SURGICAL INSTRUMENT
20210322087 ยท 2021-10-21
Assignee
Inventors
Cpc classification
A61B18/1445
HUMAN NECESSITIES
A61B2018/1455
HUMAN NECESSITIES
International classification
Abstract
An operation device for operating a tool of a surgical instrument. The operation device has an operation element that is pivotably supported between an initial position and a working position. The operation element is movably coupled with the tool by means of a coupling device comprising a coupling link or consisting of a coupling link. The coupling link is elastically deformable and effectuates a resetting torque due to the elastic deformation in case the operation element is deflected out of the initial position, wherein the resetting torque urges the operation element back in the initial position.
Claims
1. A surgical instrument comprising: a tool that is movably supported in a longitudinal direction in a guided manner; an operation element that is pivotably supported in order to be pivoted between an initial position and a working position; and a coupling device that establishes a movement coupling between the operation element and the tool, wherein the coupling device comprises a coupling link that is elastically deformable and that is elastically deformed in the working position of the operation element such that it effectuates a resetting torque in direction toward the initial position (onto the operation element.
2. The surgical instrument according to claim 1, wherein the coupling link forms a connecting rod.
3. The surgical instrument according to claim 1, wherein the coupling link is directly arranged on the operation element with a first end and/or wherein the coupling link is directly arranged on the tool or a connection part immovably arranged on the tool with a second end.
4. The surgical instrument according to claim 1, wherein the coupling link comprises a longitudinal leg and a transverse leg adjoining thereto that extends in a transverse direction orthogonal to the longitudinal direction.
5. The surgical instrument according to claim 1, wherein the coupling link comprises two longitudinal legs arranged with distance to each other that are connected with each other via a transverse leg.
6. The surgical instrument according to claim 5, wherein each longitudinal leg comprises a free leg end that are arranged offset with regard to each other.
7. The surgical instrument according to claim 5, wherein the longitudinal legs have different lengths.
8. The surgical instrument according to claim 5, wherein the longitudinal legs and the transverse leg are arranged in a common plane in the initial position of the operation element.
9. The surgical instrument according to claim 5, wherein the longitudinal legs include an angle different to zero in the working position of the operation element.
10. The surgical instrument according to claim 4, wherein the at least one longitudinal leg is elastically undeformed in the working position of the operation element compared with the initial position.
11. The surgical instrument according to claim 4, wherein the transverse leg is twisted around its extension direction in the working position of the operation element.
12. The surgical instrument according to claim 1, wherein the coupling link extends along a straight line between its both ends in the initial position of the operation element.
13. The surgical instrument according to claim 1, wherein the coupling link extends in a curved manner between its both ends in the working position of the operation element.
14. The surgical instrument according to claim 1, wherein in the working position of the operation element, the elastically deformed coupling link applies a force on at least one of the tool and a connection part connected with the tool in a direction orthogonal to the longitudinal direction.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0030] Preferred embodiments of the inventive surgical instruments are derived from the dependent claims, the description and the drawings. In the following, preferred embodiments are explained in detail with reference to the attached drawings. The figures of the drawings show:
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DETAILED DESCRIPTION
[0046] Different embodiments of a surgical instrument 20 are illustrated schematically in
[0047] In the illustrated embodiments the surgical instrument 20 has two jaws 21, 22 that are pivotably supported at one another. Each jaw 21, 22 has a tissue contact surface 21a or 22a. The jaws 21, 22 can be pivoted toward or away from each other to clamp or release a biological tissue between the tissue contact surfaces 21a, 22a.
[0048] The surgical instrument 20 further comprises a tool 24. The tool 24 is movably supported in longitudinal direction L in a tool channel 23. For example, the tool 24 can be formed by a knife 25. The tool channel 23 can extend in a shank 26 adjoining the jaws 21, 22 (
[0049] The instrument 20 comprises a handling unit 27. By means of the handling unit 27 the jaws 21, 22 can be pivoted relative to each other and the tool 24 can be moved in longitudinal direction L. In electrosurgical instruments an electric voltage can be applied to the tissue contact surfaces 21a, 22a by means of the handling unit 27.
