JP6619103B2 - 視覚インジケータ機構付き円形ステープラ - Google Patents
視覚インジケータ機構付き円形ステープラ Download PDFInfo
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- JP6619103B2 JP6619103B2 JP2018537847A JP2018537847A JP6619103B2 JP 6619103 B2 JP6619103 B2 JP 6619103B2 JP 2018537847 A JP2018537847 A JP 2018537847A JP 2018537847 A JP2018537847 A JP 2018537847A JP 6619103 B2 JP6619103 B2 JP 6619103B2
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- 238000010304 firing Methods 0.000 claims description 42
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- 238000012800 visualization Methods 0.000 description 3
- 230000003872 anastomosis Effects 0.000 description 2
- 229910052751 metal Inorganic materials 0.000 description 2
- 239000002184 metal Substances 0.000 description 2
- 229920000515 polycarbonate Polymers 0.000 description 2
- 239000004417 polycarbonate Substances 0.000 description 2
- 229910001220 stainless steel Inorganic materials 0.000 description 2
- 239000010935 stainless steel Substances 0.000 description 2
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- XAGFODPZIPBFFR-UHFFFAOYSA-N aluminium Chemical compound [Al] XAGFODPZIPBFFR-UHFFFAOYSA-N 0.000 description 1
- 238000003491 array Methods 0.000 description 1
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Classifications
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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
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B17/115—Staplers for performing anastomosis in a single operation
- A61B17/1155—Circular staplers comprising a plurality of staples
-
- 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
-
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/08—Accessories or related features not otherwise provided for
- A61B2090/0807—Indication means
- A61B2090/0811—Indication means for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Description
吻合とは、別々の中空器官切片の外科的接合である。知られている円形吻合処置では、器官切片の2つの端が、円形ステープルアレイを各器官切片に通過させ、同時に、打込まれた円形ステープルアレイの内部に組織があれば、その芯を抜いて、管状通路を空ける外科用ステープル留め器具を用いて接合される。このような器具の例は、それらのそれぞれの内容の全体が、参照により本明細書に組み込まれている、米国特許第7,234,624号、同第6,945,444号、同第6,053,390号、同第5,568,579号、同第5,119,983号、同第4,646,745号、同第4,576,167号、及び同第4,473,077号において説明されている。
本発明は、例えば、以下を提供する。
(項目1)
静止ハンドル及び発射トリガを含むハンドル組立体であって、前記静止ハンドルが窓を画定する、ハンドル組立体と、
前記ハンドル組立体から遠位に延在する中央胴体と、
前記中央胴体の遠位端に支持されたカートリッジ組立体と、
アンビル組立体と、
長手方向に移動可能な打込みネジを含む接近機構であって、前記打込みネジの前進位置と引き込み位置との間の長手方向の動きが、前記アンビル組立体の離間位置と接近位置との間の前記カートリッジ組立体に関する動きをもたらすように、前記打込みネジが前記アンビル組立体に動作可能に接続され、前記打込みネジが接合部を支持している、接近機構と、
