JP2018500104A - 両極性電気外科的シーラおよびディバイダ - Google Patents
両極性電気外科的シーラおよびディバイダ Download PDFInfo
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Abstract
Description
本願は、2014年12月23日に出願された米国特許出願第62/096,255号の権益主張出願であり、この米国特許出願を参照により引用し、これらの記載内容全体が本明細書に記載されているものとする。
Claims (30)
- 電気外科的器械であって、
近位端および遠位端を備えた下側ハンドルを有し、
前記下側ハンドルの前記遠位端に結合された上側ジョーを有し、前記上側ジョーは、少なくとも1つの電極を有し、
近位端および遠位端を備えた上側ハンドルを有し、
前記下側ハンドルの前記遠位端に結合された下側ジョーを有し、前記下側ジョーは、前記上側ジョーに回動可能に連結されており、
前記下側ハンドルの一部分は、前記上側ジョーと前記下側ジョーが閉じ位置において互いに近接して位置すると、前記上側ジョーから外れる、電気外科的器械。 - 前記上側ハンドルの前記近位端は、フィンガループを有し、前記下側ハンドルの前記近位端は、フィンガループを有する、請求項1記載の電気外科的器械。
- 前記下側ハンドルは、支持ばねおよび空所を備えた下側ハンドルハウジングを有し、前記支持ばねは、前記下側ハンドルハウジングの前記空所内に収納されている、請求項1記載の電気外科的器械。
- 前記下側ハンドルは、前記支持ばねに結合された支持アームを有し、前記支持アームの近位部分は、前記下側ハンドルハウジングの空所内に収納されている、請求項3記載の電気外科的器械。
- 前記下側ハンドルは、前記上側ジョーと前記下側ハンドルハウジングとの間に設けられたジョー支持継手を有する、請求項1または4記載の電気外科的器械。
- 前記ジョー支持継手は、空所を有し、前記支持アームの遠位部分は、前記ジョー支持継手の前記空所内に収納されている、請求項5記載の電気外科的器械。
- 前記下側ハンドルハウジングは、前記ジョー支持継手の湾曲面と合致する湾曲面を有する、請求項1、5または6記載の電気外科的器械。
- 前記下側ハンドルハウジングの前記湾曲面は、前記ジョー支持継手の前記湾曲面の鏡像である、請求項7記載の電気外科的器械。
- 前記ジョー支持継手は、前記下側ジョーの湾曲面と合致する湾曲切欠きを有する、請求項1または8記載の電気外科的器械。
- 前記上側ジョーの前記少なくとも1つの電極は、前記下側ジョーに向いた平坦な平面状の密封面を有し、前記下側ジョーは、前記上側ジョーに向いた平坦な平面状の密封面を備えた下側電極を有し、前記下側電極は、前記少なくとも1つの電極と前記下側電極との間でRFエネルギーを伝送するよう作動的に配置され、前記上側ハンドルハウジングは、前記下側ハンドルハウジングに接触し、そして前記下側ハンドルハウジングとの接触によって起動してRFエネルギーの供給源に結合するよう構成されたスイッチを有する、請求項1または9記載の電気外科的器械。
- 電気外科的器械であって、
ジョー支持継手に連結されている下側ハンドルハウジングを備えた下側ハンドルを有し、
前記ジョー支持継手に連結された上側ジョーを有し、前記上側ジョーは、少なくとも1つの電極を有し、
上側ハンドルを有し、
前記上側ハンドルの遠位端に結合された下側ジョーを有し、前記下側ハンドルおよび前記上側ジョーは、前記上側ハンドルおよび前記下側ジョーに対して動くことができ、
前記ジョー支持継手は、前記上側ハンドルが前記下側ハンドルから離隔すると前記上側ジョーおよび前記下側ハンドルハウジングと整列し、前記下側ハンドルハウジングは、前記上側ハンドルと前記下側ハンドルが溶融位置において互いに近接して位置すると前記ジョー支持継手に対して回動する、電気外科的器械。 - 前記下側ハンドルハウジングは、前記ジョー支持継手の湾曲面と合致する湾曲面を有する、請求項11記載の電気外科的器械。
- 前記下側ハンドルは、前記上側ハンドルとは接触可能ではない状態で前記下側ハンドルの内部に設けられていて前記上側ハンドルおよび前記下側ハンドルが閉じ位置から溶融位置に動かされると前記上側ジョーおよび前記下側ジョーのところに所定の力を加える支持ばねを有する、請求項11または12記載の電気外科的器械。
- 前記上側ハンドルは、前記上側ハンドルおよび前記下側ハンドルが前記閉じ位置にあるときに前記下側ハンドルから間隔を置いて位置したスイッチを有し、前記スイッチは、前記上側ハンドルおよび前記下側ハンドルが前記溶融位置にあるときに前記下側ハンドルと接触状態にあり、前記支持ばねは、前記スイッチが前記下側ハンドルと接触状態にあるときに圧縮される、請求項11、12または13記載の電気外科的器械。
- 前記ジョー支持継手内に収納された遠位部分および前記下側ハンドル内に収納された近位部分を含む支持アームを更に有し、前記支持アームは、前記支持アームの前記近位部分のところに設けられたスロットを有し、前記支持ばねは、前記スロットに隣接したところで前記支持アームの前記近位部分に結合されている、請求項11、12、13または14記載の電気外科的器械。
- 前記スロットは、前記器械の長手方向軸線に対して横の方向に沿って設けられている、請求項15記載の電気外科的器械。
- 前記下側ハンドルは、前記支持アームの前記スロット内に設けられたピンを有し、前記ピンと前記スロットは、前記ハンドルが前記閉じ位置から前記溶融位置に動かされているときに互いに対して作動的に動くことができる、請求項16記載の電気外科的器械。
- 前記支持アームは、前記ジョー支持継手に回動可能に連結され、前記支持ばねは、前記支持アームを付勢するとともに前記支持アームを介して所定の力を前記上側ジョーおよび前記下側ジョーに供給する、請求項11、15または17記載の電気外科的器械。
