WO2024109713A1 - Reset device and surgical operation instrument - Google Patents

Reset device and surgical operation instrument Download PDF

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Publication number
WO2024109713A1
WO2024109713A1 PCT/CN2023/132805 CN2023132805W WO2024109713A1 WO 2024109713 A1 WO2024109713 A1 WO 2024109713A1 CN 2023132805 W CN2023132805 W CN 2023132805W WO 2024109713 A1 WO2024109713 A1 WO 2024109713A1
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WO
WIPO (PCT)
Prior art keywords
gear
transmission component
transmission
operating
state
Prior art date
Application number
PCT/CN2023/132805
Other languages
French (fr)
Chinese (zh)
Inventor
王叶挺
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 CN202211474593.6A external-priority patent/CN115721357A/en
Priority claimed from CN202223120807.8U external-priority patent/CN219207120U/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 WO2024109713A1 publication Critical patent/WO2024109713A1/en

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • 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
    • 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/3209Incision instruments

Definitions

  • the present application relates to the technical field of medical devices, and in particular to a resetting device and a surgical instrument.
  • the existing surgical stapler includes a stapler body, a firing mechanism (such as a firing handle) movably connected to the stapler body, and a nail head that cooperates with the body.
  • the stapler body includes a transmission component.
  • the tissue is placed between the anvil and the nail magazine of the nail head, and the distance between the anvil and the nail magazine is adjusted to gradually clamp the tissue, and then the transmission component is driven to move toward the distal end by operating the handle, so that the staples are formed on the anvil to complete the anastomosis of the tissue.
  • the purpose of the present application is to provide a resetting device and a surgical instrument, wherein a first operating mechanism can separate the transmission mechanism from the electric mechanism so that the transmission component is no longer affected by the electric mechanism, and a second operating mechanism can drive the transmission component to move and manually retract and reset.
  • the present application provides a reset device for a surgical instrument, the reset device comprising: a transmission component that can be driven to move along the axial direction of the transmission component; an electric mechanism configured to provide power for the transmission component to move axially; a transmission mechanism that connects the electric mechanism and the transmission component in a first state to transmit the power of the electric mechanism to the transmission component, and in a second state
  • the transmission mechanism is separated from the electric mechanism; a first operating mechanism is configured to be operable to drive the transmission mechanism from the first state to the second state; and a second operating mechanism is configured to be operable to drive the transmission component to move along the axial direction of the transmission component when the transmission mechanism is in the second state.
  • the transmission mechanism when the first operating mechanism abuts against the first surface of the transmission mechanism and can be operated to move at least partially along a first direction, the transmission mechanism is driven to move at least partially along the first direction, so that the transmission mechanism enters a second state from the first state.
  • the transmission mechanism includes a first gear.
  • the first gear is respectively engaged with the electric mechanism and the transmission component;
  • the second operating mechanism can be operated to drive the first gear to rotate, so that the first gear drives the transmission component to move along the axial direction of the transmission component.
  • the transmission mechanism further includes a first gear shaft passing through the interior of the first gear, the second operating mechanism is provided with a first matching portion, the first gear shaft is provided with a second matching portion, and the first matching portion and the second matching portion form a non-rotatable connection.
  • one of the first mating portion and the second mating portion is a mating recess, and the other is a mating protrusion, and the inner surface of the mating recess and the outer surface of the mating protrusion are respectively provided with matching anti-rotation structures.
  • the first gear shaft is further provided with a limiting portion, and when the first matching portion is connected to the second matching portion, the first matching portion at least partially abuts against the limiting portion.
  • the second operating mechanism includes a first operating rod and a second operating rod, the first end of the first operating rod is provided with the first matching portion, and the second end of the first operating rod is rotatably connected to the second operating rod through a first pivot.
  • a cavity is provided inside the first operating rod, and a sliding groove is provided on one side of the second operating rod.
  • the first pivot at least partially enters the sliding groove and can move along the extension direction of the sliding groove so that the second operating rod at least partially enters the cavity of the first operating rod.
  • the first direction is along the axial direction of the first gear shaft, and the first direction is perpendicular to the axial direction of the transmission component.
  • the electric mechanism includes a motor and a second gear
  • the output shaft of the motor can drive the second gear to rotate
  • the output shaft of the motor is parallel to the first direction
  • the second gear is at least partially located on one side of the first gear along the second direction; wherein the second direction is opposite to the first direction.
  • the first operating mechanism includes a first switching lever and a second switching lever.
  • the change lever is connected to the second switch lever through a second pivot, and when the second switch lever rotates around the second pivot along a third direction, the first switch lever is driven to at least partially move along the first direction.
  • a width of the first switch bar is smaller than a width of the second switch bar.
  • the transmission mechanism further includes a switching fitting, the switching fitting is disposed on one side of the end surface of the first gear, and a side surface of the switching fitting facing away from the first gear is the first surface.
  • An embodiment of the present application also provides a surgical instrument, comprising the above-mentioned resetting device.
  • it further comprises a housing, wherein the transmission component and the transmission mechanism are at least partially located in the housing;
  • the shell comprises a containing cavity, one end of which is open to a side surface of the shell, and the second operating mechanism can be at least partially placed in the containing cavity.
  • the present application also provides a surgical instrument, comprising the above-mentioned resetting device.
  • the transmission mechanism when the transmission component needs to be manually reset, the transmission mechanism can be separated from the electric mechanism by the first operating mechanism, and the transmission component can be driven to move and retract and reset by the second operating mechanism. Even if the retraction function of the electric mechanism fails, the transmission component can be manually driven to reset.
  • the reset device can be applied to surgical staplers or other types of surgical instruments.
  • FIG1 is a schematic structural diagram of a reset device according to an embodiment of the present application.
  • FIGS. 2 and 3 are schematic diagrams of a reset device after the shell is removed according to an embodiment of the present application
  • FIG4 is a schematic diagram of the cooperation between a transmission mechanism, a transmission component and a first operating mechanism according to an embodiment of the present application
  • FIG. 5 is a schematic diagram of the cooperation between a transmission mechanism, a transmission component and a first operating rod according to an embodiment of the present application
  • FIG. 6 is a schematic diagram of the cooperation between a transmission mechanism, a transmission component, a first operating rod and a second operating mechanism according to an embodiment of the present application;
  • FIG7 is a schematic structural diagram of a second operating lever mechanism according to an embodiment of the present application.
  • FIG8 is a front view of the reset device after the housing is removed according to an embodiment of the present application, and the transmission mechanism is in the first state;
  • FIG9 is a front view of the reset device after the housing is removed according to an embodiment of the present application, and the transmission mechanism is in the second state state;
  • FIG. 10 is a schematic diagram of the cooperation between a transmission mechanism, a transmission component and a second operating mechanism according to an embodiment of the present application;
  • FIG11 is a schematic structural diagram of a second operating mechanism according to an embodiment of the present application.
  • FIG12 is an exploded view of a second operating mechanism according to an embodiment of the present application.
  • FIG13 is a schematic diagram of a second operating rod during storage according to an embodiment of the present application.
  • FIG14 is a schematic diagram of a second operating lever when it is stored according to an embodiment of the present application.
  • FIG. 15 is a schematic diagram of a second operating mechanism housed in a housing according to an embodiment of the present application.
  • the present application provides a resetting device for surgical instruments and a surgical instrument including the resetting device.
  • the surgical instrument may be a surgical stapler or other types of instruments.
  • the surgical stapler is described in detail below.
  • the surgical stapler includes a stapler body and a nail head located at the distal end of the stapler body.
  • the stapler body is provided with an electric mechanism, a transmission mechanism and a transmission component.
  • the nail head includes a nail anvil and a nail magazine arranged oppositely, and a stapler is provided in the nail magazine.
  • the motor drives the transmission component to move toward the distal side through the transmission mechanism to drive the distal nail head to complete the cutting and suturing execution.
  • the electric mechanism can drive the transmission component to move toward the proximal side through the transmission mechanism, and the transmission component is reset based on the retraction function of the electric mechanism.
  • the resetting device of the present application can be operated to separate the transmission mechanism from the electric mechanism through the first operating mechanism, and the transmission component can be driven to move and retract and reset through the second operating mechanism to achieve manual resetting of the transmission component.
  • the resetting device comprises a housing 1, a transmission component 6, an electric mechanism 5, a transmission mechanism 4, a first operating mechanism 3 and a second operating mechanism 2.
  • the transmission component 6 and the transmission mechanism 4 are at least partially arranged inside the housing 1.
  • the transmission component 6 comprises a transmission shaft extending along the axial direction of the stapler, and the transmission component 6 is provided with a tooth surface 61 at a position corresponding to the transmission mechanism 4.
  • the transmission component 6 can be driven to move along the axial direction of the transmission component 6. Specifically, when the stapler is fired, the transmission component 6 is driven to move toward the distal side of the stapler, and when the stapler is reset, the transmission component 6 is driven to move toward the proximal side of the stapler.
  • the electric mechanism 5 is configured to provide power for the transmission component 6 to move axially.
