JP7293216B2 - クリップ前進システムを備えるクリップアプライヤー - Google Patents
クリップ前進システムを備えるクリップアプライヤー Download PDFInfo
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- JP7293216B2 JP7293216B2 JP2020524076A JP2020524076A JP7293216B2 JP 7293216 B2 JP7293216 B2 JP 7293216B2 JP 2020524076 A JP2020524076 A JP 2020524076A JP 2020524076 A JP2020524076 A JP 2020524076A JP 7293216 B2 JP7293216 B2 JP 7293216B2
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- Prior art keywords
- clip
- jaw
- shaft
- magazine
- applier
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- A61B2090/034—Abutting means, stops, e.g. abutting on tissue or skin abutting on parts of the device itself
-
- 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
- A61B2090/035—Abutting means, stops, e.g. abutting on tissue or skin abutting on parts of the device itself preventing further rotation
-
- 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
- A61B90/06—Measuring instruments not otherwise provided for
- A61B2090/064—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension
-
- 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
- A61B90/06—Measuring instruments not otherwise provided for
- A61B2090/064—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension
- A61B2090/065—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension for measuring contact or contact pressure
-
- 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
- A61B2090/0808—Indication means for indicating correct assembly of components, e.g. of the surgical apparatus
-
- 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
-
- 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
- A61B2090/0814—Preventing re-use
-
- 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
- A61B90/90—Identification means for patients or instruments, e.g. tags
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- General Health & Medical Sciences (AREA)
- Medical Informatics (AREA)
- Public Health (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Heart & Thoracic Surgery (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- Veterinary Medicine (AREA)
- Vascular Medicine (AREA)
- Reproductive Health (AREA)
- Pathology (AREA)
- Epidemiology (AREA)
- Primary Health Care (AREA)
- Business, Economics & Management (AREA)
- General Business, Economics & Management (AREA)
- Robotics (AREA)
- Physics & Mathematics (AREA)
- Electromagnetism (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Ophthalmology & Optometry (AREA)
- Urology & Nephrology (AREA)
- Surgical Instruments (AREA)
Description
本出願は、2018年10月26日出願の米国特許仮出願第16/172,087号、発明の名称「CLIP APPLIE COMPRISING CLIP ADVANCING SYSTEMS」の利益を主張するものであり、その開示の全内容が参照により本明細書に組み込まれる。本出願は、2018年10月25日出願の米国特許仮出願第62/750,539号、発明の名称「SURGICAL CLIP APPLIER」の利益を主張するものであり、その開示の全内容が参照により本明細書に組み込まれる。本出願は、2018年8月24日出願の米国特許仮出願第16/112,237号、発明の名称「SURGICAL CLIP APPLIER CONFIGURED TO STORE CLIPS IN A STORED STATE」の利益を主張するものであり、その開示の全内容が参照により本明細書に組み込まれる。本出願は、2018年4月19日出願の米国特許仮出願第62/659,900号、発明の名称「METHOD OF HUB COMMUNICATION」の利益を主張するものであり、その開示の全内容が参照により本明細書に組み込まれる。本出願は、2018年5月1日出願の米国特許仮出願第62/665,128号、発明の名称「MODULAR SURGICAL INSTRUMENTS」、2018年5月1日出願の米国特許仮出願第62/665,129号、発明の名称「SURGICAL SUTURING SYSTEMS」、2018年5月1日出願の米国特許仮出願第62/665,134号、発明の名称「SURGICAL CLIP APPLIER」、2018年5月1日出願の米国特許仮出願第62/665,139号、発明の名称「SURGICAL INSTRUMENTS COMPRISING CONTROL SYSTEMS」、2018年5月1日出願の米国特許仮出願第62/665,177号、発明の名称「SURGICAL INSTRUMENTS COMPRISING HANDLE ARRANGEMENTS」、及び2018年5月1日出願の米国特許仮出願第62/665,192号、発明の名称「SURGICAL DISSECTORS」の利益を主張するものであり、その開示の全内容が参照により本明細書に組み込まれる。