JP5580084B2 - 内視鏡外科用クリップアプライヤ - Google Patents
内視鏡外科用クリップアプライヤ Download PDFInfo
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- JP5580084B2 JP5580084B2 JP2010048456A JP2010048456A JP5580084B2 JP 5580084 B2 JP5580084 B2 JP 5580084B2 JP 2010048456 A JP2010048456 A JP 2010048456A JP 2010048456 A JP2010048456 A JP 2010048456A JP 5580084 B2 JP5580084 B2 JP 5580084B2
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- wedge plate
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- RPVBCVQKDPOMII-ALCCZGGFSA-N CC(C)(C)/N=C\C Chemical compound CC(C)(C)/N=C\C RPVBCVQKDPOMII-ALCCZGGFSA-N 0.000 description 1
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Classifications
-
- 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
-
- 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
- A61B2017/00221—Electrical control of surgical instruments with wireless transmission of data, e.g. by infrared radiation or radiowaves
-
- 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
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Vascular Medicine (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Reproductive Health (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
本特許出願は、2005年10月7日に出願された同時係属中の米国特許出願第11/245,528号の一部継続出願であり、この米国特許出願第11/245,528号は、2004年10月8日に出願された米国仮特許出願第60/617,104号および2004年10月8日に出願された米国仮特許出願第60/617,016号の利益および優先権を主張し、これらの出願のそれぞれの内容全体が本明細書において参照により援用されている。
本技術分野は、外科用クリップアプライヤに関する。より具体的には、本開示は、外科用クリップの挿入中に顎構造を安定化する機構を有する内視鏡外科用クリップアプライヤに関する。
内視鏡ステープラおよびクリップアプライヤは、当該技術分野で公知であり、多くの別個の有用な外科手順に使用されている。腹腔鏡外科手順の場合、腹部の内部へのアクセスは、皮膚の小さな入口切開を通して挿入された狭管あるいはカニューレを通して達成される。体内のどこでも実施されている最小侵襲性手順は、しばしば、一般的に内視鏡手順と言われる。一般には、管あるいはカニューレ装置は、アクセスポートを提供する入口切開を通って患者の体内に延長される。ポートは、外科医が、トロカールを使用して、アクセスポートを通して多くの異なる外科用器具を挿入し、切開から遠く隔たっても外科手術を実行することを可能にする。
(項目1)
外科用ファスナを体組織に適用するための器具であって、該器具は、
a)ハンドル部分と、
b)該ハンドル部分から遠位に延び、長手方向軸を画定する本体と、
c)該本体内に配置された複数の外科用ファスナと、
d)該本体の遠位端部分に隣接してマウントされた顎アセンブリであって、該顎アセンブリは、離間した位置と近接した位置との間で可動な第1および第2の顎部分を含む、顎アセンブリと、
e)該顎部分が、該離間した位置にある間に、外科用ファスナを個別に遠位に該顎アセンブリへ前進させるように構成された駆動部材と、
f)該本体内に少なくとも部分的に配置され、該ハンドル部分の作動に応答して長手方向に可動である、作動機構と、
g)該ハンドル部分に支持された計数装置であって、該計数装置は、事象の残りの発生数および事象の発生数のうちの少なくとも1つを表示するように構成されている、計数装置と
