CN116172635A - Swing head mechanism and surgical stapler - Google Patents

Swing head mechanism and surgical stapler Download PDF

Info

Publication number
CN116172635A
CN116172635A CN202211531070.0A CN202211531070A CN116172635A CN 116172635 A CN116172635 A CN 116172635A CN 202211531070 A CN202211531070 A CN 202211531070A CN 116172635 A CN116172635 A CN 116172635A
Authority
CN
China
Prior art keywords
swing
fitting
locking
driving
matching
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.)
Pending
Application number
CN202211531070.0A
Other languages
Chinese (zh)
Inventor
王叶挺
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.)
Suzhou Tianchen International Medical Technology Co Ltd
Original Assignee
Suzhou Tianchen International 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 Suzhou Tianchen International Medical Technology Co Ltd filed Critical Suzhou Tianchen International Medical Technology Co Ltd
Priority to CN202211531070.0A priority Critical patent/CN116172635A/en
Publication of CN116172635A publication Critical patent/CN116172635A/en
Priority to PCT/CN2023/133119 priority patent/WO2024114466A1/en
Pending legal-status Critical Current

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/11Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
    • A61B17/115Staplers for performing anastomosis, e.g. in a single operation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00367Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like

Landscapes

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

Abstract

本申请提供了一种摆头机构及外科吻合器,摆头机构包括:用于外科吻合器,摆头机构包括驱动件和摆头拉杆,驱动件配置为旋转时驱动摆头拉杆沿吻合器的轴向运动,摆头机构还包括:卡位件,可活动地设于驱动件的外侧,卡位件在第一位置时,卡位件阻挡驱动件的旋转运动,卡位件在第二位置时,驱动件可被驱动而旋转,第一位置相比于第二位置更靠近驱动件;第一配合件,配置为被操作而驱动卡位件从第一位置进入第二位置。本申请的摆头机构的卡位件设计空间更为充分,卡位件尺寸可以设计得更为合理以保证足够强度,从而在进行较厚组织吻合手术而施加较大击发力时,也能保持摆动角度的锁止,保证手术顺利进行,提高医生信心。

Figure 202211531070

The present application provides a swing head mechanism and a surgical stapler. The swing head mechanism includes: for surgical staplers, the swing head mechanism includes a driving part and a swing head pull rod, and the drive part is configured to drive the swing head pull rod along the direction of the stapler when rotating Axial movement, the swing head mechanism also includes: a locking part, which is movably arranged on the outside of the driving part. When the locking part is in the first position, the locking part blocks the rotational movement of the driving part, and the locking part is in the second position When the drive member can be driven to rotate, the first position is closer to the drive member than the second position; the first matching member is configured to be operated to drive the locking member from the first position to the second position. The design space of the clamping part of the swinging head mechanism of the present application is more sufficient, and the size of the clamping part can be designed more reasonably to ensure sufficient strength, so that when a large firing force is applied for thicker tissue anastomosis, it can also be used. Keep the locking of the swing angle to ensure the smooth progress of the operation and improve the doctor's confidence.

Figure 202211531070

Description

摆头机构及外科吻合器Swing head mechanism and surgical stapler

技术领域technical field

本申请涉及医疗器械技术领域,具体涉及一种摆头机构及外科吻合器。The present application relates to the technical field of medical devices, in particular to a head swing mechanism and a surgical stapler.

背景技术Background technique

现有技术中,外科吻合器包括吻合器本体和与所述吻合器本体配合的末端执行器。为了适应更多手术场景的需要,需要末端执行器可以相对于吻合器本体有更多的角度选择。因此,可以设置摆头机构,所述摆头机构通过摆头拉杆连接至末端执行器,当摆头机构驱动摆头拉杆沿吻合器的轴向移动时,摆头拉杆的远端侧带动末端执行器相对于吻合器本体顺时针或逆时针摆动。In the prior art, a surgical stapler includes a stapler body and an end effector matched with the stapler body. In order to meet the needs of more surgical scenarios, it is required that the end effector can have more angle options relative to the stapler body. Therefore, a swing head mechanism can be provided, which is connected to the end effector through a swing head pull rod. When the swing head mechanism drives the swing head pull rod to move along the axial direction of the stapler, the distal side of the swing head pull rod drives the end effector. The device swings clockwise or counterclockwise relative to the stapler body.

现有的摆头机构中,在末端执行器摆动需要的角度后,通过锁止机构将末端执行器保持在当前的角度。每次操作摆头机构使得末端执行器摆动时,都需要在克服锁止机构的作用力的同时驱动摆头拉杆沿轴向运动。因此不仅需要操作者每次都施加较大的作用力,用户体验性差,而且锁止效果差,经常发生因锁止机构失效而无法继续将末端执行器保持在特定的摆动角度的情况。In the existing head swing mechanism, after the end effector swings to a required angle, the end effector is kept at the current angle by a locking mechanism. Every time the swing mechanism is operated to make the end effector swing, it is necessary to drive the swing rod to move axially while overcoming the force of the locking mechanism. Therefore, not only does the operator need to apply a large force every time, the user experience is poor, but also the locking effect is poor, and it often happens that the end effector cannot continue to be kept at a specific swing angle due to the failure of the locking mechanism.

在本申请中,远端侧和近端侧是相对于操作者来说的,距离操作者较近的一端为近端侧,距离操作者较远的一端,即更靠近手术位置的一端为远端侧。In this application, the distal side and the proximal side are relative to the operator, the end closer to the operator is the proximal side, and the end farther away from the operator, that is, the end closer to the surgical site is the far side. end side.

发明内容Contents of the invention

针对现有技术中的问题,本申请的目的在于提供一种摆头机构及外科吻合器,需要控制末端执行器摆动时,首先操作第一配合件驱动卡位件从第一位置进入第二位置,以不阻挡驱动件的旋转,从而避免驱动件旋转时对卡位件造成损伤。In view of the problems in the prior art, the purpose of this application is to provide a swing head mechanism and a surgical stapler. When it is necessary to control the swing of the end effector, first operate the first fitting to drive the locking member from the first position to the second position , so as not to block the rotation of the driving part, thereby avoiding damage to the clamping part when the driving part rotates.

本申请实施例提供一种摆头机构,用于外科吻合器,所述摆头机构包括驱动件和摆头拉杆,所述驱动件配置为旋转时驱动所述摆头拉杆沿所述吻合器的轴向运动,所述摆头机构还包括:An embodiment of the present application provides a head swing mechanism for a surgical stapler. The head swing mechanism includes a driving member and a head swing rod. axial movement, the swing head mechanism also includes:

卡位件,可活动地设于所述驱动件的外侧,所述卡位件在第一位置时,所述卡位件阻挡所述驱动件的旋转运动,所述卡位件在第二位置时,所述驱动件可被驱动而旋转,所述第一位置相比于所述第二位置更靠近所述驱动件;The locking part is movably arranged on the outside of the driving part. When the locking part is in the first position, the locking part blocks the rotation of the driving part. The locking part is in the second position , the driving member can be driven to rotate, and the first position is closer to the driving member than the second position;

第一配合件,配置为被操作而驱动所述卡位件从所述第一位置进入所述第二位置。The first matching part is configured to be operated to drive the locking part to enter the second position from the first position.

在一些实施例中,所述驱动件和所述第一配合件同轴设置于所述外科吻合器的第一壳体形成的安装孔内,所述安装孔的侧壁呈具有缺口的圆形,所述卡位件可活动地设于所述缺口的位置。In some embodiments, the driving part and the first matching part are coaxially arranged in the installation hole formed by the first casing of the surgical stapler, and the side wall of the installation hole is circular with a notch. , the locking member can be movably arranged at the position of the notch.

在一些实施例中,所述缺口的内部设有第一引导部,所述卡位件设有第二引导部,所述第一引导部通过与所述第二引导部的配合引导所述卡位件在所述第一位置和所述第二位置之间的运动。In some embodiments, the inside of the notch is provided with a first guide part, and the locking part is provided with a second guide part, and the first guide part guides the card by cooperating with the second guide part. movement of a position member between said first position and said second position.

在一些实施例中,还包括支座,所述支座至少部分支撑于所述安装孔的外周且至少部分覆盖所述卡位件,所述支座朝向所述卡位件的一侧设有卡位件限位孔,所述卡位件至少部分位于所述卡位件限位孔中。In some embodiments, it also includes a support, the support is at least partially supported on the outer periphery of the installation hole and at least partially covers the locking member, and the support is provided on one side facing the locking member. The clamping component limiting hole, the clamping component is at least partially located in the clamping component limiting hole.

在一些实施例中,还包括第二配合件,所述第二配合件与所述驱动件形成不可相对旋转的连接,所述卡位件在所述第一位置时,所述卡位件至少部分与所述第二配合件相抵持,以阻挡所述第二配合件的旋转。In some embodiments, it further includes a second fitting, the second fitting is connected to the driving member in a non-rotatable connection, and when the locking member is in the first position, the locking member at least The part is against the second fitting to block the rotation of the second fitting.

