JP5432975B2 - 電気機械的手術装置のシャフト - Google Patents
電気機械的手術装置のシャフト Download PDFInfo
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- JP5432975B2 JP5432975B2 JP2011272102A JP2011272102A JP5432975B2 JP 5432975 B2 JP5432975 B2 JP 5432975B2 JP 2011272102 A JP2011272102 A JP 2011272102A JP 2011272102 A JP2011272102 A JP 2011272102A JP 5432975 B2 JP5432975 B2 JP 5432975B2
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
-
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-
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- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B17/115—Staplers for performing anastomosis in a single operation
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- A61B17/115—Staplers for performing anastomosis in a single operation
- A61B17/1155—Circular staplers comprising a plurality of staples
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- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
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- F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
- F16—ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
- F16C—SHAFTS; FLEXIBLE SHAFTS; ELEMENTS OR CRANKSHAFT MECHANISMS; ROTARY BODIES OTHER THAN GEARING ELEMENTS; BEARINGS
- F16C1/00—Flexible shafts; Mechanical means for transmitting movement in a flexible sheathing
- F16C1/02—Flexible shafts; Mechanical means for transmitting movement in a flexible sheathing for conveying rotary movements
- F16C1/06—Flexible shafts; Mechanical means for transmitting movement in a flexible sheathing for conveying rotary movements with guiding sheathing, tube or box
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- A61B90/30—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
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- H—ELECTRICITY
- H04—ELECTRIC COMMUNICATION TECHNIQUE
- H04B—TRANSMISSION
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- H04B10/25—Arrangements specific to fibre transmission
Description
本出願は、米国仮特許出願第60/703,227号の優先権を主張し、その内容全体が参照によって明示的に本明細書に組み込まれている。
例えば、本願発明は以下を提供する。
(項目1)
細長い外套シースと、
上記外套シース内に配置されている少なくとも1つの回転可能な駆動シャフトと、
上記少なくとも1つの回転可能な駆動シャフトから径方向に延在し、上記少なくとも1つの回転可能な駆動シャフトと共に回転するように構成されている部材と、
上記外套シース内に取り付けられている少なくとも1つの光源と、
を備えており、
上記少なくとも1つの回転可能な駆動シャフトが回転した場合に、上記部材が上記光源からの光を検知することを交互に阻害及び可能にすることを特徴とするシャフト。
