JP2005193037A - 複数の手術用締結具を体の組織に適用するように適合された手術用器具 - Google Patents
複数の手術用締結具を体の組織に適用するように適合された手術用器具 Download PDFInfo
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/0023—Surgical instruments, devices or methods, e.g. tourniquets disposable
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B2017/07214—Stapler heads
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B2017/07214—Stapler heads
- A61B2017/07221—Stapler heads curved
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B2017/07214—Stapler heads
- A61B2017/07271—Stapler heads characterised by its cartridge
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B2017/07214—Stapler heads
- A61B2017/07285—Stapler heads characterised by its cutter
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B2017/320052—Guides for cutting instruments
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/03—Automatic limiting or abutting means, e.g. for safety
- A61B2090/038—Automatic limiting or abutting means, e.g. for safety during shipment
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/08—Accessories or related features not otherwise provided for
- A61B2090/0814—Preventing re-use
Abstract
【解決手段】アンビルと、複数の締結具とナイフ126を収容し、アンビルに対して離れた第1位置と近づいた第2位置との間を相対的に移動可能なカートリッジハウジング121と、手術用締結具とナイフをアンビルに向けて押される発射機構と、手術用締結具を押し出すドライバー131とドライバーのすぐ近位側に配置されたナイフホルダー130とを含み、ナイフホルダーがホルダーから遠位に延出するナイフに取り付けられている、カートリッジモジュール120とを有し、ナイフホルダーが移動止めポストがナイフとナイフホルダーが長手方向に移動する間にカートリッジハウジングのスロットの移動止め突起部に接触する。ドライバーが該ハウジングのスロットに形成された2つの突起部に接触するように配置された移動止めポスト140を含む。
【選択図】 図36
Description
(1)複数の手術用締結具を体の組織に適用するように適合された手術用器具であって、
アンビルと、
複数の手術用締結具およびナイフを収容し、上記アンビルに対して互いに離れた第1の位置と互いに近づいた第2の位置との間を相対的に移動可能なカートリッジハウジングと、
上記手術用締結具および上記ナイフを上記アンビルに向けて押される上記カートリッジハウジングから射出するための上記カートリッジハウジングに関連した発射機構と、
上記カートリッジハウジングによって一部が形成され、上記手術用締結具を上記カートリッジハウジングから押し出すために配置されたドライバーと上記カートリッジハウジング内の上記ドライバーのすぐ近位の側に配置されたナイフホルダーとを含み、上記ナイフホルダーが上記ドライバーのスロットおよび上記カートリッジハウジングのスロットを通って上記ナイフホルダーから遠位の向きに延出するナイフに取り付けられている、カートリッジモジュールと
を有し、
上記ナイフホルダーが上記カートリッジハウジングのスロットを通って延在する移動止めポストを含み、上記ナイフホルダーの移動止めポストが上記ナイフおよび上記ナイフホルダーが長手方向に移動する間に上記カートリッジハウジングのスロットの移動止め突起部に接触するように配置されていて、
上記ドライバーが上記カートリッジハウジングのスロットに形成された近位の移動止め突起部および遠位の移動止め突起部に接触するように配置された移動止めポストを含む、手術用器具。
(2)カートリッジモジュールのスロットが上記カートリッジハウジングの側面に成形された第1のフィンガー部および第2のフィンガー部を含む、上記実施態様(1)記載の手術用器具。
(3)第1のフィンガー部および第2のフィンガー部がカートリッジモジュールの長手方向の軸と平行に配置されている、上記実施態様(2)記載の手術用器具。
(4)第1のフィンガー部がナイフホルダーの移動止めポストと接触するような形状および寸法を有する、上記実施態様(2)記載の手術用器具。
(5)第2のフィンガー部がドライバーの移動止めポストと接触するような形状および寸法を有する、上記実施態様(2)記載の手術用器具。
