JP5537803B2 - 外科用ステープラー - Google Patents
外科用ステープラー Download PDFInfo
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- JP5537803B2 JP5537803B2 JP2008334445A JP2008334445A JP5537803B2 JP 5537803 B2 JP5537803 B2 JP 5537803B2 JP 2008334445 A JP2008334445 A JP 2008334445A JP 2008334445 A JP2008334445 A JP 2008334445A JP 5537803 B2 JP5537803 B2 JP 5537803B2
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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
- A61B17/068—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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- 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
- A61B2017/07235—Stapler heads containing different staples, e.g. staples of different shapes, sizes or materials
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- 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
- A61B2017/07242—Stapler heads achieving different staple heights during the same shot, e.g. using an anvil anvil having different heights or staples of different sizes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- 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
- A61B2017/0725—Stapler heads with settable gap between anvil and cartridge, e.g. for different staple heights at different shots
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- Heart & Thoracic Surgery (AREA)
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- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
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- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Description
本出願は、2008年1月3日に出願された仮出願番号第61/018,685号からの優先権を主張しており、その全体の内容は、本明細書中に参考として援用される。
本開示は、外科用ステープル留めデバイスに、そしてより特定すれば、オフセット面上でスライド可能であるプッシャー係合カムを有する外科用ステープル留めデバイスに関する。
本発明は、さらに以下の手段を提供する。
(項目1)外科用ファスナー付与装置であって、
複数のファスナーを含むカートリッジを有するカートリッジセクション;
アンビルセクションであって、該ファスナーが該カートリッジから進行されるとき該ファナスーを受容するためのアンビルを有し、該カートリッジおよび該アンビルセクションは、それらの間に組織をクランプする、アンビルセクション;
該ファスナーを発射するために該カートリッジセクション内で移動可能な第1のカム部材および第2のカム部材;および
該カートリッジセクション内に固定され、そして上側の表面を有するカム部材支持部材
を備え、
該カム部材が該上側の表面に沿ってスライド可能であり、該カム部材支持部材の該上側の表面は、該第1のカム部材および該第2のカム部材が該上側の表面上のオフセット面でスライドし該ファスナーを発射するような、第1の面上の第1の上側の表面部分、および異なる実質的に平行な第2の面にある第2の下側の表面部分を有する、外科用ファスナー付与装置。
(項目2)上記第1のカム部材および上記第2のカム部材が、実質的に同じ高さである、項目1に記載の外科用ファスナー付与装置。
(項目3)上記複数のファスナーが、第1の長さの脚を有する第1のセットのファスナー、および第2のより長い長さの脚を有する第2のセットのファスナーを含む、項目2に記載の外科用ファスナー付与装置。
(項目4)上記複数のファスナーが、第1の長さの脚を有する第1のセットのファスナー、および第2のより長い長さの脚を有する第2のセットのファスナーを含む、項目1に記載の外科用ファスナー付与装置。
(項目5)上記第1の上側の表面部分が、上記第2の下側の表面部分より上記アンビルセクションにより近く、上記第2のカム部材が、該第2の下側の表面に沿ってスライドし、上記第2のセットのファスナーを発射する、項目4に記載の外科用ファスナー付与装置。
(項目6)上記カートリッジが、第3のカム部材および第4のカム部材を含み、上記第2のカム部材および該第4のカム部材がオフセット面上で移動可能であり、該第2のカム部材および該第4のカム部材が、上記第1のカム部材および該第3のカム部材の舷側に位置決めされる、項目1に記載の外科用ファスナー付与装置。
(項目7)上記第2のカム部材および上記第4のカム部材が、上記第1のカム部材および上記第3のカム部材によって発射される所定長さのファスナーより長いファスナーを発射するような形態である、項目1に記載の外科用ファスナー付与装置。
(項目8)上記第1の上側の表面部分および上記第2の下側の表面部分が、上記カム部材支持部材の厚みを変えることによって形成される、項目1に記載の外科用ファスナー付与装置。
