Disclosure of Invention
In view of the current state of the prior art, the invention provides a visual direction-changing operation power device which can conveniently adjust the visual field angle and the cutter head angle in the endoscopic operation.
In order to solve the technical problem, the invention provides a visual direction-changing surgical power device, which comprises: a handle; the cutter comprises a cutter bar and a cutter head, the rear end of the cutter bar is connected with the handle, the front end of the cutter bar is connected with the rear end of the cutter head through a rotating connecting mechanism, and the cutter head can rotate around a rotating axis to adjust an included angle between the central line axis of the cutter head and the central line of the cutter bar; the tool bit direction changing device is used for driving the tool bit to rotate around the rotating axis; further comprising: the camera shooting assembly comprises a camera and a cable, the camera is connected with the cutter head and rotates along with the rotation of the cutter head around the rotation axis, and the front end of the cable is connected with the camera.
According to the visual direction-changing operation power device, the camera is arranged on the cutter head, and the rotating angle of the cutter head and the visual field angle of the camera are adjusted simultaneously through the cutter head direction-changing device, so that a doctor only needs to hold the device with one hand, and the operation difficulty of the doctor is reduced; moreover, the camera and the cutter head are relatively static, so that synchronous operation of the cutter head and the camera is realized, the observation time of a doctor is saved, and the operation safety is greatly improved. Therefore, the visual direction-changing operation power device provided by the invention combines the endoscope and the operation power system, and solves the problems that the endoscope tube needs to be integrally swung for angle adjustment in the endoscopic operation and the operation instrument is inconvenient and asynchronous to adjust in cooperation with the endoscope tube.
In one embodiment, the tool bit direction changing device comprises an instrument tube, a steering head, a traction member and a traction driving mechanism, the instrument tube is sleeved on the peripheries of the tool bar and the cable, the rear end of the instrument tube is fixed on the handle, the steering head is sleeved on the peripheries of the tool bit and the camera, the rear end of the steering head is rotatably connected with the front end of the instrument tube around the rotating axis, the traction member is arranged in the instrument tube and can move back and forth along the axial direction of the instrument tube, the front end of the traction member is connected with the rear end of the steering head, the traction driving mechanism is arranged on the handle, and the traction driving mechanism is connected with the rear end of the traction member and used for driving the traction member to move back and forth along the axial direction of the instrument tube.
In one embodiment, the camera head includes a mounting member fixed within the steering head, an image sensor and an illuminating member mounted on the mounting member.
In one embodiment, the pull member is tubular and is disposed within the instrument tube, and the knife bar and the cable are received within the pull member.
In one embodiment, the traction piece can rotate between an unlocking position and a locking position relative to the instrument tube, and an unlocking sleeve for driving the traction piece to rotate between the unlocking position and the locking position is arranged on the handle; a locking mechanism is arranged between the front end of the traction piece and the rear end of the steering head, when the traction piece is located at the unlocking position, the locking mechanism allows the rotating head to rotate around the rotating axis, and when the traction piece is located at the locking position, the locking mechanism limits the rotating head to rotate around the rotating axis.
In one embodiment, a front end of the traction piece is provided with a first connecting part, a rear end wall of the steering head on one side of the rotation axis is provided with a second connecting part matched with the first connecting part, and the front end of the traction piece and the rear end of the steering head are connected through the first connecting part and the second connecting part; when the pulling piece is located at the unlocking position, the first connecting portion is combined with the second connecting portion, and when the pulling piece is located at the locking position, the first connecting portion is separated from the second connecting portion.
In one embodiment, the locking mechanism includes a lug extending axially forward from a front face of the puller, the lug being located on the rotational axis when the puller is rotated to the unlocked position, the lug being located to one side of the rotational axis when the puller is rotated to the locked position, and the lug being inserted into the rear end of the steering head.
