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Publication numberCN101327135 B
Publication typeGrant
Application numberCN 200810109777
Publication date30 May 2012
Filing date17 Jun 2008
Priority date18 Jun 2007
Also published asCN101327132A, CN101327132B, CN101327133A, CN101327133B, CN101327134A, CN101327134B, CN101327135A, CN101327136A, CN101327136B, CN101327137A, CN101327137B, DE602008002854D1, DE602008004590D1, DE602008005672D1, EP2005896A2, EP2005896A3, EP2005896B1, EP2005897A2, EP2005897A3, EP2005898A2, EP2005898A3, EP2005898B1, EP2005899A2, EP2005899A3, EP2005900A2, EP2005900A3, EP2005900B1, EP2005901A1, EP2005901B1, EP2382928A1, US7510107, US7588175, US7588176, US7731072, US20080308601, US20080308602, US20080308603, US20080308604, US20080308606, US20080308607
Publication number200810109777.6, CN 101327135 B, CN 101327135B, CN 200810109777, CN-B-101327135, CN101327135 B, CN101327135B, CN200810109777, CN200810109777.6
InventorsFE谢尔顿四世, RW蒂姆
Applicant伊西康内外科公司
Export CitationBiBTeX, EndNote, RefMan
External Links: SIPO, Espacenet
Cable driven surgical stapling and cutting instrument with apparatus for preventing inadvertant cable disengagement
CN 101327135 B
Abstract
A cable driven surgical instrument that has an elongate channel assembly that is constructed to operably support a staple cartridge assembly therein. The instrument may have a knife assembly that is oriented for travel within the elongate channel assembly and at least one cable transition support that is operably mounted to at least one of the elongate channel assembly and the knife assembly. A drive cable operably extends around at least a portion of the cable transition support and interfaces with a cable drive system to drive the knife assembly within the elongate channel. A cable retention arrangement may be included for retaining the drive cable around at least a portion of the cable transition support.
Claims(6)  translated from Chinese
1. 一种外科器械,包括:细长通道组件,其能够将钉仓组件可操作地支撑在其中;刀组件,其被定向用于在所述细长通道组件内行进;至少一个索过渡支架,其可操作地安装在所述细长通道组件和所述刀组件中的至少一个上;驱动索,其可操作地围绕所述至少一个索过渡支架的至少一部分延伸并且与索驱动系统连接以在所述细长通道组件内驱动所述刀组件;以及索保持装置,其用于可操作地保持所述驱动索围绕所述索过渡支架的所述至少一部分,其中,所述索保持装置包括连接在所述驱动索上用于保持其张力的索张紧接头。 1. A surgical instrument, comprising: an elongate channel assembly, a cartridge assembly which can be operably supported therein; knife assembly is oriented for travel within the elongate channel assembly; at least one cable transition support operatively mounted in the elongate channel assembly and the knife assembly at least one; drive cable operatively around at least one cable transition support at least part of the extension and the cable connection to the drive system driven within the elongate channel assembly of the knife assembly; and cable holding means for operatively holding said at least a portion of the drive cable around the cable transition support, wherein said cable holding means comprising connection for cable tension on the drive to maintain the tension of the cable connector.
2.根据权利要求1所述的外科器械,其中,所述至少一个索过渡支架包括滑轮,所述索保持装置还包括索保持块,所述索保持块与所述滑轮非常接近,并且,所述索保持块具有弧形表面,所述弧形表面相对于所述驱动索的在所述滑轮上的部分形状互补,从而防止所述驱动索从所述滑轮上脱离。 2. The surgical instrument according to claim 1, wherein said at least one cable transition support comprises a pulley, said cable holding means further comprises a cable holding block, the holding block and the cable pulleys are very close, and, the said cable retention block has an arcuate surface, said arcuate surface with respect to the drive cable portion in a shape complementary to said pulley, so as to prevent detachment of the cable from the drive pulley.
3.根据权利要求1所述的外科器械,其中,所述至少一个索过渡支架包括块,所述块具有延伸通过其的通道,所述通道形成弧形支承表面,所述驱动索通过所述弧形支承表面。 3. The surgical instrument according to claim 1, wherein said at least one cable transition support comprises a block, said block having a passage extending therethrough, said passage forming arcuate bearing surface, the drive cable through the arcuate bearing surface.
4.根据权利要求1所述的外科器械,其中,所述驱动索具有第一端和第二端,所述索张紧接头包括:第一止动元件,其连接在所述驱动索的所述第一端上;第二止动元件,其连接在所述驱动索的所述第二端上并且具有穿过其的通道,所述通道用于容纳通过其的所述驱动索的一部分,所述第二止动元件能够相对于所述第一止动元件在所述驱动索上移动;第三止动元件,其固定地连接在所述驱动索的一部分上,使得所述第二止动元件可动地容纳在所述第一止动元件和位于所述驱动索的该部分上的所述第三止动元件之间;张紧弹簧,其连接在所述第二止动元件和所述第三止动元件上。 4. A surgical instrument according to claim 1, wherein said drive cable having a first end and a second end, said cable tensioning joint comprises: a first stop element, which is connected to said driving cord by said first end; a second stopper member, which is connected to said second end of said drive cable and having a passage therethrough, said passage for receiving a portion through which the drive cable, said second stop member with respect to the first stop member movable in said drive cable; third movable stopper member, which is fixedly connected to the drive portion of the cable, so that the second stop movable member movably received between said first and said movable member in said drive portion of the cable third stopper member stops; tension spring, which is connected to the second stop member, and The third stop on the element.
5.根据权利要求4所述的外科器械,其中,所述索驱动系统包括从动滑轮,所述从动滑轮将所述驱动索的一部分驱动地支撑于其上,所述至少一个索过渡支架包括:第一和第二滑轮,其安装在所述细长通道组件的远端上;以及第三滑轮,其安装在所述刀组件上。 5. A surgical instrument according to claim 4, wherein said cable drive system comprises a driven pulley, the driven pulley to the drive portion of the drive cable supported thereon, said at least one cable transition support comprises: first and second pulleys mounted at the distal end of the elongate channel assembly; and a third pulley mounted on said knife assembly.
6.根据权利要求5所述的外科器械,还包括:手柄组件,其可操作地支撑所述从动滑轮;细长轴,其可操作地连接到所述手柄组件和所述细长通道组件上并且将所述驱动索支撑在其中;以及关节运动接头,其位于所述细长轴中,用以使所述细长通道组件能够相对于所述手柄组件进行关节运动。 6. A surgical instrument according to claim 5, further comprising: a handle assembly operably supporting said driven pulley; elongate shaft operatively connected to said handle assembly and said elongate channel assembly and supporting said drive cable therein; and articulation joint, which is located in said elongate shaft to enable said elongate channel assembly relative to the handle assembly articulated.
Description  translated from Chinese

带阻止索意外脱离设备的索驱动外科缝合和切割器械 With a device to prevent accidental disengagement of the cable wire driven surgical stapling and cutting instrument

技术领域 Technical Field

[0001] 本发明总体涉及内窥镜外科器械,包括但不限于适于将成排缝钉施加到组织上同时切割那些缝钉排之间的组织的外科缝合器械,更具体涉及有关其击发和驱动系统的改进。 [0001] The present invention generally relates to endoscopic surgical instruments including, but not limited to, adapted to the rows of applied staples to tissue while cutting the tissue between those staple rows surgical stapling apparatus, and more particularly, to firing and drive about its system improvements.

背景技术 Background

[0002] 本申请涉及如下在同一天申请的共有美国专利申请,它们的公开内容通过引用而整体包含在本申请中: [0002] The present application relates to commonly owned U.S. patent application on the same day of application, the disclosures contained in its entirety by reference herein:

[0003] (1)题为"Surgical Stapling and Cutting Instrument WithImproved Firing System,,的美国专利申请,发明人为Richard W. Timm, Frederick Ε. Shelton, IV,Eugene L. Timperman 和Leslie Μ Fugikawa,(案卷号END6094USNP/KLG No. 070064); [0003] (1), entitled "Surgical Stapling and Cutting Instrument WithImproved Firing System ,, U.S. Patent Application, human invention Richard W. Timm, Frederick Ε. Shelton, IV, Eugene L. Timperman and Leslie Μ Fugikawa, (Docket No. END6094USNP / KLG No. 070064);

[0004] (2)题为"Surgical Stapling and Cutting Instrument With ImprovedClosure System,,的美国专利申请,发明人为Richard W. Timm, Frederick Ε. Shelton, IV,Eugene L. Timperman 和Leslie Μ. Fugikawa(档案号:END6095USNP/KLG. No. 070065); [0004] (2), entitled "Surgical Stapling and Cutting Instrument With ImprovedClosure System ,, U.S. Patent Application, inventors Richard W. Timm, Frederick Ε. Shelton, IV, Eugene L. Timperman and Leslie Μ. Fugikawa (File No. : END6095USNP / KLG No. 070065);.

[0005] (3)题% "Cable Driven Surgical Stapling and Cutting Instrumentffith Improved Cable Attachment Arrangements,,的美国专禾丨J 申请,发明人为Frederick Ε. Shelton, IV 和Richard W. Timm,(案卷号END6097USNP/KLG. No. 070067); [0005] (3) of the title% "Cable Driven Surgical Stapling and Cutting Instrumentffith Improved Cable Attachment Arrangements ,, Wo Shu J U.S. Patent Application, inventor Frederick Ε. Shelton, IV and Richard W. Timm, (Docket No. END6097USNP / KLG . No. 070067);

[0006] (4)题为"Surgical Stapling and Cutting Instrument WithImproved Anvil Opening Features” 的美国专利申请,发明人为RichardW. Timm, Frederick Ε. Shelton, IV 和Jeffrey S. Swayze,(案卷号END6098USNP/KLG No. 070068);和 [0006] (4), entitled "Surgical Stapling and Cutting Instrument WithImproved Anvil Opening Features" U.S. Patent Application, inventors RichardW. Timm, Frederick Ε. Shelton, IV, and Jeffrey S. Swayze, (Docket No. END6098USNP / KLG No. 070 068); and

[0007] (5)题为''Surgical Stapling and Cutting hstruments” 的美国专利申请, 发明人为Richard W. Timm, Frederick Ε. Shelton, IV, CharIesJ. Scheib, Christopher J. Schal 1, Glen A. Armstrong, Eugene L. Timperman,禾口Leslie M. Fugikawa,(案卷号END6102USNP/KLG. No. 070071)。 [0007] (5), entitled '' Surgical Stapling and Cutting hstruments "U.S. Patent Application, inventors Richard W. Timm, Frederick Ε. Shelton, IV, CharIesJ. Scheib, Christopher J. Schal 1, Glen A. Armstrong, Eugene L. Timperman, Hekou Leslie M. Fugikawa, (Docket No. END6102USNP / KLG. No. 070071).

[0008] 与传统的开放式外科器械相比,内窥镜外科器械通常更受青睐,这是因为较小的切口易于减少术后恢复时间和并发症。 [0008] Compared with the traditional open surgical instruments, endoscopic surgical instruments are often more popular, it is because a smaller incision tends to reduce post-operative recovery time and complications. 因此,适于通过套管针的插管将远端执行器精确放置在需要进行外科手术部位上的内窥镜器械领域已经有了显著的发展。 Thus the field of endoscopic instruments adapted through the trocar cannula to the distal end of the actuator on the need for precise placement of the surgical site has been significant development. 这些远端执行器(例如,内镜切割器、抓钳、切割器、缝合器、夹具施放器、进入装置、药物/基因治疗输送装置、以及使用超声波、RF、或激光等的能量装置)以各种方式与组织接合,以达到诊断或治疗的效果。 The distal end of the actuator (e.g., endoscopic cutters, graspers, cutters, staplers, clip applier, access device, drug / gene therapy delivery device, and energy device using ultrasound, RF, laser, or the like) to and organizations engaged in various ways in order to achieve the effect of diagnosis or treatment.

[0009] 已知的外科缝合器包括端部执行器,该端部执行器在组织中形成纵向切口的同时在切口的相对两侧上施加多排缝钉。 At the same time [0009] Known surgical staplers include an end effector, the end effector a longitudinal incision in tissue applied rows of staples on opposing sides of the incision. 所述端部执行器包括一对相配合的钳口构件,如果器械用于内窥镜或者腹腔镜应用,这对钳口构件能够穿过插管通道。 The end effector includes a pair of cooperating jaw members, if the instrument is intended for endoscopic or laparoscopic applications, which the jaw members capable of passing through the cannula passageway. 钳口构件中的一个容纳有具有至少两个横向间隔的缝钉排的钉仓。 A receiving jaw members having at least two laterally spaced rows of staples in the cartridge. 另一个钳口构件限定了具有缝钉成形凹槽的砧座,所述凹口与钉仓中的缝钉排对准。 The other jaw member defines a recess having a staple forming anvil, the staple cartridge in the recess and aligned with the rows of staples. 该器械通常包括多个往复运动的楔形件,这些楔形件在被向远侧驱动时穿过钉仓中的开口并与支承缝钉的驱动器接合,向着砧座击发缝钉。 The device generally includes a plurality of wedges to reciprocate, the wedge through openings in the staple cartridge is driven distally while engaging with the support and drive staples, firing the staples toward the anvil. [0010] 所述外科缝合器的一个例子在美国专利申请US2006/001699A1中公开,其公开的内容通过引用而包含在本申请中。 [0010] An example of the surgical stapler in U.S. Patent Application US2006 / 001699A1 disclosed, the disclosure of which is incorporated by reference herein contained. 其中公开的缝合装置采用一根或多根索,所述索围绕定位在远侧的销或者滑轮定位并固定到刀上。 Stapling apparatus disclosed therein uses one or more cable, the cable is positioned around distally located pins or pulleys and fixed to the knife. 索的端部沿着近侧方向被拉动。 The ends of the cable is pulled in the proximal direction. 但是,这种系统的机械优势较低并趋向于在冲程中需要相对较大的力来拉动刀。 However, the mechanical advantage of such a system tends to lower and stroke require a relatively large force to pull the knife.

[0011] 因此,需要提供一种用于索驱动外科缝合器的改进的驱动和击发系统。 [0011] Thus, the need to provide a surgical stapler for cable drive improved drive and firing systems.

[0012] 另外,这种索击发外科缝合器系统可能遭遇索意外脱离滑轮系统,这会使装置停止。 [0012] In addition, the cable fire the surgical stapler system may encounter unexpected from cable pulley system, which makes the device stops. 这种情况可能是在使用或者在使用或装运时遭受其它震动的过程中由机械振动引起的。 This may be in use or when you use or shipment process suffered another shock caused by mechanical vibration.

[0013] 因此,还需要用来确保用于击发外科缝合装置的一根或多根索不从它们各自的滑轮或驱动元件上脱离的设备、装置和系统。 [0013] Therefore, you also need to ensure that the equipment, apparatus and system for firing one or more of the surgical stapling device cable without departing from their respective pulley or drive element.

发明内容 DISCLOSURE

[0014] 在本发明的一个方面,提供了一种外科器械,其包括细长通道组件,所述细长通道组件具有远端和近端并且被构造用于可操作地支撑其中的钉仓组件。 [0014] In one aspect of the present invention, there is provided a surgical instrument that comprises an elongate channel assembly, said elongate channel assembly having a distal end and a proximal end and being configured to operably support a staple cartridge assembly therein . 所述器械还包括刀组件,其被定向用于在所述细长通道组件内行进。 The device further comprises a knife assembly that is oriented for travel within the elongate channel assembly. 至少一个索过渡支架可操作地安装在所述细长通道组件和所述刀组件中的至少一个上。 At least one cable transition support operably mounted on said elongate channel assembly and said knife assembly in at least one. 驱动索可以围绕所述至少一个索过渡支架的至少一部分延伸并且与索驱动系统连接以在所述细长通道内驱动所述刀组件。 Drive cable may extend around at least a portion of the at least one cable transition support and the cable drive system connected to drive the knife assembly within the elongate channel. 所述器械还可以包括索保持装置,其用于保持所述驱动索围绕所述索过渡支架的至少一部分。 The instrument may further include a cable holding means for holding at least a portion of the drive cable around the cable transition support.

[0015] 本发明的各种实施方式的另一总的方面,提供了一种外科器械,其包括细长通道组件,所述细长通道组件具有远端和近端并且被构造用于可操作地支撑其中的钉仓。 [0015] Another general aspect of various embodiments of the present invention, there is provided a surgical instrument that comprises an elongate channel assembly, said elongate channel assembly having a distal end and a proximal end and being configured to operatively supporting a staple cartridge therein. 刀组件可以被定向用于在所述细长通道组件内行进。 Knife assembly may be oriented for travel within the elongate channel assembly. 远侧第一和第二索过渡支架可以设在所述细长通道组件的所述远端上。 The first and second distal cable transition support may be provided at the distal end of the elongate channel assembly. 第二索过渡支架可以设在所述刀组件上。 The second cable transition support may be provided on the blade assembly. 驱动索可以围绕所述远侧第一和第二索过渡支架和位于所述刀组件上的所述第二索过渡支架的至少一部分延伸并且与索驱动系统连接以在所述细长通道组件内驱动所述刀组件。 Cable can drive around the first and second distal cable transition support and knife assembly located on said second cable transition support extending at least part of and connected to the elongate channel within the module and cable drive system driving the knife assembly. 可以设置至少一个索保持装置,其用于保持所述驱动索围绕所述远侧第一和第二索过渡支架和所述第二索过渡支架中的至少一个。 Can be provided with at least one cable holding means for holding the drive cable around the at least one second distal cable transition support and the second cable transition support the first and.

[0016] 具体而言,本发明公开了: [0016] In particular, the present invention discloses:

[0017] (1). 一种外科器械,包括: . [0017] (1) A surgical instrument, comprising:

[0018] 细长通道组件,其能够将钉仓组件可操作地支撑在其中; [0018] The elongate channel assembly, a cartridge assembly which can be operably supported therein;

[0019] 刀组件,其被定向用于在所述细长通道组件内行进; [0019] knife assembly is oriented for travel within the elongate channel assembly;

[0020] 至少一个索过渡支架,其可操作地安装在所述细长通道组件和所述刀组件中的至少一个上; [0020] at least one cable transition support operably mounted in said elongate channel assembly and said knife assembly in at least one of;

[0021] 驱动索,其可操作地围绕所述至少一个索过渡支架的至少一部分延伸并且与索驱动系统连接以在所述细长通道组件内驱动所述刀组件;以及 [0021] The drive cable operably surrounds said at least one cable transition support and extending at least a portion of the cable connected to the drive system to drive said knife assembly within said elongate channel assembly; and

[0022] 索保持装置,其用于可操作地保持所述驱动索围绕所述索过渡支架的所述至少一部分。 [0022] The cable holding means for holding at least a portion operatively driving said cable around the cable transition support.

[0023] (2).根据第(1)项所述的外科器械,其中,所述至少一个索过渡支架包括滑轮。 [0023] (2). The surgical instrument according to paragraph (1) above, wherein the at least one cable transition support comprises a pulley.

[0024] (3).根据第⑵项所述的外科器械,其中,所述索保持装置包括索保持块,所述索保持块与所述滑轮非常接近。 [0024] (3). The surgical instrument according to paragraph ⑵ item, wherein said holding means comprises a cable cord holding block, the holding block and the cable pulleys are very close. [0025] (4).根据第(3)项所述的外科器械,其中,所述索保持块具有弧形表面,所述弧形表面相对于所述驱动索的在所述滑轮上的部分形状互补,从而防止所述驱动索从所述滑轮上脱离。 [0025] (4) In accordance with paragraph (3) of the surgical instrument, wherein the cable holding block having a curved surface, the curved surface relative to the drive portion of the cable on the pulley complementary shapes, so as to prevent the drive cable detached from the pulley.

[0026] (5).根据第⑴项所述的外科器械,其中,所述至少一个索过渡支架包括块,所述块具有延伸通过其的通道,所述通道形成弧形支承表面,所述驱动索通过所述弧形支承表面。 [0026] (5). According ⑴ surgical instrument according to item, wherein said at least one cable transition support comprises a block, said block having a passage extending therethrough, said passage forming arcuate bearing surface, the drive cable through the arcuate bearing surface.

[0027] (6).根据第(1)项所述的外科器械,其中,所述索保持装置包括连接在所述驱动索上用于保持其张力的索张紧接头。 [0027] (6) In accordance with the paragraph (1) of the surgical instrument, wherein the holding means comprises a cable connected to said drive cable for maintaining the tension of the cable tension joints.

[0028] (7).根据第(6)项所述的外科器械,其中,所述驱动索具有第一端和第二端,所述索张紧接头包括: . [0028] (7) of the section (6) of the surgical instrument, wherein the drive cable having a first end and a second end, the cable tension connector comprises:

[0029] 第一止动元件,其连接在所述驱动索的所述第一端上; [0029] The first stop element, which is connected to the first end of the drive on the cable;

[0030] 第二止动元件,其连接在所述驱动索的所述第二端上并且具有穿过其的通道,所述通道用于容纳通过其的所述驱动索的一部分,所述第二止动元件能够相对于所述第一止动元件在所述驱动索上移动; [0030] The second stopper member, which is connected to said second end of said drive cable and having a passage therethrough, said passage for receiving a portion of said drive cable therethrough, said first Second stop element relative to the first stop element is movable in the drive cable;

[0031] 第三止动元件,其固定地连接在所述驱动索的一部分上,使得所述第二止动元件可动地容纳在所述第一止动元件和位于所述驱动索的所述部分上的所述第三止动元件之间; The [0031] third stopper member, which is fixedly connected to the drive portion of the cable, so that the second stopper member movably received in the first stop member and in said drive cable said portion of the third stopper between the elements;

[0032] 张紧弹簧,其连接在所述第二止动元件和所述第三止动元件上。 [0032] The tension spring, which is connected to said second stop member and said third stop member.

[0033] (8).根据第(7)项所述的外科器械,其中,所述索驱动系统包括从动滑轮,所述从动滑轮将所述驱动索的一部分驱动地支撑于其上,所述至少一个索过渡支架包括: [0033] (8) In accordance with paragraph (7) of the surgical instrument, wherein the cable drive system includes a driven pulley, the driven pulley of the drive portion of the drive cable supported thereon, the at least one cable transition support include:

[0034] 第一和第二滑轮,其安装在所述细长通道组件的远端上;以及 [0034] The first and second pulleys mounted at the distal end of the elongate channel assembly; and

[0035] 第三滑轮,其安装在所述刀组件上。 [0035] The third pulley mounted on said knife assembly.

[0036] (9).根据第⑶项所述的外科器械,还包括: . [0036] (9) under section ⑶ The surgical instrument further includes:

[0037] 手柄组件,其可操作地支撑所述从动滑轮; [0037] The handle assembly operably supporting said driven pulley;

[0038] 细长轴,其可操作地连接到所述手柄组件和所述细长通道组件上并且将所述驱动索支撑在其中;以及 [0038] an elongated shaft operatively connected to the handle assembly and the elongate channel assembly and the drive cable supported therein; and

[0039] 关节运动接头,其位于所述细长轴中,用以使所述细长通道组件能够相对于所述手柄组件进行关节运动。 [0039] articulation joint, which is located in said elongate shaft to enable said elongate channel assembly relative to the handle assembly articulated.

[0040] (10). 一种用于处理外科器械的方法,所述方法包括: Methods [0040] (10) A method for processing a surgical instrument, the method comprising:

[0041] 获得如第(1)项所述的外科器械; [0041] obtained as described in Section (1) of the surgical instrument;

[0042] 对所述外科器械进行消毒;并且 [0042] sterilize the surgical instrument; and

[0043] 将所述外科器械存储在无菌容器内。 [0043] storing the surgical instrument in a sterile container.

[0044] (11). 一种外科器械,包括: . [0044] (11) A surgical instrument, comprising:

[0045] 细长通道组件,其能够将钉仓可操作地支撑于其中; [0045] elongate channel assembly, which can be operably support a staple cartridge therein;

[0046] 刀组件,其被定向用于在所述细长通道组件内行进; [0046] The knife assembly is oriented for travel within the elongate channel assembly;

[0047] 远侧第一和第二索过渡支架,其位于所述细长通道组件的远端上; [0047] The first and second distal cable transition support, which is located in the distal end of the elongate channel assembly;

[0048] 第二索过渡支架,其位于所述刀组件上; [0048] The second cable transition support, which is located on the knife assembly;

[0049] 驱动索,其围绕所述远侧第一和第二索过渡支架以及位于所述刀组件上的所述第二索过渡支架的至少一部分延伸并且与索驱动系统连接以在所述细长通道组件内驱动所述刀组件;以及 [0049] The drive cable, which extends around the first and at least a distal portion of the second cable transition support and the knife assembly located on said second cable transition support and connected to the cable drive system in the fine over a long passage assembly to drive the knife assembly; and

[0050] 至少一个索保持装置,其用于保持所述驱动索围绕所述远侧第一和第二索过渡支架和所述第二索过渡支架中的至少一个。 [0050] at least one cable holding means for holding the drive cable around the first and second distal cable transition support and at least one of said second cable transition stent.

[0051] (12).根据第(11)项所述的外科器械,其中,所述远侧第一和第二索过渡支架和所述第二索过渡支架中的至少一个包括滑轮。 [0051] (12) In accordance with the paragraph (11) of the surgical instrument, wherein the first and second distal cable transition support and the second cable transition support comprises at least one pulley.

[0052] (13).根据第(1项所述的外科器械,其中,所述索保持装置包括索保持块,所述索保持块与所述滑轮非常接近。 [0052] (13) In accordance with the section (1 surgical instrument, wherein said holding means comprises a cable cord holding block, the holding block and the cable pulley is very close.

[0053] (14).根据第(1项所述的外科器械,其中,所述索保持块具有弧形表面,所述弧形表面相对于所述驱动索的在所述滑轮上的部分形状互补,从而防止所述驱动索从所述滑轮上脱离。 [0053] (14) In accordance with the section (1 surgical instrument, wherein said cable retention block has an arcuate surface, said arcuate surface with respect to the shape of the driving portion of the cable on the pulley complementary, thereby preventing the drive cable detached from the pulley.

[0054] (15).根据第(11)项所述的外科器械,其中,所述至少一个索过渡支架包括块,所述块具有穿过其延伸的通道,所述通道形成弧形支承表面,所述驱动索能够通过所述弧形支承表面。 [0054] (15) In accordance with the section (11) of the surgical instrument, wherein the at least one cable transition support comprises a block, said block having a passage extending therethrough, said passage forming arcuate bearing surface the drive cable through the arcuate bearing surface.

[0055] (16).根据第(11)项所述的外科器械,其中,所述索保持装置包括连接在所述驱动索上用于保持其张力的索张紧接头。 [0055] (16) In accordance with the section (11) of the surgical instrument, wherein said holding means comprises a cable connected to said drive cable for maintaining the tension of the cable tensioning joint.

[0056] (17).根据第(16)项所述的外科器械,其中,所述驱动索具有第一端和第二端,所述索张紧接头包括: . [0056] (17) in accordance with the section (16) of the surgical instrument, wherein the driving cable having a first end and a second end, said cable tensioning joint comprises:

[0057] 第一止动元件,其连接在所述驱动索的所述第一端上; [0057] The first stop element, which is connected to the first end of the drive on the cable;

[0058] 第二止动元件,其连接在所述驱动索的所述第二端上并且具有穿过其的通道,所述通道用于容纳通过其的所述驱动索的一部分,所述第二止动元件能够相对于所述第一止动元件在所述驱动索上移动; [0058] The second stopper member, which is connected to said second end of said drive cable and having a passage therethrough, said passage for receiving a portion of said drive cable therethrough, said first Second stop element relative to the first stop element is movable in the drive cable;

[0059] 第三止动元件,其固定地连接在所述驱动索的一部分上,使得所述第二止动元件可动地容纳在所述第一止动元件和位于所述驱动索的所述部分上的所述第三止动元件之间; The [0059] third stopper member, which is fixedly connected to the drive portion of the cable, so that the second stopper member movably received in the first stop member and in said drive cable said portion of the third stopper between the elements;

[0060] 张紧弹簧,其连接在所述第二止动元件和所述第三止动元件上。 [0060] tension spring, which is connected to said second stop member and said third stop member.

[0061] (18).根据第(17)项所述的外科器械,其中,所述索驱动系统包括从动滑轮,所述从动滑轮将所述驱动索的一部分驱动地支撑在其上。 [0061] (18) In accordance with the paragraph (17) of the surgical instrument, wherein the cable drive system includes a driven pulley, the driven pulley of the drive portion of the drive cable supported thereon.

[0062] (19).根据第(18)项所述的外科器械,还包括: . [0062] (19) Subject to subsection (18) of the surgical instrument, further comprising:

[0063] 手柄组件,其将所述从动滑轮可操作地支撑在其中; [0063] handle assembly to the driven pulley operatively supported therein;

[0064] 细长轴,其可操作地连接到所述手柄组件和所述细长通道组件上并且将所述驱动索支撑于其中;以及 [0064] an elongate shaft operatively connected to said handle assembly and said elongate channel assembly and supporting said drive cable therein; and

[0065] 关节运动接头,其位于所述细长轴中,用以使所述细长通道组件能够相对于所述手柄组件作关节运动。 [0065] articulation joint, which is located in said elongate shaft to enable said elongate channel assembly relative to the handle assembly for articulation.

[0066] 00). —种外科器械,包括: . [0066] 00) - kind of a surgical instrument, comprising:

[0067] 细长通道组件,其具有远端和近端,所述细长通道组件被构造用于将钉仓组件可操作地支撑在其中; [0067] an elongate channel assembly having a distal end and a proximal end, said elongate channel assembly configured for operably supporting a staple cartridge assembly therein;

[0068] 刀组件,其被定向用于在所述细长通道组件内行进; [0068] knife assembly is oriented for travel within the elongate channel assembly;

[0069] 至少一个索过渡支架,其可操作地安装在所述细长通道组件和所述刀组件中的至少一个上;[0070] 驱动索,其可操作地围绕所述至少一个索过渡支架的至少一部分延伸并且与索驱动系统连接以在所述细长通道组件内驱动所述刀组件;以及 [0069] at least one cable transition support operably mounted in said elongate channel assembly and said knife assembly in at least one; [0070] drive cable operably surrounds said at least one cable transition support and extending at least part of the drive system and the cable connected to drive the knife assembly within the elongate channel assembly; and

[0071] 用于保持所述驱动索围绕所述索过渡支架的所述至少一部分的装置。 It means at least a portion of said drive cable around the cable transition support [0071] for holding.

[0072] 通过附图以及对附图的描述,本发明的这些和其它目的和优点将变得清楚。 [0072] The drawings and the description of the drawings These and other objects and advantages of the invention will become apparent.

附图说明 Brief Description

[0073] 包含在本说明书中并构成其一部分、示出本发明的实施方式的附图与上面给出的本发明的一般描述以及下面给出的实施方式的详细描述一道,用于解释本发明的各种原理。 [0073] included in the present specification and constitute a part of showing the general description given above figures embodiment of the present invention of the present invention and a detailed description of the embodiments given below, together, serve to explain the invention The various principles.

[0074] 图1是本发明的各种实施方式的外科缝合和切割器械的透视图。 [0074] FIG. 1 is a perspective view of the surgical stapling and severing instrument of various embodiments of the present invention.

[0075] 图2是图1中示出的工具组件的分解透视图。 [0075] FIG. 2 is an exploded perspective view of FIG. 1 shows the tool assembly.

[0076] 图3是图1的工具组件的从右侧看的透视图,其中该工具组件的一些元件以剖面显不。 [0076] FIG. 3 is a perspective view from the right side of the tool assembly of FIG. 1, some of the elements in which the tool assembly in cross-section was not.

[0077] 图4是图2和3中示出的工具组件的左侧部分剖视图。 [0077] FIG. 4 is a cross-sectional view of the left side section 2 3 shown in FIG and the tool assembly.

[0078] 图5是其中一些部分与本发明的各种实施方式的仓组件分离的仰视透视图。 [0078] FIG. 5 is a bottom perspective view in which the various embodiments of the present invention with some parts separated of the cartridge assembly.

[0079] 图6是本发明的各种实施方式的滑车、缝钉和缝钉推出器的分解组装图。 [0079] FIG. 6 is a block of various embodiments of the present invention, staples and staple launched an exploded assembly view.

[0080] 图7是本发明的各种实施方式的砧座组件的透视图。 [0080] FIG. 7 is a perspective view of various embodiments of the present invention, the anvil assembly.

[0081] 图8是本发明的各种实施方式的动力夹钳元件的透视图。 [0081] FIG. 8 is a perspective view of the power clamp elements of various embodiments of the present invention.

[0082] 图9是图1-4中示出的工具组件的侧剖视图,其中组织被夹钳在工具组件中。 [0082] FIG. 9 is a side cross-sectional view in FIG. 1-4 shows the tool assembly, wherein the tissue is clamped in the tool assembly.

[0083] 图10是本发明的各种实施方式的细长通道组件的仰视透视图。 [0083] FIG. 10 is a bottom perspective view of the various embodiments of the elongate channel assembly of the present invention.

[0084] 图11是图10的细长通道组件的近侧部分的透视图。 [0084] FIG. 11 is a perspective view of the proximal portion of the elongate channel assembly 10 of FIG.

[0085] 图12是图10和11的细长通道组件的远侧部分的透视图。 [0085] FIG. 12 is a perspective view of a distal portion 10 and the elongate channel assembly 11.

[0086] 图13是图10-12的细长通道组件的远侧部分的剖面图,其中动力夹钳元件支撑在其中。 [0086] FIG. 13 is a sectional view of the distal portion of the elongate channel assembly of FIG.'s 10-12, wherein the dynamic clamping member supported therein.

[0087] 图14是图10-13的细长通道组件的另一仰视图。 [0087] FIG. 14 is another bottom view of the elongate channel assembly 10-13.

[0088] 图15是本发明的各种实施方式的击发系统的示意性侧视图。 [0088] FIG. 15 is a schematic side view of various embodiments of the firing system of the present invention.

[0089] 图15A是本发明的各种实施方式的另一种击发系统的示意性侧视图。 [0089] FIG. 15A is a schematic side view of another firing system of various embodiments of the present invention.

[0090] 图16是图15的击发系统的示意性俯视图。 [0090] FIG. 16 is a firing system 15 is a schematic plan view.

[0091] 图16A是图15A的击发系统的示意图。 [0091] FIG. 16A is a schematic diagram 15A of the firing system.

[0092] 图17是本发明的各种实施方式的绞盘组件的主透视图。 [0092] FIG. 17 is a front perspective view of the winch assembly of various embodiments of the present invention.

[0093] 图18是图17的绞盘组件实施方式的后透视图。 [0093] FIG. 18 is a rear perspective view of the winch assembly 17 of the embodiment of FIG.

[0094] 图19是图17和18的绞盘组件实施方式的右侧图。 [0094] FIG. 19 is a right side winch assembly diagram in Figure 17 and 18 embodiment.

[0095] 图20是处于空闲位置的图17-19的绞盘组件实施方式的剖视图。 [0095] FIG. 20 is a cross-sectional view of the rest position of the winch assembly embodiment of FIGS. 17-19 in the way.

[0096] 图21是本发明的驱动系统实施方式的透视图。 [0096] FIG. 21 is a perspective view of a drive system of an embodiment of the present invention.

[0097] 图22是采用关节运动接头的本发明的另一种实施方式的局部剖视图。 [0097] FIG. 22 is a partial sectional view of another embodiment of the articulation joint of the present invention employs.

[0098] 图23是在图22中示出的关节运动接头的局部放大剖视图。 [0098] FIG. 23 is a cross-sectional view in FIG. 22, partially shown enlarged articulation joint.

[0099] 图M是图22中示出的器械的一部分的放大剖视图。 [0099] FIG M is an enlarged cross-sectional view showing a portion of the instrument 22 in FIG.

[0100] 图25是本发明的另一细长通道组件的仰视图。 [0100] FIG. 25 is a bottom view of another elongate channel assembly of the present invention.

[0101] 图沈是图25的细长通道组件的远端部分的放大图。 [0101] FIG Shen is an enlarged view of the distal portion of the elongate channel assembly 25. [0102] 图27是沿着图沈中的线27-27的图沈中的细长通道组件远端的一部分的剖视图。 [0102] FIG. 27 is a cross-sectional view of a portion along the line FIG Shen Shen 27-27 in the distal end of the elongate channel assembly.

[0103] 图观是本发明的另一细长通道组件实施方式的远端的一部分的仰视图,其中一些元件以剖面显示。 [0103] FIG concept is the distal end of another elongate channel assembly embodiment of the present invention is a bottom view of a portion of the cross-section of which some of the elements in the display.

[0104] 图四是沿着图28中的线四-29的图28中示出的细长通道组件的一部分的剖视图。 [0104] Figure IV is a cross-sectional view of a portion along the line 28 Figure IV-29 Figure 28 shows an elongate channel assembly.

[0105] 图30是本发明的各种实施方式的采用索张紧接头的另一索设置的示意性俯视图。 [0105] FIG. 30 is a various embodiments of the present invention employs a cable tensioning joint schematic top view of another cable set.

[0106] 图31是图30的索设置的另一示意性俯视图,其中索张紧接头处于完全张开位置。 [0106] FIG. 31 is a schematic plan view showing another cord set 30, wherein the cable tensioning joint in a fully open position.

[0107] 图32是处于进行关节运动位置的图30和31的索设置的另一示意性俯视图。 [0107] FIG. 32 is in the position of FIG articulated another schematic plan view of the cord set 30 and 31.

[0108] 图33是图30-32中示出的索张紧接头的局部放大图。 [0108] FIG. 33 is a partially enlarged diagram shown in FIG. 30-32 cable tensioning joint.

[0109] 图34是本发明的索实施方式的透视图。 [0109] FIG. 34 is a perspective view of a cable embodiment of the present invention.

[0110] 图35是本发明的索连接接头实施方式的放大图。 [0110] FIG. 35 is the cable connectors embodiment of the present invention, an enlarged view.

[0111] 图36是与动力夹钳组件连接的本发明的索锚定接头实施方式的剖视图。 [0111] FIG. 36 is a fixed fitting embodiment of the cross-sectional view of the anchor cable clamp assembly is connected with the power of the present invention.

[0112] 图37是图36的索锚定接头的透视图。 [0112] FIG. 37 is a perspective view of a cable anchor 36 fixed joints.

[0113] 图38是与动力夹钳组件连接的本发明的另一索锚定接头实施方式的剖视图。 [0113] FIG. 38 is a cross-sectional view of another dynamic clamping assembly of the present invention is connected to the cable anchor joint embodiment.

