CN215228174U - One-blade minimally invasive surgical scissors - Google Patents
One-blade minimally invasive surgical scissors Download PDFInfo
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- CN215228174U CN215228174U CN202120507550.8U CN202120507550U CN215228174U CN 215228174 U CN215228174 U CN 215228174U CN 202120507550 U CN202120507550 U CN 202120507550U CN 215228174 U CN215228174 U CN 215228174U
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Abstract
本实用新型涉及一刀式微创手术剪钳，包括剪钳头、传动连接机构、双凸轮机构、手柄部，其中剪钳头包括钳座、上钳、下钳及剪刀，传动连接机构的两端分别与剪钳头及双凸轮机构相连，双凸轮机构安装在手柄部上，手柄部包括固定柄和按压柄，按压柄与双凸轮机构相连，控制按压柄可以带动双凸轮机构通过传动连接机构传递力和运动驱动所述剪钳头运动，顺序完成先钳后剪的动作。本实用新型能够使剪钳头的钳与剪顺序完成钳剪手术操作，避免了传统器械多器械、多次数操作的繁琐和腹部开口个数增多、开口过大的问题，提高了手术效率，缩短了手术时间，使切口更平整。另外，本实用新型还包括Z型变向套，可以避免多个器械同在一个开孔时操作柄碰撞干涉问题。
The utility model relates to a knife-type minimally invasive surgical scissors, comprising a scissors head, a transmission connection mechanism, a double cam mechanism and a handle part. They are respectively connected with the cutter head and the double cam mechanism. The double cam mechanism is installed on the handle part. The handle part includes a fixed handle and a pressing handle. The pressing handle is connected with the double cam mechanism. The force and motion drive the movement of the cutter head, and the action of first clamping and then cutting is completed in sequence. The utility model can make the forceps and scissors of the scissors head to complete the operation of the forceps and scissors, avoid the complicated operation of traditional instruments with multiple instruments and multiple times, and the problems of increasing the number of abdominal openings and the openings too large, improving the operation efficiency and shortening the operation time. The operation time is shortened and the incision is smoother. In addition, the utility model also includes a Z-shaped direction changing sleeve, which can avoid the collision and interference problem of the operating handle when a plurality of instruments are in the same opening.
Description
Technical Field
The utility model belongs to the technical field of medical instrument, especially, relate to a knife-like minimal access surgery cutting nippers.
Background
Minimally invasive surgery is a revolution in the surgical field. The local trauma of the operation is small, the postoperative recovery is fast, the stress response of the whole body is light, the influence on the immune system is small, the complication is less, and the normal activity of the patient can be recovered in a short time. Minimally invasive surgery has many benefits and is of great significance to surgery. Although minimally invasive surgical techniques have significant advantages, they are still an ongoing technique, which is not yet universally mature, and they have their disadvantages and limitations.
The operations of separating, clamping, cutting, suturing and the like of tissues in the minimally invasive surgery process are completed by minimally invasive instruments, and the minimally invasive surgery instrument is the key for solving the pain of patients. During the operation of the laparoscopic surgery, the surgical instruments used in the prior art have the defects of complex structure, single function and need to be manually replaced to meet the requirements of different operations. For example, the grasping forceps are required to clamp the focus position and then the position of the focus position is stripped by the surgical scissors, in such a case, not only three openings (one of the openings is used for placing an endoscope) need to be opened at the surgical position of a patient, but also two doctors or one doctor need to operate with two hands, the operation and the use are obviously inconvenient, even certain sight interference is often brought to the surgical doctor, the operation time is also obviously longer, and the matching degree of the two instruments can also influence the operation effect.
At present, many effective improvements are made on the defects, such as patent CN206792455U, but the functions of the cutting nippers cannot be continuously completed by one-time clamping, and the operations are still completed by multiple step-by-step operations, some are even complicated in steps and inconvenient to operate, and some are even shifted and cut for multiple times due to secondary operations, so that the risk of uneven cuts is generated; or the cutting range is limited due to the over-narrow blade of the scissors caused by the limited structure, the tissue is easy to tear, and the like, so that the cut is not easy to heal.
SUMMERY OF THE UTILITY MODEL
Based on the problems of the existing minimally invasive instruments introduced in the background technology, the utility model provides a knife-type minimally invasive surgery cutting nippers.
The utility model provides a knife-like minimal access surgery cutting nipper has integrateed operation pincers, the function of two kinds of apparatus is cut in the operation, has once to press and to accomplish the operation of cutting earlier pincers back in proper order, can improve operation efficiency, reduces the belly number of punching, reduces the sight and shelters from and prevent the mutual interference between a plurality of apparatus, can effectual solution because the condition of the frequent change surgical instruments that the operation pincers function singleness brought.
The purpose of the utility model can be realized through the following technical scheme:
the utility model provides a knife-type minimally invasive surgery cutting nipper, which comprises a cutting nipper head, a transmission connecting mechanism, a double cam mechanism and a handle part,
the shearing tong head comprises an upper tong, a lower tong, a pair of scissors and a tong seat; the clamp seat is fixedly connected with the lower clamp, the upper clamp is movably connected with the clamp seat, and the scissors are movably connected with the clamp seat;
the transmission connecting mechanism comprises a flexible sheath, and a forceps guide wire and a shearing guide wire which are positioned in the flexible sheath, the rear end of the transmission connecting mechanism is provided with a steering mechanism, the front end of the forceps guide wire is movably connected with an upper forceps of a forceps head, the rear end of the forceps guide wire is movably connected with a forceps cam of a double-cam mechanism through the steering mechanism, the front end of the shearing guide wire is movably connected with a shear of the forceps head, and the rear end of the shearing guide wire is movably connected with a shearing cam of the double-cam mechanism through the steering mechanism;
the double-cam mechanism comprises a clamp cam and a shear cam;
the handle part comprises a fixed handle and a pressing handle, the pressing handle comprises a movable outer handle and a movable inner handle, the movable outer handle and the movable inner handle are respectively and fixedly connected with a clamp cam and a shear cam of the double-cam mechanism, the clamp cam and the shear cam can be sequentially driven to move around the cam axis by pressing and holding the pressing handle, and the motion of the clamp cam drives an upper clamp of a clamp head to relatively open and close relative to a lower clamp by a clamp guide wire; the movement of the shearing cam drives the scissors of the scissors head to open and close relative to the upper pliers through the shearing guide wire; the operation of cutting nippers is realized.
