JP4435094B2 - 拡張可能なニードル縫合装置及び関連するハンドル・アセンブリー - Google Patents
拡張可能なニードル縫合装置及び関連するハンドル・アセンブリー Download PDFInfo
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- JP4435094B2 JP4435094B2 JP2005518911A JP2005518911A JP4435094B2 JP 4435094 B2 JP4435094 B2 JP 4435094B2 JP 2005518911 A JP2005518911 A JP 2005518911A JP 2005518911 A JP2005518911 A JP 2005518911A JP 4435094 B2 JP4435094 B2 JP 4435094B2
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- Prior art keywords
- suture
- needle
- slot
- arm
- needle assembly
- 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 - Fee Related
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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
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/06066—Needles, e.g. needle tip configurations
- A61B17/06109—Big needles, either gripped by hand or connectable to a handle
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/06004—Means for attaching suture to needle
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/06004—Means for attaching suture to needle
- A61B2017/06009—Means for attaching suture to needle having additional means for releasably clamping the suture to the needle, e.g. actuating rod slideable within the needle
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/06004—Means for attaching suture to needle
- A61B2017/06042—Means for attaching suture to needle located close to needle tip
-
- 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
- A61B2017/292—Handles transmission of forces to actuating rod or piston details of linkages or pivot points connection of actuating rod to handle, e.g. ball end in recess
-
- 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
- A61B2017/2924—Translation movement of handle without rotating movement
Description
とができる。そして、縫合糸を所定の場所に残して、ニードル・アセンブリーを身体組織から取り外せる。
離されているショルダー・ストップ(shoulder stop)31を設けることができることに留意されたい。縮んだ位置でニードル・アセンブリー20の遠方側先端部22がシャフト14に入るのを、これらのショルダー・ストップ31が防止している。
の場合、二股の部分24及び26がそれぞれ後ろ側アーム36及び捕捉用アーム38として機能している。捕捉用アーム38はスロット28aの遠方側端部で後ろ側アーム36と一体にできるが、好ましくは、スロット28aの手前側端部で後ろ側アーム36から別れている。この位置で、捕捉用アーム38aが後ろ側アーム36aから切り離されて、通路40を形成しているが、曲がり部を通るのでニードルの柔軟度を高められる。さらに、配置している間に中空シャフト14aの遠方側に通路40が露出している場合、その通路40により縫合糸をスロット28aに引込みやすくすることもできる。
この実施例では中空シャフトが多様な曲がり形状を持つことができ、それぞれを特定の解剖学的領域ないし表示に適合させ、又、後ろ側アーム70と捕捉用アーム72を含む関連したニードル・アセンブリーをシャフトの形状に合わせることができる。
ドル部分74が縫合糸用スロット67の一部を形成する。前述のように、種々の形状にしうる。厚い部分74の手前側で直径を小さくでき、薄い部分78を作れる。この薄い部分78により、中空シャフト14の曲がりを通ってニードルを容易に動かせるようになる。
に開口部94の位置を十分手前側にすることが望ましい。
そして、遠方側に動かすことにより、外すことができる。親指スライドを押し下げない場合、歯130がスロット132に戻って落ち込み、縫合糸が捕捉されるが、ニードルの穴部分内で自由に滑る。この状態で、縫合糸32を取り外せる。親指スライド18を押し下げることにより、歯130をスロット132から取り外せて、親指スライド18を遠方側にさらに移動できる。この遠方側への移動で、ニードル・アセンブリー20の二股の部分24及び26を開き、縫合糸32を完全に離す。
Claims (5)
- 中空形状を有する長いシャフト(14)、
該シャフトに接続したハンドル・アセンブリー(12)、
手前側端部と遠方側端部を有し、ハンドル・アセンブリーとシャフトの間に伸びるように配置されている操作ロッド(16b)、
操作ロッドの遠方側端部に配置され、操作ロッドにより、伸ばした状態と縮めた状態の間で移動できるニードル・アセンブリー(20b)、
手前側端部と遠方側端部を有する縫合糸用スロット(28b)を形成し、後ろ側アーム(36b)と捕捉用アーム(38b)を有するニードル・アセンブリーの二股の部分、
後ろ側アームの遠方端部に形成された鋭利なニードル先端部(22b)、
を具備し、捕捉用アーム(38b)は縫合糸用スロットの手前側端部で後ろ側アーム(36b)と一体になり、二股部分は、ニードル・アセンブリを縮めた状態の時に接近した関係になり、操作ロッドが伸びた状態の時に離れた関係になり、
