CN104248467A - Endoscopic surgical operating instrument - Google Patents

Endoscopic surgical operating instrument Download PDF

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Publication number
CN104248467A
CN104248467A CN201310272188.0A CN201310272188A CN104248467A CN 104248467 A CN104248467 A CN 104248467A CN 201310272188 A CN201310272188 A CN 201310272188A CN 104248467 A CN104248467 A CN 104248467A
Authority
CN
China
Prior art keywords
toggle switch
end effector
driving member
operating instrument
surgical operating
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CN201310272188.0A
Other languages
Chinese (zh)
Other versions
CN104248467B (en
Inventor
董家权
孙燚
方云才
汪炬
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Tianjin Ricky surgical instruments Limited by Share Ltd
Original Assignee
REACH SURGICAL INSTRUMENT (CHINA) CO Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by REACH SURGICAL INSTRUMENT (CHINA) CO Ltd filed Critical REACH SURGICAL INSTRUMENT (CHINA) CO Ltd
Priority to CN201310272188.0A priority Critical patent/CN104248467B/en
Publication of CN104248467A publication Critical patent/CN104248467A/en
Application granted granted Critical
Publication of CN104248467B publication Critical patent/CN104248467B/en
Active legal-status Critical Current
Anticipated expiration legal-status Critical

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/3209Incision instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00238Type of minimally invasive operation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A61B2017/00646Type of implements
    • A61B2017/00663Type of implements the implement being a suture
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08Accessories or related features not otherwise provided for
    • A61B2090/0807Indication means

Abstract

The invention relates to the technical field of medical instruments, and discloses an endoscopic surgical operating instrument. The endoscopic surgical operating instrument comprises an end effector, a circuit board, a toggle switch and a transmission piece, wherein the circuit board is provided with a reminding device; the toggle switch is used for controlling the switching on and off of the reminding device; the transmission piece drives the end effector to act and is provided with at least two bulges which are arranged aiming at different transmission strokes of the transmission piece; when the transmission piece is in a to-be-driven position, the distance between each bulge and the toggle switch corresponds to one transmission stroke of the transmission piece; the toggle switch is triggered when each bulge reaches the position of the toggle switch. According to the endoscopic surgical operating instrument provided by the invention, the completion state of the motion of the end effector can be reminded, and the risk of operation failure can be reduced.

