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CN115040201B - Scissor Ultrasonic Surgical Instruments - Google Patents

Scissor Ultrasonic Surgical Instruments
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Publication number
CN115040201B
CN115040201BCN202210624436.2ACN202210624436ACN115040201BCN 115040201 BCN115040201 BCN 115040201BCN 202210624436 ACN202210624436 ACN 202210624436ACN 115040201 BCN115040201 BCN 115040201B
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gear
rod
drive
transmission gear
connecting rod
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CN115040201A (en
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张坤
王磊
袁小鹤
骆威
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Enkang Medical Technology (Suzhou) Co., Ltd.
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Innolcon Medical Technology Suzhou Co Ltd
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Abstract

The invention discloses a scissor type ultrasonic surgical instrument which comprises a first shaft member composed of a first handle, a connecting bracket and an elbow, and a second shaft member composed of a second handle, a connecting rod, an ultrasonic knife and a main body, wherein the connecting bracket is connected with the connecting rod through a driving component so that the first shaft member and the second shaft member form a scissor type structure, and the elbow and a knife head of the ultrasonic knife form a jaw; the driving assembly comprises a driving connecting piece, a clamping driving wheel, a rotary driving wheel set and an interlocking switching mechanism, wherein the driving connecting piece is sleeved on the connecting rod and selectively connected with the connecting rod through the interlocking switching mechanism, the connecting bracket is in pivot connection with the driving connecting piece, the clamping driving wheel is fixedly connected with the elbow and is pivoted on the connecting rod, and the rotary driving wheel set is arranged on the connecting bracket. According to the invention, the driving assembly is arranged to switch the driving jaw to open and close and rotate, so that the jaw can be operated by one hand to clamp tissues at any angle, and the convenience and the flexibility of operation are improved.

Description

Translated fromChinese
剪刀式超声外科手术器械Scissor Ultrasonic Surgical Instruments

技术领域technical field

本发明涉及医疗手术器械技术领域,具体地涉及一种剪刀式超声外科手术器械。The invention relates to the technical field of medical surgical instruments, in particular to a scissor-type ultrasonic surgical instrument.

背景技术Background technique

超声外科手术器械是一种结合超声能量和高频能量的多功能使用的手术器械。电流集成手术器械的操作端通过设置可开合的钳口和可伸缩的刀片,使其具有夹持组织、高频电能凝结组织和使用刀片切断组织的多重功能。An ultrasonic surgical instrument is a versatile surgical instrument that combines ultrasonic energy and high frequency energy. The operating end of the current-integrated surgical instrument has multiple functions of clamping tissue, coagulating tissue with high-frequency electric energy, and cutting tissue with a blade by setting openable jaws and retractable blades.

在现有的超声外科手术器械中,剪刀式的超声外科手术器械因其剪刀式的夹持结构,更符合人手的操作习惯,因此也应用广泛。但是常规的剪刀式超声外科手术器械存在转动不便的障碍,尤其在人手单手操作时,由于人体腕部转动的局限,使得剪刀式的超声外科手术器械的转动角度和范围也十分有限,这对于复杂创口或一些需要调整姿势角度的操作动作带来非常大的阻碍。因此,如何解决剪刀式超声外科手术器械对于角度的调整来进行组织的剪切或凝闭是目前急需解决的问题。Among the existing ultrasonic surgical instruments, the scissor-type ultrasonic surgical instruments are more in line with the operating habits of human hands because of their scissor-like clamping structure, so they are also widely used. However, conventional scissor-type ultrasonic surgical instruments have the obstacle of inconvenient rotation, especially when operated with one hand, due to the limitation of human wrist rotation, the rotation angle and range of scissor-type ultrasonic surgical instruments are also very limited. Complicated wounds or some operations that require adjusting the posture angle bring great obstacles. Therefore, how to adjust the angle of the scissor-type ultrasonic surgical instrument to cut or coagulate tissue is an urgent problem to be solved at present.

发明内容Contents of the invention

本发明的目的是克服现有技术存在的不足,提供一种剪刀式超声外科手术器械。The purpose of the present invention is to overcome the shortcomings of the prior art and provide a scissors-type ultrasonic surgical instrument.

本发明的目的通过以下技术方案来实现:The purpose of the present invention is achieved through the following technical solutions:

剪刀式超声外科手术器械,包括由第一把手、连接支架和弯头组成的第一轴构件和由第二把手、连接杆、超声刀、主体组成的第二轴构件,所述连接支架通过驱动组件与所述连接杆连接使得所述第一轴构件和第二轴构件形成剪式结构,所述弯头和所述超声刀的刀头形成钳口,所述连接支架与所述第一把手固接;所述驱动组件包括驱动连接件、夹持驱动轮、旋转驱动轮组和互锁切换机构,所述驱动连接件套设于所述连接杆上并通过所述互锁切换机构可选择地与所述连接杆连接,所述连接支架与所述驱动连接件枢轴连接,所述夹持驱动轮与所述弯头固接并枢轴设置于所述连接杆上,所述旋转驱动轮组设置于所述连接支架上,所述互锁切换机构切换所述驱动连接件与所述连接杆之间的运动状态:第一状态下,当所述驱动连接件可相对所述连接杆自转时,所述第一把手和第二把手之间的开合运动驱动所述驱动连接件通过转动来带动所述夹持驱动轮转动,所述弯头同步相对所述刀头旋转,以实现所述钳口的开闭;第二状态下,当所述驱动连接件与所述连接杆连接成一体时,所述旋转驱动轮组驱动所述驱动连接件转动,所述连接杆跟随所述驱动连接件同步转动,以实现所述钳口的转动。A scissors-type ultrasonic surgical instrument, including a first shaft member composed of a first handle, a connecting bracket and an elbow, and a second shaft member composed of a second handle, a connecting rod, an ultrasonic scalpel, and a main body, and the connecting bracket passes through a drive assembly Connecting with the connecting rod makes the first shaft member and the second shaft member form a scissor structure, the elbow and the cutter head of the ultrasonic scalpel form a jaw, and the connecting bracket is fixedly connected to the first handle The drive assembly includes a drive connector, a clamping drive wheel, a rotating drive wheel set and an interlock switching mechanism, the drive connector is sleeved on the connecting rod and selectively connected with the interlock switch mechanism The connecting rod is connected, the connecting bracket is pivotally connected to the driving connector, the clamping driving wheel is fixedly connected to the elbow and pivotally arranged on the connecting rod, and the rotating driving wheel set Set on the connecting bracket, the interlock switching mechanism switches the motion state between the driving link and the connecting rod: in the first state, when the driving link can rotate relative to the connecting rod , the opening and closing movement between the first handle and the second handle drives the driving link to rotate to drive the clamping drive wheel to rotate, and the elbow is synchronously rotated relative to the cutter head to realize the pliers Opening and closing of the opening; in the second state, when the drive link is integrated with the connecting rod, the rotating drive wheel set drives the drive link to rotate, and the connecting rod follows the drive link Rotate synchronously, to realize the rotation of described jaw.

优选的,所述驱动连接件为一内部中空的管体,其前端管口固设有双面锥齿轮,所述管体的一侧枢轴设置有单面锥齿轮和传动齿轮,所述单面锥齿轮与所述双面锥齿轮的第一齿轮面啮合,所述传动齿轮通过连接块与所述单面锥齿轮同轴固接,所述传动齿轮带动所述单面锥齿轮同步转动,并通过所述单面锥齿轮驱动所述双面锥齿轮同步转动,所述夹持驱动轮与所述双面锥齿轮的第二齿轮面啮合。Preferably, the drive connector is a hollow pipe body, the front end nozzle is fixed with a double-sided bevel gear, one side of the pipe body is pivotally equipped with a single-sided bevel gear and a transmission gear, and the single-sided bevel gear The bevel gear meshes with the first gear surface of the double bevel gear, the transmission gear is coaxially fixed with the single bevel gear through a connecting block, and the transmission gear drives the single bevel gear to rotate synchronously, And the double-sided bevel gear is driven to rotate synchronously by the single-sided bevel gear, and the clamping driving wheel is meshed with the second gear surface of the double-sided bevel gear.