In one embodiment, the handle includes a fixed sleeve, the fixed sleeve is fixed on the rear end of the instrument tube, the rear end of the traction piece extends out of the rear end of the instrument tube, the unlocking sleeve is fixed on the rear end of the traction piece, the traction driving mechanism includes an adjusting threaded sleeve and an elastic component, the adjusting threaded sleeve is located on the front side of the unlocking sleeve, the adjusting threaded sleeve is sleeved on the fixed sleeve and is in threaded fit with the fixed sleeve, and the elastic component is arranged between the unlocking sleeve and the handle and used for driving the unlocking sleeve to move forward.
In one embodiment, the handle comprises a tube seat located at the rear side of the unlocking sleeve, the rear end of the unlocking sleeve is in plug fit with the front end of the tube seat, a positioning mechanism is arranged between the rear end of the unlocking sleeve and the front end of the tube seat and used for limiting the unlocking sleeve to axially move and allowing the unlocking sleeve to rotate when the pulling piece rotates to the locking position, and limiting the unlocking sleeve to rotate and allowing the unlocking sleeve to axially move when the pulling piece rotates to the unlocking position.
In one embodiment, the handle comprises a tube seat positioned at the rear side of the unlocking sleeve, the rear end of the unlocking sleeve is in plug fit with the front end of the tube seat, the positioning mechanism comprises a locking boss arranged at the rear end of the unlocking sleeve or the front end of the tube seat and a channel which is arranged at the front end of the tube seat or the rear end of the unlocking sleeve and is matched with the locking boss, and the channel comprises a turning channel extending along the circumferential direction and an axial channel extending along the axial direction and communicated with one end of the turning channel; when the traction piece is located at the locking position, the locking boss is located in the rotary groove channel, and when the traction piece rotates to the unlocking position, the locking boss is located in the axial groove channel.
The advantageous effects of the additional features of the present invention will be explained in the detailed description section of the present specification.
Detailed Description
The present invention will be described in detail below with reference to the accompanying drawings in conjunction with embodiments. It should be noted that, in the following embodiments, features in the embodiments may be combined without conflict.
As shown in fig. 1 and 2, the visual direction-changing surgical power device in one embodiment of the present invention includes ahandle 10, a cutter, a tool bit direction-changing device, and a camera assembly, wherein thehandle 10 is used for a doctor to hold. As an example, thehandle 10 includes ahandle body 16, atube holder 14, and a fixingsleeve 11, thehandle body 16 is three-forked to facilitate grasping, and thetube holder 14 is connected to a front end of thehandle body 16.
The cutter is used for cutting off human tissues and comprises acutter bar 20 and acutter head 40, the rear end of thecutter bar 20 is connected with thehandle 10, the front end of thecutter bar 20 is connected with the rear end of thecutter head 40 through a rotating connecting mechanism, and thecutter head 40 can rotate around a rotating axis X to adjust an included angle between the central line axis of thecutter head 40 and the central axis of thecutter bar 20.
The tool may be a planing tool, a grinding tool, a milling tool, or a drilling tool, and the planing tool is used as an example in the present embodiment. As shown in fig. 1 and 2, thetool bar 20 includes anouter tool tube 21 and aninner tool tube 22, the rear end of theouter tool tube 21 is fixed on thehandle 10, and specifically, the rear end of theouter tool tube 21 passes through the fixingsleeve 11, the unlockingsleeve 12 and the adjustingscrew 13 and is fixed in the inner holes of thetube seat 14 and thehandle body 16. Theinner knife pipe 22 is disposed inside theouter knife pipe 21 and can rotate circumferentially relative to theouter knife pipe 21, the rear end of theinner knife pipe 22 extends out of theouter knife pipe 21 and extends out of the rear end of thehandle 10, and the rear end of theinner knife pipe 22 is connected with a driving joint 23, and the driving joint 23 is used for being connected with an output end of a driving device (not shown in the figure). Theinner knife tube 22 is driven by the driving device to rotate circumferentially relative to theouter knife tube 21.
