WO2023071072A1 - Cisailles ultrasonores à longue distance à temps unique ayant une fonction de cisaillement à rouleaux - Google Patents

Cisailles ultrasonores à longue distance à temps unique ayant une fonction de cisaillement à rouleaux Download PDF

Info

Publication number
WO2023071072A1
WO2023071072A1 PCT/CN2022/087017 CN2022087017W WO2023071072A1 WO 2023071072 A1 WO2023071072 A1 WO 2023071072A1 CN 2022087017 W CN2022087017 W CN 2022087017W WO 2023071072 A1 WO2023071072 A1 WO 2023071072A1
Authority
WO
WIPO (PCT)
Prior art keywords
sleeve
rod
cutter head
button
working section
Prior art date
Application number
PCT/CN2022/087017
Other languages
English (en)
Chinese (zh)
Inventor
张坤
王磊
刘柯
夏中贤
刘振中
骆威
Original Assignee
以诺康医疗科技(苏州)有限公司
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 以诺康医疗科技(苏州)有限公司 filed Critical 以诺康医疗科技(苏州)有限公司
Publication of WO2023071072A1 publication Critical patent/WO2023071072A1/fr

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/320068Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/3201Scissors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/320068Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B2017/320082Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic for incising tissue

Definitions

  • the invention relates to the technical field of medical instruments, in particular to an ultrasonic scissors with a single long-distance shearing effect.
  • the application of ultrasound in surgical operations is usually to convert and transmit ultrasonic energy into biological tissue, which generates thermal effects of mechanical vibrations to break tissue protein hydrogen bonds, protein denaturation and solidification, especially the use of mechanical and thermal energy generated by it to coagulate tissues, Hemostasis and cutting etc.
  • the ultrasonic generator (ultrasonic equipment host) generates high-frequency electric energy, and the high-frequency electric energy is converted into mechanical vibration energy through the transducer using piezoelectric material or electromagnetic compression material, and the vibration energy is amplified Transfer to the end of action (or the tip of the tool holder).
  • Ultrasonic scissors are currently the most commonly used surgical instruments in surgical operations. They have fast cutting speed, good hemostasis effect, simple operation, safety and convenience. Compared with the traditional use of mechanical scalpels, the use of ultrasonic scalpels in clinical practice can greatly shorten the operation time, reduce the amount of blood loss and blood transfusion of patients, thereby reducing complications and operation costs.
  • the length of the operating end is generally short, and the cutting distance at one time is relatively short, which brings great inconvenience to the operation, and if it is simply lengthened, the shearing strength will be insufficient because the cutting working end is relatively slender. , cannot be precisely cut.
  • the existing sleeve is directly sleeved on the outside of the waveguide, and the pivot angle between the sleeve and the elbow is small, so that the opening angle of the operating end is limited, which cannot adapt to thicker or more complex tissue structures, giving Operation brings great inconvenience. Therefore, how to increase the length of the operating end while ensuring its shear strength is an urgent problem to be solved at present.
  • the purpose of the present invention is to overcome the deficiencies in the prior art and provide a single long-distance ultrasonic scissors with a side tilting shearing function.
  • a single long-distance ultrasonic scissors with a side tilting shearing function comprising a first shaft member and a second shaft member, the first shaft member includes a first handle and a distal end of the first handle Elbow, the second shaft member includes a second handle, a sleeve arranged at the distal end of the second handle, and a waveguide rod inserted in the sleeve, the second handle
  • a hollow accommodation cavity is formed in the interior of the housing, and a transducer connected to the waveguide rod and a circuit board switch for controlling the energy of the transducer are built in the accommodation cavity, and the sleeve passes through the bend
  • the bending part of the head, and the overlapping parts of the two sides are pivotally connected by pins, so that the first shaft member and the second shaft member form a scissor structure; the cutter head of the waveguide rod is connected from the The port protrudes and extends forward in an arc shape, and the waveguide rod protrudes from the port of the s
  • the tail of the tube is provided with a through hole that deflects to the first side of the cutter head, and a pin is passed through the through hole so that the deflection of the waveguide rod is limited in the sleeve;
  • the distal end of the elbow is The working section with the same radian of the cutter head, the distal end of the inner cutting surface is closer to the inner surface of the working section of the working section than the proximal end thereof, and the first side of the inner cutting surface is closer to the inner surface of the working section than the second The side is closer to the inner surface of the working section; when shearing, the inner cutting surface and the distal end of the inner surface of the working section first contact, and under the deformation of the cutter head, the inner cutting surface and the inner surface of the working section From the distal end of the two to the proximal end of the two, and from the first side to the second side, they are gradually fitted tightly together.
