JP5091204B2 - 外科用電動装置、外科用電動装置の製造方法、及び外科用電動装置の使用方法 - Google Patents
外科用電動装置、外科用電動装置の製造方法、及び外科用電動装置の使用方法 Download PDFInfo
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- A—HUMAN NECESSITIES
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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
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- Surgery (AREA)
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Description
本発明は、可動カッティング・ブレード・アセンブリと一緒に外科用電動装置として使用可能なハンドルを含む。ハンドルは、カッティング・ブレード・アセンブリに接続可能な遠位部を形成する上部を含む。ハンドルは、また、上部の遠位部と90°未満の角度を成すように上部から下に伸びる下部を含む。
本発明は、また、可動カッティング・ブレード・アセンブリ及び潅注液供給源と一緒に外科用電動装置として使用可能なハンドル・アセンブリを提供する。このハンドル・アセンブリは、可動カッティング・ブレード・アセンブリに接続可能な遠位部を有するハンドルを含む。ハンドルは、潅注液カップリングを形成する近位端を含む。ハンドルは、潅注液カップリングからカッティング・ブレード・アセンブリまで伸びる潅注液通路を形成する。ハンドル・アセンブリは、また、潅注液カップリングでハンドルの近位端に接続可能なコネクタを含む。コネクタは、ハンドルの潅注液通路と接する潅注液入口通路を形成する。
本発明は、また、外科用電動装置としてハンドルと一緒に使用可能なカッティング・ブレード・アセンブリを提供する。ハンドルは、少なくとも1つのチャネルを形成する内面及び内面を回転させるモーターを備えることができる。カッティング・ブレード・アセンブリは、カッティング・ウィンドウを形成する外側チューブ及び外側チューブに固定される外側ハブを含む。カッティング・ブレード・アセンブリは、また、外側チューブ内に伸びカッティング面を形成する内側チューブを含む。カッティング・ブレード・アセンブリは、また、内側チューブに固定される内側ハブを含む。内側チューブは、外部及び外部に沿って縦方向に伸びる少なくとも1つの駆動スプラインを形成する。この少なくとも1つの駆動スプラインはハンドルの少なくとも1つの溝と連絡して、内側ハブ及び内側チューブの回転を可能にする。
本発明は、また、潅注液供給源及び吸引源と一緒に使用するための外科用電動装置システムを提供する。このシステムは、カッティング・ブレード・アセンブリ及びハンドルを含む。ハンドルは、カッティング・ブレード・アセンブリに接続可能な遠位部を形成する上部、及び上部から下向きに伸びる下部を含む。ハンドルは、潅注液供給源及び吸引源に接続可能である。このシステムは、また、システムの少なくとも1つの動作に関する少なくとも1つの信号を与える手動で作動可能な入力装置、及びこの少なくとも1つの信号を受け取ってシステムの少なくとも1つの動作を実行するために出力信号を与えるコントローラを含む。
図1は、本発明の実施態様例に従った外科用電動装置の略図である。図1に示される通り、装置1は、ハンドル2、フットスウィッチ4及びコントローラ6を含む。これらのエレメント及びその相関関係の一般的説明を下に示す。
ハンドル2の実施態様例の様々な図が図2−6に示されている。図2は、ハンドルの外部を示す略図であり、図3は、ハンドルの外部の斜視図であり、図4は、ハンドル2の各種サブエレメントを示す分解斜視図であり、図5はハンドル2の各種サブエレメントを示す側面断面図であり、図6は、ハンドル2の各種サブエレメントを示す平面断面図である。ハンドル2の実施態様例について、図2−6に関連して下に説明する。
コレット・アセンブリ36の実施態様例の様々な図が、図7−9に示されている。図7は、コレット・アセンブリ36の各種サブエレメントを示す分解斜視図であり、図8はコレット・アセンブリ36の外部を示す斜視図であり、図9はコレット・アセンブリ36の一部のサブエレメントを示す前面図である。コレット・アセンブリ36の実施態様例について図7−9に関連して下に説明する。