[0114] 图39是本发明的另一索连接实施方式的局部视图。 [0114] FIG. 39 is a partial view of another embodiment of the cable connector of the present invention.

[0115] 图40是本发明的另一索连接实施方式的局部视图。 [0115] FIG. 40 is a partial view of another cable attachment embodiment of the present invention.

[0116] 图41是关节运动接头设置的局部透视图。 [0116] FIG. 41 is a partial perspective view of the articulation joint set.

[0117] 图42是本发明的闭合管接头组件实施方式的透视图。 [0117] FIG. 42 is a perspective view of the closure tube joint assembly embodiment of the present invention.

[0118] 图43是沿着线43-43的图42的闭合管接头组件实施方式的剖视图。 [0118] FIG. 43 is a sectional view of an embodiment of the connector assembly along line 43-43 of closure tube 42 of FIG.

[0119] 图44是安装在图41中示出的关节运动接头上方的图42和43的闭合管接头组件的透视图。 [0119] FIG 44 FIG 41 is installed in the articulation joint shown in FIG. 42 and the top 43 of the closure tube joint assembly perspective view of FIG.

[0120] 图44A是安装在图41的关节运动接头上方的本发明的另一闭合管接头组件实施方式的透视图。 [0120] FIG. 44A is a perspective view of another closure mounted on the pipe joint assembly articulation joint of Fig. 41 above embodiment of the present invention.

[0121] 图45是本发明的另一砧座组件实施方式的透视图。 [0121] FIG. 45 is a perspective view of another anvil assembly embodiment of the present invention.

[0122] 图46是本发明的手柄组件和闭合管致动设置实施方式的分解透视图。 [0122] FIG. 46 is a handle assembly of the present invention and the closure tube actuator settings embodiment of an exploded perspective view.

[0123] 图47是本发明的手柄组件和工具组件实施方式的局部剖视图,其中一些元件以立体方式显示,并且砧座组件处于闭合或者夹钳位置。 [0123] FIG. 47 is a partial cross-sectional view of the handle assembly and tool assembly of an embodiment of the present invention, wherein some of the elements in three-dimensional display, and the anvil assembly is in the closed or clamping position.

[0124] 图48是本发明的闭合管组件和工具组件实施方式的局部剖视图,其中砧座组件处于闭合或夹钳位置。 [0124] FIG. 48 is a partial cross-sectional view of the closure tube assembly and the tool assembly of the present invention embodiments wherein the anvil assembly is in the closed or clamping position.

[0125] 图49是图47的手柄组件和砧座组件的另一局部剖视图,其中其砧座组件处于打开位置。 [0125] FIG. 49 is another partial cross-sectional view of the handle assembly and the anvil assembly of FIG. 47, wherein the anvil assembly thereof in an open position.

[0126] 图50是图48的闭合管组件和工具组件的另一局部剖视图,其中其砧座组件处于打开位置。 [0126] FIG. 50 is a partial sectional view of another closure tube assembly and tool assembly of FIG. 48, wherein the anvil assembly thereof in an open position.

[0127] 图51是本发明的另一种实施方式的闭合管和闭合环的局部剖视图。 [0127] FIG. 51 is a partial cross-sectional view of the closure tube and a closure ring of another embodiment of the present invention.

[0128] 图52是本发明的另一种实施方式的万向关节运动接头的局部剖切透视图。 [0128] FIG. 52 is a partially cut-away perspective view of a universal articulation joint of another embodiment of the present invention.

[0129] 图53是图52的工具组件和关节运动接头的剖视图。 [0129] FIG. 53 is a cross-sectional view of the tool assembly and the articulation joint of FIG. 52.

[0130] 图M是图53的工具组件和关节运动接头的俯视图。 [0130] FIG M is a tool kit and the articulation joint Fig. 53 a plan view. [0131] 图55是本发明的另一种实施方式的另一万向关节运动接头的剖视图。 [0131] FIG. 55 is another alternative embodiment of the present invention, a cross-sectional view of a universal articulation joint.

[0132] 图56是本发明的索控可锁定关节运动接头实施方式的透视图。 [0132] FIG. 56 is a control cable of the present invention is a perspective view of a lockable articulation joint embodiment.

[0133] 图57是图56的索控可锁定关节运动接头实施方式的端视图。 [0133] FIG. 57 is a diagram of the control cable 56 is an end view of the lockable articulation joint embodiment.

[0134] 图58是本发明的另一种实施方式的另一索控可锁定关节运动接头的剖视图。 [0134] FIG. 58 is another alternative embodiment of the control cable of the present invention is a cross-sectional view of the lockable articulation joint.

[0135] 图59是图58的索控可锁定关节运动接头的近侧脊段的局部透视端视图。 [0135] FIG. 59 is a diagram of the control cable 58 can be locked partial perspective end view of the proximal spine segment articulation joint.

[0136] 图60是图59的近侧脊段的端视图。 [0136] FIG. 60 is an end view of the ridge 59 of the proximal segment.

[0137] 图61是图59和60的近侧脊段的局部侧视图。 [0137] FIG. 61 is a partial side view of the ridge 59 and a proximal section 60.

[0138] 图62是本发明的另一种实施方式的另一可锁定关节运动接头的剖视图。 [0138] Figure 62 is another alternative embodiment of the present invention is a cross-sectional view of the lockable articulation joint.

[0139] 图63是图62的可锁定关节运动接头的近侧脊段的局部透视端视图。 [0139] FIG. 63 is a diagram of a lockable partial perspective view of the proximal end of the articulation joint ridge section 62.

[0140] 图64是图63的近侧脊段的端视图。 [0140] FIG. 64 is an end view of the proximal section 63 of the ridge.

[0141] 图65是本发明的另一种实施方式的另一可锁定关节运动接头的剖视图。 [0141] Figure 65 is another alternative embodiment of the present invention is a cross-sectional view of the lockable articulation joint.

[0142] 图66是图65的可锁定关节运动接头的近侧脊段的局部透视端视图。 [0142] FIG. 66 is a partial perspective view of a lockable end view of the proximal spine segment 65 of the articulation joint.

[0143] 图67是图66的近侧脊段的端视图。 [0143] FIG. 67 is an end view of the proximal segment 66 of the ridge.

[0144] 图68是本发明的另一种实施方式的另一可锁定关节运动接头的剖视图。 [0144] FIG. 68 is another alternative embodiment of the present invention is a cross-sectional view of the lockable articulation joint.

[0145] 图69是图68的可锁定关节运动接头的近侧脊段的局部透视端视图。 [0145] FIG. 69 is a partial perspective end view of the lockable proximal spine segment articulation joint 68.

[0146] 图70是图69的近侧脊段的端视图。 [0146] FIG. 70 is an end view of the proximal segment 69 of the ridge.

[0147] 图71是本发明的另一种实施方式的另一可锁定关节运动接头的剖视图。 [0147] FIG. 71 is another alternative embodiment of the present invention is a cross-sectional view of the lockable articulation joint.

[0148] 图72是本发明的另一种实施方式的另一可锁定关节运动接头的剖视图。 [0148] FIG. 72 is another alternative embodiment of the present invention is a cross-sectional view of the lockable articulation joint.

[0149] 图73A是本发明的另一种外科器械实施方式的工具组件和关节运动接头的局部剖视图。 [0149] FIG. 73A is a partial cross-sectional view of the tool assembly and the articulation joint of another surgical instrument embodiment of the present invention.

[0150] 图7是图73A的外科器械的闭合管组件的局部剖视图。 [0150] FIG 7 73A is a partial cross-sectional view of the closure tube of a surgical instrument assembly.

[0151] 图74A是图73A和7的外科器械的工具组件和关节运动接头的另一种局部剖视图。 [0151] FIG. 74A is a partial cross-sectional view of another tool assembly and the articulation joint of the surgical instrument of FIG. 73A and 7 in.

[0152] 图74B是图73A和73B的外科器械的闭合管组件的另一局部剖视图。 [0152] FIG. 74B is another partial cross-sectional view of the closure tube assembly of FIG. 73A and 73B of the surgical instrument of.

[0153] 图75是沿着图74A中的线75_75的图74A中示出的闭合管组件的剖视图。 [0153] FIG. 75 is a sectional view taken along the line 74A of FIG. 74A 75_75 illustrated closure tube assembly.

[0154] 图76是沿着图74B中的线76_76的图74B中示出的闭合管组件的另一剖视图。 [0154] FIG. 76 is another cross-sectional view taken along line 74B of FIG 76_76 shown in FIG. 74B closure tube assembly.

[0155] 图77是沿着图74B中的线77_77的图74B中示出的闭合管组件的另一剖视图。 [0155] FIG. 77 is another cross-sectional view taken along line 74B of FIG 77_77 shown in FIG. 74B closure tube assembly.

[0156] 图78是本发明实施方式的快速断开接头的局部分解组装视图,其中其元件以剖面显示。 [0156] FIG. 78 is an embodiment of the present invention is a partial exploded view of the quick disconnect connector assembly, wherein the cross-section of its display elements.

[0157] 图79是图78的快速断开接头的另一局部分解组装视图。 [0157] FIG. 78 FIG. 79 is another partial exploded view of the quick-disconnect fitting.

[0158] 图80是图78和79的快速断开接头的另一局部分解组装视图[0159] 图81是图78-80的快速断开接头的另一局部分解组装视图。 [0158] FIG. 80 is another partial exploded view of the quick disconnect fittings 78 and 79 of the [0159] FIG. 81 is a diagram 78-80 in another partial exploded view of the quick-disconnect fitting.

[0160] 图82是本发明的另一手柄组件实施方式的剖视图。 [0160] FIG. 82 is a cross-sectional view of another handle assembly embodiment of the present invention.

[0161] 图83是本发明的各种实施方式的驱动系统的示意性端视图。 [0161] FIG. 83 is a schematic end view of the drive system of various embodiments of the present invention.

[0162] 图84是本发明的各种实施方式的制动释放机构的局部透视图。 [0162] FIG. 84 is a perspective view of various embodiments of the brake release mechanism of the present invention.

[0163] 图85是本发明的各种实施方式的另一关节运动接头实施方式的局部透视图。 [0163] FIG. 85 is a partial perspective view of another articulation joint embodiment of various embodiments of the present invention.

[0164] 图86是图85的关节运动接头的分解组装视图。 [0164] FIG. 86 is an exploded assembly view of the articulation joint of 85.

[0165] 图87是图85和86的关节运动接头的局部侧视图。 [0165] FIG. 87 is a partial side view of FIG. 85 and 86 articulation joint.

[0166] 图88是图87的关节运动接头的俯视图。 [0166] FIG. 88 is articulation joint of FIG 87 a plan view. [0167] 图89是处于进行关节运动位置的图87和88的关节运动接头的另一种俯视图。 [0167] FIG. 89 is in the position being articulated 87 and 88 a plan view of another articulation joint.

[0168] 图90是本发明的各种实施方式的另一工具组件和闭合管设置的局部透视图,其中一部分闭合管以剖面显示。 [0168] FIG. 90 is a variety of another embodiment of the tool assembly and a partial perspective view of the closure tube of the present invention is provided, wherein in cross-section a portion of closure tube display.

[0169] 图91是图90的工具组件和闭合管组件设置的剖面图,其中耳轴锁定杆处于将耳轴保持在它们各自的槽中的锁定位置。 [0169] FIG. 91 is a sectional view of a tool assembly and closure tube assembly of Figure 90 is provided, wherein the trunnion in the trunnion lock lever held in their respective grooves of the locking position.

[0170] 图92是图91的工具组件和闭合管设置的局部俯视图,其中其部分以剖面显示。 [0170] FIG. 92 is a view of the tool assembly 91 and a partial plan view of the closed tube is provided, in which some of its cross-section display.

[0171] 图93是图90-92的工具组件和闭合管设置的剖面图,其中耳轴锁定杆处于未锁定位置。 [0171] FIG. 93 is a cross-sectional view of the tool assembly and closure tube set 90-92, wherein the trunnion lock lever in the unlocked position.

[0172] 图94是图93的工具组件和闭合管设置的局部俯视图,其中其一部分以剖面显示。 [0172] FIG. 94 is a view of the tool assembly 93 and a partial plan view of the closed tube is provided, wherein a portion in section display.

[0173] 图95是图90-92的工具组件和闭合管组件设置的剖面图,其中耳轴锁定杆处于未锁定位置并且耳轴从细长通道组件的耳轴槽中运动出来。 [0173] FIG. 95 is a view of the tool assembly and closure tube assembly sectional view of the set 90-92, wherein the trunnion lock lever in the unlocked position and out of the trunnion slots trunnion movement of the elongate channel assembly.

[0174] 图96是本发明的各种实施方式的另一动力夹钳组件的侧视图。 [0174] FIG. 96 is a side view of another dynamic clamping assembly of various embodiments of the present invention.

[0175] 图97是本发明的各种实施方式的另一动力夹钳组件的侧视图。 [0175] FIG. 97 is a side view of another dynamic clamping assembly of various embodiments of the present invention.

[0176] 图98是本发明的各种实施方式的另一动力夹钳组件的侧视图。 [0176] FIG. 98 is a side view of another dynamic clamping assembly of various embodiments of the present invention.

[0177] 图99是本发明的各种实施方式的另一动力夹钳组件的侧视图。 [0177] FIG. 99 is a side view of another dynamic clamping assembly of various embodiments of the present invention.

[0178] 图100是在槽已经被打开并且销已经被除去后图99的动力夹钳组件的另一侧视图。 [0178] FIG. 100 is a slot has been opened and the pin has been removed after a further side view of the clamping assembly of FIG 99 power.

[0179] 图101是本发明的各种实施方式的另一动力夹钳组件的侧视图。 [0179] FIG. 101 is a side view of another dynamic clamping assembly of various embodiments of the present invention.

[0180] 图102是本发明的各种实施方式的另一动力夹钳组件的侧视图。 [0180] FIG. 102 is a side view of another dynamic clamping assembly of various embodiments of the present invention.

[0181] 图103是沿着图102中的线103-103的图102的动力夹钳组件的局部剖视图。 [0181] FIG. 103 is a partial cross-sectional view of the dynamic clamping assembly 102 along line 103-103 in FIG 102.

[0182] 图104是本发明的另一种外科器械实施方式的一部分的侧视图,其中闭合环运动到其最远侧位置并且其中其一些元件以剖面显示。 [0182] FIG. 104 is a side view of a portion of another surgical instrument embodiment of the present invention, wherein the closed loop is moved to its distal-most position and wherein the cross-section of some of its elements to display.

[0183] 图105是图104的外科器械实施方式的侧视图,其中闭合环运动到其最近侧位置并且其一些元件以剖面显示。 [0183] FIG. 105 is a side view of the embodiment of the surgical instrument of FIG. 104, wherein the closed loop is moved to its proximal-most position and which display some of the elements in cross-section.

具体实施方式 DETAILED DESCRIPTION

[0184] 现在将描述一些典型实施方式,提供对本文中公开的装置和方法的结构、功能、制造和使用的原理的总体理解。 [0184] now describes some typical embodiments provide apparatus and methods disclosed herein structure, an overall understanding of the function, manufacture, and use of the principle. 这些实施方式的一个或多个例子在附图中示出。 One or more examples of these embodiments are shown in the accompanying drawings. 本领域普通技术人员将会理解,在本文中特别描述和在附图中示出的装置和方法是非限制性的典型实施方式,本发明的各种实施方式的范围仅由权利要求书来限定。 Those of ordinary skill in the art will appreciate that specifically described and illustrated in the drawings in the exemplary embodiments herein apparatus and method for non-restrictive, the scope of various embodiments of the present invention only be limited by the claims. 结合一种典型实施方式示出和描述的特征可与其他实施方式的特征组合。 In combination with one exemplary embodiment shown and described herein may be characterized with a combination of the features of other embodiments. 这样的修改和变化也包括在本发明的范围内。 Such modifications and variations are included within the scope of the present invention.

[0185] 转向附图,其中相同的附图标记在一些附图中表示相同的元件,图1示出了能够实践本发明的一些独特优点的外科器械,在典型方案中其具体为外科缝合和切割器械1。 [0185] Turning to the drawings, wherein like reference numerals in the drawings denote the same number of elements, Figure 1 shows a number of distinct advantages to practice the present invention, a surgical instrument, in a typical scenario for the surgical stapling and specific cutting instrument 1. 器械1可主要包括外科缝合器,其形式和构造在前面引证的美国专利公开US 2006/0011699A1中公开,在此通过全文引用而包含在本申请中,其中一个或多个改进在下面描述。 Devices may include a surgical stapler, and U.S. Patent configured in the form of front-cited Publication US 2006 / 0011699A1 disclosed, herein included by reference in the present application, and, in one or more of the improvements described below. 但是,如前面本具体实施方式所说的那样,本领域普通技术人员可以理解,与其他外科缝合器构造有关的在本文中描述的各种实施方式和改进都可被包括,也不脱离本发明的精神和范围。 However, in this particular embodiment, as previously stated, one of ordinary skill will appreciate, other related surgical stapler constructed in various embodiments and improvements described herein can be included, not departing from the present invention The spirit and scope. [0186] 如图1所示,器械1可包括分别具有远端4和近端6的外壳3、安装在外壳3上(优选安装在其远端4上)的细长轴20以及总体标记为5的手柄组件。 [0186] 1, the instrument 1 may include, respectively, the housing having a distal end and a proximal end 4 6 3, the elongate shaft 3 is mounted on the housing (4 preferably mounted on the distal end thereof) is generally designated 20 and 5 of the handle assembly. 轴20可具有远端20a, 可通过连接机构20b可操作地将一次性加载单元10与其连接。 Shaft 20 may have a distal end 20a, 20b may be operatively disposable loading unit 10 connected thereto through the connection mechanism. 同样如图1所示,一次性加载单元(DLU) 10可包括可枢转并可操作地通过连接器机构C彼此连接的工具组件100和轴连接器部分20c。 Also shown in Figure 1, disposable loading unit (DLU) 10 may comprise a pivotally and operatively connecting mechanism C through tool assembly 100 connected to each other and the shaft connector portion 20c.

[0187] 在本发明公开的范围内,工具组件100例如通过连接机构诸如连接器机构C可枢转、可操作或者整体地永久并直接连接到一次性外科缝合器的轴20的远端20a。 The distal end [0187] within the scope of the present disclosure, tool assembly 100 such as by connection means such as a connector means C pivotally, operatively, or integrally permanently and directly connected to a disposable surgical stapler shaft 20. 20a. 如同已知的那样,已使用或者用过的一次性加载单元10可从可重新使用或者一次性的开放式内窥镜或者腹腔镜外科缝合器的轴20上除去,并更换成未使用过的一次性单元。 20 removed as is known, has been used or spent disposable loading unit 10 from reusable or disposable endoscopic or laparoscopic open surgical stapler shaft and replaced with unused disposable unit. 在各种实施方式中,可以想到具有或不具有整体或可拆卸连接的一次性加载单元的轴20可选择性地从外壳3拆卸。 In various embodiments, it is contemplated that the shaft with or without a disposable loading unit 20 connected integrally or selectively removable from the housing 3 disassembly.

[0188] 轴连接器部分20c包括近端M和远端22。 [0188] axis of the connector portion 20c includes a proximal end and a distal end 22 M. 如前所述,近端M可永久或者可拆卸地与手柄或者手动(或者其他,例如机器人或计算机)操作的开放式或者内窥镜外科缝合器1的其他致动组件连接。 As mentioned earlier, the proximal M may be permanently or removably to the handle or the manual (or others, such as a robot or computer) operated open or endoscopic surgical stapler other actuating assembly 1 is connected. 轴连接器部分20c的远端22可操作地连接到工具组件100。 Shaft connector portion 20c of the distal end 22 operatively connected to the tool assembly 100. 工具组件100通常可包括细长通道组件120、砧座组件110和钉仓组件200。 Tool assembly 100 may include a generally elongate channel assembly 120, anvil assembly 110 and cartridge assembly 200. 一旦未用尽或未用过的仓200安装在细长通道组件120上,工具组件100还可优选包括致动器(优选为动力夹钳元件150)、滑车160以及缝钉推出器2和缝钉350,参见图2、5和6。 Once the non-exhaustion or unused warehouse 200 is mounted on the elongate channel assembly 120, the tool assembly 100 also preferably includes an actuator (preferably a power clamp element 150), block 160, and a staple ejector 2 and seam nail 350, see Fig. 2, 5 and 6.

[0189] 应当理解,术语“近端”和“远端”在本文中以临床医生握持器械的手柄为参照。 [0189] It should be understood that the terms "proximal" and "distal" are used herein to clinician gripping the handle of the instrument as a reference. 因此,工具组件100相对于更近侧的手柄组件5为远侧。 Thus, the tool assembly 100 with respect to the more proximal handle assembly 5 is distally. 还应理解,为了方便和清楚起见,空间术语“垂直”和“水平”在本文中以附图为参考来使用。 It should also be appreciated that for convenience and clarity, spatial terms "vertical" and "horizontal" herein used with reference to the accompanying drawings. 但是,外科器械可以许多朝向和位置来使用,这些术语并不是限制和绝对化。 However, the surgical instrument can be used in many orientations and positions, and these terms are not absolute limits.

[0190] 轴连接器部分20c可以是圆柱形形状并限定了尺寸可设置为容纳管适配器40的内部通道25,见图2。 [0190] shaft connector portion 20c may be cylindrical shape and defines the size of the tube can be set to accommodate internal passage 40 of the adapter 25, shown in Figure 2. 轴连接器部分20c还可接收或容纳用于致动工具组件100的致动器。 Shaft connector portion 20c also receives or hold the tool assembly for actuating the actuator 100. 工具组件100可安装到轴连接器20c的远端22 (或者轴20的远端20a)上。 Tool assembly 100 may be mounted to the distal end of the shaft 22 of the connector 20c (or the distal end 20 of shaft 20a) on. 在各种实施方式中,工具组件100可被安装在具有外部圆柱表面47的管适配器40上,该外部圆柱表面47 可与轴连接器20c (再次地,也可与轴20)的内部通道25摩擦配合接合而被滑动容纳。 In various embodiments, the tool assembly 100 may be mounted on a tube 47 having an outer cylindrical surface of the adapter 40, the outer cylindrical surface 47 with the shaft connector 20c (Again, the shaft 20 may be) of the internal passage 25 friction fit engagement is slidably received. 这里,工具组件100与轴连接器20c的近端连接或附接还可应用到其与轴20的连接。 Here, the tool assembly 100 is connected to the proximal end of the shaft connector 20c may also be applied or attachment which is connected to the shaft 20. 管适配器40的外表面47还可还包括至少一个机械界面,例如切口或者凹口45,其被定向为与设置在内部通道25的内周上的相应的机械界面例如径向向内延伸的凸起或定位槽(未显示) 配合,以便将管适配器40锁定到轴连接器20c。 The outer surface of the tube adapter 40 may further include at least 47 one mechanical interface, e.g., notch or recess 45 projection, which is oriented and disposed in the internal passage 25 of the inner periphery of a corresponding mechanical interface extending radially inward e.g. or from the positioning groove (not shown) with, in order to lock the tube adapter 40 to the shaft connector 20c.

[0191] 在各种实施方式中,管适配器40的远端可包括一对相对的翼缘4和42b,它们限定了用于枢转地容纳枢轴块50的腔41。 [0191] In various embodiments, the distal end of tube adapter 40 may include a pair of opposed flanges 4 and 42b, which define a cavity for receiving a pivot block pivotally 50, 41. 每个翼缘4和42b可包括被定向为容纳枢轴销57的孔4和44b,所述枢轴销延伸通过枢轴块50中的孔,允许枢轴块50围绕与工具组件100的纵向轴线“X”垂直限定的“Z”轴可枢转地运动,见图3。 Each flange 4 and 42b may include a pivot pin oriented to accommodate 4 hole 57 and 44b, the pivot pin extends through the pivot block 50 holes, allowing the pivot block 50 about the longitudinal direction of the tool assembly 100 axis "X" defined by the vertical "Z" axis pivotally movement, shown in Figure 3. 如同将在下面详细描述的那样,通道组件可形成有两个向上延伸的翼缘121a、121b,它们分别具有孔12h、122b,孔的尺寸设置成可容纳枢轴销59。 As will be as described in detail below, the channel assembly may be formed with two upwardly extending flanges 121a, 121b, respectively having a hole 12h, 122b, pore size can be set to accommodate pivot pin 59. 枢轴销59通过枢轴块50的孔53a、5安装,以便在给定外科手术过程中当需要时允许工具组件100围绕“Y”轴旋转。 The pivot pin 59 through the hole 50 of the pivot block 53a, 5 installed to allow the tool assembly in a given surgical procedure when 100 around when you need to "Y" axis. 枢轴块50沿着“Z”轴围绕销57的旋转使工具组件100围绕“Z”轴旋转。 Pivot block 50 along the "Z" axis rotation around the pin 57 of the tool assembly 100 around the "Z" axis. 在不背离本发明的精神和范围的条件下也可有效采用将通道120紧固到枢轴块和将砧座紧固到通道的其他方法。 Without departing from the spirit and scope of the present invention may also be effective conditions for the use of other methods to channel 120 is secured to the pivot block and the anvil fastened to the channel. [0192] 在各种实施方式中,一个或多个致动器(未显示)优选穿过轴连接器部分20c、管适配器40和枢轴块50,并可操作地与工具组件100连接,以便在外科手术过程中当需要时允许外科医生使工具组件100围绕“Y”轴和“Z”轴进行关节运动。 [0192] In various embodiments, one or more actuators (not shown) preferably pass through shaft connector portion 20c, tube adapter 40 and pivot block 50, and operatively connected to tool assembly 100 to When you need to allow the surgical procedure the surgeon makes the tool assembly 100 about the "Y" axis and "Z" axis articulation. 另外,可通过旋钮“K” 的旋转使外科缝合器1的轴20能够360旋转。 Additionally, a surgical stapling shaft 20 can be rotated 360 by rotating the knob 1 of "K". 结果,工具组件100可在所有方向上关节运动至少90。 As a result, tool assembly 100 may be at least 90 articulation in all directions. 可被用于完成该任务的各种致动器、手柄组件和枢轴块都是可以想到的,其中一些与美国专利US6250532和US 6330965中的相同,这两分专利的内容通过引用而包含在本申请中。 Can be used to accomplish this task various actuators, the handle assembly and pivot blocks are conceivable, some of the US patent US6250532 and US 6330965 are the same, the content of these two points are incorporated by reference and is included in the the present application.

[0193] 如上所述,在各种实施方式中,工具组件100可包括砧座组件110和细长通道组件120,见图2。 [0193] As described above, in various embodiments, tool assembly 100 may include anvil assembly 110 and elongate channel assembly 120, shown in Figure 2. 细长通道组件120可支撑钉仓组件200、致动器(例如动力夹钳元件150) 和滑车160。 The elongate channel assembly 120 may support the staple cartridge assembly 200, an actuator (e.g., power clamp element 150) and the pulley 160. 这样,当组装时,这些不同组件和它们各自的内部元件在给定外科手术过程中(将在下面解释)协作,允许工具组件操作、夹持、夹钳、紧固并优选切割组织。 Thus, when assembled, these different components and their respective internal components in a given surgical procedure (as explained below) Collaboration, allows the tool assembly operation, clamping, clamps, fastening and preferably cutting tissue. 细长通道组件120可包括具有向上延伸的侧壁或翼缘121a和121b的底表面128,所述侧壁或翼缘限定了细长支撑通道125,该支撑通道的尺寸又设置成可将钉仓组件200可安装地容纳在其中。 Elongate channel assembly 120 may include a sidewall or upwardly extending flange 121a and 121b of the bottom surface 128, the side walls or flanges defining an elongated support channel 125, the size of the support channel and arranged to nail cartridge assembly 200 may be installed therein. 细长通道组件120还可包括多个机械界面127a、127b、127c、127d,它们被定向成容纳设置在钉仓组件200的朝向外面的表面中的相应的多个机械界面23fe、235b、235c和235d。 Elongate channel assembly 120 may also include a plurality of mechanical interfaces 127a, 127b, 127c, 127d, which are oriented to receive the cartridge assembly disposed toward outer surfaces 200 of the corresponding plurality of mechanical interfaces 23fe, 235b, 235c, and 235d. 见图2禾口6。 Figure 2 Hekou 6.

[0194] 钉仓组件200安装在细长通道组件120中并包括上部组织接触或者朝向表面231, 如同在本具体实施方式中进一步变得清楚的那样,所述表面231与砧座组件110的组织接触或朝向底部的砧座表面114b相对。 [0194] cartridge assembly 200 is mounted in elongate channel assembly 120 and includes an upper tissue contacting or facing surface 231, as in the present embodiment further become apparent as the surface of the anvil assembly 231 and tissue 110 contact or toward the bottom of the anvil surface 114b opposite. 在制造或组装工程中钉仓组件200可被组装并安装在细长通道组件120中,并作为整体工具组件100的一部分出售,或者在需要时钉仓组件200 可被设计成选择性安装到通道组件120上,并单独出售,例如作为单独使用的替换、可替换或者一次性的钉仓组件200。 Cartridge assembly 200 may be assembled in the engineering and manufacture or assembly mounted in elongate channel assembly 120, and sold as part of overall tool assembly 100, or staple cartridge assembly 200 as needed can be designed to selectively mounted to the channel assembly 120, and sold separately, e.g., as a single use replacement, replaceable or disposable staple cartridge assembly 200. 例如,钉仓组件200可被制造成包括滑车160和动力夹钳元件150。 E.g., cartridge assembly 200 may be manufactured to include sled 160 and dynamic clamping member 150. 作为替代,具有刀155的动力夹钳元件150可作为不具有刀片15的可替换钉仓组件200的一部分出售(但优选具有刀片155a),以增强和/或确保缝钉成形后精确地切割组织。 Sold as an alternative, with a knife 155 power clamp element 150 can be used as replaceable cartridge assembly does not have a blade 15 part 200 (but preferably has a blade 155a), in order to enhance and / or to ensure accurate cutting of tissue after staple forming . 工具组件100还可作为套件出售,该套件包括各种含有不同尺寸和/或设置成以不同模式射出外科紧固件350的钉仓200,其中任何一种钉仓可与细长通道组件120选择性地接合以便在在特定手术过程中在需要时使用。 Tool assembly 100 also sold as a kit, the kit includes a variety with different sizes and / or arranged in a different pattern emitted surgical fastener cartridge 350, 200, which can be used with any kind of staple cartridge assembly 120 elongate channel selection engageable to use when needed in a particular procedure.

[0195] 如图6最清楚显示的,滑车160可包括一对向上延伸的凸轮楔161a和161b,当由用户致动以运动时,其使一系列外科紧固件350或者缝钉进入并穿过组织并且抵靠砧座组件110的缝钉成形凹槽111 (在图9中显示),以便成形紧固件350并紧固组织。 [0195] most clearly shown in Figure 6, block 160 may include a pair of upwardly extending cam wedges 161a and 161b, when actuated by the user to the motion, which causes a series of surgical fasteners 350 or staples into and through through the tissue and against the anvil staple forming pockets 111 of assembly 110 (shown in FIG. 9), so that the fasteners 350 and fasten tissue formation. 动力夹钳元件150与滑车160连接,例如安装并骑设在其上,或者与其相连或者集成在一起和/或骑设在其后面。 Power clamp element 150 is connected with the pulley 160, such as installation and ride provided thereon or connected thereto or integrated and / or riding located behind it. 可以想到,动力夹钳元件150可具有与其连接或者一体形成的凸轮楔或者凸轮表面,或者由凸轮楔或者凸轮表面的远侧前表面推动。 It is contemplated that the power clamp element 150 may have connected thereto or integrally formed with the cam wedges or cam surface, or surface driven by cam wedges or cam in front of the distal surface.

[0196] 在各种实施方式中,动力夹钳元件150可包括具有横向孔154(销159可安装或者安装在其中)的上部157、中央支架或者向上的延伸部分151和大体上为T形的底部翼缘152,所述各部分协同动作以在滑车160的纵向向远侧运动过程中沿着理想切割路径滑动保持动力夹钳元件150。 [0196] In various embodiments, dynamic clamping member 150 may include a transverse hole 154 (pin 159 mountable or mounted therein) of the upper portion 157 of central support or upward extending portion 151 and a substantially T-shaped the bottom flange 152, said parts cooperating to slide tackle distal longitudinal movement along a desired cutting path 160 holding power clamp element 150. 见图8。 See Figure 8. 前切割边缘155(这里为刀片155a)的尺寸设置成倚靠在钉仓组件200的槽282中,并且一旦缝合就使组织400分离。 Before cutting edge 155 (here insert 155a) sized to rely on the cartridge assembly slots 282 200, and once sewn on to make 400 separate organizations. 可以想到,动力夹钳元件150 的前缘153a可以是锯齿状的、倾斜的或者带缺口的,以利于组织切割。 It is contemplated that the leading edge 153a of the dynamic clamping member 150 may be serrated, notched or inclined to facilitate tissue cutting. 在一些实施方式中,例如,上部凸轮运动元件不必是销,而可以是任何一体的或可拆卸的适当向上突出的凸轮表面。 In some embodiments, for example, the upper camming member need not be a pin, but may be suitably protruding upwardly or any one of the detachable cam surface. 同样对于底部翼缘152来说,其可以是任何合适的凸轮运动表面,包括销或者可拆卸的销、按钮,以利于将动力夹钳元件安装到滑车160中或者细长通道组件120中。 Also for the bottom flange 152, it may be any suitable camming surface, including a pin or a removable pin, a button to facilitate mounting the power element to the clamp block 160 or 120 of the elongate channel assembly. 在本文中使用的术语“刀组件” 170可包括前述动力夹钳元件150、刀155和滑车160或者其他刀/梁/滑车驱动设置。 As used herein, the term "knife assembly" 170 may include the aforementioned dynamic clamping member 150, knife 155, and sled 160 or other blade / beam / pulley drive settings. 另外,本发明的各种实施方式可采用刀组件设置,刀组件设置可完全支撑在钉仓中或者部分支撑在钉仓和细长通道组件中或者完全支撑在细长通道组件中。 Further, various embodiments of the present invention may be provided knife assembly, the knife assembly disposed in the cartridge can be fully supported or partially supported in the staple cartridge and elongate channel assembly or entirely supported on the elongate channel assembly.

[0197] 如图10最清楚地显示的,细长通道组件120具有远端123和近端123'。 [0197] most clearly shown in FIG. 10, the elongate channel assembly 120 has a distal end 123 and a proximal end 123 '. 细长通道组件120的底表面1还包括细长的纵向槽126,该纵向槽包括切口或者槽口1并以近端与其连通。 A bottom surface of the elongate channel assembly 1 120 further includes an elongated longitudinal slot 126 which includes a longitudinal groove or notch and a proximal notch 1 communication therewith. 槽口1的尺寸设置成允许动力夹钳元件150的底部翼缘152穿过其间。 1 slot sized to allow the dynamic clamping member 152 of the bottom flange 150 therethrough. 槽126的狭窄部分的尺寸设置成滑动容纳向上的支架或者延伸部分151并允许其从其中穿过。 Size narrow groove portion 126 is provided to slidably receive a stent or upwardly extending portion 151 and allowed to pass therethrough. 见图13。 See Figure 13. 其他动力夹钳元件150、通道槽和滑车构造也可采用。 Other power clamp element 150, channel slots, and sled configurations may also be used.

[0198] 当组装工具组件100时,滑车160可滑动定位在钉仓组件200和细长通道组件120 之间(参见图幻。滑车160和上面详细描述的钉仓组件200的内部工作元件可操作地协同动作以使缝钉350变形。更具体地,如上所述,滑车160可包括向上延伸的分叉凸轮楔161a 和161b,它们与一系列缝钉推出器288接合并协同动作,以便从钉仓组件200驱动缝钉350 通过槽225,并基于砧座组件100的缝钉成形凹槽11使缝钉变形。各种实施方式的滑车160、动力夹钳元件150和钉仓组件200的进一步的细节在美国专利公开US2006/0011699A1 中有描述。 [0198] When assembling the tool assembly 100, block 160 is slidably positioned between the elongate channel assembly 200 and cartridge assembly 120 (see Figure magic. Pulley 160 and cartridge assembly described above in detail the inner workings of element 200 is operable to co-act to deform the staples 350. More specifically, as described above, block 160 may include upwardly extending bifurcated cam wedges 161a and 161b, they introduced a series of staples 288 engage cooperating in order from the staple 200 staple cartridge assembly 350 through drive slot 225, and based on the staple anvil assembly 11 so that the recess 100 formed staple deforming further various embodiments of pulley 160, 150 and cartridge assembly 200 of the dynamic clamping member detail in U.S. Patent Publication US2006 / 0011699A1 there is described.

[0199] 如图2和7所示,砧座组件110可以是细长的并分别包括近端116、远端118、顶表面IHa和底表面114b。 [0199] Figures 2 and 7, anvil assembly 110 may be elongated and include a proximal end 116, respectively, a distal end 118, a top surface and a bottom surface IHa 114b. 一对耳轴119a和119b可设置在近端116附近并被设计成用于可枢转接合对应的一对槽口123a和12北,槽口123a和12设置在细长通道组件120的近端附近的侧壁121a和121b中。 A pair of trunnions 119a and 119b may be disposed near the proximal end 116 and is designed to be pivotally coupled to a corresponding pair of notches 123a and north 12, notches 123a and 12 disposed at the proximal end of the elongate channel assembly 120 near the side walls 121a and 121b in. 可以想到,通过常规方式(例如远程致动,例如通过手柄组件5)致动可引起夹钳卡圈140沿着远侧方向运动并接合砧座组件110的前向凸轮表面115。 It is contemplated by conventional means (such as remote actuation, for example by the handle assembly 5) actuation can cause clamp collar 140 along the distal direction and the anvil assembly 110 before engaging the cam surface 115. 这可引起砧座组件110从打开的第一位置枢转到闭合的第二位置,在所述第一位置中细长通道组件120以彼此间隔设置的关系设置,在所述第二位置中砧座组件110和钉仓组件200 协同动作将组织夹钳在其间,即将组织预先夹钳在砧座组件110的组织接合表面114b和钉仓组件200的相对的组织接合表面231之间。 This can cause the anvil assembly 110 pivot from a first position to open a second closed position, the elongate channel assembly 120 are disposed in spaced relationship to each other disposed in said first position, said anvil in a second position seat assembly 110 and cartridge assembly 200 cooperating clamp tissue therebetween, i.e. pre-clamp tissue between opposing tissue surface 231 in anvil assembly 110. The tissue engaging surface 114b and staple cartridge assembly 200 engages. 但是,其他砧座组件设置也可成功地被采用。 However, other anvil assembly settings can also be successfully used.

