JP7405975B2 - 空気圧式または油圧式の動力付き組織閉鎖装置 - Google Patents
空気圧式または油圧式の動力付き組織閉鎖装置 Download PDFInfo
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Description
Claims (12)
- 内視鏡のワーキングチャンネルを通して挿入可能な内視鏡装置と、
前記内視鏡装置に連結されるアクチュエータであって、チャンバーの内部にピストンを含む前記アクチュエータとを備え、前記ピストンは、
前記チャンバーの内面に係合するピストンヘッドと、
前記内視鏡装置の組織係合要素に連結されたピストンロッドであって、前記チャンバーの内部の流体からの圧力が前記ピストンロッドおよび前記組織係合要素を作動させ、前記組織係合要素は標的組織の開口部を閉鎖するように構成されている、前記ピストンロッドと、
第2のチャンバー内の第2のピストンであって、前記第2のチャンバーは前記チャンバーに対して流体連通しており、前記チャンバーの第1の直径(D1)は前記第2のチャンバーの第2の直径(D2)よりも大きい、前記第2のピストンと
を備える、医療装置。 - 前記アクチュエータは、前記流体が前記チャンバーに流入することを可能にするように動作可能な弁をさらに備える、請求項1に記載の医療装置。
- 前記アクチュエータは、前記チャンバーに流体連通した入口導管および出口導管をさらに含んでおり、前記入口導管は、前記ピストンヘッドの第1の側に沿って配置されており、前記出口導管は、前記ピストンヘッドの第2の側面に沿って配置される、請求項2に記載の医療装置。
- 前記弁は、前記入口導管および前記出口導管の中を通過する流体の流れを制御する、請求項3に記載の医療装置。
- 前記出口導管は、逃し弁を含む、請求項3または4に記載の医療装置。
- 前記組織係合要素は、ニードルパッサまたは内視鏡ステープラーヘッドである、請求項1~5のいずれか一項に記載の医療装置。
- 前記内視鏡装置が縫合装置であり、前記縫合装置は、
長尺状部材と、
前記長尺状部材の一端に設けられた縫合糸アームであって、前記ニードルパッサは、標的組織を縫合するために前記長尺状部材と前記縫合糸アームの遠位端との間に針を送達するように動作可能である、前記縫合糸アームと、
を備える、請求項6に記載の医療装置。 - 前記ピストンロッドは、前記長尺状部材の内部に配置されている、請求項7に記載の医療装置。
- 前記ピストンロッドは、前記ニードルパッサに連結されている、請求項6~8のいずれか一項に記載の医療装置。
- 前記チャンバー内の前記流体は、前記ピストンヘッドに衝突して、前記ピストンロッドおよび前記ニードルパッサを軸方向に作動させる、請求項6~9のいずれか一項に記載の医療装置。
- 前記内視鏡ステープラーヘッドは、
第2のジョーに対向する第1のジョーであって、前記ピストンロッドが連結されている前記第1のジョーと、
前記第2のジョーに沿ったステープルカートリッジと
を含んでおり、前記ピストンロッドの移動により、前記第1のジョーは、前記ステープルカートリッジに接触、または前記ステープルカートリッジから離間する、請求項6に記載の医療装置。 - 前記第2のピストンは、
前記第2のチャンバーの内面に係合する第2のピストンヘッドと、
前記第2のピストンヘッドから延びる第2のピストンロッドと
を備え、前記第2のピストンヘッドは、前記ピストンの前記ピストンヘッドに面している、請求項1~11のいずれか一項に記載の医療装置。
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US201962937980P | 2019-11-20 | 2019-11-20 | |
US62/937,980 | 2019-11-20 | ||
PCT/US2020/061264 WO2021102128A2 (en) | 2019-11-20 | 2020-11-19 | Pneumatic or hydraulic powered tissue closure devices |
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JP2012527915A (ja) | 2009-05-26 | 2012-11-12 | ジョイマックス ゲーエムベーハー | 医療用のロック可能なクリップを組織エリアに付けるための装置および方法 |
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JPS55151956A (en) * | 1979-05-17 | 1980-11-26 | Janome Sewing Machine Co Ltd | Sewing machine for medical treatment |
US4621639A (en) | 1982-02-03 | 1986-11-11 | Ethicon, Inc | Surgical instrument with hydraulic actuator |
CA2117744A1 (en) * | 1993-10-14 | 1995-04-15 | David T. Green | Gas powered apparatus for applying surgical fasteners to body tissue |
US5507426A (en) * | 1994-08-05 | 1996-04-16 | United States Surgical Corporation | Apparatus for applying surgical fasteners |
US5972005A (en) | 1998-02-17 | 1999-10-26 | Advanced Cardiovascular Systems, Ind. | Wound closure assembly and method of use |
US9060770B2 (en) | 2003-05-20 | 2015-06-23 | Ethicon Endo-Surgery, Inc. | Robotically-driven surgical instrument with E-beam driver |
US20080029575A1 (en) * | 2006-08-02 | 2008-02-07 | Shelton Frederick E | Surgical cutting and fastening instrument with distally mounted pneumatically powered rotary drive member |
AT507563B1 (de) * | 2009-05-15 | 2010-06-15 | Klaffenboeck Johann Mag | Vorrichtung zur betätigung eines endeffektors |
CA2877085A1 (en) | 2011-01-14 | 2012-07-19 | Michael P. Whitman | Surgical stapling device and method |
RU2606493C2 (ru) | 2011-04-29 | 2017-01-10 | Этикон Эндо-Серджери, Инк. | Кассета со скобками, содержащая скобки, расположенные внутри ее сжимаемой части |
US9301757B2 (en) * | 2012-07-27 | 2016-04-05 | Covidien Lp | Surgical fastener applying apparatus including fluid-activated firing mechanism |
AT518032B1 (de) | 2015-11-20 | 2017-11-15 | Johann Klaffenböck Mag | Medizinisches instrument |
EP3342355B1 (en) | 2016-12-29 | 2020-04-22 | Medtentia International Ltd Oy | Medical securing device for securing an object with a securing member |
JP6860699B2 (ja) | 2017-02-22 | 2021-04-21 | ボストン サイエンティフィック サイムド,インコーポレイテッドBoston Scientific Scimed,Inc. | 縫合による閉塞装置 |
US10292698B2 (en) | 2017-07-27 | 2019-05-21 | Endoevolution, Llc | Apparatus and method for minimally invasive suturing |
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JP2012527915A (ja) | 2009-05-26 | 2012-11-12 | ジョイマックス ゲーエムベーハー | 医療用のロック可能なクリップを組織エリアに付けるための装置および方法 |
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US20240108326A1 (en) | 2024-04-04 |
JP2024019559A (ja) | 2024-02-09 |
CN114727817A (zh) | 2022-07-08 |
CA3161964A1 (en) | 2021-05-27 |
WO2021102128A3 (en) | 2021-06-24 |
US20210145434A1 (en) | 2021-05-20 |
EP4061249A2 (en) | 2022-09-28 |
AU2020388053B2 (en) | 2023-11-02 |
WO2021102128A2 (en) | 2021-05-27 |
KR20220104003A (ko) | 2022-07-25 |
JP2023502249A (ja) | 2023-01-23 |
US11877739B2 (en) | 2024-01-23 |
AU2020388053A1 (en) | 2022-05-12 |
AU2024200607A1 (en) | 2024-02-22 |
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