JP2016152925A5 - - Google Patents
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- JP2016152925A5 JP2016152925A5 JP2016051247A JP2016051247A JP2016152925A5 JP 2016152925 A5 JP2016152925 A5 JP 2016152925A5 JP 2016051247 A JP2016051247 A JP 2016051247A JP 2016051247 A JP2016051247 A JP 2016051247A JP 2016152925 A5 JP2016152925 A5 JP 2016152925A5
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- medical device
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- articulating
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- 238000010304 firing Methods 0.000 claims 9
- 230000001808 coupling Effects 0.000 claims 3
- 238000010168 coupling process Methods 0.000 claims 3
- 238000005859 coupling reaction Methods 0.000 claims 3
- 230000000875 corresponding Effects 0.000 claims 2
- 210000001519 tissues Anatomy 0.000 claims 2
Claims (19)
ステープルを有するステープリングデバイスを有する外科的ステープリング端部作動体と、
前記端部作動体を制御ハンドルに結合する連接ジョイントと、
を具えており、前記制御ハンドルが、
前記連接ジョイントに結合され、連接ジョイントアクチュエータが非作動のときの固定状態と、前記連接ジョイントアクチュエータが作動しているときの連接状態との間で、前記連接ジョイントの連接状態を変えるよう動作可能な連接ジョイントアクチュエータと、
作動時に前記ステープリングデバイスを閉じるステープラ閉鎖アクチュエータと、
作動時に前記ステープルをステープリングするステープル発射アクチュエータと、を具えることを特徴とする医療デバイス。 A medical device,
A surgical stapling end effector having a stapling device with staples;
An articulating joint for coupling the end effector to a control handle;
And the control handle is
Coupled to the articulating joint and operable to change the articulating state of the articulating joint between a fixed state when the articulating joint actuator is inactive and a articulating state when the articulating joint actuator is in operation. Articulated joint actuators;
A stapler closure actuator that closes the stapling device when activated;
And a staple firing actuator for stapling the staples when activated.
前記ステープラ閉鎖アクチュエータ及び前記ステープル発射アクチュエータが、前記連接ジョイントアクチュエータとは異なることを特徴とする医療デバイス。 The medical device according to claim 1, wherein
The medical device, wherein the stapler closing actuator and the staple firing actuator are different from the articulating joint actuator.
前記ステープラ閉鎖アクチュエータの一部及び前記ステープル発射アクチュエータの一部が、前記連接ジョイントを通過して、前記連接ジョイントの連接に対応する方法で撓むことを特徴とする医療デバイス。 The medical device according to claim 2,
A medical device wherein a portion of the stapler closure actuator and a portion of the staple firing actuator pass through the articulation joint and bend in a manner corresponding to the articulation of the articulation joint.
前記外科的ステープリング端部作動体が、刃付切断デバイスを有しており、
前記ステープル発射アクチュエータが、作動時に前記切断デバイスで組織を切除することを特徴とする医療デバイス。 The medical device according to claim 1, wherein
The surgical stapling end effector comprises a bladed cutting device;
The medical device, wherein the staple firing actuator excises tissue with the cutting device when activated.
前記連接ジョイントが、
前記連接ジョイントが作動していないときに、適切な位置に前記外科的ステープリング端部作動体を連接的に保持し、
前記連接ジョイントが作動しているときに、前記外科的ステープリング端部作動体を連接的に解放することを特徴とする医療デバイス。 The medical device according to claim 1, wherein
The articulating joint is
Articulating the surgical stapling end effector in an appropriate position when the articulating joint is not actuated;
A medical device characterized in that the surgical stapling end effector is articulated to release when the articulating joint is actuated.
前記連接ジョイントアクチュエータによって、前記連接ジョイントが、
前記連接ジョイントアクチュエータが作動していないときに、適切な位置に前記外科的ステープリング端部作動体を連接的に保持し、
前記連接ジョイントアクチュエータが作動しているときに、前記外科的ステープリング端部作動体を連接的に解放することを特徴とする医療デバイス。 The medical device according to claim 1, wherein
By the articulated joint actuator, the articulated joint is
Articulating and holding the surgical stapling end actuator in place when the articulating joint actuator is not actuated;
A medical device characterized in that the surgical stapling end effector is articulated to release when the articulating joint actuator is actuated.
