End effector instrument, end effector device, delivery device, and assembly box
11259815 · 2022-03-01
Assignee
Inventors
Cpc classification
A61B2017/12004
HUMAN NECESSITIES
A61B2017/0053
HUMAN NECESSITIES
International classification
Abstract
The present disclosure relates to an end effector instrument. The end effector instrument may include an end effector device. The end effector device may include a clip and a resilient portion including a connecting hole and a limiting convex. The end effector instrument may further include a delivery device including a sheath and a shaft. The sheath may include a passage that accommodates the shaft. A distal end of the shaft may include a connecting end. The sheath may include a limiting concave. The connecting end may extend into or exit from the connecting hole when the sheath is set outside the resilient portion: when the connecting end extends into the connecting hole, the resilient portion may expand outward, and the limiting convex may extend into the limiting concave; when the connecting end exits from the connecting hole, the resilient portion may rebound, and the limiting convex may exit from the limiting concave. The end effector device may be operated repeatedly, and the delivery device may be reused.
Claims
1. A system, comprising: a delivery device including a sheath and a shaft, the sheath providing a passage for accommodating the shaft, the shaft longitudinally movable relative to the sheath; a clip assembly releasably coupled to a distal end of the delivery device, the clip assembly including a connecting pipe and a pair of clip arms that are slidably received within a channel of the connecting pipe; and a resilient portion, the resilient portion having a hole to receive the shaft, the resilient portion changing between a first configuration, in which the shaft is received in the hole of the resilient portion such that the connecting pipe is fixedly coupled to the sheath, and a second configuration, in which the shaft is released from the hole of the resilient portion such that the connecting pipe is detached from the sheath.
2. The system of claim 1, wherein the resilient portion and the connecting pipe forms an integration structure, and the resilient portion is arranged at a proximal end of the integration structure.
3. The system of claim 1, wherein the resilient portion and the sheath forms an integration structure, and the resilient portion is arranged at a distal end of the integration structure.
4. The system of claim 1, wherein the resilient portion is detachably coupled to the connecting pipe or the sheath.
5. The system of claim 1, wherein the sheath includes a limiting concave, and the resilient portion includes a limiting convex, wherein the first configuration of the resilient portion causes the limiting convex to be received within the limiting concave, and the second configuration of the resilient portion causes the limiting convex to be out of the limiting concave.
6. The system of claim 5, wherein the resilient portion is an elastic ring that is disposed within the connecting pipe, and the connecting pipe includes a limiting hole through which the limiting convex of the elastic ring extends to the limiting concave of the sheath.
7. The system of claim 6, wherein the elastic ring includes a notch, and a dimension of the notch when the elastic ring is in its first configuration is different from a dimension of the notch when the elastic ring is in its second configuration.
8. The system of claim 1, wherein the connecting pipe includes a limiting concave, and the resilient portion includes a limiting convex, wherein the first configuration of the resilient portion causes the limiting convex to be received within the limiting concave, and the second configuration of the resilient portion causes the limiting convex to be out of the limiting concave.
9. The system of claim 8, wherein the resilient portion is an elastic ring that is disposed within the sheath, and the sheath includes a limiting hole through which the limiting convex of the elastic ring extends to the limiting concave of the connecting pipe.
10. The system of claim 1, wherein a centroid of the resilient portion changes when the resilient portion changes from the first configuration to the second configuration.
11. The system of claim 1, wherein the pair of clip arms forms a clamping hole at a proximal end thereof, and a size of the clamping hole varies when the pair of clip arms slide within the channel of the connecting pipe.
12. The system of claim 11, wherein the shaft includes a clamping portion at its distal end, and the clamping portion includes an expanded portion and a recessed portion, the expanded portion having a larger cross-section than that of the recessed portion.
13. The system of claim 12, wherein a maximum size of the cross-section of the expanded portion is larger than a minimum size of the clamping hole.
14. An end effector device, comprising: a clip assembly including a connecting pipe and a pair of clip arms that are slidably received within a channel of the connecting pipe; and a resilient portion coupled to the clip assembly, the resilient portion having a hole to receive a shaft of a delivery device, the resilient portion changing between a first configuration, in which the resilient portion receives the shaft and extends laterally outward relative to a longitudinal axis of the connecting pipe, and a second configuration, in which the shaft resilient portion releases the shaft and extends laterally inward relative to the longitudinal axis of the connecting pipe.
