JP2009502359A - 電気機械的手術装置用のシャフト - Google Patents
電気機械的手術装置用のシャフト Download PDFInfo
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/70—Manipulators specially adapted for use in surgery
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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
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
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- A—HUMAN NECESSITIES
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- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B17/115—Staplers for performing anastomosis in a single operation
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- A—HUMAN NECESSITIES
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- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B17/115—Staplers for performing anastomosis in a single operation
- A61B17/1155—Circular staplers comprising a plurality of staples
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/128—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips
- A61B17/1285—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips for minimally invasive surgery
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/72—Intramedullary pins, nails or other devices
- A61B17/7208—Flexible pins, e.g. ENDER pins
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- A—HUMAN NECESSITIES
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- A61B34/71—Manipulators operated by drive cable mechanisms
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- A—HUMAN NECESSITIES
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- A61B90/08—Accessories or related features not otherwise provided for
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- F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
- F16—ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
- F16C—SHAFTS; FLEXIBLE SHAFTS; ELEMENTS OR CRANKSHAFT MECHANISMS; ROTARY BODIES OTHER THAN GEARING ELEMENTS; BEARINGS
- F16C1/00—Flexible shafts; Mechanical means for transmitting movement in a flexible sheathing
- F16C1/02—Flexible shafts; Mechanical means for transmitting movement in a flexible sheathing for conveying rotary movements
- F16C1/06—Flexible shafts; Mechanical means for transmitting movement in a flexible sheathing for conveying rotary movements with guiding sheathing, tube or box
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- A61B2017/00017—Electrical control of surgical instruments
- A61B2017/00022—Sensing or detecting at the treatment site
- A61B2017/00026—Conductivity or impedance, e.g. of tissue
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- A61B2017/00017—Electrical control of surgical instruments
- A61B2017/00115—Electrical control of surgical instruments with audible or visual output
- A61B2017/00119—Electrical control of surgical instruments with audible or visual output alarm; indicating an abnormal situation
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- A—HUMAN NECESSITIES
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- A61B2017/00199—Electrical control of surgical instruments with a console, e.g. a control panel with a display
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- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
- A61B2017/003—Steerable
- A61B2017/00318—Steering mechanisms
- A61B2017/00323—Cables or rods
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- 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
- A61B2017/00398—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like using powered actuators, e.g. stepper motors, solenoids
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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
- A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
- A61B2017/00464—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable for use with different instruments
