull tab 12 is fixedly connected.
  • a first end of the third driving part 502 is pivotally connected to the second pivot part 422 of the second rod 42 , and a second end of the third driving part 502 is connected to the second outer sleeve part 501 .
  • One or two guiding parts 5021 are provided on the side of the third driving part 502 .
  • the inner surface of the shell 13 of the stapler body 1 is provided with one or two guide grooves 131, the guide grooves 131 extend in the axial direction, the guide part 5021 at least partially enters the guide grooves 131, and can Move along the extending direction of the guide groove 131 .
  • the cooperation of the guide portion 5021 and the guide groove 131 limits the movement of the closing pull rod assembly 5 only in the axial direction.
  • a guide part may also be provided on the inner surface of the casing 13 of the stapler body 1, and a guide groove may be provided on the side of the third driving part 502, which also belongs to the protection scope of the present invention. Inside.
  • the switch driving member 7 and the closing rod assembly 50 are connected through the cooperation of the boss and the sliding groove.
  • the connecting and matching part 76 is provided with a sliding slot 761, and the sliding slot 761 extends along the seventh direction
  • the third driving part 502 is provided with a protruding post 503, and the protruding post 503 at least partially enters the The inside of the chute 761 and can move along the extending direction of the chute 761 , that is, the protrusion 503 can move relative to the chute 761 along the longitudinal direction of the stapler.
  • the chute 761 includes a first section 7611 and a second section 7612 , the first section 7611 is located below the second section 7612 .
  • the protrusion 503 is located at the first section 7611 of the slide groove 761 .
  • the switching driving member 7 is operated to move downward by the operating portion 73 , the protrusion 503 enters the second section 7612 of the slide groove 761 .
  • the boss 503 can also be arranged on the second outer casing part 501, and in yet another embodiment, the boss 503 can also be arranged on the connection matching part 76, so
  • the third driving part 502 or the second outer casing part 501 is provided with a chute extending along the seventh direction, and the protrusion at least partially enters the chute.
  • the housing 13 of the stapler body 1 is provided with a stopper 14 inside, and the stopper 14 is located on the proximal side of the second outer sleeve 501 .
  • a closing biasing member is disposed between the closing rod assembly 50 and the stopper portion 14 , and the closing biasing member gives the closing rod assembly 50 a first biasing force toward the distal side.
  • the closing biasing member is a closing return spring 61 , and can optionally be a compression spring disposed between the second outer sleeve portion 501 of the closing rod assembly 50 and the stopper portion 14 .
  • the closing biasing member may also be an elastic piece, a tension spring disposed on the distal side of the closing rod assembly 50 or other types of elastic members.
  • the closing return spring 61 basically does not deform or only slightly deforms. Under the action of the first biasing force of the closing return spring 61 , the closing pull rod assembly 50 is kept at the initial position, and the switching driving member 7 is kept in the first position area. By means of the closing return spring 61 , the state stability of the closing switch mechanism can be further maintained when no external force is applied.
  • the operating portion 73 of the switching drive member 7 is operated, so that the switch drive member 7 moves from the first position area to the proximal side, and the connection matching portion of the switch drive member 7
  • the sliding groove 761 of 76 cooperates with the boss 503 to drive the third driving part 502 to move toward the proximal side.
  • the switching driving member 7 applies a more uniform force toward the proximal side to the closing rod assembly 50, and drives the closing rod assembly 50 to move in the first direction, that is, to move toward the proximal side of the stapler.
  • the closing rod assembly 50 drives the second pivoting part 422 to move along the first direction through the third driving part 502 .
  • the third pivotal part 413 and the fourth pivotal part 423 move along the third direction, that is, move upwards and approach the connecting rod 18 , and the first rod 41 goes counterclockwise around the first pivot 43 Rotate, the second lever 42 rotates clockwise around the third pivot 45, the linkage assembly 4 enters the second state, the first pivot 412 and the second pivot 422 The axial distance increases.
  • the state of the link assembly 4 is shown in FIG. 31
  • the state of the closing switching mechanism is shown in FIG. 32 . Comparing FIG. 32 and FIG. 29 , it can be seen that the switching driving member 7 moves to the proximal direction to the second position area, and the closing rod assembly 50 compresses the closing return spring 61 to generate elastic deformation.
  • the second outer sleeve part 501 drives the closing pull tab 12 to move toward the proximal side, closing the nail head.
  • the first driving part 72 is located on the side of the second driving part 46 facing the connecting rod 18 , and the first driving part 72 is opposite to the second driving part 46
  • between the surfaces of the first driving part 72 and the second driving part 46 means between the lower surface of the first driving part 72 and the upper surface of the second driving part 46 .
  • the connecting rod assembly 4 is in a relatively stable second state, and under the action of the connecting rod assembly 4, the closing pull rod assembly 50 and the switching driving member 7 are also in a relatively stable state , so as to maintain the stability of the nail head after it is closed.
  • the firing handle 3 is held, and the stapler can be fired by driving the rack in the stapler body (for example, referring to the rack 21 in FIG. 3 of the first embodiment).
  • the third pivotal portion 413 of the first lever 41 is provided with the second drive portion 46
  • the switching drive member 7 includes two first drive portions 72
  • the two first drive portions 72 The driving part 72 is arranged symmetrically with respect to the axial direction of the stapler. Both ends of the second driving part 46 protrude from the outer surfaces of the left and right sides of the pivot joint part 413 and are opposite to the two first driving parts 72 .
  • the side of the first driving part 72 facing the second driving part 46 is preferably a plane parallel to the axial direction.
  • the guide part 5021 is a convex line provided on the side of the third drive part 502 , and one guide part 5021 can be provided on the left and right sides of the third drive part 502 .
  • the distal side of the third driving part 502 is provided with a first matching hole 5022 for installing the third pin shaft 45 .
  • the third driving part 502 includes a first cavity 5024 , and the second rod 42 at least partially enters into the first cavity 5024 of the third driving part 502 .
  • the side of the second rod 42 facing the connecting rod 18 is provided with a relief groove 424, when the connecting rod assembly 4 is in the second state, the bottom 5015 of the second outer sleeve part 501 partially enters the connecting rod 18. In the step-off slot 424 mentioned above.
  • the protruding post provided on the closing rod assembly 50 is the protruding post 503 matched with the slide groove 761
  • the second spring installation part 74 is a post provided on the connecting fitting part 76 Body
  • the second spring mounting portion 74 is located below the boss 503 .
  • Both ends of the switching return spring 62 are respectively hung on the boss 503 and the second spring matching portion 74 .
  • two switching biasing members are provided, and the two switching biasing members are arranged symmetrically with respect to the axial direction of the stapler so as to act on the switching driving member 7 more uniformly.
  • the present invention is not limited thereto. In other alternative implementation manners, for example, only one switching bias member or more switching bias members may be provided.
  • the spring mounting part and the protruding post 503 provided on the closing rod assembly 503 may also be two separate independent parts.
  • the switching biasing member is a tension spring or a pressing spring, and both ends are fixed to other positions of the switching driving member 7 and the closing pull rod assembly 50 .
  • the stapler can be fired by holding the firing handle 3 .
  • the states of the link assembly 4, the closing rod assembly 50 and the switching drive member 7 will not change, that is, the link assembly 4 remains In the second state, the switching driving member 7 remains in the second position area, and the closing pull piece 12 will not move accidentally in the axial direction, so as to keep the nail head closed stably.
  • the operator operates the operating part 73 protruding from the outside of the housing 13 to drive it to move in the seventh direction, that is, in the perspective of FIG. 32 ,
  • the driving switch driving member 7 moves downward (moves in the direction opposite to the S2 direction), and the first driving part 72 presses the second driving part 46 in a direction away from the connecting rod 18 (along the seventh direction),
  • the second driving part 46 drives the third pivot part 413 and the fourth pivot part 423 to move away from the connecting rod 18 , so that the link assembly 4 enters the first state.
  • the link assembly 4 returning from the second state to the first state in the perspective of FIG.
  • the second pivot part 422 moves in the second direction, that is, moves toward the distal side of the stapler, and the second pivot part 422 drives the third
  • the driving part 502 moves in the direction of the distal end. Since the closing rod assembly 50 and the switch driving member 7 are relatively fixed in the axial direction through the boss 503 and the sliding groove 761, and the switching mating surface 5013 of the closing rod assembly 50 is opposed to the proximal surface of the switching driving member 7, the closing The pull rod assembly 50 further drives the switching driving member 7 to also move in the direction of the distal end to the first position area. At the same time, the second jacket part 501 drives the closing pull tab 12 to move toward the distal side, so as to open the nail head.
  • the closing return spring 61 also returns to the initial state, and the first biasing force of the closing return spring 61 further ensures that the closing pull rod assembly 50 can return to the initial position. At this time, the state of the closed switching mechanism is shown in FIG. 33 .
  • the link assembly 4 can be driven from the second state to the first state, and the closing rod assembly 50 can be driven to the distal end side. direction movement to open the nail head, so that the manual opening of the nail head can be realized, the structure is simple, and the operation is convenient.
  • the sliding slot 761 moves downward relative to the protruding post 503 as a whole, and the protruding post 503 enters into the second section 7612 of the sliding slot 761 .
  • the switching return spring 62 is elongated and elastically deformed.
  • the operator releases the operation part 73, and the operation part 73 loses the effect of external force.
  • the switching driving member 7 moves along the third direction (that is, moves upward) and returns to the initial position (that is, the switching driving member 7 shown in FIG. 29 position and state), the boss 503 re-enters the first section 7611 of the slide groove 761 .
  • FIGS. 34 to 38 are structural schematic diagrams of the closing switching mechanism of the fifth embodiment of the present invention.
  • the difference between the fifth embodiment and the fourth embodiment is that: in the fifth embodiment, the moving direction when the switching driving member 7 drives the nail head to open is different from that of the fourth embodiment.
  • the definition of the seventh direction is opposite to that of the fourth embodiment.
  • the direction S2 is the seventh direction, that is, the upward direction
  • the direction opposite to the direction S2 is the fourth direction, that is, the downward direction.
  • the switching driving member 7 When the link assembly 4 is in the second state and the switching driving member 7 moves in the seventh direction, the switching driving member 7 lifts the second driving part 46 upward, so that the third pivotal part 413 and the fourth pivot portion 423 move downwards (moving along the fourth direction), and move away from the connecting rod 18 to enter the first state.
  • FIG. 34 it is a schematic structural diagram of the closing switching mechanism when the link assembly 4 of this embodiment is in the first state.
  • the switching drive 7 is located in the first position area.
  • the switching driving member 7 is located on the proximal side of the second outer sleeve portion 501 , and the relative positions of the switching driving member 7 and the closing rod assembly 50 in the axial direction will not change.
  • the first outer sleeve portion 71 of the switching driving member 7 is sheathed on the outside of the connecting rod 18 , and the connecting matching portion 76 of the switching driving member 7 and the third driving member 50 pass through the sliding groove 761 and the protrusion 503
  • the connection realizes the relative fixation in the axial direction.
  • the protrusion 503 is located at the second section 7612 of the slide groove 761 (marked in FIG. 37 ), and the spring mounting portion 74 is located above the protrusion 503 . In the state shown in FIG.
  • the operating part 73 drives the switching driving member 7 to move to the second position in the direction of the proximal side, and drives the closing rod assembly 50 to move in the direction of the proximal side, and the third driving part 502 drives the second
  • the pivoting part 422 moves toward the proximal side, drives the link assembly 4 to enter the first state, and the second outer sleeve part 501 compresses the closing return spring 61 to generate elastic deformation, and simultaneously drives the closing pull piece 12 to move toward the proximal side, Close the nail head.
  • the closed switching mechanism is in the state shown in FIG. 35 .
  • the second drive part 46 is arranged on the second pivot part 422, and the second drive part 46 and the fourth pivot part 423 are respectively located on both sides of the third pin shaft 45 . Therefore, in this embodiment, the second driving part 46 is no longer integrated with the second pin shaft 44 . As shown in FIG. 36 , the second driving part 46 is located on the proximal side of the third pin shaft 45, the fourth pivot joint 423 is located on the distal side of the third pin shaft 45, and the first The two rods 42 form a lever structure that can rotate relative to the third pin shaft 45 .
  • the fourth pivotal portion 423 moves toward the direction close to the connecting rod 18 , and the second pivotal portion 422 moves relative to the first
  • the three-pin shaft 45 rotates clockwise, so that the second driving part 46 moves away from the connecting rod 18 .
  • the second pivot part 422 rotates counterclockwise relative to the third pin shaft 45, so that the fourth pivot part 423 Move in a direction away from the connecting rod 18 .
  • the switching driving member 7 includes two side walls, and the two side walls are respectively located on both sides of the third driving part 502 , and the first A driving portion 72 is a fourth pin connected between two side walls of the switching driving member 7 .
  • a matching groove 425 is disposed on a side of the second driving portion 46 away from the connecting rod.
  • the second jacket part 501 drives the closing pull tab 12 to move toward the distal side, so as to open the nail head.
  • the closing return spring 61 also returns to the initial state, and the first biasing force of the closing return spring 61 further ensures that the closing pull rod assembly 50 can return to the initial position.
  • the state of the closed switching mechanism is shown in FIG. 38 .
  • the link assembly 4 can be driven from the second state to the first state, and the closing rod assembly 50 can be driven to the distal end side. direction movement to open the nail head, so that the manual opening of the nail head can be realized, the structure is simple, and the operation is convenient.
  • the chute 761 moves upwards relative to the protruding post 503 as a whole, and the protruding post 503 enters into the first section 7611 of the chute 761 (shown in FIG. 37 ).
  • the switching return spring 62 is elongated and elastically deformed.
  • the operator releases the operation part 73, and the operation part 73 loses the effect of external force.
  • the switching driving member 7 moves downwards and returns to the initial position (that is, the position and state of the switching driving member 7 shown in FIG. 34 ), the The protrusion 503 re-enters the second section 7612 of the slide groove 761 .

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Abstract

A closure switching mechanism and a medical stapler. The closure switching mechanism comprises: a linkage assembly (4), the linkage assembly (4) comprising a first pivot portion (412) and a second pivot portion (422), the first pivot portion (412) being pivotally connected to a stapler body (1), and the linkage assembly (4) has a first state and a second state; a switching drive member (7), the switching drive member (7) being movable in a first direction and a second direction, and the first direction being opposite to the second direction; and a closure pull rod assembly (5), the closure pull rod assembly (5) being pivotally connected to the second pivot portion (422), wherein when the switching drive member (7) moves in the first direction, the closure pull rod assembly (5) is driven to move in the first direction, such that the linkage assembly (4) enters the second state from the first state; and the switching drive member (7) is configured to be operable to drive the linkage assembly (4) to enter the first state from the second state, and the second pivot portion (422) drives the closure pull rod assembly (5) to move in the second direction. The closure switching mechanism and the medical stapler can achieve the manual closure and opening of a staple head (9).

Description

闭合切换机构及医用吻合器Closed switching mechanism and medical stapler 技术领域technical field
本发明涉及医疗器械技术领域,具体涉及一种闭合切换机构及医用吻合器。The invention relates to the technical field of medical instruments, in particular to a closed switching mechanism and a medical stapler.
背景技术Background technique
医用吻合器包括医用吻合器本体、活动连接所述医用吻合器本体的击发把手以及与所述本体配合的钉头部。所述钉头部包括相对设置的钉仓组件和钉砧。在手术时,操作者首先握持击发把手,通过闭合切换机构拉动闭合拉片向吻合器的近端侧运动,从而将钉仓组件和钉砧闭合,即钉头部的闭合。然后,操作者再次握持击发把手,可以推动吻合钉向组织运动,通过钉仓组件中的吻合钉在钉砧处的成型,将组织吻合,同时切刀向远端侧运动,而切割组织,实现吻合器的击发。现有的闭合切换机构中,结构较为复杂,并且在吻合器击发完成后,可能会出现钉头部难以打开的问题,给操作者的操作带来不便。The medical stapler includes a medical stapler body, a firing handle movably connected to the medical stapler body, and a nail head matched with the body. The nail head includes a nail cartridge assembly and a nail anvil which are oppositely arranged. During the operation, the operator first holds the firing handle, and pulls the closing tab to move toward the proximal side of the stapler through the closing switching mechanism, thereby closing the staple cartridge assembly and the staple anvil, that is, closing the staple head. Then, the operator holds the firing handle again, and can push the staples to move toward the tissue. Through the forming of the staples in the staple cartridge assembly at the anvil, the tissues are anastomosed. At the same time, the cutter moves to the distal side to cut the tissue. Realize the triggering of the stapler. In the existing closing switching mechanism, the structure is relatively complicated, and after the stapler is fired, it may be difficult to open the nail head, which brings inconvenience to the operator.
发明内容Contents of the invention
针对现有技术中的问题,本发明的目的在于提供一种闭合切换机构及医用吻合器,通过操作切换驱动件向不同方向运动,可以实现钉头部的手动闭合和手动打开。In view of the problems in the prior art, the object of the present invention is to provide a closing switching mechanism and a medical stapler, by operating the switching driving member to move in different directions, the manual closing and manual opening of the nail head can be realized.
本发明实施例提供一种闭合切换机构,用于医用吻合器,所述吻合器包括吻合器本体,所述闭合切换机构包括:An embodiment of the present invention provides a closed switching mechanism for a medical stapler, the stapler includes a stapler body, and the closed switching mechanism includes:
连杆组件,包括第一枢接部和第二枢接部,所述第一枢接部枢转连接于所述吻合器本体,所述连杆组件包括第一状态和第二状态;The linkage assembly includes a first pivot portion and a second pivot portion, the first pivot portion is pivotally connected to the stapler body, and the linkage assembly includes a first state and a second state;
切换驱动件,所述切换驱动件可沿第一方向和第二方向运动,所述第一方向与所述第二方向相反;a switching drive member movable in a first direction and a second direction, the first direction being opposite to the second direction;
闭合拉杆组件,所述闭合拉杆组件枢转连接于所述第二枢接部;a closing pull rod assembly, the closing pull rod assembly is pivotally connected to the second pivot joint;
其中,所述切换驱动件朝向所述第一方向运动时,驱动所述闭合拉杆组件向所述第一方向运动,使得所述连杆组件由所述第一状态进入所述第二状态;Wherein, when the switching driving member moves toward the first direction, it drives the closing rod assembly to move toward the first direction, so that the connecting rod assembly enters the second state from the first state;
且所述切换驱动件配置为可被操作而驱动所述连杆组件从所述第二状态进入所述第一状态,所述第二枢接部驱动所述闭合拉杆组件向所述第二方向运动。And the switching driving member is configured to be operable to drive the linkage assembly from the second state into the first state, and the second pivot portion drives the closing pull rod assembly to the second direction sports.
在一些实施例中,所述连杆组件包括第一杆和第二杆,所述第二杆位于所述第一杆的近端侧,所述第一杆包括所述第一枢接部和第三枢接部,所述第二杆包括所述第二枢接部和第四枢接部,所述第三枢接部枢转连接于所述第四枢接部;In some embodiments, the linkage assembly includes a first rod and a second rod, the second rod is located on the proximal side of the first rod, the first rod includes the first pivot portion and a third pivotal portion, the second rod includes the second pivotal portion and a fourth pivotal portion, the third pivotal portion is pivotally connected to the fourth pivotal portion;
所述连杆组件由所述第一状态进入所述第二状态时,所述第三枢接部和所述第四枢接部朝向第三方向运动;所述切换驱动件朝向所述第二方向运动时,所述切换驱动件驱动所述第三枢接部和所述第四枢接部朝向第四方向运动,所述第三方向与所述第四方向相反。When the connecting rod assembly enters the second state from the first state, the third pivot portion and the fourth pivot portion move toward a third direction; the switching driving member moves toward the second When moving in one direction, the switching driving member drives the third pivotal part and the fourth pivotal part to move in a fourth direction, and the third direction is opposite to the fourth direction.
在一些实施例中,还包括连接杆,所述第三方向为朝向所述连接杆的方向,所述第四方向为远离所述连接杆的方向;In some embodiments, a connecting rod is further included, the third direction is a direction toward the connecting rod, and the fourth direction is a direction away from the connecting rod;
所述切换驱动件包括第一驱动部和第一外套部,所述第一外套部套设于所述连接杆的外部或所述闭合拉杆组件的外部,所述第一驱动部位于所述第一外套部朝向所述连杆组件的一侧,所述第一外套部朝向所述第一方向运动时驱动所述闭合拉杆组件朝向所述第一方向运动,使得所述连杆组件由所述第一状态进入所述第二状态。The switching driving member includes a first driving part and a first sheath part, the first sheathing part is sheathed on the outside of the connecting rod or the outside of the closing rod assembly, and the first driving part is located on the first An outer sleeve portion faces one side of the connecting rod assembly, and when the first outer sleeve portion moves toward the first direction, it drives the closing rod assembly to move toward the first direction, so that the connecting rod assembly is moved by the The first state enters the second state.
在一些实施例中,所述第一方向为朝向所述吻合器的近端侧方向,所述第二方向为朝向所述吻合器的远端侧方向,所述第一方向及所述第二方向均为沿所述吻合器的轴向方向。In some embodiments, the first direction is toward the proximal side of the stapler, the second direction is toward the distal side of the stapler, and the first direction and the second The directions are all along the axial direction of the stapler.
在一些实施例中,所述连杆组件处于所述第二状态,且所述切换驱动件朝向所述第二方向运动时,驱动所述连杆组件进入所述第一状态,且所述第二枢接部驱动所述闭合拉杆组件向所述第二方向运动。In some embodiments, when the link assembly is in the second state, and the switching driving member moves toward the second direction, the link assembly is driven to enter the first state, and the second The two pivot joints drive the closing rod assembly to move in the second direction.
在一些实施例中,所述第一杆或所述第二杆上设置有第二驱动部,所述连杆组件处于所述第二状态时,所述第二驱动部相对于所述第一杆或所述第二杆朝向所述连接杆的方向凸出;In some embodiments, the first rod or the second rod is provided with a second driving part, and when the linkage assembly is in the second state, the second driving part is relatively the rod or the second rod protrudes towards the direction of the connecting rod;
所述连杆组件处于所述第二状态,且所述切换驱动件朝向所述第二方向运动时,所述切换驱动件向远离所述连接杆的方向压迫所述第二驱动部,使得所述连杆组件进入所述第一状态。When the connecting rod assembly is in the second state and the switching driving member moves toward the second direction, the switching driving member presses the second driving part in a direction away from the connecting rod, so that the The connecting rod assembly enters the first state.
在一些实施例中,所述切换驱动件朝向所述第一方向运动,使得所述连杆组件由所述第一状态进入所述第二状态后,所述第一驱动部位于所述第二驱动部的近端侧。In some embodiments, the switching driving member moves toward the first direction, so that after the linkage assembly enters the second state from the first state, the first driving part is located in the second state. Proximal side of the drive unit.
在一些实施例中,所述第一驱动部的远端侧设置有第一引导面,和/或,所述第二驱动部的近端侧设置有第二引导面。In some embodiments, the distal side of the first driving part is provided with a first guiding surface, and/or the proximal side of the second driving part is provided with a second guiding surface.
在一些实施例中,所述第二驱动部设置于所述第三枢接部或所述第四枢接部。In some embodiments, the second driving portion is disposed on the third pivot portion or the fourth pivot portion.
在一些实施例中,所述切换驱动件包括两个所述第一驱动部,两个所述第一驱动部相对于所述吻合器的轴向对称设置;所述连杆组件设置有两个第二驱动部,所述切换驱动件配置为可被操作而驱动所述连杆组件从所述第二状态进入所述第一状态时,每个所述第一驱动部分别驱动一所述第二驱动部。In some embodiments, the switching driving member includes two first driving parts, and the two first driving parts are arranged symmetrically with respect to the axial direction of the stapler; the connecting rod assembly is provided with two The second driving part, the switching driving part is configured to be operable to drive the connecting rod assembly from the second state to the first state, and each of the first driving parts respectively drives one of the first driving parts. 2. Drive unit.
在一些实施例中,所述第一驱动部为从所述第一外套部向所述第二方向延伸的驱动臂。In some embodiments, the first driving part is a driving arm extending from the first outer casing part to the second direction.
在一些实施例中,所述切换驱动件与所述吻合器本体之间设置有切换偏置件,所述切换偏置件给所述切换驱动件一朝向所述第一方向的第一偏置力。In some embodiments, a switching biasing member is provided between the switching driving member and the stapler body, and the switching biasing member gives the switching driving member a first bias toward the first direction force.
在一些实施例中,所述切换偏置件为切换复位弹簧,所述第一外套部的一侧设置有弹簧配合槽,所述切换复位弹簧的一端设置于所述弹簧配合槽中。In some embodiments, the switch biasing member is a switch return spring, one side of the first jacket part is provided with a spring fitting groove, and one end of the switch return spring is arranged in the spring fitting groove.
在一些实施例中,所述闭合拉杆组件包括第二外套部和第三驱动部,所述第二外套部套设于所述连接杆的外部,且所述切换驱动件的第一外套部与所述第二外套部配合,所述第三驱动部的第一端枢接于所述第二枢接部,所述第三驱动部的第二端固定连接于所述第二外套部。In some embodiments, the closing pull rod assembly includes a second outer casing part and a third driving part, the second outer casing part is sleeved on the outside of the connecting rod, and the first outer casing part of the switching driving part is connected to the third driving part. The second outer casing part is matched, the first end of the third driving part is pivotally connected to the second pivotal part, and the second end of the third driving part is fixedly connected to the second outer casing part.
在一些实施例中,所述闭合拉杆组件与所述吻合器本体之间设置有闭合偏置件,所述闭合偏置件给所述闭合拉杆组件一朝向所述第二方向的第二偏置力。In some embodiments, a closing biasing member is disposed between the closing rod assembly and the stapler body, and the closing biasing member gives the closing rod assembly a second bias toward the second direction force.
在一些实施例中,所述闭合拉杆组件包括第一闭合件和第二闭合件,所述第一闭合件套设于所述连接杆的外部,所述第二闭合件包括所述第二外套部和所述驱动部,所述第一闭合件与所述第二外套部轴向固定,且所述第一闭合件突出于所述第二外套部的远端侧的部分穿过所述切换驱动件的第一外套部的内部。In some embodiments, the closure rod assembly includes a first closure member and a second closure member, the first closure member is sleeved on the outside of the connecting rod, and the second closure member includes the second outer sleeve part and the driving part, the first closure part is axially fixed to the second outer casing part, and the part of the first closure part protruding from the distal end side of the second outer casing part passes through the switch The interior of the first housing portion of the driver.
在一些实施例中,所述闭合偏置件为闭合复位弹簧,所述第一闭合件的内部设置有弹簧配合台阶面,所述闭合复位弹簧的一端与所述弹簧配合台阶面相抵持。In some embodiments, the closing biasing member is a closing return spring, a spring matching stepped surface is provided inside the first closing member, and one end of the closing returning spring is opposed to the spring matching stepped surface.