15. The end effector device of claim 14, wherein the resilient portion and the connecting pipe forms an integration structure, and the resilient portion is disposed at a proximal end of the integration structure.
16. The end effector device of claim 14, wherein the resilient portion is detachably coupled to the connecting pipe.
17. The end effector device of claim 14, wherein the resilient portion is an elastic ring that is disposed within the connecting pipe and has a limiting convex, and the connecting pipe includes a limiting hole through which the limiting convex of the elastic ring extends.
18. The end effector device of claim 14, wherein the pair of clip arms forms a clamping hole at a proximal end thereof, and a size of the clamping hole varies when the pair of clip arms slide within the channel of the connecting pipe.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
(13)
(14)
(15)
(16)
(17)
(18)
(19)
(20)
(21)
(22)
(23)
(24)
(25)
(26)
(27)
(28)
(29)
(30)
(31)
(32)
(33)
(34)
(35)
(36)
(37)
(38)
(39)
(40)
(41)
(42)
(43)
DESCRIPTION OF REFERENCE SIGNS
(44) 100, end effector device, 110, clamping arm, 111, locking convex, 112, tail clamp, 113, ligation tooth, 114, coupling hole, 115, clamping hole, 120, connecting pipe, 121, limiting hole, 122, locking concave, 123, blocking portion, 130, connecting pin, 140, positioning groove, 150, positioning ring; 200, delivery device, 210, sheath, 220, shaft, 230, connecting end, 231, expanded portion, 232, recessed portion, 233, guide portion, 240, limiting concave, 250, end cover, 270, limiting step; 300, control device, 310, handle, 320, sliding portion; 400, elastic ring, 410, limiting convex, 420, limiting portion, 430, connecting hole, 440, notch, 450, resilient portion, 460, half-ring; 500, assembly box, 510, accommodate section, 511, chamber for accommodating a clip, 512, chamber for accommodating a connecting pipe, 513, positioning convex, 520, clamping section, 521, chamber for accommodating a sheath, 522, clamping piece.
DETAILED DESCRIPTION
(45) The present disclosure will be further described in detail below, but the implementation of the present disclosure is not limited thereto.
Embodiment One
(46) As shown in
(47) As shown in
(48) The resilient portion may include an elastic ring 400. The elastic ring 400 may include a connecting hole 430. An outer peripheral surface of the elastic ring 400 may include a limiting convex 410. The elastic ring 400 may be set in the channel of the connecting pipe 120. The elastic ring 400 may include the connecting hole 430 and the limiting convex 410. The connecting hole 430 may be connected to the channel of the connecting pipe 120. A pipe wall of the connecting pipe 120 may include a limiting hole 121 corresponding to the limiting convex 410. The limiting convex 410 may pass through or exit from the limiting hole 121.
(49) The delivery device 200 may include a sheath 210 and a shaft 220. The sheath 210 may include a passage. The shaft 220 may be accommodated in the passage of the sheath 210. A distal end of the shaft 220 may include a connecting end 230. The sheath 210 may include a sheath body and an end cover 250. The end cover 250 may include a limiting step 270, which may form a limiting concave 240 with a surface of the distal end of the sheath body.
(50) The control device 300 may include a handle 310 and a sliding portion 320. The handle 310 may be connected to the sheath 210. The sliding portion 320 may be connected to the shaft 220. The sliding portion 320 may slide relative to the handle 310 towards a distal end or a proximal end, to cause the shaft 220 to move relative to the sheath 210 towards the distal end or the proximal end.
(51) When the sheath 210 is placed outside the elastic ring 400, the connecting end 230 may extend into or exit from the connecting hole 430. When the connecting end 230 extends into the connecting hole 430, the elastic ring 400 may expand laterally outward, the limiting convex 410 may extend into the limiting concave 240 to connect the connecting pipe 120 with the sheath 210. When the connecting end 230 exits from the connecting hole 430, the elastic ring 400 may rebound, and the limiting convex 410 may exit from the limiting concave 240 to release the connection between the connecting pipe 120 and the sheath 210.
