JP2016150252A - 電気機械外科システム - Google Patents
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- A61B17/10—Surgical instruments, devices or methods, e.g. tourniquets for applying or removing wound clamps, e.g. containing only one clamp or staple; Wound clamp magazines
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- 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
- 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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- 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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- 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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- 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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Abstract
Description
本願は、2015年2月19日に出願された米国仮特許出願第62/118,239号の利益およびこの出願に基づく優先権を主張し、この出願の開示全体が、参照により、本明細書に援用される。
本開示は、電気機械外科システムに関連する。より具体的には、本開示は、機能を果たすように構成されているエンドエフェクタと、エンドエフェクタを作動させるように構成されている外科デバイスとを電気的かつ機械的に相互接続する単一の回転ドライブシャフトを有するアダプタアセンブリに関連し、エンドエフェクタは、アダプタアセンブリへの取り付けのための係止機構を有する。
本開示の側面に従って、電気機械外科システムは、ハンドヘルド電気機械外科デバイスと、アダプタアセンブリと、外科ローディングユニットとを含む。外科デバイスは、ハンドルハウジング内において支持される少なくとも1つの回転可能ドライブコネクタを含み、アダプタアセンブリは、少なくとも1つの回転可能ドライブコネクタを受け取るように構成されている少なくとも1つの回転可能ドライブスリーブを含む。アダプタアセンブリは、少なくとも1つの回転可能ドライブスリーブに回転可能に接続される単一の回転可能ドライブシャフトも含み、単一の回転可能ドライブシャフトは、アダプタアセンブリの遠位端部へ長手方向に延在する。ギアが、回転可能ドライブシャフトの遠位端部周りに配され、回転可能ドライブシャフトとともに回転するように構成されている。外科ローディングユニットは、アンビルジョーとカートリッジジョーとを含み、アンビルジョーおよびカートリッジジョーは、アンビルジョーおよびカートリッジジョーが相互に対して開位置と閉位置との間で移動可能であるように相互に接合される。カートリッジジョーは、受け取りチャネルを画定する据え付け部分と、据え付け部分の受け取りチャネル内に配されている動力ネジと、動力ネジの近位部分上に据え付けられかつアダプタアセンブリのギアと作用可能に係合可能であるギア部材と、外科ローディングユニットをアダプタアセンブリに係止するために据え付け部分内に配されている係止機構とを含む。係止機構は、カートリッジジョーがカートリッジから離れているときの非係止位置とカートリッジがカートリッジジョー内へ装填されているときの係止位置との間を移動可能である。係止機構は、バネによって非係止位置に付勢され得る。
(項目1)
ハンドルハウジング内に支持されている少なくとも1つの回転可能ドライブコネクタを含むハンドヘルド電気機械外科デバイスと、
該外科デバイスに選択的に接続可能なアダプタアセンブリであって、該アダプタアセンブリは、該少なくとも1つの回転可能ドライブコネクタを受け取るように構成されている少なくとも1つの回転可能ドライブスリーブを含み、単一の回転可能ドライブシャフトが、該少なくとも1つの回転可能ドライブスリーブに回転可能に接続され、かつ該アダプタアセンブリの遠位端部へ長手方向に延在しており、ギアが、該回転可能ドライブシャフトの遠位端部周りに配され、かつ該回転可能ドライブシャフトとともに回転するように構成されている、アダプタアセンブリと、
