CN100500107C - A detachable cutting multipurpose scissors for surgical operation - Google Patents

A detachable cutting multipurpose scissors for surgical operation Download PDF

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Publication number
CN100500107C
CN100500107C CNB2006100119317A CN200610011931A CN100500107C CN 100500107 C CN100500107 C CN 100500107C CN B2006100119317 A CNB2006100119317 A CN B2006100119317A CN 200610011931 A CN200610011931 A CN 200610011931A CN 100500107 C CN100500107 C CN 100500107C
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China
Prior art keywords
knife bar
sleeve
thumb wheel
ultrasonic
inner sleeve
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CN1875889A (en
Inventor
史文勇
周兆英
罗晓宁
张毓笠
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Beijing?Sonicmed Technology Co., Ltd.
Original Assignee
ZHANG YULI SHI WENYONG LUO XIAONING
ZHANG YULI SHI WENYONG LUO XIA
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Priority to CNB2006100119317A priority Critical patent/CN100500107C/en
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Abstract

The invention relates the detachable multi-purpose knife, comprising ultrasonic conducting bar, knife bar inner sleeve, knife bar outer sleeve, assembly sleeve and hand handle. The knife bar outer sleeve is around the knife bar inner sleeve, and the ultrasonic conducting bar is in knife bar inner sleeve. The knife bar inner sleeve, knife bar outer sleeve and assembly sleeve are fixed in hand handle by the first connecting piece; ultrasonic conducting bar is fixed in assembly sleeve by the second connecting piece; the knife bar inner sleeve and knife bar outer sleeve are deathly fixed in assembly sleeve by the third connecting piece. The movable handle on hand handle can control adjustable clip. Between assembly sleeve and ultrasonic conducting bar there is shock pad. The invention relates the method for using the knife to process surgery.

Description

A kind of surgical operation is with detachably cutting multi-purpose shears
Technical field
The present invention relates to a kind of surgical medical equipment, more particularly, relate to a kind of ultrasonic cut hemostasis equipment and use and installation method that is used for endoscopic surgery.
Background technology
Along with developing rapidly of modern medicine, ultra-sonic surgical aspirator is applied in the clinical surgery operation treatment more and more, it is applied to surgical operation with ultrasonic energy, its outstanding characteristics are that cutting is meticulous, safety, tissue selectivity and low temperature hemostasis etc., operating means have greatly been enriched, promote operating quality, alleviated patient's slight illness to a certain extent.This ultra-sonic surgical aspirator mainly is made up of main frame, handle, cutter and foot switch.Wherein main frame mainly comprises supersonic signal generator, power amplifier and embedded computer.The ultrasonic signal of telecommunication of small-power that supersonic signal generator produces is after power amplifier amplifies, but the ultrasonic transducer work in the driving handle; Embedded computer mainly is responsible for coordinating and the work of control complete machine, receives control instruction, and the display instrument duty realizes functions such as man-machine interaction and foot-operated control.Embedded computer also will be finished ultrasonic transducer automatic frequency tracking function in addition.Handle comprises ultrasonic transducer and ultrasonic conducting bar, finishes that the ultrasonic signal of telecommunication is changed into ultrasonic mechanical wave, after the ultrasonic conducting bar realizes that amplitude amplifies, is delivered to surgical knife tool.In addition, also is furnished with a multi-purpose shears that tissue (as the organ of pathological changes or blood vessel etc.) grasps that is cut that is used for the patient on the handle.
In american documentation literature US6352532, US6468286, US6669690, disclose several respectively and can be used for the ultrasonic cut hemostasis equipment of endoscopic surgery.
