CN117731345B - Box, handle, hanger and operation method thereof - Google Patents
Box, handle, hanger and operation method thereof Download PDFInfo
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- CN117731345B CN117731345B CN202410013424.5A CN202410013424A CN117731345B CN 117731345 B CN117731345 B CN 117731345B CN 202410013424 A CN202410013424 A CN 202410013424A CN 117731345 B CN117731345 B CN 117731345B
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0467—Instruments for cutting sutures
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/34—Trocars; Puncturing needles
- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
- A61B17/3421—Cannulas
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/34—Trocars; Puncturing needles
- A61B17/3478—Endoscopic needles, e.g. for infusion
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- 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
- A61B90/03—Automatic limiting or abutting means, e.g. for safety
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- 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
- A61B90/08—Accessories or related features not otherwise provided for
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- 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
- A61B90/90—Identification means for patients or instruments, e.g. tags
- A61B90/92—Identification means for patients or instruments, e.g. tags coded with colour
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
- A61B2017/00389—Button or wheel for performing multiple functions, e.g. rotation of shaft and end effector
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/0046—Surgical instruments, devices or methods with a releasable handle; with handle and operating part separable
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- 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
- A61B90/08—Accessories or related features not otherwise provided for
- A61B2090/0807—Indication means
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Pathology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Surgical Instruments (AREA)
Abstract
The invention discloses a box, a handle, a hanger and an operation method thereof, which belong to the technical field of medical equipment. The box cooperates with the handle to operate successively, and is mainly divided into four operations, the handle is started once to operate once, and the handle can be restored to be original after each completion, so that the next operation is convenient. The design of the device extremely simplifies the operation steps, only four times of handles are needed to be opened, the whole device can automatically operate the whole operation process, and finally the handles can be locked after the operation is finished, so that the working process of operators is greatly facilitated.
Description
Technical Field
The invention belongs to the technical field of medical equipment, and particularly relates to a box, a handle, a hanger and an operation method thereof.
Background
Benign Prostatic Hyperplasia (BPH) is one of the most common medical conditions affecting men, especially elderly men. The prostate gland continues to expand throughout the life of a person. In some men, the prostate capsule surrounding the prostate may prevent the prostate from further enlargement. This can cause the inner region of the prostate to squeeze the urethra. This pressure on the urethra increases the resistance to urine flow through the region of the urethra surrounded by the prostate. Thus, the bladder must exert more pressure to force urine through the increased urethral resistance. Chronic overexertion can lead to remodelling of the muscle wall of the bladder and becoming stiffer. This increased urethral resistance and increased urinary flow stiffness and hypertrophy of the bladder wall can lead to various Lower Urinary Tract Symptoms (LUTS), which can severely reduce the quality of life of the patient. These symptoms include weak or intermittent urine flow during urination, exertion during urination, hesitation before urination begins, feeling that the bladder is not completely empty even after urination, dribbling or leaking urine at the end of urination, and particularly increased frequency of urination at night and urgency. In order to treat the problem of prostatic hypertrophy, mechanical devices that facilitate surgery are designed to assist medical personnel.
Chinese patent publication No. CN114286646a relates to a device for transferring mechanical energy in a handle to a cassette for manipulating tissue or anatomical structures in a human or animal subject to treat a disease or condition. The handle and cassette contain a safety interlock.
However, the suspension device designed in the prior art cannot simplify the operation flow of the operation to the greatest extent, the whole operation process is still complicated, the operation in the prior art needs to carefully identify and start the corresponding locking mechanism, then press the handle to perform the corresponding operation, and after the corresponding operation is completed, the corresponding mechanism needs to be locked again, the operation is complicated, and the maximum assistance to medical staff is not realized; meanwhile, the safety of the locking state of the box and the handle cannot be ensured, and the error condition in the operation cannot be maximally avoided.
Disclosure of Invention
In view of the above problems in the prior art, it is an object of the present invention to provide a cassette, a handle, a hanger and a method of operating the same.
The invention provides the following technical scheme:
The handle for the hanger comprises a handle shell, a cover plate arranged on the handle shell, a transmission component movably arranged on the cover plate, a handle part elastically arranged on the handle shell through a hinge hole, and a handle locking device movably arranged on the handle shell, wherein the handle locking device can ensure that the handle cannot be started under the condition that the box is not arranged;
Meanwhile, the unidirectional transmission assembly is used in the transmission assembly, so that the internal operation of the unidirectional transmission assembly can be guaranteed to be unidirectionally transmitted, and all operations cannot return to the original position even if the operations are stopped halfway.
Specifically, the handle locking device comprises a release button which is elastically mounted on the handle shell and a safety button which is elastically mounted on the handle shell, wherein the safety button is used for limiting the position of the handle part; the end part of the release button is provided with a spring accommodating groove, the release button is provided with a channel, the channel comprises a vertical channel arranged at the end part of the release button and a transverse channel arranged at the middle part of the release button, the vertical channel is connected with the transverse channel, and meanwhile, the safety button is provided with a protruding block which is positioned in the channel; the safety button is in a locked state in an initial state, when the cassette is mounted on the handle, the cassette presses the release button, and when the release button is pressed, the safety button is in an opened state, i.e. the protruding block is in the lateral channel.
Specifically, the one end of extension is equipped with the fixture block arch in the insurance button, be equipped with the step hole on the handle portion, the fixture block arch is arranged in the step hole, be equipped with four steps on the step hole at least, the step hole corresponds the handle state of three times opening respectively and the locking state of handle, when the handle is in locking state, protruding piece is located vertical passageway.
Specifically, the transmission assembly comprises a pushing block arranged on the safety button, a safety controller movably arranged on the cover plate, and a safety elastically hinged on the handle shell, wherein the safety controller is provided with a clamping groove, the safety is provided with a clamping block corresponding to the clamping groove, when the safety button moves transversely, the pushing block pushes the safety controller along with the safety, and then the safety is driven to rotate around a hinging point, so that the pushing block of the safety is in movable contact with the unidirectional transmission assembly, the unidirectional transmission assembly and the unidirectional force assembly are movably arranged on the cover plate through a fixing shaft, and one surface of the unidirectional transmission assembly is provided with a guide rail protrusion; when the insurance is pushed, the abutting block moves along the guide rail protrusion, and meanwhile, the guide rail protrusion is matched with the step hole; when the handle is opened for the first time, the safety moves along the guide rail protrusion, so that the next step of the abutting block gradually approaches the edge of the unidirectional transmission assembly, when the handle is opened for the second time, the abutting block still gradually approaches the edge of the unidirectional transmission assembly, and when the handle is opened for the third time, the abutting block reaches the position of the guide rail protrusion nearest to the edge of the unidirectional transmission assembly, and the box is taken down while the handle is pressed for the fourth time, and the handle is locked; the handle part is in transmission connection with the unidirectional transmission component through the unidirectional force component, the unidirectional force component is used for only giving unidirectional force to the unidirectional transmission component, the other surface of the unidirectional transmission component is provided with a guide rail protrusion, and the guide rail protrusion is divided into three sections.
Specifically, one side of the unidirectional force component is provided with a tooth joint part, the tooth joint part arranged on the handle part is meshed with the tooth joint part for transmission, and after the handle part is pressed down, the tooth joint part is meshed with the tooth joint part for transmission, so that the unidirectional force component is driven to rotate anticlockwise.
Specifically, the unidirectional force component is movably arranged on the first fixed shaft, the hinge hole is coincided with the first fixed shaft, and the unidirectional force component is coaxially connected with the handle part in a transmission way.
Specifically, the unidirectional force component comprises a driving gear, the driving gear is movably arranged on the first fixed shaft, an elastic part is arranged on one side of the driving gear, a clamping block is arranged on the elastic part, a pushing-away protrusion is arranged on the unidirectional transmission component, and the pushing-away protrusion and the clamping block are matched to only unidirectional force the unidirectional transmission component.
Specifically, the unidirectional transmission assembly is unidirectional transmission realized by utilizing the elastic sheet to match with the ratchet teeth, the unidirectional transmission assembly comprises a wheel, the wheel is provided with ratchet teeth protrusions or grooves and a positioning sheet, the wheel is a cam, the handle shell is provided with the positioning sheet, and one end of the positioning sheet is matched with one tooth of the ratchet teeth, so that the cam can only rotate unidirectionally.
Specifically, the unidirectional transmission assembly is unidirectional transmission realized by utilizing two overlapped ratchet teeth, the unidirectional transmission assembly comprises a first ratchet tooth arranged on a cam, a second ratchet tooth arranged in the cam and elastically connected with a first fixed shaft, and meanwhile, a limiting protrusion is arranged on the second ratchet tooth and is matched with a guide rail of the first fixed shaft.
Specifically, the handle also comprises an indicating wheel assembly movably arranged on the handle shell, wherein a unidirectional transmission assembly is used in the indicating wheel assembly, and the indicating wheel assembly can display that the indicating wheel assembly is in a state of carrying out a first operation step, a state of carrying out a second operation step, a state of carrying out a third operation step or a state of carrying out a locking step.
The indicating wheel assembly comprises a driving wheel coaxially driven with a safety, a driving wheel movably mounted on the handle shell, and an indicating wheel driving wheel elastically connected with the handle shell through a torsion spring III, wherein the indicating wheel driving wheel is movably mounted on the handle shell through a fixing shaft II and is in transmission connection with the unidirectional transmission assembly through the unidirectional force assembly, so that the unidirectional transmission assembly is driven by the indicating wheel driving wheel to rotate unidirectionally, and four marks are respectively arranged on the outer surface of the unidirectional transmission assembly and respectively represent the steps of carrying out a first operation step, carrying out a second operation step, carrying out a third operation step and carrying out a locking step, thereby correspondingly pressing down a handle part for four times; the driving wheel is in transmission connection with the driving wheel, the driving wheel is in transmission connection with the indicating wheel driving wheel, the indicator cover plate covers the unidirectional transmission assembly, and the indicator cover plate is arranged on the handle shell.
Specifically, be equipped with two support arms on the action wheel, the directive wheel drive wheel is equipped with two support arms two simultaneously, and support arm one is placed with support arm two is crisscross, is equipped with the transmission arch on the support arm simultaneously, can contact with the transmission arch when the drive wheel rotates to promoted the rotation of action wheel, again because support arm one is placed with support arm two is crisscross, and then driven the rotation of directive wheel drive wheel, thereby further drive the directive wheel rotation, elastic connection between directive wheel drive wheel and the fixed axle two simultaneously.
