JPH08215201A - 高視覚化用のラツチ機構を具えた外科用装置 - Google Patents
高視覚化用のラツチ機構を具えた外科用装置Info
- Publication number
- JPH08215201A JPH08215201A JP7332567A JP33256795A JPH08215201A JP H08215201 A JPH08215201 A JP H08215201A JP 7332567 A JP7332567 A JP 7332567A JP 33256795 A JP33256795 A JP 33256795A JP H08215201 A JPH08215201 A JP H08215201A
- Authority
- JP
- Japan
- Prior art keywords
- latch
- latch member
- retaining member
- retaining
- locked
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/122—Clamps or clips, e.g. for the umbilical cord
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/064—Surgical staples, i.e. penetrating the tissue
- A61B17/0643—Surgical staples, i.e. penetrating the tissue with separate closing member, e.g. for interlocking with staple
-
- 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
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
- A61B2090/3937—Visible markers
Abstract
ッチ部材を収容かつ保持するように適合された少なくと
も一つの孔を有する保持部材とを具備し、該ラッチ部材
と該保持部材は、ラッチ部材が保持部材によって適所に
ロックされる時、ロック位置におけるラッチ部材の存在
が外的に可視になる如く対照色であるラッチ機構を有す
る。
Description
器具であり、さらに詳細には、外科用ステープルと収容
器、結紮用クリップ及び同等物の如く、ラッチ機構を具
える外科用装置に関する。
において極めて公知である。外科用ファスナーの如く外
科用装置の例としては、米国特許第4,402,445
号、第4,506,670号、第4,513,746
号、第4,534,352号、第4,610,250
号、第4,667,674号と第4,932,960号
において記載され、これらの特許は、参照としてここに
採り入れられた。典型的に、これらの外科用装置は、一
つ以上の吸収性材料から形成した2つの部材を含む。装
置は、一般に、少なくとも一つのラッチ部材、即ち、ス
テープル又はファスナーと、保持部材とから成る。ラッ
チ部材は、一般に、一つ以上の位置において組織を刺し
通し、保持部材へロックされる。
科用装置を適用する外科医師は、しばしば、ラッチ部材
が保持部材へロックしたかを判定するための容易な方法
を有さない。現在、外科医師は、緩い又は固定してない
ステープルを検査するために組織を手技しなければなら
ず、これは時間を消費する手順である。付加的に、この
手順における組織の手技は、より多くの組織外傷につな
がり、手術後感染の危険を増大させる。この時、必要な
ものは、外科医師に外科用装置が固定されているかを迅
速に判定することを許容する外科用装置である。
用装置が固定されているかを容易に判定することを許容
し、これにより、外科用手順のために必要な時間を縮小
する外科用装置を設けることである。発明の別の目的
は、外科用手順中に発生する組織手技の量を縮小し、こ
れにより、組織外傷と手術後感染の危険を低減させる外
科用装置を設けることである。これと他の目的及び利点
は、本発明の以下の説明から技術における当業者に明ら
かになるであろう。
ッチ部材を収容かつ保持するように適合された少なくと
も一つの孔を有する保持部材とを具備し、該ラッチ部材
と保持部材は、ラッチ部材が保持部材によって適所でロ
ックされる時、ロック位置におけるラッチ部材の存在が
可視になる如く対照色であるラッチ機構を有する外科用
装置を発見した。
が、図1、図2、図3と図4に示される。図1と図2に
示されたラッチ装置は、保持部材104と、基部116
と少なくとも2つのラッチ102を有するラッチ部材1
01とを具備する。ラッチ102は、ほぼ平行であり、
基部116の同一側からほぼ垂直に伸長する。ラッチ1
02は、一般に、基部116の端部に隣接して、基部1
16に付着される。3以上のラッチが基部116に据え
られたならば、ラッチは、基部116の長さに沿って離
間される。ラッチ102は、軸部106に付着する突起
105を有する。突起105は、突起105の底部11
0から突起105の少なくとも一方の側における先端1
08にテーパされる。突起105の底部110は、軸部
106よりも拡幅である。突起の底部110は、軸部1
06に接合される。連結用突起表面112が、突起10
