JP2016165517A - 関節接合クリップアプライヤーカートリッジ - Google Patents
関節接合クリップアプライヤーカートリッジ 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
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/128—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips
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- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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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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- 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
- 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
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- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
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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
- A61B2017/07228—Arrangement of the staples
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- A61B2017/2926—Details of heads or jaws
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- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
- A61B2017/2927—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft
- A61B2017/2929—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft with a head rotatable about the longitudinal axis of the shaft
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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
- A61B2017/2943—Toothed members, e.g. rack and pinion
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Abstract
Description
本出願は、2010年7月28日に出願された米国仮出願第61/368,349号の利益および優先権を主張し、この仮出願の内容全体が本明細書に参照によって援用される。
(1.技術分野)
本開示は、外科手術クリップアプライヤーに関し、より詳細には、新しい関節接合内視鏡外科手術ファスナアプライヤーカートリッジに関する。
内視鏡ステープラおよびクリップアプライヤーは、当該分野において公知であり、複数の独特で有用な外科手術処置に用いられる。腹腔鏡外科手術処置の場合、腹部の内部へのアクセスは、皮膚における小さな入口切開部を通して挿入される細い管またはカニューレを通って達成される。体の他の場所で行われる最小侵襲性処置は、しばしば概して内視鏡処置と呼ばれる。典型的には、管またはカニューレは、アクセスポートを提供する入口切開部を通って患者の体内に延ばされる。ポートは、外科医がトロカールを用いてそして切開部から遠くに隔たった場所において外科手術を行うために複数の異なる外科手術器具を、ポートを通して挿入することを可能にする。
本開示は、外科手術クリップアプライヤーに関する。
ング部分内に配置され、ジョーアセンブリおよび複数の外科手術クリップに動作可能に関連付けられる、ジョー閉鎖機構とを含む。可撓性駆動ケーブルの遠位端は、遠位ハウジング部分の長手方向軸が、外科手術ハンドルの長手方向軸に対して軸方向に整列しているか、または外科手術ハンドル部分の長手方向軸に対してある角度で置かれているかのいずれかの場合、動作力をジョー閉鎖機構に伝えるようにジョー閉鎖機構に接続される。ジョー閉鎖機構は、クリップをジョーアセンブリの中に供給し、可撓性駆動ケーブルの1回の完全なストロークで供給クリップを形成する。
延び得る。
(項目1)
外科手術ハンドルアセンブリに動作可能に接続されるエンドエフェクタであって、該外科手術ハンドルアセンブリは該エンドエフェクタに動作可能に接続される可撓性駆動ケーブルを有する、軸方向に往復運動可能な駆動アセンブリを含む、該エンドエフェクタは、
近位端と、遠位端と、長手方向軸とを規定する遠位ハウジング部分と、
該遠位ハウジング部分の該近位端から近位に延びるナックル部分であって、該ナックル部分は第1のギアの取り付けられた部分と第2のギアの取り付けられた部分に二またに分かれ、該遠位ハウジング部分は、該ナックル部分に回転可能に取り付けられ、該遠位ハウジング部分が該ナックル部分に対して該長手方向軸の周りに回転することを可能にする、ナックル部分と、
ベース部分から遠位に延びるジョーアセンブリであって、該ジョーアセンブリは、間隔を空けた位置と接近した位置との間で可動である第1のジョーと第2のジョーとを含む、ジョーアセンブリと、
部分的に積み重ねられる態様で該ハウジング内に装填される複数の外科手術クリップと、
ジョー閉鎖機構であって、該遠位ハウジング部分内に配置され、該ジョーアセンブリおよび該複数の外科手術クリップに動作可能に関連付けられる、ジョー閉鎖機構と
を備え、
該可撓性駆動ケーブルの遠位端は、該遠位ハウジング部分の該長手方向軸が、該外科手術ハンドルの長手方向軸に対して軸方向に整列しているか、または該外科手術ハンドル部分の長手方向軸に対してある角度で置かれているかのいずれかの場合、動作力を該ジョー閉鎖機構に伝えるように該ジョー閉鎖機構に接続され、
該ジョー閉鎖機構がクリップを該ジョーアセンブリの中に供給し、該可撓性駆動ケーブルの1回の完全なストロークで該供給クリップを形成する、エンドエフェクタ。
(項目2)
上記ナックル部分に旋回可能に接続される近位ハウジングと、該近位ハウジングにおいて支持されるギアトレーンとをさらに備え、該ギアトレーンの最遠位ギアは、該ナックル部分の第1のギア部分と第2のギア部分とに動作可能に係合される、上記項目のいずれかに記載のエンドエフェクタ。
(項目3)
上記近位ハウジングにおいてスライド可能に支持されるラックをさらに備え、該ラックは少なくとも1つの軸方向のギア歯の列を規定し、該軸方向のギア歯の列は上記ギアトレーンの最近位ギアと係合される、上記項目のいずれかに記載のエンドエフェクタ。
(項目4)
カバーに対する上記ラックの軸方向の移動は、結果として、上記近位ハウジング部分に対する上記遠位ハウジング部分の関節接合をもたらす、上記項目のいずれかに記載のエンドエフェクタ。
(項目5)
外科手術クリップを体組織に適用するエンドエフェクタであって、該エンドエフェクタは、
近位端と、遠位端と、長手方向軸とを規定する部分と、
該ベース部分の該近位端から近位に延びるナックル部分であって、該ナックル部分は第1のギアの取り付けられた部分と第2のギアの取り付けられた部分に二またに分かれ、該ベース部分は、該ナックル部分に回転可能に取り付けられ、該ベース部分は、該ナックル部分に回転可能に取り付けられ、該ベース部分が該ナックル部分に対して該長手方向軸の周りに回転することを可能にする、ナックル部分と、
