JP4841886B2 - ツーピースのeビーム発射機構を含む関節運動外科用ステープラ - Google Patents
ツーピースのeビーム発射機構を含む関節運動外科用ステープラ Download PDFInfo
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- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/0682—Surgical staplers, e.g. containing multiple staples or clamps for applying U-shaped staples or clamps, e.g. without a forming anvil
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- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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- 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
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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
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
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- A61B2017/00305—Constructional details of the flexible means
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- 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
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- 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
- A61B2017/0725—Stapler heads with settable gap between anvil and cartridge, e.g. for different staple heights at different shots
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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
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
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- 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
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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
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- A61B2017/2901—Details of shaft
- A61B2017/2905—Details of shaft flexible
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
- A61B2017/2927—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft
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Description
図1には関節運動接合部32が示されているが、分かり易くするためまたは代替の適用例として、図2‐図14の外科用ステープラ10には関節運動接合部32が示されていない。しかしながら、本発明の態様は、図15‐図18を用いて後述する関節運動の特定の利点を有することを理解されたい。
(1)発射運動を起こすことができるハンドル部分と、前記ハンドル部分の前記発射運動に応答する実施部分を含む外科器具であって、
前記実施部分が、
前記ハンドル部分に結合された、溝スロットを含む細長い溝と、
ステープルを支持するドライバをカム動作で上方に移動できるように整合したウェッジ部材を基端側に備えた、前記細長い溝に受容されたステープルカートリッジと、
細長い溝に回動可能に結合された、アンビル溝を含むアンビルと、
前記細長い溝と前記アンビルとの間に長手方向に受容された先端側を向いた刃先、前記アンビル溝に係合可能な上側部材、前記溝スロットに係合する下側部材、前記ステープルカートリッジの前記ウェッジ部材を先端側に移動させて前記ステープルカートリッジを作動させることができる中間部材を含み、長手方向の発射行程の際に前記細長い溝と前記アンビルの両方に係合して、これらの間にステープル成形のための空間を提供する発射装置と、
前記細長い溝の基端側に結合した関節運動接合部と、
前記ハンドル部分から前記関節運動接合部を介して前記発射運動を伝達するために前記発射装置の基端側に取り付けられた薄い発射ストリップとを含むことを特徴とする外科器具。