[0050] The tool 24 and according to the example, the knife 25 can be moved in longitudinal direction L between a retracted position E and an extended position A. For this the instrument 20 comprises an operation device 30. Different embodiments of the operation device 30 or components thereof are schematically illustrated in
[0051] The operation device 30 comprises an operation element 31 that is part of the handling unit 27 for operating the instrument 20. The operation element 31 can be configured as separate operation element of the handling unit 27 (
[0052] The operation element 31 is pivotably supported around a pivot axis. In the embodiment the pivot axis extends in a transverse direction Q that is orientated orthogonal to the longitudinal direction L. The pivot axis is defined by a pivot joint 32 by means of which the operation element 31 is pivotably supported on a stationary or with regard to the housing of the instrument 20 immovably arranged part. The operation element 31 has two arms 33, 34 that extend originating from the pivot joint 32. The arms 33, 34 can extend in different and particularly opposite directions, as illustrated in the embodiment.
[0053] A first arm 33 serves for manual operation. A second arm 34 is movably coupled with the tool 24 via a coupling device 35.
[0054] The coupling device 35 comprises an elastically deformable coupling link 36. In the embodiment the coupling device 35 is formed by the coupling link 36. Additional parts for movement transmission can be omitted. According to the example, the coupling link 36 is arranged with a first end 37 on the operation element 31 and particularly the second arm 34. From the first end 37 the coupling link 36 extends to a second end 38 that is assigned to the tool 24 or a connection part 39 that is preferably immovably connected with the tool 24. In the embodiments illustrated here the second end 38 is arranged on the connection part 39. In modification thereto it could also be directly arranged on the tool 24.
[0055] Due to the movement coupling between the tool 24 and the operation element 31 by means of the coupling device 35, the pivot movement of the operation element 31 around the pivot axis or the pivot joint 32 can be transmitted in a movement of the tool 24 in longitudinal direction L, particularly in order to move the tool 24 between the retracted position E and the extended position A. If the tool 24 is in the retracted position E, the operation element 31 is in a initial position I (
[0056] In order to pivot the operation element 31 out of the initial position I in the working position W, an operator can apply an operating force FB on the first arm 33.
[0057] According to embodiments of the invention, the coupling link 36 is configured in an elastically deformable manner. In the preferred embodiments described here the coupling link 36 is integrally formed and thus does not comprise seams or joints. It can form a separate part from the operation element 31 (
[0058] In the preferred embodiments described here the coupling link 36 forms a connecting rod 42. The connecting rod 42 is configured to transmit the pivot movement of the second arm 34 in a linear movement in longitudinal direction L of the tool 24 or the connection part 39. According to the example, the first end 37 is thus arranged on the second arm 34 and thus pivotably supported around the pivot axis S or the pivot joint 32. The first end 37 of the coupling link 36 is arranged with distance to the pivot axis or the pivot joint 32. The second end 38 of the coupling link 36 is shiftably arranged in longitudinal direction L together with the tool 24 or the connection part 39. Thus, the coupling link 36 can also be denoted as connecting rod 42.
[0059] In the embodiment of the operation device 30 illustrated in
[0060] On the second end 37 the first longitudinal leg 43 comprises a first free leg end 46 and the second longitudinal leg 44 comprises a second free leg end 47. The free leg ends 46, 47 are bent or angled relative to the longitudinal legs 43, 44 and extend, according to the embodiment, substantially parallel to the transverse leg 45, i.e. in transverse direction Q. The first free leg end 46 and the second free leg end 47 are, according to the example, shorter than the transverse leg 45.
[0061] As particularly apparent from
[0062] The transverse leg 45 can extend in transverse direction Q through a through-hole extending through the connection part 39. Alternatively, the transverse leg 45 can also engage or can be latched in a groove on the connection part 39 and/or on the tool 24 that is open toward the top such that a releasable connection is established between the tool 24 and the coupling device 35. This can facilitate the assembly and/or replacement of the tool independent from the coupling device 35.
[0063] The two free leg ends 46, 47 can extend into a holding hole in the second arm 34. According to the example, the coupling link 36 is supported rotatably or in a hinged manner on the connection part 39 as well as on the second arm 34.
[0064] In the initial position I of the operation element 31 the coupling link 36 is in a first condition. In the first condition the coupling link can be elastically undeformed. In the working position W of the operation element 31 the coupling link 36 is in a second condition being elastically deformed compared with the first condition.
