WO2014048057A1 - Driving and locking apparatus and cutting stapler using same - Google Patents
Driving and locking apparatus and cutting stapler using same Download PDFInfo
- Publication number
- WO2014048057A1 WO2014048057A1 PCT/CN2013/000937 CN2013000937W WO2014048057A1 WO 2014048057 A1 WO2014048057 A1 WO 2014048057A1 CN 2013000937 W CN2013000937 W CN 2013000937W WO 2014048057 A1 WO2014048057 A1 WO 2014048057A1
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- WIPO (PCT)
- Prior art keywords
- locking
- block
- driving
- push block
- cutter
- Prior art date
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- 230000006835 compression Effects 0.000 claims description 21
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
Definitions
- the invention relates to the field of medical device technology, and in particular to a driving and locking device and a cutting stapler using the same.
- BACKGROUND OF THE INVENTION In surgical procedures, medical staplers have become an indispensable auxiliary medical device in the process of suturing human tissue. With the development of medicine and the development of medical device products, more and more staple products are used in clinical practice, and their application scope has been related to gastrointestinal surgery, hepatobiliary surgery, thoracic surgery, urology, gynecology and so on.
- the field is one of the essential tools for doctors.
- the application of the medical stapler makes the operation less bleeding, shorter operation time, and has many advantages such as reducing manual operation errors, avoiding infection, and promoting postoperative functional recovery.
- a commonly used product in medical stapler is a linear cutting stapler, which is mainly used for suturing the opening of the cavity tissue, the suture mouth is neat and very firm, and the bleeding of the suture is not easy to occur.
- the original linear suturing device only has the function of suturing. After the tissue is sutured, the doctor needs to manually cut off the excess tissue, and the doctor does not easily grasp the distance between the cutting line and the suture. Therefore, the cutting line is often not neat and leaks. The risk of blood is enormous.
- a suture device directly with a cutter has been developed, such as Kai Tuo produced by Johnson & Johnson, which compensates for the shortcomings of the linear suture device to some extent, and can complete the suturing and cutting action at the same time.
- the instrument has a long rod and a grip and a trigger for the doctor to operate.
- the device can greatly save the doctor's operation time, reduce the amount of bleeding, and improve the success rate of the operation.
- the existing suture device with a cutter is designed on the basis of the original linear suturing device, and a cutter is fixed in the middle of the two rows of staples, and the cutting direction of the cutter is perpendicular to the direction of the suture.
- the cutter makes a single longitudinal movement together with the pusher piece in the direction of the abutment, and cuts the tissue by the instantaneous thrust of the longitudinal direction.
- the advantage of the suturing device is that the structure is simple, and the disadvantage is that it is laborious to cut the tissue, the cutting edge is not neat, and the staple is easy to incline in the direction of the cutter, so that the staple molding is poor, the suture opening is easy to leak and the device is fired. Can not lock and other defects. It can be seen that the above-mentioned existing cutting and stitching device obviously has obvious defects and defects in structure and use, and needs to be further improved.
- the technical problem to be solved by the present invention is to provide a driving and locking device and a cutting and stitching device using the same, which have a reasonable design and a compact structure. After the firing is completed, the staple cartridge can be automatically locked, which can prevent the second time. The firing prevents the used cartridge assembly from being misused, thereby overcoming the deficiencies of the prior art.
- the present invention provides a driving and locking device, comprising a fixed base, a driving ejector, a locking push block and a locking block, wherein: the bottom of the driving ram is connected to the fixed base by a compression spring; A spring is mounted between the locking block and the locking push block, and the locking block and the locking push block are slidably mounted on the fixed base. When the compression spring is relaxed, the locking block can slide to the driving ejector and Between the fixed bases.
- the fixed base side is a receiving cavity
- the other side is a locking push block sliding groove, and is disposed on a dividing surface between the receiving cavity and the locking push block sliding groove.
- the locking block is provided with a stud, and the driving ejector and the locking block are located In the cavity, the stud of the locking block passes through the through hole of the fixed base, and is connected by a spring to the locking push block in the sliding groove of the locking push block.
- the protruding post is provided with a through hole along the central axis thereof, and opposite locking step is provided in the through hole;
- the locking pushing block is provided with a counterbore;
- the fixing rod passes through Locking the counterbore of the push block, the spring and the stud of the locking block, one end of the plug is opposite to the counterbore of the locking push block, and the other end is provided with the opposite card and the card in the stud of the locking block
- the steps are offset.
- the bottom of the locking sliding block sliding groove is provided with a guiding groove, and a limiting protrusion is arranged in the guiding groove;
- the bottom of the locking pushing block is provided with a guiding strip corresponding to the guiding groove, and is provided with
- the protrusion corresponding to the P-clamp bump The inner cavity of the bottom of the driving ram is open, and the bottom of the outer wall is provided with an opposite protrusion; the accommodating cavity is provided with a central rod corresponding to the inner cavity of the driving ejector, and is provided on the inner wall The corresponding sliding groove of the ejector pin is mounted; the compression spring is installed in the inner cavity of the driving ejector and is fitted on the central rod of the accommodating cavity.
- the spring is a conical spring, and the small diameter end thereof is opposite to the locking block, and the large diameter end is opposite to the locking push block.
- the outer end of the locking push block is provided with a wedge surface.
- the present invention also provides a cutting stapler comprising a jaw, an abutment assembly, a cartridge assembly, a propulsion mechanism and a firing mechanism, wherein: the cartridge assembly comprises a staple cartridge, a cutter slider, a blade with a blade, And the driving and locking device; the top end of the driving ram of the driving and locking device is opposite to the belt of the belt, and the compression spring is driven by the pushing motion of the belt; the locking of the driving and locking device
- the push block corresponds to the cutting end position of the cutter slider, and moves to the inside of the fixed base by the action of the cutter slider when the cutting is completed.
- the cutter slider includes a cutter and a firing piece disposed on both sides of the cutter, and is provided with a rib on the outer wall of the firing piece;
- the cartridge assembly further includes a fixing to the jaw a fixed clamping plate and a retaining spline corresponding to the rib of the cutter slider on the fixing clamping plate;
- the cutting blade has a guiding groove thereon, and is slidably mounted on the fixing clamping plate by the pin on.
- a toothed piece is mounted between the strip and the cutter block, and the tooth piece is connected to the cutter block by a spring and a pin shaft and a sliding groove structure perpendicular to the cutting direction, and the lower edge is a tooth with a cutter Match the ratchets.
- the present invention has the following beneficial effects compared with the prior art:
- the invention has reasonable design and compact structure, and after the firing is completed, the staple cartridge can be automatically locked to prevent secondary firing and prevent the used cartridge assembly. Misuse, safety insurance, can ensure normal operation, so it is more suitable for promotion.
- the driving and locking device can be arranged on the replaceable or non-replaceable instrument of the staple cartridge, or on other parts that need to be automatically driven and self-locked.
- Figure 1 is a schematic view showing the structure of a driving and locking device of the present invention.
- 2 is a schematic exploded view of the driving and locking device of the present invention.
- 3 is a schematic view showing the structure of a fixed base of the driving and locking device of the present invention.
- 4 is a schematic view showing the structure of a driving jack of the driving and locking device of the present invention.
- Figure 5 is a schematic view showing the structure of the locking block of the driving and locking device of the present invention.
- Figure 6 is a schematic view showing the structure of the locking push block of the driving and locking device of the present invention.
- Figure 7 is a schematic view showing the structure of the fixing rod of the driving and locking device of the present invention.
- Figure 8 is a schematic view showing the structure of the cutting stapler of the present invention.
- Figure 9 is a schematic view showing the structure of a staple cartridge assembly of the cutting stapler of the present invention.
- Figure 10 is a schematic view showing the external structure of a cutter slider of the cutting stapler of the present invention.
- Figure 11 is a cross-sectional structural view showing a cutter slider of the cutting stapler of the present invention.
- Figure 12 is a schematic view showing the structure of a fixing splint of the cutting stapler of the present invention.
- Figure 13 is a schematic view showing the structure of a blade with a cutting stapler of the present invention.
- Figure 14 is a schematic view showing the state of the cartridge assembly when the cutting stapler of the present invention completes the cutting.
- Figure 15 is a view showing the state of the cartridge assembly after the blade retracting of the cutting stapler of the present invention
- the bottom of the driving ram 42 is connected to the fixed base 41 by a compression spring 46, and is slidable along the axis by the external force and the compression spring 46.
- a push spring 47 is mounted between the locking block 44 and the locking push block 43.
- the locking block 44 and the locking push block 43 are slidably mounted on the fixed base 41. When the compression spring 46 is relaxed, the locking card is locked.
- Block 44 can be slid to the drive ram 42 is between the fixed base 41.
- the locking block 44 can adopt a plate body structure parallel to the driving ejector 42.
- the spring direction of the push spring 47 is perpendicular to the plate body structure, and the sliding direction of the locking block 44 and the locking push block 43 is locked. It is also perpendicular to the locking block 44 and the drive ram 42.
- the fixed base 41 can be designed to have a receiving cavity on one side and a sliding groove of the push block on the other side, and slide in the receiving cavity and the locking push block.
- a through hole 413 is provided in the dividing surface between the grooves.
- a central rod 411 may be disposed in the accommodating cavity along the axial direction of the driving ram.
- the central rod 411 preferably has a large semicircular cross section for splicing the compression spring 46.
- a sliding groove 412 may also be respectively disposed on the front and rear sides of the accommodating cavity.
- the sliding block sliding groove can be formed by extending the front and rear surfaces of the fixed base 41 and the bottom surface, and the guiding groove 414 can be respectively disposed at the bottom of the front and rear sides of the locking sliding block sliding groove as the sliding of the locking push block 43.
- the rails are provided with limit projections 415 in the guide slots.
- the driving ram 42 of the present invention can also adopt a rectangular cylindrical structure with a lumen 421, and the inner cavity 421 has a closed top end and a bottom end opening, and the compression spring 46 is matched with the accommodating cavity structure.
- a protrusion 422 corresponding to the sliding slot 412 may be disposed at the bottom of the outer wall of the driving top cymbal 42.
