JP2015518740A - 観血的修復手技中に外科用締結具を分与するための撮像系搭載アプリケータ器具 - Google Patents
観血的修復手技中に外科用締結具を分与するための撮像系搭載アプリケータ器具 Download PDFInfo
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Abstract
Description
本出願は、2012年5月11日に出願された「APPLICATOR INSTRUMENTS FOR DISPENSING SURGICAL FASTENERS DURING OPEN REPAIR PROCEDURES」と題する米国特許出願第13/470,022号の一部継続出願である。該出願は、本願と同一の譲受人に譲渡された「APPLICATOR INSTRUMENTS HAVING DISTAL END CAPS FOR FACILITATING THEACCURATE PLACEMENT OF SURGICAL FASTENERS DURING OPEN REPAIR PROCEDURES」と題する2012年5月11日に出願された米国特許出願第13/470,065号、並びに米国特許出願公開第US 2010/0292715号、同第US 2010/0292712号、同第US 2010/0292710号、同第US 2010/0292713号、及び同第US 2011/079627号に関連し、それらの開示内容は本明細書において参照により援用されている。
本発明は、全般的に、欠損を矯正するための医療用装置及び外科的手技に関し、具体的には、腹壁ヘルニアなどの観血的なヘルニア修復手技中に外科用締結具の分与を促進する撮像系搭載のアプリケータ器具に関する。
(1) 外科用締結具を分与するためのアプリケータ器具であって、
前記アプリケータ器具の底部を画定するハウジングと、
前記ハウジング内に配設され、第1の軸に沿って遠位方向及び近位方向に移動可能な発射系と、
前記第1の軸に対して鋭角を画定する第2の軸に沿って、前記ハウジングから上方へ延在するハンドルであって、前記アプリケータ器具の頂部を画定する上端を有する、ハンドルと、
前記発射系を作動させるため前記ハンドル上に装着されたトリガと、
前記ハウジングから延在する細長いシャフトであって、前記細長いシャフトは非線形であり、前記アプリケータ器具の前記頂部に向かって上方へ延在する遠位区域を有する、細長いシャフトと、
前記細長いシャフトの遠位端にて画像を検出するための、前記アプリケータ器具に連結された撮像装置と、
を具備する、外科用締結具を分与するためのアプリケータ器具。
(2) 前記細長いシャフトの前記遠位端にて前記撮像装置の視界を照明するための、前記アプリケータ器具と連結されている光源を更に備える、実施態様1に記載のアプリケータ器具。
(3) 前記細長いシャフトの前記遠位端に固着されたキャップを更に具備し、前記撮像装置が前記キャップ上に配設されている、実施態様2に記載のアプリケータ器具。
(4) 前記光源が前記キャップ上に配設されている、実施態様3に記載のアプリケータ器具。
(5) 前記撮像装置と前記光源とを含む撮像系を更に具備し、前記撮像系が、
前記光源に対して電力を供給するための電源と、
前記電源から前記光源に電力を伝送するための電力コンジットと、
前記撮像装置で検出された画像を伝送するための画像コンジットと、
前記検出された画像を表示するためのモニターと、
を具備する、実施態様2に記載のアプリケータ器具。
(7) 前記電源が前記ハンドル上に配設されていて、前記導電ワイヤが前記細長いシャフトを通って延在する、実施態様6に記載のアプリケータ器具。
(8) 前記画像コンジットが、前記検出された画像を前記モニターに伝送するための導電ワイヤ、光ファイバケーブル、及びワイヤレストランスミッタからなる群から選択される、実施態様5に記載のアプリケータ器具。
(9) 前記撮像装置が、カメラ、光センサー及び超音波センサーからなる群から選択される、実施態様1に記載のアプリケータ器具。
