JPH08509635A - 関節ジョー構造および着脱可能ナイフを備えた外科手術用器具 - Google Patents
関節ジョー構造および着脱可能ナイフを備えた外科手術用器具Info
- Publication number
- JPH08509635A JPH08509635A JP6524498A JP52449894A JPH08509635A JP H08509635 A JPH08509635 A JP H08509635A JP 6524498 A JP6524498 A JP 6524498A JP 52449894 A JP52449894 A JP 52449894A JP H08509635 A JPH08509635 A JP H08509635A
- Authority
- JP
- Japan
- Prior art keywords
- jaw
- jaws
- cam
- surgical instrument
- knife
- 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.)
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- 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
- A61B17/07207—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 the staples being applied sequentially
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/2812—Surgical forceps with a single pivotal connection
- A61B17/282—Jaws
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- 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
- A61B2017/07285—Stapler heads characterised by its cutter
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
- A61B2017/2932—Transmission of forces to jaw members
- A61B2017/2933—Transmission of forces to jaw members camming or guiding means
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
- A61B2017/2932—Transmission of forces to jaw members
- A61B2017/2933—Transmission of forces to jaw members camming or guiding means
- A61B2017/2936—Pins in guiding slots
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Ophthalmology & Optometry (AREA)
- Surgical Instruments (AREA)
Abstract
Description
Claims (1)
- 【特許請求の範囲】 1.体組織部を把む関節ジョー構造を備えてなる外科手術用器具であって、 外端部を有するフレーム、 基端部とフレーム外端部から突出する末端部とを有する第1ジョー、お よび 基端部とフレーム外端部から突出する末端部とを有する第2ジョー、 を備えており、 第1ジョーの基端部と第2ジョーの基端部とは、各ジョーの末端部がその間に 組織を受け入れるために互いに離れている完全に開いた位置と、各ジョーの末端 部が互いに近接してその間の組織を把んでいる近接位置との間で互いに実質的に 平行状態を保ったまま移動できるように互いに連結されており、 少なくとも一方のジョーの末端部がフレーム外端部から離れた位置にあるとき にジョーは完全に開いた位置にあり、該一方のジョーの末端部がフレーム外端部 近傍の引込位置にあるときにジョーは近接位置にあり、 フレームに設けられており、ジョーと機能的に協働して該ジョーを開い た位置と近接位置との間で移動させる駆動機構、 をさらに備えている、外科手術用器具。 2.前記第1ジョーはフレームに対して固定されており、第2ジョーは前記離れ た位置と引込位置との間で移動することが可能である、請求項1記載の外科手術 用器具。 3.