JP2015110062A - 外科用ステープラのためのインジケータ - Google Patents
外科用ステープラのためのインジケータ 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
- A61B17/068—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
- A61B17/068—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
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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
- 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
- A61B2017/07214—Stapler heads
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- 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
- A61B90/08—Accessories or related features not otherwise provided for
- A61B2090/0807—Indication means
- A61B2090/0811—Indication means for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument
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Abstract
Description
本出願は、2009年12月31日出願の米国仮特許出願第61/291,486号の優先権を主張し、この仮特許出願の全内容が本明細書において参照により援用される。
本開示は、概して、外科用ステープル留め装置に関する。より詳細には、本開示は、使用者にステープラの状態を指示するための機構を有する外科用ステープル留め装置に関する。
圧迫された生体組織を通して並列のステープルを適用するための外科用ステープル留め器具が本分野において周知であり、そして、例えば、横断前に、切除前に、または吻合において、組織または器官の閉鎖のために、ならびに、胸部および腹部の手術における器官の閉塞のために、一般的に使用されている。
外科用ステープラであって、
本体と、
該本体の遠位の部分に位置付けられているステープル留めアセンブリであって、該ステープル留めアセンブリは、カートリッジアセンブリとアンビルアセンブリとを含む、ステープル留めアセンブリと、
該ステープル留めアセンブリ上に搭載されているアライメントピンであって、該アライメントピンは、該アンビルアセンブリと係合するように構成されている、アライメントピンと、
該アンビルアセンブリ上に位置付けられているピン受取り機構であって、該ピン受取り機構は、該アンビルアセンブリとの該アライメントピンの係合の際に第1の視覚的インジケータを点灯するように構成されている、ピン受取り機構と
を備えている、外科用ステープラ。
外科用ステープラであって、
本体と、
該本体の遠位の部分に位置付けられているステープル留めアセンブリであって、該ステープル留めアセンブリは、カートリッジアセンブリとアンビルアセンブリとを含む、ステープル留めアセンブリと、
該本体内にスライド可能に配置されているクランプスライド部材であって、該カートリッジアセンブリは、該クランプスライド部材の遠位の部分に隣接して支持され、該クランプスライド部材は、該カートリッジアセンブリを該アンビルアセンブリに向かって近接させるために、後退位置から前進位置まで可動である、クランプスライド部材と、
該本体と該クランプスライド部材との間において動作可能に搭載されているクランプ動作インジケータ機構であって、該クランプ動作機構は、該クランプスライド部材の前進の完了の際に視覚的インジケータを点灯するように構成されている、クランプ動作インジケータ機構と
を備えている、外科用ステープラ。
ステープラであって、
本体と、
該本体の遠位の部分に位置付けられているステープル留めアセンブリであって、該ステープル留めアセンブリは、カートリッジアセンブリとアンビルアセンブリとを含む、ステープル留めアセンブリと、
該本体内にスライド可能に配置されているスラストバーであって、該スラストバーは、該カートリッジアセンブリに動作可能に接続されることによって、該スラストバーの遠位への前進の完了の際に該スラストバーからステープルの放出を生じる、スラストバーと、
該本体と該スラストバーとの間において動作可能に搭載されているステープル留めインジケータ機構であって、該ステープル留めインジケータ機構は、該カートリッジアセンブリからのステープルの放出の際にステープル留め視覚的インジケータを点灯するように構成されている、ステープル留めインジケータ機構と