  • the deflection angle ⁇ is set according to the following formula [1]:
  • Lb is the bending deflection of the waveguide rod
  • D1 is the distance between the center of rotation of the waveguide rod and the distal end of the cutter head
  • L b The value of L b is determined by the following formula [2]:
  • F is the shear pressure of the cutter head of the waveguide rod, the connection between the waveguide rod and the cutter head and supporting it is regarded as a fixed end, and L is the bending middle section of the cutter head to the connection
  • E is the modulus of elasticity of the waveguide rod cutter bar, and I is the moment of inertia of the waveguide rod cutter rod;
  • the I is valued by the following formula [3]:
  • D is the outer diameter of the cutter head of the waveguide rod.
  • the distance L is configured by the total length L' of the cutter head of the waveguide rod, the cutter head is curved, the first side of the cutter head is concave, and the second side of the cutter body is convex;
  • the total length L' of the cutter head satisfies the following formula:
  • a and y 2 are the coordinate coefficients of the reference point respectively, and the coordinates of the reference point are (-ay 2 , y 2 ), specifically, the ray generated with the cutter tip of the waveguide rod as the origin to the waveguide At the point of intersection of the shank of the bar, the ray is parallel to the tangent to the convex surface.
  • the axis of the pin coincides with the axis of the sleeve
  • the inner surface of the working section extends obliquely from its proximal end to its distal end, with a side inclination angle of 0.5°-2°, and the inner cutting surface and
  • the vertical distance between the proximal end of the inner surface of the working section and the axis of the cannula is greater than the vertical distance between the distal end of the inner surface and the axis of the cannula.
  • the axis of the pin does not coincide with the axis of the sleeve, and the axis of the pin is set close to the elbow; in the clamped state, the inner surface of the working section and the sleeve axis parallel.
  • an elastic pad is provided on the inner surface of the working section, a groove is provided at the axis of the inner surface of the working section, and the back of the elastic pad has a protrusion matching the groove, and the protrusion The part is clamped in the groove, and the surface of the elastic pad is serrated.
  • the sleeve is composed of a front sleeve and a rear sleeve, the rear sleeve is inserted from the tail end of the waveguide rod, and the through hole is arranged on the rear sleeve; the The front sleeve is inserted from the far end of the waveguide rod and fixedly connected with the rear sleeve, the connection between the front sleeve and the rear sleeve is provided with a limit hole, and the two sides of the bend of the elbow A hinge hole is provided, the limit hole is coaxial with the hinge hole, and the two ends of the pin are respectively penetrated in the hinge hole and the limit hole, so that the pipe sleeve and the elbow are pivotally connected.
  • a notch is provided at the junction of the front sleeve and/or the rear sleeve, and when the front sleeve and the rear sleeve are connected into one body, the notches are combined in pairs to form the limiting hole.
  • the interlocking button assembly electrically connected with the circuit board switch
  • the interlocking button assembly includes a first button, a second button and a connecting lever
  • the connecting lever includes at least a first connecting rod and a The second connecting rod, one end of the first connecting rod and the second connecting rod are connected, and the other end extends in the same direction, and the connecting lever takes the center point of the first connecting rod as a fulcrum
  • the first button and The second button is symmetrically arranged on the outer two ends of the first connecting rod relative to the fulcrum
  • the extension end of the second connecting rod is a contact rod
  • the contact rod is located between the two contact surfaces of the circuit board switch Between, the two contact surfaces are respectively connected to the first button or the second button through the connecting lever.
  • a supporting rod is provided between the first connecting rod and the second connecting rod, and both ends of the supporting rod are respectively connected to the central points of the first connecting rod and the second connecting rod.
  • the interlocking button assembly includes a first button, a second button and a rocker arm assembly, and the rocker arm structure is formed by two abutting Composed of the first rocker arm and the second rocker arm, the first rocker arm is V-shaped, with a first arm and a first connecting arm extending outward from its first rotation center; the second rocker arm is Y-shaped, extending from its second rotation center with a second arm, a second connecting arm and a contact arm, the first button is arranged on the first arm, and the second button is arranged on the first Two arms, the inner surfaces of the extension ends of the first connecting arm and the second connecting arm abut against each other, the contact arm is located between the two contact surfaces of the circuit board switch, and the two contact surfaces pass through the two contact surfaces respectively.
  • the rocker arm assembly is connected to the first button or the second button.
