JP6360286B2 - 外科用バットレスを含む外科用装置 - Google Patents
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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
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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
- A61B17/07292—Reinforcements for staple line, e.g. pledgets
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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
- A61B2017/07214—Stapler heads
- A61B2017/07257—Stapler heads characterised by its 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
- A61B2017/07214—Stapler heads
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- Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
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- Y10T29/49—Method of mechanical manufacture
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Description
本出願は、2012年7月18日に出願され、その開示全体が、本明細書に参考として援用されている米国仮特許出願第61/672,888号の利益および優先権を主張する。
本出願は外科用装置に関し、より詳細には、本出願は、複数の外科用ステープルを身体組織に適用するための外科用ステープル留め装置の動作中において、そのステープル留め装置と一緒に使用するための外科用バットレスに関する。
医療費および病院の費用が増加し続けるので、外科医は進歩した外科技術を開発しようと絶えず努力している。外科的分野の進歩はしばしば、手術の技術に関する開発に関係し、このような開発は、侵襲性の少ない外科的処置を含み、患者への全体的な外傷を低減する。このようにして、病院滞在の長さが有意に低減されることができ、従って、病院の費用および医療費も低減されることができる。
(項目1)
外科用ステープル留め装置に対するエンドエフェクタであって、該エンドエフェクタは、
アンビル本体とアンビルプレートとを含むアンビルアセンブリであって、該アンビルプレートは、複数のステープル形成ポケットを画定している底部表面を含み、該アンビル本体と該アンビルプレートとは、選択的に接続可能である、アンビルアセンブリと、
バットレス本体と、該本体から延びている複数のアームとを含む外科用バットレスであって、該アンビルプレートと該アンビル本体とが互いに接続される場合、該アームは、該アンビルプレートの上部表面と該アンビル本体の底部表面との間に配置可能であることにより、該アンビルプレートの該底部表面に対して該バットレス本体を支持する、外科用バットレスと
を備えている、エンドエフェクタ。
(項目2)
上記アンビル本体は、上記外科用バットレスのアームのうちの少なくとも1つを受取るために、該アンビル本体の底部表面に少なくとも1つのチャネルを画定している、上記項目のいずれか一項に記載のエンドエフェクタ。
(項目3)
上記外科用バットレスは、不織材料から形成されている、上記項目のいずれか一項に記載のエンドエフェクタ。
(項目4)
上記外科用バットレスは、polyglytone 6211、グリコリド、カプロラクトン、トリメチレンカーボネート、ラクチド、およびこれらの組み合わせを含む群から選択される材料から作製されている、上記項目のいずれか一項に記載のエンドエフェクタ。
(項目5)
上記外科用バットレスのアームは、上記バットレス本体と一体に形成されている、上記項目のいずれか一項に記載のエンドエフェクタ。
(項目6)
