JP5686373B2 - 外科用ステープリング及び切断デバイスおよびこのデバイスの使用方法 - Google Patents
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Description
Claims (21)
- 医療デバイスの端部作動体連結アッセンブリにおいて:
端部作動体を制御ハンドルに連結する受動的連接ジョイントを具えており、
前記受動的連接ジョイントにおける前記制御ハンドルに対する前記端部作動体の関節動作が、前記医療デバイスの外部から周囲の環境によって直接的に前記端部作動体に加わる力のみによって生じ、
前記制御ハンドルが前記受動的連接ジョイントに連結された連接ジョイントアクチュエータを有し、前記連接ジョイントアクチュエータが:
前記連接ジョイントアクチュエータが作動していないときに、所定の位置に前記端部作動体を保持し;
前記連接ジョイントアクチュエータが近位方向に変位して前記連接ジョイントアクチュエータが作動しているときに、前記端部作動体を前記制御ハンドルに連結した状態で前記受動的連接ジョイントで自由に関節動作するように解放することを特徴とするアッセンブリ。 - 制御ハンドルに連結された端部作動体を有する医療デバイスにおいて、端部作動体連結アッセンブリが:
前記端部作動体を前記制御ハンドルに連結する受動的連接ジョイントを具えており、
前記受動的連接ジョイントにおける前記制御ハンドルに対する前記端部作動体の関節動作が、前記医療デバイスの外部から周囲の環境によって直接的に前記端部作動体に加わる力のみによって生じ、前記制御ハンドルが、前記受動的連接ジョイントに連結された連接ジョイントアクチュエータを有し、前記連接ジョイントアクチュエータが:
前記連接ジョイントアクチュエータが作動していないときに、所定の位置に前記端部作動体を保持し;
前記連接ジョイントアクチュエータが近位方向に変位して前記連接ジョイントアクチュエータが作動しているときに、前記端部作動体を前記制御ハンドルに連結した状態で前記受動的連接ジョイントで自由に関節動作するように解放することを特徴とするデバイス。 - 医療デバイスにおいて:
制御ハンドルと;
受動的連接ジョイントを介して前記制御ハンドルに連結された外科用端部作動体と;
を具えており、
前記受動的連接ジョイントにおける前記制御ハンドルに対する前記端部作動体の関節動作が、前記医療デバイスの外部から周囲の環境によって直接的に前記端部作動体に加わる力のみによって生じ、
前記制御ハンドルが、前記受動的連接ジョイントに連結された連接ジョイントアクチュエータを有し、前記連接ジョイントアクチュエータが:
前記連接ジョイントアクチュエータが作動していないときに、所定の位置に前記端部作動体を保持し;
前記連接ジョイントアクチュエータが近位方向に変位して前記連接ジョイントアクチュエータが作動しているときに、前記端部作動体を前記制御ハンドルに連結した状態で前記受動的連接ジョイントで自由に関節動作するように解放することを特徴とする医療デバイス。 - 医療デバイスにおいて:
制御ハンドルと;
前記制御ハンドルに対して受動的に関節動作する外科用端部作動体と;
を具えており、
前記制御ハンドルに対する前記端部作動体の関節動作が、前記医療デバイスの外部から周囲の環境によって直接的に前記端部作動体に加わる力のみによって生じ、
前記制御ハンドルが、連接ジョイントアクチュエータを有し、前記連接ジョイントアクチュエータが:
前記連接ジョイントアクチュエータが作動していないときに、所定の位置に前記端部作動体を保持し;
前記連接ジョイントアクチュエータが近位方向に変位して前記連接ジョイントアクチュエータが作動しているときに、前記端部作動体を前記制御ハンドルに連結した状態で前記受動的連接ジョイントで自由に関節動作するように解放することを特徴とする医療デバイス。 - 医療デバイスにおいて:
受動的連接ジョイントの第1の部分を有する制御ハンドルと;
前記受動的連接ジョイントの第2の部分を有し、前記受動的連接ジョイントの第1及び第2の部分が前記端部作動体を前記制御ハンドルに連結する、外科用端部作動体と;
を具えており、
前記受動的連接ジョイントにおける前記制御ハンドルに対する前記端部作動体の関節動作が、前記医療デバイスの外部から周囲の環境によって直接的に前記端部作動体に加わる力のみによって生じ、
前記制御ハンドルが、前記受動的連接ジョイントに連結された連接ジョイントアクチュエータを有し、前記連接ジョイントアクチュエータが:
前記連接ジョイントアクチュエータが作動していないときに、所定の位置に前記端部作動体を保持し;
