JP2008220960A - 動力アーティキュレーションを備える手術用ステープリング装置 - Google Patents
動力アーティキュレーションを備える手術用ステープリング装置 Download PDFInfo
- Publication number
- JP2008220960A JP2008220960A JP2008061853A JP2008061853A JP2008220960A JP 2008220960 A JP2008220960 A JP 2008220960A JP 2008061853 A JP2008061853 A JP 2008061853A JP 2008061853 A JP2008061853 A JP 2008061853A JP 2008220960 A JP2008220960 A JP 2008220960A
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- JP
- Japan
- Prior art keywords
- surgical stapling
- stapling apparatus
- assembly
- articulation
- handle assembly
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
- 230000007246 mechanism Effects 0.000 claims abstract description 43
- 230000005540 biological transmission Effects 0.000 claims abstract description 25
- 238000000034 method Methods 0.000 description 8
- 239000012636 effector Substances 0.000 description 3
- 230000000712 assembly Effects 0.000 description 2
- 238000000429 assembly Methods 0.000 description 2
- 230000008878 coupling Effects 0.000 description 2
- 238000010168 coupling process Methods 0.000 description 2
- 238000005859 coupling reaction Methods 0.000 description 2
- 238000003780 insertion Methods 0.000 description 2
- 230000037431 insertion Effects 0.000 description 2
- 239000002184 metal Substances 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 238000012976 endoscopic surgical procedure Methods 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 238000010304 firing Methods 0.000 description 1
- 230000003993 interaction Effects 0.000 description 1
- 238000012830 laparoscopic surgical procedure Methods 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 230000009467 reduction Effects 0.000 description 1
- 230000004044 response Effects 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
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- F01P7/162—Controlling of coolant flow the coolant being liquid by thermostatic control by cutting in and out of pumps
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- F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
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- F02D—CONTROLLING COMBUSTION ENGINES
- F02D11/00—Arrangements for, or adaptations to, non-automatic engine control initiation means, e.g. operator initiated
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- F02D2011/101—Arrangements for, or adaptations to, non-automatic engine control initiation means, e.g. operator initiated characterised by non-mechanical control linkages, e.g. fluid control linkages or by control linkages with power drive or assistance of the electric type characterised by the means for actuating the throttles
- F02D2011/102—Arrangements for, or adaptations to, non-automatic engine control initiation means, e.g. operator initiated characterised by non-mechanical control linkages, e.g. fluid control linkages or by control linkages with power drive or assistance of the electric type characterised by the means for actuating the throttles at least one throttle being moved only by an electric actuator
-
- F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
- F02—COMBUSTION ENGINES; HOT-GAS OR COMBUSTION-PRODUCT ENGINE PLANTS
- F02D—CONTROLLING COMBUSTION ENGINES
- F02D11/00—Arrangements for, or adaptations to, non-automatic engine control initiation means, e.g. operator initiated