优选的,所述互锁切换机构包括第一连接齿轮、第二连接齿轮、导向杆、第三连接齿轮、第四连接齿轮、第一摆杆和第二摆杆,所述第一连接齿轮固设于所述驱动连接件的尾端管口,所述第二连接齿轮固设于所述连接杆上,所述导向杆与所述连接杆平行设置,所述第三连接齿轮、第四连接齿轮嵌设与连接件内并穿设于所述导向杆上,所述连接件、所述第一摆杆、第二摆杆和连接支架依次相连,所述第一摆杆相对所述连接杆旋转以驱动所述连接件同步沿所述导向杆移动,所述主体前端固设有固定架,所述连接杆可转动地设置于所述固定架的前端,在所述第一状态下,所述连接件位于所述导向杆的前端,所述第一连接齿轮与所述第三连接齿轮啮合,所述第二连接齿轮同时与第四连接齿轮、固定架啮合,使得所述驱动连接件可相对所述连接杆自转;第二状态下,所述连接件位于所述导向杆的后端,所述第一连接齿轮、第二连接齿轮均与所述第三连接齿轮啮合,使得所述驱动连接件与所述连接杆连接成一体并可同步旋转。Preferably, the interlock switching mechanism includes a first connecting gear, a second connecting gear, a guide rod, a third connecting gear, a fourth connecting gear, a first swing link and a second swing link, and the first link gear is fixed It is arranged on the tail end nozzle of the driving connector, the second connecting gear is fixed on the connecting rod, the guide rod is arranged in parallel with the connecting rod, the third connecting gear, the fourth connecting gear The gear is embedded in the connecting piece and passed through the guide rod. The connecting piece, the first swing rod, the second swing rod and the connecting bracket are connected in sequence, and the first swing rod is opposite to the connecting rod. Rotate to drive the connecting piece to move synchronously along the guide rod. The front end of the main body is fixed with a fixed frame, and the connecting rod is rotatably arranged at the front end of the fixed frame. In the first state, the The connecting piece is located at the front end of the guide rod, the first connecting gear meshes with the third connecting gear, and the second connecting gear meshes with the fourth connecting gear and the fixing frame at the same time, so that the driving connecting piece can Rotate relative to the connecting rod; in the second state, the connecting member is located at the rear end of the guide rod, and both the first connecting gear and the second connecting gear are meshed with the third connecting gear, so that the driving The connecting piece is integrally connected with the connecting rod and can rotate synchronously.

优选的,所述连接支架的两侧具有第一延伸臂和第二延伸臂,所述互锁切换机构具有两个所述第二摆杆,两个所述第二摆杆的一端连接于所述第一摆杆的尾端两侧,另一端分别连接于所述第一延伸臂和第二延伸臂的尾端。Preferably, both sides of the connecting bracket have a first extension arm and a second extension arm, the interlock switching mechanism has two second swing rods, and one end of the two second swing rods is connected to the The two sides of the tail end of the first swing link are respectively connected to the tail ends of the first extension arm and the second extension arm.

优选的,所述旋转驱动轮组包括一传动齿轮组、一驱动齿轮和弹性锁杆,所述传动齿轮组设置于所述第一延伸臂的内侧,并与所述传动齿轮啮合,所述弹性锁杆滑动设置于所述第一延伸臂的外侧,所述驱动齿轮枢轴设置于所述第二摆杆与所述第一摆杆的连接处,所述驱动齿轮的两侧固设有驱动其转动的转轮,在所述第一状态下,所述弹性锁杆限制所述传动齿轮组的转动;在所述第二状态下,所述第二摆杆通过转动驱动所述驱动齿轮与所述传动齿轮组啮合,并推动所述弹性锁杆滑动,以与所述传动齿轮组分离,所述转轮通过转动来驱动所述传动齿轮组、传动齿轮同步转动。Preferably, the rotation driving wheel set includes a transmission gear set, a drive gear and an elastic lock bar, the transmission gear set is arranged on the inner side of the first extension arm and meshes with the transmission gear, and the elastic The lock bar is slidably arranged on the outside of the first extension arm, the driving gear is pivotally arranged at the junction of the second swing link and the first swing link, and driving gears are fixed on both sides of the drive gear. In the first state, the elastic lock bar restricts the rotation of the transmission gear set; in the second state, the second swing bar rotates to drive the drive gear and The transmission gear set meshes and pushes the elastic lock bar to slide to separate from the transmission gear set. The rotating wheel drives the transmission gear set through rotation, and the transmission gears rotate synchronously.

优选的,所述弹性锁杆通过拉簧滑动设置于所述第一延伸臂上,所述弹性锁杆的尾端内侧与所述传动齿轮组相适配,其底侧竖直延伸有抵接杆,所述第二摆杆上设置有一推块,使得在所述第一状态下,所述弹性锁杆的尾端与所述传动齿轮组相啮和以将所述传动齿轮组与所述连接支架锁定成一体;在所述第二状态下,所述推块与所述抵接杆抵接并推动所述弹性锁杆后移,以将所述弹性锁杆的尾端与所述传动齿轮组分离。Preferably, the elastic lock bar is slidably arranged on the first extension arm through a tension spring, the inner side of the tail end of the elastic lock bar is adapted to the transmission gear set, and the bottom side of the elastic lock bar vertically extends to abut against A push block is arranged on the second swing rod, so that in the first state, the tail end of the elastic locking rod meshes with the transmission gear set to connect the transmission gear set with the The connecting bracket is locked together; in the second state, the push block abuts against the abutting rod and pushes the elastic locking rod to move backward, so as to connect the tail end of the elastic locking rod with the transmission The gear set separates.

优选的,所述第一延伸臂的前端与所述单面锥齿轮同轴设置,且当所述弹性锁杆与所述传动齿轮组啮合时,所述连接支架与所述传动齿轮组连接为一体,使得所述连接支架通过所述传动齿轮组驱动所述传动齿轮同步转动,来带动所述单面锥齿轮转动。Preferably, the front end of the first extension arm is arranged coaxially with the single-sided bevel gear, and when the elastic locking bar is engaged with the transmission gear set, the connection bracket is connected to the transmission gear set as integrated, so that the connecting bracket drives the transmission gear to rotate synchronously through the transmission gear set to drive the single-sided bevel gear to rotate.

剪刀式超声外科手术器械,包括由第一把手、连接支架和弯头组成的第一轴构件和由第二把手、连接杆、超声刀、主体组成的第二轴构件,所述连接支架通过驱动组件与所述连接杆连接使得所述第一轴构件和第二轴构件形成剪式结构,所述弯头和所述超声刀的刀头形成钳口,所述钳口通过所述第一把手和第二把手之间的开合运动进行开闭;所述第二轴构件还包括一转轮,所述钳口通过所述转轮的转动进行旋转,所述钳口的开闭和旋转通过所述驱动组件进行切换。A scissors-type ultrasonic surgical instrument, including a first shaft member composed of a first handle, a connecting bracket and an elbow, and a second shaft member composed of a second handle, a connecting rod, an ultrasonic scalpel, and a main body, and the connecting bracket passes through a drive assembly Connecting with the connecting rod makes the first shaft member and the second shaft member form a scissor structure, the elbow and the cutter head of the ultrasonic scalpel form a jaw, and the jaw passes through the first handle and the second shaft. The opening and closing movement between the two handles is used for opening and closing; the second shaft member also includes a rotating wheel, and the jaws are rotated through the rotation of the rotating wheel, and the opening and closing and rotation of the jaws are performed by the The drive components are switched.

优选的,所述驱动组件包括驱动连接件、夹持驱动轮、旋转驱动轮组和互锁切换机构,所述连接支架与所述驱动连接件枢轴连接,所述驱动连接件为套设于所述连接杆上的管体,其前端管口固设有双面锥齿轮,其一侧枢轴设置有同步转动的单面锥齿轮和传动齿轮,所述单面锥齿轮与所述双面锥齿轮啮合;所述夹持驱动轮与所述弯头固接并枢轴设置于所述连接杆上,且所述夹持驱动轮与所述双面锥齿轮啮合;所述旋转驱动轮组设置于所述连接支架上并与所述传动齿轮啮合;所述驱动连接件通过所述互锁切换机构可选择地与所述连接杆连接或分离。Preferably, the drive assembly includes a drive connector, a clamping drive wheel, a rotating drive wheel set and an interlock switching mechanism, the connecting bracket is pivotally connected to the drive connector, and the drive connector is sleeved on The pipe body on the connecting rod has a double-sided bevel gear fixed at its front end nozzle, and a single-sided bevel gear and a transmission gear that rotate synchronously on one side of the pivot, and the single-sided bevel gear and the double-sided The bevel gear is engaged; the clamping drive wheel is fixedly connected to the elbow and pivotally arranged on the connecting rod, and the clamping drive wheel is engaged with the double-sided bevel gear; the rotating drive wheel set It is arranged on the connecting bracket and meshes with the transmission gear; the driving link is selectively connected or separated from the connecting rod through the interlock switching mechanism.