(2)前記ステープルカートリッジの作動の際に前記発射装置が前記アンビルと前記細長い溝との間隔を確実に維持するように、前記アンビルが、ぞれぞれの先端部で内側に付勢される前記細長い溝に対する回動取付け部を形成することを特徴とする実施態様(1)に記載の外科器具。
(3)前記ステープルカートリッジが複数のタイプのステープルカートリッジから選択され、前記複数のタイプのステープルカートリッジがそれぞれ、前記アンビルと前記細長い溝との所望の間隔を得るために選択される厚みと、前記所望の間隔に適した長さを有するステープルとによって特徴付けられることを特徴とする実施態様(1)に記載の外科器具。
(4)前記ウェッジ部材が、複数の連結されたカム動作ウェッジを有するウェッジスレッドを含み、前記カム動作ウェッジのそれぞれが、前記選択されたタイプのステープルカートリッジに適するよう予め選択された高さを有しており、
前記発射装置の前記中間部材が、前記複数のタイプのステープルカートリッジのそれぞれに当接するように構成されていることを特徴とする実施態様(3)に記載の外科器具。
(5)外科器具であって、
発射運動及び閉止運動を起こすことができるハンドル部分と、前記ハンドル部分からの前記発射運動に応答する、直径がエンドサージェリー(endo-surgery)に適した寸法を有する実施部分とを含む外科器具であって、
前記実施部分が、
前記発射運動及び前記閉止運動を別々に伝達することができる前記ハンドル部分に結合されたシャフトと、
前記シャフトに結合された、溝スロットを含む細長い溝と、
アンビル溝を含み、前記シャフトからの前記閉止運動に応答する、前記細長い溝に回動可能に結合されたアンビルと、
前記細長い溝と前記アンビルとの間に長手方向に受容された先端側を向いた刃先、前記細長い溝にスライド可能に係合する下側部分、及び発射の際に前記アンビルにスライド可能に係合するように配置された上側部分を含み、前記細長い溝と前記アンビルとの間隔を維持するように前記細長い溝及び前記アンビルに係合する発射装置と、
前記発射装置の基端側に取り付けられた、前記発射運動を前記発射装置に伝達できる薄いストリップとを含むことを特徴とする外科器具。
(7)前記ステープルカートリッジが更に、前記複数のステープルを支持する複数のドライバ、前記発射機構の前記長手方向先端側への運動に応答して前記ドライバを上方にカム動作させて前記アンビルに対して前記複数のステープルを成形するウェッジスレッドを含むことを特徴とする実施態様(6)に記載の外科器具。
(8)前記シャフトが関節運動機構を含み、前記薄いストリップが前記関節運動機構内で曲がって長手方向に移動することを特徴とする実施態様(5)に記載の外科器具。
(9)前記ステープルカートリッジが複数のタイプのステープルカートリッジから選択され、前記複数のタイプのステープルカートリッジがそれぞれ、前記アンビルと前記細長い溝との所望の間隔を得るために選択される厚みと、前記所望の間隔に適した長さを有するステープルとによって特徴付けられることを特徴とする実施態様(6)に記載の外科器具。
(10)前記ウェッジスレッドが複数の連結されたカム動作ウェッジを含み、前記カム動作ウェッジのそれぞれが、前記選択されたタイプのステープルカートリッジに適するよう予め選択された高さを有しており、
前記発射装置の前記中間部材が、前記複数のタイプのステープルカートリッジのそれぞれに当接するように構成されていることを特徴とする実施態様(9)に記載の外科器具。
(12)前記発射装置の前記下側部分が、前記細長い溝に当接する上面を有する下側ピン、及び前記細長い溝の反対側に当接する下面を有する中間ピンを含むことを特徴とする実施態様(11)に記載の外科器具。
(13)前記発射装置が更に、前記アンビルに対して長手方向にスライド可能に係合する上面及び下面を有する上側部材を含むことを特徴とする実施態様(12)に記載の外科器具。
(14)前記アンビルが、幅狭垂直スロットを有する内部長手方向スロットを含み、
前記発射装置が、前記幅狭垂直スロット内を移動し、前記アンビルと前記細長い溝との間隔を確実に維持するために前記内部長手方向スロット内に配置された上面及び下面を有する上側部材を含むことを特徴とする実施態様(13)に記載の外科器具。
(15)前記発射装置が、前記アンビルに対して長手方向にスライド可能に対向して係合する上面及び下面を有する上側部材を含み、これにより前記アンビルと前記細長い溝との間の長手方向の運動の際に前記アンビルと前記細長い溝との間隔を確実に維持できるように構成されていることを特徴とする実施態様(5)に記載の外科器具。
(17)前記長手方向スロットが、幅狭垂直スロットに連通した内部長手方向溝を含み、
前記発射装置が、前記幅狭垂直スロット内を移動し、前記アンビルと前記細長い溝との間隔を確実に維持するために前記内部長手方向スロット内に配置された上面及び下面を有する上側部材を含むことを特徴とする実施態様(16)に記載の外科器具。
(18)外科器具であって、
発射運動及び閉止運動を起こすためのハンドル手段と、
前記閉止運動に応答して組織をクランプするクランプ手段と、
前記発射運動に応答して、前記クランプ手段の垂直方向の間隔を維持し、前記クランプ手段内のクランプされた組織の切断及びステープル止めをするための発射手段と、
前記ハンドル手段に対して前記クランプ手段を関節運動させるように機能的に構成された関節運動機構と、
前記関節運動機構内で曲がり、前記発射運動を長手方向に伝達するための、前記発射手段の基端側に取り付けられた薄い発射ストリップとを含むことを特徴とする外科器具。
(19)前記クランプ手段のアンビルが、内側を向いた細い開口を有する内部長手方向スロットを含み、
前記発射手段が、前記内側を向いた細い開口内を移動し、前記長手方向スロット内に長手方向にスライド可能に係合する上側部材を含むことを特徴とする実施態様(18)に記載の外科器具。
