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RU2144791C1 - Gently sloping turning device - Google Patents

Gently sloping turning device Download PDF

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RU2144791C1
RU2144791C1 RU97105916A RU97105916A RU2144791C1 RU 2144791 C1 RU2144791 C1 RU 2144791C1 RU 97105916 A RU97105916 A RU 97105916A RU 97105916 A RU97105916 A RU 97105916A RU 2144791 C1 RU2144791 C1 RU 2144791C1
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cylinder
angle
longitudinal axis
intermediate part
central channel
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RU97105916A
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Russian (ru)
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RU97105916A (en
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А.В. Дубровский
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Дубровский Аркадий Вениаминович
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Abstract

FIELD: medicine, particularly, surgical and stomatologic instruments. SUBSTANCE: device has remote-control mechanism in the form of main internal cylinder and external control cylinder. External cylinder is fitted with handle for rotation and locking. External cylinder has eccentric turning rod at its end. Rod enters corresponding recess made in intermediate part of body which consists of hinge-connected parts with central channel. Hinge-connected parts of body are made with pairs of end-face coupling surfaces positioned at an angle to longitudinal axis of body and with axles oriented perpendicularly to end-face coupling surfaces. Axles are provided with central channel and bevel gears at their ends. Intermediate part of body with recess corresponding to rod is located between end-face coupling surfaces. As result, device may be used in body of almost any surgical instrument or some other manipulator for easy and quick variation of deflection angle of instrument operating parts from longitudinal axis of body within wide range. EFFECT: higher efficiency. 3 cl, 3 dwg

Description

Изобретение относится к медицине и может быть использовано в хирургических и стоматологических инструментах или в других областях, например, в манипуляторах с дистанционным управлением, в устройствах для изменения направления световода, потока жидкости или газа и т.д. The invention relates to medicine and can be used in surgical and dental instruments or in other areas, for example, in manipulators with remote control, in devices for changing the direction of the fiber, the flow of liquid or gas, etc.

В медицинской технике известны конструкции, позволяющие изменить угол отклонения рабочих частей инструмента от продольной оси корпуса, однако, эти конструкции имеют определенные недостатки, обусловленные или невозможностью дистанционного управления ими, или невозможностью жесткой фиксации измененного положения, или невозможностью создания полого канала вдоль оси инструмента, или невозможностью создания конструкции достаточно малого диаметра для использования в эндохирургических инструментах. In medical technology, designs are known that allow you to change the angle of deviation of the working parts of the tool from the longitudinal axis of the housing, however, these designs have certain disadvantages due to either the inability to remotely control them, or the inability to rigidly fix the changed position, or the inability to create a hollow channel along the axis of the tool, or the impossibility of creating a structure of a sufficiently small diameter for use in endosurgical instruments.

Наиболее близким к предлагаемому изобретению является устройство Probe swivel mechanism по патенту США N 4641657 от 10.02.1987 г., A 61 B 5/00. Это устройство имеет удлиненный полый корпус, разделенный на три части. Концевые части имеют зубчатые шестерни, сцепленные друг с другом. Оси шестерни находятся под фиксированными острыми углами к осям соответствующих концевых частей. Такая конструкция позволяет быстро изменять угол поворота зонда довольно малого диаметра при вращении центральной части и имеет центральный канал. Существенным недостатком этой конструкции является отсутствие механизма дистанционного управления углом поворота и жесткой фиксации заданного положения. Не указан также механизм закрепления концевых частей корпуса в его центральной части. Это устройство может быть выбрано в качестве прототипа к предлагаемому изобретению. Closest to the proposed invention is the device Probe swivel mechanism according to US patent N 4641657 from 02/10/1987, A 61 B 5/00. This device has an elongated hollow body, divided into three parts. The end parts have gears coupled to each other. The axis of the gear are at fixed sharp angles to the axes of the respective end parts. This design allows you to quickly change the angle of rotation of the probe of a rather small diameter during rotation of the Central part and has a Central channel. A significant drawback of this design is the lack of a remote control mechanism for the rotation angle and rigid fixation of a given position. The mechanism for securing the end parts of the housing in its central part is also not indicated. This device can be selected as a prototype of the invention.

