JP2020014879A - ハンドヘルド電気機械的手術システム - Google Patents
ハンドヘルド電気機械的手術システム Download PDFInfo
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- 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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- A61B17/11—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
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- 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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- A61B90/08—Accessories or related features not otherwise provided for
- A61B2090/0813—Accessories designed for easy sterilising, i.e. re-usable
Abstract
Description
本願は、2014年10月7日に出願された米国仮特許出願第62/060,734号に基づく利益および優先権を主張しており、その全体の開示は本明細書中に参考として援用される。
1.技術分野
本開示は外科デバイスに関する。より特定すれば、本開示は、外科手順を実施するためのハンドヘルド電気機械的手術システムに関する。
外科デバイスの1つのタイプは、直線状クランプ留め、切断およびステープル留めデバイスである。このようなデバイスは、外科手順で採用されても良く、癌性または異常組織を胃腸管から切断する。従来の直線状クランプ留め、切断およびステープル留め器具は、細長いシャフトおよび遠位部分を有するピストルグリップスタイルの構造を含む。遠位部分は、一対のハサミスタイルの把持要素を含み、これは、閉じられる結腸の開放端部をクランプ留めする。このデバイスでは、アンビル部分のような、2つのハサミスタイルの把持要素の1つは、全体構造に対して動くか、または枢動し、その一方、他の把持要素は、全体構造に対して固定されたままである。このはさみ型デバイスの作動(アンビル部分の旋回)は、ハンドル内に維持されるグリップトリガによって制御される。
本開示は、外科手順を実施するための電気機械的外科デバイスに関する。
(項目1)
外科アクセサリと選択的に接続するように構成されたハンドヘルド電気機械的外科デバイスであって、上記電気機械的外科デバイスは:ハンドルアセンブリを備え、上記ハンドルアセンブリは、パワーパックであって:コアアセンブリであって:複数のモータであって、各モータはそれから延びる回転可能な駆動シャフトを有し、各駆動シャフトは互いに平行であるモータ;各モータに接続され、そして各モータを制御するように構成されたプロセッサ;および上記プロセッサおよび各モータに電気的に接続されたバッテリ、を備える、コアアセンブリ;および少なくとも上記複数のモータ、上記プロセッサ、および上記バッテリを包囲する内側ハウジングであって、上記内側ハウジングは、上記複数のモータの少なくとも1つの機能性を制御するために作動可能な少なくとも1つのコントロールインターフェスを含む内側ハウジング;を含む、パワーパックと:
外側ハウジングであって、上記外側ハウジングは、実質的に上記パワーパックの全体をその中に選択的に包囲するように構成され、各モータの各回転可能な駆動シャフトからの回転が、上記内側ハウジングおよび上記外側シェルハウジングを通って伝達され、そして上記外側シェルハウジングが、上記パワーパックの各コントロールインターフェースと作動的に位置合わせされている少なくとも1つのコントロールボタンを含む、外側シェルハウジング、とを備え、
上記少なくとも1つのコントロールボタンの作動が、上記少なくとも1つのコントロールボタンと作動的に位置合わせされている上記少なくとも1つのコントロールインターフェースに対して作用し、上記複数のモータの少なくとも1つの機能性を制御する、電気機械的外科デバイス。
(項目2)
