JP5183953B2 - 外科用縫合器械のための調節可能な真空チャンバ - Google Patents
外科用縫合器械のための調節可能な真空チャンバ Download PDFInfo
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- JP5183953B2 JP5183953B2 JP2007093379A JP2007093379A JP5183953B2 JP 5183953 B2 JP5183953 B2 JP 5183953B2 JP 2007093379 A JP2007093379 A JP 2007093379A JP 2007093379 A JP2007093379 A JP 2007093379A JP 5183953 B2 JP5183953 B2 JP 5183953B2
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- suture
- needle
- vacuum chamber
- suturing instrument
- suturing
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- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
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Description
本願は、2005年6月13日に出願された米国特許出願第11/150,481号(発明の名称:「内視鏡縫合装置(ENDOSCOPIC SUTURING DEVICE)」)の一部継続出願である。
1.発明の分野
本発明は、外科用縫合器械に関する。特に、本発明は、調節可能な真空チャンバを備えた外科用縫合器械に関する。
内視鏡下手技は、過去10年間にわたって急速に開発されている。これら手技は、修復を必要とする内部器官または組織を露出させるのに大きな外部開口部を必要とする従来の技術と比較して、外傷を最小限に抑える外科手技の遂行を可能にする場合が多い。内視鏡下手技が利用される多くの領域に加えて、内視鏡下手技は、病的肥満に取り組む外科手技用に開発された。病的肥満は、深刻な医学的状態である。事実、病的肥満は、米国だけでなく他の国でも非常に蔓延してきており、その流れは、否定的な方向に向いているように思われる。病的肥満と関連した合併症としては、平均余命を著しく減少させる高血圧症、糖尿病、肝動脈疾患、発作、うっ血性心不全、多発性整形外科的問題および肺動脈弁閉鎖不全症が挙げられる。このことを念頭において、当業者であれば確信されるように、病的肥満と関連した金銭上および身体上の代価は、相当大きなものである。事実、肥満と関連したコストは、米国だけでも1,000億ドルを超えると推定される。
したがって、本発明の目的は、外科用縫合器械を提供することにある。外科用縫合器械は、縫合糸ハウジングと、弧状経路に沿って動くことができるよう縫合糸ハウジング内に設けられた針と、針に作動可能に関連していて、縫合糸を組織に付けやすくする仕方で、縫合糸が固定された状態の針の弧状経路に沿う運動を制御する駆動組立体と、縫合糸ハウジングを包囲した真空チャンバと、を有する。真空チャンバは、内視鏡の真空ラインに結合されており、真空チャンバは、真空チャンバ内に引き込むことができる組織の最大量を調節する機構体を有する。
本発明の詳細な実施形態が本明細書において開示される。しかしながら、開示した実施形態は、本発明の単なる例示であることは理解されるべきであり、本発明は、種々の形態で実施できる。したがって、本明細書に開示した細部は、本発明を限定するものではなく、単に特許請求の裏付けとして、また当業者に本発明をどのように構成するとともに(あるいは)どのように利用するかを教示する基礎と解されるべきである。
本発明の具体的な実施態様は、次の通りである。
(1)外科用縫合器械において、
縫合糸ハウジングと、
弧状経路に沿って動くことができるよう前記縫合糸ハウジング内に設けられた針と、
前記針に作動可能に関連している駆動組立体であって、縫合糸を組織に付けやすくする仕方で、前記縫合糸が固定された状態の前記針の前記弧状経路に沿う運動を制御する、駆動組立体と、
前記縫合糸ハウジングを包囲した真空チャンバであって、前記真空チャンバは、前記内視鏡の真空ラインに結合されており、前記真空チャンバは、前記真空チャンバ内に引き込むことができる組織の最大量を調節する手段を有する、真空チャンバと、
を含む、外科用器械。
(2)実施態様(1)記載の縫合器械において、
前記駆動組立体は、前記針を連続円形経路に沿って動かす、縫合器械。
(3)実施態様(1)記載の縫合器械において、
前記縫合糸ハウジングは、患者の生まれつき備わった開口中に挿入可能な寸法形状になっている、縫合器械。
(4)実施態様(3)記載の縫合器械において、
前記縫合糸ハウジングは、直径が約3mm〜約24mmの開口を通過可能な寸法形状になっている、縫合器械。
(5)実施態様(1)記載の縫合器械において、
前記縫合糸ハウジングは、トロカール中に腹腔鏡的に挿入可能な寸法形状になっている、縫合器械。
前記縫合糸ハウジングは、直径が約3mm〜約18mmの開口を通過可能な寸法形状になっている、縫合器械。
(7)実施態様(1)記載の縫合器械において、
前記調節手段は、前記真空チャンバのサイズを選択的に調節する機械的リンクを含む、縫合器械。
(8)実施態様(7)記載の縫合器械において、
前記機械的リンクは、前記真空チャンバの部分を互いに結合するねじである、縫合器械。
(9)実施態様(7)記載の縫合器械において、
前記機械的リンクは、前記真空チャンバを側方または長さ方向に調節する、縫合器械。
(10)実施態様(1)記載の縫合器械において、
前記調節手段は、前記真空チャンバ内の組織への接近を制限する仕方で前記真空チャンバを横切って延びるワイヤを含む、縫合器械。
外科用縫合器械において、
縫合糸ハウジングと、
弧状経路に沿って動くことができるよう前記縫合糸ハウジング内に設けられた針と、
