JP2020006165A - アンビルバットレスを備えた外科用ステープル留め装置 - Google Patents
アンビルバットレスを備えた外科用ステープル留め装置 Download PDFInfo
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- 230000004044 response Effects 0.000 claims description 3
- 238000000034 method Methods 0.000 abstract description 11
- 230000003872 anastomosis Effects 0.000 abstract description 7
- 239000000463 material Substances 0.000 abstract description 7
- 239000012636 effector Substances 0.000 description 22
- 230000007246 mechanism Effects 0.000 description 7
- 238000005520 cutting process Methods 0.000 description 5
- 238000001356 surgical procedure Methods 0.000 description 5
- 238000010304 firing Methods 0.000 description 3
- 230000000750 progressive effect Effects 0.000 description 3
- 230000000712 assembly Effects 0.000 description 2
- 238000000429 assembly Methods 0.000 description 2
- 230000009286 beneficial effect Effects 0.000 description 2
- 230000008901 benefit Effects 0.000 description 2
- 238000010276 construction Methods 0.000 description 2
- 230000036541 health Effects 0.000 description 2
- 238000005304 joining Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 238000004026 adhesive bonding Methods 0.000 description 1
- 230000000740 bleeding effect Effects 0.000 description 1
- 210000000621 bronchi Anatomy 0.000 description 1
- 238000002788 crimping Methods 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 230000035876 healing Effects 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 230000002787 reinforcement Effects 0.000 description 1
- 230000008439 repair process Effects 0.000 description 1
- 230000000717 retained effect Effects 0.000 description 1
- 238000002432 robotic surgery Methods 0.000 description 1
- 238000000926 separation method Methods 0.000 description 1
- 230000008733 trauma Effects 0.000 description 1
- 238000003466 welding Methods 0.000 description 1
Classifications
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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
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B17/115—Staplers for performing anastomosis in a single operation
- A61B17/1155—Circular staplers comprising a plurality of staples
-
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B17/1114—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis of the digestive tract, e.g. bowels or oesophagus
-
- 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
- A61B2017/07257—Stapler heads characterised by its anvil
-
- 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
-
