JP4959209B2 - 駆動アセンブリロック機構を有するローディングユニット - Google Patents
駆動アセンブリロック機構を有するローディングユニット Download PDFInfo
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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
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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
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
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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
- A61B2017/00477—Coupling
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Description
(技術分野)
本開示は、外科用デバイスとともに使用するための使い捨てローディングユニット(「DLU」)または単回使用ローディングユニット(「SULU」)に関する。より具体的には、本開示は、ローディングユニットが外科用デバイスに取付けられるまで、ローディングユニットの駆動アセンブリをその発射前位置に保持するためのロック機構を含む、外科用器具とともに使用するためのDLUまたはSULUに関する。簡単のために、以後、SULUまたはDLUは、これ以降、「DLU」と称されるが、DLUまたはSULUのいずれかまたはその両方を含むことが理解されるべきである。
例えば、ステープル、クリップなどのファスナーを組織に適用するための外科用デバイスは周知である。このようなデバイスは、単一のファスナーで予め装填されかつそのデバイスの単回使用の後に廃棄可能な単回使用デバイスを含む。このようなデバイスはまた、複数のファスナーで予め装填され、かつファスナーの供給物が尽きたかまたは外科手順が完了された後に廃棄可能である複数回使用デバイスを含む。ファスナーの供給物が外科手順の完了の前に尽きた場合は、新しいデバイスがその外科手順を完了するために必要とされ得る。単一の外科手順のためのさらなる外科用デバイスの使用は、費用がかかるものとなり得る。
本開示によれば、本体部分およびツールアセンブリを含むDLUが提供される。駆動アセンブリは、この本体部分内に、退却位置から前進位置へ移動可能に支持される。ロック部材は、その本体部分に支持され、そして駆動アセンブリを係合する第1の位置からその駆動アセンブリとの係合をはずれた第2の位置へ移動可能である。ロック部材アクチュエーターは、上記ロック部材と作動可能に係合され、上記DLUが外科用器具の遠位端に直線的に挿入される場合に、そのロック部材をその第1の位置からその第2の位置へ動かす。
(項目1)
使い捨てローディングユニットであって、
外科用器具を取り外し可能に係合するように適合された本体部分;
該本体部分の遠位端上に支持されるツールアセンブリ;
該本体部分内に支持される駆動アセンブリ;および
該本体部分上に支持されるロック部材であって、外科用器具に対する該使い捨てユニットの直線的な移動に応答して、該駆動アセンブリに係合された第1の位置から該駆動アセンブリから係合をはずれた第2の位置へ移動可能である、ロック部材、
を備える、使い捨てローディグユニット。
(項目2)
前記ロック部材と作動可能に係合されたロック部材アクチュエーターであって、外科用器具に対する前記使い捨てローディングユニットの直線的な移動に応答して退却位置から前進位置へ直線的に移動可能であり、該ロック部材の、その第1の位置からその第2の位置への移動をもたらすロック部材アクチュエーター、をさらに備える、項目1に記載の使い捨てローディングユニット。
(項目3)
前記ロック部材アクチュエーターの直線的な移動が、前記ロック部材の横断方向の移動をもたらす、項目2に記載の使い捨てローディングユニット。
(項目4)
前記ロック部材が、カム部材を含み、そして前記ロック部材アクチュエーターがカムスロットを含み、該カムスロットに対する該カム部材の直線的な移動が該ロック部材の横断方向の移動をもたらすように、該カム部材が該カムスロット内に配置されている、項目3に記載の使い捨てローディングユニット。
(項目5)
前記本体部分が、前記ロック部材を滑動可能に受容するための横断方向スロットおよび前記ロック部材アクチュエーターを滑動可能に受けるための軸方向スロットを含む、項目4に記載の使い捨てローディングユニット。
(項目6)
前記ロック部材をその第1の位置へ押すために、前記ロック部材アクチュエーターをその退却位置へ押すように配置された付勢部材をさらに含む、項目2に記載の使い捨てローディングユニット。
(項目7)
前記本体部分が、外科用器具の遠位端内に受容されるような寸法である挿入チップを含む、項目2に記載の使い捨てローディングユニット。
(項目8)
