WO2024003219A1 - Appareil de protection contre surcharges pour un instrument chirurgical modulaire et instrument chirurgical modulaire - Google Patents

Appareil de protection contre surcharges pour un instrument chirurgical modulaire et instrument chirurgical modulaire Download PDF

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Publication number
WO2024003219A1
WO2024003219A1 PCT/EP2023/067778 EP2023067778W WO2024003219A1 WO 2024003219 A1 WO2024003219 A1 WO 2024003219A1 EP 2023067778 W EP2023067778 W EP 2023067778W WO 2024003219 A1 WO2024003219 A1 WO 2024003219A1
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WO
WIPO (PCT)
Prior art keywords
force
proximal end
force limiting
overload protection
limiting device
Prior art date
Application number
PCT/EP2023/067778
Other languages
German (de)
English (en)
Inventor
Janosz SCHNEIDER
Daniel Kärcher
Robin Merz
Sven Schneider
Tobias Unger
Dominik Längle
Judith PÖNISCH
Original Assignee
Karl Storz Se & Co. Kg
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Karl Storz Se & Co. Kg filed Critical Karl Storz Se & Co. Kg
Publication of WO2024003219A1 publication Critical patent/WO2024003219A1/fr

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/03—Automatic limiting or abutting means, e.g. for safety
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
    • A61B2017/00464—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable for use with different instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
    • A61B2017/00473—Distal part, e.g. tip or head
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00477—Coupling
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2926—Details of heads or jaws
    • A61B2017/2931—Details of heads or jaws with releasable head
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/03—Automatic limiting or abutting means, e.g. for safety
    • A61B2090/031—Automatic limiting or abutting means, e.g. for safety torque limiting
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08—Accessories or related features not otherwise provided for
    • A61B2090/0813—Accessories designed for easy sterilising, i.e. re-usable

Definitions

  • the invention relates to an overload protection device for limiting force transmission in a modular surgical instrument.
  • the invention further relates to a modular surgical instrument and a modular surgical instrument system which have such an overload protection device.
  • surgical instruments can be equipped with gripping and dissecting pliers, scissors or other tools in which a tool part, usually jaw parts of the pliers and scissors mentioned, can be moved by manual force via an actuating element that can be moved back and forth .
  • the surgical instruments have an elongated cylindrical shaft, at the distal one The end of the tool with the jaw parts and a handle are arranged at the proximal end.
  • a rod-shaped actuating element is often used, which extends through the shaft and is connected to the tool at the distal end.
  • the actuating element is in operative connection with the handle, so that moving a movable handle part relative to a fixed handle part causes the actuating element to move axially back and forth in the shaft and thereby causes the jaw parts to open and close.
  • a device for limiting the force transmission from a movable actuating element to the jaw parts of a surgical instrument actuated thereby is known.
  • the actuating element is assigned a wedge surface that rises transversely to its direction of movement with a housing that is spread by the wedge surface when the wedge surface is moved with the actuating element.
  • the housing is circumferentially surrounded by an elastically expandable ring in the expansion area, so that the combination of the expandable housing and the elastic ring determines the force that is necessary to achieve expansion at all.
  • the force required for spreading is adjusted by design so that it corresponds to the maximum force with which the jaw parts should be applied.
  • the force limiter or overload protection is implemented via the handle and is specifically adapted to the respective instrument, taking into account not only the load limit specific to the respective tool, but also the leverage ratios in the handle. Therefore, the use of a specific force limiter or overload protection in a modular surgical instrument system has not been possible so far, since there are no defined handle-tool combinations that allow a force limiter in the handle to be designed to suit a specific tool.
  • a modular surgical instrument system allows the user to individually reassemble the surgical instrument they require at any time.
  • a modular surgical instrument system may have two or three modular components, such as handles, outer shafts and separate tool tips, and outer shafts with connected tool tips, from which two- or three-part instruments can be assembled.
  • the handles, outer shafts and tool tips that can be selected in the modular system can differ in their areas of application and/or sizes.
  • Such a modular surgical instrument system is e.g. B. known under the name Clickline ® Instruments from the catalog “Highlights, Clickline ® Instruments, Laparoscopic Hand Instruments, 01/2020” from Karl Storz SE & Co. KG, Tuttlingen, Germany.
  • the system disclosed there makes it possible to design a variety of different surgical instruments from a combination of different handles, shafts and tool tips.
  • the handles have a mechanism that allows you to separate the handle from the shaft at the push of a button.
  • the handles can have different handle part designs and, for example, be equipped with catches, flushing connections and actuating elements for shaft rotation.
  • the system For electrical high-frequency applications (generation of heat using high-frequency alternating current to remove or cut tissue or stop bleeding through vascular closure), the system includes insulated versions of handles and shafts; the handles also have a connection for a high-frequency cable.
  • the reusable two- or three-part design also enables individually assembled surgical instruments with different shaft lengths and shaft diameters. If damage occurs, only the defective part needs to be replaced, although reusable components can be autoclaved.
  • the overload protection previously available for such a modular instrument system which is usually provided in the handles, is set to the same load value for all instrument inserts. This value is too high for sensitive tool tips whose limit force that can act on the sensitive tool tip is below the specified load value. As a result, actuation forces that are below the specified load value but exceed the limit force of the sensitive tool tip cannot trigger the overload protection and thus damage the tool cause sensitive tool tip. Conversely, there are more robust tool tips whose limit force is above the specified load value, so that an increased actuation force is unnecessarily or undesirably limited to the specified load value by the overload protection.
  • a force limiting device in other words an overload protection device or an overload protection device for a modular surgical instrument, which can be adapted to the limit forces predetermined for the different tool tips in order to also reliably prevent damage to prevent sensitive tool tips from operating forces that exceed the limit force, and to avoid unnecessary force limitation with more robust tool tips.
  • a first embodiment of an overload protection device is intended for use in modular surgical instruments, each of which is modularly composed of a handle, a shaft that defines a longitudinal axis A, and a tool tip, which can be selected from a modular surgical instrument system that has different handles , different shafts with different proximal end pieces and different tool tips.
  • the modular surgical instrument system can alternatively or additionally have pre-assembled tool tip-shaft combinations of the different tool tip and shaft types with the different proximal end pieces, so that a modular surgical instrument is composed of three parts or two parts.
  • the selected tool tip is located at a distal end of the shaft and can be actuated via an actuating element which can be moved longitudinally axially in the shaft and which can be brought into operative connection with the handle which is arranged at a proximal end of the shaft.
  • the overload protection device is designed to be arranged in the handle and has at least two force limiting devices which are designed to limit an actuation force to at least two of the limit forces predetermined for the tool tips.