前記外科的ステープリング端部作動体が、連接ロック状態及び連接解放状態を具えた連接ロックを有しており、
前記連接ジョイントアクチュエータが、
前記非作動状態から前記作動状態に変わるときに、前記連接ロックを前記連接ロック状態から前記連接解放状態に変更し、
前記作動状態から前記非作動状態に変わるときに、前記連接ロックを前記連接解放状態から前記連接ロック状態に変更することを特徴とする医療デバイス。 The medical device according to claim 1, wherein
The surgical stapling end actuating body has a connection lock with a connection lock state and a connection release state;
The articulated joint actuator is
When changing from the non-operating state to the operating state, the connection lock is changed from the connection lock state to the connection release state;
The medical device, wherein the connection lock is changed from the connection release state to the connection lock state when the operation state is changed to the non-operation state.
前記連接ジョイントアクチュエータが、非作動状態及び作動状態を有しており、
前記作動状態のときに前記連接ジョイントを連接的に解放することを特徴とする医療デバイス。 The medical device according to claim 1, wherein
The articulated joint actuator has a non-actuated state and an actuated state;
A medical device, wherein the articulating joint is articulated to release in the operating state.
前記制御ハンドルを前記連接ジョイントを介して前記ステープル発射アクチュエータに連結する少なくとも１の第１のフレキシブルビームと、
前記外科的ステープリング端部作動体を前記連接ジョイントを介して前記制御ハンドルに長手方向に連結する少なくとも１の第２のフレキシブルビームと、
を具えており、
前記少なくとも１の第１のフレキシブルビーム及び前記少なくとも１の第２のフレキシブルビームが、前記連接ジョイントの連接に対応する方法で撓むことを特徴とする医療デバイス。 The medical device according to claim 1, wherein
At least one first flexible beam coupling the control handle to the staple firing actuator via the articulating joint;
At least one second flexible beam that longitudinally couples the surgical stapling end effector to the control handle via the articulating joint;
With
The medical device, wherein the at least one first flexible beam and the at least one second flexible beam bend in a manner corresponding to the articulation of the articulating joint.
前記連接ジョイントアクチュエータの連接が、前記外科的ステープリング端部作動体への連接係止を解除することを特徴とする医療デバイス。 The medical device according to claim 1, wherein
A medical device, wherein the articulation of the articulation joint actuator releases the articulation lock to the surgical stapling end effector.
前記連接ジョイントアクチュエータが、遠位側を向いた歯を有するプルロックを有しており、
前記連接ジョイントが、前記連接ジョイントアクチュエータが非作動時に前記遠位側を向いた歯と相互係合する近位側を向いた歯を有するギアを有しており、
前記連接ジョイントアクチュエータが、前記連接ジョイントアクチュエータが非作動時に前記遠位側を向いた歯の前記近位側を向いた歯からの係合を解除して、前記外科的ステープリング端部作動体を連接的に解放することを特徴とする医療デバイス。 The medical device according to claim 1, wherein
The articulating joint actuator has a pull lock with teeth facing distally;
The articulating joint has a gear having proximally facing teeth that interengage with the distally facing teeth when the articulating joint actuator is inactive;
The articulating joint actuator disengages the distally facing teeth from the proximally facing teeth when the articulating joint actuator is inactive, thereby disengaging the surgical stapling end effector. A medical device characterized by release in a connected manner.
前記連接ジョイントは、
ボールと、
カップデバイスと、
前記ボールと前記カップデバイスとを互いに係止及び係止解除するボールカップ係止デバイスであって、前記ボールカップ係止デバイスが、前記制御ハンドルが非作動状態にあるときに係止状態にあり、前記制御ハンドルが作動状態にあるときに係止解除状態にある、ボールカップ係止デバイスと、
を具えるボールジョイントであり、
前記外科的ステープリング端部作動体が、前記ボール及び前記カップデバイスの一方を有しており、
前記制御ハンドルが、前記ボール及び前記カップデバイスの他方を有することを特徴とする医療デバイス。 The medical device according to claim 1, wherein
The articulating joint is
With the ball,
A cup device,
A ball cup locking device for locking and unlocking the ball and the cup device from each other, wherein the ball cup locking device is in a locked state when the control handle is in an inoperative state; A ball cup locking device in an unlocked state when the control handle is in an activated state;
A ball joint comprising
The surgical stapling end effector comprises one of the ball and the cup device;
The medical device, wherein the control handle has the other of the ball and the cup device.
前記ボールが、前記ボールが前記カップデバイスに取り外し可能に連結されていることを特徴とする医療デバイス。 The medical device according to claim 12,
The medical device, wherein the ball is removably coupled to the cup device.
