JP5570861B2 - 刃展開アラームを備える脈管シーラーおよびディバイダー - Google Patents
刃展開アラームを備える脈管シーラーおよびディバイダー Download PDFInfo
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- JP5570861B2 JP5570861B2 JP2010088209A JP2010088209A JP5570861B2 JP 5570861 B2 JP5570861 B2 JP 5570861B2 JP 2010088209 A JP2010088209 A JP 2010088209A JP 2010088209 A JP2010088209 A JP 2010088209A JP 5570861 B2 JP5570861 B2 JP 5570861B2
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1442—Probes having pivoting end effectors, e.g. forceps
- A61B18/1445—Probes having pivoting end effectors, e.g. forceps at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
-
- 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
- A61B2017/00119—Electrical control of surgical instruments with audible or visual output alarm; indicating an abnormal situation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/0063—Sealing
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B2018/1405—Electrodes having a specific shape
- A61B2018/1412—Blade
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1442—Probes having pivoting end effectors, e.g. forceps
- A61B2018/1452—Probes having pivoting end effectors, e.g. forceps including means for cutting
- A61B2018/1455—Probes having pivoting end effectors, e.g. forceps including means for cutting having a moving blade for cutting tissue grasped by the jaws
-
- 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
- A61B90/06—Measuring instruments not otherwise provided for
- A61B2090/064—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Engineering & Computer Science (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Otolaryngology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Plasma & Fusion (AREA)
- Physics & Mathematics (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Description
(項目1)
旋回点の周りで互いに対して選択的に配置可能な1対の顎部材であって、該顎部材の各々は、電気外科エネルギー源に接続するように適合された導電性組織係合表面を備える、1対の顎部材;
少なくとも一方の顎部材に規定された刃チャネル内で選択的に並進するように構成された切断刃;および
アラームであって、該アラームは、該切断刃に作動可能に結合され、そして該切断刃が該刃チャネル内で展開されると信号を発するように構成されており、該信号の発生は、該電気外科エネルギー源の作動とは無関係である、アラーム、
を備える、鉗子。
(項目2)
上記アラームが、上記切断刃が上記刃チャネルに対する所定の位置まで展開されると信号を発するように構成されている、上記項目に記載の鉗子。
(項目3)
上記アラームが、上記顎部材のうちの少なくとも一方の中に配置されており、そして上記切断刃が該刃チャネルに対して移動すると信号を発する、上記項目のうちのいずれかに記載の鉗子。
(項目4)
上記アラームが、上記刃チャネル内に配置された電気端子を備え、そして該アラームが、上記切断刃が該刃チャネルに対して移動して該電気端子に接触すると信号を発するように構成されている、上記項目のうちのいずれかに記載の鉗子。
(項目5)
上記ハウジングに作動可能に関連し、上記切断刃を起動するように構成されたトリガをさらに備える、上記項目のうちのいずれかに記載の鉗子。
(項目6)
上記トリガが、上記アラームに作動可能に結合されており、そして該アラームが、該トリガがハウジングに対して移動して上記切断刃を展開すると信号を発するように構成されている、上記項目のうちのいずれかに記載の鉗子。
(項目7)
上記アラームが、ハウジングに配置された電気端子を備え、そして上記アラームが、上記トリガが該ハウジングに対して移動して該電気端子に接触すると信号を発するように構成されている、上記項目のうちのいずれかに記載の鉗子。
(項目8)
上記アラームが、少なくとも1つの抵抗体を備え、該抵抗体は、上記鉗子の所定の作動条件の際に短絡して上記信号を発するように構成されており、該鉗子の所定の作動条件が、切断刃の展開、電気外科エネルギーの作動、および完全に延長した切断刃のうちの少なくとも1つを含む、上記項目のうちのいずれかに記載の鉗子。
(項目9)
直列の抵抗体が回路内に配置されており、該直列の各抵抗体の短絡が、上記鉗子の所定の作動条件を示す、上記項目のうちのいずれかに記載の鉗子。
(項目10)
