JP2013135864A - クリップ器具用解除機構 - 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
- A61B17/122—Clamps or clips, e.g. for the umbilical cord
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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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/064—Surgical staples, i.e. penetrating the tissue
- A61B17/0643—Surgical staples, i.e. penetrating the tissue with separate closing member, e.g. for interlocking with staple
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00526—Methods of manufacturing
- A61B2017/0053—Loading magazines or sutures into applying tools
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/064—Surgical staples, i.e. penetrating the tissue
- A61B2017/0641—Surgical staples, i.e. penetrating the tissue having at least three legs as part of one single body
-
- 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
- A61B2090/033—Abutting means, stops, e.g. abutting on tissue or skin
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Abstract
【解決手段】止血用クリップ器具410が、アーム16a、16b及び16cとを有するクリップ12’を備え、クリップのアーム部分を閉止するための摺動リング70’が提供され、第1のリテーナ420がクリップに取り付けられ、第1のリテーナは、作動ワイヤ又はトルクケーブルに取り付けられ得る第2のリテーナ460と解除可能に固定されるよう構成される。
【選択図】図7A
Description
本発明は、2006年6月1日出願の「(クリップ器具用解除機構)Release Mechanisms for a Clip Device」と題される米国仮特許出願第60/809,912号の優先権の利益を主張するものであり、その開示は全体として参照により本明細書に援用される。
Claims (10)
- 内視鏡医療手技に用いられるクリップ器具であって、
近位領域と遠位領域とを有する第1のリテーナと、
各々が近位端と遠位端とを有する複数のアームを有するクリップであって、前記アームの各々の前記近位端が前記第1のリテーナと連結されてそこから遠位方向に伸張し、前記アームの各々は弾力性のある材料で形成されて、前記遠位端は、前記クリップが開放位置にあるときは互いに離間しようとし、前記クリップが閉止位置にあるときは互いに近接するように形作られた、クリップと、
前記クリップが前記開放位置にあるときの第1の位置と、前記クリップの前記アームを前記閉止位置に保持するための第2の位置との間を移動可能な摺動リングと、
近位領域と遠位領域とを有する第2のリテーナであって、前記第1のリテーナが前記クリップの展開前は前記第2のリテーナと連結されるよう構成された、第2のリテーナとを備え、
前記第1のリテーナが前記クリップの展開後は、前記第2のリテーナを前記第1のリテーナに対し回転させるか、又は近位に後退させることの少なくとも一方によって前記第2のリテーナから外れるよう構成された、クリップ器具。 - 前記解除可能な連結機構が磁石を備え、前記第2のリテーナに対して十分な後退力を加えることにより、磁力に勝って、前記第2のリテーナが前記第1のリテーナから外れるようにされた、請求項1に記載のクリップ器具。
- 前記解除可能な連結機構がボールベアリング構成を備えた、請求項1に記載のクリップ器具。
- 少なくとも1つのボール要素が第1のリテーナと連結されるとともに、前記第2のリテーナが、前記ボール要素を少なくとも部分的に収容することにより前記第1のリテーナを前記第2のリテーナと連結するよう構成された少なくとも1つのノッチを備える、請求項3に記載のクリップ器具。
- 前記第1のリテーナの前記近位領域に配置された、雌ねじ部を有する穴と、
前記第2のリテーナの前記遠位領域に配置されるとともに前記雌ねじ部に係合するよう構成された雄ねじ部と、
をさらに備え、
前記第2のリテーナを回転させることにより前記雄ねじ部が前記雌ねじ部から外れるようにされた、請求項1に記載のクリップ器具。 - 前記第1のリテーナの前記近位領域に形成され、中に伸張する少なくとも1つの内向きのノブを有する穴と、
前記第2のリテーナの側部表面に形成される少なくとも1本の軸線方向チャンネル及び少なくとも1本の周方向チャンネルと、
をさらに備え、
前記ノブが前記軸線方向チャンネル及び前記周方向チャンネルの中を摺動するよう構成され、前記第2のリテーナを前記第1のリテーナに対して回転させることにより前記ノブが前記周方向チャンネル内に配置され、前記第1のリテーナと前記第2のリテーナとの間の長手方向の移動が防止される、請求項1に記載のクリップ器具。 - 内視鏡医療手技に用いられるクリップ器具であって、
近位領域と遠位領域とを有する第1のリテーナと、
各々が近位端と遠位端とを有する複数のアームを有するクリップであって、前記アームの各々の前記近位端が前記第1のリテーナと連結されてそこから遠位方向に伸張し、前記アームの各々は弾力性のある材料で形成され、前記遠位端は、前記クリップが開放位置にあるときは互いに離間しようとし、前記クリップが閉止位置にあるときは互いに近接するように形作られた、クリップと、
内側シース及び摺動リングを少なくとも部分的に収容する外側シースであって、前記内側シース及び前記摺動リングが前記外側シース内を長手方向に移動するよう構成され、前記内側シースが前記摺動リングの近位に配置され、前記摺動リングは、前記クリップが前記開放位置にあるときの第1の位置と、前記クリップの前記アームを前記閉止位置に保持するための第2の位置との間を移動可能である、外側シースと、
近位領域と遠位領域とを有する第2のリテーナであって、前記第1のリテーナが前記クリップの展開前は前記第2のリテーナと連結されるよう構成され、前記第1のリテーナが前記摺動リング又は前記内側シースによりそれ以上半径方向に拘束されなくなると前記第2のリテーナから外れるよう構成された、第2のリテーナと、
を備える、クリップ器具。 - 前記第1のリテーナがそこに形成された部分的に丸いノッチを備えるとともに前記ノッチの近位に形成された丸いノブを有し、前記第2のリテーナがそこに形成された部分的に丸いノッチを備えるとともに前記ノッチの遠位に配置された丸いノブを有しており、前記第2のリテーナの前記丸いノブが前記第1のリテーナの前記ノッチと整合し、且つ前記第1のリテーナの前記丸いノブが前記第2のリテーナの前記ノッチと整合することにより、前記第1のリテーナが前記第2のリテーナと固定される、請求項7に記載のクリップ器具。
- 前記第2のリテーナの前記遠位領域から伸張するワイヤ及び前記ワイヤの遠位端に取り付けられたボールと、