在一些实施例中,所述卡位件包括第一配合部,所述第一配合件的侧面设有第一槽,所述卡位件在所述第一位置时,所述第一配合部至少部分进入所述第一槽。In some embodiments, the locking member includes a first matching portion, and a first groove is provided on the side of the first matching member, and when the locking member is in the first position, the first matching portion at least partially into the first groove.

在一些实施例中,所述卡位件还包括第二配合部,所述第二配合件的侧面设有第二槽,所述卡位件在所述第一位置时,所述第二配合部至少部分进入所述第二槽。In some embodiments, the locking part further includes a second matching part, and the side of the second matching part is provided with a second groove. When the locking part is in the first position, the second matching part portion at least partially into the second slot.

在一些实施例中,各个所述第一槽的第一槽壁之间具有第一角度,各个所述第二槽的第二槽壁之间具有第二角度,所述第一角度大于所述第二角度;或者,所述第一槽的深度小于所述第二槽的深度。In some embodiments, there is a first angle between the first groove walls of each of the first grooves, and a second angle between the second groove walls of each of the second grooves, and the first angle is larger than the a second angle; or, the depth of the first groove is smaller than the depth of the second groove.

在一些实施例中,所述驱动件包括驱动轴和驱动件本体,所述第二配合件和所述第一配合件依次设置于所述驱动件本体的第一侧,且所述第一配合件可相对于所述驱动轴旋转。In some embodiments, the driver includes a drive shaft and a driver body, the second fitting and the first fitting are sequentially disposed on the first side of the driver body, and the first fitting The member is rotatable relative to the drive shaft.

在一些实施例中,所述第一配合件和所述第二配合件均为套设于所述驱动轴外部的圆盘形,所述第一配合件朝向所述卡位件的一侧设有多个沿周向分布的所述第一槽,所述第二配合件朝向所述卡位件的一侧设有多个沿周向分布的所述第二槽。In some embodiments, both the first fitting and the second fitting are disc-shaped sleeved on the outside of the drive shaft, and the first fitting is disposed on a side facing the locking member. There are a plurality of the first grooves distributed along the circumferential direction, and a plurality of the second grooves distributed along the circumferential direction are provided on the side of the second matching part facing the locking part.

在一些实施例中,所述卡位件的第一配合部的宽度大于所述第二配合部的宽度,和/或,所述第一配合部的末端相比于所述第二配合部的末端更靠近所述驱动轴。In some embodiments, the width of the first fitting portion of the locking member is greater than the width of the second fitting portion, and/or, the end of the first fitting portion is smaller than the end of the second fitting portion. The end is closer to the drive shaft.

在一些实施例中,还包括操作件,所述操作件被配置为旋转第一行程时,驱动所述第一配合件旋转而驱动所述卡位件从所述第一位置进入所述第二位置,所述操作件继续旋转第二行程时,通过所述第二配合件驱动所述驱动件旋转。In some embodiments, an operating member is further included, and the operating member is configured to drive the first matching member to rotate and drive the locking member to enter the second position from the first position when the operating member is rotated by a first stroke. position, when the operating member continues to rotate for a second stroke, the driving member is driven to rotate through the second matching member.

在一些实施例中,还包括第一销轴,所述操作件设有第一安装孔,所述第一配合件设有第二安装孔,所述第二配合件设有第三安装孔,所述第一销轴依次穿设于所述第一安装孔、所述第二安装孔和所述第三安装孔中,所述第三安装孔的周向长度大于所述第一销轴的外径。In some embodiments, it also includes a first pin shaft, the operating part is provided with a first mounting hole, the first fitting part is provided with a second mounting hole, and the second fitting part is provided with a third mounting hole, The first pin shaft is sequentially passed through the first mounting hole, the second mounting hole and the third mounting hole, and the circumferential length of the third mounting hole is greater than that of the first pin shaft. outside diameter.

在一些实施例中,还包括支座,所述支座设有弧形的旋转限位孔,所述第一销轴穿设于所述旋转限位孔中。In some embodiments, a support is further included, the support is provided with an arc-shaped rotation limiting hole, and the first pin shaft is passed through the rotation limiting hole.

在一些实施例中,所述操作件被配置为旋转第一行程时,所述第一销轴相对于所述驱动件从第三相对位置运动至第四相对位置;In some embodiments, when the operating member is configured to rotate by a first stroke, the first pin moves from a third relative position to a fourth relative position relative to the driving member;

所述摆头机构还包括弹性件,配置为给所述第一销轴一个使其从第四相对位置向所述第三相对位置运动的偏置力。The swing mechanism further includes an elastic member configured to give the first pin a biasing force to move from the fourth relative position to the third relative position.

本申请实施例还提供一种外科吻合器,包括所述的摆头机构本申请实施例还提供一种外科吻合器,包括上述的摆头机构。The embodiment of the present application also provides a surgical stapler, including the above-mentioned head swing mechanism. The embodiment of the present application also provides a surgical stapler, including the above-mentioned head swing mechanism.

本申请所提供的摆头机构及外科吻合器具有如下优点:The head swing mechanism and surgical stapler provided by this application have the following advantages:

通过采用本申请,需要控制末端执行器摆动时,首先操作第一配合件驱动卡位件从第一位置进入第二位置,以不阻挡驱动件的旋转,从而避免驱动件旋转时对卡位件造成损伤,并且在驱动件旋转的过程中,没有卡位件的干涉阻挡,使得末端执行器的摆动更为顺畅。所述卡位件可活动地设于所述驱动件的外侧,可以更方便地布置摆头机构的内部结构,而不会影响驱动轮本身的结构和强度,并且卡位件的设计空间更为充分,卡位件尺寸可以设计得更为合理以保证足够强度,从而在进行较厚组织吻合手术而施加较大击发力时,也能保持摆动角度的锁止,保证手术顺利进行,提高医生信心。By adopting this application, when it is necessary to control the swing of the end effector, first operate the first fitting to drive the locking element from the first position to the second position, so as not to block the rotation of the driving element, thereby avoiding the locking element when the driving element rotates cause damage, and in the process of rotation of the driving member, there is no interference blocking of the clamping member, so that the swing of the end effector is smoother. The clamping part can be movably arranged on the outside of the driving part, and the internal structure of the swing head mechanism can be arranged more conveniently without affecting the structure and strength of the driving wheel itself, and the design space of the clamping part is more convenient. Sufficient, the size of the clamping part can be designed more reasonably to ensure sufficient strength, so that when a large firing force is applied for thick tissue anastomosis, the locking of the swing angle can also be maintained to ensure the smooth progress of the operation and improve the efficiency of the doctor. confidence.

进一步地,由于卡位件可活动地设于驱动件的外侧,使得卡位件的设计空间更为充分,这样卡位件的第二配合部的长度可以设计得相对更长,对应的第二配合件的第二槽的深度设计得相对更深,从而使得锁止效果更佳,更能适应需要施加较大击发力的手术。Further, since the locking element can be movably arranged on the outside of the driving element, the design space of the locking element is more sufficient, so that the length of the second matching part of the locking element can be designed to be relatively longer, and the corresponding second The depth of the second groove of the matching part is designed to be relatively deeper, so that the locking effect is better, and it is more suitable for operations that require greater firing force.

附图说明Description of drawings

通过阅读参照以下附图对非限制性实施例所作的详细描述,本申请的其它特征、目的和优点将会变得更明显。Other features, objects and advantages of the present application will become more apparent by reading the detailed description of non-limiting embodiments with reference to the following drawings.

图1是本申请一实施例的摆头机构和套管配合的示意图;Fig. 1 is a schematic diagram of the cooperation between the swing head mechanism and the casing according to an embodiment of the present application;

图2是本申请一实施例的操作件的结构示意图;Fig. 2 is a schematic structural view of an operating part according to an embodiment of the present application;

图3是本申请一实施例的省略操作件的摆头机构和第一壳体配合的结构示意图;Fig. 3 is a structural schematic diagram of cooperation between the swing head mechanism and the first housing without the operating part according to an embodiment of the present application;

图4是本申请一实施例的省略操作件和支座的摆头机构和第一壳体配合的俯视图;Fig. 4 is a top view of the cooperation between the swing head mechanism and the first housing, omitting the operating part and the support, according to an embodiment of the present application;

图5是本申请一实施例的省略操作件和支座的摆头机构和第一壳体配合的结构示意图;Fig. 5 is a structural schematic diagram of cooperation between the swing head mechanism and the first housing, omitting the operating part and the support, according to an embodiment of the present application;

图6和图7是本申请一实施例的支座与其他部件配合的示意图;Figure 6 and Figure 7 are schematic diagrams of the cooperation between the support and other components according to an embodiment of the present application;

图8是本申请一实施例的支座的结构示意图;Fig. 8 is a schematic structural view of a support according to an embodiment of the present application;

图9是本申请一实施例的摆头机构和第一壳体配合的结构示意图;Fig. 9 is a structural schematic diagram of the cooperation between the swing head mechanism and the first housing according to an embodiment of the present application;

图10是本申请一实施例的驱动摆头拉杆的结构示意图;Fig. 10 is a schematic structural view of a driving swing head pull rod according to an embodiment of the present application;

图11是本申请一实施例的卡位件与其他部件配合的示意图;Fig. 11 is a schematic diagram of the cooperation between the locking member and other components according to an embodiment of the present application;

图12是本申请一实施例的摆头机构的各个部件的组合示意图;Fig. 12 is a combined schematic diagram of various components of the swing head mechanism according to an embodiment of the present application;

图13是本申请一实施例的卡位件和第二配合件配合的示意图;Fig. 13 is a schematic diagram of the cooperation between the locking part and the second matching part according to an embodiment of the present application;

图14是本申请一实施例的卡位件的结构示意图;Fig. 14 is a schematic structural diagram of a locking member according to an embodiment of the present application;

图15是本申请一实施例的第一壳体和卡位件配合的结构示意图;Fig. 15 is a schematic diagram of the structure of the cooperation between the first housing and the locking member according to an embodiment of the present application;

图16是本申请一实施例的摆头机构的局部俯视图;Fig. 16 is a partial top view of the head swing mechanism according to an embodiment of the present application;

图17是本申请一实施例的摆头机构的局部主视图;Fig. 17 is a partial front view of a head swing mechanism according to an embodiment of the present application;

图18是图17中A-A方向的剖视图。Fig. 18 is a sectional view along A-A direction in Fig. 17 .