  • the length of the cutter head is lengthened compared with the conventional length to meet the requirement of a longer cutting operation during one operation, and it extends in an arc shape to improve its overall strength, and the waveguide rod is deflected so that Due to its arc-shaped structure, the inner cutting surface makes the distal end closer to the inner surface of the working section relative to its proximal end, forming an inclined structure to ensure the close contact between the cutter head and the distal end of the working section, thereby ensuring the inner cutting surface and the working section
  • the tight fit between the inner surfaces of the segments ensures the smoothness and integrity of the shearing;
  • the inner surface of the working section is inclined, so that the distance between the inner surface of the working section and the distal end of the inner cutting surface is smaller, so as to further ensure that the two contact from the far end first when shearing, and ensure the shearing distance between the two. cut force;
  • the arc-shaped structure of the cutter head can be deformed to a certain extent, so that when clamping, the inner cutting surface and the distal end of the inner surface of the working section contact first, and then gradually realize the entire cutting along the first side to the second side.
  • the close contact between the inner cutting surface and the inner surface of the working section effectively ensures the close contact between the inner cutting surface and the inner surface of the working section, improving the stability and reliability of the operation.
  • Fig. 1 the front view of preferred embodiment of the present invention
  • FIG. 1 Schematic diagram of the connecting levers in Figure 1;
  • Figure 3 End view of the present invention
  • Fig. 4 partial top view of the present invention
  • Fig. 5 partial schematic diagram of the first embodiment of the present invention.
  • Figure 6 A sectional view along line A-A in Figure 5;
  • Figures 6a-6d Schematic diagrams of the parameters of the deflection angle ⁇ in the present invention.
  • Fig. 7 partial schematic diagram of the second embodiment of the present invention.
  • Fig. 8 the schematic diagram of pin and elbow in the present invention.
  • Figure 10 a schematic diagram of the first embodiment of the casing in the present invention.
  • Figure 11 Schematic diagram of the second embodiment of the casing in the present invention.
  • Fig. 12 a schematic diagram of a third embodiment of the casing in the present invention.
  • Fig. 13 the sectional view of the third embodiment of the present invention.
  • Figure 14 A schematic diagram of the connecting lever in Figure 13;
  • Figure 15 a sectional view of a fourth embodiment of the present invention.
  • FIG 16 Schematic of the rocker arm assembly in Figure 15.
  • the present invention discloses a single-shot long-distance ultrasonic scissors with a side tilting shearing function, including a first shaft member and a second shaft member, the first shaft member includes a first hand-held part 4 and the elbow 1 arranged at the distal end of the first handle part 4, the second shaft member includes a second handle part 5, a sleeve 3 arranged at the distal end of the second handle part 5, The waveguide rod 2 pierced through the sleeve 3 .
  • a hollow accommodating chamber 100 is formed inside the second handle 5, and the accommodating chamber 100 is equipped with a transducer 6 connected to the waveguide rod 2 and a device for controlling the energy of the transducer 6.
  • the circuit board switch 7, the sleeve 3 passes through the bend of the elbow 1, and the overlap of the two sides is pivotally connected by a pin 8, so that the first shaft member and the second shaft member form a Scissor structure.
  • the cutter head 201 of the waveguide rod 2 protrudes from the port of the sleeve 3 and extends forward in an arc shape.
  • the deflection is limited in the sleeve 3, the through hole 9 is deflected by ⁇ degrees to the first side 2012 of the cutter head 201, the inner cutting surface 2011 of the cutter head 201 is from its second side 2013 to its first
  • the side 2012 is inclined; the far end of the elbow 1 is the working section 101 consistent with the radian of the cutter head 201, and the far end of the inner cutting surface 2011 is closer to the working section 101 than its proximal end.
  • Section inner surface 1011, the first side 2012 of the inner cutting surface 2011 is closer to the working section inner surface 1011 than the second side 2013; when shearing, the inner cutting surface 2011 and the working section inner surface 1011 The distal end contacts first, and under the deformation of the cutter head 201, the inner cutting surface 2011 and the inner surface 1011 of the working section move from the distal end to the proximal end, from the first side 2012 to the The second side 2013 is gradually fitted tightly.
  • FIG. 3 and Figure 6 there is a through hole 9 radially penetrating the axes of the two between the waveguide rod 2 and the sleeve 3, and a pin (not shown in the figure) is pierced in the through hole 9 out) to fasten the waveguide rod 2 and the sleeve 3, the through hole 9 deflects ⁇ degrees to the first side 2012 so that the waveguide rod 2 is deflected and arranged in the sleeve 3, and the inner cutting surface 2011 The distal end of is closer to the inner surface 1011 of the working section than the proximal end thereof.
  • the waveguide rod 2 is regarded as a cylindrical rod as a whole
  • the through hole 9 where the pin is installed is regarded as a fixed place
  • the middle section of the waveguide rod 2 is regarded as a place where a load is applied.
  • the deformation of the cutter head 201 is mainly caused by bending deflection deformation.
