JP5758206B2 - 選択可能なハンドル付勢 - Google Patents
選択可能なハンドル付勢 Download PDFInfo
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- JP5758206B2 JP5758206B2 JP2011127977A JP2011127977A JP5758206B2 JP 5758206 B2 JP5758206 B2 JP 5758206B2 JP 2011127977 A JP2011127977 A JP 2011127977A JP 2011127977 A JP2011127977 A JP 2011127977A JP 5758206 B2 JP5758206 B2 JP 5758206B2
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- 230000007246 mechanism Effects 0.000 claims description 48
- 230000007935 neutral effect Effects 0.000 claims description 18
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- 238000000034 method Methods 0.000 description 22
- 239000012636 effector Substances 0.000 description 16
- 210000003811 finger Anatomy 0.000 description 10
- 238000001356 surgical procedure Methods 0.000 description 8
- 239000000853 adhesive Substances 0.000 description 5
- 230000001070 adhesive effect Effects 0.000 description 5
- 239000000463 material Substances 0.000 description 5
- 210000003813 thumb Anatomy 0.000 description 5
- 238000003466 welding Methods 0.000 description 5
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- 239000013536 elastomeric material Substances 0.000 description 3
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- 230000001954 sterilising effect Effects 0.000 description 3
- 238000004659 sterilization and disinfection Methods 0.000 description 3
- 230000008901 benefit Effects 0.000 description 2
- 229920001971 elastomer Polymers 0.000 description 2
- 239000000806 elastomer Substances 0.000 description 2
- 241000894006 Bacteria Species 0.000 description 1
- IAYPIBMASNFSPL-UHFFFAOYSA-N Ethylene oxide Chemical compound C1CO1 IAYPIBMASNFSPL-UHFFFAOYSA-N 0.000 description 1
- 206010019909 Hernia Diseases 0.000 description 1
- 239000004775 Tyvek Substances 0.000 description 1
- 229920000690 Tyvek Polymers 0.000 description 1
- 210000000683 abdominal cavity Anatomy 0.000 description 1
- 238000007486 appendectomy Methods 0.000 description 1
- 238000013459 approach Methods 0.000 description 1
- 238000002192 cholecystectomy Methods 0.000 description 1
- 238000007796 conventional method Methods 0.000 description 1
- 230000008878 coupling Effects 0.000 description 1
- 238000010168 coupling process Methods 0.000 description 1
- 238000005859 coupling reaction Methods 0.000 description 1
- 238000002224 dissection Methods 0.000 description 1
- 238000002674 endoscopic surgery Methods 0.000 description 1
