CN118873074A - Insertion control device and endoscope - Google Patents
Insertion control device and endoscope Download PDFInfo
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/012—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor
- A61B1/018—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor for receiving instruments
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/00064—Constructional details of the endoscope body
- A61B1/00071—Insertion part of the endoscope body
- A61B1/0008—Insertion part of the endoscope body characterised by distal tip features
- A61B1/00098—Deflecting means for inserted tools
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/00147—Holding or positioning arrangements
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- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/005—Flexible endoscopes
- A61B1/0051—Flexible endoscopes with controlled bending of insertion part
- A61B1/0052—Constructional details of control elements, e.g. handles
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/005—Flexible endoscopes
- A61B1/0051—Flexible endoscopes with controlled bending of insertion part
- A61B1/0055—Constructional details of insertion parts, e.g. vertebral elements
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/005—Flexible endoscopes
- A61B1/0051—Flexible endoscopes with controlled bending of insertion part
- A61B1/0057—Constructional details of force transmission elements, e.g. control wires
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Abstract
Description
技术领域Technical Field
本申请涉及医疗器械技术领域,特别是涉及一种插入部控制装置及内窥镜。The present application relates to the technical field of medical devices, and in particular to an insertion portion control device and an endoscope.
背景技术Background Art
内窥镜作为现代医学的重要工具,广泛应用于各种检查和外科手术。内窥镜能够利用人体自然孔洞或微小切口伸入体内,进行各种检查和微创手术。内窥镜包括操作部和插入部,插入部可以伸入人体内部,通过其摄像系统采集图像,为医生提供清晰、准确的图像信息,操作部则设有调弯装置,通过调弯装置中的拉绳与插入部连接,实现对插入部前端弯曲的精准控制。As an important tool in modern medicine, endoscopes are widely used in various examinations and surgical operations. Endoscopes can use natural holes or tiny incisions in the human body to reach into the body for various examinations and minimally invasive surgeries. The endoscope consists of an operating part and an insertion part. The insertion part can be inserted into the human body and collect images through its camera system to provide doctors with clear and accurate image information. The operating part is equipped with a bending device, which is connected to the insertion part through a drawstring in the bending device to achieve precise control of the bending of the front end of the insertion part.
而且,有的内窥镜还配备了抬钳器,抬钳器能够改变经钳道管插入的诊疗器械的方向,如活检钳、碎石网篮、切开刀等。以超声内窥镜为例,医生只需转动操作部的抬钳器旋钮,便能控制诊疗器械从钳道口伸出的方向,使其准确出现在内窥镜视野中的理想位置,极大地便利了内窥镜下的诊疗手术。通常,抬钳器旋钮与抬钳器之间通过一根操作线相连,操作线外部套有与插入部固定的套管。通过旋转抬钳器旋钮,操作线在套管内部前后移动,产生拉力与推力,从而实现抬钳器的抬起或放平。Moreover, some endoscopes are also equipped with a forceps lifter, which can change the direction of the diagnostic and treatment instruments inserted through the forceps channel tube, such as biopsy forceps, lithotripsy baskets, and incisors. Taking the ultrasonic endoscope as an example, the doctor only needs to turn the forceps lifter knob on the operating part to control the direction in which the diagnostic and treatment instruments extend from the forceps channel opening, so that they appear accurately in the ideal position in the endoscope's field of view, greatly facilitating endoscopic diagnosis and treatment operations. Usually, the forceps lifter knob is connected to the forceps lifter by an operating wire, and the operating wire is covered with a sleeve fixed to the insertion part. By rotating the forceps lifter knob, the operating wire moves back and forth inside the sleeve, generating pulling and pushing forces, thereby achieving the lifting or flattening of the forceps lifter.
内窥镜的插入部前端具有固有的弯曲刚度,它在被弯曲后会自然产生回复力,试图恢复为直线状态。这种回复力是材料自身特性的体现,不可避免。当用户松开调弯装置时,插入部前端将无法维持静止状态,而是会逐渐向曲率减小的方向恢复,直至达到其自然的直线状态,因此,配备抬钳器的内窥镜通常具备弯曲锁定功能。医护人员在需要时,可以通过操纵操作部上的锁定旋钮,对弯曲部进行锁定,以确保在操作抬钳器时手术的精准与安全。The front end of the insertion part of the endoscope has inherent bending stiffness. After being bent, it will naturally generate a restoring force and try to return to a straight state. This restoring force is a reflection of the material's own characteristics and is inevitable. When the user releases the bending device, the front end of the insertion part will not be able to maintain a static state, but will gradually recover in the direction of decreasing curvature until it reaches its natural straight state. Therefore, endoscopes equipped with forceps elevators usually have a bending locking function. When necessary, medical staff can lock the bending part by operating the locking knob on the operating part to ensure the accuracy and safety of the operation when operating the forceps elevator.
但是,目前的锁定旋钮与抬钳器旋钮独立设计,导致占据操作部的空间相对较大。而且,医生在进行手术时,需要在这两个旋钮之间切换操作位置,这不仅难以实现单手便捷操作,还增加了操作的复杂性和劳动强度,同时,这种操作模式也会延长手术时间,降低了手术效率,进一步增加了患者的痛苦。However, the current locking knob and the forceps lifting knob are designed independently, resulting in a relatively large space occupied by the operating part. Moreover, when performing surgery, the doctor needs to switch the operating position between the two knobs, which not only makes it difficult to achieve convenient one-handed operation, but also increases the complexity and labor intensity of the operation. At the same time, this operation mode will also prolong the operation time, reduce the efficiency of the operation, and further increase the pain of the patient.
发明内容Summary of the invention
基于此,有必要针对目前内窥镜的锁定旋钮与抬钳器旋钮独立导致占用空间大、无法单手操作等问题,提供一种插入部控制装置及内窥镜,其集成调弯装置的锁定功能与抬钳器的抬钳功能,以保证整个手术过程安全可靠,并减小占用空间,并能够满足单手操作需求,提升人机交互的便捷性和舒适性,缩短手术时间,提高手术效率。Based on this, it is necessary to provide an insertion control device and an endoscope, which integrates the locking function of the bending adjustment device and the lifting function of the forceps lifter, to address the problems that the locking knob and the forceps lifting knob of the current endoscope are independent, resulting in a large space occupation and inability to operate with one hand, so as to ensure the safety and reliability of the entire surgical process, reduce the occupied space, meet the needs of one-handed operation, improve the convenience and comfort of human-computer interaction, shorten the operation time, and improve the surgical efficiency.
一种插入部控制装置,包括:An insertion portion control device, comprising:
旋拧机构,可转动设于调弯装置的调弯旋钮;A screwing mechanism, capable of rotating a bending adjustment knob disposed on the bending adjustment device;
锁紧机构,与所述旋拧机构同轴设置,并可随所述旋拧机构运动,所述锁紧机构位于所述调弯旋钮与所述调弯装置的拨轮机构之间,其中,所述锁紧机构包括锁定轮、松紧轮、第一锁定件以及第二锁定件,所述锁定轮设于所述调弯旋钮的远端,所述松紧轮同轴设于所述旋拧机构,并可转动设于所述锁定轮中,所述第一锁定件设于所述锁定轮的远端,所述第二锁定件设于所述拨轮机构的近端,并与所述第一锁定件相对设置;以及a locking mechanism, which is coaxially arranged with the screwing mechanism and can move with the screwing mechanism, and the locking mechanism is located between the bending adjustment knob and the dial mechanism of the bending adjustment device, wherein the locking mechanism comprises a locking wheel, an elastic wheel, a first locking member and a second locking member, the locking wheel is arranged at the distal end of the bending adjustment knob, the elastic wheel is coaxially arranged with the screwing mechanism and can be rotatably arranged in the locking wheel, the first locking member is arranged at the distal end of the locking wheel, and the second locking member is arranged at the proximal end of the dial mechanism and is arranged opposite to the first locking member; and
抬钳机构,与所述旋拧机构同轴设置,并可随所述旋拧机构运动,所述抬钳机构位于所述拨轮机构的远端,并用于连接抬钳器;A forceps lifting mechanism is coaxially arranged with the screwing mechanism and can move with the screwing mechanism. The forceps lifting mechanism is located at the distal end of the dial wheel mechanism and is used to connect the forceps lifting device;
所述第一锁定件与所述第二锁定件沿轴向存在预设间距,此时所述旋拧机构处于放松位置;所述旋拧机构驱动所述松紧轮相对于所述锁定轮转动,并沿轴向移动,使所述第一锁定件抵压所述第二锁定件以锁定所述调弯旋钮,此时所述旋拧机构处于锁定位置;所述第一锁定件保持抵压所述第二锁定件的状态,所述旋拧机构能够驱动所述抬钳机构转动以驱动所述抬钳器执行抬钳动作,此时所述旋拧机构处于抬钳位置。There is a preset distance between the first locking piece and the second locking piece in the axial direction, and the screwing mechanism is in a relaxed position at this time; the screwing mechanism drives the tension wheel to rotate relative to the locking wheel and move axially, so that the first locking piece presses against the second locking piece to lock the bending adjustment knob, and the screwing mechanism is in a locked position at this time; the first locking piece maintains a state of pressing against the second locking piece, and the screwing mechanism can drive the forceps lifting mechanism to rotate to drive the forceps lifting device to perform the forceps lifting action, and the screwing mechanism is in the forceps lifting position.
在本申请的一实施例中,所述锁定轮具有第一锁紧槽与第二锁紧槽,所述第二锁紧槽沿周向布置,所述第一锁紧槽的一端与所述第二锁紧槽连通,所述第一锁紧槽的另一端相对于所述第二锁紧槽向远端倾斜;In one embodiment of the present application, the locking wheel has a first locking groove and a second locking groove, the second locking groove is arranged along the circumferential direction, one end of the first locking groove is connected to the second locking groove, and the other end of the first locking groove is inclined toward the distal end relative to the second locking groove;
所述松紧轮的外周面具有凸出设置的滑动部,所述滑动部可在所述第一锁紧槽与所述第二锁紧槽中滑动。The outer peripheral surface of the tension wheel has a protruding sliding portion, and the sliding portion can slide in the first locking groove and the second locking groove.
在本申请的一实施例中,所述锁紧机构还包括顶紧件,所述顶紧件设于所述调弯旋钮,并位于所述松紧轮的径向外侧,所述顶紧件可沿径向移动以顶紧所述松紧轮的外周面;In one embodiment of the present application, the locking mechanism further includes a tightening member, which is disposed on the bending adjustment knob and is located radially outside the tension wheel, and the tightening member can move radially to tighten the outer peripheral surface of the tension wheel;
所述松紧轮的外周面还具有凹陷设置的放松槽、锁定槽以及抬钳槽,所述旋拧机构转动时所述顶紧件的端部可在所述放松槽、所述锁定槽以及所述抬钳槽之间移动。The outer peripheral surface of the tension wheel also has a recessed release groove, a locking groove and a jaw lifting groove. When the screwing mechanism rotates, the end of the tensioning member can move among the release groove, the locking groove and the jaw lifting groove.
在本申请的一实施例中,所述抬钳槽沿径向的深度小于所述放松槽沿径向的深度,并小于等于所述锁定槽沿径向的深度;In one embodiment of the present application, the radial depth of the lifting groove is less than the radial depth of the releasing groove, and is less than or equal to the radial depth of the locking groove;
和/或,所述顶紧件包括安装座、弹性件以及定位件,所述安装座设于所述调弯旋钮的第一安装部,所述弹性件设于所述安装座中,并抵接所述安装座与所述定位件,使所述定位件的端部抵接所述松紧轮的外周面;And/or, the tensioning member includes a mounting seat, an elastic member and a positioning member, the mounting seat is arranged on the first mounting portion of the bending adjustment knob, the elastic member is arranged in the mounting seat and abuts against the mounting seat and the positioning member, so that the end of the positioning member abuts against the outer peripheral surface of the tension wheel;
和/或,所述顶紧件的数量为多个,多个所述顶紧件沿周向均匀分布。And/or, there are multiple tightening members, and the multiple tightening members are evenly distributed along the circumferential direction.
在本申请的一实施例中,所述抬钳机构包括抬钳机架、滑动组件以及转动件,所述抬钳机架设于所述拨轮机构的远端,所述转动件设于所述旋拧机构,并可转动设于所述抬钳机架,所述滑动组件可滑动设于所述抬钳机架,并连接抬钳器的近端,所述转动件的输出端连接所述滑动组件,并驱动所述滑动组件移动。In one embodiment of the present application, the forceps lifting mechanism includes a forceps lifting frame, a sliding assembly and a rotating part. The forceps lifting frame is arranged at the distal end of the dial mechanism, the rotating part is arranged on the screwing mechanism and can be rotatably arranged on the forceps lifting frame, the sliding assembly can be slidably arranged on the forceps lifting frame and connected to the proximal end of the forceps lifting device, and the output end of the rotating part is connected to the sliding assembly and drives the sliding assembly to move.
在本申请的一实施例中,所述转动件具有沿周向布置并连通的第一转动槽与第二转动槽,所述滑动组件的端部可滑动设于所述第一转动槽与所述第二转动槽中;In one embodiment of the present application, the rotating member has a first rotating groove and a second rotating groove which are arranged in a circumferential direction and are connected, and the end of the sliding component can be slidably disposed in the first rotating groove and the second rotating groove;
所述第二转动槽的半径大于所述第一转动槽的半径,所述滑动组件沿所述第二转动槽移动时,能够使所述滑动组件相对于所述抬钳机架移动。The radius of the second rotating groove is greater than the radius of the first rotating groove. When the sliding assembly moves along the second rotating groove, the sliding assembly can move relative to the forceps lifting frame.
在本申请的一实施例中,所述滑动组件包括推动件、推杆以及滑动导轨,所述推动件可转动设于所述推杆,并可转动设于所述第一转动槽与所述第二转动槽中,所述滑动导轨设于所述抬钳机架,所述推杆可移动设于所述滑动导轨中,所述推杆的端部通过连接绳连接抬钳器。In one embodiment of the present application, the sliding assembly includes a pushing member, a pushing rod and a sliding guide rail. The pushing member can be rotatably disposed on the pushing rod and can be rotatably disposed in the first rotating groove and the second rotating groove. The sliding guide rail is disposed on the forceps lifting frame. The pushing rod can be movably disposed in the sliding guide rail. The end of the pushing rod is connected to the forceps lifting device via a connecting rope.
在本申请的一实施例中,所述抬钳机构还包括限位件,所述限位件设于所述抬钳机架,所述限位件能够在所述转动件转动预设角度后抵接所述转动件,限制所述转动件的转动角度。In one embodiment of the present application, the pliers lifting mechanism further includes a limiter, which is disposed on the pliers lifting frame. The limiter can abut against the rotating member after the rotating member rotates a preset angle to limit the rotation angle of the rotating member.