The utility model discloses to cut binding clip, transmission coupling mechanism, double cam mechanism, handle portion back through the built-up connection together, accessible hand singleness mode of gripping, press the handle in the brake valve lever portion and press, drive double cam mechanism motion, through transmission coupling mechanism transmission power and motion, make the operation of cutting after the one step of continuous completion elder generation pincers of cutting binding clip. Thereby possessed preselection focus with the centre gripping, the scissors cuts off afterwards, realized that binding clip clamp centre gripping + scissors cutting cut off the dual function of focus, makeed the utility model discloses a minimal access surgery apparatus has the function of a sword cutting. The utility model discloses an automatic staged and coherent completion pincers of mechanism connection transmission are cut the operation.
In an embodiment of the present invention, a groove is disposed inside the lower clamp, and the scissors are hidden in the groove in a natural state.
The utility model discloses an in one embodiment, the upper jaw is equipped with the windowing, perhaps will all be the design of windowing in the middle of upper jaw and the lower jaw, the window that can pass the upper jaw when the relative upper jaw of scissors is the motion of opening and shutting is cuted tissues such as human body to the scissors cuts the human tissue of upper jaw and lower jaw interlock etc. and cuts apart absolutely.
The utility model discloses an in the embodiment, be equipped with preceding expanding spring in cutting jaw department, preceding expanding spring is used for the supplementary scissors that keeps to hide in the lower pincers to and supplementary keep the open normality of upper pincers and lower pincers.
In one embodiment of the present invention, the forceps guide wire and the scissors guide wire are flexible guide wires. The clamp guide wire and the shear guide wire are not interfered with each other. The outer sides of the clamp guide wire and the shear guide wire are flexible sheaths, and the clamp guide wire, the shear guide wire and the flexible sheaths form a sleeve steel wire structure.
The utility model discloses an in an embodiment, the front end of flexible sheath links to each other with the pincers seat of cutting the binding clip is fixed, and the rear end of flexible sheath is connected with steering mechanism, and steering mechanism rotates with handle portion to be connected. The steering mechanism is used for changing the direction of the scissor head.
In one embodiment of the present invention, the dual cam mechanism is mounted on the handle portion, and the jaw cam and the shear cam are both disc cams; the clamp cam is provided with a clamp cam line which is movably connected with the rear end of a clamp guide wire of the transmission connecting mechanism; the shearing cam is provided with a shearing cam line which is movably connected with the rear end of the shearing guide wire of the transmission connecting mechanism.
In an embodiment of the present invention, the diameter of the forceps cam and the scissors cam is different, the cam contour line is different, and the forceps cam and the scissors cam have a groove.
The utility model discloses an in an embodiment, the design has the handle recess on the activity outer handle, and handle recess shape and activity inner handle are isomorphic, presses the activity outer handle and swings to certain angle even handle recess and activity inner handle gomphosis, makes the activity outer handle drive the activity inner handle and moves together.
The utility model discloses an in the embodiment, be equipped with the elastic connection section in the middle of the pincers seal wire for the bite-force of adjusting upper tongs and lower pincers avoids upper tongs and lower pincers bite-force too big.
In an embodiment of the present invention, the elastic connection section is a tension spring.
In an embodiment of the present invention, the double cam mechanism further includes a torsion spring, the torsion spring is equal in number to the disc cams of the double cam mechanism, and is used for resetting the double cam mechanism.
The utility model discloses an in the embodiment, still include a two-sided cam handle spare, two sides respectively are equipped with a cam recess about two-sided cam handle spare, pincers cam and cut the cam respectively fixed mounting in two cam recesses, two-sided cam handle spare contains one and presses the grab handle, presses and presses two cam recesses of grab handle simultaneous drive and do pivoting to drive transmission coupling mechanism further drives and cuts the pincers head and move. This is achieved by designing the double cam mechanism and the pressing lever as a single unit, i.e. a double cam lever part.
The utility model discloses an in the embodiment, still be equipped with back flick spring between activity outer handle and the activity inner handle, back flick spring is used for making activity outer handle and the automatic flick of activity inner handle open for the relative lower pincers of the last pincers that drive the cutting nipper head open, and be used for driving the scissors and inlay in the lower pincers.
In an embodiment of the present invention, the handle portion further includes a lock hook, the lock hook is disposed on the fixing handle, and has a certain flexibility, and when the pressing handle is pressed to the limit position, the lock hook locks the pressing handle to keep the cutting nippers in the closed state.
The utility model discloses an in the embodiment, still be equipped with U type fluting on the fixed handle, U type fluting is located one side of activity inner handle for press the activity inner handle alone, cut with the individual drive scissors.
