JP5478907B2 - 荷重に高感度の発射機構を備えた外科ステープル留め器具 - Google Patents
荷重に高感度の発射機構を備えた外科ステープル留め器具 Download PDFInfo
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Description
本発明は、概して、限定するものではないが、組織に列状にステープル留めすると同時にこれらの列の間の組織を切断することができる使い捨て装着ユニットを有する外科ステープラ器具を含む内視鏡外科器具に関し、詳細には、このような器具に関する改善に関する。
参照して本明細書に組み入れる以下の米国特許出願は、本願の譲渡人が所有する。
1.スティーブン・ジー・ホール(Steven G. Hall)らによる米国特許出願(名称:「インターロック可能な発射システムを備えた外科ステープル留め器具(Surgical Stapling Apparatus With Interlockable Firing System)」)、代理人整理番号:END6217USNP/070334
2.ジェローム・アール・モーガン(Jerome R. Morgan)らによる米国特許出願(名称:外科ステープル留め/切断器具用の関節動作可能な装着ユニット(Articulatable Loading Units For Surgical Stapling and Cutting Instruments)」)、代理人整理番号:END6218USNP/070335
3.ケビン・アール・ドール(Kevin R. Doll)らによる米国特許出願(名称:「再生可能なハンドル組立体を備えた外科ステープル留め器具(Surgical Stapling Apparatus With Reprocessible Handle Assembly)」)、代理人整理番号:END6220USNP/070337
4.ケビン・アール・ドール(Kevin R. Doll)らによる米国特許出願(名称:「関節動作可能な構成要素を備えた外科ステープル留め器具(Surgical Stapling Apparatus With Articulatable Components)」)、代理人整理番号:END6224USNP/070341
5.スティーブン・ジー・ホール(Steven G. Hall)らによる米国特許出願(名称:「片手で操作可能な制御機構を備えた外科ステープル留め器具(Surgical Stapling Apparatus With Control Features Operable With One Hand)」)、代理人整理番号:END6226USNP/070343
6.ジョホリー・シー・フエイル(Geoffrey C. Hueil)らによる米国特許出願(名称:「引き戻し可能な発射システムを備えた外科ステープル留め器具(Surgical Stapling Apparatus With Retractable Firing Systems)」)、代理人整理番号:END6227USNP/070344
本発明の一態様では、外科処置を行うことができるエンドエフェクタと共に使用するように構成された外科器具を提供する。様々な実施形態は、エンドエフェクタと機能的に相互作用して作動運動をエンドエフェクタに伝達するように構成された細長い本体を含むことができる。この器具は、作動運動を引き起こすための手動で作動可能なハンドルと、細長い本体および手動で作動可能なハンドルと機能的に相互作用して、手動で作動可能なハンドルによって引き起こされる作動運動を細長い本体に伝達する作動シャフトと、をさらに含むことができる。様々な実施形態は、手動で作動可能なハンドルと相互作用する駆動爪をさらに含むことができる。駆動爪は、駆動歯が設けられた爪本体を有することができる。駆動歯は、手動で作動可能なハンドルが作動されると、駆動歯が作動シャフトと相互作用し、これにより作動シャフトが作動運動を細長い本体に加え、エンドエフェクタが、所定の大きさの発射荷重を超える発射荷重を受けると、駆動歯が、爪本体に対して移動して作動シャフトから係合解除され、たとえ手動で作動可能なハンドルが作動され続けても、細長い本体への作動運動のさらなる伝達が防止されるように、作動シャフトと相互作用するように構成することができる。
