JP7296522B2 - 医学的介入のためのハンドルカートリッジシステム - Google Patents
医学的介入のためのハンドルカートリッジシステム Download PDFInfo
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Description
2は、シャフト遠位部分204を含む。無傷性テープ296がシャフト遠位部分204の表面上に存在し、この無傷性テープは、組織がシャフト遠位部分204に設けられた種々の開口部及び接合部(例えば、図5A及び図5Bに記載された開口部及び接合部)と相互作用することにより結果として生じる場合のある組織外傷を減少させるのに役立つ。近位アンカーコンポーネント84は、遠位アンカーコンポーネント70及び縫合部分とは別であってかつこれから切り離された形態(図3を参照して本明細書において説明したように)をなしてシャフト遠位部分204内に収納されている。
70 遠位アンカーコンポーネント
72 ヘッド部分
74 テール部分
78 縫合具又は縫合部分
80 中間区分
82 コネクタ区分
84 近位アンカーコンポーネント
95 後端部
96 枝部
98 タブ
100 ハンドル
101 カートリッジベイ
102 スコープ管
103 右ハンドルケース
104 左ハンドルケース
105 スコープシール
110 ハンドルトリガ組立体
111 カートリッジロックタブ
112 安全装置
113 駆動歯車
114 ラチェット
115 ハンドルグリップ
120 カムホイール
125 ホールアクチュエータ
126 ホイールアクチュエータヘッド部分
127 ホイールアクチュエータテール部分
128 ホイールアクチュエータ撓み片
129 ホイールアクチュエータ軸線
130 カバープレート
140 針そり部
145 心棒
150 縫合具そり部
160 インプラントそり部
170 スコープロック
180 シースロック
200 カートリッジ
201 カートリッジ本体
202 シャフト組立体
203 カートリッジノブ
204 シャフト遠位部分
205 シャフト遠位部分出口ポート
206 シャフト遠位部分切り欠き
207 シャフト遠位部分ルーメン
208 シャフト遠位部分内部出口壁
209 シャフト遠位部分上側切り欠き
210 針組立体
212 針遠位部分
214 針シャフト
216 針近位部分
220 縫合具組立体
222 縫合具
224 縫合具支持管
226 縫合具安全装置
228 縫合具近位部分
230 カッタ組立体
232 カッタ
234 カッタブロック
236 カッタ爪
237 カッタ爪遠位端部
238 カッタ爪近位端部
240 プッシャ組立体
242 プッシャ
244 プッシャブロック
246 インプラントアクチュエータ
248 インプラントばね
284 カッタ手動タブ
286 カッタセーフティータブ
288 カッタアクセス窓
290 カートリッジインジケータ窓
291 カートリッジロック面
292 グリップ区分
293 プッシャセーフティータブ
296 無傷性テープ
297 シャフト支持体
298 カートリッジベース
299 カートリッジカバー
Claims (14)
- システム用のカートリッジであって、前記システムは、ハンドル及び前記カートリッジを含み、前記ハンドルは、一連の前記カートリッジを受け入れて機械エネルギーを前記カートリッジに加え、それによりインプラントを送り出すよう構成され、前記カートリッジは、
引張ばねを介して摺動可能なプッシャブロックに連結されている摺動可能なカッタブロックを有し、前記カッタブロック及び前記プッシャブロックは、前記カートリッジ本体内において直線方向に摺動するよう構成され、
前記カートリッジの前記本体内に設けられた回動可能なインプラントアクチュエータを有し、前記回動可能インプラントアクチュエータは、前記インプラントアクチュエータが第1の位置にあるときに前記インプラントアクチュエータが前記プッシャブロックの摺動を阻止するよう前記プッシャブロックに係合し、
前記ばねは、前記カッタブロックと前記プッシャブロックを互いに引き寄せようとする力を及ぼす伸長位置にあり、
前記インプラントは、遠位アンカーコンポーネント、縫合部分、及び近位アンカーコンポーネントを有し、前記プッシャブロックは、前記近位アンカーコンポーネントを前記縫合部分上に押すよう構成されており、前記カッタブロックは、前記縫合部分を切断するよう構成されている、カートリッジ。 - 前記カートリッジに設けられたノブをさらに有し、前記ノブは、ロック解除位置からロック位置に動き、前記ロック位置が前記カートリッジを前記ハンドルに固定するようになっている、請求項1記載のカートリッジ。