[0200] 在各种实施方式中,砧座组件110可包括细长的十字形或者T形通道或者槽,其总体标记为112,具有悬垂中央部分(cbpendingcentral portion)或者腿11和横向上部112b。 [0200] In various embodiments, anvil assembly 110 may include an elongated cross or T-shaped channel or groove, which is generally designated 112, having a central portion overhang (cbpendingcentral portion) or an upper transverse leg 11 and 112b. 见图7。 See Figure 7. 槽112优选从砧座组件110的上部11的近端113纵向延伸到其远端118。 Slot 112 preferably extends from the top of the anvil assembly 110 longitudinal proximal 11 113 118 to its distal end. 腿11从砧座组件110的近端113开始或者进入其中并延伸到远端118,横向上部112b从近侧凸轮115开始并延伸到远端118。 11 leg from the proximal end of the anvil assembly 110 of 113 starts, or enter them into the distal end 118 and extending laterally from the upper portion 112b of the cam 115 is started and extending proximal to the distal end 118. 见图7。 See Figure 7. 优选地,上部112b的尺寸设置成滑动容纳横向销159,该横向销159在动力夹钳元件150的中央支架或者延伸部分157的上部157中的孔154内延伸(见图9)。 Preferably, the size of the upper portion 112b is set to receive transverse pin 159 to slide, the pin 159 extends transversely dynamic clamping member 150 within the holder or the extension of the central portion 157 of the upper portion 157 of the hole 154 (see FIG. 9). 销159的尺寸设置成将动力夹钳元件150的上部157滑动锁定在T形槽112中,使动力夹钳元件150可在槽112中纵向往复运动。 Pin 159 sized to force the upper jaw member 157 slide lock 150 is in the T-shaped slot 112, so that the power clamp member 150 reciprocates longitudinally in the slot 112.

[0201] 在各种实施方式中,在组织紧固之前,预夹钳卡圈140可被设置成围绕通道组件120和砧座组件110,并将它们夹紧或者预夹紧在接近的夹钳位置中。 [0201] In various embodiments, before tissue tightening, pre-clamp collar 140 may be provided around the channel assembly 120 and anvil assembly 110 and clamp them or pre-clamping jaws close location. 通过向远侧运动预夹钳卡圈140,用户可从打开的第一位置向着通道组件120致动/运动砧座组件110使钳口即砧座组件110和钉仓200靠近到闭合的第二位置,将组织夹持在其间。 Pre clamp is moved distally through the collar 140, the user can open from the first position toward channel assembly 120 actuators / motion anvil assembly 110 causes the jaw that is the anvil assembly 110 and cartridge 200 is close to closing the second position, the tissue held therebetween. 滑车160可由用户致动以缝合并随后切断组织。 Block 160 may be actuated by the user to suture and subsequently cut tissue.

[0202] 最好见图4、8和9所示,在动力夹钳元件150通过组织400向远侧移动过程中,砧座组件Iio的大尺寸材料以及大致垂直对准的翼缘152、刀片155和凸轮运动销159的组合进行操作,使位于刀15的前缘155远侧的运动点处的相对的组织接合表面(即砧座底表面114b和钉仓组件200的朝上表面231)进一步靠近(即进一步夹钳)。 [0202] best seen in Figure 4, 8 and 9, in the power clamp element 150 is moved distally through tissue 400 during the anvil assembly Iio large size material and a substantially vertical alignment flange 152, blade a combination of 155 and camming pin 159 operate, the relative motion of the organization at a point located at the front edge of the knife 15 distal engagement surface 155 (ie, the upper surface of the bottom surface of the anvil and cartridge assembly 114b 200 231) is further close (ie further clamp). 相对于移动的动力夹钳元件150向远侧进一步夹钳组织400用来保持相对的表面114b和231之间的最大可接受间隙并从组织400压迫出流体,该流体可增强缝合并降低在变形过程中缝钉350的液压位移的可能性。 With respect to the movement of the power clamp element 150 distally further clamp tissue 400 for holding opposing surfaces 114b and maximum acceptable gap between 231 and 400 from the oppression of tissue fluid that can enhance the suture and reduced distortion during displacement hydraulic possibility staple 350. 可以想到,由于砧座组件110的大尺寸材料和上述动力夹钳元件150 一起产生的增强的闭合力的组合,当前缘巧5行进穿过组织400时增强的闭合力的组合允许组织400的相对精确的切割。 It is contemplated that the large size of the material due to the combination of the anvil assembly 110 and said power clamp element 150 together produce an enhanced closing force, the current travels through the tissue edge clever 5 400 enhanced combination allows organizations 400 closing force relative precise cutting.

[0203] 通过前面的描述部并参照各个附图,本领域技术人员将会理解,也可对本发明公开的内容进行一些改变,也不脱离本发明公开的范围。 [0203] As described earlier with reference to the accompanying drawings unit, skilled in the art will understand that the present invention may also be some changes in disclosure, not departing from the scope of the present disclosure. 例如,上述工具组件100可以是一次性加载单元(DLU)诸如在美国专利IS6330965中公开的那些的一部分或者结合到其中,或者直接与任何已知的外科缝合装置的远端连接。 For example, the above-described tool assembly 100 may be disposable loading unit (DLU) such as disclosed in U.S. Patent No. IS6330965 those wherein part or bonded to, or directly connected to the distal end of any known surgical stapling device. 用于致动接近元件的手柄组件可选自各种致动机构,包括拉钳、可旋转和滑动的旋钮、可枢转的杆或扳机以及它们的任何组合。 Close element for actuating the handle assembly may be selected from a variety of actuating mechanism comprises pull clamp, rotatable and slidable knobs, pivotable lever or trigger, and any combination thereof. 上述工具组件100作为机械系统的一部分的使用也是可以想到的。 Using the above-described tool assembly 100 as part of a mechanical system is conceivable.

[0204] 图10-18示出了单一用途的工具组件设置。 [0204] Figure 10-18 shows a single-purpose tool assembly set. 如同从这些图中可以看到的那样,一对索、绳线、丝线、窄带或者带800、820可由通道组件120支撑。 As can be seen from these figures as a pair of cable, wire rope, thread, or narrow band channel assembly 120 supported by 800,820. 如同从图11和12中看到的那样,第一索800包括锚定段802、致动部分804和运动部分805,锚定段802固定到细长通道组件120的远端123处的底部1上的第一连接点803上,致动部分804延伸到定位在外壳部分5中的驱动系统(未示出)。 As from the bottom, as seen in FIGS. 11 and 12, the cable 800 includes a first anchor segment 802, actuating portion 804 and a moving portion 805, the anchoring section 802 is fixed to the distal end of the elongate channel assembly 123 120 1 a first connecting point 803, the actuator portion 804 extends to the positioning in the housing section 5 drive system (not shown). 如同特别从图12中看到的那样,第一索800可操作地支撑在远侧第一索过渡支架830上,该远侧第一索过渡支架830例如包括安装到细长通道组件120的远端123的底部1上的滑轮、杆、绞盘等。 Especially as seen from Figure 12, as the first cable 800 operatively supported on a distal first cable transition support 830, the first distal cable transition support 830 includes, for example elongate channel assembly 120 mounted to the distal 1 bottom end pulley 123 on the pole, winch and so on. 第一索800还可操作地支撑在第二索过渡支架840上,该第二索过渡支架例如可包括安装到刀组件170的双滑轮840。 The first cable 800 is also operatively supported on the second cable transition support 840, the second cable transition support may include, for example, mounted to the knife assembly 840 double pulley 170. 在一种实施方式中,例如,第二索过渡支架安装到动力夹钳元件150的底部翼缘部分152上。 In one embodiment, for example, the second cable transition support is mounted to the bottom flange portion 152 of dynamic clamping member 150. 见图12和13。 Figure 12 and 13. 第一索800可经过设置在细长通道组件120的底部128中的纵向延伸的第一槽806。 The first cable 800 may be disposed through the elongate channel assembly 128 at the bottom 120 of the first longitudinally extending slot 806. 运动部分805可邻近槽1来回自由地轴向运动。 Moving portion 805 may be freely back and forth near the slot 1 axial movement. 致动部分804可经过细长通道组件120的底部128中的第一过渡通道808,见图11。 Actuating portion 804 may pass through the elongate channel assembly 120 in the bottom 128 of the first transition channel 808, shown in Figure 11.

[0205] 同样在该实施方式中,第二索820可具有锚定部分822、延伸到定位在手柄外壳5 中的驱动系统的致动部分拟4和运动部分825,所述锚定部分822在第二连接点803'处固定到细长通道组件120的远端123的底部1上。 [0205] Also in this embodiment, a second cable 820 may have an anchor portion 822, extends into the handle housing 5 positioned in the drive system actuating portion 4 and a moving portion 825 intended, the anchor portion 822 in The second connecting point 803 'of the upper fixed to the distal end of the elongate channel assembly 120 at the bottom of 1 123. 第二索820可操作地支撑在远侧第二索过渡支架850上,该过渡支架例如可以包括与细长通道组件120的远端123连接并且还可操作地支撑在远侧第二索过渡支架850上的第二滑轮、杆、绞盘等。 The second cable 820 is operably supported on a second distal cable transition support 850, which may include, for example, the transition bracket connected to the distal end of the elongate channel assembly 120 and 123 may also be operatively supported on a second distal cable transition support The second pulley 850 on the pole, winch and so on. 第二索820可通过设置在细长通道组件120的底部128中的纵向延伸的第二槽826。 The second cable 820 extends longitudinally through the elongate channel assembly disposed in the bottom 128 of the 120 second groove 826. 运动部分825可靠近槽126 前后自由地轴向运动。 Moving portion 825 can be freely back and forth near the slot 126 axial movement. 致动部分拟4可经过细长通道组件120的底部128中的第二过渡通道828。 Actuating section 4 may be proposed through the elongate channel assembly 120 in the bottom 128 of the second transition channel 828. 见图11。 See Figure 11. 本领域普通技术人员将会理解,所述设置可提供优于现有的索设置的改进的机械优点,由此降低了必须产生使动力夹钳元件150、刀155和滑车160形式的刀组件170行进以击发缝钉350的击发力的大小。 Those of ordinary skill in the art will appreciate that the setting provides better improvement of existing cable set mechanical advantage, thereby reducing the power to be generated so that the clamp member 150, knife 155, and sled 160 in the form of a knife assembly 170 traveling to fire staples firing force 350 size.

[0206] 如上所述,刀组件170(即动力夹钳元件150、刀155和滑车160)的前进和回缩由索800、820控制,每个索都具有例如可与索驱动系统连接的近端,所述索驱动系统例如可包括可旋转的卷绕鼓轮(一个或多个)(未显示),其可操作地支撑在手柄5上。 [0206] As described above, the knife assembly 170 (ie power clamp element 150, 155 and knife block 160) by a cable 800,820 advance and retract control, for example, each cable has a close connection with the cable drive system end, for example, the cable drive system may comprise a rotatable winding drum (s) (not shown), which is operatively supported on the handle 5. 一个或多个卷绕鼓轮可机械或手动地旋转或者通过马达提供动力,使索800、820在其上旋转。 One or more winding drums may be mechanically or manually rotated or powered by a motor, so that rotation of the cable 800,820 thereon. 当索800、820被卷绕在那些鼓轮上时,刀组件170(动力夹钳组件150/滑车160)从细长通道120 的近端向其远端驱动,完成切割及缝合操作。 When the cable is wound on those 800,820 drum, the knife assembly 170 (dynamic clamping assembly 150 / sled 160) driven from the proximal end to its distal end 120 of the elongate channel, cutting and stapling operation is completed. 在各种实施方式中没有提供装置用于将刀组件170回缩到通道120的近端,因而工具组件不能被重新使用。 In various embodiments no means are provided for the knife assembly 170 retracted to the proximal end of the channel 120, and thus tool assembly can not be re-used.

[0207] 替代的击发系统1300的实施方式在图15-20中公开。 [0207] Alternate embodiments of the firing system 1300 is disclosed in Figure 15-20. 如图15_17中可以看到的那样,该实施方式采用了行进索1302和以示意图形式示出的回缩索1330,该行进索1302分叉形成一对行进索部分1310、1320。 As shown 15_17 you can see, this embodiment uses a traveling cable 1302 and shown in schematic form retract cable 1330, the traveling cable 1302 cable bifurcated to form a pair of travel section 1310, 1320. 如同更尤其从图16中可以看到的那样,第一行进索部分1310可操作地支撑在远侧第一索过渡支架1340上,该远侧第一索过渡支架例如可包括与细长通道组件120的远端123连接的滑轮、杆、绞盘等,见上述。 As more specifically from Figure 16, can be seen, the first part of 1310 traveling cable operatively supported on a distal first cable transition support 1340, the first distal cable transition support for example may include an elongate channel assembly pulley connected to the distal end 123 120, rods, winches, etc., see above. 第一行进索部分1310的远端1312可固定到刀组件170(动力夹钳组件150)上。 The first part of 1310 traveling cable 1312 may be secured to the distal end of the knife assembly 170 (dynamic clamping assembly 150). 第二行进索部分1320可操作地支撑在例如可包括安装到细长通道元件120的远端123上的滑轮、杆、绞盘等的远侧第二索过渡支架1360上。 The second part of 1320 traveling cable operably supported may include, for example, is mounted to the pulley elongate channel elements 120 on the distal end 123, pole, winch, etc. The second distal cable transition support 1360. 第二行进索部分1320的远端1322与刀组件170 (动力夹钳组件150)连接。 The distal end portion of the second travel cable 1320 1322 connection with the blade assembly 170 (dynamic clamping assembly 150). 同样在这些实施方式中,采用回缩索1330。 Also in these embodiments, the use of retraction cable 1330. 在一种实施方式中,回缩索1330可形成环, 使远侧成环末端1332固定连接到动力夹钳组件150上。 In one embodiment, the retraction cable 1330 may form a ring, a ring so that the distal end 1332 is fixedly connected to the power clamp assembly 150.

[0208] 在各种实施方式中,行进索1302和回缩索1330例如可由索驱动系统1000驱动, 所述索驱动系统例如可包括安装在手柄组件5中或者由其支撑的手动致动的绞盘组件1001。 [0208] In various embodiments, the advancing and retracting cable 1330 cable 1302 cable drive system 1000, for example, by driving the cable drive system, for example may include a handle assembly mounted on the support 5 or by manually actuated winch Components 1001. 见图17-20。 Figure 17-20. 绞盘组件1001例如可包括由手柄组件5枢转支撑的击发扳机1004形式的致动器1002。 Winch assembly 1001 may include, for example, by the handle assembly 5 is pivotally supported by the firing trigger 1004 of the actuator 1002 form. 虽然该实施方式采用可握持扳机1004,本领域普通技术人员将会理解, 在不背离本发明的精神和范围的条件下,致动器1002可包括按钮、杆、滑块等。 Although this embodiment employs the trigger 1004 can hold, one of ordinary skill in the art will appreciate that without departing from the spirit and scope of the present invention a condition, the actuator 1002 may include a button, lever, slide and so on. 在图17-20 所示的实施方式中,绞盘组件1001可分别包括支撑在机架组件1012上的传动装置1010、可旋转第一线轴1250和可旋转第二线轴1260。 In the embodiment shown in Fig. 17-20, the winch assembly 1001 may include a support on each chassis unit 1012 transmission device 1010, the first rotatable spool 1250 and the second rotatable spool 1260.

[0209] 在各种实施方式中,手柄齿轮部分1006可形成或者以其他方式设置在击发扳机1004上。 [0209] In various embodiments, the handle gear segment 1006 may be formed or otherwise provided on the firing trigger 1004. 手柄齿轮部分1006与安装到与离合器组件1050的第一棘齿离合器盘1052连接的轴1042上的初级传动齿轮1040啮合地安装。 Handle mounted to the gear portion 1006 and 1042 with the primary drive gear shaft clutch assembly of the first ratchet clutch disc connected on 1052 1050 1040 engaging installed. 见图18。 See Figure 18. 第二棘齿离合器盘1060支撑在旋转支撑在手柄组件5中的离合器轴1062上。 Second ratchet clutch plate 1060 is supported on the handle assembly 5 rotatably supported in the clutch shaft 1062. 离合器轴1062可设置有肩部1064并具有通过轴颈连接于其上并与一部分外壳3接触的离合器弹簧1066,将第二棘齿离合器盘1060 偏压成与第一棘齿离合器盘1052啮合。 Clutch shaft 1062 may be provided with a shoulder 1064 and has connected thereto through a journal and 3 in contact with the portion of the housing of the clutch spring 1066, the second ratchet clutch disk 1060 biased into engagement with the first ratchet clutch disc 1052. 通过图18还可以看出,第二传动齿轮1070可通过轴颈连接在离合器轴1062上并与第三传动齿轮1080啮合,所述第三传动齿轮1080连接到第一传动轴1090上,第一传动轴1090由与由安装在机架组件1012中的第一传动轴承或者套筒1092可旋转支撑。 Figure 18 can also be seen through the second drive gear 1070 may be connected to the clutch shaft 1062 and journal through engagement with the third drive gear 1080, the third drive gear 1080 is connected to the first transmission shaft 1090, a first 1090 by the shaft and the first drive installed in a rack or a bearing assembly 1012 1092 sleeve rotatably supported. 见图18。 See Figure 18. 第一传动轴1090可具有第一小齿轮部分1100和在其上形成的一组第一齿轮齿1102,用于选择性地与轴向地并可旋转运动的轴卷筒1110上的一组初级齿轮齿1112啮合。 The first transmission shaft 1090 may have a first pinion gear portion 1100 and a plurality of first gear teeth 1102 formed thereon for selective and a set of primary rotational movement and axially on the shaft spool 1110 1112 meshing gear teeth. 从图20中可以看出,轴卷筒1110容纳在花键轴1120上,该花键轴可旋转地容纳在第一传动轴1090和第二小齿轮1130中。 As can be seen from Figure 20, the shaft spool 1110 is housed in the splined shaft 1120, the spline shaft is rotatably accommodated in the first and second pinion shaft 1090 1130. 第二小齿轮1130具有第二小齿轮部分1132和一组第二齿轮齿1134,以便选择性地与轴卷筒1110上的次级齿轮齿1114 啮合。 The second pinion gear 1130 has a second pinion gear portion 1132 and a set of second gear teeth 1134 for selective engagement with the secondary gear teeth on the shaft spool 1110 1114. 第二小齿轮1130由安装在机架组件1012中第二轴承1136可旋转地支撑,如图所示。 A second bearing a second pinion gear 1130 is rotatably supported by the 1136 mounted in the frame assembly 1012, as shown in FIG. 从图18和20中可以看出,反向锥齿轮1140由分别与第一和第二小齿轮1100、1130啮合的机架组件1012支撑。 As it can be seen from Fig. 18 and 20, 1140 by the reverse bevel gear rack assembly with the first and second pinion engaging 1100,1130 1012 support. [0210] 从图18和20中还可以看出,轴卷筒1110还具有在其上形成的卡圈部分1150,以便容纳从在切换杆1166的底部上形成的轭形件1160延伸的两个相对的销1162。 [0210] it can also be seen from Fig. 18 and 20, the shaft spool 1110 also has a collar portion 1150 formed thereon to accommodate extending from the yoke 1160 1166 selection lever on the bottom of the formation of the two 1162 relative to the pin. 切换杆1166可具有轴部分1168,其可枢转地销接到机架组件1012的横杆部分1014上。 The switching lever 1166 may have a shaft portion 1168 that is pivotally connected to the frame assembly pin crossbar portion 1012 of 1014. 轴1168 的一部分经过手柄壳体(未显示)中的开口向外突出,并且切换钮1170可与轴1168的端部连接,使用户能够来回轴向移动轴1168,以便使传动装置1010换向(将在下面进一步探讨)。 Part of the 1168's through the handle shaft housing (not shown) protruding outwardly of opening and switching button 1170 may be connected with the end of the shaft 1168, allowing users to move back and forth axial shaft 1168 so that the gear change to 1010 ( We will be further explored below). 本领域普通技术人员将会理解,轭形件1160的设置使轴卷筒1110能够相对于轭形件1160自由旋转,同时使轭形件1160能够在花键轴1120上轴向移动轴卷筒1110。 Those of ordinary skill in the art will appreciate that the yoke of the shaft spool 1160 disposed 1110 with respect to the yoke member 1160 is free to rotate, while the yoke shaft spool 1160 axially movable on the spline shaft 1110 1120 .

[0211] 如图20所示,切换器输出齿轮1180通过键或其他方式连接到花键轴1120上,以便与花键轴1120 —起旋转。 [0211] As shown, the switch 1180 is connected to the output gear spline shaft 1120 through the key or other means to the spline shaft 1120 20 - starting rotation. 该切换器输出齿轮1180被设置成与第一卷筒齿轮1190啮合, 该第一卷筒齿轮1190被连接到可旋转第一卷筒1250的轴1200上。 The switch output gear 1180 is set to mesh with the first spool gear 1190, the first spool gear 1190 is attached to the rotatable shaft of the first spool 1200 1250. 第一卷筒传动齿轮1220 连接到可旋转第一卷筒轴1200的另一端部上。 A first spool gear 1220 is rotatably connected to the other end of the first shaft spool 1200. 第一卷筒传动齿轮1220与反向齿轮1230 啮合,该反向齿轮1230与连接到可旋转第二卷筒1260的轴1252上的第二卷筒传动齿轮1240啮合。 The first spool gear 1220 and 1230 the reverse gear is engaged the reverse gear is engaged with 1230 1240 drive connected to the second reel spool shaft rotatable second gear on 1252 1260. 见图17。 See Figure 17. 在各种实施方式中,行进索1302可被接收在可旋转第二(底部)卷筒1260上并且回缩索1330被接收在可旋转第一卷筒1250上。 In various embodiments, the traveling cable 1302 may be received on a rotatable second (bottom) retracting cable reel 1260 and 1330 is received on a first rotatable spool 1250.

[0212] 现在将参照图17-20描述绞盘1000的操作方法。 [0212] Figures 17-20 will now be described with reference to method 1000 of operation of the winch. 首先转到图20,在该图中,轴卷筒1110处于空闲位置。 Turning first to FIG. 20, in the drawing, the shaft spool 1110 is in the idle position. 因此,击发扳机1004的致动不会导致动力夹钳元件150、刀155或者滑车160的任何运动。 Thus, actuation of the firing trigger 1004 will not result in any movement of the power clamp member 150, knife 155 or sled 160. 为了击发装置(使动力夹钳元件150、刀155和滑车160从细长通道组件120的近端运动到细长通道组件120的远端),临床医生将切换器钮1170切换到图18中显示的位置。 For firing means (clamp element 150 so that power, knife 155, and sled 160 from the proximal end of the movement of the elongate channel assembly 120 to the distal end of the elongate channel assembly 120), the clinician will switch 1170 is switched to the knob 18 shown in FIG. location. 在这样做时,轴卷筒1110的初级齿轮齿1112与第一小齿轮1100的第一齿轮齿1102啮合。 In doing so, the primary gear teeth 1112 of the shaft spool 1110 and the first gear teeth 1100 of the first pinion gear 1102 engages. 在轴卷筒1110已经运动到该位置之后,临床医生可开始拉动/枢转击发扳机1004,引起手柄齿轮部分1006沿着由图18中的箭头“A”表示的方向运动。 After the shaft spool 1110 has been moved to that location, the clinician may begin to pull / pivot the firing trigger 1004 to cause the handle gear segment 1006 along the direction indicated by the arrow in Figure 18 "A" represents the movement. 当击发扳机1004继续枢转时,齿轮部分1006使初级传动齿轮1040和离合器组件1050以及第二传动齿轮1070沿着“B”方向旋转。 When the firing trigger 1004 continues to pivot, the gear portion 1006 of the primary drive gear 1050 as well as the clutch assembly 1040 and the second drive gear 1070 rotates in the "B" direction. 当第二传动齿轮1070沿着该方向旋转时,第三传动齿轮1080沿着相反的“A”方向旋转,这又引起第一小齿轮1100沿着该方向旋转。 When the second drive gear 1070 to rotate in that direction, the third drive gear 1080 in the opposite "A" direction of rotation, which in turn causes the first pinion gear 1100 to rotate in that direction. 由于第一小齿轮1100的第一齿1102与轴卷筒1110的初级齿1112啮合,轴卷筒1110也沿着“A”方向旋转。 Because the first teeth 1102 of the first pinion gear and the spool shaft 1100 is engaged with the primary teeth 1110 of 1112, the shaft spool 1110 also rotates in the "A" direction. 当轴卷筒1110沿着“A”方向旋转时,花键轴1120和切换器输出齿轮1180也沿着该方向旋转。 When the shaft is rotated in the spool 1110 "A" direction, spline shaft 1120 and switching output gear 1180 also rotate in that direction. 切换器输出齿轮1180与连接到第一卷筒1250的轴1200连接的第一卷筒齿轮1190啮合。 Switching output gear connected to the first spool 1180 with a first gear connected to the spool shaft 1200 1250 1190 engagement. 当切换器输出齿轮沿着“A”方向旋转时,第一卷筒齿轮1190沿着“B”方向旋转。 When switching output gear rotates in the "A" direction, the first spool gear 1190 rotates in the "B" direction. 第一卷筒传动齿轮1220与轴1200连接并且也沿着“B”方向旋转。 A first spool gear 1220 is connected to the shaft 1200 and also rotates in the "B" direction. 当第一卷筒1250 沿着“B”方向旋转时,回缩索1330被第一卷筒1250放出。 When the first spool 1250 rotates in the "B" direction, retracting cable reel 1250 1330 was first released. 当第一卷筒1250旋转时,第一卷筒传动齿轮1220沿着相同方向旋转。 When the first spool 1250 rotates, the first spool gear 1220 to rotate in the same direction. 第一卷筒传动齿轮1220、反向齿轮1230和第二卷筒传动齿轮1240引起第二卷筒1260将行进索1302卷绕于其上。 1220 first drum transmission gear, reverse gear 1230 and second spool drive gear 1240 cause the second spool 1260 will travel cable 1302 wound thereon.

[0213] 在击发扳机1004已经被下压到其最大可能压缩程度时(到其冲程末端),临床医生释放击发扳机1004,并且由手柄组件5支撑的弹簧(未显示)或者其他合适设置偏压击发扳机1004回到开始位置(未击发位置)。 [0213] In the firing trigger 1004 has been depressed to its maximum possible degree of compression (to the end of its stroke), the clinician releases the firing trigger 1004, and is supported by the handle assembly 5 a spring (not shown) or other suitable bias settings the firing trigger 1004 back to the start position (not firing position). 当击发扳机1004恢复到开始位置时,第一离合器盘1052相对于第二离合器盘1060向后旋转(“A”方向),同时第二离合器盘1060保持静止而不运动。 When the firing trigger 1004 returns to the starting position, the first clutch plate 1052 relative to the second clutch plate 1060 rotating backwards ("A" direction), while the second clutch plate 1060 remains stationary without movement. 用户然后可再次压下击发扳机1004,直到动力夹钳元件150、刀155和滑车160通过行进索1302已经完全行进到通道组件120中的远端位置。 The user may then pressed the firing trigger 1004 again until the dynamic clamping member 150, knife 155, and sled 160 have been completely through travel cable 1302 travels to channel assembly 120 in a remote location.

[0214] 为了回缩(使刀组件170沿着近侧方向“PD”运动到开始位置)动力夹钳元件150、刀155和滑车160,临床医生移动切换器钮1170,使轴卷筒1110的次级齿轮齿1114与第二小齿轮1130上的第二齿轮齿1134啮合。 [0214] In order to retract (the cutter assembly 170 in the proximal direction "PD" to a starting position of movement) power clamp member 150, knife 155, and sled 160, the clinician to move the switch button 1170, the shaft spool 1110 secondary gear teeth 1114 with the second gear on the second pinion gear 1134 1130 engagement. 在轴卷筒1110已经运动到该位置之后,临床医生可以上述方式开始拉动/枢转击发扳机1004。 After the shaft spool 1110 has been moved to that location, the clinician may begin to pull in the above manner / pivot the firing trigger 1004. 当击发扳机1004继续枢转时,齿轮部分1006 沿着“B”方向旋转初级传动齿轮1040以及离合器组件1050和第二传动齿轮1070。 When the firing trigger 1004 continues to pivot, the gear portion rotating the primary drive gear 1006 as well as the clutch assembly 1040 along the "B" direction 1050 and the second drive gear 1070. 当第二传动齿轮1070沿着该方向旋转时,第三传动齿轮1080沿着相反的“A”方向旋转,也引起第一小齿轮1110沿着该方向旋转。 When the second drive gear 1070 to rotate in that direction, the third drive gear 1080 in the opposite "A" direction of rotation, but also causes the first pinion gear 1110 to rotate in that direction. 当第一小齿轮1100旋转时,其引起反向锥齿轮1140旋转并引起第二小齿轮1130沿着“B”方向旋转。 When the first pinion gear 1100 rotates, it causes the reverse bevel gear 1140 to rotate and cause the second pinion gear 1130 to rotate in the "B" direction. 由于轴卷筒1110的次级齿1114与第二小齿轮1130的第二齿1134啮合,轴卷筒1110和花键轴1120沿着“B”方向旋转。 Because the secondary teeth 1114 of the shaft spool 1110 with the second teeth 1130 of the second pinion gear 1134 engages the shaft spool 1110 and the splined shaft 1120 along the "B" direction. 切换器输出齿轮1180引起第一卷筒传动齿轮1220沿着“A”方向旋转。 Switching output gear 1180 causes the first spool gear 1220 is rotated in direction "A". 当第一卷筒传动齿轮1220沿着“A”方向旋转时,回缩索1330卷绕到第一卷筒1250上。 When the first spool gear 1220 to rotate in the "A" direction, retract cable 1330 is wound onto the first spool 1250. 当第一卷筒1250旋转时,第一卷筒传动齿轮1220沿着相同的方向旋转。 When the first spool 1250 rotates, the first spool gear 1220 is rotated in the same direction. 第一卷筒传动齿轮1220、反向齿轮1230和第二卷筒传动齿轮1240引起第二卷筒1260旋转以从第二卷筒1260松开行进索1302。 1220 first drum transmission gear, reverse gear 1230 and second spool drive gear 1240 cause the second spool 1260 rotates to travel from the second reel of cable 1302 1260 release.

[0215] 在击发扳机1004已经被压下到其最大可能压缩程度时(到其冲程末端),临床医生释放击发扳机1004,并且由手柄组件5支撑的弹簧(未显示)或者其他合适设置偏压击发扳机1004回到开始位置(未击发位置)。 [0215] In the firing trigger 1004 has been depressed to its maximum possible degree of compression (to the end of its stroke), the clinician releases the firing trigger 1004, and is supported by the handle assembly 5 a spring (not shown) or other suitable bias settings the firing trigger 1004 back to the start position (not firing position). 当击发扳机1004恢复到开始位置时,第一离合器盘1052相对于第二离合器盘1060向后旋转,同时第二离合器盘1060保持静止而不运动。 When the firing trigger 1004 back to the starting position, the first clutch plate 1052 relative to the second clutch plate 1060 rotating backwards, while the second clutch plate 1060 remains stationary without exercise. 用户然后可再次压下击发扳机1004,直到动力夹钳元件150、刀155和滑车160通过回缩索1330已经完全回缩到细长通道组件120中的开始位置。 The user may then depressing the firing trigger 1004 again until the dynamic clamping member 150, knife 155, and sled 160 by retracting cable 1330 has been fully retracted into the elongate channel assembly 120 in the start position.

[0216] 在图18和20中示出的实施方式中,可旋转第一卷筒1250和可旋转第二卷筒1260 逐渐变细。 [0216] In Fig. 18 and 20 in the embodiment shown, the rotatable spool 1250 and the first rotatable spool 1260 second tapers. 也就是说,它们沿着各自的轴向方向具有逐渐减小的直径。 That is, they have a decreasing diameter along their respective axial directions. 因此,当绞盘组件1001张紧索时,绞盘组件1001具有改变机械优点的能力。 Therefore, when the tension cable winch assembly 1001, the winch assembly 1001 has the ability to change the mechanical advantage. 在该实施方式中,行进索1302与卷筒1260连接并且回缩索1330与卷筒1250连接,使最大张紧力在击发过程开始时产生。 In this embodiment, the traveling cable spool 1302 and the retract cable 1260 is connected 1330 and 1250 connected to the spool, so that the maximum tension generated at the time of the firing process starts. 在绞盘组件1001以恒定扭矩转动时,索在卷筒上张紧并且卷筒直径的变化将改变传递到索上的力。 When the winch assembly 1001 is rotated at a constant torque, cable tension on the roll and roll diameter change will change the force transmitted to the cable on. 当击发过程中必须克服的最大摩擦或者阻力在击发程序开始发生时,这种设置特别有利。 When the maximum firing process must overcome friction or resistance began during the firing sequence, this arrangement is particularly advantageous. 但是,如果最大摩擦和阻力预期在接近击发过程结束时遇到,则索1302、1330可与它们各自的卷筒1260、1250的另一端(较小的一端)连接。 However, if the maximum friction and resistance is expected at the end of the encounter near the firing process, the cable can be connected to their respective 1302,1330 reel 1260,1250 other end (the smaller end). 在又一种其他实施方式中, 如果最大阻力和摩擦力在击发过程的中间遇到时,则每个卷筒1250、1260可具有带有比卷筒的端部更大的直径的中央部分。 In yet another other embodiments, if the maximum resistance and friction encountered in the middle of the firing process, each spool 1250,1260 may have a central portion of the end portion with a greater than the roll diameter. 这种独特新颖的卷筒构造与上面描述的独特新颖的滑轮一道,使装置能够被设计成解决在击发顺序中遇到的不同摩擦和阻力,并代表了对与外科缝合器械结合采用的驱动系统有关的现有索的巨大改进。 This unique and novel pulley unique new reel structure described above together, the apparatus can be designed to address different friction and resistance encountered in the firing sequence, and represents a drive system in combination with surgical stapling instrument used dramatic improvements in relevant existing cable.

[0217] 虽然上述索驱动系统1000包括了可手动致动的驱动系统,但本发明的其他构思实施方式也可采用电池供电的一个或多个马达,交流电供电的一个或多个马达或者气动马达,以便为索驱动系统供电。 [0217] While the above cable drive system 1000 includes a manually actuated drive system, but other ideas embodiments of the present invention can also employ one or more battery-powered motor, an AC power supply or more motors or pneumatic motors in order to drive the system power supply cable. 因此,对本发明的各种实施方式给予的保护不应当仅仅限制为可手动致动的外科器械。 Thus, the various embodiments of the present invention should not be given protection only limit is manually actuated surgical instruments.

[0218] 图15A、16A和21示出了本发明的另一种改进实施方式的击发系统1300'。 [0218] FIG. 15A, 16A, and 21 illustrate another embodiment of an improved firing system of the invention 1300 '. 从图15A和16A中可以看出,该实施方式采用了一对行进索1310'、1320'和回缩索1330。 As can be seen from FIGS. 15A and 16A, this embodiment uses a pair of traveling cable 1310 ', 1320' and retract cable 1330. 图15A 和16A以示意形式示出了索1310'、1320'和回缩索1330。 15A and 16A are shown in schematic form a cable 1310 ', 1320' and retract cable 1330. 从这些附图中可以看出,第一行进索1310'可操作地支撑在远侧第一索过渡支架1340和近侧第一索过渡支架1350上,如同上面描述的那样,所述远侧第一索过渡支架例如可包括与细长通道组件120的远端123连接的滑轮、杆、绞盘等,所述近侧第一索过渡支架例如可包括可操作地由细长通道组件120 支撑的滑轮、杆、绞盘等。 As can be seen from these figures, the first travel cable 1310 'is operatively supported on a distal first proximal cable transition support 1340 and the first cable transition support 1350, so as described above, the distal section a distal cable transition support such as pulley may include an elongate channel assembly 120 123 connection rods, winches, etc., the first proximal cable transition support may include, for example, 120 is operably supported by the elongate channel assembly of pulleys , pole, winch and so on. 第一行进索1310'的远端1312'固定到刀组件170(动力夹钳组件150)并且第一行进索1310'的近端1314'连接到与可往复运动驱动元件1390连接的连接器1380。 A first traveling cable 1310 'distal end 1312' is fixed to the knife assembly 170 (dynamic clamping assembly 150) and the first traveling cable 1310 'proximal end 1314' is connected to a reciprocable drive element connected to the connector 1390 1380. 如同从图15A和16A中看到的那样,远侧第一索过渡支架1340可被定向成使其旋转轴线大体上与近侧第一索过渡支架1350的旋转轴线垂直。 As seen from FIGS. 15A and 16A, as first distal cable transition support 1340 may be oriented perpendicular to the axis of rotation so that the axis of rotation substantially proximal first cable transition support 1350. 第二行进索1320'可操作地支撑在远侧第二索过渡支架1360和近侧第二索过渡支架1370上,所述远侧第二索过渡支架例如可包括与细长通道组件120的远端123连接的滑轮、杆、绞盘等,所述近侧第二索过渡支架例如可包括例如安装在细长通道组件120的近端的滑轮、杆、绞盘等。 Second travel cable 1320 'is operably supported on a second distal cable transition support 1360 and a second proximal cable transition support 1370, the second distal cable transition support may comprise, for example with the elongate channel assembly 120 far pulley end 123 connected, rods, winches, the proximal second cable transition support may include, for example mounted on the proximal end of the elongate channel assembly 120, pulleys, rods, winches and the like. 第二行进索1320的远端1322,连接刀组件170(动力夹钳组件150)并且近端1324,与连接器1380, 连接。 Advancing the distal end of the second cable 1320 1322, connecting the knife assembly 170 (dynamic clamping assembly 150) and a proximal end 1324, the connector 1380 is connected. 同样在这些实施方式中,采用回缩索1330。 Also in these embodiments, the use of retraction cable 1330. 在一种实施方式中,回缩索1330可形成环,使远侧环状末端1332固定连接(模压等)到动力夹钳组件150上并且两个近端1334、 1336每个都固定连接(模压等)到连接器1380上。 In one embodiment, the retraction cable 1330 may form a ring, so that the distal end of the ring 1332 is fixedly connected (molded, etc.) to the dynamic clamping assembly 150 and the two proximal end 1334, 1336 are each fixedly connected (molded etc.) to the connector 1380.

