JP3955611B2 - 複数の外科用ファスナを身体組織につけるための外科装置 - Google Patents
複数の外科用ファスナを身体組織につけるための外科装置 Download PDFInfo
- Publication number
- JP3955611B2 JP3955611B2 JP2005337566A JP2005337566A JP3955611B2 JP 3955611 B2 JP3955611 B2 JP 3955611B2 JP 2005337566 A JP2005337566 A JP 2005337566A JP 2005337566 A JP2005337566 A JP 2005337566A JP 3955611 B2 JP3955611 B2 JP 3955611B2
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- Japan
- Prior art keywords
- anvil
- surgical
- coupling
- housing
- distal end
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Lifetime
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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
- A61B17/068—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
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
-
- 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
-
- 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
- A61B2017/2927—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft
- A61B2017/2929—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft with a head rotatable about the longitudinal axis of the 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
- A61B2017/2926—Details of heads or jaws
- A61B2017/2932—Transmission of forces to jaw members
- A61B2017/2933—Transmission of forces to jaw members camming or guiding means
Description
a)細長いボディ部分を備え、該細長いボディ部分の中に駆動シャフトが配置されており、
b)複数の外科用ファスナを支持するハウジングを備え、該ハウジングは、外科装置の前記細長いボディ部分の遠位端部分に配置されており、
c)前記細長いボディ部分の遠位端部分に配置され、かつ、前記ハウジングに対して開位置と閉位置との間で移動可能なように取付けられたアンビルと、
d)前記ハウジングおよび前記アンビルに対して並進運動して、前記アンビルを開位置から閉位置に移動させ、外科用ファスナを前記ハウジングから排出して、前記アンビルに対して形成するように構成された作動機構と、
e)前記作動機構の並進運動を行うために、前記作動機構にねじ結合した軸線方向駆動ネジとを備え、前記軸線方向駆動ネジの近位端は、前記駆動シャフトの遠位端に着脱自在に連結されるように構成され、それによって、前記軸線方向駆動ネジが軸線のまわりに回転することにより、前記作動機構を長手方向に並進運動させるようにした、ことを特徴としている。
12 ハンドル部分
14 ボディ部分
16 カートリッジ組立体
18 バレル部分
20 ハンドルグリップ部分
22 モータ組立体
24 ギアセット
26 ピニオンギア
28 第1の遊星歯車セット
30 キャリア
32 リングギア
34 第2の遊星歯車セット
36 ハブ部材
38 受入れポート
42 駆動シャフト
44 引き金
45a、45b 電池
46 スイッチ組立体
48 リンクバー
52 環状カラー
56a 突起
56b 突起
58a 窪み
58b 窪み
60a 係合解除パッド
60b 係合解除パッド
70 カートリッジアダプタ
76 カートリッジカップリング
78 軸線方向駆動ネジ
80 ハウジングチャネル
86 アンビル
90 ファスナ保持カートリッジ
92 静止支持体取付け部材
100 作動ビーム
104 カムローラ
108 カムビーム
120 作動そり
124 カムプレート
125 駆動プレート
130 切断ブレード
140 シャフトカップリング
144 スロット
145 歯
150 カップリングバネ
Claims (9)
- 複数の外科用ファスナを身体組織につけるように構成された外科装置であって、
a)細長いボディ部分(14)を備え、該細長いボディ部分(14)の中に駆動シャフト(42)が配置されており、
b)複数の外科用ファスナを支持するハウジング(80)を備え、該ハウジング(80)は、外科装置の前記細長いボディ部分(14)の遠位端部分に配置されており、
c)前記細長いボディ部分(14)の遠位端部分に配置され、かつ、前記ハウジング(80)に対して開位置と閉位置との間で移動可能なように取付けられたアンビル(86)と、
d)前記ハウジング(80)および前記アンビル(86)に対して並進運動して、前記アンビル(86)を開位置から閉位置に移動させ、外科用ファスナを前記ハウジング(80)から排出して、前記アンビル(86)に対して形成するように構成された作動機構(100)と、
e)前記作動機構(100)の並進運動を行うために、前記作動機構(100)にねじ結合した軸線方向駆動ネジ(78)とを備え、前記軸線方向駆動ネジ(78)の近位端は、前記駆動シャフト(42)の遠位端に着脱自在に連結されるように構成され、それによって、前記軸線方向駆動ネジ(78)が軸線のまわりに回転することにより、前記作動機構(100)を長手方向に並進運動させるようにした、
