JP5184537B2 - ドライバが取り付けられた外科ステープルおよびこれらをステープル止めするためのステープル止め器具 - Google Patents
ドライバが取り付けられた外科ステープルおよびこれらをステープル止めするためのステープル止め器具 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
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Description
本願は、参照して開示内容の全てを本明細書に組み入れる、以下に示す同日出願の11の同時係属の自己の特許出願に関連する。
1.フレデリック・イー・シェルトン・ザ・フォース(Frederick E. Shelton, IV)、ジェローム・アール・モーガン(Jerome R. Morgan)、マイケル・エイ・マーレイ(Michael A. Murray)、リチャード・ダブリュー・ティム(Richard W. Timm)、ジェームス・ティー・スパイビー(James T. Spivey)、ジェームス・ダブリュー・ボーグル(James W. Voegele)、レスリー・エム・フジカワ(Leslie M. Fugikawa)、およびユージーン・エル・ティンパーマン(Eugene L. Timperman)による米国特許出願:名称「ステープルの高さを調節可能にするための可撓性溝形部材およびアンビルの機能構造を備えた外科ステープル止め器具(Surgical Stapling Instruments Having Flexible Channel and Anvil Features For Adjustable Staple Heights)」(K&LNG整理番号:060500CIP1/END5706USCIP1)
2.フレデリック・イー・シェルトン・ザ・フォース(Frederick E. Shelton, IV)、ジェフリー・エス・スエイズ(Jeffrey S. Swayze)、レスリー・エム・フジカワ(Leslie M. Fugikawa)、およびユージーン・エル・ティンパーマン(Eugene L. Timperman)による米国特許出願:名称「ステープルの高さを調節するための収縮可能な構造を備えた外科ステープル止め器具(Surgical Stapling Instruments With Collapsible Features For Controlling Staple Height)」(K&LNG整理番号:060500CIP2/END5706USCIP2)
3.フレデリック・イー・シェルトン・ザ・フォース(Frederick E. Shelton, IV)およびジョシュア・ウス(Joshua Uth)による米国特許出願:名称「自己調節式アンビルを備えた外科切断/ステープル止め器具(Surgical Cutting and Stapling Instrument With Self Adjusting Anvil)」(K&LNG整理番号:060492/END5962USNP)
4.フレデリック・イー・シェルトン・ザ・フォース(Frederick E. Shelton, IV)およびジェフリー・エス・スエイズ(Jeffrey S. Swayze)による米国特許出願:名称「最大組織圧迫力を制限するための閉鎖装置を備えた外科切断/ステープル止め器具(Surgical Cutting and Stapling Device With Closure Apparatus For Limiting Maximum Tissue Compression Force)」(K&LNG整理番号:060493/END5963USNP)
5.トッド・フィリップ・オーメイツ(Todd Philip Omaits)、ベニー・トンプソン(Bennie Thompson)、フレデリック・イー・シェルトン・ザ・フォース(Frederick E. Shelton, IV)、およびユージーン・エル・ティンパーマン(Eugene L. Timperman)による米国特許出願:名称「組織の最大の圧迫を限定するための機械機構を備えた外科ステープル止め器具(SURGICAL STAPLING INSTRUMENT WITH MECHANICAL MECHANISM FOR LIMITING MAXIMUM TISSUE COMPRESSION)」(K&LNG整理番号:060490/END5960USNP)
6.クリストファー・ジェイ・ヘス(Christopher J. Hess)、ウイリアム・ビー・ウエイスンバーグ・ザ・セカンド(William B. Weisenburgh II)、ジェローム・アール・モーガン(Jerome R. Morgan)、ジェームス・ダブリュー・ボーグル(James W. Voegele)、フレデリック・イー・シェルトン・ザ・フォース(Frederick E. Shelton, IV)、およびジョシュア・ウス(Joshua Uth)による米国特許出願:名称「外科ステープル止め器具およびステープル(Surgical Stapling Instruments and Staples)」(K&LNG整理番号:060494/END5965USNP)