在本申请的一实施例中,所述旋拧机构包括旋钮外壳、抬钳旋钮以及连接轴,所述抬钳旋钮设于所述连接轴,所述旋钮外壳罩设连接所述抬钳旋钮,并可驱动所述抬钳旋钮带动所述连接轴绕轴向转动,所述连接轴还连接所述松紧轮与所述抬钳机构;In one embodiment of the present application, the screwing mechanism includes a knob housing, a forceps lifting knob and a connecting shaft, the forceps lifting knob is arranged on the connecting shaft, the knob housing is connected to the forceps lifting knob, and can drive the forceps lifting knob to drive the connecting shaft to rotate around the axis, and the connecting shaft is also connected to the tension wheel and the forceps lifting mechanism;
和/或,所述第一锁定件与所述第二锁定件中的至少一者采用柔性材料制成;And/or, at least one of the first locking member and the second locking member is made of a flexible material;
和/或,所述第一锁定件与所述第二锁定件中的至少一者呈环形设置。And/or, at least one of the first locking member and the second locking member is arranged in a ring shape.
在本申请的一实施例中,所述插入部控制装置还包括支撑组件,所述支撑组件设于所述抬钳机构的远端,并支撑连接操作部;In one embodiment of the present application, the insertion portion control device further comprises a support assembly, which is disposed at the distal end of the forceps lifting mechanism and supports the connection operating portion;
所述支撑组件包括支撑杆与支撑板,所述支撑杆的近端设于所述抬钳机构的抬钳机架,所述支撑杆的远端设于所述支撑板,所述支撑板固定于所述操作部。The support assembly includes a support rod and a support plate, the proximal end of the support rod is arranged on the forceps lifting frame of the forceps lifting mechanism, the distal end of the support rod is arranged on the support plate, and the support plate is fixed to the operating part.
一种内窥镜,包括操作部以及插入部,所述操作部包括调弯装置以及如上述任一技术特征所述的插入部控制装置,所述插入部至少包括弯曲部以及头端部,所述头端部至少包括抬钳器;An endoscope comprises an operating portion and an insertion portion, wherein the operating portion comprises a bending adjustment device and an insertion portion control device as described in any one of the above technical features, wherein the insertion portion comprises at least a bending portion and a head portion, and wherein the head portion comprises at least a forceps lifter;
所述调弯装置设于所述插入部的近端,并可调弯连接所述弯曲部的远端,所述抬钳器设于所述弯曲部的远端端部,所述插入部控制装置与所述抬钳器连接;The bending adjustment device is arranged at the proximal end of the insertion part and can be adjusted to be connected to the distal end of the bending part. The forceps lifting device is arranged at the distal end of the bending part, and the insertion part control device is connected to the forceps lifting device.
所述插入部控制装置用以锁定或解锁所述调弯装置和控制所述抬钳器抬起的方向。The insertion portion control device is used to lock or unlock the bending adjustment device and control the lifting direction of the forceps lifting device.
采用上述技术方案后,本申请至少具有如下技术效果:After adopting the above technical solution, this application has at least the following technical effects:
本申请的插入部控制装置及内窥镜,在该插入部控制装置中,第一锁定件设于锁定轮的远端,第二锁定件设于拨轮机构的近端。旋拧机构处于放松位置时,第一锁定件与第二锁定件沿轴向存在一定间距,旋拧机构从放松位置转动至锁定位置时,旋拧机构带动松紧轮在锁定轮中转动时能够使松紧轮沿轴向朝向近端移动,进而松紧轮通过抬钳机构带动拨轮机构沿轴向移动,使第一锁定件抵压第二锁定件,以锁定调弯旋钮与拨轮机构。旋拧机构从锁定位置转动至抬钳位置时,第一锁定件保持抵压第二锁定件的状态,且旋拧机构能够驱动抬钳机构转动,以使抬钳机构输出直线运动,进而驱动抬钳器进行抬钳动作。The insertion control device and endoscope of the present application, in the insertion control device, the first locking member is arranged at the distal end of the locking wheel, and the second locking member is arranged at the proximal end of the dial mechanism. When the screwing mechanism is in the loose position, there is a certain distance between the first locking member and the second locking member in the axial direction. When the screwing mechanism rotates from the loose position to the locked position, the screwing mechanism drives the tension wheel to rotate in the locking wheel so that the tension wheel can move axially toward the proximal end, and then the tension wheel drives the dial mechanism to move axially through the forceps lifting mechanism, so that the first locking member presses against the second locking member to lock the bending knob and the dial mechanism. When the screwing mechanism rotates from the locked position to the forceps lifting position, the first locking member keeps pressing against the second locking member, and the screwing mechanism can drive the forceps lifting mechanism to rotate, so that the forceps lifting mechanism outputs a linear motion, and then drives the forceps lifting device to perform the forceps lifting action.
该插入部控制装置集成调弯装置的锁定功能与抬钳器的抬钳功能,以确保先锁定调弯旋钮才能够进行抬钳器控制的操作顺序,这样在进行抬钳操作时弯曲部能够保持弯曲状态,从而保证操作抬钳器时手术的精准与安全,并减小占用空间。同时,调弯装置调弯完成后,单独操作旋拧机构即可锁定调弯旋钮,再继续操作旋拧机构可以控制抬钳器执行抬钳操作,如此,医生仅凭单手便能轻松使用,提升人机交互的便捷性和舒适度,缩短手术时间,提高手术效率。The insertion control device integrates the locking function of the bending device and the lifting function of the forceps lifting device to ensure that the bending knob must be locked before the lifting device can be controlled. In this way, the bending portion can remain bent during the lifting operation, thereby ensuring the accuracy and safety of the operation when operating the lifting device and reducing the space occupied. At the same time, after the bending device is bent, the bending knob can be locked by operating the screw mechanism alone, and the lifting device can be controlled to perform the lifting operation by continuing to operate the screw mechanism. In this way, the doctor can use it easily with only one hand, which improves the convenience and comfort of human-computer interaction, shortens the operation time, and improves the efficiency of the operation.
附图说明BRIEF DESCRIPTION OF THE DRAWINGS
图1为本申请一实施例的插入部控制装置的分解示意图。FIG. 1 is an exploded schematic diagram of an insertion portion control device according to an embodiment of the present application.
图2为图1所示的插入部控制装置处于放松状态的侧视图。FIG. 2 is a side view of the insertion portion control device shown in FIG. 1 in a relaxed state.
图3为图1所示的插入部控制装置的主视图。FIG. 3 is a front view of the insertion portion control device shown in FIG. 1 .
图4为图3所示的插入部控制装置在A1-A1处的剖视图。FIG. 4 is a cross-sectional view of the insertion portion control device shown in FIG. 3 taken along line A1 - A1 .
图5为图4所示的插入部控制装置在B1处的局部放大图。FIG. 5 is a partial enlarged view of the insertion portion control device shown in FIG. 4 at position B1.
图6为图3所示的插入部控制装置在C1-C1处的剖视图。FIG. 6 is a cross-sectional view of the insertion portion control device shown in FIG. 3 taken along line C1 - C1 .
图7为图6所示的插入部控制装置在D1处的局部放大图。FIG. 7 is a partial enlarged view of the insertion portion control device shown in FIG. 6 at position D1.
图8为图6所示的插入部控制装置中松紧轮的示意图。FIG8 is a schematic diagram of the tension wheel in the insertion portion control device shown in FIG6 .
图9为图3所示的插入部控制装置在E1-E1处的剖视图。FIG. 9 is a cross-sectional view of the insertion portion control device shown in FIG. 3 taken along line E1 - E1 .
图10为图8所示的插入部控制装置中转动件的示意图。FIG. 10 is a schematic diagram of a rotating member in the insertion portion control device shown in FIG. 8 .
图11为图1所示的插入部控制装置处于锁定状态的侧视图。11 is a side view of the insertion portion control device shown in FIG. 1 in a locked state.
图12为图11所示的插入部控制装置的主视图。FIG. 12 is a front view of the insertion portion control device shown in FIG. 11 .
图13为图12所示的插入部控制装置在A2-A2处的剖视图。FIG. 13 is a cross-sectional view of the insertion portion control device shown in FIG. 12 taken at A2 - A2 .
图14为图13所示的插入部控制装置在B2处的局部放大图。FIG. 14 is a partial enlarged view of the insertion portion control device shown in FIG. 13 at position B2.
图15为图12所示的插入部控制装置在C2-C2处的剖视图。FIG. 15 is a cross-sectional view of the insertion portion control device shown in FIG. 12 at C2-C2.
图16为图15所示的插入部控制装置在D2处的局部放大图。FIG. 16 is a partial enlarged view of the insertion portion control device shown in FIG. 15 at position D2.
图17为图12所示的插入部控制装置在E2-E2处的剖视图。FIG. 17 is a cross-sectional view of the insertion portion control device shown in FIG. 12 at E2-E2.
图18为图1所示的插入部控制装置处于抬钳状态的侧视图。18 is a side view of the insertion portion control device shown in FIG. 1 in a forceps lifting state.
图19为图18所示的插入部控制装置的主视图。FIG. 19 is a front view of the insertion portion control device shown in FIG. 18 .
图20为图19所示的插入部控制装置在A3-A3处的剖视图。FIG. 20 is a cross-sectional view of the insertion portion control device shown in FIG. 19 at A3-A3.
图21为图20所示的插入部控制装置在B3处的局部放大图。FIG. 21 is a partial enlarged view of the insertion portion control device shown in FIG. 20 at position B3.
图22为图19所示的插入部控制装置在C3-C3处的剖视图。FIG. 22 is a cross-sectional view of the insertion portion control device shown in FIG. 19 at C3-C3.
图23为图22所示的插入部控制装置在D3处的局部放大图。FIG. 23 is a partial enlarged view of the insertion portion control device shown in FIG. 22 at position D3.
图24为图19所示的插入部控制装置在E3-E3处的剖视图。FIG. 24 is a cross-sectional view of the insertion portion control device shown in FIG. 19 at E3-E3.
其中:100、插入部控制装置;110、旋拧机构;111、旋钮外壳;112、抬钳旋钮;113、连接轴;120、锁紧机构;121、锁定轮;1211、第一锁紧槽;1212、第二锁紧槽;122、松紧轮;1221、滑动部;1222、放松槽;1223、锁定槽;1224、抬钳槽;123、第一锁定件;124、第二锁定件;125、第一安装部;126、顶紧件;130、抬钳机构;131、抬钳机架;1311、配合部;132、转动件;1321、第一转动槽;1322、第二转动槽;1323、连接部;1324、转动部;133、滑动组件;1331、推动件;1332、推杆;1333、滑动导轨;1334、第二安装部;134、限位件;140、支撑组件;141、支撑杆;142、支撑板;143、转接管;200、调弯装置;210、调弯旋钮;211、旋钮主体;212、旋钮壳体;220、拨轮机构;221、绕线拨轮;222、内绕线轮;223、限位旋钮;2231、限位部;224、挡板;225、胶垫挡圈;226、拉绳。Among them: 100, insertion control device; 110, screwing mechanism; 111, knob housing; 112, lifting knob; 113, connecting shaft; 120, locking mechanism; 121, locking wheel; 1211, first locking groove; 1212, second locking groove; 122, tension wheel; 1221, sliding part; 1222, release groove; 1223, locking groove; 1224, lifting groove; 123, first locking member; 124, second locking member; 125, first mounting part; 126, pressing member; 130, lifting mechanism; 131, lifting frame; 1311, matching part; 132, rotating member; 1321, first rotating groove; 13 22. Second rotating groove; 1323. Connecting part; 1324. Rotating part; 133. Sliding assembly; 1331. Pushing member; 1332. Push rod; 1333. Sliding guide rail; 1334. Second mounting part; 134. Limiting member; 140. Support assembly; 141. Support rod; 142. Support plate; 143. Transfer tube; 200. Bending device; 210. Bending knob; 211. Knob body; 212. Knob shell; 220. Dial wheel mechanism; 221. Winding dial wheel; 222. Inner winding wheel; 223. Limiting knob; 2231. Limiting part; 224. Baffle plate; 225. Rubber pad retaining ring; 226. Pull rope.
具体实施方式DETAILED DESCRIPTION
为使本申请的上述目的、特征和优点能够更加明显易懂,下面结合附图对本申请的具体实施方式做详细的说明。在下面的描述中阐述了很多具体细节以便于充分理解本申请。但是本申请能够以很多不同于在此描述的其它方式来实施,本领域技术人员可以在不违背本申请内涵的情况下做类似改进,因此本申请不受下面公开的具体实施例的限制。In order to make the above-mentioned purposes, features and advantages of the present application more obvious and easy to understand, the specific implementation methods of the present application are described in detail below in conjunction with the accompanying drawings. In the following description, many specific details are set forth to facilitate a full understanding of the present application. However, the present application can be implemented in many other ways different from those described herein, and those skilled in the art can make similar improvements without violating the connotation of the present application, so the present application is not limited by the specific embodiments disclosed below.
在本申请的描述中,需要理解的是,若有出现这些术语“中心”、“纵向”、“横向”、“长度”、“宽度”、“厚度”、“上”、“下”、“前”、“后”、“左”、“右”、“竖直”、“水平”、“顶”、“底”、“内”、“外”、“顺时针”、“逆时针”、“轴向”、“径向”、“周向”等,这些术语指示的方位或位置关系为基于附图所示的方位或位置关系,仅是为了便于描述本申请和简化描述,而不是指示或暗示所指的装置或元件必须具有特定的方位、以特定的方位构造和操作,因此不能理解为对本申请的限制。In the description of the present application, it should be understood that if the terms "center", "longitudinal", "lateral", "length", "width", "thickness", "up", "down", "front", "back", "left", "right", "vertical", "horizontal", "top", "bottom", "inside", "outside", "clockwise", "counterclockwise", "axial", "radial", "circumferential", etc. appear, the orientation or position relationship indicated by these terms is based on the orientation or position relationship shown in the accompanying drawings, which is only for the convenience of describing the present application and simplifying the description, and does not indicate or imply that the device or element referred to must have a specific orientation, be constructed and operated in a specific orientation, and therefore cannot be understood as a limitation on the present application.
此外,若有出现这些术语“第一”、“第二”,这些术语仅用于描述目的,而不能理解为指示或暗示相对重要性或者隐含指明所指示的技术特征的数量。由此,限定有“第一”、“第二”的特征可以明示或者隐含地包括至少一个该特征。在本申请的描述中,若有出现术语“多个”,“多个”的含义是至少两个,例如两个,三个等,除非另有明确具体的限定。In addition, if the terms "first" or "second" appear, these terms are used for descriptive purposes only and should not be understood as indicating or implying relative importance or implicitly indicating the number of technical features indicated. Therefore, a feature defined as "first" or "second" may explicitly or implicitly include at least one of the features. In the description of this application, if the term "plurality" appears, the meaning of "plurality" is at least two, such as two, three, etc., unless otherwise clearly and specifically defined.
