JP6112653B2 - 外科用デバイスに対するステープル形成認識 - Google Patents
外科用デバイスに対するステープル形成認識 Download PDFInfo
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- 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
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Description
本出願は、2011年12月28日に出願され、その全内容が参考として本明細書に援用されている米国仮出願第61/580,753号の利益および優先権を主張する。
本開示は、外科用ステープリング器具との使用のためのステープル形成認識システムを組み込んだアンビル部材に関する。より詳細には、本開示は、アンビル部材のステープル形成ポケット内に位置決めされた一連の電気的トレースを有するアンビル部材に関し、これら一連の電気的トレースは、ステープル形成ポケット内での外科用ステープルのレグの正確または不正確な形成を検出する。
様々な外科処置中において、外科用ステープリング器具または外科用ステープラにより組織をステープル留めして、永久的または一時的に、または他の組織との再接続の前に、組織区間を接続するか、もしくは管状組織区間の端を封鎖することにより漏れを防止することが必要である。ステープル留めされるべき組織は、外科用ステープラのステープルを含むカートリッジとアンビル部材との間で締め付けられる。その後、外科用ステープルが、ステープルを含むカートリッジからアンビル部材の中に排出され、アンビル部材において、外科用ステープルは、アンビル部材の下側に形成されたステープルクリンピングポケット内でクリンプされる。
(項目1)
外科用ステープラのアンビル部材との使用のためのステープル形成認識システムであって、該ステープル形成認識システムは、
第1のステープルポケットおよび第2のステープルポケットを有するステープルクリンピングポケットシステムを画定するアンビル部材と、
該ステープルクリンピングポケットシステム内で少なくとも部分的に延びるトレースシステムと、
該トレースシステムの状態を検出するために該トレースシステムに電気的に接続されたコントローラと
を備えている、ステープル形成認識システム。
(項目2)
上記トレースシステムは、上記ステープルクリンピングポケットシステムの上記第1のステープルポケットを横切って延びる第1のトレースパッドを含む、上記項目のいずれか一項に記載のステープル形成認識システム。
(項目3)
上記トレースシステムおよび上記コントローラは、開電気回路を形成しており、外科用ステープルが、上記ステープルクリンピングポケットにおいて適切に形成されたとき、該外科用ステープルは、該電気回路を完成する、上記項目のいずれか一項に記載のステープル形成認識システム。
(項目4)
上記トレースシステムは、上記ステープルクリンピングポケットシステムの上記第2のステープルポケットを横切って延びる第2のトレースパッドを含み、適切に形成された外科用ステープルが、上記第1のトレースパッドおよび該第2のトレースパッドに接触したとき、該適切に形成された外科用ステープルは、上記電気回路を完成する、上記項目のいずれか一項に記載のステープル形成認識システム。
(項目5)
上記トレースシステムと上記アンビル部材との間に位置決めされた電気抵抗層をさらに備えている、上記項目のいずれか一項に記載のステープル形成認識システム。
(項目6)
上記トレースシステムを覆って適用された電気抵抗層をさらに備えている、上記項目のいずれか一項に記載のステープル形成認識システム。
(項目7)
上記アンビル部材は、外科用ステープルのレグとの係合のための第2のトレースパッドを形成して、上記電気回路を完成する、上記項目のいずれか一項に記載のステープル形成認識システム。
(項目8)
上記アンビル部材を覆って適用された電気抵抗層をさらに備え、該電気抵抗層は、該アンビル部材を上記外科用ステープルのレグに対してむき出しにするためのウィンドウを有する、上記項目のいずれか一項に記載のステープル形成認識システム。
(項目9)
上記トレースシステムおよび上記コントローラは、閉電気回路を形成しており、外科用ステープルが、上記ステープルクリンピングポケットにおいて適切に形成されたとき、該外科用ステープルは、該電気回路を中断する、上記項目のいずれか一項に記載のステープル形成認識システム。
(項目10)
上記トレースシステムは、上記ステープルクリンピングポケットシステムの上記第2のステープルポケットを横切って延びる第2のトレースパッドを含み、上記第1のトレースパッドおよび該第2のトレースパッドのうちの少なくとも1つが適切に形成された外科用ステープルのレグによって破断されたとき、該適切に形成された外科用ステープルは、上記電気回路を中断する、上記項目のいずれか一項に記載のステープル形成認識システム。
(項目11)
上記トレースシステムは、上記第1のトレースパッドの相対する端から延びる第1の導電ワイヤと第2の導電ワイヤとを含む、上記項目のいずれか一項に記載のステープル形成認識システム。
(項目12)
上記トレースシステムは、電気抵抗層によって上記アンビル部材から電気的に絶縁されている、上記項目のいずれか一項に記載のステープル形成認識システム。
(項目13)
上記トレースシステムは、上記第1のトレースパッドの第1の端から延びる第1の導電ワイヤを含み、該第1のトレースパッドの第2の端は、上記電気抵抗層における開口部を介して上記アンビル部材への導電経路を形成する、上記項目のいずれか一項に記載のステープル形成認識システム。
(項目14)
