JP4607184B2 - 外科用ステープル止め器械 - Google Patents
外科用ステープル止め器械 Download PDFInfo
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- JP4607184B2 JP4607184B2 JP2007533873A JP2007533873A JP4607184B2 JP 4607184 B2 JP4607184 B2 JP 4607184B2 JP 2007533873 A JP2007533873 A JP 2007533873A JP 2007533873 A JP2007533873 A JP 2007533873A JP 4607184 B2 JP4607184 B2 JP 4607184B2
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- anvil
- stapling instrument
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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
-
- 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
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- Life Sciences & Earth Sciences (AREA)
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- General Health & Medical Sciences (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- Engineering & Computer Science (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
- Materials For Medical Uses (AREA)
- Saccharide Compounds (AREA)
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Description
本発明の具体的な実施態様は、次の通りである。
(1)外科用ステープル止め器械において、
ステープル締結組立体(2)であって、
第1の端部(40)および第2の端部(41)、ならびに、凹状側部(42)および凸状側部(43)、を備えた少なくとも1つの湾曲した開放ステープル列(34,35,36,37)、を有する湾曲したカートリッジ器具(12)、および、
前記カートリッジ器具(12)と対向して位置していて、ステープル成形フェース(16)を備えていて、前記カートリッジ器具(12)から出た前記ステープルの端部を成形するよう前記カートリッジ器具(12)と協働するよう構成された、湾曲したアンビル(8)、
を有する、ステープル締結組立体(2)と、
可動器具であって、前記アンビル(8)と前記カートリッジ器具(12)との間に組織(50)を位置決めする離隔位置から、前記組織(50)をクランプする閉鎖位置に、前記アンビル(8)を前記カートリッジ器具(12)に対し、本質的に平行な関係で、相対的に動かすように構成された、可動器具と、
前記ステープルを前記カートリッジ器具(12)から前記アンビル(8)に向かって駆動するよう構成された、ステープル駆動器具と、
第1の側部(44)、および前記第1の側部(44)と反対側の第2の側部(45)、を有するナイフであって、前記カートリッジ器具(12)内に収納され、少なくとも1つのステープル列(34,35)の前記凹状側部上に位置決めされ、前記ナイフの前記第1の側部(44)が、前記ステープル列(34,35)に向いた、ナイフと、
前記ナイフを前記アンビル(8)に向かって動かすよう構成された、ナイフ作動器具と、
を有し
前記ステープル締結組立体(2)は、前記カートリッジ器具(12)と前記アンビル(8)を位置合わせするよう前記カートリッジ器具(12)と前記アンビル(8)との間で動くよう構成された保持ピン(20)を有し、
前記保持ピン(20)は、前記湾曲したステープル列(34,35)の前記第1の端部(40)と前記第2の端部(41)との間の中間領域で前記ナイフの前記第2の側部(45)に設けられている、
外科用ステープル止め器械。
(2)実施態様(1)記載のステープル止め器械において、
シャフト器具(4)、および取っ手、
を有し、
前記ステープル締結組立体(2)は、前記ステープル止め器械(1)の遠位側端部領域に設けられ、
前記取っ手は、前記ステープル止め器械(1)の近位側端部領域で前記シャフト器具(4)から延びている、
ステープル止め器械。
(3)実施態様(2)記載のステープル止め器械において、
前記ステープル締結組立体は、前記シャフト器具の遠位側端部領域に取り外し可能に設けられている、ステープル止め器械。
(4)実施態様(2)または(3)記載のステープル止め器械において、
前記保持ピン(20)の運動は、前記取っ手のところに設けられた作動部材により作動可能である、ステープル止め器械。