本出願は、2018年3月28日出願の米国特許仮出願第62/649,291号、発明の名称「USE OF LASER LIGHT AND RED-GREEN-BLUE COLORATION TO DETERMINE PROPERTIES OF BACK SCATTERED LIGHT」、2018年3月28日出願の米国特許仮出願第62/649,294号、発明の名称「DATA STRIPPING METHOD TO INTERROGATE PATIENT RECORDS AND CREATE ANONYMIZED RECORD」、2018年3月28日出願の米国特許仮出願第62/649,296号、発明の名称「ADAPTIVE CONTROL PROGRAM UPDATES FOR SURGICAL DEVICES」、2018年3月28日出願の米国特許仮出願第62/649,300号、発明の名称「SURGICAL HUB SITUATIONAL AWARENESS」、2018年3月28日出願の米国特許仮出願第62/649,302号、発明の名称「INTERACTIVE SURGICAL SYSTEMS WITH ENCRYPTED COMMUNICATION CAPABILITIES」、2018年3月28日出願の米国特許仮出願第62/649,307号、発明の名称「AUTOMATIC TOOL ADJUSTMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS」、2018年3月28日出願の米国特許仮出願第62/649,309号、発明の名称「SURGICAL HUB SPATIAL AWARENESS TO DETERMINE DEVICES IN OPERATING THEATER」、2018年3月28日出願の米国特許仮出願第62/649,310号、発明の名称「COMPUTER IMPLEMENTED INTERACTIVE SURGICAL SYSTEMS」、2018年3月28日出願の米国特許仮出願第62/649,313号、発明の名称「CLOUD INTERFACE FOR COUPLED SURGICAL DEVICES」、2018年3月28日出願の米国特許仮出願第62/649,315号、発明の名称「DATA HANDLING AND PRIORITIZATION IN A CLOUD ANALYTICS NETWORK」、2018年3月28日出願の米国特許仮出願第62/649,320号、発明の名称「DRIVE ARRANGEMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS」、2018年3月28日出願の米国特許仮出願第62/649,323号、発明の名称「SENSING ARRANGEMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS」、2018年3月28日出願の米国特許仮出願第62/649,327号、発明の名称「CLOUD-BASED MEDICAL ANALYTICS FOR SECURITY AND AUTHENTICATION TRENDS AND REACTIVE MEASURES」、及び2018年3月28日出願の米国特許仮出願第62/649,333号、発明の名称「CLOUD-BASED MEDICAL ANALYTICS FOR CUSTOMIZATION AND RECOMMENDATIONS TO A USER」の利益を主張するものであり、その開示の全内容が参照により本明細書に組み込まれる。本出願は、2018年2月28日出願の米国特許非仮出願第15/908,012号、発明の名称「SURGICAL INSTRUMENT HAVING DUAL ROTATABLE MEMBERS TO EFFECT DIFFERENT TYPES OF END EFFECTOR MOVEMENT」、2018年2月28日出願の米国特許非仮出願第15/908,021号、発明の名称「SURGICAL INSTRUMENT WITH REMOTE RELEASE」、2018年2月28日出願の米国特許非仮出願第15/908,040号、発明の名称「SURGICAL INSTRUMENT WITH ROTARY DRIVE SELECTIVELY ACTUATING MULTIPLE END EFFECTOR FUNCTIONS」、2018年2月28日出願の米国特許非仮出願第15/908,057号、発明の名称「SURGICAL INSTRUMENT WITH ROTARY DRIVE SELECTIVELY ACTUATING MULTIPLE END EFFECTOR FUNCTIONS」、2018年2月28日出願の米国特許非仮出願第15/908,058号、発明の名称「SURGICAL INSTRUMENT WITH MODULAR POWER SOURCES」、及び2018年2月28日出願の米国特許非仮出願第15/908,143号、発明の名称「SURGICAL INSTRUMENT WITH SENSOR AND/OR CONTROL SYSTEMS」の利益を主張するものであり、その開示の全内容が参照により本明細書に組み込まれる。本出願は、2017年12月28日出願の米国特許仮出願第62/611,339号、発明の名称「ROBOT ASSISTED SURGICAL PLATFORM」、2017年12月28日出願の米国特許仮出願第62/611,340号、発明の名称「CLOUD-BASED MEDICAL ANALYTICS」、及び2017年12月28日出願の米国特許仮出願第62/611,341号、発明の名称「INTERACTIVE SURGICAL PLATFORM」の利益を主張するものであり、その開示の全内容が参照により本明細書に組み込まれる。本出願は、2017年10月30日出願の米国特許仮出願第62/578,793号、発明の名称「SURGICAL INSTRUMENT WITH REMOTE RELEASE」、2017年10月30日出願の米国特許仮出願第62/578,804号、発明の名称「SURGICAL INSTRUMENT HAVING DUAL ROTATABLE MEMBERS TO EFFECT DIFFERENT TYPES OF END EFFECTOR MOVEMENT」、2017年10月30日出願の米国特許仮出願第62/578,817号、発明の名称「SURGICAL INSTRUMENT WITH ROTARY DRIVE SELECTIVELY ACTUATING MULTIPLE END EFFECTOR FUNCTIONS」、2017年10月30日出願の米国特許仮出願第62/578,835号、発明の名称「SURGICAL INSTRUMENT WITH ROTARY DRIVE SELECTIVELY ACTUATING MULTIPLE END EFFECTOR FUNCTIONS」、2017年10月30日出願の米国特許仮出願第62/578,844号、発明の名称「SURGICAL INSTRUMENT WITH MODULAR POWER SOURCES」、及び2017年10月30日出願の米国特許仮出願第62/578,855号、発明の名称「SURGICAL INSTRUMENT WITH SENSOR AND/OR CONTROL SYSTEMS」の利益を主張するものであり、その開示の全内容が参照により本明細書に組み込まれる。
-米国特許出願第16/172,130号、発明の名称「CLIP APPLIER COMPRISING INTERCHANGEABLE CLIP RELOADS」、
-米国特許出願第16/172,066号、発明の名称「CLIP APPLIER COMPRISING A MOVABLE CLIP MAGAZINE」、
-米国特許出願第16/172,078号、発明の名称「CLIP APPLIER COMPRISING A ROTATABLE CLIP MAGAZINE」、
-米国特許出願第16/172,094号、発明の名称「CLIP APPLIER COMPRISING A CLIP CRIMPING SYSTEM」、
-米国特許出願第16/172,128号、発明の名称「CLIP APPLIER COMPRISING A RECIPROCATING CLIP ADVANCING MEMBER」、
-米国特許出願第16/172,168号、発明の名称「CLIP APPLIER COMPRISING A MOTOR CONTROLLER」、及び
-米国特許出願第16/172,164号、発明の名称「SURGICAL SYSTEM COMPRISING A SURGICAL TOOL AND A SURGICAL HUB」。
-米国特許出願第16/112,129号、発明の名称「SURGICAL SUTURING INSTRUMENT CONFIGURED TO MANIPULATE TISSUE USING MECHANICAL AND ELECTRICAL POWER」、