を備えている、ステープラ。
上記ピン受取り機構は、アライメント機構であり、上記アンビルアセンブリの端に搭載されているアライメントキャップと、上記アライメントピンを受取るための該ピン受取り機構中の開口部と、該アライメントキャップ内に搭載されているスイッチアセンブリとを含み、該スイッチアセンブリは、該アライメントキャップ中の該開口部内への該アライメントピンの受取りの際に上記第1の視覚的インジケータの点灯を引き起こすように構成されている、上記項目のうちのいずれか1項に記載のステープラ。
上記視覚的インジケータは、上記本体上に搭載されているLEDを含む、上記項目のうちのいずれか1項に記載のステープラ。
上記本体内にスライド可能に配置されているクランプスライド部材であって、上記カートリッジアセンブリは、該クランプスライド部材の遠位の部分に隣接して支持され、該クランプスライド部材は、該カートリッジアセンブリを上記アンビルアセンブリに向かって近接させるために後退位置から前進位置まで可動である、クランプスライド部材と、
クランプ動作インジケータ機構であって、該クランプ動作インジケータ機構は、該カートリッジアセンブリの近接の際に第2の視覚的インジケータを点灯するように構成されているクランプ動作インジケータ機構と
をさらに備えている、上記項目のうちのいずれか1項に記載のステープラ。
上記クランプ動作インジケータ機構は、上記本体と上記クランプスライド部材との間に動作可能に搭載されている、上記項目のうちのいずれか1項に記載のステープラ。
上記クランプ動作インジケータ機構は、上記クランプスライド部材に搭載されているアクチュエータと、上記本体に搭載され、該アクチュエータによって係合されるように構成されているスイッチアセンブリとを含み、該アクチュエータは、該クランプスライド部材の遠位への前進の完了の際に該スイッチアセンブリと係合するように構成されている、上記項目のうちのいずれか1項に記載のステープラ。
上記第2の視覚的インジケータは、上記本体上に搭載されているLEDを含む、上記項目のうちのいずれか1項に記載のステープラ。
上記本体内にスライド可能に配置されているスラストバーであって、該スラストバーは、上記カートリッジアセンブリに動作可能に接続されることによって、該スラストバーの遠位への前進の際に該スラストバーからステープルの放出を生じる、スラストバーと、
ステープル留めインジケータ機構であって、該ステープル留めインジケータ機構は、該カートリッジアセンブリからのステープルの放出の際にステープル留め視覚的インジケータを点灯するように構成されている、ステープル留めインジケータ機構と
をさらに備えている、上記項目のうちのいずれか1項に記載のステープラ。
上記ステープル留めインジケータ機構は、上記本体と上記スラストバーとの間に動作可能に搭載されている、上記項目のうちのいずれか1項に記載のステープラ。
上記ステープル留めインジケータ機構は、上記スラストバーに搭載されているアクチュエータと、上記本体に搭載され、該アクチュエータによって係合されるように構成されているスイッチアセンブリとを含む、上記項目のうちのいずれか1項に記載のステープラ。
上記アクチュエータは、上記スラストバーの遠位への前進の完了の際に上記スイッチアセンブリと係合するように構成されている、上記項目のうちのいずれか1項に記載のステープラ。
上記ステープル留め視覚的インジケータは、上記本体上に搭載されているLEDを含む、上記項目のうちのいずれか1項に記載のステープラ。
外科用ステープラであって、
本体と、
該本体の遠位の部分に位置付けられているステープル留めアセンブリであって、該ステープル留めアセンブリは、カートリッジアセンブリとアンビルアセンブリとを含む、ステープル留めアセンブリと、
該ステープル留めアセンブリ上に搭載されているアライメントピンであって、該アンビルアセンブリと係合するように構成されているアライメントピンと、
該アンビルアセンブリ上に位置付けられているピン受取り機構であって、該アンビルアセンブリとの該アライメントピンの係合の際に第1の視覚的インジケータを点灯するように構成されているピン受取り機構と
を備えている、外科用ステープラ。
上記ピン受取り機構は、アライメント機構であり、上記アンビルアセンブリの端に搭載されているアライメントキャップと、上記アライメントピンを受取るための該ピン受取り機構中の開口部と、該アライメントキャップ内に搭載されているスイッチアセンブリとを含み、該スイッチアセンブリは、該アライメントキャップ中の該開口部内への該アライメントピンの受取りの際に上記第1の視覚的インジケータの点灯を引き起こすように構成されている、上記項目のうちのいずれか1項に記載のステープラ。
上記第1の視覚的インジケータは、上記本体上に搭載されているLEDを含む、上記項目のうちのいずれか1項に記載のステープラ。