附图标记:Reference signs:

1 操作件(旋钮) 531 第一止转结构1 operating part (knob) 531 first anti-rotation structure

11 操作部 6 驱动件11 Operator 6 Drive

12 第一安装孔 53 第三配合孔12 First mounting hole 53 Third mating hole

13 第一配合孔 61 驱动轴13 First mating hole 61 Drive shaft

2 第一配合件 611 第二止转结构2 The first matching part 611 The second anti-rotation structure

21 第一槽 62 驱动件本体21 First slot 62 Driver body

211 第一槽壁 71 摆头连接杆211 First groove wall 71 Swing head connecting rod

23 第二安装孔 711 腰形孔23 Second mounting hole 711 Waist hole

24 第二配合孔 72 摆头拉杆24 Second matching hole 72 Swing head rod

3 卡位件 73 第一销轴3 Locking piece 73 The first pin shaft

31 第一配合部 81 第一壳体31 First mating part 81 First housing

32 第二配合部 811 安装孔32 Second mating part 811 Mounting hole

33 第二引导部 812 缺口33 Second guide part 812 Notch

34 弹性件配合部 813 第一引导部34 Fitting part of elastic member 813 First guide part

41 第一弹性件 82 第二壳体41 First elastic member 82 Second housing

42 第二弹性件 83 套管42 Second elastic member 83 Sleeve

43 第一销轴 9 支座43 First pin 9 support

5 第二配合件 91 容纳槽5 Second mating part 91 Accommodating groove

51 第二槽 92 卡位件限位孔51 The second slot 92 Limiting hole for clamping part

511 第二槽壁 93 轴孔511 Second groove wall 93 Shaft hole

52 第三安装孔 94 旋转限位孔52 Third mounting hole 94 Rotation limit hole

具体实施方式Detailed ways

现在将参考附图更全面地描述示例实施方式。然而,示例实施方式能够以多种形式实施,且不应被理解为限于在此阐述的实施方式;相反,提供这些实施方式使得本申请将全面和完整,并将示例实施方式的构思全面地传达给本领域的技术人员。在图中相同的附图标记表示相同或类似的结构,因而将省略对它们的重复描述。说明书中的“或”、“或者”均可能表示“和”或者“或”。虽然本说明书中可使用术语“上”、“下”、“之间”等来描述本申请的不同示例性特征和元件,但是这些术语用于本文中仅出于方便,例如根据附图中所述的示例的方向。本说明书中的任何内容都不应理解为需要结构的特定三维方向才落入本申请的范围内。本说明书中虽然采用“第一”或“第二”等来表示某些特征,但其仅为表示作用,而不作为具体特征的数量和重要性的限制。Example embodiments will now be described more fully with reference to the accompanying drawings. Example embodiments may, however, be embodied in many forms and should not be construed as limited to the embodiments set forth herein; rather, these embodiments are provided so that this application will be thorough and complete, and will fully convey the concept of example embodiments to those skilled in the art. The same reference numerals denote the same or similar structures in the drawings, and thus their repeated descriptions will be omitted. "Or" and "or" in the specification may mean "and" or "or". Although the terms "above," "below," "between," etc. may be used in this specification to describe various exemplary features and elements of the present application, these terms are used herein for convenience only, for example according to the directions for the example described above. Nothing in this specification should be construed as requiring a particular three-dimensional orientation of structures in order to fall within the scope of this application. Although "first" or "second" etc. are used to indicate some features in this specification, they are only used for denotation and not as limitations on the quantity and importance of specific features.

本申请提供了一种用于外科吻合器的摆头机构及包括该摆头机构的外科吻合器。所述外科吻合器包括吻合器本体和与所述吻合器本体配合的末端执行器。所述摆头机构包括驱动件和摆头拉杆,所述驱动件配置为旋转时驱动所述摆头拉杆沿所述吻合器的轴向运动,所述摆头拉杆的轴向运动可驱动所述末端执行器相对于所述吻合器本体横向摆动。The present application provides a head swing mechanism for a surgical stapler and a surgical stapler including the head swing mechanism. The surgical stapler includes a stapler body and an end effector matched with the stapler body. The swing head mechanism includes a driving part and a swing head pull rod, the drive part is configured to drive the swing head pull rod to move along the axial direction of the stapler when rotating, and the axial movement of the swing head pull rod can drive the The end effector swings laterally relative to the stapler body.

所述摆头机构还包括卡位件和第一配合件。所述卡位件在第一位置时,所述卡位件阻挡所述驱动件的旋转运动,将末端执行器锁定在当前位置。所述卡位件在第二位置时,所述驱动件可被驱动而旋转,所述第一位置相比于所述第二位置更靠近所述驱动件。所述第一配合件配置为被操作而驱动所述卡位件从所述第一位置进入所述第二位置,使得所述卡位件与所述驱动件解锁,可以依次通过驱动件和所述摆头拉杆实现末端执行器摆动,避免驱动件旋转时对卡位件造成损伤,并且在驱动件旋转的过程中,没有卡位件的干涉阻挡,使得末端执行器的摆动更为顺畅。所述卡位件可活动地设于所述驱动件的外侧,可以更方便地布置摆头机构的内部结构,并且不会影响驱动轮本身的结构和强度,并且卡位件的设计空间更为充分,卡位件尺寸可以设计得更为合理以保证足够强度,从而在进行较厚组织吻合手术而施加较大击发力时,也能保持摆动角度的锁止,保证手术顺利进行,提高医生信心。The head swing mechanism also includes a locking part and a first matching part. When the locking member is in the first position, the locking member blocks the rotation of the driving member and locks the end effector at the current position. When the locking member is in the second position, the driving member can be driven to rotate, and the first position is closer to the driving member than the second position. The first matching part is configured to be operated to drive the locking part to enter the second position from the first position, so that the locking part is unlocked from the driving part, and the driving part and the driving part can be sequentially passed. The above-mentioned oscillating head rod realizes the swing of the end effector, avoiding damage to the clamping component when the driving component rotates, and during the rotation of the driving component, there is no interference of the clamping component, so that the swing of the end effector is smoother. The locking part can be movably arranged on the outside of the driving part, the internal structure of the swing head mechanism can be arranged more conveniently, and the structure and strength of the driving wheel itself will not be affected, and the design space of the locking part is larger. Sufficient, the size of the clamping part can be designed more reasonably to ensure sufficient strength, so that when a large firing force is applied for thick tissue anastomosis, the locking of the swing angle can also be maintained to ensure the smooth progress of the operation and improve the efficiency of the doctor. confidence.

下面结合附图详细介绍本申请各个具体实施例的摆头机构的结构,可以理解的是,各个具体实施例不作为本申请的保护范围的限制。The structure of the head swing mechanism in each specific embodiment of the present application will be described in detail below in conjunction with the accompanying drawings. It should be understood that the specific embodiments are not intended to limit the scope of protection of the present application.

在该实施例中,所述外科吻合器包括吻合器本体和与所述吻合器本体配合的末端执行器。如图1所示,所述吻合器本体包括沿所述吻合器的轴向延伸的套管83,所述套管83的内部设有沿所述吻合器的轴向延伸的摆头拉杆72(示于图4),所述摆头拉杆72的远端连接到所述末端执行器。如图1~5所示,所述摆头机构包括壳体,所述壳体包括位于上方的第一壳体81和位于下方的第二壳体82。所述第一壳体81的上表面开设有圆形的安装孔811。如图1和图2所示,所述第一壳体81的上方设有旋钮状的操作件1,用于驱动第一壳体81内部的结构运作(具体工作原理在下文中介绍)。所述操作件1包括操作部11,使用者可通过所述操作部11驱动所述操作件1相对于所述第一壳体81旋转,所述操作件1的底部设有第一配合孔13。如图3所示,在所述操作件1和所述第一壳体81之间还设有支座9,所述支座9相对于所述第一壳体81固定而不可旋转。所述支座9的上表面与所述操作件1的下表面相接触,所述支座9的下表面与所述安装孔811的开口外边缘相接触。In this embodiment, the surgical stapler includes a stapler body and an end effector cooperating with the stapler body. As shown in Figure 1, the stapler body includes a sleeve 83 extending axially along the stapler, and the inside of the sleeve 83 is provided with a swing head pull rod 72 extending axially along the stapler ( 4), the distal end of the swing head rod 72 is connected to the end effector. As shown in FIGS. 1-5 , the swinging head mechanism includes a housing, and the housing includes a first housing 81 located above and a second housing 82 located below. A circular installation hole 811 is defined on the upper surface of the first housing 81 . As shown in FIG. 1 and FIG. 2 , a knob-shaped operating member 1 is arranged on the top of the first housing 81 to drive the internal structure of the first housing 81 (the specific working principle will be introduced below). The operating part 1 includes an operating part 11 through which the user can drive the operating part 1 to rotate relative to the first housing 81 , and the bottom of the operating part 1 is provided with a first matching hole 13 . As shown in FIG. 3 , a support 9 is further provided between the operating member 1 and the first housing 81 , and the support 9 is fixed relative to the first housing 81 and cannot rotate. The upper surface of the support 9 is in contact with the lower surface of the operating member 1 , and the lower surface of the support 9 is in contact with the outer edge of the opening of the installation hole 811 .

