CN111839977A - Endoscope clamping assembly and clamp thereof - Google Patents
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- CN111839977A CN111839977A CN201910360390.6A CN201910360390A CN111839977A CN 111839977 A CN111839977 A CN 111839977A CN 201910360390 A CN201910360390 A CN 201910360390A CN 111839977 A CN111839977 A CN 111839977A
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- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/10—Parts, details or accessories
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- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/00131—Accessories for endoscopes
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- A61B1/00147—Holding or positioning arrangements
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- A61B90/00—Instruments, 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
- A61B90/50—Supports for surgical instruments, e.g. articulated arms
- A61B90/57—Accessory clamps
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- A61B90/00—Instruments, 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
- A61B90/50—Supports for surgical instruments, e.g. articulated arms
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Abstract
Description
技术领域technical field
本发明为一种内视镜夹持总成,尤指一种可调整一内视镜的位置、角度与方向后能牢固夹持该内视镜的内视镜夹持总成。本发明进一步公开一种用于内视镜夹持总成的夹持器。The present invention relates to an endoscope clamping assembly, in particular to an endoscope clamping assembly capable of firmly clamping the endoscope after the position, angle and direction of an endoscope can be adjusted. The present invention further discloses a holder for an endoscope holding assembly.
背景技术Background technique
微创手术具有伤口小,不伤及手术部位周边的正常组织,以及恢复快等诸多优点,因此已成为外科手术的主流,并逐渐取代传统的明开手术。而微创手术需借助于设备,高级者如达文西微创手术,而最普遍的则是以内视镜为之。由于达文西微创手术的设备价格高昂,不是一般医院负担得起,所以一般的微创手术还是依赖内视镜为主。Minimally invasive surgery has many advantages such as small wound, no damage to normal tissues around the surgical site, and quick recovery. Therefore, it has become the mainstream of surgery and gradually replaced the traditional open surgery. Minimally invasive surgery requires the help of equipment, advanced ones such as Da Vinci minimally invasive surgery, and the most common is endoscopy. Due to the high price of the equipment for Da Vinci minimally invasive surgery, it is not affordable for ordinary hospitals, so the general minimally invasive surgery still relies mainly on endoscopy.
一般而言,该内视镜包括一镜头以取得影像用的一内视镜,以及用以导入至少一器械以执行手术用的一内视镜。以该影像用的内视镜为例,其进入人体后须要调整位置、角度与方向以获得手术部位所须的影像后,最好避免震动或移位。因此,该内视镜最初由人力来扶持,但因人力无法持久与稳定,因此本领域技术人员研发出专用于夹持该内视镜的内视镜夹持总成。该内视镜夹持总成可大概分为:机器人(Robotic)式内视镜夹持总成,和机械式内视镜夹持总成两种。Generally speaking, the endoscope includes an endoscope for obtaining an image with a lens, and an endoscope for introducing at least one instrument to perform surgery. Taking the imaging endoscope as an example, after entering the human body, it needs to adjust the position, angle and direction to obtain the desired image of the surgical site, and it is best to avoid vibration or displacement. Therefore, the endoscope is initially supported by manpower, but because the manpower cannot be durable and stable, those skilled in the art have developed an endoscope clamping assembly specially used for clamping the endoscope. The endoscope clamping assembly can be roughly divided into two types: a robotic endoscope clamping assembly and a mechanical endoscope clamping assembly.
该机器人式内视镜夹持总成虽然能有效达到调整位置、角度与方向的目的,但该机器人式内视镜夹持总成是由使用者,例如医师的脚部去控制位移,而没有手部控制来的灵巧。特别是,该机器人式内视镜夹持总成的费用昂贵,有失效风险的担忧,以致无法普及。Although the robot-type endoscope clamping assembly can effectively achieve the purpose of adjusting the position, angle and direction, the robot-type endoscope clamping assembly is controlled by the user, such as the foot of the doctor, without the The dexterity of hand control. In particular, the robotic endoscope clamping assembly is expensive and has a risk of failure, so it cannot be popularized.
而该机械式内视镜夹持总成虽有成本上的优势,但该内视镜夹持总成的一夹持器无法贴近于供该内视镜穿设的一穿刺导套,以致该内视镜被该夹持器夹持后不易进行角度、方向、深浅位置的调整。探究其因,乃该内视镜经由该穿刺导套进入人体后,该内视镜以该穿刺导套为支撑点,以便进行深浅角度及该内视镜影像的方向调整,由于该夹持器与该穿刺导套的距离因素,以致两者间的力臂较长,使得在夹持部位的些微调整将导致该内视镜末端产生较大的摆幅,而不利于深浅、角度及该内视镜影像的方向调整。Although the mechanical endoscope clamping assembly has a cost advantage, a holder of the endoscope clamping assembly cannot be close to a puncture guide sleeve for the endoscope to pass through, so that the After the endoscope is clamped by the holder, it is difficult to adjust the angle, direction and depth position. The reason for this is that after the endoscope enters the human body through the puncture guide sleeve, the endoscope uses the puncture guide sleeve as a support point to adjust the depth angle and the direction of the endoscope image. Due to the distance from the puncture guide sleeve, the force arm between the two is relatively long, so that a slight adjustment in the clamping part will cause the end of the endoscope to have a larger swing, which is not conducive to the depth, angle and the inner diameter of the endoscope. Orientation adjustment of the sight glass image.