該ベース部分から遠位に延びるジョーアセンブリであって、該ジョーアセンブリは、間隔を空けた位置と接近した位置との間で可動である第1のジョーと第2のジョーとを含む、ジョーアセンブリと、
該ベース部分内に位置を定められる複数のファスナであって、該複数のファスナの各々はバックスパンから延びる一対の脚を有し、該複数のファスナの各々は該一対の脚に実質的に平行である方向に延びるファスナ軸を規定し、該複数のファスナの各々は該ベース部分内に配置され、該ファスナ軸と該長手方向軸との間に角度を形成し、複数のファスナの各々は、複数のファスナの別のファスナに隣接して位置を定められ、積み重ねを形成する、複数のファスナと
を備えている、エンドエフェクタ。
(項目6)
上記ナックルは、旋回軸を規定する旋回構造を含み得る、上記項目のいずれかに記載のエンドエフェクタ。
(項目7)
上記ジョーアセンブリに動作可能に接続されるジョー閉鎖機構をさらに備え、該ジョー閉鎖機構は、上記第1のジョーおよび上記第2のジョーに接近力を提供する、上記項目のいずれかに記載のエンドエフェクタ。
(項目8)
上記ナックル部分は、複数の歯を含む、上記項目のいずれかに記載のエンドエフェクタ。
(項目9)
上記複数のファスナは、上記第2の長手方向軸に対して非共線的位置に積み重ねられる、上記項目のいずれかに記載のエンドエフェクタ。
(項目10)
上記第1のジョーおよび上記第2のジョーは、上記長手方向軸に対してある角度に置かれる、上記項目のいずれかに記載のエンドエフェクタ。
(項目11)
上記複数のファスナの上記脚は、上記第1のジョーおよび上記第2のジョーに実質的に平行の配向で配置される、上記項目のいずれかに記載のエンドエフェクタ。
(項目12)
上記積み重ねは、上記長手方向軸に平行に延びる、上記項目のいずれかに記載のエンドエフェクタ。
(項目13)
ベース部分がカバーに対して軸外しで旋回可能であるようにナックル部分に接続される近位ハウジング部分をさらに備えている、上記項目のいずれかに記載のエンドエフェクタ。
(項目14)
上記近位ハウジング部分は、該近位ハウジングの遠位領域においてギアトレーンを支持し、該ギアトレーンの最遠位ギアは、上記ナックル部分の上記第1のギアの取り付けられた部分と上記第2のギアの取り付けられた部分とに動作可能に係合される、上記項目のいずれかに記載のエンドエフェクタ。
(項目15)
上記近位ハウジング部分の近位領域においてスライド可能に支持されるラックをさらに備え、該ラックは少なくとも1つの軸方向のギア歯の列を規定し、該軸方向のギア歯の列は上記ギアトレーンの最近位ギアと係合される、上記項目のいずれかに記載のエンドエフェクタ。
(項目16)
上記近位ハウジング部分に対する上記ラックの軸方向の移動は、結果として、該近位ハウジング部分に対する上記ベース部分の関節接合をもたらす、上記項目のいずれかに記載のエンドエフェクタ。
(項目17)
外科手術ハンドルアセンブリに動作可能に接続されるエンドエフェクタであって、該外科手術ハンドルアセンブリは該エンドエフェクタに動作可能に接続される可撓性駆動ケーブルを有する、軸方向に往復運動可能な駆動アセンブリを含む、該エンドエフェクタは、
近位端と、遠位端と、長手方向軸とを規定する遠位ハウジング部分と、
近位端と、遠位端と、長手方向軸とを規定する近位ハウジング部分と、
該遠位ハウジング部分の該近位端と該近位ハウジング部分の該遠位端とを相互に接続するナックル部分であって、ナックル部分は、該ナックル部分に対する該遠位ハウジング部分の回転および該近位ハウジング部分に対する該遠位ハウジング部分の関節接合を可能に
する、ナックル部分と、
該遠位ハウジング部分の該遠位端に支持されるジョーアセンブリであって、該ジョーアセンブリは、間隔を空けた位置と接近した位置との間で可動である第1のジョーと第2のジョーとを含むジョーアセンブリと、
該遠位ハウジング部分内に装填される複数のファスナであって、該複数のファスナの各々はバックスパンから延びる一対の脚を有し、該複数のファスナの各々は該一対の脚に実質的に平行である方向に延びるファスナ軸を規定し、該複数のファスナの各々は、該ファスナ軸が該遠位ハウジング部分の該長手方向軸に対してある角度で配置されるようにベース部分内に配置され、該複数のファスナは積み重ねで配置される、複数のファスナと
