JP2012505725A - アンビルの位置のフィードバックを提供するための装置を有する外科用ステープリング器具 - Google Patents
アンビルの位置のフィードバックを提供するための装置を有する外科用ステープリング器具 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
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B17/115—Staplers for performing anastomosis in a single operation
- A61B17/1155—Circular staplers comprising a plurality of staples
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- A—HUMAN NECESSITIES
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Abstract
Description
(1) 1つ又は2つ以上の外科用ステープルを組織に適用するための外科用ステープリング器具であって、
ハンドルアセンブリと、
前記ハンドルアセンブリに連結され、内部のトロカールアセンブリを可動に支持するシャフトアセンブリと、
前記シャフトアセンブリに動作可能に連結されたステープリングヘッドアセンブリであって、前記ステープリングヘッドアセンブリは、
1つ又は2つ以上の外科用ステープルを支持するためのステープルカートリッジ、
前記ステープルカートリッジからの前記ステープルに係合し、これを駆動するためのステープル駆動器、及び
前記ステープリングヘッドアセンブリ内に可動に支持されるナイフを含む、ステープリングヘッドアセンブリと、
前記ステープル駆動器及び前記ナイフに駆動動作を適用するための駆動システムと、
前記トロカールアセンブリの遠位端に取り外し可能に取り付け可能なアンビルと、
前記アンビルが前記トロカールアセンブリの前記遠位端に取り付けられるときに、表示信号を提供するために、前記トロカールアセンブリと動作可能に通信するアンビルフィードバックシステムであって、前記アンビルフィードバックシステムは、前記トロカールアセンブリの前記遠位端及び前記アンビルのうちの一方の上に、少なくとも1つのセンサーを含み、前記少なくとも1つのセンサーは、前記外科用ステープリング器具上のインジケータと通信してこれに表示信号を提供する、アンビルフィードバックシステムとを含む、外科用ステープリング器具。
(2) 前記インジケータが前記アンビル上にある、実施態様1に記載の外科用ステープリング器具。
(3) 前記インジケータが少なくとも1つの照明装置を含む、実施態様2に記載の外科用ステープリング器具。
(4) 前記少なくとも1つの照明装置が少なくとも1つの発光ダイオードを含む、実施態様3に記載の外科用ステープリング器具。
(5) 前記アンビル上に支持され、前記インジケータ及び前記少なくとも1つのセンサーに連結される電源を更に含む、実施態様2に記載の外科用ステープリング器具。
(6) 前記アンビルフィードバックシステムが、
前記ハンドルアセンブリ、シャフトアセンブリ、又はアンビルのうちの1つの上に支持されるインジケータ、及び
電流源であって、前記アンビルが前記トロカールアセンブリの前記遠位端に取り付けられるときにのみ、電流が前記電流源から前記インジケータに流れるように、前記トロカールアセンブリ及び前記インジケータに接続される、電流源を含む、実施態様1に記載の外科用ステープリング器具。
(7) 前記インジケータが、光発生装置、振動発生装置、及び音声発生装置からなるインジケータの群から選択されるインジケータを含む、実施態様6に記載の外科用ステープリング器具。
(8) 前記トロカールアセンブリは、前記電流源及び前記インジケータと通信する複数の接触区域をその上に有し、前記接触区域の少なくとも1つは、少なくとも1つの他の前記接触区域から電気的に絶縁され、前記アンビルが前記トロカールアセンブリの前記遠位端に取り付けられていないときに、電流は前記電流源から前記インジケータに流れず、前記アンビルが前記トロカールアセンブリの前記遠位端に取り付けられているときに、前記アンビルが前記電気的に絶縁された接触区域を電気的に接続して、前記電流が前記インジケータに流れることを可能にするようになっている、実施態様6に記載の外科用ステープリング器具。
(9) 作動機構であって、前記アンビルが前記トロカールアセンブリの前記遠位端部に取り付けられるときに、前記作動機構が前記トロカールアセンブリを移動させて、前記アンビルを前記ステープルカートリッジに対して望ましい発射位置に位置付けることができるように、前記ハンドルアセンブリ上に動作可能に支持され、前記シャフトアセンブリ内の前記トロカールアセンブリを選択的に作動させるために前記トロカールアセンブリに連結された、作動機構を更に含み、前記アンビルフィードバックシステムは、前記アンビルが前記望ましい発射位置に位置付けられたときを表示するように更に構成されている、実施態様1に記載の外科用ステープリング器具。
(10) 前記アンビルフィードバックシステムは、前記アンビルが前記望ましい発射位置に位置付けられたときに、前記表示信号を中断する、実施態様9に記載の外科用ステープリング器具。
実施態様1に記載の外科用ステープリング器具を得ることと、
前記外科用ステープリング器具を滅菌することと、
滅菌容器内に前記外科用ステープリング器具を保存することとを含む、方法。
(12) 組織に1つ又は2つ以上の外科用ステープルを適用するための外科用ステープリング器具であって、
ハンドルアセンブリと、
