JP5253823B2 - インターロックおよびインターロックを含む外科器具 - Google Patents
インターロックおよびインターロックを含む外科器具 Download PDFInfo
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- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B17/07207—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously the staples being applied sequentially
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- A—HUMAN NECESSITIES
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- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B2017/07214—Stapler heads
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- A—HUMAN NECESSITIES
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- 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
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B2017/07214—Stapler heads
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- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
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Description
本願は、参照して開示内容のすべてを本明細書に組み入れる以下に示す同時出願の米国特許出願に関連する。
1.ジェイ・ジョーダーノ(J. Giordano)らによる米国特許出願第11/651715号(名称:「制御ユニットとトランスポンダとの間で無線通信を行う外科器具(SURGICAL INSTRUMENT WITH WIRELESS COMMUNICATION BETWEEN CONTROL UNIT AND SENSOR TRANSPONDERS)」)(代理人整理番号:060338/END5923USNP)
2.ジェイ・ジョーダーノ(J. Giordano)らによる米国特許出願第11/651807号(名称:「制御ユニットと遠隔センサとの間で無線通信を行う外科器具(SURGICAL INSTRUMENT WITH WIRELESS COMMUNICATION BETWEEN CONTROL UNIT AND REMOTE SENSOR)」)(代理人整理番号:060339/END5924USNP)
3.ジェイ・ジョーダーノ(J. Giordano)らによる米国特許出願第11/651806号(名称:「制御ユニットとエンドエフェクタとの間で通信するために素子を備えた外科器具(SURGICAL INSTRUMENT WITH ELEMENTS TO COMMUNICATE BETWEEN CONTROL UNIT AND END EFFECTOR)」)(代理人整理番号:060340/END5925USNP)
4.エフ・シェルトン(F. Shelton)らによる米国特許出願第11/651768号(名称:「外科器具内のカートリッジの再使用の防止(PREVENTION OF CARTRIDGE REUSE IN A SURGICAL INSTRUMENT)」)(代理人整理番号:060341/END5926USNP)
5.ジェイ・スウェイズ(J. Swayze)らによる米国特許出願第11/651771号(名称:「滅菌後の外科器具のプログラミング(POST-STERILIZATION PROGRAMMING OF SURGICAL INSTRUMENTS)」)(代理人整理番号:060342/END5927USNP)
6.エフ・シェルトン(F. Shelton)らによる米国特許出願第11/651785号(名称:「バッテリ性能を向上させた外科器具(SURGICAL INSTRUMENT WITH ENHANCED BATTERY PERFORMANCE)」)(代理人整理番号:060347/END5931USNP)
開示する発明は、一般に、かつ様々な実施形態におけるステープルカートリッジから組織内にステープルを列状に留めると同時に、留められたステープル列間の組織を切断するように構成された外科ステープル留め/切断器具に関する。詳細には、開示する発明は、ステープルカートリッジが装着されていない場合、またはステープルカートリッジが装着されているが使用済みの場合に、組織の切断を防止する電動式外科ステープル留め/切断器具に使用するためのインターロックに関する。
内視鏡外科器具は、小さな切開部が術後の回復時間を短縮し合併症を低減するため、従来の開放外科装置よりも好まれる場合が多い。したがって、トロカールのカニューレによって所望の外科部位に遠位エンドエフェクタを正確に配置するのに適した様々な内視鏡外科器具の開発が著しく進展した。このような遠位エンドエフェクタは、診断効果または治療効果を果たすべく様々な方式で組織に係合する(例えば、エンドカッター、把持器、カッター、ステープラ、クリップアプライヤ、アクセス装置、薬物/遺伝子治療送達装置、および超音波、RF、レーザーなどを用いたエネルギー装置)。