The indicating wheel assembly comprises a gear coaxially driven with a safety, an indicating wheel driving wheel which is elastically connected to a handle shell through a torsion spring III, the indicating wheel driving wheel is in meshed transmission connection with the gear through a gear rack, a unidirectional transmission assembly and a unidirectional force assembly which are movably installed on the handle shell through a fixing shaft II are in transmission connection with the unidirectional transmission assembly through the unidirectional force assembly, so that the unidirectional transmission assembly is driven by the indicating wheel driving wheel to rotate unidirectionally, and four marks are respectively arranged on the outer surface of the unidirectional transmission assembly and respectively represent the steps of carrying out first operation, carrying out second operation, carrying out third operation and carrying out locking, and accordingly the step of pressing a handle part for four times is correspondingly carried out; and an indicator cover plate covering the unidirectional transmission assembly, and the indicator cover plate is installed on the handle shell.
Specifically, one side of the unidirectional force component is provided with a tooth joint part, the tooth joint part arranged on the indicating wheel driving wheel is meshed with the tooth joint part for transmission, and after the indicating wheel driving wheel rotates, the tooth joint part is meshed with the tooth joint part for transmission, so that the unidirectional force component is driven to rotate anticlockwise.
Specifically, the unidirectional force component is movably arranged on the second fixed shaft, and the unidirectional force component is coaxially connected with the driving wheel of the indicating wheel in a transmission way.
Specifically, the unidirectional force component comprises a driving gear, the driving gear is movably arranged on the second fixed shaft, an elastic part is arranged on one side of the driving gear, a clamping block is arranged on the elastic part, a pushing-away protrusion is arranged on the unidirectional transmission component, and the pushing-away protrusion and the clamping block are matched to only unidirectional force the unidirectional transmission component.
Specifically, the unidirectional transmission assembly is unidirectional transmission realized by utilizing the elastic sheet to match with the ratchet teeth, the unidirectional transmission assembly comprises a wheel, the wheel is provided with a ratchet tooth bulge or groove and a positioning sheet, the wheel is an indicating wheel, the handle shell is provided with the positioning sheet, and one end of the positioning sheet is matched with one tooth of the ratchet teeth, so that the indicating wheel can only rotate unidirectionally.
Specifically, the unidirectional transmission assembly is unidirectional transmission realized by utilizing two overlapped ratchet teeth, the unidirectional transmission assembly comprises a first ratchet tooth arranged on the indicating wheel and a second ratchet tooth arranged in the indicating wheel, the second ratchet tooth is elastically connected with the second fixed shaft, and meanwhile, a limiting bulge is arranged on the second ratchet tooth and is matched with a guide rail of the second fixed shaft.
In particular, the handle is further provided with a limiting assembly for limiting the pop-up state of the handle portion, and when one working step is not completed completely, the handle portion is not popped up but is limited to the current position.
Specifically, the limiting component comprises an arc-shaped groove arranged on the handle part, a positioning cam coaxially arranged with the safety controller, and a positioning cam positioning piece arranged on the handle shell; when the handle part is fully pressed, the end part of the positioning cam can be separated from the arc groove under the action of the positioning cam positioning piece, and when the handle part is not fully pressed, the end part of the positioning cam can stay in the concave groove of the arc groove and cannot be separated from the concave groove.
The box comprises a bracket, an outer sleeve assembly arranged on the bracket, an implanted clip push rod, a puncture needle, a suture thread, a front clip, a cutter, a rear clip and a push rod which are movably arranged in the outer sleeve assembly, a box shell covered outside the bracket and arranged on the bracket, wherein the rear clip is positioned in front of the push rod, the front clip is arranged at the end part of the suture thread, the push rod and the rear clip are arranged in the cutter, the suture thread and the front clip are arranged in the puncture needle, the outer surface of the cutter above the rear clip is a blade, an actuating assembly II movably arranged on the bracket through a lower cover plate of the assembly, an actuating assembly I movably arranged on the bracket through an upper cover plate of the assembly, an implanted clip push rod, the puncture needle and the suture thread which are arranged on the actuating assembly I, and the push rod and the cutter which are arranged on the actuating assembly II; the first actuating component can drive the push rod of the implanted clip, the puncture needle and the suture line to move, and the second actuating component can drive the push rod and the cutter to move.
Specifically, the outer tube assembly comprises a shell, a scope tube channel bracket arranged on the shell, a front end catheter is arranged at the front end of the scope tube channel bracket, a clamping assembly is arranged on the scope tube channel bracket, a puncture needle positioning catheter and a cutter channel bracket are arranged in the shell through the clamping assembly, the puncture needle is arranged in the puncture needle positioning catheter, the cutter is arranged in the cutter channel bracket, a puncture needle positioning seat is arranged on the puncture needle positioning catheter, and a protective cover is arranged on the cutter channel bracket through the clamping assembly.
Specifically, the clamping assembly comprises a folding part arranged on the folding part, and the folding part has elasticity through the folding part.
Specifically, the clamping assembly further comprises a limiting part arranged on the folding part.
Specifically, a guide channel is arranged in the puncture needle positioning seat, and an opening is arranged on the protective cover.
Specifically, the first actuating assembly comprises a wire actuating assembly and a needle actuating assembly, wherein the wire actuating assembly can drive the suture and the guide push rod to move, and the needle actuating assembly can drive the puncture needle to move.
Specifically, the line actuation assembly includes clip push rod mounting, install the push rod on the clip push rod mounting, clip push rod mounting is installed on the line head mounting, install the suture line on the line head mounting, just be equipped with slider second on the line head mounting, slider second is arranged in the slide that the subassembly upper cover plate was equipped with.
Specifically, the needle actuation assembly includes a needle mount with a needle mounted thereon, the needle mount being mounted on a slider I which is disposed within a slideway provided in an upper cover plate of the assembly.
Specifically, the second actuating assembly comprises a rotating piece movably mounted on the bracket, the push rod fixing piece is positioned at one end of the rotating piece far away from the outer sleeve assembly, the push rod fixing piece is movably mounted on a second track in the lower cover plate of the assembly, the end part of the push rod is mounted on the push rod fixing piece, the cutter fixing piece is positioned at the other end of the rotating piece, the cutter fixing piece is movably mounted on a first track in the lower cover plate of the assembly, the end part of the cutter is mounted on the cutter fixing piece, and the cutter fixing piece is connected with the push rod fixing piece through a first spring; in an initial state, the rotating member limits the movement of the cutter fixing member along the first spring, the implant positioning safety limits the movement of the push rod fixing member along the first spring, and the implant positioning safety is movably mounted on the lower cover plate of the assembly.
Specifically, the safety device also comprises a safety component and a locking component; the locking component is used for locking the box on the handle, and meanwhile, the box can be conveniently replaced; the safety assembly is used for preventing the locking assembly from being opened under the condition of false touch when the box is locked on the handle.
Specifically, the locking assembly comprises a knob movably arranged on the bracket and the box shell, protruding blocks are symmetrically arranged on the knob, a first clamping piece and a second clamping piece are arranged on the knob, a protrusion is arranged on the bracket at a position corresponding to the first clamping piece, and a clamping groove is arranged on the bracket at a position corresponding to the second clamping piece; after the knob is rotated to the corresponding position, the protruding blocks can be screwed into the handle, meanwhile, the first clamping piece matching protrusions can clamp the knob under the action of elastic force, and the second clamping piece matching clamping grooves can limit excessive rotation of the knob.
Specifically, an arrow is arranged on the knob, an arrow alignment mark II is arranged on the box shell, an arrow alignment mark I is arranged on the handle, and when the arrow alignment mark II is aligned by the arrow, the position is the corresponding position; when the knob is in the initial state, the arrow is aligned with the direction of the first arrow alignment mark, the box is pressed into the handle, and then the knob is rotated, so that the arrow is aligned with the direction of the second arrow alignment mark, at the moment, the protruding blocks are screwed into the handle, and meanwhile, the first clamping piece matched protrusion clamps the knob under the action of elastic force, so that a locking state is formed.
Specifically, the number of the protrusions is two, one protrusion is used for fixing the initial position of the knob, and the other protrusion is used for fixing the locking position of the knob.
Specifically, the safety component comprises a safety starting strip which is elastically installed on the bracket through a torsion spring and an inlet arranged on the knob, and a limiting groove is arranged at the inlet; when the knob is in an initial state, the safety starting strip can enter the limiting groove from the inlet under the action of force; the safety starting strip is provided with a bulge, a display bulge and a torsion spring mounting groove; when the display bulge enters the limiting groove, after the knob is rotated, the display bulge is matched with the torsion spring I, so that the rotation of the knob can be further limited.
Specifically, the system also comprises an identification component, wherein the identification component is used for displaying the specific flow of the job.
Specifically, the identification component comprises a safety locking display mark and a line cutting mark which are arranged on the box shell, wherein a first color mark is arranged on the display bulge, a second color mark is arranged on the needle actuation component, a display hole is arranged on the button, and a third color mark is arranged on the actuation component; when the insurance component is active, the color mark is displayed at an insurance lock display mark for a while; after the trimming is completed, the color mark II is displayed at the trimming mark; when the color mark III is displayed in the display hole, the button is marked to be in a locking state, and the actuating component II is not started yet.
Specifically, the identification component further comprises a scale arranged on the outer surface of the shell.
A hanger includes a handle and a cassette mounted on the handle.
Specifically, the handle is provided with an inclined plane, and the inclined plane is used for guiding to open the safety component when the box is installed.
Specifically, the endoscope lock assembly and the endoscope are arranged in the channel bracket of the insertion endoscope tube.
Specifically, the mirror lock assembly comprises a mirror lock handle arranged on the handle shell and a mirror lock shaft sleeve clamped in the mirror lock handle, wherein a locking sleeve is symmetrically arranged at the center of the mirror lock shaft sleeve, and one end of the locking sleeve is separated from the mirror lock shaft sleeve and gradually approaches to the axis of the mirror lock shaft sleeve; after the endoscope is inserted, the endoscope is contacted with one end of the locking sleeve, so that when the endoscope rotates, the locking sleeve is driven to move along with the endoscope, and the two locking sleeves lock the endoscope along with the rotation of the endoscope.
Specifically, the box also comprises a locking block, and when the box is arranged on the handle, the box is locked on the handle through the locking block for the second time.
Specifically, a first locking protrusion and a second locking protrusion are arranged on the locking block, when the locking block rotates to a vertical state, the first locking protrusion rotates along a locking guide rail on the cover plate, and at the moment, the second locking protrusion is clamped between the limiting plate and the cover plate; when the locking block rotates to a transverse state, the clamping blocks arranged on the locking block respectively form a secondary locking state with the clamping matching blocks arranged on the box and the handle.
