JP6825881B2 - 外科用デバイスのためのアダプタアセンブリ - Google Patents
外科用デバイスのためのアダプタアセンブリ Download PDFInfo
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- JP6825881B2 JP6825881B2 JP2016216552A JP2016216552A JP6825881B2 JP 6825881 B2 JP6825881 B2 JP 6825881B2 JP 2016216552 A JP2016216552 A JP 2016216552A JP 2016216552 A JP2016216552 A JP 2016216552A JP 6825881 B2 JP6825881 B2 JP 6825881B2
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- 230000033001 locomotion Effects 0.000 claims description 26
- 230000008878 coupling Effects 0.000 claims description 21
- 238000010168 coupling process Methods 0.000 claims description 21
- 238000005859 coupling reaction Methods 0.000 claims description 21
- 230000005540 biological transmission Effects 0.000 claims description 13
- 239000012636 effector Substances 0.000 claims description 11
- 230000000712 assembly Effects 0.000 description 12
- 238000000429 assembly Methods 0.000 description 12
- 238000005520 cutting process Methods 0.000 description 3
- 238000004519 manufacturing process Methods 0.000 description 2
- 239000002131 composite material Substances 0.000 description 1
- 150000001875 compounds Chemical class 0.000 description 1
- 238000005260 corrosion Methods 0.000 description 1
- 230000007797 corrosion Effects 0.000 description 1
- 230000001351 cycling effect Effects 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 238000009434 installation Methods 0.000 description 1
- 239000002184 metal Substances 0.000 description 1
- 238000000034 method Methods 0.000 description 1
- 230000035515 penetration Effects 0.000 description 1
- 229920003023 plastic Polymers 0.000 description 1
- 239000004033 plastic Substances 0.000 description 1
- 239000011347 resin Substances 0.000 description 1
- 229920005989 resin Polymers 0.000 description 1
- 238000004904 shortening Methods 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
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
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/3209—Incision instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3494—Trocars; Puncturing needles with safety means for protection against accidental cutting or pricking, e.g. limiting insertion depth, pressure sensors
- A61B17/3496—Protecting sleeves or inner probes; Retractable tips
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- 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
