JP2007296369A - 開放血管封止鉗子使い捨て可能ハンドスイッチ - Google Patents
開放血管封止鉗子使い捨て可能ハンドスイッチ Download PDFInfo
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- 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
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- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
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- A61B2017/2926—Details of heads or jaws
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- 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
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- A61B2018/00916—Handpieces of the surgical instrument or device with means for switching or controlling the main function of the instrument or device
- A61B2018/00922—Handpieces of the surgical instrument or device with means for switching or controlling the main function of the instrument or device by switching or controlling the treatment energy directly within the hand-piece
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- 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
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- 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
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- A61B90/03—Automatic limiting or abutting means, e.g. for safety
- A61B2090/033—Abutting means, stops, e.g. abutting on tissue or skin
- A61B2090/034—Abutting means, stops, e.g. abutting on tissue or skin abutting on parts of the device itself
Abstract
【解決手段】鉗子との使用のための離脱可能ハンドスイッチおよび電極アセンブリ100であって、該ハンドスイッチおよび電極アセンブリ100が:機械的鉗子11の少なくとも一部分を離脱可能に係合する少なくとも1つの部分を有するハウジング101;該ハウジング101上に配置されるハンドスイッチアセンブリであって、電気外科用電源に接続するように適合されたハンドスイッチアセンブリ;該機械的鉗子の遠位端と離脱可能に係合可能な一対の電極;および該電極と作動可能に連結され、該対向する電極間の距離を制御する少なくとも1つの停止部材、を備える、ハンドスイッチおよび電極アセンブリ100。
【選択図】図1−1
Description
本開示は、開放手術手順のために用いられる電気外科用鉗子に関する。より詳細には、本開示は、血管および血管組織を封止するための使い捨て可能なハンドスイッチおよび電極アセンブリを有する開放双極鉗子に関する。
止血鉗子または鉗子は、組織を締め付けるためにその顎の間の機械的作用を用い、そして一般に開放外科的手順で、組織を握り、解剖し、そして/またはクランプ留めするために用いられる。電気外科用鉗子は、機械的クランプ留め作用および電気エネルギーの両方を利用し、組織および血管を加熱することにより止血を行い、組織を凝固、焼灼、切断および/または封止する。