因此,该内视镜较优选的方式是由医师手动调整好后,再移动该内视镜夹持总成的一可调式接合支撑装置和该夹持器至适当位置,并张开该夹持器以便将该内视镜夹持固定;但在释放该可调式接合支撑装置时,因其本身的多关节结构及角度的限制,再加上该可调式接合支撑装置的重量而变得不好控制,导致该可调式接合支撑装置在锁定后仍会偏差,而不易修正。Therefore, the preferred way of the endoscope is to manually adjust the endoscope, then move an adjustable engagement support device of the endoscope clamping assembly and the holder to a proper position, and open the clamping The endoscope can be clamped and fixed; but when the adjustable joint support device is released, it is not good due to its own multi-joint structure and the limitation of the angle, plus the weight of the adjustable joint support device. control, so that the adjustable engagement support device still deviates after locking, and is not easy to correct.
因此,如何去克服前述缺点,使传统低成本的该机构式内视镜夹持总成具有更好的操作性,乃本领域技术人员共同面临的难题。Therefore, how to overcome the aforementioned shortcomings and make the traditional low-cost mechanism-type endoscope clamping assembly have better operability is a common problem faced by those skilled in the art.
发明内容SUMMARY OF THE INVENTION
本发明主要目的在于提供一种内视镜夹持总成,其具有能调整一内视镜的角度,插入人体内的深度,以及旋转控制方向的功能;并利用该内视镜夹持总成的一夹持器对一束紧球的轴向施压,使该束紧球受到径向压力作用而向内变形,以便对该内视镜产生夹持与束缚作用。The main purpose of the present invention is to provide an endoscope clamping assembly, which has the functions of adjusting the angle of an endoscope, the depth of insertion into the human body, and the rotation control direction; and using the endoscope clamping assembly A clamper presses the axial direction of a tightening ball, so that the tightening ball is deformed inwardly under the action of radial pressure, so that the endoscope can be clamped and restrained.
为达成前述目的,本发明所采取的技术手段为提供一种内视镜夹持总成,其包括一可调式接合支撑器,其一端具有供接装于一手术台的一主球轴杆,另一端则设有一中继座,该中继座底部轴向开设一插接孔;以及一夹持器,其包括一基座,该基座一侧伸出插设于该插接孔内的一插接杆,另一侧则伸出一间隔片,该间隔片具有供一上压板放置的一上表面和供一下压板贴附的一下表面;一支轴枢接于该间隔片和该上压板与该下压板的一端,且该上压板和该下压板各自凹设供一束紧球装设的一上球槽和一下球槽,该束紧球轴向开设供一内视镜插接的一杆孔;以及设于该支轴的对向的一旋钮,其穿过该上压板并锁接于该下压板;当该旋钮未锁紧时,该束紧球能在该上球槽和该下球槽之间旋转以调整该内视镜的角度、方向和插入深度;另当该旋钮锁紧时,使该上压板及/或该下压板受到一轴向压力,以促使该上球槽和该下球槽一起对该束紧球产生径向挤压作用,并造成该束紧球的变形和内缩以夹持该内视镜。In order to achieve the aforementioned object, the technical means adopted by the present invention is to provide an endoscope clamping assembly, which includes an adjustable joint supporter, one end of which has a main ball shaft for connecting to an operating table, The other end is provided with a relay seat, the bottom of the relay seat is provided with an insertion hole axially; a plug-in rod, and a spacer protrudes from the other side. The spacer has an upper surface for placing an upper platen and a lower surface for attaching the lower platen; a pivot is pivotally connected to the spacer and the upper plate One end of the pressure plate and the lower pressure plate, and the upper pressure plate and the lower pressure plate are respectively concave with an upper ball groove and a lower ball groove for the installation of a tightening ball, and the tightening ball is axially opened for an endoscope. a rod hole; and a knob opposite to the fulcrum, which passes through the upper pressing plate and is locked to the lower pressing plate; when the knob is not locked, the tightening ball can be in the upper ball groove Rotate with the lower ball groove to adjust the angle, direction and insertion depth of the endoscope; in addition, when the knob is locked, the upper pressing plate and/or the lower pressing plate are subjected to an axial pressure to promote the upper The ball groove and the lower ball groove together produce a radial pressing effect on the tightening ball, and cause deformation and inward shrinkage of the tightening ball to hold the endoscope.