- 前記ノブに設けられたプッシャセーフティータブをさらに有し、前記プッシャセーフティータブは、前記ノブが前記ロック解除位置にあるときに前記インプラントアクチュエータに係合して前記インプラントアクチュエータが前記係合中に回動することができないようにするよう構成されている、請求項2記載のカートリッジ。
- 前記ノブに設けられた前記プッシャセーフティータブは、前記ノブが前記ロック位置にあるときに前記インプラントアクチュエータから離脱し、それにより前記インプラントアクチュエータが回動できるようにするよう構成されている、請求項3記載のカートリッジ。
- 前記カッタブロックを前記カートリッジの前記本体内に係合させるように構成されかつ前記カッタブロックと前記プッシャブロックとの間に設けられたカッタ爪をさらに有する、請求項2記載のカートリッジ。
- 前記カッタ爪は、前記カッタ爪が前記プッシャブロックに向かう前記カッタブロックの摺動を阻止するよう前記カッタブロックとの係合位置及び前記カッタ爪が前記カッタブロックを前記プッシャブロックに向かって摺動させることができるよう前記カッタブロックからの離脱位置を有する、請求項5記載のカートリッジ。
- 前記プッシャブロックは、摺動して前記カッタ爪に接触し、それにより前記カッタ爪が回動して前記カッタブロックから外れるようにするよう構成されている、請求項6記載のカートリッジ。
- 前記カートリッジの前記本体のカバーに設けられたインジケータ窓をさらに有し、このインジケータ窓は、前記カッタブロックの前記位置を表示する、請求項7記載のカートリッジ。
- 前記インジケータ窓は、前記カッタブロックを摺動させるためのアクセスとなるよう構成されている、請求項8記載のカートリッジ。
- 前記ノブに設けられたアクセス窓をさらに有し、前記アクセス窓は、前記プッシャブロックが前記カッタ爪に接触していない状態で前記カッタ爪を前記係合位置から前記離脱位置に動かすことができるよう前記カッタ爪に対するアクセスとなる、請求項6記載のカートリッジ。
- インプラントを送り出すためのカートリッジであって、
前記カートリッジに設けられたノブを有し、前記ノブは、ハンドルに対する前記カートリッジのロックを解除したロック解除位置から、前記カートリッジを前記ハンドルに対してロックするロック位置に動き、
引張ばねを介してプッシャブロックに連結されたカッタブロックを有し、前記カッタブロック及び前記プッシャブロックは、前記カートリッジの本体内で直線方向に動くよう構成され、
前記カートリッジの前記本体内に収納された回動可能なインプラントアクチュエータを有し、前記回動可能インプラントアクチュエータは、前記インプラントアクチュエータが第1の位置にあるときに前記インプラントアクチュエータが前記プッシャブロックの運動を阻止するよう前記プッシャブロックと係合し、前記ばねは、前記カッタブロックと前記プッシャブロックを互いに引き寄せようとする力を及ぼす伸長位置にあり
前記インプラントは、遠位アンカーコンポーネント、縫合部分、及び近位アンカーコンポーネントを有し、前記プッシャブロックは、前記近位アンカーコンポーネントを前記縫合部分上に押すよう構成されており、前記カッタブロックは、前記縫合部分を切断するよう構成されている、カートリッジ。 - 前記カッタブロックを前記カートリッジの前記本体内に係合させるように構成されかつ前記カッタブロックと前記プッシャブロックとの間に設けられたカッタ爪をさらに有する、請求項11記載のカートリッジ。
- 前記カッタ爪は、前記カッタ爪が前記プッシャブロックに向かう前記カッタブロックの摺動を阻止するよう前記カッタブロックとの係合位置及び前記カッタ爪が前記カッタブロックを前記プッシャブロックに向かって摺動させることができるよう前記カッタブロックからの離脱位置を有する、請求項12記載のカートリッジ。
- 前記プッシャブロックは、動いて前記カッタ爪に接触し、それにより前記カッタ爪が回動して前記カッタブロックから外れるようにするよう構成されている、請求項13記載のカートリッジ。
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JP2023112003A (ja) | 2023-08-10 |
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