But in existing ultrasonic cut hemostasis equipment, multi-purpose shears in the handle and ultrasonic conducting bar are non-removable.In the middle of endoscope's Minimally Invasive Surgery, in abdominal operation, blood or tissue fluid can flow into along the space between the ultrasonic conducting bar in the rustless steel knife bar outer sleeve of multi-purpose shears and the knife bar inner sleeve.The heat that produces during the work of ultrasonic conducting bar, the blood or the tissue fluid that flow into this space can be solidified, the ultrasonic conducting bar is condensed in the knife bar inner sleeve, thereby the ultrasonic mechanical wave by ultrasonic transducer generating can not conduct to ultrasonic cutter head along ultrasonic conducting bar in the knife bar inner sleeve, can not realize of the cutting of ultrasonic cutter head to soft tissue, the ultrasonic conducting bar can cause operation to end like this, because can not have mutual friction mutually or bonding with the knife bar inner sleeve when the conduction ultrasound wave.If multi-purpose shears in the handle and ultrasonic conducting bar are non-removable, in generation ultrasonic conducting bar in the operation condenses the knife bar inner sleeve, cause the ultrasonic conducting bar can not be when ultrasonic cutter head conduction ultrasound wave, can only scrap multi-purpose shears and ultrasonic conducting bar, multi-purpose shears that more renews and ultrasonic conducting bar, perhaps multi-purpose shears, ultrasonic conducting bar and ultrasonic cutter head as disposable use operating theater instruments, increased the medical expense of hospital so greatly.
In addition, in the multi-purpose shears of existing U.S. Pat 6352532 described ultrasonic cut hemostasis equipment, the knife bar outer sleeve and the knife bar inner sleeve that adopt a kind of bail type structure to finish ultrasonic conducting bar and multi-purpose shears are fixed more, and ultrasonic conducting bar and handle is fixing.But this bail type structure need be done a through hole on the ultrasonic conducting bar, and this through hole causes local stress, causes the fracture of ultrasonic conducting bar during work easily, has shortened the service life of ultrasonic conducting bar.
Summary of the invention: the invention provides a kind of surgical operation cutting and cut with detachable multiple-use, comprise: comprise ultrasonic conducting bar, knife bar inner sleeve, knife bar outer sleeve, assembling sleeve and handle, wherein the knife bar outer sleeve is enclosed within the outside of knife bar inner sleeve, the ultrasonic conducting bar is contained in the knife bar inner sleeve, it is characterized in that the cutting of described surgical operation cuts the combination that can be disassembled into above-mentioned single part or a plurality of parts by one or more links with detachable multiple-use.
Promptly removably be axially fixed in knife bar inner sleeve, knife bar outer sleeve and assembling sleeve in the handle by first connector;
By second connector ultrasonic conducting bar removably is axially fixed on the assembling sleeve;
Knife bar outer sleeve and knife bar inner sleeve removably can be fixed in the assembling sleeve on the handle by the 3rd connector;
By knife bar rotation thumb wheel be contained in rotationally handle front end and also in the movable sliding sleeve of the thumb wheel that can slide vertically is housed, the assembling sleeve is installed in the movable sliding sleeve of thumb wheel and by first connector and is axially fixed on the knife bar rotation thumb wheel;
Be fixed on the movable sliding sleeve of thumb wheel to drive in the internal diameter that the thumb wheel activity slides over knife bar rotation thumb wheel by movable handgrip one end and slide, integral cast handle and movable handgrip are fixed on the handle accordingly;
Movable handgrip one end is fixed on the movable sliding sleeve of thumb wheel to drive in the internal diameter that the thumb wheel activity slides over knife bar rotation thumb wheel and slides, and the other end of the movable sliding sleeve of thumb wheel links to each other with the knife bar inner sleeve;
Be carved with elongated slot on the movable sliding sleeve of thumb wheel, so that ultrasonic conducting bar and knife bar inner sleeve are axially with definite dismountable connection of angle.
The assembling sleeve has a square hole near on the internal diameter of rear end, the close rear end of ultrasonic conducting bar has a boss, the ultrasonic conducting bar passes the inside of assembling sleeve and knife bar inner sleeve, be fixed in the telescopic square hole of assembling by ultrasonic conducting bar boss, and the ultrasonic conducting bar removably be axially fixed in the telescopic rear end of assembling by second connector.
In above-mentioned surgical operation cutting is cut with detachable multiple-use, between assembling sleeve and ultrasonic conducting bar boss, the damping pad is housed, this damping pad is in ultrasonic conducting bar boss is contained in the assembling sleeve.The boss of the ultrasonic conducting bar in cutting by detachable multiple-use has like this realized that the flexibility of knife bar outer sleeve, knife bar inner sleeve and the ultrasonic conducting bar of multi-purpose shears fixes.
