CN103732164B - Intubate guiding tool - Google Patents

Abstract

According to the first structure, a kind of manual tool is configured to include axle, is arranged on the handle of the proximal end of described axle, and the tubular tip on the hinge of the far-end being arranged on axle.Tubular tip pivots around hinge, it is provided that the mode of the locality in manipulation resource to medical science position.According to the second structure, manual tool includes the flexible section of pipe, flexible shroud and connecting piece.Flexible shroud surrounds the flexible section of pipe.Between outer surface and the inner surface of flexible shroud of the flexible section remaining at least partially within pipe of connecting piece.In the distal tip of the flexible section that one end of connecting piece is attached to pipe.Connecting piece is pulled to cause the flexible section camber of pipe.

Description

Intubate guiding tool

Cross-Reference to Related Applications

The application is the PCT International Patent Application of the U.S. Patent Application Serial the 12/986004th of request submission on January 6th, 2011, and the disclosure of this application is integrally incorporated herein with it by quoting.

Background technology

Prior art seems to include performing the different types of manual tool of operative procedure.Such as, a type of manual tool can be used for producing otch in tissue, and another type of manual tool can be used for piercing in bone, and another type of manual tool can be used for excising cartilage, another type of manual tool can be used for being moved back in together tissue seam, etc..

Operative procedure such as Bone Defect Repari can need line is directed across the hole drilled through in bone.In bone after boring, it may be difficult to control wire passes hole, because the otch produced in the tissue may close naturally, maybe may be not easy via otch close to boring, because boring is at the rear of obstacle such as another bone.

Summary of the invention

The embodiments herein includes that the polytype novelty used in various applications intubates guiding tool.

Such as, according to first embodiment, a kind of manual tool is configured to include axle, is arranged on the handle of the proximal end of axle, and the tubular tip on the hinge of the far-end being arranged on axle.Tubular tip pivots around hinge, is thus provided that the mode of locality resource such as guide line handled to medical science position.

Manual tool may be included in the connecting piece between handle and tubular tip.According to this embodiment, connecting piece controls the tubular tip angular orientation around the hinge of the far-end of axle.For example, during use, user holds the handle of the proximal end being arranged on manual tool to control the hinged tubular tip Angle Position at the far-end of manual tool.

In one embodiment, connecting piece is slidably connecting piece.Slidably connecting piece extends between handle and the tubular tip of manual tool.Gripping handles causes slidably connecting piece axially to move along rigid pipe, to control the tubular tip angular orientation relative to the axis of the length direction of axle.

Tubular tip may be included in the lug assembly near hinge.In this embodiment, at the slidably connecting piece of far-end and the lugs contact of axle, to adjust the tubular tip angular variation relative to the rigid pipe in axle.

According to another embodiment, the hinge of manual tool is formed by the projection (such as, projection) in tubular tip and is included projection.Protruding can coupling with the dimple on the axle of the far-end being arranged on manual tool, forms hinge.In one exemplary embodiment, tubular tip includes the spacing between projection, so that the projection in tubular tip can be compressed.The projection of tubular tip can be coupled in dimple form hinge with suppressing, and tip rotates on hinge.

In exemplary embodiment particularly, handle is scissors handle.Axle can include the rigid pipe of the far-end from the proximal extension of axle to axle.Tubular tip on hinge extends beyond the far-end of axle to form the removable of stiff shaft and the extension of adjustable angle.

Scissors handle can include the first bar and the second bar.First bar of scissors handle can be fixedly attached on axle.Second bar of scissors handle pivots around the first bar of scissors handle, and is mechanically coupled on connecting piece.Based on the second bar relative to the movement of the first bar, connecting piece axially slides to adjust the angular orientation of tubular tip along the length of axle.Therefore, the angular orientation of tubular tip may be configured to depend on that the first bar changes relative to the angular orientation of the second bar.In other words, depending on the degree holding scissors handle, the tubular portion during slidably connecting piece controls hinged tip is axially aligned relative to the rigid pipe being attached on scissors handle or offsets angulately.

One construct in, when the straight tube-like district of the tubular section in hinged tip be positioned to the rigid pipe of manual tool axially aligned form straight tube-like guiding piece time, there is open space or recessed area between tubular portion and the end of rigid pipe in hinged tip.Therefore, manual tool may be configured to include the tubular portion in hinged tip and the gap between the end of the rigid pipe in axle or open space.When hinged tip be positioned through holding scissors handle relative to the axis off-axis of rigid pipe or offset angulately time, gap or the size of open space between end and the tubular portion of hinged tip of rigid pipe increase.

In one embodiment, manual tool as described herein is for handling guide line to the hole drilled through in bone.Such as, operator receives manual tool as described above.Operator makes guide line insert and slip into through the rigid pipe in the manual tool at handle end (such as, the near-end) place starting from manual tool.Operator promotes line to pass rigid pipe and the hinged tubular tip of the far-end through manual tool.Based on the degree of gripping handles during operation, the tip of the far-end of operator's adjustable manual tool by the end effector of guide line to expecting place, such as the hole drilled through in bone.

