FLEXIBLE SURGICAL INSTRUMENT SYSTEM

Abstract

Disclosed is a flexible surgical instrument system, comprising a flexible surgical instrument. The flexible surgical instrument comprises a flexible continuous body structure composed of a distal structural body, a proximal structural body and a middle connecting body. The distal structural body comprises a distal structural segment (12, 13), the distal structural segment comprising a distal spacing disk, a fixing disk and structural backbones. The proximal structural body comprises a proximal structural segment, the proximal structural segment comprising a proximal spacing disk, a proximal fixing disk and structural backbones. The middle connecting body comprises channel fixing plates and a structural backbone guide channel. A driving unit fixing plate is arranged behind the channel fixing plates, a plurality of cable transmission mechanisms for converting a rotational motion input into a linear motion output are arranged between the driving unit fixing plate and the channel fixing plate, an output end of each of the cable transmission mechanisms is connected to one end of a driving backbone via a linear motion mechanism, and the other end of the driving backbone passes through the proximal spacing disk and is then securely connected to the proximal fixing disk.

Claims

1. A flexible surgical instrument system, comprising a flexible surgical instrument, wherein the flexible surgical instrument comprises a flexible continuous body structure composed of a distal structural body, a proximal structural body, and a middle connecting body; the distal structural body comprises at least one distal structural segment comprising a distal spacing disk, a distal fixing disk and structural backbones; the proximal structural body comprises a proximal structural segment comprising a proximal spacing disk, a proximal fixing disk, and structural backbones; the middle connecting body comprises channel fixing plates and a structural backbone guide channel provided between the channel fixing plates; the structural backbones of the at least one distal structural segment are securely connected, in one-to-one correspondence, to or are the same as the structural backbones of the proximal structural segment, one end of each of the structural backbones is securely connected to the proximal fixing disk, passing through the proximal spacing disk, the structural backbone guide channel, and the distal spacing disk in sequence, and the other end of each of the structural backbones is securely connected to the distal fixing disk; and a driving unit fixing plate is arranged behind the channel fixing plates, a plurality of cable transmission mechanisms for converting a rotational motion input into a linear motion output are arranged between the driving unit fixing plate and the channel fixing plate, an output end of each of the cable transmission mechanisms is connected to one end of a driving backbone via a linear motion mechanism, and the other end of the driving backbone passes through the proximal spacing disk and is then securely connected to the proximal fixing disk.

2. The flexible surgical instrument system of claim 1, wherein the cable transmission mechanism comprises a male coupling, a first bevel gear, a second bevel gear, a fixing block, a first pulley, a second pulley, a pulley seat, a guiding rod, a driving cable and a guiding slider, wherein the male coupling is rotatably arranged on the driving unit fixing plate and has a front end thereof coaxially and securely connected to the first bevel gear, the first bevel gear meshes with the second bevel gear, the second bevel gear is rotatably supported, via a gear shaft, on the fixing block securely connected to the driving unit fixing plate, and the first pulley is coaxially and securely connected to the second bevel gear; the second pulley is rotatably supported on the pulley seat securely connected to the channel fixing plate; one end of the driving cable is securely connected to the first pulley, and the other end thereof passes around the second pulley and is then securely connected to the first pulley; the guiding slider is securely connected to the driving cable, the guiding slider is slidably arranged on the guiding rod, and the guiding rod is securely connected between the driving unit fixing plate and the channel fixing plate; and the guiding slider is an output end of the cable transmission mechanism.

3. The flexible surgical instrument system of claim 2, wherein the linear motion mechanism comprises a push-pull rod, a second guiding rod and a proximal segment driving block, wherein the second guiding rod is securely arranged between the two channel fixing plates, the proximal segment driving block is slidably connected to the second guiding rod, a front end of the push-pull rod is securely connected to the proximal segment driving block, and a rear end of the push-pull rod passes through the channel fixing plate and is securely connected to the guiding slider.

4. The flexible surgical instrument system of claim 1, further comprising a driving unit which comprises a motor part and a motion transmission part, wherein the motor part comprises a motor fixing plate and a plurality of first motors securely connected to the motor fixing plate; the motion transmission part comprises a plurality of proximal segment turning transmission chains for converting a rotational output of one of the first motors into mutually reversed rotational motions of two output shafts; and front ends of the two output shafts are directly or indirectly connected to rear ends of a pair of male couplings to transfer rotational motions of the output shafts to the male couplings.

