JP2006255434A - 外科用器械 - Google Patents
外科用器械 Download PDFInfo
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- JP2006255434A JP2006255434A JP2006131686A JP2006131686A JP2006255434A JP 2006255434 A JP2006255434 A JP 2006255434A JP 2006131686 A JP2006131686 A JP 2006131686A JP 2006131686 A JP2006131686 A JP 2006131686A JP 2006255434 A JP2006255434 A JP 2006255434A
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- 230000000903 blocking effect Effects 0.000 abstract description 3
- 230000002792 vascular Effects 0.000 abstract description 3
- 230000007246 mechanism Effects 0.000 description 15
- 230000002439 hemostatic effect Effects 0.000 description 14
- 239000004033 plastic Substances 0.000 description 8
- 239000000463 material Substances 0.000 description 7
- 229910052751 metal Inorganic materials 0.000 description 7
- 239000002184 metal Substances 0.000 description 7
- 241000124008 Mammalia Species 0.000 description 6
- 238000000034 method Methods 0.000 description 6
- 238000000926 separation method Methods 0.000 description 6
- 238000001356 surgical procedure Methods 0.000 description 6
- 229910000639 Spring steel Inorganic materials 0.000 description 5
- 239000010935 stainless steel Substances 0.000 description 3
- 229910001220 stainless steel Inorganic materials 0.000 description 3
- 230000008901 benefit Effects 0.000 description 2
- 238000002674 endoscopic surgery Methods 0.000 description 2
- 238000012976 endoscopic surgical procedure Methods 0.000 description 2
- RKDVKSZUMVYZHH-UHFFFAOYSA-N 1,4-dioxane-2,5-dione Chemical compound O=C1COC(=O)CO1 RKDVKSZUMVYZHH-UHFFFAOYSA-N 0.000 description 1
- 241001631457 Cannula Species 0.000 description 1
- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 description 1
- 230000009471 action Effects 0.000 description 1
- 230000000740 bleeding effect Effects 0.000 description 1
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- 239000013013 elastic material Substances 0.000 description 1
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- 238000010438 heat treatment Methods 0.000 description 1
- 238000007373 indentation Methods 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- JJTUDXZGHPGLLC-UHFFFAOYSA-N lactide Chemical compound CC1OC(=O)C(C)OC1=O JJTUDXZGHPGLLC-UHFFFAOYSA-N 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000002355 open surgical procedure Methods 0.000 description 1
- 229920005668 polycarbonate resin Polymers 0.000 description 1
- 239000004431 polycarbonate resin Substances 0.000 description 1
- 229920000642 polymer Polymers 0.000 description 1
- 229920000098 polyolefin Polymers 0.000 description 1
- 229910001285 shape-memory alloy Inorganic materials 0.000 description 1
- 229910052715 tantalum Inorganic materials 0.000 description 1
- GUVRBAGPIYLISA-UHFFFAOYSA-N tantalum atom Chemical compound [Ta] GUVRBAGPIYLISA-UHFFFAOYSA-N 0.000 description 1
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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
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/128—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
- A61B17/1285—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 for minimally invasive surgery
