JP2021512697A - 外科手術器具用の力制限組立品 - Google Patents
外科手術器具用の力制限組立品 Download PDFInfo
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- 230000007246 mechanism Effects 0.000 description 17
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- 238000004519 manufacturing process Methods 0.000 description 3
- 238000013461 design Methods 0.000 description 2
- 230000002792 vascular Effects 0.000 description 2
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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
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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
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/128—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips
- A61B17/1285—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips for minimally invasive surgery
-
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
- A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1442—Probes having pivoting end effectors, e.g. forceps
- A61B18/1445—Probes having pivoting end effectors, e.g. forceps at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/03—Automatic limiting or abutting means, e.g. for safety
-
- 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
-
- 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
-
- 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
- A61B2017/2913—Handles transmission of forces to actuating rod or piston cams or guiding means
- A61B2017/2917—Handles transmission of forces to actuating rod or piston cams or guiding means with flexible part
-
- 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
- A61B2017/2919—Handles transmission of forces to actuating rod or piston details of linkages or pivot points
-
- 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
- A61B2017/2932—Transmission of forces to jaw members
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/0063—Sealing
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1442—Probes having pivoting end effectors, e.g. forceps
- A61B2018/1452—Probes having pivoting end effectors, e.g. forceps including means for cutting
- A61B2018/1455—Probes having pivoting end effectors, e.g. forceps including means for cutting having a moving blade for cutting tissue grasped by the jaws
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/03—Automatic limiting or abutting means, e.g. for safety
- A61B2090/031—Automatic limiting or abutting means, e.g. for safety torque limiting
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/03—Automatic limiting or abutting means, e.g. for safety
- A61B2090/033—Abutting means, stops, e.g. abutting on tissue or skin
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/06—Measuring instruments not otherwise provided for
- A61B2090/064—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension
- A61B2090/065—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension for measuring contact or contact pressure
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- Health & Medical Sciences (AREA)
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- Oral & Maxillofacial Surgery (AREA)
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- Surgical Instruments (AREA)
