JP4699024B2 - 体の組織に複数の手術用締結具を適用するように適合された手術用器具 - Google Patents
体の組織に複数の手術用締結具を適用するように適合された手術用器具 Download PDFInfo
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- JP4699024B2 JP4699024B2 JP2004380596A JP2004380596A JP4699024B2 JP 4699024 B2 JP4699024 B2 JP 4699024B2 JP 2004380596 A JP2004380596 A JP 2004380596A JP 2004380596 A JP2004380596 A JP 2004380596A JP 4699024 B2 JP4699024 B2 JP 4699024B2
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- cartridge housing
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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
-
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/0023—Surgical instruments, devices or methods, e.g. tourniquets disposable
-
- 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
- A61B2017/07271—Stapler heads characterised by its cartridge
-
- 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
- A61B2017/320052—Guides for cutting instruments
-
- 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
- A61B90/08—Accessories or related features not otherwise provided for
- A61B2090/0814—Preventing re-use
Description
(1)体の組織に複数の手術用締結具を適用するように適合された手術用器具であって、
アンビルと、
上記複数の手術用締結具を収容し、上記アンビルとの間で互いに離れた第1の位置と互いに近づいた第2の位置との間を相対的に移動可能なカートリッジハウジングと、
上記手術用締結具を上記アンビルに向けて押される上記カートリッジハウジングから発射するための上記カートリッジハウジングに関連した発射機構と、
上記手術用器具の閉鎖部材に回動可能に取り付けられた固定レバーを含み、上記固定レバーが遠位の端部、近位の端部、および上記遠位の端部と上記近位の端部の間の中央部分を含み、上記中央部分が上記閉鎖部材に回動可能に取り付けられていて上記固定レバーが制御された形態で回動する、選択的に駆動および停止するために上記カートリッジハウジングと相互に作用する固定機構と、
を有する、手術用器具。
(2)固定レバーが手術用器具の支持構造の基部に向けて下向きにばね付勢されている、上記実施態様(1)記載の手術用器具。
(3)固定レバーの近位の端部がカム面および固定溝を含む、上記実施態様(1)記載の手術用器具。
(4)固定レバーの遠位の端部が、新たなカートリッジハウジングが手術用器具に装填されたときにカートリッジハウジングのドライバーと係合するような形状および寸法を有する、上記実施態様(1)記載の手術用器具。
(5)手術用器具が発射された後に部分的な再接近ができるようになっている、上記実施態様(1)記載の手術用器具。
21 ハンドル
22 右ハンドシュラウド
23 本体部分
24 ハンドグリップ
26 閉鎖トリガー
27 発射トリガー
28 閉鎖部材
29 ポスト
30 遠位の端部
31a 壁
31b 壁
32 移動止め溝
34 右ハンド構造プレート
35 左ハンド構造プレート
36 右ハンド閉鎖リンク
37 左ハンド閉鎖リンク
38 第1の一体閉鎖リンクピン
39 第2の一体閉鎖リンクピン
40 閉鎖アームリンク
41 閉鎖トリガーピボットピン
42 閉鎖ばね
43 発射バー
44 ナイフリトラクター
45 ナイフリトラクターフック
46 受容スロット
47 近位の端部部分
48 摺動面
49 終端側係合面
50 発射トリガーピボットピン
51 発射トリガーリンク
52 先端
53 第1の発射トリガーばねアーム
54 第2の発射トリガーばねアーム
55 発射バー戻りばね
56 クランプ摺動面
57 中間の移動止め
58 閉鎖移動止め
59 解除蓋い
60 蓋いラグ
61 解除ボタン
62 親指台
63 解除トラニオン
64 解除ばね
65 ばね保持ピン
66 ボタンばねポスト
67 凹部
68 左ハンドトグル
69 トグルアーム
70 近位の表面
71 発射バーリトラクションタブ
80 端部エフェクター
80’’ 端部エフェクター
81 支持構造
81’’ 支持構造
82 アンビル支持部(肩部リベット)
83 ポスト
84 壁
85 リッジ
86 基部面
88 溝
89 開口
100 組織保持ピン駆動機構
101 スライド
102 押出しロッド
103 ポスト
104 押出しロッドドライバー
105 スロット
107 溝
108 スロット
109 溝
110 スロット
111 ヨーク
112 ピボットピン
113 カムピン
114 カム面
118’ 軌道
118’’ 軌道
119’ 取り付けピン
119’’ 取り付けピン
120 カートリッジモジュール
120’ カートリッジモジュール
120’’ カートリッジモジュール
121 カートリッジハウジング
121’ カートリッジハウジング
121’’ カートリッジハウジング
122 アンビル
122’ アンビル
122’’ アンビル
123 ワッシャ
123’ ワッシャ
123’’ ワッシャ
124 ガイドピン
125 保持ピン
126 ナイフ
126a 端部
126b 端部
126’’ スロット
127 組織接触面
128 ステープル収容スロット
129 ステープル形成面
129’ ステープル形成面
130 ナイフホルダー
131 ドライバー
132 溝
133 カプラー
134 溝
135 円周スロット
137 スロット
138 移動止めポスト
139 移動止め突起部
140 移動止めポスト
141 近位の移動止め突起部
142 遠位の移動止め突起部
143 開口
144 開口
145 アーム
146 端部キャップ
147a スロット
147b スロット
148 近位の端部
149 近位の端部
150 遠位の端部
151 スロット
152 溝
153 舌部
154 端部
155 アンビルアーム
155’ アンビルアーム
155’’ アンビルアーム
157 切開面
159 突起部
160 リテーナ
161 溝
162 内側ばねアーム
163 収容スロット
164 収容スロット
165 解除タブ
166 親指パッド
167 第1のフィンガー部
168 第2のフィンガー部
170 ワッシャ
170a スロット
170b スロット
171 移動止め
171a スロット
171b スロット
172 スロット
173 リトラクションリッジ
174 タブ
180 安全固定機構
181 固定レバー
182 ピン
184 近位の端部
185 遠位の端部
186 カム面
187 固定溝
188 ポスト
199 スロット
200 スロット
Claims (6)
- 体の組織に複数の手術用締結具を適用するように適合された手術用器具であって、
アンビルと、
