JPH08215201A - 高視覚化用のラツチ機構を具えた外科用装置 - Google Patents
高視覚化用のラツチ機構を具えた外科用装置Info
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- A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
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- A—HUMAN NECESSITIES
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/064—Surgical staples, i.e. penetrating the tissue
- A61B17/0643—Surgical staples, i.e. penetrating the tissue with separate closing member, e.g. for interlocking with staple
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- 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
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Abstract
(57)【要約】
【課題】 固定されているか否かを容易に判定する。
【解決手段】 ラッチ部材と、ロック位置において該ラ
ッチ部材を収容かつ保持するように適合された少なくと
も一つの孔を有する保持部材とを具備し、該ラッチ部材
と該保持部材は、ラッチ部材が保持部材によって適所に
ロックされる時、ロック位置におけるラッチ部材の存在
が外的に可視になる如く対照色であるラッチ機構を有す
る。
ッチ部材を収容かつ保持するように適合された少なくと
も一つの孔を有する保持部材とを具備し、該ラッチ部材
と該保持部材は、ラッチ部材が保持部材によって適所に
ロックされる時、ロック位置におけるラッチ部材の存在
が外的に可視になる如く対照色であるラッチ機構を有す
る。
Description
【０００１】
【発明の分野】この発明が関連する技術分野は、外科用
器具であり、さらに詳細には、外科用ステープルと収容
器、結紮用クリップ及び同等物の如く、ラッチ機構を具
える外科用装置に関する。
器具であり、さらに詳細には、外科用ステープルと収容
器、結紮用クリップ及び同等物の如く、ラッチ機構を具
える外科用装置に関する。
【０００２】
【発明の背景】一及び二部分構成の外科用装置は、技術
において極めて公知である。外科用ファスナーの如く外
科用装置の例としては、米国特許第４，４０２，４４５
号、第４，５０６，６７０号、第４，５１３，７４６
号、第４，５３４，３５２号、第４，６１０，２５０
号、第４，６６７，６７４号と第４，９３２，９６０号
において記載され、これらの特許は、参照としてここに
採り入れられた。典型的に、これらの外科用装置は、一
つ以上の吸収性材料から形成した２つの部材を含む。装
置は、一般に、少なくとも一つのラッチ部材、即ち、ス
テープル又はファスナーと、保持部材とから成る。ラッ
チ部材は、一般に、一つ以上の位置において組織を刺し
通し、保持部材へロックされる。
において極めて公知である。外科用ファスナーの如く外
科用装置の例としては、米国特許第４，４０２，４４５
号、第４，５０６，６７０号、第４，５１３，７４６
号、第４，５３４，３５２号、第４，６１０，２５０
号、第４，６６７，６７４号と第４，９３２，９６０号
において記載され、これらの特許は、参照としてここに
採り入れられた。典型的に、これらの外科用装置は、一
つ以上の吸収性材料から形成した２つの部材を含む。装
置は、一般に、少なくとも一つのラッチ部材、即ち、ス
テープル又はファスナーと、保持部材とから成る。ラッ
チ部材は、一般に、一つ以上の位置において組織を刺し
通し、保持部材へロックされる。
【０００３】手術において、機械的適用器を使用して外
科用装置を適用する外科医師は、しばしば、ラッチ部材
が保持部材へロックしたかを判定するための容易な方法
を有さない。現在、外科医師は、緩い又は固定してない
ステープルを検査するために組織を手技しなければなら