  • the electric mechanism 5 comprises a motor 51 and a second gear 52, and the second gear 52 can be driven by the motor 51 to rotate around the output shaft of the motor 51.
  • the transmission mechanism 4 includes a first gear 41 and a first gear shaft 42.
  • the first gear shaft 42 is inserted into the first gear 41, and the first gear 41 can rotate along with the first gear shaft 42 around the axis of the first gear shaft 42.
  • the axial direction of the first gear shaft 42 is parallel to the first direction, and the first direction is perpendicular to the axial direction of the transmission component 6.
  • the output shaft of the motor 51 is parallel to the first direction.
  • the distal side and the proximal side are relative to the operator, and the side closer to the operator is
  • the proximal side is the side farther from the operator, that is, the side closer to the surgical site is the distal side
  • the direction along the axis of the stapler is the axial direction, that is, the direction from the distal side of the stapler to the proximal side, or from the proximal side of the stapler to the distal side.
  • the S1 direction is the direction from the distal side to the proximal side of the stapler
  • the S2 direction is the longitudinal direction, that is, the height direction, hereinafter referred to as the first direction
  • the direction opposite to the S2 direction is hereinafter referred to as the second direction
  • the S3 direction is the transverse direction, that is, the width direction.
  • the inside and the outside are relative to its center
  • the side close to the center is the inside
  • the side away from the center is the outside.
  • the transmission mechanism 4 includes a first state (shown in FIG. 8 ) and a second state (shown in FIG. 9 ).
  • the first state the first gear 41 simultaneously meshes with the tooth surface 61 of the transmission component 6 and the second gear 52 to transmit the power of the motor 51 to the transmission component 6.
  • the transmission mechanism 4 is in the second state, the first gear 41 is separated from the second gear 52, and the first gear 41 is still meshed with the transmission component 6.
  • the movement of the transmission component 6 will not interfere with the motor 51, but the rotation of the first gear 41 can still drive the axial movement of the transmission component 6.
  • the structures of the transmission mechanism 4 and the electric mechanism 5 are only examples.
  • the transmission mechanism 4 may include a plurality of first gears 41 and/or the electric mechanism 5 may include a plurality of second gears 52.
  • a first gear 41 previously meshed with the second gear 52 is separated from the second gear 52.
  • the output shaft of the motor 51 may have a certain angle with the first direction.
  • the first direction may not be perpendicular to the axial direction of the stapler, but may form an angle with the axial direction of the stapler, and, optionally, the angle is an acute angle.
  • the first operating mechanism 3 is configured to be operable to drive the transmission mechanism 4 from the first state to the second state.
  • the second gear 52 is at least partially located on one side of the first gear 41 along the second direction. When the first gear 41 is meshed with the second gear 52, the first operating mechanism 3 is operated to drive the first gear 41 to move along the first direction, and the first gear 41 is separated from the second gear 52.
  • the transmission mechanism 4 also includes a switching fitting 43 located on one side of the lower end surface of the first gear 41 and an elastic member 44 located on the upper end surface of the first gear 41, and the lower surface of the switching fitting 43 is the first surface of the transmission mechanism 4.
  • the elastic member 44 gives the first gear 41 an elastic biasing force along the second direction.
  • a limiting portion 422 is provided at the upper end of the first gear shaft 42, and the elastic member 44 is a compression spring provided between the upper end surface of the first gear 41 and the limiting portion 422.
  • the elastic member 44 may also be a tension spring provided on one side of the lower end surface of the first gear 41, a spring sheet provided on the upper or lower side of the first gear 41, an elastic pad, etc.
  • the first operating mechanism 3 includes a first switching rod 31 and a second switching rod 32.
  • the first switching rod 31 is connected to the second switching rod 32 through a second pivot 33.
  • the second switching rod 32 rotates along the third direction around the second pivot 33, the first switching rod 31 is driven to move at least partially along the first direction.
  • the first switching rod 31 drives the first gear 41 to move in the first direction through the switching fitting 43 and separates from the second gear 52, so that the transmission mechanism 4 enters the second state from the first state.
  • the third direction is clockwise.
  • the width of the first switching rod 31 is smaller than the width of the second switching rod 32. By increasing the width of the second switching rod 32, it can be more convenient for the user to press and operate.
  • At least one side of the first switching lever 31 is further provided with a third pivot 34, and an arc-shaped slide rail may be correspondingly provided on the inner side of the housing 1, and the third pivot 34 is at least partially embedded in the slide rail.
  • the second operating mechanism 2 is configured to be operated to drive the transmission component 6 to move along the axial direction of the transmission component 6 when the transmission mechanism 4 is in the second state. Specifically, when the transmission mechanism 4 is in the second state, the movement of the transmission mechanism 4 is no longer driven and restricted by the motor 51, and the second operating mechanism 2 can be operated to drive the first gear 41 to rotate, so that the first gear 41 drives the transmission component 6 to move along the axial direction of the transmission component 6.
  • the second operating mechanism 2 drives the first gear 41 to rotate in a specific direction
  • the first gear 41 drives the transmission component 6 to move in the proximal direction, thereby achieving the retraction and reset of the transmission component 6.
  • the second operating mechanism 2 includes a first operating rod 21 and a second operating rod 22, wherein the first end of the first operating rod 21 is provided with the first matching portion 211, and the second end of the first operating rod 21 is rotatably connected to the second operating rod 22 via a first pivot 23.
  • a second matching portion 421 is provided on the side of the limiting portion 422 of the first gear shaft 42 opposite to the first operating rod 21. The first matching portion 211 and the second matching portion 421 can form a non-rotatable connection.
  • the first gear shaft 42 can be driven to rotate the first gear 41 through the matching of the first matching portion 211 and the second matching portion 421, and the first gear 41 drives the transmission component 6 to move along the axial direction of the stapler.
  • the first matching portion 211 is a matching recess
  • the second matching portion 421 is a matching protrusion.
  • the inner surface of the matching recess and the outer surface of the matching protrusion are respectively provided with matching stop knots.
  • the cross-sections of the matching recess and the matching protrusion are both polygonal.
  • the transmission mechanism 4 is in the first state, and the first gear 41 can transmit the power of the motor 51 to the transmission component 6.
  • the motor 51 drives the transmission component 6 to move from the initial position to the firing position in the distal direction through the first gear 41, and the transmission component 6 drives the nail head to perform tissue suturing and cutting actions to achieve the firing of the stapler.
  • the state of the reset device is shown in Figure 8. At this time, the transmission component 6 is in the firing position.
  • the transmission mechanism 4 is still in the first state, and the first gear 41 is meshed with the tooth surface 61 of the transmission component 6 and the second gear 52 at the same time.
  • the first gear 41 still remains in mesh with the tooth surface 61 of the transmission component 6.
  • the state of the reset mechanism is shown in FIG9 and FIG10 .
  • the second operating mechanism 2 is installed to the upper end of the first gear shaft 42, so that the first matching part 211 and the second matching part 421 are interlocked, and the second operating rod 22 is operated to rotate it in a specific direction (clockwise in Figure 10).
  • the first operating rod 21 drives the first gear 41 to rotate in a specific direction through the first gear shaft 42, and the first gear 41 drives the transmission component 6 to move toward the proximal side and retreat to reset.
  • the second operating rod 22 can be stored inside the first operating rod 21, and the second operating mechanism 2 can be stored as a whole inside the shell 1.
  • a cavity 212 is provided inside the first operating rod 21, and a slide groove 221 is provided on one side of the second operating rod 22.
  • the first pivot 23 at least partially enters the slide groove 221 and can move along the extension direction of the slide groove 221.
  • the housing 1 includes a receiving cavity 14, and a second opening 13 at one end of the receiving cavity 14 is provided on a side surface of the housing 1, and the second operating mechanism 2 can be at least partially placed in the receiving cavity 14 through the second opening 13.
  • the second operating rod 22 When the second operating rod 22 is needed to be used for resetting, the second operating rod 22 is taken out of the receiving cavity 14, the second operating rod 22 is taken out of the first operating rod 21, and the angle of the second operating rod 22 relative to the first operating rod 21 is adjusted so that the second operating rod 22 is substantially perpendicular to the first operating rod 21, and the end of the first operating rod 21 provided with the first matching portion 211 is passed through the first opening 11 of the housing 1 to match with the first gear shaft 42 inside the housing 1.

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Abstract

The present application provides a reset device and a surgical operation instrument. The reset device comprises a transmission component which is capable of being driven to move in an axial direction of the transmission component; an electric mechanism which is configured to provide power for the movement of the transmission component in the axial direction; a transmission mechanism which is connected to the electric mechanism and the transmission component in a first state, and detached from the electric mechanism in a second state; a first operation mechanism which is configured to be operable to drive the transmission mechanism to switch to the second state from the first state; and a second operation mechanism which is configured to be operable to drive the transmission component to move in the axial direction of the transmission component when the transmission mechanism is in the second state. According to the present application, the transmission mechanism can be detached from the electric mechanism by means of the first operation mechanism, and the transmission component can be driven to move by means of the second operation mechanism to realized manual return and reset.

