JP5988539B2 - 3行ステープラにおける一対のダブルステープルプッシャ - Google Patents
3行ステープラにおける一対のダブルステープルプッシャ 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
- 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
- A61B17/064—Surgical staples, i.e. penetrating the tissue
- A61B17/0644—Surgical staples, i.e. penetrating the tissue penetrating the tissue, deformable to closed position
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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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B17/115—Staplers for performing anastomosis in a single operation
-
- 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
- A61B17/0682—Surgical staplers, e.g. containing multiple staples or clamps for applying U-shaped staples or clamps, e.g. without a forming anvil
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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
- 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
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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
- A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
-
- 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
-
- 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
- A61B2017/07228—Arrangement of the staples
-
- 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
- A61B2017/07242—Stapler heads achieving different staple heights during the same shot, e.g. using an anvil anvil having different heights or staples of different sizes
-
- 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
- A61B2017/07257—Stapler heads characterised by its anvil
- A61B2017/07264—Stapler heads characterised by its anvil characterised by its staple forming cavities, e.g. geometry or material
-
- 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
- A61B2017/07271—Stapler heads characterised by its cartridge
-
- 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
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Description
本出願は、2009年10月8日に出願された米国仮特許出願第61/249,637号の優先権および利益を主張し、その仮特許出願の開示は、その全体が本明細書において参照によって援用される。
(技術分野)
本開示は、ステープリング装置に関し、より詳細には、ステープリング装置のステープルカートリッジにおいて使用するステープル打ち込みアセンブリに関する。
外科手術ステープリングデバイスは、ファスナまたはステープラを組織の中に打ち込む(drive)ことによって迅速かつ効率的に体組織を固定するために、外科手術処置において広く用いられる。特定のタイプのステープリングデバイスにおいて、打ち込み部材は、ステープルが打ち込まれる方向を横断するように動く。典型的には、そのようなステープリングデバイスは、ステープルカートリッジの溝つきスロットに位置を定められ、端部と端部が接して行になって配置される多数のステープルプッシャ要素を用いる。通常の動作中、横断するように打ち込み部材を動かすことによって、ステープルプッシャ上のカム部材と接触し、それによって、溝つきスロットにおいてステープルプッシャを縦に押す。ステープルプッシャは、打ち込み部材からステープルに直線の動きを伝える。それによって、複数の行のステープルは、固定されるべき体組織の中に打ち込まれる。