- the locking block 44 is provided with a protrusion 442 in the middle of the body 441.
- the body 441 of the locking block 44 is located in the receiving cavity of the fixed base 41, and the protruding post 442 passes through the fixed base.
- the outer end of the locking push block 43 (ie, the end opposite to the fixed base 41, the right side shown in the figure) can be set as a wedge surface 435, and can be set at the bottom of the front and rear sides.
- a pair of protrusions 432 corresponding to the limit projections 415 are provided on the guide strips 431 for locking the travel limit of the push block 43.
- the protruding post 442 of the locking block 44 is further provided with a through hole along the central axis thereof, and a pair of latching steps 443 are correspondingly arranged in the through hole.
- the upper end of the locking push block 43 is also provided with a counterbore 433, and a small diameter circular hole 434 is disposed in the counterbore 433.
- the fixing lever 45 can be used to connect the locking block 44 and the locking push block 43.
- the fixing rod 45 passes through the circular hole 434 in the counterbore of the upper end of the locking push block 43, the push spring 47 and the boss 442 of the locking block.
- the "end end of the fixing rod 45 is the plug 452 and the locking push block 43".
- the counterbore 433 is opposite to each other, and the other end is provided with an opposite card base 451, which can be inserted into the boss 442 of the locking block 44, and the fixing rod 45 is rotated 90° clockwise or counterclockwise to lock the block protrusion 442.
- the card step 443 and the card table 451 at the left end of the fixing rod 45 form a card position, and the two are fixedly connected.
- the compression spring 46 is firstly sleeved on the central rod 411 of the fixed base 41, and the driving plunger 42 is mounted in the accommodating cavity of the fixed base 41.
- the compression spring 46 extends into the inner cavity 421 of the driving ram 42.
- the driving ram 42 is engaged with the sliding groove 412 of the fixed base 41 by a pair of protrusions 422, and can slide up and down in the axial direction thereof relative to the fixed base 41.
- the driving ram 42 receives a downward force
- the driving The jack 42 compresses the compression spring 46 and moves downward
- the driving ram 42 moves upward by the restoring force of the compression spring 46 to return to the initial position.
- the locking block 44 is vertically inserted into the accommodating cavity of the fixed base 41, and the protruding post 442 on the locking block 44 is passed through the through hole 413 of the fixed base.
- the locking push block 43 is mounted and positioned along the right side of the fixed base 41 along the guiding groove 414, and a push spring 47 is mounted between the locking push block 43 and the locking block 44, preferably as shown in the figure.
- the spring 47, the small diameter end of the tapered push spring 47 abuts against the boss 442 of the locking block 44, and the large diameter end abuts against the back surface of the counterbore 433 of the locking push block 43.
- the fixing rod 45 is sequentially passed from the left to the right through the circular hole 434 in the locking pusher counterbore 433, the push spring 47, and into the stud 442 of the locking block 44, and then clockwise or counterclockwise.
- the locking block 44 forms a latching position by the latching step 443 provided in the stud and the card 451 at the left end of the fixing rod 45, thereby fixing the fixing base 41, the locking block 44, the push spring 47 and the pin
- the push block 43 is fixedly connected.
- the protrusion 432 provided on the locking push block 43 and the right end surface of the limiting protrusion 415 of the fixed base 41 are abutted, and when the force is not applied, the locking block 44 and the locking push block 43 are locked. Keep it relatively fixed.
- the wedge surface 435 of the locking push block 43 receives a leftward force
- the locking push block 43 slides to the left along the guiding groove 414 provided on the fixed base 41, thereby pushing the locking by the fixing rod 45 and the push spring 47.
- the block 44 moves to the left, and the protrusion 432 moves to the left end of the limit projection 415, and is not retracted to the right by the interference of the left end surface of the projection 415.
- a cutting stapler applying the above driving and locking device comprises a jaw, an abutment assembly, a cartridge assembly, a propulsion mechanism and a firing mechanism, wherein the anvil assembly and the nail are provided.
- the cartridge assembly is correspondingly mounted in the jaws, and the cartridge assembly is coupled to the front end of the propulsion mechanism.
- the cartridge assembly of the cutting stapler of the present invention comprises a staple cartridge 1, a cutter slider 2, a bladed rack 3, and a drive and pinning device 4 of the present invention.
- the top end of the driving ram 42 of the driving and locking device 4 is in contact with the left end of the belt 63, and the compression spring 46 is compressed along with the advancement of the blade 3, and the clamping block 43 and the cutter slider 2 are locked.
- the cutting end position corresponds to, and when the cutting is completed, it is moved toward the inside of the fixed base 41 by the force of the cutter slider 2.
- a cutter 21 is disposed in the upper middle of the cutter slider 2
- a firing piece 22 is disposed on both sides of the cutter 21
- a rib 221 is disposed on the outer wall of the firing piece.
- the cutter 21 preferably uses a one-sided blade surface; the firing piece 22 adopts a polygonal structure to act as a pusher to push the nail piece and fire the staple.
- the cutter 21 and the firing piece 22 are parallel to each other and have a "mountain" shape structure.
- a tooth piece 24 as shown in the drawing can also be mounted inside the positioning chamber 23 formed by the downward extension of the firing piece 22, a tooth piece 24 as shown in the drawing can also be mounted.
- the lower end of the tooth piece 24 is provided with a ratchet tooth 242, and the upper end is provided with a columnar hole 241.
- Two sliding grooves 243 are formed on both sides of the columnar hole 241.
- a pin 25 is formed in the positioning cavity 23 of the cutter block 2 to cooperate with the sliding groove 243 formed on the tooth piece 24, and a spring 26 is mounted between the cutter block positioning cavity 23 and the toothed column hole 241.
- the sheet 24 is connected to the cutter slider 2 via a spring 26, a pin shaft 25, and a sliding groove 243, and is movable up and down in the positioning chamber 23.
- the cartridge assembly can also include a retaining clip 5 that is fixedly coupled to the jaws.
- the fixing plate 5 includes two parallel plates, and the upper half of the fixing plate 5 is provided with the inverted teeth 51 which cooperate with the ribs 221 of the cutter slider 2 to prevent the retraction, and the lower half of the front and rear plates are symmetrically provided with pin holes 55, 56, 57, 58.
- the fixing splint 5 can be made of plastic material, and two hooks 53 are respectively arranged on the outer side of the fixing splint 5.
- the fixing splint 5 is fitted with the staple cartridge 1 through the hook 53 to prevent the inner component from moving downward; the two sides of the fixing splint 5 are also Corresponding to two vertical ridges 54 to prevent internal The components are swayed to the left and right for fitting with the staple cartridge 1, and a pair of vertical grooves 52 are further provided on both sides of the fixing clamp 5.
- the upper end of the blade strip 3 is provided with teeth 31 that engage with the ratchet teeth 242 of the tooth piece 24, and can move the cutter slider 2 to the left.
- the belt 63 is provided with a curved or oblique guiding groove 32 to ensure that the belt 6 is moved in the vertical direction, and the two horizontal grooves 34 and 35 provided on the blade are used to ensure The belt rack 3 is horizontally moved to the left and right, and the other two horizontal grooves 33, 36 are used for fitting the positioning pin in the pin hole of the fixed blade and the fixing pin.
- the installation and use process of the cutting stapler of the present invention will be described below with reference to the orientation shown in Figs.
- Slide pin, and corresponding sliding pin is mounted on the arcuate guide groove 32 with the blade 3 and the vertical groove 52 of the fixing plate 5, and the matching installation of the fixing plate 5 and the blade 3 is ensured to ensure that the blade 3 is Between the two fixed clamping plates 5, the sliding pins corresponding to the horizontal holes 34, 35 of the blade 63 and the pin holes 55, 56 of the fixing plate 5 are respectively arranged to be displaced left and right; The sliding pin between the groove 32 and the vertical groove 52 of the fixing plate 5 is guided to cooperate, so that the belt 63 is displaced to the left and right, and an upward displacement occurs. Thereafter, the cutter slider 2 is mounted on the right end of the fixed clamp plate 5 by a positioning structure.
- the cutter slider 2 In the initial position, the cutter slider 2 is located on the right side of the bladed rack 3, and the left lower end surface of the firing piece 22 and the right side of the bladed rack 3 The tooth is abutted; and the mounted cutter block 2, the fixed plate 5 and the bladed rack 3 are mounted in the inner cavity of the staple cartridge 1. At this time, the upper end of the fixed clamp 5 and the staple cartridge 1 are positioned on the inner cavity.
- the limit steps are in contact with each other and are set through the inner cavity of the staple cartridge 1
- the vertical groove cooperates with the two ribs 54 provided on the fixing plate 5 to fix the fixing plate 5 and the bladed rack 3 thereof to prevent the sliding of the blade 5; the hook 53 and the magazine 1 disposed outside the fixing plate 5
- the card slot provided on the card slot is correspondingly engaged, and the fixing plate 5 and the blade strip 3 thereof are fixedly mounted in the staple cartridge 1 to prevent the fixing plate 5 from moving downward and being separated from the inner cavity of the staple cartridge.
- the driving and locking device 4 is installed in the lower left corner of the inner cavity of the nail cartridge through the guiding ribs disposed on the outer side thereof, and the driving and locking device 4 is mounted on the left end of the bladed rack 3, in the driving and locking device 4
- the right end of the driving ram 42 is in contact with the left end surface of the blade strip 3, and the staple cartridge 1, the fixing plate 5 and the blade strip 3 are fixed by two positioning pins, thereby completing an application driving and clamping device of the present invention.
- Installation of the stapler staple cartridge assembly In use, the pre-stitched tissue is placed between the abutment assembly mounted on the jaws and the surface of the cartridge assembly.
- the cutter slider 2 Before firing, the cutter slider 2 is located on the right side of the initial end of the blade strip 3, the cutter slider The lower end is provided with a push block, the cutter slider, the push block and the push plate are contactable, and the entire cutter slide 2 is buried in the staple cartridge 1, and the cutter is not exposed.
