JP2008212668A - 外科用ステープリング装置 - Google Patents
外科用ステープリング装置 Download PDFInfo
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- tool assembly
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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
-
- 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
-
- 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
-
- 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
- A61B2017/2932—Transmission of forces to jaw members
- A61B2017/2933—Transmission of forces to jaw members camming or guiding means
-
- 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
- A61B2017/2932—Transmission of forces to jaw members
- A61B2017/2933—Transmission of forces to jaw members camming or guiding means
- A61B2017/2937—Transmission of forces to jaw members camming or guiding means with flexible part
-
- 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】外科用ステープリング装置であって、フレームと、該フレームから遠位に伸びている内視鏡型部分と、アンビルと、複数の外科用ステープルを収容しているカートリッジアセンブリと、カム面とを含んでいるツールアセンブリと、フレーム上にかつ駆動ビームと機械的に協同するように配置されているクランプハンドルと、フレーム上にかつ発射ロッドと機械的に協同するように配置されている発射ハンドルとを備えており、該駆動ビームは、該ツールアセンブリの該カム面の少なくとも一部分と係合するように構成されている、外科用ステープリング装置。
【選択図】図1
Description
外科用ステープリング装置であって、
フレームと、
該フレームから遠位に伸びている内視鏡型部分と、
アンビルと、複数の外科用ステープルを収容しているカートリッジアセンブリと、カム面とを含んでいるツールアセンブリであって、該ツールアセンブリは、該内視鏡型部分の遠位端に隣接して支持されており、該カム面は、該アンビルと該カートリッジアセンブリとの互いに対する接近を作動させるように配置されている、ツールアセンブリと、
フレーム上にかつ駆動ビームと機械的に協同するように配置されているクランプハンドルであって、該駆動ビームは、自身を貫通する開口部を有する、クランプハンドルと、
フレーム上にかつ発射ロッドと機械的に協同するように配置されている発射ハンドルであって、該発射ロッドは、該駆動ビームの該開口部に少なくとも部分的には配置されており、該ステープルを自身から排出するために該カートリッジアセンブリを通って動くことができる、発射ハンドルと
を備えており、
該駆動ビームは、該ツールアセンブリの該カム面の少なくとも一部分と係合するように構成されている、外科用ステープリング装置。
上記駆動ビームの少なくとも一部分は、可撓性の材料で作られている、項目1に記載の外科用ステープリング装置。
上記駆動ビームの少なくとも一部分は、プラスチックおよび金属から成る群から選択される材料で作られる、項目1に記載の外科用ステープリング装置。
上記駆動ビームの一部分は、I形の断面を有する、項目1に記載の外科用ステープリング装置。
上記発射ロッドの少なくとも一部分は、可撓性の材料で作られている、項目1に記載の外科用ステープリング装置。
上記発射ロッドの少なくとも一部分は、プラスチックおよび金属から成る群から選択される材料で作られる、項目1に記載の外科用ステープリング装置。
上記ツールアセンブリは、上記カム面の少なくとも一部分に隣接して配置される組織止めを含む、項目1に記載の外科用ステープリング装置。
上記ツールアセンブリは、該ツールアセンブリに接続される近位部分を有する使い捨てローディングユニットの一部分であり、該近位部分は、上記内視鏡型部分との接続のために配置されている、項目1に記載の外科用ステープリング装置。
外科用ステープリング装置であって、
