JP2010051809A - 楔プレートを有する内視鏡外科手術用クリップアプライア - Google Patents
楔プレートを有する内視鏡外科手術用クリップアプライア Download PDFInfo
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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
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- A61B17/0487—Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks
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Abstract
【解決手段】外科手術用クリップを身体組織に適用するための装置であって、該装置は、トリガ108および駆動棒を備えるハンドルアセンブリ102であって、該駆動棒は、該トリガの起動の際に、該トリガによって往復並進可能である、ハンドルアセンブリ;ならびにシャフトアセンブリ104であって、該シャフトアセンブリは、該ハンドルアセンブリから遠位に延び、そして長手方向軸を規定し、該シャフトアセンブリは、ハウジング;該ハウジング内に配置された複数の外科手術用クリップ;該ハウジングの遠位端部分に隣接して設置された顎;該ハウジング内に往復可能に配置された楔プレート;および楔プレート付勢部材であって、該ハウジング内に配置されている、楔プレート付勢部材、を備える、シャフトアセンブリ、を備える、装置。
【選択図】図1
Description
本願は、2008年8月29日に出願された、米国仮出願番号61/092,804号の利益および優先権を主張する。この米国仮出願の全内容は、本明細書中に参考として援用される。
本開示は、外科手術用クリップアプライアに関し、そしてより特定すると、新規な内視鏡外科手術用クリップアプライアに関する。
(項目1)
外科手術用クリップを身体組織に適用するための装置であって、該装置は、
トリガおよび駆動棒を備えるハンドルアセンブリであって、該駆動棒は、該トリガの起動の際に、該トリガによって往復並進可能である、ハンドルアセンブリ;ならびに
シャフトアセンブリであって、該シャフトアセンブリは、該ハンドルアセンブリから遠位に延び、そして長手方向軸を規定し、該シャフトアセンブリは、
ハウジング;
該ハウジング内に配置された複数の外科手術用クリップ;
該ハウジングの遠位端部分に隣接して設置された顎であって、該顎は、開いた間隔を空けた状態と閉じた近接した状態との間で移動可能である、顎;
該ハウジング内に往復可能に配置された楔プレートであって、該楔プレートは、該楔プレートの遠位端が該顎内に配置された遠位位置と、該楔プレートの該遠位端が該顎から外れた近位位置との間で移動可能である、楔プレート;および
楔プレート付勢部材であって、該楔プレート付勢部材は、該楔プレートが、該近位位置から該遠位位置へと移動する際に該楔プレート付勢部材が付勢されるような様式で、該ハウジング内に配置されている、楔プレート付勢部材、
を備える、シャフトアセンブリ、
を備える、装置。
上記シャフトアセンブリが、上記ハウジング内に配置されたロック機構をさらに備え、該ロック機構は、上記楔プレートが上記近位位置から上記遠位位置へと移動する場合に該楔プレートに係合して、該楔プレートを該遠位位置に維持する、上記項目に記載の装置。
上記ロック機構の解放が、上記楔プレート付勢部材が付勢を除き、そして該楔プレートを上記遠位位置から近位位置へと移動させることを可能にする、上記項目のうちのいずれかに記載の装置。
上記ハウジング内に往復可能に配置された駆動チャネルをさらに備え、上記駆動棒が、該駆動チャネルと選択的に係合して該駆動チャネルの並進を行い、該駆動チャネルの遠位端は、該駆動チャネルの遠位への前進の際に上記顎の表面に係合して、該顎の近接を行い、そして該駆動チャネルは、遠位への前進の際に上記ロック機構を解放する、上記項目のうちのいずれかに記載の装置。
上記駆動チャネルの上記遠位端が上記顎の上記表面に係合する前の時点で、上記楔プレートが上記遠位位置から近位位置へと移動する、上記項目のうちのいずれかに記載の装置。