上記アラームが、どの所定の作動条件が満足されたかに依存して異なる信号を発するように構成されている、上記項目のうちのいずれかに記載の鉗子。
(項目11)
上記アラームが、上記切断刃が組織に接触すると信号を発するように構成された少なくとも1つの圧力センサを備える、上記項目のうちのいずれかに記載の鉗子。
(項目12)
上記アラームが、上記鉗子の所定の作動条件の際に信号を発するように構成された光学測定特徴を備え、該鉗子の所定の作動条件が、切断刃の展開、部分的に延長した切断刃、および完全に延長した切断刃のうちの少なくとも1つを含む、上記項目のうちのいずれかに記載の鉗子。
(項目13)
上記アラームが、上記鉗子の所定の作動条件の際に信号を発するように構成された光学測定特徴を備え、該鉗子の所定の作動条件が、トリガの起動、部分的に並進したトリガ、および完全に並進したトリガのうちの少なくとも1つを含む、上記項目のうちのいずれかに記載の鉗子。
(項目14)
上記アラームが、上記鉗子の所定の作動条件の際に信号を発するように構成された少なくとも1つの磁気センサを備え、該鉗子の所定の作動条件が、切断刃の展開、部分的に延長した切断刃、および完全に延長した切断刃のうちの少なくとも1つを含む、上記項目のうちのいずれかに記載の鉗子。
(項目15)
上記光学測定特徴がLEDデバイスである、上記項目のうちのいずれかに記載の鉗子。
(項目16)
上記光学測定特徴が画像処理デバイスである、上記項目のうちのいずれかに記載の鉗子。
(項目17)
鉗子を提供する工程であって、該鉗子が、
旋回点の周りで互いに対して選択的に配置可能な1対の顎部材であって、各顎部材が、電気外科エネルギー源に接続するように適合された導電性組織係合表面を備える、1対の顎部材;
該顎部材のうちの少なくとも一方に規定された刃チャネル内で選択的に並進するように構成された切断刃;および
該切断刃に作動可能に結合されたアラーム、
を備える、工程;
該顎部材の対が組織に係合するように、該鉗子を起動する工程;
該電気外科エネルギー源を作動させずに、該切断刃を該刃チャネルに対する所定の位置まで前進させる工程;
該切断刃の前進を感知する工程;ならびに
該アラームに信号を発生させる工程、
を包含する、鉗子を操作する方法。
従って、本開示は、旋回点の周りで互いに対して選択的に配置可能な1対の顎部材を有する鉗子に関する。これらの顎部材の各々は、電気外科エネルギー源に接続するように適合された、導電性組織係合表面を備える。この鉗子は、これらの顎部材のうちの少なくとも一方に規定された刃チャネル内で選択的に並進するように構成された切断刃を備える。アラームが、この切断刃に作動可能に結合され、そしてこの切断刃がこの刃チャネル内で展開されると信号を発するように構成される。この信号の発生は、電気外科エネルギー源の作動とは無関係である。
102 エネルギー源
104、204、304、404、504、604、704、804 電気外科鉗子
108 アラーム
191 信号
Claims (5)
- ハウジングと、
非並進位置と並進位置との間で該ハウジングに対して移動通路に沿って移動可能なトリガと、
旋回点の周りで互いに対して選択的に配置可能な1対の顎部材であって、該1対の顎部材のうちの各顎部材は、電気外科エネルギー源に接続するように適合された導電性組織係合表面を含む、1対の顎部材と、
該トリガの移動に応答して、該1対の顎部材のうちの少なくとも一方の顎部材に規定された刃チャネル内で選択的に並進するように構成された切断刃と、
平面に沿って延在する部分を少なくとも含むアラームであって、該平面は、該トリガの該移動通路に対して横断し、かつ、該トリガの該移動通路と交差し、該アラームは、該トリガが該非並進位置と該並進位置との間を移動する際に、該トリガが該平面を横切ると、信号を発し、該信号は、該切断刃が該刃チャネル内で展開されたことを示し、該信号の発生は、該電気外科エネルギー源の作動とは無関係である、アラームと
を含む、鉗子。 - 前記アラームは、前記切断刃が前記刃チャネルに対する所定の位置まで展開されると前記信号を発するように構成されている、請求項1に記載の鉗子。
- 前記トリガは、前記アラームに作動可能に結合されている、請求項1に記載の鉗子。
- 前記アラームは、前記ハウジングに配置された電気端子を含み、該アラームは、前記トリガが該ハウジングに対して移動して該電気端子に接触すると前記信号を発するように構成されている、請求項1に記載の鉗子。
- 前記アラームは、前記鉗子の所定の作動条件の際に前記信号を発するように構成された光学測定特徴を含み、該鉗子の該所定の作動条件は、トリガの起動、部分的に並進したトリガ、完全に並進したトリガのうちの少なくとも1つを含む、請求項1に記載の鉗子。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US12/419,729 | 2009-04-07 | ||
US12/419,729 US8251994B2 (en) | 2009-04-07 | 2009-04-07 | Vessel sealer and divider with blade deployment alarm |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2010240432A JP2010240432A (ja) | 2010-10-28 |
JP5570861B2 true JP5570861B2 (ja) | 2014-08-13 |
Family
ID=42201919
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2010088209A Active JP5570861B2 (ja) | 2009-04-07 | 2010-04-06 | 刃展開アラームを備える脈管シーラーおよびディバイダー |
Country Status (5)
Country | Link |
---|---|
US (1) | US8251994B2 (ja) |
EP (1) | EP2238938B1 (ja) |
JP (1) | JP5570861B2 (ja) |
AU (1) | AU2010201369B8 (ja) |
CA (1) | CA2698907C (ja) |
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AU2010201369A8 (en) | 2014-03-20 |
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