  • the overload protection device is designed to limit an actuating force that can be transmitted from the actuating element to the tool tip to a limit force predetermined for the respective tool tip.
  • a first limit force is predetermined at least for a first tool tip of the instrument system, and a second limit force, which differs from the first limit force, is predetermined for a second tool tip. Accordingly, further limit forces can be predetermined for further tool tips of the instrument system, which differ from one another and from the first two limit forces.
  • the overload protection device accordingly has at least two force limiting devices, with a first force limiting device being designed to limit the actuation force to the first limit force and the second force limiting device being designed to limit the actuation force to the second limit force.
  • the overload protection device can have further force limiting devices which are designed to limit the actuation force to further predetermined limit forces. This creates an overload protection that is dependent on the type of tool tip in a modular instrument system, with the overload protection suitable for the selected tool tip being activated in each modular instrument.
  • the overload protection device provides a clear assignment of each force limiting device to the respective tool tip, in that each tool tip is assigned one of the proximal end pieces, which have cross-sectional profiles that differ in terms of their shape and / or at least one dimension. That is, the cross-sectional profiles have different shapes or different dimensions or both different shapes and different dimensions.
  • Each force limiting device is designed for selective engagement with one of the proximal end pieces corresponding to their different cross-sectional profiles.
  • the proximal end piece can be a proximal end section of the shaft, or an intermediate piece or coupling element arranged at the proximal end of the shaft. In this way, the respective tool tip can come into effect with that of the force limiting devices through the assigned proximal end piece.
  • Connected which is designed to limit the actuation force to the limit force predetermined for the respective tool tip.
  • the cross-sectional profiles of the proximal end pieces differ at least with regard to their diameter.
  • the proximal end pieces which can be distinguished due to the different diameters, provide a coding assigned to the different tool tips, which enables selective intervention, i.e. H. Selection and connection with the appropriate force limiting device allows, which represents the overload protection suitable for the tool tip.
  • the components of the overload protection device may, where necessary, be made of an electrically insulating material, provided with an electrically insulating sheath or layer or covered by an electrically insulating Intermediate piece must be separated.
  • the overload protection device has a force-limiting engagement for a different type of tool tip that does not require a limitation of the actuation force.
  • the at least two force limiting devices can be bypassed by an additional proximal end piece, which is assigned to the different, force-limiting tool tip, or engagement with each of the two force limiting devices can be avoided.
  • the cross-sectional profile of the additional proximal end piece also differs in terms of its shape or in terms of at least one of its dimensions or in terms of its shape and at least one of its dimensions from the cross-sectional profiles of the proximal end pieces, which are designed for selective engagement with the force limiting devices.
  • the additional proximal end piece can also be a proximal end section of the shaft, or an intermediate piece or coupling element arranged at the proximal end of the shaft.
  • the additional proximal end piece can also differ at least in terms of diameter from the proximal end pieces, which are designed for selective engagement with the force limiting devices, so that the coding by the additional end piece allows the force limiting devices to be bypassed and allows force-limitless engagement for tool tips of the tool tip type do not require a limitation of the actuation force if, for example: B. the predetermined limit force is above the expected maximum actuation forces of average users.
  • spring elements are provided as energy storage devices for the force limiting devices, which can be pneumatic, hydraulic or, preferably, simply coil spring elements.
  • Each spring element can have one or more springs in order to provide a spring force that is tailored to the respective limit force.
  • Each force limiting device has a stop ring, a spring element and a guide sleeve, which has a flange section on the distal side and an annular inner stop on the proximal side around a passage opening for the proximal end pieces, which are not assigned to the force limiting device with the respective guide sleeve.
  • the cross section of the passage opening in the guide sleeve is smaller than the cross-sectional profile of the associated proximal end piece, so that the respectively assigned proximal end piece comes into contact with the annular inner stop and cannot pass through the passage opening.
  • the spring element is arranged around the guide sleeve on the flange section, which rests on the respective stop ring in a standard load operating position in which the actuating force is less than or equal to the corresponding limit force. In an overload operating position in which the actuation force is greater than the respective limit force, the flange section is spaced from the stop ring under the influence of the respective proximal end piece on the annular inner stop.
  • a first force limiting device thus has a first spring element as a force accumulator and also a first stop ring, which is provided, for example, by an annular disk and allows the passage of all proximal end pieces, and a first guide sleeve.
  • the first guide sleeve has at one end on its cylinder section - arranged on the distal side - a first flange section which projects radially outwards and at the other end on its cylinder section - arranged on the proximal side - a first annular inner stop which projects radially inwards around a first passage opening which is coaxial with the longitudinal axis A.
  • This first passage opening has a diameter that is smaller than the diameter of the first proximal end piece and larger than the diameter of the second proximal end piece, so that each first proximal end piece rests on the first annular inner stop of the first guide sleeve around the first passage opening.
  • the first spring element is arranged around the first guide sleeve or its cylinder section in order to press against the first flange section of the first guide sleeve. This way the first flange section comes in a standard load operating position of the first force limiting device, ie as long as the actuation force is less than or equal to the first limit force, to rest on the first stop ring, which is arranged distally with respect to the first guide sleeve.
  • the first flange section In a first overload operating position of the overload protection device, in which the actuating force is greater than the first limit force, the first flange section is spaced from the first stop ring under the action of the first proximal end piece on the first annular inner stop and thus the first spring element is compressed against its spring force, corresponding to a force amount that exceeds the first limit force.
  • the second force limiting device is constructed analogously and accordingly has a second spring element as a force accumulator, a second stop ring and a second guide sleeve.
  • the second proximal end piece is provided, the diameter of which is not only smaller than the diameter of the first proximal end piece, but also smaller than the diameter of the first passage opening in the first guide sleeve, so that the second proximal end piece is not connected to the first Force limiting device can engage, but can extend through the first passage opening in the first guide sleeve.
  • the second guide sleeve has at one end on its cylinder section - arranged on the distal side - a second flange section which projects radially outwards and at the other end on its cylinder section - arranged on the proximal side - a second annular inner stop which projects radially inwards around a second passage opening which is coaxial with the longitudinal axis A.
  • This second passage opening now has a diameter that is smaller than the diameter of the second proximal end piece, so that the second proximal end piece rests on the second annular inner stop of the second guide sleeve.
  • the second spring element is arranged around the second guide sleeve and presses against the second flange section of the second guide sleeve, so that the second flange section rests on the second stop ring in a standard load operating position of the second force limiting device, that is, as long as the actuating force is less than or equal to the second limit force , which is arranged distally with respect to the second guide sleeve.