在一些实施例中,所述切换驱动件包括操作部,所述操作部突出于所述吻合器本体的壳体外表面,所述壳体设有容纳所述操作部的容纳槽。In some embodiments, the switching driving member includes an operating portion protruding from the outer surface of the housing of the stapler body, and the housing is provided with a receiving groove for accommodating the operating portion.
在一些实施例中,还包括闭合拉片,所述闭合拉片的近端侧与所述闭合拉杆组件通过连接销相连接。In some embodiments, it further includes a closure pull piece, the proximal side of the closure pull piece is connected to the closure pull rod assembly through a connecting pin.
在一些实施例中,所述切换驱动件枢转连接于所述闭合拉杆组件,所述连杆组件处于所述第二状态,且所述切换驱动件相对于所述闭合拉杆组件沿第五方向旋转时,驱动所述连杆组件进入所述第一状态,且所述第二枢接部驱动所述闭合拉杆组件和所述切换驱动件向所述第二方向运动。In some embodiments, the switching drive member is pivotally connected to the closing rod assembly, the link assembly is in the second state, and the switching driving member is in a fifth direction relative to the closing rod assembly When rotating, the connecting rod assembly is driven to enter the first state, and the second pivot portion drives the closing pull rod assembly and the switching driving member to move in the second direction.
在一些实施例中,所述切换驱动件包括第一驱动部和旋转配合部,所述旋转配合部通过一旋转轴枢转连接于所述闭合拉杆组件,所述连杆组件包括第二驱动部;In some embodiments, the switching driving member includes a first driving part and a rotating fitting part, the rotating fitting part is pivotally connected to the closing pull rod assembly through a rotating shaft, and the link assembly includes a second driving part ;
所述连杆组件处于所述第二状态,且所述切换驱动件沿第五方向旋转时,所述第一驱动部朝远离所述连接杆的方向驱动所述第二驱动部,使得所述连杆组件进入所述第一状态。When the connecting rod assembly is in the second state and the switching driving member rotates in the fifth direction, the first driving part drives the second driving part in a direction away from the connecting rod, so that the The linkage assembly enters the first state.
在一些实施例中,所述第二驱动部设置于所述第三枢接部或所述第四枢接部。In some embodiments, the second driving portion is disposed on the third pivot portion or the fourth pivot portion.
在一些实施例中,所述连杆组件处于所述第二状态时,所述第一驱动部位于所述第二驱动部朝向所述连接杆的一侧,且所述第一驱动部与所述第二驱动部相对的表面之间具有一定的高度间隙。In some embodiments, when the connecting rod assembly is in the second state, the first driving part is located on the side of the second driving part facing the connecting rod, and the first driving part and the There is a certain height gap between the opposite surfaces of the second driving part.
在一些实施例中,所述切换驱动件还包括第一外套部,所述闭合拉杆组件包括第二外套部和第三驱动部,所述第一外套部套设于所述第二外套部的外部,所述第二外套部套设于所述连接杆的外部,所述第三驱动部与所述连杆组件的第二枢接部枢转连接,所述第二外套部朝向所述第一方向运动时,驱动所述连杆组件由所述第一状态进入所述第二状态。In some embodiments, the switching driving member further includes a first outer casing part, the closing pull rod assembly includes a second outer casing part and a third driving part, and the first outer casing part is sleeved on the second outer casing part. Externally, the second outer sleeve part is sleeved on the outside of the connecting rod, the third driving part is pivotally connected with the second pivot part of the connecting rod assembly, and the second outer sleeve part faces the first When moving in one direction, the connecting rod assembly is driven to enter the second state from the first state.
在一些实施例中,所述第一驱动部为从所述旋转配合部向所述第二方向延伸的驱动臂,所述旋转配合部为连接于所述第一外套部和所述第一驱动部之间的弯折部,所述第一驱动部与所述第一外套部之间设有一固定角度。In some embodiments, the first driving part is a driving arm extending from the rotating fitting part to the second direction, and the rotating fitting part is connected to the first outer casing part and the first driving arm. There is a bending part between the parts, and a fixed angle is set between the first driving part and the first jacket part.
在一些实施例中,所述旋转配合部与所述闭合拉杆组件的第三驱动部通过所述旋转轴枢转连接。In some embodiments, the rotating fitting part is pivotally connected to the third driving part of the closing rod assembly through the rotating shaft.
在一些实施例中,所述切换驱动件与所述闭合拉杆组件之间设置有切换偏置件,所述切换驱动件相对于所述闭合拉杆组件沿第五方向旋转时,所述切换偏置件产生变形,给所述切换驱动件一沿第六方向旋转的第二偏置力,所述第六方向与所述第五方向相反。In some embodiments, a switching bias is provided between the switching driving member and the closing rod assembly, and when the switching driving member rotates in the fifth direction relative to the closing rod assembly, the switching bias The member is deformed to give the switching driving member a second biasing force to rotate in a sixth direction, the sixth direction being opposite to the fifth direction.
在一些实施例中,所述切换偏置件为切换复位弹簧,所述闭合拉杆组件上设置有第一弹簧安装部,所述切换驱动件上设置有第二弹簧安装部,所述切换复位弹簧的两端分别固 定于所述第一弹簧安装部和所述第二弹簧安装部上,不受外力时所述切换驱动件的近端面至少部分抵持于所述闭合拉杆组件。In some embodiments, the switching biasing member is a switching return spring, a first spring installation part is provided on the closing rod assembly, a second spring installation part is provided on the switching driving part, and the switching return spring The two ends of the two ends are respectively fixed on the first spring mounting part and the second spring mounting part, and when no external force is applied, the proximal end surface of the switching driving member is at least partially abutted against the closing rod assembly.
在一些实施例中,所述切换驱动件相对于所述闭合拉杆组件在所述吻合器的轴向上固定,且所述切换驱动件可相对于所述闭合拉杆组件在第七方向运动,所述第七方向与所述第一方向或第二方向之间设有一固定夹角;In some embodiments, the switching driving member is fixed in the axial direction of the stapler relative to the closing rod assembly, and the switching driving member can move in a seventh direction relative to the closing rod assembly, so A fixed angle is set between the seventh direction and the first direction or the second direction;
其中,所述切换驱动件朝向所述第一方向运动时,驱动所述闭合拉杆组件向所述第一方向运动,使得所述连杆组件由所述第一状态进入所述第二状态;所述切换驱动件相对于所述闭合拉杆组件沿所述第七方向运动时,驱动所述连杆组件进入所述第一状态,且所述第二枢接部驱动所述闭合拉杆组件和所述切换驱动件向所述第二方向运动。Wherein, when the switching driving member moves toward the first direction, it drives the closing pull rod assembly to move toward the first direction, so that the connecting rod assembly enters the second state from the first state; When the switching driving member moves in the seventh direction relative to the closing rod assembly, it drives the connecting rod assembly to enter the first state, and the second pivot part drives the closing rod assembly and the The switching driving member moves in the second direction.
在一些实施例中,所述夹角为直角,所述切换驱动件可相对于所述闭合拉杆组件沿上下方向运动。In some embodiments, the included angle is a right angle, and the switching driving member can move in an up and down direction relative to the closing rod assembly.
在一些实施例中,所述切换驱动件包括第一驱动部和连接配合部,所述连接配合部相对于所述闭合拉杆组件在所述轴向上固定,且可相对于所述闭合拉杆组件在所述第七方向运动,所述连杆组件包括第二驱动部;In some embodiments, the switching driving member includes a first driving part and a connecting fitting part, and the connecting fitting part is fixed in the axial direction relative to the closing rod assembly, and can be relative to the closing rod assembly for movement in the seventh direction, the linkage assembly includes a second drive portion;
所述连杆组件处于所述第二状态,且所述切换驱动组件相对于所述闭合拉杆组件在所述第七方向运动时,所述第一驱动部沿所述第七方向驱动所述第二驱动部,使得所述连杆组件进入所述第一状态。When the connecting rod assembly is in the second state, and the switching driving assembly moves in the seventh direction relative to the closing pull rod assembly, the first driving part drives the first driving part along the seventh direction. and a second driving part, so that the connecting rod assembly enters the first state.
在一些实施例中,所述第七方向为朝向所述连接杆的方向或远离所述连接杆的方向。In some embodiments, the seventh direction is a direction toward the connecting rod or a direction away from the connecting rod.
在一些实施例中,所述切换驱动件还包括第一连接部,所述闭合拉杆组件包括第二外套部和第三驱动部,所述第一连接部活动连接于所述第二外套部,所述第二外套部套设于所述连接杆的外部,所述第三驱动部与所述连杆组件的第二枢接部枢转连接。In some embodiments, the switching driving member further includes a first connecting part, the closing rod assembly includes a second outer casing part and a third driving part, the first connecting part is movably connected to the second outer casing part, The second outer sleeve part is sheathed on the outside of the connecting rod, and the third driving part is pivotally connected to the second pivot part of the connecting rod assembly.
在一些实施例中,第一连接部为第一外套部,所述第一连接部套设于所述第二外套部。In some embodiments, the first connection part is a first outer casing part, and the first connection part is sleeved on the second outer casing part.
在一些实施例中,所述连接配合部设置有沿所述第七方向延伸的滑槽,所述闭合拉杆组件设置有凸柱,或者,所述闭合拉杆组件设置有沿所述第七方向延伸的滑槽,所述连接配合部设置有凸柱;In some embodiments, the connecting fitting part is provided with a sliding slot extending along the seventh direction, and the closing rod assembly is provided with a boss, or, the closing rod assembly is provided with a sliding groove extending along the seventh direction. The chute, the connecting part is provided with a boss;
所述凸柱至少部分进入所述滑槽的内部,且可沿所述滑槽的延伸方向运动。The protrusion at least partially enters the interior of the chute, and can move along the extending direction of the chute.
在一些实施例中,所述切换驱动件与所述闭合拉杆组件之间设置有切换偏置件,所述切换偏置件给所述切换驱动件一沿第二偏置力,所述第二偏置力的方向与所述第七方向相反。In some embodiments, a switching biasing member is provided between the switching driving member and the closing rod assembly, and the switching biasing member gives a second biasing force to the switching driving member, and the second The direction of the biasing force is opposite to the seventh direction.
在一些实施例中,所述切换驱动件设置有沿所述第七方向延伸的滑槽,所述闭合拉杆组件设置有凸柱,所述切换驱动件设置有弹簧配合部,或者,所述闭合拉杆组件设置有沿所述第七方向延伸的滑槽,所述切换驱动件设置有凸柱;In some embodiments, the switching driving member is provided with a slide slot extending along the seventh direction, the closing pull rod assembly is provided with a boss, and the switching driving member is provided with a spring matching portion, or, the closing The pull rod assembly is provided with a chute extending along the seventh direction, and the switching drive member is provided with a boss;
所述凸柱至少部分进入所述滑槽的内部,且可沿所述滑槽的延伸方向运动,所述切换偏置件的两端分别设置于所述凸柱和所述弹簧配合部。The protruding post at least partly enters the interior of the chute, and can move along the extending direction of the chute, and the two ends of the switching biasing member are respectively arranged on the protruding post and the spring fitting part.
在一些实施例中,所述第二驱动部设置于所述第三枢接部和/或所述第四枢接部。In some embodiments, the second driving portion is disposed on the third pivotal portion and/or the fourth pivotal portion.
在一些实施例中,所述第三枢接部和所述第四枢接部通过第二销轴枢转连接,所述第二驱动部与所述第二销轴一体设置,且所述第二驱动部突出于所述第三枢接部和所述第四 枢接部的表面。In some embodiments, the third pivotal part and the fourth pivotal part are pivotally connected by a second pin shaft, the second driving part is integrated with the second pin shaft, and the first The two driving parts protrude from the surfaces of the third pivot part and the fourth pivot part.
在一些实施例中,所述切换驱动件还包括第一外套部,所述闭合拉杆组件包括第二外套部,所述第二外套部套设于所述连接杆的外部,所述第一外套部套设于所述第二外套部的外部;所述第一驱动部位于所述连接配合部的远端侧。In some embodiments, the switching driving member further includes a first sheath part, and the closing pull rod assembly includes a second sheath part, and the second sheath part is sheathed on the outside of the connecting rod, and the first sheath The part is sheathed on the outside of the second sheath part; the first driving part is located at the distal end side of the connection matching part.
在一些实施例中,所述连杆组件处于所述第二状态时,所述第一驱动部位于所述第二驱动部朝向所述连接杆的一侧,且所述第一驱动部朝向所述第二驱动部的一侧表面为平行于所述轴向的平面。In some embodiments, when the connecting rod assembly is in the second state, the first driving part is located on the side of the second driving part facing the connecting rod, and the first driving part faces the One side surface of the second driving part is a plane parallel to the axial direction.
在一些实施例中,所述第二枢接部与所述闭合拉杆组件通过第三销轴可旋转地连接,所述第二驱动部设置于所述第二枢接部,且所述第二驱动部和所述第四枢接部分别位于所述第三销轴的两侧。In some embodiments, the second pivotal part is rotatably connected to the closing rod assembly through a third pin shaft, the second driving part is arranged on the second pivotal part, and the second The driving part and the fourth pivot part are respectively located on two sides of the third pin.
在一些实施例中,所述切换驱动件包括两个侧壁,所述两个侧壁分别位于所述第三驱动部的两侧,所述第一驱动部为连接于所述切换驱动件的两个侧壁之间的第四销轴。In some embodiments, the switching driving part includes two side walls, and the two side walls are respectively located on both sides of the third driving part, and the first driving part is connected to the switching driving part. Fourth pin between the two side walls.
在一些实施例中,所述连杆组件处于所述第一状态时,所述第二驱动部位于所述第一驱动部朝向所述连接杆的一侧,且所述第二驱动部与所述第一驱动部相对的表面之间有一高度间隙;In some embodiments, when the connecting rod assembly is in the first state, the second driving part is located on the side of the first driving part facing the connecting rod, and the second driving part is connected to the connecting rod. There is a height gap between the opposite surfaces of the first driving part;
所述第二驱动部远离所述连接杆的一侧设置有配合槽,所述连杆组件处于所述第二状态时,所述第一驱动部至少部分进入所述配合槽中。A fitting groove is provided on a side of the second driving part away from the connecting rod, and when the connecting rod assembly is in the second state, the first driving part at least partially enters into the fitting groove.
本发明实施例还提供一种医用吻合器,包括上述的闭合切换机构。An embodiment of the present invention also provides a medical stapler, including the above-mentioned closing switching mechanism.
本发明所提供的闭合切换机构及医用吻合器具有如下优点:The closed switching mechanism and medical stapler provided by the present invention have the following advantages:
本发明提供了一种用于医用吻合器的闭合切换机构,通过操作切换驱动件可以不通过吻合器的把手使得连杆组件在不同状态间切换,并且控制闭合拉杆组件沿吻合器的轴向运动,在闭合拉杆组件向第一方向运动时,可以闭合钉头部,在闭合拉杆组件向第二方向运动时,可以打开钉头部,从而可以实现钉头部的手动闭合和手动打开,结构简单,操作方便。The invention provides a closure switching mechanism for a medical stapler. By operating the switching drive member, the connecting rod assembly can be switched between different states without passing through the handle of the stapler, and the closing rod assembly can be controlled to move axially along the stapler. , when the closing rod assembly moves to the first direction, the nail head can be closed, and when the closing rod assembly moves to the second direction, the nail head can be opened, so that manual closing and manual opening of the nail head can be realized, and the structure is simple , easy to operate.
附图说明Description of drawings
通过阅读参照以下附图对非限制性实施例所作的详细描述,本发明的其它特征、目的和优点将会变得更明显。Other characteristics, objects and advantages of the present invention will become more apparent by reading the detailed description of non-limiting embodiments with reference to the following drawings.
图1是本发明第一实施例的吻合器的结构示意图;Fig. 1 is a schematic structural view of a stapler according to a first embodiment of the present invention;
图2是本发明第一实施例的钉头部的结构示意图;Fig. 2 is the structural representation of the nail head of the first embodiment of the present invention;
图3是本发明第一实施例的吻合器本体去除一侧壳体后的结构示意图,其中,连杆组件处于第一状态,且切换驱动件处于第一位置范围;3 is a schematic structural view of the stapler body in the first embodiment of the present invention after one side of the housing is removed, wherein the connecting rod assembly is in the first state, and the switching drive member is in the first position range;
图4是本发明第一实施例的连杆组件和闭合拉杆组件配合的结构示意图;Fig. 4 is a structural schematic diagram of the cooperation between the connecting rod assembly and the closing rod assembly according to the first embodiment of the present invention;
图5是本发明第一实施例的连杆组件、闭合拉杆组件和切换驱动件配合的结构示意图;Fig. 5 is a schematic diagram of the structure of the cooperation of the connecting rod assembly, the closing pull rod assembly and the switching drive member according to the first embodiment of the present invention;
图6是本发明第一实施例的闭合切换机构的结构示意图,其中,连杆组件处于第二状态,且切换驱动件处于第二位置范围;Fig. 6 is a schematic structural view of the closed switching mechanism according to the first embodiment of the present invention, wherein the connecting rod assembly is in the second state, and the switching driving member is in the second position range;
图7是本发明第一实施例的连杆组件和第二闭合件配合的示意图;Fig. 7 is a schematic diagram of cooperation between the connecting rod assembly and the second closing member according to the first embodiment of the present invention;
图8是本发明第一实施例的闭合拉杆组件的结构示意图;Fig. 8 is a schematic structural view of the closing rod assembly according to the first embodiment of the present invention;
图9是本发明第一实施例的闭合拉杆组件的爆炸图;Fig. 9 is an exploded view of the closing rod assembly of the first embodiment of the present invention;
图10是本发明第一实施例的第一闭合件的结构示意图;Fig. 10 is a schematic structural view of the first closing member of the first embodiment of the present invention;
图11是本发明第一实施例的闭合拉杆组件和切换驱动件配合的示意图;Fig. 11 is a schematic diagram of the cooperation between the closing rod assembly and the switching drive member according to the first embodiment of the present invention;
图12是本发明第一实施例的切换驱动件的结构示意图;Fig. 12 is a schematic structural diagram of a switching drive member according to the first embodiment of the present invention;
图13是本发明第一实施例的闭合切换机构的结构示意图,其中,连杆组件处于第二状态,且切换驱动件向第一位置范围运动;Fig. 13 is a schematic structural view of the closed switching mechanism according to the first embodiment of the present invention, wherein the connecting rod assembly is in the second state, and the switching driving member moves to the first position range;
图14是本发明第一实施例的闭合切换机构的结构示意图,其中,连杆组件处于第一状态,且切换驱动件处于第一位置范围;Fig. 14 is a schematic structural view of the closed switching mechanism according to the first embodiment of the present invention, wherein the connecting rod assembly is in the first state, and the switching driving member is in the first position range;
图15是本发明第二实施例的去除部分壳体的吻合器本体的结构示意图;Fig. 15 is a schematic structural view of the stapler body with part of the casing removed according to the second embodiment of the present invention;
图16是本发明第二实施例的闭合切换机构的结构示意图;Fig. 16 is a schematic structural view of the closing switching mechanism of the second embodiment of the present invention;
图17和图18是本发明第二实施例的闭合拉杆组件和切换驱动件配合的示意图;Fig. 17 and Fig. 18 are schematic diagrams of the cooperation between the closing rod assembly and the switching driving member according to the second embodiment of the present invention;
图19是本发明第二实施例的连杆组件处于第一状态时,闭合切换机构的结构示意图;Fig. 19 is a schematic structural view of the closing switching mechanism when the connecting rod assembly is in the first state according to the second embodiment of the present invention;
图20是本发明第二实施例的闭合切换机构的爆炸图;Fig. 20 is an exploded view of the closing switching mechanism of the second embodiment of the present invention;
图21是本发明第二实施例的连杆组件处于第二状态时,闭合切换机构的结构示意图;Fig. 21 is a schematic structural view of the closing switching mechanism when the connecting rod assembly is in the second state according to the second embodiment of the present invention;
图22是本发明第二实施例的切换驱动件与连杆组件配合的示意图;Fig. 22 is a schematic diagram of the cooperation between the switching drive member and the connecting rod assembly according to the second embodiment of the present invention;
图23是本发明第二实施例的切换驱动件旋转时,闭合切换机构的结构示意图;Fig. 23 is a schematic structural view of the closed switching mechanism when the switching driving member rotates according to the second embodiment of the present invention;
图24是本发明第三实施例的切换驱动件旋转时,闭合切换机构的结构示意图;Fig. 24 is a schematic structural view of the closed switching mechanism when the switching driving member rotates according to the third embodiment of the present invention;
图25是本发明第一实施例的去除一侧壳体后的吻合器本体的结构示意图;Fig. 25 is a schematic structural view of the stapler body after one side of the shell is removed according to the first embodiment of the present invention;
图26是本发明第一实施例的闭合切换机构的结构示意图;Fig. 26 is a schematic structural view of the closing switching mechanism of the first embodiment of the present invention;
图27是本发明第一实施例的闭合切换机构的立体图;Fig. 27 is a perspective view of the closing switching mechanism of the first embodiment of the present invention;
图28是本发明第一实施例的处于第一状态的连杆组件的结构示意图;Fig. 28 is a schematic structural view of the connecting rod assembly in the first state according to the first embodiment of the present invention;
图29是本发明第一实施例的连杆组件处于第一状态时闭合切换机构的结构示意图;Fig. 29 is a schematic structural view of the closing switching mechanism when the connecting rod assembly is in the first state according to the first embodiment of the present invention;
图30是本发明第一实施例的闭合切换机构的爆炸图;Fig. 30 is an exploded view of the closing switching mechanism of the first embodiment of the present invention;
图31是本发明第一实施例的处于第二状态的连杆组件的结构示意图;Fig. 31 is a schematic structural view of the connecting rod assembly in the second state according to the first embodiment of the present invention;
图32是本发明第一实施例的连杆组件处于第二状态时闭合切换机构的结构示意图;Fig. 32 is a schematic structural view of the closing switching mechanism when the connecting rod assembly is in the second state according to the first embodiment of the present invention;
图33是本发明第一实施例的钉头部打开时闭合切换机构的结构示意图;Fig. 33 is a schematic structural view of the closing switching mechanism when the nail head is opened according to the first embodiment of the present invention;
图34是本发明第二实施例的连杆组件处于第一状态时闭合切换机构的结构示意图;Fig. 34 is a schematic structural view of the closing switching mechanism when the connecting rod assembly is in the first state according to the second embodiment of the present invention;
图35是本发明第二实施例的连杆组件处于第二状态时,闭合拉杆组件的结构示意图;Fig. 35 is a schematic structural view of the closing rod assembly when the connecting rod assembly is in the second state according to the second embodiment of the present invention;
图36是本发明第二实施例的闭合拉杆组件的立体图;Fig. 36 is a perspective view of the closing rod assembly of the second embodiment of the present invention;
图37是本发明第二实施例的闭合拉杆组件的爆炸图;Fig. 37 is an exploded view of the closing rod assembly of the second embodiment of the present invention;
图38是本发明第二实施例的钉头部打开时闭合切换机构的结构示意图。Fig. 38 is a schematic structural view of the closing switching mechanism when the nail head is opened according to the second embodiment of the present invention.
具体实施方式Detailed ways
现在将参考附图更全面地描述示例实施方式。然而,示例实施方式能够以多种形式实施,且不应被理解为限于在此阐述的实施方式;相反,提供这些实施方式使得本发明将全 面和完整,并将示例实施方式的构思全面地传达给本领域的技术人员。在图中相同的附图标记表示相同或类似的结构,因而将省略对它们的重复描述。Example embodiments will now be described more fully with reference to the accompanying drawings. Example embodiments may, however, be embodied in many forms and should not be construed as limited to the embodiments set forth herein; rather, these embodiments are provided so that this disclosure will be thorough and complete, and will fully convey the concept of example embodiments to those skilled in the art. The same reference numerals denote the same or similar structures in the drawings, and thus their repeated descriptions will be omitted.
本发明提供了一种用于医用吻合器的闭合切换机构和包括该闭合切换机构的医用吻合器。所述吻合器还包括钉头部和吻合器本体,所述钉头部设置于所述吻合器本体的远端侧,所述吻合器本体中设置有用于闭合所述钉头部的闭合拉片,所述闭合拉片的远端侧连接至所述钉头部。所述闭合切换机构包括:连杆组件,包括第一枢接部和第二枢接部,所述第一枢接部枢转连接于所述吻合器本体,所述连杆组件包括第一状态和第二状态;切换驱动件,所述切换驱动件可沿第一方向和第二方向运动,所述第一方向与所述第二方向相反;闭合拉杆组件,所述闭合拉杆组件枢转连接于所述第二枢接部。The invention provides a closing switching mechanism for a medical stapler and a medical stapler comprising the closing switching mechanism. The stapler also includes a nail head and a stapler body, the nail head is arranged on the distal side of the stapler body, and the stapler body is provided with a closing tab for closing the nail head , the distal side of the closure tab is connected to the nail head. The closing switching mechanism includes: a link assembly including a first pivot portion and a second pivot portion, the first pivot portion is pivotally connected to the stapler body, and the link assembly includes a first state and a second state; a switching drive member movable in a first direction and a second direction, the first direction being opposite to the second direction; a closing tie rod assembly pivotally connected on the second pivot joint.
在需要将吻合器的钉头部闭合时,操作所述切换驱动件使其朝向所述第一方向运动时,驱动所述闭合拉杆组件向所述第一方向运动,可以拉动闭合拉片向第一方向运动,从而闭合钉头部,并且使得所述连杆组件由所述第一状态进入所述第二状态。在钉头部闭合后,可以进行吻合器的击发。在吻合器击发完成后,需要打开钉头部时,手动操作所述切换驱动件,所述切换驱动件配置为可被操作而驱动所述连杆组件从所述第二状态进入所述第一状态,所述第二枢接部驱动所述闭合拉杆组件向所述第二方向运动,从而打开钉头部。因此,本发明的闭合切换机构可以实现钉头部的手动闭合和手动打开,结构简单,操作方便。When it is necessary to close the nail head of the stapler, when the switching driving member is operated to move toward the first direction, the closing pull rod assembly is driven to move toward the first direction, and the closing pull tab can be pulled toward the second direction. moving in one direction, so as to close the nail head and make the connecting rod assembly enter the second state from the first state. After the staple heads are closed, the firing of the stapler can proceed. After the firing of the stapler is completed, when the nail head needs to be opened, the switching driving member is manually operated, and the switching driving member is configured to be operable to drive the linkage assembly from the second state to the first state. In the state, the second pivotal part drives the closing rod assembly to move in the second direction, thereby opening the nail head. Therefore, the closing switching mechanism of the present invention can realize manual closing and manual opening of the nail head, and has a simple structure and convenient operation.
下面结合附图详细介绍本发明各个具体实施例的闭合切换机构的结构,可以理解的是,各个具体实施例不作为本发明的保护范围的限制。The structure of the closing switching mechanism of each specific embodiment of the present invention will be described in detail below in conjunction with the accompanying drawings. It should be understood that each specific embodiment is not intended to limit the scope of protection of the present invention.