The embodiments herein also includes manufacturing or assembling manual tool as described herein.This can include receiving axle；Handle is attached on the near-end of axle；And on the hinge of the far-end that tubular tip is arranged on axle.

According to the second embodiment, a kind of manual tool could be structured to include tubular guide, flexible shroud and connecting piece.Tubular guide could be structured to include the rigidity section of the pipe in the flexible section being connected to pipe.Flexible shroud covers at least some of of tubular guide.Connecting piece can be elongated flexible material, such as line, rope, cable, thread etc., and therefore slides at the rigidity section of pipe and the flexible section side of pipe.In one embodiment, slidably connecting piece extends between the outer surface and the inner surface of flexible shroud of tubular guide along the length of tubular guide.Slidably in the distal tip of the flexible section that an end of connecting piece is attached to pipe.According to this type of embodiment, the effect of slidably connecting piece is pulled to cause flexible section bending and the camber of pipe.

In another embodiment, in the relaxed state being applied to substantially without pulling force on slidably connecting piece, the flexible section of pipe and the combination of flexible shroud form straight tube-like guiding piece.During using manual tool, user is held the handle of the proximal end of manual tool and is applied by pulling force to slidably connecting piece to control the arc formed by the flexible section of pipe, to handle guide line through manual tool.

According to another embodiment, the straight rigidity section of pipe is attachable on the handle of manual tool.The straight rigidity section of pipe can be connected in the flexible section of pipe and the combination of flexible shroud.In relaxed state when being applied to substantially without pulling force on slidably connecting piece, the combination of the rigidity section of the flexible section of pipe and flexible shroud and pipe forms straight tube-like district.Handle construction become to control slidably connecting piece along the movement of the length of tubular guide, the arc formed by the flexible section of pipe with adjustment.

According to other embodiments, slidably in the distal tip of the flexible section that the first end of connecting piece is attached to pipe.The handle construction of manual tool becomes to pull the second end of slidably connecting piece to control the arc of the flexible section of pipe.The part of the slidably connecting piece between flexible shroud and the flexible section of pipe follows the shape of the arc of the flexible section of pipe.In other words, the part of the slidably connecting piece of the flexible section of neighbouring flexible shroud and pipe follows the shape of the arc that the combination of the flexible section by flexible shroud and pipe is formed.

At the distal tip of the flexible section that ring may be provided at pipe.In this type of embodiment, slidably the end of connecting piece is attached to be arranged on the ring at distal tip.

When pulling force is applied on slidably connecting piece the arc to adjust the section of flexible pipe, flexible shroud prevents slidably connecting piece from bent away from the flexible section of pipe.

In order to prevent slidably connecting piece from bent away from the flexible section of pipe further, the internal diameter of flexible shroud can be substantially equal to the external diameter of the flexible section of pipe.In this embodiment, when power is applied to slidably on connecting piece, the inner surface of flexible shroud suppress slidably connecting piece with contact or almost in contact with flexible shroud.

According to another embodiment, handle is to include the first bar and the scissors handle of the second bar.First bar of scissors handle is fixedly attached on the rigidity section of tubular guide.Slidably in the distal tip of the flexible section that the end of connecting piece is attachable to pipe.Second bar of scissors handle pivots around the first bar of scissors handle.Slidably the second end of connecting piece connects with the second bar of scissors handle.Such as, pulling force (or thrust, if connecting piece is rigidity) is applied to slidably on connecting piece by the movement of the second bar.Slidably connecting piece may be configured to axially slide in order to the length along tubular guide, to adjust arc based on the second bar relative to the pivot of the first bar of handle.The shape of the arc of tubular guide depends on that the first bar changes relative to the angular orientation of the second bar.

The embodiments herein also includes manufacture or the assembling with the manual tool of flexible tubular tip.Such as, in one embodiment, manufacturer receives the tubular guide of the flexible section at least including pipe；In the distal tip of the flexible section that the end of connecting piece is attached to pipe；And surround the flexible section of pipe the length of connecting piece to be disposed or sandwiched between outer surface and the inner surface of flexible shroud of the flexible section of pipe with flexible shroud.

The embodiments herein also includes the use of manual tool as described herein.Such as, operator receives manual tool, and manual tool includes: handle, tubular guide, and tubular guide includes the flexible section of the pipe covered by flexible shroud, the slidably connecting piece between the outer surface and the inner surface of flexible shroud of flexible section.Operator utilizes the handle of manual tool to control to be applied to the power on slidably connecting piece, the arc formed with adjustment by the flexible section of pipe.Manual tool is for handling guide line to the hole drilled through in bone as described herein.Such as, the operator of manual tool can make guide line insert and slip into through the rigid pipe started from handle.Operator promotes guide line to pass rigid tubular part and arrive and pass the flexible section of the far-end of manual tool.Based on the degree of gripping handles during surgical operation, the tip of the far-end of operator's adjustable manual tool by the end effector of guide line to expecting place, the hole that Gu Guzhong drills through.

These and other exemplary embodiment of discussed in further detail below.