5の底部110と軸部106との接合部に隣接して設け
られる。
保持部材104とラッチ部材101の間に位置付けられ
る。ラッチ部材101の2つのラッチ102が、組織
(不図示)を通して保持部材104における孔103内
へ駆動される。ラッチ102は、孔103を通過する
時、偏向するが、連結用突起表面112がロック表面1
14に重なり係合する時、原定位に実質的に復帰する。
ラッチ部材101の連結用突起表面112と保持部材1
04のロック表面114は、ロック位置において、組織
を2つの部材101と104の間の適所に差し挟み、2
つの部材を締結する。
る結紮用クリップを示す。結紮用クリップ200は、弾
性ヒンジ区分216によって近位端部212aと214
aで連結したラッチ部材212と保持部材214を含
む。ラッチ及び保持部材212と214の遠位端部21
2bと214bにおいて、図4に示された血管220の
如く、身体組織の回りで閉位置に部材212と214を
ロックするためのラッチ機構218が設けられる。例示
の実施態様において、ラッチ機構は、保持部材214の
遠位端部214bに位置する保持器244内にロック収
容されるために適合されたラッチ202を含む。ラッチ
202は、軸部206に付着された突起205を具備す
る。先端208には、血管220を取り囲む組織(不図
示)を貫通するための鋭い縁208aを備える。突起2
05は、先端208から底部210に広げられる。突起
210の底部は、軸部206よりも拡幅である。突起2
10の底部は、軸部206に接合される。連結用突起表
面211は、突起205の底部210と軸部206との
接合部に隣接して設けられる。保持器244は、ラッチ
202を収容するように適合された孔203と、閉又は
ロック位置において結紮用クリップを維持するために連
結用突起表面211に係合するように適合されたロック
表面234とを有する。保持部材214の遠位端部にお
ける点検用ポート230は、ラッチ202が保持器24
4にロックされたかを視覚的に点検するための手段を設
ける。
は、ラッチ部材212と一体的に形成され、そして第3
及び第4横拡張部224cと224dは、保持部材21
4の対向拡幅壁から外側に拡張し、クリップ閉鎖力を収
容するように適合される。横拡張部224a〜224d
に加えられた力は、部材212と214の遠位端部21
2bと214bを相互に接近させる。ラッチ部材202
の先端208は、組織(不図示)を通して保持器244
における孔203内へ駆動される。ラッチ202は、孔
203を通過する時、偏向するが、連結用突起表面21
1がロック表面234に重なり係合する時、その原定位
に実質的に復帰する。ラッチ部材202の連結用突起表
面211と保持部材244のロック表面234の係合
は、血管220が図4に示された如く係合されて、ロッ
ク位置において、2つの部材212と214の間の適所
に組織を差し挟み、2つの部材を締結する。
にあるかを判定するのを容易にするために、ラッチの部
分、即ち、突起(105、205)は、保持器の部分、
即ち、ロック表面(114、234)及び/又は孔(1
03、203)と比較して、対照色であるべきである。
全ラッチ部材(101、212)はまた、保持部材(1
04、214)へロックされるラッチ部材の可視性を高
めるために、対照色である。図4に示された如く、点検
用ポート230は、結紮用クリップの視覚点検を可能に
し、クリップがロック位置にあることを検証するために
設けられる。点検用ポートは、開口又はほぼ透明なのぞ
き窓から成る。
容易に現出し、最も好ましくは、一方の色は、暗く現
れ、他方の色は明るく現れる。対照色は、色素又は顔料
の如く着色剤を使用することにより生成される。着色剤
は、ラッチ部材又は保持部材を作成するために使用され
るポリマー材料に添加される。着色剤はまた、外部被覆
として添加される。適切な着色剤は、参照としてここに
採り入れられた、Daniel M.Marmionに
よるHandbook of U.S.Coloran
ts for Foods,Drugs,and Co
smetics,second editionにおい
て列挙される。一般に使用される着色剤としては、D&
C Violet No.2,D&C Green N
o.6,D&C Green No.5、D&C Bl
ue No.6、[フタロシアニナート](2−)銅及
び黒ロッグウッド色素がある。付加的に、ポリマー材料
が外科用装置を形成するために使用される時、対照色
は、一成分をその天然色のままにして、「無着色」(即
ち、白ないし金色)にし、他の成分を適切な対照色で着
色することにより生成される。現在好ましい対照色は、
限定的ではないが、無着色/緑、無着色/紫、無着色/
青、無着色/黒、緑/黒、緑/紫、緑/青及び青/黒か
ら成るグループから選択される対照色である。
収性でない生体適合性金属又はポリマー材料から作成さ
れる。好ましい吸収性ポリマーは、ポリ(p−ジオクサ
ノン)、ポイ(グリコリド)、ポリ(ラクチド)、ポリ
(カプロラクトン)、ポリ(ヒドロキシブチレート)、
ポリ(ヒドロキシバリレート)、ポリ(アンヒドリ
ド)、それらのコポリマー、及びそれらの配合物であ
る。好ましい非吸収性ポリマーは、ナイロン、ポリエス
テルとポリプロピレンがある。外科用装置は、これらの
生体適合性材料から成型又は加工される。
採り入れられたヨーロッパ特許出願93308924.