进一步地,在本发明第一实施例中,在所述连杆组件处于第二状态,且所述切换驱动件被操作而使其朝向所述第二方向运动时,所述切换驱动件驱动所述连杆组件进入所述第一状态,且所述第二枢接部驱动所述闭合拉杆组件向所述第二方向运动,以打开钉头部。Further, in the first embodiment of the present invention, when the connecting rod assembly is in the second state and the switching driving member is operated to move toward the second direction, the switching driving member drives the The connecting rod assembly enters the first state, and the second pivot portion drives the closing pull rod assembly to move in the second direction, so as to open the nail head.
如图1~14所示,本发明第一实施例提供了一种用于医用吻合器的闭合切换机构和包括该闭合切换机构的医用吻合器。如图1所示,所述吻合器还包括钉头部9和吻合器本体1,所述钉头部9设置于所述吻合器本体1的远端侧。所述吻合器本体1包括壳体13,所述壳体13的一侧设置有固定把手11。所述吻合器本体1的内部设置有用于闭合所述钉头部9的闭合拉片12,所述闭合拉片12的远端侧连接至所述钉头部9。As shown in FIGS. 1 to 14 , the first embodiment of the present invention provides a closing switching mechanism for a medical stapler and a medical stapler including the closing switching mechanism. As shown in FIG. 1 , the stapler further includes a nail head 9 and a stapler body 1 , and the nail head 9 is disposed on the distal side of the stapler body 1 . The stapler body 1 includes a housing 13 , and one side of the housing 13 is provided with a fixed handle 11 . The inside of the stapler body 1 is provided with a closing tab 12 for closing the nail head 9 , and the distal side of the closing tab 12 is connected to the nail head 9 .
在本发明中,远端侧和近端侧是相对于操作者来说的,距离操作者较近的一端为近端侧,距离操作者较远的一端,即更靠近手术位置的一端为远端侧,沿所述吻合器的轴心的方向为轴向,即从吻合器的远端侧到近端侧的方向,或从吻合器的近端侧到远端侧的方向。例如,在图1的视角中,对于吻合器来说,其远端侧为左边一侧,近端侧为右边一侧。图1中S1方向即为从吻合器的远端侧向近端侧的方向。定义S1方向或与S1方向相反的方向为吻合器的轴向。定义图3中的S2方向为纵向方向,即高度方向。In the present invention, the distal side and the proximal side are relative to the operator, the end closer to the operator is the proximal side, and the end farther away from the operator, that is, the end closer to the surgical site is the far side. End side, the direction along the axis of the stapler is the axial direction, that is, the direction from the distal side to the proximal side of the stapler, or the direction from the proximal side to the distal side of the stapler. For example, in the viewing angle of FIG. 1 , for the stapler, its distal end side is the left side, and its proximal end side is the right side. The S1 direction in FIG. 1 is the direction from the distal side to the proximal side of the stapler. Define the S1 direction or the direction opposite to the S1 direction as the axial direction of the stapler. The S2 direction in FIG. 3 is defined as the longitudinal direction, that is, the height direction.
如图1和图2所示,所述钉头部9包括相对设置的钉砧91和钉仓组件92,所述钉砧91的近端侧与所述钉仓组件92的近端侧可旋转地连接,使得所述钉砧91具有相对于所述钉仓组件92打开的状态和闭合的状态。具体地,所述钉砧91的近端侧设置有第一配合槽911,所述钉仓组件92的近端侧设置有轴向延伸的第二配合槽921,一个闭合销93同 时穿设于所述第一配合槽911、所述第二配合槽921和所述闭合拉片12的远端侧。所述闭合拉片12向近端侧方向运动时,所述闭合销93也向近端侧方向运动,带动所述钉砧91朝向所述钉仓组件92运动而闭合所述钉头部9。所述闭合拉片12向远端侧方向运动时,所述闭合销93也向远端侧方向运动,带动所述钉砧91朝远离所述钉仓组件92的方向运动而打开所述钉头部9。As shown in Fig. 1 and Fig. 2, the nail head 9 includes an anvil 91 and a nail cartridge assembly 92 oppositely arranged, and the proximal end side of the nail anvil 91 and the proximal end side of the nail cartridge assembly 92 are rotatable. ground connection, so that the anvil 91 has an open state and a closed state relative to the staple cartridge assembly 92. Specifically, the proximal side of the nail anvil 91 is provided with a first matching groove 911, and the proximal side of the nail cartridge assembly 92 is provided with a second matching groove 921 extending axially, and a closing pin 93 is simultaneously installed in the The first fitting groove 911 , the second fitting groove 921 and the distal side of the closing pull tab 12 . When the closing pull tab 12 moves toward the proximal side, the closing pin 93 also moves toward the proximal side, driving the nail anvil 91 to move toward the nail cartridge assembly 92 to close the nail head 9 . When the closing tab 12 moves toward the distal side, the closing pin 93 also moves toward the distal side, driving the nail anvil 91 to move away from the nail cartridge assembly 92 to open the nail head Part 9.
如图3~5所示,所述闭合切换机构包括连杆组件4、切换驱动件7和闭合拉杆组件5。所述连杆组件4包括第一杆41和第二杆42,所述第二杆42位于所述第一杆41的近端侧,所述第一杆41包括第一枢接部412和第三枢接部413,所述第二杆42包括第二枢接部422和第四枢接部423。所述第一枢接部412通过第一销轴43枢转连接于所述吻合器本体1的壳体13,以使得所述第一枢接部412与所述吻合器本体1的壳体13在轴向上相对固定。所述第三枢接部413通过第二销轴44枢转连接于所述第四枢接部423,所述第二枢接部422通过第三销轴45枢转连接于所述闭合拉杆组件5,使得所述第二枢接部422与所述闭合拉杆组件5在轴向上相对固定,所述闭合拉杆组件5与所述闭合拉片12的近端侧固定连接,使得所述闭合拉杆组件5的轴向运动可以带动所述闭合拉片12的轴向运动。As shown in FIGS. 3-5 , the closing switching mechanism includes a link assembly 4 , a switching driving member 7 and a closing pull rod assembly 5 . The link assembly 4 includes a first rod 41 and a second rod 42, the second rod 42 is located on the proximal side of the first rod 41, and the first rod 41 includes a first pivot portion 412 and a second rod 41. Three pivotal joints 413 , the second rod 42 includes a second pivotal joint 422 and a fourth pivotal joint 423 . The first pivotal part 412 is pivotally connected to the housing 13 of the stapler body 1 through the first pin shaft 43, so that the first pivotal part 412 is connected to the housing 13 of the stapler body 1 Relatively fixed in the axial direction. The third pivotal part 413 is pivotally connected to the fourth pivotal part 423 through the second pin shaft 44 , and the second pivotal part 422 is pivotally connected to the closing rod assembly through the third pin shaft 45 5, so that the second pivot portion 422 is relatively fixed in the axial direction with the closing rod assembly 5, and the closing rod assembly 5 is fixedly connected with the proximal end side of the closing pull piece 12, so that the closing rod The axial movement of the component 5 can drive the axial movement of the closing tab 12 .
在该实施例中,所述连杆组件4包括第一状态和第二状态,此两个状态均是相对平衡的两个状态。所述切换驱动件7包括第一位置区域和第二位置区域。初始状态下,所述连杆组件4处于所述第一状态,所述连杆组件4处于一个相对紧凑的状态,即所述第一枢接部412和第二枢接部422之间的轴向距离较小,所述切换驱动件7处于所述第一位置区域。在需要驱动钉头部闭合时,通过驱动所述切换驱动件7朝向第一方向运动,驱动所述闭合拉杆组件5朝向所述吻合器的近端侧方向运动,并驱动所述第二枢接部422朝向所述吻合器的近端侧方向运动,所述第三枢接部413和第四枢接部423朝向第三方向运动,所述连杆组件4进入所述第二状态,所述连杆组件4进入一个相对舒展的状态,所述第一枢接部412和所述第二枢接部422之间的轴向距离增加,同时,所述闭合拉杆组件5带动所述闭合拉片12向近端侧方向运动而闭合钉头部。所述切换驱动件7运动至所述第二位置区域时,所述钉头部闭合完成。In this embodiment, the link assembly 4 includes a first state and a second state, both of which are relatively balanced states. The switching drive 7 comprises a first position area and a second position area. In the initial state, the link assembly 4 is in the first state, and the link assembly 4 is in a relatively compact state, that is, the shaft between the first pivot portion 412 and the second pivot portion 422 If the direction distance is small, the switching drive member 7 is in the first position area. When it is necessary to drive the nail head to close, by driving the switching driving member 7 to move toward the first direction, the closing rod assembly 5 is driven to move toward the proximal side of the stapler, and the second pivot part 422 moves toward the proximal side of the stapler, the third pivot part 413 and the fourth pivot part 423 move toward the third direction, the link assembly 4 enters the second state, the The connecting rod assembly 4 enters a relatively stretched state, the axial distance between the first pivotal part 412 and the second pivotal part 422 increases, and at the same time, the closing pull rod assembly 5 drives the closing pull piece 12 moves proximally to close the nail head. When the switching driving member 7 moves to the second position area, the nail head is closed.
在所述钉头部闭合后,所述连杆组件4处于相对稳定的所述第二状态,所述切换驱动件7位于所述第二位置区域,此时可以保持钉头部闭合的稳定性,并且可以进行吻合器的击发,在吻合器击发时也不会发生闭合拉片12的意外窜动而影响钉头部闭合的稳定性。在吻合器击发完成后,需要打开所述钉头部时,通过操作切换驱动件7从所述第二位置区域朝向第二方向运动,所述切换驱动件7向第四方向压迫所述连杆组件4,可以驱动连杆组件4从第二状态进入第一状态,所述连杆组件4的第二枢接部422驱动闭合拉杆组件5向远端侧方向运动,所述闭合拉杆组件5可以驱动所述闭合拉片12向远端侧方向运动,以打开钉头部,从而可以实现钉头部的手动打开,结构简单,操作方便。After the nail head is closed, the link assembly 4 is in the relatively stable second state, and the switching drive member 7 is located in the second position area, at this time, the stability of the nail head closure can be maintained , and the firing of the stapler can be carried out, and the accidental movement of the closure tab 12 will not occur when the stapler is firing, which will affect the stability of the closure of the nail head. After the firing of the stapler is completed, when the nail head needs to be opened, the switching driving member 7 is operated to move from the second position area toward the second direction, and the switching driving member 7 presses the connecting rod in the fourth direction The assembly 4 can drive the link assembly 4 to enter the first state from the second state, and the second pivot portion 422 of the link assembly 4 drives the closing rod assembly 5 to move toward the distal side, and the closing rod assembly 5 can The closing pull piece 12 is driven to move in the direction of the distal end to open the nail head, so that the nail head can be opened manually, the structure is simple, and the operation is convenient.
下面结合图3~14具体介绍本发明的闭合切换机构的结构及工作原理。在该实施例中,所述切换驱动件7的第二位置区域位于第一位置区域的近端侧,因此,所述第一方向为朝向所述吻合器的近端侧方向(图3中S1方向),所述第二方向为朝向所述吻合器的远端侧方向(与S1方向相反的方向)。且所述第一方向及所述第二方向均为沿所述吻合器的 轴向方向。所述切换驱动件7从第一位置区域向近端侧方向运动时,可以驱动闭合钉头部,所述切换驱动件7从第二位置区域向远端侧方向运动时,可以驱动打开钉头部。所述第一位置区域指的是如图3~5所示的初始状态下所述切换驱动件7所处的位置区域,所述第二位置区域指的是如图6所示的钉头部闭合完成后,所述切换驱动件7所处的位置区域。The structure and working principle of the closing switching mechanism of the present invention will be described in detail below in conjunction with FIGS. 3-14 . In this embodiment, the second position area of the switching driver 7 is located on the proximal side of the first position area, therefore, the first direction is toward the proximal side of the stapler (S1 in FIG. 3 direction), the second direction is a direction toward the distal side of the stapler (a direction opposite to the S1 direction). And the first direction and the second direction are both along the axial direction of the stapler. When the switching driving member 7 moves from the first position area to the proximal side, it can drive the nail head to close, and when the switching driving member 7 moves from the second position area to the distal side, it can drive the nail head to open. department. The first position area refers to the position area where the switching drive member 7 is located in the initial state as shown in Figures 3-5, and the second position area refers to the nail head as shown in Figure 6 After the closing is completed, the position area where the driving member 7 is located is switched.
如图3~5所示,为该实施例的初始状态下所述闭合切换机构的结构示意图。所述闭合切换机构还包括连接杆18。所述闭合拉片12穿设于所述连接杆18的内部。所述连接杆18上套设有致动杆2、所述切换驱动件7和所述闭合拉杆组件5。所述吻合器还包括击发把手3,所述击发把手3枢转地连接至所述吻合器本体1的壳体13,且所述击发把手3连接于一个把手复位弹簧15。所述击发把手3的初始位置位于远离固定把手11的位置,击发把手3被握持时,把手复位弹簧15发生弹性变形,松开所述击发把手3,在所述把手复位弹簧15的弹性变形恢复力作用下,所述击发把手3可返回至初始位置。所述击发把手3的一端设置有卡爪31,所述卡爪31与所述致动杆2的一侧的齿条21相配合。在吻合器击发的过程中,通过握持击发把手3,击发把手3的卡爪31可以驱动齿条21向远端侧方向运动,进而击发吻合器。在该实施例中,所述第三方向为在图3的视角中从下向上的方向,即对于第三枢接部413和第四枢接部423来说,朝向靠近所述连接杆18的方向。所述第四方向为在图3的视角中从上向下的方向,即对于第三枢接部413和第四枢接部423来说,远离所述连接杆18的方向。在图3~5的状态下,所述第三枢接部413和所述第四枢接部423处于一个相对远离所述连接杆18的位置,所述连杆组件4处于一个相对稳定的第一状态,所述第一枢接部412和所述第二枢接部422之间的轴向距离较小。所述切换驱动件7处于所述第一位置区域。As shown in Figures 3-5, they are schematic structural diagrams of the closing switching mechanism in the initial state of this embodiment. The closing switching mechanism also includes a connecting rod 18 . The closing pull piece 12 passes through the inside of the connecting rod 18 . The connecting rod 18 is sleeved with the actuating rod 2 , the switching driving member 7 and the closing pull rod assembly 5 . The stapler also includes a firing handle 3 pivotally connected to the housing 13 of the stapler body 1 , and the firing handle 3 is connected to a handle return spring 15 . The initial position of the firing handle 3 is located away from the fixed handle 11. When the firing handle 3 is held, the handle return spring 15 is elastically deformed. When the firing handle 3 is released, the elastic deformation of the handle return spring 15 Under the action of restoring force, the firing handle 3 can return to the initial position. One end of the firing handle 3 is provided with a claw 31 , and the claw 31 cooperates with the rack 21 on one side of the actuating rod 2 . During the firing process of the stapler, by holding the firing handle 3 , the claw 31 of the firing handle 3 can drive the rack 21 to move toward the distal side, thereby firing the stapler. In this embodiment, the third direction is the direction from bottom to top in the viewing angle of FIG. direction. The fourth direction is a direction from top to bottom in the perspective of FIG. 3 , that is, for the third pivotal portion 413 and the fourth pivotal portion 423 , the direction away from the connecting rod 18 . In the state shown in Figures 3-5, the third pivotal portion 413 and the fourth pivotal portion 423 are in a position relatively far away from the connecting rod 18, and the connecting rod assembly 4 is in a relatively stable first position. In a state, the axial distance between the first pivotal portion 412 and the second pivotal portion 422 is relatively small. The switching drive 7 is in the first position range.
如图3~5所示,所述切换驱动件7包括操作部73、第一驱动部72和第一外套部71,所述操作部73连接于所述第一外套部71,并且突出于所述吻合器本体1的壳体13外表面,以方便操作者使用。所述壳体13对应设有容纳所述操作部73的容纳槽,所述操作部73部分位于所述容纳槽中,部分伸出所述壳体13的外部。所述第一外套部71套设于所述连接杆18的外部或所述闭合拉杆组件5的外部,且可相对于所述连接杆18轴向运动。所述第一驱动部72位于所述第一外套部71朝向所述连杆组件4的一侧。所述第一杆41的第三枢接部413设置有第二驱动部46,所述第二驱动部46突出于所述第一杆41朝向所述连接杆18的一侧表面。所述连杆组件4处于所述第二状态(如图6所示的状态)时,所述第二驱动部46相对于所述第一杆41或所述第二杆42朝向所述连接杆18的方向凸出。初始状态下,所述第二驱动部46随所述第三枢接部413位于一个相对远离所述连接杆18的位置,不会与所述第一驱动部72有接触,所述第一驱动部72也就不会向所述第二驱动部46施加作用力。As shown in FIGS. 3 to 5 , the switching drive member 7 includes an operating portion 73 , a first driving portion 72 and a first sheathing portion 71 , the operating portion 73 is connected to the first sheathing portion 71 and protrudes from the first sheathing portion 71 . The outer surface of the casing 13 of the above-mentioned stapler body 1 is convenient for the operator to use. The housing 13 is correspondingly provided with a receiving groove for accommodating the operating portion 73 , the operating portion 73 is partly located in the receiving groove, and partly extends out of the housing 13 . The first sheath portion 71 is sleeved on the outside of the connecting rod 18 or the outside of the closing rod assembly 5 , and can move axially relative to the connecting rod 18 . The first driving part 72 is located on a side of the first outer casing part 71 facing the connecting rod assembly 4 . The third pivot portion 413 of the first rod 41 is provided with a second driving portion 46 , and the second driving portion 46 protrudes from a side surface of the first rod 41 facing the connecting rod 18 . When the connecting rod assembly 4 is in the second state (the state shown in FIG. 6 ), the second driving part 46 faces toward the connecting rod relative to the first rod 41 or the second rod 42 The direction of 18 protrudes. In the initial state, the second driving part 46 is located at a position relatively away from the connecting rod 18 along with the third pivot part 413, and will not contact the first driving part 72, and the first driving part 72 The portion 72 will not apply force to the second driving portion 46 .
如图3~5所示,所述闭合拉杆组件5包括第一闭合件51和第二闭合件52,所述第一闭合件51套设于所述连接杆18的外部,所述第二闭合件52包括第二外套部521和第三驱动部522,所述第一闭合件51的近端侧至少部分进入所述第二外套部521中,所述第一闭合件51与所述第二外套部521轴向固定,且所述第一闭合件51突出于所述第二外套部521的远端侧的部分穿过所述切换驱动件7的第一外套部71的内部。所述第一闭合件 51的远端侧设置有通孔511,通过所述第一闭合件51的通孔511中穿过的连接销53(示出于图8)可以将所述第一闭合件51的远端侧与所述闭合拉片12的近端侧固定连接。所述第三驱动部522的第一端枢转连接于所述第二杆42的第二枢接部422,所述第三驱动部522的第二端与所述第二外套部521连接。所述第三驱动部522的侧面设置有一个或两个引导部5221。所述吻合器本体1的壳体13内表面设置有一个或两个引导槽131,所述引导槽131沿轴向方向延伸,所述引导部5221至少部分进入所述引导槽131中,且可沿所述引导槽131的延伸方向运动。通过所述引导部5221和所述引导槽131的配合限定所述第二闭合件52只有沿轴向方向的运动。在其他可替代的实施方式中,也可以在所述吻合器本体1的壳体13内表面设置引导部,在所述第三驱动部522的侧面设置引导槽,也属于本发明的保护范围之内。As shown in Figures 3 to 5, the closing rod assembly 5 includes a first closing member 51 and a second closing member 52, the first closing member 51 is sleeved on the outside of the connecting rod 18, and the second closing member The member 52 includes a second outer casing part 521 and a third driving part 522, the proximal side of the first closure part 51 at least partly enters the second outer casing part 521, the first closure part 51 and the second closure part 51 The sheath part 521 is axially fixed, and the part of the first closure part 51 protruding from the distal side of the second sheath part 521 passes through the inside of the first sheath part 71 of the switching drive part 7 . The distal side of the first closing member 51 is provided with a through hole 511, and the connecting pin 53 (shown in FIG. 8 ) passing through the through hole 511 of the first closing member 51 can close the first closing member 51. The distal side of the member 51 is fixedly connected to the proximal side of the closure pull piece 12 . A first end of the third driving part 522 is pivotally connected to the second pivot part 422 of the second lever 42 , and a second end of the third driving part 522 is connected to the second outer sleeve part 521 . One or two guiding parts 5221 are provided on the side of the third driving part 522 . The inner surface of the housing 13 of the stapler body 1 is provided with one or two guide grooves 131, the guide grooves 131 extend in the axial direction, the guide portion 5221 at least partially enters the guide grooves 131, and can Move along the extending direction of the guide groove 131 . The cooperation of the guide portion 5221 and the guide groove 131 restricts the movement of the second closing member 52 only in the axial direction. In other alternative embodiments, a guide part may also be provided on the inner surface of the housing 13 of the stapler body 1, and a guide groove may be provided on the side of the third driving part 522, which also belongs to the scope of protection of the present invention. Inside.
如图3~5所示,所述切换驱动件7的第一外套部71位于所述第二闭合件52的第二外套部521的远端侧。所述第二外套部521的远端面为切换配合面5211,所述切换配合面5211与所述切换驱动件7的第一外套部71的近端面相抵持。所述切换驱动件7与所述吻合器本体1之间设置有切换偏置件,所述切换偏置件给所述切换驱动件7一朝向近端侧方向的第一偏置力。在该实施例中,所述切换偏置件为一个切换复位弹簧62,并且可选为设置于所述切换驱动件7的远端侧的压簧。在其他可替代的实施方式中,所述切换偏置件也可以为弹片、设置于所述切换驱动件7的近端侧的拉簧或其他类型的弹性件。As shown in FIGS. 3 to 5 , the first sheath portion 71 of the switch driving member 7 is located at the distal side of the second sheath portion 521 of the second closing member 52 . The distal end surface of the second sheath portion 521 is a switching mating surface 5211 , and the switching mating surface 5211 abuts against the proximal end surface of the first sheathing portion 71 of the switching driving member 7 . A switching biasing member is provided between the switching driving member 7 and the stapler body 1 , and the switching biasing member gives the switching driving member 7 a first biasing force toward the proximal side. In this embodiment, the switching biasing member is a switching return spring 62 , and can optionally be a compression spring disposed on the distal side of the switching driving member 7 . In other alternative implementation manners, the switching biasing member may also be a spring, a tension spring disposed on the proximal side of the switching driving member 7 or other types of elastic members.
如图3~5所示,所述吻合器本体1的壳体13内部设置有止挡部14。所述闭合拉杆组件5与所述止挡部14之间设置有闭合偏置件,所述闭合偏置件给所述闭合拉杆组件5一朝向远端侧方向的第二偏置力。在该实施例中,所述闭合偏置件为一个闭合复位弹簧61,并且可选为设置于所述闭合拉杆组件5的近端侧的压簧。在其他可替代的实施方式中,所述闭合偏置件也可以为弹片、设置于所述闭合拉杆组件5的远端侧的拉簧或其他类型的弹性件。As shown in FIGS. 3-5 , a stop portion 14 is provided inside the housing 13 of the stapler body 1 . A closing biasing member is disposed between the closing rod assembly 5 and the stopper portion 14 , and the closing biasing member gives the closing rod assembly 5 a second biasing force toward the distal end side. In this embodiment, the closing biasing member is a closing return spring 61 , and can optionally be a compression spring disposed on the proximal side of the closing pull rod assembly 5 . In other alternative embodiments, the closing biasing member may also be an elastic piece, a tension spring provided on the distal side of the closing rod assembly 5 or other types of elastic members.
在图3~5示出的状态下,所述连杆组件4处于所述第一状态时,所述闭合复位弹簧61基本上不发生变形或者只发生较小的变形。在所述闭合复位弹簧61的第二偏置力的作用下,所述闭合拉杆组件5与所述切换驱动件7相抵持,且将所述切换驱动件7保持在所述第一位置区域。而所述切换复位弹簧62的第一偏置力不足以克服所述闭合复位弹簧61的第二偏置力,因此,所述切换复位弹簧62产生压缩变形。通过所述闭合复位弹簧61的作用,可以进一步避免所述切换驱动件7在所述切换复位弹簧62的作用下向近端侧方向运动,进一步保持在未受到外力作用时,所述闭合切换机构的状态稳定性。如图5所示,在初始状态下,所述闭合复位弹簧61的轴向长度为L11,所述切换复位弹簧62的轴向长度为L21。In the state shown in FIGS. 3-5 , when the connecting rod assembly 4 is in the first state, the closing return spring 61 basically does not deform or only slightly deforms. Under the action of the second biasing force of the closing return spring 61 , the closing pull rod assembly 5 abuts against the switching driving member 7 and keeps the switching driving member 7 in the first position area. However, the first biasing force of the switching return spring 62 is not enough to overcome the second biasing force of the closing return spring 61 , therefore, the switching return spring 62 is compressed and deformed. Through the effect of the closing return spring 61, it is possible to further prevent the switching drive member 7 from moving in the direction of the proximal end under the action of the switching return spring 62, and further keep the closing switching mechanism when it is not subjected to external force. state stability. As shown in FIG. 5 , in the initial state, the axial length of the closing return spring 61 is L11 , and the axial length of the switching return spring 62 is L21 .