(6)カム面が第1のフィンガー部および第2のフィンガー部の各々のエッジに沿って配置されている、上記実施態様(2)記載の手術用器具。
(7)カム面の各々の位置が動作中のドライバーまたはナイフアセンブリの望まれる位置によって決められる、上記実施態様(2)記載の手術用器具。
21 ハンドル
22 右ハンドシュラウド
23 本体部分
24 ハンドグリップ
26 閉鎖トリガー
27 発射トリガー
28 閉鎖部材
29 ポスト
30 遠位の端部
31a 壁
31b 壁
32 移動止め溝
34 右ハンド構造プレート
35 左ハンド構造プレート
36 右ハンド閉鎖リンク
37 左ハンド閉鎖リンク
38 第1の一体閉鎖リンクピン
39 第2の一体閉鎖リンクピン
40 閉鎖アームリンク
41 閉鎖トリガーピボットピン
42 閉鎖ばね
43 発射バー
44 ナイフリトラクター
45 ナイフリトラクターフック
46 受容スロット
47 近位の端部部分
48 摺動面
49 終端側係合面
50 発射トリガーピボットピン
51 発射トリガーリンク
52 先端
53 第1の発射トリガーばねアーム
54 第2の発射トリガーばねアーム
55 発射バー戻りばね
56 クランプ摺動面
57 中間の移動止め
58 閉鎖移動止め
59 解除蓋い
60 蓋いラグ
61 解除ボタン
62 親指台
63 解除トラニオン
64 解除ばね
65 ばね保持ピン
66 ボタンばねポスト
67 凹部
68 左ハンドトグル
69 トグルアーム
70 近位の表面
71 発射バーリトラクションタブ
80 端部エフェクター
80’’ 端部エフェクター
81 支持構造
81’’ 支持構造
82 アンビル支持部(肩部リベット)
83 ポスト
84 壁
85 リッジ
86 基部面
88 溝
89 開口
100 組織保持ピン駆動機構
101 スライド
102 押出しロッド
103 ポスト
104 押出しロッドドライバー
105 スロット
107 溝
108 スロット
109 溝
110 スロット
111 ヨーク
112 ピボットピン
113 カムピン
114 カム面
118’ 軌道
118’’ 軌道
119’ 取り付けピン
119’’ 取り付けピン
120 カートリッジモジュール
120’ カートリッジモジュール
120’’ カートリッジモジュール
121 カートリッジハウジング
121’ カートリッジハウジング
121’’ カートリッジハウジング
122 アンビル
122’ アンビル
122’’ アンビル
123 ワッシャ
123’ ワッシャ
123’’ ワッシャ
124 ガイドピン
125 保持ピン
126 ナイフ
126a 端部
126b 端部
126’’ スロット
127 組織接触面
128 ステープル収容スロット
129 ステープル形成面
129’ ステープル形成面
130 ナイフホルダー
131 ドライバー
132 溝
133 カプラー
134 溝
135 円周スロット
137 スロット
138 移動止めポスト
139 移動止め突起部
140 移動止めポスト
141 近位の移動止め突起部
142 遠位の移動止め突起部
143 開口
144 開口
145 アーム
146 端部キャップ
147a スロット
147b スロット
148 近位の端部
149 近位の端部
150 遠位の端部
151 スロット
152 溝
153 舌部
154 端部
155 アンビルアーム
155’ アンビルアーム
155’’ アンビルアーム
157 切開面
159 突起部
160 リテーナ
161 溝
162 内側ばねアーム
163 収容スロット
164 収容スロット
165 解除タブ
166 親指パッド
167 第1のフィンガー部
168 第2のフィンガー部
170 ワッシャ
170a スロット
170b スロット
171 移動止め
171a スロット
171b スロット
172 スロット
173 リトラクションリッジ
174 タブ
180 安全固定機構
181 固定レバー
182 ピン
184 近位の端部
185 遠位の端部
186 カム面
187 固定溝
188 ポスト
199 スロット
200 スロット
Claims (7)
- 複数の手術用締結具を体の組織に適用するように適合された手術用器具であって、
アンビルと、
複数の手術用締結具およびナイフを収容し、上記アンビルに対して互いに離れた第1の位置と互いに近づいた第2の位置との間を相対的に移動可能なカートリッジハウジングと、
上記手術用締結具および上記ナイフを上記アンビルに向けて押される上記カートリッジハウジングから射出するための上記カートリッジハウジングに関連した発射機構と、
上記カートリッジハウジングによって一部が形成され、上記手術用締結具を上記カートリッジハウジングから押し出すために配置されたドライバーと上記カートリッジハウジング内の上記ドライバーのすぐ近位の側に配置されたナイフホルダーとを含み、上記ナイフホルダーが上記ドライバーのスロットおよび上記カートリッジハウジングのスロットを通って上記ナイフホルダーから遠位の向きに延出するナイフに取り付けられている、カートリッジモジュールと
を有し、
上記ナイフホルダーが上記カートリッジハウジングのスロットを通って延在する移動止めポストを含み、上記ナイフホルダーの移動止めポストが上記ナイフおよび上記ナイフホルダーが長手方向に移動する間に上記カートリッジハウジングのスロットの移動止め突起部に接触するように配置されていて、
上記ドライバーが上記カートリッジハウジングのスロットに形成された近位の移動止め突起部および遠位の移動止め突起部に接触するように配置された移動止めポストを含む、手術用器具。 - カートリッジモジュールのスロットが上記カートリッジハウジングの側面に成形された第1のフィンガー部および第2のフィンガー部を含む、請求項1記載の手術用器具。
