JP6517214B2 - 関節運動可能なシャフト配置構成を有する外科用器具 - Google Patents
関節運動可能なシャフト配置構成を有する外科用器具 Download PDFInfo
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Description
−米国特許出願、表題「Surgical Staples and Staple Cartridges」、代理人整理番号END7341USNP/130301、
−米国特許出願、表題「Surgical Staples and Staple Cartridges」、代理人整理番号END7331USNP/130304、
−米国特許出願、表題「Surgical Staples and Methods For Making the Same」、代理人整理番号END7335USNP/130305、
−米国特許出願、表題「Surgical Staples,Staple Cartridges and Surgical End Effectors」、代理人整理番号END7332USNP/130306、
−米国意匠特許出願、表題「Surgical Fastener」、代理人整理番号END7338USDP/130307、
−米国特許出願、表題「Fastener Cartridge Comprising an Extendable Firing Member」、代理人整理番号END7344USNP/130308、
−米国特許出願、表題「Fastener Cartridge Comprising a Firing Member Configured to Directly Engage and Eject Fasteners From the Fastener Cartridge」、代理人整理番号END7339USNP/130309、
−米国特許出願、表題「Fastener Cartridge Comprising a Firing Member Including Fastener Surfaces」、代理人整理番号END7340USNP/130310、
−米国特許出願、表題「Articulatable Surgical Instruments With Separate and Distinct Closing and Firing Systems」、代理人整理番号END7333USNP/130322、
−米国特許出願、表題「Surgical Cutting and Stapling Instruments With Independent Jaw Control Features」、代理人整理番号END7336USNP/130303、
−米国特許出願、表題「Surgical Cutting and Stapling Instruments With Articulatable End Effectors」、代理人整理番号END7334USNP/130312、
−米国特許出願、表題「Surgical Cutting and Stapling Methods」、代理人整理番号END7330USNP/130313、及び
−米国特許出願、表題「Modular Surgical Instruments」、代理人整理番号END7342USNP/130311。
(1) 外科用器具であって、
外科用エンドエフェクタと、
長手方向ツール軸を画定し、かつ前記外科用エンドエフェクタと操作可能に連結される細長いシャフトアセンブリと、を備え、前記細長いシャフトアセンブリが、可撓性セグメントを含み、前記可撓性セグメントが、
2つの側面を含む長手方向に延在する細長い関節運動スパインであって、前記スパインが、長さ及び前記長さに沿って先細りする幅を含む、関節運動スパインと、
前記外科用エンドエフェクタに関節運動動作を適用したときに、前記可撓性セグメントの遠位部分が、前記遠位部分に近位である前記可撓性セグメントの別の部分の別の関節運動速度よりも速い関節運動速度で関節運動するように、前記関節運動スパインの各側面からその長さに沿って横方向に延在する複数のリブと、を備える、外科用器具。
(2) 前記関節運動スパインが、近位端、遠位端、及び高さを含み、前記近位端が近位幅を含み、前記遠位端が前記近位幅とは異なる遠位幅を含む、実施態様1に記載の外科用器具。
(3) 前記近位幅が前記遠位幅よりも広い、実施態様2に記載の外科用器具。
(4) 前記関節運動スパインの前記2つの側面が、
右側面と、
左側面と、を備え、前記複数のリブが、
少なくとも3つの右側リブであって、第1の空間が前記右側リブ間に提供されるように前記関節運動スパインの前記右側面から突出しており、前記第1の空間の各々が第1の空間幅を有する、右側リブと、
少なくとも3つの左側リブであって、第2の空間が前記左側リブ間に提供されるように前記関節運動スパインの前記左側面から突出しており、前記第2の空間の各々が第2の空間幅を有する、左側リブと、を備える、実施態様1に記載の外科用器具。
(5) 前記第1の空間幅のうちの少なくとも1つが、前記第1の空間幅のうちの少なくとも他の1つと異なり、かつ前記第2の空間幅のうちの少なくとも1つが、前記第2の空間幅のうちの少なくとも他の1つと異なる、実施態様4に記載の外科用器具。
(7) 前記第1の空間幅は、前記可撓性セグメントの近位端から前記可撓性セグメントの遠位端に向かって大きさが順次に減少し、前記第2の空間幅は、前記可撓性セグメントの前記近位端から前記可撓性セグメントの前記遠位端に向かって大きさが順次に減少する、実施態様4に記載の外科用器具。
