JP2014233632A - ローディングユニットセンサーから切り離されるアダプターロードボタン - Google Patents
ローディングユニットセンサーから切り離されるアダプターロードボタン Download PDFInfo
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- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B17/07207—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously the staples being applied sequentially
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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
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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
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
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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
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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
- A61B2017/0023—Surgical instruments, devices or methods, e.g. tourniquets disposable
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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
- A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
- A61B2017/00371—Multiple actuation, e.g. pushing of two buttons, or two working tips becoming operational
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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
- A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
- A61B2017/00398—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like using powered actuators, e.g. stepper motors, solenoids
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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
- A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
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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
- A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
- A61B2017/00464—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable for use with different instruments
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- A—HUMAN NECESSITIES
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- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
- A61B2017/00473—Distal part, e.g. tip or head
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- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00681—Aspects not otherwise provided for
- A61B2017/00734—Aspects not otherwise provided for battery operated
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- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
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- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2946—Locking means
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- A—HUMAN NECESSITIES
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- 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
- A61B90/08—Accessories or related features not otherwise provided for
- A61B2090/0807—Indication means
- A61B2090/0808—Indication means for indicating correct assembly of components, e.g. of the surgical apparatus
Abstract
Description
本願は、2013年5月30日に出願された米国仮特許出願第61/828,726号の利益および上記仮特許出願に対する優先権を主張し、その開示全体は、本明細書中で参考として援用される。
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装置、デバイスおよび/またはシステム、ならびにその使用方法に関する。より詳しくは、本開示は、組織を締め付け、切断、および/またはステープル留めするために、取り外し可能な使い捨てローディングユニットおよび/または単回使用ローディングユニットとの使用のために構成されている電気機械式のハンドヘルドの外科手術装置、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製造業者が、電気機械式外科手術デバイスを動作させるため、および/または操作するための自社の駆動システムを備えている製品種目を開発している。多くの例において、電気機械式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、使い捨てローディングユニットまたは単回使用ローディングユニットとを含む。ローディングユニットは、使用前にハンドルアセンブリに選択的に接続され、次に、処分されるために、またはいくつかの例においては、再使用のために滅菌されるために、使用後にハンドルアセンブリから接続解除される。
本開示の例示的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、より詳細に下に記載される。
(項目1)
エンドエフェクターをハンドルアセンブリに連結するための外科手術デバイスアダプターであって、該外科手術デバイスアダプターは、
該エンドエフェクターを該外科手術デバイスアダプターに連結する際に、該エンドエフェクターによって係合可能であるセンサーリンクアセンブリと、
該エンドエフェクターによって第1の位置から第2の位置に移動可能であるロードリンクであって、該第2の位置において、該ロードリンクは、該センサーリンクアセンブリを係止し、該第1の位置において、該センサーリンクアセンブリを解放する、ロードリンクと、
該ロードリンクによる解放に応答して、該センサーリンクアセンブリの近位方向移動の際に該センサーリンクアセンブリによって係合可能であるセンサーと
を含む、外科手術デバイスアダプター。
(項目2)
上記ロードリンクは、遠位方向に付勢されており、該ロードリンクは、該ロードリンクが遠位方向に付勢され、上記エンドエフェクターが上記外科手術デバイスアダプターに連結されるまで上記センサーリンクアセンブリの近位方向移動を防止するように構成されている、上記項目に記載の外科手術デバイスアダプター。
(項目3)
上記ロードリンクの近位方向移動によって作動可能である係止ばねをさらに含み、該係止ばねは、上記センサーリンクアセンブリの近位部分に連結して、該センサーリンクアセンブリの近位方向移動を防止するように構成されている、上記項目のうちのいずれか一項に記載の外科手術デバイスアダプター。
(項目4)
上記センサーリンクアセンブリは、近位センサーリンクと、遠位センサーリンクと、その間に配置されている付勢部材とを含む、上記項目のうちのいずれか一項に記載の外科手術デバイスアダプター。
(項目5)
上記近位センサーリンクは、上記係止ばねとインターフェイス接続するように構成されているリングを含む、上記項目のうちのいずれか一項に記載の外科手術デバイスアダプター。
(項目6)
上記アダプターは、その遠位端において差込み接続を含み、該差込み接続は、上記エンドエフェクターの1対の出張りに連結するように構成されている、上記項目のうちのいずれか一項に記載の外科手術デバイスアダプター。
(項目7)
上記エンドエフェクターは、上記差込み接続の中に直線的に挿入されるように構成されている、上記項目のうちのいずれか一項に記載の外科手術デバイスアダプター。
(項目8)
上記ロードリンクは、近位方向に移動させられて、上記差込み接続内での出張りの回転を可能にする、上記項目のうちのいずれか一項に記載の外科手術デバイスアダプター。
(項目9)
上記1対の出張りのうちの少なくとも1つの出張りは、上記差込み接続内での上記エンドエフェクターの回転の際に上記遠位センサーリンクを係合し、それにより上記付勢部材を圧縮する、上記項目のうちのいずれか一項に記載の外科手術デバイスアダプター。
(項目10)
上記ロードリンクは、遠位方向に移動させられて、上記1対の出張りのうちの少なくとも1つの出張りを上記差込み接続内に固定する、上記項目のうちのいずれか一項に記載の外科手術デバイスアダプター。
(項目11)
上記ロードリンクの遠位方向移動は、上記係止ばねを解放し、上記付勢部材が上記近位センサーリンクを近位方向に移動させ、該近位センサーリンクが上記センサーを係合することを可能にする、上記項目のうちのいずれか一項に記載の外科手術デバイスアダプター。
(項目12)