チューブ・コネクタの実施態様例の様々な図が、図10−12に示されている。図10はチューブ・コネクタ112の外部を示す斜視図であり、図11はチューブ・コネクタ112の背面図であり、図12は、図11の平面A-Aに沿って見たチューブ・コネクタ112の側面断面図である。チューブ・コネクタ112の実施態様例について、図10−12に関連して下に説明する。
カッティング・ブレード・アセンブリ8の実施態様例の様々な図が、図13−28に示されている。図13はカッティング・ブレード・アセンブリ8の外部を示す斜視図であり、図14はカッティング・ブレード・アセンブリ8の外部の一部を示す部分斜視図であり、図15は図14の平面B-Bに沿って見たカッティング・ブレード・アセンブリ8の断面図であり、図16はカッティング・ブレード・アセンブリ8の外側ハブ138の斜視図であり、図17は図16に示される外側ハブ138の側面図であり、図18は図17の平面C-Cに沿って見た外側ハブ138の断面図であり、図19は図17に示される外側ハブ138に形成される潅注穴の側面図であり、図20は図17に示される保持溝を形成する外側ハブ138の一部の側面図であり、図21は図18に示される近位端160を形成する外側ハブ138の一部の断面図であり、図22は図17の平面D-Dに沿って見た外側ハブ138の断面図であり、図23はカッティング・ブレード・アセンブリ8の内側ハブ162の斜視図であり、図24は図23に示される内側ハブ162の側面図であり、図25は図24の視点に対して90°回転させた内側ハブ162の別の側面図であり、図26は図25の平面E-Eに沿って見た内側ハブ162の断面図である。カッティング・ブレード・アセンブリ8の実施態様例については、図13−28に関連して下に説明する。
a)温かい石鹸水でハンドピースの外面を拭き取る。
b)石鹸水で湿らせた非金属製の柔らかい毛ブラシを使ってハンドピースの内部をやさしくこする。
c)チャック端を上に向けてハンドピースを持って、ハンドピース内部に流水を流して、清浄残留物及び粉屑を洗い流す。
d)肉眼検査して、必要であれば繰り返す。
トリガ・スウィッチ・アセンブリの実施態様例の様々な図が、図29−32に示されている。図29はトリガ・スウィッチ・アセンブリ180及びハンドル2の関連サブエレメントの分解斜視図であり、図30はトリガ・スウィッチ・アセンブリ180のセンサ・ストリップ192の略図であり、図31はハンドル2に取り付けられたトリガ・スウィッチ・アセンブリ180の側面斜視略図であり、図32はハンドル2に取り付けられたトリガ・スウィッチ・アセンブリ180の前面略図である。トリガ・スウィッチ・アセンブリ180の実施態様例については、図29−32に関連して下に説明する。
図33は、本発明に従ったフットスウィッチ4の実施態様例の外部を示す斜視図である。フットスウィッチ4の実施態様例について図33に関連して下に説明する。
潅注液供給管24及び吸引管30は、統合ストリッパブル・ツイン・チューブ226として用意することができる。ツイン・チューブの実施態様例の様々な図が、図34−36に示されている。図34はツイン・チューブ226及びこれに接続される装置の斜視図であり、図35は接続状態のツイン・チューブ226の一区間236を示す斜視図であり、図36は図36の平面G-Gに沿って見たツイン・チューブ226の断面図である。ツイン・チューブ226の実施態様例について図34−36に関連して下に説明する。
潅注液供給メカニズム26の実施態様例の様々な図が、図37及び38に示されている。図37は潅注液位供給メカニズム26の前面を示す斜視図であり、図38は潅注液供給メカニズム26の裏面を示す斜視図である。潅注液供給メカニズム26の実施態様例について図37及び38に関連して下に説明する。
コントローラの実施態様の様々な図が、図37及び38に示されている。図37はコントローラ6の前面を示す斜視図であり、図38はコントローラ6の裏面を示す斜視図である。コントローラ6の実施態様については、図37及び38に関連して下に説明する。
2 ハンドル
4 フットスウィッチ
6 コントローラ
8 カッティング・ブレード・アセンブリ
Claims (16)
- 可動なカッティング・ブレード・アセンブリ(8)、吸引源(28)及び潅注液供給源(22)と一緒に外科用電動装置として使用可能なハンドル・アセンブリであって、ハンドル(2)とチューブ・コネクタ(112)とを具備するハンドル・アセンブリにおいて:
該ハンドル(2)が、該可動なカッティング・ブレード・アセンブリ(8)に接続可能な遠位部を有しており、該ハンドル(2)が吸引カップリング(54)と潅注液カップリング(52)とを形成する近位端を含み、該ハンドル(2)が該潅注液カップリング(52)から該カッティング・ブレード・アセンブリ(8)まで伸びる潅注液通路(58)を形成していて;該ハンドル(2)が、また、該吸引カップリング(54)から該遠位部まで伸びる吸引通路(56)を形成し、