(項目2)
上記部材が、タブであることを特徴とする項目1に記載のシャフト。
(項目3)
上記部材が、上記少なくとも1つの回転可能な駆動シャフトに取り付けられる矩形状フランジを備えたリングから延在する2つのタブを含んでいることを特徴とする項目2に記載のシャフト。
(項目4)
上記少なくとも1つの光源が、上記シャフトの遠位端に取り付けられた2つの光源を含んでいることを特徴とする項目1に記載のシャフト。
(項目5)
上記2つの光源が、上記少なくとも1つの回転可能な駆動シャフトの軸線に対して互いに約90度の角度で取り付けられていることを特徴とする項目4に記載のシャフト。
(項目6)
上記シャフトが、可撓性を有していることを特徴とする項目1に記載のシャフト。
(項目7)
上記シャフトの剛性が、高いことを特徴とする項目1に記載のシャフト。
(項目8)
上記シャフトが、関節式であることを特徴とする項目1に記載のシャフト。
(項目9)
上記シャフトが、屈曲可能であることを特徴とする項目1に記載のシャフト。
(項目10)
上記少なくとも1つの光源が、発光ダイオードであることを特徴とする項目1に記載のシャフト。
(項目11)
上記外套シースが、加圧滅菌可能とされることを特徴とする項目10に記載のシャフト。
(項目12)
上記外套シースが、フルオロポリマ/シリコーン材料を含んでいることを特徴とする項目10に記載のシャフト。
(項目13)
上記光源からの光を伝達するために、少なくとも1つの光ファイバーケーブルを備えていることを特徴とする項目1に記載のシャフト。
(項目14)
上記部材及び上記少なくとも1つの光源が、上記少なくとも1つの回転可能な駆動シャフトの回転を決定するために、上記少なくとも1つの光源から伝達される光が制御装置によって分析可能であるように構成されていることを特徴とする項目13に記載のシャフト。
(項目15)
上記制御装置が、遠隔式パワーコンソール内に配置されていることを特徴とする項目14に記載のシャフト。
(項目16)
上記シャフトの近位端に配置され、上記シャフトを上記遠隔式パワーコンソールに分離可能に取り付けられるように構成されている第1の継手をさらに備えていることを特徴とする項目15に記載のシャフト。
(項目17)
上記外套シースの遠位端に接続され、外科用アタッチメントに分離可能に取り付けられるように構成されている第2の継手をさらに備えていることを特徴とする項目16に記載のシャフト。
(項目18)
上記制御装置が、上記伝達された光の分析に基づいて、上記外科用アタッチメントの構成部品の位置を決定するように構成されていることを特徴とする項目17に記載のシャフト。
(項目19)
上記外套シース内に配置され、上記外套シース内の水分を検知するように構成されている水分センサをさらに備えていることを特徴とする項目1に記載のシャフト。
(項目20)
上記シャフト内に配置されているメモリ装置をさらに備えていることを特徴とする項目1に記載のシャフト。
(項目21)
上記メモリ装置が、シリアル番号データ、識別データ及び使用データのうちの少なくとも1つのデータを含んでいるデータを記憶することを特徴とする項目20に記載のシャフト。
(項目22)
上記シャフト内に配置されているデータ転送ケーブルをさらに備え、
上記メモリ装置が論理的且つ電気的に上記データ転送ケーブルに接続されていることを特徴とする項目21に記載のシャフト。
12 遠隔パワーコンソール
14 筺体
15 正面パネル
16 ディスプレイ装置
18a インジケータ
18b インジケータ
20 シャフト
22 第1の継手
24 遠位端
26 第2の継手
28 管状シース
30 駆動ケーブル
32 駆動ケーブル
40 内部チャネル
66 コネクタ
68 コネクタ
70 コネクタ
101 吸引用チャネル
101b 開口部
102 吸引用チャネル
102b 開口部
214 ソケット
217 検知器
330 チップベアリング
379 発光ダイオード
990 水分センサ
2066 遠位のコネクタ組立体
2069 遠位のプレスブロック
2073 遠位の接触子組立体
2078 遠位のケーブル端の組立体
2080 遠位の矩形状フランジを備えたリング
2082 遠位のケーブル端
2084 絶縁体
2085 遠位の光ブロック
2189 接触子絶縁体ブロック
2231 遠位の組立体
2232 遠位のPCB
2233 遠位の検知器組立体
2234 遠位の検知器
2237 遠位の外側ケース
2238 接触子ジャケット
Claims (19)
- シャフトであって、以下:
近位端および遠位端を有する細長い外套シース;
該外套シース内に配置された少なくとも1つの回転可能な駆動シャフトであって、選択可能な速度設定および選択可能なトルク設定で回転するように構成された少なくとも1つの回転可能な駆動シャフト;
該少なくとも1つの回転可能な駆動シャフトの各々上に装着された矩形状フランジを備えたリングの2つのタブであって、該少なくとも1つの回転可能な駆動シャフトから半径方向に延び、かつ該少なくとも1つの回転可能な駆動シャフトととともに回転するように構成された2つのタブ;および