エンドエフェクターを外科手術デバイスアダプターに連結する方法であって、該方法は、
該外科手術デバイスアダプターの遠位端にエンドエフェクターを挿入するステップであって、該エンドエフェクターは、その近位端に配置されている1対の出張りを含む、ステップと、
遠位方向に付勢されたロードリンクを該外科手術デバイスアダプター内で近位方向に移動させることにより、センサーリンクアセンブリを固定するステップと、
アダプターアセンブリ内で該エンドエフェクターを回転させるステップであって、該1対の出張りのうちの少なくとも1つの出張りは、該センサーリンクアセンブリの少なくとも一部分を係合して、固定する、ステップと、
該ロードリンクを遠位方向に移動させることにより、該エンドエフェクターを該外科手術デバイスアダプター内に固定し、かつ該センサーリンクアセンブリを解放して、該センサーリンクアセンブリが近位方向に移動し、センサーを係合することを可能にするステップと
を含む、方法。
(項目13)
上記センサーリンクアセンブリは、遠位方向に付勢された近位センサーリンクと、遠位センサーリンクと、その間に配置されている付勢部材とを含む、上記項目のうちのいずれか一項に記載の方法。
(項目14)
上記ロードリンクを近位方向に移動させることは、上記近位センサーリンクを固定する、上記項目のうちのいずれか一項に記載の方法。
(項目15)
上記エンドエフェクターを回転させることは、上記遠位センサーリンクを係合する上記1対の出張りのうちの少なくとも1つの出張りを係合し、それにより、上記付勢部材を圧縮する、上記項目のうちのいずれか一項に記載の方法。
(項目16)
上記ロードリンクを遠位方向に移動させることは、上記近位センサーリンクを解放するように上記1対の出張りのうちの少なくとも1つの出張りを固定し、上記付勢部材が該近位センサーリンクを近位方向に移動させ、該近位センサーリンクが上記センサーを係合することを可能にする、上記項目のうちのいずれか一項に記載の方法。
(項目17)
上記ロードリンクは、上記センサーリンクアセンブリに、その近位端における付勢部材を介して連結されている、上記項目のうちのいずれか一項に記載の方法。
外科手術デバイスが提供される。外科手術デバイスは、顎アセンブリであって、この顎アセンブリは、第1の顎と、第1の顎に対して移動可能である第2の顎とを含む、顎アセンブリと、顎アセンブリの近位端に取り外し可能に連結されている細長い本体とを含む。細長い本体は、顎アセンブリをそこに固定するために、細長い本体との顎アセンブリの係合の際に移動可能である作動バーと、解放ボタンであって、この解放ボタンは、細長い本体との顎アセンブリの係合の際に作動バーによって移動可能であるように作動バーに連結され、解放ボタンは、作動バーを移動させて、細長い本体からの顎アセンブリの取り外しを可能にするように構成されている、解放ボタンと、解放ボタンと機械的に協働しているロックアウトボタンであって、ロックアウトボタンは、解放ボタンの作動を防止するように構成されている、ロックアウトボタンとを含む。
本開示の電気機械式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、図面を参照して詳細に記載され、図面において、類似の参照数字は、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。本明細書中で用いられる場合、用語「遠位」は、電気機械式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、使用者からより遠い部分を指し、用語「近位」は、電気機械式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、使用者により近い部分を指す。用語「左」および「右」は、それぞれ、外科手術のシステム、装置および/またはデバイスが回転しない構成に配向されているときに、電気機械式外科手術のシステム、装置および/またはデバイスの近位端から遠位端に向いている使用者から見て、電気機械式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左側および右側にある部分を指す。
287、487 センサー
300 エンドエフェクター
402、502、602、702、802、902 ロードリンク
451、551 センサーリンクアセンブリ
Claims (17)
- エンドエフェクターをハンドルアセンブリに連結するための外科手術デバイスアダプターであって、該外科手術デバイスアダプターは、
該エンドエフェクターを該外科手術デバイスアダプターに連結する際に、該エンドエフェクターによって係合可能であるセンサーリンクアセンブリと、
該エンドエフェクターによって第1の位置から第2の位置に移動可能であるロードリンクであって、該第2の位置において、該ロードリンクは、該センサーリンクアセンブリを係止し、該第1の位置において、該センサーリンクアセンブリを解放する、ロードリンクと、
該ロードリンクによる解放に応答して、該センサーリンクアセンブリの近位方向移動の際に該センサーリンクアセンブリによって係合可能であるセンサーと
を含む、外科手術デバイスアダプター。 - 前記ロードリンクは、遠位方向に付勢されており、該ロードリンクは、該ロードリンクが遠位方向に付勢され、前記エンドエフェクターが前記外科手術デバイスアダプターに連結されるまで前記センサーリンクアセンブリの近位方向移動を防止するように構成されている、請求項1に記載の外科手術デバイスアダプター。
- 前記ロードリンクの近位方向移動によって作動可能である係止ばねをさらに含み、該係止ばねは、前記センサーリンクアセンブリの近位部分に連結して、該センサーリンクアセンブリの近位方向移動を防止するように構成されている、請求項2に記載の外科手術デバイスアダプター。
