JP2007130470A - 液圧で作動するエンドエフェクタを有する手術機器 - Google Patents
液圧で作動するエンドエフェクタを有する手術機器 Download PDFInfo
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Abstract
【解決手段】手術機器は、ハンドル部とシャフト部とを含むことができる。シャフト部は、ハンドル部に機械的に連結されている。また、手術機器は、シャフト部の縦軸に沿って、シャフト部に機械的に連結されたエンドエフェクタを含むこともできる。エンドエフェクタは、手術具と液圧装置とを含んでもよい。手術具の少なくとも一部は、シャフト部の縦軸に実質的に直交する交差軸に沿って、平行移動が可能な構成であってもよい。また、液圧作動装置は、シャフト部の交差軸に実質的に平行な方向に、手術具に向けて拡張可能なように位置決めされてもよい。
【選択図】図1
Description
この発明は、概ね、手術機器に関するものであり、より詳細には、液圧作動型のエンドエフェクタを有する内視鏡型の手術機器に関するものである。
この発明の一つの実施の形態によれば、液圧作動型の手術機器が提供される。この器具は、ハンドル部と、このハンドル部に機械的に連結されたシャフト部とを含むことができる。また、この器具は、シャフト部の縦軸に沿って、シャフト部に機械的に連結されたエンドエフェクタを含むことができる。エンドエフェクタは、手術具と液圧装置とを含むことができる。手術具の少なくとも一部は、シャフト部の縦軸に実質的に直交する交差軸に沿って、平行移動可能であってもよい。また、液圧装置は、シャフト部の交差軸に実質的に平行な方向に、手術具に向けて拡張可能なように位置決めされてもよい。
この明細書において、用語「近位」および「遠位」は、機器のハンドル部を把持する臨床医を基準にして用いられている。例えば、図1に示された手術機器10を参照すると、エンドエフェクタ12は、このエンドエフェクタ12よりも近位側に位置するハンドル部20に対して遠位側に存在している。便宜上および明確にするために、「垂直」および「水平」等の空間的な用語は、この明細書において、図面に関して用いられていることもまた理解されよう。しかしながら、手術機器は、多くの向きおよび位置で用いられており、これらの用語は、この発明を限定する絶対的なものであるとは意図されていない。
以下、この発明の実施の態様を説明する。
(1)液圧で作動する手術機器において、
ハンドル部と、
縦軸を有するシャフト部であって、前記ハンドル部に機械的に連結された、シャフト部と、
前記縦軸に沿って前記シャフト部に機械的に連結されたエンドエフェクタであって、
手術具であって、前記縦軸に対して実質的に直交する交差軸に沿って、前記手術具の少なくとも一部が平行移動可能である手術具、および、
前記交差軸に対して実質的に平行な方向に前記手術機器に向けて拡張可能となるように位置決めされた液圧装置(hydraulic device)、
を具備する、エンドエフェクタと、
を具備する、手術機器。
(2)実施態様1記載の手術機器において、
前記手術具は、刃先部、手術用締め具、把持具、クリップアプライヤ、クランプ、およびアクセス装置からなる群より選択される、手術機器。
(3)実施態様1記載の手術機器において、
前記液圧装置は、液圧ブラダー、および液圧シリンダーからなる群より選択される、手術機器。
(4)実施態様1記載の手術機器において、
前記シャフト部は、関節運動型旋回軸を含み、これにより、前記エンドエフェクタは、前記関節運動型旋回軸において、前記縦軸から離れて、旋回する、手術機器。
(5)実施態様1記載の手術機器において、
前記手術機器は、第1の方向を向いたステープルを含むステープルカートリッジを具備し、
前記液圧装置は、前記ステープルに向けて前記第1の方向に拡張可能なように位置決めされている、
手術機器。
(6)実施態様5記載の手術機器において、
前記液圧装置と前記ステープルとの間に位置決めされたステープル駆動装置、
をさらに含む、手術機器。
(7)実施態様1記載の手術機器において、
第2の手術具であって、当該第2の手術具の少なくとも一部は、第2の交差軸に沿って平行移動可能である、第2の手術具と、
前記第2の交差軸に実質的に平行な方向に前記第2の手術具に向けて拡張可能なように位置決めされた第2の液圧装置と、
をさらに含む、手術機器。
(8)手術用締付け用器具と共に使用され、第1の方向に手術用締め具を駆動するように構成されたエンドエフェクタにおいて、
前記第1の方向に向いた手術用締め具を含む手術用締め具カートリッジと、
前記手術用締め具に向けて前記第1の方向に拡張可能なように位置決めされた締め具用液圧装置と、
を具備する、エンドエフェクタ。
(9)実施態様8記載のエンドエフェクタにおいて、
前記第1の方向に向いた刃先部を有するブレードと、
前記刃先部に向けて前記第1の方向に拡張可能なように位置決めされた切断用液圧装置と、
をさらに含む、エンドエフェクタ。
(10)実施態様9記載のエンドエフェクタにおいて、
前記切断用液圧装置と前記刃先部との間に位置決めされた切断バー、
をさらに含む、エンドエフェクタ。
(11)実施態様8記載のエンドエフェクタにおいて、
前記手術用締め具は、ステープルである、エンドエフェクタ。
(12)実施態様8記載のエンドエフェクタにおいて、
前記手術用締め具カートリッジは、前記第1の方向に向いた複数の手術用締め具を含む、エンドエフェクタ。
(13)実施態様12記載のエンドエフェクタにおいて、
前記締め具用液圧装置は、剛性の配置プレートに接触している液圧ブラダーを含み、
前記剛性の配置プレートは複数の穴を画定し、
当該複数の穴のそれぞれは、前記複数の手術用締め具の一つに対応し、
前記液圧ブラダーは、前記剛性の配置プレートの前記穴を通じてのみ、拡張可能である、
エンドエフェクタ。
(14)実施態様8記載のエンドエフェクタにおいて、
前記締め具用液圧装置は、液圧ブラダー、および液圧シリンダーからなる群より選択される、エンドエフェクタ。
(15)実施態様8記載のエンドエフェクタにおいて、
