DE10314072A1 - Surgical instrument e.g. surgical pliers, clamping tool, cutting tool, has rotation lock that has indentation bar engaging indentation return to fix movable handles of surgical instrument in closed position - Google Patents
Surgical instrument e.g. surgical pliers, clamping tool, cutting tool, has rotation lock that has indentation bar engaging indentation return to fix movable handles of surgical instrument in closed position Download PDFInfo
- Publication number
- DE10314072A1 DE10314072A1 DE10314072A DE10314072A DE10314072A1 DE 10314072 A1 DE10314072 A1 DE 10314072A1 DE 10314072 A DE10314072 A DE 10314072A DE 10314072 A DE10314072 A DE 10314072A DE 10314072 A1 DE10314072 A1 DE 10314072A1
- Authority
- DE
- Germany
- Prior art keywords
- handle
- instrument according
- handle parts
- catch
- handle part
- 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.)
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/2812—Surgical forceps with a single pivotal connection
- A61B17/2833—Locking means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2946—Locking means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/30—Surgical pincettes without pivotal connections
- A61B2017/305—Tweezer like handles with tubular extensions, inner slidable actuating members and distal tools, e.g. microsurgical instruments
Abstract
Description
Die Erfindung betrifft ein chirurgisches Instrument mit zwei gegeneinander bewegbaren Griffteilen und mit einer Umlaufsperre zur gegenseitigen Fixierung der Griffteile in einer Schließstellung und zur Lösung der Fixierung beim weiteren Annähern der Griffteile über die Schließstellung hinaus in eine Öffnungsstellung, die an einem ersten Griffteil einen Rastrücksprung und an einem zweiten Griffteil eine in diesen eingreifende und dadurch die Griffteile in der Schließstellung fixierende Raste umfaßt, die beim Schließen der Griffteile an einer Seite des Rastrücksprunges vorbeibewegt wird und beim Öffnen auf der anderen.The The invention relates to a surgical instrument with two against each other movable handle parts and with a circulation lock for mutual Fixing the handle parts in a closed position and to solve the Fixation when approaching further the handle parts over the closed position out into an open position, which on a first handle part a snap back and on a second Handle part engaging in this and thereby the handle parts in the closed position fixing peg includes the one when closing the handle parts are moved past one side of the locking recess and when opening on the other.
Chirurgische
Instrumente dieser Art werden mit einer solchen Umlaufsperre ausgestattet,
damit die beiden Griffteile in der Schließstellung fixiert und in einfacher
Weise durch erneutes Gegeneinanderdrücken der Griffteile wieder
voneinander gelöst
werden können.
Beispielsweise ist ein solches Instrument aus der
Bei all diesen Instrumenten besteht das Problem, daß beim Schließen der Griffteile darauf geachtet werden muß, die Griffteile nicht zu weit einander anzunähern, da sonst die Raste am Rastrücksprung vorbei bewegt wird und sofort wieder beim Loslassen der Griffteile an dem Rastrücksprung vorbeiläuft, ohne in diesen einzurasten. Mit anderen Worten darf man die Griffteile nicht so weit einander annähern, daß bereits beim ersten Annähern wieder eine Lösung der Umlaufsperre eintritt, ohne daß diese vorher überhaupt in den Rastrücksprung eingerastet ist. Der Operateur muß daher beim Schließen der Griffteile sehr vorsichtig vorgehen, um tatsächlich die Einrastung zu erreichen und nicht versehentlich die Griffteile bis zur Löseposition von Raste und Rastrücksprung zu bewegen.at all these instruments have the problem that when the Handle parts must be taken care of, the handle parts not too to bring them closer together otherwise the notch on the detent recess is moved past and immediately when you release the handle parts at the snap back passes, without snapping into it. In other words, the handle parts are allowed not so close to each other, that already when approaching for the first time again a solution of the Circulation lock occurs without this before at all in the snap back is engaged. The operator must therefore close the Handle the handle parts very carefully in order to actually engage them and not inadvertently the handle parts up to the release position of the catch and snap-back to move.
Es ist Aufgabe der Erfindung, ein gattungsgemäßes Instrument so zu verbessern, daß beim Schließen der Griffteile in jedem Falle ein Einrasten der Raste in den Rastrücksprung erfolgt, auch wenn die Griffteile kräftig und über die Rastposition hinausgehend gegeneinander bewegt werden.It it is the object of the invention to improve a generic instrument in such a way that when closing the In any case, the handle parts engage the catch in the catch recess takes place, even if the handle parts are strong and go beyond the locking position be moved against each other.