  • the rotation center of the waveguide rod 2 is taken as a circle point, and the distal end of the cutter head 201 is located on a circle centered on the rotation center, the cutter The deformation of the head 201 is equivalent to its rotation by a certain radian. If the waveguide 2 is installed in the opposite deflection direction, the deformation of the cutter head 201 during the shearing work can be offset to ensure that the inner cutting surface 2011 of the cutter head 201 fits closely with the tissue .
  • the cutter head 201 is regarded as a cylindrical rod cantilever as a whole, and the support between the cutter head 201 and the waveguide rod 2 is regarded as a fixed end, and the waveguide rod 2 is connected with the cutter head 201 and supports it.
  • the joint 202 of the cutter head 201 is regarded as a fixed end, and the middle part of the bending of the cutter head 201 is regarded as a place where a load is applied.
  • the amount of pre-rotation of the cutter head must not be less than the amount of bending deflection deformation, so as to ensure that the front end of the cutter head is always deformed during work, so that the inner cutting surface 2011 remains in close contact with the tissue. state.
  • the distance D1 from the center of rotation of the waveguide 2 to the distal end of the cutter head 201 is 13 mm, then
  • the deflection angle of the through hole 9 in the preferred embodiment is preferably 3° relative to its vertical line, and in other feasible embodiments, the deflection angle of the through hole 9 1°-5°.
  • the distance L is configured by the total length L' of the cutter head of the waveguide rod, the cutter head is curved, the first side of the cutter head is a concave surface, and the second side of the cutter body is a convex surface; the cutter head
  • the total length L' satisfies the following formula:
  • a and y 2 are the coordinate coefficients of the reference point respectively, and the coordinates of the reference point are (-ay 2 , y 2 ), specifically as shown in Figure 6d,
  • the length of the waveguide rod is L', the inner diameter is H, and the outer expansion radii of the waveguide rod are R and r respectively.
  • Point Q is the tangent point between the cutter rod and the tube 1. Take the point 1 is the origin of the coordinates, and the tool bar is placed flat, then the coordinates (x 2 , y 2 ) of point 2 are known, and the center point R, point r, and coordinates (x R , y R ) and ( x r , y r ) and radius R, r known,
  • a and b can be obtained simultaneously;
  • the coordinates of point 4' are (-ay 2 ,y 2 ),
  • the inner cutting surface 2011 Under the structural setting that the inner cutting surface 2011 deflects relative to the inner surface 1011 of the working section, the inner cutting surface 2011 will be inclined from its proximal end to its distal end relative to the inner surface 1011 of the working section due to its arc-shaped structure, and The arc-shaped structure of the cutter head 2011 can be deformed to a certain extent, so that when clamping, the inner cutting surface and the distal end of the inner surface of the working section contact first, and then gradually realize the entire surface along the extending direction of the two.
  • the close contact effectively ensures the close contact between the inner cutting surface 2011 and the inner surface 1011 of the working section, improving the stability and fluency of the operation.
  • the length of the cutter head 201 has been lengthened compared with the conventional length, so as to meet the operation requirement of a single cutting with a longer distance, facilitate the actual operation, and improve the operation efficiency and the fluency and integrity of the cutting. Since the cutter head 201 is relatively slender, its arc-shaped structure improves the rigidity of the cutter head 201, so that the distal end and the proximal end thereof have sufficient shearing force.
  • the axis of the pin 8 coincides with the axis of the sleeve 3, and the inner surface 1011 of the working section is far from its proximal end. The end extends obliquely, with a side inclination angle of 0.5°-2°.
  • the proximal end of the inner surface 1011 of the working section and the axis of the sleeve 3 The vertical distance between them is greater than the vertical distance between its distal end and the axis of the cannula 3 .
  • the second embodiment of the present invention As shown in Figure 7, it is the second embodiment of the present invention.
  • the difference between the second embodiment and the first embodiment is that in the second embodiment, the axis of the pin 8 is different from the axis of the sleeve 3. overlap, and the axis of the pin 8 is set close to the elbow 1; in the clamped state, the inner surface 1011 of the working section is parallel to the axis of the sleeve 3.
  • the inner surface 1011 of the working section does not need to extend obliquely to shorten the distance between its distal end and the distal end of the inner cutting surface 2011, and the axis of the pin 8 and the sleeve
  • the distance between the axes of the tube 3 is within 0-1 mm, preferably 0.3 mm, and under the condition that the distance between the inner cutting surface 2011 and the inner surface 1011 of the working section is consistent, the second embodiment
  • the required opening angle between the first shaft member and the second shaft member is smaller, which can save more effort.