优选的,所述互锁切换机构包括第一连接齿轮、第二连接齿轮、导向杆、第三连接齿轮、第四连接齿轮、第一摆杆和第二摆杆,所述第一连接齿轮固设于所述驱动连接件的尾端管口,所述第二连接齿轮固设于所述连接杆上,所述导向杆与所述连接杆平行设置,所述第三连接齿轮、第四连接齿轮嵌设与连接件内并穿设于所述导向杆上,所述连接件、所述第一摆杆、第二摆杆和连接支架依次相连,所述第一摆杆相对所述连接杆旋转以驱动所述连接件同步沿所述导向杆移动,第一状态下,所述连接件位于所述导向杆的前端,所述第一连接齿轮与所述第三连接齿轮啮合,所述第二连接齿轮与第四连接齿轮啮合,使得所述驱动连接件可相对所述连接杆自转;第二状态下,所述连接件位于所述导向杆的后端,所述第一连接齿轮、第二连接齿轮均与所述第三连接齿轮啮合,使得所述驱动连接件与所述连接杆连接成一体。Preferably, the interlock switching mechanism includes a first connecting gear, a second connecting gear, a guide rod, a third connecting gear, a fourth connecting gear, a first swing link and a second swing link, and the first link gear is fixed It is arranged on the tail end nozzle of the driving connector, the second connecting gear is fixed on the connecting rod, the guide rod is arranged in parallel with the connecting rod, the third connecting gear, the fourth connecting gear The gear is embedded in the connecting piece and passed through the guide rod. The connecting piece, the first swing rod, the second swing rod and the connecting bracket are connected in sequence, and the first swing rod is opposite to the connecting rod. Rotate to drive the connecting piece to move synchronously along the guide rod. In the first state, the connecting piece is located at the front end of the guide rod, the first connecting gear meshes with the third connecting gear, and the first connecting gear meshes with the third connecting gear. The second connecting gear meshes with the fourth connecting gear, so that the driving connecting piece can rotate relative to the connecting rod; in the second state, the connecting piece is located at the rear end of the guiding rod, and the first connecting gear, the second connecting gear The two connecting gears are both meshed with the third connecting gear, so that the driving connecting piece is integrally connected with the connecting rod.

优选的,所述旋转驱动轮组包括一传动齿轮组、一驱动齿轮和弹性锁杆,所述传动齿轮组设置于所述连接支架上,其前端并与所述传动齿轮啮合,所述弹性锁杆滑动设置于所述连接支架上并与所述传动齿轮组的尾端啮合,所述第二摆杆上设置有推块,所述驱动齿轮枢轴设置于所述第二摆杆与所述第一摆杆的连接处,所述转轮与所述驱动齿轮固接,当所述互锁切换机构处于所述第二状态下时,所述第二摆杆通过转动驱动所述驱动齿轮与所述传动齿轮组啮合,并同时通过所述推块推动所述弹性锁杆与所述传动齿轮组的尾端分离。Preferably, the rotating drive wheel set includes a transmission gear set, a drive gear and an elastic lock bar, the transmission gear set is arranged on the connecting bracket, and its front end is engaged with the transmission gear, and the elastic lock The rod is slidably arranged on the connecting bracket and meshed with the tail end of the transmission gear set, the second swing rod is provided with a push block, and the driving gear pivot is arranged between the second swing rod and the said second swing rod. At the joint of the first swing link, the runner is fixedly connected to the drive gear, and when the interlock switching mechanism is in the second state, the second swing link drives the drive gear and the drive gear through rotation. The transmission gear set is engaged, and at the same time, the push block is used to push the elastic lock bar to separate from the tail end of the transmission gear set.

本发明的有益效果主要体现在:The beneficial effects of the present invention are mainly reflected in:

1、设置驱动组件来切换驱动钳口进行开闭和旋转,使得钳口可以夹持组织,并可旋转以调节钳口夹持的角度,使得钳口可以满足任一角度的夹持需求,减少了使用者的腕部动作,消除腕部动作的局限性,提高操作的便捷性和灵活性;1. Set the driving component to switch the driving jaws to open, close and rotate, so that the jaws can clamp tissue, and can be rotated to adjust the clamping angle of the jaws, so that the jaws can meet the clamping requirements of any angle, reducing The user's wrist movement is eliminated, the limitation of wrist movement is eliminated, and the convenience and flexibility of operation are improved;

2、设置通过旋转来实现钳口夹臂和选择功能切换的互锁切换机构,使得钳口开闭功能和旋转功能之间形成互锁,避免互相影响;2. Set up an interlock switching mechanism that realizes switching between the jaw clamp arm and the selection function through rotation, so that the jaw opening and closing function and the rotation function form an interlock to avoid mutual influence;

3、第一摆杆、转轮和控制按钮均设置于同一侧,使得使用者可以单手操作,并通过食指或中指即可进行钳口角度调节,极大提高了使用便捷性和操作流畅性。3. The first pendulum, the wheel and the control button are all set on the same side, so that the user can operate with one hand, and the angle of the jaw can be adjusted with the index finger or middle finger, which greatly improves the convenience of use and smooth operation .

附图说明Description of drawings

下面结合附图对本发明技术方案作进一步说明:Below in conjunction with accompanying drawing, technical solution of the present invention will be further described:

图1:本发明实施例的第一状态下的示意图;Figure 1: a schematic diagram of the first state of the embodiment of the present invention;

图2:本发明实施例的第二状态下的示意图;Figure 2: a schematic diagram of the second state of the embodiment of the present invention;

图3:本发明实施例中的旋转齿轮组在第一状态下的示意图;Figure 3: a schematic diagram of the rotating gear set in the first state in the embodiment of the present invention;

图4:本发明实施例中的旋转齿轮组在第二状态下的示意图;Figure 4: A schematic diagram of the rotating gear set in the second state in the embodiment of the present invention;

图5:本发明实施例中的互锁切换机构在第一状态下的示意图。Fig. 5: A schematic diagram of the interlock switching mechanism in the first state in the embodiment of the present invention.

具体实施方式Detailed ways

以下将结合附图所示的具体实施方式对本发明进行详细描述。但这些实施方式并不限于本发明,本领域的普通技术人员根据这些实施方式所做出的结构、方法、或功能上的变换均包含在本发明的保护范围内。The present invention will be described in detail below in conjunction with specific embodiments shown in the accompanying drawings. However, these embodiments are not limited to the present invention, and structural, method, or functional changes made by those skilled in the art according to these embodiments are included within the protection scope of the present invention.

在方案的描述中,需要说明的是,术语“中心”、“上”、“下”、“左”、“右”、“前”、“后”、“竖直”、“水平”、“内”、“外”等指示的方位或位置关系为基于附图所示的方位或位置关系,仅是为了便于描述和简化描述,而不是指示或暗示所指的装置或元件必须具有特定的方位、以特定的方位构造和操作,因此不能理解为对本发明的限制。此外,术语“第一”、“第二”、“第三”仅用于描述目的,而不能理解为指示或暗示相对重要性。并且,在方案的描述中,以操作人员为参照,靠近操作者的方向为近端,远离操作者的方向为远端。In the description of the scheme, it should be noted that the terms "center", "upper", "lower", "left", "right", "front", "rear", "vertical", "horizontal", " The orientation or positional relationship indicated by "inner", "outer", etc. is based on the orientation or positional relationship shown in the drawings, and is only for the convenience of description and simplification of description, rather than indicating or implying that the device or element referred to must have a specific orientation , constructed and operated in a particular orientation and therefore should not be construed as limiting the invention. In addition, the terms "first", "second", and "third" are used for descriptive purposes only, and should not be construed as indicating or implying relative importance. Moreover, in the description of the solution, with the operator as a reference, the direction close to the operator is the proximal end, and the direction away from the operator is the distal end.