前記第1ジョーの基端部は、第2ジョーの基端部に取り付けるための第1ピ ンおよび第1リンクを備えており、 第1リンクは、第1ジョーの基端部に回動可能に取り付けられた第1端と、リ ンクピンを備える第2端とを有しており、 第1ピンおよびリンクピンは、それぞれ、第2ジョーの基端部に設けられた第 1スロットおよび第2スロットに受け入れられる、請求項2記載の外科手術用器 具。 4.前記第1スロットは、第2スロットよりも末端側に配置されている、請求項 3記載の外科手術用器具。 5.前記第1スロットは、基端側に向かうにつれて第1ジョーに向かう方向に延 びており、 第2スロットは、傾いたL字を構成する基端部および末端部を有しており、該 基端部は基端側に向かうにつれて第1ジョーに向かう方向に延びており、該末端 部は末端側に向かうにつれて第1ジョーに向かう方向に延びている、請求項4記 載の外科手術用器具。 6.前記ジョーを完全に開いた位置へと付勢するカム手段をさらに備えている、 請求項2記載の外科手術用器具。 7.前記ジョーを近接位置へと付勢する付勢手段をさらに備えている、請求項2 記載の外科手術用器具。 8.前記ジョーの両方が離れた位置と引込位置との間で移動可能である、請求項 1記載の外科手術用器具。 9.前記フレームは管状であって、各ジョーの基端部は、管状フレーム内におい て該フレーム内に横断方向に向けて配置された回動ピンを中心として互いに回動 可能に連結されている、請求項8記載の外科手術用器具。 10.前記駆動機構はカムを、各ジョーの基端部はカム面を備えており、カムおよ びカム面のそれぞれは、カムが第1位置と第2位置との間で移動するときに各ジ ョ ーが開いた位置と中間位置との間で互いに回動することを許容する形状とされて おり、 一方のジョーは、カムが第2位置にあるときに該カムと当接して、カムが第2 位置と第3位置との間でさらに移動するときにジョーが管状フレーム内に引き込 まれることを許容するカムストッパをさらに備えており、 一方のジョーは、ジョーが中間位置と近接位置との間で移動するときに管状フ レームの外端部と係合する傾斜部をさらに備えており、該傾斜部は、カムが第2 位置と第3位置との間で移動するときに各ジョーが実質的に平行状態を保ったま ま中間位置と近接位置との間で移動することを許容することを許容する形状とさ れている、請求項9記載の外科手術用器具。 11.前記カムおよびカム面は、カムが第1位置と第2位置との間で移動するとき には各ジョーが軸方向には実質的に移動することなく開いた位置と中間位置との 間で回動することを許容する形状とされている、請求項10記載の外科手術用器具 。 12.前記カムは、第1位置と第2位置との間を軸方向に移動可能で、 第1位置と第2位置との間でのカムの軸方向移動距離は、開いた位置と中間位 置との間でのジョーの軸方向移動距離よりも大きい、請求項10記載の外科手術用 器具。 13.前記管状フレームは、その外端部に取り付けられたカラーを備えており、 該カラーは、管状フレーム内において直径方向に対向する一対のアームを備え ており、 各アームは、長手方向に移動する回動ピンを配置するための長手方向に延びる スロットを備えている、請求項10記載の外科手術用器具。 14.前記駆動機構に取り付けられており、基端部および末端部を有するUリンク をさらに備えており、 前記カムは、Uリンクの基端部に取り付けられており、 Uリンクの末端部は、長手方向に移動する回動ピンを配置するための長手方向 に延びるスロットを備えている、請求項10記載の外科手術用器具。 15.前記カムは横断方向に延びるピンを備えており、第2ジョーのカム面は第2 ジョーに形成されたスロットの斜めに延びる面によって構成されており、この斜 めに延びる面は基端部に向かうにつれて第1ジョーに向かっている、請求項10記 載の外科手術用器具。 16.前記ジョーの移動が第1および第2の2つの段階に分かれており、 第1段階においては、各ジョーは完全に開いた位置と中間位置との間で互いに 回動し、 第2段階においては、各ジョーは実質的に平行状態を保ったまま中間位置と近 接位置との間で移動するとともに、駆動機構によって各ジョーが管状フレーム内 において軸方向に移動可能である、請求項9記載の外科手術用器具。 17.切断エッジを有するナイフブレードを備えたナイフアッセンブリをさらに備 えており、 一方のジョーは、ナイフアッセンブリを受け入れるための長手方向に延びるス リットを備えており、ジョーが近接位置にあるときにナイフブレードの切断エッ ジが該スリット内を長手方向に移動することができる、請求項1記載の外科手術 用器具。 18.前記フレームに設けられており、前記長手方向に延びるスリットの基端付近 にあたる第1位置と第1位置に対して末端側に位置する第2位置との間でナイフ アッセンブリを移動させるナイフ駆動機構と、 ナイフ駆動機構が非ラッチ位置にきたときに該ナイフ駆動機構を自動的にナイ フアッセンブリから離合させる手段とをさらに備えている、請求項17記載の外科 手術用器具。 19.