JP6518586B2 - 関節シャフト付外科用器具 - Google Patents
関節シャフト付外科用器具 Download PDFInfo
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- JP6518586B2 JP6518586B2 JP2015520266A JP2015520266A JP6518586B2 JP 6518586 B2 JP6518586 B2 JP 6518586B2 JP 2015520266 A JP2015520266 A JP 2015520266A JP 2015520266 A JP2015520266 A JP 2015520266A JP 6518586 B2 JP6518586 B2 JP 6518586B2
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- ultrasonic blade
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- surgical instrument
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Description
本出願は、以下の同時出願の米国特許出願に関連し、これらは本明細書において参照としてその全体が組み込まれる:
米国特許出願第____________号、表題「Haptic Feedback Devices for Surgical Robot」、代理人整理番号第END7042USNP/110388号、
米国特許出願第____________号、表題「Lockout Mechanism for Use with Robotic Electrosurgical Device」、代理人整理番号第END7043USNP/110389号、
米国特許出願第____________号、表題「Closed Feedback Control for Electrosurgical Device」、代理人整理番号第END7044USNP/110390号、
米国特許出願第____________号、表題「Ultrasonic Surgical Instruments with Distally Positioned Transducers」、代理人整理番号第END6819USNP/110393号、
米国特許出願第____________号、表題「Surgical Instruments with Articulating Shafts」、代理人整理番号第END7047USNP/110394号、
米国特許出願第____________号、表題「Ultrasonic Surgical Instruments with Distally Positioned Jaw Assemblies」、代理人整理番号第END7048USNP/110395号、
米国特許出願第____________号、表題「Surgical Instruments with Articulating Shafts」、代理人整理番号第END7049USNP/110396号、
米国特許出願第____________号、表題「Ultrasonic Surgical Instruments with Control Mechanisms」、代理人整理番号第END7050USNP/110397号、及び
米国特許出願第____________号、表題「Surgical Instruments With Fluid Management System」、代理人整理番号第END7051USNP/110399号。
コア径D(mm)
D=19.9×10−3
22AWGワイヤの線径W(mm)
W=7.366×10−4
間隙0.125の2次巻線同士の間隙
G=gap/25.4
本明細書に説明する様々な実施形態は、超音波ブレードに関する。一実施形態では、超音波ブレードは、近位方向に位置付けられた、長手方向軸に沿って延びる直線区分及び遠位方向に位置付けられた、直線区分に連結されて長手方向軸から離れて曲がっている曲線区分を含むことができる。曲線区分は曲率半径を画定し、第1の角度を限定することができる。曲線区分と直線区分との間の接点は、所定の位置にある。一実施形態では、接点は、超音波ブレードの節、腹、又は超音波ブレードの節と腹との間、及び任意のそれらの組み合わせにて配置されることができる。
米国特許出願第13/536,271号、出願日:2012年6月28日、及び表題「Flexible Drive Member」(代理人整理番号:END7131USNP/120135)、
米国特許出願第13/536,288号、出願日:2012年6月28日、及び表題「Multi−Functional Powered Surgical Device with External Dissection Features」(代理人整理番号:END7132USNP/120136)、
米国特許出願第13/536,295号、出願日:2012年6月28日、及び表題「Rotary Actuatable Closure Arrangement for Surgical End Effector」(代理人整理番号:END7134USNP/120138)、