該ハンドルアセンブリに選択的に接続可能なアダプタアセンブリをさらに備え、上記アダプタアセンブリは:該外科デバイスとの接続のために、そして各回転可能な駆動シャフトと作動可能に連通するように構成かつ適合されているハウジング;上記ハウジングによって支持される近位端、およびローディングユニットとの選択的接続のために構成かつ適合された遠位端を有する外側チューブであって、上記外側チューブの遠位端が、上記ローディングユニットの少なくとも1つの軸方向に並進可能な駆動部材と作動的に連通している、外側チューブ;および上記外科デバイスの個々の1つの駆動シャフトと上記ローディングユニットの個々の1つの軸方向に並進可能な駆動部材とを相互接続するための少なくとも1つの力/回転伝達/変換アセンブリ、を含む、項目1に記載の電気機械的外科デバイス。
(項目3)
該パワーパックと該外側シェルハウジングとの間に配置されるバリアプレートアセンブリをさらに備え、上記バリアプレートアセンブリは、少なくとも1つの回転可能なカップリングシャフトを含み、かつ支持し;各カップリングシャフトは、個々の回転可能な駆動シャフトから回転力を受けるように構成された近位端、および該ハンドルアセンブリから突出する遠位端を含む、上記項目のいずれか1つに記載の電気機械的外科デバイス。
(項目4)
該アダプタアセンブリの少なくとも1つの力/回転伝達/変換アセンブリが、上記アダプタアセンブリが該ハンドルアセンブリに接続されるとき、該バリアプレートアセンブリの個々のカップリングシャフトと相互接続する、上記項目のいずれか1つに記載の電気機械的外科デバイス。
(項目5)
該ハンドルアセンブリが、該プロセッサと電気通信している少なくとも1つの電気コネクタを支持する、上記項目のいずれか1つに記載の電気機械的外科デバイス。
(項目6)
該バリアプレートアセンブリが、該パワーパックが該外側シェルハウジングに入れられるとき、該ハンドルアセンブリの該電気コネクタの上に重なる、上記項目のいずれか1つに記載の電気機械的外科デバイス。
(項目7)
該バリアプレートアセンブリが通過電気コネクタを含み、かつ支持し、上記通過電気コネクタが、該パワーパックが該外側シェルハウジングに入れられるとき、該ハンドルアセンブリの該電気コネクタとインターフェースする、上記項目のいずれか1つに記載の電気機械的外科デバイス。
(項目8)
該アダプタアセンブリが、上記アダプタアセンブリが該ハンドルアセンブリに接続されるとき、該バリアプレートアセンブリの該通過コネクタへの電気接続のための複数の電気接触ブレードを有する電気アセンブリを含む、上記項目のいずれか1つに記載の電気機械的外科デバイス。
(項目9)
該バリアプレートアセンブリの該通過電気コネクタが、上記バリアプレートアセンブリが該外側シェルハウジング内に位置されるとき、上記外側シェルハウジングに形成されたウインドウに受容される、上記項目のいずれか1つに記載の電気機械的外科デバイス。
(項目10)
該外側シェルハウジングの少なくとも外側表面が滅菌されている、上記項目のいずれか1つに記載の電気機械的外科デバイス。
(項目11)
該バリアプレートアセンブリが滅菌されている、上記項目のいずれか1つに記載の電気機械的外科デバイス。
(項目12)
該ハンドルアセンブリに選択的に接続可能なアダプタアセンブリをさらに備え、上記アダプタアセンブリが:
該外科デバイスとの接続のために構成かつ適合され、各回転可能な駆動シャフトと作動的に連通しているハウジング;該ハウジングによって支持される近位端およびローディングユニットとの選択的接続のために構成かつ適合された遠位端を有する外側チューブであって、上記外側チューブの遠位端が上記ローディングユニットの少なくとも1つの軸方向に並進可能な駆動部材と作動的に連通している、外側チューブ;および該バリアプレートアセンブリの個々の1つの回転可能なカップリングシャフトの該遠位端を相互接続するための少なくとも1つの力/回転伝達/変換アセンブリを備える、上記項目のいずれか1つに記載の電気機械的外科デバイス。
(項目13)
該アダプタアセンブリの該少なくとも1つの力/回転伝達/変換アセンブリが、上記アダプタアセンブリが該ハンドルアセンブリに接続されるとき、該バリアプレートアセンブリの個々のカップリングシャフトと相互接続する、上記項目のいずれか1つに記載の電気機械的外科デバイス。
(項目14)
該ハンドルアセンブリが、該プロセッサと電気通信している少なくとも1つの電気コネクタを支持する、上記項目のいずれか1つに記載の電気機械的外科デバイス。
(項目15)
該バリアプレートアセンブリが、該パワーパックが該外側シェルハウジングに入れられるとき、該ハンドルアセンブリの該電気コネクタの上に重なる、上記項目のいずれか1つに記載の電気機械的外科デバイス。