- the cutter slider 2 When the jaws are closed, the cutter slider 2 has not been activated, a certain tissue gap is maintained between the anvil assembly and the cartridge assembly, the trigger 7 is lightly buckled, the push plate 61 is moved forward, and the cutter slider 1 is pushed on the plate. Under the push of 61, the cutter slider 2 is pushed out of the outer side of the staple cartridge 1.
- the push plate 61 pushes the horizontal grooves 34, 35 on the blade strip 3 and the slide pins provided in the curved guide grooves 32, so that the strip 6 is moved to the left. Further, the cutter slider 2 is further pulled to move to the left, the cutting and stitching is further performed, the push plate 61 is reset, and the bladed rack 3 is moved to the right under the elastic force of the compression spring 46, and the ratchet teeth and the belt on the cutter slider 2 are moved. The teeth on the blade strip 3 abut each other, and the rack provided by the cutter block 2 is retracted by force, and is matched by the rib 221 provided on the right end surface of the cutter block 2 and the inverted tooth 51 on the fixed plate 5.
- the cutter slider 2 cannot be retracted, and the belt 63 is returned to the initial position by the elastic force of the driving ejector 42. After a section of cutting is completed, the strip 3 is reset and the action is repeated. Since the inner portion of the cutter block 2 is provided with a spring 26 and a pin 25 and a sliding groove 241 which can be slid up and down, the cutter block 2 is reset. After the belt with the blade 3 is driven, the cutting slide is further advanced, and the cutter slider 2 reaches the left end of the magazine 1 until the cutter slider 2 is separated from the belt rack 3 and travels to the left side of the belt rack 3, further Push the push plate 61 to push the cutter slider 2 forward. Referring to FIG.
- the trigger is released, and the push plate 61 rebounds to the initial position.
- the driving ejector 42 pushes the belt 6 to the right.
- the locking block 44 is slidably rubbed against the side of the driving ram 42.
- the driving ram 42 is moved to the rightmost end, the locking block 44 is separated from the side of the driving ram 42 by the elastic force of the urging spring 47.
- the locking block 44 is moved downward, and the end surface of the locking block 44 is located below the end surface of the driving ram 42.
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- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
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Abstract
Disclosed are a driving and locking apparatus (4) and a cutting stapler using the apparatus (4). The apparatus (4) comprises a fixing base (41), a driving ejector pin (42), a locking pushing block (43) and a locking wedging block (44), wherein the driving ejector pin (42) is mounted on the fixing base (41) in such a way as to slide along its axis, and is mounted with a pressure spring (46). A spring (47) is mounted between the locking wedging block (44) and the locking pushing block (43), the locking wedging block (44) and the locking pushing block (43) are slidably mounted on the fixing base (41), and when the pressure spring (46) is released, the locking wedging block (44) can slide between the driving ejector pin (42) and the fixing base (41). A staple bin assembly of the cutting stapler comprises a staple bin (1), a knife sliding block (2), a knife-carrying rack (3) and the abovementioned apparatus (4). The top end of the driving ejector pin (42) abuts against the knife-carrying rack (3), and compresses the pressure spring (46) along with the pushing action of the knife-carrying rack (3). The locking pushing block (43) corresponds to the cutting stop position of the knife sliding block (2). The structural design is rational, and the structure is compact. After impact, the staple bin (1) can automatically lock, preventing a second impact, and preventing the staple bin assembly from being misused, making the apparatus safe. The normal running of surgical operations can be ensured, and thus the apparatus is suitable for a wide range of uses.
Description
一种驱动及锁紧装置以及应用该装置的切割缝合器 技术领域 本发明涉及医疗器械技术领域,特别是涉及一种驱动及锁紧装置 以及应用该装置的切割缝合器。 背景技术 在外科手术中,医用缝合器已成为人体组织缝合过程中的必不可 少的辅助医疗器械。 随着医学的发展和医疗器械产品的研发, 具有越 来越多功能的缝钉类产品被应用于临床,其适用范围已涉及到胃肠外 科、 肝胆外科、 胸外科、 泌尿外科、 妇科等各个领域, 成为医生必不 可少的工具之一。 医用缝合器的应用使手术过程中出血较少、手术时 间较短、 并且具有减少手工操作误差、 避免感染、促进术后功能恢复 等诸多优势。 医用缝合器中一种常用的产品是直线切割缝合器,主要应用于缝 合腔体组织的开口,缝合口整齐且非常牢固,不容易发生缝合口出血。 最初的直线缝合器只有缝合的功能,在组织缝合完毕后, 需要医生手 动将多余组织割掉, 而医生不容易掌握切割线与缝合线之间的距离, 因此, 往往切割线不整齐, 发生漏血的风险极大。 针对于人体特殊部位的手术, 目前已经研发出了直接带有切刀的 缝合器, 例如强生公司生产的凯途, 其一定程度上弥补了直线缝合器 的缺点, 可以同时完成缝合和切割的动作, 且器械杆较长, 设有握把 和扳机, 方便医生操作, 相比于传统直线缝合器, 这种器械能够大大 节省医生的手术时间, 减少出血量, 提高手术成功率。
但是, 现有的带切刀的缝合器类器械, 都是在原有直线缝合器的 基石出上设计,在两排缝合钉中间固定一个切刀,切刀的切割方向与缝 合线的方向垂直,切刀在推力的作用下与推钉片一同向抵钉座方向做 单一的纵向运动, 靠纵向的瞬间推力将组织切断。这种缝合器的优点 是结构简单, 缺点则是切割组织时较费力, 切割边缘不整齐, 缝钉容 易向切刀的方向倾斜, 因而存在缝钉成型较差,缝合口易漏以及器械 击发后不能锁止等缺陷。 由此可见, 上述现有的切割缝合器在结构与使用上, 显然仍存在 着明显的不足与缺陷, 而亟待加以进一步改进。 因此, 如何能创设一 种使用时击发力更小、 缝钉成型更好、 并能防止二次误击发, 安全保 险的切割缝合器, 实属当前重要的研发课题之一。 发明内容 本发明要解决的技术问题是提供一种驱动及锁紧装置以及应用 该装置的切割缝合器, 使其设计合理、 结构紧凑, 击发完成后, 钉仓 可自动锁止, 能防止二次击发, 防止使用过的钉仓组件被误使用, 从 而克服现有技术的不足。 为解决上述技术问题, 本发明提供一种驱动及锁紧装置, 包括固 定底座、 驱动顶杆、 锁紧推块以及锁紧卡块, 其中: 驱动顶杆的底部 通过压簧与固定底座连接; 锁紧卡块与锁紧推块之间安装有弹簧,锁 紧卡块与锁紧推块可滑动的安装在固定底座上, 当压簧放松时,锁紧 卡块可滑动至驱动顶杆与固定底座之间。 作为本发明的进一步改进, 所述的固定底座一侧为容置腔, 另一 侧为锁紧推块滑动槽,并在容置腔与锁紧推块滑动槽之间的分割面上 设有通孔; 所述的锁紧卡块上设有凸柱,驱动顶杆与锁紧卡块位于容
置腔内,锁紧卡块的凸柱穿过固定底座的通孔, 并通过弹簧与锁紧推 块滑动槽内的锁紧推块连接。 还包括固定杆: 所述的凸柱沿其中轴线设有通孔, 并在通孔内设 有相对的卡位台阶; 所述的锁紧推块设有沉孔; 所述的固定杆穿过锁 紧推块的沉孔、弹簧以及锁紧卡块的凸柱, 一端为堵头与锁紧推块的 沉孔相抵, 另一端设有相对的卡台与锁紧卡块凸柱内的卡位台阶相 抵。 所述的锁紧推块滑动槽的底部设有导向槽,并在导向槽内设有限 位凸块; 所述的锁紧推块底部设有与导向槽对应的导向条, 并设有与BACKGROUND OF THE INVENTION 1. Field of the Invention The invention relates to the field of medical device technology, and in particular to a driving and locking device and a cutting stapler using the same. BACKGROUND OF THE INVENTION In surgical procedures, medical staplers have become an indispensable auxiliary medical device in the process of suturing human tissue. With the development of medicine and the development of medical device products, more and more staple products are used in clinical practice, and their application scope has been related to gastrointestinal surgery, hepatobiliary surgery, thoracic surgery, urology, gynecology and so on. The field is one of the essential tools for doctors. The application of the medical stapler makes the operation less bleeding, shorter operation time, and has many advantages such as reducing manual operation errors, avoiding infection, and promoting postoperative functional recovery. A commonly used product in medical stapler is a linear cutting stapler, which is mainly used for suturing the opening of the cavity tissue, the suture mouth is neat and very firm, and the bleeding of the suture is not easy to occur. The original linear suturing device only has the function of suturing. After the tissue is sutured, the doctor needs to manually cut off the excess tissue, and the doctor does not easily grasp the distance between the cutting line and the suture. Therefore, the cutting line is often not neat and leaks. The risk of blood is enormous. For the surgery of special parts of the human body, a suture device directly with a cutter has been developed, such as Kai Tuo produced by Johnson & Johnson, which compensates for the shortcomings of the linear suture device to some extent, and can complete the suturing and cutting action at the same time. The instrument has a long rod and a grip and a trigger for the doctor to operate. Compared with the traditional linear suturing device, the device can greatly save the doctor's operation time, reduce the amount of bleeding, and improve the success rate of the operation. However, the existing suture device with a cutter is designed on the basis of the original linear suturing device, and a cutter is fixed in the middle of the two rows of staples, and the cutting direction of the cutter is perpendicular to the direction of the suture. Under the action of the thrust, the cutter makes a single longitudinal movement together with the pusher piece in the direction of the abutment, and cuts the tissue by the instantaneous thrust of the longitudinal direction. The advantage of the suturing device is that the structure is simple, and the disadvantage is that it is laborious to cut the tissue, the cutting edge is not neat, and the staple is easy to incline in the direction of the cutter, so that the staple molding is poor, the suture opening is easy to leak and the device is fired. Can not lock and other defects. It can be seen that the above-mentioned existing cutting