5. The flexible surgical instrument system of claim 4, wherein the proximal segment turning transmission chains each comprises an input gear, an output gear, idle gears, and the two output shafts, the input gear is securely sheathed over one of the output shafts, the output gear is securely sheathed over the other of the output shafts, and the input gear is in transmission connection with the output gear via an even number of idle gears; and a rear end of the output shaft where the input gear is located is securely connected to an output shaft of the first motor via a coupling.

6. The flexible surgical instrument system of claim 4, wherein a sterile barrier is provided between the motion transmission part and the driving unit fixing plate, and the sterile barrier comprises a sterile barrier support plate, a sterile barrier cover securely connected to an outer periphery of the sterile barrier support plate, and a plurality of female couplings rotatably connected to the sterile barrier support plate, wherein a sterile membrane is securely connected to the sterile barrier cover; and a front end of each of the output shafts is securely connected to a second male coupling, and the second male coupling is connected to the male coupling via the female coupling located on the sterile barrier support plate.

7. The flexible surgical instrument system of claim 6, wherein a cover plate is arranged at a front end of the motion transmission part, the front end of each output shaft passes through the cover plate and is rotatably connected to the cover plate, and a first connecting pin seat is provided on the cover plate; and a second connecting pin seat configured to be quickly connected to the first connecting pin seat is provided on the sterile barrier support plate.

8. The flexible surgical instrument system of claim 4, wherein a surgical end effector is provided at a front end of the distal structural body, and a surgical end effector actuation wire connected at one end to the surgical end effector passes through the distal structural body, and is connected at the other end to a surgical end effector driving mechanism; the surgical end effector driving mechanism comprises a third male coupling rotatably arranged on the driving unit fixing plate, a front end of the third male coupling is securely connected to a threaded rod, and the threaded rod is connected, in a matching manner, with a nut; a casing is securely connected to a front side of the driving unit fixing plate, a front end of the casing is securely connected with a casing end cover, and the casing end cover is provided with an inner hole; the nut is slidably arranged in the inner hole of the casing end cover, and the inner hole limits the freedom of rotation of the nut; the nut is securely connected to a rear end of a second push-pull rod, and a front end of the second push-pull rod is securely connected to the surgical end effector actuation wire; and the motor part further comprises a second motor securely connected to the motor fixing plate, an output shaft of the second motor is securely connected to a rear end of a second output shaft via a coupling, an input gear is securely sheathed over a front end of the second output shaft, the input gear meshes with an output gear securely connected to a third output shaft, and a front end of the third output shaft is directly or indirectly connected to the third male coupling to transfer a rotational output thereof to the threaded rod, and to convert the rotational output into a linear motion of the nut.

9. The flexible surgical instrument system of claim 4, further comprising a flexible surgical instrument housing and a motor part housing, wherein the proximal structural body and the middle connecting body are both located in the flexible surgical instrument housing; the channel fixing plates and the driving unit fixing plate are both securely connected to the flexible surgical instrument housing; the motor part and the motion transmission part are both located in the motor part housing; a cover plate is arranged at the front end of the motion transmission part, the cover plate being securely connected to the flexible surgical instrument housing via a sterile barrier; the cover plate and the motor fixing plate are both rotatably connected to the motor part housing; and an inner ring gear is securely connected to an inner wall of the motor part housing, a third motor is securely connected to the motor fixing plate, an output shaft of the third motor is connected to a rear end of a fourth output shaft via a coupling, a front end of the fourth output shaft is securely connected with an input gear, and the input gear meshes with the inner ring gear.

10. The flexible surgical instrument system of claim 4, further comprising a flexible surgical instrument housing, a motor part housing and a linear module, wherein the proximal structural body and the middle connecting body are both located in the flexible surgical instrument housing; the channel fixing plates and the driving unit fixing plate are both securely connected to the flexible surgical instrument housing; the motor part and the motion transmission part are both located in the motor part housing; a cover plate is arranged at the front end of the motion transmission part, the cover plate being securely connected to the flexible surgical instrument housing via a sterile barrier; and the linear module comprises a support, a fourth motor securely connected to the support, and a linear feed mechanism securely connected to an output shaft of the fourth motor, an output end of the linear feed mechanism is securely connected to the motor part housing, and the fourth motor drives the motor part and the motion transmission part by means of the linear feed mechanism, to drive the flexible continuous body structure and a part, located in front of the sterile barrier, of the driving unit to perform a linear motion by means of the sterile barrier.