如图3~10所示,所述摆头机构还包括驱动件6和摆头连接杆71,所述驱动件6位于所述第一壳体81的安装孔811中,所述摆头连接杆71与所述驱动件6的底部相配合,并且所述摆头连接杆71连接到所述摆头拉杆72的近端。如图3~7所示,所述驱动件6包括驱动轴61和圆盘状的驱动件本体62,所述驱动轴61的顶端至少部分位于所述驱动件6的第一配合孔13(示出于图2)中,且相对于所述第一配合孔13可旋转。如图9和图10所示,所述摆头连接杆71设有腰形孔711,所述驱动件本体62设有第二销轴73,第二销轴73穿设于腰形孔711中,实现所述摆头连接杆71和所述驱动件本体62的偏心连接,通过此偏心连接结构,可以将所述驱动件本体62的旋转运动转换为所述摆头连接杆71的轴向运动。因此,所述驱动件6旋转时可驱动所述摆头连接杆71沿所述吻合器的轴向运动,所述摆头连接杆71驱动所述摆头拉杆72沿所述吻合器的轴向运动,从而调节所述末端执行器的横向摆动角度。As shown in FIGS. 3 to 10 , the swing head mechanism further includes a drive member 6 and a swing head connecting rod 71 , the drive member 6 is located in the mounting hole 811 of the first housing 81 , and the swing head connecting rod 71 cooperates with the bottom of the driving member 6 , and the swing head connecting rod 71 is connected to the proximal end of the swing head pull rod 72 . As shown in FIGS. 3-7, the driving member 6 includes a driving shaft 61 and a disc-shaped driving member body 62, and the top end of the driving shaft 61 is at least partially located in the first matching hole 13 of the driving member 6 (shown in FIG. As shown in FIG. 2 ), it is rotatable relative to the first fitting hole 13 . As shown in Figures 9 and 10, the swing head connecting rod 71 is provided with a waist-shaped hole 711, and the driver body 62 is provided with a second pin shaft 73, and the second pin shaft 73 is passed through the waist-shaped hole 711 , realizing the eccentric connection between the swing head connecting rod 71 and the driver body 62, through this eccentric connection structure, the rotational movement of the drive member body 62 can be converted into the axial movement of the swing head connecting rod 71 . Therefore, when the driving member 6 rotates, it can drive the swing head connecting rod 71 to move along the axial direction of the stapler, and the swing head connecting rod 71 drives the swing head pull rod 72 to move along the axial direction of the stapler. movement, thereby adjusting the lateral swing angle of the end effector.

在本申请中,远端侧和近端侧是相对于操作者来说的,距离操作者较近的一侧为近端侧,距离操作者较远的一侧,即更靠近手术位置的一侧为远端侧,沿所述吻合器的轴心的方向为轴向,即从吻合器的远端侧到近端侧的方向,或从吻合器的近端侧到远端侧的方向。在图1的视角中,S1方向为从远端侧向近端侧的方向,S1方向或与S1相反的方向为轴向。在图4的视角中,S3方向为横向,即宽度方向。在图12的视角中,S2方向为纵向,即高度方向。在本申请中,对于一个部件来说,内侧和外侧是相对于该部件的中心来说的,靠近中心的一侧为内侧,远离中心的一侧为外侧。In this application, the distal side and the proximal side are relative to the operator, the side closer to the operator is the proximal side, and the side farther away from the operator is the side closer to the surgical site. The side is the distal side, and the direction along the axis of the stapler is the axial direction, that is, the direction from the distal side to the proximal side of the stapler, or the direction from the proximal side to the distal side of the stapler. In the viewing angle of FIG. 1 , the S1 direction is the direction from the distal side to the proximal side, and the S1 direction or the direction opposite to S1 is the axial direction. In the viewing angle of FIG. 4 , the S3 direction is the transverse direction, that is, the width direction. In the viewing angle of FIG. 12 , the S2 direction is the longitudinal direction, that is, the height direction. In this application, for a component, the inner side and the outer side are relative to the center of the component, the side close to the center is the inner side, and the side away from the center is the outer side.

如图4~7所示,为了对所述驱动件6的位置进行锁定。所述摆头机构还包括卡位件3、第一配合件2和第二配合件5。在该实施例中,所述第二配合件5和所述第一配合件2均为圆盘状,且所述第二配合件5和所述第一配合件2依次穿设于所述驱动轴61。所述第一配合件2相对于所述驱动轴61可旋转。所述第二配合件5相对于所述驱动轴61不可旋转。如图12所示,所述第一配合件2的内部设有第二配合孔24。所述第二配合件5的内部设有第三配合孔53。图12中S0表示所述驱动轴61的轴向。所述第二配合孔24为圆孔,且所述第二配合孔24的内径大于或等于所述驱动轴61的最大外径,使得所述第一配合件2可相对于所述驱动轴61旋转。所述第三配合孔53的内表面设有第一止转结构531,所述驱动轴61的外表面设有第二止转结构611。所述第一止转结构531和所述第二止转结构611形成嵌设配合,使得所述第二配合件5相对于所述驱动轴61不可旋转。所述第二配合件5旋转时,所述第二配合件5驱动所述驱动件6整体旋转。如图6~8所示,所述支座9设有容纳槽91,所述第一配合件2至少部分位于所述容纳槽91的内部,所述第二配合件5位于所述支座9的下方。所述支座9的中心开设有轴孔93。所述轴孔93为圆孔,且所述轴孔93的内径大于或等于所述驱动轴61的最大外径,使得所述驱动轴61可相对于所述支座9旋转。As shown in FIGS. 4-7 , in order to lock the position of the driving member 6 . The head swing mechanism also includes a locking part 3 , a first fitting part 2 and a second fitting part 5 . In this embodiment, both the second fitting 5 and the first fitting 2 are disc-shaped, and the second fitting 5 and the first fitting 2 pass through the drive Shaft 61. The first fitting 2 is rotatable relative to the driving shaft 61 . The second matching part 5 is non-rotatable relative to the driving shaft 61 . As shown in FIG. 12 , a second matching hole 24 is provided inside the first fitting part 2 . A third matching hole 53 is defined inside the second fitting part 5 . S0 in FIG. 12 represents the axial direction of the drive shaft 61 . The second fitting hole 24 is a round hole, and the inner diameter of the second fitting hole 24 is greater than or equal to the maximum outer diameter of the drive shaft 61 , so that the first fitting 2 can be positioned relative to the drive shaft 61 rotate. The inner surface of the third matching hole 53 is provided with a first anti-rotation structure 531 , and the outer surface of the drive shaft 61 is provided with a second anti-rotation structure 611 . The first anti-rotation structure 531 and the second anti-rotation structure 611 form an embedded fit, so that the second fitting part 5 is non-rotatable relative to the driving shaft 61 . When the second matching part 5 rotates, the second matching part 5 drives the driving part 6 to rotate as a whole. As shown in Figures 6-8, the support 9 is provided with a receiving groove 91, the first fitting 2 is at least partly located inside the receiving groove 91, and the second fitting 5 is located on the support 9. below. A shaft hole 93 is opened at the center of the support 9 . The shaft hole 93 is a circular hole, and the inner diameter of the shaft hole 93 is greater than or equal to the maximum outer diameter of the driving shaft 61 , so that the driving shaft 61 can rotate relative to the support 9 .