Die Aufgabe wird bei einem chirurgischen Instrument der eingangs beschriebenen Art erfindungsgemäß dadurch gelöst, daß an dem ersten Griffteil eine erste Steuerkurve angeordnet ist, die beim Schließen der Griffteile gegen einen die Schließbewegung begrenzenden Anschlag die Raste in eine Einraststellung bringt, aus der sie beim Öffnen der Griffteile zwangsläufig in den Rastrücksprung eintritt, daß der Rastrücksprung eine zweite Steuerkurve trägt, die die Raste beim Eintauchen in den Rastrücksprung aus einer der ersten Steuerkurve gegenüberliegenden Eintrittsposition in eine einer dritten Steuerkurve am zweiten Griffteil gegenüberliegende Austrittsposition bewegt, und daß die dritte Steuerkurve die Raste beim erneuten Schließen der Griffteile aus der Schließstellung heraus in eine Ausraststellung bringt, aus der sie beim Öffnen der Griffteile zwangsläufig am Rastrücksprung vorbei bewegt wird.The The task is described in the case of a surgical instrument Kind according to the invention solved, that at the first handle part is arranged a first control cam, which at Conclude the handle parts against a stop limiting the closing movement brings the catch into a latching position from which it opens when the Handle parts inevitably enters the snap back, that the Engagement recess carries a second cam, the detent when immersed in the detent recess from one of the first Control curve opposite Entry position into a third control curve on the second handle part opposing Exit position moves, and that the third cam the Locked when closed again the handle parts from the closed position brings it into a disengaged position from which it opens when the Handle parts inevitably at the snap back is moved past.
Es wird also eine Zwangsführung der Raste dergestalt vorgenommen, daß beim Schließen der Griffteile diese bis auf einen Anschlag geschlossen werden und daß dabei die Raste durch die erste Steuerkurve in eine Position bewegt wird, aus der sie beim Öffnen der Griffteile zwangsläufig in den Rastrücksprung eintreten muß. Im Rastrücksprung selbst wird die Raste durch die Steuerkurve der Raste so weit bewegt, daß bei einem erneuten Schließen der Griffteile die Raste nicht wieder zurück in die erste Steuerkurve gelangt, sondern jetzt in eine dritte, neben der ersten Steuerkurve angeordnete Steuerkurve, welche die Raste beim anschließenden Öffnen der Griffteile seitlich an dem Rastrücksprung vorbeiführt. Der Benutzer kann also beim Schließen der Griffteile diese bis auf einen Anschlag einander annähern und ist sicher, daß beim anschliessenden Loslassen der Griffteile die Raste in den Rastrücksprung eintritt und dadurch die Griffteile in der Schließstellung verriegelt. Erst bei einem erneuten Zusammendrücken der Griffteile wird diese Verriegelung gelöst, besondere Sorgfalt muß der Benutzer dabei nicht auf die Schließbewegung richten, da diese in jedem Fall bis zu dem Anschlag durchgeführt wird.It becomes a forced tour the detent made such that when closing the handle parts these are closed to a stop and that the catch is moved into a position by the first control cam, from which they open of the handle parts inevitably in the snap back must occur. In the snap back even the notch is moved so far by the control curve of the notch, that at a new closing the handle parts do not move the catch back into the first control curve reached, but now in a third, next to the first control curve Arranged control curve, which the catch when opening the Handle parts on the side of the snap recess passes. The user can up to when closing the handle parts move closer to each other at a stroke and is sure that at then releasing the grip parts, the catch enters the catch recess and thereby locks the handle parts in the closed position. First when squeezing again the handle parts this lock is released, special care must be taken by the user not on the closing movement as this is carried out up to the stop in any case.
Eine solche Ausgestaltung läßt sich bei allen chirurgischen Instrumenten einsetzen, bei denen durch eine Schließbewegung von zwei Griffteilen ein Werkzeug bewegt werden soll, beispielsweise bei Klemmen, Scheren, Zangen, Pinzetten etc. Dabei ist es vorteilhaft, wenn die Griffteile über eine Überlastfeder auf die Werkzeuge wirken, so daß bei der vollständigen Schließbewegung der Griffteile gegen einen Anschlag die Werkzeuge gegebenenfalls einen geringeren Weg zurücklegen, falls sie durch zwischen den Werkzeugen liegende Teile an einer vollständigen Schließbewegung der Werkzeuge gehindert sind. Trotzdem kann der Benutzer die Griffteile bis zum vollständigen Schließen gegen ihren Anschlag bewegen.A such design can be use with all surgical instruments where a closing movement a tool is to be moved by two handle parts, for example for clamps, scissors, pliers, tweezers etc. It is advantageous if the handle parts over an overload spring act on the tools so that at the complete closing movement the handle parts against a stop the tools if necessary to travel a shorter distance if it is due to parts between the tools on a complete closing movement the tools are hindered. Nevertheless, the user can up to the handle parts to complete Conclude move against their stop.