(52) When the elastic ring 400 is subjected to an extrusion force (in the direction along force F illustrated in
(53) In some embodiments, the limiting concave 240 may be a groove on an inner wall of the sheath 210. The sheath 210 may include the sheath body and the end 250 set at the distal end of the sheath body. The end cover 250 may include the limiting step 270. The end cover 250 may be set to form the limiting concave 240. The production process may be simple, but not be limited thereto. A blind hole, a through hole, or a groove on a side wall of the sheath 210 may be generated to form the limiting concave 240. Or a step protruding towards a central axis of the sheath 210 on the inner wall of the sheath 210 may also be provided. The limiting concave 240 may be formed between the step and the inner wall of the sheath 210, for limiting the limiting convex 410 from sliding out of the distal end of the sheath 210.
(54) In some embodiments, as shown in
(55) A side of the limiting convex 410 may include a limiting portion 420. The limiting portion 420 may be set in the channel of the connecting pipe 120. When the elastic ring 400 is extruded and expands outward, the limiting portion 420 may abut an outer side of the limiting concave 240, or may abut the limiting hole 121, so as to prevent the elastic ring 400 from stretching excessively.
(56) The proximal end of each clip arm 110 may include a tail clamp 112. There may be a space between two tail clamps 112, which may form a clamping hole 115. The clamping hole 115 may be connected to the channel of the connecting pipe 120. The clamping hole 115 may be formed by the clip arms 110 directly, thereby having a simple structure. In general, the clip arms 110 may be flat pieces. Preferably, the proximal ends of the clip arms 110 may be bent in a direction perpendicular or nearly perpendicular to the flat surface and form L hooks. As shown in
(57) A distal end of the connecting end 230 may include a clamping portion matched with the clamping hole 115. The clamping portion may include a recessed portion 232 and an expanded portion 231. The recessed portion 232 may be located between the expanded portion 231 and the connecting end 230. The maximum width (D1 as illustrated in
(58) The clip may further include a connecting pin 130. The proximal ends of the clip arms 110 may include a locking convex 111 and a coupling hole 114. The connecting pin 130 may be set through the coupling hole 114. When the two clip arms 110 are constrained by the connecting pipe 120 to be closed, the proximal ends of the two clip arms 110 may slide along the connecting pin 130 and move away from each other (in the pointing direction of the arrows illustrated in
(59) When the proximal ends of the clip arms 110 are close to the distal end of the connecting pipe 120, the distal ends of the clip arms 110 may be far apart from each other, and the clip arms 110 may open. When the proximal ends of the clip arms 110 are close to the proximal end of the connecting pipe 120, the distal ends of the clip arms 110 may be constrained by the connecting pipe 120 to be closed, the proximal ends of the clip arms 110 may move away from each other, and the locking convex 111 may extend into the locking concave 122, thereby the clip arms 110 may be locked in the connecting pipe 120, thus preventing the clip arms 110 from moving relative to the connecting pipe 120, keeping the clip arms 110 closed, and preventing the clip from loosening after ligation. Preferably, the clip arms 110 may include curvatures that allow the clip arms 110 to automatically open or close.
(60) As shown in
(61) After the clip is closed, continuing to pull the shaft 220 to the proximal end may drive the clip to move to the proximal end. When the clamping portion exits from the clamping hole 115, the connection between the clip and the shaft 220 may be released. Edges of the clamping hole 115 may be deformed, broken, or ruptured by the expanded portion 231. At this time, a separation of the connecting end 230 and the clip may be realized, which may not affect the actual use.
(62) Preferably, by using a suitable shape and diameter of the clamping hole 115, a suitable shape and width of the expanded portion 231, and materials surrounding the clamping hole 115, the expanded portion 231 and the clamping hole 115 may be repeatedly buckled or connected without loss.
(63) In some embodiments, the end effector device 100 and the delivery device 200 may be repeatedly connected and disconnected. After the end effector device 100 ligates a human body, the end effector device 100 may be detached from the delivery device 200, and the delivery device 200 may be recycled. The end effector device 100 and the delivery device 200 may be separately produced, and then assembled for use.
