DE3805179A1 - Geraet mit einem rotierend angetriebenen chirurgischen instrument - Google Patents
Geraet mit einem rotierend angetriebenen chirurgischen instrumentInfo
- Publication number
- DE3805179A1 DE3805179A1 DE3805179A DE3805179A DE3805179A1 DE 3805179 A1 DE3805179 A1 DE 3805179A1 DE 3805179 A DE3805179 A DE 3805179A DE 3805179 A DE3805179 A DE 3805179A DE 3805179 A1 DE3805179 A1 DE 3805179A1
- Authority
- DE
- Germany
- Prior art keywords
- control unit
- drive motor
- rotation
- speed
- cutting
- 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.)
- Withdrawn
Links
Classifications
-
- B—PERFORMING OPERATIONS; TRANSPORTING
- B23—MACHINE TOOLS; METAL-WORKING NOT OTHERWISE PROVIDED FOR
- B23Q—DETAILS, COMPONENTS, OR ACCESSORIES FOR MACHINE TOOLS, e.g. ARRANGEMENTS FOR COPYING OR CONTROLLING; MACHINE TOOLS IN GENERAL CHARACTERISED BY THE CONSTRUCTION OF PARTICULAR DETAILS OR COMPONENTS; COMBINATIONS OR ASSOCIATIONS OF METAL-WORKING MACHINES, NOT DIRECTED TO A PARTICULAR RESULT
- B23Q5/00—Driving or feeding mechanisms; Control arrangements therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/1613—Component parts
- A61B17/1626—Control means; Display units
-
- G—PHYSICS
- G05—CONTROLLING; REGULATING
- G05B—CONTROL OR REGULATING SYSTEMS IN GENERAL; FUNCTIONAL ELEMENTS OF SUCH SYSTEMS; MONITORING OR TESTING ARRANGEMENTS FOR SUCH SYSTEMS OR ELEMENTS
- G05B19/00—Programme-control systems
- G05B19/02—Programme-control systems electric
- G05B19/04—Programme control other than numerical control, i.e. in sequence controllers or logic controllers
- G05B19/10—Programme control other than numerical control, i.e. in sequence controllers or logic controllers using selector switches
- G05B19/106—Programme control other than numerical control, i.e. in sequence controllers or logic controllers using selector switches for selecting a programme, variable or parameter
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00973—Surgical instruments, devices or methods, e.g. tourniquets pedal-operated
Description
Die Erfindung betrifft ein Gerät mit einem rotierend ange
triebenen chirurgischen Instrument mit einem Handstück mit
einer in diesem drehbar gelagerten Halterung zur Aufnahme
von auswechselbaren Schneid- und Fräseinsätzen, einem An
triebsmotor zum Antreiben der die Werkzeugeinsätze auf
nehmenden Halterung, einer Steuereinheit zur Steuerung des
Antriebsmotors mit Mitteln zum Einstellen der Drehzahl und
Vorwählen des Drehzahlbereiches und der Drehrichtung sowie
einer digitalen Anzeige zum Ablesen der jeweils einge
stellten Drehzahl.
Aus der DE-PS 28 48 314 ist ein chirurgisches Instrument
für die arthroskopische intra-artikuläre Gelenkchirurgie
bekannt, welches, ohne eine Gelenköffnung vornehmen zu
müssen, beispielsweise das Abtragen von Synovialgewebe,
eine partielle Meniskusresektion, die Behandlung von
Knorpeldefekten oder dergleichen durch einen endoskopischen
Eingriff ermöglicht. Die Drehzahl der in einem Außenschaft
rotierenden Schneid- oder Fräseinsätze kann an dem mit dem
Instrument über eine flexible Welle verbundenen Antriebs
motor im Bereich von 100 bis 200 Umdrehungen pro Minute
eingestellt werden. Ferner besteht die Möglichkeit, die
abgetragenen Gewebe-, Knorpel- oder Knochenteile durch den
hohlen Schneid- oder Fräseinsatz hindurch mittels einer
am Instrument anschließbaren Unterdruckleitung abzufördern.