在一实施例中,该束紧球的中下段周面径向间隔地开设多条沟槽,使得相邻两所述沟槽间形成一夹持爪片;当该旋钮锁紧时,使该上压板及/或该下压板受到一轴向压力,以促使该上球槽和该下球槽一起对该束紧球产生径向挤压作用,并造成该些夹持爪片的变形和内缩以夹持该内视镜。In one embodiment, a plurality of grooves are radially spaced on the peripheral surface of the middle and lower sections of the tightening ball, so that a clamping claw is formed between two adjacent grooves; when the knob is locked, the The upper pressure plate and/or the lower pressure plate are subjected to an axial pressure, so as to cause the upper ball groove and the lower ball groove to produce a radial pressing effect on the tightening ball, and cause the deformation and internal deformation of the clamping claws. retract to hold the endoscope.
在一实施例中,该束紧球包括轴向对接的一上半球和一下半球,该上半球的一上杆孔和该下半球的一下杆孔共同形成该杆孔,该上半球的底面在该上杆孔周缘间隔地环设多片夹持爪片,且各该夹持爪片外侧底部具有一迫紧斜面,而该下半球的顶面开设与该下杆孔相通且抵接于该些迫紧斜面的一抵接斜环;当该旋钮锁紧时,使该上压板及/或该下压板受到一轴向压力,以促使该上球槽和该下球槽一起对该束紧球产生径向挤压作用,使得该些迫紧斜面沿着该抵接斜环产生变形和内缩以夹持该内视镜。In one embodiment, the tightening ball includes an upper hemisphere and a lower hemisphere axially butted together, an upper rod hole of the upper hemisphere and a lower rod hole of the lower hemisphere together form the rod hole, and the bottom surface of the upper hemisphere is at the bottom of the rod hole. A plurality of clamping claws are arranged around the periphery of the upper rod hole at intervals, and each of the outer bottoms of the clamping claws has a pressing inclined surface, and the top surface of the lower hemisphere is opened to communicate with the lower rod hole and abut against these An abutting inclined ring of the tightening slope; when the knob is locked, the upper pressing plate and/or the lower pressing plate are subjected to an axial pressure, so as to promote the upper ball groove and the lower ball groove to the tightening ball together A radial extrusion effect is generated, so that the pressing slopes are deformed and retracted along the abutting inclined ring to clamp the endoscope.
在一实施例中,该插接孔底面径向开设一定位槽;而该插接杆的外周面对应该定位槽位置径向突设能扣入该定位槽内的一定位榫,且该插接杆顶部另环设一扣槽。In one embodiment, a positioning groove is radially defined on the bottom surface of the insertion hole; and a positioning tenon that can be buckled into the positioning groove is radially protruded from the outer peripheral surface of the insertion rod corresponding to the position of the positioning groove, and the insertion rod protrudes radially. A buckle groove is set on the top of the post.
在一实施例中,该束紧球以硅胶或铁弗龙(聚四氟乙烯)制成,且其最大外径大于该上球槽和该下球槽的直径。In one embodiment, the tightening ball is made of silica gel or Teflon (polytetrafluoroethylene), and its maximum outer diameter is larger than the diameters of the upper ball groove and the lower ball groove.
在一实施例中,该上表面和该下表面中的至少一表面具有一倾斜角度。In one embodiment, at least one of the upper surface and the lower surface has an inclined angle.
在一实施例中,该可调式接合支撑器包括一中间关节部,其具有相邻枢接于一迫紧件的一第一轴盖和一第二轴盖;一主臂装置,其具有接装于该第一轴盖的一主臂杆、一主球轴座及套设于主球轴座内的该主球轴杆;以及一副臂装置,其具有接装于该第二轴盖的一副臂杆、一副球轴座及套设于该副球轴座的一副球轴杆;其中该中继座连接于该副球轴杆。In one embodiment, the adjustable joint supporter includes an intermediate joint portion, which has a first axle cover and a second axle cover pivotally connected to a pressing piece adjacently; a main arm device, which has an adapter A main arm rod, a main ball axle seat and the main ball axle rod sleeved in the main ball axle seat on the first axle cover; A secondary arm rod, a secondary ball shaft seat and a secondary ball shaft rod sleeved on the secondary ball shaft seat; wherein the relay seat is connected to the secondary ball shaft rod.
