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WO2019037552A1 - 一种可重复使用的电动腔镜切割吻合器 - Google Patents

一种可重复使用的电动腔镜切割吻合器 Download PDF

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Publication number
WO2019037552A1
WO2019037552A1 PCT/CN2018/094986 CN2018094986W WO2019037552A1 WO 2019037552 A1 WO2019037552 A1 WO 2019037552A1 CN 2018094986 W CN2018094986 W CN 2018094986W WO 2019037552 A1 WO2019037552 A1 WO 2019037552A1
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WO
WIPO (PCT)
Prior art keywords
handle
adapter
reusable
cutting stapler
host
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/CN2018/094986
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English (en)
French (fr)
Inventor
王建兵
聂红林
陈继东
丁浩
陶迎迎
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
SHANGHAI YISI MEDICAL TECHNOLOGY Co Ltd
Yisi Suzhou Medical Technology Co Ltd
Original Assignee
SHANGHAI YISI MEDICAL TECHNOLOGY Co Ltd
Yisi Suzhou Medical Technology Co Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by SHANGHAI YISI MEDICAL TECHNOLOGY Co Ltd, Yisi Suzhou Medical Technology Co Ltd filed Critical SHANGHAI YISI MEDICAL TECHNOLOGY Co Ltd
Priority to RU2020111955A priority Critical patent/RU2020111955A/ru
Priority to EP18848192.3A priority patent/EP3673819A4/en
Priority to US16/641,706 priority patent/US20200352567A1/en
Priority to JP2020511458A priority patent/JP2020527090A/ja
Priority to BR112020003836-9A priority patent/BR112020003836A2/pt
Publication of WO2019037552A1 publication Critical patent/WO2019037552A1/zh
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/32—Surgical cutting instruments
    • A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00017—Electrical control of surgical instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00115—Electrical control of surgical instruments with audible or visual output
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00199—Electrical control of surgical instruments with a console, e.g. a control panel with a display
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/0023—Surgical instruments, devices or methods disposable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00238—Type of minimally invasive operation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
    • A61B2017/00398—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like using powered actuators, e.g. stepper motors, solenoids
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/0046—Surgical instruments, devices or methods with a releasable handle; with handle and operating part separable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/0046—Surgical instruments, devices or methods with a releasable handle; with handle and operating part separable
    • A61B2017/00473—Distal part, e.g. tip or head
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00681—Aspects not otherwise provided for
    • A61B2017/00734—Aspects not otherwise provided for battery operated
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214—Stapler heads
    • A61B2017/07271—Stapler heads characterised by its cartridge
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214—Stapler heads
    • A61B2017/07285—Stapler heads characterised by its cutter
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08—Accessories or related features not otherwise provided for
    • A61B2090/0803—Counting the number of times an instrument is used

Definitions

  • the present application relates to a surgical instrument, and in particular to a reusable electric laparoscopic cutting stapler for open or endoscopic resection, transection and anastomosis of lung, stomach and intestine tissue.
  • laparoscopic stapler With the popularity of minimally invasive surgery, laparoscopic stapler has become a conventional surgical instrument.
  • the existing mechanical laparoscopic cutting stapler relies on manpower operation during use, and has the disadvantages of unstable cutting, small firing force, low reliability, and laborious operation, which may cause unnecessary pain to the patient during the treatment process. Or trauma, it may also pose a health hazard to the hand joints of doctors who use the device for a long time.
  • the single-use electric laparoscopic cutting stapler that appears on the market can solve the above mentioned problems, but the single-use electric laparoscopic cutting stapler is often costly and expensive for patients. Bring an economic burden.
  • the present application provides a re-sterilizable electric cavity mirror cutting stapler, which can be repeatedly used after sterilization, and solves the problem that the electric stapler existing in the prior art is not repeatable.
  • the technical problem of sterilization through the unique product design, reduces the overall quality of the stapler and improves the convenience of the doctor's operation.
  • a reusable electric endoscopic cutting stapler for use in open or endoscopic resection, transection, and anastomosis of lung, stomach, and intestine tissue, and can be repeatedly sterilized and used multiple times.
  • the resterilizable electric stapler comprises: a main body, a handle, an adapter and a cable assembly; the adapter is connected to the handle; one end of the cable assembly is detachably connected to the host, and the other end is detachably connected to the handle, Used to transmit power and command signals.
