JP2019103795A - リポーザブル複数回発射外科用クリップアプライヤ - Google Patents
リポーザブル複数回発射外科用クリップアプライヤ Download PDFInfo
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- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
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- A61B17/29—Forceps for use in minimally invasive surgery
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Abstract
Description
関連出願の相互参照
本出願は、2017年12月13日に出願された米国仮特許出願第62/598,420号の利益および優先権を主張し、この開示全体は、参照によって本明細書に組み込まれる。
本発明は、例えば、以下の項目を提供する。
(項目1)
リポーザブル外科用クリップアプライヤであって、
ハンドルアセンブリであって、
ハウジング、
前記ハウジングに対して離間位置と近接位置との間で移動可能な少なくとも1つのハンドル、および
前記ハウジング内に配設された内部作動アセンブリであって、前記内部作動アセンブリが、近位駆動部材および前記近位駆動部材を通って移動可能な近位プッシャバーを含み、前記内部作動アセンブリが、前記少なくとも1つのハンドルに動作可能に連結され、それにより、前記近接位置に向かう前記少なくとも1つのハンドルの移動が、前記近位駆動部材を前記近位プッシャバーの周りで遠位に移動させ、前記近位プッシャバーを前記近位駆動部材の周りで、かつこれを通って近位に移動させ、かつそれにより、前記離間位置に向かう前記少なくとも1つのハンドルの移動が、前記近位駆動部材を前記近位プッシャバーの周りで近位に移動させ、前記近位プッシャバーを前記近位駆動部材の周りで、かつこれを通って遠位に移動させる、内部作動アセンブリ、を含む、ハンドルアセンブリと、
前記ハンドルアセンブリと解放可能に係合可能なシャフトアセンブリであって、前記シャフトアセンブリが、
外管、
前記外管の遠位端部分で支持された顎アセンブリ、および
前記外管内に摺動可能に配設され、かつ前記外管を通した前記内部駆動アセンブリの遠位移動が前記顎アセンブリを作動させるように前記顎アセンブリに動作可能に連結された、内部駆動アセンブリ、を含む、シャフトアセンブリと、
前記シャフトアセンブリ内で解放可能に係合可能なクリップカートリッジアセンブリであって、前記クリップカートリッジアセンブリが、その中に外科用クリップの積み重ねを保持し、かつ前記外科用クリップの積み重ねの最遠位の外科用クリップに動作可能に連結された遠位プッシャを含み、それにより、前記クリップカートリッジアセンブリが前記シャフトアセンブリ内で解放可能に係合されたとき、前記遠位プッシャの遠位移動が前記最遠位の外科用クリップを前記顎アセンブリ内に装填する、クリップカートリッジアセンブリと、を備え、
前記シャフトアセンブリが前記ハンドルアセンブリと解放可能に係合され、かつ前記クリップカートリッジアセンブリが前記シャフトアセンブリ内で解放可能に係合されたとき、
前記近位駆動部材が、前記近接位置に向かう前記少なくとも1つのハンドルの移動が前記顎アセンブリを作動させるように、前記内部駆動アセンブリに近位に隣接して位置付けられ、
前記近位プッシャバーが、前記離間位置に向かう前記少なくとも1つのハンドルの移動が前記最遠位の外科用クリップを前記顎アセンブリ内に装填するように、前記遠位プッシャに近位に隣接して位置付けられている、リポーザブル外科用クリップアプライヤ。
(項目2)
前記クリップカートリッジアセンブリが、前記遠位プッシャを近位に付勢するように構成された付勢部材をさらに含む、上記項目に記載のリポーザブル外科用クリップアプライヤ。
(項目3)