(項目16)
該バリアプレートアセンブリが、通過電気コネクタを含み、かつ支持し、上記通過電気コネクタが、該パワーパックが該外側シェルハウジングに入れられるとき、該ハンドルアセンブリの該電気コネクタとインターフェースする、上記項目のいずれか1つに記載の電気機械的外科デバイス。
(項目17)
該アダプタアセンブリが、上記アダプタアセンブリが該ハンドルアセンブリに接続されるとき、該バリアプレートアセンブリの該通過コネクタへの電気接続のための複数の電気接触ブレードを有する電気アセンブリを含む、上記項目のいずれか1つに記載の電気機械的外科デバイス。
(項目18)
該バリアプレートアセンブリの該通過電気コネクタが、上記バリアプレートアセンブリが該外側シェルハウジング内に位置されるとき、上記外側シェルハウジングに形成されたウインドウに受容される、上記項目のいずれか1つに記載の電気機械的外科デバイス。
(項目19)
少なくとも該外側シェルハウジングの外側表面が滅菌されている、上記項目のいずれか1つに記載の電気機械的外科デバイス。
(項目20)
該バリアプレートアセンブリが滅菌されている、上記項目のいずれか1つに記載の電気機械的外科デバイス。
(項目21)
該ハンドルアセンブリが、該プロセッサに電気接続された電気ディスプレイを含む、上記項目のいずれか1つに記載の電気機械的外科デバイス。
(項目22)
該内側ハウジングがウインドウを含み、上記ウインドウを通して該電気ディスプレイが見える、上記項目のいずれか1つに記載の電気機械的外科デバイス。
(項目23)
該内側ハウジングの少なくとも一部分が透明であり、上記内側ハウジングの透明部分が、該電気ディスプレイと視覚的に位置合わせされている。上記項目のいずれか1つに記載の電気機械的外科デバイス。
(項目24)
該外側シェルハウジングがウインドウを含み、該ハンドルアセンブリが上記外側シェルハウジングに入れられるとき、上記ウインドウを通して、該電気ディスプレイが見える、上記項目のいずれか1つに記載の電気機械的外科デバイス。
(項目25)
該外側ハウジングの少なくとも一部分が透明であり、上記外側シェルハウジングの透明部分が、該電気ディスプレイと視覚的に位置合わせされている。上記項目のいずれか1つに電気機械的外科デバイス。
(項目26)
ハンドヘルド電気機械的外科デバイスを組み立てる方法であって:
ハンドヘルド電気機械的外科デバイスを提供する工程であって:ハンドルアセンブリを提供することであって、ハンドルアセンブリが:パワーパックを含み、上記パワーパックは、コアアセンブリであって、複数のモータであって各モータはそれから延びる回転可能な駆動シャフトを有し、各駆動シャフトは互いに平行である、モータ;各モータに接続され、そして各モータを制御するように構成されたプロセッサ;および上記プロセッサおよび各モータに電気的に接続されたバッテリを備える、コアアセンブリ;ならびに少なくとも上記複数のモータ、上記プロセッサ、および上記バッテリを包囲する内側ハウジングであって、上記内側ハウジングは、上記複数のモータの少なくとも1つの機能性を制御するために作動可能な少なくとも1つのコントロールインターフェースを含む、内側ハウジング;を含む、ことと、実質的に上記パワーパックの全体をその中に選択的に包囲するように構成された滅菌外側シェルハウジングを提供することであって、各モータの各回転可能な駆動シャフトからの回転が、上記内側ハウジングおよび上記外側シェルハウジングを通って伝達され、そして上記外側シェルハウジングが、上記パワーパックの各コントロールインターフェースと作動的に位置合わせされている少なくとも1つのコントロールボタンを含む、ことと、を含む工程;上記ハンドルアセンブリを上記滅菌上記外側シェルハウジングの受容キャビティ中に、上記外側シェルハウジングの無菌性を維持しながら挿入する工程;および上記ハンドルアセンブリを包囲するために上記外側シェルハウジングを閉じる工程、を包含する、方法。
(項目27)
上記項目のいずれか1つに記載の方法であって、
該外科デバイスとの接続のため、そして各回転可能な駆動シャフトと作動的に連通するように構成かつ適合されたアダプタアセンブリを提供する工程であって、上記アダプタアセンブリが、上記外科デバイスの個々の1つの駆動シャフトと、ローディングユニットの個々の1つの軸方向に並進可能な駆動部材とを相互接続するための少なくとも1つの力/回転伝達/変換アセンブリを含む、工程と;上記アダプタアセンブリを該ハンドルアセンブリに接続する工程であって、上記アダプタアセンブリの回転可能なコネクタが、個々のモータの駆動シャフトと作動的に接続されており、上記個々のモータからの回転力を受ける、工程とをさらに包含する、方法。
