JP5697974B2 - 外科用ステープラのためのインジケータ - Google Patents
外科用ステープラのためのインジケータ Download PDFInfo
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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
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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
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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
- A61B2017/07214—Stapler heads
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- 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
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- A61B2090/0811—Indication means for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument
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Description
本出願は、2009年12月31日出願の米国仮特許出願第61/291,453号の優先権を主張し、この仮特許出願の全体内容が本明細書において参照により援用される。
本開示は、概して、外科用ステープル留め装置に関する。より詳細には、本開示は、外科医にステープラの状態を示すための機構を有する外科用ステープル留め装置に関する。
圧迫された生体組織を通して並列のステープルを適用するための外科用ステープル留め器具が本分野において周知であり、そして、例えば、横断前に、切除前に、または吻合において、組織または器官の閉鎖のために、ならびに、胸部および腹部の手術における器官の閉塞のために、一般的に使用されている。
外科用ステープラであって、
本体と、
該本体の遠位の部分に位置付けられているステープル留めアセンブリであって、該ステープル留めアセンブリは、カートリッジアセンブリとアンビルアセンブリとを含む、ステープル留めアセンブリと、
該本体内にスライド可能に配置されているスラストバーであって、該スラストバーは、該アンビルアセンブリに向かう該カートリッジアセンブリの近接期間中に後退位置から第1の前進位置まで前進し、該カートリッジアセンブリからのステープルの放出を生じるために第2の前進位置までさらに前進するように構成されている、スラストバーと、
該スラストバーに接続されているインジケータ部材であって、該インジケータ部材は、該カートリッジアセンブリの近接完了後、および該カートリッジアセンブリからのステープルの放出後、使用者に視覚的指示を提供するように構成されている、インジケータ部材と
を備えている、外科用ステープラ。
上記スラストバーの遠位の端は、上記カートリッジアセンブリからのステープルの放出期間中に該カートリッジアセンブリからのステープルの排出を生じるために、上記ステープル留めアセンブリとの動作可能な係合のために構成されている、上記項目に記載のステープラ。
上記本体は、上記インジケータ部材を視認するための少なくとも1つの窓を含む、上記項目のいずれかに記載のステープラ。
上記インジケータ部材は、上記ステープラが近接される準備がなされていることを示すようにさらに構成されている、上記項目のいずれかに記載のステープラ。
上記インジケータ部材は、上記本体内にスライド可能に搭載されている、上記項目のいずれかに記載のステープラ。
上記インジケータ部材は、上記本体内において、上記スラストバーに対して回転可能に搭載されている、上記項目のいずれかに記載のステープラ。
上記インジケータ部材は、近接ストロークの完了を示すための第1のシンボルと、上記カートリッジアセンブリからのステープルの放出を示すための第2のシンボルとを含む、上記項目のいずれかに記載のステープラ。
上記インジケータ部材は、ベースと、該ベースから延伸している一対の延伸部とを含み、該延伸部は、上記視覚的指示を使用者に提供するための視覚的インジケータを含む、上記項目のいずれかに記載のステープラ。
上記延伸部は、上記スラストバーを超えて横方向に延伸している、上記項目のいずれかに記載のステープラ。
上記スラストバーに動作可能に接続されているラックをさらに備え、該ラックは、一対の歯が刻まれた延伸部を有し、該歯が刻まれた延伸部は、上記インジケータ部材と動作可能に係合され、該スラストバーの前進は、該インジケータ部材の回転を生じる、上記項目のいずれかに記載のステープラ。
上記ラックは、上記インジケータ部材の遠位に位置付けられているベースから延伸し、該ベースは、上記スラストバーに搭載されている、上記項目のいずれかに記載のステープラ。
外科用ステープラであって、
本体と、
該本体の遠位の部分に位置付けられているステープル留めアセンブリであって、該ステープル留めアセンブリは、カートリッジアセンブリとアンビルアセンブリとを含む、ステープル留めアセンブリと、