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- A—HUMAN NECESSITIES
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- A61B2017/00831—Material properties
- A61B2017/00853—Material properties low friction, hydrophobic and corrosion-resistant fluorocarbon resin coating (ptf, ptfe, polytetrafluoroethylene)
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- A—HUMAN NECESSITIES
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- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2901—Details of shaft
- A61B2017/2905—Details of shaft flexible
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- A61B90/06—Measuring instruments not otherwise provided for
- A61B2090/067—Measuring instruments not otherwise provided for for measuring angles
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- 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
- A61B2090/0803—Counting the number of times an instrument is used
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- A—HUMAN NECESSITIES
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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- 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
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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- A61B90/30—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
- A61B2090/306—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure using optical fibres
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- A—HUMAN NECESSITIES
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- A—HUMAN NECESSITIES
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- A61B90/06—Measuring instruments not otherwise provided for
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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- A61B90/30—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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- A61B90/90—Identification means for patients or instruments, e.g. tags
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- H—ELECTRICITY
- H04—ELECTRIC COMMUNICATION TECHNIQUE
- H04B—TRANSMISSION
- H04B10/00—Transmission systems employing electromagnetic waves other than radio-waves, e.g. infrared, visible or ultraviolet light, or employing corpuscular radiation, e.g. quantum communication
- H04B10/25—Arrangements specific to fibre transmission
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Abstract
Description
本出願は、米国仮特許出願第60/703,227号の優先権を主張し、その内容全体が参照によって明示的に本明細書に組み込まれている。
12 遠隔パワーコンソール
14 筺体
15 正面パネル
16 ディスプレイ装置
18a インジケータ
18b インジケータ
20 シャフト
22 第1の継手
24 遠位端
26 第2の継手
28 管状シース
30 駆動ケーブル
32 駆動ケーブル
40 内部チャネル
66 コネクタ
68 コネクタ
70 コネクタ
101 吸引用チャネル
101b 開口部
102 吸引用チャネル
102b 開口部
214 ソケット
217 検知器
330 チップベアリング
379 発光ダイオード
990 水分センサ
2066 遠位のコネクタ組立体
2069 遠位のプレスブロック
2073 遠位の接触子組立体
2078 遠位のケーブル端の組立体
2080 遠位の矩形状フランジを備えたリング
2082 遠位のケーブル端
2084 絶縁体
2085 遠位の光ブロック
2189 接触子絶縁体ブロック
2231 遠位の組立体
2232 遠位のPCB
2233 遠位の検知器組立体
2234 遠位の検知器
2237 遠位の外側ケース
2238 接触子ジャケット
Claims (22)
- 細長い外套シースと、
前記外套シース内に配置されている少なくとも1つの回転可能な駆動シャフトと、
前記少なくとも1つの回転可能な駆動シャフトから径方向に延在し、前記少なくとも1つの回転可能な駆動シャフトと共に回転するように構成されている部材と、
前記外套シース内に取り付けられている少なくとも1つの光源と、
を備えており、
前記少なくとも1つの回転可能な駆動シャフトが回転した場合に、前記部材が前記光源からの光を検知することを交互に阻害及び可能にすることを特徴とするシャフト。 - 前記部材が、タブであることを特徴とする請求項1に記載のシャフト。
- 前記部材が、前記少なくとも1つの回転可能な駆動シャフトに取り付けられる矩形状フランジを備えたリングから延在する2つのタブを含んでいることを特徴とする請求項2に記載のシャフト。
- 前記少なくとも1つの光源が、前記シャフトの遠位端に取り付けられた2つの光源を含んでいることを特徴とする請求項1に記載のシャフト。
- 前記2つの光源が、前記少なくとも1つの回転可能な駆動シャフトの軸線に対して互いに約90度の角度で取り付けられていることを特徴とする請求項4に記載のシャフト。
- 前記シャフトが、可撓性を有していることを特徴とする請求項1に記載のシャフト。
- 前記シャフトの剛性が、高いことを特徴とする請求項1に記載のシャフト。
- 前記シャフトが、関節式であることを特徴とする請求項1に記載のシャフト。
- 前記シャフトが、屈曲可能であることを特徴とする請求項1に記載のシャフト。
- 前記少なくとも1つの光源が、発光ダイオードであることを特徴とする請求項1に記載のシャフト。
- 前記外套シースが、加圧滅菌可能とされることを特徴とする請求項10に記載のシャフト。