アンビルジョーとカートリッジジョーとを備える外科ローディングユニットであって、該アンビルジョーおよび該カートリッジジョーは、相互に作用可能に接合され、その結果、該アンビルジョーおよび該カートリッジジョーは、相互に対して開位置と閉位置との間で移動可能であり、該カートリッジジョーは、
受け取りチャネルを画定する据え付け部分と、
該据え付け部分の該受け取りチャネル内に配されている動力ネジと、
該動力ネジの近位部分に据え付けられ、かつ該アダプタアセンブリの該ギアと作用可能に係合可能であるギア部材と、
該外科ローディングユニットを該アダプタアセンブリに係止するために該据え付け部分に配されている係止機構であって、該係止機構は、該カートリッジジョーがカートリッジから離れているときの非係止位置と、カートリッジが該カートリッジジョー内へ装填されているときの係止位置との間を移動可能である、係止機構と
を含む、外科ローディングユニットと
を備える電気機械外科システム。
(項目2)
前記係止機構は、バネによって前記非係止位置に付勢される、上記項目に記載の電気機械外科システム。
(項目3)
前記係止機構は、カートリッジが前記カートリッジジョー内へ装填されて該カートリッジジョーから抜き取られるとき、前記据え付け部分の近位部分内で軸方向に移動可能であるフレームを含む、上記項目のいずれかに記載の電気機械外科システム。
(項目4)
前記フレームは、そこから近位に長手方向に延在しかつ前記据え付け部分の近位端部における開口部を通して延在するように寸法取りされているロッドを含み、該ロッドは、前記係止位置にあるとき、該据え付け部分の該近位端部における該開口部を通って近位に延在し、該ロッドは、前記非係止位置にあるとき、該据え付け部分の該近位端部における該開口部内にまたは該開口部に対して遠位に置かれる、上記項目のいずれかに記載の電気機械外科システム。
(項目5)
前記ロッドは、前記係止位置にあるとき、該アダプタアセンブリの前記遠位端部における凹部内へ延在する、上記項目のいずれかに記載の電気機械外科システム。
(項目6)
前記アンビルジョーおよび前記カートリッジジョーは、該アンビルジョーおよび該カートリッジジョーのそれぞれの側壁における対向開口部を軸方向に通って延在する1対のピンによってピン留めされ、前記フレームは、1対の横断スロットを含み、該1対の横断スロットは、該フレームの長手方向軸に平行に延在し、かつ該カートリッジジョーの該側壁における該対向開口部と整列され、その結果、該ピンが、該対向開口部を通して該スロット内へ延在し、該スロットは、該側壁における該開口部よりも大きい軸方向の寸法を有し、前記係止機構が前記係止位置にあるとき、該ピンは、該スロットの遠位部分内に配され、該係止機構が前記非係止位置にあるとき、該ピンは、該スロットの近位部分に配される、上記項目のいずれかに記載の電気機械外科システム。
(項目7)
前記据え付け部分の側壁を通して位置付けられて遠位軸受部材にぶつかり、それにより、前記カートリッジジョー内で前記動力ネジを軸方向に係止する係止部材をさらに備える、上記項目のいずれかに記載の電気機械外科システム。
(項目8)
回転可能ドライブシャフトを含むアダプタアセンブリと選択的に相互接続可能な外科ローディングユニットであって、該外科ローディングユニットは、
アンビルジョーと、
カートリッジジョーと
を含み、該カートリッジジョーは、
受け取りチャネルを中に画定する据え付け部分と、
該据え付け部分内に配されるファスナ発射アセンブリであって、該ファスナ発射アセンブリは、動力ネジと、該動力ネジの近位端部に配されるギア部材とを備え、該ギア部材は、該アダプタアセンブリの該回転可能ドライブシャフトと作用可能に係合可能である、ファスナ発射アセンブリと、
中に配されている複数のファスナを含むカートリッジであって、該カートリッジは、該据え付け部分の該受け取りチャネル内へ取り外し可能に装填可能である、カートリッジと、
該外科ローディングユニットを該アダプタアセンブリに係止するために該据え付け部分内に配されている係止機構であって、該係止機構は、該カートリッジと作用可能に関連付けられ、その結果、該カートリッジを該据え付け部分内へ装填することが、該係止機構を係止位置へ移動させ、該カートリッジを該据え付け部分から抜き取ることが、該係止機構を非係止位置へ移動させる、係止機構と
を含む、外科ローディングユニット。
(項目9)
前記係止機構は、前記非係止位置に付勢される、上記項目のいずれかに記載の外科ローディングユニット。
(項目10)