Aus der EP-A2 01 89 807 ist weiter ein chirurgisches In
strument bekannt, welches eine Mehrzahl von Adaptern auf
weist, die zwischen dem Motorhandgriff und dem Schneid
einsatz angeordnet die Drehzahl des gerade verwendeten
Schneid- oder Fräseinsatzes einstellen. Da die verschiede
nen Schneideinsätze mit unterschiedlichen Drehzahlen zu
betreiben sind, erfordert dies, daß jedem der Einsätze ein
Adapter zugeordnet wird.
Schließlich ist ein unter der Bezeichnung INTRA-ARC DRIVE
SYSTEM von der Firma Concept vertriebenes chirurgisches
Instrument für die arthroskopische Behandlung von Gelenken
bekannt. Die Anordnung einer Vielzahl von am distalen Hand
griffende befindlichen Tastern ermöglicht zwar das Instru
ment ein- und auszuschalten, die Drehrichtung zu ändern
sowie die Drehzahl in zwei Drehzahlbereichen einzustellen.
Da derartige Instrumente jedoch in der Regel mehreren An
wendern zur Verfügung stehen, die in Abhängigkeit des
durchzuführenden chirurgischen Eingriffes, des verwendeten
Schneideinsatzes und der Erfahrung verschiedene Drehzahlen
wählen, haftet dem bekannten Stand der Technik der Mangel
an, daß bei jeder Benutzung des Instrumentes und bei je
dem Austausch des Schneideinsatzes die nach Ansicht des
jeweiligen Anwenders optimale Drehzahl neu eingestellt
werden muß. Die zur Ermittlung der optimalen Drehzahl
erforderliche Zeit und auch die Ermittlung der optimalen
Drehzahl selbst stellen sowohl für den Chirurgen als
auch für den Patienten eine unzumutbare Belastung dar.
Die Aufgabe der Erfindung besteht daher darin, ein Gerät mit
einer Steuereinheit für den Antrieb eines chirurgischen In
strumentes nach dem Oberbegriff zu schaffen, welche in der
Lage ist, individuelle Einstelldaten abrufbar zu speichern.
Diese Aufgabe wird erfindungsgemäß dadurch gelöst, daß die
Steuereinheit einen nichtflüchtigen Schreib-Lesespeicher zur
elektrischen Speicherung von anwenderspezifischen Drehzahlen
und dergleichen, einen Codeträger sowie eine Codier-/Decodier
einrichtung aufweist. Dabei besteht eine bevorzugte Ausge
staltung darin, daß der Codeträger lösbar mit der Steuerein
heit verbindbar ist, was vorteilhafterweise dadurch ermög
licht wird, daß der Codeträger als Karte, Schlüssel, Stecker
oder dergleichen ausgebildet ist.
Damit können einmal als günstig ermittelte und erprobte Ein
stelldaten in ihrer Gesamtheit gespeichert und auf einen
Codeträger übertragen werden, welcher jederzeit eine indi
viduelle Einstellung bewirkt, wenn dieser mit der Decodier
einrichtung in Verbindung gebracht wird.
Für die Aktivierung und Deaktivierung der Steuereinheit kann
dieser eine fußbetätigbare Schalteinrichtung zum Ein- und
Ausschalten des Antriebsmotors und Ändern der Drehrichtung
desselben zugeordnet sein. Zu diesem Zweck kann aber auch die
Schalteinrichtung zum Ein- und Ausschalten des Antriebsmotors
und Ändern der Drehrichtung desselben dem Handstück zugeordnet
sein. Die verschiedenen zur Anwendung kommenden Schneid- und
Fräseinsätze sind zwecks Entfaltung ihrer Wirksamkeit in
spezifischen Drehzahlbereichen zu betreiben. Mit Hilfe einer dem
jeweils benötigten Drehzahlbereich entsprechenden Codierung der
Schneid- und Fräseinsätze kann eine werkzeugspezifische au
tomatische Drehzahlbereichs-Vorwahl erreicht werden dadurch, daß
das Handstück eine Einrichtung zur Umwandlung der den Schneid-
und Fräseinsätzen zugeordneten Codes in ein elektrisches
Signal aufweist, welches durch die Steuereinheit ausgewertet
wird. Dabei kann die Codierung mechanischer, elektrischer,
optischer oder magnetischer Art sein, so daß die Decodier
einrichtung in dem Handstück entsprechend ausgeführt ist.
