JP2013523212A - ファイアリング力の低減した外科用切断及び封着器具 - Google Patents
ファイアリング力の低減した外科用切断及び封着器具 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
- A61B17/32—Surgical cutting instruments
- A61B17/3205—Excision instruments
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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
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B17/295—Forceps for use in minimally invasive surgery combined with cutting implements
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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
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
- A61B2017/2932—Transmission of forces to jaw members
- A61B2017/2933—Transmission of forces to jaw members camming or guiding 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
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
- A61B2017/2932—Transmission of forces to jaw members
- A61B2017/2933—Transmission of forces to jaw members camming or guiding means
- A61B2017/2937—Transmission of forces to jaw members camming or guiding means with flexible part
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Abstract
Description
米国特許第7,381,209号、発明の名称「ELECTROSURGICAL INSTRUMENT」;
米国特許第7,354,440号、発明の名称「ELECTROSURGICAL INSTRUMENT AND METHOD OF USE」;
米国特許第7,311,709号、発明の名称「ELECTROSURGICAL INSTRUMENT AND METHOD OF USE」;
米国特許第7,309,849号、発明の名称「POLYMER COMPOSITIONS EXHIBITING A PTC PROPERTY AND METHODS OF FABRICATION」;
米国特許第7,220,951号、発明の名称「SURGICAL SEALING SURFACES AND METHODS OF USE」;
米国特許第7,189,233号、発明の名称「ELECTROSURGICAL INSTRUMENT」;
米国特許第7,186,253号、発明の名称「ELECTROSURGICAL JAW STRUCTURE FOR CONTROLLED ENERGY DELIVERY」;
米国特許第7,169,146号、発明の名称「ELECTROSURGICAL PROBE AND METHOD OF USE」;
米国特許第7,125,409号、発明の名称「ELECTROSURGICAL WORKING END FOR CONTROLLED ENERGY DELIVERY;及び
米国特許第7,112,201号、発明の名称「ELECTROSURGICAL INSTRUMENT AND METHOD OF USE」。
(1) エンドエフェクタを備える外科用器具において、前記エンドエフェクタは、
長手方向軸及び溝を画定する第1の可撓性ジョーと、
第2のジョーであって、前記第1のジョー及び前記第2のジョーは互いに動作可能に連結される、第2のジョーと、
遠位端を含む切断部材であって、前記切断部材は、少なくとも部分的に前記溝の中に嵌入するように寸法設定及び構成され、前記切断部材は、後退位置と完全前進位置との間を前記溝に沿って並進するように構成され、前記第1の可撓性ジョーが、前記長手方向軸に対して垂直な方向、及び前記切断部材が前記後退位置と前記完全前進位置との間にあるときに前記切断部材の前記遠位端において前記溝を横切する平面において、約1.3mm以下の厚さを有する、切断部材と、
前記切断部材から延びる少なくとも1つの圧縮要素であって、前記少なくとも1つの圧縮要素が、前記切断部材が前記第1の可撓性ジョーに対して前記後退位置を越えて並進するときに、前記第1の可撓性ジョーを前記第2のジョーに対して開位置から閉位置に回転させるように構成される、圧縮要素と、を備える、外科用器具。
(2) 前記第1の可撓性ジョーの前記厚さが約0.5mm以上であり、前記第1の可撓性ジョーが、約2mm以上から約15mm以下までの幅を有する、実施態様1に記載の外科用器具。
(3) 前記第1の可撓性ジョー及び前記第2のジョーが互いに旋回可能に連結される、実施態様1に記載の外科用器具。
(4) 連結されるエンドエフェクタを備える外科用器具において、前記エンドエフェクタは、
第1のジョーと、
第2のジョーであって、前記第1のジョー及び前記第2のジョーは互いに動作可能に連結される、第2のジョーと、
前記第1のジョー及び前記第2のジョーに対して並進するように構成される切断部材と、