本願は、様々な実施形態に従った外科切断/ステープル留め器具を開示する。この器具は、物体を切断するための移動可能な切断器具を備えたエンドエフェクタ、およびモータに流れる電流に応答して切断器具を作動させるためのモータを含む。切断器具の作動により、切断器具が、最近位位置と最遠位位置との間を移動する。この器具は、モータを流れる電流に基づいて切断器具の作動を防止するために、エンドエフェクタおよびモータに結合されたインターロックをさらに含む。
本発明の様々な実施形態を、添付の図面を参照しながら例として説明する。
(1)外科器具において、
物体を切断するための移動可能な切断器具を含むエンドエフェクタと、
前記エンドエフェクタに結合されたモータであって、前記モータは、前記モータを流れる電流に応答して前記切断器具を作動させ、前記切断器具の作動により、前記切断器具が、最近位位置と最遠位位置との間で運動する、モータと、
前記エンドエフェクタおよび前記モータに結合されたインターロックであって、前記モータを流れる電流に基づいて前記切断器具の作動を防止する、インターロックと、
を含む、外科器具。
(2)実施態様(1)に記載の外科器具において、
前記エンドエフェクタは、
近位端部および遠位端部を有する、長さ方向に延びた溝型部材と、
前記溝型部材に旋回可能に取り付けられたアンビルであって、前記物体が、前記アンビルと前記溝型部材との間に配置される、アンビルと、
前記溝型部材内に取外し可能に設置され、近位端部および遠位端部を有するステープルカートリッジと、
前記ステープルカートリッジと前記溝型部材との間に形成された発射駆動スロットであって、前記切断器具が作動されると、前記発射駆動スロット内を前記切断器具の少なくとも一部が通過する、発射駆動スロットと、
前記ステープルカートリッジ内に置かれたスレッドであって、前記切断器具が作動されると、前記スレッドが、前記切断器具によって係合され、前記ステープルカートリッジの前記近位端部に位置する未発射位置から前記ステープルカートリッジの前記遠位端部に位置する発射済み位置まで前記ステープルカートリッジ内を長さ方向に駆動される、スレッドと、
をさらに含む、外科器具。
(3)実施態様(2)に記載の外科器具において、
前記インターロックは、
前記切断器具の作動を防止するためのブロック機構であって、前記スレッドが前記未発射位置に存在しない場合に作動される、ブロック機構と、
前記モータを流れる電流を検出し、かつ検出した前記電流に基づいて前記モータを流れる電流を遮断するためのロックアウト回路と、
を含む、外科器具。
(4)実施態様(3)に記載の外科器具において、
前記ロックアウト回路は、さらに、前記切断器具の位置に基づいて前記モータを流れる電流を遮断する、外科器具。
(5)実施態様(3)に記載の外科器具において、
前記モータを流れる電流は、前記ブロック機構が、前記切断器具が前記溝型部材内を長さ方向に前進するのを防止すると増大する、外科器具。
前記ブロック機構は、前記溝型部材内に置かれた少なくとも1つのバネフィンガーを含む、外科器具。
(7)実施態様(3)に記載の外科器具において、
前記ブロック機構は、前記溝型部材にバネ作用するように取り付けられた少なくとも1つの傾斜したフックを含む、外科器具。
(8)実施態様(3)に記載の外科器具において、
前記ブロック機構は、前記ステープルカートリッジと一体に形成され、少なくとも1つの近位側に突出した部材を含み、
前記少なくとも1つの部材は、前記発射駆動スロットと前記ステープルカートリッジ内の凹部との間で移動可能である、外科器具。
(9)実施態様(3)に記載の外科器具において、
前記ロックアウト回路は、前記検出された電流を示す第1の信号を生成するための電流センサを含む、外科器具。
(10)実施態様(9)に記載の外科器具において、
前記ロックアウト回路は、前記第1の信号を所定の閾値信号と比較するための電流検出モジュールをさらに含む、外科器具。
前記電流検出モジュールは、マイクロプロセッサを含む、外科器具。
(12)実施態様(10)に記載の外科器具において、
前記ロックアウト回路は、前記切断器具の位置を決定するための位置センサをさらに含む、外科器具。
(13)実施態様(12)に記載の外科器具において、
前記ロックアウト回路は、前記モータに直列に接続されたスイッチをさらに含み、
前記スイッチは、前記切断器具の位置、および前記第1の信号の前記所定の閾値信号に対する比較に基づいて、前記モータを流れる電流を遮断するように制御可能である、外科器具。
(14)実施態様(13)に記載の外科器具において、
前記スイッチは、前記切断器具の前記位置が、前記切断器具の最近位位置の所定距離の範囲内にある場合、および前記第1の信号が前記所定の閾値信号を超える場合に、前記モータを流れる電流を遮断するように制御可能である、外科器具。
(15)外科器具の動作を防止するための方法であって、前記外科器具は、使用可能なステープルカートリッジを取外し可能に受容するように構成され、移動可能な切断器具、およびモータであって、前記モータを流れる電流に応答して前記切断器具を作動させるためのモータを備えている、方法において、
未使用のステープルカートリッジが前記器具内に存在しない場合に、前記モータによる前記切断器具の作動を機械的にブロックするステップと、
ブロックされた前記切断器具の作動により生じる前記モータを流れる電流を検出するステップと、
検出された前記電流に基づいて前記モータを流れる電流を遮断するステップと、
を含む、方法。
前記モータを流れる電流を検出するステップは、
前記モータの電流を検出するステップと、
検出された前記モータの電流を表す信号を生成するステップと、
生成された前記信号を閾値信号と比較するステップと、