如图1至图5所示,本发明揭示了一种剪刀式超声外科手术器械,包括由第一把手1、连接支架2和弯头3组成的第一轴构件和由第二把手4、连接杆5、超声刀6、主体7组成的第二轴构件,所述主体7固设于所述第二把手4的内侧,其前端设置有固定架701,所述连接杆5可转动地设置于所述固定架701的前端,所述超声刀6穿设于所述主体7内并从所述连接杆5的前端伸出。所述连接支架2通过驱动组件与所述连接杆5连接使得所述第一轴构件和第二轴构件形成剪式结构,所述弯头3和所述超声刀6的刀头601形成钳口,所述连接支架2与所述第一把手1固接;所述驱动组件包括驱动连接件8、夹持驱动轮9、旋转驱动轮组和互锁切换机构,所述驱动连接件8套设于所述连接杆5上并通过所述互锁切换机构可选择地与所述连接杆5连接,所述连接支架2与所述驱动连接件8枢轴连接,所述夹持驱动轮9与所述弯头3固接并枢轴设置于所述连接杆5上,所述旋转驱动轮组设置于所述连接支架2上,所述互锁切换机构切换所述驱动连接件8与所述连接杆5之间的运动状态:第一状态下,当所述驱动连接件8可相对所述连接杆5自转时,所述第一把手1和第二把手4之间的开合运动驱动所述驱动连接件8通过转动来带动所述夹持驱动轮9转动,所述弯头3同步相对所述刀头601旋转,以实现所述钳口的开闭;第二状态下,当所述驱动连接件8与所述连接杆5连接成一体时,所述旋转驱动轮组驱动所述驱动连接件8转动,所述连接杆5跟随所述驱动连接件8同步转动,以实现所述钳口的转动。As shown in Figures 1 to 5, the present invention discloses a scissors-type ultrasonic surgical instrument, comprising a first shaft member composed of a first handle 1, a connecting bracket 2 and an elbow 3 and a second handle 4, a connecting rod 5. The second shaft member composed of the ultrasonic knife 6 and the main body 7, the main body 7 is fixed on the inner side of the second handle 4, and the front end is provided with a fixing frame 701, and the connecting rod 5 is rotatably arranged on the inner side of the second handle 4. The front end of the fixing frame 701 , the ultrasonic scalpel 6 is penetrated in the main body 7 and protrudes from the front end of the connecting rod 5 . The connecting bracket 2 is connected to the connecting rod 5 through a driving assembly so that the first shaft member and the second shaft member form a scissor structure, and the elbow 3 and the cutter head 601 of the ultrasonic scalpel 6 form a jaw , the connection bracket 2 is affixed to the first handle 1; the drive assembly includes a drive connector 8, a clamping drive wheel 9, a rotating drive wheel set and an interlock switching mechanism, and the drive connector 8 is sleeved on The connecting rod 5 is selectively connected to the connecting rod 5 through the interlock switching mechanism, the connecting bracket 2 is pivotally connected to the driving connecting member 8, and the clamping driving wheel 9 is connected to the The elbow 3 is fixedly connected and pivotally arranged on the connecting rod 5, the rotating driving wheel set is arranged on the connecting bracket 2, and the interlock switching mechanism switches the driving connecting piece 8 and the connecting rod 5. The state of movement between the rods 5: in the first state, when the drive link 8 can rotate relative to the connecting rod 5, the opening and closing movement between the first handle 1 and the second handle 4 drives the drive The connecting piece 8 rotates to drive the clamping drive wheel 9 to rotate, and the elbow 3 rotates synchronously relative to the cutter head 601 to realize the opening and closing of the jaws; in the second state, when the driving connection When the connecting rod 8 is integrated with the connecting rod 5, the rotating drive wheel set drives the driving connecting member 8 to rotate, and the connecting rod 5 rotates synchronously with the driving connecting member 8, so as to realize the movement of the jaws. turn.

本发明设置驱动组件来切换驱动钳口进行开闭或旋转,使得钳口既可以夹持组织,又可以通过旋转来调节钳口夹持的角度,使得钳口可以满足任一角度的夹持需求,减少了使用者的腕部动作,消除腕部动作的局限性,提高操作的便捷性和灵活性。The present invention sets a driving component to switch the driving jaws to open, close or rotate, so that the jaws can not only clamp tissue, but also adjust the clamping angle of the jaws through rotation, so that the jaws can meet the clamping requirements of any angle , reducing the wrist movement of the user, eliminating the limitation of the wrist movement, and improving the convenience and flexibility of operation.

具体的如图1-4所示,所述驱动连接件8为一内部中空的管体,其前端管口固设有双面锥齿轮801,所述管体的一侧枢轴设置有单面锥齿轮802和传动齿轮803,所述单面锥齿轮802与所述双面锥齿轮801的第一齿轮面8011啮合,所述传动齿轮803通过连接块与所述单面锥齿轮802同轴固接,所述传动齿轮803带动所述单面锥齿轮802同步转动,并通过所述单面锥齿轮802驱动所述双面锥齿轮801同步转动。在其他可行的实施例中,所述双面锥齿轮801和单面锥齿轮802、传动齿轮803之间传动连接也可以通过皇冠齿组合或其他插齿杆等可行的方式实现。Specifically as shown in Figures 1-4, the drive connector 8 is a hollow tube with a double-sided bevel gear 801 fixed at the front end of the nozzle, and a single-sided bevel gear 801 is fixed on one side of the tube. Bevel gear 802 and transmission gear 803, described single-sided bevel gear 802 meshes with the first gear face 8011 of described double-sided bevel gear 801, and described transmission gear 803 is coaxially fixed with described single-sided bevel gear 802 by connecting block Next, the transmission gear 803 drives the single-sided bevel gear 802 to rotate synchronously, and drives the double-sided bevel gear 801 to rotate synchronously through the single-sided bevel gear 802 . In other feasible embodiments, the transmission connection between the double-sided bevel gear 801, the single-sided bevel gear 802, and the transmission gear 803 can also be realized through a crown tooth combination or other feasible ways such as gear-shaping rods.

所述互锁切换机构包括第一连接齿轮804、第二连接齿轮501、导向杆10、第三连接齿轮11、第四连接齿轮12、第一摆杆13和第二摆杆14,所述第一连接齿轮804固设于所述驱动连接件8的尾端管口,所述第二连接齿轮501固设于所述连接杆5上,所述导向杆10与所述连接杆5平行设置,所述第三连接齿轮11、第四连接齿轮12嵌设与连接件15内并穿设于所述导向杆10上,所述连接件15、所述第一摆杆13、第二摆杆14和连接支架2依次相连,所述第一摆杆13相对所述连接杆5旋转以驱动所述连接件15同步沿所述导向杆10移动,在所述第一状态下,所述连接件15位于所述导向杆10的前端,所述第一连接齿轮804与所述第三连接齿轮11啮合,所述第二连接齿轮501同时与第四连接齿轮12、固定架701啮合,使得所述驱动连接件8可相对所述连接杆5自转,此时所述第四连接齿轮12、固定架701啮合以锁定所述第二连接齿轮501,禁止所述第二连接齿轮501转动,以实现所述驱动连接件8相对所述连接杆5自转。在第二状态下,所述连接件15位于所述导向杆10的后端,所述第一连接齿轮804、第二连接齿轮501均与所述第三连接齿轮11啮合,使得所述驱动连接件8与所述连接杆5连接成一体并可同步旋转。为保障第一连接齿轮804、第二连接齿轮501在第三连接齿轮11、第四连接齿轮之间平滑过渡,所述第一连接齿轮804、第二连接齿轮501、第三连接齿轮11、第四连接齿轮12的每个齿端均为光滑的圆弧角,来尽可能地减少啮合时的卡顿或磨损。The interlock switching mechanism includes a first connecting gear 804, a second connecting gear 501, a guide rod 10, a third connecting gear 11, a fourth connecting gear 12, a first swing rod 13, and a second swing rod 14. A connecting gear 804 is fixed on the tail end nozzle of the driving connector 8, the second connecting gear 501 is fixed on the connecting rod 5, the guide rod 10 is arranged parallel to the connecting rod 5, The third connecting gear 11 and the fourth connecting gear 12 are embedded in the connecting piece 15 and pass through the guide rod 10. The connecting piece 15, the first swinging rod 13, and the second swinging rod 14 Connected with the connecting bracket 2 in turn, the first swing bar 13 rotates relative to the connecting rod 5 to drive the connecting member 15 to move synchronously along the guide rod 10. In the first state, the connecting member 15 Located at the front end of the guide rod 10, the first connecting gear 804 meshes with the third connecting gear 11, and the second connecting gear 501 meshes with the fourth connecting gear 12 and the fixed frame 701 at the same time, so that the drive The connecting member 8 can rotate relative to the connecting rod 5. At this time, the fourth connecting gear 12 and the fixed frame 701 are engaged to lock the second connecting gear 501, and prohibit the rotation of the second connecting gear 501, so as to realize the The drive link 8 rotates relative to the connecting rod 5 . In the second state, the connecting member 15 is located at the rear end of the guide rod 10, and the first connecting gear 804 and the second connecting gear 501 are both meshed with the third connecting gear 11, so that the driving connection The member 8 is integrally connected with the connecting rod 5 and can rotate synchronously. In order to ensure the smooth transition between the first connecting gear 804 and the second connecting gear 501 between the third connecting gear 11 and the fourth connecting gear, the first connecting gear 804, the second connecting gear 501, the third connecting gear 11, the fourth connecting gear Each tooth end of the four-connection gear 12 has a smooth arc angle to minimize jamming or wear during meshing.