該本体内にスライド可能に配置されているスラストバーであって、該スラストバーは、後退位置から第1の前進位置まで遠位に前進するように構成されている、スラストバーと、
インジケータ部材であって、該インジケータ部材は、該カートリッジアセンブリの近接完了および該カートリッジアセンブリからのステープルの放出のうちの少なくとも一方の後、使用者に視覚的指示を提供するように構成されている、インジケータ部材と、
該スラストバーに動作可能に接続され、一対の歯が刻まれた延伸部の対を有しているラックであって、該歯が刻まれた延伸部は、該インジケータ部材と動作可能に係合され、該スラストバーの前進は、該インジケータ部材の回転を生じる、ラックと
を備えている、外科用ステープラ。
上記インジケータ部材は、上記ステープラが近接される準備がなされていることを示すようにさらに構成されている、上記項目のいずれかに記載のステープラ。
上記インジケータ部材は、上記スラストバーの長手方向の軸に対して垂直な軸の周りで回転可能である、上記項目のいずれかに記載のステープラ。
上記インジケータ部材は、上記カートリッジアセンブリの近接完了を示すための第1のシンボルと、該カートリッジアセンブリからのステープルの放出を示すための第2のシンボルとを含む、上記項目のいずれかに記載のステープラ。
外科用ステープラであって、
本体と、
該本体の遠位の部分に位置付けられているステープル留めアセンブリであって、該ステープル留めアセンブリは、カートリッジアセンブリとアンビルアセンブリとを含む、ステープル留めアセンブリと、
該本体内にスライド可能に配置されているスラストバーであって、該アンビルアセンブリに向かう該カートリッジアセンブリの近接期間中に後退位置から第1の前進位置まで前進し、および、該カートリッジアセンブリからのステープルの放出を生じるために第2の前進位置までさらに前進するように構成されているスラストバーと、
該スラストバーに接続されているインジケータ部材であって、該カートリッジアセンブリの近接完了後、および該カートリッジアセンブリからのステープルの放出後、使用者に視覚的指示を提供するように構成されているインジケータ部材と
を備えている、外科用ステープラ。
上記スラストバーの遠位の端は、上記カートリッジアセンブリからのステープルの放出期間中に該カートリッジアセンブリからのステープルの排出を生じるために、上記ステープル留めアセンブリとの動作可能な係合のために構成されている、上記項目のいずれかに記載のステープラ。
上記本体は、上記インジケータ部材を視認するための少なくとも1つの窓を含む、上記項目のいずれかに記載のステープラ。
上記インジケータ部材は、上記ステープラが近接される準備がなされていることを示すようにさらに構成されている、上記項目のいずれかに記載のステープラ。
上記インジケータ部材は、上記本体内にスライド可能に搭載されている、上記項目のいずれかに記載のステープラ。
上記インジケータ部材は、上記本体内に回転可能に搭載されている、上記項目のいずれかに記載のステープラ。
上記インジケータ部材は、近接ストロークの完了を示すための第1のシンボルと、上記カートリッジアセンブリからのステープルの放出を示すための第2のシンボルとを含む、上記項目のいずれかに記載のステープラ。
上記インジケータ部材は、ベースと、該ベースから延伸している一対の延伸部とを含み、該延伸部は、上記視覚的指示を使用者に提供するための視覚的インジケータを含む、上記項目のいずれかに記載のステープラ。
上記延伸部は、上記スラストバーを超えて横方向に延伸している、上記項目のいずれかに記載のステープラ。
上記インジケータ部材は、上記スラストバーに対して回転可能に搭載されている、上記項目のいずれかに記載のステープラ。
上記スラストバーに動作可能に接続されているラックであって、一対の歯が刻まれた延伸部を有するラックをさらに備え、該歯が刻まれた延伸部は、上記インジケータ部材と動作可能に係合され、該スラストバーの前進は、該インジケータ部材の回転を生じる、上記項目のいずれかに記載のステープラ。
上記本体は、少なくとも1つの上記インジケータ部材を視認するための少なくとも1つの窓を含む、上記項目のいずれかに記載のステープラ。
上記インジケータ部材は、上記カートリッジアセンブリの近接完了を示すための第1のシンボルと、該カートリッジアセンブリからのステープルの放出を示すための第2のシンボルとを含む、上記項目のいずれかに記載のステープラ。
上記インジケータ部材は、上記スラストバーの長手方向の軸に対して垂直な軸の周りで回転可能である、上記項目のいずれかに記載のステープラ。
上記ラックは、上記インジケータ部材の遠位に位置付けられているベースから延伸し、該ベースは、上記スラストバーに搭載されている、上記項目のいずれかに記載のステープラ。
外科用ステープラであって、
本体と、
該本体の遠位の部分に位置付けられているステープル留めアセンブリであって、該ステープル留めアセンブリは、カートリッジアセンブリとアンビルアセンブリとを含む、ステープル留めアセンブリと、
該本体内にスライド可能に配置されているスラストバーであって、後退位置から第1の前進位置まで遠位に前進するように構成されているスラストバーと、
インジケータ部材であって、該カートリッジアセンブリの近接完了と、該カートリッジアセンブリからのステープルの放出とのうちの少なくとも一方の後、使用者に視覚的指示を提供するように構成されているインジケータ部材と、