- 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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- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
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- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
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- Surgical Instruments (AREA)
Abstract
Description
本出願は、2018年7月2日に出願された米国仮特許出願第62/693,167号の利益および優先権を主張し、この米国仮特許出願の開示内容全体は、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)
ステープル留め装置であって、
上面および底面を含み、前記底面がステープル形成ポケットを画定する、アンビルヘッドと、
前記アンビルヘッドの前記底面に支持され、前記ステープル形成ポケットを覆うように位置決めされた、バットレスと、
前記アンビルヘッドの前記上面に固定され、前記バットレスを前記アンビルヘッドに選択的に固定するように位置決めされた、アンビルキャップと、を備え、前記アンビルキャップが、内側リング組立体および外側リングを含み、前記外側リングが、前記バットレスと選択的に係合可能であり、前記アンビルキャップを前記バットレスから分離し、前記バットレスを前記アンビルヘッドから解放するように、前記内側リング組立体に対して移動可能である、ステープル留め装置。
(項目2)
前記内側リング組立体が、前記バットレスに対する前記外側リングの移動を容易にするように可撓性である、上記項目に記載のステープル留め装置。
(項目3)
前記内側リング組立体が、可撓性カップと、前記可撓性カップを前記外側リングに接続する環状フランジと、を含む、上記項目のいずれか一項に記載のステープル留め装置。
(項目4)
前記アンビルキャップを前記アンビルヘッドに固定し、前記可撓性カップ内に着座する、締結具をさらに備える、上記項目のいずれか一項に記載のステープル留め装置。
(項目5)
前記アンビルヘッド内に位置決めされ、前記締結具が前記可撓性カップを前記アンビルヘッドに固定された状態を維持しながら、前記外側リングを前記バットレスから離れるように移動させるように、前記アンビルヘッドに対して移動可能である、ピンをさらに備える、上記項目のいずれか一項に記載のステープル留め装置。
(項目6)
前記ピンが、前記アンビルキャップと一体である、上記項目のいずれか一項に記載のステープル留め装置。
(項目7)
前記アンビルヘッドが、前記アンビルヘッドに対して移動可能であるバックアッププレートを支持し、前記バックアッププレートが、前記アンビルヘッドに対して前記ピンを移動させるように、前記ピンと選択的に係合可能である、上記項目のいずれか一項に記載のステープル留め装置。
(項目8)
前記バックアッププレートを前記アンビルヘッドに対して移動させるように、前記バックアッププレートと選択的に係合可能である円筒形ナイフをさらに備える、上記項目のいずれか一項に記載のステープル留め装置。
(項目9)
前記バットレスが、前記バットレスから延在するフィンガを含み、前記フィンガが、前記アンビルヘッドの前記上面に沿って位置決めされ、前記バットレスを前記アンビルヘッドの前記底面に対して支持するように、前記外側リングの下に配置される、上記項目のいずれか一項に記載のステープル留め装置。
(項目10)
外側リングが、前記フィンガと接触して、前記バットレスを前記アンビルヘッドに固定するように位置決めされた環状リップを含む、上記項目のいずれか一項に記載のステープル留め装置。
(項目11)
円形ステープル留め装置であって、
バットレスと、
アンビルヘッドおよび前記アンビルヘッドに固定されたアンビルキャップを含む、アンビルヘッド組立体と、を備え、前記アンビルキャップが、前記バットレスを前記アンビルヘッドに選択的に固定するように位置決めされ、前記アンビルキャップが、可撓性であり、前記アンビルヘッドから前記バットレスを解放するように、前記アンビルヘッドに対して選択的に移動可能である、外側リングを含む、円形ステープル留め装置。
(項目12)
前記アンビルキャップが、前記アンビルヘッドに固定されている内側リング組立体を含み、前記内側リング組立体が、前記バットレスに対する前記外側リングの移動に応答して、撓むように構成される、上記項目のいずれか一項に記載の円形ステープル留め装置。
(項目13)
前記内側リング組立体が、前記アンビルヘッドに固定された可撓性カップと、前記可撓性カップを前記外側リングに接続する、環状フランジと、を含む、上記項目のいずれか一項に記載の円形ステープル留め装置。
(項目14)
前記可撓性カップによって画定されたポケット内に受容される締結具をさらに備え、前記締結具が、前記可撓性カップを前記アンビルヘッドに固定するように、前記アンビルヘッドにねじ連結される、上記項目のいずれか一項に記載の円形ステープル留め装置。
(項目15)
前記アンビルヘッド組立体が、前記アンビルヘッド内に受容される少なくとも1つのピンを含み、前記少なくとも1つのピンが、前記外側リングと前記バットレスとを分離するように、前記アンビルヘッドに対して移動可能である、上記項目のいずれか一項に記載の円形ステープル留め装置。
(項目16)
前記少なくとも1つのピンが、前記アンビルキャップから独立している、上記項目のいずれか一項に記載の円形ステープル留め装置。
(項目17)
前記少なくとも1つのピンが、前記アンビルキャップの周りに位置決めされた複数の離間したピンを含む、上記項目のいずれか一項に記載の円形ステープル留め装置。
(項目18)