Based on the device, the invention also provides an operation method using the hanger, which comprises the following steps:
S1, installing a box on a handle, opening a handle locking device, then when a handle part is pressed for the first time, displaying the indication wheel assembly as a mark for carrying out a first operation step, and driving a unidirectional transmission assembly to rotate by the handle part, so that an actuating assembly drives a clip push rod, a puncture needle and a suture thread to advance simultaneously, the clip push rod simultaneously pushes a front clip to advance, and after the whole first operation step is completed, the handle part is restored to an open state;
S2, pressing the handle part for the second time, displaying the mark of the second operation step by the indicating wheel assembly, driving the unidirectional transmission assembly to rotate by the handle part, further pushing the needle sliding part and the wire sliding part to retreat, driving the puncture needle to retreat by the actuating assembly, simultaneously driving the suture line to tighten and driving the front clamp to spread, and recovering the handle part to an open state after the whole second operation step is completed;
S3, pressing down the handle part for the third time, displaying the index wheel assembly as an index for carrying out a third operation step, and driving the unidirectional transmission assembly to rotate by the handle part so as to drive the wheel actuator to rotate, so that the second actuating assembly drives the push rod and the cutter to move simultaneously, the cutter retreats, and the push rod pushes the rear clamp to advance, so that the rear clamp clamps the suture line and cuts off the suture line at the same time;
S4, after the handle part is pressed for the fourth time, the indication wheel assembly displays the mark for carrying out the locking step, and then the box is taken down, and the handle is locked.
The beneficial effects of the invention are as follows:
1. The design of the device extremely simplifies the operation steps of the operation, only four times of handles are needed to be opened, the whole device can automatically operate the whole operation process, and finally, the handles can be locked after the operation is finished, so that the working process of operators is greatly facilitated;
2. The handle locking device, the safety component and the locking component designed by the device can respectively ensure the locking state of the handle and the box, the handle and the box can not be opened before corresponding opening actions are carried out, and the safety of the locking state is improved; meanwhile, the design of the locking block ensures that the box is locked on the handle for the second time;
3. The cooperation of the limiting component, the unidirectional transmission component and the unidirectional force component in the device can ensure that each action does not enter the next action before being done, and the handle part can stay at the pressed position, thereby reminding operators of incomplete operation and avoiding the situation of operation errors;
4. the design of the identification component and the indicating wheel component in the device can display the specific operation state in operation in the operation process, so that the understanding of operators on the operation steps of the device is perfected, and the follow-up operation of the operators and the treatment on emergency are facilitated.
Drawings
The accompanying drawings are included to provide a further understanding of the invention and are incorporated in and constitute a part of this specification, illustrate the invention and together with the embodiments of the invention, serve to explain the invention. In the drawings:
FIG. 1 is a three-dimensional view of the present invention;
FIG. 2 is a three-dimensional view of the handle of the present invention;
FIG. 3 is a three-dimensional view of a cassette of the present invention;
FIG. 4 is a three-dimensional view of the outer sleeve assembly of the cassette of the present invention mated with the push rod of the implanted clip, the needle, the suture, the front clip, the cutter, the rear clip and the push rod;
FIG. 5 is a schematic view of the construction of the outer sleeve assembly of the present invention;
FIG. 6 is a schematic view of the structure of the implanted clip pusher bar, needle, suture, front clip, cutter, rear clip and pusher bar of the present invention;
FIG. 7 is a rear view of the cassette of the present invention without the lower cover plate of the assembly;
FIG. 8 is a rear view of the cassette of the present invention;
FIG. 9 is a schematic view of a clamping assembly according to the present invention;
FIG. 10 is a schematic view of the structure of the guide channel and opening of the present invention;
FIG. 11 is a schematic view of the structure of the first actuator assembly of the present invention;
FIG. 12 is a schematic view of the second actuator assembly of the present invention mated with the lower cover plate of the assembly;
FIG. 13 is a schematic view of the structure of the locking assembly and the identification assembly of the present invention;
FIG. 14 is a schematic view of the structure of the knob of the present invention;
FIG. 15 is a schematic view of the structure of the security assembly of the present invention;
FIG. 16 is a three-dimensional view of a safety actuation bar of the present invention;
FIG. 17 is a schematic view of the construction of the color-coded three and wheel actuator of the present invention;
FIG. 18 is a schematic view of the internal structure of the handle of the present invention;
FIG. 19 is a schematic view of the position of the spacer according to the present invention;
FIG. 20 is a schematic view of the structure of the transmission assembly of the present invention;
FIG. 21 is a three-dimensional view of a release button in accordance with the present invention;
FIG. 22 is a three-dimensional view of a safety button of the present invention;
FIG. 23 is a three-dimensional view of the handle portion of the first embodiment of the invention;
FIG. 24 is a three-dimensional view of a cam in accordance with one embodiment of the present invention;
FIG. 25 is a three-dimensional view of a drive gear in accordance with a first embodiment of the present invention;
FIG. 26 is a schematic view of the position of the indicator wheel assembly and the restraint assembly of the present invention;
FIG. 27 is a schematic view of the structure of a rail protrusion in the present invention;
FIG. 28 is a schematic view of a mating structure of the cover plate and actuating assembly of the present invention;
FIG. 29 is a schematic view of the engagement of the cover plate, actuator assembly one and rail projection of the present invention;
FIG. 30 is a diagram of the positional relationship of a rail projection and an actuating assembly II in the present invention;
FIG. 31 is a diagram of the positional relationship of the rail protrusion and the wheel actuator in the present invention;
FIG. 32 is a three-dimensional view of an indicator wheel in accordance with the present invention;
FIG. 33 is a schematic view showing the internal structure of a unidirectional transmission assembly according to a third embodiment of the present invention;
FIG. 34 is a schematic view of the positional relationship of the indicator wheel drive wheel and the drive gear in the present invention;
FIG. 35 is a schematic view of a driving gear in a second embodiment of the present invention;
FIG. 36 is a schematic view of the position of a mirror lock assembly in accordance with a fifth embodiment of the invention;
FIG. 37 is a three-dimensional view of a mirror lock assembly in accordance with a fifth embodiment of the invention;
FIG. 38 is a three-dimensional view of a locking sleeve in accordance with a fifth embodiment of the present invention;
FIG. 39 is a diagram showing the cooperation of the lock block and the handle in the sixth embodiment of the present invention;
FIG. 40 is a three-dimensional view of a locking block in a sixth embodiment of the invention;
Fig. 41 is a schematic view showing the position of the snap-fit block in the sixth embodiment of the present invention.
Marked in the figure as: 100. a handle; 200. a cassette; 300. a locking block;
101. a left handle housing; 102. a right handle housing; 103. release button, 104, safety button; 105. a second spring; 106. a third spring; 107. an extension; 108. a handle portion; 109. a safety controller; 110. safety; 111. a clamping groove; 112. abutting blocks; 113. a drive gear; 114. a cam; 115. a positioning sheet; 116. positioning a cam; 117. positioning cam positioning pieces; 118. a torsion spring II; 119. a spring IV; 120. a mirror lock assembly; 121. an indicator wheel assembly; 122. a wheel actuator; 123. a cover plate; 124. a spring V; 125. a spring six; 126. a wire slider; 127. a needle slider;
1011. the arrow is aligned with the first mark;
1031. A vertical channel; 1032. a transverse channel; 1033. a spring accommodating groove;
1041. a protruding block; 1042. a pushing block;
1081. a hinge hole; 1082. a clamping block; 1083. a meshing portion; 1084. a step hole; 1085. an arc-shaped groove;
1131. a tooth joint; 1132. an elastic part; 1133. a clamping block;
1141. A guide rail protrusion; 1142. a limit groove; 1143. pushing the protrusion away; 1144. a guide rail protrusion;
1201. a mirror lock handle; 1202. a mirror lock shaft sleeve; 1203. a locking sleeve;
1211. an indicator wheel drive wheel; 1212. a limit protrusion; 1213. a driving wheel; 1214. a driving wheel; 1215. an indicator cover plate; 1216. a pressure spring; 1217. an indicating wheel;
201. A front clamp; 202. a suture; 203. a puncture needle; 204. a rear clamp; 205. a push rod; 206. a cutter; 207. implanting a clip push rod; 208. an outer sleeve assembly; 209. a cassette housing; 210. a knob; 211. a bracket; 212. an assembly upper cover plate; 213. actuating the first component; 214. an actuating assembly II; 215. a safety starting bar; 216. a torsion spring I; 217. a slideway; 218. track one; 219. a second track; 220. a lower cover plate of the assembly; 221. a clamping groove;
2081. A housing; 2082. positioning the catheter by the puncture needle; 2083. a puncture needle positioning seat; 2084. a scope tube channel bracket; 2085. a front end catheter; 2086. a cutter channel bracket; 2087. a protective cover; 2088. a guide channel; 2089. an opening;
2091. The arrow is aligned with the second mark; 2092. a trimming mark; 2093. an insurance lock display flag;
2101. arrows; 2102. a protruding block; 2103. the clamping piece I; 2104. the second clamping piece is provided with a second clamping piece; 2105. a display hole; 2106. an inlet; 2107. a limiting groove;
2131. a wire actuation assembly; 2132. a needle actuation assembly;
21311. A thread end fixing member; 21312. clip push rod fixing piece; 21313. a second slide block;
21321. a first sliding block; 21322. a needle holder; 21323. color identification II;
2141. A push rod fixing member; 2142. a cutter holder; 2143. a first spring; 2144. a rotating member; 2145. implant positioning insurance; 2146. color identification III;
2151. a protrusion; 2152. a display protrusion; 2153. a torsion spring mounting groove;
301. Locking the first protrusion; 302. locking the second protrusion; 303. locking the guide rail; 304. a handle end; 305. a limiting plate; 306. a connecting block; 307. a clamping block; 308. the matching block is clamped.
Detailed Description
Example 1
As shown in fig. 1 to 3, the present invention provides a hanger including a handle 100 and a cassette 200 mounted on the handle 100, one cassette 200 can only complete one treatment, and when a new treatment is performed, a new cassette 200 needs to be replaced.
The cassette 200 cooperates with the handle 100 to perform operations successively, which is mainly divided into four operations, and the handle 100 is opened once to perform one operation, and the handle 100 is restored to be original after each completion, so that the next operation is facilitated.
