RU2013118706A - Хирургический инструмент с избирательно шарнирно поворачиваемым концевым эффектом - Google Patents
Хирургический инструмент с избирательно шарнирно поворачиваемым концевым эффектом Download PDFInfo
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Abstract
1. Хирургический инструмент, включающий:узел рукоятки;узел удлиненного ствола, функционально взаимодействующий с указанным узлом рукоятки и образующий продольную ось;хирургический концевой эффектор, функционально связанный с узлом удлиненного ствола и выполненный с возможностью разрезания и сшивания скобами ткани при приложении к нему приводных движений;по меньшей мере, один шарнирный элемент, функционально поддерживаемый на указанном узле удлиненного ствола; ишарнирную систему, включающую:шарнирную трансмиссию, функционально поддерживаемую на указанном узле рукоятки и функционально взаимодействующую, по меньшей мере, с одним шарнирным элементом; иприводной элемент, поддерживаемый с возможностью вращения на указанном элементе рукоятки для избирательного вращения вокруг приводной оси, которая не пересекается поперечно с указанной продольной осью, причем указанный приводной элемент взаимодействует с указанной шарнирной трансмиссией так, что вращение указанного приводного элемента в первом направлении вращения вокруг указанной приводной оси вызывает шарнирный поворот указанного хирургического концевого эффектора относительно указанной продольной оси в первом направлении шарнирного поворота посредством, по меньшей мере, одного шарнирного элемента, а вращение указанного приводного элемента во втором направлении вращения вокруг указанной приводной оси вызывает шарнирный поворот указанного хирургического концевого эффектора относительно указанной продольной оси во втором направлении шарнирного поворота относительно указанной продольной оси посредством, по меньшей мере, одного шарнирн�
Claims (20)
1. Хирургический инструмент, включающий:
узел рукоятки;
узел удлиненного ствола, функционально взаимодействующий с указанным узлом рукоятки и образующий продольную ось;
хирургический концевой эффектор, функционально связанный с узлом удлиненного ствола и выполненный с возможностью разрезания и сшивания скобами ткани при приложении к нему приводных движений;
по меньшей мере, один шарнирный элемент, функционально поддерживаемый на указанном узле удлиненного ствола; и
шарнирную систему, включающую:
шарнирную трансмиссию, функционально поддерживаемую на указанном узле рукоятки и функционально взаимодействующую, по меньшей мере, с одним шарнирным элементом; и
приводной элемент, поддерживаемый с возможностью вращения на указанном элементе рукоятки для избирательного вращения вокруг приводной оси, которая не пересекается поперечно с указанной продольной осью, причем указанный приводной элемент взаимодействует с указанной шарнирной трансмиссией так, что вращение указанного приводного элемента в первом направлении вращения вокруг указанной приводной оси вызывает шарнирный поворот указанного хирургического концевого эффектора относительно указанной продольной оси в первом направлении шарнирного поворота посредством, по меньшей мере, одного шарнирного элемента, а вращение указанного приводного элемента во втором направлении вращения вокруг указанной приводной оси вызывает шарнирный поворот указанного хирургического концевого эффектора относительно указанной продольной оси во втором направлении шарнирного поворота относительно указанной продольной оси посредством, по меньшей мере, одного шарнирного элемента.
2. Хирургический инструмент по п. 1, в котором указанный узел удлиненного ствола имеет, по существу, гибкий сегмент шарнирного сочленения, связанный с указанным хирургическим концевым эффектором.
3. Хирургический инструмент по п. 2, в котором, по меньшей мере, один шарнирный элемент содержит:
узел первой шарнирной ленты, функционально поддерживаемый на указанном узле удлиненного ствола и соединенный с частью указанного, по существу, гибкого сегмента шарнирного сочленения на первой стороне указанной продольной оси; причем указанный узел первой шарнирной ленты функционально взаимодействует с указанной шарнирной трансмиссией; и
узел второй шарнирной ленты, функционально поддерживаемый на указанном узле удлиненного ствола и соединенный с указанной частью указанного, по существу, гибкого сегмента шарнирного сочленения на второй стороне указанной продольной оси, причем указанный узел второй шарнирной ленты функционально взаимодействует с указанной шарнирной трансмиссией.
