JP2013215578A - 内視鏡処置のための装置 - Google Patents
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Abstract
【解決手段】上記外科手術システムは、ハンドルハウジングと、ジョーアセンブリであって、ジョーアセンブリは、取り外し可能なカートリッジアセンブリであって、カートリッジアセンブリは、複数のファスナーとカートリッジアセンブリ内に規定された長手方向スロットとを含む、カートリッジアセンブリと、ファスナー形成表面を有するアンビルと、カートリッジアセンブリ内に支持された作動スレッドと、垂直支持ストラットと、垂直支持ストラット上に支持されたカム部材とを含む駆動ビームと、取り外し可能なカートリッジアセンブリ内に支持された駆動ネジと含む、ジョーアセンブリと、ハンドルハウジングとジョーアセンブリとを相互接続するように構成された細長い本体とを含む。
【選択図】図1
Description
本出願は、2011年10月25日に出願された米国特許出願第13/280,859号の一部継続であり、上記出願は、2011年10月25日に出願された米国特許出願第13/280,898号の一部継続である。これらの出願の各々は、引用することによってその全体が本明細書において援用される。
1.技術分野
本開示は、内視鏡処置を実行するための外科手術装置、デバイスおよび/またはシステムおよびその使用の方法に関する。特に、本開示は、組織をクランプ締め、切断およびステープル留めするために、取り外し可能で処分可能なローティングユニットおよび/または使い捨てのローティングユニットと共に用いられるために構成された電気機械的手持ち式外科手術装置、デバイスおよび/またはシステムに関する。
多くの外科手術デバイスメーカーは、電気機械的外科手術デバイスを動作および操作するための専用の駆動システムを有する製品ラインを開発している。多くの場合において、電気機械的外科手術デバイスは、再使用可能なハンドルアセンブリと、処分可能または使い捨てのローティングユニットを含む。ローティングユニットは、使用の前にハンドルアセンブリに選択的に接続され、そして処分され、または、いくつかの場合において再使用のために消毒されるために、ハンドルアセンブリから切り離される。
本発明の例示的な実施形態のさらなる詳細および局面は、添付の図面を参照して、以下により詳細に説明される。
本願明細書は、例えば、以下の項目も提供する。
(項目1)
外科手術システムであって、該外科手術システムは、
ハンドルハウジングと、
ジョーアセンブリであって、該ジョーアセンブリは、
取り外し可能なカートリッジアセンブリであって、該カートリッジアセンブリは、複数のファスナーと、該カートリッジアセンブリ内に規定された長手方向スロットとを含む、カートリッジアセンブリと、
アンビルであって、該アンビルは、該アンビル上にファスナー形成表面を有し、該カートリッジアセンブリおよび該アンビルは、開放位置と、組織をクランプ締めするための密接な協働的整列の閉鎖位置との間において互いに対する移動に対して取り付けられている、アンビルと、
該カートリッジアセンブリ内に支持された作動スレッドであって、該作動スレッドは、該カートリッジから該複数のファスナーを押し出すために移動可能である、作動スレッドと、
垂直支持ストラットと、該垂直支持ストラット上に支持されたカム部材とを含む駆動ビームであって、該カム部材は、該ファスナーの発射中、該アンビルを該閉鎖位置に維持するために、該アンビルに対して並進するように位置決めされており、該垂直支持ストラットは、該作動スレッドに接するように位置決めされている、駆動ビームと、
該取り外し可能なカートリッジアセンブリ内に支持された駆動ネジであって、該駆動ネジは、ネジ山付き部分を有し、該駆動ビームは、該駆動ネジの回転が該駆動ビームの長手方向移動を与えるように、該駆動ネジの該ネジ山付き部分にネジ連結可能に結合されている、駆動ネジと
を含む、ジョーアセンブリと、
該ハンドルハウジングと該ジョーアセンブリとを相互接続するように構成された細長い本体と
を含み、
該細長い本体は、該駆動ネジを該ハンドルアセンブリの作動シャフトに機械的に結合する可撓性駆動シャフトを含み、該駆動シャフトは、該作動シャフトの回転運動を該駆動ネジに伝達し、該細長い本体は、可撓性部分を含み、該可撓性駆動シャフトは、該可撓性部分内に収容されている、外科手術システム。
