JP4785866B2 - 止血用マルチクリップ展開装置 - Google Patents
止血用マルチクリップ展開装置 Download PDFInfo
- Publication number
- JP4785866B2 JP4785866B2 JP2007550529A JP2007550529A JP4785866B2 JP 4785866 B2 JP4785866 B2 JP 4785866B2 JP 2007550529 A JP2007550529 A JP 2007550529A JP 2007550529 A JP2007550529 A JP 2007550529A JP 4785866 B2 JP4785866 B2 JP 4785866B2
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- Prior art keywords
- clip
- magazine
- farthest
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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
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/128—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips
- A61B17/1285—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips for minimally invasive surgery
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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
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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
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/122—Clamps or clips, e.g. for the umbilical cord
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/08—Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound
- A61B17/083—Clips, e.g. resilient
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/122—Clamps or clips, e.g. for the umbilical cord
- A61B17/1227—Spring clips
-
- 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
- A61B17/0487—Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks
- A61B2017/0488—Instruments for applying suture clamps, clips or locks
-
- 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
- A61B2017/2937—Transmission of forces to jaw members camming or guiding means with flexible part
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- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
- Y10T29/00—Metal working
- Y10T29/53—Means to assemble or disassemble
- Y10T29/53478—Means to assemble or disassemble with magazine supply
- Y10T29/53487—Assembling means comprising hand-manipulatable implement
- Y10T29/53491—One work part comprising living tissue
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Molecular Biology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Reproductive Health (AREA)
- Vascular Medicine (AREA)
- Surgical Instruments (AREA)
Description
Claims (23)
- 止血用マルチクリップを展開するための装置であって、ハンドルに連結される軸と、前記ハンドルに操作可能に連結される制御リンケージと、軸の遠位端に配置されるマガジンとを含み、前記マガジンが、マガジン内で回転可能なチェーンに配置される複数のクリップを含み、前記クリップのうち最近位置のクリップが、前記制御リンケージに連結され、前記マガジンの遠位部が、前記制御リンケージの遠位置のストロークの間に、前記クリップのうち最遠位置のクリップを開くことができ、前記制御リンケージの近位置のストロークの間に、前記最遠位置のクリップを閉じて係止するように形成され、前記マガジンが、最遠位置から直近位置ある次クリップが、クリップチェーンから前記最遠位置のクリップを分離するのに十分な程度まで任意の回転方向で開くことができる大きさの拡大チャンバを含む装置。
- 前記拡大チャンバを形成しているマガジンの壁の拡大領域をさらに含み、前記拡大領域が、前記マガジンの周囲全体に広がる、請求項1に記載の装置。
- 前記拡大チャンバが、マガジンの軸から円周方向に延伸する、請求項1に記載の装置。