ず、これは時間を消費する手順である。付加的に、この
手順における組織の手技は、より多くの組織外傷につな
がり、手術後感染の危険を増大させる。この時、必要な
ものは、外科医師に外科用装置が固定されているかを迅
速に判定することを許容する外科用装置である。
科用装置を適用する外科医師は、しばしば、ラッチ部材
が保持部材へロックしたかを判定するための容易な方法
を有さない。現在、外科医師は、緩い又は固定してない
ステープルを検査するために組織を手技しなければなら
ず、これは時間を消費する手順である。付加的に、この
手順における組織の手技は、より多くの組織外傷につな
がり、手術後感染の危険を増大させる。この時、必要な
ものは、外科医師に外科用装置が固定されているかを迅
速に判定することを許容する外科用装置である。
【０００４】従って、本発明の目的は、外科医師に外科
用装置が固定されているかを容易に判定することを許容
し、これにより、外科用手順のために必要な時間を縮小
する外科用装置を設けることである。発明の別の目的
は、外科用手順中に発生する組織手技の量を縮小し、こ
れにより、組織外傷と手術後感染の危険を低減させる外
科用装置を設けることである。これと他の目的及び利点
は、本発明の以下の説明から技術における当業者に明ら
かになるであろう。
用装置が固定されているかを容易に判定することを許容
し、これにより、外科用手順のために必要な時間を縮小
する外科用装置を設けることである。発明の別の目的
は、外科用手順中に発生する組織手技の量を縮小し、こ
れにより、組織外傷と手術後感染の危険を低減させる外
科用装置を設けることである。これと他の目的及び利点
は、本発明の以下の説明から技術における当業者に明ら
かになるであろう。
【０００５】
【発明の要約】ラッチ部材と、ロック位置において該ラ
ッチ部材を収容かつ保持するように適合された少なくと
も一つの孔を有する保持部材とを具備し、該ラッチ部材
と保持部材は、ラッチ部材が保持部材によって適所でロ
ックされる時、ロック位置におけるラッチ部材の存在が
可視になる如く対照色であるラッチ機構を有する外科用
装置を発見した。
ッチ部材を収容かつ保持するように適合された少なくと
も一つの孔を有する保持部材とを具備し、該ラッチ部材
と保持部材は、ラッチ部材が保持部材によって適所でロ
ックされる時、ロック位置におけるラッチ部材の存在が
可視になる如く対照色であるラッチ機構を有する外科用
装置を発見した。
【０００６】
【実施例】発明によるポリマー材料の外科用ラッチ装置
が、図１、図２、図３と図４に示される。図１と図２に
示されたラッチ装置は、保持部材１０４と、基部１１６
と少なくとも２つのラッチ１０２を有するラッチ部材１
０１とを具備する。ラッチ１０２は、ほぼ平行であり、
基部１１６の同一側からほぼ垂直に伸長する。ラッチ１
０２は、一般に、基部１１６の端部に隣接して、基部１
１６に付着される。３以上のラッチが基部１１６に据え
られたならば、ラッチは、基部１１６の長さに沿って離
間される。ラッチ１０２は、軸部１０６に付着する突起
１０５を有する。突起１０５は、突起１０５の底部１１
０から突起１０５の少なくとも一方の側における先端１
０８にテーパされる。突起１０５の底部１１０は、軸部
１０６よりも拡幅である。突起の底部１１０は、軸部１
０６に接合される。連結用突起表面１１２が、突起１０
５の底部１１０と軸部１０６との接合部に隣接して設け
られる。
が、図１、図２、図３と図４に示される。図１と図２に
示されたラッチ装置は、保持部材１０４と、基部１１６
と少なくとも２つのラッチ１０２を有するラッチ部材１
０１とを具備する。ラッチ１０２は、ほぼ平行であり、
基部１１６の同一側からほぼ垂直に伸長する。ラッチ１
０２は、一般に、基部１１６の端部に隣接して、基部１
１６に付着される。３以上のラッチが基部１１６に据え
られたならば、ラッチは、基部１１６の長さに沿って離
間される。ラッチ１０２は、軸部１０６に付着する突起
１０５を有する。突起１０５は、突起１０５の底部１１
０から突起１０５の少なくとも一方の側における先端１
０８にテーパされる。突起１０５の底部１１０は、軸部
１０６よりも拡幅である。突起の底部１１０は、軸部１
０６に接合される。連結用突起表面１１２が、突起１０
５の底部１１０と軸部１０６との接合部に隣接して設け
られる。
【０００７】外科用応用において、接合される組織は、