米国特許出願第13/536,326号、出願日:2012年6月28日、及び表題「Surgical End Effectors Having Angled Tissue−Contacting Surfaces」(代理人整理番号:END7135USNP/120139)、
米国特許出願第13/536,303号、出願日:2012年6月28日、及び表題「Interchangeable End Effector Coupling Arrangement」(代理人整理番号:END7136USNP/120140)、
米国特許出願第13/536,393号、出願日:2012年6月28日、及び表題「Surgical End Effector Jaw and Electrode Configurations」(代理人整理番号:END7137USNP/120141)、
米国特許出願第13/536,362号、出願日:2012年6月28日、及び表題「Multi−Axis Articulating and Rotating Surgical Tools」(代理人整理番号:END7138USNP/120142)、及び
米国特許出願第13/536,417号、出願日:2012年6月28日、及び表題「Electrode Connections for Rotary Driven Surgical Tools」(代理人整理番号:END7149USNP/120153)。
(1) 超音波ブレードを備える外科用器具であって、前記超音波ブレードは、
長手方向軸に沿って延びる、近位に配置された直線区分と、
前記直線区分に連結されており、かつ前記長手方向軸から離れるように曲がっている、遠位に配置された曲線区分と、を含み、前記曲線区分は、曲率半径を画定し、前記曲線区分は、第1の角度を限定し、前記曲線区分と前記直線区分との間の接点が所定の位置に配置されている、外科用器具。
(2) 前記所定の位置が、前記超音波ブレードの節、前記超音波ブレードの腹、及び前記超音波ブレードの前記節と前記腹との間、並びにそれらの任意の組み合わせからなる群から選択される、実施態様1に記載の外科用器具。
(3) 前記曲線区分の曲率半径が、
式中、
f0は、第1のモードの、前記超音波ブレードの共振周波数であり、
θは、前記第1の角度であり、
nは、前記第1のモードでの前記曲線区分における4分の1波長の数(number of quarter wavelengths)であり、
cは、前記共振周波数での前記超音波ブレードにおける超音波振動の位相速度である、実施態様1に記載の外科用器具。
(4) 前記超音波ブレードの前記曲線区分が、前記超音波ブレードの共振周波数での2つの4分の1波長を含む、実施態様1に記載の外科用器具。
(5) 前記超音波ブレードの前記曲線区分の長さが、前記超音波ブレードの前記直線区分における隣接する節間の距離より大きい、実施態様4に記載の外科用器具。
(7) 前記エンドエフェクタの少なくとも一部を包囲するシャフトを更に含む、実施態様1に記載の外科用器具。
(8) 関節運動可能な外科用器具であって、
組織を治療するエンドエフェクタであって、超音波ブレードを含む、エンドエフェクタと、
長手方向軸に沿って前記エンドエフェクタから近位方向に延びるシャフトであって、可撓性部分を含む、シャフトと、
前記超音波ブレードに音響的に連結されており、かつ前記シャフトを通って近位方向に延びる導波管であって、前記導波管は、前記可撓性シャフト部分の周辺に屈曲可能な導波管部分を含み、前記導波管は、
前記屈曲可能な導波管部分から遠位の前記導波管の節に配置されており、かつ前記シャフトの内部に連結されている第1のフランジ、及び
前記屈曲可能な導波管部分から近位の前記導波管の節に配置されており、かつ前記シャフトの内部に連結されている第2のフランジ、を含む、導波管と、
前記第1のフランジに連結されており、かつ前記第2のフランジ及び前記シャフトを通って近位方向に延びている第1の制御部材であって、前記第1の制御部材の近位への並進により、前記第1のフランジが近位方向に引かれ、前記シャフト及び前記導波管が、前記長手方向軸から離れて前記第1の制御部材に向かうように枢動される、第1の制御部材と、を含む、関節運動可能な外科用器具。
(9) 前記第1のフランジに連結されており、かつ前記第2のフランジ及び前記シャフトを通って近位方向に延びる第2の制御部材を更に含み、前記第2の制御部材の近位並進により、前記第1のフランジが近位方向に引かれ、前記シャフト及び前記導波管が、前記長手方向軸から離れて前記第2の制御部材に向かうように枢動される、実施態様8に記載の外科用器具。
(10) 前記導波管は、前記屈曲可能な導波管部分から近位の第1の位置に第1の厚さを有し、かつ前記屈曲可能な導波管部分に第2の厚さを有し、かつ前記第2の厚さは前記第1の厚さ未満である、実施態様8に記載の外科用器具。
(12) 前記導波管及び前記超音波ブレードが、共振周波数を画定する、実施態様8に記載の外科用器具。
(13) 前記屈曲可能な導波管部分が、前記共振周波数での少なくとも1つの波長の長さを有する、実施態様8に記載の外科用器具。
(14) 前記第2のフランジに機械的に連結されたクランプアーム取り付け部材と、
前記クランプアーム取り付け部材にヒンジインターフェースで枢動可能に連結されたクランプアームと、を更に含む、実施態様8に記載の外科用器具。