As described above, technology herein is highly suitable for when handling guide line using.It is noted, however, that the embodiments herein is not limited to use in this type of is applied, and the techniques described herein are also highly suitable for other application.

Note, although each in different characteristic herein, technology, structure etc. is discussed at the diverse location of present disclosure, but expect that each conception all can use independently from each other, or under appropriate circumstances in combination with one another.Therefore, one or more present invention as described herein can embody in a number of different ways and check.

Furthermore, it is noted that this preliminary discussion of the embodiments herein not specified present disclosure or request obtain each embodiment of the present invention of patent protection and/or cumulative novel aspect.As an alternative, this summary only proposes and is better than the general embodiments of routine techniques and corresponding novel point.For additional detail and/or the possible viewpoint (displacement) of the present invention, and additional novel point, reader is by for the detailed description section of present disclosure as further discussed below and corresponding accompanying drawing.

Accompanying drawing explanation

Aforementioned and other object of the present invention, feature and advantage are by clear from the description in greater detail below of preferred embodiment herein, and preferred embodiment is shown in the drawings, and reference number similar in accompanying drawing represents the part that different views is the most identical.Accompanying drawing is not necessarily drawn to, and wherein emphasis changes into being placed on and illustrates in embodiment, principle and conception etc..

Fig. 1 is the exemplary side elevation of the manual tool according to the embodiments herein.

Fig. 2 is the exemplary side elevation of the manual tool according to the embodiments herein.

Fig. 3 is the exemplary perspective view of the hinged tubular tip of the manual tool according to the embodiments herein.

Fig. 4 is the exemplary side elevation of the hinged tubular tip being in primary importance according to the embodiments herein.

Fig. 5 is the exemplary side elevation of the hinged tubular tip being in the second position according to the embodiments herein.

Fig. 6 is the exemplary perspective view of the tubular tip of the manual tool according to the embodiments herein.

Fig. 7 is the exemplary diagram of the top view illustrating the tubular tip according to the embodiments herein.

Fig. 8 is the exemplary diagram of the side view illustrating the tubular tip according to the embodiments herein.

Fig. 9 is the exemplary perspective view of the tip illustrating the connecting piece according to the embodiments herein.

Figure 10 is the flow chart illustrating the illustrative methods manufacturing the manual tool according to the embodiments herein.

Figure 11 is the flow chart illustrating the illustrative methods manufacturing the manual tool according to the embodiments herein.

Figure 12 is the flow chart that the person of being shown with uses the illustrative steps of the manual tool with hinged tubular tip according to the embodiments herein.

Figure 13 is the exemplary side elevation of the manual tool according to the embodiments herein.

Figure 14 is the exemplary side elevation according to the tubular guide in the manual tool of the embodiments herein.

Figure 15 is the exemplary perspective view of the manual tool according to the embodiments herein.

Figure 16 is the exemplary side elevation of the manual tool according to the embodiments herein and the corresponding flexible tubular tip being in primary importance.

Figure 17 is the exemplary side elevation of the manual tool according to the embodiments herein and the corresponding flexible tubular tip being in the second position.

Figure 18 is the flow chart of the illustrative methods illustrating the manual tool manufacturing the flexible tubular tip with correspondence according to the embodiments herein.

Figure 19 is the flow chart of the illustrative methods illustrating the manual tool manufacturing the flexible tubular tip with correspondence according to the embodiments herein.

Figure 20 is the flow chart that the person of being shown with uses the illustrative steps of the manual tool with flexible tubular tip according to the embodiments herein.

Detailed description of the invention

According to the first structure (such as, Fig. 1 to Figure 12), manual tool is configured to include axle, is arranged on the handle of the proximal end of axle, and the tubular tip on the hinge of the far-end being arranged on axle.Tubular tip pivots around hinge, it is provided that the mode of the locality in manipulation resource to medical science position.

According to the second structure (such as, Figure 13 to Figure 20), manual tool includes the flexible section of pipe, flexible shroud and connecting piece.Flexible shroud surrounds the flexible section of pipe.Between outer surface and the inner surface of flexible shroud of the flexible section remaining at least partially within pipe of connecting piece.In the distal tip of the flexible section that one end of connecting piece is attached to pipe.Connecting piece is pulled to cause the flexible section camber of pipe.

More specifically, Fig. 1 is the exemplary side elevation of the manual tool 100 including tip 110 according to the embodiments herein.Tip 110 can include intubating, perforate, tubular zone, perforate etc..

Generally, user holds the handle 125 of the proximal end of manual tool 100, to control the hinged tip 110 Angle Position at the far-end 105-2 of manual tool 100.Manual tool 100 enables a user to handle resource such as guide line through tubular guide 115 to expectation place.

More specifically, according to a structure, manual tool 100 includes handle 125, such as scissors handle, along the straight rigid pipe of axle 140, and hinged tip 110.The near-end 105-1 of stiff shaft 140 (tubular guide 115 is through it) is fixedly attached on the bar 126-2 of handle 125.Tip 110 is connected on axle 140 via the hinge component 150 at the far-end 105-2 relative with handle 125.