前記係止機構は、前記カートリッジが前記カートリッジジョーに装填されて該カートリッジジョーから抜き取られるとき、前記据え付け部分の近位部分内で軸方向に移動可能であるフレームを含む、上記項目のいずれかに記載の外科ローディングユニット。
(項目11)
前記フレームは、そこから近位に長手方向に延在しかつ前記据え付け部分の近位端部における開口部を通って延在するように寸法取りされているロッドを含み、該ロッドは、前記係止位置にあるとき、該据え付け部分の該近位端部における該開口部を通って延在し、該ロッドは、前記非係止位置にあるとき、該据え付け部分の該近位端部における該開口部内にまたは該開口部に対して遠位に置かれる、上記項目のいずれかに記載の外科ローディングユニット。
(項目12)
前記フレームは、1対の横断スロットを含み、該1対の横断スロットは、該フレームの長手方向軸に平行に延在し、かつ該カートリッジジョーの側壁における対向開口部と整列され、該対向開口部は、前記カートリッジジョーを前記アンビルジョーと相互接続するためのピンを受け取るように寸法取りされており、該スロットは、該側壁における該開口部よりも大きい軸方向の寸法を有し、前記係止機構が前記係止位置にあるとき、該ピンは、該スロットの遠位部分内に配され、該係止機構が前記非係止位置にあるとき、該ピンは、該スロットの近位部分に配される、上記項目のいずれかに記載の外科ローディングユニット。
(項目13)
前記据え付け部分の側壁を通して位置付けられて前記ファスナ発射アセンブリの遠位軸受部材にぶつかり、それにより、前記カートリッジジョー内で前記動力ネジを軸方向に係止する係止部材をさらに備える、上記項目のいずれかに記載の外科ローディングユニット。
(項目14)
外科ローディングユニットをアダプタアセンブリに固定するための方法であって、該方法は、
カートリッジから外れている外科ローディングユニットとアダプタアセンブリとを平行な長手方向軸に沿って位置付けることであって、その結果、該外科ローディングユニットの近位端部上の合わせ面と該アダプタアセンブリの遠位端部上の合わせ面とが横断軸に沿って整列される、ことと、
該合わせ面を接合し、かつ共通の軸に沿って該外科ローディングユニットと該アダプタアセンブリとを整列するために、該横断軸に沿って該外科ローディングユニットおよび該アダプタアセンブリのうちの少なくとも1つをスライドさせることと、
付勢された非係止位置から係止位置まで、該カートリッジジョーの係止機構を移動させ、それにより、該外科ローディングユニットのカートリッジジョー内にカートリッジを装填することであって、該付勢された非係止位置において、該係止機構のロッドは、該外科ローディングユニットの該合わせ面より近位に延在せず、該係止位置において、該ロッドは、該外科ローディングユニットの該合わせ面より近位に延在し、該アダプタアセンブリの該遠位端部内に画定される凹部にぶつかり、それにより、該外科ローディングユニットを該アダプタアセンブリに係止することと
を含む、方法。
(項目15)
前記係止機構は、その遠位端部においてカム作用表面を含み、前記カートリッジを装填することは、近位に該カミング表面を長手方向に押し、それによって、該係止機構を前記アダプタアセンブリの方へ移動させることを含む、上記項目のいずれかに記載の方法。
(項目16)
前記外科ローディングユニットを前記アダプタアセンブリから係止解除するように前記カートリッジを抜き取ることをさらに含む、上記項目のいずれかに記載の方法。
電気機械外科システムは、電気機械外科デバイスと、アダプタアセンブリと、外科ローディングユニットとを含む。アダプタアセンブリは、外科デバイスの回転可能ドライブコネクタを受け取るように構成されている回転可能ドライブスリーブと、ドライブスリーブに回転可能に接続される単一の回転可能ドライブシャフトと、ドライブシャフトの遠位端部周りに配されているギアとを含む。ローディングユニットは、受け取りチャネルを画定する据え付け部分を含むカートリッジジョーと、受け取りチャネル内に配されている動力ネジと、動力ネジの近位部分上に据え付けられかつアダプタアセンブリのギアと作用可能に係合可能であるギア部材と、ローディングユニットをアダプタアセンブリに係止するために据え付け部分内に配されている係止機構とを含み、係止機構は、カートリッジジョーがカートリッジから離れているときの非係止位置とカートリッジが中に装填されているときの係止位置との間を移動可能である。
本開示の電気機械外科システムは、複数の異なるエンドエフェクタへの選択的取り付けのために構成されている動力式ハンドヘルド電気機械装置の形態の外科デバイスを含み、複数の異なるエンドエフェクタは、それぞれ、動力式ハンドヘルド電気機械外科装置による作動および操作のために構成されている。具体的には、本開示の電気機械外科システムは、動力式ハンドヘルド電気機械外科装置と複数の異なるエンドエフェクタとを相互接続するアダプタアセンブリを含む。