4. Хирургический инструмент по п. 1, в котором указанная приводная ось, по существу, коаксиальна с указанной продольной осью.
5. Хирургический инструмент по п. 4, в котором указанная шарнирная трансмиссия содержит:
первый шарнирный диск, поддерживаемый с возможностью перемещения внутри указанного узла рукоятки и взаимодействующий с указанным приводным элементом и указанным узлом первой шарнирной ленты так, что при вращении указанного приводного элемента в первом направлении вращения указанный узел первой шарнирной ленты перемещается в первом осевом направлении; и
второй шарнирный диск, поддерживаемый с возможностью перемещения внутри указанного узла рукоятки и взаимодействующий с указанным приводным элементом и указанным узлом второй шарнирной ленты так, что при вращении указанного приводного элемента в первом направлении вращения указанный второй шарнирный диск перемещается во втором осевом направлении, противоположном указанному первому осевому направлению.
6. Хирургический инструмент по п. 5, в котором первый шарнирный диск функционально взаимодействует с указанным приводным элементом так, что при вращении указанного приводного элемента во втором направлении вращения указанный узел первой шарнирной ленты перемещается во втором осевом направлении, а указанный узел второй шарнирной ленты перемещается в первом осевом направлении.
7. Хирургический инструмент по п. 5, в котором указанные первый и второй шарнирные диски находятся в резьбовом зацеплении с указанным приводным элементом.
8. Хирургический инструмент по п. 7, в котором указанный приводной элемент содержит колесо привода, поддерживаемое с возможностью вращения на указанном узле рукоятки для избирательного вращения относительно нее вокруг указанной приводной оси; причем указанное колесо привода имеет первую резьбу в резьбовом зацеплении с указанным первым шарнирным диском, а вторая резьба находится в резьбовом зацеплении с указанным вторым шарнирным диском; указанная первая резьба имеет первое направление резьбы, указанная вторая резьба имеет второе направление резьбы, противоположное первому направлению резьбы.
9. Хирургический инструмент по п. 1, в котором указанный хирургический концевой эффектор выполнен с возможностью поддержания имплантируемого картриджа со скобами.
10. Хирургический инструмент по п. 1, дополнительно включающий:
ножевую планку, функционально поддерживаемую на указанном узле удлиненного ствола;
трансмиссию активации, функционально поддерживаемую указанным узлом рукоятки; и
активирующий спусковой механизм, функционально поддерживаемый на указанном узле рукоятки и выполненный с возможностью приложения приводного движения к указанной трансмиссии активации для приведения в движение указанной ножевой планки в дистальном направлении через указанный хирургический концевой эффектор.
11. Режущий и скрепляющий хирургический инструмент, включающий:
удлиненный канал;
картридж с хирургическими скобами, функционально поддерживаемый внутри указанного удлиненного канала;
упор, поддерживаемый с возможностью перемещения относительно указанного удлиненного канала между открытым и закрытым положениями;
ножевую планку, поддерживаемую с возможностью подвижного перемещения от проксимального конца указанного удлиненного канала до дистального конца указанного удлиненного канала после приложения к ней активирующего движения;
узел рукоятки;
узел удлиненного ствола, соединенный с указанным узлом рукоятки и указанным удлиненным каналом и выполненный с возможностью функционального поддержания, по меньшей мере, части указанной ножевой планки, причем указанный узел удлиненного ствола образует продольную ось и выполнен с возможностью приложения активирующего движения к указанной ножевой планке;
узел спускового механизма, функционально поддерживаемый на указанном узле рукоятки и выполненный с возможностью приложения активирующего движения к указанному узлу удлиненного ствола;
шарнирную систему, содержащую:
шарнирную трансмиссию, функционально поддерживаемую указанным узлом рукоятки и функционально взаимодействующую с указанным узлом удлиненного ствола; и
приводной элемент, поддерживаемый с возможностью вращения на указанном элементе рукоятки для избирательного вращения вокруг приводной оси, которая не пересекается поперечно с указанной продольной осью; причем указанный приводной элемент взаимодействует с указанной шарнирной трансмиссией так, что вращение указанного приводного элемента в первом направлении вращения вокруг указанной приводной оси вызывает шарнирный поворот указанного хирургического концевого эффектора относительно указанной продольной оси в первом направлении шарнирного поворота посредством указанного узла удлиненного ствола, а вращение указанного приводного элемента во втором направлении вращения вокруг указанной приводной оси вызывает шарнирный поворот указанного хирургического концевого эффектора относительно указанной продольной оси во втором направлении шарнирного поворота посредством указанного узла удлиненного ствола.