前記クリップカートリッジアセンブリが、前記遠位プッシャの少なくとも一部分を支持するように構成された支持ベースを有するカートリッジハウジングをさらに含み、前記支持ベースが、遠位ブリッジ部分および近位ブリッジ部分を含み、前記カートリッジアセンブリの前記付勢部材が、前記遠位プッシャおよび前記近位ブリッジ部分に動作可能に連結され、前記遠位プッシャを近位に付勢する、上記項目のいずれか一項に記載のリポーザブル外科用クリップアプライヤ。
(項目4)
前記クリップカートリッジアセンブリが、一対の係合フランジを含むクリップキャリアをさらに含み、前記カートリッジハウジングが、前記カートリッジハウジングの長さの少なくとも一部分に沿って長手方向に延在する一対の内部溝を含み、前記一対の内部溝が、前記一対の係合フランジを、それぞれ、横方向に受容するように構成され、前記カートリッジハウジングに対する前記クリップキャリアの軸方向移動を阻止する、上記項目のいずれか一項に記載のリポーザブル外科用クリップアプライヤ。
(項目5)
前記クリップカートリッジアセンブリが、前記クリップキャリアの近位端部分に近位に隣接して配設されたキャリアロックをさらに含み、前記キャリアロックが、前記カートリッジハウジングの一対の対向する内壁に付勢係合するように構成された一対の対向するアームを含み、前記キャリアロックが、前記キャリアロックを越えた前記カートリッジハウジングに対する前記クリップキャリアの近位移動を阻止するように構成されている、上記項目のいずれか一項に記載のリポーザブル外科用クリップアプライヤ。
(項目6)
前記シャフトアセンブリが、前記内部駆動アセンブリを近位に付勢するように構成された付勢部材をさらに含む、上記項目のいずれか一項に記載のリポーザブル外科用クリップアプライヤ。
(項目7)
前記シャフトアセンブリの前記外管が、細長い切欠を画定し、前記クリップカートリッジアセンブリが、前記クリップカートリッジアセンブリを前記シャフトアセンブリ内で解放可能に係合させるように前記細長い切欠内に取り外し可能に挿入可能である、上記項目のいずれか一項に記載のリポーザブル外科用クリップアプライヤ。
(項目8)
前記クリップカートリッジアセンブリが、前記クリップカートリッジアセンブリを前記細長い切欠内に解放可能に係止するように係止解除位置と係止位置との間で移動可能なスライダを含む、上記項目のいずれか一項に記載のリポーザブル外科用クリップアプライヤ。
(項目9)
前記スライダが、前記係止位置および前記係止解除位置の各々において解放可能に保持可能である、上記項目のいずれか一項に記載のリポーザブル外科用クリップアプライヤ。
(項目10)
前記ハンドルアセンブリの前記ハウジングが、中央通路を画定する遠位口と、前記中央通路内に内方に延在する突起と、を含み、前記シャフトアセンブリが、前記シャフトアセンブリを前記ハンドルアセンブリと解放可能に係合させるように、前記遠位口内への管状近位区分の挿入時に前記突起を受容するように構成されたスロットを画定する前記管状近位区分を含む、上記項目のいずれか一項に記載のリポーザブル外科用クリップアプライヤ。
(項目11)
前記ハンドルアセンブリが、前記ハウジングに枢動可能に連結され、かつその反対側から延在する一対のハンドルを含む、上記項目のいずれか一項に記載のリポーザブル外科用クリップアプライヤ。
(項目12)
前記ハンドルアセンブリが、前記一対のハンドルを前記内部作動アセンブリに枢動可能に連結するように構成されたリンクアセンブリをさらに含み、前記リンクアセンブリが、前記一対のハンドルの第1のハンドルを前記近位駆動部材に動作可能に連結するように構成された第1のリンクアームと、前記一対のハンドルの第2のハンドルを前記近位プッシャバーに動作可能に連結するように構成された第2のリンクアームと、を有し、前記近接位置に向かう前記一対のハンドルの移動時に、前記第1のリンクアームが、前記近位駆動部材を遠位に移動させるように構成され、前記第2のリンクアームが、前記近位プッシャバーを近位に移動させるように構成され、前記離間位置に向かう前記一対のハンドルの移動時に、前記第1のリンクアームが、前記近位駆動部材を近位に移動させるように構成され、前記第2のリンクアームが、前記近位プッシャバーを遠位に移動させるように構成されている、上記項目のいずれか一項に記載のリポーザブル外科用クリップアプライヤ。