  • the host can be used repeatedly, multiple times, and the cable assembly can be repeatedly used after being sterilized.
  • the adapter is detachably coupled to the handle; the adapter is a single use component that can be reused multiple times after sterilization.
  • the adapter and the handle form a complete machine that can be reused multiple times after sterilization.
  • the adapter and the handle form a complete machine, the complete machine being a single use component.
  • the host includes a detachably connected battery pack and a control module, the power of the host is provided by a battery pack, the battery pack and the adapter are single-use components, and the handle can be sterilized Repeatedly used multiple times.
  • a reusable electric laparoscopic cutting stapler for resection, transection, and anastomosis of an open or endoscopic lung, stomach, or intestine tissue, re-sterilizable, and multiple use.
  • the resterilizable electric stapler includes: a main body, a handle, an adapter; the adapter is coupled to the handle; the main body is directly mounted on the handle, and is detachably coupled to the handle, the main body includes The battery pack and the control module, the power of the host is provided by a battery pack, wherein the adapter and the battery pack are single-use components, and the handle can be repeatedly used after being sterilized.
  • the host includes a power module and a control module, and the power module converts the power frequency voltage into a DC voltage required by the handle;
  • the control module includes a circuit board component and a software program, and is responsible for controlling the mechanism operation and indication of the handle.
  • the handle obtains electrical energy from the host and operates and directs the adapter according to instructions from the host, including firing or retracting the tool holder, indicating the travel and direction of the tool holder, and the remaining number of uses.
  • the handle comprises a handle shell, a firing board machine, a safety trigger, a reversing push button, a stroke indicator light, a remaining usage number indicator, and a direction indicator.
  • the adapter includes an outer sleeve, a rotary head, and a bend control wrench.
  • the distal end of the outer cannula is loaded with a suitable staple for use in an anastomosis.
  • At least one or more components including the core component can be repeatedly sterilized and can be used multiple times, which greatly reduces the treatment cost of the patient, and furthermore Tissue contact with the working part is set as a single-use part, or the working part is separately sterilized, which greatly reduces the risk of cross-infection when using the device, improves the safety and reliability of the device, and its overall quality. Significantly reduced, making doctors more convenient.
  • the main unit is powered by a detachable battery pack, so that the stapler is not restricted by the place of use, and the portability is improved.
  • FIG. 1 is a schematic structural view of a reusable electric cavity mirror cutting stapler according to Embodiment 1 of the present application;
  • FIG. 2 is a schematic structural view of a handle of the electric cavity mirror cutting stapler of FIG. 1;
  • Figure 3 is a schematic structural view of the adapter of the electric cavity mirror cutting stapler of Figure 1;
  • FIG. 4 is a schematic structural view of a reusable electric cavity mirror cutting stapler according to Embodiment 2 and Embodiment 3 of the present application;
  • FIG. 5 is a schematic structural view of a reusable electric cavity mirror cutting stapler according to Embodiment 4 of the present application.
  • FIG. 6 is a schematic structural view of a reusable electric cavity mirror cutting stapler according to Embodiment 5 of the present application.
  • proximal refers to the end of the operator that is near the operator after the operator holds the instrument
  • distal refers to the end of the operator that is remote from the operator after holding the instrument
  • FIG. 1 there is shown a schematic structural view of a reusable electric cavity mirror cutting stapler according to a first embodiment of the present application.
  • the electric endoscope cutting stapler is used for open or endoscopic resection, transection and anastomosis of lung, stomach and intestine tissues, including a host 1, a handle 2, an adapter 3 and a cable assembly 4; the adapter 3 and the handle 2 are detachable
  • the cable assembly 4 has one end detachably connected to the main body 1 and the other end detachably connected to the handle 2 for transmitting electrical energy and command signals.
  • the host 1 can be used repeatedly and repeatedly.
  • the adapter 3 is a single-use component, and the handle 2 and the cable assembly 4 can be repeatedly used after being sterilized.
  • the host 1 is connected to a 50 Hz, 220V power frequency voltage.
  • the host 1 includes a power module and a control module.
  • the power module converts a 220V power frequency voltage into a 12V DC voltage required by the handle 2;
  • the control module includes The board assembly and software program are responsible for controlling the operation and indication of the mechanism of the handle 2.
  • FIG. 2 there is shown a schematic structural view of the handle of the electric cavity mirror cutting stapler of Figure 1.