In one embodiment, hinged tubular tip 110 pivots around hinge component 150, to be affixed on axle 140 by hinged tip 110 dress.Being similar to axle 140, hinged tip 110 may also comprise tubular portion.In this embodiment, the tubular guide 115 of manual tool 100 extends through handle 125 and the far-end through axle 140 along axis 160 proximally 105-1.

Manual tool 100 can include the connecting piece 170 extending to hinged tip 110 from handle 125.Connecting piece 170 may be configured in order to slide along axle 140.Holding bar 126-1 relative to the bar 122-2 of handle 125 causes connecting piece 170 axially to slide along axle 140.

According to a structure, connecting piece 170 contacts with hinged tip 110 via lug assembly (Fig. 4 to Fig. 9), to control actuating of hinged tip 110.Therefore, by holding corresponding the moving axially of bar scissors handle 125 and connecting piece 170, scissors handle 125 relative to the axis 160 being formed in axle 140 or rigid pipe to adjust the angular variation of the hinged tip of tubulose 110.Depending on the degree holding bar 126-1 relative to the bar 126-2 of scissors handle 125, connecting piece 170 moves and to control hinged tip 110 axially aligned relative to axis 160 or offset angulately.Therefore, the tubular portion of hinged tip 110 can be extension, and extension is axially aligned relative to axis 160 or offsets angulately.

Depend on that the degree of gripping handles 125, hinged tubular tip 110 can offset different amounts angulately relative to axis 160.The steerable extension of the tubular guide 115 that hinged tubular tip 110 is used as in axle 140.

In constructing at one, when the tubular section in hinged tip 110 is positioned to the rigid pipe that is formed in axle 140 axially on time, between the hinged tubular portion in tip 110 and the end of rigid pipe being formed in axle 140, there is open space or gap 180.Therefore, there is gap 180 (such as, open space) between tubular portion and the end of axle 140 in hinged tip 110.When hinged tip 110 is positioned to off-axis by gripping handles 125 relative to the axis 160 of the rigid pipe being formed in axle 140, gap 180 or the size of open space between end and the tubular portion of hinged tip 110 of rigid pipe increase (Fig. 5).

By limiting examples mode, manual tool 100 as described herein can be used for handling in the hole drilled through to bone resource such as guide line 191.Such as, in one embodiment, guide line 191 is inserted and slips into through the tubular guide 115 started from handle 125 by the operator of manual tool 100, and towards with via the tubular guide 115 in axle 115, guide line 191 is pushed into far-end 105-2.Operator also promotes guide line 191 to be formed through as the tubular section through tip 110.Degree based on gripping handles during surgical operation 125, tip 110 at the far-end 105-2 of operator's adjustable manual tool 100 by the end effector of guide line 191 (it is through the tubular guide 115 in axle 140 and through the tubular portion of tip 110) to expecting place, as, the hole drilled through in the bone at medical science position.

Fig. 2 is the exemplary side elevation of the manual tool 100 according to the embodiments herein.As it can be seen, axle 140 is fixedly attached on the bar 126-2 of handle 125.Bar 126-1 rotates around pivot 225.

The projection 220 of bar 126-1 is in the recess 210 being formed in connecting piece 170.Therefore, when user holds bar 126-1 towards bar 126-2, connecting piece 170 is parallel to the axis 160 far-end 105-2 slip towards axle 140.On the contrary, when user makes bar 126-1 move away from bar 126-2, bar 170 is parallel to the axis 160 near-end 105-1 slip towards manual tool 100.

Fig. 3 is the exemplary perspective view of the hinged tubular tip 110 according to the embodiments herein.As it can be seen, axle includes tubular guide 115；Tip 110 includes tubular guide 315.As it can be seen, connecting piece 170 causes hinged tubular tip 110 to rotate around hinge component 150 along the movement (by gripping handles 125 as previously described) of axis 160.Such as, when user holds bar 126-1 towards bar 126-2 as previously described, connecting piece 170 is parallel to the axis 160 far-end 105-2 slip towards axle 140, and this causes tip 110 to rotate along direction B around hinge component 150.On the contrary, when user moves bar 126-1 away from bar 126-2, connecting piece 170 is parallel to the axis 160 near-end 105-1 slip towards manual tool 100, and this causes tip 110 to rotate around hinge component 150 along direction A.

Fig. 4 is the exemplary side elevation of the hinged tubular tip being in primary importance according to the embodiments herein.As it can be seen, connecting piece 170 includes the lug 425 of bending.Tip 110 includes lug channels 435.The bending lug 425 of connecting piece 170 can coordinate matchingly and slip in the lug channels 435 of tip 110.The connecting piece 170 Angle Position along the position control tip of axle 140 is depended in the movement of the lug 425 of bending.On position as shown in Figure 4, the tubular guide 315 being formed in tip 110 is axially directed at (on axis 160) with the tubular guide 115 of axle 140.