and stitching device obviously has obvious defects and defects in structure and use, and needs to be further improved. Therefore, how to create a cutting and stapling device with smaller firing force, better staple forming, and prevention of secondary mis-striking and safety insurance is one of the most important research and development topics. SUMMARY OF THE INVENTION The technical problem to be solved by the present invention is to provide a driving and locking device and a cutting and stitching device using the same, which have a reasonable design and a compact structure. After the firing is completed, the staple cartridge can be automatically locked, which can prevent the second time. The firing prevents the used cartridge assembly from being misused, thereby overcoming the deficiencies of the prior art. In order to solve the above technical problem, the present invention provides a driving and locking device, comprising a fixed base, a driving ejector, a locking push block and a locking block, wherein: the bottom of the driving ram is connected to the fixed base by a compression spring; A spring is mounted between the locking block and the locking push block, and the locking block and the locking push block are slidably mounted on the fixed base. When the compression spring is relaxed, the locking block can slide to the driving ejector and Between the fixed bases. As a further improvement of the present invention, the fixed base side is a receiving cavity, and the other side is a locking push block sliding groove, and is disposed on a dividing surface between the receiving cavity and the locking push block sliding groove. a through hole; the locking block is provided with a stud, and the driving ejector and the locking block are located In the cavity, the stud of the locking block passes through the through hole of the fixed base, and is connected by a spring to the locking push block in the sliding groove of the locking push block. Further comprising a fixing rod: the protruding post is provided with a through hole along the central axis thereof, and opposite locking step is provided in the through hole; the locking pushing block is provided with a counterbore; the fixing rod passes through Locking the counterbore of the push block, the spring and the stud of the locking block, one end of the plug is opposite to the counterbore of the locking push block, and the other end is provided with the opposite card and the card in the stud of the locking block The steps are offset. The bottom of the locking sliding block sliding groove is provided with a guiding groove, and a limiting protrusion is arranged in the guiding groove; the bottom of the locking pushing block is provided with a guiding strip corresponding to the guiding groove, and is provided with
P艮位凸块对应的凸起。 所述的驱动顶杆底部开口的内腔, 并在外壁底部设有相对的凸 起; 所述的容置腔内设有与驱动顶杆内腔对应的中心杆, 并在内壁上 设有与驱动顶杆的凸起对应的滑槽;所述的压簧即安装在驱动顶杆的 内腔中, 并套装在容置腔的中心杆上。 所述的弹簧为锥形弹簧, 其小径端与锁紧卡块相抵, 大径端与锁 紧推块相抵。 所述的锁紧推块的外端设有楔形面。 此外, 本发明还提供一种切割缝合器, 包括钳口、 抵钉座组件、 钉仓组件、 推进机构和击发机构, 其中: 钉仓组件包括钉仓、 切刀滑 块、 带刀齿条、 以及上述的驱动及锁紧装置; 所述驱动及锁紧装置的 驱动顶杆的顶端与带刀齿条相抵, 随带刀齿条的推进动作压缩压簧; 所述驱动及锁紧装置的锁紧推块与切刀滑块的切割终止位置对应,并 在切割完成时, 受切刀滑块的作用向固定底座内侧移动。
作为本发明的进一步改进,所述的切刀滑块包括切刀和设置在切 刀两侧的击发片, 并在击发片外壁设有凸棱; 所述的钉仓组件还包括 与钳口固定连接的固定夹板,并在固定夹板上设有与切刀滑块的凸棱 对应的止退倒齿; 所述的带刀齿条上设有导向槽, 并通过销可滑动的 安装在固定夹板上。 所述的带刀齿条和切刀滑块之间安装有齿片,该齿片通过与切割 方向垂直的弹簧以及销轴、滑动槽结构与切刀滑块连接, 下缘为与带 刀齿条匹配的棘齿。 釆用以上设计后, 本发明与现有技术相比具有以下有益效果: 本发明设计合理、 结构紧凑, 击发完成后, 钉仓可自动锁止, 防 止二次击发, 防止使用过的钉仓组件被误使用, 安全保险, 可以保证 手术正常进行, 因此更适于推广使用。 同时, 驱动及锁紧装置可以设 置在钉仓可更换或不可更换的器械上,也可以设置在其他需要自动驱 动及自锁的部位上。 下面通过附图和实施例,对本发明的技术方案做进一步的详细描 述。 附图说明 上述仅是本发明技术方案的概述, 为了能够更清楚了解本发明, 以下结合附图与具体实施方式对本发明作进一步的详细说明。 图 1是本发明驱动及锁紧装置的结构示意图。 图 2是本发明驱动及锁紧装置的分解结构示意图。 图 3是本发明驱动及锁紧装置的固定底座结构示意图。 图 4是本发明驱动及锁紧装置的驱动顶杆结构示意图。
图 5是本发明驱动及锁紧装置的锁紧卡块结构示意图。 图 6是本发明驱动及锁紧装置的锁紧推块结构示意图。 图 7是本发明驱动及锁紧装置的固定杆结构示意图。 图 8是本发明切割缝合器的结构示意图。 图 9是本发明切割缝合器的钉仓组件的结构示意图。 图 10是本发明切割缝合器的切刀滑块的外部结构示意图。 图 11是本发明切割缝合器的切刀滑块的剖面结构示意图。 图 12是本发明切割缝合器的固定夹板的结构示意图。 图 13是本发明切割缝合器的带刀齿条的结构示意图。 图 14 是本发明切割缝合器完成切割时的钉仓组件的状态示意 图。 图 15是本发明切割缝合器的带刀齿条复位后钉仓组件的状态示 The protrusion corresponding to the P-clamp bump. The inner cavity of the bottom of the driving ram is open, and the bottom of the outer wall is provided with an opposite protrusion; the accommodating cavity is provided with a central rod corresponding to the inner cavity of the driving ejector, and is provided on the inner wall The corresponding sliding groove of the ejector pin is mounted; the compression spring is installed in the inner cavity of the driving ejector and is fitted on the central rod of the accommodating cavity. The spring is a conical spring, and the small diameter end thereof is opposite to the locking block, and the large diameter end is opposite to the locking push block. The outer end of the locking push block is provided with a wedge surface. In addition, the present invention also provides a cutting stapler comprising a jaw, an abutment assembly, a cartridge assembly, a propulsion mechanism and a firing mechanism, wherein: the cartridge assembly comprises a staple cartridge, a cutter slider, a blade with a blade, And the driving and locking device; the top end of the driving ram of the driving and locking device is opposite to the belt of the belt, and the compression spring is driven by the pushing motion of the belt; the locking of the driving and locking device The push block corresponds to the cutting end position of the cutter slider, and moves to the inside of the fixed base by the action of the cutter slider when the cutting is completed. As a further improvement of the present invention, the cutter slider includes a cutter and a firing piece disposed on both sides of the cutter, and is provided with a rib on the outer wall of the firing piece; the cartridge assembly further includes a fixing to the jaw a fixed clamping plate and a retaining spline corresponding to the rib of the cutter slider on the fixing clamping plate; the cutting blade has a guiding groove thereon, and is slidably mounted on the fixing clamping plate by the pin on. A toothed piece is mounted between the strip and the cutter block, and the tooth piece is connected to the cutter block by a spring and a pin shaft and a sliding groove structure perpendicular to the cutting direction, and the lower edge is a tooth with a cutter Match the ratchets. After the above design, the present invention has the following beneficial effects compared with the prior art: The invention has reasonable design and compact structure, and after the firing is completed, the staple cartridge can be automatically locked to prevent secondary firing and prevent the used cartridge assembly. Misuse, safety insurance, can ensure normal operation, so it is more suitable for promotion. At the same time, the driving and locking device can be arranged on the replaceable or non-replaceable instrument of the staple cartridge, or on other parts that need to be automatically driven and self-locked. The technical solution of the present invention will be further described in detail below through the accompanying drawings and embodiments. The invention will be further described in detail below with reference to the accompanying drawings and specific embodiments. BRIEF DESCRIPTION OF THE DRAWINGS Figure 1 is a schematic view showing the structure of a driving and locking device of the present invention. 2 is a schematic exploded view of the driving and locking device of the present invention. 3 is a schematic view showing the structure of a fixed base of the driving and locking device of the present invention. 4 is a schematic view showing the structure of a driving jack of the driving and locking device of the present invention. Figure 5 is a schematic view showing the structure of the locking block of the driving and locking device of the present invention. Figure 6 is a schematic view showing the structure of the locking push block of the driving and locking device of the present invention. Figure 7 is a schematic view showing the structure of the fixing rod of the driving and locking device of the present invention. Figure 8 is a schematic view showing the structure of the cutting stapler of the present invention. Figure 9 is a schematic view showing the structure of a staple cartridge assembly of the cutting stapler of the present invention. Figure 10 is a schematic view showing the external structure of a cutter slider of the cutting stapler of the present invention. Figure 11 is a cross-sectional structural view showing a cutter slider of the cutting stapler of the present invention. Figure 12 is a schematic view showing the structure of a fixing splint of the cutting stapler of the present invention. Figure 13 is a schematic view showing the structure of a blade with a cutting stapler of the present invention. Figure 14 is a schematic view showing the state of the cartridge assembly when the cutting stapler of the present invention completes the cutting. Figure 15 is a view showing the state of the cartridge assembly after the blade retracting of the cutting stapler of the present invention