上記導電ワイヤのうちの1つは、上記第2のステープルポケットにおける第2のトレースパッドの一方の端と共通の電気経路を形成する、上記項目のいずれか一項に記載のステープル形成認識システム。
(項目15)
上記トレースシステムは、上記第1のステープルポケットを横切って延びる複数のトレースパッドを含む、上記項目のいずれか一項に記載のステープル形成認識システム。
(項目16)
上記コントローラは、ステープル形成のシーケンスおよび個々のステープル形成の質を検出し、該ステープル形成のシーケンスおよび該個々のステープル形成の質を所定のシーケンス/質のアレイと比較して、少なくとも1つのステープルライン破損の可能性を決定するようにさらに構成されている、上記項目のいずれか一項に記載のステープル形成認識システム。
(項目17)
上記コントローラは、抵抗、インダクタンス、インピーダンス、またはキャパシタンスを含むトレースシステムの1つ以上の特性を読み取る、上記項目のいずれか一項に記載のステープル形成認識システム。
(項目18)
上記コントローラは、ブレードの相対的位置を検出し、該検出された位置をステープル形成のシーケンスと比較して、ステープル留めおよびカッティングが所定の許容範囲内で生じていることを確実にするようにさらに構成されている、上記項目のいずれか一項に記載のステープル形成認識システム。
(項目19)
互いの上に重なるように配置された複数のトレースシステムをさらに備え、各トレースシステムは、各トレースシステム間に配置された抵抗層によって互いから電気的に絶縁されている、上記項目のいずれか一項に記載のステープル形成認識システム。
(項目20)
第1のトレースパッドは、平らであるか、または上記ステープルポケットのうちの少なくとも1つの曲率に従うように形状が付けられ得る、上記項目のいずれか一項に記載のステープル形成認識システム。
ステープル形成認識システムを有する外科用ステープラが提供される。ステープル形成認識システムは、外科用ステープラのアンビル部材の中に組み込まれている。一連の実施形態において、トレースシステムおよびコントローラは、開電気回路を形成し、外科用ステープルは、電気回路を完成するための電気コネクタとして作用し、トレースシステムおよびコントローラは、外科用ステープルの適切な形成を確認する。別の一連の実施形態において、トレースシステムおよびコントローラは、完全な電気回路を形成し、この完全な電気回路は、外科用ステープルがトレースシステムのトレースパッドを係合することによって破断され、外科用ステープルの適切な形成を信号で知らせる。アンビル部材を通るナイフブレードの前進、およびアンビル部材に形成されたステープルクリンピングポケットに対するナイフブレードの前進を追跡するためのナイフブレード位置指示システムも提供される。
ここで、本開示のステープル形成認識システムの実施形態が、図面を参照して詳細に記述され、図面においては、同様な数字は、幾つかの図面の各々において同一、または対応する要素を示す。当該技術分野において一般的であるように、用語「近位」は、ユーザまたはオペレータ、すなわち外科医または内科医、により近い部品またはコンポーネントを指し、一方、用語「遠位」は、ユーザからより遠く離れた部品またはコンポーネントを指す。
12 ハンドル部分
14 細長い管状部材
16 エンドエフェクタ
18 細長い管状部材14の遠位端
20 アンビル部材
22 ステープルカートリッジ
24 ステープルカートリッジ22の近位端
26 トリガ
30 ステープル形成認識システム
32 ステープル形成認識またはトレースシステム
34 アンビルの下側
36 CPU
38 第1のケーブル
40 ディスプレイスクリーン
42 第2のケーブル
Claims (20)
- 外科用ステープラのアンビル部材と共に使用されるステープル形成認識システムであって、前記ステープル形成認識システムは、
第1のステープルポケットおよび第2のステープルポケットを有するステープルクリンピングポケットシステムを画定するアンビル部材と、
前記ステープルクリンピングポケットシステム内で少なくとも部分的に延びるトレースシステムと、
前記トレースシステムと共に開電気回路を形成するコントローラであって、前記開電気回路は、外科用ステープルが適切に形成されたときに前記外科用ステープルにより閉にされるように構成されている、コントローラと
を備えている、ステープル形成認識システム。 - 前記トレースシステムは、前記ステープルクリンピングポケットシステムの前記第1のステープルポケットを横切って延びる第1のトレースパッドを含む、請求項1に記載のステープル形成認識システム。
- 前記トレースシステムは、前記ステープルクリンピングポケットシステムの前記第2のステープルポケットを横切って延びる第2のトレースパッドを含み、前記開電気回路は、外科用ステープルが前記第1のトレースパッドおよび前記第2のトレースパッドに接触したときに閉にされるように構成されている、請求項2に記載のステープル形成認識システム。
- 前記トレースシステムと前記アンビル部材との間に位置決めされた電気抵抗層をさらに備えている、請求項1に記載のステープル形成認識システム。
- 前記トレースシステムを覆うように適用された電気抵抗層をさらに備えている、請求項1に記載のステープル形成認識システム。
- 前記アンビル部材は、外科用ステープルのレグとの係合のための第2のトレースパッドを形成することにより、前記開電気回路を閉にする、請求項2に記載のステープル形成認識システム。
- 前記アンビル部材を覆うように適用された電気抵抗層をさらに備え、前記電気抵抗層は、前記アンビル部材を前記外科用ステープルのレグに対してむき出しにするためのウィンドウを有する、請求項6に記載のステープル形成認識システム。