  • the handle is an important operation and execution part of the stapler, and is connected with the host 1 through the cable assembly 4, obtains electric energy from the host 1 and fires or returns the tool holder according to the instruction of the host 1, indicates the stroke and direction of the tool holder, and the remaining usage count.
  • the handle 2 includes a handle housing 5, a firing trigger 6, a safety trigger 7, a reversing push button 8, a stroke indicator 9, a remaining usage indicator 10, and a direction indicator 11.
  • the adapter 3 is mounted to the handle 2 in use, and the distal end of the outer sleeve 12 can be loaded with a suitable magazine for anastomosis.
  • FIG. 3 there is shown a block diagram of the adapter of the motorized mirror cutting stapler of Figure 1.
  • the adapter 3 is mounted to the handle 2 in use, and the distal end of the adapter can be fitted with a suitable magazine.
  • the adapter 3 includes an outer sleeve 12, a rotary head 13 and a bend control wrench 14.
  • the adapter 3 is an aseptic package, which is attached to the handle 2 during use, is used once, and is removed from the handle 2 after disposal and disposed of.
  • the main body 1 is a non-sterile package, and the handle 2, the adapter 3, and the cable assembly 4 are aseptically packaged.
  • the main assembly 1 and the handle 2 are first connected by the cable assembly 4, then the adapter 3 is mounted to the handle 2, and finally the appropriate magazine is loaded onto the outer sleeve of the adapter 3 to perform the anastomosis operation.
  • the host 1 is stored according to the specified storage requirements, the adapter 3 is disposed as a disposable component, and the handle 2 and the cable assembly 4 are sterilized according to the operation specifications, and stored according to the storage requirements, for the next time. use.
  • Embodiment 2 is a diagrammatic representation of Embodiment 1:
  • This embodiment is substantially the same as the embodiment, except that the handle 2 and the adapter 3 are formed as a complete machine 15. Referring to Figure 4, the whole machine 15 can be repeatedly used after being sterilized.
  • the main body 1 is a non-sterile package, and the whole machine 15 and the cable assembly 4 are aseptically packaged.
  • the handle portion of the main body 1 and the whole machine 15 is first connected by the cable assembly 4, and then the appropriate staples are loaded into the outer sleeve of the adapter in the whole machine 15, and the anastomosis operation can be performed.
  • the host 1 stores according to the specified storage requirements, and the whole machine 15 and the cable assembly 4 are sterilized according to the operation specifications, and are stored according to the storage requirements for the next use.
  • Embodiment 3 is a diagrammatic representation of Embodiment 3
  • this embodiment is substantially the same as Embodiment 2 except that the complete machine 15 is a single use component.
  • the main body 1 is a non-sterile package, and the whole machine 15 and the cable assembly 4 are aseptically packaged.
  • the handle portion of the main body 1 and the whole machine 15 is first connected by the cable assembly 4, and then the appropriate staples are loaded into the outer sleeve of the adapter in the whole machine 15, and the anastomosis operation can be performed.
  • the host 1 is stored according to the specified storage requirements, and the whole machine 15 is disposed as a disposable component.
  • the cable assembly 4 is sterilized according to the operation specifications and stored according to the storage requirements for the next use.
  • Embodiment 4 is a diagrammatic representation of Embodiment 4:
  • This embodiment is substantially identical to the embodiment except that the main unit 1 includes a detachably connected battery pack 16 and a control module 17, see FIG.
  • the power of the host 1 is provided by a battery pack 16, which is a single use component.
  • the battery pack 16 and the control module 17 are non-sterile packaging, and the handle 2, the adapter 3, and the cable assembly 4 are aseptically packaged.
  • the host 1 and the handle 2 are first connected by the cable assembly 4, then the adapter 3 is mounted to the handle 2, the battery pack 16 is mounted to the control module 17, and finally the appropriate magazine is loaded onto the outer sleeve of the adapter 3, The anastomosis operation can be performed.
  • the control module 17 of the host 1 is stored according to the specified storage requirements, the battery pack 16 and the adapter 3 are disposed as disposable components, and the handle 2 and the cable assembly 4 are sterilized according to the operation specifications, and pressed. Store and store for future use. Use the brand new battery pack 16 for the next use.
