JP2005193043A - 高度に制御された形態で組織をステープリングおよび切開するように適合された手術用器具 - Google Patents
高度に制御された形態で組織をステープリングおよび切開するように適合された手術用器具 Download PDFInfo
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- JP2005193043A JP2005193043A JP2004380700A JP2004380700A JP2005193043A JP 2005193043 A JP2005193043 A JP 2005193043A JP 2004380700 A JP2004380700 A JP 2004380700A JP 2004380700 A JP2004380700 A JP 2004380700A JP 2005193043 A JP2005193043 A JP 2005193043A
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- anvil
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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
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B17/115—Staplers for performing anastomosis in a single operation
-
- 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
- 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
- A61B2017/07285—Stapler heads characterised by its cutter
-
- 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
-
- 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】近位の端部に配置されたハンドルと、遠位の端部に配置された端部エフェクターとを備え、端部エフェクターが複数の手術用締結具およびナイフを収容したカートリッジモジュール120を選択的に受容するような形状および寸法のU形の形状の支持構造81を含み、カートリッジモジュールが、手術用締結具およびナイフが収容されたカートリッジハウジング121と、手術用締結具およびナイフと係合して切開およびステープリングを容易にするような形状および寸法のアンビルとを含み、カートリッジハウジングおよびアンビルが互いに離れて配置された第1の位置および互いに接近して配置された第2の位置の間を相対的に移動する。
【選択図】図1
Description
(1)高度に制御された形態で組織をステープリングおよび切開するように適合された手術用器具であって、
近位の端部および遠位の端部と、上記近位の端部に配置されたハンドルと、上記遠位の端部に配置された端部エフェクターとを備え、上記端部エフェクターが複数の手術用締結具およびナイフを収容したカートリッジモジュールを選択的に受容するような形状および寸法のU形の形状の支持構造を含む、フレームと、
患者を治療するために上記手術用締結具および上記ナイフを選択的に駆動するための、上記端部エフェクターおよび上記カートリッジモジュールに関連する発射機構と
を有し、
上記カートリッジモジュールが、上記手術用締結具および上記ナイフが収容された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と係合して切開およびステープリングを容易にするような形状および寸法のアンビルとを含み、
上記カートリッジハウジングおよび上記アンビルが互いに離れて配置された第1の位置および互いに接近して配置された第2の位置の間を相対的に移動する、手術用器具。
(2)アンビルがステープル形成面およびワッシャを含む、上記実施態様(1)記載の手術用器具。
(3)カートリッジモジュールのアンビルが端部エフェクターの支持構造によって支持された後方面を含む、上記実施態様(1)記載の手術用器具。
(4)アンビルアームがアンビルをカートリッジハウジングに取り付けてカートリッジモジュールを形成している、上記実施態様(1)記載の手術用器具。
(5)アンビルおよびカートリッジハウジングの間に選択的に配置されて上記カートリッジハウジングが上記アンビルに向けて望まれずに動くことを防止するリテーナをさらに有する、上記実施態様(1)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 (5)
- 高度に制御された形態で組織をステープリングおよび切開するように適合された手術用器具であって、
近位の端部および遠位の端部と、上記近位の端部に配置されたハンドルと、上記遠位の端部に配置された端部エフェクターとを備え、上記端部エフェクターが複数の手術用締結具およびナイフを収容したカートリッジモジュールを選択的に受容するような形状および寸法のU形の形状の支持構造を含む、フレームと、
患者を治療するために上記手術用締結具および上記ナイフを選択的に駆動するための、上記端部エフェクターおよび上記カートリッジモジュールに関連する発射機構と
を有し、
上記カートリッジモジュールが、上記手術用締結具および上記ナイフが収容された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と係合して切開およびステープリングを容易にするような形状および寸法のアンビルとを含み、
上記カートリッジハウジングおよび上記アンビルが互いに離れて配置された第1の位置および互いに接近して配置された第2の位置の間を相対的に移動する、手術用器具。 - アンビルがステープル形成面およびワッシャを含む、請求項1記載の手術用器具。
- カートリッジモジュールのアンビルが端部エフェクターの支持構造によって支持された後方面を含む、請求項1記載の手術用器具。
- アンビルアームがアンビルをカートリッジハウジングに取り付けてカートリッジモジュールを形成している、請求項1記載の手術用器具。
- アンビルおよびカートリッジハウジングの間に選択的に配置されて上記カートリッジハウジングが上記アンビルに向けて望まれずに動くことを防止するリテーナをさらに有する、請求項1記載の手術用器具。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US532908 | 1995-09-22 | ||
US53290803P | 2003-12-30 | 2003-12-30 |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2005193043A true JP2005193043A (ja) | 2005-07-21 |
JP4731904B2 JP4731904B2 (ja) | 2011-07-27 |
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Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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JP2004380700A Active JP4731904B2 (ja) | 2003-12-30 | 2004-12-28 | 高度に制御された形態で組織をステープリングおよび切開するように適合された手術用器具 |
Country Status (10)
