JP2000516513A - 縫合システム - Google Patents
縫合システムInfo
- Publication number
- JP2000516513A JP2000516513A JP10510817A JP51081798A JP2000516513A JP 2000516513 A JP2000516513 A JP 2000516513A JP 10510817 A JP10510817 A JP 10510817A JP 51081798 A JP51081798 A JP 51081798A JP 2000516513 A JP2000516513 A JP 2000516513A
- Authority
- JP
- Japan
- Prior art keywords
- lumen
- cannula
- tip
- anchor member
- tissue
- 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.)
- Granted
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
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0409—Instruments for applying suture anchors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0417—T-fasteners
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0419—H-fasteners
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Molecular Biology (AREA)
- General Health & Medical Sciences (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- Engineering & Computer Science (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
- Massaging Devices (AREA)
- Iron Core Of Rotating Electric Machines (AREA)
- Saccharide Compounds (AREA)
- Transplanting Machines (AREA)
Abstract
Description
Claims (1)
- 【特許請求の範囲】 1. 先端を有しかつ第1及び第2の内腔を形成するカニューレであって前記 第1及び第2の内腔が当該カニューレの先端に近い当該第1及び第2の内腔間を 伸びる通路により連通されたカニューレと、 前記カニューレの先端の近くの前記第1の内腔内の先導アンカー部材と、 前記第2の内腔内の後続アンカー部材であって前記第2の内腔から前記通路を 通って前記第1の内腔に移動可能の後続アンカー部材と、 前記先導アンカー部材及び前記後続アンカー部材に接続された縫合糸と、 前記第1の内腔に配置されかつ前記先導アンカー部材を前記カニューレの先端 の外に押し出すロッドであって前記第1及び第2の内腔間を伸びる前記通路を閉 塞して前記後続アンカー部材が前記第2の内腔から前記通路を通って前記第1の 内腔に移動することを防止するロッドとを含む、縫合装置。 2. 前記移動可能のロッドは、前記後続アンカー部材が前記通路を通って移 動することができるように、前記第1及び第2の内腔間の前記通路を開放するに 充分な量だけ前記第1の内腔内を後退可能である、請求項1に記載の装置。 3. 前記第2の内腔内にあって前記第2の内腔から前記通路を通って前記第 1の内腔に移動可能の第3のアンカー部材を含み、前記縫合糸は前記後続アンカ ー部材及び前記第3のアンカー部材に接続されている、請求項1に記載の装置。 4. 前記カニューレの先端は組織を縫合するために先鋭の先導端を有し、ま た前記先端はそれに形成されたスロットであって縫合糸が前記カニューレの先端 の先導端に接触しないように適合されるスロットを有する、請求項1に記載の装 置。 5. 前記第2の内腔に配置されかつ前記後続アンカー部材を前記第2の内腔 から前記通路を通して前記第1の内腔に押す第2のロッドを含む、請求項2に記 載の装置。 6. 縫合糸により結合された一組のアンカー部材を組織の末端領域に配置す る方法であって、 前記組織の末端領域にこれを貫くべく前記組織に突き刺す先端を有するカニュ ーレに前記一組のアンカー部材を配置し、 前記カニューレの先端を前記組織の末端領域の近くにおくべく前記組織に突き 刺し、 最初のアンカー部材を前記先端から前記末端領域に移動させ、 第2のアンカー部材が前記カニューレの先端の外に移動することを阻止し、 前記第1及び第2の内腔間における前記縫合糸の部分を緊張させるべく前記カ ニューレを後退させ、 前記カニューレの先端を前記組織の末端領域の近くに配置すべく前記組織に突 き刺し、 前記第2のアンカー部材を前記先端から前記組織の末端領域に移動させること を含む、方法。 7. 前記第2のアンカー部材が前記カニューレの先端の外に移動することを 配置ロッドで防止しつつ、前記第1のアンカー部材を前記先端から前記末端領域 に移動させるべく前記カニューレの第1の内腔内で前記配置ロッドを移動させる ことを含む、請求項6に記載の方法。 8. 前記第2のアンカー部材を前記カニューレの第2の内腔から前記第1の 内腔に移動させるべく前記第2の内腔内で供給ロッドを移動させて、前記配置ロ ッドが前記第2のアンカー部材を前記先端から前記末端領域に移動させることを 許すことを含む、請求項7に記載の方法。 9. 