Zur Erzielung einer effektiveren Schneidleistung kann in
Abhängigkeit des verwendeten Schneidwerkzeuges die Steuer
einheit so ausgelegt sein, daß sie eine Betriebsart ermög
licht, bei der die Drehrichtung des Antriebsmotors periodisch
wechselt, wobei die Umschaltung beispielsweise jeweils nach
Ablauf von mindestens einer vollständigen Umdrehung erfolgt.
Eine weitere Vereinfachung der Bedienbarkeit des erfindungs
gemäßen Instrumentes läßt sich dadurch erzielen, daß die
Steuereinheit eine Spracheingabeeinrichtung aufweist, die
eine Funktionssteuerung über Sprache ermöglicht. Schließlich
kann die Steuereinrichtung zum Zwecke der Dokumentation eine
Anschlußmöglichkeit aufweisen, mit welcher die eingestellten
Daten in ein externes Aufzeichnungsgerät übertragen und/oder
auf einen Monitor beispielsweise in ein Endoskopbild einge
blendet werden können.
Das erfindungsgemäße Gerät wird nachfolgend anhand eines in
der Zeichnung dargestellten Ausführungsbeispieles näher er
läutert. Es zeigt:
Fig. 1 eine schematische Ansicht des kompletten Gerätes
und
Fig. 2 das Gerät in schematischer Darstellung als Block
schaltbild.
Wie aus den Figuren ersichtlich, weist das Handstück 1 einen
Antriebsmotor 2 auf, der eine die Schneid- und Fräsein
sätze 4 aufnehmende Halterung 3 antreibt, sowie einen De
coder 5 zur Umwandlung der jeweils den Schneid- und Fräs
einsätzen 4 zugeordneten Codes in entsprechende elek
trische Signale. Das Handstück 1 ist über ein Kabel 6
mit einer Steuereinheit 7 verbunden, welche in einem
geeigneten Gehäuse 8 untergebracht ist. Äußerlich sicht
bare Elemente dieser Steuereinheit 7 sind ein Display 9
zur Anzeige der eingestellten Drehzahl und beispielsweise
der verwendeten Werkzeugart, ein Anschluß für einen Fuß
schalter 10 zum Aktivieren und Deaktivieren
sowie zum Umsteuern der Drehrichtung des An
triebsmotors 2, eine Regeleinrichtung 11 zur Einstellung
der Drehzahl, ein Drehzahl-Bereichswähler 12 sowie eine
Steckfassung 13 für einen Codeträger 14. Die Steckfassung
13 steht mit einem Coder/Decoder 15 in Verbindung, der
wiederum mit einer Speichereinheit 16 korrespondiert.
Zur Vorbereitung des Betriebes des erfindungsgemäßen
Gerätes ninmt der jeweilige Benutzer eine manuelle Ein
stellung der Betriebsdaten,wie Drehzahl, Anfangs- und End
wert derselben usw., vor und optimiert diese nach seinem
Empfinden. Die so gefundenen Betriebsdaten werden in der
Speichereinheit 16 gespeichert, die zu diesem Zweck eine
entsprechende Anzahl Speicherplätze aufweist. Die Inhalte
dieser Speicherplätze lassen sich auf einen Codeträger
14, beispielsweise in Form einer Magnetkarte, durch Ein
stecken derselben in die dafür vorgesehene Steckfassung
13 übertragen. Damit ist umgekehrt der Besitzer dieses
Codeträgers in der Lage, die vorprogrammierten Daten durch
Einstecken der Magnetkarte aufzurufen, das heißt, die
Steuereinheit 7 durch diesen Vorgang auf die entsprechenden
Daten einzustellen. Dabei kann im Falle der Verwendung von
in der oben erwähnten Weise kodierten Werkzeugeinsätzen
ein Drehzahlbereich vorgegeben werden, innerhalb dessen
oberer und unterer Drezahlgrenze eine manuelle Nachrege
lung vorgenommen werden kann. Es kann so jeder Be
nutzer einen individuellen Codeträger benutzen,
mittelswelchem durch einfaches Einstecken desselben in
die Steckfassung 13 das Gerät jederzeit auf die von ihm
beispielsweise auf empirischem Wege ermittelten und als
optimal empfundenen Daten eingestellt werden kann.