11. The flexible surgical instrument system of claim 10, wherein the linear feed mechanism comprises a lead screw rotatably connected to the support, the lead screw is sheathed with a slider which is threadedly fitted with the lead screw, a linear sliding groove is provided on the support, and the slider is slidably provided in the linear sliding groove; and the output shaft of the fourth motor is securely connected to the lead screw via a coupling.

12. The flexible surgical instrument system of claim 1, wherein a number of the proximal structural segments is equal to a number of the at least one distal structural segment.

Description

BRIEF DESCRIPTION OF THE DRAWINGS

[0021] FIG. 1 is an overall structural schematic diagram according to the present invention;

[0022] FIG. 2 is a structural schematic diagram of a distal structural body according to the present invention;

[0023] FIG. 3 is a structural schematic diagram of a proximal structural body according to the present invention;

[0024] FIG. 4 is a structural schematic diagram of a middle connecting body according to the present invention;

[0025] FIG. 5 is a structural schematic diagram of a longitudinal section of a flexible surgical instrument according to the present invention with the distal structural body omitted;

[0026] FIG. 6 is a structural schematic diagram of a driving unit according to the present invention;

[0027] FIG. 7 is a structural schematic diagram of a proximal segment turning transmission chain according to the present invention;

[0028] FIG. 8 is a structural schematic view according to the present invention with a flexible surgical instrument housing, a motor part housing, a sterile barrier and a linear module installed;

[0029] FIG. 9 is a structural schematic diagram of the sterile barrier connected to a cover plate according to the present invention;

[0030] FIG. 10 is a structural schematic diagram of the sterile barrier according to the present invention, but viewed from another angle;

[0031] FIG. 11 is a structural schematic diagram of an overall rotation driving mechanism according to the present invention; and

[0032] FIG. 12 is a structural schematic diagram of the distal structural body using a flexible sheath according to the present invention.

DETAILED DESCRIPTION OF EMBODIMENTS

[0033] The present invention is to be described in detail below in conjunction with the accompanying drawings and embodiments.

[0034] As shown in FIG. 1, the present invention comprises a flexible surgical instrument 10 and a driving unit 20.

[0035] As shown in FIGS. 1 to 4, the flexible surgical instrument 10 comprises a flexible continuous body structure composed of a distal structural body 11, a proximal structural body 16 and a middle connecting body 15.

[0036] The distal structural body 11 comprises a first distal structural segment 12 and a second distal structural segment 13, wherein the first distal structural segment 12 comprises first distal spacing disks 121, a first distal fixing disk 122 and first segment structural backbones 123. The second distal structural segment 13 comprises second distal spacing disks 131, a second distal fixing disk 132 and second segment structural backbones 133. The first distal spacing disks 121 and the second distal spacing disks 131 are respectively distributed at intervals in the first distal structural segment 12 and the second distal structural segment 13, which functions to prevent the first segment structural backbones 123 and the second segment structural backbones 133 from being destabilized when being pushed.

[0037] The proximal structural body 16 comprises a first proximal structural segment 17 and a second proximal structural segment 18, as shown in FIG. 3, wherein the first proximal structural segment 17 comprises first proximal spacing disks 171, a first proximal fixing disk 172 and first segment structural backbones 173; and the second proximal structural segment 18 comprises second proximal spacing disks 181, a second proximal fixing disk 182, and second segment structural backbones 183. The first proximal spacing disks 171 and the second proximal spacing disks 181 are respectively distributed at intervals in the first proximal structural segment 17 and the second proximal structural segment 18, which functions to prevent the first segment structural backbones 173 and the second segment structural backbones 183 from being destabilized when being pushed. The first segment structural backbones 173 of the first proximal structural segment 17 are securely connected, in one-to-one correspondence, to, or are the same as the first segment structural backbones 123 of the first distal structural segment 12; and the second segment structural backbones 183 of the second proximal structural segment 18 are securely connected, in one-to-one correspondence, to, or are the same as the second segment structural backbones 133 of the second distal structural segment 13. For each of the proximal structural segments 17, 18 or of the distal structural segments 12, 13, the number of structural backbones is three or more.

