JP6873267B2 - 安定化部材を有するクリップアプライヤ - Google Patents
安定化部材を有するクリップアプライヤ Download PDFInfo
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- 238000000034 method Methods 0.000 claims description 19
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- 229920001707 polybutylene terephthalate Polymers 0.000 description 2
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- 239000005020 polyethylene terephthalate Substances 0.000 description 2
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- 229930040373 Paraformaldehyde Natural products 0.000 description 1
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- 230000006835 compression Effects 0.000 description 1
- 238000007906 compression Methods 0.000 description 1
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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
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/128—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips
- A61B17/1285—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips for minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/122—Clamps or clips, e.g. for the umbilical cord
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/122—Clamps or clips, e.g. for the umbilical cord
- A61B17/1222—Packages or dispensers therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/122—Clamps or clips, e.g. for the umbilical cord
- A61B17/1227—Spring clips
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/2812—Surgical forceps with a single pivotal connection
- A61B17/282—Jaws
-
- 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
- A61B2017/00296—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means mounted on an endoscope
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
-
- 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
- A61B90/03—Automatic limiting or abutting means, e.g. for safety
- A61B2090/033—Abutting means, stops, e.g. abutting on tissue or skin
- A61B2090/034—Abutting means, stops, e.g. abutting on tissue or skin abutting on parts of the device itself
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Vascular Medicine (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Reproductive Health (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
本特許仮出願は、2017年3月21日出願の「安定化部材を有するクリップアプライヤ」と題された米国特許仮出願第62/474523号に対する優先権を主張するものであり、その開示全体が本明細書に組み込まれる。
本開示は、一般に、クリップアプライヤデバイスに関し、より詳細には、外科用クリップと係合するように付勢された安定化部材を有するクリップアプライヤに関する。
100A 近位部
100B 遠位部
102 ハンドル機構
104 シャフト
106 顎構造部
116 安定化部材
Claims (20)
- 組織に外科用クリップを適用するように構成されたクリップアプライヤであって、
前記外科用クリップを係合するように構成された第1の顎部材及び第2の顎部材と、
前記外科用クリップを係合するように構成された安定化部材であって、少なくとも部分的に前記第1の顎部材と前記第2の顎部材との間の第1の位置から、少なくとも部分的に前記第1の顎部材と前記第2の顎部材との間の第2の位置まで前記クリップアプライヤに対して長手方向に移動するように構成された安定化部材と、を備え、