图 16是图 15的局部放大示意图。 具体实施方式 请参阅图 1和图 1所示, 本发明驱动及锁紧装置包括固定底座 41、 驱动顶杆 42、 锁紧推块 43以及锁紧卡块 44。 其中, 驱动顶杆 42的底部通过压簧 46与固定底座 41连接, 在 外力和压簧 46作用下, 可沿其轴线滑动。 锁紧卡块 44与锁紧推块 43之间安装有推簧 47, 锁紧卡块 44与锁紧推块 43可滑动的安装在 固定底座 41上, 当压簧 46放松时, 锁紧卡块 44可滑动至驱动顶杆
42与固定底座 41之间。 较佳的,锁紧卡块 44可采用与驱动顶杆 42平行的板体结构,推 簧 47的弹动方向与该板体结构垂直, 锁紧卡块 44与锁紧推块 43的 滑动方向也垂直于锁紧卡块 44和驱动顶杆 42。 进一步来说, 请配合参阅图 3所示, 可将固定底座 41设计为一 侧为容置腔, 另一側为锁紧推块滑动槽的结构, 并在容置腔与锁紧推 块滑动槽之间的分割面上设置通孔 413。 更进一步的, 可在容置腔内, 沿驱动顶杆轴线方向设置中心杆 411 , 中心杆 411横截面优选为大半圆形状, 用来套接压簧 46。 还可 在容置腔的前后侧面上分别设置滑槽 412。 锁紧推块滑动槽可由固定底座 41的前后表面及底面向右延伸形 成, 并可在锁紧推块滑动槽的前后两个内側面底部分别设置导向槽 414,作为锁紧推块 43的滑动轨道,并在导向槽内设置限位凸块 415。 请配合参阅图 4所示, 与容置腔结构匹配的, 本发明的驱动顶杆 42也可采用带内腔 421的矩形筒状结构, 其内腔 421顶端封闭、 底 端开口, 压簧 46即安装在该内腔 421中, 并套装在容置腔的中心杆 411上。 此外, 还可在驱动顶扞 42的外壁底部设置与滑槽 412对应的凸 起 422, 在驱动顶杆 42相对固定底座 41上下滑动时, 滑槽 412与凸 起 422起到限位和导向的作用。 请配合参阅图 5所示, 锁紧卡块 44在其本体 441中间设有一凸 柱 442, 锁紧卡块 44的本体 441位于固定底座 41的容置腔内, 其凸 柱 442穿过固定底座 41的通孔 413, 并通过推簧 47与锁紧推块滑动
槽内的锁紧推块 43连接。 请配合参阅图 6所示,锁紧推块 43的外端(即与固定底座 41相 反的一端, 图中所示的右侧面)可设为楔形面 435, 并在前后两侧底 部可设置有与固定底座 41的导向槽 414对应的一对导向条 431, 在 导向条 431上设置有一对与限位凸块 415对应的凸起 432, 用于锁紧 推块 43的行程限位。 更进一步来说, 请配合参阅图 5、 图 6、 图 7所示, 锁紧卡块 44 的凸柱 442沿其中轴线还设有通孔,并在通孔内对应设有一对卡位台 阶 443。 而与锁紧卡块 44的凸柱 442及其通孔对应的, 锁紧推块 43 的上端也设有沉孔 433, 并在沉孔 433内设置一小直径的圆孔 434。 此时, 可利用固定杆 45来连接锁紧卡块 44和锁紧推块 43。 固 定杆 45穿过锁紧推块 43上端沉孔内的圆孔 434、 推簧 47以及锁紧 卡块的凸柱 442, 固定杆 45的" -端为堵头 452与锁紧推块 43的沉孔 433相抵, 另一端设有相对的卡台 451, 可配合插入锁紧卡块 44的凸 柱 442内,将固定杆 45顺时针或逆时针旋转 90° ,锁紧卡块凸柱 442 内的卡位台阶 443和固定杆 45左端的卡台 451形成卡位, 将二者固 定连接。 以下以图 1、 图 2所示方位为基准, 来说明本发明驱动及锁紧装 置的安装过程。 安装时, 首先在固定底座 41的中心杆 411上套接压簧 46, 将驱 动顶杆 42安装在固定底座 41的容置腔中, 压簧 46伸入到驱动顶杆 42的内腔 421 , 驱动顶杆 42通过其设有的一对凸起 422和固定底座 41的滑槽 412配合, 可相对于固定底座 41沿其轴向上下滑动。 当驱 动顶杆 42受到向下的力时, 驱动顶杆 42压缩压簧 46, 向下移动,
当外力消失时, 驱动顶杆 42在压簧 46的回复力的作用下向上移动, 回到初始位置。 接下来,将锁紧卡块 44竖直插入固定底座 41的容置腔内, 将锁 紧卡块 44上的凸柱 442穿过固定底座的通孔 413。 然后, 将锁紧推 块 43由固定底座 41右側沿着导向槽 414安装定位, 并在锁紧推块 43和锁紧卡块 44之间安装推簧 47, 优选如图所示的锥形推簧 47, 锥形推簧 47的小直径端和锁紧卡块 44的凸柱 442相抵,大直径端和 锁紧推块 43的沉孔 433背面相抵。 最后, 将固定杆 45从左向右依次穿过锁紧推块沉孔 433内的圓 孔 434、 推簧 47 , 并进入锁紧卡块 44的凸柱 442内, 之后, 顺时针 或逆时针旋转 90° , 锁紧卡块 44通过凸柱内所设置的卡位台阶 443 和固定杆 45左端的卡台 451形成卡位, 从而将固定底座 41、 锁紧卡 块 44、 推簧 47以及销紧推块 43固定连接。 使用时, 在初始位置, 锁紧推块 43上所设的凸起 432和固定底 座 41的限位凸块 415的右端面相抵, 不受力时,锁紧卡块 44和锁紧 推块 43保持相对固定。当锁紧推块 43的楔形面 435受到向左的力时, 锁紧推块 43沿着固定底座 41上所设的导向槽 414向左滑动,进而通 过固定杆 45及推簧 47推动锁紧卡块 44向左移动, 凸起 432随之运 动到限位凸块 415的左端,并受凸块 415左端面的抵触作用而无法向 右退回。 请参阅图 8所示,本发明一种应用上述驱动及锁紧装置的切割缝 合器, 包括钳口、 抵钉座组件、 钉仓组件、 推进机构以及击发机构, 其中,抵钉座组件和钉仓组件对应安装在钳口内,钉仓组件与推进机 构前端连接。
请配合参阅图 9所示,本发明切割缝合器的釘仓组件包括钉仓 1、 切刀滑块 2、 带刀齿条 3、 以及本发明的驱动及销紧装置 4。 其中, 驱动及锁紧装置 4的驱动顶杆 42的顶端与带刀齿条 3左端接触连接, 随带刀齿条 3的推进动作压缩压簧 46, 锁紧推块 43与切刀滑块 2的 切割终止位置对应, 并在切割完成时, 受切刀滑块 2力的作用向固定 底座 41内侧移动。 请配合参阅图 10、图 11所示,切刀滑块 2上部正中设有切刀 21 , 切刀 21两侧设有击发片 22 , 击发片外壁设有凸棱 221。 其中, 切刀 21优选用单侧刀面; 击发片 22采用多边形结构, 起推动推钉片并击 发缝合钉的作用。切刀 21与击发片 22相互平行,呈 "山"字形结构。 此外,在击发片 22向下延伸形成的定位腔 23内部,还可安装如 图所示的齿片 24。 该齿片 24的下端设有棘齿 242, 上端设有一柱状 孔 241。 柱状孔 241的两侧开设有两个滑动槽 243。 切刀滑块 2定位 腔 23内设有和齿片 24上开设的滑动槽 243相配合的销轴 25 , 并在 切刀滑块定位腔 23与齿片柱状孔 241之间安装弹簧 26, 齿片 24即 通过弹簧 26以及销轴 25、 滑动槽 243与切刀滑块 2连接, 并可在定 位腔 23内上下伸缩移动。 请参阅图 12所示, 钉仓组件还可包括与钳口固定连接的固定夹 板 5。 固定夹板 5包括两片平行板, 固定夹板 5内侧上半部分设有和 切刀滑块 2的凸棱 221相配合防止回退的倒齿 51, 下半部分前后夹 板对称设有销孔 55、 56、 57、 58。 固定夹板 5可采用塑料材质,在固定夹板 5外侧分别设有两个卡 钩 53, 固定夹板 5通过卡钩 53与钉仓 1配合安装, 防止内部组件向 下移动; 固定夹板 5的两侧还对应设有两条竖直的凸条 54 , 防止内
部组件左右窜动, 用来与钉仓 1配合安装, 此外固定夹板 5两侧还对 应设有一段竖槽 52。 请参阅图 13所示,带刀齿条 3上端设有与齿片 24的棘齿 242相 咬合的齿 31, 能够带动切刀滑块 2向左移动。 此外, 带刀齿条 3上 设有一段弧形或斜向导向槽 32, 保证带刀齿条 3在竖直方向移动, 带刀齿条上设置的两段水平槽 34、 35, 用来保证带刀齿条 3左右水 平移动, 另外两段水平槽 33、 36 , 用于将带刀齿条和固定夹板销孔 中的定位销配合安装。 以下以图 8- 16所示方位为基准, 来说明本发明切割缝合器的安 装及使用过程。 安装钉仓组件时, 首先将带刀齿条 3夹入两侧的固定夹板 5之 间, 在带刀齿条 3上的水平槽 34、 35和固定夹板 5上的销孔 55、 56 对应安装滑动销, 并在带刀齿条 3弧形导向槽 32和固定夹板 5的竖 槽 52对应安装另一滑动销, 完成固定夹板 5和带刀齿条 3的配合安 装保证带刀齿条 3在两侧固定夹板 5之间通过带刀齿条 3上水平槽 34、 35和固定夹板 5上销孔 55、 56对应安装的滑动销, 发生左右位 移; 同时通过带刀齿条 3上弧形导向槽 32和固定夹板 5上竖槽 52之 间的滑动销导向配合, 使带刀齿条 3发生左右位移的同时, 产生向上 的位移。 之后,通过定位结构将切刀滑块 2安装在固定夹板 5右端, 在初 始位置, 切刀滑块 2位于带刀齿条 3的右側, 其击发片 22左下端面 和带刀齿条 3右侧齿相抵; 再将配合安装好的切刀滑块 2、 固定夹板 5及带刀齿条 3安装在钉仓 1的内腔中, 此时, 固定夹板 5的上端和 钉仓 1定位内腔上的限位台阶相接触,并通过钉仓 1内腔设置的两条
竖槽和固定夹板 5上所设的两条凸条 54相配合, 将固定夹板 5及其 带刀齿条 3固定, 防止其左右滑动; 通过固定夹板 5外侧设置的卡钩 53和钉仓 1上所设的卡槽对应卡接, 将固定夹板 5及其带刀齿条 3 固定安装在钉仓 1内, 防止固定夹板 5向下移动, 脱离钉仓内腔。 最后,将驱动及锁紧装置 4通过其外侧设置的导向凸条, 安装在 钉仓内腔左下角,驱动及锁紧装置 4安装在带刀齿条 3左端,驱动及 锁紧装置 4中的驱动顶杆 42右端和带刀齿条 3的左端面接触连接, 通过两个定位销将钉仓 1、 固定夹板 5和带刀齿条 3固定, 完成本发 明一种应用驱动及夹紧装置的切割缝合器钉仓组件的安装。 使用时,将预缝合组织放入安装在钳口的抵钉座组件和钉仓组件 表面之间, 击发前, 切刀滑块 2位于带刀齿条 3初始端右侧, 切刀滑 块的下端设有一推块, 切刀滑块、推块和推板可接触的连接, 整个切 刀滑块 2埋于钉仓 1内, 刀不外露。 当钳口闭合时, 切刀滑块 2尚未 启动,抵钉座组件和钉仓组件之间保持一定的组织间隙, 轻扣扳机 7, 推板 61向前运动, 切刀滑块 1在推板 61的推动下, 切刀滑块 2被推 出钉仓 1外面, 刀出来时,部分钛钉先被推出钉仓 1使其闭合成 "B" 字形, 进行缝合, 同时有切割的动作, 此过程中切割动作晚于打缝合 动作。 此时切刀滑块 2已被推到位, 带刀齿条 3在驱动及锁紧装置 4内 设置的压簧 46的作用下, 通过驱动顶杆 42推动带刀齿条 3向右移 动, 此时切刀滑块 2位于带刀齿条 3的上面, 切刀滑块 2上设有的棘 齿 242和带刀齿条 3上的齿 31相咬合。 在推板 61继续推进的过程中,推板 61推动带刀齿条 3上水平槽 34、 35以及弧形导向槽 32内设置的滑动销, 使得带刀齿条 3向左移
动, 进一步拉动切刀滑块 2向左移动, 进一步进行切割缝合, 复位推 板 61, 带刀齿条 3在压簧 46的弹力下向右移动, 切刀滑块 2上的棘 齿和带刀齿条 3上的齿相抵, 切刀滑块 2设置的齿条受力回缩, 并通 过切刀滑块 2右侧端面上设置的凸棱 221和固定夹板 5上的倒齿 51 相配合, 切刀滑块 2不能回退, 带刀齿条 3受驱动顶杆 42弹力作用 下回到初始位置。 完成一段切割后, 带刀齿条 3复位再重复此动作, 由于切刀滑块 2内腔内设有弹簧 26以及可上下配合滑动的销轴 25及滑动槽 241, 切刀滑块 2在复位后的带刀齿条 3带动下, 继续向前推进闭合切割, 切刀滑块 2到达钉仓 1左端, 直至切刀滑块 2脱离带刀齿条 3行进到 带刀齿条 3左側, 进一步推动推板 61, 推动切刀滑块 2往前移动。 请配合参阅图 14所示, 此时, 切刀滑块 2和锁紧推块的楔形面 435相抵, 进一步推动锁紧推块的楔形面 435, 使锁紧推块 43向下移 动, 并最终使销紧推块 43两侧的两个凸起 432滑过固定底座下端两 侧导向槽 414中的凸块 415位置, 同时, 锁紧推块 43的端面向下推 动推簧 47的大直径端, 在弹力作用下, 锥形推簧 47的小直径端推动 锁紧卡块 44的凸柱 442端面, 锁紧卡块 44顶到驱动顶杆 42的側面 上。 请配合参阅图 15、 图 16所示, 松开扳机, 推板 61回弹至初始 位置, 在压簧 46的弹力作用下, 驱动顶杆 42推动带刀齿条 3向右运 动, 此时, 锁紧卡块 44与驱动顶杆 42的侧面滑动摩擦, 当驱动顶杆 42运动到接近最右端时, 锁紧卡块 44与驱动顶杆 42的側面分离, 在推簧 47的弹力作用下, 锁紧卡块 44向下移动, 锁紧卡块 44的端 面位于驱动顶杆 42端面的下方。
再次握动扳机时, 驱动顶杆 42向左移动, 驱动顶杆 42的端侧与 锁紧卡块 44的端側相抵, 扳机无法继续握动, 不能进行再次击发, 完成切割缝合动作。 以上所述,仅是本发明的较佳实施例而已, 并非对本发明作任何 形式上的限制,本领域技术人员利用上述揭示的技术内容做出些许简 单修改、 等同变化或修饰, 均落在本发明的保护范围内。
Fig. 16 is a partially enlarged schematic view of Fig. 15; 1 and FIG. 1 , the driving and locking device of the present invention comprises a fixed base 41 , a driving ram 42 , a locking push block 43 and a locking block 44 . The bottom of the driving ram 42 is connected to the fixed base 41 by a compression spring 46, and is slidable along the axis by the external force and the compression spring 46. A push spring 47 is mounted between the locking block 44 and the locking push block 43. The locking block 44 and the locking push block 43 are slidably mounted on the fixed base 41. When the compression spring 46 is relaxed, the locking card is locked. Block 44 can be slid to the drive ram 42 is between the fixed base 41. Preferably, the locking block 44 can adopt a plate body structure parallel to the driving ejector 42. The spring direction of the push spring 47 is perpendicular to the plate body structure, and the sliding direction of the locking block 44 and the locking push block 43 is locked. It is also perpendicular to the locking block 44 and the drive ram 42. Further, as shown in FIG. 3, the fixed base 41 can be designed to have a receiving cavity on one side and a sliding groove of the push block on the other side, and slide in the receiving cavity and the locking push block. A through hole 413 is provided in the dividing surface between the grooves. Further, a central rod 411 may be disposed in the accommodating cavity along the axial direction of the driving ram. The central rod 411 preferably has a large semicircular cross section for splicing the compression spring 46. A sliding groove 412 may also be respectively disposed on the front and rear sides of the accommodating cavity. The sliding block sliding groove can be formed by extending the front and rear surfaces of the fixed base 41 and the bottom surface, and the guiding groove 414 can be respectively disposed at the bottom of the front and rear sides of the locking sliding block sliding groove as the sliding of the locking push block 43. The rails are provided with limit projections 415 in the guide slots. Referring to FIG. 4, the driving ram 42 of the present invention can also adopt a rectangular cylindrical structure with a lumen 421, and the inner cavity 421 has a closed top end and a bottom end opening, and the compression spring 46 is matched with the accommodating cavity structure. That is, it is installed in the inner cavity 421 and is fitted on the center rod 411 of the accommodating cavity. In addition, a