前記アンビルヘッドに対して前記バックアッププレートを移動させるように、前記アンビルヘッド内に支持されたバックアッププレートと係合するように選択的に移動可能な円筒形ナイフをさらに備え、前記バックアッププレートが、前記少なくとも1つのピンと係合するように位置決めされる、上記項目のいずれか一項に記載の円形ステープル留め装置。
(項目19)
前記バットレスが、前記アンビルヘッド上で前記バットレスを支持するフィンガを含む、上記項目のいずれか一項に記載の円形ステープル留め装置。
(項目20)
前記外側リングが、前記フィンガを前記アンビルヘッドに対して選択的に捕捉する、環状リップを含む、上記項目のいずれか一項に記載の円形ステープル留め装置。
(摘要)
円形ステープル留め装置は、バットレスと、アンビルヘッド組立体と、を含む。アンビルヘッド組立体は、アンビルヘッドと、アンビルヘッドに固定されたアンビルキャップと、を含む。アンビルキャップは、バットレスをアンビルヘッドに選択的に固定するように位置決めされる。アンビルキャップは、可撓性であり、アンビルヘッドからバットレスを解放するように、アンビルヘッドに対して選択的に移動可能である、外側リングを含む。
Claims (20)
- ステープル留め装置であって、
上面および底面を含み、前記底面がステープル形成ポケットを画定する、アンビルヘッドと、
前記アンビルヘッドの前記底面に支持され、前記ステープル形成ポケットを覆うように位置決めされた、バットレスと、
前記アンビルヘッドの前記上面に固定され、前記バットレスを前記アンビルヘッドに選択的に固定するように位置決めされた、アンビルキャップと、を備え、前記アンビルキャップが、内側リング組立体および外側リングを含み、前記外側リングが、前記バットレスと選択的に係合可能であり、前記アンビルキャップを前記バットレスから分離し、前記バットレスを前記アンビルヘッドから解放するように、前記内側リング組立体に対して移動可能である、ステープル留め装置。 - 前記内側リング組立体が、前記バットレスに対する前記外側リングの移動を容易にするように可撓性である、請求項1に記載のステープル留め装置。
- 前記内側リング組立体が、可撓性カップと、前記可撓性カップを前記外側リングに接続する環状フランジと、を含む、請求項2に記載のステープル留め装置。
- 前記アンビルキャップを前記アンビルヘッドに固定し、前記可撓性カップ内に着座する、締結具をさらに備える、請求項3に記載のステープル留め装置。
- 前記アンビルヘッド内に位置決めされ、前記締結具が前記可撓性カップを前記アンビルヘッドに固定された状態を維持しながら、前記外側リングを前記バットレスから離れるように移動させるように、前記アンビルヘッドに対して移動可能である、ピンをさらに備える、請求項4に記載のステープル留め装置。
- 前記ピンが、前記アンビルキャップと一体である、請求項5に記載のステープル留め装置。
- 前記アンビルヘッドが、前記アンビルヘッドに対して移動可能であるバックアッププレートを支持し、前記バックアッププレートが、前記アンビルヘッドに対して前記ピンを移動させるように、前記ピンと選択的に係合可能である、請求項5に記載のステープル留め装置。
- 前記バックアッププレートを前記アンビルヘッドに対して移動させるように、前記バックアッププレートと選択的に係合可能である円筒形ナイフをさらに備える、請求項7に記載のステープル留め装置。
- 前記バットレスが、前記バットレスから延在するフィンガを含み、前記フィンガが、前記アンビルヘッドの前記上面に沿って位置決めされ、前記バットレスを前記アンビルヘッドの前記底面に対して支持するように、前記外側リングの下に配置される、請求項1に記載のステープル留め装置。
- 外側リングが、前記フィンガと接触して、前記バットレスを前記アンビルヘッドに固定するように位置決めされた環状リップを含む、請求項9に記載のステープル留め装置。
- 円形ステープル留め装置であって、
バットレスと、
アンビルヘッドおよび前記アンビルヘッドに固定されたアンビルキャップを含む、アンビルヘッド組立体と、を備え、前記アンビルキャップが、前記バットレスを前記アンビルヘッドに選択的に固定するように位置決めされ、前記アンビルキャップが、可撓性であり、前記アンビルヘッドから前記バットレスを解放するように、前記アンビルヘッドに対して選択的に移動可能である、外側リングを含む、円形ステープル留め装置。 - 前記アンビルキャップが、前記アンビルヘッドに固定されている内側リング組立体を含み、前記内側リング組立体が、前記バットレスに対する前記外側リングの移動に応答して、撓むように構成される、請求項11に記載の円形ステープル留め装置。
- 前記内側リング組立体が、前記アンビルヘッドに固定された可撓性カップと、前記可撓性カップを前記外側リングに接続する、環状フランジと、を含む、請求項12に記載の円形ステープル留め装置。
- 前記可撓性カップによって画定されたポケット内に受容される締結具をさらに備え、前記締結具が、前記可撓性カップを前記アンビルヘッドに固定するように、前記アンビルヘッドにねじ連結される、請求項13に記載の円形ステープル留め装置。
- 前記アンビルヘッド組立体が、前記アンビルヘッド内に受容される少なくとも1つのピンを含み、前記少なくとも1つのピンが、前記外側リングと前記バットレスとを分離するように、前記アンビルヘッドに対して移動可能である、請求項14に記載の円形ステープル留め装置。
- 前記少なくとも1つのピンが、前記アンビルキャップから独立している、請求項15に記載の円形ステープル留め装置。
- 前記少なくとも1つのピンが、前記アンビルキャップの周りに位置決めされた複数の離間したピンを含む、請求項15に記載の円形ステープル留め装置。