Das so eingestellte Gerät läßt sich nun durch Be
tätigen des Fußschalters 10 über die Drehrichtungssteue
rung 18 aktivieren oder deaktivieren, wobei auch die Dreh
richtung über denselben eingestellt werden kann.
Die Einstelldaten können über eine geeignete Schnittstelle
17 auf ein externes Aufzeichnungsgerät übertragen wer
den, mit dessen Hilfe eine Speicherung des Eingriffsvor
ganges beispielsweise zu Lehrzwecken oder zum Zwecke der
Dokumentation möglich ist. Es kann der Eingriff aber auch
durch Anschluß eines Monitors extern verfolgt werden, der
beispielsweise das endoskopisch erzeugte Bild des Opera
tionsfeldes wiedergibt, in das die Einstelldaten einge
blendet werden.
Abschließend wird noch darauf hingewiesen, daß auf dem je
weiligen Codeträger nur der personenbezogene Code des
Anwenders vermerkt sein kann, während die zu speichernden
Daten, wie Drehzahlen, Drehrichtung, Drehzahlbereiche
und dergleichen, im internen Systemspeicher abgelegt
werden und über den Codeträger abgerufen werden können.
Andererseits können die zu speichernden und anwenderbe
zogenen Daten auch unmittelbar auf dem Codeträger abge
speichert werden, so daß diese Daten beim Einstecken des
Codeträgers in das Gerät eingelesen und auf den internen
Systemspeicher übertragen werden. In diesem Fall ist
übrigens ein gesonderter personenbezogener Code nicht
erforderlich.
Claims (9)
1. Gerät mit einem rotierend angetriebenen chirurgischen
Instrument mit einem Handstück (1) mit einer in diesem
drehbar gelagerten Halterung (3) zur Aufnahme von aus
wechselbaren Schneid- und Fräsereinsätzen (4), einem
Antriebsmotor (2) zum Antreiben der die Werkzeugeinsätze
(4) aufnehmenden Halterung (3), einer Steuereinheit (7)
zur Steuerung des Antriebsmotors (2) mit Mitteln zum
Einstellen der Drehzahl und Vorwählen des Drehzahlbe
reiches und der Drehrichtung sowie einer An
zeige zum Ablesen der jeweils eingestellten Drehzahl,
dadurch gekennzeichnet, daß die Steuereinheit (7) einen nicht
flüchtigen Schreib-Lesespeicher (16) zur digitalen
Speicherung von anwenderspezifischen Drehzahlen und dergleichen,
einen Codeträger (14) sowie eine Codier-/Decodiereinrichtung
(15) aufweist.
2. Gerät nach Anspruch 1, dadurch gekennzeichnet, daß der
Codeträger (14) lösbar mit der Steuereinheit (7)
verbindbar ist.
3. Gerät nach den Ansprüchen 1 oder 2, dadurch gekennzeichnet,
daß der Codeträger (14) als Karte, Schlüssel, Stecker
oder dergleichen ausgebildet ist.
4. Gerät nach einem der Ansprüche 1 bis 3, dadurch gekenn
zeichnet, daß der Steuereinheit (7) eine fußbetätigbare
Schalteinrichtung (10) zum Ein- und Ausschalten des
Antriebsmotors (2) und Ändern der Drehrichtung des
selben zugeordnet ist.
