JPH06327683A - Surgical suture instrument - Google Patents
Surgical suture instrumentInfo
- Publication number
- JPH06327683A JPH06327683A JP5117375A JP11737593A JPH06327683A JP H06327683 A JPH06327683 A JP H06327683A JP 5117375 A JP5117375 A JP 5117375A JP 11737593 A JP11737593 A JP 11737593A JP H06327683 A JPH06327683 A JP H06327683A
- Authority
- JP
- Japan
- Prior art keywords
- anvil
- staple
- sheath
- tissue
- bioadhesive
- 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- Withdrawn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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B17/115—Staplers for performing anastomosis in a single operation
- A61B17/1155—Circular staplers comprising a plurality of staples
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00491—Surgical glue applicators
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
Description
【０００１】[0001]
【産業上の利用分野】本発明は、内視鏡下の体腔内手術
において腸などの管状組織を繋ぎ合わせる場合に用いら
れる外科用縫合具に関する。BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a surgical suturing instrument used for joining tubular tissues such as intestines in endoscopic endoscopic surgery.
【０００２】[0002]
【従来の技術】従来、この種の外科用縫合具は、握り部
と、この握り部の前端から延出した挿入部と、この挿入
部の先端に設けられた縫合部とを有し、縫合部のステー
プル収容体とステープル受け体との間に２つの管状組織
の端部を挟み込み、ステープル収容体からステープル受
け体に押し出された複数個のステープルによって組織同
志を繋ぎ合わせるように構成されている。2. Description of the Related Art Conventionally, a surgical suturing tool of this type has a grip portion, an insertion portion extending from a front end of the grip portion, and a suture portion provided at a tip of the insertion portion. The end portions of the two tubular tissues are sandwiched between the staple containing body and the staple receiving body of the section, and the tissues are joined by the plurality of staples extruded from the staple containing body to the staple receiving body. .
【０００３】[0003]
【発明が解決しようとする課題】しかしながら、このよ
うな従来の外科用縫合具は組織にステープルを突き刺し
た際に出血が生じることがあり、出血によって組織の再
生が遅れるという問題があった。本発明は上述した問題
点に鑑みてなされたもので、その目的は組織の縫合部分
からの出血を防止することのできる外科用縫合具を提供
することにある。However, such a conventional surgical suturing tool has a problem that bleeding may occur when a tissue is pierced with a staple, and the tissue regeneration is delayed due to the bleeding. The present invention has been made in view of the above problems, and an object thereof is to provide a surgical suturing tool that can prevent bleeding from a sutured portion of a tissue.
【０００４】[0004]
【課題を解決するための手段】上記課題を解決するため
に本発明は、握り部と、この握り部の前端から延出した
細管状の挿入部と、この挿入部の先端に設けられ切断さ
れた２つの管状組織を複数個のステープルで繋ぎ合わせ
る縫合部とを具備してなる外科用縫合具において、前記
縫合部に流体噴出ノズルを設けたことを特徴とする。In order to solve the above problems, the present invention provides a grip portion, a thin tubular insertion portion extending from the front end of the grip portion, and a cutting provided at the tip of the insertion portion. In the surgical suturing tool, which further comprises a suture portion that connects two tubular tissues with a plurality of staples, a fluid ejection nozzle is provided in the suture portion.
【０００５】[0005]
【作用】本発明においては縫合部に流体噴出ノズルを設
け、この流体噴出ノズルから生体接着剤を組織の縫合部
分に向けて噴出することにより、組織の出血を生体接着
剤で止血することができる。In the present invention, a fluid ejection nozzle is provided in the sutured portion, and the bioadhesive is ejected from the fluid ejection nozzle toward the sutured portion of the tissue so that the bleeding of the tissue can be stopped by the bioadhesive. .
【０００６】[0006]
【実施例】以下、本発明の実施例を図面を参照して説明
する。図１ないし図３は本発明の第１実施例を示す図
で、図１は外科用縫合具の概略構成を示す図である。同
図において符号１１は外科用縫合具の握り部であり、こ
の握り部１１の前端からは挿入部としてのシース１２が
延設されている。このシース１２はトラカールを介して
体腔内に挿入できるように細径に形成されており、その
先端には縫合部１４が設けられている。Embodiments of the present invention will be described below with reference to the drawings. 1 to 3 are views showing a first embodiment of the present invention, and FIG. 1 is a view showing a schematic configuration of a surgical suturing tool. In the figure, reference numeral 11 is a grip portion of the surgical suturing tool, and a sheath 12 as an insertion portion extends from the front end of the grip portion 11. The sheath 12 is formed to have a small diameter so that it can be inserted into a body cavity through a trocar, and a suture portion 14 is provided at the tip thereof.
