JP2020525200A - セグメント化セクションにわたり独立してエネルギーを送達するための制御回路を制御するシステム及び方法 - Google Patents
セグメント化セクションにわたり独立してエネルギーを送達するための制御回路を制御するシステム及び方法 Download PDFInfo
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Abstract
Description
代理人整理番号END8184USNP/170063、2017年6月28日出願の発明者Jeffrey D.Messerlyらによる、表題「SURGICAL SYSTEM COUPLEABLE WITH STAPLE CARTRIDGE AND RADIO FREQUENCY CARTRIDGE,AND METHOD OF USING SAME」。
実施例1.外科用器具であって、エンドエフェクタであって、第1ジョー及び第2ジョーであって、第1ジョーが近位部及び遠位部を含み、第2ジョーが第1ジョーに対して移動可能である、第1ジョー及び第2ジョーと、第1の組の電極及び第2の組の電極であって、第1の組の電極が、第1ジョーの近位部に位置し、第2の組の電極が第1ジョーの遠位部に位置する、第1の組の電極及び第2の組の電極と、第1の組の電極と第2の組の電極との間に画定されたスロットと、を備える、エンドエフェクタと、スロット内で往復運動するように構成された切断部材と、制御回路であって、エンドエフェクタの第1ジョーと第2ジョーとの間に位置する組織のインピーダンスに関する情報を受信し、電気外科的エネルギーを第1の組の電極及び第2の組の電極に供給して、電気外科的エネルギーを所定の時間間隔で、第1の組の電極と第2の組の電極との間で繰り返し交替させ、切断部材を前進させるように構成された、制御回路と、を備える、外科用器具。
(1) 外科用器具であって、
エンドエフェクタであって、
第1ジョー及び第2ジョーであって、前記第1ジョーが近位部及び遠位部を含み、前記第2ジョーが前記第1ジョーに対して移動可能である、第1ジョー及び第2ジョーと、
第1の組の電極及び第2の組の電極であって、前記第1の組の電極が、前記第1ジョーの近位部に位置し、前記第2の組の電極が前記第1ジョーの遠位部に位置する、第1の組の電極及び第2の組の電極と、
前記第1の組の電極と前記第2の組の電極との間に画定されたスロットと、を備える、エンドエフェクタと、
前記スロット内で往復運動するように構成された切断部材と、
制御回路であって、
前記エンドエフェクタの前記第1ジョーと前記第2ジョーとの間に位置する組織のインピーダンスに関する情報を受信し、
電気外科的エネルギーを前記第1の組の電極及び前記第2の組の電極に供給して、前記電気外科的エネルギーを所定の時間間隔で、前記第1の組の電極と前記第2の組の電極との間で繰り返し交替させ、
前記切断部材を前進させるように構成された、制御回路と、
を備える、外科用器具。
(2) 前記制御回路は、前記組織の融着が実質的に完了した後、又はその際に、前記切断部材を前記近位部まで前進させて、前記近位部内の前記組織を切断するように構成されている、実施態様1に記載の外科用器具。
(3) 前記制御回路が、前記切断部材を前記近位部まで前進させる前に、前記電気外科的エネルギーを前記第1の組の電極及び前記第2の組の電極に供給することを停止するように構成されている、実施態様2に記載の外科用器具。
(4) 前記制御回路が、前記近位部内の前記組織を切断した後で、前記切断部材を前記遠位部まで前進させて、前記遠位部内の前記組織を切断するように構成されている、実施態様2に記載の外科用器具。
(5) 前記制御回路は、前記組織の前記インピーダンスに関する前記情報を所定の終了インピーダンス値と比較することにより、前記組織の前記融着が実質的に完了したと判定するように構成されている、実施態様2に記載の外科用器具。
(7) 前記制御回路は、前記組織の前記融着が完了し始めるときに、前記切断部材を前記近位部まで前進させて、前記近位部内の前記組織を切断するように構成されている、実施態様6に記載の外科用器具。
(8) 前記制御回路は、インピーダンスの低下速度がおよそ0になるときに、前記組織の前記融着が完了し始めると判定するように構成されている、実施態様7に記載の外科用器具。
(9) 前記制御回路は、前記電気外科的エネルギーを前記第2の組の電極に供給しながら、前記近位部内の前記組織を切断した後、前記切断部材を前記遠位部まで前進させて、前記遠位部内の前記組織を切断するように構成されている、実施態様6に記載の外科用器具。
(10) 前記所定の時間間隔が約0.1〜0.5秒の範囲である、実施態様1に記載の外科用器具。
(12) 外科用器具であって、
エンドエフェクタであって、
近位部と遠位部とを備える第1ジョーと、