Purpose of the present invention: surgical operation cutting of the present invention is cut by special link with detachable multiple-use, realized multi-purpose shears is disassembled into handle, a plurality of parts such as knife bar inner sleeve, knife bar outer sleeve and ultrasonic conducting bar are convenient to clean and sterilization, can be repeatedly used.
By the boss and the damping pad of ultrasonic conducting bar, realized that the flexibility of knife bar outer sleeve, knife bar inner sleeve and the ultrasonic conducting bar of multi-purpose shears is fixed, prolong the service life of ultrasonic conducting bar.
Technical scheme: can make described surgical operation cutting cut the combination that can be disassembled into described ultrasonic conducting bar, knife bar inner sleeve, knife bar outer sleeve, assembling sleeve and handle single part or a plurality of parts with detachable multiple-use by one or more links.
Promptly removably be axially fixed in knife bar inner sleeve, knife bar outer sleeve and assembling sleeve in the handle by first connector;
By second connector ultrasonic conducting bar removably is axially fixed on the assembling sleeve;
Knife bar outer sleeve and knife bar inner sleeve removably can be fixed in the assembling sleeve on the handle by the 3rd connector;
By knife bar rotation thumb wheel be contained in rotationally handle front end and also in the movable sliding sleeve of the thumb wheel that can slide vertically is housed, the assembling sleeve is installed in the movable sliding sleeve of thumb wheel and by first connector and is axially fixed on the knife bar rotation thumb wheel;
Be fixed on the movable sliding sleeve of thumb wheel to drive in the internal diameter that the thumb wheel activity slides over knife bar rotation thumb wheel by movable handgrip one end and slide, integral cast handle and movable handgrip are fixed on the handle accordingly;
Movable handgrip one end is fixed on the movable sliding sleeve of thumb wheel to drive in the internal diameter that the thumb wheel activity slides over knife bar rotation thumb wheel and slides, and the other end of the movable sliding sleeve of thumb wheel links to each other with the knife bar inner sleeve;
Be carved with elongated slot on the movable sliding sleeve of thumb wheel, so that ultrasonic conducting bar and knife bar inner sleeve are axially with definite dismountable connection of angle.
Between the boss of assembling sleeve and ultrasonic conducting bar the damping pad is housed during described detachable multiple-use is cut, has realized that the flexibility of knife bar outer sleeve, knife bar inner sleeve and the ultrasonic conducting bar of multi-purpose shears is fixed.
Benefit of the present invention; The present invention is by promptly dismantling knife bar inner sleeve, knife bar outer sleeve and assembling sleeve by first connector in handle;
By second connector ultrasonic conducting bar is dismantled from the assembling sleeve;
Knife bar outer sleeve and knife bar inner sleeve can be dismantled from the assembling sleeve by the 3rd connector;
Can be by knife bar rotation thumb wheel by different angular turn ultrasonic conducting bars, knife bar inner sleeve and knife bar outer sleeve need to guarantee the different cutting of operator;
By movable sliding sleeve connection activity handgrip of thumb wheel and knife bar inner sleeve, to finish the patient controls ultrasonic cutter head and movable dop by movable handgrip cutting clamping action;
Surgical operation cutting of the present invention is cut by special link with detachable multiple-use, realized multi-purpose shears is disassembled into handle, a plurality of parts such as sleeve and ultrasonic conducting bar, be convenient to clean and sterilization, because the detachable one-tenth of multi-purpose shears does not contain the simple components of cleaning dead angle and telescopic interlayer, each parts is thoroughly cleaned and sterilize, can be repeatedly used, save the medical expense of hospital.
Between the boss of assembling sleeve and ultrasonic conducting bar the damping pad is housed during described detachable multiple-use is cut, has realized that the flexibility of knife bar outer sleeve, knife bar inner sleeve and the ultrasonic conducting bar of multi-purpose shears is fixed, thereby prolonged the service life of ultrasonic conducting bar.
