JP7384808B2 - 関節動作する外科用器具 - Google Patents
関節動作する外科用器具 Download PDFInfo
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- JP7384808B2 JP7384808B2 JP2020535032A JP2020535032A JP7384808B2 JP 7384808 B2 JP7384808 B2 JP 7384808B2 JP 2020535032 A JP2020535032 A JP 2020535032A JP 2020535032 A JP2020535032 A JP 2020535032A JP 7384808 B2 JP7384808 B2 JP 7384808B2
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Classifications
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
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- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
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- A—HUMAN NECESSITIES
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- A61B17/0487—Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks
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- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/062—Needle manipulators
- A61B17/0625—Needle manipulators the needle being specially adapted to interact with the manipulator, e.g. being ridged to snap fit in a hole of the manipulator
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- A61B17/0642—Surgical staples, i.e. penetrating the tissue for bones, e.g. for osteosynthesis or connecting tendon to bone
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- A61B1/005—Flexible endoscopes
- A61B1/0051—Flexible endoscopes with controlled bending of insertion part
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- 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
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
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- A—HUMAN NECESSITIES
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- A61B2017/2901—Details of shaft
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61B17/2909—Handles
- A61B2017/2912—Handles transmission of forces to actuating rod or piston
- A61B2017/2913—Handles transmission of forces to actuating rod or piston cams or guiding means
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- A61B2017/2926—Details of heads or jaws
- A61B2017/2927—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft
- A61B2017/2929—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft with a head rotatable about the longitudinal axis of the shaft
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- A—HUMAN NECESSITIES
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- A61B2017/2926—Details of heads or jaws
- A61B2017/2932—Transmission of forces to jaw members
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- A—HUMAN NECESSITIES
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- 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
- A61B2090/0803—Counting the number of times an instrument is used
Description
Claims (13)
- ハンドルと、
前記ハンドルに対して、少なくとも第1位置と第2位置との間で可動である関節動作カムであって、第1カムプロファイル及び第2カムプロファイルを含む関節動作カムと、
湾曲又は曲げることが可能な関節式部分を有し、前記ハンドルから遠位に延在する長尺状シャフトアセンブリであって、
前記第1カムプロファイルに結合された近位部分を含む第1シャフトと、
前記第2カムプロファイルに結合された近位部分を含む第2シャフトであって、前記第2シャフトは前記長尺状シャフトアセンブリの前記関節式部分から遠位に位置する箇所で、前記第1シャフトに対して当該第1シャフトの長手方向である軸方向に固定され、前記第1シャフトに対して同軸上に配置されている第2シャフトと、を含む長尺状シャフトアセンブリと、を備える外科用器具であって、
前記関節動作カムを前記第1位置から前記第2位置へ動かすことによって、前記第1シャフトの前記近位部分を第1方向に、及び前記第2シャフトの前記近位部分を第2方向に変位させる、外科用器具。 - 前記第1方向は近位方向であり、及び前記第2方向は遠位方向である、請求項1に記載の外科用器具。