前記ナイフアッセンブリは当接面およびラッチレシーバを、ナイフ駆動機構 は、当接面およびラッチを備えており、 ナイフ駆動機構が第1ラッチ位置から第2ラッチ位置へと末端方向に移動する とき、ナイフ駆動機構の当接面がナイフアッセンブリの当接面と当接してナイフ アッセンブリを第1位置から第2位置へと移動させ、 ナイフ駆動機構が第2ラッチ位置から第1ラッチ位置へと基端方向に移動する とき、ラッチがラッチレシーバと係合してナイフアッセンブリを第2位置から第 1位置へと移動させることができる、請求項18記載の外科手術用器具。 20.前記ジョーの一方が、ナイフアッセンブリをスライド可能に受け入れるため の前記長手方向に延びるスリットを備えた長細いカートリッジを備えている、請 求項19記載の外科手術用器具。 21.体組織部を把む関節ジョー構造を備えてなる外科手術用器具であって、 外端部を有する管状フレーム、 管状フレーム内を移動可能であって、カムを備えている駆動機構、 管状フレーム内に配置される基端部と管状フレーム外に配置される末端 部とを備えている第1ジョー、および 管状フレーム内に配置される基端部と管状フレーム外に配置される末端 部とを備えており、第1ジョーに対して回動可能に取り付けられている第2ジョ ー、 を備えており、 第1および第2のジョーの基端部には、それぞれ、駆動機構のカムと協働する カム面が設けられており、カムおよび各カム面は、カムが第1位置と第2位置と の間を移動するときに各ジョーが開いた位置と中間位置との間で互いに回動する ことを許容する形状とされており、 一方のジョーに配置されており、カムが第2の位置にあるときにカムと 当接して、カムが第2位置から第3位置へとさらに移動するときにジョーが管状 フレーム内で軸方向に移動することを許容するカムストッパ、 をさらに備えており、 一方のジョーは、ジョーが軸方向に引っ込んだときに管状フレームの外端部と 係合する傾斜部をさらに備えており、該傾斜部は、カムが第2位置から第3位置 へと移動するときに各ジョーが実質的に平行状態を保ったまま中間位置と近接位 置との間で移動することを許容する形状とされている、 外科用手術器具。 22.体組織部を把む関節ジョー構造を備えてなる外科手術用器具であって、 フレーム、 フレームに固着された基端部と末端部とを有する固定ジョー、 基端部と末端部とを有する可動ジョー、 各ジョーを連結する連結手段、および 連結手段を作動させる駆動機構、 を備えており、 連結手段は、可動ジョーが、各ジョーの末端部が互いに離れており可動ジョー が固定ジョーに対して末端側に伸張している開いた位置と、各ジョーの末端部が 互いに近接しており可動ジョーが固定ジョーに対して実質的に伸張していない近 接位置との間で移動可能となるように、各ジョーを連結している、外科手術用器 具。 23.前記連結手段は、 一方のジョーを横断する軸を中心として回動可能な基端部と末端部とを 有するリンク、 リンクの末端部に設けられた第1カム、 前記一方のジョーに設けられた第2カム、および 前記一方のジョーとは他方のジョーに設けられており、第1および第2 カムと協働する第1および第2のカム面、 を備えており、 各カムおよび各カム面は、リンクの末端部が移動するときにジョーが開いた位 置と近接位置との間で移動することを許容する形状とされている、請求項22記載 の外科手術用器具。 24.体組織部を把む関節ジョー構造を備えてなる外科手術用器具であって、 組織接触面を有する第1ジョー、 第2ジョー、 第2ジョーに着脱可能に取り付けられており、基端部、末端部、および 組織接触面を有する長手方向に延びるカートリッジ、 切断エッジを有するナイフブレード、当接面、およびラッチレシーバを 備えたナイフアッセンブリ、 当接面およびラッチを備えるナイフ駆動機構、および ナイフ駆動機構が第1ラッチ位置から非ラッチ位置へと移動するときに ラッチをラッチレセプタクルから離合させる手段、 を備えており、 第1ジョーと第2ジョーとは、実質的に平行状態を保ったまま、各組織接触面 がその間に組織を受け入れるために互いに大きく離れている開いた位置と各組織 面が互いに近接して対向している近接位置との間で移動することが可能で、 長手方向に延びるカートリッジにはナイフアッセンブリをスライド可能に受け 入れるための長手方向に延びるスリットが形成されており、ジョーが近接位置に あるときナイフブレードの切断エッジが各組織接触面の間を長手方向に移動する ことが可能で、 ナイフ駆動機構の当接面は、ナイフ駆動アッセンブリが第1ラッチ位置から第 2ラッチ位置へと末端方向に移動するときにナイフアッセンブリの当接面と当接 して、ナイフアッセンブリをカートリッジ基端付近の第1位置からその末端方向 に位置する第2位置へと移動させ、 ナイフ駆動機構のラッチは、第2ラッチ位置から第1ラッチ位置へと移動する ときにラッチレシーバと係合して、ナイフアッセンブリをその第2位置から第1 位置へと移動させることができる、外科手術用器具。 25.