Description

复位装置及外科手术器械Reduction device and surgical instrument 技术领域Technical Field
本申请涉及医疗器械技术领域,具体涉及一种复位装置及外科手术器械。The present application relates to the technical field of medical devices, and in particular to a resetting device and a surgical instrument.
背景技术Background technique
现有技术中,一些外科手术器械在使用时,需要医生在近端操作击发机构,来驱动传动轴向远端运动,而驱动远端的执行机构执行相应的手术操作。以外科吻合器为例,现有的外科吻合器包括吻合器本体、活动连接所述吻合器本体的击发机构(如击发把手)以及与所述本体配合的钉头部。所述吻合器本体包括传动部件。在手术过程中,将组织放置在钉头部的钉砧和钉仓之间,调整钉砧和钉仓的距离来逐渐夹紧组织,然后通过操作把手驱动传动部件向远端运动,使得吻合钉在钉砧成型,完成组织的吻合。In the prior art, when some surgical instruments are used, the doctor needs to operate the firing mechanism at the proximal end to drive the transmission shaft to move toward the distal end, thereby driving the actuator at the distal end to perform the corresponding surgical operation. Taking the surgical stapler as an example, the existing surgical stapler includes a stapler body, a firing mechanism (such as a firing handle) movably connected to the stapler body, and a nail head that cooperates with the body. The stapler body includes a transmission component. During the operation, the tissue is placed between the anvil and the nail magazine of the nail head, and the distance between the anvil and the nail magazine is adjusted to gradually clamp the tissue, and then the transmission component is driven to move toward the distal end by operating the handle, so that the staples are formed on the anvil to complete the anastomosis of the tissue.
在使用过程中,医生往往需要给击发机构施加比较大的作用力才能完成手术,使用十分不便。因此,进一步出现了电机驱动的外科手术器械。医生只需要启动电机,使电机输出轴沿一特定方向转动,即可以通过电机驱动传动部件向远端运动。而在手术完成后,可以使电机输出轴沿一相反方向转动,通过电动回退功能而使传动部件向近端运动而复位整个器械。然而,当电机及相关机械、电子部件发生故障时,可能导致电动回退功能失效,无法复位器械以打开末端执行器钳口,使手术不能顺利进行。During use, doctors often need to apply a relatively large force to the firing mechanism to complete the operation, which is very inconvenient to use. Therefore, motor-driven surgical instruments have further emerged. The doctor only needs to start the motor and rotate the motor output shaft in a specific direction, and the transmission component can be driven by the motor to move toward the distal end. After the operation is completed, the motor output shaft can be rotated in the opposite direction, and the transmission component can be moved toward the proximal end through the electric retraction function to reset the entire instrument. However, when the motor and related mechanical and electronic components fail, the electric retraction function may fail, and the instrument cannot be reset to open the end effector jaws, so that the operation cannot proceed smoothly.
发明内容Summary of the invention
针对现有技术中的问题,本申请的目的在于提供一种复位装置及外科手术器械,通过第一操作机构可使传输机构与电动机构分离而使传动部件不再受电动机构影响,并通过第二操作机构可驱动传动部件运动而手动回退复位。In response to the problems in the prior art, the purpose of the present application is to provide a resetting device and a surgical instrument, wherein a first operating mechanism can separate the transmission mechanism from the electric mechanism so that the transmission component is no longer affected by the electric mechanism, and a second operating mechanism can drive the transmission component to move and manually retract and reset.
本申请实施例提供一种复位装置,用于外科手术器械,所述复位装置包括:传动部件,可被驱动而沿所述传动部件的轴向运动;电动机构,配置为提供所述传动部件作轴向运动的动力;传输机构,在第一状态时,所述传输机构连接所述电动机构和所述传动部件,以将所述电动机构的动力传输至所述传动部件,在第二状态时,所述传 输机构与所述电动机构分离;第一操作机构,配置为可被操作而驱动所述传输机构自所述第一状态进入所述第二状态;第二操作机构,配置为在所述传输机构处于所述第二状态时,可被操作而驱动所述传动部件沿所述传动部件的轴向运动。The present application provides a reset device for a surgical instrument, the reset device comprising: a transmission component that can be driven to move along the axial direction of the transmission component; an electric mechanism configured to provide power for the transmission component to move axially; a transmission mechanism that connects the electric mechanism and the transmission component in a first state to transmit the power of the electric mechanism to the transmission component, and in a second state The transmission mechanism is separated from the electric mechanism; a first operating mechanism is configured to be operable to drive the transmission mechanism from the first state to the second state; and a second operating mechanism is configured to be operable to drive the transmission component to move along the axial direction of the transmission component when the transmission mechanism is in the second state.
在一些实施例中,所述第一操作机构与所述传输机构的第一表面相抵持,且可被操作而至少部分沿第一方向运动时,驱动所述传输机构至少部分沿所述第一方向运动,而使所述传输机构从所述第一状态进入第二状态。In some embodiments, when the first operating mechanism abuts against the first surface of the transmission mechanism and can be operated to move at least partially along a first direction, the transmission mechanism is driven to move at least partially along the first direction, so that the transmission mechanism enters a second state from the first state.
在一些实施例中,所述传输机构包括第一齿轮,所述传输机构处于所述第一状态时,所述第一齿轮分别与所述电动机构和所述传动部件相啮合;所述传输机构处于所述第二状态时,所述第二操作机构可被操作而驱动所述第一齿轮旋转,以使所述第一齿轮驱动所述传动部件沿所述传动部件的轴向运动。In some embodiments, the transmission mechanism includes a first gear. When the transmission mechanism is in the first state, the first gear is respectively engaged with the electric mechanism and the transmission component; when the transmission mechanism is in the second state, the second operating mechanism can be operated to drive the first gear to rotate, so that the first gear drives the transmission component to move along the axial direction of the transmission component.
在一些实施例中,所述传输机构还包括穿设于所述第一齿轮的内部的第一齿轮轴,所述第二操作机构设有第一配合部,所述第一齿轮轴设有第二配合部,所述第一配合部和所述第二配合部形成不可相对旋转的连接。In some embodiments, the transmission mechanism further includes a first gear shaft passing through the interior of the first gear, the second operating mechanism is provided with a first matching portion, the first gear shaft is provided with a second matching portion, and the first matching portion and the second matching portion form a non-rotatable connection.
在一些实施例中,所述第一配合部和所述第二配合部中的一个为配合凹部,另一个为配合凸起,所述配合凹部的内表面和所述配合凸起的外表面分别设有相适配的止转结构。In some embodiments, one of the first mating portion and the second mating portion is a mating recess, and the other is a mating protrusion, and the inner surface of the mating recess and the outer surface of the mating protrusion are respectively provided with matching anti-rotation structures.
在一些实施例中,所述第一齿轮轴还设有限位部,所述第一配合部与所述第二配合部相连接时,所述第一配合部至少部分与所述限位部相抵持。In some embodiments, the first gear shaft is further provided with a limiting portion, and when the first matching portion is connected to the second matching portion, the first matching portion at least partially abuts against the limiting portion.
在一些实施例中,所述第二操作机构包括第一操作杆和第二操作杆,所述第一操作杆的第一端设有所述第一配合部,所述第一操作杆的第二端通过第一枢轴可旋转地连接于所述第二操作杆。In some embodiments, the second operating mechanism includes a first operating rod and a second operating rod, the first end of the first operating rod is provided with the first matching portion, and the second end of the first operating rod is rotatably connected to the second operating rod through a first pivot.
在一些实施例中,所述第一操作杆的内部设有腔体,所述第二操作杆的一侧设有滑槽,所述第一枢轴至少部分进入所述滑槽中,且可沿所述滑槽的延伸方向运动,以使所述第二操作杆至少部分进入所述第一操作杆的腔体内。In some embodiments, a cavity is provided inside the first operating rod, and a sliding groove is provided on one side of the second operating rod. The first pivot at least partially enters the sliding groove and can move along the extension direction of the sliding groove so that the second operating rod at least partially enters the cavity of the first operating rod.
在一些实施例中,所述第一方向为沿所述第一齿轮轴的轴向方向,且所述第一方向垂直于所述传动部件的轴向。In some embodiments, the first direction is along the axial direction of the first gear shaft, and the first direction is perpendicular to the axial direction of the transmission component.
在一些实施例中,所述电动机构包括电机和第二齿轮,所述电机的输出轴可驱动所述第二齿轮旋转,所述电机的输出轴平行于所述第一方向,所述第二齿轮至少部分位于所述第一齿轮沿第二方向的一侧;其中,所述第二方向与所述第一方向相反。In some embodiments, the electric mechanism includes a motor and a second gear, the output shaft of the motor can drive the second gear to rotate, the output shaft of the motor is parallel to the first direction, and the second gear is at least partially located on one side of the first gear along the second direction; wherein the second direction is opposite to the first direction.