を備えている、エンドエフェクタ。
(項目18)
上記ジョーアセンブリに動作可能に接続されるジョー閉鎖機構をさらに含み得、該ジョー閉鎖機構は、第1のジョーおよび第2のジョーに対して該第1のジョーおよび該第2のジョーが近位に動くとき該第1のジョーおよび該第2のジョーに対して接近力を提供する、上記項目のいずれかに記載のエンドエフェクタ。
(項目19)
上記ジョー閉鎖機構は、上記遠位ハウジング部分において軸方向にスライド可能に支持されるカムプレートを含み、該カムプレートはカムプレートに形成されるカミングアパーチャを含み、該カミングアパーチャは実質的に「V」形状の輪郭を有し、第1のジョーおよび第2のジョーの各々は該第1のジョーおよび該第2のジョーから該カムプレートの該カミングアパーチャの中に延びるポストを含み、
該第1のジョーおよび第2のジョーに対する該カムプレートの近位の動きは、該第1のジョーのナブおよび第2のジョーのナブに対抗して該カミングアパーチャの縁を係合し、該第1のジョーと該第2のジョーとを接近させる、上記項目のいずれかに記載のエンドエフェクタ。
(項目20)
上記カムプレートは、上記カミングアパーチャの中に遠位に延びる突起を含み、上記第1のジョーおよび第2のジョーに対する該カムプレートの遠位の動きは、該第1のジョーのナブと該第2のジョーのナブとの間の該カミングアパーチャの該突起を係合し、該第1のジョーと該第2のジョーとを引き離す、上記項目のいずれかに記載のエンドエフェクタ。
エンドエフェクタが提供され、このエンドエフェクタは、ナックル部分によって互いに相互接続された遠位ハウジング部分と近位ハウジング部分とであって、ナックル部分は、このナックル部分に対する遠位ハウジング部分の回転と、近位ハウジング部分に対する遠位ハウジング部分の間接接合とを可能にする、遠位ハウジング部分と近位ハウジング部分と、遠位ハウジング部分の遠位端に支持されるジョーアセンブリであって、このジョーアセンブリは、間隔の空いた位置と近接した位置との間で移動可能な第1のジョーおよび第2のジョーを含む、ジョーアセンブリと、遠位ハウジング部分内に装填される複数のファスナであって、複数のファスナの各々は、ファスナの一対の脚に実質的に平行な方向に延びるファスナ軸を規定し、複数のファスナの各々は、ベース部分内に配列されることにより、ファスナ軸が遠位ハウジング部分の長手方向軸に対してある角度で配置される、複数のファスナとを含む。
本開示に従う外科手術クリップアプライヤーの実施形態は、ここで図面を参照して詳細に説明され、図面において似ている参照数字は、類似するかまたは同一の構造要素を識別する。図面に示されそして以下の説明を通して説明される場合、外科手術器具についての相対的な位置決めをいう場合に伝統的であるように、用語「近位」は、ユーザにより近い、装置の端部をいい、用語「遠位」はユーザからより遠い、装置の端部をいう。
クリップアプライヤー100は、ハンドルアセンブリ200と、ハンドルアセンブリ200から遠位に延びる関節接合内視鏡部分またはシャフトアセンブリ300とを含む。ここで図5、図5A、図5B〜図8を参照すると、外科手術クリップアプライヤー100のハンドルアセンブリ200が示される。ハンドルアセンブリ200は、第1または右側半部分202aと、第2または左側半部分202bとを有するハウジング202を含む。ハンドルアセンブリ200は、右側半部分202aと左側半部分202bとの間に旋回可能に支持されるトリガー208を含む。ハンドルアセンブリ200のハウジング202は、適切なプラスチック材料から形成され得る。
およびその構成要素は、例えば、ステンレス鋼、チタン、プラスチックなどの適切な生体適合材料から形成され得る。
転することが可能であり、第1の管状部材302は、回転ノブ306から回転力を受け、駆動アセンブリ220の近位部分に回転力を伝える。
筒形部363と外部管310の内径との間の空間をふさぐように変形可能であり、第1の管状部材302の遠位部分を実質的に密閉する。