Thecutter head 40 comprises anouter cutter head 41 and aninner cutter head 42, theinner cutter head 42 is rotatably arranged in theouter cutter head 41, the rear end of theinner cutter head 42 is connected with the front end of theinner cutter tube 22 through a rotating connection mechanism, and therefore theinner cutter head 42 can rotate around a rotation axis X while rotating under the driving of theinner cutter tube 22, and the direction changing is achieved. A cutting window is arranged on the tube wall of theouter cutter head 41 close to the front end, a cutting edge part is arranged at the front end of theinner cutter head 42, the cutting edge part is matched with the cutting window to cut off human tissues extending into the cutting window, and the rear end of theinner cutter head 42 extends out of the rear end of theouter cutter head 41 and is connected with the rotary connecting structure of theinner cutter tube 22.
The rotation connecting mechanism in this embodiment is a ball joint universal joint, which includes aspherical groove 421 provided on the rear end of theinner cutter head 42 and aball 221 provided on the front end of theinner cutter tube 22 and engaged with thespherical groove 421, and theball 221 is snapped into thespherical groove 421 and is rotatably engaged with thespherical groove 421. Alternatively, the rotary connection can also be a ball joint or the like.
The tool bit deviator is used to drive thetool bit 40 to rotate about the axis of rotation X. In one embodiment, the tool bit direction changing device comprises aninstrument tube 50, asteering head 60, atraction piece 70 and a traction driving mechanism, wherein theinstrument tube 50 is sleeved on the periphery of thetool bar 20 and the cable, and the rear end of theinstrument tube 50 is inserted and fixed in the fixingsleeve 11 of thehandle 10. The steeringhead 60 is sleeved on the periphery of thecutter head 40 and thecamera head 100, and the rear end of thesteering head 60 is rotatably connected with the front end of theinstrument tube 50 around the rotating axis X.
There are various ways of connecting the rear end of thesteering head 60 to the front end of theinstrument tube 50, and as one example, as shown in fig. 6, twoinner sub-ears 51 are provided at the front end of theinstrument tube 50 so as to be opposed to each other in the direction of the rotation axis X, and aninner ear hole 52 is provided in theinner sub-ear 51. As shown in fig. 7, twoouter sub-ears 61 are provided at the rear end of thesteering head 60 so as to be opposed to each other in the direction of the rotation axis X, and anouter ear hole 62 is provided in theouter sub-ears 61. As shown in fig. 4, the twoouter sub-ears 61 of thesteering head 60 are respectively located outside the twoinner sub-ears 51 of theinstrument tube 50, the outer ear holes 62 on theouter sub-ears 61 are opposite to the inner ear holes 52 on theinner sub-ears 51, and thepin shaft 80 extending along the rotation axis X passes through the outer ear holes 62 and the inner ear holes 52 to rotatably connect the rear end of thesteering head 60 with the front end of theinstrument tube 50. The rear end of thesteering head 60 and the front end of theinstrument tube 50 may be connected by other rotation pairs, such as a circular hole provided in one of the rear end of thesteering head 60 and the front end of theinstrument tube 50, and a cylinder fitted into the circular hole and rotatably inserted into the circular hole.
The pullingmember 70 is disposed in theinstrument tube 50 and can move back and forth along the axial direction of theinstrument tube 50, and the front end of the pullingmember 70 is connected with the rear end of thesteering head 60. The axial forward and backward movement of the pullingmember 70 drives thesteering head 60 to rotate about the rotation axis X. The front end of the pullingmember 70 is connected to the rear end of thesteering head 60 in various ways, for example, the front end of the pullingmember 70 is connected to the rear end of thesteering head 60 by a steel belt or by a rack and pinion mechanism.
The pullingmember 70 may be linear, rod-shaped or tubular, and for convenience of assembly, the pullingmember 70 in this embodiment is tubular, the pullingmember 70 is received in theinstrument tube 50, and theknife bar 20 and the cable are received in the pullingmember 70.