Others of the present invention and/or advantage part will describe in the following description, and part can obviously draw from the following description, or obtain instruction by implementing the present invention.
In order to realize purpose of the present invention, the invention provides a kind of surgical operation cutting cuts with detachable multiple-use, comprise: comprise ultrasonic conducting bar, knife bar inner sleeve, knife bar outer sleeve, assembling sleeve and handle, wherein the knife bar outer sleeve is enclosed within the outside of knife bar inner sleeve, the ultrasonic conducting bar is contained in the knife bar inner sleeve, it is characterized in that the cutting of described surgical operation cuts the combination that can be disassembled into above-mentioned single part or a plurality of parts by one or more links with detachable multiple-use.
Promptly removably be axially fixed in knife bar inner sleeve, knife bar outer sleeve and assembling sleeve in the handle by first connector;
By second connector ultrasonic conducting bar removably is axially fixed on the assembling sleeve;
Knife bar outer sleeve and knife bar inner sleeve removably can be fixed in the assembling sleeve on the handle by the 3rd connector;
By knife bar rotation thumb wheel be contained in rotationally handle front end and also in the movable sliding sleeve of the thumb wheel that can slide vertically is housed, the assembling sleeve is installed in the movable sliding sleeve of thumb wheel and by first connector and is axially fixed on the knife bar rotation thumb wheel;
Be fixed on the movable sliding sleeve of thumb wheel to drive in the internal diameter that the thumb wheel activity slides over knife bar rotation thumb wheel by movable handgrip one end and slide, integral cast handle and movable handgrip are fixed on the handle accordingly;
Movable handgrip one end is fixed on the movable sliding sleeve of thumb wheel to drive in the internal diameter that the thumb wheel activity slides over knife bar rotation thumb wheel and slides, and the other end of the movable sliding sleeve of thumb wheel links to each other with the knife bar inner sleeve;
Be carved with elongated slot on the movable sliding sleeve of thumb wheel, so that ultrasonic conducting bar and knife bar inner sleeve are axially with definite dismountable connection of angle.
The assembling sleeve has a square hole near on the internal diameter of rear end, the close rear end of ultrasonic conducting bar has a boss, the ultrasonic conducting bar passes the inside of assembling sleeve and knife bar inner sleeve, boss is fixed in the telescopic square hole of assembling, and by second connector ultrasonic conducting bar removably is axially fixed in the telescopic rear end of assembling.
In above-mentioned surgical operation cutting is cut with detachable multiple-use, a damping pad is housed on the ultrasonic conducting bar, this damping pad has prolonged the service life of ultrasonic conducting bar in ultrasonic conducting bar boss is contained in the assembling sleeve.
According to a further aspect in the invention, provide a kind of ultrasonic cut hemostasis equipment that is used for endoscopic surgery, comprising: aforesaid surgical operation cutting is cut with detachable multiple-use; Ultrasonic transducer, described ultrasonic transducer insertion surgical operation cuts the rear end of the handle of cutting with detachable multiple-use and is connected with described ultrasonic conducting bar, to drive the work of ultrasonic conducting bar; Main frame is used to produce the ultrasound wave that drives ultrasonic transducer work; Foot switch is used to control described host driven ultrasonic transducer.
When using the ultrasonic cut hemostasis equipment of endoscopic surgery of the present invention, user is after finding the position that will cut, grasp integral cast handle and movable handgrip and pull movable handgrip backward, pulling the movable sliding sleeve of movable handgrip drive thumb wheel moves forward along knife bar rotation thumb wheel, the knife bar inner sleeve that is contained on the movable sliding sleeve of thumb wheel is moved forward with respect to ultrasonic conducting bar and knife bar outer sleeve, make the movable dop that is contained between knife bar outer sleeve and the knife bar inner sleeve rotate, to realize opening of movable dop around little rotating shaft; Then, user rotates knife bar rotation thumb wheel, ultrasonic conducting bar, knife bar inner sleeve and knife bar outer sleeve are rotated together, and to seek best cutting position, user is stirred movable handgrip more forward, to realize the closure of movable dop, step on foot switch simultaneously, make main frame produce the ultrasonic signal of telecommunication, this ultrasound wave converts ultrasonic mechanical wave to by ultrasonic transducer, send the ultrasonic conducting bar to, finish cutting action.