在一些实施例中,所述第一操作机构包括第一切换杆和第二切换杆,所述第一切 换杆通过第二枢轴连接于所述第二切换杆,所述第二切换杆绕所述第二枢轴沿第三方向旋转时,驱动所述第一切换杆至少部分沿所述第一方向运动。In some embodiments, the first operating mechanism includes a first switching lever and a second switching lever. The change lever is connected to the second switch lever through a second pivot, and when the second switch lever rotates around the second pivot along a third direction, the first switch lever is driven to at least partially move along the first direction.
在一些实施例中,所述第一切换杆的宽度小于所述第二切换杆的宽度。In some embodiments, a width of the first switch bar is smaller than a width of the second switch bar.
在一些实施例中,所述传输机构还包括切换配合件,所述切换配合件设于所述第一齿轮的端面一侧,且所述切换配合件背离所述第一齿轮的一侧表面为所述第一表面。In some embodiments, the transmission mechanism further includes a switching fitting, the switching fitting is disposed on one side of the end surface of the first gear, and a side surface of the switching fitting facing away from the first gear is the first surface.
本申请实施例还提供一种外科手术器械,包括所述的复位装置。An embodiment of the present application also provides a surgical instrument, comprising the above-mentioned resetting device.
在一些实施例中,还包括壳体,所述传动部件和所述传输机构至少部分位于所述壳体中;In some embodiments, it further comprises a housing, wherein the transmission component and the transmission mechanism are at least partially located in the housing;
所述壳体包括容纳腔,所述容纳腔的一端开口于所述壳体的一侧表面,所述第二操作机构至少部分可放置于所述容纳腔中。The shell comprises a containing cavity, one end of which is open to a side surface of the shell, and the second operating mechanism can be at least partially placed in the containing cavity.
本申请还提供一种外科手术器械,包括上述的复位装置。The present application also provides a surgical instrument, comprising the above-mentioned resetting device.
本申请所提供的复位装置及外科手术器械具有如下优点:The reduction device and surgical instrument provided by the present application have the following advantages:
通过采用本申请,在需要手动复位传动部件时,首先通过第一操作机构可使传输机构与电动机构分离,并通过第二操作机构可驱动传动部件运动而回退复位,即使电动机构回退功能失效,也可手动驱动传动部件复位。该复位装置可以应用于外科吻合器或其他类型的外科手术器械。By adopting the present application, when the transmission component needs to be manually reset, the transmission mechanism can be separated from the electric mechanism by the first operating mechanism, and the transmission component can be driven to move and retract and reset by the second operating mechanism. Even if the retraction function of the electric mechanism fails, the transmission component can be manually driven to reset. The reset device can be applied to surgical staplers or other types of surgical instruments.
附图说明BRIEF DESCRIPTION OF THE 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,本申请的其它特征、目的和优点将会变得更明显。Other features, objects and advantages of the present application will become more apparent by reading the detailed description of non-limiting embodiments made with reference to the following drawings.
图1是本申请一实施例的复位装置的结构示意图;FIG1 is a schematic structural diagram of a reset device according to an embodiment of the present application;
图2和图3是本申请一实施例的去除壳体后的复位装置的示意图;2 and 3 are schematic diagrams of a reset device after the shell is removed according to an embodiment of the present application;
图4是本申请一实施例的传输机构、传动部件和第一操作机构配合的示意图;FIG4 is a schematic diagram of the cooperation between a transmission mechanism, a transmission component and a first operating mechanism according to an embodiment of the present application;
图5是本申请一实施例的传输机构、传动部件和第一操作杆配合的示意图;5 is a schematic diagram of the cooperation between a transmission mechanism, a transmission component and a first operating rod according to an embodiment of the present application;
图6是本申请一实施例的传输机构、传动部件、第一操作杆和第二操作机构配合的示意图;6 is a schematic diagram of the cooperation between a transmission mechanism, a transmission component, a first operating rod and a second operating mechanism according to an embodiment of the present application;
图7是本申请一实施例的第二操作杆机构的结构示意图;FIG7 is a schematic structural diagram of a second operating lever mechanism according to an embodiment of the present application;
图8是本申请一实施例的去除壳体后的复位装置的主视图,传输机构处于第一状态;FIG8 is a front view of the reset device after the housing is removed according to an embodiment of the present application, and the transmission mechanism is in the first state;
图9是本申请一实施例的去除壳体后的复位装置的主视图,传输机构处于第二状 态;FIG9 is a front view of the reset device after the housing is removed according to an embodiment of the present application, and the transmission mechanism is in the second state state;
图10是本申请一实施例的传输机构、传动部件和第二操作机构配合的示意图;10 is a schematic diagram of the cooperation between a transmission mechanism, a transmission component and a second operating mechanism according to an embodiment of the present application;
图11是本申请一实施例的第二操作机构的结构示意图;FIG11 is a schematic structural diagram of a second operating mechanism according to an embodiment of the present application;
图12是本申请一实施例的第二操作机构的爆炸图;FIG12 is an exploded view of a second operating mechanism according to an embodiment of the present application;
图13是本申请一实施例的第二操作杆收纳过程中的示意图;FIG13 is a schematic diagram of a second operating rod during storage according to an embodiment of the present application;
图14是本申请一实施例的第二操作杆收纳时的示意图;FIG14 is a schematic diagram of a second operating lever when it is stored according to an embodiment of the present application;
图15是本申请一实施例的第二操作机构收纳于壳体中的示意图。FIG. 15 is a schematic diagram of a second operating mechanism housed in a housing according to an embodiment of the present application.
附图标记:
1      壳体                      33     第二枢轴
11     第一开口                  34     第三枢轴
13     第二开口                   4     传输机构
14     容纳腔                    41     第一齿轮
2      第二操作机构              42     第一齿轮轴
21     第一操作杆               421     第二配合部
211    第一配合部               422     限位部
212    腔体                      43     切换配合件
22     第二操作杆                44     弹性件
221    滑槽                      5      电动机构
23     第一枢轴                  51     电机
3      第一操作机构              52     第二齿轮
31     第一切换杆                6      传动部件
32     第二切换杆                61     齿面
Reference numerals:
1 Housing 33 Second pivot
11 First opening 34 Third pivot
13 Second opening 4 Transmission mechanism
14 Accommodating cavity 41 First gear
2 Second operating mechanism 42 First gear shaft
21 first operating rod 421 second matching portion
211 first matching portion 422 limiting portion
212 Cavity 43 Switching fitting
22 second operating rod 44 elastic member
221 Slide 5 Electric mechanism
23 First pivot 51 Motor
3 First operating mechanism 52 Second gear
31 First switching lever 6 Transmission component
32 Second switching lever 61 Tooth surface
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申请将全面和完整,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。说明书中的“或”、“或者”均可能表示“和”或者“或”。虽然本说明书中可使用术语“上”、“下”、“之间”等来描述本申请的不同示例性特征和元件,但是这些术语用于本文 中仅出于方便,例如根据附图中所述的示例的方向。本说明书中的任何内容都不应理解为需要结构的特定三维方向才落入本申请的范围内。本说明书中虽然采用“第一”、“第二”或“第三”等来表示某些特征,但其仅为表示作用,而不作为具体特征的数量和重要性的限制。Example embodiments will now be described more fully with reference to the accompanying drawings. However, example embodiments can be implemented in many forms and should not be construed as limited to the embodiments set forth herein; rather, these embodiments are provided so that this application will be comprehensive and complete and will fully convey the concepts of the example embodiments to those skilled in the art. The same reference numerals in the figures represent the same or similar structures, and thus their repeated descriptions will be omitted. "Or" and "or" in the specification may both mean "and" or "or". Although the terms "above", "below", "between", etc. may be used in this specification to describe different exemplary features and elements of the present application, these terms are used herein The directions are for convenience only, for example, according to the example directions described in the drawings. Nothing in this specification should be construed as requiring a specific three-dimensional orientation of the structure to fall within the scope of this application. Although the terms "first", "second" or "third" are used in this specification to refer to certain features, they are only used to indicate the function and are not intended to limit the number and importance of specific features.
本申请提供了一种用于外科手术器械的复位装置和包括该复位装置的外科手术器械。所述外科手术器械可以是外科吻合器或其他类型的器械。以下以外科吻合器为例进行详细说明。所述外科吻合器包括吻合器本体和位于吻合器本体的远端的钉头部,吻合器本体内设有电动机构、传输机构和传动部件,钉头部包括相对设置的钉砧和钉仓,钉仓中设有吻合钉。在吻合器击发时,电机通过传输机构驱动传动部件向远端侧方向运动,以驱动远端的钉头部完成切割和缝合的执行动作。在吻合器击发完成后,通过电动机构可通过传输机构驱动传动部件向近端侧方向运动,基于电动机构回退功能使传动部件而复位吻合器。在电动机构复位功能失效时,可通过操作本申请的复位装置,通过第一操作机构使传输机构与电动机构分离,并通过第二操作机构可驱动传动部件运动而回退复位,实现手动复位传动部件。The present application provides a resetting device for surgical instruments and a surgical instrument including the resetting device. The surgical instrument may be a surgical stapler or other types of instruments. The surgical stapler is described in detail below. The surgical stapler includes a stapler body and a nail head located at the distal end of the stapler body. The stapler body is provided with an electric mechanism, a transmission mechanism and a transmission component. The nail head includes a nail anvil and a nail magazine arranged oppositely, and a stapler is provided in the nail magazine. When the stapler is fired, the motor drives the transmission component to move toward the distal side through the transmission mechanism to drive the distal nail head to complete the cutting and suturing execution. After the stapler is fired, the electric mechanism can drive the transmission component to move toward the proximal side through the transmission mechanism, and the transmission component is reset based on the retraction function of the electric mechanism. When the resetting function of the electric mechanism fails, the resetting device of the present application can be operated to separate the transmission mechanism from the electric mechanism through the first operating mechanism, and the transmission component can be driven to move and retract and reset through the second operating mechanism to achieve manual resetting of the transmission component.