保持部材１０４とラッチ部材１０１の間に位置付けられ
る。ラッチ部材１０１の２つのラッチ１０２が、組織
（不図示）を通して保持部材１０４における孔１０３内
へ駆動される。ラッチ１０２は、孔１０３を通過する
時、偏向するが、連結用突起表面１１２がロック表面１
１４に重なり係合する時、原定位に実質的に復帰する。
ラッチ部材１０１の連結用突起表面１１２と保持部材１
０４のロック表面１１４は、ロック位置において、組織
を２つの部材１０１と１０４の間の適所に差し挟み、２
つの部材を締結する。
保持部材１０４とラッチ部材１０１の間に位置付けられ
る。ラッチ部材１０１の２つのラッチ１０２が、組織
（不図示）を通して保持部材１０４における孔１０３内
へ駆動される。ラッチ１０２は、孔１０３を通過する
時、偏向するが、連結用突起表面１１２がロック表面１
１４に重なり係合する時、原定位に実質的に復帰する。
ラッチ部材１０１の連結用突起表面１１２と保持部材１
０４のロック表面１１４は、ロック位置において、組織
を２つの部材１０１と１０４の間の適所に差し挟み、２
つの部材を締結する。
【０００８】図３と図４は、本発明の第２実施態様であ
る結紮用クリップを示す。結紮用クリップ２００は、弾
性ヒンジ区分２１６によって近位端部２１２ａと２１４
ａで連結したラッチ部材２１２と保持部材２１４を含
む。ラッチ及び保持部材２１２と２１４の遠位端部２１
２ｂと２１４ｂにおいて、図４に示された血管２２０の
如く、身体組織の回りで閉位置に部材２１２と２１４を
ロックするためのラッチ機構２１８が設けられる。例示
の実施態様において、ラッチ機構は、保持部材２１４の
遠位端部２１４ｂに位置する保持器２４４内にロック収
容されるために適合されたラッチ２０２を含む。ラッチ
２０２は、軸部２０６に付着された突起２０５を具備す
る。先端２０８には、血管２２０を取り囲む組織（不図
示）を貫通するための鋭い縁２０８ａを備える。突起２
０５は、先端２０８から底部２１０に広げられる。突起
２１０の底部は、軸部２０６よりも拡幅である。突起２
１０の底部は、軸部２０６に接合される。連結用突起表
面２１１は、突起２０５の底部２１０と軸部２０６との
接合部に隣接して設けられる。保持器２４４は、ラッチ
２０２を収容するように適合された孔２０３と、閉又は
ロック位置において結紮用クリップを維持するために連
結用突起表面２１１に係合するように適合されたロック
表面２３４とを有する。保持部材２１４の遠位端部にお
ける点検用ポート２３０は、ラッチ２０２が保持器２４
４にロックされたかを視覚的に点検するための手段を設
ける。
る結紮用クリップを示す。結紮用クリップ２００は、弾
性ヒンジ区分２１６によって近位端部２１２ａと２１４
ａで連結したラッチ部材２１２と保持部材２１４を含
む。ラッチ及び保持部材２１２と２１４の遠位端部２１
２ｂと２１４ｂにおいて、図４に示された血管２２０の
如く、身体組織の回りで閉位置に部材２１２と２１４を
ロックするためのラッチ機構２１８が設けられる。例示
の実施態様において、ラッチ機構は、保持部材２１４の
遠位端部２１４ｂに位置する保持器２４４内にロック収
容されるために適合されたラッチ２０２を含む。ラッチ
２０２は、軸部２０６に付着された突起２０５を具備す
る。先端２０８には、血管２２０を取り囲む組織（不図
示）を貫通するための鋭い縁２０８ａを備える。突起２
０５は、先端２０８から底部２１０に広げられる。突起
２１０の底部は、軸部２０６よりも拡幅である。突起２
１０の底部は、軸部２０６に接合される。連結用突起表
面２１１は、突起２０５の底部２１０と軸部２０６との
接合部に隣接して設けられる。保持器２４４は、ラッチ
２０２を収容するように適合された孔２０３と、閉又は
ロック位置において結紮用クリップを維持するために連
結用突起表面２１１に係合するように適合されたロック
表面２３４とを有する。保持部材２１４の遠位端部にお
ける点検用ポート２３０は、ラッチ２０２が保持器２４
４にロックされたかを視覚的に点検するための手段を設
ける。
【０００９】第１及び第２横拡張部２２４ａと２２４ｂ
は、ラッチ部材２１２と一体的に形成され、そして第３
及び第４横拡張部２２４ｃと２２４ｄは、保持部材２１
４の対向拡幅壁から外側に拡張し、クリップ閉鎖力を収
容するように適合される。横拡張部２２４ａ〜２２４ｄ