  • the second flange section In a second overload operating position of the overload protection device, ie when the actuating force is greater than the second limit force, the second flange section is spaced from the second stop ring under the action of the second proximal end piece on the second annular inner stop and the second spring element is thus compressed against its spring force, corresponding to a force amount exceeding the second limit force.
  • the stop rings can be attached to an inside of a housing component, which is in operative connection with the at least two force limiting devices and can be arranged in the handle, or is part of the handle housing.
  • An axial position of the stop rings determines a preload of the respective spring element in the standard load operating position, in which the respective spring element presses the respective flange section against the respective stop ring.
  • the adaptation of the force limiting devices to the respective limit forces is therefore not limited to the selection of the spring elements depending on the spring constants, but can be adjusted by suitable pretension using the stops.
  • the housing component which is directly or indirectly operatively connected to the at least two force limiting devices for dissipating the force, can be designed in one piece or in several parts and can be arranged in certain or in all handles of the modular surgical instrument system.
  • the force limiting device is supported directly on the housing component, while in the case of an indirect active connection, a force limiting device is supported on another force limiting device, which is supported on the housing component.
  • the housing component can be manufactured separately from handle housing parts and firmly connected thereto; alternatively, at least one section or all sections of the housing component can be formed by parts of the handle housing, so that the housing component is integrated into the handle.
  • the housing component has a further annular inner stop about a longitudinal axis A has a coaxial further passage opening, which is provided for the passage of the actuating element and has a cross section that is smaller than the cross section profile of the additional proximal end piece, which can thus abut on the further annular inner stop on the housing component.
  • the additional proximal end piece has a cross section that is not only smaller than the cross-sectional profiles of the proximal end pieces that are assigned to the force limiting devices, but also smaller than the cross section of the passage openings in the guide sleeves, the additional proximal end piece cannot be inserted into the two force limiting devices Intervention occurs, but passes through the passage openings in the guide sleeves in order to come into contact with the housing component at the third inner stop without force limitation.
  • the at least two force limiting devices are arranged longitudinally axially sequentially, ie one behind the other or one after the other, or cascaded, ie nested in one another in stages.
  • the at least two force limiting devices can preferably be arranged coaxially around the actuating element.
  • the at least two force limiting devices are arranged in a cascade according to a further embodiment of the overload protection device according to the invention, with a second force limiting device partially surrounding a first force limiting device, an inner diameter of the stop ring of the second force limiting device and an inner diameter of the guide sleeve of the second force limiting device are designed to accommodate the spring element of the first force limiting device .
  • the spring element of the first force limiting device extends through the stop ring of the second force limiting device and into the guide sleeve of the second force limiting device.
  • the spring element of the first force limiting device is supported on the inner stop of the second force limiting device, with the spring element of the second force limiting device being supported on the further inner stop on the housing component.
  • the overload protection device according to the invention with the cascaded, i.e. h nested arrangement, for example two force limiting devices can be arranged axially overlapping, so that the second force limiting device partially surrounds the first force limiting device.
  • the second stop ring has a passage opening with a diameter adapted to an outer diameter of the first spring element.
  • the first spring element which presses against the first flange section of the first guide sleeve, can extend through the passage opening of the second stop ring and into the second guide sleeve, which has a corresponding diameter adapted to the outer diameter of the first spring element.
  • the first spring element is supported on the proximal side on the second inner stop of the second guide sleeve, while the second spring element, which presses against the second flange section, is supported on the further inner stop on the housing component.
  • the first force limiting device is thus operatively connected to the housing element indirectly via the second force limiting device.
  • the first force limiting device is coupled to the second force limiting device in a manner that the second force limiting device protects the first force limiting device from overload. This can even the second force limiting device can be activated by the first force limiting device when the first spring element is compressed to such an extent that the first guide sleeve comes into contact with the annular inner stop of the second guide sleeve.
  • the overload protection device which is an alternative to the above, in which the at least two force limiting devices are arranged longitudinally axially sequentially, the spring element of the first force limiting device is supported on the stop ring of the second force limiting device, and the spring element of the second force limiting device is supported the further inner stop on the housing component.
  • two force limiting devices can be installed longitudinally axially sequentially, i.e. H. be arranged one behind the other.
  • the first spring element which presses against the first flange section of the first guide sleeve on the distal side, can be supported on the second stop ring on the proximal side, while the second spring element, which presses against the second flange section, is supported on the further inner stop on the housing component.
  • the first force limiting device is indirectly connected to the housing component via the second force limiting device, but without there being a coupling of the two force limiting devices, in which the second force limiting device is activated to protect the first force limiting device from overload can.
  • the first force limiting device which is designed to limit the actuation force to the first limit force
  • the second force limiting device which is designed to limit the actuation force to the second limit force, which is greater than the first limit force
  • This arrangement variant is intended in particular for the cascaded force limiting devices in order to protect the first force limiting device designed for the smaller limit force from overload.
  • this arrangement variant can also be implemented with force limiting devices arranged one behind the other along the longitudinal axis.
  • the overload protection device in which the overload protection device has at least three force limiting devices, can
  • the cascaded and longitudinal axial sequential arrangement can be combined as described above.
  • the first force limiting device can be cascaded with a third force limiting device and the third force limiting device can be arranged longitudinally axially one behind the other with the second force limiting device, or vice versa
  • the first force limiting device can be arranged longitudinally axially one behind the other with the third force limiting device and the third force limiting device can be arranged in cascade with the second force limiting device. If there are more than three force limiting devices, the arrangement variants can be combined accordingly.
  • Another object according to the invention is a modular surgical instrument system that has different handles, different shafts with different proximal end pieces and different tool tips.
  • the different handles, shafts and tool tips can be combined with one another to form a desired modular surgical instrument, in which the tool tip is arranged at a distal end of the shaft and can be actuated via an actuating element which can be moved longitudinally axially in the shaft and which is connected to the handle which is located at a proximal one End of the shaft is arranged, is in operative connection.
  • the modular surgical instrument system according to the invention has an overload protection device according to the invention, so that an overload protection adapted to the respective tool tip type is provided for each surgical instrument composed of the modular surgical instrument system.
  • the different shafts are provided with the different proximal end pieces, which are each assigned to one of the tool tips which differ with regard to the respective predetermined limit force.
  • the overload protection device can be arranged in at least one of the handles, in particular in several handles and preferably in all handles of the modular surgical instrument system. Furthermore, some of the tool tips with the respective actuating element, as well as shafts and handles of the modular surgical instrument system, can be designed for HF applications, which is why the overload protection device can be designed with electrically insulating components so that the overload protection device can be used in both current-free and current-carrying modular surgical instruments suitable for instruments.