前記針に作動可能に関連している駆動組立体であって、縫合糸を組織に付けやすくする仕方で、前記縫合糸が固定された状態の前記針の前記弧状経路に沿う運動を制御する、駆動組立体と、
前記縫合糸ハウジングを包囲した真空チャンバであって、前記真空チャンバは、前記内視鏡の真空ラインに結合されており、かつ、第1のサイズと前記第1のサイズよりも小さな第2のサイズとの間で前記真空チャンバを調節する手段を有する、真空チャンバと、
を含む、縫合器械。
(12)実施態様(11)記載の縫合器械において、
前記駆動組立体は、前記針を連続円形経路に沿って動かす、縫合器械。
(13)実施態様(11)記載の縫合器械において、
前記縫合糸ハウジングは、患者の生まれつき備わった開口中に挿入可能な寸法形状になっている、縫合器械。
(14)実施態様(13)記載の縫合器械において、
前記縫合糸ハウジングは、直径が約3mm〜約24mmの開口を通過可能な寸法形状になっている、縫合器械。
(15)実施態様(11)記載の縫合器械において、
前記縫合糸ハウジングは、トロカール中に腹腔鏡的に挿入可能な寸法形状になっている、縫合器械。
前記縫合糸ハウジングは、直径が約3mm〜約18mmの開口を通過可能な寸法形状になっている、縫合器械。
(17)実施態様(11)記載の縫合器械において、
前記調節手段は、前記真空チャンバのサイズを選択的に調節する機械的リンクを含む、縫合器械。
(18)実施態様(17)記載の縫合器械において、
前記機械的リンクは、前記真空チャンバの部分を互いに結合するねじである、縫合器械。
(19)実施態様(17)記載の縫合器械において、
前記機械的リンクは、前記真空チャンバを側方または長さ方向に調節する、縫合器械。
(20)実施態様(11)記載の縫合器械において、
前記調節手段は、前記真空チャンバ内の組織への接近を制限する仕方で前記真空チャンバを横切って延びるワイヤを含む、縫合器械。
Claims (9)
- 外科用縫合器械において、
縫合糸ハウジングと、
弧状経路に沿って動くように前記縫合糸ハウジング内に設けられた針と、
前記針とこの針に取り付けられた縫合糸の前記弧状経路に沿う運動を制御するために、前記針と関連している、駆動組立体と、
前記縫合糸ハウジングを包囲した真空チャンバであって、前記真空チャンバは、内視鏡の真空ラインに結合されており、前記真空チャンバは、前記真空チャンバ内に引き込むことができる組織の最大量を調節する手段を有する、真空チャンバと、
を含む、外科用器械。 - 請求項1記載の縫合器械において、
前記真空チャンバは、内壁と外壁を含み、
前記内壁は、真空が適用された際に組織と係合するように構成されている係合部を有する、縫合器械。 - 請求項1記載の縫合器械において、
前記真空チャンバは、可撓性部材を含んでいる、縫合器械。 - 請求項1記載の縫合器械において、
前記真空チャンバは、ヒンジを含んでいる、縫合器械。 - 請求項1記載の縫合器械において、
前記調節手段は、前記真空チャンバのサイズを選択的に調節する機械的リンクを含む、縫合器械。 - 請求項5記載の縫合器械において、
前記機械的リンクは、前記真空チャンバの部分を互いに結合するねじである、縫合器械。 - 請求項5記載の縫合器械において、
前記機械的リンクは、前記真空チャンバを側方または長さ方向に調節する、縫合器械。 - 請求項1記載の縫合器械において、
前記調節手段は、前記真空チャンバを横切って延びるワイヤを含む、縫合器械。 - 外科用縫合器械において、
縫合糸ハウジングと、
弧状経路に沿って動くように前記縫合糸ハウジング内に設けられた針と、
前記針とこの針に取り付けられた縫合糸の前記弧状経路に沿う運動を制御するために、前記針と関連している、駆動組立体と、
前記縫合糸ハウジングを包囲した真空チャンバであって、前記真空チャンバは、内視鏡の真空ラインに結合されており、前記真空チャンバは、第1のサイズと前記第1のサイズよりも小さな第2のサイズとの間で前記真空チャンバを調節する手段を有する、真空チャンバと、
を含む、縫合器械。
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US11/394,127 US7846169B2 (en) | 2005-06-13 | 2006-03-31 | Adjustable vacuum chamber for a surgical suturing apparatus |
US11/394,127 | 2006-03-31 |
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EP (1) | EP1839593B1 (ja) |
JP (1) | JP5183953B2 (ja) |
CN (1) | CN101045003B (ja) |
AT (1) | ATE453364T1 (ja) |
AU (1) | AU2007201317B2 (ja) |
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CN101045003A (zh) | 2007-10-03 |
US7846169B2 (en) | 2010-12-07 |
DE602007004012D1 (de) | 2010-02-11 |
CA2583330A1 (en) | 2007-09-30 |
HK1108342A1 (en) | 2008-05-09 |
EP1839593B1 (en) | 2009-12-30 |
MX2007003972A (es) | 2008-11-27 |
CN101045003B (zh) | 2010-11-10 |
AU2007201317A1 (en) | 2007-10-18 |
US20060282091A1 (en) | 2006-12-14 |
ATE453364T1 (de) | 2010-01-15 |
AU2007201317B2 (en) | 2012-08-23 |
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