一方の内腔の端は、前記カニューレの先端が単一の内腔を含むように、 前記カニューレの先端から間隔をおいている、請求項1に記載の装置。 10. 前記先端はスロットを有し、該スロットは縫合糸が当該スロットを通 って当該先端の外に伸びることを許す充分な大きさを有する、請求項9に記載の 装置。 11. 縫合糸により連結された一組のアンカー部材を組織の末端領域に配置 するカニューレ装置であって、 先端を有すると共に、分離された第1及び第2の内腔を有する長いカニューレ を含み、 前記カニューレはそれに形成された通路であって前記第1及び第2の内腔を連 通させる通路を有し、前記通路が両内腔間に一度に単一のアンカー部材の通路を 許すように寸法付けられている、カニューレ装置。 12. 1つの内腔の先端は、前記カニューレの先端が単一の内腔を含むよう に、前記カニューレの先端から間隔をおいている、請求項11に記載の装置。 13. 前記先端はスロットを有し、該スロットは縫合糸が当該スロットを通 って当該先端の外に伸びることを許す充分な大きさを有する、請求項12に記載 の装置。 14. 前記先端は先鋭の先導端を有しており、前記スロットは先鋭な先導端 がないように形成されている、請求項13に記載の装置。 15. さらに、前記第1の内腔に移動可能におかれた配置ロッドと、前記第 2の内腔に移動可能におかれた供給ロッドとを含む、請求項11に記載の装置。 16. さらに、前記カニューレが取り外し可能に組み付けられたガンを含み 、該ガンは前記供給ロッドを前記第2の内腔を通して前進させる駆動手段であっ て前記配置ロッドを前記第1の内腔内で往復運動させる駆動手段を含む、請求項 15に記載の装置。 17. 前記駆動手段は、前記ガンに枢軸的に組み付けられたハンドルと、前 記供給ロッドに連結されたラチェットと、前記ハンドル及び前記ラチェットに連 結されたキャッチであって前記ハンドルで移動しかつ前記ラチェットに当接して 前記ラチェットを前進させて前記第2の内腔を通して前記供給ロッドを前進させ るキャッチとを含む、請求項16に記載の装置。 18. 前記駆動手段は、前記ガンに枢軸的に組み付けられたハンドルと、前 記配置ロッドに連結されたカム・フォロワと、前記ハンドル及び前記カム・フォ ロワに連結されたカムであって前記ハンドルで移動しかつ前記カム・フォロワを 往復移動させて前記供給ロッドを前記第1の内腔内で往復移動させるカムとを含 む、請求項16に記載の装置。 19. 前記駆動手段は、さらに、前記供給ロッドに連結されたラチェットと 、前記ハンドル及び前記ラチェットに連結されたキャッチであって前記ハンドル で移動しかつ前記供給ロッドの前記ラチェットに当接して前記ラチェットを前進 させて前記第2の内腔を通して前記供給ロッドを前進させるキャッチとを含む、 請求項18に記載の装置。 20. 前記ハンドルは第1の位置から第2の位置へ及びその逆へ移動するサ イクルを通して移動可能であり、前記駆動手段は前記供給ロッドを前記第2の内 腔を通して前進させると共に、前記ハンドルを前記サイクルを通して移動させる ように前記配置ロッドを前記第1の内腔内で往復移動させる、請求項19に記載 の装置。 21. 前記駆動手段は、さらに、前記ハンドルを前記第2の位置から前記第 1の位置へ移動させるべく付勢するスプリングを含む、請求項18に記載の装置 。 22. 2つの内腔カニューレに適合されたアンカー装置であって、連続的な 縫合糸により互いに連結された一連の堅固なアンカー部材を含む、アンカー装置 。 23. 前記縫合糸は前記アンカー部材に対して移動可能に結合されている、 請求項22に記載の装置。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US08/700,981 US5810848A (en) | 1996-08-21 | 1996-08-21 | Suturing system |
US08/700,981 | 1996-08-21 | ||
PCT/US1997/014267 WO1998007374A1 (en) | 1996-08-21 | 1997-08-13 | Suturing system |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2000516513A true JP2000516513A (ja) | 2000-12-12 |
JP3944243B2 JP3944243B2 (ja) | 2007-07-11 |
Family
ID=24815606
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP51081798A Expired - Lifetime JP3944243B2 (ja) | 1996-08-21 | 1997-08-13 | 縫合システム |
Country Status (9)
Country | Link |
---|---|
US (1) | US5810848A (ja) |
EP (1) | EP0955904B1 (ja) |
JP (1) | JP3944243B2 (ja) |
AT (1) | ATE375120T1 (ja) |
AU (1) | AU730185B2 (ja) |
BR (1) | BR9711356A (ja) |
CA (1) | CA2263968A1 (ja) |
DE (1) | DE69738199T2 (ja) |
WO (1) | WO1998007374A1 (ja) |
Cited By (9)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2007037326A1 (ja) * | 2005-09-28 | 2007-04-05 | Olympus Medical Systems Corp. | 縫合器 |