  • a modular surgical instrument accordingly has, in a first embodiment, a handle, a shaft and a tool tip, which are selected from a modular surgical instrument system according to the invention, which is un- has different handles, different shafts with different proximal end pieces and different tool tips.
  • the tool tip is arranged at a distal end of the shaft and can be actuated via an actuating element which is movable longitudinally axially in the shaft and which is in operative connection with the handle which is arranged at a proximal end of the shaft.
  • the modular surgical instrument system from which the modular surgical instrument is composed is a modular surgical instrument system according to the invention, which has an overload protection device according to the invention, wherein the shaft selected for the modular surgical instrument has a proximal end piece assigned to the selected tool tip in order to provide a connection to the To provide an active connection with the overload protection device adapted to the predetermined limit force of the tool tip.
  • FIG. 1 shows a schematic, partially sectioned side view of a modular surgical instrument according to the invention with the modules handle, shaft with proximal end piece and tool tip,
  • FIG. 2 shows a schematic side view of a modular surgical instrument system according to the invention
  • FIG. 3 shows a schematic representation of a modular surgical instrument system according to the invention with an example of a modular surgical instrument according to the invention that can be assembled therewith,
  • FIG. 5 shows a schematic longitudinal sectional view through an overload protection device in a further embodiment according to the invention
  • FIG. 6 shows a schematic longitudinal sectional view of the overload protection device from FIG. 4 in the normal load operating position in operative connection with a first proximal shaft end piece
  • 7 shows a schematic longitudinal sectional view of the overload protection device from FIG. 6 in the first overload operating position in operative connection with the first proximal shaft end piece
  • FIG. 8 is a schematic longitudinal sectional view of the overload protection device from FIG. 4 in the normal load operating position in operative connection with a second proximal shaft end piece,
  • FIG. 9 is a schematic longitudinal sectional view of the overload protection device from FIG. 8 in the second overload operating position in operative connection with the second proximal shaft end piece,
  • FIG. 10 is a schematic longitudinal sectional view of the overload protection device from FIG. 4 in the normal load operating position without force limitation in operative connection with a third proximal shaft end piece,
  • FIG. 11 is a schematic longitudinal sectional view of the overload protection device from FIG. 5 in the normal load operating position without force limitation in operative connection with a third proximal shaft end piece,
  • FIG. 12 shows a schematic longitudinal sectional view of the overload protection device from FIG. 5 in the normal load operating position in operative connection with a first proximal shaft end piece
  • Fig. 13 is a schematic longitudinal sectional view of the overload protection device from Fig.
  • FIG. 14 is a schematic longitudinal sectional view of the overload protection device from FIG. 5 in the normal load operating position in operative connection with a second proximal shaft end piece,
  • Fig. 15 is a schematic longitudinal sectional view of the overload protection device from Fig. 13 in the second overload operating position in operative connection with the second proximal shaft end piece.
  • the invention relates to an overload protection device 1 for a modular surgical instrument 10, which is assembled from a modular surgical instrument system 100.
  • FIGS. 4 to 15 show an overload protection device 1 according to the invention in different operating positions.
  • a modular surgical instrument 10 assembled from a modular surgical instrument system 100 as indicated in FIGS. 2 and 3 can be seen in FIGS. 1 and 3.
  • the overload protection device 1 is intended to prevent damage to (distal) parts of the tool tip 103 of a surgical instrument 10, which is assembled from a surgical instrument system 100.
  • the overload protection provided by the overload protection device 1 is activated, for example, when the user is operating the instrument 10 and the tool tip 103 or its jaw parts are blocked by gripping/cutting and when the user presses it further, too much (hand) force is put into the instrument 10:
  • the overload protection device 1 absorbs the force component that exceeds a predetermined limit force for the tool tip 103, or a resulting (material) expansion of the instrument 10, and thus prevents the instrument 10 from failing, for example due to damage or breakage Tool tip 103.
  • the overload protection device 1 not only enables the protection of moderately sensitive tool tips, but also the protection of more sensitive tool tips whose tolerable limit force is lower than the average load value, as well as the bypassing of the overload protection for more robust tool tips whose tolerable limit force significantly exceeds the average load value.
  • the overload protection device 1 is designed as a multi-stage force limiter system which has force limiting devices with different threshold levels, which are adapted to the limit forces predetermined for the respective tool tips or can be adapted, for example.
  • B. Spring elements as energy storage are preloaded to a defined threshold value.
  • the overload protection device 1 can be arranged in each handle 101, 10T, 101′′, which has a shaft 102, 102', 102" and a tool tip 103, 103', 103" can be assembled into a modular surgical instrument 10.
  • the tool tip 103, 103', 103" which is provided here pre-assembled with the actuating element 21, is arranged at a distal end of the shaft 102, 102', 102", which defines a longitudinal axis A of the surgical instrument 10.
  • the tool tip 103, 103', 103" can be actuated via the actuating element 21, which is movable longitudinally axially in the shaft 102, 102', 102", and which is connected to the handle 101, 10T, 101", which is at a proximal end of the shaft 102, 102 ', 102 "is arranged, is brought into operative connection.
  • the actuating element 21 which is movable longitudinally axially in the shaft 102, 102', 102"
  • the handle 101, 10T, 101 which is at a proximal end of the shaft 102, 102 ', 102 "is arranged, is brought into operative connection.
  • the modular instrument 10 is assembled from a modular surgical instrument system 100 as shown in FIGS. 2 and 3.
  • the modular surgical instrument system 100 shown there in a simplified schematic form has three modular kits for the different handles 101, 101', 101" with actuating element 21, the different shafts 102, 102', 102" with the different proximal end pieces 20, 20', 20" and the different tool tips 103, 103 ', 103".
  • the different shafts 102, 102', 102" can be present in any combination with the different proximal end pieces 20, 20', 20".
  • selectable shafts 102, 102', 102" can differ not only in terms of their shaft type, but also in terms of the respective proximal end piece 20, 20', 20".
  • the different handles 101, 101′, 101′′ are each equipped with an overload protection device 1 according to the invention.
  • the distinction between the tool tips 103, 103', 103" is based on the limit force that can be tolerated by the respective tool tip 103, 103', 103", that is to say that there is a first limit force for the first tool tips 103 and one for the second tool tip 103' second limit force and a third limit force is predetermined for the third tool tip 103”.
  • the first tool tips 103 of a modular instrument system 100 - apart from the limit force - can definitely be used be, material and construction differ.
  • the different proximal end pieces 20, 20', 20" allow an assignment to a specific tool tip 103, 103', 103" and enable an active connection when mounting the shaft 102, 102', 102" on the handle 101, 10T, 101".