在本申请中,除非另有明确的规定和限定,若有出现术语“安装”、“相连”、“连接”、“固定”等,这些术语应做广义理解。例如,可以是固定连接,也可以是可拆卸连接,或成一体;可以是机械连接,也可以是电连接;可以是直接相连,也可以通过中间媒介间接相连,可以是两个元件内部的连通或两个元件的相互作用关系,除非另有明确的限定。对于本领域的普通技术人员而言,可以根据具体情况理解上述术语在本申请中的具体含义。In this application, unless otherwise clearly specified and limited, if the terms "installed", "connected", "connected", "fixed" and the like appear, these terms should be understood in a broad sense. For example, it can be a fixed connection, a detachable connection, or an integrated connection; it can be a mechanical connection or an electrical connection; it can be a direct connection or an indirect connection through an intermediate medium, it can be the internal connection of two elements or the interaction relationship between two elements, unless otherwise clearly defined. For ordinary technicians in this field, the specific meanings of the above terms in this application can be understood according to the specific circumstances.
在本申请中,除非另有明确的规定和限定,若有出现第一特征在第二特征“上”或“下”等类似的描述,其含义可以是第一和第二特征直接接触,或第一和第二特征通过中间媒介间接接触。而且,第一特征在第二特征“之上”、“上方”和“上面”可以是第一特征在第二特征正上方或斜上方,或仅仅表示第一特征水平高度高于第二特征。第一特征在第二特征“之下”、“下方”和“下面”可以是第一特征在第二特征正下方或斜下方,或仅仅表示第一特征水平高度小于第二特征。In the present application, unless otherwise clearly specified and limited, if there is a description that a first feature is "on" or "below" a second feature, etc., or the like, it may mean that the first and second features are in direct contact, or that the first and second features are in indirect contact through an intermediate medium. Moreover, the first feature being "above", "above" and "above" the second feature may mean that the first feature is directly above or obliquely above the second feature, or simply means that the first feature is higher in level than the second feature. The first feature being "below", "below" and "below" the second feature may mean that the first feature is directly below or obliquely below the second feature, or simply means that the first feature is lower in level than the second feature.
需要说明的是,若元件被称为“固定于”或“设置于”另一个元件,它可以直接在另一个元件上或者也可以存在居中的元件。若一个元件被认为是“连接”另一个元件,它可以是直接连接到另一个元件或者可能同时存在居中元件。如若存在,本申请所使用的术语“垂直的”、“水平的”、“上”、“下”、“左”、“右”以及类似的表述只是为了说明的目的,并不表示是唯一的实施方式。It should be noted that if an element is referred to as being "fixed to" or "disposed on" another element, it may be directly on the other element or there may be a central element. If an element is considered to be "connected to" another element, it may be directly connected to the other element or there may be a central element at the same time. If any, the terms "vertical", "horizontal", "upper", "lower", "left", "right" and similar expressions used in this application are for illustrative purposes only and do not represent the only implementation method.
可以理解的,目前内窥镜的锁定旋钮与抬钳器旋钮独立设计,导致占据操作部的空间相对较大。而且,医生在进行手术时,需要在这两个旋钮之间切换操作位置,这不仅难以实现单手便捷操作,还增加了操作的复杂性和劳动强度,同时,这种操作模式也会延长手术时间,降低了手术效率,进一步增加了患者的痛苦。Understandably, the locking knob and the forceps lifting knob of the current endoscope are designed independently, resulting in a relatively large space occupied by the operating part. Moreover, when performing surgery, the doctor needs to switch the operating position between the two knobs, which not only makes it difficult to achieve convenient one-handed operation, but also increases the complexity and labor intensity of the operation. At the same time, this operation mode will also prolong the operation time, reduce the efficiency of the operation, and further increase the pain of the patient.
为此,本申请提供一种新型的插入部控制装置100,如图1、图2、图11和图18所示。该插入部控制装置100主要应用于内窥镜中。该插入部控制装置100集成调弯装置200的锁定功能与抬钳器的抬钳功能,以保证整个手术过程安全可靠,减小占用空间,并能够满足单手操作需求,提升人机交互的便捷性和舒适性,缩短手术时间,提高手术效率。以下介绍插入部控制装置100一实施例的具体结构。To this end, the present application provides a new type of insertion part control device 100, as shown in Figures 1, 2, 11 and 18. The insertion part control device 100 is mainly used in endoscopes. The insertion part control device 100 integrates the locking function of the bending adjustment device 200 and the lifting function of the forceps lifting device to ensure the safety and reliability of the entire surgical process, reduce the occupied space, and can meet the needs of one-handed operation, improve the convenience and comfort of human-computer interaction, shorten the operation time, and improve the efficiency of the operation. The specific structure of an embodiment of the insertion part control device 100 is introduced below.
本申请的内窥镜包括操作部以及插入部,操作部包括操作手柄、调弯装置200以及本申请中的插入部控制装置100,插入部至少包括弯曲部以及头端部,头端部至少包括抬钳器。该插入部控制装置100用于实现调弯装置200的锁定与解锁以及抬钳器的抬钳控制。操作部的远端连接插入部的近端,插入部控制装置100以及调弯装置200设于操作手柄中,调弯装置200能够控制插入部的远端弯曲即控制插入部远端的弯曲部弯曲,这样,弯曲部弯曲后能够适应患者体内腔道的弯曲角度,弯曲部的远端能够进入患者体内,进而使头端部能够达到病灶部位。需要说明的是,本申请中仅示意出插入部控制装置100与调弯装置200的结构,内窥镜的其他部分结构并未示出。The endoscope of the present application includes an operating part and an insertion part, the operating part includes an operating handle, a bending device 200 and an insertion part control device 100 in the present application, the insertion part includes at least a bending part and a head end, and the head end includes at least a forceps lifter. The insertion part control device 100 is used to realize the locking and unlocking of the bending device 200 and the lifting control of the forceps lifter. The distal end of the operating part is connected to the proximal end of the insertion part, and the insertion part control device 100 and the bending device 200 are arranged in the operating handle. The bending device 200 can control the bending of the distal end of the insertion part, that is, control the bending of the bending part at the distal end of the insertion part. In this way, the bending part can adapt to the bending angle of the patient's body cavity after bending, and the distal end of the bending part can enter the patient's body, so that the head end can reach the lesion site. It should be noted that only the structure of the insertion part control device 100 and the bending device 200 is illustrated in the present application, and the other parts of the endoscope are not shown.
值得说明的是,插入部的近端是指插入部靠近医生远离患者的一端,远端是指插入部远离医生靠近患者的一端。近端与远端的连线方向即为轴向,而且,该近端与远端对于内窥镜的其他部件也适用,后文将不再赘述。为了更好的说明插入部控制装置100的结构,此处先简单说明调弯装置200的结构。It is worth noting that the proximal end of the insertion portion refers to the end of the insertion portion close to the doctor and away from the patient, and the distal end refers to the end of the insertion portion away from the doctor and close to the patient. The direction of the line connecting the proximal end and the distal end is the axial direction, and the proximal end and the distal end are also applicable to other components of the endoscope, which will not be described in detail later. In order to better illustrate the structure of the insertion portion control device 100, the structure of the bending device 200 is briefly described here.
参见图1,调弯装置200包括调弯旋钮210与拨轮机构220,调弯旋钮210可转动设于操作手柄,并连接拨轮机构220,拨轮机构220上缠绕拉绳226,拉绳226的远端连接弯曲部的远端,调弯旋钮210驱动拨轮机构220转动时,拨轮机构220能够缠绕或释放拉绳226,以实现弯曲部弯曲角度的精准控制。调弯旋钮210包括旋钮壳体212与旋钮主体211,旋钮主体211设于旋钮壳体212中。通过旋钮壳体212对调弯装置200以及插入部控制装置100的其他部件进行支撑。可选地,调弯旋钮210还包括滑环,旋钮主体211通过滑环可转动安装第一安装部125等,以减小摩擦。Referring to FIG. 1 , the bending device 200 includes a bending knob 210 and a dial mechanism 220. The bending knob 210 is rotatably disposed on the operating handle and connected to the dial mechanism 220. A pull rope 226 is wound around the dial mechanism 220. The distal end of the pull rope 226 is connected to the distal end of the bending portion. When the bending knob 210 drives the dial mechanism 220 to rotate, the dial mechanism 220 can wind or release the pull rope 226 to achieve precise control of the bending angle of the bending portion. The bending knob 210 includes a knob housing 212 and a knob body 211. The knob body 211 is disposed in the knob housing 212. The bending device 200 and other components of the insertion portion control device 100 are supported by the knob housing 212. Optionally, the bending knob 210 also includes a slip ring, and the knob body 211 can be rotatably mounted on the first mounting portion 125, etc. through the slip ring to reduce friction.
可选地,拨轮机构220包括挡板224、绕线拨轮221、限位旋钮223以及内绕线轮222,内绕线轮222通过螺纹件如螺钉等设于绕线拨轮221的远端侧,限位旋钮223通过螺纹件如螺钉等固定于绕线拨轮221的远端侧,并位于内绕线轮222的径向外侧。限位旋钮223用于限制绕线拨轮221的转动角度,从而限制弯曲部的弯曲角度。限位旋钮223具有限位部2231,抬钳机构130的抬钳机架131具有配合部1311,调弯旋钮210带动绕线拨轮221及限位旋钮223转动一定角度后,限位部2231抵接配合部1311,此时,限位旋钮223通过限位部2231与配合部1311的止挡配合能够限制绕线拨轮221的继续转动,从而实现调弯旋钮210转动一定角度后的限位,避免弯曲部过度弯曲。Optionally, the dial mechanism 220 includes a baffle 224, a winding dial 221, a limit knob 223, and an inner winding wheel 222, wherein the inner winding wheel 222 is disposed on the distal end of the winding dial 221 through a threaded member such as a screw, and the limit knob 223 is fixed to the distal end of the winding dial 221 through a threaded member such as a screw, and is located radially outward of the inner winding wheel 222. The limit knob 223 is used to limit the rotation angle of the winding dial 221, thereby limiting the bending angle of the bending portion. The limit knob 223 has a limit portion 2231, and the jaw lifting frame 131 of the jaw lifting mechanism 130 has a matching portion 1311. After the bending adjustment knob 210 drives the winding dial 221 and the limit knob 223 to rotate a certain angle, the limit portion 2231 abuts against the matching portion 1311. At this time, the limit knob 223 can limit the continued rotation of the winding dial 221 through the stop cooperation between the limit portion 2231 and the matching portion 1311, thereby achieving the limitation of the bending adjustment knob 210 after rotating a certain angle to avoid excessive bending of the bending portion.
可选地,限位部2231为限位凸起,配合部1311为与限位凸起配合的配合凸起或限位凹槽。挡板224设于绕线拨轮221的近端侧,并通过螺纹件如螺钉等固定于调弯旋钮210。拉绳226绕过内绕线轮222的线槽后绕设于绕线拨轮221的线槽伸出。调弯旋钮210转动时能够带动绕线拨轮221同步转动,进而绕线拨轮221能够缠绕或释放拉绳226。可选地,拨轮机构220还包括胶垫挡圈225,胶垫挡圈225设于挡板224与绕线拨轮221之间。可选地,胶垫挡圈225通过胶粘方式等固定到挡板224。Optionally, the limiting portion 2231 is a limiting protrusion, and the matching portion 1311 is a matching protrusion or a limiting groove that matches the limiting protrusion. The baffle 224 is arranged on the proximal side of the winding dial wheel 221 and is fixed to the bending adjustment knob 210 by a threaded member such as a screw. The pull rope 226 passes around the wire groove of the inner winding wheel 222 and then extends out of the wire groove arranged on the winding dial wheel 221. When the bending adjustment knob 210 is rotated, it can drive the winding dial wheel 221 to rotate synchronously, so that the winding dial wheel 221 can wind or release the pull rope 226. Optionally, the dial wheel mechanism 220 also includes a rubber pad retaining ring 225, which is arranged between the baffle 224 and the winding dial wheel 221. Optionally, the rubber pad retaining ring 225 is fixed to the baffle 224 by gluing or the like.
参见图1至图5、图11至图14、图18至图21,在一实施例中,插入部控制装置100包括旋拧机构110、锁紧机构120以及抬钳机构130。旋拧机构110可转动设于调弯装置200的调弯旋钮210。锁紧机构120与旋拧机构110同轴设置,并可随旋拧机构110运动,锁紧机构120位于调弯旋钮210与调弯装置200的拨轮机构220之间,其中,锁紧机构120包括锁定轮121、松紧轮122、第一锁定件123以及第二锁定件124,锁定轮121设于调弯旋钮210的远端,松紧轮122同轴设于旋拧机构110,并可转动设于锁定轮121中,第一锁定件123设于锁定轮121的远端,第二锁定件124设于拨轮机构220的近端,并与第一锁定件123相对设置。抬钳机构130与旋拧机构110同轴设置,并可随旋拧机构110运动,抬钳机构130位于拨轮机构220的远端,并用于连接抬钳器的近端。旋拧机构110处于放松位置时,第一锁定件123与第二锁定件124沿轴向存在预设间距;旋拧机构110处于锁定位置时,旋拧机构110驱动松紧轮122相对于锁定轮121转动,并沿轴向移动,使第一锁定件123抵压第二锁定件124以锁定调弯旋钮210;旋拧机构110处于抬钳位置时,第一锁定件123保持抵压第二锁定件124的状态,旋拧机构110能够驱动抬钳机构130转动以驱动抬钳器执行抬钳动作。1 to 5 , 11 to 14 , and 18 to 21 , in one embodiment, the insertion portion control device 100 includes a screwing mechanism 110 , a locking mechanism 120 , and a forceps lifting mechanism 130 . The screwing mechanism 110 can rotate a bending knob 210 disposed on the bending adjustment device 200 . The locking mechanism 120 is coaxially arranged with the screwing mechanism 110 and can move with the screwing mechanism 110. The locking mechanism 120 is located between the bending knob 210 and the dial mechanism 220 of the bending adjustment device 200, wherein the locking mechanism 120 includes a locking wheel 121, an elastic wheel 122, a first locking member 123 and a second locking member 124. The locking wheel 121 is arranged at the distal end of the bending knob 210, the elastic wheel 122 is coaxially arranged in the screwing mechanism 110 and can be rotatably arranged in the locking wheel 121, the first locking member 123 is arranged at the distal end of the locking wheel 121, and the second locking member 124 is arranged at the proximal end of the dial mechanism 220 and is arranged opposite to the first locking member 123. The forceps lifting mechanism 130 is coaxially arranged with the screwing mechanism 110 and can move with the screwing mechanism 110. The forceps lifting mechanism 130 is located at the distal end of the dial mechanism 220 and is used to connect the proximal end of the forceps lifting device. When the screwing mechanism 110 is in the relaxed position, there is a preset distance between the first locking member 123 and the second locking member 124 in the axial direction; when the screwing mechanism 110 is in the locked position, the screwing mechanism 110 drives the tension wheel 122 to rotate relative to the locking wheel 121 and move axially, so that the first locking member 123 presses against the second locking member 124 to lock the bending adjustment knob 210; when the screwing mechanism 110 is in the clamp lifting position, the first locking member 123 maintains the state of pressing against the second locking member 124, and the screwing mechanism 110 can drive the clamp lifting mechanism 130 to rotate to drive the clamp lifting device to perform the clamp lifting action.