まず、図面を参照されたい。各図面において、同様の参照符号は、同様の構成要素を示している。図1は、本発明の様々な実施形態の固有の利点を実施できる、例示する形態では具体的に外科ステープル留め器具10である、再使用可能な外科器具を示している。外科ステープル留め器具10は、ハンドル組立体12および細長い本体14を含むことができる。図1は、関節動作可能な使い捨て装着ユニット16が結合された外科ステープル留め器具10を例示している。図2は、非関節動作使い捨て装着ユニット16’が結合された外科ステープル留め器具10を例示している。使い捨て装着ユニット16、16’は、内部に複数の外科ステープルを受容するカートリッジ組立体18を含む器具組立体17を含むことができる。器具組立体17は、ステープル成形アンビル20を含むこともできる。このような使い捨て装着ユニット16、16’は、組織の切断、および切断部の両側へのステープル留めなどの外科処置を行うことができる。本発明の様々な実施形態は、参照して開示内容の全てを本明細書に組み入れるミリマン(Milliman)らによる米国特許第5,865,361号に開示されている使い捨て装着ユニットと共に使用することができる。
〔実施の態様〕
(1) 外科処置を行うことができるエンドエフェクタと共に使用するように構成された外科器具において、この外科ステープル留め器具が、
前記エンドエフェクタと機能的に相互作用して作動運動を前記エンドエフェクタに伝達する細長い本体と、
前記作動運動を引き起こすための手動で作動可能なハンドルと、
前記細長い本体および前記手動で作動可能なハンドルと機能的に相互作用して、前記手動で作動可能なハンドルによって引き起こされる前記作動運動を前記細長い本体に伝達する作動シャフトと、
前記手動で作動可能なハンドルと相互作用する駆動爪であって、前記駆動爪は、前記作動シャフトと相互作用するように構成された駆動歯が設けられた爪本体を有し、前記手動で作動可能なハンドルが作動されると、前記駆動歯が前記作動シャフトと相互作用し、これにより前記作動シャフトが前記作動運動を前記細長い本体に加え、前記細長い本体と相互作用する前記エンドエフェクタが、所定の大きさの発射荷重を超える発射荷重を受けると、前記駆動歯が、前記爪本体に対して移動して前記作動シャフトから係合解除され、たとえ前記手動で作動可能なハンドルが作動され続けても、前記細長い本体への前記作動運動のさらなる伝達が防止される、駆動爪と、
を含む、外科器具。
(2) 実施態様1記載の外科器具において、
前記駆動歯は、前記発射荷重が前記所定の大きさを超えると、前記爪本体から分離される、外科器具。
(3) 実施態様2記載の外科器具において、
前記駆動歯は、取付け領域で前記爪本体に取り付けられている、外科器具。
(4) 実施態様3記載の外科器具において、
前記取付け領域の近傍の前記駆動歯におけるアンダーカット領域、
をさらに含む、外科器具。
(5) 実施態様1記載の外科器具において、
前記爪本体は、爪幅を有しており、
前記駆動歯は、前記爪幅よりも狭い歯幅を有する、外科器具。
(6) 実施態様3記載の外科器具において、
前記駆動歯は、接着剤によって前記取付け領域に取り付けられている、外科器具。
(7) 実施態様1記載の外科器具において、
前記作動シャフトは、前記駆動歯に駆動可能に係合できる歯のラックを有する、外科器具。
(8) 実施態様7記載の外科器具において、
前記歯のラックを構成する前記歯の少なくとも一部は、前記発射荷重が前記所定の大きさを超えると、前記駆動歯を移動可能に係合解除するように構成されている、外科器具。
(9) 実施態様1記載の外科器具において、
前記駆動歯は、前記爪本体に移動可能に結合されており、前記エンドエフェクタが所定の大きさを超える前記発射荷重を受けると前記爪本体に対する前記駆動歯の移動を可能にするせん断部材によって駆動位置に保持されている、外科器具。
(10) 外科手術のために器具を処理するための方法において、
実施態様1記載の外科器具を入手することと、
前記外科器具を滅菌することと、
前記外科器具を滅菌容器内に保管することと、
を含む、方法。
(11) 実施態様10記載の方法において、
前記滅菌することの前に前記外科器具の一部を修理または交換すること、
をさらに含む、方法。
(12) 外科処置を行うことができるエンドエフェクタと共に使用するように構成された外科器具において、この外科ステープル留め器具が、