  • with the overload protection device 1 according to the invention by selectively engaging with a force limiting device adapted to the predetermined limit force of the selected tool tip type (for sensitive and moderately sensitive tool tip types) or by bypassing these force limiting devices (for robust tool tip types).
  • each tool tip 103, 103', 103" is extended over the associated proximal end piece 20, 20' depending on its predetermined tolerable limit force. , 20" is brought into operative connection with the overload protection device 1 in such a way that either the actuation force does not exceed the predetermined limit force for the sensitive or moderately sensitive tool tip 103, 103 'or the actuation force is not limited to that for the robust tool tip 103".
  • the distinguishing parameter of the proximal end pieces 20, 20', 20" can, for example, be a cross-sectional dimension such as the diameter with a circular cross-sectional profile of the proximal end piece 20, 20', 20" - otherwise the proximal end pieces 20, 20', 20" may well have the same diameter differ in material and construction.
  • the distinguishing parameter of the proximal end pieces 20, 20', 20" can be at least a suitable cross-sectional dimension such as a semi-axis in the case of an elliptical cross-section, a side length or diagonal in the case of a polygonal cross-section.
  • the distinguishing parameter can be a shape of the cross-sectional profile (circular, elliptical, polygonal, etc.).
  • the proximal end pieces 20, 20', 20" can have both different cross-sectional profiles and different cross-sectional dimensions as a combined distinguishing parameter.
  • the proximal end piece 20, 20', 20" can simply be the proximal end section of the shaft 102, 102', 102", or can be designed as an intermediate piece or coupling element which connects to the proximal end of the shaft 102, 102', 102". .
  • FIG. 3 shows an example of the composition of a modular surgical instrument 10 consisting of a first tool tip 103, a second shaft 102 'with a first proximal Paint end piece 20, which is assigned to the first tool tip 103, and a third handle 101 "with the overload protection device 1 according to the invention, which has the force limiting devices K1, K2 indicated by the dashed borders.
  • the first proximal end piece 20 is designed here, for example, to engage with the first force limiting device K1 in order to limit the actuation force to the limit force predetermined for the first tool tip 103.
  • the first force limiting device K1 is designed for selective engagement with the proximal end piece 20 corresponding to its cross-sectional profile, which differs from the cross-sectional profiles of the proximal end pieces 20 ', 20 "in terms of shape and / or dimensions.
  • the cross-sectional profiles of the proximal end pieces 20', 20" not used in this example for assembling the surgical instrument 10 are e.g. B. designed for selective engagement with the second force limiting device K2, which limits the actuating force to the limit force predetermined for the second tool tip 103 ', or to bypass the two force limiting devices K1, K2 if no limitation of the limit force is required for a different type of tool tip 103 " .
  • a two-part instrument can be assembled from an alternative modular surgical instrument system that has two construction kits:
  • the first construction kit includes the different handles 101 with the overload protection device 1 according to the invention, while the second Construction kit provides differently combined modules from the different tool tips 103, 103', 103" and the different shafts 102, 102', 102" with the proximal end pieces 20, 20', 20" assigned to the respective tool tip 103, 103', 103".
  • a modular surgical instrument system 100 can also combine the two-part and three-part variants and have four modules: different handles with overload protection devices, different shafts with different proximal end pieces, different tool tips and the differently combined modules of tool tips and shafts with the appropriately assigned proximal end pieces.
  • a modular surgical instrument system 100 is not limited to three types per kit; the individual kits for handles, shafts with proximal end pieces and tool tips can also have more or less than three types each, with the number of variants of the proximal end pieces depending on the assignment to the different tool tips corresponds to the variant number of tool tips, which are determined according to the different tolerable limit forces.
  • the number of variants of the types in the respective Different construction sets may not be the same size: For example, the number of different handles can be significantly larger than the number of different shafts, etc.
  • the overload protection device 1 is shown in a first embodiment with cascaded force limiting devices K1, K2 in FIG. 4 and in FIGS. 6 to 10 in different application variants and operating positions.
  • An alternative embodiment with force limiting devices K1, K2 arranged longitudinally axially one behind the other can be seen in FIG. 5 and in FIGS. 11 to 15 in different application variants and operating positions.
  • the proximal end piece 20, 20', 20" in the figures is designed with a consistently uniform diameter, whereas in the implementation only an area required for the intervention needs to be adjusted accordingly.
  • the shaft 102, 102', 102" with the end piece 20, 20', 20" can therefore also be designed with gradations.
  • the overload protection device 1 in both embodiments is designed to provide an actuation force that can be transmitted from the actuating element 21 (shown in FIG. 4) to the respective tool tip 103, 103 ', 103 ", either to the predetermined one for the respective tool tips 103, 103 ', 103". to limit or allow border force.
  • the overload protection device 1 has two force limiting devices K1, K2.
  • overload protection devices 1 according to the invention can also have more than two force limiting devices K1, K2, whereby the arrangement, structure and functioning of a third or each further force limiting device can easily be derived from the arrangement, structure and functioning of the first and second force limiting devices K1 described , K2 result.
  • the first force limiting device K1 is designed to limit the actuation force to a first limit force, which is predetermined for a first tool tip 103
  • the second force limiting device K2 is designed to limit the actuation force to a second limit force, which is for a second tool tip 103 ' is predetermined.
  • the overload protection device 1 provides a force-limiting intervention for a third tool tip 103", whose tolerable limit force is greater than an actuation force that can be applied by the user, so that a force limitation is not necessary and may even be undesirable.
  • the first proximal end piece 20 is designed to engage with the first force limiting device K1
  • the second proximal end piece 20' is designed to engage with the second force limiting device K2.
  • a third proximal end piece 20" which differs from the first and second proximal end pieces 20, 20 ' .
  • the first, second and third proximal end pieces 20, 20', 20" may differ in terms of diameter d1, d2, d3.
  • a first proximal end section 20 with a largest diameter d1 is provided for engagement with the first force limiting device K1 in order to limit an actuating force that is applied to a first tool tip 103 via the actuating element 21 to a first limit force predetermined for this .
  • a second proximal end section 20′ with a mean diameter d2 is provided for engagement with the second force limiting device K2 in order to limit an actuation force that is applied to a second tool tip 103 via the actuation element 21 to a second limit force predetermined for this.
  • the first force limiting device K1 for limiting the actuation force to the first limit force is arranged distally in relation to the second force limiting device K2, which limits the actuation force to the second limit force, which is greater than the first limit force.
  • the third proximal end section 20" with a smallest diameter d3 is intended to bypass the two force limiting devices K1, K2 in order not to limit the actuating force that is applied to a third tool tip 103 via the actuating element 21.