に加えられた力は、部材２１２と２１４の遠位端部２１
２ｂと２１４ｂを相互に接近させる。ラッチ部材２０２
の先端２０８は、組織（不図示）を通して保持器２４４
における孔２０３内へ駆動される。ラッチ２０２は、孔
２０３を通過する時、偏向するが、連結用突起表面２１
１がロック表面２３４に重なり係合する時、その原定位
に実質的に復帰する。ラッチ部材２０２の連結用突起表
面２１１と保持部材２４４のロック表面２３４の係合
は、血管２２０が図４に示された如く係合されて、ロッ
ク位置において、２つの部材２１２と２１４の間の適所
に組織を差し挟み、２つの部材を締結する。
は、ラッチ部材２１２と一体的に形成され、そして第３
及び第４横拡張部２２４ｃと２２４ｄは、保持部材２１
４の対向拡幅壁から外側に拡張し、クリップ閉鎖力を収
容するように適合される。横拡張部２２４ａ〜２２４ｄ
に加えられた力は、部材２１２と２１４の遠位端部２１
２ｂと２１４ｂを相互に接近させる。ラッチ部材２０２
の先端２０８は、組織（不図示）を通して保持器２４４
における孔２０３内へ駆動される。ラッチ２０２は、孔
２０３を通過する時、偏向するが、連結用突起表面２１
１がロック表面２３４に重なり係合する時、その原定位
に実質的に復帰する。ラッチ部材２０２の連結用突起表
面２１１と保持部材２４４のロック表面２３４の係合
は、血管２２０が図４に示された如く係合されて、ロッ
ク位置において、２つの部材２１２と２１４の間の適所
に組織を差し挟み、２つの部材を締結する。
【００１０】外科医師が外科用ラッチ装置がロック位置
にあるかを判定するのを容易にするために、ラッチの部
分、即ち、突起（１０５、２０５）は、保持器の部分、
即ち、ロック表面（１１４、２３４）及び／又は孔（１
０３、２０３）と比較して、対照色であるべきである。
全ラッチ部材（１０１、２１２）はまた、保持部材（１
０４、２１４）へロックされるラッチ部材の可視性を高
めるために、対照色である。図４に示された如く、点検
用ポート２３０は、結紮用クリップの視覚点検を可能に
し、クリップがロック位置にあることを検証するために
設けられる。点検用ポートは、開口又はほぼ透明なのぞ
き窓から成る。
にあるかを判定するのを容易にするために、ラッチの部
分、即ち、突起（１０５、２０５）は、保持器の部分、
即ち、ロック表面（１１４、２３４）及び／又は孔（１
０３、２０３）と比較して、対照色であるべきである。
全ラッチ部材（１０１、２１２）はまた、保持部材（１
０４、２１４）へロックされるラッチ部材の可視性を高
めるために、対照色である。図４に示された如く、点検
用ポート２３０は、結紮用クリップの視覚点検を可能に
し、クリップがロック位置にあることを検証するために
設けられる。点検用ポートは、開口又はほぼ透明なのぞ
き窓から成る。
【００１１】対照色は、好ましくは、血液の膜に対して
容易に現出し、最も好ましくは、一方の色は、暗く現
れ、他方の色は明るく現れる。対照色は、色素又は顔料
の如く着色剤を使用することにより生成される。着色剤
は、ラッチ部材又は保持部材を作成するために使用され
るポリマー材料に添加される。着色剤はまた、外部被覆
として添加される。適切な着色剤は、参照としてここに
採り入れられた、Ｄａｎｉｅｌ Ｍ．Ｍａｒｍｉｏｎに
よるＨａｎｄｂｏｏｋ ｏｆ Ｕ．Ｓ．Ｃｏｌｏｒａｎ
ｔｓ ｆｏｒ Ｆｏｏｄｓ，Ｄｒｕｇｓ，ａｎｄ Ｃｏ
ｓｍｅｔｉｃｓ，ｓｅｃｏｎｄ ｅｄｉｔｉｏｎにおい
て列挙される。一般に使用される着色剤としては、Ｄ＆
Ｃ Ｖｉｏｌｅｔ Ｎｏ．２，Ｄ＆Ｃ Ｇｒｅｅｎ Ｎ
ｏ．６，Ｄ＆Ｃ Ｇｒｅｅｎ Ｎｏ．５、Ｄ＆Ｃ Ｂｌ
ｕｅ Ｎｏ．６、［フタロシアニナート］（２−）銅及
び黒ロッグウッド色素がある。付加的に、ポリマー材料
が外科用装置を形成するために使用される時、対照色
は、一成分をその天然色のままにして、「無着色」（即
ち、白ないし金色）にし、他の成分を適切な対照色で着
色することにより生成される。現在好ましい対照色は、
限定的ではないが、無着色／緑、無着色／紫、無着色／
青、無着色／黒、緑／黒、緑／紫、緑／青及び青／黒か
ら成るグループから選択される対照色である。
容易に現出し、最も好ましくは、一方の色は、暗く現
れ、他方の色は明るく現れる。対照色は、色素又は顔料
の如く着色剤を使用することにより生成される。着色剤
は、ラッチ部材又は保持部材を作成するために使用され