【０００７】前記縫合部１４は図３に示すように２つの
管状組織１３ａ，１３ｂを繋ぎ合わせるためのものであ
り、図２に示すようにシース１２の先端に設けられたス
テープル放出部１８と、このステープル放出部１８の前
端面に対向して設けられたステープル受け部としてのア
ンビル１６とから構成されている。As shown in FIG. 3, the suture portion 14 is for connecting the two tubular tissues 13a and 13b together, and as shown in FIG. 2, a staple discharging portion 18 provided at the distal end of the sheath 12, An anvil 16 as a staple receiving portion is provided so as to face the front end surface of the staple discharging portion 18.
【０００８】前記ステープル放出部１８は円環状に形成
されたステープル収容部材１８ａと、このステープル収
容部材１８ａの後側に配置されたステープルプッシャ１
９と、このステープルプッシャ１９の内側に設けられた
円筒カッター２２とを備えており、ステープルプッシャ
１９をシース１２の先端側に移動させると、ステープル
収容部材１８ａに収容された複数個のステープル２０が
アンビル１６に向けて押し出されるようになっている。
なお、ステープル２０はＵ字状に形成されており、ステ
ープル収容部材１８ａの円周方向に沿って２列に配列さ
れている。また、前記ステープルプッシャ１９および円
筒カッター２２は握り部１１に設けられた操作レバー２
１を回動操作することによりシース１２の先端側に移動
するようになっている。The staple ejecting portion 18 has an annular staple accommodating member 18a, and the staple pusher 1 disposed on the rear side of the staple accommodating member 18a.
9 and a cylindrical cutter 22 provided inside the staple pusher 19, and when the staple pusher 19 is moved to the distal end side of the sheath 12, a plurality of staples 20 accommodated in the staple accommodating member 18a are generated. It is pushed out toward the anvil 16.
The staples 20 are formed in a U shape and are arranged in two rows along the circumferential direction of the staple accommodating member 18a. Further, the staple pusher 19 and the cylindrical cutter 22 are the operation lever 2 provided on the grip portion 11.
The sheath 1 is moved to the distal end side by rotating the sheath 1.
【０００９】前記アンビル１６はステープル放出部１８
から放出されたステープル２０を受けるためのものであ
り、このアンビル１６はシース１２の先端から突出した
アンビル軸１５の先端に取り付けられている。The anvil 16 has a staple discharging portion 18
The anvil 16 is attached to the tip of the anvil shaft 15 protruding from the tip of the sheath 12.
【００１０】前記アンビル軸１５の後端は握り部１１の
後端に設けられたアンビル調整リング２３に係合してお
り、このアンビル調整リング２３を回転操作することに
よりアンビル軸１５がシース１２の基端側に移動し、ア
ンビル１６がステープル放出部１８に引き寄せられるよ
うになっている。The rear end of the anvil shaft 15 is engaged with the anvil adjusting ring 23 provided at the rear end of the grip portion 11. By rotating the anvil adjusting ring 23, the anvil shaft 15 is moved to the sheath 12. The anvil 16 is moved toward the base end side and is attracted to the staple discharging portion 18.
【００１１】前記アンビル軸１５の先端側外周面には、
複数個の流体噴出ノズル２４がアンビル軸１５の周方向
に間隔を存して設けられている。これらの流体噴出ノズ
ル２４はアンビル軸１５の内部に形成された送液管路２
５を介して握り部１１の側部に設けられた生体接着剤注
入口２６（図１参照）に連通しており、この生体接着剤
注入口２６にフィブリン糊等の生体接着剤をシリンジ２
７で注入し、生体接着剤注入口２６に注入された生体接
着剤を送気ポンプ２８からの圧縮空気で加圧すると、図
３（ｄ）に示すように流体噴出ノズル２４から生体接着
剤が組織１３ａ，１３ｂの縫合部分に向けて噴出され
る。On the outer peripheral surface of the anvil shaft 15 on the tip side,
A plurality of fluid ejection nozzles 24 are provided at intervals in the circumferential direction of the anvil shaft 15. These fluid ejection nozzles 24 are provided in the anvil shaft 15.
5 is connected to a bioadhesive injection port 26 (see FIG. 1) provided on the side of the grip 11 through the bioadhesive injection port 26 and a bioadhesive such as fibrin glue is injected into the syringe 2
When the bioadhesive injected in step 7 is pressurized with compressed air from the air supply pump 28, the bioadhesive is injected from the fluid ejection nozzle 24 as shown in FIG. 3D. It is ejected toward the stitched portions of the tissues 13a and 13b.
【００１２】したがって、上記のように構成される本発
明の第１実施例では、組織１３ａ，１３ｂの縫合部分に
生体接着剤を塗布することができ、縫合部分からの出血
を生体接着剤で止血することができる。なお、図２にお
いて符号２９はカッター２２で切断した組織の切断片を
吸引する吸引ノズルである。Therefore, in the first embodiment of the present invention configured as described above, the bioadhesive can be applied to the sutured portions of the tissues 13a and 13b, and hemorrhage from the sutured portions can be stopped by the bioadhesive. can do. In FIG. 2, reference numeral 29 is a suction nozzle that sucks a cut piece of tissue cut by the cutter 22.