- A61B2017/003—Steerable
- A61B2017/00318—Steering mechanisms
- A61B2017/00323—Cables or rods
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
- A61B2017/00473—Distal part, e.g. tip or head
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00477—Coupling
- A61B2017/00486—Adaptors for coupling parts with incompatible geometries
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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)
- Pathology (AREA)
- Surgical Instruments (AREA)
Description
本願は、2015年11月5日に出願された、米国仮特許出願第62/251,300号の利益およびそれに対する優先権を主張するものであり、該米国仮特許出願の全開示は、参照により本明細書中に援用される。
本開示は、概して、電動外科用デバイスに関する。より具体的には、本開示は、電動外科用デバイスの作動ユニットにエンドエフェクタを選択的に接続するためのアダプタアセンブリに関する。
外科手順において使用するための電動デバイスは、典型的には、ハンドルアセンブリからの回転運動を1つ以上の機能(例えば、クランプ締め、ステープル留め、切断)をもたらすための線形運動に変換する。これらの電動外科用デバイスのハンドルアセンブリの再利用を可能にし、それにより、ハンドルアセンブリが種々のエンドエフェクタと共に使用され得るようにするために、アダプタアセンブリは、ハンドルアセンブリおよび種々のエンドエフェクタに対する選択的取り付けのために開発されてきた。使用後、アダプタアセンブリは、エンドエフェクタと共に処分され得る。
エンドエフェクタを電動外科用器具に動作可能に接続するためのアダプタアセンブリが提供される。アダプタアセンブリは、駆動結合アセンブリと、第1の駆動アセンブリと、第2の駆動アセンブリと、作動アセンブリとを含む。第1の駆動アセンブリは、駆動結合アセンブリに動作可能に接続されており、第1のプッシュ・プルケーブルを含む。第2の駆動アセンブリは、駆動結合アセンブリに動作可能に接続されており、第2のプッシュ・プルケーブルおよび第3のプッシュ・プルケーブルを含む。作動アセンブリは、第1のプッシャ部材を含む。第2のプッシュ・プルケーブルおよび第3のプッシュ・プルケーブルの後退は、第1のプッシャ部材の前進をもたらす。
本発明は、例えば、以下を提供する。
(項目1)
エンドエフェクタを外科用器具に動作可能に接続するためのアダプタアセンブリであって、上記アダプタアセンブリは、
駆動結合アセンブリと、
上記駆動結合アセンブリに動作可能に接続された第1の駆動アセンブリであって、上記第1の駆動アセンブリは、第1のプッシュ・プルケーブルを含む、第1の駆動アセンブリと、
上記駆動結合アセンブリに動作可能に接続された第2の駆動アセンブリであって、上記第2の駆動アセンブリは、少なくとも第2のプッシュ・プルケーブルおよび第3のプッシュ・プルケーブルを含む、第2の駆動アセンブリと、
第1のプッシャ部材を含む作動アセンブリであって、上記第2のプッシュ・プルケーブルおよび上記第3のプッシュ・プルケーブルの後退は、上記第1のプッシャ部材の前進をもたらす、作動アセンブリと
を含む、アダプタアセンブリ。
(項目2)
上記駆動結合アセンブリに動作可能に接続された第3の駆動アセンブリをさらに含み、上記第3の駆動アセンブリは、少なくとも第4のプッシュ・プルケーブルおよび第5のプッシュ・プルケーブルを含む、上記項目に記載のアダプタアセンブリ。
(項目3)
上記作動アセンブリは、第2のプッシャ部材を含み、上記第4のプッシュ・プルケーブルおよび上記第5のプッシュ・プルケーブルの後退は、上記第2のプッシャ部材の前進をもたらす、上記項目のいずれか一項に記載のアダプタアセンブリ。
(項目4)
トロカール部材をさらに含み、上記第1のプッシュ・プルケーブルは、上記トロカール部材に固定されている、上記項目のいずれか一項に記載のアダプタアセンブリ。
(項目5)
上記第2のプッシュ・プルケーブルおよび上記第3のプッシュ・プルケーブルならびに上記第4のプッシュ・プルケーブルおよび上記第5のプッシュ・プルケーブルの各々は、対応するシースを含む、上記項目のいずれか一項に記載のアダプタアセンブリ。
(項目6)
上記第2のプッシュ・プルケーブル、上記第3のプッシュ・プルケーブル、上記第4のプッシュ・プルケーブル、および上記第5のプッシュ・プルケーブル、ならびに上記対応するシースの各々は、サービススラックを含む、上記項目のいずれか一項に記載のアダプタアセンブリ。
(項目7)
上記第2のプッシュ・プルケーブルおよび上記第3のプッシュ・プルケーブルの各々は、第1の対のガイド部材に固定されており、上記第4のプッシュ・プルケーブルおよび上記第5のプッシュ・プルケーブルは、第2の対のガイド部材に固定されている、上記項目のいずれか一項に記載のアダプタアセンブリ。
