JP2005524476A - 電気手術用ステープリング装置 - Google Patents
電気手術用ステープリング装置 Download PDFInfo
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- JP2005524476A JP2005524476A JP2004502841A JP2004502841A JP2005524476A JP 2005524476 A JP2005524476 A JP 2005524476A JP 2004502841 A JP2004502841 A JP 2004502841A JP 2004502841 A JP2004502841 A JP 2004502841A JP 2005524476 A JP2005524476 A JP 2005524476A
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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
- A61B17/07207—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 the staples being applied sequentially
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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
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1442—Probes having pivoting end effectors, e.g. forceps
- A61B18/1445—Probes having pivoting end effectors, e.g. forceps at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
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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
- A61B2017/00831—Material properties
- A61B2017/00853—Material properties low friction, hydrophobic and corrosion-resistant fluorocarbon resin coating (ptf, ptfe, polytetrafluoroethylene)
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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
- A61B2017/07214—Stapler heads
- A61B2017/07257—Stapler heads characterised by its anvil
- A61B2017/07264—Stapler heads characterised by its anvil characterised by its staple forming cavities, e.g. geometry or material
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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
- A61B2017/07214—Stapler heads
- A61B2017/07278—Stapler heads characterised by its sled or its staple holder
-
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/00595—Cauterization
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/00601—Cutting
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/0063—Sealing
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
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- Molecular Biology (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
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- Veterinary Medicine (AREA)
- Physics & Mathematics (AREA)
- Plasma & Fusion (AREA)
- Otolaryngology (AREA)
- Surgical Instruments (AREA)
Abstract
Description
本願は、米国仮出願(2002年5月10日に出願され、そして米国仮出願番号60/379,961号を付与された。この出願の全内容は、本明細書において参考として援用される)に対して優先権を主張する。
本発明は、手術用ステープラーに関し、より詳細には、身体組織に対して複数の手術用ファスナーを連続的に適用するための電気手術用ステープリング装置に関する。
組織を切断することを必要とする手術の手順は、その切断の部位における出血を生じ得る。種々の技術が、出血をコントロールするために適用されており、例えば、縫合、クリップを血管に適用すること、および手術用ファスナーを使用すること、ならびに電気焼灼器および他の組織加熱技術のように、種々の程度で成功している。
電気手術用ステープリング装置が開示される。この装置は、産熱性エネルギー、好ましくは高周波エネルギー、および組織を強化するための手術用ファスナーまたはステープルを使用し、止血、組織の結合または接着を提供する。産熱性エネルギーはまた、ステープル線およびナイフカット線の付近の組織を強化し、そして手術ステープリングの間のステープルとナイフブレードによって形成されるそのステープルおよびカット線に沿って止血を提供する。産熱性エネルギーの使用は、短期間の止血および封止を提供し、そしてステープル線およびカット線からの出血を減少または予防する。他方、このステープリングの特徴は、短期および長期の組織強化および止血を提供する。
