JP7061430B2 - 取り外し可能なトロカールアセンブリを含むアダプタアセンブリ - Google Patents
取り外し可能なトロカールアセンブリを含むアダプタアセンブリ Download PDFInfo
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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
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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
- A61B17/34—Trocars; Puncturing needles
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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
- 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
- A61B2017/00398—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like using powered actuators, e.g. stepper motors, solenoids
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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
- A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
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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
- A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
- A61B2017/00464—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable for use with different instruments
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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
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00681—Aspects not otherwise provided for
- A61B2017/00734—Aspects not otherwise provided for battery operated
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- 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
- A61B2090/0813—Accessories designed for easy sterilising, i.e. re-usable
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- Life Sciences & Earth Sciences (AREA)
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- Heart & Thoracic Surgery (AREA)
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- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Pathology (AREA)
- Surgical Instruments (AREA)
Description
(技術分野)
本開示は、再使用可能な外科用ステープル留めデバイスに関する。より特定すれば、本開示は、円形ステープラとの使用のための取り外し可能なトロカールアセンブリを含む再使用可能なアダプタアセンブリに関する。
組織にステープル、クリップ、またはその他のファスナーを適用するための外科用デバイスは周知である。代表的には、内視鏡ステープル留めデバイスは、作動ユニット、すなわち、内視鏡アクセスのためにデバイスおよびシャフトを作動するためのハンドルアセンブリ、およびシャフトの遠位端に配置されるツールアセンブリを含む。特定のこれらのデバイスでは、シャフトは、ハンドルアセンブリに固定可能な近位端およびツールアセンブリに固定可能な遠位端を有する、アダプタアセンブリを含む。アダプタアセンブリは、延長部を含み得る。
ローディングユニットをハンドルアセンブリに接続するためのアダプタアセンブリが提供される。このアダプタアセンブリは、スリーブ、スリーブと取り外し可能に固定可能なトロカールアセンブリ、およびスリーブ内でトロカールアセンブリに取り外し可能に固定するように構成される係止アセンブリを含む。この係止アセンブリは、第1のボタン部材および第2のボタン部材、ならびに第1のボタン部材および第2のボタン部材の動きに応答して選択的に移動可能な対応する第1の係止部材および第2の係止部材を含む。第1の係止部材および第2の係止部材は、トロカールハウジングの個々の第1の係止開口部および第2の係止開口部内での選択的受容のために構成されている。
より特定すれば、本願明細書は、以下の項目を含む構成を記載している。
(項目1)
ローディングユニットをハンドルアセンブリ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、
スリーブと、
上記スリーブと解放可能に固定可能な取り外し可能なトロカールアセンブリであって、上記トロカールアセンブリは、第1の係止開口部および第2の係止開口部を画定するハウジングを含む、トロカールアセンブリと、