  • Embodiment 5 is a diagrammatic representation of Embodiment 5:
  • the host 1 can be directly mounted on the handle 2 and detachably connected to the handle 2, and the host 1 includes a battery pack 16 and a control module 17, The power of the host 1 is provided by a battery pack 16, see Figure 6, wherein the adapter 3, battery pack 16 is a single use assembly, and the handle 2 can be reused multiple times after sterilization.
  • the main body 1, the handle 2, and the adapter 3 are aseptically packaged before use.
  • the main body 1 is first mounted directly to one end of the handle 2, then the adapter 3 is attached to the other end of the handle 2, and finally the appropriate staples are loaded onto the outer tube of the adapter 3 to perform an anastomosis operation.
  • the host 1 and the adapter 3 are disposed as disposable components, and the handle 2 is sterilized according to the operation specifications, and stored according to the storage requirements for the next use.
  • At least one or more components of the main body can be repeatedly sterilized and can be used multiple times, which greatly reduces the treatment cost of the patient and greatly reduces the cost.
  • the risk of cross-infection when using the device improves the safety and reliability of the device, and the overall quality is greatly reduced.
  • the use of a detachable battery pack to power the host makes the doctor's operation more convenient and free from the restrictions of the place of use.

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Abstract

一种可重复使用的电动腔镜切割吻合器，包括：主机（1）、手柄（2）、适配器（3）和线缆组件（4）；适配器（3）与手柄（2）连接；线缆组件（4）的一端与主机（1）可拆卸连接，另一端与手柄（2）可拆卸连接，用于传输电能和指令信号；主机（1）可以重复、多次使用，线缆组件（4）可经灭菌后重复多次使用。可重复使用的电动腔镜切割吻合器至少包含核心部件的一个或多个部件可重复灭菌，可以多次使用，既大幅度减少了患者的治疗费用，又极大地降低了使用器械时交叉感染的风险，提高了器械使用的安全性和可靠性，并且其整体质量大幅减轻，使医生操作更加便捷。

Description

一种可重复使用的电动腔镜切割吻合器 技术领域
本申请涉及一种外科手术器械，具体涉及一种可重复使用的电动腔镜切割吻合器，用于开放或腔镜下肺、胃、肠组织的切除、横断和吻合。
