JP2010240464A - 外科用ファスナー適用装置 - Google Patents
外科用ファスナー適用装置 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
-
- 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
- A61B2017/0725—Stapler heads with settable gap between anvil and cartridge, e.g. for different staple heights at different shots
-
- 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
- A61B17/32—Surgical cutting instruments
- A61B2017/320052—Guides for cutting instruments
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- 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
- A61B90/03—Automatic limiting or abutting means, e.g. for safety
- A61B2090/038—Automatic limiting or abutting means, e.g. for safety during shipment
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- 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
- A61B2090/0801—Prevention of accidental cutting or pricking
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- 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
- A61B2090/0814—Preventing re-use
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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】外科用ファスナー適用装置に使用するための、取替え可能なステープルカートリッジアセンブリーにおいて、該ステープルカートリッジアセンブリーは、前記カートリッジアセンブリーに除去可能に結合された出荷ウエッジを含み、該出荷ウエッジは、前記カートリッジアセンブリーに形成されたステープル列を覆い且つ前記スロットトラックを覆うように構成および適合されることを特徴とする外科用ファスナー。
【選択図】図9
Description
本発明のもう一つの目的は、当該装置の発射ストロークの際には開かない、外科用ファスナー適用装置を提供することである。
本発明の更なる目的は、完全に発射され、または部分的に発射された使い捨てステープルカートリッジをその中に受入れないような、外科用ファスナー適用装置を提供することである。
本発明の更にもう一つの目的は、非クランプ状態の間は発射されない外科用ファスナー適用装置を提供することである。
今回開示される外科用ファスナー装置の好ましい実施例を、図面を参照して詳細に説明するが、これらの図において、同じ参照番号は同様のまたは同一の構造的要素を意味する。図に示し且つ以下の説明を通して述べるように、外科用器具での相対的配置に言及するときは、慣例に従って、「近位」の語は当該装置のユーザに近い方の末端を意味し、「遠位」の用語は当該装置のユーザから遠い方の末端を意味する。
ステープル押出し器20は、その一個づつがスロット32とそれぞれ相互に整列しており、一つのステープル押出し器20が、スロット32に保持されたステープル26の下に位置するようになっている。サンプル押出し器20は、図10に概略的に示すように、それらが二つのオフセットした配向の押出し器対からなる群で相互に取付けられ、また二つの押出し器20の夫々の対を連結する駆動表面を有するように形成される。
ここに開示された外科用ファスナー適用装置の実施例は、種々変更し得ることが理解されるであろう。従って、上記の説明は限定的に解釈されるべきではなく、好ましい実施例の単なる例示として解釈されるべきである。当業者は、本開示の範囲および精神の範囲内において、他の変更を構想するであろう。
Claims (8)
- 外科用ファスナー適用装置に使用するための、取替え可能なステープルカートリッジアセンブリーにおいて:該ステープルカートリッジアセンブリーは、
前記カートリッジアセンブリーに除去可能に結合された出荷ウエッジを含み、該出荷ウエッジは、前記カートリッジアセンブリーに形成されたステープル列を覆い且つ前記スロットトラックを覆うように構成および適合されることを特徴とする外科用ファスナー。 - 請求項1に記載の取替え可能なステープルカートリッジアセンブリーにおいて、前記ウエッジは、近位端の下面から下方に伸びるポストを含み、該ポストは前記カートリッジアセンブリーに形成された相補的形状の開口部内に収容されることにより、前記ナイフの遠位方向への移動を阻止するように構成および適合されることを特徴とするステープルカートリッジアセンブリー。
- 請求項2に記載の取替え可能なステープルカートリッジアセンブリーにおいて、前記出荷ウエッジは、更に、該出荷ウエッジの上面から上方且つ近位方向に伸びることにより、前記ナイフの遠位縁を覆う隣接部材を含むことを特徴とするステープルカートリッジアセンブリー。
- カートリッジ側部分およびアンビル側部分を有し、該カートリッジ側部分および該アンビル側部分が非クランプ位置から完全なクランプ位置へと相対的に移動可能である外科用ファスナー適用装置において:前記カートリッジ側部分は、
前記カートリッジ側部分に摺動可能に結合されたカムバー装置であって、その下面に形成された一対のカム表面延設部およびスルーホールを含むカムバー装置と;
前記カートリッジ側部分に旋回可能に装着されたロッカーであって、該ロッカーは下方に伸びるブロック表面を含み且つロックアウト位置に向けて付勢されるロッカーとを具備し;