- 前記センサーリンクアセンブリは、近位センサーリンクと、遠位センサーリンクと、その間に配置されている付勢部材とを含む、請求項3に記載の外科手術デバイスアダプター。
- 前記近位センサーリンクは、前記係止ばねとインターフェイス接続するように構成されているリングを含む、請求項4に記載の外科手術デバイスアダプター。
- 前記アダプターは、その遠位端において差込み接続を含み、該差込み接続は、前記エンドエフェクターの1対の出張りに連結するように構成されている、請求項4に記載の外科手術デバイスアダプター。
- 前記エンドエフェクターは、前記差込み接続の中に直線的に挿入されるように構成されている、請求項6に記載の外科手術デバイスアダプター。
- 前記ロードリンクは、近位方向に移動させられて、前記差込み接続内での出張りの回転を可能にする、請求項7に記載の外科手術デバイスアダプター。
- 前記1対の出張りのうちの少なくとも1つの出張りは、前記差込み接続内での前記エンドエフェクターの回転の際に前記遠位センサーリンクを係合し、それにより前記付勢部材を圧縮する、請求項8に記載の外科手術デバイスアダプター。
- 前記ロードリンクは、遠位方向に移動させられて、前記1対の出張りのうちの少なくとも1つの出張りを前記差込み接続内に固定する、請求項9に記載の外科手術デバイスアダプター。
- 前記ロードリンクの遠位方向移動は、前記係止ばねを解放し、前記付勢部材が前記近位センサーリンクを近位方向に移動させ、該近位センサーリンクが前記センサーを係合することを可能にする、請求項10に記載の外科手術デバイスアダプター。
- エンドエフェクターを外科手術デバイスアダプターに連結する方法であって、該方法は、
該外科手術デバイスアダプターの遠位端にエンドエフェクターを挿入するステップであって、該エンドエフェクターは、その近位端に配置されている1対の出張りを含む、ステップと、
遠位方向に付勢されたロードリンクを該外科手術デバイスアダプター内で近位方向に移動させることにより、センサーリンクアセンブリを固定するステップと、
アダプターアセンブリ内で該エンドエフェクターを回転させるステップであって、該1対の出張りのうちの少なくとも1つの出張りは、該センサーリンクアセンブリの少なくとも一部分を係合して、固定する、ステップと、
該ロードリンクを遠位方向に移動させることにより、該エンドエフェクターを該外科手術デバイスアダプター内に固定し、かつ該センサーリンクアセンブリを解放して、該センサーリンクアセンブリが近位方向に移動し、センサーを係合することを可能にするステップと
を含む、方法。 - 前記センサーリンクアセンブリは、遠位方向に付勢された近位センサーリンクと、遠位センサーリンクと、その間に配置されている付勢部材とを含む、請求項12に記載の方法。
- 前記ロードリンクを近位方向に移動させることは、前記近位センサーリンクを固定する、請求項13に記載の方法。
- 前記エンドエフェクターを回転させることは、前記遠位センサーリンクを係合する前記1対の出張りのうちの少なくとも1つの出張りを係合し、それにより、前記付勢部材を圧縮する、請求項14に記載の方法。
- 前記ロードリンクを遠位方向に移動させることは、前記近位センサーリンクを解放するように前記1対の出張りのうちの少なくとも1つの出張りを固定し、前記付勢部材が該近位センサーリンクを近位方向に移動させ、該近位センサーリンクが前記センサーを係合することを可能にする、請求項15に記載の方法。
- 前記ロードリンクは、前記センサーリンクアセンブリに、その近位端における付勢部材を介して連結されている、請求項12に記載の方法。
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JP2021045566A (ja) * | 2015-09-25 | 2021-03-25 | コヴィディエン リミテッド パートナーシップ | 外科用ロボットアセンブリ及びその器具用アダプタ |
JP7011701B2 (ja) | 2015-09-25 | 2022-01-27 | コヴィディエン リミテッド パートナーシップ | 外科用ロボットアセンブリ及びその器具用アダプタ |
US11446101B2 (en) | 2015-09-25 | 2022-09-20 | Covidien Lp | Surgical robotic assemblies and instrument adapters thereof |
JP2017074362A (ja) * | 2015-10-14 | 2017-04-20 | コヴィディエン リミテッド パートナーシップ | 外科用デバイスのためのアダプタアセンブリ |
JP7476208B2 (ja) | 2018-12-31 | 2024-04-30 | シラグ・ゲーエムベーハー・インターナショナル | 異なる材料の部分から形成された外科用ステープラシャフト |
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CN104207809A (zh) | 2014-12-17 |
EP2807984A3 (en) | 2015-03-25 |
AU2014202703B2 (en) | 2019-01-17 |
US20140358129A1 (en) | 2014-12-04 |
CN104207809B (zh) | 2018-04-03 |
AU2014202703A1 (en) | 2014-12-18 |
EP2807984B1 (en) | 2017-05-03 |
JP6408791B2 (ja) | 2018-10-17 |
CA2852092A1 (en) | 2014-11-30 |
EP2807984A2 (en) | 2014-12-03 |
US9801646B2 (en) | 2017-10-31 |
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