JP7179945B2 - 分離形のモータとモータ制御回路とを備えた外科用器具 - Google Patents
分離形のモータとモータ制御回路とを備えた外科用器具 Download PDFInfo
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- 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
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- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
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- 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
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- 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
- A61B2017/07271—Stapler heads characterised by its cartridge
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- A61B90/08—Accessories or related features not otherwise provided for
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Description
本願は、同一所有者の同時に出願された、代理人整理番号END7792USNP/150506として参照され、「MECHANISMS FOR COMPENSATING FOR BATTERY PACK FAILURE IN POWERED SURGICAL INSTRUMENTS」と題された米国出願、及び代理人整理番号END7797USNP/150511として参照され、「MECHANISMS FOR COMPENSATING FOR DRIVETRAIN FAILURE IN POWERED SURGICAL INSTRUMENTS」と題された米国出願に関するものであり、これらの各々は参照によってそのすべての内容が本明細書に組み込まれる。
2012年10月23日に出願され、「SURGICAL INSTRUMENT WITH RAPID POST EVENT DETECTION」と題された米国特許出願公開第2014/0110453号、
2013年6月19日に出願され、「APPARATUS FOR ENDOSCOPIC PROCEDURES」と題された米国特許出願公開第2013/0282052号、及び
2013年5月10日に出願され、「APPARATUS FOR ENDOSCOPIC PROCEDURES」と題された米国特許出願公開第2013/0274722号である。
1.外科用器具であって、ジョーアセンブリであって、複数のステープルを含んだステープルカートリッジと、アンビルと、を備え、前記ステープルカートリッジと前記アンビルの少なくとも一方は、前記ステープルカートリッジと前記アンビルとの間に組織を捕捉するために前記ステープルカートリッジと前記アンビルのもう一方に対して移動可能である、ジョーアセンブリと、発射シーケンスの間に、前記捕捉された組織の中に前記複数のステープルを配備するように構成された発射アセンブリと、
ハンドルであって、アクチュエータと、インターフェースと、を備える、ハンドルと、モータカートリッジであって、前記インターフェースは前記ハンドルに前記モータカートリッジを解放可能に結合するように構成され、前記モータカートリッジは、
前記モータカートリッジが前記ハンドルに結合されているときに、前記発射アセンブリに動作可能に結合される電気モータと、
モータ制御回路であって、前記アクチュエータの作動に応答して、前記捕捉された組織の中に前記複数のステープルを配備するように前記発射アセンブリを誘導するために、前記電気モータに少なくとも1つの回転運動を発生させるように構成されている、モータ制御回路と、を備える、モータカートリッジと、
コントローラであって、
プロセッサと、
プログラム命令を記憶するコンピュータ可読記憶装置であって、該プログラム命令は、前記プロセッサによって実行されると、前記プロセッサに、前記モータカートリッジの機能不良を検出させる、プログラム命令を記憶するコンピュータ可読記憶装置と、を備える、コントローラと、を備える、外科用器具。
2.前記コンピュータ可読記憶装置はメモリである、項目1に記載の外科用器具。
3.前記プログラム命令は、実行されると、前記プロセッサに更に、前記モータカートリッジの前記機能不良を検出した後に、前記モータカートリッジの損傷ステータスを前記メモリに記憶させる、項目1又は2に記載の外科用器具。