[0038] The middle connecting body 15 comprises channel fixing plates 152 and structural backbone guide channels 151 securely connected between the channel fixing plates 152. One end of the first segment structural backbone 173 (123) is securely connected to the first proximal fixing disk 172, and the other end thereof passes through the first proximal spacing disks 171, the structural backbone guide channel 151 and the first distal spacing disks 121 in sequence and is then securely connected to the first distal fixing disk 122. One end of the second segment structural backbone 183 (133) is securely connected to the second proximal fixing disk 182, and the other end thereof passes through the second proximal spacing disks 181, the structural backbone guide channel 151, the first distal structural segment 12 and the second distal spacing disks 131 in sequence and is then securely connected to the second distal fixing disk 132. The structural backbone guide channel 151 functions to maintain the shape of the first segment structural backbone 173 (123) and the second segment structural backbone 183 (133) under a pushing or pulling force.

[0039] The number of the distal structural segments comprised in the distal structural body 11 and the number of the proximal structural segments comprised in the proximal structural body 16 may also be one or more than two, but the number of the proximal structural segments is always consistent with the number of the distal structural segments. In addition, when the number of the distal structural segments is two or more, the distal structural segments are connected in series, that is, the second segment structural backbone passes through the first distal fixing disk and the first distal spacing disks (and can also pass through the first segment structural backbone if the first segment structural backbone is of a tubular structure). When the number of the proximal structural segments is two or more, series connection, independent arrangement, nested arrangement, etc. may be applied between the structural segments. In this embodiment, the nested arrangement is used between the two proximal structural segments (as shown in FIG. 3).

[0040] As shown in FIG. 5, a driving unit fixing plate 21 is arranged behind the channel fixing plate 152, and a plurality of cable transmission mechanisms 22 is arranged between the driving unit fixing plate 21 and the channel fixing plate 152, each of the cable transmission mechanisms 22 comprising a male coupling 221, two bevel gears 222, 223, a gear shaft 235, a fixing block 224, two pulleys 225, 226, a pulley seat 231, a driving cable 227, a guiding rod 232, a push-pull rod 229, and a guiding slider 230. The male coupling 221 is rotatably arranged on the driving unit fixing plate 21 and the front end thereof is coaxially and securely connected to the bevel gear 222, the bevel gear 222 meshes with the bevel gear 223, and the bevel gear 223 is rotatably supported, via the gear shaft 235, on the fixing block 224 securely connected to the driving unit fixing plate 21; the pulley 225 is coaxially and securely connected to the bevel gear 223; the pulley 226 is rotatably supported on the pulley seat 231 securely connected to the channel fixing plate 152; one end of the driving cable 227 is securely connected to the pulley 225, and the other end thereof passes around the pulley 226 and is then securely connected to the pulley 225. The guiding slider 230 is securely connected to the driving cable 227, and the guiding slider 230 is slidably disposed on the guiding rod 232. The guiding rod 232 is securely connected between the driving unit fixing plate 21 and the channel fixing plate 152. The guiding slider 230 is securely connected to the rear end of the push-pull rod 229, the front end of the push-pull rod 229 passes through the channel fixing plate 152 and is connected to one end of the driving backbone 211 via the proximal segment driving block 233, and the other end of the driving backbone 211 passes through the first proximal spacing disks 171 and is then securely connected to the first proximal fixing disk 172, or passes through the second proximal spacing disks 181 and is then securely connected to the second proximal fixing disk 182. A guiding rod 234 is securely arranged between the two channel fixing plates 152, and the proximal segment driving block 233 is slidably connected to the guiding rod 234. In a preferred embodiment, the guiding rod 234 and the guiding rod 232 are of the same guiding rod.

[0041] When the male coupling 221 is driven to rotate, the male coupling 221 transfers the rotational motion to the pulley 225 through the bevel gears 222, 223, and the pulley 225 pulls the driving cable 227, so that the guiding slider 230 performs a linear motion along the guiding rod 232, the proximal segment driving slider 233 performs a linear motion along the guiding rod 234 by means of the push-pull rod 229, and in turn the driving backbone 211 is pushed or pulled to drive the first proximal structural segment 17 or the second proximal structural segment 18 to turn. The cooperative driving of a plurality of sets of cable transmission mechanisms 22 (eight in this embodiment) can realize the cooperative pushing or pulling of a plurality of driving backbones 211 (eight in this embodiment), thereby driving the proximal structural segments 17, 18 to turn in any direction.