部分366を「I」ビームに形成し、この場合、長手方向に配置された歯368は、向かい合う方向に延びる「I」ビームのフランジの内側に沿って形成される。長手方向に配置された歯368は、エンドカバー390によって支持される第1のギア420と完全に接触している。
れ、エンドカバー部392a、392bの遠位部分395bから内側に半径方向に延びるボス398を規定する。ボス398は、エンドエフェクタ500の円筒形遠位部分522を捕え、第1の管状部材302に固定する。
いに隣接して位置を定められ、斜めのスタックを形成する。図42および図43を参照すると、一連のファスナまたはクリップ580は、クリップカートリッジ550内に配置され、第2の長手方向「X2」軸に対して0°〜90°(0°および90°は含まない)の角度を形成する。一連のクリップ580は、第2の長手方向「X2」軸に対してある角度内かまたはある角度で積み重ねられ、第2の長手方向「X2」軸とずれた平行な態様で、第2の長手方向「X2」軸に沿って延びる。クリップ580の形状は、U形状、V形状、または他の形状であり得る。
するように働く。内側に突き出るロック569は、ハウジング560に対するジョー構造620の長手方向の動きを妨げるようにロッキングブロック623およびロッキングショルダー624に対して働く。
めに、ジョー626の中へのクリップ580の挿入を容易にするために、フィードバー650にその遠位端650bにプッシャ652が備え付けられ、プッシャ652は、クリップ580の積み重ねからジョー626の中に個々のクリップを前進させるように構成される。
ォロワスプリング680、およびクリップ580の積み重ねの前進を導くように構成される。
に動き、方向矢印「k」によって表されるように、カムスプリング600を圧縮する。
200 ハンドルアセンブリ
202 ハウジング
300 シャフトアセンブリ
302 第1の管状部材
304 回転機構
306 回転ノブ
312 内腔
320 関節接合機構
420 第1のギア
500 エンドエフェクタ
640 ブロック部材
Claims (20)
- 作動アセンブリに動作可能に接続するためのシャフトアセンブリであって、前記作動アセンブリは、軸方向に往復運動可能な駆動アセンブリを含み、前記駆動アセンブリは、可撓性駆動ケーブルを有し、前記シャフトアセンブリは、
長手方向軸を規定する近位ハウジング部分と、
近位端と、遠位端と、長手方向軸とを規定する遠位ハウジング部分と、
前記近位ハウジング部分と前記遠位ハウジング部分とを旋回可能に相互接続するナックル部分であって、前記遠位ハウジング部分は、前記ナックル部分に回転可能に取り付けられることにより、前記遠位ハウジング部分が前記ナックル部分に対して前記長手方向軸の周りに回転することを可能にする、ナックル部分と、
前記遠位ハウジング部分上に支持されるジョーアセンブリであって、前記ジョーアセンブリは、第1のジョーおよび第2のジョーを含み、前記第1のジョーおよび前記第2のジョーは、ベース部分から遠位に延びており、かつ、間隔を空けた位置と接近した位置との間で移動可能である、ジョーアセンブリと、
部分的にスタックされている態様で前記遠位ハウジング部分内に装填された複数の外科手術クリップと、
前記遠位ハウジング部分内に配置されたジョー閉鎖機構であって、前記ジョーアセンブリと前記複数の外科手術クリップとに動作可能に関連付けられたジョー閉鎖機構と
を備え、
前記可撓性駆動ケーブルの遠位端は、前記ナックル部分を横切るように延びており、前記可撓性駆動ケーブルの遠位端は、前記遠位ハウジング部分の前記長手方向軸が、外科手術ハンドルの長手方向軸に対して軸方向に整列しているか、または、前記外科手術ハンドルの長手方向軸に対してある角度で置かれているかのいずれかの場合、前記ジョー閉鎖機構に動作力を伝えるように前記ジョー閉鎖機構に接続されており、
前記ジョー閉鎖機構は、前記複数のクリップのうちの単一のクリップを前記ジョーアセンブリの中に供給し、前記可撓性駆動ケーブルの1回の完全なストロークで供給クリップを形成する、シャフトアセンブリ。 - 前記近位ハウジング部分において支持されるギアトレーンをさらに備え、前記ナックル部分は、第1のギアの取り付けられた部分と第2のギアの取り付けられた部分に二またに分かれ、前記ギアトレーンの最遠位ギアは、前記ナックル部分の前記第1のギアが取り付けられた部分と前記第2のギアが取り付けられた部分とに動作可能に係合されている、請求項1に記載のシャフトアセンブリ。