Further, the knife bar inner sleeve inserts in the knife bar outer sleeve, and the front end that makes the knife bar inner sleeve hooks the pin on the movable dop, with above-mentioned knife bar inner sleeve and the knife bar outer sleeve telescopic front end of assembling of packing into, make the pin on the knife bar inner sleeve pass the telescopic square groove of assembling, fixed cover and assembling sleeve location with knife bar outer sleeve rear end, again the front end swivel nut is screwed in the telescopic front end of assembling, with the ultrasonic conducting bar from assembling the telescopic rear end assembling sleeve of packing into, boss on the ultrasonic conducting bar is packed in the telescopic square opening of assembling, again the rear end swivel nut is screwed in the telescopic rear end of assembling, with the assembling after said modules from handle, in the movable sliding sleeve of the front loaded thumb wheel of the movable slide bushing assembly of guide rod fast pulley and thumb wheel, pin on the knife bar inner sleeve is packed in the internal diameter groove of the movable sliding sleeve of thumb wheel, again the guide rod fast pulley is screwed in the screw thread of knife bar rotation thumb wheel, has finished the installation that detachable multiple-use is cut.Ultrasonic transducer screws in the screwed hole of ultrasonic conducting bar from the rear end of the handle that detachable multiple-use is cut, the plug of ultrasonic transducer is linked to each other with ultrasonic cut hemostasis Device Host, again foot switch is linked to each other with ultrasonic cut hemostasis Device Host, promptly finish the installation of whole ultrasonic cutting bleeding device systems.
The ultrasonic cut hemostasis equipment that is used for endoscopic surgery of the present invention is compared with existing ultrasonic cut hemostasis equipment, owing to adopted dismountable mechanism, make ultrasonic cut hemostasis equipment of the present invention be convenient to clean and sterilization, can use repeatedly, and ultrasonic cut hemostasis device specific knife bar rotation thumb wheel of the present invention, make when the doctor states instrument in the use, can be according to the needs of cutting, rotate knife bar rotation thumb wheel, find best cutting position, in ultrasonic cut hemostasis equipment of the present invention, the design of the boss of the ultrasonic conducting bar during detachable multiple-use is cut has realized the knife bar outer sleeve of multi-purpose shears, the flexibility of knife bar inner sleeve and ultrasonic conducting bar is fixed.
Description of drawings
To the detailed description of the specific embodiment of the invention, can clearer understanding be arranged in conjunction with the drawings to goal of the invention of the present invention and technical conceive, wherein:
Fig. 1 is the detachable multi-purpose shears sketch map that is used to cut of the present invention;
Fig. 2 is a ultrasonic surgical equipment principle block diagram;
Fig. 3 is be used to cut detachable multi-purpose shears and a ultrasonic transducer sketch map of the present invention;
Fig. 4 is the schematic perspective view of the inserted knife bar assembly cut of detachable multiple-use of the present invention;
Fig. 5 is the parts dismounting and the scheme of installation of the inserted knife bar assembly cut of detachable multiple-use of the present invention;
Fig. 6 is the telescopic schematic perspective view of assembling that detachable multiple-use of the present invention is cut;
Fig. 7 (a) is the schematic perspective view of the knife bar inner sleeve cut of detachable multiple-use of the present invention;
Fig. 7 (b) is the schematic perspective view of the knife bar outer sleeve cut of detachable multiple-use of the present invention;
Fig. 7 (c) is the schematic perspective view of the movable dop cut of detachable multiple-use of the present invention;
Fig. 7 (d) is the movable dop cut of detachable multiple-use of the present invention and the schematic perspective view of ultrasonic cutter head;
Fig. 8 is the schematic perspective view of the ultrasonic conducting bar cut of detachable multiple-use of the present invention;
Fig. 9 is the schematic perspective view of the knife bar rotation thumb wheel assembly cut of detachable multiple-use of the present invention;
Figure 10 is that the knife bar that detachable multiple-use of the present invention is cut rotates the parts dismounting of thumb wheel assembly and the sketch map of installing;
Figure 11 is the dismounting and the scheme of installation of the inserted knife bar assembly cut of detachable multiple-use of the present invention and knife bar rotation thumb wheel assembly;
Figure 12 is the schematic perspective view of the handle cut of detachable multiple-use of the present invention;
Figure 13 is the dissection schematic cross-section of the handle cut of detachable multiple-use of the present invention;
Figure 14 is the dismounting and the scheme of installation of the handle cut of detachable multiple-use of the present invention;
Figure 15 is the principle schematic of the enforcement soft tissue cutting operation cut of detachable multiple-use of the present invention.
