JP2010523282A - 外科用クリップアプライヤ - Google Patents
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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
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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
- 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
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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
- A61B90/08—Accessories or related features not otherwise provided for
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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
- A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
- A61B2017/00407—Ratchet means
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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
- A61B2017/00681—Aspects not otherwise provided for
- A61B2017/00734—Aspects not otherwise provided for battery operated
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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
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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
- A61B90/08—Accessories or related features not otherwise provided for
- A61B2090/0803—Counting the number of times an instrument is used
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- General Health & Medical Sciences (AREA)
- Reproductive Health (AREA)
- Vascular Medicine (AREA)
- Pathology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Surgical Instruments (AREA)
- Coating Apparatus (AREA)
Abstract
Description
本願は、米国仮出願第60/922,946号(2007年4月11日出願)に基づく利益と優先権を主張する。この仮出願の全内容は、本明細書に参照により援用される。
本出願は、外科用クリップアプライヤに関し、具体的には、外科的手技中にクリップを身体組織および血管に適用するための複数のクリップを有する器具に関する。
Claims (26)
- 筐体と、
該筐体の両側に旋回可能に接続される一対のハンドルと、
該筐体に固定され、該筐体から延在するチャネルアセンブリと、
該チャネルアセンブリ内に配置され、チャネルおよび複数の窓を画定するクリップキャリアと、
該チャネルアセンブリ内で摺動可能に配置されるウェッジプレートであって、該ハンドルに動作可能に接続され、その長さに沿って形成される複数の開口を含む、ウェッジプレートと、
該クリップキャリアの該チャネル内で摺動可能に配置される複数のクリップと、
該複数のクリップの近位の場所において該クリップキャリアの該チャネル内で摺動可能に配置されるクリップフォロワであって、該クリップキャリアの該窓および該ウェッジプレートの該開口との選択的係合のために構成および適合される、クリップフォロワと
を備え、
該クリップフォロワは、該ウェッジプレートの遠位への前進時に、該クリップキャリアに対して該複数のクリップを遠位に押し進めるように構成および適合される、
外科用クリップアプライヤ。 - 前記筐体の反対側にある、前記チャネルアセンブリの端から延在する一対の顎を含む顎アセンブリをさらに備え、該顎アセンブリは、その中にクリップを収容し、前記ハンドルの移動に応じて、クリップの閉鎖を達成するように動作可能である、請求項1に記載のクリップアプライヤ。
- 前記筐体および前記チャネルアセンブリのうちの少なくとも1つの内側で摺動可能に位置付けられる、クリップ押込棒をさらに備え、該クリップ押込棒は、前記ハンドルのうちの少なくとも1つに動作可能に接続される第1端と、前記一対の顎に近接して終端する押込器を画定する第2端とを有し、該顎の間に前記最遠位クリップを移動させるように、該ハンドルが第1の方向に初期量で接近させられると、該顎に近づけられ、前記複数のクリップの中の最遠位クリップの後方に該押込器を移動させるように、該ハンドルが該第1の方向に追加量で接近させられると、該筐体に近づくように構成および適合される、請求項2に記載のクリップアプライヤ。