(10) 前記光源が発光ダイオード、光ファイバケーブル、及び外科用照明からなる群から選択される、実施態様2に記載のアプリケータ器具。
(12) 前記下側遠位縁が、前記細長いシャフトの前記遠位端にて前記外径に及ぶ中央区域と、前記中央区域から横方向にかつ前記細長いシャフトの前記外径を超えて延在する第1の延長部及び第2の延長部と、を備える、実施態様11に記載のアプリケータ器具。
(13) 前記第1の横方向の延長部及び第2の横方向の延長部が、前記キャップの前記底面から横方向に延在する凸状に湾曲した底面を有し、前記キャップの前記近位端が、前記細長いシャフトの前記遠位端の前記外径に合致して適合する外径を有する、実施態様12に記載のアプリケータ器具。
(14) 前記非線形の細長いシャフトが、前記第1の軸に沿って延在する近位区域と、前記アプリケータ器具の前記頂部に向かって上方へ延在するように前記近位区域に対して或る角度に向けられる前記遠位区域と、を含む、実施態様1に記載のアプリケータ器具。
(15) 前記非線形の細長いシャフトが湾曲して、前記細長いシャフトの前記遠位区域が前記アプリケータ器具の前記頂部に向かって上方へ傾斜するようになっている、実施態様1に記載のアプリケータ器具。
(17) 外科用締結具を分与するためのアプリケータ器具であって、
前記アプリケータ器具の底部を画定するハウジングと、
前記ハウジング内に配設され、第1の軸に沿って遠位方向及び近位方向に移動可能な発射系と、
前記第1の軸に対して鋭角を画定する第2の軸に沿って、前記ハウジングから上方へ延在するハンドルであって、前記アプリケータ器具の頂部を画定する上端を有する、ハンドルと、
前記発射系を作動させるため前記ハンドル上に装着されたトリガと、
前記ハウジングから延在する細長いシャフトであって、前記細長いシャフトは非線形であり、前記アプリケータ器具の前記頂部に向かって上方へ延在する遠位区域を有する、細長いシャフトと、
前記細長いシャフトの遠位端に固着されたキャップであって、前記細長いシャフトの外径を超えて横方向に延在する下側遠位縁を有する、キャップと、
前記アプリケータ器具の遠位端にて画像を検出するための、前記アプリケータ器具に取り付けられた撮像装置と、
前記アプリケータ器具の前記遠位端にて前記撮像装置の視界を照明するための、前記アプリケータ器具に取り付けられた光源と、
を具備する、外科用締結具を分与するためのアプリケータ器具。
(18) 前記撮像装置及び前記光源が前記キャップ上に装着されている、実施態様17に記載のアプリケータ器具。
(19) 前記撮像装置及び前記光源が、前記細長いシャフトに取り付けられた内視鏡器具上に配設されている、実施態様17に記載のアプリケータ器具。
(20) 前記撮像装置と前記光源とを含む撮像系を更に備え、前記撮像系が、
前記光源に対して電力を供給するための電源と、
前記電源から前記光源に電力を伝送するための電力コンジットと、
前記撮像装置で検出された画像を伝送するための画像コンジットと、
前記検出された画像を表示するためのモニターと、
を具備する、実施態様17に記載のアプリケータ器具。
ハウジングと、
前記ハウジングから遠位に延在する外径を有するシャフトと、
前記シャフトの前記遠位端に固着されたキャップであって、前記キャップが、前記細長いシャフトの前記外径を超えて横方向に延在する下側遠位縁を有し、前記細長いシャフトの前記外径よりも大きい長さを有し、前記下側遠位縁から上方へ近位に傾斜する遠位端面を備え、かつ外科用締結具を分与するため前記遠位端面内に形成された外科用締結具送達窓を含む、キャップと、
前記シャフトの前記遠位端にて視界を照明するための光源を含む撮像系と、
を具備する、外科用締結具を分与するためのアプリケータ器具。
(22) 前記撮像系が、前記シャフトの前記遠位端にて前記光源で照明される画像を検出するための撮像装置を更に具備し、前記撮像装置及び前記光源が前記キャップ上に配設されている、実施態様21に記載のアプリケータ器具。
(23) 前記シャフトに対して着脱自在に取り付けられている内視鏡器具を更に具備し、前記内視鏡器具が前記光源と撮像装置とを含む、実施態様21に記載のアプリケータ器具。