- 前記近位ハウジング部分においてスライド可能に支持されるラックをさらに備え、前記ラックは、少なくとも1つの軸方向のギア歯の列を規定し、前記軸方向のギア歯の列は、前記ギアトレーンの最近位ギアに係合されている、請求項2に記載のシャフトアセンブリ。
- 前記近位ハウジング部分に対する前記ラックの軸方向の移動は、前記近位ハウジング部分に対する前記遠位ハウジング部分の関節接合をもたらす、請求項3に記載のシャフトアセンブリ。
- 外科手術クリップを体組織に適用するためのエンドエフェクタであって、前記エンドエフェクタは、
近位端と、遠位端と、長手方向軸とを規定するベース部分と、
前記ベース部分の前記近位端から近位に延びているナックル部分であって、前記ベース部分は、前記ナックル部分に回転可能に取り付けられることにより、前記ベース部分が前記ナックル部分に対して前記長手方向軸の周りに回転することを可能にする、ナックル部分と、
前記ベース部分上に支持されるジョーアセンブリであって、前記ジョーアセンブリは、第1のジョーおよび第2のジョーを含み、前記第1のジョーおよび前記第2のジョーは、前記遠位部分から遠位に延びており、かつ、間隔を空けた位置と接近した位置との間で移動可能である、ジョーアセンブリと、
前記ベース部分内に配置された複数の外科手術クリップであって、前記複数の外科手術クリップの各々は、バックスパンから延びている一対の脚を有し、前記複数の外科手術クリップの各々は、前記一対の脚に実質的に平行である方向に延びているクリップ軸を規定し、前記複数の外科手術クリップの各々は、前記クリップ軸と前記長手方向軸との間の角度を規定するように前記ベース部分内に配置されており、前記複数の外科手術クリップの各々は、部分的に重なっているスタックを形成するように前記複数の外科手術クリップのうちの他の1つに隣接するように配置されている、複数の外科手術クリップと
を備えた、エンドエフェクタ。 - 前記ナックル部分は、旋回軸を規定する旋回構造を含む、請求項5に記載のエンドエフェクタ。
- 前記ジョーアセンブリに動作可能に接続されたジョー閉鎖機構をさらに備え、前記ジョー閉鎖機構は、前記ジョー閉鎖機構の近位移動の際に、前記第1のジョーおよび前記第2のジョーに接近力を提供する、請求項5に記載のエンドエフェクタ。
- 前記ナックル部分は、第1のギアの取り付けられた部分と第2のギアの取り付けられた部分に二またに分かれている、請求項5に記載のエンドエフェクタ。
- 前記複数の外科手術クリップは、前記長手方向軸に対して非共線的位置にスタックされている、請求項5に記載のエンドエフェクタ。
- 前記第1のジョーおよび前記第2のジョーは、前記長手方向軸に対してある角度に置かれている、請求項5に記載のエンドエフェクタ。
- 前記複数の外科手術クリップの前記脚は、前記第1のジョーおよび前記第2のジョーの配向に実質的に平行な配向で配置されている、請求項10に記載のエンドエフェクタ。
- 前記複数の外科手術クリップの各々は、実質的にU形状および実質的にV形状から選択された形状を有している、請求項5に記載のエンドエフェクタ。
- 前記複数の外科手術クリップのスタックは、前記長手方向軸に平行に延びている軸を規定する、請求項5に記載のエンドエフェクタ。
- 前記ナックル部分に接続された近位ハウジング部分をさらに備え、前記ベース部分は、前記近位ハウジング部分に対して軸からずれて旋回可能である、請求項8に記載のエンドエフェクタ。
- 前記近位ハウジング部分は、それの遠位領域においてギアトレーンを支持し、前記ギアトレーンの最遠位ギアは、前記ナックル部分の前記第1のギアが取り付けられた部分と前記第2のギアが取り付けられた部分とに動作可能に係合されている、請求項14に記載のエンドエフェクタ。
- 前記近位ハウジング部分の近位領域においてスライド可能に支持されるラックをさらに備え、前記ラックは、少なくとも1つの軸方向のギア歯の列を規定し、前記軸方向のギア歯の列は、前記ギアトレーンの最近位ギアに係合されている、請求項15に記載のエンドエフェクタ。