(項目13)
前記リンクアセンブリが、前記一対のハンドルの前記第2のハンドルを前記近位駆動部材に動作可能に連結するように構成された第3のリンクアームと、前記一対のハンドルの前記第1のハンドルを前記近位プッシャバーに動作可能に連結するように構成された第4のリンクアームと、をさらに含む、上記項目のいずれか一項に記載のリポーザブル外科用クリップアプライヤ。
(項目14)
前記リンクアセンブリが、前記一対のハンドルの移動時に前記近位駆動部材を前記近位プッシャバーと同時に移動させるように構成されている、上記項目のいずれか一項に記載のリポーザブル外科用クリップアプライヤ。
(項目15)
リポーザブル外科用クリップアプライヤであって、
ハンドルアセンブリであって、
ハウジング、
前記ハウジングに対して離間位置と近接位置との間で移動可能な第1のハンドルおよび第2のハンドル、
前記ハウジング内に配設された内部作動アセンブリであって、前記内部作動アセンブリが、内腔を画定する近位駆動部材、および前記近位駆動部材の前記内腔内に摺動可能に配設され、かつ前記近位駆動部材に対して移動可能である近位プッシャバーを含む、内部作動アセンブリ、ならびに
前記第1のハンドルおよび前記第2のハンドルを前記内部作動アセンブリに枢動可能に連結するように構成されたリンクアセンブリであって、前記リンクアセンブリが、
前記第1のハンドルを前記近位駆動部材に動作可能に連結するように構成された第1のリンクアーム、および
前記第2のハンドルを前記近位プッシャバーに動作可能に連結するように構成された第2のリンクアーム、を含む、リンクアセンブリ、を含む、ハンドルアセンブリを備え、
前記近接位置に向かう前記第1のハンドルおよび前記第2のハンドルの移動時に、前記第1のリンクアームが、前記近位駆動部材を前記近位プッシャバーの周りで遠位に移動させるように構成され、前記第2のリンクアームが、前記近位プッシャバーを、前記近位駆動部材の移動と同時に、前記近位駆動部材を通って近位に移動させるように構成され、
前記離間位置に向かう前記第1のハンドルおよび前記第2のハンドルの移動時に、前記第1のリンクアームが、前記近位駆動部材を前記近位プッシャバーの周りで近位に移動させるように構成され、前記第2のリンクアームが、前記近位プッシャバーを、前記近位駆動部材の移動と同時に、前記近位駆動部材を通って遠位に移動させるように構成されている、リポーザブル外科用クリップアプライヤ。
(項目16)
前記ハンドルアセンブリと解放可能に係合可能なシャフトアセンブリをさらに含み、前記シャフトアセンブリが、外管と、前記外管の遠位端部分に支持された顎アセンブリと、を含み、前記顎アセンブリが、第1の位置と第2の位置との間で移動するように構成されている、上記項目のいずれか一項に記載のリポーザブル外科用クリップアプライヤ。
(項目17)
前記シャフトアセンブリ内に解放可能に係合可能なクリップカートリッジアセンブリをさらに含み、前記クリップカートリッジアセンブリが、その中に外科用クリップの積み重ねを保持し、前記シャフトアセンブリが前記ハンドルアセンブリと解放可能に係合され、かつ前記クリップカートリッジアセンブリが前記シャフトアセンブリ内に解放可能に係合されたとき、
前記近接位置に向かう前記第1のハンドルおよび前記第2のハンドルの移動時に、前記近位駆動部材が、遠位に移動して、前記顎アセンブリを前記第1の位置から前記第2の位置に移動させるように構成され、
前記離間位置に向かう前記第1のハンドルおよび前記第2のハンドルの移動時に、前記近位プッシャバーが、遠位に移動して、前記外科用クリップの前記積み重ねの最遠位の外科用クリップを前記顎アセンブリ内に装填するように構成されている、上記項目のいずれか一項に記載のリポーザブル外科用クリップアプライヤ。
(項目18)