背景技术
随着微创外科手术的普及，腔镜切割吻合器已经成为一种常规的手术器械。现有的机械式腔镜切割吻合器在使用过程中依靠人力操作，存在切割不稳定、击发力小、可靠性低、操作费力等不足，在治疗过程中可能给患者带来不必要的疼痛或创伤，也会对长期使用该器械的医生的手部关节带来健康方面的隐患。近年来，在市场上出现的一次性使用的电动腔镜切割吻合器可以解决以上提到的问题，但是一次性使用的电动腔镜切割吻合器往往因为成本较高，价格较贵，而给患者带来经济上的负担。
目前，在国外市场上也出现了一些可重复使用的电动腔镜切割吻合器，虽然在一定程度上降低了患者使用器械治疗的成本，但是这些吻合器的核心部件不适合重复灭菌，仅在使用时通过物理装置与患者隔离和在使用后通过简单擦拭，来避免交叉感染。这样，在使用器械进行治疗时，患者有较大的被交叉感染的风险。另外，这种电动腔镜切割吻合器由于内部包含电机和电池组件，整体质量较重，给医生操作带来不便。
发明内容
为了解决上述技术问题，本申请提供了一种可重复灭菌的电动腔镜切割吻合器，该吻合器经灭菌后可以重复多次使用，解决了现有技术中存在的电动吻合器不可重复灭菌的技术问题，通过独特的产品设计，减轻了吻合器的整体质量，提高了医生操作的便利性。
根据本申请的一方面，提供一种可重复使用的电动腔镜切割吻合器，用于开 放或腔镜下肺、胃、肠组织的切除、横断和吻合，可重复灭菌、多次使用。所述可重复灭菌的电动吻合器包括：主机、手柄、适配器和线缆组件；所述适配器与手柄连接；所述线缆组件的一端与主机可拆卸连接，另一端与手柄可拆卸连接，用于传输电能和指令信号。所述主机可以重复、多次使用，所述线缆组件可经灭菌后重复多次使用。
在第一个实施方式中，所述适配器与手柄可拆卸地连接；所述适配器为一次性使用组件，所述手柄可经灭菌后重复多次使用。
在第二个实施方式中，所述适配器和所述手柄形成整机，所述整机可经灭菌后重复多次使用。
在第三个实施方式中，所述适配器和所述手柄形成整机，所述整机为一次性使用组件。
第四个实施方式中，所述主机包括可拆卸连接的电池包和控制模块，所述主机的电能由电池包提供，所述电池包和适配器为一次性使用组件，所述手柄可经灭菌后重复多次使用。
根据本申请的另一方面，提供一种可重复使用的电动腔镜切割吻合器，用于开放或腔镜下肺、胃、肠组织的切除、横断和吻合，可重复灭菌、多次使用。所述可重复灭菌的电动吻合器包括：主机、手柄、适配器；所述适配器与手柄连接；所述主机直接安装在所述手柄上，并且与所述手柄可拆卸地连接，所述主机包括电池包和控制模块，所述主机的电能由电池包提供，其中适配器、电池包为一次性使用组件，所述手柄可经灭菌后重复多次使用。
进一步，所述主机包括电源模块和控制模块，所述电源模块把工频电压转换成手柄所需要的直流电压；所述控制模块包括电路板组件和软件程序，负责控制手柄的机构运行及指示。
进一步，所述手柄从主机获得电能并按主机的指令对所述适配器进行操作及指示，包括击发或者退回刀架、指示刀架的行程和方向及剩余可使用次数。
进一步，所述手柄包括手柄外壳、击发板机、保险扳机、换向推钮、行程指示灯、剩余使用次数指示灯、方向指示灯。
进一步，所述适配器包括外套管、旋转头和控弯扳手。所述外套管远端在使用时装载适当的钉匣，用于吻合。
根据本申请的可重复使用的电动腔镜切割吻合器，至少包含核心部件的一个 或多个部件可重复灭菌，可以多次使用，既大幅度减少了患者的治疗费用，此外通过将与人体组织接触到工作端部件设置为一次性使用部件，或将工作端部件单独灭菌，均极大地降低了使用器械时交叉感染的风险，提高了器械使用的安全性和可靠性，并且其整体质量大幅减轻，使医生操作更加便捷。此外，由可拆卸的电池包对主机供能，使得吻合器不受使用场所的限制，提高便携性。
附图说明
图1为根据本申请实施方式一的可重复使用的电动腔镜切割吻合器的结构示意图；
图2为图1中电动腔镜切割吻合器的手柄的结构示意图；
图3为图1中电动腔镜切割吻合器的适配器的结构示意图；
图4为根据本申请实施方式二和实施方式三的可重复使用的电动腔镜切割吻合器的结构示意图；
图5为根据本申请实施方式四的可重复使用的电动腔镜切割吻合器的结构示意图；
图6为根据本申请实施方式五的可重复使用的电动腔镜切割吻合器的结构示意图。
具体实施方式
下面将对发明实施例中的技术方案进行清楚、完整地描述，显然，所描述的实施例仅仅是本申请一部分实施例，而不是全部的实施例。基于本申请的实施例，本领域普通技术人员在没有作出创造性劳动的前提下所获得的所有其他实施例，都属于本申请保护的范围。