(項目2)
上記可撓性部分は、複数のインターロックセグメントを含む、上記項目に記載の外科手術システム。
(項目3)
上記可撓性駆動シャフトと上記駆動ネジとを相互接続する駆動リンクをさらに含む、上記項目のいずれかに記載の外科手術システム。
(項目4)
上記駆動ネジは、第1の長手方向軸を規定し、上記可撓性駆動シャフトは、第2の長手方向軸を規定し、上記駆動リンクは、該第1の長手方向軸および該第2の長手方向軸に関して軸外に配置されている、上記項目のいずれかに記載の外科手術システム。
(項目5)
上記駆動リンクは、上記可撓性部分に機械的に結合された近位係合部分と、上記駆動ネジに機械的に結合された遠位係合部分とを含む、上記項目のいずれかに記載の外科手術システム。
(項目6)
上記近位係合部分は、ソケットを含み、該ソケットは、上記可撓性駆動シャフトの遠位端に配置されたボールジョイントと機械的にインターフェース接続するように構成され、寸法を合わされている、上記項目のいずれかに記載の外科手術システム。
(項目7)
上記遠位係合部分は、ピンを含み、該ピンは、上記駆動ネジの近位端に配置された継ぎ手と機械的にインターフェース接続するように構成され、寸法を合わされている、上記項目のいずれかに記載の外科手術システム。
(項目8)
上記アンビルまたは上記ステープルカートリッジのうちの少なくとも1つの組織接触表面に解放可能に固定された外科手術バットレスであって、該外科手術バットレスは、少なくとも1つのアンカーによって、該アンビルアセンブリおよび該カートリッジアセンブリのうちの該少なくとも1つに固定されており、該アンビルアセンブリおよび該カートリッジアセンブリのうちの該少なくとも1つは、側スロットを規定し、該側スロットは、該側スロット内に該少なくとも1つのアンカーの端を受容するためのものである、外科手術バットレスと、
該アンビルアセンブリまたは該カートリッジアセンブリのうちの少なくとも1つ内に配置されたリリースアセンブリと
をさらに含む、上記項目のいずれかに記載の外科手術システム。
(項目9)
上記駆動ネジは、上記リリースアセンブリを作動させ、それによって、上記アンカーを解放し、上記アンビルアセンブリおよび上記カートリッジアセンブリのうちの少なくとも1つから上記外科手術バットレスを自由にするように構成されている、上記項目のいずれかに記載の外科手術システム。
(項目10)
上記リリースアセンブリは、上記駆動アセンブリの作動の前に上記長手方向スロットを横切って延在する第1のバーと、該第1のバーに動作的に接続され、かつ該第1のバーによって作動可能である第2のバーとをさらに含み、該第2のバーは、該駆動アセンブリの作動の前に、少なくとも部分的に上記側スロットの中に延在する端を有する、上記項目のいずれかに記載の外科手術システム。
(項目11)
外科手術システムであって、該外科手術システムは、
ジョーアセンブリであって、該ジョーアセンブリは、
カートリッジアセンブリであって、該カートリッジアセンブリは、複数のファスナーと該カートリッジアセンブリ内に規定された長手方向スロットとを含む、カートリッジアセンブリと、
アンビルであって、該アンビルは、該アンビル上にファスナー形成表面を有し、該カートリッジアセンブリおよび該アンビルは、開放位置と、組織をクランプ締めするための密接な協働的整列の閉鎖位置との間において互いに対する移動に対して取り付けられている、アンビルと、
該カートリッジアセンブリ内に支持された作動スレッドであって、該作動スレッドは、該カートリッジから該複数のファスナーを押し出すために移動可能である、作動スレッドと、
カム部材を含む駆動ビームであって、該カム部材は、該ファスナーの発射中、該アンビルを該閉鎖位置に維持するために、該アンビルに対して並進するように位置決めされている、駆動ビームと、
該カートリッジアセンブリ内に支持された第1の長手方向軸を規定する駆動ネジであって、該駆動ネジは、ネジ山付き部分を有し、該駆動ビームは、該駆動ネジの回転が該駆動ビームの長手方向移動を与えるように、該駆動ネジの該ネジ山付き部分にネジ連結可能に結合されている、駆動ネジと
を含む、ジョーアセンブリと、
該ジョーアセンブリと接続するように構成された細長い本体であって、該細長い本体は、可撓性駆動シャフトを含み、該駆動シャフトは、回転運動を該駆動ネジに伝達する、細長い本体と、
