JP2018089404A - タッキングデバイスのための曲がるケーブルおよびばね負荷チューブ - Google Patents
タッキングデバイスのための曲がるケーブルおよびばね負荷チューブ Download PDFInfo
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- JP2018089404A JP2018089404A JP2018020848A JP2018020848A JP2018089404A JP 2018089404 A JP2018089404 A JP 2018089404A JP 2018020848 A JP2018020848 A JP 2018020848A JP 2018020848 A JP2018020848 A JP 2018020848A JP 2018089404 A JP2018089404 A JP 2018089404A
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- Prior art keywords
- surgical fastener
- drive
- coil spring
- drive member
- tubular member
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
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Classifications
-
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/064—Surgical staples, i.e. penetrating the tissue
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/0042—Surgical instruments, devices or methods, e.g. tourniquets with special provisions for gripping
- A61B2017/00424—Surgical instruments, devices or methods, e.g. tourniquets with special provisions for gripping ergonomic, e.g. fitting in fist
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/064—Surgical staples, i.e. penetrating the tissue
- A61B2017/0647—Surgical staples, i.e. penetrating the tissue having one single leg, e.g. tacks
- A61B2017/0648—Surgical staples, i.e. penetrating the tissue having one single leg, e.g. tacks threaded, e.g. tacks with a screw thread
-
- 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
- A61B2017/2901—Details of shaft
- A61B2017/2905—Details of shaft flexible
-
- 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
- A61B17/2909—Handles
- A61B2017/2912—Handles transmission of forces to actuating rod or piston
- A61B2017/2923—Toothed members, e.g. rack and pinion
Abstract
Description
本願は、2013年3月12日に出願された、米国仮特許出願第61/776,811号の利益、および上記米国仮特許出願に対する優先権を主張し、その開示全体は、本明細書中で参考として援用される。
技術分野
本開示は、一般に、外科手術締め具アプライヤに関し、より詳しくは、その内視鏡部分に適用される屈曲負荷の存在下で引き続きの動作のために構成されている外科手術締め具アプライヤに関する。
種々の外科手術手順は、組織の接続を形成するために、または物体を組織に固定するために、組織に締め具を適用することができる器具を必要とする。例えば、ヘルニアの修復中、メッシュを身体組織に留めることは、しばしば望ましい。特定のヘルニア(例えば、直接鼠径ヘルニアまたは間接鼠径ヘルニア)において、腸の一部は、支持腹部壁における欠陥を通って突出し、ヘルニア嚢を形成する。欠陥は、比較的大きい切開が作られる開腹外科手術手順を用いて修復され得、ヘルニアは、縫合によって、腹部壁の外側で閉じられる。メッシュは、補強を提供するために、開口部を覆って、縫合糸で取り付けられる。
外科手術締め具アプライヤが開示され、外科手術締め具アプライヤは、ハンドル部分と、ハンドル部分から延び、長手方向軸を規定する管状部材と、管状部材において、およびハンドル部分において回転可能に支持されている駆動部材と、複数の締め具とを含む。駆動部材は、長手方向軸に対して偏向させられた状態にある間に回転するように構成されている。複数の締め具は、管状部材内に配置され、複数の締め具は、駆動部材の一部分を係合するように構成されており、その結果、駆動部材の回転運動は、複数の締め具のうちの少なくとも1つの締め具の、管状部材を通る遠位方向の前進をもたらす。
