JPH027948A - 外科用ステープラー - Google Patents

外科用ステープラー

Info

Publication number
JPH027948A
JPH027948A JP1063985A JP6398589A JPH027948A JP H027948 A JPH027948 A JP H027948A JP 1063985 A JP1063985 A JP 1063985A JP 6398589 A JP6398589 A JP 6398589A JP H027948 A JPH027948 A JP H027948A
Authority
JP
Japan
Prior art keywords
pocket
staple
staples
parallel
sides
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
JP1063985A
Other languages
English (en)
Other versions
JP2659051B2 (ja
Inventor
Robert G Rothfuss
ロバート・ジー・ロスフアス
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Ethicon Inc
Original Assignee
Ethicon Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Family has litigation
First worldwide family litigation filed litigation Critical https://patents.darts-ip.com/?family=22616658&utm_source=google_patent&utm_medium=platform_link&utm_campaign=public_patent_search&patent=JPH027948(A) "Global patent litigation dataset” by Darts-ip is licensed under a Creative Commons Attribution 4.0 International License.
Application filed by Ethicon Inc filed Critical Ethicon Inc
Publication of JPH027948A publication Critical patent/JPH027948A/ja
Application granted granted Critical
Publication of JP2659051B2 publication Critical patent/JP2659051B2/ja
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214—Stapler heads
    • A61B2017/07257—Stapler heads characterised by its anvil
    • A61B2017/07264—Stapler heads characterised by its anvil characterised by its staple forming cavities, e.g. geometry or material

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Molecular Biology (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
  • Portable Nailing Machines And Staplers (AREA)
  • Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)
  • Bag Frames (AREA)