該可撓性駆動シャフトと該駆動ネジとを相互接続する駆動リンクと
を含み、
該駆動リンクは、第1の長手方向軸および第2の長手方向軸に関して軸外に配置されており、該ジョーアセンブリおよび該細長い本体は、互いに分離可能であり、細長いシャフトアセンブリは、アクチュエータと接続するように構成されている、外科手術システム。
(項目12)
上記アクチュエータは、ハンドルアセンブリ内に配置されている、上記項目のいずれかに記載の外科手術システム。
(項目13)
電気エネルギーを提供するように構成された電力供給源をさらに含む、上記項目のいずれかに記載の外科手術システム。
(項目14)
少なくとも1つのユーザー入力を受け取るように構成された制御アセンブリをさらに含む、上記項目のいずれかに記載の外科手術システム。
(項目15)
上記電力供給源に結合され、かつ上記少なくとも1つのユーザー入力に応答して動作するように構成された第1のモータをさらに含む、上記項目のいずれかに記載の外科手術システム。
(項目16)
上記電力供給源に結合され、かつ上記少なくとも1つのユーザー入力に応答して動作するように構成された第2のモータをさらに含む、上記項目のいずれかに記載の外科手術システム。
(項目17)
上記可撓性駆動シャフトに機械的に結合された少なくとも1つのギア要素を含むセレクタギアボックスをさらに含み、上記第1のモータは、該可撓性駆動シャフトを作動させるために、該少なくとも1つのギア要素を、該第2のモータとの係合の中に選択的に移動するように構成されている、上記項目のいずれかに記載の外科手術システム。
(項目18)
上記駆動ビームは、上記カム部材を支持し、かつ上記スレッドを押すための垂直支持ストラットを含む、上記項目のいずれかに記載の外科手術システム。
(項目19)
ハウジングをさらに含み、該ハウジングは、該ハウジングの中にモータを有する、上記項目のいずれかに記載の外科手術システム。
(項目20)
ユーザー入力を受け取るように構成された制御アセンブリをさらに含む、上記項目のいずれかに記載の外科手術システム。
(摘要)
外科手術システムは、複数のファスナー、アンビルおよび作動スレッドを押すための駆動ビームを含むジョーアセンブリを有する。駆動ネジは、運動を駆動ビームに与える。細長い本体は、ジョーアセンブリと接続するように構成されている。駆動リンクは、可撓性駆動シャフトを駆動ネジに接続し、駆動リンクは、軸外に配置される。ジョー部材および細長い本体は、互いに分離可能である。
ここで開示される電気機械的外科手術システム、装置および/またはデバイスの実施形態は、図面を参照して詳細に説明される。図面において、同様な参照数字は、いくつかの図面の各々において同一または対応する構成要素を示す。本明細書に使用される用語「遠位」は、ユーザーからより遠い電気機械的外科手術システム、装置および/またはデバイス、またはそれらのコンポーネントの部分を指し、その一方で、用語「近位」は、ユーザーにより近い電気機械的外科手術システム、装置および/またはデバイス、またはそれらのコンポーネントの部分を指す。用語「左」および「右」は、外科手術システム、装置および/デバイスが無回転構成に向けられている場合に、近位端からの電気機械的外科手術システム、装置および/またはデバイス、またはそれらのコンポーネントに面するユーザーの視点から、それぞれ、左(例えば、左舷)側および右(例えば、右舷)側にある電気機械的外科手術システム、装置および/またはデバイス、またはそれらのコンポーネントの部分を指す。
100 外科手術器具
102 ハンドルハウジング
104 下部ハウジング部分
106 中間ハウジング部分
108 上部ハウジング部分
200 シャフトアセンブリ
400 エンドエフェクタ
Claims (20)
- 外科手術システムであって、該外科手術システムは、
ハンドルハウジングと、
ジョーアセンブリであって、該ジョーアセンブリは、
取り外し可能なカートリッジアセンブリであって、該カートリッジアセンブリは、複数のファスナーと、該カートリッジアセンブリ内に規定された長手方向スロットとを含む、カートリッジアセンブリと、
アンビルであって、該アンビルは、該アンビル上にファスナー形成表面を有し、該カートリッジアセンブリおよび該アンビルは、開放位置と、組織をクランプ締めするための密接な協働的整列の閉鎖位置との間において互いに対する移動に対して取り付けられている、アンビルと、