进一步的,在优选实施例中,所述连接支架2为对称结构,其主体与所述第一把手1固接,其主体两侧具有第一延伸臂201和第二延伸臂202。所述互锁切换机构具有两个所述第二摆杆14,两个所述第二摆杆14的一端连接于所述第一摆杆13的尾端两侧,另一端分别连接于所述第一延伸臂201和第二延伸臂202的尾端。所述导向杆10固设于所述连接杆5上,并位于所述第一延伸臂201和第二延伸臂202的中心,使得所述连接件15、所述第一摆杆13、第二摆杆14摆动地更加稳定。Further, in a preferred embodiment, the connecting bracket 2 is a symmetrical structure, its main body is fixedly connected to the first handle 1 , and there are first extension arms 201 and second extension arms 202 on both sides of the main body. The interlock switching mechanism has two second swing rods 14, one end of the two second swing rods 14 is connected to both sides of the tail end of the first swing rod 13, and the other ends are respectively connected to the two ends of the first swing rod 13. The tail ends of the first extension arm 201 and the second extension arm 202 . The guide rod 10 is fixed on the connecting rod 5, and is located at the center of the first extension arm 201 and the second extension arm 202, so that the connecting member 15, the first swing rod 13, the second The fork 14 swings more stably.

如图3、4所示,所述旋转驱动轮组包括一传动齿轮组16、一驱动齿轮17和弹性锁杆18,所述传动齿轮组16设置于所述第一延伸臂201的内侧,并与所述传动齿轮803啮合,所述弹性锁杆18滑动设置于所述第一延伸臂201的外侧并锁定所述传动齿轮组16,所述驱动齿轮17枢轴设置于所述第二摆杆14与所述第一摆杆13的连接处,当所述互锁切换机构处于所述第二状态下时,所述第二摆杆14通过转动驱动所述驱动齿轮17与所述传动齿轮组16啮合,并推动所述弹性锁杆18与所述传动齿轮组16分离。在本优选实施例中,所述传动齿轮组16为5个依次啮合的连成直线的齿轮组成,来确保所述驱动齿轮17旋转后与其中一个所述齿轮啮合。在其可行实施例中,所述传动齿轮组16包括的齿轮数量可以不止5个或小于5个,且所述齿轮也不需要等大或平行排列成直线,所述传动齿轮组16可以由不同直径的齿轮组成,也可以组成其他任意合适的形状,例如波浪状、圆形等。As shown in Figures 3 and 4, the rotary drive wheel set includes a transmission gear set 16, a drive gear 17 and an elastic lock bar 18, the transmission gear set 16 is arranged on the inner side of the first extension arm 201, and Engaging with the transmission gear 803, the elastic locking lever 18 is slidably disposed on the outside of the first extension arm 201 and locks the transmission gear set 16, and the driving gear 17 is pivotally disposed on the second swing lever 14 and the first swing link 13, when the interlock switching mechanism is in the second state, the second swing link 14 drives the driving gear 17 and the transmission gear set by rotating 16 and pushes the elastic lock bar 18 to separate from the transmission gear set 16 . In this preferred embodiment, the transmission gear set 16 is composed of five sequentially meshed gears connected in a straight line, so as to ensure that the driving gear 17 meshes with one of the gears after rotating. In its feasible embodiment, the number of gears that the transmission gear set 16 includes can be more than 5 or less than 5, and the gears do not need to be equal in size or arranged in parallel in a straight line, and the transmission gear set 16 can be made of different Diameter gears can also be formed into any other suitable shape, such as wavy, circular, etc.

进一步的,所述弹性锁杆18通过拉簧19滑动设置于所述第一延伸臂201上,所述弹性锁杆18的尾端内侧与所述传动齿轮组16相适配,其底侧竖直延伸有抵接杆1801,所述第二摆杆14上设置有一推块1401,使得在所述第一状态下,所述弹性锁杆18的尾端与所述传动齿轮组16相啮和以将所述传动齿轮组16与所述连接支架2锁定成一体;在所述第二状态下,所述推块1401与所述抵接杆1801抵接并推动所述弹性锁杆18后移,以将所述弹性锁杆18的尾端与所述传动齿轮组16分离。当所述第二摆杆14由第二状态切换到第一状态下时,所述弹性锁杆18在所述拉簧19的弹力作用下恢复原位,与所述传动齿轮组16锁定。Further, the elastic lock bar 18 is slidably arranged on the first extension arm 201 through the tension spring 19, the inside of the tail end of the elastic lock bar 18 is adapted to the transmission gear set 16, and the bottom side is vertical An abutting rod 1801 extends straight, and a push block 1401 is arranged on the second swing rod 14, so that in the first state, the tail end of the elastic locking rod 18 is engaged with the transmission gear set 16 and to lock the transmission gear set 16 and the connecting bracket 2 into one; in the second state, the push block 1401 abuts against the abutting rod 1801 and pushes the elastic locking rod 18 to move backward , so as to separate the tail end of the elastic locking rod 18 from the transmission gear set 16 . When the second swing lever 14 is switched from the second state to the first state, the elastic locking lever 18 returns to its original position under the elastic force of the tension spring 19 and locks with the transmission gear set 16 .

本发明中的所述互锁切换机构通过所述第一摆杆13、第二摆杆14的旋转来实现所述连接杆5与所述驱动连接件8之间的锁定或解锁,所述弹性锁杆18也是通过第一摆杆13、第二摆杆14的旋转来实现其与传动齿轮组16之间的锁定和解锁,使得所述第一摆杆13、第二摆杆14在第二状态下,所述连接杆5与所述驱动连接件8相锁定连接成一体,所述弹性锁杆18与传动齿轮组16解锁,可以转动驱动齿轮17来驱动所述传动齿轮803转动,进而带动所述单面锥齿轮802转动以驱动所述双面锥齿轮801的转动,使得所述驱动连接件8带动连接杆5一起同步转动,实现所述钳口的夹持角度的旋转,使得所述钳口可以满足任一角度的夹持需求。The interlock switching mechanism in the present invention realizes the locking or unlocking between the connecting rod 5 and the driving connecting piece 8 through the rotation of the first swing rod 13 and the second swing rod 14, and the elastic The locking bar 18 also realizes the locking and unlocking between it and the transmission gear set 16 by the rotation of the first fork 13 and the second fork 14, so that the first fork 13 and the second fork 14 are in the second position. In this state, the connecting rod 5 and the driving connector 8 are locked and connected as a whole, the elastic locking rod 18 is unlocked with the transmission gear set 16, and the driving gear 17 can be rotated to drive the transmission gear 803 to rotate, thereby driving The single-sided bevel gear 802 rotates to drive the rotation of the double-sided bevel gear 801, so that the drive connector 8 drives the connecting rod 5 to rotate synchronously, so as to realize the rotation of the clamping angle of the jaws, so that the The jaws can meet the clamping requirements of any angle.

所述驱动齿轮17的两侧固设有驱动其转动的转轮20。所述转轮20的设置可以便于实际使用,更方便地转动所述驱动齿轮17,并且更便于拨动所述第一摆杆13,使得所述第一摆杆13靠近所述连接杆5,来确保所述驱动齿轮17与所述传动齿轮组16相啮和。Both sides of the drive gear 17 are fixed with runners 20 to drive it to rotate. The setting of the rotating wheel 20 can be convenient for practical use, it is more convenient to rotate the driving gear 17, and it is more convenient to toggle the first swing link 13, so that the first swing link 13 is close to the connecting rod 5, To ensure that the drive gear 17 is meshed with the transmission gear set 16 .

