JP2010051810A - 単一行程の内視鏡外科手術用クリップアプライア - Google Patents
単一行程の内視鏡外科手術用クリップアプライア Download PDFInfo
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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;ならびに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するシャフトアセンブリ104を備える。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;近位位置と遠位位置との間で往復移動するための押し棒;および、該ハウジング内に配置された前進プレートであって、近位位置と遠位位置との間で往復移動するためのものである、前進プレート、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61/092,796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;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;
該ハウジング内に配置された押し棒であって、該押し棒は、ある長さを有する行程を規定する、近位位置と遠位位置との間で往復移動するためのものであり、該押し棒は、該近位位置から該遠位位置への移動の際に、該顎内に最も遠位の外科手術用クリップを装填するように構成されている、押し棒;および
該ハウジング内に配置された前進プレートであって、該前進プレートは、近位位置と遠位位置との間で往復移動するためのものであり、該前進プレートは、該押し棒の遠位への移動および近位への移動中に、該押し棒により係合されて、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つを行い、該前進プレートは、該行程の長さより短い距離だけ移動する、前進プレート、
を備える、シャフトアセンブリ、
を備える、装置。
前記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前記顎内に配置された位置と、該楔プレートの該遠位端が該顎から外れた位置との間で移動可能である、楔プレート;および
該ハウジング内に往復可能に配置されたコネクタプレートであって、該コネクタプレートは、前記装置の発射行程の少なくとも一部の間に、前記押し棒および該楔プレートのうちの少なくとも1つと取り外し可能に接続される、コネクタプレート、
をさらに備える、上記項目に記載の装置。
前記装置の前記発射行程の少なくとも一部の間に、前記コネクタプレートが、前記押し棒および前記楔プレートの各々に取り外し可能に接続される、上記項目のうちのいずれかに記載の装置。
前記押し棒が、前記コネクタプレートに提供された第一のフィーチャーと取り外し可能に接続されるための、該押し棒に支持されたばねクリップを備え、そして前記楔プレートが、該コネクタプレートに提供された第二のフィーチャーと取り外し可能に接続されるための、該楔プレートに支持されたばねクリップを備える、上記項目のうちのいずれかに記載の装置。
前記押し棒の前記ばねクリップが、前記コネクタプレートの最初の遠位への移動中に該コネクタプレートの前記第一のフィーチャーに接続されて、該押し棒を遠位方向に引く、上記項目のうちのいずれかに記載の装置。
前記ハウジングが、前記押し棒の最初の遠位への移動を越える遠位への移動を遮断する静止フィーチャーを備え、そして前記コネクタプレートの前記第一のフィーチャーは、該最初の遠位への移動を越える遠位への移動を続けると、該押し棒の前記ばねクリップから接続を外す、上記項目のうちのいずれかに記載の装置。
前記押し棒が、該押し棒に支持されたさらなるばねクリップを備え、該さらなるばねクリップは、該押し棒が最も遠位の位置にある場合に、前記ハウジングの前記静止フィーチャーに取り外し可能に接続されるためのものである、上記項目のうちのいずれかに記載の装置。
前記押し棒の前記さらなるばねクリップと、前記ハウジングの前記静止フィーチャーとの接続が、前記装置の発射中に、該押し棒を前記最も遠位の位置に維持する、上記項目のうちのいずれかに記載の装置。
前記楔プレートの前記ばねクリップが、前記コネクタプレートの最初の遠位への移動中に、該コネクタプレートの前記第二のフィーチャーに接続されて、該楔プレートを遠位方向に引き、その結果、該楔プレートの前記遠位端が前記顎内に配置される、上記項目のうちのいずれかに記載の装置。
前記コネクタプレートの前記第二のフィーチャーが、前記楔プレートの最初の遠位への移動後に、該楔プレートの前記ばねクリップから接続を外す、上記項目のうちのいずれかに記載の装置。
前記楔プレートが、前記顎の近接の前の時点で近位方向に移動し、該顎から該楔プレートの前記遠位端を外す、上記項目のうちのいずれかに記載の装置。