  • the third proximal end section 20′′ with the smallest diameter d3 can be supported on a housing component 8 of the overload protection device 1, which can be arranged in the handle 101 or is an integral part of a handle housing.
  • This housing component 8 is also operatively connected to the force limiting devices K1, K2 in that the second force limiting device K2 is supported on the housing component 8, while the first force limiting device K1 is supported by the second force limiting device K2.
  • the first force limiting device K1 has a first spring element 4, for example a hydraulic, pneumatic or helical compression spring, as a force storage device.
  • Coil spring elements can be preferred due to their simple and economical implementation.
  • an overload protection device according to the invention can also have pneumatic or hydraulic spring elements as energy storage, each of which is formed by one or more air or fluid chamber(s).
  • the first force limiting device K1 has a first guide sleeve 3 with a cylinder section 3.0, which has an (inner) diameter adapted to the (outer) diameter d1 of the first proximal end piece 20, so that the respective first proximal end piece 20 in the first guide sleeve 3 recording takes place.
  • the first guide sleeve 3 At a distal end of the cylinder section 3.0, the first guide sleeve 3 has a first flange section 3.2 which projects radially outwards. At the other, proximal end of its cylinder section 3.0, the first guide sleeve 3 has a first annular inner stop S1. This is designed to project radially inwards around a first passage opening 3.1 which is coaxial with the longitudinal axis A and has a diameter which is smaller than the diameter d1 but larger than the diameter d2 of a second proximal end piece 20.
  • a second proximal end piece 20' can pass through the first passage opening 3.1 of the first guide sleeve 3, while a first proximal end piece 20 comes into contact with the first annular inner stop S1.
  • the operative connection is established with the first force limiting device K1, which provides the adapted limitation of the actuation force to the first limit force.
  • the first spring element 4 is arranged around the cylinder section 3.0 of the first guide sleeve 3 and presses on the distal side against the first flange section 3.2 of the first guide sleeve 3.
  • the first flange section 3.2 rests on a first stop ring 2 due to the action of the first spring element 3, which is a further part of the first force limiting device K1 in the housing component 8 is attached and provides the stop ring surface for the first flange section 3.2 on the proximal side around a passage opening 2.1 coaxial with the longitudinal axis A.
  • the passage opening 2.1 has a diameter that is larger than the diameter d1 of the first proximal end piece 20, but smaller than an outer diameter of the flange section 3.2 of the first guide sleeve 3.
  • the second force limiting device K2 is constructed analogously and has a second spring element 7 as a force accumulator, for example also a hydraulic, pneumatic or preferably helical compression spring, and a second guide sleeve 6 with a cylinder section 6.0, the (inner) diameter of which is larger than that (Outer) diameter d2 of a second proximal end piece 20 ', so that a second proximal end piece 20 is accommodated in the second guide sleeve 6.
  • the second guide sleeve 6 has a second, radially outwardly projecting flange section 6.2.
  • the second guide sleeve 6 has a second annular inner stop S2. This is designed to project radially inwards around a second passage opening 6.1 which is coaxial with the longitudinal axis A and has a diameter which is smaller than the diameter d2 but larger than the diameter d3 of a third proximal end piece 20". Therefore, a third proximal end piece 20′′ can pass through the second passage opening 6.1 of the second guide sleeve 6, while a second proximal end piece 20′ comes into contact with the second annular inner stop S2.
  • the operative connection is established with the second force limiting device K2, which provides the adapted limitation of the actuation force to the second limit force.
  • the second spring element 7 is arranged around the cylinder section 6.0 of the second guide sleeve 6 and presses on the distal side against the second flange section 6.2 of the second guide sleeve 6.
  • the second flange section 6.2 rests on a second stop ring 5 due to the action of the second spring element 7, which is a further part of the second force limiting device K2 in the Housing component 8 is attached and provides a stop ring surface on the proximal side around a passage opening 5.1 coaxial with the longitudinal axis A for the second flange section 6.2.
  • the passage opening 5.1 has a diameter that is larger than the diameter d2 of the second proximal end piece 20, but smaller than an outer diameter of the flange section 6.2 of the second guide sleeve 6.
  • the force limiting devices K1, K2 can be adapted to the respective predetermined limit forces of the first and second tool tips 103, 103 'by the preload of the respective spring element 4, 7 in the standard load operating position without the action of force is adjusted via the shaft 102, 102', 102". This can be done by the respective axial positioning of the respective stop ring 2, 5, against which the respective spring element 4, 7 presses via the respective flange section 3.2, 6.2, on the inside of the housing component 8.
  • the housing component 8 can, for example, have an internal thread 8.2 in a cylindrical section and the two annular stops 2, 5 can have a corresponding external thread, so that the stops 2, 5 can be axially positioned by screwing in and fixed in the axial direction.
  • the spring elements 4, 7 prestressed in this way via the respective distal stop ring are activated from the set prestressing force. If the actuation force is below the spring force set by the preload, the overload limitation remains ineffective.
  • third proximal end pieces 20" which have a diameter d3 that is smaller than the diameters d1, d2 of the first and second proximal end sections 20, 20 ', so that a third proximal end piece 20" is included neither of the two force limiting devices K1, K2 engages.
  • the overload protection device 1 has a third annular inner stop S3, which is present on the housing component 8 around a third passage opening 8.1 which is coaxial with the longitudinal axis A.
  • the third passage opening 8.1 which is provided for the passage of the actuating element 21, has a diameter that is smaller than the diameter d3 of a third proximal end piece 20", which consequently comes into contact with the third annular inner stop S3 of the housing component 8.
  • the second spring element 7 of the second force limiting device K2 which presses against the second flange section 6.2, is also supported on the third inner stop S3 of the housing component 8.
  • the first spring element 7 extends axially beyond the proximal end of the second guide sleeve 6 with the second annular inner stop S2, so that the proximal end of the second guide sleeve 6 with the second annular inner stop S2 is spaced from the third annular inner stop S3 on the housing component 8 .
  • This distance is available to the second force limiting device K2 as spring travel b2 (see FIGS. 6, 12) and is designed to be adapted to predeterminable parameters.
  • the parameters are, for example, the second limit force, the spring constant of the second spring element 7 and its preload.
  • the housing component 8 is shown in one piece as a cylindrical sleeve, which is delimited at one end by the annular inner stop S3 which projects radially inwards.
  • a housing component of an overload protection device 1 according to the invention can also be in several parts and have different housing sections, which can also include, for example, sections of the handle 101, 101 ', 101 ", which are connected to the various components of the overload protection device 1 according to the invention (stops 2, 5, second spring element 7, possibly third proximal end piece 20”) can come into engagement.