(24) 前記アプリケータ器具のシャフトが非線形であり、前記アプリケータ器具の頂部に向かって上方へ延在する遠位区域を有する、実施態様21に記載のアプリケータ器具。
(25) 前記アプリケータ器具の底部を画定する前記ハウジングと、
前記ハウジング内に配設された発射系であって、遠位方向及び近位方向に移動可能な、発射系と、
前記ハウジングから上方へ延在し、前記アプリケータ器具の遠位端に向かって或る角度をなすハンドルであって、前記アプリケータ器具の頂部を画定する上端を有する、ハンドルと、
前記発射系を作動させるため前記ハンドル上に装着されたトリガと、
前記アプリケータ器具の前記底部近くで前記ハウジングから遠位に延在する前記シャフトと、
前記シャフトに連続的に装填される複数の外科用締結具と、
前記キャップの前記外科用締結具送達窓を通して前記外科用締結具を分与するために前記発射系を作動させるように係合可能な、前記ハンドル上に装着された前記トリガと、
を更に備える、実施態様21に記載のアプリケータ器具。
Claims (25)
- 外科用締結具を分与するためのアプリケータ器具であって、
前記アプリケータ器具の底部を画定するハウジングと、
前記ハウジング内に配設され、第1の軸に沿って遠位方向及び近位方向に移動可能な発射系と、
前記第1の軸に対して鋭角を画定する第2の軸に沿って、前記ハウジングから上方へ延在するハンドルであって、前記アプリケータ器具の頂部を画定する上端を有する、ハンドルと、
前記発射系を作動させるため前記ハンドル上に装着されたトリガと、
前記ハウジングから延在する細長いシャフトであって、前記細長いシャフトは非線形であり、前記アプリケータ器具の前記頂部に向かって上方へ延在する遠位区域を有する、細長いシャフトと、
前記細長いシャフトの遠位端にて画像を検出するための、前記アプリケータ器具に連結された撮像装置と、
を具備する、外科用締結具を分与するためのアプリケータ器具。 - 前記細長いシャフトの前記遠位端にて前記撮像装置の視界を照明するための、前記アプリケータ器具と連結されている光源を更に備える、請求項1に記載のアプリケータ器具。
- 前記細長いシャフトの前記遠位端に固着されたキャップを更に具備し、前記撮像装置が前記キャップ上に配設されている、請求項2に記載のアプリケータ器具。
- 前記光源が前記キャップ上に配設されている、請求項3に記載のアプリケータ器具。
- 前記撮像装置と前記光源とを含む撮像系を更に具備し、前記撮像系が、
前記光源に対して電力を供給するための電源と、
前記電源から前記光源に電力を伝送するための電力コンジットと、
前記撮像装置で検出された画像を伝送するための画像コンジットと、
前記検出された画像を表示するためのモニターと、
を具備する、請求項2に記載のアプリケータ器具。 - 前記電力コンジットが、前記電源に接続された近位端と前記光源に接続された遠位端とを備える導電ワイヤを具備する、請求項5に記載のアプリケータ器具。
- 前記電源が前記ハンドル上に配設されていて、前記導電ワイヤが前記細長いシャフトを通って延在する、請求項6に記載のアプリケータ器具。
- 前記画像コンジットが、前記検出された画像を前記モニターに伝送するための導電ワイヤ、光ファイバケーブル、及びワイヤレストランスミッタからなる群から選択される、請求項5に記載のアプリケータ器具。
- 前記撮像装置が、カメラ、光センサー及び超音波センサーからなる群から選択される、請求項1に記載のアプリケータ器具。
- 前記光源が発光ダイオード、光ファイバケーブル、及び外科用照明からなる群から選択される、請求項2に記載のアプリケータ器具。
- 前記キャップが、前記細長いシャフトの外径を超えて横方向に延在する下側遠位縁を有し、かつ前記細長いシャフトの前記外径よりも大きい長さを有し、前記キャップが、前記下側遠位縁から上方へ近位方向に傾斜する遠位端面を有し、かつ前記キャップは外科用締結具を分与するため前記遠位端面内に形成された外科用締結具送達窓を含み、前記撮像装置及び前記光源が、前記遠位端面に配設されている、請求項4に記載のアプリケータ器具。