Country | Link |
---|---|
US (1) | US20050139636A1 (ja) |
EP (1) | EP1550409B2 (ja) |
JP (1) | JP4731904B2 (ja) |
CN (2) | CN102423267B (ja) |
AT (1) | ATE432658T1 (ja) |
AU (1) | AU2004240258A1 (ja) |
BR (1) | BRPI0405960B1 (ja) |
CA (1) | CA2491174C (ja) |
DE (1) | DE602004021343D1 (ja) |
MX (1) | MXPA05000215A (ja) |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2015099067A1 (ja) * | 2013-12-27 | 2015-07-02 | オリンパス株式会社 | 処置具用ハンドル及び処置具 |
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US4903697A (en) † | 1986-03-27 | 1990-02-27 | Semion Resnick | Cartridge assembly for a surgical stapling instrument |
US4819853A (en) * | 1987-12-31 | 1989-04-11 | United States Surgical Corporation | Surgical fastener cartridge |
US4881545A (en) * | 1988-12-08 | 1989-11-21 | United States Surgical Corporation | Surgical fastener cartridge with improved body tissue cutting knife assembly |
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US6805273B2 (en) * | 2002-11-04 | 2004-10-19 | Federico Bilotti | Surgical stapling instrument |
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2004
- 2004-12-20 US US11/014,897 patent/US20050139636A1/en not_active Abandoned
- 2004-12-22 AU AU2004240258A patent/AU2004240258A1/en not_active Abandoned
- 2004-12-23 AT AT04258082T patent/ATE432658T1/de not_active IP Right Cessation
- 2004-12-23 DE DE602004021343T patent/DE602004021343D1/de active Active
- 2004-12-23 CA CA2491174A patent/CA2491174C/en not_active Expired - Fee Related
- 2004-12-23 EP EP04258082.9A patent/EP1550409B2/en active Active
- 2004-12-28 JP JP2004380700A patent/JP4731904B2/ja active Active
- 2004-12-29 BR BRPI0405960-3B1A patent/BRPI0405960B1/pt active IP Right Grant
- 2004-12-30 CN CN201110278078.6A patent/CN102423267B/zh active Active
- 2004-12-30 CN CNA2004100997420A patent/CN1682667A/zh active Pending
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2005
- 2005-01-03 MX MXPA05000215A patent/MXPA05000215A/es active IP Right Grant
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JPS62117543A (ja) * | 1985-10-10 | 1987-05-29 | ユナイテツド ステイツ サ−ジカル コ−ポレ−シヨン | 外科用留め具付け装置 |
JP2003534089A (ja) * | 2000-05-30 | 2003-11-18 | エシコン・エンド−サージェリィ・(ヨーロッパ)・ゲーエムベーハー | 手術用ステープリング器具 |
WO2003057048A1 (en) * | 2002-01-08 | 2003-07-17 | Power Medical Interventions, Inc. | A surgical device |
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Cited By (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2015099067A1 (ja) * | 2013-12-27 | 2015-07-02 | オリンパス株式会社 | 処置具用ハンドル及び処置具 |
JP5851660B2 (ja) * | 2013-12-27 | 2016-02-03 | オリンパス株式会社 | 処置具用ハンドル及び処置具 |
JPWO2015099067A1 (ja) * | 2013-12-27 | 2017-03-23 | オリンパス株式会社 | 処置具用ハンドル及び処置具 |
US9775635B2 (en) | 2013-12-27 | 2017-10-03 | Olympus Corporation | Handle for medical treatment device and medical treatment device |
Also Published As
Publication number | Publication date |
---|---|
AU2004240258A1 (en) | 2005-07-14 |
CN102423267B (zh) | 2014-11-19 |
US20050139636A1 (en) | 2005-06-30 |
BRPI0405960A (pt) | 2005-09-20 |
EP1550409A1 (en) | 2005-07-06 |
EP1550409B1 (en) | 2009-06-03 |
ATE432658T1 (de) | 2009-06-15 |
DE602004021343D1 (de) | 2009-07-16 |
CN102423267A (zh) | 2012-04-25 |
JP4731904B2 (ja) | 2011-07-27 |
MXPA05000215A (es) | 2005-08-26 |
CA2491174A1 (en) | 2005-06-30 |
CA2491174C (en) | 2012-12-18 |
EP1550409B2 (en) | 2013-06-12 |
BRPI0405960B1 (pt) | 2014-07-08 |
CN1682667A (zh) | 2005-10-19 |
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