該スラストバーに動作可能に接続されているラックであって、一対の歯が刻まれた延伸部を有し、該歯が刻まれた延伸部は、該インジケータ部材と動作可能に係合され、該スラストバーの前進は、該インジケータ部材の回転を生じる、ラックと
を備えている、外科用ステープラ。
上記インジケータ部材は、上記ステープラが近接される準備がなされていることを示すようにさらに構成されている、上記項目のいずれかに記載のステープラ。
上記インジケータ部材は、上記スラストバーの長手方向の軸に対して垂直な軸の周りで回転可能である、上記項目のいずれかに記載のステープラ。
上記インジケータ部材は、上記カートリッジアセンブリの近接完了を示すための第1のシンボルと、該カートリッジアセンブリからのステープルの放出を示すための第2のシンボルとを含む、上記項目のいずれかに記載のステープラ。
使用者にステープラの動作の状態を視覚的に示す外科用ステープラ。この外科用ステープラは、本体と、本体の遠位の部分に位置付けられたステープル留めアセンブリであって、カートリッジアセンブリとアンビルアセンブリとを含むステープル留めアセンブリと、本体内にスライド可能に配置されたスラストバーとを含む。スラストバーは、アンビルアセンブリに向かうカートリッジアセンブリの近接期間中に後退位置から第1の前進位置まで遠位に前進し、および、カートリッジアセンブリからのステープルの放出を生じるために第2の前進位置までさらに前進するように構成される。インジケータ部材は、スラストバーに接続され、カートリッジアセンブリの近接完了後、およびカートリッジアセンブリからのステープルの放出後、使用者に視覚的指示を提供するように構成される。
本開示の外科用ステープラの実施形態は、ここで図面を参照して詳細に記載され、同一の参照番号は、複数の図面のそれぞれにおいて対応する要素を指す。本説明の全体を通して、「近位の」の用語は、操作者により近い器具の部分を参照し、「遠位の」の用語は、操作者からより遠い器具の部分を参照する。
12、312 本体
12a、12b 半区画
13、313 窓
14 固定ハンドル
16 トリガ
18 中央本体部分
20 カートリッジアセンブリ
21 アライメントピンアセンブリ
22 アンビルアセンブリ
24 親指ボタン
28a、28b、328a、328b フレーム部材
38 アライメントピン
66a、66b クランプスライド部材
70、370 スラストバー
70a、370a フランジ
73、383a、383b インジケータ部材
75、375 ベース
75a、375a スロット
77a、77b 延伸部
150 放出ボタン
329a、329b ピニオンホルダ
373 インジケータ機構
377a、377b リンク部材
379a、379b 歯が刻まれた延伸部
385 心棒
387 歯が刻まれたギア
Claims (12)
- 外科用ステープラであって、該外科用ステープラは、
本体と、
該本体の遠位の部分に位置付けられているステープル留めアセンブリであって、該ステープル留めアセンブリは、カートリッジアセンブリとアンビルアセンブリとを含む、ステープル留めアセンブリと、
該本体内にスライド可能に配置されているスラストバーであって、該スラストバーは、該カートリッジアセンブリが該アンビルアセンブリに向かって近接している間に後退位置から遠位に前進するように構成されており、該アンビルアセンブリに向かう該カートリッジアセンブリの近接が完了すると、該スラストバーが第1の前進位置に到達し、該スラストバーは、該カートリッジアセンブリからのステープルの放出を生じさせるために該第1の前進位置から遠位に前進するようにさらに構成されており、該カートリッジアセンブリからのステープルの放出が完了すると、該スラストバーが第2の前進位置に到達する、スラストバーと、
該スラストバーに接続されているインジケータ部材であって、該インジケータ部材は、該インジケータ部材の外側表面に第1のシンボルと第2のシンボルとを含む、インジケータ部材と
を備え、
該本体は、少なくとも1つの窓を含み、該インジケータ部材は、該スラストバーが該第1の前進位置にある場合にのみ使用者が該少なくとも1つの窓を通して該第1のシンボルを完全に視認可能であり、かつ、該スラストバーが該第2の前進位置にある場合にのみ該使用者が該少なくとも1つの窓を通して該第2のシンボルを完全に視認可能であるように構成されている、外科用ステープラ。 - 前記スラストバーの遠位の端は、前記カートリッジアセンブリからのステープルの放出中に該カートリッジアセンブリからのステープルの排出を生じさせるために、前記ステープル留めアセンブリとの動作可能な係合のために構成されている、請求項1に記載のステープラ。
- 前記インジケータ部材は、該インジケータ部材の外側表面に第3のシンボルをさらに含み、該インジケータ部材は、前記スラストバーが前記後退位置にある場合にのみ前記使用者が前記少なくとも1つの窓を通して該第3のシンボルを完全に視認可能であるようにさらに構成されている、請求項1〜請求項2のうちのいずれか1項に記載のステープラ。
- 前記インジケータ部材は、前記本体内にスライド可能に搭載されている、請求項1〜請求項3のうちのいずれか1項に記載のステープラ。
- 前記インジケータ部材は、前記本体内において、前記スラストバーに対して回転可能に搭載されている、請求項1〜請求項3のうちのいずれか1項に記載のステープラ。
- 前記インジケータ部材は、ベースと、該ベースから延伸している一対の延伸部とを含み、該延伸部は、前記第1のシンボルと前記第2のシンボルとを含む、請求項1〜請求項5のうちのいずれか1項に記載のステープラ。
