JP2018537176A - 医用機器用の装置 - Google Patents
医用機器用の装置 Download PDFInfo
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- JP2018537176A JP2018537176A JP2018526198A JP2018526198A JP2018537176A JP 2018537176 A JP2018537176 A JP 2018537176A JP 2018526198 A JP2018526198 A JP 2018526198A JP 2018526198 A JP2018526198 A JP 2018526198A JP 2018537176 A JP2018537176 A JP 2018537176A
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- 238000011282 treatment Methods 0.000 claims abstract description 15
- 239000012636 effector Substances 0.000 description 10
- 230000036544 posture Effects 0.000 description 6
- 230000008859 change Effects 0.000 description 2
- 230000009471 action Effects 0.000 description 1
- 230000008901 benefit Effects 0.000 description 1
- 210000000078 claw Anatomy 0.000 description 1
- 238000002674 endoscopic surgery Methods 0.000 description 1
- 230000006872 improvement Effects 0.000 description 1
- 230000007246 mechanism Effects 0.000 description 1
- 238000000034 method Methods 0.000 description 1
- 230000006641 stabilisation Effects 0.000 description 1
- 238000011105 stabilization Methods 0.000 description 1
- 230000000087 stabilizing effect Effects 0.000 description 1
- 210000002784 stomach Anatomy 0.000 description 1
- 238000001356 surgical procedure Methods 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
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0491—Sewing machines for surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/062—Needle manipulators
- A61B17/0625—Needle manipulators the needle being specially adapted to interact with the manipulator, e.g. being ridged to snap fit in a hole of the manipulator
-
- 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
- A61B17/2909—Handles
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00535—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated
- A61B2017/00539—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated hydraulically
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
- A61B2017/0472—Multiple-needled, e.g. double-needled, instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/06004—Means for attaching suture to needle
- A61B2017/06047—Means for attaching suture to needle located at the middle of the needle
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/06066—Needles, e.g. needle tip configurations
- A61B2017/0609—Needles, e.g. needle tip configurations having sharp tips at both ends, e.g. shuttle needle alternately retained and released by first and second facing jaws of a suturing instrument
-
- 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
-
- 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
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
Description
Claims (9)
- 作動ユニット(200)と処置ユニット(300)とを有する、外科用縫合糸を取り付けるための医用機器用の装置(100)であって、
前記処置ユニット(300)は二つの旋回可能なグリッパジョー(310、320)を有し、
前記各グリッパジョー(310、320)は針収容部(340)及び針固定装置を有し、
前記作動ユニット(200)は前記両グリッパジョー(310、320)を移動させるように構成されていると共に、さらに前記針固定装置を操作させるように構成され、
前記針固定装置は前記作動ユニット(200)を介して動かし得る少なくとも一つのラチェットエレメント(350)を介して操作し得る装置において、
前記少なくとも一つのラチェットエレメント(350)は歯車エレメント(360)と協働することを特徴とする装置(100)。 - 前記歯車エレメント(360)は、実質的に互いに平行をなして配置されていると共に、歯(363)の数が異なる二つの歯車(361、362)を有することを特徴とする、請求項1に記載の装置(100)。
- 前記両グリッパジョー(310、320)はそれぞれ、第一の端部(331)と第二の端部(332)とを有し、前記作動ユニット(200)の作動エレメント、好ましくは、案内溝スライダ(210)が配置される案内溝状の凹部(330)を介して操作し得ることを特徴とする、請求項1又は2記載の装置(100)。
