JP2009045452A - 動力付きの外科用機器 - Google Patents
動力付きの外科用機器 Download PDFInfo
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Abstract
【解決手段】本発明は、外科用機器であって、ハウジングと;ハウジングから遠位に延び、第一の長手方向軸を規定する内視鏡部分と;内視鏡部分の遠位端に選択的に接続可能なシャフト部分と;シャフト部分の遠位端に選択的に接続可能なエンドエフェクタとを備える外科用機器を提供する。
【選択図】図1
Description
本願は、2007年4月13日に出願された、Zemlokによる米国特許出願第11/786,934号(発明の名称「Powered Surgical Instrument」)の一部継続出願であり、この出願の全内容は、本明細書中に参考として援用される。
本開示は、身体の組織を留めるための外科用機器に関し、より具体的には、機器の回転、関節運動および作動を達成するよう可動に構成された駆動歯車を有する動力付きの外科用機器に関する。
組織が、まず、対向する顎構造の間に把持またはクランプ留めされ、次いで、外科用留め具によって接合される外科用デバイスは、当該分野で周知である。いくつかの機器において、留め具により接合された組織を切断するためにナイフが提供される。留め具としては、代表的に、外科用ステープルおよび2部品のポリマー製の留め具が挙げられる。
本開示は、ハウジングと、内視鏡部分と、駆動歯車と、駆動モーターと、シフトモーターと、エンドエフェクタとを備える外科用機器に関する。内視鏡部分は、ハウジングから遠位に延び、そして、長手方向軸を規定する。駆動歯車は、少なくとも部分的にハウジング内に配置され、そして、駆動歯車の内部を通って延びる駆動歯車軸の周りで回転可能である。駆動歯車は、駆動歯車軸に沿って選択的に動くことが可能である。駆動モーターは、駆動歯車と機械的に協働するように配置され、そして、駆動歯車を回転するように構成される。シフトモーターは、駆動歯車と機械的に協働するように配置され、そして、駆動歯車軸に沿って駆動歯車を動かすように構成される。エンドエフェクタは、内視鏡部分の遠位部分に隣接して配置される。
(項目1)外科用機器であって、以下:
ハウジング;
該ハウジングから遠位に延び、第一の長手方向軸を規定する内視鏡部分;
該内視鏡部分の遠位端に選択的に接続可能なシャフト部分;および
該シャフト部分の遠位端に選択的に接続可能なエンドエフェクタ
を備える、外科用機器。
(項目2)項目1に記載の外科用機器であって、さらに、前記ハウジングと機械的に協働するように配置されたモーターを備え、該モーターは、前記エンドエフェクタの少なくとも1つの機能を駆動するように構成される、外科用機器。
(項目3)項目1に記載の外科用機器であって、前記エンドエフェクタが、第二の長手方向軸を規定し、該エンドエフェクタが、該第二の長手方向軸が前記第一の長手方向軸と実質的に整列する第一の位置から、該第二の長手方向軸が該第一の長手方向軸に対してある角度で配置される少なくとも第二の位置まで可動である、外科用機器。
(項目4)項目3に記載の外科用機器であって、さらに、前記ハウジングと機械的に協働するように配置されたモーターを備え、該モーターは、前記エンドエフェクタを、その第一の位置からその第二の位置へと向けて動かすように構成される、外科用機器。
(項目5)項目1に記載の外科用機器であって、前記エンドエフェクタが、カートリッジアセンブリおよびアンビルアセンブリを備え、該カートリッジアセンブリおよび該アンビルアセンブリが、該カートリッジアセンブリと該アンビルアセンブリとの間に組織を係合するように接近させるために配置される、外科用機器。
(項目6)項目1に記載の外科用機器であって、さらに、実質的に前記長手方向軸に沿った移動のため、そして、前記シャフト部分の部分および前記エンドエフェクタの部分の少なくとも一方を係合するために配置されたリンク仕掛け棒を備える、外科用機器。
(項目7)項目1に記載の外科用機器であって、さらに、ユーザインターフェースを備え、該ユーザインターフェースは、前記エンドエフェクタの状態を示すスクリーンを備える、外科用機器。
(項目8)前記シャフト部分の少なくとも一部分が可撓性である、項目1に記載の外科用機器。
(項目9)前記シャフト部分の少なくとも一部分が湾曲している、項目1に記載の外科用機器。
(項目10)前記シャフト部分の少なくとも一部分がしなやかな材料から作製される、項目1に記載の外科用機器。
(項目11)前記シャフト部分が、複数のタイプのエンドエフェクタを受容するように構成される、項目1に記載の外科用機器。