- 前記延伸部は、前記スラストバーを超えて横方向に延伸している、請求項6に記載のステープラ。
- 前記スラストバーに動作可能に接続されているラックをさらに備え、該ラックは、一対の歯が刻まれた延伸部を有し、該歯が刻まれた延伸部は、前記インジケータ部材と動作可能に係合され、該スラストバーの前進は、該インジケータ部材の回転を生じさせる、請求項5に記載のステープラ。
- 前記ラックは、前記インジケータ部材の遠位に位置付けられているベースから延伸し、該ベースは、前記スラストバーに搭載されている、請求項8に記載のステープラ。
- 外科用ステープラであって、該外科用ステープラは、
本体と、
該本体の遠位の部分に位置付けられているステープル留めアセンブリであって、該ステープル留めアセンブリは、カートリッジアセンブリとアンビルアセンブリとを含む、ステープル留めアセンブリと、
該本体内にスライド可能に配置されているスラストバーであって、該スラストバーは、該カートリッジアセンブリが該アンビルアセンブリに向かって近接している間に後退位置から遠位に前進するように構成されており、該アンビルアセンブリに向かう該カートリッジアセンブリの近接が完了すると、該スラストバーが第1の前進位置に到達し、該スラストバーは、該カートリッジアセンブリからのステープルの放出を生じさせるために該第1の前進位置から遠位に前進するようにさらに構成されており、該カートリッジアセンブリからのステープルの放出が完了すると、該スラストバーが第2の前進位置に到達する、スラストバーと、
インジケータ部材であって、該インジケータ部材は、該インジケータ部材の外側周囲表面に第1のシンボルと第2のシンボルとを含む、インジケータ部材と、
該スラストバーに動作可能に接続されているラックであって、該ラックは、歯が刻まれた延伸部を有し、該歯が刻まれた延伸部は、該インジケータ部材と動作可能に係合され、該スラストバーの前進は、該インジケータ部材の回転を生じさせる、ラックと
を備え、
該本体は、少なくとも1つの窓を含み、該インジケータ部材は、該スラストバーが該第1の前進位置にある場合にのみ使用者が該少なくとも1つの窓を通して該第1のシンボルを完全に視認可能であり、かつ、該スラストバーが該第2の前進位置にある場合にのみ該使用者が該少なくとも1つの窓を通して該第2のシンボルを完全に視認可能であるように構成されている、外科用ステープラ。 - 前記インジケータ部材は、該インジケータ部材の外側周囲表面に第3のシンボルをさらに含み、該インジケータ部材は、前記スラストバーが前記後退位置にある場合にのみ前記使用者が前記少なくとも1つの窓を通して該第3のシンボルを完全に視認可能であるようにさらに構成されている、請求項10に記載のステープラ。
- 前記インジケータ部材は、前記スラストバーの長手方向の軸に対して垂直な軸の周りで回転可能である、請求項10に記載のステープラ。
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-
2010
- 2010-11-24 US US12/953,603 patent/US8714430B2/en not_active Expired - Fee Related
- 2010-12-14 AU AU2010253488A patent/AU2010253488B2/en not_active Expired - Fee Related
- 2010-12-21 CA CA2726176A patent/CA2726176A1/en not_active Abandoned
- 2010-12-24 JP JP2010288633A patent/JP5697974B2/ja not_active Expired - Fee Related
- 2010-12-30 EP EP10252253A patent/EP2340771A3/en not_active Withdrawn
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2014
- 2014-03-13 US US14/207,787 patent/US8985428B2/en not_active Expired - Fee Related
- 2014-09-09 JP JP2014182930A patent/JP2015006431A/ja active Pending
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CA2726176A1 (en) | 2011-06-30 |
JP2011136169A (ja) | 2011-07-14 |
US20140191013A1 (en) | 2014-07-10 |
US8985428B2 (en) | 2015-03-24 |
AU2010253488B2 (en) | 2015-05-07 |
EP2340771A3 (en) | 2011-08-03 |
JP2015006431A (ja) | 2015-01-15 |
US20110155782A1 (en) | 2011-06-30 |
AU2010253488A1 (en) | 2011-07-14 |
EP2340771A2 (en) | 2011-07-06 |
US8714430B2 (en) | 2014-05-06 |
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