In an embodiment of the present invention, the knife-like minimally invasive surgical scissors further comprises a Z-shaped direction-changing sleeve, wherein the Z-shaped direction-changing sleeve comprises a front section, a middle section and a rear section, the three sections are sequentially connected and smoothly transited, the front section is inserted into the surgical opening of the patient, the middle section is horizontally placed on the surface of the body of the patient, the rear section is arranged on the body of the patient, and the rear section is allowed to have a certain flexibility;
the Z-shaped direction-changing sleeve is of a hollow structure and is sleeved on the outer side of the flexible sheath of the transmission connecting mechanism; the inner diameter of the Z-shaped direction changing sleeve is slightly larger than the outer diameters of the cutting nippers and the flexible sheath in a closed state;
the Z-shaped direction-changing sleeve is used for changing the direction of the transmission connecting mechanism, but does not limit the axial movement and the axial rotation of the transmission connecting mechanism, and has the function of enabling the transmission connecting mechanism to deform along with the Z-shaped direction-changing sleeve, so that the phenomenon that the handle part and a doctor operate to block the sight and cause interference among various instruments is avoided, the sight is prevented from being blocked, and the Z-shaped direction-changing sleeve also has the function of enabling the Z-shaped direction-changing sleeve to be rapidly distinguished from other minimally invasive surgical instruments.
When the cutter type minimally invasive surgery cutting nippers are lifted, the Z-shaped direction-changing sleeve can be attached to the transmission connecting mechanism due to the action of friction and other forces and cannot fall down automatically due to gravity.
The utility model discloses an in the embodiment, Z type becomes to cover still includes at least one sucking disc, the sucking disc is located Z type and becomes to the middle part of cover, links to each other with Z type becomes to the cover, and the sucking disc is used for adsorbing on patient's body surface to fixed Z type becomes to the position of cover.
The utility model discloses an in the embodiment, the sucking disc that links to each other with Z type cover that becomes still can be for self-adhesive type sticker, can adopt sticky mode to paste on patient's body surface, can be transparent PVC film if the sticker.
In an embodiment of the present invention, the Z-shaped deflecting sleeve may also be an open-type deflecting sleeve, i.e. a knife-type minimally invasive surgical scissors forceps further comprises an open-type deflecting sleeve, which is a hollow structure and is sleeved outside the flexible sheath of the transmission connecting mechanism; the inner diameter of the opening type turning sleeve is slightly larger than the outer diameters of the cutting nippers and the flexible sheath in a closed state;
the opening type turning sleeve is designed to be an opening type or a partial opening type, a plurality of staggered blocking pieces are arranged at the opening and used for changing the direction of the transmission connecting mechanism, but the axial movement and the axial rotation of the transmission connecting mechanism are not limited, and compared with a Z-shaped turning sleeve, the opening type turning sleeve is convenient for the transmission connecting mechanism to be drawn out quickly so as to peel off the opening type turning sleeve.
The utility model discloses an among the embodiment, the opening part of opening type diversion cover is equipped with a plurality of buckles, and the buckle cooperatees with opening type design and uses, can change transmission coupling mechanism's direction, nevertheless does not restrict transmission coupling mechanism's axial motion and pivoting, conveniently removes the diversion to transmission coupling mechanism at any time again, demolishs opening type diversion cover.
The utility model discloses an in the embodiment, opening type diversion cover still includes at least one sucking disc, the sucking disc is located the middle part of opening type diversion cover, with opening type diversion cover links to each other, and the sucking disc is used for adsorbing on patient's body surface, in order to fix the position of opening type diversion cover.
The utility model discloses an in the embodiment, with the sucking disc that the opening type diversion cover links to each other still can be for self-adhesive type sticker, can adopt sticky mode to paste on patient's body surface, can be transparent PVC film if the sticker.
The utility model discloses a swing of control press handle drives the motion of double cam mechanism, and through transmission coupling mechanism transmission power and motion, the pincers that make to cut the binding clip accomplish the pincers with cutting the order and cut the operation, have avoided the loaded down with trivial details and the belly opening number of many apparatus of traditional apparatus, many times operation to increase, the too big problem of opening, have improved operation efficiency, have shortened operation time, make the incision more level and more smooth. Additionally, the utility model discloses still include Z type diversion cover, Z type diversion cover can change transmission coupling mechanism's such as flexible sheath trend avoids a plurality of apparatus to interfere the problem with the handle collision when a trompil, and conveniently distinguishes different apparatus, reduces the sight and shelters from, avoids the maloperation.
Compared with the prior art, the utility model discloses a technological effect mainly embodies in following aspect:
1. two surgical instruments, namely surgical forceps and surgical scissors, which have the highest use frequency in minimally invasive surgery are integrated on one instrument, so that the number of openings and wounds in the surgery is reduced, the frequency of replacing the surgical instruments in the surgery process is reduced, and the surgery time is shortened.
2. The operation of clamping and shearing is sequentially finished after one-time pressing, so that the operation efficiency is improved, and the problems of uneven incision and difficult wound healing caused by multiple times of shearing are solved; the fixed + windowing of cutting nipper head tong tooth still has certain tensile effect when can effectively fix tissues on every side for easier, more laborsaving during the shearing, avoid the transmission operation to cut the defect that blade angulation leads to the fact the shearing to skid easily.
3. The Z-shaped turning design changes the structural form of the original linear minimally invasive surgery instrument, can effectively reduce sight shielding, prevents the problems of mutual interference among a plurality of instruments and difficulty in fast distinguishing, shortens the distinguishing time, improves the surgery efficiency and enables the surgery process to be safer and more efficient.