(20)更に、前記閉止運動をエンドエフェクタまで伝達して前記クランプ手段の前記アンビルの先端部及び細長い溝を内側に付勢し、これにより前記ステープルカートリッジの作動の際に前記アンビルと前記細長い溝との間隔を確実に維持するように機能的に構成された閉止部材を含むことを特徴とする実施態様(19)に記載の外科器具。
12 ステープル止め組立体
14 ハンドル
16 細長いシャフト
18 ステープル溝
20 ステープルカートリッジ
22 アンビル
23 ステープル
24 ステープル孔
26 ステープル成形凹部
28 アンビル下面
30 回動ノブ
32 関節運動接合部
34 関節運動制御スイッチ
36 EAPアクチュエータ
40 閉止トリガー
42 ピストルグリップ
44 発射トリガー
46 引き戻しレバー
48 閉止解除ボタン
76 閉止構造
80 馬蹄形開口
90 発射バー
94 ラミネートテーパ発射バー
102 Eビーム
110 上部ピン
112 中間ピン
114 下部脚
118 上部ガイド
120 中間ガイド
126 ウェッジスレッド
130 幅広開口
132 下側トラック
133 幅狭スロット
134 幅広スロット
136 下側突出部
138 上側突出部
144 クリップばね
154 アンビル内部トラック
202 ウェッジスロット
204 ウェッジ
206 ステープルドライバ
214 ステープル成形面
220 ステープルカートリッジトレイ
240 ロックアウト凹部
322、324 支持プレート
326 固定端部
328 スライド端部
Claims (6)
- 発射運動を起こすことができるハンドル部分と、前記ハンドル部分の前記発射運動に応答する実施部分を含む外科器具であって、
前記実施部分が、
前記ハンドル部分に結合された、溝スロットを含む細長い溝と、
ステープルを支持するドライバをカム動作で上方に移動できるように整合したウェッジ部材を基端側に備えた、前記細長い溝に受容されたステープルカートリッジと、
細長い溝に回動可能に結合された、アンビル溝を含むアンビルと、
前記細長い溝と前記アンビルとの間に長手方向に受容された先端側を向いた刃先、前記アンビル溝に係合可能な上側部材、前記溝スロットに係合する下側部材、前記ステープルカートリッジの前記ウェッジ部材を先端側に移動させて前記ステープルカートリッジを作動させることができる中間部材を含み、長手方向の発射行程の際に前記細長い溝と前記アンビルの両方に係合して、これらの間にステープル成形のための空間を提供する発射装置と、
前記細長い溝の基端側に結合した関節運動接合部と、
前記ハンドル部分から前記関節運動接合部を介して前記発射運動を伝達するために前記発射装置の基端側に取り付けられた薄い発射ストリップとを含み、
前記発射装置は被取付部を有し、前記薄い発射ストリップは取付部を有し、前記薄い発射ストリップの前記取付部が前記発射装置の前記被取付部に取り付けられており、前記発射装置および前記薄い発射ストリップは、互いに別個の材料により形成されている、ことを特徴とする外科器具。 - 前記ステープルカートリッジの作動の際に前記発射装置が前記アンビルと前記細長い溝との間隔を確実に維持するように、前記アンビルが、ぞれぞれの先端部で内側に付勢される前記細長い溝に対する回動取付け部を形成することを特徴とする請求項1に記載の外科器具。
- 前記ステープルカートリッジが複数のタイプのステープルカートリッジから選択され、前記複数のタイプのステープルカートリッジがそれぞれ、前記アンビルと前記細長い溝との所望の間隔を得るために選択される厚みと、前記所望の間隔に適した長さを有するステープルとによって特徴付けられることを特徴とする請求項1に記載の外科器具。
- 前記ウェッジ部材が、複数の連結されたカム動作ウェッジを有するウェッジスレッドを含み、前記カム動作ウェッジのそれぞれが、前記選択されたタイプのステープルカートリッジに適するよう予め選択された高さを有しており、
前記発射装置の前記中間部材が、前記複数のタイプのステープルカートリッジのそれぞれに当接するように構成されていることを特徴とする請求項3に記載の外科器具。 - 外科器具であって、
発射運動及び閉止運動を起こすことができるハンドル部分と、前記ハンドル部分からの前記発射運動に応答する、直径が内視鏡などの外科手術に適した寸法を有する実施部分とを含む外科器具であって、
前記実施部分が、
前記発射運動及び前記閉止運動を別々に伝達することができる前記ハンドル部分に結合されたシャフトと、
前記シャフトに結合された、溝スロットを含む細長い溝と、
アンビル溝を含み、前記シャフトからの前記閉止運動に応答する、前記細長い溝に回動可能に結合されたアンビルと、
前記細長い溝と前記アンビルとの間に長手方向に受容された先端側を向いた刃先、前記細長い溝にスライド可能に係合する下側部分、及び発射の際に前記アンビルにスライド可能に係合するように配置された上側部分を含み、前記細長い溝と前記アンビルとの間隔を維持するように前記細長い溝及び前記アンビルに係合する発射装置と、
前記発射装置の基端側に取り付けられた、前記発射運動を前記発射装置に伝達できる薄いストリップとを含み、
前記発射装置は被取付部を有し、前記薄い発射ストリップは取付部を有し、前記薄い発射ストリップの前記取付部が前記発射装置の前記被取付部に取り付けられており、前記発射装置および前記薄い発射ストリップは、互いに別個の材料により形成されている、ことを特徴とする外科器具。 - 外科器具であって、
発射運動及び閉止運動を起こすためのハンドル手段と、
前記閉止運動に応答して組織をクランプするクランプ手段と、
前記発射運動に応答して、前記クランプ手段の垂直方向の間隔を維持し、前記クランプ手段内のクランプされた組織の切断及びステープル止めをするための発射手段と、
前記ハンドル手段に対して前記クランプ手段を関節運動させるように機能的に構成された関節運動機構と、
前記関節運動機構内で曲がり、前記発射運動を長手方向に伝達するための、前記発射手段の基端側に取り付けられた薄い発射ストリップとを含み、