前記ロック部材アクチュエーターが、前記挿入チップの上に少なくとも部分的に配置されかつ該挿入チップの半径方向外側に延びる当接部材を含む、項目7に記載の使い捨てローディングユニット。
(項目9)
前記ロック部材が、フィンガーを有し、そして前記駆動アセンブリがその中に形成されるノッチを有し、該ロック部材フィンガーは、該ロック部材がその第1の位置にあるとき、該駆動アセンブリのノッチ内に配置される、項目1に記載の使い捨てローディングユニット。
(項目10)
前記ツールアセンブリが、カートリッジアセンブリおよびアンビルアセンブリを含み、該カートリッジアセンブリが、その中に支持される複数のステープルを有する、項目2に記載の使い捨てローディングユニット。
(項目11)
前記複数のステープルが、複数の直線状の列で配列されている、項目10に記載の使い捨てローディングユニット。
(項目12)
前記駆動アセンブリの遠位端が、少なくとも1つのカム部材を含み、該カム部材が前記アンビルアセンブリ上のカム表面との係合へ移動可能であり、前記アンビルアセンブリを前記カートリッジアセンブリに対する開位置から該カートリッジアセンブリとの並置配列にある閉位置へ移動させる、項目11に記載の使い捨てローディングユニット。
(項目13)
前記ツールアセンブリが、前記本体部分に旋回可能に取り付けられる、項目12に記載の使い捨てローディングユニット。
(項目14)
使い捨てローディングユニットであって、以下:
外科用器具を取り外し可能に係合するように適合された本体部分であって、外側スリーブおよび内側ハウジングを含む、本体部分;
該本体部分の遠位端上に支持されるツールアセンブリ;および
駆動アセンブリであって、該本体部分内に支持され、かつ該ツールアセンブリの作動をもたらすように該ツールアセンブリに対して移動可能である、駆動アセンブリ、
を備え、ここで該内側ハウジングが隆起した突出部を含み、そして該外側スリーブが該隆起した突出部を受けるような寸法かつ配置である切取部を含み、該隆起した突出部が該切取部内に配置されて、該外側スリーブに対する該内側ハウジングの移動を防ぐ、使い捨てローディングユニット。
(項目15)
前記内側ハウジングが、上半分および下半分から形成される、項目14に記載の使い捨てローディングユニット。
(項目16)
前記隆起した突出部が、実質的に矩形である、項目14に記載の使い捨てローディングユニット。
(項目17)
前記隆起した突出部が、側方寸法よりも大きい軸方向寸法を有する、項目16に記載の使い捨てローディングユニット。
(項目18)
前記隆起した突出部が、近位傾斜表面を備える、項目17に記載の使い捨てローディングユニット。
ここで開示されるDLUの実施形態は、ここで図面を参照して詳細に記載され、図面においては、類似の参照番号は、いくつかの図面の各々における同一または対応する要素を示す。
16 使い捨てローディングユニット(DLU)
17 ツールアセンブリ
18 カートリッジアセンブリ
20 アンビルアセンブリ
30 変形用凹部
32 カバープレート
34 空洞
38 長手方向スロット
40 保持フランジ
48 キャリア
56 支持チャネル
54 ステープルカートリッジ
66 ファスナー
68 プッシャー
78 ナイフ刃
193 挿入チップ
200 本体部分
202 取り付けアセンブリ
212 駆動アセンブリ
284 旋回軸部材
300 ロック部材
302 ロック部材アクチュエーター
500 外科用器具
510 ハンドル部分
512 本体部分
514 固定ハンドル
516 可動ハンドル
Claims (18)
- 使い捨てローディングユニットであって、
外科用器具を取り外し可能に係合するように適合された本体部分;
該本体部分の遠位端上に支持されるツールアセンブリ;
該本体部分内に支持される駆動アセンブリ;および
該本体部分上に支持されるロック部材であって、外科用器具に対する該使い捨てユニットの直線的な移動に応答して、該駆動アセンブリに係合された第1の位置から該駆動アセンブリから係合をはずれた第2の位置へ移動可能である、ロック部材、
を備える、使い捨てローディングユニット。 - 前記ロック部材と作動可能に係合されたロック部材アクチュエーターであって、外科用器具に対する前記使い捨てローディングユニットの直線的な移動に応答して退却位置から前進位置へ直線的に移動可能であり、該ロック部材の、その第1の位置からその第2の位置への移動をもたらすロック部材アクチュエーター、をさらに備える、請求項1に記載の使い捨てローディングユニット。
- 前記ロック部材アクチュエーターの直線的な移動が、前記ロック部材の横断方向の移動をもたらす、請求項2に記載の使い捨てローディングユニット。
- 前記ロック部材が、カム部材を含み、そして前記ロック部材アクチュエーターがカムスロットを含み、該カムスロットに対する該カム部材の直線的な移動が該ロック部材の横断方向の移動をもたらすように、該カム部材が該カムスロット内に配置されている、請求項3に記載の使い捨てローディングユニット。
- 前記本体部分が、前記ロック部材を滑動可能に受容するための横断方向スロットおよび前記ロック部材アクチュエーターを滑動可能に受けるための軸方向スロットを含む、請求項4に記載の使い捨てローディングユニット。
- 前記ロック部材をその第1の位置へ押すために、前記ロック部材アクチュエーターをその退却位置へ押すように配置された付勢部材をさらに含む、請求項2に記載の使い捨てローディングユニット。