旋拧机构110为插入部控制装置100的操作部件,旋拧机构110设于调弯旋钮210的近端,锁紧机构120为实现调弯旋钮210锁定的部件,锁紧机构120设于调弯旋钮210与拨轮机构220之间,抬钳机构130为控制抬钳器执行抬钳动作的部件,抬钳机构130设于拨轮机构220远离锁紧机构120的一侧,抬钳机构130与抬钳器的近端连接。旋拧机构110与锁紧机构120、抬钳机构130同轴设置,旋拧机构110转动时能够带动锁紧机构120与抬钳机构130同步运动,使得锁紧机构120在锁定调弯旋钮210之后,能够驱动抬钳机构130控制抬钳器执行抬钳动作,以控制抬钳器抬起的方向。The screwing mechanism 110 is an operating component of the insertion control device 100. The screwing mechanism 110 is arranged at the proximal end of the bending knob 210. The locking mechanism 120 is a component for locking the bending knob 210. The locking mechanism 120 is arranged between the bending knob 210 and the dial mechanism 220. The forceps lifting mechanism 130 is a component for controlling the forceps lifting device to perform the forceps lifting action. The forceps lifting mechanism 130 is arranged on a side of the dial mechanism 220 away from the locking mechanism 120. The forceps lifting mechanism 130 is connected to the proximal end of the forceps lifting device. The screwing mechanism 110 is coaxially arranged with the locking mechanism 120 and the forceps lifting mechanism 130. When the screwing mechanism 110 rotates, it can drive the locking mechanism 120 and the forceps lifting mechanism 130 to move synchronously, so that after the locking mechanism 120 locks the bending knob 210, it can drive the forceps lifting mechanism 130 to control the forceps lifting device to perform the forceps lifting action to control the direction in which the forceps lifting device is lifted.
以图2、图11和图18所示的方向说明旋拧机构110的转动,旋拧机构110具有放松位置(图2)、锁定位置(图11)以及抬钳位置(图18),图2中旋拧机构110处于放松位置,此时,锁紧机构120处于解锁状态,调弯旋钮210可以执行调弯操作,整个插入部控制装置100处于放松状态。旋拧机构110顺时针转动(上拨),从放松位置转动至锁定位置,如图11所示,旋拧机构110带动锁紧机构120同步转动,锁紧机构120能够带动拨轮机构220沿轴向移动,使锁紧机构120锁定调弯旋钮210与拨轮机构220,整个插入部控制装置100处于锁定状态。旋拧机构110继续顺时针转动(上拨),从锁定位置运动至抬钳位置,如图18所示,旋拧机构110带动锁紧机构120同步转动,锁紧机构120保持锁定调弯旋钮210的状态,旋拧机构110还驱动抬钳机构130运动,以使抬钳机构130控制抬钳器执行抬钳动作。需要说明的是,抬钳器的复位与调弯旋钮210的解锁为上述过程的逆过程,旋拧机构110逆时针转动(下抬),后文将不再赘述。The rotation of the screwing mechanism 110 is described in the directions shown in FIG. 2, FIG. 11 and FIG. 18. The screwing mechanism 110 has a relaxed position (FIG. 2), a locked position (FIG. 11) and a forceps lifting position (FIG. 18). In FIG. 2, the screwing mechanism 110 is in the relaxed position. At this time, the locking mechanism 120 is in an unlocked state, the bending knob 210 can perform a bending operation, and the entire insertion portion control device 100 is in a relaxed state. The screwing mechanism 110 rotates clockwise (upward) from the relaxed position to the locked position. As shown in FIG. 11, the screwing mechanism 110 drives the locking mechanism 120 to rotate synchronously. The locking mechanism 120 can drive the dial mechanism 220 to move axially, so that the locking mechanism 120 locks the bending knob 210 and the dial mechanism 220, and the entire insertion portion control device 100 is in a locked state. The screwing mechanism 110 continues to rotate clockwise (upward), moving from the locked position to the pliers lifting position, as shown in FIG18 , the screwing mechanism 110 drives the locking mechanism 120 to rotate synchronously, the locking mechanism 120 keeps the state of locking the bending adjustment knob 210, and the screwing mechanism 110 also drives the pliers lifting mechanism 130 to move, so that the pliers lifting mechanism 130 controls the pliers lifting device to perform the pliers lifting action. It should be noted that the resetting of the pliers lifting device and the unlocking of the bending adjustment knob 210 are the reverse processes of the above process, and the screwing mechanism 110 rotates counterclockwise (downward lifting), which will not be described in detail later.
具体的,锁定轮121呈中空设置,锁定轮121固定设于调弯旋钮210的远端侧,松紧轮122可转动设于锁定轮121中,旋拧机构110同轴连接松紧轮122,并可驱动松紧轮122在锁定轮121中转动,旋拧机构110还穿设拨轮机构220连接抬钳机构130。第一锁定件123与第二锁定件124为实现调弯旋钮210锁定的部件,第一锁定件123设于锁定轮121朝向拨轮机构220的表面,第二锁定件124设于拨轮机构220的挡板224朝向锁定轮121的表面。Specifically, the locking wheel 121 is hollow and fixedly disposed at the distal end of the bending knob 210. The tension wheel 122 is rotatably disposed in the locking wheel 121. The screwing mechanism 110 is coaxially connected to the tension wheel 122 and can drive the tension wheel 122 to rotate in the locking wheel 121. The screwing mechanism 110 is also penetrated by a dial mechanism 220 to connect the pliers lifting mechanism 130. The first locking member 123 and the second locking member 124 are components for locking the bending knob 210. The first locking member 123 is disposed on the surface of the locking wheel 121 facing the dial mechanism 220, and the second locking member 124 is disposed on the surface of the baffle 224 of the dial mechanism 220 facing the locking wheel 121.
锁定轮121带动第一锁定件123沿轴向移动,以使第一锁定件123抵压第二锁定件124后,第一锁定件123与第二锁定件124的配合能够锁定调弯旋钮210与拨轮机构220。可以理解的,调弯旋钮210驱动拨轮机构220转动以调节弯曲部的弯曲角度后,通过第一锁定件123抵压第二锁定件124的方式锁定调弯旋钮210与拨轮机构220,以使弯曲部保持预定的弯曲角度。如图2至图5所示,插入部控制装置100处于放松状态时,旋拧机构110处于放松位置,此时,第一锁定件123与第二锁定件124在轴向上存在一定的间距,调弯旋钮210可以驱动拨轮机构220控制弯曲部弯曲(即插入部远端弯曲,后文将不再提及)。The locking wheel 121 drives the first locking member 123 to move axially, so that after the first locking member 123 presses against the second locking member 124, the cooperation between the first locking member 123 and the second locking member 124 can lock the bending knob 210 and the dial mechanism 220. It can be understood that after the bending knob 210 drives the dial mechanism 220 to rotate to adjust the bending angle of the bending portion, the bending knob 210 and the dial mechanism 220 are locked by the first locking member 123 pressing against the second locking member 124, so that the bending portion maintains a predetermined bending angle. As shown in Figures 2 to 5, when the insertion portion control device 100 is in a relaxed state, the screwing mechanism 110 is in a relaxed position. At this time, there is a certain distance between the first locking member 123 and the second locking member 124 in the axial direction, and the bending knob 210 can drive the dial mechanism 220 to control the bending of the bending portion (i.e., the bending of the distal end of the insertion portion, which will not be mentioned later).
如图11至图14所示,当弯曲部弯曲至所需后,医生(用户)顺时针操作旋拧机构110运动至锁定位置,旋拧机构110能够带动松紧轮122在锁定轮121中转动,锁定轮121对松紧轮122的转动限位,使得锁定轮121能够沿轴向朝向远端移动,进而锁定轮121能够带动调弯旋钮210沿轴向朝向远端移动,第一锁定件123逐渐靠近第二锁定件124并抵压第二锁定件124,以压紧拨轮机构220的绕线拨轮221,使绕线拨轮221的转动受限或不能转动,从而使调弯旋钮210不能进行调弯,实现锁定调弯旋钮210与拨轮机构220。As shown in Figures 11 to 14, when the bending portion is bent to the required position, the doctor (user) operates the screwing mechanism 110 clockwise to move it to the locking position, and the screwing mechanism 110 can drive the tension wheel 122 to rotate in the locking wheel 121. The locking wheel 121 limits the rotation of the tension wheel 122, so that the locking wheel 121 can move axially toward the distal end, and then the locking wheel 121 can drive the bending adjustment knob 210 to move axially toward the distal end, and the first locking piece 123 gradually approaches the second locking piece 124 and presses the second locking piece 124 to press the winding dial wheel 221 of the dial mechanism 220, so that the rotation of the winding dial wheel 221 is restricted or cannot be rotated, so that the bending adjustment knob 210 cannot be bent, thereby locking the bending adjustment knob 210 and the dial mechanism 220.
调弯旋钮210转动受限或不能转动以使弯曲部保持预定的弯曲状态,整个插入部控制装置100处于锁定状态。这里的转动受限或不能转动是指,调弯旋钮210锁定后,调弯旋钮210转动所需的阻力较大,不会出现误操作的情况,以使弯曲部能够保持预定的状态。随后,如图18至图21所示,医生顺时针操作旋拧机构110运动至抬钳位置,旋拧机构110能够带动松紧轮122在锁定轮121中同步转动,此种情况下,第一锁定件123保持抵压第二锁定件124的状态,同时,旋拧机构110能够带动抬钳机构130同步运动,以使抬钳机构130控制抬钳器执行抬钳动作,整个插入部控制装置100处于抬钳状态。The bending knob 210 is limited in rotation or cannot be rotated so that the bending portion maintains a predetermined bending state, and the entire insertion portion control device 100 is in a locked state. The limited rotation or inability to rotate here means that after the bending knob 210 is locked, the resistance required for the bending knob 210 to rotate is large, and there will be no misoperation, so that the bending portion can maintain a predetermined state. Subsequently, as shown in Figures 18 to 21, the doctor operates the screwing mechanism 110 clockwise to move to the forceps lifting position, and the screwing mechanism 110 can drive the tension wheel 122 to rotate synchronously in the locking wheel 121. In this case, the first locking member 123 maintains a state of pressing against the second locking member 124. At the same time, the screwing mechanism 110 can drive the forceps lifting mechanism 130 to move synchronously, so that the forceps lifting mechanism 130 controls the forceps lifting device to perform the forceps lifting action, and the entire insertion portion control device 100 is in the forceps lifting state.
值得说明的是,旋拧机构110运动至锁定状态的过程中,旋拧机构110能够驱动抬钳机构130同步转动,但是,此种情况下,抬钳机构130不会控制抬钳器执行抬钳动作,只有在调弯旋钮210锁定之后,抬钳机构130才能够驱动抬钳器执行抬钳动作。也就是说,本申请的插入部控制装置100控制抬钳器执行抬钳动作时,先通过锁定轮121与松紧轮122的配合使第二锁定件124与第一锁定件123锁定调弯旋钮210与拨轮机构220,随后,再控制抬钳器执行抬钳动作。It is worth noting that when the screwing mechanism 110 moves to the locked state, the screwing mechanism 110 can drive the forceps lifting mechanism 130 to rotate synchronously. However, in this case, the forceps lifting mechanism 130 will not control the forceps lifting device to perform the forceps lifting action. Only after the bending knob 210 is locked, the forceps lifting mechanism 130 can drive the forceps lifting device to perform the forceps lifting action. In other words, when the insertion portion control device 100 of the present application controls the forceps lifting device to perform the forceps lifting action, the second locking member 124 and the first locking member 123 are first locked by the cooperation of the locking wheel 121 and the tension wheel 122 to lock the bending knob 210 and the dial mechanism 220, and then the forceps lifting device is controlled to perform the forceps lifting action.
上述实施例的插入部控制装置100,集成调弯装置200的锁定功能与抬钳器的抬钳功能,以确保先锁定调弯旋钮210才能够进行抬钳器控制的操作顺序,这样在进行抬钳操作时弯曲部能够保持弯曲状态,从而保证操作抬钳器时手术的精准与安全,使得整个手术过程更加安全可靠。同时,调弯装置200调弯完成后,单独操作旋拧机构110即可锁定调弯旋钮210,再继续操作旋拧机构110可以控制抬钳器执行抬钳操作,如此,医生仅凭单手便能轻松使用,提升人机交互的便捷性和舒适度,缩短手术时间,提高手术效率,尽可能降低因手术时间长造成患者的痛苦。The insertion control device 100 of the above-mentioned embodiment integrates the locking function of the bending device 200 and the lifting function of the forceps lifting device to ensure that the bending knob 210 must be locked before the lifting device can be controlled. In this way, the bending portion can remain bent during the lifting operation, thereby ensuring the accuracy and safety of the operation during the operation of the lifting device, making the entire operation safer and more reliable. At the same time, after the bending device 200 has completed the bending, the bending knob 210 can be locked by operating the screwing mechanism 110 alone, and the lifting device can be controlled to perform the lifting operation by continuing to operate the screwing mechanism 110. In this way, the doctor can use it easily with only one hand, thereby improving the convenience and comfort of human-computer interaction, shortening the operation time, improving the operation efficiency, and minimizing the pain of the patient caused by the long operation time.
参见图1,在一实施例中,锁紧机构120还包括第一安装部125,第一安装部125设于调弯旋钮210的远端侧,锁定轮121固定于第一安装部125。第一安装部125为锁紧机构120的安装壳体,通过第一安装部125承载锁紧机构120的相应结构与拨轮机构220,以对锁紧机构120及拨轮机构220进行支撑,同时,第一安装部125还能够安装到旋钮壳体212。可选地,第一安装部125为安装板。可选地,第一安装部125呈中空设置,第一安装部125的边缘固定到旋钮壳体212,第一安装部125的中部区域供旋钮主体211的转动轴穿过。Referring to FIG. 1 , in one embodiment, the locking mechanism 120 further includes a first mounting portion 125, which is disposed at the distal end of the bending knob 210, and the locking wheel 121 is fixed to the first mounting portion 125. The first mounting portion 125 is a mounting housing of the locking mechanism 120, and the first mounting portion 125 carries the corresponding structure of the locking mechanism 120 and the dial mechanism 220 to support the locking mechanism 120 and the dial mechanism 220, and the first mounting portion 125 can also be mounted to the knob housing 212. Optionally, the first mounting portion 125 is a mounting plate. Optionally, the first mounting portion 125 is hollow, and the edge of the first mounting portion 125 is fixed to the knob housing 212, and the middle area of the first mounting portion 125 is for the rotation axis of the knob body 211 to pass through.