7.クリストファー・ジェイ・ヘス(Christopher J. Hess)、マイケル・エイ・マーレイ(Michael A. Murray)、ジェローム・アール・モーガン(Jerome R. Morgan)、ジェームス・ダブリュー・ボーグル(James W. Voegele)、ロバート・ギル(Robert Gill)、およびマイケル・クレム(Michael Clem)による米国特許出願:名称「溶解性、生体吸収性、または生体砕屑性部分を有する外科ステープルおよびこれらを配置するためのステープル止め器具(Surgical Staples Having Dissolvable, Bioabsorbable or Biofragmentable Portions and Stapling Instruments For Deploying The Same)」(K&LNG整理番号:060495/END5966USNP)
8.クリストファー・ジェイ・ヘス(Christopher J. Hess)、ウイリアム・ビー・ウエイスンバーグ・ザ・セカンド(William B. Weisenburgh II)、ジェローム・アール・モーガン(Jerome R. Morgan)、フレデリック・イー・シェルトン・ザ・フォース(Frederick E. Shelton, IV)、レスリー・エム・フジカワ(Leslie M. Fugikawa)、およびユージーン・エル・ティンパーマン(Eugene L. Timperman)による米国特許出願:名称「連結された外科ステープルおよびこれらをステープル止めするためのステープル止め器具(Connected Surgical Staples and Stapling Instruments For Deploying the Same)」(K&LNG整理番号:060499/END5970USNP)
9.トッド・ピー・オーメイツ(Todd P. Omaits)、ベニー・トンプソン(Bennie Thompson)、フレデリック・イー・シェルトン・ザ・フォース(Frederick E. Shelton, IV)、およびユージーン・エル・ティンパーマン(Eugene L. Timperman)による米国特許出願:名称「組織の圧迫のレベルを示す機械指示器を備えた外科ステープル止め器具(Surgical Stapling Instrument With Mechancial Indicator To Show Levels of Tissue Compression)」(K&LNG整理番号:060491/END5961USNP)
10.クリストファー・ジェイ・ヘス(Christopher J. Hess)、ウイリアム・ビー・ウエイスンバーグ・ザ・セカンド(William B. Weisenburgh II)、ジェローム・アール・モーガン(Jerome R. Morgan)、フレデリック・イー・シェルトン・ザ・フォース(Frederick E. Shelton, IV)、およびダレル・パウエル(Darrel Powell)による米国特許出願:名称「外科ステープルおよびステープル止め器具(Surgical Staples and Stapling Instruments)」(K&LNG整理番号:060498/END5969USNP)
11.クリストファー・ジェイ・ヘス(Christopher J. Hess)、ジェローム・アール・モーガン(Jerome R. Morgan)、ウイリアム・ビー・ウエイスンバーグ・ザ・セカンド(William B. Weisenburgh II)、ジェームス・ダブリュー・ボーグル(James W. Voegele)、カール・シャートレフ(Carl Shurtleff)、マーク・オルティス(Mark Ortiz)、マイケル・ストークス(Michael Stokes)、フレデリック・イー・シェルトン・ザ・フォース(Frederick E. Shelton, IV)、およびジェフリー・エス・スエイズ(Jeffrey S. Swayze)による米国特許出願:名称「外科ステープル内に組織を固定するための圧縮可能または押し込み可能な部材を備えた外科ステープルおよびこれらをステープル止めするためのステープル止め器具(Surgical Staples Having Compressible or Crushable Members For Securing Tissue Therein and Stapling Instruments For Deploying The Same)」(K&LNG整理番号:060497/END5968USNP)
本発明は、内視鏡手術器具および開放外科手術器具に関し、詳細には、限定するものではないが、開放外科手術用ステープル止め装置、腹腔鏡外科手術用ステープル止め装置、内視鏡および腔内外科手術用ステープル止め装置を含む外科ステープラおよび外科ステープルに関する。
内視鏡手術器具および腹腔鏡手術器具は、切開部が小さく術後の回復が早く合併症のリスクが低いため、従来の開放外科手術よりも好ましい場合が多い。腹腔鏡手術器具および内視鏡手術の利用は、比較的普及してきており、さらに手術方法を発展させる別の動機を与える。腹腔鏡手術では、外科処置は、小さな切開部を介して腹部内で行われる。同様に、内視鏡手術では、外科処置は、皮膚の小さな進入用切開部から挿入された細い内視鏡チューブを介して体内の任意の臓器の空洞部内で行われる。