(8) 前記第1のリブのうちの少なくとも2つが、その中に形成された第1のねじれ防止特徴を有し、前記第2のリブのうちの少なくとも2つが、その中に第2のねじれ防止特徴を有する、実施態様4に記載の外科用器具。
(9) 前記関節運動スパインの右側面上に横方向に延在する前記複数のリブのうちの少なくとも2つが各々、前記右側面上の対応する他の前記リブの右側ねじれ防止戻り止めを係合するように構成された右側ねじれ防止突出部を含み、前記関節運動スパインの左側面上の前記複数のリブのうちの少なくとも2つが各々、前記左側面上の対応する他の前記リブの左側ねじれ防止戻り止めを係合するように構成された左側ねじれ防止突出部を含む、実施態様4に記載の外科用器具。
(10) 各前記右側ねじれ防止突出部及び各前記右側ねじれ防止戻り止めは、前記可撓性部分が関節運動していないとき、右横軸に沿って整合され、各前記左側ねじれ防止突出部及び各前記左側ねじれ防止戻り止めは、前記可撓性関節運動部分が関節運動していないとき、左横軸に沿って実質的に整合されている、実施態様9に記載の外科用器具。
外科用エンドエフェクタと、
長手方向ツール軸を画定し、かつ前記外科用エンドエフェクタと操作可能に連結される細長いシャフトアセンブリと、を備え、前記細長いシャフトアセンブリが、関節運動動作を前記外科用エンドエフェクタに適用したときに、前記長手方向ツール軸に対する前記外科用エンドエフェクタの関節運動を容易にするための可撓性関節運動部分を含み、前記可撓性関節運動部分が、
2つの側面を含む、長手方向に延在する細長い関節運動スパインと、
前記関節運動スパインの各側面からその長さに沿って横方向に延在する複数のリブと、を備え、前記関節運動スパインの各側面上の少なくとも1つの前記リブが、前記リブから隣接する前記リブに向かって外側方向に突出するねじれ防止突出部を含み、前記隣接する前記リブが、前記ねじれ防止突出部に対応するねじれ防止戻り止めを含み、ねじれ動作が前記可撓性関節運動部分に適用されたときに、前記ねじれ防止突出部が前記対応するねじれ防止戻り止めを係合する、外科用器具。
(12) 前記関節運動スパインが、長さ及び前記長さに沿って先細りする幅を有する、実施態様11に記載の外科用器具。
(13) 前記関節運動スパインが、近位端、遠位端、及び高さを含み、前記近位端が近位幅を含み、前記遠位端が前記近位幅とは異なる遠位幅を含む、実施態様11に記載の外科用器具。
(14) 前記近位幅が、前記遠位幅よりも広い、実施態様12に記載の外科用器具。
(15) 前記関節運動スパインの右側面上に横方向に延在する前記複数のリブのうちの少なくとも2つが各々、前記右側面上の対応する他の前記リブの右側ねじれ防止戻り止めを係合するように構成された右側ねじれ防止突出部を含み、前記関節運動スパインの左側面上の前記複数のリブのうちの少なくとも2つが各々、前記左側面上の対応する他の前記リブの左側ねじれ防止戻り止めを係合するように構成された左側ねじれ防止突出部を含む、実施態様11に記載の外科用器具。
(17) 前記右横軸、前記左横軸、及び前記長手方向ツール軸が、互いに実質的に平行である、実施態様16に記載の外科用器具。
(18) 前記関節運動スパインを通って長手方向に延在する構成要素通路を更に備える、実施態様11に記載の外科用器具。
(19) 外科用器具であって、
エンドエフェクタを備え、前記エンドエフェクタが、
細長いチャネルであって、複数の外科用締結具及び組織切断部材を含む、外科用締結具カートリッジを中に支持するように構成された、細長いチャネルと、
前記細長いチャネルに対して支持されたアンビルと、を備え、前記外科用器具が、
ハウジングと、
発射動作を選択的に生成するように構成された発射駆動システムであって、前記発射駆動システムの少なくとも一部分が、前記ハウジングによって操作可能に支持されている、発射駆動システムと、
開閉動作を生成するための閉鎖システムであって、前記閉鎖システムの少なくとも一部分が、前記ハウジングによって操作可能に支持されている、閉鎖システムと、
関節運動動作を生成するように構成された関節運動システムであって、前記関節運動システムの少なくとも一部分が、前記ハウジングによって操作可能に支持されている、関節運動システムと、
前記ハウジング及び前記外科用エンドエフェクタに操作可能に連結され、長手方向ツール軸を画定する細長いシャフトアセンブリであって、前記細長いシャフトアセンブリが、前記開閉動作を前記エンドエフェクタに選択的に適用するように、前記閉鎖システムと操作可能に連係する、細長いシャフトアセンブリと、を更に備え、前記細長いシャフトアセンブリが、
長さ及び前記長さに沿って先細りする幅を含む、長手方向に延在する細長い関節運動スパインを含む可撓性関節運動部分であって、前記細長い関節運動スパインが、そこを通る構成要素通路を含む、可撓性関節運動部分と、
前記関節運動スパインの各側面からその長さに沿って横方向に延在する複数のリブであって、前記関節運動スパインの各側面上の少なくとも1つの前記リブが、前記リブから隣接する前記リブに向かって外側方向に突出するねじれ防止突出部を含み、前記隣接する前記リブが、前記ねじれ防止突出部に対応するねじれ防止戻り止めを含み、ねじれ動作が前記可撓性関節運動部分に適用されたときに、前記ねじれ防止突出部が前記対応するねじれ防止戻り止めを係合する、リブと、
前記構成要素通路内で移動可能に支持され、前記発射制御システム及び前記組織切断部材と操作可能に連係する可撓性発射ビームと、
前記右側リブによって操作可能に支持され、前記関節運動システム及び前記細長いチャネルと操作可能に連係する右側関節運動ビームと、
前記左側リブによって操作可能に支持され、前記関節運動システム及び前記細長いチャネルと連係する左側関節運動ビームと、を更に備える、外科用器具。