Drawings
FIG. 1 is a schematic view of the overall structure of a knife-like minimally invasive surgical scissors in embodiment 1 of the present invention;
FIG. 2 is a schematic structural view of a head of a pair of scissors of a knife-like minimally invasive surgical scissors in embodiment 1 of the present invention;
FIG. 3 is a schematic structural view of a head of a pair of scissors of a knife-like minimally invasive surgical scissors in embodiment 2 of the present invention;
FIG. 4 is a schematic structural view of a transmission connection mechanism of a knife-like minimally invasive surgical scissors in embodiment 1 of the present invention;
FIG. 5 is an enlarged view of the structure at A in FIG. 4;
FIG. 6 is a schematic structural view of a forceps wire of a pair of knife-like minimally invasive surgical scissors in embodiment 3 of the present invention;
FIG. 7 is an enlarged view of the structure at B in FIG. 6;
fig. 8 is a first schematic structural view of the double cam mechanism and the handle portion of the knife-like minimally invasive surgical scissors in embodiment 1 of the present invention;
fig. 9 is a second schematic structural view of the double cam mechanism and the handle portion of the knife-like minimally invasive surgical scissors in embodiment 1 of the present invention;
fig. 10 is a schematic structural view of a double cam driving mechanism of a knife-like minimally invasive surgical scissors in embodiment 4 of the present invention;
FIG. 11 is a schematic structural view of a double-sided cam handle member of a pair of knife-like minimally invasive surgical scissors in embodiment 5 of the present invention;
FIG. 12 is a schematic structural view of the handle portion of a pair of knife-like minimally invasive surgical scissors according to embodiment 6 of the present invention;
FIG. 13 is a schematic structural view of a Z-shaped direction-changing sleeve of a knife-like minimally invasive surgical scissors in embodiment 7 of the present invention;
FIG. 14 is a diagram showing the effect of a knife-like minimally invasive surgical scissors in embodiment 7 of the present invention when lifting an additional Z-shaped direction-changing sleeve;
FIG. 15 is a schematic structural view of a Z-shaped direction-changing sleeve of a knife-like minimally invasive surgical scissors in embodiment 8 of the present invention;
FIG. 16 is a schematic structural view of an open type direction changing sleeve of a knife-like minimally invasive surgical scissors in embodiment 9 of the present invention;
FIG. 17 is a diagram showing the effect of the knife-like micro-wound surgical scissors of the present invention when applied to the open type direction-changing sleeve in example 9;
FIG. 18 is a schematic structural view of an open type direction changing sleeve of a knife-like minimally invasive surgical scissors in embodiment 10 of the present invention;
fig. 19 is a schematic view of the effect of the knife-like micro-wound surgical scissors of any embodiment of the present invention when performing surgery.
The reference numbers in the figures indicate:
1 is a cutting nipper head, 11 is a lower nipper, 12 is a cutting nipper, 13 is an upper nipper, 14 is a nipper base, and 15 is a front opening spring;
2, a transmission connecting mechanism, 21 a flexible sheath, 22 a clamp guide wire, 23 a shear guide wire, 24 a steering mechanism and 25 an elastic connecting section;
3, a double-cam mechanism, 31, 311, 32, 321, 33 and 34, wherein the double-cam mechanism is a clamp cam, 311 is a clamp cam line, 32 is a shearing cam, 321 is a shearing cam line, 33 is a torsion spring and 34 is a double-sided cam handle piece;
4 is a handle part, 41 is a fixed handle, 411 is a lock hook, 412 is a U-shaped slot, 42 is a pressing handle, 421 is a movable outer handle, 4211 is a handle groove, 422 is a movable inner handle, and 43 is a rear spring-open spring;
5 is a Z-shaped direction-changing sleeve, 51 is a sucker;
an opening type turning sleeve 6, staggered separation blades 61, adhesive sheets 62 and buckles 63.
Detailed Description
The utility model provides a knife-type minimally invasive surgery cutting nipper, which comprises a cutting nipper head, a transmission connecting mechanism, a double cam mechanism and a handle part,
the shearing tong head comprises an upper tong, a lower tong, a pair of scissors and a tong seat; the clamp seat is fixedly connected with the lower clamp, the upper clamp is movably connected with the clamp seat, and the scissors are movably connected with the clamp seat;
the transmission connecting mechanism comprises a flexible sheath, and a forceps guide wire and a shearing guide wire which are positioned in the flexible sheath, the rear end of the transmission connecting mechanism is provided with a steering mechanism, the front end of the forceps guide wire is movably connected with an upper forceps of a forceps head, the rear end of the forceps guide wire is movably connected with a forceps cam of a double-cam mechanism through the steering mechanism, the front end of the shearing guide wire is movably connected with a shear of the forceps head, and the rear end of the shearing guide wire is movably connected with a shearing cam of the double-cam mechanism through the steering mechanism;
the double-cam mechanism comprises a clamp cam and a shear cam;
the handle part comprises a fixed handle and a pressing handle, the pressing handle comprises a movable outer handle and a movable inner handle, the movable outer handle and the movable inner handle are respectively and fixedly connected with a clamp cam and a shear cam of the double-cam mechanism, the clamp cam and the shear cam can be sequentially driven to move around the cam axis by pressing and holding the pressing handle, and the motion of the clamp cam drives an upper clamp of a clamp head to relatively open and close relative to a lower clamp by a clamp guide wire; the movement of the shearing cam drives the scissors of the scissors head to open and close relative to the upper pliers through the shearing guide wire; the operation of cutting nippers is realized.
The utility model discloses to cut binding clip, transmission coupling mechanism, double cam mechanism, handle portion back through the built-up connection together, accessible hand singleness mode of gripping, press the handle in the brake valve lever portion and press, drive double cam mechanism motion, through transmission coupling mechanism transmission power and motion, make the operation of cutting after the one step of continuous completion elder generation pincers of cutting binding clip. Thereby possessed preselection focus with the centre gripping, the scissors cuts off afterwards, realized that binding clip clamp centre gripping + scissors cutting cut off the dual function of focus, makeed the utility model discloses a minimal access surgery apparatus has the function of a sword cutting. The utility model discloses an automatic staged and coherent completion pincers of mechanism connection transmission are cut the operation.
In an embodiment of the present invention, a groove is disposed inside the lower clamp, and the scissors are hidden in the groove in a natural state.
The utility model discloses an in one embodiment, the upper jaw is equipped with the windowing, perhaps will all be the design of windowing in the middle of upper jaw and the lower jaw, the window that can pass the upper jaw when the relative upper jaw of scissors is the motion of opening and shutting is cuted tissues such as human body to the scissors cuts the human tissue of upper jaw and lower jaw interlock etc. and cuts apart absolutely.