Abstract
【選択図】図1
Description
本出願は、2018年2月6日に出願された米国仮特許出願第62/626,854号の優先権を主張する。
本発明は、外科手術器具およびより具体的には、ユーザが外科手術装置の顎部に供給できる力の量を制限する外科手術器具用のハンドル組立品に対するものである。
電気手術血管シーラーなどの外科手術器具は、ユーザが外科手術器具のハンドルに結合されたレバーを操作するのに応答して組織の上で閉じられる一対の顎部を有しうる。顎部に送達される力の量を制御し、したがって使用時にユーザが器具を損傷する、または標的組織を損傷するリスクを低減するために、力制限機構をハンドル内に含めて、顎部に伝送されるハンドルの力量を制限してもよい。しかし、これらの力制限機構は複雑であり、製造コストの増大につながる。さらに、多くの力制限機構は、外科手術装置内のかなりの量の空間を占める。したがって、ユーザが、コンパクトかつ製造が簡単な外科手術器具の顎部に適用できる力を制限することができる力制限機構のための技術分野におけるニーズが存在する。
Claims (13)
- 外科手術器具用の力制限組立品であって、
ハンドルと、
前記ハンドルに第一の端の旋回点で枢動可能に取り付けられ、前記ハンドルから外へと延びて反対端にトリガーを画定する、レバーと、
前記レバー内に位置付けられ、前記旋回点から離間した自由端を有する、カンチレバーばねと、
前記旋回点を中心とした前記レバーの旋回に応答した軸方向移動のために、前記カンチレバーばねの前記自由端に結合された駆動シャフトと、を備える、力制限組立品。 - 前記レバーの前記第一の端が二つの離間したアームを有する、請求項1に記載の力制限組立品。
- 前記レバーの前記第一の端の二つの離間したアームが、前記駆動シャフトの両側に延びる、請求項2に記載の力制限組立品。
- 前記カンチレバーばねが二つの離間したプレートを有する、請求項3に記載の力制限組立品。
- 前記二つの離間したプレートが前記駆動シャフトのいずれかの側に延びる、請求項4に記載の力制限組立品。
- 旋回ピンが、前記レバーの前記第一の端の前記二つの離間したアームと前記カンチレバーばねとの間に延びて、前記カンチレバーばねを、前記カンチレバーばねが部分的に付勢される位置にある予め負荷を与えられた状態に保持する、請求項5に記載の力制限組立品。
- 前記駆動シャフトが、それに固定され、前記カンチレバーばねの前記二つの離間したプレートと係合している、第一のストップを含む、請求項6に記載の力制限組立品。
- 前記旋回ピンを中心とした前記レバーの旋回により、前記駆動シャフトが軸方向に移動するように、前記カンチレバーばねの前記二つの離間したプレートが前記第一のストップを押す、請求項7に記載の力制限組立品。
- 前記旋回ピンを中心とした前記レバーの旋回により、前記カンチレバーばねが前記予め負荷を与えられた状態よりもさらに付勢される屈曲状態へと前記カンチレバーばねが移動する、請求項8に記載の力制限組立品。
- ハンドルおよび前記ハンドルに枢動可能に取り付けられたレバーを有する外科手術器具に適用される力の量を制限する方法であって、
カンチレバーばねが、前記ハンドルに対して前記レバーの旋回点から離間した自由端を有するように、前記カンチレバーばねを前記レバーに関連付けるステップと、
前記旋回ピンを中心とした前記レバーの旋回により、前記カンチレバーばねが前記駆動シャフトに力を与えて前記駆動シャフトを軸方向に移動させるように、前記カンチレバーばねを前記外科手術器具の駆動シャフトに結合するステップと、を含む、方法。 - 前記カンチレバーばねが、前記ハンドルに対する前記レバーの移動の前に部分的に付勢される、請求項10に記載の方法。
- 前記カンチレバーばねが、前記レバーの移動が前記駆動シャフトの所定の所望の移動量を超える時にさらに付勢される、請求項11に記載に方法。
- 前記カンチレバーばねが、前記駆動シャフトに固定された二つのストップの間に位置付けられる、請求項12に記載に方法。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201862626854P | 2018-02-06 | 2018-02-06 | |
US62/626,854 | 2018-02-06 | ||
PCT/US2019/016760 WO2019157000A1 (en) | 2018-02-06 | 2019-02-06 | Force limiting assembly for surgical instrument |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2021512697A true JP2021512697A (ja) | 2021-05-20 |
JP7342009B2 JP7342009B2 (ja) | 2023-09-11 |
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Application Number | Title | Priority Date | Filing Date |
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JP2020542304A Active JP7342009B2 (ja) | 2018-02-06 | 2019-02-06 | 外科手術器具用の力制限組立品 |
Country Status (7)
Country | Link |
---|---|
EP (1) | EP3749229A1 (ja) |
JP (1) | JP7342009B2 (ja) |
KR (1) | KR102445100B1 (ja) |
CN (1) | CN112040889A (ja) |
AU (1) | AU2019217523B2 (ja) |
CA (1) | CA3094808C (ja) |
WO (1) | WO2019157000A1 (ja) |
Families Citing this family (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
AU2020336319B2 (en) * | 2019-08-27 | 2023-06-22 | Conmed Corporation | Force limiting mechanism for surgical instruments |
Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
DE4411099A1 (de) * | 1994-03-30 | 1995-10-05 | Wolf Gmbh Richard | Medizinisches Instrument |
DE29713490U1 (de) * | 1997-07-29 | 1997-10-30 | Olympus Winter & Ibe Gmbh, 22045 Hamburg | Endoskopisches Schaftgerät |
