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CN108814668A - A kind of articulated joint locking mechanism on surgical instruments - Google Patents
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CN108814668A - A kind of articulated joint locking mechanism on surgical instruments - Google Patents

A kind of articulated joint locking mechanism on surgical instruments Download PDF

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Publication number
CN108814668A
CN108814668A CN201811025689.8A CN201811025689A CN108814668A CN 108814668 A CN108814668 A CN 108814668A CN 201811025689 A CN201811025689 A CN 201811025689A CN 108814668 A CN108814668 A CN 108814668A
Authority
CN
China
Prior art keywords
locking
end effector
locking mechanism
articulated joint
surgical instruments
Prior art date
Legal status (The legal status 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 status listed.)
Withdrawn
Application number
CN201811025689.8A
Other languages
Chinese (zh)
Inventor
姚建清
向长林
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Suzhou Frankenman Medical Equipment Co Ltd
Original Assignee
Suzhou Frankenman Medical Equipment Co Ltd
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 Suzhou Frankenman Medical Equipment Co Ltd filed Critical Suzhou Frankenman Medical Equipment Co Ltd
Priority to CN201811025689.8A priority Critical patent/CN108814668A/en
Publication of CN108814668A publication Critical patent/CN108814668A/en
Withdrawn legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B17/07207Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously the staples being applied sequentially
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/03Automatic limiting or abutting means, e.g. for safety
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214Stapler heads
    • A61B2017/07271Stapler heads characterised by its cartridge
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214Stapler heads
    • A61B2017/07278Stapler heads characterised by its sled or its staple holder
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214Stapler heads
    • A61B2017/07285Stapler heads characterised by its cutter

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Molecular Biology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Pathology (AREA)
  • Surgical Instruments (AREA)

Abstract

The present invention provides the articulated joint locking mechanism on a kind of surgical instruments, the articulated joint locking mechanism on specially a kind of stapler.The present invention improves the joint structure locking mechanism between stapler end effector and elongated shaft, conventionally employed tooth connection is substituted using the method for frictional connection and carries out joint locking, to solve in the operating process of end effector angular adjustment, soft tissue is easy the technical issues of being damaged by the tooth on joint, and can reach the technical effect for more fine-tuning angle.