The utility model discloses an in the embodiment, be equipped with preceding expanding spring in cutting jaw department, preceding expanding spring is used for the supplementary scissors that keeps to hide in the lower pincers to and supplementary keep the open normality of upper pincers and lower pincers.
In one embodiment of the present invention, the forceps guide wire and the scissors guide wire are flexible guide wires. The clamp guide wire and the shear guide wire are not interfered with each other. The outer sides of the clamp guide wire and the shear guide wire are flexible sheaths, and the clamp guide wire, the shear guide wire and the flexible sheaths form a sleeve steel wire structure.
The utility model discloses an in an embodiment, the front end of flexible sheath links to each other with the pincers seat of cutting the binding clip is fixed, and the rear end of flexible sheath is connected with steering mechanism, and steering mechanism rotates with handle portion to be connected. The steering mechanism is used for changing the direction of the scissor head.
In one embodiment of the present invention, the dual cam mechanism is mounted on the handle portion, and the jaw cam and the shear cam are both disc cams; the clamp cam is provided with a clamp cam line which is movably connected with the rear end of a clamp guide wire of the transmission connecting mechanism; the shearing cam is provided with a shearing cam line which is movably connected with the rear end of the shearing guide wire of the transmission connecting mechanism.
In an embodiment of the present invention, the diameter of the forceps cam and the scissors cam is different, the cam contour line is different, and the forceps cam and the scissors cam have a groove.
The utility model discloses an in an embodiment, the design has the handle recess on the activity outer handle, and handle recess shape and activity inner handle are isomorphic, presses the activity outer handle and swings to certain angle even handle recess and activity inner handle gomphosis, makes the activity outer handle drive the activity inner handle and moves together.
The utility model discloses an in the embodiment, be equipped with the elastic connection section in the middle of the pincers seal wire for the bite-force of adjusting upper tongs and lower pincers avoids upper tongs and lower pincers bite-force too big.
In an embodiment of the present invention, the elastic connection section is a tension spring.
In an embodiment of the present invention, the double cam mechanism further includes a torsion spring, the torsion spring is equal in number to the disc cams of the double cam mechanism, and is used for resetting the double cam mechanism.
The utility model discloses an in the embodiment, still include a two-sided cam handle spare, two sides respectively are equipped with a cam recess about two-sided cam handle spare, and the pincers cam is installed respectively in two cam recesses with cutting the cam, two-sided cam handle spare contains one and presses the grab handle, presses and presses two cam recesses of grab handle simultaneous drive and do pivoting to drive transmission coupling mechanism further drives and cuts the pincers head action. This is achieved by designing the double cam mechanism and the pressing lever as a single unit, i.e. a double cam lever part.
The utility model discloses an in the embodiment, still be equipped with back flick spring between activity outer handle and the activity inner handle, back flick spring is used for making activity outer handle and the automatic flick of activity inner handle open for the relative lower pincers of the last pincers that drive the cutting nipper head open, and be used for driving the scissors and inlay in the lower pincers.
In an embodiment of the present invention, the handle portion further includes a lock hook, the lock hook is disposed on the fixing handle, and has a certain flexibility, and when the pressing handle is pressed to the limit position, the lock hook locks the pressing handle to keep the cutting nippers in the closed state.
The utility model discloses an in the embodiment, still be equipped with U type fluting on the fixed handle, U type fluting is located one side of activity inner handle for press the activity inner handle alone, cut with the individual drive scissors.
In an embodiment of the present invention, the knife-like minimally invasive surgical scissors further comprises a Z-shaped direction-changing sleeve, wherein the Z-shaped direction-changing sleeve comprises a front section, a middle section and a rear section, the three sections are sequentially connected and smoothly transited, the front section is inserted into the surgical opening of the patient, the middle section is horizontally placed on the surface of the body of the patient, the rear section is arranged on the body of the patient, and the rear section is allowed to have a certain flexibility;
the Z-shaped direction-changing sleeve is of a hollow structure and is sleeved on the outer side of the flexible sheath of the transmission connecting mechanism; the inner diameter of the Z-shaped direction changing sleeve is slightly larger than the outer diameters of the cutting nippers and the flexible sheath in a closed state;
the Z-shaped direction-changing sleeve is used for changing the direction of the transmission connecting mechanism, but does not limit the axial movement and the axial rotation of the transmission connecting mechanism, and has the function of enabling the transmission connecting mechanism to deform along with the Z-shaped direction-changing sleeve, so that the phenomenon that the handle part and a doctor operate to block the sight and cause interference among various instruments is avoided, the sight is prevented from being blocked, and the Z-shaped direction-changing sleeve also has the function of enabling the Z-shaped direction-changing sleeve to be rapidly distinguished from other minimally invasive surgical instruments.
When the cutter type minimally invasive surgery cutting nippers are lifted, the Z-shaped direction-changing sleeve can be attached to the transmission connecting mechanism due to the action of friction and other forces and cannot fall down automatically due to gravity.
The utility model discloses an in the embodiment, Z type becomes to cover still includes at least one sucking disc, the sucking disc is located Z type and becomes to the middle part of cover, links to each other with Z type becomes to the cover, and the sucking disc is used for adsorbing on patient's body surface to fixed Z type becomes to the position of cover.
The utility model discloses an in the embodiment, the sucking disc that links to each other with Z type cover that becomes still can be for self-adhesive type sticker, can adopt sticky mode to paste on patient's body surface, can be transparent PVC film if the sticker.