-米国特許出願第16/112,155号、発明の名称「SURGICAL SUTURING INSTRUMENT COMPRISING A CAPTURE WIDTH WHICH IS LARGER THAN TROCAR DIAMETER」、
-米国特許出願第16/112,168号、発明の名称「SURGICAL SUTURING INSTRUMENT COMPRISING A NON-CIRCULAR NEEDLE」、
-米国特許出願第16/112,180号、発明の名称「ELECTRICAL POWER OUTPUT CONTROL BASED ON MECHANICAL FORCES」、
-米国特許出願第16/112,193号、発明の名称「REACTIVE ALGORITHM FOR SURGICAL SYSTEM」、
-米国特許出願第16/112,099号、発明の名称「SURGICAL INSTRUMENT COMPRISING AN ADAPTIVE ELECTRICAL SYSTEM」、
-米国特許出願第16/112,112号、発明の名称「CONTROL SYSTEM ARRANGEMENTS FOR A MODULAR SURGICAL INSTRUMENT」、
-米国特許出願第16/112,119号、発明の名称「ADAPTIVE CONTROL PROGRAMS FOR A SURGICAL SYSTEM COMPRISING MORE THAN ONE TYPE OF CARTRIDGE」、
-米国特許出願第16/112,097号、発明の名称「SURGICAL INSTRUMENT SYSTEMS COMPRISING BATTERY ARRANGEMENTS」、
-米国特許出願第16/112,109号、発明の名称「SURGICAL INSTRUMENT SYSTEMS COMPRISING HANDLE ARRANGEMENTS」、
-米国特許出願第16/112,114号、発明の名称「SURGICAL INSTRUMENT SYSTEMS COMPRISING FEEDBACK MECHANISMS」、
-米国特許出願第16/112,117号、発明の名称「SURGICAL INSTRUMENT SYSTEMS COMPRISING LOCKOUT MECHANISMS」、
-米国特許出願第16/112,095号、発明の名称「SURGICAL INSTRUMENTS COMPRISING A LOCKABLE END EFFECTOR SOCKET」、
-米国特許出願第16/112,121号、発明の名称「SURGICAL INSTRUMENTS COMPRISING A SHIFTING MECHANISM」、
-米国特許出願第16/112,151号、発明の名称「SURGICAL INSTRUMENTS COMPRISING A SYSTEM FOR ARTICULATION AND ROTATION COMPENSATION」、
-米国特許出願第16/112,154号、発明の名称「SURGICAL INSTRUMENTS COMPRISING A BIASED SHIFTING MECHANISM」、
-米国特許出願第16/112,226号、発明の名称「SURGICAL INSTRUMENTS COMPRISING AN ARTICULATION DRIVE THAT PROVIDES FOR HIGH ARTICULATION ANGLES」、
-米国特許出願第16/112,062号、発明の名称「SURGICAL DISSECTORS AND MANUFACTURING TECHNIQUES」、
-米国特許出願第16/112,098号、発明の名称「SURGICAL DISSECTORS CONFIGURED TO APPLY MECHANICAL AND ELECTRICAL ENERGY」、
-米国特許出願第16/112,237号、発明の名称「SURGICAL CLIP APPLIER CONFIGURED TO STORE CLIPS IN A STORED STATE」、
-米国特許出願第16/112,245号、発明の名称「SURGICAL CLIP APPLIER COMPRISING AN EMPTY CLIP CARTRIDGE LOCKOUT」、
-米国特許出願第16/112,249号、発明の名称「SURGICAL CLIP APPLIER COMPRISING AN AUTOMATIC CLIP FEEDING SYSTEM」、
-米国特許出願第16/112,253号、発明の名称「SURGICAL CLIP APPLIER COMPRISING ADAPTIVE FIRING CONTROL」、及び
-米国特許出願第16/112,257号、発明の名称「SURGICAL CLIP APPLIER COMPRISING ADAPTIVE CONTROL IN RESPONSE TO A STRAIN GAUGE CIRCUIT」。
-米国特許仮出願第62/665,129号、発明の名称「SURGICAL SUTURING SYSTEMS」、
-米国特許仮出願第62/665,139号、発明の名称「SURGICAL INSTRUMENTS COMPRISING CONTROL SYSTEMS」、
-米国特許仮出願第62/665,177号、発明の名称「SURGICAL INSTRUMENTS COMPRISING HANDLE ARRANGEMENTS」、
-米国特許仮出願第62/665,128号、発明の名称「MODULAR SURGICAL INSTRUMENTS」、
-米国特許仮出願第62/665,192号、発明の名称「SURGICAL DISSECTORS」、及び
-米国特許仮出願第62/665,134号、発明の名称「SURGICAL CLIP APPLIER」。
-米国特許出願第15/908,021号、発明の名称「SURGICAL INSTRUMENT WITH REMOTE RELEASE」、
-米国特許出願第15/908,012号、発明の名称「SURGICAL INSTRUMENT HAVING DUAL ROTATABLE MEMBERS TO EFFECT DIFFERENT TYPES OF END EFFECTOR MOVEMENT」、
-米国特許出願第15/908,040号、発明の名称「SURGICAL INSTRUMENT WITH ROTARY DRIVE SELECTIVELY ACTUATING MULTIPLE END EFFECTOR FUNCTIONS」、
-米国特許出願第15/908,057号、発明の名称「SURGICAL INSTRUMENT WITH ROTARY DRIVE SELECTIVELY ACTUATING MULTIPLE END EFFECTOR FUNCTIONS」、
-米国特許出願第15/908,058号、発明の名称「SURGICAL INSTRUMENT WITH MODULAR POWER SOURCES」、及び
-米国特許出願第15/908,143号、発明の名称「SURGICAL INSTRUMENT WITH SENSOR AND/OR CONTROL SYSTEMS」。
-米国特許仮出願第62/578,793号、発明の名称「SURGICAL INSTRUMENT WITH REMOTE RELEASE」、
-米国特許仮出願第62/578,804号、発明の名称「SURGICAL INSTRUMENT HAVING DUAL ROTATABLE MEMBERS TO EFFECT DIFFERENT TYPES OF END EFFECTOR MOVEMENT」、
-米国特許仮出願第62/578,817号、発明の名称「SURGICAL INSTRUMENT WITH ROTARY DRIVE SELECTIVELY ACTUATING MULTIPLE END EFFECTOR FUNCTIONS」、
-米国特許仮出願第62/578,835号、発明の名称「SURGICAL INSTRUMENT WITH ROTARY DRIVE SELECTIVELY ACTUATING MULTIPLE END EFFECTOR FUNCTIONS」、
-米国特許仮出願第62/578,844号、発明の名称「SURGICAL INSTRUMENT WITH MODULAR POWER SOURCES」、及び
-米国特許仮出願第62/578,855号、発明の名称「SURGICAL INSTRUMENT WITH SENSOR AND/OR CONTROL SYSTEMS」。
-米国特許仮出願第62/611,341号、発明の名称「INTERACTIVE SURGICAL PLATFORM」、