The specific embodiment
To be described in detail concrete enforcement of the present invention below, the example shown in the drawings, wherein identical label is represented identical parts.
The detachable multiple-use that is used to cut described in the invention cuts 1 as shown in Figure 1, and it comprises: knife bar 2, movable dop 3, ultrasonic cutter head 4, knife bar clamp nut 5 (being previously described first connector), knife bar rotation thumb wheel 6, handle 7, movable handgrip 8, integral cast handle 9.The operation doctor puts into patient's body with knife bar 2 by endoscope, implements operation.By operant activity handgrip 8, the soft tissue that needs cutting is clamped in folding that can control activity dop 3, and ultrasonic cutter head 4 discharges ultrasonic energies will need the soft tissue excision of cutting.The operation doctor can also be by stirring rotation thumb wheel 6 along the angle of cutter spindle to movable dop 3 and ultrasonic cutter head 4, to obtain the optimum Cutting angle.
Detachable multiple-use shown in Figure 1 is cut 1 and can be installed on the ultrasonic transducer 10.Ultrasonic surgical equipment principle block diagram as shown in Figure 2, ultrasonic transducer is driven by the ultrasonic power amplifier in ultrasonic surgical equipment and the main frame, convert the power supply electric energy to the ultra sonic machinery energy, the ultrasonic conducting bar 15 of being cut knife bar 2 inside on 1 by detachable multiple-use is delivered to ultrasonic cutter head 4, discharge ultrasonic energy by ultrasonic cutter head 4 to the soft tissue that is cut, to reach the purpose of cutting.
Detachable multiple-use is cut by opening knife bar clamp nut 5, detachably becomes inserted knife bar assembly 36 and handle 7 two parts shown in Figure 4.During installation, can insert knife bar 36 and can insert handle 7 inside, be fastened on the handle 7 by the screw thread on the knife bar clamp nut 5 33 then.Can insert knife bar 36 and comprise knife bar 2, movable dop 3, ultrasonic cutter head 4, assembling sleeve 11, knife bar outer sleeve clamp nut 13, knife bar outer sleeve pin 12, ultrasonic conducting bar clamp nut 14 (being previously described second connector), ultrasonic conducting bar 15.
Can insert knife bar assembly 36 and can be disassembled into knife bar outer sleeve 20 shown in Figure 5, knife bar inner sleeve 21, assembling sleeve 11 and 15 4 parts of ultrasonic conducting bar.The assembling sleeve is seen Fig. 6, comprises slot 22, positioning key 19, screw thread 37.Knife bar inner sleeve 21 is seen Fig. 7 (a), comprises pin 12, grab 23.Knife bar outer sleeve 20 is seen Fig. 7 (b), comprises movable dop 3, dop fixed axis 24, dop draw-in groove 25.Ultrasonic conducting bar 15 is seen Fig. 8, comprises ultrasonic cutter head 4, O type circle 18, four directions, orientation (being the boss on the previously described ultrasonic conducting bar) 16, damping pad 17 and ultrasonic conducting bar hold-down nut 14.
Installation is divided into 3 steps:
1. knife bar inner sleeve 21 is inserted in the knife bar outer sleeve 20, with guaranteeing that the grab 23 on the knife bar inner sleeve 21 colludes the dop draw-in groove 25 on the movable dop 3 on the knife bar outer sleeve 20, movable dop 3 is fixed on the knife bar outer sleeve by a dop fixed axis 24, and can see Fig. 7 (c), Fig. 7 (d) around fixed axis 24 rotations.
