JP2010240391A - センターシンチ、およびバットレス材料の解放 - Google Patents
センターシンチ、およびバットレス材料の解放 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
- 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
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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
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic 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
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/0682—Surgical staplers, e.g. containing multiple staples or clamps for applying U-shaped staples or clamps, e.g. without a forming anvil
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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
- A61B17/07292—Reinforcements for staple line, e.g. pledgets
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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
- A61B2017/07214—Stapler heads
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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
- A61B2017/07214—Stapler heads
- A61B2017/07257—Stapler heads characterised by its anvil
-
- 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
- A61B2017/07271—Stapler heads characterised by its cartridge
-
- 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
Abstract
【解決手段】アンビルアセンブリ10であって、第一の側および第二の側を有するアンビル部材26と、該アンビル部材の該第一の側から該アンビル部材の該第二の側に通っている縫合具材料と、該アンビル部材の該第一の側で移動可能に取り付けられ、かつ該縫合具と係合可能なシンチトラック50であって、該シンチトラックは、該縫合具に張力をかける第一の縦の位置と該縫合具における張力を解放する第二の縦の位置との間で移動可能である、シンチトラックと、解放部材であって、該アンビル部材の該第一の側で移動可能に取り付けられ、該シンチトラックを該第二の縦の位置に移動させるために、該シンチトラックに対して移動可能である、解放部材60とを備える、アンビルアセンブリ。
【選択図】図2
Description
外科用ステープル器具によって使用するバットレス型アンビルアセンブリが開示される。該バットレス型アンビルアセンブリは、概して、アンビルの底側に隣接して位置決めされた細長いバットレス材料を有するアンビルを含んでいる。遠位の縫合具および近位の縫合具が、該バットレス材料を該アンビルに固定する。張力付与機構が、該アンビルアセンブリの遠位の端部で提供される。該張力付与機構が、該遠位の縫合具と係合可能なシンチトラック(cinch track)を含むことにより、該細長いバットレス材料の遠位の端部を該アンビルに対して保持する。該シンチトラックは、該細長いバットレス材料に向かって該遠位の縫合具に張力をかける第一の縦の位置と、該アンビルから該細長いバットレス材料の解放を可能にする、該遠位の縫合具における張力を解放する第二の縦の位置との間で移動可能である。
(項目1)
アンビルアセンブリであって、
第一の側および第二の側を有するアンビル部材と、
該アンビル部材の該第一の側から該アンビル部材の該第二の側に通っている縫合具材料と、
該アンビル部材の該第一の側で移動可能に取り付けられ、かつ該縫合具と係合可能なシンチトラックであって、該シンチトラックは、該縫合具に張力をかける第一の縦の位置と該縫合具における張力を解放する第二の縦の位置との間で移動可能である、シンチトラックと、
解放部材であって、該アンビル部材の該第一の側で移動可能に取り付けられ、該シンチトラックを該第二の縦の位置に移動させるために、該シンチトラックに対して移動可能である、解放部材と
を備える、アンビルアセンブリ。
(項目2)
上記アンビル部材の上記第二の側に隣接して位置決めされた細長いバットレス材料をさらに備える、上記項目のうちのいずれか一項目に記載のアンビルアセンブリ。
(項目3)