前記連接ジョイントアクチュエータが近位方向に変位して前記連接ジョイントアクチュエータが作動しているときに、前記端部作動体を前記制御ハンドルに連結した状態で前記受動的連接ジョイントで自由に関節動作するように解放することを特徴とする医療デバイス。 - 医療デバイスにおいて:
制御ハンドルと;
外科用端部作動体であって、当該端部作動体を前記制御ハンドルに連結する受動的連接ジョイントを有する外科用端部作動体と;
を具えており、
前記受動的連接ジョイントにおける前記制御ハンドルに対する前記端部作動体の関節動作が、前記医療デバイスの外部から周囲の環境によって直接的に前記端部作動体に加わる力のみによって生じ、
前記制御ハンドルが、前記受動的連接ジョイントに連結された連接ジョイントアクチュエータを有し、前記連接ジョイントアクチュエータが:
前記連接ジョイントアクチュエータが作動していないときに、所定の位置に前記端部作動体を保持し;
前記連接ジョイントアクチュエータが近位方向に変位して前記連接ジョイントアクチュエータが作動しているときに、前記端部作動体を前記制御ハンドルに連結した状態で前記受動的連接ジョイントで自由に関節動作するように解放することを特徴とする医療デバイス。 - 医療デバイスにおいて:
制御ハンドルと;
外科用端部作動体と;
前記端部作動体を前記制御ハンドルに連結する受動的連接ジョイントと;
を具えており、
前記受動的連接ジョイントにおける前記制御ハンドルに対する前記端部作動体の関節動作が、前記医療デバイスの外部から周囲の環境によって直接的に前記端部作動体に加わる力のみによって生じ、
前記制御ハンドルが、前記受動的連接ジョイントに連結された連接ジョイントアクチュエータを有し、前記連接ジョイントアクチュエータが:
前記連接ジョイントアクチュエータが作動していないときに、所定の位置に前記端部作動体を保持し;
前記連接ジョイントアクチュエータが近位方向に変位して前記連接ジョイントアクチュエータが作動しているときに、前記端部作動体を前記制御ハンドルに連結した状態で前記受動的連接ジョイントで自由に関節動作するように解放することを特徴とする医療デバイス。 - 請求項7に記載の医療デバイスにおいて、前記受動的連接ジョイントが;
前記連接ジョイントアクチュエータが作動していないときに、所定の連接位置に前記端部作動体を保持し;
前記連接ジョイントアクチュエータが作動しているときに、前記端部作動体を自由に関節動作するように解放することを特徴とする医療デバイス。 - 請求項7に記載の医療デバイスにおいて:
前記制御ハンドルが、非作動状態と作動状態とを有する連接ジョイントアクチュエータを有し;
前記端部作動体が、係止連接状態と非係止連接状態とを有する連接係止部を有し;
前記連接ジョイントアクチュエータが:
前記非作動状態から前記作動状態に変わったときに、前記連接係止部を前記係止連接状態から非係止連接状態に変更し;
前記作動状態から前記非作動状態に変わったときに、前記連接係止部を前記非係止連接状態から前記係止連接状態に変更する、
ことを特徴とする医療デバイス。 - 請求項7に記載の医療デバイスにおいて、前記端部作動体が;
前記連接ジョイントアクチュエータが作動しているとき、及び
前記医療デバイスの外部から端部作動体に力が与えられるとき、
に前記制御ハンドルに対して自由に関節動作することを特徴とする医療デバイス。 - 請求項7に記載の医療デバイスにおいて、前記端部作動体が、前記連接ジョイントアクチュエータが作動しているときに、前記医療デバイスの外部の力に応じて自由に関節動作することを特徴とする医療デバイス。
- 請求項7に記載の医療デバイスにおいて、前記端部作動体が:
前記連接ジョイントアクチュエータが作動しているときに、前記端部作動体に作用する前記医療デバイスの外部の力に自由に応答して関節動作を行い;
前記連接ジョイントアクチュエータが非作動時に、所定の連接位置に係止されることを特徴とする医療デバイス。 - 請求項7に記載の医療デバイスにおいて:
前記端部作動体が、ステープルを有する少なくとも一つのステープリングデバイスと刃付切断デバイスとを有する外科用ステープリング端部作動体であり;
前記制御ハンドルが:
作動時に前記ステープリングデバイスを閉じるステープラ閉鎖アクチュエータと;
作動時に、前記ステープルをステープリングすることと、前記切断デバイスで組織を切除することとの少なくとも一方を行うステープル発射アクチュエータと;
前記ステープラ閉鎖アクチュエータと前記ステープル発射アクチュエータとが、前記連接ジョイントアクチュエータと異なるものである;