前記外科的ステープリング端部作動体が長手方向に二つの端部を有し、
前記ボールが二つのボールであって、この二つのボールの各々が前記長手方向の二つの端部の一方に配置されており、
前記二つのボールが前記カップデバイスに取り外し可能に連結可能であることを特徴とする医療デバイス。 The medical device according to claim 12,
The surgical stapling end effector has two ends in the longitudinal direction;
The balls are two balls, each of the two balls being disposed at one of the two longitudinal ends;
The medical device, wherein the two balls are removably connectable to the cup device.
ステープルを有するステープリングデバイスと刃付切断デバイスとを有する外科用ステープリング端部作動体と、
制御ハンドルであって、
作動時に前記ステープリングデバイスを閉じるステープラ閉鎖アクチュエータと、
作動時に、前記ステープルをステープリングすることと、前記切断デバイスで組織を切除することを行うステープル発射アクチュエータと、
非作動状態及び作動状態を有する連接ジョイントアクチュエータと、
を有する制御ハンドルと、
前記外科用ステープリング端部作動体を前記制御ハンドルに連結する連接ジョイントと、
を具えており、前記外科用ステープリング端部作動体が、
前記連接ジョイントアクチュエータが前記作動状態のときに、連接するよう作動し、
前記連接ジョイントアクチュエータが前記非作動状態のときに、所定の連接位置でロックされることを特徴とする医療デバイス。 A medical device,
A surgical stapling end effector having a stapling device having staples and a bladed cutting device;
A control handle,
A stapler closure actuator that closes the stapling device when activated;
A staple firing actuator that, in operation, staples the staple and ablate tissue with the cutting device;
An articulated joint actuator having a non-actuated state and an actuated state;
A control handle having
An articulating joint coupling the surgical stapling end actuating body to the control handle;
The surgical stapling end actuating body comprises:
When the articulating joint actuator is in the actuated state,
A medical device, wherein the articulated joint actuator is locked at a predetermined articulated position when the articulated joint actuator is in the inoperative state.
前記ステープラ閉鎖アクチュエータ及び前記ステープル発射アクチュエータが、前記連接ジョイントアクチュエータとは異なることを特徴とする医療デバイス。 The medical device according to claim 15,
The medical device, wherein the stapler closing actuator and the staple firing actuator are different from the articulating joint actuator.
制御ハンドルと、
制御シャフトであって、
長手軸と、
前記制御シャフトを前記制御ハンドルに前記長手軸を中心として回転するよう結合するハンドル部と、
を有する制御シャフトと、
外科用ステープリング端部作動体と、
前記外科用ステープリング端部作動体を前記制御シャフトに連結する連接ジョイントと、
作動時に前記連接ジョイントの係止解除をし、非作動時に前記連接ジョイントを係止する連接ジョイントリリースと、
端部作動体制御デバイスであって、
前記制御シャフトの少なくとも一部に回転するよう固定結合されて、前記制御デバイスが回転するときに前記長手軸を中心として前記制御シャフトを対応するよう回転させ、 前記ジョイントリリースに長手方向に結合されて、作動時に前記連接ジョイントを選択的に係止解除する、
端部作動体制御デバイスと、
を具えることを特徴とする医療デバイス。 A medical device,
A control handle;
A control shaft,
A longitudinal axis;
A handle portion that couples the control shaft to the control handle for rotation about the longitudinal axis;
A control shaft having
A surgical stapling end effector;
An articulating joint connecting the surgical stapling end actuating body to the control shaft;
Articulated joint release that unlocks the articulated joint when operating, and articulates the articulated joint when inactive;
An end effector control device comprising:
Fixedly coupled for rotation to at least a portion of the control shaft, and when the control device rotates, rotates the control shaft correspondingly about the longitudinal axis, and is longitudinally coupled to the joint release. , Selectively unlocking the articulating joint when activated,
An end effector control device;
A medical device characterized by comprising:
前記外科用ステープリング端部作動体が、ステープルを有するステープリングデバイスと刃付切断デバイスとから成り、
前記制御ハンドルが、
作動時に前記ステープリングデバイスを閉じるステープラ閉鎖アクチュエータと、
作動時に、前記ステープリングデバイスでステープリングし、前記切断デバイスで切除する、発射アクチュエータと、
を有しており、
前記ステープラ閉鎖アクチュエータ及び前記発射アクチュエータが、前記連接ジョイントリリースとは異なることを特徴とする医療デバイス。 The medical device according to claim 17,
The surgical stapling end effector comprises a stapling device having staples and a bladed cutting device;
The control handle is
A stapler closure actuator that closes the stapling device when activated;
A firing actuator that, in operation, staples with the stapling device and cuts with the cutting device;
Have
The medical device, wherein the stapler closing actuator and the firing actuator are different from the articulated joint release.