在图3~5所示出的状态下,操作所述切换驱动件7的操作部73,使得所述切换驱动件7从第一位置区域向所述第一方向运动,所述第一外套部71作用于所述第二外套部521,使得所述闭合拉杆组件5整体朝向所述吻合器的近端侧方向运动。所述闭合拉杆组件5通过所述第三驱动部522驱动所述第二枢接部422向所述第一方向运动。所述第三枢接部413和所述第四枢接部423朝向第三方向运动,即向上运动而靠近所述连接杆18,所述第 一杆41绕所述第一枢轴43逆时针旋转,所述第二杆42绕所述第三枢轴45顺时针旋转,所述连杆组件4进入所述第二状态。此时,所述闭合切换机构的状态如图6所示。比较图6和图5可以看出,所述切换驱动件向近端侧方向运动至第二位置区域,所述切换复位弹簧62的轴向长度伸长为L22,L22大于L21。所述第二闭合件52的第三驱动部522向近端侧方向运动,通过第一闭合件51驱动闭合拉片12向近端侧方向运动,闭合钉头部。所述闭合复位弹簧61被压缩变形,所述闭合复位弹簧61的轴向长度缩短为L12,L12小于L11。所述第一驱动部72位于所述第二驱动部46的近端侧,而不会作用于所述第二驱动部46。此时,所述连杆组件4处于一个比较稳定的第二状态,并且在所述连杆组件4、所述闭合复位弹簧61和所述切换复位弹簧62的作用下,所述闭合拉杆组件5和所述切换驱动件7也处于一个比较稳定的状态,从而保持所述钉头部闭合后的稳定性。此时握持击发把手3,可以通过驱动齿条21而击发吻合器。In the state shown in FIGS. 3 to 5 , the operating part 73 of the switching driving member 7 is operated, so that the switching driving member 7 moves from the first position area to the first direction, and the first outer sleeve part 71 acts on the second outer sleeve portion 521 to make the closing rod assembly 5 move toward the proximal side of the stapler as a whole. The closing rod assembly 5 drives the second pivoting part 422 to move in the first direction through the third driving part 522 . The third pivot portion 413 and the fourth pivot portion 423 move toward the third direction, that is, move upward and approach the connecting rod 18 , and the first rod 41 rotates counterclockwise around the first pivot 43 Rotate, the second lever 42 rotates clockwise around the third pivot 45, and the link assembly 4 enters the second state. At this time, the state of the closed switching mechanism is shown in FIG. 6 . Comparing FIG. 6 and FIG. 5 , it can be seen that the switching driving member moves proximally to the second position area, and the axial length of the switching return spring 62 is extended to L22, and L22 is greater than L21. The third driving part 522 of the second closing member 52 moves toward the proximal side, and the first closing member 51 drives the closing pull tab 12 to move toward the proximal side to close the nail head. The closing return spring 61 is compressed and deformed, and the axial length of the closing return spring 61 is shortened to L12, and L12 is smaller than L11. The first driving part 72 is located at the proximal side of the second driving part 46 and does not act on the second driving part 46 . At this time, the connecting rod assembly 4 is in a relatively stable second state, and under the action of the connecting rod assembly 4 , the closing return spring 61 and the switching return spring 62 , the closing pull rod assembly 5 And the switching driving member 7 is also in a relatively stable state, so as to maintain the stability of the nail head after it is closed. Hold the firing handle 3 at this moment, and the stapler can be fired by driving the rack 21 .
如图7~11所示,所述第一驱动部72为从所述第一外套部71向所述吻合器的远端侧方向延伸的驱动臂。所述第一杆41的第三枢接部413设置有两个第二驱动部46,所述切换驱动件7包括两个第一驱动部72,两个所述第一驱动部72相对于所述吻合器的轴向对称设置。如图7~10所示,所述第一闭合件51和所述第二闭合件52为两个分体设置的件,所述第一闭合件51的近端侧至少部分进入所述第二闭合件52的第二外套部521,且与所述第二外套部521内的台阶面配合,形成轴向固定且可相对旋转的配合。所述引导部5221为设置于所述第三驱动部522的侧面的凸条。所述第三驱动部522的远端侧设置有配合孔5222,用于安装所述第三销轴45。所述第一闭合件51的内部设置有弹簧配合台阶面512,所述闭合复位弹簧61的一端与所述弹簧配合台阶面512相抵持。如图12所示,所述第一外套部71的远端面设置有弹簧配合槽711,所述切换复位弹簧62的一端设置于所述弹簧配合槽711中。As shown in FIGS. 7 to 11 , the first driving part 72 is a driving arm extending from the first sheath part 71 toward the distal side of the stapler. The third pivot portion 413 of the first rod 41 is provided with two second driving parts 46, and the switching driving part 7 includes two first driving parts 72, and the two first driving parts 72 are opposite to the The axial symmetry of the stapler is set. As shown in FIGS. 7-10 , the first closing member 51 and the second closing member 52 are two separate parts, and the proximal side of the first closing member 51 enters the second closing member at least partially. The second sheath portion 521 of the closure member 52 cooperates with the stepped surface inside the second sheath portion 521 to form an axially fixed and relatively rotatable fit. The guiding portion 5221 is a protruding bar disposed on the side of the third driving portion 522 . A matching hole 5222 is provided at a distal side of the third driving part 522 for installing the third pin shaft 45 . The inside of the first closing member 51 is provided with a spring matching step surface 512 , and one end of the closing return spring 61 is opposed to the spring matching step surface 512 . As shown in FIG. 12 , a spring fitting groove 711 is disposed on the distal surface of the first outer casing portion 71 , and one end of the switching return spring 62 is disposed in the spring fitting groove 711 .
在其他可替代的实施方式中,所述第一闭合件51和所述第二闭合件52也可以为一体设置。在其他可替代的实施方式中,所述第二驱动部46也可以为其他形状,所述第二驱动部46和所述第一驱动部72的数量也不限于两个,例如仅设置一个第二驱动部46和一个第一驱动部72。所述闭合复位弹簧61和所述切换复位弹簧62的安装位置和方式也可以不同于该实施例。在其他可替代的实施方式中,所述第二驱动部46也可以设置于所述第四枢接部423,或者设置于所述第一杆41或第二杆42的其他位置。在其他可替代的实施方式中,所述引导部5221也可以设置为一个凸台或其他结构。In other alternative embodiments, the first closing member 51 and the second closing member 52 may also be integrally provided. In other alternative embodiments, the second driving part 46 can also be in other shapes, and the number of the second driving part 46 and the first driving part 72 is not limited to two, for example, only one first driving part 72 is provided. Two driving parts 46 and a first driving part 72 . The installation position and manner of the closing return spring 61 and the switching return spring 62 may also be different from this embodiment. In other alternative embodiments, the second driving portion 46 may also be disposed on the fourth pivot portion 423 , or disposed on other positions of the first rod 41 or the second rod 42 . In other alternative embodiments, the guide portion 5221 may also be set as a boss or other structures.
在图6示出的状态下,可以通过握持击发把手3进行吻合器的击发。在吻合器击发的过程中,在连杆组件4自身的稳定状态作用下、在所述闭合复位弹簧61和所述切换复位弹簧62的保持作用下,所述连杆组件4、闭合拉杆组件5和切换驱动件7的状态不会改变,即所述连杆组件4保持在第二状态,所述切换驱动件7保持在第二位置区域,所述闭合拉片12不会发生意外的轴向窜动,保持钉头部稳定的闭合。在吻合器击发完成后,需要打开钉头部时,操作者操作突出于壳体13外部的操作部73,驱动其向远端侧方向运动,使得切换驱动件7从第二位置区域朝向吻合器的远端侧方向移动至第一位置区域,压缩切换复位弹簧62,使得切换复位弹簧62的轴向长度缩短至初始的长度L21,进入图13的状 态。第一驱动部72向远端侧方向运动至第二驱动部46的上方,并给第二驱动部46一个沿第四方向(图13中向下的方向,即远离连接杆18的方向)的作用力,第三枢接部413和第四枢接部423在该作用力下向下运动,而进入图14所示的状态,即所述连杆组件4重新返回到初始的第一状态。如图7和图11所示,在该实施例中,所述第一驱动部72的远端侧设置有第一引导面721,所述第一引导面721的上侧边相比于下侧边向远端侧方向倾斜,所述第二驱动部46的近端侧设置有第二引导面461,所述第二引导面461与所述第一引导面721的倾斜方向相同。通过设置所述第一引导面721和所述第二引导面461,在所述第一驱动部72从第二位置区域向第一位置区域运动时,所述第一驱动部72可以更顺畅地与所述第二驱动部46接触并向下压迫所述第二驱动部46。In the state shown in FIG. 6 , the stapler can be fired by holding the firing handle 3 . During the firing process of the stapler, under the action of the stable state of the connecting rod assembly 4 itself and under the holding action of the closing return spring 61 and the switching return spring 62, the connecting rod assembly 4 and the closing pull rod assembly 5 and the state of the switching driving member 7 will not change, that is, the connecting rod assembly 4 remains in the second state, the switching driving member 7 remains in the second position area, and the closing pull tab 12 will not accidentally move axially Play to keep the nail head firmly closed. After the firing of the stapler is completed, when the nail head needs to be opened, the operator operates the operating part 73 protruding from the outside of the housing 13 to drive it to move in the direction of the distal end, so that the switching driving member 7 moves from the second position area to the stapler. The distal side of the switch moves to the first position area, compressing the switching return spring 62, so that the axial length of the switching return spring 62 is shortened to the initial length L21, and enters the state of FIG. 13 . The first driving part 72 moves to the top of the second driving part 46 in the direction of the distal end, and gives the second driving part 46 a motion along the fourth direction (the downward direction in FIG. 13 , that is, the direction away from the connecting rod 18). Under the action force, the third pivot portion 413 and the fourth pivot portion 423 move downward under the force, and enter the state shown in FIG. 14 , that is, the connecting rod assembly 4 returns to the original first state. As shown in Figure 7 and Figure 11, in this embodiment, the distal end side of the first driving part 72 is provided with a first guide surface 721, the upper side of the first guide surface 721 is compared to the lower side The edge is inclined toward the distal end side, and the proximal end side of the second driving part 46 is provided with a second guide surface 461 , and the inclination direction of the second guide surface 461 is the same as that of the first guide surface 721 . By setting the first guide surface 721 and the second guide surface 461, when the first drive part 72 moves from the second position area to the first position area, the first drive part 72 can move more smoothly. Contacts the second driving part 46 and presses the second driving part 46 downward.
比较图13和图14可以看出,在连杆组件4从第二状态重新返回到第一状态的过程中,所述第一杆41绕所述第一枢轴43顺时针旋转,所述第二杆42绕所述第二枢轴44逆时针旋转。所述第二枢接部422向远端侧方向运动,驱动所述第二闭合件52的第三驱动部522向远端侧方向运动,在所述第二枢接部422的驱动作用和所述闭合复位弹簧61的弹性复位作用下,所述第二外套部521向远端侧方向运动至重新与切换驱动件7抵持,所述闭合复位弹簧61重新伸长至初始的长度L11。所述第二闭合件52通过所述第一闭合件51带动闭合拉片12向远端侧方向运动,从而可以将钉头部打开。因此,在吻合器击发完成后,通过操作切换驱动件7的操作部73向远端侧方向运动,即可以驱动连杆组件4从第二状态进入第一状态,驱动闭合拉杆组件5向远端侧方向运动,以打开钉头部,从而可以实现钉头部的手动打开,结构简单,操作方便。Comparing Fig. 13 and Fig. 14, it can be seen that, in the process of returning the link assembly 4 from the second state to the first state, the first lever 41 rotates clockwise around the first pivot 43, and the first lever 41 The two levers 42 rotate counterclockwise around the second pivot 44 . The second pivoting part 422 moves in the direction of the distal end, and drives the third driving part 522 of the second closing member 52 to move in the direction of the distal end. The driving action of the second pivoting part 422 and the Under the elastic reset action of the closing return spring 61 , the second sheath portion 521 moves in the direction of the distal end to abut against the switching driving member 7 again, and the closing return spring 61 re-extends to the original length L11 . The second closing member 52 drives the closing pull piece 12 to move toward the distal side through the first closing member 51 , so that the nail head can be opened. Therefore, after the firing of the stapler is completed, by operating the operating portion 73 of the switching drive member 7 to move in the direction of the distal end, the link assembly 4 can be driven from the second state to the first state, and the closing rod assembly 5 can be driven to the distal end. Move sideways to open the nail head, so that manual opening of the nail head can be realized, the structure is simple, and the operation is convenient.
进一步地,在本发明的第二实施例和第三实施例中,所述切换驱动件与第一实施例的切换驱动件结构不同。具体地,所述切换驱动件可相对于所述闭合拉杆组件可旋转地设置,在所述连杆组件处于第二状态且所述切换驱动件被操作而沿第五方向旋转时,可驱动所述连杆组件从第二状态进入第一状态,驱动闭合拉杆组件向远端侧方向运动而打开钉头部。同样地,通过操作切换驱动件可以驱动连杆组件在不同状态间切换,并且控制闭合拉杆组件沿吻合器的轴向运动,进而控制钉头部的闭合和打开,结构简单,使用方便。Further, in the second embodiment and the third embodiment of the present invention, the structure of the switching driving member is different from that of the first embodiment. Specifically, the switching driving member can be rotatably arranged relative to the closing rod assembly, and when the connecting rod assembly is in the second state and the switching driving member is operated to rotate in the fifth direction, it can drive the The connecting rod assembly enters the first state from the second state, and drives the closing pull rod assembly to move toward the distal end side to open the nail head. Similarly, the connecting rod assembly can be driven to switch between different states by operating the switching drive member, and the closing pull rod assembly can be controlled to move axially along the stapler, thereby controlling the closing and opening of the nail head. The structure is simple and easy to use.
如图15~23所示,本发明第二实施例提供了一种用于医用吻合器的闭合切换机构和包括该闭合切换机构的医用吻合器。所述吻合器的主要组成以及所述钉头部的打开闭合状态的切换可以参见第一实施例中结合图1和图2的描述,此处不予赘述。As shown in FIGS. 15-23 , the second embodiment of the present invention provides a closing switching mechanism for a medical stapler and a medical stapler including the closing switching mechanism. The main components of the stapler and the switching of the open and closed states of the nail head can be referred to the description in the first embodiment with reference to FIG. 1 and FIG. 2 , and will not be repeated here.
如图15~19所示,所述闭合切换机构包括连杆组件4、切换驱动件7和闭合拉杆组件50。所述连杆组件4包括第一杆41和第二杆42,所述第二杆42位于所述第一杆41的近端侧,所述第一杆41包括第一枢接部412和第三枢接部413,所述第二杆42包括第二枢接部422和第四枢接部423。所述连杆组件4与所述闭合拉杆组件50的连接关系与第一实施例相同,此处不予赘述。所述闭合拉杆组件50与所述闭合拉片12的近端侧固定连接,使得所述闭合拉杆组件50的轴向运动可以带动所述闭合拉片12的轴向运动。所述切换驱动件7枢转连接于所述闭合拉杆组件50,且所述切换驱动件7与所述闭合拉杆组件50的枢转连接位置相对于所述闭合拉杆组件50在吻合器的轴向上固定。此处在吻合器的轴向上固定指的是:所述切换驱动件7和所述闭合拉杆组件50的枢转连接位置相对于所述闭 合拉杆组件50在轴向上不会发生位移。所述切换驱动件7可以在第一方向和第二方向上运动,所述第一方向和所述第二方向是两个相反的方向。As shown in FIGS. 15-19 , the closing switching mechanism includes a link assembly 4 , a switching driving member 7 and a closing pull rod assembly 50 . The link assembly 4 includes a first rod 41 and a second rod 42, the second rod 42 is located on the proximal side of the first rod 41, and the first rod 41 includes a first pivot portion 412 and a second rod 41. Three pivotal joints 413 , the second rod 42 includes a second pivotal joint 422 and a fourth pivotal joint 423 . The connection relationship between the connecting rod assembly 4 and the closing rod assembly 50 is the same as that of the first embodiment, and will not be repeated here. The closing rod assembly 50 is fixedly connected to the proximal side of the closing pull piece 12 , so that the axial movement of the closing pull rod assembly 50 can drive the axial movement of the closing pull piece 12 . The switch driving member 7 is pivotally connected to the closing rod assembly 50, and the pivot connection position between the switching driving member 7 and the closing rod assembly 50 is in the axial direction of the stapler relative to the closing rod assembly 50. fixed. Here, being fixed in the axial direction of the stapler means that the pivotal connection position of the switching drive member 7 and the closing rod assembly 50 will not be displaced in the axial direction relative to the closing rod assembly 50 . The switching driving member 7 can move in a first direction and a second direction, and the first direction and the second direction are two opposite directions.
在该实施例中,所述连杆组件4包括第一状态和第二状态,此两个状态均是相对平衡的两个状态。所述切换驱动件7包括第一位置区域和第二位置区域。初始状态下,所述连杆组件4处于所述第一状态,所述连杆组件4处于一个相对紧凑的状态,即所述第一枢接部412和第二枢接部422之间的轴向距离较小,所述切换驱动件7处于所述第一位置区域。在需要驱动钉头部闭合时,通过驱动所述切换驱动件7朝向第一方向运动,驱动所述闭合拉杆组件50朝向第一方向运动,并驱动所述第二枢接部422朝向第一方向运动,所述第三枢接部413和第四枢接部423朝向第三方向运动,所述连杆组件4进入所述第二状态,此时所述连杆组件4进入一个相对舒展的状态,所述第一枢接部412和所述第二枢接部422之间的轴向距离增加,同时,所述闭合拉杆组件50带动所述闭合拉片12向所述第一方向运动而闭合钉头部。所述切换驱动件7运动至所述第二位置区域时,所述钉头部闭合完成。In this embodiment, the link assembly 4 includes a first state and a second state, both of which are relatively balanced states. The switching drive 7 comprises a first position area and a second position area. In the initial state, the link assembly 4 is in the first state, and the link assembly 4 is in a relatively compact state, that is, the shaft between the first pivot portion 412 and the second pivot portion 422 If the direction distance is small, the switching drive member 7 is in the first position area. When it is necessary to drive the nail head to close, by driving the switching drive member 7 to move toward the first direction, the closing rod assembly 50 is driven to move toward the first direction, and the second pivot joint 422 is driven toward the first direction. movement, the third pivotal part 413 and the fourth pivotal part 423 move towards the third direction, and the link assembly 4 enters the second state, at this time, the link assembly 4 enters a relatively stretched state , the axial distance between the first pivotal portion 412 and the second pivotal portion 422 increases, and at the same time, the closing pull rod assembly 50 drives the closing pull piece 12 to move in the first direction to close nail head. When the switching driving member 7 moves to the second position area, the nail head is closed.
在所述钉头部闭合后,所述连杆组件4处于相对稳定的所述第二状态,所述切换驱动件7位于所述第二位置区域,此时在所述连杆组件4的保持作用下,可以保持钉头部闭合的稳定性,并且可以进行吻合器的击发,在吻合器击发时也不会发生闭合拉片12的意外窜动而影响钉头部闭合的稳定性。在吻合器击发完成后,需要打开所述钉头部时,通过操作切换驱动件7相对于所述闭合拉杆组件50沿第五方向旋转,所述切换驱动件7向第四方向驱动所述连杆组件4,可以驱动连杆组件4从第二状态进入第一状态,所述连杆组件4的第二枢接部422驱动闭合拉杆组件50向第二方向运动,所述闭合拉杆组件50可以驱动所述切换驱动件7沿第二方向运动而返回至第一位置区域,同时所述闭合拉杆组件50驱动所述闭合拉片12向远端侧方向运动,以打开钉头部,从而可以实现钉头部的手动打开,结构简单,操作方便。After the nail head is closed, the connecting rod assembly 4 is in the relatively stable second state, and the switching drive member 7 is located in the second position area. At this time, the holding of the connecting rod assembly 4 Under the action, the stability of the closure of the nail head can be maintained, and the firing of the stapler can be performed. When the stapler is fired, the closure tab 12 will not accidentally move and affect the stability of the nail head closure. After the firing of the stapler is completed, when the nail head needs to be opened, the switching driving member 7 is operated to rotate in the fifth direction relative to the closing rod assembly 50, and the switching driving member 7 drives the connecting rod assembly 50 to the fourth direction. The rod assembly 4 can drive the link assembly 4 to enter the first state from the second state, and the second pivot portion 422 of the link assembly 4 drives the closing rod assembly 50 to move in the second direction, and the closing rod assembly 50 can Drive the switching drive member 7 to move in the second direction and return to the first position area, and at the same time, the closing pull rod assembly 50 drives the closing pull piece 12 to move in the direction of the distal end to open the nail head, so that The manual opening of the nail head has simple structure and convenient operation.
下面结合图15~23具体介绍该第二实施例的闭合切换机构的结构及工作原理。在该实施例中,所述第二位置区域位于所述第一位置区域的近端侧。所述第一方向和所述第二方向均为沿吻合器的轴向的方向。具体地,所述第一方向为朝向吻合器的近端侧方向(图15中S1方向),所述第二方向为朝向所述吻合器的远端侧方向(与S1相反的方向)。所述切换驱动件7从第一位置区域向近端侧方向运动时,可以驱动闭合钉头部,所述切换驱动件7从第二位置区域向远端侧方向运动时,可以驱动打开钉头部。所述第一位置区域指的是如图19所示的初始状态下所述切换驱动件7所处的位置区域,所述第二位置区域指的是如图21所示的钉头部闭合完成后,所述切换驱动件7所处的位置区域。The structure and working principle of the closing switching mechanism of the second embodiment will be described in detail below with reference to FIGS. 15-23 . In this embodiment, the second location area is located proximally of the first location area. Both the first direction and the second direction are along the axial direction of the stapler. Specifically, the first direction is toward the proximal side of the stapler (direction S1 in FIG. 15 ), and the second direction is toward the distal side of the stapler (direction opposite to S1). When the switching driving member 7 moves from the first position area to the proximal side, it can drive the nail head to close, and when the switching driving member 7 moves from the second position area to the distal side, it can drive the nail head to open. department. The first position area refers to the position area where the switching drive member 7 is located in the initial state as shown in Figure 19, and the second position area refers to the completion of the nail head closure as shown in Figure 21 Afterwards, the position area where the driving member 7 is located is switched.
如图15~19所示,所述闭合切换机构还包括连接杆18。所述闭合拉片12穿设于所述连接杆18的内部。在该实施例中,所述第三方向为在图15的视角中从下向上的方向,即对于第三枢接部413和第四枢接部423来说,朝向靠近所述连接杆18的方向。所述第四方向为在图15的视角中从上向下的方向,即对于第三枢接部413和第四枢接部423来说,远离所述连接杆18的方向。如图19所示,为该实施例的初始状态下所述闭合切换机构的结构示意图。在图19的状态下,所述第三枢接部413和所述第四枢接部423处于一个相 对远离所述连接杆18的位置,所述连杆组件4处于一个相对稳定的第一状态,所述第一枢接部412和所述第二枢接部422之间的轴向距离较小。所述切换驱动件7处于所述第一位置区域。As shown in FIGS. 15-19 , the closing switching mechanism further includes a connecting rod 18 . The closing pull piece 12 passes through the inside of the connecting rod 18 . In this embodiment, the third direction is the direction from bottom to top in the viewing angle of FIG. direction. The fourth direction is a direction from top to bottom in the perspective of FIG. 15 , that is, for the third pivotal portion 413 and the fourth pivotal portion 423 , the direction away from the connecting rod 18 . As shown in FIG. 19 , it is a schematic structural diagram of the closing switching mechanism in the initial state of this embodiment. In the state of FIG. 19 , the third pivotal portion 413 and the fourth pivotal portion 423 are in a position relatively far away from the connecting rod 18, and the connecting rod assembly 4 is in a relatively stable first state. , the axial distance between the first pivotal portion 412 and the second pivotal portion 422 is small. The switching drive 7 is in the first position range.
如图20所示,所述切换驱动件7包括操作部73、第一驱动部72、第一外套部71和旋转配合部75,所述操作部73连接于所述第一外套部71。所述操作部73连接于所述第一外套部71。所述壳体13对应设有容纳所述操作部73的容纳槽,所述操作部13部分进入所述容纳槽内部,可相对于所述容纳槽运动,并且突出于所述吻合器本体1的壳体13外表面,以方便操作者使用。所述第一外套部71套设于所述闭合拉杆组件50的外部,且可相对于所述连接杆18轴向运动。所述第一驱动部72位于所述第一外套部71朝向所述连杆组件4的一侧,所述第一驱动部72与所述第一外套部71之间设置有所述旋转配合部75,所述旋转配合部75通过一旋转轴5023枢转连接于所述闭合拉杆组件5,所述旋转配合部75设置有穿过所述旋转轴5023的第二配合孔751。所述第一驱动部72为从所述旋转配合部75向所述吻合器的远端侧方向延伸的驱动臂,所述旋转配合部75为连接于所述第一驱动部72和所述第一外套部71之间的弯折部。所述第一驱动部72与所述第一外套部71之间设有一固定角度,即所述旋转配合部75是一个不会发生变形的弯折部,优选具有一定的刚性,使得所述第一驱动部72和所述第一外套部71之间的夹角(例如为直角,或者为小于直角或大于直角的角度)保持不变。所述第一杆41的第三枢接部413处设置有第二驱动部411,所述第二驱动部411包括朝向所述连接杆18的配合表面。初始状态下,所述第二驱动部411随所述第三枢接部413位于一个相对远离所述连接杆18的位置,不会与所述第一驱动部72有接触,所述第一驱动部72也就不会向所述第二驱动部411施加作用力。As shown in FIG. 20 , the switching driving member 7 includes an operating part 73 , a first driving part 72 , a first outer casing part 71 and a rotating matching part 75 , and the operating part 73 is connected to the first outer casing part 71 . The operation part 73 is connected to the first outer casing part 71 . The housing 13 is correspondingly provided with an accommodating groove for accommodating the operating portion 73 , the operating portion 13 partially enters the interior of the accommodating groove, is movable relative to the accommodating groove, and protrudes beyond the end of the stapler body 1 . The outer surface of the housing 13 is convenient for the operator to use. The first sleeve portion 71 is sheathed on the outside of the closing rod assembly 50 and can move axially relative to the connecting rod 18 . The first driving part 72 is located on the side of the first outer casing part 71 facing the connecting rod assembly 4 , and the rotation matching part is arranged between the first driving part 72 and the first outer casing part 71 75 , the rotating fitting part 75 is pivotally connected to the closing rod assembly 5 through a rotating shaft 5023 , and the rotating fitting part 75 is provided with a second fitting hole 751 passing through the rotating shaft 5023 . The first driving part 72 is a driving arm extending from the rotating matching part 75 to the distal end of the stapler, and the rotating matching part 75 is connected to the first driving part 72 and the second driving part 72. A bent portion between the jacket portions 71 . A fixed angle is set between the first driving part 72 and the first outer sleeve part 71, that is, the rotating matching part 75 is a bent part that will not deform, and preferably has a certain rigidity, so that the first The included angle (for example, a right angle, or an angle smaller than a right angle or greater than a right angle) between a driving part 72 and the first sheath part 71 remains unchanged. A second driving portion 411 is disposed at the third pivot portion 413 of the first rod 41 , and the second driving portion 411 includes a mating surface facing the connecting rod 18 . In the initial state, the second driving part 411 is located at a position relatively far away from the connecting rod 18 along with the third pivot part 413, and will not contact the first driving part 72. The first driving part 72 The part 72 will not apply force to the second driving part 411.