ことを特徴とする外科装置。 - 前記駆動シャフト(42)の遠位端は、バネによって付勢されたカップリング機構によって、前記軸線方向駆動ネジ(78)の近位端に着脱自在に連結されることを特徴とする、請求項1に記載の外科装置。
- 前記カップリング機構は、圧縮バネを含んでおり、前記圧縮バネは、軸線方向駆動ネジ(78)と、前記駆動シャフト(42)の遠位端との係合を容易にするように構成されることを特徴とする、請求項2に記載の外科装置。
- さらに、前記駆動シャフト(42)と前記軸線方向駆動ネジ(78)を相互に連結するシャフトカップリング(140)を備え、該シャフトカップリング(140)は、前記駆動シャフト(42)に対して回転可能に固定され、かつ、前記細長いボディ部分(14)に対して長手方向に摺動可能であり、かつ、前記シャフトカップリング(140)は、長手方向に付勢されて、前記軸線方向駆動ネジ(78)と作動可能に係合するようになっており、さらに、前記軸線方向駆動ネジ(78)に作動可能に連結されたカートリッジカップリング(76)を備えており、該カートリッジカップリング(76)は、近位方向に延びる歯(145)を有しており、前記シャフトカップリング(140)は、遠位方向に延びるスロット(144)を有しており、前記シャフトカップリング(140)のスロット(144)は付勢されて、前記カートリッジカップリング(76)の歯(145)と係合するようになっていることを特徴とする、請求項2に記載の外科装置。
- さらに、ステープル留めされた身体組織に切開部を形成するために、前記作動機構(100)に関連して、前記ハウジング(80)および前記アンビル(86)に対して並進運動するように構成された切断ブレード(130)を備えることを特徴とする、請求項1に記載の外科装置。
- 前記アンビル(86)は、通常、開位置になるように付勢されることを特徴とする、請求項1に記載の外科装置。
- 前記アンビル(86)は、前記ハウジング(80)からファスナが排出されるときに、該ファスナを押しつけるファスナ成形面と、対向するカム面とを有することを特徴とする、請求項1に記載の外科装置。
- 前記作動機構は、円筒状のカムローラ(104)を支持するビーム(100)を含んでおり、前記作動機構が長手方向に並進運動する間に、前記アンビルの対向するカム面を移動させるために、前記円筒状のカムローラ(104)は、前記アンビル(86)の対向するカム面と係合するように寸法決めされ且つ形成されていることを特徴とする、請求項7に記載の外科装置。
- 前記カムローラ(104)を受け入れ、かつ、ファスナ付け作業の終了のときに、前記アンビル(86)を通常の付勢された開位置に戻すためのスロットが、前記アンビル(86)に形成されることを特徴とする、請求項8に記載の外科装置。
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US31985294A | 1994-10-07 | 1994-10-07 |
Related Parent Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP7198896A Division JPH08182684A (ja) | 1994-10-07 | 1995-08-04 | 外科用ファスナをつけるための自家動力付き外科装置 |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2006116331A JP2006116331A (ja) | 2006-05-11 |
JP3955611B2 true JP3955611B2 (ja) | 2007-08-08 |
Family
ID=23243889
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP7198896A Pending JPH08182684A (ja) | 1994-10-07 | 1995-08-04 | 外科用ファスナをつけるための自家動力付き外科装置 |
JP2005337566A Expired - Lifetime JP3955611B2 (ja) | 1994-10-07 | 2005-11-22 | 複数の外科用ファスナを身体組織につけるための外科装置 |
Family Applications Before (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP7198896A Pending JPH08182684A (ja) | 1994-10-07 | 1995-08-04 | 外科用ファスナをつけるための自家動力付き外科装置 |
Country Status (4)
Country | Link |
---|---|
EP (1) | EP0705571A1 (ja) |
JP (2) | JPH08182684A (ja) |
AU (1) | AU707847B2 (ja) |
CA (1) | CA2155476C (ja) |
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-
1995
- 1995-08-03 EP EP95112237A patent/EP0705571A1/en not_active Withdrawn
- 1995-08-04 JP JP7198896A patent/JPH08182684A/ja active Pending
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- 1995-09-28 AU AU32941/95A patent/AU707847B2/en not_active Expired
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2005
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JPH08182684A (ja) | 1996-07-16 |
AU707847B2 (en) | 1999-07-22 |
AU3294195A (en) | 1996-04-18 |
EP0705571A1 (en) | 1996-04-10 |
CA2155476C (en) | 2007-05-01 |
JP2006116331A (ja) | 2006-05-11 |
CA2155476A1 (en) | 1996-04-08 |
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