上記本体内にスライド可能に配置されているクランプスライド部材であって、上記カートリッジアセンブリは、該クランプスライド部材の遠位の部分に隣接して支持され、該クランプスライド部材は、該カートリッジアセンブリを上記アンビルアセンブリに向かって近接させるために後退位置から前進位置まで可動である、クランプスライド部材と、
クランプ動作インジケータ機構であって、該カートリッジアセンブリの近接の際に第2の視覚的インジケータを点灯するように構成されているクランプ動作インジケータ機構と
をさらに備えている、上記項目のうちのいずれか1項に記載のステープラ。
上記クランプ動作インジケータ機構は、上記本体と上記クランプスライド部材との間において動作可能に搭載されている、上記項目のうちのいずれか1項に記載のステープラ。
上記クランプ動作インジケータ機構は、上記クランプスライド部材に搭載されているアクチュエータと、上記本体に搭載され、該アクチュエータによって係合されるように構成されているスイッチアセンブリとを含み、該アクチュエータは、該クランプスライド部材の遠位への前進の完了の際に該スイッチアセンブリと係合するように構成されている、上記項目のうちのいずれか1項に記載のステープラ。
上記第2の視覚的インジケータは、上記本体上に搭載されているLEDを含む、上記項目のうちのいずれか1項に記載のステープラ。
上記本体内にスライド可能に配置されているスラストバーであって、該スラストバーは、上記カートリッジアセンブリに動作可能に接続されることによって、該スラストバーの遠位への前進の際に該スラストバーからステープルの放出を生じる、スラストバーと、
ステープル留めインジケータ機構であって、該カートリッジアセンブリからのステープルの放出の際にステープル留め視覚的インジケータを点灯するように構成されているステープル留めインジケータ機構と
をさらに備えている、上記項目のうちのいずれか1項に記載のステープラ。
上記ステープル留めインジケータ機構は、上記本体と上記スラストバーとの間において動作可能に搭載されている、上記項目のうちのいずれか1項に記載のステープラ。
上記ステープル留めインジケータ機構は、上記スラストバーに搭載されているアクチュエータと、上記本体に搭載され、該アクチュエータによって係合されるように構成されているスイッチアセンブリとを含む、上記項目のうちのいずれか1項に記載のステープラ。
上記アクチュエータは、上記スラストバーの遠位への前進の完了の際に上記スイッチアセンブリと係合するように構成されている、上記項目のうちのいずれか1項に記載のステープラ。
上記ステープル留め視覚的インジケータは、上記本体上に搭載されているLEDを含む、上記項目のうちのいずれか1項に記載のステープラ。
上記本体内にスライド可能に配置されているスラストバーであって、該スラストバーは、上記カートリッジアセンブリに動作可能に接続されることによって、該スラストバーの遠位への前進の際に該スラストバーからステープルの放出を生じる、スラストバーと、
ステープル留めインジケータ機構であって、該カートリッジアセンブリからのステープルの放出の際にステープル留め視覚的インジケータを点灯するように構成されているステープル留めインジケータ機構と
をさらに備えている、上記項目のうちのいずれか1項に記載のステープラ。
外科用ステープラであって、
本体と、
該本体の遠位の部分に位置付けられているステープル留めアセンブリであって、該ステープル留めアセンブリは、カートリッジアセンブリとアンビルアセンブリとを含む、ステープル留めアセンブリと、
該本体内にスライド可能に配置されているクランプスライド部材であって、該カートリッジアセンブリは、該クランプスライド部材の遠位の部分に隣接して支持され、該クランプスライド部材は、該カートリッジアセンブリを該アンビルアセンブリに向かって近接させるために、後退位置から前進位置まで可動である、クランプスライド部材と、
該本体と該クランプスライド部材との間において動作可能に搭載されているクランプ動作インジケータ機構であって、該クランプ動作機構は、該クランプスライド部材の前進の完了の際に視覚的インジケータを点灯するように構成されている、クランプ動作インジケータ機構と
を備えている、外科用ステープラ。
上記クランプ動作インジケータ機構は、上記クランプスライド部材に搭載されているアクチュエータと、上記本体に搭載され、該アクチュエータによって係合されるように構成されているスイッチアセンブリとを含む、上記項目のうちのいずれか1項に記載のステープラ。
上記アクチュエータは、上記クランプスライド部材の遠位への前進の完了の際に上記スイッチアセンブリと係合するように構成されている、上記項目のうちのいずれか1項に記載のステープラ。
上記本体内にスライド可能に配置されているスラストバーであって、該スラストバーは、上記カートリッジアセンブリに動作可能に接続されることによって、該スラストバーの遠位への前進の際に該スラストバーからステープルの放出を生じる、スラストバーと、