进一步的,所述第一延伸臂201的前端与所述单面锥齿轮802同轴设置,且当所述弹性锁杆18与所述传动齿轮组16啮合时,所述连接支架2与所述传动齿轮组16连接为一体,使得所述连接支架2通过所述传动齿轮组16驱动所述传动齿轮803同步转动,来带动所述单面锥齿轮802转动。具体的,当握持所述第一把手1和第二把手4进行开合运动时,此时所述传动齿轮组16被所述弹性锁杆18锁定与所述连接支架2连接为一体,而无法独立转动,所以在所述连接支架2受所述第一把手1驱动相对所述连接杆5旋转时,所述传动齿轮组16跟随所述连接支架2同步旋转,而与所述传动齿轮组16始终啮合的传动齿轮803也跟随同步旋转,达到驱动所述单面锥齿轮802旋转来带动所述双面锥齿轮801同步旋转的目的。此时,所述互锁切换机构处于第一状态,使得所述驱动连接件8可以相对于所述连接杆5自转,所述夹持驱动轮9也为单面锥齿轮,并与所述双面锥齿轮801的第二齿轮面8012啮合,当所述驱动连接件8相对连接杆5自转时,所述双面锥齿轮801会驱动所述夹持驱动轮9同步转动,实现所述钳口的开合,来夹持组织。Further, the front end of the first extension arm 201 is arranged coaxially with the single-sided bevel gear 802, and when the elastic lock bar 18 is engaged with the transmission gear set 16, the connecting bracket 2 and the The transmission gear set 16 is connected as one, so that the connecting bracket 2 drives the transmission gear 803 to rotate synchronously through the transmission gear set 16 to drive the single bevel gear 802 to rotate. Specifically, when the first handle 1 and the second handle 4 are held for opening and closing movement, the transmission gear set 16 is locked by the elastic lock bar 18 and connected with the connecting bracket 2 as a whole, so that it cannot Rotate independently, so when the connecting bracket 2 is driven by the first handle 1 to rotate relative to the connecting rod 5, the transmission gear set 16 rotates synchronously with the connecting bracket 2, and always with the transmission gear set 16 The meshed transmission gear 803 also rotates synchronously to achieve the purpose of driving the single-sided bevel gear 802 to rotate to drive the double-sided bevel gear 801 to rotate synchronously. At this time, the interlock switching mechanism is in the first state, so that the driving link 8 can rotate relative to the connecting rod 5, and the clamping driving wheel 9 is also a single-sided bevel gear, and is connected with the double-sided bevel gear. The second gear surface 8012 of the face bevel gear 801 is meshed. When the drive connector 8 rotates relative to the connecting rod 5, the double bevel gear 801 will drive the clamping drive wheel 9 to rotate synchronously to realize the clamping. The opening and closing, to clamp tissue.

所述主体7与所述超声刀6的尾端电连接,所述第二把手4的外侧前端设置有用于控制所述主体7的控制按钮21。The main body 7 is electrically connected to the tail end of the ultrasonic scalpel 6 , and the outer front end of the second handle 4 is provided with a control button 21 for controlling the main body 7 .

本发明的第一摆杆13、转轮20和控制按钮21均设置于同一侧,使得使用者可以单手操作,并通过食指或中指即可进行钳口角度调节,极大提高了使用便捷性和操作流畅性。The first pendulum 13, the rotating wheel 20 and the control button 21 of the present invention are all arranged on the same side, so that the user can operate with one hand, and can adjust the jaw angle with the index finger or middle finger, which greatly improves the convenience of use and operational fluency.

应当理解,虽然本说明书按照实施方式加以描述,但并非每个实施方式仅包含一个独立的技术方案,说明书的这种叙述方式仅仅是为清楚起见,本领域技术人员应当将说明书作为一个整体,各实施方式中的技术方案也可以经适当组合,形成本领域技术人员可以理解的其他实施方式。It should be understood that although this description is described according to implementation modes, not each implementation mode only contains an independent technical solution, and this description in the description is only for clarity, and those skilled in the art should take the description as a whole, and each The technical solutions in the embodiments can also be properly combined to form other embodiments that can be understood by those skilled in the art.

上文所列出的一系列的详细说明仅仅是针对本发明的可行性实施方式的具体说明,它们并非用以限制本发明的保护范围,凡未脱离本发明技艺精神所作的等效实施方式或变更均应包含在本发明的保护范围之内。The series of detailed descriptions listed above are only specific descriptions for feasible implementations of the present invention, and they are not intended to limit the protection scope of the present invention. Any equivalent implementation or implementation that does not depart from the technical spirit of the present invention All changes should be included within the protection scope of the present invention.

Claims (10)

