JP5244804B2 - 筒状の軸機器 - Google Patents
筒状の軸機器 Download PDFInfo
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- JP5244804B2 JP5244804B2 JP2009530779A JP2009530779A JP5244804B2 JP 5244804 B2 JP5244804 B2 JP 5244804B2 JP 2009530779 A JP2009530779 A JP 2009530779A JP 2009530779 A JP2009530779 A JP 2009530779A JP 5244804 B2 JP5244804 B2 JP 5244804B2
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Description
特に、前記目的は、筒状軸と、
この筒状軸の先端に設けられており、それぞれが少なくとも1つの把持面を有する第1及び第2の口部材と、
前記把持面を用いて組織を固定するために口部材が開放位置から閉止位置に移動できるように、当該口部材を回転自在に支持する少なくとも1つの関節と
を備えており、
前記関節は、口部材が回転移動だけでなく平行移動を行うように、当該口部材の回転中心である仮想的な支点が口部材の外側に位置するようにされており、且つ、口部材のうち少なくとも一方の先端が、開放時に筒状軸の先端から離反可能であり、更に、関節は、2つの口部材の一方に設けられた関節ガイドと、2つの口部材の他方に設けられた少なくとも1つのレール又は溝とを備えている、筒状の軸機器により達成される。
好ましくは、前記ストリップが前記口部材に溶接で取り付けられており、この溶接が、ストリップの長手軸に対して好ましくは直角をなさないか、及び/又は、湾曲している。すなわち、長手軸に対して直交していない。ストリップは、移動されるべき口部材の長手軸が支点に対して実質的に直角になるように当該口部材に設けられる。溶接部ができるだけ長く形成されるように、支点に沿って、ただし曲線を描くように溶接がなされる。実効力ができるだけ長い距離に亘り分散される。その結果、装置の耐久性を飛躍的に延ばすことができる。また、溶接は波型形状であっても良い。
以下、図面によってさらに詳細に説明される実施の形態に基づいて、本発明を記述する。
図1は、本発明の筒状軸器具の一実施の形態の概略図である。図は、筒状軸器具の3つの機能的要素であるハンドル110と、やや長い筒状軸24と、筒状軸24の遠位端部(先端側端部)に配置された器具頭部30とを示す。器具頭部30は、筒状軸器具の実際の機能性を与え、組織を切断及び/又は凝固するために用いられる。ハンドル110は、器具頭部30の動きを制御する。特に、組織を固定、凝固及び切断するために、ハンドル110によって口部材10,10’(図2参照)を開閉することができる。
他の実施の形態(例えば、図10を参照)では、ガイドワイヤ52はレールである。当該レールは、ガイドワイヤ52と同じ機能性を有するように設計することができる。固定面x−yに対する予圧は、レール固有の弾性により、あるいは別体の装置(例えば、バネ)により達成することができる。
したがって、図17及び18は、例えば、第2の口部材10’が溝付ガイドシステムによって第1の口部材と有効に連結されていない器具頭部30における切断具50を示す。ここで、支点1は、口部材10,10’の長手方向軸上に実質的に位置する。
2 当接縁
10,10’ 口部材
12,12’ 把持面
16,16’ 先端
22,22’ 内側チューブアダプター
24 筒状軸
25 アダプター
27 引張ストリップ
30 器具頭部
40 関節
41,41’ 関節用ガイドレール
42,42’ 関節用ガイドピン
43,43’ 関節用ガイドレールの凹部
44,44’ 関節用ガイドレールの凸部
46,46’ 関節用ガイドベアリング
50 切断具
51 刃
52 ガイドワイヤ
53 刃ガイド
54 湾曲刃
55 斜面
56 ひだ
60,60’ 側部
100 処理装置
101 表示装置
102 道程センサ
103 スイッチ
110 ハンドル
112 受け部開口
114,
114’,
114’’ 結合エレメント
116 瞬間的接触スイッチ
117 ハンドル本体
120 ハンドトリガー
122,
122’ ハンドルレバー
124 ラック
125 延長部
130 指トリガー
x x軸
y y軸
z z軸
Claims (9)
- 組織を把持及び/又は凝固及び/又は分離させるための筒状の軸機器、特に電気外科手術用の筒状の軸機器であって、
筒状軸(24)と、
この筒状軸の先端に設けられており、それぞれが少なくとも1つの把持面(12,12’)を有する第1及び第2の口部材(10,10’)と、
前記把持面(12,12’)を用いて組織を固定するために口部材(10,10’)が開放位置から閉止位置に移動できるように、当該口部材(10,10’)を回転自在に支持する少なくとも1つの関節(40)と
を備えており、
前記関節(40)は、口部材(10’)が回転移動だけでなく平行移動を行うように、当該口部材(10’)の回転中心である仮想的な支点(1)が口部材(10,10’)の外側に位置するようにされており、且つ、口部材(10,10’)のうち少なくとも一方の先端が、開放時に筒状軸(24)の先端から離反可能であり、更に、関節(40)は、2つの口部材(10,10’)の一方に設けられた関節ガイド(42,42’,46,46’)と、2つの口部材(10,10’)の他方に設けられた少なくとも1つのレール(41,41’)又は溝とを備えていることを特徴とする筒状の軸機器。 - 少なくとも2つの部分関節(40,40’)が設けられており、当該部分関節(40,40’)は、固定された組織を切断するための刃(51)をガイドする通路を部分関節(40,40’)の間に形成するように互いに離れて配置されている請求項1に記載の筒状の軸機器。
- 少なくとも1つの口部材(10,10’)が刃ガイド(53)を備えている請求項1又は2に記載の筒状の軸機器。
- 移動されるべき口部材(10’)を開放及び閉止するために実質的に直線的に移動可能なストリップが設けられており、このストリップが、前記移動されるべき口部材(10’)に弾性を有する先端部によって取り付けられている請求項1〜3のいずれかに記載の筒状の軸機器。
- 前記ストリップが、引張ストリップ(27)であり、この引張ストリップ(27)の先端部が前記口部材(10’)に恒久的に取り付けられている請求項4に記載の筒状の軸機器。
- 前記ストリップが前記口部材(10’)に溶接で取り付けられており、この溶接が、ストリップの長手軸に対して好ましくは直角をなさないか、及び/又は、湾曲している請求項4又は5に記載の筒状の軸機器。
- 前記把持面(10,10’)の少なくとも一方が固定された組織を凝固させるための電極を有している請求項1〜6のいずれかに記載の筒状の軸機器。
- 前記口部材(10,10’)は、固定面(x−y)に組織を固定するようにされており、