在一实施例中,该手术台进一步接装一龙门式支架,该支架两侧的一对立杆底部各自利用一第一夹具装设于该手术台两侧边对应的一横向导轨上;该主球轴杆则结合于两立杆顶部一横杆的一第二夹具内,该对立杆利用该第一夹具以调整纵向的高度,而该主球轴杆则利用该第二夹具以调整左右向距离。In one embodiment, the operating table is further connected to a gantry-type bracket, and the bottoms of a pair of vertical rods on both sides of the bracket are respectively mounted on a transverse guide rail corresponding to both sides of the operating table by a first clamp; The ball shaft is combined in a second clamp on the top of the two vertical rods and a horizontal rod. The opposite rod uses the first clamp to adjust the vertical height, and the main ball shaft uses the second clamp to adjust the left and right direction. distance.
本发明另一目的在于提供一种用于内视镜夹持总成的夹持器,其具有能调整一内视镜的角度,插入人体内的深度,以及旋转控制方向的功能;并利用该夹持器对一束紧球的轴向施压,使该束紧球受到径向压力作用而向内变形,以便对该内视镜产生夹持与束缚作用。Another object of the present invention is to provide a holder for an endoscope clamping assembly, which has the functions of adjusting the angle of an endoscope, the depth of insertion into the human body, and the rotation control direction; The holder exerts axial pressure on a tightening ball, so that the tightening ball is deformed inwardly under the action of radial pressure, so as to clamp and restrain the endoscope.
为达成前述目的,本发明所采取的技术手段为提供一种用于内视镜夹持总成的夹持器,其包括一基座,该基座一侧伸出一插接杆,另一侧则伸出一间隔片,该间隔片具有供一上压板放置的一上表面和供一下压板贴附的一下表面;一支轴枢接于该间隔片和该上压板与该下压板的一端,且该上压板和该下压板各自凹设供一束紧球装设的一上球槽和一下球槽,该束紧球轴向开设供一内视镜插接的一杆孔;以及设于该支轴的对向的一旋钮,其穿过该上压板并锁接于该下压板;当该旋钮未锁紧时,该束紧球能在该上球槽和该下球槽之间旋转以调整该内视镜的角度、方向和插入深度;当该旋钮锁紧时,使该上压板及/或该下压板受到一轴向压力,以促使该上球槽和该下球槽一起对该束紧球产生径向挤压作用,并造成该束紧球的变形和内缩以夹持该内视镜。In order to achieve the aforementioned purpose, the technical means adopted by the present invention is to provide a holder for an endoscope clamping assembly, which comprises a base, a plug-in rod protrudes from one side of the base, and the other A spacer is protruded from the side, and the spacer has an upper surface for an upper platen to be placed and a lower surface for the lower platen to be attached; a pivot is pivotally connected to the spacer and one end of the upper platen and the lower platen , and the upper pressure plate and the lower pressure plate are respectively recessed with an upper ball groove and a lower ball groove for a tightening ball, and the tightening ball axially opens a rod hole for an endoscope to be inserted into; and A knob opposite the fulcrum, which passes through the upper pressing plate and is locked to the lower pressing plate; when the knob is not locked, the tightening ball can be between the upper ball groove and the lower ball groove Rotate to adjust the angle, direction and insertion depth of the endoscope; when the knob is locked, the upper pressing plate and/or the lower pressing plate are subjected to an axial pressure to urge the upper ball groove and the lower ball groove together The tightening ball is radially squeezed, and the tightening ball is deformed and retracted to hold the endoscope.
在一实施例中,该束紧球的中下段周面径向间隔地开设多条沟槽,使得相邻两所述沟槽间形成一夹持爪片;当该旋钮锁紧时,使该上压板及/或该下压板受到一轴向压力,以促使该上球槽和该下球槽一起对该束紧球产生径向挤压作用,并造成该些夹持爪片的变形和内缩以夹持该内视镜。In one embodiment, a plurality of grooves are radially spaced on the peripheral surface of the middle and lower sections of the tightening ball, so that a clamping claw is formed between two adjacent grooves; when the knob is locked, the The upper pressure plate and/or the lower pressure plate are subjected to an axial pressure, so as to cause the upper ball groove and the lower ball groove to produce a radial pressing effect on the tightening ball, and cause the deformation and internal deformation of the clamping claws. retract to hold the endoscope.
在一实施例中,该束紧球包括轴向对接的一上半球和一下半球,该上半球的一上杆孔和该下半球的一下杆孔共同形成该杆孔,该上半球的底面在该上杆孔周缘间隔地环设多片夹持爪片,且各该夹持爪片外侧底部具有一迫紧斜面,而该下半球的顶面开设与该下杆孔相通且抵接于该些迫紧斜面的一抵接斜环;当该旋钮锁紧时,使该上压板及/或该下压板受到一轴向压力,以促使该上球槽和该下球槽一起对该束紧球产生径向挤压作用,使得该些迫紧斜面沿着该抵接斜环产生变形和内缩以夹持该内视镜。In one embodiment, the tightening ball includes an upper hemisphere and a lower hemisphere axially butted together, an upper rod hole of the upper hemisphere and a lower rod hole of the lower hemisphere together form the rod hole, and the bottom surface of the upper hemisphere is at the bottom of the rod hole. A plurality of clamping claws are arranged around the periphery of the upper rod hole at intervals, and each of the outer bottoms of the clamping claws has a pressing inclined surface, and the top surface of the lower hemisphere is opened to communicate with the lower rod hole and abut against these An abutting inclined ring of the tightening slope; when the knob is locked, the upper pressing plate and/or the lower pressing plate are subjected to an axial pressure, so as to promote the upper ball groove and the lower ball groove to the tightening ball together A radial extrusion effect is generated, so that the pressing slopes are deformed and retracted along the abutting inclined ring to clamp the endoscope.