[0219] 本领域普通技术人员将会理解,当驱动杆1390沿着远侧方向“DD”行进时,动力夹钳元件150、刀155和滑车160也可沿着远侧方向(“DD”)行进。 [0219] One of ordinary skill in the art will appreciate that when the drive bar 1390 in the distal direction "DD" travel, the power clamp member 150, knife 155, and sled 160 in the distal direction also ("DD") traveling. 为了沿着近侧方向“PD” 回缩刀,驱动杆1390沿着近侧方向“PD”运动。 To the proximal direction "PD" knife retraction, the drive rod 1390 in the proximal direction "PD" movement. 在各种实施方式中,驱动杆1390可选择性地通过驱动系统1400行进和回缩,所述驱动系统1400在操作上有些类似于绞盘组件1001 的操作,但下面描述的不同除外。 In various embodiments, the drive rod 1390 may be selectively driven by advancing and retraction system 1400, the drive system 1400 is similar in operation operating winch assembly 1001, except as described below, but different. 特别是,从图21中可以看出,手柄齿轮部分1006可在击发扳机(未显示)上形成或者设置。 In particular, it can be seen from Figure 21, the handle gear segment 1006 in the firing trigger (not shown) is formed or set on. 手柄齿轮部分1006可安装成与初级传动齿轮1040啮合,所述初级传动齿轮安装在与离合器组件1050的第一棘齿离合器盘1052连接的轴(未显示)上。 Handle gear portion 1006 may be mounted with the primary drive gear 1040 engages the primary drive gear mounted on the shaft and the first ratchet clutch assembly 1052 1050 clutch disc connected (not shown). 第二棘齿离合器盘1060支撑在可旋转支撑在手柄组件5中的离合器轴1062上。 Second ratchet clutch plate 1060 is supported rotatably supported in the handle assembly 5 in 1062 on the clutch shaft. 离合器轴1062可设置有肩部(未显示)并具有通过轴颈连接于其上的离合器弹簧1066,以便将第二棘齿离合器盘1060偏压成与第一棘齿离合器盘1050啮合。 Clutch shaft 1062 may be provided with a shoulder (not shown) connected thereto and having a clutch spring 1066 journaled to the second ratchet clutch plate 1060 biased into engagement with the first ratchet clutch plate 1050.

[0220] 第二传动齿轮1070可通过轴颈连接到离合器轴1062上并与第三传动齿轮1080 啮合,所述第三传动齿轮1080与由安装在机架组件1012'中的第一传动轴承或套筒(未显示)可旋转支撑的第一传动轴1090连接。 [0220] The second drive gear 1070 can be connected to the clutch shaft journaled 1062 and engaged with the third drive gear 1080, the third drive gear 1080 by the first drive installed in the rack assembly 1012 'in the bearing or a sleeve (not shown) rotatably supporting a first shaft 1090 is connected. 第一传动轴1090具有第一小齿轮部分1100和一组在其上形成的第一齿轮齿1102,以便选择性地与轴向可旋转运动的轴卷筒1110上的一组初级齿轮齿1112啮合。 The first transmission shaft 1090 has a first pinion gear portion 1100 and a set of first gear teeth 1102 formed thereon for selectively axially rotatable movement of a group of primary gear shaft spool 1110 engages the teeth 1112 . 轴卷筒1110容纳在可旋转容纳在第一传动轴1090和第二小齿轮1130中的花键轴1120(未显示)上。 1120 spool shaft spline shaft rotatably received in the 1110 accommodated in the first and second pinion shaft 1090 1130 (not shown). 第二小齿轮1130具有第二小齿轮部分1132和一组第二齿轮齿1134,用于选择性地与轴卷筒1110上的次级齿轮齿1114啮合。 The second pinion gear 1130 has a second pinion gear portion 1132 and a set of second gear teeth 1134 for selective engagement with the secondary gear teeth on the shaft spool 1110 1114. 第二小齿轮1130由安装在机架组件1012'中的第二轴承(未显示)可旋转支撑,如图所示。 The second pinion gear 1130 is mounted by the frame assembly 1012 'in the second bearing (not shown) is rotatably supported, as shown in FIG.

[0221 ] 反向锥齿轮1140由分别与第一和第二小齿轮1100、1130啮合的机架组件1012'支撑。 [0221] reverse bevel gear 1140 by the frame assembly with the first and second pinion engaging 1100,1130 1012 'support. 轴卷筒1110具有在其上形成的卡圈部分1150,以便容纳从切换杆1166的底部上形成的轭形件1160延伸的两个相对的销1162。 1110 spool shaft having a collar portion 1150 formed thereon, in order to accommodate the yoke 1160 extending from the bottom of the switching lever 1166 is formed of two opposite pin 1162. 切换杆1166具有枢转地销接到机架组件1012' 上的横杆部分1014'的轴1168部分。 1166 has a switching lever is pivotally pinned to the frame assembly 'cross bar portion 1014' on the shaft portion 1012 1168. 一部分轴1168经过手柄壳体(未显示)中的开口向外突出,并且切换钮1170可与轴1168的端部连接,使用户可来回轴向移动轴1168,使驱动器1140反向(将在下面进一步探讨)。 1168 through the handle portion of the shaft housing (not shown) protruding outwardly in the opening and switching button 1170 can be connected to the shaft end of the 1168's, allowing users to move back and forth axial shaft 1168, the drive 1140 reverse (in the following further study). 本领域普通技术人员将会理解,轭形件1160的设置使轴卷筒1110相对于轭形件1160自由旋转,同时使轭形件1160在花键轴1120上轴向移动卷筒1110。 Those of ordinary skill in the art will appreciate that the yoke member 1160 is provided with respect to the shaft spool 1110 yoke member 1160 is free to rotate, while the yoke member 1160 on the spline shaft 1120 to move the spool 1110 axially.

[0222] 切换器输出齿轮1180锁定到花键轴1120上或者与其连接以便与其一起旋转。 [0222] locking switch output gear 1180 to 1120 or the spline shaft to rotate therewith connected thereto. 切换器输出齿轮1180被设置成与连接到传动轴1200'的传动齿轮1190'啮合。 Switching output gear 1180 is arranged to be connected to the drive shaft 1200 'of drive gear 1190' engagement. 与传动轴1200' 连接的是传动齿轮1410,其与被限制成在机架1012'中形成的两个凸耳1422、14M之间沿着远侧和近侧方向轴向运动的齿条1420啮合。 Drive shaft 1200 'is connected gear 1410, which is limited to the frame 1012 and' 1420 engagement between the two lugs 1422,14M formed in the axial direction of the distal and proximal movement of the rack . 为了将驱动杆1390的近端固定到齿条1420 上,可在齿条1420的远端1425中形成T形槽1似6。 To the proximal end of the drive rod 1390 is fixed to the rack 1420 can be formed in the distal end of the rack 1420 1425 T-shaped slots like 6. 但是,也可采用其他连接方法。 However, other connection methods can also be used.

[0223] 现在将描述操作驱动系统1400的方法。 [0223] Now the operation of the drive system of the method described in 1400. 从图21中可以看出,轴卷筒1110处于空闲位置。 As can be seen from Figure 21, the shaft spool 1110 is in the idle position. 因此,击发扳机1004的致动不会导致动力夹钳元件150、刀155或者滑车160的任何运动。 Thus, actuation of the firing trigger 1004 will not result in any movement of the power clamp member 150, knife 155 or sled 160. 为了击发装置(使动力夹钳元件150、刀155或者滑车160沿着远侧方向DD运动),临床医生移动切换器钮1170,使第一小齿轮1100的第一齿轮齿1102与轴卷筒1110的初级齿轮齿1112啮合。 Means for firing (dynamic clamping member 150 so that the knife 155 or sled 160 in the distal direction DD movement), the clinician to move the switch button 1170, the first pinion gear of the first gear teeth 1100 of the shaft spool 1102 and 1110 1112 primary gear teeth meshing. 在轴卷筒1110已经运动到该位置时,临床医生可开始拉动/枢转击发扳机1004,引起手柄齿轮部分1006运动。 When the shaft spool 1110 has been moved to this position, the clinician may begin to pull / pivot the firing trigger 1004 to cause the handle gear segment 1006 campaign. 当击发扳机1004继续枢转时,齿轮部分1006 使离合器组件1050的初级传动齿轮和第二传动齿轮1070旋转。 When the firing trigger 1004 continues to pivot, the gear portion of the clutch assembly 1050 1006 primary drive gear and the second drive gear 1070 to rotate. 当第二传动齿轮1070沿着一个方向旋转时,第三传动齿轮1080沿着相反的方向旋转,并且还引起第一小齿轮1100 也沿着该方向旋转。 When the second drive gear 1070 is rotated in one direction, the third drive gear 1080 in the opposite direction of rotation, and also causes the first pinion gear 1100 also rotate in that direction. 由于第一小齿轮1100的第一齿1102与轴卷筒1110的初级齿1112啮合,轴卷筒1110也沿着该方向旋转。 Because the first teeth 1102 of the first pinion gear and the spool shaft 1100 is engaged with the primary teeth 1110 of 1112, the shaft spool 1110 also rotates in that direction. 当轴卷筒1110沿着该方向旋转时,花键轴和切换器输出齿轮1180也沿着该方向旋转。 When the shaft is rotated in the direction of the spool 1110, spline shaft and switching output gear 1180 also rotate in that direction. 切换器输出齿轮1180引起传动齿轮1190'、传动轴1200' 和传动齿轮1410沿着“B”方向旋转,从而沿着远侧方向DD驱动齿条。 Switching output gear 1180 causes the drive gear 1190 ', drive shaft 1200', and drive gear 1410 to rotate in "B" direction thereby driving the rack in the distal direction DD.

[0224] 在击发扳机1004已经被下压到其最大可能压缩的程度(到其冲程末端)时,临床医生释放击发扳机1004并且弹簧(未显示)或者由手柄组件5支撑的其他合适设置偏压击发扳机1004回到开始位置(未击发位置)。 [0224] In the firing trigger 1004 has been depressed to the maximum possible degree of compression (to the end of its stroke), the clinician releases the firing trigger 1004 and a spring (not shown) or supported by the handle assembly 5 other suitable bias settings the firing trigger 1004 back to the start position (not firing position). 当击发扳机1004返回到开始位置时,第一离合器盘1052相对于第二离合器盘1060向后旋转(A方向),同时第二离合器盘1060保持静止而不运动。 When the firing trigger 1004 returns to the start position, the first clutch plate 1052 relative to the second clutch plate 1060 rotating backwards (A direction), while the second clutch plate 1060 remains stationary without movement. 临床医生然后可再次压下击发扳机1004,直到刀组件170(动力夹钳元件150、刀155和滑车160)通过齿条1420和驱动杆1390已经完全行进到通道组件120中的远侧末端位置。 Clinicians can then be pressed firing trigger 1004 again until the knife assembly 170 (dynamic clamping member 150, knife 155, and sled 160) by a rack 1420 and the drive rod 1390 has been fully traveled to channel assembly 120 in the distal end position.

[0225] 为了回缩(沿着近侧方向“PD”运动到开始位置)动力夹钳元件150、刀155和滑车160,临床医生移动切换器钮1170,使轴卷筒1110的次级齿轮齿1114与第二小齿轮1130 上的第二齿轮齿11;34啮合。 [0225] In order to retract (in the proximal direction "PD" to a starting position of movement) power clamp member 150, knife 155, and sled 160, the clinician to move the switch button 1170, the shaft spool secondary gear teeth 1110 1114 and 1130 second pinion second gear teeth 11; 34 engaged. 在轴卷筒1110已经运动到该位置之后,临床医生可以上述方式开始拉动/枢转击发扳机1004。 After the shaft spool 1110 has been moved to that location, the clinician may begin to pull in the above manner / pivot the firing trigger 1004. 当击发扳机1004继续枢转时,齿轮部分1006沿着“B” 方向旋转初级传动齿轮1040以及离合器组件1050和第二传动齿轮1070。 When the firing trigger 1004 continues to pivot, the gear portion rotating the primary drive gear 1006 as well as the clutch assembly 1040 along the "B" direction 1050 and the second drive gear 1070. 当第二传动齿轮1070沿着该方向旋转时,第三传动齿轮1080沿着相反的“A”方向旋转,也引起第一小齿轮1110沿着该方向旋转。 When the second drive gear 1070 to rotate in that direction, the third drive gear 1080 in the opposite "A" direction of rotation, but also causes the first pinion gear 1110 to rotate in that direction. 当第一小齿轮1100旋转时,其引起反向锥齿轮1140旋转并引起第二小齿轮1130沿着“B”方向旋转。 When the first pinion gear 1100 rotates, it causes the reverse bevel gear 1140 to rotate and cause the second pinion gear 1130 to rotate in the "B" direction. 由于轴卷筒1110的次级齿1114与第二小齿轮1130的第二齿1134啮合,轴卷筒1110和花键轴1120沿着“B”方向旋转。 Because the secondary teeth 1114 of the shaft spool 1110 with the second teeth 1130 of the second pinion gear 1134 engages the shaft spool 1110 and the splined shaft 1120 along the "B" direction. 切换器输出齿轮1180 引起传动齿轮1190'、传动轴1220'和传动齿轮1410沿着“A”方向旋转,这引起齿条14M 沿着近侧方向“PD”运动。 Switching output gear 1180 causes the drive gear 1190 ', drive shaft 1220', and drive gear 1410 to rotate in "A" direction which causes the rack 14M in the proximal direction "PD" movement.

[0226] 在击发扳机1004已经被下压到其最大可能压缩程度时(到其冲程末端),用户释放击发扳机1004,并且由手柄组件5支撑的弹簧(未显示)或者其他合适设置偏压击发扳机1004回到开始(未击发位置)位置。 [0226] In the firing trigger 1004 has been depressed to the maximum possible degree of compression (to the end of its stroke), the user releases the firing trigger 1004, and is supported by the handle assembly 5 a spring (not shown) or other suitable firing bias settings trigger 1004 back to the beginning (unfired position) position. 当击发扳机1004返回到开始位置时,第一离合器盘1052相对于第二离合器盘1060向后旋转(A方向),同时第二离合器盘1060保持静止而不运动。 When the firing trigger 1004 returns to the start position, the first clutch plate 1052 relative to the second clutch plate 1060 rotating backwards (A direction), while the second clutch plate 1060 remains stationary without movement. 用户然后可再次下压击发扳机1004,直到动力夹钳元件150、刀155和滑车160通过驱动杆1390和导轨14M已经完全回缩到细长通道组件120中的开始位置。 The user may then depressing the firing trigger 1004 again, the start position until the power clamp member 150, knife 155, and sled 160 through the drive rod and the guide rail 1390 has been completely retracted 14M to the elongate channel assembly 120. 本领域技术人员将会理解,传动装置或导轨和小齿轮的传动比的变化可被用于得到改进的机械优点, 以便在细长通道组件120中驱动刀组件170(动力夹钳元件150、刀155和滑车160)。 Those skilled in the art will appreciate that the guide rail and the drive gear or pinion of ratio change may be used to obtain improved mechanical advantages for driving the knife assembly 120 in the elongate channel assembly 170 (dynamic clamping member 150, knife 155 and pulley 160).

[0227] 虽然上述索驱动系统1400包括了可手动致动的驱动系统,但本发明的其他构思实施方式也可采用电池供电的一个或多个马达,交流电供电的一个或多个马达或者气动马达,以便为索驱动系统供电。 [0227] While the above cable drive system 1400 includes a manually actuated drive system, but other ideas embodiments of the present invention can also employ one or more battery-powered motor, an AC power supply or more motors or pneumatic motors in order to drive the system power supply cable. 因此,对本发明的各种实施方式给予的保护不应当仅仅限制为可手动致动的外科器械。 Thus, the various embodiments of the present invention should not be given protection only limit is manually actuated surgical instruments.

[0228] 图22-示出了可采用本发明的一些零件的另一种外科缝合器械1500的一部分。 [0228] FIG. 22- shows a part of another surgical stapling apparatus of the present invention may be used some of the parts of 1500. 该实施方式采用了从手柄(未显示)延伸到通道组件(未显示)的中空脊或者管1510。 This embodiment uses extends from a handle (not shown) to the channel assembly (not shown) of the hollow tube 1510 or ridges. 在图22-24示出的实施方式中,中空脊1510与Racenet等人的美国专利公开US 2005/0006432 中公开的类型和构造的关节运动接头1512连接,该文献的内容通过引用而包含在本申请中。 In the embodiment shown in Figure 22-24, the hollow ridge 1510 and Racenet U.S. Patent Publication US 2005/0006432 discloses the type and structure of the articulation joint 1512 is connected, the content of which is incorporated by reference and included in the present application. 在不背离本发明的精神和范围的条件下也可采用其他关节运动接头设置。 Without departing from the spirit and scope of the present invention may also be other conditions set articulation joint. 从图22-24 中可以看出,驱动杆1520延伸穿过中空管1510并具有近端1522,该近端1522可与上述类型的驱动设置的导轨连接并由手柄支撑。 As can be seen from Figures 22-24, a drive rod 1520 extends through the hollow tube having a proximal end 1510 and 1522, the proximal end of the handle support 1522 may be connected by a drive provided with guide rails of the type described above. 过渡块1530可与驱动杆1520的远端15M连接或者在其上形成以便连接从动杆1540。 1530 block transition with the distal end of the drive rod 1520 15M connection or formed thereon so as to connect the follower pin 1540. 近侧滑轮、杆、绞盘等1560安装在中空管1510中, 如图22和M中所示。 Proximal pulley, rod, capstan, etc. 1560 is installed in the hollow tube 1510, M 22 and shown in FIG.

[0229] 索、丝线、窄带、带等1570可操作地支撑在通道组件(未显示)上形成的一个或多个滑轮、杆、绞盘等上,并延伸穿过关节运动接头1512并可操作地支撑在如图22-M中显示的远侧滑轮1560上。 [0229] cable, wire, narrow band, belt, etc. 1570 is operably supported in channel assembly (not shown) formed on one or more of the pulley, rod, capstan, etc., and extend through the articulation joint 1512 and operably supported on the distal pulley 1560 as shown in the display of 22-M. 索1570可具有行进部分1572和回缩部分1574。 Cable 1570 may have a travel section 1572 and section 1574 retraction. 回缩部分1574的端部1576可固定连接到从动杆1540的远端巧42,如图22中所示。 Retraction portion 1574 ends 1576 may be fixedly connected to the distal end of the 1540's clever follower pin 42, shown in Figure 22. 同样的,索1570的另一端部1578与从动杆1540的远端1542连接。 Similarly, the other end of the cable 1570 1578 1542 1540 connected to the distal end of the driven rod. 图22示出了当动力夹钳元件(未显示)、 刀(未显示)和滑车(未显示)处于细长通道组件(未显示)的远端时从动杆1540的位置。 Figure 22 shows the position when the power clamp element (not shown), a knife (not shown) and block (not shown) in the elongate channel assembly (not shown) of the distal end of the driven rod 1540. 动力夹钳元件、刀和滑车可通过上述驱动系统(图21)以可引起驱动杆1520和从动杆1540沿着近侧方向“PD”运动的上述回缩模式操作运动到回缩位置。 Dynamic clamping member, knife and tackle can (FIG. 21) can cause the drive rod 1520 and the driven rod 1540 is retracted in the proximal direction of the movement of the operation mode "PD" to a retracted position by the movement of the drive system. 本领域普通技术人员将会理解,所述设置代表了优于现有索设置的机械优点的巨大改进。 One of ordinary skill in the art will appreciate that the set represents a superior mechanical advantage of existing cable set great improvement. 还应当理解,当器械进行关节运动时索1570可挠曲。 It should also be understood that when the instrument is articulated flexible cable 1570. 在其他实施方式中,索的端部可与将在下面进一步描述类型的弹簧连接设置连接在一起。 In other embodiments, the end of cable with the type described further below spring connection settings together.

[0230] 如上所述,当使用索驱动的外科切割和缝合器械时可能遇到的一个问题是一根或多根索可与一个或多个索过渡支架诸如滑轮、杆、绞盘等脱离接合或者可使装置丧失能力的类似问题。 [0230] As described above, a problem when using a cable-driven surgical cutting and stapling instrument may encounter is one or more cable can be used with one or more cable transition support such as a pulley, rod, capstan, etc. or disengaged the apparatus can incapacitated similar problems. 例如,所述索脱离可由装置的使用过程中的机械振动引起,或者可通过在使用或者运输过程中装置受到震动引起。 For example, the cable from the use of the process by means of mechanical vibration, or by the use or during transport device caused by vibrations. 图25-27示出了采用索止动元件1600的本发明的其他实施方式,该索止动元件例如可包括细长通道组件120上靠近索过渡支架830、850以将索800、820分别保持于其上的索保持块1601。 Figure 25-27 shows another embodiment of the use of the cable stop member 1600 of the present invention, the cable stop elements for example, include an elongate channel assembly close to 830,850 cable transition support 120 to 800,820 claims were maintained cable thereto holding block 1601. 在各种实施方式中,索过渡支架830、850例如可包括滑轮、杆、绞盘等。 In various embodiments, the cable transition support 830,850 for example, include a pulley, rod, capstan, etc. 虽然在各种实施方式中索保持块1610可以各种形状和构造设置,但每个索保持块1601可具有与索800、820弧形形状互补的弧形表面1602,使索800、 820不会与索过渡支架800、820脱离。 Although the various embodiments of cable retention block 1610 may set a variety of shapes and configurations, each cable retention block 1601 may have an arcuate shape complementary to the cable 800,820 arcuate surface 1602, so that the cable 800, 820 will not and 800,820 from the cable transition support.

[0231] 图28和四示出了另一种索止动元件1700,例如其可包括本发明的其他实施方式的索保持块1701。 [0231] and FIG. 28 shows another four cable stop member 1700, for example, it may include other embodiments of the present invention, the cable retention block 1701. 从这些附图中可以看出,块1701具有穿过其中的通道1702,其形成索800、820可通过的弧形支撑表面1704。 As it can be seen from these figures, block 1701 has a passage therethrough of 1702, 800,820 cable through the arc-shaped support surface 1704 formed. 在该实施方式中,在安装过程中索可穿入弧形通道1702并从其中通过。 In this embodiment, the cable during installation and can penetrate the arcuate channel 1702 therethrough. 所述设置避免了索从一个或多个滑轮、杆、绞盘等脱开的问题。 Avoiding the cable from the set of one or more pulleys, rods, winches and other issues disengaged.

[0232] 图30-33以示意形式示出了本发明的另一种实施方式。 [0232] FIG. 30-33 are shown in schematic form another embodiment of the present invention. 该实施方式采用具有由索1800驱动的动力夹钳元件150、刀155和滑车组件160 (在本文中统称为“刀组件170”)的细长通道组件120。 This embodiment uses the cable 1800 having a power-driven clamp member 150, knife 155, and sled assembly 160 (collectively referred to herein as "knife assembly 170") of the elongate channel assembly 120. 特别是,索1800可操作地支撑在一对索过渡支架1802、1804和位于刀组件170上的第三索过渡支架1806上,所述索过渡支架1802、1804例如可包括安装在细长通道组件120的远端123底部的滑轮、柱、绞盘等,所述第三索过渡支架1806例如可包括滑轮、柱、绞盘等。 The particular cable 1800 operatively supported on a pair of cable transition support 1802, 1804 and located in the knife assembly 170 third cable transition support 1806, 1802, 1804 for example, the cable transition support may include an elongate channel assembly installation Pulley distal end 123 of the bottom 120, columns, winches, the third cable transition support 1806 may for example include a pulley, columns, winches and the like. 另外,索1800可操作地支撑在由手柄组件5可运动支撑的驱动滑轮1808 上。 In addition, the cable 1800 operably supported by the handle assembly 5 on the movable support of the drive pulley 1808. 驱动滑轮1808可通过手柄组件5中的扳机(未显示)或者其它致动器设置(未显示) 选择性地沿着远侧方向“DD”和近侧方向“PD”运动。 Drive pulley 1808 by the handle assembly 5 in a trigger (not shown) or other actuator disposed (not shown) selectively in the distal direction "DD" and proximal direction "PD" movement.

[0233] 如图30-33中示出的本发明的其他实施方式采用独特新颖的用于连接索1800的端部的索张紧接头1801,以便保持索1800的张紧,防止索1800从滑轮1802、1804、1806、 1808脱落。 [0233] In other embodiments 30-33 of the present invention shown in FIG unique and novel uses for connecting 1800 cable tension cable connector ends of 1801, in order to maintain the tension cable 1800, to prevent the rope from the pulley 1800 1802,1804,1806, 1808 off. 特别是,该设置采用弹簧1810形式的张紧元件,其大体上沿着与索加载路径平行的路径定向。 In particular, the setting with spring 1810 in the form of tensioning elements, which generally along a path parallel to the path of Mississauga carrier orientation. 从那些附图中可以看出,第一止动元件或者块1820固定(模制、粘合、焊接等)连接到索1800的第一端部1803。 As can be seen from those figures, the first stop member or block 1820 is fixed (molding, bonding, welding, etc.) is connected to the first end portion 1800 of the cable 1803. 索1800的第二端部1805也与第二止动元件或者块1830固定连接(模制、焊接、粘合等)。 The second end of cable 1800 and the second stopper 1805 are or block 1830 is fixedly connected member (molding, welding, bonding, etc.). 从图33中可以看出,第二止动元件1830具有穿过其中的通道1832,一部分索1800可滑动通过其中,如该图中的箭头所示。 As can be seen from FIG. 33, the second stop member 1830 has a passage 1832 therethrough, a portion of the cable 1800 may slidably pass therethrough, as shown by an arrow in the figure. 第三止动元件或者块1840与索1800固定连接并且弹簧1810的端部与其连接。 The third stop moving element or block 1840 is fixedly connected with the cable 1800 and spring 1810, the ends connected thereto. 弹簧1810的另一端与第二止动元件1830连接。 The other end of the spring 1810 is connected with the second stopper member 1830. 本领域普通技术人员可以理解,当可操作地支撑在例如滑轮、绞盘、 保持块等形式的索过渡支架上时,当张紧弹簧1810未扩张时所述设置允许索1800使距离“L”(第一和第二止动元件1820、1830之间的距离)变长。 Of ordinary skill in the art can appreciate, when operably supported on, for example pulleys, winches, holding block and other forms of cable transition support, when the tension spring 1810 is not set up to allow the expansion of the cable 1800 so that the distance "L" ( a first and a second stopper member 1820, 1830 between the distance) becomes long. 还应当理解,当采用如图32中所示的进行关节运动的器械时所述设置特别有利。 It should also be understood that when using articulating instrument shown in FIG. 32 the arrangement is particularly advantageous. 特别是,索张紧接头1801的使用使索能够延伸或者围绕关节运动接头弯曲,同时保持围绕各种索过渡支架张紧。 In particular, the use of cable tension joint 1801 enables the cable can extend or bend around the articulation joint while maintaining tension around various cable transition support.

[0234] 如上所述,当采用索驱动系统时通常遇到的另一种挑战涉及以确保索有效地将需要的力传递到刀/动力夹钳元件或者其他外科器械元件的方式连接索(驱动元件)的端部。 [0234] As described above, when the cable drive system using another challenge commonly encountered relates to the need to ensure that the cable effectively force transmission mode to the knife / dynamic clamping member or other surgical instrument component connected to the cable (drive element) ends. 图34和35示出了本发明的各种实施方式的环形索1900。 Figures 34 and 35 illustrate various embodiments of the present invention the ring cable 1900. 在该实施方式中,例如,环形索1900可包括编织的金属线或者编织的塑性材料元件。 In this embodiment, for example, woven endless cable 1900 may comprise a metal wire or woven plastic material element. 为了形成环形索,端部1902的纤维1903可与端部1904的纤维1905交织形成索环。 In order to form a ring cable, fiber ends with the end of 1903 1902 1905 1904 interweaving the fiber form grommet. 另一种实施方式是中国式指套(Chinese finger cuff)(图35)方法,其中一个端部插入中空编织索的另一端部形成张得更紧的连接。 Another embodiment is a Chinese-style finger (Chinese finger cuff) (Figure 35), wherein one end inserted into the other ends of the hollow braided rope formed Zhang tighter connection. 在各种实施方式中,在组装过程中可采用一些紧固剂/粘接剂以便于所述接头的预张紧。 In various embodiments, it may be of some fastening agent / adhesive during assembly to facilitate the fitting of the pre-tensioning. 例如,当沿着纵向施加张力时所述设置可允许索1900稍微围绕其纵向轴线“LL”压缩。 For example, when tension is applied along the longitudinal direction of the setting allows the cable 1900 slightly about its longitudinal axis "LL" compression. 所述编织模式的一个例子在Olsen的美国专利US4817643中公开,其内容通过引用而包含在本申请中。 An example of the weave pattern in Olsen U.S. Patent No. US4817643 is disclosed, which is incorporated by reference herein contained. 在端部1902、1904如图所示编织在一起之后,索1900形成封闭的环1906。 After the end of the 1902, 1904 as shown in Figure woven together to form a closed loop of cable 1900 1906. 当端部1902、1904编制或者交织在一起时,索可围绕驱动滑轮或者其他元件以及外科器械元件的可运动元件诸如销、滑轮、绞盘或者其他部分成环。 When the end of the 1902, 1904 prepared or intertwined rope around the drive pulley or can other elements as well as surgical instruments element movable elements such as pins, pulleys, winches or other parts into the ring.

[0235] 图36-38示出了本发明的用于将索与外科器械元件连接的另一种索连接设置2000。 [0235] Figure 36-38 shows a cable to another cable element is connected with the surgical instrument of the present invention, connection settings 2000. 从这些附图中可以看出,索2002可具有大体上为楔形或者大体上为圆锥形的嵌块(slug) 2010,该嵌块具有在其中延伸的孔2012,用于容纳索2002的端部2004,如图36中所示。 As can be seen from these figures, the cable 2002 may have a substantially wedge-shaped or substantially conical slug (slug) 2010, the slug has a bore extending therein 2012, for receiving the ends of Nassau 2002 2004, 36 shown in FIG. 嵌块2010可卷曲、模制、粘合、包覆成型、超声焊接等到索端部2012上,如图所示。 Slug 2010 may be crimped, molding, bonding, overmolding, ultrasonic welding wait until the end of the 2012 cable, as shown. 在各种实施方式中,例如,嵌块2010可由略软的材料诸如铅、铜、黄铜、不锈钢、钛等或者例如热塑性材料诸如尼龙或者聚碳酸酯制成。 In various embodiments, for example, the slug 2010 may be slightly soft material such as lead, copper, brass, stainless steel, titanium, etc. or, for example a thermoplastic material such as nylon or polycarbonate. 嵌块2010的尺寸设置成使其能被容纳在例如与动力夹钳元件150连接的外科器械元件中的形状互补的凹口2020中。 Size slug 2010 is arranged so that it can be accommodated in the surgical instrument component such as power clamp element 150 is connected in a shape complementary to the recess 2020. 凹口2020的尺寸可设置成当沿着“T”方向向索2002施加张力时使连接变得更紧。 2020 recess size can be set to make the connection becomes tighter when viewed along the "T" direction applying tension to the cable 2002. 也就是说,当索张力增大时, 嵌块2010进一步压缩在索2020的端部2004上。 That is, when the cable tension increases, the slug 2010 is further compressed in the cable ends 2004 2020. 在各种实施方式中,凹口2020可以至少在其一侧上是开口的,以允许嵌块2010被安装在其中。 In various embodiments, the recess 2020 may be at least on one side thereof is opened to permit the slug 2010 to be installed therein.

[0236] 图39示出了本发明的各种实施方式的另一种索连接设置2100。 [0236] FIG. 39 illustrates various embodiments of the invention Another 2100 cable connection settings. 从该图中可以看出,索2110的端部2112可围绕销2120卷绕,并通过一个或多个夹具2130与索2110的其他部分2114连接,所述夹具可卷绕或者夹紧于其上,以便形成环2140,该环2140用于容纳至少一部分外科器械元件例如诸如滑轮、销、绞盘等。 As can be seen from this figure, the end portion 2110 of the cable 2112 may be wound around the pin 2120, and one or more other parts of the cable clamps 2130 2110 2114 connection, the clamp may be clamped thereon is wound or to form a ring 2140, the ring 2140 for receiving at least a portion of the surgical instrument elements such as pulleys, pins, winches and the like.

[0237] 图40示出了本发明的各种实施方式的另一种索连接设置2200。 [0237] FIG. 40 illustrates various embodiments of the present invention another 2200 cable connection settings. 从该图中可以看出,索2210的端部2212可卷绕在销2220上并可焊接或者粘合在索2210的另一相邻部分2214上以形成环2240,以便容纳至少一部分外科器械元件,例如滑轮、销、绞盘等。 As can be seen from this figure, the end portion 2210 of the cable 2212 may be wound around the pin 2220 and welded or bonded to another adjacent portion 2210 of cable 2214 to form a loop 2240 for receiving at least a portion of a surgical instrument element such as a pulley, pin, capstan and so on.

[0238] 在美国专利公开US 2006/0011699A1中公开的内镜切割器采用了两个索系统:一个用于闭合砧座,并且另一个拉动动力夹钳组件、刀和滑车,以切割组织并成形缝钉。 [0238] In U.S. Patent Publication US 2006 / 0011699A1 disclosed endoscopic cutter uses two cable systems: one for closing the anvil, and the other pulling power clamping assembly, knife, and sled to cut tissue and forming staples. 在一种设置中,索与夹钳卡圈连接以便在凸轮表面上和上方向远侧拉动夹钳卡圈,以便相对于钉仓组件闭合砧座并压缩组织。 In one arrangement, cable and clamp collar connected to the cam surface and the direction of the distal pull clamp collar to close with respect to the cartridge assembly and the anvil compression organization. 该闭合索必须通过关节运动接头回穿到手柄中。 The closure cable must pass back through the articulation joint to the handle. 当该索的近端被拉动时,与夹钳卡圈连接的索的远端引起夹钳卡圈向远侧运动并闭合砧座。 When the proximal end of the cord is pulled, the distal end of the cable and clamp collar connection caused clamp collar to move distally and close the anvil. 但是,所述设置受到产生夹钳力的能力的限制。 However, the set is limited ability to generate clamping force.

[0239] 图41示出了在上述公开中公开类型的关节运动接头1512。 [0239] FIG. 41 shows the type disclosed in the above publication articulation joint 1512. 图42和43示出了本发明的各种实施方式的闭合管组件2300的关节运动接头组件2302,这些实施方式可与关节运动接头1512结合使用并不需要用索来闭合砧座110。 Figures 42 and 43 illustrate various embodiments of the closure tube assembly of the present invention, the articulation joint assembly 2300, 2302, 1512 of these embodiments may be used in conjunction with a cable do not need to close the anvil 110 and the articulation joint. 图44示出了安装在关节运动接头1512上方的闭合管组件2300。 Figure 44 shows a closure tube assembly mounted above the articulation joint 1512 2300. 如同将在下面进一步详细讨论的那样,在各种实施方式中,闭合管组件2300可操作地靠近细长通道组件120受到支撑,以便当与闭合管组件2300 闭合接触时选择性地将闭合动作施加到砧座组件110。 As will be discussed in further detail below, in various embodiments, closure tube assembly 2300 is operably close to the elongate channel assembly 120 by the support, so that when in contact with the closure tube 2300 closure assembly for selectively applying the closing motion the anvil assembly 110.

[0240] 从图42中可以看出,闭合管组件2300的实施方式可包括具有近端2312和远端2314的远侧闭合管段2310、具有远端2322和近端23的中央闭合管段2320和具有近端2332和远端2334的近侧闭合管段2330。 [0240] As can be seen from Figure 42, the closure tube assembly 2300 may include an embodiment having a proximal end 2312 and distal end 2314 of the distal closure tube segment 2310 has a distal end and a proximal end 2322 of the central closure tube segment 23 2320 and having a proximal end and a distal end 2332 of the proximal closure tube segment 2334 2330. 近侧闭合管段2330的近端2332可以不可旋转地连接到闭合管段2340的远端2342。 2330 of the proximal closure tube segment 2332 may be non-rotatably a proximal end connected to the distal end 2340 of the closure tube segment 2342. 从图43中可以看出,中空闭合管段2340的远端2342中可设置有用于容纳从近侧闭合管段2330的远端2334向近侧突出的翼片2336的凹口2344。 As can be seen from Fig. 43, the distal end of the hollow closure tube segment 2340 to 2342 may be provided to accommodate the distal end from the proximal closure tube segment 2334 to 2330 of the tabs 2336 protruding proximally of recess 2344. 从图43中还可以看出,近端2332可容纳在中空闭合管段2340的中空远端2342中。 Can also be seen from Figure 43, the proximal end 2332 can be accommodated in the hollow closure tube segment 2340 2342 in a hollow far end. 近侧闭合管段2330可通过粘接剂、胶水等与闭合管段2340保持连接。 Proximal closure tube segment 2340 2330 may remain connected to the closure tube segment by an adhesive, glue and the like. 本领域普通技术人员应当理解,所述独特新颖的构造帮助促进装置的组装。 One of ordinary skill will appreciate that the unique and novel configuration helps to promote assembly of the device. 但是,例如在其他实施方式中,近侧闭合管段2330可与闭合管段2340 —体形成。 However, for example, in other embodiments, the proximal closure tube segment 2330 with closure tube segment 2340-- forming body.

[0241] 在各种实施方式中,闭合管组件2300可还包括从近侧闭合管段2330的远端2334 突出的第一上部翼片2350和与第一上部翼片2350成间隔关系的从近侧闭合管段2330的远端2334突出的第一下部翼片2352。 [0241] In various embodiments, the closure tube assembly 2300 may further include a distal end from the proximal closure tube segment 2330 of the first upper projecting 2334 2350 2350 and a spaced relationship with the first upper flap from the proximal flap 2330 of the distal closure tube segment 2334 first lower projecting tabs 2352. 第一上部翼片2350具有穿过其中的第一上部枢轴孔2354并且第一下部翼片2352具有穿过其中的第一下部枢轴孔2356,在各种实施方式中该第一下部枢轴孔与第一上部枢轴孔23M共轴对准。 A first upper flap 2350 having a first upper pivot hole 2354 therethrough and having a first lower flap 2352 2356, in various embodiments of the first lower therethrough a first lower pivot hole pivot hole and the first upper pivot hole 23M coaxially aligned. 中央闭合管段2320的近端23M具有从其上突出的第二上部翼片23和从其上突出并与第二上部翼片23成间隔关系的第二下部翼片2328。 The central closure tube segment 2320 has a proximal end 23M projecting therefrom, and the second upper flap 23 23 and projecting therefrom in spaced relation to the second upper flap of the second lower flap 2328. 第二上部翼片23具有穿过其中的第二上部枢轴孔2327并且第二下部翼片23具有穿过其中的第二下部枢轴孔23,该第二下部枢轴孔大体上与第二上部枢轴孔2327共轴对准。 The second upper flap 23 having a second upper pivot hole 2327 therethrough and the second lower flap 23 having a second lower pivot hole therethrough 23, the second lower pivot hole and a second substantially 2327 upper pivot hole coaxially aligned.