In one embodiment, theretractor 70 is rotatable relative to theinstrument tube 50 between an unlocked position (the position shown in fig. 3 and 4) and a locked position, the tool bit deviator further comprises an unlockingsleeve 12 disposed on thehandle 10, the unlockingsleeve 12 is fixedly sleeved on the rear end of theretractor 70, and the unlockingsleeve 12 is used for driving theretractor 70 to rotate between the unlocked position and the locked position; a locking mechanism is provided between the front end of thepuller 70 and the rear end of thesteering head 60. When the pullingpiece 70 is positioned at the unlocking position, the locking mechanism allows the rotatinghead 60 to rotate around the rotating axis, and when the pullingpiece 70 is positioned at the locking position, the locking mechanism limits the rotatinghead 60 to rotate around the rotating axis, so that the visual direction-changing operation power device has the direction-changing function and the direction-unchangeable function at the same time, the functions are expanded, and different requirements of doctors are met.
The front end of the pullingmember 70 is provided with a first connectingportion 71, the rear end wall of thesteering head 60 on the side of the rotation axis is provided with a second connectingportion 63 which is engaged with the first connectingportion 71, and the front end of the pullingmember 70 and the rear end of thesteering head 60 are connected through the first connectingportion 71 and the second connectingportion 63. When the pullingmember 70 is located at the unlocking position, the first connectingportion 71 is engaged with the second connectingportion 63, and when the pullingmember 70 is located at the locking position, the first connectingportion 71 is disengaged from the second connectingportion 63. As an example, the first connectingportion 71 is T-shaped (as shown in fig. 6), the first connectingportion 71 includes a transverse portion 711 and a vertical portion 712, the second connectingportion 63 is a T-shaped notch (as shown in fig. 7) provided at the rear end of thesteering head 60, the second connectingportion 63 includes atransverse port 631 extending in the circumferential direction of thesteering head 60 and avertical port 632 extending in the axial direction of thesteering head 60, and the width of thevertical port 632 is smaller than the width of the vertical portion 712. Thus, when theretractor 70 is rotated to the unlocked position, the cross portion 711 snaps into thecross aperture 631 and can rotate within thecross aperture 631.
Preferably, the rear end of thesteering head 60 is provided with two second connectingportions 63, and the two second connectingportions 63 are located on both sides of the rotation axis X, respectively. As shown in fig. 2 and 3, when the pullingmember 70 rotates until the first connectingportion 71 is combined with the second connectingportion 63 on the upper side, the steeringhead 60 can rotate upwards, and when the pullingmember 70 rotates until the first connectingportion 71 is combined with the second connectingportion 63 on the lower side, the steeringhead 60 can rotate downwards, so that the rotation range of thesteering head 60 is greatly increased.
Preferably, aguide groove 64 extending in a circumferential direction is provided on an inner wall of thesteering head 60 between the two second connectingportions 63, and the first connectingportion 71 slides along theguide groove 64 when the pullingmember 70 rotates, so that the first connectingportion 71 rotates smoothly.
The locking mechanism comprises a lug 72 (see fig. 6) extending axially forward from the front face of the pullingmember 70, thelug 72 being located on the axis of rotation X when the pullingmember 70 is rotated to the unlocked position, the position of thelug 72 corresponding to the position of theinner counter lug 51, the steeringhead 60 being free to rotate. When the pullingmember 70 is rotated to the locking position, thelug 72 is positioned on one side of the rotation axis X, the position of thelug 72 is offset from the position of theinner sub-lug 51, and thelug 72 is inserted into the rear end of thesteering head 60 to restrict thesteering head 60 from rotating.
The traction driving mechanism is arranged on thehandle 10, connected with the rear end of thetraction piece 70, and used for driving thetraction piece 70 to move back and forth along the axial direction, so as to drive the steeringhead 60 to rotate around the rotation axis X, and further drive the cutter head and thecamera 100 to synchronously rotate around the rotation axis X.
As shown in fig. 1 and 2, the drawing driving mechanism includes an adjustingscrew 13 and an elastic component, the adjustingscrew 13 is located at the front side of the unlockingsleeve 12, an external thread is provided on the outer peripheral surface of the rear end of the fixedsleeve 11, an internal thread matched with the external thread is provided on the inner wall of the adjustingscrew 13, and the adjustingscrew 13 is connected with the fixedsleeve 11 through the external thread and the internal thread. The elastic member is used to drive the unlockingsleeve 12 forward. In this embodiment, the elastic member is aspring 15, the rear end of the unlockingsleeve 12 is provided with a spring mounting groove, the front end of thespring 15 is mounted in the spring mounting groove, and the rear end is mounted in thetube seat 14.