- 第1のフィンガー部および第2のフィンガー部がカートリッジモジュールの長手方向の軸と平行に配置されている、請求項2記載の手術用器具。
- 第1のフィンガー部がナイフホルダーの移動止めポストと接触するような形状および寸法を有する、請求項2記載の手術用器具。
- 第2のフィンガー部がドライバーの移動止めポストと接触するような形状および寸法を有する、請求項2記載の手術用器具。
- カム面が第1のフィンガー部および第2のフィンガー部の各々のエッジに沿って配置されている、請求項2記載の手術用器具。
- カム面の各々の位置が動作中のドライバーまたはナイフアセンブリの望まれる位置によって決められる、請求項2記載の手術用器具。
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Application Number | Priority Date | Filing Date | Title |
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US53291103P | 2003-12-30 | 2003-12-30 | |
US532911 | 2003-12-30 |
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JP2005193037A true JP2005193037A (ja) | 2005-07-21 |
JP4694197B2 JP4694197B2 (ja) | 2011-06-08 |
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JP2004380357A Active JP4694197B2 (ja) | 2003-12-30 | 2004-12-28 | 複数の手術用締結具を体の組織に適用するように適合された手術用器具 |
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US (1) | US7207472B2 (ja) |
EP (1) | EP1550414B1 (ja) |
JP (1) | JP4694197B2 (ja) |
CN (1) | CN100512765C (ja) |
AT (1) | ATE424771T1 (ja) |
AU (1) | AU2004242496B2 (ja) |
BR (1) | BRPI0405959B1 (ja) |
CA (1) | CA2491787C (ja) |
DE (1) | DE602004019874D1 (ja) |
ES (1) | ES2321191T3 (ja) |
MX (1) | MXPA05000217A (ja) |
Cited By (1)
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JP2019506204A (ja) * | 2015-12-31 | 2019-03-07 | エシコン エルエルシーEthicon LLC | 湾曲した外面をアンビルに有する外科用ステープラ |
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US8215531B2 (en) | 2004-07-28 | 2012-07-10 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a medical substance dispenser |
US11890012B2 (en) | 2004-07-28 | 2024-02-06 | Cilag Gmbh International | Staple cartridge comprising cartridge body and attached support |
US8800838B2 (en) | 2005-08-31 | 2014-08-12 | Ethicon Endo-Surgery, Inc. | Robotically-controlled cable-based surgical end effectors |
US11246590B2 (en) | 2005-08-31 | 2022-02-15 | Cilag Gmbh International | Staple cartridge including staple drivers having different unfired heights |
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CN1679450A (zh) | 2005-10-12 |
ATE424771T1 (de) | 2009-03-15 |
EP1550414B1 (en) | 2009-03-11 |
AU2004242496A1 (en) | 2005-07-14 |
US7207472B2 (en) | 2007-04-24 |
DE602004019874D1 (de) | 2009-04-23 |
CA2491787A1 (en) | 2005-06-30 |
JP4694197B2 (ja) | 2011-06-08 |
ES2321191T3 (es) | 2009-06-03 |
MXPA05000217A (es) | 2005-08-26 |
CN100512765C (zh) | 2009-07-15 |
EP1550414A3 (en) | 2006-07-12 |
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