JP2010075699A - 外科用器具のナイフバー - Google Patents
外科用器具のナイフバー Download PDFInfo
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- 239000012636 effector Substances 0.000 claims abstract description 19
- 230000007246 mechanism Effects 0.000 claims abstract description 18
- 238000005304 joining Methods 0.000 claims abstract description 8
- 238000001356 surgical procedure Methods 0.000 abstract description 2
- 238000003466 welding Methods 0.000 description 6
- 238000000034 method Methods 0.000 description 5
- 239000000853 adhesive Substances 0.000 description 3
- 230000001070 adhesive effect Effects 0.000 description 3
- 238000000465 moulding Methods 0.000 description 3
- 238000005520 cutting process Methods 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 238000010304 firing Methods 0.000 description 2
- 239000000463 material Substances 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 238000002271 resection Methods 0.000 description 2
- 210000001835 viscera Anatomy 0.000 description 2
- 238000012084 abdominal surgery Methods 0.000 description 1
- 230000003872 anastomosis Effects 0.000 description 1
- 238000013459 approach Methods 0.000 description 1
- 230000000712 assembly Effects 0.000 description 1
- 238000000429 assembly Methods 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 230000014759 maintenance of location Effects 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- 210000004197 pelvis Anatomy 0.000 description 1
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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
- A61B17/07207—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 the staples being applied sequentially
-
- 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
- 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
- A61B2017/07221—Stapler heads curved
-
- 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
- A61B2017/07285—Stapler heads characterised by its cutter
-
- 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
- A61B2017/2927—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
【解決手段】組織を手術によって接合するための外科用器具であって、外科用器具は、ハンドルアセンブリと、ハンドルアセンブリから遠位に延びている細長い部材と、細長い部材の遠位部分に隣接して配置されたエンドエフェクタと、ハンドルアセンブリに動作可能なように関連付けられている作動アセンブリとを含み、その作動機構は、細長い部材内に少なくとも部分的に配置されたスラストバーと、スラストバーの第1の横側部に隣接して配置された遠位滑動部材とを含む。
【選択図】図1
Description
本開示は、概して、外科用器具に関し、より詳細には、手術によって組織を接合するための外科用器具に関する。
圧縮された生体組織を介して平行なステープル列を適用するために用いられる外科用ステープル留め器具は、当該技術分野においては公知である。一般に、これらの外科用器具は、胸部および腹部の外科手術において内蔵を閉塞するために、および、吻合において組織をファスナー留めするために、処置(transaction)または切除の前に、組織または内蔵を閉鎖するために利用される。
(項目1)
組織を手術によって接合するための外科用器具であって、該外科用器具は、
ハンドルアセンブリと、
