Disclosure of Invention
Therefore, the technical problem to be solved by the present invention is to overcome the defects of low rigidity and poor stability of surgical instruments in the prior art, and provide an axial power system which can still provide sufficient axial braking force under the condition of flexible bending without affecting the bending amplitude.
In order to solve the above technical problem, the present invention provides an axial power system suitable for flexible bending, comprising:
the power assembly is used for generating axial braking force and comprises a sleeve, a push rod and a piston column, wherein the distal end of the sleeve is an instrument joint, the proximal end of the sleeve is a bent joint, the piston column divides the sleeve into a first chamber and a second chamber, the proximal end of the push rod is connected with the piston column, and the distal end of the push rod penetrates through the first chamber and extends out of the distal end of the sleeve;
the driving assembly is used for driving the push rod to move and comprises a hose and a hydraulic pump, the distal end of the hose penetrates through the bent joint to be communicated with the second chamber, and the proximal end of the hose is communicated with the hydraulic pump.
In one embodiment of the invention, the first chamber is separated from the instrument connector by an end cap, and the end cap is provided with a vent.
In one embodiment of the invention, a detection assembly is connected to the hose between the second chamber and the hydraulic pump.
In one embodiment of the invention, the detection assembly comprises a flow meter and/or a barometer.
In one embodiment of the invention, the piston column is circumferentially provided with a sealing groove, and a sealing ring is arranged in the sealing groove.
In one embodiment of the invention, the hose is a spring tube.
In one embodiment of the invention, the hydraulic pump is connected to a hydraulic reservoir, which is charged with fluid.
In one embodiment of the invention, the fluid is high pressure gas, water or hydraulic oil.
In one embodiment of the invention, the hose fixing device further comprises a flexible assembly and a supporting seat, wherein the distal end of the flexible assembly is connected with the bending joint, the proximal end of the flexible assembly is connected with the distal end of the supporting seat, an intermediate channel is arranged in the flexible assembly and the supporting seat, and the hose penetrates through the intermediate channel.
In one embodiment of the present invention, the flexible assembly includes a catheter holder, a plurality of joint members, and a tool holder, the joint members are arranged in a chain shape and are connected in series, adjacent joint members can rotate around a contact surface, the distal end of the catheter holder is connected to the proximal end of the chain formed by the joint members, the proximal end of the catheter holder is connected to the supporting seat, the proximal end of the tool holder is connected to the distal end of the chain formed by the joint members, and the distal end of the tool holder is connected to the bending joint.
In one embodiment of the invention, the flexible assembly is driven to bend by a handle assembly, the handle assembly is installed at the proximal end of the supporting seat, the handle assembly is connected with one end of an attitude force piece, the flexible assembly and the supporting seat are provided with a plurality of peripheral channels in the circumferential direction of the middle channel, and the attitude force piece is fixedly connected with the distal end of the flexible assembly through the peripheral channels.
In one embodiment of the invention, the handle assembly comprises a plurality of inner rotating wheels, the inner rotating wheels are coaxially arranged, and the inner rotating wheels penetrate out of the supporting seat and are connected with a shifting wheel.
Compared with the prior art, the technical scheme of the invention has the following advantages:
the power system can not only provide enough axial braking force, but also can not generate bad acting force influencing the bending amplitude under the condition that the surgical operation instrument realizes flexible bending in any direction relative to the axial direction, thereby improving the use stability of the surgical operation instrument.
Detailed Description
The present invention is further described below in conjunction with the following figures and specific examples so that those skilled in the art may better understand the present invention and practice it, but the examples are not intended to limit the present invention.
In this specification, the term "proximal" is generally used to refer to the portion of the device that is proximal to the clinician, while the term "distal" is generally used to refer to the portion of the device that is distal to the clinician. As used herein, "surgical instrument assembly" refers generally to a surgical instrument, such as a linear stapler, that requires axial braking forces to be transferred from a handle to an end effector to achieve a given instrument action.
