CN111096774B - Minimally invasive surgical tissue clamp - Google Patents
Minimally invasive surgical tissue clamp Download PDFInfo
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- CN111096774B CN111096774B CN202010117769.7A CN202010117769A CN111096774B CN 111096774 B CN111096774 B CN 111096774B CN 202010117769 A CN202010117769 A CN 202010117769A CN 111096774 B CN111096774 B CN 111096774B
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- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61B17/00—Surgical instruments, devices or methods
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
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Abstract
本发明公开了一种微创外科组织钳,属于医疗器械领域,包括手把、与手把连接的连接部、与连接部连接的操作部,手把通过连接部控制操作部,所述的连接部包括连接管以及位于连接管内部的连接杆,连接管分别和手把和操作部固定连接,连接杆能够被手把驱动移动进而驱动操作部进行组织钳的开闭。
The invention discloses a minimally invasive surgical tissue forceps, belonging to the field of medical instruments, comprising a handle, a connection part connected with the handle, and an operation part connected with the connection part, the handle controls the operation part through the connection part, and the connection The connecting rod includes a connecting pipe and a connecting rod inside the connecting pipe. The connecting pipe is fixedly connected with the handle and the operating part, respectively. The connecting rod can be driven to move by the handle to drive the operating part to open and close the tissue forceps.
Description
技术领域technical field
本发明涉及组织夹钳领域。The present invention relates to the field of tissue clamps.
背景技术Background technique
组织钳又叫鼠齿钳(Allis)。对组织的压榨较血管钳轻,故一般用以夹持软组织,不易滑脱,如夹持牵引被切除的病变部位,以利于手术进行,钳夹纱布垫与切口边缘的皮下组织,避免切口内组织被污染。Tissue forceps are also called rat-tooth forceps (Allis). The compression of the tissue is lighter than that of the vascular forceps, so it is generally used to clamp the soft tissue, which is not easy to slip. contaminated.
现有的组织钳通常不具有缓冲效果,在应用到一些领域,如手术机器人当中,容易造成对组织的过度损坏,在一些改进的方案中,通过弹簧进行缓冲,但是弹簧长时间处于挤压状态的时候,其弹性会发生变化,影响缓冲效果。The existing tissue forceps usually do not have a buffering effect. When applied to some fields, such as surgical robots, it is easy to cause excessive damage to the tissue. In some improved solutions, the spring is used for buffering, but the spring is in a compressed state for a long time. , its elasticity will change, affecting the cushioning effect.
发明内容SUMMARY OF THE INVENTION
本发明的目的在于,一种微创外科组织钳,包括手把、与手把连接的连接部、与连接部连接的操作部,手把通过连接部控制操作部,所述的连接部包括连接管以及位于连接管内部的连接杆,连接管分别和手把和操作部固定连接,连接杆能够被手把驱动移动进而驱动操作部进行组织钳的开闭,其特征在于,所述的连接杆包括从动杆、主动杆、缓冲管,从动杆与操作部连接,主动杆与手把连接,缓冲管连接主动杆和从动杆,主动杆包括主动杆体和位于主动杆体末端的主动活塞,从动杆包括从动杆体以及位于从动杆体末端的从动活塞,主动杆体和主动活塞球接,从动杆体和从动活塞球接,主动活塞和从动活塞分别在缓冲管的两个方向卡入缓冲管中,主动活塞、从动活塞与缓冲管的管壁围成密封腔体,连接杆还包括有活塞连接杆将主动活塞和从动活塞连接,活塞连接杆限制主动活塞和从动活塞的背向而行,密封腔体内的气压大于大气气压并且能够被固定。The purpose of the present invention is to provide a minimally invasive surgical tissue forceps, comprising a handle, a connection part connected to the handle, and an operation part connected to the connection part, the handle controls the operation part through the connection part, and the connection part includes a connection part. A pipe and a connecting rod located inside the connecting pipe, the connecting pipe is respectively fixedly connected with the handle and the operating part, the connecting rod can be driven to move by the handle and then drive the operating part to open and close the tissue forceps, characterized in that the connecting rod It includes a driven rod, an active rod, and a buffer tube. The driven rod is connected to the operating part, the active rod is connected to the handle, and the buffer tube is connected to the active rod and the driven rod. The active rod includes an active rod body and an active piston at the end of the active rod body. The driven rod includes a driven rod body and a driven piston at the end of the driven rod body. The driving rod body and the driving piston are ball-joined, and the driven rod body and the driven piston are ball-joined. The driving piston and the driven piston are in two directions of the buffer tube respectively. Clip into the buffer tube, the active piston, the driven piston and the tube wall of the buffer tube form a sealed cavity, the connecting rod also includes a piston connecting rod to connect the active piston and the driven piston, and the piston connecting rod restricts the active piston and the driven piston. With the back of the piston running, the air pressure in the sealed cavity is greater than atmospheric pressure and can be fixed.