(5)実施態様(1)〜実施態様(4)のうちいずれか一に記載のステープル止め器械において、
前記保持ピン(20)の運動方向は、前記カートリッジ器具(12)に対する前記アンビル(8)の相対運動の方向に本質的に平行である、ステープル止め器械。
前記ステープル締結組立体(2)は、前記カートリッジ器具(12)および前記アンビル(8)の凹状内側フェースの方への妨げの無い接近を可能にするよう構成されている、ステープル止め器械。
(7)実施態様(1)〜実施態様(6)のうちいずれか一に記載のステープル止め器械において、
前記アンビル(8)の前記ステープル成形フェース(16)は、概ね平面状である、ステープル止め器械。
(8)実施態様(1)〜実施態様(7)のうちいずれか一に記載のステープル止め器械において、
前記カートリッジ器具(12)および前記アンビル(8)は、断面平面が概ね弧状の形を有し、
前記弧は、10゜〜350゜の角度にわたって延びる、ステープル止め器械。
(9)実施態様(1)〜実施態様(8)のうちいずれか一に記載のステープル止め器械において、
前記アンビル(8)は、前記アンビル(8)の端部から延びると共に、前記カートリッジ器具(12)に対する前記アンビル(8)の前記相対運動方向に平行に概ね延びる、アーム(14)によって支持されている、ステープル止め器械。
前記閉鎖位置における前記カートリッジ器具(12)と前記アンビル(8)との間の距離は、調節可能である、ステープル止め器械。
(11)実施態様(1)〜実施態様(10)のうちいずれか一に記載のステープル止め器械において、
前記カートリッジ器具(12)は、前記ステープルを収納した交換可能なカートリッジを含む、ステープル止め器械。
Claims (11)
- 外科用ステープル止め器械において、
ステープル締結組立体であって、
第1の端部および第2の端部、ならびに、凹状側部および凸状側部、を備えた少なくとも1つの湾曲した開放ステープル列、を有する湾曲したカートリッジ器具、および、
前記カートリッジ器具と対向して位置していて、ステープル成形フェースを備えていて、前記カートリッジ器具から出た前記ステープルの端部を成形するよう前記カートリッジ器具と協働するよう構成された、湾曲したアンビル、
を有する、ステープル締結組立体と、
可動器具であって、前記アンビルと前記カートリッジ器具との間に組織を位置決めする離隔位置から、前記組織をクランプする閉鎖位置に、前記アンビルを前記カートリッジ器具に対し、本質的に平行な関係で、相対的に動かすように構成された、可動器具と、
前記ステープルを前記カートリッジ器具から前記アンビルに向かって駆動するよう構成された、ステープル駆動器具と、
第1の側部、および前記第1の側部と反対側の第2の側部、を有するナイフであって、前記カートリッジ器具内に収納され、少なくとも1つのステープル列の前記凹状側部の側に位置決めされ、前記ナイフの前記第1の側部が、前記ステープル列に向いた、ナイフと、
前記ナイフを前記アンビルに向かって動かすよう構成された、ナイフ作動器具と、
を有し、
前記ステープル締結組立体は、前記カートリッジ器具と前記アンビルを位置合わせするよう前記カートリッジ器具と前記アンビルとの間で動くよう構成された保持ピンを有し、
前記保持ピンは、前記湾曲したステープル列の前記第1の端部と前記第2の端部との間の中間領域で前記ナイフの前記第2の側部の側で前記組織を穿通するように設けられている、
外科用ステープル止め器械。 - 請求項1記載のステープル止め器械において、
シャフト器具、および取っ手、
を有し、
前記ステープル締結組立体は、前記ステープル止め器械の遠位側端部領域に設けられ、
前記取っ手は、前記ステープル止め器械の近位側端部領域で前記シャフト器具から延びている、
ステープル止め器械。 - 請求項2記載のステープル止め器械において、
前記ステープル締結組立体は、前記シャフト器具の遠位側端部領域に取り外し可能に設けられている、ステープル止め器械。 - 請求項2または3記載のステープル止め器械において、
前記保持ピンの運動は、前記取っ手のところに設けられた作動部材により作動可能である、ステープル止め器械。 - 請求項1〜請求項4のうちいずれか一項に記載のステープル止め器械において、
前記保持ピンの運動方向は、前記カートリッジ器具に対する前記アンビルの相対運動の方向に本質的に平行である、ステープル止め器械。 - 請求項1〜請求項5のうちいずれか一項に記載のステープル止め器械において、
前記ステープル締結組立体は、前記カートリッジ器具および前記アンビルの凹状内側フェースの方への妨げの無い接近を可能にするよう構成されている、ステープル止め器械。 - 請求項1〜請求項6のうちいずれか一項に記載のステープル止め器械において、
前記アンビルの前記ステープル成形フェースは、概ね平面状である、ステープル止め器械。 - 請求項1〜請求項7のうちいずれか一項に記載のステープル止め器械において、
前記カートリッジ器具および前記アンビルは、断面平面が概ね弧状の形を有し、
前記弧は、10゜〜350゜の角度にわたって延びる、ステープル止め器械。 - 請求項1〜請求項8のうちいずれか一項に記載のステープル止め器械において、
前記アンビルは、前記アンビルの端部から延びると共に、前記カートリッジ器具に対する前記アンビルの前記相対運動方向に平行に概ね延びる、アームによって支持されている、ステープル止め器械。 - 請求項1〜請求項9のうちいずれか一項に記載のステープル止め器械において、