本開示は、対向する端部エフェクターおよびこの端部エフェクターの互いに対する相対的移動を行うためのハンドルを有する鉗子との使用のために離脱可能ハンドスイッチおよび電極アセンブリに関する。この離脱可能ハンドスイッチおよび電極アセンブリは、機械的鉗子の少なくとも一部分を離脱可能に係合する少なくとも1つの部分を有するハウジング、およびこのハウジング上に配置されるハンドスイッチアセンブリを含む。この機械的鉗子の遠位端と、電極が互いに対して対抗する関係で存在するように離脱可能に係合する一対の電極が含められる。少なくとも1つの電極が、上記ハンドスイッチアセンブリとは独立に、またはそれを通って電気外科用電源に接続するように適合される。少なくとも1つの停止部材が、上記電極と作動可能に連結され、そして上記対向する電極間の距離を制御して組織封止を行う。特定の実施形態では、上記停止部材は、上記電極の近位方向にあるか、または1つ以上の電極の組織係合表面上にある。
ブリ。
(項目1)対向する端部エフェクターおよび該端部エフェクターの互いに対する相対的移動を行うためのハンドルを有する鉗子との使用のための離脱可能ハンドスイッチおよび電極アセンブリであって、該ハンドスイッチおよび電極アセンブリが:
機械的鉗子の少なくとも一部分を離脱可能に係合する少なくとも1つの部分を有するハウジング;
該ハウジング上に配置されるハンドスイッチアセンブリであって、電気外科用電源に接続するように適合されたハンドスイッチアセンブリ;
該機械的鉗子の遠位端と離脱可能に係合可能な一対の電極であって、互いに対して対向する関係で存在し、少なくとも1つの電極が、該ハンドスイッチアセンブリを通って電気外科用電源に接続するように適合される電極;および
該電極と作動可能に連結され、該対向する電極間の距離を制御する少なくとも1つの停止部材、を備える、ハンドスイッチおよび電極アセンブリ。
(項目2)前記停止部材が、前記電極の近位方向にある、項目1に記載の離脱可能ハンドスイッチおよび電極アセンブリ。
(項目3)前記ハンドスイッチアセンブリが、前記ハウジングの1つの側面上に配置された少なくとも1つの起動ボタンを含む、項目1から2のいずれか1項に記載の離脱可能ハンドスイッチおよび電極アセンブリ。
(項目4)前記ハンドスイッチアセンブリが、前記ハウジング上に配置された2つの起動ボタンを含む、項目1から3のいずれか1項に記載の離脱可能ハンドスイッチおよび電極アセンブリ。
(項目5)前記起動ボタンの各々が、可撓性回路板と作動可能に協働し、電極の起動を制御する、項目4に記載の離脱可能ハンドスイッチおよび電極アセンブリ。
(項目6)前記ハンドスイッチアセンブリが、可撓性回路板に作動可能に連結し、前記電極の起動を制御する、前記ハウジング内に配置された少なくとも1つのドームスイッチを含む、項目1から5のいずれか1項に記載の離脱可能ハンドスイッチおよび電極アセンブリ。
(項目7)前記ハンドスイッチアセンブリが、前記ハウジング内の少なくとも1つのドームスイッチを支持する少なくとも1つの裏材料プレートを含む、項目6に記載の離脱可能ハンドスイッチおよび電極アセンブリ。
(項目8)前記ハンドスイッチアセンブリが、可撓性回路板と作動可能に協働し、電極の起動を制御する、前記ハウジング内に配置された2つのドームスイッチを含む、項目1から7のいずれか1項に記載の離脱可能ハンドスイッチおよび電極アセンブリ。
(項目9)前記ハウジングが、互いに対になるように係合して該ハウジングを形成する2つのハウジング半分体を含み、そして前記可撓性回路板が組み立ての前に該2つのハウジング半分体間にまたがるような寸法である、項目8に記載の離脱可能ハンドスイッチおよび電極アセンブリ。
(項目10)前記ハンドスイッチアセンブリが、前記2つのドームスイッチの1つを支持する、各ハウジング半分体と作動可能に連結される1つの裏材料プレートを含み、そして前記可撓性回路板が、組み立てに際し、前記ハウジング内の裏打ちプレートの両方の周りを包むような形態である、項目8または9に記載の離脱可能ハンドスイッチおよび電極アセンブリ。
(項目11)前記可撓性回路板が、前記ハンドスイッチアセンブリを通る電流を制御する少なくとも1つのレジスターを含む、項目6、7、8、9または10に記載の離脱可能ハンドスイッチおよび電極アセンブリ。
(項目12)前記裏材料プレートが、上記ドームスイッチをそれに固定する少なくとも1つの機械的インターフェースを含む、項目7、8、9、10または11に記載の離脱可能ハンドスイッチおよび電極アセンブリ。
