JP6023768B2 - 改良型ツール搭載器具 - Google Patents
改良型ツール搭載器具 Download PDFInfo
- Publication number
- JP6023768B2 JP6023768B2 JP2014184575A JP2014184575A JP6023768B2 JP 6023768 B2 JP6023768 B2 JP 6023768B2 JP 2014184575 A JP2014184575 A JP 2014184575A JP 2014184575 A JP2014184575 A JP 2014184575A JP 6023768 B2 JP6023768 B2 JP 6023768B2
- Authority
- JP
- Japan
- Prior art keywords
- surgical instrument
- jaw
- instrument according
- bearing
- jaws
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
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Classifications
-
- 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
- A61B17/2812—Surgical forceps with a single pivotal connection
- A61B17/2816—Pivots
-
- 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
-
- 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
- A61B18/1445—Probes having pivoting end effectors, e.g. forceps at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
-
- 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
- A61B17/2812—Surgical forceps with a single pivotal connection
- A61B17/2833—Locking means
-
- 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
- A61B17/285—Surgical forceps combined with cutting implements
-
- 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
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
- A61B2017/2932—Transmission of forces to jaw members
- A61B2017/2939—Details of linkages or pivot points
-
- 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
- A61B2017/2947—Pivots
-
- 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
- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/0063—Sealing
-
- 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
- A61B2018/1452—Probes having pivoting end effectors, e.g. forceps including means for cutting
- A61B2018/1455—Probes having pivoting end effectors, e.g. forceps including means for cutting having a moving blade for cutting tissue grasped by the jaws
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- 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
- A61B90/03—Automatic limiting or abutting means, e.g. for safety
- A61B2090/033—Abutting means, stops, e.g. abutting on tissue or skin
- A61B2090/034—Abutting means, stops, e.g. abutting on tissue or skin abutting on parts of the device itself
- A61B2090/035—Abutting means, stops, e.g. abutting on tissue or skin abutting on parts of the device itself preventing further rotation
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Engineering & Computer Science (AREA)
- Medical Informatics (AREA)
- Veterinary Medicine (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Ophthalmology & Optometry (AREA)
- Physics & Mathematics (AREA)
- Plasma & Fusion (AREA)
- Otolaryngology (AREA)
- Surgical Instruments (AREA)
Description
11 筐体
12 シャフト
13 ハンドル
14 操作レバー
15 ツール
16、16’ 第1顎状部
17、17’ 第2顎状部
18 ソケット部
19 18の遠位支持部分
20 付属部分
21 戻り止め
22 第1軸受ブッシング
23 第2軸受ブッシング
24 スリット
25 ナイフ
26 送電線の張力緩和をサポートするための溝
27、28 ヒンジ軸
29 ツール部材
30 作動部材
31 軸受ピン
32 窓
33、33a、33b 作動ピン
34 軸受部分
35 フィレット
36 開口
36a 36の幅
37 横方向相互ロック手段
38 リブ、凸部
39 軸
40 くぼみ、凹部
41 チーク
42 電極部
43 ナイフ案内溝