前記シャフトアセンブリが、前記外管内に摺動可能に配設され、かつ前記外管を通る前記内部駆動アセンブリの遠位移動が前記顎アセンブリを作動させるように前記顎アセンブリに動作可能に連結された、内部駆動アセンブリをさらに含む、上記項目のいずれか一項に記載のリポーザブル外科用クリップアプライヤ。
(項目19)
前記クリップカートリッジアセンブリが、前記外科用クリップの積み重ねの前記最遠位の外科用クリップに動作可能に連結された遠位プッシャをさらに含み、それにより、前記遠位プッシャの遠位移動が、前記クリップカートリッジアセンブリが前記シャフトアセンブリ内で解放可能に係合されたとき、前記最遠位の外科用クリップを前記顎アセンブリ内に装填する、上記項目のいずれか一項に記載のリポーザブル外科用クリップアプライヤ。
(項目20)
前記シャフトアセンブリが前記ハンドルアセンブリと解放可能に係合され、かつ前記クリップカートリッジアセンブリが前記シャフトアセンブリ内で解放可能に係合されたとき、
前記近位駆動部材が、前記内部駆動アセンブリに近位に隣接して位置付けられ、それにより、前記近接位置に向かう前記第1のハンドルおよび前記第2のハンドルの移動が、前記近位駆動部材を移動させて、前記内部駆動アセンブリを前記外管を通して遠位に移動させるように構成され、
前記近位プッシャバーが、前記遠位プッシャに近位に隣接して位置付けられ、それにより、前記離間位置に向かう前記第1のハンドルおよび前記第2のハンドルの移動が、前記近位プッシャバーを移動させて、前記遠位プッシャを遠位に移動させ、前記最遠位の外科用クリップを前記顎アセンブリ内に装填するように構成されている、上記項目のいずれか一項に記載のリポーザブル外科用クリップアプライヤ。
(摘要)
リポーザブル外科用クリップアプライヤは、ハンドルアセンブリと、ハンドルアセンブリと解放可能に係合可能なシャフトアセンブリと、シャフトアセンブリ内で解放可能に係合可能なクリップカートリッジアセンブリと、を含む。ハンドルアセンブリは、近位駆動部材と、近位駆動部材を通って移動可能な近位プッシャバーと、を含む。リポーザブル外科用クリップアプライヤが組み立てられるとき、ハンドルアセンブリの近位駆動部材は、近接位置に向かうハンドルアセンブリのハンドル(複数可)の移動がシャフトアセンブリの顎アセンブリを作動させるように、シャフトアセンブリの内部駆動アセンブリに近位に隣接して位置付けられる。リポーザブル外科用クリップアプライヤが組み立てられるとき、ハンドルアセンブリの近位プッシャは、離間位置に向かうハンドル(複数可)の移動が最遠位の外科用クリップをクリップカートリッジアセンブリから顎アセンブリ内に装填するように、クリップカートリッジアセンブリの遠位プッシャに近位に隣接して位置付けられる。
Claims (20)
- リポーザブル外科用クリップアプライヤであって、
ハンドルアセンブリであって、
ハウジング、
前記ハウジングに対して離間位置と近接位置との間で移動可能な少なくとも1つのハンドル、および
前記ハウジング内に配設された内部作動アセンブリであって、前記内部作動アセンブリが、近位駆動部材および前記近位駆動部材を通って移動可能な近位プッシャバーを含み、前記内部作動アセンブリが、前記少なくとも1つのハンドルに動作可能に連結され、それにより、前記近接位置に向かう前記少なくとも1つのハンドルの移動が、前記近位駆動部材を前記近位プッシャバーの周りで遠位に移動させ、前記近位プッシャバーを前記近位駆動部材の周りで、かつこれを通って近位に移動させ、かつそれにより、前記離間位置に向かう前記少なくとも1つのハンドルの移動が、前記近位駆動部材を前記近位プッシャバーの周りで近位に移動させ、前記近位プッシャバーを前記近位駆動部材の周りで、かつこれを通って遠位に移動させる、内部作動アセンブリ、を含む、ハンドルアセンブリと、
前記ハンドルアセンブリと解放可能に係合可能なシャフトアセンブリであって、前記シャフトアセンブリが、
外管、
前記外管の遠位端部分で支持された顎アセンブリ、および
前記外管内に摺動可能に配設され、かつ前記外管を通した前記内部駆動アセンブリの遠位移動が前記顎アセンブリを作動させるように前記顎アセンブリに動作可能に連結された、内部駆動アセンブリ、を含む、シャフトアセンブリと、