前記第1ジョーに対して移動可能な第2ジョー、
前記第1ジョーの前記近位部に位置する第1の組の電極と、
前記第1ジョーの前記遠位部に位置する第2の組の電極と、を備える、エンドエフェクタと、
切断部材であって、前記第1ジョー及び前記第2ジョーが、前記第1ジョーの近位端から延びる細長スロットを、前記第1ジョーと前記第2ジョーとの間で画定し、前記切断部材が、前記細長スロット内に摺動可能に受容可能であり、前記第1ジョーと前記第2ジョーとの間に位置する組織を切断する、切断部材と、
電気外科的エネルギーを前記第1の組の電極及び前記第2の組の電極に供給するように構成された制御回路であって、前記電気外科的エネルギーの供給は、所定の時間間隔にて前記第1の組の電極と前記第2の組の電極との間で繰り返し交替する、制御回路と、を備え、
前記制御回路が、前記第1ジョーと前記第2ジョーとの間に位置する前記組織のインピーダンスに関する情報を受信するように構成されている、外科用器具。
(13) 前記制御回路は、前記組織の融着が実質的に完了した後、又はその際に、前記切断部材を前記近位部まで前進させて、前記近位部内の前記組織を切断するように構成されている、実施態様12に記載の外科用器具。
(14) 前記制御回路が、前記電気外科的エネルギーを前記第1の組の電極及び前記第2の組の電極に供給することを停止し、その後、前記切断部材を前記近位部に前進させるように構成されている、実施態様13に記載の外科用器具。
(15) 前記制御回路が、前記近位部内の前記組織を切断した後で、前記切断部材を前記遠位部まで前進させて、前記遠位部内の前記組織を切断するように構成されている、実施態様13に記載の外科用器具。
(17) 前記制御回路は、前記近位部内の前記組織の融着が完了する前に、前記切断部材を前記近位部まで前進させて、前記近位部内の前記組織を切断し、前記電気外科的エネルギーを前記第1の組の電極及び前記第2の組の電極に供給するように構成されている、実施態様12に記載の外科用器具。
(18) 前記制御回路は、前記組織の前記融着が完了し始めるときに、前記切断部材を前記近位部まで前進させて、前記近位部内の前記組織を切断するように構成されている、実施態様17に記載の外科用器具。
(19) 前記制御回路は、インピーダンスの低下速度がおよそ0になるときに、前記組織の前記融着が完了し始めると判定するように構成されている、実施態様18に記載の外科用器具。
(20) 前記制御回路は、前記近位部内の前記組織を切断した後で、前記切断部材を前記遠位部まで前進させて、前記遠位部内の前記組織を切断し、同時に、前記電気外科的エネルギーを前記第2の組の電極に供給するように構成されている、実施態様17に記載の外科用器具。
Claims (20)
- 外科用器具であって、
エンドエフェクタであって、
第1ジョー及び第2ジョーであって、前記第1ジョーが近位部及び遠位部を含み、前記第2ジョーが前記第1ジョーに対して移動可能である、第1ジョー及び第2ジョーと、
第1の組の電極及び第2の組の電極であって、前記第1の組の電極が、前記第1ジョーの近位部に位置し、前記第2の組の電極が前記第1ジョーの遠位部に位置する、第1の組の電極及び第2の組の電極と、
前記第1の組の電極と前記第2の組の電極との間に画定されたスロットと、を備える、エンドエフェクタと、
前記スロット内で往復運動するように構成された切断部材と、
制御回路であって、
前記エンドエフェクタの前記第1ジョーと前記第2ジョーとの間に位置する組織のインピーダンスに関する情報を受信し、
電気外科的エネルギーを前記第1の組の電極及び前記第2の組の電極に供給して、前記電気外科的エネルギーを所定の時間間隔で、前記第1の組の電極と前記第2の組の電極との間で繰り返し交替させ、
前記切断部材を前進させるように構成された、制御回路と、
を備える、外科用器具。 - 前記制御回路は、前記組織の融着が実質的に完了した後、又はその際に、前記切断部材を前記近位部まで前進させて、前記近位部内の前記組織を切断するように構成されている、請求項1に記載の外科用器具。
- 前記制御回路が、前記切断部材を前記近位部まで前進させる前に、前記電気外科的エネルギーを前記第1の組の電極及び前記第2の組の電極に供給することを停止するように構成されている、請求項2に記載の外科用器具。
- 前記制御回路が、前記近位部内の前記組織を切断した後で、前記切断部材を前記遠位部まで前進させて、前記遠位部内の前記組織を切断するように構成されている、請求項2に記載の外科用器具。
- 前記制御回路は、前記組織の前記インピーダンスに関する前記情報を所定の終了インピーダンス値と比較することにより、前記組織の前記融着が実質的に完了したと判定するように構成されている、請求項2に記載の外科用器具。