該矩形状フランジを備えたリングの2つのタブの近位方向に、かつ該外套シース内に装着された、該矩形状フランジを備えたリングの2つのフォトトランジスタであって、該少なくとも1つの回転可能な駆動シャフト、および該2つのタブの遠位方向に、かつ該外套シース内に装着された少なくとも1つの光源の軸に対して互いから約90゜で配列され、ここで、該少なくとも1つの回転可能な駆動シャフトの回転の際に、該2つのタブが該2つのフォトトランジスタによって検出されるべき該光源の各々からの光を交互に阻害および可能にし、該矩形状フランジを備えたリングが、四分の一の回転の増分に基づき該少なくとも1つの回転可能な駆動シャフトの角度位置および回転方向を決定することを可能にするようにする2つのフォトトランジスタ、を備え、
該矩形状フランジを備えたリングが、アンビルおよびステープルドライバ/カッターを有する外科用アタッチメントに装着するように構成された継手内に配置され、
該矩形状フランジを備えたリングによって決定される角度位置および回転方向が、該ステープルドライバ/カッターに対する該アンビルの相対的な位置ずれを決定するために用いられる、シャフト。 - 前記光源が、前記シャフトの遠位端に装着される、請求項1に記載のシャフト。
- 前記シャフトが可撓性である、請求項1に記載のシャフト。
- 前記シャフトが剛直性である、請求項1に記載のシャフト。
- 前記シャフトが関節式である、請求項1に記載のシャフト。
- 前記シャフトが屈曲可能である、請求項1に記載のシャフト。
- 前記少なくとも1つの光源が、発光ダイオードである、請求項1に記載のシャフト。
- 前記外套シースが、加圧滅菌可能である、請求項1に記載のシャフト。
- 前記外套シースが、フルオロポリマ/シリコーン材料を含む、請求項1に記載のシャフト。
- 前記光源からの光を伝達するための少なくとも1つの光ファイバーケーブルをさらに備える、請求項1に記載のシャフト。
- 前記2つのタブおよび前記少なくとも1つの光源が、該少なくとも1つの光源から伝達された光が前記少なくとも1つの回転可能な駆動シャフトの回転を決定するために制御装置によって分析可能であるように構成されている、請求項10に記載のシャフト。
- 前記制御装置が、遠隔パワーコンソール内に配置されている、請求項11に記載のシャフト。
- さらに:
前記シャフトの近位端にある第1の継手であって、該シャフトを前記遠隔パワーコンソールに離脱可能に連結するように構成されている第1の継手を備える、請求項12に記載のシャフト。 - さらに:
外科用アタッチメントに離脱可能に連結されるように構成された、前記外套シースの遠位端に連結された第2の継手を備える、請求項12に記載のシャフト。 - 前記制御装置が、前記伝達された光の分析に基づき、前記外科用アタッチメントの構成要素の位置を決定するように構成されている、請求項13に記載のシャフト。
- さらに:
前記外套シース内の水分を検出するように構成された該外套シース内に配置される水分センサを備える、請求項1に記載のシャフト。 - さらに:
前記シャフト内に配置されたメモリユニットを備える、請求項1に記載のシャフト。 - 前記メモリユニットが、シリアル番号データ、識別子データ、および使用データの少なくとも1つを含むデータを格納する、請求項17に記載のシャフト。
- さらに:
前記シャフト内に配置されるデータ伝送ケーブルを備え、前記メモリユニットが該データ伝送ケーブルに論理的かつ電気的に連結される、請求項18に記載のシャフト。
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US10582978B2 (en) | 2020-03-10 |
JP2012081291A (ja) | 2012-04-26 |
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CN102988087B (zh) | 2015-09-09 |
CN102988087A (zh) | 2013-03-27 |
US20150133224A1 (en) | 2015-05-14 |
EP2799014A2 (en) | 2014-11-05 |
CA2617122A1 (en) | 2007-02-01 |
EP1912570B1 (en) | 2014-10-08 |
US9504455B2 (en) | 2016-11-29 |
US20170056119A1 (en) | 2017-03-02 |
JP2009502359A (ja) | 2009-01-29 |
IL189046A (en) | 2012-10-31 |
WO2007014355A2 (en) | 2007-02-01 |
EP2799014A3 (en) | 2015-03-11 |
US20200205921A1 (en) | 2020-07-02 |
JP5043842B2 (ja) | 2012-10-10 |
CN101495046A (zh) | 2009-07-29 |
EP1912570A4 (en) | 2012-06-13 |
CN101495046B (zh) | 2012-12-12 |
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