Applications Claiming Priority (6)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US70264305P | 2005-07-26 | 2005-07-26 | |
| US60/702,643 | 2005-07-26 | ||
| US76000006P | 2006-01-18 | 2006-01-18 | |
| US60/760,000 | 2006-01-18 | ||
| US81195006P | 2006-06-08 | 2006-06-08 | |
| US60/811,950 | 2006-06-08 |
Related Parent Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2015168464A Division JP5969670B2 (en) | 2005-07-26 | 2015-08-28 | Surgical stapling and cutting device and method of using the device |
Related Child Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2017019295A Division JP6298185B2 (en) | 2005-07-26 | 2017-02-06 | Surgical stapling and cutting device and method of using the device |
Publications (3)
| Publication Number | Publication Date |
|---|---|
| JP2016152925A JP2016152925A (en) | 2016-08-25 |
| JP2016152925A5 true JP2016152925A5 (en) | 2016-10-06 |
| JP6622120B2 JP6622120B2 (en) | 2019-12-18 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2008524042A Active JP4336386B2 (en) | 2005-07-26 | 2006-07-25 | Surgical stapling and cutting device and method of using the device |
| JP2008257807A Active JP4611410B2 (en) | 2005-07-26 | 2008-10-02 | Surgical stapling and cutting device and method of using the device |
| JP2009118008A Active JP5020995B2 (en) | 2005-07-26 | 2009-05-14 | Surgical stapling and cutting device and method of using the device |
| JP2011111899A Active JP5686373B2 (en) | 2005-07-26 | 2011-05-18 | Surgical stapling and cutting device and method of using the device |
| JP2011111900A Active JP5623980B2 (en) | 2005-07-26 | 2011-05-18 | Surgical stapling and cutting device and method of using the device |
| JP2013120535A Active JP5889834B2 (en) | 2005-07-26 | 2013-06-07 | Surgical stapling and cutting device and method of using the device |
| JP2015168464A Active JP5969670B2 (en) | 2005-07-26 | 2015-08-28 | Surgical stapling and cutting device and method of using the device |
| JP2016051247A Active JP6622120B2 (en) | 2005-07-26 | 2016-03-15 | Surgical stapling and cutting device and method of using the device |
| JP2017019295A Active JP6298185B2 (en) | 2005-07-26 | 2017-02-06 | Surgical stapling and cutting device and method of using the device |
| JP2017156785A Active JP7001389B2 (en) | 2005-07-26 | 2017-08-15 | Surgical stapling and cutting device and how to use this device |
| JP2018198534A Active JP7090528B2 (en) | 2005-07-26 | 2018-10-22 | Surgical stapling and cutting device and how to use this device |
| JP2020081760A Active JP7130697B2 (en) | 2005-07-26 | 2020-05-07 | Surgical stapling and cutting device and method of using this device |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2008524042A Active JP4336386B2 (en) | 2005-07-26 | 2006-07-25 | Surgical stapling and cutting device and method of using the device |
| JP2008257807A Active JP4611410B2 (en) | 2005-07-26 | 2008-10-02 | Surgical stapling and cutting device and method of using the device |
| JP2009118008A Active JP5020995B2 (en) | 2005-07-26 | 2009-05-14 | Surgical stapling and cutting device and method of using the device |
| JP2011111899A Active JP5686373B2 (en) | 2005-07-26 | 2011-05-18 | Surgical stapling and cutting device and method of using the device |
| JP2011111900A Active JP5623980B2 (en) | 2005-07-26 | 2011-05-18 | Surgical stapling and cutting device and method of using the device |
| JP2013120535A Active JP5889834B2 (en) | 2005-07-26 | 2013-06-07 | Surgical stapling and cutting device and method of using the device |
| JP2015168464A Active JP5969670B2 (en) | 2005-07-26 | 2015-08-28 | Surgical stapling and cutting device and method of using the device |
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| Application Number | Title | Priority Date | Filing Date |
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| JP2017019295A Active JP6298185B2 (en) | 2005-07-26 | 2017-02-06 | Surgical stapling and cutting device and method of using the device |
| JP2017156785A Active JP7001389B2 (en) | 2005-07-26 | 2017-08-15 | Surgical stapling and cutting device and how to use this device |
| JP2018198534A Active JP7090528B2 (en) | 2005-07-26 | 2018-10-22 | Surgical stapling and cutting device and how to use this device |
| JP2020081760A Active JP7130697B2 (en) | 2005-07-26 | 2020-05-07 | Surgical stapling and cutting device and method of using this device |
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