前記押し棒および前記楔プレートの各々の最初の遠位への移動後に、該押し棒および該楔プレートの各々が前記コネクタプレートから接続を外す、上記項目のうちのいずれかに記載の装置。
前記押し棒および前記楔プレートのそれぞれの近位への移動の際に、該押し棒および該楔プレートの各々が前記コネクタプレートに再接続される、上記項目のうちのいずれかに記載の装置。
前記前進プレートが、前記押し棒に隣接して配置され、該前進プレートが、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。
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、上記項目のうちのいずれかに記載の装置。
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、上記項目のうちのいずれかに記載の装置。
前記シャフトアセンブリが、前記ハウジング内に、前記クリップキャリアに隣接して往復可能に配置された駆動チャネルを備え、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が、遠位への前進の際に前記顎の表面に係合して、該顎の近接を行なう、上記項目のうちのいずれかに記載の装置。
前記クリップ従動子が、前記シャフトアセンブリを通して漸増的に前進させられる、上記項目のうちのいずれかに記載の装置。
前記クリップ従動子が、該クリップ従動子の表面から延びるキャッチを備え、該キャッチは、最後の外科手術用クリップの発射後に前記押し棒に係合し、そして該押し棒の近位方向への移動を防止する、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 (19)
- 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;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;
該ハウジング内に配置された押し棒であって、該押し棒は、ある長さを有する行程を規定する、近位位置と遠位位置との間で往復移動するためのものであり、該押し棒は、該近位位置から該遠位位置への移動の際に、該顎内に最も遠位の外科手術用クリップを装填するように構成されている、押し棒;および
該ハウジング内に配置された前進プレートであって、該前進プレートは、近位位置と遠位位置との間で往復移動するためのものであり、該前進プレートは、該押し棒の遠位への移動および近位への移動中に、該押し棒により係合されて、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つを行い、該前進プレートは、該行程の長さより短い距離だけ移動する、前進プレート、
を備える、シャフトアセンブリ、
を備える、装置。 - 前記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前記顎内に配置された位置と、該楔プレートの該遠位端が該顎から外れた位置との間で移動可能である、楔プレート;および
該ハウジング内に往復可能に配置されたコネクタプレートであって、該コネクタプレートは、前記装置の発射行程の少なくとも一部の間に、前記押し棒および該楔プレートのうちの少なくとも1つと取り外し可能に接続される、コネクタプレート、
をさらに備える、請求項1に記載の装置。 - 前記装置の前記発射行程の少なくとも一部の間に、前記コネクタプレートが、前記押し棒および前記楔プレートの各々に取り外し可能に接続される、請求項2に記載の装置。
- 前記押し棒が、前記コネクタプレートに提供された第一のフィーチャーと取り外し可能に接続されるための、該押し棒に支持されたばねクリップを備え、そして前記楔プレートが、該コネクタプレートに提供された第二のフィーチャーと取り外し可能に接続されるための、該楔プレートに支持されたばねクリップを備える、請求項2に記載の装置。
- 前記押し棒の前記ばねクリップが、前記コネクタプレートの最初の遠位への移動中に該コネクタプレートの前記第一のフィーチャーに接続されて、該押し棒を遠位方向に引く、請求項4に記載の装置。
- 前記ハウジングが、前記押し棒の最初の遠位への移動を越える遠位への移動を遮断する静止フィーチャーを備え、そして前記コネクタプレートの前記第一のフィーチャーは、該最初の遠位への移動を越える遠位への移動を続けると、該押し棒の前記ばねクリップから接続を外す、請求項4に記載の装置。
- 前記押し棒が、該押し棒に支持されたさらなるばねクリップを備え、該さらなるばねクリップは、該押し棒が最も遠位の位置にある場合に、前記ハウジングの前記静止フィーチャーに取り外し可能に接続されるためのものである、請求項6に記載の装置。
- 前記押し棒の前記さらなるばねクリップと、前記ハウジングの前記静止フィーチャーとの接続が、前記装置の発射中に、該押し棒を前記最も遠位の位置に維持する、請求項7に記載の装置。
- 前記楔プレートの前記ばねクリップが、前記コネクタプレートの最初の遠位への移動中に、該コネクタプレートの前記第二のフィーチャーに接続されて、該楔プレートを遠位方向に引き、その結果、該楔プレートの前記遠位端が前記顎内に配置される、請求項4に記載の装置。