4.少なくとも1つのユーザフィードバック要素を更に備え、前記プログラム命令は、実行されると、前記プロセッサに更に、前記機能不良をユーザに警告するために前記少なくとも1つのユーザフィードバック要素を用いさせる、項目1~3のいずれか一項目に記載の外科用器具。
5.前記プログラム命令は、実行されると、前記プロセッサに更に、前記モータカートリッジを交換するための指示を前記ユーザに提供するために前記少なくとも1つのユーザフィードバック要素を用いさせる、項目4に記載の外科用器具。
6.電源を更に備え、前記プログラム命令は、実行されると、前記プロセッサに更に、前記モータカートリッジの前記機能不良を検出した後に、前記電源から前記モータカートリッジへの電力伝送を停止させる、項目1~5のいずれか一項目に記載の外科用器具。
7.電流センサを更に備え、前記プログラム命令は、実行されると、前記プロセッサに、前記モータカートリッジの前記機能不良の前記検出の際に前記電流センサを用いさせる、項目1~6のいずれか一項目に記載の外科用器具。
8.モータカートリッジ交換フィードバック要素を更に備え、前記プログラム命令は、実行されると、前記プロセッサに、前記モータカートリッジの交換を検出するために前記モータカートリッジ交換フィードバック要素を用いさせる、項目1~7のいずれか一項目に記載の外科用器具。
9.前記モータカートリッジ交換フィードバック要素は圧力センサである、項目8に記載の外科用器具。
10.外科用器具であって、エンドエフェクタと、前記エンドエフェクタに動作可能に結合された駆動アセンブリと、交換式モータカートリッジであって、
モータ制御回路基板と、
モータと、
を備える、交換式モータカートリッジと、主制御回路基板であって、プロセッサと、
プログラム命令を記憶するコンピュータ可読記憶装置であって、該プログラム命令は、前記プロセッサによって実行されると、前記プロセッサに、前記モータカートリッジの機能不良を検出させる、プログラム命令を記憶するコンピュータ可読記憶装置と、を備える、主制御回路基板と、
インターフェースであって、
前記モータを前記駆動アセンブリに解放可能に結合するように構成された機械的インターフェース部分と、
前記モータ制御回路基板を前記主制御回路基板に解放可能に結合するように構成された電気的インターフェース部分と、を備える、インターフェースと、を備える、外科用器具。
11.前記交換式モータカートリッジは、別のモータを更に備える、項目10に記載の外科用器具。
12.前記コンピュータ可読記憶装置はメモリである、項目10又は11に記載の外科用器具。
13.前記プログラム命令は、実行されると、前記プロセッサに更に、前記モータカートリッジの前記機能不良を検出した後に、前記モータカートリッジの損傷ステータスを前記メモリに記憶させる、項目12に記載の外科用器具。
14.少なくとも1つのユーザフィードバック要素を更に備え、前記プログラム命令は、実行されると、前記プロセッサに更に、前記機能不良をユーザに警告するために前記少なくとも1つのユーザフィードバック要素を用いさせる、項目10~13のいずれか一項目に記載の外科用器具。
15.前記プログラム命令は、実行されると、前記プロセッサに更に、前記モータカートリッジを交換するための指示を前記ユーザに提供するために前記少なくとも1つのユーザフィードバック要素を用いさせる、項目に記載の外科用器具。
16.電源を更に備え、前記プログラム命令は、実行されると、前記プロセッサに更に、前記モータカートリッジの前記機能不良を検出した後に、前記電源から前記モータカートリッジへの電力伝送を停止させる、項目10~15のいずれか一項目に記載の外科用器具。
17.電流センサを更に備え、前記プログラム命令は、実行されると、前記プロセッサに、前記モータカートリッジの前記機能不良の前記検出の際に前記電流センサを用いさせる、項目10~16のいずれか一項目に記載の外科用器具。
18.モータカートリッジ交換フィードバック要素を更に備え、前記プログラム命令は、実行されると、前記プロセッサに、前記モータカートリッジの交換を検出するために前記モータカートリッジ交換フィードバック要素を用いさせる、項目10~17のいずれか一項目に記載の外科用器具。
19.前記モータカートリッジ交換フィードバック要素は圧力センサである、項目18に記載の外科用器具。
20.外科用器具であって、エンドエフェクタと、前記エンドエフェクタに動作可能に結合された駆動アセンブリと、交換式高電流要素であって、
モータ制御回路基板と、
モータと、
を備える、交換式高電流要素と、低電流要素であって、少なくとも1つのフィードバック要素と、コントローラであって、
プロセッサと、
プログラム命令を記憶するコンピュータ可読記憶装置であって、該プログラム命令は、前記プロセッサによって実行されると、前記プロセッサに、前記高電流要素の機能不良を検出させる、プログラム命令を記憶するコンピュータ可読記憶装置と、を備える、コントローラと、を備える、低電流要素と、
インターフェースであって、