如图15、图17和图20所示,所述闭合拉杆组件50包括第二外套部501和第三驱动部502。所述第二外套部501套设于所述连接杆18的外部,所述第二外套部501包括远端部分和近端部分,其远端部分的外径小于近端部分的外径,所述第二外套部501的远端部分和近端部分之间设置有切换配合面5013。所述第二外套部501的远端部分至少部分穿设于所述切换配合件7的第一外套部71的内部,所述第二外套部501的切换配合面5013与所述第一外套部71的近端面相配合。所述第二外套部501的远端侧设置有通孔5011,通过所述第二外套部501的通孔5011中穿过的连接销19可以将所述第二外套部501的远端侧与所述闭合拉片12的近端侧固定连接。所述第三驱动部502的第一端枢转连接于所述第二杆42的第二枢接部422,所述第三驱动部502的第二端与所述第二外套部501连接。所述第三驱动部052中穿设有所述旋转轴5023,通过所述旋转轴5032与所述切换驱动件7的旋转配合部75枢转连接。所述第三驱动部502的侧面设置有一个或两个引导部5021。所述吻合器本体1的壳体13内表面设置有一个或两个引导槽(可参照第一实施例的图3中的引导槽131),所述引导槽沿轴向方向延伸,所述引导部521至少部分进入所述引导槽中,且可沿所述引导槽的延伸方向运动。通过所述引导部5021和所述引导槽的配合限定所述闭合拉杆组件50只有沿轴向方向的运动。在其他可替代的实施方式中,也可以在所述吻合器本体1的壳体13内表面设置引导部,在所述第三驱动部502的侧面设 置引导槽,也属于本发明的保护范围之内。As shown in FIG. 15 , FIG. 17 and FIG. 20 , the closing rod assembly 50 includes a second outer casing part 501 and a third driving part 502 . The second sheath portion 501 is sheathed on the outside of the connecting rod 18, the second sheath portion 501 includes a distal portion and a proximal portion, the outer diameter of the distal portion is smaller than the outer diameter of the proximal portion, so A switching mating surface 5013 is provided between the distal portion and the proximal portion of the second sheath portion 501 . The distal end portion of the second sheath portion 501 is at least partially passed through the inside of the first sheath portion 71 of the switching fitting 7 , and the switching mating surface 5013 of the second sheathing portion 501 is in contact with the first sheathing portion. 71 of the proximal surface to match. The distal side of the second sheath part 501 is provided with a through hole 5011, and the connecting pin 19 passed through the through hole 5011 of the second sheath part 501 can connect the distal side of the second sheath part 501 with the The proximal side of the closure pull tab 12 is fixedly connected. A first end of the third driving part 502 is pivotally connected to the second pivot part 422 of the second rod 42 , and a second end of the third driving part 502 is connected to the second outer sleeve part 501 . The rotation shaft 5023 passes through the third driving part 052 , and is pivotally connected with the rotation matching part 75 of the switching driving part 7 through the rotation shaft 5032 . One or two guiding parts 5021 are provided on the side of the third driving part 502 . The inner surface of the shell 13 of the stapler body 1 is provided with one or two guide grooves (refer to the guide groove 131 in Fig. 3 of the first embodiment), the guide grooves extend in the axial direction, and the guide grooves The part 521 at least partially enters the guide groove, and can move along the extending direction of the guide groove. The cooperation of the guide portion 5021 and the guide groove limits the movement of the closing rod assembly 50 only in the axial direction. In other alternative embodiments, a guide part may also be provided on the inner surface of the casing 13 of the stapler body 1, and a guide groove may be provided on the side of the third driving part 502, which also belongs to the protection scope of the present invention. Inside.
如图16、图18和图20所示,所述吻合器本体1的壳体13内部设置有止挡部14。所述闭合拉杆组件50与所述止挡部14之间设置有闭合偏置件,所述闭合偏置件给所述闭合拉杆组件50一朝向远端侧方向的第一偏置力。在该实施例中,所述闭合偏置件为一个闭合复位弹簧61,并且可选为设置于所述闭合拉杆组件50的近端侧的压簧。所述闭合拉杆组件50的第二外套部501内部设置有弹簧配合台阶面5012,所述弹簧配合台阶面5012与所述止挡部14之间设置所述闭合复位弹簧61。在其他可替代的实施方式中,所述闭合偏置件也可以为弹片、设置于所述闭合拉杆组件50的远端侧的拉簧或其他类型的弹性件。As shown in FIG. 16 , FIG. 18 and FIG. 20 , a stopper portion 14 is provided inside the casing 13 of the stapler body 1 . A closing biasing member is disposed between the closing rod assembly 50 and the stopper portion 14 , and the closing biasing member gives the closing rod assembly 50 a first biasing force toward the distal side. In this embodiment, the closing biasing member is a closing return spring 61 , and can optionally be a compression spring disposed on the proximal side of the closing rod assembly 50 . A spring matching stepped surface 5012 is disposed inside the second outer casing portion 501 of the closing rod assembly 50 , and the closing return spring 61 is disposed between the spring fitting stepped surface 5012 and the stopper portion 14 . In other alternative implementations, the closing biasing member may also be an elastic piece, a tension spring disposed on the distal side of the closing rod assembly 50 or other types of elastic members.
在图19示出的状态下,所述连杆组件4处于所述第一状态时,所述闭合复位弹簧61基本上不发生变形或者只发生较小的变形。在所述闭合复位弹簧61的第一偏置力的作用下,所述闭合拉杆组件50被保持在初始位置,且将所述切换驱动件7保持在所述第一位置区域。通过所述闭合复位弹簧61,可以进一步保持在未受到外力作用时,所述闭合切换机构的状态稳定性。In the state shown in FIG. 19 , when the connecting rod assembly 4 is in the first state, the closing return spring 61 basically does not deform or only slightly deforms. Under the action of the first biasing force of the closing return spring 61 , the closing pull rod assembly 50 is kept at the initial position, and the switching driving member 7 is kept in the first position area. By means of the closing return spring 61 , the state stability of the closing switch mechanism can be further maintained when no external force is applied.
在图19示出的状态下,操作所述切换驱动件7的操作部73,使得所述切换驱动件7从第一位置区域向第一方向运动,所述切换驱动件7的旋转配合部75在旋转轴5023位置处与所述第三驱动部502轴向固定,因此,所述切换驱动件7可以驱动所述第三驱动部502向第一方向运动。并且由于所述第二外套部501的所述切换配合面5013与所述第一外套部71的近端面配合,所述第一外套部71也可以作用于所述切换配合面5013,由此实现所述切换驱动件7给闭合拉杆组件50施加一个向近端侧方向的更均匀的作用力,驱动所述闭合拉杆组件50向第一方向运动,即向吻合器的近端侧方向运动。所述闭合拉杆组件50通过所述第三驱动部502驱动所述第二枢接部422向所述第一方向运动。所述第三枢接部413和所述第四枢接部423朝向第三方向运动,即向上运动而靠近所述连接杆18,所述第一杆41绕所述第一枢轴43逆时针旋转,所述第二杆42绕所述第三枢轴45顺时针旋转,所述连杆组件4进入所述第二状态,所述第一枢接部412和第二枢接部422之间的轴向距离增加。此时,所述闭合切换机构的状态如图21所示。比较图21和图19可以看出,所述切换驱动件7向近端侧方向运动至第二位置区域,所述闭合拉杆组件50压缩所述闭合复位弹簧61产生弹性变形。同时,由于所述第三驱动部502向近端侧方向运动,所述第二外套部501驱动闭合拉片12向近端侧方向运动,闭合钉头部。在图21的状态下,所述第一驱动部72位于所述第二驱动部411朝向所述连接杆18的一侧,且所述第一驱动部72与所述第二驱动部411相对的表面之间在纵向方向(即S2方向)上有一定的高度间隙,因此所述第一驱动部72不会作用于所述第二驱动部411。此处,所述第一驱动部72与所述第二驱动部411相对的表面之间即指的所述第一驱动部72的下表面和所述第二驱动部411的上表面之间。此时,所述连杆组件4处于一个比较稳定的第二状态,并且在所述连杆组件4的作用下,所述闭合拉杆组件50和所述切换驱动件7也处于一个比较稳定的状态,从而保持所述钉头部闭合后的稳定性。此时握持击发把手3,可以通过驱动吻合器本体内的齿条(可参照第一实施例的图3中的齿条21)而击发吻合器。In the state shown in FIG. 19 , operating the operating portion 73 of the switching driving member 7 makes the switching driving member 7 move from the first position area to the first direction, and the rotation matching portion 75 of the switching driving member 7 The rotating shaft 5023 is axially fixed with the third driving part 502 , therefore, the switching driving part 7 can drive the third driving part 502 to move in the first direction. And because the switching mating surface 5013 of the second sheathing part 501 cooperates with the proximal end surface of the first sheathing part 71, the first sheathing part 71 can also act on the switching mating surface 5013, thus The switching driving member 7 applies a more uniform force toward the proximal side to the closing rod assembly 50, and drives the closing rod assembly 50 to move in the first direction, that is, to move toward the proximal side of the stapler. The closing rod assembly 50 drives the second pivoting part 422 to move in the first direction through the third driving part 502 . The third pivot portion 413 and the fourth pivot portion 423 move toward the third direction, that is, move upward and approach the connecting rod 18 , and the first rod 41 rotates counterclockwise around the first pivot 43 Rotate, the second lever 42 rotates clockwise around the third pivot 45, the linkage assembly 4 enters the second state, the first pivot 412 and the second pivot 422 The axial distance increases. At this time, the state of the closed switching mechanism is shown in FIG. 21 . Comparing FIG. 21 and FIG. 19 , it can be seen that the switching driving member 7 moves to the proximal direction to the second position area, and the closing rod assembly 50 compresses the closing return spring 61 to generate elastic deformation. At the same time, because the third driving part 502 moves toward the proximal side, the second outer sleeve part 501 drives the closing pull tab 12 to move toward the proximal side, closing the nail head. In the state of FIG. 21 , the first driving part 72 is located on the side of the second driving part 411 facing the connecting rod 18, and the first driving part 72 is opposite to the second driving part 411. There is a certain height gap between the surfaces in the longitudinal direction (ie, S2 direction), so the first driving part 72 will not act on the second driving part 411 . Here, between the opposite surfaces of the first driving part 72 and the second driving part 411 refers to between the lower surface of the first driving part 72 and the upper surface of the second driving part 411 . At this time, the connecting rod assembly 4 is in a relatively stable second state, and under the action of the connecting rod assembly 4, the closing pull rod assembly 50 and the switching driving member 7 are also in a relatively stable state , so as to maintain the stability of the nail head after it is closed. At this time, hold the firing handle 3, and the stapler can be fired by driving the rack in the stapler body (refer to the rack 21 in FIG. 3 of the first embodiment).
如图20和图22所示,所述第一杆41的第三枢接部413设置有所述第二驱动部411, 所述切换驱动件7包括两个第一驱动部72,所述第二驱动部411包括与所述两个第一驱动部72相对的两处配合表面,该两处配合表面分别位于所述第四枢接部423的左右两侧。两个所述第一驱动部72相对于所述吻合器的轴向对称设置,且与所述第二驱动部411的两处配合表面相对应设置。所述引导部5021为设置于所述第三驱动部502的侧面的凸条,且所述第三驱动部502的左右两侧均可以设置一个所述引导部5021。所述第三驱动部502的远端侧设置有第一配合孔5022,用于安装所述第三销轴45。As shown in Figure 20 and Figure 22, the third pivotal part 413 of the first lever 41 is provided with the second drive part 411, the switching drive member 7 includes two first drive parts 72, the first The second driving portion 411 includes two mating surfaces opposite to the two first driving portions 72 , and the two mating surfaces are respectively located on the left and right sides of the fourth pivot portion 423 . The two first driving parts 72 are arranged symmetrically with respect to the axial direction of the stapler, and are arranged corresponding to the two mating surfaces of the second driving part 411 . The guide part 5021 is a convex line provided on the side of the third drive part 502 , and one guide part 5021 can be provided on the left and right sides of the third drive part 502 . The distal side of the third driving part 502 is provided with a first matching hole 5022 for installing the third pin shaft 45 .
在其他可替代的实施方式中,所述第一驱动部72的数量也不限于两个,例如仅设置一个第一驱动部72。所述闭合复位弹簧61和所述切换复位弹簧62的安装位置和方式也可以不同于该实施例。在其他可替代的实施方式中,所述第二驱动部411也可以设置于所述第四枢接部423,或者设置于所述第一杆41或第二杆42的其他位置。在其他可替代的实施方式中,所述引导部5021也可以设置为一个凸台或其他结构。In other alternative implementations, the number of the first driving part 72 is not limited to two, for example, only one first driving part 72 is provided. The installation position and manner of the closing return spring 61 and the switching return spring 62 may also be different from this embodiment. In other alternative implementations, the second driving part 411 can also be arranged on the fourth pivot part 423 , or be arranged on other positions of the first rod 41 or the second rod 42 . In other alternative implementation manners, the guide part 5021 may also be set as a boss or other structures.
如图20和图21所示,所述切换驱动件7和所述闭合拉杆组件50之间设置有切换偏置件,所述切换驱动件7沿第五方向旋转时,所述切换偏置件发生弹性变形,给所述切换驱动件7一个沿第六方向旋转的第二偏置力。在所述切换驱动件7未受到外力时,所述切换驱动件7的近端面至少部分抵持于所述闭合拉杆组件50,具体地,所述切换驱动件7的第一外套部71的近端面至少部分抵持于所述闭合拉杆组件50的第二外套部501的切换配合面5013。具体地,所述切换驱动件7的第一外套部71的表面设置有第二弹簧安装部74,所述闭合拉杆组件50的第一外套部501的近端部分设置有第一弹簧安装部5014,所述切换偏置件为一个切换复位弹簧62,且可选为拉簧。所述切换复位弹簧62的两端分别安装于所述第一弹簧安装部5014和所述第二弹簧安装部74。在该实施例中,所述第一弹簧安装部5014和所述第二弹簧安装部74分别为突出于所述第二外套部501的表面的凸柱和突出于所述第一外套部71的凸柱。但本发明不限于此。在其他可替代的实施方式中,所述切换偏置件也可以为套设于所述旋转轴5023上的扭簧,或者所述切换偏置件为拉簧或压簧,且两端固定于所述切换驱动件7和所述闭合拉杆组件50的其他位置。在该实施例中,设置有两个所述切换偏置件,两个切换偏置件相对于吻合器的轴向对称设置,以更均匀地作用于切换驱动件7。但本发明不限于此,在其他可替代的实施方式中,例如也可以只设置一个切换偏置件或设置更多切换偏置件等。As shown in Fig. 20 and Fig. 21, a switching biasing member is provided between the switching driving member 7 and the closing rod assembly 50, and when the switching driving member 7 rotates in the fifth direction, the switching biasing member Elastic deformation occurs, and a second biasing force to rotate in the sixth direction is given to the switching driving member 7 . When the switching driving member 7 is not subjected to external force, the proximal end surface of the switching driving member 7 at least partially bears against the closing rod assembly 50, specifically, the first outer sleeve portion 71 of the switching driving member 7 The proximal surface is at least partially abutted against the switching matching surface 5013 of the second outer sleeve portion 501 of the closing rod assembly 50 . Specifically, a second spring installation portion 74 is provided on the surface of the first outer sleeve portion 71 of the switching driving member 7, and a first spring installation portion 5014 is provided on the proximal end portion of the first outer sleeve portion 501 of the closing rod assembly 50. , the switch biasing member is a switch return spring 62, and can optionally be a tension spring. Two ends of the switching return spring 62 are installed on the first spring installation part 5014 and the second spring installation part 74 respectively. In this embodiment, the first spring installation part 5014 and the second spring installation part 74 are respectively a boss protruding from the surface of the second outer casing part 501 and a post protruding from the surface of the first outer casing part 71. Boss. But the present invention is not limited thereto. In other alternative implementations, the switching biasing member can also be a torsion spring sleeved on the rotating shaft 5023, or the switching biasing member is a tension spring or a compression spring, and both ends are fixed on Other positions of the switching drive member 7 and the closing rod assembly 50 . In this embodiment, two switching biasing members are provided, and the two switching biasing members are arranged symmetrically with respect to the axial direction of the stapler so as to act on the switching driving member 7 more uniformly. However, the present invention is not limited thereto. In other alternative implementation manners, for example, only one switching bias member or more switching bias members may be provided.
在图21示出的状态下,可以通过握持击发把手3进行吻合器的击发。在吻合器击发的过程中,在连杆组件4自身的稳定状态作用下,所述连杆组件4、闭合拉杆组件50和切换驱动件7的状态不会改变,即所述连杆组件4保持在第二状态,所述切换驱动件7保持在第二位置区域,所述闭合拉片12不会发生意外的轴向窜动,保持钉头部稳定的闭合。在吻合器击发完成后,需要打开钉头部时,操作者操作突出于壳体13外部的操作部73,驱动其向远端侧方向运动,使得切换驱动件7相对于所述闭合拉杆组件50绕所述旋转轴5023旋转,且旋转方向为第五方向。在该实施例中,第五方向为图21中示出的S3方向,即在图21的视角中的逆时针方向。In the state shown in FIG. 21 , the stapler can be fired by holding the firing handle 3 . During the firing process of the stapler, under the action of the stable state of the link assembly 4 itself, the states of the link assembly 4, the closing rod assembly 50 and the switching drive member 7 will not change, that is, the link assembly 4 remains In the second state, the switching driving member 7 remains in the second position area, and the closing pull piece 12 will not move accidentally in the axial direction, so as to keep the nail head closed stably. After the firing of the stapler is completed, when the nail head needs to be opened, the operator operates the operating part 73 protruding from the outside of the housing 13 to drive it to move in the direction of the distal end, so that the switching drive member 7 is relatively close to the closing rod assembly 50. Rotate around the rotation axis 5023, and the rotation direction is the fifth direction. In this embodiment, the fifth direction is the S3 direction shown in FIG. 21 , that is, the counterclockwise direction in the viewing angle of FIG. 21 .
如图23所示,在所述切换驱动件7沿第五方向旋转时,所述第一驱动部72向远离所述连接杆18的方向压迫所述第二驱动部411,使得所述第二驱动部411带动所述第三枢 接部413和第四枢接部423向第四方向运动,即向远离所述连接杆18的方向运动,使得所述连杆组件4进入所述第一状态。在连杆组件4从第二状态重新返回到第一状态的过程中,在图23的视角中,所述第一杆41绕所述第一枢轴43顺时针旋转,所述第二杆42绕所述第二枢轴44逆时针旋转,所述第二枢接部422向第二方向运动,即向吻合器的远端侧方向运动,所述第二枢接部422驱动所述第三驱动部502向远端侧方向运动,进而带动所述切换驱动件7也向远端侧方向运动至所述第一位置区域。同时,所述第二外套部501驱动所述闭合拉片12向远端侧方向运动,可以打开钉头部。所述闭合复位弹簧61也恢复到初始状态,且所述闭合复位弹簧61的第一偏置力也进一步保证所述闭合拉杆组件50可以返回到初始位置。As shown in FIG. 23 , when the switching driving member 7 rotates in the fifth direction, the first driving part 72 presses the second driving part 411 in a direction away from the connecting rod 18, so that the second driving part 411 The driving part 411 drives the third pivotal part 413 and the fourth pivotal part 423 to move in a fourth direction, that is, to move away from the connecting rod 18, so that the connecting rod assembly 4 enters the first state . In the process of the connecting rod assembly 4 returning from the second state to the first state, in the perspective of FIG. Rotate counterclockwise around the second pivot 44, the second pivot part 422 moves in the second direction, that is, moves toward the distal side of the stapler, and the second pivot part 422 drives the third The driving part 502 moves in the direction of the distal end, and then drives the switching driving member 7 to also move in the direction of the distal end to the first position area. At the same time, the second jacket part 501 drives the closing pull tab 12 to move toward the distal side, so as to open the nail head. The closing return spring 61 also returns to the initial state, and the first biasing force of the closing return spring 61 further ensures that the closing pull rod assembly 50 can return to the initial position.
因此,在吻合器击发完成后,通过操作切换驱动件7的操作部73向远端侧方向运动,即可以驱动连杆组件4从第二状态进入第一状态,驱动闭合拉杆组件50向远端侧方向运动,以打开钉头部,从而可以实现钉头部的手动打开,结构简单,操作方便。Therefore, after the firing of the stapler is completed, by operating the operating portion 73 of the switching drive member 7 to move toward the distal side, the link assembly 4 can be driven from the second state to the first state, and the closing rod assembly 50 can be driven to the distal end. Move sideways to open the nail head, so that manual opening of the nail head can be realized, the structure is simple, and the operation is convenient.
在图23的状态下,所述切换复位弹簧62(图中未示出)被拉长而发生弹性变形。此时,操作者松开所述操作部73,所述操作部73失去外力作用。在所述切换复位弹簧62的第二偏置力作用下,所述切换驱动件7又沿着第六方向旋转返回到初始位置(即图19中示出的切换驱动件7的位置和状态)。在该实施例中,所述第六方向即为图23中示出的S4方向,即图23的视角中的顺时针方向。In the state of FIG. 23 , the switching return spring 62 (not shown in the figure) is elongated and elastically deformed. At this time, the operator releases the operation part 73, and the operation part 73 loses the effect of external force. Under the action of the second biasing force of the switching return spring 62, the switching driving member 7 rotates along the sixth direction and returns to the initial position (that is, the position and state of the switching driving member 7 shown in FIG. 19 ) . In this embodiment, the sixth direction is the S4 direction shown in FIG. 23 , that is, the clockwise direction in the viewing angle of FIG. 23 .
如图24所示,在本发明第三实施例中,所述连杆组件4的第二驱动部可以为设置于所述第三枢接部413处的凸起部414,所述凸起部414相对于所述第一杆41朝向所述连接杆18的方向凸起。所述连杆组件4处于所述第二状态,且所述切换驱动件7未受外力而旋转时,所述第一驱动部72的下表面与所述凸起部414的顶端之间有一定的高度间隙,所述切换驱动件7不会作用于所述凸起部414。所述连杆组件4处于所述第二状态,且所述切换驱动件7沿所述第五方向旋转时,所述切换驱动件7的第一驱动部72直接作用于所述凸起部414,给所述凸起部414一个远离所述连接杆18的作用力,使得所述连杆组件4返回到第一状态。在另一可替代的实施方式中,所述凸起部414也可以设置在所述第四枢接部或所述连杆组件4的其他位置,所述凸起部414的形状也不限于图24中示出的形状。该实施例的其他部件的结构与图15~21所示第二实施例的各个部件的结构相同,此次不再赘述。As shown in FIG. 24, in the third embodiment of the present invention, the second driving part of the linkage assembly 4 may be a raised part 414 provided at the third pivot part 413, and the raised part 414 protrudes in the direction of the connecting rod 18 relative to the first rod 41 . When the connecting rod assembly 4 is in the second state and the switching driving member 7 is not rotated by external force, there is a certain distance between the lower surface of the first driving part 72 and the top end of the protruding part 414 . The height gap, the switching drive member 7 will not act on the raised portion 414 . When the connecting rod assembly 4 is in the second state and the switching driving member 7 rotates in the fifth direction, the first driving portion 72 of the switching driving member 7 directly acts on the protrusion 414 , give the protruding portion 414 a force away from the connecting rod 18, so that the connecting rod assembly 4 returns to the first state. In another alternative embodiment, the protruding portion 414 may also be arranged at the fourth pivot joint or other positions of the link assembly 4, and the shape of the protruding portion 414 is not limited to that shown in FIG. The shape shown in 24. The structures of other components in this embodiment are the same as those of the components in the second embodiment shown in FIGS. 15-21 , and will not be repeated here.
进一步地,在本发明第四和第五实施例中,所述切换驱动件的结构与第一实施例的切换驱动件不同。具体地,所述切换驱动件相对于所述闭合拉杆组件在所述轴向上固定,且所述切换驱动件可相对于所述闭合拉杆组件在第三方向运动,所述第三方向与所述第一方向或第二方向之间设有一固定夹角。所述连杆组件处于所述第二状态,且所述切换驱动件相对于所述闭合拉杆组件沿所述第三方向运动时,所述切换驱动件驱动所述连杆组件进入所述第一状态,且所述第二枢接部驱动所述闭合拉杆组件和所述切换驱动件向所述第二方向运动,所述闭合拉杆组件可以驱动所述闭合拉片以打开钉头部。因此,通过操作切换驱动件可以驱动连杆组件在不同状态间切换,并且控制闭合拉杆组件沿吻合器的轴向运动, 进而控制钉头部的闭合和打开,结构简单,使用方便。Further, in the fourth and fifth embodiments of the present invention, the structure of the switching driving member is different from that of the first embodiment. Specifically, the switching driving member is fixed in the axial direction relative to the closing rod assembly, and the switching driving member can move in a third direction relative to the closing rod assembly, and the third direction is the same as the closing rod assembly. A fixed angle is set between the first direction or the second direction. When the connecting rod assembly is in the second state, and the switching driving member moves in the third direction relative to the closing rod assembly, the switching driving member drives the connecting rod assembly into the first state, and the second pivotal part drives the closing pull rod assembly and the switching driving member to move in the second direction, and the closing pull rod assembly can drive the closing pull piece to open the nail head. Therefore, by operating the switch drive member, the link assembly can be driven to switch between different states, and the closing rod assembly can be controlled to move axially along the stapler, thereby controlling the closing and opening of the nail head. The structure is simple and easy to use.
如图25~33所示,本发明第四实施例提供了一种用于医用吻合器的闭合切换机构和包括该闭合切换机构的医用吻合器。所述吻合器的主要组成以及所述钉头部的打开闭合状态的切换可以参见第一实施例中结合图1和图2的描述,此处不予赘述。As shown in FIGS. 25-33 , the fourth embodiment of the present invention provides a closing switching mechanism for a medical stapler and a medical stapler including the closing switching mechanism. The main components of the stapler and the switching of the open and closed states of the nail head can be referred to the description in the first embodiment with reference to FIG. 1 and FIG. 2 , and will not be repeated here.
如图25~29所示,所述闭合切换机构包括连杆组件4、切换驱动件7和闭合拉杆组件50。所述连杆组件4包括第一杆41和第二杆42,所述第二杆42位于所述第一杆41的近端侧,所述第一杆41包括第一枢接部412和第三枢接部413,所述第二杆42包括第二枢接部422和第四枢接部423。所述第一杆41和所述第二杆42以及所述闭合拉杆组件50的配合结构与第一实施例相同,此处不予赘述。所述闭合拉杆组件50与所述闭合拉片12的近端侧固定连接,使得所述闭合拉杆组件50的轴向运动可以带动所述闭合拉片12的轴向运动。所述切换驱动件7相对于所述闭合拉杆组件50在吻合器的轴向上固定,并且所述切换驱动件7可相对于所述闭合拉杆组件50沿第七方向运动,所述第七方向与所述第一方向或第二方向之间设有一固定夹角。此处在吻合器的轴向上固定指的是:所述切换驱动件7相对于所述闭合拉杆组件50在轴向上不会发生位移。所述切换驱动件7可以在第一方向和第二方向上运动,所述第一方向和所述第二方向是两个相反的方向。并且所述切换驱动件7沿轴向运动时,所述闭合拉杆组件50也与所述切换驱动件7一起沿轴向运动。As shown in FIGS. 25-29 , the closing switching mechanism includes a link assembly 4 , a switching driving member 7 and a closing pull rod assembly 50 . The link assembly 4 includes a first rod 41 and a second rod 42, the second rod 42 is located on the proximal side of the first rod 41, and the first rod 41 includes a first pivot portion 412 and a second rod 41. Three pivotal joints 413 , the second rod 42 includes a second pivotal joint 422 and a fourth pivotal joint 423 . The matching structure of the first rod 41 and the second rod 42 and the closing rod assembly 50 is the same as that of the first embodiment, and will not be repeated here. The closing rod assembly 50 is fixedly connected to the proximal side of the closing pull piece 12 , so that the axial movement of the closing pull rod assembly 50 can drive the axial movement of the closing pull piece 12 . The switching driving member 7 is fixed in the axial direction of the stapler relative to the closing rod assembly 50, and the switching driving member 7 can move in a seventh direction relative to the closing rod assembly 50, and the seventh direction A fixed angle is set between the first direction or the second direction. Here, being fixed in the axial direction of the stapler means that the switching driving member 7 will not be displaced in the axial direction relative to the closing rod assembly 50 . The switching driving member 7 can move in a first direction and a second direction, and the first direction and the second direction are two opposite directions. And when the switching driving member 7 moves in the axial direction, the closing rod assembly 50 also moves in the axial direction together with the switching driving member 7 .