上記駆動チャネルの上記遠位端が上記顎の上記表面に係合すると実質的に同時に、上記楔プレートが上記遠位位置から近位位置へと移動する、上記項目のうちのいずれかに記載の装置。
上記ハンドルアセンブリが、上記駆動棒を近位位置に戻すように構成された付勢部材を備え、該ハンドルアセンブリの付勢部材は、付勢力を有し、上記楔プレート付勢部材は、該ハンドルアセンブリの付勢部材の該付勢力より小さい付勢力を有し、該ハンドルアセンブリの付勢部材は、該楔プレート付勢部材の力が不充分である場合に、該楔プレート付勢部材が上記楔プレートを近位位置まで移動させることを補助する、上記項目のうちのいずれかに記載の装置。
上記シャフトアセンブリが、上記ハウジング内に往復可能に配置された押し棒をさらに備え、該押し棒は、上記顎が上記開いた状態にある間に、最も遠位の外科手術用クリップを該顎内に装填するように、そして該顎の近接中に、装填された外科手術用クリップと接触したままであるように構成されている、上記項目のうちのいずれかに記載の装置。
上記シャフトアセンブリが、上記ハウジング内に、上記押し棒と隣接して往復可能に配置された前進プレートをさらに備え、該前進プレートは、該押し棒の肩部により係合可能な少なくとも1つのフィンを備え、該押し棒の該肩部は、該押し棒の遠位への移動および近位への移動中に該前進プレートの該少なくとも1つのフィンに係合して、該前進プレートの遠位への移動および近位への移動のうちの1つを行う、上記項目のうちのいずれかに記載の装置。
上記シャフトアセンブリが、上記ハウジング内に、上記前進プレートに隣接して配置されたクリップキャリアをさらに備え、該クリップキャリアは、上記複数の外科手術用クリップを保持するために構成されている、上記項目のうちのいずれかに記載の装置。
上記シャフトアセンブリが、上記クリップキャリア内に、上記複数の外科手術用クリップの近位の位置でスライド可能に支持されたクリップ従動子をさらに備え、該クリップ従動子は、該複数の外科手術用クリップを遠位方向に推進するように構成されており、該クリップ従動子は、該クリップ従動子の第一の表面から突出する第一のタブ、および該クリップ従動子の第二の表面から突出する第二のタブを備え、該クリップ従動子の該第一のタブは、上記前進プレートが遠位に移動する際に該前進プレートに係合し、その結果、該クリップ従動子が遠位に移動して、該複数の外科手術用クリップを前進させ、そして該クリップ従動子の該第二のタブは、該前進プレートが近位に移動する際に該クリップキャリアに係合し、その結果、該クリップ従動子は静止したままである、上記項目のうちのいずれかに記載の装置。
外科手術用クリップを身体組織に適用するための装置であって、該装置は、
ハンドルアセンブリであって、該ハンドルアセンブリは、
トリガ;
駆動棒であって、該トリガの起動の際に該トリガによって往復並進可能である、駆動棒;および
該駆動棒を近位位置に戻すように構成および配置された付勢部材であって、該ハンドルアセンブリの付勢部材は、付勢力を有する、付勢部材、
を備える、ハンドルアセンブリ;ならびに
シャフトアセンブリであって、該シャフトアセンブリは、該ハンドルアセンブリから遠位に延び、そして長手方向軸を規定し、該シャフトアセンブリは、
ハウジング;
該ハウジング内に配置された複数の外科手術用クリップ;
該ハウジングの遠位端部分に隣接して設置された顎であって、該顎は、開いた間隔を空けた状態と閉じた近接した状態との間で移動可能である、顎;
該ハウジング内に往復可能に配置された楔プレートであって、該楔プレートは、該楔プレートの遠位端が該顎内に配置された遠位位置と、該楔プレートの該遠位端が該顎から外れた近位位置との間で移動可能である、楔プレート;および
楔プレート付勢部材であって、該楔プレート付勢部材は、該楔プレートが該近位位置から該遠位位置へと移動する際に該楔プレート付勢部材が付勢されるような様式で該ハウジング内に配置されており、該楔プレート付勢部材は、該ハンドルアセンブリの付勢部材の該付勢力より小さい付勢力を有する、楔プレート付勢部材;
を備える、シャフトアセンブリ、
を備え、該ハンドルアセンブリの付勢部材は、該楔プレート付勢部材の力が不充分である場合に、該楔プレートを近位位置に移動させる際に該楔プレート付勢部材を補助する、装置。