Abstract

(57)【要約】本公報は電子出願前の出願データであるた
め要約のデータは記録されません。

Description

【発明の詳細な説明】 本発明は外科用ステープラ−（５ｔａｐｌｅｒ）に関す
る。更に特に本発明はステープル（ホチキス）を外科用
ステープラ−の金床に駆動させる時にステープルを誘導
するために使用される改良されたポケットに関する。
本発明を要約すれば、第１組の平行な側面が誘導ポケッ
トに対する開口を形づくるのを助けるステープルを駆動
させるための誘導ポケットが記述される。これらの平行
な側面は傾斜した側面に連結され、これが順次第２対の
平行な側面に連結さＦｌ、ノ＼角形のポケットを形づく
る。得られるポケットの形態は自己で中央に位置せしめ
うる特徴を有し、従ってステープルの詰めこまれや形成
され損ないを減少させ、且′つ製造と検査をより簡単に
４−る。
現在外科のステープラ−において、ステープルは誘導ポ
ケットを通って、駆動具により形成（ｆ。
ｒｍ）表面に至る。このポケットは一般に長くて四角の
溝であり、ステープルは形成されてない（ｕｎｆｏｒｍ
ｅｄ）状態でこの溝を通過する。ポケットはステープル
駆動具の一般に四角の断面形に適合している。ステープ
ルがステープル駆動具の力によってポケットを通過する
時、それはポケットの溝を誘導さねで降り、ステープラ
−の金床に至る。それが金床につくと、そこでステープ
ル駆動具がステープルを形成せしめる。ステープル駆動
具はステープルの形成中、ポケットの溝内に留まる。駆
動具と金床間の空隙は、この空隙の一般に殆んどかステ
ープルによって満されるように設定される。
一般に現在使用されＣいるポケットは四角い形を有する
。ｊｊ（］ち一般に形成されでないステープルの長さに
沿って形づくられた第１の対の平行な側面が存在する。
この第１の対の平行な側面は第２の対の平行な側面と直
角に接合している。この第２の対の平行な側面は一般に
ステープル及びステープル駆動具の巾に相当する。
しかしなから、ステープルが一般に直角のポケットを通
る時、それはステープラ−を詰まらせることがある。こ
ね、はステープルをポケットの一般に平行な側面に対し
である角度でポケットに装填した時に起こる。ステープ
ルはこの角度に置いた時、ステープルがステープル形成
ポケット中に無理に押込まれ、又は金床上で正常でない
状態に形成されるまで駆動具の力がかかる。
現在の形のステープルのポケットは、製造法と操作の容
易さの双方において他の欠点を有する。
これらのステープルのポケットは誤って装填される或い
は詰め込まれる可能性をもっているから、形成ポケット
とステープルの間の許容誤差を非常に小さく保つことが
一般に望ましい。これはステプルが適当に整列される具
合いを除いていずれか他の具合いにポケットに装填され
且つ誘導される機会を最小にする。しかしながらこれを
する場合、ステープルのポケットはそのような狭い許容
誤差で一貫して製造することが困難である。これは非常
に費用と時間の消費である。更に、ポケットが適当な許
容誤差に維持されているかどうかを決定するためにステ
ープルのポ°ケットを検査することが非常に困難である
。勿論、許容誤差が狭く保たれるならば、ステープル・
ポケットがステープルに対して小さすぎるように製造さ
れる可能性もある。
最後に、現在形づくられているステープル・ポケットの
１つの他の欠点は、それがステープルを装填しにくいと
いうことである。これは誤って装填されたステープルが
普通、ステープル駆動具との接触中にポケット内に詰め
こまれる傾向にあるから真実である。ステープルがポケ
ット内で詰るかどうかを容易に決定することはできない
から、ポケットはしばしばいくつかのステープルを保有
してしまうであろう。
本発明は現在形づくられているステープル駆動ポケット
において生ずる上述の及び他の難点を、ステープルを適
切な整列状態で維持しうる自然に中央に位置せしめうる
ポケットを製造することによって克服する。本質的に、
本ポケットはそれぞれ一対の傾斜した側面に連結された
一対の平行な側面を含んでなる。この傾斜した側面対は
、第一の平行な側面対に対して直角に位置する第２の平
行な側面対で最高点に達する。即ち改良された誘導ポケ
ットは一般に六角形である。この六角形こそが、ステー
プルをそれ自体ポケットの中央に位置せしめる。即ちス
テープルがこの溝に装填された時、それは第１の平行な
側面対の軸に沿って整列した位置に移動せしめられる。
本発明の好適な具体例のこれらの及び他の観点は、添付
する図面の詳細な記述並びにその詳細な説明から、より
良く理解されよう。
第１，２及び３図は典型的な改良されたステ−プル・ポ
ケットの底面図であり； 第１ａ、２ａ及び３ａ図は従来法のステープル・ポケッ
トの具体例の底面図であり； 第４図は本発明のステープル誘導ポケットの、ステープ
ル駆動機と関係づけての立面図であり；第５図は本発明
のステープル誘導ポケットの好適な具体例の、第４図の
線４−４に沿ってとった立面図であリーモして 第６図は外科用ステープラ−で用いる如き本発明のステ
ープル誘導ポケットの部分的断面図である。
第１ａ〜３ａ図に見られるように、従来法のステープル
誘導ポケットは一般的にぴったりした許容誤差を有する
ような形になっている。これは多くはこれらの誘導ポケ
ットの形のためである。
般にこれらの誘導ポケットは、ステープルが１つの形で
誘導ポケット内に装填されるように形が作られていよう
。これらのぴったりした許容誤差が詳細に保持されるな
らば、誘導ポケットはステープルを正確に保持し且つ誘
導することができる。
しかしながら、一般にガイド・ポケットはステープルの
寸法よりも広い許容誤差で形づくられていよう。この場