In one embodiment, the rear end of therelease sleeve 12 is in a plug-in fit with the front end of thebase 14, and a positioning mechanism is provided between the rear end of therelease sleeve 12 and the front end of thebase 14 for limiting the axial movement of therelease sleeve 12 and allowing therelease sleeve 12 to rotate when thepull 70 is rotated to the locked position, and for limiting the rotation of therelease sleeve 12 and allowing the axial movement of therelease sleeve 12 when thepull 70 is rotated to the unlocked position.
In this embodiment, the rear end of therelease sleeve 12 is inserted into the front end of thesocket 14. As shown in fig. 9, the positioning mechanism includes a lockingboss 121 provided on the outer peripheral surface of the rear end of the unlockingsleeve 12 and a groove provided on the inner wall of thesocket 14 to be engaged with the lockingboss 121. The slot includes aspiral slot 142 extending in a circumferential direction and anaxial slot 141 extending in an axial direction and communicating with both ends of thespiral slot 142, respectively, and the lockingprojection 121 is slidable in thespiral slot 142 and theaxial slot 141. Of course, as an alternative, the positions of the lockingprojection 121 and the groove may be reversed, i.e., the lockingprojection 121 is provided on the inner wall of thesocket 14 and the groove is provided on the outer peripheral surface of the rear end of thelock release sleeve 12. The forward end of thesocket 14 is inserted into the rearward end of therelease sleeve 12.
For the doctor's operation, astatus indicator 122 is provided on the outer peripheral surface of the front end of thelock release sleeve 12, and thestatus indicator 122 is located on the same axis as thelock projection 121. The outer circumferential surface of thesocket 14 is provided with a lockingstate identification symbol 144, an upper unlockingstate identification symbol 143, and a lower unlocking state identification symbol (not shown), the unlocking state identification symbol corresponding to the middle position of the turninggroove 142, and the upper unlockingstate identification symbol 143 and the lower unlocking state identification symbol (not shown) corresponding to the positions of the twoaxial grooves 141, respectively.
In one embodiment, the central hole of the unlockingsleeve 12 is a stepped hole, the unlockingsleeve 12 comprises a small hole section with a smaller central hole and a large hole section with a larger central hole, the small hole section is fixedly connected with the pulling member, the large hole section is sleeved on theguide screw head 90 and is in threaded fit with theguide screw head 90, and theguide screw head 90 is in clearance fit with the pulling member. In this way, thepilot screw 90 acts as a circumferential damping for the unlockingsleeve 12, and when the unlockingsleeve 12 is rotated to a certain angle, thepilot screw 90 keeps the unlockingsleeve 12 at that angle, avoiding rotational offset of the unlockingsleeve 12.
The camera assembly is used for collecting image signals and comprises acamera 100 and a cable (not shown in the figure), thecamera 100 is connected with thecutter head 40 and rotates along with the rotation of thecutter head 40, and the front end of the cable is connected with thecamera 100.
According to the visual direction-changing operation power device, thecamera 100 is arranged on thecutter head 40, and the rotation angle of the cutter head and the visual field angle of thecamera 100 are adjusted simultaneously through the cutter head direction-changing device, so that a doctor only needs to hold the device with one hand, and the operation difficulty of the doctor is reduced; moreover, thecamera 100 and the cutter head are relatively static, so that the synchronous operation of the cutter head and thecamera 100 is realized, the observation time of a doctor is saved, and the operation safety is greatly improved. Therefore, the visual direction-changing operation power device disclosed by the invention solves the problems that an endoscope tube needs to be integrally swung for adjusting the angle in an endoscopic operation and the operation instrument is inconvenient to adjust in a matching way by combining the endoscope with the operation power system.