Grundsätzlich wäre es möglich, daß die Raste durch eine bahnförmige Steuerkurve vollständig in ihrer Bewegung geführt wird, es ist aber gemäß einer bevorzugten Ausführungsform besonders vorteilhaft, wenn auf die Raste eine Feder wirkt, die die Raste bei Auslenkung nach beiden Seiten in eine Mittelstellung zurückbewegt. Bei einer solchen Ausgestaltung genügt es, die Steuerkurve als einfache Kulisse auszubilden, die einseitig an der Raste anliegt und die Raste entgegen der Wirkung der Feder nach der einen oder der anderen Seite auslenkt.In principle, it would be possible for the catch to be guided completely in its movement by a web-shaped control cam, but according to a preferred embodiment it is particularly advantageous if a spring acts on the catch, which moves the catch back into a central position on both sides when deflected. With such an arrangement it suffices to design the control curve as a simple backdrop, which rests on one side against the catch and deflects the catch against the action of the spring to one side or the other.
Günstig ist es, wenn die Raste verschwenkbar an dem zweiten Griffteil gelagert ist.Is cheap it when the catch is pivotally mounted on the second handle part is.
Auch die Umkehrung dieses Prinzips ist möglich, die Raste kann feststehen und die Steuerkurve kann an den Griffteilen beweglich gelagert werden, so daß sich auch in diesem Falle die beschriebene Relativbewegung ergibt. Insbesondere kann auch der Einsatz über eine Feder in einer Mittelstellung gehalten und gegen die Federkraft nach beiden Seiten auslenkbar sein.Also this principle can be reversed, the detent can be fixed and the control cam can be flexibly mounted on the handle parts, so that also in this case the relative movement described results. In particular can also use over a spring held in a central position and against the spring force be deflectable on both sides.
Die Schließbewegung der Griffteile kann durch einen Anschlag begrenzt sein, der als separater Anschlag an den Griffteilen vorgesehen ist, bei einer besonders bevorzugten Ausführungsform wird jedoch der die Schließbewegung der Griffteile begrenzende Anschlag durch die erste und die dritte Steuerkurve einerseits und die Raste andererseits gebildet. Beim Schließen wird also die Raste gegen einen Tiefstpunkt der Steuerkurve gedrückt, und dadurch wird die Schließbewegung begrenzt, bei der Öffnung der Griffteile aus dieser Anschlagposition bewegt sich dann die Raste längs der Steuerkurve in eine Position, in der sie entweder in den Rastrücksprung eintritt oder aber in der dritten Steuerkurve am Rastrücksprung vorbeigeführt wird.The closing movement the handle parts can be limited by a stop, which as separate stop on the handle parts is provided at a particularly preferred embodiment however, that will be the closing movement the stop parts limiting the stop by the first and the third Control curve formed on the one hand and the detent on the other. At the Conclude the notch is pressed against a low point of the control curve, and this will make the closing movement limited when opening the Handle parts from this stop position then moves the catch along the Control cam in a position in which it either enters the locking recess or in the third control curve past the snap-back.
Es wäre aber natürlich auch möglich, den Anschlag einfach an den Griffteilen anzuordnen, so daß die Schließbewegung der Griffteile direkt begrenzt wird. Beispielsweise könnten an beiden Griffteilen entsprechende Anschlagflächen vorgesehen sein, die ein weiteres Zusammenführen der Griffteile begrenzen.It would be Naturally also possible, simply arrange the stop on the handle parts so that the closing movement the grip parts are limited directly. For example, on corresponding stop surfaces can be provided, the one merge further limit the handle parts.
Es ist vorteilhaft, wenn die erste und die dritte Steuerkurve durch die Seitenflächen eines Vorsprungs gebildet werden, der dem Rastrücksprung gegenüberliegt. Beispielsweise kann dieser Vorsprung keilförmig ausgebildet sein.It is advantageous if the first and third control curve through the side faces a projection are formed, which is opposite the locking recess. For example, this projection can be wedge-shaped.
Der Rastrücksprung ist vorzugsweise zum ersten Griffteil hin offen und kann beispielsweise keilförmig ausgebildet sein.The Engagement recess is preferably open to the first handle part and can, for example cuneiform be trained.
Bei einer bevorzugten Ausführungsform ist weiterhin vorgesehen, daß an dem Rastrücksprung an seiner dem ersten Griffteil abgewandten Seite eine Aufgleitfläche für die Raste angeordnet ist, welche diese beim Schließen der Griffteile entgegen der Wirkung der Feder aus ihrer Mittelstellung heraus bewegt.at a preferred embodiment it is also envisaged that the snap back a sliding surface for the catch on its side facing away from the first grip part is arranged, which counter this when closing the handle parts the action of the spring moved out of its central position.