  • an elastic pad 14 is arranged on the inner surface 1011 of the working section, a groove 104 is arranged on the axis of the inner surface 1011 of the working section, and the back side of the elastic pad 14 has A protrusion (not shown in the figure) matching the groove 103, the protrusion is clamped in the groove 103, and the surface of the elastic pad 14 is serrated.
  • the elastic pad 14 is preferably made of silica gel material, and the sawtooth structure on its surface can play an anti-slip effect well, and protect the inner cutting surface 2011 and the inner surface 1011 of the working section.
  • the convex portion is engaged with the groove 103 so that the elastic pad 14 is easy to replace.
  • the sleeve 3 in the present invention is composed of a front sleeve 301 and a rear sleeve 302.
  • the rear sleeve 302 is inserted from the tail end of the waveguide rod 2 and connected to the waveguide through the positioning pin.
  • the rod 2 is fixed, the front sleeve 301 is inserted from the distal end of the waveguide rod 2 and fixedly connected to the rear sleeve 302, and the junction of the front sleeve 301 and the rear sleeve 302 is combined with a limited hole 303, hinge holes 102 are provided on both sides of the bend of the elbow 1, the limit hole 303 and the hinge hole 102 are coaxial, and the two ends of the pin 8 are respectively set through the hinge hole 102 And in the limit hole 303, so that the pipe sleeve 3 and the elbow 1 are pivotally connected.
  • the sleeve 3 is a divided pipe structure composed of the front sleeve 301 and the rear sleeve 302. On the one hand, it facilitates the installation of the waveguide 2.
  • the bit hole 303 is pivotally connected with the elbow 1, which is convenient for assembly and meets the requirement of a larger opening angle.
  • the inner end of the pin 8 is set in the limiting hole 303, and its outer end is set in the hinge hole 102, and the inner end diameter of the pin 8 is larger than the outer end diameter , forming a T shape with a stepped surface 801 abutting against the inner wall of the elbow 1 .
  • Such a structure makes the inner wall of the elbow 1 play a limiting role on the pin 8, prevents the pin 8 from falling from the hinge hole 102, and does not need other structures to position the pin, which facilitates assembly and simplifies the structure , saving costs.
  • the pin 8 may also have other suitable shapes.
  • gaps are respectively provided at the joints of the front sleeve 301 and the rear sleeve 302.
  • the two are combined to form the limiting hole 303 .
  • the notch can be in any suitable shape such as semicircle, arc, square, irregular, etc., which can make the limiting hole 303 match the inner end of the pin 8 .
  • the limiting hole 303 can also be set at the junction of the front sleeve 301 or the rear sleeve 302, and the limiting hole 303 can be in any shape such as circular, square, U-shaped, etc. the right shape.
  • the interlocking button assembly includes a first button 10, a second button 11 and a connecting lever 12, and the connecting lever 12 includes at least a first connecting rod 1201 and a second connecting rod 1202, One end of the first connecting rod 1201 and the second connecting rod 1202 are connected, and the other end extends in the same direction, and the connecting lever 12 takes the center point of the first connecting rod 1201 as a fulcrum 1203 , and the first button 10
  • the second button 11 is symmetrically arranged on the outer two ends of the first connecting rod 1201 relative to the fulcrum 1202, and the extension end of the second connecting rod 1202 is a contact rod 1203, and the contact rod 1203 is located on the circuit board Between the two contact surfaces 701 of the switch 7 , the two contact surfaces 701 are respectively connected to the first button 10 or the second button 11 through the connecting lever 12 .
  • a support rod is arranged between the first connecting rod 1201 and the second connecting rod 1202 1204 , the two ends of the support rod 1204 are respectively connected to the central points of the first connecting rod 1201 and the second connecting rod 1202 .
  • the interlocking button assembly includes a first button 10 and a second button 11 and a rocker arm assembly 13, the rocker arm
  • the structure is composed of two abutting first rocker arms and second rocker arms.
  • the first rocker arm is V-shaped, and a first arm 1302 and a first connecting arm extend outward from its first rotation center 1301.
  • the second rocker arm is Y-shaped, extending from its second rotation center 1304 with a second arm 1305, a second connecting arm 1306 and a contact arm 1307, and the first button 10 is set on the first On the support arm 1302, the second button 11 is arranged on the second support arm 1305, the inner surfaces of the extension ends of the first connecting arm 1303 and the second connecting arm 1306 abut against each other, and the contact arm 1307 is located on the Between the two contact surfaces 701 of the circuit board switch 7 , the two contact surfaces 701 are respectively connected to the first button 10 or the second button 11 through the rocker arm assembly 13 .
  • the setting of the interlocking button assembly satisfies the interlock between the first button 10 and the second button 11 on the one hand, so that the first button 10 and the second button 11 can switch between high and low working gears, and on the other hand increases the creepage distance , which meets the security setting requirements.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Medical Informatics (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Pathology (AREA)
  • Dentistry (AREA)
  • Mechanical Engineering (AREA)
  • Knives (AREA)
  • Harvester Elements (AREA)