前記モータを前記駆動アセンブリに解放可能に結合するように構成された機械的インターフェース部分と、
前記モータ制御回路を前記コントローラに解放可能に結合するように構成された電気的インターフェース部分と、を備える、インターフェースと、を備える、外科用器具。
(1) 外科用器具であって、
ジョーアセンブリであって、
複数のステープルを含んだステープルカートリッジと、
アンビルと、を備え、前記ステープルカートリッジと前記アンビルの少なくとも一方は、前記ステープルカートリッジと前記アンビルとの間に組織を捕捉するために前記ステープルカートリッジと前記アンビルのもう一方に対して移動可能である、ジョーアセンブリと、
発射シーケンスの間に、前記捕捉された組織の中に前記複数のステープルを配備するように構成された発射アセンブリと、
ハンドルであって、
アクチュエータと、
インターフェースと、を備える、ハンドルと、
モータカートリッジであって、前記インターフェースは前記ハンドルに前記モータカートリッジを解放可能に結合するように構成され、前記モータカートリッジは、
前記モータカートリッジが前記ハンドルに結合されているときに、前記発射アセンブリに動作可能に結合される電気モータと、
モータ制御回路であって、前記アクチュエータの作動に応答して、前記捕捉された組織の中に前記複数のステープルを配備するように前記発射アセンブリを誘導するために、前記電気モータに少なくとも1つの回転運動を発生させるように構成されている、モータ制御回路と、を備える、モータカートリッジと、
コントローラであって、
プロセッサと、
プログラム命令を記憶するコンピュータ可読記憶装置であって、該プログラム命令は、前記プロセッサによって実行されると、前記プロセッサに、前記モータカートリッジの機能不良を検出させる、プログラム命令を記憶するコンピュータ可読記憶装置と、を備える、コントローラと、を備える、外科用器具。
(2) 前記コンピュータ可読記憶装置はメモリである、実施態様1に記載の外科用器具。
(3) 前記プログラム命令は、実行されると、前記プロセッサに更に、前記モータカートリッジの前記機能不良を検出した後に、前記モータカートリッジの損傷ステータスを前記メモリに記憶させる、実施態様2に記載の外科用器具。
(4) 少なくとも1つのユーザフィードバック要素を更に備え、前記プログラム命令は、実行されると、前記プロセッサに更に、前記機能不良をユーザに警告するために前記少なくとも1つのユーザフィードバック要素を用いさせる、実施態様1に記載の外科用器具。
(5) 前記プログラム命令は、実行されると、前記プロセッサに更に、前記モータカートリッジを交換するための指示を前記ユーザに提供するために前記少なくとも1つのユーザフィードバック要素を用いさせる、実施態様4に記載の外科用器具。
(7) 電流センサを更に備え、前記プログラム命令は、実行されると、前記プロセッサに、前記モータカートリッジの前記機能不良の前記検出の際に前記電流センサを用いさせる、実施態様1に記載の外科用器具。
(8) モータカートリッジ交換フィードバック要素を更に備え、前記プログラム命令は、実行されると、前記プロセッサに、前記モータカートリッジの交換を検出するために前記モータカートリッジ交換フィードバック要素を用いさせる、実施態様1に記載の外科用器具。
(9) 前記モータカートリッジ交換フィードバック要素は圧力センサである、実施態様8に記載の外科用器具。
(10) 外科用器具であって、
エンドエフェクタと、
前記エンドエフェクタに動作可能に結合された駆動アセンブリと、
交換式モータカートリッジであって、
モータ制御回路基板と、
モータと、を備える、交換式モータカートリッジと、
主制御回路基板であって、
プロセッサと、
プログラム命令を記憶するコンピュータ可読記憶装置であって、該プログラム命令は、前記プロセッサによって実行されると、前記プロセッサに、前記モータカートリッジの機能不良を検出させる、プログラム命令を記憶するコンピュータ可読記憶装置と、を備える、主制御回路基板と、
インターフェースであって、
前記モータを前記駆動アセンブリに解放可能に結合するように構成された機械的インターフェース部分と、
前記モータ制御回路基板を前記主制御回路基板に解放可能に結合するように構成された電気的インターフェース部分と、を備える、インターフェースと、を備える、外科用器具。
(12) 前記コンピュータ可読記憶装置はメモリである、実施態様10に記載の外科用器具。
(13) 前記プログラム命令は、実行されると、前記プロセッサに更に、前記モータカートリッジの前記機能不良を検出した後に、前記モータカートリッジの損傷ステータスを前記メモリに記憶させる、実施態様12に記載の外科用器具。
(14) 少なくとも1つのユーザフィードバック要素を更に備え、前記プログラム命令は、実行されると、前記プロセッサに更に、前記機能不良をユーザに警告するために前記少なくとも1つのユーザフィードバック要素を用いさせる、実施態様10に記載の外科用器具。
