JP6286576B2 - 内視鏡用外科手術装置及び外装管 - Google Patents
内視鏡用外科手術装置及び外装管 Download PDFInfo
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- JP6286576B2 JP6286576B2 JP2016552086A JP2016552086A JP6286576B2 JP 6286576 B2 JP6286576 B2 JP 6286576B2 JP 2016552086 A JP2016552086 A JP 2016552086A JP 2016552086 A JP2016552086 A JP 2016552086A JP 6286576 B2 JP6286576 B2 JP 6286576B2
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- 238000003780 insertion Methods 0.000 claims description 291
- 230000037431 insertion Effects 0.000 claims description 291
- 230000002093 peripheral effect Effects 0.000 claims description 62
- 230000033001 locomotion Effects 0.000 claims description 31
- 238000005286 illumination Methods 0.000 description 8
- 238000010586 diagram Methods 0.000 description 6
- CURLTUGMZLYLDI-UHFFFAOYSA-N Carbon dioxide Chemical compound O=C=O CURLTUGMZLYLDI-UHFFFAOYSA-N 0.000 description 4
- 239000013013 elastic material Substances 0.000 description 4
- 238000006073 displacement reaction Methods 0.000 description 3
- 239000002184 metal Substances 0.000 description 3
- 239000011347 resin Substances 0.000 description 3
- 229920005989 resin Polymers 0.000 description 3
- 208000005646 Pneumoperitoneum Diseases 0.000 description 2
- 229910002092 carbon dioxide Inorganic materials 0.000 description 2
- 239000001569 carbon dioxide Substances 0.000 description 2
- 238000002674 endoscopic surgery Methods 0.000 description 2
- 238000003384 imaging method Methods 0.000 description 2
- 239000000463 material Substances 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- 230000000007 visual effect Effects 0.000 description 2
- 230000000295 complement effect Effects 0.000 description 1
- 230000006866 deterioration Effects 0.000 description 1
- 230000002542 deteriorative effect Effects 0.000 description 1
- 230000009545 invasion Effects 0.000 description 1
- 238000002350 laparotomy Methods 0.000 description 1
- 230000007257 malfunction Effects 0.000 description 1
- 229910044991 metal oxide Inorganic materials 0.000 description 1
- 150000004706 metal oxides Chemical class 0.000 description 1
- 230000003287 optical effect Effects 0.000 description 1
- 230000000149 penetrating effect Effects 0.000 description 1
- 201000003144 pneumothorax Diseases 0.000 description 1
- 229920000915 polyvinyl chloride Polymers 0.000 description 1
- 239000004800 polyvinyl chloride Substances 0.000 description 1
- 230000001105 regulatory effect Effects 0.000 description 1
- 239000000523 sample Substances 0.000 description 1
- 239000004065 semiconductor Substances 0.000 description 1
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/00131—Accessories for endoscopes
- A61B1/00135—Oversleeves mounted on the endoscope prior to insertion
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/00064—Constructional details of the endoscope body
- A61B1/00071—Insertion part of the endoscope body
- A61B1/00075—Insertion part of the endoscope body with externally roughened shaft
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/00112—Connection or coupling means
- A61B1/00121—Connectors, fasteners and adapters, e.g. on the endoscope handle