作为改进,所述的从动活塞内设有第一活动腔体,所述的主动活塞内设有第二活动腔体,活塞连接杆的两端分别设有第一滑块和第二滑块,第一滑块和第二滑块分别卡入第一活动腔体和第二活动腔体中以限制主动活塞和从动活塞的背向运动。As an improvement, the driven piston is provided with a first movable cavity, the active piston is provided with a second movable cavity, and the two ends of the piston connecting rod are respectively provided with a first sliding block and a second sliding block , the first sliding block and the second sliding block are respectively clamped into the first movable cavity and the second movable cavity to limit the backward movement of the driving piston and the driven piston.
作为改进,所述密封腔体连通有压强调节装置。As an improvement, the sealing cavity is communicated with a pressure regulating device.
作为改进,所述的压强调节装置包括有:As an improvement, the pressure regulating device includes:
供气腔,其通过连接气管和密封腔体连通,供气腔还连接有用于进出气的进气管,进气管上设有气泵;The air supply cavity is communicated with the sealing cavity through the connecting air pipe, and the air supply cavity is also connected with an air intake pipe for air intake and outlet, and an air pump is arranged on the air intake pipe;
调节腔,其内压强被设定;Regulating cavity, the internal pressure of which is set;
连接管,其两端分别和调节腔和供气腔连通,连接管内设有溶剂以阻断调节腔和供气腔,连接管内设有传感组件,供气腔内的压强变化,连接管内溶剂液面升高的时候其能够触发传感组件,传感组件连接有控制器,控制器和位于进气管上的气泵连接,传感组件被触发通过控制器控制气泵以对供气腔进行放气或者输气进而调节供气腔的压强。The connecting pipe is connected to the adjustment cavity and the air supply cavity at both ends respectively. The connecting pipe is provided with a solvent to block the adjustment cavity and the air supply cavity. When the liquid level rises, it can trigger the sensing component. The sensing component is connected with a controller. The controller is connected to the air pump located on the intake pipe. The sensing component is triggered to control the air pump through the controller to deflate the air supply chamber. Or supply air to adjust the pressure of the air supply chamber.
作为改进,所述的传感组件包括有漂浮件、磁体、定位件和弹簧,漂浮件漂浮在溶剂液面上,漂浮件上连接有磁体,连接气管上设有所述的通气的定位件,弹簧位于定位件和磁铁之间以固定磁铁。As an improvement, the sensing assembly includes a floating member, a magnet, a positioning member and a spring, the floating member floats on the liquid surface of the solvent, the floating member is connected with a magnet, and the connecting air pipe is provided with the ventilation positioning member, A spring is located between the retainer and the magnet to hold the magnet.
作为改进,所述的压强调节装置包括位于供气腔内的的压强传感器,压强传感器连接有控制器,控制器和气泵连接,控制器根据压强传感器检测到的压强以控制气泵,进而维持供气腔内的压强稳定。As an improvement, the pressure regulating device includes a pressure sensor located in the air supply chamber, the pressure sensor is connected to a controller, the controller is connected to the air pump, and the controller controls the air pump according to the pressure detected by the pressure sensor, thereby maintaining the air supply The pressure in the cavity is stable.