上記シャフトアセンブリが、上記ハウジング内に配置されたロック機構をさらに備え、該ロック機構は、上記楔プレートが上記近位位置から上記遠位位置へと移動する場合に該楔プレートに係合し、そして該楔プレートを該遠位位置に維持する、上記項目のうちのいずれかに記載の装置。
上記ロック機構の解放が、上記楔プレート付勢部材が付勢を除き、そして上記楔プレートを上記遠位位置から近位位置へと移動させることを可能にする、上記項目のうちのいずれかに記載の装置。
上記ハウジング内に往復可能に配置された駆動チャネルをさらに備え、上記駆動棒は、該駆動チャネルと選択的に係合して、該駆動チャネルの並進を行い、該駆動チャネルの遠位端は、遠位への前進の際に上記顎の表面に係合して、該顎の近接を行い、そして該駆動チャネルは、遠位への前進の際に該ロック機構を解放する、上記項目のうちのいずれかに記載の装置。
上記駆動チャネルの上記遠位端が上記顎の上記表面に係合する前の時点で、上記楔プレートが上記遠位位置から近位位置へと移動する、上記項目のうちのいずれかに記載の装置。
上記駆動チャネルの上記遠位端が上記顎の上記表面に係合すると実質的に同時に、上記楔プレートが上記遠位位置から近位位置へと移動する、上記項目のうちのいずれかに記載の装置。
上記シャフトアセンブリが、上記ハウジング内に往復可能に配置された押し棒をさらに備え、該押し棒は、上記顎が上記開いた状態にある間に、最も遠位の外科手術用クリップを該顎内に装填するように、そして該顎の近接中に、装填された外科手術用クリップと接触したままであるように構成されている、上記項目のうちのいずれかに記載の装置。
上記シャフトアセンブリが、上記ハウジング内に、上記押し棒に隣接して往復可能に配置された前進プレートをさらに備え、該前進プレートは、上記押し棒の肩部により係合可能な少なくとも1つのフィンを備え、該押し棒の該肩部は、該押し棒の遠位への移動および近位への移動中に、該前進プレートの該少なくとも1つのフィンに係合して、該前進プレートの遠位への移動および近位への移動のうちの1つを行う、上記項目のうちのいずれかに記載の装置。
上記シャフトアセンブリが、上記ハウジング内に、上記前進プレートに隣接して配置されたクリップキャリアをさらに備え、該クリップキャリアは、上記複数の外科手術用クリップを保持するように構成されている、上記項目のうちのいずれかに記載の装置。
上記シャフトアセンブリが、上記クリップキャリア内で、上記複数の外科手術用クリップの近位の位置でスライド可能に支持されたクリップ従動子をさらに備え、該クリップ従動子は、該複数の外科手術用クリップを遠位方向に推進するように構成されており、該クリップ従動子は、該クリップ従動子の第一の表面から突出する第一のタブ、および該クリップ従動子の第二の表面から突出する第二のタブを備え、該クリップ従動子の該第一のタブは、上記前進プレートが遠位に移動する際に該前進プレートに係合し、その結果、該クリップ従動子が遠位に移動して、該複数の外科手術用クリップを前進させ、そして該クリップ従動子の該第二のタブは、該前進プレートが近位に移動する際に該クリップキャリアに係合し、その結果、該クリップ従動子は静止したままである、上記項目のうちのいずれかに記載の装置。
外科手術用クリップを身体組織に適用するための装置であって、該装置は、
トリガおよび駆動棒を備えるハンドルアセンブリであって、該駆動棒は、該トリガの起動の際に該トリガにより往復並進可能である、ハンドル;ならびに
シャフトアセンブリであって、該シャフトアセンブリは、該ハンドルアセンブリから遠位に延び、そして長手方向軸を規定し、該シャフトアセンブリは、
ハウジング;
該ハウジング内に配置された複数の外科手術用クリップ;
該ハウジングの遠位端部分に隣接して設置された顎であって、該顎は、開いた間隔を空けた状態と、閉じた近接した状態との間で移動可能である、顎;
該ハウジング内に往復可能に配置された楔プレートであって、該楔プレートは、該楔プレートの遠位端が該顎内に配置された遠位位置と、該楔プレートの該遠位端が該顎から外れた近位位置との間で移動可能である、楔プレート;および
該ハウジング内に配置されたロック機構であって、該ロック機構は、該楔プレートが該近位位置から該遠位位置へと移動する場合に該楔プレートに係合し、そして該楔プレートを該遠位位置に維持する、ロック機構、
を備える、シャフトアセンブリ、
を備える、装置。
上記ロック機構の解放が、上記楔プレートが上記遠位位置から近位位置へと移動することを可能にする、上記項目のうちのいずれかに記載の装置。