44 配線
45 円筒形部分
46 顎受け
+X シャフト12に対する横方向
−X シャフト12に対する逆の横方向
U 軸39に対する円周方向
F つかみ範囲
FE 拡大つかみ範囲
W、W’ 2つの顎状部間の開き角
M ヒンジ軸に対するトルク
F1 押引力
F2 トルクMの力成分
Z 縦軸Lに垂直な方向
L 器具の縦軸
Claims (14)
- 細胞組織を凝固させて血管をシールするための手術器具(10)であって、
互いに向かう方向と互いから離れる方向とに2つの異なるヒンジ軸(27、28)に対して枢動可能なように、ソケット部(18)で支えられている2つの顎状部(16、17)を有するツール(15)を備え、
前記2つのヒンジ軸(27、28)は、離間し、
互いに平行に並び、
前記2つのヒンジ軸(27、28)は離間している2つのヒンジによって規定され、各ヒンジは、円筒状軸受部分(34)と当該軸受部分から半径方向に延出しているフィレット(35)とを有する軸受ピン(31)と、開口(36)を有する軸受ブッシング(22、23)とを備え、
前記軸受ピン(31)は、前記顎状部(16、17)と前記フィレット(35)を介して継ぎ目なく連結されている
手術器具。 - 前記ソケット部(18)は、前記ヒンジ軸(27、28)の間に位置する、ナイフ用のスリット(24)を有する
請求項1記載の手術器具。 - 前記軸受ピン(31)は、前記顎状部(16、17)の作動部材(30)と一方の終端で継ぎ目なく連結されている
請求項1又は2に記載の手術器具。 - 前記軸受ブッシング(23)の開口(36)の幅(36a)は、前記軸受部分(34)の直径より小さく、前記フィレット(35)の厚みより大きい
請求項1又は2記載の手術器具。 - 前記軸受ピン(31)が前記顎状部(16)と、前記ソケット部(18)の前記軸受ブッシング(23)との間に設けられている
請求項1〜4のいずれか1項に記載の手術器具。 - 前記ソケット部(18)はプラスチック材料で作られている
請求項1〜5のいずれか1項に記載の手術器具。 - 前記2つのヒンジの軸受ブッシング(22、23)は、互いに平行な向きであり、逆方向(+X、−X)に前面開放されている
請求項1又は2に記載の手術器具。 - 前記2つの顎状部(16、17)の少なくとも一方は、顎受け(46)を備える
請求項1〜7のいずれか1項に記載の手術器具。 - 前記2つの顎状部(16、17)は、互いにかみ合う横方向相互ロック手段(37)を備える
請求項1〜8のいずれか1項に記載の手術器具。 - 前記横方向相互ロック手段(37)は、第2顎状部(17)の凹部(40)にはめ込むように構成された凸部(38)を第1顎状部(16)に少なくとも1つ備える
請求項9記載の手術器具。 - 前記凸部(38)は、前記顎状部(16)で軸(39)に対して円周方向(U)に広がるリブ(38)である
請求項10記載の手術器具。 - 前記凹部は、前記顎状部(16)で同じ円周方向(U)に設けられたくぼみ(40)である
請求項11記載の手術器具。 - 前記くぼみ(40)と前記リブ(38)とは、横方向に互いにずらして配置される
請求項12記載の手術器具。 - 前記くぼみ(40)と前記リブ(38)とは、円周方向(U)に互いにずらして配置される
請求項12記載の手術器具。
Applications Claiming Priority (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP13183633 | 2013-09-10 | ||
EP13183633.0 | 2013-09-10 | ||
EP13184189.2A EP2845548B1 (de) | 2013-09-10 | 2013-09-12 | Chirurgisches Instrument mit schwenkbaren Branchen |
EP13184189.2 | 2013-09-12 |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2015054247A JP2015054247A (ja) | 2015-03-23 |
JP6023768B2 true JP6023768B2 (ja) | 2016-11-09 |
Family
ID=49118409
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2014184575A Active JP6023768B2 (ja) | 2013-09-10 | 2014-09-10 | 改良型ツール搭載器具 |
Country Status (8)
Country | Link |
---|---|
US (1) | US9757138B2 (ja) |
EP (1) | EP2845548B1 (ja) |
JP (1) | JP6023768B2 (ja) |
KR (1) | KR101657771B1 (ja) |
CN (1) | CN104414743B (ja) |
BR (1) | BR102014022276B1 (ja) |
PL (1) | PL2845548T3 (ja) |
RU (1) | RU2597142C2 (ja) |
Families Citing this family (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US10080584B2 (en) * | 2015-12-03 | 2018-09-25 | Timothy L. Miller | System and method for receiving tube forceps for use in body piercings |
EP3578118B1 (de) * | 2018-06-05 | 2022-08-31 | Erbe Elektromedizin GmbH | Chirurgisches instrument |
EP3632354B1 (de) | 2018-10-05 | 2022-08-31 | Erbe Elektromedizin GmbH | Gewebezange |
USD904611S1 (en) | 2018-10-10 | 2020-12-08 | Bolder Surgical, Llc | Jaw design for a surgical instrument |
Family Cites Families (19)
Publication number | Priority date | Publication date | Assignee | Title |
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US4552148A (en) * | 1981-07-27 | 1985-11-12 | American Cyanamid Company | Anastomotic device |