上記スリーブ内の上記トロカールアセンブリを解放可能に固定するように構成された係止アセンブリであって、上記係止アセンブリは、第1のボタン部材および第2のボタン部材、および上記第1のボタン部材および上記第2のボタン部材の移動に応答して選択的に移動可能な対応する第1の係止部材および第2の係止部材を含み、上記第1の係止部材および上記第2の係止部材は、トロカールハウジングの個々の第1の係止開口部および第2の係止開口部内の選択的な受容のための構成される、係止アセンブリと、を備える、アダプタアセンブリ。
(項目2)
上記第1の係止部材および上記第2の係止部材は、上記トロカールアセンブリが上記スリーブ内に固定して受容される第1の位置と、上記トロカールアセンブリが上記スリーブ内から取り外し可能である第2の位置との間で移動可能である、上記項目に記載のアダプタアセンブリ。
(項目3)
上記第1のボタン部材および上記第2のボタン部材は、個々の上記第1の係止部材および上記第2の係止部材を、上記第1の位置と上記第2の位置との間で移動させるように構成される、上記項目のいずれかに記載のアダプタアセンブリ。
(項目4)
上記第1の係止部材および上記第2の係止部材は、個々の第1のバネおよび第2のバネによって上記第1の位置に付勢される、上記項目のいずれかに記載のアダプタアセンブリ。
(項目5)
上記第1の係止部材および上記第2の係止部材は、上記第1の係止部材および上記第2の係止部材が上記第1の位置にあるとき、個々の上記第1のボタン部材および上記第2のボタン部材を外方位置に維持する、上記項目のいずれかに記載のアダプタアセンブリ。
(項目6)
上記係止アセンブリはさらに、第1の凹部および第2の凹部を画定する内部ハウジングを含み、上記第1のボタン部材および上記第2のボタン部材が、個々の上記第1の凹部および上記第2の凹部内に受容される、上記項目のいずれかに記載のアダプタアセンブリ。
(項目7)
内部可撓性バンドアセンブリおよび外部可撓性バンドアセンブリをさらに含む、上記項目のいずれかに記載のアダプタアセンブリ。
(項目8)
上記内部ハウジングはさらに、第1の開口および第2の開口を画定し、上記第1の係止部材および上記第2の係止部材が個々の上記第1の開口および上記第2の開口内に受容される、上記項目のいずれかに記載のアダプタアセンブリ。
(項目9)
上記内部ハウジングはさらに、少なくとも1つの洗浄ポートを画定する、上記項目のいずれかに記載のアダプタアセンブリ。
(項目10)
さらに、ベース、および上記ベースに回転可能に固定されたハンドルを含み、上記スリーブの近位端が上記ハンドルにしっかりと固定されて上記ハンドルが上記スリーブの回転を可能にする、上記項目のいずれかに記載のアダプタアセンブリ。
(摘要)
ローディングユニットをハンドルアセンブリに接続するためのアダプタアセンブリが提供される。このアダプタアセンブリは、スリーブ、このスリーブと解放可能に固定可能な取り外し可能なトロカールアセンブリ、およびスリーブ内にトロカールアセンブリを解放可能に固定するように構成された係止アセンブリを含む。係止アセンブリは、トロカールアセンブリを解放可能に固定するための、第1のボタン部材および第2のボタン部材、ならびに対応する第1の係止部材および第2の係止部材を含む。
取り外し可能なトロカールアセンブリを含む、本明細書で開示される再使用可能なアダプタアセンブリの実施形態は、ここで、図面を参照して詳細に説明され、図面においては同様の参照番号は、いくつかの図面の各々において同一の要素または対応する要素を指定している。当該技術分野で一般的であるように、用語「近位」は、ユーザまたはオペレータ、すなわち、外科医または臨床医により近い部分または構成要素をいい、その一方用語「遠位」は、ユーザからさらに離れたパーツまたは構成要素をいう。
Claims (8)
- ローディングユニットをハンドルアセンブリに接続するためのアダプタアセンブリであって、該アダプタアセンブリは、
第1の開口部および第2の開口部を画定するスリーブと、
該スリーブ内に解放可能に固定可能な取り外し可能なトロカールアセンブリであって、該トロカールアセンブリは、第1の係止開口部および第2の係止開口部を画定するトロカールハウジングを含む、トロカールアセンブリと、
該スリーブ内に配置された係止アセンブリであって、該係止アセンブリは、第1のボタン部材および第2のボタン部材と、対応する第1の係止部材および第2の係止部材とを含み、該係止アセンブリは、該第1の係止部材と該第2の係止部材との間に該トロカールアセンブリを受容しかつ該スリーブ内に該トロカールアセンブリを解放可能に固定するように構成され、該第1のボタン部材および該第2のボタン部材は、該第1のボタン部材および該第2のボタン部材の押し下げに応答して個々の該第1の係止部材および第2の係止部材を第1の位置から第2の位置に移動させるよう構成され、該第1の係止部材および該第2の係止部材は、該トロカールハウジングの個々の該第1の係止開口部および該第2の係止開口部内の受容のために構成され、該第1のボタン部材および該第2のボタン部材は、該スリーブの個々の該第1の開口部および該第2の開口部を通って突出する、係止アセンブリと
を備える、アダプタアセンブリ。 - 前記第1の係止部材および前記第2の係止部材が前記第1の位置にあるとき、該第1の係止部材および該第2の係止部材が前記トロカールハウジングの個々の前記第1の係止開口部および前記第2の係止開口部内に受容され、かつ、前記トロカールアセンブリが前記スリーブ内に固定して受容され、該第1の係止部材および該第2の係止部材が前記第2の位置にあるとき、該第1の係止部材および該第2の係止部材が該トロカールハウジングの個々の該第1の係止開口部および該第2の係止開口部から引き抜かれ、かつ、該トロカールアセンブリが該スリーブ内から取り外し可能である、請求項1に記載のアダプタアセンブリ。
- 前記第1の係止部材および前記第2の係止部材は、個々の第1のバネおよび第2のバネによって前記第1の位置に付勢される、請求項2に記載のアダプタアセンブリ。
- 前記第1の係止部材および前記第2の係止部材は、該第1の係止部材および該第2の係止部材が前記第1の位置にあるとき、個々の前記第1のボタン部材および前記第2のボタン部材を外方位置に維持し、該外方位置において、該第1のボタン部材および該第2のボタン部材は、前記スリーブの個々の前記第1の開口部および前記第2の開口部を通って突出する、請求項4に記載のアダプタアセンブリ。
- 前記係止アセンブリはさらに、円筒形の本体を有する内部ハウジングを含み、該円筒形の本体は、該円筒形の本体の長さに沿って延在する側方表面を有し、該内部ハウジングは、該円筒形の本体の長さを通って延在する切り抜きを確定し、該内部ハウジングの該側方表面に第1の凹部および第2の凹部を画定し、前記第1のボタン部材および前記第2のボタン部材が、個々の該第1の凹部および該第2の凹部内に受容され、前記トロカールアセンブリは、該内部ハウジングの該切り抜き内に受容される、請求項1に記載のアダプタアセンブリ。