- 前記作動ユニット(200)は油圧システムを介して操作し得ること特徴とする、請求項1から3のいずれか一項に記載の装置(100)。
- 前記針固定装置は少なくとも一つの可動式のスライダエレメント(370)を介して操作し得る、その際前記少なくとも一つのスライダエレメント(370)は少なくとも一本の縫合針(400)を前記針収容部(340)に固定するように構成されている、ことを特徴とする、請求項1から4のいずれか一項に記載の装置(100)。
- 前記少なくとも一つのスライダエレメント(370)は前記少なくとも一つの歯車エレメント(360)と協働することを特徴とする、請求項5に記載の装置(100)。
- 少なくとも一つの第一のばねエレメント(372)が前記少なくとも一つのスライダエレメント(370)と協働し、好ましくは少なくとも一つの別のばねエレメントが前記少なくとも一つのラチェットエレメント(350)と協働することを特徴とする、請求項5又は6に記載の装置(100)。
- その近位端に操作装置が配置された縦長エレメントを有する、外科用縫合糸を取り付けるための外科用機器であって、
請求項1から7のいずれか一項に記載の装置(100)が前記縦長エレメントの遠位端に配置されて前記操作装置と協働することを特徴とする外科用機器。 - 前記処置ユニット(300)の前記両グリッパジョー(310、320)は開姿勢から閉姿勢へ移動可能であり、その際、前記開姿勢において縫合針(400)はその第一の針端部(401)において前記第一のグリッパジョー(310)の前記針収容部(340)に固定されており、
前記操作装置による前記作動ユニット(200)の操作に際し、作動エレメント特に案内溝スライダ(210)が案内溝状の凹部(330)に沿って動かし得て、これによって、前記両グリッパジョーは前記閉姿勢へ移動可能であり、
同時に、前記縫合針(400)の第二の針端部(402)は前記第二のグリッパジョー(320)の前記針収容部(340)に固定可能であり、他方、前記縫合針(400)の前記第一の針端部(401)は前記第一のグリッパジョー(320)の前記針収容部(340)において固定解除されることを特徴とする、請求項8に記載の外科用機器。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
ATA50991/2015 | 2015-11-20 | ||
ATA50991/2015A AT518032B1 (de) | 2015-11-20 | 2015-11-20 | Medizinisches instrument |
PCT/AT2016/060111 WO2017083897A1 (de) | 2015-11-20 | 2016-11-17 | Medizinisches instrument |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2018537176A true JP2018537176A (ja) | 2018-12-20 |
JP6904950B2 JP6904950B2 (ja) | 2021-07-21 |
Family
ID=57482110
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2018526198A Active JP6904950B2 (ja) | 2015-11-20 | 2016-11-17 | 医用機器用の装置 |
Country Status (8)
Country | Link |
---|---|
US (1) | US11000269B2 (ja) |
EP (1) | EP3376966B1 (ja) |
JP (1) | JP6904950B2 (ja) |
KR (1) | KR20180103048A (ja) |
CN (1) | CN108601586B (ja) |
AT (1) | AT518032B1 (ja) |
CA (1) | CA3005638A1 (ja) |
WO (1) | WO2017083897A1 (ja) |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2021524364A (ja) * | 2018-05-25 | 2021-09-13 | ストゥリオン エービー | 縫合器 |
Families Citing this family (11)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US10863988B2 (en) | 2017-11-29 | 2020-12-15 | Intuitive Surgical Operations, Inc. | Surgical instrument with lockout mechanism |
US11517312B2 (en) | 2018-02-12 | 2022-12-06 | Intuitive Surgical Operations, Inc. | Surgical instrument with lockout mechanism |
US12029473B2 (en) | 2018-05-31 | 2024-07-09 | Intuitive Surgical Operations, Inc. | Surgical instruments having a jaw locking mechanism |
US12029426B2 (en) | 2018-10-19 | 2024-07-09 | Intuitive Surgical Operations, Inc. | Endoscopic purse string suture surgical device |
EP3897404A4 (en) | 2018-12-21 | 2023-01-04 | Intuitive Surgical Operations, Inc. | SURGICAL INSTRUMENTS WITH A REINFORCED STAPLER CARTRIDGE |
WO2020131290A1 (en) | 2018-12-21 | 2020-06-25 | Intuitive Surgical Operations, Inc. | Articulation assemblies for surgical instruments |
WO2020131685A1 (en) | 2018-12-21 | 2020-06-25 | Intuitive Surgical Operations, Inc. | Surgical instruments with switches for deactivating and/or identifying stapler cartridges |
EP3955831A4 (en) | 2019-04-15 | 2022-12-28 | Intuitive Surgical Operations, Inc. | STAPLE MAGAZINE FOR A SURGICAL INSTRUMENT |
WO2020214397A1 (en) | 2019-04-17 | 2020-10-22 | Intuitive Surgical Operations, Inc. | Surgical stapling instrument |