前記発射手段は被取付部を有し、前記薄い発射ストリップは取付部を有し、前記薄い発射ストリップの前記取付部が前記発射手段の前記被取付部に取り付けられており、前記発射手段および前記薄い発射ストリップは、互いに別個の材料により形成されている、ことを特徴とする外科器具。
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US59169404P | 2004-07-28 | 2004-07-28 | |
US60/591,694 | 2004-07-28 | ||
US10/955,042 US7380696B2 (en) | 2003-05-20 | 2004-09-30 | Articulating surgical stapling instrument incorporating a two-piece E-beam firing mechanism |
US10/955,042 | 2004-09-30 |
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JP (1) | JP4841886B2 (ja) |
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AU (1) | AU2005203191B2 (ja) |
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-
2004
- 2004-09-30 US US10/955,042 patent/US7380696B2/en not_active Expired - Lifetime
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2005
- 2005-07-21 AU AU2005203191A patent/AU2005203191B2/en not_active Ceased
- 2005-07-26 CA CA2513479A patent/CA2513479C/en not_active Expired - Fee Related
- 2005-07-27 RU RU2005123960/14A patent/RU2435532C2/ru not_active IP Right Cessation
- 2005-07-27 BR BRPI0503062A patent/BRPI0503062B8/pt active IP Right Grant
- 2005-07-27 EP EP10177662.3A patent/EP2258280B1/en active Active
- 2005-07-27 JP JP2005216951A patent/JP4841886B2/ja active Active
- 2005-07-27 AT AT05254683T patent/ATE489041T1/de not_active IP Right Cessation
- 2005-07-27 DE DE602005024899T patent/DE602005024899D1/de active Active
- 2005-07-27 PL PL10177662.3T patent/PL2258280T3/pl unknown
- 2005-07-27 EP EP05254683A patent/EP1621139B1/en active Active
- 2005-07-28 MX MXPA05008049A patent/MXPA05008049A/es not_active Application Discontinuation
- 2005-07-28 KR KR1020050068944A patent/KR101226542B1/ko active IP Right Grant
Also Published As
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AU2005203191A1 (en) | 2006-02-16 |
EP2258280A1 (en) | 2010-12-08 |
PL2258280T3 (pl) | 2016-12-30 |
KR101226542B1 (ko) | 2013-01-28 |
MXPA05008049A (es) | 2006-02-10 |
KR20060048865A (ko) | 2006-05-18 |
US20050263562A1 (en) | 2005-12-01 |
CA2513479A1 (en) | 2006-01-28 |
JP2006034975A (ja) | 2006-02-09 |
DE602005024899D1 (de) | 2011-01-05 |
ATE489041T1 (de) | 2010-12-15 |
RU2005123960A (ru) | 2007-02-10 |
BRPI0503062A (pt) | 2006-03-14 |
US7380696B2 (en) | 2008-06-03 |
AU2005203191B2 (en) | 2011-06-09 |
EP1621139A3 (en) | 2008-04-23 |
EP2258280B1 (en) | 2016-07-06 |
CA2513479C (en) | 2013-02-26 |
BRPI0503062B8 (pt) | 2021-06-22 |
BRPI0503062B1 (pt) | 2016-12-06 |
EP1621139A2 (en) | 2006-02-01 |
RU2435532C2 (ru) | 2011-12-10 |
EP1621139B1 (en) | 2010-11-24 |
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