[0242] 从图44中可以看出,中央闭合管段2320的远端2322具有从其上突出的第一侧向翼片2321和第二侧向翼片2323。 [0242] As can be seen from Figure 44, the distal end of the central closure tube segment 2320 2322 has projecting therefrom 2321 first side and a second side flap flap 2323. 第一侧向翼片具有穿过其中的第一侧孔(未显示),第二侧向翼片2323具有穿过其中的第二侧孔2325,该第二侧孔与第一侧孔2325共轴对准。 First lateral flaps having a first side holes therethrough (not shown), a second lateral side flap 2323 has a second aperture 2325 therethrough, the second side of the first side hole and a total of 2325 holes axis alignment. 另夕卜,远侧闭合管段2310的近端2312具有从其上突出的第三侧向翼片2316和从其上突出并与第三侧向翼片2316成间隔关系的第四侧向翼片2318。 Another Bu Xi, the distal closure tube segment 2310 has a proximal end 2312 of the third projecting therefrom laterally protruding tabs 2316 and 2316 and in spaced relation to the third lateral flap on its fourth side flap 2318. 第三侧向翼片2316具有穿过其中的第三侧向枢轴孔(未显示),第四侧向翼片2318具有穿过其中的第四侧向枢轴孔2319, 其与第三侧向枢轴孔大体上共轴对准。 The third lateral flap 2316 having therethrough a third lateral pivot hole (not shown), the fourth side flap 2318 therethrough having a fourth lateral pivot hole 2319, with the third side substantially coaxially aligned with the pivot hole.

[0243] 在各种实施方式中,闭合管接头组件2302还包括具有从其中突出的第一上部销2362和第二上部销2364的上部双枢轴连接件2360。 [0243] In various embodiments, the closure tube joint assembly 2302 further includes a connection from which the first upper pin 2362 protruding second upper pin 2364 and the upper double pivot member 2360. 第一上部销2362的尺寸设置成可枢转地容纳在第一上部枢轴孔23M中,第二上部销2364的尺寸设置成可枢转地容纳在第二上部枢轴孔2327中。 The first upper pin 2362 is sized to be pivotally received in the first upper pivot hole 23M, the second upper pin 2364 is sized to be pivotally received in the second upper pivot hole 2327. 上部双枢轴连接件2360可通过关节运动接头组件1512保持在中央闭合管段2320的近端23M和近侧闭合管段2330的远端2334之间的位置中。 The upper double pivot link 2360 to 1512 held in the central closure tube segment 2320 23M proximal and distal proximal closure tube segment 2330 between the position of 2334 by the articulation joint assembly. 闭合管接头组件2300可还包括下部双枢轴连接件2370,其具有从其上突出的第一下部销2372和第二下部销2374。 Closure tube joint assembly 2300 may further include a lower double pivot link 2370 that has projecting therefrom a first lower pin 2372 and a second lower pin 2374. 见图43。 See Figure 43. 第一下部销2372的尺寸设置成可枢转地容纳在第一下部枢轴孔2356 中,第二下部销2374的尺寸可枢转地容纳在第二下部枢轴孔23中。 The first lower pin 2372 is sized to be pivotally received in the first lower pivot hole 2356, the dimensions of the second lower pin 2374 is pivotally received in the second lower pivot hole 23. 下部双枢轴连接件2370可通过关节运动接头组件1512保持在中央闭合管段2320的近端23M和中央闭合管段2320的远端2322之间的位置中。 The lower part of the double pivot link 2370 by the articulation joint assembly 1512 is maintained at the central closure tube segment 2320 and the proximal 23M central closure tube segment 2320 between the distal end of the 2322 position.

[0244] 当上部双枢轴连接件2360和下部双枢轴连接件2370连接到中央闭合管段2320 的近端23M和近侧闭合管段2330的远端23;34时,第一上部销2362和第一下部销2372沿着第一枢转轴线DD共轴对准,在各种实施方式中,该第一枢转轴线DD可大体上与延伸穿过细长闭合管组件1000的细长轴轴线CC垂直。 [0244] connection when the upper double pivot link 2360 and a lower double pivot link 2370 to the central closure tube segment 2320 and the proximal end of the proximal closure tube segment 23M 2330 distal end 23; 34, the first upper pin 2362 and a lower pin 2372 coaxially aligned along a first pivot axis DD, in various embodiments, the first pivot axis DD can substantially extend through the elongate axis of the elongate closure tube assembly 1000 CC vertical. 见图43。 See Figure 43. 同样的,第二上部枢轴销2364 和第二下部枢轴销2374沿着第二枢转轴线EE共轴对准。 Similarly, the second upper pivot pin 2364 and the second lower pivot pin 2374 coaxially aligned along a second pivot axis EE. 在各种实施方式中,第二枢转轴线EE大体上与细长轴轴线CC垂直并大体上与第一枢转轴线DD平行。 In various embodiments, the second pivot axis EE CC axis substantially perpendicular to the elongate axis substantially parallel to the first pivot axis DD. 读者可以理解,这种设置允许中央闭合管段2320围绕枢转轴线DD和EE相对于近侧闭合管段2330枢转。 Readers will be appreciated, this arrangement allows the central closure tube segment 2320 about pivot axis DD and EE relative to the proximal closure tube segment 2330 to pivot.

[0245] 在各种实施方式中,闭合管接头组件2302可还包括第一侧向双枢轴连接件2380, 其具有从其上突出的第一上部销(未显示)和第二上部销(未显示)。 [0245] In various embodiments, the closure tube joint assembly 2302 may further include a first lateral double pivot link 2380 that has projecting therefrom a first upper pin (not shown) and a second upper pin ( not shown). 第一侧销的尺寸设置成可枢转地容纳在第一侧向翼片2321中的第一侧向枢轴孔(未显示)中,第二侧销的尺寸设置成可枢转地容纳在第三侧向翼片2316中的第二侧向枢轴孔(未显示)中。 Size of the first side of the first lateral pin into a pivot hole disposed pivotably received in 2321 in the first lateral flap (not shown), the size of the second side of the pin is provided so as to be pivotally received in The third side flap 2316 in a second lateral pivot hole (not shown). 第一侧向双枢轴连接件2380可通过关节运动接头组件1512保持在远侧闭合管段2310的近端2312 和中央闭合管段2320的远端2322之间的位置中。 First lateral double pivot link 2380 by the articulation joint assembly 1512 is maintained at the distal closure tube segment 2312 and proximal end 2310 of the central closure tube segment 2320 between the distal end of the 2322 position. 闭合管接头组件2300可还包括第二侧向双枢轴连接件2390,其具有从其上突出的第三侧销2392和第四侧销2394。 Closure tube joint assembly 2300 may further include a second lateral double pivot link 2390 that has a pin 2392 protruding therefrom and a fourth lateral pin 2394 of the third side. 第三侧销2392 的尺寸设置成可枢转地容纳在第二侧向翼片2323中的第二侧孔2325中,第四侧销2394的尺寸设置成可枢转地容纳在第四侧向翼片2318中的第四侧向枢轴孔2319中。 The third side of the pin 2392 of the second side hole sized to be pivotally received in the second lateral flap 2323 in 2325, the fourth side of the pin 2394 is sized to be pivotally received in the fourth lateral fins 2318 fourth lateral pivot hole 2319 in. 第二侧向双枢轴孔连接件2390可通过关节运动接头组件1512保持在远侧闭合管段2310的近端2312 和中央闭合管段2320的远端2322之间的位置中。 Second lateral pivot hole connector double 2390 through the articulation joint assembly 1512 2322 holding position between the distal end of the distal closure tube segment 2310 in the proximal end of 2312 and the central closure tube segment in 2320.

[0246] 当第一侧向双枢轴连接件2380和第二双枢轴连接件2390连接到远侧闭合管段2310的近端2312和中央闭合管段2310的远端2322上时,第一侧销和第三侧销2392沿着第三枢转轴线FF共轴对准,在各种实施方式中,该第三枢转轴线FF可大体上横过细长轴轴线CC或与其垂直。 [0246] When the first lateral double pivot link 2380 and a second double pivot link 2390 is connected to the distal closure tube segment 2310 and the proximal end of 2312 the central closure tube distal section 2310 of 2322 on, the first side of the pin 2392, and third side pin coaxially aligned along a third pivot axis FF, in various embodiments, the third pivot axis may be substantially transverse to the elongate axis FF CC axis or perpendicular thereto. 同样的,第二侧向枢轴销和第四侧向枢轴销2394沿着第四枢转轴线GG共轴对准。 Similarly, the second lateral pivot pin and the fourth lateral pivot pin 2394 coaxially aligned along a fourth pivot axis GG. 在各种实施方式中,第三枢转轴线FF大体上横过细长轴轴线CC、第一轴线DD和第二轴线EE或者与其垂直,并且大体上与第四枢转轴线GG平行。 In various embodiments, the third pivot axis is substantially transverse to the elongated shaft axis FF CC, DD the first axis and a second axis perpendicular thereto, or EE, and substantially parallel to the fourth pivot axis GG. 读者可以理解,这种设置允许远侧闭合管段2310围绕枢转轴线GG和FF相对于中央闭合管段2320 枢转。 Readers will be appreciated, this arrangement allows the distal closure tube segment 2310 about pivot axis relative to the FF and GG closure tube segment 2320 the central pivot. 因此,所述设置提供了可在接头组件1512上方轴向运动并仍提供了围绕四个轴线进行多个关节运动的闭合管组件。 Thus, the arrangement provides axial movement over the joint assembly 1512 and still provides around four axes multiple articulation of closure tube assembly.

[0247] 本领域普通技术人员将会理解,当闭合管组件2300沿着远侧方向DD运动(推动) 时,远侧闭合管段2310的远端2314通过与砧座组件110的凸轮表面115 (见图2、4和7) 接触而将闭合动作施加到砧座组件110上,将砧座组件110相对于钉仓组件200闭合。 [0247] One of ordinary skill in the art will appreciate that when the closure tube assembly 2300 in the distal direction DD motion (push), the distal end of the distal closure tube segment 2314 through 2310 of the cam surface 115 of anvil assembly 110 (see Figures 2, 4 and 7) and the closing action of the contact is applied to the anvil assembly 110, the anvil assembly 110 relative to staple cartridge assembly 200 is closed. 在各种实施方式中,可采用复位机构例如弹簧、索系统或者类似物(未显示),将闭合管组件2300回复成预夹钳朝向,当闭合管段2310与砧座组件110近端上的反向凸轮表面117接触时引起砧座组件110重新打开。 In various embodiments, may be reset mechanism such as a spring, cable system or the like (not shown), the closure tube assembly 2300 returned to the pre-clamp face, when closure tube segment 2310 and the proximal end of the anti-assembly 110 on the anvil cause the anvil assembly 110 to reopen contact with the cam surface 117. 见图2和7。 Figures 2 and 7. 在图45中所示的其他实施方式中,砧座组件110'可形成直立的致动翼片111',其尺寸设置成延伸到远侧闭合管段2310的远端2314中的马蹄形开口2315中。 In another embodiment shown in FIG. 45, the anvil assembly 110 'may be formed upstanding flap actuator 111', sized to extend into the distal closure tube segment 2310 distal end 2314 of the opening 2315 in the horseshoe. 见图44A。 Figure 44A. 因此,当闭合管组件2300沿着远侧方向DD运动时,马蹄形开口2315接触斜面115并促使砧座组件110'进入闭合位置。 Thus, when the closure tube assembly 2300 in the distal direction DD movement, horseshoe opening 2315 contacts ramp 115 and urge anvil assembly 110 'into the closed position. 当闭合管组件2300沿着近侧方向PD运动时,马蹄形开口2315拉动翼片111'并引起砧座组件110'枢转到打开位置。 When the closure tube assembly 2300 in the proximal direction PD sports, horseshoe-shaped opening 2315 pull tab 111 'and causes the anvil assembly 110' to pivot to an open position.

[0248] 本发明的一种闭合管驱动系统在图46中简要图示。 [0248] A closure tube drive system of the present invention is illustrated in FIG. 46 briefly. 但是,其他系统也可被有效地采用,也不脱离本发明的精神和范围。 However, other systems may also be usefully employed, not departing from the spirit and scope of the present invention. 从图46中可以看出,一种形式的闭合管驱动系统2400包括与闭合扳机18连接的轭形件M02。 As can be seen from FIG. 46, one form of closure tube drive system 2400 includes a yoke member M02 is connected with the closure trigger 18. 枢轴销M04经过闭合扳机18和轭形件M02 两者中对准的开口插入。 M04 after the closure trigger pivot pin 18 and the yoke M02 aligned openings in both the insert. 轭形件M02的远端经销M06与闭合托架MlO的第一部分M08 连接。 The distal end of the yoke M02 and M06 distribution of the first part of the closing bracket MlO M08 connection. 第一闭合托架部分M08与第二闭合托架部分M12连接。 The first closure bracket portion M08 is connected with the second closure bracket portion M12. 整体上,闭合托架MlO限定了开口,闭合管段2340的近端2346可安放并保持在其中,使闭合托架MlO的纵向运动基本上沿着远侧方向DD推动或驱动闭合管段2340 (并最终驱动细长闭合管组件2300)。 Overall, the closing bracket MlO defining an opening, the proximal closure tube segment 2340 2346 can be placed and retained therein, the closure bracket MlO longitudinal movement substantially DD push or drive along the distal direction closure tube segment 2340 (and, ultimately, Driver elongated closure tube assembly 2300).

[0249] 在操作中,当轭形件M02由于闭合扳机18的回缩而旋转时,闭合托架MlO弓丨起近侧闭合管段2340沿着近侧方向PD运动,这引起远侧闭合管段2310向近侧运动。 [0249] In operation, when the yoke 18 M02 Since retraction of the closure trigger rotates from the closed bracket MlO bow 丨 proximal closure tube segment 2340 in the proximal direction PD movement, which causes the distal closure tube segment 2310 He moved proximally. 如果采用砧座组件110',当远侧闭合管段2310向近侧运动时则翼片111'引起砧座组件110'打开。 If anvil assembly 110 ', when the distal closure tube segment 2310 to the proximal movement of the flap 111' causes the anvil assembly 110 'to open. 当闭合扳机18从锁定位置打开时,近侧闭合管段2340沿着远侧方向DD被推动或者驱动, 引起远侧闭合管段2310向远侧滑动。 When the closure trigger 18 from the locked open position, the proximal closure tube segment 2340 DD is pushed or driven in the distal direction causes the distal closure tube segment 2310 to slide distally. 远侧闭合管段2310通过驱动砧座组件110'向远侧进入斜面115而迫使其闭合。 A distal closure tube segment 2310 by driving the anvil assembly 110 'distally into the inclined surface 115 forcing its closure. 这种闭合系统MOO在共同拥有的申请号为11/343547的美国专利申请中进一步描述,该申请的题目为“Endoscopic SurgicalInstrument Witha Handle That Can Articulate With Respect to theShaft,,,申请人为Frederick Ε. Shelton, IV 等,其内容通过全文引用而包含在本申请中。但是,也可采用其他闭合系统使闭合管组件2300沿着近侧和远侧方向轴向运动。 This closure system MOO in commonly owned U.S. Patent Application No. 11/343547 further described in the application, subject to the application of "Endoscopic SurgicalInstrument Witha Handle That Can Articulate With Respect to theShaft ,,, applicant Frederick Ε. Shelton, IV et al., which is incorporated by reference in the present application and is included in. However, other closure systems may also be used to make closure tube assembly 2300 along an axial movement of the proximal and distal directions.

[0250] 图47-50示出了本发明的各种实施方式的另一种独特新颖的闭合系统2500。 [0250] Figure 47-50 shows another unique and novel closure system of various embodiments of the present invention 2500. 在这些附图中示出的实施方式中,采用了可手动致动的驱动系统2600。 In these embodiments shown in the drawings, the use of a manually actuatable drive system 2600. 这样的驱动系统设置在共同拥有的申请号为11/47M12的美国专利申请中公开,其申请日为2006年6月27臼,串请人为Frederick Ε Shelton 等,题目为“Manually Driven Surgical Cutting and i^steninglnstrument”,该专利申请的全部内容通过引用而包含在本申请中。 Such a drive system provided in commonly owned application No. 11 / 47M12 U.S. Patent Application Publication, the filing date of 27 June 2006 mortar, string please man Frederick Ε Shelton et al., Entitled "Manually Driven Surgical Cutting and i ^ steninglnstrument ", the entire contents of this patent application is included by reference in the present application. 如前面所进行的详细描述,本领域技术人员将会理解,本发明的闭合系统2500还可有效地与采用一根或多根索来驱动动力夹钳元件、刀和滑车的外科缝合器械结合使用。 As described in detail previously carried out, those skilled in the art will appreciate that the closure system 2500 of the present invention is also effective with the use of one or more drive power cable to the clamp member and the blade block in combination with surgical stapling instrument . 另外,闭合系统2500 还可有效地与采用马达来驱动动力夹钳元件、刀、滑车等的其他外科缝合器械结合使用。 In addition, the closure system 2500 may also be effective with the use of a motor to drive the use of other surgical stapling instrument power clamp element, knives, tackle and other combination. 因此,对本文中描述的闭合系统2500所提供的保护不应当仅限于其与图47-50所示出的可手动致动的驱动系统结合使用。 Therefore, the protection of the closure system described herein provided shall not be limited to their 2500 manually and illustrated in Figure 47-50 actuated drive system used in combination.

[0251] 如这些附图中所示,击发扳机沈10由手柄组件5可操作地支撑并在其上具有与可操作地连接旋转驱动轴2614的传动齿轮设置(未显示)啮合连接的齿轮齿沈12。 [0251] As shown in these figures, the firing trigger 105 is operably Shen supported by the handle assembly and having thereon operatively connected to the rotary drive shaft 2614 of the transmission gear set (not shown) connected to the gear teeth meshing Shen 12. 旋转传动轴沈14可旋转地支撑在延伸穿过细长中空闭合管2510的脊沈16中。 Shen rotary shaft 14 is rotatably supported in a hollow extending through the elongate closure tube 2510 in a ridge sink 16. 旋转传动轴沈14 可与由脊沈17可操作地支撑的其他传动元件连接,以便将旋转驱动运动传递到工具组件100'。 Shen rotating shaft 14 may be connected by other transmission elements Shen ridge 17 operably supported so that the rotational drive motion to the tool assembly 100 '. 而且在各种实施方式中,切换器组件沈20与传动齿轮设置连接。 And in various embodiments, the switch assembly 20 and the drive gear provided sink connection. 切换器组件可包括选择器开关2622,当开关处于一个位置中并且击发扳机沈10在棘轮运动中枢转时,使旋转传动轴沈14沿着第一方向旋转,并最终将旋转运动施加到工具组件100'上,引起动力夹钳元件或者刀组件沿着远侧方向DD运动,并且当选择器开关沈22运动到第二位置时,击发扳机沈10的棘轮运动引起旋转传动轴沈14沿着相反方向旋转,从而将相反的旋转运动施加到工具组件100',并引起动力夹钳组件或者刀组件沿着近侧方向PD运动。 Switch assembly may include a selector switch 2622, when the switch is in one position and the firing trigger when the heavy ratchet 10 pivot movement of the rotating shaft 14 is rotated in a first direction Shen, and eventually the rotary motion applied to the tool assembly 100 ', causing the power clamp member or knife assembly movement in the distal direction DD, and the sink when the selector switch 22 is moved to the second position, the movement of the firing trigger 10 causes the ratchet Shen rotary shaft 14 in the opposite Shen direction of rotation, so that the opposite rotational movement is applied to the tool assembly 100 'and cause the dynamic clamping assembly or knife assembly movement in the proximal direction PD.

[0252] 从这些附图中还可以看出,闭合管组件2500可还包括闭合旋钮2520和用于工具组件旋转的旋转组件2550。 [0252] From these figures it can be seen, the closure tube assembly 2500 may also include a closure knob 2520 and a rotation assembly for rotation of the tool assembly 2550. 从图48中更特别能够看出,闭合旋钮2520可支撑在闭合管2510的近端2512和脊连接管沈18上。 More particularly, it can be seen from Figure 48, the closure knob 2520 may be supported on the proximal closure tube 2512 and 2510 Shen ridge connecting pipe 18. 出于组装的目的,闭合旋钮2520可设置成通过机械紧固件或者粘接剂互连的半部。 For assembly purposes, the closure knob 2520 may be provided by mechanical fasteners or adhesive interconnected half. 在一种实施方式中,脊连接管2618是中空的并具有带凸缘的近端沈19。 In one embodiment, the ridges connecting tube 2618 is hollow and has a proximal end 19 with a flange Shen. 带凸缘近端沈19可旋转支撑在设置在闭合旋钮2520中的径向槽2522中,使闭合旋钮2520可围绕脊连接管沈18自由旋转。 Flanged proximal sink 19 is rotatably supported in a closed setting knob 2520 radial slots in 2522, the closure knob 2520 may sink around the spine connecting tube 18 to rotate freely. 从图48中还可以看出,脊沈16可具有尺寸设置成延伸到脊连接管2618中的近端沈17。 Can also be seen from Figure 48, the ridges sink 16 may have a size set to extend into the spinal canal connecting the proximal end of the 2618 Shen 17. 但是,也可采用其他设置。 However, other settings can also be used. 从图48中还可以看出,闭合管2510的近端2512可以带凸缘并可被定向成不旋转地保持在闭合旋钮2520 中形成的第二径向槽25M中,使闭合旋钮2520的旋转引起闭合管2510的旋转。 Can also be seen from Figure 48, the proximal end 2510 of the closure tube 2512 may be flanged and oriented so as not to be held in the closed rotary knob 2520 in a second radial groove 25M is formed in the closure knob 2520 2510 causes rotation of the closed tube.

[0253] 各种实施方式还可包括旋转组件2550。 [0253] Various embodiments may further include a rotation assembly 2550. 从图47、49和50中可以看出,旋转组件2550可包括可旋转地容纳在手柄组件5中的旋转旋钮2552。 As can be seen from Fig. 47, 49 and 50, the rotating assembly 2550 may include a rotary knob rotatably housed in the handle assembly 5 in 2552. 如闭合旋钮2520和外科组件5 一样,旋转旋钮2552可设置成两部分,为了组装它们可通过机械紧固件-螺钉、按扣等或者粘接剂互连。 The closure knob 2520 and the surgical assembly 5, as the rotating knob 2552 may be provided in two parts, in order to assemble them by mechanical fasteners - screws, snaps, etc., or an adhesive interconnection. 在各种实施方式中,旋转旋钮2552的远端25M具有在其中延伸的孔2556, 其适于将脊管2560容纳在其中,所述脊管具有与旋转旋钮2552的远端25M轴向接合的带键部分2562,使旋转旋钮2550可相对于脊管2560轴向运动,但总是与其带键部分2562接合。 In various embodiments, the distal end of the rotary knob 2552 is 25M has a bore 2556 extending therethrough which is adapted to accommodate the spinal canal 2560 in which the spinal tube having a distal end and the rotary knob 25M axial engagement of 2552 with a key portion 2562, the rotary knob 2550 2560 relative to the axial movement of the spinal canal, but always with a key part of its 2562 engagement. 从图48中可以看出,脊管2560具有延伸到闭合旋钮2520中并且通过粘接剂或者其他合适的紧固件设置与脊连接管2618不旋转地连接的远端2564。 As can be seen from Figure 48, the ridge extending into the closed tube 2560 2520 knob and set the ridges not connected to the distal tube 2618 2564 rotatably connected by an adhesive or other suitable fasteners. 脊管2560的近端2566带有凸缘并适于被容纳在设置在手柄组件5中的环形槽2570中,使带凸缘的近端2566可在其中旋转。 Spinal tube 2560 having proximal end 2566 and a flange adapted to be received in the handle assembly 5 disposed in an annular groove 2570, and 2566 so that the proximal end of the flanged rotatable therein.

[0254] 从图47和49中还可以看出,外壳组件的远端2580带有凸缘并具有在其上形成的第一径向齿轮2582。 [0254] can also be seen from Fig. 47 and 49, 2580 with the distal end of the housing assembly and having a first radial flange formed thereon gear in 2582. 外壳组件的带凸缘的远端2580延伸到在旋转旋钮2552中形成的环形腔2567中。 The distal end 2580 flanged housing assembly extends into the annular cavity formed in the rotary knob to 2552 in 2567. 环形腔2567通过向内延伸的环形凸缘2568形成,所述环形凸缘2568具有在其上形成的第二径向齿轮2569以便选择性地与第一径向齿轮2582啮合。 Annular cavity 2567 by inwardly extending annular flange 2568 is formed, the annular flange 2568 having a second radial gear 2569 formed thereon for selective engagement with the first radial gear 2582. 环形凸缘2568还延伸到在外科组件5中形成的环形弹簧腔2584中。 Annular flange 2568 also extends into an annular spring cavity 2584 formed in the surgical assembly 5 in. 在弹簧腔2584中设置锁定弹簧2590。 Set lock spring 2590 in spring 2584 in the chamber. 将第二径向齿轮2569偏压成与第一径向齿轮2582啮合。 The second radial gear 2569 biased into engagement with the first radial gear 2582. 如同将在下面详细讨论的那样, 临床医生可解锁脊沈16,从而通过向近侧拉动旋转旋钮2552使第二径向齿轮2569从第一径向齿轮2582脱离,使临床医生能够旋转脊沈16并最终将工具组件100'旋转到将工具组件100,沿着所需的朝向定位,使旋转旋钮2550、脊管2560和脊沈16能够旋转。 As will be discussed in detail below, the clinician can unlock the ridge sink 16, thereby rotating the knob pulled proximally through the second radial gear 2569 2552 2582 departing from the first radial gear, so that the clinician can rotate ridge Shen 16 and ultimately tool assembly 100 'rotation to the tool assembly 100, positioned along the desired direction, the rotary knob 2550, 2560 spinal canal and spinal sink 16 to rotate.

[0255] 如图47和48中所示,闭合管2510的远端2514可形成有直径减小部分2515,以便将不能旋转的闭合环2594滑动容纳于其上。 [0255] 47 and 48 as shown in the figure, the distal end of the 2514 closure tube 2510 may be formed with a reduced diameter portion 2515, so that the rotation will not be a closed loop 2594 slidably received thereon. 在各种实施方式中,一对槽2516设置在其中,被定向成容纳从闭合环2594的壁上向内突出的相应的销2596。 In various embodiments, a pair of grooves 2516 disposed therein, is oriented to receive from the wall of a closed ring 2594 corresponding inwardly projecting pins 2596. 在各种实施方式中,采用至少一个销和槽设置。 In various embodiments, the use of at least one pin and a groove is provided. 在替代实施方式中,销2596可以在闭合管2510中并且槽2516可设置在闭合环中。 In an alternative embodiment, the pin 2596 in a closed tube 2510 and groove 2516 may be disposed in a closed loop. 图50示出了处于打开位置中的工具组件100'的砧座110'中。 'Anvil 110' Figure 50 shows the open position of the tool assembly 100. 为了闭合砧座110',临床医生简单地沿着第一方向旋转闭合旋钮2520,并同样沿着该方向旋转闭合管2510。 To close the anvil 110 ', the clinician simply closed the first direction of rotation knob 2520, and along the same direction of the rotating closure tube 2510. 闭合管2510借助销2596和槽2516之间的相互作用的旋转引起闭合环2594向远侧运动,与砧座110'的一部分接触,将砧座110'枢转到图47和48中所示的闭合位置。 Closure tube 2510 by means of rotation of the pin 2596 and the interaction between the groove 2516 to cause the closure ring 2594 distally, 'the contact portion, the anvil 110' to pivot the anvil 110 as shown in FIG. 47 and 48 closed position. 如图48所示,在闭合环2594的近端2598和闭合管2510的直径减小部分2515的突出部分2517之间存在距离2599。 As shown, the proximal end 2594 of the closure ring 2598 and closure tube 2510 of the reduced diameter portion 2515 of the projection 48 exists between the distance 2599 2517. 所述距离2599代表了闭合环2594可利用的轴向行进量。 The 2599 represents the axial distance closed loop 2594 the amount of travel available. 本领域普通技术人员将会理解,通过以相对较低的角度提供槽2516,销2596将易于保持在位置中,由此也将砧座110'保持在闭合位置中。 Those of ordinary skill in the art will appreciate that by providing a relatively low angle grooves 2516, the pins 2596 will tend to remain in position, whereby also the anvil 110 'held in the closed position. 但是,也可采用其他锁定设置。 However, use other lock settings.

[0256] 为了打开砧座110',临床医生再次沿着近侧方向PD运动制动旋钮2552,然后沿着如图49和50所示的第二方向运动闭合旋钮2520(和闭合管2510)。 [0256] In order to open the anvil 110 ', the clinician again in the proximal direction PD movement of the brake knob 2552, then closed along a second direction of movement 49 shown in FIG. 50 and knobs 2520 (and closed line 2510). 在各种实施方式中, 被夹钳在工具组件100'中的组织引起砧座110'运动到打开位置。 In various embodiments, the clamp is in the tool assembly 100 'causes the anvil tissue 110' to the open position. 在另外的实施方式中, 当闭合环2594已经运动到图49和50所示的位置时,可采用弹簧或者其他偏压元件(未显示)将砧座110'偏压到打开位置。 In another embodiment, when the closed loop 2594 has been moved to the position shown in FIG. 49 and 50, may be a spring or other biasing element (not shown) of the anvil 110 'is biased to the open position. 在其他实施方式中,闭合环2594可设置有上述马蹄形开口,并且砧座110'可被构造成具有如图45中所示的翼片111'。 In other embodiments, the closure ring 2594 may be provided with the horseshoe shaped opening, and the anvil 110 'may be configured with tabs 111 as shown in FIG 45'. 因此,在该实施方式中, 当闭合环2594被向近侧拉动时,其将砧座110'拉到打开位置,一旦处于打开位置中,临床医生可释放制动旋钮2552并且定位槽2550将闭合管2510 (和砧座110,)锁定在打开位置中。 Thus, in this embodiment, when the closed loop 2594 is pulled proximally, which the anvil 110 'to pull the open position, once in the open position, the clinician can release the brake knob 2552 and 2550 will close positioning groove tube 2510 (and anvil 110) locked in the open position. 本领域普通技术人员将会理解,闭合系统2500可有效地与上述闭合管接头组件2302 结合使用。 Those of ordinary skill in the art will appreciate that the closure system 2500 as described above can be effectively closure tube joint assembly 2302 used in combination. 在所述实施方式中,槽2516可设置在远侧闭合管段2310中。 In the embodiment, the groove 2516 may be provided in the distal closure tube segment 2310. 所述设置将可以上述相同的方式操作,但是,器械还可围绕多个轴进行关节运动。 The setting operation may be the same manner as described above, however, the instrument may be articulated about a plurality of axes.

[0257] 图51示出了本发明的另一种实施方式,其中闭合管2510的远端2515'上具有螺纹2513,以便与闭合环2594,上的螺纹2597螺纹接合。 [0257] FIG. 51 illustrates another embodiment of the present invention, wherein the distal end 2510 of the closure tube 2515 'is threaded on the 2513 to 2594 and a closed loop, the threads 2597 engage the threads. 在该实施方式中,闭合环2594,可被构造成与通道组件120和或脊沈16相互作用,使闭合环2594'可相对于其纵向运动,但不旋转。 In this embodiment, the closure ring 2594 may be configured to channel assembly 120 and or ridges interacting sink 16, so that a closed ring 2594 'may be relative to its longitudinal movement, without rotation. 螺纹2597在闭合环2594,的近端2595中形成,当闭合管2510沿着一个方向旋转时,使闭合环2594'沿着远侧方向DD轴向运动,与砧座110'接触并将砧座110'枢转到夹钳位置。 2597 thread formed in 2594 in a closed loop, the proximal end of 2595, when the closure tube 2510 is rotated in one direction, the closure ring 2594 'axial movement in the distal direction DD, the anvil 110' contacts and the anvil 110 'pivoted to the clamp position. 闭合环2594'沿着相反方向的旋转引起闭合环2594'沿着近侧方向PD运动,使待枢转的砧座110'通过夹钳在其中的组织或者通过弹簧或者其他偏压元件打开。 2594 closed loop 'in the opposite direction of rotation causes a closed loop 2594' in the proximal direction PD campaign to be pivotable anvil 110 'in which organizations or open by spring or other biasing element by a clamp. 多圈螺纹的使用可提供比其他闭合环设置更多的闭合动力。 The use of multi-turn threads may provide more closure power setting than other closed loop. 在替代实施方式中,闭合环2594'可设置有马蹄形开口以便与砧座上的闭合翼片相互作用。 In an alternative embodiment, the closed loop 2594 'may be provided with a horseshoe-shaped opening for interaction with the anvil closure flaps. 见图45。 See Figure 45. 闭合管2510'的旋转和锁定可通过闭合系统2500和上述闭合管制动组件2550来控制。 Closure tube 2510 'rotation and the lock can be controlled by a closed system 2500 and the closing-control movable assembly 2550. 该实施方式还可与上述各种关节运动接头结合使用,也不脱离本发明的精神和范围。 This embodiment may also be used in combination with the above-described various articulation joints, not departing from the spirit and scope of the present invention. 还应当理解,所述实施方式可有效地用于图47和49所示的手动驱动系统或者其他驱动设置,诸如索驱动设置等。 It should also be understood that the embodiment of FIG. 47 can be effectively used and the manual drive system shown in 49 or other drive settings, such as a cable driver settings.

[0258] 图52-M示出了本发明的另一种索致动闭合系统2700的实施方式。 [0258] FIG. 52-M of the present invention is shown another embodiment of the cable actuated closure system 2700. 从这些附图中可以看出,各种实施方式包括轴向支撑近侧脊段2720的近侧覆盖管2710。 As can be seen from these figures, the various embodiments include axially supported a proximal spine segment 2720 in the proximal cover tube 2710. 近侧脊段2720 从手柄组件(未显示)延伸并可由此以一些已知设置中任何一种被支撑,也不脱离本发明的精神和范围。 Proximal spine segment 2720 from the handle assembly (not shown) and thus extends to any one of a number of known arrangements is supported, nor departing from the spirit and scope of the invention.

[0259] 在各种实施方式中,近侧脊段2720具有远端2722,所述远端2722具有从其上突出并具有与其连接或者与其一起形成的球形元件2730的颈部2724。 [0259] In various embodiments, the proximal spine segment 2720 has a distal end 2722, a distal end 2722 having projecting therefrom and having connected thereto or formed therewith a spherical element 2730 of the neck 2724. 从这些图中可以看出,球形元件2730的尺寸设置成可容纳在通道形远侧脊段2740的近端2742中形成的插座2750 中。 As can be seen from these figures, the size of the spherical element 2730 is arranged to be received in the socket 2750 channel-shaped distal spine segment 2740 in the proximal end 2742 formed. 球形元件2730和插座2750共同形成球形接头,总体标记为2760,为远侧脊段2740提供相对于近侧脊段2720沿着多个方向进行关节运动的能力。 The spherical member 2730 and socket 2750 collectively form a ball joint, generally designated as 2760, to provide the ability relative to the proximal spine segment 2720 is articulated along a plurality of directions to a distal spine segment 2740. 在远侧脊段2740的近端2742 和近侧脊段2720的远端2722之间提供足够大小的间隙2748,使远侧脊段2740相对于近侧脊段2720在所需的运动范围中进行关节运动。 The distal spine segment 2740 in the proximal end of the distal end and a proximal spine segment 2742 2720 2722 provide sufficient clearance between the size of 2748, so that the distal spine segment 2740 relative to the proximal spine segment carried out in 2720 in the desired range of motion articulation. 在各种实施方式中,远侧脊段2740和与砧座110”枢转连接的细长通道组件120”连接。 In various embodiments, the distal spine segment 2740 and the anvil 110 "is pivotally connected to the elongate channel assembly 120" connection. 从图52-54中可进一步看出,闭合环2770支撑在远侧脊段2740上以便在其上轴向行进。 From Figure 52-54 can be further seen that the closed loop 2770 is supported on the distal spine segment 2740 in order to travel in its axial direction.

[0260] 在各种实施方式中,砧座110'的打开和闭合可通过从手柄组件(未显示)穿过近侧脊段2720和颈部27M中的中空通道27的闭合索2780来完成。 [0260] In various embodiments, the anvil 110 'opening and closing can be done by from the handle assembly (not shown) through the proximal spine segment 2720 and neck 27M hollow closed cable channel 27 2780. 闭合索2780的近端(未显示)可与在本文中描述的一个索驱动系统或者其他索控制系统连接以便选择性地将张力施加到索2780。 2780 Cable closed proximal end (not shown) with a cable drive system described herein or any other cable connected to the control system for selectively applying tension to the cable 2780. 本领域普通技术人员还会理解,也可采用上面描述的各种类型的驱动索系统来驱动动力夹钳元件、刀和滑车。 Those of ordinary skill will appreciate that the above may be used for various types of cable drive systems described in the clamp element driving power, and a knife block.

[0261] 从图52-54中可以看出,闭合环2770可具有安装于其上的第一索过渡支架2790, 其延伸到通道形远侧脊段2740的开口上端,当闭合环2770在其上运动时,使第一索过渡支架2790可在远侧脊段2740中向远侧和轴向来回运动。 [0261] As can be seen from Figure 52-54, the closure ring 2770 may have mounted thereon a first cable transition support 2790, which extends into the open upper end of the channel-shaped distal spine segment 2740, when the closure ring 2770 thereon When the campaign, the first cable transition support 2790 may be distally and axially back and forth movement in the distal spine segment 2740. 在各种实施方式中,第一索过渡支架2790可包括选自包括滑轮、杆、绞盘等的支架组的支架。 In various embodiments, the first cable transition support 2790 may include at least includes a bracket pulleys, rods, winches and other stent group. 另外,第二索过渡支架2792可沿着图示的朝向安装在远侧脊段2740中,使闭合索2780可操作地支撑在第一和第二索过渡支架2790、2792上。 In addition, the second cable transition support 2792 may be mounted along the ridge toward the distal segment shown in 2740, the closure cable 2780 operatively supported on the first and second cable transition support 2790,2792. 类似地,第二索过渡支架2792可包括选自包括滑轮、杆、绞盘等的支架组的支架。 Similarly, the second cable transition support 2792 may include at least includes a bracket pulleys, rods, winches and other stent group.