In an embodiment of the present invention, the Z-shaped deflecting sleeve may also be an open-type deflecting sleeve, i.e. a knife-type minimally invasive surgical scissors forceps further comprises an open-type deflecting sleeve, which is a hollow structure and is sleeved outside the flexible sheath of the transmission connecting mechanism; the inner diameter of the opening type turning sleeve is slightly larger than the outer diameters of the cutting nippers and the flexible sheath in a closed state;
the opening type diversion sleeve is designed to be an opening type or a partial opening type, a plurality of staggered baffle plates are arranged at the opening and used for changing the direction of the transmission connecting mechanism, but the axial movement and the axial rotation of the transmission connecting mechanism are not limited, and compared with the Z type diversion sleeve, the opening type diversion sleeve is convenient for the transmission connecting mechanism to be drawn out more quickly so as to peel off the opening type diversion sleeve.
The utility model discloses an among the embodiment, the opening part of opening type diversion cover is equipped with a plurality of buckles, and the buckle cooperatees with opening type design and uses, can change transmission coupling mechanism's direction, nevertheless does not restrict transmission coupling mechanism's axial motion and pivoting, conveniently removes the diversion to transmission coupling mechanism at any time again, demolishs opening type diversion cover.
The utility model discloses an in the embodiment, opening type diversion cover still includes at least one sucking disc, the sucking disc is located the middle part of opening type diversion cover, with opening type diversion cover links to each other, and the sucking disc is used for adsorbing on patient's body surface, in order to fix the position of opening type diversion cover.
The utility model discloses an in the embodiment, with the sucking disc that the opening type diversion cover links to each other still can be for self-adhesive type sticker, can adopt sticky mode to paste on patient's body surface, can be transparent PVC film if the sticker.
The utility model discloses a swing of control press handle drives the motion of double cam mechanism, and through transmission coupling mechanism transmission power and motion, the pincers that make to cut the binding clip accomplish the pincers with cutting the order and cut the operation, have avoided the loaded down with trivial details and the belly opening number of many apparatus of traditional apparatus, many times operation to increase, the too big problem of opening, have improved operation efficiency, have shortened operation time, make the incision more level and more smooth. Additionally, the utility model discloses still include Z type diversion cover, Z type diversion cover can change transmission coupling mechanism's such as flexible rod cover trend avoids a plurality of apparatus to interfere difficult differentiation problem fast with the handle collision when a trompil, and conveniently distinguishes different apparatus, reduces the sight and shelters from, avoids the maloperation.
The present invention will be described in detail below with reference to the accompanying drawings and specific embodiments.
Example 1
Referring to fig. 1, fig. 2, fig. 4, fig. 5, fig. 8, and fig. 9, the present embodiment provides a pair of knife-type minimally invasive surgical scissors, which includes a scissors head 1, a transmission connecting mechanism 2, a double cam mechanism 3, and a handle portion 4,
the shear head 1 comprises an upper clamp 13, a lower clamp 11, a shear 12 and a clamp seat 14; the clamp seat 14 is fixedly connected with the lower clamp 11, the upper clamp 13 is movably connected with the clamp seat 14, and the scissors 12 is movably connected with the clamp seat 14;
the transmission connecting mechanism 2 comprises a flexible sheath 21, and a forceps guide wire 22 and a shearing guide wire 23 which are positioned in the flexible sheath 21, a steering mechanism 24 is arranged at the rear end of the transmission connecting mechanism 2, the front end of the forceps guide wire 22 is movably connected with an upper forceps 13 of the shearing forceps head 1, the rear end of the forceps guide wire 22 is movably connected with a forceps cam 31 of the double cam mechanism 3 through the steering mechanism 24, the front end of the shearing guide wire 23 is movably connected with scissors 12 of the shearing forceps head 1, and the rear end of the shearing guide wire 23 is movably connected with a shearing cam 32 of the double cam mechanism 3 through the steering mechanism 24;
the double cam mechanism 3 comprises a tong cam 31 and a shear cam 32;
the handle part 4 comprises a fixed handle 41 and a pressing handle 42, the pressing handle 42 also comprises a movable outer handle 421 and a movable inner handle 422, the movable outer handle 421 and the movable inner handle 422 are respectively and fixedly connected with the forceps cam 31 and the shearing cam 32 of the double-cam mechanism 3, the pressing and pressing handle 42 can sequentially drive the forceps cam 31 and the shearing cam 32 to move around the cam axes of the forceps cam 31, and the movement of the forceps cam 31 drives the upper forceps 13 of the forceps head 1 to perform relative opening and closing movement relative to the lower forceps 11 through the forceps guide wire 22; the movement of the shearing cam 32 drives the scissors 12 of the scissors head 1 to make opening and closing movement relative to the upper pincers 13 through the shearing guide wire 23; the operation of cutting nippers is realized.
In the embodiment, after the scissors head 1, the transmission connecting mechanism 2, the double-cam mechanism 3 and the handle part 4 are connected together in a combined manner, the pressing handle 42 in the handle part 4 is controlled to press in a single hand holding mode, the double-cam mechanism 3 is driven to move, and the transmission force and the movement of the transmission connecting mechanism 2 enable the scissors head 1 to continuously complete the operation of first scissors and then scissors in one step. Thereby possessed preselection focus with the centre gripping, the scissors cuts off afterwards, realized that binding clip clamp centre gripping + scissors cutting cut off the dual function of focus, makeed the utility model discloses a minimal access surgery apparatus has the function of a sword cutting. The utility model discloses an automatic staged and coherent completion pincers of mechanism connection transmission are cut the operation.
With further reference to fig. 2, on the basis of the present embodiment, a groove is formed inside the lower clamp 11, and the scissors 12 are hidden inside the groove in a natural state.
With further reference to fig. 2, on the basis of this embodiment, a window may be provided on the upper jaw 13, or both the middle of the upper jaw 13 and the middle of the lower jaw 11 are designed to be a window, and the scissors 12 can penetrate through the window of the upper jaw 13 to cut the tissue such as the human body when opening and closing relative to the upper jaw 13, so that the scissors 12 can cut and separate the tissue such as the human body occluded by the upper jaw 13 and the lower jaw 11.