を含む、器具。
(項目2)
上記計数装置はデジタル計数装置である、上記項目に記載の器具。
(項目3)
上記計数装置は、ディスプレイ中の応答をトリガするための光学センサを含む、上記項目のいずれかに記載の器具。
(項目4)
上記光学センサは、一定光の光源および該光の検出器を含み、該一定光の光源によって生成された一定光が中断された場合、該光学センサは応答をトリガする、上記項目のいずれかに記載の器具。
(項目5)
上記一定光は、外科用ファスナの完全な形成に対応する発射シーケンスのとき、上記器具の構成部品によって一時的に中断され、上記ディスプレイ上に示される発生数が1つだけ変化される、上記項目のいずれかに記載の器具。
(項目6)
上記ディスプレイ上に示される上記残りの発生数が1つだけ減少される、上記項目のいずれかに記載の器具。
(項目7)
上記一定光の光源は、赤外線光ビームを生成する、上記項目のいずれかに記載の器具。
(項目8)
上記計数装置は、上記ハンドル部分に動作可能に接続されている、上記項目のいずれかに記載の器具。
(項目9)
上記計数装置は、液晶ディスプレイである、上記項目のいずれかに記載の器具。
(項目10)
上記計数装置は、発光ダイオードである、上記項目のいずれかに記載の器具。
(項目11)
上記作動機構の遠位に配置され、上記第1および第2の顎部分に隣接しており、該作動機構の長手方向の動きが起きるとすぐに、該顎部分を上記近接した位置に動かす顎閉止部材をさらに含む、上記項目のいずれかに記載の器具。
(項目12)
フィードバーに接続されたロックアウト機構をさらに含み、該フィードバーは、最終の外科用ファスナの適用に続く上記器具の再作動を防止するように構成されサイズが決められている、上記項目のいずれかに記載の器具。
(項目13)
上記センサと上記計数装置との間で情報を伝送する無線技術をさらに含む、上記項目のいずれかに記載の器具。
(項目14)
上記無線技術は、WI−FI(登録商標)およびBLUETOOTH(登録商標)のうちの少なくとも1つである、上記項目のいずれかに記載の器具。
(項目15)
上記無線技術は、外部電子デバイスである、上記項目のいずれかに記載の器具。
(項目16)
上記外部電子デバイスは、モニタおよびインベントリシステムのうちの少なくとも1つである、上記項目のいずれかに記載の器具。
外科用クリップを体組織に適用するための器具は、ハンドル部分と、該ハンドル部分から遠位に延びて長手方向軸を画定する本体とを有する。器具は、また、本体内に配置された複数の外科用クリップと、該本体の遠位端部分に隣接してマウントされた顎アセンブリとを有する。該顎アセンブリは、離間した部分と近接した部分との間で可動な第1および第2の顎部分を含む。器具は、また、第1および第2の顎部分の間で長手方向に可動であるくさびプレート、およびクリッププッシャを有しており、クリッププッシャは、個別に遠位に外科用クリップを顎アセンブリに進めるように構成されており、一方、顎部分は離間した位置にある。器具は、なおもさらに、少なくとも部分的に本体内に配置され、ハンドル部分の作動に応答して長手方向に可動であるアクチュエータと、顎部分を近接した位置に動かすために、第1および第2の顎部分に隣接して配置された顎閉止部材とを有している。
8のオーバーストロークを防ぎ、顎16への損傷を極限まで防ぐように構成されている。
12 ハンドルアセンブリ
14 細長い管状部材
16 顎
18 トリガ
20 ノブ
Claims (15)
- 外科用ファスナを体組織に適用するための器具であって、該器具は、
a)ハンドル部分と、
b)該ハンドル部分から遠位に延び、長手方向軸を画定する本体と、
c)該本体内に配置された複数の外科用ファスナと、
d)該本体の遠位端部分に隣接してマウントされた顎アセンブリであって、該顎アセンブリは、離間した位置と近接した位置との間で可動な第1および第2の顎部分を含む、顎アセンブリと、
e)該顎部分が、該離間した位置にある間に、外科用ファスナを個別に遠位に該顎アセンブリへ前進させるように構成された、フィードバーと、
f)該本体内に少なくとも部分的に配置され、該ハンドル部分の作動に応答して長手方向に可動である、作動機構と、
g)該ハンドル部分に支持された計数装置であって、該計数装置は、事象の残りの発生数および事象の発生数のうちの少なくとも1つを表示するように構成されている、計数装置と、
h)該複数の外科用ファスナを保持し該外科用ファスナを該顎アセンブリに運ぶように構成された、細長いチャネル部材と、
i)ばねによって、該外科用ファスナを該細長いチャネル部材内で推し進めるように付勢されている、フォロワーと、
j)該フィードバーに接続されたロックアウト機構であって、該フィードバーは、最終の外科用ファスナの適用に続く該器具の再作動を防止するように構成されサイズが決められている、ロックアウト機構と
を含み、
