JP2019080925A - 内視鏡処置用装置 - Google Patents
内視鏡処置用装置 Download PDFInfo
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- 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
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- 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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- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
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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
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- A—HUMAN NECESSITIES
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- A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
- A61B2017/00398—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like using powered actuators, e.g. stepper motors, solenoids
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- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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- A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
- A61B2017/00473—Distal part, e.g. tip or head
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- A61B2017/00477—Coupling
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- A—HUMAN NECESSITIES
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- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00681—Aspects not otherwise provided for
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- A—HUMAN NECESSITIES
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- 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
- A61B2017/07257—Stapler heads characterised by its anvil
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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
- A61B2017/07271—Stapler heads characterised by its cartridge
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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
- A61B2017/07278—Stapler heads characterised by its sled or its staple holder
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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
- A61B2017/07285—Stapler heads characterised by its cutter
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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
- A61B2017/2901—Details of 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
- A61B17/2909—Handles
- A61B2017/2912—Handles transmission of forces to actuating rod or piston
- A61B2017/2923—Toothed members, e.g. rack and pinion
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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
-
- 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
- A61B2017/2927—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft
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Abstract
Description
本出願は、2017年10月30日に出願された米国仮特許出願第62/578,673号の利益を主張し、その全内容を参照により本明細書に包含するものとする。
例えば、本発明は、以下の項目を提供する。
(項目1)
互いに対して可動なステープルカートリッジアセンブリ及びアンビルアセンブリを含むリロードと、
細長いシャフト及び関節運動遠位端を有するアダプタアセンブリであって、取付け部材が遠位端に配置されかつ前記細長いシャフトに枢動可能に装着され、前記取付け部材は、前記リロードを前記アダプタアセンブリに装着するための接続特徴部を有するアダプタアセンブリと、
前記アダプタ内の駆動機構であって、前記取付け部材を通って延在するバーを含み、前記バーの遠位端にビームを有し、前記バーは可撓性でかつ一対のバーガイドによって支持され、前記バーガイドの一方は前記バーの第1の側面に沿い、前記バーガイドの他方は前記バーの第2の側面に沿い、前記バーは一対の吹出しプレートによってさらに支持され、前記吹出しプレートの一方は前記バーの前記第1の側面に沿い、前記吹出しプレートの他方は前記バーの前記第2の側面に沿い、前記一対の吹出しプレートは前記一対のバーガイドの遠位にあり、前記バーは開口を有する支持ブロックによってさらに支持され、前記バー及び前記一対の吹出しプレートは前記支持ブロックの前記開口内に配置され、前記バー、前記一対のバーガイド、前記一対の吹出しプレート、及び前記支持ブロックは前記アダプタアセンブリ内の中心位置から前記アダプタアセンブリ内の中心外位置まで枢動可能である駆動機構と、を備える、外科用ステープリング器具。
(項目2)
前記支持ブロックは湾曲している、上記項目に記載の外科用ステープリング器具。
(項目3)
前記取付け部材は湾曲スロットを有し、前記支持ブロックは前記湾曲スロット内に配置され、前記支持ブロックは前記湾曲スロット内で可動である、上記項目のいずれか一項に記載の外科用ステープリング器具。
(項目4)
前記細長いシャフト内に延在する関節運動リンクと、前記関節運動リンク及び前記取付け部材に枢動可能に接続された第2のリンクと、をさらに備える、上記項目のいずれか一項に記載の外科用ステープリング器具。
(項目5)
前記第2のリンクは湾曲している、上記項目のいずれか一項に記載の外科用ステープリング器具。
(項目6)
前記バーは、互いに積み重ねられた複数の層を有する、上記項目のいずれか一項に記載の外科用ステープリング器具。
(項目7)
前記ビームは上方フランジ及び下方フランジを有する、上記項目のいずれか一項に記載の外科用ステープリング器具。
(項目8)
前記バーはねじ山付き駆動部材に装着されている、上記項目のいずれか一項に記載の外科用ステープリング器具。
(項目9)
前記ねじ山付き駆動部材は内ねじ山を有する内管の内部に配置される、上記項目のいずれか一項に記載の外科用ステープリング器具。
(項目10)
前記接続特徴部はキー溝を画定する、上記項目のいずれか一項に記載の外科用ステープリング器具。
(項目11)
前記リロードはタブを画定する、上記項目のいずれか一項に記載の外科用ステープリング器具。
(項目12)
電池、モータ、ならびにコンピュータ及びメモリ構成要素を有する手持ち型器具ハンドルと、
取外し可能かつ交換可能なアダプタアセンブリと、
第1のエンドエフェクタを有する第1の外科用リニアステープリングリロードであって、前記アダプタアセンブリに取外し可能かつ交換可能に装着可能である第1の外科用リニアステープリングリロードと、
第2のエンドエフェクタを有し、前記アダプタアセンブリに取外し可能かつ交換可能に装着可能である第2の外科用リニアステープリングリロードと、を備え、前記第2の外科用リニアステープリングリロードは特徴部を有し、前記第1のリニアステープリングリロードは前記特徴部を有さず、前記第1の外科用リニアステープリングリロード及び前記第2の外科用リニアステープリングリロードの各々はステープルカートリッジアセンブリ及びアンビルアセンブリを有する、外科用ステープリングシステム。
(項目13)
前記アダプタアセンブリは前記第1の外科用リニアステープリングリロード及び前記第2の外科用リニアステープリングリロードに対応する、上記項目のいずれか一項に記載の外科用ステープリングシステム。
(項目14)
前記特徴部は、前記第2の外科用リニアステープリングリロードの前記アンビルアセンブリの遠位端上の切開先端である、上記項目のいずれか一項に記載の外科用ステープリングシステム。
(項目15)
前記特徴部は、前記第2の外科用リニアステープリングリロードの前記アンビルアセンブリ及び前記ステープルカートリッジアセンブリの各々上のステープリングバットレスである、上記項目のいずれか一項に記載の外科用ステープリングシステム。
(項目16)
前記ハンドルは、滅菌可能であり、所定数の処置のために再使用される、上記項目のいずれか一項に記載の外科用ステープリングシステム。
(摘要)
外科用デバイスは、ジョーアセンブリ、関節運動アセンブリ、及び駆動シャフトを含む。ジョーアセンブリは第1及び第2のジョーを含む。関節運動アセンブリはジョーアセンブリの近位端に取外し可能に連結され、遠位継手部材、近位継手部材、及び枢軸ピンを含む。枢軸ピンは、遠位継手部材に固定的に連結され、近位継手部材に回転可能に連結されている。ジョーアセンブリ及び遠位継手部材は一緒に第1の長手方向軸を画定する。近位継手部材は第2の長手方向軸を画定する。駆動シャフトは、枢軸ピンに固定的に連結された枢動歯車要素と噛合により係合する歯車要素を含む。第1の駆動シャフトの長手方向の動きは、ジョーアセンブリを、枢軸ピンによって画定される枢軸の周りを近位継手部材に対して枢動させる。
Claims (16)