- 前記コネクタプレートの前記第二のフィーチャーが、前記楔プレートの最初の遠位への移動後に、該楔プレートの前記ばねクリップから接続を外す、請求項9に記載の装置。
- 前記楔プレートが、前記顎の近接の前の時点で近位方向に移動し、該顎から該楔プレートの前記遠位端を外す、請求項9に記載の装置。
- 前記押し棒および前記楔プレートの各々の最初の遠位への移動後に、該押し棒および該楔プレートの各々が前記コネクタプレートから接続を外す、請求項4に記載の装置。
- 前記押し棒および前記楔プレートのそれぞれの近位への移動の際に、該押し棒および該楔プレートの各々が前記コネクタプレートに再接続される、請求項12に記載の装置。
- 前記前進プレートが、前記押し棒に隣接して配置され、該前進プレートが、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1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、前記クリップキャリアに隣接して往復可能に配置された駆動チャネルを備え、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が、遠位への前進の際に前記顎の表面に係合して、該顎の近接を行なう、請求項16に記載の装置。
- 前記クリップ従動子が、前記シャフトアセンブリを通して漸増的に前進させられる、請求項16に記載の装置。
- 前記クリップ従動子が、該クリップ従動子の表面から延びるキャッチを備え、該キャッチは、最後の外科手術用クリップの発射後に前記押し棒に係合し、そして該押し棒の近位方向への移動を防止する、請求項16に記載の装置。
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- 2009-08-20 CA CA2675921A patent/CA2675921C/en not_active Expired - Fee Related
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JP2017077492A (ja) * | 2010-12-07 | 2017-04-27 | グローブテック 2000 ピーティーワイ リミテッド | 外科用クリップのためのマニピュレータ |
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JP2018535741A (ja) * | 2015-11-10 | 2018-12-06 | コヴィディエン リミテッド パートナーシップ | 内視鏡用の部分使い捨て外科用クリップアプライア |
US10702280B2 (en) | 2015-11-10 | 2020-07-07 | Covidien Lp | Endoscopic reposable surgical clip applier |
JP2019503223A (ja) * | 2016-01-11 | 2019-02-07 | コヴィディエン リミテッド パートナーシップ | 内視鏡用の部分使い捨て外科用クリップアプライア |
KR20220075854A (ko) * | 2020-11-30 | 2022-06-08 | 주식회사 화인메디 | 외과용 클립 발사장치 |
KR102534008B1 (ko) | 2020-11-30 | 2023-05-18 | 주식회사 화인메디 | 외과용 클립 발사장치 |
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AU2009212773B2 (en) | 2014-12-18 |
EP2478851A3 (en) | 2012-10-03 |
CA2675921C (en) | 2017-01-03 |
EP2478851A2 (en) | 2012-07-25 |
EP2478851B1 (en) | 2014-12-03 |
CA2675921A1 (en) | 2010-02-28 |
EP2158851A1 (en) | 2010-03-03 |
CN101664332A (zh) | 2010-03-10 |
ES2385698T3 (es) | 2012-07-30 |
AU2009212773A1 (en) | 2010-03-18 |
JP2014087651A (ja) | 2014-05-15 |
JP2015083162A (ja) | 2015-04-30 |
EP2158851B1 (en) | 2012-06-13 |
JP5629072B2 (ja) | 2014-11-19 |
US20100057102A1 (en) | 2010-03-04 |
US8585717B2 (en) | 2013-11-19 |
CN101664332B (zh) | 2014-12-17 |
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