为了描述的方便，本申请全文中出现的“近端”是指操作者握持器械后靠近操作者的一端，“远端”是指操作者握持器械后远离操作者的一端。
参见附图1，示出了为根据本申请实施方式一的可重复使用的电动腔镜切割吻合器的结构示意图。该电动腔镜切割吻合器用于开放或腔镜下肺、胃、肠组织的切除、横断和吻合，包括主机1、手柄2、适配器3和线缆组件4；所述适配器3与手柄2可拆卸地连接；所述线缆组件4的一端与主机1可拆卸连接，另一端与手柄2可拆卸连接，用于传输电能和指令信号。所述主机1可以重复、多次 使用，所述适配器3为一次性使用组件，所述手柄2、线缆组件4可经灭菌后重复多次使用。所述主机1接入50赫兹，220V工频电压，所述主机1包括电源模块和控制模块，所述电源模块把220V工频电压转换成手柄2所需要的12V直流电压；所述控制模块包括电路板组件和软件程序，负责控制手柄2的机构运行及指示。
参见附图2，示出了图1中电动腔镜切割吻合器的手柄的结构示意图。手柄是吻合器的重要操作和执行部件，与所述主机1通过线缆组件4连接，从主机1获得电能并按主机1的指令击发或者退回刀架、指示刀架的行程和方向及剩余可使用次数。所述手柄2包括手柄外壳5、击发板机6、保险扳机7、换向推钮8、行程指示灯9、剩余使用次数指示灯10、方向指示灯11。适配器3在使用时安装到手柄2，其外套管12远端可以装载适当的钉匣，用于吻合。
参见附图3，示出了图1中电动腔镜切割吻合器的适配器的结构示意图。所述适配器3在使用时安装到所述手柄2上，适配器远端可以装入适当的钉匣。所述适配器3包括外套管12、旋转头13和控弯扳手14。适配器3为无菌包装，在使用时安装到手柄2上，一次性使用，做完一台手术后从手柄2上拆除并做废弃处理。
根据实施方式一的可重复使用的电动腔镜切割吻合器，在使用前，主机1为非无菌包装，手柄2、适配器3、线缆组件4为无菌包装。使用时，首先将主机1和手柄2用线缆组件4相连接，然后将适配器3安装于手柄2，最后将适当的钉匣装载到适配器3的外套管，即可进行吻合操作。操作结束后，主机1按规定的存放要求进行存放，适配器3作为一次性使用组件做废弃处理，手柄2和线缆组件4按照操作规范进行灭菌操作，并按存放要求存放，以备下次使用。
实施方式二：
该实施方式与实施方式一大体相同，区别仅在于手柄2与适配器3做成一个整机15，参见附图4，整机15可经灭菌后重复多次使用。
根据实施方式二的可重复使用的电动腔镜切割吻合器，在使用前，主机1为非无菌包装，整机15、线缆组件4为无菌包装。使用时，首先将主机1和整机15中的手柄部分用线缆组件4相连接，然后将适当的钉匣装载到整机15中适配器的外套管，即可进行吻合操作。操作结束后，主机1按规定的存放要求进行存放，整机15和线缆组件4按照操作规范进行灭菌操作，并按存放要求存放， 以备下次使用。
实施方式三：
仍然参见附图4，该实施方式与实施方式二大体相同，区别仅在于整机15为一次性使用组件。
根据实施方式三的可重复使用的电动腔镜切割吻合器，在使用前，主机1为非无菌包装，整机15、线缆组件4为无菌包装。使用时，首先将主机1和整机15中的手柄部分用线缆组件4相连接，然后将适当的钉匣装载到整机15中适配器的外套管，即可进行吻合操作。操作结束后，主机1按规定的存放要求进行存放，整机15作为一次性使用组件做废弃处理，线缆组件4按照操作规范进行灭菌操作，并按存放要求存放，以备下次使用。
实施方式四：
该实施方式与实施方式一大体相同，区别仅在于主机1包括可拆卸连接的电池包16和控制模块17，参见附图5。所述主机1的电能由电池包16提供，所述电池包16和适配器3为一次性使用组件。
根据实施方式四的可重复使用的电动腔镜切割吻合器，在使用前，电池包16和控制模块17为非无菌包装，手柄2、适配器3、线缆组件4为无菌包装。使用时，首先将主机1和手柄2用线缆组件4相连接，然后将适配器3安装于手柄2、电池包16安装于控制模块17，最后将适当的钉匣装载到适配器3的外套管，即可进行吻合操作。操作结束后，主机1的控制模块17按规定的存放要求进行存放，电池包16和适配器3作为一次性使用组件做废弃处理，手柄2和线缆组件4按照操作规范进行灭菌操作，并按存放要求存放，以备下次使用。下次使用时用全新的电池包16。
实施方式五：
该实施方式与实施方式一大体相同，区别仅在于不包括线缆组件4，主机1可以直接安装在手柄2上，并且与手柄2可拆卸地连接，主机1包括电池包16和控制模块17，主机1的电能由电池包16提供，参见附图6，其中适配器3、电池包16为一次性使用组件，所述手柄2可经灭菌后重复多次使用。
