JP5841116B2 - 外科用器具のための組織止め - Google Patents
外科用器具のための組織止め Download PDFInfo
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- JP5841116B2 JP5841116B2 JP2013226695A JP2013226695A JP5841116B2 JP 5841116 B2 JP5841116 B2 JP 5841116B2 JP 2013226695 A JP2013226695 A JP 2013226695A JP 2013226695 A JP2013226695 A JP 2013226695A JP 5841116 B2 JP5841116 B2 JP 5841116B2
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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
- A61B17/07207—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 the staples being applied sequentially
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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
-
- 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
-
- 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
- A61B2017/07221—Stapler heads curved
-
- 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
- A61B2017/07278—Stapler heads characterised by its sled or its staple holder
-
- 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
- A61B2017/2926—Details of heads or jaws
- A61B2017/2945—Curved jaws
-
- 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
- A61B2018/1425—Needle
- A61B2018/1432—Needle curved
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- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
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- Nuclear Medicine, Radiotherapy & Molecular Imaging (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
本開示は、組織を外科的に接合するための外科用器具に関する。外科用器具は、ハンドルアセンブリと、細長い部分と、エンドエフェクタと、ストップ部材とを含む。細長い部分は、ハンドルアセンブリから遠位方向に延びる。エンドエフェクタは、細長い部分の遠位部分に隣接して配置され、第1の顎部材と第2の顎部材とを含む。少なくとも一方の顎部材は、間隔が置かれた位置と接近させられた位置との間で、他方の顎部材に対して可動である。ストップ部材は、第1の顎部材の遠位部分に隣接して配置され、ストップ部材のかなりの部分が第1の顎部材の外部に位置決めされる第1の位置と、第1の顎部材と第2の顎部材との間で組織を捕捉する第2の位置との間で、第1の顎部材に対して旋回可能である。
組織を外科的に接合するための外科用器具であって、
ハンドルアセンブリと、
該ハンドルアセンブリから遠位方向に延び、長手方向軸を画定する細長い部分と、
該細長い部分の遠位部分に隣接して配置されたエンドエフェクタであって、該エンドエフェクタは、第1の顎部材と第2の顎部材とを含み、少なくとも一方の顎部材は、間隔が置かれた位置と接近させられた位置との間で他方の顎部材に対して可動である、エンドエフェクタと、
該第1の顎部材の遠位部分に隣接して配置されたストップ部材であって、該ストップ部材のかなりの部分が該第1の顎部材の外部に位置決めされる第1の位置と、該第1の顎部材と該第2の顎部材との間で組織を捕捉する第2の位置との間で、該第1の顎部材に対して旋回可能である、ストップ部材と
を備えている外科用器具。
上記カートリッジは、上記長手方向軸に対して湾曲している、上記項目のいずれか一項に記載の外科用器具。
上記ストップ部材と機械的に協働するように配置された付勢部材をさらに備え、該付勢部材は、該ストップ部材をその第1の位置に向けて付勢する、上記項目のいずれか一項に記載の外科用器具。
上記ストップ部材は、ベースとストッピング部分とを含み、該ベースは、該ストッピング部分と動作可能に接続されている、上記項目のいずれか一項に記載の外科用器具。