を含む、方法。
(17)実施態様(16)に記載の方法において、
前記モータを流れる電流を遮断するステップは、生成された前記信号が前記閾値信号を超える場合に前記電流を遮断するステップを含む、方法。
(18)実施態様(17)に記載の方法において、
前記モータを流れる電流を遮断する前記ステップは、前記切断器具の位置に基づいて前記電流を遮断するステップをさらに含む、方法。
(19)外科器具を処理する方法において、
前記外科器具を入手するステップであって、
前記外科器具が、
物体を切断するための移動可能な切断器具を含むエンドエフェクタ、
前記エンドエフェクタに結合されたモータであって、前記モータは、前記モータを流れる電流に応答して前記切断器具を作動させ、前記切断器具の作動により、前記切断器具が、最近位位置と最遠位位置との間で運動する、モータ、および、
前記エンドエフェクタおよび前記モータに結合されたインターロックであって、前記モータを流れる電流に基づいて前記切断器具の作動を防止する、インターロック、
を含む、
ステップと、
前記外科器具を滅菌するステップと、
前記外科器具を滅菌容器内に保管するステップと、
を含む、方法。
Claims (8)
- 外科器具において、
物体を切断するための移動可能な切断器具を含むエンドエフェクタと、
前記エンドエフェクタに結合されたモータであって、前記モータは、前記モータを流れる電流に応答して前記切断器具を作動させ、前記切断器具の作動により、前記切断器具が、最近位位置と最遠位位置との間で運動する、モータと、
前記エンドエフェクタおよび前記モータに結合されたインターロックであって、前記モータを流れる電流に基づいて前記切断器具の作動を防止する、インターロックと、
を含み、
前記エンドエフェクタは、
近位端部および遠位端部を有する、長さ方向に延びた溝型部材と、
前記溝型部材に旋回可能に取り付けられたアンビルであって、前記物体が、前記アンビルと前記溝型部材との間に配置される、アンビルと、
前記溝型部材内に取外し可能に設置され、近位端部および遠位端部を有するステープルカートリッジと、
前記ステープルカートリッジと前記溝型部材との間に形成された発射駆動スロットであって、前記切断器具が作動されると、前記発射駆動スロット内を前記切断器具の少なくとも一部が通過する、発射駆動スロットと、
前記ステープルカートリッジ内に置かれたスレッドであって、前記切断器具が作動されると、前記スレッドが、前記切断器具によって係合され、前記ステープルカートリッジの前記近位端部に位置する未発射位置から前記ステープルカートリッジの前記遠位端部に位置する発射済み位置まで前記ステープルカートリッジ内を長さ方向に駆動される、スレッドと、
をさらに含み、
前記インターロックは、
前記切断器具の作動を防止するためのブロック機構であって、前記スレッドが前記未発射位置に存在しない場合に作動される、ブロック機構と、
前記モータを流れる電流を検出し、かつ検出した前記電流に基づいて前記モータを流れる電流を遮断するためのロックアウト回路と、
を含む、外科器具。 - 請求項1に記載の外科器具において、
前記ロックアウト回路は、さらに、前記切断器具の位置に基づいて前記モータを流れる電流を遮断する、外科器具。 - 請求項1に記載の外科器具において、
前記モータを流れる電流は、前記ブロック機構が、前記切断器具が前記溝型部材内を長さ方向に前進するのを防止すると増大する、外科器具。 - 請求項1に記載の外科器具において、
前記ブロック機構は、前記溝型部材内に置かれた少なくとも1つのバネフィンガーを含む、外科器具。 - 請求項1に記載の外科器具において、
前記ブロック機構は、前記溝型部材にバネ作用するように取り付けられた少なくとも1つの傾斜したフックを含む、外科器具。 - 請求項1に記載の外科器具において、
前記ブロック機構は、前記ステープルカートリッジと一体に形成され、少なくとも1つの近位側に突出した部材を含み、
前記少なくとも1つの部材は、前記発射駆動スロットと前記ステープルカートリッジ内の凹部との間で移動可能である、外科器具。 - 請求項1に記載の外科器具において、
前記ロックアウト回路は、前記検出された電流を示す第1の信号を生成するための電流センサを含む、外科器具。 - 請求項7に記載の外科器具において、
前記ロックアウト回路は、前記第1の信号を所定の閾値信号と比較するための電流検出モジュールをさらに含む、外科器具。
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US11/651,788 US7721936B2 (en) | 2007-01-10 | 2007-01-10 | Interlock and surgical instrument including same |
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EP (1) | EP1943959B1 (ja) |
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JP2008212639A (ja) | 2008-09-18 |
US20080167670A1 (en) | 2008-07-10 |
EP1943959B1 (en) | 2017-12-13 |
CN101224118B (zh) | 2012-01-04 |
CN101224118A (zh) | 2008-07-23 |
US7721936B2 (en) | 2010-05-25 |
EP1943959A1 (en) | 2008-07-16 |
PL1943959T3 (pl) | 2018-04-30 |
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