Fig. 5 is the exemplary side elevation of the hinged tubular tip being in the second position according to the embodiments herein.As it was noted above, connecting piece 170 includes bending lug 425.Tip 315 includes lug channels 435.The bending lug 425 of connecting piece 170 is slideably mated in the lug channels of tip 110.Connecting piece 170 and the lug that therefore bends cause tip 110 to be rotated in a clockwise direction around hinge component 150 as described in Figure, so that tubular guide 315 offsets relative to tubular guide 115 at the angle 550 increased towards the movement of the near-end 105-1 of handle 125 or manual tool 100.

Fig. 6 is the exemplary perspective view of the tubular tip 110 of the manual tool 100 according to the embodiments herein.As it can be seen, tip 110 includes lug channels 435, tubular guide 315 and projection 610-1.Projection 610-1 is a part for hinge component 150, and can be attached to matchingly be formed on the corresponding dimple at the far-end 105-2 of axle 140 so that tip rotates as previously described.

Fig. 7 is the exemplary diagram of the top view illustrating the tubular tip 110 according to the embodiments herein.As it can be seen, tip 110 includes projection 610-1 and projection 610-2 forming a part for hinge component 150.Tip 110 can include that spacing 710 is formed in the corresponding dimple at the far-end 105-2 of axle 140 so that the projection 610 of hinge component 150 is suppressed and to be matched subsequently.

Fig. 8 is the exemplary diagram of the side view illustrating the tubular tip 110 according to the embodiments herein.

Fig. 9 is the exemplary perspective view of the tip region illustrating the connecting piece 170 according to the embodiments herein.As it can be seen, and as it was noted above, the far-end of connecting piece 170 can include the angular orientation bending lug 425 to control the hinged tubular tip 110 at the far-end 105-2 of manual tool 100.

Figure 10 is the flow chart 1000 illustrating the illustrative methods manufacturing or assembling the manual tool 100 with hinged tubular tip 110 according to the embodiments herein.Noting, the order of step only illustrates by the way of limiting examples, and step can perform in any suitable order.

In step 1010, manual tool assembler (such as, manufacturer, designer, maker etc.) receives axle 140.

In step 1020, handle 125 is attached on the near-end 105-1 of axle 140 by manual tool assembler.

In step 1030, tubular tip 110 is arranged on the hinge component 150 at the far-end 105-2 of axle 140 by manual tool assembler.

Figure 11 is the flow chart 1100 illustrating the illustrative methods manufacturing the manual tool 100 according to the embodiments herein.

In step 1110, assembler receives axle 140.Axle 140 can include can being maybe the rigid pipe that extends to the far-end 105-2 of axle 140 of the near-end 105-1 from axle 140.

In step 1115, handle 125 is attached on the near-end 105-1 of axle 140 by assembler.

In step 1120, tubular tip 110 is arranged on the hinge component 150 at the far-end 105-2 of axle 140 by assembler.The tip 110 being arranged on hinge component 150 provides the extension of the rigid tubular guiding piece 115 of the far-end 105-2 exceeding axle 140.

In step 1125, assembler provides connecting piece 170 to extend between handle 125 and tubular tip 110.

In step 1130, assembler constructs the connecting piece 170 mobile control tubular tip 110 based on connecting piece 170 angular orientation around the hinge component 150 at the far-end 105-2 of axle 140.

In sub-step 1135, assembler constructs connecting piece 170 axially to move based on the gripping handles 125 tubular guide 115 along axle 140, to control the tubular tip 110 angular orientation relative to the axial length of axle 140.

Figure 12 is the flow chart that the person of being shown with uses the illustrative steps of the manual tool with hinged tubular tip according to the embodiments herein.

In step 1210, user (such as, surgeon, operator etc.) receives manual tool 100.Manual tool 100 includes: has the axle 140 of tubular guide 115, be arranged on the handle 125 at the near-end 105-1 of axle 140, and is arranged on the tubular tip 110 on the hinge component 150 at the far-end 105-2 of axle 140.

In step 1220, by handle 125, user makes tubular tip 110 axially be directed at axle 140.

In step 1225, user inserts a thread into both tubular guide 115 and the tubular tip 110 being threaded through axle 140.

In step 1230, user uses the handle 125 of manual tool 100 to adjust the angular orientation of the tubular tip 110 on the hinge component 150 at the far-end 105-2 of axle 140.

In sub-step 1235, user is held and is arranged on the handle 125 at near-end 105-1 to adjust the angular orientation of tip 110, and handles the tubular guide 315 in tip 110 to medical science position.

In step 1240, the end of the line at the near-end 105-1 of the tubular guide 115 in the tubular guide 115 of user impeller-hub 140 passes tubular guide 315 and tubular tip 110 to enter in the hole that medical science position drills through.

Figure 13 is the exemplary side elevation of the manual tool 1300 according to the embodiments herein.

Other embodiments herein include manual tool 1300, intubate steerable guiding piece such as use in operation application.Generally, the handle 1349 at the near-end 1327 of user operation manual tool 1300 controls flexible tip movement at the far-end 1322 of manual tool 1300.