所述卡位件3可活动地设于所述驱动件6的外侧,并且可在靠近所述驱动件6的第一位置和远离所述驱动件6的第二位置之间运动,所述卡位件3例如可沿所述驱动件6的径向方向来回运动,以远离和靠近所述驱动件6。如图5所示,所述第一壳体81的安装孔811一侧设有缺口812,所述安装孔811的侧壁呈具有缺口812的圆形,所述卡位件3可活动地设于所述缺口812的位置。所述支座9至少部分支撑于所述安装孔811的外周且至少部分覆盖所述卡位件3,所述支座9朝向所述卡位件3的一侧设有卡位件限位孔92,所述卡位件3至少部分位于所述卡位件限位孔92中。所述卡位件3远离所述驱动件6的一侧设有弹性件配合部34,所述弹性件配合部34与第一弹性件41配合,所述第一弹性件41例如为压簧,所述卡位件3被驱动而从所述第一位置进入所述第二位置时,所述卡位件3驱动所述第一弹性件41发生弹性变形,所述卡位件3受到的外部驱动力消除后,在所述第一弹性件41的弹性变形恢复力作用下,所述卡位件3可从所述第二位置返回到所述第一位置。所述第一弹性件41也可以为设置于其他位置的拉簧、弹性片等具有弹性的结构。The locking member 3 is movably arranged on the outside of the driving member 6, and can move between a first position close to the driving member 6 and a second position away from the driving member 6. For example, the positioning member 3 can move back and forth along the radial direction of the driving member 6 to move away from and approach to the driving member 6 . As shown in Figure 5, a notch 812 is provided on one side of the installation hole 811 of the first housing 81, the side wall of the installation hole 811 is circular with a notch 812, and the locking member 3 is movably set. at the position of the notch 812 . The support 9 is at least partly supported on the outer periphery of the mounting hole 811 and at least partially covers the locking member 3 , and the side of the support 9 facing the locking member 3 is provided with a locking member limiting hole 92 , the locking member 3 is at least partially located in the limiting hole 92 of the locking member. The side of the retaining member 3 away from the driving member 6 is provided with an elastic member matching portion 34, and the elastic member matching portion 34 cooperates with the first elastic member 41, and the first elastic member 41 is, for example, a compression spring. When the retaining member 3 is driven to enter the second position from the first position, the retaining member 3 drives the first elastic member 41 to elastically deform, and the retaining member 3 is subjected to an external After the driving force is eliminated, under the elastic deformation restoration force of the first elastic member 41 , the locking member 3 can return from the second position to the first position. The first elastic member 41 may also be an elastic structure such as a tension spring or an elastic sheet arranged at other positions.

如图11和图12所示,所述卡位件3包括第一配合部31和第二配合部32。所述第一配合件2的侧面设有多个沿周向分布的第一槽21,所述第二配合件5的侧面设有多个沿周向分布的第二槽51。所述卡位件3在所述第一位置时,所述第一配合部31至少部分进入所述第一槽21,所述第二配合部32至少部分进入所述第二槽51。因此,所述卡位件3在所述第一位置时,所述卡位件3的第二配合部32止挡所述第二配合件5旋转,也就使得所述驱动件6无法旋转带动所述摆头连接杆71的轴向运动,将末端执行器锁定在当前位置,保持了末端执行器在使用过程中的角度稳定性。而所述第一配合件2配置为被操作而旋转时,所述第一配合件2的第一槽21的第一槽壁211与所述第一配合部31相抵持,并驱动所述卡位件3从所述第一位置向远离所述驱动件6的方向运动而进入所述第二位置,使得所述卡位件3与所述驱动件6解锁,可以依次通过驱动件6和所述摆头连接杆71实现末端执行器摆动,避免驱动件6旋转时对卡位件3造成损伤,并且在驱动件6旋转的过程中,没有卡位件3的干涉阻挡,使得末端执行器的摆动更为顺畅。所述卡位件3可活动地设于所述驱动件6的外侧,可以更方便地布置摆头机构的内部结构,并且不会影响驱动轮本身的结构和强度,并且卡位件3的设计空间更为充分,卡位件3尺寸可以设计得更为合理以保证足够强度,从而在进行较厚组织吻合手术而施加较大击发力时,也能保持摆动角度的锁止,保证手术顺利进行,提高医生信心。进一步地,由于卡位件3可活动地设于驱动件的外侧,使得卡位件3的设计空间更为充分,这样卡位件3的第二配合部的长度可以设计得相对更长,对应的第二配合件5的第二槽51的深度设计得相对更深,从而使得锁止效果更佳,更能适应需要施加较大击发力的手术。As shown in FIG. 11 and FIG. 12 , the locking member 3 includes a first fitting portion 31 and a second fitting portion 32 . The side of the first fitting 2 is provided with a plurality of first slots 21 distributed along the circumferential direction, and the side of the second fitting 5 is provided with a plurality of second slots 51 distributed along the circumferential direction. When the engaging member 3 is in the first position, the first matching portion 31 at least partially enters the first slot 21 , and the second matching portion 32 at least partially enters the second slot 51 . Therefore, when the retaining member 3 is in the first position, the second matching portion 32 of the retaining member 3 blocks the rotation of the second engaging member 5, so that the driving member 6 cannot rotate to drive The axial movement of the swing head connecting rod 71 locks the end effector at its current position, maintaining the angular stability of the end effector during use. When the first matching part 2 is configured to be operated and rotated, the first groove wall 211 of the first groove 21 of the first matching part 2 is opposed to the first matching part 31 and drives the card. The positioning part 3 moves from the first position to the direction away from the driving part 6 and enters the second position, so that the locking part 3 and the driving part 6 are unlocked, and the driving part 6 and the driving part 6 can be sequentially passed. The swing head connecting rod 71 realizes the swing of the end effector, avoiding the damage to the locking member 3 when the driving member 6 rotates, and during the rotation of the driving member 6, there is no interference from the locking member 3, so that the movement of the end effector Swing is smoother. The locking member 3 is movably arranged on the outside of the driving member 6, which can more conveniently arrange the internal structure of the swing mechanism without affecting the structure and strength of the driving wheel itself, and the design of the locking member 3 The space is more sufficient, and the size of the clamping part 3 can be designed more reasonably to ensure sufficient strength, so that when a large firing force is applied for an anastomosis of thicker tissues, the locking of the swing angle can also be maintained to ensure a smooth operation To improve the confidence of doctors. Further, since the locking element 3 is movably arranged on the outside of the driving element, the design space of the locking element 3 is more sufficient, so that the length of the second fitting part of the locking element 3 can be designed to be relatively longer, corresponding to The depth of the second groove 51 of the second matching part 5 is designed to be relatively deeper, so that the locking effect is better, and it is more suitable for operations that require greater firing force.

因此,在该实施例中,所述摆头机构控制末端执行器摆动共分两个步骤:第一个步骤中,只有第一配合件2旋转、第二配合件5和驱动件6不旋转,驱动卡位件3从第一位置向第二位置运动,使得卡位件3与第二配合件5脱离;第二个步骤中,驱动第二配合件5和驱动件6旋转,通过驱动件6和摆头连接杆71驱动摆头拉杆72沿轴向运动。此两个步骤的驱动可以通过所述操作件1来实现。所述操作件1被配置为旋转第一行程时,驱动所述第一配合件2旋转而驱动所述卡位件3从所述第一位置进入所述第二位置,所述操作件1继续旋转第二行程时,通过所述第二配合件5驱动所述驱动件6旋转。Therefore, in this embodiment, the swinging head mechanism controls the swinging of the end effector in two steps: in the first step, only the first matching part 2 rotates, the second matching part 5 and the driving part 6 do not rotate, Drive the locking part 3 to move from the first position to the second position, so that the locking part 3 is separated from the second matching part 5; in the second step, the second matching part 5 and the driving part 6 are driven to rotate, and the driving part 6 And the swing head connecting rod 71 drives the swing head pull rod 72 to move in the axial direction. The actuation of these two steps can be realized by the operating element 1 . The operating member 1 is configured to drive the first matching member 2 to rotate and drive the locking member 3 to enter the second position from the first position when the first stroke is rotated, and the operating member 1 continues to When rotating in the second stroke, the driving member 6 is driven to rotate by the second matching member 5 .

具体地,如图11~13所示,所述摆头机构还包括第一销轴43和第二弹性件42。所述操作件1设有第一安装孔12,所述第一配合件2设有第二安装孔23,所述第二配合件5设有第三安装孔52,所述第一销轴43依次穿设于所述第一安装孔12、所述第二安装孔23和所述第三安装孔52中。所述第一安装孔12和所述第二安装孔23分别是圆孔,且所述第一安装孔12的内径和所述第二安装孔23的内径均等于所述第一销轴43的外径,以与所述第一销轴43适配。所述第三安装孔52是一个弧形孔,且所述第三安装孔52的周向长度大于所述第一销轴43的外径。所述第二弹性件42连接于所述第一销轴43和所述驱动轴61之间。所述第二弹性件42可以采用拉簧、扭簧、压簧、弹性片等弹性结构。Specifically, as shown in FIGS. 11 to 13 , the swing head mechanism further includes a first pin shaft 43 and a second elastic member 42 . The operating part 1 is provided with a first mounting hole 12, the first fitting 2 is provided with a second mounting hole 23, the second fitting 5 is provided with a third mounting hole 52, and the first pin 43 are passed through the first installation hole 12 , the second installation hole 23 and the third installation hole 52 in sequence. The first mounting hole 12 and the second mounting hole 23 are circular holes respectively, and the inner diameters of the first mounting hole 12 and the second mounting hole 23 are equal to that of the first pin 43 The outer diameter is adapted to the first pin shaft 43 . The third mounting hole 52 is an arc-shaped hole, and the circumferential length of the third mounting hole 52 is greater than the outer diameter of the first pin shaft 43 . The second elastic member 42 is connected between the first pin shaft 43 and the driving shaft 61 . The second elastic member 42 can adopt elastic structures such as extension springs, torsion springs, compression springs, and elastic sheets.

