JP2009165899A - 外科用ステープル留め装置 - Google Patents
外科用ステープル留め装置 Download PDFInfo
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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
-
- 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
-
- 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
- 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
- A61B2017/00371—Multiple actuation, e.g. pushing of two buttons, or two working tips becoming operational
- A61B2017/0038—Simultaneous actuation of two tools by pushing one button 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
- A61B17/068—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
- A61B2017/07214—Stapler heads
-
- 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
- A61B2017/07214—Stapler heads
- A61B2017/07257—Stapler heads characterised by its anvil
- A61B2017/07264—Stapler heads characterised by its anvil characterised by its staple forming cavities, e.g. geometry or material
-
- 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
- A61B17/2909—Handles
- A61B2017/2925—Pistol grips
-
- 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
- A61B2017/2945—Curved jaws
-
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/08—Accessories or related features not otherwise provided for
- A61B2090/0807—Indication means
- A61B2090/0811—Indication means for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument
Abstract
【解決手段】このステープル留め装置は、カートリッジアセンブリーおよびアンビルアセンブリーを離間位置と接近位置との間で移動させるための接近機構と、カートリッジアセンブリーからステープルの列を射出するための発射機構とを含んでいる。一つのトリガーが、前記装置の接近および発射を 行うように動作可能である。また、当該装置は整列ピンアセンブリーを含んでおり、該アセンブリーは手動または自動的に選択的に前進させることができる。アンビルアセンブリーは補強材プレートを含んでおり、該プレートは、当該装置が小さいヘッド部分プロファイルを有することを可能にする。
【選択図】図22
Description
本開示は、一般には外科用ステープル留め装置に関し、特にアンビルおよびカートリッジアセンブリーを接近させるための、および該カートリッジアセンブリーからステープル列を射出するための単一のトリガーを有する外科用ステープル留め装置に関する。
当該技術において、圧縮された生体組織を通して平行なステープル列を適用するために使用される外科用ステープル留め装置が周知であり、例えば切除の前、切断 の前、または解剖において組織を閉鎖するために、並びに胸部および腹部の手術において組織を閉塞するために普通に使用される。
従って、片方の手で外科医が操作でき、自動的または手動で前進し得る整列ピンアセンブリーを含む外科用ステープル留め器についての必要性が継続して必要とされている。
(1)外科用ステープル留め装置において:
第一および第二の末端を有するフレームと;
静止ハンドルを定義する本体部分であって、前記フレームの第一の末端に固定される本体部分と;
前記本体に旋回可能に固定されるトリガーと;
ア ンビルアセンブリーおよびカートリッジアセンブリーを含むヘッド部分であって、前記アンビルアセンブリーは前記フレームの第二の末端に固定され、前記カー トリッジアセンブリーおよび前記アンビルアセンブリーは離間した位置と接近した位置との間で相互に対して移動可能であるヘッド部分とを具備してなり、
前 記アンビルアセンブリーは、複数のステープル成形ポケットおよび一つの補強材プレートを有するアンビルを含み、該アンビルは前記補強材プレートの回りに固 定されるように構成され、前記補強材プレートは、前記アンビルアセンブリーに追加の強度を提供して前記ヘッド部分のサイズを縮小することを可能にする外科用ステープル留め装置。
(2)項目1に記載の外科用ステープル留め装置において、前記補強材プレートおよび前記アンビルがステンレス鋼で形成される装置。
(3)項目1に記載の外科用ステープル留め装置において、前記フレームは左右のフレーム部材を含み、前記アンビルアセンブリーは前記左右のフレーム部材の第二の末端に間に固定される装置。
(4)項目4に記載の外科用ステープル留め装置において、前記アンビルアセンブリーはスペーサプレートを更に含み、該スペーサプレートは前記補強材プレートの回りに配置されるように構成される装置。