- 前記本体部分が、外科用器具の遠位端内に受容されるような寸法である挿入チップを含む、請求項2に記載の使い捨てローディングユニット。
- 前記ロック部材アクチュエーターが、前記挿入チップの上に少なくとも部分的に配置されかつ該挿入チップの半径方向外側に延びる当接部材を含む、請求項7に記載の使い捨てローディングユニット。
- 前記ロック部材が、フィンガーを有し、そして前記駆動アセンブリがその中に形成されるノッチを有し、該ロック部材フィンガーは、該ロック部材がその第1の位置にあるとき、該駆動アセンブリのノッチ内に配置される、請求項1に記載の使い捨てローディングユニット。
- 前記ツールアセンブリが、カートリッジアセンブリおよびアンビルアセンブリを含み、該カートリッジアセンブリが、その中に支持される複数のステープルを有する、請求項2に記載の使い捨てローディングユニット。
- 前記複数のステープルが、複数の直線状の列で配列されている、請求項10に記載の使い捨てローディングユニット。
- 前記駆動アセンブリの遠位端が、少なくとも1つのカム部材を含み、該カム部材が前記アンビルアセンブリ上のカム表面との係合へ移動可能であり、前記アンビルアセンブリを前記カートリッジアセンブリに対する開位置から該カートリッジアセンブリとの並置配列にある閉位置へ移動させる、請求項11に記載の使い捨てローディングユニット。
- 前記ツールアセンブリが、前記本体部分に旋回可能に取り付けられる、請求項12に記載の使い捨てローディングユニット。
- 使い捨てローディングユニットであって、以下:
外科用器具を取り外し可能に係合するように適合された本体部分であって、外側スリーブおよび内側ハウジングを含む、本体部分;
該本体部分の遠位端上に支持されるツールアセンブリ;
駆動アセンブリであって、該本体部分内に支持され、かつ該ツールアセンブリの作動をもたらすように該ツールアセンブリに対して移動可能である、駆動アセンブリ;および
該本体部分上に支持されるロック部材であって、外科用器具に対する該使い捨てユニットの直線的な移動に応答して、該駆動アセンブリに係合された第1の位置から該駆動アセンブリから係合をはずれた第2の位置へ移動可能である、ロック部材、
を備え、ここで該内側ハウジングが隆起した突出部を含み、そして該外側スリーブが該隆起した突出部を受けるような寸法かつ配置である切取部を含み、該隆起した突出部が該切取部内に配置されて、該外側スリーブに対する該内側ハウジングの移動を防ぐ、使い捨てローディングユニット。 - 前記内側ハウジングが、上半分および下半分から形成される、請求項14に記載の使い捨てローディングユニット。
- 前記隆起した突出部が、実質的に矩形である、請求項14に記載の使い捨てローディングユニット。
- 前記隆起した突出部が、側方寸法よりも大きい軸方向寸法を有する、請求項16に記載の使い捨てローディングユニット。
- 前記隆起した突出部が、近位傾斜表面を備える、請求項17に記載の使い捨てローディングユニット。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
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US11/100,279 | 2005-04-06 | ||
US11/100,279 US7780055B2 (en) | 2005-04-06 | 2005-04-06 | Loading unit having drive assembly locking mechanism |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
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JP2012039314A Division JP2012130729A (ja) | 2005-04-06 | 2012-02-24 | 駆動アセンブリロック機構を有するローディングユニット |
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JP2006289064A JP2006289064A (ja) | 2006-10-26 |
JP4959209B2 true JP4959209B2 (ja) | 2012-06-20 |
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JP2006064929A Active JP4959209B2 (ja) | 2005-04-06 | 2006-03-09 | 駆動アセンブリロック機構を有するローディングユニット |
JP2012039314A Withdrawn JP2012130729A (ja) | 2005-04-06 | 2012-02-24 | 駆動アセンブリロック機構を有するローディングユニット |
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US (2) | US7780055B2 (ja) |
EP (1) | EP1709911B1 (ja) |
JP (2) | JP4959209B2 (ja) |