- F02D11/06—Arrangements for, or adaptations to, non-automatic engine control initiation means, e.g. operator initiated characterised by non-mechanical control linkages, e.g. fluid control linkages or by control linkages with power drive or assistance
- F02D11/10—Arrangements for, or adaptations to, non-automatic engine control initiation means, e.g. operator initiated characterised by non-mechanical control linkages, e.g. fluid control linkages or by control linkages with power drive or assistance of the electric type
- F02D2011/101—Arrangements for, or adaptations to, non-automatic engine control initiation means, e.g. operator initiated characterised by non-mechanical control linkages, e.g. fluid control linkages or by control linkages with power drive or assistance of the electric type characterised by the means for actuating the throttles
- F02D2011/104—Arrangements for, or adaptations to, non-automatic engine control initiation means, e.g. operator initiated characterised by non-mechanical control linkages, e.g. fluid control linkages or by control linkages with power drive or assistance of the electric type characterised by the means for actuating the throttles using electric step motors
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- F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
- F02—COMBUSTION ENGINES; HOT-GAS OR COMBUSTION-PRODUCT ENGINE PLANTS
- F02D—CONTROLLING COMBUSTION ENGINES
- F02D41/00—Electrical control of supply of combustible mixture or its constituents
- F02D41/009—Electrical control of supply of combustible mixture or its constituents using means for generating position or synchronisation signals
- F02D2041/0095—Synchronisation of the cylinders during engine shutdown
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- F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
- F02—COMBUSTION ENGINES; HOT-GAS OR COMBUSTION-PRODUCT ENGINE PLANTS
- F02D—CONTROLLING COMBUSTION ENGINES
- F02D41/00—Electrical control of supply of combustible mixture or its constituents
- F02D41/30—Controlling fuel injection
- F02D41/38—Controlling fuel injection of the high pressure type
- F02D2041/389—Controlling fuel injection of the high pressure type for injecting directly into the cylinder
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- F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
- F02—COMBUSTION ENGINES; HOT-GAS OR COMBUSTION-PRODUCT ENGINE PLANTS
- F02D—CONTROLLING COMBUSTION ENGINES
- F02D2200/00—Input parameters for engine control
- F02D2200/50—Input parameters for engine control said parameters being related to the vehicle or its components
- F02D2200/501—Vehicle speed
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- F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
- F02—COMBUSTION ENGINES; HOT-GAS OR COMBUSTION-PRODUCT ENGINE PLANTS
- F02D—CONTROLLING COMBUSTION ENGINES
- F02D2200/00—Input parameters for engine control
- F02D2200/60—Input parameters for engine control said parameters being related to the driver demands or status
- F02D2200/602—Pedal position
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- F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
- F02—COMBUSTION ENGINES; HOT-GAS OR COMBUSTION-PRODUCT ENGINE PLANTS
