DieErfindung betrifft ein chirurgisches Instrument mit zwei gegeneinanderbewegbaren Griffteilen und mit einer Umlaufsperre zur gegenseitigenFixierung der Griffteile in einer Schließstellung und zur Lösung derFixierung beim weiteren Annähernder Griffteile überdie Schließstellunghinaus in eine Öffnungsstellung,die an einem ersten Griffteil einen Rastrücksprung und an einem zweitenGriffteil eine in diesen eingreifende und dadurch die Griffteilein der Schließstellungfixierende Raste umfaßt,die beim Schließender Griffteile an einer Seite des Rastrücksprunges vorbeibewegt wirdund beim Öffnenan der anderen, wobei an dem ersten Griffteil eine erste Steuerkurveangeordnet ist, die beim Schließender Griffteile gegen einen die Schließbewegung begrenzenden Anschlagdie Raste in eine Einraststellung bringt, in der sie beim Öffnen derGriffteile zwangsläufigin den Rastrücksprungeintritt, wobei der Rastrücksprungeine zweite Steuerkurve trägt,die die Raste beim Eintauchen in den Rastrücksprung aus einer der erstenSteuerkurve gegenüberliegenden Eintrittspositionin eine einer dritten Steuerkurve am ersten Griffteil gegenüberliegendeAustrittsposition bewegt, und wobei die dritte Steuerkurve die Raste beimerneuten Schließender Griffteile aus der Schließstellungheraus in eine Ausraststellung bringt, aus der sie beim Öffnen derGriffteile zwangsläufig amRastrücksprungvorbeibewegt wird.TheThe invention relates to a surgical instrument with two against each othermovable handle parts and with a circulation lock to each otherFixation of the handle parts in a closed position and to solve theFixation on further approachingthe handle parts overthe closed positionout into an open position,the at a first handle part a latch return and at a secondHandle part in this engaging and thereby the handle partsin the closed positionincludes fixing catch,when closingthe handle parts is moved past on one side of the latch recessand when openingat the other, wherein at the first handle part, a first camis arranged when closingthe handle parts against a closing movement limiting stopthe latch brings into a latching position, in which they open theGrips inevitablyin the latch jumpenters, with the latch returncarries a second cam,the catch when diving into the latch return from one of the firstControl cam opposite entry positionin a third control cam on the first handle part oppositeExit position moves, and wherein the third control cam the latchclosing againthe handle parts from the closed positionout into a disengaged position, from which they open theGrips inevitably onEngagement recessis moved past.
ChirurgischeInstrumente dieser Art werden mit einer solchen Umlaufsperre ausgestattet,damit die beiden Griffteile in der Schließstellung fixiert und in einfacherWeise durch erneutes Gegeneinanderdrücken der Griffteile wieder voneinandergelöstwerden können.Beispielsweise ist ein solches Instrument aus der
Beiall diesen Instrumenten besteht das Problem, daß beim Schließen derGriffteile darauf geachtet werden muß, die Griffteile nicht zuweit einander anzunähern,da sonst die Raste am Rastrücksprungvorbei bewegt wird und sofort wieder beim Loslassen der Griffteilean dem Rastrücksprungvorbeiläuft,ohne in diesen einzurasten. Mit anderen Worten darf man die Griffteilenicht so weit einander annähern,daß bereitsbeim ersten Annähernwieder eine Lösungder Umlaufsperre eintritt, ohne daß diese vorher überhauptin den Rastrücksprungeingerastet ist. Der Operateur muß daher beim Schließen derGriffteile sehr vorsichtig vorgehen, um tatsächlich die Einrastung zu erreichenund nicht versehentlich die Griffteile bis zur Löseposition von Raste und Rastrücksprungzu bewegen.atAll these instruments have the problem that when closing theHandle parts must be taken to the handle parts not toto approach each otherotherwise the catch on the latch return jumpis moved past and immediately when releasing the handle partsat the latch returnpasses,without locking into it. In other words, you can use the handle partsnot so close to each other,that alreadyon the first approachagain a solutionthe circulation lock occurs without them before at allin the latch jumpis engaged. The surgeon must therefore when closing theHandle handles very carefully to actually lock into placeand do not inadvertently move the handles to the release position of detent and latch returnto move.