該ハンドルアセンブリから遠位に延びている細長い部材と、
該細長い部材の遠位部分に隣接して配置されたエンドエフェクタと、
該ハンドルアセンブリに動作可能なように関連付けられている作動アセンブリと
を含み、
その作動機構は、
該細長い部材内に少なくとも部分的に配置されたスラストバーであって、該スラストバーは、近位部分と、遠位部分と、第1の横側部と、第2の横側部とを有しており、該スラストバーは、該ハンドルアセンブリに対して該近位部分と該遠位部分との間で動くように構成されている、スラストバーと、
該スラストバーの該第1の横側部に隣接して配置された遠位滑動部材であって、該遠位滑動部材は、該スラストバーの該遠位部分に隣接して固定されており、該遠位滑動部材の近位部分は、該スラストバーが曲線方向に動くときに、該スラストバーに対して滑動するように適合されている、遠位活動部材と
を含む、外科用器具。
(項目2)
上記スラストバーの上記近位部分は、上記遠位滑動部材の最近位端部を越えて近位に延びている、上記項目に記載の外科用器具。
(項目3)
上記スラストバーの上記第1の横側部に隣接して配置された近位滑動部材をさらに含む、上記項目のいずれか一項に記載の外科用器具。
(項目4)
上記近位滑動部材の遠位部分は、上記スラストバーにしっかりと取り付けられている、上記項目のいずれか一項に記載の外科用器具。
(項目5)
上記近位滑動部材の最遠位端部は、上記スラストバーの最近位端部の近位に配置されている、上記項目のいずれか一項に記載の外科用器具。
(項目6)
上記スラストバーおよび上記ハンドルアセンブリと機械的に協働するように配置された作動機構をさらに含み、
該作動機構は、該ハンドルアセンブリの作動の際に、該スラストバーを上記近位部分と上記遠位部分との間で動かすように構成されている、上記項目のいずれか一項に記載の外科用器具。
(項目7)
上記スラストバーの上記遠位端部に動作可能なように結合されたナイフをさらに含み、
該ナイフは、該スラストバーの平行移動に応答して、近位部分と遠位部分との間で動く、上記項目のいずれか一項に記載の外科用器具。
(項目8)
上記スラストバーの上記第2の横側部に隣接して配置された第2の遠位滑動部材をさらに含む、上記項目のいずれか一項に記載の外科用器具。
(項目9)
上記スラストバーの上記第2の横側部に隣接して配置された第2の近位滑動部材をさらに含む、上記項目のいずれか一項に記載の外科用器具。
(項目10)
上記エンドエフェクタは、湾曲した形状を有する、上記項目のいずれか一項に記載の外科用器具。
手術によって組織を接合する外科用器具は、ハンドルアセンブリと、ハンドルアセンブリから遠位に延びている細長い部材と、細長い部材の遠位部分に隣接して配置されたエンドエフェクタと、ハンドルアセンブリと動作可能なように関連付けられている作動アセンブリとを含む。作動機構は、細長い部材内に少なくとも部分的に配置されたスラストバーと、遠位スライド部材とを含む。スラストバーは、近位部分と、遠位部分と、第1の横側部(lateral side)と、第2の横側部とを含み、ハンドルアセンブリに対して近位部分と遠位部分との間で動くように構成されている。遠位スライド部材は、スラストバーの第1の横側部に隣接して配置され、スラストバーの遠位部分に隣接する。遠位スライド部材の近位部分は、スラストバーが曲線方向に動くときに、スラストバーに対して滑動するように適合されている。
120 細長い部分
122 近位部分
124 遠位部分
130 第1のジョー部材
132 カートリッジアセンブリ
134 組織接触表面
136 ファスナー保持スロット
138 ナイフチャネル
140 第2のジョー部材
142 アンビルアセンブリ
150 ツールアセンブリ
154 エンドエフェクタ
160 ハンドルアセンブリ
162 固定ハンドル
164 可動ハンドル
166 関節運動ノブ
168 クランプバー
Claims (10)
- 組織を手術によって接合するための外科用器具であって、該外科用器具は、
ハンドルアセンブリと、
該ハンドルアセンブリから遠位に延びている細長い部材と、
該細長い部材の遠位部分に隣接して配置されたエンドエフェクタと、
該ハンドルアセンブリに動作可能なように関連付けられている作動アセンブリと
を含み、
その作動機構は、
該細長い部材内に少なくとも部分的に配置されたスラストバーであって、該スラストバーは、近位部分と、遠位部分と、第1の横側部と、第2の横側部とを有しており、該スラストバーは、該ハンドルアセンブリに対して該近位部分と該遠位部分との間で動くように構成されている、スラストバーと、
該スラストバーの該第1の横側部に隣接して配置された遠位滑動部材であって、該遠位滑動部材は、該スラストバーの該遠位部分に隣接して固定されており、該遠位滑動部材の近位部分は、該スラストバーが曲線方向に動くときに、該スラストバーに対して滑動するように適合されている、遠位活動部材と
を含む、外科用器具。 - 前記スラストバーの前記近位部分は、前記遠位滑動部材の最近位端部を越えて近位に延びている、請求項1に記載の外科用器具。
- 前記スラストバーの前記第1の横側部に隣接して配置された近位滑動部材をさらに含む、請求項1に記載の外科用器具。
- 前記近位滑動部材の遠位部分は、前記スラストバーにしっかりと取り付けられている、請求項3に記載の外科用器具。
- 前記近位滑動部材の最遠位端部は、前記スラストバーの最近位端部の近位に配置されている、請求項3に記載の外科用器具。
- 前記スラストバーおよび前記ハンドルアセンブリと機械的に協働するように配置された作動機構をさらに含み、
該作動機構は、該ハンドルアセンブリの作動の際に、該スラストバーを前記近位部分と前記遠位部分との間で動かすように構成されている、請求項1に記載の外科用器具。 - 前記スラストバーの前記遠位端部に動作可能なように結合されたナイフをさらに含み、