上記ストッピング部分は、上記ベースと旋回可能に接続されている、上記項目のいずれか一項に記載の外科用器具。
上記ストップ部材は、上記第1の顎部材に旋回可能に結合されている、上記項目のいずれか一項に記載の外科用器具。
上記第1の顎部材は、ナイフチャンネルを含む、上記項目のいずれか一項に記載の外科用器具。
上記ストップ部材の第1のレグおよび第2のレグをさらに備え、該第1のレグおよび該第2のレグは、上記ナイフチャンネルの相対する側に位置決めされている、上記項目のいずれか一項に記載の外科用器具。
上記第1の顎部材に配置された第1のスロットおよび第2のスロットをさらに備え、該第1のスロットおよび該第2のスロットの各々は、上記第1のレグおよび上記第2のレグのうちの1つの少なくとも一部分をその中に受け入れるように適合されている、上記項目のいずれか一項に記載の外科用器具。
上記第1のレグおよび上記第2のレグの各々は、上記ストップ部材が、その第2の位置に向かって動くとき、上記第1のスロットまたは上記第2のスロットを少なくとも部分的に通って動くように構成されている、上記項目のいずれか一項に記載の外科用器具。
外科用器具との使用のためのツールアセンブリであって、該ツールアセンブリは、
第1の顎部材と第2の顎部材とを含むエンドエフェクタであって、少なくとも一方の顎部材は、間隔が置かれた位置と接近させられた位置との間で他方の顎部材に対して可動である、エンドエフェクタと、
該第1の顎部材の遠位部分に隣接して配置されたストップ部材であって、該ストップ部材は、該ストップ部材の少なくとも一部分が該第1の顎部材の外部に位置決めされる第1の位置と、該第1の顎部材と該第2の顎部材との間で組織を捕捉する第2の位置との間で、該第1の顎部材に対して旋回可能であり、該接近させられた位置に向かう該顎部材の相対的な動きは、該ストップ部材の少なくとも一部分を該第1の顎部材に向かって動かす、ストップ部材と
を備えている、ツールアセンブリ。
上記エンドエフェクタは、長手方向に曲線をなす形状を含む、上記項目のいずれか一項に記載のツールアセンブリ。
上記ストップ部材は、上記第1の位置に向かって付勢される、上記項目のいずれか一項に記載のツールアセンブリ。
上記第1の顎部材は、そこに形成された少なくとも1つのスロットを含み、該少なくとも1つのスロットは、上記ストップ部材の少なくとも一部分を受け入れるように構成されている、上記項目のいずれか一項に記載のツールアセンブリ。
外科用締め具によって組織を締め付けるためのシステムであって、該システムは、
第1の顎部材および第2の顎部材であって、該第1の顎部材および該第2の顎部材は、それらの間に組織を配置するように構成され、該第1の顎部材は、組織を係合するため、該第2の顎部材に対して旋回されるように構成されている、第1の顎部材および第2の顎部材と、
該第1の顎部材と該第2の顎部材との間に配置されたストップ部材であって、該第1の顎部材と該第2の顎部材との間に組織を維持するため、旋回されるように構成され、該顎の遠位端に配置されている、ストップ部材と
を備えている、システム。
外科用締め具によって組織を締め付ける方法であって、該方法は、
第1の顎部材と第2の顎部材との間に組織を配置することと、
組織と係合するように、該第1の顎部材を該第2の顎部材に対して旋回させることと、
該第1の顎部材と該第2の顎部材との間に組織を維持するように、該第1の顎部材と該第2の顎部材との間に配置されたストップ部材を旋回させることであって、該ストップ部材は、該顎の遠位端に配置されている、ことと
を包含する、方法。
ハンドルアセンブリと、細長い部分と、エンドエフェクタと、ストップ部材とを含む外科用器具が開示される。細長い部分は、ハンドルアセンブリから遠位方向に延びる。エンドエフェクタは、細長い部分の遠位部分に隣接して配置され、第1の顎部材と第2の顎部材とを含む。少なくとも一方の顎部材は、間隔が置かれた位置と接近させられた位置との間で他方の顎部材に対して可動である。ストップ部材は、第1の顎部材の遠位部分に隣接して配置され、ストップ部材のかなりの部分が第1の顎部材の外部に位置決めされる第1の位置と、第1の顎部材と第2の顎部材との間で組織を捕捉する第2の位置との間で、第1の顎部材に対して旋回可能である。
本開示の外科用器具の実施形態が、図面を参照して詳細に記述され、該図面においては、同様の参照番号は、幾つかの図面の各々において、同様のまたは同一の要素を示す。図面および以下の記述において、用語「近位の」は、オペレータに最も近い外科用器具の端を指し、一方、用語「遠位の」は、オペレータから最も遠い外科用器具の端を指す。当業者によって理解されるように、図示された外科用器具はステープルを発射するが、例えばクリップおよび2部分締め具のような任意の他の適切な締め具を発射するように適合され得る。さらに、開示されたストップ部材は、電気外科用鉗子に対して使用され得る。電気外科用鉗子のさらなる詳細が、2003年2月20日に出願された「VESSEL SEALER AND DIVIDER AND METHOD OF MANUFACTURING THE SAME」と題する、共有に係る特許出願第10/369,894号に記述され、該特許出願の全容が、本明細書に参考として援用されている。
120 細長い部分
122 近位部分
124 遠位部分
130 第1の顎部材
132 カートリッジアセンブリ
134 組織接触表面
136 締め具保持スロット
140 第2の顎部材
142 アンビルアセンブリ
150 ツールアセンブリ