- 前記筐体および前記チャネルアセンブリのうちの少なくとも1つの内側で摺動可能に配置される、駆動チャネルをさらに備え、駆動チャネルは、前記ハンドルのうちの少なくとも1つに動作可能に接続される第1端と、前記一対の顎に選択的に係合して該一対の顎の閉鎖を達成するように構成および寸法決定される第2端とを有し、該顎に対してその前記遠位端を移動させて該顎を閉鎖するように、該ハンドルが前記第1の方向に移動させられると、該顎に近づけられ、該顎からその該遠位端を離して該顎を開放するように、該ハンドルが第2の方向に移動させられると、該顎から離される、請求項3に記載のクリップアプライヤ。
- 前記ウェッジプレートに動作可能に接続され、前記駆動チャネルによって選択的に係合可能である、旋回アームをさらに備え、該旋回アームの回転は、該駆動チャネルの遠位への移動中に、該ウェッジプレートの近位への移動をもたらす、請求項4に記載のクリップアプライヤ。
- 前記駆動チャネル上で旋回可能に支持され、該駆動チャネルとともに可動である、押込棒カムであって、前記ウェッジプレートに形成されるスロットを通って前記押込棒に形成される窓の中へ延在する押込棒カムをさらに備え、該記駆動チャネルが遠位に移動させられると、該押込棒カムは、該押込棒を遠位に移動させる、請求項4に記載のクリップアプライヤ。
- 前記駆動チャネルの遠位への移動中に、前記押込棒カムは、該押込棒カムが前記押込棒の前記窓から係合解除して、該押込棒が近位に移動することを可能にするように、該駆動チャネルに対して回転させられる、請求項6に記載のクリップアプライヤ。
- 前記ウェッジプレートは、遠位位置に付勢される、請求項1に記載のクリップアプライヤ。
- 前記押込棒および前記駆動チャネルのうちの少なくとも1つは、近位位置に付勢される、請求項4に記載のクリップアプライヤ。
- 前記駆動チャネルと関連付けられる、複数のラチェット歯を有するラックと、
該ラックに選択的に係合する位置に配置される、少なくとも1つの歯を有する歯止めとを含む、ラチェット機構をさらに備え、
該歯止めは、該ラックと係合するように付勢され、該駆動チャネルが長手方向に往復運動させられると、該複数の歯は、該歯止めの上を通され、該歯止めは、前記ハンドルの完全作動の前の該駆動チャネルの不慮の復帰を防止する、
請求項4に記載のクリップアプライヤ。 - 前記チャネルアセンブリの遠位端の中に配置されるロックアウトをさらに備え、該ロックアウトは、最後のクリップが前記クリップアプライヤから排出されると、前記クリップフォロワによって作動される、請求項1に記載のクリップアプライヤ。
- 前記ロックアウトは、前記クリップフォロワによって、前記駆動チャネルの経路を横断して延在するように促され、それにより、該駆動チャネルが遠位に移動することを防止する、請求項11に記載のクリップアプライヤ。
- 前記ハンドルの移動中に軸力を前記駆動チャネルに伝達するように、該駆動チャネルに形成される旋回点の中で動作可能に受容される、駆動ピンをさらに備え、該旋回点は、少なくとも1つの縁によって細長いスロットから分離される、請求項4に記載のクリップアプライヤ。
- 前記筐体に選択的に取付可能であり、前記ハンドルのそれぞれに係合するように構成および適合される、出荷ウェッジをさらに備える、請求項1に記載のクリップアプライヤ。
- 前記筐体および前記チャネルアセンブリのうちの少なくとも1つの中で支持されるカウンタ機構をさらに備え、該カウンタ機構は、前記ハンドルの各作動時に前記クリップアプライヤの変化を表示するように構成および適合される、請求項1に記載のクリップアプライヤ。
- 前記駆動チャネルは、前記顎および前記ウェッジプレートを少なくとも部分的に包囲するように構成および寸法決定され、該駆動チャネルは、該駆動チャネル内で該顎および該ウェッジプレートを維持するために、その遠位端を横断して延在するストラップを含む、請求項4に記載のクリップアプライヤ。
- 筐体と、
該筐体の両側に旋回可能に接続される一対のハンドルと、
該筐体に固定され、該筐体から延在するチャネルアセンブリと、
該チャネルアセンブリ内に配置され、チャネルを画定するクリップキャリアと、
該筐体および該チャネルアセンブリのうちの少なくとも1つの内側で摺動可能に配置される、駆動チャネルであって、該ハンドルのうちの少なくとも1つに動作可能に接続される第1端と、一対の顎に選択的に係合して該一対の顎の閉鎖を達成するように構成および寸法決定される第2端とを有する、該駆動チャネルと、
該クリップキャリアの該チャネル内で摺動可能に配置される複数のクリップと、
該複数のクリップの近位の場所において該クリップキャリアの該チャネル内で摺動可能に配置されるクリップフォロワと、
該チャネルアセンブリの遠位端の中に配置されるロックアウトと
を備え、
該ロックアウトは、最後のクリップが該クリップアプライヤから排出されると、該クリップフォロワによって作動され、該ロックアウトは、該クリップフォロワによって、該駆動チャネルの経路を横断して延在するように促され、それにより、該駆動チャネルが遠位に移動することを防止する、
外科用クリップアプライヤ。 - 前記チャネルアセンブリ内で摺動可能に配置されるウェッジプレートであって、前記ハンドルに動作可能に接続され、その長さに沿って形成される複数の開口を含む、ウェッジプレートをさらに備え、前記クリップキャリアは、複数の窓を画定し、前記クリップフォロワは、該クリップキャリアの該窓および前記ウェッジプレートの前記開口との選択的係合のために構成および適合され、該クリップフォロワは、該ウェッジプレートの遠位への前進時に、該クリップキャリアに対して前記複数のクリップを遠位に押し進めるように構成および適合される、請求項17に記載のクリップアプライヤ。