下面结合附图,以外科手术器械为外科吻合器为例具体介绍该复位装置的结构。可理解的是,各个附图和以下的描述仅为示例,而不作为本申请保护范围的限制。The structure of the resetting device is described in detail below with reference to the accompanying drawings, taking a surgical stapler as an example of a surgical instrument. It is to be understood that the various drawings and the following description are only examples and are not intended to limit the scope of protection of the present application.
如图1~3所示,在一实施例中,所述复位装置包括壳体1、传动部件6、电动机构5、传输机构4、第一操作机构3和第二操作机构2。所述传动部件6和所述传输机构4至少部分设于所述壳体1的内部。所述传动部件6包括一个沿所述吻合器的轴向延伸的传动轴,所述传动部件6对应于所述传输机构4的位置设有齿面61。所述传动部件6可被驱动而沿所述传动部件6的轴向运动,具体地,在吻合器击发时,所述传动部件6被驱动向吻合器的远端侧方向运动,在复位吻合器时,所述传动部件6被驱动向吻合器的近端侧方向运动。所述电动机构5配置为提供所述传动部件6作轴向运动的动力。在该实施例中,所述电动机构5包括电机51和第二齿轮52,所述第二齿轮52可被所述电机51驱动而绕所述电机51的输出轴旋转。所述传输机构4包括第一齿轮41和第一齿轮轴42,所述第一齿轮轴42穿设于所述第一齿轮41中,所述第一齿轮41可随所述第一齿轮轴42绕所述第一齿轮轴42的轴心旋转。所述第一齿轮轴42的轴向方向平行于第一方向,且所述第一方向垂直于所述传动部件6的轴向。所述电机51的输出轴平行于所述第一方向。As shown in FIGS. 1 to 3 , in one embodiment, the resetting device comprises a housing 1, a transmission component 6, an electric mechanism 5, a transmission mechanism 4, a first operating mechanism 3 and a second operating mechanism 2. The transmission component 6 and the transmission mechanism 4 are at least partially arranged inside the housing 1. The transmission component 6 comprises a transmission shaft extending along the axial direction of the stapler, and the transmission component 6 is provided with a tooth surface 61 at a position corresponding to the transmission mechanism 4. The transmission component 6 can be driven to move along the axial direction of the transmission component 6. Specifically, when the stapler is fired, the transmission component 6 is driven to move toward the distal side of the stapler, and when the stapler is reset, the transmission component 6 is driven to move toward the proximal side of the stapler. The electric mechanism 5 is configured to provide power for the transmission component 6 to move axially. In this embodiment, the electric mechanism 5 comprises a motor 51 and a second gear 52, and the second gear 52 can be driven by the motor 51 to rotate around the output shaft of the motor 51. The transmission mechanism 4 includes a first gear 41 and a first gear shaft 42. The first gear shaft 42 is inserted into the first gear 41, and the first gear 41 can rotate along with the first gear shaft 42 around the axis of the first gear shaft 42. The axial direction of the first gear shaft 42 is parallel to the first direction, and the first direction is perpendicular to the axial direction of the transmission component 6. The output shaft of the motor 51 is parallel to the first direction.
在本申请中,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侧为 近端侧,距离操作者较远的一侧,即更靠近手术位置的一侧为远端侧,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,S1方向为从吻合器的远端侧到近端侧的方向,S2方向为纵向方向,即高度方向,以下称第一方向,与S2方向相反的方向以下称第二方向,S3方向为横向方向,即宽度方向。在本申请中,对于一个部件来说,内侧和外侧是相对于其中心来说的,靠近中心的一侧为内侧,远离中心的一侧为外侧。In this application, the distal side and the proximal side are relative to the operator, and the side closer to the operator is The proximal side is the side farther from the operator, that is, the side closer to the surgical site is the distal side, and the direction along the axis of the stapler is the axial direction, that is, the direction from the distal side of the stapler to the proximal side, or from the proximal side of the stapler to the distal side. For example, in the perspective of Figure 1, the S1 direction is the direction from the distal side to the proximal side of the stapler, the S2 direction is the longitudinal direction, that is, the height direction, hereinafter referred to as the first direction, the direction opposite to the S2 direction is hereinafter referred to as the second direction, and the S3 direction is the transverse direction, that is, the width direction. In the present application, for a component, the inside and the outside are relative to its center, the side close to the center is the inside, and the side away from the center is the outside.
在该实施例中,所述传输机构4包括第一状态(示出于图8)和第二状态(示出于图9),在第一状态时,所述第一齿轮41同时啮合所述传动部件6的齿面61和所述第二齿轮52,以将所述电机51的动力传输至所述传动部件6。所述传输机构4在第二状态时,所述第一齿轮41与所述第二齿轮52分离,所述第一齿轮41仍与所述传动部件6保持啮合,所述传动部件6的运动不会与电机51干涉,但所述第一齿轮41的旋转仍能驱动所述传动部件6的轴向运动。此处所述传输机构4和所述电动机构5的结构仅为示例,在其他可替代的实施方式中,所述传输机构4可以包括多个第一齿轮41和/或所述电动机构5可以包括多个第二齿轮52。所述传输机构4从所述第一状态进入所述第二状态时,之前与所述第二齿轮52啮合的一个第一齿轮41与该第二齿轮52分离。所述电机51的输出轴可以与第一方向具有一定夹角。所述第一方向可以不垂直于吻合器的轴向,而是与吻合器的轴向成一夹角,并且,可选地,该夹角为锐角。In this embodiment, the transmission mechanism 4 includes a first state (shown in FIG. 8 ) and a second state (shown in FIG. 9 ). In the first state, the first gear 41 simultaneously meshes with the tooth surface 61 of the transmission component 6 and the second gear 52 to transmit the power of the motor 51 to the transmission component 6. When the transmission mechanism 4 is in the second state, the first gear 41 is separated from the second gear 52, and the first gear 41 is still meshed with the transmission component 6. The movement of the transmission component 6 will not interfere with the motor 51, but the rotation of the first gear 41 can still drive the axial movement of the transmission component 6. The structures of the transmission mechanism 4 and the electric mechanism 5 are only examples. In other alternative embodiments, the transmission mechanism 4 may include a plurality of first gears 41 and/or the electric mechanism 5 may include a plurality of second gears 52. When the transmission mechanism 4 enters the second state from the first state, a first gear 41 previously meshed with the second gear 52 is separated from the second gear 52. The output shaft of the motor 51 may have a certain angle with the first direction. The first direction may not be perpendicular to the axial direction of the stapler, but may form an angle with the axial direction of the stapler, and, optionally, the angle is an acute angle.
所述第一操作机构3配置为可被操作而驱动所述传输机构4自所述第一状态进入所述第二状态。在该实施例中,所述第二齿轮52至少部分位于所述第一齿轮41沿第二方向的一侧。所述第一齿轮41与所述第二齿轮52啮合的状态下,操作所述第一操作机构3,使其驱动所述第一齿轮41沿第一方向运动时,所述第一齿轮41与所述第二齿轮52分离。The first operating mechanism 3 is configured to be operable to drive the transmission mechanism 4 from the first state to the second state. In this embodiment, the second gear 52 is at least partially located on one side of the first gear 41 along the second direction. When the first gear 41 is meshed with the second gear 52, the first operating mechanism 3 is operated to drive the first gear 41 to move along the first direction, and the first gear 41 is separated from the second gear 52.
