JP6516172B2 - 屈曲処置具用ヒンジ部材及びこのヒンジ部材を組み込んだ屈曲処置具 - Google Patents
屈曲処置具用ヒンジ部材及びこのヒンジ部材を組み込んだ屈曲処置具 Download PDFInfo
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- JP6516172B2 JP6516172B2 JP2017512115A JP2017512115A JP6516172B2 JP 6516172 B2 JP6516172 B2 JP 6516172B2 JP 2017512115 A JP2017512115 A JP 2017512115A JP 2017512115 A JP2017512115 A JP 2017512115A JP 6516172 B2 JP6516172 B2 JP 6516172B2
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
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- 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
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- 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
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- A—HUMAN NECESSITIES
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- A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
- A61B2017/0034—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means adapted to be inserted through a working channel of an endoscope
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- A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Ophthalmology & Optometry (AREA)
- Endoscopes (AREA)
- Surgical Instruments (AREA)
Description
1b メス用屈曲処置具
2 軟性内視鏡
2a 内視鏡チャンネル
2b 処置具挿通用チューブ
3 患者
3a 患部
4 屈曲部
5 シース・ワイヤ部
10 ヒンジ部材
11 ヒンジトップ
12 ヒンジエンド
13 ヒンジベース
14a,14b ずれ防止部材
15 爪
16 溝
20 シース
21 内シース
22 屈曲用ワイヤ
23 デバイス用ワイヤ
24 外シース
25 ライナーブレード
26 保護チューブ
30 鉗子
31 鉗子片
32 移動体
33 ピン
34 開閉ワイヤ
35 鉗子基部
36 電気メス
60 操作部
61 グリップ
62 基台
63 操作部本体
64 スライダ機構
Claims (12)
- 互いに略共軸に並設されて屈曲処置具を構成する略筒状のヒンジ部材であって、
軸方向の基端側の端面の少なくとも外縁部に形成されると共に前記ヒンジ部材の径方向に沿って形成された凹部と、先端側の端面の少なくとも外縁部に突設されると共に、前記凹部と90°周方向にずらして配置されると共に前記ヒンジ部材の径方向に沿って形成された一対の凸部とを備え、
前記先端側の端面の前記凸部を除いた位置には、軸方向に貫通する屈曲用貫通孔が形成され、
前記屈曲用貫通孔は、前記一対の凸部の両端にそれぞれ2箇所、合計4箇所形成され、
前記凸部は、略円弧状に突設すると共に、前記凹部は、前記凸部が摺接可能に前記凸部に対応するように円弧状に形成され、
前記一対の凸部の対向方向に沿って延びると共に前記円弧状の略中心を通る第1の屈曲軸と、前記凹部の延設方向に沿って延びると共に前記円弧状の略中心を通る第2の屈曲軸を備え、
前記屈曲用貫通孔は、前記第1の屈曲軸及び前記第2の屈曲軸のいずれにも交差しないことを特徴とするヒンジ部材。 - 請求項1に記載のヒンジ部材において、
軸心部を貫通するデバイス用貫通孔を備えることを特徴とするヒンジ部材。 - 請求項2に記載のヒンジ部材において、
前記デバイス用貫通孔は、軸方向直交断面において略楕円状に形成されることを特徴とするヒンジ部材。 - 請求項3に記載のヒンジ部材において、
前記デバイス用貫通孔は、前記略楕円状は、前記凸部の対向方向と直交する方向と長軸が平行に形成されることを特徴とするヒンジ部材。 - 請求項1に記載のヒンジ部材において、
軸心部を貫通するデバイス用貫通孔を備え、
前記屈曲用貫通孔は、前記軸方向に沿って、前記屈曲用貫通孔の中心部から前記先端側及び前記基端側の端面に向けて拡径することを特徴とするヒンジ部材。 - 請求項5に記載のヒンジ部材において、
前記凹部は、曲線部と前記曲線部の端部から延びる直線部とを備えることを特徴とするヒンジ部材。 - 請求項6に記載のヒンジ部材において、
前記曲線部の曲率は、前記凸部の先端の曲率と略等しいことを特徴とするヒンジ部材。 - 請求項1に記載のヒンジ部材において、
前記凸部の両側面における前記先端側の端面と連続する位置には、互いに対向する切欠きがそれぞれ形成されることを特徴とするヒンジ部材。 - 請求項5から8のいずれか1項に記載のヒンジ部材において、
前記凹部及び前記凸部は、それぞれ円弧状に形成され、
前記凹部の曲率は、前記凸部の曲率よりも大きく形成されることを特徴とするヒンジ部材。 - 請求項1から9のいずれか1項に記載のヒンジ部材において、
前記ヒンジ部材の軸方向直交断面における径寸法は3.8mm以下に形成されることを特徴とするヒンジ部材。 - 請求項1から10のいずれか1項に記載のヒンジ部材を組み付けたことを特徴とする屈曲部を有する屈曲処置具。
- 請求項11に記載の屈曲処置具であって、
内視鏡チャンネルに挿入されることを特徴とする屈曲処置具。
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
PCT/JP2015/061566 WO2016166830A1 (ja) | 2015-04-15 | 2015-04-15 | 屈曲処置具用ヒンジ部材及びこのヒンジ部材を組み込んだ屈曲処置具 |
Publications (2)
Publication Number | Publication Date |
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JPWO2016166830A1 JPWO2016166830A1 (ja) | 2018-02-08 |
JP6516172B2 true JP6516172B2 (ja) | 2019-05-22 |
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JP2017512115A Active JP6516172B2 (ja) | 2015-04-15 | 2015-04-15 | 屈曲処置具用ヒンジ部材及びこのヒンジ部材を組み込んだ屈曲処置具 |
Country Status (4)
Country | Link |
---|---|