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- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10S—TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10S227/00—Elongated-member-driving apparatus
- Y10S227/901—Surgical clip appliers
-
- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10S—TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10S227/00—Elongated-member-driving apparatus
- Y10S227/902—Surgical clips or staples
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Molecular Biology (AREA)
- General Health & Medical Sciences (AREA)
- Vascular Medicine (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Reproductive Health (AREA)
- Animal Behavior & Ethology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
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- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
- External Artificial Organs (AREA)
- Apparatus Associated With Microorganisms And Enzymes (AREA)
- Sampling And Sample Adjustment (AREA)
- Endoscopes (AREA)
Abstract
【解決手段】無菌クリップは、ほぼ全長に沿って互いに極めて近接して配置される脚部材と、脚部材の端部の連結部材からなる。クリップを配置するための器械は、取手部分100,101と操作部分とを具備し、該操作部分は、その遠位端部を形成する一対の発散部材122と、該発散部材を略平行アライメントにするために該発散部材上を往復して滑動することができる手段とを具備する。
【選択図】 図11
Description
1.ほ乳動物において脈管を結紮するための無菌クリップにおいて、ほぼ全長に沿って互いにきわめて近接して配設された一対の脚部材と、該脚部材を接合する連結部材とを具備し、該連結部材は該脚部材の分離を制限する無菌クリップ。
2.該クリップが金属である上記1に記載の無菌クリップ。
3.脚部材が、ほぼ全長に沿って互いに略平行である上記1に記載の無菌クリップ。
4.連結部材が、該脚部材の一方の端部において該脚部材を接合する上記1に記載の無菌クリップ。
5.ほ乳動物において脈管を結紮するための無菌クリップにおいて、一対の直角部材であり、該直角部材の各々の一方の脚は、ほぼ同一平面にあり、各直角部材の他方の脚は、互いにきわめて近接して対面関係にある一対の直角部材と、該直角部材を接合する連結部材とを具備し、該連結部材は該直角部材の分離を制限する無菌クリップ。
6.互いに対面関係にある直角部材の脚が、ほぼ全長に沿って互いに略平行である上記5に記載の無菌クリップ。
7.脚を連結する直角部材の領域が、なめらかに湾曲される上記5に記載の無菌クリップ。
8.連結部材が、ほぼ半円形の形状であり、互いにきわめて近接している直角部材の脚を連結する上記5に記載の無菌クリップ。
9.連結部材が、互いにきわめて近接している直角部材の脚の長さに沿って配設される上記8に記載の無菌クリップ。
10.人体における血管を遮断するために止血クリップにおいて、ほぼ全長に沿って互いにきわめて近接して配設した一対の脚部材と、該脚部材を連結し、該脚部材を互いの方に押しやる弾性部材とを具備する止血クリップ。
11.クリップが金属である上記10に近接の止血クリップ。
12.脚部材が、互いに略平行である上記10に記載の止血クリップ。
13.弾性部材がその一方の端部において該脚部材を連結する上記10に記載の止血クリップ。
14.人体の管状血管を閉鎖するための止血クリップにおいて、一対の直角部材であり、該直角部材の各々の一方の脚は、ほぼ同一平面にあり、各該直角部材の他方の脚は、互いにきわめて近接して対面関係にある一対の直角部材と、該直角部材を連結し、該脚を互いに対面関係に押しやる弾性部材とを具備する止血クリップ。
15.対面関係にある該直角部材の脚が、全長に沿って互いに略平行である上記14に記載の止血クリップ。
16.直角部材の脚を連結する直角部材の部分が、脈管におけるクリップの配置を容易にするためになめらかに湾曲している上記14に記載の止血クリップ。
17.該直角部材を連結する弾性部材が、ほぼ半円形の形状であり、互いにきわめて近接している直角部材の脚を連結する上記14に記載の止血クリップ。
18.該直角部材を連結する弾性部材が、互いにきわめて近接している直角部材の脚の長さに沿って配設される上記17に記載の止血クリップ。
19.ほ乳動物における脈管を結紮するために脈管に無菌クリップを適用するための器械において、結紮される脈管を収容するために近位端部から遠位端部に互いに発散する一対の表面と、弾性部材によって一方の端部において連結され、反対端部において非連結にされた互いにきわめて近接している一対の脚部材を有する無菌クリップと、該発散表面の近位端部に該クリップの開端部を押しやる第1方向において、互いに該表面を押し合わせ、該表面の間に置かれた脈管を結紮するために該表面に沿って該クリップを移動させるための手段とを具備する器械。
20.人体における血管を閉鎖するために血管に一対の止血クリップを適用し、その後、該クリップの間の領域において該血管を切断するための器械において、取手部分と、ノーズ部分と、該取手部分を該ノーズ部分に連結する筺体とを具備し、該ノーズ部分が、中空であり、水平スリットと、該水平スリットを垂直に横断する一対の平行スリットとを含み、該垂直スリットが、該水平スリットの外側縁において位置付けられ、該筺体が、該水平スリットに延びている一対の偏向可能な表面を含み、一対の止血クリップの各々が、互いにきわめて近接している一対の脚部材を有し、該脚部材が弾性部材によって一方の端部において連結され、反対端部において非連結にされ、該クリップの一方は、該垂直スリットの一方において位置付けられ、該クリップの他方は、他方の垂直スリットにおいて位置付け、ナイフ部材が、該筺体において配設され、該ナイフ部材の切断縁は、該クリップの間の該ノーズ区分において位置付けられ、結紮される血管を収容するためにノーズ部材を越えて該偏向可能な表面を露呈する最後方位置から、該偏向可能な表面を合体させ、該血管を閉鎖させるためにクリップの脚を該偏向可能な表面の縁において位置付ける最前方位置に該ノーズ区分を往復移動させるための手段と、該クリップの間に該閉鎖血管を切断するために該ナイフ部材を前方に移動させるための手段とを設けた器械。