如图3~7所示,所述传输机构4还包括位于所述第一齿轮41的下端面一侧的切换配合件43和位于所述第一齿轮41的上端面的弹性件44,所述切换配合件43的下表面为所述传输机构4的第一表面。所述弹性件44给所述第一齿轮41一个沿第二方向的弹性偏置力。在该实施例中,所述第一齿轮轴42的上端设有限位部422,所述弹性件44为设于所述第一齿轮41的上端面和所述限位部422之间的压簧。在其他可替代的实施方式中,所述弹性件44也可以为设于所述第一齿轮41的下端面一侧的拉簧、设于所述第一齿轮41的上侧或下侧的弹片、弹性垫等。在所述传输机构4处于 第二状态且不再操作所述第一操作机构3时,所述第一齿轮41可在所述弹性件44的弹性变形恢复力作用下沿第二方向运动,而使所述传输机构4返回至所述第一状态。所述第一操作机构3包括第一切换杆31和第二切换杆32,所述第一切换杆31通过第二枢轴33连接于所述第二切换杆32,所述第二切换杆32绕所述第二枢轴33沿第三方向旋转时,驱动所述第一切换杆31至少部分沿所述第一方向运动,所述第一切换杆31通过所述切换配合件43驱动所述第一齿轮41沿第一方向运动而与所述第二齿轮52分离,而使所述传输机构4从所述第一状态进入所述第二状态。在图3的视角中,所述第三方向为顺时针方向。如图7所示,所述第一切换杆31的宽度小于所述第二切换杆32的宽度,通过加大第二切换杆32的宽度,可以更方便使用者按压操作。所述第一切换杆31的至少一侧还设有第三枢轴34,所述壳体1的内侧可以对应设有圆弧形的滑轨,所述第三枢轴34至少部分嵌入所述滑轨中。所述第二切换杆32沿第三方向旋转时,所述第三枢轴34在所述滑轨中运动,所述滑轨对所述第一切换杆31的运动进行引导。As shown in Figures 3 to 7, the transmission mechanism 4 also includes a switching fitting 43 located on one side of the lower end surface of the first gear 41 and an elastic member 44 located on the upper end surface of the first gear 41, and the lower surface of the switching fitting 43 is the first surface of the transmission mechanism 4. The elastic member 44 gives the first gear 41 an elastic biasing force along the second direction. In this embodiment, a limiting portion 422 is provided at the upper end of the first gear shaft 42, and the elastic member 44 is a compression spring provided between the upper end surface of the first gear 41 and the limiting portion 422. In other alternative embodiments, the elastic member 44 may also be a tension spring provided on one side of the lower end surface of the first gear 41, a spring sheet provided on the upper or lower side of the first gear 41, an elastic pad, etc. When the transmission mechanism 4 is in When the first operating mechanism 3 is in the second state and is no longer operated, the first gear 41 can move in the second direction under the elastic deformation restoring force of the elastic member 44, so that the transmission mechanism 4 returns to the first state. The first operating mechanism 3 includes a first switching rod 31 and a second switching rod 32. The first switching rod 31 is connected to the second switching rod 32 through a second pivot 33. When the second switching rod 32 rotates along the third direction around the second pivot 33, the first switching rod 31 is driven to move at least partially along the first direction. The first switching rod 31 drives the first gear 41 to move in the first direction through the switching fitting 43 and separates from the second gear 52, so that the transmission mechanism 4 enters the second state from the first state. In the perspective of Figure 3, the third direction is clockwise. As shown in Figure 7, the width of the first switching rod 31 is smaller than the width of the second switching rod 32. By increasing the width of the second switching rod 32, it can be more convenient for the user to press and operate. At least one side of the first switching lever 31 is further provided with a third pivot 34, and an arc-shaped slide rail may be correspondingly provided on the inner side of the housing 1, and the third pivot 34 is at least partially embedded in the slide rail. When the second switching lever 32 rotates along the third direction, the third pivot 34 moves in the slide rail, and the slide rail guides the movement of the first switching lever 31.
所述第二操作机构2配置为在所述传输机构4处于所述第二状态时,可被操作而驱动所述传动部件6沿所述传动部件6的轴向运动。具体地,所述传输机构4处于所述第二状态时,所述传输机构4的运动不再受电机51驱动和限制,所述第二操作机构2可被操作而驱动所述第一齿轮41旋转,以使所述第一齿轮41驱动所述传动部件6沿所述传动部件6的轴向运动,在所述第二操作机构2驱动所述第一齿轮41沿特定方向旋转时,所述第一齿轮41驱动所述传动部件6向近端侧方向运动,从而实现传动部件6的回退复位。The second operating mechanism 2 is configured to be operated to drive the transmission component 6 to move along the axial direction of the transmission component 6 when the transmission mechanism 4 is in the second state. Specifically, when the transmission mechanism 4 is in the second state, the movement of the transmission mechanism 4 is no longer driven and restricted by the motor 51, and the second operating mechanism 2 can be operated to drive the first gear 41 to rotate, so that the first gear 41 drives the transmission component 6 to move along the axial direction of the transmission component 6. When the second operating mechanism 2 drives the first gear 41 to rotate in a specific direction, the first gear 41 drives the transmission component 6 to move in the proximal direction, thereby achieving the retraction and reset of the transmission component 6.
如图3~6所示,在该实施例中,所述第二操作机构2包括第一操作杆21和第二操作杆22,所述第一操作杆21的第一端设有所述第一配合部211,所述第一操作杆21的第二端通过第一枢轴23可旋转地连接于所述第二操作杆22。所述第一齿轮轴42的限位部422与所述第一操作杆21相对的一侧设有第二配合部421。所述第一配合部211和所述第二配合部421可形成不可相对旋转的连接。通过操作所述第二操作杆22使所述第一操作杆21旋转时,可通过第一配合部211和所述第二配合部421的配合驱动所述第一齿轮轴42带动所述第一齿轮41转动,所述第一齿轮41驱动所述传动部件6沿所述吻合器的轴向运动。As shown in FIGS. 3 to 6, in this embodiment, the second operating mechanism 2 includes a first operating rod 21 and a second operating rod 22, wherein the first end of the first operating rod 21 is provided with the first matching portion 211, and the second end of the first operating rod 21 is rotatably connected to the second operating rod 22 via a first pivot 23. A second matching portion 421 is provided on the side of the limiting portion 422 of the first gear shaft 42 opposite to the first operating rod 21. The first matching portion 211 and the second matching portion 421 can form a non-rotatable connection. When the first operating rod 21 is rotated by operating the second operating rod 22, the first gear shaft 42 can be driven to rotate the first gear 41 through the matching of the first matching portion 211 and the second matching portion 421, and the first gear 41 drives the transmission component 6 to move along the axial direction of the stapler.
如图5和图6所示,所述第一配合部211为配合凹部,所述第二配合部421为配合凸起,所述配合凹部的内表面和所述配合凸起的外表面分别设有相适配的止转结 构,例如,所述配合凹部和所述配合凸部的横截面均为多边形。将所述第一操作杆21与所述第一齿轮轴42组合后,所述第一操作杆21的第一端端面与所述限位部422的上表面相抵持。在另一可替代的实施方式中,所述第一配合部211为配合凸部,所述第二配合部421为配合凹部,也属于本申请的保护范围之内。As shown in FIG. 5 and FIG. 6 , the first matching portion 211 is a matching recess, and the second matching portion 421 is a matching protrusion. The inner surface of the matching recess and the outer surface of the matching protrusion are respectively provided with matching stop knots. For example, the cross-sections of the matching recess and the matching protrusion are both polygonal. After the first operating rod 21 is combined with the first gear shaft 42, the first end surface of the first operating rod 21 abuts against the upper surface of the limiting portion 422. In another alternative embodiment, the first matching portion 211 is a matching protrusion and the second matching portion 421 is a matching recess, which also falls within the protection scope of this application.
下面结合图8~10具体介绍该复位装置的工作原理。The working principle of the reset device is described in detail below with reference to FIGS. 8 to 10 .
吻合器击发过程中,传输机构4处于第一状态,第一齿轮41可传递电机51的动力给传动部件6。启动电机51时,电机51通过第一齿轮41驱动传动部件6从初始位置向远端侧方向运动到击发位置,传动部件6驱动钉头部执行组织缝合和切割动作,实现吻合器的击发。在吻合器击发完成后,还未复位传动部件6时,复位装置的状态如图8所示。此时,所述传动部件6位于击发位置。所述传输机构4仍处于第一状态,所述第一齿轮41同时与所述传动部件6的齿面61和所述第二齿轮52啮合。During the firing process of the stapler, the transmission mechanism 4 is in the first state, and the first gear 41 can transmit the power of the motor 51 to the transmission component 6. When the motor 51 is started, the motor 51 drives the transmission component 6 to move from the initial position to the firing position in the distal direction through the first gear 41, and the transmission component 6 drives the nail head to perform tissue suturing and cutting actions to achieve the firing of the stapler. After the stapler is fired, when the transmission component 6 has not been reset, the state of the reset device is shown in Figure 8. At this time, the transmission component 6 is in the firing position. The transmission mechanism 4 is still in the first state, and the first gear 41 is meshed with the tooth surface 61 of the transmission component 6 and the second gear 52 at the same time.