-米国特許仮出願第62/611,340号、発明の名称「CLOUD-BASED MEDICAL ANALYTICS」、及び
-米国特許仮出願第62/611,339号、発明の名称「ROBOT ASSISTED SURGICAL PLATFORM」。
-米国特許仮出願第62/649,302号、発明の名称「INTERACTIVE SURGICAL SYSTEMS WITH ENCRYPTED COMMUNICATION CAPABILITIES」、
-米国特許仮出願第62/649,294号、発明の名称「DATA STRIPPING METHOD TO INTERROGATE PATIENT RECORDS AND CREATE ANONYMIZED RECORD」、
-米国特許仮出願第62/649,300号、発明の名称「SURGICAL HUB SITUATIONAL AWARENESS」、
-米国特許仮出願第62/649,309号、発明の名称「SURGICAL HUB SPATIAL AWARENESS TO DETERMINE DEVICES IN OPERATING THEATER」、
-米国特許仮出願第62/649,310号、発明の名称「COMPUTER IMPLEMENTED INTERACTIVE SURGICAL SYSTEMS」、
-米国特許仮出願第62/649,291号、発明の名称「USE OF LASER LIGHT AND RED-GREEN-BLUE COLORATION TO DETERMINE PROPERTIES OF BACK SCATTERED LIGHT」、
-米国特許仮出願第62/649,296号、発明の名称「ADAPTIVE CONTROL PROGRAM UPDATES FOR SURGICAL DEVICES」、
-米国特許仮出願第62/649,333号、発明の名称「CLOUD-BASED MEDICAL ANALYTICS FOR CUSTOMIZATION AND RECOMMENDATIONS TO A USER」、
-米国特許仮出願第62/649,327号、発明の名称「CLOUD-BASED MEDICAL ANALYTICS FOR SECURITY AND AUTHENTICATION TRENDS AND REACTIVE MEASURES」、
-米国特許仮出願第62/649,315号、発明の名称「DATA HANDLING AND PRIORITIZATION IN A CLOUD ANALYTICS NETWORK」、
-米国特許仮出願第62/649,313号、発明の名称「CLOUD INTERFACE FOR COUPLED SURGICAL DEVICES」、
-米国特許仮出願第62/649,320号、発明の名称「DRIVE ARRANGEMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS」、
-米国特許仮出願第62/649,307号、発明の名称「AUTOMATIC TOOL ADJUSTMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS」、及び
-米国特許仮出願第62/649,323号、発明の名称「SENSING ARRANGEMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS」。
-米国特許出願第15/940,641号、発明の名称「INTERACTIVE SURGICAL SYSTEMS WITH ENCRYPTED COMMUNICATION CAPABILITIES」、
-米国特許出願第15/940,648号、発明の名称「INTERACTIVE SURGICAL SYSTEMS WITH CONDITION HANDLING OF DEVICES AND DATA CAPABILITIES」、
-米国特許出願第15/940,656号、発明の名称「SURGICAL HUB COORDINATION OF CONTROL AND COMMUNICATION OF OPERATING ROOM DEVICES」、
-米国特許出願第15/940,666号、発明の名称「SPATIAL AWARENESS OF SURGICAL HUBS IN OPERATING ROOMS」、
-米国特許出願第15/940,670号、発明の名称「COOPERATIVE UTILIZATION OF DATA DERIVED FROM SECONDARY SOURCES BY INTELLIGENT SURGICAL HUBS」、
-米国特許出願第15/940,677号、発明の名称「SURGICAL HUB CONTROL ARRANGEMENTS」、
-米国特許出願第15/940,632号、発明の名称「DATA STRIPPING METHOD TO INTERROGATE PATIENT RECORDS AND CREATE ANONYMIZED RECORD」、
-米国特許出願第15/940,640号、発明の名称「COMMUNICATION HUB AND STORAGE DEVICE FOR STORING PARAMETERS AND STATUS OF A SURGICAL DEVICE TO BE SHAREd WITH CLOUD BASED ANALYTICS SYSTEMS」、
-米国特許出願第15/940,645号、発明の名称「SELF DESCRIBING DATA PACKETS GENERATED AT AN ISSUING INSTRUMENT」、
-米国特許出願第15/940,649号、発明の名称「DATA PAIRING TO INTERCONNECT A DEVICE MEASURED PARAMETER WITH AN OUTCOME」、
-米国特許出願第15/940,654号、発明の名称「SURGICAL HUB SITUATIONAL AWARENESS」、
-米国特許出願第15/940,663号、発明の名称「SURGICAL SYSTEM DISTRIBUTED PROCESSING」、
-米国特許出願第15/940,668号、発明の名称「AGGREGATION AND REPORTING OF SURGICAL HUB DATA」、
-米国特許出願第15/940,671号、発明の名称「SURGICAL HUB SPATIAL AWARENESS TO DETERMINE DEVICES IN OPERATING THEATER」、
-米国特許出願第15/940,686号、発明の名称「DISPLAY OF ALIGNMENT OF STAPLE CARTRIDGE TO PRIOR LINEAR STAPLE LINE」、
-米国特許出願第15/940,700号、発明の名称「STERILE FIELD INTERACTIVE CONTROL DISPLAYS」、
-米国特許出願第15/940,629号、発明の名称「COMPUTER IMPLEMENTED INTERACTIVE SURGICAL SYSTEMS」、
-米国特許出願第15/940,704号、発明の名称「USE OF LASER LIGHT AND RED-GREEN-BLUE COLORATION TO DETERMINE PROPERTIES OF BACK SCATTERED LIGHT」、
-米国特許出願第15/940,722号、発明の名称「CHARACTERIZATION OF TISSUE IRREGULARITIES THROUGH THE USE OF MONO-CHROMATIC LIGHT REFRACTIVITY」、及び
-米国特許出願第15/940,742号、発明の名称「DUAL CMOS ARRAY IMAGING」。
-米国特許出願第15/940,636号、発明の名称「ADAPTIVE CONTROL PROGRAM UPDATES FOR SURGICAL DEVICES」、
-米国特許出願第15/940,653号、発明の名称「ADAPTIVE CONTROL PROGRAM UPDATES FOR SURGICAL HUBS」、
-米国特許出願第15/940,660号、発明の名称「CLOUD-BASED MEDICAL ANALYTICS FOR CUSTOMIZATION AND RECOMMENDATIONS TO A USER」、
-米国特許出願第15/940,679号、発明の名称「CLOUD-BASED MEDICAL ANALYTICS FOR LINKING OF LOCAL USAGE TRENDS WITH THE RESOURCE ACQUISITION BEHAVIORS OF LARGER DATA SET」、