- 前記下側遠位縁が、前記細長いシャフトの前記遠位端にて前記外径に及ぶ中央区域と、前記中央区域から横方向にかつ前記細長いシャフトの前記外径を超えて延在する第1の延長部及び第2の延長部と、を備える、請求項11に記載のアプリケータ器具。
- 前記第1の横方向の延長部及び第2の横方向の延長部が、前記キャップの前記底面から横方向に延在する凸状に湾曲した底面を有し、前記キャップの前記近位端が、前記細長いシャフトの前記遠位端の前記外径に合致して適合する外径を有する、請求項12に記載のアプリケータ器具。
- 前記非線形の細長いシャフトが、前記第1の軸に沿って延在する近位区域と、前記アプリケータ器具の前記頂部に向かって上方へ延在するように前記近位区域に対して或る角度に向けられる前記遠位区域と、を含む、請求項1に記載のアプリケータ器具。
- 前記非線形の細長いシャフトが湾曲して、前記細長いシャフトの前記遠位区域が前記アプリケータ器具の前記頂部に向かって上方へ傾斜するようになっている、請求項1に記載のアプリケータ器具。
- 前記撮像装置及び前記光源が、前記アプリケータ器具の前記細長いシャフトに対して着脱自在に取り付けられている内視鏡器具に組み込まれる、請求項2に記載のアプリケータ器具。
- 外科用締結具を分与するためのアプリケータ器具であって、
前記アプリケータ器具の底部を画定するハウジングと、
前記ハウジング内に配設され、第1の軸に沿って遠位方向及び近位方向に移動可能な発射系と、
前記第1の軸に対して鋭角を画定する第2の軸に沿って、前記ハウジングから上方へ延在するハンドルであって、前記アプリケータ器具の頂部を画定する上端を有する、ハンドルと、
前記発射系を作動させるため前記ハンドル上に装着されたトリガと、
前記ハウジングから延在する細長いシャフトであって、前記細長いシャフトは非線形であり、前記アプリケータ器具の前記頂部に向かって上方へ延在する遠位区域を有する、細長いシャフトと、
前記細長いシャフトの遠位端に固着されたキャップであって、前記細長いシャフトの外径を超えて横方向に延在する下側遠位縁を有する、キャップと、
前記アプリケータ器具の遠位端にて画像を検出するための、前記アプリケータ器具に取り付けられた撮像装置と、
前記アプリケータ器具の前記遠位端にて前記撮像装置の視界を照明するための、前記アプリケータ器具に取り付けられた光源と、
を具備する、外科用締結具を分与するためのアプリケータ器具。 - 前記撮像装置及び前記光源が前記キャップ上に装着されている、請求項17に記載のアプリケータ器具。
- 前記撮像装置及び前記光源が、前記細長いシャフトに取り付けられた内視鏡器具上に配設されている、請求項17に記載のアプリケータ器具。
- 前記撮像装置と前記光源とを含む撮像系を更に備え、前記撮像系が、
前記光源に対して電力を供給するための電源と、
前記電源から前記光源に電力を伝送するための電力コンジットと、
前記撮像装置で検出された画像を伝送するための画像コンジットと、
前記検出された画像を表示するためのモニターと、
を具備する、請求項17に記載のアプリケータ器具。 - 外科用締結具を分与するためのアプリケータ器具であって、
ハウジングと、
前記ハウジングから遠位に延在する外径を有するシャフトと、
前記シャフトの前記遠位端に固着されたキャップであって、前記キャップが、前記細長いシャフトの前記外径を超えて横方向に延在する下側遠位縁を有し、前記細長いシャフトの前記外径よりも大きい長さを有し、前記下側遠位縁から上方へ近位に傾斜する遠位端面を備え、かつ外科用締結具を分与するため前記遠位端面内に形成された外科用締結具送達窓を含む、キャップと、
前記シャフトの前記遠位端にて視界を照明するための光源を含む撮像系と、
を具備する、外科用締結具を分与するためのアプリケータ器具。 - 前記撮像系が、前記シャフトの前記遠位端にて前記光源で照明される画像を検出するための撮像装置を更に具備し、前記撮像装置及び前記光源が前記キャップ上に配設されている、請求項21に記載のアプリケータ器具。
- 前記シャフトに対して着脱自在に取り付けられている内視鏡器具を更に具備し、前記内視鏡器具が前記光源と撮像装置とを含む、請求項21に記載のアプリケータ器具。