るポリマー材料に添加される。着色剤はまた、外部被覆
として添加される。適切な着色剤は、参照としてここに
採り入れられた、Ｄａｎｉｅｌ Ｍ．Ｍａｒｍｉｏｎに
よるＨａｎｄｂｏｏｋ ｏｆ Ｕ．Ｓ．Ｃｏｌｏｒａｎ
ｔｓ ｆｏｒ Ｆｏｏｄｓ，Ｄｒｕｇｓ，ａｎｄ Ｃｏ
ｓｍｅｔｉｃｓ，ｓｅｃｏｎｄ ｅｄｉｔｉｏｎにおい
て列挙される。一般に使用される着色剤としては、Ｄ＆
Ｃ Ｖｉｏｌｅｔ Ｎｏ．２，Ｄ＆Ｃ Ｇｒｅｅｎ Ｎ
ｏ．６，Ｄ＆Ｃ Ｇｒｅｅｎ Ｎｏ．５、Ｄ＆Ｃ Ｂｌ
ｕｅ Ｎｏ．６、［フタロシアニナート］（２−）銅及
び黒ロッグウッド色素がある。付加的に、ポリマー材料
が外科用装置を形成するために使用される時、対照色
は、一成分をその天然色のままにして、「無着色」（即
ち、白ないし金色）にし、他の成分を適切な対照色で着
色することにより生成される。現在好ましい対照色は、
限定的ではないが、無着色／緑、無着色／紫、無着色／
青、無着色／黒、緑／黒、緑／紫、緑／青及び青／黒か
ら成るグループから選択される対照色である。
【００１２】本発明の外科用装置は、生体吸収性又は吸
収性でない生体適合性金属又はポリマー材料から作成さ
れる。好ましい吸収性ポリマーは、ポリ（ｐ−ジオクサ
ノン）、ポイ（グリコリド）、ポリ（ラクチド）、ポリ
（カプロラクトン）、ポリ（ヒドロキシブチレート）、
ポリ（ヒドロキシバリレート）、ポリ（アンヒドリ
ド）、それらのコポリマー、及びそれらの配合物であ
る。好ましい非吸収性ポリマーは、ナイロン、ポリエス
テルとポリプロピレンがある。外科用装置は、これらの
生体適合性材料から成型又は加工される。
収性でない生体適合性金属又はポリマー材料から作成さ
れる。好ましい吸収性ポリマーは、ポリ（ｐ−ジオクサ
ノン）、ポイ（グリコリド）、ポリ（ラクチド）、ポリ
（カプロラクトン）、ポリ（ヒドロキシブチレート）、
ポリ（ヒドロキシバリレート）、ポリ（アンヒドリ
ド）、それらのコポリマー、及びそれらの配合物であ
る。好ましい非吸収性ポリマーは、ナイロン、ポリエス
テルとポリプロピレンがある。外科用装置は、これらの
生体適合性材料から成型又は加工される。
【００１３】本発明の外科用装置は、参照としてここに
採り入れられたヨーロッパ特許出願９３３０８９２４．
５（公告番号６０９６１２）において記載された適用器
の如く、多数の機械的適用器で適用される。
採り入れられたヨーロッパ特許出願９３３０８９２４．
５（公告番号６０９６１２）において記載された適用器
の如く、多数の機械的適用器で適用される。
【００１４】本発明の主なる特徴及び態様は以下のとお
りである。
りである。
【００１５】１．ラッチ部材と、ロック位置において該
ラッチ部材を収容かつ保持するように適合された少なく
とも一つの孔を有する保持部材とを具備し、該ラッチ部
材の部分と該保持部材の部分は、ラッチ部材が保持部材
によって適所にロックされる時、ロック位置におけるラ
ッチ部材の存在が可視になる如く対照色であるラッチ機
構を有する外科用装置。
ラッチ部材を収容かつ保持するように適合された少なく
とも一つの孔を有する保持部材とを具備し、該ラッチ部
材の部分と該保持部材の部分は、ラッチ部材が保持部材
によって適所にロックされる時、ロック位置におけるラ
ッチ部材の存在が可視になる如く対照色であるラッチ機
構を有する外科用装置。
【００１６】２．外科用装置が、ポリマー材料から成る
上記１に記載の外科用装置。
上記１に記載の外科用装置。
【００１７】３．対照色が、無着色／緑、無着色／紫、
無着色／青、無着色／黒、緑／黒、緑／紫、緑／青及び
青／黒から成るグループから選択される上記２に記載の
外科用装置。
無着色／青、無着色／黒、緑／黒、緑／紫、緑／青及び
青／黒から成るグループから選択される上記２に記載の
外科用装置。
【００１８】４．外科用装置が、対照色を設けるために
ポリマー材料に添加された少なくとも一つの着色剤を有
する上記３に記載の外科用装置。
ポリマー材料に添加された少なくとも一つの着色剤を有
する上記３に記載の外科用装置。
【００１９】５．ラッチ部材が、先端のある突起を有
し、そして保持部材が、孔とロック表面を有する上記４
に記載の外科用装置。
し、そして保持部材が、孔とロック表面を有する上記４
に記載の外科用装置。
【００２０】６．先端の少なくとも部分におけるポリマ
ー材料が、着色剤を含む上記５に記載の外科用装置。
ー材料が、着色剤を含む上記５に記載の外科用装置。
