JP5478149B2 - 外科手術用クリップアプライアおよび組み立て方法 - Google Patents
外科手術用クリップアプライアおよび組み立て方法 Download PDFInfo
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- JP5478149B2 JP5478149B2 JP2009193518A JP2009193518A JP5478149B2 JP 5478149 B2 JP5478149 B2 JP 5478149B2 JP 2009193518 A JP2009193518 A JP 2009193518A JP 2009193518 A JP2009193518 A JP 2009193518A JP 5478149 B2 JP5478149 B2 JP 5478149B2
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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
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/128—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips
- A61B17/1285—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips for minimally invasive surgery
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/70—Manipulators specially adapted for use in surgery
- A61B34/76—Manipulators having means for providing feel, e.g. force or tactile feedback
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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
- A61B2017/00017—Electrical control of surgical instruments
- A61B2017/00115—Electrical control of surgical instruments with audible or visual output
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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
- A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
- A61B2017/00407—Ratchet means
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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
- A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
- A61B2017/00464—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable for use with different instruments
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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
- A61B2017/00526—Methods of manufacturing
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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
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B17/2909—Handles
- A61B2017/2912—Handles transmission of forces to actuating rod or piston
- A61B2017/2923—Toothed members, e.g. rack and pinion
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/03—Automatic limiting or abutting means, e.g. for safety
- A61B2090/038—Automatic limiting or abutting means, e.g. for safety during shipment
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/08—Accessories or related features not otherwise provided for
- A61B2090/0803—Counting the number of times an instrument is used
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/08—Accessories or related features not otherwise provided for
- A61B2090/0807—Indication means
- A61B2090/0811—Indication means for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/08—Accessories or related features not otherwise provided for
- A61B2090/0814—Preventing re-use
-
- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
- Y10T29/00—Metal working
- Y10T29/49—Method of mechanical manufacture
- Y10T29/49826—Assembling or joining
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- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