把持具、クリップアプライヤ、およびアクセス装置からなる群より選択される手術具、
をさらに含む、エンドエフェクタ。
(16)手術機器において、
バルブユニットと、
第1の手術具と、
前記バルブユニットに流体流動的に連結され、かつ、前記第1の手術具に向けて拡張可能なように位置決めされた、第1の液圧装置と、
第2の手術具と、
前記バルブユニットに流体流動的に連結され、かつ、前記第2の手術具に向けて拡張可能なように位置決めされた、第2の液圧装置と、
前記バルブユニットに連通している発射パターン制御装置であって、発射パターンに従って、前記第1の液圧装置および前記第2の液圧装置に加圧された作動液(hydraulic fluid)を誘導するように、前記バルブユニットを設定する、発射パターン制御装置と、
を具備する、手術機器。
(17)実施態様16記載の手術機器において、
前記発射パターンは、駆動されるべき前記第1および前記第2の手術具のうち、少なくとも一つを指定する、手術機器。
(18)実施態様16記載の手術機器において、
前記発射パターンは、前記第1の手術具の駆動時と、前記第2の手術具の駆動時との間に遅延時間を指定する、手術機器。
(19)実施態様16記載の手術機器において、
第3の手術具と、
前記バルブユニットに流体流動的に連結され、かつ、前記第3の手術具に向けて拡張可能なように位置決めされた、第3の液圧装置と、
をさらに含む、手術機器。
(20)実施態様16記載の手術機器において、
前記第1の手術具および前記第2の手術具は、刃先部、手術用締め具、把持具、クリップアプライヤ、およびアクセス装置からなる群より選択される、手術機器。
Claims (9)
- 液圧で作動する手術機器において、
ハンドル部と、
縦軸を有するシャフト部であって、前記ハンドル部に機械的に連結された、シャフト部と、
前記縦軸に沿って前記シャフト部に機械的に連結されたエンドエフェクタであって、
手術具であって、前記縦軸に対して実質的に直交する交差軸に沿って、前記手術具の少なくとも一部が平行移動可能である手術具、および、
前記交差軸に対して実質的に平行な方向に前記手術機器に向けて拡張可能となるように位置決めされた液圧装置、
を備える、エンドエフェクタと、
を具備する、手術機器。 - 請求項1記載の手術機器において、
前記手術具は、刃先部、手術用締め具、把持具、クリップアプライヤ、クランプ、およびアクセス装置からなる群より選択される、手術機器。 - 請求項1記載の手術機器において、
前記液圧装置は、液圧ブラダー、および液圧シリンダーからなる群より選択される、手術機器。 - 請求項1記載の手術機器において、
前記シャフト部は、関節運動型旋回軸を含み、これにより、前記エンドエフェクタは、前記関節運動型旋回軸において、前記縦軸から離れて、旋回する、手術機器。 - 請求項1記載の手術機器において、
前記手術機器は、第1の方向を向いたステープルを含むステープルカートリッジを具備し、
前記液圧装置は、前記ステープルに向けて前記第1の方向に拡張可能なように位置決めされている、
手術機器。 - 請求項5記載の手術機器において、
前記液圧装置と前記ステープルとの間に位置決めされたステープル駆動装置、
をさらに含む、手術機器。 - 請求項1記載の手術機器において、
第2の手術具であって、当該第2の手術具の少なくとも一部は、第2の交差軸に沿って平行移動可能である、第2の手術具と、
前記第2の交差軸に実質的に平行な方向に前記第2の手術具に向けて拡張可能なように位置決めされた第2の液圧装置と、
をさらに含む、手術機器。 - 手術用締付け用器具と共に使用され、第1の方向に手術用締め具を駆動するように構成されたエンドエフェクタにおいて、
前記第1の方向に向いた手術用締め具を含む手術用締め具カートリッジと、
前記手術用締め具に向けて前記第1の方向に拡張可能なように位置決めされた締め具用液圧装置と、
を具備する、エンドエフェクタ。 - 手術機器において、
バルブユニットと、
第1の手術具と、
前記バルブユニットに流体流動的に連結され、かつ、前記第1の手術具に向けて拡張可能なように位置決めされた、第1の液圧装置と、
第2の手術具と、
前記バルブユニットに流体流動的に連結され、かつ、前記第2の手術具に向けて拡張可能なように位置決めされた、第2の液圧装置と、
前記バルブユニットに連通している発射パターン制御装置であって、発射パターンに従って、前記第1の液圧装置および前記第2の液圧装置に加圧された作動液を誘導するように、前記バルブユニットを設定する、発射パターン制御装置と、
を具備する、手術機器。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US11/270,217 US7799039B2 (en) | 2005-11-09 | 2005-11-09 | Surgical instrument having a hydraulically actuated end effector |
US11/270,217 | 2005-11-09 |
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JP2007130470A true JP2007130470A (ja) | 2007-05-31 |
JP5042595B2 JP5042595B2 (ja) | 2012-10-03 |
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JP2006303048A Active JP5042595B2 (ja) | 2005-11-09 | 2006-11-08 | 液圧で作動するエンドエフェクタを有する手術機器 |
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US (1) | US7799039B2 (ja) |
EP (1) | EP1785098B1 (ja) |
JP (1) | JP5042595B2 (ja) |
CN (1) | CN1961838B (ja) |