本開示はステープルカートリッジに関する。ステープルカートリッジは、ステープルを保持する複数の保持スロットを規定するハウジングを含み得る。ステープルカートリッジは、ステープルカートリッジを作動すると、保持スロット内のステープルを排出するように適合され、構成される少なくとも1つのステープルプッシャをさらに含む。
(項目1)
ハウジングであって、該ハウジングは複数の保持スロットを規定する、ハウジングと、
中央長手方向軸を規定するステープルプッシャであって、該ステープルプッシャは少なくとも2つのプッシャプレートを含み、各プッシャプレートは上部表面を含み、各プッシャプレートの該上部表面は、該複数保持スロットのうちの1つの保持スロット内に保持されるステープルを係合するように適合され、該プッシャプレートの該上部表面は該中央長手方向軸に関して実質的に対称であり、該上部表面は、実質的に等しい寸法を有し、該中央長手方向軸に沿って実質的に等しい位置決めを有し、該上部表面は、該中央長手方向軸に対して横断する軸に沿って横方向に間隔を空けて置かれる、ステープルプッシャと
を備えている、ステープルカートリッジ。
(項目2)
ハウジングであって、該ハウジングは第1の外側行と、第2の外側行と、保持スロットの該第1の外側行と第2の外側行との間に位置を決められる保持スロットの少なくとも1つの内側行とを規定する、ハウジングと、
少なくとも2つのプッシャプレートを含むステープルプッシャであって、該少なくとも2つのプッシャプレートは第1および第2のプッシャプレートを含み、該第1および第2のプッシャプレートは、保持スロットの該第1および第2の外側行に保持されるステープルを動作可能に係合するために横方向に間隔を空けて置かれる、ステープルプッシャと
を備えている、ステープルカートリッジ。
(項目3)
上記複数のプッシャプレート間の横方向の間隔は、上記ステープルプッシャと関連付けられた保持スロットの隣接した複数の行間の距離とは異なる、上記項目のいずれかに記載のステープルカートリッジ。
(項目4)
上記ステープルプッシャプレートは、2つのプッシャプレートのみを有する、上記項目のいずれかに記載のステープルカートリッジ。
(項目5)
上記ステープルプッシャは、中央長手方向軸を規定し、上記第1および第2のプッシャプレートは、該ステープルプッシャの該中央長手方向軸に関して対称である、上記項目のいずれかに記載のステープルカートリッジ。
(項目6)
上記ハウジングは、保持スロットの2つの外側行と、保持スロットの1つの内側行とを含む保持スロットの3つの行を含み、上記第1および第2のプッシャプレートは、保持スロットの該外側行のみを有して動作可能に配置される、上記項目のいずれかに記載のステープルカートリッジ。
(項目7)
作動そりをさらに備え、該作動そりは上記ハウジングの長手方向軸に沿って平行移動可能であり、該作動そりは、該長手方向軸に沿う該作動そりの平行移動中、上記ステープルプッシャと相互に作用する、上記項目のいずれかに記載のステープルカートリッジ。
(項目8)
上記作動そりは、少なくとも1つのカム部材とベースとを含み、該少なくとも1つのカム部材は、間隔を空けて置かれる第1のカムウェッジと、第2のカムウェッジとを含み、各カムウェッジは、少なくとも第1の打ち込み面と第2の打ち込み面とを含み、該少なくとも第1および第2の打ち込み面は、該作動そりのベースに対して第1および第2の打ち込み角度を規定するように構成される、上記項目のいずれかに記載のステープルカートリッジ。
(項目9)
ハウジングであって、該ハウジングは、長手方向軸を規定し、複数の行の保持スロットを規定する、ハウジングと、
少なくとも2つのプッシャプレートを含むステープルプッシャであって、該少なくとも2つのプッシャプレートは、該ハウジングの該長手方向軸を横断する横方向の間隔を有し、該少なくとも2つのプッシャプレートは、該複数の行の保持スロットのいくつかであるが、全てではない行の該保持スロットを有して動作可能に配置される、ステープルプッシャと
を備えている、ステープルカートリッジ。
(項目10)
上記保持スロットは、保持スロットの内側行と、外側行とを含み、上記少なくとも2つのプッシャプレートは、保持スロットの少なくとも該外側行を有して動作可能に配置される、上記項目のいずれかに記載のステープルカートリッジ。
(項目11)
上記保持スロットは列に配置され、上記少なくとも2つのプッシャプレートは所与の列の保持スロット内の2つの異なる行の保持スロットを有して動作可能に配置される、上記項目のいずれかに記載のステープルカートリッジ。
(項目12)
上記保持スロットは列に配置され、上記少なくとも2つのプッシャプレートは所与の列の保持スロット内の2つの異なる行の保持スロットを有して動作可能に配置される、上記項目のいずれかに記載のステープルカートリッジ。
(項目13)
上記保持スロットは列に配置され、上記少なくとも2つのプッシャプレートは所与の列の保持スロット内の2つの異なる行の保持スロットを有して動作可能に配置される、上記項目のいずれかに記載のステープルカートリッジ。
ステープルカートリッジは、ステープルを保持するように適合され、構成される、外側行の保持スロットと内側行の保持スロットとを含む。ステープルカートリッジは、複数のプッシャプレートを含むステープルプッシャをさらに含む。ステープルプッシャは、少なくとも3つの行の保持スロットのうちの外側行の保持スロット内においてステープルを係合するために横方向に間隔を空けて置かれるプッシャプレートを含む。
