JP5106749B2 - 管腔内吻合装置および方法 - Google Patents
管腔内吻合装置および方法 Download PDFInfo
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- JP5106749B2 JP5106749B2 JP2004380716A JP2004380716A JP5106749B2 JP 5106749 B2 JP5106749 B2 JP 5106749B2 JP 2004380716 A JP2004380716 A JP 2004380716A JP 2004380716 A JP2004380716 A JP 2004380716A JP 5106749 B2 JP5106749 B2 JP 5106749B2
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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
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B17/1114—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis of the digestive tract, e.g. bowels or oesophagus
-
- 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
- A61B17/0644—Surgical staples, i.e. penetrating the tissue penetrating the tissue, deformable to closed position
-
- 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
- A61B2017/00831—Material properties
- A61B2017/00867—Material properties shape memory effect
-
- 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
- A61B2017/0649—Coils or spirals
-
- 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
-
- 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
- A61B2017/1139—Side-to-side connections, e.g. shunt or X-connections
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- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Physiology (AREA)
- Heart & Thoracic Surgery (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)
Description
(1)吻合器具であって、長尺部材と、コイル形状で焼鈍されかつ長さ方向に伸ばされた形状記憶合金ワイヤから形成された吻合装置と、上記長尺部材内に形成されて、応力印加形状の上記吻合装置を収容しかつ維持するように構成された遠位側開口凹部と、上記長尺部材内に摺動するように収容されかつ上記遠位側開口凹部に連結されて上記吻合装置を遠位側で供給する近位側駆動供給部材を含む、吻合器具。
(2)上記コイル形状は平コイルを含む、実施態様1記載の吻合器具。
(3)上記コイル形状はテーパーコイルを含む、実施態様1記載の吻合器具。
(4)上記コイル形状は円筒コイルを含む、実施態様1記載の吻合器具。
(5)上記応力印加形状は直線形状を含む、実施態様1記載の吻合器具。
(6)上記形状記憶合金はニチノールを含む、実施態様1記載の吻合器具。
(7)コイル形状で焼鈍されかつ長さ方向に引き伸ばされた形状記憶合金から形成され、遠位側に突出して応力印加形状を構成する一端を有する吻合装置を移植するための吻合器具であって、長尺部材と、この長尺部材内に形成されて、応力印加形状の上記吻合装置を収容するように構成された遠位側開口凹部と、上記長尺部材内に摺動するように収容されかつ上記遠位側開口凹部に連結されて上記吻合装置を遠位側で供給する近位側駆動供給部材と、上記長尺部材上の遠位側に存在する一対の把持顎部と、上記長尺部材を貫通して上記一対の把持顎部に動作可能に連結されて上記一対の把持顎部の開閉を行う把持制御機構を含む、吻合器具。
(8)上記一対の把持顎部は、上記長尺部材内に長さ方向に沿って摺動するように収容された把持具管に取り付けられている、実施態様7記載の吻合器具。
(9)上記把持制御機構は、一対の旋回連結された把持顎部と、上記長尺部材を貫通して長さ方向に収容されかつ上記一津の把持顎部に取り付けられた顎位置決め部材と、上記長尺部材を貫通して長さ方向に収容されかつ動作可能に連結されて上記一対の把持顎部を選択的に開閉する閉鎖部材を含む、実施態様7記載の吻合器具。
12 把持機構
14 突出機構
16 吻合装置
18 シャフト(長尺部材)
20 把持具管
22 組織把持具またはワニ顎(把持具)
24 ハンドル
26 固定式前グリップ
28 指用開口部
30 可動式近位側グリップ
32 親指用開口部
34 上部
36 上部
38 把持具制御ロッド
40 外管
42 突出管
44 環状凹部
46 押ロッド
48 摺動制御部
50 制御凹部
60 吻合器具
62 把持機構
64 把持具管
66 指穴
68 指穴
72 把持具制御ロッド
74 親指リング
80 近位側管腔
82 遠位側管腔
84 シャフト(長尺部材)
86 カニューレ(トロカール)
88 吻合部位
90 遠位端
Claims (7)
- 吻合器具であって、
長尺部材と、
コイル形状で焼鈍されかつ長さ方向に伸ばされた形状記憶合金ワイヤから形成された吻合装置と、
上記長尺部材内に形成されて、応力印加形状の上記吻合装置を収容しかつ維持するように構成された遠位側開口凹部と、
上記長尺部材内に摺動するように収容されかつ上記遠位側開口凹部に連結されて上記吻合装置を遠位側で供給する近位側駆動供給部材と、
前記長尺部材上の遠位側に存在する一対の把持顎部と、
前記長尺部材を貫通して前記一対の把持顎部に操作的に連結されて前記一対の把持顎部の開閉を行う把持制御機構と、を含み、
前記吻合装置の前記応力印加形状が、長さ方向に伸ばされた直線形状であり、対象部位を穿刺して開口部を形成するものであり、
前記一対の把持顎部が、閉形態で組織の第1の層を穿刺する、穿刺先端部を含み、その結果、前記第1の層を貫通した前記一対の把持顎部が、第2の層を把持している間に、前記吻合装置が、前記第1の層および前記第2の層を貫通できるようになっており、
前記長尺部材が近位方向へ移動することによって、前記吻合装置が応力緩和されて前記コイル形状となり、吻合結合部を構成する吻合器具。 - 上記コイル形状は平コイルを含む、請求項1記載の吻合器具。
- 上記コイル形状はテーパーコイルを含む、請求項1記載の吻合器具。
- 上記コイル形状は円筒コイルを含む、請求項1記載の吻合器具。
- 上記形状記憶合金はニチノールを含む、請求項1乃至4のいずれか1項に記載の吻合器具。
- 前記一対の把持顎部は、前記長尺部材内に長さ方向に沿って摺動するように収容された把持具管に取り付けられている、請求項1乃至5のいずれか1項に記載の吻合器具。
- 前記把持制御機構は、
前記長尺部材を貫通して長さ方向に収容されかつ前記一対の把持顎部に取り付けられた顎位置決め部材と、前記長尺部材を貫通して長さ方向に収容されかつ動作可能に連結されて前記一対の把持顎部を選択的に開閉する閉鎖部材と、
をさらに含む、請求項1乃至6のいずれか1項に記載の吻合器具。
Applications Claiming Priority (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US74748803A | 2003-12-29 | 2003-12-29 | |
US747488 | 2003-12-29 | ||
US10/947,567 US7618427B2 (en) | 2003-12-29 | 2004-09-22 | Device and method for intralumenal anastomosis |
US947567 | 2004-09-22 |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2005193044A JP2005193044A (ja) | 2005-07-21 |
JP5106749B2 true JP5106749B2 (ja) | 2012-12-26 |
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Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2004380716A Expired - Fee Related JP5106749B2 (ja) | 2003-12-29 | 2004-12-28 | 管腔内吻合装置および方法 |
Country Status (8)
Country | Link |
---|---|
US (1) | US7618427B2 (ja) |
EP (1) | EP1550415A3 (ja) |
JP (1) | JP5106749B2 (ja) |
CN (1) | CN1654020A (ja) |
AU (1) | AU2004242489B2 (ja) |
BR (1) | BRPI0405882A (ja) |
CA (1) | CA2490678C (ja) |
MX (1) | MXPA05000209A (ja) |
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