(項目28)
上記項目のいずれか1つに記載の方法であって、
該アダプタアセンブリの遠位端への選択的接続のために構成かつ適合された外科ローディングユニットを提供する工程であって、上記外科ローディングユニットが、上記外科ローディングユニットの機能を作動するための少なくとも1つの力受容部材を含む、工程;および上記外科ローディングユニットを上記アダプタアセンブリの上記遠位端に接続する工程であって、上記アダプタアセンブリの少なくとも1つの力/回転伝達/変換アセンブリが、上記ローディングユニットの個々の力受容部材と作動的に接続されている、工程、をさらに包含する、方法。
(項目29)
上記項目のいずれか1つに記載の方法であって:
該アダプタアセンブリの該ハンドルアセンブリへの接続に際し、上記ハンドルアセンブリのプロセッサと上記アダプタアセンブリの電気アセンブリとの間に電気接続を確立する工程をさらに包含する、方法。
(項目30)
上記項目のいずれか1つに記載の方法であって、
該外科ローディングユニットの該アダプタアセンブリへの接続に際し、上記外科ローディングユニットの電気接触と上記アダプタアセンブリの電気接触との間に電気接続を確立する工程をさらに包含する、方法。
外科アクセサリと選択的に接続するように構成されたハンドヘルド電気機械的外科デバイスが提供され、そしてコアアセンブリを備えたパワーパックを有するハンドルアセンブリを含む。コアアセンブリは、複数のモータであって、各モータはそれから延びる回転可能な駆動シャフトを有し、各駆動シャフトは互いに平行である、複数のモータ;各モータに接続され、そして各モータを制御するように構成されたプロセッサ;およびこのプロセッサおよび各モータに電気的に接続されたバッテリを備える。上記パワーパックは、少なくとも上記複数のモータ、上記プロセッサ、および上記バッテリを包囲する内側ハウジングを含む。上記ハンドルアセンブリは、実質的に上記パワーパックの全体をその中に選択的に包囲するように構成された外側シェルハウジングを含み、各モータの各回転可能な駆動シャフトからの回転は、上記内側ハウジングおよび上記外側シェルハウジングを通って伝達される。
本願に開示される外科デバイス、および外科デバイスおよび/またはハンドルアセンブリの実施形態は、図面を参照して詳細に記載され、図面では、同様の参照番号は、いくつかの図面の各々で同一または対応する要素を指定する。本明細書で用いられるとき、用語「遠位」は、ユーザからより遠いアダプタアセンブリまたは外科デバイスの部分、またはそれらの構成要素をいい、その一方、用語「近位」は、ユーザにより近いアダプタアセンブリまたは外科デバイスの部分、またはそれらの構成要素をいう。
Claims (17)
- ハンドヘルド電気機械的外科デバイスのハンドルアセンブリであって、前記ハンドルアセンブリは、
パワーパックであって、前記パワーパックは、
複数のモータと、前記複数のモータに作動可能に結合された複数の駆動シャフトとを有するコアアセンブリと、
前記複数のモータを包囲する内側ハウジングと
を含む、パワーパックと、
前記パワーパックを選択的に受容するように構成されたキャビティを共同して規定する近位セクションおよび遠位セクションを含む外側シェルハウジングであって、前記遠位セクションは、アダプタアセンブリに結合するための接続部分を有する、外側シェルハウジングと、
前記外側シェルハウジングの前記遠位セクションの接続部分と前記パワーパックの前記内側ハウジングとの間に配置されたバリアプレートアセンブリであって、前記複数のモータによる前記複数の駆動シャフトの回転は、前記バリアプレートアセンブリを介して、前記内側ハウジングおよび前記外側シェルハウジングを通って伝達される、バリアプレートアセンブリと
を備える、ハンドルアセンブリ。 - 前記内側ハウジングは、前記複数のモータのうちの第1のモータの機能性を制御するために作動可能なコントロールインターフェースを含む、請求項1に記載のハンドルアセンブリ。
- 前記外側シェルハウジングは、前記パワーパックの前記コントロールインターフェースと作動的に位置合わせされているコントロールボタンを含み、前記コントロールボタンの作動は、前記第1のモータの機能性を制御するように前記コントロールインターフェースに対して作用する、請求項2に記載のハンドルアセンブリ。
- 前記複数の駆動シャフトは、互いに平行である、請求項1に記載のハンドルアセンブリ。
- 前記複数の駆動シャフトは、互いに同一平面上にある、請求項4に記載のハンドルアセンブリ。
