JP2010507454A - クリップ適用性能と組み合わせられたハイブリッドエネルギー器具 - Google Patents
クリップ適用性能と組み合わせられたハイブリッドエネルギー器具 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
- A61B17/32—Surgical cutting instruments
- A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
- A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
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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
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/128—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips
- A61B17/1285—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips for minimally invasive 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
- A61B17/12—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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- A—HUMAN NECESSITIES
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- 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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- 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
- A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
- A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
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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
- A61B17/32—Surgical cutting instruments
- A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
- A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
- A61B2017/320094—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw additional movable means performing clamping operation
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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
- A61B17/32—Surgical cutting instruments
- A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
- A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
- A61B2017/320095—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw with sealing or cauterizing means
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Abstract
Description
本出願は、概して、外科器具および外科的方法に関し、より詳細には、患者の組織を切断し、凝固させ、また結紮するために、クリップ適用性能(clip application capability)と組み合わせられた、方法、およびエネルギーベースの外科器具に関する。
外科医は、組織を切断し、凝固させ、かつ/または凝結させるために、典型的には超音波外科装置を使用する。例示的な超音波外科装置が、米国特許第5,322,055号、同第6,325,811号、同第6,432,118号、および同第6,893,434号に記載されており、これら特許の全内容が、参照することにより本明細書に組み込まれる。超音波外科装置の例は、オハイオ州シンシナティのEthicon Endo-Surgery, Inc.から入手可能な、Harmonic Scalpel(登録商標)Laparosonic(登録商標)凝固剪断機である。
一態様では、開示された医療装置は、遠位端部を有する細長いハウジングであって、ハウジングは、内部に内腔チャネルを画定している、ハウジングと、遠位端部に配されたエンドエフェクタであって、エンドエフェクタは、細長い処置部分を有するエネルギーベースの外科器具、およびクランプアーム組立体を含み、クランプアーム組立体は、処置部分に対して動くことができる、エンドエフェクタと、内腔チャネル内部に配された少なくとも1つのクリップと、内腔チャネル内部の第1の位置から内腔チャネル外部の第2の位置までクリップを前進させるように内腔チャネルの中を移動可能な発射バーと、を含む。
開示されたハイブリッド医療装置を詳細に説明する前に、本開示は、その適用または用途において、添付の図面および説明に例示された構成および部品の配列の詳細に限定されないことが注意されるべきである。例示的な実施形態は、他の実施形態、変形体および改造物において実行されるか、またはこれらに組み込まれることができ、また、様々な方法で実践または実施されてよい。さらに、特に指摘されない限り、本明細書で用いられる用語および表現は、読者の便宜のために例示的な実施形態を説明する目的で選択されており、限定的となることを意図していない。加えて、電気または超音波などの単一の種類のエネルギー源を含むことが示されるあらゆる実施形態は、特に言及しない限り、そのエネルギーモダリティーに限定されると想定されるべきではない。
Claims (26)
- 医療装置において、
遠位端部を有する細長いハウジングであって、前記ハウジングは、その内部に内腔チャネルを画定している、ハウジングと、
前記遠位端部に配されたエンドエフェクタであって、前記エンドエフェクタは、細長い処置部分を有するエネルギーベースの外科器具、およびクランプアーム組立体を含み、前記クランプアーム組立体は、前記処置部分に対して動くことができる、エンドエフェクタと、
前記内腔チャネル内部に配された、少なくとも1つのクリップと、
前記内腔チャネル内部の第1の位置から前記内腔チャネル外部の第2の位置まで前記クリップを前進させるように前記内腔チャネルの中を移動可能な発射バーと、
を含む、医療装置。 - 請求項1に記載の医療装置において、
前記エネルギーベースの外科器具は、超音波ブレードである、医療装置。 - 請求項2に記載の医療装置において、
前記超音波ブレードは、長さ方向モードで振動する、医療装置。 - 請求項2に記載の医療装置において、
前記超音波ブレードは、ねじれモードで振動する、医療装置。 - 請求項2に記載の医療装置において、
前記超音波ブレードは、横向きモードで振動する、医療装置。 - 請求項1に記載の医療装置において、
前記エネルギーベースの外科器具は、RFブレードである、医療装置。 - 請求項1に記載の医療装置において、