Referring now to fig. 3-8, cartridge 200 includes a support 211, an outer sleeve assembly 208 mounted on support 211, an implant clip pusher 207, a piercing needle 203, a suture 202, a front clip 201, a cutter 206, a rear clip 204, and a pusher 205 movably disposed within outer sleeve assembly 208, an actuation assembly two 214 movably mounted on support 211 by a lower assembly cover 220, and an actuation assembly one 213 movably mounted on support 211 by an upper assembly cover 212, an implant clip pusher 207, a piercing needle 203, and a suture 202 mounted on actuation assembly one 213, a front clip 201 mounted on an end of suture 202, a suture 202 and a front clip 201 disposed within piercing needle 203, a pusher 205 and a cutter 206 mounted on actuation assembly two 214, a rear clip 204 disposed in front of pusher 205, and rear clip 204 disposed within cutter 206, wherein the outer surface of cutter 206 disposed above rear clip 204 is the location of the blade, i.e., the location of cutting suture 202, and a cartridge housing 209 mounted on support 211 and covering the exterior of support 211.
The present cassette 200 design allows for simplified procedures by sequentially operating the first 213 and second 214 actuation assemblies to complete the procedure. At the same time, the cooperation of the cassette 200 and the handle 100 further simplifies the surgical procedure, and the internal structure of the handle 100 is automatically driven to perform the surgical operations in sequence without disconnecting the handle 100.
The first actuating assembly 213 can drive the push rod 207 of the implanted clip, the puncture needle 203 and the suture 202 to move, and the second actuating assembly 214 can drive the push rod 205 and the cutter 206 to move. Thus, when handle 100 is opened for the first time, first actuation assembly 213 drives clip pusher 207, needle 203 and suture 202 to advance simultaneously, and clip pusher 207 simultaneously pushes forward clip 201; when the handle 100 is opened for the second time, the first actuating component 213 drives the puncture needle 203 to retreat and simultaneously drives the suture thread 202 to tighten, so that the front clamp 201 is driven to be unfolded; when the handle 100 is opened for the third time, the second actuating component 214 drives the push rod 205 and the cutter 206 to move simultaneously, the cutter 206 is retracted, and the push rod 205 pushes the rear clamp 204 to advance, so that the rear clamp 204 clamps the suture 202 and cuts off the suture 202 at the same time, and the rear clamp 204 cooperates with the front clamp 201 to tighten the treatment part, so that the problem of prostatic hyperplasia is treated.
Specifically, please refer to fig. 5, the outer sleeve assembly 208 includes a housing 2081, a scope tube support 2084 mounted on the housing 2081, a front end catheter 2085 mounted at the front end of the scope tube support 2084, a clamping assembly disposed on the scope tube support 2084, a puncture needle positioning catheter 2082 and a cutter support 2086 mounted in the housing 2081 via the clamping assembly 209, the puncture needle 203 disposed in the puncture needle positioning catheter 2082, the cutter 206 disposed in the cutter support 2086, a puncture needle positioning seat 2083 mounted on the puncture needle positioning catheter 2082, and a protective cover 2087 mounted on the cutter support 2086 via the clamping assembly 209, wherein the protective cover 2087 is used for protecting the rear clamp 204 and preventing the rear clamp 204 from falling out of the outer sleeve assembly 208 in a non-therapeutic state.
The components mounted through the clamping assembly can be conveniently dismounted and mounted, so that the components can be mounted and replaced under the condition of not damaging and using tools.
With particular reference to fig. 9 and 10, the clamping assembly 209 primarily uses its own spring function to clamp the workpiece. The clamping assembly 209 comprises a folding part which is arranged on the folding part, and the folding part is elastic through the folding part, so that the workpiece can be clamped.
Referring to fig. 10, a guiding channel 2088 is disposed in the puncture needle positioning seat 2083, and an opening 2089 is disposed on the protective cover 2087; when clip plunger 207, needle 203 and suture 202 are advanced simultaneously by actuation assembly one 213, plunger 207, needle 203 and suture 202 pass through the tape treatment element from opening 2089 along guide path 2088, which guide path 2088 is designed to guide the path of travel of plunger 207, needle 203 and suture 202.
Referring to fig. 11, the first actuation assembly 213 includes a wire actuation assembly 2131 and a needle actuation assembly 2132, wherein the wire actuation assembly 2131 is capable of moving the suture 202 and the guide push rod 207, and the needle actuation assembly 2132 is capable of moving the puncture needle 203.
Referring to fig. 11 and 8, the wire actuating assembly 2131 includes a clip push rod fixing part 21312, wherein the clip push rod fixing part 21312 is provided with a push rod 207, the clip push rod fixing part 21312 is provided with a wire end fixing part 21311, the wire end fixing part 21311 is provided with a suture 202, the wire end fixing part 21311 is provided with a second slider 21313, and the second slider 21313 is arranged in a slide rail 217 provided on the upper cover plate 212 of the assembly.
Needle actuation assembly 2132 includes a needle mount 21322, needle mount 21322 having needle 203 mounted thereon, needle mount 21322 being mounted on a slide 21321, and slide 21321 being disposed within a slide 217 provided on upper cover plate 212 of the assembly.
When the puncture needle 203 needs to move, the first slide block 21321 needs to be pushed to move along the slide way 217; when the suture 202 and the front clip 201 are required to advance, the slider two 21313 is required to be pushed to move along the slideway 217.
Referring to fig. 7 and 12, the second actuating assembly 214 includes a rotating member 2144 movably mounted on the bracket 211 and the lower assembly cover 220, the push rod fixing member 2141 is located at one end of the rotating member 2144 away from the outer sleeve assembly 208, the push rod fixing member 2141 is movably mounted on a second track 219 in the lower assembly cover 220, an end of the push rod 205 is mounted on the push rod fixing member 2141, the cutter fixing member 2142 is located at the other end of the rotating member 2144, the cutter fixing member 2142 is movably mounted on a first track 218 in the lower assembly cover 220, an end of the cutter 206 is mounted on the cutter fixing member 2142, and the cutter fixing member 2142 and the push rod fixing member 2141 are connected by a first spring 2143; in an initial state, the rotating member 2144 defines the cutter mount 2142 to move along the first spring 2143, the implant positioning bumper 2145 defines the push rod mount 2141 to move along the first spring 2143, and the implant positioning bumper 2145 is movably mounted to the assembly lower cover plate 220.
When the operation of clamping the suture 202 by the rear clamp 204 and cutting the suture 202 needs to be performed simultaneously, the implant positioning safety 2145 needs to be rotated, and the implant positioning safety 2145 releases the push rod fixing piece 2141, so that the push rod 205 is pushed to move first, the rear clamp 204 is further driven to clamp the suture 202 forward, then the push rod fixing piece 2141 is driven by the first spring 2143 to push the rotating piece 2144 to rotate, so that the rotating piece 2144 releases the cutter fixing piece 2142, and the cutter fixing piece 2142 drives the cutter 206 to move backwards to cut the suture 202.
The cartridge 200 is also provided with a safety assembly and a locking assembly. The locking assembly is used to lock the cartridge 200 to the handle 100 while allowing for easy replacement of the cartridge 200, since the device is used for surgical treatment, there is a great need for sanitation; in order to ensure the hygienic condition of the device, and because only part of the components of the box 200 are contacted with human body during the treatment, only the box 200 needs to be replaced by a new box after the hanger is used each time, so that the locking component is designed; meanwhile, in order to prevent the locking assembly from being erroneously manipulated during the operation to cause the cartridge 200 to be detached, a safety assembly is designed so that the locking assembly is not opened in case of erroneous touch when the cartridge 200 is locked to the handle 100.
Referring to fig. 3 and fig. 13-14, the locking assembly includes a knob 210 movably mounted on a bracket 211 and a box casing 209, wherein protruding blocks 2102 are symmetrically arranged on the knob 210, a first clamping piece 2103 and a second clamping piece 2104 are arranged on the knob 210, a protrusion is arranged on the bracket 211 corresponding to the first clamping piece 2103, and a clamping groove 221 is arranged on the bracket 211 corresponding to the second clamping piece 2103; when the knob 210 is rotated to the corresponding position, the protruding blocks 2102 are screwed into the handle 100, meanwhile, the first clamping member 2103 cooperates with the protruding blocks to clamp the knob 210 under the action of elastic force, and the second clamping member 2103 cooperates with the clamping groove 221 to limit the excessive rotation of the knob 210, so that the locking assembly can prevent the cartridge 200 from falling off the handle 100, and the cartridge housing 209 can prevent the cartridge 200 from moving left and right relative to the handle 100, so as to fix the cartridge 200 on the handle 100.
Referring to fig. 2-3 and 13, in order to ensure that the knob 210 must be rotated to a corresponding position, an arrow 2101 is disposed on the knob 210, an arrow alignment mark two 2091 is disposed on the cartridge housing 209, an arrow alignment mark one 1011 is disposed on the handle 100, and when the arrow 2101 aligns with the arrow alignment mark two 2091, the position is the corresponding position; further, the number of the protrusions is two, wherein one protrusion is used for fixing the initial position of the knob, and the other protrusion is used for fixing the locking position of the knob; first, the knob 210 is rotated to an initial state, when the knob is in the initial state, the arrow 2101 is aligned with the direction of the arrow alignment mark I1011, the box 200 is pressed into the handle 100, the protruding block 2102 does not interfere with the handle 100, then the knob 210 is rotated, the arrow 2101 is aligned with the direction of the arrow alignment mark II 2091, the protruding block 2102 is screwed into the handle 100, and meanwhile the first clamping member 2103 is matched with the protruding block to clamp the knob 210 under the action of elastic force, so that a locking state is formed.
Referring to fig. 14-16, the safety assembly includes a safety actuating bar 215 elastically mounted on the bracket 211 by a torsion spring 216, and an inlet 2106 provided on the knob 210, wherein a limiting groove 2107 is provided at the inlet 2106; when the knob 210 is in the initial state, the safety actuation bar 215 can enter the limiting groove 2107 from the inlet 2106 under the action of force; the safety starting strip 215 is provided with a projection 2151, a display projection 2152 and a torsion spring mounting groove 2153, one end of the torsion spring I216 is mounted on the torsion spring mounting groove 2153, and the other end of the torsion spring I216 is mounted on the bracket 211; when the display protrusion 2152 enters the limit recess 2107, the display protrusion 2152 cooperates with the torsion spring 216 to further limit rotation of the knob 210 after rotation of the knob 210.
The handle 100 is provided with a ramp 109, the ramp 109 being adapted to guide the safety trigger 215 into the inlet 2106 when the cartridge 200 is installed.