protrusion 422 corresponding to the sliding slot 412 may be disposed at the bottom of the outer wall of the driving top cymbal 42. When the driving ram 42 slides up and down relative to the fixed base 41, the sliding slot 412 and the protrusion 422 are limited and guided. effect. As shown in FIG. 5, the locking block 44 is provided with a protrusion 442 in the middle of the body 441. The body 441 of the locking block 44 is located in the receiving cavity of the fixed base 41, and the protruding post 442 passes through the fixed base. a through hole 413 of 41, and sliding by the push spring 47 and the locking push block The locking push blocks 43 in the slots are connected. Referring to FIG. 6, the outer end of the locking push block 43 (ie, the end opposite to the fixed base 41, the right side shown in the figure) can be set as a wedge surface 435, and can be set at the bottom of the front and rear sides. There is a pair of guide strips 431 corresponding to the guide grooves 414 of the fixed base 41. A pair of protrusions 432 corresponding to the limit projections 415 are provided on the guide strips 431 for locking the travel limit of the push block 43. Further, as shown in FIG. 5, FIG. 6, and FIG. 7, the protruding post 442 of the locking block 44 is further provided with a through hole along the central axis thereof, and a pair of latching steps 443 are correspondingly arranged in the through hole. . Corresponding to the boss 442 of the locking block 44 and the through hole thereof, the upper end of the locking push block 43 is also provided with a counterbore 433, and a small diameter circular hole 434 is disposed in the counterbore 433. At this time, the fixing lever 45 can be used to connect the locking block 44 and the locking push block 43. The fixing rod 45 passes through the circular hole 434 in the counterbore of the upper end of the locking push block 43, the push spring 47 and the boss 442 of the locking block. The "end end of the fixing rod 45 is the plug 452 and the locking push block 43". The counterbore 433 is opposite to each other, and the other end is provided with an opposite card base 451, which can be inserted into the boss 442 of the locking block 44, and the fixing rod 45 is rotated 90° clockwise or counterclockwise to lock the block protrusion 442. The card step 443 and the card table 451 at the left end of the fixing rod 45 form a card position, and the two are fixedly connected. The installation process of the driving and locking device of the present invention will be described below with reference to the orientations shown in Figs. During the installation, the compression spring 46 is firstly sleeved on the central rod 411 of the fixed base 41, and the driving plunger 42 is mounted in the accommodating cavity of the fixed base 41. The compression spring 46 extends into the inner cavity 421 of the driving ram 42. The driving ram 42 is engaged with the sliding groove 412 of the fixed base 41 by a pair of protrusions 422, and can slide up and down in the axial direction thereof relative to the fixed base 41. When the driving ram 42 receives a downward force, the driving The jack 42 compresses the compression spring 46 and moves downward, When the external force disappears, the driving ram 42 moves upward by the restoring force of the compression spring 46 to return to the initial position. Next, the locking block 44 is vertically inserted into the accommodating cavity of the fixed base 41, and the protruding post 442 on the locking block 44 is passed through the through hole 413 of the fixed base. Then, the locking push block 43 is mounted and positioned along the right side of the fixed base 41 along the guiding groove 414, and a push spring 47 is mounted between the locking push block 43 and the locking block 44, preferably as shown in the figure. The spring 47, the small diameter end of the tapered push spring 47 abuts against the boss 442 of the locking block 44, and the large diameter end abuts against the back surface of the counterbore 433 of the locking push block 43. Finally, the fixing rod 45 is sequentially passed from the left to the right through the circular hole 434 in the locking pusher counterbore 433, the push spring 47, and into the stud 442 of the locking block 44, and then clockwise or counterclockwise. Rotating by 90°, the locking block 44 forms a latching position by the latching step 443 provided in the stud and the card 451 at the left end of the fixing rod 45, thereby fixing the fixing base 41, the locking block 44, the push spring 47 and the pin The push block 43 is fixedly connected. In use, in the initial position, the protrusion 432 provided on the locking push block 43 and the right end surface of the limiting protrusion 415 of the fixed base 41 are abutted, and when the force is not applied, the locking block 44 and the locking push block 43 are locked. Keep it relatively fixed. When the wedge surface 435 of the locking push block 43 receives a leftward force, the locking push block 43 slides to the left along the guiding groove 414 provided on the fixed base 41, thereby pushing the locking by the fixing rod 45 and the push spring 47. The block 44 moves to the left, and the protrusion 432 moves to the left end of the limit projection 415, and is not retracted to the right by the interference of the left end surface of the projection 415. Referring to FIG. 8 , a cutting stapler applying the above driving and locking device comprises a jaw, an abutment assembly, a cartridge assembly, a propulsion mechanism and a firing mechanism, wherein the anvil assembly and the nail are provided. The cartridge assembly is correspondingly mounted in the jaws, and the cartridge assembly is coupled to the front end of the propulsion mechanism. Referring to FIG. 9, the cartridge assembly of the cutting stapler of the present invention comprises a staple cartridge 1, a cutter slider 2, a bladed rack 3, and a drive and pinning device 4 of the present invention. Wherein, the top end of the driving ram 42 of the driving and locking device 4 is in contact with the left end of the belt 63, and the compression spring 46 is compressed along with the advancement of the blade 3, and the clamping block 43 and the cutter slider 2 are locked. The cutting end position corresponds to, and when the cutting is completed, it is moved toward the inside of the fixed base 41 by the force of the cutter slider 2. Referring to FIG. 10 and FIG. 11 , a cutter 21 is disposed in the upper middle of the cutter slider 2 , and a firing piece 22 is disposed on both sides of the cutter 21 , and a rib 221 is disposed on the outer wall of the firing piece. Wherein, the cutter 21 preferably uses a one-sided blade surface; the firing piece 22 adopts a polygonal structure to act as a pusher to push the nail piece and fire the staple. The cutter 21 and the firing piece 22 are parallel to each other and have a "mountain" shape structure. Further, inside the positioning chamber 23 formed by the downward extension of the firing piece 22, a tooth piece 24 as shown in the drawing can also be mounted. The lower end of the tooth piece 24 is provided with a ratchet tooth 242, and the upper end is provided with a columnar hole 241. Two sliding grooves 243 are formed on both sides of the columnar hole 241. A pin 25 is formed in the positioning cavity 23 of the cutter block 2 to cooperate with the sliding groove 243 formed on the tooth piece 24, and a spring 26 is mounted between the cutter block positioning cavity 23 and the toothed column hole 241. The sheet 24 is connected to the cutter slider 2 via a spring 26, a pin shaft 25, and a sliding groove 243, and is movable up and down in the positioning chamber 23. Referring to Figure 12, the cartridge assembly can also include a retaining clip 5 that is fixedly coupled to the jaws. The fixing plate 5 includes two parallel plates, and the upper half of the fixing plate 5 is provided with the inverted teeth 51 which cooperate with the ribs 221 of the cutter slider 2 to prevent the retraction, and the lower half of the front and rear plates are symmetrically provided with pin holes 55, 56, 57, 58. The fixing splint 5 can be made of plastic material, and two hooks 53 are respectively arranged on the outer side of the fixing splint 5. The fixing splint 5 is fitted with the staple cartridge 1 through the hook 53 to prevent the inner component from moving downward; the two sides of the fixing splint 5 are also Corresponding to two vertical ridges 54 to prevent internal The components are swayed to the left and right for fitting with the staple cartridge 1, and a pair of vertical