JP4976296B2 - 屈曲シャフトを有する医療器具 - Google Patents
屈曲シャフトを有する医療器具 Download PDFInfo
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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
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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
- A61B17/32—Surgical cutting instruments
- A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
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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
- A61B17/32—Surgical cutting instruments
- A61B17/3201—Scissors
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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
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- 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
- A61B2017/003—Steerable
- A61B2017/00305—Constructional details of the flexible means
- A61B2017/00314—Separate linked members
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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
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- 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
- A61B2017/003—Steerable
- A61B2017/00318—Steering mechanisms
- A61B2017/00323—Cables or rods
- A61B2017/00327—Cables or rods with actuating members moving in opposite directions
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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
- A61B2017/2901—Details of shaft
- A61B2017/2902—Details of shaft characterized by features of the actuating rod
-
- 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
- A61B2017/2901—Details of shaft
- A61B2017/2905—Details of shaft flexible
-
- 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
- A61B2017/2901—Details of shaft
- A61B2017/2908—Multiple segments connected by articulations
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- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- General Health & Medical Sciences (AREA)
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- Pathology (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Ophthalmology & Optometry (AREA)
- Surgical Instruments (AREA)
- Accommodation For Nursing Or Treatment Tables (AREA)
Description
本発明は、以下の出願に関連し、優先権を主張するとともに、その全ての内容は本明細書に参照により取り入れられている。
1)「可撓シャフトの製作方法」と題される2004年8月31日に提出された米国仮特許出願第60/606,245号
2)「可撓シャフトの製作方法」と題される2005年1月24日に提出された米国仮特許出願第60/646,966号
3)「可撓シャフトの製作方法、パートC」と題される2005年4月28日に提出された米国仮特許出願第60/676,456号
発明の背景
1.発明の分野
本発明は、概して外科用器具および方法、より詳細にはシャフトに関する。
様々な種類の外科的処置、特に内視鏡検査では、関節を有する、または曲げることが可能であるシャフトが必要とされる。このようなシャフトは、人体の特定の場所に到達するために体内の特定の領域を迂回するために望ましく、多くの場合必要とされる。先行技術による屈曲シャフトは、製造コストが高く、組み立てが困難である複雑な機構を含む。この複雑さは、少なくとも部分的には、シャフトを曲げるための張力を加える必要性により生じている。
本発明に係り、これらの要求に取り組み先行技術の不具合を克服する構造および関連の方法が開示される。
各旋回部材のひとつの開口部を通して延伸させることと、第2薄板アセンブリを各旋回部材のひとつの開口部を通して延伸させることと、第1および第2薄板アセンブリの一方を押し、同時に第1および第2薄板アセンブリの他方を引き、旋回部材が全体で湾曲部を形成するようにすることと、を含む。
医療器具の第1の好適な実施形態が図1および2に示されており、符号10で表される。医療器具または用具10は特に、所望の目的位置への直接の直線的な経路が利用できないような複雑な外科的処置用に構成される。特に内視鏡手術では通常、治療のために所望の位置に達するために体内の特定の領域を迂回することが必要になる。
旋回部材26の垂直運動を制限するように、シャフト20に対して垂直方向に配置される。以下に説明するような薄板アセンブリ31、33の軸方向運動による曲げ以外に、薄板アセンブリ31、33は旋回部材26およびピン28の側方への個別の運動も制限する。図2では、薄板アセンブリ31、33は最終的に、器具10の近接端部39に設けられる屈曲機構または屈曲部37に連結されている。
、ピンの上端部分71およびピンの底部分73を旋回部材26の湾曲凹部62に合わせることにより、各ピン28の中心を隣接する旋回部材26に対して合わせ、その際その間で自由な旋回を可能にする。図1および6では、旋回部材26の開口部51は全体で、薄板アセンブリ31、33が挿入される外側通路を形成する。図6に示されるように、器具の好適な実施形態では、複数の管または孔が必要でなくなることが分かる。主要な開口部51を備える略長方形のフレームとして旋回部材26を形成することにより、管内径を適合させることなく、複数の薄板アセンブリが旋回部材26を延伸することが可能である。
屈曲部37がいずれも直線状、したがって剛性の近接シャフト部分24により画定される軸線25に実質的に沿って合わせられている。屈曲部37および屈曲シャフト20は、好適にはこの直線位置へ付勢されているが、器具10は、屈曲部37および屈曲シャフト20が非直線的な軸外位置に付勢されるよう形成されることも可能である。