(20) 前記構成要素通路内に移動可能に支持され、前記発射制御システム及び前記外科用エンドエフェクタと連係する、右側スレッドプッシャビームと、
前記構成要素通路内に移動可能に支持され、前記発射制御システム及び前記外科用エンドエフェクタと連係する、左側スレッドプッシャビームと、を更に備える、実施態様19に記載の外科用器具。
Claims (8)
- 外科用器具であって、
外科用エンドエフェクタと、
長手方向ツール軸を画定し、かつ前記外科用エンドエフェクタと操作可能に連結される細長いシャフトアセンブリと、を備え、前記細長いシャフトアセンブリが、可撓性セグメントを含み、前記可撓性セグメントが、
2つの側面を含む長手方向に延在する細長い関節運動スパインであって、前記関節運動スパインが、長さ及び前記長さに沿って先細りする幅を含む、関節運動スパインと、
前記外科用エンドエフェクタに関節運動動作を適用したときに、前記可撓性セグメントの遠位部分が、前記遠位部分に近位である前記可撓性セグメントの別の部分の別の関節運動速度よりも速い関節運動速度で関節運動するように、前記関節運動スパインの各側面からその長さに沿って横方向に延在する複数のリブと、を備え、
前記関節運動スパインの前記2つの側面が、
右側面と、
左側面と、を備え、前記複数のリブが、
少なくとも3つの右側リブであって、第1の空間が前記右側リブ間に提供されるように前記関節運動スパインの前記右側面から突出しており、前記第1の空間の各々が第1の空間幅を有する、右側リブと、
少なくとも3つの左側リブであって、第2の空間が前記左側リブ間に提供されるように前記関節運動スパインの前記左側面から突出しており、前記第2の空間の各々が第2の空間幅を有する、左側リブと、を備え、
前記第1の空間幅は、前記可撓性セグメントの近位端から前記可撓性セグメントの遠位端に向かって大きさが順次に減少し、前記第2の空間幅は、前記可撓性セグメントの前記近位端から前記可撓性セグメントの前記遠位端に向かって大きさが順次に減少する、外科用器具。 - 前記関節運動スパインが、近位端、遠位端、及び高さを含み、前記近位端が近位幅を含み、前記遠位端が前記近位幅とは異なる遠位幅を含む、請求項1に記載の外科用器具。
- 前記近位幅が前記遠位幅よりも広い、請求項2に記載の外科用器具。
- 前記第1の空間幅のうちの少なくとも1つが、前記第1の空間幅のうちの少なくとも他の1つと異なり、かつ前記第2の空間幅のうちの少なくとも1つが、前記第2の空間幅のうちの少なくとも他の1つと異なる、請求項1に記載の外科用器具。
- 前記第1の空間幅のうちの少なくとも1つが、前記第2の空間幅のうちの少なくとも1つと等しい、請求項1に記載の外科用器具。
- 前記右側リブのうちの少なくとも2つが、その中に形成された第1のねじれ防止特徴を有し、前記左側リブのうちの少なくとも2つが、その中に第2のねじれ防止特徴を有する、請求項1に記載の外科用器具。
- 前記関節運動スパインの右側面上に横方向に延在する前記複数のリブのうちの少なくとも2つが各々、前記右側面上の対応する他の前記リブの右側ねじれ防止戻り止めを係合するように構成された右側ねじれ防止突出部を含み、前記関節運動スパインの前記左側面上の前記複数のリブのうちの少なくとも2つが各々、前記左側面上の対応する他の前記リブの左側ねじれ防止戻り止めを係合するように構成された左側ねじれ防止突出部を含む、請求項1に記載の外科用器具。
- 各前記右側ねじれ防止突出部及び各前記右側ねじれ防止戻り止めは、前記可撓性部分が関節運動していないとき、右横軸に沿って整合され、各前記左側ねじれ防止突出部及び各前記左側ねじれ防止戻り止めは、前記可撓性関節運動部分が関節運動していないとき、左横軸に沿って実質的に整合されている、請求項7に記載の外科用器具。
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US14/138,554 US20150173789A1 (en) | 2013-12-23 | 2013-12-23 | Surgical instruments with articulatable shaft arrangements |
PCT/US2014/070808 WO2015100100A2 (en) | 2013-12-23 | 2014-12-17 | Surgical instruments with articulatable shaft arrangements |
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BR112016014836B1 (pt) | 2021-12-28 |
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EP2886068B1 (en) | 2018-07-18 |
BR112016014836A2 (pt) | 2020-09-24 |
WO2015100100A2 (en) | 2015-07-02 |
MX2016008381A (es) | 2017-01-09 |
RU2016130055A (ru) | 2018-01-30 |
CN106232026B (zh) | 2019-05-10 |
RU2016130055A3 (ja) | 2018-07-02 |
CN106232026A (zh) | 2016-12-14 |
RU2677918C2 (ru) | 2019-01-22 |
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