作为改进,所述的缓冲管端设有挡板以固定主动活塞和从动活塞防止主动活塞和从动活塞和缓冲管脱离。As an improvement, the end of the buffer pipe is provided with a baffle plate to fix the driving piston and the driven piston to prevent the driving piston and the driven piston from separating from the buffer pipe.
作为改进,所述的缓冲管上设有加气口以能够给密封腔体中加气。As an improvement, the buffer tube is provided with an air filling port so that air can be added to the sealed cavity.
附图说明Description of drawings
图1是本发明的结构示意图Fig. 1 is the structure schematic diagram of the present invention
图2是连接杆示意图;Figure 2 is a schematic diagram of a connecting rod;
图3是连接杆示意图;Figure 3 is a schematic diagram of a connecting rod;
图4是活动腔体示意图;Figure 4 is a schematic diagram of a movable cavity;
图5是操作部示意图;Fig. 5 is the schematic diagram of the operation part;
图6是操作部示意图;Fig. 6 is the schematic diagram of operation part;
图7压强调节装置示意图;7 is a schematic diagram of a pressure regulating device;
图8是传感组件示意图;Figure 8 is a schematic diagram of a sensing assembly;
图9另一个压强调节装置的另一个实施例示意图;FIG. 9 is a schematic diagram of another embodiment of another pressure regulating device;
图10是缓冲管的剖视图;Figure 10 is a cross-sectional view of a buffer tube;
图中标记:100-手把,110-按钮,120-把体,200-连接部,210-连接管,211-加气通道,220-连接杆,221-从动杆,2211-从动活塞,2212-第一活动腔体,222-主动杆,2221-主动活塞,2222-第二活动腔体,223-缓冲管,2231-挡板,224-活塞连接杆,2241-第一滑块,2242-第二滑块,2243-连杆,300-操作部,310a-第一钳块,310b-第二钳块,320-铰接头,330a-第一转轮,330b-第二转轮,340a-第一驱动杆,340b-第二驱动杆,350-活动板,400-压强调节装置,410-供气腔,411-连接气管,412-进气管,420-调节腔,430-连接管,440-溶剂,450-传感组件,451-漂浮件,452-磁体,453-定位件,454-弹簧,455-感应件,460-控制器,470-气泵,480-压强传感器,490-控制器。Marked in the figure: 100-handle, 110-button, 120-handle, 200-connecting part, 210-connecting pipe, 211-air filling channel, 220-connecting rod, 221-slave rod, 2211-slave piston , 2212-first active cavity, 222-active rod, 2221-active piston, 2222-second active cavity, 223-buffer tube, 2231-baffle plate, 224-piston connecting rod, 2241-first slider, 2242-Second slider, 2243-Link, 300-Operating part, 310a-First clamp block, 310b-Second clamp block, 320-Hinged head, 330a-First runner, 330b-Second runner, 340a-first driving rod, 340b-second driving rod, 350-movable plate, 400-pressure adjusting device, 410-air supply chamber, 411-connecting air pipe, 412-air intake pipe, 420-adjusting chamber, 430-connecting pipe , 440-solvent, 450-sensing assembly, 451-floating piece, 452-magnet, 453-positioning piece, 454-spring, 455-sensing piece, 460-controller, 470-air pump, 480-pressure sensor, 490- controller.
具体实施方式Detailed ways
下面结合附图,对本发明作详细的说明。The present invention will be described in detail below with reference to the accompanying drawings.