上記ハウジング内に往復可能に配置された駆動チャネルをさらに備え、上記駆動棒は、該駆動チャネルと選択的に係合して、該駆動チャネルの並進を行い、該駆動チャネルの遠位端は、遠位への前進の際に該顎の表面に係合して該顎の近接を行い、そして該駆動チャネルは、遠位への前進の際に上記ロック機構を解放する、上記項目のうちのいずれかに記載の装置。
上記駆動チャネルの上記遠位端が上記顎の上記表面に係合する前の時点で、上記楔プレートが上記遠位位置から近位位置へと移動する、上記項目のうちのいずれかに記載の装置。
上記駆動チャネルの上記遠位端が上記顎の上記表面に係合すると実質的に同時に、上記楔プレートが上記遠位位置から近位位置へと移動する、上記項目のうちのいずれかに記載の装置。
本開示は、新規な内視鏡外科手術用クリップアプライアに関する。
本開示による外科手術用クリップアプライアの実施形態が、ここで図面を参照しながら詳細に記載される。図面において、同じ参照番号は類似かまたは同一の要素を表す。図面に示され、そして以下の説明の全体にわたって記載される場合、伝統的であるように、外科手術用器具での相対位置に言及する場合、用語「近位」とは、その装置の使用者に近い方の端部をいい、そして用語「遠位」とは、その装置の使用者から離れた端部をいう。
102 ハンドルアセンブリ
103 ハウジング
103a、103b 半セクション
103c 窓
104 シャフトアセンブリ
106 顎
106a チャネル
108 トリガ
110 ノブ
120 駆動アセンブリ
122 ウィッシュボーンリンク
124 クランクプレート
134 駆動コネクタ
135 プランジャー
136 ばね
140 駆動棒
Claims (26)
- 外科手術用クリップを身体組織に適用するための装置であって、該装置は、
トリガおよび駆動棒を備えるハンドルアセンブリであって、該駆動棒は、該トリガの起動の際に、該トリガによって往復並進可能である、ハンドルアセンブリ;ならびに
シャフトアセンブリであって、該シャフトアセンブリは、該ハンドルアセンブリから遠位に延び、そして長手方向軸を規定し、該シャフトアセンブリは、
ハウジング;
該ハウジング内に配置された複数の外科手術用クリップ;
該ハウジングの遠位端部分に隣接して設置された顎であって、該顎は、開いた間隔を空けた状態と閉じた近接した状態との間で移動可能である、顎;
該ハウジング内に往復可能に配置された楔プレートであって、該楔プレートは、該楔プレートの遠位端が該顎内に配置された遠位位置と、該楔プレートの該遠位端が該顎から外れた近位位置との間で移動可能である、楔プレート;および
楔プレート付勢部材であって、該楔プレート付勢部材は、該楔プレートが、該近位位置から該遠位位置へと移動する際に該楔プレート付勢部材が付勢されるような様式で、該ハウジング内に配置されている、楔プレート付勢部材、
を備える、シャフトアセンブリ、
を備える、装置。 - 前記シャフトアセンブリが、前記ハウジング内に配置されたロック機構をさらに備え、該ロック機構は、前記楔プレートが前記近位位置から前記遠位位置へと移動する場合に該楔プレートに係合して、該楔プレートを該遠位位置に維持する、請求項1に記載の装置。
- 前記ロック機構の解放が、前記楔プレート付勢部材が付勢を除き、そして該楔プレートを前記遠位位置から近位位置へと移動させることを可能にする、請求項2に記載の装置。
- 前記ハウジング内に往復可能に配置された駆動チャネルをさらに備え、前記駆動棒が、該駆動チャネルと選択的に係合して該駆動チャネルの並進を行い、該駆動チャネルの遠位端は、該駆動チャネルの遠位への前進の際に前記顎の表面に係合して、該顎の近接を行い、そして該駆動チャネルは、遠位への前進の際に前記ロック機構を解放する、請求項3に記載の装置。
- 前記駆動チャネルの前記遠位端が前記顎の前記表面に係合する前の時点で、前記楔プレートが前記遠位位置から近位位置へと移動する、請求項4に記載の装置。
- 前記駆動チャネルの前記遠位端が前記顎の前記表面に係合すると実質的に同時に、前記楔プレートが前記遠位位置から近位位置へと移動する、請求項4に記載の装置。