- 前記近位ハウジング部分に対する前記ラックの軸方向の移動は、前記近位ハウジング部分に対する前記ベース部分の関節接合をもたらす、請求項16に記載のエンドエフェクタ。
- 外科手術ハンドルアセンブリに動作可能に接続するためのシャフトアセンブリであって、前記外科手術ハンドルアセンブリは、軸方向に往復運動可能な駆動アセンブリを含み、前記駆動アセンブリは、前記シャフトアセンブリの中に延びている可撓性駆動ケーブルを有し、前記シャフトアセンブリは、
近位端と、遠位端と、長手方向軸とを規定する近位ハウジング部分と、
近位端と、遠位端と、長手方向軸とを規定する遠位ハウジング部分と、
前記遠位ハウジング部分の前記近位端と前記近位ハウジング部分の前記遠位端とを旋回可能に相互接続するナックル部分であって、前記ナックル部分は、前記長手方向軸の周りの前記遠位ハウジング部分の回転および前記近位ハウジング部分に対する前記遠位ハウジング部分の関節接合を可能にする、ナックル部分と、
前記遠位ハウジング部分の前記遠位端において支持されるジョーアセンブリであって、前記ジョーアセンブリは、第1のジョーおよび第2のジョーを含み、前記第1のジョーおよび前記第2のジョーは、前記遠位ハウジング部分から遠位に延びており、かつ、間隔を空けた位置と接近した位置との間で移動可能である、ジョーアセンブリと、
前記遠位ハウジング部分内に装填された複数の外科手術クリップであって、前記複数の外科手術クリップの各々は、バックスパンから延びている一対の脚を有し、前記複数の外科手術クリップの各々は、前記一対の脚に実質的に平行である方向に延びているクリップ軸を規定し、前記複数の外科手術クリップの各々は、前記クリップ軸が前記遠位ハウジング部分の前記長手方向軸に対してある角度で配置されるように前記遠位ハウジング部分内に配置されており、前記複数の外科手術クリップは、部分的に重なっているスタック内に配置されている、複数の外科手術クリップと
を備えた、シャフトアセンブリ。 - 前記ジョーアセンブリに動作可能に関連付けられたジョー閉鎖機構をさらに備え、前記ジョー閉鎖機構は、前記第1のジョーおよび前記第2のジョーに対する前記ジョー閉鎖機構の近位移動の際に、前記第1のジョーおよび前記第2のジョーに接近力を提供する、請求項18に記載のシャフトアセンブリ。
- 前記ジョー閉鎖機構は、前記遠位ハウジング部分において軸方向にスライド可能に支持されるカムプレートを含み、前記カムプレートは、前記カムプレートに形成されるカミングアパーチャを含み、前記カミングアパーチャは、実質的に「V」形状の輪郭を有し、前記第1のジョーおよび前記第2のジョーの各々は、前記第1のジョーおよび前記第2のジョーから前記カムプレートの前記カミングアパーチャの中に延びているポストを含み、
前記第1のジョーおよび前記第2のジョーに対する前記カムプレートの近位への移動は、前記第1のジョーのナブおよび前記第2のジョーのナブに対抗して前記カミングアパーチャの縁を係合することにより、前記第1のジョーと前記第2のジョーとを接近させる、請求項19に記載のシャフトアセンブリ。
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CN104905843A (zh) | 2015-09-16 |
US20150127022A1 (en) | 2015-05-07 |
AU2011202927A1 (en) | 2012-02-16 |
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EP2412318A2 (en) | 2012-02-01 |
US20120029533A1 (en) | 2012-02-02 |
CN102342853A (zh) | 2012-02-08 |
CA2743402A1 (en) | 2012-01-28 |
JP5938173B2 (ja) | 2016-06-22 |
EP2412318A3 (en) | 2015-11-04 |
US8961542B2 (en) | 2015-02-24 |
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