(64) As shown in
(65) The chamber 511 for accommodating the clip may accommodate the clip in an open state.
(66) A positioning convex 513 may be provided between the chamber 511 for accommodating the clip and the chamber for accommodating the connecting pipe 120. The positioning convex 513 may abut a distal end of the connecting pipe 120.
(67) The clamping section 520 may include a chamber for accommodating the sheath 210. One end of the chamber for accommodating the sheath 210 may be connected to the chamber for accommodating the end effector device 100, and another end of the chamber for accommodating the sheath 210 may include an opening.
(68) When the clamping section 520 is subjected to an extrusion force (in the pointing direction of the arrows illustrated in
(69) As shown in
(70) In an assembly:
(71) (1) As shown in
(72) (2) The sheath 210 may be inserted from the opening at the proximal end of the chamber for accommodating the sheath 210 such that the sheath 210 may be placed outside the proximal end of the connecting pipe 120. At this time, as shown in
(73) (3) The sliding portion 320 may be pushed to drive the shaft 220 to move towards the distal end. The connecting end 230 may extend into the connecting hole 430 and extrude the limiting convex 410 to extend outward in the direction of the arrows illustrated in
(74) (4) The shaft 220 may be pulled to move towards the proximal end to drive the clip to move to the proximal end. The clip may gradually enter the connecting pipe 120 may be closed. At this time, the clip arms 110 may not prevent the clip from moving out of the chamber 511 for accommodating the clip. Then, as shown in
(75) At this point, the assembly may be completed.
(76) The chamber 511 for accommodating the clip may be open or not open. Preferably, from the viewpoint of sterilization, the end effector device 100 may be sealed in the chamber 511 for accommodating the clip before leaving the factory.
Embodiment Two
(77) Differences between embodiment two and embodiment one may include:
(78) As shown in
(79) In some embodiments, the assembly of the end effector device 100 and the delivery device 200 may be similar to those described in embodiment one, and the assembly box 500 of embodiment one may be applied.
Embodiment Three
(80) Differences between embodiment three and embodiment one may include:
(81) Changes in positions of the resilient portion 450 and the limiting concave 240. As shown in
(82) In some embodiments, the inner wall of the connecting pipe 120 may include the limiting concave 240.
(83) The distal end of the sheath 210 may include an elastic ring 400. The elastic ring 400 may be set in the passage of the sheath 210. The elastic ring 400 may be the resilient portion, and the elastic ring 400 may include the connecting hole 430 and the limiting convex 410. The pipe wall of the sheath 210 may include a limiting hole 121 corresponding to the limiting convex 410.
(84) When the elastic ring 400 extends into the channel of the connecting pipe 120, the connecting end 230 may extend into or exit from the connecting hole 430. When the connecting end 230 extends into the connecting hole 430, the elastic ring 400 may be extruded and expand outward, and the limiting convex 410 may extend into the limiting concave 240. When the connecting end 230 exits from the connecting hole 430, the elastic ring 400 may rebound, and the limiting convex 410 may exit from the limiting concave 240.
(85) In some embodiments, the assembly of the end effector device 100 and the delivery device 200 may be similar to those described in embodiment one, and the assembly box 500 of embodiment one may be applied.
Embodiment Four
(86) Differences between embodiment four and embodiment one may include:
(87) Changes in the structure of the elastic ring 400. In some embodiments, the structure of the elastic ring 400 may change. In some embodiments, as shown in
(88) When the connecting end is not inserted into the connecting hole, the diameter D3 formed by the three limiting convexes 410 may be smaller than the diameter D5 of the edge of the limiting concave distributed on the sheath, D3<D5, and the sheath may slide freely relative to the connecting pipe. When the connecting end is inserted into the connecting hole, the diameter formed by the three limiting convexes 410 may increase from D3 to D4, D4>D5, and the limiting convex may extend into the limiting concave, which limits the relative slide between the sheath and the connecting pipe.
