JP2017029704A - トロカールチッププロテクタ - Google Patents
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Abstract
【解決手段】
外科用システムであって、解放可能に連結された延長アセンブリを含む外科用器具であって、上記延長可能アセンブリが、上記延長アセンブリの遠位端内に配置されたトロカール部材を含み、上記トロカール部材が、その外側表面に規定される係合特徴を含む、外科用器具;および上記トロカール部材の係合特徴に解放可能に連結された保護デバイスであって、それによって上記トロカール部材のチップに隣接する障壁を提供する、保護デバイスを備える、外科用システム。
【選択図】図1
Description
1.技術分野
本開示は概して外科用ステープル留めデバイスに関する。より特定すれば、本開示は、再使用可能なアダプタのための選択的に除去可能な保護デバイス、および外科用ステープル留めデバイスの作動ユニットのための延長アセンブリに関する。
外科的手順において使用されるための動力付きおよび手動の外科用ステープル留めデバイスは、代表的には、ハンドルアセンブリおよびエンドエフェクタを含む。これらの外科用ステーブル留めデバイスのハンドルアセンブリの再使用を許容するため、そしてハンドルアセンブリが種々のエンドエフェクタとともに使用され得るように、アダプタアセンブリおよび延長アセンブリが、ハンドルアセンブリへの、および種々のエンドエフェクタへの選択的取り付けのために開発されている。使用後、これらアダプタおよび/または延長アセンブリは再使用のために滅菌され得る。
本開示は、外科用器具および保護デバイスを含む外科用システムに関する。この外科用器具は、それに解放可能に連結された延長アセンブリを含み、そしてその遠位端内に配置されたトロカール部材を含む。トロカール部材は、その外側表面に規定される係合特徴を含む。保護デバイスは、トロカール部材の係合特徴に解放可能に連結され、それによって、トロカール部材のチップに隣接する障壁を提供する。
(項目1)
外科用システムであって、
解放可能に連結された延長アセンブリを含む外科用器具であって、上記延長可能アセンブリが、上記延長アセンブリの遠位端内に配置されたトロカール部材を含み、上記トロカール部材が、その外側表面に規定される係合特徴を含む、外科用器具;および
上記トロカール部材の係合特徴に解放可能に連結された保護デバイスであって、それによって上記トロカール部材のチップに隣接する障壁を提供する、保護デバイスを備える、外科用システム。
(項目2)
上記保護デバイスがさらに、その第1の端部に配置された複数の脚を含み、上記複数の脚が、それから軸方向に延びる、上記項目に記載の外科用システム。
(項目3)
上記複数の脚が、その内側表面に規定されるかかり部で終わり、上記かかり部が、上記外科用器具のトロカール部材の係合特徴を解放可能に係合するように構成される、上記項目のいずれかに記載の外科用システム。
(項目4)
上記トロカール部材の係合特徴が、その外側表面に規定されるリップであり、上記リップが上記保護デバイスに配置された相補的係合特徴を係合するように構成される、上記項目のいずれかに記載の外科用システム。
(項目5)
上記保護デバイスの第2の端部が、鈍いチップを規定する円錐構成を含み、それによって臨床医が上記トロカール部材のチップと接触することを阻害する、上記項目のいずれかに記載の外科用システム。
(項目6)
上記保護デバイスの外側表面に環状溝が規定され、上記環状溝が、上記保護デバイスを把持することを可能にするように構成される、上記項目のいずれかに記載の外科用システム。
(項目7)
上記保護デバイスが、滅菌プロセスにおける使用のために適切な材料から形成される、上記項目のいずれかに記載の外科用システム。
(項目8)
上記保護デバイスの第2の端部が、平面状の構成を規定する、上記項目のいずれかに記載の外科用システム。
(項目9)
上記保護デバイスの第2の端部が、把持するために構成されたその上に配置されたフランジを含む、上記項目のいずれかに記載の外科用システム。
(項目10)
上記保護デバイスの第2の端部が矩形の基部を含み、上記矩形の基部が上記外科用器具のハウジングの外径より大きい外側周囲を有する、上記項目のいずれかに記載の外科用システム。