前記ハンドルアセンブリに連結され、内部のトロカールアセンブリを可動に支持するシャフトアセンブリと、
前記シャフトアセンブリに動作可能に連結されたステープリングヘッドアセンブリであって、前記ステープリングヘッドアセンブリは、
1つ又は2つ以上の外科用ステープルを支持するためのステープルカートリッジ、
前記ステープルカートリッジからの前記ステープルに係合し、これを駆動するためのステープル駆動器、及び
前記ステープリングヘッドアセンブリ内に可動に支持されるナイフを含む、ステープリングヘッドアセンブリと、
前記ステープル駆動器及び前記ナイフに駆動動作を適用するための駆動システムと、
前記トロカールアセンブリの遠位端に取り外し可能に取り付け可能なアンビルと、
前記アンビルに取り付けられた照明装置であって、前記照明装置は電流源に電気的に接続されている、照明装置と、
前記アンビル及び前記トロカールアセンブリのうちの一方の上の少なくとも1つのセンサーであって、前記アンビルが前記トロカールアセンブリの前記遠位端部に取り付けられるときに、電流が前記電流源から前記照明装置に流れるように、前記電流源及び前記照明装置に電気的に連結されている、センサーとを含む、外科用ステープリング器具。
(13) 前記照明装置は、少なくとも1つの発光ダイオードを含む、実施態様12に記載の外科用ステープリング器具。
(14) 前記アンビルの遠位端に取り付けられたシュラウドを更に含み、前記照明装置が前記シュラウドに取り付けられている、実施態様12に記載の外科用ステープリング器具。
(15) 前記電流源が、前記外科用器具によって支持された少なくとも1つの電池を含む、実施態様12に記載の外科用ステープリング器具。
(16) 1つ又は2つ以上の外科用ステープルを組織に適用するための外科用ステープリング器具であって、
ハンドルアセンブリと、
前記ハンドルアセンブリに連結されたシャフトアセンブリと、
前記シャフトアセンブリに動作可能に連結されたステープリングヘッドアセンブリであって、前記ステープリングヘッドアセンブリは、
1つ又は2つ以上の外科用ステープルを支持するためのステープルカートリッジ、
前記ステープルカートリッジからの前記ステープルに係合し、これを駆動するためのステープル駆動器、及び
前記ステープリングヘッドアセンブリ内に可動に支持されるナイフを含む、ステープリングヘッドアセンブリと、
前記ステープル駆動器及び前記ナイフに駆動動作を適用するための駆動システムと、
電流源と、
前記器具上のインジケータであって、前記インジケータは前記電流源と通信する、インジケータと、
前記シャフトアセンブリによって可動に支持され、トロカールアセンブリ上にアンビルを取り外し可能に支持するように構成されているトロカールアセンブリであって、前記トロカールアセンブリは、前記電流源及び前記インジケータと通信する第1接触区域及び第2接触区域を有し、前記第2接触区域は、前記第1接触区域から電気的に絶縁され、前記アンビルが前記トロカールアセンブリの遠位端に取り付けられるときに、前記アンビルが前記第1接触区域及び第2接触区域を電気的に接続して、前記電流が前記インジケータに流れるのを可能にするようになっている、トロカールアセンブリとを含む、外科用ステープリング器具。
(17) 前記アンビルが、前記トロカールアセンブリの前記遠位端部に取り付けられるときに、調節機構が、前記トロカールアセンブリを移動させて、前記アンビルを前記ステープルカートリッジに対して望ましい発射位置に位置付けることができるように、前記ハンドルアセンブリ上に動作可能に支持され、前記シャフトアセンブリ内の前記トロカールアセンブリを選択的に作動させるために、前記トロカールアセンブリに連結された、作動機構と、
前記トロカールアセンブリが前記アンビルを前記ステープルカートリッジの方に移動させるときに、前記トロカールアセンブリ及び前記電流源と通信して、前記電流源から前記インジケータへの電流の流れを制限する手段とを更に含む、実施態様16に記載の外科用器具。
(18) 前記アンビルが前記望ましい発射位置に位置付けられたときに、前記トロカールアセンブリと通信する前記手段が、前記インジケータへの前記電流の流れを阻止する、実施態様17に記載の外科用ステープリング器具。
(19) 前記インジケータが、発光装置、振動発生装置、及び音声発生装置からなるインジケータの群から選択されるインジケータを含む、実施態様16に記載の外科用ステープリング器具。
(20) 前記インジケータは、前記ハンドルアセンブリ上に支持される少なくとも1つの発光装置を含む、実施態様16に記載の外科用ステープリング器具。
Claims (10)
- 1つ又は2つ以上の外科用ステープルを組織に適用するための外科用ステープリング器具であって、
ハンドルアセンブリと、
前記ハンドルアセンブリに連結され、内部のトロカールアセンブリを可動に支持するシャフトアセンブリと、
前記シャフトアセンブリに動作可能に連結されたステープリングヘッドアセンブリであって、前記ステープリングヘッドアセンブリは、
1つ又は2つ以上の外科用ステープルを支持するためのステープルカートリッジ、
前記ステープルカートリッジからの前記ステープルに係合し、これを駆動するためのステープル駆動器、及び
前記ステープリングヘッドアセンブリ内に可動に支持されるナイフを含む、ステープリングヘッドアセンブリと、
前記ステープル駆動器及び前記ナイフに駆動動作を適用するための駆動システムと、
前記トロカールアセンブリの遠位端に取り外し可能に取り付け可能なアンビルと、