該チューブ・コネクタ(112)は、該ハンドル(2)の該近位端における、該潅注液カップリング(52)と該吸引カップリング(54)とに着脱可能に接続され、該チューブ・コネクタ(112)が、潅注液入口通路(118)と吸引入口通路(120)とを備えていて、そして該潅注液入口通路(118)及び該吸引入口通路(120)が、該潅注液カップリング(52)及び該吸引カップリング(54)それぞれに嵌合されており、そのことにより、該チューブ・コネクタ(112)と該ハンドル(2)の該近位端との間の相対的な回転が防止されるようになっている、
ハンドル・アセンブリ。 - 該ハンドル(2)が上部(32)及び下部(34)を形成し、該上部が該カッティング・ブレード・アセンブリ(8)に接続可能であり、該下部が該上部から下向きに伸びる;請求項1に記載のハンドル・アセンブリ。
- 該下部(34)が該上部(32)の該遠位部と90°未満の角度を成すように該上部から下向きに伸びる、請求項2に記載のハンドル・アセンブリ。
- さらに、モーター・アセンブリ(38)を備え、該モーター・アセンブリの少なくとも一部が該下部(34)内に配置される、請求項2または請求項3に記載のハンドル・アセンブリ。
- 該上部(32)が、カッティング面を形成する回転可能な内側チューブ(130)と、カッティング・ウィンドウを形成する外側チューブ(130)とを含む該可動なカッティング・ブレード・アセンブリ(8)に接続可能である、請求項2から4までのうちいずれか1つの請求項に記載のハンドル・アセンブリ。
- 該上部(32)の該遠位部が可動でかつ回転可能なコレット・アセンブリ(36)を含み、該コレット・アセンブリの手動回転の結果該外側チューブが回転し、それによって該カッティング・ウィンドウの方位が変更されるように該コレット・アセンブリが該外側チューブ(132)に接続可能である、請求項5に記載のハンドル・アセンブリ。
- 該上部(32)が洞手術に使用可能であるように構成される該可動なカッティング・ブレード・アセンブリ(8)に接続可能である、請求項2から6までのうちいずれか1つの請求項に記載のハンドル・アセンブリ。
- 該吸引通路(56)が該上部(32)を通り抜ける実質的に直線的な経路に沿って伸びる、請求項2から7までのうちいずれか1つの請求項に記載のハンドル・アセンブリ。
- 該吸引入口通路(120)が該潅注液入口通路に隣接しこれと垂直方向に間隔を置いて配置される、請求項2から8までのうちいずれか1つの請求項に記載のハンドル・アセンブリ。
- 該上部(32)が、該コネクタを該上部に固定するために、該コネクタ(112)に形成される少なくとも1つの開口(124)とかみ合い可能な少なくとも1つのデテント(122)を形成する、請求項9に記載のハンドル・アセンブリ。
- 該少なくとも1つのデテント(122)が該上部(32)の円周方向に相対する側に配置される2つのデテントを含み、該少なくとも1つの開口(124)が該コネクタ(112)の該2つのデテントに対応する位置に形成される2つの開口を含む、請求項10に記載のハンドル・アセンブリ。
- 該コネクタ(112)が、該少なくとも1つの開口(124)に隣接する少なくとも1つのグリップ部を形成する、請求項10または請求項11に記載のハンドル・アセンブリ。
- 該少なくとも1つのグリップ部が、該コネクタ(112)の外面に形成される少なくとも1つの溝である、請求項12に記載のハンドル・アセンブリ。
- 該上部及び該コネクタが実質的に均等の外部を形成するように、該コネクタ(112)が、該上部(32)の該近位端の外周に対応する外周によって形成される、請求項2から13までのうちいずれか1つの請求項に記載のハンドル・アセンブリ。
- 該ハンドル・アセンブリが、該潅注液供給源(22)に接続される潅注液供給管(24)及び該吸引源(28)に接続される吸引供給管と一緒に使用可能であり、該コネクタ(112)の該潅注液入口通路が、該潅注液供給管に接続可能な潅注液入口カップリングを形成し、該コネクタの該吸引入口通路が該吸引管に接続可能な吸引入口カップリングを形成する、請求項1から14までのうちいずれか1つの請求項に記載のハンドル・アセンブリ。
- 該コネクタ(112)が合成樹脂で作られる、請求項1から15までのうちいずれか1つの請求項に記載のハンドル・アセンブリ。
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