JP2006026013A - 生体組織縫合方法及び生体組織縫合器 - Google Patents
生体組織縫合方法及び生体組織縫合器 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
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B17/115—Staplers for performing anastomosis in a single operation
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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
- A61B17/1114—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis of the digestive tract, e.g. bowels or oesophagus
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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
- A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
- A61B2017/00398—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like using powered actuators, e.g. stepper motors, solenoids
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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
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2901—Details of shaft
- A61B2017/2905—Details of shaft flexible
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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
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/30—Surgical pincettes without pivotal connections
- A61B2017/306—Surgical pincettes without pivotal connections holding by means of suction
-
- 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
Abstract
【解決手段】アンビル12に発光部材34を配し、この発光部材34からの位置情報に基づいてアンビル12の位置を特定して挿入部3に挿通した内視鏡7のアンビル把持具11でアンビル12を、縫合部4に対向して把持固定するように構成した。
【選択図】 図2
Description
図1は、この発明の第1の実施の形態に係る生体組織縫合器を示すもので、縫合器本体2と分離配置される針受け部材であるアンビル12で構成される。
図15及び図16は、この発明の第2の実施の形態に係る生体組織縫合器の要部を示すもので、図15は把持状態を示し、図16は、縫合状態を示す。但し、図15及び図16においては、上記第1の実施の形態と同一部分について、同一符号を付して、その詳細な説明を省略する。
図19は、この発明の第3の実施の形態に係る生体組織縫合器の要部を取り出して示したものである。但し、図19においては、上記第1の実施の形態と同一部分について、同一符号を付して、その詳細な説明を省略する。
内視鏡挿通管路が設けられた挿入部と、
前記挿入部の先端側に配される複数の針射出部が略環状に設けられた縫合部と、
前記挿入部と分離配置され、生体組織を介して前記縫合部と対向された状態で、前記挿入部を介して導入された処置具に把持固定されるものであって、前記縫合部の針射出部から打ち出された縫合針部材の前記生体組織を貫通した先端部を折曲げる針受け部材と、
前記針受け部材に設けられ、位置情報を発信する位置情報発信部材と、
を具備することを特徴とする生体組織縫合器。
前記位置情報発信部材からの位置情報を受信して前記針受け部材の位置を検出する位置検出装置と、
前記位置検出装置の検出情報に基づいて前記針受け部材を誘導するための誘導部材と、
を更に備えることを特徴とする付記1記載の生体組織縫合器。
前記位置検出装置は、前記挿入部を介して導入される内視鏡又は前記処置具の少なくとも一方に配され、前記誘導部材は、前記挿入部あるいは前記内視鏡を介して導入される前記処置具によって構成されることを特徴とする付記2記載の生体組織縫合器。
前記位置検出装置及び前記誘導部材は、少なくとも一方が経腹壁的に導入される内視鏡及び処置具を含むことを特徴とする付記2の生体組織縫合器。
前記針受け部材は、前記処置部に対して磁気力により合体されて把持固定されることを特徴とする付記項1乃至4のいずれか記載の生体組織縫合器。
前記縫合部は、前記針射出部の内周部を切除する切除機構を備えることを特徴とする付記1乃至5のいずれか記載の生体組織縫合器。
前記針受け部材は、被把持部の設けられた本体を、前記縫合部より小径に形成して、この本体に複数の腕部を折畳み展開可能に設けて、前記被把持部の把持状態で、前記複数の腕部が折畳み位置から前記縫合部に対向する位置に展開されるように構成したことを特徴とする付記1乃至6のいずれか記載の生体組織縫合器。
Claims (7)
- 内視鏡挿通管路が設けられた挿入部と、
前記挿入部の先端側に配される複数の針射出部が略環状に設けられた縫合部と、
前記挿入部と分離配置され、生体組織を介して前記縫合部と対向された状態で、前記挿入部を介して導入された処置具に把持固定されるものであって、前記縫合部の針射出部から打ち出された縫合針部材の前記生体組織を貫通した先端部を折曲げる針受け部材と、
前記針受け部材に設けられ、位置情報を発信する位置情報発信手段と、
を具備することを特徴とする生体組織縫合器。 - 前記位置情報発信手段からの位置情報を受信して前記針受け部材の位置を検出する位置検出手段と、
前記位置検出手段の検出情報に基づいて前記針受け部材を誘導するための誘導手段と、