本発明は、産熱性エネルギー、好ましくは外部高周波生成器によって発生される高周波エネルギーを使用するステープリング装置、および組織を強化し、止血を提供し、そして組織を結合または接着するための手術用のファスナーまたはステープルを提供する。産熱性エネルギーはまた、ステープル線およびナイフカット線の付近で組織を強化し、そして手術ステープリングの間にステープルおよびナイフブレードによって形成されるステープルおよびカット線に沿って止血を提供する。産熱性エネルギーの使用は、短期の止血および封入を提供し、そしてステープル線およびカット線での出血を低減または予防する。他方、ステープリングの特徴は、短期および長期の組織強化および止血を提供する。
Claims (13)
- 第一本体部分を通って移動するように装着される作動部材によって第二本体部分から射出されるときに、複数の手術用ステープルが駆動される表面を規定する第一本体部分を備える手術用ステープラーにおいて、
改善が、手術のステープル作業の間、少なくとも1つのステープルに沿って止血を提供するために、該複数の手術用ステープルに産熱性エネルギーを連続して印加するために、該第一本体部分によって支持される少なくとも1つの導電性部材を備えることである、手術用ステープラー。 - 産熱性エネルギーを連続して印加するための手段を介して前記手術用ステープルに印加される前記産熱性エネルギーの型が、高周波、純粋な熱および抵抗加熱法からなる群より選択される、請求項1に記載の手術用ステープラー。
- 前記少なくとも1つの導電性部材は、金属アンビルである、請求項1および2のいずれか1項に記載の手術用ステープラー。
- 前記表面が、前記金属アンビルの外側表面であり、そして該表面が複数のステープルを受ける開口部を備える、請求項1から3のいずれか1項に記載の手術用ステープラー。
- 前記表面が、絶縁材料でコーティングされている、請求項1〜4のいずれか1項に記載の手術用ステープラー。
- 前記絶縁材料は、前記少なくとも1つの導電性部材を介して前記手術用ステープルにエネルギー供給をするために、前記第一本体部分に対して駆動されるときにステープルにより部分的に取り外し可能なように構成されている、請求項1〜5のいずれか1項に記載の手術用ステープラー。
- 前記複数のステープルを受け取る開口部が、前記絶縁材料でコーティングされていない、請求項1〜6のいずれか1項に記載の手術用ステープラー。
- 前記絶縁材料が、テフロン(登録商標)およびプラスティックからなる群より選択される、請求項1〜7のいずれか1項に記載の手術用ステープラー。
- 前記作動部材が、ナイフブレードである、請求項1〜8のいずれか1項に記載の手術用ステープラー。
- 前記作動部材が、直立したフランジを有する作動部材を有するスレッドを備え、そして前記ナイフブレードが該直立したフランジに対して固定される、請求項1〜9のいずれか1項に記載の手術用ステープラー。
- 前記ナイフブレードが、前記第一本体部分において形成される穴を通って横切り、そして手術用ステープリングして少なくとも1つの切断線にそって組織を焼きなましている間少なくとも1つの他の導電部材が産熱性エネルギーを該ナイフブレードに印加する、請求項1〜10のいずれか1項に記載の手術用ステープラー。
- 前記少なくとも1つの他の導電部材が、前記第一本体部分の長手方向を横切るように、溝、トラックなどを規定する表面である、請求項1〜11のいずれか1項に記載の手術用ステープラー。
- 前記少なくとも1つの導電部材は、前記第一本体部分によって規定される前記表面を介して前記複数の手術用ステープルにエネルギーを与え、手術ステープリングの間、少なくとも1つのステープル線に沿って止血を提供する、請求項1〜12のいずれかに記載の手術用ステープラー。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US37996102P | 2002-05-10 | 2002-05-10 | |
PCT/US2003/014520 WO2003094745A1 (en) | 2002-05-10 | 2003-05-09 | Electrosurgical stapling apparatus |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
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JP2009190541A Division JP2010000372A (ja) | 2002-05-10 | 2009-08-19 | 電気手術用ステープリング装置 |
Publications (2)
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JP2005524476A true JP2005524476A (ja) | 2005-08-18 |
JP4461008B2 JP4461008B2 (ja) | 2010-05-12 |
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Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
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JP2004502841A Expired - Fee Related JP4461008B2 (ja) | 2002-05-10 | 2003-05-09 | 電気手術用ステープリング装置 |
JP2009190541A Withdrawn JP2010000372A (ja) | 2002-05-10 | 2009-08-19 | 電気手術用ステープリング装置 |
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JP2009190541A Withdrawn JP2010000372A (ja) | 2002-05-10 | 2009-08-19 | 電気手術用ステープリング装置 |
Country Status (8)
Country | Link |
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US (4) | US7207471B2 (ja) |
EP (1) | EP1503674B1 (ja) |
JP (2) | JP4461008B2 (ja) |
AU (1) | AU2003230359B2 (ja) |
CA (1) | CA2484635C (ja) |
DE (1) | DE60307820T2 (ja) |
ES (1) | ES2268357T3 (ja) |
WO (1) | WO2003094745A1 (ja) |
Cited By (13)
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JP2009066392A (ja) * | 2007-07-16 | 2009-04-02 | Ethicon Endo Surgery Inc | 部分的に再利用可能な外科用ステープラー |
JP2010069310A (ja) * | 2008-09-19 | 2010-04-02 | Ethicon Endo Surgery Inc | 切断部材構造を備えた外科用ステープリング器具 |