21.取手部分と、ノーズ部分と、該取手部分と該ノーズ部分を連結する筺体とを具備し、該ノーズ部分が、中空であり、取手に遠位のノーズ部分の端部において開スリットを有し、一対の表面が、該ノーズ部分において配設されて該スリットに延びており、該表面を互いに発散させるために該スリットを通って該表面を露呈させるための手段を設けた外科用器械。
22.該スリットを通って該表面を露呈させるための手段が、該スリットを通って該表面を露呈させ、該露呈表面を該スリットに回収するための往復移動手段である上記21に記載の外科用器械。
23.筺体が、該取手から該ノーズ部分に延びている伸長部材であり、該筺体と該ノーズ部分が、ほぼ同一直径であり、これにより、器械が内視鏡使用のために適する上記21に記載の外科用器械。
24.クリップを身体組織に適用するための内視鏡クリップ適用器械において、取手部分と、該取手部分から遠位に延びている伸長中空管状部材と、身体組織を収容するために該中空管状部材の遠位端部から延びている一対の発散部材と、該中空管状部材において保管された複数のクリップと、該身体組織が該平行部材の間にある間該発散部材を略平行にし、同時に該平行部材の縦縁に沿ってクリップを前進させる第1位置と、該クリップが該身体組織にある間該部材を発散させる第2位置との間で可動である往復移動手段とを具備する内視鏡クリップ適用器械。
25.該往復移動手段が、該平行部材の各縦縁に沿って一つずつの一対のクリップを前進させる上記24に記載の内視鏡クリップ適用器械。
26.脈管を結紮するために該脈管にクリップを適用するための内視鏡クリップ適用器械において、取手部分と、該取手部分に配設された作動手段と、該取手部分から遠位に延びている伸長中空管状部分と、結紮される脈管を収容するために該中空管状部分の遠位部分から延びている一対の発散表面と、一対の離間した略平行表面を有する、該中空管状部分の遠位端部において配設した往復移動部材と、該中空管状部分に順次に配設した複数のクリップと、該発散表面上に該平行表面を移動させ、該発散表面を略平行にするために、該作動手段から該往復移動部材に延びている第1駆動手段と、該発散表面が脈管に該クリップを配置し、脈管を結紮するために略平行にある時、最遠位クリップが、該発散表面の縦縁に沿っている如く、該複数のクリップを移動させるために、該作動手段から該複数のクリップの近位クリップに延びている第2駆動手段と、該往復移動部材を原位置に戻し、該発散表面から該平行表面を除去し、結紮された脈管を器械から除去させるための手段とを具備する内視鏡クリップ適用器械。
27.該中空管状部分において順次に一対のクリップが配設され、該対の一方は、該発散表面の一方の縦縁とほぼ整合し、該対の他方は、該発散表面の他方の縦縁とほぼ整合し、そして該第2駆動手段が、該一方の縦縁に沿って該対の一方の最遠位クリップと該他方の縦縁に沿って該対の他方の最遠位クリップを移動させる上記26に記載の内視鏡クリップ適用器械。
28.取手部分と操作部分とを具備し、該操作部分は、その遠位端部を形成する一対の発散部材と、該発散部材を略平行アライメントにするために該発散部材上を往復して滑動することができる手段とを具備する組織を操作する際に使用される外科用器械。
21 脚部材
22 脚部材
40 取手
49 フラップ
50 フラップ
56 ドライバー
Claims (4)
- 取手部分と操作部分とを具備し、該操作部分は、その遠位端部を形成する一対の発散部材と、該発散部材を略平行アライメントにするために該発散部材上を往復して滑動することができる手段とを具備する組織を操作する際に使用される外科用器械。
- 開位置及び閉位置を有する締結器と、中空管軸によって連結された作動端及び適用端と締結器が閉位置に有る状態で、器械の適用端に閉塞締結器を供給する手段とを具備する閉塞締結器を適用するための内視鏡器械。
- 閉塞させるために組織に係合し、圧縮する手段を備えた請求項2の内視鏡器械。
- 内視鏡締結器適用器械と外科締結手段との組合せにおいて、組織を閉塞するための外科締結手段を具備し、該器械が、中空管軸によって連結された作動端及び適用端と、締結器が閉位置に有る状態で、器械の適用端に締結器を供給する手段と、該適用端と共働する、組織を閉塞するように組織に係合し圧縮する手段とを具備することを特徴とする組合せ。
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US07/944,584 US5342373A (en) | 1992-09-14 | 1992-09-14 | Sterile clips and instrument for their placement |
Related Parent Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2003080434A Division JP2003235854A (ja) | 1992-09-14 | 2003-03-24 | 無菌クリップと配置器械 |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2006161359A Division JP2006297120A (ja) | 1992-09-14 | 2006-06-09 | 外科用器械 |
Publications (3)
Publication Number | Publication Date |
---|---|
JP2006255434A true JP2006255434A (ja) | 2006-09-28 |
JP2006255434A5 JP2006255434A5 (ja) | 2006-11-09 |
JP4153531B2 JP4153531B2 (ja) | 2008-09-24 |
Family
ID=25481682
Family Applications (4)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP24847293A Expired - Lifetime JP3529108B2 (ja) | 1992-09-14 | 1993-09-10 | 身体組織に適用する無菌クリップとそれを配置する外科用器械、内視鏡クリップ適用器械及び内視鏡締結器適用器械と外科締結手段との組合せ |
JP2003080434A Pending JP2003235854A (ja) | 1992-09-14 | 2003-03-24 | 無菌クリップと配置器械 |
JP2006131686A Expired - Lifetime JP4153531B2 (ja) | 1992-09-14 | 2006-05-10 | 外科用器械 |
JP2006161359A Pending JP2006297120A (ja) | 1992-09-14 | 2006-06-09 | 外科用器械 |