第1のハンドルと第2のハンドルとを有するフレームと、
該フレームから遠位に伸びている内視鏡型部分と、
アンビルとカートリッジアセンブリとカム面とを含んでいるツールアセンブリであって、該ツールアセンブリは、該内視鏡型部分の遠位端に隣接して支持されている、ツールアセンブリと、
該第1のハンドルに接続された駆動部材であって、該駆動部材は、該ツールアセンブリの該カム面の少なくとも一部分と係合するように構成されている遠位端を有し、それによって該第1のハンドルの作動が該駆動部材を遠位に動かして該カム面の少なくとも一部分と係合することにより、該アンビルと該カートリッジアセンブリとを互いに対して近づけ、該駆動部材は、自身を貫通する開口部を有する、駆動部材と、
該第2のハンドルの操作が、該駆動部材の該開口部を通って遠位にロッドを前進させ、該カートリッジアセンブリからステープルを排出するように、該第2のハンドルに接続された該ロッドと
を備えている、外科用ステープリング装置。
上記駆動部材の遠位端は、上記カム面と係合するように配置された第1の部分を有し、該カム面は、上記アンビル上に配置されている、項目9に記載の外科用ステープリング装置。
上記駆動部材の遠位端は、上記カートリッジアセンブリと係合するように配置されている第2の部分を有する、項目10に記載の外科用ステープリング装置。
上記ツールアセンブリは、上記内視鏡型部分に旋回するように取り付けられている、項目9に記載の外科用ステープリング装置。
上記ロッドの少なくとも一部分は可撓性があり、上記ツールアセンブリが関節でつながることを可能にする、項目9に記載の外科用ステープリング装置。
上記駆動部材の少なくとも一部分は可撓性があり、上記ツールアセンブリが関節でつながることを可能にする、項目9に記載の外科用ステープリング装置。
上記ツールアセンブリは、それ自身の上記カム面の少なくとも一部分に隣接して配置された組織止めを含む、項目9に記載の外科用ステープリング装置。
上記ツールアセンブリは、使い捨てローディングユニットの一部分であり、該使い捨てローディングユニットは近位本体部分を含み、該ツールアセンブリが該近位本体部分に取り付けられる、項目9に記載の外科用ステープリング装置。
外科用ファスナを発射する方法であって、
外科用ステープリング装置を提供することであって、
フレームと、
該フレームから遠位に伸びている内視鏡型部分と、
該フレーム上にかつ駆動部材と機械的に協同するように配置されている第1のハンドルと、
該フレーム上にかつ少なくとも1つの発射ロッドと機械的に協同するように配置されている第2のハンドルと、
アンビルとカートリッジアセンブリとカム面とを含んでいるツールアセンブリであって、該ツールアセンブリは、該内視鏡型部分の遠位端に隣接して支持されている、ツールアセンブリと、
該駆動部材の遠位端と係合するように構成され、かつ、該ツールアセンブリの該カム面の少なくとも一部分と係合するように構成されている駆動ビームと
を含む、外科用ステープリング装置を提供することと、
該アンビルと該カートリッジアセンブリとを近づけるために、該駆動ビームを遠位に動かして該カム面の少なくとも一部分と係合するように、該第1のハンドルを作動させることと、
該駆動ビーム内の開口部を通して該発射ロッドを動かすように、該第2のハンドルを作動させることと
を包含する、方法。
上記駆動ビームの少なくとも一部分は、可撓性の材料で作られる、項目17に記載の方法。
上記駆動ビームの少なくとも一部分は、I形の断面を有する、項目17に記載の方法。
上記少なくとも1つの発射ロッドの少なくとも一部分は、可撓性の材料で作られる、項目17に記載の方法。
フレームと、内視鏡型部分と、クランプハンドルと、発射ハンドルと、ツールアセンブリと、駆動ビームとを含む外科用ステープリング装置が開示される。内視鏡型部分は、フレームから遠位に伸びている。クランプハンドルは、フレーム上にかつ駆動部材と機械的に協同するように配置されている。発射ハンドルは、フレーム上にかつ少なくとも1つの発射ロッドと機械的に協同するように配置されている。ツールアセンブリは、アンビルと、カートリッジアセンブリと、カム面とを含み、内視鏡型部分の遠位端に隣接して支持されている。クランプハンドルの作動は、駆動ビームを動かしてカム面と係合させる。発射ハンドルの作動は、駆動ビーム内の開口部を通して発射ロッドを動かして、カートリッジアセンブリから外科用ファスナを排出する。
使用において、外科用ステープリング装置100の内視鏡型部分758は、おそらくは内視鏡型チューブを介して患者に挿入される。本開示に従った外科用ステープリング装置100の内視鏡型チューブへの導入にも関わらず、内視鏡型チューブは、密閉された気腹を維持することが可能であり得、筐体の内部密閉部材がこの密閉をさらに維持する。実際、アンビル796およびカートリッジアセンブリ836を閉じることによって、またはクランプハンドル602を旋回させることによってのいずれかで、機器の顎は内視鏡型チューブの中への挿入のために閉じられる。
