JP6148337B2 - 手術用組織接合器を腹腔に送給し且つ手術用組織接合器を腹腔から除去するための装置及び方法 - Google Patents
手術用組織接合器を腹腔に送給し且つ手術用組織接合器を腹腔から除去するための装置及び方法 Download PDFInfo
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- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
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- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0414—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors having a suture-receiving opening, e.g. lateral opening
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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
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0446—Means for attaching and blocking the suture in the suture anchor
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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
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
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- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
- A61B2017/048—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery for reducing heart wall tension, e.g. sutures with a pad on each extremity
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- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B2017/0496—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials for tensioning sutures
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Description
Claims (12)
- 側面(74)を持つ第二の基部(68)を有し、
前記側面(74)が、互いに垂直な軸線方向と半径方向とを前記第二の基部(68)に対して規定する中心軸線を有し、
前記第二の基部(68)が、前記中心軸線と前記側面との間に半径方向寸法を有すると共に、前記側面(74)の軸線方向両端に近位端面(78)と遠位端面(80)とを有する第二の組織接合器(14)と、
前記第二の基部(68)に固定される第二のフック(72)と、
第一の端部(54)と、第一の部分(114)、第二の部分(116)及び中間部(112)からなる第二の端部(56)とを有し、前記基部の近位端面(78)に接続され且つ前記基部の近位端面(78)から延びるコード(16、54、56、114、112、116)と、
前記コードの第二の端部(56、114、112、116)が通過すると共に、前記コードの第二の端部(56、114、112、116)を前記第二の基部(68)にロックすることによって、前記第二の組織接合器(14)から延びる前記コード(56、114)の長さを調節する操作ができるようになる、解放可能な一方向コードロックとを備え、
前記第二の組織接合器(14)が、内腔(102)と、前記内腔を横切って延びるロッド又はピン(106)とを有し、
前記コードの中間部(112)がロッド又はピン(106)周りに結びを形成することにより、前記コードの第二の端部(56)を前記第二の組織接合器(14)に取り付け、
前記解放可能な一方向コードロックが、前記基部内に配置されて軸線方向に延び、対をなすスロット(124)の一方のスロット内に、軸線方向に摺動可能なように配置され且つ前記第二の基部(68)の内腔を横切って延びるロックピン(126)と、
前記基部側面(74)を囲み、第一の位置と第二の位置との間で前記第二の基部(68)に対して軸線方向に摺動可能で、且つ前記ロックピン(126)に固定されたスリーブ(128)とを備え、
前記スリーブ(128)の動作が、前記ロックピン(126)を前記コードの中間部(112)に係合させ、
それにより前記コードの中間部(112)が、前記コードの第二の端部(56)の、前記第二の組織接合器(14)の前記近位端面(78)から遠ざかる動作に一致する方向に回転するのを防止することを特徴とする組織接合器装置。 - 前記ロックピンが、前記スリーブから、軸線方向に延びる前記一方のスロット(124)を通って、軸線方向に延びる他方のスロットまで延び、軸線方向に延びる前記一方のスロットと前記他方のスロットとを通って突出して、前記スリーブに固定されることを特徴とする請求項1記載の装置。
- 前記内腔(102)内に配置されると共に前記ロックピン(126)を前記コードの中間部(112)に対して付勢するのに操作可能な付勢デバイス(132)を備える請求項1又は2記載の装置。