【００１３】次に本発明の第２実施例を図４〜図６を参
照して説明する。図４は本発明の第２実施例に係る外科
用縫合具の概略構成図で、この外科用縫合具は、太径の
握り部１１と、この握り部１１の前端から延出した細径
のシース１２とを備えて構成されている。Next, a second embodiment of the present invention will be described with reference to FIGS. FIG. 4 is a schematic configuration diagram of a surgical suturing tool according to a second embodiment of the present invention. This surgical suturing tool has a large-diameter grip portion 11 and a thin-diameter grip portion extending from the front end of the grip portion 11. And a sheath 12.
【００１４】前記シース１２は外科用縫合具の挿入部を
形成するものであり、このシース１２の先端には縫合部
１４が設けられている。この縫合部１４は切断された２
つの管状組織を繋ぎ合わせるためのものであり、図５お
よび図６に示すようにシース１２の先端に設けられたス
テープル放出部１８と、このステープル放出部１８の前
端面に対向して設けられたステープル受け部としてのア
ンビル１６とから構成されている。The sheath 12 forms an insertion portion of a surgical suturing tool, and a suture portion 14 is provided at the tip of the sheath 12. This sewn part 14 has been cut 2
This is for connecting two tubular tissues, and as shown in FIGS. 5 and 6, the staple discharging portion 18 provided at the tip of the sheath 12 and the staple discharging portion 18 are provided so as to face the front end surface of the staple discharging portion 18. It is composed of an anvil 16 as a staple receiving portion.
【００１５】前記ステープル放出部１８は円環状に形成
されたステープル収容部材１８ａと、このステープル収
容部材１８ａの後側に配置されたステープルプッシャ１
９と、このステープルプッシャ１９の内側に設けられた
円筒カッター２２とを備えており、ステープルプッシャ
１９をシース１２の先端側に移動させると、ステープル
収容部材１８ａに収容された複数個のステープル２０が
アンビル１６に向けて押し出されるようになっている。
なお、ステープル２０はＵ字状に形成されており、ステ
ープル収容部材１８ａの円周方向に沿って２列に配列さ
れている。また、前記ステープルプッシャ１９および円
筒カッター２２は握り部１１に設けられた操作レバー２
１を回動操作することによりシース１２の先端側に移動
するようになっている。The staple ejecting portion 18 has an annularly formed staple accommodating member 18a, and the staple pusher 1 arranged on the rear side of the staple accommodating member 18a.
9 and a cylindrical cutter 22 provided inside the staple pusher 19, and when the staple pusher 19 is moved to the distal end side of the sheath 12, a plurality of staples 20 accommodated in the staple accommodating member 18a are generated. It is pushed out toward the anvil 16.
The staples 20 are formed in a U shape and are arranged in two rows along the circumferential direction of the staple accommodating member 18a. Further, the staple pusher 19 and the cylindrical cutter 22 are the operation lever 2 provided on the grip portion 11.
The sheath 1 is moved to the distal end side by rotating the sheath 1.
【００１６】前記アンビル１６はステープル放出部１８
から放出されたステープル２０を受けるためのものであ
り、このアンビル１６はシース１２の先端から突出した
アンビル軸１５の先端に取り付けられている。The anvil 16 includes a staple discharging portion 18
The anvil 16 is attached to the tip of the anvil shaft 15 protruding from the tip of the sheath 12.
【００１７】前記アンビル軸１５の後端は握り部１１の
後端に設けられたアンビル調整リング２３に係合してお
り、このアンビル調整リング２３を回転操作することに
よりアンビル軸１５がシース１２の基端側に移動し、ア
ンビル１６がステープル放出部１８に引き寄せられるよ
うになっている。なお、アンビル軸１５の内部には観察
光学系２９と照明光学系３０が設けられている。The rear end of the anvil shaft 15 is engaged with an anvil adjusting ring 23 provided at the rear end of the grip portion 11. By rotating the anvil adjusting ring 23, the anvil shaft 15 is moved to the sheath 12. The anvil 16 is moved toward the base end side and is attracted to the staple discharging portion 18. An observation optical system 29 and an illumination optical system 30 are provided inside the anvil shaft 15.