By the way of limiting examples, manual tool 1300 could be structured to include scissors handle, and scissors handle includes bar 1350-1 and bar 1350-2.Manual tool 1300 may also include the rigidity section of pipe 1310, the flexible section (such as, coil pipe, plastic tube etc.) of pipe 1320, flexible shroud 1330, and connecting piece 1305 (such as, line, cable, thread, rope etc.).In one embodiment, the straight section that rigidity section is stainless steel tube of pipe 1310.

Bar 1350-1 rotates around pivot 1325 relative to the bar 1350-2 of handle 1349.One end of the rigidity section of pipe 1310 is fixedly attached on the bar 1350-2 of handle 1349.To form extension on the end of the rigidity section that the flexible section of pipe 1320 is fixedly attached to pipe 1310.Such as, the combination of the rigidity section of pipe 1310 and the flexible section of pipe 1320 forms single pipe, and it has at the rigid element at an end (such as, towards handle end or near-end 1327) place and the flexible portion at far-end 1322.The combination of the rigidity section of pipe 1310 and the flexible section of pipe 1320 accepts the passing through of guide line used in resource such as surgery.

On the far-end 1322 of the flexible section that one end of the connecting piece 1305 in manual tool 1300 is fixedly attached to pipe 1320；Another end of connecting piece 1305 is fixedly attached on the bar 1350-1 that connecting piece connects at 1360.

In one embodiment, connecting piece 1305 is near the downside of the rigidity section of pipe 1310 and the flexible section of pipe 1320 and on downside.Flexible shroud 1330 the flexible section of pipe 1305 as depicted and pipe 1310 rigidity section at least some of on be pulled.

According to other embodiments, flexible shroud 1330 is used as to cover at least one of sleeve of the rigidity section of the flexible section of pipe 1320 and pipe 1310.When holding connecting piece 1350-1, connecting piece 1305 slides along the combination of the rigidity section of pipe 1310 and the flexible section of pipe 1320.When bar 1350-1 moves towards bar 1350-2 in one direction by holding, bar 1350-1 exerts a force on connecting piece 1305, causes the flexible section of pipe 1320 to form arc.

In one embodiment, handle 1349 includes the lug 1370 moved in order to anti-stopping bar 1350-1 relative to bar 1350-2.

Figure 14 is the exemplary side elevation of the tubular guide according to the embodiments herein.

As it can be seen, the internal diameter of flexible shroud 1330 substantially external diameter with the flexible section of pipe 1320 is same diameter.Connecting piece 1305 is between the outer surface 1445 of the inner surface 1440 of flexible shroud 1330 and the flexible section of pipe 1320.The end of connecting piece 1305 connects 1410 (such as, welding, solder, glue, binding agents etc.) by the connecting piece at far-end 1322 and is connected in the flexible section of pipe 1320.

By the way of limiting examples, in one embodiment, flexible section and the connecting piece 1305 of pipe 1320 is made up of metal material.Flexible shroud can be made up of any applicable pliable material such as plastics, metal etc..

According to other embodiments, the open interior of the rigidity section of flexible pipe 1310 and the flexible section of pipe 1320 is formed from and extends to through the near-end 1327 of manual tool 1300 and the tubular guide 1480 of far-end 1322 through manual tool 1300.

Figure 15 is the exemplary perspective view of the manual tool 1300 according to the embodiments herein.As it can be seen, manual tool 1300 can include the distal loop 1510 being arranged at the far-end 1322 of the flexible section of the pipe 1320 of manual tool 1300.Distal loop 1510 provides place, wherein to form connecting piece between the end of connecting piece 1305 with the end of the flexible section of the pipe 1320 at far-end 1322 to be connected 1410.

Figure 16 is the exemplary side elevation of the manual tool 1300 according to the embodiments herein and the corresponding flexible tubular tip being in primary importance.

When handle 1349 is not held and during in primary importance as shown in Figure 16, and the rigidity section of pipe 1310 and the flexible section of pipe 1320 are directed to form substantially straight tubular guide 1480 along axis 1610.

Figure 17 is the exemplary side elevation of the manual tool 1300 according to the embodiments herein and the corresponding flexible tubular tip being in the second position.

Gripping handles 1349 causes bar 1350-1 to move towards bar 1350-2 in one direction.This causes bar 1350-1 that connecting piece 1305 is pulled away from far-end 1322.The power pulling connecting piece 1305 causes the far-end 1322 of tubular guide 1480 to bend to arc as depicted 1710 (substantially linear contrary with as shown in Figure 16).

The curvature of the arc 1710 of the flexible section of the pipe 1320 at the far-end 1322 of tubular guide 1480 depends on many relative to bar 1350-2 holding bar 1350-1 tightly and changing.During holding the time of bar 1350-1, as it can be seen, the outer flexible shroud 1330 being pulled in the flexible section of the pipe 1320 at far-end 1322 prevents connecting piece 1305 from bent away from the flexible section of pipe 1320.