- 前記制御回路は、前記電気外科的エネルギーを前記第1の組の電極及び前記第2の組の電極に供給しながら、前記近位部内の前記組織の融着が完了する前に、前記切断部材を前記近位部まで前進させて、前記近位部内の前記組織を切断するように構成されている、請求項1に記載の外科用器具。
- 前記制御回路は、前記組織の前記融着が完了し始めるときに、前記切断部材を前記近位部まで前進させて、前記近位部内の前記組織を切断するように構成されている、請求項6に記載の外科用器具。
- 前記制御回路は、インピーダンスの低下速度がおよそ0になるときに、前記組織の前記融着が完了し始めると判定するように構成されている、請求項7に記載の外科用器具。
- 前記制御回路は、前記電気外科的エネルギーを前記第2の組の電極に供給しながら、前記近位部内の前記組織を切断した後、前記切断部材を前記遠位部まで前進させて、前記遠位部内の前記組織を切断するように構成されている、請求項6に記載の外科用器具。
- 前記所定の時間間隔が約0.1〜0.5秒の範囲である、請求項1に記載の外科用器具。
- 前記電気外科的エネルギーが高周波エネルギーを含む、請求項1に記載の外科用器具。
- 外科用器具であって、
エンドエフェクタであって、
近位部と遠位部とを備える第1ジョーと、
前記第1ジョーに対して移動可能な第2ジョー、
前記第1ジョーの前記近位部に位置する第1の組の電極と、
前記第1ジョーの前記遠位部に位置する第2の組の電極と、を備える、エンドエフェクタと、
切断部材であって、前記第1ジョー及び前記第2ジョーが、前記第1ジョーの近位端から延びる細長スロットを、前記第1ジョーと前記第2ジョーとの間で画定し、前記切断部材が、前記細長スロット内に摺動可能に受容可能であり、前記第1ジョーと前記第2ジョーとの間に位置する組織を切断する、切断部材と、
電気外科的エネルギーを前記第1の組の電極及び前記第2の組の電極に供給するように構成された制御回路であって、前記電気外科的エネルギーの供給は、所定の時間間隔にて前記第1の組の電極と前記第2の組の電極との間で繰り返し交替する、制御回路と、を備え、
前記制御回路が、前記第1ジョーと前記第2ジョーとの間に位置する前記組織のインピーダンスに関する情報を受信するように構成されている、外科用器具。 - 前記制御回路は、前記組織の融着が実質的に完了した後、又はその際に、前記切断部材を前記近位部まで前進させて、前記近位部内の前記組織を切断するように構成されている、請求項12に記載の外科用器具。
- 前記制御回路が、前記電気外科的エネルギーを前記第1の組の電極及び前記第2の組の電極に供給することを停止し、その後、前記切断部材を前記近位部に前進させるように構成されている、請求項13に記載の外科用器具。
- 前記制御回路が、前記近位部内の前記組織を切断した後で、前記切断部材を前記遠位部まで前進させて、前記遠位部内の前記組織を切断するように構成されている、請求項13に記載の外科用器具。
- 前記制御回路は、前記組織の前記融着が実質的に完了したと判定し、前記組織の前記インピーダンスに関する前記情報を所定の終了インピーダンス値と比較するように構成されている、請求項13に記載の外科用器具。
- 前記制御回路は、前記近位部内の前記組織の融着が完了する前に、前記切断部材を前記近位部まで前進させて、前記近位部内の前記組織を切断し、前記電気外科的エネルギーを前記第1の組の電極及び前記第2の組の電極に供給するように構成されている、請求項12に記載の外科用器具。
- 前記制御回路は、前記組織の前記融着が完了し始めるときに、前記切断部材を前記近位部まで前進させて、前記近位部内の前記組織を切断するように構成されている、請求項17に記載の外科用器具。
- 前記制御回路は、インピーダンスの低下速度がおよそ0になるときに、前記組織の前記融着が完了し始めると判定するように構成されている、請求項18に記載の外科用器具。
- 前記制御回路は、前記近位部内の前記組織を切断した後で、前記切断部材を前記遠位部まで前進させて、前記遠位部内の前記組織を切断し、同時に、前記電気外科的エネルギーを前記第2の組の電極に供給するように構成されている、請求項17に記載の外科用器具。
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JP7143345B2 (ja) | 2022-09-28 |
US20190000536A1 (en) | 2019-01-03 |
WO2019003004A1 (en) | 2019-01-03 |
CN110831525B (zh) | 2023-04-21 |
CN110831525A (zh) | 2020-02-21 |
BR112019027117A2 (pt) | 2020-07-07 |
US10265120B2 (en) | 2019-04-23 |
EP3420980A1 (en) | 2019-01-02 |
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