在该实施例中,所述连杆组件4包括第一状态和第二状态,此两个状态均是相对平衡的两个状态。所述切换驱动件7包括第一位置区域和第二位置区域。如图28和图29所示,初始状态下,所述连杆组件4处于所述第一状态,所述连杆组件4处于一个相对紧凑的状态,即所述第一枢接部412和第二枢接部422之间的轴向距离较小,所述切换驱动件7处于所述第一位置区域。在需要驱动钉头部闭合时,通过驱动所述切换驱动件7朝向第一方向运动,驱动所述闭合拉杆组件50朝向第一方向运动,并驱动所述第二枢接部422朝向第一方向运动,所述第三枢接部413和第四枢接部423相对旋转,所述连杆组件4进入所述第二状态。如图31和图32所示,此时所述连杆组件4进入一个相对舒展的状态,所述第一枢接部412和所述第二枢接部422之间的轴向距离增加,而第一枢接部412相对于吻合器本体1在轴向上没有位移。同时,所述闭合拉杆组件50带动所述闭合拉片12向所述第一方向运动而闭合钉头部。所述切换驱动件7运动至所述第二位置区域时,所述钉头部闭合完成。In this embodiment, the link assembly 4 includes a first state and a second state, both of which are relatively balanced states. The switching drive 7 comprises a first position area and a second position area. As shown in FIG. 28 and FIG. 29 , in the initial state, the linkage assembly 4 is in the first state, and the linkage assembly 4 is in a relatively compact state, that is, the first pivot portion 412 and the second The axial distance between the two pivotal parts 422 is relatively small, and the switching driving member 7 is in the first position area. When it is necessary to drive the nail head to close, by driving the switching drive member 7 to move toward the first direction, the closing rod assembly 50 is driven to move toward the first direction, and the second pivot joint 422 is driven toward the first direction. movement, the third pivot portion 413 and the fourth pivot portion 423 rotate relatively, and the link assembly 4 enters the second state. As shown in FIG. 31 and FIG. 32 , at this time, the connecting rod assembly 4 enters a relatively stretched state, the axial distance between the first pivotal portion 412 and the second pivotal portion 422 increases, and The first pivot portion 412 has no axial displacement relative to the stapler body 1 . At the same time, the closing pull rod assembly 50 drives the closing pull piece 12 to move in the first direction to close the nail head. When the switching driving member 7 moves to the second position area, the nail head is closed.
在所述钉头部闭合后,所述连杆组件4处于相对稳定的所述第二状态,所述切换驱动件7位于所述第二位置区域,此时在所述连杆组件4的作用下,可以保持钉头部闭合的稳定性,并且可以进行吻合器的击发,在吻合器击发时也不会发生闭合拉片12的意外窜动而影响钉头部闭合的稳定性。在吻合器击发完成后,需要打开所述钉头部时,通过操作切换驱动件7相对于所述闭合拉杆组件50沿第七方向运动,驱动所述连杆组件4从第二状态进入第一状态,所述连杆组件4的第二枢接部422驱动闭合拉杆组件50向第二方向运动,所述闭合拉杆组件50可以驱动所述切换驱动件7沿第二方向运动而返回至第一位置区域,同时所述闭合拉杆组件50驱动所述闭合拉片12向远端侧方向运动,以打开钉头部,从而可以实现钉头部的手动打开,结构简单,操作方便。After the nail head is closed, the connecting rod assembly 4 is in the relatively stable second state, and the switching drive member 7 is located in the second position area. In this way, the stability of the closure of the nail head can be maintained, and the firing of the stapler can be performed. When the stapler is fired, the closure tab 12 will not accidentally move and affect the stability of the nail head closure. After the firing of the stapler is completed, when the nail head needs to be opened, the switching drive member 7 is operated to move in the seventh direction relative to the closing pull rod assembly 50 to drive the connecting rod assembly 4 from the second state to the first state. state, the second pivot portion 422 of the link assembly 4 drives the closing rod assembly 50 to move in the second direction, and the closing rod assembly 50 can drive the switching driving member 7 to move in the second direction and return to the first At the same time, the closing pull rod assembly 50 drives the closing pull piece 12 to move toward the distal side to open the nail head, so that the nail head can be opened manually, with simple structure and convenient operation.
下面结合图25~33具体介绍该第四实施例的闭合切换机构的结构及工作原理。在该实施例中,所述第二位置区域位于所述第一位置区域的近端侧。所述第一方向和所述第二方向均为沿吻合器的轴向的方向。具体地,所述第一方向为朝向吻合器的近端侧方向(图25中S1方向),所述第二方向为朝向所述吻合器的远端侧方向(与S1相反的方向)。所述切换驱动件7从第一位置区域向近端侧方向运动时,可以驱动闭合钉头部,所述切换驱动件7从第二位置区域向远端侧方向运动时,可以驱动打开钉头部。所述第一位置区域指的是如图29所示的初始状态下所述切换驱动件7所处的位置区域,所述第二位置区域指的是如图32所示的钉头部闭合完成后,所述切换驱动件7所处的位置区域。The structure and working principle of the closing switching mechanism of the fourth embodiment will be described in detail below with reference to FIGS. 25-33 . In this embodiment, the second location area is located proximally of the first location area. Both the first direction and the second direction are along the axial direction of the stapler. Specifically, the first direction is toward the proximal side of the stapler (direction S1 in FIG. 25 ), and the second direction is toward the distal side of the stapler (direction opposite to S1). When the switching driving member 7 moves from the first position area to the proximal side, it can drive the nail head to close, and when the switching driving member 7 moves from the second position area to the distal side, it can drive the nail head to open. department. The first position area refers to the position area where the switching drive member 7 is located in the initial state as shown in Figure 29, and the second position area refers to the completion of the nail head closure as shown in Figure 32 Afterwards, the position area where the driving member 7 is located is switched.
如图25~29所示,所述闭合切换机构还包括连接杆18。所述闭合拉片12穿设于所述连接杆18的内部。在该实施例中,所述第七方向为在图25的视角中从上向下的方向,即对于第三枢接部413和第四枢接部423来说,朝远离所述连接杆18的方向。所述第七方向与所述第一方向之间的夹角为直角或近似于直角的角度,所述切换驱动件7相对于所述闭合拉杆组件50沿上下方向运动。此处定义一第三方向,所述第三方向为在图25的视角中从下向上的方向,即对于第三枢接部413和第四枢接部423来说,朝向靠近所述连接杆18的方向。所述第三方向和所述第五方向都是垂直于吻合器的轴向的方向,此处定义为纵向,且两者方向相反。如图29所示,为该实施例的初始状态下所述闭合切换机构的结构示意图。在图29的状态下,所述第三枢接部413和所述第四枢接部423处于一个相对远离所述连接杆18的位置,所述连杆组件4处于一个相对稳定的第一状态,所述第一枢接部412和所述第二枢接部422之间的轴向距离较小。所述切换驱动件7处于所述第一位置区域。As shown in FIGS. 25-29 , the closing switching mechanism further includes a connecting rod 18 . The closing pull piece 12 passes through the inside of the connecting rod 18 . In this embodiment, the seventh direction is the direction from top to bottom in the viewing angle of FIG. direction. The included angle between the seventh direction and the first direction is a right angle or an angle close to a right angle, and the switching driving member 7 moves in an up and down direction relative to the closing rod assembly 50 . A third direction is defined here, and the third direction is the direction from bottom to top in the viewing angle of FIG. 18 directions. Both the third direction and the fifth direction are perpendicular to the axial direction of the stapler, defined here as the longitudinal direction, and the two directions are opposite. As shown in FIG. 29 , it is a schematic structural diagram of the closing switching mechanism in the initial state of this embodiment. In the state of FIG. 29 , the third pivotal portion 413 and the fourth pivotal portion 423 are in a position relatively far away from the connecting rod 18, and the connecting rod assembly 4 is in a relatively stable first state. , the axial distance between the first pivotal portion 412 and the second pivotal portion 422 is small. The switching drive 7 is in the first position range.
如图29和图30所示,所述切换驱动件7包括操作部73、第一驱动部72、第一连接部和连接配合部76。所述操作部73连接于所述第一连接部。在该实施例中,所述第一连接部为第一外套部71。所述壳体13对应设有容纳所述操作部73的容纳槽,所述操作部13部分进入所述容纳槽内部,可相对于所述容纳槽运动,并且突出于所述吻合器本体1的壳体13外表面,以方便操作者使用。所述第一外套部71套设于所述闭合拉杆组件50的外部,且可相对于所述连接杆18轴向运动。所述第一驱动部72和所述连接配合部76位于所述第一外套部71朝向所述连杆组件4的一侧,所述连接配合部76位于所述第一驱动部72的近端侧。所述第一杆41的第三枢接部413处设置有第二驱动部46。初始状态下,所述第二驱动部46随所述第三枢接部413位于一个相对远离所述连接杆18的位置,不会与所述第一驱动部72有接触,所述第一驱动部72也就不会向所述第二驱动部46施加作用力。在该实施例中,所述第二驱动部46与所述第二销轴一体设置,即所述第二驱动部46部分穿设于所述第三枢接部413和第四枢接部423中,使得所述第三枢接部413和第四枢接部423枢转地连接,所述第二驱动部46部分突出于所述第三枢接部413和第四枢接部423的外表面,与所述第一驱动部72相对设置。As shown in FIG. 29 and FIG. 30 , the switching driving member 7 includes an operating part 73 , a first driving part 72 , a first connecting part and a connecting matching part 76 . The operation part 73 is connected to the first connection part. In this embodiment, the first connecting portion is the first outer casing portion 71 . The housing 13 is correspondingly provided with an accommodating groove for accommodating the operating portion 73 , the operating portion 13 partially enters the interior of the accommodating groove, is movable relative to the accommodating groove, and protrudes beyond the end of the stapler body 1 . The outer surface of the housing 13 is convenient for the operator to use. The first sleeve portion 71 is sheathed on the outside of the closing rod assembly 50 and can move axially relative to the connecting rod 18 . The first driving part 72 and the connecting fitting part 76 are located on the side of the first outer sleeve part 71 facing the link assembly 4 , and the connecting fitting part 76 is located at the proximal end of the first driving part 72 side. A second driving portion 46 is disposed at the third pivot portion 413 of the first rod 41 . In the initial state, the second driving part 46 is located at a position relatively away from the connecting rod 18 along with the third pivot part 413, and will not contact the first driving part 72, and the first driving part 72 The portion 72 will not apply force to the second driving portion 46 . In this embodiment, the second driving part 46 is integrated with the second pin, that is, the second driving part 46 is partly passed through the third pivot part 413 and the fourth pivot part 423 , so that the third pivotal part 413 and the fourth pivotal part 423 are pivotally connected, and the part of the second driving part 46 protrudes from the outside of the third pivotal part 413 and the fourth pivotal part 423 The surface is opposite to the first driving part 72 .
如图25、图27和图30所示,所述闭合拉杆组件50包括第二外套部501和第三驱动部502。所述第二外套部501套设于所述连接杆18的外部,所述第二外套部501包括远端部分和近端部分,其远端部分的外径小于近端部分的外径,所述第二外套部501的远端 部分和近端部分之间设置有切换配合面5013。所述第二外套部501的远端部分至少部分穿设于所述切换配合件7的第一外套部71的内部,所述第二外套部501的切换配合面5013与所述第一外套部71的近端面相配合。优选地,所述第一外套部71的近端面与所述第二外套部501的切换配合面5013相互抵持。所述第二外套部501的远端侧设置有通孔5011,通过所述第二外套部501的通孔5011中穿过的连接销19可以将所述第二外套部501的远端侧与所述闭合拉片12的近端侧固定连接。所述第三驱动部502的第一端枢转连接于所述第二杆42的第二枢接部422,所述第三驱动部502的第二端与所述第二外套部501连接。所述第三驱动部502的侧面设置有一个或两个引导部5021。所述吻合器本体1的壳体13内表面设置有一个或两个引导槽131,所述引导槽131沿轴向方向延伸,所述引导部5021至少部分进入所述引导槽131中,且可沿所述引导槽131的延伸方向运动。通过所述引导部5021和所述引导槽131的配合限定所述闭合拉杆组件5只有沿轴向方向的运动。在其他可替代的实施方式中,也可以在所述吻合器本体1的壳体13内表面设置引导部,在所述第三驱动部502的侧面设置引导槽,也属于本发明的保护范围之内。As shown in FIG. 25 , FIG. 27 and FIG. 30 , the closing rod assembly 50 includes a second outer casing part 501 and a third driving part 502 . The second sheath portion 501 is sheathed on the outside of the connecting rod 18, the second sheath portion 501 includes a distal portion and a proximal portion, the outer diameter of the distal portion is smaller than the outer diameter of the proximal portion, so A switching mating surface 5013 is provided between the distal portion and the proximal portion of the second sheath portion 501 . The distal end portion of the second sheath portion 501 is at least partially passed through the inside of the first sheath portion 71 of the switching fitting 7 , and the switching mating surface 5013 of the second sheathing portion 501 is in contact with the first sheathing portion. 71 of the proximal surface to match. Preferably, the proximal surface of the first sheath part 71 and the switching mating surface 5013 of the second sheath part 501 abut against each other. The distal side of the second sheath part 501 is provided with a through hole 5011, and the connecting pin 19 passed through the through hole 5011 of the second sheath part 501 can connect the distal side of the second sheath part 501 with the The proximal side of the closure pull tab 12 is fixedly connected. A first end of the third driving part 502 is pivotally connected to the second pivot part 422 of the second rod 42 , and a second end of the third driving part 502 is connected to the second outer sleeve part 501 . One or two guiding parts 5021 are provided on the side of the third driving part 502 . The inner surface of the shell 13 of the stapler body 1 is provided with one or two guide grooves 131, the guide grooves 131 extend in the axial direction, the guide part 5021 at least partially enters the guide grooves 131, and can Move along the extending direction of the guide groove 131 . The cooperation of the guide portion 5021 and the guide groove 131 limits the movement of the closing pull rod assembly 5 only in the axial direction. In other alternative embodiments, a guide part may also be provided on the inner surface of the casing 13 of the stapler body 1, and a guide groove may be provided on the side of the third driving part 502, which also belongs to the protection scope of the present invention. Inside.
如图29和图30所示,所述切换驱动件7和所述闭合拉杆组件50通过凸柱和滑槽的配合相连接。具体地,所述连接配合部76上设置有滑槽761,所述滑槽761沿第七方向延伸,所述第三驱动部502上设置有凸柱503,所述凸柱503至少部分进入所述滑槽761的内部,且可沿所述滑槽761的延伸方向运动,即所述凸柱503可相对于所述滑槽761沿所述吻合器的纵向运动。所述滑槽761包括第一段7611和第二段7612,所述第一段7611位于所述第二段7612的下方。在如图29所示的初始状态下,所述凸柱503位于所述滑槽761的第一段7611。通过操作部73操作切换驱动件7向下运动时,所述凸柱503进入所述滑槽761的第二段7612。在另一可替代的实施方式中,所述凸柱503也可以设置于所述第二外套部501上,在再一实施方式中,也可以是所述连接配合部76上设置凸柱,所述第三驱动部502或所述第二外套部501设置沿第七方向延伸的滑槽,所述凸柱至少部分进入所述滑槽中。As shown in FIG. 29 and FIG. 30 , the switch driving member 7 and the closing rod assembly 50 are connected through the cooperation of the boss and the sliding groove. Specifically, the connecting and matching part 76 is provided with a sliding slot 761, and the sliding slot 761 extends along the seventh direction, and the third driving part 502 is provided with a protruding post 503, and the protruding post 503 at least partially enters the The inside of the chute 761 and can move along the extending direction of the chute 761 , that is, the protrusion 503 can move relative to the chute 761 along the longitudinal direction of the stapler. The chute 761 includes a first section 7611 and a second section 7612 , the first section 7611 is located below the second section 7612 . In the initial state shown in FIG. 29 , the protrusion 503 is located at the first section 7611 of the slide groove 761 . When the switching driving member 7 is operated to move downward by the operating portion 73 , the protrusion 503 enters the second section 7612 of the slide groove 761 . In another alternative embodiment, the boss 503 can also be arranged on the second outer casing part 501, and in yet another embodiment, the boss 503 can also be arranged on the connection matching part 76, so The third driving part 502 or the second outer casing part 501 is provided with a chute extending along the seventh direction, and the protrusion at least partially enters the chute.
如图25和图29所示,所述吻合器本体1的壳体13内部设置有止挡部14,所述止挡部14位于所述第二外套部501的近端侧。所述闭合拉杆组件50与所述止挡部14之间设置有闭合偏置件,所述闭合偏置件给所述闭合拉杆组件50一朝向远端侧方向的第一偏置力。在该实施例中,所述闭合偏置件为一个闭合复位弹簧61,并且可选为设置于所述闭合拉杆组件50的第二外套部501和所述止挡部14之间的压簧。在其他可替代的实施方式中,所述闭合偏置件也可以为弹片、设置于所述闭合拉杆组件50的远端侧的拉簧或其他类型的弹性件。As shown in FIG. 25 and FIG. 29 , the housing 13 of the stapler body 1 is provided with a stopper 14 inside, and the stopper 14 is located on the proximal side of the second outer sleeve 501 . A closing biasing member is disposed between the closing rod assembly 50 and the stopper portion 14 , and the closing biasing member gives the closing rod assembly 50 a first biasing force toward the distal side. In this embodiment, the closing biasing member is a closing return spring 61 , and can optionally be a compression spring disposed between the second outer sleeve portion 501 of the closing rod assembly 50 and the stopper portion 14 . In other alternative implementations, the closing biasing member may also be an elastic piece, a tension spring disposed on the distal side of the closing rod assembly 50 or other types of elastic members.
在图29示出的状态下,所述连杆组件4处于所述第一状态时,所述闭合复位弹簧61基本上不发生变形或者只发生较小的变形。在所述闭合复位弹簧61的第一偏置力的作用下,所述闭合拉杆组件50被保持在初始位置,且将所述切换驱动件7保持在所述第一位置区域。通过所述闭合复位弹簧61,可以进一步保持在未受到外力作用时,所述闭合切换机构的状态稳定性。In the state shown in FIG. 29 , when the connecting rod assembly 4 is in the first state, the closing return spring 61 basically does not deform or only slightly deforms. Under the action of the first biasing force of the closing return spring 61 , the closing pull rod assembly 50 is kept at the initial position, and the switching driving member 7 is kept in the first position area. By means of the closing return spring 61 , the state stability of the closing switch mechanism can be further maintained when no external force is applied.
在图29示出的状态下,操作所述切换驱动件7的操作部73,使得所述切换驱动件7 从第一位置区域向近端侧方向运动,所述切换驱动件7的连接配合部76的滑槽761与凸柱503配合而驱动所述第三驱动部502向近端侧方向运动。并且由于所述第二外套部501的所述切换配合面5013与所述第一外套部71的近端面配合,所述第一外套部71也可以作用于所述切换配合面5013,由此实现所述切换驱动件7给闭合拉杆组件50施加一个向近端侧方向的更均匀的作用力,驱动所述闭合拉杆组件50沿第一方向运动,即向吻合器的近端侧方向运动。所述闭合拉杆组件50通过所述第三驱动部502驱动所述第二枢接部422沿所述第一方向运动。所述第三枢接部413和所述第四枢接部423沿第三方向运动,即向上运动而靠近所述连接杆18,所述第一杆41绕所述第一枢轴43逆时针旋转,所述第二杆42绕所述第三枢轴45顺时针旋转,所述连杆组件4进入所述第二状态,所述第一枢接部412和第二枢接部422之间的轴向距离增加。此时,所述连杆组件4的状态如图31所示,所述闭合切换机构的状态如图32所示。比较图32和图29可以看出,所述切换驱动件7向近端侧方向运动至第二位置区域,所述闭合拉杆组件50压缩所述闭合复位弹簧61产生弹性变形。同时,由于所述第三驱动部502向近端侧方向运动,所述第二外套部501驱动闭合拉片12向近端侧方向运动,闭合钉头部。在图32的状态下,所述第一驱动部72位于所述第二驱动部46朝向所述连接杆18的一侧,且所述第一驱动部72与所述第二驱动部46相对的表面之间在纵向方向(即S2方向)上优选有一定的高度间隙,因此所述第一驱动部72不会作用于所述第二驱动部46。此处,所述第一驱动部72与所述第二驱动部46相对的表面之间即指的所述第一驱动部72的下表面和所述第二驱动部46的上表面之间。此时,所述连杆组件4处于一个比较稳定的第二状态,并且在所述连杆组件4的作用下,所述闭合拉杆组件50和所述切换驱动件7也处于一个比较稳定的状态,从而保持所述钉头部闭合后的稳定性。此时握持击发把手3,可以通过驱动吻合器本体内的齿条(例如参照第一实施例的图3中齿条21)而击发吻合器。In the state shown in FIG. 29 , the operating portion 73 of the switching drive member 7 is operated, so that the switch drive member 7 moves from the first position area to the proximal side, and the connection matching portion of the switch drive member 7 The sliding groove 761 of 76 cooperates with the boss 503 to drive the third driving part 502 to move toward the proximal side. And because the switching mating surface 5013 of the second sheathing part 501 cooperates with the proximal end surface of the first sheathing part 71, the first sheathing part 71 can also act on the switching mating surface 5013, thus The switching driving member 7 applies a more uniform force toward the proximal side to the closing rod assembly 50, and drives the closing rod assembly 50 to move in the first direction, that is, to move toward the proximal side of the stapler. The closing rod assembly 50 drives the second pivoting part 422 to move along the first direction through the third driving part 502 . The third pivotal part 413 and the fourth pivotal part 423 move along the third direction, that is, move upwards and approach the connecting rod 18 , and the first rod 41 goes counterclockwise around the first pivot 43 Rotate, the second lever 42 rotates clockwise around the third pivot 45, the linkage assembly 4 enters the second state, the first pivot 412 and the second pivot 422 The axial distance increases. At this time, the state of the link assembly 4 is shown in FIG. 31 , and the state of the closing switching mechanism is shown in FIG. 32 . Comparing FIG. 32 and FIG. 29 , it can be seen that the switching driving member 7 moves to the proximal direction to the second position area, and the closing rod assembly 50 compresses the closing return spring 61 to generate elastic deformation. At the same time, because the third driving part 502 moves toward the proximal side, the second outer sleeve part 501 drives the closing pull tab 12 to move toward the proximal side, closing the nail head. In the state of FIG. 32 , the first driving part 72 is located on the side of the second driving part 46 facing the connecting rod 18 , and the first driving part 72 is opposite to the second driving part 46 There is preferably a certain height gap between the surfaces in the longitudinal direction (ie, S2 direction), so that the first driving part 72 will not act on the second driving part 46 . Here, between the surfaces of the first driving part 72 and the second driving part 46 means between the lower surface of the first driving part 72 and the upper surface of the second driving part 46 . At this time, the connecting rod assembly 4 is in a relatively stable second state, and under the action of the connecting rod assembly 4, the closing pull rod assembly 50 and the switching driving member 7 are also in a relatively stable state , so as to maintain the stability of the nail head after it is closed. At this time, the firing handle 3 is held, and the stapler can be fired by driving the rack in the stapler body (for example, referring to the rack 21 in FIG. 3 of the first embodiment).
如图30所示,所述第一杆41的第三枢接部413设置有所述第二驱动部46,所述切换驱动件7包括两个第一驱动部72,两个所述第一驱动部72相对于所述吻合器的轴向对称设置。所述第二驱动部46的两端突出于所述枢接部413的左右两侧外表面,并与两个所述第一驱动部72相对设置。所述第一驱动部72朝向所述第二驱动部46的一侧优选为平行于轴向的平面。所述引导部5021为设置于所述第三驱动部502的侧面的凸条,且所述第三驱动部502的左右两侧均可以设置一个所述引导部5021。所述第三驱动部502的远端侧设置有第一配合孔5022,用于安装所述第三销轴45。所述第三驱动部502包括第一腔体5024,所述第二杆42至少部分进入到所述第三驱动部502的第一腔体5024中。进一步地,所述第二杆42朝向所述连接杆18的一侧设置有让位槽424,所述连杆组件4处于第二状态时,所述第二外套部501的底部5015部分进入所述让位槽424中。As shown in FIG. 30 , the third pivotal portion 413 of the first lever 41 is provided with the second drive portion 46 , the switching drive member 7 includes two first drive portions 72 , and the two first drive portions 72 The driving part 72 is arranged symmetrically with respect to the axial direction of the stapler. Both ends of the second driving part 46 protrude from the outer surfaces of the left and right sides of the pivot joint part 413 and are opposite to the two first driving parts 72 . The side of the first driving part 72 facing the second driving part 46 is preferably a plane parallel to the axial direction. The guide part 5021 is a convex line provided on the side of the third drive part 502 , and one guide part 5021 can be provided on the left and right sides of the third drive part 502 . The distal side of the third driving part 502 is provided with a first matching hole 5022 for installing the third pin shaft 45 . The third driving part 502 includes a first cavity 5024 , and the second rod 42 at least partially enters into the first cavity 5024 of the third driving part 502 . Further, the side of the second rod 42 facing the connecting rod 18 is provided with a relief groove 424, when the connecting rod assembly 4 is in the second state, the bottom 5015 of the second outer sleeve part 501 partially enters the connecting rod 18. In the step-off slot 424 mentioned above.
在其他可替代的实施方式中,所述第一驱动部72的数量也不限于两个,例如仅设置一个第一驱动部72。所述闭合复位弹簧61和所述切换复位弹簧62的安装位置和方式也可以不同于该实施例。在其他可替代的实施方式中,所述第二驱动部46也可以设置于所述第四枢接部423,或者设置于所述第一杆41或第二杆42的其他位置,只要满足第二驱动部46向下运动时可以带动第三枢接部413和第四枢接部423向下运动即可,或者,所 述第二驱动部46也可以不与所述第二销轴一体设置,而单独设置一个第二销轴以及一个或多个第二驱动部46。在其他可替代的实施方式中,所述引导部5021也可以设置为一个凸台或其他结构。In other alternative implementations, the number of the first driving part 72 is not limited to two, for example, only one first driving part 72 is provided. The installation position and manner of the closing return spring 61 and the switching return spring 62 may also be different from this embodiment. In other alternative embodiments, the second driving part 46 can also be arranged on the fourth pivotal part 423, or on other positions of the first rod 41 or the second rod 42, as long as the first rod 41 or the second rod 42 is satisfied. When the second driving part 46 moves downward, it only needs to drive the third pivotal part 413 and the fourth pivotal part 423 to move downward, or the second driving part 46 may not be integrated with the second pin. , and a second pin shaft and one or more second driving parts 46 are provided separately. In other alternative implementation manners, the guide part 5021 may also be set as a boss or other structures.