Translated fromChinese
1.剪刀式超声外科手术器械,其特征在于:包括由第一把手(1)、连接支架(2)和弯头(3)组成的第一轴构件和由第二把手(4)、连接杆(5)、超声刀(6)、主体(7)组成的第二轴构件,所述连接支架(2)通过驱动组件与所述连接杆(5)连接使得所述第一轴构件和第二轴构件形成剪式结构,所述弯头(3)和所述超声刀(6)的刀头(601)形成钳口,所述连接支架(2)与所述第一把手(1)固接;所述驱动组件包括驱动连接件(8)、夹持驱动轮(9)、旋转驱动轮组和互锁切换机构,所述驱动连接件(8)套设于所述连接杆(5)上并通过所述互锁切换机构可选择地与所述连接杆(5)连接,所述连接支架(2)与所述驱动连接件(8)枢轴连接,所述夹持驱动轮(9)与所述弯头(3)固接并枢轴设置于所述连接杆(5)上,所述旋转驱动轮组设置于所述连接支架(2)上,所述互锁切换机构切换所述驱动连接件(8)与所述连接杆(5)之间的运动状态:1. Scissors-type ultrasonic surgical instrument, characterized in that it includes a first shaft member composed of a first handle (1), a connecting bracket (2) and an elbow (3) and a second handle (4), a connecting rod ( 5), the second shaft member composed of the ultrasonic scalpel (6) and the main body (7), the connecting bracket (2) is connected with the connecting rod (5) through the drive assembly so that the first shaft member and the second shaft The components form a scissor structure, the elbow (3) and the cutter head (601) of the ultrasonic knife (6) form a jaw, and the connecting bracket (2) is fixedly connected to the first handle (1); The drive assembly includes a drive connector (8), a clamping drive wheel (9), a rotating drive wheel set, and an interlock switching mechanism. The drive connector (8) is sleeved on the connecting rod (5) and passed through The interlock switching mechanism is selectively connected to the connecting rod (5), the connecting bracket (2) is pivotally connected to the driving connector (8), and the clamping driving wheel (9) is connected to the The elbow (3) is fixedly connected and pivotally arranged on the connecting rod (5), the rotating driving wheel set is arranged on the connecting bracket (2), and the interlock switching mechanism switches the driving connection The state of motion between the piece (8) and the connecting rod (5):第一状态下,当所述驱动连接件(8)可相对所述连接杆(5)自转时,所述第一把手(1)和第二把手(4)之间的开合运动驱动所述驱动连接件(8)通过转动来带动所述夹持驱动轮(9)转动,所述弯头(3)同步相对所述刀头(601)旋转,以实现所述钳口的开闭;In the first state, when the drive link (8) can rotate relative to the connecting rod (5), the opening and closing movement between the first handle (1) and the second handle (4) drives the drive The connecting piece (8) rotates to drive the clamping drive wheel (9) to rotate, and the elbow (3) rotates synchronously relative to the cutter head (601) to realize the opening and closing of the jaws;第二状态下,当所述驱动连接件(8)与所述连接杆(5)连接成一体时,所述旋转驱动轮组驱动所述驱动连接件(8)转动,所述连接杆(5)跟随所述驱动连接件(8)同步转动,以实现所述钳口的转动。In the second state, when the drive link (8) is integrated with the connecting rod (5), the rotating drive wheel set drives the drive link (8) to rotate, and the connecting rod (5) ) rotates synchronously with the drive connector (8) to realize the rotation of the jaws.2.根据权利要求1所述的剪刀式超声外科手术器械,其特征在于:所述驱动连接件(8)为一内部中空的管体,其前端管口固设有双面锥齿轮(801),所述管体的一侧枢轴设置有单面锥齿轮(802)和传动齿轮(803),所述单面锥齿轮(802)与所述双面锥齿轮(801)的第一齿轮面(8011)啮合,所述传动齿轮(803)通过连接块与所述单面锥齿轮(802)同轴固接,所述传动齿轮(803)带动所述单面锥齿轮(802)同步转动,并通过所述单面锥齿轮(802)驱动所述双面锥齿轮(801)同步转动,所述夹持驱动轮(9)与所述双面锥齿轮(801)的第二齿轮面(8012)啮合。2. The scissors-type ultrasonic surgical instrument according to claim 1, characterized in that: the driving connector (8) is a hollow tube body, and its front end nozzle is fixed with a double-sided bevel gear (801) , one side of the pipe body is pivotally provided with a single-sided bevel gear (802) and a transmission gear (803), the first gear surface of the single-sided bevel gear (802) and the double-sided bevel gear (801) (8011), the transmission gear (803) is fixed coaxially with the single-sided bevel gear (802) through a connecting block, and the transmission gear (803) drives the single-sided bevel gear (802) to rotate synchronously, And drive the double-sided bevel gear (801) to rotate synchronously through the single-sided bevel gear (802), the clamping drive wheel (9) and the second gear surface (8012) of the double-sided bevel gear (801) ) to engage.3.根据权利要求2所述的剪刀式超声外科手术器械,其特征在于:所述互锁切换机构包括第一连接齿轮(804)、第二连接齿轮(501)、导向杆(10)、第三连接齿轮(11)、第四连接齿轮(12)、第一摆杆(13)和第二摆杆(14),所述第一连接齿轮(804)固设于所述驱动连接件(8)的尾端管口,所述第二连接齿轮(501)固设于所述连接杆(5)上,所述导向杆(10)与所述连接杆(5)平行设置,所述第三连接齿轮(11)、第四连接齿轮(12)嵌设与连接件(15)内并穿设于所述导向杆(10)上,所述连接件(15)、所述第一摆杆(13)、第二摆杆(14)和连接支架(2)依次相连,所述第一摆杆(13)相对所述连接杆(5)旋转以驱动所述连接件(15)同步沿所述导向杆(10)移动,所述主体(7)前端固设有固定架(701),所述连接杆(5)可转动地设置于所述固定架(701)的前端,在所述第一状态下,所述连接件(15)位于所述导向杆(10)的前端,所述第一连接齿轮(804)与所述第三连接齿轮(11)啮合,所述第二连接齿轮(501)同时与第四连接齿轮(12)、固定架(701)啮合,使得所述驱动连接件(8)可相对所述连接杆(5)自转;第二状态下,所述连接件(15)位于所述导向杆(10)的后端,所述第一连接齿轮(804)、第二连接齿轮(501)均与所述第三连接齿轮(11)啮合,使得所述驱动连接件(8)与所述连接杆(5)连接成一体并可同步旋转。3. The scissors-type ultrasonic surgical instrument according to claim 2, characterized in that: the interlock switching mechanism includes a first connecting gear (804), a second connecting gear (501), a guide rod (10), a second Three connecting gears (11), a fourth connecting gear (12), a first swing link (13) and a second swing link (14), the first link gear (804) is fixed on the drive link (8 ), the second connecting gear (501) is fixed on the connecting rod (5), the guide rod (10) is arranged parallel to the connecting rod (5), and the third The connecting gear (11), the fourth connecting gear (12) are embedded in the connecting piece (15) and pass through the guide rod (10), the connecting piece (15), the first swing rod ( 13), the second swing rod (14) and the connecting bracket (2) are connected in sequence, and the first swing rod (13) rotates relative to the connecting rod (5) to drive the connecting piece (15) along the The guide rod (10) moves, the front end of the main body (7) is fixed with a fixed frame (701), and the connecting rod (5) is rotatably arranged at the front end of the fixed frame (701). state, the connecting piece (15) is located at the front end of the guide rod (10), the first connecting gear (804) meshes with the third connecting gear (11), and the second connecting gear (501 ) meshes with the fourth connecting gear (12) and the fixing frame (701) at the same time, so that the driving connecting piece (8) can rotate relative to the connecting rod (5); in the second state, the connecting piece (15) Located at the rear end of the guide rod (10), the first connecting gear (804) and the second connecting gear (501) are both meshed with the third connecting gear (11), so that the drive link (8 ) is integrated with the connecting rod (5) and can rotate synchronously.4.根据权利要求3所述的剪刀式超声外科手术器械,其特征在于:所述连接支架(2)的两侧具有第一延伸臂(201)和第二延伸臂(202),所述互锁切换机构具有两个所述第二摆杆(14),两个所述第二摆杆(14)的一端连接于所述第一摆杆(13)的尾端两侧,另一端分别连接于所述第一延伸臂(201)和第二延伸臂(202)的尾端。4. The scissor-type ultrasonic surgical instrument according to claim 3, characterized in that: the two sides of the connecting bracket (2) have a first extension arm (201) and a second extension arm (202), and the mutual The lock switching mechanism has two second swing rods (14), one end of the two second swing rods (14) is connected to both sides of the tail end of the first swing rod (13), and the other ends are respectively connected to at the tail ends of the first extension arm (201) and the second extension arm (202).5.根据权利要求4所述的剪刀式超声外科手术器械,其特征在于:所述旋转驱动轮组包括一传动齿轮组(16)、一驱动齿轮(17)和弹性锁杆(18),所述传动齿轮组(16)设置于所述第一延伸臂(201)的内侧,并与所述传动齿轮(803)啮合,所述弹性锁杆(18)滑动设置于所述第一延伸臂(201)的外侧,所述驱动齿轮(17)枢轴设置于所述第二摆杆(14)与所述第一摆杆(13)的连接处,所述驱动齿轮(17)的两侧固设有驱动其转动的转轮(20),在所述第一状态下,所述弹性锁杆(18)限制所述传动齿轮组(16)的转动;在所述第二状态下,所述第二摆杆(14)通过转动驱动所述驱动齿轮(17)与所述传动齿轮组(16)啮合,并推动所述弹性锁杆(18)滑动,以与所述传动齿轮组(16)分离,所述转轮(20)通过转动来驱动所述传动齿轮组(16)、传动齿轮(803)同步转动。5. The scissors-type ultrasonic surgical instrument according to claim 4, characterized in that: the rotating drive wheel set includes a transmission gear set (16), a drive gear (17) and an elastic locking lever (18), so The transmission gear set (16) is arranged on the inner side of the first extension arm (201), and meshes with the transmission gear (803), and the elastic locking rod (18) is slidably arranged on the first extension arm ( 201), the drive gear (17) is pivotally arranged at the joint between the second swing link (14) and the first swing link (13), and both sides of the drive gear (17) are fixed A rotating wheel (20) is provided to drive it to rotate. In the first state, the elastic lock bar (18) restricts the rotation of the transmission gear set (16); in the second state, the The second swing lever (14) drives the driving gear (17) to mesh with the transmission gear set (16) by rotating, and pushes the elastic lock lever (18) to slide to be in contact with the transmission gear set (16) separate, the rotating wheel (20) drives the transmission gear set (16) and the transmission gear (803) to rotate synchronously through rotation.6.