AU (1) | AU2006201047B2 (ja) |
CA (1) | CA2541715C (ja) |
DE (1) | DE602006008056D1 (ja) |
ES (1) | ES2329926T3 (ja) |
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US9060770B2 (en) | 2003-05-20 | 2015-06-23 | Ethicon Endo-Surgery, Inc. | Robotically-driven surgical instrument with E-beam driver |
US7159750B2 (en) | 2003-06-17 | 2007-01-09 | Tyco Healtcare Group Lp | Surgical stapling device |
US11890012B2 (en) | 2004-07-28 | 2024-02-06 | Cilag Gmbh International | Staple cartridge comprising cartridge body and attached support |
US8215531B2 (en) | 2004-07-28 | 2012-07-10 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a medical substance dispenser |
US9072535B2 (en) | 2011-05-27 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments with rotatable staple deployment arrangements |
US11998198B2 (en) | 2004-07-28 | 2024-06-04 | Cilag Gmbh International | Surgical stapling instrument incorporating a two-piece E-beam firing mechanism |
US7934630B2 (en) | 2005-08-31 | 2011-05-03 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US11484312B2 (en) | 2005-08-31 | 2022-11-01 | Cilag Gmbh International | Staple cartridge comprising a staple driver arrangement |
US7673781B2 (en) | 2005-08-31 | 2010-03-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling device with staple driver that supports multiple wire diameter staples |
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-
2005
- 2005-04-06 US US11/100,279 patent/US7780055B2/en active Active
-
2006
- 2006-03-09 JP JP2006064929A patent/JP4959209B2/ja active Active
- 2006-03-13 AU AU2006201047A patent/AU2006201047B2/en not_active Ceased
- 2006-03-21 DE DE602006008056T patent/DE602006008056D1/de active Active
- 2006-03-21 EP EP06005784A patent/EP1709911B1/en active Active
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US20100301097A1 (en) | 2010-12-02 |
CA2541715A1 (en) | 2006-10-06 |
ES2329926T3 (es) | 2009-12-02 |
JP2012130729A (ja) | 2012-07-12 |
US20060226195A1 (en) | 2006-10-12 |
EP1709911B1 (en) | 2009-07-29 |
EP1709911A1 (en) | 2006-10-11 |
AU2006201047B2 (en) | 2011-08-18 |
JP2006289064A (ja) | 2006-10-26 |
DE602006008056D1 (de) | 2009-09-10 |
US7780055B2 (en) | 2010-08-24 |
CA2541715C (en) | 2014-12-16 |
AU2006201047A1 (en) | 2006-10-26 |
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