在一实施例中,该插接杆的外周面径向突设一定位榫,且该插接杆顶部还环设一扣槽。In one embodiment, a positioning tenon is radially protruded from the outer peripheral surface of the plug-in rod, and a buckle groove is also formed on the top of the plug-in rod.
在一实施例中,该束紧球以硅胶或铁弗龙(聚四氟乙烯)制成,且其最大外径大于该上球槽和该下球槽的直径。In one embodiment, the tightening ball is made of silica gel or Teflon (polytetrafluoroethylene), and its maximum outer diameter is larger than the diameters of the upper ball groove and the lower ball groove.
在一实施例中,该上表面和该下表面中的至少一表面具有一倾斜角度。In one embodiment, at least one of the upper surface and the lower surface has an inclined angle.
附图说明Description of drawings
图1为本发明内视镜夹持总成装设于手术台的示意图;FIG. 1 is a schematic diagram of the endoscope clamping assembly of the present invention being installed on an operating table;
图2为本发明内视镜夹持总成供内视镜安装后的立体图;2 is a perspective view of the endoscope clamping assembly of the present invention after the endoscope is installed;
图3为本发明夹持器第一实施例的立体分解图;3 is an exploded perspective view of the first embodiment of the gripper of the present invention;
图4为图3所示第一实施例组装后的立体图;4 is a perspective view of the assembled first embodiment shown in FIG. 3;
图5为图3沿着线A-A所截取的剖面图;5 is a cross-sectional view taken along line A-A of FIG. 3;
图6为本发明夹持器第一实施例供内视镜插入后,尚未进行调整的剖面图;6 is a cross-sectional view of the first embodiment of the holder of the present invention after the endoscope is inserted and not adjusted;
图7为本发明夹持器第一实施例供内视镜插入后,进行角度、方向或深浅位置调整后的剖面图;7 is a cross-sectional view of the first embodiment of the holder of the present invention after the endoscope is inserted, and the angle, direction or depth position are adjusted;
图8为本发明束紧球第二实施例的立体图;8 is a perspective view of a second embodiment of the tightening ball of the present invention;
图9为图8所示束紧球用于夹持器第二实施例的剖面图,显示内视镜插入并进行角度、方向或深浅位置调整;FIG. 9 is a cross-sectional view of the second embodiment of the tightening ball shown in FIG. 8 used in the holder, showing the insertion of the endoscope and the adjustment of the angle, direction or depth;
图10为图8所示束紧球对内视镜形成定位与锁定的剖面图;Figure 10 is a sectional view of the positioning and locking of the endoscope by the tightening ball shown in Figure 8;
图11为本发明束紧球第三实施例的立体分解图;11 is an exploded perspective view of the third embodiment of the tightening ball of the present invention;
图12为图11所示束紧球用于夹持器第三实施例的剖面图,显示内视镜插入并进行角度、方向或深浅位置调整;以及Fig. 12 is a cross-sectional view of the third embodiment of the tightening ball shown in Fig. 11 used in the holder, showing the insertion of the endoscope and the adjustment of angle, direction or depth; and
图13为本发明内视镜夹持总成装设于手术台另一实施例的示意图。FIG. 13 is a schematic diagram of another embodiment of the endoscope clamping assembly installed on the operating table according to the present invention.
具体实施方式Detailed ways
为使本发明的目的、技术方案和优点更加清楚明白,以下结合具体实施例,并参照附图,对本发明进一步详细说明。需要说明的是,在附图或说明书描述中,相似或相同的部分都使用相同的图号。附图中未绘示或描述的实现方式,为所属技术领域中普通技术人员所知的形式。另外,虽然本文可提供包含特定值的参数的示范,但应了解,参数无需确切等于相应的值,而是可在可接受的误差容限或设计约束内近似于相应的值。实施例中提到的方向用语,例如“上”、“下”、“前”、“后”、“左”、“右”等,仅是参考附图的方向。因此,使用的方向用语是用来说明并非用来限制本发明的保护范围。In order to make the objectives, technical solutions and advantages of the present invention clearer, the present invention will be further described in detail below with reference to specific embodiments and accompanying drawings. It should be noted that, in the drawings or descriptions in the specification, the same drawing numbers are used for similar or identical parts. Implementations not shown or described in the drawings are forms known to those of ordinary skill in the art. Additionally, although examples of parameters including specific values may be provided herein, it should be understood that the parameters need not be exactly equal to the corresponding values, but may be approximated within acceptable error tolerances or design constraints. Directional terms mentioned in the embodiments, such as "up", "down", "front", "rear", "left", "right", etc., only refer to the directions of the drawings. Therefore, the directional terms used are used to illustrate and not to limit the scope of protection of the present invention.