Embodiment Five
(89) Differences between embodiment five and embodiment one may include:
(90) Changes in the structure of the elastic ring 400. In some embodiments, as shown in
(91) The limiting convex 410 may be set as shown in
(92) As shown in
Embodiment Six
(93) Differences between embodiment six and embodiment one may include:
(94) Changes in the structure of the elastic ring 400. In some embodiments, as shown in
Embodiment Seven
(95) Differences between embodiment seven and embodiment one may include:
(96) Changes in the structure of the elastic ring 400. In some embodiments, as shown in
Embodiment Eight
(97) Differences between Embodiment eight and Embodiment one may include:
(98) As shown in
Embodiment Nine
(99) Differences between Embodiment nine and Embodiment one may include:
(100) As shown in
(101) The half-ring 460 may be set directly within the channel of the connecting pipe 120 to align the limiting convex 410 with the limiting hole 121. The half-ring 460 may be a ½ ring, a ⅓ ring, or a ring of other shapes, as long as it may automatically rebound when the connecting end exits from the connecting hole 430, such that the connection between the end effector device 100 and the sheath 210 may be released.
Embodiment Ten
(102) Difference between Embodiment ten and Embodiment nine may include:
(103) The resilient portion may include a half-ring, referring to the half-ring on the left or the right of
Embodiment Eleven
(104) Differences between Embodiment eleven and Embodiment one may include:
(105) As shown in
(106) The resilient portion 450 may include the connecting hole 430. The connecting hole 430 may be connected to the passage of the sheath 210 to allow the connecting end 230 to move towards the distal end. When the connecting end 230 extends into the connecting hole 430, the limiting convex 410 of the resilient portion 450 may be extruded outward and thus open. The connecting hole 430 may allow the connecting pipe 120 and the limiting convex 410 to pass through, such that the proximal end of the connecting pipe 120 may extend into the connecting hole, and then the connecting end 230 may move towards the distal end. When the connecting end 230 passes through the connecting hole 430, the extrusion force applied by the connecting end 230 from the connecting hole 430 on the resilient portion 450 disappears, the resilient portion 450 may rebound, and the limiting convex 410 may extend into the limiting concave 240. The limiting convex 410 and the limiting concave 240 may cooperate to connect the connecting pipe 120 and the sheath 210. At this point, the end effector device may be driven to move by operating the delivery device 200. To release the connection between the connecting pipe 120 and the sheath 210, the connecting end 230 may be moved to the proximal end. When the connecting end 230 extends into the connecting hole 430, the connecting end 230 may apply an extrusion force from the inner wall of the connecting hole 430 to the resilient portion 450, the resilient portion 450 may be enlarged, and the connecting hole 430 may allow the connecting pipe 120 and the limiting convex 410 to pass through. At this point, the proximal end of the connecting pipe 120 may be separated from the distal end of the sheath 210, and the connection between the connecting pipe 120 and the sheath 210 may be released. Then the connecting end 230 may continue to move towards the proximal end. When the connecting end 230 exits from the connecting hole 430, the resilient portion 450 may rebound, and the sheath 210 and the resilient portion 450 may be ready to be connected to the connecting pipe 120 next time.
(107) In some embodiments, the connecting pipe 120 may include the limiting condom 240 and the limiting convex 410. The resilient portion 450 may include the limiting concave 240 and the limiting convex 410. The limiting concave 240 and the limiting convex 410 may be buckled to form a connection. However, it is not limited thereto. The connecting pipe 120 may include the limiting concave 240, and the resilient portion 450 may include the limiting convex 410. Alternatively, the connecting pipe 120 may include the limiting convex 410, and the resilient portion 450 may include the limiting concave 240.
Embodiment Twelve
(108) Differences between embodiment twelve and embodiment five may include:
(109) As shown in
(110) The technical features of the above embodiments may be arbitrarily combined. For brevity, all possible combinations of the various technical features in the above embodiments are not fully described. However, as long as there is no contradiction in the combination of these technical features, it should be considered as the scope of this specification.
(111) The above embodiments are merely illustrative of several embodiments of the present disclosure, and the description thereof is specific and detailed, but is not to be construed as limiting the scope of the invention. It should be noted that, for those skilled in the art, there are several variations and modifications that may be made to the present disclosure without departing from the present disclosure concept. Therefore, the scope of protection of the present disclosure patent shall be subject to the appended claims.