Einmedizinisches Instrument mit einer einfachen Zahnstangensperre istaus der
Inder
Esist Aufgabe der Erfindung, ein chirurgisches Instrument der gattungsgemäßen Artso weiterzubilden, daß dieHandhabbarkeit des Instruments trotz der relativ komplizierten Umlaufsperrenicht beeinträchtigtwird.ItThe object of the invention is a surgical instrument of the generic typeeducate so that theHandling of the instrument despite the relatively complicated circulation locknot impairedbecomes.
DieseAufgabe wird bei einem gattungsgemäßen Instrument erfindungsgemäß dadurchgelöst, daß der Rastrücksprungsowie die erste und die dritte Steuerkurve in einem Einsatz angeordnetsind, der in das erste Griffteil eingesetzt ist.TheseTask is in a generic instrument according to the invention therebysolved that the latch jumpand the first and third control cams arranged in an insertare inserted in the first handle part.
Eswird also eine Zwangsführungder Raste dergestalt vorgenommen, daß beim Schließen der Griffteilediese bis auf einen Anschlag geschlossen werden und daß dabeidie Raste durch die erste Steuerkurve in eine Position bewegt wird,aus der sie beim öffnender Griffteile zwangsläufigin den Rastrücksprungeintreten muß.Im Rastrücksprungselbst wird die Raste durch die Steuerkurve der Raste so weit bewegt,daß beieinem erneuten Schließender Griffteile die Raste nicht wieder zurück in die erste Steuerkurvegelangt, sondern jetzt in eine dritte, neben der ersten Steuerkurveangeordnete Steuerkurve, welche die Raste beim anschließenden öffnen derGriffteile seitlich an dem Rastrücksprungvorbeiführt.Der Benutzer kann also beim Schließen der Griffteile diese bisauf einen Anschlag einander annähernund ist sicher, daß beimanschließendenLoslassen der Griffteile die Raste in den Rastrücksprung eintritt und dadurchdie Griffteile in der Schließstellungverriegelt. Erst bei einem erneuten Zusammendrücken der Griffteile wird dieseVerriegelung gelöst, besondere Sorgfaltmuß derBenutzer dabei nicht auf die Schließbewegung richten, da diesein jedem Fall bis zu dem Anschlag durchgeführt wird.Itbecomes a forced tourthe catch made such that when closing the handle partsthese are closed up to a stop and that therebythe catch is moved to a position by the first control cam,from the openthe handle parts inevitablyin the latch jumpmust enter.In the latch returneven the catch is moved so far by the control cam of the catchthat ata renewed closingthe grip parts the catch is not back to the first cambut now in a third, next to the first camarranged cam, which the catch in the subsequent open theHandle parts laterally to the latch returnpasses.The user can thus close this when closing the handle partsapproach each other to a stopand is sure that atsubsequentRelease the handle parts the catch enters the latching recess and therebythe handle parts in the closed positionlocked. Only with a renewed compression of the handle parts is thisLock solved, special caremust theDo not direct the user to the closing movement, because thisin any case, until the stop is carried out.
Einesolche Ausgestaltung läßt sichbei allen chirurgischen Instrumenten einsetzen, bei denen durcheine Schließbewegungvon zwei Griffteilen ein Werkzeug bewegt werden soll, beispielsweisebei Klemmen, Scheren, Zangen, Pinzetten etc. Dabei ist es vorteilhaft,wenn die Griffteile übereine Überlastfederauf die Werkzeuge wirken, so daß beider vollständigenSchließbewegungder Griffteile gegen einen Anschlag die Werkzeuge gegebenenfallseinen geringeren Weg zurücklegen,falls sie durch zwischen den Werkzeugen liegende Teile an einervollständigenSchließbewegungder Werkzeuge gehindert sind. Trotzdem kann der Benutzer die Griffteile biszum vollständigenSchließengegen ihren Anschlag bewegen.Such a configuration can be used in all surgical instruments in which a tool is to be moved by a closing movement of two handle parts, for example at Clamps, scissors, pliers, tweezers, etc. It is advantageous if the handle parts act on an overload spring on the tools, so that in the complete closing movement of the handle parts against a stop, the tools optionally cover a smaller way, if they pass through between the tools lying parts are prevented from a complete closing movement of the tools. Nevertheless, the user can move the handle parts until fully closed against their stop.