To better understand the design of the proposed power system, the present specification, in embodiments, generally introduces a flexible assembly and a posture force member that can achieve two degrees of freedom multi-directional deflection in opposite axial directions, in turn introducing the handle of the surgical instrument and its portion connected to the end effector assembly as inputs to achieve the intended function of the end effector. In addition, the present specification illustrates how the axial braking force is converted into an instrument action by taking the end effector of a linear stapler as an example.
Referring to FIG. 1, a schematic view of anaxial power system 10 adapted for flexible bending according to the present invention is shown. Thepower system 10 of the present invention includes:
the power assembly is used for generatingaxial braking force 81 and comprises asleeve 1, apush rod 2 and apiston column 5, wherein the distal end of thesleeve 1 is an instrument joint 9, the proximal end of thesleeve 1 is a bent joint 8, thepiston column 5 divides thesleeve 1 into a first chamber and a second chamber, the proximal end of thepush rod 2 is connected with thepiston column 5, and the distal end of thepush rod 2 penetrates through the first chamber to protrude from the distal end of thesleeve 1;
the driving assembly is used for driving thepush rod 2 to move and comprises ahose 3 and ahydraulic pump 11, the distal end of thehose 3 penetrates through the bent joint 8 to be communicated with the second chamber, and the proximal end of thehose 3 is communicated with thehydraulic pump 11.
In the embodiment of the present invention, thehydraulic pump 11 is used as the power source input of thepower system 10, and thehydraulic pump 11 uses the fluid 13 as the medium for providing the power source. In order to ensure a continuous supply of the fluid 13, ahydraulic reservoir 12 is also provided, and thehydraulic pump 11 is connected to thehydraulic reservoir 12 and pumps the fluid 13 in thehydraulic reservoir 12 into the power assembly. In the present embodiment, the fluid 13 includes, but is not limited to, a flowable substance such as high pressure gas, water, hydraulic oil, and the like. The power assembly serves as the final actuator for thepower system 10. Therefore, under the condition that thesurgical instrument assembly 40 realizes the change of the spatial postures of two degrees of freedom ofpitch 93 andyaw 94, theaxial braking force 81 is provided for the end effector. Specifically, when the surgical instrument sets a posture with two degrees of freedom relative to the axial direction and needs to provide the axialdistal braking force 81, thehydraulic pump 11 starts to work, the fluid 13 starts to be injected into the second chamber of thecannula 1, the fluid 13 pushes thepiston column 5 to move towards the distal end of thecannula 1, thepush rod 2 is driven to move, the volume of the first chamber of thecannula 1 is reduced, and the axialdistal braking force 81 is provided. When the axialproximal braking force 81 needs to be provided, thehydraulic pump 11 starts to work, the fluid 13 in the second chamber is sucked out, the volume of the first chamber is increased, thepiston column 5 is pushed to move towards the proximal end of thesleeve 1, thepush rod 2 is driven to reset, and therefore the axialproximal braking force 81 is provided. In the process, only thepiston column 5 and thepush rod 2 connected with thepiston column 5 are involved to generate displacement, and the position of thehose 3 for conveying the fluid 13 is unchanged. Therefore, when the surgical instrument is set to have a posture in a plurality of directions relative to the axial direction, the posture of thehose 3 is consistent with the set posture and changes with the change of the set posture, and the posture of thehose 3 itself does not change under the condition that the posture of the outer wall is not changed. Even if the fluid 13 passes through, the main flow direction of the fluid 13 is the axial direction of thehose 3, and therefore the pressure of the fluid 13 on thehose 3 does not change the posture of thehose 3. Therefore, when theaxial braking force 81 is provided, under the condition that the bending position and the posture of thehose 3 are not changed, thehose 3 cannot extrude the bending position of the outer wall to influence the posture of the outer wall, and therefore the sufficientaxial braking force 81 is provided under the condition that the surgical instrument is ensured to realize stable multi-direction posture change relative to the axial direction. To facilitate coupling with components of thesurgical instrument assembly 40 that are required to provide pulling and pushing forces, the distal end of thepusher arm 2 is provided with astop tab 7.