- A61B1/00128—Connectors, fasteners and adapters, e.g. on the endoscope handle mechanical, e.g. for tubes or pipes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/00131—Accessories for endoscopes
- A61B1/00133—Drive units for endoscopic tools inserted through or with the endoscope
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/00147—Holding or positioning arrangements
- A61B1/00154—Holding or positioning arrangements using guiding arrangements for insertion
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/012—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor
- A61B1/015—Control of fluid supply or evacuation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/012—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor
- A61B1/018—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor for receiving instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/313—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for introducing through surgical openings, e.g. laparoscopes
- A61B1/3132—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for introducing through surgical openings, e.g. laparoscopes for laparoscopy
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3415—Trocars; Puncturing needles for introducing tubes or catheters, e.g. gastrostomy tubes, drain catheters
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Engineering & Computer Science (AREA)
- General Health & Medical Sciences (AREA)
- Veterinary Medicine (AREA)
- Pathology (AREA)
- Public Health (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Biophysics (AREA)
- Physics & Mathematics (AREA)
- Radiology & Medical Imaging (AREA)
- Optics & Photonics (AREA)
- Gastroenterology & Hepatology (AREA)
- Mechanical Engineering (AREA)
- Endoscopes (AREA)
- Surgical Instruments (AREA)
Description
Claims (11)
- 医療器具の挿入部を体腔内に案内する外套管と、
前記外套管に外装される外装管と、を備え、
前記外装管は、
基端と先端と長手軸とを有する外装管本体と、
前記外装管本体の先端に設けられる先端開口と、
前記外装管本体の基端に設けられる基端開口と、
前記外装管本体の前記長手軸に沿って設けられ、前記先端開口と前記基端開口とを連通し、前記外套管が挿通される挿通路と、
前記外装管本体の外周面に前記長手軸に沿った方向に延在する凹部又は凸部からなり、体壁に対する前記外装管本体の前記長手軸を中心とした回転を防止する係止部と、
前記外装管本体の基端側に開口する供給口と、
前記外装管本体の先端側に開口する送気口と、
前記外装管本体の前記長手軸に沿って形成され、前記供給口と前記送気口とを連通する送気路と、
を有する内視鏡用外科手術装置。 - 前記送気路は、前記外装管本体の外周壁の内部に前記係止部に沿って設けられる請求項1に記載の内視鏡用外科手術装置。
- 前記外装管本体の外周面に接して送気管が設けられ、
前記送気管は、前記送気路を有し、かつ前記係止部として機能する請求項1に記載の内視鏡用外科手術装置。 - 前記送気路は、前記外装管本体の内周面と前記外套管の外周面との間に形成された隙間により構成される請求項1に記載の内視鏡用外科手術装置。
- 前記外装管本体の基端側の内部に設けられ、前記挿通路に挿通された前記外套管の外周面に接触して気密を保持する気密保持部材を備え、
前記供給口は、前記外装管本体の前記長手軸に関して前記気密保持部材よりも先端側に設けられている請求項1〜4のいずれか1項に記載の内視鏡用外科手術装置。 - 前記外套管は、
先端と基端と長手軸とを有する外套管本体と、
前記外套管本体の先端に設けられる第1先端開口及び第2先端開口と、
前記外套管本体の基端に設けられる第1基端開口及び第2基端開口と、
前記外套管本体の長手軸に沿って設けられ、前記第1先端開口と前記第1基端開口とを連通し、第1医療器具が進退自在に挿通される第1挿通路と、
前記外套管本体の長手軸に沿って設けられ、前記第2先端開口と前記第2基端開口とを連通し、第2医療器具が進退自在に挿通される第2挿通路と、
前記第1挿通路に挿通された前記第1医療器具に連結される第1連結部と、前記第2挿通路に挿通された前記第2医療器具に連結される第2連結部とを有し、前記外套管本体の内部において進退自在に移動する連動部材と、を備える請求項1〜4のいずれか1項に記載の内視鏡用外科手術装置。 - 前記連動部材は、前記第1医療器具及び前記第2医療器具のうちのいずれか一方の進退移動に対して前記第1医療器具及び前記第2医療器具のうちの他方が連動しない不感帯領域と、前記第1医療器具及び前記第2医療器具のいずれか一方の進退移動に対して前記第1医療器具及び前記第2医療器具のうちの他方が連動する感帯領域とを有する請求項6に記載の内視鏡用外科手術装置。
- 医療器具の挿入部を体腔内に案内する外套管に用いられる外装管であって、
基端と先端と長手軸とを有する外装管本体と、
前記外装管本体の先端に設けられる先端開口と、
前記外装管本体の基端に設けられる基端開口と、
前記外装管本体の前記長手軸に沿って設けられ、前記先端開口と前記基端開口とを連通し、医療器具の挿入部を体腔内に案内する外套管が挿通される挿通路と、