上記外科用バットレスのアームは、上記バットレス本体の側面エッジから延びている、上記項目のいずれか一項に記載のエンドエフェクタ。
(項目7)
上記外科用バットレスのアームは、上記バットレス本体の上部表面および底部表面のうちの少なくとも一方を覆うように折り曲げ可能である、上記項目のいずれか一項に記載のエンドエフェクタ。
(項目8)
外科用ステープル留め装置であって、該外科用ステープル留め装置は、
アンビル本体とアンビルプレートとを含む第1の顎アセンブリであって、該アンビルプレートは、該アンビルプレートの底部表面に複数の締め具形成ポケットを画定している、第1の顎アセンブリと、
複数の締め具保持スロットを画定している締め具カートリッジを含む第2の顎アセンブリと、
該締め具スロット内に配置され、該ステープル留め装置の発射の際、該アンビルプレートの締め具ポケットによって形成されるような構成および大きさとされている複数の締め具と、
バットレス本体と、該バットレス本体から延びている複数のアームとを含む外科用バットレスであって、該アームは、該アンビルプレートの上部表面と該アンビル本体の底部表面との間に配置されることにより、該アンビルプレートの該底部表面に対して該バットレス本体を支持する、外科用バットレスと
を備えている、外科用ステープル留め装置。
(項目9)
上記アンビル本体は、上記外科用バットレスのアームのうちの少なくとも1つを受取るために、該アンビル本体の底部表面に少なくとも1つのチャネルを画定している、上記項目のいずれか一項に記載の外科用ステープル留め装置。
(項目10)
上記少なくとも1つのアームは、上記ステープル留め装置の発射の際、上記少なくとも1つのチャネルから解放される、上記項目のいずれか一項に記載の外科用ステープル留め装置。
(項目11)
上記外科用バットレスは、不織材料から形成されている、上記項目のいずれか一項に記載の外科用ステープル留め装置。
(項目12)
上記外科用バットレスは、polyglytone 6211、グリコリド、カプロラクトン、トリメチレンカーボネート、ラクチド、およびこれらの組み合わせを含む群から選択される材料から作製されている、上記項目のいずれか一項に記載の外科用ステープル留め装置。
(項目13)
ナイフを含むナイフアセンブリをさらに備え、該ナイフは、上記第1の顎アセンブリおよび上記第2の顎アセンブリのうちの少なくとも一方を通って移動可能であることにより、上記外科用バットレスのバットレス本体およびアームのうちの少なくとも一方を切断し、上記アンビルプレートの上記底部表面からの少なくとも該バットレス本体の解放を容易にする、上記項目のいずれか一項に記載の外科用ステープル留め装置。
(項目14)
上記外科用バットレスのアームは、上記バットレス本体と一体に形成されている、上記項目のいずれか一項に記載の外科用ステープル留め装置。
(項目15)
上記外科用バットレスのアームは、上記バットレス本体の側面から延びている、上記項目のいずれか一項に記載の外科用ステープル留め装置。
(項目16)
上記アームは、上記バットレス本体の上部表面および底部表面のうちの少なくとも一方を覆うように折り曲げ可能である、上記項目のいずれか一項に記載の外科用ステープル留め装置。
(項目17)
外科用ステープル留め装置のエンドエフェクタに外科用バットレスを取り付ける方法であって、該方法は、
外科用ステープル留め装置に対するエンドエフェクタを提供するステップであって、該エンドエフェクタは、第1の顎アセンブリと第2の顎アセンブリとを含み、該第1の顎アセンブリは、アンビル本体とアンビルプレートとを含み、該アンビルプレートは、該アンビルプレートの底部表面に複数の締め具形成ポケットを画定し、該第2の顎アセンブリは、複数の締め具を保持するための複数の締め具保持スロットを画定しているカートリッジを含み、該複数の締め具は、該ステープル留め装置の発射の際、該締め具形成ポケットによって形成される、ステップと、
バットレス本体と、該バットレス本体から延びている複数のアームとを含む外科用バットレスを提供するステップと、
該バットレス本体が、該アンビルプレートの該底部表面に隣接して配置されるように、該アンビルプレートの上部表面と該顎の底部表面との間に該外科用バットレスのアームを取り付けるステップと
を含む、方法。
(項目18)
上記アンビルプレートの上記底部表面に画定されているチャネル内に上記外科用バットレスのアームを位置決めするステップをさらに含む、上記項目のいずれか一項に記載の方法。
(項目19)