前記切断部材から延びる少なくとも1つの圧縮要素であって、前記少なくとも1つの圧縮要素が、前記切断部材が前記第1のジョーに対して並進するときに前記第1のジョーが前記第2のジョーに対して回転するように前記第1のジョーと接触するように構成され、前記少なくとも1つの圧縮要素が、ローラー及び低摩擦材料の一方又は両方を含み、前記低摩擦材料と前記第1のジョーとの間の静的摩擦係数が、約0.10以下である、圧縮要素と、を備える、外科用器具。
(5) 前記低摩擦材料と前記第1のジョーとの間の前記静的摩擦係数が、約0.07以下である、実施態様4に記載の外科用器具。
(6) 前記低摩擦材料と前記第1のジョーとの間の前記静的摩擦係数が、約0.05以下である、実施態様4に記載の外科用器具。
(7) 前記低摩擦材料が熱可塑性樹脂を含む、実施態様4に記載の外科用器具。
(8) 前記熱可塑性樹脂が、ナイロン、高密度ポリエチレン、及びポリテトラフルオロエチレンの1つ又は2つ以上である、実施態様7に記載の外科用器具。
(9) 前記第1のジョー及び前記第2のジョーが互いに旋回可能に連結される、実施態様4に記載の外科用器具。
(10) エンドエフェクタを備える外科用器具において、前記エンドエフェクタは、
第1のジョーと、
第2のジョーであって、前記第1のジョー及び前記第2のジョーは互いに動作可能に連結される、第2のジョーと、
前記第1のジョーに対して後退位置と完全前進位置との間を並進するように構成された、長手方向軸を画定する切断部材と、
前記切断部材から延びる少なくとも1つの圧縮要素であって、前記少なくとも1つの圧縮要素が、前記切断部材が前記第1のジョーに対して並進するときに前記第1のジョーが前記第2のジョーに対して開位置と閉位置との間で回転するように前記第1のジョーと接触するように構成され、前記第1のジョーが前記開位置にあり、前記第1のジョーに外部負荷が加えられていない場合、前記第1のジョーが前記長手方向軸から離れて湾曲するように、前記第1のジョーが事前に曲げられる、圧縮要素と、を備える、外科用器具。
(12) 前記第1のジョーが、前記第1のジョーと前記第2のジョーとの間に組織を把持するときに屈曲するように構成される、実施態様10に記載の外科用器具。
(13) 前記第1のジョーが固定されたピボットヒンジに取り付けられる、実施態様12に記載の外科用器具。
(14) 前記第1のジョーが前記閉位置にあるときに、前記第1のジョーと前記第2のジョーとの間の最小距離が約0.015cm(0.006インチ)以上であり、前記第1のジョーと前記第2のジョーとの間の最大距離が約0.127cm(0.050インチ)以下であるように、前記第1のジョーが事前に曲げられる、実施態様10に記載の外科用器具。
(15) 前記切断部材が前記第2のジョーに対して前記後退位置と前記完全前進位置との間で並進するように構成され、前記切断部材が前記第2のジョーに対して並進するとき、前記少なくとも1つの圧縮要素が、前記第2のジョーを前記第1のジョーに対して開位置と閉位置との間で回転させるように構成され、前記第2のジョーが前記開位置にあり、前記第2のジョーに外部負荷が加えられていない場合、前記第2のジョーが前記切断部材の長手方向軸から離れて湾曲するように、前記第2のジョーが事前に曲げられる、実施態様10に記載の外科用器具。
(16) 前記第2のジョーが浮動ヒンジに取り付けられる、実施態様15に記載の外科用器具。
(17) 前記第2のジョーが、前記第1のジョーと前記第2のジョーとの間に組織を把持するときに屈曲するように構成される、実施態様15に記載の外科用器具。
(18) 前記第2のジョーが固定されたピボットヒンジに取り付けられる、実施態様17に記載の外科用器具。
(19) 前記少なくとも1つの圧縮要素が、前記切断部材から延びるシャフトに嵌められる(journaled on)ローラーを含む、実施態様10に記載の外科用器具。
(20) 前記少なくとも1つの圧縮要素が、第1の圧縮要素と第2の圧縮要素とを含み、前記第1及び第2の圧縮要素が、前記切断部材の対向する側部に配置される、実施態様10に記載の外科用器具。
(22) 前記少なくとも1つの圧縮要素が、第1の圧縮要素と、第2の圧縮要素と、第3の圧縮要素と、第4の圧縮要素とを含み、前記第1の圧縮要素及び前記第2の圧縮要素が前記第1のジョーと接触するように構成され、前記第3の圧縮要素及び前記第4の圧縮要素が前記第2のジョーと接触するように構成される、実施態様10に記載の外科用器具。
(23) 前記第1の可撓性ジョー及び前記第2のジョーが、共に旋回可能に連結される、実施態様10に記載の外科用器具。
Claims (10)
- エンドエフェクタを備える外科用器具において、前記エンドエフェクタは、
第1のジョーと、
第2のジョーであって、前記第1のジョー及び前記第2のジョーは互いに動作可能に連結される、第2のジョーと、
前記第1のジョーに対して後退位置と完全前進位置との間を並進するように構成された、長手方向軸を画定する切断部材と、
前記切断部材から延びる少なくとも1つの圧縮要素であって、前記少なくとも1つの圧縮要素が、前記切断部材が前記第1のジョーに対して並進するときに前記第1のジョーが前記第2のジョーに対して開位置と閉位置との間で回転するように前記第1のジョーと接触するように構成され、前記第1のジョーが前記開位置にあり、前記第1のジョーに外部負荷が加えられていない場合、前記第1のジョーが前記長手方向軸から離れて湾曲するように、前記第1のジョーが事前に曲げられる、圧縮要素と、を備える、外科用器具。 - 前記第1のジョーが浮動ヒンジに取り付けられる、請求項1に記載の外科用器具。
- 前記第1のジョーが、前記第1のジョーと前記第2のジョーとの間に組織を把持するときに屈曲するように構成される、請求項1に記載の外科用器具。
- 前記第1のジョーが固定されたピボットヒンジに取り付けられる、請求項3に記載の外科用器具。
- 前記第1のジョーが前記閉位置にあるときに、前記第1のジョーと前記第2のジョーとの間の最小距離が約0.015cm(0.006インチ)以上であり、前記第1のジョーと前記第2のジョーとの間の最大距離が約0.127cm(0.050インチ)以下であるように、前記第1のジョーが事前に曲げられる、請求項1に記載の外科用器具。