- 前記ハンドルアセンブリが、前記駆動棒を近位位置に戻すように構成された付勢部材を備え、該ハンドルアセンブリの付勢部材は、付勢力を有し、前記楔プレート付勢部材は、該ハンドルアセンブリの付勢部材の該付勢力より小さい付勢力を有し、該ハンドルアセンブリの付勢部材は、該楔プレート付勢部材の力が不充分である場合に、該楔プレート付勢部材が前記楔プレートを近位位置まで移動させることを補助する、請求項1に記載の装置。
- 前記シャフトアセンブリが、前記ハウジング内に往復可能に配置された押し棒をさらに備え、該押し棒は、前記顎が前記開いた状態にある間に、最も遠位の外科手術用クリップを該顎内に装填するように、そして該顎の近接中に、装填された外科手術用クリップと接触したままであるように構成されている、請求項1に記載の装置。
- 前記シャフトアセンブリが、前記ハウジング内に、前記押し棒と隣接して往復可能に配置された前進プレートをさらに備え、該前進プレートは、該押し棒の肩部により係合可能な少なくとも1つのフィンを備え、該押し棒の該肩部は、該押し棒の遠位への移動および近位への移動中に該前進プレートの該少なくとも1つのフィンに係合して、該前進プレートの遠位への移動および近位への移動のうちの1つを行う、請求項8に記載の装置。
- 前記シャフトアセンブリが、前記ハウジング内に、前記前進プレートに隣接して配置されたクリップキャリアをさらに備え、該クリップキャリアは、前記複数の外科手術用クリップを保持するために構成されている、請求項9に記載の装置。
- 前記シャフトアセンブリが、前記クリップキャリア内に、前記複数の外科手術用クリップの近位の位置でスライド可能に支持されたクリップ従動子をさらに備え、該クリップ従動子は、該複数の外科手術用クリップを遠位方向に推進するように構成されており、該クリップ従動子は、該クリップ従動子の第一の表面から突出する第一のタブ、および該クリップ従動子の第二の表面から突出する第二のタブを備え、該クリップ従動子の該第一のタブは、前記前進プレートが遠位に移動する際に該前進プレートに係合し、その結果、該クリップ従動子が遠位に移動して、該複数の外科手術用クリップを前進させ、そして該クリップ従動子の該第二のタブは、該前進プレートが近位に移動する際に該クリップキャリアに係合し、その結果、該クリップ従動子は静止したままである、請求項10に記載の装置。
- 外科手術用クリップを身体組織に適用するための装置であって、該装置は、
ハンドルアセンブリであって、該ハンドルアセンブリは、
トリガ;
駆動棒であって、該トリガの起動の際に該トリガによって往復並進可能である、駆動棒;および
該駆動棒を近位位置に戻すように構成および配置された付勢部材であって、該ハンドルアセンブリの付勢部材は、付勢力を有する、付勢部材、
を備える、ハンドルアセンブリ;ならびに
シャフトアセンブリであって、該シャフトアセンブリは、該ハンドルアセンブリから遠位に延び、そして長手方向軸を規定し、該シャフトアセンブリは、
ハウジング;
該ハウジング内に配置された複数の外科手術用クリップ;
該ハウジングの遠位端部分に隣接して設置された顎であって、該顎は、開いた間隔を空けた状態と閉じた近接した状態との間で移動可能である、顎;
該ハウジング内に往復可能に配置された楔プレートであって、該楔プレートは、該楔プレートの遠位端が該顎内に配置された遠位位置と、該楔プレートの該遠位端が該顎から外れた近位位置との間で移動可能である、楔プレート;および
楔プレート付勢部材であって、該楔プレート付勢部材は、該楔プレートが該近位位置から該遠位位置へと移動する際に該楔プレート付勢部材が付勢されるような様式で該ハウジング内に配置されており、該楔プレート付勢部材は、該ハンドルアセンブリの付勢部材の該付勢力より小さい付勢力を有する、楔プレート付勢部材;
を備える、シャフトアセンブリ、
を備え、該ハンドルアセンブリの付勢部材は、該楔プレート付勢部材の力が不充分である場合に、該楔プレートを近位位置に移動させる際に該楔プレート付勢部材を補助する、装置。 - 前記シャフトアセンブリが、前記ハウジング内に配置されたロック機構をさらに備え、該ロック機構は、前記楔プレートが前記近位位置から前記遠位位置へと移動する場合に該楔プレートに係合し、そして該楔プレートを該遠位位置に維持する、請求項12に記載の装置。
- 前記ロック機構の解放が、前記楔プレート付勢部材が付勢を除き、そして前記楔プレートを前記遠位位置から近位位置へと移動させることを可能にする、請求項13に記載の装置。