(15) 前記プログラム命令は、実行されると、前記プロセッサに更に、前記モータカートリッジを交換するための指示を前記ユーザに提供するために前記少なくとも1つのユーザフィードバック要素を用いさせる、実施態様14に記載の外科用器具。
(17) 電流センサを更に備え、前記プログラム命令は、実行されると、前記プロセッサに、前記モータカートリッジの前記機能不良の前記検出の際に前記電流センサを用いさせる、実施態様10に記載の外科用器具。
(18) モータカートリッジ交換フィードバック要素を更に備え、前記プログラム命令は、実行されると、前記プロセッサに、前記モータカートリッジの交換を検出するために前記モータカートリッジ交換フィードバック要素を用いさせる、実施態様10に記載の外科用器具。
(19) 前記モータカートリッジ交換フィードバック要素は圧力センサである、実施態様18に記載の外科用器具。
(20) 外科用器具であって、
エンドエフェクタと、
前記エンドエフェクタに動作可能に結合された駆動アセンブリと、
交換式高電流要素であって、
モータ制御回路と、
モータと、を備える、交換式高電流要素と、
低電流要素であって、
少なくとも1つのフィードバック要素と、
コントローラであって、
プロセッサと、
プログラム命令を記憶するコンピュータ可読記憶装置であって、該プログラム命令は、前記プロセッサによって実行されると、前記プロセッサに、前記高電流要素の機能不良を検出させる、プログラム命令を記憶するコンピュータ可読記憶装置と、を備える、コントローラと、を備える、低電流要素と、
インターフェースであって、
前記モータを前記駆動アセンブリに解放可能に結合するように構成された機械的インターフェース部分と、
前記モータ制御回路を前記コントローラに解放可能に結合するように構成された電気的インターフェース部分と、を備える、インターフェースと、を備える、外科用器具。
Claims (19)
- 外科用器具であって、
ジョーアセンブリであって、
複数のステープルを含んだステープルカートリッジと、
アンビルと、を備え、前記ステープルカートリッジと前記アンビルの少なくとも一方は、前記ステープルカートリッジと前記アンビルとの間に組織を捕捉するために前記ステープルカートリッジと前記アンビルのもう一方に対して移動可能である、ジョーアセンブリと、
発射シーケンスの間に、前記捕捉された組織の中に前記複数のステープルを配備するように構成された発射アセンブリと、
ハンドルであって、
アクチュエータと、
インターフェースと、を備える、ハンドルと、
モータカートリッジであって、前記インターフェースは前記ハンドルに前記モータカートリッジを解放可能に結合するように構成され、前記モータカートリッジは、
前記モータカートリッジが前記ハンドルに結合されているときに、前記発射アセンブリに動作可能に結合される電気モータと、
モータ制御回路であって、前記アクチュエータの作動に応答して、捕捉された前記組織の中に前記複数のステープルを配備するように前記発射アセンブリを誘導するために、前記電気モータに少なくとも1つの回転運動を発生させるように構成されている、モータ制御回路と、を備える、モータカートリッジと、
コントローラであって、
プロセッサと、
プログラム命令を記憶するコンピュータ可読記憶装置であって、該プログラム命令は、前記プロセッサによって実行されると、前記プロセッサに、前記モータカートリッジの機能不良を検出させる、プログラム命令を記憶するコンピュータ可読記憶装置と、を備える、コントローラと、を備え、
前記ハンドルは、前記モータカートリッジへのアクセスを制御するために、モータアクセスドアを解放可能にロックし、
前記コントローラは、前記モータカートリッジの前記機能不良を検出して更に前記モータアクセスドアが取り外されたことを検出したときに、前記モータカートリッジを、別のモータカートリッジと交換する指示をユーザに提供する、外科用器具。 - 前記コンピュータ可読記憶装置はメモリである、請求項1に記載の外科用器具。
- 前記プログラム命令は、実行されると、前記プロセッサに更に、前記モータカートリッジの前記機能不良を検出した後に、前記モータカートリッジの損傷ステータスを前記メモリに記憶させる、請求項2に記載の外科用器具。
- 少なくとも1つのユーザフィードバック要素を更に備え、前記プログラム命令は、実行されると、前記プロセッサに更に、前記機能不良を前記ユーザに警告するために前記少なくとも1つのユーザフィードバック要素を用いさせる、請求項1に記載の外科用器具。
- 前記プログラム命令は、実行されると、前記プロセッサに更に、前記モータカートリッジを交換するための指示を前記ユーザに提供するために前記少なくとも1つのユーザフィードバック要素を用いさせる、請求項4に記載の外科用器具。
- 電源を更に備え、前記プログラム命令は、実行されると、前記プロセッサに更に、前記モータカートリッジの前記機能不良を検出した後に、前記電源から前記モータカートリッジへの電力伝送を停止させる、請求項1に記載の外科用器具。