Description

A kind of chamber mirror surgical operating instrument
Technical field
The present invention relates to technical field of medical instruments, particularly a kind of chamber mirror surgical operating instrument.
Background technology
The operation wound of chamber mirror surgical operating instrument to patient is little, and good operation effect can greatly reduce the misery brought to surgical patient.
For stapler, stapler comprises operating grip, slender bodies and end effector; Operating grip is used for being gripped by user and operate to provide controlling and driving, the distally of operating grip (is nearside near the side of user during operation, side away from user is distally) be connected with end effector by slender bodies, end effector is used under the control of operating grip, performing cutting to the tissue of human intracavity and sewing up.Stapler is in concrete use procedure, and end effector can enter human intracavity by perforator, then performs the subsequent operations such as the curving of end effector, cutting and stitching.
The operation such as the cutting and stitching of end effector can provide driving by the driving member in control operation handle, and the transmission stroke of driving member determines the completion status of end effector action.
At present, the end effector of surgical operating instrument is disposable, and a kind of chamber mirror surgical operating instrument needs the end effector of compatible existing Multiple Type; But, because the length of the end effector of often kind of model is different, therefore driving member driving member when driving end effector action needs the transmission stroke of advance also not identical, in use there is the risk of the transmission stroke of driving member and the off-gauge of end effector in chamber mirror surgical operating instrument, and then there is the risk of operative failure.
Summary of the invention
The invention provides a kind of chamber mirror surgical operating instrument, this chamber mirror surgical operating instrument can be pointed out the completion status of different model end effector action, handled easily, reduces the risk of operative failure.
For achieving the above object, the invention provides following technical scheme:
A kind of chamber mirror surgical operating instrument, comprises end effector, also comprises:
Be provided with the circuit board of suggestion device;
Control the toggle switch of described suggestion device break-make;
Drive the driving member of described end effector action, described driving member has at least two projections arranged for the different transmission strokes of described driving member; Described driving member is positioned at when transmission position, a kind of transmission stroke of each protruding described driving member corresponding to the distance between described toggle switch; Described toggle switch is triggered during the described toggle switch position of protruding arrival described in each.
Preferably, described projection is three, and described driving member is positioned at when transmission position, and the distance between three described projections and described toggle switch is respectively 30mm, 45mm and 60mm.
Preferably, described suggestion device is display lamp or buzzer.
Preferably, described driving member is tooth bar.
Preferably, also comprise operating grip, described circuit board is installed in the housing of described operating grip.
Preferably, described toggle switch is fixed on described circuit board.
Preferably, described surgical operating instrument is stapler.
Preferably, a kind of described transmission stroke of described driving member be with described end effector open or closed action is corresponding opens or closing stroke or the cutting stroke corresponding with the cutting action of described end effector or the stitching stroke corresponding with the stitching action of described end effector or the percussion stroke corresponding with the firing action of described end effector.
Chamber provided by the invention mirror surgical operating instrument, comprises end effector, also comprises:
Be provided with the circuit board of suggestion device;
Control the toggle switch of described suggestion device break-make;
Drive the driving member of described end effector action, described driving member has at least two projections arranged for the different transmission strokes of described driving member; Described driving member is positioned at when transmission position, a kind of transmission stroke of each protruding described driving member corresponding to the distance between described toggle switch; Described toggle switch is triggered during the described toggle switch position of protruding arrival described in each.
The driving member of above-mentioned chamber mirror surgical operating instrument is in when transmission position, the transmission stroke of driving member during the end effector action of each protruding a kind of specification corresponding to the distance between toggle switch; When chamber mirror surgical operating instrument uses the end effector of a certain specification, and driving member is in when transmission position, one on the driving member distance between projection with toggle switch is corresponding with the transmission stroke of driving member during this end effector action, when the action of this end effector completes, this projection reaches above-mentioned toggle switch position and triggers toggle switch, toggle switch is made to be in trigger state for a long time, the circuit ON of suggestion device when toggle switch triggers, and then suggestion device is pointed out for a long time; In addition, driving member is in when transmission position, and the distance between above-mentioned toggle switch be less than the distance between this projection and toggle switch projection in driving member transmission process through and trigger described toggle switch in short-term; Perform doctor and can complete situation by the action of the prompting state grasp end effector of suggestion device.
Therefore, chamber provided by the invention mirror surgical operating instrument can be pointed out the completion status of the end effector action of different model, the risk of handled easily, reduction operative failure.
Accompanying drawing explanation
Fig. 1 is the structural representation of chamber provided by the invention mirror surgical operating instrument;
Fig. 2 is the mounting structure schematic diagram of chamber provided by the invention mirror surgical operating instrument protrusions and toggle switch;
Fig. 3 is the circuit theory schematic diagram in the mirror surgical operating instrument of chamber provided by the invention in circuit board.
Reference numeral:
1, operating grip 2, slender bodies 3, end effector
4, toggle switch 5, tooth bar 51, protruding
52, protruding 53, protruding 6, suggestion device
Detailed description of the invention
Below in conjunction with the accompanying drawing in the embodiment of the present invention, be clearly and completely described the technical scheme in the embodiment of the present invention, obviously, described embodiment is only the present invention's part embodiment, instead of whole embodiments.Based on the embodiment in the present invention, those of ordinary skill in the art, not making the every other embodiment obtained under creative work prerequisite, belong to the scope of protection of the invention.