grooves 52 are further provided on both sides of the fixing clamp 5. Referring to FIG. 13, the upper end of the blade strip 3 is provided with teeth 31 that engage with the ratchet teeth 242 of the tooth piece 24, and can move the cutter slider 2 to the left. In addition, the belt 63 is provided with a curved or oblique guiding groove 32 to ensure that the belt 6 is moved in the vertical direction, and the two horizontal grooves 34 and 35 provided on the blade are used to ensure The belt rack 3 is horizontally moved to the left and right, and the other two horizontal grooves 33, 36 are used for fitting the positioning pin in the pin hole of the fixed blade and the fixing pin. The installation and use process of the cutting stapler of the present invention will be described below with reference to the orientation shown in Figs. When installing the cartridge assembly, first, the blade strip 3 is sandwiched between the fixing plates 5 on both sides, and the horizontal grooves 34, 35 on the blade rack 3 and the pin holes 55, 56 on the fixing plate 5 are installed correspondingly. Slide pin, and corresponding sliding pin is mounted on the arcuate guide groove 32 with the blade 3 and the vertical groove 52 of the fixing plate 5, and the matching installation of the fixing plate 5 and the blade 3 is ensured to ensure that the blade 3 is Between the two fixed clamping plates 5, the sliding pins corresponding to the horizontal holes 34, 35 of the blade 63 and the pin holes 55, 56 of the fixing plate 5 are respectively arranged to be displaced left and right; The sliding pin between the groove 32 and the vertical groove 52 of the fixing plate 5 is guided to cooperate, so that the belt 63 is displaced to the left and right, and an upward displacement occurs. Thereafter, the cutter slider 2 is mounted on the right end of the fixed clamp plate 5 by a positioning structure. In the initial position, the cutter slider 2 is located on the right side of the bladed rack 3, and the left lower end surface of the firing piece 22 and the right side of the bladed rack 3 The tooth is abutted; and the mounted cutter block 2, the fixed plate 5 and the bladed rack 3 are mounted in the inner cavity of the staple cartridge 1. At this time, the upper end of the fixed clamp 5 and the staple cartridge 1 are positioned on the inner cavity. The limit steps are in contact with each other and are set through the inner cavity of the staple cartridge 1 The vertical groove cooperates with the two ribs 54 provided on the fixing plate 5 to fix the fixing plate 5 and the bladed rack 3 thereof to prevent the sliding of the blade 5; the hook 53 and the magazine 1 disposed outside the fixing plate 5 The card slot provided on the card slot is correspondingly engaged, and the fixing plate 5 and the blade strip 3 thereof are fixedly mounted in the staple cartridge 1 to prevent the fixing plate 5 from moving downward and being separated from the inner cavity of the staple cartridge. Finally, the driving and locking device 4 is installed in the lower left corner of the inner cavity of the nail cartridge through the guiding ribs disposed on the outer side thereof, and the driving and locking device 4 is mounted on the left end of the bladed rack 3, in the driving and locking device 4 The right end of the driving ram 42 is in contact with the left end surface of the blade strip 3, and the staple cartridge 1, the fixing plate 5 and the blade strip 3 are fixed by two positioning pins, thereby completing an application driving and clamping device of the present invention. Installation of the stapler staple cartridge assembly. In use, the pre-stitched tissue is placed between the abutment assembly mounted on the jaws and the surface of the cartridge assembly. Before firing, the cutter slider 2 is located on the right side of the initial end of the blade strip 3, the cutter slider The lower end is provided with a push block, the cutter slider, the push block and the push plate are contactable, and the entire cutter slide 2 is buried in the staple cartridge 1, and the cutter is not exposed. When the jaws are closed, the cutter slider 2 has not been activated, a certain tissue gap is maintained between the anvil assembly and the cartridge assembly, the trigger 7 is lightly buckled, the push plate 61 is moved forward, and the cutter slider 1 is pushed on the plate. Under the push of 61, the cutter slider 2 is pushed out of the outer side of the staple cartridge 1. When the knife comes out, part of the titanium nail is first pushed out of the staple cartridge 1 to be closed into a "B" shape, and is stitched, and there is a cutting action. The middle cutting action is later than the stitching action. At this time, the cutter slider 2 has been pushed into position, and the belt 63 is driven by the compression rod 46 provided in the driving and locking device 4 to push the belt 6 to the right by the driving plunger 42. The hour cutter slider 2 is located on the upper side of the belt 63, and the ratchet teeth 242 provided on the cutter slider 2 are engaged with the teeth 31 on the belt rack 3. During the advancement of the push plate 61, the push plate 61 pushes the horizontal grooves 34, 35 on the blade strip 3 and the slide pins provided in the curved guide grooves 32, so that the strip 6 is moved to the left. Further, the cutter slider 2 is further pulled to move to the left, the cutting and stitching is further performed, the push plate 61 is reset, and the bladed rack 3 is moved to the right under the elastic force of the compression spring 46, and the ratchet teeth and the belt on the cutter slider 2 are moved. The teeth on the blade strip 3 abut each other, and the rack provided by the cutter block 2 is retracted by force, and is matched by the rib 221 provided on the right end surface of the cutter block 2 and the inverted tooth 51 on the fixed plate 5. The cutter slider 2 cannot be retracted, and the belt 63 is returned to the initial position by the elastic force of the driving ejector 42. After a section of cutting is completed, the strip 3 is reset and the action is repeated. Since the inner portion of the cutter block 2 is provided with a spring 26 and a pin 25 and a sliding groove 241 which can be slid up and down, the cutter block 2 is reset. After the belt with the blade 3 is driven, the cutting slide is further advanced, and the cutter slider 2 reaches the left end of the magazine 1 until the cutter slider 2 is separated from the belt rack 3 and travels to the left side of the belt rack 3, further Push the push plate 61 to push the cutter slider 2 forward. Referring to FIG. 14 , at this time, the cutter slider 2 and the wedge surface 435 of the locking push block abut against each other, further pushing the wedge surface 435 of the locking push block to move the locking push block 43 downward, and finally The two protrusions 432 on both sides of the pin pushing block 43 are slid over the positions of the protrusions 415 in the guide grooves 414 on both sides of the lower end of the fixed base, and at the same time, the end faces of the locking push blocks 43 push the large diameter end of the push spring 47 downward. Under the elastic force, the small diameter end of the tapered push spring 47 pushes the end surface of the boss 442 of the locking block 44, and the locking block 44 is pushed up to the side of the driving ram 42. Referring to FIG. 15 and FIG. 16, the trigger is released, and the push plate 61 rebounds to the initial position. Under the elastic force of the compression spring 46, the driving ejector 42 pushes the belt 6 to the right. At this time, The locking block 44 is slidably rubbed against the side of the driving ram 42. When the driving ram 42 is moved to the rightmost end, the locking block 44 is separated from the side of the driving ram 42 by the elastic force of the urging spring 47. The locking block 44 is moved downward, and the end surface of the locking block 44 is located below the end surface of the driving ram 42. When the trigger is gripped again, the driving ram 42 moves to the left, and the end side of the driving ram 42 abuts against the end side of the locking block 44, the trigger cannot continue to be gripped, and the firing can not be performed again, and the cutting and suturing operation is completed. The above is only a preferred embodiment of the present invention, and is not intended to limit the present invention in any way. Those skilled in the art can make some simple modifications, equivalent changes or modifications using the technical contents disclosed above. Within the scope of protection of the invention.