- 電流センサを更に備え、前記プログラム命令は、実行されると、前記プロセッサに、前記モータカートリッジの前記機能不良を検出した際に前記電流センサを用いさせる、請求項1に記載の外科用器具。
- モータカートリッジ交換フィードバック要素を更に備え、前記プログラム命令は、実行されると、前記プロセッサに、前記モータカートリッジの取り外しまたは取り付けを検出するために前記モータカートリッジ交換フィードバック要素を用いさせる、請求項1に記載の外科用器具。
- 前記モータカートリッジ交換フィードバック要素は圧力センサである、請求項8に記載の外科用器具。
- 外科用器具であって、
エンドエフェクタと、
前記エンドエフェクタに動作可能に結合された駆動アセンブリと、
交換式モータカートリッジであって、
モータ制御回路基板と、
モータと、を備える、交換式モータカートリッジと、
主制御回路基板であって、
プロセッサと、
プログラム命令を記憶するコンピュータ可読記憶装置であって、該プログラム命令は、前記プロセッサによって実行されると、前記プロセッサに、前記交換式モータカートリッジの機能不良を検出させる、プログラム命令を記憶するコンピュータ可読記憶装置と、を備える、主制御回路基板と、
インターフェースであって、
前記モータを前記駆動アセンブリに解放可能に結合するように構成された機械的インターフェース部分と、
前記モータ制御回路基板を前記主制御回路基板に解放可能に結合するように構成された電気的インターフェース部分と、を備える、インターフェースと、を備え、
前記外科用器具は、前記交換式モータカートリッジへのアクセスを制御するために、モータアクセスドアを解放可能にロックし、
前記プロセッサは、前記交換式モータカートリッジの前記機能不良を検出して更に前記モータアクセスドアが取り外されたことを検出したときに、前記交換式モータカートリッジを、別の交換式モータカートリッジと交換する指示をユーザに提供する、外科用器具。 - 前記交換式モータカートリッジは、別のモータを更に備える、請求項10に記載の外科用器具。
- 前記コンピュータ可読記憶装置はメモリである、請求項10に記載の外科用器具。
- 前記プログラム命令は、実行されると、前記プロセッサに更に、前記交換式モータカートリッジの前記機能不良を検出した後に、前記交換式モータカートリッジの損傷ステータスを前記メモリに記憶させる、請求項12に記載の外科用器具。
- 少なくとも1つのユーザフィードバック要素を更に備え、前記プログラム命令は、実行されると、前記プロセッサに更に、前記機能不良を前記ユーザに警告するために前記少なくとも1つのユーザフィードバック要素を用いさせる、請求項10に記載の外科用器具。
- 前記プログラム命令は、実行されると、前記プロセッサに更に、前記交換式モータカートリッジを交換するための指示を前記ユーザに提供するために前記少なくとも1つのユーザフィードバック要素を用いさせる、請求項14に記載の外科用器具。
- 電源を更に備え、前記プログラム命令は、実行されると、前記プロセッサに更に、前記交換式モータカートリッジの前記機能不良を検出した後に、前記電源から前記モータカートリッジへの電力伝送を停止させる、請求項10に記載の外科用器具。
- 電流センサを更に備え、前記プログラム命令は、実行されると、前記プロセッサに、前記交換式モータカートリッジの前記機能不良を検出した際に前記電流センサを用いさせる、請求項10に記載の外科用器具。
- モータカートリッジ交換フィードバック要素を更に備え、前記プログラム命令は、実行されると、前記プロセッサに、前記交換式モータカートリッジの取り外しまたは取り付けを検出するために前記モータカートリッジ交換フィードバック要素を用いさせる、請求項10に記載の外科用器具。
- 前記モータカートリッジ交換フィードバック要素は圧力センサである、請求項18に記載の外科用器具。
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US11129613B2 (en) | 2021-09-28 |
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JP6995759B2 (ja) | 2022-01-17 |
BR112018013216B1 (pt) | 2023-05-09 |
JP2019502466A (ja) | 2019-01-31 |
JP2022009499A (ja) | 2022-01-14 |
BR112018013216A2 (pt) | 2018-12-11 |
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WO2017116726A1 (en) | 2017-07-06 |
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US20210275172A1 (en) | 2021-09-09 |
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