【００２１】７．２つの端部を具える基部と、基部から
垂直に伸長する少なくとも２つのほぼ平行なラッチとを
有し、各ラッチは、基部に連結された軸部に付着した突
起を有するラッチ部材と、ロック位置において該２つの
ラッチを収容かつ保持するように適合された２つの孔を
有する保持部材とを具備し、この場合、該ラッチ部材の
部分と該保持部材の部分は、ラッチ部材が保持部材によ
って適所にロックされる時、ロック位置におけるラッチ
部材の存在が外的に可視である如く対照色であるラッチ
機構を有する外科用装置。
垂直に伸長する少なくとも２つのほぼ平行なラッチとを
有し、各ラッチは、基部に連結された軸部に付着した突
起を有するラッチ部材と、ロック位置において該２つの
ラッチを収容かつ保持するように適合された２つの孔を
有する保持部材とを具備し、この場合、該ラッチ部材の
部分と該保持部材の部分は、ラッチ部材が保持部材によ
って適所にロックされる時、ロック位置におけるラッチ
部材の存在が外的に可視である如く対照色であるラッチ
機構を有する外科用装置。
【００２２】８．ラッチ部材と、近位及び遠位端部を有
する保持部材とを有する結紮用クリップと、近位端部に
おいて該ラッチ部材と保持部材を連結する弾性ヒンジ
と、ラッチ部材の遠位端部に付着された軸部に連結され
た突起を有するラッチと、ラッチを収容し、保持部材の
遠位端部における閉位置において結紮用クリップをロッ
クするように適合された孔とロック表面とを有する保持
器と、ラッチと保持器の係合の視覚点検を可能にするた
めに保持部材の遠位端部に位置するポートとを具備し、
この場合、該ラッチ部材の部分と該保持部材の部分は、
ラッチ部材が保持部材によって適所にロックされる時、
ロック位置におけるラッチ部材の存在が外的に可視であ
る如く対照色であるラッチ機構を具える外科用装置。
する保持部材とを有する結紮用クリップと、近位端部に
おいて該ラッチ部材と保持部材を連結する弾性ヒンジ
と、ラッチ部材の遠位端部に付着された軸部に連結され
た突起を有するラッチと、ラッチを収容し、保持部材の
遠位端部における閉位置において結紮用クリップをロッ
クするように適合された孔とロック表面とを有する保持
器と、ラッチと保持器の係合の視覚点検を可能にするた
めに保持部材の遠位端部に位置するポートとを具備し、
この場合、該ラッチ部材の部分と該保持部材の部分は、
ラッチ部材が保持部材によって適所にロックされる時、
ロック位置におけるラッチ部材の存在が外的に可視であ
る如く対照色であるラッチ機構を具える外科用装置。
【００２３】９．身体組織における創傷の縁を接合及び
近置させるためのラッチ機構を有する少なくとも一つの
外科用ステープルを適用するための装置を具備し、外科
用ステープルは、ラッチ部材と保持部材を有し、ラッチ
部材は、２つの端部を具える基部と、ほぼ同一方向にお
いて基部から垂直に伸長する少なくとも２つのほぼ平行
なラッチとを有し、各ラッチは、一方の端部に隣接して
基部に連結された軸部に付着された突起を有し、保持部
材が、ロック位置において該２つのラッチを収容かつ保
持するように適合された２つの孔を有し、この場合、該
ラッチ部材の部分と該保持部材の部分が、ラッチ部材が
保持部材によって適所にロックされる時、ロック位置に
おけるラッチ部材の存在が外的に可視である如く対照色
である外科用装置。
近置させるためのラッチ機構を有する少なくとも一つの
外科用ステープルを適用するための装置を具備し、外科
用ステープルは、ラッチ部材と保持部材を有し、ラッチ
部材は、２つの端部を具える基部と、ほぼ同一方向にお
いて基部から垂直に伸長する少なくとも２つのほぼ平行
なラッチとを有し、各ラッチは、一方の端部に隣接して
基部に連結された軸部に付着された突起を有し、保持部
材が、ロック位置において該２つのラッチを収容かつ保
持するように適合された２つの孔を有し、この場合、該
ラッチ部材の部分と該保持部材の部分が、ラッチ部材が
保持部材によって適所にロックされる時、ロック位置に
おけるラッチ部材の存在が外的に可視である如く対照色
である外科用装置。
【００２４】１０．少なくとも一つの結紮用クリップを
身体組織に適用するための装置を具備し、結紮用クリッ
プが、ラッチ部材と、近位及び遠位端部を有する保持部
材とを有し、弾性ヒンジが、近位端部において該ラッチ
部材と保持部材を連結し、ラッチが、ラッチ部材の遠位