【００１８】前記アンビル１６の外周面には、リーク孔
３１が設けられているとともに、複数個の流体噴出ノズ
ル２４がアンビル１６の周方向に間隔を存して設けられ
ている。これらの流体噴出ノズル２４はアンビル軸１５
の内部に形成された送液管路２５を介して握り部１１の
側部に設けられた生体接着剤注入口２６（図１参照）に
連通しており、この生体接着剤注入口２６にフィブリン
糊等の生体接着剤をシリンジ２７で注入し、生体接着剤
注入口２６に注入された生体接着剤を送気ポンプ２８か
らの圧縮空気で加圧すると、流体噴出ノズル２４から生
体接着剤が組織の縫合部分に向けて噴出されるようにな
っている。A leak hole 31 is provided on the outer peripheral surface of the anvil 16, and a plurality of fluid ejection nozzles 24 are provided at intervals in the circumferential direction of the anvil 16. These fluid ejection nozzles 24 are attached to the anvil shaft 15
It is connected to a bioadhesive injection port 26 (see FIG. 1) provided on the side portion of the grip 11 via a liquid supply conduit 25 formed inside the fibrin. When a bioadhesive such as glue is injected with a syringe 27 and the bioadhesive injected into the bioadhesive injection port 26 is pressurized with compressed air from an air supply pump 28, the bioadhesive is ejected from the fluid ejection nozzle 24 into tissue. It is designed to be ejected toward the sutured part.
【００１９】したがって、上記のように構成される本発
明の第２実施例では、第１実施例と同様に組織の縫合部
分に生体接着剤を塗布することができ、縫合部分からの
出血を生体接着剤で止血することができる。また、本発
明の第２実施例では、アンビル軸１５の内部に観察光学
系２９が設けられているので、流体噴出ノズル２４と組
織の縫合部分との位置関係を観察光学系２９で確認する
ことができ、組織の縫合部分に生体接着剤を確実に塗布
することができる。Therefore, in the second embodiment of the present invention configured as described above, the bioadhesive can be applied to the sutured portion of the tissue as in the first embodiment, and bleeding from the sutured portion can be prevented from occurring in the living body. Hemostatic can be stopped with an adhesive. Further, in the second embodiment of the present invention, since the observation optical system 29 is provided inside the anvil shaft 15, the observation optical system 29 should be used to confirm the positional relationship between the fluid ejection nozzle 24 and the sutured portion of the tissue. The bioadhesive can be reliably applied to the sutured portion of the tissue.
【００２０】なお、上述した第２実施例ではアンビル１
６の外周面に複数個の流体噴出ノズル２４を設けたが、
図７に示すようにアンビル１６の先端に円柱状の突出部
３３を設け、この突出部３３の外周面に複数個の流体噴
出ノズル２４を突出部３３の周方向に間隔を存して設け
るとともに、リング状の照明窓３４を設けて良い。そし
て、図８に示すように照明窓３４から出射した照明光で
組織１３ａ，１３ｂの縫合部分を内側から照明し、その
部分を内視鏡３５で確認するようにしても良い。The anvil 1 is used in the second embodiment described above.
Although a plurality of fluid ejection nozzles 24 are provided on the outer peripheral surface of 6,
As shown in FIG. 7, a cylindrical protrusion 33 is provided at the tip of the anvil 16, and a plurality of fluid ejection nozzles 24 are provided on the outer peripheral surface of the protrusion 33 at intervals in the circumferential direction of the protrusion 33. A ring-shaped illumination window 34 may be provided. Then, as shown in FIG. 8, the sutured portions of the tissues 13a and 13b may be illuminated from the inside with the illumination light emitted from the illumination window 34, and that portion may be confirmed by the endoscope 35.
【００２１】また、上述した第１実施例および第２実施
例では、フィブリン糊、アロンアルァ（商標名）等の生
体接着剤をシリンジ２７で注入するようにしたが、図１
０に示す第３実施例のようにアンビル１６の内部に生体
接着剤収容部３６を設け、この生体接着剤収容部３６に
収容されたフィブリノーゲン溶液３７と酵素トロンビン
溶液３８とを混合させてアンビル１６の外周面に設けら
れた流体噴出噴出ノズル２４から組織の縫合部分に向け
て噴出するようにしても良い。なお、図１０において３
９は生体接着剤収容部３６に収容された生体接着剤を押
し出すためのピストンであり、このピストン３９の後端
にはピストン３９をアンビル１６の先端側に移動させる
ための操作ロッド４０の前端が連結されている。この操
作ロッド４０の後端はアンビル軸１５の内部を挿通して
握り部１１の後端から突出している（図９参照）。ま
た、ピストン３９の前端面には生体接着剤収容部３６の
隔壁４１を突き破るための針４２が突設されている。In the first and second embodiments described above, a bioadhesive such as fibrin glue or Aron Alu (trademark) is injected by the syringe 27.
As in the third embodiment shown in FIG. 0, a bioadhesive container 36 is provided inside the anvil 16, and the fibrinogen solution 37 and the enzyme thrombin solution 38 contained in the bioadhesive container 36 are mixed to form the anvil 16. Alternatively, the fluid may be ejected toward the sutured portion of the tissue from the fluid ejection nozzle 24 provided on the outer peripheral surface of the. In addition, in FIG.