ステープル留めインジケータ機構であって、該カートリッジアセンブリからのステープルの放出の際にステープル留め視覚的インジケータを点灯するように構成されているステープル留めインジケータ機構と
をさらに備え、
該ステープル留めインジケータ機構は、上記本体と該スラストバーとの間において動作可能に搭載されている、上記項目のうちのいずれか1項に記載のステープラ。
ステープラであって、
本体と、
該本体の遠位の部分に位置付けられているステープル留めアセンブリであって、該ステープル留めアセンブリは、カートリッジアセンブリとアンビルアセンブリとを含む、ステープル留めアセンブリと、
該本体内にスライド可能に配置されているスラストバーであって、該スラストバーは、該カートリッジアセンブリに動作可能に接続されることによって、該スラストバーの遠位への前進の完了の際に該スラストバーからステープルの放出を生じる、スラストバーと、
該本体と該スラストバーとの間において動作可能に搭載されているステープル留めインジケータ機構であって、該ステープル留めインジケータ機構は、該カートリッジアセンブリからのステープルの放出の際にステープル留め視覚的インジケータを点灯するように構成されている、ステープル留めインジケータ機構と
を備えている、ステープラ。
上記ステープル留め視覚的インジケータは、上記本体上に搭載されているLEDを含む、上記項目のうちのいずれか1項に記載のステープラ。
上記ステープル留めインジケータ機構は、上記スラストバーに搭載されているアクチュエータと、上記本体に搭載され、該アクチュエータによって係合されるように構成されているスイッチアセンブリとを含み、該アクチュエータは、該スラストバーの遠位への前進の完了の際に該スイッチアセンブリと係合するように構成されている、上記項目のうちのいずれか1項に記載のステープラ。
1つ以上の視覚的インジケータを含む外科用ステープラが提供される。外科用ステープラは、本体と、本体の遠位の部分に位置付けられたステープル留めアセンブリとを含む。ステープル留めアセンブリは、カートリッジアセンブリとアンビルアセンブリとを含む。アライメントピンは、ステープル留めアセンブリ上に搭載され、アンビルアセンブリと係合するように構成される。アンビルアセンブリとのアライメントピンの係合、クランプ動作および/またはステープル留めの視覚的インジケータが提供され得る。
本開示の外科用ステープル留めデバイスの実施形態は、ここで図面を参照して詳細に記載され、同一の参照番号は、複数の図面のそれぞれにおいて対応する要素を指す。本説明の全体を通して、「近位の」の用語は、操作者により近い器具の部分を参照し、「遠位の」の用語は、操作者からより遠い器具の部分を参照する。本明細書に記載されるデバイスは外科用ステープルを発射し、外科用ステープルは、アンビルポケットの中へ前進され、圧力変形される。デバイスが2部品ファスナを利用することもまた想定され、このようなデバイスのアンビルセクションにおいて、ファスナは保持器と係合する。
12 本体
12a、12b 半区画
13a、13b、13c LEDインジケータ
14 固定ハンドル
16 トリガ
18 中央本体部分
20 カートリッジアセンブリ
21 アライメントピンアセンブリ
22 アンビルアセンブリ
24 親指ボタン
28a フレーム部材
38 アライメントピン
39 アライメントキャップ
39a ピン受取り開口部
55 電池
66 クランプスライド部材
70 スラストバー
70a フランジ
73、83、93 インジケータ機構
75、85 アクチュエータ
77、87、97 スイッチアセンブリ
150 放出ボタン
Claims (15)
- 第1の位置と第2の位置との間で移行するように構成されたアライメントピンであって、前記アライメントピンは、インジケータ回路に電気的に接続可能な伝導性材料を含む、アライメントピンと、
前記インジケータ回路に電気的に接続可能な伝導性端子を含むピン受取り機構であって、前記アライメントピンが前記第2の位置に移行されるとき、前記受取り機構は、前記アライメントピンを受容するように構成されており、前記アライメントピンが前記第1の位置と前記第2の位置との間および前記第2の位置と前記第1の位置との間で移行するとき、前記インジケータ回路は、少なくとも1つのインジケータを起動するように完了される、ピン受取り機構と
を含む、医療デバイス。 - 前記少なくとも1つのインジケータは、視覚的インジケータ、可聴的インジケータ、触覚的インジケータのうちの少なくとも1つを含む、請求項1に記載の医療デバイス。
- 前記アライメントピンは、前記第1の位置と前記第2の位置とのうちの少なくとも一方において前記インジケータ回路に電気的に接続されている、請求項1に記載の医療デバイス。
- 前記ピン受取り機構は、前記第1の位置と前記第2の位置とのうちの少なくとも一方において前記インジケータ回路に接続されている、請求項1に記載の医療デバイス。
- 前記アライメントピンは、手動で移動可能または自動的に移動可能のうちの少なくとも一方である、請求項1に記載の医療デバイス。