- 前記筐体の反対側にある、前記チャネルアセンブリの端から延在する一対の顎を含む顎アセンブリであって、その中にクリップを収容するように適合され、前記ハンドルの移動に応じて、クリップの閉鎖を達成するように動作可能である、顎アセンブリをさらに備える、請求項18に記載のクリップアプライヤ。
- 前記筐体および前記チャネルアセンブリのうちの少なくとも1つの内側で摺動可能に位置付けられる、クリップ押込棒をさらに備え、該クリップ押込棒は、前記ハンドルのうちの少なくとも1つに動作可能に接続される第1端と、前記一対の顎に近接して終端する押込器を画定する第2端とを有し、該顎の間に前記最遠位クリップを移動させるように、該ハンドルが第1の方向に初期量で接近させられると、該顎に近づけられ、前記複数のクリップの中の最遠位クリップの後方に該押込器を移動させるように、該ハンドルが前記第1の方向に追加量で接近させられると、該筐体に近づくように構成および適合される、請求項19に記載のクリップアプライヤ。
- 前記駆動チャネル上で旋回可能に支持され、該駆動チャネルとともに可動である、押込棒カムであって、前記ウェッジプレートに形成されるスロットを通って前記押込棒に形成される窓の中へ延在する押込棒カムをさらに備え、該駆動チャネルが遠位に移動させられると、該押込棒カムは、該押込棒を遠位に移動させる、請求項20に記載のクリップアプライヤ。
- 前記駆動チャネルの遠位への移動中に、前記押込棒カムは、該押込棒カムが前記押込棒の前記窓から係合解除して、該押込棒が近位に移動することを可能にするように、該駆動チャネルに対して回転させられる、請求項21に記載のクリップアプライヤ。
- 前記ウェッジプレートに動作可能に接続され、前記駆動チャネルによって選択的に係合可能である、旋回アームをさらに備え、該旋回アームの回転は、該駆動チャネルの遠位への移動中に、該ウェッジプレートの近位への移動をもたらす、請求項18に記載のクリップアプライヤ。
- 前記駆動チャネルと関連付けられる、複数のラチェット歯を有するラックと、
該ラックに選択的に係合する位置に配置される、少なくとも1つの歯を有する歯止めとを含む、ラチェット機構をさらに備え、
該歯止めは、該ラックと係合するように付勢され、該駆動チャネルが長手方向に往復運動させられると、該複数の歯は、該歯止めの上を通され、該歯止めは、前記ハンドルの完全作動前の該駆動チャネルの不慮の復帰を防止する、
請求項17に記載のクリップアプライヤ。 - 前記ハンドルの移動中に軸力を前記駆動チャネルに伝達するように、該駆動チャネルに形成される旋回点の中で動作可能に受容される、駆動ピンをさらに備え、該旋回点は、少なくとも1つの縁によって細長いスロットから分離される、請求項17に記載のクリップアプライヤ。
- 前記駆動チャネルは、前記顎および前記ウェッジプレートを少なくとも部分的に包囲するように構成および寸法決定され、該駆動チャネルは、該駆動チャネル内で該顎および該ウェッジプレートを維持するために、その遠位端を横断して延在するストラップを含む、請求項19に記載のクリップアプライヤ。
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Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US92294607P | 2007-04-11 | 2007-04-11 | |
US60/922,946 | 2007-04-11 | ||
PCT/US2008/059859 WO2008127968A2 (en) | 2007-04-11 | 2008-04-10 | Surgical clip applier |
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JP2010523282A true JP2010523282A (ja) | 2010-07-15 |
JP5329526B2 JP5329526B2 (ja) | 2013-10-30 |
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JP2010503198A Expired - Fee Related JP5329526B2 (ja) | 2007-04-11 | 2008-04-10 | 外科用クリップアプライヤ |
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US (3) | US8506580B2 (ja) |
EP (2) | EP2139401B1 (ja) |
JP (1) | JP5329526B2 (ja) |
CN (2) | CN102327136B (ja) |
AU (1) | AU2008240272B2 (ja) |
CA (1) | CA2682958C (ja) |
WO (1) | WO2008127968A2 (ja) |
Cited By (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2011125705A (ja) * | 2009-12-15 | 2011-06-30 | Tyco Healthcare Group Lp | 外科手術用クリップアプライア |
JP2014514001A (ja) * | 2011-03-31 | 2014-06-19 | アエスキュラップ アーゲー | 外科クリップアプリケータ |