JP2010179104A (ja) * | 2009-02-06 | 2010-08-19 | Tyco Healthcare Group Lp | 外科手術用ステープラーのためのアンビル |
JP2013521934A (ja) * | 2010-03-17 | 2013-06-13 | エシコン・エンド−サージェリィ・インコーポレイテッド | ステープルカートリッジ |
JP2014507174A (ja) * | 2010-12-10 | 2014-03-27 | 蘇州天臣国際医療科技有限公司 | ステープルカートリッジ及び当該ステープルカートリッジを用いる直線外科手術用ステープラー |
JP2014515638A (ja) * | 2011-03-15 | 2014-07-03 | エシコン・エンド−サージェリィ・インコーポレイテッド | 外科用ステープルカートリッジ、及び血管測定アレンジメント付きエンドエフェクタ |
US10052100B2 (en) | 2006-01-31 | 2018-08-21 | Ethicon Llc | Surgical instrument system configured to detect resistive forces experienced by a tissue cutting implement |
JP2018524132A (ja) * | 2015-06-02 | 2018-08-30 | ジーアイ・サイエンティフィック・リミテッド・ライアビリティ・カンパニーGi Scientific, Llc | 導電性コーティングを有する物質マニピュレータ |
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CN112120782A (zh) * | 2020-09-27 | 2020-12-25 | 山东冠龙医疗用品有限公司 | 一种高频手术设备及使用方法 |
JP2022504733A (ja) * | 2018-10-11 | 2022-01-13 | エシコン エルエルシー | 直線状外科用ステープラ用のアンビルアセンブリ |
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JP2022553500A (ja) * | 2019-09-16 | 2022-12-23 | コヴィディエン リミテッド パートナーシップ | カートリッジアセンブリ保持器を有する外科用ステープル留めデバイス |
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US9072535B2 (en) | 2011-05-27 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments with rotatable staple deployment arrangements |
US11896225B2 (en) | 2004-07-28 | 2024-02-13 | Cilag Gmbh International | Staple cartridge comprising a pan |
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US7182763B2 (en) * | 2004-11-23 | 2007-02-27 | Instrasurgical, Llc | Wound closure device |
US7438208B2 (en) * | 2005-01-25 | 2008-10-21 | Entrigue Surgical, Inc. | Septal stapler apparatus |
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US11246590B2 (en) | 2005-08-31 | 2022-02-15 | Cilag Gmbh International | Staple cartridge including staple drivers having different unfired heights |
US11484312B2 (en) | 2005-08-31 | 2022-11-01 | Cilag Gmbh International | Staple cartridge comprising a staple driver arrangement |
US7934630B2 (en) | 2005-08-31 | 2011-05-03 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US7669746B2 (en) | 2005-08-31 | 2010-03-02 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US8317070B2 (en) | 2005-08-31 | 2012-11-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling devices that produce formed staples having different lengths |
US9237891B2 (en) | 2005-08-31 | 2016-01-19 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical stapling devices that produce formed staples having different lengths |
US10159482B2 (en) | 2005-08-31 | 2018-12-25 | Ethicon Llc | Fastener cartridge assembly comprising a fixed anvil and different staple heights |
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US20090261145A1 (en) | 2009-10-22 |
ES2268357T3 (es) | 2007-03-16 |
CA2484635A1 (en) | 2003-11-20 |
US7207471B2 (en) | 2007-04-24 |
JP2010000372A (ja) | 2010-01-07 |
CA2484635C (en) | 2011-01-04 |
DE60307820D1 (de) | 2006-10-05 |
US20050159778A1 (en) | 2005-07-21 |
EP1503674B1 (en) | 2006-08-23 |
AU2003230359A1 (en) | 2003-11-11 |
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