JP7066895B2 - 安定化部材を有するクリップアプライヤ - Google Patents
安定化部材を有するクリップアプライヤ Download PDFInfo
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- JP7066895B2 JP7066895B2 JP2021071066A JP2021071066A JP7066895B2 JP 7066895 B2 JP7066895 B2 JP 7066895B2 JP 2021071066 A JP2021071066 A JP 2021071066A JP 2021071066 A JP2021071066 A JP 2021071066A JP 7066895 B2 JP7066895 B2 JP 7066895B2
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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
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/128—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips
- A61B17/1285—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips for minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/122—Clamps or clips, e.g. for the umbilical cord
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/122—Clamps or clips, e.g. for the umbilical cord
- A61B17/1222—Packages or dispensers therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/122—Clamps or clips, e.g. for the umbilical cord
- A61B17/1227—Spring clips
-
- 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
- A61B17/2812—Surgical forceps with a single pivotal connection
- A61B17/282—Jaws
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—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
- A61B2017/00296—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means mounted on an endoscope
-
- 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
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/03—Automatic limiting or abutting means, e.g. for safety
- A61B2090/033—Abutting means, stops, e.g. abutting on tissue or skin
- A61B2090/034—Abutting means, stops, e.g. abutting on tissue or skin abutting on parts of the device itself
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Vascular Medicine (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Reproductive Health (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)
Description
本特許仮出願は、2017年3月21日出願の「安定化部材を有するクリップアプライヤ」と題された米国特許仮出願第62/474523号に対する優先権を主張するものであり、その開示全体が本明細書に組み込まれる。
本開示は、一般に、クリップアプライヤデバイスに関し、より詳細には、外科用クリップと係合するように付勢された安定化部材を有するクリップアプライヤに関する。
100A 近位部
100B 遠位部
102 ハンドル機構
104 シャフト
106 顎構造部
116 安定化部材
Claims (17)
- 組織に外科用クリップを適用するように構成されたクリップアプライヤであって、
前記外科用クリップを係合するように構成され、各々が内面に長手方向スロットを有する第1の顎部材及び第2の顎部材と、
前記外科用クリップを係合するように構成された安定化部材であって、少なくとも部分的に前記第1の顎部材と前記第2の顎部材との間の第1の位置から、少なくとも部分的に前記第1の顎部材と前記第2の顎部材との間の第2の位置まで前記クリップアプライヤに対して長手方向に移動するように構成され、遠位部から延びるシャフト部を有する安定化部材と、
を備え、
前記シャフト部は、前記第1の顎部材及び前記第2の顎部材の前記長手方向スロットに受け入れられるように構成され、前記遠位部の幅は、前記シャフト部の幅より大きい、クリップアプライヤ。 - 前記遠位部は、前記外科用クリップを安定させるように構成された第1の側壁及び第2の側壁を有する、請求項1に記載のクリップアプライヤ。
- 前記シャフト部は、略矩形の断面を有する、請求項1に記載のクリップアプライヤ。
- 前記安定化部材の長手方向の移動は、前記第1の位置と前記第2の位置との間の長手方向の移動に制限される、請求項1に記載のクリップアプライヤ。
- 前記安定化部材は、ヒンジピンを受けるように構成された長手方向チャネルを有し、前記ヒンジピンは、前記第1の位置と前記第2の位置との間で前記安定化部材の長手方向の移動を制限するように構成されている、請求項1に記載のクリップアプライヤ。
- 更に、前記安定化部材は、近位部上に管状部を備えている、請求項1に記載のクリップアプライヤ。
- 更に、前記安定化部材の近位部上に位置付けられたバネを備え、このバネは、前記安定化部材を前記第2の位置の遠位にある前記第1の位置に付勢するように構成されている、請求項1に記載のクリップアプライヤ。
- 更に、前記第1の顎部材及び前記第2の顎部材の近位端部に固定されたシャフトを備え、このシャフトはその長さに沿って少なくとも1つの細長スロットを備え、前記バネは前記少なくとも1つの細長スロットを介して視認できる、請求項7に記載のクリップアプライヤ。
- 更に、前記バネの近位端部に当接する管状部材を備え、前記バネの遠位部は、前記安定化部材の近位部上の管状部に当接する、請求項7に記載のクリップアプライヤ。
- 前記安定化部材は、遠位部上に複数の突起部を含み、この複数の突起部は、前記外科用クリップを垂直方向で安定化するように構成されている、請求項1に記載のクリップアプライヤ。