US (1) | US20180078247A1 (ja) |
EP (1) | EP3284422B1 (ja) |
JP (1) | JP6516172B2 (ja) |
WO (1) | WO2016166830A1 (ja) |
Families Citing this family (4)
Publication number | Priority date | Publication date | Assignee | Title |
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CN112370009A (zh) * | 2016-02-05 | 2021-02-19 | 得克萨斯系统大学董事会 | 手术设备 |
JP2021058224A (ja) * | 2017-12-25 | 2021-04-15 | ジョンソン・エンド・ジョンソン株式会社 | ジョイント部材、処置具、処置具の屈曲制御方法 |
CN108652739A (zh) * | 2018-07-25 | 2018-10-16 | 山东大学 | 一种带有独立弯曲器械通道的经皮肾镜 |
EP3880059A1 (en) * | 2018-11-13 | 2021-09-22 | Interscope, Inc. | Systems and methods of endoscopic instruments with articulating end |
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US20040199052A1 (en) * | 2003-04-01 | 2004-10-07 | Scimed Life Systems, Inc. | Endoscopic imaging system |
US9271720B2 (en) * | 2005-08-11 | 2016-03-01 | Biomet Sports Medicine, Llc | Steerable suture passing device |
JP4398479B2 (ja) * | 2007-03-02 | 2010-01-13 | オリンパスメディカルシステムズ株式会社 | 内視鏡装置 |
US9005238B2 (en) * | 2007-08-23 | 2015-04-14 | Covidien Lp | Endoscopic surgical devices |
JP2010017483A (ja) * | 2008-07-14 | 2010-01-28 | Olympus Corp | 内視鏡湾曲管及び湾曲管を有する内視鏡 |
US8968355B2 (en) * | 2008-08-04 | 2015-03-03 | Covidien Lp | Articulating surgical device |
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WO2010085456A1 (en) * | 2009-01-20 | 2010-07-29 | Guided Delivery Systems Inc. | Anchor deployment devices and related methods |
US11278345B2 (en) * | 2010-05-25 | 2022-03-22 | Covidien Lp | Accurate jaw closure force in a catheter based instrument |
KR101230142B1 (ko) * | 2010-10-20 | 2013-02-05 | 이영삼 | 심장 안정화 장치 |
WO2012088501A2 (en) * | 2010-12-23 | 2012-06-28 | Mayo Foundation For Medical Education And Research | Vessel dissection and harvesting apparatus, systems and methods |
JP5745837B2 (ja) * | 2010-12-24 | 2015-07-08 | オリンパス株式会社 | 処置具 |
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JP5940864B2 (ja) * | 2012-04-12 | 2016-06-29 | カール シュトルツ ゲゼルシャフト ミット ベシュレンクテル ハフツング ウント コンパニー コマンディートゲゼルシャフト | 医療用マニピュレータ |
US20140001234A1 (en) * | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Coupling arrangements for attaching surgical end effectors to drive systems therefor |
US10029073B2 (en) * | 2012-11-13 | 2018-07-24 | Abbott Cardiovascular Systems, Inc. | Steerable assembly for surgical catheter |
US9144460B2 (en) * | 2012-12-31 | 2015-09-29 | Biosense Webster (Israel) Ltd. | Catheter with direct cooling on nonablating element |
DE112014001466T5 (de) * | 2013-03-15 | 2015-12-03 | Pro Med Instruments Gmbh | Flexibler Arm und Verfahren zu dessen Verwendung |
WO2014156352A1 (ja) * | 2013-03-28 | 2014-10-02 | オリンパス株式会社 | 外套管および処置具 |
-
2015
- 2015-04-15 US US15/564,556 patent/US20180078247A1/en not_active Abandoned
- 2015-04-15 JP JP2017512115A patent/JP6516172B2/ja active Active
- 2015-04-15 EP EP15889168.9A patent/EP3284422B1/en active Active
- 2015-04-15 WO PCT/JP2015/061566 patent/WO2016166830A1/ja active Application Filing
Also Published As
Publication number | Publication date |
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JPWO2016166830A1 (ja) | 2018-02-08 |
EP3284422A1 (en) | 2018-02-21 |
EP3284422A4 (en) | 2018-12-05 |
US20180078247A1 (en) | 2018-03-22 |
WO2016166830A1 (ja) | 2016-10-20 |
EP3284422B1 (en) | 2021-02-24 |
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