を更に備えることを特徴とする請求項1記載の生体組織縫合器。 - 前記位置検出手段は、前記挿入部を介して導入される内視鏡又は前記処置具の少なくとも一方に配され、前記誘導手段は、前記挿入部あるいは前記内視鏡を介して導入される前記処置具によって構成されることを特徴とする請求項2記載の生体組織縫合器。
- 前記位置検出手段及び前記誘導手段は、少なくとも一方が経腹壁的に導入される内視鏡及び処置具を含むことを特徴とする請求項2記載の生体組織縫合器。
- 前記針受け部材は、前記処置部に対して磁気力により合体されて把持固定されることを特徴とする請求項1乃至4のいずれか記載の生体組織縫合器。
- 前記縫合部は、前記針射出部の内周部を切除する切除手段を備えることを特徴とする請求項1乃至5のいずれか記載の生体組織縫合器。
- 前記針受け部材は、被把持部の設けられた本体を、前記縫合部より小径に形成して、この本体に複数の腕部を折畳み展開可能に設けて、前記被把持部の把持状態で、前記複数の腕部が折畳み位置から前記縫合部に対向する位置に展開されるように構成したことを特徴とする請求項1乃至6のいずれか記載の生体組織縫合器。
Priority Applications (6)
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JP2004207740A JP4257270B2 (ja) | 2004-07-14 | 2004-07-14 | 生体組織縫合方法及び生体組織縫合器 |
US11/179,215 US20060011698A1 (en) | 2004-07-14 | 2005-07-12 | Tissue stapling method and tissue stapler |
CNB2005100831364A CN100473361C (zh) | 2004-07-14 | 2005-07-13 | 组织缝合方法和组织缝合器 |
DE602005003985T DE602005003985T2 (de) | 2004-07-14 | 2005-07-14 | Gerät zur Klammerung von weichem Gewebe |
EP05015373A EP1616526B1 (en) | 2004-07-14 | 2005-07-14 | Tissue stapler |
US12/436,402 US7694864B2 (en) | 2004-07-14 | 2009-05-06 | Tissue stapler with positioning mechanism |
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JP2004207740A JP4257270B2 (ja) | 2004-07-14 | 2004-07-14 | 生体組織縫合方法及び生体組織縫合器 |
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JP2006026013A true JP2006026013A (ja) | 2006-02-02 |
JP4257270B2 JP4257270B2 (ja) | 2009-04-22 |
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JP2004207740A Expired - Fee Related JP4257270B2 (ja) | 2004-07-14 | 2004-07-14 | 生体組織縫合方法及び生体組織縫合器 |
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US (2) | US20060011698A1 (ja) |
EP (1) | EP1616526B1 (ja) |
JP (1) | JP4257270B2 (ja) |
CN (1) | CN100473361C (ja) |
DE (1) | DE602005003985T2 (ja) |
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JP2007229455A (ja) * | 2006-02-17 | 2007-09-13 | Ethicon Endo Surgery Inc | 管腔を縮小するための方法および装置 |
WO2008108030A1 (ja) * | 2007-03-02 | 2008-09-12 | Olympus Medical Systems Corp. | 内視鏡装置 |
JP2013085653A (ja) * | 2011-10-17 | 2013-05-13 | Olympus Medical Systems Corp | 内視鏡システム |
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US5350104A (en) * | 1991-08-23 | 1994-09-27 | Ethicon, Inc. | Sealing means for endoscopic surgical anastomosis stapling instrument |
US5474223A (en) * | 1991-10-18 | 1995-12-12 | United States Surgical Corporation | Surgical fastener applying apparatus |
US5197649A (en) * | 1991-10-29 | 1993-03-30 | The Trustees Of Columbia University In The City Of New York | Gastrointestinal endoscoptic stapler |
US5355897A (en) * | 1992-04-16 | 1994-10-18 | Ethicon, Inc. | Method of performing a pyloroplasty/pylorectomy using a stapler having a shield |
DE4300285A1 (de) * | 1993-01-08 | 1994-07-14 | Wolf Gmbh Richard | Instrument zum Implantieren und Extrahieren von Stents |
US5868760A (en) * | 1994-12-07 | 1999-02-09 | Mcguckin, Jr.; James F. | Method and apparatus for endolumenally resectioning tissue |