With further reference to fig. 4 and 5, in this embodiment, the forceps guidewire 22 and the scissors guidewire 23 are both flexible guidewires. The forceps wire 22 and the scissors wire 23 do not interfere with each other. The outer sides of the clamp guide wire 22 and the shear guide wire 23 are provided with flexible sheaths 21, and the clamp guide wire 22, the shear guide wire 23 and the flexible sheaths 21 form a sleeve steel wire structure.
In this embodiment, the front end of the flexible sheath 21 is fixedly connected to the base 14 of the scissor head 1, the rear end of the flexible sheath 21 is connected to the steering mechanism 24, and the steering mechanism 24 is rotatably connected to the handle 4. The steering mechanism 24 is used to change the direction of the scissor head 1.
With further reference to fig. 8 and 9, in the present embodiment, the double cam mechanism 3 is mounted on the handle portion 4, and the jaw cam 31 and the shear cam 32 are both disc cams; a clamp cam line 311 is arranged on the clamp cam 31, and the clamp cam line 311 is movably connected with the rear end of the clamp guide wire 22 of the transmission connecting mechanism; the shear cam 32 is provided with a shear cam line 321, and the shear cam line 321 is movably connected with the rear end of the shear guide wire 23 of the transmission connecting mechanism.
With further reference to fig. 8 and 9, in the present embodiment, the forceps cam 31 and the scissors cam 32 have different diameters, different cam profiles, and are provided with grooves.
With further reference to fig. 8 and 9, on the basis of this embodiment, a handle indentation 4211 is designed on the movable outer handle 421, the shape of the handle indentation 4211 is the same as that of the movable inner handle 422, and pressing the movable outer handle 421 to swing to a certain angle causes the handle indentation 4211 to be embedded with the movable inner handle 422, so that the movable outer handle 421 drives the movable inner handle 422 to move together.
With further reference to fig. 8 and 9, on the basis of the present embodiment, a rear pop-up spring 43 is further disposed between the movable outer handle 421 and the movable inner handle 422, and the rear pop-up spring 43 is used for automatically popping up the movable outer handle 421 and the movable inner handle 422, so as to drive the upper jaw 13 of the scissors head 1 to open relative to the lower jaw 11, and drive the scissors 12 to be embedded in the lower jaw 11.
Example 2
Referring to fig. 3, the difference from embodiment 1 is that, in this embodiment, a front opening spring 15 is provided at the cutting jaw 1, and the front opening spring 15 is used to assist in keeping the scissors 12 hidden in the lower jaw 11 and assist in maintaining the normal state of opening the upper jaw 13 and the lower jaw 11.
Example 3
Referring to fig. 6 and 7, the difference between the embodiments is that in the present embodiment, an elastic connection section 25 is provided in the middle of the forceps guide wire 22 for adjusting the biting force of the upper forceps 13 and the lower forceps 11 to avoid an excessive biting force of the upper forceps 13 and the lower forceps 11.
In this embodiment, the elastic connection section 25 is a tension spring.
Example 4
Referring to fig. 10, the difference from embodiment 1 is that, in the present embodiment, the double cam mechanism 3 further includes torsion springs 33, and the torsion springs 33 correspond to the number of disc cams of the double cam mechanism 3 for returning the double cam mechanism.
Example 5
Referring to fig. 11, a point different from embodiment 1 is that, in the present embodiment, the double cam mechanism 3 and the pressing lever 42 are designed as an integral structure, i.e., a double-sided cam lever member 34.
That is, in this embodiment, the knife-like minimally invasive surgical scissors further include a double-sided cam handle member 34, two cam grooves are respectively disposed on the left and right sides of the double-sided cam handle member 34, the forceps cam 31 and the scissors cam 32 are respectively and fixedly mounted in the two cam grooves, the double-sided cam handle member 34 includes a pressing handle, and the pressing handle can simultaneously drive the two cam grooves to rotate around the shaft by a certain angle, so as to drive the transmission connecting mechanism 2 and further drive the scissors head 1 to move.
Example 6
Referring to fig. 12, it is different from embodiment 1 in that, in this embodiment, the handle portion 4 further includes a locking hook 411, the locking hook 411 is disposed on the fixing handle 41 and has a certain flexibility, and when the pressing handle 42 is pressed to the limit position, the locking hook 411 locks the pressing handle 42 to keep the scissor head 1 in the closed state.
Referring to fig. 12, on the basis of the above technical solution of the present embodiment, the fixed handle 41 may further be provided with a U-shaped slot 412, and the U-shaped slot 412 is located at one side of the movable inner handle 422 and is used for pressing the movable inner handle 422 separately to drive the scissors 12 to cut.
Example 7
Referring to fig. 13 and 14, the difference from embodiment 1 is that in this embodiment, the knife-cut minimally invasive surgical scissors further include a Z-shaped direction-changing sleeve 5, where the Z-shaped direction-changing sleeve 5 includes a front section, a middle section and a rear section, the three sections are connected in sequence and smoothly transited, the front section is used for being inserted into a surgical opening of a patient, the middle section is used for being flatly placed on the surface of the body of the patient, the rear section is used for being placed on the surface of the body of the patient, and the rear section allows a certain flexibility;
the Z-shaped direction-changing sleeve 5 is of a hollow structure and is sleeved outside the flexible sheath 21 of the transmission connecting mechanism 2; the inner diameter of the Z-shaped direction changing sleeve 5 is slightly larger than the outer diameter of the flexible sheath 21 of the cutting nipper head and the transmission connecting mechanism 2 in a closed state;
the Z-shaped direction changing sleeve 5 is used for changing the direction of the transmission connecting mechanism 2, but does not limit the axial movement and the axial rotation of the transmission connecting mechanism 2, and the Z-shaped direction changing sleeve 5 has the function of enabling the transmission connecting mechanism 2 to deform along with the Z-shaped direction changing sleeve, so that the situation that the handle part and a doctor operate to block the sight and cause difficult and rapid distinguishing of interference among various instruments is avoided, and the Z-shaped direction changing sleeve has the function of enabling the Z-shaped direction changing sleeve to be rapidly distinguished from other minimally invasive surgical instruments.