如图1所示,本发明提供了一种微创外科组织钳,包括手把100、与手把连接的连接部200、与连接部连接的操作部300,手把通过连接部控制操作部300,所述的连接部包括连接管210以及位于连接管内部的连接杆220,连接管分别和手把和操作部固定连接,连接杆能够被手把驱动移动进而驱动操作部进行组织钳的开闭,所述的操作部伸入人体进行操作,所述的操作部可以为施加钳、电凝钳、手术钳等手术器械。As shown in FIG. 1 , the present invention provides a minimally invasive surgical tissue forceps, comprising a
如图2-4所示,所述的连接杆包括从动杆221、主动杆222、缓冲管223,从动杆与操作部300连接,主动杆与手把100连接,缓冲管连接主动杆和从动杆,主动杆包括主动杆体和位于主动杆体末端的主动活塞2221,从动杆包括从动杆体以及位于从动杆体末端的从动活塞2211,主动杆体和主动活塞球接,从动杆体和从动活塞球接,主动活塞和从动活塞分别在缓冲管的两个方向卡入缓冲管中,主动活塞、从动活塞与缓冲管的管壁围成密封腔体,所述的主动活塞和从动活塞紧贴缓冲管上以能够形成密封的腔体,所述的主动活塞和从动活塞优选为橡胶等,也可以为金属、塑料,在活塞和缓冲管的接触面采用橡胶等密封。主动杆体和主动活塞球接,从动杆体和从动活塞球接,其能够使得杆体和活塞相互自由转动,活塞和缓冲管的位置能够被固定,杆体的位置的摆动不会影响活塞,进而使得活塞能够和缓冲管有良好的密封性同时使得活塞能够相对缓冲管运动。如果杆体和活塞刚性连接的话,将会使得杆体位置的偏移使得活塞跟着偏移,活塞和缓冲管将不能够良好结合,活塞将不能够相对缓冲管运动。连接杆还包括有活塞连接杆224将主动活塞和从动活塞连接,活塞连接杆限制主动活塞和从动活塞的背向而行,密封腔体内的气压大于大气气压并且能够被固定。从动活塞内设有第一活动腔体2212,所述的主动活塞2221内设有第二活动腔体2222,活塞连接杆的两端分别设有第一滑块2241和第二滑块2242,两个滑块之间为连杆2243,第一滑块和第二滑块分别卡入第一活动腔体和第二活动腔体中以限制主动活塞和从动活塞的背向运动。As shown in Figures 2-4, the connecting rod includes a driven
如图10所述,在本发明中密封腔体被施加大于大气压的压强,由于连杆的拉动作用,两个活塞不会背向运动,因此本发明的主动杆和从动杆受到密封腔体挤压的作用能够作用连接杆220使用并且能够提供一定的刚性作用。进一步的当连接杆220受到较大的挤压力的时候,如图4所示,从动活塞会相对主动活塞运动,进而能够提供缓冲力,防止夹钳的操作部对人体组织的过度损坏。As shown in FIG. 10 , in the present invention, the sealing cavity is applied with a pressure greater than atmospheric pressure. Due to the pulling action of the connecting rod, the two pistons will not move backwards, so the driving rod and the driven rod of the present invention are subject to the sealing cavity. The effect of extrusion can act on the connecting
在一个实施例当中,两个活塞都可以相对缓冲管运动,因此两个活塞可以同时被挤压运动。在另一个实施例当中,主动杆相对缓冲管刚性连接(或者一体化成型),连接杆受到挤压力大的时候,从动杆相对主动杆运动,能够提供一定的缓冲效果。In one embodiment, both pistons can move relative to the buffer tube, so both pistons can be squeezed simultaneously. In another embodiment, the active rod is rigidly connected to the buffer tube (or integrally formed), and when the connecting rod is subjected to a large extrusion force, the driven rod moves relative to the active rod, which can provide a certain buffering effect.