[0262] 闭合索2780的远端2782可在连接点2744处固定到远侧脊段2740。 [0262] The distal end of the closure cable 2780 2782 2744 may be fixed at a connection point to the distal spine segment 2740. 因此,将张力施加到闭合索2780 (沿着近侧方向PD拉动闭合索2780)引起闭合环2770沿着远侧方向DD运动与砧座110'接触并以上述方式将其枢转到闭合位置。 Thus, the tension applied to the closure cable 2780 (pulling the closure in the proximal direction PD cord 2780) causes a closed loop 2770 in the distal direction DD movement with the anvil 110 'in the manner described above and contacting the pivot to its closed position. 在各种实施方式中,被夹钳在工具组件100”中的组织引起砧座110'运动到打开位置。在其他实施方式中,当闭合环2770已经轴向运动到其近侧未夹钳位置时,可采用弹簧或者其他偏压元件(未显示)将砧座110'偏压到打开位置中。这种独特新颖的索致动闭合系统相对于现有技术的索提供动力的闭合系统具有显著的机械优点,同时还提供了相对于器械的其他部分致动工具组件100” 的能力。 In various embodiments, is clamped in the tool assembly 100 "in the tissue causes the anvil 110 'to the open position. In other embodiments, when the closing ring 2770 has been axially moved to its proximal position not clamp when the spring or other biasing element may be employed (not shown) to the anvil 110 'is biased into the open position. Such unique and novel cable actuated closure system with respect to the prior art cable powered closure systems have significant mechanical advantage, while also providing a portion of the instrument relative to other actuating tool assembly 100 "capability. 其他实施方式也可被预期,其中球形元件在远侧脊段2740中形成并且插座在近侧脊段2720中形成。 Other embodiments can also be expected, and wherein the spherical socket element formed in the proximal spine segment 2720 is formed in the distal spine segment 2740. 在还有一些其他实施方式中,不采用关节运动接头。 In still other embodiments, no articulation joint using. 也就是说,近侧脊段和远侧脊段包括单个元件。 In other words, the proximal section and a distal ridge ridge segment comprises a single element.

[0263] 图55-57示出了本发明的各种实施方式的索控可锁定关节运动接头观00,其可连接在细长通道组件120”和近侧脊段观20之间。在各种实施方式中,近侧脊段观20可从手柄组件(未显示)延伸从而可由一些已知设置中的任何一种支撑,都不脱离本发明的精神和范围。近侧脊段2780可具有远端观22,其具有从其上突出并具有与其连接或者与其一起形成的大致球形元件观22的颈部观对。从这些附图中还可以看出,球形元件观30的尺寸可设置成容纳于在远侧脊段观40的近端观42中形成的插座观50中。球形元件观30和插座观50共同形成球接头,总体标记为观00,其为远侧脊段观40提供了相对于近侧脊段2820沿着多个方向进行关节运动的能力。在远侧脊段观40的近端观42和近侧脊段观20 的远端观22之间提供足够大小的间隙观48,使远侧脊段观40相对于近侧脊段观20在所需的运动范围中进行关节运动。在各种实施方式中,远侧脊段观40与细长通道组件120”连接,砧座与细长通道组件120”枢转连接。 [0263] FIG. 55-57 illustrate various embodiments of the present invention can be controlled cable lock articulation joint Outlook 00, which may be connected between the elongate channel assembly 120 "and a proximal section view of the ridge 20 in the kind of embodiment, the proximal section 20 may ridge View from the handle assembly (not shown) in order to extend some known by any one set of support, without departing from the spirit and scope of the invention. proximal spine segment 2780 may have distal View 22 having projecting therefrom and having attached thereto or formed therewith substantially spherical element Concept Concept neck 22 in. From these figures it can be seen, the spherical element concept size 30 can be set to housed in view of the distal section 40 of the proximal end of the ridge Concept Concept socket 42 formed in 50. The concept of the spherical elements 30 and 50 together form a ball socket joint concept, the overall concept is marked as 00, which is a view of a distal spine segment provided 40 the proximal spine segment 2820 the ability to articulate the multiple directions relative to the proximal end of the distal section 40 of the ridge Outlook Outlook 42 Outlook distal end and a proximal section 20 of the ridge concept of sufficient size to provide clearance between 22 Viewpoint 48, so that the distal ridge 40 relative to the proximal segment Concept ridge segments 20 articulated concept in a desired range of motion In various embodiments, the distal segment 40 of the elongated ridge View channel assembly 120 "connection anvil and elongate channel assembly 120 "is pivotally connected.

[0264] 在各种实施方式中,一个或多个可径向延伸部分观80可设置在球形元件观30中。 [0264] In various embodiments, one or more radially extending portions 80 may be disposed in Concept Concept spherical element 30. 在图55-57中所示的实施方式中,例如设置三个可径向延伸指观80。 In the embodiment shown in FIG. 55-57, for example, refers to the set of three radially extending Concept 80. 在各种实施方式中,可径向延伸指观80可围绕球形元件观30等间距(例如以120为间隔)设置。 In various embodiments, the radially extendable means 80 is rotatable about the spherical element Concept Concept 30 equally spaced (e.g. 120 intervals) setting. 其他数目的可径向延伸指观80也可成功地被采用。 Other numbers of radially extending finger Outlook 80 can also be successfully used. 在各种实施方式中,球形元件观30例如可由塑性材料、金属等制成,使可径向延伸指可被拉动或者径向向外驱动一距离,以便以所需的方向将球形元件观30锁定在插座观50中。 In various embodiments, the concept of the spherical member 30 may be made of plastic material, for example, metal or the like, so that the radially extending means may be pulled or driven radially outward a distance to the desired direction to the spherical member 30 Viewpoint Outlook 50 is locked in the socket.

[0265] 在各种实施方式中,每个可径向延伸指观80可具有与其连接的索观82,该索观82 延伸到近侧脊段观20的颈部观对附近并穿过近侧脊段观20的远端观22中相应的通道观沈。 [0265] In various embodiments, each of the radially extending finger Outlook 80 may have a cable connected thereto Outlook 82, Outlook 82 the cord extending to the proximal cervical spine Outlook 20 Outlook section and through the near vicinity side view of the distal end of the ridge section 20 Outlook 22 Outlook sink in the corresponding channel. 索观沈可延伸穿过中空近侧脊段观20并到达由手柄(未显示)支撑的控制系统, 以便选择性地将张力施加到索2882。 View Shen cable can extend through the hollow proximal section 20 and reaches the ridge view of the handle (not shown) to support the control system for selectively applying tension to the cable 2882. 例如,索观82可与锁定扳机或者支撑在手柄中的其他机构连接,所述其他机构可将张力施加到索并可选择性地保持在该位置中,直到需要释放接头,由此所述机构可被打开以释放索观82中的张力。 For example, the cable can be used with Outlook 82 trigger lock or other mechanism in the handle connected to the support, the other institutions can apply tension to the rope and optionally held in this position until the need to release the joint, whereby the agency It can be opened to release the tension in the cable 82 concept. 从图55中可以看出,可采用如图所示的中空索环观90将索观82保持在颈部观对附近。 As can be seen from Figure 55, can be used as shown in the hollow grommet Outlook 82 Outlook 90 will be held in the neck cord Concept nearby.

[0266] 为了使用这种实施方式,临床医生将工具组件100定位在患者体内然后通过另一种外科器械将关节运动力施加到工具组件上,或者在将张力施加到锁定索观82之前通过将工具组件100与患者的一部分接触而使工具组件进行关节运动到所需位置。 [0266] In order to use such an embodiment, the clinician tool assembly 100 is then positioned in the patient by another surgical instrument applying articulation force to the tool assembly, or before applying tension to the locking cable 82 by Concept tool assembly 100 into contact with a portion of a patient leaving the tool assembly articulated to the desired position. 在工具组件100已经进行关节运动到所需位置后,临床医生将张力施加到锁定索2882,引起可径向延伸指观80沿径向向外延伸并将球形元件观30在插座观50中锁定在该朝向,从而将远侧脊段观40(以及与其连接的工具组件100)保持在该关节运动位置。 Tool assembly 100 has been articulated to the desired position, the clinician applying tension to the locking cable 2882, causing the radially extending finger 80 extending radially outwardly Outlook and Outlook spherical member 30 is locked in the receptacle 50 in Conception In this orientation, so that the distal spine segment View 40 (and tool assembly 100 attached thereto) in that articulated position holding. 所述系统采用“被动”关节运动技术。 The system uses a "passive" articulation techniques.

[0267] 图58-61示出了本发明的各种实施方式的索控可锁定关节运动接头四00。 [0267] FIG. 58-61 illustrate various embodiments of the present invention can be controlled cable lock articulation joint 400. 从这些图中可以看出,各种实施方式可包括近侧脊段四20,所述近侧脊段四20可从手柄组件(未显示)延伸从而可由一些已知设置中的任何一种支撑,都不脱离本发明的精神和范围。 As can be seen from these figures, various embodiments may include a proximal spine segment IV 20, the proximal spine segment four from the handle assembly 20 (not shown) may be formed so as to extend some known set of any one of the support , without departing from the spirit and scope of the invention. 从图58中可以看出,球形元件四36可在远侧脊段四30的近端四32上形成。 As can be seen from FIG. 58, four spherical elements 36 may be formed on the proximal end of the distal section of the ridge 30 of the four four 32. 球形元件四30 的尺寸可设置成容纳于在近侧脊段四20的远端四22中形成的插座四对中。 Four sizes of spherical member 30 may be disposed in the socket to accommodate four 22 formed at the distal end 20 of the proximal spine segment four four pairs. 球形元件四36 和插座四对共同形成球接头,整体标记为四10,其为远侧脊段四30提供了相对于近侧脊段2920沿着多个方向进行关节运动的能力。 Four spherical elements 36 and four pairs of outlets together form a ball joint, indicated generally at 10 four, which provides the ability relative to the proximal spine segment 2920 is articulated along a plurality of directions to a distal spine segment 30 IV. 在远侧脊段四30的近端四32和近侧脊段四20 的远端四22之间提供足够大小的间隙四48,使远侧脊段四30相对于近侧脊段四20在所需的运动范围中进行关节运动。 The proximal end of the distal segment four ridge 30 of sufficient size to provide clearance between 4:20 distal and proximal four 22 IV 32 IV 48 spinal segments, so that the distal spine segment four 30 relative to the proximal spine section at 4:20 conducted joint range of motion required to move. 在各种实施方式中,远侧脊段四30可以连接到与砧座(未显示)枢转连接的细长通道组件(未显示)上。 In various embodiments, the distal spine segment 30 may be connected to the four the anvil (not shown) pivotally connected to the elongate channel assembly (not shown). [0268] 在各种实施方式中,近侧脊段四20的远端四22可具有柔性部分四50和束带部分2960。 [0268] In various embodiments, the distal end of the proximal section 4:20 of four ridges 22 may have a flexible portion 50 and the four strap portions 2960. 近侧脊部分例如可由塑性材料、金属等制成。 Proximal spine section may be formed of a plastic material, for example, made of metal or the like. 柔性部分四50可由设置在近侧脊段2920的远端四22中的一组等间距的槽四52限定,形成多个可径向收缩的锁定部分,例如柔性部分的形式,用于将插座四对限定在其间。 Four flexible portion 50 may be disposed at the distal end 2920 of the proximal spine segment 22 in a group of four equally spaced grooves 52 define four, a plurality of radial contraction of the locking portion can be, e.g., in the form of a flexible portion for the receptacle four pairs defined therebetween. 另外,在周围延伸的槽四56可围绕近侧脊段四20的远端四22的圆周设置。 Further, the groove 56 may extend around the four ridges around the proximal section 20 of the circumference of the distal end of the four 22 IV. 锁定索四70可延伸穿过中空近侧脊段四20并围绕在周向延伸的槽四56中的束带部分四60形成环,如图59和61所示。 Four locking cable 70 may extend through the hollow proximal ridge segments 20 and four circumferentially extending grooves around the four strap portion 56 to form a ring of four 60, 59 and 61 shown in FIG. 从这些附图中可以看出,索四70可穿过两个通道四57、2958,使其末端可延伸穿过近侧脊段四20到达支撑在手柄组件(未显示)中的索控制系统(未显示),可用于选择性地将张力施加到索四70。 As can be seen from these figures, the cable 70 can be passed through two four-channel, 4 57,2958, it may extend through the proximal end of the ridge section 20 reaches four support in the handle assembly (not shown) of the cable control system (not shown), it may be used to selectively tension applied to the cable 70 four.

[0269] 为了使用该实施方式,临床医生将工具组件100定位在患者体内然后使用另一种外科器械将关节运动力施加到工具组件上,或者在将张力施加到锁定索四70之前通过将工具组件100与患者的一部分接触而使工具组件关节运动到所需位置。 [0269] In order to use this embodiment, the clinician tool assembly 100 is then positioned in the patient using another surgical instrument applying articulation force to the tool assembly, or applying tension to the locking cable 70 before the adoption of the four tools leaving a portion of the contact assembly 100 with tool assembly articulation patient to the desired position. 在工具组件100已经进行关节运动到所需位置后,临床医生将张力施加到锁定索四70,引起柔性部分围绕球形元件四70锁定并防止其相对于近侧脊段四20运动,从而将远侧脊段观40 (以及与其连接的工具组件100)保持在该关节运动位置。 The tool assembly 100 has been articulated to the desired position, the clinician applying tension to the locking cable 70 four, causing the flexible part 70 surrounding the spherical locking element and prevents its four relative to the proximal spine segment four 20 motion, thus far Concept of the ridge-side segment 40 (and tool assembly 100 attached thereto) in that articulated position holding. 所述系统采用“被动”关节运动技术。 The system uses a "passive" articulation techniques. 为了释放球形元件以便允许工具组件进一步进行关节运动,张力从索四70释放。 To release the spherical element so as to allow the tool assembly further articulation, tension is released from the four cable 70.

[0270] 图62-64示出了本发明的各种实施方式的可锁定关节运动接头3000。 [0270] FIG. 62-64 illustrate various embodiments of the present invention lockable articulation joint 3000. 从这些图中可以看出,各种实施方式可包括近侧脊段3010,所述近侧脊段3010可从手柄组件(未显示)延伸从而可由一些已知设置中的任何一种支撑,都不脱离本发明的精神和范围。 As can be seen from these figures, various embodiments may include a proximal spine segment 3010, the proximal spine segment 3010 from the handle assembly (not shown) may be formed so as to extend some known settings any support, are without departing from the spirit and scope of the invention. 近侧脊段3010具有远端3012,其具有从其上突出并具有在其上形成的大体球形元件3016的颈部3014。 Proximal spine segment 3010 has a distal end 3012, having projecting therefrom and having a neck portion formed thereon generally spherical member 3016 of 3014. 从图63和64中可以看出,球形元件3016中具有一组槽3018,用于限定一组球形分部3020。 As can be seen from FIG. 63 and 64, the spherical member 3016 having a plurality of slots 3018, for defining a set of spherical segment 3020. 如图62中所示,球形元件3016的尺寸可设置成容纳于在远侧脊段3030的近端3032中形成的插座3034中。 As shown in FIG. 62, the size of the spherical member 3016 may be received in the socket 3034 provided in the proximal end 3032 of the distal spine segment 3030 formed in. 球形元件3016和插座3034共同形成球接头,整体标记为3040,其为远侧脊段3030提供了相对于近侧脊段3010沿着多个方向进行关节运动的能力。 The spherical member 3016 and socket 3034 collectively form a ball joint, indicated generally at 3040, which is a distal spine segment 3030 provides 3010 the ability to articulate in multiple directions relative to the proximal spine segment. 在远侧脊段3030的近端3032和近侧脊段3010的远端3012之间提供足够大小的间隙3042,使远侧脊段3030相对于近侧脊段3010在所需的运动范围中关节运动。 Providing sufficient size between the distal spine segment 3012 in the proximal end of 3030 distal and proximal spine segment 3032 3010 3042 gap, so that the distal spine segment 3030 relative to the proximal spine segment 3010 in the desired range of joint motion movement. 在各种实施方式中,远侧脊段3030可以连接到与砧座(未显示)枢转连接的细长通道组件(未显示) 上。 In various embodiments, the distal spine segment 3030 may be connected to the anvil (not shown) pivotally connected to the elongate channel assembly (not shown).

[0271] 从图62中可以看出,致动元件3050可被用于选择性地径向延伸球形分部3020以便在插座3034中膨胀并锁定球形元件3016。 [0271] As can be seen from Figure 62, the actuating member 3050 may be used to selectively radially extend the ball segments 3020 to expand and lock the receptacle 3034 in a spherical element 3016. 在一种实施方式中(图62-64),致动元件具有中空轴部分3052,其延伸通过近侧脊段3010的颈部3014中的通道3015并且还通过球形元件3016中的通道3017。 In one embodiment (FIG. 62-64), the actuating member has a hollow shaft portion 3052 that extends through the proximal spine segment 3014 and neck 3010 of the channel 3015 and also by the spherical element 3016 in channel 3017. 致动元件3050的远端30M具有大体锥形部分3056,其被容纳在球形元件3016中的锥形关节运动插座3050中,如图所示。 Actuating member 3050 having a generally tapered distal end portion 3056 30M, which is accommodated in the spherical element 3016 in the articulation socket 3050 in the tapered, as shown in FIG. 当致动元件3050沿着近侧方向PD被拉动时,锥形部分3056引起球形分部3020径向向外延伸并将球形元件3016锁定在插座3034中。 When actuating member 3050 PD is pulled in the proximal direction, the tapered portion 3056 causes spherical segment 3020 extending radially outwardly and lock the ball member 3016 in the socket 3034. 也可采用手柄中的各种扳机和锁定设置(未显示),以便选择性地沿着近侧方向PD和远侧方向DD运动致动元件并将致动元件3050锁定在位置中,将球形元件3016 保持为膨胀/锁定状态。 The handle may also be employed in a variety of settings and locking the trigger (not shown) for selectively along the proximal direction PD and distal DD direction of movement of the actuating member and the actuating member 3050 is locked in position, the spherical elements 3016 remains the expansion / locked.

[0272] 为了使用该实施方式,临床医生将工具组件100定位在患者体内然后使用另一种外科器械将关节运动力施加到工具组件上,或者在沿着近侧方向PD拉动致动元件3050之前将工具组件100与患者的一部分接触,使工具组件关节运动到所需位置。 [0272] In order to use this embodiment, the clinician tool assembly 100 is then positioned in the patient using another surgical instrument applying articulation force to the tool assembly, or pulled in the proximal direction PD actuating element before 3050 the contact portion of the tool assembly 100 and the patient, the tool assembly articulated to the desired position. 在工具组件100已经进行关节运动到所需位置后,临床医生沿着近侧方向拉动致动元件3050,引起球形分部3020径向向外扩张并沿着该朝向将球形元件3016锁定在插座3034中,从而将远侧脊段3030(以及与其连接的工具组件100)保持在该关节运动位置。 The tool assembly 100 has been articulated to the desired position, the clinician in the proximal direction to pull the actuating member 3050, causing the spherical segment 3020 along the radially outward expansion toward the spherical locking member 3016 in the socket 3034 , so that the distal spine segment 3030 (and tool assembly 100 attached thereto) in that articulated position holding. 所述系统采用“被动”关节运动技术。 The system uses a "passive" articulation techniques.

[0273] 图65-67示出了本发明的各种实施方式的另一种可锁定关节运动接头3100,其基本上与上述关节运动接头3000的操作相同,但致动元件3150和球形元件3116除外。 [0273] Figure 65-67 illustrate various embodiments of the present invention of another lockable articulation joint 3100, which is substantially the same as the above-described operation of the articulation joint 3000, but the actuating member and the spherical element 3116 3150 excluded. 从这些图中可以看出,球形元件3116具有在其中形成的至少一个并优选三个可径向延伸部分3120。 As can be seen from these figures, the spherical member 3116 has at least one and preferably three radially extendable portions 3120 formed therein. 致动元件3150具有中空轴部分3152,其延伸穿过近侧脊段3010的颈部3014中的通道3015并且还通过球形元件3116中的通道3017。 Actuation member 3150 has a hollow shaft portion 3152 that extends through the proximal spine segment 3014 and neck 3010 of the channel 3015 and also by the spherical element 3116 in channel 3017. 致动元件3150的远端3巧4具有大体锥形楔部3156,其与球形元件3116中的每个可径向延伸部分3120对应,延伸到球形元件3116中的锥形致动插座3118中,如图所示。 The distal end of the actuating element 3 3150 4 has a generally conical clever wedge 3156, 3116 with the spherical elements in each radially extending portion corresponding to 3120, extended to 3116 in the spherical element tapered socket actuation in 3118, As shown in FIG. 当致动元件3150沿着近侧方向PD被拉动时, 锥形楔部3156引起对应的可径向延伸部分3120径向向外膨胀并将球形元件3116锁定在插座3034中。 When actuating member 3150 PD is pulled in the proximal direction, the tapered wedge portion 3156 causes corresponding radially outwardly extending portion 3120 radially expandable spherical element 3116 and 3034 are locked in the socket. 也可采用手柄中各种扳机和锁定设置(未显示),以便选择性地沿着近侧方向PD和远侧方向DD运动致动元件并将元件锁定在位置中,将球形元件3116保持为膨胀/ 锁定状态。 May also be used to lock the handle and trigger various settings (not shown) for selectively along the proximal direction PD and distal direction DD movement of the actuating member and the locking member in position, the spherical member 3116 is expanded to maintain / lock status.

[0274] 为了使用该实施方式,临床医生将工具组件100定位在患者体内使用另一种外科器械将关节运动力施加到工具组件上,或者将工具组件100与患者的一部分接触,在沿着近侧方向PD拉动致动元件3150之前使工具组件沿着近侧方向PD进行关节运动到所需位置。 [0274] In order to use this embodiment, the clinician tool assembly 100 is positioned in a patient using another surgical instrument applying articulation force to the tool assembly, or a portion of the tool assembly 100 into contact with the patient, along nearly PD-side direction before pulling the actuating member of the tool assembly 3150 in the proximal direction PD is articulated to the desired position. 在工具组件100已经进行关节运动到所需位置后,临床医生沿着近侧方向拉动致动元件3150,引起可径向延伸的部分3120径向向外膨胀并沿着该朝向将球形元件3116锁定在插座3034中,从而将远侧脊段3030(以及与其连接的工具组件100)保持在该关节运动位置。 The tool assembly 100 has been articulated to the desired position, the clinician in the proximal direction to pull the actuating member 3150, causing the radially extending portion 3120 radially outwardly along the expanded toward the spherical locking element 3116 3034 in the socket, whereby the distal spine segment 3030 (and tool assembly 100 attached thereto) in that articulated position holding. 所述系统采用“被动”关节运动技术。 The system uses a "passive" articulation techniques.

[0275] 图68-70示出了本发明的各种实施方式的另一种可锁定关节运动接头3200。 [0275] Figure 68-70 illustrate various embodiments of the present invention of another lockable articulation joint 3200. 从这些图中可以看出,各种实施方式可包括近侧脊段3210,所述近侧脊段3210可从手柄组件(未显示)延伸从而可由一些已知设置中的任何一种支撑,都不脱离本发明的精神和范围。 As can be seen from these figures, various embodiments may include a proximal spine segment 3210, the proximal spine segment 3210 from the handle assembly (not shown) may be formed so as to extend some known settings any support, are without departing from the spirit and scope of the invention. 近侧脊段3210具有远端3212,其具有多个可径向收缩部分,例如其中限定插座3216的柔性插座指3214的形式。 Proximal spine segment 3210 has a distal end 3212 that has a plurality of radial contraction portion, e.g., wherein the flexible receptacle defining outlet means in the form of 3216 3214. 从图68中可以看出,球形元件3310可在远侧脊段3300的近端3312 上形成。 As can be seen from Fig. 68, the spherical member 3310 may be formed on the proximal end of the distal spine segment 3312 3300. 球形元件3310可在颈部3308的端部上形成,其尺寸可设置成容纳于在由插座指3214形成的插座3216中。 Spherical element 3310 may be on the end of the neck portion 3308 is formed, which may be sized to be received in the receptacle by means of socket 3214 formed in 3216. 球形元件3310和插座3216共同形成球接头,整体标记为3320, 其为远侧脊段3300提供了相对于近侧脊段3210沿着多个方向进行关节运动的能力。 The spherical member 3310 and socket 3216 collectively form a ball joint, indicated generally at 3320, which is a distal spine segment 3300 provides the ability relative to the proximal spine segment 3210 is articulated along a plurality of directions. 在远侧脊段3300的近端3304和近侧脊段3210的远端3212之间提供足够大小的间隙3002,使远侧脊段3300相对于近侧脊段3210在所需的运动范围中进行关节运动。 The distal spine segment 3304 and the proximal end of the proximal spine segment 3300 3002 of sufficient size to provide clearance so that the distal spine segment 3300 relative to the proximal spine segment 3210 in the desired range of motion carried in 3212 between the distal end 3210 articulation. 在各种实施方式中,远侧脊段3300可以连接到与砧座(未显示)枢转连接的细长通道组件(未显示)上。 In various embodiments, the distal spine segment 3300 may be connected to the anvil (not shown) pivotally connected to the elongate channel assembly (not shown). 另外,中空通道3306可经过球形元件3310和颈部3308设置,以便于索或其他致动器械/ 元件从其中穿过。 In addition, the hollow channel 3306 may be subjected to the spherical element 3310 and 3308 set neck, so as to cable or other actuation instruments / components therethrough.

[0276] 从图68-70中还可以看出,该实施方式还可包括闭合环3400,其选择性地沿着近侧和远侧方向在近侧脊段3210上滑动并可轴向运动。 [0276] can also be seen from Figure 68-70, the embodiment may also include a closed loop 3400, which selectively and axially sliding movement along the proximal and distal direction in the proximal spine segment 3210. 上述各种系统和元件都可被采用,以便选择性地沿着近侧和远侧方向运动闭合环3400。 The various systems and components described above can be employed to selectively move the proximal and distal directions along a closed loop 3400. 特别是从图68中可以看出,插座指3214 具有倾斜或者逐渐变细的端表面3215,使闭合环3400的远侧部分3402在其上滑动,并引起插座指3214闭合在球形元件3310上并将其锁定在位置中。 In particular, can be seen from Figure 68, the receptacle means 3214 has an inclined or tapered end surface 3215, the closure ring 3400 of the distal portion 3402 to slide on and cause the socket means is closed in 3214 and 3310 on the spherical element to lock it in position.

[0277] 为了使用该实施方式,临床医生将工具组件100定位在患者体内使用另一种外科器械将关节运动力施加到工具组件上,或者在向远侧行进闭合环MOO之前通过将工具组件100与患者的一部分接触而使工具组件关节运动到所需位置。 [0277] In order to use this embodiment, the clinician tool assembly 100 is positioned in a patient using another surgical instrument applying articulation force to the tool assembly, or before the closed loop travels distally through the tool assembly 100 MOO contacting the tool assembly and a portion of the patient's articulation to the desired position. 在工具组件100已经进行关节运动到所需位置后,临床医生向远侧行进闭合环3400,引起插座指3214闭合在球形元件3310上并将球形元件3310沿着该朝向锁定在插座3216中,从而将远侧脊段3300 (以及与其连接的工具组件100)保持在该关节运动位置。 The tool assembly 100 has been articulated to the desired position, the clinician distally advancing a closed loop 3400, means 3214 causes the receptacle is closed on the spherical element 3310 and 3310 along the spherical element toward lock receptacle 3216, so that The distal spine segment 3300 (and tool assembly 100 attached thereto) in that articulated position holding. 所述系统采用“被动”关节运动技术。 The system uses a "passive" articulation techniques.

[0278] 图71示出了本发明的各种实施方式的另一种被动关节运动接头3500。 [0278] FIG. 71 illustrates another passive articulation of various embodiments of the present invention, a joint 3500 从该图中可以看出,各种实施方式可包括近侧脊段3510,所述近侧脊段3510可从手柄组件(未显示)延伸从而可由一些已知设置中的任何一种支撑,都不脱离本发明的精神和范围。 As can be seen from this figure, the various embodiments may include a proximal spine segment 3510, the proximal spine segment 3510 from the handle assembly (not shown) may be formed so as to extend some known settings any support, are without departing from the spirit and scope of the invention. 近侧脊段3510具有远端3512,其中具有插座3514。 Proximal spine segment 3510 has a distal end 3512, including a socket 3514. 从图71中还可以看出,球形元件3530可在远侧脊段3520的近端3522上的颈部3532上形成。 Can also be seen from Figure 71, the spherical member 3530 may be formed on the proximal end of the neck 3532 of the distal spine segment on 3522 3520. 球形元件3530和插座3514共同形成球接头,整体标记为邪40,其为远侧脊段3520提供了相对于近侧脊段3510沿着多个方向进行关节运动的能力。 The spherical member 3530 and socket 3514 collectively form a ball joint, indicated generally at 40 evil, which is a distal spine segment 3520 provides 3510 the ability to articulate in multiple directions relative to the proximal spine segment. 在替代实施方式中,插座可在远侧脊段中形成并且球形元件可在近侧脊段中形成。 In alternative embodiments, the socket may be formed in the distal spine segment and the spherical element may be formed in the proximal spine segment. 在远侧脊段3520的近端3522和近侧脊段3510的远端3512之间提供足够大小的间隙3542,使远侧脊段3520相对于近侧脊段3510在所需的运动范围中进行关节运动。 Providing sufficient size between 3512 proximal to the distal spine segment 3520 3522 distal and proximal spine segment 3510 3542 gap, so the distal spine segment 3520 relative to the proximal spine segment 3510 in the desired range of motion articulation. 在各种实施方式中,远侧脊段3520可以连接到与砧座(未显示)枢转连接的细长通道组件(未显示)上。 In various embodiments, the distal spine segment 3520 may be connected to the anvil (not shown) pivotally connected to the elongate channel assembly (not shown).

[0279] 从图71中还可以看出,球形元件3530的近侧朝向面3532具有多个在其中形成的定位槽3534。 [0279] can also be seen from Figure 71, the proximal surface of the spherical element 3530 toward 3532 having a plurality of detents 3534 formed therein. 锁定销3550可操作地支撑在近侧脊段3510中并被定向成与定位槽3534接合。 3550 locking pin operably supported in the proximal spine segment 3510 and is directed into engagement with the positioning grooves 3534. 锁定销3550可被弹簧偏置成向着球形元件3530的近侧朝向面3532,当远侧脊段3520 相对于近侧脊段3510进行关节运动时,使锁定销扣合到相应的一个定位槽3534中,将远侧脊段3520保持在该位置中。 The locking pin 3550 may be spring biased toward the proximal surface of the spherical element 3530 toward 3532, when the distal spine segment 3520 relative to the proximal spine segment 3510 is articulated, engaging the locking pin to a respective one of the positioning grooves 3534 , the distal spine segment 3520 in that position maintained.

[0280] 为了使用该实施方式,临床医生将工具组件100定位在患者体内使用另一种外科器械将关节运动力施加到工具组件上,或者将工具组件100与患者的一部分接触,使工具组件关节运动到所需位置,或者另一个外科工具可被用于将关节运动力施加到工具组件, 引起工具组件100向着所需方向运动。 [0280] In order to use this embodiment, the clinician tool assembly 100 is positioned in a patient using another surgical instrument applying articulation force to the tool assembly, or the tool assembly 100 into contact with the patient's part, the tool assembly joints moved to the desired position, or another surgical tool may be used to exert articulation force to the tool assembly, the tool assembly 100 to cause movement toward desired direction. 当工具组件进行关节运动时,锁定销的远端3552将扣合到定位槽3534中,直到到达所需的关节运动位置再从其中脱离。 When the tool assembly is articulated, the distal end of the locking pin 3552 will snap into detents 3534 until you reach the desired articulation position and then departing from it. 所述系统采用“被动” 关节运动技术。 The system uses a "passive" articulation techniques.

[0281] 图72示出了本发明的各种实施方式的另一种被动关节运动接头3600,其有些类似于上述关节运动接头3500,下面讨论其不同。 [0281] FIG. 72 illustrates various alternative embodiment of the passive articulation joint of the present invention is 3600, which is somewhat similar to the above-mentioned articulation joint 3500, are discussed below which is different. 例如在该实施方式中,球形元件3630可在从近侧脊段3610向远侧突出的颈部3632上形成。 For example, in this embodiment, the spherical member 3630 are available on the ridge from the proximal to the distal segment 3610 3632 formed projecting neck. 近侧脊段3610可从手柄组件(未显示) 延伸从而可由一些已知设置中的任何一种支撑,都不脱离本发明的精神和范围。 Proximal spine segment 3610 may extend from the handle assembly (not shown) may be any one of a number of known and thus set up a support, without departing from the spirit and scope of the invention. 远侧脊段3620中具有插座36M。 The distal spine segment 3620 has socket 36M. 球形元件3630和插座36M共同形成球接头,整体标记为3650,其为远侧脊段3620提供了相对于近侧脊段3610沿着多个方向进行关节运动的能力。 36M spherical member 3630 and socket together form a ball joint, indicated generally at 3650, which is a distal spine segment 3620 provides 3610 the ability to articulate in multiple directions relative to the proximal spine segment. 在远侧脊段3620的近端3622和近侧脊段3610的远端3612之间提供足够大小的间隙3642,使远侧脊段3620相对于近侧脊段3610在所需的运动范围中进行关节运动。 Providing sufficient size between 3612 proximal to the distal spine segment 3622 3620 distal and proximal spine segment 3610 3642 gap, so the distal spine segment 3620 relative to the proximal spine segment carried out in 3610 in the desired range of motion articulation. 在各种实施方式中, 远侧脊段3620连接到与砧座(未显示)枢转连接的细长通道组件(未显示)。 In various embodiments, the distal spine segment 3620 is connected to the anvil (not shown) pivotally connected to the elongate channel assembly (not shown).

[0282] 从图72中还可以看出,插座面3636的一部分3638具有多个在其中形成的定位槽3639。 [0282] can also be seen from Fig. 72, 3636 part of the socket face 3638 having a plurality of detents 3639 formed therein. 锁定销3660可操作地支撑在近侧脊段3610中并被定向成与定位槽3639结合。 3660 locking pin operably supported in the proximal spine segment 3610 and are oriented 3639 in conjunction with the positioning groove. 锁定销3660可被弹簧偏压成向着球形元件3530的面3636,当远侧脊段3620相对于近侧脊段3610进行关节运动时,使锁定销3660扣合到相应的一个定位槽3639中,将远侧脊段3620 The locking pin 3660 may be spring biased toward the surface of the spherical element 3530 3636, when the distal spine segment 3620 relative to the proximal spine segment 3610 is articulated, engaging the locking pin 3660 to a respective one of the positioning grooves 3639, the The distal spine segment 3620

保持在该位置中。 Held in this position.

[0283] 为了使用该实施方式,临床医生将工具组件100定位在患者体内然后使用另一种外科器械将关节运动力施加到工具组件上,或者通过将工具组件100与患者的一部分接触而使工具组件进行关节运动到所需位置,或者另一个外科工具可被用于将关节运动力施加到工具组件而引起工具组件100向着所需方向运动。 [0283] In order to use this embodiment, the clinician tool assembly 100 is then positioned in the patient using another surgical instrument applying articulation force to the tool assembly, the tool assembly 100 or by contacting a portion of a patient leaving the tool component articulated to the desired position, or another surgical tool may be used to exert force to the tool assembly articulated tool assembly 100 to cause movement toward desired direction. 当工具组件进行关节运动时,锁定销3660的远端3662将扣合到定位槽3639中,直到到达所需的关节运动位置再从其中脱离。 When the tool assembly is articulated, the distal end of the locking pin 3660 to 3662 will be engaging detents 3639 until you reach the desired articulation position and then departing from it. 所述系统采用“被动”关节运动技术。 The system uses a "passive" articulation techniques.

[0284] 本发明的各种外科缝合器械可被设计成适用被设计成单次使用后被抛弃的工具组件。 [0284] various surgical stapling apparatus of the present invention may be designed to be suitable is designed discarded after a single use of the tool assembly. 在缝合操作完成后,工具组件被抛弃并且器械可在准备用于另一次手术时重新灭菌。 After the stitching operation is completed, the tool assembly is discarded and re-sterilized instruments can be used in the preparation of another surgery. 在所述应用中,因此通常希望采用接头设置,方便将工具组件与器械快速地连接和拆卸。 In the application, it is often desirable to use tap settings, convenient tool to quickly connect with the device assembly and disassembly. 图73-83示出了外科器械4000,其被构造成与可进行外科手术动作的外科工具组件100”结合使用。在各种实施方式中,工具组件100”被构造成通过上述索提供动力的动力夹钳元件/ 刀设置来切割并缝合组织。 Figure 73-83 shows a surgical instrument 4000, which can be configured to perform a surgical operation of surgical tool assembly 100 "in combination. In various embodiments, the tool assembly 100" is configured to provide power via the cable Power clamp device / tool set to cut and staple tissue. 在其他实施方式中,可采用不同的驱动设置来驱动动力夹钳元件/刀穿过工具组件100”的细长通道部分。 In other embodiments, different drive can be used to drive the dynamic clamping member disposed / knife through the tool assembly 100 "of the elongate channel portion.

[0285] 在一些实施方式中,工具组件100”包括一次性重新加载单元4002的一部分。在其他实施方式中,工具组件100”可与器械4000的其他部分永久连接并能够与钉仓组件结合重新使用。 [0285] In some embodiments, the tool assembly 100 "includes a portion of a disposable unit 4002 re-loading. In other embodiments, the tool assembly 100" may be permanently connected to the rest of the instrument 4000 and capable of binding with the cartridge assembly to re- use. 一次性重新加载单元4002可还包括用于将一次性重新加载单元4002与器械4000连接的连接器部分4004。 Disposable reload unit 4002 may further include a disposable reload unit 4002 and the device 4000 connected to the connector portion 4004. 在各种实施方式中,工具组件100”可通过关节运动接头4006相对于连接器部分4004进行关节运动。 In various embodiments, the tool assembly 100 "through the articulation joint 4006 with respect to the connector portion 4004 is articulated.