Reference numeral 9 denotes a piston for pushing out the bioadhesive contained in the bioadhesive accommodating portion 36, and a rear end of the piston 39 is provided with a front end of an operating rod 40 for moving the piston 39 to the tip side of the anvil 16. It is connected. The rear end of the operation rod 40 is inserted through the inside of the anvil shaft 15 and protrudes from the rear end of the grip portion 11 (see FIG. 9). Further, a needle 42 for penetrating a partition wall 41 of the bioadhesive container 36 is provided on the front end surface of the piston 39.
【００２２】また、上述した第３実施例では生体接着剤
を収容した生体接着剤収容部３６をアンビル１６の内部
に設けたが、図１１および図１２に示すようにフィブリ
ノーゲン溶液３７と酵素トロンビン溶液３８を収容した
複数個のカプセル４３をアンビル１６のステープル受け
面１７に配設し、これらのカプセル４３をステープル収
容部１８から押し出される複数個のステープル２０で押
し潰すようにしても良い。In the third embodiment described above, the bioadhesive containing portion 36 containing the bioadhesive is provided inside the anvil 16. However, as shown in FIGS. 11 and 12, the fibrinogen solution 37 and the enzyme thrombin solution are provided. A plurality of capsules 43 accommodating 38 may be arranged on the staple receiving surface 17 of the anvil 16, and the capsules 43 may be crushed by a plurality of staples 20 extruded from the staple accommodating portion 18.
【００２３】なお、上述した各実施例では縫合部１４に
設けられた流体噴出ノズル２４から生体接着剤を噴出し
て組織の出血を止血するようにしたが、止血効果を持つ
流体であれば生体接着剤に限定されるものではない。In each of the embodiments described above, the bioadhesive is ejected from the fluid ejection nozzle 24 provided in the suture portion 14 to stop the bleeding of the tissue. It is not limited to the adhesive.
【００２４】[0024]
【発明の効果】以上説明したように本発明によれば、組
織の縫合部分からの出血を防止することのできる外科用
縫合具を提供できる。As described above, according to the present invention, it is possible to provide a surgical suturing instrument capable of preventing bleeding from a sutured portion of a tissue.
【図１】本発明の第１実施例に係る外科用縫合具の概略
構成図。FIG. 1 is a schematic configuration diagram of a surgical suturing tool according to a first embodiment of the present invention.
【図２】同実施例に係る外科用縫合具の縫合部の構成を
示す断面図。FIG. 2 is a cross-sectional view showing a configuration of a suture portion of the surgical suturing tool according to the embodiment.
【図３】同実施例に係る外科用縫合具の使用方法を示す
図。FIG. 3 is a view showing a method of using the surgical suturing tool according to the embodiment.
【図４】本発明の第２実施例に係る外科用縫合具の概略
構成図。FIG. 4 is a schematic configuration diagram of a surgical suturing tool according to a second embodiment of the present invention.
【図５】同実施例に係る外科用縫合具の縫合部の構成を
示す斜視図。FIG. 5 is a perspective view showing a configuration of a suture portion of the surgical suturing tool according to the embodiment.
【図６】同実施例に係る外科用縫合具の縫合部の構成を
示す断面図。FIG. 6 is a cross-sectional view showing the configuration of the suture portion of the surgical suturing tool according to the embodiment.
【図７】本発明の第３実施例に係る外科用縫合具の縫合
部の構成を示す断面図。FIG. 7 is a cross-sectional view showing the configuration of the suturing portion of the surgical suturing tool according to the third embodiment of the present invention.
【図８】同実施例に係る外科用縫合具の作用説明図。FIG. 8 is an operation explanatory view of the surgical suturing tool according to the embodiment.
【図９】本発明の第４実施例に係る外科用縫合具の概略
構成図。FIG. 9 is a schematic configuration diagram of a surgical suturing tool according to a fourth embodiment of the present invention.
【図１０】同実施例に係る外科用縫合具の縫合部の構成
を示す断面図。FIG. 10 is a cross-sectional view showing the configuration of the suture portion of the surgical suturing tool according to the embodiment.
【図１１】本発明の第５実施例に係る外科用縫合具の縫
合部の構成を示す図。FIG. 11 is a view showing the configuration of the suturing portion of the surgical suturing tool according to the fifth embodiment of the present invention.
【図１２】図１１に示すカプセルの構成を示す図。12 is a diagram showing the configuration of the capsule shown in FIG.