在该实施例中,示出了两个第一销轴43,且两个第一销轴43相对于驱动轴61对称设置,但本申请不限于此,在其他实施方式中,所述第一销轴43也可以设为一个、三个或更多个。所述第一安装孔12、所述第二安装孔23和所述第三安装孔52的数量分别对应所述第一销轴43的数量设置。如图8所示,所述支座9还设有弧形的旋转限位孔94,所述第一销轴43穿设于所述旋转限位孔94中。由于所述支座9相对于所述第一壳体81的位置是固定不变的,所述支座9的旋转限位孔94可以对所述第一销轴43的旋转行程进行限制。所述旋转限位孔94的周向长度大于所述第三安装孔52的周向长度。In this embodiment, two first pin shafts 43 are shown, and the two first pin shafts 43 are arranged symmetrically with respect to the drive shaft 61, but the application is not limited thereto. In other embodiments, the first Pin shaft 43 can also be set as one, three or more. The numbers of the first mounting holes 12 , the second mounting holes 23 and the third mounting holes 52 correspond to the numbers of the first pin shafts 43 respectively. As shown in FIG. 8 , the support 9 is further provided with an arc-shaped rotation limiting hole 94 , and the first pin shaft 43 passes through the rotation limiting hole 94 . Since the position of the support 9 relative to the first housing 81 is fixed, the rotation limit hole 94 of the support 9 can limit the rotation stroke of the first pin shaft 43 . The circumferential length of the rotation limiting hole 94 is greater than the circumferential length of the third installation hole 52 .

初始状态下,所述卡位件3位于靠近所述驱动件6的第一位置。所述第一配合部31和所述第二配合部32分别进入所述第一槽21和所述第二槽51,通过所述第二配合件5将所述驱动件6锁定在当前位置。所述第一销轴43位于所述第三安装孔52基本上中心的位置,所述第一销轴43相对于所述驱动件6处于第三相对位置,且所述第一销轴43位于所述旋转限位孔94基本上中心的位置。所述第二弹性件42未发生弹性变形。所述操作件1被操作而旋转第一行程时,所述操作件1通过所述第一销轴43驱动所述第一配合件2旋转,所述第一配合件2的第一槽壁211驱动所述卡位件3的第一配合部31,使得所述卡位件3向远离所述驱动件6的方向运动而进入所述第二位置,并压缩所述第一弹性件41发生弹性变形。所述第二配合部32与所述第二槽51分离,不再锁止所述第二配合件5。在操作件1旋转第一行程的过程中,所述第一销轴43在所述第三安装孔52中运动而并不会驱动所述第二配合件5旋转,所述第一销轴43相对于所述驱动件6到达第四相对位置,并且驱动所述第二弹性件42发生弹性变形。In an initial state, the locking member 3 is located at a first position close to the driving member 6 . The first fitting part 31 and the second fitting part 32 enter into the first slot 21 and the second slot 51 respectively, and the driving part 6 is locked at the current position by the second fitting part 5 . The first pin shaft 43 is located substantially at the center of the third mounting hole 52 , the first pin shaft 43 is at a third relative position relative to the driving member 6 , and the first pin shaft 43 is located at The rotation limiting hole 94 is basically at the center. The second elastic member 42 is not elastically deformed. When the operating member 1 is operated to rotate the first stroke, the operating member 1 drives the first fitting 2 to rotate through the first pin shaft 43 , and the first groove wall 211 of the first fitting 2 Driving the first matching portion 31 of the locking member 3, so that the locking member 3 moves away from the driving member 6 and enters the second position, and compresses the first elastic member 41 to become elastic out of shape. The second matching portion 32 is separated from the second slot 51 and no longer locks the second matching part 5 . During the first stroke of the operating member 1, the first pin 43 moves in the third mounting hole 52 without driving the second fitting 5 to rotate. The first pin 43 Relative to the driving member 6 reaches the fourth relative position, and drives the second elastic member 42 to elastically deform.

所述操作件1旋转第一行程至所述第一销轴43到达所述第三安装孔52的一个端部,所述操作件1被操作而继续旋转第二行程时,所述操作件1通过所述第一销轴43同时驱动所述第一配合件2和所述第二配合件5旋转,所述第二配合件5驱动所述驱动件6旋转,所述驱动件6通过所述摆头连接杆71驱动所述摆头拉杆72沿轴向运动,进而实现末端执行器的横向摆动。此时松开所述操作件1,在所述第二弹性件42的弹性变形恢复力作用下,所述第一销轴43会重新恢复到所述第三安装孔52的基本上中心位置,即回到相对于所述驱动件6的第三相对位置。在所述第一弹性件41的弹性变形恢复力作用下,所述卡位件3从所述第二位置返回到所述第一位置,所述第一配合部31和所述第二配合部32分别进入当前所对的第一槽21和第二槽51,再次将驱动件6锁定在当前位置,保持所述末端执行器当前摆动角度的稳定性。需要调整末端执行器角度时,可以重复前述两个步骤。在调整过程中,如果所述第一销轴43旋转到达所述旋转限位孔94的端部,所述第一销轴43无法继续向当前方向旋转,此时也就达到了末端执行器的最大摆动角度。The operating member 1 rotates the first stroke until the first pin shaft 43 reaches one end of the third mounting hole 52, and when the operating member 1 is operated to continue to rotate the second stroke, the operating member 1 The first fitting 2 and the second fitting 5 are simultaneously driven to rotate through the first pin shaft 43, the second fitting 5 drives the driving member 6 to rotate, and the driving member 6 passes through the The swing head connecting rod 71 drives the swing head pull rod 72 to move axially, thereby realizing the lateral swing of the end effector. At this time, the operating member 1 is released, and under the elastic deformation restoring force of the second elastic member 42, the first pin shaft 43 will return to the substantially central position of the third mounting hole 52, That is, return to the third relative position relative to the driving member 6 . Under the elastic deformation recovery force of the first elastic member 41, the locking member 3 returns from the second position to the first position, and the first matching portion 31 and the second matching portion 32 respectively enter the currently facing first slot 21 and second slot 51, and lock the driving member 6 at the current position again to maintain the stability of the current swing angle of the end effector. When the angle of the end effector needs to be adjusted, the preceding two steps can be repeated. During the adjustment process, if the first pin shaft 43 rotates to the end of the rotation limiting hole 94, the first pin shaft 43 cannot continue to rotate in the current direction, and at this time the end effector has reached Maximum swing angle.

如图14和图15所示,所述缺口812的内部设有第一引导部813,所述卡位件3设有第二引导部33,所述第一引导部813通过与所述第二引导部33的配合引导所述卡位件3在所述第一位置和所述第二位置之间的运动。在该实施例中,所述第一引导部813为引导条或滑块,所述第二引导部33为引导槽。在其他实施方式中,也可以所述第一引导部813为引导槽,所述第二引导部33为引导条或滑块。As shown in Fig. 14 and Fig. 15, a first guide part 813 is provided inside the notch 812, and a second guide part 33 is provided in the locking part 3, and the first guide part 813 passes through the second guide part 813. The cooperation of the guide part 33 guides the movement of the locking member 3 between the first position and the second position. In this embodiment, the first guide part 813 is a guide bar or a slider, and the second guide part 33 is a guide groove. In other embodiments, the first guide part 813 may also be a guide groove, and the second guide part 33 may be a guide bar or a slider.

如图12~14、16~18所示,所述第一槽21的第一槽壁211之间具有第一角度,各个所述第二槽51的第二槽壁511之间具有第二角度,所述第一角度大于所述第二角度。所述卡位件3的第一配合部31的宽度大于所述第二配合部32的宽度。和/或,所述第一槽21的深度小于所述第二槽51的深度,所述第一配合部31的末端相比于所述第二配合部32的末端更靠近所述驱动轴61。通过对所述第一槽21和所述第二槽51的结构区分设计,和/或所述第一配合部31和所述第二配合部32的结构区分设计,使得相比于第二槽51,所述卡位件3更容易从所述第一槽21中脱出。As shown in Figures 12-14, 16-18, there is a first angle between the first groove walls 211 of the first groove 21, and there is a second angle between the second groove walls 511 of each of the second grooves 51. , the first angle is greater than the second angle. The width of the first matching portion 31 of the engaging member 3 is greater than the width of the second matching portion 32 . And/or, the depth of the first groove 21 is smaller than the depth of the second groove 51, and the end of the first matching portion 31 is closer to the drive shaft 61 than the end of the second matching portion 32 . By distinguishing the structural design of the first groove 21 and the second groove 51, and/or the structural design of the first matching portion 31 and the second matching portion 32, compared to the second groove 51, the retaining member 3 is easier to disengage from the first groove 21.