- 外科用ステープラのアンビル部材と共に使用されるステープル形成認識システムであって、前記ステープル形成認識システムは、
第1のステープルポケットおよび第2のステープルポケットを有するステープルクリンピングポケットシステムを画定するアンビル部材と、
前記ステープルクリンピングポケットシステム内で少なくとも部分的に延びるトレースシステムと、
前記トレースシステムと共に閉電気回路を形成するコントローラであって、前記閉電気回路は、外科用ステープルが前記ステープルクリンピングポケットシステム内に適切に形成されたときに前記外科用ステープルにより開にされるように構成されている、コントローラと
を備えている、ステープル形成認識システム。 - 前記トレースシステムは、前記ステープルクリンピングポケットシステムの前記第1のステープルポケットを横切って延びる第1のトレースパッドを含む、請求項8に記載のステープル形成認識システム。
- 前記トレースシステムは、前記ステープルクリンピングポケットシステムの前記第2のステープルポケットを横切って延びる第2のトレースパッドを含み、前記閉電気回路は、前記第1のトレースパッドおよび前記第2のトレースパッドのうちの少なくとも1つが外科用ステープルのレグによって破断されたときに前記外科用ステープルにより開にされるように構成されている、請求項9に記載のステープル形成認識システム。
- 前記トレースシステムは、前記第1のトレースパッドの相対する端から延びる第1の導電ワイヤと第2の導電ワイヤとを含む、請求項10に記載のステープル形成認識システム。
- 前記トレースシステムは、電気抵抗層によって前記アンビル部材から電気的に絶縁されている、請求項10に記載のステープル形成認識システム。
- 前記トレースシステムは、前記第1のトレースパッドの第1の端から延びる第1の導電ワイヤを含み、前記第1のトレースパッドの第2の端は、前記電気抵抗層における開口部を介して前記アンビル部材への導電経路を形成する、請求項12に記載のステープル形成認識システム。
- 前記導電ワイヤのうちの1つは、前記第2のステープルポケットにおける第2のトレースパッドの一方の端と共通の電気経路を形成する、請求項11に記載のステープル形成認識システム。
- 前記トレースシステムは、前記第1のステープルポケットを横切って延びる複数のトレースパッドを含む、請求項8に記載のステープル形成認識システム。
- 前記コントローラは、ステープル形成のシーケンスおよび個々のステープル形成の質を検出し、前記ステープル形成のシーケンスおよび前記個々のステープル形成の質を所定のシーケンス/質のアレイと比較して、少なくとも1つのステープルライン破損の可能性を決定するようにさらに構成されている、請求項1に記載のステープル形成認識システム。
- 前記コントローラは、抵抗、インダクタンス、インピーダンス、またはキャパシタンスを含むトレースシステムの1つ以上の特性を読み取る、請求項1に記載のステープル形成認識システム。
- 前記コントローラは、ブレードの相対的位置を検出し、前記検出された位置をステープル形成のシーケンスと比較して、ステープル留めおよびカッティングが所定の許容範囲内で生じていることを確実にするようにさらに構成されている、請求項1に記載のステープル形成認識システム。
- 互いの上に重なるように配置された複数のトレースシステムをさらに備え、各トレースシステムは、各トレースシステム間に配置された抵抗層によって互いから電気的に絶縁されている、請求項1に記載のステープル形成認識システム。
- 第1のトレースパッドは、平らであるか、または前記ステープルポケットのうちの少なくとも1つの曲率に従うように形状が付けられ得る、請求項1に記載のステープル形成認識システム。
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US13/685,734 US9220502B2 (en) | 2011-12-28 | 2012-11-27 | Staple formation recognition for a surgical device |
US13/685,734 | 2012-11-27 |
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- 2012-11-30 CA CA2797421A patent/CA2797421A1/en not_active Abandoned
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- 2012-12-25 JP JP2012281157A patent/JP6112653B2/ja active Active
- 2012-12-26 CN CN201210576478.XA patent/CN103181794B/zh active Active
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EP2609876A1 (en) | 2013-07-03 |
EP2609876B1 (en) | 2018-04-18 |
CN103181794B (zh) | 2016-12-28 |
JP2013138858A (ja) | 2013-07-18 |
CN103181794A (zh) | 2013-07-03 |
CA2797421A1 (en) | 2013-06-28 |
US20130168431A1 (en) | 2013-07-04 |
US9220502B2 (en) | 2015-12-29 |
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