2. knife bar inner sleeve 21 and knife bar outer sleeve 20 be installed as one after, pin on the knife bar inner sleeve 21 12 is inserted in the slot 22 of assembling sleeve 11, be fixed in the assembling sleeve 11 by inside and outside sleeve hold-down nut 13 (being previously described the 3rd connector) and screw thread 37 again.
3. ultrasonic conducting bar 15 (see figure 8)s are inserted the other end that does not have slot 22 of assembling sleeve 11 by ultrasonic cutter head 4 directions, by ultrasonic conducting bar hold-down nut 14 ultrasonic conducting bar 15 is fixed on the assembling sleeve 11 again.Wherein four directions, the orientation in the ultrasonic conducting bar 15 16 is determined.Produce friction when damping pad 17 and O type circle 18 are used for avoiding 15 work of ultrasonic conducting bar and between the knife bar inner sleeve 21.
Knife bar rotation thumb wheel assembly 38 is installed in the handle 7, as Fig. 9, shown in Figure 10, it comprises knife bar clamp nut 5, knife bar rotation thumb wheel 6, thumb wheel is sliding sleeve 26 and the movable sliding sleeve 27 of thumb wheel fixedly, wherein on the movable sliding sleeve 27 of thumb wheel square groove 28 is arranged, be used for to insert the location of knife bar assembly 36 at knife bar rotation thumb wheel assembly 38.
As shown in figure 11, can insert knife bar assembly 36 on being installed to handle 7 time, can insert knife bar assembly 36 earlier inserts in the knife bar rotation thumb wheel assembly 38 along dotted line direction shown in Figure 11, the open slot 29 that can insert square groove 28 1 ends on the movable sliding sleeve 27 of thumb wheel of latch 12 in the knife bar rotation thumb wheel assembly 38 on the knife bar assembly 36 enters into square groove 28, can insert knife bar assembly 36 revolves vertically and turn 90 degrees, again knife bar hold-down nut 5 is tightened by screw thread 33, can insert knife bar assembly 36 and can be fixed in the knife bar rotation thumb wheel assembly, also be fixed in the handle 7 simultaneously.
Figure 12, Figure 13, Figure 14 provide the structure of handle 7, and handle comprises: knife bar rotation thumb wheel assembly 38, integral cast handle 9, movable handgrip 8, ultrasonic transducer clip slot 32, handgrip turning cylinder 30, contain handgrip handle casing 39, do not contain handgrip handle casing 35, handle casing connecting hole 31.Contain handle casing 39 and do not contain handgrip handle casing 35 and fit together by connecting hole 31.Movable handgrip 8 is installed on the handle casing 39 by through hole 42.On the movable handgrip 8 two latches 40 are arranged, during installation, latch 40 is packed in the handle chute 41 on the movable sliding sleeve 27 of thumb wheel in the knife bar rotation thumb wheel assembly 38.
As Figure 15, when detachable cutting multi-purpose shears of the present invention is worked, operative doctor rotation activity handgrip 8, promptly by latch 40, the movable sliding sleeve 27 of handle chute 41 band thumb wheels slides, and the movable sliding sleeve 27 of thumb wheel is by the square groove 28 on it, drive with the latch 12 on the knife bar inner sleeve, the knife bar inner sleeve 21 that can insert in the knife bar assembly 38 slides in knife bar outer sleeve 20, and drive activity dop 3 clamps the soft tissue 43 that needs cutting again.
Ultrasonic power amplifier in the main frame of ultrasonic surgical equipment drives ultrasonic transducer 10 by cable 44, convert the power supply electric energy to the ultrasound machine energy, the ultrasonic conducting bar 15 of being cut 1 knife bar 2 inside by surgical operation cutting with detachable multiple-use can be delivered to ultra sonic machinery on the ultrasonic cutter head 4, discharge ultrasonic energy by ultrasonic cutter head 4 to the soft tissue 43 that is cut, finish the purpose of cutting.
More than describing is explanation of the invention, is not that institute of the present invention restricted portion is referring to claim to the qualification of invention, and under the situation of spirit of the present invention, the present invention can do any type of modification.