- 前記第1の顎部材は、前記外科用クリップの第1の脚部材の遠位部を係合するように構成され、前記第2の顎部材は、前記外科用クリップの第2の脚部材の遠位部を係合するように構成され、前記安定化部材が、前記外科用クリップの近位部を係合するように構成されている、請求項1に記載のクリップアプライヤ。
- 前記第1の顎部材は、前記第1の脚部材の遠位部上に第1の実質的に平坦な面を係合するように構成され、前記第2の顎部材は、前記第2の脚部材の遠位部上に第2の実質的に平坦な面を係合するように構成される、請求項11に記載のクリップアプライヤ。
- 請求項1に記載のクリップアプライヤに前記外科用クリップを装填する方法であって、
前記クリップアプライヤの前記第1の顎部材と前記第2の顎部材との間に前記外科用クリップの近位を受けるステップと、
前記外科用クリップの近位を少なくとも部分的に前記第1の顎部材と前記第2の顎部材との間の前記第1の位置にて前記安定化部材と係合するステップと、
少なくとも部分的に前記第1の顎部材と前記第2の顎部材との間の前記第2の位置に前記安定化部材を長手方向で後退させるステップと、
前記安定化部材と前記第1の顎部材及び前記第2の顎部材との間で前記外科用クリップを安定化するステップと、
を含む、方法。 - 前記安定化部材の長手方向の移動は、前記第1の位置と前記第2の位置との間の長手方向の移動に制限されている、請求項13に記載の方法。
- 前記外科用クリップを安定化するステップは、前記安定化部材の遠位部上の第1の壁及び第2の壁を用いて前記外科用クリップを横方向で安定化するステップを含む、請求項13に記載の方法。
- 前記外科用クリップを安定化するステップは、前記安定化部材の遠位部上で複数の突起部を用いて前記外科用クリップを垂直方向で安定化するステップを含む、請求項13に記載の方法。
- 更に、前記外科用クリップをカートリッジからピッキングするステップを含む、請求項13に記載の方法。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201762474523P | 2017-03-21 | 2017-03-21 | |
US62/474,523 | 2017-03-21 | ||
JP2019552016A JP6873267B2 (ja) | 2017-03-21 | 2018-03-21 | 安定化部材を有するクリップアプライヤ |
Related Parent Applications (1)
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JP2019552016A Division JP6873267B2 (ja) | 2017-03-21 | 2018-03-21 | 安定化部材を有するクリップアプライヤ |
Publications (2)
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JP2021112602A JP2021112602A (ja) | 2021-08-05 |
JP7066895B2 true JP7066895B2 (ja) | 2022-05-13 |
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JP2019552016A Active JP6873267B2 (ja) | 2017-03-21 | 2018-03-21 | 安定化部材を有するクリップアプライヤ |
JP2021071066A Active JP7066895B2 (ja) | 2017-03-21 | 2021-04-20 | 安定化部材を有するクリップアプライヤ |
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US (2) | US11160559B2 (ja) |
EP (1) | EP3600084A4 (ja) |
JP (2) | JP6873267B2 (ja) |
CN (2) | CN110740696B (ja) |
WO (1) | WO2018175626A1 (ja) |
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JP7026127B2 (ja) | 2017-03-21 | 2022-02-25 | テレフレックス メディカル インコーポレイテッド | 安定化部材付きのクリップアプライヤ |
US12023041B2 (en) | 2017-03-21 | 2024-07-02 | Teleflex Medical Incorporated | Clip applier |
CN110740696B (zh) | 2017-03-21 | 2023-04-07 | 泰利福医疗公司 | 具有稳定构件的施夹器 |
WO2018175610A1 (en) | 2017-03-21 | 2018-09-27 | Teleflex Medical Incorporated | Surgical clip and clip applier |
WO2020069123A1 (en) * | 2018-09-26 | 2020-04-02 | Teleflex Medical Incorporated | Clip applier with stabilizing member |
US11534177B2 (en) | 2017-03-21 | 2022-12-27 | Teleflex Medical Incorporated | Flexible stabilizing member for a clip applier |
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JP7329038B2 (ja) * | 2018-07-18 | 2023-08-17 | テレフレックス メディカル インコーポレイテッド | クリップアプライヤ及びカートリッジ |
CN109480951B (zh) * | 2018-12-29 | 2024-01-12 | 杭州圣石科技股份有限公司 | 一种免拆装可冲洗施夹器 |
PL3744266T3 (pl) * | 2019-05-27 | 2024-05-06 | Erbe Elektromedizin Gmbh | Instrument elektrochirurgiczny |
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CN110740696A (zh) | 2020-01-31 |
WO2018175626A1 (en) | 2018-09-27 |
US20180271534A1 (en) | 2018-09-27 |
EP3600084A4 (en) | 2021-03-17 |
CN116172649A (zh) | 2023-05-30 |
US20220047271A1 (en) | 2022-02-17 |
JP6873267B2 (ja) | 2021-05-19 |
JP2020511264A (ja) | 2020-04-16 |
EP3600084A1 (en) | 2020-02-05 |
CN110740696B (zh) | 2023-04-07 |
US11160559B2 (en) | 2021-11-02 |
JP2021112602A (ja) | 2021-08-05 |
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