前記エンドエフェクタと機能的に相互作用して作動運動を前記エンドエフェクタに伝達する細長い本体と、
前記作動運動を引き起こすための手動で作動可能なハンドルと、
前記手動で作動可能なハンドルと相互作用する駆動爪と、
前記細長い本体と機能的に相互作用して前記作動運動を前記細長い本体に伝達する作動シャフトであって、前記作動シャフトは、前記駆動爪に駆動可能に係合するように構成された歯のラックを有しており、前記歯のラックを構成する前記歯の少なくとも一部が、前記細長い本体と相互作用する前記エンドエフェクタが所定の大きさの発射荷重を超える発射荷重を受けると前記駆動爪を移動可能に係合解除するように構成されている、作動シャフトと、
を含む、外科器具。
(13) 実施態様12記載の外科器具において、
前記歯のラック上の前記少なくとも一部は、前記細長い本体と相互作用する前記エンドエフェクタが所定の大きさの発射荷重を超える発射荷重を受けると前記駆動爪によって前記作動シャフトからせん断されるように構成されている、外科器具。
(14) 外科手術のために器具を処理するための方法において、
実施態様12記載の外科器具を入手することと、
前記外科器具を滅菌することと、
前記外科器具を滅菌容器内に保管することと、
を含む、方法。
(15) 実施態様14記載の方法において、
前記滅菌することの前に前記外科器具の一部を修理または交換すること、
をさらに含む、方法。
(16) 外科ステープル留め器具において、
ハンドル組立体と、
前記ハンドル組立体によって機能的に支持された可動ハンドルと、
使い捨て装着ユニットと相互作用するように構成された細長い制御ロッドと、
前記ハンドル組立体によって機能的に支持された作動シャフトであって、前記可動ハンドルによって引き起こされる作動運動を前記細長い制御ロッドに伝達するために、前記可動ハンドルおよび前記細長い制御ロッドと相互作用する、作動シャフトと、
前記可動ハンドルと相互作用する駆動爪であって、前記駆動爪は、前記作動シャフトと相互作用するように構成された駆動歯が設けられた爪本体を有し、前記可動ハンドルが作動されると、前記駆動歯が前記作動シャフトと相互作用し、これにより前記作動シャフトが前記作動運動を前記細長い本体に加え、前記細長い制御ロッドと相互作用する前記使い捨て装着ユニットが所定の大きさの発射荷重を超える発射荷重を受けると、前記駆動歯が、前記爪本体に対して移動して前記作動シャフトから係合解除され、たとえ前記手動で作動可能なハンドルが作動され続けても、前記細長い制御ロッドへの前記作動運動のさらなる伝達が防止される、前記駆動爪と、
を含む、外科器具。
(17) 実施態様16記載の外科ステープル留め器具において、
前記制御ロッドは、前進位置と引き戻し位置との間で移動可能であり、
前記使い捨て装着ユニットが受ける前記発射荷重が前記所定の大きさを超えると、前記制御ロッドが、前記引き戻し位置まで移動することができる、外科ステープル留め器具。
(18) 実施態様16記載の外科ステープル留め器具において、
前記作動シャフトは、前記駆動歯に駆動可能に係合できる歯のラックを有しており、
前記歯のラックを構成する前記歯の少なくとも一部は、前記発射荷重が前記所定の大きさを超えると、前記駆動歯を移動可能に係合解除するように構成されている、外科ステープル留め器具。
(19) 外科手術のための器具を処理するための方法において、
実施態様16記載の外科ステープル留め器具を入手することと、
前記外科ステープル留め器具を滅菌することと、
前記外科ステープル留め器具を滅菌容器内に保管することと、
を含む、方法。
(20) 実施態様19記載の方法において、
前記滅菌することの前に前記外科ステープル留め器具の一部を修理または交換すること、
をさらに含む、方法。
Claims (8)
- 外科処置を行うことができるエンドエフェクタと共に使用するように構成された外科器具において、この外科器具が、
前記エンドエフェクタと機能的に相互作用して作動運動を前記エンドエフェクタに伝達する細長い本体と、
前記作動運動を引き起こすための手動で作動可能なハンドルと、
前記細長い本体および前記手動で作動可能なハンドルと機能的に相互作用して、前記手動で作動可能なハンドルによって引き起こされる前記作動運動を前記細長い本体に伝達する、作動シャフトと、