如图30和图32所示,所述切换驱动件7和所述闭合拉杆组件50之间设置有切换偏置件,所述切换驱动件7第七方向运动时,所述切换偏置件发生弹性变形,给所述切换驱动件7一个沿第三方向的第二偏置力。具体地,所述切换驱动件7的连接配合部76的表面设置有一个第二弹簧安装部74,所述闭合拉杆组件50设置有一个凸柱,所述切换偏置件为一个切换复位弹簧62,且可选为拉簧。所述切换复位弹簧62的两端分别安装于第二弹簧安装部74和凸柱上。在该实施例中,设置于所述闭合拉杆组件50的凸柱即为与所述滑槽761配合的凸柱503,所述第二弹簧安装部74为设置于所述连接配合部76的柱体,所述第二弹簧安装部74位于所述凸柱503的下方。切换复位弹簧62的两端分别挂在凸柱503和第二弹簧配合部74上。在该实施例中,设置有两个所述切换偏置件,两个切换偏置件相对于吻合器的轴向对称设置,以更均匀地作用于切换驱动件7。但本发明不限于此,在其他可替代的实施方式中,例如也可以只设置一个切换偏置件或设置更多切换偏置件等。在其他可替代的实施方式中,设置于所述闭合拉杆组件503的弹簧安装部和凸柱503也可以是两个分离的独立件。在另一可替代的实施方式中,所述切换偏置件为拉簧或压簧,且两端固定于所述切换驱动件7和所述闭合拉杆组件50的其他位置。As shown in Fig. 30 and Fig. 32, a switching biasing member is provided between the switching driving member 7 and the closing rod assembly 50, and when the switching driving member 7 moves in the seventh direction, the switching biasing member The elastic deformation gives the switching driving member 7 a second biasing force along the third direction. Specifically, a second spring mounting portion 74 is provided on the surface of the connecting fitting portion 76 of the switching driving member 7, a protrusion is provided on the closing rod assembly 50, and a switching return spring 62 is provided as the switching biasing member. , and can optionally be a tension spring. Two ends of the switching return spring 62 are installed on the second spring installation portion 74 and the boss respectively. In this embodiment, the protruding post provided on the closing rod assembly 50 is the protruding post 503 matched with the slide groove 761 , and the second spring installation part 74 is a post provided on the connecting fitting part 76 Body, the second spring mounting portion 74 is located below the boss 503 . Both ends of the switching return spring 62 are respectively hung on the boss 503 and the second spring matching portion 74 . In this embodiment, two switching biasing members are provided, and the two switching biasing members are arranged symmetrically with respect to the axial direction of the stapler so as to act on the switching driving member 7 more uniformly. However, the present invention is not limited thereto. In other alternative implementation manners, for example, only one switching bias member or more switching bias members may be provided. In other alternative embodiments, the spring mounting part and the protruding post 503 provided on the closing rod assembly 503 may also be two separate independent parts. In another alternative embodiment, the switching biasing member is a tension spring or a pressing spring, and both ends are fixed to other positions of the switching driving member 7 and the closing pull rod assembly 50 .
在图32示出的状态下,可以通过握持击发把手3进行吻合器的击发。在吻合器击发的过程中,在连杆组件4自身的稳定状态作用下,所述连杆组件4、闭合拉杆组件50和切换驱动件7的状态不会改变,即所述连杆组件4保持在第二状态,所述切换驱动件7保持在第二位置区域,所述闭合拉片12不会发生意外的轴向窜动,保持钉头部稳定的闭合。In the state shown in FIG. 32 , the stapler can be fired by holding the firing handle 3 . During the firing process of the stapler, under the action of the stable state of the link assembly 4 itself, the states of the link assembly 4, the closing rod assembly 50 and the switching drive member 7 will not change, that is, the link assembly 4 remains In the second state, the switching driving member 7 remains in the second position area, and the closing pull piece 12 will not move accidentally in the axial direction, so as to keep the nail head closed stably.
如图33所示,在吻合器击发完成后,需要打开钉头部时,操作者操作突出于壳体13外部的操作部73,驱动其向第七方向运动,即在图32的视角中,驱动切换驱动件7向下运动(沿与S2方向相反的方向运动),所述第一驱动部72向远离所述连接杆18的方向(沿第七方向)压迫所述第二驱动部46,使得所述第二驱动部46带动所述第三枢接部413和第四枢接部423向远离所述连接杆18的方向运动,使得所述连杆组件4进入所述第一状态。在连杆组件4从第二状态重新返回到第一状态的过程中,在图33的视角中,所述第一杆41绕所述第一枢轴43顺时针旋转,所述第二杆42绕所述第二枢轴44逆时针旋转,所述第二枢接部422向第二方向运动,即向吻合器的远端侧方向运动,所述第二枢接部422驱动所述第三驱动部502向远端侧方向运动。由于闭合拉杆组件50和切换驱动件7通过凸柱503和滑槽761在轴向上相对固定,并且闭合拉杆组件50的切换配合面5013与切换驱动件7的近端面抵持,所述闭合拉杆组件50进而带动所述切换驱动件7也向远端侧方向运动至所述第一位置区域。同时,所述第二外套部501驱动所述闭合拉片12向远端侧方向运动,可以打开钉头部。所述闭合复位弹簧61也恢复到初始状态,且所述闭合复位弹簧61的第一偏置力也进一步保证所述闭合拉杆组件50可以返回到初始位置。此时,所述闭合切换机构的状态如图33所示。As shown in FIG. 33 , after the firing of the stapler is completed, when the nail head needs to be opened, the operator operates the operating part 73 protruding from the outside of the housing 13 to drive it to move in the seventh direction, that is, in the perspective of FIG. 32 , The driving switch driving member 7 moves downward (moves in the direction opposite to the S2 direction), and the first driving part 72 presses the second driving part 46 in a direction away from the connecting rod 18 (along the seventh direction), The second driving part 46 drives the third pivot part 413 and the fourth pivot part 423 to move away from the connecting rod 18 , so that the link assembly 4 enters the first state. In the process of the link assembly 4 returning from the second state to the first state, in the perspective of FIG. Rotate counterclockwise around the second pivot 44, the second pivot part 422 moves in the second direction, that is, moves toward the distal side of the stapler, and the second pivot part 422 drives the third The driving part 502 moves in the direction of the distal end. Since the closing rod assembly 50 and the switch driving member 7 are relatively fixed in the axial direction through the boss 503 and the sliding groove 761, and the switching mating surface 5013 of the closing rod assembly 50 is opposed to the proximal surface of the switching driving member 7, the closing The pull rod assembly 50 further drives the switching driving member 7 to also move in the direction of the distal end to the first position area. At the same time, the second jacket part 501 drives the closing pull tab 12 to move toward the distal side, so as to open the nail head. The closing return spring 61 also returns to the initial state, and the first biasing force of the closing return spring 61 further ensures that the closing pull rod assembly 50 can return to the initial position. At this time, the state of the closed switching mechanism is shown in FIG. 33 .
因此,在吻合器击发完成后,通过操作切换驱动件7的操作部73向第七方向运动, 即可以驱动连杆组件4从第二状态进入第一状态,驱动闭合拉杆组件50向远端侧方向运动,以打开钉头部,从而可以实现钉头部的手动打开,结构简单,操作方便。Therefore, after the firing of the stapler is completed, by operating the operating portion 73 of the switching drive member 7 to move in the seventh direction, the link assembly 4 can be driven from the second state to the first state, and the closing rod assembly 50 can be driven to the distal end side. direction movement to open the nail head, so that the manual opening of the nail head can be realized, the structure is simple, and the operation is convenient.
在图33的状态下,所述滑槽761整体相对于所述凸柱503向下运动,所述凸柱503进入到所述滑槽761的第二段7612。所述凸柱503和所述弹簧安装部74之间的距离增加,所述切换复位弹簧62被拉长而发生弹性变形。此时,操作者松开所述操作部73,所述操作部73失去外力作用。在所述切换复位弹簧62的第二偏置力作用下,所述切换驱动件7又沿着第三方向运动(即向上运动)返回到初始位置(即图29中示出的切换驱动件7的位置和状态),所述凸柱503重新进入所述滑槽761的第一段7611。In the state of FIG. 33 , the sliding slot 761 moves downward relative to the protruding post 503 as a whole, and the protruding post 503 enters into the second section 7612 of the sliding slot 761 . As the distance between the boss 503 and the spring mounting portion 74 increases, the switching return spring 62 is elongated and elastically deformed. At this time, the operator releases the operation part 73, and the operation part 73 loses the effect of external force. Under the action of the second biasing force of the switching return spring 62, the switching driving member 7 moves along the third direction (that is, moves upward) and returns to the initial position (that is, the switching driving member 7 shown in FIG. 29 position and state), the boss 503 re-enters the first section 7611 of the slide groove 761 .
如图34~38所示,为本发明第五实施例的闭合切换机构的结构示意图。该第五实施例与第四实施例的区别在于:在第五实施例中,所述切换驱动件7驱动钉头部打开时的移动方向与第四实施例不同。在第五实施例中,第七方向的定义与第四实施例相反。在图34的视角中,S2方向为第七方向,即向上的方向,与S2方向相反的方向为第四方向,即向下的方向。所述连杆组件4处于第二状态且所述切换驱动件7沿第七方向运动时,所述切换驱动件7向上将所述第二驱动部46抬起,使得所述第三枢接部413和第四枢接部423向下运动(沿第四方向运动),而向远离连接杆18的方向运动,进入第一状态。As shown in FIGS. 34 to 38 , they are structural schematic diagrams of the closing switching mechanism of the fifth embodiment of the present invention. The difference between the fifth embodiment and the fourth embodiment is that: in the fifth embodiment, the moving direction when the switching driving member 7 drives the nail head to open is different from that of the fourth embodiment. In the fifth embodiment, the definition of the seventh direction is opposite to that of the fourth embodiment. In the viewing angle of FIG. 34 , the direction S2 is the seventh direction, that is, the upward direction, and the direction opposite to the direction S2 is the fourth direction, that is, the downward direction. When the link assembly 4 is in the second state and the switching driving member 7 moves in the seventh direction, the switching driving member 7 lifts the second driving part 46 upward, so that the third pivotal part 413 and the fourth pivot portion 423 move downwards (moving along the fourth direction), and move away from the connecting rod 18 to enter the first state.
下面结合图34~38具体介绍第五实施例的闭合切换机构的结构和工作远离。如图34所示,为该实施例的连杆组件4处于第一状态时闭合切换机构的结构示意图。在该实施例中,所述切换驱动件7位于第一位置区域。所述切换驱动件7位于所述第二外套部501的近端侧,且所述切换驱动件7和所述闭合拉杆组件50在轴向上的相对位置不会发生变化。所述切换驱动件7的第一外套部71套设于所述连接杆18的外部,所述切换驱动件7的连接配合部76和所述第三驱动件50通过滑槽761和凸柱503的连接实现轴向的相对固定。所述凸柱503位于所述滑槽761的第二段7612(标识于图37),所述弹簧安装部74位于所述凸柱503的上方。在图34的状态下,通过操作部73驱动切换驱动件7向近端侧方向运动至第二位置区域,驱动闭合拉杆组件50向近端侧方向运动,所述第三驱动部502驱动第二枢接部422向近端侧方向运动,驱动连杆组件4进入第一状态,所述第二外套部501压缩闭合复位弹簧61产生弹性变形,同时驱动闭合拉片12向近端侧方向运动,闭合钉头部。此时,所述闭合切换机构处于如图35示出的状态。The structure and working distance of the closing switching mechanism of the fifth embodiment will be described in detail below with reference to FIGS. 34 to 38 . As shown in FIG. 34 , it is a schematic structural diagram of the closing switching mechanism when the link assembly 4 of this embodiment is in the first state. In this exemplary embodiment, the switching drive 7 is located in the first position area. The switching driving member 7 is located on the proximal side of the second outer sleeve portion 501 , and the relative positions of the switching driving member 7 and the closing rod assembly 50 in the axial direction will not change. The first outer sleeve portion 71 of the switching driving member 7 is sheathed on the outside of the connecting rod 18 , and the connecting matching portion 76 of the switching driving member 7 and the third driving member 50 pass through the sliding groove 761 and the protrusion 503 The connection realizes the relative fixation in the axial direction. The protrusion 503 is located at the second section 7612 of the slide groove 761 (marked in FIG. 37 ), and the spring mounting portion 74 is located above the protrusion 503 . In the state shown in FIG. 34 , the operating part 73 drives the switching driving member 7 to move to the second position in the direction of the proximal side, and drives the closing rod assembly 50 to move in the direction of the proximal side, and the third driving part 502 drives the second The pivoting part 422 moves toward the proximal side, drives the link assembly 4 to enter the first state, and the second outer sleeve part 501 compresses the closing return spring 61 to generate elastic deformation, and simultaneously drives the closing pull piece 12 to move toward the proximal side, Close the nail head. At this time, the closed switching mechanism is in the state shown in FIG. 35 .
如图36和图37所示,在第五实施例中,所述第二驱动部46设置于所述第二枢接部422,并且所述第二驱动部46和所述第四枢接部423分别位于所述第三销轴45的两侧。因此该实施例中,所述第二驱动部46不再与第二销轴44一体设置。如图36所示,所述第二驱动部46位于所述第三销轴45的近端侧,所述第四枢接部423位于所述第三销轴45的远端侧,所述第二杆42形成了一个可相对于所述第三销轴45旋转的杠杆结构。因此,所述连杆组件4从第一状态进入第二状态时,所述第四枢接部423朝向靠近所述连接杆18的方向运动,所述第二枢接部422相对于所述第三销轴45顺时针旋转,使得所述第二驱动部46朝远离所述连接杆18的方向运动。而所述第二驱动部46朝向靠近所述连接杆18的方向运动时,所述第二枢接部422相对于所述第三销轴45逆时针旋转,使得所述第四枢接部423向远离所述连接杆18的方向运动。As shown in Fig. 36 and Fig. 37, in the fifth embodiment, the second drive part 46 is arranged on the second pivot part 422, and the second drive part 46 and the fourth pivot part 423 are respectively located on both sides of the third pin shaft 45 . Therefore, in this embodiment, the second driving part 46 is no longer integrated with the second pin shaft 44 . As shown in FIG. 36 , the second driving part 46 is located on the proximal side of the third pin shaft 45, the fourth pivot joint 423 is located on the distal side of the third pin shaft 45, and the first The two rods 42 form a lever structure that can rotate relative to the third pin shaft 45 . Therefore, when the connecting rod assembly 4 enters the second state from the first state, the fourth pivotal portion 423 moves toward the direction close to the connecting rod 18 , and the second pivotal portion 422 moves relative to the first The three-pin shaft 45 rotates clockwise, so that the second driving part 46 moves away from the connecting rod 18 . When the second driving part 46 moves towards the direction close to the connecting rod 18, the second pivot part 422 rotates counterclockwise relative to the third pin shaft 45, so that the fourth pivot part 423 Move in a direction away from the connecting rod 18 .
如图36和图37所示,在第五实施例中,所述切换驱动件7包括两个侧壁,所述两个侧壁分别位于所述第三驱动部502的两侧,所述第一驱动部72为连接于所述切换驱动件7的两个侧壁之间的第四销轴。所述第二驱动部46远离所述连接杆的一侧设置有配合槽425。所述连杆组件4处于所述第一状态时,所述第二驱动部46位于所述第一驱动部72朝向所述连接杆18的一侧,且所述第二驱动部46的下表面与所述第一驱动部72的上表面之间有一定的高度间隙,使得所述第一驱动部72不会作用于所述第二驱动部46。所述连杆组件4处于所述第二状态时,所述第一驱动部72至少部分进入所述配合槽425中,以与所述第二驱动部46形成相对稳定的配合。As shown in FIG. 36 and FIG. 37 , in the fifth embodiment, the switching driving member 7 includes two side walls, and the two side walls are respectively located on both sides of the third driving part 502 , and the first A driving portion 72 is a fourth pin connected between two side walls of the switching driving member 7 . A matching groove 425 is disposed on a side of the second driving portion 46 away from the connecting rod. When the connecting rod assembly 4 is in the first state, the second driving part 46 is located on the side of the first driving part 72 facing the connecting rod 18 , and the lower surface of the second driving part 46 There is a certain height gap between the upper surface of the first driving part 72 , so that the first driving part 72 will not act on the second driving part 46 . When the connecting rod assembly 4 is in the second state, the first driving part 72 at least partially enters the matching groove 425 to form a relatively stable matching with the second driving part 46 .
在图35的状态下,需要打开吻合器的钉头部时,操作者通过将操作部73向上提起,驱动操作部73沿第七方向,即向上运动,所述第一驱动部72将所述第二驱动部46向上抬起,使得所述第二驱动部46沿第三方向朝靠近所述连接杆18的方向运动,所述第二枢接部422绕第三销轴45逆时针旋转,使得第四枢接部423和第三枢接部413沿第四方向朝远离所述连接杆18的方向运动,所述连杆组件4又进入到第一状态,所述第二枢接部422驱动所述第三驱动部502向远端侧方向运动,所述闭合拉杆组件50进而带动所述切换驱动件7也向远端侧方向运动至所述第一位置区域。同时,所述第二外套部501驱动所述闭合拉片12向远端侧方向运动,可以打开钉头部。所述闭合复位弹簧61也恢复到初始状态,且所述闭合复位弹簧61的第一偏置力也进一步保证所述闭合拉杆组件50可以返回到初始位置。此时,所述闭合切换机构的状态如图38所示。In the state of FIG. 35 , when it is necessary to open the staple head of the stapler, the operator lifts the operating portion 73 upwards, and drives the operating portion 73 to move upward in the seventh direction, and the first driving portion 72 moves the The second driving part 46 is lifted upwards, so that the second driving part 46 moves toward the direction close to the connecting rod 18 along the third direction, and the second pivot part 422 rotates counterclockwise around the third pin shaft 45 , The fourth pivotal part 423 and the third pivotal part 413 move in the direction away from the connecting rod 18 along the fourth direction, and the connecting rod assembly 4 enters the first state again, and the second pivotal part 422 The third driving part 502 is driven to move in the direction of the distal end, and the closing rod assembly 50 further drives the switching driving member 7 to also move in the direction of the distal end to the first position area. At the same time, the second jacket part 501 drives the closing pull tab 12 to move toward the distal side, so as to open the nail head. The closing return spring 61 also returns to the initial state, and the first biasing force of the closing return spring 61 further ensures that the closing pull rod assembly 50 can return to the initial position. At this time, the state of the closed switching mechanism is shown in FIG. 38 .
因此,在吻合器击发完成后,通过操作切换驱动件7的操作部73向第七方向运动,即可以驱动连杆组件4从第二状态进入第一状态,驱动闭合拉杆组件50向远端侧方向运动,以打开钉头部,从而可以实现钉头部的手动打开,结构简单,操作方便。Therefore, after the firing of the stapler is completed, by operating the operating portion 73 of the switching drive member 7 to move in the seventh direction, the link assembly 4 can be driven from the second state to the first state, and the closing rod assembly 50 can be driven to the distal end side. direction movement to open the nail head, so that the manual opening of the nail head can be realized, the structure is simple, and the operation is convenient.
在图38的状态下,所述滑槽761整体相对于所述凸柱503向上运动,所述凸柱503进入到所述滑槽761的第一段7611(示出于图37)。所述凸柱503和所述弹簧安装部74之间的距离增加,所述切换复位弹簧62被拉长而发生弹性变形。此时,操作者松开所述操作部73,所述操作部73失去外力作用。在所述切换复位弹簧62的第二偏置力作用下,所述切换驱动件7又向下运动返回到初始位置(即图34中示出的切换驱动件7的位置和状态),所述凸柱503重新进入所述滑槽761的第二段7612。In the state of FIG. 38 , the chute 761 moves upwards relative to the protruding post 503 as a whole, and the protruding post 503 enters into the first section 7611 of the chute 761 (shown in FIG. 37 ). As the distance between the boss 503 and the spring mounting portion 74 increases, the switching return spring 62 is elongated and elastically deformed. At this time, the operator releases the operation part 73, and the operation part 73 loses the effect of external force. Under the action of the second biasing force of the switching return spring 62, the switching driving member 7 moves downwards and returns to the initial position (that is, the position and state of the switching driving member 7 shown in FIG. 34 ), the The protrusion 503 re-enters the second section 7612 of the slide groove 761 .
以上内容是结合具体的优选实施方式对本发明所作的进一步详细说明,不能认定本发明的具体实施只局限于这些说明。对于本发明所属技术领域的普通技术人员来说,在不脱离本发明构思的前提下,还可以做出若干简单推演或替换,都应当视为属于本发明的保护范围。The above content is a further detailed description of the present invention in conjunction with specific preferred embodiments, and it cannot be assumed that the specific implementation of the present invention is limited to these descriptions. For those of ordinary skill in the technical field of the present invention, without departing from the concept of the present invention, some simple deduction or replacement can be made, which should be regarded as belonging to the protection scope of the present invention.

Claims (45)

  1. 一种闭合切换机构,其特征在于,用于医用吻合器,所述吻合器包括吻合器本体,所述闭合切换机构包括:A closed switching mechanism is characterized in that it is used for a medical stapler, the stapler includes a stapler body, and the closed switching mechanism includes:
    连杆组件,包括第一枢接部和第二枢接部,所述第一枢接部枢转连接于所述吻合器本体,所述连杆组件包括第一状态和第二状态;The linkage assembly includes a first pivot portion and a second pivot portion, the first pivot portion is pivotally connected to the stapler body, and the linkage assembly includes a first state and a second state;
    切换驱动件,所述切换驱动件可沿第一方向和第二方向运动,所述第一方向与所述第二方向相反;a switching drive member movable in a first direction and a second direction, the first direction being opposite to the second direction;
    闭合拉杆组件,所述闭合拉杆组件枢转连接于所述第二枢接部;a closing pull rod assembly, the closing pull rod assembly is pivotally connected to the second pivot joint;
    其中,所述切换驱动件朝向所述第一方向运动时,驱动所述闭合拉杆组件向所述第一方向运动,使得所述连杆组件由所述第一状态进入所述第二状态;Wherein, when the switching driving member moves toward the first direction, it drives the closing rod assembly to move toward the first direction, so that the connecting rod assembly enters the second state from the first state;
    且所述切换驱动件配置为可被操作而驱动所述连杆组件从所述第二状态进入所述第一状态,所述第二枢接部驱动所述闭合拉杆组件向所述第二方向运动。And the switching driving member is configured to be operable to drive the linkage assembly from the second state into the first state, and the second pivot portion drives the closing pull rod assembly to the second direction sports.
  2. 根据权利要求1所述的闭合切换机构,其特征在于,所述连杆组件包括第一杆和第二杆,所述第二杆位于所述第一杆的近端侧,所述第一杆包括所述第一枢接部和第三枢接部,所述第二杆包括所述第二枢接部和第四枢接部,所述第三枢接部枢转连接于所述第四枢接部;The closed switching mechanism according to claim 1, wherein the link assembly comprises a first rod and a second rod, the second rod is located on the proximal side of the first rod, and the first rod including the first pivot portion and the third pivot portion, the second rod includes the second pivot portion and the fourth pivot portion, the third pivot portion is pivotally connected to the fourth hinge;
    所述连杆组件由所述第一状态进入所述第二状态时,所述第三枢接部和所述第四枢接部朝向第三方向运动;所述切换驱动件朝向所述第二方向运动时,所述切换驱动件驱动所述第三枢接部和所述第四枢接部朝向第四方向运动,所述第三方向与所述第四方向相反。When the connecting rod assembly enters the second state from the first state, the third pivot portion and the fourth pivot portion move toward a third direction; the switching driving member moves toward the second When moving in one direction, the switching driving member drives the third pivotal part and the fourth pivotal part to move in a fourth direction, and the third direction is opposite to the fourth direction.
  3. 根据权利要求2所述的闭合切换机构,其特征在于,还包括连接杆,所述第三方向为朝向所述连接杆的方向,所述第四方向为远离所述连接杆的方向;The closed switching mechanism according to claim 2, further comprising a connecting rod, the third direction is a direction toward the connecting rod, and the fourth direction is a direction away from the connecting rod;
    所述切换驱动件包括第一驱动部和第一外套部,所述第一外套部套设于所述连接杆的外部或所述闭合拉杆组件的外部,所述第一驱动部位于所述第一外套部朝向所述连杆组件的一侧,所述第一外套部朝向所述第一方向运动时驱动所述闭合拉杆组件朝向所述第一方向运动,使得所述连杆组件由所述第一状态进入所述第二状态。The switching driving member includes a first driving part and a first sheath part, the first sheathing part is sheathed on the outside of the connecting rod or the outside of the closing rod assembly, and the first driving part is located on the first An outer sleeve portion faces one side of the connecting rod assembly, and when the first outer sleeve portion moves toward the first direction, it drives the closing rod assembly to move toward the first direction, so that the connecting rod assembly is moved by the The first state enters the second state.
  4. 根据权利要求3所述的闭合切换机构,其特征在于,所述第一方向为朝向所述吻合器的近端侧方向,所述第二方向为朝向所述吻合器的远端侧方向,所述第一方向及所述第二方向均为沿所述吻合器的轴向方向。The closing switching mechanism according to claim 3, wherein the first direction is toward the proximal side of the stapler, and the second direction is toward the distal side of the stapler, so Both the first direction and the second direction are along the axial direction of the stapler.
  5. 根据权利要求3所述的闭合切换机构,其特征在于,所述连杆组件处于所述第二状态,且所述切换驱动件朝向所述第二方向运动时,驱动所述连杆组件进入所述第一状态,且所述第二枢接部驱动所述闭合拉杆组件向所述第二方向运动。The closed switching mechanism according to claim 3, wherein when the connecting rod assembly is in the second state, and the switching driving member moves toward the second direction, the connecting rod assembly is driven to enter the The first state, and the second pivot portion drives the closing rod assembly to move in the second direction.