(15) 前記ヒンジインターフェースは、前記長手方向軸からオフセットしており、
前記長手方向軸からオフセットし、かつ前記ヒンジインターフェースに実質的に対向する位置にある前記クランプアームに連結された並進部材を更に含み、これにより、前記並進部材の遠位方向への並進により、前記クランプアームが前記超音波ブレードから離れるように開き、前記並進部材の近位方向への並進により、前記クランプアームが前記超音波ブレードに向かって閉じる、実施態様14に記載の外科用器具。
前記第3のフランジに機械的に連結されたクレビスと、
ヒンジインターフェースにて前記クレビスに枢動可能に連結されたクランプアームと、を更に含む、実施態様8に記載の外科用器具。
(17) 関節運動可能な外科用器具であって、
組織を治療するエンドエフェクタと、
長手方向軸に沿って延びる外側シャフトと、
少なくとも部分的に前記外側シャフト内にある内側シャフトであって、前記内側シャフトが前記エンドエフェクタから近位方向に延びる、内側シャフトと、を含み、前記内側シャフトは、前記長手方向軸から離れて第1の方向に曲がるよう付勢されている付勢された部分を含み、
前記内側シャフト及び前記外側シャフトは、前記内側シャフトの前記付勢された部分が前記外側シャフト内にあり、かつ前記内側シャフトが前記長手方向軸に沿って実質的に直線である第1の位置まで、互いに並進可能であり、
前記内側シャフト及び前記外側シャフトは、前記内側シャフトの前記付勢された部分が前記長手方向軸から離れて前記第1の方向に曲げられるよう、前記内側シャフトの前記付勢された部分が前記外側シャフトの外側にあって前記外側シャフトから遠位方向に位置する第2の位置まで、互いに並進可能である、関節運動可能な外科用器具。
(18) 前記外側シャフトは、固定されており、前記内側シャフトは、前記外側シャフトに対して並進可能である、実施態様17に記載の外科用器具。
(19) 前記内側シャフトは、固定されており、前記外側シャフトは、前記内側シャフトに対して並進可能である、実施態様17に記載の外科用器具。
(20) 前記内側シャフトの前記付勢された部分は、前記長手方向軸から離れて前記第1の方向に曲げるように、前記付勢された部分を付勢するように位置付けられた少なくとも1つの板ばねを含む、実施態様17に記載の外科用器具。
(22) 前記内側シャフトが近位部材を含み、前記付勢された部分が、
ヒンジインターフェースにて前記遠位部分に枢動可能に連結された遠位部分と、
前記遠位部分を付勢して、前記長手方向軸から離れて前記第1の方向に枢動させるように位置付けられたばねと、を含む、実施態様17に記載の外科用器具。
(23) 前記エンドエフェクタは、超音波ブレードを更に含む、実施態様17に記載の外科用器具。
(24) 前記超音波ブレードに音響的に連結されており、かつ前記内側シャフトの前記付勢された部分の最近位位置から遠位に位置付けられた超音波変換器を更に含む、実施態様23に記載の外科用器具。
(25) 前記エンドエフェクタが、
クレビスと、
前記クレビスに枢動可能に連結されたクランプアームと、を更に含む、実施態様23に記載の外科用器具。
(27) 外科用器具であって、
長手方向軸に沿って延びるシャフトと、
前記シャフト内に位置付けられた超音波ブレードであって、前記超音波ブレードは、近位に位置付けられた直線区分及び遠位に位置付けられた曲線区分を含む、超音波ブレードとを含み、
前記超音波ブレードは、前記ブレードの前記曲線区分が前記シャフトの遠位端から延びる第1の位置から、前記ブレードの前記曲線区分が少なくとも部分的に前記シャフト内に収容される第2の位置まで、前記シャフトに対して前記長手方向軸に沿って並進可能である、外科用器具。
(28) 前記超音波ブレードの前記曲線区分は、前記シャフトの前記遠位端から延びるときに第1の曲率半径を画定し、少なくとも部分的に前記シャフト内に収容されるときに第2の曲率半径を画定し、前記第1の曲率半径が前記第2の曲率半径より小さい、実施態様27に記載の外科用器具。
(29) 前記超音波ブレードの前記曲線区分が、前記曲線区分が少なくとも部分的に前記シャフト内に収容されるときに前記シャフトの内壁に接触する、実施態様28に記載の外科用器具。
(30) 前記曲線区分は、曲率半径を画定し、前記曲線区分は、第1の角度を限定し、前記曲線区分と前記直線区分との間の相互接続点が、前記超音波ブレードの節及び前記超音波ブレードの腹からなる群から選択される位置にある、実施態様27に記載の外科用器具。
式中、
f0は、前記超音波ブレードの共振周波数であり、
θは、前記第1の角度であり、
nは、前記曲線区分における4分の1波長の数であり、
cは、前記共振周波数での前記超音波ブレードの超音波振動の位相速度である、実施態様30に記載の外科用器具。
(32) 前記超音波ブレードの前記曲線区分が、前記超音波ブレードの共振周波数での2つの4分の1波長を含む、実施態様30に記載の外科用器具。
(33) 前記超音波ブレードの前記曲線区分の長さが、前記超音波ブレードの前記直線区分における隣接する節間の距離より大きい、実施態様30に記載の外科用器具。
(34) 前記シャフトは、固定されており、前記超音波ブレードは前記シャフトに対して前記長手方向軸に沿って並進可能である、実施態様27に記載の外科用器具。
(35) 前記超音波ブレードは、固定されており、前記シャフトは、前記超音波ブレードに対して前記長手方向軸に沿って並進可能である、実施態様27に記載の外科用器具。
