JP5043670B2 - 管腔外シーラント塗布器 - Google Patents
管腔外シーラント塗布器 Download PDFInfo
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- JP5043670B2 JP5043670B2 JP2007537000A JP2007537000A JP5043670B2 JP 5043670 B2 JP5043670 B2 JP 5043670B2 JP 2007537000 A JP2007537000 A JP 2007537000A JP 2007537000 A JP2007537000 A JP 2007537000A JP 5043670 B2 JP5043670 B2 JP 5043670B2
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- Prior art keywords
- sealant
- end effector
- clamp
- jaw members
- target tissue
- 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
- A61B17/00491—Surgical glue applicators
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/064—Surgical staples, i.e. penetrating the tissue
-
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B2017/1125—Forceps, specially adapted for performing or assisting anastomosis
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
- Materials For Medical Uses (AREA)
Description
本願は、2004年10月18日に出願された、米国仮出願第60/620,018号(この出願の全内容は、本明細書中に参考として援用される)の利益およびこの出願に対する優先権を主張する。
本開示は、手術用ステープルによって修復または接合される組織の性質を強化するための手術器具および方法に関し、特に、対象手術部位で修復または隣接される組織の性質を強化するために、非機械的な生体適合性の創縫合材料を塗布し閉じ込めることを目的とした手術器具および方法に関する。
医療分野は、長年にわたって、生体組織を接合または結合する試みにおいてさまざまな技術を利用してきた。歴史的に見ると、縫合は、切断された組織の再接合や傷口の閉鎖のために一般に認められている技術であった。縫合は、歴史的に見ると、手術用縫合針および縫合針で実現され、さらに最近では、以下に説明されるように、種々のポリマーまたは金属製のステープルによって実現されている。縫合の機能は、治癒過程中に傷口または組織の端を相互に留めることによって、不快感、痛み、瘢痕、および治癒に必要な時間を軽減することを目的としている。
本開示は、部位が外科的にステープルで留められた後に、接着剤またはシーラントを吻合部位に適用するため、およびシーラントを所望の位置に閉じ込めるための手術用器具および方法に関する。本明細書で使用される場合、シーラントは、組織接着剤、組織封鎖組成物などを含む生物学的に適合する材料を幅広く含むことを意図している。
前記顎部材の各々は剛性であっても変形可能であってもよい。一方の顎部材が剛性であり、他方の顎部材が変形可能であることが考えられる。
開示される本発明の管腔外シーラント塗布器の実施態様について、図面を参照して詳しく説明するが、図面における同様の参照番号は、同様または同一の構成要素を示す。本明細書で使用される場合、および従来の意味において、「遠位」はユーザーから一番遠い部分を指し、一方「近位」はユーザーに一番近い部分を指す。
Claims (25)
- 手術部位の対象組織にシーラントを塗布するための装置であって、
ハンドルと、
前記ハンドルに作動可能なように関連するエンドエフェクタであって、第一の顎部材と、第二の顎部材と、シーラント塗布構造とを備え、前記第一の顎部材と前記第二の顎部材のうち少なくとも一方は弓状の形状を有し、前記シーラント塗布構造は前記対象組織にシーラントを塗布するために構成される、エンドエフェクタと、
前記エンドエフェクタにおける前記シーラント塗布構造にシーラントを運ぶための少なくとも一つの導管と、を備え、前記顎部材が接近した位置にあるときに前記エンドエフェクタが前記対象組織を囲むように前記第一の顎部材と第二の顎部材とによって横方向の開口部が形成され、
ここで、前記エンドエフェクタが、前記エンドエフェクタを閉じた状態で維持するための固定手段を備える、装置。 - 前記エンドエフェクタはクランプ形状である、請求項1に記載の装置。
- 前記エンドエフェクタは二つの顎部材を備える、請求項2に記載の装置。
- 前記ハンドルと前記エンドエフェクタの間で延びるシャフトであって、長手方向軸を画定するシャフトをさらに備える、請求項3に記載の装置。
- 前記顎部材の各々は前記長手方向軸に対して弓状である、請求項4に記載の装置。
- 前記顎部材の各々は前記長手方向軸と同じ平面上にある、請求項4に記載の装置。
- 前記顎部材の各々は剛性である、請求項3に記載の装置。
- 前記顎部材の各々は変形可能である、請求項3に記載の装置。
- 一方の顎部材は剛性であり、他方の顎部材は変形可能である、請求項3に記載の装置。
- 前記顎部材の少なくとも一方は、少なくとも一つのレザバを備える、請求項3に記載の装置。
- 前記顎部材の少なくとも一方は、シーラントを閉じ込めるための側壁を備え、各側壁は、前記顎部材と作動可能なように連結する第一端と、前記エンドエフェクタが閉じた状態の場合に組織と接触するように前記顎部材から延びる第二端とを備える、請求項3に記載の装置。
- 少なくとも一つの側壁は、前記第二端と組織との間の摩擦を増加させるための要素を備える、請求項11に記載の装置。
- 摩擦を増加させるための前記要素はピンである、請求項12に記載の装置。
- 前記側壁の少なくとも一つは剛性である、請求項11に記載の装置。
- 前記側壁の少なくとも一つは柔軟性がある、請求項11に記載の装置。
- 前記シャフトは、前記ハンドルから前記エンドエフェクタの前記シーラント塗布構造にシーラントを運ぶために、シャフトを通って延びる少なくとも一つの導管を備える、請求項4に記載の装置。
- 前記ハンドルは、前記エンドエフェクタを閉じた状態に固定するための手段を備える、請求項1に記載の装置。
- 前記ハンドルは、前記エンドエフェクタを制御可能に作動させるための構造を備える、請求項1に記載の装置。
- 前記エンドエフェクタを作動させるための前記構造は、摺動機構の作動によって、前記エンドエフェクタを制御可能に作動させるための前記摺動機構を備える、請求項18に記載の装置。
- 前記エンドエフェクタを作動させるための前記構造は、レバーの作動によって、前記エンドエフェクタを制御可能に作動させるための前記レバーを備える、請求項18に記載の装置。