本発明は、様々な実施形態では、ドライバとこのドライバが連結されているステープルとを備えた外科ステープル止めシステムを含む。従来の外科ステープル止めシステムでは、ドライバとステープルは連結されていなかった。本発明による外科ステープル止めシステムは、構成要素の数が少なく、組立および製造の時間が短く、少なくとも部分的にドライバに埋め込まれた比較的大きいステープルを受容することができる。
本明細書の一部であって、本明細書を構成し、かつ本発明の実施形態を例示する添付の図面、上記した発明の概要、および後述する実施形態の詳細な説明は、本発明の原理を説明する役割を果たす。
Claims (9)
- 外科ステープル1300、1340、1350、1360、1370、1380、1400、1450において、
第1の変形可能な部材1304、1344、1404、1452と、
前記第1の変形可能な部材が延びているベース1301、1408と、
ドライバ1302、1402、1451であって、
前記ベースの少なくとも一部が、前記ドライバと一体であり、
前記ドライバは、
ステープラのカム1462に動作可能に係合するように構成されたカム接触面1328、1453、および、
組織接触面1336であって、前記ステープラの前記カム1462に前記カム接触面1328、1453が係合することで前記外科ステープルが移動して前記第1の変形可能な部材が変形した場合に、前記第1の変形可能な部材と前記組織接触面1336との間に組織を保持するように構成されている、組織接触面1336、
を備えた、
ドライバ1302、1402、1451と、
を含む、外科ステープル1300、1340、1350、1360、1370、1380、1400、1450。 - 請求項1記載の外科ステープル1300、1340、1350、1360、1370、1380、1400、1450において、
前記ドライバ1302、1402、1451は、前記ベース1301、1408にオーバーモールドされている、外科ステープル1300、1340、1350、1360、1370、1380、1400、1450。 - 請求項1記載の外科ステープル1300、1340、1350、1360、1370、1380、1400、1450において、
前記カム接触面1328、1453は、前記ステープラの前記カム1462の角度の付いた表面1454と係合するように構成された傾斜面である、外科ステープル1300、1340、1350、1360、1370、1380、1400、1450。 - 請求項1記載の外科ステープル1300、1340、1350、1360、1370、1380、1400、1450において、
前記ドライバ1302、1402、1451は、生体吸収性材料から形成されている、外科ステープル1300、1340、1350、1360、1370、1380、1400、1450。 - 請求項1記載の外科ステープル1300、1340、1350、1360、1370、1380、1400、1450において、
前記ドライバ1302、1402、1451の少なくとも一部は、親水性材料が膨張して前記ドライバと前記第1の変形可能な部材1304、1344、1404、1452との間の組織を圧迫できるように、親水性材料でコーティングされている、外科ステープル1300、1340、1350、1360、1370、1380、1400、1450。 - 請求項1記載の外科ステープル1300、1340、1350、1360、1370、1380、1400、1450において、
前記ステープルは、前記ベース1301、1408から延びた第2の変形可能な部材1306、1344、1406、1452をさらに含み、
前記第2の変形可能な部材は、前記ステープラの前記カム1462に前記カム接触面1328、1453が係合することで前記外科ステープルが移動して前記第2の変形可能な部材が変形した場合に、前記第2の変形可能な部材と前記組織接触面1336との間に組織を保持するように構成されている、
外科ステープル1300、1340、1350、1360、1370、1380、1400、1450。 - 外科ステープル1300、1340、1350、1360、1370、1380、1400、1450において、
第1の変形可能な部材1304、1344、1404、1452と、
前記第1の変形可能な部材が延びているベース1301、1408と、
ドライバ1302、1402、1451であって、前記ベースと一体であり、ステープラのカム1462と動作可能に係合するように構成されている、ドライバ1302、1402、1451と、
を含む、外科ステープル1300、1340、1350、1360、1370、1380、1400、1450。 - 請求項7記載の外科ステープル1300、1340、1350、1360、1370、1380、1400、1450において、
前記ドライバ1302、1402、1451は、前記ベース1301、1408にオーバーモールドされている、外科ステープル1300、1340、1350、1360、1370、1380、1400、1450。 - 請求項7記載の外科ステープル1300、1340、1350、1360、1370、1380、1400、1450において、
前記ドライバ1302、1402、1451は、生体吸収性材料から形成されている、外科ステープル1300、1340、1350、1360、1370、1380、1400、1450。
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US11/529,935 US8485412B2 (en) | 2006-09-29 | 2006-09-29 | Surgical staples having attached drivers and stapling instruments for deploying the same |