端部に付着した軸部に連結された突起を有し、保持器
が、ラッチを収容し、保持部材の遠位端部における閉位
置において結紮用クリップをロックするように適合され
た孔とロック表面と、ラッチと保持器の係合の視覚点検
を可能にするために保持部材の遠位端部に位置するポー
トとを有し、この場合、該ラッチ部材の部分と該保持部
材の部分が、ラッチ部材が保持部材によって適所にロッ
クされる時、ロック位置におけるラッチ部材の存在が外
的に可視である如く対照色である外科用装置。
身体組織に適用するための装置を具備し、結紮用クリッ
プが、ラッチ部材と、近位及び遠位端部を有する保持部
材とを有し、弾性ヒンジが、近位端部において該ラッチ
部材と保持部材を連結し、ラッチが、ラッチ部材の遠位
端部に付着した軸部に連結された突起を有し、保持器
が、ラッチを収容し、保持部材の遠位端部における閉位
置において結紮用クリップをロックするように適合され
た孔とロック表面と、ラッチと保持器の係合の視覚点検
を可能にするために保持部材の遠位端部に位置するポー
トとを有し、この場合、該ラッチ部材の部分と該保持部
材の部分が、ラッチ部材が保持部材によって適所にロッ
クされる時、ロック位置におけるラッチ部材の存在が外
的に可視である如く対照色である外科用装置。
【図１】ラッチ部材と保持部材の斜視図である。
【図２】図１のラッチ部材と保持部材の断面図である。
【図３】結紮用クリップの斜視図である。
【図４】血管に固定された図３の結紮用クリップの斜視
図である。
図である。
【符号の説明】 １０１ ラッチ部材 １０２ ラッチ １０４ 保持部材 １０５ 軸部 １０６ 軸部 １０８ 先端 １１０ 底部
───────────────────────────────────────────────────── フロントページの続き (72)発明者 リチヤード・スミス アメリカ合衆国オハイオ州45140ラブラン ド・タンブルウイードドライブ1098 (72)発明者 ロバート・エフ・ベンチニ アメリカ合衆国カリフオルニア州94087サ ニーベイル・ケンジントンアベニユー1103
Claims (5)
- 【請求項１】 ラッチ部材と、ロック位置において該ラ
ッチ部材を収容かつ保持するように適合された少なくと
も一つの孔を有する保持部材とを具備し、該ラッチ部材
の部分と該保持部材の部分は、ラッチ部材が保持部材に
よって適所にロックされる時、ロック位置におけるラッ
チ部材の存在が可視になる如く対照色であるラッチ機構
を有する外科用装置。 - 【請求項２】 ２つの端部を具える基部と、基部から垂
直に伸長する少なくとも２つのほぼ平行なラッチとを有
し、各ラッチは、基部に連結された軸部に付着した突起
を有するラッチ部材と、ロック位置において該２つのラ
ッチを収容かつ保持するように適合された２つの孔を有
する保持部材とを具備し、この場合、該ラッチ部材の部
分と該保持部材の部分は、ラッチ部材が保持部材によっ
て適所にロックされる時、ロック位置におけるラッチ部
材の存在が外的に可視である如く対照色であるラッチ機
構を有する外科用装置。 - 【請求項３】 ラッチ部材と、近位及び遠位端部を有す
る保持部材とを有する結紮用クリップと、近位端部にお
いて該ラッチ部材と保持部材を連結する弾性ヒンジと、
ラッチ部材の遠位端部に付着された軸部に連結された突
起を有するラッチと、ラッチを収容し、保持部材の遠位
端部における閉位置において結紮用クリップをロックす
るように適合された孔とロック表面とを有する保持器
と、ラッチと保持器の係合の視覚点検を可能にするため
に保持部材の遠位端部に位置するポートとを具備し、こ
の場合、該ラッチ部材の部分と該保持部材の部分は、ラ
ッチ部材が保持部材によって適所にロックされる時、ロ
ック位置におけるラッチ部材の存在が外的に可視である
如く対照色であるラッチ機構を具える外科用装置。 - 【請求項４】 身体組織における創傷の縁を接合及び近
置させるためのラッチ機構を有する少なくとも一つの外
科用ステープルを適用するための装置を具備し、外科用
ステープルは、ラッチ部材と保持部材を有し、ラッチ部
材は、２つの端部を具える基部と、ほぼ同一方向におい
て基部から垂直に伸長する少なくとも２つのほぼ平行な
ラッチとを有し、各ラッチは、一方の端部に隣接して基
部に連結された軸部に付着された突起を有し、保持部材
が、ロック位置において該２つのラッチを収容かつ保持