(項目11)
上記保護デバイスの第2の端部が、上記トロカール部材を取り囲むハウジングの外径より大きい外径を有するフランジを含む、上記項目のいずれかに記載の外科用器具。
(項目12)
外科用デバイスを滅菌する方法であって:
外科用器具を提供する工程であって、上記外科用器具が、延長アセンブリの遠位端内に配置されたトロカール部材を含む上記外科用器具に解放可能に連結された延長アセンブリを含み、上記トロカール部材の少なくとも一部が、上記延長アセンブリの上記遠位端から突出し、上記トロカール部材が、その外側表面内に規定された係合特徴を含む、工程;
上記トロカール部材の係合特徴に解放可能に連結されるよう構成された保護デバイスを提供する工程;
上記保護デバイスを、上記トロカール部材上で、そして上記延長アセンブリの遠位端内に規定される空洞内に部分的に、上記保護デバイスが上記トロカール部材の係合特徴を解放可能に係合するまで進める工程であって、それによって上記トロカール部材の尖った遠位チップに隣接する障壁を提供する工程;
上記保護デバイスを上記延長アセンブリに解放可能に取り付けて、上記延長アセンブリを上記外科用器具から取り出す工程;および
上記保護デバイスを上記延長アセンブリに解放可能に取り付けて、滅菌チャンバ中に上記延長アセンブリを置く工程、を含む、方法。
(項目13)
上記保護デバイスを提供する工程において、その遠位端に配置された複数の脚を有する保護デバイスが含まれ、上記複数の脚が、上記保護デバイスから軸方向に延び、そして上記複数の脚の内側表面上に規定されるかかり部で終わり、上記複数の脚の各かかり部が上記トロカール部材の係合特徴を係合し、それによって上記保護デバイスを上記トロカール部材に解放可能に連結する、上記項目に記載の方法。
(項目14)
上記保護デバイスを提供する工程において、鈍いチップを規定する円錐構成を含む保護デバイスの近位端が含まれ、それによって、臨床医が上記トロカール部材の尖った遠位チップと接触することを阻害する、上記項目のいずれかに記載の方法。
(項目15)
上記保護デバイスを提供する工程において、外側表面に規定される環状溝を有する保護デバイスが含まれ、上記環状溝が上記細長い本体を把持することを可能にするように構成される、上記項目のいずれかに記載の方法。
(項目16)
上記保護デバイスを提供する工程において、滅菌プロセスにおける使用のために適切な材料から構築される保護デバイスが含まれる、上記項目のいずれかに記載の方法。
(項目17)
上記保護デバイスを提供する工程において、平面状構成を規定する保護デバイスの近位端が含まれ、それによって、臨床医が上記トロカール部材の尖った遠位チップと接触することを阻害する、上記項目のいずれかに記載の方法。
(項目18)
上記保護デバイスを提供する工程において、保護デバイスの近位端が含まれ、上記近位端がその上に把持するために構成されたフランジを含む、上記項目のいずれかに記載の方法。
(項目19)
上記外科用器具を提供する工程において、第1の端部上で上記外科用器具に選択的に固定され、そして第2の端部上で上記延長アセンブリに選択的に固定されるように構成されたアダプタアセンブリがさらに含まれる、上記項目のいずれかに記載の方法。
(項目20)
上記保護デバイスを上記延長アセンブリに解放可能に取り付けて、滅菌チャンバ中に上記延長アセンブリを置く工程において、上記延長センブリに解放可能に取り付けられた上記保護デバイスが含まれ、上記アダプタアセンブリおよび上記延長アセンブリを、滅菌チャンバ中に置くことが含まれる、上記項目のいずれかに記載の方法。
外科用器具および保護デバイスを含む外科用システムが含まれる。この外科用システムは、延長アセンブリを有する外科用器具を含み、延長アセンブリは外科用器具に解放可能に連結される。この延長アセンブリは、この延長アセンブリの遠位端内に配置されたトロカール部材を含み、そしてこのトロカール部材は、その外側表面に規定される係合特徴を含む。上記保護デバイスは、上記トロカール部材の係合特徴に解放可能に連結され、それによって上記トロカール部材のチップに隣接する障壁を提供する。外科用デバイスを滅菌する方法もまた、提供される。