(項目1)
外科手術締め具アプライヤであって、該外科手術締め具アプライヤは、
ハンドル部分と、
該ハンドル部分から延び、長手方向軸を規定する管状部材と、
該管状部材において、および該ハンドル部分において回転可能に支持されている駆動部材であって、該駆動部材は、該長手方向軸に対して偏向させられた状態にある間に回転するように構成され、該駆動部材は、近位部分と、中央部分と、遠位部分とを含み、該中央部分は、該近位部分および該遠位部分のうちの少なくとも1つと比較される場合、比較的より可撓な構成である、駆動部材と、
該管状部材内に配置されている複数の締め具であって、該複数の締め具は、該駆動部材の一部分を係合するように構成されており、その結果、該駆動部材の回転運動は、該複数の締め具のうちの少なくとも1つの締め具の、該管状部材を通る遠位方向の前進をもたらす、複数の締め具と
を含む、外科手術締め具アプライヤ。
(項目2)
上記駆動部材の遠位部分は、上記複数の締め具のうちの少なくとも1つの締め具の一部分を係合するために、少なくとも1つの枝を規定する、上記項目に記載の外科手術締め具アプライヤ。
(項目3)
上記駆動部材は、上記管状部材の偏向と異なる速度での上記長手方向軸に対する偏向のために構成されている、上記項目のうちのいずれか一項に記載の外科手術締め具アプライヤ。
(項目4)
上記ハンドル部分と上記駆動部材とを動作的に接続する駆動歯車をさらに含む、上記項目のうちのいずれか一項に記載の外科手術締め具アプライヤ。
(項目5)
上記駆動歯車は、上記ハンドル部分の作動の際に回転運動を上記駆動部材に伝達するように構成されている、上記項目のうちのいずれか一項に記載の外科手術締め具アプライヤ。
(項目6)
上記可撓な中央部分は、ねじり剛性を有する、上記項目のうちのいずれか一項に記載の外科手術締め具アプライヤ。
(項目7)
上記可撓な中央部分は、屈曲負荷の存在下で上記駆動部材の引き続きの回転を可能にする、上記項目のうちのいずれか一項に記載の外科手術締め具アプライヤ。
(項目8)
上記管状部材は、上記駆動部材の一部分の周囲に配置されているコイルばねを含む、上記項目のうちのいずれか一項に記載の外科手術締め具アプライヤ。
(項目9)
上記コイルばねは、上記複数の締め具のうちの少なくとも1つの一部分を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一項に記載の外科手術締め具アプライヤ。(項目10)
外科手術締め具アプライヤであって、該外科手術締め具アプライヤは、
ハンドル部分と、
該ハンドル部分から延び、長手方向軸を規定する管状部材と、
該管状部材に比べて異なる剛性を有する補剛材部材と、
該管状部材内に配置されているコイルばねであって、該コイルばねは、該管状部材の実質的にまっすぐな状態を維持するように構成されている、コイルばねと、
該管状部材において、および該ハンドル部分において回転可能に支持されている駆動部材であって、該駆動部材は、半径方向に可撓で、ねじり剛性を有する中央部分を含む、駆動部材と、
該管状部材内に配置されている複数の締め具であって、各締め具は、該駆動部材の一部分を係合するように構成され、その結果、該駆動部材の回転運動は、該複数の締め具のうちの少なくとも1つの締め具の、該管状部材を通る遠位方向の前進をもたらし、該複数の締め具のうちの少なくとも1つの締め具は、該コイルばねと係合される、複数の締め具と
を含み、
クリアランスは、該駆動部材と該管状部材との間に規定され、該駆動部材は、偏向させられた状態における回転のために構成されている、
外科手術締め具アプライヤ。
(項目11)
上記コイルばねは、上記長手方向軸に沿って実質的に一定のピッチを有する、上記項目のうちのいずれか一項に記載の外科手術締め具アプライヤ。
(項目12)
上記コイルばねは、上記長手方向軸に沿って可変のピッチを有する、上記項目のうちのいずれか一項に記載の外科手術締め具アプライヤ。
(項目13)
上記コイルばねは、軸方向に圧縮された部分を含む、上記項目のうちのいずれか一項に記載の外科手術締め具アプライヤ。
(項目14)
上記コイルばねの上記軸方向に圧縮された部分は、上記管状部材の内側表面に対する溶接を介して維持されている、上記項目のうちのいずれか一項に記載の外科手術締め具アプライヤ。
(項目15)
上記コイルばねの上記軸方向に圧縮された部分は、該コイルばねの残りの部分に比べて異なる速度で上記長手方向軸に対して偏向するように構成されている、上記項目のうちのいずれか一項に記載の外科手術締め具アプライヤ。
(項目16)
上記コイルばねの上記軸方向に圧縮された部分は、該コイルばねの近位部分に位置する、上記項目のうちのいずれか一項に記載の外科手術締め具アプライヤ。
外科手術締め具アプライヤが開示され、外科手術締め具アプライヤは、ハンドル部分と、ハンドル部分から延び、長手方向軸を規定する管状部材と、管状部材において、およびハンドル部分において回転可能に支持されている駆動部材と、複数の締め具とを含む。駆動部材は、長手方向軸に対して偏向させられた状態にある間に回転するように構成されている。駆動部材は、近位部分と、中央部分と、遠位部分とを含み、中央部分は、近位部分および遠位部分のうちの少なくとも1つと比較される場合、比較的より可撓な構成である。複数の締め具は、管状部材内に配置され、複数の締め具は、駆動部材の一部分を係合するように構成されており、その結果、駆動部材の回転運動は、複数の締め具のうちの少なくとも1つの締め具の、管状部材を通る遠位方向の前進をもたらす。