不織材料から上記外科用バットレスを形成するステップをさらに含む、上記項目のいずれか一項に記載の方法。
(項目20)
polyglytone 6211、グリコリド、カプロラクトン、トリメチレンカーボネート、ラクチド、およびこれらの組み合わせを含む群から選択される材料から外科用バットレスを形成するステップをさらに含む、上記項目のいずれか一項に記載の方法。
外科用ステープル留め装置に対するエンドエフェクタが提供され、エンドエフェクタは、アンビルアセンブリと外科用バットレスとを含む。アンビルアセンブリは、アンビル本体とアンビルプレートとを含む。アンビルプレートは、複数のステープル形成ポケットを画定している底部表面を含む。アンビル本体とアンビルプレートとは選択的に接続可能である。外科用バットレスは、バットレス本体と、本体から延びている複数のアームとを含む。アンビルプレートとアンビル本体とが互いに接続された場合、アームは、アンビルプレートの上部表面とアンビル本体の底部表面との間に配置可能であることにより、アンビルプレートの底部表面に対してバットレス本体を支持する。
本明細において使用される場合、用語「臨床医」は、医師、看護師、または任意の他の介護提供者を指し、かつ、支援職員を含み得る。本開示の特定の実施形態は、添付の図面を参照して本明細書において記述される。図面において示されているように、および、以下の記述全体にわたって記述されているように、ならびに、物体上の相対的な位置を指す場合に従来そうであるように、用語「近位」は、臨床医により近い装置の端末を指し、用語「遠位」は、臨床医からより遠い装置の端末を指す。以下の記述において、本開示を不必要な詳細で不明確にすることを避けるために、周知の機能または構造は、詳細には記述されていない。
20 筐体
30 細長い部材
100 エンドエフェクタ
102 カートリッジアセンブリ
104 ステープルカートリッジ
110 アンビルアセンブリ
120 アンビルプレート
120a アンビルプレートの上部表面
120b アンビルプレートの底部表面
130 アンビル本体
130b アンビル本体の底部表面
132 チャネル
134 チャネル
140 外科用バットレス
142 外科用バットレスの本体
144 1つ以上のアーム
Claims (18)
- 外科用ステープル留め装置に対するエンドエフェクタであって、該エンドエフェクタは、
アンビル本体とアンビルプレートとを含むアンビルアセンブリであって、該アンビルプレートは、複数のステープル形成ポケットを画定している底部表面を含み、該アンビル本体と該アンビルプレートとは、選択的に接続可能である、アンビルアセンブリと、
バットレス本体と、該本体から延びている複数のアームとを含む外科用バットレスであって、該アンビルプレートと該アンビル本体とが互いに接続される場合、該アームは、該アンビルプレートの上部表面と該アンビル本体の底部表面との間に配置可能であることにより、該アンビルプレートの該底部表面に対して該バットレス本体を支持する、外科用バットレスと
を備え、
該アンビル本体は、該外科用バットレスの該複数のアームのうちの少なくとも1つを受取るために、該アンビル本体の底部表面に少なくとも1つのチャネルを画定している、エンドエフェクタ。 - 前記外科用バットレスは、不織材料から形成されている、請求項1に記載のエンドエフェクタ。
- 前記外科用バットレスは、polyglytone 6211、グリコリド、カプロラクトン、トリメチレンカーボネート、ラクチド、およびこれらの組み合わせを含む群から選択される材料から作製されている、請求項1に記載のエンドエフェクタ。
- 前記外科用バットレスのアームは、前記バットレス本体と一体に形成されている、請求項1に記載のエンドエフェクタ。
- 前記外科用バットレスのアームは、前記バットレス本体の側面エッジから延びている、請求項1に記載のエンドエフェクタ。
- 前記外科用バットレスのアームは、前記バットレス本体の上部表面および底部表面のうちの少なくとも一方を覆うように折り曲げ可能である、請求項5に記載のエンドエフェクタ。
- 外科用ステープル留め装置であって、該外科用ステープル留め装置は、
アンビル本体とアンビルプレートとを含む第1の顎アセンブリであって、該アンビルプレートは、該アンビルプレートの底部表面に複数の締め具形成ポケットを画定している、第1の顎アセンブリと、
複数の締め具保持スロットを画定している締め具カートリッジを含む第2の顎アセンブリと、
該締め具スロット内に配置され、該ステープル留め装置の発射の際、該アンビルプレートの締め具ポケットによって形成されるような構成および大きさとされている複数の締め具と、