Incorporated by reference to Fig. 1 with reference to figure 2, wherein, Fig. 1 is the structural representation of chamber provided by the invention mirror surgical operating instrument; Fig. 2 is the mounting structure schematic diagram of chamber provided by the invention mirror surgical operating instrument protrusions and toggle switch.
Chamber provided by the invention mirror surgical operating instrument comprises operating grip 1, slender bodies 2, end effector 3 and is positioned at the housing of operating grip 1, to drive the driving member 5 of end effector 3 action; When driving end effector 3 above by driving member 5, driving member 5 moves along the bearing of trend of slender bodies 2, and then drives end effector 3 action.When using the mirror surgical operating instrument operation of above-mentioned chamber, for the action helping doctor to grasp end effector 3 completes situation, tool suggestion device in the mirror surgical operating instrument of chamber provided by the invention, there is provided information by suggestion device when the action of end effector 3 completes, what the information that performing doctor provides according to suggestion device grasped end effector 3 action completes situation.Certainly, the action of the above-mentioned end effector 3 mentioned can be opening/closing action, cutting action, stitching action or firing action etc., corresponding, the transmission stroke of driving member can be opening/closing stroke, cutting stroke or stitching stroke or percussion stroke etc.For making the object, technical solutions and advantages of the present invention clearly, by the following examples the present invention is described in further detail.
Please refer to Fig. 2 and Fig. 3, Fig. 3 is the circuit theory schematic diagram in the mirror surgical operating instrument of chamber provided by the invention in circuit board.
Chamber provided by the invention mirror surgical operating instrument, comprises end effector 3, also comprises:
Be provided with the circuit board of suggestion device 6;
Control the toggle switch 4 of suggestion device 6 break-make;
Drive the driving member 5 of end effector 3 action, driving member 5 has at least two projections arranged for the different transmission strokes of driving member 5, protruding as shown in Figure 2 51, protruding 52 and protruding 53; Driving member 5 is positioned at when transmission position, each a kind of transmission stroke that is protruding and the corresponding driving member of distance 5 between toggle switch 4; Toggle switch 4 is triggered during each protruding arrival toggle switch 4 position.
The driving member 5 of above-mentioned chamber mirror surgical operating instrument is in when transmission position, the transmission stroke of driving member 5 during end effector 3 action of each protruding a kind of specification corresponding to the distance between toggle switch 4, protruding as shown in Figure 2 51, protruding 52 with protruding 53 different from the distance between toggle switch 4, a kind of transmission stroke of corresponding driving member 5, as when chamber mirror surgical operating instrument uses the end effector 3 of a certain specification, projection 52 on driving member 5 drives transmission stroke during this end effector 3 corresponding when driving member 5 is in until transmission position with the distance between toggle switch 4 and driving member 5, when driving member 5 drives this end effector 3 action to complete, protruding 52 arrive the position of toggle switch 4 and trigger toggle switch 4, and make toggle switch 4 be in trigger state for a long time, the circuit ON of suggestion device 6 when toggle switch 4 triggers, and then suggestion device 6 is pointed out for a long time, in addition, because driving member 5 is in when the transmission position, distance between protruding 51 and above-mentioned toggle switch 4 is less than the distance between protruding 52 and toggle switch 4, therefore, protruding 51 pass through and trigger toggle switch 4 in short-term in driving member 5 transmission process, and then the circuit short time connection of suggestion device 6, suggestion device 6 can carry out short time prompting, perform doctor and can complete situation by the action of the prompting state grasp end effector 3 of suggestion device 6.
Therefore, chamber provided by the invention mirror surgical operating instrument can be pointed out the completion status of end effector 3 action, the risk of handled easily, reduction operative failure.
Please continue to refer to Fig. 2, in a kind of preferred implementation, in the mirror surgical operating instrument of above-mentioned chamber, the projection that driving member 5 is arranged is three, be respectively protruding 51, protruding 52 and protruding 53, driving member 5 is when until transmission position, and the distance between protruding 51 and toggle switch 4 is 30mm, distance between protruding 52 and toggle switch 4 is 45mm, and the distance between protruding 53 and toggle switch 4 is 60mm.
Above-mentioned protruding 53 can meet the demand that actuating length is the end effector 3 of 60mm, in concrete operations, protruding 51 and protruding 52 can through toggle switch 4, when protruding 51 and protruding 52 through toggle switch 4, the short time triggers toggle switch 4, and then suggestion device 6 can carry out short time prompting, and when end effector 3 action completes, the transmission stroke of driving member 5 is 60mm, protruding 53 arrive the position of toggle switch 4 and trigger toggle switch 4 for a long time, and then suggestion device 6 is pointed out for a long time, perform doctor and can judge that the action of end effector 3 completes.
Above-mentioned suggestion device 6 can have multiple choices, and preferably, above-mentioned suggestion device 6 can be display lamp or buzzer etc., and wherein display lamp can be LED light.
Certainly, above-mentioned suggestion device 6 can also comprise warning light and buzzer simultaneously.
There is provided power by the driving device of chamber mirror surgical operating instrument during above-mentioned driving member 5 transmission, and then drive end effector 3 action; On the basis of the respective embodiments described above, above-mentioned driving member 5 can have multiple choices mode according to the difference of surgical operating instrument type of drive, and above-mentioned driving member 5 can be tooth bar, cable, drive link etc., repeats no longer one by one here.
In a kind of preferred implementation, foregoing circuit plate is installed in the housing of operating grip 1.
Because operating grip 1 during the mirror surgical operating instrument concrete operations of chamber is positioned at outside human body, and then there is in the housing of operating grip 1 enough spatial placement circuit boards.
More preferably, above-mentioned toggle switch 4 is fixed on circuit board.
Certainly, can also be that toggle switch 4 is fixed on the housing of operating grip 1, meanwhile, circuit board be installed in the housing of operating grip 1, is electrically connected between the circuit in toggle switch 4 and circuit board by wire.
Particularly, above-mentioned chamber mirror surgical operating instrument is preferably stapler.
Obviously, those skilled in the art can carry out various change and modification to the embodiment of the present invention and not depart from the spirit and scope of the present invention.Like this, if these amendments of the present invention and modification belong within the scope of the claims in the present invention and equivalent technologies thereof, then the present invention is also intended to comprise these change and modification.