The example of use intubating steerable guiding piece (such as, manual tool 1300) as described herein is to handle guide line to desired place.Such as, the rigidity section of pipe 1310 and the flexible section of pipe 1320 pipe formed is opened two ends.During use, operator makes guide line insert and slips into through tubular guide 1480, and proximally 1327 toward and through the far-end 1322 of tubular guide 1480.Based on gripping handles 1349 and the steadiness of corresponding bar 1350, operator can handle the end of guide line through tubular guide 1480 to desired place, such as the hole taken through bone drill in medical application.

Figure 18 is the flow chart 1800 of the illustrative methods illustrating the manual tool 1300 manufacturing the flexible tubular tip with correspondence according to the embodiments herein.

In step 1810, manual tool assembler receives the tubular guide 1480 of the flexible section including pipe 1320.

In step 1815, on the tip of the flexible section that the end of connecting piece 1305 is attached to far-end 1322 or pipe 1320 by manual tool assembler.

In step 1820, manual tool assembler make flexible shroud 1330 in the flexible section of pipe 1320 sliding or location by the clip length of connecting piece 1305 between the outer surface 1445 and the inner surface 1440 of flexible shroud 1330 of the flexible section of pipe 1320.

Figure 19 is the flow chart 1900 of the illustrative methods illustrating the manual tool 1300 manufacturing the flexible tubular tip with correspondence according to the embodiments herein.

In step 1910, manual tool assembler receives the tubular guide 1480 of the flexible section including pipe 1320.

In step 1915, the first end of connecting piece 1305 is connected on the far-end 1322 of 1410 flexible section being attached to pipe 1320 by manual tool assembler via connecting piece.

In step 1920, manual tool assembler surrounds between outer surface 1445 and the inner surface 1440 of flexible shroud 1330 of the flexible section that the length of connecting piece 1305 is arranged on pipe 1320 by the flexible section of pipe 1320 with flexible shroud 1330.Connecting piece 1305 is configured to be slidably moved between outer surface 1445 and the inner surface 1445 of flexible shroud 1330 of the flexible section of pipe 1320.

In sub-step 1925, manual tool assembler makes connecting piece 1305 extend near the flexible section of pipe 1320.

In sub-step 1930, manual tool assembler makes flexible shroud 1330 sliding in the flexible section of pipe 1320 length of connecting piece 1305 be arranged between outer surface 1445 and the inner surface 1440 of flexible shroud 1330 of the flexible section of pipe 1320.

In step 1935, the rigidity section of the pipe 1310 of tubular guide 1480 is attached on joystick such as handle 1349 by manual tool assembler.

In step 1940, connecting 1360 (such as, be spirally connected, welding etc.) by connecting piece, the second end of connecting piece 1305 is attached on the bar 1350-1 of joystick by manual tool assembler.The size of the pulling force being applied on connecting piece 1305 by joystick controls the arc formed by the flexible section of pipe 1320 and the combination of flexible shroud 1330.

Figure 20 is the flow chart 2000 that the person of being shown with uses the illustrative steps of the manual tool with flexible tip according to the embodiments herein.

In step 2010, user receives manual tool 1300.Manual tool 1300 includes: handle 1349, tubular guide 1480, includes the tubular guide 1480 of the flexible section of the pipe 1320 covered by flexible shroud 1330, be configured between outer surface 1445 and the inner surface 1440 of flexible shroud 1330 of the flexible section of pipe 1320 connecting piece 1305 of manual tool 1349 that slides.

In step 2015, resource such as line is inserted through the tubular guide 1480 of manual tool 1300 by user.

In step 2020, the power that user uses the handle 1349 of manual tool 1300 to control to be applied on connecting piece 1305 adjusts the arc 1710 formed by the flexible section of pipe 1320.

In step 2025, user gripping handles 1349 controls distal tip and the movement at arc 1710 to medical science position of the flexible section of the pipe 1320 in tubular guide 1480.

In step 2030, user promotes line through tubular guide 1480 and to enter in the hole drilled through in medical science position.

Noting again, technology herein is highly suitable in direct application using.It is noted, however, that the embodiments herein is not limited to use in this type of is applied for, and the techniques described herein are also highly suitable for other application.

Although being particularly shown with reference to its preferred embodiment and describing the present invention, but it will be understood by those of skill in the art that, here can carry out the various changes in form and details, without departing from the spirit and scope being defined by the following claims.This type of modification is intended to be covered by scope of the present application.Therefore, the above description of embodiments herein is not intended to limit.On the contrary, during any limitation of the invention is present in following claims.

Claims (22)

1. a manual tool, including:

Axle；

Being arranged on the handle of the proximal end of described axle, the near-end of described axle includes opening, and guide line is by opening and through described axle, and described guide line is inserted by the user handling described manual tool；And

Tubular tip on the hinge of the far-end being arranged on described axle, described tubular tip is suitable to receive the described guide line through described axle, and the angular orientation of described tubular tip is adjustable.

Manual tool the most according to claim 1, it is characterised in that described manual tool also includes:

The connecting piece extended between described handle and described tubular tip, described connecting piece controls the described tubular tip angular orientation around the hinge of the far-end of described axle.