前記シャフトアセンブリ内で解放可能に係合可能なクリップカートリッジアセンブリであって、前記クリップカートリッジアセンブリが、その中に外科用クリップの積み重ねを保持し、かつ前記外科用クリップの積み重ねの最遠位の外科用クリップに動作可能に連結された遠位プッシャを含み、それにより、前記クリップカートリッジアセンブリが前記シャフトアセンブリ内で解放可能に係合されたとき、前記遠位プッシャの遠位移動が前記最遠位の外科用クリップを前記顎アセンブリ内に装填する、クリップカートリッジアセンブリと、を備え、
前記シャフトアセンブリが前記ハンドルアセンブリと解放可能に係合され、かつ前記クリップカートリッジアセンブリが前記シャフトアセンブリ内で解放可能に係合されたとき、
前記近位駆動部材が、前記近接位置に向かう前記少なくとも1つのハンドルの移動が前記顎アセンブリを作動させるように、前記内部駆動アセンブリに近位に隣接して位置付けられ、
前記近位プッシャバーが、前記離間位置に向かう前記少なくとも1つのハンドルの移動が前記最遠位の外科用クリップを前記顎アセンブリ内に装填するように、前記遠位プッシャに近位に隣接して位置付けられている、リポーザブル外科用クリップアプライヤ。 - 前記クリップカートリッジアセンブリが、前記遠位プッシャを近位に付勢するように構成された付勢部材をさらに含む、請求項1に記載のリポーザブル外科用クリップアプライヤ。
- 前記クリップカートリッジアセンブリが、前記遠位プッシャの少なくとも一部分を支持するように構成された支持ベースを有するカートリッジハウジングをさらに含み、前記支持ベースが、遠位ブリッジ部分および近位ブリッジ部分を含み、前記カートリッジアセンブリの前記付勢部材が、前記遠位プッシャおよび前記近位ブリッジ部分に動作可能に連結され、前記遠位プッシャを近位に付勢する、請求項2に記載のリポーザブル外科用クリップアプライヤ。
- 前記クリップカートリッジアセンブリが、一対の係合フランジを含むクリップキャリアをさらに含み、前記カートリッジハウジングが、前記カートリッジハウジングの長さの少なくとも一部分に沿って長手方向に延在する一対の内部溝を含み、前記一対の内部溝が、前記一対の係合フランジを、それぞれ、横方向に受容するように構成され、前記カートリッジハウジングに対する前記クリップキャリアの軸方向移動を阻止する、請求項3に記載のリポーザブル外科用クリップアプライヤ。
- 前記クリップカートリッジアセンブリが、前記クリップキャリアの近位端部分に近位に隣接して配設されたキャリアロックをさらに含み、前記キャリアロックが、前記カートリッジハウジングの一対の対向する内壁に付勢係合するように構成された一対の対向するアームを含み、前記キャリアロックが、前記キャリアロックを越えた前記カートリッジハウジングに対する前記クリップキャリアの近位移動を阻止するように構成されている、請求項4に記載のリポーザブル外科用クリップアプライヤ。
- 前記シャフトアセンブリが、前記内部駆動アセンブリを近位に付勢するように構成された付勢部材をさらに含む、請求項1に記載のリポーザブル外科用クリップアプライヤ。
- 前記シャフトアセンブリの前記外管が、細長い切欠を画定し、前記クリップカートリッジアセンブリが、前記クリップカートリッジアセンブリを前記シャフトアセンブリ内で解放可能に係合させるように前記細長い切欠内に取り外し可能に挿入可能である、請求項1に記載のリポーザブル外科用クリップアプライヤ。
- 前記クリップカートリッジアセンブリが、前記クリップカートリッジアセンブリを前記細長い切欠内に解放可能に係止するように係止解除位置と係止位置との間で移動可能なスライダを含む、請求項7に記載のリポーザブル外科用クリップアプライヤ。
- 前記スライダが、前記係止位置および前記係止解除位置の各々において解放可能に保持可能である、請求項8に記載のリポーザブル外科用クリップアプライヤ。