合には、ステープルが誘導ポケット内に詰め込められる
ことがある。これが起こると、勿論ステープルをポケッ
トから取り出さねばならなし・からステープラ−の使用
に時間がかかる。
本発明は第１〜３に見られるようにこの難点を克服する
。新しいボケツ）・Ｉ　Ｏは一対の第１の平行な側面１
２を有する。これらの平行な側面１２の各は２つの端を
有する。これらの端は一対の傾斜した側面に連結されて
いる。これらの傾斜した側面１４は一般に第１の平行な
側面１２から一対の第２の平行な側面１６までステープ
ルの長さに対応して延びている。この第２の平行な側面
１６は２つの傾斜した側面１４の対に連結している。
第４〜６図に見られるように、これらのポケットはポケ
ット２０を含むステープルのカートリッジ３０中に使用
することができる。駆動具４０は、ステープルがポケッ
ト２０を通ってステープラ−の金床５０上に至るように
ステープル・カートリッジ３０から駆動する。ポケット
２０はスＴ−フル形成空隙Ｇを生じさせるために計画的
に配置されている。この空隙は、ステープルで処置する
皮膚を閉じるためにステープルをある高さまで形成せし
めうるであろう。
本発明の得られるポケットはステープルをそれ自体が中
央にくるようにしうる。第１〜３図に戻って、第１図に
鎖線で示すようにステープルがポケット１０の傾斜した
側部１４に沿ってポケット内に配置されるならば、ステ
ープルは第１の隣接するポケットで示されているように
誘導ポケット内に正しく入るように適当な軸に沿って必
然的ｌ二回転するであろう。これは本発明のポケットの
幾何的形のためである。この結果ステープルは誘導ポケ
ットの側部壁に対して滑って、適切に整列させられる。
このポケットの特徴は、現在実用化されているポケット
よりも実質的な改善を示す。この新しいポケットの形を
用いると、ステープルの詰まり、並びに誤った形成が減
ぜられる。これはステープルのカートリッジの製造や検
査をより簡略化する。
更に本発明の好適な具体例はポケットの寸法の測定を非
常に容易にする。これらのポケットは、これらが厳密な
寸法でないけれど一般に０．００８〜０．１１インチの
範囲のステープルの針金直径に適合しうる。勿論第１の
平行な側面の長さ及び傾斜した側面は外科用ステープル
に適合させるために必要とされる寸法を有しうる。この
場合、第１の平行な側面と傾斜した側面との間の角度は
約２２．５°に維持される。これは本発明の自己整列と
いう特徴を、ある範囲の異なるステープルの針金直径に
対して保証する最適な角度である。
それ故に本発明はすべての種類の内部器官の外科用ステ
ープラ−に、特に本発明の助けを借りて作られるＲＬ３
ＯＶ型、ＰＬＣ−５０型、及びいずれかの６０ｍｍのカ
ートリッジにおいて使用することができる。
本発明を現在好適な具体例と関連して記述したけれど、
その範囲は実質的に同一の具合いに実質的に同様の機能
を発揮せしめる本発明のいずれの改変も包含するものと
理解されよう。更に本発明は特許請求の範囲と関連して
記述されていることも認められるであろう。
本発明の特徴及び態様は以下の通りである：１、形成さ
れてないステープルを駆動するのに適したステープル駆
動具を通過させるポケットを有し、該ポケットが一般に
該形成されてないステプルの１つの形に適合し、該ポケ
ットは該駆動具が該形成されてないステープルを金床上
に位置させて該ステープルを形成することを可能にし、
該ポケットの１つが一般に該形成されてないステプルの
長さに相当する第１の平行な側面を有し、該第１の平行
な側面が第２の平行な側面によって連結されて該ポケッ
トを形づくり、該第２の平行な側面が一般に該成形され
てないステープルの巾に適合するステープラ−において
、各第１の平行な側面の各端に傾斜した側面を付加し、
各該傾斜した側面が該第２の平行な側面の１つに斜めに
接合し、得られるポケットが一般に六角形を有して形づ
くられており、該ポケット内においてステープルが自己
整列する、該ステープラ− ２、更番二約２２．５°の範囲の角度で該傾斜した側面
を形づくることを含んでなる上記ｌの如きポケットを有
するステープラ− ３、更に、約０．００８”の長さを有する該第２の平行
な側面を含んでなる上記ｌの如きポケットを有するステ
ープラ− ４、更に約０．０１１”の長さを有する該第２の平行な
側面を含んでなる上記１の如きポケットを有するステー
プラ− ５一対の第１の平行な側面を有し、但し該第１の平行な
側面の各々が一対の傾斜した側面に連結し７、該傾斜し
た側面が第１の平行な側面の該対に角度を有してとって
代わり、該傾斜した側面の各々がその反対の端において
一対の第２の平行な側面に連結し、なお得られるポケッ
トが一般に六角形をなしている、ステープルを配置させ
るためのポケット。
６、該ポケットの該一般に六角形がステープラ−内の駆
動室を通して穴が開けられており、該ステープルがステ
ープル駆動具の力によって該ポケット中を通過しうる上
記５のポケット。
７、該傾斜した側面が約２２．５°Ｃの範囲の角度で該
第１対の平行な側面に角を有してとって代わる上記５の
ポケット。
８、該第２対の平行な側面が約０．００８“〜約０．０
１１”の範囲の長さを有する上記５のポケット。
【図面の簡単な説明】
第１，２及び３図は典型的な改良されたステープル・ポ
ケットの底面図であり； 第１ａ、２ａ及び３ａ図は従来法のステープル・ポケッ
トの具体例の底面図であり； 第４図は本発明のステープル誘導ポケットの、ステープ
ル駆動機と関係づけての立面図であり；第５図は本発明
のステープル誘導ポケットの好適な具体例の、第４図の
線４−４に沿ってとった立面図であり：そして 第６図は外科用ステープラ−で用いる如き本発明のステ
ープル誘導ポケットの部分的断面図である。