Abstract

Des ciseaux ultrasonores à longue distance à temps unique ayant une fonction de cisaillement à rouleaux, comprenant un premier élément d'arbre et un second élément d'arbre, le premier élément d'arbre comprenant une première partie portative (4) et une tête de cintrage (1) ; et le second élément d'arbre comprenant une seconde partie portative (5), un manchon de tuyau (3) et une tige de guide d'ondes (2), la seconde partie portative (5) étant pourvue à l'intérieur d'un transducteur (6) relié à la tige de guide d'ondes (2) et un commutateur de carte de circuit imprimé (7), le manchon de tuyau (3) passant à travers une position de cintrage de la tête de cintrage (1), et le manchon de tuyau étant relié de façon pivotante à la tête de cintrage ; et une tête de coupe (201) de la tige de guide d'ondes (2) s'étendant hors d'un orifice d'extrémité du manchon de tuyau (3) et s'étendant vers l'avant en forme d'arc, la tige de guide d'ondes étant disposée dans le manchon de tuyau (3) de manière à dévier, et une extrémité distale de la tête de cintrage (1) étant une section de travail (101) qui est cohérente avec la tête de coupe (201) en radian et pouvant être étroitement ajustée avec celle-ci. La tête de coupe (201) est allongée et est amenée à s'étendre en forme d'arc de façon à améliorer la résistance globale de celle-ci. La tige de guide d'ondes (2) est disposée de manière à dévier de telle sorte qu'une surface de coupe intérieure (2011) de la tête de coupe (201) forme une structure inclinée pour assurer le contact étroit entre les extrémités distales de la tête de coupe (201) et la section de travail (101), ce qui assure la fluidité et l'intégrité du cisaillement.
PCT/CN2022/087017 2021-10-28 2022-04-15 Cisailles ultrasonores à longue distance à temps unique ayant une fonction de cisaillement à rouleaux WO2023071072A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
CN202111262734.3A CN113907848A (zh) 2021-10-28 2021-10-28 具有侧倾剪切功能的单次长距超声剪刀
CN202111262734.3 2021-10-28

Publications (1)

Publication Number Publication Date
WO2023071072A1 true WO2023071072A1 (fr) 2023-05-04