バットレス本体と、該バットレス本体から延びている複数のアームとを含む外科用バットレスであって、該アームは、該アンビルプレートの上部表面と該アンビル本体の底部表面との間に配置されることにより、該アンビルプレートの該底部表面に対して該バットレス本体を支持する、外科用バットレスと
を備え、
該アンビル本体は、該外科用バットレスの該複数のアームのうちの少なくとも1つを受取るために、該アンビル本体の底部表面に少なくとも1つのチャネルを画定している、外科用ステープル留め装置。 - 前記少なくとも1つのアームは、前記ステープル留め装置の発射の際、前記少なくとも1つのチャネルから解放される、請求項7に記載の外科用ステープル留め装置。
- 前記外科用バットレスは、不織材料から形成されている、請求項7に記載の外科用ステープル留め装置。
- 前記外科用バットレスは、polyglytone 6211、グリコリド、カプロラクトン、トリメチレンカーボネート、ラクチド、およびこれらの組み合わせを含む群から選択される材料から作製されている、請求項7に記載の外科用ステープル留め装置。
- ナイフを含むナイフアセンブリをさらに備え、該ナイフは、前記第1の顎アセンブリおよび前記第2の顎アセンブリのうちの少なくとも一方を通って移動可能であることにより、前記外科用バットレスのバットレス本体およびアームのうちの少なくとも一方を切断し、前記アンビルプレートの前記底部表面からの少なくとも該バットレス本体の解放を容易にする、請求項7に記載の外科用ステープル留め装置。
- 前記外科用バットレスのアームは、前記バットレス本体と一体に形成されている、請求項7に記載の外科用ステープル留め装置。
- 前記外科用バットレスのアームは、前記バットレス本体の側面から延びている、請求項7に記載の外科用ステープル留め装置。
- 前記アームは、前記バットレス本体の上部表面および底部表面のうちの少なくとも一方を覆うように折り曲げ可能である、請求項13に記載の外科用ステープル留め装置。
- 外科用ステープル留め装置のエンドエフェクタに外科用バットレスを取り付ける方法であって、該方法は、
外科用ステープル留め装置に対するエンドエフェクタを提供するステップであって、該エンドエフェクタは、第1の顎アセンブリと第2の顎アセンブリとを含み、該第1の顎アセンブリは、アンビル本体とアンビルプレートとを含み、該アンビルプレートは、該アンビルプレートの底部表面に複数の締め具形成ポケットを画定し、該第2の顎アセンブリは、複数の締め具を保持するための複数の締め具保持スロットを画定しているカートリッジを含み、該複数の締め具形成ポケットは、該ステープル留め装置の発射の際、該複数の締め具を形成するためのものである、ステップと、
バットレス本体と、該バットレス本体から延びている複数のアームとを含む外科用バットレスを提供するステップと、
該バットレス本体が、該アンビルプレートの該底部表面に隣接して配置されるように、該アンビルプレートの上部表面と該アンビル本体の底部表面との間に該外科用バットレスのアームを取り付けるステップと
を含み、
該アンビル本体は、該外科用バットレスの該複数のアームのうちの少なくとも1つを受取るために、該アンビル本体の底部表面に少なくとも1つのチャネルを画定しており、該アンビル本体は、該外科用バットレスの該複数のアームのうちの該少なくとも1つが該少なくとも1つのチャネル内に位置決めされるように構成されている態様で、該少なくとも1つのチャネルを画定している、方法。 - 前記アンビルプレートの前記底部表面に画定されているチャネル内に前記外科用バットレスのアームを位置決めするステップをさらに含む、請求項15に記載の方法。
- 不織材料から前記外科用バットレスを形成するステップをさらに含む、請求項15に記載の方法。
- polyglytone 6211、グリコリド、カプロラクトン、トリメチレンカーボネート、ラクチド、およびこれらの組み合わせを含む群から選択される材料から外科用バットレスを形成するステップをさらに含む、請求項17に記載の方法。
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US9572576B2 (en) | 2017-02-21 |
EP2687165B1 (en) | 2016-12-14 |
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