Claims (1)

  1. 【特許請求の範囲】 １、形成されてないステープルを駆動するのに適したス
    テープル駆動具を通過させるポケットを有し、該ポケッ
    トが一般に該形成されてないステープルの１つの形に適
    合し、該ポケットは該駆動具が該形成されてないステー
    プルを金床上に位置させて該ステープルを形成すること
    を可能にし、該ポケットの１つが一般に該形成されてな
    いステープルの長さに相当する第１の平行な側面を有し
    、該第１の平行な側面が第２の平行な側面によって連結
    されて該ポケットを形づくり、該第２の平行な側面が一
    般に該成形されてないステープルの巾に適合するステー
    プラーにおいて、各第１の平行な側面の各端に傾斜した
    側面を付加し、各該傾斜した側面が該第２の平行な側面
    の１つに斜めに接合し、得られるポケットが一般に六角
    形を有して形づくられており、該ポケット内においてス
    テープルが自己整列することを特徴とするステープラー
    。 ２、一対の第１の平行な側面を有し、該第１の平行な側
    面の各々が一対の傾斜した側面に連結し、該傾斜した側
    面が第１の平行な側面の該対に角度を有してとって代わ
    り、該傾斜した側面の各々がその反対の端において一対
    の第２の平行な側面に連結し、得られるポケットが一般
    に六角形をなしていることを特徴とする、ステープルを
    配置させるためのポケット。
JP1063985A 1988-03-18 1989-03-17 外科用ステープラー Expired - Lifetime JP2659051B2 (ja)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US169666 1988-03-18
US07/169,666 US4805823A (en) 1988-03-18 1988-03-18 Pocket configuration for internal organ staplers

Publications (2)

Publication Number Publication Date
JPH027948A true JPH027948A (ja) 1990-01-11
JP2659051B2 JP2659051B2 (ja) 1997-09-30

Family

ID=22616658

Family Applications (1)

Application Number Title Priority Date Filing Date
JP1063985A Expired - Lifetime JP2659051B2 (ja) 1988-03-18 1989-03-17 外科用ステープラー

Country Status (8)

Country Link
US (1) US4805823A (ja)
EP (1) EP0337612B1 (ja)
JP (1) JP2659051B2 (ja)
DE (1) DE68907255T2 (ja)
ES (1) ES2041986T3 (ja)
GR (1) GR1002239B (ja)
IE (1) IE63845B1 (ja)
PT (1) PT90028B (ja)

Cited By (1)

* Cited by examiner, † Cited by third party
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JP2017511219A (ja) * 2014-04-16 2017-04-20 エシコン・エンド−サージェリィ・エルエルシーＥｔｈｉｃｏｎ Ｅｎｄｏ−Ｓｕｒｇｅｒｙ， ＬＬＣ 締結具制御特徴部を含む締結具空洞を備える締結具カートリッジ

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DE8807944U1 (de) * 1988-06-21 1988-08-11 Hommel GmbH, 5000 Köln Bereitstellungsvorrichtung für Werkstücke

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2017511219A (ja) * 2014-04-16 2017-04-20 エシコン・エンド−サージェリィ・エルエルシーＥｔｈｉｃｏｎ Ｅｎｄｏ−Ｓｕｒｇｅｒｙ， ＬＬＣ 締結具制御特徴部を含む締結具空洞を備える締結具カートリッジ

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US4805823A (en) 1989-02-21
IE890855L (en) 1989-09-18
EP0337612B1 (en) 1993-06-23
PT90028B (pt) 1994-03-31
GR1002239B (en) 1996-04-22
EP0337612A1 (en) 1989-10-18
IE63845B1 (en) 1995-06-14
PT90028A (pt) 1989-11-10
ES2041986T3 (es) 1993-12-01
GR890100168A (el) 1991-07-31
DE68907255T2 (de) 1993-09-30
DE68907255D1 (de) 1993-07-29
JP2659051B2 (ja) 1997-09-30

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