該ナイフは、該スラストバーの平行移動に応答して、近位部分と遠位部分との間で動く、請求項1に記載の外科用器具。 - 前記スラストバーの前記第2の横側部に隣接して配置された第2の遠位滑動部材をさらに含む、請求項1に記載の外科用器具。
- 前記スラストバーの前記第2の横側部に隣接して配置された第2の近位滑動部材をさらに含む、請求項3に記載の外科用器具。
- 前記エンドエフェクタは、湾曲した形状を有する、請求項1に記載の外科用器具。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US12/235,767 US8628544B2 (en) | 2008-09-23 | 2008-09-23 | Knife bar for surgical instrument |
US12/235,767 | 2008-09-23 |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2013230877A Division JP5876861B2 (ja) | 2008-09-23 | 2013-11-07 | 外科用器具のナイフバー |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2010075699A true JP2010075699A (ja) | 2010-04-08 |
JP5448672B2 JP5448672B2 (ja) | 2014-03-19 |
Family
ID=41319972
Family Applications (3)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2009217916A Active JP5448672B2 (ja) | 2008-09-23 | 2009-09-18 | 外科用器具のナイフバー |
JP2013230877A Active JP5876861B2 (ja) | 2008-09-23 | 2013-11-07 | 外科用器具のナイフバー |
JP2015155660A Withdrawn JP2015205214A (ja) | 2008-09-23 | 2015-08-06 | 外科用器具のナイフバー |
Family Applications After (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2013230877A Active JP5876861B2 (ja) | 2008-09-23 | 2013-11-07 | 外科用器具のナイフバー |
JP2015155660A Withdrawn JP2015205214A (ja) | 2008-09-23 | 2015-08-06 | 外科用器具のナイフバー |
Country Status (7)
Country | Link |
---|---|
US (3) | US8628544B2 (ja) |
EP (2) | EP2165661B1 (ja) |
JP (3) | JP5448672B2 (ja) |
CN (1) | CN101683283B (ja) |
AU (1) | AU2009213097B2 (ja) |
CA (1) | CA2679231C (ja) |
ES (1) | ES2570829T3 (ja) |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2017148492A (ja) * | 2016-01-12 | 2017-08-31 | ジャイラス メディカル リミテッド | 電気手術装置 |
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JP2017148492A (ja) * | 2016-01-12 | 2017-08-31 | ジャイラス メディカル リミテッド | 電気手術装置 |
JP7107626B2 (ja) | 2016-01-12 | 2022-07-27 | ジャイラス メディカル リミテッド | 電気手術装置 |
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JP5448672B2 (ja) | 2014-03-19 |
CA2679231A1 (en) | 2010-03-23 |
JP2015205214A (ja) | 2015-11-19 |
JP5876861B2 (ja) | 2016-03-02 |
CN101683283A (zh) | 2010-03-31 |
US8628544B2 (en) | 2014-01-14 |
US20100076459A1 (en) | 2010-03-25 |
US20140103090A1 (en) | 2014-04-17 |
EP2502576A1 (en) | 2012-09-26 |
JP2014087653A (ja) | 2014-05-15 |
EP2502576B1 (en) | 2016-04-06 |
US10251647B2 (en) | 2019-04-09 |
ES2570829T3 (es) | 2016-05-20 |
AU2009213097A1 (en) | 2010-04-08 |
CA2679231C (en) | 2016-11-22 |
US20160367251A1 (en) | 2016-12-22 |
EP2165661B1 (en) | 2013-03-20 |
EP2165661A1 (en) | 2010-03-24 |
AU2009213097B2 (en) | 2014-08-28 |
CN101683283B (zh) | 2013-07-31 |
US9445811B2 (en) | 2016-09-20 |
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