Grundsätzlich wäre es möglich, daß die Rastedurch eine bahnförmigeSteuerkurve vollständigin ihrer Bewegung geführtwird, es ist aber gemäß einer bevorzugtenAusführungsformbesonders vorteilhaft, wenn auf die Raste eine Feder wirkt, diedie Raste bei Auslenkung nach beiden Seiten in eine Mittelstellungzurückbewegt.Bei einer solchen Ausgestaltung genügt es, die Steuerkurve alseinfache Kulisse auszubilden, die einseitig an der Raste anliegtund die Raste entgegen der Wirkung der Feder nach der einen oderder anderen Seite auslenkt.Basically it would be possible for the catchby a web-shapedCam fullyguided in their movementis, but it is according to a preferredembodimentparticularly advantageous if the spring acts on a spring, thethe detent on deflection on both sides in a middle positionmoved back.In such an embodiment, it is sufficient, the cam asform a simple backdrop that rests on one side of the catchand the catch against the action of the spring after the one orthe other side deflects.
Günstig istes, wenn die Raste verschwenkbar an dem zweiten Griffteil gelagertist.Cheap isit when the catch is pivotally mounted on the second handle partis.
Auchdie Umkehrung dieses Prinzips ist möglich, die Raste kann feststehenund die Steuerkurve kann an den Griffteilen beweglich gelagert werden,so daß sichauch in diesem Falle die beschriebene Relativbewegung ergibt. Insbesonderekann auch der Einsatz übereine Feder in einer Mittelstellung gehalten und gegen die Federkraftnach beiden Seiten auslenkbar sein.Alsothe reversal of this principle is possible, the catch can be fixedand the control cam can be movably mounted on the handle parts,so thatalso in this case results in the described relative movement. Especiallycan also use overa spring held in a central position and against the spring forceto be deflectable to both sides.
DieSchließbewegungder Griffteile kann durch einen Anschlag begrenzt sein, der alsseparater Anschlag an den Griffteilen vorgesehen ist, bei einerbesonders bevorzugten Ausführungsformwird jedoch der die Schließbewegungder Griffteile begrenzende Anschlag durch die erste und die dritteSteuerkurve einerseits und die Raste andererseits gebildet. BeimSchließenwird also die Raste gegen einen Tiefstpunkt der Steuerkurve gedrückt, unddadurch wird die Schließbewegungbegrenzt, bei der Öffnung derGriffteile aus dieser Anschlagposition bewegt sich dann die Rastelängs derSteuerkurve in eine Position, in der sie entweder in den Rastrücksprung eintrittoder aber in der dritten Steuerkurve am Rastrücksprung vorbeigeführt wird.Theclosing movementThe handle parts may be limited by a stop, asSeparate stop is provided on the handle parts, at aparticularly preferred embodimentHowever, this is the closing movementthe handle parts limiting stop by the first and the thirdControl cam on the one hand and the catch formed on the other. At theShut downSo the catch is pressed against a trough of the cam, andthis will cause the closing movementlimited, at the opening of theHandle parts from this stop position then moves the catchalong theControl cam in a position in which it either enters the latch returnor is passed in the third cam on the latch return jump.
Eswäre abernatürlichauch möglich,den Anschlag einfach an den Griffteilen anzuordnen, so daß die Schließbewegungder Griffteile direkt begrenzt wird. Beispielsweise könnten anbeiden Griffteilen entsprechende Anschlagflächen vorgesehen sein, die einweiteres Zusammenführender Griffteile begrenzen.Itbut would beNaturallyalso possible,simply to arrange the stop on the handle parts, so that the closing movementthe handle parts is limited directly. For example, couldBoth handle parts corresponding stop surfaces may be provided, the onefurther merginglimit the grip parts.