ひとたびすべての該外科用ファスナが放出されると、該フォロワーは最遠位位置にあり、該フォロワーのアバットメント面が該細長いチャネル部材上のランスを係合し、それによって、フォロワーの近位待避をロックアウトするか、あるいは防ぐ、器具。 - 前記計数装置はデジタル計数装置である、請求項1に記載の器具。
- 前記計数装置は、ディスプレイ中の応答をトリガするための光学センサを含む、請求項1に記載の器具。
- 前記光学センサは、一定光の光源および該光の検出器を含み、該一定光の光源によって生成された一定光が中断された場合、該光学センサは応答をトリガする、請求項3に記載の器具。
- 前記一定光は、外科用ファスナの完全な形成に対応する発射シーケンスのとき、前記器具の構成部品によって一時的に中断され、前記ディスプレイ上に示される発生数が1つだけ変化される、請求項4に記載の器具。
- 前記ディスプレイ上に示される前記残りの発生数が1つだけ減少される、請求項5に記載の器具。
- 前記一定光の光源は、赤外線光ビームを生成する、請求項4に記載の器具。
- 前記計数装置は、前記ハンドル部分に動作可能に接続されている、請求項1に記載の器具。
- 前記計数装置は、液晶ディスプレイである、請求項1に記載の器具。
- 前記計数装置は、発光ダイオードである、請求項1に記載の器具。
- 前記作動機構の遠位に配置され、前記第1および第2の顎部分に隣接しており、該作動機構の長手方向の動きが起きるとすぐに、該顎部分を前記近接した位置に動かす顎閉止部材をさらに含む、請求項1に記載の器具。
- 前記センサと前記計数装置との間で情報を伝送する無線技術をさらに含む、請求項3に記載の器具。
- 前記無線技術は、WI−FI(登録商標)およびBLUETOOTH(登録商標)のうちの少なくとも1つである、請求項12に記載の器具。
- 前記無線技術は、外部電子デバイスである、請求項12に記載の器具。
- 前記外部電子デバイスは、モニタおよびインベントリシステムのうちの少なくとも1つである、請求項14に記載の器具。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US12/406,345 US8409222B2 (en) | 2004-10-08 | 2009-03-18 | Endoscopic surgical clip applier |
US12/406,345 | 2009-03-18 |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2010214104A JP2010214104A (ja) | 2010-09-30 |
JP5580084B2 true JP5580084B2 (ja) | 2014-08-27 |
Family
ID=42115701
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2010048456A Expired - Fee Related JP5580084B2 (ja) | 2009-03-18 | 2010-03-04 | 内視鏡外科用クリップアプライヤ |
Country Status (6)
Country | Link |
---|---|
US (1) | US8409222B2 (ja) |
EP (1) | EP2229895A1 (ja) |
JP (1) | JP5580084B2 (ja) |
CN (1) | CN101836875B (ja) |
AU (1) | AU2010200641B2 (ja) |
CA (1) | CA2695074A1 (ja) |
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2010
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- 2010-03-04 JP JP2010048456A patent/JP5580084B2/ja not_active Expired - Fee Related
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US20090228024A1 (en) | 2009-09-10 |
AU2010200641B2 (en) | 2015-06-18 |
EP2229895A1 (en) | 2010-09-22 |
CN101836875B (zh) | 2014-01-15 |
CN101836875A (zh) | 2010-09-22 |
JP2010214104A (ja) | 2010-09-30 |
CA2695074A1 (en) | 2010-09-18 |
US8409222B2 (en) | 2013-04-02 |
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