- 前記関節動作カムは、前記関節動作カムの回転軸の周りで回転式に可動であり、前記関節動作カムを前記第1位置から前記第2位置へ動かす、請求項1又は請求項2のいずれか1項に記載の外科用器具。
- 前記第1シャフトの前記近位部分は、第1ピンによって前記第1カムプロファイルに結合され、及び前記第2シャフトの前記近位部分は、第2ピンによって前記第2カムプロファイルに結合される、請求項3に記載の外科用器具。
- 前記第1カムプロファイルは、第1プロファイル部分及び第2プロファイル部分を含み、
前記第2カムプロファイルは、第3プロファイル部分及び第4プロファイル部分を含み、
前記関節動作カムを前記第1位置から前記第2位置へ動かすことによって、前記第1ピンを前記第1プロファイル部分から前記第2プロファイル部分へ、及び前記第2ピンを前記第3プロファイル部分から前記第4プロファイル部分へ動かす、請求項4に記載の外科用器具。 - 前記第1及び第3プロファイル部分は、前記回転軸から第1半径方向距離に位置する、湾曲した経路を辿り、並びに前記第2及び第4プロファイル部分は、前記回転軸から、前記第1半径方向距離とは異なる第2半径方向距離に少なくとも一部分が位置する経路を辿る、請求項5に記載の外科用器具。
- 前記第1半径方向距離は、前記第1及び第3プロファイル部分において一定である、請求項6に記載の外科用器具。
- 前記第2半径方向距離は、前記第2及び第4プロファイル部分において一定である、請求項6又は請求項7のいずれか1項に記載の外科用器具。
- 前記第2半径方向距離は、前記第2及び第4プロファイル部分において一定ではない、請求項6又は請求項7のいずれか1項に記載の外科用器具。
- 前記第2半径方向距離は前記第1半径方向距離を上回る、請求項6から請求項9のいずれか1項に記載の外科用器具。
- 前記第1及び第2ピンのそれぞれは、前記長尺状シャフトアセンブリの長手方向軸に対して平行な方向に沿って動くように制約されている、請求項4から請求項10のいずれか1項に記載の外科用器具。
- 前記第1及び第2カムプロファイルは、前記関節動作カムの前記回転軸の互いに対向する側に位置している、請求項3から請求項11のいずれか1項に記載の外科用器具。
- さらに、前記関節動作カムに結合された関節動作ロックを含み、前記関節動作カムを前記第1位置から前記第2位置へ動かすことによって、前記関節動作ロックを、前記関節式部分が湾曲又は曲がる関節動作を防止するロック形態から前記関節式部分が湾曲又は曲がる関節動作を許容するロック解除形態へ動かして、前記長尺状シャフトアセンブリの関節動作を選択的に許容する、請求項1から請求項12のいずれか1項に記載の外科用器具。
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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JP2023191256A JP2024016205A (ja) | 2018-01-10 | 2023-11-09 | 関節動作する外科用器具 |
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US15/867,049 US10779813B2 (en) | 2018-01-10 | 2018-01-10 | Articulating surgical instruments |
US15/867,049 | 2018-01-10 | ||
PCT/US2019/012144 WO2019139810A1 (en) | 2018-01-10 | 2019-01-03 | Articulating surgical instruments |
Related Child Applications (1)
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JP2023191256A Division JP2024016205A (ja) | 2018-01-10 | 2023-11-09 | 関節動作する外科用器具 |
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JP2021510095A JP2021510095A (ja) | 2021-04-15 |
JP2021510095A5 JP2021510095A5 (ja) | 2022-01-04 |
JP7384808B2 true JP7384808B2 (ja) | 2023-11-21 |
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JP2020535032A Active JP7384808B2 (ja) | 2018-01-10 | 2019-01-03 | 関節動作する外科用器具 |
JP2023191256A Pending JP2024016205A (ja) | 2018-01-10 | 2023-11-09 | 関節動作する外科用器具 |
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JP2023191256A Pending JP2024016205A (ja) | 2018-01-10 | 2023-11-09 | 関節動作する外科用器具 |
Country Status (8)
Country | Link |
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US (3) | US10779813B2 (ja) |
EP (2) | EP3737308B1 (ja) |
JP (2) | JP7384808B2 (ja) |
CN (2) | CN111565656B (ja) |
AU (1) | AU2019206350B2 (ja) |
CA (1) | CA3087073A1 (ja) |
ES (1) | ES2930267T3 (ja) |
WO (1) | WO2019139810A1 (ja) |
Families Citing this family (3)
Publication number | Priority date | Publication date | Assignee | Title |
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US11134928B2 (en) * | 2018-01-10 | 2021-10-05 | C.R. Bard, Inc. | Articulating surgical instruments |
US10779813B2 (en) | 2018-01-10 | 2020-09-22 | C.R. Bard, Inc. | Articulating surgical instruments |
US11103234B2 (en) | 2018-01-10 | 2021-08-31 | C.R. Bard, Inc. | Articulating surgical instruments |
Citations (4)
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EP3737308A1 (en) | 2020-11-18 |
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