(項目13)対向する端部エフェクターおよび該端部エフェクターの互いに対する相対的移動を行うためのハンドルを有する鉗子との使用のために離脱可能ハンドスイッチおよび電極アセンブリであって、該ハンドスイッチおよび電極アセンブリが:
機械的鉗子の少なくとも一部分を離脱可能に係合する少なくとも1つの部分を有するハウジング;
該ハウジング上に配置されるハンドスイッチアセンブリであって、電気外科用電源に接続するように適合されたハンドスイッチアセンブリ;を備え、
該ハンドスイッチアセンブリが:
一対の電極の起動を制御する少なくとも1つの起動ボタンと作動可能に連絡する少なくとも1つの部分を有する可撓性回路板を含み、該電極が、該機械的鉗子の遠位端と、該電極が互いに対向する関係で存在するように離脱可能に係合可能である、離脱可能ハンドスイッチおよび電極アセンブリ。
(項目14)前記起動ボタンが、その1つの端部に、該起動ボタンを前記可撓性回路板との作動連絡に旋回させる、ロッカー旋回軸を含む、項目13に記載の離脱可能ハンドスイッチおよび電極アセンブリ。
(項目15)前記起動ボタンが、その1つの端部に、前記可撓性回路板上で、かつ前記ハウジング内の該起動ボタンの整列および組み立てを容易にする案内タブを含む、項目13または14に記載の離脱可能ハンドスイッチおよび電極アセンブリ。
ここで、図1−1および図1−2を参照して、開放外科的手順との使用のための双極鉗子10は、機械的鉗子11、ならびに使い捨て可能なハンドスイッチおよび電極アセンブリ100を含む。図面において、および以下の説明において、用語「近位」は、伝統的であるように、使用者により近い鉗子10の端部をいい、その一方、用語「遠位」は、使用者からより遠い端部をいう。
対向する端部エフェクターおよび該端部エフェクターの互いに対する相対的移動を行うためのハンドルを有する鉗子との使用のために離脱可能ハンドスイッチおよび電極アセンブリは、機械的鉗子の少なくとも一部分を離脱可能に係合する少なくとも1つの部分を有するハウジング、およびこのハウジング上に配置されるハンドスイッチアセンブリを含む。この機械的鉗子の遠位端と、電極が互いに対して対抗する関係で存在するように離脱可能に係合する一対の電極が含められる。少なくとも1つの電極が、上記ハンドスイッチアセンブリを通って電気外科用電源に接続するように適合される。少なくとも1つの停止部材が、上記電極と作動可能に連結され、そして上記対向する電極間の距離を制御して組織封止を行う。
Claims (15)
- 対向する端部エフェクターおよび該端部エフェクターの互いに対する相対的移動を行うためのハンドルを有する鉗子との使用のための離脱可能ハンドスイッチおよび電極アセンブリであって、該ハンドスイッチおよび電極アセンブリが:
機械的鉗子の少なくとも一部分を離脱可能に係合する少なくとも1つの部分を有するハウジング;
該ハウジング上に配置されるハンドスイッチアセンブリであって、電気外科用電源に接続するように適合されたハンドスイッチアセンブリ;
該機械的鉗子の遠位端と離脱可能に係合可能な一対の電極であって、互いに対して対向する関係で存在し、少なくとも1つの電極が、該ハンドスイッチアセンブリを通って電気外科用電源に接続するように適合される電極;および
該電極と作動可能に連結され、該対向する電極間の距離を制御する少なくとも1つの停止部材、を備える、ハンドスイッチおよび電極アセンブリ。 - 前記停止部材が、前記電極の近位方向にある、請求項1に記載の離脱可能ハンドスイッチおよび電極アセンブリ。
- 前記ハンドスイッチアセンブリが、前記ハウジングの1つの側面上に配置された少なくとも1つの起動ボタンを含む、請求項1から2のいずれか1項に記載の離脱可能ハンドスイッチおよび電極アセンブリ。
- 前記ハンドスイッチアセンブリが、前記ハウジング上に配置された2つの起動ボタンを含む、請求項1から3のいずれか1項に記載の離脱可能ハンドスイッチおよび電極アセンブリ。
- 前記起動ボタンの各々が、可撓性回路板と作動可能に協働し、電極の起動を制御する、請求項4に記載の離脱可能ハンドスイッチおよび電極アセンブリ。
- 前記ハンドスイッチアセンブリが、可撓性回路板に作動可能に連結し、前記電極の起動を制御する、前記ハウジング内に配置された少なくとも1つのドームスイッチを含む、請求項1から5のいずれか1項に記載の離脱可能ハンドスイッチおよび電極アセンブリ。