Family Applications Before (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP24847293A Expired - Lifetime JP3529108B2 (ja) | 1992-09-14 | 1993-09-10 | 身体組織に適用する無菌クリップとそれを配置する外科用器械、内視鏡クリップ適用器械及び内視鏡締結器適用器械と外科締結手段との組合せ |
JP2003080434A Pending JP2003235854A (ja) | 1992-09-14 | 2003-03-24 | 無菌クリップと配置器械 |
Family Applications After (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2006161359A Pending JP2006297120A (ja) | 1992-09-14 | 2006-06-09 | 外科用器械 |
Country Status (12)
Country | Link |
---|---|
US (3) | US5342373A (ja) |
EP (1) | EP0588584B1 (ja) |
JP (4) | JP3529108B2 (ja) |
AT (1) | ATE202268T1 (ja) |
AU (1) | AU671291B2 (ja) |
CA (1) | CA2105886C (ja) |
DE (1) | DE69330367T2 (ja) |
DK (1) | DK0588584T3 (ja) |
ES (1) | ES2159517T3 (ja) |
GR (1) | GR930100370A (ja) |
IL (1) | IL106852A0 (ja) |
PT (1) | PT588584E (ja) |
Families Citing this family (259)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
DE4319829C1 (de) * | 1993-06-16 | 1994-08-25 | Lerch Karl Dieter | Set zur Behandlung von Gefäßmißbildungen |
US5858018A (en) * | 1993-08-25 | 1999-01-12 | Apollo Camera, Llc | Low profile tool for applying spring action ligation clips |
AU7568994A (en) * | 1993-08-25 | 1995-03-21 | Apollo Camera, L.L.C. | Surgical ligation clip |
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1993
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- 1993-09-09 GR GR930100370A patent/GR930100370A/el unknown
- 1993-09-10 CA CA002105886A patent/CA2105886C/en not_active Expired - Lifetime
- 1993-09-10 JP JP24847293A patent/JP3529108B2/ja not_active Expired - Lifetime
- 1993-09-13 PT PT93307203T patent/PT588584E/pt unknown
- 1993-09-13 EP EP93307203A patent/EP0588584B1/en not_active Expired - Lifetime
- 1993-09-13 AU AU47328/93A patent/AU671291B2/en not_active Expired
- 1993-09-13 AT AT93307203T patent/ATE202268T1/de active
- 1993-09-13 DE DE69330367T patent/DE69330367T2/de not_active Expired - Lifetime
- 1993-09-13 ES ES93307203T patent/ES2159517T3/es not_active Expired - Lifetime
- 1993-09-13 DK DK93307203T patent/DK0588584T3/da active
- 1993-10-28 US US08/144,926 patent/US5474567A/en not_active Expired - Lifetime
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1995
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2003
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2006
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GR930100370A (el) | 1994-05-31 |
EP0588584B1 (en) | 2001-06-20 |
JP2006297120A (ja) | 2006-11-02 |
CA2105886A1 (en) | 1994-03-15 |
IL106852A0 (en) | 1993-12-08 |
JP3529108B2 (ja) | 2004-05-24 |
US5601574A (en) | 1997-02-11 |
JP2003235854A (ja) | 2003-08-26 |
DE69330367T2 (de) | 2001-10-18 |
DE69330367D1 (de) | 2001-07-26 |
JPH06189970A (ja) | 1994-07-12 |
JP4153531B2 (ja) | 2008-09-24 |
CA2105886C (en) | 2003-12-30 |
US5342373A (en) | 1994-08-30 |
ES2159517T3 (es) | 2001-10-16 |
US5474567A (en) | 1995-12-12 |
AU671291B2 (en) | 1996-08-22 |
PT588584E (pt) | 2001-09-28 |
EP0588584A3 (en) | 1995-03-08 |
DK0588584T3 (da) | 2001-08-27 |
EP0588584A2 (en) | 1994-03-23 |
AU4732893A (en) | 1994-03-24 |
ATE202268T1 (de) | 2001-07-15 |
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