- 互いに対して可動なステープルカートリッジアセンブリ及びアンビルアセンブリを含むリロードと、
細長いシャフト及び関節運動遠位端を有するアダプタアセンブリであって、取付け部材が遠位端に配置されかつ前記細長いシャフトに枢動可能に装着され、前記取付け部材は、前記リロードを前記アダプタアセンブリに装着するための接続特徴部を有するアダプタアセンブリと、
前記アダプタ内の駆動機構であって、前記取付け部材を通って延在するバーを含み、前記バーの遠位端にビームを有し、前記バーは可撓性でかつ一対のバーガイドによって支持され、前記バーガイドの一方は前記バーの第1の側面に沿い、前記バーガイドの他方は前記バーの第2の側面に沿い、前記バーは一対の吹出しプレートによってさらに支持され、前記吹出しプレートの一方は前記バーの前記第1の側面に沿い、前記吹出しプレートの他方は前記バーの前記第2の側面に沿い、前記一対の吹出しプレートは前記一対のバーガイドの遠位にあり、前記バーは開口を有する支持ブロックによってさらに支持され、前記バー及び前記一対の吹出しプレートは前記支持ブロックの前記開口内に配置され、前記バー、前記一対のバーガイド、前記一対の吹出しプレート、及び前記支持ブロックは前記アダプタアセンブリ内の中心位置から前記アダプタアセンブリ内の中心外位置まで枢動可能である駆動機構と、を備える、外科用ステープリング器具。 - 前記支持ブロックは湾曲している、請求項1に記載の外科用ステープリング器具。
- 前記取付け部材は湾曲スロットを有し、前記支持ブロックは前記湾曲スロット内に配置され、前記支持ブロックは前記湾曲スロット内で可動である、請求項1に記載の外科用ステープリング器具。
- 前記細長いシャフト内に延在する関節運動リンクと、前記関節運動リンク及び前記取付け部材に枢動可能に接続された第2のリンクと、をさらに備える、請求項1に記載の外科用ステープリング器具。
- 前記第2のリンクは湾曲している、請求項4に記載の外科用ステープリング器具。
- 前記バーは、互いに積み重ねられた複数の層を有する、請求項1に記載の外科用ステープリング器具。
- 前記ビームは上方フランジ及び下方フランジを有する、請求項6に記載の外科用ステープリング器具。
- 前記バーはねじ山付き駆動部材に装着されている、請求項7に記載の外科用ステープリング器具。
- 前記ねじ山付き駆動部材は内ねじ山を有する内管の内部に配置される、請求項8に記載の外科用ステープリング器具。
- 前記接続特徴部はキー溝を画定する、請求項1に記載の外科用ステープリング器具。
- 前記リロードはタブを画定する、請求項10に記載の外科用ステープリング器具。
- 電池、モータ、ならびにコンピュータ及びメモリ構成要素を有する手持ち型器具ハンドルと、
取外し可能かつ交換可能なアダプタアセンブリと、
第1のエンドエフェクタを有する第1の外科用リニアステープリングリロードであって、前記アダプタアセンブリに取外し可能かつ交換可能に装着可能である第1の外科用リニアステープリングリロードと、
第2のエンドエフェクタを有し、前記アダプタアセンブリに取外し可能かつ交換可能に装着可能である第2の外科用リニアステープリングリロードと、を備え、前記第2の外科用リニアステープリングリロードは特徴部を有し、前記第1のリニアステープリングリロードは前記特徴部を有さず、前記第1の外科用リニアステープリングリロード及び前記第2の外科用リニアステープリングリロードの各々はステープルカートリッジアセンブリ及びアンビルアセンブリを有する、外科用ステープリングシステム。 - 前記アダプタアセンブリは前記第1の外科用リニアステープリングリロード及び前記第2の外科用リニアステープリングリロードに対応する、請求項12に記載の外科用ステープリングシステム。
- 前記特徴部は、前記第2の外科用リニアステープリングリロードの前記アンビルアセンブリの遠位端上の切開先端である、請求項12に記載の外科用ステープリングシステム。
- 前記特徴部は、前記第2の外科用リニアステープリングリロードの前記アンビルアセンブリ及び前記ステープルカートリッジアセンブリの各々上のステープリングバットレスである、請求項12に記載の外科用ステープリングシステム。
- 前記ハンドルは、滅菌可能であり、所定数の処置のために再使用される、請求項12に記載の外科用ステープリングシステム。
Applications Claiming Priority (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201762578673P | 2017-10-30 | 2017-10-30 | |
US62/578,673 | 2017-10-30 | ||
US16/158,427 | 2018-10-12 | ||
US16/158,427 US11207066B2 (en) | 2017-10-30 | 2018-10-12 | Apparatus for endoscopic procedures |
Publications (2)
Publication Number | Publication Date |
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JP2019080925A true JP2019080925A (ja) | 2019-05-30 |
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EP3476308A3 (en) | 2019-07-31 |
CA3021648A1 (en) | 2019-04-30 |
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ES2909721T3 (es) | 2022-05-10 |
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US11937813B2 (en) | 2024-03-26 |
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