Целью изобретения является создание устройства, которое может быть использовано в корпусе почти любого хирургического инструмента или другого манипулятора для легкого и быстрого изменения угла отклонения рабочих частей инструмента от продольной оси корпуса в широких пределах. При этом устройство позволяет прочно фиксировать выбранное положение и всегда сохранять жесткость конструкции. Управление устройством производится дистанционно, в области рукояток, независимо от длины корпуса. Внутри устройства в любом положении сохраняется центральный канал, в котором могут располагаться внутренние элементы инструмента: гибкий трос, гибкий шланг, световоды, токонесущие провода и т.д. Весьма важной особенностью данной конструкции является пологость дуги изгиба, что предотвращает пережатия и изломы внутренних элементов (троса, шланга, световода и т.д.) при многократных изгибах. The aim of the invention is to provide a device that can be used in the housing of almost any surgical instrument or other manipulator to easily and quickly change the angle of deviation of the working parts of the instrument from the longitudinal axis of the body over a wide range. Moreover, the device allows you to firmly fix the selected position and always maintain structural rigidity. The device is controlled remotely, in the area of the handles, regardless of the length of the housing. Inside the device, in any position, the central channel is preserved, in which the internal elements of the instrument can be located: a flexible cable, a flexible hose, optical fibers, current-carrying wires, etc. A very important feature of this design is the gentleness of the bending arc, which prevents clamping and kinks of internal elements (cable, hose, optical fiber, etc.) with repeated bends.

Предлагаемая конструкция состоит из двух или более пар плоских сопряженных торцевых поверхностей, расположенных под углом α к продольной оси инструмента. При этом углы α в каждой паре открыты в противоположные направления. Для этого корпус инструмента в варианте с двумя парами сопряженных поверхностей разделен на три части: первая, проксимальная к рукоятке часть, содержит механизм управления углом поворота, вторая, промежуточная часть содержит гнезда для осей с обеих сторон, имеет вид трапеции в определенном срезе, и третья часть, дистальная, с рабочими губками или другими органами. Сопряжение каждой пары торцевых поверхностей осуществляется осью, располагающейся перпендикулярно торцевой поверхности. Каждая ось имеет центральный полый канал. Гнездо для оси располагается в промежуточной части инструмента. Крепление оси в гнезде осуществляется за счет кольцевой борозды на оси и точно соответствующего борозде выступа (лучше кольцевого) в гнезде. Заканчивается каждая ось конического зубчатым колесом. Зубцы этих колес каждой оси находятся в зацеплении друг с другом. Это дает возможность при вращении промежуточного звена первой и третьей частями инструмента находится в постоянном зацеплении друг с другом и отклоняться от продольной оси на один и тот же угол. The proposed design consists of two or more pairs of flat mating end surfaces located at an angle α to the longitudinal axis of the tool. Moreover, the angles α in each pair are open in opposite directions. For this, the tool body in the variant with two pairs of mating surfaces is divided into three parts: the first, the part proximal to the handle, contains a control mechanism for the rotation angle, the second, intermediate part contains slots for the axes on both sides, has the form of a trapezoid in a certain section, and the third part distal with working jaws or other organs. The pairing of each pair of end surfaces is carried out by an axis located perpendicular to the end surface. Each axis has a central hollow channel. The axis seat is located in the middle of the tool. The axis is mounted in the nest due to the annular furrow on the axis and exactly corresponds to the furrow of the protrusion (preferably annular) in the nest. Each axle ends with a bevel gear. The teeth of these wheels of each axis are engaged with each other. This makes it possible, when the intermediate link is rotated by the first and third parts of the tool, to be constantly engaged with each other and deviate from the longitudinal axis by the same angle.

Проксимальная часть инструмента состоит из двух полых цилиндров, находящихся один в другом (наружного и внутреннего) с возможностью независимо друг от друга вращения вокруг продольной оси инструмента. Один из этих цилиндров является основным элементом корпуса, другой - управляющим цилиндром. В проксимальной части управляющего цилиндра имеется рукоятка для удобства его вращения и фиксации заданного положения, в дистальной части имеется выступ (эксцентричный поворотный шток), который входит в зацепление с корпусом промежуточного звена. При вращении управляющего цилиндра в случае неподвижности основного цилиндра этот эксцентрик поворачивает промежуточное звено, что приводит к отклонению рабочей части от продольной оси инструмента. The proximal part of the instrument consists of two hollow cylinders located one in the other (external and internal) with the possibility of rotation independently of each other around the longitudinal axis of the instrument. One of these cylinders is the main element of the housing, the other is the control cylinder. In the proximal part of the control cylinder there is a handle for the convenience of its rotation and fixation of the set position, in the distal part there is a protrusion (eccentric rotary rod), which engages with the intermediate link housing. When the control cylinder rotates if the main cylinder is stationary, this eccentric rotates the intermediate link, which leads to the deviation of the working part from the longitudinal axis of the tool.