(5)外科用ステープル留め装置において:
静止ハンドル部分を有する本体と;
前記本体に旋回可能に固定されたトリガーと;
アンビルアセンブリーおよびカートリッジアセンブリーを含むヘッド部分であって、前記アンビルアセンブリーおよび前記カートリッジアセンブリーは離間した位置と接近した位置との間で相互に対して移動可能であるヘッド部分と;
前記ヘッド部分に動作可能に結合された接近機構であって、前記アンビルアセンブリーおよび前記カートリッジアセンブリーを、前記離間した位置と接近した位置との間で相互に対して移動可能に駆動可能な接近機構と;
先端を有する整列ピンを含む整列ピンアセンブリーであって、後退位置から該整列ピンの先端がアンビルアセンブリーに係合する前進位置へと、前記整列ピンを前進させるように駆動可能な整列ピンアセンブリーとを具備してなり、
前記整列ピンアセンブリーは、前記整列ピンアセンブリーが前記接近機構とは独立に手動で駆動され、または前記接近機構の駆動に応答して自動的に駆動され得るように、前記接近機構に解除可能に結合される外科用ステープル留め装置。
(6)項目5に記載の外科用ステープル留め装置において、前記整列ピンアセンブリーは整列ピン押出し器およびベル型クランクを含み、該ベル型クランクは、前記整列ピン押出し器に解除可能に結合され且つ前記接近機構に動作可能に結合される装置。
(7)項目6に記載の外科用ステープル留め装置において、前記ベル型クランクは前記本体内に旋回可能に装着され、また前記整列ピン押出し器に形成されたC字型ク リップ内に収容されるように採寸されたポストを含み、該ポストは、前記整列ピンアセンブリーの手動による駆動を容易にするように前記C字型クリップから取外し可能である装置。
(8)項目7に記載の外科用ステープル留め装置において、前記接近機構は、前記カートリッジアセンブリーを 支持するように構成された第一の末端および前記旋回可能なトリガーに動作可能に結合された第二の末端を有する少なくとも一つのクランプ摺動部材を含み、前記トリガーの駆動が前記少なくとも一つのクランプ摺動部材を移動させて、前記カートリッジアセンブリーおよび前記アンビルアセンブリーを前記離間した位置 と前記接近した位置との間で移動させる装置。
(9)項目8に記載の外科用ステープル留め装置において、前記少なくとも一つのクラ ンプ摺動部材はカムスロットを含み、前記ベル型クランクは前記カムスロット内に収容されるように採寸された少なくとも一つのカム部材を含み、前記カムスロットは、前記少なくとも一つのクランプ摺動部材が移動するときに前記ベル型クランクを旋回させるように構成される装置。
(10)項目9に記載の外科用ステープル留め装置において、前記整列ピン押出し器は、前記本体に形成されたスロットを通して伸びるように採寸された少なくとも一つのポストを含み、該ポストは、前記整列ピンアセンブリーを手動で駆動するように前記スロット内で摺動可能である装置。
(11)項目10に記載の外科用ステープル留め装置において、前記少なくとも一つのポストは第一および第二のポストを含み、第一のポストは前記本体の一方の側に形成されたスロットを通して伸び、また第二のポストは前記本体の反対側に形成されたスロットを通して伸びる装置。
(12)項目11に記載の外科用ステープル留め装置において、更に、前記第一および第二のポストの夫々に固定された親指ボタンを含む装置。
(13)項目5に記載の外科用ステープル留め装置において、前記接近機構はクランプ摺動アセンブリーおよび二リンクアセンブリーを含み、該二リンクアセンブリーは 前方リンクおよび後方リンクを含み、該後方リンクは、前記本体に旋回可能に固定された一つの末端および前記前方リンクの後端に旋回可能に固定された前端を有し、前記クランプ摺動アセンブリーは、前記カートリッジアセンブリーを支持するように構成された遠位端および前記前方リンクの前端に旋回可能に固定され た近位端を有し、前記二リンクアセンブリーは、前記前方リンクおよび後方リンクの長手軸が整列していない位置から、前記前方リンクおよび後方リンクの長手軸が実質的に整列した位置へと移動して、前記クランプ摺動アセンブリーを後退位置から前進位置へと移動させることが可能である装置。
(14)項目13に記載の外科用ステープル留め装置において、前記トリガーは前記二リンクアセンブリーに隣接して配置された延設部を含み、該延設部は前記二リンクアセンブリーを前記非整列位置から前記整列位置へと付勢するように移動可能である装置。
(15)項目14に記載の外科用ステープル留め装置において、更に発射機構を含み、該発射機構は、前記カートリッジアセンブリー内に配置された遠位端および前記トリガーと動作可能に結合された近位端を有するスラストバーを含む装置。
(16)項目15に記載の外科用ステープル留め装置において、更に前記トリガーに旋回可能に結合された発射リンクを含み、前記スラストバーはその近位端に形成され たノッチを有し、前記トリガーが発射ストロークを通して移動する際に、前記アンビルアセンブリーおよび前記カートリッジアセンブリーが前記接近位置に移動して前記カートリッジアセンブリーからステープルの射出を行った後に、前記発射リンクは前記スラストバーのノッチの中に移動可能である装置。
(17)項目5に記載の外科用ステープル留め装置において、前記トリガーはクッションを備えたグリップ部材を含む装置。
(18)項目5に記載の外科用ステープル留め装置において、前記静止ハンドル部分はクッションを備えたグリップ部材を含む装置。
次に図面を参照して、今回開示する外科用ステープル留め装置の好ましい実施例を詳細に説明するが、これらの図において、同じ参照番号は幾つかの図の夫々において対応する要素を示している。
Claims (17)
- 外科用ステープル留め装置において:
ハンドル部分;
前記ハンドル部分から末端側へ延びた本体部分;
アンビルおよびカートリッジを含むヘッド部分であって、前記カートリッジは離間位置から接近位置まで前記アンビルに対して可動であり;
前記カートリッジに動作可能に結合された接近機構であって、かつ、前記カートリッジを、前記離間位置から接近位置まで移動可能な前記接近機構;