前記安定化部材は、シャフト部と、このシャフト部の横方向両側に第1の側壁及び第2の側壁を備え、この第1の側壁及び第2の側壁は、前記第1の顎部材と第2の顎部材との間で垂直に延び、前記第1の側壁と前記第2の側壁との間で外科用クリップを受けるように構成されて、前記外科用クリップの横方向両側に配置され前記外科用クリップを横方向に安定化させるように構成され、
前記安定化部材の長手方向の移動は、前記第1の位置と前記第2の位置との間の長手方向の移動に制限される、
クリップアプライヤ。 - 組織に外科用クリップを適用するように構成されたクリップアプライヤであって、
前記外科用クリップを係合するように構成された第1の顎部材及び第2の顎部材と、
前記第1の顎部材及び前記第2の顎部材を回転可能に固定するように構成されたヒンジピンと、
前記外科用クリップを係合するように構成された安定化部材であって、少なくとも部分的に前記第1の顎部材と前記第2の顎部材との間の第1の位置から、少なくとも部分的に前記第1の顎部材と前記第2の顎部材との間の第2の位置まで前記クリップアプライヤに対して長手方向に移動するように構成された安定化部材と、を備え、
前記安定化部材は、第1の側壁及び第2の側壁を備え、この第1の側壁及び第2の側壁は、前記第1の顎部材と第2の顎部材との間で垂直に延び、前記第1の側壁と前記第2の側壁との間で外科用クリップを受けるように構成されて、前記外科用クリップの横方向両側に配置され前記外科用クリップを横方向に安定化させるように構成され、
前記安定化部材は、前記ヒンジピンを受けるように構成された長手方向チャネルを有し、前記ヒンジピンは、前記第1の位置と前記第2の位置との間で前記安定化部材の長手方向の移動を制限するように構成されている、クリップアプライヤ。 - 更に、前記安定化部材は、近位部上の管状部と、この管状部の遠位にある前記シャフト部とを備え、前記安定化部材の遠位部の幅は、前記シャフト部の幅より大きい、請求項1に記載のクリップアプライヤ。
- 更に、前記安定化部材の近位部上に位置付けられたバネを備え、このバネは、前記安定化部材を前記第2の位置の遠位にある前記第1の位置に付勢するように構成されている、請求項1に記載のクリップアプライヤ。
- 更に、前記第1の顎部材及び前記第2の顎部材の近位端部に固定されたシャフトを備え、このシャフトはその長さに沿って少なくとも1つの細長スロットを備え、前記バネは前記少なくとも1つの細長スロットを介して視認できる、請求項4に記載のクリップアプライヤ。
- 更に、前記バネの近位端部に当接する管状部材を備え、前記バネの遠位部は、前記安定化部材の近位部上の管状部に当接する、請求項4に記載のクリップアプライヤ。
- 前記安定化部材は、遠位部上に複数の突起部を含み、この複数の突起部は、前記外科用クリップを垂直方向で安定化するように構成されている、請求項1に記載のクリップアプライヤ。
- 前記第1の顎部材は、前記外科用クリップの第1の脚部材の遠位部を係合するように構成され、前記第2の顎部材は、前記外科用クリップの第2の脚部材の遠位部を係合するように構成され、前記安定化部材が、前記外科用クリップの近位部を係合するように構成されている、請求項1に記載のクリップアプライヤ。
- 前記第1の顎部材は、前記第1の脚部材の遠位部上に第1の実質的に平坦な面を係合するように構成され、前記第2の顎部材は、前記第2の脚部材の遠位部上に第2の実質的に平坦な面を係合するように構成される、請求項8に記載のクリップアプライヤ。
- 請求項1に記載のクリップアプライヤに外科用クリップを装填する方法であって、
前記クリップアプライヤの前記第1の顎部材と第2の顎部材との間に前記外科用クリップの近位を受けるステップと、
前記外科用クリップの近位を少なくとも部分的に前記第1の顎部材と前記第2の顎部材との間の第1の位置にて前記安定化部材と係合するステップと、
少なくとも部分的に前記第1の顎部材と前記第2の顎部材との間の第2の位置に前記安定化部材を長手方向で後退させるステップと、
前記安定化部材と前記第1の顎部材及び前記第2の顎部材との間で前記外科用クリップを安定化するステップと、
を含む、方法。 - 前記安定化部材の長手方向の移動は、前記第1の位置と前記第2の位置との間の長手方向の移動に制限されている、請求項10に記載の方法。
- 前記外科用クリップを安定化するステップは、前記安定化部材の遠位部上の第1の壁及び第2の壁を用いて前記外科用クリップを横方向で安定化するステップを含む、請求項10に記載の方法。
- 前記外科用クリップを安定化するステップは、前記安定化部材の遠位部上で複数の突起部を用いて前記外科用クリップを垂直方向で安定化するステップを含む、請求項10に記載の方法。
- 更に、前記外科用クリップをカートリッジからピッキングするステップを含む、請求項10に記載の方法。
- クリップアプライヤのための安定化部材であって、
近位部及び遠位部を有する細長本体と、
前記細長本体の前記遠位部上の第1の側壁及び第2の側壁であって、前記第1の側壁と前記第2の側壁との間に外科用クリップの近位部を受けるように構成されて、前記外科用クリップの横方向両側に配置され前記外科用クリップの近位部を横方向に安定化させるように構成された第1の側壁及び第2の側壁と、
前記第1の側壁と前記第2の側壁との間に配置された遠位面と、
前記遠位部から延びる前記細長本体のシャフト部と、
を備え、
前記第1の側壁及び前記第2の側壁を含む前記遠位部の幅は、前記シャフト部の幅よりも大きく、前記第1の側壁及び前記第2の側壁は、前記シャフト部の横方向両側にある、安定化部材。 - 更に、前記細長本体を介して延びる長手方向チャネルを備えている、請求項15に記載の安定化部材。
- 前記シャフト部は、実質的に矩形断面を有している、請求項15に記載の安定化部材。
- 更に、前記近位部を形成する前記細長本体の管状部を備えている、請求項15に記載の安定化部材。
- 更に、前記遠位部上に複数の突起部を備え、この複数の突起部は、前記外科用クリップの近位部を垂直方向で安定化するように構成されている、請求項15に記載の安定化部材。
