JP2013255804A - 内視鏡手順のための装置 - Google Patents
内視鏡手順のための装置 Download PDFInfo
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- RKDVKSZUMVYZHH-UHFFFAOYSA-N 1,4-dioxane-2,5-dione Chemical compound O=C1COC(=O)CO1 RKDVKSZUMVYZHH-UHFFFAOYSA-N 0.000 description 4
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- UJGHGRGFKZWGMS-UHFFFAOYSA-N 1,3-dioxan-2-one Chemical compound O=C1OCCCO1.O=C1OCCCO1 UJGHGRGFKZWGMS-UHFFFAOYSA-N 0.000 description 1
- KKGSHHDRPRINNY-UHFFFAOYSA-N 1,4-dioxan-2-one Chemical compound O=C1COCCO1.O=C1COCCO1 KKGSHHDRPRINNY-UHFFFAOYSA-N 0.000 description 1
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Abstract
【解決手段】電気機械外科手術システムは、シャフトアセンブリと選択的に接続するための接続部分を規定し、かつ少なくとも1つの回転可能な駆動部材を有する器具ハウジングと、少なくとも1つの機能を実行するように構成されたエンドエフェクタと、該エンドエフェクタと該器具ハウジングとを選択的に相互接続するように配置された該シャフトアセンブリと、該平歯車に取り付けられ、かつ、ねじと、該ねじと該クレビスとの間の付勢部材とを含むケーブル引張アセンブリと、該シャフトアセンブリの該少なくとも1つの駆動部材のうちの少なくとも1つに取り付けられたクラッチ機構とを含む。
【選択図】図1
Description
本出願は、2012年4月11日に出願された米国特許出願第13/444,228号の一部継続であり、上記出願第13/444,228号は、2011年10月25日に出願された米国特許出願第13/280,898号の一部継続であり、上記出願第13/280,898号は、2011年10月25日に出願された出願第13/280,859号の一部継続である。本出願はまた、2013年3月13日に出願された米国仮特許出願第61/779,873号と、2012年7月18日に出願された米国仮特許出願第61/672,891号と、2012年6月13日に出願された米国仮特許出願第61/659,116号との利益を主張する。上記全ての文献の内容は、参照することによって本明細書において援用される。
1.技術分野
本開示は、内視鏡外科手術手順を実施するための外科手術の装置、デバイスおよび/またはシステム、ならびにこれらの使用方法に関する。より特定すると、本開示は、組織をクランプし、切断し、そして/またはステープル留めするための、取り外し可能な使い捨て装填ユニットおよび/または単回使用装填ユニットと一緒に使用するために構成された、手で持つ電気機械外科手術の装置、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製造業者は、電気機械外科手術デバイスを作動および/または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。一部の電気機械外科手術デバイスは、再使用可能なハンドルアセンブリ、ならびに交換可能な装填ユニットおよび/または単回使用装填ユニットなどを備え、これらの装填ユニットは、使用前にこのハンドルアセンブリに選択的に接続され、次いで使用後に、処分の目的で、またはいくつかの例においては再使用のための滅菌の目的で、このハンドルアセンブリから接続を外される。
本開示の局面に従って、電気機械外科手術システムは、シャフトアセンブリと選択的に接続するための接続部分を規定し、かつ少なくとも1つの回転可能な駆動部材を有する器具ハウジングを含む。エンドエフェクタは、少なくとも1つの機能を実行するように構成され、シャフトアセンブリは、エンドエフェクタと器具ハウジングとを選択的に相互接続するように配置され、シャフトアセンブリは、エンドエフェクタの関節運動を可能にするための、少なくとも1つの回転可能な駆動部材および少なくとも1つのリンクとを含む。第一および第二の直径方向に対向する関節運動ケーブルは、少なくとも1つのリンクに沿って少なくとも部分的に伸びる。各関節運動ケーブルは、少なくとも1つのリンクに係留された遠位端と、それぞれの第一および第二の軸方向に変位可能なラックに固定された近位端とを含み、各ラックは、平歯車によって互いに作動可能に接続されている。平歯車は、クレビスに取り付けされている。システムは、平歯車に取り付けられ、かつ、ねじと、ねじとクレビスとの間の付勢部材とを含むケーブル引張アセンブリと、シャフトアセンブリの少なくとも1つの駆動部材のうちの少なくとも1つに取り付けられたクラッチ機構とを含む。