- 238000002357 laparoscopic surgery Methods 0.000 description 1
- 239000007788 liquid Substances 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- 239000002184 metal Substances 0.000 description 1
- 238000002324 minimally invasive surgery Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
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- 210000000115 thoracic cavity Anatomy 0.000 description 1
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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
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in 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
- A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
- A61B2017/00389—Button or wheel for performing multiple functions, e.g. rotation of shaft and end effector
- A61B2017/00393—Button or wheel for performing multiple functions, e.g. rotation of shaft and end effector with means for switching between functions
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/0042—Surgical instruments, devices or methods, e.g. tourniquets with special provisions for gripping
- A61B2017/00438—Surgical instruments, devices or methods, e.g. tourniquets with special provisions for gripping connectable to a finger
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B17/2909—Handles
- A61B2017/2912—Handles transmission of forces to actuating rod or piston
- A61B2017/2919—Handles transmission of forces to actuating rod or piston details of linkages or pivot points
- A61B2017/2922—Handles transmission of forces to actuating rod or piston details of linkages or pivot points toggle linkages
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- 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
(1) 外科用器具であって、
遠位端において対向顎部を有する細長いシャフトと、
前記細長いシャフトの近位端に結合され、枢動して前記対向顎部を開放及び閉鎖するよう構成されたトリガーを有するハンドルハウジングと、
前記ハンドルハウジング内に配置され、前記対向顎部が開放位置に付勢された第1の形態と、前記対向顎部が閉鎖位置に付勢された第2の形態との間で選択的に可動である付勢スイッチと、を備える、外科用器具。
(2) 前記付勢スイッチが開放ばね及び閉鎖ばねを含み、前記開放ばねは、前記対向顎部を前記開放位置へ付勢するように構成され、前記閉鎖ばねは、前記対向顎部を前記閉鎖位置へ付勢するように構成されている、実施態様1に記載の外科用器具。
(3) 前記付勢スイッチが、前記ハンドルハウジング内に配置されて、前記開放ばねと閉鎖ばねとの間に位置するレバーを更に含み、前記レバーは、前記開放ばねを圧縮し前記対向顎部を付勢して前記開放形態とし、前記閉鎖ばねを圧縮し前記対向顎部を付勢して前記閉鎖位置とするように構成されている、実施態様2に記載の外科用器具。
(4) 前記閉鎖ばねが前記レバーと近位ブッシングとの間に配置され、前記近位ブッシングは、前記細長いシャフトを通って延び、前記対向顎部に結合された作動部材に結合され、前記開放ばねが前記レバーと、前記作動部材に結合された遠位ブッシングとの間に配置されている、実施態様3に記載の外科用器具。
(5) 前記作動部材の前記細長いシャフトに対する長手方向の移動は、前記対向顎部を前記開放位置と閉鎖位置との間で動かすのに有効である、実施態様4に記載の外科用器具。