Specifically, the mounting step of the cartridge 200 on the handle 100 is as follows: the knob 210 is first rotated to an initial state, and then the cartridge 200 is pressed onto the handle 100, at this time, the inclined surface 109 guides the safety actuating bar 215 into the limiting groove 2107, and since the protrusion 2151 and the display protrusion 2152 have already entered into the limiting groove 2107, at this time, the protrusion 2151 and the display protrusion 2152 cannot limit the rotation of the knob 210, but at the same time, the knob 210 can only be limited to rotate within the range of the limiting groove 2107, at this time, only the knob 210 needs to be rotated to a locked state, so that the cartridge 200 can be locked onto the handle 100 under the cooperation of the safety component and the locking component, and at the same time, the knob 210 can be locked, and the cartridge 200 is prevented from falling off due to the rotation thereof.
The box 200 further comprises an identification component, wherein the identification component is used for displaying a specific process of the operation, so that a worker can conveniently distinguish the operation steps, and meanwhile, the situation that the worker does not know that the operation steps are not completely completed can be avoided, and further, the worker can conveniently immediately know the situation and then carry out subsequent processing.
Referring to fig. 3, the marking assembly includes a safety lock display 2093 and a trimming marker 2092 provided on the cartridge housing 209, the display protrusion 2152 is provided with a first color mark, and referring to fig. 13, the needle actuation assembly 2132 is provided with a second color mark 21323; when the insurance component is active, the color identification is displayed for a while at insurance lock display flag 2093; when the trimming is completed, the color logo two 21323 is displayed at the trimming logo 2092; further including a display hole 2105 provided on the button 210, please refer to fig. 17, the color mark three 2146 provided on the second actuating component 214 indicates that the button 210 is in a locked state when the color mark three 2146 is displayed in the display hole 2105, and the second actuating component 214 is not yet activated.
Meanwhile, the outer surface of the shell 2081 is provided with scales; because the outer cannula assembly 208 is inserted into the patient during surgery, graduations are designed into the housing 2081 to allow the operator to more clearly recognize the depth to which the cartridge 200 is inserted, and thus better assist in treating the patient.
The matching design of the safety component and the locking component in the box 200 can ensure the locking state of the box 200, the box 200 can not be opened before the corresponding opening action is not carried out, and the safety of the locking state is improved; at the same time, the design of the cassette 200 allows for simplified procedures, and the entire procedure can be completed by only sequentially operating the first actuation assembly 213 and the second actuation assembly 214.
Referring to fig. 18-20 and 26, the handle 100 includes a handle housing, a cover plate 123 mounted on the handle housing, a transmission assembly movably mounted on the cover plate 123, the transmission assembly is used for starting an actuating assembly one 213 and an actuating assembly two 214, an indicating wheel assembly 121 movably mounted on the handle housing and a handle locking device, a handle portion 108 is elastically mounted on the handle housing by a torsion spring two 119 cooperating with a hinge hole 1081, the handle portion 108 is used for controlling the transmission assembly, and meanwhile, the transmission assembly and the indicating wheel assembly 121 are both internally provided with unidirectional transmission assemblies, so that internal operation thereof can be guaranteed to be unidirectionally transmitted, so that all operations can not return to the original position even if the operations are stopped halfway, and patient injuries caused by misoperation in the treatment process are avoided.
Referring to fig. 2 with emphasis, the handle housing includes a left handle housing 101 and a right handle housing 102.
Referring to fig. 18-19 and 21-22, the handle lock device includes a release button 103 movably mounted on the handle housing by a second spring 105, and a safety button 104 movably mounted on the handle housing by a third spring 106, the safety button 104 being used to limit the position of the handle portion 108; the end of the release button 103 is provided with a spring accommodating groove 1033, the release button 103 is provided with a channel, the channel comprises a vertical channel 1031 arranged at the end of the release button 103 and a transverse channel 1032 arranged in the middle of the release button 103, the vertical channel 1031 is connected with the transverse channel 1032, meanwhile, the safety button 104 is provided with a protruding block 1041, and the protruding block 1041 is positioned in the channel; the safety button 104 is in a locked state when in an initial state, that is, the safety button 104 cannot be pressed, and the safety button 104 is in an open state when the release button 103 is pressed, and the safety button 104 can be pressed to move laterally. It is ensured that the handle 100 cannot be activated without installing the cartridge 200, thereby avoiding the occurrence of false touching by a non-operator.
When the cartridge 200 is mounted on the handle 100, the cartridge 200 presses the release button 103 and the ramp 109 causes the safety actuation bar 215 to open the safety assembly, and then rotate the knob 210, opening the locking assembly, locking the knob 210 and locking the cartridge 200 to the handle 100; at this time, the safety button 104 is pressed again, and thus the safety button 104 starts to move laterally.
One end of the extension portion 107 in the safety button 104 is provided with a clamping block protrusion, please refer to fig. 23, the handle portion 108 is provided with a step hole 1084, the clamping block protrusion is disposed in the step hole 1084, at least four steps are disposed on the step hole 1084, the step hole 1084 corresponds to the state of opening the handle 100 three times and the locking state of the handle 100 respectively, and when the handle 100 is in the locking state, the protruding block 1041 is located in the vertical channel 1031.
Referring to fig. 20, the transmission assembly includes a pushing block 1042 provided on the safety button 104, a safety controller 109 movably mounted on the cover plate 123, and a safety 110 elastically hinged on the handle housing by a spring four 119, the safety controller 109 is provided with a clamping slot 111, and the safety 110 is provided with a clamping block corresponding to the clamping slot 111, so when the safety button 104 moves laterally, the pushing block 1042 pushes the safety controller 109 along with it, and then drives the safety 110 to rotate around the hinge point, so that the abutting block 112 of the safety 110 is in movable contact with the unidirectional transmission assembly, the unidirectional transmission assembly and the unidirectional force assembly are movably mounted on the cover plate 123 by a fixing shaft, and referring to fig. 24, one surface of the unidirectional transmission assembly is provided with a guide rail protrusion 1141; when the safety 110 is pushed, the abutment 112 moves along the guide rail protrusion 1141, and the guide rail protrusion 1141 mates with the stepped hole 1084; thus, when the handle 100 is opened for the first time, the guard 110 moves along the guide rail protrusion 1141 so that the abutment 112 gradually approaches the edge of the unidirectional transmission assembly after the next step, when the handle 100 is opened for the second time, the abutment 112 still gradually approaches the edge of the unidirectional transmission assembly, when the handle 100 is opened for the third time, the abutment 112 reaches the position where the guide rail protrusion 1141 approaches the edge of the unidirectional transmission assembly most, and when the handle 100 is pressed for the fourth time, the cartridge 200 is removed and the handle 100 is locked.
The handle part 108 is in transmission connection with the unidirectional transmission assembly through the unidirectional force assembly, and the unidirectional force assembly is used for only giving unidirectional force to the unidirectional transmission assembly, so that even though the handle part 108 can realize clockwise and anticlockwise bidirectional transmission, the unidirectional force assembly only can transmit unidirectional force to the unidirectional transmission assembly through the transmission connection with the unidirectional force assembly.
Referring to fig. 20 and fig. 24-25, the unidirectional force assembly includes a driving gear 113, the driving gear 113 is movably mounted on the first fixed shaft, an elastic portion 1132 is disposed on one side of the driving gear 113, a clamping block 1133 is disposed on the elastic portion 1132, a pushing protrusion 1143 is disposed on the unidirectional transmission assembly, the pushing protrusion 1143 cooperates with the clamping block 1133 to only unidirectional force the unidirectional transmission assembly, and the unidirectional force assembly is in transmission connection with the handle portion 108.
The transmission connection is a meshing transmission, specifically, the other side of the driving gear 113 is provided with a tooth joint portion 1131, a tooth joint portion 1083 provided on the handle portion 108 is meshed with the tooth joint portion 1131, when the handle portion 108 is pressed down, the tooth joint portion 1083 is meshed with the tooth joint portion 1131, so that the driving gear 113 is driven to rotate anticlockwise, the clamping block 1133 is matched with the pushing protrusion 1143 to drive the unidirectional transmission component to start transmission, and when the handle portion 108 is completely pressed down, the handle portion 108 is sprung under the action of the torsion spring two 118 to prepare for pressing down the handle portion 108 next time.
Referring to fig. 27, a guide rail protrusion 1144 is disposed on the other surface of the unidirectional transmission assembly, and the guide rail protrusion 1144 is divided into three sections to push the wire actuating assembly 2131 and the needle actuating assembly 2132 of the actuating assembly one 213 and the actuating assembly two 214, respectively.
28-29, A wire slider 126 is movably mounted on the cover 123 by a spring five 124, and a needle slider 127 is movably mounted on the cover 123 by a spring six 125, when the cassette 200 is mounted on the handle 100, the wire actuating assembly 2131 is snapped onto the wire slider 126, the needle actuating assembly 2132 is snapped onto the needle slider 127, and with reference to FIGS. 17 and 30-31, a wheel actuator 122 is movably mounted on the handle housing, and rotation of the wheel actuator 122 can drive the implant positioning bumper 2145 out of the push rod mount 2141.
The three sections of the guide rail protrusion 1144 can drive the needle slider 127 and the wire slider 126 to move respectively, and drive the wheel actuator 122 to rotate, when the handle 108 is pressed down for the first time, the handle 108 drives the unidirectional transmission assembly to rotate, and then the guide rail protrusion 1144 pushes the needle slider 127 and the wire slider 126 to advance, so that the first actuation assembly 213 drives the clip push rod 207, the puncture needle 203 and the suture thread 202 to advance simultaneously, the clip push rod 207 pushes the front clip 201 to advance simultaneously, the safety button 104 moves along with the guide rail protrusion 1141, and then the handle 108 is restored to an open state; when the handle 108 is pressed for the second time, the handle 108 drives the unidirectional transmission component to rotate, and then the guide rail protrusion 1144 pushes the needle slider 127 and the wire slider 126 to retreat, so that the first actuation component 213 drives the puncture needle 203 to retreat, and simultaneously drives the suture thread 202 to tighten and drives the front clip 201 to expand; when the handle 108 is pressed for the third time, the guide rail protrusion 1144 drives the wheel actuator 122 to rotate, so that the second actuating component 214 drives the push rod 205 and the cutter 206 to move simultaneously, the cutter 206 retreats, the push rod 205 pushes the rear clip 204 to advance, and the rear clip 204 clamps the suture 202 and cuts off the suture 202, and the whole hanger is pulled out to be separated from the treatment state; when the handle portion 108 is depressed a fourth time, the cassette 200 is removed and the handle 100 is locked.