次に、類似の参照数字が数枚の図にわたって同様の要素を表す図面を参照して、本開示の外科手術締め具アプライヤが記載される。本明細書中で用いられる場合、用語「操作者」は、本開示の外科手術締め具アプライヤの任意の使用者(例えば、看護師、医師、または臨床医)を指し得る。さらに、用語「遠位」は、操作者からより遠い、アプライヤ、またはその構成要素の部分を指し、用語「近位」は、操作者により近い、外科手術締め具アプライヤ、またはその構成要素の部分を指す。
210 管状部材
240 駆動部材
300 (外科手術)締め具
1000、2000、3000 外科手術締め具アプライヤ
Claims (1)
- 本願明細書に記載の発明。
Applications Claiming Priority (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201361776811P | 2013-03-12 | 2013-03-12 | |
US61/776,811 | 2013-03-12 | ||
US14/199,096 US9358010B2 (en) | 2013-03-12 | 2014-03-06 | Flex cable and spring-loaded tube for tacking device |
US14/199,096 | 2014-03-06 |
Related Parent Applications (1)
Application Number | Title | Priority Date | Filing Date |
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JP2014047708A Division JP2014176648A (ja) | 2013-03-12 | 2014-03-11 | タッキングデバイスのための曲がるケーブルおよびばね負荷チューブ |
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Publication Number | Publication Date |
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JP2018089404A true JP2018089404A (ja) | 2018-06-14 |
Family
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JP2014047708A Pending JP2014176648A (ja) | 2013-03-12 | 2014-03-11 | タッキングデバイスのための曲がるケーブルおよびばね負荷チューブ |
JP2018020848A Pending JP2018089404A (ja) | 2013-03-12 | 2018-02-08 | タッキングデバイスのための曲がるケーブルおよびばね負荷チューブ |
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JP2014047708A Pending JP2014176648A (ja) | 2013-03-12 | 2014-03-11 | タッキングデバイスのための曲がるケーブルおよびばね負荷チューブ |
Country Status (6)
Country | Link |
---|---|
US (2) | US9358010B2 (ja) |
EP (1) | EP2777516B1 (ja) |
JP (2) | JP2014176648A (ja) |
CN (1) | CN104042266B (ja) |
AU (1) | AU2014201338B2 (ja) |
CA (1) | CA2845427A1 (ja) |
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2014
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- 2014-03-11 JP JP2014047708A patent/JP2014176648A/ja active Pending
- 2014-03-11 AU AU2014201338A patent/AU2014201338B2/en not_active Ceased
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CN104042266B (zh) | 2018-04-27 |
CN104042266A (zh) | 2014-09-17 |
EP2777516B1 (en) | 2019-05-15 |
JP2014176648A (ja) | 2014-09-25 |
AU2014201338A1 (en) | 2014-10-02 |
CA2845427A1 (en) | 2014-09-12 |
US20140276969A1 (en) | 2014-09-18 |
US20160278766A1 (en) | 2016-09-29 |
US10105135B2 (en) | 2018-10-23 |
US9358010B2 (en) | 2016-06-07 |
EP2777516A1 (en) | 2014-09-17 |
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