- 前記外套シースが、フルオロポリマ/シリコーン材料を含んでいることを特徴とする請求項10に記載のシャフト。
- 前記光源からの光を伝達するために、少なくとも1つの光ファイバーケーブルを備えていることを特徴とする請求項1に記載のシャフト。
- 前記部材及び前記少なくとも1つの光源が、前記少なくとも1つの回転可能な駆動シャフトの回転を決定するために、前記少なくとも1つの光源から伝達される光が制御装置によって分析可能であるように構成されていることを特徴とする請求項13に記載のシャフト。
- 前記制御装置が、遠隔式パワーコンソール内に配置されていることを特徴とする請求項14に記載のシャフト。
- 前記シャフトの近位端に配置され、前記シャフトを前記遠隔式パワーコンソールに分離可能に取り付けられるように構成されている第1の継手をさらに備えていることを特徴とする請求項15に記載のシャフト。
- 前記外套シースの遠位端に接続され、外科用アタッチメントに分離可能に取り付けられるように構成されている第2の継手をさらに備えていることを特徴とする請求項16に記載のシャフト。
- 前記制御装置が、前記伝達された光の分析に基づいて、前記外科用アタッチメントの構成部品の位置を決定するように構成されていることを特徴とする請求項17に記載のシャフト。
- 前記外套シース内に配置され、前記外套シース内の水分を検知するように構成されている水分センサをさらに備えていることを特徴とする請求項1に記載のシャフト。
- 前記シャフト内に配置されているメモリ装置をさらに備えていることを特徴とする請求項1に記載のシャフト。
- 前記メモリ装置が、シリアル番号データ、識別データ及び使用データのうちの少なくとも1つのデータを含んでいるデータを記憶することを特徴とする請求項20に記載のシャフト。
- 前記シャフト内に配置されているデータ転送ケーブルをさらに備え、
前記メモリ装置が論理的且つ電気的に前記データ転送ケーブルに接続されていることを特徴とする請求項21に記載のシャフト。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US70322705P | 2005-07-27 | 2005-07-27 | |
US60/703,227 | 2005-07-27 | ||
PCT/US2006/029614 WO2007014355A2 (en) | 2005-07-27 | 2006-07-27 | Shaft, e.g., for an electro-mechanical surgical device |
Related Child Applications (1)
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JP2011272102A Division JP5432975B2 (ja) | 2005-07-27 | 2011-12-13 | 電気機械的手術装置のシャフト |
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JP2009502359A true JP2009502359A (ja) | 2009-01-29 |
JP5043842B2 JP5043842B2 (ja) | 2012-10-10 |
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JP2008524233A Active JP5043842B2 (ja) | 2005-07-27 | 2006-07-27 | 電気機械的手術装置用のシャフト |
JP2011272102A Expired - Fee Related JP5432975B2 (ja) | 2005-07-27 | 2011-12-13 | 電気機械的手術装置のシャフト |
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JP2011272102A Expired - Fee Related JP5432975B2 (ja) | 2005-07-27 | 2011-12-13 | 電気機械的手術装置のシャフト |
Country Status (7)
Country | Link |
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US (4) | US8960519B2 (ja) |
EP (2) | EP2799014B1 (ja) |
JP (2) | JP5043842B2 (ja) |
CN (2) | CN102988087B (ja) |
CA (1) | CA2617122C (ja) |
IL (1) | IL189046A (ja) |
WO (1) | WO2007014355A2 (ja) |
Cited By (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2012505725A (ja) * | 2008-10-16 | 2012-03-08 | エシコン・エンド−サージェリィ・インコーポレイテッド | アンビルの位置のフィードバックを提供するための装置を有する外科用ステープリング器具 |
JP2017530840A (ja) * | 2014-09-05 | 2017-10-19 | エシコン エルエルシーEthicon LLC | 電動医療用デバイスのための複数のモータ制御 |
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2006
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- 2006-07-27 EP EP14176787.1A patent/EP2799014B1/en active Active
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JP2021159765A (ja) * | 2020-03-30 | 2021-10-11 | オリンパス・ウィンター・アンド・イベ・ゲゼルシャフト・ミット・ベシュレンクテル・ハフツング | 電気外科手術用システム、電気外科手術用器具、および電気外科手術用ジェネレータ |
JP7171803B2 (ja) | 2020-03-30 | 2022-11-15 | オリンパス・ウィンター・アンド・イベ・ゲゼルシャフト・ミット・ベシュレンクテル・ハフツング | 電気外科手術用システム、電気外科手術用器具、および電気外科手術用ジェネレータ |
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US20200205921A1 (en) | 2020-07-02 |
CN102988087A (zh) | 2013-03-27 |
WO2007014355A2 (en) | 2007-02-01 |
WO2007014355A3 (en) | 2009-04-16 |
US10582978B2 (en) | 2020-03-10 |
US20150133224A1 (en) | 2015-05-14 |
EP1912570B1 (en) | 2014-10-08 |
CN101495046A (zh) | 2009-07-29 |
EP2799014B1 (en) | 2018-09-05 |
EP2799014A3 (en) | 2015-03-11 |
IL189046A (en) | 2012-10-31 |
CA2617122C (en) | 2013-12-10 |
EP1912570A4 (en) | 2012-06-13 |
EP1912570A2 (en) | 2008-04-23 |
US9504455B2 (en) | 2016-11-29 |
CN101495046B (zh) | 2012-12-12 |
US20070055219A1 (en) | 2007-03-08 |
CN102988087B (zh) | 2015-09-09 |
JP5432975B2 (ja) | 2014-03-05 |
JP2012081291A (ja) | 2012-04-26 |
JP5043842B2 (ja) | 2012-10-10 |
CA2617122A1 (en) | 2007-02-01 |
US8960519B2 (en) | 2015-02-24 |
EP2799014A2 (en) | 2014-11-05 |
US20170056119A1 (en) | 2017-03-02 |
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