１１…握り部 １２…シース １４…縫合部 １５…アンビル軸 １６…アンビル １８…ステープル放出部 １８ａ…ステープル収容部材 １９…ステープルプッシャ ２０…ステープル ２４…流体噴出ノズル DESCRIPTION OF SYMBOLS 11 ... Gripping part 12 ... Sheath 14 ... Suture part 15 ... Anvil shaft 16 ... Anvil 18 ... Staple discharge part 18a ... Staple accommodating member 19 ... Staple pusher 20 ... Staple 24 ... Fluid ejection nozzle
─────────────────────────────────────────────────────
─────────────────────────────────────────────────── ───
【手続補正書】[Procedure amendment]
【提出日】平成５年９月８日[Submission date] September 8, 1993
【手続補正１】[Procedure Amendment 1]
【補正対象書類名】明細書[Document name to be amended] Statement
【補正対象項目名】０００６[Correction target item name] 0006
【補正方法】変更[Correction method] Change
【補正内容】[Correction content]
【０００６】[0006]
【実施例】以下、本発明の実施例を図面を参照して説明
する。図１ないし図３は本発明の第１実施例を示す図
で、図１は外科用縫合具の概略構成を示す図である。同
図において符号１１は外科用縫合具の握り部であり、こ
の握り部１１の前端からは挿入部としてのシース１２が
延設されている。このシース１２の先端には縫合部１４
が設けられている。Embodiments of the present invention will be described below with reference to the drawings. 1 to 3 are views showing a first embodiment of the present invention, and FIG. 1 is a view showing a schematic configuration of a surgical suturing tool. In the figure, reference numeral 11 is a grip portion of the surgical suturing tool, and a sheath 12 as an insertion portion extends from the front end of the grip portion 11. Suture 14 beyond end of the sheath 12
Is provided.
【手続補正２】[Procedure Amendment 2]
【補正対象書類名】明細書[Document name to be amended] Statement
【補正対象項目名】００１７[Correction target item name] 0017
【補正方法】変更[Correction method] Change
【補正内容】[Correction content]
【００１７】前記アンビル軸１５の後端は握り部１１の
後端に設けられたアンビル調整リング２３に係合してお
り、このアンビル調整リング２３を回転操作することに
よりアンビル軸１５がシース１２の基端側に移動し、ア
ンビル１６がステープル放出部１８に引き寄せられるよ
うになっている。なお、アンビル軸１５の内部には観察
光学系２９と照明光学系３０が設けられている。観察光
学系２９は握り部１１に設けられた接眼部（図示せず）
に接続されており、照明光学系３０は光源３２と接続さ
れている。The rear end of the anvil shaft 15 is engaged with an anvil adjusting ring 23 provided at the rear end of the grip portion 11. By rotating the anvil adjusting ring 23, the anvil shaft 15 is moved to the sheath 12. The anvil 16 is moved toward the base end side and is attracted to the staple discharging portion 18. An observation optical system 29 and an illumination optical system 30 are provided inside the anvil shaft 15. The observation optical system 29 is an eyepiece (not shown) provided on the grip 11.
The illumination optical system 30 is connected to the light source 32.
───────────────────────────────────────────────────── フロントページの続き (72)発明者 倉本 聖治 東京都渋谷区幡ヶ谷２丁目43番２号 オリ ンパス光学工業株式会社内 (72)発明者 鈴田 敏彦 東京都渋谷区幡ヶ谷２丁目43番２号 オリ ンパス光学工業株式会社内 (72)発明者 関根 竜太 東京都渋谷区幡ヶ谷２丁目43番２号 オリ ンパス光学工業株式会社内 (72)発明者 大明 義直 東京都渋谷区幡ヶ谷２丁目43番２号 オリ ンパス光学工業株式会社内 (72)発明者 備藤 士郎 東京都渋谷区幡ヶ谷２丁目43番２号 オリ ンパス光学工業株式会社内 ─────────────────────────────────────────────────── ─── Continued front page (72) Inventor Seiji Kuramoto 2-43-2 Hatagaya, Shibuya-ku, Tokyo Inside Olympus Optical Co., Ltd. (72) Inventor Toshihiko Suzuta 2-43-2 Hatagaya, Shibuya-ku, Tokyo Olympus Optical Co., Ltd. (72) Inventor Ryuta Sekine 2-43-2 Hatagaya, Shibuya-ku, Tokyo Olympus Optical Co., Ltd. (72) Inventor Yoshinao Daimei 2-43-2 Hatagaya, Shibuya-ku, Tokyo Olympus Optical Co., Ltd. (72) Inventor Shiro Bito 2-43-2 Hatagaya, Shibuya-ku, Tokyo Olympus Optical Co., Ltd.