JP2020025860A (ja) * | 2018-08-10 | 2020-02-20 | コヴィディエン リミテッド パートナーシップ | ハンドルアセンブリのフィードバック機構 |
Families Citing this family (647)
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---|---|---|---|---|
ES2347778T3 (es) | 2002-04-10 | 2010-11-04 | Tyco Healthcare Group Lp | Aplicador de grapas quirurgicas con mordazas de alto apriete. |
EP3170459A1 (en) | 2003-03-11 | 2017-05-24 | Covidien LP | Clip applying apparatus with angled jaw |
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2008
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- 2008-04-10 CN CN201110288621.0A patent/CN102327136B/zh not_active Expired - Fee Related
- 2008-04-10 US US12/595,318 patent/US8506580B2/en active Active
- 2008-04-10 EP EP08745461.7A patent/EP2139401B1/en not_active Not-in-force
- 2008-04-10 WO PCT/US2008/059859 patent/WO2008127968A2/en active Application Filing
- 2008-04-10 JP JP2010503198A patent/JP5329526B2/ja not_active Expired - Fee Related
- 2008-04-10 AU AU2008240272A patent/AU2008240272B2/en not_active Ceased
- 2008-04-10 CN CN2008800155927A patent/CN101677813B/zh not_active Expired - Fee Related
- 2008-04-10 EP EP13167510.0A patent/EP2671519B1/en not_active Not-in-force
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2013
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JP2011125705A (ja) * | 2009-12-15 | 2011-06-30 | Tyco Healthcare Group Lp | 外科手術用クリップアプライア |
JP2014514001A (ja) * | 2011-03-31 | 2014-06-19 | アエスキュラップ アーゲー | 外科クリップアプリケータ |
US9468440B2 (en) | 2011-03-31 | 2016-10-18 | Aesculap Ag | Surgical clip applicator |
JP2020025860A (ja) * | 2018-08-10 | 2020-02-20 | コヴィディエン リミテッド パートナーシップ | ハンドルアセンブリのフィードバック機構 |
Also Published As
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AU2008240272B2 (en) | 2013-08-29 |
CN101677813B (zh) | 2012-12-05 |
CA2682958C (en) | 2015-11-10 |
CN102327136B (zh) | 2014-04-23 |
US10258346B2 (en) | 2019-04-16 |
EP2671519B1 (en) | 2014-12-17 |
EP2139401A2 (en) | 2010-01-06 |
CN102327136A (zh) | 2012-01-25 |
CA2682958A1 (en) | 2008-10-23 |
CN101677813A (zh) | 2010-03-24 |
AU2008240272A1 (en) | 2008-10-23 |
JP5329526B2 (ja) | 2013-10-30 |
EP2671519A1 (en) | 2013-12-11 |
US20100137886A1 (en) | 2010-06-03 |
WO2008127968A3 (en) | 2008-12-31 |
EP2139401B1 (en) | 2014-01-08 |
US20130289583A1 (en) | 2013-10-31 |
US8506580B2 (en) | 2013-08-13 |
US9498227B2 (en) | 2016-11-22 |
EP2139401A4 (en) | 2012-07-04 |
WO2008127968A2 (en) | 2008-10-23 |
US20170027581A1 (en) | 2017-02-02 |
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