前記接近機構と作動的に結合された押出し器を有する整列ピンアセンブリーであって、前記押出し器は前記接近機構の作動に対応して移動可能であり;及び
前記ヘッド部分から離れて配置され、前記整列ピンアセンブリーと作動的に連結された手動係合部材であって、かつ、前記接近機構の作動の前に前記押出し器を前進位置から後退位置まで手動で移動させる前記手動係合部材;
を有することを特徴とする外科用ステープル留め装置。 - 請求項1に記載の外科用ステープル留め装置において、補強材プレートおよび前記アンビルがステンレス鋼で形成されていることを特徴とする装置。
- 請求項1に記載の外科用ステープル留め装置において、フレームが左右のフレーム部材を含み、前記アンビルアセンブリーは前記左右のフレーム部材の第二の末端に間に固定されていることを特徴とする装置。
- 請求項1に記載の外科用ステープル留め装置において、アンビルアセンブリーがスペーサプレートを更に含み、該スペーサプレートが補強材プレートの回りに配置されるように構成されていることを特徴とする装置。
- 請求項1に記載の外科用ステープル留め装置において、前記接近機構と作動的に結合され、前記押出し器を移動させるように配置されたベル型クランクをさらに含むことを特徴とする装置。
- 請求項1に記載の外科用ステープル留め装置において、前記ハンドル部分がトリガーを有し、前記接近機構が前記カートリッジを支持するように形成された第1端部及び前記トリガーに作動的に連結された第2端部とを有する少なくとも一つのクランプ摺動部材を備え、前記トリガーの駆動が前記少なくとも一つのクランプ摺動部材を移動させて前記カートリッジを前記離間位置から接近位置まで移動させることを特徴とする装置。
- 請求項6に記載の外科用ステープル留め装置において、前記本体部分に形成されたスロットを貫けて延びるように採寸された少なくとも一つポストを有し、該ポストが前記押出し器を手動で動かすために前記スロット内で摺動可能であることを特徴とする装置。
- 請求項7に記載の外科用ステープル留め装置において、前記少なくとも一つポストが、前記押出し器に連結されていることを特徴とする装置。
- 請求項7に記載の外科用ステープル留め装置において、前記少なくとも一つポストが、前記押出し器と一体的に形成されていることを特徴とする装置。
- 請求項7に記載の外科用ステープル留め装置において、前記少なくとも一つポストが、第1ポストと第2ポストを有し、前記第1ポストが前記本体の一方の側に形成された第1スロットを貫けて延び、前記第2ポストが前記本体の他方の側に形成された第2スロットを貫けて延びていることを特徴とする装置。
- 請求項7に記載の外科用ステープル留め装置において、前記少なくとも一つポストに固定され、前記本体部分上で前記押出し器の手動駆動を可能にする位置に配置された親指ボタンをさらに有することを特徴とする装置。
- 請求項1に記載の外科用ステープル留め装置において、前記カートリッジと係合するように位置決めされた遠位端部を持つスラストバーを備えた発射機構をさらに有することを特徴とする装置。
- 請求項12に記載の外科用ステープル留め装置において、前記スラストバーの近位端部が、前記ハンドル部分に作動的に連結されていることを特徴とする装置。
- 請求項1に記載の外科用ステープル留め装置において、前記カートリッジが、整列ピンを有することを特徴とする装置。
- 請求項14に記載の外科用ステープル留め装置において、前記整列ピンが、前記押出し器に作動的に連結されていることを特徴とする装置。
- 請求項1に記載の外科用ステープル留め装置において、前記手動係合部材が、前記ハンドル部分に配置されていることを特徴とする装置。
- 明細書に記載の発明。
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Application Number | Priority Date | Filing Date | Title |
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US09/687,815 | 2000-10-13 | ||
US09/687,815 US6817508B1 (en) | 2000-10-13 | 2000-10-13 | Surgical stapling device |
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JP2002533745A Withdrawn JP2004528859A (ja) | 2000-10-13 | 2001-10-12 | 外科用ステープル留め装置 |
JP2006224336A Expired - Fee Related JP4335242B2 (ja) | 2000-10-13 | 2006-08-21 | 外科用ステープル留め装置 |
JP2009113075A Expired - Lifetime JP4970495B2 (ja) | 2000-10-13 | 2009-05-07 | 外科用ステープル留め装置 |
JP2012054683A Pending JP2012120880A (ja) | 2000-10-13 | 2012-03-12 | 外科用ステープル留め装置 |
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US (8) | US6817508B1 (ja) |
EP (4) | EP1324707B1 (ja) |
JP (4) | JP2004528859A (ja) |
AU (4) | AU2002211687B2 (ja) |
CA (1) | CA2425207C (ja) |
DE (2) | DE60133398T2 (ja) |
ES (3) | ES2346596T3 (ja) |
WO (1) | WO2002030296A2 (ja) |
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