US4617928A (en) * | 1984-09-17 | 1986-10-21 | Alfranca Jose Maria P | Surgical instrument for practicing mechanical sutures and biopsies |
SU1424813A1 (ru) * | 1986-10-21 | 1988-09-23 | Саратовский государственный медицинский институт | Зажим дл гемилорэктомии |
US6585735B1 (en) * | 1998-10-23 | 2003-07-01 | Sherwood Services Ag | Endoscopic bipolar electrosurgical forceps |
US7267677B2 (en) | 1998-10-23 | 2007-09-11 | Sherwood Services Ag | Vessel sealing instrument |
GB2354170A (en) | 1999-09-16 | 2001-03-21 | Minop Ltd | A tool and an effector, e.g. surgical forceps, scissors or spreader |
US6953461B2 (en) | 2002-05-16 | 2005-10-11 | Tissuelink Medical, Inc. | Fluid-assisted medical devices, systems and methods |
US20020143358A1 (en) * | 2001-02-13 | 2002-10-03 | Domingo Nicanor A. | Method and apparatus for micro-dissection of vascular occlusions |
US7131977B2 (en) | 2002-08-27 | 2006-11-07 | Pilling Weck Incorporated | Apparatus and method for removing a clip |
DE102006062848B4 (de) * | 2006-06-14 | 2013-01-31 | Karl Storz Gmbh & Co. Kg | Chirurgische Greifzange |
WO2008040483A1 (de) | 2006-10-05 | 2008-04-10 | Erbe Elektromedizin Gmbh | Rohrschaftinstrument |
DE202007009165U1 (de) | 2007-06-29 | 2007-08-30 | Kls Martin Gmbh + Co. Kg | Chirurgisches Instrument |
US20110054468A1 (en) | 2009-09-01 | 2011-03-03 | Tyco Healthcare Group Lp | Apparatus for Performing an Electrosurgical Procedure |
CN101779979B (zh) * | 2010-01-08 | 2013-01-02 | 瑞奇外科器械(中国)有限公司 | 全纵向超声外科手术系统 |
US8496682B2 (en) * | 2010-04-12 | 2013-07-30 | Ethicon Endo-Surgery, Inc. | Electrosurgical cutting and sealing instruments with cam-actuated jaws |
US8900232B2 (en) | 2011-05-06 | 2014-12-02 | Covidien Lp | Bifurcated shaft for surgical instrument |
US9028492B2 (en) | 2011-08-18 | 2015-05-12 | Covidien Lp | Surgical instruments with removable components |
US8864795B2 (en) * | 2011-10-03 | 2014-10-21 | Covidien Lp | Surgical forceps |
CN203169297U (zh) * | 2013-04-08 | 2013-09-04 | 广州市惠润医疗设备有限公司 | 双极多功能钳 |
-
2013
- 2013-09-12 EP EP13184189.2A patent/EP2845548B1/de active Active
- 2013-09-12 PL PL13184189T patent/PL2845548T3/pl unknown
-
2014
- 2014-09-05 US US14/479,013 patent/US9757138B2/en active Active
- 2014-09-09 RU RU2014136538/14A patent/RU2597142C2/ru active
- 2014-09-09 BR BR102014022276-6A patent/BR102014022276B1/pt active IP Right Grant
- 2014-09-10 JP JP2014184575A patent/JP6023768B2/ja active Active
- 2014-09-10 CN CN201410458833.2A patent/CN104414743B/zh active Active
- 2014-09-11 KR KR1020140120483A patent/KR101657771B1/ko active IP Right Grant
Also Published As
Publication number | Publication date |
---|---|
RU2597142C2 (ru) | 2016-09-10 |
RU2014136538A (ru) | 2016-04-10 |
CN104414743B (zh) | 2017-05-24 |
KR101657771B1 (ko) | 2016-09-19 |
BR102014022276A2 (pt) | 2015-09-15 |
JP2015054247A (ja) | 2015-03-23 |
US9757138B2 (en) | 2017-09-12 |
EP2845548A1 (de) | 2015-03-11 |
CN104414743A (zh) | 2015-03-18 |
PL2845548T3 (pl) | 2017-04-28 |
EP2845548B1 (de) | 2016-11-16 |
BR102014022276B1 (pt) | 2021-10-26 |
US20150073451A1 (en) | 2015-03-12 |
KR20150029602A (ko) | 2015-03-18 |
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