- 前記切断部材が前記第2のジョーに対して前記後退位置と前記完全前進位置との間で並進するように構成され、前記切断部材が前記第2のジョーに対して並進するとき、前記少なくとも1つの圧縮要素が、前記第2のジョーを前記第1のジョーに対して開位置と閉位置との間で回転させるように構成され、前記第2のジョーが前記開位置にあり、前記第2のジョーに外部負荷が加えられていない場合、前記第2のジョーが前記切断部材の長手方向軸から離れて湾曲するように、前記第2のジョーが事前に曲げられる、請求項1に記載の外科用器具。
- 前記第2のジョーが浮動ヒンジに取り付けられる、請求項6に記載の外科用器具。
- 前記第2のジョーが、前記第1のジョーと前記第2のジョーとの間に組織を把持するときに屈曲するように構成される、請求項6に記載の外科用器具。
- 前記第2のジョーが固定されたピボットヒンジに取り付けられる、請求項8に記載の外科用器具。
- 前記少なくとも1つの圧縮要素が、前記切断部材から延びるシャフトに嵌められるローラーを含む、請求項1に記載の外科用器具。
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US12/732,992 | 2010-03-26 | ||
US12/732,992 US8696665B2 (en) | 2010-03-26 | 2010-03-26 | Surgical cutting and sealing instrument with reduced firing force |
PCT/US2011/029560 WO2011119685A1 (en) | 2010-03-26 | 2011-03-23 | Surgical cutting and sealing instrument with reduced firing force |
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JP2013523212A true JP2013523212A (ja) | 2013-06-17 |
JP5697740B2 JP5697740B2 (ja) | 2015-04-08 |
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US (2) | US8696665B2 (ja) |
EP (1) | EP2552329B1 (ja) |
JP (1) | JP5697740B2 (ja) |
CN (1) | CN102834065B (ja) |
AU (1) | AU2011232538B2 (ja) |
CA (1) | CA2794069C (ja) |
WO (1) | WO2011119685A1 (ja) |
Cited By (2)
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JP2019037767A (ja) * | 2017-08-24 | 2019-03-14 | コヴィディエン リミテッド パートナーシップ | 外科用ステープリング器具用のローディングユニット |
JP2020022729A (ja) * | 2018-06-05 | 2020-02-13 | エルベ エレクトロメディジン ゲーエムベーハーErbe Elektromedizin GmbH | 手術器具 |
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JP2008018226A (ja) * | 2006-07-11 | 2008-01-31 | Olympus Medical Systems Corp | 処置装置 |
WO2010017266A1 (en) * | 2008-08-07 | 2010-02-11 | Surgrx, Inc. | Electrosurgical instrument jaw structure with cutting tip |
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JP7198608B2 (ja) | 2017-08-24 | 2023-01-04 | コヴィディエン リミテッド パートナーシップ | 外科用ステープリング器具用のローディングユニット |
JP2020022729A (ja) * | 2018-06-05 | 2020-02-13 | エルベ エレクトロメディジン ゲーエムベーハーErbe Elektromedizin GmbH | 手術器具 |
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Also Published As
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JP5697740B2 (ja) | 2015-04-08 |
AU2011232538A1 (en) | 2012-09-06 |
CA2794069C (en) | 2018-07-31 |
AU2011232538B2 (en) | 2015-07-23 |
US20140194914A1 (en) | 2014-07-10 |
EP2552329A1 (en) | 2013-02-06 |
US9375232B2 (en) | 2016-06-28 |
CA2794069A1 (en) | 2011-09-29 |
US8696665B2 (en) | 2014-04-15 |
WO2011119685A1 (en) | 2011-09-29 |
CN102834065A (zh) | 2012-12-19 |
EP2552329B1 (en) | 2019-11-13 |
CN102834065B (zh) | 2015-11-25 |
US20110238065A1 (en) | 2011-09-29 |
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