Esist vorteilhaft, wenn die erste und die dritte Steuerkurve durchdie Seitenflächeneines Vorsprungs gebildet werden, der dem Rastrücksprung gegenüberliegt.Beispielsweise kann dieser Vorsprung keilförmig ausgebildet sein.Itis advantageous if the first and the third control curve throughthe side surfacesa projection are formed, which is opposite to the latching return.For example, this projection may be wedge-shaped.
DerRastrücksprungist vorzugsweise zum ersten Griffteil hin offen und kann beispielsweisekeilförmigausgebildet sein.Of theEngagement recessis preferably open to the first handle part and can, for examplecuneiformbe educated.
Beieiner bevorzugten Ausführungsformist weiterhin vorgesehen, daß andem Rastrücksprung anseiner dem ersten Griffteil abgewandten Seite eine Aufgleitfläche für die Rasteangeordnet ist, welche diese beim Schließen der Griffteile entgegender Wirkung der Feder aus ihrer Mittelstellung heraus bewegt.ata preferred embodimentis further provided that atto the latch return onits side facing away from the first handle part a sliding surface for the catchis arranged, which oppose this when closing the handle partsthe action of the spring moves out of its center position out.
Weiterhinkann vorgesehen sein, daß an demRastrücksprungan seiner dem ersten Griffteil abgewandten Seite eine Aufgleitfläche für die Raste angeordnetist, welche diese beim Öffnender Griffteile entgegen der Wirkung der Feder aus ihrer Mittelstellungheraus bewegt. Die Bewegungsrichtung der Raste längs der Aufgleitflächen istdabei beim Öffnen undSchließenentgegengesetzt und die durch die Feder definierte Mittelstellungist so gewählt,daß die Rastebeim Schließender Griffteile aus der vollständiggeöffnetenStellung auf die Aufgleitflächetrifft, die die Raste in die erste Steuerkurve führt.Farthercan be provided that on theEngagement recessarranged on its side facing away from the first handle part a sliding surface for the catchwhich is this when openingthe handle parts against the action of the spring from its center positionmoved out. The direction of movement of the catch along the slide surfaces iswhile opening andShut downopposite and defined by the spring center positionis chosenthat the catchwhile closingthe handle parts from the completelyopenPosition on the sliding surfacemeets, which leads the catch in the first cam.
Dieerste und die dritte Steuerkurve können gemeinsam einen W-förmigen Verlaufhaben, dabei ist es günstig,wenn die erste und die dritte Steuerkurve an ihren tiefsten Stellenverrundet sind.Thefirst and the third control curve can together have a W-shaped coursehave, it is cheap,when the first and the third control curve at their lowest pointsrounded.
Eskann vorgesehen sein, daß dieRaste die Form eines quer zur Schließrichtung der Griffteile verlaufendenSteges hat. Dieser Steg kann vorzugsweise am freien Ende eines schwenkbaram zweiten Griffteil gelagerten Haltearmes angeordnet sein.Itcan be provided that theSnap the shape of a transverse to the closing direction of the handle partsSteges has. This web can preferably be pivoted at the free end of aBe arranged on the second handle part supporting arms.
Weiterhinkann vorgesehen sein, daß der Rastrücksprungund gegebenenfalls die Aufgleitflächen Teil eines Querstegessind, der quer zur Schließrichtungverlaufend am ersten Griffteil gehalten ist.Farthercan be provided that the latch returnand optionally the sliding surfaces part of a crossbarwhich are transverse to the closing directionis kept running on the first handle part.
DieGriffteile könnenin beliebiger Weise gegeneinander bewegbar sein, besonders vorteilhaftist es, wenn die Griffteile gegeneinander verschwenkbar sind.TheHandle parts canbe movable in any way against each other, particularly advantageousIt is when the handle parts are mutually pivotable.