以上内容是结合具体的优选实施方式对本申请所作的进一步详细说明,不能认定本申请的具体实施只局限于这些说明。对于本申请所属技术领域的普通技术人员来说,在不脱离本申请构思的前提下,还可以做出若干简单推演或替换,都应当视为属于本申请的保护范围。The above content is a further detailed description of the present application in conjunction with specific preferred implementation modes, and it cannot be considered that the specific implementation of the present application is limited to these descriptions. For those of ordinary skill in the technical field to which this application belongs, some simple deduction or substitutions can be made without departing from the concept of this application, which should be deemed to belong to the protection scope of this application.

Claims (12)

1.一种摆头机构,用于外科吻合器,所述摆头机构包括驱动件(6)和摆头拉杆(72),所述驱动件(6)配置为旋转时驱动所述摆头拉杆(72)沿所述吻合器的轴向运动,其特征在于,所述摆头机构还包括:1. A head swing mechanism for a surgical stapler, the head swing mechanism comprising a driver (6) and a head swing pull rod (72), the drive member (6) is configured to drive the head swing pull rod when rotating (72) Axial movement along the stapler, characterized in that the swing head mechanism further includes: 卡位件(3),可活动地设于所述驱动件(6)的外侧,所述卡位件(3)在第一位置时,所述卡位件(3)阻挡所述驱动件(6)的旋转运动,所述卡位件(3)在第二位置时,所述驱动件(6)可被驱动而旋转,所述第一位置相比于所述第二位置更靠近所述驱动件(6);The locking part (3) is movably arranged on the outside of the driving part (6). When the locking part (3) is in the first position, the locking part (3) blocks the driving part ( 6), when the clamping member (3) is in the second position, the driving member (6) can be driven to rotate, and the first position is closer to the drive (6); 第一配合件(2),配置为被操作而驱动所述卡位件(3)从所述第一位置进入所述第二位置。The first matching part (2) is configured to be operated to drive the locking part (3) from the first position to the second position. 2.根据权利要求1所述的摆头机构,其特征在于,所述驱动件(6)和所述第一配合件(2)同轴设置于所述外科吻合器的第一壳体(81)形成的安装孔(811)内,所述安装孔(811)的侧壁呈具有缺口(812)的圆形,所述卡位件(3)可活动地设于所述缺口(812)的位置。2. The swinging head mechanism according to claim 1, characterized in that, the driving member (6) and the first matching member (2) are coaxially arranged on the first shell (81) of the surgical stapler ) in the installation hole (811) formed, the side wall of the installation hole (811) is circular with a notch (812), and the locking member (3) is movably arranged in the notch (812) Location. 3.根据权利要求2所述的摆头机构,其特征在于,所述缺口(812)的内部设有第一引导部(813),所述卡位件(3)设有第二引导部(33),所述第一引导部通过与所述第二引导部的配合引导所述卡位件(3)在所述第一位置和所述第二位置之间的运动。3. The swing head mechanism according to claim 2, characterized in that, the inside of the notch (812) is provided with a first guide portion (813), and the locking member (3) is provided with a second guide portion ( 33), the first guide part guides the movement of the locking member (3) between the first position and the second position through cooperation with the second guide part. 4.根据权利要求3所述的摆头机构,其特征在于,还包括支座(9),所述支座(9)至少部分支撑于所述安装孔(811)的外周且至少部分覆盖所述卡位件(3),所述支座(9)朝向所述卡位件(3)的一侧设有卡位件限位孔(92),所述卡位件(3)至少部分位于所述卡位件限位孔(92)中。4. The swing head mechanism according to claim 3, characterized in that it further comprises a support (9), the support (9) is at least partially supported on the outer periphery of the mounting hole (811) and at least partially covers the The clamping piece (3), the support (9) is provided with a clamping piece limiting hole (92) on the side facing the clamping piece (3), and the clamping piece (3) is at least partly located In the limiting hole (92) of the locking member. 5.根据权利要求1所述的摆头机构,其特征在于,还包括第二配合件(5),所述第二配合件(5)与所述驱动件(6)形成不可相对旋转的连接,所述卡位件(3)在所述第一位置时,所述卡位件(3)至少部分与所述第二配合件(5)相抵持,以阻挡所述第二配合件(5)的旋转。5. The swing head mechanism according to claim 1, characterized in that it further comprises a second fitting (5), and the second fitting (5) forms a non-rotatable connection with the driving member (6) , when the locking member (3) is in the first position, the locking member (3) is at least partially abutted against the second fitting (5) to block the second fitting (5) ) rotation. 6.根据权利要求5所述的摆头机构,其特征在于,所述卡位件(3)包括第一配合部(31),所述第一配合件(2)的侧面设有第一槽(21),所述卡位件(3)在所述第一位置时,所述第一配合部(31)至少部分进入所述第一槽(21);6. The swing head mechanism according to claim 5, characterized in that, the locking member (3) includes a first fitting portion (31), and a first groove is provided on the side of the first fitting member (2) (21), when the retaining member (3) is in the first position, the first matching portion (31) at least partially enters the first groove (21); 所述卡位件(3)还包括第二配合部(32),所述第二配合件(5)的侧面设有第二槽(51),所述卡位件(3)在所述第一位置时,所述第二配合部(32)至少部分进入所述第二槽(51)。The clamping part (3) also includes a second matching part (32), the side of the second matching part (5) is provided with a second groove (51), and the clamping part (3) In a first position, the second matching portion (32) at least partially enters the second slot (51). 7.根据权利要求6所述的摆头机构,其特征在于,各个所述第一槽(21)的第一槽壁(211)之间具有第一角度,各个所述第二槽(51)的第二槽壁(511)之间具有第二角度,所述第一角度大于所述第二角度;或者,所述第一槽(21)的深度小于所述第二槽(51)的深度;7. The swing head mechanism according to claim 6, characterized in that there is a first angle between the first groove walls (211) of each of the first grooves (21), and each of the second grooves (51) There is a second angle between the second groove walls (511), and the first angle is greater than the second angle; or, the depth of the first groove (21) is smaller than the depth of the second groove (51) ; 所述驱动件(6)包括驱动轴(61)和驱动件本体(62),所述第二配合件(5)和所述第一配合件(2)依次设置于所述驱动件本体(62)的第一侧,且所述第一配合件(2)可相对于所述驱动轴(61)旋转。The driving part (6) includes a driving shaft (61) and a driving part body (62), and the second matching part (5) and the first matching part (2) are sequentially arranged on the driving part body (62) ), and the first fitting (2) can rotate relative to the drive shaft (61). 8.根据权利要求7所述的摆头机构,其特征在于,所述第一配合件(2)和所述第二配合件(5)均为套设于所述驱动轴(61)外部的圆盘形,所述第一配合件(2)朝向所述卡位件(3)的一侧设有多个沿周向分布的所述第一槽(21),所述第二配合件(5)朝向所述卡位件(3)的一侧设有多个沿周向分布的所述第二槽(51)。8. The swing head mechanism according to claim 7, characterized in that, both the first fitting (2) and the second fitting (5) are sleeved on the outside of the drive shaft (61) Disc-shaped, the first fitting (2) is provided with a plurality of circumferentially distributed first grooves (21) on the side facing the locking member (3), and the second fitting ( 5) A plurality of second grooves (51) distributed along the circumferential direction are provided on one side facing the locking member (3). 9.根据权利要求6所述的摆头机构,其特征在于,所述卡位件(3)的第一配合部(31)的宽度大于所述第二配合部(32)的宽度,和/或,所述第一配合部(31)的末端相比于所述第二配合部(32)的末端更靠近所述驱动轴(61)。9. The swing head mechanism according to claim 6, characterized in that, the width of the first matching portion (31) of the locking member (3) is greater than the width of the second matching portion (32), and/or Or, the end of the first matching portion (31) is closer to the driving shaft (61) than the end of the second matching portion (32). 10.根据权利要求5所述的摆头机构,其特征在于,所述摆头机构还包括操作件(1),所述操作件(1)被配置为旋转第一行程时,驱动所述第一配合件(2)旋转而驱动所述卡位件(3)从所述第一位置进入所述第二位置,所述操作件(1)继续旋转第二行程时,通过所述第二配合件(5)驱动所述驱动件(6)旋转;10. The head swing mechanism according to claim 5, characterized in that, the head swing mechanism further comprises an operating member (1), and the operating member (1) is configured to drive the first stroke when the first stroke is rotated. A matching part (2) rotates to drive the clamping part (3) from the first position to the second position, and when the operating part (1) continues to rotate for a second stroke, through the second fitting Part (5) drives described driving part (6) to rotate; 所述摆头机构还包括第一销轴(43),所述操作件(1)设有第一安装孔(12),所述第一配合件(2)设有第二安装孔(23),所述第二配合件(5)设有第三安装孔(52),所述第一销轴(43)依次穿设于所述第一安装孔(12)、所述第二安装孔(23)和所述第三安装孔(52)中,所述第三安装孔(52)的周向长度大于所述第一销轴(43)的外径;The swing head mechanism also includes a first pin shaft (43), the operating part (1) is provided with a first mounting hole (12), and the first fitting part (2) is provided with a second mounting hole (23) , the second fitting (5) is provided with a third mounting hole (52), and the first pin shaft (43) passes through the first mounting hole (12) and the second mounting hole ( 23) and the third mounting hole (52), the circumferential length of the third mounting hole (52) is greater than the outer diameter of the first pin shaft (43); 所述摆头机构还包括支座(9),所述支座(9)设有弧形的旋转限位孔(94),所述第一销轴(43)穿设于所述旋转限位孔(94)中。The head swing mechanism also includes a support (9), and the support (9) is provided with an arc-shaped rotation limiting hole (94), and the first pin shaft (43) is passed through the rotation limiting hole. in hole (94). 11.根据权利要求10所述的摆头机构,其特征在于,所述操作件(1)被配置为旋转第一行程时,所述第一销轴(43)相对于所述驱动件(6)从第三相对位置运动至第四相对位置;11. The swing head mechanism according to claim 10, characterized in that, when the operating member (1) is configured to rotate the first stroke, the first pin shaft (43) is relatively ) moves from a third relative position to a fourth relative position; 所述摆头机构还包括弹性件(42),配置为给所述第一销轴(43)一个使其从第四相对位置向所述第三相对位置运动的偏置力。The swing mechanism further includes an elastic member (42) configured to give the first pin shaft (43) a biasing force to move from the fourth relative position to the third relative position. 12.一种外科吻合器,其特征在于,包括权利要求1至11中任一项所述的摆头机构。12. A surgical stapler, characterized in that it comprises the swing head mechanism according to any one of claims 1 to 11.
CN202211531070.0A 2022-12-01 2022-12-01 Swing head mechanism and surgical stapler Pending CN116172635A (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
CN202211531070.0A CN116172635A (en) 2022-12-01 2022-12-01 Swing head mechanism and surgical stapler
PCT/CN2023/133119 WO2024114466A1 (en) 2022-12-01 2023-11-22 Swivel head mechanism and surgical stapler