根据权利要求5所述的剪刀式超声外科手术器械,其特征在于:所述弹性锁杆(18)通过拉簧(19)滑动设置于所述第一延伸臂(201)上,所述弹性锁杆(18)的尾端内侧与所述传动齿轮组(16)相适配,其底侧竖直延伸有抵接杆(1801),所述第二摆杆(14)上设置有一推块(1401),使得在所述第一状态下,所述弹性锁杆(18)的尾端与所述传动齿轮组(16)相啮和以将所述传动齿轮组(16)与所述连接支架(2)锁定成一体;在所述第二状态下,所述推块(1401)与所述抵接杆(1801)抵接并推动所述弹性锁杆(18)后移,以将所述弹性锁杆(18)的尾端与所述传动齿轮组(16)分离。6. The scissors-type ultrasonic surgical instrument according to claim 5, characterized in that: the elastic locking bar (18) is slidably arranged on the first extension arm (201) through a tension spring (19), and the The inner side of the tail end of the elastic locking rod (18) is adapted to the transmission gear set (16), and an abutment rod (1801) is vertically extended on the bottom side thereof, and a push rod (1801) is arranged on the second swing rod (14). Block (1401), so that in the first state, the tail end of the elastic locking lever (18) is meshed with the transmission gear set (16) to connect the transmission gear set (16) with the The connecting bracket (2) is locked into one body; in the second state, the push block (1401) abuts against the abutment rod (1801) and pushes the elastic lock rod (18) to move backward, so that The tail end of the elastic locking rod (18) is separated from the transmission gear set (16).7.根据权利要求6所述的剪刀式超声外科手术器械,其特征在于:所述第一延伸臂(201)的前端与所述单面锥齿轮(802)同轴设置,且当所述弹性锁杆(18)与所述传动齿轮组(16)啮合时,所述连接支架(2)与所述传动齿轮组(16)连接为一体,使得所述连接支架(2)通过所述传动齿轮组(16)驱动所述传动齿轮(803)同步转动,来带动所述单面锥齿轮(802)转动。7. The scissor-type ultrasonic surgical instrument according to claim 6, characterized in that: the front end of the first extension arm (201) is arranged coaxially with the single-sided bevel gear (802), and when the elastic When the lock lever (18) meshes with the transmission gear set (16), the connection bracket (2) is connected with the transmission gear set (16) as a whole, so that the connection bracket (2) passes through the transmission gear The group (16) drives the transmission gear (803) to rotate synchronously to drive the single-sided bevel gear (802) to rotate.8.剪刀式超声外科手术器械,其特征在于:包括由第一把手(1)、连接支架(2)和弯头(3)组成的第一轴构件和由第二把手(4)、连接杆(5)、超声刀(6)、主体(7)组成的第二轴构件,所述连接支架(2)通过驱动组件与所述连接杆(5)连接使得所述第一轴构件和第二轴构件形成剪式结构,所述弯头(3)和所述超声刀(6)的刀头(601)形成钳口,所述钳口通过所述第一把手(1)和第二把手(4)之间的开合运动进行开闭;所述第二轴构件还包括一转轮(20),所述钳口通过所述转轮(20)的转动进行旋转,所述钳口的开闭和旋转通过所述驱动组件进行切换,8. Scissors-type ultrasonic surgical instrument, characterized in that it includes a first shaft member composed of a first handle (1), a connecting bracket (2) and an elbow (3) and a second handle (4), a connecting rod ( 5), the second shaft member composed of the ultrasonic scalpel (6) and the main body (7), the connecting bracket (2) is connected with the connecting rod (5) through the drive assembly so that the first shaft member and the second shaft The components form a scissor structure, the elbow (3) and the blade (601) of the ultrasonic knife (6) form a jaw, and the jaw passes through the first handle (1) and the second handle (4) The opening and closing movement between the jaws is opened and closed; the second shaft member also includes a wheel (20), the jaws are rotated by the rotation of the wheels (20), the opening and closing of the jaws and rotation is switched through the drive assembly,所述驱动组件包括驱动连接件(8)、夹持驱动轮(9)、旋转驱动轮组和互锁切换机构,所述连接支架(2)与所述驱动连接件(8)枢轴连接,所述驱动连接件(8)为套设于所述连接杆(5)上的管体,其前端管口固设有双面锥齿轮(801),其一侧枢轴设置有同步转动的单面锥齿轮(802)和传动齿轮(803),所述单面锥齿轮(802)与所述双面锥齿轮(801)啮合;所述夹持驱动轮(9)与所述弯头(3)固接并枢轴设置于所述连接杆(5)上,且所述夹持驱动轮(9)与所述双面锥齿轮(801)啮合;所述旋转驱动轮组设置于所述连接支架(2)上并与所述传动齿轮(803)啮合;所述驱动连接件(8)通过所述互锁切换机构可选择地与所述连接杆(5)连接或分离。The drive assembly includes a drive connector (8), a clamping drive wheel (9), a rotating drive wheel set and an interlock switching mechanism, the connecting bracket (2) is pivotally connected to the drive connector (8), The driving connector (8) is a pipe sleeved on the connecting rod (5), and a double-sided bevel gear (801) is fixed at the front end of the nozzle, and a single-sided bevel gear (801) is fixed on one side of the pivot shaft to rotate synchronously. bevel gear (802) and transmission gear (803), the single bevel gear (802) meshes with the double bevel gear (801); the clamping drive wheel (9) and the elbow (3 ) is fixed and pivotally arranged on the connecting rod (5), and the clamping driving wheel (9) is meshed with the double-sided bevel gear (801); the rotating driving wheel set is arranged on the connecting rod (5) on the bracket (2) and meshed with the transmission gear (803); the drive link (8) can be selectively connected or separated from the connecting rod (5) through the interlock switching mechanism.9.根据权利要求8所述的剪刀式超声外科手术器械,其特征在于:所述互锁切换机构包括第一连接齿轮(804)、第二连接齿轮(501)、导向杆(10)、第三连接齿轮(11)、第四连接齿轮(12)、第一摆杆(13)和第二摆杆(14),所述第一连接齿轮(804)固设于所述驱动连接件(8)的尾端管口,所述第二连接齿轮(501)固设于所述连接杆(5)上,所述导向杆(10)与所述连接杆(5)平行设置,所述第三连接齿轮(11)、第四连接齿轮(12)嵌设与连接件(15)内并穿设于所述导向杆(10)上,所述连接件(15)、所述第一摆杆(13)、第二摆杆(14)和连接支架(2)依次相连,所述第一摆杆(13)相对所述连接杆(5)旋转以驱动所述连接件(15)同步沿所述导向杆(10)移动,第一状态下,所述连接件(15)位于所述导向杆(10)的前端,所述第一连接齿轮(804)与所述第三连接齿轮(11)啮合,所述第二连接齿轮(501)与第四连接齿轮(12)啮合,使得所述驱动连接件(8)可相对所述连接杆(5)自转;第二状态下,所述连接件(15)位于所述导向杆(10)的后端,所述第一连接齿轮(804)、第二连接齿轮(501)均与所述第三连接齿轮(11)啮合,使得所述驱动连接件(8)与所述连接杆(5)连接成一体。9. The scissors-type ultrasonic surgical instrument according to claim 8, characterized in that: the interlock switching mechanism comprises a first connecting gear (804), a second connecting gear (501), a guide rod (10), a second Three connecting gears (11), a fourth connecting gear (12), a first swing link (13) and a second swing link (14), the first link gear (804) is fixed on the drive link (8 ), the second connecting gear (501) is fixed on the connecting rod (5), the guide rod (10) is arranged parallel to the connecting rod (5), and the third The connecting gear (11), the fourth connecting gear (12) are embedded in the connecting piece (15) and pass through the guide rod (10), the connecting piece (15), the first swing rod ( 13), the second swing rod (14) and the connecting bracket (2) are connected in sequence, and the first swing rod (13) rotates relative to the connecting rod (5) to drive the connecting piece (15) along the The guide rod (10) moves, and in the first state, the connecting piece (15) is located at the front end of the guide rod (10), and the first connecting gear (804) meshes with the third connecting gear (11) , the second connecting gear (501) meshes with the fourth connecting gear (12), so that the driving connecting piece (8) can rotate relative to the connecting rod (5); in the second state, the connecting piece ( 15) Located at the rear end of the guide rod (10), the first connecting gear (804) and the second connecting gear (501) are both meshed with the third connecting gear (11), so that the drive link (8) is integrally connected with the connecting rod (5).10.根据权利要求9所述的剪刀式超声外科手术器械,其特征在于:所述旋转驱动轮组包括一传动齿轮组(16)、一驱动齿轮(17)和弹性锁杆(18),所述传动齿轮组(16)设置于所述连接支架(2)上,其前端并与所述传动齿轮(803)啮合,所述弹性锁杆(18)滑动设置于所述连接支架(2)上并与所述传动齿轮组(16)的尾端啮合,所述第二摆杆(14)上设置有推块(1401),所述驱动齿轮(17)枢轴设置于所述第二摆杆(14)与所述第一摆杆(13)的连接处,所述转轮(20)与所述驱动齿轮(17)固接,当所述互锁切换机构处于所述第二状态下时,所述第二摆杆(14)通过转动驱动所述驱动齿轮(17)与所述传动齿轮组(16)啮合,并同时通过所述推块(1401)推动所述弹性锁杆(18)与所述传动齿轮组(16)的尾端分离。10. The scissors-type ultrasonic surgical instrument according to claim 9, characterized in that: the rotating drive wheel set includes a transmission gear set (16), a drive gear (17) and an elastic locking lever (18), so The transmission gear set (16) is arranged on the connection bracket (2), and its front end is engaged with the transmission gear (803), and the elastic locking rod (18) is slidably arranged on the connection bracket (2) And mesh with the tail end of the transmission gear set (16), the second swing link (14) is provided with a push block (1401), and the driving gear (17) is pivotally arranged on the second swing link (14) At the joint with the first swing link (13), the runner (20) is fixedly connected to the drive gear (17), when the interlock switching mechanism is in the second state , the second swing lever (14) rotates to drive the drive gear (17) to mesh with the transmission gear set (16), and at the same time pushes the elastic lock lever (18) through the push block (1401) Separated from the tail end of the transmission gear set (16).
CN202210624436.2A2022-06-022022-06-02 Scissor Ultrasonic Surgical InstrumentsActiveCN115040201B (en)

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