前記ブロック表面は、前記カムバー装置のブロック孔を通して伸びることにより、前記カムバー装置および前記カム表面延設部の長手方向の移動を防止することを特徴とする外科用ファスナー適用装置。 - 請求項4に記載の外科用ファスナーアプライヤー装置において、前記アンビル側部分はその両側に形成された下方に伸びる脚部を含み、該下方に伸びる脚部は前記カートリッジ側部分に当接して付勢され、ここで前記脚部に対して近位にある前記アンビル側部分の一部は、前記アンビル側部分と前記ロッカーとの間でカム動作により前記ロッカーを回転させるように駆動し、また前記ブロック表面は前記カムバー装置における前記開口部から除去されることにより、前記カム表面延設部の長手方向の移動を可能にすることを特徴とする外科用ファスナーアプライヤー装置。
- 請求項4に記載の外科用ファスナーアプライヤー装置において、前記ロッカーはその少なくとも一方の側に沿って形成された下方に伸びる脚部を含み、また前記バネは前記ロッカーの脚部と前記カートリッジ側部分に形成された端壁との間に配置され、前記バネは前記ロッカーを前記ブロック位置へと付勢することを特徴とする外科用ファスナーアプライヤー装置。
- 請求項4に記載の外科用ファスナーアプライヤー装置において、前記ロッカーは、その表面の少なくとも一方の側に形成され且つ肩部を定義する凹部と、第一および第二の脚部を有する捩れバネとを含み、該バネは前記凹部から突出するポスト上に配置され、前記バネの第一の脚部は前記肩部に当接し、前記捩れバネは前記ロッカーを前記ブロック位置へと付勢することを特徴とする外科用ファスナーアプライヤー装置。
- 非クランプ位置から完全なクランプ位置へと相対的に移動可能であるカートリッジ側部分およびアンビル側部分を有する外科用ファスナー適用装置に使用するための、取替え可能なステープルカートリッジアセンブリーにおいて:該ステープルカートリッジアセンブリーは、
前記カートリッジアセンブリーの近位端近傍の両側に配置された一対の摩擦フィンガーであって、前記カートリッジアセンブリーと前記カートリッジ側部分の内面との間で摩擦係合を形成する一対の摩擦フィンガーを具備することを特徴とする取替え可能なステープルカートリッジアセンブリー。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
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US24046100P | 2000-10-13 | 2000-10-13 | |
US60/240,461 | 2000-10-13 |
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JP2007148130A Division JP4925448B2 (ja) | 2000-10-13 | 2007-06-04 | 外科用ファスナー適用装置 |
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JP2010240464A true JP2010240464A (ja) | 2010-10-28 |
JP5232832B2 JP5232832B2 (ja) | 2013-07-10 |
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JP2002533746A Expired - Fee Related JP4549018B2 (ja) | 2000-10-13 | 2001-10-15 | 外科用ファスナー適用装置 |
JP2007148130A Expired - Fee Related JP4925448B2 (ja) | 2000-10-13 | 2007-06-04 | 外科用ファスナー適用装置 |
JP2010147661A Expired - Lifetime JP5232832B2 (ja) | 2000-10-13 | 2010-06-29 | 外科用ファスナー適用装置 |
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JP2002533746A Expired - Fee Related JP4549018B2 (ja) | 2000-10-13 | 2001-10-15 | 外科用ファスナー適用装置 |
JP2007148130A Expired - Fee Related JP4925448B2 (ja) | 2000-10-13 | 2007-06-04 | 外科用ファスナー適用装置 |
Country Status (8)
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US (7) | US7055730B2 (ja) |
EP (4) | EP1324708B1 (ja) |
JP (3) | JP4549018B2 (ja) |
AU (4) | AU1176102A (ja) |
CA (4) | CA2425211C (ja) |
DE (1) | DE60135920D1 (ja) |
ES (4) | ES2312476T3 (ja) |
WO (1) | WO2002030297A2 (ja) |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
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JP2014505508A (ja) * | 2010-12-16 | 2014-03-06 | 蘇州天臣国際医療科技有限公司 | 線形カッターステープラー |
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JP2014505508A (ja) * | 2010-12-16 | 2014-03-06 | 蘇州天臣国際医療科技有限公司 | 線形カッターステープラー |
US9700315B2 (en) | 2010-12-16 | 2017-07-11 | Touchstone International Medical Science Co., Ltd. | Linear cutting stapler |
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