[0042] As shown in FIGS. 6 and 7, the driving unit 20 comprises a motor part 41 and a motion transmission part. The motor part 41 comprises a motor fixing plate 402 and a plurality of first motors 411 securely connected to the motor fixing plate 402. The motion transmission part comprises a plurality of proximal segment turning transmission chains 42, each of the proximal segment turning transmission chains 42 is connected to an output shaft of one of the first motors 411 via a coupling 412 for decomposing the rotational output of the first motor 411 into mutually reversed rotational motions of two output shafts 405, so as to transfer the same to a pair of male couplings 221 to achieve the cooperative pushing or pulling of the proximal structural segments. The proximal segment turning transmission chains 42 each comprises an input gear 421, an output gear 422, two (even number) idle gears 423, and two output shafts 405, and the input gear 421 is securely sheathed on one of the output shafts 405, the rear end of the output shaft 405 is connected to the output shaft of the first motor 411 via the coupling 412; and the output gear 422 is securely sheathed on the other output shaft 405, and the input gear 421 is in transmission connection with the output gear 422 via the two (even number) idle gears 423. The front end of each output shaft 405 is directly or indirectly connected to one of the male couplings 221, whereby two cable transmission mechanisms 22 can be moved by the rotational output of one first motor 411, thereby driving the first proximal structural segment 17 or the second proximal structural segment 18 to turn in a certain direction.

[0043] In the above embodiment, as shown in FIGS. 8 to 10, a sterile barrier 30 is provided between the motion transmission part and the driving unit fixing plate 21, and the sterile barrier 30 comprises a sterile barrier support plate 302, a sterile barrier cover 301 securely connected to an outer periphery of the sterile barrier support plate 302, and a plurality of female couplings 303 rotatably connected to the sterile barrier support plate 302, the front ends of the female couplings 303 being configured to be connected to the male couplings 221. A male coupling 403 (as shown in FIG. 6) configured to be connected to the rear end of the female coupling 303 is securely connected to the front end of each output shaft 405. The rotational motion of the output shaft 405 can thus be transferred to the bevel gear 222 via the male coupling 403, the female coupling 303, and the male coupling 221. A sterile membrane (not shown) is securely connected to the sterile barrier cover 301, which can isolate a sterilized part, such as the flexible surgical instrument 10 that is located in front of the sterile barrier 30, from unsterilized parts, such as the motion transmission part and the motor part 41 behind the sterile barrier 30, to ensure the feasibility of clinical surgery.

[0044] In the above embodiment, as shown in FIGS. 6 and 10, a cover plate 404 is arranged at the front end of the motion transmission part, the front end of each output shaft 405 passes through the cover plate 404 and is rotatably connected to the cover plate 404, and two sets of connecting pin seats 406 are provided on the cover plate 404; and correspondingly, two sets of connecting pin seats 304 configured for quick connection to the connecting pin seats 406 are also provided on the sterile barrier support plate 302. In this way, the sterile barrier 30 is fixedly connected to the motion transmission part and can transfer the overall motion.

[0045] In the above embodiment, as shown in FIGS. 2, 5 and 11, a surgical end effector 101 is provided at the front end of the distal structural body 11, and a surgical end effector actuation wire 102 connected at one end to the surgical end effector 101 passes through the distal structural body 11, and is connected at the other end to a surgical end effector driving mechanism 25. The surgical end effector driving mechanism 25 comprises a male coupling 213 rotatably arranged on the driving unit fixing plate 21, and the front end of the male coupling 213 is securely connected to a threaded rod 252, and the threaded rod 252 is connected, in a matching manner, to a nut 253. Further, a casing 254 is securely connected to the front side of the driving unit fixing plate 21, the front end of the casing 254 is securely connected to a casing end cover 255, and the casing end cover 255 is provided with an inner hole. The nut 253 is slidably arranged in the inner hole of the casing end cover 255, and the inner hole is preferably a square hole so that the nut 253 can only freely slide but cannot rotate in the inner hole. The nut 253 is securely connected to the rear end of a push-pull rod 256, and the front end of the push-pull rod 256 is securely connected to the rear end of the surgical end effector actuation wire 102. A second motor is securely connected to the motor fixing plate 402, an output shaft of the second motor is securely connected to the rear end of an output shaft 414 via the coupling 412, an input gear 441 is securely sheathed over the front end of the output shaft 414, the input gear 441 meshes with an output gear 442, the output gear 442 is securely connected to an output shaft 415, and the front end of the output shaft 415 is directly or indirectly connected to the male coupling 213 to transfer the rotational output of the second motor to the threaded rod 252, thereby converting the same into the linear motion of the nut 253, so that the surgical end effector actuation wire 102 is pushed or pulled by the push-pull rod 256 to control the surgical end effector 101 (e.g., surgical forceps) to perform actions. The surgical end effector actuation wire 102 may also transfer various forms of energy, such as electrical energy and high-frequency vibrations, to achieve specific surgical functions (e.g., electrocoagulation, and electric resection) of the surgical end effector 101. Further, the front end of the output shaft 415 is securely connected to a male coupling 416 (as shown in FIG. 6), and the male coupling 416 is connected to the male coupling 213 via a female coupling 305 located on the sterile barrier 30 (as shown in FIGS. 9 and 10).