- 前記シーラント塗布構造は、レバーの動きによって、導管を介して前記エンドエフェクタにシーラントを制御可能に分配するための前記レバーを備える、請求項1に記載の装置。
- 前記シーラント塗布構造は、摺動機構の前進によって、前記導管を介して前記エンドエフェクタにシーラントを制御可能に分配するための前記摺動機構を備える、請求項1に記載の装置。
- 対象組織部位にシーラントを塗布するための装置であって、
前記対象組織部位周辺に位置づけ、前記対象組織部位で閉じられるように構成されたクランプを備え、前記クランプは、前記対象組織部位にシーラントを塗布するように構成され、
ここで、前記クランプが、前記クランプを閉じた状態で維持するための固定手段を備え、そして前記クランプが前記対象組織部位を囲むように前記クランプによって横方向の開口部が形成されるように構成されている、装置。 - シーラントを対象組織部位に塗布するための装置であって、
二つの顎部材を備え、前記対象組織部位を囲むように前記二つの顎部材間に横方向の開口部が形成されることができるように作動可能に構成されるエンドエフェクタと、
シーラントを閉じ込めるための側壁と、
前記対象組織部位に分配するために、前記エンドエフェクタにシーラントを運ぶための、前記エンドエフェクタと流体連絡する導管と、を備え、
ここで、前記エンドエフェクタが、前記エンドエフェクタを閉じた状態で維持するための固定手段を備える、装置。 - 前記顎部材は、前記エンドエフェクタが前記対象組織部位の周辺に位置付けられる際に、相互に開放可能なように固定するように構成される、請求項24に記載の装置。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US62001804P | 2004-10-18 | 2004-10-18 | |
US60/620,018 | 2004-10-18 | ||
PCT/US2005/037252 WO2006044799A2 (en) | 2004-10-18 | 2005-10-14 | Extraluminal sealant applicator and method |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2011156144A Division JP2011235134A (ja) | 2004-10-18 | 2011-07-14 | 管腔外シーラント塗布器およびその方法 |
Publications (3)
Publication Number | Publication Date |
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JP2008516697A JP2008516697A (ja) | 2008-05-22 |
JP2008516697A5 JP2008516697A5 (ja) | 2008-11-27 |
JP5043670B2 true JP5043670B2 (ja) | 2012-10-10 |
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JP2007537000A Expired - Fee Related JP5043670B2 (ja) | 2004-10-18 | 2005-10-14 | 管腔外シーラント塗布器 |
JP2011156144A Pending JP2011235134A (ja) | 2004-10-18 | 2011-07-14 | 管腔外シーラント塗布器およびその方法 |
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JP2011156144A Pending JP2011235134A (ja) | 2004-10-18 | 2011-07-14 | 管腔外シーラント塗布器およびその方法 |
Country Status (7)
Country | Link |
---|---|
US (6) | US7744624B2 (ja) |
EP (2) | EP3095396B1 (ja) |
JP (2) | JP5043670B2 (ja) |
AU (1) | AU2005295476B2 (ja) |
CA (1) | CA2584005C (ja) |
ES (1) | ES2587354T3 (ja) |
WO (1) | WO2006044799A2 (ja) |
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- 2005-10-14 ES ES05811931.4T patent/ES2587354T3/es active Active
- 2005-10-14 EP EP16174227.5A patent/EP3095396B1/en not_active Not-in-force
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US20110238097A1 (en) | 2011-09-29 |
CA2584005A1 (en) | 2006-04-27 |
US20130282055A1 (en) | 2013-10-24 |
AU2005295476A1 (en) | 2006-04-27 |
EP3095396B1 (en) | 2018-04-18 |
EP3095396A1 (en) | 2016-11-23 |
US7972357B2 (en) | 2011-07-05 |
JP2008516697A (ja) | 2008-05-22 |
EP1804685A2 (en) | 2007-07-11 |
WO2006044799A2 (en) | 2006-04-27 |
US20130245679A1 (en) | 2013-09-19 |
AU2005295476B2 (en) | 2011-03-24 |
US20080125811A1 (en) | 2008-05-29 |
US8945176B2 (en) | 2015-02-03 |
ES2587354T3 (es) | 2016-10-24 |
US8449571B2 (en) | 2013-05-28 |
EP1804685B1 (en) | 2016-07-27 |
US8480705B2 (en) | 2013-07-09 |
EP1804685A4 (en) | 2014-12-24 |
US8951282B2 (en) | 2015-02-10 |
US20060085031A1 (en) | 2006-04-20 |
US7744624B2 (en) | 2010-06-29 |
JP2011235134A (ja) | 2011-11-24 |
WO2006044799A3 (en) | 2009-04-30 |
CA2584005C (en) | 2013-09-10 |
US20100204728A1 (en) | 2010-08-12 |
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