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202211531070.0A CN116172635A (en) 2022-12-01 2022-12-01 Swing head mechanism and surgical stapler

Publications (1)

Publication Number Publication Date
CN116172635A true CN116172635A (en) 2023-05-30

Family

ID=86437244

Family Applications (1)

Application Number Title Priority Date Filing Date
CN202211531070.0A Pending CN116172635A (en) 2022-12-01 2022-12-01 Swing head mechanism and surgical stapler

Country Status (2)

Country Link
CN (1) CN116172635A (en)
WO (1) WO2024114466A1 (en)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2024114466A1 (en) * 2022-12-01 2024-06-06 天臣国际医疗科技股份有限公司 Swivel head mechanism and surgical stapler
CN118453015A (en) * 2024-05-14 2024-08-09 宝玛医疗科技(无锡)有限公司 Knob device and stapler

Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN118892340B (en) * 2024-09-29 2025-02-21 江苏科曼医疗科技有限公司 A driving locking structure for surgical instruments and surgical instruments
CN120501468B (en) * 2025-06-27 2025-11-18 以诺康医疗科技(合肥)有限公司 Electric swing mechanism and anastomat

Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN207979728U (en) * 2018-05-07 2018-10-19 杨斯潆 A kind of steering positioning device of Linear cutting anastomat
CN110960272A (en) * 2019-11-13 2020-04-07 北京派尔特医疗科技股份有限公司 A kind of endoscopic stapler steering centering positioning device and endoscopic stapler
CN211704726U (en) * 2019-11-13 2020-10-20 北京派尔特医疗科技股份有限公司 Steering, centering and positioning device of endoscope anastomat and endoscope anastomat
WO2021036262A1 (en) * 2019-08-23 2021-03-04 江苏风和医疗器材股份有限公司 End actuator driving device for surgical instrument, and surgical instrument
CN213217356U (en) * 2020-08-16 2021-05-18 麦德莱(苏州)医疗科技有限公司 Jaw adjusting device and anastomat
CN112842433A (en) * 2019-11-28 2021-05-28 天臣国际医疗科技股份有限公司 Head swinging mechanism and medical anastomat
CN112998791A (en) * 2019-12-19 2021-06-22 天臣国际医疗科技股份有限公司 Head swinging mechanism and medical anastomat
CN114305558A (en) * 2021-05-27 2022-04-12 天津瑞奇外科器械股份有限公司 Surgical instrument and operation method thereof
CN114469221A (en) * 2020-11-12 2022-05-13 苏州英途康医疗科技有限公司 Swing head mechanism of endoscope anastomat and adapter of endoscope anastomat

Family Cites Families (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8695866B2 (en) * 2010-10-01 2014-04-15 Ethicon Endo-Surgery, Inc. Surgical instrument having a power control circuit
CN208524935U (en) * 2017-12-19 2019-02-22 苏州英途康医疗科技有限公司 Oscillating head mechanism and hysteroscope stapler for hysteroscope stapler
CN209529226U (en) * 2018-12-21 2019-10-25 苏州天臣国际医疗科技有限公司 Oscillating head mechanism and linear anastomat
CN112998790B (en) * 2019-12-19 2024-12-06 天臣国际医疗科技股份有限公司 Swing head mechanism and medical stapler
US11116501B1 (en) * 2020-04-10 2021-09-14 Lexington Medical, Inc. Surgical handle articulation assemblies
CN214761254U (en) * 2020-06-23 2021-11-19 北京派尔特医疗科技股份有限公司 Steering limit mechanism for stapler and stapler
CN114469220B (en) * 2020-11-12 2023-12-26 苏州英途康医疗科技有限公司 Head swinging method of endoscope anastomat and endoscope anastomat
CN116172635A (en) * 2022-12-01 2023-05-30 天臣国际医疗科技股份有限公司 Swing head mechanism and surgical stapler

Patent Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN207979728U (en) * 2018-05-07 2018-10-19 杨斯潆 A kind of steering positioning device of Linear cutting anastomat
WO2021036262A1 (en) * 2019-08-23 2021-03-04 江苏风和医疗器材股份有限公司 End actuator driving device for surgical instrument, and surgical instrument
CN110960272A (en) * 2019-11-13 2020-04-07 北京派尔特医疗科技股份有限公司 A kind of endoscopic stapler steering centering positioning device and endoscopic stapler
CN211704726U (en) * 2019-11-13 2020-10-20 北京派尔特医疗科技股份有限公司 Steering, centering and positioning device of endoscope anastomat and endoscope anastomat
CN112842433A (en) * 2019-11-28 2021-05-28 天臣国际医疗科技股份有限公司 Head swinging mechanism and medical anastomat
CN112998791A (en) * 2019-12-19 2021-06-22 天臣国际医疗科技股份有限公司 Head swinging mechanism and medical anastomat
CN213217356U (en) * 2020-08-16 2021-05-18 麦德莱(苏州)医疗科技有限公司 Jaw adjusting device and anastomat
CN114469221A (en) * 2020-11-12 2022-05-13 苏州英途康医疗科技有限公司 Swing head mechanism of endoscope anastomat and adapter of endoscope anastomat
CN114305558A (en) * 2021-05-27 2022-04-12 天津瑞奇外科器械股份有限公司 Surgical instrument and operation method thereof

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2024114466A1 (en) * 2022-12-01 2024-06-06 天臣国际医疗科技股份有限公司 Swivel head mechanism and surgical stapler
CN118453015A (en) * 2024-05-14 2024-08-09 宝玛医疗科技(无锡)有限公司 Knob device and stapler

Also Published As

Publication number Publication date
WO2024114466A1 (en) 2024-06-06

Similar Documents

Publication Publication Date Title
CN116172635A (en) Swing head mechanism and surgical stapler
CN109963515B (en) Surgical instruments with interlock function
US10368950B2 (en) Drive arrangement for an endoscopic shaft-type instrument
CN100457033C (en) Needle insertion device
CN112535506B (en) Laparoscopic stapler and rotating head thereof
CN109965827B (en) Endoscope power locking and adjusting mechanism and endoscope holding system
CN217365782U (en) Disposable soft mirror
CN219207115U (en) Swing mechanism and surgical anastomat
WO2021036262A1 (en) End actuator driving device for surgical instrument, and surgical instrument
CN109498089A (en) A kind of hysteroscope stapler steering lock apparatus and the hysteroscope stapler using it
US20080319265A1 (en) Gear apparatus
CN211704726U (en) Steering, centering and positioning device of endoscope anastomat and endoscope anastomat
CN114305694B (en) Surgical instrument protection device, surgical instrument, mounting portion, and surgical instrument assembly
CN214181409U (en) Handle and interventional instrument for controlling the directional bending of the sheath
CN111956288B (en) Nail bin rotation control device of endoscope anastomat
CN211325286U (en) Swing head mechanism and medical stapler
EP3243446A1 (en) Adapter assemblies for surgical devices
CN112998791B (en) Swing head mechanism and medical stapler
CN119014989A (en) Hand devices and surgical robots
CN118717202A (en) Bending control device and stapler for surgical instruments
CN112998790B (en) Swing head mechanism and medical stapler
CN117357181A (en) Swing mechanism and anastomat
CN214761254U (en) Steering limit mechanism for stapler and stapler
CN110960272A (en) A kind of endoscopic stapler steering centering positioning device and endoscopic stapler
CN212382672U (en) Swing head mechanism and medical stapler

Legal Events

Date Code Title Description
PB01 Publication
PB01 Publication
SE01 Entry into force of request for substantive examination
SE01 Entry into force of request for substantive examination