12. Режущий и скрепляющий хирургический инструмент по п. 11, в котором указанный картридж с хирургическими скобами включает узел сжимаемого и имплантируемого картриджа со скобами.
13. Режущий и скрепляющий хирургический инструмент по п. 11, в котором указанный узел удлиненного ствола выполнен с возможностью избирательного вращения вокруг указанной продольной оси относительно указанного узла рукоятки.
14. Режущий и скрепляющий хирургический инструмент по п. 11, в котором указанная ножевая планка содержит:
удлиненный гибкий сегмент, поддерживаемый с возможностью перемещения внутри указанного узла удлиненного ствола;
режущую головку, соединенную с удлиненным гибким сегментом и выполненную с возможностью осевого перемещения через указанный удлиненный канал; причем указанная режущая головка имеет режущую поверхность на ней, и выполнена с возможностью зацепления с сжатием с указанным упором по мере приведения в движение указанной режущей головки от указанного проксимального конца указанного удлиненного канала к дистальному концу указанного удлиненного канала.
15. Режущий и скрепляющий хирургический инструмент по п. 11, в котором указанный узел удлиненного ствола содержит:
по существу жесткий проксимальный сегмент ствола, функционально взаимодействующий с указанным узлом рукоятки; и
по существу гибкое шарнирное сочленение, продолжающееся между указанным по существу жестким проксимальным сегментом ствола и указанным удлиненным каналом.
16. Режущий и скрепляющий хирургический инструмент по п. 15, в котором указанный узел удлиненного ствола дополнительно содержит:
узел первой шарнирной ленты, функционально поддерживаемый на указанном по существу жестком проксимальном сегменте ствола, и соединенный с одним из указанного по существу гибкого шарнирного сочленения и указанного удлиненного канала на первой стороне указанной продольной оси и функционально взаимодействующую с указанной шарнирной трансмиссией; и
узел второй шарнирной ленты, функционально поддерживаемый указанным узлом удлиненного ствола и соединенную с одним из указанного по существу гибкого сегмента шарнирного сочленения и указанного удлиненного канала на второй стороне указанной продольной оси, причем узел второй шарнирной ленты функционально взаимодействует с указанной шарнирной трансмиссией.
17. Режущий и скрепляющий хирургический инструмент по п. 16, в котором указанная шарнирная трансмиссия содержит:
первый шарнирный диск, поддерживаемый с возможностью перемещения в указанном узле рукоятки и взаимодействующий с указанным приводным элементом и указанным узлом первой шарнирной ленты; и
второй шарнирный диск, поддерживаемый с возможностью перемещения в указанном узле рукоятки и взаимодействующий с указанным приводным элементом и указанным узлом второй шарнирной ленты, причем:
вращение указанного приводного элемента в указанном первом направлении вращения вызывает осевое перемещение указанных первого и второго шарнирных дисков в направлении друг к другу для приложения шарнирного движения к указанному узлу первой шарнирной ленты в первом осевом направлении и другого шарнирного движения к указанному узлу второй шарнирной ленты во втором осевом направлении, противоположном указанному первому осевому направлению.
18. Режущий и скрепляющий хирургический инструмент по п. 17, в котором вращение указанного приводного элемента в указанном втором направлении вращения вызывает осевое перемещение указанных первого и второго шарнирных дисков в направлении друг от друга для приложения шарнирного движения к указанному узлу первой шарнирной ленты в указанном втором осевом направлении и другого шарнирного движения к указанному узлу второй шарнирной ленты в указанном первом осевом направлении.