- 前記ハンドルアセンブリの前記ハウジングが、中央通路を画定する遠位口と、前記中央通路内に内方に延在する突起と、を含み、前記シャフトアセンブリが、前記シャフトアセンブリを前記ハンドルアセンブリと解放可能に係合させるように、前記遠位口内への管状近位区分の挿入時に前記突起を受容するように構成されたスロットを画定する前記管状近位区分を含む、請求項1に記載のリポーザブル外科用クリップアプライヤ。
- 前記ハンドルアセンブリが、前記ハウジングに枢動可能に連結され、かつその反対側から延在する一対のハンドルを含む、請求項1に記載のリポーザブル外科用クリップアプライヤ。
- 前記ハンドルアセンブリが、前記一対のハンドルを前記内部作動アセンブリに枢動可能に連結するように構成されたリンクアセンブリをさらに含み、前記リンクアセンブリが、前記一対のハンドルの第1のハンドルを前記近位駆動部材に動作可能に連結するように構成された第1のリンクアームと、前記一対のハンドルの第2のハンドルを前記近位プッシャバーに動作可能に連結するように構成された第2のリンクアームと、を有し、前記近接位置に向かう前記一対のハンドルの移動時に、前記第1のリンクアームが、前記近位駆動部材を遠位に移動させるように構成され、前記第2のリンクアームが、前記近位プッシャバーを近位に移動させるように構成され、前記離間位置に向かう前記一対のハンドルの移動時に、前記第1のリンクアームが、前記近位駆動部材を近位に移動させるように構成され、前記第2のリンクアームが、前記近位プッシャバーを遠位に移動させるように構成されている、請求項11に記載のリポーザブル外科用クリップアプライヤ。
- 前記リンクアセンブリが、前記一対のハンドルの前記第2のハンドルを前記近位駆動部材に動作可能に連結するように構成された第3のリンクアームと、前記一対のハンドルの前記第1のハンドルを前記近位プッシャバーに動作可能に連結するように構成された第4のリンクアームと、をさらに含む、請求項12に記載のリポーザブル外科用クリップアプライヤ。
- 前記リンクアセンブリが、前記一対のハンドルの移動時に前記近位駆動部材を前記近位プッシャバーと同時に移動させるように構成されている、請求項13に記載のリポーザブル外科用クリップアプライヤ。
- リポーザブル外科用クリップアプライヤであって、
ハンドルアセンブリであって、
ハウジング、
前記ハウジングに対して離間位置と近接位置との間で移動可能な第1のハンドルおよび第2のハンドル、
前記ハウジング内に配設された内部作動アセンブリであって、前記内部作動アセンブリが、内腔を画定する近位駆動部材、および前記近位駆動部材の前記内腔内に摺動可能に配設され、かつ前記近位駆動部材に対して移動可能である近位プッシャバーを含む、内部作動アセンブリ、ならびに
前記第1のハンドルおよび前記第2のハンドルを前記内部作動アセンブリに枢動可能に連結するように構成されたリンクアセンブリであって、前記リンクアセンブリが、
前記第1のハンドルを前記近位駆動部材に動作可能に連結するように構成された第1のリンクアーム、および
前記第2のハンドルを前記近位プッシャバーに動作可能に連結するように構成された第2のリンクアーム、を含む、リンクアセンブリ、を含む、ハンドルアセンブリを備え、
前記近接位置に向かう前記第1のハンドルおよび前記第2のハンドルの移動時に、前記第1のリンクアームが、前記近位駆動部材を前記近位プッシャバーの周りで遠位に移動させるように構成され、前記第2のリンクアームが、前記近位プッシャバーを、前記近位駆動部材の移動と同時に、前記近位駆動部材を通って近位に移動させるように構成され、
前記離間位置に向かう前記第1のハンドルおよび前記第2のハンドルの移動時に、前記第1のリンクアームが、前記近位駆動部材を前記近位プッシャバーの周りで近位に移動させるように構成され、前記第2のリンクアームが、前記近位プッシャバーを、前記近位駆動部材の移動と同時に、前記近位駆動部材を通って遠位に移動させるように構成されている、リポーザブル外科用クリップアプライヤ。 - 前記ハンドルアセンブリと解放可能に係合可能なシャフトアセンブリをさらに含み、前記シャフトアセンブリが、外管と、前記外管の遠位端部分に支持された顎アセンブリと、を含み、前記顎アセンブリが、第1の位置と第2の位置との間で移動するように構成されている、請求項15に記載のリポーザブル外科用クリップアプライヤ。