参见图1至图4,在一实施例中,旋拧机构110包括旋钮外壳111、抬钳旋钮112以及连接轴113,抬钳旋钮112连接于连接轴113,旋钮外壳111罩设连接抬钳旋钮112,并可驱动抬钳旋钮112带动连接轴113绕轴向转动,连接轴113还连接松紧轮122与抬钳机构130。连接轴113为旋拧机构110的转轴,连接轴113沿轴向延伸。连接轴113穿设调弯旋钮210连接松紧轮122、穿设拨轮机构220连接抬钳机构130。旋钮外壳111为旋拧机构110的操作壳体,抬钳旋钮112设于旋钮外壳111中,并固定设于连接轴113。Referring to FIGS. 1 to 4 , in one embodiment, the screwing mechanism 110 includes a knob housing 111, a forceps lifting knob 112, and a connecting shaft 113. The forceps lifting knob 112 is connected to the connecting shaft 113. The knob housing 111 is provided with a connection to the forceps lifting knob 112, and can drive the forceps lifting knob 112 to drive the connecting shaft 113 to rotate around the axial direction. The connecting shaft 113 also connects the tension wheel 122 and the forceps lifting mechanism 130. The connecting shaft 113 is the rotating shaft of the screwing mechanism 110, and the connecting shaft 113 extends in the axial direction. The connecting shaft 113 is provided with a bending adjustment knob 210 to connect the tension wheel 122, and a dial mechanism 220 to connect the forceps lifting mechanism 130. The knob housing 111 is the operating housing of the screwing mechanism 110, and the forceps lifting knob 112 is provided in the knob housing 111 and fixedly provided on the connecting shaft 113.
医生操作旋钮外壳111时,旋钮外壳111能够通过抬钳旋钮112带动连接轴113转动,以使连接轴113带动松紧轮122与抬钳机构130相对于调弯旋钮210与拨轮机构220转动。值得说明的是,旋钮外壳111的结构形式原则上不受限制,只要旋钮外壳111能够便于医生操作即可。可选地,旋钮外壳111具有凸出部,以便于医生握持。When the doctor operates the knob housing 111, the knob housing 111 can drive the connecting shaft 113 to rotate through the forceps lifting knob 112, so that the connecting shaft 113 drives the tension wheel 122 and the forceps lifting mechanism 130 to rotate relative to the bending knob 210 and the dial mechanism 220. It is worth noting that the structural form of the knob housing 111 is not limited in principle, as long as the knob housing 111 can be easily operated by the doctor. Optionally, the knob housing 111 has a protrusion to facilitate the doctor's grip.
在一实施例中,第一锁定件123与第二锁定件124中的至少一者采用柔性材料制成。也就是说,第一锁定件123与第二锁定件124中的至少一为柔性件。如此,第一锁定件123抵压第二锁定件124后,通过抵压变形能够增加接触力,以压紧拨轮机构220,从而实现调弯旋钮210与拨轮机构220的锁定。In one embodiment, at least one of the first locking member 123 and the second locking member 124 is made of a flexible material. In other words, at least one of the first locking member 123 and the second locking member 124 is a flexible member. In this way, after the first locking member 123 presses against the second locking member 124, the contact force can be increased by pressing and deforming to press the dial mechanism 220, thereby achieving the locking of the bending knob 210 and the dial mechanism 220.
示例性地,第二锁定件124为手感垫片,手感垫片设于绕线拨轮221。该调弯旋钮210转动时,通过该手感垫片能够产生触动感,以便于医生知晓调弯旋钮210大致的转动角度。示例性地,第一锁定件123为滑片。当然,在本申请的其他实施方式中,第一锁定件123与第二锁定件124还可为垫片或者其他能够实现抵压锁定的结构形式。Exemplarily, the second locking member 124 is a hand-feeling gasket, which is arranged on the winding dial 221. When the bending knob 210 is rotated, a touch sense can be generated through the hand-feeling gasket, so that the doctor can know the approximate rotation angle of the bending knob 210. Exemplarily, the first locking member 123 is a sliding plate. Of course, in other embodiments of the present application, the first locking member 123 and the second locking member 124 can also be gaskets or other structural forms that can achieve pressure locking.
可选地,第一锁定件123通过胶粘方式固定于锁定轮121,第二锁定件124通过胶粘方式固定于绕线拨轮221,以保证第一锁定件123与第二锁定件124可靠锁定。可选地,胶粘方式为AB胶或者其他类型的胶体。当然,在本申请的其他实施方式中,第一锁定件123还可通过螺纹件、过盈配合等方式固定到锁定轮121,第二锁定件124还可通过螺纹件、过盈配合等方式固定于绕线拨轮221。Optionally, the first locking member 123 is fixed to the locking wheel 121 by gluing, and the second locking member 124 is fixed to the winding dial 221 by gluing, so as to ensure that the first locking member 123 and the second locking member 124 are reliably locked. Optionally, the gluing method is AB glue or other types of colloids. Of course, in other embodiments of the present application, the first locking member 123 can also be fixed to the locking wheel 121 by means of a threaded member, an interference fit, etc., and the second locking member 124 can also be fixed to the winding dial 221 by means of a threaded member, an interference fit, etc.
在一实施例中,第一锁定件123与第二锁定件124中的至少一者呈环形设置。第一锁定件123与第二锁定件124均为环形,并同轴对应设置,以增加第一锁定件123与第二锁定件124的接触面积,保证锁定效果。当然,在本申请的其他实施方式中,也可第一锁定件123与第二锁定件124中的一个呈环形设置或者其他形状设置,只要能够保证有足够的接触面积即可。In one embodiment, at least one of the first locking member 123 and the second locking member 124 is arranged in an annular shape. The first locking member 123 and the second locking member 124 are both annular and coaxially arranged to increase the contact area between the first locking member 123 and the second locking member 124 to ensure the locking effect. Of course, in other embodiments of the present application, one of the first locking member 123 and the second locking member 124 may also be arranged in an annular shape or other shapes, as long as sufficient contact area can be ensured.
参见图1至图5、图11至图14、图18至图21,在一实施例中,锁定轮121具有第一锁紧槽1211与第二锁紧槽1212,第二锁紧槽1212沿周向布置,第一锁紧槽1211的一端与第二锁紧槽1212连通,第一锁紧槽1211的另一端相对于第二锁紧槽1212向远端倾斜;松紧轮122的外周面具有凸出设置的滑动部1221,滑动部1221可在第一锁紧槽1211与第二锁紧槽1212中滑动。Referring to Figures 1 to 5, 11 to 14, and 18 to 21, in one embodiment, the locking wheel 121 has a first locking groove 1211 and a second locking groove 1212, the second locking groove 1212 is arranged along the circumferential direction, one end of the first locking groove 1211 is connected to the second locking groove 1212, and the other end of the first locking groove 1211 is inclined toward the distal end relative to the second locking groove 1212; the outer peripheral surface of the tension wheel 122 has a protruding sliding portion 1221, and the sliding portion 1221 can slide in the first locking groove 1211 and the second locking groove 1212.
第一锁紧槽1211与第二锁紧槽1212位于锁定轮121的内周面,滑动部1221位于松紧轮122的外周面。松紧轮122可转动安装于锁定轮121后,滑动部1221与第一锁紧槽1211及第二锁紧槽1212相对设置,且滑动部1221可在第一锁紧槽1211与第二锁紧槽1212中滑动。值得说明的是,松紧轮122的半径方向为径向,圆周方向为周向,该径向与周向对内窥镜的其他部件也适用,后文将不再赘述。The first locking groove 1211 and the second locking groove 1212 are located on the inner circumference of the locking wheel 121, and the sliding portion 1221 is located on the outer circumference of the tension wheel 122. After the tension wheel 122 is rotatably mounted on the locking wheel 121, the sliding portion 1221 is arranged opposite to the first locking groove 1211 and the second locking groove 1212, and the sliding portion 1221 can slide in the first locking groove 1211 and the second locking groove 1212. It is worth noting that the radial direction of the tension wheel 122 is the radial direction, and the circumferential direction is the circumferential direction. The radial direction and circumferential direction are also applicable to other components of the endoscope, which will not be repeated in the following text.
第二锁紧槽1212沿周向布置,第一锁紧槽1211的一端连通第二锁紧槽1212,第一锁紧槽1211的另一端朝向远离第二锁紧槽1212的方向延伸,而且,第一锁紧槽1211的另一端还朝向近端倾斜。也就是说,第一锁紧槽1211相对于第二锁紧槽1212朝向近端倾斜设置,第一锁紧槽1211为斜槽,第二锁紧槽1212为平槽,滑动部1221沿第一锁紧槽1211滑动时能够推动锁定轮121沿轴向移动,滑动部1221在第二锁紧槽1212中滑动时不会推动锁定轮121沿轴向移动。The second locking groove 1212 is arranged along the circumferential direction, one end of the first locking groove 1211 is connected to the second locking groove 1212, and the other end of the first locking groove 1211 extends in a direction away from the second locking groove 1212, and the other end of the first locking groove 1211 is also inclined toward the proximal end. In other words, the first locking groove 1211 is inclined toward the proximal end relative to the second locking groove 1212, the first locking groove 1211 is an oblique groove, and the second locking groove 1212 is a flat groove. When the sliding part 1221 slides along the first locking groove 1211, it can push the locking wheel 121 to move axially, and when the sliding part 1221 slides in the second locking groove 1212, it will not push the locking wheel 121 to move axially.
插入部控制装置100处于放松状态时,滑动部1221位于第一锁紧槽1211远离第二锁紧槽1212的一端,如图4和图5所示。旋拧机构110从放松位置转动至锁定位置,插入部控制装置100处于锁定状态,滑动部1221沿第一锁紧槽1211朝向第二锁紧槽1212滑动。由于第一锁紧槽1211向近端倾斜,滑动部1221滑动时能够抵接第一锁紧槽1211远端侧的内壁,并推动锁定轮121朝向远端沿轴向移动,进而锁定轮121能够带动调弯旋钮210沿轴向移动,使锁定轮121上的第一锁定件123抵压拨轮机构220的第二锁定件124,以压紧拨轮机构220,使调弯旋钮210处于锁定状态,此时,滑动部1221滑动至第一锁紧槽1211与第二锁紧槽1212的连接处,如图13和图14所示。When the insertion control device 100 is in a relaxed state, the sliding portion 1221 is located at an end of the first locking groove 1211 away from the second locking groove 1212, as shown in Figures 4 and 5. The screwing mechanism 110 rotates from the relaxed position to the locked position, the insertion control device 100 is in a locked state, and the sliding portion 1221 slides along the first locking groove 1211 toward the second locking groove 1212. Since the first locking groove 1211 is inclined toward the proximal end, the sliding portion 1221 can abut against the inner wall of the distal end side of the first locking groove 1211 when sliding, and push the locking wheel 121 to move axially toward the distal end, so that the locking wheel 121 can drive the bending knob 210 to move axially, so that the first locking piece 123 on the locking wheel 121 presses against the second locking piece 124 of the dial mechanism 220 to press the dial mechanism 220, so that the bending knob 210 is in a locked state. At this time, the sliding portion 1221 slides to the connection between the first locking groove 1211 and the second locking groove 1212, as shown in Figures 13 and 14.
当旋拧机构110从锁定位置转动至抬钳位置,插入部控制装置100处于抬钳状态,滑动部1221从第一锁紧槽1211与第二锁紧槽1212的连接处滑动至第二锁紧槽1212中,并在第二锁紧槽1212中滑动。由于第二锁紧槽1212沿周向布置,滑动部1221在第二锁紧槽1212中滑动时能够使第一锁定件123保持抵压第二锁定件124的状态,以保持锁定调弯旋钮210,如图20和图21所示。同时,旋拧机构110转动时能够驱动抬钳机构130运动,以使抬钳机构130执行抬钳动作。When the screwing mechanism 110 rotates from the locking position to the clamp lifting position, the insertion portion control device 100 is in the clamp lifting state, and the sliding portion 1221 slides from the connection between the first locking groove 1211 and the second locking groove 1212 to the second locking groove 1212, and slides in the second locking groove 1212. Since the second locking groove 1212 is arranged along the circumferential direction, when the sliding portion 1221 slides in the second locking groove 1212, the first locking member 123 can be kept pressed against the second locking member 124 to keep the bending knob 210 locked, as shown in Figures 20 and 21. At the same time, when the screwing mechanism 110 rotates, it can drive the clamp lifting mechanism 130 to move, so that the clamp lifting mechanism 130 performs the clamp lifting action.
可选地,滑动部1221的数量为多个,多个滑动部1221沿松紧轮122的外周每一滑动部1221对应一第一锁紧槽1211与一第二锁紧槽1212。如此,多个滑动部1221在松紧轮122的周向与对应的第一锁紧槽1211及第二锁紧槽1212配合,保证锁定轮121移动的稳定性,从而保证第一锁定件123可靠地抵压第二锁定件124,从而实现调弯旋钮210的可靠锁定。示例性地,滑动部1221的数量为三个,相应的,第一锁紧槽1211与第二锁紧槽1212也均为三个,当然,在本申请的其他实施方式中,滑动部1221的数量也可为其他。可选地,第一锁紧槽1211与第二锁紧槽1212沿径向贯通锁定轮121设置。Optionally, there are multiple sliding parts 1221, and each sliding part 1221 corresponds to a first locking groove 1211 and a second locking groove 1212 along the outer circumference of the tension wheel 122. In this way, the multiple sliding parts 1221 cooperate with the corresponding first locking groove 1211 and second locking groove 1212 in the circumference of the tension wheel 122 to ensure the stability of the movement of the locking wheel 121, thereby ensuring that the first locking member 123 reliably presses the second locking member 124, thereby achieving reliable locking of the bending knob 210. Exemplarily, the number of sliding parts 1221 is three, and correspondingly, the first locking groove 1211 and the second locking groove 1212 are also three. Of course, in other embodiments of the present application, the number of sliding parts 1221 may also be other. Optionally, the first locking groove 1211 and the second locking groove 1212 are arranged to penetrate the locking wheel 121 in the radial direction.
参见图3、图6至图8、图12、图15、图16、图19、图22和图23,在一实施例中,锁紧机构120还包括顶紧件126,顶紧件126设于调弯旋钮210,并位于松紧轮122的径向外侧,顶紧件126可沿径向移动以顶紧松紧轮122的外周面。松紧轮122的外周面还具有凹陷设置的放松槽1222、锁定槽1223以及抬钳槽1224,旋拧机构110转动时顶紧件126的端部可在放松槽1222、锁定槽1223以及抬钳槽1224之间移动。3, 6 to 8, 12, 15, 16, 19, 22 and 23, in one embodiment, the locking mechanism 120 further includes a tightening member 126, which is disposed on the bending knob 210 and is located radially outside the tension wheel 122, and the tightening member 126 can move radially to tighten the outer peripheral surface of the tension wheel 122. The outer peripheral surface of the tension wheel 122 also has a recessed release groove 1222, a locking groove 1223 and a jaw lifting groove 1224, and the end of the tightening member 126 can move between the release groove 1222, the locking groove 1223 and the jaw lifting groove 1224 when the screwing mechanism 110 rotates.