(6) 前記細長いシャフトを通って延び、前記付勢スイッチ及び前記対向顎部に結合された作動部材を更に備え、前記作動部材は、前記細長いシャフトに対して長手方向に可動で、前記顎部を前記開放位置と閉鎖位置との間で動かす、実施態様1に記載の外科用器具。
(7) 前記ハンドルハウジングが、前記トリガーに枢動可能に結合され、前記トリガーが閉鎖位置にあるときに前記トリガーと概ね平行に延びる固定ハンドルを含む、実施態様1に記載の外科用器具。
(8) 前記固定ハンドルに向かった前記トリガーの枢動は、前記対向顎部を閉鎖するのに有効であり、前記固定ハンドルから離れる前記トリガーの枢動は、前記対向顎部を開放するのに有効である、実施態様7に記載の外科用器具。
(9) 前記付勢スイッチが、前記対向顎部が付勢されていない中立形態を含む、実施態様1に記載の外科用器具。
(10) 外科用装置であって、
ハンドルと、
前記ハンドルの遠位端から延びる細長いシャフトと、
前記細長いシャフトの遠位端に結合されて、開放位置と閉鎖位置との間で可動である対向顎部と、
前記細長いシャフトを通って延びて、前記対向顎部に結合された作動部材であって、前記作動部材の第1の方向への移動は前記対向顎部を前記開放位置へ動かすよう構成され、前記作動部材の第2の反対方向への移動は前記対向顎部を前記閉鎖位置へ動かすよう構成される、作動部材と、
前記ハンドル内に配置され、前記作動部材に結合された付勢要素であって、前記付勢要素は、前記付勢要素が前記作動部材を前記第1の方向に付勢する第1の位置と、前記付勢要素が前記作動部材を前記第2の方向に付勢する第2の位置との間で選択的に可動である、付勢要素と、を備える、外科用装置。
(12) 前記ハンドル上に配置され、前記付勢要素に結合されて前記付勢要素を前記第1の位置と第2の位置との間で移動するレバーを更に備える、実施態様10に記載の外科用装置。
(13) 前記ハンドルが近位端及び遠位端を有する第1及び第2の細長い部材を含み、前記細長いシャフトが前記第1の細長い部材の前記遠位端から遠位方向に延び、前記第2の細長い部材の前記近位端が、前記第1の細長い部材の前記近位端に枢動可能に結合されている、実施態様10に記載の外科用装置。
(14) 前記第1の細長い部材に対する前記第2の細長い部材の枢動が、前記作動部材を前記第1及び第2の方向に移動するのに有効である、実施態様13に記載の外科用装置。
(15) 前記第1及び第2の細長い部材が、前記第2の細長い部材の前記遠位端が前記第1の細長い部材の前記遠位端からある距離だけ離間された開放位置と、前記第1及び第2の細長い部材の長手方向軸が、互いに実質的に平行に延びる閉鎖位置との間で枢動可能である、実施態様13に記載の外科用装置。
(16) 前記付勢要素が、遠位止めに対して圧縮されて前記作動部材を前記第1の方向に付勢するよう構成された第1のばねと、近位止めに対して圧縮されて前記作動部材を前記第2の方向に付勢するよう構成された第2のばねとを含む、実施態様10に記載の外科用装置。
(17) 前記ハンドルが、前記ハンドル上に配置され、かつ前記第1のばねと第2のばねとの間に延びるレバーを含み、それにより前記レバーは前記第1のばね及び第2のばねの一方を選択的に圧縮するよう構成されている、実施態様16に記載の外科用装置。
(18) 前記レバーが第1の方向に可動で前記第1のばねを圧縮し、また前記レバーは第2の反対方向に可動で前記第2のばねを圧縮する、実施態様17に記載の外科用装置。
(19) 外科的方法であって、
外科用装置の細長いシャフトの遠位端上のエンドエフェクタを体腔内に配置することと、
前記外科用装置のハンドル上の付勢スイッチを、前記付勢スイッチが前記エンドエフェクタを第1の形態に付勢する第1の位置、及び前記付勢スイッチが前記エンドエフェクタを第2の形態に付勢する第2の位置のうちの一方に移動することと、を含む、方法。
(20) 前記ハンドル上のトリガーを作動させて、前記エンドエフェクタを前記第1の形態から前記第2の形態に動かすことを更に含む、実施態様19に記載の方法。
(22) 前記エンドエフェクタが、前記第1の形態にて開放し、前記第2の形態にて閉鎖する対向顎部を有する、実施態様19に記載の方法。
Claims (9)
- 外科用器具であって、
遠位端において対向顎部を有する細長いシャフトと、
前記細長いシャフトの近位端に結合され、枢動して前記対向顎部を開放及び閉鎖するよう構成されたトリガーを有するハンドルハウジングと、
前記ハンドルハウジング内に配置され、前記対向顎部が開放位置に付勢された第1の形態と、前記対向顎部が閉鎖位置に付勢された第2の形態との間で選択的に可動である付勢機構と、を備え、
前記付勢機構が開放ばね及び閉鎖ばねを含み、前記開放ばねは、前記付勢機構が前記第1の形態の際に、前記対向顎部を前記開放位置へ付勢するように構成され、前記閉鎖ばねは、前記付勢機構が前記第2の形態の際に、前記対向顎部を前記閉鎖位置へ付勢するように構成されている、外科用器具。 - 前記付勢機構が、前記ハンドルハウジング内に配置されて、前記開放ばねと閉鎖ばねとの間に位置するレバーを更に含み、前記レバーは、前記開放ばねを圧縮し前記対向顎部を付勢して前記開放形態とし、前記閉鎖ばねを圧縮し前記対向顎部を付勢して前記閉鎖位置とするように構成されている、請求項1に記載の外科用器具。
- 前記閉鎖ばねが前記レバーと近位ブッシングとの間に配置され、前記近位ブッシングは、前記細長いシャフトを通って延び、前記対向顎部に結合された作動部材に結合され、前記開放ばねが前記レバーと、前記作動部材に結合された遠位ブッシングとの間に配置されている、請求項2に記載の外科用器具。
- 前記作動部材の前記細長いシャフトに対する長手方向の移動は、前記対向顎部を前記開放位置と閉鎖位置との間で動かすのに有効である、請求項3に記載の外科用器具。