Claims (1)
た細管状の挿入部と、この挿入部の先端に設けられ切断
された２つの管状組織を複数個のステープルで繋ぎ合わ
せる縫合部とを具備してなる外科用縫合具において、前
記縫合部に流体噴出ノズルを設けたことを特徴とする外
科用縫合具。1. A grip portion, a thin tubular insertion portion extending from a front end of the grip portion, and a suture portion for joining two cut and provided tubular tissues at a tip of the insertion portion with a plurality of staples. A surgical suturing instrument comprising: a surgical suturing instrument, wherein a fluid ejection nozzle is provided in the suturing portion.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP5117375A JPH06327683A (en) | 1993-05-19 | 1993-05-19 | Surgical suture instrument |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP5117375A JPH06327683A (en) | 1993-05-19 | 1993-05-19 | Surgical suture instrument |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| JPH06327683A true JPH06327683A (en) | 1994-11-29 |
Family
ID=14710098
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP5117375A Withdrawn JPH06327683A (en) | 1993-05-19 | 1993-05-19 | Surgical suture instrument |
Country Status (1)
| Country | Link |
|---|---|
| JP (1) | JPH06327683A (en) |
Cited By (17)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP2006312052A (en) * | 2005-05-03 | 2006-11-16 | Ethicon Endo Surgery Inc | Sheath for enabling insertion and extraction of anastomotic ring supply device |
| JP2006312053A (en) * | 2005-05-05 | 2006-11-16 | Ethicon Endo Surgery Inc | Anastomotic ring supply device with double motion actuation |
| JP2007050253A (en) * | 2005-08-15 | 2007-03-01 | Tyco Healthcare Group Lp | Surgical stapling instrument including cartridge having multiple staple sizes |
| JP2007252910A (en) * | 2006-03-24 | 2007-10-04 | Tyco Healthcare Group Lp | Annular adhesive structure |
| US20100230466A1 (en) * | 2004-10-18 | 2010-09-16 | Tyco Healthcare Group Lp | Surgical apparatus and structure for applying sprayable wound treatment material |
| JP2011101812A (en) * | 2004-02-23 | 2011-05-26 | Tyco Healthcare Group Lp | Surgical cutting and stapling device |
| US8201720B2 (en) | 2008-11-24 | 2012-06-19 | Tyco Healthcare Group Lp | Pouch used to deliver medication when ruptured |
| US8353930B2 (en) | 2004-10-18 | 2013-01-15 | Covidien Lp | Structure for applying sprayable wound treatment material |
| JP2013526342A (en) * | 2010-05-11 | 2013-06-24 | エシコン・エンド−サージェリィ・インコーポレイテッド | Method and apparatus for delivering a tissue treatment composition to stapled tissue |
| AU2011239271B2 (en) * | 2004-10-18 | 2013-11-14 | Covidien Lp | Surgical apparatus and structure for applying sprayable wound treatment material |
| US8875970B2 (en) | 2004-10-18 | 2014-11-04 | Covidien Lp | Structure containing wound treatment material |
| US9351729B2 (en) | 2002-06-17 | 2016-05-31 | Covidien Lp | Annular support structures |
| US9445817B2 (en) | 2004-10-18 | 2016-09-20 | Covidien Lp | Support structures and methods of using the same |
| US9522002B2 (en) | 2012-12-13 | 2016-12-20 | Covidien Lp | Surgical instrument with pressure distribution device |
| CN106572856A (en) * | 2014-06-10 | 2017-04-19 | 伊西康内外科有限责任公司 | Methods and devices for sealing stapled tissue |
| CN106580382A (en) * | 2016-12-30 | 2017-04-26 | 李国新 | Visual anastomat |
| CN106618658A (en) * | 2016-12-30 | 2017-05-10 | 王亚楠 | Anastomat provided with conveying passage |
-
1993
- 1993-05-19 JP JP5117375A patent/JPH06327683A/en not_active Withdrawn
Cited By (30)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US9351729B2 (en) | 2002-06-17 | 2016-05-31 | Covidien Lp | Annular support structures |
| JP2011101812A (en) * | 2004-02-23 | 2011-05-26 | Tyco Healthcare Group Lp | Surgical cutting and stapling device |
| US8353930B2 (en) | 2004-10-18 | 2013-01-15 | Covidien Lp | Structure for applying sprayable wound treatment material |
| AU2011239271B2 (en) * | 2004-10-18 | 2013-11-14 | Covidien Lp | Surgical apparatus and structure for applying sprayable wound treatment material |
| US20100230466A1 (en) * | 2004-10-18 | 2010-09-16 | Tyco Healthcare Group Lp | Surgical apparatus and structure for applying sprayable wound treatment material |
| US20100230467A1 (en) * | 2004-10-18 | 2010-09-16 | Tyco Healthcare Group Lp | Surgical Apparatus and Structure for Applying Sprayable Wound Treatment Material |
| US10932782B2 (en) | 2004-10-18 | 2021-03-02 | Covidien Lp | Surgical apparatus and structure for applying sprayable wound treatment material |
| US9456821B2 (en) | 2004-10-18 | 2016-10-04 | Covidien Lp | Surgical apparatus and structure for applying sprayable wound treatment material |
| US8225981B2 (en) * | 2004-10-18 | 2012-07-24 | Tyco Healthcare Group Lp | Surgical apparatus and structure for applying sprayable wound treatment material |