顶紧件126沿径向设于第一安装部125朝向锁定轮121的表面,并且,顶紧件126位于锁定轮121的外侧,顶紧件126能够穿过锁定轮121抵接松紧轮122的外周面。顶紧件126可沿径向移动,以使顶紧件126保持抵接松紧轮122的外周面。通过顶紧件126与松紧轮122的配合能够增加操作抬钳旋钮112时的手感,如此,医生通过感知即可知晓抬钳旋钮112所处的位置。The tensioning member 126 is radially arranged on the surface of the first mounting portion 125 facing the locking wheel 121, and the tensioning member 126 is located outside the locking wheel 121, and the tensioning member 126 can pass through the locking wheel 121 to abut against the outer peripheral surface of the tension wheel 122. The tensioning member 126 can move radially so that the tensioning member 126 keeps abutting against the outer peripheral surface of the tension wheel 122. The cooperation between the tensioning member 126 and the tension wheel 122 can increase the hand feel when operating the forceps lifting knob 112, so that the doctor can know the position of the forceps lifting knob 112 by feeling.
参见图6至图8,放松槽1222、锁定槽1223以及抬钳槽1224沿顺时针方向依次布置。旋拧机构110带动松紧轮122沿顺时针方向转动时,放松槽1222、锁定槽1223以及抬钳槽1224的底壁顺次与顶紧件126抵接。当旋拧机构110处于放松位置时,顶紧件126的端部抵接于放松槽1222,如图6至图8所示。旋拧机构110带动松紧轮122沿顺时针方向转动时,松紧轮122能够挤压顶紧件126,以使顶紧件126移出锁定槽1223,松紧轮122转动时松紧轮122的外周面沿顶紧件126滑动,当锁定槽1223对应顶紧件126后,顶紧件126也能径向弹出,并移入锁定槽1223中,如图15和图16所示,此时,旋拧机构110处于锁定位置。旋拧机构110带动松紧轮122继续沿顺时针方向转动时,顶紧件126能够从锁定槽1223移入抬钳槽1224,并沿抬钳槽1224滑动,此时,旋拧机构110处于抬钳位置,如图22和图23所示。6 to 8, the release groove 1222, the locking groove 1223 and the jaw lifting groove 1224 are sequentially arranged in the clockwise direction. When the screwing mechanism 110 drives the tension wheel 122 to rotate in the clockwise direction, the bottom walls of the release groove 1222, the locking groove 1223 and the jaw lifting groove 1224 sequentially abut against the tensioning member 126. When the screwing mechanism 110 is in the release position, the end of the tensioning member 126 abuts against the release groove 1222, as shown in FIGS. 6 to 8. When the screwing mechanism 110 drives the tension wheel 122 to rotate in the clockwise direction, the tension wheel 122 can squeeze the top member 126 so that the top member 126 moves out of the locking groove 1223. When the tension wheel 122 rotates, the outer peripheral surface of the tension wheel 122 slides along the top member 126. When the locking groove 1223 corresponds to the top member 126, the top member 126 can also be radially ejected and moved into the locking groove 1223, as shown in Figures 15 and 16. At this time, the screwing mechanism 110 is in the locking position. When the screwing mechanism 110 drives the tension wheel 122 to continue to rotate in the clockwise direction, the top member 126 can move from the locking groove 1223 into the jaw lifting groove 1224 and slide along the jaw lifting groove 1224. At this time, the screwing mechanism 110 is in the jaw lifting position, as shown in Figures 22 and 23.
当顶紧件126从放松槽1222移动至锁定槽1223的过程中,顶紧件126的位置发生变化,进而医生能够通过感知(如顶紧件126位置变化产生的声音或抬钳旋钮112的转动力度等)知晓抬钳旋钮112的运动状态,抬钳旋钮112运动至锁定位置。当顶紧件126从锁定槽1223运动至抬钳槽1224的过程中,顶紧件126的位置发生变化,同理,医生能够通过感知知晓抬钳旋钮112的运动状态,抬钳旋钮112运动至抬钳位置。When the tension member 126 moves from the release groove 1222 to the locking groove 1223, the position of the tension member 126 changes, and the doctor can know the movement state of the forceps lifting knob 112 by sensing (such as the sound generated by the position change of the tension member 126 or the rotation force of the forceps lifting knob 112, etc.), and the forceps lifting knob 112 moves to the locking position. When the tension member 126 moves from the locking groove 1223 to the forceps lifting groove 1224, the position of the tension member 126 changes, and the doctor can know the movement state of the forceps lifting knob 112 by sensing, and the forceps lifting knob 112 moves to the forceps lifting position.
可选地,连接轴113与松紧轮122之间固定连接,以使连接轴113能够带动松紧轮122同步转动。可选地,连接轴113的两侧为扁位,与松紧轮122的扁形孔相适配。当然,在本申请的其他实施方式中,连接轴113也可通过键连接或者其他连接方式与松紧轮122固定连接。Optionally, the connecting shaft 113 is fixedly connected to the tension wheel 122, so that the connecting shaft 113 can drive the tension wheel 122 to rotate synchronously. Optionally, the two sides of the connecting shaft 113 are flat, which are adapted to the flat hole of the tension wheel 122. Of course, in other embodiments of the present application, the connecting shaft 113 can also be fixedly connected to the tension wheel 122 by key connection or other connection methods.
在一实施例中,放松槽1222、锁定槽1223以及抬钳槽1224之间设置阻挡部,以避免顶紧件126移出放松槽1222、锁定槽1223以及抬钳槽1224。在一实施例中,抬钳槽1224沿径向的深度小于放松槽1222沿径向的深度,并小于等于锁定槽1223沿径向的深度。如此,顶紧件126在放松槽1222、锁定槽1223以及抬钳槽1224之间运动时,阻挡部能够抵压顶紧件126,使顶紧件126处于不同位置,进而使抬钳旋钮112具有不同的操作手感,便于医生使用。In one embodiment, a blocking portion is provided between the release groove 1222, the locking groove 1223 and the forceps lifting groove 1224 to prevent the pressing member 126 from moving out of the release groove 1222, the locking groove 1223 and the forceps lifting groove 1224. In one embodiment, the radial depth of the forceps lifting groove 1224 is less than the radial depth of the release groove 1222, and is less than or equal to the radial depth of the locking groove 1223. In this way, when the pressing member 126 moves between the release groove 1222, the locking groove 1223 and the forceps lifting groove 1224, the blocking portion can press the pressing member 126, so that the pressing member 126 is in different positions, thereby making the forceps lifting knob 112 have different operating feel, which is convenient for doctors to use.
参见图6、图7、图15、图16,在一实施例中,顶紧件126包括安装座、弹性件以及定位件,安装座设于第一安装部125,弹性件设于安装座中,并抵接安装座与定位件,使定位件的端部抵接松紧轮122的外周面。安装座设于第一安装部125,弹性件的弹性力能够推动定位件沿径向伸出。如此,弹性件的弹性力能够使得定位件沿径向伸出安装座,以保持抵接松紧轮122的外周面。而且,松紧轮122转动时,松紧轮122的外周面能够沿定位件滑动。Referring to Fig. 6, Fig. 7, Fig. 15, and Fig. 16, in one embodiment, the tensioning member 126 includes a mounting seat, an elastic member, and a positioning member. The mounting seat is arranged on the first mounting portion 125, and the elastic member is arranged in the mounting seat and abuts against the mounting seat and the positioning member, so that the end of the positioning member abuts against the outer peripheral surface of the tension wheel 122. The mounting seat is arranged on the first mounting portion 125, and the elastic force of the elastic member can push the positioning member to extend radially. In this way, the elastic force of the elastic member can make the positioning member extend radially out of the mounting seat to keep abutting against the outer peripheral surface of the tension wheel 122. Moreover, when the tension wheel 122 rotates, the outer peripheral surface of the tension wheel 122 can slide along the positioning member.
顶紧件126通过端部的定位件抵接松紧轮122的外周面,能够在不影响松紧轮122转动的同时,还能够实现松紧轮122的限位。可选地,定位件呈球形设置。当然,在本申请的其他实施方式中,定位件也可具有球形面。可选地,顶紧件126为柱塞。可选地,弹性件为弹簧、弹性柱等等。The tensioning member 126 abuts against the outer peripheral surface of the tension wheel 122 through the positioning member at the end, and can limit the tension wheel 122 without affecting the rotation of the tension wheel 122. Optionally, the positioning member is spherical. Of course, in other embodiments of the present application, the positioning member may also have a spherical surface. Optionally, the tensioning member 126 is a plunger. Optionally, the elastic member is a spring, an elastic column, etc.
在一实施例中,顶紧件126的数量为多个,多个顶紧件126沿周向均匀分布。多个顶紧件126沿松紧轮122的周向均匀分布在第一安装部125,以保证松紧轮122受力均匀。可选地,锁定轮121具有避让位,顶紧件126穿过避让位抵接松紧轮122的外周面。In one embodiment, there are multiple tension members 126, and the multiple tension members 126 are evenly distributed along the circumference. The multiple tension members 126 are evenly distributed on the first mounting portion 125 along the circumference of the tension wheel 122 to ensure that the tension wheel 122 is evenly stressed. Optionally, the locking wheel 121 has an avoidance position, and the tension member 126 passes through the avoidance position to abut against the outer circumference of the tension wheel 122.
参见图1、图3、图9、图10、图12、图17、图19和图24,在一实施例中,抬钳机构130包括抬钳机架131、滑动组件133以及转动件132,抬钳机架131设于拨轮机构220的远端,转动件132设于旋拧机构110,并可转动设于抬钳机架131,滑动组件133可滑动设于抬钳机架131,并连接抬钳器的近端,转动件132的输出端连接滑动组件133,并驱动滑动组件133移动。抬钳机架131为抬钳机构130的安装壳体,抬钳机架131固定到拨轮机构220的远端侧,抬钳机架131能够承载转动件132与滑动组件133。Referring to Fig. 1, Fig. 3, Fig. 9, Fig. 10, Fig. 12, Fig. 17, Fig. 19 and Fig. 24, in one embodiment, the forceps lifting mechanism 130 includes a forceps lifting frame 131, a sliding assembly 133 and a rotating member 132, the forceps lifting frame 131 is arranged at the distal end of the dial mechanism 220, the rotating member 132 is arranged at the screwing mechanism 110 and can be rotatably arranged on the forceps lifting frame 131, the sliding assembly 133 can be slidably arranged on the forceps lifting frame 131 and connected to the proximal end of the forceps lifting device, the output end of the rotating member 132 is connected to the sliding assembly 133, and drives the sliding assembly 133 to move. The forceps lifting frame 131 is a mounting housing of the forceps lifting mechanism 130, the forceps lifting frame 131 is fixed to the distal side of the dial mechanism 220, and the forceps lifting frame 131 can carry the rotating member 132 and the sliding assembly 133.
转动件132为抬钳机构130运动的输入部件,滑动组件133为抬钳机构130运动的输出部件,滑动组件133的输出端连接抬钳器的近端。连接轴113从抬钳机架131伸出,连接轴113固定连接转动件132,滑动组件133的输入端连接转动件132,滑动组件133的输出端与连接绳的一端连接,连接绳的另一端连接抬钳器。旋拧机构110转动时能够驱动连接轴113带动转动件132同步转动,转动件132能够相对于抬钳机架131绕连接轴113的中轴线转动。The rotating member 132 is the input component of the lifting mechanism 130, and the sliding assembly 133 is the output component of the lifting mechanism 130. The output end of the sliding assembly 133 is connected to the proximal end of the lifting device. The connecting shaft 113 extends from the lifting frame 131, and the connecting shaft 113 is fixedly connected to the rotating member 132. The input end of the sliding assembly 133 is connected to the rotating member 132, and the output end of the sliding assembly 133 is connected to one end of the connecting rope, and the other end of the connecting rope is connected to the lifting device. When the screwing mechanism 110 rotates, it can drive the connecting shaft 113 to drive the rotating member 132 to rotate synchronously, and the rotating member 132 can rotate around the central axis of the connecting shaft 113 relative to the lifting frame 131.
转动件132转动时,由于滑动组件133的限位作用,能够使滑动组件133输出移动运动,从而滑动组件133能够驱动连接绳带动抬钳器运动,以执行抬钳动作,控制抬钳器抬起的方向。转动件132与滑动组件133形成凸轮机构,凸轮机构处于回程运动时,滑动组件133处于非工作状态,滑动组件133不会驱动抬钳器动作,凸轮机构处于推程运动时,滑动组件133处于工作状态,能够驱动抬钳器动作。When the rotating member 132 rotates, due to the limiting effect of the sliding assembly 133, the sliding assembly 133 can output a moving motion, so that the sliding assembly 133 can drive the connecting rope to drive the forceps lifting device to move, so as to perform the forceps lifting action and control the lifting direction of the forceps lifting device. The rotating member 132 and the sliding assembly 133 form a cam mechanism. When the cam mechanism is in a return motion, the sliding assembly 133 is in a non-working state, and the sliding assembly 133 will not drive the forceps lifting device to move. When the cam mechanism is in a push motion, the sliding assembly 133 is in a working state and can drive the forceps lifting device to move.
参见图9、图10、图17和图24,在一实施例中,转动件132具有沿周向布置并连通的第一转动槽1321与第二转动槽1322,滑动组件133的端部可滑动设于第一转动槽1321与第二转动槽1322中。第二转动槽1322的半径大于第一转动槽1321的半径,滑动组件133沿第二转动槽1322移动时,能够使滑动组件133相对于抬钳机架131移动。9, 10, 17 and 24, in one embodiment, the rotating member 132 has a first rotating groove 1321 and a second rotating groove 1322 arranged and connected along the circumferential direction, and the end of the sliding assembly 133 can be slidably disposed in the first rotating groove 1321 and the second rotating groove 1322. The radius of the second rotating groove 1322 is greater than the radius of the first rotating groove 1321, and when the sliding assembly 133 moves along the second rotating groove 1322, the sliding assembly 133 can move relative to the forceps lifting frame 131.
第一转动槽1321与第二转动槽1322连通,旋拧机构110处于放松位置时,滑动组件133的输入端处于第一转动槽1321远离第二转动槽1322的端部,如图9所示。旋拧机构110从放松位置转动至锁定位置,滑动组件133的输入端沿第一转动槽1321滑动,并滑动至第一转动槽1321与第二转动槽1322的连接处,如图17所示。旋拧机构110从锁定位置转动至抬钳位置,滑动组件133的输入端沿第二转动槽1322滑动,如图24所示。The first rotation groove 1321 is connected to the second rotation groove 1322. When the screwing mechanism 110 is in the release position, the input end of the sliding assembly 133 is at the end of the first rotation groove 1321 away from the second rotation groove 1322, as shown in Figure 9. When the screwing mechanism 110 rotates from the release position to the locking position, the input end of the sliding assembly 133 slides along the first rotation groove 1321 and slides to the connection between the first rotation groove 1321 and the second rotation groove 1322, as shown in Figure 17. When the screwing mechanism 110 rotates from the locking position to the clamp lifting position, the input end of the sliding assembly 133 slides along the second rotation groove 1322, as shown in Figure 24.