28 回転ノブ
100 外科用ステープリング装置
500 駆動ビーム
512 関節接合部
600 フレーム
602 クランプハンドル
636 発射ハンドル
659 発射ハンドル戻りばね
660 キッカーばね
662 手動安全装置
758 内視鏡型部分
796 アンビル
836 カートリッジアセンブリ
Claims (20)
- 外科用ステープリング装置であって、
フレームと、
該フレームから遠位に伸びている内視鏡型部分と、
アンビルと、複数の外科用ステープルを収容しているカートリッジアセンブリと、カム面とを含んでいるツールアセンブリであって、該ツールアセンブリは、該内視鏡型部分の遠位端に隣接して支持されており、該カム面は、該アンビルと該カートリッジアセンブリとの互いに対する接近を作動させるように配置されている、ツールアセンブリと、
フレーム上にかつ駆動ビームと機械的に協同するように配置されているクランプハンドルであって、該駆動ビームは、自身を貫通する開口部を有する、クランプハンドルと、
フレーム上にかつ発射ロッドと機械的に協同するように配置されている発射ハンドルであって、該発射ロッドは、該駆動ビームの該開口部に少なくとも部分的には配置されており、該ステープルを自身から排出するために該カートリッジアセンブリを通って動くことができる、発射ハンドルと
を備えており、
該駆動ビームは、該ツールアセンブリの該カム面の少なくとも一部分と係合するように構成されている、外科用ステープリング装置。 - 前記駆動ビームの少なくとも一部分は、可撓性の材料で作られている、請求項1に記載の外科用ステープリング装置。
- 前記駆動ビームの少なくとも一部分は、プラスチックおよび金属から成る群から選択される材料で作られる、請求項1に記載の外科用ステープリング装置。
- 前記駆動ビームの一部分は、I形の断面を有する、請求項1に記載の外科用ステープリング装置。
- 前記発射ロッドの少なくとも一部分は、可撓性の材料で作られている、請求項1に記載の外科用ステープリング装置。
- 前記発射ロッドの少なくとも一部分は、プラスチックおよび金属から成る群から選択される材料で作られる、請求項1に記載の外科用ステープリング装置。
- 前記ツールアセンブリは、前記カム面の少なくとも一部分に隣接して配置される組織止めを含む、請求項1に記載の外科用ステープリング装置。
- 前記ツールアセンブリは、該ツールアセンブリに接続される近位部分を有する使い捨てローディングユニットの一部分であり、該近位部分は、前記内視鏡型部分との接続のために配置されている、請求項1に記載の外科用ステープリング装置。
- 外科用ステープリング装置であって、
第1のハンドルと第2のハンドルとを有するフレームと、
該フレームから遠位に伸びている内視鏡型部分と、
アンビルとカートリッジアセンブリとカム面とを含んでいるツールアセンブリであって、該ツールアセンブリは、該内視鏡型部分の遠位端に隣接して支持されている、ツールアセンブリと、
該第1のハンドルに接続された駆動部材であって、該駆動部材は、該ツールアセンブリの該カム面の少なくとも一部分と係合するように構成されている遠位端を有し、それによって該第1のハンドルの作動が該駆動部材を遠位に動かして該カム面の少なくとも一部分と係合することにより、該アンビルと該カートリッジアセンブリとを互いに対して近づけ、該駆動部材は、自身を貫通する開口部を有する、駆動部材と、
該第2のハンドルの操作が、該駆動部材の該開口部を通って遠位にロッドを前進させ、該カートリッジアセンブリからステープルを排出するように、該第2のハンドルに接続された該ロッドと
を備えている、外科用ステープリング装置。 - 前記駆動部材の遠位端は、前記カム面と係合するように配置された第1の部分を有し、該カム面は、前記アンビル上に配置されている、請求項9に記載の外科用ステープリング装置。
- 前記駆動部材の遠位端は、前記カートリッジアセンブリと係合するように配置されている第2の部分を有する、請求項10に記載の外科用ステープリング装置。
- 前記ツールアセンブリは、前記内視鏡型部分に旋回するように取り付けられている、請求項9に記載の外科用ステープリング装置。
- 前記ロッドの少なくとも一部分は可撓性があり、前記ツールアセンブリが関節でつながることを可能にする、請求項9に記載の外科用ステープリング装置。
- 前記駆動部材の少なくとも一部分は可撓性があり、前記ツールアセンブリが関節でつながることを可能にする、請求項9に記載の外科用ステープリング装置。
- 前記ツールアセンブリは、それ自身の前記カム面の少なくとも一部分に隣接して配置された組織止めを含む、請求項9に記載の外科用ステープリング装置。
- 前記ツールアセンブリは、使い捨てローディングユニットの一部分であり、該使い捨てローディングユニットは近位本体部分を含み、該ツールアセンブリが該近位本体部分に取り付けられる、請求項9に記載の外科用ステープリング装置。