5. Gerät nach einem der Ansprüche 1 bis 3, dadurch gekenn
zeichnet, daß die Schalteinrichtung (10) zum Ein- und
Ausschalten des Antriebsmotors (2) und Ändern der Dreh
richtung desselben dem Handstück (1) zugeordnet ist.
6. Gerät nach einem der Ansprüche 1 bis 5, dadurch gekenn
zeichnet, daß das Handstück (1) einen Decoder (5) zur
Umwandlung eines den Schneid- und Fräseinsätzen (4)
zugeordneten Codes in ein elektrisches Signal aufweist,
welches durch die Steuereinheit (7) ausgewertet wird.
7. Gerät nach einem der Ansprüche 1 bis 6, dadurch gekenn
zeichnet, daß die Steuereinheit (7) in Abhängigkeit des
Schneidwerkzeuges eine Betriebsart ermöglicht, bei der
die Drehrichtung des Antriebsmotors (2) periodisch
wechselt, wobei die Umschaltung jeweils nach Ablauf
mindestens einer vollständigen Umdrehung erfolgt.
8. Gerät nach einem der Ansprüche 1 bis 7, dadurch gekenn
zeichnet, daß die Steuereinheit (7) eine Spracheingabe
einrichtung aufweist, die eine Funktionssteuerung über
Sprache ermöglicht.
9. Gerät nach einem der Ansprüche 1 bis 8, dadurch gekenn
zeichnet, daß die Steuereinrichtung (7) eine Anschluß
möglichkeit aufweist, mit welcher die eingestellten
Daten in ein externes Aufzeichnungsgerät übertragen
und/oder auf einem Monitor beispielsweise in ein Endos
kopbild eingeblendet werden können.
Priority Applications (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE3805179A DE3805179A1 (de) | 1988-02-19 | 1988-02-19 | Geraet mit einem rotierend angetriebenen chirurgischen instrument |
EP89100855A EP0329944B1 (de) | 1988-02-19 | 1989-01-19 | Gerät mit einem rotierend angetriebenen chirurgischen Instrument |
DE89100855T DE58906186D1 (de) | 1988-02-19 | 1989-01-19 | Gerät mit einem rotierend angetriebenen chirurgischen Instrument. |
US07/311,758 US4995877A (en) | 1988-02-19 | 1989-02-17 | Device with a rotationally-driven surgical instrument |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE3805179A DE3805179A1 (de) | 1988-02-19 | 1988-02-19 | Geraet mit einem rotierend angetriebenen chirurgischen instrument |
Publications (1)
Publication Number | Publication Date |
---|---|
DE3805179A1 true DE3805179A1 (de) | 1989-08-31 |
Family
ID=6347720
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
DE3805179A Withdrawn DE3805179A1 (de) | 1988-02-19 | 1988-02-19 | Geraet mit einem rotierend angetriebenen chirurgischen instrument |
DE89100855T Revoked DE58906186D1 (de) | 1988-02-19 | 1989-01-19 | Gerät mit einem rotierend angetriebenen chirurgischen Instrument. |
Family Applications After (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
DE89100855T Revoked DE58906186D1 (de) | 1988-02-19 | 1989-01-19 | Gerät mit einem rotierend angetriebenen chirurgischen Instrument. |
Country Status (3)
Country | Link |
---|---|
US (1) | US4995877A (de) |
EP (1) | EP0329944B1 (de) |
DE (2) | DE3805179A1 (de) |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
DE19754779A1 (de) * | 1997-12-10 | 1999-06-24 | Premysl Dr Med Pavlicek | Venenstripper |
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---|---|---|---|---|
DE19754779A1 (de) * | 1997-12-10 | 1999-06-24 | Premysl Dr Med Pavlicek | Venenstripper |
DE19754779C2 (de) * | 1997-12-10 | 2002-06-27 | Premysl Pavlicek | Chirurgisches Instrument |
Also Published As
Publication number | Publication date |
---|---|
DE58906186D1 (de) | 1993-12-23 |
EP0329944A1 (de) | 1989-08-30 |
US4995877A (en) | 1991-02-26 |
EP0329944B1 (de) | 1993-11-18 |
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