154 エンドエフェクタ
160 ハンドルアセンブリ
162 固定ハンドル
164 可動ハンドル
168 クランプバー
170 ストップ部材
Claims (15)
- 組織を外科的に接合するための外科用器具であって、
前記外科用器具は、
ハンドルアセンブリと、
前記ハンドルアセンブリから遠位方向に延び、長手方向軸を画定する細長い部分と、
前記細長い部分の遠位部分に隣接して配置されたエンドエフェクタであって、前記エンドエフェクタは、第1の顎部材と第2の顎部材とを含み、少なくとも一方の顎部材は、間隔が置かれた位置と接近させられた位置との間で他方の顎部材に対して可動であり、前記第1の顎部材は、組織接触表面を有し、前記第2の顎部材は、組織接触表面を有する、エンドエフェクタと、
前記第1の顎部材と前記第2の顎部材との間に配置され、概して近位方向に延びているストップ部材であって、前記ストップ部材は、第1の位置と第2の位置との間で、前記第1の顎部材に対して旋回可能であり、前記ストップ部材は、組織を係合するための近位対面部分を有し、前記ストップ部材は、前記第1の顎部材および前記第2の顎部材のうちの少なくとも一方の遠位端に配置されている、ストップ部材と
を含む、外科用器具。 - 前記ストップ部材は、前記第1の顎部材に対して旋回可能に取り付けられている、請求項1に記載の外科用器具。
- 前記第1の顎部材は、カートリッジアセンブリである、請求項1に記載の外科用器具。
- 前記第1の顎部材は、アンビルアセンブリである、請求項1に記載の外科用器具。
- 前記第1の顎部材および前記第2の顎部材は、湾曲している、請求項1に記載の外科用器具。
- 前記ストップ部材をその第1の位置に向けて付勢するように配置された付勢部材をさらに含む、請求項1に記載の外科用器具。
- 前記第1の顎部材は、ナイフチャンネルを含む、請求項1に記載の外科用器具。
- 前記ストップ部材は、前記ナイフチャンネルと整列したスペースを画定する、請求項7に記載の外科用器具。
- 前記ナイフチャネルを通して並進するように配置されたナイフをさらに含み、前記ストップ部材の前記スペースは、前記ナイフを受け入れるように配置されている、請求項8に記載の外科用器具。
- 前記ストップ部材は、第1のレグおよび第2のレグをさらに含み、前記スペースは、前記第1のレグと前記第2のレグとの間に画定されている、請求項9に記載の外科用器具。
- 近位対面表面は、前記ストップ部材が前記第1の位置に配置されているときに、前記第1の顎部材の前記組織接触表面との斜角を画定する、請求項1に記載の外科用器具。
- 前記近位対面部分は、前記ストップ部材が前記第2の位置に配置されているときに、前記第1の顎部材の前記組織接触表面との実質的に垂直な角度を画定する、請求項1に記載の外科用器具。
- 前記ストップ部材は、前記第2の顎部材が前記接近させられた位置に向けて前記第1の顎部材に対して移動するときに、前記第2の位置に向けて旋回する、請求項2に記載の外科用器具。
- 前記第1の顎部材は、前記ストップ部材が前記第2の位置に旋回するときに、前記ストップ部材を受け入れるためのリセスを画定する、請求項2に記載の外科用器具。
- 前記ストップ部材は、前記第1の顎部材および前記第2の顎部材が、前記間隔が置かれた位置にあるときに、前記第1の顎部材の前記組織接触表面と前記第2の顎部材の前記組織接触表面との間のスペースを実質的に横切って延びている、請求項1に記載の外科用器具。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US12/235,751 US7896214B2 (en) | 2008-09-23 | 2008-09-23 | Tissue stop for surgical instrument |
US12/235,751 | 2008-09-23 |
Related Parent Applications (1)
Application Number | Title | Priority Date | Filing Date |
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JP2009213831A Division JP5480571B2 (ja) | 2008-09-23 | 2009-09-15 | 外科用器具のための組織止め |
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JP2015117331A Division JP2015157191A (ja) | 2008-09-23 | 2015-06-10 | 外科用器具のための組織止め |
Publications (2)
Publication Number | Publication Date |
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JP2014061403A JP2014061403A (ja) | 2014-04-10 |
JP5841116B2 true JP5841116B2 (ja) | 2016-01-13 |
Family
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JP2009213831A Expired - Fee Related JP5480571B2 (ja) | 2008-09-23 | 2009-09-15 | 外科用器具のための組織止め |