(項目12)項目11に記載の外科用機器であって、前記複数のタイプのエンドエフェクタが、旋回可能なカートリッジアセンブリ、実質的に円形のカートリッジアセンブリおよび並行した顎部材を有するエンドエフェクタを含む、外科用機器。
(項目13)項目11に記載の外科用機器であって、さらに、前記エンドエフェクタと通信するように配置された少なくとも1つのセンサを備え、該センサは、前記シャフト部分に係合されるエンドエフェクタのタイプの決定を助けるためのものである、外科用機器。
(項目14)前記内視鏡部分が、複数のタイプのシャフト部分を受容するように構成される、項目1に記載の外科用機器。
(項目15)項目14に記載の外科用機器であって、さらに、前記シャフト部分と通信するように配置された少なくとも1つのセンサを備え、該センサは、前記内視鏡部分に係合されるシャフト部分のタイプの決定を助けるためのものである、外科用機器。
(項目16)外科用機器であって、以下:
ハウジング;
該ハウジングから遠位に延び、長手方向軸を規定する内視鏡部分;
少なくとも部分的に該ハウジング内に配置される駆動歯車であって、該駆動歯車は、該駆動歯車の内部を通って延びる駆動歯車軸の周りを回転可能であり、そして、該駆動歯車軸に沿って選択的に動くことが可能である、駆動歯車;
該駆動歯車と機械的に協働するように配置され、そして、該駆動歯車を回転するように構成された、駆動モーター;
該駆動歯車と機械的に協働するように配置され、そして、該駆動歯車軸に沿って該駆動歯車を動かすように構成された、シフトモーター;
該内視鏡部分の遠位端に選択的に接続可能なシャフト部分;および
該シャフト部分の遠位端に選択的に接続可能なエンドエフェクタ
を備える、外科用機器。
(項目17)前記シャフト部分の少なくとも一部分が、可撓性であるか、湾曲しているかの少なくとも一方である、項目16に記載の外科用機器。
(項目18)前記シャフト部分が、複数のタイプのエンドエフェクタを受容するように構成される、項目16に記載の外科用機器。
(項目19)組織に外科用留め具を適用する方法であって、以下:
動力付きの外科用機器を提供する工程であって、該動力付き外科用機器は、以下:
ハウジング;
該ハウジングから遠位に延び、長手方向軸を規定する内視鏡部分;
該内視鏡部分の遠位端に選択的に接続可能なシャフト部分;および
該シャフト部分の遠位端の選択的に接続可能なエンドエフェクタ
を備える、工程;
該シャフト部分を該内視鏡部分の遠位端に接続する工程;ならびに
該エンドエフェクタを該シャフト部分の遠位端に接続する工程
を包含する、方法。
(項目20)前記シャフト部分が、複数のタイプのエンドエフェクタを受容するように構成される、項目19に記載の方法。
(項目21)外科用ステープル留め機器であって、以下:
ハンドルアセンブリ;
該ハンドルアセンブリの遠位端に選択的に接続可能であり、長手方向軸を規定する第一の内視鏡部分であって、該第一の内視鏡部分は、その近位端にあるハウジングと、細長の作動部材とを有する、第一の内視鏡部分;
該第一の内視鏡部分の遠位端に選択的に接続可能なエンドエフェクタであって、該エンドエフェクタは、第一の顎と第二の顎とを有し、該顎の少なくとも一方は、互いに関して可動である、エンドエフェクタ;および
該第一の内視鏡部分の該ハウジング内に配置されるモーターであって、該モーターは、該細長の作動部材を、該長手方向軸に沿って動かすために、該細長の作動部材に作動可能に接続される、モーター
を備える、外科用ステープル留め機器。
(項目22)前記エンドエフェクタが、前記長手方向軸から離れて旋回可能となるように、旋回可能に設置される、項目21に記載の外科用ステープル留め機器。
(項目23)前記エンドエフェクタが、前記細長の作動部材との係合のために配置された関節運動リンクを備え、該関節運動リンクが、前記エンドエフェクタを前記長手方向軸から離して旋回させるように、該長手方向軸に沿って可動である、項目22に記載の外科用ステープル留め機器。
(項目24)前記第一の内視鏡部分の前記ハウジングが、前記ハンドルアセンブリに回転可能に接続されるためのノブを備える、項目23に記載の外科用ステープル留め機器。
(項目25)前記第一の内視鏡部分の前記ハウジングが、前記細長の作動部材に作動可能に接続されたアクチュエーターを備える、項目23に記載の外科用ステープル留め機器。
(項目26)項目23に記載の外科用ステープル留め機器であって、さらに、前記ハンドルアセンブリの前記遠位端に選択的に接続可能な第二の内視鏡部分を備える、外科用ステープル留め機器。
(項目27)前記第二の内視鏡部分が、回転可能なシャフトを有する、項目26に記載の外科用ステープル留め機器。