- 前記安定化部材は、前記第1の顎部材及び前記第2の顎部材が前記外科用クリップを圧縮しながら後退するように構成されている、請求項1に記載のクリップアプライヤ。
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JP2021071066A JP7066895B2 (ja) | 2017-03-21 | 2021-04-20 | 安定化部材を有するクリップアプライヤ |
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US201762474523P | 2017-03-21 | 2017-03-21 | |
US62/474,523 | 2017-03-21 | ||
PCT/US2018/023620 WO2018175626A1 (en) | 2017-03-21 | 2018-03-21 | Clip applier with stabilizing member |
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US (2) | US11160559B2 (ja) |
EP (1) | EP3600084A4 (ja) |
JP (2) | JP6873267B2 (ja) |
CN (2) | CN116172649A (ja) |
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WO2020018784A1 (en) * | 2018-07-18 | 2020-01-23 | Teleflex Medical Incorporated | Clip applier and cartridge |
US11534177B2 (en) | 2017-03-21 | 2022-12-27 | Teleflex Medical Incorporated | Flexible stabilizing member for a clip applier |
US11266408B2 (en) | 2017-03-21 | 2022-03-08 | Teleflex Medical Incorporated | Clip applier having stabilizing member |
CN110740695A (zh) | 2017-03-21 | 2020-01-31 | 泰利福医疗公司 | 手术夹和施夹器 |
US12023041B2 (en) | 2017-03-21 | 2024-07-02 | Teleflex Medical Incorporated | Clip applier |
CN116172649A (zh) | 2017-03-21 | 2023-05-30 | 泰利福医疗公司 | 具有稳定构件的施夹器 |
US11291448B2 (en) * | 2017-11-15 | 2022-04-05 | BandGrip, Inc. | Mechanical tissue coupling system, applicator therefor and method of use thereof |
EP3856047A4 (en) * | 2018-09-26 | 2022-06-22 | Teleflex Medical Incorporated | STAPLER APPLICATOR WITH STABILIZATION ELEMENT |
CN109480951B (zh) * | 2018-12-29 | 2024-01-12 | 杭州圣石科技股份有限公司 | 一种免拆装可冲洗施夹器 |
EP3744266B1 (de) * | 2019-05-27 | 2024-02-28 | Erbe Elektromedizin GmbH | Elektrochirurgisches instrument |
DE102020126581A1 (de) * | 2020-10-09 | 2022-04-14 | Aesculap Ag | Applikationssystem für medizinische Clips |
CN114680994A (zh) * | 2020-12-31 | 2022-07-01 | 江苏风和医疗器材股份有限公司 | 一种施夹钳 |
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-
2018
- 2018-03-21 CN CN202310262400.9A patent/CN116172649A/zh active Pending
- 2018-03-21 WO PCT/US2018/023620 patent/WO2018175626A1/en unknown
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- 2018-03-21 JP JP2019552016A patent/JP6873267B2/ja active Active
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EP3600084A1 (en) | 2020-02-05 |
CN110740696A (zh) | 2020-01-31 |
WO2018175626A1 (en) | 2018-09-27 |
US20220047271A1 (en) | 2022-02-17 |
JP2020511264A (ja) | 2020-04-16 |
JP2021112602A (ja) | 2021-08-05 |
EP3600084A4 (en) | 2021-03-17 |
CN116172649A (zh) | 2023-05-30 |
US11160559B2 (en) | 2021-11-02 |
JP7066895B2 (ja) | 2022-05-13 |
US20180271534A1 (en) | 2018-09-27 |
CN110740696B (zh) | 2023-04-07 |
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