Claims (16)
- ハンドルハウジング内に支持されている少なくとも1つの回転可能ドライブコネクタを含むハンドヘルド電気機械外科デバイスと、
該外科デバイスに選択的に接続可能なアダプタアセンブリであって、該アダプタアセンブリは、該少なくとも1つの回転可能ドライブコネクタを受け取るように構成されている少なくとも1つの回転可能ドライブスリーブを含み、単一の回転可能ドライブシャフトが、該少なくとも1つの回転可能ドライブスリーブに回転可能に接続され、かつ該アダプタアセンブリの遠位端部へ長手方向に延在しており、ギアが、該回転可能ドライブシャフトの遠位端部周りに配され、かつ該回転可能ドライブシャフトとともに回転するように構成されている、アダプタアセンブリと、
アンビルジョーとカートリッジジョーとを備える外科ローディングユニットであって、該アンビルジョーおよび該カートリッジジョーは、相互に作用可能に接合され、その結果、該アンビルジョーおよび該カートリッジジョーは、相互に対して開位置と閉位置との間で移動可能であり、該カートリッジジョーは、
受け取りチャネルを画定する据え付け部分と、
該据え付け部分の該受け取りチャネル内に配されている動力ネジと、
該動力ネジの近位部分に据え付けられ、かつ該アダプタアセンブリの該ギアと作用可能に係合可能であるギア部材と、
該外科ローディングユニットを該アダプタアセンブリに係止するために該据え付け部分に配されている係止機構であって、該係止機構は、該カートリッジジョーがカートリッジから離れているときの非係止位置と、カートリッジが該カートリッジジョー内へ装填されているときの係止位置との間を移動可能である、係止機構と
を含む、外科ローディングユニットと
を備える電気機械外科システム。 - 前記係止機構は、バネによって前記非係止位置に付勢される、請求項1に記載の電気機械外科システム。
- 前記係止機構は、カートリッジが前記カートリッジジョー内へ装填されて該カートリッジジョーから抜き取られるとき、前記据え付け部分の近位部分内で軸方向に移動可能であるフレームを含む、請求項1に記載の電気機械外科システム。
- 前記フレームは、そこから近位に長手方向に延在しかつ前記据え付け部分の近位端部における開口部を通して延在するように寸法取りされているロッドを含み、該ロッドは、前記係止位置にあるとき、該据え付け部分の該近位端部における該開口部を通って近位に延在し、該ロッドは、前記非係止位置にあるとき、該据え付け部分の該近位端部における該開口部内にまたは該開口部に対して遠位に置かれる、請求項3に記載の電気機械外科システム。
- 前記ロッドは、前記係止位置にあるとき、該アダプタアセンブリの前記遠位端部における凹部内へ延在する、請求項4に記載の電気機械外科システム。
- 前記アンビルジョーおよび前記カートリッジジョーは、該アンビルジョーおよび該カートリッジジョーのそれぞれの側壁における対向開口部を軸方向に通って延在する1対のピンによってピン留めされ、前記フレームは、1対の横断スロットを含み、該1対の横断スロットは、該フレームの長手方向軸に平行に延在し、かつ該カートリッジジョーの該側壁における該対向開口部と整列され、その結果、該ピンが、該対向開口部を通して該スロット内へ延在し、該スロットは、該側壁における該開口部よりも大きい軸方向の寸法を有し、前記係止機構が前記係止位置にあるとき、該ピンは、該スロットの遠位部分内に配され、該係止機構が前記非係止位置にあるとき、該ピンは、該スロットの近位部分に配される、請求項4に記載の電気機械外科システム。
- 前記据え付け部分の側壁を通して位置付けられて遠位軸受部材にぶつかり、それにより、前記カートリッジジョー内で前記動力ネジを軸方向に係止する係止部材をさらに備える、請求項1に記載の電気機械外科システム。
- 回転可能ドライブシャフトを含むアダプタアセンブリと選択的に相互接続可能な外科ローディングユニットであって、該外科ローディングユニットは、
アンビルジョーと、
カートリッジジョーと
を含み、該カートリッジジョーは、
受け取りチャネルを中に画定する据え付け部分と、
該据え付け部分内に配されるファスナ発射アセンブリであって、該ファスナ発射アセンブリは、動力ネジと、該動力ネジの近位端部に配されるギア部材とを備え、該ギア部材は、該アダプタアセンブリの該回転可能ドライブシャフトと作用可能に係合可能である、ファスナ発射アセンブリと、
中に配されている複数のファスナを含むカートリッジであって、該カートリッジは、該据え付け部分の該受け取りチャネル内へ取り外し可能に装填可能である、カートリッジと、