Referring to fig. 1, to facilitate installation of thepush rod 2, the first chamber is separated from the instrument connector 9 by an end cap 4, so that thepush rod 2 and thepiston post 5 can be installed in thesleeve 1 by opening the end cap 4. In order to ensure that the end cover 4 and thesleeve 1 are tightly installed, the outer diameter of the end cover 4 is less than or equal to the outer diameter of thesleeve 1 and greater than the inner diameter of thesleeve 1. When thehydraulic pump 11 injects or withdraws the fluid 13 into or from the second chamber, in order to ensure the pressure of the first chamber and the second chamber to be consistent, the first chamber needs to be exhausted or charged, and therefore, avent hole 111 is formed in the end cover 4.
In this embodiment, adetection assembly 14 is further connected to thehose 3 between the second chamber and thehydraulic pump 11. Thedetection component 14 detects information such as flow, volume, pressure and the like of thepower system 10 in real time, and provides feedback for system implementation. When thedistal braking force 811 needs to be provided, thehydraulic pump 11 starts to operate, the fluid 13 is sucked from thehydraulic pool 12, and when the fluid 13 is liquid, thedetection component 14 detects that the volume of the sucked liquid reaches thecorresponding casing 1, thehydraulic pump 11 stops operating and maintains the pressure; when the fluid 13 is gas, the detectingcomponent 14 detects that the pressure of the gas reaches a corresponding value, thehydraulic pump 11 stops working, and the pressure is maintained at the moment, and the action of providing the brakingforce 81 is completed. When thebraking force 812 is required to be applied to the distal end, thehydraulic pump 11 starts to operate to suck the fluid 13 out of thecannula 1, and when the fluid 13 is a liquid, thedetection module 14 detects that the volume of the sucked liquid reaches thecorresponding cannula 1, and thehydraulic pump 11 stops to operate and maintains the pressure at the moment. When the fluid 13 is gas, the detectingcomponent 14 detects that the pressure of the gas reaches a corresponding value, thehydraulic pump 11 stops working, and the pressure is maintained at the moment, and the action of providing the brakingforce 81 is completed. Thesensing component 14 includes, but is not limited to, a flow meter and/or a pressure sensor for detecting the flow, volume and pressure of the fluid 13.
Because the second chamber is internally filled with the fluid 13, in order to ensure the sealing of the second chamber, the circumference of thepiston column 5 is provided with a sealing groove, and asealing ring 6 is arranged in the sealing groove. Thepiston column 5 is in a short cylindrical shape, the sealing groove is positioned on the circumference of the short cylindrical shape, and the diameter of thepiston column 5 is slightly smaller than the inner diameter of thesleeve 1, so that the piston column is conveniently arranged in thesleeve 1. The outer diameter of the sealingring 6 is slightly larger than the inner diameter of thesleeve 1, so that the sealing effect is ensured. Thepush rod 2 connected with thepiston post 5 provides larger thrust, so thepush rod 2 should be a cuboid or cylinder structure capable of bearing larger thrust, the maximum length of the cross section should be smaller than the diameter of the piston, and the length should be slightly larger than the length of thesleeve 1.
Referring to fig. 2, there are shown several embodiments of thehose 3, which are schematically shown in the initial state of nodeflection 94 or bending in any one degree of freedom in the axial direction and the state after thedeflection 94 in any one degree of freedom in the axial direction. Fig. 3 shows the bending of one degree of freedom in the plane of the front view of the reader, which also allows bending of another degree of freedom in a plane perpendicular to this plane and passing through the axis. Thehose 3 is a spring tube, and includes, but is not limited to, a spring-like structure, and also includes other structures that can be bent with two degrees of freedom and have only a small change in length in the axial direction. When thehose 3 is deflected 94 or bent in any one of the axial degrees of freedom, the spring-like structure will compress in the portion facing the left side of the reader and expand in the portion facing the right side of the reader, ensuring that the overall axial length changes only slightly. The driving mode of theadditional fluid 13 ensures that the bending part mechanism with any degree of freedom in the axial direction does not generate a bad force to restore the initial state, and the set bending amplitude is maintained. Therefore, in the process of providing theaxial braking force 81, the bending position cannot be changed, so that the outer wall of the surgical instrument cannot be squeezed, and the bending amplitude cannot be changed.