(項目9)上記カートリッジが、複数のファスナープッシャーを含み、該ファスナープッシャーが上記カム部材によって進行されるとき、上記ファスナーを係合するような形態であり、該ファスナープッシャーは、実質的に同じ高さである、項目3に記載の外科用ファスナー付与装置。
(項目10)上記第1のカム部材および上記第2のカム部材が、実質的に同じ高さである、項目9に記載の外科用ファスナー付与装置。
(項目11)上記プッシャーが、上記カム部材によって、該カム部材の移動の方向に対して実質的に横断方向に移動可能である、項目9に記載の外科用ファスナー付与装置。
(項目12)上記第1のカム部材および上記第2のカム部材が取り付けされ、そして単一ユニットとして移動する、項目11に記載の外科用ファスナー付与装置。
(項目13)外科用ファスナー付与装置であって、
第1のセットのファスナーおよび第2のセットのファスナーを含むカートリッジを有するカートリッジセクション;
アンビルセクションであって、該ファスナーが該カートリッジから進行されるとき該ファナスーを受容するためのアンビルを有し、該カートリッジおよび該アンビルセクションは、それらの間に組織をクランプする、アンビルセクション;
該カートリッジセクション内で移動可能な第1のカム部材であって、該第1のセットのファスナーを該アンビルに対して進行させ、該ファスナーを完全に成形し、第1の平面内で移動可能である第1のカム部材;および
該第1のカム部材とともに該カートリッジセクション内を移動可能であり、第2のセットのファスナーを進行させ、該ファスナーを完全に成形し、第2の平面内で移動可能である第2のカム部材であって、該第2の平面内は、該第1の平面からオフセットされ、そして、該アンビルセクションおよび該カートリッジセクションがそれらの間に組織をクランプするために位置決めされたとき該アンビルセクションから該第1の平面より遠い、第2のカム部材
を備える、外科用ファスナー付与装置。
(項目14)上記カム部材が、実質的に同じ高さである、項目13に記載の外科用ファスナー付与装置。
(項目15)上記第1のセットのファスナーが第1の長さの脚を有し、そして上記第2のセットのファスナーがより長い長さの第2の脚を有する、項目13に記載の外科用ファスナー付与装置。
(項目16)上記カートリッジが、複数のファスナープッシャーを含み、該ファスナープッシャーが上記カム部材によって進行されるとき、上記ファスナーを係合するような形態であり、該ファスナープッシャーは、実質的に同じ高さである、項目13に記載の外科用ファスナー付与装置。
(項目17)上記カートリッジが、複数のファスナープッシャーを含み、該ファスナープッシャーが上記カム部材によって進行されるとき、上記ファスナーを係合するような形態であり、該ファスナープッシャーは、実質的に同じ高さである、項目15に記載の外科用ファスナー付与装置。
複数のファスナーを含むカートリッジを有するカートリッジセクション、該複数のファスナーがこのカートリッジから進行されるとき、上記複数のファナスーを受容するためのアンビルを有するアンビルセクションを備え、上記カートリッジよびアンビルセクションは、それらの間に組織をクランプ留めする。第1のカム部材および第2のカム部材は、上記ファスナーを発射するために上記カートリッジセクション内で移動可能である。上記カートリッジセクション内に固定されたカム部材支持部材は上側の表面を有し、上記カム部材は、その上でスライド可能である。このカム部材支持部材の上側の表面は、上記第1のカム部材および第2のカム部材が上記上側の表面上のオフセット面中でスライドし、上記ファスナーを発射するような、第1の平面上に第1の上側の表面部分、および異なる実質的に平行である第2の平面にある第2の下側の表面部分を有する。
110a、110b、110c、110d カムバー
120a、120b、120c、120d ブッシャー
130a、130b、130c、130d ステープル
150 カムバー支持部材
152 下側の表面部分
154 上側の表面部分
Claims (13)
- 外科用ファスナー付与装置であって、
複数のファスナーを含むカートリッジを有するカートリッジセクション;
アンビルセクションであって、該複数のファスナーが該カートリッジから進行されるとき該複数のファスナーを受容するためのアンビルを有し、該カートリッジおよび該アンビルセクションは、それらの間に組織をクランプする、アンビルセクション;
該複数のファスナーを発射するために該カートリッジセクション内で移動可能な第1のカム部材および第2のカム部材;および
該カートリッジセクション内に固定され、そして上側の表面を有するカム部材支持部材
を備え、
該第1のカム部材および該第2のカム部材が該上側の表面に沿ってスライド可能であり、該カム部材支持部材の該上側の表面は、該第1のカム部材および該第2のカム部材が該上側の表面上のオフセット面でスライドし該複数のファスナーを発射するような、第1の面上の第1の上側の表面部分、および異なる実質的に平行な第2の面にある第2の下側の表面部分を有し、
該第1のカム部材および該第2のカム部材が、実質的に同じ高さであり、
該カートリッジが、複数のファスナープッシャーを含み、該複数のファスナープッシャーが該第1のカム部材および該第2のカム部材によって進行されるとき、該複数のファスナーを係合するような形態であり、該複数のファスナープッシャーは、実質的に同じ高さである、外科用ファスナー付与装置。 - 前記複数のファスナーが、第1の長さの脚を有する第1のセットのファスナー、および第2のより長い長さの脚を有する第2のセットのファスナーを含む、請求項1に記載の外科用ファスナー付与装置。
- 前記複数のファスナーが、第1の長さの脚を有する第1のセットのファスナー、および第2のより長い長さの脚を有する第2のセットのファスナーを含む、請求項1に記載の外科用ファスナー付与装置。
- 前記第1の上側の表面部分が、前記第2の下側の表面部分より前記アンビルセクションにより近く、前記第2のカム部材が、該第2の下側の表面に沿ってスライドし、前記第2のセットのファスナーを発射する、請求項3に記載の外科用ファスナー付与装置。
- 前記カートリッジが、第3のカム部材および第4のカム部材を含み、前記第2のカム部材および該第4のカム部材がオフセット面上で移動可能であり、前記第1のカム部材および該第3のカム部材が、前記第1の面に沿って移動し、該第2のカム部材および該第4のカム部材が、前記第2の面に沿って移動する、請求項1に記載の外科用ファスナー付与装置。