5(公告番号609612)において記載された適用器
の如く、多数の機械的適用器で適用される。
りである。
ラッチ部材を収容かつ保持するように適合された少なく
とも一つの孔を有する保持部材とを具備し、該ラッチ部
材の部分と該保持部材の部分は、ラッチ部材が保持部材
によって適所にロックされる時、ロック位置におけるラ
ッチ部材の存在が可視になる如く対照色であるラッチ機
構を有する外科用装置。
上記1に記載の外科用装置。
無着色/青、無着色/黒、緑/黒、緑/紫、緑/青及び
青/黒から成るグループから選択される上記2に記載の
外科用装置。
ポリマー材料に添加された少なくとも一つの着色剤を有
する上記3に記載の外科用装置。
し、そして保持部材が、孔とロック表面を有する上記4
に記載の外科用装置。
ー材料が、着色剤を含む上記5に記載の外科用装置。
垂直に伸長する少なくとも2つのほぼ平行なラッチとを
有し、各ラッチは、基部に連結された軸部に付着した突
起を有するラッチ部材と、ロック位置において該2つの
ラッチを収容かつ保持するように適合された2つの孔を
有する保持部材とを具備し、この場合、該ラッチ部材の
部分と該保持部材の部分は、ラッチ部材が保持部材によ
って適所にロックされる時、ロック位置におけるラッチ
部材の存在が外的に可視である如く対照色であるラッチ
機構を有する外科用装置。
する保持部材とを有する結紮用クリップと、近位端部に
おいて該ラッチ部材と保持部材を連結する弾性ヒンジ
と、ラッチ部材の遠位端部に付着された軸部に連結され
た突起を有するラッチと、ラッチを収容し、保持部材の
遠位端部における閉位置において結紮用クリップをロッ
クするように適合された孔とロック表面とを有する保持
器と、ラッチと保持器の係合の視覚点検を可能にするた
めに保持部材の遠位端部に位置するポートとを具備し、
この場合、該ラッチ部材の部分と該保持部材の部分は、
ラッチ部材が保持部材によって適所にロックされる時、
ロック位置におけるラッチ部材の存在が外的に可視であ
る如く対照色であるラッチ機構を具える外科用装置。
近置させるためのラッチ機構を有する少なくとも一つの
外科用ステープルを適用するための装置を具備し、外科
用ステープルは、ラッチ部材と保持部材を有し、ラッチ
部材は、2つの端部を具える基部と、ほぼ同一方向にお
いて基部から垂直に伸長する少なくとも2つのほぼ平行
なラッチとを有し、各ラッチは、一方の端部に隣接して
基部に連結された軸部に付着された突起を有し、保持部
材が、ロック位置において該2つのラッチを収容かつ保
持するように適合された2つの孔を有し、この場合、該
ラッチ部材の部分と該保持部材の部分が、ラッチ部材が
保持部材によって適所にロックされる時、ロック位置に
おけるラッチ部材の存在が外的に可視である如く対照色
である外科用装置。
身体組織に適用するための装置を具備し、結紮用クリッ
プが、ラッチ部材と、近位及び遠位端部を有する保持部
材とを有し、弾性ヒンジが、近位端部において該ラッチ
部材と保持部材を連結し、ラッチが、ラッチ部材の遠位
端部に付着した軸部に連結された突起を有し、保持器
が、ラッチを収容し、保持部材の遠位端部における閉位
置において結紮用クリップをロックするように適合され
た孔とロック表面と、ラッチと保持器の係合の視覚点検
を可能にするために保持部材の遠位端部に位置するポー
トとを有し、この場合、該ラッチ部材の部分と該保持部
材の部分が、ラッチ部材が保持部材によって適所にロッ
クされる時、ロック位置におけるラッチ部材の存在が外
的に可視である如く対照色である外科用装置。
図である。
Claims (5)
- 【請求項1】 ラッチ部材と、ロック位置において該ラ
ッチ部材を収容かつ保持するように適合された少なくと
も一つの孔を有する保持部材とを具備し、該ラッチ部材
の部分と該保持部材の部分は、ラッチ部材が保持部材に
よって適所にロックされる時、ロック位置におけるラッ
チ部材の存在が可視になる如く対照色であるラッチ機構
を有する外科用装置。 - 【請求項2】 2つの端部を具える基部と、基部から垂
直に伸長する少なくとも2つのほぼ平行なラッチとを有
し、各ラッチは、基部に連結された軸部に付着した突起
を有するラッチ部材と、ロック位置において該2つのラ
ッチを収容かつ保持するように適合された2つの孔を有
する保持部材とを具備し、この場合、該ラッチ部材の部
分と該保持部材の部分は、ラッチ部材が保持部材によっ
て適所にロックされる時、ロック位置におけるラッチ部
材の存在が外的に可視である如く対照色であるラッチ機
構を有する外科用装置。 - 【請求項3】 ラッチ部材と、近位及び遠位端部を有す
る保持部材とを有する結紮用クリップと、近位端部にお
いて該ラッチ部材と保持部材を連結する弾性ヒンジと、
ラッチ部材の遠位端部に付着された軸部に連結された突
起を有するラッチと、ラッチを収容し、保持部材の遠位
端部における閉位置において結紮用クリップをロックす