- 回動して前記開き位置において前記上側ハンドルから離隔した前記下側ハンドルは、前記下側ハンドルと前記上側ハンドルとの間に開き距離を定め、閉じ位置において前記上側ハンドルの近くに位置する前記下側ハンドルは、前記下側ハンドルと前記上側ハンドルとの間に閉じ距離を定め、前記閉じ距離は、前記開き距離よりも短く、前記溶融位置において前記上側ハンドルの近くに位置する前記下側ハンドルは、前記下側ハンドルと前記上側ハンドルとの間に溶融距離を定め、前記溶融距離は、前記閉じ距離よりも短い、請求項11、15、17または18記載の電気外科的器械。
- 電気外科的器械であって、
支持アームおよび前記支持アームに連結されている支持ばねを備えた下側ハンドルを有し、
前記下側ハンドルに連結された状態で該下側ハンドルから延びる上側ジョーを有し、前記上側ジョーは、少なくとも1つの電極を有し、
上側ハンドルを有し、
前記上側ハンドルに連結された状態で該上側ハンドルから延びる下側ジョーを有し、前記下側ハンドルおよび前記上側ハンドルは、離隔位置から近接位置に動くことができ、前記支持ばねは、前記上側ハンドルおよび前記下側ハンドルが前記近接位置にあるときには圧縮されない、電気外科的器械。 - 前記支持ばねは、RFエネルギーが前記少なくとも1つの電極に供給されると、圧縮されて前記支持アームを介して所定の力を前記上側および前記下側ジョーに供給する、請求項20記載の電気外科的器械。
- 電気外科的器械であって、
上側ハンドルに連結された下側ジョーと、
下側ハンドルに連結された上側ジョーと、を有し、前記上側ジョーまたは前記下側ジョーは、少なくとも1つの電極を有し、前記下側ハンドルは、力・過剰圧縮調整器を有する、電気外科的器械。 - 前記下側ハンドルおよび前記上側ハンドルは、離隔位置から近接位置に動くことができ、前記下側ジョーおよび前記上側ジョーは、前記力・過剰圧縮調整器が不作動状態にある状態で、離隔位置から近接位置に動くことができる、請求項22記載の電気外科的器械。
- 前記上側ジョーと前記下側ジョーとの間で動くことができるブレードを更に有し、前記ブレードは、ロック位置では、前記上側ジョーと前記下側ジョーとの間で動くことができず、前記力・過剰圧縮調整器は、前記ブレードが前記ロック位置にあるときに不作動状態である、請求項22または23記載の電気外科的器械。
- 前記ブレードは、ロック解除位置では、前記上側ジョーと前記下側ジョーと間で動くことができ、前記力・過剰圧縮調整器は、前記ブレードが前記ロック解除位置にあるとき、作動状態にある、請求項24記載の電気外科的器械。
- 前記上側ジョーおよび前記下側ジョーが前記離隔位置にある状態で不作動状態にある溶融スイッチを更に有する、請求項23または25記載の電気外科的器械。
- 前記溶融スイッチは、RFエネルギーを前記少なくとも1つの電極に供給するよう作動状態にあり、前記力・過剰圧縮調整器は、前記溶融スイッチが作動中である場合に作動状態にある、請求項26記載の電気外科的器械。
- 作動状態にある前記力・過剰圧縮調整器は、所定の力を前記上側ジョーおよび前記下側ジョーに供給する、請求項22、25または27記載の電気外科的器械。
- 前記上側ハンドルに取り外し可能に連結されかつ前記RFエネルギーを前記少なくとも1つの電極に供給するよう構成された電気外科的発生器を更に有する、請求項1、11、20または22記載の電気外科的器械。
- 作動状態にある前記力・過剰圧縮調整器は、前記上側ジョーを前記下側ハンドルから結合解除する、請求項22、25、27または28記載の電気外科的器械。
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US201462096255P | 2014-12-23 | 2014-12-23 | |
US62/096,255 | 2014-12-23 | ||
PCT/US2015/066473 WO2016106093A1 (en) | 2014-12-23 | 2015-12-17 | Bipolar electrosurgical sealer and divider |
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EP3603557A1 (en) | 2020-02-05 |
KR20230093365A (ko) | 2023-06-27 |
AU2015369954B2 (en) | 2020-07-23 |
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JP2021035497A (ja) | 2021-03-04 |
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WO2016106093A1 (en) | 2016-06-30 |
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CA3195821A1 (en) | 2016-06-30 |
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US20230210583A1 (en) | 2023-07-06 |
JP2022122915A (ja) | 2022-08-23 |
JP7381656B2 (ja) | 2023-11-15 |
EP3236870A1 (en) | 2017-11-01 |
JP7080290B2 (ja) | 2022-06-03 |
US10420603B2 (en) | 2019-09-24 |
CA2972029C (en) | 2023-07-04 |
US11540871B2 (en) | 2023-01-03 |
JP6778682B2 (ja) | 2020-11-04 |
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