前記第1のリテーナの前記近位領域に形成されたチャンネル及びソケットであって、前記チャンネル及びソケットがそれぞれ前記ワイヤ及びボールを収容して前記第1のリテーナを前記第2のリテーナと連結するよう構成された、チャンネル及びソケットと、
をさらに備える、請求項7に記載のクリップ器具。 - 前記第2のリテーナの前記遠位領域から伸張するワイヤ及び前記ワイヤの遠位端に取り付けられたボールと、
前記第1のリテーナに配置された傾斜チャンネルであって、前記チャンネルが前記ボールを収容して前記第1のリテーナを前記第2のリテーナと連結するよう構成され、前記ボールが前記摺動リング又は前記内側シースにより前記チャンネルの中に閉じ込められるように構成された、傾斜チャンネルと、
をさらに備える、請求項7に記載のクリップ器具。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US80991206P | 2006-06-01 | 2006-06-01 | |
US60/809,912 | 2006-06-01 |
Related Parent Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2009513256A Division JP5204100B2 (ja) | 2006-06-01 | 2007-05-30 | クリップ器具用解除機構 |
Publications (2)
Publication Number | Publication Date |
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JP2013135864A true JP2013135864A (ja) | 2013-07-11 |
JP5606563B2 JP5606563B2 (ja) | 2014-10-15 |
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Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2009513256A Active JP5204100B2 (ja) | 2006-06-01 | 2007-05-30 | クリップ器具用解除機構 |
JP2013026181A Expired - Fee Related JP5606563B2 (ja) | 2006-06-01 | 2013-02-14 | クリップ器具用解除機構 |
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Application Number | Title | Priority Date | Filing Date |
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JP2009513256A Active JP5204100B2 (ja) | 2006-06-01 | 2007-05-30 | クリップ器具用解除機構 |
Country Status (6)
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---|---|
US (1) | US20070282355A1 (ja) |
EP (1) | EP2020925B1 (ja) |
JP (2) | JP5204100B2 (ja) |
AU (1) | AU2007255016A1 (ja) |
CA (1) | CA2654004C (ja) |
WO (1) | WO2007142977A2 (ja) |
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JP2021058709A (ja) * | 2016-09-20 | 2021-04-15 | ボストン サイエンティフィック サイムド,インコーポレイテッドBoston Scientific Scimed,Inc. | 止血クリップの為の再搭載可能なアプリケータ |
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JP2022123862A (ja) * | 2021-02-12 | 2022-08-24 | オリンパスメディカルシステムズ株式会社 | クリップ装置 |
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- 2007-05-30 AU AU2007255016A patent/AU2007255016A1/en not_active Abandoned
- 2007-05-30 US US11/807,827 patent/US20070282355A1/en not_active Abandoned
- 2007-05-30 CA CA2654004A patent/CA2654004C/en not_active Expired - Fee Related
- 2007-05-30 EP EP07777322.4A patent/EP2020925B1/en not_active Not-in-force
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Cited By (5)
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JP2021058709A (ja) * | 2016-09-20 | 2021-04-15 | ボストン サイエンティフィック サイムド,インコーポレイテッドBoston Scientific Scimed,Inc. | 止血クリップの為の再搭載可能なアプリケータ |
JP7130785B2 (ja) | 2016-09-20 | 2022-09-05 | ボストン サイエンティフィック サイムド,インコーポレイテッド | 止血クリップの為の再搭載可能なアプリケータ |
WO2022173024A1 (en) * | 2021-02-12 | 2022-08-18 | Olympus Medical Systems Corp. | Clip device and method of operating clip device |
JP2022123862A (ja) * | 2021-02-12 | 2022-08-24 | オリンパスメディカルシステムズ株式会社 | クリップ装置 |
JP7389155B2 (ja) | 2021-02-12 | 2023-11-29 | オリンパスメディカルシステムズ株式会社 | クリップ装置 |
Also Published As
Publication number | Publication date |
---|---|
EP2020925B1 (en) | 2013-07-10 |
US20070282355A1 (en) | 2007-12-06 |
AU2007255016A1 (en) | 2007-12-13 |
CA2654004A1 (en) | 2007-12-13 |
CA2654004C (en) | 2012-01-10 |
JP2009538699A (ja) | 2009-11-12 |
WO2007142977A2 (en) | 2007-12-13 |
JP5606563B2 (ja) | 2014-10-15 |
EP2020925A2 (en) | 2009-02-11 |
JP5204100B2 (ja) | 2013-06-05 |
WO2007142977A3 (en) | 2008-05-29 |
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