操作ロッドが伸びた状態にある時に縫合糸用スロット(28b)内に幅広の通路(42)を形成する捕捉用アームの曲がり部(46、48、50)、
を具備し、該二股部分は離れた関係にあって、操作ロッドが伸びた状態から縮んだ状態に動かされる時に縫合糸を後ろ側アームに向って寄せ集めて縫合糸用スロット内への縫合糸の捕捉を容易にするように捕捉用アーム(38b)の遠方側先端部を後ろ側アーム(36b)に向って動かして接触させるようにすると共に、操作ロッドが縫合糸を保持するように縮んだ状態に十分にある時に、ニードル先端部から遠方側に伸びる小部分(44)と整列するように捕捉用アーム(38b)を真っ直ぐにし、
ニードル・アセンブリが縮んだ状態に偏倚され、
二股部分が離れた関係に偏倚されたことを特徴とする、軸心に沿って伸び且つ手前側端部と遠方側端部を有し、身体組織を通して縫合糸(32)を動かすように操作できる外科用装置(10)において、
縫合糸用スロットの遠方側端部にて縫合糸を保持するための小さな開口部(52)を形成するようにニードル先端部から手前側に伸びる小部分(44)を備えたことを特徴とする外科用装置。 - 捕捉用アーム(38b)の曲がり部(46、48、50)が、縫合糸用スロット(28b)の遠方側端部よりも、縫合糸用スロットの手前側端部に近くなるように配置されていることを特徴とする請求項1に記載されている外科用装置。
- 捕捉用アームの部分が、縫合糸用スロットの手前側端部よりも、縫合糸用スロットの遠方側端部に近くなるように配置されていることを特徴とする請求項2に記載されている外科用装置。
- ニードル・アセンブリー(20b)の縮んだ位置で、捕捉用アーム(38b)が後ろ側アーム(36b)に自由に接触することを特徴とする請求項3に記載されている外科用装置。
- 縫合糸用のスロット(28b)の手前側端部及び遠方側端部の少なくとも一方を丸くして縫合糸の損傷を防止していることを特徴とする請求項1に記載されている外科用装置。
Applications Claiming Priority (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US45585903P | 2003-03-18 | 2003-03-18 | |
US50004603P | 2003-09-03 | 2003-09-03 | |
US10/803,406 US8066718B2 (en) | 2003-03-18 | 2004-03-17 | Expandable needle suture apparatus and associated handle assembly |
PCT/US2004/008669 WO2004082725A2 (en) | 2003-03-18 | 2004-03-18 | Expandable needle suture apparatus and associated handle assembly |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2009133419A Division JP5119205B2 (ja) | 2003-03-18 | 2009-06-02 | 拡張可能なニードル縫合装置及び関連するハンドル・アセンブリー |
Publications (2)
Publication Number | Publication Date |
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JP2007524425A JP2007524425A (ja) | 2007-08-30 |
JP4435094B2 true JP4435094B2 (ja) | 2010-03-17 |
Family
ID=33033158
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
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JP2005518911A Expired - Fee Related JP4435094B2 (ja) | 2003-03-18 | 2004-03-18 | 拡張可能なニードル縫合装置及び関連するハンドル・アセンブリー |
JP2009133419A Expired - Fee Related JP5119205B2 (ja) | 2003-03-18 | 2009-06-02 | 拡張可能なニードル縫合装置及び関連するハンドル・アセンブリー |
Family Applications After (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2009133419A Expired - Fee Related JP5119205B2 (ja) | 2003-03-18 | 2009-06-02 | 拡張可能なニードル縫合装置及び関連するハンドル・アセンブリー |
Country Status (6)
Country | Link |
---|---|
US (3) | US8066718B2 (ja) |
EP (2) | EP2213246B1 (ja) |
JP (2) | JP4435094B2 (ja) |
AU (1) | AU2004222262B2 (ja) |
CA (1) | CA2519317C (ja) |
WO (1) | WO2004082725A2 (ja) |
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2004
- 2004-03-17 US US10/803,406 patent/US8066718B2/en not_active Expired - Lifetime
- 2004-03-18 CA CA002519317A patent/CA2519317C/en not_active Expired - Fee Related
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US8758368B2 (en) | 2014-06-24 |
EP1620143B1 (en) | 2016-10-12 |
US20190321027A9 (en) | 2019-10-24 |
JP2009226224A (ja) | 2009-10-08 |
US10555731B2 (en) | 2020-02-11 |
CA2519317A1 (en) | 2004-09-30 |
US20040249393A1 (en) | 2004-12-09 |
JP2007524425A (ja) | 2007-08-30 |
AU2004222262A1 (en) | 2004-09-30 |
JP5119205B2 (ja) | 2013-01-16 |
AU2004222262B2 (en) | 2008-07-31 |
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