JP4102393B2 - 器官の全厚を切除するデバイス及びシステム - Google Patents
器官の全厚を切除するデバイス及びシステム Download PDFInfo
- Publication number
- JP4102393B2 JP4102393B2 JP2005226284A JP2005226284A JP4102393B2 JP 4102393 B2 JP4102393 B2 JP 4102393B2 JP 2005226284 A JP2005226284 A JP 2005226284A JP 2005226284 A JP2005226284 A JP 2005226284A JP 4102393 B2 JP4102393 B2 JP 4102393B2
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- Prior art keywords
- staple
- blade
- anvil
- endoscope
- tissue
- 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
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in 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
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00353—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery one mechanical instrument performing multiple functions, e.g. cutting and grasping
-
- 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
- A61B17/068—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
- A61B2017/07221—Stapler heads curved
-
- 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
- A61B2017/0725—Stapler heads with settable gap between anvil and cartridge, e.g. for different staple heights at different shots
-
- 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
- A61B2017/2905—Details of shaft flexible
-
- 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
-
- 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
- A61B2090/038—Automatic limiting or abutting means, e.g. for safety during shipment
-
- 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
- A61B90/30—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
- A61B2090/306—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure using optical fibres
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Description
複数のステープルの各々が撃発された後、楔部材402は逆方向に駆動されることにより新たな複数のステープルを再装填し得る。楔部材402は各ステープル・ドライバ472のいずれによっても捕捉されることなくステープル撃発方向とは逆の方向に回転され得る、と言うのも、各ステープル・ドライバはカム表面412の第2湾曲部分412bにより経路から押し出されるからである。
6 制御ハンドル
8 内視鏡
10 アンビル部材
Claims (12)
- 器官の全厚部分を除去する装置であって、
可撓内視鏡と、
該内視鏡を摺動可能に自身を通して受容する作動ヘッド・アセンブリであって、該作動ヘッド・アセンブリは、組織受容位置とステープル綴じ位置との間で上記作動ヘッド・アセンブリの長手軸心に対してほぼ平行な軸心のまわりで回転するように互いに連結されたステープル綴じ部とアンビルとを含み、該ステープル綴じ部は総てがほぼ真っ直ぐな線に沿って延在する複数のステープル・スリットを含むという作動ヘッド・アセンブリと、
を備える装置。 - 上記のほぼ真っ直ぐな線は上記作動ヘッド・アセンブリの長手軸心に対しほぼ平行である、請求項1に記載の装置。
- 上記作動ヘッド・アセンブリは、上記ステープル綴じ部及び上記アンビルへ連結される接続アダプタを含み、上記ステープル綴じ部と上記アンビルが上記組織受容位置とステープル綴じ位置との間で互いに対して回転するときに、上記アンビルと上記ステープル綴じ部の両方が上記接続アダプタに対して回転するようになっている、請求項1に記載の装置。
- 上記作動ヘッド・アセンブリが身体内の作用位置にあるときに、身体の外部に留まる制御ユニットを更に具備する、請求項1に記載の装置。
- 駆動機構へ連結されるブレードを更に具備し、該駆動機構は、当該装置によってステープル綴じされる組織の部分に近接する組織の部分を切断すべく上記のほぼ真っ直ぐな線に対しほぼ平行な経路に沿って上記ブレードを移動する、請求項1に記載の装置。
- 上記接続アダプタの末端は、上記ステープル綴じ位置にあるときにおける上記アンビルと上記ステープル綴じ部の形状にほぼ合致する形状を有している、請求項1に記載の装置。
- 上記ブレードからの組織の離間移動に対して抵抗を与える可撓ブレード・シールドを更に具備する、請求項1に記載の装置。
- 初期位置から最終位置へと移動されるときに上記ブレードは上記可撓ブレード・シールドを切断する、請求項7に記載の装置。
- 上記可撓ブレード・シールドは二つの部分で形成され上記ブレードは上記二つの部分の間を通過する、請求項7に記載の装置。
- 上記駆動機構は上記ステープル綴じ部と上記アンビルとのうちの少なくとも一つに連結される長手方向に弾性的なプッシュ・ロッドを含む、請求項5に記載の装置。
- 上記ステープル綴じ部は、該ステープル綴じ部内に摺動可能に受容されるステープル打込み部材を含み、上記ブレードは上記ステープル打込み部材に連結される、請求項10に記載の装置。
- 上記駆動機構は、上記ステープル打込み部材に連結されるワイヤを更に含む、請求項11に記載の装置。
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US09/100,393 US6126058A (en) | 1998-06-19 | 1998-06-19 | Method and device for full thickness resectioning of an organ |
Related Parent Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2000617804A Division JP4328469B2 (ja) | 1998-06-19 | 1999-05-17 | 器官の全厚を切除するデバイス及びシステム |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2005319331A JP2005319331A (ja) | 2005-11-17 |
JP4102393B2 true JP4102393B2 (ja) | 2008-06-18 |
Family
ID=22279520
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2000617804A Expired - Lifetime JP4328469B2 (ja) | 1998-06-19 | 1999-05-17 | 器官の全厚を切除するデバイス及びシステム |
JP2005226284A Expired - Lifetime JP4102393B2 (ja) | 1998-06-19 | 2005-08-04 | 器官の全厚を切除するデバイス及びシステム |
Family Applications Before (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2000617804A Expired - Lifetime JP4328469B2 (ja) | 1998-06-19 | 1999-05-17 | 器官の全厚を切除するデバイス及びシステム |
Country Status (8)
Country | Link |
---|---|
US (4) | US6126058A (ja) |
EP (1) | EP1091695B1 (ja) |
JP (2) | JP4328469B2 (ja) |
AT (1) | ATE550998T1 (ja) |
AU (1) | AU761832B2 (ja) |
CA (1) | CA2333690C (ja) |
ES (1) | ES2384224T3 (ja) |
WO (1) | WO2000069344A1 (ja) |
Families Citing this family (1102)
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- 1999-05-17 JP JP2000617804A patent/JP4328469B2/ja not_active Expired - Lifetime
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ATE550998T1 (de) | 2012-04-15 |
JP4328469B2 (ja) | 2009-09-09 |
AU3998399A (en) | 2000-12-05 |
EP1091695A1 (en) | 2001-04-18 |
JP2002543911A (ja) | 2002-12-24 |
JP2005319331A (ja) | 2005-11-17 |
CA2333690A1 (en) | 2000-11-23 |
AU761832B2 (en) | 2003-06-12 |
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