るように適合された孔とロック表面とを有する保持器
と、ラッチと保持器の係合の視覚点検を可能にするため
に保持部材の遠位端部に位置するポートとを具備し、こ
の場合、該ラッチ部材の部分と該保持部材の部分は、ラ
ッチ部材が保持部材によって適所にロックされる時、ロ
ック位置におけるラッチ部材の存在が外的に可視である
如く対照色であるラッチ機構を具える外科用装置。 - 【請求項4】 身体組織における創傷の縁を接合及び近
置させるためのラッチ機構を有する少なくとも一つの外
科用ステープルを適用するための装置を具備し、外科用
ステープルは、ラッチ部材と保持部材を有し、ラッチ部
材は、2つの端部を具える基部と、ほぼ同一方向におい
て基部から垂直に伸長する少なくとも2つのほぼ平行な
ラッチとを有し、各ラッチは、一方の端部に隣接して基
部に連結された軸部に付着された突起を有し、保持部材
が、ロック位置において該2つのラッチを収容かつ保持
するように適合された2つの孔を有し、この場合、該ラ
ッチ部材の部分と該保持部材の部分が、ラッチ部材が保
持部材によって適所にロックされる時、ロック位置にお
けるラッチ部材の存在が外的に可視である如く対照色で
ある外科用装置。 - 【請求項5】 少なくとも一つの結紮用クリップを身体
組織に適用するための装置を具備し、結紮用クリップ
が、ラッチ部材と、近位及び遠位端部を有する保持部材
とを有し、弾性ヒンジが、近位端部において該ラッチ部
材と保持部材を連結し、ラッチが、ラッチ部材の遠位端
部に付着した軸部に連結された突起を有し、保持器が、
ラッチを収容し、保持部材の遠位端部における閉位置に
おいて結紮用クリップをロックするように適合された孔
とロック表面と、ラッチと保持器の係合の視覚点検を可
能にするために保持部材の遠位端部に位置するポートと
を有し、この場合、該ラッチ部材の部分と該保持部材の
部分が、ラッチ部材が保持部材によって適所にロックさ
れる時、ロック位置におけるラッチ部材の存在が外的に
可視である如く対照色である外科用装置。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US08/348,699 US6206897B1 (en) | 1994-12-02 | 1994-12-02 | Enhanced visualization of the latching mechanism of latching surgical devices |
US348699 | 1994-12-02 |
Publications (1)
Publication Number | Publication Date |
---|---|
JPH08215201A true JPH08215201A (ja) | 1996-08-27 |
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JP7332567A Pending JPH08215201A (ja) | 1994-12-02 | 1995-11-29 | 高視覚化用のラツチ機構を具えた外科用装置 |
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US (1) | US6206897B1 (ja) |
EP (1) | EP0714633B1 (ja) |
JP (1) | JPH08215201A (ja) |
CN (1) | CN1132065A (ja) |
AU (1) | AU3903095A (ja) |
BR (1) | BR9505605A (ja) |
CA (1) | CA2164181A1 (ja) |
DE (1) | DE69515423T2 (ja) |
ZA (1) | ZA9510240B (ja) |
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Also Published As
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---|---|
AU3903095A (en) | 1996-06-13 |
DE69515423T2 (de) | 2000-07-20 |
BR9505605A (pt) | 1997-11-04 |
CN1132065A (zh) | 1996-10-02 |
ZA9510240B (en) | 1997-06-02 |
CA2164181A1 (en) | 1996-06-03 |
US6206897B1 (en) | 2001-03-27 |
DE69515423D1 (de) | 2000-04-13 |
EP0714633A1 (en) | 1996-06-05 |
EP0714633B1 (en) | 2000-03-08 |
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