Description

A kind of articulated joint locking mechanism on surgical instruments
Technical field
The present invention relates to the articulated joint locking mechanism on a kind of surgical instruments, the joint on specially a kind of stapler is connect Head locking mechanism.
Background technique
It is known in the prior art, stapler as medically use substitution traditional-handwork suture equipment, user Just, tight, elastic suitable, especially its suture is quick, easy to operate and few side effects and the advantages that postoperative complication, and also So that the tumor operation that can not be cut off in the past is able to lesion resection, very by the favor and high praise of domestic and international Clinical Surgery doctor.Outside Section's stapler such as scope Endo-GIA may include that can be moved or be carried out joint motions relative to elongated shaft assembly End effector.End effector, which is usually configured to, will need the tissue cut off to be fixed between clamping device, wherein clamping It generally includes to be configured to the structure with nail bin is accommodated in device.Handle portion for operation is then configured to can control The closure of clamping device, and control push blade cutting and staple are pushed to be sutured.
But due to the limitation of abdominal cavity or chest cavity space, in surgical procedure, traditional linear cutting anastomat cannot Enough carry out angular adjustment, cannot effectively reach operative site clamped, be cross-section, anastomosed tissue, so gradually developing The hysteroscope stapler that stapler actuator can turn, and widely used.
Such as Ethicon Endo Surgery Inc of the U.S. (ETHICON ENDO-SURGERY) is to the patent of its request for product, application It number is CN200910130759.0, surgical instruments may include axis, end effector and connector, wherein the end effector can be with It is moved around the connector relative to the axis.It proposes in that patent, referring to attached drawing 1, the joint of pervious end effector is transported Dynamic connector includes locking component, such as locking component 299, and the locking component 299 may include the outer circumferential direction from locking component The tooth 298 to extend out outside.Therefore, when making shaft assembly of the end effector relative to surgical instruments carry out joint motions, tooth 298 can tangle or impact the soft tissue of surrounding, and may cause wound.In different situations, tissue capture may be existed Between adjacent teeth 298, so that soft tissue may be pulled in actuated articulation joints simultaneously when end effector carries out joint motions And it may be jammed by the relative motion part of connector.In embodiments of the present invention, wherein the tooth of locking component is Have angled or inclined, soft tissue, which can easily flow out and be reduced from tooth, pulls joint motions for soft tissue A possibility that in connector.Although reducing the damage of tissue to the improvement of tooth form, but there is a possibility that damage, therefore should Patent still uses cover structure as protection, and cover may be coupled at least one of the end effector and axis, and The soft tissue adjacent to connector positioning is dragged into connector and/or by joint-clamping in order to prevent, and cover is configured at least portion Divide and surrounds connector.
Although the setting of cover solves the technical issues of locking component injury tissue, the presence of cover increases part Quantity, assembling process is comparatively laborious, and covers on during transluminal operation in the presence of the risk fallen.Therefore, it is necessary to a kind of improvement The joint structure of type, so that joint motions will not generate damage to tissue in the case where not needing using cover.
Summary of the invention
The present invention provides a kind of surgical operating instrument, specially a kind of stapler with modified joint locking component. The present invention improves the joint structure between stapler end effector and elongated shaft, is replaced using the method for frictional connection It is connected for conventionally employed tooth and carries out joint locking, to solve in the operating process of end effector angular adjustment, soft group It knits and is easy the technical issues of being damaged by the tooth on joint, and the technical effect for more fine-tuning angle can be reached.
The technical proposal of the invention is realized in this way:
A kind of articulated joint locking mechanism on surgical instruments, the surgical instruments ball and socket joint specially on stapler lock machine Structure, including:End effector, elongated shaft and Handleset;
End effector may include anvil block and nail bin groupware, and surgical instruments further includes closed system and trigger system, closure System is configured to generate closed action, and including the close handles in Handleset, close handles can control anvil block opposite Rotation generates closed action, to clamp tissue, trigger system then includes firing handle, can be made by firing handle operation Blade be pushed forward in nail bin staple release, to carry out cutting suture to tissue.Closed system and trigger system Drive connection part is all disposed in elongated shaft, i.e., elongated shaft is as transmission mechanism receiving portion between end effector and Handleset Point.