- 前記ハウジング内に往復可能に配置された駆動チャネルをさらに備え、前記駆動棒は、該駆動チャネルと選択的に係合して、該駆動チャネルの並進を行い、該駆動チャネルの遠位端は、遠位への前進の際に前記顎の表面に係合して、該顎の近接を行い、そして該駆動チャネルは、遠位への前進の際に該ロック機構を解放する、請求項14に記載の装置。
- 前記駆動チャネルの前記遠位端が前記顎の前記表面に係合する前の時点で、前記楔プレートが前記遠位位置から近位位置へと移動する、請求項15に記載の装置。
- 前記駆動チャネルの前記遠位端が前記顎の前記表面に係合すると実質的に同時に、前記楔プレートが前記遠位位置から近位位置へと移動する、請求項15に記載の装置。
- 前記シャフトアセンブリが、前記ハウジング内に往復可能に配置された押し棒をさらに備え、該押し棒は、前記顎が前記開いた状態にある間に、最も遠位の外科手術用クリップを該顎内に装填するように、そして該顎の近接中に、装填された外科手術用クリップと接触したままであるように構成されている、請求項12に記載の装置。
- 前記シャフトアセンブリが、前記ハウジング内に、前記押し棒に隣接して往復可能に配置された前進プレートをさらに備え、該前進プレートは、前記押し棒の肩部により係合可能な少なくとも1つのフィンを備え、該押し棒の該肩部は、該押し棒の遠位への移動および近位への移動中に、該前進プレートの該少なくとも1つのフィンに係合して、該前進プレートの遠位への移動および近位への移動のうちの1つを行う、請求項18に記載の装置。
- 前記シャフトアセンブリが、前記ハウジング内に、前記前進プレートに隣接して配置されたクリップキャリアをさらに備え、該クリップキャリアは、前記複数の外科手術用クリップを保持するように構成されている、請求項19に記載の装置。
- 前記シャフトアセンブリが、前記クリップキャリア内で、前記複数の外科手術用クリップの近位の位置でスライド可能に支持されたクリップ従動子をさらに備え、該クリップ従動子は、該複数の外科手術用クリップを遠位方向に推進するように構成されており、該クリップ従動子は、該クリップ従動子の第一の表面から突出する第一のタブ、および該クリップ従動子の第二の表面から突出する第二のタブを備え、該クリップ従動子の該第一のタブは、前記前進プレートが遠位に移動する際に該前進プレートに係合し、その結果、該クリップ従動子が遠位に移動して、該複数の外科手術用クリップを前進させ、そして該クリップ従動子の該第二のタブは、該前進プレートが近位に移動する際に該クリップキャリアに係合し、その結果、該クリップ従動子は静止したままである、請求項20に記載の装置。
- 外科手術用クリップを身体組織に適用するための装置であって、該装置は、
トリガおよび駆動棒を備えるハンドルアセンブリであって、該駆動棒は、該トリガの起動の際に該トリガにより往復並進可能である、ハンドル;ならびに
シャフトアセンブリであって、該シャフトアセンブリは、該ハンドルアセンブリから遠位に延び、そして長手方向軸を規定し、該シャフトアセンブリは、
ハウジング;
該ハウジング内に配置された複数の外科手術用クリップ;
該ハウジングの遠位端部分に隣接して設置された顎であって、該顎は、開いた間隔を空けた状態と、閉じた近接した状態との間で移動可能である、顎;
該ハウジング内に往復可能に配置された楔プレートであって、該楔プレートは、該楔プレートの遠位端が該顎内に配置された遠位位置と、該楔プレートの該遠位端が該顎から外れた近位位置との間で移動可能である、楔プレート;および
該ハウジング内に配置されたロック機構であって、該ロック機構は、該楔プレートが該近位位置から該遠位位置へと移動する場合に該楔プレートに係合し、そして該楔プレートを該遠位位置に維持する、ロック機構、
を備える、シャフトアセンブリ、
を備える、装置。 - 前記ロック機構の解放が、前記楔プレートが前記遠位位置から近位位置へと移動することを可能にする、請求項22に記載の装置。
- 前記ハウジング内に往復可能に配置された駆動チャネルをさらに備え、前記駆動棒は、該駆動チャネルと選択的に係合して、該駆動チャネルの並進を行い、該駆動チャネルの遠位端は、遠位への前進の際に該顎の表面に係合して該顎の近接を行い、そして該駆動チャネルは、遠位への前進の際に前記ロック機構を解放する、請求項23に記載の装置。
- 前記駆動チャネルの前記遠位端が前記顎の前記表面に係合する前の時点で、前記楔プレートが前記遠位位置から近位位置へと移動する、請求項24に記載の装置。