本願明細書は、例えば、以下の項目も提供する。
(項目1)
電気機械外科手術システムであって、該電気機械外科手術システムは、
シャフトアセンブリと選択的に接続するための接続部分を規定し、かつ少なくとも1つの回転可能な駆動部材を有する器具ハウジングと、
少なくとも1つの機能を実行するように構成されたエンドエフェクタと、
該エンドエフェクタと該器具ハウジングとを選択的に相互接続するように配置された該シャフトアセンブリであって、該シャフトアセンブリは、
該エンドエフェクタの関節運動を可能にするための、少なくとも1つの回転可能な駆動部材および少なくとも1つのリンクと、
該少なくとも1つのリンクに沿って少なくとも部分的に伸びる第一および第二の直径方向に対向する関節運動ケーブルであって、各関節運動ケーブルは、該少なくとも1つのリンクに係留された遠位端と、それぞれの第一および第二の軸方向に変位可能なラックに固定された近位端とを含み、各ラックは、平歯車によって互いに作動可能に接続され、該平歯車は、クレビスに取り付けされている、第一および第二の直径方向に対向する関節運動ケーブルと
を含む、シャフトアセンブリと、
該平歯車に取り付けられ、かつ、ねじと、該ねじと該クレビスとの間の付勢部材とを含むケーブル引張アセンブリと、
該シャフトアセンブリの該少なくとも1つの駆動部材のうちの少なくとも1つに取り付けられたクラッチ機構と
を含む、電気機械外科手術システム。
(項目2)
上記シャフトアセンブリは、
上記第一のラックから近位に延びるねじ切りされたロッドをさらに含み、
上記シャフトアセンブリの上記少なくとも1つの駆動部材の回転は、該ねじ切りされたロッドに回転を与えることにより、該第一のラックを移動させ、該エンドエフェクタを関節運動させる、上記項目に記載の電気機械外科手術システム。
(項目3)
上記シャフトアセンブリは、
上記少なくとも1つのリンクの遠位端において支持された遠位ネックハウジングと、
該少なくとも1つのリンクに固定された遠位端と、上記第一のラックに固定された近位端とを含む第一の関節運動ケーブルと、
該少なくとも1つのリンクに固定された遠位端と、上記第二のラックに固定された近位端とを含む第二の関節運動ケーブルと
をさらに含み、
該第一および第二の関節運動ケーブルは、互いに対して直径方向に対向する、上記項目のいずれかに記載の電気機械外科手術システム。
(項目4)
上記ねじ切りされたロッドの回転は、上記第一のラックを並進させることにより、上記第一の関節運動ケーブルを軸方向に変位させて、上記エンドエフェクタを関節運動させる、上記項目のいずれかに記載の電気機械外科手術システム。
(項目5)
上記クレビスは、軸方向にスライド可能で回転可能に上記平歯車を支持する、上記項目のいずれかに記載の電気機械外科手術システム。
(項目6)
上記クレビスの軸方向の変位は、結果として上記平歯車の軸方向の変位、そして次に、上記第一のラックおよび上記第二のラックの軸方向の変位をもたらす、上記項目のいずれかに記載の電気機械外科手術システム。
(項目7)
上記クレビスは、近位方向に付勢される、上記項目のいずれかに記載の電気機械外科手術システム。
(項目8)
上記クレビスは、調節ねじの回転の際に該クレビスを軸方向に変位させるように、上記ねじに接続されている、上記項目のいずれかに記載の電気機械外科手術システム。
(項目9)
上記クラッチ機構は、カム作用表面を有するプランジャー部材と、カム作用表面を有する結合部材とを有する、上記項目のいずれかに記載の電気機械外科手術システム。
(項目10)
上記クラッチ機構は、上記プランジャー部材と係合された付勢部材を含み、該付勢部材は、上記結合部材に対して該プランジャー部材を押すことにより、該プランジャー部材のカム作用表面が該結合部材のカム作用表面と係合の状態になる、上記項目のいずれかに記載の電気機械外科手術システム。
(項目11)
上記クラッチ機構は、上記プランジャー部材の角度付けされた外側環状プロフィールと嵌合するための角度付けされた内側環状表面を規定するカプラーを含む、上記項目のいずれかに記載の電気機械外科手術システム。
(項目12)
電気機械外科手術システムであって、該電気機械外科手術システムは、
シャフトアセンブリと選択的に接続するための接続部分を規定する器具ハウジングであって、外科手術器具は、少なくとも1つの回転可能な駆動部材を有する、器具ハウジングと、
少なくとも1つの機能を実行するように構成され、かつ回転ハブを有するエンドエフェクタと