-米国特許出願第15/940,694号、発明の名称「CLOUD-BASED MEDICAL ANALYTICS FOR MEDICAL FACILITY SEGMENTED INDIVIDUALIZATION OF INSTRUMENT FUNCTION」、
-米国特許出願第15/940,634号、発明の名称「CLOUD-BASED MEDICAL ANALYTICS FOR SECURITY AND AUTHENTICATION TRENDS AND REACTIVE MEASURES」、
-米国特許出願第15/940,706号、発明の名称「DATA HANDLING AND PRIORITIZATION IN A CLOUD ANALYTICS NETWORK」、及び
-米国特許出願第15/940,675号、発明の名称「CLOUD INTERFACE FOR COUPLED SURGICAL DEVICES」。
-米国特許出願第15/940,627号、発明の名称「DRIVE ARRANGEMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMs」、
-米国特許出願第15/940,637号、発明の名称「COMMUNICATION ARRANGEMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS」、
-米国特許出願第15/940,642号、発明の名称「CONTROLS FOR ROBOT-ASSISTED SURGICAL PLATFORMS」、
-米国特許出願第15/940,676号、発明の名称「AUTOMATIC TOOL ADJUSTMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS」、
-米国特許出願第15/940,680号、発明の名称「CONTROLLERS FOR ROBOT-ASSISTED SURGICAL PLATFORMS」、
-米国特許出願第15/940,683号、発明の名称「COOPERATIVE SURGICAL ACTIONS FOR ROBOT-ASSISTED SURGICAL PLATFORMS」、
-米国特許出願第15/940,690号、発明の名称「DISPLAY ARRANGEMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS」、及び
-米国特許出願第15/940,711号、発明の名称「SENSING ARRANGEMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS」。
-米国特許仮出願第62/650,887号、発明の名称「SURGICAL SYSTEMS WITH OPTIMIZED SENSING CAPABILITIES」、
-米国特許仮出願第62/650,877号、発明の名称「SURGICAL SMOKE EVACUATION SENSING AND CONTROLS」、
-米国特許仮出願第62/650,882号、発明の名称「SMOKE EVACUATION MODULE FOR INTERACTIVE SURGICAL PLATFORM」、及び
-米国特許仮出願第62/650,898号、発明の名称「CAPACITIVE COUPLED RETURN PATH PAD WITH SEPARABLE ARRAY ELEMENTS」。
-米国特許仮出願第62/659,900号、発明の名称「METHOD OF HUB COMMUNICATION」。
実施例1-組織をクリップ留めするための外科用装置。外科用装置は、ハウジングと、ハウジングから延在するシャフトと、シャフトに解放可能に取り付けできる第1のリロード部と、を備える。第1のリロード部は、第1のエンドエフェクタと、複数の第1のクリップを含む第1のクリップマガジンと、を備える。外科用装置は、第1のリロード部がシャフトに取り付けられていないときにシャフトに解放可能に取り付けできる第2のリロード部を更に備える。第1のリロード部と第2のリロード部は異なるサイズである。第2のリロード部は、第2のエンドエフェクタと、複数の第2のクリップを含む第2のクリップマガジンと、を備える。
実施例1-組織をクリップ留めするための外科用装置。外科用装置は、ハウジングと、ハウジングから延在し、シャフト軸を画定するシャフトと、シャフトから延在するエンドエフェクタと、モータと、モータに応答して回転するように構成された回転入力部と、複数のクリップを含むクリップマガジンと、を備える。クリップマガジンは、回転入力部に動作可能に接続される。クリップマガジンは、回転入力部の回転に応答して、クリップ供給ストロークにわたって第1の方向に移動可能である。クリップマガジンは、回転入力部の回転に応答して、第2の方向に移動可能である。第2の方向は、第1の方向に対して横断方向である。
実施例1-組織をクリップ留めするための外科用装置。外科用装置は、ハウジングと、ハウジングから延在するシャフトと、シャフトから延在するエンドエフェクタと、フィーダ駆動装置と、クリップマガジンと、を備える。シャフトは、装填チャンバを備え、シャフト軸を画定する。エンドエフェクタは、レシーバーを備える。フィーダ駆動装置は、複数の供給ストロークにわたってシャフトに対して並進するように構成されている。クリップマガジンは、シャフトに取り付け可能である。クリップマガジンは、内部に格納された複数のクリップを含む。クリップマガジンは、複数の位置の間でシャフト軸を中心に回転するように構成されている。複数の位置は、複数の装填位置及び複数の中立位置を含む。クリップは、クリップマガジンが装填位置にあるとき、クリップマガジンから装填チャンバ内へと付勢される。クリップマガジンが中立位置にあるとき、複数のクリップのいずれもクリップマガジンから装填チャンバ内に付勢され得ない。装填チャンバ内に位置付けられたクリップは、供給ストローク中にフィーダ駆動装置によってエンドエフェクタのレシーバー内に前進することができる。供給ストロークは、クリップマガジンが中立位置にあるときにのみ実行され得る。
実施例1-組織をクリップ留めするための外科用装置。外科用装置は、ハウジングと、ハウジングから延在し、シャフト軸を画定するシャフトと、シャフトから延在するエンドエフェクタと、を備える。エンドエフェクタは、第1のジョーと、第2のジョーと、第1のジョーと第2のジョーとの間に少なくとも部分的に画定されたレシーバーと、を備える。第1のジョー及び第2のジョーは、開放位置と閉鎖位置との間で互いに対して移動可能である。外科用装置は、回転可能なクリップマガジンと、第1の前進システムと、第2の前進システムとを更に備える。回転可能なクリップマガジンは、シャフト軸を中心に回転するように構成されている。クリップマガジンは、少なくとも2つのクリップを格納するように構成されている。第2の前進システムは、第1の前進システムと順次動作するように構成されている。第1の前進システム及び第2の前進システムは、クリップをエンドエフェクタのレシーバー内に順次前進させるように構成されている。
実施例1-組織をクリップ留めするための外科用装置。外科用装置は、電動モータを備えるハウジングと、ハウジングから延在し、かつ中心シャフト軸を画定するシャフトと、シャフトに取り付け可能なクリップマガジンと、クリップ圧着システムと、を備える。クリップマガジンは、内部に取り外し可能に格納された複数のクリップを含む。クリップ圧着システムは、第1のジョーと、第2のジョーと、遠位部分と、近位接続部分分と、電動モータと動作可能に連結されたクランプとを備える。遠位部分は、第1のジョーと第2のジョーとの間に画定されたクリップ受容チャンバを備える。遠位部分は、中心シャフト軸からオフセットされている。近位接続部分は、第1のジョーと第2のジョーとを接続する。近位接続部分は、中心シャフト軸に沿って位置付けられている。クランプは、電動モータによって遠位に移動可能であり、圧着ストロークを実行し、第1のジョー及び第2のジョーと係合する。
実施例1-組織をクリップ留めするための外科用装置。外科用装置は、回転運動を出力するように構成されたモータを備えるハウジングと、ハウジングから延在するシャフトと、シャフトから延在するクリップアプライヤーヘッドと、を備える。クリップアプライヤーヘッドは、クリップマガジンと、エンドエフェクタと、ジョー閉鎖カムと、クリップ前進部材とを備える。クリップマガジンは、複数のクリップを含む。エンドエフェクタは、クランプ解除位置とクランプ位置との間で互いに対して移動可能な、第1のジョーと、第2のジョーとを備える。ジョー閉鎖カムは、第1のジョー及び第2のジョーをクランプ位置に向かって移動させるように構成されている。クリップ前進部材は、ジョー閉鎖カムに動作可能に取り付けできる。クリップ前進部材は、クリップをクリップマガジンから発射位置に移動させるように構成されている。ジョー閉鎖カム及びクリップ前進部材は、同時に反対の方向に移動するように構成されている。