| US8281975B2 (en) * | 2004-10-18 | 2012-10-09 | Tyco Healthcare Group Lp | Surgical apparatus and structure for applying sprayable wound treatment material |
| US10076333B2 (en) | 2004-10-18 | 2018-09-18 | Covidien Lp | Surgical apparatus and structure for applying sprayable wound treatment material |
| US8430291B2 (en) | 2004-10-18 | 2013-04-30 | Covidien Lp | Structure for applying sprayable wound treatment material |
| US11045200B2 (en) | 2004-10-18 | 2021-06-29 | Covidien Lp | Support structures and methods of using the same |
| US8485414B2 (en) | 2004-10-18 | 2013-07-16 | Covidien Lp | Surgical apparatus and structure for applying sprayable wound treatment material |
| US8490853B2 (en) | 2004-10-18 | 2013-07-23 | Covidien Lp | Surgical apparatus and structure for applying sprayable wound treatment material |
| US9445817B2 (en) | 2004-10-18 | 2016-09-20 | Covidien Lp | Support structures and methods of using the same |
| US8821523B2 (en) | 2004-10-18 | 2014-09-02 | Covidien Lp | Structure for applying sprayable wound treatment material |
| US8875970B2 (en) | 2004-10-18 | 2014-11-04 | Covidien Lp | Structure containing wound treatment material |
| JP2006312052A (en) * | 2005-05-03 | 2006-11-16 | Ethicon Endo Surgery Inc | Sheath for enabling insertion and extraction of anastomotic ring supply device |
| JP2006312053A (en) * | 2005-05-05 | 2006-11-16 | Ethicon Endo Surgery Inc | Anastomotic ring supply device with double motion actuation |
| JP2007050253A (en) * | 2005-08-15 | 2007-03-01 | Tyco Healthcare Group Lp | Surgical stapling instrument including cartridge having multiple staple sizes |
| JP2007252910A (en) * | 2006-03-24 | 2007-10-04 | Tyco Healthcare Group Lp | Annular adhesive structure |
| US8201720B2 (en) | 2008-11-24 | 2012-06-19 | Tyco Healthcare Group Lp | Pouch used to deliver medication when ruptured |
| JP2013526342A (en) * | 2010-05-11 | 2013-06-24 | エシコン・エンド−サージェリィ・インコーポレイテッド | Method and apparatus for delivering a tissue treatment composition to stapled tissue |
| US10786251B2 (en) | 2012-12-13 | 2020-09-29 | Covidien Lp | Surgical instrument with pressure distribution device |
| US9522002B2 (en) | 2012-12-13 | 2016-12-20 | Covidien Lp | Surgical instrument with pressure distribution device |
| JP2017517344A (en) * | 2014-06-10 | 2017-06-29 | エシコン・エンド−サージェリィ・エルエルシーＥｔｈｉｃｏｎ Ｅｎｄｏ−Ｓｕｒｇｅｒｙ， ＬＬＣ | Method and apparatus for sealing stapled tissue |
| CN106572856A (en) * | 2014-06-10 | 2017-04-19 | 伊西康内外科有限责任公司 | Methods and devices for sealing stapled tissue |
| CN106580382A (en) * | 2016-12-30 | 2017-04-26 | 李国新 | Visual anastomat |
| CN106618658A (en) * | 2016-12-30 | 2017-05-10 | 王亚楠 | Anastomat provided with conveying passage |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| JPH06327683A (en) | Surgical suture instrument | |
| US20200178973A1 (en) | Methods and devices for performing a surgical anastomosis | |
| JP5563606B2 (en) | Fluid conveying device for anastomosis, staple anastomosis and excision instrument | |
| US6783514B2 (en) | Fibrin sealant applicator | |
| US20210259696A1 (en) | Methods and devices for performing a surgical anastomosis | |
| JP4485730B2 (en) | Fluid transport mechanism for anastomosis, staple anastomosis and excision instrument | |
| JPH06327684A (en) | Surgical suture instrument | |
| EP1039946B1 (en) | Dispenser assembly | |
| US8453911B2 (en) | Surgical stapler | |
| US5358473A (en) | Apparatus and method for the removal of adherent viscoelastic material | |
| JPH04504974A (en) | injection device | |
| JPH0647050A (en) | Tissue suture and ligature device | |
| AU2014342914B2 (en) | Therapy delivery device for anastomotic joining of tissue | |
| US10172596B2 (en) | Biological tissue biopsy device | |
| AU2014342914A1 (en) | Therapy delivery device for anastomotic joining of tissue | |
| JPH05337119A (en) | Suture instrument | |
| CN107582125B (en) | Surgical cutter | |
| CN107684446B (en) | Hemorrhoid ligation cutter | |
| CN108289684A (en) | Anvil assembly and transport system | |
| JP2003111763A (en) | Surgical device for stapling and fastening body tissues | |
| JPH0723970A (en) | Ultrasonic treatment apparatus | |
| JPH06327685A (en) | Surgical instrument | |
| US20220226627A1 (en) | Surgical stapling device with therapeutic suppository | |
| US20210346026A1 (en) | Illuminated trocar assembly for surgical stapling instrument | |
| JPH06327687A (en) | Thread holding forceps |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| A300 | Withdrawal of application because of no request for examination |
Free format text: JAPANESE INTERMEDIATE CODE: A300 Effective date: 20000801 |