- 前記第2のカム部材および前記第4のカム部材が、前記第1のカム部材および前記第3のカム部材によって発射される所定長さのファスナーより長いファスナーを発射するような形態である、請求項5に記載の外科用ファスナー付与装置。
- 前記第1の上側の表面部分および前記第2の下側の表面部分が、前記カム部材支持部材の厚みを変えることによって形成される、請求項1に記載の外科用ファスナー付与装置。
- 前記第1のカム部材および前記第2のカム部材が、実質的に同じ高さである、請求項1に記載の外科用ファスナー付与装置。
- 前記プッシャーが、前記カム部材によって、該カム部材の移動の方向に対して実質的に横断方向に移動可能である、請求項1に記載の外科用ファスナー付与装置。
- 前記第1のカム部材および前記第2のカム部材が取り付けされ、そして単一ユニットとして移動する、請求項9に記載の外科用ファスナー付与装置。
- 外科用ファスナー付与装置であって、
第1のセットのファスナーおよび第2のセットのファスナーを含むカートリッジを有するカートリッジセクション;
アンビルセクションであって、該第1のセットのファスナーおよび該第2のセットのファスナーが該カートリッジから進行されるとき該第1のセットのファスナーおよび該第2のセットのファスナーを受容するためのアンビルを有し、該カートリッジおよび該アンビルセクションは、それらの間に組織をクランプする、アンビルセクション;
該カートリッジセクション内で移動可能な第1のカム部材であって、該第1のセットのファスナーを該アンビルに対して進行させ、該第1のセットのファスナーを完全に成形し、第1の平面内で移動可能である第1のカム部材;および
該第1のカム部材とともに該カートリッジセクション内を移動可能であり、第2のセットのファスナーを進行させ、該第2のセットのファスナーを完全に成形し、第2の平面内で移動可能である第2のカム部材であって、該第2の平面は、該第1の平面からオフセットされ、そして、該第2の平面は、該アンビルセクションおよび該カートリッジセクションがそれらの間に組織をクランプするために位置決めされたとき該アンビルセクションから該第1の平面より遠い、第2のカム部材
を備え、
該第1のカム部材および該第2のカム部材が、実質的に同じ高さであり、
該カートリッジが、複数のファスナープッシャーを含み、該複数のファスナープッシャーが該第1のカム部材および該第2のカム部材によって進行されるとき、該第1のセットのファスナーおよび該第2のセットのファスナーを係合するような形態であり、該複数のファスナープッシャーは、実質的に同じ高さである、外科用ファスナー付与装置。 - 前記第1のセットのファスナーが第1の長さの脚を有し、そして前記第2のセットのファスナーがより長い長さの第2の脚を有する、請求項11に記載の外科用ファスナー付与装置。
- 前記カートリッジが、複数のファスナープッシャーを含み、該ファスナープッシャーが前記カム部材によって進行されるとき、前記ファスナーを係合するような形態であり、該ファスナープッシャーは、実質的に同じ高さである、請求項12に記載の外科用ファスナー付与装置。
Applications Claiming Priority (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US1868508P | 2008-01-03 | 2008-01-03 | |
US61/018,685 | 2008-01-03 | ||
US12/335,732 US8727199B2 (en) | 2008-01-03 | 2008-12-16 | Surgical stapler |
US12/335,732 | 2008-12-16 |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2009160405A JP2009160405A (ja) | 2009-07-23 |
JP5537803B2 true JP5537803B2 (ja) | 2014-07-02 |
Family
ID=40821890
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2008334445A Expired - Fee Related JP5537803B2 (ja) | 2008-01-03 | 2008-12-26 | 外科用ステープラー |
Country Status (6)
Country | Link |
---|---|
US (4) | US8727199B2 (ja) |
EP (1) | EP2077093B1 (ja) |
JP (1) | JP5537803B2 (ja) |
AU (1) | AU2008264195B2 (ja) |
CA (1) | CA2648249C (ja) |
ES (1) | ES2534547T3 (ja) |
Families Citing this family (527)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US9060770B2 (en) | 2003-05-20 | 2015-06-23 | Ethicon Endo-Surgery, Inc. | Robotically-driven surgical instrument with E-beam driver |
US20070084897A1 (en) | 2003-05-20 | 2007-04-19 | Shelton Frederick E Iv | Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism |
US9072535B2 (en) | 2011-05-27 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments with rotatable staple deployment arrangements |
US11998198B2 (en) | 2004-07-28 | 2024-06-04 | Cilag Gmbh International | Surgical stapling instrument incorporating a two-piece E-beam firing mechanism |
US8215531B2 (en) | 2004-07-28 | 2012-07-10 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a medical substance dispenser |