(項目8)
上記作動アセンブリは、円筒形ハウジングを含み、上記第1の対のガイド部材および上記第2の対のガイド部材の各ガイド部材は、上記円筒形ハウジングに対して固定されている、上記項目のいずれか一項に記載のアダプタアセンブリ。
(項目9)
上記第1の駆動アセンブリ、上記第2の駆動アセンブリ、および上記第3の駆動アセンブリの各々は、高速低トルク入力を低速高トルク出力に変換するためのトランスミッションを含む、上記項目のいずれか一項に記載のアダプタアセンブリ。
(項目10)
上記結合アセンブリは、上記第1の駆動アセンブリ、上記第2の駆動アセンブリ、および上記第3の駆動アセンブリの各々を、ハンドルアセンブリのそれぞれの第1の駆動シャフト、第2の駆動シャフト、および第3の駆動シャフトに接続している、上記項目のいずれか一項に記載のアダプタアセンブリ。
(項目11)
上記第1の駆動アセンブリは、第1のキャリッジアセンブリを含み、上記第2の駆動アセンブリは、第2のキャリッジアセンブリを含み、上記第1のプッシュ・プルケーブルは、上記第1のキャリッジアセンブリに固定されており、上記第2のプッシュ・プルケーブルおよび上記第3のプッシュ・プルケーブルは、上記第2のキャリッジアセンブリに固定されている、上記項目のいずれか一項に記載のアダプタアセンブリ。
(項目12)
上記第3の駆動アセンブリは、第3のキャリッジアセンブリを含み、上記第4のプッシュ・プルケーブルおよび上記第5のプッシュ・プルケーブルは、上記第3のキャリッジアセンブリに固定されている、上記項目のいずれか一項に記載のアダプタアセンブリ。
(項目13)
トロカールアセンブリをさらに含み、上記トロカールアセンブリは、係止部材および解放可能トロカール部材を含む、上記項目のいずれか一項に記載のアダプタアセンブリ。
(項目14)
上記解放可能トロカール部材は、アンビルアセンブリと動作可能に係合するように構成されている、上記項目のいずれか一項に記載のアダプタアセンブリ。
(項目15)
携帯式電気機械器具に対する接続および上記携帯式電気機械器具による動作のための外科用アセンブリであって、上記外科用アセンブリは、
係止部材および上記係止部材に解放可能に固定されているトロカール部材を含むトロカールアセンブリと、
携帯式電気機械器具に解放可能に固定されるように構成され、かつ第1の駆動ケーブルを含むアダプタアセンブリであって、上記トロカール部材の上記係止部材は、上記第1の駆動ケーブルに固定されており、上記トロカール部材が上記係止部材から解放可能である第1の位置と、上記トロカール部材が上記係止部材に対して固定されている第2の位置との間で移動可能である、アダプタアセンブリと
を含む、外科用アセンブリ。
(摘要)
エンドエフェクタを外科用器具に接続するためのアダプタアセンブリは、回転運動を線形運動に変換するように構成された第1の駆動アセンブリおよび第2の駆動アセンブリと、作動アセンブリとを含む。第2の駆動アセンブリは、駆動部材を長手方向に前進および後退させるための一対のプッシュ・プルケーブルを含む。
Claims (14)
- エンドエフェクタを外科用器具に動作可能に接続するためのアダプタアセンブリであって、前記アダプタアセンブリは、遠位端と近位端とを有し、前記アダプタアセンブリは、
駆動結合アセンブリと、
前記駆動結合アセンブリに動作可能に接続された第1の駆動アセンブリであって、前記第1の駆動アセンブリは、第1のプッシュ・プルケーブルを含む、第1の駆動アセンブリと、
前記駆動結合アセンブリに動作可能に接続された第2の駆動アセンブリであって、前記第2の駆動アセンブリは、少なくとも第2のプッシュ・プルケーブルおよび第3のプッシュ・プルケーブルを含む、第2の駆動アセンブリと、
第1のプッシャ部材を含む作動アセンブリであって、前記近位端から前記遠位端に向かう遠位方向の前記第2のプッシュ・プルケーブルおよび前記第3のプッシュ・プルケーブルの移動は、前記遠位方向の前記第1のプッシャ部材の移動をもたらす、作動アセンブリと
を含む、アダプタアセンブリ。 - 前記駆動結合アセンブリに動作可能に接続された第3の駆動アセンブリをさらに含み、前記第3の駆動アセンブリは、少なくとも第4のプッシュ・プルケーブルおよび第5のプッシュ・プルケーブルを含む、請求項1に記載のアダプタアセンブリ。
- 前記作動アセンブリは、第2のプッシャ部材を含み、前記遠位方向の前記第4のプッシュ・プルケーブルおよび前記第5のプッシュ・プルケーブルの移動は、前記遠位方向の前記第2のプッシャ部材の移動をもたらす、請求項2に記載のアダプタアセンブリ。
- トロカール部材をさらに含み、前記第1のプッシュ・プルケーブルは、前記トロカール部材に固定されている、請求項1に記載のアダプタアセンブリ。
- 前記第2のプッシュ・プルケーブルおよび前記第3のプッシュ・プルケーブルならびに前記第4のプッシュ・プルケーブルおよび前記第5のプッシュ・プルケーブルの各々は、対応するシースを含む、請求項2に記載のアダプタアセンブリ。
- 前記第2のプッシュ・プルケーブル、前記第3のプッシュ・プルケーブル、前記第4のプッシュ・プルケーブル、および前記第5のプッシュ・プルケーブル、ならびに前記対応するシースの各々は、サービススラックを含む、請求項5に記載のアダプタアセンブリ。