該エンドエフェクタと該器具ハウジングとを選択的に相互接続するように配置された該シャフトアセンブリであって、該シャフトアセンブリは、少なくとも1つの駆動部材を含み、該シャフトアセンブリの該少なくとも1つの駆動部材は、該シャフトアセンブリが該エンドエフェクタに接続されている場合、該回転ハブに接続可能である、シャフトアセンブリと
含み、
該シャフトアセンブリは、該シャフトアセンブリの該少なくとも1つの駆動部材のうちの少なくとも1つに取り付けられたクラッチ機構を有する、電気機械外科手術システム。
(項目13)
上記クラッチ機構は、カム作用表面を有するプランジャー部材と、カム作用表面を有する結合部材とを有する、上記項目のいずれかに記載の電気機械外科手術システム。
(項目14)
上記クラッチ機構は、上記プランジャー部材と係合された付勢部材を含み、該付勢部材は、上記結合部材に対して該プランジャー部材を押すことにより、該プランジャー部材のカム作用表面が該結合部材のカム作用表面と係合の状態になる、上記項目のいずれかに記載の電気機械外科手術システム。
(項目15)
上記クラッチ機構は、上記プランジャー部材の角度付けされた外側環状プロフィールと嵌合するための角度付けされた内側環状表面を規定するカプラーを含む、上記項目のいずれかに記載の電気機械外科手術システム。
(摘要)
電気機械外科手術システムは、シャフトアセンブリと接続するための器具ハウジングと、シャフトアセンブリと、エンドエフェクタとを含む。エンドエフェクタは、関節運動するエンドエフェクタであり、システムは、関節運動ケーブルを引張させるためのケーブル引張システムを含む。システムは、駆動ケーブルの滑脱を防ぐためのクラッチ機構を含む。
本開示の電気機械外科手術のシステム、装置および/またはデバイスの実施形態が、図面において、同じ参照番号は、数枚の図の各々における、同一の要素または対応する要素を表す。本明細書中で使用される場合、用語「遠位」とは、電気機械外科手術のシステム、装置および/またはデバイス、あるいはその構成要素の、使用者から遠い方の部分をいい、一方で、用語「近位」とは、電気機械外科手術のシステム、装置および/またはデバイス、あるいはその構成要素の、使用者に近い方の部分をいう。
102 器具ハウジング
108 上ハウジング部分
200 シャフトアセンブリ
212 トランスミッションハウジング
214 シャフト結合アセンブリ
230 関節運動するネックアセンブリ
236 遠位ネックハウジング
280 第一の歯車システム
290 第二の歯車システム
400 エンドエフェクタ
Claims (15)
- 電気機械外科手術システムであって、該電気機械外科手術システムは、
シャフトアセンブリと選択的に接続するための接続部分を規定し、かつ少なくとも1つの回転可能な駆動部材を有する器具ハウジングと、
少なくとも1つの機能を実行するように構成されたエンドエフェクタと、
該エンドエフェクタと該器具ハウジングとを選択的に相互接続するように配置された該シャフトアセンブリであって、該シャフトアセンブリは、
該エンドエフェクタの関節運動を可能にするための、少なくとも1つの回転可能な駆動部材および少なくとも1つのリンクと、
該少なくとも1つのリンクに沿って少なくとも部分的に伸びる第一および第二の直径方向に対向する関節運動ケーブルであって、各関節運動ケーブルは、該少なくとも1つのリンクに係留された遠位端と、それぞれの第一および第二の軸方向に変位可能なラックに固定された近位端とを含み、各ラックは、平歯車によって互いに作動可能に接続され、該平歯車は、クレビスに取り付けされている、第一および第二の直径方向に対向する関節運動ケーブルと
を含む、シャフトアセンブリと、
該平歯車に取り付けられ、かつ、ねじと、該ねじと該クレビスとの間の付勢部材とを含むケーブル引張アセンブリと、
該シャフトアセンブリの該少なくとも1つの駆動部材のうちの少なくとも1つに取り付けられたクラッチ機構と
を含む、電気機械外科手術システム。 - 前記シャフトアセンブリは、
前記第一のラックから近位に延びるねじ切りされたロッドをさらに含み、
前記シャフトアセンブリの前記少なくとも1つの駆動部材の回転は、該ねじ切りされたロッドに回転を与えることにより、該第一のラックを移動させ、該エンドエフェクタを関節運動させる、請求項1に記載の電気機械外科手術システム。 - 前記シャフトアセンブリは、
前記少なくとも1つのリンクの遠位端において支持された遠位ネックハウジングと、
該少なくとも1つのリンクに固定された遠位端と、前記第一のラックに固定された近位端とを含む第一の関節運動ケーブルと、
該少なくとも1つのリンクに固定された遠位端と、前記第二のラックに固定された近位端とを含む第二の関節運動ケーブルと
をさらに含み、
該第一および第二の関節運動ケーブルは、互いに対して直径方向に対向する、請求項2に記載の電気機械外科手術システム。 - 前記ねじ切りされたロッドの回転は、前記第一のラックを並進させることにより、前記第一の関節運動ケーブルを軸方向に変位させて、前記エンドエフェクタを関節運動させる、請求項3に記載の電気機械外科手術システム。