[0286] 特别是从图73A中可以看出,一种实施方式的工具组件100”可包括具有与其枢转连接的砧座组件4020的细长通道组件4012。例如,在一种实施方式中,砧座组件4020可具有一对耳轴4022,它们适于被容纳在细长通道组件4012的壁中相应的槽4014中,如图所示。砧座组件4020可被形成为在其近端40上具有砧座闭合翼片4(^6,以便选择性地由闭合环4030接触。不旋转的闭合环4030键接到细长通道组件4012和/或砧座组件4020, 使闭合环4030不能相对于细长通道4012旋转。翼片间隙开口4032可经过闭合环4030设置,当砧座组件4020处于闭合(夹钳)位置时容纳砧座闭合翼片仙沈。一组内螺纹4036 可设置在不旋转的闭合环4030的近端4034,用于螺纹接收远侧闭合管段4040的带螺纹远端4042。如同将在下面进一步详细讨论的那样,当远侧闭合管段4040旋转时,闭合环4030 沿着远侧方向DD轴向驱动。当闭合环4030沿着远侧方向DD运动时,其上到砧座组件4020 的近端的斜面4021上,引起砧座组件4020枢转到闭合位置。这种设置代表了优于其中闭合环由索沿着远侧方向拉动的现有设置的巨大改进。 [0286] As can be seen particularly in FIG. 73A, one embodiment of the tool assembly 100 "may include anvil assembly having pivotally connected thereto an elongate channel assembly 4020 of 4012. For example, in one embodiment, anvil assembly 4020 may have a pair of trunnions 4022 that are adapted to be housed in the wall of the elongate channel assembly 4012 of the corresponding groove 4014 as shown in Fig. anvil assembly 4020 may be formed at its proximal end 40 having anvil closure flap 4 (^ 6 for selectively closing the ring 4030 by a contact closure ring 4030 does not rotate bonded to the elongate channel assembly 4012 and / or anvil assembly 4020, the closure ring 4030 can not relatively in the elongate channel 4012 rotation. fins gap opening 4032 may be subjected to closed loop 4030 is set to accommodate the anvil closure flaps cents sink when anvil assembly 4020 is in the closed (clamp) position 4036 within a set of threads may be provided without rotating the proximal end 4034 of a closed loop 4030, for receiving a threaded distal closure tube 4042. As will be discussed in further detail below, as the distal end of the threaded section 4040, when the distal closure tube segment 4040 is rotated along a closed loop 4030 axial drive distal direction DD. When the closed loop in the distal direction DD 4030 movement, the inclined surface on the anvil assembly 4021 in the proximal end of 4020, causing anvil assembly 4020 to pivot to a closed position. This arrangement which represents a huge improvement over the closed loop by the cable pulling the distal direction along the existing settings.

[0287] 外科器械4000可还包括细长闭合管组件5000,其容纳各种元件并可操作地与手柄组件连接(将在下面进一步详细讨论)。 [0287] The surgical instrument 4000 may further include an elongate closure tube assembly 5000 that houses a variety of components and is operatively connected to the handle assembly (discussed in further detail below). 在本发明的各种实施方式中,闭合管组件5000 可包括中间闭合管段5001和近侧闭合管段5020。 In various embodiments of the present invention, the closure tube assembly 5000 may comprise an intermediate closure tube segment 5001 and a proximal closure tube segment 5020. 在一些实施方式中,工具组件100”可通过关节运动接头4006与闭合管组件5000的中间闭合管段5001连接,方便工具组件100” 相对于闭合管组件5000围绕大体上彼此垂直的两个轴线UA-UA和OA-OA的行进(将在下面进一步详细讨论)。 In some embodiments, the tool assembly 100 "may be connected by the articulation joint assembly 4006 of the intermediate closure tube segment 5000 of closure tube 5001, easy tool assembly 100" relative to the closure tube assembly 5000 about two axes substantially perpendicular to each other UA- UA and OA-OA traveling (discussed in further detail below). 而且,各种实施方式可包括用于主动控制工具组件100”、具有被动关节运动能力、同时还具有将工具组件锁定在所需的关节运动位置中的能力的部件。当详细描述本发明时这些独特新颖的特征和优点将进一步变得清楚。 Furthermore, various embodiments may include active control tool assembly 100 ", with passive joint movement capability, but also has the tool assembly is locked in the desired articulated position of ability components. When the present invention is described in detail with these unique and novel features and advantages will become apparent further.

[0288] 例如,在各种实施方式中,远侧闭合管段4040可形成为具有从其上沿着近侧方向突出的一对相对的通用枢转臂4046。 [0288] For example, in various embodiments, the distal closure tube segment 4040 may be formed with a proximal direction protruding therefrom a pair of opposed universal pivot arms 4046. 中间闭合管段5001的远端5002可形成为具有两个从其上向远侧突出的相对的紧固件臂5004、5006,见图73A和74B。 5001 of the intermediate closure tube segment 5002 may be formed with the distal end of two protruding distally therefrom opposed retainer arms 5004,5006, see FIG. 73A and 74B. 紧固件臂5004具有穿过其中的枢轴孔5008,并且紧固件臂5006具有大体上与枢轴孔5008共轴对准的枢轴孔5010, 限定通用枢转轴线UA-UA。 Fastener arm 5004 has a pivot hole 5008 therethrough and fastener arm 5006 has a pivot hole 5008 substantially coaxially aligned pivot holes 5010 defining universal pivot axis UA-UA. 定位在紧固件臂5004和5006之间的是通用环4070,其具有从其上突出的两对销4072、4074,其中每个销可围绕通用环4070的圆周彼此间隔90度(一个销4074如图73A和74B中虚线所示)。 Positioned between the fastener arms 5004 and 5006 are general ring 4070, having therefrom projecting two pairs of pins 4072,4074, wherein each rotatable about a common pin ring 4070 of circumferentially spaced from each other by 90 degrees (one pin 4074 73A and 74B as shown in dashed lines). 如图73A所示,一个销4072可枢转地容纳在紧固件臂4006的下部枢轴孔5010中。 As shown in Figure 73A, one pin 4072 is pivotally received in the fastener arm lower pivot hole 5010 in 4006. 这种设置使通用环4070能够相对于闭合管组件5000围绕通用轴线UA-UA枢转。 This arrangement enables universal ring 4070 relative to the closure tube assembly 5000 about the common pivot axis UA-UA. 从远侧闭合管4040突出的每个相对的通用枢转臂4046中具有可枢转地将一个对应的销容纳在其中的孔4047,使远侧闭合管4040能够围绕垂直轴线OA-OA (在图75中显示)沿着由图73A中的箭头FD所示的第一枢转方向和由图73A中的箭头SD所示的第二枢转方向相对于通用环4070和闭合管组件5000枢转。 4040 protruding from the distal closure tube opposite to each common pivot arm 4046 having pivotally to a corresponding pin receiving hole 4047 therein, so that the distal closure tube 4040 can be about the vertical axis OA-OA (in shown in Figure 75) along the arrow FD in FIG. 73A shown in a first pivot direction and by the arrows in FIG. 73A SD shown in the second pivot direction with respect to the common ring 4070 and closure tube assembly 5000 to pivot . 轴线UA-UA和OA-OA可大体上彼此垂直。 Axis UA-UA and OA-OA may be substantially perpendicular to each other.

[0289] 因此,本领域普通技术人员将会理解,上述通用环4070设置利于远侧闭合管4040 的关节运动,并最终利于与其连接的工具组件100”相对于闭合管组件5000围绕多个轴线UA-UA和OA-OA进行关节运动。另外,如同将在下面进一步描述的那样,在各种实施方式中, 闭合管组件5000可由手柄组件旋转地支撑,使其可围绕轴的轴线CC旋转。由于工具组件100”固定到闭合管组件5000 (通过关节运动接头4006),工具组件100”也可与其一起旋转。 因此,这种设置提供了工具组件100”,其中可具有索驱动刀组件和具有围绕多个轴被致动的能力的非索驱动的砧座闭合设置。 [0289] Accordingly, one of ordinary skill in the art will appreciate that the above-mentioned general conducive distal closure ring 4070 disposed articulation tube 4040 and ultimately tool assembly connected thereto conducive 100 "relative to the closure tube assembly 5000 about multiple axes UA -UA and OA-OA articulated. Further, as will be further described, in various embodiments, closure tube assembly 5000 may be rotatably supported by the handle assembly, so that it is rotatable about the rotation axis of the shaft CC. Since tool assembly 100 "is fixed to the closure tube assembly 5000 (through the articulation joint 4006), the tool assembly 100" is also rotated together therewith. Thus, this arrangement provides a tool assembly 100 ", which may have a cable driven knife assembly having around multiple axes ability actuated non-cable drive anvil closure settings.

[0290] 从图73A和74A中还可以看到,该实施方式可还包括远侧脊段4050,其可具有在其上形成的容纳在远侧闭合管4040中的定位槽4044中的环状保持凸缘4052。 [0290] From Fig. 73A and 74A also can be seen, this embodiment may further include a distal spine segment 4050, which may have housed it in 4044 formed in the distal closure tube 4040 positioning an annular groove retaining flange 4052. 在各种实施方式中,关节运动接头4006还可包括关节运动锁定组件,整体标记为4007,其利于在工具组件100”已经进行关节运动到所需朝向后关节运动接头4006的锁定。所述锁定组件4007 可包括在远侧脊段4050的颈部40M上形成的球形元件4060。锁定组件4007可还包括带齿插座元件5030,其在定位在连接器部分4004中的中间脊段5020的远端5022上形成。带齿插座元件5030可包括多个可径向收缩指5032,将插座5034限定在它们之间,球形元件4060可沿着多个方向在其中进行关节运动。带齿插座元件5030安装在通用环4070中。 [0291 ] 在各种实施方式中,插座锁定管5080可共轴容纳在一次性脊段5020上,使其可相对于脊段5020轴向运动(将在下面进一步详细讨论)。锁定管5080的远端5082可逐渐变细,以便当锁定管5080沿着远侧方向DD轴向运动时选择性地与带齿插座元件5030轴向接触,引起带齿指5032径向收缩并围绕球形元件4060闭合,将远侧脊段4050(以及工具组件100”)相对于细长闭合管组件5000锁定在位置中。 In various embodiments, the articulation joint 4006 may also include an articulation locking assembly, indicated generally at 4007, which is conducive to the tool assembly 100 "has been articulated to the articulation joint 4006 after the desired orientation lock. The lock assembly 4007 may include a spherical element on the distal spine segment 4050 40M neck formed 4060. locking assembly 4007 may also include a toothed socket element 5030, at its distal end portion of the connector is positioned in the middle of the ridge section 4004 5020 5022 is formed. toothed socket member 5030 may comprise a plurality of radial contraction means 5032, the outlet 5034 defined between them, the spherical element 4060 is movable along a plurality of directions in which the articulation. toothed element 5030 mounting socket In 4070 the common ring. [0291] In various embodiments, the socket locking tube 5080 may be coaxially received on the disposable spine segment 5020 to 5020 axial movement relative to the spinal segment (discussed in further detail below ) locking tube 5080 may be tapered distal end of 5082, so that when the locking tube 5080 DD axial movement in the distal direction to selectively contact with the socket member 5030 axially toothed, toothed cause radial contraction means 5032 and the spherical element 4060 is closed around the distal spine segment 4050 (and tool assembly 100 ") relative to the elongate closure tube assembly 5000 is locked in position.

[0292] 本发明的各种实施方式的外科器械4000可还包括主动关节运动系统,整体标记为5090,用于将关节运动主动施加到远侧脊段4050。 [0292] Various embodiments of the present invention, a surgical instrument 4000 may further include active articulation system, indicated generally at 5090, the initiative for the articulation segment 4050 is applied to the distal spine. 例如在各种实施方式中,主动关节运动系统5090可包括四个进行关节运动的丝5092,它们可由弹簧钢或者类似物制成,并具有足够的硬度,以便将施加的压缩力传递到其近侧部分而不皱缩。 For example, in various embodiments, the active articulation system 5090 may include four articulatable wire 5092, which may be made of spring steel or the like, and has sufficient hardness, compressive force is applied so as to pass near to its side portion without shrinkage. 丝5092可围绕带齿插座5030彼此以90度为间隔设置,并可容纳在可径向收缩指5032的外表面中的对应槽5033 中。 Wire 5092 may surround the toothed socket 5030 another 90 degrees intervals, and can hold the contraction means radially outer surface 5032 of 5033 in a corresponding groove. 每根丝5092的远端5094可与远侧脊段4050的颈部40M连接,并且每根丝5092的近端5096可与容纳在闭合管5000中的远侧丝固定架5100的套节部分5102连接,如图73B 中所示。 Each wire ends 5094 5092 may be connected to the distal spine segment 40M neck 4050, and 5092 of the proximal end of each filament 5096 can be accommodated in a closed tube sleeve section 5000 of a distal portion of the wire holder 5100 5102 connection, 73B shown in Fig. 如同将在下面进一步详细讨论的那样,远侧脊段4050(以及与其连接的工具组件100”)可通过拉动和推动丝5092主动进行关节运动。 As will be discussed in further detail below, as the distal spine segment 4050 (and tool assembly 100 attached thereto "), by pulling and pushing the wire 5092 initiative is articulated.

[0293] 而且在各种实施方式中,球形元件4060的近侧朝向部分中可具有大体锥形腔4062,以容纳一个或多个刀致动索5040,该刀致动索5040与安装在一次性工具组件100”中的动力夹钳元件(未显示)和/或刀(未显示)连接。索5040的近端5042(图73A)可与刀螺母5050连接,该刀螺母5050可螺纹连接在刀螺钉5060上。从图73A和75中可以看出,刀螺母5050具有一对侧向突出的翼片5052,它们轴向容纳在一次性脊段5020中的相应的轴向延伸槽50中。本领域普通技术人员将会理解,当刀螺钉5060旋转时这种设置允许刀螺母5050沿着近侧方向PD或远侧方向DD轴向运动。 [0293] Also in various embodiments, the proximal portion toward the spherical element 4060 may have a generally conical cavity 4062 to accommodate one or more knife actuation cable 5040, the knife actuating cable once installed in 5040 tool assembly 100 "in the power clamp element (not shown) and / or knife (not shown) connected to the proximal end of the cable 5040 5042 (Fig. 73A) may be connected with the knife nut 5050, the knife nut 5050 can be screwed knife screw 5060. As can be seen from FIG. 73A and 75, the knife nut 5050 has a pair of laterally projecting tabs 5052, which is housed in axially corresponding axial section 5020 of the disposable spine extending grooves 50 in. of ordinary skill in the art will appreciate that when the screw 5060 rotating knife This arrangement allows the knife nut 5050 in the proximal direction PD or axial movement in the distal direction DD.

[0294] 如上所述,各种实施方式中一次性重新加载单元4002可被构造成一次使用后丢弃。 [0294] As described above, in various embodiments, the disposable reload unit 4002 can be configured to be discarded after a single use. 为了便于重新加载单元4002的快速拆卸和新的重新加载单元4002的重新连接而无需工具,可采用快速断开接头4008。 In order to facilitate Reload quick-disconnect coupling unit 4002 and the new reload unit 4002 without tools, can be quick-disconnect fittings 4008. 在本文中,术语“快速断开”指的是不使用工具将一个元件从另一个元件上拆下的能力。 As used herein, the term "quick disconnect" refers to the ability to not use tools to remove an element from another element. 快速断开接头4008的各种实施方式的操作和构造可通过图7!3B、74B和76来理解。 4008 quick-disconnect fitting various embodiments of the operation and construction can be understood by Figure 7! 3B, 74B and 76. 从图7和74B可以看出,闭合管组件5000包括中间闭合管段5001和近侧闭合管段5120。 As can be seen from Figure 7 and 74B, closure tube assembly 5000 comprises an intermediate closure tube segment 5001 and a proximal closure tube segment 5120. 从图7和76中可以看出,中间闭合管段5001的近端具有一组在其上形成的径向齿轮齿5003,当一次性重新加载单元4002与近侧闭合管段5120连接时用于与近侧闭合管段5120(在图76中未显示)的远端5122上的齿轮齿5124(在图76 中未显示)啮合。 7 and can be seen from Figure 76, the middle of the proximal closure tube segment 5001 has a set of radial gear teeth 5003 formed thereon, when the disposable reload unit 4002 and the proximal closure tube segment 5120 is connected to the recent gear side closure tube segment 5120 (not shown in FIG. 76) on the distal end 5122 of the tooth 5124 (not shown in FIG. 76) engages.

[0295] 为了支持一次性重新加载单元4002和近侧闭合管段5120之间的可拆卸互连,可采用连接星轮5150。 [0295] In order to support the disposable reload unit detachable interconnection between 5120 and the proximal closure tube segment 4002, 5150 can be connected to the star wheel. 连接星轮5150可部分容纳在中间闭合管段5001的近端中并从其中突出,当中间闭合管段5001与近侧闭合管段5120连接时,使连接星轮5150的一部分突出到近侧闭合管段5120的远端5122中。 Connection star wheel 5150 may be partly accommodated in the intermediate closure tube segment 5001. The proximal end and from which prominent, when the intermediate closure tube segment 5001 and the proximal closure tube segment 5120 connected to the connection star wheel 5150 as part projecting to the proximal closure tube segment 5120 the distal end 5122. 在各种实施方式中,连接星轮可通过销钉在或者通过粘接剂或者其他合适的紧固件设置连接在中间闭合管段5001的近端中。 In various embodiments, the connector pins in the star wheel or set up a connection via an adhesive or other suitable fastener in the middle of the proximal closure tube segment by 5001. 见图76。 See Figure 76.

[0296] 在各种实施方式中,连接星轮5150还可通过轴颈连接在一次性脊段5020上并被构造成容纳从远侧丝固定架5100突出的相应的致动器杆5104。 [0296] In various embodiments, the connector can be connected by 5150 star wheel journaled on the disposable spine segment 5020 and is configured to receive a wire holder 5100 protruding from the distal respective actuator rod 5104. 每个致动器杆5104的近端5106可包括锥形的定位槽,以利于多个近侧丝连接器元件5160之间的互连。 Each actuator rod 5104 may include a tapered proximal end 5106 of the positioning groove, a plurality of proximal wire connector in order to facilitate the interconnection element 5160 between. 例如在一种实施方式中,可采用四个近侧丝连接器元件。 For example, in one embodiment, it may be four proximal wire connector element. 多个致动器杆5104可设置有定位槽5108, 用于容纳安装在每个近侧丝连接器5160中的锥形孔定位槽5162中的相应连接器球5164。 A plurality of actuator rod 5104 may be provided with detents 5108 for the tapered bore detents 5162 to accommodate installed in each proximal wire connectors 5160 the corresponding connector ball 5164. 见图7和77。 Figure 7 and 77. 因此,采用四个连接器球5164,每个近侧丝连接器5160—个。 Therefore, four connector balls 5164, each of the proximal wire connector 5160- months. 从图73B、78 和79中还可以看出,一次性脊段5020的近端5021具有向近侧延伸的连接部分5023,其可具有在其中形成的内卡圈部分5025,以支撑刀螺钉5060的近侧部分5062。 From Fig. 73B, 78 and 79 can also be seen, the proximal end of the disposable spine segment 5021 5023 5020 with a connector portion extending proximally, which may have inner collar portion 5025 formed therein to support blade screw 5060 The proximal portion 5062. 另外,向近侧延伸的连接部分5023可具有在其上形成的外部花键50,用于容纳在近侧脊段5200的远端5202中形成的键槽5206中。 Further, proximally extending connection portion 5023 may have external splines formed thereon 50, keyway 5206 for receiving the distal end of the proximal spine segment 5202 formed in 5200. 刀螺钉5060的近端5062可支撑在轴承5064中,并具有带键驱动部分5066,以便不旋转容纳在刀驱动轴5220的远端5222中的带键驱动腔52M中,见图78。 5060 knife screw proximal end 5062 may be supported on bearings in 5064, and has a keyed drive section 5066 to accommodate the knife does not rotate the distal end of the drive shaft 5222 in 5220 keyed drive chamber 52M in Figure 78. [0297] 接着转到图74A和74B,锁定管5080的连接可被理解。 [0297] FIG. 74A and then passes 74B, locking pipe connection 5080 can be understood. 从图74A中可以看出,锁定管5080具有从其上向近侧突出的一对致动器制动臂5084。 As it can be seen from Fig. 74A, the locking tube 5080 has a proximal protruding therefrom a pair of brake actuator arm 5084. 图74B是从图73B中显示的剖面旋转大约45度的剖视图。 FIG. 74B is a cross-section taken from FIG. 73B show a cross-sectional view of a rotating about 45 degrees. 从图74B中可以看出,每个致动器制动臂5084具有在其中形成的定位槽5085,用于将安装在锥形孔定位槽5166中的连接器球5168容纳在相应近侧致动器制动臂5300中,见图74B和77。 As can be seen from Figure 74B, each brake actuator arm 5084 having detents 5085 formed therein for installation in a tapered bore detents 5166 in connector ball 5168 accommodated in the respective proximal actuator brake arm 5300. Figure 74B and 77. 为了为致动器制动臂5084提供滑动横向支撑,每个致动器制动臂5084可滑动容纳在一次性脊段5020中的对应槽5027中。 In order for the brake actuator arm 5084 provides a sliding lateral support, each brake actuator arm 5084 is slidably received in the disposable spine segment 5020 corresponding slots in 5027. 见图75和76。 Figure 75 and 76.

[0298] 从图73B中还可以看出,外部近侧脊段MOO可容纳在近侧闭合管5120中并与其协作来限定用于将闭合管弹簧Mio容纳在其中的弹簧腔M02。 [0298] can also be seen from FIG. 73B, the outer proximal spine segment MOO can be accommodated in the proximal closure tube 5120 and cooperating therewith to define for the closure tube spring Mio contained therein spring chamber M02. 近侧闭合管段5120的近端51上可具有加大的旋钮部分5128,以便于由临床医生将控制运动施加到其上。 Proximate closure tube segment 5120 may have increased proximal 51 knob portion 5128 in order to control the movement by the clinician will be applied to it. 插座5130可在旋钮部分51中形成,用于将固定到外部近侧脊段MOO的弹簧挡圈5132容纳在其中。 Socket 5130 may be formed in the knob portion 51 for fixing to the outer proximal spine segment 5132 MOO spring ring therein. 因此,闭合管弹簧MlO用于将近侧闭合管段5120偏压成与一次性闭合管段5000 啮合。 Accordingly, closure tube spring MlO proximal closure tube segment for 5120 and 5000 biased into engagement disposable closure tube segment. 从图7和78中可以看出,近侧闭合管段5120的远端122具有更大的内径5123,其具有倾斜的表面5125。 7 and can be seen from Figure 78, the distal end of the proximal closure tube segment 5120 has a larger inner diameter 122 of 5123, which has a sloped surface 5125. 为了将工具组件100,,从器械4000上拆下,临床医生依靠弹簧MlO 的力沿着近侧方向PD拉动旋钮5128,直到更大的内径部分5123与连接器球5164对准,当用户将除去力施加到工具组件100”、沿着远侧方向DD对其进行拉动时,使连接器球5164能够沿着远侧丝固定架5100的致动器杆5104的近端5106与定位槽5108脱离结合。 The tool assembly 100 to be removed from the instrument ,, 4000, clinicians rely on the force of the spring MlO pull the knob in the proximal direction PD 5128 until 5123 and a larger diameter portion aligned connector ball 5164, when the user is removed force is applied to the tool assembly 100 ", when it is pulled in the distal direction DD, the connector can lever 5104 5164 ball proximal end 5106 and 5108 from the positioning groove 5100 in the distal wire holder actuator combination .

[0299] 图78-81示出了将一次性重新加载单元4002连接到器械部分4000。 [0299] Figure 78-81 illustrates the disposable reload unit 4002 is connected to the instrument portion 4000. 特别参见图78,临床医生定向单元4002,使刀螺钉5060的带键部分5066与刀驱动轴5220中的内部带键腔52M对准并将带键驱动部分5066的近端插入其中。 With particular reference to FIG. 78, the clinician directional unit 4002, the cutter screw with key parts of 5066 and 5060 knife drive shaft 5220 internal cavity 52M is aligned with the key and keyed the drive section 5066 of the proximal end inserted therein. 见图79。 See Figure 79. 此后,临床医生将一次性脊段的近端5021上的花键50与近侧脊段5200中的键槽5206对准。 Thereafter, the clinician will take a one-time key proximal spine segment 5021 on the proximal spine segment 5200 50 in 5206 keyway aligned. 见图79和80。 Figure 79 and 80. 临床医生然后继续将近端5106插入到四个近侧丝连接器5160和近侧脊段5200之间的区域5161中。 Clinicians then continued into the area proximal end 5106 5161 5160 four proximal wire connector and a proximal spine segment 5200 between. 见图80。 See Figure 80. 临床医生然后可沿着近侧方向运动闭合旋钮5128,当致动器杆5104 的近端5106向近侧被推动到位置中时,使连接器球5164能够径向向外运动。 Clinicians can then be closed knob 5128 in the proximal direction, when the actuator rod proximal end of 5106 5104 is pushed proximally to the position, the connector can be radially outward movement of the ball 5164. 临床医生染后释放旋钮5128,允许近侧闭合管5120向远侧运动,将连接器球5164锁定在远侧丝固定架5100的致动器杆5104中的定位槽5108中,将四个近侧丝连接器5160固定到远侧丝固定架5100,并且还将连接器球5168锁定在致动器制动臂5084中的定位槽5085中。 Clinicians dyed release knob 5128, allows for the proximal closure tube 5120 is moved distally to lock the connector ball 5164 at the distal wire holder 5100 5104 actuator rod positioning grooves 5108, the four proximal wire connector is fixed to the distal wire holder 5160 5100, and also to lock the connector ball 5168 brake actuator arm 5084 in the positioning grooves 5085. 另外, 径向齿轮5003、51M被保持为彼此啮合。 In addition, the radial gears 5003,51M is kept engaged with each other.

[0300] 图82-84示出了可用于使工具组件100”相对于连接器部分4004进行关节运动并为其提供致动的一种实施方式。从图82中可以看出,器械4000可还包括手柄组件5500,其可由可通过螺钉、扣件、粘接剂等连接在一起的两个外壳部分5510(在图82中仅仅显示一个外壳部分5510)形成。在各种实施方式中,手柄组件5500可采取具有手柄抓持部分5512 的“手枪把手”形外壳。从图82中可以看出,连接凸缘讨04可在外部近侧脊段MOO的近端上形成,用于将外部近侧脊段MOO固定到手柄组件5500上。凸缘M04可通过粘接剂或者其他机械紧固件设置、螺钉、扣件、槽等与手柄外壳阳00连接。同样地,近侧脊段5200的近端5204可具有用于将近侧脊段5200固定到手柄组件5500的凸缘5210。凸缘5210可通过粘接剂或者其他机械紧固件设置、螺钉、扣件、槽等与手柄外壳5500连接。 [0300] Figure 82-84 shows can be used to make the tool assembly 100 "relative to the connector section 4004 is articulated and provide an embodiment of the actuator. It can be seen from Figure 82, the apparatus 4000 also includes a handle assembly 5500, the two housing portions 5510 which may be connected together by screws, fasteners, adhesive or the like (only one housing section 5510 is displayed in FIG. 82) is formed. In various embodiments, the handle assembly 5500 can be taken with a handle grip portion 5512 of "pistol grip" shaped housing. As can be seen from Figure 82, the connecting flange 04 can discuss on the external ridge segment MOO proximal end of the proximal form for external proximal MOO ridge segment secured to the handle assembly 5500. The flange M04 can be configured via an adhesive or other mechanical fasteners, screws, fasteners, ducts and handle housing 00 male connection. Likewise, the proximal segment near the ridge 5200 end of 5204 may have a spinal segment for nearly 5200 to 5500 of the handle assembly 5210. flange flange 5210 can be configured via an adhesive or other mechanical fasteners, screws, fasteners, ducts connected to the handle housing 5500.

[0301] 在各种实施方式中,主动关节运动系统5090可还包括关节运动控制系统,整体标记为5600,其由手柄组件5500可操作地支撑并与关节运动丝5092连接。 [0301] In various embodiments, the active articulation system 5090 may also include articulation control system, the overall mark of 5600, the 5500 is operably supported by the handle assembly and connected to the articulation wire 5092. 从图82中可以看出,关节运动控制系统5600可包括操纵杆组件5602,每个近侧丝连接器5160的近端与其可枢转连接。 As can be seen from Figure 82, the articulation control system 5600 may include a joystick assembly 5602, each of the proximal wire connectors 5160 and its proximal end is pivotally connected. 例如在一种实施方式中,操纵杆组件5602可包括可旋转地支撑在手柄组件5500 中的插座5520中的关节运动球5610。 For example, in one embodiment, joystick assembly 5602 may include a rotatably supported on the handle assembly 5500 in the receptacle 5520 in the articulation ball 5610. 在各种实施方式中,近侧丝连接器5160的每个近端5170可具有支撑在其上的球形支架5172,以便容纳支架安装销5612,将近侧丝连接器5160 与关节运动球5610连接。 In various embodiments, each of the proximal end of the proximal wire connectors 5160 of 5170 may have supported his stand on the ball 5172 to accommodate bracket mounting pins 5612, 5160 proximal wire connector connected to the articulation ball 5610. 但是,也可采用其他紧固件设置。 However, other fasteners may be used to set. 另外,关节运动旋钮5620可与关节运动球5610连接。 In addition, the articulation knob 5620 may be connected with the articulation ball 5610.

[0302] 因此,为了使工具组件100”相对于连接器部分4004进行关节运动,临床医生可用一只手握持手柄部分5512并用另一只手握持关节运动旋钮5620。通过操纵关节运动旋钮5620,临床医生可将关节运动施加到远侧丝固定架5100,并最终将关节运动施加到与其连接的四根关节运动丝5092,进而将关节运动施加到将引起工具组件100”相对于一次性重新加载单元4002进行关节运动的远侧脊段4050。 [0302] Thus, in order to make the tool assembly 100 "relative to the connector section 4004 is articulated, the clinician is available One hand holds the handle portion 5512 and with the other hand holding the articulation knob 5620. By manipulating the articulation knob 5620 Clinicians can be applied to the distal articulation wire holder 5100, and eventually applied to its articulation articulation four wire connection 5092, and then applied to the joint movement will cause the tool assembly 100 "relative to disposable again articulatable loading unit 4002 of the distal spine segment 4050. 因此临床医生可通过使用操纵杆组件5602有效地调整工具组件100”。 Therefore, clinicians can be effectively adjusted by using the joystick assembly tool assembly 5602 100. "

[0303] 工具组件100”的位置可通过整体标记为5640的制动控制系统锁定在位置中。从图82和84中可以看出,制动控制系统5640可包括通过轴颈可动地连接在刀驱动轴5220 上的驱动器盘5642,用于选择性地与其一道运动而不妨碍刀驱动轴5220的旋转。从图84 中可以看出,每个近侧致动器制动臂5300具有固定到驱动盘5642的近端5302。制动轭形件5650可通过突出到在驱动器盘5642中形成的沿着圆周延伸的槽5644中的一对销5643 与驱动器盘5642连接。制动轭形件5650由制动轭形件枢轴销5652上的外壳组件5500可枢转支撑。从图84中可以看出,在各种实施方式中,制动扳机56M在制动轭形件5650的下部形成。制动扳机56M可具有从其上突出到外壳组件5500中的开口5506中的锁定臂5656。锁定臂5656的下部可具有在其上形成的锁定齿5658,以便与外壳组件5500的锁定壁部分5508接合。 [0303] tool assembly 100 "position 5640 brake control system can be locked in position by the overall mark can be seen from Fig. 82 and 84, the brake control system 5640 may include movable by a journal connected knife shaft drive plate on 5642 5220 for selectively without obstructing its movement along the knife drive shaft 5220 can be seen from Figure 84, each of the proximal brake actuator arm fixed to 5300 the proximal end of 5302. 5642 driver disk brake yoke 5650 to 5644 along a circumferentially extending groove in the drive plate 5642 formed in 5643 in connection with a pair of pin drive plate 5642 by highlighting the brake yoke 5650 by the brake yoke housing assembly 5500 on a pivot pin 5652 pivotally supported. As can be seen from Figure 84, in various embodiments, the brake trigger 56M in the lower portion of the brake yoke 5650 is formed. Brake trigger 56M may have a projecting therefrom into the opening in the housing assembly 5500 5506 locking arm 5656. Locking arm 5656 may have a lower portion of the locking teeth 5658 formed thereon, the housing assembly 5500 to the locking wall portion 5508 engagement.

[0304] 本发明的各种实施方式还可采用制动释放机构5660来锁定和解锁制动扳机5654。 [0304] Various embodiments of the present invention can be applied to the brake release mechanism 5660 to lock and unlock the brake trigger 5654. 从图84中可以看出,一种形式的释放机构5660可包括锁定按钮5662,其具有释放按钮部分5664并可由图84中示出的位置中的手柄组件5500可动地支撑。 As can be seen from FIG. 84, a form of release mechanism 5660 may include a locking button 5662 that has a release button portion 5664 in FIG. 84 and by the position shown in the handle assembly 5500 movably supported. 从该图中可以看出,锁定按钮5664可具有锥形末端部分5666,该锥形末端部分5666具有延伸到释放按钮部分5664的锥形部分(未显示)的颈部。 As can be seen from this figure, the locking button 5664 may have a tapered end portion 5666, 5666 of the tapered end portion having a release button extending to the tapered portion 5664 (not shown) of the neck. 当临床医生沿着第一方向推动释放按钮部分5664 时,锥形部分5666与锁定臂5656接触并将其升高,使其与锁定壁部分5508脱离结合,从而使扳机56M能够枢转。 When the clinician pushes the release button portion 5664 in a first direction, the conical portion 5666 contacts the lock arm 5656 and raised to the locking wall portion 5508 from the combination, so that the pivotable trigger 56M. 弹簧(未显示)可被用于将锁定按钮5662保持在锁定位置中。 A spring (not shown) may be used to maintain the locking button 5662 in the locked position. 一旦扳机56M枢转到所需位置,用户可简单地沿着相反方向推动释放部分5664,使锥形部分5666运动,与锁定臂5656脱离结合,允许其再次与锁定壁部分5508接合。 Once the trigger 56M pivoted to a desired position, the user can simply push the release portion 5664 in the opposite direction, so that movement of the tapered portion 5666, in conjunction with the lock arm 5656 out, allowing it again engages with the locking wall portion 5508. 因此,一旦临床医生已经使工具组件100”运动到所需位置,临床医生可向着手柄组件5500挤压制动扳机5654。该动作引起制动轭形件5650和驱动器盘5642沿远侧方向DD运动制动臂5300,这沿着远侧方向DD驱动锁定管5080,将指5032锁定在球形元件4060周围。一旦指5032已经被锁定在球形元件4060周围,临床医生就可沿着允许锁定臂5656上的一个齿5658与锁定壁部分5508接合的方向推动锁定按钮,并将制动释放机构保持在锁定位置中。当临床医生需要解锁工具组件100”或许使其再次进行关节运动时,临床医生可简单地推动锁定扳机释放按钮部分,允许扳机56M枢转远离手柄组件5500,由此使致动器臂5300向近侧运动。 Thus, once the clinician has made the tool assembly 100 "is moved to the desired position, the clinician toward the handle assembly 5500 may squeeze the brake trigger 5654. This action causes the brake yoke 5650 and 5642 disk drives movement in the distal direction DD brake arm 5300, which in the distal direction DD drive locking tube 5080, will refer to 5032 in 4060 around the spherical locking element. Once the finger 5032 has been locked around the spherical elements in 4060, the clinician can allow locking arm along 5656 A tooth 5658 engages with the locking wall portion 5508 pushes the locking button in the direction, and the brake release mechanism in the locked position. When the clinician needs to unlock the tool assembly 100 "Perhaps it is articulated again, the clinician can simply push the trigger lock release button portion allowing 56M trigger pivot away from the handle assembly 5500, thereby allowing the actuator arm 5300 to move proximally.

[0305] 在本发明的各种实施方式中,可通过整体标记为5700的驱动系统将旋转运动施加到刀驱动轴5220上。 [0305] In various embodiments of the present invention may be applied to the tool rotational movement of the drive shaft through the 5220 mark for the overall drive system 5700. 从图82和83可以看出,在一种实施方式中,驱动系统5700可包括可枢转或者可致动连接到手柄组件5500的击发手柄5702。 As can be seen from Fig. 82 and 83, in one embodiment, the drive system 5700 may include or may be pivotable actuating handle assembly 5500 is connected to the firing handle 5702. 例如在一种实施方式中,击发手柄5702通过枢轴销5704可枢转地连接到手柄组件5500。 For example, in one embodiment, the firing handle 5702 is connected to the handle assembly 5500 by a pivot pin pivotably 5704. 与击发手柄连接的是击发齿轮5706,其被定向成随着击发手柄5702枢转。 And the firing handle is a firing gear 5706 is connected, which is oriented to pivot with the firing handle 5702. 击发齿轮5706可与安装在棘轮传动轴5710的棘轮传动齿轮5708啮合。 Firing gear 5706 can be installed in a ratchet ratchet gear shaft 5710 5708 engagement. 棘轮传动轴5710可与棘轮离合器组件5720连接。 5710 can be connected to the drive shaft ratchet ratchet clutch assembly 5720.