本開示の特定の実施形態は、本明細書において添付の図を参照して説明される。以下の説明において、周知の機能または構造は、不要な詳細により本開示を不明瞭にすることを避けるために詳細には説明されない。図に示され、以下の説明全体に説明されるように、そして物体の相対的位置決めを言うとき従来のように、用語「近位」はユーザにより近いデバイスの端部をいい、用語「遠位」はユーザからより遠いデバイスの端部をいう。
11 ハウジング
30 トリガアセンブリ
32 トリガ
40 ステープルカートリッジ
50 ステープル
52 バックスパン
60 保持スロット
70 アンビルアセンブリ
160 ステープルプッシャ
210 作動そり
220 カム部材
366 プッシャプレート
Claims (6)
- ハウジングであって、該ハウジングは、保持スロットの第1の外側行と、第2の外側行と、少なくとも1つの中間行とを規定し、保持スロットの該少なくとも1つの中間行は、保持スロットの該第1の外側行と該第2の外側行との間に位置決めされている、ハウジングと、
2つのプッシャプレートを含む第1のステープルプッシャであって、該2つのプッシャプレートは、第1のプッシャプレートおよび第2のプッシャプレートを含み、該第1のプッシャプレートおよび該第2のプッシャプレートは、該第1のプッシャプレートが該第1の外側行に保持されているステープルに動作可能に係合し、かつ、該第2のプッシャプレートが該第2の外側行に保持されているステープルに動作可能に係合するために、横方向に間隔を空けて置かれている、第1のステープルプッシャと、
少なくとも2つのプッシャプレートを含む第2のステープルプッシャであって、該少なくとも2つのプッシャプレートは、第1のプッシャプレートおよび第2のプッシャプレートを含み、該第1のプッシャプレートおよび該第2のプッシャプレートは、長手方向および横方向に互いに間隔を空けて置かれており、該第2のステープルプッシャは、該第1のステープルプッシャに隣接して該第1のステープルプッシャの近位に位置決めされている、第2のステープルプッシャと
を備えている、ステープルカートリッジ。 - 前記複数のプッシャプレート間の横方向の間隔は、前記ステープルプッシャに関連付けられた保持スロットの隣接した行間の距離とは異なる、請求項1に記載のステープルカートリッジ。
- 前記第1のステープルプッシャは、中央長手方向軸を規定し、前記第1のプッシャプレートおよび前記第2のプッシャプレートは、該ステープルプッシャの該中央長手方向軸に関して対称に位置決めされている、請求項1に記載のステープルカートリッジ。
- 保持スロットの前記少なくとも1つの中間行は、保持スロットの第1の中間行であり、
前記ハウジングは、保持スロットの第3の外側行と、第4の外側行と、第2の中間行とをさらに規定し、保持スロットの該第2の中間行は、保持スロットの該第3の外側行と該第4の外側行との間に位置決めされており、
該ハウジングは、保持スロットの6つの行を含み、保持スロットの該6つの行は、保持スロットの第1の組の行と保持スロットの第2の組の行とを含み、該第1の組は、保持スロットの前記第1の外側行および前記第2の外側行と、保持スロットの該第1の中間行とを含み、該第2の組は、保持スロットの該第3の外側行および該第4の外側行と、保持スロットの該第2の中間行とを含む、請求項1に記載のステープルカートリッジ。 - 作動そりをさらに備え、該作動そりは、前記ハウジングの長手方向軸に沿って平行移動可能であり、該作動そりは、該長手方向軸に沿う該作動そりの平行移動中、前記ステープルプッシャと相互に作用する、請求項1に記載のステープルカートリッジ。
- 前記作動そりは、少なくとも1つのカム部材とベースとを含み、該少なくとも1つのカム部材は、間隔を空けて置かれている第1のカムウェッジと第2のカムウェッジとを含み、各カムウェッジは、少なくとも第1の打ち込み面および第2の打ち込み面を含み、該少なくとも第1の打ち込み面および第2の打ち込み面は、該作動そりの該ベースに対して第1の打ち込み角度および第2の打ち込み角度を規定するように構成されている、請求項5に記載のステープルカートリッジ。
Applications Claiming Priority (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US24963709P | 2009-10-08 | 2009-10-08 | |
US61/249,637 | 2009-10-08 | ||
US12/895,948 | 2010-10-01 | ||
US12/895,948 US8496154B2 (en) | 2009-10-08 | 2010-10-01 | Pair of double staple pusher in triple row stapler |
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AU2010227092A1 (en) | 2011-04-28 |
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CA2717114A1 (en) | 2011-04-08 |
CN102028514A (zh) | 2011-04-27 |
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CN102028514B (zh) | 2016-08-31 |
US20170354414A1 (en) | 2017-12-14 |
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