JP3211141B2 (ja) * | 1995-10-04 | 2001-09-25 | 富士写真光機株式会社 | 体腔管識別装置 |
US6119913A (en) * | 1996-06-14 | 2000-09-19 | Boston Scientific Corporation | Endoscopic stapler |
US6338737B1 (en) * | 1997-07-17 | 2002-01-15 | Haviv Toledano | Flexible annular stapler for closed surgery of hollow organs |
US6279809B1 (en) * | 1998-03-10 | 2001-08-28 | Enrico Nicolo | Circular stapler for side to end, side to side and end to side anastomosis |
US6126058A (en) * | 1998-06-19 | 2000-10-03 | Scimed Life Systems, Inc. | Method and device for full thickness resectioning of an organ |
JP3531000B2 (ja) * | 1998-12-07 | 2004-05-24 | グンゼ株式会社 | 吻合補綴材 |
EP2298190B1 (en) * | 2000-02-22 | 2016-11-02 | Covidien LP | An electromechanical driver and remote surgical instrument attachment having computer assisted control capabilities |
CN2448296Y (zh) * | 2000-11-10 | 2001-09-19 | 马剑文 | 消化道管状吻合器的吻切头 |
JP4142369B2 (ja) * | 2002-08-07 | 2008-09-03 | オリンパス株式会社 | 内視鏡処置システム |
-
2004
- 2004-07-14 JP JP2004207740A patent/JP4257270B2/ja not_active Expired - Fee Related
-
2005
- 2005-07-12 US US11/179,215 patent/US20060011698A1/en not_active Abandoned
- 2005-07-13 CN CNB2005100831364A patent/CN100473361C/zh not_active Expired - Fee Related
- 2005-07-14 DE DE602005003985T patent/DE602005003985T2/de active Active
- 2005-07-14 EP EP05015373A patent/EP1616526B1/en not_active Expired - Fee Related
-
2009
- 2009-05-06 US US12/436,402 patent/US7694864B2/en active Active
Cited By (9)
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JP2007229455A (ja) * | 2006-02-17 | 2007-09-13 | Ethicon Endo Surgery Inc | 管腔を縮小するための方法および装置 |
WO2008108030A1 (ja) * | 2007-03-02 | 2008-09-12 | Olympus Medical Systems Corp. | 内視鏡装置 |
US9101339B2 (en) | 2007-03-02 | 2015-08-11 | Olympus Corporation | Endoscope apparatus |
JP2013535279A (ja) * | 2010-07-30 | 2013-09-12 | エシコン・エンド−サージェリィ・インコーポレイテッド | 外科用円形ステープラーのための壁透過(transwall)可視化構成 |
JP2013085653A (ja) * | 2011-10-17 | 2013-05-13 | Olympus Medical Systems Corp | 内視鏡システム |
JP2017205511A (ja) * | 2016-05-17 | 2017-11-24 | コヴィディエン リミテッド パートナーシップ | 可撓性円形ステープラ用のアダプタアセンブリ |
JP2020525123A (ja) * | 2017-06-27 | 2020-08-27 | エシコン エルエルシーEthicon LLC | 独立した組織のステープル留め及び切断を提供する往復駆動部材を備えた電動円形ステープラ |
JP7221228B2 (ja) | 2017-06-27 | 2023-02-13 | エシコン エルエルシー | 独立した組織のステープル留め及び切断を提供する往復駆動部材を備えた電動円形ステープラ |
US11944309B2 (en) | 2017-06-27 | 2024-04-02 | Cilag Gmbh International | Powered circular stapler with reciprocating drive member to provide independent stapling and cutting of tissue |
Also Published As
Publication number | Publication date |
---|---|
DE602005003985D1 (de) | 2008-02-07 |
DE602005003985T2 (de) | 2008-12-11 |
US20060011698A1 (en) | 2006-01-19 |
EP1616526A1 (en) | 2006-01-18 |
CN100473361C (zh) | 2009-04-01 |
CN1720872A (zh) | 2006-01-18 |
EP1616526B1 (en) | 2007-12-26 |
JP4257270B2 (ja) | 2009-04-22 |
US20090212088A1 (en) | 2009-08-27 |
US7694864B2 (en) | 2010-04-13 |
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