  • FIGS. 4 and 5 lie in the arrangement of the force limiting devices K1, K2 in relation to one another.
  • the two force limiting devices K1, K2 are nested within one another and arranged in an axially overlapping manner, so that the second force limiting device K2 partially surrounds the first force limiting device K1.
  • the diameter is the Passage opening 5.1 of the second stop ring 5 as well as the diameter of the cylinder section 6.0 of the second guide sleeve 6 are adapted to an outer diameter of the first spring element 4, which extends through the passage opening 5.1 of the second stop ring 5 and into the second guide sleeve 6.
  • the first spring element 3 which is arranged around the cylinder section 3.0 of the first guide sleeve 3.
  • the first spring element 3 extends axially beyond the end of the first guide sleeve 3 with the annular inner stop S1 and is supported on the annular inner stop S2 of the second guide sleeve 6, so that the proximal end of the first guide sleeve 3 with the annular inner stop S1 from the second annular inner stop S2 is spaced apart.
  • the force limiting devices K1, K2 are arranged axially one behind the other, with the first spring element 4, which now presses against the first flange section 3.2 of the first guide sleeve 3 on the distal side the second stop ring 5 is supported, which is fastened in the housing component 8.
  • the first spring element 4 extends axially beyond the end of the first guide sleeve 3 with the annular inner stop S1, so that the proximal end of the first guide sleeve 3 with the annular inner stop S1 is spaced from the second stop ring 5.
  • This distance between the proximal end of the first guide sleeve 3 with the annular inner stop S1 and the second annular inner stop S2 (in the cascaded arrangement) or the second stop ring 5 (in the longitudinally axially successive arrangement) represents the first force limiting device K1 as a spring travel b1 (see Fig. 6, 12) is available and is designed to be adapted to predeterminable parameters.
  • the parameters are, for example, the first limit force, the spring constant of the first spring element 4 and its preload.
  • the entire working range of the tool tips used can be taken into account with regard to the spring travel b1, b2. If the first guide sleeve 3 has covered the spring travel b1 in the first overload operating position (Fig. 7 or Fig. 13), it abuts against the second annular inner stop S2 of the second guide sleeve 6 or against the second distal stop ring 5. This forms the mechanical overload stop for the first force limiting device K1 and thus avoids compression of the first spring element 4 in an unwanted/undefined area or thus ensures a defined end point for this overload level. In the cascaded arrangement (Fig.
  • the next overload stage i.e. the second force limiting device K2
  • the next overload stage i.e. the second force limiting device K2
  • the first spring element 4 is mounted on the second stop ring against the housing element 8
  • there is no effect on the subsequent stage or force limiting device K2 which can only be achieved by using a second proximal end piece 20 ' is activated.
  • first spring element 3 Since in the cascaded arrangement the first spring element 3 is supported on the second annular inner stop S2 of the second guide sleeve 6, which is spring-mounted above its flange section 6.2, against which the second spring element 7 rests, the second spring element 7 must have a higher spring constant than that first spring element 4, since otherwise the first force limiting device K1 cannot act independently of the second force limiting device K2.
  • the corresponding assignments of first and second tool tips 103, 103 ', first and second proximal end sections 20, 20' and first and second force limiting devices K1, K2 ensure that the second limit force to which the actuation force with the second force limiting device K2 is limited is greater than the first limit force to which the actuation force is limited with the first force limiting device K1.
  • the force limiting devices K1, K2 can act independently, so that, unlike in the cascaded arrangement, the second spring element 7 does not necessarily have to have a higher spring constant than the first spring element 4. It can also be preferred here that the corresponding assignments of first and second tool tips 103, 103 ', first and second proximal end sections 20, 20' and first and second force limiting devices K1, K2, the second limit force to which the actuation force is limited with the second force limiting device K2 is greater than the first Limit force to which the actuation force is limited with the first force limiting device K1.
  • the various spring elements or force limiting devices in the cascaded arrangement can be coupled in series, or each spring element or force storage arrangement can be arranged as a package on its own.
  • the spring elements are each preloaded to a defined threshold value, so that when a delicate tool tip with a low limit load is inserted, a coupling occurs with a weak spring element, which realizes a low threshold level of the overload protection device.
  • a tool tip is used that requires a higher threshold level, it is coupled to a stronger spring element of the overload protection device.
  • a stronger spring element for a higher actuation force can be formed by several springs arranged in parallel.
  • the weaker spring element of the overload protection device is not loaded and therefore remains ineffective, whereby the weaker spring element must always be arranged in such a way that it cannot be destroyed by the higher load. This is achieved in the cascaded arrangement by placing the weaker spring element in front of the stronger spring element or supporting it and independently providing it with the mechanical stop ring, which protects the spring element from permanent (plastic) change outside the intended working area.
  • the overload protection device can have a compact design or, if necessary, a design that is specifically adapted to the available installation space in the handle. If the overload protection device has more than two force limiting devices, combinations of both arrangement variants are also conceivable.
  • the first and a third force limiting device can be arranged in cascade as described above, with the spring element of the third force limiting device not being supported on the housing element but on the stop ring of the second force limiting device, so that the third and second force limiting devices form an axially sequential arrangement as described above .
  • the first force limiting device is arranged longitudinally axially one behind the other with the third force limiting device, the spring element of the third force limiting device not being supported on the housing element, but rather on the annular inner stop of the guide sleeve of the second force limiting device, if the third and second force limiting devices are arranged in a cascade are.
  • the third force limiting device is therefore part of both arrangement variants. Modifications of the overload protection device according to the invention for use in electrical high-frequency applications (HF applications) are not shown.
  • the components of the overload protection device 1 can, where necessary, be made of an electrically insulating material, provided with an electrically insulating cover or layer, or separated by an electrically insulating intermediate piece. If the current is transmitted to the tool tip, for example, through the actuating element, which extends through the shaft and the proximal end piece, the shaft and its proximal end piece as well as the housing component at the passage opening for the actuating element can be designed to be electrically insulating.
  • the insulation can be advantageous with comparatively little technical effort, e.g. B. can be realized by an insulation sleeve.
  • FIGS. 6 to 10 Different application variants and operating positions of the overload protection device 1 according to the invention are based on FIGS. 6 to 10 for the overload protection device 1 according to the invention from FIG. 4 with cascaded force limiting devices K1, K2 and with reference to FIGS Force limiting devices K1, K2 arranged longitudinally axially one behind the other are explained.
  • FIGS. 6, 7 and 12, 13 each show the use of the respective overload protection device 1 with a first proximal end piece 20 with the largest diameter d1, which is assigned to the first tool tips 103 with a lowest tolerable limit force.