- 前記ハンドスイッチアセンブリが、前記ハウジング内の少なくとも1つのドームスイッチを支持する少なくとも1つの裏材料プレートを含む、請求項6に記載の離脱可能ハンドスイッチおよび電極アセンブリ。
- 前記ハンドスイッチアセンブリが、可撓性回路板と作動可能に協働し、電極の起動を制御する、前記ハウジング内に配置された2つのドームスイッチを含む、請求項1から7のいずれか1項に記載の離脱可能ハンドスイッチおよび電極アセンブリ。
- 前記ハウジングが、互いに対になるように係合して該ハウジングを形成する2つのハウジング半分体を含み、そして前記可撓性回路板が組み立ての前に該2つのハウジング半分体間にまたがるような寸法である、請求項8に記載の離脱可能ハンドスイッチおよび電極アセンブリ。
- 前記ハンドスイッチアセンブリが、前記2つのドームスイッチの1つを支持する、各ハウジング半分体と作動可能に連結される1つの裏材料プレートを含み、そして前記可撓性回路板が、組み立てに際し、前記ハウジング内の裏打ちプレートの両方の周りを包むような形態である、請求項8または9に記載の離脱可能ハンドスイッチおよび電極アセンブリ。
- 前記可撓性回路板が、前記ハンドスイッチアセンブリを通る電流を制御する少なくとも1つのレジスターを含む、請求項6、7、8、9または10に記載の離脱可能ハンドスイッチおよび電極アセンブリ。
- 前記裏材料プレートが、上記ドームスイッチをそれに固定する少なくとも1つの機械的インターフェースを含む、請求項7、8、9、10または11に記載の離脱可能ハンドスイッチおよび電極アセンブリ。
- 対向する端部エフェクターおよび該端部エフェクターの互いに対する相対的移動を行うためのハンドルを有する鉗子との使用のために離脱可能ハンドスイッチおよび電極アセンブリであって、該ハンドスイッチおよび電極アセンブリが:
機械的鉗子の少なくとも一部分を離脱可能に係合する少なくとも1つの部分を有するハウジング;
該ハウジング上に配置されるハンドスイッチアセンブリであって、電気外科用電源に接続するように適合されたハンドスイッチアセンブリ;を備え、
該ハンドスイッチアセンブリが:
一対の電極の起動を制御する少なくとも1つの起動ボタンと作動可能に連絡する少なくとも1つの部分を有する可撓性回路板を含み、該電極が、該機械的鉗子の遠位端と、該電極が互いに対向する関係で存在するように離脱可能に係合可能である、離脱可能ハンドスイッチおよび電極アセンブリ。 - 前記起動ボタンが、その1つの端部に、該起動ボタンを前記可撓性回路板との作動連絡に旋回させる、ロッカー旋回軸を含む、請求項13に記載の離脱可能ハンドスイッチおよび電極アセンブリ。
- 前記起動ボタンが、その1つの端部に、前記可撓性回路板上で、かつ前記ハウジング内の該起動ボタンの整列および組み立てを容易にする案内タブを含む、請求項13または14に記載の離脱可能ハンドスイッチおよび電極アセンブリ。
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US11/417,375 US7641653B2 (en) | 2006-05-04 | 2006-05-04 | Open vessel sealing forceps disposable handswitch |
US11/417,375 | 2006-05-04 |
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Also Published As
Publication number | Publication date |
---|---|
ES2349436T3 (es) | 2011-01-03 |
CA2587346A1 (en) | 2007-11-04 |
JP5196842B2 (ja) | 2013-05-15 |
CA2587346C (en) | 2015-10-13 |
DE602007008636D1 (de) | 2010-10-07 |
US20070260241A1 (en) | 2007-11-08 |
AU2007202008A1 (en) | 2007-11-22 |
US7641653B2 (en) | 2010-01-05 |
AU2007202008B2 (en) | 2013-02-21 |
EP1852079B1 (en) | 2010-08-25 |
EP1852079A1 (en) | 2007-11-07 |
JP2012210420A (ja) | 2012-11-01 |
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