薄板アセンブリ31が押され、同時に第2薄板アセンブリ33が引かれる。したがって、屈曲部37を第2方向96aに動かすと、屈曲シャフト20も類似の方向96bへ曲げられる。屈曲シャフト20は、より大きいまたは小さい角度で曲げられるよう構成されることも可能である。図12で図示される実施形態では、屈曲シャフト20は軸線25から90°より大きい角度で曲がるように示されており、これにより器具10の末端44は器具10の近接端39を向く方向を指す。
シャフト部分24dを含む。屈曲シャフト20dは、平面Cから離れる方向へ曲げられる恒久的な湾曲を含む。ここでは、屈曲シャフト20の恒久的な湾曲は、平面Cに対して垂直、すなわち上方へ向かうように示されている。
囲内にあるとされる。
Claims (20)
- 複数の旋回部材とピンとを交互に並ぶ構成で含み、各旋回部材が開口部を画定し、各ピンがピン孔を画定する湾曲可能部分と、
湾曲可能部分を通り延伸する第1薄板アセンブリとを備え、第1薄板アセンブリは複数の第1層状薄板を含み、
湾曲可能部分を通り延伸する第2薄板アセンブリをさらに備え、第2薄板アセンブリは複数の第2層状薄板を含み、
第1薄板アセンブリおよび第2薄板アセンブリの一方は、第1薄板アセンブリおよび第2薄板アセンブリの他方が引くときに、湾曲可能部分を曲げるよう押すように構成されている、
医療器具。 - 開口部が全体で外側通路を画定し、
ピン孔が全体で内側通路を画定する、
請求項1に記載の器具。 - 第1薄板アセンブリが、ピンの第1側に沿って外側通路を通り延伸し、
第2薄板アセンブリが、ピンの第1側に対向するピン第2側に沿って外側通路を通り延伸する、
請求項2に記載の器具。 - 湾曲可能部分を通り延伸するアクチュエータをさらに備える、請求項1に記載の器具。
- 湾曲可能部分に連結される作動機構をさらに備え、アクチュエータが作動機構を作動させるよう構成される、請求項4に記載の器具。
- 湾曲可能部分を通り延伸する可撓性チューブをさらに備える、請求項1に記載の器具。
- 可撓性チューブが、流体を通すための通路を備える、請求項6に記載の器具。
- 第1薄板アセンブリおよび第2薄板アセンブリに連結される屈曲部をさらに備え、屈曲部の動きにより第1および第2薄板アセンブリの一方が押し、同時に第1および第2薄板アセンブリの他方が引く、請求項1に記載の器具。
- 第1方向への屈曲部の動きにより、湾曲可能部分が、第1方向から離れる第2方向へ曲がる、請求項8に記載の器具。
- 第1方向への屈曲部の動きにより、湾曲可能部分が、第1方向へ向かう第2方向へ曲がる、請求項8に記載の器具。
- 各旋回部材が垂直軸線を画定し、各ピンが隣接する旋回部材に対して垂直に動くことを回避する手段を器具がさらに備える、請求項1に記載の器具。
- 各旋回部材が横方向にテーパ状の厚さを有する、請求項1に記載の器具。
- 湾曲可能部分が第1方向および対向する第2方向へ湾曲可能であり、第1および第2方向は全体で可動域を画定し、
湾曲可能部分が、予め設定されており可動域に対して略垂直である湾曲部を有する、
請求項1に記載の器具。 - 第1薄板アセンブリおよび第2薄板アセンブリが、予め設定されている湾曲部と一致するように湾曲する、請求項13に記載の器具。
- 予め設定されている湾曲部と一致するように湾曲するアクチュエータをさらに備える、請求項13に記載の器具。
- 各旋回部材が、テーパ状の上部分を有する、請求項13に記載の器具。
- 各ピンがテーパ状の上部分を有する、請求項13に記載の器具。
- ピン孔を通り延伸する電気配線をさらに備える、請求項1に記載の器具。
- ピン孔を通り延伸する光ファイバをさらに備える、請求項1に記載の器具。
- 複数の旋回部材とピンとを交互に並ぶ構成で含む湾曲可能部分と、
湾曲可能部分に連結される第1薄板アセンブリとを備え、第1薄板アセンブリは複数の第1層状薄板を含み、
湾曲可能部分に連結される第2薄板アセンブリとをさらに備え、第2薄板アセンブリは複数の第2層状薄板を含み、
第1薄板アセンブリおよび第2薄板アセンブリの一方は、第1薄板アセンブリおよび第2薄板アセンブリの他方が引くときに、湾曲可能部分を曲げるよう押すように構成されている、医療器具。
Applications Claiming Priority (7)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US60624504P | 2004-08-31 | 2004-08-31 | |
US60/606,245 | 2004-08-31 | ||
US64696605P | 2005-01-24 | 2005-01-24 | |
US60/646,966 | 2005-01-24 | ||
US67645605P | 2005-04-28 | 2005-04-28 | |
US60/676,456 | 2005-04-28 | ||
PCT/US2005/030583 WO2006026520A2 (en) | 2004-08-31 | 2005-08-25 | Medical device with articulating shaft |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2008511404A JP2008511404A (ja) | 2008-04-17 |
JP4976296B2 true JP4976296B2 (ja) | 2012-07-18 |
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ID=36000651
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2007530205A Active JP4976296B2 (ja) | 2004-08-31 | 2005-08-25 | 屈曲シャフトを有する医療器具 |
Country Status (4)
Country | Link |
---|---|
US (1) | US7553275B2 (ja) |
EP (2) | EP2656777A3 (ja) |
JP (1) | JP4976296B2 (ja) |
WO (1) | WO2006026520A2 (ja) |
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2005
- 2005-08-25 JP JP2007530205A patent/JP4976296B2/ja active Active
- 2005-08-25 US US11/211,834 patent/US7553275B2/en active Active
- 2005-08-25 WO PCT/US2005/030583 patent/WO2006026520A2/en active Application Filing
- 2005-08-25 EP EP13177663.5A patent/EP2656777A3/en not_active Withdrawn
- 2005-08-25 EP EP05794626.1A patent/EP1786335B1/en not_active Not-in-force
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EP2656777A3 (en) | 2015-12-02 |
EP1786335A4 (en) | 2012-04-04 |
WO2006026520A3 (en) | 2009-04-09 |
EP2656777A2 (en) | 2013-10-30 |
EP1786335A2 (en) | 2007-05-23 |
EP1786335B1 (en) | 2013-07-24 |
US7553275B2 (en) | 2009-06-30 |
JP2008511404A (ja) | 2008-04-17 |
WO2006026520A2 (en) | 2006-03-09 |
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