Объем вращения управляющего цилиндра с поворотным штоком не ограничен - 360o в любую сторону можно повторять многократно. При повороте на 180o достигается максимальный угол отклонения рабочей части от продольной оси проксимальной части корпуса. При дальнейшем вращении управляющего цилиндра в любую сторону угол отклонения уменьшается и отклоняющая часть возвращается в исходное положение. Максимальный угол отклонения рабочей части от продольной оси инструмента зависит от угла скоса торцевых поверхностей α. Так, при угле α в 67,5o максимальный угол поворота равен 90o, а при угле α в 45o угол поворота достигает 180o. Общий максимальный угол отклонения рабочей части от продольной оси инструмента равен 4×(90-α).
Изгиб в данном поворотном устройстве создается пологим, что крайне важно, т. к. это предохраняет располагающийся в центральном канале функциональный орган (трос, гибкий шланг, световод, токонесущий провод и т.д.) от пережатия и излома при многократных изгибах.The rotation volume of the control cylinder with a rotary rod is not limited - 360 o in any direction can be repeated many times. When turning 180 o is achieved the maximum angle of deviation of the working part from the longitudinal axis of the proximal part of the body. With further rotation of the control cylinder in any direction, the deviation angle decreases and the deflecting part returns to its original position. The maximum angle of deviation of the working part from the longitudinal axis of the tool depends on the angle of inclination of the end surfaces α. So, with an angle α of 67.5 o the maximum angle of rotation is 90 o , and with an angle of α at 45 o the angle of rotation reaches 180 o The total maximum angle of deviation of the working part from the longitudinal axis of the tool is 4 × (90-α).
The bend in this rotary device is created gentle, which is extremely important, because it protects the functional organ located in the central channel (cable, flexible hose, light guide, current-carrying wire, etc.) from being pinched and kinked during repeated bends.

Конструкция поворотного устройства дает возможность полной разборки инструмента и шарнира для его промывки и стерилизации. The design of the rotary device makes it possible to completely disassemble the tool and the hinge for washing and sterilizing it.

Корпус инструмента может быть выполнен с множественными парами примыкающих друг к другу плоских сопряженных торцевых поверхностей, расположенных под определенными или под разными углами α к продольной оси инструмента. The tool body can be made with multiple pairs of adjacent to each other flat mating end surfaces located at specific or at different angles α to the longitudinal axis of the tool.

Изобретение поясняется прилагаемыми чертежами. На фиг. 1 показан общий вид устройства с разрезом в области части проксимального звена и промежуточного звена. На фиг. 2 показан вид устройства при максимальном повороте. На фиг. 3 показан один из вариантов устройства. The invention is illustrated by the accompanying drawings. In FIG. 1 shows a General view of the device with a cut in the region of part of the proximal link and the intermediate link. In FIG. 2 shows a view of the device at maximum rotation. In FIG. 3 shows one embodiment of the device.

Пологое поворотное устройство состоит из тех частей: 1 - проксимальная к рукояткам часть инструмента, 2 - промежуточная часть, 3 - дистальная часть с рабочими губками или другими рабочими частями. Торцевые плоскости сопряжения 4 расположены под углом α к продольной оси инструмента. A shallow rotary device consists of those parts: 1 - the part of the tool proximal to the handles, 2 - the intermediate part, 3 - the distal part with working jaws or other working parts. The end planes of the interface 4 are located at an angle α to the longitudinal axis of the tool.

1 часть инструмента состоит из двух цилиндров, расположенных один в другом с возможностью независимого друг от друга вращения вокруг продольной оси инструмента: основной цилиндр внутренний 1 и управляющий цилиндр наружный 5. На проксимальной части управляющего цилиндра 5 предусматривается рукоятка (на чертеже не показана) для удобства его вращения и фиксации, на дистальном конце имеется выступ (эксцентричный поворотный шток), входящий в гнездо 7 в промежуточной части инструмента 2. 1 part of the tool consists of two cylinders located one in the other with the possibility of independent rotation around the longitudinal axis of the tool: the main cylinder is internal 1 and the control cylinder is external 5. A handle (not shown) is provided on the proximal part of the control cylinder 5 for convenience its rotation and fixing, at the distal end there is a protrusion (eccentric rotary rod), which enters the socket 7 in the intermediate part of the tool 2.

Каждая пара сопряженных торцевых поверхностей выполнена в виде примыкающих друг к другу плоских скосов 4, расположенных под углом α к продольной оси и соединенных между собой ориентированной, перпендикулярно скосам цилиндрической осью 8 с кольцевым вырезом 9. Ось 8 заканчивается коническим зубчаты колесом 10. Зубчатые колеса 10 оси проксимальной и оси дистальной частей корпуса находятся в зацеплении друг с другом. Внутри осей - центральный канал. Each pair of mating end surfaces is made in the form of flat bevels 4 adjacent to each other, arranged at an angle α to the longitudinal axis and interconnected by an oriented, perpendicular to the bevels, cylindrical axis 8 with an annular cutout 9. Axis 8 ends with a conical gear wheel 10. Gear wheels 10 the axis of the proximal and the axis of the distal parts of the body are meshed with each other. Inside the axes is the central channel.