インジケータカバー、インジケータ、及びインジケータ板を含む視覚インジケータ機構であって、前記インジケータカバーが、前記窓の上方で前記静止ハンドルに支持され、かつ複数の離間したスロットを画定し、前記インジケータが、前記インジケータカバーの下で前記窓に隣接して位置付けられ、前記インジケータが、しるしを支持し、前記インジケータ板が、前記静止ハンドル内の前進位置から引き込み位置へ移動可能であり、前記インジケータ板が、止め部材を支持し、かつ前記インジケータに接続された遠位端を有し、前記止め部材は、前記打込みネジの前記前進位置と引き込み位置との間の動きが、前記インジケータカバー内の前記インジケータの第1の位置と第2の位置との間の動きをもたらすように、前記接合部に係合するように位置付けられ、前記しるしは、前記インジケータ板が前記前進位置から前記引き込み位置に移動するのに従った前記インジケータカバー内の前記インジケータの動きによって、前記しるしが前記複数のスロット内に順次見えるようになるように寸法合わせ及び構成されている、視覚インジケータ機構と、を備える外科用ステープル留め器具。
(項目2)
前記静止ハンドル内に支持され、かつ前記インジケータ板を前記前進位置へ促すように位置付けられた付勢部材をさらに含む、項目1に記載の外科用ステープル留め器具。
(項目3)
前記しるしが、複数の離間した色付きバンドを含む、項目1に記載の外科用ステープル留め器具。
(項目4)
前記複数のスロットが、第1、第2、及び第3のスロットを含み、前記複数の離間した色付きバンドが、第1、第2、及び第3の色付きバンドを含む、項目3に記載の外科用ステープル留め器具。
(項目5)
前記インジケータが前記第1の位置にあるとき、前記第1の色付きバンドが、前記第1のスロットから第1の距離で離間し、前記第2の色付きバンドが、前記第2のスロットから第2の距離で離間し、前記第3の色付きバンドが、前記第3のスロットから第3の距離で離間し、前記第1の距離が、前記第1及び第2の距離よりも長く、前記第2の距離が、前記第3の距離よりも長い、項目4に記載の外科用ステープル留め器具。
(項目6)
前記第1の色付きバンドが、第1の幅を有し、前記第2の色付きバンドが、第2の幅を有し、前記第3の色付きバンドが、第3の幅を有し、前記第1の幅が、前記第2及び第3の幅よりも狭く、前記第2の幅が、前記第3の幅よりも狭い、項目5に記載の外科用ステープル留め器具。
(項目7)
前記インジケータが、前記静止ハンドル内で、前記インジケータカバーの下に枢動可能に支持されている、項目1に記載の外科用ステープル留め器具。
(項目8)
前記インジケータ板が、細長のスロットを画定する結合部材を含み、前記インジケータが、係合部材を含み、前記係合部材が、前記インジケータを前記インジケータ板に結合するように、前記細長のスロット内に受容されている、項目1に記載の外科用ステープル留め器具。
(項目9)
前記インジケータ板が、近位に延在する部分を含み、前記静止ハンドルが、切り欠きを画定するブラケットを含み、前記近位に延在する部分が、前記切り欠きを通って延在して、前記静止ハンドル内の前記インジケータ板の動きを案内する、項目1に記載の外科用ステープル留め器具。
(項目10)
前記付勢部材が、前記インジケータ板を遠位方向に促すように、前記ブラケットと前記インジケータ板の中央部分との間で前記近位に延在する部分の周りに圧縮状態で位置付けられている、項目9に記載の外科用ステープル留め器具。
(項目11)
前記しるしが、段付きの色付きバンドを含む、項目1に記載の外科用ステープル留め器具。
(項目12)
前記複数のスロットが、互いに横方向及び長手方向に離間している、項目11に記載の外科用ステープル留め器具。
(項目13)
前記複数のスロットが、第1、第2、及び第3のスロットを含み、前記段付きの色付きバンドが、第1、第2、及び第3の段を含む、項目12に記載の外科用ステープル留め器具。
(項目14)
前記インジケータが前記第1の位置にあるとき、前記色付きバンドの前記第1の段が、前記第1のスロットから第1の距離で離間し、前記色付きバンドの前記第2の段が、前記第2のスロットから第2の距離で離間し、前記色付きバンドの前記第3の段が、前記第3のスロットから第3の距離で離間し、前記第1の距離が、前記第1及び第2の距離よりも長く、前記第2の距離が、前記第3の距離よりも長い、項目13に記載の外科用ステープル留め器具。
Claims (14)
- 静止ハンドル及び発射トリガを含むハンドル組立体であって、前記静止ハンドルが窓を画定する、ハンドル組立体と、
前記ハンドル組立体から遠位に延在する中央胴体と、
前記中央胴体の遠位端に支持されたカートリッジ組立体と、
アンビル組立体と、
長手方向に移動可能な打込みネジを含む接近機構であって、前記打込みネジの前進位置と引き込み位置との間の長手方向の動きが、前記アンビル組立体の離間位置と接近位置との間の前記カートリッジ組立体に関する動きをもたらすように、前記打込みネジが前記アンビル組立体に動作可能に接続され、前記打込みネジが接合部を支持している、接近機構と、