[0306] 在各种实施方式中,棘轮离合器组件5720可包括第一离合器盘5722,其与棘轮轴5710连接并与安装在输出轴5726的第二棘轮离合器盘5724啮合。 [0306] In various embodiments, the ratchet clutch assembly 5720 may include a first clutch plate 5722, which is connected to the ratchet shaft installed in 5710 and the second ratchet clutch disc engaging the output shaft 5726 of 5724. 第二离合器盘5724可被偏压成通过棘轮弹簧5730与第一离合器盘5722啮合。 Second clutch disk 5724 can be biased to engage the ratchet spring 5730 and the first clutch disk 5722. 棘轮输出齿轮5740可与设置成与安装到锥齿传动轴5752上的传动齿轮5750啮合的棘轮输出轴5726连接。 Ratchet gear 5740 can output 5726 connected to a ratchet set and install the output shaft bevel gear shaft 5752 on the 5750 engagement. 输入锥齿轮5760可被安装到锥齿传动轴5752上并与安装到输出轴5780上的输出锥齿轮5770啮合。 Enter the bevel gear 5760 can be mounted on the drive shaft 5752 and output bevel gear bevel gear 5770 meshing with the output shaft 5780 installed. 输出齿轮5782被安装到输出轴5780并与连接到刀驱动轴5220的近端5226的刀驱动齿轮5790啮合。 Output gear 5782 is attached to the output shaft 5780 and 5220 connected to the proximal end of the drive shaft 5226 knife blade drive gear 5790 meshes

[0307] 因此,为了旋转刀驱动轴5220并沿着近侧方向PD驱动刀螺母5050,并通过刀致动索5040致动动力夹钳组件(未显示)和刀设置(未显示),临床医生握持手柄组件并向着握持部分5512使手柄组件5702来回棘轮运动。 [0307] Thus, the rotary blade to the drive shaft 5220 and drive the knife in the proximal direction PD nut 5050, and 5040 by knife actuating cable actuating force clamping assembly (not shown) and knife set (not shown), the clinician Hold the handle assembly and toward the grip portion of the handle assembly 5702 5512 ratchet back and forth motion. 击发手柄5512以该方式的运动将引起驱动系统5700将旋转运动施加到刀驱动轴5220,并最终将旋转运动施加到刀螺钉5060,弓丨起刀螺母5050沿着近侧方向运动。 5512 firing handle to the movement in this way will cause the drive system 5700 is applied to the tool rotational movement of the drive shaft 5220, and eventually the rotary motion is applied to the tool screw 5060, bow 丨 from the knife nut 5050 along the proximal direction. 在击发顺序已经完成时,临床医生可拆下重新加载单元4002并重新连接另一个重新加载单元并重复该过程。 When the firing sequence has been completed, the clinician may remove the reload unit 4002 and re-connect to another reload unit and repeat the process. 在替代实施方式中,刀驱动轴可通过马达和行星齿轮驱动旋转。 In alternative embodiments, the knife drive shaft may be driven to rotate by a motor and the planetary gear. 马达可以由电池供电或者由交流电供电。 The motor may be powered by batteries or powered by alternating current. 其他设置也可被采用。 Other settings may also be used.

[0308] 图85-89示出了采用主动或者可控关节运动接头设置6010的另一种实施方式的外科器械6000。 [0308] Figure 85-89 illustrates the use of active or controllable articulation joint 6010 provided another surgical instrument embodiment 6000. 从图85和86中可以看出,一种实施方式可采用上面描述的类型和构造的闭合管6020。 As can be seen from Fig. 85 and 86, one embodiment described above may be the type and construction of closure tube 6020. 闭合管6020具有可与由手柄组件支撑的各种闭合管控制机构连接的近端(未显示),用于为手柄组件提供致动力。 Closure tube 6020 having a handle assembly supported by the various closure tube control means connected to the proximal end (not shown) for providing an actuation force to the handle assembly. 闭合管6020还可与各种上述工具组件之一连接,将打开或者打开与闭合力施加到其砧座组件。 Closure tube 6020 may also be connected to one of the various above-described tool assembly, the opening or opening and closing force is applied to the anvil assembly thereof. 而且在该实施方式中,脊元件6030可从手柄组件(未显示)延伸穿过闭合管6020。 Also in this embodiment, the ridge element 6030 from the handle assembly (not shown) extending through the closure tube 6020. 再次地,脊元件6030的近端(未显示)可操作地由手柄组件(未显示)以上面描述的各种方式或者其他已知方式支撑。 Again, the proximal end 6030 of the ridge member (not shown) operable by the handle assembly (not shown) in various manners described above or in other known manner support. 在各种实施方式中,脊元件6030的远端6032可形成有顶部脊臂6034和底部脊臂6036,它们从脊元件6030的远端6032沿着远侧方向DD突出。 In various embodiments, the distal spine member 6032 may be formed with the top 6030 of ridge 6034 and the bottom spine arm arms 6036, 6030 are from the distal end of the spine member 6032 DD protruding in the distal direction. 顶部脊臂6034具有穿过其中的枢轴孔6037,底部脊臂6036 具有大体上沿着垂直轴线VA-VA与枢轴孔6037共轴对准的枢轴孔6039。 6034 ridge top arm having a pivot hole 6037 therethrough, the bottom of the ridge arm pivot hole 6036 having substantially along the vertical axis VA-VA and the pivot hole coaxially aligned 6037 6039.

[0309] 各种实施方式还包括延伸穿过脊元件6030的水平锁定管6040。 [0309] Various embodiments also include a ridge member extending through the horizontal locking tube 6030 6040. 水平锁定管6040 具有近端(未显示),其由手柄组件(未显示)支撑并可与致动设置(未显示)连接以便在脊元件6030中轴向沿着近侧方向PD和远侧方向DD轴向行进水平锁定管6040,并选择性地将水平锁定管6040保持或者锁定在所需轴向位置。 Horizontal locking tube 6040 has a proximal end (not shown), which (not shown) supported by the handle assembly and provided with an actuator (not shown) connected to axially in the proximal direction PD and distal direction of the ridge element 6030 DD axially advancing the horizontal locking tube 6040 and for selectively holding the horizontal locking tube 6040 in a desired axial position or locked. 另外,用于水平锁定管6040的致动设置还可采用弹簧或者其他设置,以便在水平锁定管6040被解锁之后沿着近侧方向PD偏压水平锁定管6040。 In addition, for horizontal locking tube 6040 may also be used to set the actuating spring or other settings so that the horizontal locking tube 6040 after being unlocked locked in the proximal direction PD bias horizontal tube 6040. 从图86中可以看出,水平锁定管6040具有顶部或者第一锁定杆6042, 其具有在其中形成的一组顶部或者第一齿6044。 As it can be seen from FIG. 86, the horizontal locking tube 6040 has a top or first locking bar 6042, having formed therein a set of top or first teeth 6044. 水平锁定杆6040进一步具有底部或者第二锁定杆6046,其具有在其远端形成的底部或者第二齿6048。 Horizontal locking bar 6040 further has a bottom or second locking bar 6046 that has a distal end at its bottom or second teeth 6048 formed.

[0310] 同样在这些实施方式中,垂直锁定管6050可延伸穿过水平锁定管6040。 [0310] Also in these embodiments, a vertical locking tube 6050 may extend through the horizontal locking tube 6040. 垂直锁定管6050具有近端(未显示),其由手柄组件(未显示)支撑并可与致动设置(未显示) 连接以便在水平锁定管6040中轴向沿着近侧方向PD和远侧方向DD轴向行进垂直锁定管6050,并选择性地将垂直锁定管6050保持或者锁定在所需轴向位置。 Vertical locking tube 6050 has a proximal end (not shown), which (not shown) supported by the handle assembly and provided with an actuator (not shown) connected to the horizontal locking tube 6040 axially in the proximal direction PD and distal DD axial advancing direction vertical locking tube 6050 and for selectively holding the vertical locking tube 6050 in a desired axial position or locked. 另外,用于垂直锁定管6050的致动设置还可采用弹簧或者其他设置,以便在垂直锁定管6050被解锁之后沿着近侧方向PD偏压垂直锁定管6050。 In addition, for the vertical locking tube 6050 may also be used to set the actuating spring or other settings so that the vertical locking tube 6050 after being unlocked in the proximal direction PD bias vertical locking tube 6050. 例如在各种实施方式中,所采用的致动设置可被构造成同时致动、锁定和释放水平锁定管6040和垂直锁定管6050。 For example, in various embodiments, the actuator used settings can be configured to simultaneously actuated lock and release the horizontal locking tube 6040 and the vertical locking tube 6050.

[0311] 从图86中可以看出,例如在各种实施方式中,垂直锁定管6050具有第一垂直锁定尖端6052和第二垂直锁定尖端6054。 [0311] As can be seen from FIG. 86, for example, in various embodiments, the vertical locking tube 6050 has a first vertical locking tip 6052 and a second vertical locking tip 6054. 各种实施方式可采用上面描述类型的使用索驱动动力夹钳元件和/或刀设置的工具组件。 Various embodiments of the type described above can use the drive power cable clamp elements and / or tool assembly tool set. 垂直锁定管可具有从其中穿过的索通道6056,以容纳穿过工具组件到达手柄组件的驱动索(未显示)。 From vertical locking tube may have a cable passage 6056 therethrough to accommodate the handle assembly reaches the tool assembly through the driving cable (not shown).

[0312] 在各种实施方式中,第一和第二垂直锁定尖端6052、6054被定向成与垂直锁定块6060接合。 [0312] In various embodiments, the first and second locking tip 6052,6054 are oriented perpendicular to the vertical lock block 6060 engage. 例如在一种实施方式中,垂直锁定块6060可具有第一侧向锁定柱6062和第二侧向锁定柱6066,第一侧向锁定柱上具有一组第一侧齿6064,第二侧向锁定柱上具有一组第二侧齿6068。 For example, in one embodiment, the vertical locking block 6060 may have a first lateral locking column 6062 and the second lateral locking column 6066, a first lateral locking column and a set of teeth having a first side 6064, second side a second side having a locking column 6068 set of teeth. 第一侧向锁定柱6062和第二侧向锁定柱6066通过上部或者第一侧向横杆6070和底部或者第二侧向横杆6072彼此间隔地设置,两个横杆彼此成间隔设置关系以便在它们之间限定致动器容纳通道6074。 First lateral locking column 6062 and a second lateral locking cylinder 6066 or 6072 second lateral crossbar provided at regular intervals through the upper or first side 6070 and bottom rails each other, the two rails spaced apart relation to each other so define between them hold the actuator channel 6074. 在各种实施方式中,垂直锁定块6060可被构造成响应于来自垂直锁定管6050的致动动作相对于关节运动元件或者块6080沿着近侧方向PD和远侧方向DD轴向行进。 In various embodiments, the vertical locking block 6060 may be configured in response to the vertical locking tube 6050 from the actuating movement relative to the articulation member or block 6080 in the proximal direction PD and distal direction DD axial travel. 垂直锁定块6060可被支撑,以便通过一对延伸到垂直锁定块6060中的孔6077、6079和关节运动块6080中的孔(未显示)向着和远离致动块6080轴向行进。 Vertical locking block 6060 may be supported by a pair of vertically extending so as to block the lock holes 6077,6079 and 6060 in the articulation block 6080 an aperture (not shown) towards and away from the axial travel of the actuating block 6080.

[0313] 从图85和86中可以看出,关节运动块6080可具有穿过其中的纵向通道6082,用于容纳驱动索(未显示)。 [0313] As can be seen from FIG. 85 and 86, the articulation block 6080 may have a longitudinal passage 6082 therethrough for accommodating the drive cables (not shown). 另外,第一垂直销6084容纳在关节运动块中的孔6083中并从其上突出到被容纳在脊元件6030的顶部或者第一上臂6037中的第一枢轴孔6037中。 In addition, the first vertical articulation pin 6084 is received in the hole in the 6083 block and projecting therefrom to be received in 6030 or the top of the ridge element 6037 in the first arm of the first pivot hole in 6037. 同样地,下部销6089从关节运动块6080的底表面突出成可枢转容纳在脊元件6030的底部或者第二臂6036中的底部或者第二枢轴孔中,使关节运动块6080可选择性地围绕垂直轴线VA-VA枢转。 Similarly, the lower portion of the pin 6089 from the bottom surface of the articulation block 6080 so as to be pivotable protrusion accommodated in the bottom of the ridge element 6030 or the bottom or second arm 6036 of the second pivot hole, so that the articulation block 6080 may selectively around the vertical axis VA-VA pivot. 同样在该实施方式中,可包括一部分工具组件的细长通道组件6090的近端可具有从其上沿着近侧方向延伸的第一夹板部分或者臂6092和第二夹板部分或者臂6094。 Also in this embodiment, may comprise a portion of the elongate channel assembly 6090 of the proximal end of the tool assembly may have a first plate portion extending therefrom in a proximal direction or arm 6092 and a second jaw portion or arm 6094. 第一夹板臂6092的近侧朝向面6096具有在其上形成的第一组水平锁定齿6068,用于选择性地与第一侧向锁定柱6062上相应组的第二水平锁定齿6064结合。 A first jaw arm 6092 toward proximal surface 6096 having formed thereon a first set of horizontal locking teeth 6068, for selectively locking the first lateral column 6062 corresponding group of second horizontal locking teeth 6064 binding. 同样的,第二夹板臂6094的近侧朝向面6100具有在其上形成的另一组第一水平锁定齿6102,用于选择性地与垂直锁定块6060上的第二侧向锁定柱6062上另一相应组的第二水平锁定齿6068啮合。 Similarly, the second plate toward the proximal surface 6094 of the arm 6100 has another set of first horizontal locking teeth formed thereon 6102 for selectively locking the vertical block 6060 on the second lateral locking column 6062 Another set of second horizontal locking teeth 6068 corresponding engagement. 第一夹板臂6092可具有穿过其中的第一枢轴孔6093,其适于枢转容纳从关节运动块6080突出的枢轴销6110,第二夹板臂6094可具有穿过其中的第二枢轴孔6095,用于可枢转地容纳从关节运动块6080突出的第二枢轴孔6112,使得通道组件6090可选择性地围绕水平轴线HA-HA相对于关节运动块6080枢转。 6092 first jaw arm may have a first pivot hole therethrough 6093, which is adapted to pivot to accommodate the articulation pivot pin protruding block 6080 6110, 6094 may have a second jaw arm through which a second pivot shaft hole 6095, for pivotally receiving from the articulation block 6080 to highlight the second pivot hole 6112, so that the channel assembly 6090 may selectively about a horizontal axis HA-HA relative to the articulation block 6080 to pivot.

[0314] 从图86中还可以看出,第一水平锁定片6120可与关节运动块6080的上表面6081 连接或者与其一体形成,并具有一组在其中形成的第一垂直锁定齿6122,用于与在顶部或者第一水平锁定杆6042中形成的相应组的第二垂直锁定齿6044接合。 [0314] can also be seen from Figure 86, the first horizontal locking pieces 6120 can be connected to the upper surface of the articulation block 6081 6080 or integrally formed therewith and having a first vertical forming a group in which the locking teeth 6122, with corresponding to the second set at the top of the vertical or horizontal locking lever 6042 first formed in 6044 engaging the locking teeth. 同样地,第二水平锁定片6130可与关节运动块6080的底表面6083连接或者与其一体形成,并具有另一组在其中形成的第一垂直锁定齿6132,用于与在第二或者底部锁定杆6046上的相应组的第二垂直锁定齿6048结合。 Similarly, the second horizontal locking piece 6130 may be connected to the bottom surface of the articulation block 6080 or 6083 integrally formed therewith, and another set having a first vertical locking teeth 6132 formed therein for engagement with the second or bottom locking The second group of vertical bars 6046 corresponding locking teeth on the 6048 combined. [0315] 为了使用户能够使工具组件(通道组件6090)主动进行关节运动,关节运动接头6010可设置有水平致动器杆6140和垂直致动器杆6150。 [0315] In order to enable users to make the tool assembly (channel assembly 6090) initiative is articulated, articulation joint 6010 may be provided with horizontal actuator rod 6140 and a vertical actuator rod 6150. 水平致动器杆6140例如可由塑性材料、弹簧钢等制成。 Horizontal actuator rod 6140 may be formed of a plastic material, for example, made of spring steel. 水平致动器杆6140的远端6142可形成有上面描述的球形轴承设置,并可被销接在关节运动块6080上或者通过其他方式与关节运动块6080连接。 6140 horizontal actuator rod distal end 6142 may be formed with a spherical bearing arrangement described above, and can be pinned on the articulation block 6080 or block 6080 is connected to the articulation by other means. 水平致动器杆6140的近端(未显示)可以可操作地与上面描述的类型的操纵杆组件连接,该操纵杆组件可支撑在手柄组件中或者其他致动设置中,用于将推拉运动施加到水平致动器杆6140。 6140 horizontal actuator rod proximal end (not shown) may be operatively type described above connected to a lever assembly, the lever assembly may be supported in the handle assembly or other actuation arrangement for the sliding movement applied to the actuator rod 6140 level. 从图85和86还可以看出,垂直致动器杆6150的远端6152可与第二夹板臂6094上形成的延伸块6097连接。 It can also be seen from Fig. 85 and 86, extending block 6150 vertical actuator rod distal end 6152 with the formation of the second jaw arm 6094 of 6097 connections. 远端6152可固定连接到延伸块6097,或者具有在其上形成的球形轴承,以便可枢转地与其连接。 The distal end 6152 may be fixedly connected to the extension block 6097 or have a spherical bearing formed thereon so as to be pivotally connected thereto. 垂直致动器杆6150的近端(未显示)可以可操作地与上面描述的类型的操纵杆组件连接,该操纵杆组件可支撑在手柄组件中或者其他致动设置中,用于将推拉运动施加到水平致动器杆6140。 Vertical causing actuator rod proximal end 6150 (not shown) may be operatively type described above connected to a lever assembly, the lever assembly may be supported in the handle assembly or other actuation arrangement for the sliding movement applied to the actuator rod 6140 level. 垂直致动器杆6150的近端(未显示)可以可操作地与上面描述的类型的操纵杆组件连接,该操纵杆组件可支撑在手柄组件中或者其他致动设置中,用于将推拉运动施加到垂直致动器杆6150。 Vertical causing actuator rod proximal end 6150 (not shown) may be operatively type described above connected to a lever assembly, the lever assembly may be supported in the handle assembly or other actuation arrangement for the sliding movement applied to the vertical actuator rod 6150. 在替代实施方式中,垂直致动器杆6150或者水平致动器杆6140可被省略。 In an alternative embodiment, the actuator rod 6150 vertical or horizontal actuator bar 6140 may be omitted. 在那些实施方式中,例如,如果水平致动器杆6140被省略,则可采用垂直致动器杆6150使通道组件6090 (和工具组件)围绕水平轴线HA-HA进行关节运动,并且临床医生可通过释放(解锁)水平锁定管6040并将工具组件与患者身体的一部分或者另一种外科器械接触,将枢转力施加到通道组件(和工具组件), 使通道组件6090 (以及工具组件)围绕垂直轴线HA-HA进行关节运动,引起它们围绕垂直轴线VA-VA枢转,直到它们被锁定在所需位置中(在该时刻水平锁定管6040可被行进到与水平锁定元件6120、6130锁定结合)。 In those embodiments, for example, if the level of the actuator rod 6140 is omitted, you can use the vertical actuator rod 6150 so that a channel assembly 6090 (and tool assembly) about a horizontal axis HA-HA is articulated, and clinician may By releasing (unlocking) and the horizontal locking tube 6040 or another part of the tool assembly of the surgical instrument in contact with the patient's body, pivoting force is applied to the channel assembly (and tool assembly), so channel assembly 6090 (and tool assembly) about vertical axis HA-HA articulated, causing them about a vertical pivot axes VA-VA until they are locked in the desired position (at the time the horizontal locking tube 6040 may be advancing into the horizontal locking the locking member 6120, 6130 binding ). 类似地,如果垂直致动器杆被省略,则可采用水平致动器杆来使通道组件6090 (和工具组件)围绕垂直轴线VA-VA进行关节运动,并且临床医生可通过释放(解锁)垂直锁定管6050并将工具组件与患者身体的一部分或者另一种外科器械接触,将枢转力施加到通道组件6090 (和工具组件),使通道组件6090 (以及工具组件)围绕水平轴线HA-HA进行关节运动,引起它们围绕水平轴线HA-HA枢转,直到它们被定位在所需位置中(在该时刻垂直锁定管6050可被行进到分别与通道夹板臂6092、6094上的水平锁定齿6068、6102锁定结合)。 Similarly, if the vertical actuator bar is omitted, the level may be adopted to make the actuator rod channel assembly 6090 (and tool assembly) about the vertical axis VA-VA is articulated, and the clinician can release (unlock) vertical and locking tube 6050 or another part of the tool assembly of the surgical instrument in contact with the patient's body, pivoting force is applied to the channel assembly 6090 (and tool assembly) so that a channel assembly 6090 (and tool assembly) about a horizontal axis HA-HA articulated, about a horizontal axis to cause them to pivot HA-HA until they are positioned in the desired position (at the time the vertical locking tube 6050 may be traveling into horizontal channel jaw arm, respectively the locking teeth 6068 on 6092,6094 , 6102 combination lock).

[0316] 图90-105示出了本发明的另一种实施方式的外科器械7000,其可在使用后被抛弃。 [0316] Figure 90-105 shows another embodiment of the present invention, a surgical instrument 7000, which can be discarded after use. 但是,这些实施方式的独特新颖的特征可与上面描述的多个实施方式结合采用,也不脱离本发明的精神和范围。 However, various embodiments of these embodiments may be unique and novel feature described above in conjunction with the use of not departing from the spirit and scope of the present invention. 从图90中可以看出,工具组件7002包括砧座组件7010,其可枢转地连接到上面描述的类型和构造的通道组件7020,以便可操作地将钉仓7021容纳在其中。 As it can be seen from Figure 90, the tool assembly 7002 includes an anvil assembly 7010 that is pivotally connected to the type and construction described above channel assembly 7020 to operatively cartridge 7021 therein. 砧座组件7020具有近端7012,该近端7012具有两个从其上突出砧座耳轴7014,它们适于被容纳在通道组件7020的近端7021的壁7022中的相应的端部开口的槽7024中。 Anvil assembly 7020 has a proximal end 7012, a proximal end 7012 that has two projecting therefrom anvil trunnions 7014 that are adapted to be received in the proximal end 7020 of the channel assembly 7021 of the wall 7022 of the respective end portions of the opening trough in 7024. 从图90-95中还可以看出,器械7000还可包括脊元件7030,该脊元件具有可与通道组件7020 的近端7021连接的远端7032。 Can also be seen from Figure 90-95, the instrument 7000 may further comprise a ridge element 7030, the ridge member having a distal end with a channel assembly connected to the proximal end of 7020 7021 7032.

[0317] 这些实施方式还可采用按照上面描述的方式构建并操作的闭合管7040。 [0317] These embodiments can also be used in the manner described above to build and operate the closure tube 7040. 例如,远端7042可被构造成用于选择性地与在砧座组件7010中形成的近侧朝向壁架7016轴向接触,使得当闭合管7040沿着远侧方向DD运动时,远端7042与壁架7016接触并引起砧座组件7010枢转到闭合位置(图90-92),同时耳轴7014通过将在下面进一步描述的耳轴锁定杆7050被限制成在它们各自的槽7024中枢转。 For example, the distal end 7016 can be configured for selective axial contact with a proximal the anvil assembly 7010 toward the ledge formed such that when the closure tube 7040 in the distal direction DD 7042 movement, the distal end 7042 in contact with the ledge 7016 and causes the anvil assembly 7010 to pivot to a closed position (FIG. 90-92) while the trunnions 7014 by trunnion will be described further below locking lever 7050 is limited to their respective pivot slots 7024 . 闭合管7040的近端(未显示)可由手柄组件(未显示)中的上面描述的类型和构造的致动元件支撑,以便选择性地控制闭合管7040 沿着远侧方向DD和近侧方向PD轴向运动。 7040 of the proximal closure tube (not shown) may handle assembly (not shown) the type and configuration of the above-described actuating element is supported so as to selectively control the distal direction DD 7040 and closure tube proximal direction PD axial movement.

[0318] 从图90中可以看出,耳轴锁定杆7050可滑动支撑在设置于脊7030中的轴向槽7034中。 [0318] As can be seen from Figure 90, the trunnion lock lever 7050 is slidably supported in 7030 provided in the spine in 7034 in axial grooves. 耳轴锁定杆7050的近端(未显示)可与手柄组件中的致动元件相互作用,使耳轴锁定杆7050沿着远侧方向DD和近侧方向PD进行运动,并选择性地将杆7050保持在那些位置中。 The proximal end 7050 of the trunnion lock lever (not shown) with the handle assembly of the actuating element interaction, so that the locking lever trunnion DD 7050 in the distal direction and a proximal direction PD exercise, and selectively bar 7050 held in those locations. 从图92和94中还可以看出,耳轴锁定杆7050的远端7052可具有两个从其上突出的耳轴保持臂7054。 Can also be seen from Fig. 92 and 94, the distal end of the trunnion lock bar 7050 of 7052 may have two trunnion projecting therefrom retaining arm 7054.

[0319] 图90-92示出了处于锁定位置中的耳轴锁定杆7050,其中耳轴保持臂7054将耳轴保持在通道组件7020中各自的端部开口的槽7024中。 [0319] Figure 90-92 shows the locked position of the trunnion lock lever 7050, which trunnion retention arms 7054 trunnion assembly held in 7020 in the groove 7024 channel the respective ends of the opening. 从这些附图中可以看出,当处于该位置中时,砧座组件7010可处于闭合(夹钳)位置。 As it can be seen from these figures, when in this position, anvil assembly 7010 can be in a closed (clamp) position. 在缝合手术已经完成后(例如动力夹钳元件/刀组件已经从工具组件7002的近端7004驱动到工具组件7002的远端7006之后), 临床医生可沿近侧方向回缩闭合管和耳轴锁定杆7050,允许耳轴7014通过每个槽7024的开口端7025弹出,如图95中所示。 After the suturing procedure has been completed (e.g., power clamp member / knife assembly has a proximal end 7002 of the tool assembly from the drive after the distal end 7004 of the tool assembly 7006 to 7002), the clinician can retract closure tube and the trunnion proximal direction locking lever 7050, allows trunnion 7014 through the open end of each slot 7024 of 7025 pop off as 95 in FIG. 当砧座组件7010的近端7012处于图95中所示的位置中时,本领域普通技术人员将会理解,被夹钳在砧座组件7010和钉仓7021之间的组织现在就可以从其中被释放。 When the proximal end 7010 of the anvil assembly 7012 is in the position shown in FIG. 95, those skilled in the art will appreciate, is clamped between the anvil assembly 7010 and staple cartridge 7021 organization from which you can now He was released.

[0320] 图104和105示出了作为替代实施方式的外科器械4000',其可具有大体上与上面描述的外科器械4000相同的构造和操作。 [0320] FIG. 104 and 105 illustrate an alternative embodiment of a surgical instrument 4000 ', which may be a surgical instrument having substantially the same configuration as described above, and operation 4000. 但是,在图104和105所示的实施方式中,槽4014,具有开口端,允许耳轴4022,变得与其脱离接合。 However, in FIG. 104 and 105 shown in the embodiment, the slot 4014, having an open end, allowing 4022 trunnion, becomes disengaged therewith. 从图104中可以看出,当闭合环4030 已经行进到其最远侧位置中以闭合砧座组件4020时,闭合环4030可用于通过其在砧座组件4020,的近端部分4024,上的轴承将砧座组件4020,保持在夹钳位置中。 As can be seen from Fig. 104, when the closed loop 4030 has traveled to its distal-most position to the closed anvil assembly 4020, 4030 can be used for closed loop through which the anvil assembly 4020, proximal portion 4024, on the Bearing the anvil assembly 4020, held in the clamp position. 当闭合环4030 被行进到其最近侧位置时,如图105中所示,耳轴4022'自由运动,从细长通道组件4012' 中的端部开口的槽4014'中运动脱离。 When closed loop 4030 is traveling to its proximal-most position, as shown in FIG trunnion 4022 'freedom movement, from the elongate channel assembly 4012' 105 slot opening ends in 4014 'moving out. 外科器械400'还可以在上面详细描述的外科器械4000相同的方式操作。 Surgical instrument surgical instrument 400 'can also be described in detail above 4000 operate in the same manner.

[0321] 同样在各种实施方式中,为了完全释放砧座组件7010,砧座组件7010可设置有与砧座组件7010的下侧7011连接的弹簧元件7100,如图95所示。 [0321] Also in various embodiments, to completely release the anvil assembly 7010, the anvil assembly 7010 may be provided with a spring member and the lower side of anvil assembly 7011 7010 7100 connected, as shown in FIG. 95. 从该图还可以看出,被构造成由一个或多个驱动索7110、7112在细长通道组件7020中驱动的动力夹钳元件150可设置有销159,其被定向成可滑动容纳在砧座组件7010中的槽7018中。 Can also be seen from the figure, it is configured to be driven by one or more drive cable 7110,7112 elongate channel assembly 7020 of the power clamp element 150 may be provided with a pin 159, which is oriented to be slidably received in the anvil seat assembly in 7010 in the groove 7018. 当动力夹钳组件150沿着远侧方向DD被驱动经过细长通道组件7010时,销159用于向着细长通道组件7020 拉动砧座组件7010。 When the power clamp assembly 150 in the distal direction DD is driven through the elongate channel assembly 7010, the pin 159 toward the elongate channel assembly 7020 for pulling the anvil assembly 7010. 从图95中可以看出,弹簧元件7120的远端7102向下延伸,以便当动力夹钳组件150已经到达图95中所示的其最远侧位置时与销159接合。 As can be seen from Figure 95, the distal end 7120 of the spring member 7102 extends downwardly, so that when the power clamping assembly 150 has reached its distal-most position shown in FIG. 95 and the engagement pin 159. 此后,沿着近侧方向拉动或者运动动力夹钳组件150可导致弹簧7102将销159从槽7018中释放出来。 Since then, pulling the proximal direction or motive power clamp assembly 150 may cause spring 7102 will be released from the pin 159 in the slot 7018.

[0322] 动力夹钳元件150的各种实施方式在图96-103中示出。 [0322] Various embodiments of a dynamic clamping member 150 shown in FIG. 96-103. 从这些附图中可以看出, 动力夹钳元件150可包括上部157、中央支架或者向上的延伸部分151和底部152,在动力夹钳元件150在细长通道组件7020中向远侧纵向运动过程中,这些部分协同动作以沿着理想切割路径滑动保持动力夹钳元件150。 As can be seen from these figures, the power element 150 may include an upper clamp 157, or the center bracket upwardly extending portion 151 and a bottom 152, the dynamic clamping member 150 distally in the longitudinal direction of the elongate channel assembly 7020 movement These portions cooperating to cut along the desired path of the slide holding power clamp element 150. 前切割边缘155 (这里为刀片155a)的尺寸设置成倚靠在钉仓7021中形成的槽中,并且一旦缝合则将组织分开。 Before cutting edge 155 (here insert 155a) sized to rely in the cartridge slot formed in 7021, and will be organized once stitched separately. 可以想到动力夹钳元件150 的前缘可以为齿状、带斜边或者切口,以利于组织切割。 It is contemplated that the leading edge of the power clamp element 150 may be toothed, beveled or cut, in order to facilitate tissue cutting. 动力夹钳元件150可由一根或多根驱动索7100、7112驱动。 Power clamp element 150 may be one or more drive cable 7100,7112 drive. 为了便于所述驱动索7110、7112的连接,动力夹钳元件150可设置有连接孔7130和壁架7132。 In order to facilitate the connection of the drive, power cable 7110,7112 jaw member 150 may be provided with connecting holes 7130 and 7132 ledge. 但是,也可采用其他连接设置和驱动构造。 However, other connections may also be used to set up and drive configuration. [0323] 转向图96,动力夹钳元件的上部157设置有端部开口的槽7140,用于将销159容纳在其中。 [0323] Turning to Figure 96, the upper portion 157 of dynamic clamping member disposed open ended slot 7140 has, for receiving the pin 159 therein. 一旦销159与弹簧7100接触,则销159可被迫使脱离端部开口的槽7140。 Once the pin 159 contacts the spring 7100, the pin 159 may be forced out of the ends of the groove opening of 7140. 图97的动力夹钳元件实施方式大体上与图96的相同,但上部157具有在其上形成的加强元件7150。 Dynamic clamping member embodiment of FIG. 97 and FIG. 96 is substantially the same, but the upper portion 157 has formed thereon a reinforcing element 7150. 在图98的实施方式中,底切部分7160设置在上部中并且槽7162最初被卷曲闭合。 In the embodiment of FIG. 98, an undercut portion 7160 provided in the upper portion and the slot 7162 is initially crimped closed. 当销159与弹簧7100接触时,形成槽的底部7164允许向下弯曲以释放销159。 When the pin 159 contacts the spring 7100, at the bottom of the groove formed in 7164 to allow the release pin 159 is bent downward. 在图99所示的实施方式中,支撑销159的槽7170由可弯曲的挡板7172限定,该挡板可弯曲或者变形以便打开槽7170,允许销从其上被除去,如图100所示。 In the embodiment shown in FIG. 99, the slot 7170 supporting the pin 159 by a bendable flap 7172 is defined, the shutter can be bent or deformed to open the slot 7170 to allow the pin to be removed therefrom, as shown in FIG. 100 . 图101中示出的实施方式具有与第一销槽7180连通的第二槽7190,使第一销槽7180能够被打开到其中销可从其上被释放的位置。 Figure 101 shows the embodiment of the first pin groove having a second groove communicating 7180 7190, the first pin slot 7180 to be opened to a position wherein the pin can be released therefrom. 在图96-101所示的实施方式中,销159具有大体为圆形的截面形状。 In the embodiment shown in Fig. 96-101, the pin 159 has a substantially circular cross-sectional shape. 在图102和103所示的实施方式中,销159'可设置有侧翼或者角板7200,为销159'提供另外的支撑并将当动力夹钳元件150被驱动经过细长通道组件7020时使销弯曲的任何可能最小化。 In embodiments 102 and 103 shown in the figure, the pin 159 'may be provided with side flaps or gussets 7200, a pin 159' to provide additional support and such that when the power clamp element 150 is driven through the elongate channel assembly 7020 when pin bend any possible minimized.

[0324] 虽然已经描述了本发明的一些实施方式,但可想到的是,本领域技术人员为获得本发明的一些或者所有优点,可对这些实施方式进行各种修改、变化和改变。 [0324] Although described some embodiments of the present invention, but it is conceivable that the skilled person to obtain some or all of the advantages of the present invention can be made to these embodiments and various modifications, changes and alterations. 例如,根据各种实施方式,单个元件可被多个元件代替,多个元件也可被单个元件代替,来执行给定的一种或多种功能。 For example, according to various embodiments, a single element may be replaced by a plurality of elements, the plurality of elements may be replaced by a single component, to perform a given function or functions. 本申请因此覆盖了所有这些修改、改变和变化,都不脱离由所附的权利要求书所限定的本发明的精神和范围。 This application is therefore intended to cover all such modifications, alterations and changes without departing from the spirit and scope of the appended claims as defined in the present invention.

[0325] 在本文中公开的装置可被设计成在单次使用后可抛弃的,或者它们可被设计成可多次使用的。 [0325] The devices disclosed herein can be designed to be discarded after a single use, or they can be designed to be used multiple times. 但在任何一种情况下,在至少一次使用后装置可再生以便重新使用。 But in any case, after at least one use of the device can be reconditioned for reuse. 再生可包括下列步骤的任何组合:装置拆卸,然后清洁并替换特定部件,随后重新组装。 Reconditioning can include any combination of the steps of: means for disassembly and cleaning and replacement of particular parts, and subsequent reassembly. 特别是, 装置可被拆卸,任意数目的特定部件或者装置的部分可选择性地以任意组合被替换或者除去。 In particular, the device can be disassembled, any number of the particular component part or device to be selectively replaced or removed in any combination. 当清洁和/或替换特定部分时,装置可在再生工厂或者由外科团队在外科手术前立即重新组装以便后续使用。 When the cleaning and / or replacement of particular parts, the device can be regenerated for subsequent use factory or by a surgical team immediately prior to surgery reassembled. 本领域普通技术人员将会理解,装置的再生可利用用于拆卸、清洁/替换和重新装配的各种不同技术。 One of ordinary skill in the art will appreciate that reconditioning of a device can utilize disassembly, cleaning / replacement, and reassembly of the various technologies. 所述技术的使用以及产生的再生装置都属于本申请的范围。 Reproducing apparatus using the techniques and are within the scope of the generated application.

[0326] 优选地,在这里所描述的本发明在外科手术前处理。 [0326] Preferably, the invention described herein prior to surgical treatment. 首先得到新的或者使用过的器械,如果可能的话,对其进行清洁。 First, get a new or used equipment, if possible, be clean. 器械然后可被灭菌。 Instrument can then be sterilized. 在一种灭菌技术中,器械被放置在密闭并密封的容器中,诸如塑料袋或者TYVEK 袋。 In one sterilization technique, the instrument is placed in a closed and sealed container, such as a plastic or TYVEK bags. 容器和器械然后放置在可穿透容器的辐射场所中,诸如Y射线、χ-射线或者高能电子。 Container and instrument are then placed in the radiation properties can penetrate the container, such as Y-rays, χ- rays, or high-energy electrons. 辐射杀死器械上和容器中的细菌。 The radiation kills on the instrument and in the container bacteria. 灭菌的器械然后可存在在灭菌容器中。 The sterilized instrument can then be present in the sterile container. 密封容器保持器械无菌,直到其在医疗场合被打开。 Sealed container keeps the instrument sterile until it is opened in the medical applications.

[0327] 声称通过引用而包含在本申请中的任何专利、出版物或者其他形式的公开材料, 全部或部分,在本文中仅仅包含到所包含的材料不与在本申请中阐明的现有定义、陈述或者其他公开材料相矛盾的程度。 [0327] claimed by reference herein contain any patents, publications or other forms of disclosure material, in whole or in part, in this article contains only the existing definition contained herein does not set forth in this application , statement or other disclosure material extent contradictory. 这样,并且在需要的程度,在本文中明确阐明的公开内容代替了任何通过引用而包含在本申请中的相矛盾的材料。 In this way, and to the extent required, as explicitly set forth herein replaces the disclosure by reference any material contained in this application contradict the. 声称通过引用而包含在本申请中但与现有定义、陈述或者其他公开材料相矛盾的的任何材料或者其部分仅仅包含到不引起所包含的材料与现有公开材料不相矛盾的程度。 Claims included by reference herein, but conflicts with existing definitions, statements, or other disclosure of any material contradictory material, or a portion containing only the material and the existing disclosure material contained does not cause the extent not inconsistent.

[0328] 试图保护的本发明不被解释为由所公开的特定实施方式所限定或限制的内容。 [0328] The present invention seeks to protect not to be construed particular embodiment disclosed as limit or restrict the content of the ground. 因此这些实施方式被认为是示意性的而不是限制性的。 Therefore, these embodiments are considered illustrative and not restrictive. 可在不脱离本发明的精神和范围的情况下对其进行变化和改变。 It can be made without departing from the spirit and scope of the present invention the situation changes and change them. 因此,清楚的是落入由权利要求书所限定的本发明的精神和范围内的所有这些等同物、变化和改变由此而被包括。 Thus, it is clear that all such equivalents, variations and changes thus included as falling within the spirit and scope defined by the claims of the present invention.

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