- 前記細長いシャフトを通って延び、前記付勢機構及び前記対向顎部に結合された作動部材を更に備え、前記作動部材は、前記細長いシャフトに対して長手方向に可動で、前記顎部を前記開放位置と閉鎖位置との間で動かす、請求項1に記載の外科用器具。
- 前記ハンドルハウジングが、前記トリガーに枢動可能に結合され、前記トリガーが閉鎖位置にあるときに前記トリガーと概ね平行に延びる固定ハンドルを含む、請求項1に記載の外科用器具。
- 前記固定ハンドルに向かった前記トリガーの枢動は、前記対向顎部を閉鎖するのに有効であり、前記固定ハンドルから離れる前記トリガーの枢動は、前記対向顎部を開放するのに有効である、請求項6に記載の外科用器具。
- 前記付勢機構が、前記対向顎部が付勢されていない中立形態を含む、請求項1に記載の外科用器具。
- 外科用装置であって、
ハンドルと、
前記ハンドルの遠位端から延びる細長いシャフトと、
前記細長いシャフトの遠位端に結合されて、開放位置と閉鎖位置との間で可動である対向顎部と、
前記細長いシャフトを通って延びて、前記対向顎部に結合された作動部材であって、前記作動部材の第1の方向への移動は前記対向顎部を前記開放位置へ動かすよう構成され、前記作動部材の第2の反対方向への移動は前記対向顎部を前記閉鎖位置へ動かすよう構成される、作動部材と、
前記ハンドル内に配置され、前記作動部材に結合された付勢機構であって、前記付勢機構は、前記付勢機構が前記作動部材を前記第1の方向に付勢する第1の位置と、前記付勢機構が前記作動部材を前記第2の方向に付勢する第2の位置との間で選択的に可動である、付勢機構と、を備え、
前記付勢機構が開放ばね及び閉鎖ばねを含み、前記開放ばねは、前記付勢機構が前記第1の位置の際に、前記作動部材を前記第1の方向に付勢するように構成され、前記閉鎖ばねは、前記付勢機構が前記第2の位置の際に、前記作動部材を前記第2の方向に付勢するように構成されている、外科用器具。
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US12/796,908 | 2010-06-09 | ||
US12/796,908 US8460337B2 (en) | 2010-06-09 | 2010-06-09 | Selectable handle biasing |
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JP2011255181A JP2011255181A (ja) | 2011-12-22 |
JP5758206B2 true JP5758206B2 (ja) | 2015-08-05 |
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US (1) | US8460337B2 (ja) |
EP (1) | EP2394591B1 (ja) |
JP (1) | JP5758206B2 (ja) |
CN (1) | CN102283693B (ja) |
AU (1) | AU2011202008B2 (ja) |
BR (1) | BRPI1103045B1 (ja) |
RU (1) | RU2503421C2 (ja) |
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US10433864B2 (en) * | 2016-04-13 | 2019-10-08 | Ethicon Llc | Ultrasonic surgical instrument with sliding blade sheath |
CN109640844B (zh) * | 2016-08-25 | 2021-08-06 | 柯惠Lp公司 | 内窥镜手术施夹器和施夹系统 |
WO2021041398A1 (en) * | 2019-08-27 | 2021-03-04 | Conmed Corporation | Force limiting mechanism for surgical instruments |
GB202011106D0 (en) * | 2020-07-19 | 2020-09-02 | Imp College Innovations Ltd | Actuator handle for surgical tools, and improved surgical clips |
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EP2394591A1 (en) | 2011-12-14 |
CN102283693A (zh) | 2011-12-21 |
RU2503421C2 (ru) | 2014-01-10 |
CN102283693B (zh) | 2015-05-20 |
AU2011202008A1 (en) | 2012-01-12 |
AU2011202008B2 (en) | 2013-09-26 |
BRPI1103045B1 (pt) | 2020-05-26 |
US8460337B2 (en) | 2013-06-11 |
BRPI1103045A2 (pt) | 2012-11-27 |
US20110307005A1 (en) | 2011-12-15 |
JP2011255181A (ja) | 2011-12-22 |
EP2394591B1 (en) | 2013-04-03 |
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