Its end effector can be pivotly connected with elongated shaft by articulated joint.Articulated joint is arranged so that End effector carries out joint motions around book shaft opposite elongate axis, so that operator can carry out end effector Joint motions are adjusted to suitable angle, to be easy access to the surgical site of patient's body.
In order to enable relatively fixed after adjusting end effector angle, articulated joint is equipped with locking mechanism;Locking End effector and the opposite locking of elongated shaft are realized in by mechanism:Locking mechanism includes locking disk and locking level, locking Disk is relatively fixed with end effector, and locking level is located in elongated shaft, can be with elongated shaft relative motion, locking disk and locking level phase The side of contact is a curved surfaces, and the radian and locking disk curved surfaces for locking rod end surface match, and such setting makes Obtaining locking level and locking panel surface can adequately contact, and locking level is connected with reset spring, act in the elastic force of reset spring Under, locking level is that bias offsets with locking disk in normal state, and locking level and locking panel surface are arranged to centainly thick The frictional force of rugosity, the two generates enough torque, to prevent end effector and elongated shaft from relatively rotating.Wherein torque is big Small designed according to the torque of the surgical instruments external force that end effector may be subject in operation generation, it is therefore an objective to The torque that frictional force generates is set as the torque greater than external force, to keep opposite locking.The setting of moment of friction depends on connecing The biasing force for touching surface roughness and returning spring is typically provided to that the maximum moment that can be born in surgical procedure can be greater than, from And prevent angle return after stress.In order to unlock, it is additionally provided with unlocking part, unlocking part is arranged outside elongated shaft And connect with locking level, when pulling unlocking part far from end effector direction, locking level can be driven to overcome returning spring Biasing force moved so that locking level and locking disk relative separation, form unlocked state.
Further, in order to increase frictional force and protection part, locking level has been set as two parts composition, including as end Friction head and the connecting rod that is connect with friction head, the i.e. radian of friction head surface match with locking disk curved surfaces.Connection Bar is made of rigid material, such as metal material or high rigidity plastics etc., ensure that the conduction of bonding strength and power;Friction Head is then made of elastic material, such as the high molecular materials such as rubber, and surface is set as roughness with higher, described higher Roughness, be can obviously experience the biggish friction in surface for the instrument other component surface roughness, in addition, Elastic material such as rubber etc., itself has certain viscosity, further increases torque size.So that locking level and lock The pressing of price fixing is more close, and the frictional force of generation is bigger.In the locked state, friction head is under the active force of returning spring With the contact of locking disc side and generation deformation
End effector can gyration there is certain range, the rotational angle of relatively primitive position is not under normal circumstances It can be more than 90 degree.When end effector turns to maximum angle, in order to guarantee to be in lockable state, rub head width Less than or equal to locking disk width, and the contact surface of the end of locking level and locking disk is without departing from the curved surfaces of locking disk.
Above technical scheme is used, the invention has the advantages that:
(1) articulation locking mechanism replaces traditional tooth form to connect using frictional connection, solves in end effector angle In the operating process of adjusting, soft tissue is easy the technical issues of being damaged by the tooth on joint.
(2) locking disk and locking level are contacted using cambered surface, the function of electrodeless adjustment are realized, so that angular adjustment is more smart Really.
Detailed description of the invention
Attached drawing 1 is actuated articulation joints structural schematic diagram in background technique;
Attached drawing 2 is overall appearance schematic diagram of the present invention;
Attached drawing 3 is the structural schematic diagram of articulation locking mechanism of the invention;
Attached drawing 4 is the top view of attached drawing 3;
Attached drawing 5 is the structural schematic diagram that joint angles convert posterior joint locking mechanism;
Attached drawing 6 is the top view of attached drawing 5
Specific embodiment
Corresponding appended drawing reference indicates corresponding component in the drawings.The present invention shows of the invention in one form Preferred embodiment, and such embodiment should be construed as limitation of the scope of the invention in no instance.This Field is it will be appreciated by the skilled person that the device and method be described in detail and be shown in the accompanying drawings herein are non-limiting schematically Embodiment, and the range of various embodiments of the invention is limited only by claim.A kind of schematic embodiment party The feature that formula shows and describes can be in conjunction with the feature of other embodiment, it is intended that by such modifications and variations include this In the range of invention.