在图8的状态下,如果需要采用手动复位传动部件6的方式,需要首先解除传输机构4与电动机构5的耦合,然后手动驱动传输机构4带动传动部件6回退。具体地,首先操作第二切换杆32,使第二切换杆32沿第三方向旋转,所述第二切换杆32驱动所述第一切换杆31沿第一方向运动,第一切换杆31通过切换配合部驱动第一齿轮41向远离第二齿轮52的方向运动,第一齿轮41压迫弹性件44发生弹性变形,第一齿轮41与第二齿轮52分离,即传输机构4与电动机构5分离而进入所述第二状态,由此解除了传输机构4与电动机构5的耦合。第一齿轮41仍保持与传动部件6的齿面61啮合。此时,复位机构的状态如图9和图10所示。然后,将第二操作机构2安装到第一齿轮轴42的上端,使第一配合部211和第二配合部421相嵌合,操作第二操作杆22使其沿特定方向(图10中顺时针方向)旋转,第一操作杆21通过第一齿轮轴42驱动第一齿轮41沿特定方向旋转,第一齿轮41驱动传动部件6向近端侧方向运动而回退复位。In the state of FIG8 , if it is necessary to manually reset the transmission component 6, it is necessary to first release the coupling between the transmission mechanism 4 and the electric mechanism 5, and then manually drive the transmission mechanism 4 to drive the transmission component 6 to retract. Specifically, first operate the second switching lever 32 to rotate the second switching lever 32 in the third direction, the second switching lever 32 drives the first switching lever 31 to move in the first direction, the first switching lever 31 drives the first gear 41 to move away from the second gear 52 through the switching matching part, the first gear 41 presses the elastic member 44 to elastically deform, the first gear 41 separates from the second gear 52, that is, the transmission mechanism 4 separates from the electric mechanism 5 and enters the second state, thereby releasing the coupling between the transmission mechanism 4 and the electric mechanism 5. The first gear 41 still remains in mesh with the tooth surface 61 of the transmission component 6. At this time, the state of the reset mechanism is shown in FIG9 and FIG10 . Then, the second operating mechanism 2 is installed to the upper end of the first gear shaft 42, so that the first matching part 211 and the second matching part 421 are interlocked, and the second operating rod 22 is operated to rotate it in a specific direction (clockwise in Figure 10). The first operating rod 21 drives the first gear 41 to rotate in a specific direction through the first gear shaft 42, and the first gear 41 drives the transmission component 6 to move toward the proximal side and retreat to reset.
在该实施例中,在手动回退复位之前,所述第二操作杆22可以被收纳到第一操作杆21的内部,并且所述第二操作机构2可以被整体地收纳于所述壳体1的内部。具体地,如图11和图12所示,所述第一操作杆21的内部设有腔体212,所述第二操作杆22的一侧设有滑槽221,所述第一枢轴23至少部分进入所述滑槽221中,且可沿所述滑槽221的延伸方向运动。需要使用所述第二操作机构2时,将所述第二操作杆22与第一操作杆21调整至基本上垂直的状态,方便使用者操作。如图13所示,在需要收纳时,首先将第二操作杆22调整至与第一操作杆21基本平行,然后将第二 操作杆22向第一操作杆21的内部推进,所述第一枢轴23沿所述滑槽221运动,而使所述第二操作杆22至少部分进入所述第一操作杆21的腔体212内,到达图14的状态。如图15所示,所述壳体1包括容纳腔14,所述容纳腔14的一端的第二开口13设于所述壳体1的一侧表面,所述第二操作机构2至少部分可通过所述第二开口13而放置于所述容纳腔14中。在需要使用第二操作杆22进行复位时,将第二操作杆22从容纳腔14中取出,将第二操作杆22从第一操作杆21中取出,并调整第二操作杆22相对于第一操作杆21的角度使第二操作杆22与第一操作杆21基本上垂直,将第一操作杆21设有第一配合部211的一端穿过壳体1的第一开口11与壳体1内部的第一齿轮轴42配合。In this embodiment, before manual retraction and resetting, the second operating rod 22 can be stored inside the first operating rod 21, and the second operating mechanism 2 can be stored as a whole inside the shell 1. Specifically, as shown in Figures 11 and 12, a cavity 212 is provided inside the first operating rod 21, and a slide groove 221 is provided on one side of the second operating rod 22. The first pivot 23 at least partially enters the slide groove 221 and can move along the extension direction of the slide groove 221. When the second operating mechanism 2 needs to be used, the second operating rod 22 and the first operating rod 21 are adjusted to a substantially vertical state to facilitate user operation. As shown in Figure 13, when storage is required, first adjust the second operating rod 22 to be substantially parallel to the first operating rod 21, and then adjust the second operating rod 22 to be substantially parallel to the first operating rod 21. The operating rod 22 is pushed into the interior of the first operating rod 21, and the first pivot 23 moves along the slide groove 221, so that the second operating rod 22 at least partially enters the cavity 212 of the first operating rod 21, reaching the state of Figure 14. As shown in Figure 15, the housing 1 includes a receiving cavity 14, and a second opening 13 at one end of the receiving cavity 14 is provided on a side surface of the housing 1, and the second operating mechanism 2 can be at least partially placed in the receiving cavity 14 through the second opening 13. When the second operating rod 22 is needed to be used for resetting, the second operating rod 22 is taken out of the receiving cavity 14, the second operating rod 22 is taken out of the first operating rod 21, and the angle of the second operating rod 22 relative to the first operating rod 21 is adjusted so that the second operating rod 22 is substantially perpendicular to the first operating rod 21, and the end of the first operating rod 21 provided with the first matching portion 211 is passed through the first opening 11 of the housing 1 to match with the first gear shaft 42 inside the housing 1.
以上内容是结合具体的优选实施方式对本申请所作的进一步详细说明,不能认定本申请的具体实施只局限于这些说明。对于本申请所属技术领域的普通技术人员来说,在不脱离本申请构思的前提下,还可以做出若干简单推演或替换,都应当视为属于本申请的保护范围。 The above content is a further detailed description of the present application in combination with specific preferred implementation methods, and it cannot be determined that the specific implementation of the present application is limited to these descriptions. For ordinary technicians in the technical field to which the present application belongs, several simple deductions or substitutions can be made without departing from the concept of the present application, which should be deemed to fall within the scope of protection of the present application.

Claims (13)

  1. 一种复位装置,其特征在于,用于外科手术器械,所述复位装置包括:A resetting device, characterized in that it is used for a surgical instrument, the resetting device comprising:
    传动部件(6),可被驱动而沿所述传动部件(6)的轴向运动;A transmission component (6) which can be driven to move along the axial direction of the transmission component (6);
    电动机构(5),配置为提供所述传动部件(6)作轴向运动的动力;An electric mechanism (5) configured to provide power for the transmission component (6) to move axially;
    传输机构(4),在第一状态时,所述传输机构(4)连接所述电动机构(5)和所述传动部件(6),以将所述电动机构(5)的动力传输至所述传动部件(6),在第二状态时,所述传输机构(4)与所述电动机构(5)分离;a transmission mechanism (4), wherein in a first state, the transmission mechanism (4) connects the electric mechanism (5) and the transmission component (6) to transmit the power of the electric mechanism (5) to the transmission component (6); and in a second state, the transmission mechanism (4) is separated from the electric mechanism (5);
    第一操作机构(3),配置为可被操作而驱动所述传输机构(4)自所述第一状态进入所述第二状态;A first operating mechanism (3) configured to be operable to drive the transmission mechanism (4) from the first state to the second state;
    第二操作机构(2),配置为在所述传输机构(4)处于所述第二状态时,可被操作而驱动所述传动部件(6)沿所述传动部件(6)的轴向运动。The second operating mechanism (2) is configured to be operable to drive the transmission component (6) to move along the axial direction of the transmission component (6) when the transmission mechanism (4) is in the second state.
  2. 根据权利要求1所述的复位装置,其特征在于:The reset device according to claim 1, characterized in that:
    所述第一操作机构(3)与所述传输机构(4)的第一表面相抵持,且可被操作而至少部分沿第一方向运动时,驱动所述传输机构(4)至少部分沿所述第一方向运动,而使所述传输机构(4)从所述第一状态进入所述第二状态。When the first operating mechanism (3) abuts against the first surface of the transmission mechanism (4) and can be operated to move at least partially along a first direction, the transmission mechanism (4) is driven to move at least partially along the first direction, thereby causing the transmission mechanism (4) to enter the second state from the first state.
  3. 根据权利要求2所述的复位装置,其特征在于,所述传输机构(4)包括第一齿轮(41),所述传输机构(4)处于所述第一状态时,所述第一齿轮(41)分别与所述电动机构(5)和所述传动部件(6)相啮合;所述传输机构(4)处于所述第二状态时,所述第二操作机构(2)可被操作而驱动所述第一齿轮(41)旋转,以使所述第一齿轮(41)驱动所述传动部件(6)沿所述传动部件(6)的轴向运动。The reset device according to claim 2 is characterized in that the transmission mechanism (4) comprises a first gear (41); when the transmission mechanism (4) is in the first state, the first gear (41) is respectively engaged with the electric mechanism (5) and the transmission component (6); when the transmission mechanism (4) is in the second state, the second operating mechanism (2) can be operated to drive the first gear (41) to rotate, so that the first gear (41) drives the transmission component (6) to move along the axial direction of the transmission component (6).