- 内部可撓性バンドアセンブリおよび外部可撓性バンドアセンブリをさらに含み、該内部可撓性バンドアセンブリおよび該外部可撓性バンドアセンブリは、前記内部ハウジングの前記切り抜き内に受容され、前記トロカールアセンブリは、該内部可撓性バンドアセンブリおよび該外部可撓性バンドアセンブリ内に受容される、請求項5に記載のアダプタアセンブリ。
- 前記内部ハウジングはさらに、前記内部ハウジングの前記側方表面に第1の開口および第2の開口を画定し、前記第1の係止部材および前記第2の係止部材が個々の該第1の開口および該第2の開口内に受容される、請求項5に記載のアダプタアセンブリ。
- 前記内部ハウジングはさらに、前記内部ハウジングの前記側方表面に少なくとも1つの洗浄ポートを画定する、請求項5に記載のアダプタアセンブリ。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
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US14/994,457 US10524797B2 (en) | 2016-01-13 | 2016-01-13 | Adapter assembly including a removable trocar assembly |
US14/994,457 | 2016-01-13 |
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JP2021021655A Division JP2021073042A (ja) | 2016-01-13 | 2021-02-15 | 取り外し可能なトロカールアセンブリを含むアダプタアセンブリ |
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JP2021021655A Pending JP2021073042A (ja) | 2016-01-13 | 2021-02-15 | 取り外し可能なトロカールアセンブリを含むアダプタアセンブリ |
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US (2) | US10524797B2 (ja) |
EP (1) | EP3192462B1 (ja) |
JP (2) | JP7061430B2 (ja) |
AU (1) | AU2016277583B2 (ja) |
CA (1) | CA2954381A1 (ja) |
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JP6745306B2 (ja) * | 2018-08-28 | 2020-08-26 | 株式会社メディカロイド | アダプタおよび接続方法 |
US10973544B2 (en) * | 2018-10-02 | 2021-04-13 | Covidien Lp | Retaining mechanism for trocar assembly |
US11051819B2 (en) * | 2018-10-15 | 2021-07-06 | Cilag Gmbh International | Latch to prevent back-driving of circular surgical stapler |
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CN111820981A (zh) * | 2019-04-22 | 2020-10-27 | 柯惠Lp公司 | 包括套管针锁和套管针连接指示器的手术装置 |
US11446035B2 (en) * | 2019-06-24 | 2022-09-20 | Covidien Lp | Retaining mechanisms for trocar assemblies |
US11426168B2 (en) * | 2019-07-05 | 2022-08-30 | Covidien Lp | Trocar coupling assemblies for a surgical stapler |
US11344309B2 (en) * | 2019-07-05 | 2022-05-31 | Covidien Lp | Circular stapling instruments |
US11517317B2 (en) * | 2020-01-06 | 2022-12-06 | Covidien Lp | Trocar release assemblies for a surgical stapler |
US11426170B2 (en) * | 2020-03-24 | 2022-08-30 | Covidien Lp | Retaining mechanisms for trocar assemblies |
US11350939B2 (en) * | 2020-03-24 | 2022-06-07 | Covidien Lp | Retaining mechanisms for trocar assemblies |
US11426169B2 (en) * | 2020-03-24 | 2022-08-30 | Covidien Lp | Retaining mechanisms for trocar assemblies |
Citations (1)
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2016
- 2016-01-13 US US14/994,457 patent/US10524797B2/en active Active
- 2016-12-20 AU AU2016277583A patent/AU2016277583B2/en not_active Ceased
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CA2954381A1 (en) | 2017-07-13 |
AU2016277583A1 (en) | 2017-07-27 |
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