  • the first tool tip 103 is brought into operative connection with the first force limiting device K1 via the first proximal end section 20, in that the first proximal end piece 20 extends into the first guide sleeve 3 and comes into contact with the first annular inner stop S1 of the first guide sleeve 3.
  • the first flange section 3.2 rests on the first stop ring 2.
  • FIG. 7 and 13 show the first overload operating position of the overload protection device 1 according to the invention, in which the actuation force is greater than the limit force predetermined for the first tool tips.
  • the actuating force is transmitted via the respective shaft 102, 102 ', 102" with the first proximal end section 20 to the first annular inner stop S1 of the first guide sleeve 3.
  • the force is introduced into the first spring element 4, which is axially compressed, so that the guide sleeve 3 is moved axially in the proximal direction and the first flange section 3.2 is moved by the first stop ring 2 by a first displacement path x1 is spaced apart.
  • the length of the first displacement path x1 is from depending on the actuating force applied and, with a suitable design of the force limiting device K1, smaller than the first spring travel b1.
  • the force is introduced into the second spring element 7, which is axially compressed, so that the second guide sleeve 6 is moved axially in the proximal direction and the second flange section 6.2 is moved by the second stop ring 2 by a second displacement path x2 is spaced apart.
  • the length of the second displacement path x2 depends on the actuating force applied and, with a suitable design of the force limiting device K2, is smaller than the second spring travel b2.
  • FIGS. 10 and 11 show the respective overload protection device 1 according to the invention in use without force limitation, with the two force limitation devices K1, K2 being bypassed or deactivated.
  • This is achieved by a third proximal end piece 20" with the smallest diameter d3, which is assigned to the tool tips 103" with a tolerable limit force that is not exceeded by the actuating forces that can be applied by an average user.
  • the third proximal end piece 20" with the smallest diameter d3 extends through the first guide sleeve 3 and its passage opening 3.1 as well as through the second guide sleeve 6 and its passage opening 6.1 to the third annular inner stop S3 on the housing component 8.
  • the actuation force is not limited by the force limiting devices K1, K2.
  • the assignment of the tool tips that differ in terms of the tolerable limit force to the different proximal end pieces of the shafts, which provide the selective engagement with the appropriate force limiting device or with the housing, represents a type of coding through which safety-critical combinations can be provided and assigned to a specific threshold level . In practical use, this means an increase in comfort for the user. Because the modular system does not provide unsuitable or critical combinations, module selection does not require any additional attention from the user, as the correct overload protection is automatically provided via the coding of the interface, i.e. H. Assignment of the tool tip to the appropriate force limiting device or its bypassing via the proximal end piece is selected.
  • the diameter of the proximal end pieces 20, 20', 20" is used as a distinguishing parameter that provides the appropriate assignment of the tool tip and the force limiting device, which allows a simple coaxial arrangement of the force limiting devices K1, K2.
  • the term diameter should also be understood to mean a profile dimension of a proximal end piece with a cross-sectional geometry that deviates from the circular shape.
  • the proximal end pieces can - in addition to different colors, for example - also have different cross-sectional profiles.
  • the respective guide sleeves can be designed with a correspondingly adapted inner profile.
  • the present invention provides an overload protection device 1 for a modular surgical instrument system 100, a modular surgical instrument system 100 and a modular surgical instrument 10 with the overload protection device 1.
  • the overload protection device 1 has handles 101, 10T, 101", shafts 102, 102', 102" with proximal end pieces 20, 20', 20" and tool tips 103, 103', 103", for which different limit forces are predetermined, for assembling a modular surgical instrument 10.
  • the overload protection device 1 is designed to be arranged in the handle 101, 10T, 101" and has at least two force limiting devices K1, K2, which are used to limit an actuation force to at least two of the for the tool tips 103, 103 'predetermined limit forces are formed.
  • Each tool tip 103, 103' is assigned one of the proximal end pieces 20, 20', which have cross-sectional profiles that differ in terms of their shape and/or their dimensions.
  • Each force limiting device K1, K2 is designed for selective engagement with one of the proximal end pieces 20, 20 'corresponding to their different cross-sectional profiles, so that the respective tool tip 103, 103' through the associated proximal end piece 20, 20' with that of the force limiting devices K1 , K2 can be brought into operative connection, which is designed to limit the actuation force to the limit force predetermined for the respective tool tip 103, 103 '.

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Abstract

La présente invention concerne un appareil de protection contre les surcharges (1) pour un système d'instrument chirurgical modulaire (100). L'appareil de protection contre les surcharges (1) comprend : des poignées (101, 101, 101") ; des arbres (102, 102', 102") ayant des pièces d'extrémité proximales (20, 20', 20") ; et des pointes d'outil (103, 103', 103") pour lesquelles différentes forces limites sont prédéfinies. L'appareil de protection contre les surcharges (1) comporte au moins deux dispositifs de limitation de force (K1, K2). Chaque pointe d'outil (103, 103') est associée à l'une des pièces d'extrémité proximale (20, 20') qui ont des profils de section transversale qui diffèrent en termes de leur forme et/ou de leurs dimensions. Chaque dispositif de limitation de force (K1, K2) est conçu pour venir en prise de manière sélective avec l'une des parties d'extrémité proximale (20, 20') d'une manière correspondant à leurs profils de section transversale différents de telle sorte que la pointe d'outil (103, 103') peut être reliée de manière fonctionnelle, par l'élément d'extrémité proximale associé (20, 20'), à l'un des dispositifs de limitation de force (K1, K2) qui est conçu pour limiter la force d'actionnement à la force limite prédéfinie pour ladite pointe d'outil (103, 103').
PCT/EP2023/067778 2022-06-30 2023-06-29 Appareil de protection contre surcharges pour un instrument chirurgical modulaire et instrument chirurgical modulaire WO2024003219A1 (fr)

Applications Claiming Priority (2)

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DE102022116380.6A DE102022116380B4 (de) 2022-06-30 2022-06-30 Überlastschutzvorrichtung für ein modulares chirurgisches Instrument und modulares Instrumentensystem
DE102022116380.6 2022-06-30

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WO2024003219A1 true WO2024003219A1 (fr) 2024-01-04

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Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1999004703A1 (fr) 1997-07-22 1999-02-04 Karl Storz Gmbh & Co. Dispositif destine a limiter la transmission de force sur des instruments chirurgicaux
DE19948031A1 (de) * 1999-10-06 2001-05-17 Aesculap Ag & Co Kg Chirurgisches Rohrschaftinstrument
DE102007021658A1 (de) * 2007-05-04 2008-11-06 Karl Storz Gmbh & Co. Kg Zerlegbares medizinisches Zangensystem
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