如图1至图7所示,本发明内视镜夹持总成包括一可调式接合支撑器1,以及一夹持器2。As shown in FIG. 1 to FIG. 7 , the endoscope clamping assembly of the present invention includes an adjustable engagement supporter 1 and a
请参考图1至图2,该可调式接合支撑器1,如本发明申请人所拥有的中国台湾专利公告第M524168号的“接合支撑器”(对应于中国第201620267226.2号专利),并将该申请的部份技术内容以提及方式并入本申请。该可调式接合支撑器1包括一中间关节部11,其具有相邻枢接于一迫紧件111的一第一轴盖112和一第二轴盖113;一主臂装置12,其具有接装于该第一轴盖112的一主臂杆121、一主球轴座122及套设于主球轴座122内的一主球轴杆123;以及一副臂装置13,其具有接装于该第二轴盖113的一副臂杆131、一副球轴座132及套设于该副球轴座132的一副球轴杆133。当转动该迫紧件111时,该中间关节部11的内部构件同时动作,以形成该中间关节部11旋转角度的定位,该些主、副球轴杆123、133各自相对于该些主、副球轴座122、132的摆动角度定位,该些主、副球轴座122、132相对于该些主、副臂杆121、131的旋转角度定位,以及该些第一、第二轴盖112、113的旋转角度定位等调整。Please refer to FIG. 1 to FIG. 2, the adjustable joint support 1, such as the "joint supporter" of Taiwan Patent Publication No. M524168 (corresponding to Chinese Patent No. 201620267226.2) owned by the applicant of the present invention, and the Part of the technical content of the application is incorporated into this application by reference. The adjustable joint support 1 includes an intermediate
为使该夹持器2能够接装于该可调式接合支撑器1的一端,因此,该副球轴杆133进一步连接一中继座14,该中继座14底部轴向开设一插接孔141(请参考图6及图7),并在该插接孔141底面径向开设一定位槽142。而该可调式接合支撑器1的另一端的该主球轴杆123则接装于一手术台4。In order to enable the
该夹持器2包括一基座21,一上压板22,一下压板23,一被该上压板22和该下压板23包夹的束紧球24,一支轴25,以及一旋钮26。The
该基座21一侧伸出插设于该插接孔141内的一插接杆211,该插接杆211顶部环设一扣槽211a,且外周面对应该定位槽142位置径向突设一定位榫211b,该定位榫211b于组装时扣入该定位槽142内,使该基座21不致在该中继座14上任意转动。而该基座21另一侧则伸出一间隔片212,该间隔片212的一上表面212a和对向设置的一下表面212b中的至少一表面,例如该上表面212a朝向该旋钮26方向具有一倾斜角度,而该下表面212b朝向该旋钮26方向则具有一水平角度。An
该上表面212a供该上压板22放置,而该下表面212b则供该下压板23贴附,另将该支轴25枢接于该间隔片212和该上压板22与该下压板23的一端,使该上压板22与该下压板23夹设于该间隔片212上。The
在另一实施例中,该倾斜角度设于该下表面212b,而该水平角度则设于该上表面212a。In another embodiment, the inclined angle is set on the
在又一实施例中,该上表面212a和该下表面212b各自设有一倾斜角度。In yet another embodiment, the
如图3、图6和图7所示,该支轴25锁接于该下压板23,且为避免该支轴25的轴向脱落,因此该支轴25穿出于该下压板23的一端部进一步螺接一防脱螺帽251,使得该上压板22与该下压板23不致与该间隔片212分离。As shown in FIG. 3 , FIG. 6 and FIG. 7 , the
为使该束紧球24能在该上压板22与该下压板23之间转动,以调整至所需的角度和方向,因此该上压板22和该下压板23的对向表面对应地凹设圆弧形的一上球槽221和一下球槽231。而该束紧球24装设于对向设置该上球槽221和该下球槽231之间,该束紧球24的最大外径大于该上球槽221和该下球槽231的直径,使该束紧球24不致从该上球槽221或该下球槽231脱落。In order to make the tightening
如图3所示,该束紧球24以耐高温消毒的高分子弹性材料,例如硅胶或铁弗龙(聚四氟乙烯)制成,以方便重复使用。该束紧球24包括轴向开设供一内视镜插接的一杆孔241。As shown in FIG. 3 , the tightening
该旋钮26设于该支轴25的对向并穿过上压板22,而锁接于该下压板23,即完成如图4所示该夹持器的组装。The
如图5所示,其显示图4沿着线A-A所截取的剖面图,从图中可以发现该旋钮26为未锁紧,以致该上压板22与该上表面212a因该倾斜角度的存在而形成一斜向间隙。As shown in FIG. 5 , which shows a cross-sectional view taken along the line A-A in FIG. 4 , it can be seen from the figure that the