旋拧机构110从放松位置转动至锁定位置时,旋拧机构110能够通过锁定轮121与松紧轮122的配合驱动第一锁定件123抵压第二锁定件124,以压紧拨轮机构220,实现调弯旋钮210的锁定。在此过程中,滑动组件133的输入端是沿第一转动槽1321滑动的。当旋拧机构110从锁定位置转动至抬钳位置时,第一锁定件123保持抵压第二锁定件124的状态,以使调弯旋钮210保持锁定,在此过程中,滑动组件133的输入端能够从第一转动槽1321滑入第二转动槽1322,并在第二转动槽1322中滑动。When the screwing mechanism 110 rotates from the loose position to the locked position, the screwing mechanism 110 can drive the first locking member 123 to press against the second locking member 124 through the cooperation of the locking wheel 121 and the tension wheel 122, so as to press the dial mechanism 220 and lock the bending knob 210. In this process, the input end of the sliding assembly 133 slides along the first rotation groove 1321. When the screwing mechanism 110 rotates from the locked position to the clamp lifting position, the first locking member 123 keeps pressing against the second locking member 124, so that the bending knob 210 remains locked. In this process, the input end of the sliding assembly 133 can slide from the first rotation groove 1321 into the second rotation groove 1322 and slide in the second rotation groove 1322.
第一转动槽1321对应的圆弧为基圆圆弧,第二转动槽1322对应的圆弧为推程运动圆弧。滑动组件133的输入端在第一转动槽1321中滑动时,滑动组件133不会输出移动运动,进而不会驱动抬钳器执行抬钳动作。当滑动组件133的输入端滑动至第二转动槽1322后,由于第一转动槽1321的半径大于第二转动槽1322的半径,转动件132转动时能够推动滑动组件133移动,以使滑动组件133控制抬钳器执行抬钳动作。The arc corresponding to the first rotating groove 1321 is the base circle arc, and the arc corresponding to the second rotating groove 1322 is the push motion arc. When the input end of the sliding component 133 slides in the first rotating groove 1321, the sliding component 133 will not output the movement, and will not drive the forceps lifting device to perform the forceps lifting action. When the input end of the sliding component 133 slides to the second rotating groove 1322, since the radius of the first rotating groove 1321 is greater than the radius of the second rotating groove 1322, the rotating member 132 can push the sliding component 133 to move when it rotates, so that the sliding component 133 controls the forceps lifting device to perform the forceps lifting action.
可选地,转动件132包括连接部1323与转动部1324,连接部1323的一端设于连接轴113,连接部1323的另一端连接转动部1324,转动部1324呈弧形设置,第一转动槽1321与第二转动槽1322设于转动部1324。如此,旋拧机构110转动时能够驱动连接部1323带动转动部1324同步转动,以实现滑动组件133运动的驱动。可选地,转动件132为摆杆的结构形式。当然,在本申请的其他实施方式中,转动件132也可为扇形或者其他结构形式。Optionally, the rotating member 132 includes a connecting portion 1323 and a rotating portion 1324, one end of the connecting portion 1323 is arranged on the connecting shaft 113, and the other end of the connecting portion 1323 is connected to the rotating portion 1324, the rotating portion 1324 is arranged in an arc shape, and the first rotating groove 1321 and the second rotating groove 1322 are arranged on the rotating portion 1324. In this way, when the screwing mechanism 110 rotates, it can drive the connecting portion 1323 to drive the rotating portion 1324 to rotate synchronously, so as to realize the driving of the sliding assembly 133. Optionally, the rotating member 132 is a rocker structure. Of course, in other embodiments of the present application, the rotating member 132 can also be a fan-shaped or other structural forms.
参见图1、图9、图10、图17和图24,在一实施例中,滑动组件133包括推动件1331、推杆1332以及滑动导轨1333,推动件1331可转动设于推杆1332,并可转动适配于第一转动槽1321与第二转动槽1322中,滑动导轨1333设于抬钳机架131,推杆1332可移动设于滑动导轨1333中,推杆1332的端部通过连接绳连接抬钳器的近端。Referring to Figures 1, 9, 10, 17 and 24, in one embodiment, the sliding assembly 133 includes a pushing member 1331, a pushing rod 1332 and a sliding guide rail 1333. The pushing member 1331 can be rotatably disposed on the pushing rod 1332 and can be rotatably adapted in the first rotating groove 1321 and the second rotating groove 1322. The sliding guide rail 1333 is disposed on the forceps lifting frame 131, and the pushing rod 1332 can be movably disposed in the sliding guide rail 1333. The end of the pushing rod 1332 is connected to the proximal end of the forceps lifting device through a connecting rope.
推动件1331为滑动组件133输入端的部件,推杆1332为滑动组件133输出端的部件,滑动导轨1333为导向部件。推动件1331可滑动适配于第一转动槽1321与第二转动槽1322中,推动件1331可转动设于推杆1332,推杆1332可滑动设于滑动导轨1333,滑动导轨1333固定设于抬钳机架131。转动件132转动时第一转动槽1321能够沿推动件1331滑动,当推动件1331滑动至第二转动槽1322后,转动件132继续转动能够带动推动件1331同步运动,由于推杆1332与滑动导轨1333的限位作用,推动件1331只能带动推杆1332沿滑动导轨1333移动,推杆1332的端部与连接绳连接,推杆1332沿滑动导轨1333移动时,能够驱动连接绳带动抬钳器执行抬钳动作。The pusher 1331 is a component at the input end of the sliding assembly 133, the push rod 1332 is a component at the output end of the sliding assembly 133, and the sliding guide rail 1333 is a guide component. The pusher 1331 can be slidably adapted in the first rotating groove 1321 and the second rotating groove 1322, the pusher 1331 can be rotatably arranged on the push rod 1332, the push rod 1332 can be slidably arranged on the sliding guide rail 1333, and the sliding guide rail 1333 is fixedly arranged on the clamp lifting frame 131. When the rotating member 132 rotates, the first rotating groove 1321 can slide along the pushing member 1331. After the pushing member 1331 slides to the second rotating groove 1322, the rotating member 132 continues to rotate to drive the pushing member 1331 to move synchronously. Due to the limiting effect of the push rod 1332 and the sliding guide rail 1333, the pushing member 1331 can only drive the push rod 1332 to move along the sliding guide rail 1333. The end of the push rod 1332 is connected to the connecting rope. When the push rod 1332 moves along the sliding guide rail 1333, it can drive the connecting rope to drive the lifting device to perform the lifting action.
可选地,推动件1331为柱形的推子。当然,在本申请的其他实施方式中,推动件1331还可为其他可在第一转动槽1321与第二转动槽1322中滑动的部件。可选地,滑动导轨1333具有滑槽,推杆1332可滑动设于滑槽中,并穿过滑槽伸出。当然,在本申请的其他实施方式中,滑动导轨1333与推杆1332还可为滑轨与滑块的配合形式,或者其他能够实现滑动配合的结构形式。Optionally, the pusher 1331 is a cylindrical pusher. Of course, in other embodiments of the present application, the pusher 1331 can also be other components that can slide in the first rotating groove 1321 and the second rotating groove 1322. Optionally, the sliding guide 1333 has a slide groove, and the push rod 1332 can be slidably arranged in the slide groove and extend through the slide groove. Of course, in other embodiments of the present application, the sliding guide 1333 and the push rod 1332 can also be a matching form of a slide rail and a slider, or other structural forms that can achieve sliding matching.
可选地,抬钳机架131具有安装槽,滑动导轨1333位于安装槽中。可选地,滑动导轨1333通过紧固件如螺纹件等固定到抬钳机架131。可选地,滑动组件133还包括第二安装部1334,第二安装部1334设于推杆1332,并可转动连接推动件1331。第二安装部1334用于将推动件1331可转动安装到推杆1332,在不影响推动件1331滑动的同时,还能够便于推动件1331与推杆1332之间的连接。可选地,第二安装部1334为安装壳体或者安装支架等等。Optionally, the lifting forceps frame 131 has a mounting groove, and the sliding guide rail 1333 is located in the mounting groove. Optionally, the sliding guide rail 1333 is fixed to the lifting forceps frame 131 by a fastener such as a screw. Optionally, the sliding assembly 133 also includes a second mounting portion 1334, which is disposed on the push rod 1332 and can be rotatably connected to the push member 1331. The second mounting portion 1334 is used to rotatably mount the push member 1331 to the push rod 1332, and can facilitate the connection between the push member 1331 and the push rod 1332 without affecting the sliding of the push member 1331. Optionally, the second mounting portion 1334 is a mounting housing or a mounting bracket, etc.
可选地,滑动组件133还包括固定件,固定件设于连接轴113的远端,并位于转动件132的远端,固定件用于对转动件132轴向限位,避免转动件132轴向脱离连接轴113。可选地,固定件为卡簧。当然,在本申请的其他实施方式中,转动件132也可通过键连接等方式固定到连接轴113。Optionally, the sliding assembly 133 further includes a fixing member, which is disposed at the distal end of the connecting shaft 113 and at the distal end of the rotating member 132, and the fixing member is used to limit the axial position of the rotating member 132 to prevent the rotating member 132 from axially disengaging from the connecting shaft 113. Optionally, the fixing member is a retaining spring. Of course, in other embodiments of the present application, the rotating member 132 can also be fixed to the connecting shaft 113 by means of a key connection or the like.
参见图1、图9、图17和图24,在一实施例中,抬钳机构130还包括限位件134,限位件134设于抬钳机架131,限位件134能够在转动件132转动预设角度后抵接转动件132,限制转动件132的转动角度。限位件134固定设于抬钳机架131的远端侧,限位件134朝向转动件132伸出,当转动件132转动至预定的转动角度后,转动件132能够抵接限位件134,通过限位件134限制转动件132的转动角度,以避免转动件132过度转动,从而避免抬钳器过度张开,只要抬钳器的张开角度能够满足使用需求即可。Referring to Fig. 1, Fig. 9, Fig. 17 and Fig. 24, in one embodiment, the forceps lifting mechanism 130 further includes a limiter 134, which is disposed on the forceps lifting frame 131. The limiter 134 can abut against the rotating member 132 after the rotating member 132 rotates a preset angle, thereby limiting the rotation angle of the rotating member 132. The limiter 134 is fixedly disposed on the distal end side of the forceps lifting frame 131, and extends toward the rotating member 132. When the rotating member 132 rotates to a predetermined rotation angle, the rotating member 132 can abut against the limiter 134, and the rotation angle of the rotating member 132 is limited by the limiter 134, so as to avoid excessive rotation of the rotating member 132, thereby preventing the forceps lifting device from being excessively opened, as long as the opening angle of the forceps lifting device can meet the use requirements.
值得说明的是,限位件134在抬钳机架131的固定位置为预先设定,预先设定转动件132的转动角度,根据转动件132的转动角度确定限位件134在抬钳机架131的安装位置,再将限位件134固定到抬钳机架131即可。对于不同类型的插入部控制装置100而言,限位件134可以布置在抬钳机架131的不同位置,以使转动件132具有不同的转动角度,以满足不同的抬钳控制需求。可选地,限位件134为限位杆。可选地,限位件134通过紧固件如螺纹件等固定到抬钳机架131。It is worth noting that the fixed position of the limiter 134 on the forceps lifting frame 131 is preset, the rotation angle of the rotating member 132 is preset, the installation position of the limiter 134 on the forceps lifting frame 131 is determined according to the rotation angle of the rotating member 132, and then the limiter 134 is fixed to the forceps lifting frame 131. For different types of insertion part control devices 100, the limiter 134 can be arranged at different positions of the forceps lifting frame 131 so that the rotating member 132 has different rotation angles to meet different forceps lifting control requirements. Optionally, the limiter 134 is a limit rod. Optionally, the limiter 134 is fixed to the forceps lifting frame 131 by fasteners such as screws.
参见图1、图3和图4,在一实施例中,插入部控制装置100还包括支撑组件140,支撑组件140设于抬钳机构130的远端,并支撑连接操作部。支撑组件140设于抬钳机构130的远端,支撑组件140的近端固定到抬钳机架131,支撑组件140的远端固定到操作部的操作手柄,通过支撑组件140在插入部控制装置100的远端进行支撑,保证插入部控制装置100可靠地设置于操作部中。Referring to Fig. 1, Fig. 3 and Fig. 4, in one embodiment, the insertion part control device 100 further includes a support assembly 140, which is disposed at the distal end of the forceps lifting mechanism 130 and supports and connects the operating part. The support assembly 140 is disposed at the distal end of the forceps lifting mechanism 130, the proximal end of the support assembly 140 is fixed to the forceps lifting frame 131, and the distal end of the support assembly 140 is fixed to the operating handle of the operating part. The support assembly 140 is used to support the distal end of the insertion part control device 100, so as to ensure that the insertion part control device 100 is reliably disposed in the operating part.
参见图1、图3和图4,在一实施例中,支撑组件140包括支撑杆141与支撑板142,支撑杆141的近端设于抬钳机构130的抬钳机架131,支撑杆141的远端设于支撑板142,支撑板142固定于操作部。支撑杆141沿轴向延伸,支撑杆141的近端通过紧固件如螺纹件等固定到抬钳机架131,支撑杆141的近端通过紧固件如螺纹件等固定到支撑杆141,支撑板142安装到操作部的支撑手柄。Referring to Fig. 1, Fig. 3 and Fig. 4, in one embodiment, the support assembly 140 includes a support rod 141 and a support plate 142, the proximal end of the support rod 141 is arranged on the pliers lifting frame 131 of the pliers lifting mechanism 130, the distal end of the support rod 141 is arranged on the support plate 142, and the support plate 142 is fixed to the operating part. The support rod 141 extends axially, the proximal end of the support rod 141 is fixed to the pliers lifting frame 131 by a fastener such as a screw, the proximal end of the support rod 141 is fixed to the support rod 141 by a fastener such as a screw, and the support plate 142 is mounted to the support handle of the operating part.
可选地,支撑杆141的数量为多个,多个支撑杆141均匀分布,保证支撑的稳定性。在一实施例中,支撑组件140还包括转接管143,转接管143设于支撑板142的近端,转接管143与操作部的操作手柄连接。通过转接管143建立支撑板142与操作手柄之间的连接关系,方便装配。Optionally, there are multiple support rods 141, and the multiple support rods 141 are evenly distributed to ensure the stability of the support. In one embodiment, the support assembly 140 also includes a transfer tube 143, which is arranged at the proximal end of the support plate 142, and the transfer tube 143 is connected to the operating handle of the operating part. The connection relationship between the support plate 142 and the operating handle is established through the transfer tube 143, which is convenient for assembly.