- 前記クレビスは、軸方向にスライド可能で回転可能に前記平歯車を支持する、請求項4に記載の電気機械外科手術システム。
- 前記クレビスの軸方向の変位は、結果として前記平歯車の軸方向の変位、そして次に、前記第一のラックおよび前記第二のラックの軸方向の変位をもたらす、請求項5に記載の電気機械外科手術システム。
- 前記クレビスは、近位方向に付勢される、請求項1に記載の電気機械外科手術システム。
- 前記クレビスは、調節ねじの回転の際に該クレビスを軸方向に変位させるように、前記ねじに接続されている、請求項7に記載の電気機械外科手術システム。
- 前記クラッチ機構は、カム作用表面を有するプランジャー部材と、カム作用表面を有する結合部材とを有する、請求項1に記載の電気機械外科手術システム。
- 前記クラッチ機構は、前記プランジャー部材と係合された付勢部材を含み、該付勢部材は、前記結合部材に対して該プランジャー部材を押すことにより、該プランジャー部材のカム作用表面が該結合部材のカム作用表面と係合の状態になる、請求項9に記載の電気機械外科手術システム。
- 前記クラッチ機構は、前記プランジャー部材の角度付けされた外側環状プロフィールと嵌合するための角度付けされた内側環状表面を規定するカプラーを含む、請求項9に記載の電気機械外科手術システム。
- 電気機械外科手術システムであって、該電気機械外科手術システムは、
シャフトアセンブリと選択的に接続するための接続部分を規定する器具ハウジングであって、外科手術器具は、少なくとも1つの回転可能な駆動部材を有する、器具ハウジングと、
少なくとも1つの機能を実行するように構成され、かつ回転ハブを有するエンドエフェクタと
該エンドエフェクタと該器具ハウジングとを選択的に相互接続するように配置された該シャフトアセンブリであって、該シャフトアセンブリは、少なくとも1つの駆動部材を含み、該シャフトアセンブリの該少なくとも1つの駆動部材は、該シャフトアセンブリが該エンドエフェクタに接続されている場合、該回転ハブに接続可能である、シャフトアセンブリと
含み、
該シャフトアセンブリは、該シャフトアセンブリの該少なくとも1つの駆動部材のうちの少なくとも1つに取り付けられたクラッチ機構を有する、電気機械外科手術システム。 - 前記クラッチ機構は、カム作用表面を有するプランジャー部材と、カム作用表面を有する結合部材とを有する、請求項12に記載の電気機械外科手術システム。
- 前記クラッチ機構は、前記プランジャー部材と係合された付勢部材を含み、該付勢部材は、前記結合部材に対して該プランジャー部材を押すことにより、該プランジャー部材のカム作用表面が該結合部材のカム作用表面と係合の状態になる、請求項13に記載の電気機械外科手術システム。
- 前記クラッチ機構は、前記プランジャー部材の角度付けされた外側環状プロフィールと嵌合するための角度付けされた内側環状表面を規定するカプラーを含む、請求項13に記載の電気機械外科手術システム。
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2013
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2016
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Also Published As
Publication number | Publication date |
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US9492146B2 (en) | 2016-11-15 |
CA2817302A1 (en) | 2013-12-13 |
AU2013206098B2 (en) | 2017-07-20 |
AU2013206098A1 (en) | 2014-01-16 |
JP6481060B2 (ja) | 2019-03-13 |
EP2674110A3 (en) | 2014-01-22 |
US20130274722A1 (en) | 2013-10-17 |
US10568651B2 (en) | 2020-02-25 |
JP2018086364A (ja) | 2018-06-07 |
EP2674110B1 (en) | 2015-07-08 |
JP6313934B2 (ja) | 2018-04-18 |
EP2674110A2 (en) | 2013-12-18 |
US20170035448A1 (en) | 2017-02-09 |
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