- 前記マガジンの遠位部が、前記最遠位置のクリップのクリップアーム周りに係止リングを配置することによって、前記最遠位置のクリップを係止するように適合している、請求項1に記載の装置。
- 前記拡大チャンバの直径が、前記次クリップが部分的に開いて前記遠位置のクリップの連結機能部を解放するときの、前記次クリップのクリップアームによって規定される寸法に実質的に対応する、請求項1に記載の装置。
- 前記連結機能部が、前記次クリップのクリップアームを開くカムとして作動する、請求項5に記載の装置。
- 前記連結機能部が、前記クリップの近位置に配置されている、拡径の突出部を含む、請求項5に記載の装置。
- 前記クリップチェーンが、前記マガジンの長手方向軸に沿って回転できる、請求項1に記載の装置。
- 前記クリップチェーンが、動作の制約を受けないときは、開いた構成をとるように設計されたクリップを含む、請求項1に記載の装置。
- 前記係止リングが、前記クリップアームの上の係止位置とクリップアームから遠位置で非係止位置との間で移動できる、請求項4に記載の装置。
- 前記拡大領域が、近位置のストローク後、前記次クリップの位置に対応するように前記マガジンに位置する、請求項1に記載の装置。
- 止血用クリップを展開するための装置であって、制御リンケージと、前記制御リンケージの遠位端に連結されるマガジンとを含み、前記マガジンが、制御リンケージに連結されるクリップの最近位置の1つを有するチェーンに配置される複数のクリップを含み、前記マガジンが、前記制御リンケージの遠位置のストロークの間に、前記クリップのうち最遠位置のクリップを開くことができ、前記制御リンケージの近位置のストロークの間に、前記最遠位置のクリップを閉じて係止するように形成されるように配置されるように形成される遠位部を含み、前記マガジンが、前記制御リンケージの近位置のストロークによって、前記最遠位置のクリップを閉じて係止するときに、前記最遠位置のクリップの直近位置に位置する次クリップが、前記最遠位置のクリップを分離させるのに十分な程度まで開くことができるように設置される分離チャンバを含む装置。
- 外科処置用マルチクリップマガジンであって、実質的に円筒状のシェルと、クリップ展開装置との連結に適合した前記シェルの近位端と、回転可能なクリップチェーンを含む中心ルーメンと、クリップ展開開口部および前記クリップチェーンの最遠位置のクリップを容易に開き、そして閉じて係止させるように適合した表面機能部を有する前記シェルの遠位端と、前記最遠位置のクリップの直近位置の次クリップが、任意の回転方向に向く間、前記最遠位置のクリップを開いて解放するための前記次クリップに領域を提供する前記シェルの拡大部とを含むマルチクリップマガジン。
- 前記近位端が、前記クリップチェーンに動作可能に連結できる制御リンケージを受け入れるように適合する、請求項13に記載のマルチクリップマガジン。
- 前記拡大部が、前記シェルの円周方向に延伸する、請求項13に記載のマルチクリップマガジン。
- 前記拡大部が、前記シェルの全円周方向に延伸する、請求項13に記載のマルチクリップマガジン。
- 前記拡大部が、前記シェルの他の部分に対して拡径された前記シェルの円周隆起部を含む、請求項13に記載のマルチクリップマガジン。
- 前記円周隆起部が、前記最遠位置のクリップを解放するように十分に開くとき、前記次クリップの寸法に実質的に対応する半径を有する、請求項15に記載のマルチクリップマガジン。
- 前記拡大部が、前記マルチクリップマガジンの縦軸に関して対称である、請求項13に記載のマルチクリップマガジン。
- 前記クリップチェーンが、止血クリップを含む、請求項13に記載のマルチクリップマガジン。
- 前記シェルが、内視鏡器具を介した患者への挿入に適合している、請求項13に記載のマルチクリップマガジン。
- 前記最遠位置のクリップの係止リングをクリップの係止位置の方への移動に適合している遠位置の表面機能部をさらに含む、請求項13に記載のマルチクリップマガジン。
- 前記拡大部の外側の前記シェルの直径が、前記クリップチェーンの閉じたクリップの寸法に実質的に等しい、請求項13に記載のマルチクリップマガジン。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US11/032,973 | 2005-01-11 | ||
US11/032,973 US8080021B2 (en) | 2005-01-11 | 2005-01-11 | Multiple clip deployment magazine |
PCT/US2006/000610 WO2006076263A2 (en) | 2005-01-11 | 2006-01-09 | Hemostatic multiclip deployment apparatus |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2008526376A JP2008526376A (ja) | 2008-07-24 |
JP4785866B2 true JP4785866B2 (ja) | 2011-10-05 |
Family
ID=36215663
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2007550529A Expired - Fee Related JP4785866B2 (ja) | 2005-01-11 | 2006-01-09 | 止血用マルチクリップ展開装置 |
Country Status (6)
Country | Link |
---|---|
US (4) | US8080021B2 (ja) |
EP (1) | EP1845868A2 (ja) |
JP (1) | JP4785866B2 (ja) |
AU (1) | AU2006205106B2 (ja) |
CA (1) | CA2594539C (ja) |
WO (1) | WO2006076263A2 (ja) |
Families Citing this family (152)
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CA2594539A1 (en) | 2006-07-20 |
EP1845868A2 (en) | 2007-10-24 |
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