するように適合された２つの孔を有し、この場合、該ラ
ッチ部材の部分と該保持部材の部分が、ラッチ部材が保
持部材によって適所にロックされる時、ロック位置にお
けるラッチ部材の存在が外的に可視である如く対照色で
ある外科用装置。 - 【請求項５】 少なくとも一つの結紮用クリップを身体
組織に適用するための装置を具備し、結紮用クリップ
が、ラッチ部材と、近位及び遠位端部を有する保持部材
とを有し、弾性ヒンジが、近位端部において該ラッチ部
材と保持部材を連結し、ラッチが、ラッチ部材の遠位端
部に付着した軸部に連結された突起を有し、保持器が、
ラッチを収容し、保持部材の遠位端部における閉位置に
おいて結紮用クリップをロックするように適合された孔
とロック表面と、ラッチと保持器の係合の視覚点検を可
能にするために保持部材の遠位端部に位置するポートと
を有し、この場合、該ラッチ部材の部分と該保持部材の
部分が、ラッチ部材が保持部材によって適所にロックさ
れる時、ロック位置におけるラッチ部材の存在が外的に
可視である如く対照色である外科用装置。
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US08/348,699 US6206897B1 (en) | 1994-12-02 | 1994-12-02 | Enhanced visualization of the latching mechanism of latching surgical devices |
| US348699 | 1994-12-02 |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| JPH08215201A true JPH08215201A (ja) | 1996-08-27 |
Family
ID=23369157
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP7332567A Pending JPH08215201A (ja) | 1994-12-02 | 1995-11-29 | 高視覚化用のラツチ機構を具えた外科用装置 |
Country Status (9)
| Country | Link |
|---|---|
| US (1) | US6206897B1 (ja) |
| EP (1) | EP0714633B1 (ja) |
| JP (1) | JPH08215201A (ja) |
| CN (1) | CN1132065A (ja) |
| AU (1) | AU3903095A (ja) |
| BR (1) | BR9505605A (ja) |
| CA (1) | CA2164181A1 (ja) |
| DE (1) | DE69515423T2 (ja) |
| ZA (1) | ZA9510240B (ja) |
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| WO2021193463A1 (ja) | 2020-03-24 | 2021-09-30 | 学校法人自治医科大学 | 結紮等に適した医療器具 |
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Also Published As
| Publication number | Publication date |
|---|---|
| AU3903095A (en) | 1996-06-13 |
| BR9505605A (pt) | 1997-11-04 |
| ZA9510240B (en) | 1997-06-02 |
| CN1132065A (zh) | 1996-10-02 |
| EP0714633A1 (en) | 1996-06-05 |
| DE69515423D1 (de) | 2000-04-13 |
| US6206897B1 (en) | 2001-03-27 |
| EP0714633B1 (en) | 2000-03-08 |
| DE69515423T2 (de) | 2000-07-20 |
| CA2164181A1 (en) | 1996-06-03 |
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