該外科ローディングユニットを該アダプタアセンブリに係止するために該据え付け部分内に配されている係止機構であって、該係止機構は、該カートリッジと作用可能に関連付けられ、その結果、該カートリッジを該据え付け部分内へ装填することが、該係止機構を係止位置へ移動させ、該カートリッジを該据え付け部分から抜き取ることが、該係止機構を非係止位置へ移動させる、係止機構と
を含む、外科ローディングユニット。 - 前記係止機構は、前記非係止位置に付勢される、請求項8に記載の外科ローディングユニット。
- 前記係止機構は、前記カートリッジが前記カートリッジジョーに装填されて該カートリッジジョーから抜き取られるとき、前記据え付け部分の近位部分内で軸方向に移動可能であるフレームを含む、請求項8に記載の外科ローディングユニット。
- 前記フレームは、そこから近位に長手方向に延在しかつ前記据え付け部分の近位端部における開口部を通って延在するように寸法取りされているロッドを含み、該ロッドは、前記係止位置にあるとき、該据え付け部分の該近位端部における該開口部を通って延在し、該ロッドは、前記非係止位置にあるとき、該据え付け部分の該近位端部における該開口部内にまたは該開口部に対して遠位に置かれる、請求項10に記載の外科ローディングユニット。
- 前記フレームは、1対の横断スロットを含み、該1対の横断スロットは、該フレームの長手方向軸に平行に延在し、かつ該カートリッジジョーの側壁における対向開口部と整列され、該対向開口部は、前記カートリッジジョーを前記アンビルジョーと相互接続するためのピンを受け取るように寸法取りされており、該スロットは、該側壁における該開口部よりも大きい軸方向の寸法を有し、前記係止機構が前記係止位置にあるとき、該ピンは、該スロットの遠位部分内に配され、該係止機構が前記非係止位置にあるとき、該ピンは、該スロットの近位部分に配される、請求項11に記載の外科ローディングユニット。
- 前記据え付け部分の側壁を通して位置付けられて前記ファスナ発射アセンブリの遠位軸受部材にぶつかり、それにより、前記カートリッジジョー内で前記動力ネジを軸方向に係止する係止部材をさらに備える、請求項8に記載の外科ローディングユニット。
- 外科ローディングユニットをアダプタアセンブリに固定するための方法であって、該方法は、
カートリッジから外れている外科ローディングユニットとアダプタアセンブリとを平行な長手方向軸に沿って位置付けることであって、その結果、該外科ローディングユニットの近位端部上の合わせ面と該アダプタアセンブリの遠位端部上の合わせ面とが横断軸に沿って整列される、ことと、
該合わせ面を接合し、かつ共通の軸に沿って該外科ローディングユニットと該アダプタアセンブリとを整列するために、該横断軸に沿って該外科ローディングユニットおよび該アダプタアセンブリのうちの少なくとも1つをスライドさせることと、
付勢された非係止位置から係止位置まで、該カートリッジジョーの係止機構を移動させ、それにより、該外科ローディングユニットのカートリッジジョー内にカートリッジを装填することであって、該付勢された非係止位置において、該係止機構のロッドは、該外科ローディングユニットの該合わせ面より近位に延在せず、該係止位置において、該ロッドは、該外科ローディングユニットの該合わせ面より近位に延在し、該アダプタアセンブリの該遠位端部内に画定される凹部にぶつかり、それにより、該外科ローディングユニットを該アダプタアセンブリに係止することと
を含む、方法。 - 前記係止機構は、その遠位端部においてカム作用表面を含み、前記カートリッジを装填することは、近位に該カミング表面を長手方向に押し、それによって、該係止機構を前記アダプタアセンブリの方へ移動させることを含む、請求項14に記載の方法。
- 前記外科ローディングユニットを前記アダプタアセンブリから係止解除するように前記カートリッジを抜き取ることをさらに含む、請求項14に記載の方法。
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JP6628621B2 (ja) | 2020-01-15 |
CA2918305A1 (en) | 2016-08-19 |
AU2016200260B2 (en) | 2020-01-16 |
US10111665B2 (en) | 2018-10-30 |
CN105902287A (zh) | 2016-08-31 |
EP3058881B1 (en) | 2019-04-24 |
EP3058881A3 (en) | 2016-10-26 |
US20160242779A1 (en) | 2016-08-25 |
CN105902287B (zh) | 2021-05-04 |
EP3058881A2 (en) | 2016-08-24 |
AU2016200260A1 (en) | 2016-09-08 |
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