A kind of appearance diagram of stapler with articulated joint 1 as shown in Fig. 2, including:End effector 2, Elongated shaft 3 and Handleset 4;
End effector 2 may include anvil block 21 and nail bin groupware 22, and surgical instruments further includes closed system and trigger system, Closed system is configured to generate closed action, and including the close handles 41 in Handleset 4, close handles 41 are controllable Anvil block 21, which relatively rotates, generates closed action, to clamp tissue, trigger system then includes firing handle 42, passes through percussion Handle 42, which operates, may make blade is pushed forward to release with the staple in nail bin, to carry out cutting suture to tissue.Closed system The drive connection part of system and trigger system is all disposed in elongated shaft 3, i.e., elongated shaft 3 is used as end effector 2 and Handleset 4 Between transmission mechanism accommodating portion.
Its end effector 2 can be pivotly connected with elongated shaft 3 by articulated joint 1.Articulated joint 1 is set as So that end effector 2 carries out joint motions around book shaft opposite elongate axis 3, so that operator can execute end Device 1 carries out joint motions and is adjusted to suitable angle, to be easy access to the surgical site of patient's body.
In conjunction with attached drawing 2-4, in order to enable relatively fixed after adjusting 2 angle of end effector, articulated joint 1 is equipped with Locking mechanism 5;End effector and the opposite locking of elongated shaft are realized in by locking mechanism 5:Locking mechanism includes locking Disk 6 and locking level 7, locking disk 6 and end effector 1 are relatively fixed, and locking level 7 is located in elongated shaft 3, can be with 3 phase of elongated shaft To movement, the side that locking disk 6 is in contact with locking level 7 is a curved surfaces, the radian and locking disk of 7 end surface of locking level 6 curved surfaces match, and are arranged so that locking level 7 and 6 surface of locking disk can be contacted adequately, locking level 7 is connected with Reset spring (not shown), the specific implementation of reset spring can refer to the existing patent skill referred in background technique Art, under the elastic force effect of reset spring, locking level 7 is that bias offsets with locking disk 6 in normal state, locking level 7 and lock 6 surface of price fixing is arranged to the roughness for having certain, and the frictional force of the two generates enough torque, to prevent end effector 2 and elongated shaft 3 relatively rotate.Wherein torque size is that end effector may be subject in operation according to surgical instruments The torque that external force generates designs, it is therefore an objective to the torque that frictional force generates is set as the torque greater than external force, to keep phase To locking.It can unlock, be additionally provided with unlocking part 10, unlocking part 10 connects in elongated shaft 3 and with locking level 7, when will When unlocking part 10 is pulled far from 2 direction of end effector, the biasing force that locking level 7 can be driven to overcome returning spring is moved It is dynamic, so that 6 relative separation of locking level 7 and locking disk, forms unlocked state.
Referring to attached drawing 5-6, after locking mechanism is in the unlocked state, locking disk 6 is relatively rotated with respect to locking level 7, then The releasing force applied is unclamped, opposite locking, locking disk 6 are locked in corresponding angle again for locking disk 6 and locking level.
In addition, in order to increase frictional force and protection part, locking level has been set as two parts composition referring again to attached drawing 3, wrap The connecting rod 9 for including the friction head 8 as end and being connect with friction head 8, the i.e. radian on 8 surface of friction head and 6 arc of locking disk Surface matches.Connecting rod 9 is made of rigid material, such as stainless steel and other metal materials or high rigidity plastics etc., is guaranteed The conduction of bonding strength and power;Friction head 8 is then made of elastic material, such as the high molecular materials such as rubber, and surface is set For roughness with higher, the higher roughness, be for the instrument other component surface roughness, can be obvious The biggish friction in surface is experienced, in addition, elastic material such as rubber etc., itself has certain viscosity, further increases Torque size.So that the pressing of locking level 7 and locking disk 6 is more close, the frictional force of generation is bigger.In lock state Under, friction head 8 contacts with locking disc side under the active force of returning spring and generates deformation
End effector 2 can gyration there is certain range, the under normal circumstances rotational angle of relatively primitive position 90 degree are not exceeded.When end effector 2 turns to maximum angle, in order to guarantee to be in lockable state, locking level 7 End portion width be less than or equal to 6 width of locking disk, and the contact surface of the end of locking level 7 and locking disk 6 is without departing from locking disk 6 Curved surfaces.
As described above, we are illustrated fully according to spirit of the invention, but the present invention is not limited to above-mentioned reality Apply example and implementation method.The practitioner of correlative technology field can carry out different in the range of technical idea of the invention is permitted Variation and implementation.