(項目28)項目27に記載の外科用ステープル留め機器であって、さらに、前記第二の内視鏡部分の遠位端に選択的に接続可能な円形のステープル留めアセンブリを備える、外科用ステープル留め機器。
(項目29)前記第一の内視鏡部分の前記ハウジングが、前記ハンドルアセンブリからの電力を伝えるための接触を備える、項目21に記載の外科用ステープル留め機器。
(項目30)前記第一の内視鏡部分の前記ハウジングが、前記ハンドルアセンブリに回転可能に接続されるためのノブを備え、前記接触が、該第一の内視鏡部分が前記長手方向軸の周りで回転することを可能にするために環状である、項目29に記載の外科用ステープル留め機器。
(項目31)前記第一の顎がアンビルアセンブリを備え、前記第二の顎がステープルカートリッジアセンブリを備える、項目21に記載の外科用ステープル留め機器。
ここに開示される動力付きの外科用機器の実施形態は、ここで、図面を参照して詳細に記載される。図面においては、類似の参照番号は、いくつかの図面の各々において、同一であるかまたは対応する要素を示す。本明細書において使用される場合、用語「遠位」とは、ユーザから離れた側の、動力付きの外科用機器またはその構成要素の部分を指し、一方で、用語「近位」とは、ユーザに近い側の、動力付きの外科用機器またはその構成要素の部分を指す。
110、1100:ハウジング
112:ハンドル部分
114:ボタン
120、1800:ユーザインターフェース
122:スクリーン
124:スイッチ
130:デジタル制御モジュール(DCM)
140、1400:内視鏡部分
150、1500:シャフト部分
160、1600:エンドエフェクタ
164:カートリッジアセンブリ
162:アンビルアセンブリ
200:駆動歯車
210:駆動モーター
220:シフトモーター
224:シフトセンサ
240:関節運動歯車
242:関節運動ねじ
244:関節運動リンク仕掛け
250:関節運動アーム
260:関節運動棒
264:リンク仕掛け棒
1700:センサ
Claims (29)
- 外科用機器であって、以下:
ハウジング;
該ハウジングから遠位に延び、第一の長手方向軸を規定する内視鏡部分;
該内視鏡部分の遠位端に選択的に接続可能なシャフト部分;および
該シャフト部分の遠位端に選択的に接続可能なエンドエフェクタ
を備える、外科用機器。 - 請求項1に記載の外科用機器であって、さらに、前記ハウジングと機械的に協働するように配置されたモーターを備え、該モーターは、前記エンドエフェクタの少なくとも1つの機能を駆動するように構成される、外科用機器。
- 請求項1に記載の外科用機器であって、前記エンドエフェクタが、第二の長手方向軸を規定し、該エンドエフェクタが、該第二の長手方向軸が前記第一の長手方向軸と実質的に整列する第一の位置から、該第二の長手方向軸が該第一の長手方向軸に対してある角度で配置される少なくとも第二の位置まで可動である、外科用機器。
- 請求項3に記載の外科用機器であって、さらに、前記ハウジングと機械的に協働するように配置されたモーターを備え、該モーターは、前記エンドエフェクタを、その第一の位置からその第二の位置へと向けて動かすように構成される、外科用機器。
- 請求項1に記載の外科用機器であって、前記エンドエフェクタが、カートリッジアセンブリおよびアンビルアセンブリを備え、該カートリッジアセンブリおよび該アンビルアセンブリが、該カートリッジアセンブリと該アンビルアセンブリとの間に組織を係合するように接近させるために配置される、外科用機器。
- 請求項1に記載の外科用機器であって、さらに、実質的に前記長手方向軸に沿った移動のため、そして、前記シャフト部分の部分および前記エンドエフェクタの部分の少なくとも一方を係合するために配置されたリンク仕掛け棒を備える、外科用機器。
- 請求項1に記載の外科用機器であって、さらに、ユーザインターフェースを備え、該ユーザインターフェースは、前記エンドエフェクタの状態を示すスクリーンを備える、外科用機器。
- 前記シャフト部分の少なくとも一部分が可撓性である、請求項1に記載の外科用機器。
- 前記シャフト部分の少なくとも一部分が湾曲している、請求項1に記載の外科用機器。
- 前記シャフト部分の少なくとも一部分がしなやかな材料から作製される、請求項1に記載の外科用機器。
- 前記シャフト部分が、複数のタイプのエンドエフェクタを受容するように構成される、請求項1に記載の外科用機器。
- 請求項11に記載の外科用機器であって、前記複数のタイプのエンドエフェクタが、旋回可能なカートリッジアセンブリ、実質的に円形のカートリッジアセンブリおよび並行した顎部材を有するエンドエフェクタを含む、外科用機器。