Claims (12)
- 超音波ブレードを備える外科用器具であって、前記超音波ブレードは、
長手方向軸に沿って延びる、近位に配置された直線区分と、
前記直線区分に連結されており、かつ前記長手方向軸から離れるように曲がっている、遠位に配置された曲線区分と、を含み、前記曲線区分は、曲率半径を画定し、前記曲線区分は、第1の角度を限定し、
前記曲線区分の曲率半径が、
式中、
f0は、縦振動モードの、前記超音波ブレードの共振周波数であり、
θは、前記第1の角度であり、
nは、前記縦振動モードでの前記曲線区分における4分の1波長に対応する長さの数であり、
cは、前記共振周波数での前記超音波ブレードにおける超音波振動の位相速度である、外科用器具。 - 超音波ブレードを備える外科用器具であって、前記超音波ブレードは、
長手方向軸に沿って延びる、近位に配置された直線区分と、
前記直線区分に連結されており、かつ前記長手方向軸から離れるように曲がっている、遠位に配置された曲線区分と、を含み、前記曲線区分は、曲率半径を画定し、前記曲線区分は、第1の角度を限定し、
前記超音波ブレードの前記曲線区分の長さが、縦振動モードにおける前記超音波ブレードの共振周波数での2つの4分の1波長に対応する長さである、外科用器具。 - 前記超音波ブレードの前記曲線区分の長さが、前記超音波ブレードの前記直線区分における隣接する節間の距離より大きい、請求項2に記載の外科用器具。
- 前記超音波ブレードの前記曲線区分の長さが、前記超音波ブレードの前記共振周波数での1つの4分の1波長に対応する長さである、請求項1に記載の外科用器具。
- 前記超音波ブレードの少なくとも一部を包囲するシャフトを更に含む、請求項1に記載の外科用器具。
- 外科用器具であって、
長手方向軸に沿って延びるシャフトと、
前記シャフト内に位置付けられた超音波ブレードであって、前記超音波ブレードは、近位に位置付けられた直線区分及び遠位に位置付けられた曲線区分を含む、超音波ブレードとを含み、
前記超音波ブレードおよび前記シャフトは、前記長手方向軸に沿って互いに対して並進可能であり、第1の位置において、前記超音波ブレードの前記曲線区分が前記シャフトの遠位端から延び、第2の位置において、前記超音波ブレードの前記曲線区分が少なくとも部分的に前記シャフト内に収容され、
前記曲線区分は、曲率半径を画定し、前記曲線区分は、第1の角度を限定し、前記曲線区分と前記直線区分との間の相互接続点が、前記超音波ブレードの節及び前記超音波ブレードの腹からなる群から選択される位置にあり、
によって記述され、
式中、
f0は、縦振動モードにおける前記超音波ブレードの共振周波数であり、
θは、前記第1の角度であり、
nは、前記縦振動モードにおける前記超音波ブレードの前記曲線区分における4分の1波長に対応する長さの数であり、
cは、前記共振周波数での前記超音波ブレードの超音波振動の位相速度である、外科用器具。 - 前記超音波ブレードの前記曲線区分は、前記シャフトの前記遠位端から延びるときに第1の曲率半径を画定し、少なくとも部分的に前記シャフト内に収容されるときに第2の曲率半径を画定し、前記第1の曲率半径が前記第2の曲率半径より小さい、請求項6に記載の外科用器具。
- 前記超音波ブレードの前記曲線区分が、前記曲線区分が少なくとも部分的に前記シャフト内に収容されるときに前記シャフトの内壁に接触する、請求項7に記載の外科用器具。
- 前記超音波ブレードの前記曲線区分の長さが、前記超音波ブレードの前記共振周波数での2つの4分の1波長に対応する長さである、請求項6に記載の外科用器具。
- 前記超音波ブレードの前記曲線区分の長さが、前記超音波ブレードの前記直線区分における隣接する節間の距離より大きい、請求項6に記載の外科用器具。
- 前記シャフトは、固定されており、前記超音波ブレードは前記シャフトに対して前記長手方向軸に沿って並進可能である、請求項6に記載の外科用器具。
- 前記超音波ブレードは、固定されており、前記シャフトは、前記超音波ブレードに対して前記長手方向軸に沿って並進可能である、請求項6に記載の外科用器具。
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US20230277205A1 (en) | 2023-09-07 |
CN104582605A (zh) | 2015-04-29 |
WO2014004113A3 (en) | 2014-06-05 |
US20140005701A1 (en) | 2014-01-02 |
EP2866699A2 (en) | 2015-05-06 |
EP4014900A1 (en) | 2022-06-22 |
WO2014004113A2 (en) | 2014-01-03 |
US10441310B2 (en) | 2019-10-15 |
EP2866699B1 (en) | 2022-09-28 |
US20200229834A1 (en) | 2020-07-23 |
BR112014032894A2 (pt) | 2017-06-27 |
JP2015521899A (ja) | 2015-08-03 |
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