該カートリッジアセンブリ内に支持された作動スレッドであって、該作動スレッドは、該カートリッジから該複数のファスナーを押し出すために移動可能である、作動スレッドと、
垂直支持ストラットと、該垂直支持ストラット上に支持されたカム部材とを含む駆動ビームであって、該カム部材は、該ファスナーの発射中、該アンビルを該閉鎖位置に維持するために、該アンビルに対して並進するように位置決めされており、該垂直支持ストラットは、該作動スレッドに接するように位置決めされている、駆動ビームと、
該取り外し可能なカートリッジアセンブリ内に支持された駆動ネジであって、該駆動ネジは、ネジ山付き部分を有し、該駆動ビームは、該駆動ネジの回転が該駆動ビームの長手方向移動を与えるように、該駆動ネジの該ネジ山付き部分にネジ連結可能に結合されている、駆動ネジと
を含む、ジョーアセンブリと、
該ハンドルハウジングと該ジョーアセンブリとを相互接続するように構成された細長い本体と
を含み、
該細長い本体は、該駆動ネジを該ハンドルアセンブリの作動シャフトに機械的に結合する可撓性駆動シャフトを含み、該駆動シャフトは、該作動シャフトの回転運動を該駆動ネジに伝達し、該細長い本体は、可撓性部分を含み、該可撓性駆動シャフトは、該可撓性部分内に収容されている、外科手術システム。 - 前記可撓性部分は、複数のインターロックセグメントを含む、請求項1に記載の外科手術システム。
- 前記可撓性駆動シャフトと前記駆動ネジとを相互接続する駆動リンクをさらに含む、請求項1に記載の外科手術システム。
- 前記駆動ネジは、第1の長手方向軸を規定し、前記可撓性駆動シャフトは、第2の長手方向軸を規定し、前記駆動リンクは、該第1の長手方向軸および該第2の長手方向軸に関して軸外に配置されている、請求項3に記載の外科手術システム。
- 前記駆動リンクは、前記可撓性部分に機械的に結合された近位係合部分と、前記駆動ネジに機械的に結合された遠位係合部分とを含む、請求項4に記載の外科手術システム。
- 前記近位係合部分は、ソケットを含み、該ソケットは、前記可撓性駆動シャフトの遠位端に配置されたボールジョイントと機械的にインターフェース接続するように構成され、寸法を合わされている、請求項5に記載の外科手術システム。
- 前記遠位係合部分は、ピンを含み、該ピンは、前記駆動ネジの近位端に配置された継ぎ手と機械的にインターフェース接続するように構成され、寸法を合わされている、請求項5に記載の外科手術システム。
- 前記アンビルまたは前記ステープルカートリッジのうちの少なくとも1つの組織接触表面に解放可能に固定された外科手術バットレスであって、該外科手術バットレスは、少なくとも1つのアンカーによって、該アンビルアセンブリおよび該カートリッジアセンブリのうちの該少なくとも1つに固定されており、該アンビルアセンブリおよび該カートリッジアセンブリのうちの該少なくとも1つは、側スロットを規定し、該側スロットは、該側スロット内に該少なくとも1つのアンカーの端を受容するためのものである、外科手術バットレスと、
該アンビルアセンブリまたは該カートリッジアセンブリのうちの少なくとも1つ内に配置されたリリースアセンブリと
をさらに含む、請求項1に記載の外科手術システム。 - 前記駆動ネジは、前記リリースアセンブリを作動させ、それによって、前記アンカーを解放し、前記アンビルアセンブリおよび前記カートリッジアセンブリのうちの少なくとも1つから前記外科手術バットレスを自由にするように構成されている、請求項8に記載の外科手術システム。
- 前記リリースアセンブリは、前記駆動アセンブリの作動の前に前記長手方向スロットを横切って延在する第1のバーと、該第1のバーに動作的に接続され、かつ該第1のバーによって作動可能である第2のバーとをさらに含み、該第2のバーは、該駆動アセンブリの作動の前に、少なくとも部分的に前記側スロットの中に延在する端を有する、請求項9に記載の外科手術システム。
- 外科手術システムであって、該外科手術システムは、
ジョーアセンブリであって、該ジョーアセンブリは、
カートリッジアセンブリであって、該カートリッジアセンブリは、複数のファスナーと該カートリッジアセンブリ内に規定された長手方向スロットとを含む、カートリッジアセンブリと、
アンビルであって、該アンビルは、該アンビル上にファスナー形成表面を有し、該カートリッジアセンブリおよび該アンビルは、開放位置と、組織をクランプ締めするための密接な協働的整列の閉鎖位置との間において互いに対する移動に対して取り付けられている、アンビルと、