前記閉鎖位置における前記カートリッジ器具と前記アンビルとの間の距離は、調節可能である、ステープル止め器械。 - 請求項1〜請求項10のうちいずれか一項に記載のステープル止め器械において、
前記カートリッジ器具は、前記ステープルを収納した交換可能なカートリッジを含む、ステープル止め器械。
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
PCT/EP2004/010925 WO2006037352A2 (en) | 2004-09-30 | 2004-09-30 | Surgical stapling instrument |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2008514319A JP2008514319A (ja) | 2008-05-08 |
JP4607184B2 true JP4607184B2 (ja) | 2011-01-05 |
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Application Number | Title | Priority Date | Filing Date |
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JP2007533873A Active JP4607184B2 (ja) | 2004-09-30 | 2004-09-30 | 外科用ステープル止め器械 |
Country Status (18)
Country | Link |
---|---|
US (1) | US7735704B2 (ja) |
EP (1) | EP1793742B1 (ja) |
JP (1) | JP4607184B2 (ja) |
CN (1) | CN100522076C (ja) |
AT (1) | ATE389357T1 (ja) |
AU (1) | AU2004323848B2 (ja) |
BR (1) | BRPI0419120B8 (ja) |
CA (1) | CA2583581C (ja) |
CY (1) | CY1108136T1 (ja) |
DE (1) | DE602004012622T2 (ja) |
DK (1) | DK1793742T3 (ja) |
ES (1) | ES2303648T3 (ja) |
HK (1) | HK1098939A1 (ja) |
MX (1) | MX2007003818A (ja) |
PL (1) | PL1793742T3 (ja) |
PT (1) | PT1793742E (ja) |
SI (1) | SI1793742T1 (ja) |
WO (1) | WO2006037352A2 (ja) |
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2004
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DE602004012622D1 (de) | 2008-04-30 |
AU2004323848B2 (en) | 2011-07-28 |
CN100522076C (zh) | 2009-08-05 |
PT1793742E (pt) | 2008-04-18 |
SI1793742T1 (sl) | 2008-08-31 |
ATE389357T1 (de) | 2008-04-15 |
CA2583581C (en) | 2012-04-24 |
HK1098939A1 (en) | 2007-08-03 |
BRPI0419120B8 (pt) | 2021-06-22 |
WO2006037352A2 (en) | 2006-04-13 |
AU2004323848A1 (en) | 2006-04-13 |
BRPI0419120B1 (pt) | 2015-01-13 |
JP2008514319A (ja) | 2008-05-08 |
CY1108136T1 (el) | 2014-02-12 |
EP1793742A2 (en) | 2007-06-13 |
BRPI0419120A (pt) | 2007-12-11 |
DK1793742T3 (da) | 2008-07-21 |
MX2007003818A (es) | 2007-04-23 |
US20080093415A1 (en) | 2008-04-24 |
ES2303648T3 (es) | 2008-08-16 |
CA2583581A1 (en) | 2006-04-13 |
EP1793742B1 (en) | 2008-03-19 |
US7735704B2 (en) | 2010-06-15 |
DE602004012622T2 (de) | 2009-04-16 |
PL1793742T3 (pl) | 2008-10-31 |
WO2006037352A3 (en) | 2006-07-13 |
CN101031246A (zh) | 2007-09-05 |
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