根据实施方式五的可重复使用的电动腔镜切割吻合器，在使用前，主机1、手柄2、适配器3为无菌包装。使用时，首先将主机1直接安装到手柄2的一端，然后将适配器3安装于手柄2另一端，最后将适当的钉匣装载到适配器3的外套 管，即可进行吻合操作。操作结束后，主机1和适配器3作为一次性使用组件做废弃处理，手柄2按照操作规范进行灭菌操作，并按存放要求存放，以备下次使用。
根据本申请的可重复使用的电动腔镜切割吻合器，至少包括主机的一个或多个部件可重复灭菌，可以多次使用，既大幅度地减少了患者的治疗费用，又极大地降低了使用器械时交叉感染的风险，提高了器械使用的安全性和可靠性，并且其整体质量大幅减轻，使用可拆卸电池包给主机供能，能使医生操作更加便捷，不受使用场所的限制。
需要说明的是，附图中的实施方案仅为本申请比较有代表性的实施例，本领域技术人员容易理解，本申请的保护范围不仅仅限定在附图中实施方式所限定的范围内，对附图中实施方式的组合、变形、变化均落在本申请的保护范围内。
以上所揭露的仅为本申请几种较佳实施例而已，当然不能以此来限定本申请之权利范围，因此依本申请权利要求所作的等同变化，仍属本申请所涵盖范围。

Claims (14)

  1. 一种可重复使用的电动腔镜切割吻合器，包括：主机、手柄、适配器和线缆组件；所述适配器与手柄连接；所述线缆组件的一端与主机可拆卸连接，另一端与手柄可拆卸连接，用于传输电能和指令信号；所述主机可以重复、多次使用，所述线缆组件可经灭菌后重复多次使用。
  2. 根据权利要求1所述的可重复使用的电动腔镜切割吻合器，所述适配器与手柄可拆卸地连接；所述适配器为一次性使用组件，所述手柄可经灭菌后重复多次使用。
  3. 根据权利要求1所述的可重复使用的电动腔镜切割吻合器，所述适配器和所述手柄形成整机，所述整机可经灭菌后重复多次使用。
  4. 根据权利要求1所述的可重复使用的电动腔镜切割吻合器，所述适配器和所述手柄形成整机，所述整机为一次性使用组件。
  5. 根据权利要求1所述的可重复使用的电动腔镜切割吻合器，所述主机包括可拆卸连接的电池包和控制模块，所述主机的电能由电池包提供，所述电池包和适配器为一次性使用组件，所述手柄可经灭菌后重复多次使用。
  6. 根据权利要求1-5任一项所述的可重复使用的电动腔镜切割吻合器，所述主机包括电源模块和控制模块，所述电源模块把工频电压转换成手柄所需要的直流电压；所述控制模块包括电路板组件和软件程序，负责控制手柄的机构运行及指示。
  7. 根据权利要求1-5任一项所述的可重复使用的电动腔镜切割吻合器，所述手柄从主机获得电能并按主机的指令对所述适配器进行操作及指示，包括击发或者退回刀架、指示刀架的行程和方向及剩余可使用次数。
  8. 根据权利要求1-5任一项所述的可重复使用的电动腔镜切割吻合器，所述手柄包括手柄外壳、击发板机、保险扳机、换向推钮、行程指示灯、剩余使用次数指示灯、方向指示灯。
  9. 根据权利要求1-5任一项所述的可重复使用的电动腔镜切割吻合器，所述适配器包括外套管、旋转头和控弯扳手；所述外套管远端在使用时装载适当的钉匣，用于吻合。
  10. 一种可重复使用的电动腔镜切割吻合器，包括：主机、手柄、适配器； 所述适配器与手柄连接；所述主机直接安装在所述手柄上，并且与所述手柄可拆卸地连接，所述主机包括电池包和控制模块，所述主机的电能由电池包提供，其中适配器、电池包为一次性使用组件，所述手柄可经灭菌后重复多次使用。
  11. 根据权利要求10所述的可重复使用的电动腔镜切割吻合器，所述主机包括电源模块和控制模块，所述电源模块把工频电压转换成手柄所需要的直流电压；所述控制模块包括电路板组件和软件程序，负责控制手柄的机构运行及指示。
  12. 根据权利要求10所述的可重复使用的电动腔镜切割吻合器，所述手柄从主机获得电能并按主机的指令对所述适配器进行操作及指示，包括击发或者退回刀架、指示刀架的行程和方向及剩余可使用次数。
  13. 根据权利要求10所述的可重复使用的电动腔镜切割吻合器，所述手柄包括手柄外壳、击发板机、保险扳机、换向推钮、行程指示灯、剩余使用次数指示灯、方向指示灯。
  14. 根据权利要求10所述的可重复使用的电动腔镜切割吻合器，所述适配器包括外套管、旋转头和控弯扳手；所述外套管远端在使用时装载适当的钉匣，用于吻合。
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