実施例1-組織をクリップ留めするための外科用装置。外科用装置は、モータを備えるハウジングと、ハウジングから延在するシャフトと、モータに動作可能に応答するジョーアクチュエータと、複数のクリップを含むクリップマガジンと、モータに動作可能に応答する往復フィーダ駆動装置と、シャフトから延在するエンドエフェクタと、を備える。エンドエフェクタは、ジョーアクチュエータによって複数の位置間で互いに対して移動可能な第1のジョー及び第2のジョーを備える。複数の位置は、第1のジョー及び第2のジョーが完全開放構成にある発射準備完了位置と、第1のジョー及び第2のジョーが完全閉鎖構成にある完全配置位置と、発射準備完了位置と完全配置位置との中間の操作位置とを含む。外科用装置は、モータコントローラを更に備える。モータコントローラは、ジョーアクチュエータとは独立して往復フィーダ駆動装置を制御し、ジョーアクチュエータを作動させることなく、フィーダ駆動装置によってクリップをクリップマガジンからエンドエフェクタ内へ前進させ、クリップをエンドエフェクタ内に前進させることなくジョーアクチュエータを作動させるように構成されている。
実施例1-手術室で使用するための外科用システム。外科用システムは、外科用ツールと外科用ハブとを備える。外科用ツールは、モータと、モータと信号通信するモータコントローラと、エンドエフェクタ機能を実行するように構成されているエンドエフェクタと、を備える。エンドエフェクタは、モータに動作可能に応答する。外科用ハブは、モータコントローラと信号通信する。外科用ハブは、手術室内の状況から得られる手掛かりを検出するように構成されている。モータコントローラは、外科用ハブによって検出された状況から得られる手掛かりに基づいてモータの作動パラメータを調節するように構成されている。
-2011年12月13日発行の米国特許第8,075,571号、発明の名称「SURGICAL CLIP APPLIER METHODS」、
-2011年10月18日発行の米国特許第8,038,686号、発明の名称「CLIP APPLIER CONFIGURED TO PREVENT CLIP FALLOUT」、
-2010年4月20日発行の米国特許第7,699,860号、発明の名称「SURGICAL CLIP」、
-米国特許出願第11/013,924号、発明の名称「TROCAR SEAL ASSEMBLY」、現在は米国特許第7,371,227号、
-米国特許出願第11/162,991号、発明の名称「ELECTROACTIVE POLYMER-BASED ARTICULATION MECHANISM FOR GRASPER」、現在は米国特許第7,862,579号、
-米国特許出願第12/364,256号、発明の名称「SURGICAL DISSECTOR」、現在は米国特許出願公開第2010/0198248号、
-米国特許出願第13/536,386号、発明の名称「EMPTY CLIP CARTRIDGE LOCKOUT」、現在は米国特許第9,282,974号、
-米国特許出願第13/832,786号、発明の名称「CIRCULAR NEEDLE APPLIER WITH OFFSET NEEDLE AND CARRIER TRACKS」、現在は米国特許第9,398,905号、
-米国特許出願第12/592,174号、発明の名称「APPARATUS AND METHOD FOR MINIMALLY INVASIVE SUTURING」、現在は米国特許第8,123,764号、
-米国特許出願第12/482,049号、発明の名称「ENDOSCOPIC STITCHING DEVICES」、現在は米国特許第8,628,545号、
-米国特許出願第13/118,241号、発明の名称「SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STAPLE DEPLOYMENT ARRANGEMENTS」、現在は米国特許第9,072,535号、
-米国特許出願第11/343,803号、発明の名称「SURGICAL INSTRUMENT HAVING RECORDING CAPABILITIES」、現在は米国特許第7,845,537号、
-米国特許出願第14/200,111号、発明の名称「CONTROL SYSTEMS FOR SURGICAL INSTRUMENTS」、現在は米国特許第9,629,629号、
-米国特許出願第14/248,590号、発明の名称「MOTOR DRIVEN SURGICAL INSTRUMENTS WITH LOCKABLE DUAL DRIVE SHAFTS」、現在は米国特許第9,826,976号、
-米国特許出願第14/813,242号、発明の名称「SURGICAL INSTRUMENT COMPRISING SYSTEMS FOR ASSURING THE PROPER SEQUENTIAL OPERATION OF THE SURGICAL INSTRUMENT」、現在は米国特許出願公開第2017/0027571号、
-米国特許出願第14/248,587号、発明の名称「POWERED SURGICAL STAPLER」、現在は米国特許第9,867,612号、
-米国特許出願第12/945,748号、発明の名称「SURGICAL TOOL WITH A TWO DEGREE OF FREEDOM WRIST」、現在は米国特許第8,852,174号、
-米国特許出願第13/297,158号、発明の名称「METHOD FOR PASSIVELY DECOUPLING TORQUE APPLIED BY A REMOTE ACTUATOR INTO AN INDEPENDENTLY ROTATING MEMBER」、現在は米国特許第9,095,362号、
-国際出願PCT/US2015/023636号、発明の名称「SURGICAL INSTRUMENT WITH SHIFTABLE TRANSMISSION」、現在は国際公開第2015/153642(A1)号、
-国際出願PCT/US2015/051837号、発明の名称「HANDHELD ELECTROMECHANICAL SURGICAL SYSTEM」、現在は国際公開第2016/057225(A1)号、
-米国特許出願第14/657,876号、発明の名称「SURGICAL GENERATOR FOR ULTRASONIC AND ELECTROSURGICAL DEVICES、米国特許出願公開第2015/0182277号、
-米国特許出願第15/382,515号、発明の名称「MODULAR BATTERY POWERED HANDHELD SURGICAL INSTRUMENT AND METHODS THEREFOR」、米国特許出願公開第2017/0202605号、
-米国特許出願第14/683,358号、発明の名称「SURGICAL GENERATOR SYSTEMS AND RELATED METHODS」、米国特許出願公開第2016/0296271号、
-米国特許出願第14/149,294号、発明の名称「HARVESTING ENERGY FROM A SURGICAL GENERATOR」、米国特許第9,795,436号、
-米国特許出願第15/265,293号、発明の名称「TECHNIQUES FOR CIRCUIT TOPOLOGIES FOR COMBINED GENERATOR」、米国特許出願公開第2017/0086910号、及び
-米国特許出願第15/265,279号、発明の名称「TECHNIQUES FOR OPERATING GENERATOR FOR DIGITALLY GENERATING ELECTRICAL SIGNAL WAVEFORMS AND SURGICAL INSTRUMENTS」、米国特許出願公開第2017/0086914号。
(1) 組織をクリップ留めするための外科用装置であって、
ハウジングと、
前記ハウジングから延在するシャフトであって、前記シャフトはシャフト軸を画定する、シャフトと、
前記シャフトから延在するエンドエフェクタであって、前記エンドエフェクタは、
第1のジョーと、