Manual tool the most according to claim 1, it is characterised in that described manual tool also includes:

From the rigid pipe of the proximal extension of described axle to the far-end of described axle, the tubular tip on described hinge extends beyond the far-end of described axle.

Manual tool the most according to claim 2, it is characterised in that described handle is to include the first bar and the scissors handle of the second bar；

First bar of wherein said scissors handle is fixedly attached on described axle；And

Second bar of wherein said scissors handle pivots around the first bar of described scissors handle, second bar of described scissors handle connects with described connecting piece, described connecting piece is configured to axially slide along the length of described axle, and adjusts the angular orientation of described tubular tip relative to the pivot of the first bar of described handle based on described second bar.

Manual tool the most according to claim 4, it is characterised in that the angular orientation of described tubular tip depends on that described first bar changes relative to the angular orientation of described second bar.

Manual tool the most according to claim 3, it is characterised in that described manual tool also includes:

Between described handle and described tubular tip extend slidably connecting piece, hold described handle cause described in slidably connecting piece axially move the angular orientation controlling described tubular tip relative to the axis of described axle along described rigid pipe.

Manual tool the most according to claim 6, it is characterized in that, described tubular tip includes lug channels, and the slidably connecting piece of the far-end of described axle contacts with described lug channels to adjust the described tubular tip angular variation relative to the rigid pipe in described axle.

Manual tool the most according to claim 1, it is characterised in that described hinge includes matching the projection in the described tubular tip on the dimple on the described axle being arranged on described far-end.

Manual tool the most according to claim 8, it is characterised in that described tubular tip includes that the hollow spacing between described projection can be coupled to described projection in described dimple with suppressing.

Manual tool the most according to claim 3, it is characterised in that described manual tool also includes:

Spacing between the end of the rigid pipe of the tubular portion of described tubular tip and the far-end of described axle.

11. 1 kinds of methods operating manual tool, including:

Receive manual tool, described manual tool includes: tubulose axle, be arranged on the handle of the proximal end of described tubulose axle, the near-end of described axle includes opening, guide line is by opening and through described axle, described guide line is inserted by the user handling described manual tool, and the tubular tip on the hinge of the far-end being arranged on described axle, described tubular tip is suitable to receive the described guide line through described axle, and the angular orientation of described tubular tip is adjustable；And

The handle utilizing described manual tool adjusts described tubular tip angular orientation on the hinge of the far-end of described axle.

12. methods according to claim 11, it is characterised in that described method also includes:

Insert a thread into through described tubulose axle and described tubular tip.

13. 1 kinds of methods assembling manual tool, including:

Receive axle；

Being attached on the near-end of axle by handle, the near-end of described axle includes opening, and guide line is by opening and through described axle, and described guide line is inserted by the user handling described manual tool；And

On the hinge of the far-end that tubular tip is arranged on described axle, described tubular tip is suitable to receive the described guide line through described axle, and the angular orientation of described tubular tip is adjustable.

14. method according to claim 13, it is characterised in that described method also includes:

The connecting piece extended between described handle and described tubular tip is provided；And

It is configured to described connecting piece control the described tubular tip angular orientation around the described hinge of the far-end of described axle based on described connecting piece along the movement of described axle.

15. methods according to claim 13, it is characterised in that described method also includes:

Thering is provided the rigid pipe far-end from the proximal extension of described axle to described axle, described tubular tip is arranged on the hinge of the far-end extending beyond described axle.

16. methods according to claim 14, it is characterised in that described handle is to include the first bar and the scissors handle of the second bar；

Wherein it is attached to described handle on the near-end of described axle include being fixedly attached on described axle the first bar of described scissors handle；And

The first bar that second bar of described scissors handle is configured about described scissors handle pivots, and the movement of described second bar causes described connecting piece axially to slide along the length of described axle, and adjusts the angular orientation of described tubular tip.

17. method according to claim 16, it is characterised in that described method also includes:

Construct the angular orientation of described tubular tip relative to the angular orientation of described second bar based on described first bar.

18. methods according to claim 14, it is characterised in that described method also includes:

Described connecting piece being configured to based on described handle holding axially move along rigid pipe, to control the described tubular tip angular orientation relative to the axis of described axle, described rigid pipe is from the far-end of the proximal extension of described axle to described axle.

19. methods according to claim 18, it is characterised in that described method also includes:

The described tubular tip that shapes is shaped to include lug channels, and the slidably connecting piece of the far-end of described axle contacts with described lug channels to adjust the described tubular tip angular variation relative to the rigid pipe in described axle.

20. methods according to claim 14, it is characterised in that described hinge includes the projection in the described tubular tip mated with the dimple on the described axle being arranged on described far-end.

21. methods according to claim 20, it is characterised in that construct described tubular tip and with the spacing including between described projection, described projection is coupled in described dimple with suppressing.

22. methods according to claim 15, it is characterised in that described method also includes:

Construct described manual tool with spacing between the end of the rigid pipe of the far-end of the tubular portion and described axle that include described tubular tip.