- 前記シャフトアセンブリ内に解放可能に係合可能なクリップカートリッジアセンブリをさらに含み、前記クリップカートリッジアセンブリが、その中に外科用クリップの積み重ねを保持し、前記シャフトアセンブリが前記ハンドルアセンブリと解放可能に係合され、かつ前記クリップカートリッジアセンブリが前記シャフトアセンブリ内に解放可能に係合されたとき、
前記近接位置に向かう前記第1のハンドルおよび前記第2のハンドルの移動時に、前記近位駆動部材が、遠位に移動して、前記顎アセンブリを前記第1の位置から前記第2の位置に移動させるように構成され、
前記離間位置に向かう前記第1のハンドルおよび前記第2のハンドルの移動時に、前記近位プッシャバーが、遠位に移動して、前記外科用クリップの前記積み重ねの最遠位の外科用クリップを前記顎アセンブリ内に装填するように構成されている、請求項16に記載のリポーザブル外科用クリップアプライヤ。 - 前記シャフトアセンブリが、前記外管内に摺動可能に配設され、かつ前記外管を通る前記内部駆動アセンブリの遠位移動が前記顎アセンブリを作動させるように前記顎アセンブリに動作可能に連結された、内部駆動アセンブリをさらに含む、請求項17に記載のリポーザブル外科用クリップアプライヤ。
- 前記クリップカートリッジアセンブリが、前記外科用クリップの積み重ねの前記最遠位の外科用クリップに動作可能に連結された遠位プッシャをさらに含み、それにより、前記遠位プッシャの遠位移動が、前記クリップカートリッジアセンブリが前記シャフトアセンブリ内で解放可能に係合されたとき、前記最遠位の外科用クリップを前記顎アセンブリ内に装填する、請求項18に記載のリポーザブル外科用クリップアプライヤ。
- 前記シャフトアセンブリが前記ハンドルアセンブリと解放可能に係合され、かつ前記クリップカートリッジアセンブリが前記シャフトアセンブリ内で解放可能に係合されたとき、
前記近位駆動部材が、前記内部駆動アセンブリに近位に隣接して位置付けられ、それにより、前記近接位置に向かう前記第1のハンドルおよび前記第2のハンドルの移動が、前記近位駆動部材を移動させて、前記内部駆動アセンブリを前記外管を通して遠位に移動させるように構成され、
前記近位プッシャバーが、前記遠位プッシャに近位に隣接して位置付けられ、それにより、前記離間位置に向かう前記第1のハンドルおよび前記第2のハンドルの移動が、前記近位プッシャバーを移動させて、前記遠位プッシャを遠位に移動させ、前記最遠位の外科用クリップを前記顎アセンブリ内に装填するように構成されている、請求項18に記載のリポーザブル外科用クリップアプライヤ。
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- 2018-11-05 AU AU2018260796A patent/AU2018260796A1/en not_active Abandoned
- 2018-12-03 JP JP2018226520A patent/JP2019103795A/ja not_active Ceased
- 2018-12-05 CN CN201811479683.8A patent/CN109998627A/zh active Pending
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CN109998627A (zh) | 2019-07-12 |
AU2018260796A1 (en) | 2019-06-27 |
US10959737B2 (en) | 2021-03-30 |
EP3498194A1 (en) | 2019-06-19 |
EP3498194B1 (en) | 2021-01-27 |
US20190175187A1 (en) | 2019-06-13 |
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