- 前記アプリケータ器具のシャフトが非線形であり、前記アプリケータ器具の頂部に向かって上方へ延在する遠位区域を有する、請求項21に記載のアプリケータ器具。
- 前記アプリケータ器具の底部を画定する前記ハウジングと、
前記ハウジング内に配設された発射系であって、遠位方向及び近位方向に移動可能な、発射系と、
前記ハウジングから上方へ延在し、前記アプリケータ器具の遠位端に向かって或る角度をなすハンドルであって、前記アプリケータ器具の頂部を画定する上端を有する、ハンドルと、
前記発射系を作動させるため前記ハンドル上に装着されたトリガと、
前記アプリケータ器具の前記底部近くで前記ハウジングから遠位に延在する前記シャフトと、
前記シャフトに連続的に装填される複数の外科用締結具と、
前記キャップの前記外科用締結具送達窓を通して前記外科用締結具を分与するために前記発射系を作動させるように係合可能な、前記ハンドル上に装着された前記トリガと、
を更に備える、請求項21に記載のアプリケータ器具。
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US13/470,022 US8518055B1 (en) | 2012-05-11 | 2012-05-11 | Applicator instruments for dispensing surgical fasteners during open repair procedures |
US13/720,198 US10575716B2 (en) | 2012-05-11 | 2012-12-19 | Applicator instruments with imaging systems for dispensing surgical fasteners during open repair procedures |
US13/720,198 | 2012-12-19 | ||
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Also Published As
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RU2014150048A (ru) | 2016-07-10 |
WO2013170245A3 (en) | 2014-03-20 |
MX348838B (es) | 2017-06-29 |
CA2872685A1 (en) | 2013-11-14 |
US10575716B2 (en) | 2020-03-03 |
RU2608626C2 (ru) | 2017-01-23 |
CN104284639B (zh) | 2017-11-21 |
US20230134251A1 (en) | 2023-05-04 |
ES2732246T3 (es) | 2019-11-21 |
US20190208996A1 (en) | 2019-07-11 |
EP2846730B1 (en) | 2019-05-01 |
AU2013259035A1 (en) | 2015-01-22 |
US20130303845A1 (en) | 2013-11-14 |
MX2014013736A (es) | 2015-02-10 |
AU2013259035B2 (en) | 2017-01-19 |
JP6138923B2 (ja) | 2017-05-31 |
IL235289B (en) | 2020-02-27 |
EP2846730A2 (en) | 2015-03-18 |
KR20150008176A (ko) | 2015-01-21 |
BR112014028125A2 (pt) | 2017-06-27 |
IL235289A0 (en) | 2014-12-31 |
WO2013170245A2 (en) | 2013-11-14 |
CN104284639A (zh) | 2015-01-14 |
US11696678B2 (en) | 2023-07-11 |
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