- 前記第2のプッシュ・プルケーブルおよび前記第3のプッシュ・プルケーブルの各々は、第1の対のガイド部材に固定されており、前記第4のプッシュ・プルケーブルおよび前記第5のプッシュ・プルケーブルは、第2の対のガイド部材に固定されている、請求項2に記載のアダプタアセンブリ。
- 前記作動アセンブリは、円筒形ハウジングを含み、前記第1の対のガイド部材および前記第2の対のガイド部材の各ガイド部材は、前記円筒形ハウジングに対して固定されている、請求項7に記載のアダプタアセンブリ。
- 前記第1の駆動アセンブリ、前記第2の駆動アセンブリ、および前記第3の駆動アセンブリの各々は、高速低トルク入力を低速高トルク出力に変換するためのトランスミッションを含む、請求項2に記載のアダプタアセンブリ。
- 前記結合アセンブリは、前記第1の駆動アセンブリ、前記第2の駆動アセンブリ、および前記第3の駆動アセンブリの各々を、ハンドルアセンブリのそれぞれの第1の駆動シャフト、第2の駆動シャフト、および第3の駆動シャフトに接続している、請求項2に記載のアダプタアセンブリ。
- 前記第1の駆動アセンブリは、第1のキャリッジアセンブリを含み、前記第2の駆動アセンブリは、第2のキャリッジアセンブリを含み、前記第1のプッシュ・プルケーブルは、前記第1のキャリッジアセンブリに固定されており、前記第2のプッシュ・プルケーブルおよび前記第3のプッシュ・プルケーブルは、前記第2のキャリッジアセンブリに固定されている、請求項1に記載のアダプタアセンブリ。
- 前記第3の駆動アセンブリは、第3のキャリッジアセンブリを含み、前記第4のプッシュ・プルケーブルおよび前記第5のプッシュ・プルケーブルは、前記第3のキャリッジアセンブリに固定されている、請求項2に記載のアダプタアセンブリ。
- トロカールアセンブリをさらに含み、前記トロカールアセンブリは、係止部材および解放可能トロカール部材を含む、請求項1に記載のアダプタアセンブリ。
- 前記解放可能トロカール部材は、アンビルアセンブリと動作可能に係合するように構成されている、請求項13に記載のアダプタアセンブリ。
Applications Claiming Priority (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201562251300P | 2015-11-05 | 2015-11-05 | |
US62/251,300 | 2015-11-05 | ||
US15/297,178 US10512466B2 (en) | 2015-11-05 | 2016-10-19 | Adapter assembly for surgical device |
US15/297,178 | 2016-10-19 |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2017086909A JP2017086909A (ja) | 2017-05-25 |
JP6825881B2 true JP6825881B2 (ja) | 2021-02-03 |
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Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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JP2016216552A Active JP6825881B2 (ja) | 2015-11-05 | 2016-11-04 | 外科用デバイスのためのアダプタアセンブリ |
Country Status (6)
Country | Link |
---|---|
US (1) | US10512466B2 (ja) |
EP (1) | EP3165180B1 (ja) |
JP (1) | JP6825881B2 (ja) |
CN (1) | CN106963432A (ja) |
AU (1) | AU2016253651A1 (ja) |
CA (1) | CA2947561A1 (ja) |
Families Citing this family (11)
Publication number | Priority date | Publication date | Assignee | Title |
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- 2016-11-04 CN CN201610962136.XA patent/CN106963432A/zh active Pending
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CA2947561A1 (en) | 2017-05-05 |
US20170128074A1 (en) | 2017-05-11 |
AU2016253651A1 (en) | 2017-05-25 |
JP2017086909A (ja) | 2017-05-25 |
CN106963432A (zh) | 2017-07-21 |
EP3165180A3 (en) | 2017-08-16 |
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