JP2007513717A (ja) * | 2003-12-12 | 2007-05-31 | ユーエスジーアイ メディカル インコーポレイテッド | 胃腸組織の襞を形成および固定するための装置および方法 |
JP2007513705A (ja) * | 2003-12-10 | 2007-05-31 | メドトロニック・インコーポレーテッド | 外科手術用接合装置及び方法 |
JP2009254812A (ja) * | 2008-04-11 | 2009-11-05 | Olympus Medical Systems Corp | 縫合器 |
JP2010036027A (ja) * | 2008-07-31 | 2010-02-18 | Olympus Medical Systems Corp | 縫合器 |
JP2010511436A (ja) * | 2006-11-30 | 2010-04-15 | ウィルソン−クック・メディカル・インコーポレーテッド | 穿孔の巾着縫合閉鎖用内臓アンカー |
WO2011004905A1 (ja) * | 2009-07-10 | 2011-01-13 | 学校法人自治医科大学 | 生体管小孔縫合手術システム |
JP2012510872A (ja) * | 2008-12-05 | 2012-05-17 | クック メディカル テクノロジーズ エルエルシー | 材料切除術のためのフード法及び装置 |
JP2012518518A (ja) * | 2009-02-25 | 2012-08-16 | エム・アイ・エス・ソリユーシヨンズ・インコーポレーテツド | 腹腔内で第1の臓器を第2の臓器から離れた位置へと移動させ、次いで手作業の投入がなくても第1の臓器をその位置に保持するための装置および方法 |
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JP2012130714A (ja) * | 2003-12-10 | 2012-07-12 | Medtronic Inc | 外科手術用接合装置 |
JP2007513717A (ja) * | 2003-12-12 | 2007-05-31 | ユーエスジーアイ メディカル インコーポレイテッド | 胃腸組織の襞を形成および固定するための装置および方法 |
JP4885868B2 (ja) * | 2005-09-28 | 2012-02-29 | オリンパスメディカルシステムズ株式会社 | 縫合器 |
WO2007037326A1 (ja) * | 2005-09-28 | 2007-04-05 | Olympus Medical Systems Corp. | 縫合器 |
US8758375B2 (en) | 2005-09-28 | 2014-06-24 | Olympus Medical Systems Corp | Method for suturing perforation |
US7722631B2 (en) | 2005-09-28 | 2010-05-25 | Olympus Medical Systems Corporation | Method for suturing perforation |
JP2010511436A (ja) * | 2006-11-30 | 2010-04-15 | ウィルソン−クック・メディカル・インコーポレーテッド | 穿孔の巾着縫合閉鎖用内臓アンカー |
JP2009254812A (ja) * | 2008-04-11 | 2009-11-05 | Olympus Medical Systems Corp | 縫合器 |
JP2010036027A (ja) * | 2008-07-31 | 2010-02-18 | Olympus Medical Systems Corp | 縫合器 |
JP2012510872A (ja) * | 2008-12-05 | 2012-05-17 | クック メディカル テクノロジーズ エルエルシー | 材料切除術のためのフード法及び装置 |
JP2012518518A (ja) * | 2009-02-25 | 2012-08-16 | エム・アイ・エス・ソリユーシヨンズ・インコーポレーテツド | 腹腔内で第1の臓器を第2の臓器から離れた位置へと移動させ、次いで手作業の投入がなくても第1の臓器をその位置に保持するための装置および方法 |
WO2011004905A1 (ja) * | 2009-07-10 | 2011-01-13 | 学校法人自治医科大学 | 生体管小孔縫合手術システム |
JP5532493B2 (ja) * | 2009-07-10 | 2014-06-25 | 学校法人自治医科大学 | 生体管小孔縫合手術システム |
Also Published As
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---|---|
CA2263968A1 (en) | 1998-02-26 |
EP0955904A4 (en) | 2000-01-19 |
WO1998007374A1 (en) | 1998-02-26 |
AU730185B2 (en) | 2001-03-01 |
DE69738199T2 (de) | 2008-07-10 |
DE69738199D1 (de) | 2007-11-22 |
US5810848A (en) | 1998-09-22 |
JP3944243B2 (ja) | 2007-07-11 |
EP0955904B1 (en) | 2007-10-10 |
BR9711356A (pt) | 2000-01-18 |
AU4150297A (en) | 1998-03-06 |
EP0955904A1 (en) | 1999-11-17 |
ATE375120T1 (de) | 2007-10-15 |
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