该夹持器2的第一实施例使用时,如图1及图2所示,首先将该可调式接合支撑器1的该主球轴杆123利用底部的一夹具15装设于一手术台4的侧边的一横向导轨41。然后将该夹持器2接装于该可调式接合支撑器1的该中继座14上,例如该插接杆211扣接于该插接孔141内,并将该定位榫211b扣入该定位槽142内,使该夹持器2不致在该中继座14上转动。When the first embodiment of the
接下来,如图6所示,将一穿刺导套31插入一病患的体内后,此时医护人员调整该可调式接合支撑器1,使该夹持器2移至该穿刺导套31上方。随即将具有影像功能的该内视镜3穿过该束紧球24的该杆孔241和该穿刺导套31,使该内视镜3进入该病患的体内,以提供照明及获得手术部位的影像。随后旋转该旋钮26,以控制该上压板22和该下压板23施加适当压力予该束紧球24,使该束紧球24能在该些上、下压板22、23之间旋转调整该内视镜3的角度、上下调整该内视镜3插入人体内的深度,以及旋转控制该内视镜3的方向。Next, as shown in FIG. 6 , after inserting a
最后,当获得该内视镜3的正确影像时,如图7所示,医护人员仅须将该旋钮26锁紧,使该上压板22及/或该下压板23受到一轴向压力,例如该上压板22受到该轴向压力后朝向该上表面212a的该倾斜角度移动,以促使该上球槽221和该下球槽231一起对该束紧球24产生径向挤压作用,并造成该束紧球24的变形和内缩以夹持该内视镜3,进而形成定位与锁定效果。Finally, when the correct image of the endoscope 3 is obtained, as shown in FIG. 7 , the medical staff only needs to lock the
如图8至图10所示,其显示该夹持器采用该束紧球第二实施例的相关图示,本实施例为该第一实施例的另一变形实施,且相较于该第一实施例以相同的标号(符号)用以表示相同的部件,由于本实施例与该第一实施例共享许多共用的部件,因而仅将两者的差异处详细说明于后。As shown in FIGS. 8 to 10 , which show the relevant diagrams of the gripper using the second embodiment of the tightening ball, this embodiment is another variant of the first embodiment, and compared to the first embodiment In one embodiment, the same reference numerals (symbols) are used to represent the same components. Since this embodiment and the first embodiment share many common components, only the differences between the two will be described in detail later.
本实施例与该第一实施例的差异在于该束紧球24的结构,如图8所示,本实施例的该束紧球24轴向具有供该内视镜3插接的一杆孔241,并在该束紧球24的中下段周面径向间隔地开设多条沟槽242,使相邻两沟槽间形成一夹持爪片243。The difference between this embodiment and the first embodiment lies in the structure of the tightening
如图9及图10所示,当获得该内视镜3的正确影像时,医护人员仅须将该旋钮26锁紧,使该上压板22及/或该下压板23受到一轴向压力,例如该上压板22受到该轴向压力后朝向该上表面212a的该倾斜角度移动,并促使该上球槽221和该下球槽231一起对该束紧球24产生径向挤压作用,并造成该些夹持爪片245的变形和内缩以夹持该内视镜3,进而形成定位与锁定效果。As shown in FIG. 9 and FIG. 10 , when the correct image of the endoscope 3 is obtained, the medical staff only needs to lock the
如图11至图12所示,其显示该夹持器采用该束紧球第三实施例的相关图示,本实施例相较于该第一实施例以相同的标号(符号)用以表示相同的部件,由于本实施例与该第一实施例共享许多共用的部件,因而仅将两者的差异处详细说明于后。As shown in FIGS. 11 to 12 , which show the relevant diagrams of the third embodiment of the tightening ball used in the gripper, this embodiment is denoted by the same reference numerals (symbols) as compared with the first embodiment For the same components, since this embodiment shares many common components with the first embodiment, only the differences between the two will be described in detail later.