該カートリッジアセンブリ内に支持された作動スレッドであって、該作動スレッドは、該カートリッジから該複数のファスナーを押し出すために移動可能である、作動スレッドと、
カム部材を含む駆動ビームであって、該カム部材は、該ファスナーの発射中、該アンビルを該閉鎖位置に維持するために、該アンビルに対して並進するように位置決めされている、駆動ビームと、
該カートリッジアセンブリ内に支持された第1の長手方向軸を規定する駆動ネジであって、該駆動ネジは、ネジ山付き部分を有し、該駆動ビームは、該駆動ネジの回転が該駆動ビームの長手方向移動を与えるように、該駆動ネジの該ネジ山付き部分にネジ連結可能に結合されている、駆動ネジと
を含む、ジョーアセンブリと、
該ジョーアセンブリと接続するように構成された細長い本体であって、該細長い本体は、可撓性駆動シャフトを含み、該駆動シャフトは、回転運動を該駆動ネジに伝達する、細長い本体と、
該可撓性駆動シャフトと該駆動ネジとを相互接続する駆動リンクと
を含み、
該駆動リンクは、第1の長手方向軸および第2の長手方向軸に関して軸外に配置されており、該ジョーアセンブリおよび該細長い本体は、互いに分離可能であり、細長いシャフトアセンブリは、アクチュエータと接続するように構成されている、外科手術システム。 - 前記アクチュエータは、ハンドルアセンブリ内に配置されている、請求項11に記載の外科手術システム。
- 電気エネルギーを提供するように構成された電力供給源をさらに含む、請求項11に記載の外科手術システム。
- 少なくとも1つのユーザー入力を受け取るように構成された制御アセンブリをさらに含む、請求項11に記載の外科手術システム。
- 前記電力供給源に結合され、かつ前記少なくとも1つのユーザー入力に応答して動作するように構成された第1のモータをさらに含む、請求項13に記載の外科手術システム。
- 前記電力供給源に結合され、かつ前記少なくとも1つのユーザー入力に応答して動作するように構成された第2のモータをさらに含む、請求項15に記載の外科手術システム。
- 前記可撓性駆動シャフトに機械的に結合された少なくとも1つのギア要素を含むセレクタギアボックスをさらに含み、前記第1のモータは、該可撓性駆動シャフトを作動させるために、該少なくとも1つのギア要素を、該第2のモータとの係合の中に選択的に移動するように構成されている、請求項16に記載の外科手術システム。
- 前記駆動ビームは、前記カム部材を支持し、かつ前記スレッドを押すための垂直支持ストラットを含む、請求項11に記載の外科手術システム。
- ハウジングをさらに含み、該ハウジングは、該ハウジングの中にモータを有する、請求項11に記載の外科手術システム。
- ユーザー入力を受け取るように構成された制御アセンブリをさらに含む、請求項11に記載の外科手術システム。
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Also Published As
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CN103371858A (zh) | 2013-10-30 |
CA2810192A1 (en) | 2013-10-11 |
EP3066991B1 (en) | 2018-09-19 |
JP6356288B2 (ja) | 2018-07-11 |
CN103371858B (zh) | 2017-03-01 |
JP2017087057A (ja) | 2017-05-25 |
AU2013201994A1 (en) | 2013-10-31 |
AU2013201994B2 (en) | 2017-09-07 |
EP3066991A3 (en) | 2016-11-02 |
JP6128922B2 (ja) | 2017-05-17 |
EP2649948B1 (en) | 2016-03-23 |
EP3066991A2 (en) | 2016-09-14 |
EP2649948A1 (en) | 2013-10-16 |
ES2569388T3 (es) | 2016-05-10 |
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