- 前記駆動チャネルの前記遠位端が前記顎の前記表面に係合すると実質的に同時に、前記楔プレートが前記遠位位置から近位位置へと移動する、請求項24に記載の装置。
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-
2009
- 2009-08-12 US US12/539,766 patent/US9358015B2/en active Active
- 2009-08-18 CA CA002675874A patent/CA2675874A1/en not_active Abandoned
- 2009-08-24 AU AU2009212775A patent/AU2009212775B2/en not_active Ceased
- 2009-08-25 EP EP09252051.9A patent/EP2158853B1/en active Active
- 2009-08-25 EP EP12186401.1A patent/EP2540232B1/en active Active
- 2009-08-28 JP JP2009199004A patent/JP5629071B2/ja not_active Expired - Fee Related
- 2009-08-31 CN CN200910171611.1A patent/CN101664329B/zh active Active
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2016
- 2016-05-03 US US15/145,192 patent/US10231738B2/en active Active
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- 2019-01-29 US US16/260,372 patent/US11213298B2/en active Active
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JP2017099866A (ja) * | 2015-11-10 | 2017-06-08 | コヴィディエン リミテッド パートナーシップ | 内視鏡下リポーザブル外科手術クリップアプライヤ |
US11298135B2 (en) | 2015-11-10 | 2022-04-12 | Covidien Lp | Endoscopic reposable surgical clip applier |
Also Published As
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EP2540232A1 (en) | 2013-01-02 |
CN101664329B (zh) | 2014-05-14 |
US20100057107A1 (en) | 2010-03-04 |
CA2675874A1 (en) | 2010-02-28 |
US20190150934A1 (en) | 2019-05-23 |
US20220031332A1 (en) | 2022-02-03 |
JP5629071B2 (ja) | 2014-11-19 |
AU2009212775B2 (en) | 2015-01-29 |
AU2009212775A1 (en) | 2010-03-18 |
US20160242789A1 (en) | 2016-08-25 |
EP2158853A1 (en) | 2010-03-03 |
EP2540232B1 (en) | 2015-10-07 |
US11213298B2 (en) | 2022-01-04 |
US10231738B2 (en) | 2019-03-19 |
US9358015B2 (en) | 2016-06-07 |
EP2158853B1 (en) | 2013-12-25 |
CN101664329A (zh) | 2010-03-10 |
US11806021B2 (en) | 2023-11-07 |
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