Referring to fig. 3 and 4, theaxial power system 10 of the present invention further includes aflexible assembly 30 and a support base, the support base includes a housing and asupport tube 20, the housing is connected to thesupport tube 20 for supporting, atrigger 91 can be connected to a lower portion of a proximal end of the housing, thetrigger 91 is connected to a switch of thehydraulic pump 11 in the driving assembly for controlling the operation of thehydraulic pump 11, and thesupport tube 20 is installed at a distal end of the housing. The distal end of thesupport tube 20 is fixedly connected to the proximal end of aflexible member 30, the distal end of theflexible member 30 is connected to the bending joint 8, and theflexible member 30 can be bent in two degrees of freedom along the axial direction (fig. 4 shows one degree of freedom in the front plane of the reader, which can also be bent in another degree of freedom in a plane perpendicular to the plane and passing through the axial direction). The proximal end of the power assembly is fixedly connected to the distal end of theflexible assembly 30. Anintermediate channel 50 is arranged in theflexible assembly 30 and the support base, and thehose 3 passes through theintermediate channel 50. Thehose 3 is bent with theintermediate channel 50 in two degrees of freedom with respect to the axial direction.
In order to meet the requirement of free bending of theflexible assembly 30 in the relative axial direction, theflexible assembly 30 is of a joint structure and comprises a plurality of joint pieces, the joint pieces are sequentially connected in a chain shape, and adjacent joint pieces can rotate around a contact surface, so that theflexible assembly 30 is bent. In order to facilitate connection with thesupport tube 20 at the proximal end of theflexible assembly 30 and the power assembly at the distal end, the device further comprises a catheter holder and an instrument holder, the distal end of the catheter holder is connected to the proximal end of the chain consisting of the joint elements, the proximal end of the catheter holder is connected to the support seat, in particular thesupport tube 20, the proximal end of the instrument holder is connected to the distal end of the chain consisting of the joint elements, and the distal end of the instrument holder is connected to the power assembly, in particular the bending joint 8.
Referring to fig. 5-7, a side view cross-section of several embodiments of theflexible component 30 is shown. In whichflexible component 30 is shown in figure 5 as amulti-link structure 301, in which the articulating member links are shown. The two ends of thesingle link 3011 are provided with a rotating surface, the far end is a convex surface, and the near end is a concave surface, so that the steering with two degrees of freedom in the relative axial direction can be realized. After the far ends and the near ends of the links are connected in sequence, thedeflection 94 with two degrees of freedom relative to the axial direction can be formed, the degree of thedeflection 94 is determined by the radian of the rotating surface of the links and the number of the links, and the larger the radian is, the more the number is, the larger the rotatable angle is. Thecompliant member 30 of fig. 6 includes, but is not limited to, aserpentine chain structure 302, and is generally made of a plastically deformable tubular material with equally spaced grooves formed in the circumference of the tubular to ensure overall stability in the event of adeflection 94. Theflexible assembly 30 in fig. 7 is amulti-hinge structure 303, the joint components are hinge joints, a single hinge joint 3031 is provided withhinge joints 3032 at the proximal end and the distal end, the two hinge joints can rotate along thehinge joints 3032 to form a hingejoint group 3033, the hingejoint group 3033 is hinged through a group joint hinge joint 3034, and the two hingejoint groups 3033 can relatively rotate along the group joint hinge joint 3034. The amount ofdeflection 94 is determined by the number of articulationjoint sets 3033, with greater arc and greater number, and greater rotational angle.