上記縫合具は、後部スパンと、該後部スパンから延びる第一の縫合具の側および第二の縫合具の側とを含み、該後部スパンは、上記シンチトラックが上記第一の縦の位置にあるときに、上記細長いバットレス材料を上記アンビル部材の上記第二の側に隣接して維持するために、該細長いバットレス材料と係合可能である、上記項目のうちのいずれか一項目に記載のアンビルアセンブリ。
(項目4)
上記シンチトラックは、第一のトラックを含み、上記第一の縫合具の側は、該第一のトラックにおいて固定される、上記項目のうちのいずれか一項目に記載のアンビルアセンブリ。
(項目5)
上記シンチトラックは、第二のトラックを含み、上記第二の縫合具の側は、該第二のトラックにおいて固定される、上記項目のうちのいずれか一項目に記載のアンビルアセンブリ。
(項目6)
上記解放部材は、くさびを含み、上記シンチトラックは、スロットを含み、それによって、該シンチトラックは、該くさびが該スロット内に位置決めされているときに、上記第一の縦の位置にあり、該シンチトラックは、該くさびが該スロットの外にあるときに、上記第二の縦の位置にある、上記項目のうちのいずれか一項目に記載のアンビルアセンブリ。
(項目7)
上記アンビル部材は、長手に延びるスロットを含み、上記解放部材は、該長手に延びるスロット内を移動可能なガイドリブを含む、上記項目のうちのいずれか一項目に記載のアンビルアセンブリ。
(項目8)
上記アンビル部材は、該アンビル部材の上記第一の側と上記第二の側との間に延びる第一のホールおよび第二のホールを含み、上記縫合具材料の上記第一の側は、該第一のホールを通って延び、該縫合具材料の上記第二の側は、該第二のホールを通って延びる、上記項目のうちのいずれか一項目に記載のアンビルアセンブリ。
(項目9)
上記細長いバットレス材料は、せん孔線を含む、上記項目のうちのいずれか一項目に記載のアンビルアセンブリ。
(項目10)
上記細長いバットレス材料は、上記縫合具材料の上記第一の側および上記第二の側の通行に適応するために、第一の切り抜きおよび第二の切り抜きを含む、上記項目のうちのいずれか一項目に記載のアンビルアセンブリ。
(項目11)
上記細長いバットレス材料の近位の端部を上記アンビル部材に固定する近位の縫合具材料をさらに備える、上記項目のうちのいずれか一項目に記載のアンビルアセンブリ。
(項目12)
上記近位の縫合具材料は、後部スパンと、該後部スパンから延びる第一の側および第二の側とを含み、該後部スパンは、上記細長いバットレス材料を上記アンビル部材の上記第二の側に固定する、上記項目のうちのいずれか一項目に記載のアンビルアセンブリ。
(項目13)
上記アンビル部材は、該アンビル部材の近位の端部に隣接する一対のスロットを含み、該一対のスロットは、上記近位の縫合具材料の上記第一の側および上記第二の側を摩擦で固定するための寸法にされる、上記項目のうちのいずれか一項目に記載のアンビルアセンブリ。
(項目14)
上記細長いバットレス材料は、該細長いバットレス材料の上記近位の端部に隣接して形成された、上記近位の縫合具材料の上記第一の側および上記第二の側の通行用の第一の切り抜きおよび第二の切り抜きを含む、上記項目のうちのいずれか一項目に記載のアンビルアセンブリ。
(項目15)
上記アンビル部材に添付されたカバーをさらに備え、該カバーは、上記シンチトラックの視覚化を提供する遠位のウィンドウを含む、上記項目のうちのいずれか一項目に記載のアンビルアセンブリ。
(項目16)
上記アンビル部材に添付されたカバーをさらに備え、該カバーは、一対の近位のウィンドウを含み、該近位のウィンドウは、該アンビル部材に形成された第一の上記スロットおよび第二の上記スロット内に固定された、上記近位の縫合具材料の上記第一の側および上記第二の側の視覚化を提供する、上記項目のうちのいずれか一項目に記載のアンビルアセンブリ。
(項目17)
上記解放部材は、第一の水平の位置と第二の水平の位置との間で移動し、
該解放部材は、該解放部材が該第一の水平の位置にあるときに、上記シンチトラックを上記第一の縦の位置に維持し、
該解放部材は、該解放部材が該第二の水平の位置にあるときに、該シンチトラックが上記第二の縦の位置に移動することを可能にする、上記項目のうちのいずれか一項目に記載のアンビルアセンブリ。
バットレス型アンビルアセンブリが、外科用ステープル器具によって使用するために提供される。バットレス型アンビルアセンブリは、概して、一対の縫合具によってアンビル部材に付着された細長いバットレス材料を有するアンビル部材を含んでいる。張力付与機構が提供されることにより、使用の前にバットレス材料をアンビル部材に固定するかまたは張力をかけ、そして組織のステープル留めの後にバットレス材料の解放を可能にする。張力付与機構は、対の縫合具のうちの1つと係合可能なシンチトラックを含んでいる。
12 外科用ステープル器具
14 本体部分
16 細長い管状部材
18 ステープルカートリッジ
20 細長い管状部材の遠位の端部
22 トリガ
24 回転ノブ
26 アンビル部材
28 ナイフスロット
30 細長いバットレス材料
32 遠位の縫合具
34 近位の縫合具
36 バットレス材料の遠位の端部
38 バットレス材料の近位の端部
40、42 遠位の切り抜き
44、46 近位の切り抜き
48 せん孔線
50 シンチトラック
52 アンビル部材の遠位の端部
54 遠位の縫合具の第一の側
56 遠位の縫合具の第二の側
58 遠位の縫合具の後部スパン
60 解放部材
62 ナイフスロットの近位の端部
64 アンビル部材の近位の端部
66 ナイフスロットの遠位の端部
68、70 スロット
72 近位の縫合具の第一の側
74 近位の縫合具の第二の側
76 近位の縫合具の後部スパン
78 アンビルカバー
80 遠位のシンチウィンドウ
82 アンビルカバーの遠位の端部
84、86 近位のシンチウィンドウ