前記外装管本体の外周面に前記長手軸に沿った方向に延在する凹部又は凸部からなり、体壁に対する前記外装管本体の前記長手軸を中心とした回転を防止する係止部と、
前記外装管本体の基端側に開口する供給口と、
前記外装管本体の先端側に開口する送気口と、
前記外装管本体の前記長手軸に沿って形成され、前記供給口と前記送気口とを連通する送気路と、
を有する外装管。 - 前記送気路は、前記外装管本体の外周壁の内部に前記係止部に沿って設けられる請求項8に記載の外装管。
- 前記外装管本体の外周面に接して送気管が設けられ、
前記送気管は、前記送気路を有し、かつ前記係止部として機能する請求項8に記載の外装管。 - 前記外装管本体の基端側の内部に設けられ、前記挿通路に挿通された前記外套管の外周面に接触して気密を保持する気密保持部材を備え、
前記供給口は、前記外装管本体の前記長手軸に関して前記気密保持部材よりも先端側に設けられている請求項8〜10のいずれか1項に記載の外装管。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
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US201462057476P | 2014-09-30 | 2014-09-30 | |
US62/057,476 | 2014-09-30 | ||
PCT/JP2015/077586 WO2016052545A1 (ja) | 2014-09-30 | 2015-09-29 | 内視鏡用外科手術装置及び外装管 |
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JPWO2016052545A1 JPWO2016052545A1 (ja) | 2017-08-31 |
JP6286576B2 true JP6286576B2 (ja) | 2018-02-28 |
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Country | Link |
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US (1) | US10765301B2 (ja) |
EP (1) | EP3202342B1 (ja) |
JP (1) | JP6286576B2 (ja) |
WO (1) | WO2016052545A1 (ja) |
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WO2023021408A1 (en) * | 2021-08-16 | 2023-02-23 | Fisher & Paykel Healthcare Limited | Accessory for arranging a surgical instrument within a cannula shaft |
Family Cites Families (10)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5025778A (en) * | 1990-03-26 | 1991-06-25 | Opielab, Inc. | Endoscope with potential channels and method of using the same |
US5575756A (en) * | 1993-08-16 | 1996-11-19 | Olympus Optical Co., Ltd. | Endoscope apparatus |
JP4197749B2 (ja) | 1996-04-09 | 2008-12-17 | オリンパス株式会社 | トラカール外套管 |
US6432085B1 (en) * | 1999-03-17 | 2002-08-13 | Tyco Healthcare Group Lp | Self-retaining surgical access instrument |
JP2004180858A (ja) * | 2002-12-02 | 2004-07-02 | Olympus Corp | 外科手術用器具 |
US20070203393A1 (en) * | 2003-05-16 | 2007-08-30 | David Stefanchik | Apparatus for positioning a medical device |
US7798998B2 (en) * | 2006-10-06 | 2010-09-21 | Surgiquest, Inc. | Elastically deformable surgical access device |
US20100010298A1 (en) * | 2008-07-14 | 2010-01-14 | Ethicon Endo-Surgery, Inc. | Endoscopic translumenal flexible overtube |
WO2013176167A1 (ja) * | 2012-05-25 | 2013-11-28 | 富士フイルム株式会社 | 内視鏡手術装置及び外套管 |
JP5977610B2 (ja) * | 2012-07-23 | 2016-08-24 | オリンパス株式会社 | 内視鏡用ガイドチューブ |
-
2015
- 2015-09-29 WO PCT/JP2015/077586 patent/WO2016052545A1/ja active Application Filing
- 2015-09-29 EP EP15845597.2A patent/EP3202342B1/en active Active
- 2015-09-29 JP JP2016552086A patent/JP6286576B2/ja active Active
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2017
- 2017-03-28 US US15/470,915 patent/US10765301B2/en active Active
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Publication number | Publication date |
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EP3202342B1 (en) | 2020-02-12 |
EP3202342A1 (en) | 2017-08-09 |
US10765301B2 (en) | 2020-09-08 |
JPWO2016052545A1 (ja) | 2017-08-31 |
US20170196439A1 (en) | 2017-07-13 |
WO2016052545A1 (ja) | 2016-04-07 |
EP3202342A4 (en) | 2017-11-22 |
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