  4. 根据权利要求3所述的复位装置,其特征在于,所述传输机构(4)还包括穿设于所述第一齿轮(41)的内部的第一齿轮轴(42),所述第二操作机构(2)设有第一配合部(211),所述第一齿轮轴(42)设有第二配合部(421),所述第一配合部(211)和所述第二配合部(421)形成不可相对旋转的连接。The resetting device according to claim 3 is characterized in that the transmission mechanism (4) also includes a first gear shaft (42) passing through the interior of the first gear (41), the second operating mechanism (2) is provided with a first matching portion (211), the first gear shaft (42) is provided with a second matching portion (421), and the first matching portion (211) and the second matching portion (421) form a non-rotatable connection.
  5. 根据权利要求4所述的复位装置,其特征在于,所述第一齿轮轴(42)还设有限位部(422),所述第一配合部(211)与所述第二配合部(421)相连接时,所述第一配合部(211)至少部分与所述限位部(422)相抵持。The reset device according to claim 4 is characterized in that the first gear shaft (42) is further provided with a limiting portion (422), and when the first matching portion (211) is connected to the second matching portion (421), the first matching portion (211) at least partially abuts against the limiting portion (422).
  6. 根据权利要求4所述的复位装置,其特征在于,所述第二操作机构(2)包括第一操作杆(21)和第二操作杆(22),所述第一操作杆(21)的第一端设有所述第 一配合部(211),所述第一操作杆(21)的第二端通过第一枢轴(23)可旋转地连接于所述第二操作杆(22)。The reset device according to claim 4, characterized in that the second operating mechanism (2) comprises a first operating rod (21) and a second operating rod (22), and the first end of the first operating rod (21) is provided with the second operating rod (22). A matching portion (211), wherein the second end of the first operating rod (21) is rotatably connected to the second operating rod (22) via a first pivot (23).
  7. 根据权利要求6所述的复位装置,其特征在于,所述第一操作杆(21)的内部设有腔体(212),所述第二操作杆(22)的一侧设有滑槽(221),所述第一枢轴(23)至少部分进入所述滑槽(221)中,且可沿所述滑槽(221)的延伸方向运动,以使所述第二操作杆(22)至少部分进入所述第一操作杆(21)的腔体(212)内。The reset device according to claim 6 is characterized in that a cavity (212) is provided inside the first operating rod (21), a sliding groove (221) is provided on one side of the second operating rod (22), the first pivot (23) at least partially enters the sliding groove (221), and can move along the extension direction of the sliding groove (221), so that the second operating rod (22) at least partially enters the cavity (212) of the first operating rod (21).
  8. 根据权利要求4所述的复位装置,其特征在于,所述第一方向为沿所述第一齿轮轴(42)的轴向方向,且所述第一方向垂直于所述传动部件(6)的轴向。The resetting device according to claim 4 is characterized in that the first direction is along the axial direction of the first gear shaft (42), and the first direction is perpendicular to the axial direction of the transmission component (6).
  9. 根据权利要求8所述的复位装置,其特征在于,所述电动机构(5)包括电机(51)和第二齿轮(52),所述电机(51)的输出轴可驱动所述第二齿轮(52)旋转,所述电机(51)的输出轴平行于所述第一方向,所述第二齿轮(52)至少部分位于所述第一齿轮(41)沿第二方向的一侧;The reset device according to claim 8, characterized in that the electric mechanism (5) comprises a motor (51) and a second gear (52), the output shaft of the motor (51) can drive the second gear (52) to rotate, the output shaft of the motor (51) is parallel to the first direction, and the second gear (52) is at least partially located on one side of the first gear (41) along the second direction;
    其中,所述第二方向与所述第一方向相反。The second direction is opposite to the first direction.
  10. 根据权利要求3所述的复位装置,其特征在于,所述第一操作机构(3)包括第一切换杆(31)和第二切换杆(32),所述第一切换杆(31)通过第二枢轴(33)连接于所述第二切换杆(32),所述第二切换杆(32)绕所述第二枢轴(33)沿第三方向旋转时,驱动所述第一切换杆(31)至少部分沿所述第一方向运动。The reset device according to claim 3 is characterized in that the first operating mechanism (3) comprises a first switching rod (31) and a second switching rod (32), the first switching rod (31) is connected to the second switching rod (32) via a second pivot (33), and when the second switching rod (32) rotates along a third direction around the second pivot (33), the first switching rod (31) is driven to move at least partially along the first direction.
  11. 根据权利要求10所述的复位装置,其特征在于,所述第一切换杆(31)的宽度小于所述第二切换杆(32)的宽度。The reset device according to claim 10, characterized in that a width of the first switch rod (31) is smaller than a width of the second switch rod (32).
  12. 一种外科手术器械,其特征在于,包括权利要求1至11中任一项所述的复位装置。A surgical instrument, characterized by comprising the resetting device according to any one of claims 1 to 11.
  13. 根据权利要求12所述的外科手术器械,其特征在于,还包括壳体,所述传动部件(6)和所述传输机构(4)至少部分位于所述壳体中;The surgical instrument according to claim 12, characterized in that it further comprises a housing, wherein the transmission component (6) and the transmission mechanism (4) are at least partially located in the housing;
    所述壳体包括容纳腔,所述容纳腔的一端开口于所述壳体的一侧表面,所述第二操作机构(2)至少部分可放置于所述容纳腔中。 The shell comprises a containing cavity, one end of which is open to a side surface of the shell, and the second operating mechanism (2) can be at least partially placed in the containing cavity.
PCT/CN2023/132805 2022-11-23 2023-11-21 Reset device and surgical operation instrument WO2024109713A1 (en)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
CN202211474593.6A CN115721357A (en) 2022-11-23 2022-11-23 Resetting device and surgical operation instrument
CN202223120807.8 2022-11-23
CN202211474593.6 2022-11-23
CN202223120807.8U CN219207120U (en) 2022-11-23 2022-11-23 Reduction device and surgical instrument

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Citations (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20150297205A1 (en) * 2014-04-17 2015-10-22 Covidien Lp Manual retraction tool for use with an electromechanical surgical device
CN105640602A (en) * 2015-12-25 2016-06-08 山东威瑞外科医用制品有限公司 Electric intra-cavity incision anastomat with emergent tool retracting device
CN109199488A (en) * 2017-07-03 2019-01-15 江苏风和医疗器材股份有限公司 Surgical instruments
CN109730735A (en) * 2019-02-21 2019-05-10 上海逸思医疗科技有限公司 Resetting-mechanism, stapler and medical instrument
CN111202553A (en) * 2020-01-17 2020-05-29 盈甲医疗科技(北京)有限公司 Manual retraction device for electric anastomat and electric anastomat thereof
CN113855131A (en) * 2021-11-18 2021-12-31 重庆迈科唯医疗科技有限公司 Electric anastomat with manual reset mechanism
US20220015795A1 (en) * 2020-07-15 2022-01-20 Ezisurg Medical Co., Ltd. Control end of surgical instrument and surgical instrument having the control end
US20220096066A1 (en) * 2020-09-29 2022-03-31 Auris Health, Inc. Manual drive function for surgical tools
CN216417237U (en) * 2020-12-31 2022-05-03 天津瑞奇外科器械股份有限公司 Surgical instrument
CN115721357A (en) * 2022-11-23 2023-03-03 天臣国际医疗科技股份有限公司 Resetting device and surgical operation instrument
CN219207120U (en) * 2022-11-23 2023-06-20 天臣国际医疗科技股份有限公司 Reduction device and surgical instrument

Patent Citations (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20150297205A1 (en) * 2014-04-17 2015-10-22 Covidien Lp Manual retraction tool for use with an electromechanical surgical device
CN105640602A (en) * 2015-12-25 2016-06-08 山东威瑞外科医用制品有限公司 Electric intra-cavity incision anastomat with emergent tool retracting device
CN109199488A (en) * 2017-07-03 2019-01-15 江苏风和医疗器材股份有限公司 Surgical instruments
CN109730735A (en) * 2019-02-21 2019-05-10 上海逸思医疗科技有限公司 Resetting-mechanism, stapler and medical instrument
CN111202553A (en) * 2020-01-17 2020-05-29 盈甲医疗科技(北京)有限公司 Manual retraction device for electric anastomat and electric anastomat thereof
US20220015795A1 (en) * 2020-07-15 2022-01-20 Ezisurg Medical Co., Ltd. Control end of surgical instrument and surgical instrument having the control end
US20220096066A1 (en) * 2020-09-29 2022-03-31 Auris Health, Inc. Manual drive function for surgical tools
CN216417237U (en) * 2020-12-31 2022-05-03 天津瑞奇外科器械股份有限公司 Surgical instrument
CN113855131A (en) * 2021-11-18 2021-12-31 重庆迈科唯医疗科技有限公司 Electric anastomat with manual reset mechanism
CN115721357A (en) * 2022-11-23 2023-03-03 天臣国际医疗科技股份有限公司 Resetting device and surgical operation instrument
CN219207120U (en) * 2022-11-23 2023-06-20 天臣国际医疗科技股份有限公司 Reduction device and surgical instrument

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