第2のジョーであって、前記第1のジョー及び前記第2のジョーは、開放位置と閉鎖位置との間で互いに対して移動可能である、第2のジョーと、
前記第1のジョーと前記第2のジョーとの間に少なくとも部分的に画定されるレシーバーと、を備える、エンドエフェクタと、
前記シャフト軸を中心に回転するように構成された回転可能なクリップマガジンであって、前記回転可能なクリップマガジンは少なくとも2つのクリップを格納するように構成されている、回転可能なクリップマガジンと、
第1の前進システムと、
前記第1の前進システムと順次動作するように構成された第2の前進システムであって、前記第1の前進システム及び前記第2の前進システムは、前記クリップを前記エンドエフェクタの前記レシーバー内に順次前進させるように構成されている、第2の前進システムと、を備える、外科用装置。
(2) 前記第1の前進システムは、前記回転可能なクリップマガジンに隣接する供給位置から、前記供給位置の遠位に位置する発射位置へと前記クリップを前進させるように構成されており、前記第2の前進システムは、前記発射位置にある前記クリップを前記エンドエフェクタの前記レシーバー内へと前進させるように構成されている、実施態様1に記載の外科用装置。
(3) 前記第1の前進システムが第1の入力によって駆動され、前記第2の前進システムが第2の入力によって駆動される、実施態様2に記載の外科用装置。
(4) 前記第1のジョー及び前記第2のジョーが、前記開放位置に向かって互いから離れる方向に付勢されており、前記第2の前進システムが、前記第1のジョー及び前記第2のジョーの周りに位置付けられたカム部材を備え、前記カム部材は、近位位置と、中間位置と、遠位位置との間で前記エンドエフェクタに対して並進するように構成されており、前記中間位置は、前記近位位置と前記遠位位置との間に位置する、実施態様3に記載の外科用装置。
(5) 前記カム部材が前記近位位置及び前記中間位置にあるとき、前記第1のジョー及び前記第2のジョーは前記開放位置にあり、前記カム部材が前記中間位置から前記遠位位置に移動するとき、前記第1のジョー及び前記第2のジョーは前記閉鎖位置に向かって移動する、実施態様4に記載の外科用装置。
(7) 前記カム部材が前記第2の前進システムによって前記中間位置から前記遠位位置に向かって移動するとき、前記レシーバー内に位置付けられた前記クリップが、前記第1のジョー及び前記第2のジョーによって圧着される、実施態様6に記載の外科用装置。
(8) 組織をクリップ留めするための外科用装置であって、
ハウジングと、
前記ハウジングから延在するシャフトであって、前記シャフトはシャフト軸を画定する、シャフトと、
前記シャフトから延在するエンドエフェクタであって、前記エンドエフェクタは、
第1のジョーと、
第2のジョーであって、前記第1のジョー及び前記第2のジョーは、クランプ解除位置とクランプ位置との間で互いに対して移動可能である、第2のジョーと、
前記第1のジョーと前記第2のジョーとの間に少なくとも部分的に画定される受容部分と、を備える、エンドエフェクタと、
いくつかの射出位置の間で前記シャフト軸を中心に回転するように構成された回転可能なクリップマガジンであって、前記クリップマガジンは、内部に取り外し可能に格納された複数のクリップを含み、前記クリップマガジンは、前記クリップマガジンが前記いくつかの射出位置のうちの1つにあるとき、前記クリップを供給位置へと付勢するように構成された1つ以上の付勢部材を更に備える、回転可能なクリップマガジンと、
前記エンドエフェクタに対して並進するように構成された第1のフィーダ部材を備える第1の供給システムであって、前記第1のフィーダ部材は、前記供給位置にある前記クリップを、前記供給位置から遠位に位置する発射位置に前進させることができる、第1の供給システムと、
前記エンドエフェクタに対して並進するように構成された第2のフィーダ部材を備える第2の供給システムであって、前記第2のフィーダ部材は、前記発射位置にある前記クリップを、前記エンドエフェクタの前記受容部分内に前進させるように構成されている、第2の供給システムと、を備える、外科用装置。
(9) 前記発射位置が前記エンドエフェクタのクリップトラック内に位置する、実施態様8に記載の外科用装置。
(10) 前記第1の供給システムが第1の入力によって駆動され、前記第2の供給システムが第2の入力によって駆動される、実施態様8に記載の外科用装置。
(12) 前記カム部材が前記近位位置及び前記中間位置にあるとき、前記第1のジョー及び前記第2のジョーは前記クランプ解除位置にあり、前記カム部材が前記中間位置から前記遠位位置に移動するとき、前記第1のジョー及び前記第2のジョーは前記クランプ位置に向かって移動する、実施態様11に記載の外科用装置。
(13) 前記第2のフィーダ部材の前記フィーダバーは、前記カム部材が前記近位位置から前記中間位置に移動するとき、前記発射位置にある前記クリップを前記エンドエフェクタの前記受容部分内に移動させるように構成されている、実施態様12に記載の外科用装置。
(14) 前記カム部材が前記中間位置から前記遠位位置に向かって移動するとき、前記受容部分内に位置付けられた前記クリップが、前記第1のジョー及び前記第2のジョーによって圧着される、実施態様13に記載の外科用装置。
(15) 組織をクリップ留めするための外科用装置であって、
ハウジングと、
前記ハウジングから延在するシャフトと、
前記シャフトから延在するエンドエフェクタであって、前記エンドエフェクタは、
第1のジョーと、
第2のジョーであって、前記第1のジョー及び前記第2のジョーは、開放位置と閉鎖位置との間で互いに対して移動可能である、第2のジョーと、
前記第1のジョーと前記第2のジョーとの間に少なくとも部分的に画定されるレシーバーと、を備える、エンドエフェクタと、
クリップトラックと、
クリップマガジンであって、前記クリップマガジンは、複数のクリップを格納するように構成された、クリップマガジンと、
前記クリップを前記クリップマガジンから前記クリップトラック内に位置する発射位置へと前進させるように構成された第1のクリップ前進装置と、
前記クリップを前記発射位置から前記エンドエフェクタの前記レシーバー内へと前進させるように構成された第2のクリップ前進装置であって、前記第2のクリップ前進装置は、前記第1のジョー及び前記第2のジョーを前記閉鎖位置に向かって移動させるように更に構成されている、第2のクリップ前進装置と、を備える、外科用装置。
(17) 前記第2のクリップ前進装置が、近位位置と、中間位置と、遠位位置との間で移動するように構成されたジョーカムを備え、前記中間位置は、前記近位位置と前記遠位位置との間に位置する、実施態様16に記載の外科用装置。
(18) 前記第2のクリップ前進装置が、前記ジョーカムから延在するフィーダシューを更に備え、前記フィーダシューは、前記第2のクリップ前進装置が前記近位位置から前記中間位置に移動するとき、前記クリップを前記発射位置から前記エンドエフェクタの前記レシーバー内へと移動させるように構成されている、実施態様17に記載の外科用装置。
(19) 前記ジョーカムが前記中間位置から前記遠位位置に移動するとき、前記ジョーカムは、前記第1のジョー及び前記第2のジョーを前記閉鎖位置に向かって移動させ、前記エンドエフェクタの前記レシーバー内に位置付けられた前記クリップを圧着するように構成されている、実施態様18に記載の外科用装置。
(20) 前記ジョーカムが前記中間位置から前記遠位位置に移動するとき、前記フィーダシューは移動しない、実施態様19に記載の外科用装置。
Claims (20)
- 組織をクリップ留めするための外科用装置であって、
ハウジングと、
前記ハウジングから延在するシャフトであって、前記シャフトはシャフト軸を画定する、シャフトと、
前記シャフトから延在するエンドエフェクタであって、前記エンドエフェクタは、
第1のジョーと、
第2のジョーであって、前記第1のジョー及び前記第2のジョーは、開放位置と閉鎖位置との間で互いに対して移動可能である、第2のジョーと、
前記第1のジョーと前記第2のジョーとの間に少なくとも部分的に画定されるレシーバーと、を備える、エンドエフェクタと、
前記シャフト軸を中心に前記シャフト内で前記シャフトに対して回転するように構成された回転可能なクリップマガジンであって、前記回転可能なクリップマガジンは前記シャフト軸周りの円周方向において少なくとも2つのクリップを格納するように構成されている、回転可能なクリップマガジンと、
第1の前進システムと、