Under the cooperation of the unidirectional transmission assembly, the push-away protrusion 1143 and the elastic portion 1132, the transmission assembly can only perform unidirectional transmission, so that the operation is prevented from entering the next operation step or returning to the previous operation step incompletely, the operation is stopped in the incomplete process, the operation is continuously completed when the handle portion 108 is pressed down again, the operation is prevented from entering the next step when the handle portion 108 is pressed down next time after the operation is completely completed, that is, one action is prevented from entering the next action before the operation is not completed, and the situation of operation errors is avoided.
Meanwhile, the design of the handle 100 extremely simplifies the operation steps, only the handle part 108 is pressed four times, the whole device can automatically perform the operation of the whole operation process, and finally the handle 100 can be locked after the operation is finished, so that the working process of operators is greatly facilitated.
Further, the handle 100 is further provided with a limiting component for limiting the pop-up state of the handle portion 108, and when one working step is not completely completed, the handle portion 108 is not popped up, but is limited to the current position.
Referring now to fig. 23 and 26, the restraint assembly includes an arcuate slot 1085 formed in the handle portion 108, a positioning cam 116 mounted coaxially with the safety controller 109, and a positioning cam positioning tab 117 mounted to the handle housing. When the handle portion 108 is fully pressed, the end of the positioning cam 116 is separated from the arc-shaped groove 1085 under the action of the positioning cam positioning piece 117, so that the handle portion 108 can recover to the fully sprung state, and when the handle portion 108 is not fully pressed, the end of the positioning cam 116 stays in the concave groove of the arc-shaped groove 1085 and cannot be separated from the concave groove, so that the handle portion 108 cannot recover to the fully sprung state, and the handle portion 108 stays in the pressed position.
Therefore, under the cooperation of the limiting assembly and the unidirectional transmission assembly, each action does not enter the next action before being finished, and the handle part 108 also stays at the pressed position, so that an operator can be reminded of incomplete operation.
Referring to fig. 18 and 24, the handle 108 is further provided with a locking block 1082, which is matched with the limit slot 1142 provided on the unidirectional transmission assembly; when the handle portion 108 is fully depressed, the snap block 1082 can be recessed into the limit slot 1142, and the limit slot 1142 can limit the degree of depression of the handle portion 108, avoiding excessive depression of the handle portion 108.
Referring to fig. 26 and fig. 33-34, the indicating wheel assembly 121 includes a driving wheel 1214 coaxially driven with the safety 110, a driving wheel 1213 movably mounted on the handle housing, an indicating wheel driving wheel 1211 elastically connected to the handle housing by a torsion spring three, and a unidirectional transmission assembly and a unidirectional force assembly movably mounted on the handle housing by a fixing shaft two, wherein the indicating wheel driving wheel 1211 is in transmission connection with the unidirectional transmission assembly by the unidirectional force assembly, so that the unidirectional transmission assembly is driven by the indicating wheel driving wheel 1211 to rotate unidirectionally, and four marks are respectively provided on the outer surface of the unidirectional transmission assembly, and represent the steps of performing the first operation step, performing the second operation step, performing the third operation step and performing the locking step, thereby correspondingly pressing the handle 108 four times; the driving wheel 1214 is in driving connection with the driving wheel 1213, the driving wheel 1213 is in driving connection with the indicating wheel 1211, and the indicator cover 1215 covers the outside of the unidirectional transmission assembly, and the indicator cover 1215 is mounted on the handle housing.
The driving wheel 1213 is provided with two first support arms, the indicating wheel driving wheel 1211 is provided with two second support arms, the first support arms and the second support arms are arranged in a staggered manner, the first support arms are provided with transmission protrusions, the driving wheel 1214 contacts with the transmission protrusions when rotating, so that the rotation of the driving wheel 1213 is pushed, and the first support arms and the second support arms are arranged in a staggered manner, so that the indicating wheel driving wheel 1211 is driven to rotate, and the indicating wheel 1217 is further driven to rotate. The driving wheel 1214 rotates along with the rotation of the safety 110, and the safety 110 rotates due to the pressing of the handle 108, so that the unidirectional transmission assembly rotates along with the rotation of the handle 108 every time the handle 108 is pressed, so that different numbers are displayed to indicate the operation steps of the unidirectional transmission assembly, and further remind an operator. Since the handle portion 108 is restored to an open state after each full pressing of the handle portion 108, and in order to continuously drive the driving wheel 1214 to the driving wheel 1211, the driving wheel 1211 is elastically connected to the second fixed shaft through the third torsion spring, so that the driving wheel 1211 is restored to its original state under the action of the third torsion spring after each restoration of the driving wheel 1214, and the driving wheel 1211 is unidirectionally driven and connected to the unidirectional transmission assembly through the unidirectional force assembly, so that the unidirectional transmission assembly remains unchanged when the driving wheel 1211 is restored to its original state.
The unidirectional force assembly comprises a driving gear 113, the driving gear 113 is movably arranged on the first fixed shaft or the second fixed shaft, an elastic part 1132 is arranged on one side of the driving gear 113, a clamping block 1133 is arranged on the elastic part 1132, a pushing-away protrusion 1143 is arranged on the unidirectional transmission assembly, the pushing-away protrusion 1143 is matched with the clamping block 1133, only unidirectional force can be applied to the unidirectional transmission assembly, and the unidirectional force assembly is in transmission connection with the indicating wheel driving wheel 1211.
The transmission connection is engaged transmission, specifically, a tooth joint portion 1131 is disposed on the other side of the driving gear 113, a tooth joint portion 1083 disposed on the driving wheel 1211 of the indicating wheel is engaged with the tooth joint portion 1131 for transmission, and when the driving wheel 1211 of the indicating wheel rotates, the tooth joint portion 1131 is engaged with the tooth joint portion 1083 for transmission, so as to drive the driving gear 113 to rotate anticlockwise, and further, the clamping block 1133 is matched with the pushing protrusion 1143 to drive the unidirectional transmission assembly to start transmission.
Specifically, referring to fig. 19, the unidirectional transmission assembly includes a wheel, on which a ratchet tooth protrusion or groove is provided, and a positioning plate 115, the wheel is a cam 114 or an indicator wheel 1217, and the positioning plate 115 is mounted on both the handle housing and the indicator cover 1215, and one end of the positioning plate 115 is engaged with one of the ratchet teeth, so that the cam 114 and the indicator wheel 1217 can only rotate in one direction.
The pushing protrusion 1143 on the cam 114 and the pushing protrusion 1143 on the indicator wheel 1217 are not identical in outer arc design, but all have the same effect, so as to cooperate with the driving gear 113 to give unidirectional force to the unidirectional transmission assembly, and the pushing protrusion 1143 on the cam 114 needs to cooperate with the three sections of the guide rail protrusion 1144, so as to ensure that corresponding working steps can be performed when the handle 100 is actuated four times.
Firstly, the design of a handle locking device in the handle 100 can ensure the locking state of the handle 100, the handle 100 cannot be opened before corresponding opening actions are carried out, and the safety of the locking state is improved; the cooperation design of the limiting assembly, the unidirectional transmission assembly and the unidirectional force assembly in the handle 100 can ensure that each action does not enter the next action before being done, and the handle 108 can stay at the pressed position, so that operators can be reminded of incomplete operation, and the situation of surgical errors is avoided; meanwhile, the design of the identification component and the indicating wheel component 121 in the handle 100 can display the specific operation state during operation in the operation process, so that the understanding of the operation steps of the device by operators is perfected, and the subsequent operation of the operators and the treatment of emergency are facilitated.
Based on the above device, the first embodiment of the present invention also provides an operation method using the suspension device, including the following steps:
Step one, the cartridge 200 is mounted on the handle 100, the safety component and the locking component lock the cartridge 200, the handle locking device is opened at the same time, then when the handle part 108 is pressed down for the first time, the indicating wheel component 121 displays the mark for carrying out the first working step, the handle part 108 drives the unidirectional transmission component to rotate, so that the actuating component one 213 drives the clip push rod 207, the puncture needle 203 and the suture 202 to simultaneously advance, the clip push rod 207 simultaneously pushes the front clip 201 to advance, and after the whole first working step is completed, the handle part 108 is restored to the open state;
step two, pressing the handle 108 for the second time, wherein the indicator wheel assembly 121 displays the label of the second operation step, the handle 108 drives the unidirectional transmission assembly to rotate, and further pushes the needle slider 127 and the wire slider 126 to retract, so that the first actuation assembly 213 drives the puncture needle 203 to retract, and simultaneously drives the suture thread 202 to tighten, drives the front clip 201 to expand, and after the whole second operation step is completed, the handle 108 is restored to the open state;
step three, pressing the handle 108 for the third time, wherein the indicator wheel assembly 121 displays the label of the third working step, the handle 108 drives the unidirectional transmission assembly to rotate, and then drives the wheel actuator 122 to rotate, so that the second actuating assembly 214 drives the push rod 205 and the cutter 206 to move simultaneously, the cutter 206 retreats, and the push rod 205 pushes the rear clip 204 to advance, so that the rear clip 204 clips the suture thread 202 and cuts off the suture thread 202;
in step four, after the handle portion 108 is depressed a fourth time, the indicator wheel assembly 121 is shown as the label for performing the locking step, and then the cassette 200 is removed and the handle 100 is locked.
The design of the hanger extremely simplifies the operation steps of the operation, only the four times of the handles 100 are needed to be opened, the whole device can automatically perform the operation of the whole operation process, and finally the handles 100 can be locked after the operation is finished, so that the working process of operators is greatly facilitated.
Example two
As shown in fig. 34 and 35, a hanger disclosed in the second embodiment is identical to the first embodiment except for the unidirectional force assembly, the other devices and the installation positions and the operation methods thereof.
The unidirectional force assembly comprises a driving gear 113, the driving gear 113 is movably arranged on a first fixed shaft or a second fixed shaft, an elastic part 1132 is arranged on one side of the driving gear 113, a clamping block 1133 is arranged on the elastic part 1132, a pushing-away protrusion 1143 is arranged on the unidirectional transmission assembly, the pushing-away protrusion 1143 is matched with the clamping block 1133, only unidirectional force can be applied to the unidirectional transmission assembly, the first fixed shaft coincides with a hinge hole 1081, and the unidirectional force assembly is coaxially connected with the indicating wheel driving wheel 1211 and the handle 108 in a transmission manner.
Example III
As shown in fig. 33, a suspension device according to the third embodiment is the same as the first embodiment except for the one-way transmission assembly, and the other devices, the mounting positions and the operation methods thereof.