[0046] In the above embodiment, as shown in FIGS. 8 and 12, the present invention further comprises a flexible surgical instrument housing 105 and a motor part housing 401. The proximal structural body 16 and the middle connecting body 15 are both located in the flexible surgical instrument housing 105; and the channel fixing plate 152 and the driving unit fixing plate 21 are both securely connected to the flexible surgical instrument housing 105. The motor part 41 and the motion transmission part are both located in the motor part housing 401; and the cover plate 404 at the front end of the motion transmission part is securely connected to the flexible surgical instrument housing 105 via the sterile barrier 30, so that the flexible surgical instrument 10 can rotate integrally with the motion transmission part and the motor part 41. The cover plate 404 and the motor fixing plate 402 are both rotatably connected to the motor part housing 401. An inner ring gear 432 is securely connected to an inner wall of the motor part housing 401, and a third motor is securely connected to the motor fixing plate 402. An output shaft of the third motor is connected to the rear end of an output shaft 417 via the coupling 412, the front end of the output shaft 417 is securely connected to an input gear 433, and the input gear 433 meshes with the inner ring gear 432. When the output shaft of the third motor rotates, the input gear 433 is driven to rotate, and the input gear 433 travels in a circumferential direction of the inner ring gear 432, thereby driving the rotation of the parts, as a whole, of the present invention other than the motor part housing 401 and the inner ring gear 432, and achieving control over the roll angle of the surgical end effector 101.

[0047] In the above embodiment, as shown in FIG. 8, the present invention further comprises a linear module 50 (the linear module 50 also being isolated from the sterilized parts by the sterile membrane), which comprises a support 501 with a sliding groove, wherein a lead screw 503 is provided on the support 501, the lead screw 503 is sheathed with a slider 502 which is threadedly fitted with the lead screw 503 and slidably provided in the sliding groove, one end of the support 501 is provided with a motor 504, and an output shaft of the motor 504 is securely connected to the lead screw 503 via a coupling. The motor part housing 401 is fixedly connected to the slider 502. When the output shaft of the motor 504 rotates, the slider 502 linearly moves the driving unit 20, the sterile barrier 30 and the flexible surgical instrument 10 along the sliding groove, thereby achieving the freedom of feeding of the distal structural body 11.

[0048] In the above embodiment, as shown in FIG. 8, an envelope 103 is provided over the outside of the distal structural body 11 and functions to improve the smoothness of the distal structural body 11 entering a natural orifice or a surgical incision in the human body. A rigid outer sleeve 104 and a sheath 60 may also be provided over the outside of the envelope 103. In an application, the sheath 60 is fixed at a single incision in the abdominal cavity, and the distal structural body 11, together with the envelope 103 and the surgical end effector 101, can freely pass through a through-hole in the sheath 60 for the passage of the surgical instrument and have access to the surgical site to perform the single-port laparoscopic surgery. As shown in FIG. 12, the sheath 60 may also be a flexible sheath that can more easily extend into various natural orifices of the human body and adaptively change shape as the shape of the orifices, one end of the flexible sheath is fixed at the entrance of the orifice, and the distal structural body 11, together with the envelope 103 and the surgical end effector 101, can freely pass through a through-hole in the flexible sheath for the passage of the surgical instrument and have access to the surgical site to perform non-invasive surgery through the natural orifice.

[0049] The present invention has been illustrated only by the above embodiments, and the structure, arrangement position and connection of the components can be varied. On the basis of the technical solutions of the present invention, the improvements or equivalent changes to individual components according to the principles of the present invention should not be excluded from the scope of protection of the present invention.