JP2010523231A - 縫合、クリンピングおよびカッティング装置 - Google Patents
縫合、クリンピングおよびカッティング装置 Download PDFInfo
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- JP2010523231A JP2010523231A JP2010502346A JP2010502346A JP2010523231A JP 2010523231 A JP2010523231 A JP 2010523231A JP 2010502346 A JP2010502346 A JP 2010502346A JP 2010502346 A JP2010502346 A JP 2010502346A JP 2010523231 A JP2010523231 A JP 2010523231A
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- crimping
- suture
- ferrule
- cutting device
- cutting
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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
- A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
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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
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0467—Instruments for cutting sutures
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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
- A61B17/0482—Needle or suture guides
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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
- A61B17/0485—Devices or means, e.g. loops, for capturing the suture thread and threading it through an opening of a suturing instrument or needle eyelet
-
- 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
- A61B17/0487—Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks
-
- 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
- A61B17/2909—Handles
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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
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00353—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery one mechanical instrument performing multiple functions, e.g. cutting and grasping
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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
- A61B2017/00477—Coupling
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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
- A61B2017/0472—Multiple-needled, e.g. double-needled, instruments
-
- 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
- A61B17/0487—Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks
- A61B2017/0488—Instruments for applying suture clamps, clips or locks
Abstract
Description
本願は、2007年4月6日付けで出願された米国特許仮出願シリアル番号60/922,344に基づく優先権主張出願であり、また2001年10月22日付けで出願された米国特許仮出願シリアル番号60/345,212に基づき2002年10月22日付けで優先権主張出願された米国特許出願シリアル番号10/277,793を参照することによって、その全開示内容は、特にここに参照される。
図48は、縫合装置部402の本体から捕獲された縫合糸を引き出すための縫合針駆動用のレバー404を取り外した状態を示す。図49は、レバー404を取り外した後に、縫合糸408を切断する様子を示す。
縫合糸を身体組織に適用するための装置は、図1Aに示すように表され、一般的には、参照番号10で示される。ここで使用される“第1”および“第2”という用語は、読者の便宜のためであり、必ずしも各構成部品の駆動される順番表すものと解釈されるべきではないということに注意されたい。
図1Bを参照すると、縫合装置によって、或いは、縫合を確実に行うために縫合材料が適用される何らかの他の縫合手順によって、人体組織に縫合糸が適用された後、縫合材料の周りにフェルールを適用するためのクリンピングおよびカッティング装置10が示されている。
Claims (6)
- 末端部に配置された組織受容ギャップと、前記組織受容ギャップを横断し、運針する縫合糸の配置を有効にする針とを備える縫合装置部と、
前記縫合糸の一部を通して受容し、前記末端部の先端部に収容されたフェルールと、前記フェルールをクリンプし、受容された前記縫合糸を保持し、前記フェルールから近接して引きずられる前記縫合糸を切断するクリンピングおよびカッティング面とを有するクリンピングおよびカッティング装置部と
を備えることを特徴とする組み合わせ創傷縫合、クリンピングおよびカッティング装置。 - 前記クリンピングおよびカッティング装置部は、前記縫合装置部から取り外し可能であることを特徴とする請求項1に記載の組み合わせ創傷縫合、クリンピングおよびカッティング装置。
- 前記クリンピングおよびカッティング装置部は、前記縫合装置部内に入れ子状に収納されることを特徴とする請求項1に記載の組み合わせ創傷縫合、クリンピングおよびカッティング装置。
- 前記クリンピングおよびカッティング装置部は、前記縫合装置部の本体から前記縫合糸の一部を引き出し、前記クリンピングおよびカッティング装置部内に収容された前記フェルールを通して前記縫合糸を負荷する縫合負荷装置を更に備えることを特徴とする請求項1に記載の組み合わせ創傷縫合、クリンピングおよびカッティング装置。
- 前記創傷縫合部は、収容部と、前記収容部に接続され延伸するシャフトと、前記シャフト内に配置され、前記シャフト上の前記収容部から末端に配置された組織嵌合部内の組織受容ギャップを横断して末端まで可動する少なくとも1本の針と
を備え、前記組織受容ギャップは、その間に創傷部の一方の側を配置可能な2つの対向した表面を備え、すくなくとも一方の表面は、停止面を備え、前記組織受容ギャップは、前記創傷部の端部の配置を容易とする深さを有するように形成され、前記組織が嵌合された時、外科医に対して停止点の良好な接触感覚を提供するために、前記停止面は、その中間部分に一致されることを特徴とする請求項1に記載の組み合わせ創傷縫合、クリンピングおよびカッティング装置。 - 前記クリンピングおよびカッティング装置部は、第1側部と前記第1側部に対向する第2側部とを有するハンマーヘッドと、前記第2側部上に配置されたフェルール嵌合端部と、末端部と近接端部を有し,前記ハンマーヘッドを受容し,前記末端部から前記近接端部まで延長するハンマーヘッド開口部を有し,更に前記末端部近くに配置されたフェルール受容開口部を有する先端部と、前記フェルール受容開口部に近接して配置され,前記先端部の前記ハンマーヘッド開口部内に配置されたカッティング端部とを備えることを特徴とする請求項1に記載の組み合わせ創傷縫合、クリンピングおよびカッティング装置。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US92234407P | 2007-04-06 | 2007-04-06 | |
US60/922,344 | 2007-04-06 | ||
PCT/US2008/059551 WO2008124676A1 (en) | 2007-04-06 | 2008-04-07 | Suturing, crimping and cutting device |
Publications (3)
Publication Number | Publication Date |
---|---|
JP2010523231A true JP2010523231A (ja) | 2010-07-15 |
JP2010523231A5 JP2010523231A5 (ja) | 2013-05-23 |
JP5318086B2 JP5318086B2 (ja) | 2013-10-16 |
Family
ID=39827625
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2010502346A Active JP5318086B2 (ja) | 2007-04-06 | 2008-04-07 | 縫合、クリンピングおよびカッティング装置 |
Country Status (5)
Country | Link |
---|---|
US (1) | US20080249545A1 (ja) |
EP (1) | EP2134267A4 (ja) |
JP (1) | JP5318086B2 (ja) |
CN (1) | CN101674777B (ja) |
WO (1) | WO2008124676A1 (ja) |
Cited By (1)
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JP2011072790A (ja) * | 2009-10-01 | 2011-04-14 | Tyco Healthcare Group Lp | 直接駆動針を含む創傷閉鎖デバイス |
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- 2008-04-07 JP JP2010502346A patent/JP5318086B2/ja active Active
- 2008-04-07 CN CN2008800149254A patent/CN101674777B/zh not_active Expired - Fee Related
- 2008-04-07 EP EP08745225.6A patent/EP2134267A4/en not_active Withdrawn
- 2008-04-07 US US12/098,665 patent/US20080249545A1/en not_active Abandoned
- 2008-04-07 WO PCT/US2008/059551 patent/WO2008124676A1/en active Application Filing
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JP2011072790A (ja) * | 2009-10-01 | 2011-04-14 | Tyco Healthcare Group Lp | 直接駆動針を含む創傷閉鎖デバイス |
Also Published As
Publication number | Publication date |
---|---|
JP5318086B2 (ja) | 2013-10-16 |
CN101674777A (zh) | 2010-03-17 |
EP2134267A1 (en) | 2009-12-23 |
WO2008124676A1 (en) | 2008-10-16 |
CN101674777B (zh) | 2012-09-05 |
US20080249545A1 (en) | 2008-10-09 |
EP2134267A4 (en) | 2015-02-25 |
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