19. Режущий и скрепляющий хирургический инструмент по п. 11, дополнительно включающий средство для взаимодействия с указанным приводным элементом для обеспечения пользователя индикацией того, что приводной элемент находится в нейтральном положении, в котором указанный хирургический концевой эффектор по существу коаксиально выровнен с указанной продольной осью.
20. Режущий и скрепляющий хирургический инструмент, содержащий:
концевой эффектор, содержащий:
канал, выполненный с возможностью функционального поддержания в нем картриджа со скобами; и
упор, поддерживаемый с возможностью вращения относительно указанного канала, причем указанный режущий и скрепляющий хирургический инструмент дополнительно включает:
узел удлиненного ствола, образующий продольную ось и содержащий:
по существу, жесткий проксимальный сегмент ствола;
по существу, гибкий шарнирный сегмент, соединенный с, по существу, жесткой дистальной частью ствола и указанным каналом указанного концевого эффектора;
ножевую планку, имеющую по существу гибкую часть, соответствующую указанному по существу гибкому шарнирному сегменту, и имеющую разрезающую ткань головку, сформованную на ее дистальном конце;
ножевую трубку, функционально взаимодействующую с ножевой планкой для приложения шарнирных движений;
узел первой шарнирной ленты, функционально поддерживаемый указанным, по существу, жестким проксимальным сегментом ствола, и соединенный с одним из указанного, по существу, гибкого шарнирного сочленения и указанного канала на первой стороне указанной продольной оси; и
узел второй шарнирной ленты, функционально поддерживаемый указанным по существу жестким проксимальным сегментом ствола, и соединенный с одним из указанного по существу гибкого сегмента шарнирного сочленения и указанного удлиненного канала на второй стороне указанной продольной оси, причем указанный режущий и скрепляющий хирургический инструмент дополнительно содержит:
узел рукоятки, функционально соединенный с указанным по существу жестким проксимальным сегментом ствола;
колесо привода, поддерживаемое с возможностью вращения на указанном узле рукоятки;
первый шарнирный диск, подвижно поддерживаемый внутри указанного узла рукоятки и взаимодействующий с указанным колесом привода и указанным узлом первой шарнирной ленты; и
второй шарнирный диск, подвижно поддерживаемый в указанном узле рукоятки и взаимодействующий с указанным колесом привода и указанным узлом второй шарнирной ленты; причем указанные первый и второй шарнирные диски выполнены так, что вращение указанного колеса привода в первом направлении вращения вызывает осевое перемещение первого и второго шарнирных дисков в направлении друг к другу для приложения шарнирного движения к указанному узлу первой шарнирной ленты в первом осевом направлении, и другого шарнирного движения к указанному узлу второй шарнирной ленты во втором осевом направлении, противоположном указанному первому осевому направлению; и
активирующий спусковой механизм, функционально поддерживаемый на указанном узле рукоятки и взаимодействующий с указанной ножевой трубкой так, что приложение приводного движения к указанному активирующему спусковому механизму вызывает приложение приводного движения к указанной ножевой трубке.
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| US38609410P | 2010-09-24 | 2010-09-24 | |
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| RU2013118706A true RU2013118706A (ru) | 2014-10-27 |
| RU2577762C2 RU2577762C2 (ru) | 2016-03-20 |
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| RU2013118694/14A RU2571602C2 (ru) | 2010-09-24 | 2011-09-22 | Элементы управления для шарнирного хирургического устройства |
| RU2013118706/14A RU2577762C2 (ru) | 2010-09-24 | 2011-09-23 | Хирургический инструмент с избирательно шарнирно поворачиваемым концевым эффектом |
| RU2013118584/14A RU2579627C2 (ru) | 2010-09-24 | 2011-09-23 | Хирургический инструмент со спусковым крючком для осуществления различных приводных движений |
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| RU2013118694/14A RU2571602C2 (ru) | 2010-09-24 | 2011-09-22 | Элементы управления для шарнирного хирургического устройства |
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| AU (4) | AU2011305395B2 (ru) |
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