ここで、本開示の実施形態が、図面を参照して詳細に説明され、図面においては、いくつかの図面の各々において、同様の参照番号は、同一または対応する要素を指定している。本明細書で用いられるとき、用語「臨床医」は、医師、看護師、または任意の他の介護提供者をいい、そして援助要員を含み得る。本説明の全体で、用語「近位」は、臨床医により近いデバイスまたはその構成要素の部分をいい、そして用語「遠位」は、臨床医からより遠いデバイスまたはその構成要素の部分をいう。さらに、以下の図面および説明において、前、後、上、下、頂部、底部および類似の方向の用語は、単に記載の簡便さのために使用され、そして本開示を制限することは意図されない。以下の説明において、周知の機能または構成は、不必要な詳細で本開示をあいまいにすることを避けるために詳細には記載されない。
Claims (20)
- 外科用システムであって、
解放可能に連結された延長アセンブリを含む外科用器具であって、該延長可能アセンブリが、該延長アセンブリの遠位端内に配置されたトロカール部材を含み、該トロカール部材が、その外側表面に規定される係合特徴を含む、外科用器具;および
該トロカール部材の係合特徴に解放可能に連結された保護デバイスであって、それによって該トロカール部材のチップに隣接する障壁を提供する、保護デバイスを備える、外科用システム。 - 上記保護デバイスがさらに、その第1の端部に配置された複数の脚を含み、該複数の脚が、それから軸方向に延びる、請求項1に記載の外科用システム。
- 上記複数の脚が、その内側表面に規定されるかかり部で終わり、該かかり部が、上記外科用器具のトロカール部材の係合特徴を解放可能に係合するように構成される、請求項2に記載の外科用システム。
- 上記トロカール部材の係合特徴が、その外側表面に規定されるリップであり、該リップが上記保護デバイスに配置された相補的係合特徴を係合するように構成される、請求項1に記載の外科用システム。
- 上記保護デバイスの第2の端部が、鈍いチップを規定する円錐構成を含み、それによって臨床医が上記トロカール部材のチップと接触することを阻害する、請求項2に記載の外科用システム。
- 上記保護デバイスの外側表面に環状溝が規定され、該環状溝が、該保護デバイスを把持することを可能にするように構成される、請求項1に記載の外科用システム。
- 上記保護デバイスが、滅菌プロセスにおける使用のために適切な材料から形成される、請求項1に記載の外科用システム。
- 上記保護デバイスの第2の端部が、平面状の構成を規定する、請求項2に記載の外科用システム。
- 上記保護デバイスの第2の端部が、把持するために構成されたその上に配置されたフランジを含む、請求項2に記載の外科用システム。
- 上記保護デバイスの第2の端部が矩形の基部を含み、該矩形の基部が上記外科用器具のハウジングの外径より大きい外側周囲を有する、請求項8に記載の外科用システム。
- 上記保護デバイスの第2の端部が、上記トロカール部材を取り囲むハウジングの外径より大きい外径を有するフランジを含む、請求項10に記載の外科用器具。
- 外科用デバイスを滅菌する方法であって:
外科用器具を提供する工程であって、該外科用器具が、延長アセンブリの遠位端内に配置されたトロカール部材を含む該外科用器具に解放可能に連結された延長アセンブリを含み、該トロカール部材の少なくとも一部が、該延長アセンブリの該遠位端から突出し、該トロカール部材が、その外側表面内に規定された係合特徴を含む、工程;
該トロカール部材の係合特徴に解放可能に連結されるよう構成された保護デバイスを提供する工程;
該保護デバイスを、該トロカール部材上で、そして該延長アセンブリの遠位端内に規定される空洞内に部分的に、該保護デバイスが該トロカール部材の係合特徴を解放可能に係合するまで進める工程であって、それによって該トロカール部材の尖った遠位チップに隣接する障壁を提供する工程;
該保護デバイスを該延長アセンブリに解放可能に取り付けて、該延長アセンブリを該外科用器具から取り出す工程;および