Further, referring to fig. 3 and 4, in order to realize the bending of theflexible assembly 30, theflexible assembly 30 is driven to bend by ahandle assembly 80, thehandle assembly 80 is installed at the proximal end of the supporting seat, thehandle assembly 80 is connected with one end of anattitude force member 70, theflexible assembly 30 and the supporting seat are provided with a plurality ofperipheral channels 60 in the circumferential direction of themiddle channel 50, and theattitude force member 70 passes through theperipheral channels 60 and is fixedly connected with the distal end of theflexible assembly 30. In this embodiment, theperipheral channel 60 has three or more channels and is uniformly distributed along the cross-sectional outer contour of thesupport tube 20 and theflexible member 30, and thehandle member 80 drives theposture force member 70 to move axially along theperipheral channel 60.
Further, thehandle assembly 80 comprises a plurality of inner rotating wheels, the inner rotating wheels are coaxially arranged, and the inner rotating wheels penetrate out of the supporting seat and are connected with shifting wheels. In this embodiment, two degrees of freedom are provided, so the thumb wheel includes anupper thumb wheel 95 and alower thumb wheel 96, and theupper thumb wheel 95 and thelower thumb wheel 96 can be installed on one side or both sides of the housing. Theupper thumb wheel 95 controls the magnitude of bending of theattitude force member 70 in the direction of theaxial pitch 93 while rotating theattitude force member 70 to provide theattitude force 82 required for bending in the direction of theaxial pitch 93, and thelower thumb wheel 96 controls the magnitude of bending of theattitude force member 70 in the direction of theaxial yaw 94 while rotating theattitude force member 70 to provide theattitude force 82 required for bending in the direction of theaxial yaw 94.
Referring to fig. 8 and 9, the end effector ofsurgical instrument assembly 40 is illustrated as staplerend effector assembly 41. Thehandle assembly 80 is pulled, theattitude force member 70 is driven to move axially along theperipheral channel 60 to output anattitude force 82, and theattitude force 82 is transmitted to theflexible assembly 30 through theattitude force member 70 to enable the joints thereof to rotate relatively, so that bending with two degrees of freedom, namely pitching 93 and yawing 94 shown in fig. 3 is realized. Theposture force 82 may be controlled by other means such as an electric motor, which will not be described in detail. After the posture adjustment is completed, the externalhydraulic pump 11 acts on thepush rod 2 in the power assembly through the injection and withdrawal of the fluid 13 through theflexible tube 3 in the driving assembly, and is finally transmitted to thesurgical instrument assembly 40 to provide abraking force 81 for the reciprocating motion in the axial direction, thereby completing the intended instrument action (grasping, cutting and stapling of the tissue). Specifically, when thejaws 412 are closed, thedistal braking force 811 is applied, thetrigger 91 is pulled, thehydraulic pump 11 starts to operate, the fluid 13 is sucked from thehydraulic reservoir 12, and when the fluid 13 is liquid, thedetection assembly 14 detects that the volume of sucked liquid reaches thecorresponding cannula 1, thehydraulic pump 11 stops operating and maintains the pressure at that time. When the fluid 13 is a gas, thedetection assembly 14 detects that the pressure of the gas reaches a corresponding value, thehydraulic pump 11 stops operating, and the pressure is maintained at that time. When thejaws 411 are opened, a distally directedbraking force 812 is applied, thetrigger 91 is pulled again, thehydraulic pump 11 starts to operate to suck the fluid 13 out of thecannula 1, when the fluid 13 is liquid, thedetection assembly 14 detects that the volume of the sucked liquid reaches thecorresponding cannula 1, thehydraulic pump 11 stops operating and maintains the pressure at the moment. When the fluid 13 is a gas, thedetection assembly 14 detects that the pressure of the gas reaches a corresponding value, thehydraulic pump 11 stops operating, and the pressure is maintained at that time.
It should be understood that the above examples are only for clarity of illustration and are not intended to limit the embodiments. Other variations and modifications will be apparent to persons skilled in the art in light of the above description. And are neither required nor exhaustive of all embodiments. And obvious variations or modifications therefrom are within the scope of the invention.