Промежуточная часть 2 имеет с каждой стороны плоские скосы под углом α, открытым в противоположные друг ругу стороны. В центре этих скошенных плоскостей располагаются специальные гнезда 11 для цилиндрических осей 8 с выступами 12, входящими в кольцевой вырез 9 осей 8. Также в промежуточной части 2 имеется гнездо 7 для выступа (эксцентрика) 6 упирающего цилиндра 5. The intermediate part 2 has flat bevels on each side at an angle α, open on opposite sides. In the center of these beveled planes there are special sockets 11 for cylindrical axes 8 with protrusions 12 included in the annular cut-out 9 of the axles 8. Also in the intermediate part 2 there is a socket 7 for the protrusion (eccentric) 6 of the abutment cylinder 5.

При вращении управляющего цилиндра 5 при условии неподвижности цилиндра 1 выступа 6 вращает промежуточную часть 2, что заставляет изменять положение проксимальной 1 и дистальной 3 частей инструмента. Сопряженные поверхности и точное соответствие осей и их гнезд позволяет совершать поворот на требуемый угол, сохраняя жесткость конструкции. Тот же эффект можно получить при вращении основного цилиндра 1 при неподвижности управляющего цилиндра 5. When the control cylinder 5 is rotated, provided that the cylinder 1 of the protrusion 6 is stationary, the intermediate part 2 rotates, which forces the position of the proximal 1 and distal 3 parts of the tool to change. The mating surfaces and the exact correspondence of the axes and their seats allows you to rotate to the desired angle, while maintaining structural rigidity. The same effect can be obtained by rotating the main cylinder 1 while the control cylinder 5 is stationary.

Для создания еще более пологой дуги изгиба возможно введение между зубчатыми коническими колесами 10 осей 8 дополнительного промежуточного конического зубчатого колеса 14 на оси 13, как показано на фиг. 3 (фиг. 2). В этом варианте промежуточная часть 2 корпуса инструмента может быть расширена на диаметр зубчатого колеса 14, что создаст дугу изгиба еще большего радиуса. To create an even more gentle bending arc, it is possible to introduce between the bevel gears 10 of the axles 8 an additional intermediate bevel gear 14 on the axis 13, as shown in FIG. 3 (Fig. 2). In this embodiment, the intermediate part 2 of the tool body can be expanded by the diameter of the gear wheel 14, which will create an arc of bending of an even larger radius.

Claims (3)

1. Пологое поворотное устройство, содержащее дистанционный механизм управления и имеющий центральный канал корпус из шарнирно соединенных частей с расположенными под углом к продольной оси корпуса парами торцевых поверхностей сопряжения с ориентированными перпендикулярно торцевым поверхностям сопряжения осями, имеющими центральный канал и конические зубчатые колеса на концах, отличающееся тем, что механизм управления выполнен в виде основного внутреннего цилиндра и управляющего наружного цилиндра, имеющего рукоятку для вращения и фиксации, при этом наружный цилиндр имеет на конце эксцентричный поворотный шток, который входит в соответствующее ему гнездо, выполненное в промежуточной части корпуса, размещенной между торцевыми поверхностями сопряжения. 1. A shallow rotary device containing a remote control mechanism and having a central channel housing made of articulated parts with pairs of end surfaces of the interface with angles oriented perpendicular to the end surfaces of the interface with axes having a central channel and bevel gears at the ends, characterized the fact that the control mechanism is made in the form of a main inner cylinder and a control outer cylinder having a handle for rotation and fixing, while the outer cylinder has an eccentric rotary rod at the end, which enters its corresponding socket, made in the intermediate part of the housing, located between the end surfaces of the interface. 2. Устройство по п.1, отличающееся тем, что оси выполнены с кольцевыми вырезами под выступы, расположенные в промежуточной части корпуса. 2. The device according to claim 1, characterized in that the axis is made with annular cutouts under the protrusions located in the intermediate part of the housing. 3. Устройство по п.1, отличающееся тем, что конические зубчатые колеса образуют зацепления через промежуточное коническое колесо. 3. The device according to claim 1, characterized in that the bevel gears form meshes through an intermediate bevel gear.
RU97105916A 1997-04-14 1997-04-14 Gently sloping turning device RU2144791C1 (en)

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