該保護デバイスを該延長アセンブリに解放可能に取り付けて、滅菌チャンバ中に該延長アセンブリを置く工程、を含む、方法。 - 上記保護デバイスを提供する工程において、その遠位端に配置された複数の脚を有する保護デバイスが含まれ、該複数の脚が、該保護デバイスから軸方向に延び、そして該複数の脚の内側表面上に規定されるかかり部で終わり、該複数の脚の各かかり部が上記トロカール部材の係合特徴を係合し、それによって該保護デバイスを該トロカール部材に解放可能に連結する、請求項12に記載の方法。
- 上記保護デバイスを提供する工程において、鈍いチップを規定する円錐構成を含む保護デバイスの近位端が含まれ、それによって、臨床医が上記トロカール部材の尖った遠位チップと接触することを阻害する、請求項12に記載の方法。
- 上記保護デバイスを提供する工程において、外側表面に規定される環状溝を有する保護デバイスが含まれ、該環状溝が上記細長い本体を把持することを可能にするように構成される、請求項12に記載の方法。
- 上記保護デバイスを提供する工程において、滅菌プロセスにおける使用のために適切な材料から構築される保護デバイスが含まれる、請求項12に記載の方法。
- 上記保護デバイスを提供する工程において、平面状構成を規定する保護デバイスの近位端が含まれ、それによって、臨床医が上記トロカール部材の尖った遠位チップと接触することを阻害する、請求項12に記載の方法。
- 上記保護デバイスを提供する工程において、保護デバイスの近位端が含まれ、該近位端がその上に把持するために構成されたフランジを含む、請求項12に記載の方法。
- 上記外科用器具を提供する工程において、第1の端部上で上記外科用器具に選択的に固定され、そして第2の端部上で上記延長アセンブリに選択的に固定されるように構成されたアダプタアセンブリがさらに含まれる、請求項12に記載の方法。
- 上記保護デバイスを上記延長アセンブリに解放可能に取り付けて、滅菌チャンバ中に該延長アセンブリを置く工程において、上記延長センブリに解放可能に取り付けられた該保護デバイスが含まれ、該アダプタアセンブリおよび該延長アセンブリを、滅菌チャンバ中に置くことが含まれる、請求項19に記載の方法。
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-
2015
- 2015-07-28 US US14/810,979 patent/US10117675B2/en active Active
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2016
- 2016-06-21 AU AU2016204209A patent/AU2016204209B2/en not_active Expired - Fee Related
- 2016-06-29 CA CA2934712A patent/CA2934712A1/en not_active Abandoned
- 2016-06-30 JP JP2016130135A patent/JP6758954B2/ja active Active
- 2016-07-27 EP EP16181411.6A patent/EP3123959B1/en active Active
- 2016-07-27 ES ES16181411T patent/ES2864165T3/es active Active
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AU2016204209B2 (en) | 2021-02-25 |
CN106388908B (zh) | 2021-04-20 |
ES2864165T3 (es) | 2021-10-13 |
US20170027610A1 (en) | 2017-02-02 |
US10117675B2 (en) | 2018-11-06 |
US20190059945A1 (en) | 2019-02-28 |
AU2016204209A1 (en) | 2017-02-16 |
JP6758954B2 (ja) | 2020-09-23 |
EP3123959B1 (en) | 2021-03-24 |
CN106388908A (zh) | 2017-02-15 |
EP3123959A1 (en) | 2017-02-01 |
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