体組織部を把む関節ジョー構造を備えてなる外科手術用器具であって、 外端部を有するフレーム、 基端部とフレーム外端部から突出する末端部とを有する第1ジョー、お よび 基端部とフレーム外端部から突出する末端部とを有する第2ジョー、 を備えており、 第1ジョーの基端部と第2ジョーの基端部とは、各ジョーの末端部がその間に 組織を受け入れるために互いに離れている完全に開いた位置と、各ジョーの末端 部が互いに近接してその間の組織を把んでいる近接位置との間で互いに実質的に 平行状態を保ったまま移動できるように互いに連結されており、 少なくとも一方のジョーがフレーム外端部に対して離れた位置と引っ込んだ引 込位置との間でさらに移動することが可能であって、該一方のジョーはジョーが 完全に開いた位置または近接位置のいずれか一方の位置にあるときは離れた位置 にあり、ジョーが前記完全に開いた位置または近接位置の他方の位置にあるとき は引込位置にあり、 フレームに設けられており、各ジョーと機能的に協働して該ジョーを開 いた位置と近接位置との間で移動させる駆動機構、 をさらに備えている、外科手術用器具。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US5582493A | 1993-04-30 | 1993-04-30 | |
US08/055,824 | 1993-04-30 | ||
PCT/US1994/004605 WO1994024947A1 (en) | 1993-04-30 | 1994-04-26 | Surgical instrument having an articulated jaw structure and a detachable knife |
Publications (2)
Publication Number | Publication Date |
---|---|
JPH08509635A true JPH08509635A (ja) | 1996-10-15 |
JP3559561B2 JP3559561B2 (ja) | 2004-09-02 |
Family
ID=22000390
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP52449894A Expired - Lifetime JP3559561B2 (ja) | 1993-04-30 | 1994-04-26 | 関節ジョー構造および着脱可能ナイフを備えた外科手術用器具 |
Country Status (7)
Country | Link |
---|---|
US (1) | US5749893A (ja) |
EP (1) | EP0696179B1 (ja) |
JP (1) | JP3559561B2 (ja) |
CA (1) | CA2159348A1 (ja) |
DE (1) | DE69414244T2 (ja) |
ES (1) | ES2122282T3 (ja) |
WO (1) | WO1994024947A1 (ja) |
Cited By (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2006501955A (ja) * | 2002-10-04 | 2006-01-19 | タイコ ヘルスケア グループ エルピー | 外科用ステープリングデバイスのためのツールアセンブリ |
JP2009291603A (ja) * | 2008-06-06 | 2009-12-17 | Tyco Healthcare Group Lp | 外科用器具のためのナイフ/発射ロッド接続 |
JP2012035075A (ja) * | 2010-08-11 | 2012-02-23 | Tyco Healthcare Group Lp | 内視鏡巾着縫合糸外科用デバイス |
JP2013541994A (ja) * | 2010-09-30 | 2013-11-21 | エシコン・エンド−サージェリィ・インコーポレイテッド | 互換性のあるステープルカートリッジ構成を備える、外科用ステープリング器具 |
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Also Published As
Publication number | Publication date |
---|---|
US5749893A (en) | 1998-05-12 |
EP0696179B1 (en) | 1998-10-28 |
EP0696179A1 (en) | 1996-02-14 |
DE69414244D1 (de) | 1998-12-03 |
CA2159348A1 (en) | 1994-11-10 |
DE69414244T2 (de) | 1999-04-22 |
JP3559561B2 (ja) | 2004-09-02 |
ES2122282T3 (es) | 1998-12-16 |
WO1994024947A1 (en) | 1994-11-10 |
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