JP2013226695A Expired - Fee Related JP5841116B2 (ja) | 2008-09-23 | 2013-10-31 | 外科用器具のための組織止め |
JP2015117331A Pending JP2015157191A (ja) | 2008-09-23 | 2015-06-10 | 外科用器具のための組織止め |
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JP2009213831A Expired - Fee Related JP5480571B2 (ja) | 2008-09-23 | 2009-09-15 | 外科用器具のための組織止め |
Family Applications After (1)
Application Number | Title | Priority Date | Filing Date |
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JP2015117331A Pending JP2015157191A (ja) | 2008-09-23 | 2015-06-10 | 外科用器具のための組織止め |
Country Status (8)
Country | Link |
---|---|
US (4) | US7896214B2 (ja) |
EP (2) | EP2389876B1 (ja) |
JP (3) | JP5480571B2 (ja) |
CN (2) | CN101683282B (ja) |
AT (1) | ATE536138T1 (ja) |
AU (1) | AU2009210413B2 (ja) |
CA (1) | CA2676307C (ja) |
ES (2) | ES2377594T3 (ja) |
Families Citing this family (679)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5865361A (en) | 1997-09-23 | 1999-02-02 | United States Surgical Corporation | Surgical stapling apparatus |
US9060770B2 (en) | 2003-05-20 | 2015-06-23 | Ethicon Endo-Surgery, Inc. | Robotically-driven surgical instrument with E-beam driver |
US20070084897A1 (en) | 2003-05-20 | 2007-04-19 | Shelton Frederick E Iv | Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism |
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2008
- 2008-09-23 US US12/235,751 patent/US7896214B2/en active Active
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ATE536138T1 (de) | 2011-12-15 |
AU2009210413A1 (en) | 2010-04-08 |
EP2165662B1 (en) | 2011-12-07 |
US9295465B2 (en) | 2016-03-29 |
US20110163150A1 (en) | 2011-07-07 |
AU2009210413B2 (en) | 2013-09-12 |
ES2377594T3 (es) | 2012-03-29 |
US20100072257A1 (en) | 2010-03-25 |
JP2014061403A (ja) | 2014-04-10 |
US7896214B2 (en) | 2011-03-01 |
EP2165662A1 (en) | 2010-03-24 |
JP2010075690A (ja) | 2010-04-08 |
US8740039B2 (en) | 2014-06-03 |
JP2015157191A (ja) | 2015-09-03 |
JP5480571B2 (ja) | 2014-04-23 |
CN103690214B (zh) | 2016-01-20 |
CN101683282A (zh) | 2010-03-31 |
CN103690214A (zh) | 2014-04-02 |
EP2389876A1 (en) | 2011-11-30 |
US8746534B2 (en) | 2014-06-10 |
EP2389876B1 (en) | 2012-12-26 |
CA2676307A1 (en) | 2010-03-23 |
CA2676307C (en) | 2017-03-21 |
ES2398082T3 (es) | 2013-03-13 |
CN101683282B (zh) | 2014-04-16 |
US20110114702A1 (en) | 2011-05-19 |
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