如图11所示,该束紧球24包括轴向对接的一上半球244和一下半球245,该上半球244的一上杆孔241a和该下半球245的一下杆孔241b共同形成一杆孔241。请参考图11,该上半球244的底面于该上杆孔241a周缘间隔地环设多片夹持爪片241c,且各该夹持爪片241c底部外侧具有向下斜削的一迫紧斜面241d。而该下半球245的顶面开设与该下杆孔241b相通且抵接于该些迫紧斜面241d的一抵接斜环241e,使该上半球244和该下半球245对接后形成装设于该上球槽221和该下球槽231之间的该束紧球24。而该上杆孔241a和该下杆孔241b则供该内视镜32的穿设。As shown in FIG. 11 , the tightening
如图12所示,当获得该内视镜3的正确影像时,医护人员仅须将该旋钮26锁紧,使该上压板22及/或该下压板23受到一轴向压力,例如该上压板22受到该轴向压力后朝向该上表面212a的该倾斜角度移动,并促使该上球槽221和该下球槽231一起对该束紧球24产生径向挤压作用,而使得该些夹持爪片241c的各该迫紧斜面241d沿着该抵接斜环241e产生变形和内缩以夹持该内视镜3,进而形成定位与锁定效果。As shown in FIG. 12, when the correct image of the endoscope 3 is obtained, the medical staff only needs to lock the
如图13所示,其显示该内视镜夹持总成用于手术台的另一实施方案。该手术台4进一步接装一龙门式支架5,该支架5两侧的一对立杆51底部各自利用一第一夹具52装设于一手术台4两侧边对应的一横向导轨41上,而该可调式接合支撑器1的该主球轴杆123则结合于两立杆51顶部一横杆53的一第二夹具54内,该对立杆51利用该第一夹具52以调整纵向的高度,而该主球轴杆123则利用该第二夹具54以调整左右向距离,随即调整该可调式接合支撑器1接近一病患的手术位置。As shown in Figure 13, another embodiment of the endoscope clamping assembly is shown for use on an operating table. The operating table 4 is further connected to a gantry-type bracket 5. The bottoms of a pair of
所以,经由本发明的实施,其所增益的功效在于,该束紧球以耐高温消毒铁弗龙(聚四氟乙烯)或硅胶材料所制成。当受到适当压力时,在该些上、下压板的该些上、下球槽之间形成一个球轴关节;另当旋钮锁紧时,该些上、下压板对该束紧球施加轴向压力,并对该束紧球产生径向挤压作用,而造成该束紧球的变形和内缩,以便对该内视镜产生夹持与束缚作用,同时该束紧球也被固定,从而使该内视镜的深度位置、角度和方向同时受到固定,以获得手术所需的稳定影像效果。Therefore, through the implementation of the present invention, the added effect is that the tightening ball is made of high temperature sterilization Teflon (polytetrafluoroethylene) or silica gel material. When subjected to proper pressure, a ball-shaft joint is formed between the upper and lower ball grooves of the upper and lower pressing plates; in addition, when the knobs are locked, the upper and lower pressing plates exert an axial direction on the tightening balls pressure, and produce radial extrusion effect on the tightening ball, resulting in deformation and inward shrinkage of the tightening ball, so as to clamp and restrain the endoscope, and at the same time, the tightening ball is also fixed, thereby The depth position, angle and direction of the endoscope are fixed at the same time, so as to obtain the stable image effect required for the operation.
此外,本发明夹持器的各实施例于使用时能该贴近该穿刺导套,使得在夹持部位的些微调整将不致使该内视镜末端产生较大的摆幅,而有利于该内视镜的深度位置、角度和方向的调整,是内视镜夹持总成前所未见的一优选结构。In addition, each embodiment of the holder of the present invention can be close to the puncture guide sleeve when in use, so that a slight adjustment in the clamping part will not cause the end of the endoscope to produce a large swing, but is beneficial to the endoscope. The adjustment of the depth position, angle and direction of the sight glass is a preferred structure that has never been seen in the endoscope clamping assembly.
本发明所揭示者,乃优选实施例的一种,但凡局部的变更或修饰而源于本发明的技术思想而为本领域技术人员所易于推知者,俱不脱离本发明的专利权范围。What is disclosed in the present invention is one of the preferred embodiments, but any partial changes or modifications originating from the technical idea of the present invention and easily inferred by those skilled in the art will not depart from the scope of the patent right of the present invention.
以上所述的具体实施例,对本发明的目的、技术方案和有益效果进行了进一步详细说明,所应理解的是,以上所述仅为本发明的具体实施例而已,并不用于限制本发明,凡在本发明的精神和原则之内,所做的任何修改、等同替换、改进等,均应包含在本发明的保护范围之内。The specific embodiments described above further describe the purpose, technical solutions and beneficial effects of the present invention in further detail. It should be understood that the above descriptions are only specific embodiments of the present invention, and are not intended to limit the present invention. Any modification, equivalent replacement, improvement, etc. made within the spirit and principle of the present invention shall be included within the protection scope of the present invention.
Claims (14)
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