Claims (5)

1. a surgical operation cutting is cut with detachable multiple-use, comprising: the ultrasonic conducting bar, and described ultrasonic conducting bar is connected with ultrasonic transducer, the supersonic vibration of ultrasonic transducer generating can be conducted to head, thereby act on biological tissue; The knife bar inner sleeve, described knife bar inner sleeve is enclosed within the outside of described ultrasonic conducting bar, is used to support described ultrasonic conducting bar; The knife bar outer sleeve, described knife bar outer sleeve is enclosed within the outside of described knife bar inner sleeve, and it can slide with respect to described knife bar inner sleeve; Assembling sleeve, described assembling sleeve are used for installing and fixing described knife bar inner sleeve and knife bar outer sleeve; First connector, described first connector removably is fixed on knife bar inner sleeve, knife bar outer sleeve and assembling sleeve in the handle; Second connector, described second connector removably is fixed on the ultrasonic conducting bar on the assembling sleeve; The 3rd connector, described the 3rd connector removably is fixed on knife bar outer sleeve and knife bar inner sleeve on the assembling sleeve; And handle, described handle is used for installing and fixing described assembling sleeve, and it can drive described knife bar inner sleeve linear reciprocating motion; Described multi-purpose shears is characterised in that, can be disassembled into the combination of above-mentioned single part or a plurality of parts by one or more links.
2. surgical operation cutting as claimed in claim 1 is cut with detachable multiple-use, it is characterized in that: described handle comprises movable sliding sleeve of thumb wheel and knife bar rotation thumb wheel, described knife bar rotation thumb wheel be contained in rotationally handle front end and also in the movable sliding sleeve of the thumb wheel that can slide vertically is housed, described assembling sleeve is installed in the movable sliding sleeve of thumb wheel and by first connector and is axially fixed on the knife bar rotation thumb wheel.
3. surgical operation cutting as claimed in claim 1 is cut with detachable multiple-use, and it is characterized in that: described handle also comprises movable handgrip and integral cast handle, and integral cast handle and movable handgrip are fixed on the handle accordingly.Movable handgrip one end is fixed on the movable sliding sleeve of thumb wheel to drive in the internal diameter that the thumb wheel activity slides over knife bar rotation thumb wheel and slides, the other end of the movable sliding sleeve of thumb wheel links to each other with the knife bar inner sleeve, the knife bar inner sleeve is connected with movable dop, by driving the folding that movable handgrip can control activity dop.
4. surgical operation as claimed in claim 1 cutting is cut with detachable multiple-use, it is characterized in that: be carved with elongated slot on the movable sliding sleeve of described thumb wheel, so that ultrasonic conducting bar and knife bar inner sleeve are axially with definite dismountable connection of angle.
5. surgical operation cutting as claimed in claim 1 is cut with detachable multiple-use, it is characterized in that boss and damping pad on the ultrasonic conducting bar.Between the boss of assembling sleeve and ultrasonic conducting bar the damping pad is housed during described detachable multiple-use is cut, has realized that the flexibility of knife bar outer sleeve, knife bar inner sleeve and the ultrasonic conducting bar of multi-purpose shears is fixed.
CNB2006100119317A 2006-05-18 2006-05-18 A detachable cutting multipurpose scissors for surgical operation Active CN100500107C (en)

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Application Number Priority Date Filing Date Title
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CN100500107C true CN100500107C (en) 2009-06-17

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CN109009330B (en) * 2018-08-02 2023-09-29 嘉善飞阔医疗科技有限公司 Ultrasonic surgical knife and ultrasonic surgical knife system
CN109938804A (en) * 2019-01-29 2019-06-28 杭州瑞克斯医疗器械有限公司 A kind of ultrasonic cut hemostatic cutter system
CN113397657B (en) * 2021-07-21 2022-12-06 北京速迈医疗科技有限公司 High-frequency electric and ultrasonic dual-output multipurpose scissors
CN113693712B (en) * 2021-08-30 2022-09-13 浙江微度医疗器械有限公司 Electric coagulation cutting instrument with double operating handles

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