US11890012B2 (en) | 2004-07-28 | 2024-02-06 | Cilag Gmbh International | Staple cartridge comprising cartridge body and attached support |
US9237891B2 (en) | 2005-08-31 | 2016-01-19 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical stapling devices that produce formed staples having different lengths |
US11484312B2 (en) | 2005-08-31 | 2022-11-01 | Cilag Gmbh International | Staple cartridge comprising a staple driver arrangement |
US8317070B2 (en) | 2005-08-31 | 2012-11-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling devices that produce formed staples having different lengths |
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CA2681186C (en) * | 2007-03-22 | 2015-07-21 | Tyco Healthcare Group Lp | Apparatus for forming variable height surgical fasteners |
US8727199B2 (en) | 2008-01-03 | 2014-05-20 | Covidien Lp | Surgical stapler |
US8028884B2 (en) * | 2008-04-22 | 2011-10-04 | Tyco Healthcare Group Lp | Cartridge for applying varying amounts of tissue compression |
US8091756B2 (en) * | 2008-05-09 | 2012-01-10 | Tyco Healthcare Group Lp | Varying tissue compression using take-up component |
US8967446B2 (en) * | 2008-05-09 | 2015-03-03 | Covidien Lp | Variable compression surgical fastener cartridge |
US9492170B2 (en) * | 2011-08-10 | 2016-11-15 | Ethicon Endo-Surgery, Inc. | Device for applying adjunct in endoscopic procedure |
-
2008
- 2008-12-16 US US12/335,732 patent/US8727199B2/en not_active Expired - Fee Related
- 2008-12-24 AU AU2008264195A patent/AU2008264195B2/en not_active Ceased
- 2008-12-26 JP JP2008334445A patent/JP5537803B2/ja not_active Expired - Fee Related
- 2008-12-30 CA CA2648249A patent/CA2648249C/en not_active Expired - Fee Related
-
2009
- 2009-01-05 EP EP09250010.7A patent/EP2077093B1/en not_active Not-in-force
- 2009-01-05 ES ES09250010.7T patent/ES2534547T3/es active Active
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2014
- 2014-04-08 US US14/247,524 patent/US8905288B2/en not_active Expired - Fee Related
- 2014-11-06 US US14/534,283 patent/US9636113B2/en not_active Expired - Fee Related
-
2017
- 2017-03-22 US US15/465,645 patent/US20170196563A1/en not_active Abandoned
Also Published As
Publication number | Publication date |
---|---|
CA2648249C (en) | 2016-02-02 |
AU2008264195A1 (en) | 2009-07-23 |
AU2008264195B2 (en) | 2014-05-15 |
EP2077093A3 (en) | 2012-03-07 |
JP2009160405A (ja) | 2009-07-23 |
CA2648249A1 (en) | 2009-07-03 |
US9636113B2 (en) | 2017-05-02 |
US20090173766A1 (en) | 2009-07-09 |
EP2077093A2 (en) | 2009-07-08 |
US20140217146A1 (en) | 2014-08-07 |
US20150060522A1 (en) | 2015-03-05 |
US8905288B2 (en) | 2014-12-09 |
US8727199B2 (en) | 2014-05-20 |
ES2534547T3 (es) | 2015-04-24 |
US20170196563A1 (en) | 2017-07-13 |
EP2077093B1 (en) | 2015-03-11 |
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