- 前記医療デバイスのカートリッジアセンブリが前記医療デバイスのアンビルアセンブリに向かって近接されるとき、前記アライメントピンは、自動的に移動可能である、請求項5に記載の医療デバイス。
- 前記医療デバイスは、前記ステープラの少なくとも1つの他の条件を示すように構成された前記医療デバイスに搭載された少なくとも第2のインジケータを含む、請求項1に記載の医療デバイス。
- 組織を把持するために開位置と把持位置との間で移行するように構成された把持アセンブリをさらに含み、前記アライメントピンは、前記把持アセンブリを前記開位置と前記把持位置との間で移行する間に、前記把持アセンブリを整列するように構成されている、請求項1に記載の医療デバイス。
- 前記インジケータ回路は、前記アライメントピンが前記第2の位置に配置されているときに状態を変えるように構成された少なくとも1つのインジケータを含み、前記状態は、点灯状態、振動状態、聴覚状態からなる群から選択される、請求項1に記載の医療デバイス。
- 前記少なくとも1つのインジケータは、点灯または消灯するように構成されている、請求項9に記載の医療デバイス。
- 前記アライメントピンは、前記把持アセンブリが前記把持位置に向かって移行されるとき、自動的に移動可能である、請求項1に記載の医療デバイス。
- 前記少なくとも1つのインジケータは、少なくとも1つのLEDを含む、請求項9に記載の医療デバイス。
- 前記アライメントピンを選択的に受取るように構成された開口部を規定するアライメントキャップをさらに含む、請求項1に記載の医療デバイス。
- 前記アライメントキャップの開口部内に前記アライメントピンを受取ると、回路を完了するように構成された少なくとも1つのスイッチング機構を有するピンアライメントスイッチアセンブリをさらに含む、請求項13に記載の医療デバイス。
- 前記ピンアライメントスイッチアセンブリは、前記アライメントピンと係合すると曲折するスイッチおよびレバーのうちの少なくとも1つを含む、請求項14に記載の医療デバイス。
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JPH10196A (ja) * | 1996-03-12 | 1998-01-06 | Ethicon Endo Surgery Inc | 改良発射ストロークを有する線状ステープラー |
JP2004528859A (ja) * | 2000-10-13 | 2004-09-24 | タイコ ヘルスケア グループ リミテッド パートナーシップ | 外科用ステープル留め装置 |
JP2006334417A (ja) * | 2005-06-03 | 2006-12-14 | Tyco Healthcare Group Lp | センサを使用する外科手術用器具 |
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2019505299A (ja) * | 2016-02-04 | 2019-02-28 | コヴィディエン リミテッド パートナーシップ | 視覚インジケータ機構付き円形ステープラ |
US10874399B2 (en) | 2016-02-04 | 2020-12-29 | Covidien Lp | Circular stapler with visual indicator mechanism |
Also Published As
Publication number | Publication date |
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JP2011136168A (ja) | 2011-07-14 |
JP5951829B2 (ja) | 2016-07-13 |
US20110155783A1 (en) | 2011-06-30 |
JP5711530B2 (ja) | 2015-04-30 |
EP2353517A1 (en) | 2011-08-10 |
CA2726170A1 (en) | 2011-06-30 |
ES2573402T3 (es) | 2016-06-07 |
US20140014706A1 (en) | 2014-01-16 |
EP2353517B1 (en) | 2016-04-27 |
US9775607B2 (en) | 2017-10-03 |
AU2010253479A1 (en) | 2011-07-14 |
US8561871B2 (en) | 2013-10-22 |
AU2010253479B2 (en) | 2015-06-04 |
EP3087930A3 (en) | 2017-01-25 |
EP3087930A2 (en) | 2016-11-02 |
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