前記アンビルが前記トロカールアセンブリの前記遠位端に取り付けられるときに、表示信号を提供するために、前記トロカールアセンブリと動作可能に通信するアンビルフィードバックシステムであって、前記アンビルフィードバックシステムは、前記トロカールアセンブリの前記遠位端及び前記アンビルのうちの一方の上に、少なくとも1つのセンサーを含み、前記少なくとも1つのセンサーは、前記外科用ステープリング器具上のインジケータと通信してこれに表示信号を提供する、アンビルフィードバックシステムとを含む、外科用ステープリング器具。 - 前記インジケータが前記アンビル上にある、請求項1に記載の外科用ステープリング器具。
- 前記インジケータが少なくとも1つの照明装置を含む、請求項2に記載の外科用ステープリング器具。
- 前記少なくとも1つの照明装置が少なくとも1つの発光ダイオードを含む、請求項3に記載の外科用ステープリング器具。
- 前記アンビル上に支持され、前記インジケータ及び前記少なくとも1つのセンサーに連結される電源を更に含む、請求項2に記載の外科用ステープリング器具。
- 前記アンビルフィードバックシステムが、
前記ハンドルアセンブリ、シャフトアセンブリ、又はアンビルのうちの1つの上に支持されるインジケータ、及び
電流源であって、前記アンビルが前記トロカールアセンブリの前記遠位端に取り付けられるときにのみ、電流が前記電流源から前記インジケータに流れるように、前記トロカールアセンブリ及び前記インジケータに接続される、電流源を含む、請求項1に記載の外科用ステープリング器具。 - 前記インジケータが、光発生装置、振動発生装置、及び音声発生装置からなるインジケータの群から選択されるインジケータを含む、請求項6に記載の外科用ステープリング器具。
- 前記トロカールアセンブリは、前記電流源及び前記インジケータと通信する複数の接触区域をその上に有し、前記接触区域の少なくとも1つは、少なくとも1つの他の前記接触区域から電気的に絶縁され、前記アンビルが前記トロカールアセンブリの前記遠位端に取り付けられていないときに、電流は前記電流源から前記インジケータに流れず、前記アンビルが前記トロカールアセンブリの前記遠位端に取り付けられているときに、前記アンビルが前記電気的に絶縁された接触区域を電気的に接続して、前記電流が前記インジケータに流れることを可能にするようになっている、請求項6に記載の外科用ステープリング器具。
- 作動機構であって、前記アンビルが前記トロカールアセンブリの前記遠位端部に取り付けられるときに、前記作動機構が前記トロカールアセンブリを移動させて、前記アンビルを前記ステープルカートリッジに対して望ましい発射位置に位置付けることができるように、前記ハンドルアセンブリ上に動作可能に支持され、前記シャフトアセンブリ内の前記トロカールアセンブリを選択的に作動させるために前記トロカールアセンブリに連結された、作動機構を更に含み、前記アンビルフィードバックシステムは、前記アンビルが前記望ましい発射位置に位置付けられたときを表示するように更に構成されている、請求項1に記載の外科用ステープリング器具。
- 前記アンビルフィードバックシステムは、前記アンビルが前記望ましい発射位置に位置付けられたときに、前記表示信号を中断する、請求項9に記載の外科用ステープリング器具。
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US12/252,502 US7918377B2 (en) | 2008-10-16 | 2008-10-16 | Surgical stapling instrument with apparatus for providing anvil position feedback |
US12/252,502 | 2008-10-16 | ||
PCT/US2009/060965 WO2010045533A1 (en) | 2008-10-16 | 2009-10-16 | Surgical stapling instrument with apparatus for providing anvil position feedback |
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JP5539370B2 JP5539370B2 (ja) | 2014-07-02 |
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US (1) | US7918377B2 (ja) |
EP (2) | EP2355714B1 (ja) |
JP (1) | JP5539370B2 (ja) |
CN (1) | CN102186425B (ja) |
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WO (1) | WO2010045533A1 (ja) |
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EP3424440A1 (en) | 2019-01-09 |
EP2355714A1 (en) | 2011-08-17 |
US7918377B2 (en) | 2011-04-05 |
CN102186425B (zh) | 2014-12-17 |
BRPI0919793A2 (pt) | 2015-12-15 |
US20100096435A1 (en) | 2010-04-22 |
WO2010045533A1 (en) | 2010-04-22 |
BRPI0919793B1 (pt) | 2019-09-10 |
CN102186425A (zh) | 2011-09-14 |
EP2355714B1 (en) | 2018-08-22 |
JP5539370B2 (ja) | 2014-07-02 |
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