- 外科用ファスナを発射する方法であって、
外科用ステープリング装置を提供することであって、
フレームと、
該フレームから遠位に伸びている内視鏡型部分と、
該フレーム上にかつ駆動部材と機械的に協同するように配置されている第1のハンドルと、
該フレーム上にかつ少なくとも1つの発射ロッドと機械的に協同するように配置されている第2のハンドルと、
アンビルとカートリッジアセンブリとカム面とを含んでいるツールアセンブリであって、該ツールアセンブリは、該内視鏡型部分の遠位端に隣接して支持されている、ツールアセンブリと、
該駆動部材の遠位端と係合するように構成され、かつ、該ツールアセンブリの該カム面の少なくとも一部分と係合するように構成されている駆動ビームと
を含む、外科用ステープリング装置を提供することと、
該アンビルと該カートリッジアセンブリとを近づけるために、該駆動ビームを遠位に動かして該カム面の少なくとも一部分と係合するように、該第1のハンドルを作動させることと、
該駆動ビーム内の開口部を通して該発射ロッドを動かすように、該第2のハンドルを作動させることと
を包含する、方法。 - 前記駆動ビームの少なくとも一部分は、可撓性の材料で作られる、請求項17に記載の方法。
- 前記駆動ビームの少なくとも一部分は、I形の断面を有する、請求項17に記載の方法。
- 前記少なくとも1つの発射ロッドの少なくとも一部分は、可撓性の材料で作られる、請求項17に記載の方法。
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US11/712,849 | 2007-02-28 | ||
US11/712,849 US7682367B2 (en) | 2007-02-28 | 2007-02-28 | Surgical stapling apparatus |
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JP2012282286A Division JP2013056233A (ja) | 2007-02-28 | 2012-12-26 | 外科用ステープリング装置 |
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JP2008043559A Expired - Fee Related JP5466827B2 (ja) | 2007-02-28 | 2008-02-25 | 外科用ステープリング装置 |
JP2012282286A Withdrawn JP2013056233A (ja) | 2007-02-28 | 2012-12-26 | 外科用ステープリング装置 |
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JP2012282286A Withdrawn JP2013056233A (ja) | 2007-02-28 | 2012-12-26 | 外科用ステープリング装置 |
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EP (1) | EP1964524B1 (ja) |
JP (2) | JP5466827B2 (ja) |
CN (1) | CN101288594B (ja) |
AU (1) | AU2008200574B2 (ja) |
CA (1) | CA2619112A1 (ja) |
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- 2008-02-25 JP JP2008043559A patent/JP5466827B2/ja not_active Expired - Fee Related
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JP2013056233A (ja) | 2013-03-28 |
CN101288594B (zh) | 2012-07-04 |
CA2619112A1 (en) | 2008-08-28 |
CN101288594A (zh) | 2008-10-22 |
AU2008200574B2 (en) | 2013-04-18 |
EP1964524A1 (en) | 2008-09-03 |
AU2008200574A1 (en) | 2008-09-11 |
EP1964524B1 (en) | 2016-06-15 |
JP5466827B2 (ja) | 2014-04-09 |
US7682367B2 (en) | 2010-03-23 |
US20080203134A1 (en) | 2008-08-28 |
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