上記複数の手術用締結具を収容し、上記アンビルとの間で互いに離れた第1の位置と互いに近づいた第2の位置との間を相対的に移動可能なカートリッジハウジングと、
上記手術用締結具を上記アンビルに向けて押される上記カートリッジハウジングから発射するための上記カートリッジハウジングに関連した発射機構と、
上記手術用器具の閉鎖部材に回動可能に取り付けられた固定レバーを含み、上記固定レバーが遠位の端部、近位の端部、および上記遠位の端部と上記近位の端部の間の中央部分を含み、上記中央部分が上記閉鎖部材に回動可能に取り付けられていて、前記閉鎖部材を選択的に駆動および停止するために上記カートリッジハウジングと相互に作用する固定機構と、
を有し、
前記閉鎖部材が後退して、前記固定レバーが前記カートリッジハウジングのドライバーから離間すると、前記固定レバーが回動することにより、前記固定レバーの前記遠位の端部が前記ドライバーとの係合から解放されるとともに、前記固定レバーの前記近位の端部が前記手術用器具の支持構造と係合可能となり、これにより、前記固定機構が、前記カートリッジハウジングの前記第2の位置への移動を防止しつつ、前記カートリッジハウジングおよび前記アンビルの相対的な再接近を可能にすることにより、前記手術用器具が故障していないことを示す手術用器具。 - 前記ドライバーが移動止めポストを有し、前記カートリッジハウジングが移動止め突起部を有し、前記移動止めポストおよび前記移動止め突起が相互作用することにより、新たなカートリッジハウジングが前記手術用器具に装填されるまで、前記ドライバーの移動が防止される請求項1記載の手術用器具。
- 前記固定レバーが前記手術用器具の前記支持構造の基部に向けてばね付勢されている、請求項1または2に記載の手術用器具。
- 前記固定レバーの前記近位の端部がカム面および固定溝を含む、請求項1乃至3のいずれか1項に記載の手術用器具。
- 前記固定レバーの前記遠位の端部が、新たなカートリッジハウジングが前記手術用器具に装填されたときに前記カートリッジハウジングの前記ドライバーと係合するような形状および寸法を有する、請求項1乃至4のいずれか1項に記載の手術用器具。
- 前記手術用器具が発射された後に部分的な再接近ができるようになっている、請求項1乃至5のいずれか1項に記載の手術用器具。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US532922 | 2000-03-22 | ||
US53292203P | 2003-12-30 | 2003-12-30 |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2005193041A JP2005193041A (ja) | 2005-07-21 |
JP4699024B2 true JP4699024B2 (ja) | 2011-06-08 |
Family
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Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2004380596A Expired - Fee Related JP4699024B2 (ja) | 2003-12-30 | 2004-12-28 | 体の組織に複数の手術用締結具を適用するように適合された手術用器具 |
Country Status (10)
Country | Link |
---|---|
US (1) | US7147139B2 (ja) |
EP (1) | EP1550413B2 (ja) |
JP (1) | JP4699024B2 (ja) |
CN (1) | CN100418483C (ja) |
AT (1) | ATE432659T1 (ja) |
AU (1) | AU2004242483B2 (ja) |
BR (1) | BRPI0405878B1 (ja) |
CA (1) | CA2491072C (ja) |
DE (1) | DE602004021344D1 (ja) |
MX (1) | MXPA05000220A (ja) |
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- 2004-12-20 US US11/014,906 patent/US7147139B2/en active Active
- 2004-12-23 AU AU2004242483A patent/AU2004242483B2/en not_active Ceased
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- 2004-12-28 JP JP2004380596A patent/JP4699024B2/ja not_active Expired - Fee Related
- 2004-12-29 EP EP04258169A patent/EP1550413B2/en active Active
- 2004-12-29 DE DE602004021344T patent/DE602004021344D1/de active Active
- 2004-12-29 AT AT04258169T patent/ATE432659T1/de not_active IP Right Cessation
- 2004-12-30 CN CNB2004101031959A patent/CN100418483C/zh active Active
- 2004-12-30 BR BRPI0405878-0B1A patent/BRPI0405878B1/pt active IP Right Grant
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Patent Citations (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5470006A (en) * | 1990-12-06 | 1995-11-28 | United States Surgical Corporation | Surgical fastening apparatus with locking mechanism |
Also Published As
Publication number | Publication date |
---|---|
AU2004242483B2 (en) | 2011-09-08 |
EP1550413B2 (en) | 2012-10-03 |
US20050139632A1 (en) | 2005-06-30 |
MXPA05000220A (es) | 2005-08-26 |
CA2491072A1 (en) | 2005-06-30 |
US7147139B2 (en) | 2006-12-12 |
BRPI0405878B1 (pt) | 2014-04-15 |
ATE432659T1 (de) | 2009-06-15 |
BRPI0405878A (pt) | 2005-09-20 |
CA2491072C (en) | 2013-04-02 |
JP2005193041A (ja) | 2005-07-21 |
AU2004242483A1 (en) | 2005-07-14 |
CN100418483C (zh) | 2008-09-17 |
EP1550413B1 (en) | 2009-06-03 |
DE602004021344D1 (de) | 2009-07-16 |
EP1550413A1 (en) | 2005-07-06 |
CN1669534A (zh) | 2005-09-21 |
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