在本发明中,缓冲管上设有加气口以能够给密封腔体中加气,因此密封腔体在必须的时候可以被充气,其加气装置为常规的。但本发明的密封腔体在收到两个活塞挤压的时候,密封腔体内的气压会急剧升高,导致密封腔体对两个活塞的挤压力变大,其对夹钳达到的缓冲效果会被影响。所以,在更优选的方案中,在活塞挤压的时候,本发明使得密封腔体的压强恒定。具体的,密封腔体连通有压强调节装置400。所述的缓冲管端设有挡板(2231)以固定主动活塞和从动活塞防止主动活塞和从动活塞和缓冲管脱离。In the present invention, an air filling port is provided on the buffer tube to be able to add air to the sealing cavity, so the sealing cavity can be inflated when necessary, and the air filling device is conventional. However, when the sealing cavity of the present invention is squeezed by the two pistons, the air pressure in the sealing cavity will rise sharply, resulting in an increase in the pressing force of the sealing cavity on the two pistons, and the buffering effect achieved by the clamp will be increased. effect will be affected. Therefore, in a more preferred solution, when the piston is squeezed, the present invention makes the pressure of the sealed cavity constant. Specifically, the sealed cavity communicates with the
在一个实施例当中,如图7所示,所述的压强调节装置包括有:供气腔410、调节腔420、连接管430,供气腔410通过连接气管411和密封腔体连通,供气腔还连接有用于进出气的进气管412,进气管上设有气泵;调节腔420内压强被设定,其为密封,具体的可以设有加气的装置和压强显示装置。连接管430两端分别和调节腔和供气腔连通,连接管内设有溶剂440以阻断调节腔和供气腔,连接管内设有传感组件450,供气腔内的压强变化,连接管内溶剂液面升高的时候其能够触发传感组件450,传感组件连接有控制器460,控制器和位于进气管412上的气泵470连接,传感组件被触发通过控制器控制气泵以对供气腔进行放气或者输气进而调节供气腔的压强,使得密封腔体内的压强恒定。In one embodiment, as shown in FIG. 7 , the pressure regulating device includes: an
在本发明中,压强调节装置可以按照在手把内,其通过连接气管和密封腔体连通,手把在运动的时候会自由转动,导致溶剂流动,因此在更优选的方案中,如图8所示,所述的传感组件450包括有漂浮件451、磁体452、定位件453和弹簧454,漂浮件漂浮在溶剂液面上,漂浮件上连接有磁体452,连接气管上设有所述的通气的定位件453,弹簧454位于定位件和磁铁之间以固定磁铁,其中漂浮件不仅能够使得磁铁漂浮,同时也能够密封溶剂,漂浮件为泡沫塑料等材料,溶剂可以选择水、酒精灯,也可以选择粘度大的溶液等。In the present invention, the pressure adjusting device can be installed in the handle, which is communicated with the sealing cavity through the connecting air pipe, and the handle will rotate freely when it moves, causing the solvent to flow. Therefore, in a more preferred solution, as shown in Figure 8 As shown, the
在另一种实施方式中,所述的压强调节装置包括位于供气腔内的的压强传感器480,压强传感器连接有控制器490,控制器和气泵470连接,控制器根据压强传感器检测到的压强以控制气泵,进而维持供气腔内的压强稳定。In another embodiment, the pressure regulating device includes a
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US20100069953A1 (en) * | 2008-09-16 | 2010-03-18 | Tyco Healthcare Group Lp | Method of Transferring Force Using Flexible Fluid-Filled Tubing in an Articulating Surgical Instrument |
CN102631245B (en) * | 2011-02-14 | 2014-03-26 | 中国科学院理化技术研究所 | Surgical robot system for cutting frozen tumor tissue by laser |
WO2014155743A1 (en) * | 2013-03-29 | 2014-10-02 | 国立大学法人 東京工業大学 | Forceps |
EP3037053A4 (en) * | 2013-08-21 | 2017-06-07 | Olympus Corporation | Treatment tool and treatment system |
US9936943B1 (en) * | 2014-08-07 | 2018-04-10 | Nicholas MANCINI | Suture passing surgical device with atraumatic grasper preventing accidental perforations |
JP6577936B2 (en) * | 2016-12-27 | 2019-09-18 | 川崎重工業株式会社 | Hydraulic forceps system |
JP6550368B2 (en) * | 2016-12-27 | 2019-07-24 | 川崎重工業株式会社 | Hydraulic insulator system |
CN109925023A (en) * | 2017-12-15 | 2019-06-25 | 陕西海嵘工程项目管理有限公司 | A kind of laparoscope grasping forceps |
CN208591100U (en) * | 2018-03-26 | 2019-03-12 | 王玉琴 | A kind of obstetrics and gynecology department surgical clamp |
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