CN113905675A (zh) | 2019-05-31 | 2022-01-07 | 直观外科手术操作公司 | 用于外科器械的订合钉仓 |
JP7405975B2 (ja) * | 2019-11-20 | 2023-12-26 | 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 | 空気圧式または油圧式の動力付き組織閉鎖装置 |
Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5632751A (en) * | 1995-07-28 | 1997-05-27 | Piraka; Hadi A. | Surgical suturing device |
JP2010505519A (ja) * | 2006-10-05 | 2010-02-25 | タイコ ヘルスケア グループ リミテッド パートナーシップ | 可撓性の内視鏡的縫合装置 |
JP2012526576A (ja) * | 2009-05-15 | 2012-11-01 | クラッフェンベック,ヨハン | 医療機器 |
US20130041388A1 (en) * | 2011-08-14 | 2013-02-14 | SafePath Medical, Inc. | Apparatus and method for suturing tissue |
JP2014529461A (ja) * | 2011-08-30 | 2014-11-13 | メロン メディカル ビー ブイ | 外科用縫合装置 |
Family Cites Families (6)
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US6171316B1 (en) * | 1997-10-10 | 2001-01-09 | Origin Medsystems, Inc. | Endoscopic surgical instrument for rotational manipulation |
US7588583B2 (en) * | 2005-09-14 | 2009-09-15 | Rhaphis Medical, Inc. | Suturing device, system and method |
US8968339B2 (en) | 2010-12-10 | 2015-03-03 | Covidien Lp | Suturing device with deployable needle |
US9220496B2 (en) * | 2012-12-13 | 2015-12-29 | Ethicon Endo-Surgery, Llc | Packaging for surgical needle cartridge and suture |
DE102012025210B4 (de) | 2012-12-28 | 2014-08-14 | Gkn Sinter Metals Holding Gmbh | Geteiltes Zahnrad |
US9675340B2 (en) * | 2013-11-20 | 2017-06-13 | Covidien Lp | Stitching device with long needle |
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2015
- 2015-11-20 AT ATA50991/2015A patent/AT518032B1/de active
-
2016
- 2016-11-17 US US15/776,330 patent/US11000269B2/en active Active
- 2016-11-17 KR KR1020187017552A patent/KR20180103048A/ko not_active Application Discontinuation
- 2016-11-17 CN CN201680068030.3A patent/CN108601586B/zh active Active
- 2016-11-17 WO PCT/AT2016/060111 patent/WO2017083897A1/de active Application Filing
- 2016-11-17 JP JP2018526198A patent/JP6904950B2/ja active Active
- 2016-11-17 CA CA3005638A patent/CA3005638A1/en active Pending
- 2016-11-17 EP EP16805716.4A patent/EP3376966B1/de active Active
Patent Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5632751A (en) * | 1995-07-28 | 1997-05-27 | Piraka; Hadi A. | Surgical suturing device |
JP2010505519A (ja) * | 2006-10-05 | 2010-02-25 | タイコ ヘルスケア グループ リミテッド パートナーシップ | 可撓性の内視鏡的縫合装置 |
JP2012526576A (ja) * | 2009-05-15 | 2012-11-01 | クラッフェンベック,ヨハン | 医療機器 |
US20130041388A1 (en) * | 2011-08-14 | 2013-02-14 | SafePath Medical, Inc. | Apparatus and method for suturing tissue |
JP2014529461A (ja) * | 2011-08-30 | 2014-11-13 | メロン メディカル ビー ブイ | 外科用縫合装置 |
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2021524364A (ja) * | 2018-05-25 | 2021-09-13 | ストゥリオン エービー | 縫合器 |
JP7356740B2 (ja) | 2018-05-25 | 2023-10-05 | ストゥリオン エービー | 縫合器 |
Also Published As
Publication number | Publication date |
---|---|
CN108601586A (zh) | 2018-09-28 |
CA3005638A1 (en) | 2017-05-26 |
JP6904950B2 (ja) | 2021-07-21 |
WO2017083897A1 (de) | 2017-05-26 |
EP3376966A1 (de) | 2018-09-26 |
KR20180103048A (ko) | 2018-09-18 |
AT518032B1 (de) | 2017-11-15 |
US11000269B2 (en) | 2021-05-11 |
AT518032A1 (de) | 2017-06-15 |
US20190083086A1 (en) | 2019-03-21 |
EP3376966B1 (de) | 2019-10-16 |
CN108601586B (zh) | 2021-08-17 |
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