AT (1) | ATE484240T1 (ja) |
AU (1) | AU2006233262B2 (ja) |
BR (1) | BRPI0605650A (ja) |
CA (1) | CA2567659C (ja) |
DE (1) | DE602006017486D1 (ja) |
MX (1) | MXPA06012963A (ja) |
Cited By (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
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JP2016504074A (ja) * | 2012-12-28 | 2016-02-12 | タッチストーン インターナショナル メディカル サイエンス カンパニーリミテッドTouchstone International Medical Science Co., Ltd. | ステープラ用コッキングアセンブリ及びステープラ |
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- 2006-11-08 EP EP06255737A patent/EP1785098B1/en not_active Not-in-force
- 2006-11-08 AT AT06255737T patent/ATE484240T1/de not_active IP Right Cessation
- 2006-11-08 MX MXPA06012963A patent/MXPA06012963A/es active IP Right Grant
- 2006-11-08 JP JP2006303048A patent/JP5042595B2/ja active Active
- 2006-11-08 DE DE602006017486T patent/DE602006017486D1/de active Active
- 2006-11-08 CA CA2567659A patent/CA2567659C/en not_active Expired - Fee Related
- 2006-11-09 BR BRPI0605650-4A patent/BRPI0605650A/pt not_active Application Discontinuation
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JP2010162349A (ja) * | 2009-01-13 | 2010-07-29 | Tyco Healthcare Group Lp | 電気外科手順を実施するための装置、システム、および方法 |
JP2016504074A (ja) * | 2012-12-28 | 2016-02-12 | タッチストーン インターナショナル メディカル サイエンス カンパニーリミテッドTouchstone International Medical Science Co., Ltd. | ステープラ用コッキングアセンブリ及びステープラ |
JP2019518494A (ja) * | 2016-04-20 | 2019-07-04 | エシコン エルエルシーEthicon LLC | 油圧式ステープル配置機能を有する外科用ステープルカートリッジ |
JP2019518495A (ja) * | 2016-04-20 | 2019-07-04 | エシコン エルエルシーEthicon LLC | 油圧デッキ制御を備えた外科用ステープラ |
JP2019521791A (ja) * | 2016-07-13 | 2019-08-08 | エシコン エルエルシーEthicon LLC | 油圧支援による肝実質の破壊を行うための装置 |
JP7043482B2 (ja) | 2016-07-13 | 2022-03-29 | エシコン エルエルシー | 油圧支援による肝実質の破壊を行うための装置 |
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JP7249112B2 (ja) | 2017-08-23 | 2023-03-30 | コヴィディエン リミテッド パートナーシップ | 浮上式ステープルカートリッジを有する外科用ステープル留め装置 |
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Also Published As
Publication number | Publication date |
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EP1785098A3 (en) | 2008-12-03 |
US7799039B2 (en) | 2010-09-21 |
CA2567659C (en) | 2014-10-14 |
AU2006233262B2 (en) | 2012-03-15 |
EP1785098A2 (en) | 2007-05-16 |
EP1785098B1 (en) | 2010-10-13 |
BRPI0605650A (pt) | 2007-09-04 |
DE602006017486D1 (de) | 2010-11-25 |
MXPA06012963A (es) | 2007-05-08 |
CN1961838B (zh) | 2011-04-06 |
ATE484240T1 (de) | 2010-10-15 |
AU2006233262A1 (en) | 2007-05-24 |
JP5042595B2 (ja) | 2012-10-03 |
US20070102473A1 (en) | 2007-05-10 |
CA2567659A1 (en) | 2007-05-09 |
CN1961838A (zh) | 2007-05-16 |
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