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- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
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- Veterinary Medicine (AREA)
- Vascular Medicine (AREA)
- Reproductive Health (AREA)
- Robotics (AREA)
- Surgical Instruments (AREA)
Description
本願は、2008年8月25日に出願された米国仮出願番号61/091,485に対する優先権の利益を主張する。この米国仮出願の全内容は、本明細書中に参考として援用される。
本願は、外科手術用器具およびそれらの組み立て方法に関し、そしてより特定すると、複数のクリップを有し、これらのクリップを外科手術手順中に身体組織および脈管に適用するための外科手術用クリップアプライア、ならびにそれらの組み立て方法に関する。
(項目1)
比較的小さい規模の外科手術用クリップアプライア、中程度の規模の外科手術用クリップアプライア、および比較的大きい規模の外科手術用クリップアプライアのファミリーにおいて、該クリップアプライアの各々が、行程長を規定する駆動チャネル、対応する行程長を規定する押し棒、および対応する行程長を規定する楔プレートを備え、改善が、
該駆動チャネルと該押し棒とを相互接続する運動増倍システムであって、該運動増倍システムが、該駆動チャネルの運動を該押し棒の運動に伝達し、該駆動チャネルの第一の方向への移動が、該運動増倍システムを起動させて、該押し棒を、該比較的小さい規模の外科手術用クリップアプライア、中程度の規模の外科手術用クリップアプライア、および比較的大きい規模の外科手術用クリップアプライアそれぞれについての該押し棒の行程の特定の長さに実質的に等しい量だけ第一の方向に起動させる、運動増倍システム;ならびに
該駆動チャネルと該楔プレートとを相互接続する運動反転機構であって、該運動反転機構は、該駆動チャネルの運動を該楔プレートの運動に伝達し、該駆動チャネルの第一の方向への移動は、該運動反転機構を起動させて、該楔プレートを、該駆動チャネルの第一の方向とは逆方向に、該比較的小さい規模の外科手術用クリップアプライア、中程度の規模の外科手術用クリップアプライア、および比較的大きい規模の外科手術用クリップアプライアそれぞれについての該楔プレートの行程の特定の長さに実質的に等しい量だけ起動させる、運動反転機構、
を含む、改善。
外科手術用クリップアプライアが提供され、この外科手術用クリップアプライアは、チャネルアセンブリ内に配置されたクリップキャリアであって、このクリップキャリア内にチャネルおよび複数の窓を規定する、クリップキャリア;このクリップキャリアのチャネル内にスライド可能に配置された複数のクリップ;このチャネルアセンブリ内に往復可能に配置された楔プレートであって、この楔プレートは、その長さに沿って形成された複数の開口部分を備える、楔プレート;ならびにこのクリップキャリアのチャネル内にスライド可能に配置され、そして複数のクリップの近位に配置されるクリップ従動子であって、このクリップ従動子は、このクリップキャリアの窓およびこの楔プレートの開口部分との選択的な係合のために構成および適合されている、クリップ従動子を備える。このクリップ従動子は、楔プレートの往復運動の際に、複数のクリップを、クリップキャリアに対して遠位方向に推進するように構成および適合されている。このクリップアプライアは、モジュール式構成要素を交換する方法によって、異なるサイズのクリップに適合され得る。
本願は、複数のクリップを有し、これらのクリップを外科手術手順中に身体組織および脈管に適用するための、外科手術用クリップアプライア、ならびにこれらの組み立て方法に関する。
本開示による外科手術用クリップアプライアの実施形態が、ここで図面を参照しながら詳細に記載される。図面において、同じ参照番号は、類似かまたは同一の構造要素を識別する。図面に示され、そして以下の説明全体に記載される場合、伝統的であるように、外科手術用器具の相対位置に言及する場合、用語「近位」とは、その装置の使用者に近い方の端部をいい、そして用語「遠位」とは、その装置の使用者から遠い方の端部をいう。
比較的小さい規模のクリップアプライアについて、比較的小さい規模のベルクランク歯車154についての約45°の所定の回転は、比較的小さいサイズのクリップを顎120に装填する目的で、比較的小さい規模の押し棒160の、約0.345インチ(約8.76mm)の軸方向移動を生じることが企図される。同様に、比較的中程度の規模のクリップアプライアについて、比較的中程度の規模のベルクランク歯車154についての約70°の所定の回転は、比較的中程度のサイズのクリップを顎120に装填する目的で、比較的中程度の規模の押し棒160の、約0.485インチ(約12.3mm)の軸方向移動を生じることが企図される。同様に、比較的大きい規模のクリップアプライアについて、比較的大きい規模のベルクランク歯車154についての約90°の所定の回転は、比較的大きいサイズのクリップを顎120に装填する目的で、比較的大きい規模の押し棒160の、約0.710インチ(約18.0mm)の軸方向移動を生じることが企図される。
102 ハンドルアセンブリ
104 ハウジング
104a 上ハウジング半体
104b 下ハウジング半体
104c 窓
104d ハンドル旋回ポスト
104e 細長チャネル
106 ハンドル
106a 開口部分
106b 旋回点
108 チャネルアセンブリ
110 顎アセンブリ
122 リンク部材
122a 遠位端
124 駆動ピン
140 駆動チャネル
140a 旋回点
Claims (1)
- 外科手術用クリップアプライアであって、
ハウジングと、
該ハウジングに旋回可能に接続された少なくとも1つのハンドルと、
該ハウジングから遠位に延びるチャネルアセンブリと、
該チャネルアセンブリ内に配置された複数の外科手術用クリップと、
一対の顎を含む顎アセンブリであって、該チャネルアセンブリの遠位端に配置された顎アセンブリと、
該ハウジング内および該チャネルアセンブリ内に相互に配置された駆動チャネルであって、該少なくとも1つのハンドルが起動されると第一の行程長移動するように構成された駆動チャネルと、
該チャネルアセンブリ内に少なくとも部分的に相互に配置された押し棒であって、該押し棒は、該駆動チャネルが該第一の行程長移動することに応答して、第二の行程長移動するように構成されており、該押し棒の遠位端は、該複数の外科手術用クリップの最遠位のクリップに係合することにより該最遠位のクリップを該顎の間を前進させるように構成されている、押し棒と、