- F02D—CONTROLLING COMBUSTION ENGINES
- F02D2200/00—Input parameters for engine control
- F02D2200/60—Input parameters for engine control said parameters being related to the driver demands or status
- F02D2200/604—Engine control mode selected by driver, e.g. to manually start particle filter regeneration or to select driving style
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- F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
- F02—COMBUSTION ENGINES; HOT-GAS OR COMBUSTION-PRODUCT ENGINE PLANTS
- F02D—CONTROLLING COMBUSTION ENGINES
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- F02D41/30—Controlling fuel injection
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Abstract
【解決手段】手術用ステープリング装置であって、該手術用ステープリング装置は、ハンドルアセンブリと、該ハンドルアセンブリから遠位方向に延びる細長い本体と、アーティキュレーションメカニズムであって、伝達シャフトに回転可能に取り付けられ、第2のギアと係合するように構成された第1のギアと、該第2のギアとメインシャフトとを相互に接続するクラッチと、該メインシャフトに結合され、J−チャンネルを直線的に前進させるように適合されたヨークシャフトであって、該J−チャンネルは、動作可能にアーティキュレーションリンクに接続された、ヨークシャフトとを含む、アーティキュレーションメカニズムとを備えている、手術用ステープリング装置。
【選択図】図1
Description
手術用締め付けデバイス、例えば手術用ステープリング装置は、当技術分野で周知である。これらのデバイスは通常、組織を捉えるかまたは締めるための2つの細長いあご状部材を含む。1つのあご状部材は、少なくとも2列に配列された複数のステープルを収容するステープルカートリッジを担持し、一方、他のあご状部材は、ステープルがステープルカートリッジから打込まれるときに、ステープルレッグを形成するための表面を画定するアンビルを有する。ステープリング動作は、その大部分がステープルカートリッジの中を長手方向に移動するカム部材によってもたらされ、カム部材は、ステープルプッシャに働きかけ、ステープルカートリッジからステープルを順次排出する。メスが、ステープル列の間を移動して、ステープルの列の間でステープルされた組織を長手方向に切るか、または開く。この種類の器具の例が、特許文献1および特許文献2に開示されている。
手術用ステープリング装置であって、
ハンドルアセンブリと、
該ハンドルアセンブリから遠位方向に延びる細長い本体と、
アーティキュレーションメカニズムであって、
伝達シャフトに回転可能に取り付けられ、第2のギアと係合するように構成された第1のギアと、
該第2のギアとメインシャフトとを相互に接続するクラッチと、
該メインシャフトに結合され、J−チャンネルを直線的に前進させるように適合されたヨークシャフトであって、該J−チャンネルは、動作可能にアーティキュレーションリンクに接続された、ヨークシャフトと
を含む、アーティキュレーションメカニズムと
を備えている、手術用ステープリング装置。
上記伝達シャフトに動作可能に結合されたモータアセンブリをさらに備えている、項目1に記載の手術用ステープリング装置。
上記ハンドルアセンブリに配置され、上記モータアセンブリに電力を供給するために接続されたバッテリーパックをさらに備えている、項目2に記載の手術用ステープリング装置。
上記モータアセンブリを作動させるために、上記ハンドルアセンブリに取り付けられたスイッチをさらに備えている、項目2に記載の手術用ステープリング装置。
上記ヨークシャフトは、上記J−チャンネルの細長いスロットに対してスライド可能に固定されたピンを含む、項目1に記載の手術用ステープリング装置。
上記J−チャンネルは、そこから延びる突起を含む、項目1に記載の手術用装置。
上記ハンドルアセンブリに取り付けられ、上記メインシャフトに動作可能に接続されたアーティキュレーションノブをさらに備えている、項目1に記載の手術用装置。
手術用ステープリング装置であって、
ハンドルアセンブリと、
該ハンドルアセンブリから遠位方向に延びる細長い本体と、
アーティキュレーションメカニズムであって、
伝達シャフトに動作可能に結合されたモータアセンブリと、
該伝達シャフトに回転可能に取り付けられ、第2のギアと係合するように構成された第1のギアと、
該第2のギアとメインシャフトとを相互に接続するクラッチと、
該メインシャフトに結合され、J−チャンネルを直線的に前進させるように適合されたヨークシャフトと
を含む、アーティキュレーションメカニズムと
を備えている、手術用ステープリング装置。
上記ハンドルアセンブリに配置され、上記モータアセンブリに電気的に連結されたバッテリーパックをさらに備えている、項目8に記載の手術用ステープリング装置。
上記モータアセンブリを作動させ、制御するために、上記ハンドルアセンブリに取り付けられたスイッチをさらに備えている、項目8に記載の手術用ステープリング装置。
上記ヨークシャフトは、上記J−チャンネルの細長いスロットに対してスライド可能に固定されたピンを含む、項目8に記載の手術用ステープリング装置。
上記J−チャンネルは、そこから延びる突起を含む、項目8に記載の手術用ステープリング装置。
上記ハンドルアセンブリに取り付けられ、上記メインシャフトに動作可能に接続されたアーティキュレーションノブをさらに備えている、項目8に記載の手術用ステープリング装置。
手術用ステープリング装置のツールアセンブリをアーティキュレートする方法であって、該方法は、
アーティキュレーションメカニズムを提供するステップであって、該アーティキュレーションメカニズムは、
伝達シャフトに回転可能に取り付けられ、第2のギアと係合するように構成された第1のギアと、
該第2のギアとメインシャフトとを相互に接続するクラッチと、
該メインシャフトに結合され、J−チャンネルを直線的に前進させるように適合されたヨークシャフトとを含む、アーティキュレーションメカニズムを提供するステップと、
該伝達シャフトを回転させて、該ツールアセンブリをアーティキュレートするステップと
を包含する、方法。
上記伝達シャフトを回転させるステップは、電気機械的に実行される、項目14に記載の、手術用ステープリング装置のツールアセンブリをアーティキュレートする方法。
手術用ステープリング装置のツールアセンブリをアーティキュレートする方法であって、該方法は、
アーティキュレーションメカニズムを提供するステップであって、該アーティキュレーションメカニズムは、
伝達シャフトに回転可能に取り付けられ、第2のギアと係合するように構成された第1のギアと、
該第2のギアとメインシャフトとを相互に接続するクラッチと、