Weiterhin kann vorgesehen sein, daß an dem Rastrücksprung an seiner dem ersten Griffteil abgewandten Seite eine Aufgleitfläche für die Raste angeordnet ist, welche diese beim Öffnen der Griffteile entgegen der Wirkung der Feder aus ihrer Mittelstellung heraus bewegt. Die Bewegungsrichtung der Raste längs der Aufgleitflächen ist dabei beim Öffnen und Schließen entgegengesetzt und die durch die Feder definierte Mittelstellung ist so gewählt, daß die Raste beim Schließen der Griffteile aus der vollständig geöffneten Stellung auf die Aufgleitfläche trifft, die die Raste in die erste Steuerkurve führt.Farther can be provided that on the Engagement recess a sliding surface for the catch is arranged on its side facing away from the first grip part is what this when opening the handle parts against the action of the spring from their central position moved out. The direction of movement of the catch along the sliding surfaces is while opening and Conclude opposite and the central position defined by the spring is chosen that the catch at Conclude the handle parts from the complete open Position on the sliding surface hits, which leads the detent into the first control curve.
Die erste und die dritte Steuerkurve können gemeinsam einen W-förmigen Verlauf haben, dabei ist es günstig, wenn die erste und die dritte Steuerkurve an ihren tiefsten Stellen verrundet sind.The first and third control cam can together have a W-shaped course it’s cheap, if the first and third control curve at their lowest points are rounded.
Es kann vorgesehen sein, daß die Raste die Form eines quer zur Schließrichtung der Griffteile verlaufenden Steges hat. Dieser Steg kann vorzugsweise am freien Ende eines schwenkbar am zweiten Griffteil gelagerten Haltearmes angeordnet sein.It can be provided that the Locked the shape of a transverse to the closing direction of the handle parts Has webs. This web can preferably be pivoted at the free end of a be arranged on the second handle part mounted arm.
Weiterhin kann vorgesehen sein, daß der Rastrücksprung und gegebenenfalls die Aufgleitflächen Teil eines Quersteges sind, der quer zur Schließrichtung verlaufend am ersten Griffteil gehalten ist.Farther can be provided that the locking recess and possibly the sliding surfaces part of a crossbar are transverse to the closing direction is held on the first handle part.
Eine besonders günstige Konstruktion ergibt sich, wenn der Rastrücksprung und die erste und die dritte Steuerkurve an einem Einsatz angeordnet sind, der in das erste Griffteil eingesetzt ist.A particularly cheap Construction arises when the snap back and the first and the third control cam is arranged on an insert which in the first handle part is inserted.
Die Griffteile können in beliebiger Weise gegeneinander bewegbar sein, besonders vorteilhaft ist es, wenn die Griffteile gegeneinander verschwenkbar sind.The Handle parts can be movable against each other in any way, particularly advantageous it is when the handle parts are pivotable against each other.
Die nachfolgende Beschreibung bevorzugter Ausführungsformen der Erfindung dient im Zusammenhang mit der Zeichnung der näheren Erläuterung. Es zeigen:The following description of preferred embodiments of the invention serves in connection with the drawing for further explanation. Show it:
Das
in der Zeichnung nur teilweise dargestellte Instrument
Die
beiden Griffteile werden über
eine an beiden Griffteilen angreifende Biegefeder
Am
zweiten Griffteil ist in einer Ausnehmung
An
seinem freien Ende trägt
der Haltearm
Dem
Rastkörper
An
seinen beiden Außenseiten
verläuft
der Quersteg
Wenn
die beiden Griffteile
Beim
Schließen
der beiden Griffteile
Die
Anlagefläche
Öffnet man
ausgehend von dieser Stellung die Griffteile
Drückt man
die beiden Griffteile
Sobald
der Steg
Der
Benutzer kann also einfach die beiden Griffteile
Claims (17)
Priority Applications (1)
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DE10314072A DE10314072B4 (en) | 2003-03-28 | 2003-03-28 | Surgical instrument |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
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DE10314072A DE10314072B4 (en) | 2003-03-28 | 2003-03-28 | Surgical instrument |
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Publication Number | Publication Date |
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DE10314072A1 true DE10314072A1 (en) | 2004-10-21 |
DE10314072B4 DE10314072B4 (en) | 2009-01-15 |
Family
ID=33016049
Family Applications (1)
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DE10314072A Expired - Lifetime DE10314072B4 (en) | 2003-03-28 | 2003-03-28 | Surgical instrument |
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