The unidirectional transmission assembly in the first embodiment is unidirectional transmission realized by matching the elastic sheet with ratchet teeth, and the unidirectional transmission assembly in the first embodiment is unidirectional transmission realized by using two overlapped ratchet teeth; the unidirectional transmission assembly comprises a first ratchet tooth arranged on the indicating wheel 1217 or the cam 114, and a second ratchet tooth arranged in the indicating wheel 1217 or the cam 114, wherein the second ratchet tooth is elastically connected with the first fixed shaft or the second fixed shaft through a pressing spring 1216, and meanwhile, a limit protrusion 1212 is arranged on the second ratchet tooth, and the limit protrusion 1212 is matched with a guide rail of the first fixed shaft or the second fixed shaft, so that the indicating wheel 1217 or the cam 114 can only rotate unidirectionally under the matching of the first ratchet tooth and the second ratchet tooth, and meanwhile, when the indicating wheel 1217 or the cam 114 only rotates, the second ratchet tooth can move up and down along a track.
Example IV
The hanger disclosed in the fourth embodiment is the same as the first embodiment except for the clamping assembly 209, and other devices, mounting positions and operation methods thereof.
The clamping assembly 209 comprises a folding part which is arranged on the folding part, the folding part is elastic through the folding part, and a limiting part which is arranged on the folding part and can further limit the left-right movement of the workpiece.
Example five
As shown in fig. 36-38, a hanger disclosed in the fifth embodiment includes the same device and its installation position and operation method as those of the first embodiment except that the hanger further includes a mirror lock assembly 120.
In the prior art, it is common to mount the cassette 200 on the handle 100 and insert the endoscope into the cassette 200, in order to facilitate the operator to observe the position of the tip of the cassette 200 after inserting the hanger, and in order to lock the endoscope in the cassette 200, the scope lock assembly 120 is designed.
The mirror lock assembly 120 comprises a mirror lock handle 1201 mounted on the handle housing and a mirror lock shaft sleeve 1202 clamped in the mirror lock handle 1201, wherein a locking sleeve 1203 is arranged on the mirror lock shaft sleeve 1202 in a central symmetry manner, and one end of the locking sleeve 1203 is separated from the mirror lock shaft sleeve 1202 and gradually approaches to the axis of the mirror lock shaft sleeve 1202.
Therefore, when the endoscope is inserted into the scope channel bracket 2084, the end of the endoscope is screwed on the handle shell, and due to the design of the locking sleeve 1203, the endoscope is contacted with one end of the locking sleeve 1203, so that when the endoscope rotates, the locking sleeve 1203 is driven to move, and the two locking sleeves 1203 rotate along with the rotation of the endoscope to lock the endoscope, so that the purpose of locking the endoscope in the box 200 is achieved.
Example six
As shown in fig. 39 to 41, a hanger disclosed in the sixth embodiment includes a lock block 300, and other devices, mounting positions and operation methods are the same as those of the first embodiment.
When the cartridge 200 is mounted on the handle 100, the cartridge 200 is secondarily locked on the handle 100 by the locking block 300. The locking block 300 is provided with the first locking protrusion 301 and the handle end 304, the handle end 304 is designed to facilitate a worker to rotate the locking block 300, the second locking protrusion 302 is arranged on the locking block 300 through the connecting block 306, and the cover plate 123 is provided with the locking guide rail 303 corresponding to the first locking protrusion 301, so that when the handle end 304 is rotated, the first locking protrusion 301 rotates along the locking guide rail 303, meanwhile, the second locking protrusion 302 rotates in a gap between the cover plate 123 and the handle shell, and one end position of the second locking protrusion 302 exceeds the end position of the connecting block 306, therefore, when the locking block 300 rotates to a vertical state, the limiting plate 305 arranged on the handle shell can limit the movement of the connecting block 306, and the second locking protrusion 302 is clamped between the limiting plate 305 and the cover plate 123, so that the locking block 300 is prevented from falling off from the handle 100.
The mating design of the first locking protrusion 301, the second locking protrusion 302 and the locking rail 303 defines that the lock block 300 can only be rotated, while the design of the limiting plate 305 defines the rotational limit of the lock block 300.
When the locking block 300 is rotated to the lateral state, the locking block 307 provided on the locking block 300 forms a secondary locking state with the locking mating blocks 308 provided on the cartridge 200 and the handle 100, respectively.
Example seven
The hanger disclosed in the seventh embodiment is the same as that of the first embodiment except that the indicator wheel assembly 121 is different, and other devices, mounting positions and operation methods thereof are the same.
The indicating wheel assembly 121 comprises a gear coaxially driven with the safety 110, an indicating wheel driving wheel 1211 which is elastically connected to the handle shell through a torsion spring three, the indicating wheel driving wheel 1211 is in meshed transmission connection with the gear through a gear rack, a unidirectional transmission assembly and a unidirectional force assembly which are movably installed on the handle shell through a fixing shaft two, the indicating wheel driving wheel 1211 is in transmission connection with the unidirectional transmission assembly through the unidirectional force assembly, so that the unidirectional transmission assembly is driven by the indicating wheel driving wheel 1211 to rotate unidirectionally, and four marks are respectively arranged on the outer surface of the unidirectional transmission assembly and respectively represent the steps of carrying out a first operation step, carrying out a second operation step, carrying out a third operation step and carrying out a locking step, thereby correspondingly pressing the handle part 108 four times; and an indicator cover 1215 that covers the outside of the unidirectional drive assembly, with the indicator cover 1215 mounted to the handle housing.
The foregoing description is only a preferred embodiment of the present invention, and the present invention is not limited thereto, but it is to be understood that modifications and equivalents of some of the technical features described in the foregoing embodiments may be made by those skilled in the art, although the present invention has been described in detail with reference to the foregoing embodiments. Any modification, equivalent replacement, improvement, etc. made within the spirit and principle of the present invention should be included in the protection scope of the present invention.
Claims (27)
1. A handle for a hanger comprises a handle housing, a cover plate mounted on the handle housing, a transmission assembly movably mounted on the cover plate, a handle portion elastically mounted on the handle housing through a hinge hole for controlling the transmission assembly,
The device is characterized by further comprising a handle locking device movably arranged on the handle shell, wherein the handle locking device can ensure that the handle cannot be started under the condition that the box is not arranged;
The handle locking device comprises a safety button and a release button which are elastically installed on the handle shell, wherein the safety button is used for limiting the position of the handle part, the release button is provided with a channel, the channel comprises a vertical channel arranged at the end part of the release button and a transverse channel arranged in the middle of the release button, and the vertical channel is connected with the transverse channel; the safety button is in a locking state in the initial state, at the moment, the protruding block on the safety button is positioned in the vertical channel on the release button, when the box is arranged on the handle, the box can press the release button, and when the release button is pressed, the safety button is in an opening state, namely, the protruding block is positioned in the transverse channel on the release button;
meanwhile, the unidirectional transmission assembly is used in the transmission assembly, and the handle part only gives unidirectional force to the unidirectional transmission assembly, so that the unidirectional transmission of the internal operation of the unidirectional transmission assembly is ensured.
2. A handle for a hanger according to claim 1 wherein the transmission assembly comprises a guard resiliently mounted to the handle housing and a one-way transmission assembly movably mounted to the handle housing, the guard moving along a rail projection on the one-way transmission assembly when the handle is first opened such that an abutment on the guard is progressively closer to the one-way transmission assembly edge after the next step, the abutment still progressively closer to the one-way transmission assembly edge when the handle is second opened, the abutment reaching a position where the rail projection is closest to the one-way transmission assembly edge when the handle is third opened, and the cassette is removed while the handle is fourth depressed, the handle being locked; and the handle part is in transmission connection with the unidirectional transmission assembly through the unidirectional force assembly, and the unidirectional force assembly is used for only giving unidirectional force to the unidirectional transmission assembly.
3. A handle for a hanger according to claim 1 wherein the release button has a spring receiving slot on an end thereof and the safety button has a tab located in the channel.
4. A handle for a hanger according to claim 3, wherein a latch protrusion is provided at one end of the extension portion of the safety button, a stepped hole is provided in the handle portion, the latch protrusion is provided in the stepped hole, at least four steps are provided in the stepped hole, and the stepped hole corresponds to a three-time opening state of the handle and a locking state of the handle, respectively.
5. The handle for a suspension device according to claim 2, wherein the transmission assembly further comprises a pushing block arranged on the safety button, a safety controller movably mounted on the cover plate, a clamping groove is arranged on the safety controller, a clamping block corresponding to the clamping groove is arranged on the safety, when the safety button moves transversely, the pushing block pushes the safety controller along with the safety controller, and then the safety is driven to rotate around a hinging point, so that the pushing block of the safety is in movable contact with the unidirectional transmission assembly, the unidirectional transmission assembly and the unidirectional force assembly are movably mounted on the cover plate through a fixing shaft, and a guide rail protrusion is arranged on one surface of the unidirectional transmission assembly; when the insurance is pushed, the abutting block moves along the guide rail protrusion, and meanwhile, the guide rail protrusion is matched with the step hole; the other side of the unidirectional transmission component is provided with a guide rail bulge which is divided into three sections.
6. A handle for a hanger according to claim 5 wherein a tooth is provided on one side of the unidirectional force assembly, the tooth provided on the handle portion being in meshed engagement with the tooth, said tooth being in meshed engagement with the tooth when the handle portion is depressed, thereby effecting counterclockwise rotation of the unidirectional force assembly.
7. A handle for a hanger according to claim 5 wherein the one-way force assembly is movably mounted on the first fixed shaft, the hinge aperture is coincident with the first fixed shaft, and the one-way force assembly is coaxially drivingly connected to the handle portion.
8. A handle for a suspension device according to claim 6 or 7, wherein the unidirectional force assembly comprises a drive gear movably mounted on the first fixed shaft, and wherein an elastic part is provided on one side of the drive gear, a latch is provided on the elastic part, a push-out protrusion is provided on the unidirectional transmission assembly, and the push-out protrusion cooperates with the latch to only unidirectional force the unidirectional transmission assembly.
9. A handle for a hanger according to claim 8 wherein the unidirectional transmission assembly is a unidirectional transmission achieved by means of the resilient tab engaging the ratchet teeth, the unidirectional transmission assembly comprising a wheel provided with ratchet teeth protrusions or recesses and a locating tab, the wheel being a cam, the handle housing being provided with a locating tab, one end of the locating tab engaging one of the ratchet teeth such that the cam can only rotate unidirectionally.