- 前記基部(68)内に側孔(118)を備え、前記コードの第二の部分(116)が、前記側孔(118)を通って前記第二の組織接合器(14)の外まで延びることを特徴とする請求項1、2又は3記載の装置。
- 前記コードの第一の端部に配置された第一の組織接合器(12)を備える請求項1〜4の何れかに記載の装置。
- 前記第一の組織接合器(12)が、側面(24)を持つ第一の基部(18)を有し、
前記側面(24)が、互いに垂直な軸線方向と半径方向とを前記第一の基部(18)に対して規定する中心軸線を有し、前記基部(18)が前記中心軸線と側面との間に半径方向の寸法を有すると共に前記側面(24)の軸線方向両端に近位端面(28)と遠位端面(30)を有し、
前記近位端面(28)が、軸線方向に延びて前記基部側面(24)から遠ざかるにつれて先細になる先細形状を有し、
さらに、前記第一の基部(18)に固定される第一のフック(22)を有し、
前記第一の端部(54)が、前記基部近位端面(28)に固定されることを特徴とする請求項5記載の装置。 - 第二のコード(134)を介して前記第一の組織接合器に接続される第三の組織接合器を備える請求項5又は6記載の装置。
- 前記フックが、前記基部遠位端面(80、30)から軸線方向に延び、且つ前記中心軸線と平行且つ前記中心軸線から半径方向に離間する軸部(94、44)と、
前記軸部(94、44)から前記中心軸線を横切って前記フック(72、22)の先端まで延びる湾曲部(98、48)とを有し、
前記フック先端部(100、52)と前記フック軸部(94、44)とが、それぞれ前記中心軸線の反対側で半径方向に前記基部の半径方向寸法より小さい半径距離寸法だけ離間することを特徴とする請求項1又は6記載の装置。 - 前記基部側面(74)の直径寸法より大きい内径寸法を持つ内腔を有する組織接合器送給除去管(142)を備える請求項1〜8の何れかに記載の装置。
- 前記基部近位端面(78)が、円錐形状を有する請求項1〜9の何れかに記載の装置。
- 前記基部近位端面(78)から延び、長さを調節できる長さの前記コード(16)を備える請求項1〜10の何れかに記載の装置。
- 前記基部遠位端面が、前記中心軸線と共軸である周縁部(88)を有し、前記フック湾曲部(98)と前記フック先端部(100)とが半径方向に前記遠位端面周縁部を超えて突出しない、請求項1〜11の何れかに記載の装置。
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US201261666380P | 2012-06-29 | 2012-06-29 | |
US61/666,380 | 2012-06-29 | ||
PCT/US2013/047862 WO2014004654A1 (en) | 2012-06-29 | 2013-06-26 | Apparatus and method for delivering surgical tissue connectors into an abdominal cavity and removing the surgical tissue connectors from the abdominal cavity |
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JP2017101069A Active JP6328302B2 (ja) | 2012-06-29 | 2017-05-22 | 手術用組織接合器を腹腔に送給し且つ手術用組織接合器を腹腔から除去するための装置及び方法 |
JP2018080213A Active JP6553243B2 (ja) | 2012-06-29 | 2018-04-18 | 手術用組織接合器を腹腔に送給し且つ手術用組織接合器を腹腔から除去するための装置及び方法 |
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JP2018134460A (ja) * | 2012-06-29 | 2018-08-30 | フリーホールド サージカル インコーポレイテッドFreehold Surgical,Inc. | 手術用組織接合器を腹腔に送給し且つ手術用組織接合器を腹腔から除去するための装置及び方法 |
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EP2866679A4 (en) | 2016-05-25 |
US11786249B2 (en) | 2023-10-17 |
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EP2866679A1 (en) | 2015-05-06 |
JP2018134460A (ja) | 2018-08-30 |
CN104540456A (zh) | 2015-04-22 |
CN104540456B (zh) | 2019-01-08 |
US9855044B2 (en) | 2018-01-02 |
CA2877865A1 (en) | 2014-01-03 |
AU2013280369B2 (en) | 2017-03-09 |
JP2017176854A (ja) | 2017-10-05 |
AU2017203467A1 (en) | 2017-06-08 |
AU2013280369A1 (en) | 2015-02-19 |
AU2017203467B2 (en) | 2019-12-05 |
JP6328302B2 (ja) | 2018-05-23 |
EP2866679B1 (en) | 2018-11-07 |
US10743878B2 (en) | 2020-08-18 |
IN2015DN00690A (ja) | 2015-06-26 |
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