ことを特徴とする医療デバイス。 - 請求項13に記載の医療デバイスが更に:
前記制御ハンドルを、前記受動的連接ジョイントを介して前記ステープル発射アクチュエータに連結する少なくとも一の第1のフレキシブルビームと;
前記端部作動体を、前記受動的連接ジョイントを介して前記制御ハンドルに長手方向に連結する少なくとも一の第2のフレキシブルビームと;を具え
前記少なくとも一の第1のフレキシブルビームと、前記少なくとも一の第2のフレキシブルビームとが、前記受動的連接ジョイントの連接に対応するやり方で撓むことを特徴とする医療デバイス。 - 請求項7に記載の医療デバイスにおいて、前記連接ジョイントアクチュエータの作動が、前記端部作動体上の連接係止を解除することを特徴とする医療デバイス。
- 請求項7に記載の医療デバイスにおいて;
前記連接ジョイントアクチュエータが遠位側に向いた歯を有するプルロックを有し;
前記受動的連接ジョイントが、前記連接ジョイントアクチュエータが非作動時に前記遠位側に向いた歯と相互係合する近位側に向いた歯を有するギアを具え;
前記連接ジョイントアクチュエータが、前記遠位側に向いた歯の前記近位側に向いた歯からの係合を解除し、前記連接ジョイントアクチュエータが非作動時に、前記端部作動体を自由に関節動作するように解放する;
ことを特徴とする医療デバイス。 - 請求項7に記載の医療デバイスにおいて:
前記受動的連接ジョイントが;
ボールと;
カップデバイスと;
前記ボールと前記カップデバイスとを互いに係止及び係止解除するボールカップ係止デバイスであって、前記ボールカップ係止デバイスが、前記前記連接ジョイントアクチュエータが非作動状態にあるときに係止状態にあり、前記前記連接ジョイントアクチュエータが作動状態にあるときに係止解除状態にある、ボールカップ係止デバイスと;を具えるボールジョイントであり;
前記端部作動体が、前記ボールと前記カップデバイスとの一方を有し;
前記制御ハンドルが、前記ボールと前記カップデバイスとの他方を有することを特徴とする医療デバイス。 - 請求項17に記載の前記医療デバイスにおいて、前記ボールが前記カップデバイスに取り外し可能に連結されていることを特徴とする医療デバイス。
- 請求項17に記載の医療デバイスにおいて:
前記端部作動体が長手方向に二つの端部を有し;
前記ボールが二つのボールであって、この二つのボールの各々が前記長手方向の二つの端部の一方に配置されており、
前記二つのボールがそれぞれ前記カップデバイスに取り外し可能に連結可能であることを特徴とする医療デバイス。 - 連接ジョイントアクチュエータを有する制御ハンドルであって、当該連接ジョイントアクチュエータが非作動状態と作動状態とを有する制御ハンドルと;
外科用端部作動体と;
前記端部作動体を前記制御ハンドルに連結する受動的連接ジョイントと;
を具える医療デバイスであって、
前記連接ジョイントアクチュエータが:
前記非作動状態にあるときに、前記受動的連接ジョイントを、従って、前記端部作動体を、ほぼ固定された連接位置に保持し;
近位方向に変位して前記作動状態にあるときに、前記受動的連接ジョイントを自由な連接状態に解放して、前記制御ハンドルに対して前記端部作動体を自由に関節動作させ;
前記関節動作が、前記端部作動体に作用する前記医療デバイスの外部の力のみによって生じることを特徴とする医療デバイス。 - ステープル付ステープリングデバイスと刃付の切断デバイスの少なくとも一方を有する外科用ステープリング端部作動体と;
制御ハンドルであって;
作動時に前記ステープリングデバイスを閉じるステープラ閉鎖アクチュエータと;
作動時に、前記ステープルをステープリングすることと、前記切断デバイスで組織を切断することとの少なくとも一方を行うステープル発射アクチュエータと;
非作動状態と作動状態とを有する連接ジョイントアクチュエータと;を有する制御ハンドルと;
前記端部作動体を前記制御ハンドルに連結する受動的連接ジョイントと;を具えた医療デバイスであって、
前記端部作動体が:
前記連接ジョイントアクチュエータが近位方向に変位して前記連接ジョイントアクチュエータが前記作動状態にあるときに、前記端部作動体上に作用する前記医療デバイスの外部の力にのみに応じて前記受動的連接ジョイントで前記制御ハンドルに対して自由に関節動作し;
前記連接ジョイントアクチュエータが前記非作動状態にあるときに、所定の連接位置に係止される;
ことを特徴とする医療デバイス。
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