前記手動で作動可能なハンドルと相互作用する駆動爪であって、前記駆動爪は、前記作動シャフトと相互作用するように構成された駆動歯が設けられた爪本体を有し、前記手動で作動可能なハンドルが作動されると、前記駆動歯が前記作動シャフトと相互作用し、これにより前記作動シャフトが前記作動運動を前記細長い本体に加え、前記細長い本体と相互作用する前記エンドエフェクタが、所定の大きさの発射荷重を超える発射荷重を受けると、前記駆動歯が、前記爪本体から剪断されるか、または機能しなくなることによって前記作動シャフトから係合解除され、たとえ前記手動で作動可能なハンドルが作動され続けても、前記細長い本体への前記作動運動のさらなる伝達が防止される、駆動爪と、
を含み、
前記駆動歯は、前記発射荷重が前記所定の大きさを超えると、前記爪本体から分離される、外科器具。 - 請求項1記載の外科器具において、
前記駆動歯は、取付け領域で前記爪本体に取り付けられている、外科器具。 - 請求項2記載の外科器具において、
前記取付け領域の近傍の前記駆動歯におけるアンダーカット領域、
をさらに含む、外科器具。 - 請求項1記載の外科器具において、
前記爪本体は、爪幅を有しており、
前記駆動歯は、前記爪幅よりも狭い歯幅を有する、外科器具。 - 請求項2記載の外科器具において、
前記駆動歯は、接着剤によって前記取付け領域に取り付けられている、外科器具。 - 請求項1記載の外科器具において、
前記作動シャフトは、前記駆動歯に駆動可能に係合できる歯のラックを有する、外科器具。 - 請求項6記載の外科器具において、
前記歯のラックを構成する前記歯の少なくとも一部は、前記発射荷重が前記所定の大きさを超えると、前記駆動歯を移動可能に係合解除するように構成されている、外科器具。 - 請求項1記載の外科器具において、
前記駆動歯は、前記爪本体に移動可能に結合されており、前記エンドエフェクタが所定の大きさを超える前記発射荷重を受けると前記爪本体に対する前記駆動歯の移動を可能にするせん断部材によって駆動位置に保持されている、外科器具。
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US12/031,368 US8584919B2 (en) | 2008-02-14 | 2008-02-14 | Surgical stapling apparatus with load-sensitive firing mechanism |
US12/031,368 | 2008-02-14 |
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US (2) | US8584919B2 (ja) |
EP (1) | EP2090246B1 (ja) |
JP (1) | JP5478907B2 (ja) |
CN (1) | CN101507631B (ja) |
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US20120286019A1 (en) | 2012-11-15 |
RU2009105141A (ru) | 2010-08-20 |
CN101507631A (zh) | 2009-08-19 |
US8584919B2 (en) | 2013-11-19 |
EP2090246B1 (en) | 2020-04-22 |
CN101507631B (zh) | 2012-11-28 |
BRPI0901656A2 (pt) | 2010-11-16 |
US20130126583A1 (en) | 2013-05-23 |
BRPI0901656B8 (pt) | 2021-06-22 |
RU2499567C2 (ru) | 2013-11-27 |
JP2009189822A (ja) | 2009-08-27 |
EP2090246A3 (en) | 2012-12-05 |
US8657178B2 (en) | 2014-02-25 |
BRPI0901656B1 (pt) | 2020-02-18 |
EP2090246A2 (en) | 2009-08-19 |
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