前記第1の前進システムと順次動作するように構成された第2の前進システムであって、前記第1の前進システム及び前記第2の前進システムは、前記クリップを前記エンドエフェクタの前記レシーバー内に順次前進させるように構成されている、第2の前進システムと、を備える、外科用装置。 - 前記第1の前進システムは、前記回転可能なクリップマガジンに隣接する供給位置から、前記供給位置の遠位に位置する発射位置へと前記クリップを前進させるように構成されており、前記第2の前進システムは、前記発射位置にある前記クリップを前記エンドエフェクタの前記レシーバー内へと前進させるように構成されている、請求項1に記載の外科用装置。
- 前記第1の前進システムが第1の入力によって駆動され、前記第2の前進システムが第2の入力によって駆動される、請求項2に記載の外科用装置。
- 前記第1のジョー及び前記第2のジョーが、前記開放位置に向かって互いから離れる方向に付勢されており、前記第2の前進システムが、前記第1のジョー及び前記第2のジョーの周りに位置付けられたカム部材を備え、前記カム部材は、近位位置と、中間位置と、遠位位置との間で前記エンドエフェクタに対して並進するように構成されており、前記中間位置は、前記近位位置と前記遠位位置との間に位置する、請求項3に記載の外科用装置。
- 前記カム部材が前記近位位置及び前記中間位置にあるとき、前記第1のジョー及び前記第2のジョーは前記開放位置にあり、前記カム部材が前記中間位置から前記遠位位置に移動するとき、前記第1のジョー及び前記第2のジョーは前記閉鎖位置に向かって移動する、請求項4に記載の外科用装置。
- 前記第2の前進システムが、前記カム部材から遠位に延在するフィーダバーを更に備え、前記フィーダバーは、前記カム部材が前記近位位置から前記中間位置に移動するとき、前記発射位置にある前記クリップを前記エンドエフェクタの前記レシーバー内に移動させるように構成されている、請求項5に記載の外科用装置。
- 前記カム部材が前記第2の前進システムによって前記中間位置から前記遠位位置に向かって移動するとき、前記レシーバー内に位置付けられた前記クリップが、前記第1のジョー及び前記第2のジョーによって圧着される、請求項6に記載の外科用装置。
- 組織をクリップ留めするための外科用装置であって、
ハウジングと、
前記ハウジングから延在するシャフトであって、前記シャフトはシャフト軸を画定する、シャフトと、
前記シャフトから延在するエンドエフェクタであって、前記エンドエフェクタは、
第1のジョーと、
第2のジョーであって、前記第1のジョー及び前記第2のジョーは、クランプ解除位置とクランプ位置との間で互いに対して移動可能である、第2のジョーと、
前記第1のジョーと前記第2のジョーとの間に少なくとも部分的に画定される受容部分と、を備える、エンドエフェクタと、
いくつかの射出位置の間で前記シャフト軸を中心に前記シャフト内で前記シャフトに対して回転するように構成された回転可能なクリップマガジンであって、前記回転可能なクリップマガジンは、内部に取り外し可能に格納された複数のクリップを前記シャフト軸の周りの円周方向において含み、前記回転可能なクリップマガジンは、前記回転可能なクリップマガジンが前記いくつかの射出位置のうちの1つにあるとき、前記クリップを供給位置へと付勢するように構成された1つ以上の付勢部材を更に備える、回転可能なクリップマガジンと、
前記エンドエフェクタに対して並進するように構成された第1のフィーダ部材を備える第1の供給システムであって、前記第1のフィーダ部材は、前記供給位置にある前記クリップを、前記供給位置から遠位に位置する発射位置に前進させることができる、第1の供給システムと、
前記エンドエフェクタに対して並進するように構成された第2のフィーダ部材を備える第2の供給システムであって、前記第2のフィーダ部材は、前記発射位置にある前記クリップを、前記エンドエフェクタの前記受容部分内に前進させるように構成されている、第2の供給システムと、を備える、外科用装置。 - 前記発射位置が前記エンドエフェクタのクリップトラック内に位置する、請求項8に記載の外科用装置。
- 前記第1の供給システムが第1の入力によって駆動され、前記第2の供給システムが第2の入力によって駆動される、請求項8に記載の外科用装置。
- 前記第1のジョー及び前記第2のジョーが、前記クランプ解除位置に向かって互いから離れる方向に付勢されており、前記第2のフィーダ部材は、カム部材と、前記カム部材から遠位に延在するフィーダバーと、を備え、前記カム部材は、前記第1のジョー及び前記第2のジョーの周りに位置付けられ、近位位置と、中間位置と、遠位位置との間で前記エンドエフェクタに対して並進するように構成されており、前記中間位置は、前記近位位置と前記遠位位置との間に位置する、請求項8に記載の外科用装置。
- 前記カム部材が前記近位位置及び前記中間位置にあるとき、前記第1のジョー及び前記第2のジョーは前記クランプ解除位置にあり、前記カム部材が前記中間位置から前記遠位位置に移動するとき、前記第1のジョー及び前記第2のジョーは前記クランプ位置に向かって移動する、請求項11に記載の外科用装置。
- 前記第2のフィーダ部材の前記フィーダバーは、前記カム部材が前記近位位置から前記中間位置に移動するとき、前記発射位置にある前記クリップを前記エンドエフェクタの前記受容部分内に移動させるように構成されている、請求項12に記載の外科用装置。
- 前記カム部材が前記中間位置から前記遠位位置に向かって移動するとき、前記受容部分内に位置付けられた前記クリップが、前記第1のジョー及び前記第2のジョーによって圧着される、請求項13に記載の外科用装置。
- 組織をクリップ留めするための外科用装置であって、
ハウジングと、
前記ハウジングから延在するシャフトであって、前記シャフトはシャフト軸を画定する、シャフトと、
前記シャフトから延在するエンドエフェクタであって、前記エンドエフェクタは、
第1のジョーと、
第2のジョーであって、前記第1のジョー及び前記第2のジョーは、開放位置と閉鎖位置との間で互いに対して移動可能である、第2のジョーと、
前記第1のジョーと前記第2のジョーとの間に少なくとも部分的に画定されるレシーバーと、を備える、エンドエフェクタと、
前記シャフト内におけるクリップトラックと、
前記シャフト内における、前記シャフト軸の周りの円周方向における2つ以上のクリップマガジンであって、前記2つ以上のクリップマガジンは、前記シャフト軸に対する半径方向において複数のクリップを格納するように構成された、2つ以上のクリップマガジンと、
前記クリップを前記2つ以上のクリップマガジンのうちの1つから前記クリップトラック内に位置する発射位置へと前進させるように構成された第1のクリップ前進装置と、
前記クリップを前記発射位置から前記エンドエフェクタの前記レシーバー内へと前進させるように構成された第2のクリップ前進装置であって、前記第2のクリップ前進装置は、前記第1のジョー及び前記第2のジョーを前記閉鎖位置に向かって移動させるように更に構成されている、第2のクリップ前進装置と、を備える、外科用装置。 - 前記第1のクリップ前進装置が第1の入力によって駆動され、前記第2のクリップ前進装置が第2の入力によって駆動される、請求項15に記載の外科用装置。
- 前記第2のクリップ前進装置が、近位位置と、中間位置と、遠位位置との間で移動するように構成されたジョーカムを備え、前記中間位置は、前記近位位置と前記遠位位置との間に位置する、請求項16に記載の外科用装置。
- 前記第2のクリップ前進装置が、前記ジョーカムから延在するフィーダシューを更に備え、前記フィーダシューは、前記第2のクリップ前進装置が前記近位位置から前記中間位置に移動するとき、前記クリップを前記発射位置から前記エンドエフェクタの前記レシーバー内へと移動させるように構成されている、請求項17に記載の外科用装置。
- 前記ジョーカムが前記中間位置から前記遠位位置に移動するとき、前記ジョーカムは、前記第1のジョー及び前記第2のジョーを前記閉鎖位置に向かって移動させ、前記エンドエフェクタの前記レシーバー内に位置付けられた前記クリップを圧着するように構成されている、請求項18に記載の外科用装置。
- 前記ジョーカムが前記中間位置から前記遠位位置に移動するとき、前記フィーダシューは移動しない、請求項19に記載の外科用装置。
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JP2021500972A (ja) | 2017-10-30 | 2021-01-14 | エシコン エルエルシーEthicon LLC | 回転可能なクリップマガジンを備えるクリップアプライヤー |
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