- 前記アンビルヘッドに対して前記バックアッププレートを移動させるように、前記アンビルヘッド内に支持されたバックアッププレートと係合するように選択的に移動可能な円筒形ナイフをさらに備え、前記バックアッププレートが、前記少なくとも1つのピンと係合するように位置決めされる、請求項15に記載の円形ステープル留め装置。
- 前記バットレスが、前記アンビルヘッド上で前記バットレスを支持するフィンガを含む、請求項11に記載の円形ステープル留め装置。
- 前記外側リングが、前記フィンガを前記アンビルヘッドに対して選択的に捕捉する、環状リップを含む、請求項19に記載の円形ステープル留め装置。
Applications Claiming Priority (4)
Application Number | Priority Date | Filing Date | Title |
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US201862693167P | 2018-07-02 | 2018-07-02 | |
US62/693,167 | 2018-07-02 | ||
US16/429,416 | 2019-06-03 | ||
US16/429,416 US11219460B2 (en) | 2018-07-02 | 2019-06-03 | Surgical stapling apparatus with anvil buttress |
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JP2020006165A true JP2020006165A (ja) | 2020-01-16 |
JP7386628B2 JP7386628B2 (ja) | 2023-11-27 |
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US (1) | US11219460B2 (ja) |
EP (1) | EP3590442B1 (ja) |
JP (1) | JP7386628B2 (ja) |
CN (1) | CN110664452A (ja) |
AU (1) | AU2019204005A1 (ja) |
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US9192383B2 (en) * | 2013-02-04 | 2015-11-24 | Covidien Lp | Circular stapling device including buttress material |
US10979672B1 (en) | 2020-10-20 | 2021-04-13 | Katmai Tech Holdings LLC | Web-based videoconference virtual environment with navigable avatars, and applications thereof |
Citations (2)
Publication number | Priority date | Publication date | Assignee | Title |
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JP2014151194A (ja) * | 2013-02-04 | 2014-08-25 | Covidien Lp | バットレス材料を含む円形状ステープル留めデバイス |
JP2014171880A (ja) * | 2013-03-07 | 2014-09-22 | Covidien Lp | バットレス解放機構を備える円形ステープル留めデバイス |
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- 2019-06-07 AU AU2019204005A patent/AU2019204005A1/en not_active Abandoned
- 2019-06-28 JP JP2019121509A patent/JP7386628B2/ja active Active
- 2019-06-28 CN CN201910578217.3A patent/CN110664452A/zh active Pending
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Patent Citations (2)
Publication number | Priority date | Publication date | Assignee | Title |
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JP2014151194A (ja) * | 2013-02-04 | 2014-08-25 | Covidien Lp | バットレス材料を含む円形状ステープル留めデバイス |
JP2014171880A (ja) * | 2013-03-07 | 2014-09-22 | Covidien Lp | バットレス解放機構を備える円形ステープル留めデバイス |
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CN110664452A (zh) | 2020-01-10 |
AU2019204005A1 (en) | 2020-01-16 |
EP3590442A1 (en) | 2020-01-08 |
US11219460B2 (en) | 2022-01-11 |
US20200000475A1 (en) | 2020-01-02 |
EP3590442B1 (en) | 2021-02-24 |
JP7386628B2 (ja) | 2023-11-27 |
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