When the knife-type minimally invasive surgery cutting nippers are lifted, the Z-shaped direction-changing sleeve 5 can be attached to the transmission connecting mechanism 2 due to the action of friction and other forces and cannot fall down automatically due to gravity.
Example 8
Referring to fig. 15, the difference from the embodiment 7 is that, in this embodiment, the Z-shape facing sleeve 5 further comprises at least one suction cup 51, the suction cup 51 is located at the middle of the Z-shape facing sleeve 5 and connected to the Z-shape facing sleeve 5, and the suction cup 51 is used for sucking on the surface of the patient's body to fix the position of the Z-shape facing sleeve 5.
In addition, referring to fig. 16, the suction cup 51 connected to the Z-shape facing sleeve 5 can also be a self-adhesive patch 62, which can be adhesively attached to the surface of the patient's body, such as a transparent PVC film.
Example 9
Referring to fig. 16 and 17, the present invention is different from embodiment 7 in that the Z-type direction changing sleeve may be an open type direction changing sleeve.
Namely, the knife-like minimally invasive surgical scissors further comprise an opening type direction-changing sleeve 6, wherein the opening type direction-changing sleeve 6 is of a hollow structure and is sleeved on the outer side of the flexible sheath 21 of the transmission connecting mechanism 2; the inner diameter of the opening type turning sleeve 6 is slightly larger than the outer diameter of the flexible sheath 21 of the cutting nipper head and the transmission connecting mechanism 2 in a closed state;
the opening type diversion sleeve 6 is designed to be an opening type or a partial opening type, a plurality of staggered baffle sheets 61 are arranged at the opening, the staggered baffle sheets 61 are used for changing the direction of the transmission connecting mechanism 2, but the axial movement and the axial rotation of the transmission connecting mechanism are not limited, compared with the Z type diversion sleeve 5, the opening type diversion sleeve 6 is convenient for the transmission connecting mechanism 2 to be drawn out more quickly, and the opening type diversion sleeve 6 is peeled.
In this embodiment, opening type direction changing sleeve 6 still includes at least one self-adhesive sticker 62, self-adhesive sticker 62 is located the middle part of opening type direction changing sleeve 6, with opening type direction changing sleeve 6 links to each other, and self-adhesive sticker 62 is used for pasting on patient's body surface, in order to fix opening type direction changing sleeve 6's position.
In this embodiment, the self-adhesive patch 62 may be a transparent PVC film.
When the transmission connecting mechanism 2 is pulled out from the opening type direction changing sleeve 6, the upward pulling force on the opening type direction changing sleeve 6 caused by overcoming the resistance of the staggered baffle sheet 61 needs to be smaller than the adhesive force of the self-adhesive type adhesive sheet 62 on the surface of the human body so as to prevent the opening type direction changing sleeve 6 from being simultaneously taken up.
Example 10
Referring to fig. 18, the difference from embodiment 9 is that in this embodiment, a plurality of fasteners 63 are disposed at the opening of the open type direction changing sleeve 6, and the fasteners 63 are used in cooperation with the open type design, so that the direction of the transmission connecting mechanism can be changed, but the axial movement and the axial rotation of the transmission connecting mechanism are not limited, and the direction changing of the transmission connecting mechanism 2 can be conveniently removed at any time, and the open type direction changing sleeve 6 can be detached.
Fig. 19 is a schematic view of the effect of the knife-like micro-wound surgical scissors according to any embodiment of the above 10 embodiments of the present invention.
The utility model discloses a swing of control press handle drives the motion of double cam mechanism, and through transmission coupling mechanism transmission power and motion, the pincers that make to cut the binding clip accomplish the pincers with cutting the order and cut the operation, have avoided the loaded down with trivial details and the belly opening number of many apparatus of traditional apparatus, many times operation to increase, the too big problem of opening, have improved operation efficiency, have shortened operation time, make the incision more level and more smooth. Additionally, the utility model discloses still include Z type diversion cover, Z type diversion cover can change transmission coupling mechanism's such as flexible rod cover trend avoids a plurality of apparatus to interfere the difficult problem of differentiateing fast with the handle collision when a trompil, and convenient the quick differentiation in different apparatus, reduces the sight and shelters from, avoids the maloperation.
The embodiments described above are intended to facilitate the understanding and use of the invention by those skilled in the art. It will be readily apparent to those skilled in the art that various modifications to these embodiments may be made, and the generic principles described herein may be applied to other embodiments without the use of the inventive faculty. Therefore, the present invention is not limited to the above embodiments, and those skilled in the art should make improvements and modifications within the scope of the present invention according to the disclosure of the present invention.
Claims (10)
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202120507550.8U CN215228174U (en) | 2021-03-10 | 2021-03-10 | One-blade minimally invasive surgical scissors |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202120507550.8U CN215228174U (en) | 2021-03-10 | 2021-03-10 | One-blade minimally invasive surgical scissors |
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| CN215228174U true CN215228174U (en) | 2021-12-21 |
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| CN202120507550.8U Expired - Fee Related CN215228174U (en) | 2021-03-10 | 2021-03-10 | One-blade minimally invasive surgical scissors |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN112869828A (en) * | 2021-03-10 | 2021-06-01 | 上海理工大学 | Knife type minimally invasive surgery cutting nippers |
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2021
- 2021-03-10 CN CN202120507550.8U patent/CN215228174U/en not_active Expired - Fee Related
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN112869828A (en) * | 2021-03-10 | 2021-06-01 | 上海理工大学 | Knife type minimally invasive surgery cutting nippers |
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Granted publication date: 20211221 |