10. The handle for a hanger according to claim 8, wherein the unidirectional transmission assembly is a unidirectional transmission realized by two overlapped ratchet teeth, the unidirectional transmission assembly comprises a first ratchet tooth arranged on the cam, a second ratchet tooth arranged in the cam, the second ratchet tooth is elastically connected with the first fixed shaft, and meanwhile, a limiting protrusion is arranged on the second ratchet tooth and is matched with a guide rail of the first fixed shaft.
11. A handle for a hanger according to any of claims 2-10 further comprising an indicator wheel assembly movably mounted to the handle housing, wherein the indicator wheel assembly is capable of displaying a first work step condition, a second work step condition, a third work step condition or a lock step condition using a second one-way drive assembly therein.
12. The handle for a hanger according to claim 11, wherein the indicating wheel assembly comprises a driving wheel coaxially driven with the safety, a driving wheel movably mounted on the handle housing, an indicating wheel driving wheel elastically connected on the handle housing, a one-way driving assembly two movably mounted on the handle housing through a fixing shaft two, and a one-way force assembly two, the indicating wheel driving wheel is in driving connection with the one-way driving assembly two through the one-way force assembly two, so that the one-way driving assembly two is driven by the indicating wheel driving wheel to rotate in one direction, and four marks are respectively arranged on the outer surface of the one-way driving assembly, and represent the steps of performing a first operation step, performing a second operation step, performing a third operation step and performing a locking step respectively, thereby corresponding to four times of pressing down the handle portion; the driving wheel is in transmission connection with the driving wheel, the driving wheel is in transmission connection with the indicating wheel driving wheel, the indicator cover plate covers the outside of the unidirectional transmission assembly, and the indicator cover plate is arranged on the handle shell.
13. The handle for a hanger according to claim 12, wherein the driving wheel is provided with two first arms, the indicating wheel driving wheel is provided with two second arms, the first arms and the second arms are alternately arranged, the first arms are provided with transmission protrusions, the driving wheel is contacted with the transmission protrusions when rotating, thereby pushing the rotation of the driving wheel, and the first arms and the second arms are alternately arranged, thereby driving the rotation of the indicating wheel driving wheel, thereby further driving the indicating wheel to rotate, and the indicating wheel driving wheel is elastically connected with the second fixed shaft.
14. The handle for a hanger according to claim 11, wherein the indicating wheel assembly comprises a gear coaxially driven with the safety, an indicating wheel driving wheel elastically connected to the handle housing through a torsion spring three, the indicating wheel driving wheel is in meshed driving connection with the gear through a gear rack, a unidirectional transmission assembly two movably mounted on the handle housing through a fixing shaft two and a unidirectional force assembly two are in driving connection with the unidirectional transmission assembly two through the unidirectional force assembly two, so that the unidirectional transmission assembly two is driven by the indicating wheel driving wheel to rotate unidirectionally, and four marks are respectively arranged on the outer surface of the unidirectional transmission assembly and respectively represent the steps of performing a first operation step, performing a second operation step, performing a third operation step and performing a locking step, thereby corresponding to the steps of pressing the handle portion four times; and an indicator cover plate covering the unidirectional transmission assembly, and the indicator cover plate is arranged on the handle shell.
15. A handle for a suspension according to claim 12 or 14 wherein the second unidirectional force assembly has a toothed portion on one side thereof, the toothed portion on the indicator wheel driving wheel being in meshed engagement with the toothed portion, the toothed portion being in meshed engagement with the toothed portion when the indicator wheel driving wheel is rotated, thereby driving the second unidirectional force assembly to rotate anticlockwise.
16. A handle for a suspension according to claim 12 or 14, wherein the second unidirectional force assembly is movably mounted on the second fixed shaft, the second unidirectional force assembly being in coaxial driving connection with the indicator wheel drive wheel.
17. A handle for a suspension device according to claim 15 or 16, wherein the second unidirectional force assembly comprises a driving gear movably mounted on the second fixed shaft, and wherein an elastic part is provided on one side of the driving gear, a clamping block is provided on the elastic part, and the second unidirectional force assembly is provided with a push-out protrusion, and the push-out protrusion cooperates with the clamping block to only unidirectional force the second unidirectional force assembly.
18. A handle for a hanger according to claim 17 wherein the second unidirectional transmission assembly is a unidirectional transmission achieved by means of the engagement of the resilient tabs with the ratchet teeth, the second unidirectional transmission assembly comprising a wheel provided with ratchet teeth protrusions or recesses and a locating tab, the wheel being an indicator wheel, the handle housing being provided with a locating tab, one end of the locating tab engaging one of the ratchet teeth such that the indicator wheel is rotatable in only one direction.
19. The handle for a hanger according to claim 17, wherein the second unidirectional transmission assembly is unidirectional transmission realized by two overlapped ratchet teeth, the second unidirectional transmission assembly comprises a first ratchet tooth arranged on the indicating wheel and a second ratchet tooth arranged in the indicating wheel, the second ratchet tooth is elastically connected with the second fixed shaft, and meanwhile, a limiting protrusion is arranged on the second ratchet tooth and is matched with a guide rail of the second fixed shaft.
20. A handle for a hanger according to any of claims 1-19, wherein a restraining assembly is provided on said handle for restraining the sprung-apart condition of the handle portion, said handle portion not being sprung apart but being restrained in the current position when a working step is not completed.
21. A handle for a hanger according to claim 20 wherein the restraining assembly comprises an arcuate slot provided in the handle portion, a positioning cam mounted coaxially with the safety controller, a positioning cam positioning tab mounted on the handle housing; when the handle part is fully pressed, the end part of the positioning cam can be separated from the arc groove under the action of the positioning cam positioning piece, and when the handle part is not fully pressed, the end part of the positioning cam can stay in the concave groove of the arc groove and cannot be separated from the concave groove.
22. A hanger comprising a handle as claimed in any one of claims 1 to 21 and a cassette mounted on the handle.
23. A hanger according to claim 22 wherein the handle is provided with a ramp for guiding the opening of the safety assembly when the cassette is installed.
24. A hanger according to claim 22 or 23, further comprising a scope lock assembly and an endoscope mounted within the insertion scope channel bracket.
25. The hanger of claim 24, wherein the mirror lock assembly comprises a mirror lock handle mounted on the handle housing, and a mirror lock sleeve clamped in the mirror lock handle, wherein a locking sleeve is arranged on the mirror lock sleeve in a central symmetry manner, and one end of the locking sleeve is separated from the mirror lock sleeve and gradually approaches to the axis of the mirror lock sleeve; after the endoscope is inserted, the endoscope is contacted with one end of the locking sleeve, so that when the endoscope rotates, the locking sleeve is driven to move along with the endoscope, and the two locking sleeves lock the endoscope along with the rotation of the endoscope.
26. A hanger according to any of claims 22 to 25 further comprising a locking block by which the cassette is locked to the handle once mounted to the handle.
27. The hanger of claim 26, wherein the first locking protrusion and the second locking protrusion are provided on the locking block, and when the locking block is rotated to a vertical state, the first locking protrusion is rotated along the locking guide rail on the cover plate, and the second locking protrusion is clamped between the limiting plate and the cover plate; when the locking block rotates to a transverse state, the clamping blocks arranged on the locking block respectively form a secondary locking state with the clamping matching blocks arranged on the box and the handle.
Priority Applications (2)
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CN202410013424.5A CN117731345B (en) | 2024-01-04 | 2024-01-04 | Box, handle, hanger and operation method thereof |
CN202410685320.9A CN118512224A (en) | 2024-01-04 | 2024-01-04 | Box and hanger |
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CN202410013424.5A CN117731345B (en) | 2024-01-04 | 2024-01-04 | Box, handle, hanger and operation method thereof |
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CN202410685320.9A Division CN118512224A (en) | 2024-01-04 | 2024-01-04 | Box and hanger |
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CN117731345A CN117731345A (en) | 2024-03-22 |
CN117731345B true CN117731345B (en) | 2024-06-11 |
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CN202410013424.5A Active CN117731345B (en) | 2024-01-04 | 2024-01-04 | Box, handle, hanger and operation method thereof |
CN202410685320.9A Pending CN118512224A (en) | 2024-01-04 | 2024-01-04 | Box and hanger |
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CN118787416A (en) * | 2024-07-25 | 2024-10-18 | 苏州市律智医疗科技有限公司 | Room septum puncture needle |
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EP0514139A2 (en) * | 1991-05-14 | 1992-11-19 | United States Surgical Corporation | Surgical stapler with spent cartridge sensing and lockout means |
CN111938734A (en) * | 2020-09-04 | 2020-11-17 | 北京派尔特医疗科技股份有限公司 | A stapler cartridge and stapler |
CN114286646A (en) * | 2020-08-03 | 2022-04-05 | 泰利福生命科学有限公司 | Handle and cassette system for medical intervention |
CN114980823A (en) * | 2020-02-21 | 2022-08-30 | 泰利福生命科学有限公司 | Device for preventing deployment failure of an instrument |
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CN116965890A (en) * | 2023-09-05 | 2023-10-31 | 苏州臻恺医疗科技有限公司 | Medical instrument for interventional therapy |
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US8333776B2 (en) * | 2005-05-20 | 2012-12-18 | Neotract, Inc. | Anchor delivery system |
US7645286B2 (en) * | 2005-05-20 | 2010-01-12 | Neotract, Inc. | Devices, systems and methods for retracting, lifting, compressing, supporting or repositioning tissues or anatomical structures |
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2024
- 2024-01-04 CN CN202410013424.5A patent/CN117731345B/en active Active
- 2024-01-04 CN CN202410685320.9A patent/CN118512224A/en active Pending
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EP0514139A2 (en) * | 1991-05-14 | 1992-11-19 | United States Surgical Corporation | Surgical stapler with spent cartridge sensing and lockout means |
CN114980823A (en) * | 2020-02-21 | 2022-08-30 | 泰利福生命科学有限公司 | Device for preventing deployment failure of an instrument |
CN114286646A (en) * | 2020-08-03 | 2022-04-05 | 泰利福生命科学有限公司 | Handle and cassette system for medical intervention |
CN111938734A (en) * | 2020-09-04 | 2020-11-17 | 北京派尔特医疗科技股份有限公司 | A stapler cartridge and stapler |
CN219109567U (en) * | 2022-12-30 | 2023-06-02 | 微创优通医疗科技(嘉兴)有限公司 | Delivery system and interventional system |
CN116965890A (en) * | 2023-09-05 | 2023-10-31 | 苏州臻恺医疗科技有限公司 | Medical instrument for interventional therapy |
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