EP3095399A2 (en) * | 2015-05-22 | 2016-11-23 | Covidien LP | Surgical instruments for performing tonsillectomy, adenoidectomy, and other surgical procedures |
Family Cites Families (12)
Publication number | Priority date | Publication date | Assignee | Title |
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DE19713067C2 (de) * | 1997-03-27 | 2000-07-13 | Katz Medizintechnik | Arthroskopie-Instrument |
US5947984A (en) * | 1997-10-10 | 1999-09-07 | Ethicon Endo-Surger, Inc. | Ultrasonic clamp coagulator apparatus having force limiting clamping mechanism |
US8708210B2 (en) * | 2006-10-05 | 2014-04-29 | Covidien Lp | Method and force-limiting handle mechanism for a surgical instrument |
US8728099B2 (en) * | 2009-05-12 | 2014-05-20 | Ethicon, Inc. | Surgical fasteners, applicator instruments, and methods for deploying surgical fasteners |
US20120078244A1 (en) * | 2010-09-24 | 2012-03-29 | Worrell Barry C | Control features for articulating surgical device |
US8945175B2 (en) * | 2011-01-14 | 2015-02-03 | Covidien Lp | Latch mechanism for surgical instruments |
US9119617B2 (en) * | 2012-03-16 | 2015-09-01 | Ethicon, Inc. | Clamping devices for dispensing surgical fasteners into soft media |
US9943325B2 (en) * | 2013-11-26 | 2018-04-17 | Ethicon Llc | Handpiece and blade configurations for ultrasonic surgical instrument |
DE102014113634A1 (de) * | 2014-09-22 | 2016-03-24 | Aesculap Ag | Modulares chirurgisches Instrument der Ein-Wege-Bauart |
GB201600546D0 (en) * | 2016-01-12 | 2016-02-24 | Gyrus Medical Ltd | Electrosurgical device |
US10349963B2 (en) * | 2016-06-14 | 2019-07-16 | Gyrus Acmi, Inc. | Surgical apparatus with jaw force limiter |
US10792064B2 (en) * | 2016-08-12 | 2020-10-06 | Covidien Lp | Energy-based surgical instrument for treating tissue |
-
2019
- 2019-02-06 KR KR1020207023017A patent/KR102445100B1/ko active IP Right Grant
- 2019-02-06 WO PCT/US2019/016760 patent/WO2019157000A1/en unknown
- 2019-02-06 AU AU2019217523A patent/AU2019217523B2/en active Active
- 2019-02-06 EP EP19710819.4A patent/EP3749229A1/en active Pending
- 2019-02-06 CN CN201980010944.8A patent/CN112040889A/zh active Pending
- 2019-02-06 JP JP2020542304A patent/JP7342009B2/ja active Active
- 2019-02-06 CA CA3094808A patent/CA3094808C/en active Active
Patent Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
DE4411099A1 (de) * | 1994-03-30 | 1995-10-05 | Wolf Gmbh Richard | Medizinisches Instrument |
DE29713490U1 (de) * | 1997-07-29 | 1997-10-30 | Olympus Winter & Ibe Gmbh, 22045 Hamburg | Endoskopisches Schaftgerät |
EP3095399A2 (en) * | 2015-05-22 | 2016-11-23 | Covidien LP | Surgical instruments for performing tonsillectomy, adenoidectomy, and other surgical procedures |
Also Published As
Publication number | Publication date |
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JP7342009B2 (ja) | 2023-09-11 |
KR20200108323A (ko) | 2020-09-17 |
CA3094808C (en) | 2022-10-25 |
CA3094808A1 (en) | 2019-08-15 |
AU2019217523B2 (en) | 2021-09-09 |
CN112040889A (zh) | 2020-12-04 |
EP3749229A1 (en) | 2020-12-16 |
US20210085418A1 (en) | 2021-03-25 |
WO2019157000A1 (en) | 2019-08-15 |
AU2019217523A1 (en) | 2020-08-20 |
KR102445100B1 (ko) | 2022-09-20 |
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