少なくとも該チャネルアセンブリ内に摺動可能に配置された楔プレートであって、該楔プレートは、該駆動チャネルが該第一の行程長移動することに応答して、第三の行程長移動するように構成されており、該楔プレートは、該顎の間の選択的な作動的介入のために構成されている、楔プレートと、
該駆動チャネルと該押し棒とを相互接続する運動増倍システムであって、該運動増倍システムは、該ハウジング内に旋回可能に支持されたベルクランク歯車と、該ハウジング内に摺動可能に支持された加速器ハウジングとを含み、該運動増倍システムは、該駆動チャネルの運動を該押し棒の運動に伝達し、該駆動チャネルの第一の方向への移動は、該運動増倍システムを起動させて、該押し棒を該第二の行程長に実質的に等しい量だけ該第一の方向に起動させる、運動増倍システムと、
該駆動チャネルと該楔プレートとを相互接続する運動反転機構であって、該運動反転機構は、旋回アームを含み、該運動反転機構は、該駆動チャネルの運動を該楔プレートの運動に伝達し、該駆動チャネルの該第一の方向への移動は、該運動反転機構を起動させて、該楔プレートを該第一の方向とは逆方向に該第三の行程長に実質的に等しい量だけ起動させる、運動反転機構と
を含む、外科手術用クリップアプライア。
Applications Claiming Priority (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US9148508P | 2008-08-25 | 2008-08-25 | |
US61/091,485 | 2008-08-25 | ||
US12/539,006 | 2009-08-11 | ||
US12/539,006 US8056565B2 (en) | 2008-08-25 | 2009-08-11 | Surgical clip applier and method of assembly |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
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JP2013229996A Division JP2014111054A (ja) | 2008-08-25 | 2013-11-06 | 外科手術用クリップアプライアおよび組み立て方法 |
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JP2010046488A JP2010046488A (ja) | 2010-03-04 |
JP5478149B2 true JP5478149B2 (ja) | 2014-04-23 |
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JP2009193518A Expired - Fee Related JP5478149B2 (ja) | 2008-08-25 | 2009-08-24 | 外科手術用クリップアプライアおよび組み立て方法 |
JP2013229996A Pending JP2014111054A (ja) | 2008-08-25 | 2013-11-06 | 外科手術用クリップアプライアおよび組み立て方法 |
JP2014246438A Pending JP2015083151A (ja) | 2008-08-25 | 2014-12-05 | 外科手術用クリップアプライアおよび組み立て方法 |
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JP2013229996A Pending JP2014111054A (ja) | 2008-08-25 | 2013-11-06 | 外科手術用クリップアプライアおよび組み立て方法 |
JP2014246438A Pending JP2015083151A (ja) | 2008-08-25 | 2014-12-05 | 外科手術用クリップアプライアおよび組み立て方法 |
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US (2) | US8056565B2 (ja) |
EP (1) | EP2158854B1 (ja) |
JP (3) | JP5478149B2 (ja) |
CN (1) | CN101703414B (ja) |
AU (1) | AU2009212769B2 (ja) |
CA (1) | CA2676465C (ja) |
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2009
- 2009-08-11 US US12/539,006 patent/US8056565B2/en active Active
- 2009-08-19 CA CA2676465A patent/CA2676465C/en not_active Expired - Fee Related
- 2009-08-24 JP JP2009193518A patent/JP5478149B2/ja not_active Expired - Fee Related
- 2009-08-24 AU AU2009212769A patent/AU2009212769B2/en not_active Ceased
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2013
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EP2158854B1 (en) | 2013-11-06 |
CA2676465C (en) | 2017-07-11 |
US8056565B2 (en) | 2011-11-15 |
JP2015083151A (ja) | 2015-04-30 |
US8336556B2 (en) | 2012-12-25 |
JP2014111054A (ja) | 2014-06-19 |
EP2158854A1 (en) | 2010-03-03 |
US20090299382A1 (en) | 2009-12-03 |
AU2009212769A1 (en) | 2010-03-11 |
JP2010046488A (ja) | 2010-03-04 |
US20120042497A1 (en) | 2012-02-23 |
CN101703414B (zh) | 2013-07-31 |
CA2676465A1 (en) | 2010-02-25 |
CN101703414A (zh) | 2010-05-12 |
AU2009212769B2 (en) | 2014-11-20 |
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