刃(51)を有しており、固定された組織を切断するための切断具(50)が、駆動手段によって切断方向(x)に移動自在であり、
前記刃(51)は、前記固定面(x−y)にほぼ平行に移動自在にガイドされ、且つ、予め荷重を付与する手段(56)によって、切断している間前記固定面(x−y)に押圧されている請求項1〜7のいずれかに記載の筒状の軸機器。 - 前記刃ガイド(53)は、前記口部材(10,10’)の支点に近接したスタート位置に前記刃(51)がくるようにされている請求項3に記載の筒状の軸機器。
Applications Claiming Priority (13)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE102006047204.7 | 2006-10-05 | ||
DE200610047204 DE102006047204B4 (de) | 2006-10-05 | 2006-10-05 | Rohrschaftinstrument |
DE102006046920.8 | 2006-10-05 | ||
DE102006046919 | 2006-10-05 | ||
DE102006047215 | 2006-10-05 | ||
DE102006046920 | 2006-10-05 | ||
DE102006046919.4 | 2006-10-05 | ||
DE102006047215.2 | 2006-10-05 | ||
DE102006056405A DE102006056405A1 (de) | 2006-11-29 | 2006-11-29 | Medizinisches Instrument |
DE102006056405.7 | 2006-11-29 | ||
DE102006059175.5 | 2006-12-14 | ||
DE200610059175 DE102006059175A1 (de) | 2006-12-14 | 2006-12-14 | Rohrschaftinstrument |
PCT/EP2007/008386 WO2008040483A1 (de) | 2006-10-05 | 2007-09-26 | Rohrschaftinstrument |
Publications (2)
Publication Number | Publication Date |
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JP2010505476A JP2010505476A (ja) | 2010-02-25 |
JP5244804B2 true JP5244804B2 (ja) | 2013-07-24 |
Family
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JP2009530779A Active JP5244804B2 (ja) | 2006-10-05 | 2007-09-26 | 筒状の軸機器 |
JP2009530781A Active JP5149904B2 (ja) | 2006-10-05 | 2007-09-26 | 筒状の軸機器 |
JP2009530780A Expired - Fee Related JP5149903B2 (ja) | 2006-10-05 | 2007-09-26 | 医療機器 |
Family Applications After (2)
Application Number | Title | Priority Date | Filing Date |
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JP2009530781A Active JP5149904B2 (ja) | 2006-10-05 | 2007-09-26 | 筒状の軸機器 |
JP2009530780A Expired - Fee Related JP5149903B2 (ja) | 2006-10-05 | 2007-09-26 | 医療機器 |
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US (3) | US8142474B2 (ja) |
EP (3) | EP2077785B1 (ja) |
JP (3) | JP5244804B2 (ja) |
AT (2) | ATE538736T1 (ja) |
PL (3) | PL2077785T3 (ja) |
WO (4) | WO2008040484A2 (ja) |
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WO2008040486A3 (de) | 2008-07-17 |
EP2077785A1 (de) | 2009-07-15 |
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WO2008040484A2 (de) | 2008-04-10 |
JP2010505478A (ja) | 2010-02-25 |
EP2077785B1 (de) | 2012-02-08 |
EP2077774B1 (de) | 2014-09-10 |
EP2077773B1 (de) | 2011-12-28 |
US8795275B2 (en) | 2014-08-05 |
WO2008040484A3 (de) | 2008-07-17 |
WO2008040485A3 (de) | 2008-07-17 |
WO2008040486A2 (de) | 2008-04-10 |
WO2008040485A2 (de) | 2008-04-10 |
JP2010505477A (ja) | 2010-02-25 |
US8142474B2 (en) | 2012-03-27 |
JP5149904B2 (ja) | 2013-02-20 |
WO2008040483A1 (de) | 2008-04-10 |
ATE544412T1 (de) | 2012-02-15 |
PL2077773T3 (pl) | 2012-05-31 |
US20100016879A1 (en) | 2010-01-21 |
EP2077773A2 (de) | 2009-07-15 |
EP2077774A2 (de) | 2009-07-15 |
US20090326531A1 (en) | 2009-12-31 |
US8133224B2 (en) | 2012-03-13 |
ATE538736T1 (de) | 2012-01-15 |
PL2077785T3 (pl) | 2012-07-31 |
PL2077774T3 (pl) | 2015-02-27 |
JP5149903B2 (ja) | 2013-02-20 |
US20100030213A1 (en) | 2010-02-04 |
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