  6. 根据权利要求5所述的闭合切换机构,其特征在于,所述第一杆或所述第二杆上设置有第二驱动部,所述连杆组件处于所述第二状态时,所述第二驱动部相对于所述第一杆或所述第二杆朝向所述连接杆的方向凸出;The closed switching mechanism according to claim 5, wherein a second driving part is provided on the first rod or the second rod, and when the connecting rod assembly is in the second state, the first The second driving part protrudes toward the direction of the connecting rod relative to the first rod or the second rod;
    所述连杆组件处于所述第二状态,且所述切换驱动件朝向所述第二方向运动时,所述切换驱动件向远离所述连接杆的方向压迫所述第二驱动部,使得所述连杆组件进入所述第一状态。When the connecting rod assembly is in the second state and the switching driving member moves toward the second direction, the switching driving member presses the second driving part in a direction away from the connecting rod, so that the The connecting rod assembly enters the first state.
  7. 根据权利要求6所述的闭合切换机构,其特征在于,所述切换驱动件朝向所述第一方向运动,使得所述连杆组件由所述第一状态进入所述第二状态后,所述第一驱动部位于所述第二驱动部的近端侧。The closed switching mechanism according to claim 6, wherein the switching driving member moves toward the first direction, so that after the connecting rod assembly enters the second state from the first state, the The first driving part is located on the proximal side of the second driving part.
  8. 根据权利要求6所述的闭合切换机构,其特征在于,所述第一驱动部的远端侧设置有第一引导面,和/或,所述第二驱动部的近端侧设置有第二引导面。The closing switching mechanism according to claim 6, characterized in that, the distal side of the first driving part is provided with a first guide surface, and/or the proximal side of the second driving part is provided with a second guiding surface. boot surface.
  9. 根据权利要求6所述的闭合切换机构,其特征在于,所述第二驱动部设置于所述第三枢接部或所述第四枢接部。The close switch mechanism according to claim 6, wherein the second driving part is arranged on the third pivot part or the fourth pivot part.
  10. 根据权利要求3所述的闭合切换机构,其特征在于,所述切换驱动件包括两个所述第一驱动部,两个所述第一驱动部相对于所述吻合器的轴向对称设置;所述连杆组件设置有两个第二驱动部,所述切换驱动件配置为可被操作而驱动所述连杆组件从所述第二状态进入所述第一状态时,每个所述第一驱动部分别驱动一所述第二驱动部。The closing switching mechanism according to claim 3, wherein the switching driving member includes two first driving parts, and the two first driving parts are arranged symmetrically with respect to the axial direction of the stapler; The link assembly is provided with two second driving parts, and the switching drive member is configured to be operable to drive the link assembly from the second state to the first state, each of the second A driving part respectively drives one of the second driving parts.
  11. 根据权利要求5所述的闭合切换机构,其特征在于,所述第一驱动部为从所述第一外套部向所述第二方向延伸的驱动臂。The closing switching mechanism according to claim 5, wherein the first driving part is a driving arm extending from the first outer casing part to the second direction.
  12. 根据权利要求5所述的闭合切换机构,其特征在于,所述切换驱动件与所述吻合器本体之间设置有切换偏置件,所述切换偏置件给所述切换驱动件一朝向所述第一方向的第一偏置力。The closing switching mechanism according to claim 5, wherein a switching biasing member is provided between the switching driving member and the stapler body, and the switching biasing member gives the switching driving member a direction toward the The first biasing force in the first direction.
  13. 根据权利要求12所述的闭合切换机构,其特征在于,所述切换偏置件为切换复位弹簧,所述第一外套部的一侧设置有弹簧配合槽,所述切换复位弹簧的一端设置于所述弹簧配合槽中。The closed switching mechanism according to claim 12, wherein the switching biasing member is a switching return spring, one side of the first outer sleeve part is provided with a spring matching groove, and one end of the switching return spring is arranged on The spring fits in the groove.
  14. 根据权利要求4所述的闭合切换机构,其特征在于,所述闭合拉杆组件包括第二外套部和第三驱动部,所述第二外套部套设于所述连接杆的外部,且所述切换驱动件的第一外套部与所述第二外套部配合,所述第三驱动部的第一端枢接于所述第二枢接部,所述第三驱动部的第二端固定连接于所述第二外套部。The closing switching mechanism according to claim 4, wherein the closing pull rod assembly comprises a second outer casing part and a third driving part, the second outer casing part is sleeved on the outside of the connecting rod, and the The first outer sheath part of the switching driver is matched with the second outer sheath part, the first end of the third driving part is pivotally connected to the second pivot joint, and the second end of the third driving part is fixedly connected to the second outer sheath part. on the second jacket part.
  15. 根据权利要求14所述的闭合切换机构,其特征在于,所述闭合拉杆组件与所述吻合器本体之间设置有闭合偏置件,所述闭合偏置件给所述闭合拉杆组件一朝向所述第二方向的第二偏置力。The closing switching mechanism according to claim 14, wherein a closing biasing member is provided between the closing rod assembly and the stapler body, and the closing biasing member gives the closing rod assembly a direction toward the The second biasing force in the second direction.
  16. 根据权利要求15所述的闭合切换机构,其特征在于,所述闭合拉杆组件包括第一闭合件和第二闭合件,所述第一闭合件套设于所述连接杆的外部,所述第二闭合件包括所述第二外套部和所述驱动部,所述第一闭合件与所述第二外套部轴向固定,且所述第一闭合件突出于所述第二外套部的远端侧的部分穿过所述切换驱动件的第一外套部的内部。The closing switching mechanism according to claim 15, wherein the closing rod assembly comprises a first closing member and a second closing member, the first closing member is sleeved on the outside of the connecting rod, and the first closing member The second closure part includes the second outer casing part and the driving part, the first closure part is axially fixed to the second outer casing part, and the first closure part protrudes far from the second outer casing part. The end-side part passes through the interior of the first jacket part of the shifting drive.
  17. 根据权利要求16所述的闭合切换机构,其特征在于,所述闭合偏置件为闭合复位弹簧,所述第一闭合件的内部设置有弹簧配合台阶面,所述闭合复位弹簧的一端与所述弹簧配合台阶面相抵持。The closing switching mechanism according to claim 16, characterized in that, the closing biasing member is a closing return spring, the inside of the first closing member is provided with a spring mating step surface, and one end of the closing returning spring is connected to the closing return spring. Said spring cooperates with the stepped surface to hold against each other.
  18. 根据权利要求1所述的闭合切换机构,其特征在于,所述切换驱动件包括操作部,所述操作部突出于所述吻合器本体的壳体外表面,所述壳体设有容纳所述操作部的容纳槽。The closing switching mechanism according to claim 1, wherein the switching drive member includes an operating part, the operating part protrudes from the outer surface of the housing of the stapler body, and the housing is provided with a The internal storage tank.
  19. 根据权利要求1所述的闭合切换机构,其特征在于,还包括闭合拉片,所述闭合 拉片的近端侧与所述闭合拉杆组件通过连接销相连接。The closing switching mechanism according to claim 1, further comprising a closing pull piece, the proximal side of the closing pull piece is connected with the closing pull rod assembly through a connecting pin.
  20. 根据权利要求3所述的闭合切换机构,其特征在于,所述切换驱动件枢转连接于所述闭合拉杆组件,所述连杆组件处于所述第二状态,且所述切换驱动件相对于所述闭合拉杆组件沿第五方向旋转时,驱动所述连杆组件进入所述第一状态,且所述第二枢接部驱动所述闭合拉杆组件和所述切换驱动件向所述第二方向运动。The closing switching mechanism according to claim 3, wherein the switching driving member is pivotally connected to the closing pull rod assembly, the connecting rod assembly is in the second state, and the switching driving member is relatively When the closing rod assembly rotates in the fifth direction, the connecting rod assembly is driven to enter the first state, and the second pivot portion drives the closing rod assembly and the switching driving member to the second direction movement.
  21. 根据权利要求20所述的闭合切换机构,其特征在于,所述切换驱动件包括第一驱动部和旋转配合部,所述旋转配合部通过一旋转轴枢转连接于所述闭合拉杆组件,所述连杆组件包括第二驱动部;The closing switching mechanism according to claim 20, wherein the switching driving member comprises a first driving part and a rotating fitting part, and the rotating fitting part is pivotally connected to the closing pull rod assembly through a rotating shaft, so The connecting rod assembly includes a second driving part;
    所述连杆组件处于所述第二状态,且所述切换驱动件沿第五方向旋转时,所述第一驱动部朝远离所述连接杆的方向驱动所述第二驱动部,使得所述连杆组件进入所述第一状态。When the connecting rod assembly is in the second state and the switching driving member rotates in the fifth direction, the first driving part drives the second driving part in a direction away from the connecting rod, so that the The linkage assembly enters the first state.
  22. 根据权利要求21所述的闭合切换机构,其特征在于,所述第二驱动部设置于所述第三枢接部或所述第四枢接部。The close switching mechanism according to claim 21, wherein the second driving part is arranged on the third pivot part or the fourth pivot part.
  23. 根据权利要求21所述的闭合切换机构,其特征在于,所述连杆组件处于所述第二状态时,所述第一驱动部位于所述第二驱动部朝向所述连接杆的一侧,且所述第一驱动部与所述第二驱动部相对的表面之间具有一定的高度间隙。The closed switching mechanism according to claim 21, wherein when the connecting rod assembly is in the second state, the first driving part is located on the side of the second driving part facing the connecting rod, And there is a certain height gap between the opposite surfaces of the first driving part and the second driving part.
  24. 根据权利要求21所述的闭合切换机构,其特征在于,所述切换驱动件还包括第一外套部,所述闭合拉杆组件包括第二外套部和第三驱动部,所述第一外套部套设于所述第二外套部的外部,所述第二外套部套设于所述连接杆的外部,所述第三驱动部与所述连杆组件的第二枢接部枢转连接,所述第二外套部朝向所述第一方向运动时,驱动所述连杆组件由所述第一状态进入所述第二状态。The closing switching mechanism according to claim 21, wherein the switching driving member further includes a first outer casing part, the closing rod assembly includes a second outer casing part and a third driving part, and the first outer casing part covers It is arranged on the outside of the second outer casing, the second outer casing is sleeved on the outside of the connecting rod, the third driving part is pivotally connected to the second pivot part of the connecting rod assembly, and the When the second sleeve part moves toward the first direction, the connecting rod assembly is driven to enter the second state from the first state.
  25. 根据权利要求24所述的闭合切换机构,其特征在于,所述第一驱动部为从所述旋转配合部向所述第二方向延伸的驱动臂,所述旋转配合部为连接于所述第一外套部和所述第一驱动部之间的弯折部,所述第一驱动部与所述第一外套部之间设有一固定角度。The closing switching mechanism according to claim 24, wherein the first driving part is a driving arm extending from the rotating fitting part to the second direction, and the rotating fitting part is connected to the second A bending portion between an outer casing part and the first driving part, a fixed angle is set between the first driving part and the first outer casing part.
  26. 根据权利要求24所述的闭合切换机构,其特征在于,所述旋转配合部与所述闭合拉杆组件的第三驱动部通过所述旋转轴枢转连接。The closing switch mechanism according to claim 24, characterized in that, the rotating fitting part is pivotally connected to the third driving part of the closing pull rod assembly through the rotating shaft.
  27. 根据权利要求20所述的闭合切换机构,其特征在于,所述切换驱动件与所述闭合拉杆组件之间设置有切换偏置件,所述切换驱动件相对于所述闭合拉杆组件沿第五方向旋转时,所述切换偏置件产生变形,给所述切换驱动件一沿第六方向旋转的第二偏置力,所述第六方向与所述第五方向相反。The closing switching mechanism according to claim 20, characterized in that, a switching biasing member is provided between the switching driving member and the closing rod assembly, and the switching driving member is positioned along the fifth axis relative to the closing rod assembly. When the direction is rotated, the switching biasing member is deformed to give the switching driving member a second biasing force to rotate in a sixth direction, the sixth direction is opposite to the fifth direction.
  28. 根据权利要求27所述的闭合切换机构,其特征在于,所述切换偏置件为切换复位弹簧,所述闭合拉杆组件上设置有第一弹簧安装部,所述切换驱动件上设置有第二弹簧安装部,所述切换复位弹簧的两端分别固定于所述第一弹簧安装部和所述第二弹簧安装部上,不受外力时所述切换驱动件的近端面至少部分抵持于所述闭合拉杆组件。The closing switching mechanism according to claim 27, wherein the switching biasing member is a switching return spring, the closing rod assembly is provided with a first spring mounting part, and the switching driving part is provided with a second A spring installation part, the two ends of the switching return spring are respectively fixed on the first spring installation part and the second spring installation part, and when no external force is applied, the proximal end surface of the switching driving part is at least partly against the The closing rod assembly.
  29. 根据权利要求3所述的闭合切换机构,其特征在于,所述切换驱动件相对于所述闭合拉杆组件在所述吻合器的轴向上固定,且所述切换驱动件可相对于所述闭合拉杆组件在第七方向运动,所述第七方向与所述第一方向或第二方向之间设有一固定夹角;The closure switching mechanism according to claim 3, wherein the switching driving member is fixed relative to the closing rod assembly in the axial direction of the stapler, and the switching driving member can be fixed relative to the closing rod assembly. The pull rod assembly moves in a seventh direction, and a fixed angle is set between the seventh direction and the first direction or the second direction;
    其中,所述切换驱动件朝向所述第一方向运动时,驱动所述闭合拉杆组件向所述第一方向运动,使得所述连杆组件由所述第一状态进入所述第二状态;所述切换驱动件相对于所述闭合拉杆组件沿所述第七方向运动时,驱动所述连杆组件进入所述第一状态,且所述第二枢接部驱动所述闭合拉杆组件和所述切换驱动件向所述第二方向运动。Wherein, when the switching driving member moves toward the first direction, it drives the closing pull rod assembly to move toward the first direction, so that the connecting rod assembly enters the second state from the first state; When the switching driving member moves in the seventh direction relative to the closing rod assembly, it drives the connecting rod assembly to enter the first state, and the second pivot part drives the closing rod assembly and the The switching driving member moves in the second direction.
  30. 根据权利要求29所述的闭合切换机构,其特征在于,所述夹角为直角,所述切换驱动件可相对于所述闭合拉杆组件沿上下方向运动。The closing switching mechanism according to claim 29, wherein the included angle is a right angle, and the switching driving member can move in an up and down direction relative to the closing pull rod assembly.
  31. 根据权利要求29所述的闭合切换机构,其特征在于,所述切换驱动件包括第一驱动部和连接配合部,所述连接配合部相对于所述闭合拉杆组件在所述轴向上固定,且可相对于所述闭合拉杆组件在所述第七方向运动,所述连杆组件包括第二驱动部;The closing switching mechanism according to claim 29, wherein the switching driving member comprises a first driving part and a connecting fitting part, and the connecting fitting part is fixed in the axial direction relative to the closing rod assembly, and can move in the seventh direction relative to the closing rod assembly, and the connecting rod assembly includes a second driving part;
    所述连杆组件处于所述第二状态,且所述切换驱动组件相对于所述闭合拉杆组件在所述第七方向运动时,所述第一驱动部沿所述第七方向驱动所述第二驱动部,使得所述连杆组件进入所述第一状态。When the connecting rod assembly is in the second state, and the switching driving assembly moves in the seventh direction relative to the closing pull rod assembly, the first driving part drives the first driving part along the seventh direction. and a second driving part, so that the connecting rod assembly enters the first state.
  32. 根据权利要求31所述的闭合切换机构,其特征在于,所述第七方向为朝向所述连接杆的方向或远离所述连接杆的方向。The closed switching mechanism according to claim 31, wherein the seventh direction is a direction toward the connecting rod or a direction away from the connecting rod.
  33. 根据权利要求32所述的闭合切换机构,其特征在于,所述切换驱动件还包括第一连接部,所述闭合拉杆组件包括第二外套部和第三驱动部,所述第一连接部活动连接于所述第二外套部,所述第二外套部套设于所述连接杆的外部,所述第三驱动部与所述连杆组件的第二枢接部枢转连接。The closing switching mechanism according to claim 32, wherein the switching driving member further includes a first connecting part, the closing rod assembly includes a second outer casing part and a third driving part, and the first connecting part is movable Connected to the second outer sleeve portion, the second outer sleeve portion is sleeved on the outside of the connecting rod, and the third driving portion is pivotally connected to the second pivot portion of the connecting rod assembly.
  34. 根据权利要求33所述的闭合切换机构,其特征在于,第一连接部为第一外套部,所述第一连接部套设于所述第二外套部。The closing switching mechanism according to claim 33, wherein the first connecting part is a first outer casing part, and the first connecting part is sleeved on the second outer casing part.
  35. 根据权利要求31所述的闭合切换机构,其特征在于,所述连接配合部设置有沿所述第七方向延伸的滑槽,所述闭合拉杆组件设置有凸柱,或者,所述闭合拉杆组件设置有沿所述第七方向延伸的滑槽,所述连接配合部设置有凸柱;The closing switching mechanism according to claim 31, wherein the connecting fitting part is provided with a chute extending along the seventh direction, and the closing pull rod assembly is provided with a boss, or, the closing pull rod assembly A chute extending along the seventh direction is provided, and a boss is provided on the connection fitting part;
    所述凸柱至少部分进入所述滑槽的内部,且可沿所述滑槽的延伸方向运动。The protrusion at least partially enters the interior of the chute, and can move along the extending direction of the chute.
  36. 根据权利要求29所述的闭合切换机构,其特征在于,所述切换驱动件与所述闭合拉杆组件之间设置有切换偏置件,所述切换偏置件给所述切换驱动件一沿第二偏置力,所述第二偏置力的方向与所述第七方向相反。The closing switching mechanism according to claim 29, wherein a switching biasing member is provided between the switching driving member and the closing rod assembly, and the switching biasing member gives the switching driving member a first edge Two biasing forces, the direction of the second biasing force is opposite to the seventh direction.
  37. 根据权利要求36所述的闭合切换机构,其特征在于,所述切换驱动件设置有沿所述第七方向延伸的滑槽,所述闭合拉杆组件设置有凸柱,所述切换驱动件设置有弹簧配合部,或者,所述闭合拉杆组件设置有沿所述第七方向延伸的滑槽,所述切换驱动件设置有凸柱;The closing switching mechanism according to claim 36, wherein the switching driving part is provided with a chute extending along the seventh direction, the closing rod assembly is provided with a boss, and the switching driving part is provided with The spring matching part, or, the closing pull rod assembly is provided with a chute extending along the seventh direction, and the switching drive member is provided with a boss;
    所述凸柱至少部分进入所述滑槽的内部,且可沿所述滑槽的延伸方向运动,所述切换偏置件的两端分别设置于所述凸柱和所述弹簧配合部。The protruding post at least partly enters the interior of the chute, and can move along the extending direction of the chute, and the two ends of the switching biasing member are respectively arranged on the protruding post and the spring fitting part.
  38. 根据权利要求32所述的闭合切换机构,其特征在于,所述第二驱动部设置于所述第三枢接部和/或所述第四枢接部。The close switching mechanism according to claim 32, wherein the second driving part is arranged on the third pivotal part and/or the fourth pivotal part.
  39. 根据权利要求38所述的闭合切换机构,其特征在于,所述第三枢接部和所述第四枢接部通过第二销轴枢转连接,所述第二驱动部与所述第二销轴一体设置,且所述第二驱 动部突出于所述第三枢接部和所述第四枢接部的表面。The closing switching mechanism according to claim 38, wherein the third pivoting part and the fourth pivoting part are pivotally connected by a second pin shaft, and the second driving part and the second The pin shaft is integrally arranged, and the second driving part protrudes from the surfaces of the third pivot part and the fourth pivot part.
  40. 根据权利要求32所述的闭合切换机构,其特征在于,所述切换驱动件还包括第一外套部,所述闭合拉杆组件包括第二外套部,所述第二外套部套设于所述连接杆的外部,所述第一外套部套设于所述第二外套部的外部;所述第一驱动部位于所述连接配合部的远端侧。The closing switching mechanism according to claim 32, wherein the switching driving member further includes a first sleeve portion, the closing rod assembly includes a second sleeve portion, and the second sleeve portion is sleeved on the connection The outside of the rod, the first sheath part is sleeved on the outside of the second sheath part; the first driving part is located at the distal side of the connection fitting part.
  41. 根据权利要求32所述的闭合切换机构,其特征在于,所述连杆组件处于所述第二状态时,所述第一驱动部位于所述第二驱动部朝向所述连接杆的一侧,且所述第一驱动部朝向所述第二驱动部的一侧表面为平行于所述轴向的平面。The closed switching mechanism according to claim 32, wherein when the connecting rod assembly is in the second state, the first driving part is located on the side of the second driving part facing the connecting rod, And the side surface of the first driving part facing the second driving part is a plane parallel to the axial direction.
  42. 根据权利要求33所述的闭合切换机构,其特征在于,所述第二枢接部与所述闭合拉杆组件通过第三销轴可旋转地连接,所述第二驱动部设置于所述第二枢接部,且所述第二驱动部和所述第四枢接部分别位于所述第三销轴的两侧。The closing switching mechanism according to claim 33, wherein the second pivoting part is rotatably connected to the closing pull rod assembly through a third pin shaft, and the second driving part is arranged on the second A pivotal joint, and the second drive part and the fourth pivotal joint are respectively located on two sides of the third pin.
  43. 根据权利要求42所述的闭合切换机构,其特征在于,所述切换驱动件包括两个侧壁,所述两个侧壁分别位于所述第三驱动部的两侧,所述第一驱动部为连接于所述切换驱动件的两个侧壁之间的第四销轴。The closed switching mechanism according to claim 42, wherein the switching driving member includes two side walls, and the two side walls are respectively located on both sides of the third driving part, and the first driving part It is the fourth pin shaft connected between the two side walls of the switching drive member.
  44. 根据权利要求42所述的闭合切换机构,其特征在于,所述连杆组件处于所述第一状态时,所述第二驱动部位于所述第一驱动部朝向所述连接杆的一侧,且所述第二驱动部与所述第一驱动部相对的表面之间有一高度间隙;The closed switching mechanism according to claim 42, wherein when the connecting rod assembly is in the first state, the second driving part is located on the side of the first driving part facing the connecting rod, And there is a height gap between the opposite surface of the second driving part and the first driving part;
    所述第二驱动部远离所述连接杆的一侧设置有配合槽,所述连杆组件处于所述第二状态时,所述第一驱动部至少部分进入所述配合槽中。A fitting groove is provided on a side of the second driving part away from the connecting rod, and when the connecting rod assembly is in the second state, the first driving part at least partially enters into the fitting groove.
  45. 一种医用吻合器,其特征在于,包括权利要求1至44中任一项所述的闭合切换机构。A medical stapler, characterized by comprising the closing switching mechanism according to any one of claims 1-44.
PCT/CN2022/138722 2021-12-14 2022-12-13 Closure switching mechanism and medical stapler WO2023109820A1 (en)

Applications Claiming Priority (12)

Application Number Priority Date Filing Date Title
CN202111529338.2 2021-12-14
CN202123139600.0 2021-12-14
CN202111529332.5A CN116262057A (en) 2021-12-14 2021-12-14 Closed switching mechanism and medical anastomat
CN202123139637.3 2021-12-14
CN202111529336.3A CN116262059A (en) 2021-12-14 2021-12-14 Closed switching mechanism and medical anastomat
CN202111529338.2A CN116262061A (en) 2021-12-14 2021-12-14 Closed switching mechanism and medical anastomat
CN202123139637.3U CN217118485U (en) 2021-12-14 2021-12-14 Closing switching mechanism and medical anastomat
CN202123139600.0U CN217118484U (en) 2021-12-14 2021-12-14 Closing switching mechanism and medical anastomat
CN202111529336.3 2021-12-14
CN202123142827.0 2021-12-14
CN202123142827.0U CN217118488U (en) 2021-12-14 2021-12-14 Closing switching mechanism and medical anastomat
CN202111529332.5 2021-12-14

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN117481724A (en) * 2023-06-30 2024-02-02 江苏风和医疗器材股份有限公司 Surgical instrument

Citations (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH09238947A (en) * 1996-03-12 1997-09-16 Olympus Optical Co Ltd Suturing device
CN202950702U (en) * 2012-10-18 2013-05-29 北京中法派尔特医疗设备有限公司 Stitching instrument with percussion safety device
US20170027574A1 (en) * 2015-07-30 2017-02-02 Ethicon Endo-Surgery, Llc Surgical instrument comprising a system for bypassing an operational step of the surgical instrument
CN109199488A (en) * 2017-07-03 2019-01-15 江苏风和医疗器材股份有限公司 Surgical instruments
CN210903169U (en) * 2019-05-10 2020-07-03 上海逸思医疗科技有限公司 Medical instrument
CN217118486U (en) * 2021-12-14 2022-08-05 天臣国际医疗科技股份有限公司 Closing switching mechanism and medical anastomat
CN217118485U (en) * 2021-12-14 2022-08-05 天臣国际医疗科技股份有限公司 Closing switching mechanism and medical anastomat
CN217118487U (en) * 2021-12-14 2022-08-05 天臣国际医疗科技股份有限公司 Driving mechanism and medical anastomat
CN217118488U (en) * 2021-12-14 2022-08-05 天臣国际医疗科技股份有限公司 Closing switching mechanism and medical anastomat
CN217118484U (en) * 2021-12-14 2022-08-05 天臣国际医疗科技股份有限公司 Closing switching mechanism and medical anastomat
CN217118489U (en) * 2021-12-14 2022-08-05 天臣国际医疗科技股份有限公司 Closing switching mechanism and medical anastomat

Patent Citations (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH09238947A (en) * 1996-03-12 1997-09-16 Olympus Optical Co Ltd Suturing device
CN202950702U (en) * 2012-10-18 2013-05-29 北京中法派尔特医疗设备有限公司 Stitching instrument with percussion safety device
US20170027574A1 (en) * 2015-07-30 2017-02-02 Ethicon Endo-Surgery, Llc Surgical instrument comprising a system for bypassing an operational step of the surgical instrument
CN109199488A (en) * 2017-07-03 2019-01-15 江苏风和医疗器材股份有限公司 Surgical instruments
CN210903169U (en) * 2019-05-10 2020-07-03 上海逸思医疗科技有限公司 Medical instrument
CN217118486U (en) * 2021-12-14 2022-08-05 天臣国际医疗科技股份有限公司 Closing switching mechanism and medical anastomat
CN217118485U (en) * 2021-12-14 2022-08-05 天臣国际医疗科技股份有限公司 Closing switching mechanism and medical anastomat
CN217118487U (en) * 2021-12-14 2022-08-05 天臣国际医疗科技股份有限公司 Driving mechanism and medical anastomat
CN217118488U (en) * 2021-12-14 2022-08-05 天臣国际医疗科技股份有限公司 Closing switching mechanism and medical anastomat
CN217118484U (en) * 2021-12-14 2022-08-05 天臣国际医疗科技股份有限公司 Closing switching mechanism and medical anastomat
CN217118489U (en) * 2021-12-14 2022-08-05 天臣国际医疗科技股份有限公司 Closing switching mechanism and medical anastomat

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN117481724A (en) * 2023-06-30 2024-02-02 江苏风和医疗器材股份有限公司 Surgical instrument

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