Family

ID=79243319

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/CN2022/087017 WO2023071072A1 (fr) 2021-10-28 2022-04-15 Cisailles ultrasonores à longue distance à temps unique ayant une fonction de cisaillement à rouleaux

Country Status (2)

Country Link
CN (1) CN113907848A (fr)
WO (1) WO2023071072A1 (fr)

Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113907848A (zh) * 2021-10-28 2022-01-11 以诺康医疗科技(苏州)有限公司 具有侧倾剪切功能的单次长距超声剪刀
CN115530929B (zh) * 2022-10-13 2024-04-16 以诺康医疗科技(苏州)有限公司 一种精细手术器械

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20070016236A1 (en) * 2005-07-18 2007-01-18 Crescendo Technologies, Llc Balanced ultrasonic curved blade
CN101820825A (zh) * 2007-10-10 2010-09-01 伊西康内外科公司 用于切割和凝固的超声装置
CN201920894U (zh) * 2010-11-18 2011-08-10 李超 超声刀手柄
US20190350616A1 (en) * 2013-12-17 2019-11-21 Ethicon Llc Rotation features for ultrasonic surgical instrument
CN113907848A (zh) * 2021-10-28 2022-01-11 以诺康医疗科技(苏州)有限公司 具有侧倾剪切功能的单次长距超声剪刀

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20070016236A1 (en) * 2005-07-18 2007-01-18 Crescendo Technologies, Llc Balanced ultrasonic curved blade
CN101820825A (zh) * 2007-10-10 2010-09-01 伊西康内外科公司 用于切割和凝固的超声装置
CN201920894U (zh) * 2010-11-18 2011-08-10 李超 超声刀手柄
US20190350616A1 (en) * 2013-12-17 2019-11-21 Ethicon Llc Rotation features for ultrasonic surgical instrument
CN113907848A (zh) * 2021-10-28 2022-01-11 以诺康医疗科技(苏州)有限公司 具有侧倾剪切功能的单次长距超声剪刀

Also Published As

Publication number Publication date
CN113907848A (zh) 2022-01-11

Similar Documents

Publication Publication Date Title
WO2023071072A1 (fr) Cisailles ultrasonores à longue distance à temps unique ayant une fonction de cisaillement à rouleaux
EP4241704A2 (fr) Lame de scalpel à ultrasons, manche de scalpel et scalpel à ultrasons
US20180185055A1 (en) Ultrasonic dissector and sealer
US9387004B2 (en) Ultrasonic cutting tool
CN110279451B (zh) 一种远端集成式多自由度超声刀
US20060058825A1 (en) Ultrasonic surgical apparatus
US20070173872A1 (en) Surgical instrument for cutting and coagulating patient tissue
CN110327100B (zh) 一种超声手术刀
CA2386227A1 (fr) Lame courbee multifonctionnelle utilisee avec un instrument chirurgical a ultrasons
WO2022188897A1 (fr) Tête de lame de scalpel à ultrasons
US20210052293A1 (en) Hemostat-style ultrasonic surgical instrument with clamp force-limiting feature
WO2024078442A1 (fr) Instrument chirurgical de précision et ensemble tige de couteau
CN116392209A (zh) 一种超声波导杆、超声刀刀柄、超声刀、超声刀***
CN217566221U (zh) 超声刀夹持反馈装置
CN209332208U (zh) 导液型超声刀刀头
CN216754551U (zh) 具有侧倾剪切功能的单次长距超声剪刀
CN216652408U (zh) 组织垫防脱落结构
CN219207113U (zh) 柔性驱动元件的支撑件、有其的末端执行器和切割缝合器
CN214857216U (zh) 一种新型手持超声切割器
CN115886975B (zh) 超声刀、制造超声刀的方法和超声刀***
CN216365188U (zh) 一种超声刀刀杆
CN220477652U (zh) 末端执行器、手术器械和手术机器人
CN219397469U (zh) 镊式超声手术刀及超声手术***
CN220876825U (zh) 一种神经拉钩
CN116746986B (zh) 超声振动组件及其超声手术器械和制造方法

Legal Events

Date Code Title Description
121 Ep: the epo has been informed by wipo that ep was designated in this application

Ref document number: 22884988

Country of ref document: EP

Kind code of ref document: A1

NENP Non-entry into the national phase

Ref country code: DE