前記エネルギーベースの外科器具は、レーザーファイバーである、医療装置。 - 請求項1に記載の医療装置において、
前記エネルギーベースの外科器具は、前記外科器具を通る電流により加熱される、電気的に抵抗性のワイヤである、医療装置。 - 請求項1に記載の医療装置において、
前記クランプアーム組立体は、前記クランプアーム組立体と前記処置部分との間に位置付けられた組織を把持するように構成された、把持用ジョーを含む、医療装置。 - 請求項1に記載の医療装置において、
前記クランプアーム組立体は、前記処置部分に旋回可能に接続されている、医療装置。 - 請求項1に記載の医療装置において、
前記クランプアーム組立体に接続された作動部材、
をさらに含む、医療装置。 - 請求項8に記載の医療装置において、
前記作動部材の作動は、前記処置部分に向かって前記クランプアーム組立体を動かす、医療装置。 - 請求項1に記載の医療装置において、
前記ハウジングの中を延び、前記エネルギーベースの外科器具に接続されている、超音波導波管、
をさらに含む、医療装置。 - 請求項1に記載の医療装置において、
前記クリップは、形状記憶材料から形成され、開位置で前記内腔チャネル内部に配される、医療装置。 - 請求項14に記載の医療装置において、
前記形状記憶材料は、チタン/ニッケル合金である、医療装置。 - 請求項1に記載の医療装置において、
前記クリップは、第1の脚部材、第2の脚部材、および接続部分を含み、前記第1の脚部材は、前記接続部分において前記第2の脚部材に接続されている、医療装置。 - 請求項1に記載の医療装置において、
前記クリップは、柔らかなエラストマー材料でコーティングされている、医療装置。 - 請求項16に記載の医療装置において、
前記第1の脚部は、前記第2の脚部の遠位部分に係合するように構成された遠位スナップを含む、医療装置。 - 請求項1に記載の医療装置において、
前記クリップが前記第2の位置にあるとき、前記クリップは、前記クランプアーム組立体と前記処置部分との間に位置付けられる、医療装置。 - 請求項1に記載の医療装置において、
前記エンドエフェクタは、アンビルをさらに含み、前記アンビルは、前記処置部分に概ね隣接して、また前記処置部分と概ね平行に、位置付けられている、医療装置。 - 請求項15に記載の医療装置において、
前記クリップが前記第2の位置にあるとき、前記クリップは、前記クランプアーム組立体と前記アンビルとの間に位置付けられる、医療装置。 - 医療装置において、
遠位端部を有する細長いハウジングであって、前記ハウジングは、その内部に内腔チャネルを画定している、ハウジングと、
前記遠位端部に配されたエンドエフェクタであって、前記エンドエフェクタは、細長い処置部分を有する超音波ブレード、およびクランプアーム組立体を含み、前記クランプアーム組立体は、前記クランプアーム組立体と前記処置部分との間に位置付けられた組織を把持するように前記処置部分に対して動くことができる、エンドエフェクタと、
前記クランプアーム組立体に接続された作動部材であって、前記作動部材は、開位置から閉位置に前記クランプアーム組立体を動かすように構成されている、作動部材と、
前記内腔チャネル内部に配された、少なくとも1つのクリップと、
前記内腔チャネル内部の第1の位置から、前記クランプアーム組立体と前記超音波ブレードとの間の第2の位置まで前記クリップを前進させるように前記内腔チャネルの中を移動可能な発射バーと、
を含む、医療装置。 - 請求項22に記載の医療装置において、
前記クランプアーム組立体は、前記クランプアーム組立体と前記超音波ブレードとの間に位置付けられた組織を把持するように構成された、把持用ジョーを含む、医療装置。 - 請求項22に記載の医療装置において、
前記エンドエフェクタは、アンビルをさらに含み、前記アンビルは、前記処置部分に概ね隣接して、また前記処置部分と概ね平行に、位置付けられている、医療装置。 - 対象組織を処置する方法において、
クランプアーム組立体、および前記クランプアーム組立体の上に配されたエネルギーベースの外科器具部分を有する遠位端部を含むハイブリッド医療装置を用意するステップであって、前記エネルギーベースの外科器具部分は、処置部分を含む、ステップと、
前記装置の前記遠位端部を前記対象組織に隣接して位置付けるステップと、
概ね前記クランプアーム組立体と前記処置部分との間に前記対象組織を位置付けるように前記装置の前記遠位端部を操作するステップと、
前記装置から、前記クランプアーム組立体と前記処置部分との間の空間内へ外科用クリップを前進させるステップと、
前記対象組織の上で前記クリップを押しつぶすステップと、
前記対象組織を処置するために前記処置部分にエネルギーを与えるステップと、
を含む、方法。 - 対象組織を処置する方法において、
クランプアーム組立体、および前記クランプアーム組立体の上に配されたエネルギーベースの外科器具部分を有する遠位端部を含むハイブリッド医療装置を用意するステップであって、前記エネルギーベースの外科器具部分は、処置部分を含む、ステップと、
前記対象組織に隣接して前記装置の前記遠位端部を位置付けるステップと、
前記対象組織を捕捉し結紮するために概ね前記クランプアーム組立体と前記処置部分との間に前記対象組織を位置付けるように前記装置の前記遠位端部を操作するステップと、
前記装置から、前記クランプアーム組立体と前記処置部分との間の空間内へ外科用クリップを前進させるステップと、
前記対象組織の上で前記クリップを押しつぶすステップと、
前記対象組織を処置するために前記処置部分にエネルギーを与えるステップと、
を含む、方法。
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US11/585,351 US20080147092A1 (en) | 2006-10-23 | 2006-10-23 | Hybrid energy instrument combined with clip application capability |
PCT/US2007/081639 WO2008051764A2 (en) | 2006-10-23 | 2007-10-17 | Hybrid energy instrument combined with clip application capability |
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EP (1) | EP2077771A2 (ja) |
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CN (1) | CN101547652A (ja) |
AU (1) | AU2007309196A1 (ja) |
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JP2016511098A (ja) * | 2013-03-14 | 2016-04-14 | エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc. | 外科用エネルギー装置と共に使用される機械的締結具 |
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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Also Published As
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WO2008051764A2 (en) | 2008-05-02 |
EP2077771A2 (en) | 2009-07-15 |
US20080147092A1 (en) | 2008-06-19 |
AU2007309196A1 (en) | 2008-05-02 |
WO2008051764A3 (en) | 2008-09-12 |
CN101547652A (zh) | 2009-09-30 |
CA2672195A1 (en) | 2008-05-02 |
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