As shown in fig. 8, thecamera head 100 includes a mountingmember 101, animage sensor 102, and an illuminatingmember 103, the mountingmember 101 is fixed in thesteering head 60, and theimage sensor 102 and the illuminatingmember 103 are mounted on the mountingmember 101. Theimage sensor 102 may be a CMOS (Complementary Metal Oxide Semiconductor) or CCD (Charge coupled device) chip, and theilluminator 103 may be an LED illuminator. As an example, the mountingmember 101 has a cylindrical shape, the mountingmember 101 is inserted into the steeringhead 60, the mountingmember 101 and thesteering head 60 are fixed by bonding or welding, an image sensor mounting hole and an illuminating member mounting hole are provided in the mountingmember 101, and theimage sensor 102 and the illuminatingmember 103 are respectively mounted in the image sensor mounting hole and the illuminating member mounting hole. The mountingmember 101 is also provided with a mounting hole extending in the axial direction of thesteering head 60, and thecutter head 40 is inserted into the mounting hole.
The working principle of the visual direction-changing operation power device is as follows:
before operation, the visual direction-changing operation power device is in an initial state, namely the included angle between the central line axis of thesteering head 60 and the central line axis of theinstrument tube 50 is zero, and thetraction piece 70 is located at a locking position, namely the first connectingpart 71 is separated from the second connectingpart 63. Furthermore, the lockingboss 121 of the unlockingsleeve 12 is positioned in the turninggroove 142 of thetube seat 14 to limit the axial movement of the unlockingsleeve 12, and simultaneously, the unlockingsleeve 12 is in threaded connection with theguide screw 90 to limit the radial rotation of the unlockingsleeve 12, and thestate indicator 122 of the unlockingsleeve 12 is opposite to the lockingstate indicator 144 of thetube seat 14.
When a physician inserts thesteering head 60 and theinstrument tube 50 into the human body through the duct, and the physician needs to adjust the visual field angle and the surgical cutting angle of thecamera 100 in the patient, the unlocking is performed first, that is, the unlockingsleeve 12 is rotated by 90 degrees to the left or right by hand, the lockingboss 121 is rotated to the terminal section in thesteering channel 142, that is, positioned in theaxial channel 141, the first connectingpart 71 of the pullingmember 70 is driven to be positioned in the second connectingpart 63 on the upper side or the lower side of thesteering head 60, and thestatus indicator symbol 122 of the unlockingsleeve 12 is opposite to the upper unlockingstatus indicator symbol 143 or the lower unlocking status indicator symbol of thetube socket 14.
After unlocking, the adjustingscrew 13 is rotated, and the adjustingscrew 13 moves backward in the axial direction, so that the lockingboss 121 of the unlockingsleeve 12 enters theaxial groove 141 of thetube seat 14, and the pullingmember 70 is driven to move axially toward the rear end, so that the steeringhead 60 rotates upward or downward around thepin 80.
In the process of adjusting the steering angle, namely when the adjustingscrew sleeve 13 is rotated to enable the unlockingsleeve 12 to axially move towards the rear end, the rear end of the unlockingsleeve 12 is subjected to the reaction force of thecompression spring 15 towards the front side, the front end of the unlockingsleeve 12 is limited by the rear end face of the adjustingscrew sleeve 13, the adjustingscrew sleeve 13 is limited to move forwards by threaded connection between the adjustingscrew sleeve 13 and the fixedsleeve 11, therefore, when the angle is adjusted by rotation is stopped, thespring 15 and the adjustingscrew sleeve 13 lock the axial position of the unlockingsleeve 12, and the adjusting angle is fixed; at this time, the lockingboss 121 enters theaxial groove 141 of thesocket 14, and theaxial groove 141 restricts the circumferential rotation of the lockingboss 121, thereby locking the circumferential rotation of the angularly adjusted unlockingsleeve 12.
The above examples only show some embodiments of the present invention, and the description thereof is more specific and detailed, but not construed as limiting the scope of the present invention. It should be noted that, for a person skilled in the art, several variations and modifications can be made without departing from the inventive concept, which falls within the scope of the present invention.