- 請求項11に記載の外科用機器であって、さらに、前記エンドエフェクタと通信するように配置された少なくとも1つのセンサを備え、該センサは、前記シャフト部分に係合されるエンドエフェクタのタイプの決定を助けるためのものである、外科用機器。
- 前記内視鏡部分が、複数のタイプのシャフト部分を受容するように構成される、請求項1に記載の外科用機器。
- 請求項14に記載の外科用機器であって、さらに、前記シャフト部分と通信するように配置された少なくとも1つのセンサを備え、該センサは、前記内視鏡部分に係合されるシャフト部分のタイプの決定を助けるためのものである、外科用機器。
- 外科用機器であって、以下:
ハウジング;
該ハウジングから遠位に延び、長手方向軸を規定する内視鏡部分;
少なくとも部分的に該ハウジング内に配置される駆動歯車であって、該駆動歯車は、該駆動歯車の内部を通って延びる駆動歯車軸の周りを回転可能であり、そして、該駆動歯車軸に沿って選択的に動くことが可能である、駆動歯車;
該駆動歯車と機械的に協働するように配置され、そして、該駆動歯車を回転するように構成された、駆動モーター;
該駆動歯車と機械的に協働するように配置され、そして、該駆動歯車軸に沿って該駆動歯車を動かすように構成された、シフトモーター;
該内視鏡部分の遠位端に選択的に接続可能なシャフト部分;および
該シャフト部分の遠位端に選択的に接続可能なエンドエフェクタ
を備える、外科用機器。 - 前記シャフト部分の少なくとも一部分が、可撓性であるか、湾曲しているかの少なくとも一方である、請求項16に記載の外科用機器。
- 前記シャフト部分が、複数のタイプのエンドエフェクタを受容するように構成される、請求項16に記載の外科用機器。
- 外科用ステープル留め機器であって、以下:
ハンドルアセンブリ;
該ハンドルアセンブリの遠位端に選択的に接続可能であり、長手方向軸を規定する第一の内視鏡部分であって、該第一の内視鏡部分は、その近位端にあるハウジングと、細長の作動部材とを有する、第一の内視鏡部分;
該第一の内視鏡部分の遠位端に選択的に接続可能なエンドエフェクタであって、該エンドエフェクタは、第一の顎と第二の顎とを有し、該顎の少なくとも一方は、互いに関して可動である、エンドエフェクタ;および
該第一の内視鏡部分の該ハウジング内に配置されるモーターであって、該モーターは、該細長の作動部材を、該長手方向軸に沿って動かすために、該細長の作動部材に作動可能に接続される、モーター
を備える、外科用ステープル留め機器。 - 前記エンドエフェクタが、前記長手方向軸から離れて旋回可能となるように、旋回可能に設置される、請求項19に記載の外科用ステープル留め機器。
- 前記エンドエフェクタが、前記細長の作動部材との係合のために配置された関節運動リンクを備え、該関節運動リンクが、前記エンドエフェクタを前記長手方向軸から離して旋回させるように、該長手方向軸に沿って可動である、請求項20に記載の外科用ステープル留め機器。
- 前記第一の内視鏡部分の前記ハウジングが、前記ハンドルアセンブリに回転可能に接続されるためのノブを備える、請求項21に記載の外科用ステープル留め機器。
- 前記第一の内視鏡部分の前記ハウジングが、前記細長の作動部材に作動可能に接続されたアクチュエーターを備える、請求項21に記載の外科用ステープル留め機器。
- 請求項21に記載の外科用ステープル留め機器であって、さらに、前記ハンドルアセンブリの前記遠位端に選択的に接続可能な第二の内視鏡部分を備える、外科用ステープル留め機器。
- 前記第二の内視鏡部分が、回転可能なシャフトを有する、請求項24に記載の外科用ステープル留め機器。
- 請求項25に記載の外科用ステープル留め機器であって、さらに、前記第二の内視鏡部分の遠位端に選択的に接続可能な円形のステープル留めアセンブリを備える、外科用ステープル留め機器。
- 前記第一の内視鏡部分の前記ハウジングが、前記ハンドルアセンブリからの電力を伝えるための接触を備える、請求項19に記載の外科用ステープル留め機器。
- 前記第一の内視鏡部分の前記ハウジングが、前記ハンドルアセンブリに回転可能に接続されるためのノブを備え、前記接触が、該第一の内視鏡部分が前記長手方向軸の周りで回転することを可能にするために環状である、請求項27に記載の外科用ステープル留め機器。
- 前記第一の顎がアンビルアセンブリを備え、前記第二の顎がステープルカートリッジアセンブリを備える、請求項19に記載の外科用ステープル留め機器。
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ES2374476T3 (es) | 2012-02-17 |
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