Claims (8)

1. a chamber mirror surgical operating instrument, comprises end effector, it is characterized in that, also comprises:
Be provided with the circuit board of suggestion device;
Control the toggle switch of described suggestion device break-make;
Drive the driving member of described end effector action, described driving member has at least two projections arranged for the different transmission strokes of described driving member; Described driving member is positioned at when transmission position, a kind of transmission stroke of each protruding described driving member corresponding to the distance between described toggle switch; Described toggle switch is triggered during the described toggle switch position of protruding arrival described in each.
2. chamber according to claim 1 mirror surgical operating instrument, is characterized in that, described projection is three, and described driving member is positioned at when transmission position, and the distance between three described projections and described toggle switch is respectively 30mm, 45mm and 60mm.
3. chamber according to claim 1 mirror surgical operating instrument, is characterized in that, described suggestion device is display lamp or buzzer.
4. chamber according to claim 1 mirror surgical operating instrument, is characterized in that, described driving member is tooth bar.
5. chamber according to claim 1 mirror surgical operating instrument, it is characterized in that, also comprise operating grip, described circuit board is installed in the housing of described operating grip.
6. chamber according to claim 5 mirror surgical operating instrument, it is characterized in that, described toggle switch is fixed on described circuit board.
7. the chamber mirror surgical operating instrument according to any one of claim 1 ~ 6, is characterized in that, described surgical operating instrument is stapler.
8. the chamber mirror surgical operating instrument according to any one of claim 1 ~ 6, it is characterized in that, a kind of described transmission stroke of described driving member be with described end effector open or closed action is corresponding opens or closing stroke or the cutting stroke corresponding with the cutting action of described end effector or the stitching stroke corresponding with the stitching action of described end effector or the percussion stroke corresponding with the firing action of described end effector.
CN201310272188.0A 2013-06-28 2013-06-28 Endoscopic surgical operating instrument Active CN104248467B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201310272188.0A CN104248467B (en) 2013-06-28 2013-06-28 Endoscopic surgical operating instrument

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201310272188.0A CN104248467B (en) 2013-06-28 2013-06-28 Endoscopic surgical operating instrument

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CN104248467A true CN104248467A (en) 2014-12-31
CN104248467B CN104248467B (en) 2017-02-15

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Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4527724A (en) * 1983-06-10 1985-07-09 Senmed, Inc. Disposable linear surgical stapling instrument
US5464144A (en) * 1993-08-19 1995-11-07 United States Surgical Corporation Surgical apparatus with indicator
CN101011273A (en) * 2006-01-31 2007-08-08 伊西康内外科公司 Surgical instrument having a feedback system
CN201631274U (en) * 2009-12-23 2010-11-17 常州市智业医疗仪器研究所有限公司 Novel stitching instrument
CN203328798U (en) * 2013-06-28 2013-12-11 瑞奇外科器械(中国)有限公司 Endoscope surgical operation instrument

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4527724A (en) * 1983-06-10 1985-07-09 Senmed, Inc. Disposable linear surgical stapling instrument
US5464144A (en) * 1993-08-19 1995-11-07 United States Surgical Corporation Surgical apparatus with indicator
CN101011273A (en) * 2006-01-31 2007-08-08 伊西康内外科公司 Surgical instrument having a feedback system
CN201631274U (en) * 2009-12-23 2010-11-17 常州市智业医疗仪器研究所有限公司 Novel stitching instrument
CN203328798U (en) * 2013-06-28 2013-12-11 瑞奇外科器械(中国)有限公司 Endoscope surgical operation instrument

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Address after: 300457 Tianjin Binhai New Area Economic and Technological Development Zone, Fourth Street, No. 5, block B, floor 4

Patentee after: Tianjin Ricky surgical instruments Limited by Share Ltd

Address before: 300457 Tianjin Binhai New Area Economic and Technological Development Zone, Fourth Street, No. 5, block B, floor 4

Patentee before: Reach Surgical Instrument (China) Co.,Ltd.