Dienachfolgende Beschreibung bevorzugter Ausführungsformen der Erfindungdient im Zusammenhang mit der Zeichnung der näheren Erläuterung. Es zeigen:Thefollowing description of preferred embodiments of the inventionused in conjunction with the drawings for further explanation. Show it:
Dasin der Zeichnung nur teilweise dargestellte Instrument
Diebeiden Griffteile werden übereine an beiden Griffteilen angreifende Biegefeder
Amzweiten Griffteil ist in einer Ausnehmung
Anseinem freien Ende trägtder Haltearm
DemRastkörper
Anseinen beiden Außenseitenverläuftder Quersteg
Wenndie beiden Griffteile
BeimSchließender beiden Griffteile
DieAnlagefläche
Öffnet manausgehend von dieser Stellung die Griffteile
Drückt mandie beiden Griffteile
Sobaldder Steg
DerBenutzer kann also einfach die beiden Griffteile
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| DE10314072ADE10314072B4 (en) | 2003-03-28 | 2003-03-28 | Surgical instrument |
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| DE10314072ADE10314072B4 (en) | 2003-03-28 | 2003-03-28 | Surgical instrument |
| Publication Number | Publication Date |
|---|---|
| DE10314072A1 DE10314072A1 (en) | 2004-10-21 |
| DE10314072B4true DE10314072B4 (en) | 2009-01-15 |
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| DE10314072AExpired - LifetimeDE10314072B4 (en) | 2003-03-28 | 2003-03-28 | Surgical instrument |
| Country | Link |
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| DE (1) | DE10314072B4 (en) |
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| DE3103352C2 (en)* | 1981-01-31 | 1982-10-21 | Aesculap-Werke Ag Vormals Jetter & Scheerer, 7200 Tuttlingen | Forceps or forceps shaped surgical instrument |
| DE9314581U1 (en)* | 1993-09-29 | 1993-11-25 | Richard Wolf Gmbh, 75438 Knittlingen | Medical instrument |
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US8905977B2 (en) | 2004-07-28 | 2014-12-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having an electroactive polymer actuated medical substance dispenser |
| US7575144B2 (en) | 2006-01-31 | 2009-08-18 | Ethicon Endo-Surgery, Inc. | Surgical fastener and cutter with single cable actuator |
| US8808325B2 (en) | 2006-09-29 | 2014-08-19 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with staples having crown features for increasing formed staple footprint |
| US8652120B2 (en) | 2007-01-10 | 2014-02-18 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between control unit and sensor transponders |
| US8459525B2 (en) | 2008-02-14 | 2013-06-11 | Ethicon Endo-Sugery, Inc. | Motorized surgical cutting and fastening instrument having a magnetic drive train torque limiting device |
| US8801734B2 (en) | 2010-07-30 | 2014-08-12 | Ethicon Endo-Surgery, Inc. | Circular stapling instruments with secondary cutting arrangements and methods of using same |
| DE102014103769A1 (en) | 2014-03-19 | 2015-09-24 | Aesculap Ag | Forced lock for microneedle holder |
| DE102014103769B4 (en) | 2014-03-19 | 2022-10-13 | Aesculap Ag | Enforced lockout for microneedle holders |
| DE102014110881A1 (en) | 2014-07-31 | 2016-02-04 | Aesculap Ag | Surgical instrument with handle and handle lock |
| DE102016118199A1 (en) | 2016-09-27 | 2018-03-29 | Aesculap Ag | Surgical instrument with adjustable circulation lock |
| Publication number | Publication date |
|---|---|
| DE10314072A1 (en) | 2004-10-21 |
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| Date | Code | Title | Description |
|---|---|---|---|
| OP8 | Request for examination as to paragraph 44 patent law | ||
| 8127 | New person/name/address of the applicant | Owner name:AESCULAP AG, 78532 TUTTLINGEN, DE | |
| 8364 | No opposition during term of opposition | ||
| R082 | Change of representative | Representative=s name:HOEGER, STELLRECHT & PARTNER PATENTANWAELTE MB, DE | |
| R082 | Change of representative | Representative=s name:HOEGER, STELLRECHT & PARTNER PATENTANWAELTE MB, DE | |
| R071 | Expiry of right |