- 前記コアアセンブリは、前記コアアセンブリのプロセッサと電気通信している電気コネクタを含む、請求項1に記載のハンドルアセンブリ。
- 前記バリアプレートアセンブリは、前記パワーパックが前記外側シェルハウジングに入れられるとき、前記電気コネクタの上に重なる、請求項6に記載のハンドルアセンブリ。
- 前記バリアプレートアセンブリは、通過電気コネクタを含み、前記通過電気コネクタは、前記パワーパックが前記外側シェルハウジングに入れられるとき、前記コアアセンブリの前記電気コネクタとインターフェースする、請求項6に記載のハンドルアセンブリ。
- 前記バリアプレートアセンブリの前記通過電気コネクタは、前記バリアプレートアセンブリが前記外側シェルハウジング内に位置されるとき、前記外側シェルハウジングの前記遠位セクションの前記接続部分内に画定された細長いスロット内に受容される、請求項8に記載のハンドルアセンブリ。
- 前記外側シェルハウジングの外側表面は、滅菌されている、請求項1に記載のハンドルアセンブリ。
- 前記バリアプレートアセンブリは、滅菌されている、請求項10に記載のハンドルアセンブリ。
- 前記パワーパックは、前記バリアプレートアセンブリに隣接するように配置されたコントロールプレートを含む、請求項1に記載のハンドルアセンブリ。
- 前記バリアプレートアセンブリは、前記パワーパックの前記コントロールプレートの遠位方向に面する表面に対して当接するプレートを含む、請求項12に記載のハンドルアセンブリ。
- 前記バリアプレートアセンブリは、回転可能なカップリングシャフトを含み、前記回転可能なカップリングシャフトは、前記複数の駆動シャフトのうちの第1の駆動シャフトからの回転力を受容するように構成された近位端と、前記外側シェルハウジングの前記遠位セクションを通って延在する遠位端とを有する、請求項1に記載のハンドルアセンブリ。
- 前記バリアプレートアセンブリは、前記カップリングシャフトを回転可能に支持するプレートを含む、請求項14に記載のハンドルアセンブリ。
- 前記カップリングシャフトは、前記プレートを通って延在する、請求項15に記載のハンドルアセンブリ。
- 前記カップリングシャフトは、前記外側シェルハウジングの前記遠位セクションの前記接続部分内に延在する、請求項14に記載のハンドルアセンブリ。
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2015
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US20200197119A1 (en) | 2020-06-25 |
JP6882404B2 (ja) | 2021-06-02 |
CN111789673A (zh) | 2020-10-20 |
AU2015234382A1 (en) | 2016-04-21 |
CN111789673B (zh) | 2023-11-28 |
EP3005954B1 (en) | 2018-02-28 |
WO2016057225A1 (en) | 2016-04-14 |
US11464592B2 (en) | 2022-10-11 |
EP3005954A1 (en) | 2016-04-13 |
EP3326550A1 (en) | 2018-05-30 |
JP6595874B2 (ja) | 2019-10-23 |
US10603128B2 (en) | 2020-03-31 |
CA2905662A1 (en) | 2016-04-07 |
AU2015234382B2 (en) | 2019-07-18 |
CA2905662C (en) | 2022-11-29 |
US20160095585A1 (en) | 2016-04-07 |
EP3677197A1 (en) | 2020-07-08 |
EP3326550B1 (en) | 2020-04-15 |
ES2663859T3 (es) | 2018-04-17 |
ES2963936T3 (es) | 2024-04-03 |
JP2016073632A (ja) | 2016-05-12 |
ES2793229T3 (es) | 2020-11-13 |
EP3677197B1 (en) | 2023-09-27 |
CN105476677A (zh) | 2016-04-13 |
CN105476677B (zh) | 2020-08-21 |
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