88 アンビルカバーの近位の端部
90、92 アンビルカバーのサイドカット
94、96 アンビル部材の側壁
98 取り付け構造
100 シンチトラックの本体部分
102 第一のトラック
104 第二のトラック
106 中央スロット
108、110 遠位のアーム
112、114 近位のタブ
116 近位の面
118、120 アンビル部材側壁の遠位の端部
122 遠位のくさび
124 傾斜した面
126、128 遠位のくさびの側
130 ガイドバー
132 ガイドバーの中央部分
134 ガイドバーのフランジ付きの部分
136 ガイドリブ
138 ベース停止部
140 アンビル部材の下側
142 近位の縫合具の第一の自由端
144 近位の縫合具の第二の自由端
146 遠位の縫合具の第一の自由端
148 遠位の縫合具の第二の自由端
150、152 ホール
154 ナイフバー
156 ナイフバーのブレード
158 ナイフバーの遠位の上部エッジ
160 解放部材の近位のエッジ
162 開口またはギャップ
Claims (16)
- アンビルアセンブリであって、
第一の側および第二の側を有するアンビル部材と、
該アンビル部材の該第一の側から該アンビル部材の該第二の側に通っている縫合具材料と、
該アンビル部材の該第一の側で移動可能に取り付けられ、かつ該縫合具と係合可能なシンチトラックであって、該シンチトラックは、該縫合具に張力をかける第一の縦の位置と該縫合具における張力を解放する第二の縦の位置との間で移動可能である、シンチトラックと、
解放部材であって、該アンビル部材の該第一の側で移動可能に取り付けられ、該シンチトラックを該第二の縦の位置に移動させるために、該シンチトラックに対して移動可能である、解放部材と
を備える、アンビルアセンブリ。 - 前記アンビル部材の前記第二の側に隣接して位置決めされた細長いバットレス材料をさらに備える、請求項1に記載のアンビルアセンブリ。
- 前記縫合具は、後部スパンと、該後部スパンから延びる第一の縫合具の側および第二の縫合具の側とを含み、該後部スパンは、前記シンチトラックが前記第一の縦の位置にあるときに、前記細長いバットレス材料を前記アンビル部材の前記第二の側に隣接して維持するために、該細長いバットレス材料と係合可能である、請求項2に記載のアンビルアセンブリ。
- 前記シンチトラックは、第一のトラックを含み、前記第一の縫合具の側は、該第一のトラックにおいて固定される、請求項3に記載のアンビルアセンブリ。
- 前記シンチトラックは、第二のトラックを含み、前記第二の縫合具の側は、該第二のトラックにおいて固定される、請求項4に記載のアンビルアセンブリ。
- 前記解放部材は、くさびを含み、前記シンチトラックは、スロットを含み、それによって、該シンチトラックは、該くさびが該スロット内に位置決めされているときに、前記第一の縦の位置にあり、該シンチトラックは、該くさびが該スロットの外にあるときに、前記第二の縦の位置にある、請求項3に記載のアンビルアセンブリ。
- 前記アンビル部材は、長手に延びるスロットを含み、前記解放部材は、該長手に延びるスロット内を移動可能なガイドリブを含む、請求項2に記載のアンビルアセンブリ。
- 前記アンビル部材は、該アンビル部材の前記第一の側と前記第二の側との間に延びる第一のホールおよび第二のホールを含み、前記縫合具材料の前記第一の側は、該第一のホールを通って延び、該縫合具材料の前記第二の側は、該第二のホールを通って延びる、請求項3に記載のアンビルアセンブリ。
- 前記細長いバットレス材料は、せん孔線を含む、請求項2に記載のアンビルアセンブリ。
- 前記細長いバットレス材料は、前記縫合具材料の前記第一の側および前記第二の側の通行に適応するために、第一の切り抜きおよび第二の切り抜きを含む、請求項3に記載のアンビルアセンブリ。
- 前記細長いバットレス材料の近位の端部を前記アンビル部材に固定する近位の縫合具材料をさらに備える、請求項3に記載のアンビルアセンブリ。
- 前記近位の縫合具材料は、後部スパンと、該後部スパンから延びる第一の側および第二の側とを含み、該後部スパンは、前記細長いバットレス材料を前記アンビル部材の前記第二の側に固定する、請求項11に記載のアンビルアセンブリ。
- 前記アンビル部材は、該アンビル部材の近位の端部に隣接する一対のスロットを含み、該一対のスロットは、前記近位の縫合具材料の前記第一の側および前記第二の側を摩擦で固定するための寸法にされる、請求項12に記載のアンビルアセンブリ。
- 前記細長いバットレス材料は、該細長いバットレス材料の前記近位の端部に隣接して形成された、前記近位の縫合具材料の前記第一の側および前記第二の側の通行用の第一の切り抜きおよび第二の切り抜きを含む、請求項12に記載のアンビルアセンブリ。
- 前記アンビル部材に添付されたカバーをさらに備え、該カバーは、前記シンチトラックの視覚化を提供する遠位のウィンドウを含む、請求項4に記載のアンビルアセンブリ。
- 前記解放部材は、第一の水平の位置と第二の水平の位置との間で移動し、
該解放部材は、該解放部材が該第一の水平の位置にあるときに、前記シンチトラックを前記第一の縦の位置に維持し、
該解放部材は、該解放部材が該第二の水平の位置にあるときに、該シンチトラックが前記第二の縦の位置に移動することを可能にする、請求項1に記載のアンビルアセンブリ。
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JP5465048B2 JP5465048B2 (ja) | 2014-04-09 |
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