該メインシャフトに結合され、J−チャンネルを直線的に前進させるように適合されたヨークシャフトとを含む、アーティキュレーションメカニズムを提供する、ステップと、
該メインシャフトを回転させて、該ツールアセンブリをアーティキュレートするステップと
を包含する、方法。
上記メインシャフトを回転させるステップは手動で実行される、項目15に記載の、手術用ステープリング装置のツールアセンブリをアーティキュレートする方法。
手術用ステープリング装置は、ハンドルアセンブリ、ハンドルアセンブリから遠位方向に延びる細長い本体、およびツールアセンブリをアーティキュレートするためのアーティキュレーションメカニズムを含む。アーティキュレーションメカニズムは、伝達シャフトに回転可能に取り付けられ、かつ第2のギアと係合するように構成された第1のギア、第2のギアとメインシャフトとを相互に接続するクラッチ、およびメインシャフトに結合され、J−チャンネルを直線的に前進させるように適合されたヨークシャフトであって、該J−チャンネルは、動作可能にアーティキュレーションリンクに接続された、ヨークシャフトを含む。モータアセンブリは、アーティキュレーションメカニズムの伝達シャフトを回転させ得る。あるいは、アーティキュレーションメカニズムは、アーティキュレーションノブを含み得る。ユーザは、手動でアーティキュレーションノブを回転させ、手術用ステープリング装置のツールアセンブリをアーティキュレートさせ得る。
本開示の実施形態はここで、図面を参照して詳細に記述されるが、同様な参照番号は、幾つかの図面の各々において同一かまたは対応する要素を指す。
7 伝達シャフト
8a 第1のギア
8b 第2のギア
9 クラッチ
10 手術用ステープリング装置
10a ヨークシャフト
11 メインシャフト
12 ハンドルアセンブリ
13 アーティキュレーションノブ
14 細長い本体
15 J−チャンネル
16 DLU
17 ツールアセンブリ
18 カートリッジアセンブリ
20 アンビルアセンブリ
22 静止ハンドル部材
24 可動ハンドル部材
26 バレル部分
28 回転可能な部材
32 引込みノブ
256 アーティキュレーションリンク
Claims (13)
- 手術用ステープリング装置であって、
ハンドルアセンブリと、
該ハンドルアセンブリから遠位方向に延びる細長い本体と、
アーティキュレーションメカニズムであって、
伝達シャフトに回転可能に取り付けられ、第2のギアと係合するように構成された第1のギアと、
該第2のギアとメインシャフトとを相互に接続するクラッチと、
該メインシャフトに結合され、J−チャンネルを直線的に前進させるように適合されたヨークシャフトであって、該J−チャンネルは、動作可能にアーティキュレーションリンクに接続された、ヨークシャフトと
を含む、アーティキュレーションメカニズムと
を備えている、手術用ステープリング装置。 - 前記伝達シャフトに動作可能に結合されたモータアセンブリをさらに備えている、請求項1に記載の手術用ステープリング装置。
- 前記ハンドルアセンブリに配置され、前記モータアセンブリに電力を供給するために接続されたバッテリーパックをさらに備えている、請求項2に記載の手術用ステープリング装置。
- 前記モータアセンブリを作動させるために、前記ハンドルアセンブリに取り付けられたスイッチをさらに備えている、請求項2に記載の手術用ステープリング装置。
- 前記ヨークシャフトは、前記J−チャンネルの細長いスロットに対してスライド可能に固定されたピンを含む、請求項1に記載の手術用ステープリング装置。
- 前記J−チャンネルは、そこから延びる突起を含む、請求項1に記載の手術用装置。
- 前記ハンドルアセンブリに取り付けられ、前記メインシャフトに動作可能に接続されたアーティキュレーションノブをさらに備えている、請求項1に記載の手術用装置。
- 手術用ステープリング装置であって、
ハンドルアセンブリと、
該ハンドルアセンブリから遠位方向に延びる細長い本体と、
アーティキュレーションメカニズムであって、
伝達シャフトに動作可能に結合されたモータアセンブリと、
該伝達シャフトに回転可能に取り付けられ、第2のギアと係合するように構成された第1のギアと、
該第2のギアとメインシャフトとを相互に接続するクラッチと、
該メインシャフトに結合され、J−チャンネルを直線的に前進させるように適合されたヨークシャフトと
を含む、アーティキュレーションメカニズムと
を備えている、手術用ステープリング装置。 - 前記ハンドルアセンブリに配置され、前記モータアセンブリに電気的に連結されたバッテリーパックをさらに備えている、請求項8に記載の手術用ステープリング装置。
- 前記モータアセンブリを作動させ、制御するために、前記ハンドルアセンブリに取り付けられたスイッチをさらに備えている、請求項8に記載の手術用ステープリング装置。
- 前記ヨークシャフトは、前記J−チャンネルの細長いスロットに対してスライド可能に固定されたピンを含む、請求項8に記載の手術用ステープリング装置。
- 前記J−チャンネルは、そこから延びる突起を含む、請求項8に記載の手術用ステープリング装置。
- 前記ハンドルアセンブリに取り付けられ、前記メインシャフトに動作可能に接続されたアーティキュレーションノブをさらに備えている、請求項8に記載の手術用ステープリング装置。
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Application Number | Priority Date | Filing Date | Title |
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US11/724,733 | 2007-03-15 | ||
US28398807A | 2007-06-29 | 2007-06-29 | |
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JP2008220960A true JP2008220960A (ja) | 2008-09-25 |
JP5415704B2 JP5415704B2 (ja) | 2014-02-12 |
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US (21) | US7669747B2 (ja) |
EP (3) | EP3031403A1 (ja) |
JP (1) | JP5415704B2 (ja) |
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WO (1) | WO2009005969A2 (ja) |
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JP2021501650A (ja) * | 2017-11-05 | 2021-01-21 | グレナ ユーエスエー エルエルシー | 外科用器具 |
JP7443231B2 (ja) | 2017-11-05 | 2024-03-05 | グレナ ユーエスエー エルエルシー | 外科用器具 |
JP2020168362A (ja) * | 2019-04-01 | 2020-10-15 | コヴィディエン リミテッド パートナーシップ | 装着ユニットおよび変形連結アセンブリ付きアダプタ |
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