本申请的插入部控制装置100的装配过程为:The assembly process of the insertion portion control device 100 of the present application is as follows:
将旋钮外壳111、抬钳旋钮112以及连接轴113装配固定如采用胶粘方式等,形成旋拧机构110。将顶紧件126、锁定轮121以及松紧轮122通过紧固件如螺纹件等与连接轴113固定连接,形成锁紧机构120,将第一锁定件123通过胶粘方式等固定到锁定轮121,并将第一安装部125安装到调弯旋钮210,实现锁紧机构120固定到调弯旋钮210的远端侧。将限位旋钮223通过紧固件如螺纹件等固定到绕线拨轮221,拉绳226绕过内绕线轮222的线槽后再绕过绕线拨轮221的线槽伸出,将内绕线轮222通过紧固件如螺纹件固定到绕线拨轮221的远端,将第二锁定件124固定到绕线拨轮221的近端侧,将挡板224与胶垫挡圈225固定到绕线拨轮221的近端侧,形成拨轮机构220。The knob housing 111, the forceps lifting knob 112 and the connecting shaft 113 are assembled and fixed, such as by gluing, to form the screwing mechanism 110. The jacking member 126, the locking wheel 121 and the tensioning wheel 122 are fixedly connected to the connecting shaft 113 by fasteners such as screws to form the locking mechanism 120, the first locking member 123 is fixed to the locking wheel 121 by gluing, and the first mounting portion 125 is mounted to the bending knob 210, so that the locking mechanism 120 is fixed to the distal end of the bending knob 210. The limit knob 223 is fixed to the winding dial wheel 221 by means of fasteners such as threaded parts, the pull rope 226 passes around the wire groove of the inner winding wheel 222 and then passes around the wire groove of the winding dial wheel 221 and extends out, the inner winding wheel 222 is fixed to the distal end of the winding dial wheel 221 by means of fasteners such as threaded parts, the second locking piece 124 is fixed to the proximal side of the winding dial wheel 221, the baffle plate 224 and the rubber pad retaining ring 225 are fixed to the proximal side of the winding dial wheel 221, and a dial mechanism 220 is formed.
此时,第二锁定件124露出挡板224,并朝向第一锁定件123设置。将挡板224通过紧固件如螺纹件等固定到第一安装部125,实现拨轮机构220固定到调弯旋钮210。将推杆1332安装到滑动导轨1333,推动件1331安装到第二安装部1334,再将第二安装部1334安装到推杆1332,将转动件132安装到连接轴113,将推动件1331滑动安装到第一转动槽1321与第二转动槽1322,滑动导轨1333安装到抬钳机架131,形成抬钳机构130,将抬钳机架131固定到拨轮机构220。将转接管143通过精简固定到支撑板142,将支撑杆141支撑连接抬钳机架131与支撑板142,形成支撑组件140。如此,完成插入部控制装置100的结构组装。At this time, the second locking member 124 is exposed from the baffle plate 224 and is arranged toward the first locking member 123. The baffle plate 224 is fixed to the first mounting portion 125 by a fastener such as a screw member, so that the dial mechanism 220 is fixed to the bending knob 210. The push rod 1332 is installed to the sliding guide rail 1333, the push member 1331 is installed to the second mounting portion 1334, and then the second mounting portion 1334 is installed to the push rod 1332, the rotating member 132 is installed to the connecting shaft 113, the push member 1331 is slidably installed to the first rotating groove 1321 and the second rotating groove 1322, and the sliding guide rail 1333 is installed to the lifting jaw frame 131 to form the lifting jaw mechanism 130, and the lifting jaw frame 131 is fixed to the dial mechanism 220. The transfer tube 143 is fixed to the support plate 142 by simplification, and the support rod 141 is supported to connect the lifting jaw frame 131 and the support plate 142 to form the support assembly 140. In this way, the structural assembly of the insertion portion control device 100 is completed.
本申请的插入部控制装置100的工作过程为:The working process of the insertion portion control device 100 of the present application is as follows:
参见图1至图10,插入部控制装置100处于放松状态时,旋拧机构110处于放松位置,顶紧件126的定位件定在松紧轮122的放松槽1222中,如图6和图7所示,松紧轮122外周面的滑动部1221处于第一锁紧槽1211远离第二锁紧槽1212的一端,锁定轮121的第一锁定件123与拨轮机构220上的第二锁定件124在周向上存在移动的间距,如图4和图5所示。此时,绕线拨轮221未被压紧,调弯旋钮210处于放松状态,可以操作调弯旋钮210控制拨轮机构220调节弯曲部的弯曲角度。同时,抬钳机架131、推杆1332、推动件1331、滑动导轨1333以及限位件134形成凸轮机构,推动件1331处于第一转动槽1321远离第二转动槽1322的一端,如图9所示,抬钳器处于非工作状态。Referring to FIGS. 1 to 10 , when the insertion control device 100 is in a relaxed state, the screwing mechanism 110 is in a relaxed position, the positioning member of the tension member 126 is fixed in the relaxation groove 1222 of the tension wheel 122, as shown in FIGS. 6 and 7 , the sliding portion 1221 of the outer peripheral surface of the tension wheel 122 is at the end of the first locking groove 1211 away from the second locking groove 1212, and there is a moving distance between the first locking member 123 of the locking wheel 121 and the second locking member 124 on the dial mechanism 220 in the circumferential direction, as shown in FIGS. 4 and 5 . At this time, the winding dial 221 is not pressed, the bending knob 210 is in a relaxed state, and the bending knob 210 can be operated to control the dial mechanism 220 to adjust the bending angle of the bending portion. At the same time, the forceps lifting frame 131, the push rod 1332, the pushing member 1331, the sliding guide rail 1333 and the limit member 134 form a cam mechanism, and the pushing member 1331 is at one end of the first rotating groove 1321 away from the second rotating groove 1322, as shown in Figure 9, and the forceps lifting device is in a non-working state.
参见图1、图11至图17,插入部控制装置100处于锁定状态时,旋拧机构110顺时针转动(上拨),从放松位置转动至锁定位置,旋拧机构110带动松紧轮122同步转动,顶紧件126的定位件从松紧轮122的放松槽1222滑动至锁定槽1223中,如图15和图16所示。同时,松紧轮122外周面的滑动部1221沿第一锁紧槽1211滑动并滑动至第一锁紧槽1211与第二锁紧槽1212的连接处,在此过程中,滑动部1221能够推动锁定轮121朝向绕线拨轮221侧轴向移动,使锁定轮121远端侧的第一锁定件123抵压绕线拨轮221的第二锁定件124,从而使得绕线拨轮221被压紧,实现调弯旋钮210的锁定,如图13和图14所示。Referring to Figures 1 and 11 to 17, when the insertion control device 100 is in a locked state, the screwing mechanism 110 rotates clockwise (upward) from a relaxed position to a locked position, and the screwing mechanism 110 drives the tension wheel 122 to rotate synchronously, and the positioning member of the tightening member 126 slides from the loosening groove 1222 of the tension wheel 122 to the locking groove 1223, as shown in Figures 15 and 16. At the same time, the sliding portion 1221 on the outer surface of the tension wheel 122 slides along the first locking groove 1211 and slides to the connection between the first locking groove 1211 and the second locking groove 1212. During this process, the sliding portion 1221 can push the locking wheel 121 to move axially toward the winding dial 221 side, so that the first locking piece 123 on the distal end side of the locking wheel 121 presses against the second locking piece 124 of the winding dial 221, so that the winding dial 221 is tightened, thereby realizing the locking of the bending adjustment knob 210, as shown in Figures 13 and 14.
在松紧轮122受旋拧机构110上拨而转动的同时,旋拧机构110也能够带动转动件132同步转动,推动件1331在凸轮机构的第一转动槽1321中滑动,此时,推动件1331沿第一转动槽1321滑动,并滑动至第一转动槽1321与第二转动槽1322的连接处,如图17所示。推动件1331到连接轴113的轴心距离不变,推动件1331并未推动推杆1332在滑动到导轨中滑动,抬钳器处于工作状态。When the tension wheel 122 is rotated by the screwing mechanism 110, the screwing mechanism 110 can also drive the rotating member 132 to rotate synchronously, and the pushing member 1331 slides in the first rotating groove 1321 of the cam mechanism. At this time, the pushing member 1331 slides along the first rotating groove 1321 and slides to the connection between the first rotating groove 1321 and the second rotating groove 1322, as shown in Figure 17. The distance between the pushing member 1331 and the axial center of the connecting shaft 113 remains unchanged, and the pushing member 1331 does not push the push rod 1332 to slide in the guide rail, and the lifting device is in a working state.
参见图18至图24,插入部控制装置100处于抬钳状态时,旋拧机构110顺时针转动(上拨),从锁定位置转动至抬钳位置,旋拧机构110带动松紧轮122同步转动,顶紧件126的定位件从松紧轮122的锁定槽1223滑动至抬钳槽1224中,并在抬钳槽1224中滑动,如图22和图23所示。同时,松紧轮122外周面的滑动部1221沿第二锁紧槽1212滑动,锁定轮121在轴向位置保持不同,以使第一锁定件123保持抵压第二锁定件124的状态,调弯旋钮210保持锁定状态,如图20和图21所示。转动件132受旋拧机构110上拨而转动的同时,推动件1331能够在凸轮机构的第二转动槽1322中滑动,推动件1331受推远离连接轴113的轴心而带动推杆1332在滑动导轨1333中滑动,如图24所示,推杆1332拉扯连接绳以控制抬钳器执行抬钳动作,抬钳器处于工作状态。其中,通过限位件134限制转动件132的转动角度。Referring to FIGS. 18 to 24 , when the insertion control device 100 is in the pliers lifting state, the screwing mechanism 110 rotates clockwise (upward) from the locking position to the pliers lifting position, and the screwing mechanism 110 drives the tension wheel 122 to rotate synchronously, and the positioning member of the tension member 126 slides from the locking groove 1223 of the tension wheel 122 to the pliers lifting groove 1224, and slides in the pliers lifting groove 1224, as shown in FIGS. 22 and 23 . At the same time, the sliding portion 1221 on the outer peripheral surface of the tension wheel 122 slides along the second locking groove 1212, and the locking wheel 121 remains at a different axial position, so that the first locking member 123 remains pressed against the second locking member 124, and the bending knob 210 remains locked, as shown in FIGS. 20 and 21 . When the rotating member 132 is rotated by the screwing mechanism 110, the pushing member 1331 can slide in the second rotating groove 1322 of the cam mechanism, and the pushing member 1331 is pushed away from the axis of the connecting shaft 113 to drive the push rod 1332 to slide in the sliding guide rail 1333. As shown in FIG. 24, the push rod 1332 pulls the connecting rope to control the lifting device to perform the lifting action, and the lifting device is in a working state. The rotation angle of the rotating member 132 is limited by the limit member 134.
本申请的抬钳器控制装置集成调弯装置200的锁定功能与抬钳器的抬钳功能,以确保先锁定调弯旋钮210才能够进行抬钳器控制的操作顺序,这样在进行抬钳操作时弯曲部能够保持弯曲状态,从而保证操作抬钳器时手术的精准与安全,并减小占用空间。同时,调弯装置200调弯完成后,单独操作旋拧机构110即可锁定调弯旋钮210,再继续操作旋拧机构110可以控制抬钳器执行抬钳操作,如此,医生仅凭单手便能轻松使用,提升人机交互的便捷性和舒适度,缩短手术时间,提高手术效率。The forceps lifting device control device of the present application integrates the locking function of the bending adjustment device 200 and the lifting function of the forceps lifting device to ensure that the bending adjustment knob 210 must be locked before the lifting device control operation can be performed. In this way, the bending portion can remain in a bent state during the lifting operation, thereby ensuring the accuracy and safety of the operation when operating the lifting device, and reducing the occupied space. At the same time, after the bending adjustment device 200 is completed, the bending adjustment knob 210 can be locked by operating the screwing mechanism 110 alone, and continuing to operate the screwing mechanism 110 can control the lifting device to perform the lifting operation. In this way, the doctor can easily use it with only one hand, which improves the convenience and comfort of human-computer interaction, shortens the operation time, and improves the efficiency of the operation.
该插入部控制装置100为集成锁定与抬钳控制一体化的控制旋钮,能够快速实现锁定、解锁以及抬钳操作,用户医生仅凭单手即可实现便捷操作,降低了操作的复杂性和劳动强度,同时,这种操作模式能够缩短手术时间,提高手术效率,降低因手术时间导致患者的痛苦。而且,该插入部控制装置100在机械上确保了先锁定调弯才能够进行抬钳控制的操作顺序,使得整个手术过程更加安全可靠。The insertion control device 100 is a control knob that integrates locking and forceps lifting control, which can quickly realize locking, unlocking and forceps lifting operations. The user doctor can realize convenient operation with only one hand, which reduces the complexity and labor intensity of the operation. At the same time, this operation mode can shorten the operation time, improve the operation efficiency, and reduce the pain of the patient caused by the operation time. Moreover, the insertion control device 100 mechanically ensures the operation sequence of locking the bending adjustment first and then lifting the forceps, making the entire operation process safer and more reliable.
本申请还提供一种内窥镜,包括操作部以及插入部,操作部包括调弯装置200以及如上述任一实施例中的插入部控制装置100,插入部至少包括弯曲部与头端部,头端部至少包括抬钳器,调弯装置200设于插入部的近端,并可调弯连接弯曲部的远端,抬钳器设于弯曲部的远端端部,插入部控制装置100与抬钳器连接,插入部控制装置100用以锁定或解锁调弯装置200和控制抬钳器抬起的方向。内窥镜采用上述实施例的插入部控制装置100后,能够快速实现弯曲部的锁定、解锁以及抬钳器的抬钳操作,用户医生仅凭单手即可实现便捷操作,降低了操作的复杂性和劳动强度,并保证整个手术过程更加安全可靠。The present application also provides an endoscope, including an operating part and an insertion part, the operating part including a bending device 200 and an insertion part control device 100 as in any of the above embodiments, the insertion part at least including a bending part and a head end, the head end at least including a forceps lifter, the bending device 200 is arranged at the proximal end of the insertion part, and can be bent and connected to the distal end of the bending part, the forceps lifter is arranged at the distal end of the bending part, the insertion part control device 100 is connected to the forceps lifter, and the insertion part control device 100 is used to lock or unlock the bending device 200 and control the direction in which the forceps lifter is lifted. After the endoscope adopts the insertion part control device 100 of the above embodiment, it can quickly realize the locking and unlocking of the bending part and the lifting operation of the forceps lifter, and the user doctor can realize convenient operation with only one hand, which reduces the complexity and labor intensity of the operation and ensures that the entire surgical process is safer and more reliable.
以上所述实施例的各技术特征可以进行任意的组合,为使描述简洁,未对上述实施例中的各个技术特征所有可能的组合都进行描述,然而,只要这些技术特征的组合不存在矛盾,都应当认为是本说明书记载的范围。The technical features of the above-described embodiments may be arbitrarily combined. To make the description concise, not all possible combinations of the technical features in the above-described embodiments are described. However, as long as there is no contradiction in the combination of these technical features, they should be considered to be within the scope of this specification.
以上所述实施例仅表达了本申请的几种实施方式,其描述较为具体和详细,但并不能因此而理解为对申请专利范围的限制。应当指出的是,对于本领域的普通技术人员来说,在不脱离本申请构思的前提下,还可以做出若干变形和改进,这些都属于本申请的保护范围。因此,本申请专利的保护范围应以所附权利要求为准。The above-described embodiments only express several implementation methods of the present application, and the descriptions thereof are relatively specific and detailed, but they cannot be construed as limiting the scope of the patent application. It should be pointed out that, for a person of ordinary skill in the art, several variations and improvements can be made without departing from the concept of the present application, and these all belong to the protection scope of the present application. Therefore, the protection scope of the patent application shall be subject to the attached claims.
Claims (10)
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