[0065] In the first condition of the coupling link 36 the two longitudinal legs 43, 44 and the transverse leg 45 extend in a common plane (
[0066] According to the example, in the working position W of the operation element 31 the two free leg ends 46, 47 are arranged on the same side relative to a reference plane B that extends orthogonal to the longitudinal direction L along the pivot axis of the operation element 31 (
[0067] Thus, the coupling link 36 does not only form a mechanical element by means of which the movement coupling between the operation element 31 and the tool 24 is established, but concurrently also a resetting device, whereby the operation element 31 is urged back in its initial position I. Without application of an operating force FB on the operation element 31 it takes the initial position I and the tool 24, according to the example the knife 25, is pulled back in the retracted position E. Additional elastically deformable resetting components, particularly helical springs, can be omitted. In doing so, the construction of the coupling device 35 is very simple. The number of required components in the coupling device 35 or the operation device 30 is reduced. The simple construction also facilitates the cleaning. Particularly by avoiding helical springs in which the windings can tightly abut against each other, the cleaning or sterilization is remarkably simplified.
[0068] A further optional configuration possibility of the operation device 30 is highly schematically illustrated in
[0069] In
[0070] The modified coupling link 36 is particularly apparent from
[0071] Analog to the embodiment according to
[0072] If now the operation element is moved out of the initial position I by application of an operating force FB, the tension in the respective wound or curved leg section 43b, 44b is changed and the coupling link 36 tends to take the condition that it has in the initial position I. In this manner a resetting torque MR around the pivot axis or the pivot joint 32 is created.
[0073] In the embodiment according to
[0074] Another embodiment of the operation device 30 is apparent from
[0075] The first end 37 of the coupling link 36 is fixed on the operation element 31. For example, the coupling link 36 can be bent multiple times on the first end 37 such that two holding legs 55 are formed that extend in transverse direction Q and that are connected by means of a connecting leg 56. In the area between the two holding legs 55 an interstice 57 is limited in which the second arm 34 may extend. The holding legs 55 and the connecting leg 56 embrace the second arm 34 of the operation element 31 so to speak. For the attachment a holding groove 58 can be provided in the second arm 34 in which at least the holding legs 55 and/or the connecting leg 56 is/are arranged.
[0076] In
[0077] In the embodiment of the operation device 30 illustrated in
[0078] In
[0079] For attachment of the coupling link 36 it can have at least one through-opening and/or at least one recess that is open in an outward direction at the first end 37 or at the second end 38. The portions limiting the recess can be arranged in grooves or recesses, e.g. on the second arm 34. By means of the through-opening the coupling link 36 can be overmolded with the material of the connection part 39 at the second end 38, for example. The connection at the first end 37 and at the second end 38 can be form-fit and/or force-fit and/or a substance bond and/or an adhesive bond. Overmolding of the coupling link 36 is preferably possible on one of the two ends 37 or 38 or alternatively also on both ends 37 and 38.
[0080] Instead of a leaf-spring-like coupling link 36, as illustrated in
[0081] A further embodiment of the operation device 30 is illustrated in
[0082] Analog to the embodiments according to
[0083]
[0084] In another modification of the operation device 30 it would be possible to configure the coupling link 36 undeformably stiff with regard to the applied forces and to only configure at least a part of the second arm 34 in a deformable manner in order to create the resetting torque MR.
[0085] In all of the bracket-shaped configurations of the coupling link, particularly in the embodiments according to
[0086] The deformability of at least a part of the second arm 34 and/or the latch means 48, 49 explained in connection with
[0087] In all of the embodiments a releasable connection between the tool 24 and the coupling device 35 can be provided indirectly via the connection part 39 or also directly, e.g. a force-fit and/or form-fit connection, preferably a latch connection.
[0088] Embodiments of the invention include an operation device 30 for operating a tool 24 of a surgical instrument 20. The operation device 30 has an operation element 31 that is pivotably supported between an initial position I and a working position W. The operation element 31 is movably coupled with the tool 24 by means of a coupling device 35 comprising a coupling link 36 or consisting of a coupling link 36. The coupling link 36 is elastically deformable and effectuates a resetting torque MR due to the elastic deformation in case the operation element 31 is deflected out of the initial position I, wherein the resetting torque MR urges the operation element 31 back in the initial position I. Additional spring elastic resetting elements can thus be omitted.