US11/541,164 US7506791B2 (en) | 2006-09-29 | 2006-09-29 | Surgical stapling instrument with mechanical mechanism for limiting maximum tissue compression |
US11/541,098 US8220690B2 (en) | 2006-09-29 | 2006-09-29 | Connected surgical staples and stapling instruments for deploying the same |
US11/529,904 US8720766B2 (en) | 2006-09-29 | 2006-09-29 | Surgical stapling instruments and staples |
US11/529,935 | 2006-09-29 | ||
US11/529,879 US8348131B2 (en) | 2006-09-29 | 2006-09-29 | Surgical stapling instrument with mechanical indicator to show levels of tissue compression |
US11/541,050 US8360297B2 (en) | 2006-09-29 | 2006-09-29 | Surgical cutting and stapling instrument with self adjusting anvil |
US11/541,182 US20080078802A1 (en) | 2006-09-29 | 2006-09-29 | Surgical staples and stapling instruments |
US11/541,123 US7794475B2 (en) | 2006-09-29 | 2006-09-29 | Surgical staples having compressible or crushable members for securing tissue therein and stapling instruments for deploying the same |
US11/541,151 US7665647B2 (en) | 2006-09-29 | 2006-09-29 | Surgical cutting and stapling device with closure apparatus for limiting maximum tissue compression force |
US11/541,374 US8365976B2 (en) | 2006-09-29 | 2006-09-29 | Surgical staples having dissolvable, bioabsorbable or biofragmentable portions and stapling instruments for deploying the same |
PCT/US2007/017603 WO2008042045A2 (en) | 2006-09-29 | 2007-08-08 | Surgical staples having attached drivers and stapling instruments for deploying the same |
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JP2010504815A JP2010504815A (ja) | 2010-02-18 |
JP5184537B2 true JP5184537B2 (ja) | 2013-04-17 |
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JP2009530330A Active JP4959802B2 (ja) | 2006-09-29 | 2007-03-28 | 自己調節式アンビルを備えた外科切断/ステープル止め器具 |
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JP2009530343A Active JP5198454B2 (ja) | 2006-09-29 | 2007-08-08 | 連結された外科ステープルおよびこれらをステープル止めするためのステープル止め器具 |
JP2009530344A Active JP5184537B2 (ja) | 2006-09-29 | 2007-08-08 | ドライバが取り付けられた外科ステープルおよびこれらをステープル止めするためのステープル止め器具 |
JP2009530340A Active JP5290182B2 (ja) | 2006-09-29 | 2007-08-08 | 溶解性、生体吸収性、または生体砕屑性部分を有する外科ステープルおよびこれらを配置するためのステープル止め器具 |
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