インジケータカバー、インジケータ、及びインジケータ板を含む視覚インジケータ機構であって、前記インジケータカバーが、前記窓の上方で前記静止ハンドルに支持され、かつ複数の離間したスロットを画定し、前記インジケータが、前記インジケータカバーの下で前記窓に隣接して位置付けられ、前記インジケータが、しるしを支持し、前記インジケータ板が、前記静止ハンドル内の前進位置から引き込み位置へ移動可能であり、前記インジケータ板が、止め部材を支持し、かつ前記インジケータに接続された遠位端を有し、前記止め部材は、前記打込みネジの前記前進位置と引き込み位置との間の動きが、前記インジケータカバー内の前記インジケータの第1の位置と第2の位置との間の動きをもたらすように、前記接合部に係合するように位置付けられ、前記しるしは、前記インジケータ板が前記前進位置から前記引き込み位置に移動するのに従った前記インジケータカバー内の前記インジケータの動きによって、前記しるしが前記複数のスロット内に順次見えるようになるように寸法合わせ及び構成されている、視覚インジケータ機構と、を備える外科用ステープル留め器具。 - 前記静止ハンドル内に支持され、かつ前記インジケータ板を前記前進位置へ促すように位置付けられた付勢部材をさらに含む、請求項1に記載の外科用ステープル留め器具。
- 前記しるしが、複数の離間した色付きバンドを含む、請求項1に記載の外科用ステープル留め器具。
- 前記複数のスロットが、第1、第2、及び第3のスロットを含み、前記複数の離間した色付きバンドが、第1、第2、及び第3の色付きバンドを含む、請求項3に記載の外科用ステープル留め器具。
- 前記インジケータが前記第1の位置にあるとき、前記第1の色付きバンドが、前記第1のスロットから第1の距離で離間し、前記第2の色付きバンドが、前記第2のスロットから第2の距離で離間し、前記第3の色付きバンドが、前記第3のスロットから第3の距離で離間し、前記第1の距離が、前記第1及び第2の距離よりも長く、前記第2の距離が、前記第3の距離よりも長い、請求項4に記載の外科用ステープル留め器具。
- 前記第1の色付きバンドが、第1の幅を有し、前記第2の色付きバンドが、第2の幅を有し、前記第3の色付きバンドが、第3の幅を有し、前記第1の幅が、前記第2及び第3の幅よりも狭く、前記第2の幅が、前記第3の幅よりも狭い、請求項5に記載の外科用ステープル留め器具。
- 前記インジケータが、前記静止ハンドル内で、前記インジケータカバーの下に枢動可能に支持されている、請求項1に記載の外科用ステープル留め器具。
- 前記インジケータ板が、細長のスロットを画定する結合部材を含み、前記インジケータが、係合部材を含み、前記係合部材が、前記インジケータを前記インジケータ板に結合するように、前記細長のスロット内に受容されている、請求項1に記載の外科用ステープル留め器具。
- 前記インジケータ板が、近位に延在する部分を含み、前記静止ハンドルが、切り欠きを画定するブラケットを含み、前記近位に延在する部分が、前記切り欠きを通って延在して、前記静止ハンドル内の前記インジケータ板の動きを案内する、請求項2に記載の外科用ステープル留め器具。
- 前記付勢部材が、前記インジケータ板を遠位方向に促すように、前記ブラケットと前記インジケータ板の中央部分との間で前記近位に延在する部分の周りに圧縮状態で位置付けられている、請求項9に記載の外科用ステープル留め器具。
- 前記しるしが、段付きの色付きバンドを含む、請求項1に記載の外科用ステープル留め器具。
- 前記複数のスロットが、互いに横方向及び長手方向に離間している、請求項11に記載の外科用ステープル留め器具。
- 前記複数のスロットが、第1、第2、及び第3のスロットを含み、前記段付きの色付きバンドが、第1、第2、及び第3の段を含む、請求項12に記載の外科用ステープル留め器具。
- 前記インジケータが前記第1の位置にあるとき、前記色付きバンドの前記第1の段が、前記第1のスロットから第1の距離で離間し、前記色付きバンドの前記第2の段が、前記第2のスロットから第2の距離で離間し、前記色付きバンドの前記第3の段が、前記第3のスロットから第3の距離で離間し、前記第1の距離が、前記第1及び第2の距離よりも長く、前記第2の距離が、前記第3の距離よりも長い、請求項13に記載の外科用ステープル留め器具。
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
PCT/CN2016/073471 WO2017132932A1 (en) | 2016-02-04 | 2016-02-04 | Circular stapler with visual indicator mechanism |
Publications (2)
Publication Number | Publication Date |
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JP2019505299A JP2019505299A (ja) | 2019-02-28 |
JP6619103B2 true JP6619103B2 (ja) | 2019-12-11 |
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Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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JP2018537847A Active JP6619103B2 (ja) | 2016-02-04 | 2016-02-04 | 視覚インジケータ機構付き円形ステープラ |
Country Status (4)
Country | Link |
---|---|
US (1) | US10874399B2 (ja) |
EP (1) | EP3410957B1 (ja) |
JP (1) | JP6619103B2 (ja) |
WO (1) | WO2017132932A1 (ja) |
Families Citing this family (373)
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