Claims
1、 一种驱动及锁紧装置, 其特征在于包括固定底座、 驱动顶杆、 锁紧推块以及锁紧卡块, 其中: 驱动顶杆的底部通过压簧与固定底座连接; 锁紧卡块与锁紧推块之间安装有弹簧,锁紧卡块与锁紧推块可滑 动的安装在固定底座上, 当压簧放松时,锁紧卡块可滑动至驱动顶杆 与固定底座之间。 1. A driving and locking device, characterized by including a fixed base, a driving ejector rod, a locking push block and a locking block, wherein: the bottom of the driving ejector rod is connected to the fixed base through a compression spring; the locking block A spring is installed between the locking push block and the locking push block. The locking block and the locking push block are slidably installed on the fixed base. When the compression spring is relaxed, the locking block can slide between the driving ejector rod and the fixed base. .
2、 根据权利要求 1所述的驱动及锁紧装置, 其特征在于: 所述的固定底座一侧为容置腔, 另一侧为锁紧推块滑动槽, 并在 容置腔与锁紧推块滑动槽之间的分割面上设有通孔; 所述的锁紧卡块上设有凸柱, 驱动顶杆与锁紧卡块位于容置腔 内,锁紧卡块的凸柱穿过固定底座的通孔, 并通过弹簧与锁紧推块滑 动槽内的锁紧推块连接。 2. The driving and locking device according to claim 1, characterized in that: one side of the fixed base is an accommodation cavity, and the other side is a locking push block sliding groove, and between the accommodation cavity and the locking The dividing surface between the sliding grooves of the push block is provided with a through hole; the locking block is provided with a convex column, the driving ejector rod and the locking block are located in the accommodation cavity, and the convex column of the locking block passes through Through the through hole of the fixed base, and connected to the locking push block in the sliding groove of the locking push block through a spring.
3、 根据权利要求 2所述的驱动及锁紧装置, 其特征在于还包括 固定杆: 所述的凸柱沿其中轴线设有通孔,并在通孔内设有相对的卡位台 阶; 所述的锁紧推块设有沉孔; 所述的固定杆穿过锁紧推块的沉孔、 弹簧以及锁紧卡块的凸柱, 一端为堵头与锁紧推块的沉孔相抵,另一端设有相对的卡台与锁紧卡 块凸柱内的卡位台阶相抵。 3. The driving and locking device according to claim 2, characterized by further comprising a fixed rod: the protruding column is provided with a through hole along its central axis, and is provided with relative blocking steps in the through hole; The locking push block is provided with a countersunk hole; the fixed rod passes through the countersunk hole of the locking push block, the spring and the protruding column of the locking block, and one end is a plug that offsets the countersunk hole of the locking push block. The other end is provided with an opposite clamping platform to offset the clamping step in the convex column of the locking clamping block.
4、 根据权利要求 2所述的驱动及锁紧装置, 其特征在于:
所述的锁紧推块滑动槽的底部设有导向槽,并在导向槽内设有限 位凸块; 所述的锁紧推块底部设有与导向槽对应的导向条,并设有与限位 凸块对应的凸起。 4. The driving and locking device according to claim 2, characterized in that: The bottom of the sliding groove of the locking push block is provided with a guide groove, and a limiting bump is provided in the guide groove; the bottom of the locking push block is provided with a guide bar corresponding to the guide groove, and is provided with a limiting bump. The bump corresponding to the bit bump.
5、 根据权利要求 2所述的驱动及锁紧装置, 其特征在于: 所述的驱动顶杆底部开口的内腔, 并在外壁底部设有相对的凸 起; 所述的容置腔内设有与驱动顶杆内腔对应的中心杆,并在内壁上 设有与驱动顶杆的凸起对应的滑槽; 所述的压簧即安装在驱动顶杆的内腔中,并套装在容置腔的中心 杆上。 5. The driving and locking device according to claim 2, characterized in that: the inner cavity with an opening at the bottom of the driving ejector rod is provided with relative protrusions at the bottom of the outer wall; There is a center rod corresponding to the inner cavity of the driving ejector rod, and a chute corresponding to the protrusion of the driving ejector rod is provided on the inner wall; the compression spring is installed in the inner cavity of the driving ejector rod and is set in the container. Place it on the center rod of the cavity.
6、 根据权利要求 1所述的驱动及锁紧装置, 其特征在于: 所述 的弹簧为锥形弹簧, 其小径端与锁紧卡块相抵, 大径端与锁紧推块相 抵。 6. The driving and locking device according to claim 1, characterized in that: the spring is a conical spring, the small diameter end of which offsets the locking block, and the large diameter end of which offsets the locking push block.
7、 根据权利要求 1所述的驱动及锁紧装置, 其特征在于所述的 锁紧推块的外端设有楔形面。 7. The driving and locking device according to claim 1, characterized in that the outer end of the locking push block is provided with a wedge-shaped surface.
8、 一种切割缝合器, 其特征在于包括钳口、 抵钉座组件、 钉仓 组件、 推进机构和击发机构, 其中: 钉仓组件包括钉仓、 切刀滑块、 带刀齿条、 以及权利要求 1至 7 中任一项所述的驱动及锁紧装置; 所述驱动及锁紧装置的驱动顶杆的顶端与带刀齿条相抵,随带刀 齿条的推进动作压缩压簧;
所述驱动及锁紧装置的锁紧推块与切刀滑块的切割终止位置对 应, 并在切割完成时, 受切刀滑块的作用向固定底座内侧移动。 8. A cutting stapler, characterized by including a jaw, a nail base assembly, a nail cartridge assembly, a propelling mechanism and a firing mechanism, wherein: the nail cartridge assembly includes a nail cartridge, a cutter slide block, a knife rack, and The driving and locking device according to any one of claims 1 to 7; the top end of the driving ejector of the driving and locking device offsets the knife rack, and compresses the compression spring with the advancement of the knife rack; The locking push block of the driving and locking device corresponds to the cutting end position of the cutter slide block, and when the cutting is completed, it moves toward the inside of the fixed base under the action of the cutter slide block.
9、 根据权利要求 8所述的切割缝合器, 其特征在于: 所述的切刀滑块包括切刀和设置在切刀两侧的击发片,并在击发 片外壁设有凸棱; 所述的钉仓组件还包括与钳口固定连接的固定夹板,并在固定夹 板上设有与切刀滑块的凸棱对应的止退倒齿; 所述的带刀齿条上设有导向槽,并通过销可滑动的安装在固定夹 板上。 9. The cutting and suturing device according to claim 8, characterized in that: the cutter slider includes a cutter and a firing piece arranged on both sides of the cutter, and a ridge is provided on the outer wall of the firing piece; The nail bin assembly also includes a fixed plywood fixedly connected to the jaws, and the fixed plywood is provided with back-stop teeth corresponding to the convex edges of the cutter slider; the knife rack is provided with a guide groove, And it is slidably installed on the fixed plywood through pins.
10、根据权利要求 8所述的切割缝合器, 其特征在于: 所述的带 刀齿条和切刀滑块之间安装有齿片,该齿片通过与切割方向垂直的弹 簧以及销轴、滑动槽结构与切刀滑块连接, 下缘为与带刀齿条匹配的 棘齿。
10. The cutting stapler according to claim 8, characterized in that: a tooth plate is installed between the knife rack and the cutter slide block, and the tooth plate passes through a spring and a pin that are perpendicular to the cutting direction. The sliding groove structure is connected to the cutter slide block, and the lower edge is a ratchet that matches the knife rack.
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CN201210374549.8 | 2012-09-29 | ||
CN201210374549.8A CN102846346B (en) | 2012-09-29 | 2012-09-29 | Driving and locking device, and cutter stapler using same |
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PCT/CN2013/000937 WO2014048057A1 (en) | 2012-09-29 | 2013-08-09 | Driving and locking apparatus and cutting stapler using same |
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WO (1) | WO2014048057A1 (en) |
Families Citing this family (6)
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CN102846346B (en) * | 2012-09-29 | 2015-07-01 | 北京中法派尔特医疗设备有限公司 | Driving and locking device, and cutter stapler using same |
CN103156665B (en) * | 2013-03-27 | 2015-03-25 | 北京中法派尔特医疗设备有限公司 | Surgery stitching appliance with percussion dead lock device |
CN106628230B (en) * | 2016-10-31 | 2023-09-12 | 中安(天津)航空设备有限公司 | Safe traction hanger |
CN111329543B (en) * | 2020-03-12 | 2021-02-09 | 重庆迈科唯医疗科技有限公司 | Blind-joint anastomat |
CN112773433B (en) * | 2021-01-11 | 2022-02-15 | 吉林大学 | A surgical wire fixing device for surgery |
CN115289112A (en) * | 2022-07-25 | 2022-11-04 | 中航光电科技股份有限公司 | Quick locking assembly and equipment using same |
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CN102599955A (en) * | 2012-04-01 | 2012-07-25 | 北京中法派尔特医疗设备有限公司 | Stitching instrument with scalpel and triggering security device of stitching instrument |
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CN102846346A (en) | 2013-01-02 |
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