Claims (7)

1. the articulated joint locking mechanism on a kind of surgical instruments, surgical instruments include:End effector, elongated shaft and hand Handle component;
Articulated joint is connected between the end effector and the elongated shaft, the end effector is connect by the joint Head is pivoted relative to the elongated shaft;
The articulated joint is equipped with locking mechanism, and the locking mechanism is used for the end effector and the elongated shaft phase To locking;The locking mechanism includes locking disk and locking level, and the locking disk and end effector are relatively fixed, the locking Bar is located in the elongated shaft, can be with the elongated shaft relative motion;
It is characterized in that, the side that the locking disk is in contact with the locking level is a curved surfaces, the locking boom end The radian on surface matches with locking disk curved surfaces.
2. the articulated joint locking mechanism on a kind of surgical instruments according to claim 1, which is characterized in that further include solution Lock assembly and returning spring, the unlocking part are operably connected on locking level, the returning spring be configured to for End effector move the locking component, the unlocking part can overcome the elastic force of returning spring to drive locking level to separate The movement of end effector direction.
3. the articulated joint locking mechanism on a kind of surgical instruments according to claim 1, which is characterized in that the locking Bar includes the friction head as end and the connecting rod that connect with the friction head, the radian and locking disk of the friction head surface Curved surfaces match.
4. the articulated joint locking mechanism on a kind of surgical instruments according to claim 3, which is characterized in that the friction Head is made of elastic material, and the connecting rod is made of rigid material, and the friction head is under the active force of the returning spring It is contacted with the locking disc side and generates deformation.
5. the articulated joint locking mechanism on a kind of surgical instruments according to claim 3, which is characterized in that the friction The surface that head is contacted with the locking disk is rough surface.
6. the articulated joint locking mechanism on a kind of surgical instruments according to claim 3, which is characterized in that the friction Head width is less than or equal to the locking disk width.
7. the articulated joint locking mechanism described in -6 any one on a kind of surgical instruments, feature exist according to claim 1 In, when the end effector turns to maximum angle, the contact surface of the end of the locking level and the locking disk without departing from The curved surfaces of the locking disk.
CN201811025689.8A 2018-09-04 2018-09-04 A kind of articulated joint locking mechanism on surgical instruments Withdrawn CN108814668A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201811025689.8A CN108814668A (en) 2018-09-04 2018-09-04 A kind of articulated joint locking mechanism on surgical instruments

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201811025689.8A CN108814668A (en) 2018-09-04 2018-09-04 A kind of articulated joint locking mechanism on surgical instruments

Publications (1)

Publication Number Publication Date
CN108814668A true CN108814668A (en) 2018-11-16

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112587190A (en) * 2020-12-02 2021-04-02 苏州优脉瑞医疗科技有限公司 Anastomat suitable for intracavity and having end bending degree adjusting and locking functions

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101518459A (en) * 2008-02-14 2009-09-02 伊西康内外科公司 Surgical instrument articulation joint cover
US20100193567A1 (en) * 2009-02-05 2010-08-05 Ethicon Endo-Surgery, Inc. Surgical stapling instrument comprising an articulation joint
US20110155780A1 (en) * 2009-12-30 2011-06-30 Ethicon Endo-Surgery, Inc. Dampening device for endoscopic surgical stapler
CN202537531U (en) * 2012-03-26 2012-11-21 深圳迈瑞生物医疗电子股份有限公司 Rotating brake mechanism and medical radiographic device thereof
CN203757639U (en) * 2013-12-31 2014-08-06 四川新力光源股份有限公司 Angle-adjusting adapter
CN104042276A (en) * 2013-03-13 2014-09-17 柯惠Lp公司 Surgical stapling apparatus
CN209107455U (en) * 2018-09-04 2019-07-16 苏州法兰克曼医疗器械有限公司 A kind of articulated joint locking mechanism on surgical instruments

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101518459A (en) * 2008-02-14 2009-09-02 伊西康内外科公司 Surgical instrument articulation joint cover
US20100193567A1 (en) * 2009-02-05 2010-08-05 Ethicon Endo-Surgery, Inc. Surgical stapling instrument comprising an articulation joint
US20110155780A1 (en) * 2009-12-30 2011-06-30 Ethicon Endo-Surgery, Inc. Dampening device for endoscopic surgical stapler
CN202537531U (en) * 2012-03-26 2012-11-21 深圳迈瑞生物医疗电子股份有限公司 Rotating brake mechanism and medical radiographic device thereof
CN104042276A (en) * 2013-03-13 2014-09-17 柯惠Lp公司 Surgical stapling apparatus
CN203757639U (en) * 2013-12-31 2014-08-06 四川新力光源股份有限公司 Angle-adjusting adapter
CN209107455U (en) * 2018-09-04 2019-07-16 苏州法兰克曼医疗器械有限公司 A kind of articulated joint locking mechanism on surgical instruments

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112587190A (en) * 2020-12-02 2021-04-02 苏州优脉瑞医疗科技有限公司 Anastomat suitable for intracavity and having end bending degree adjusting and locking functions
CN112587190B (en) * 2020-12-02 2021-11-30 苏州优脉瑞医疗科技有限公司 Anastomat suitable for intracavity and having end bending degree adjusting and locking functions

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Application publication date: 20181116