JPH07403A - 外科用留め具 - Google Patents

外科用留め具

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Publication number
JPH07403A
JPH07403A JP6023339A JP2333994A JPH07403A JP H07403 A JPH07403 A JP H07403A JP 6023339 A JP6023339 A JP 6023339A JP 2333994 A JP2333994 A JP 2333994A JP H07403 A JPH07403 A JP H07403A
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Prior art keywords
receiver
wall
tissue
fastener
bar
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JP3529110B2 (ja
Inventor
Brian H Luscombe
ブライアン・エイチ・ラスコーム
Izi Bruker
イジ・ブルカー
Leslie Hamilton
レスリー・ハミルトン
Thu A Le
ス・アン・レ
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Ethicon Inc
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Ethicon Inc
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/064—Surgical staples, i.e. penetrating the tissue
    • A61B2017/0641—Surgical staples, i.e. penetrating the tissue having at least three legs as part of one single body

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Molecular Biology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
  • Slide Fasteners, Snap Fasteners, And Hook Fasteners (AREA)
  • Materials For Medical Uses (AREA)

Abstract

(57)【要約】 【目的】 組織の厚さに自動調整される。 【構成】 組織を穿刺するために使用される外科用留め
具を保持するための受け器であり、該留め具は、高さの
ある少なくとも一つの組織穿刺歯叉と、略一様な幅と高
さのある組織圧縮棒材とを具備する受け器において、該
棒材幅を保持することができる一対の略平行な壁を具備
し、該壁は、該歯叉と該棒材の結合高さに略対応する長
さを有し、かつ、該壁は、該壁に略垂直な基部によって
分離される。

Description

【発明の詳細な説明】
【０００１】
【産業上の利用分野】本発明は、概して、外科用留め具
に関する。さらに詳細には、本発明は、組織が留め具部
分と受け器部分の間で接合される、二部分外科用留め具
に関する。最も詳細には、本発明は、留め具部分を保持
する受け器が留め具と受け器の間で組織を圧縮させる、
二部分外科用留め具に関する。
【０００２】
【従来技術及びその課題】二部分構造の外科用留め具
は、技術において極めて公知である。概して、二部分を
含むこれらの外科用留め具は、一つ以上の吸収性材料か
ら形成される。留め具自体は、組織穿刺部分、すなわ
ち、ステープル又は留め具と、ステープル又は留め具の
ための受け部分とを含む。接合される組織は、通常、留
め具と受け器の間に保持された２層の組織であるか、又
は結紮される組織である。結紮が行われる場合に、組織
に圧縮力を及ぼし、組織を通った血液流を防止すること
が、留め具の目的である。留め具の吸収性により、分離
組織が付着した後、留め具は身体に吸収され、その結
果、治癒後身体には異物は含まれない。
【０００３】しかし、２片構造から形成されるすべての
組織留め具に対して、通常、これらの留め具は、組織が
一定間隙で留め具と受け器の間に圧縮される如く、組織
を維持することが、観察された。すなわち、組織の部分
は、留め具層よりも下で、受け器層よりも上に層を形成
する。このため、留め具と受け器の間に含まれた組織
は、留め具と受け器の間に存在する一定間隙と圧縮され
る材料の弾性のために圧縮される。伝統的な一定間隙留
め具が組織に適用される時、この圧縮力は、組織の粘弾
性により、時間とともに大きく減少する。これは、潜在
的に、望ましくない組織の手術後出血につながる。さら
に、組織は、留め具／受け器が問題の組織の形式に対し
て適正な間隙サイズを有さないならば、伝統的な留め具
／受け器において適切に圧縮されない。
【０００４】結紮又は接合される組織に沿った多数の各
部位において組織を圧縮することが望ましいことが認め
られる。伝統的な留め具／受け器システムにおいて、こ
れは、一つ以上の受け器を備える個別留め具の千鳥列に
よって達成される。この圧縮方法は、組織の壊死を防止
する留め具位置において血液の毛細流を許容するために
有効である。しかし、それはまた、複数の留め具を必要
とし、各留め具は、組織を穿通しなければならない。こ
の多重の穿通は、組織穿通の位置における局所出血につ
ながることが観察された。多重の留め具はまた、付随す
る構成要素の数と大きさにより、製造上の観点から望ま
しくない。このため、穿通する留め具の数を最小にする
組織圧縮のための代替法を創設することが望ましい。
【０００５】また、吸収性製品から作られた留め具で
は、組織留め具とステープル受け器の間の間隙又は間隔
を調整する方法が唯一あった。これは、留め具の組織穿
刺歯叉に置かれたつめ車機構を介して行われ、ステープ
ルの底部と受け器の頂部の間に一定間隙を創設する。穿
刺歯叉が受け器において形成した穴に係合される時、つ
め車機構により、装置は可変厚まで次第に閉鎖される。
このため、最終間隙は、留め具を所定の位置までつめ車
で移動させる器具による。これに付随した複雑性は、器
具の費用を増大させ、不可能ではないとしても、留め具
の信頼性あるつめ車機能を困難にする。器具を単純化す
るために、留め具が組織に自動調整される能力を有する
ことが望ましい。
【０００６】器具ではなく留め具によって自動調整を決
定させることにより、厚さが非常に異なる隣接組織の圧
縮が、異なる間隙高の２つの装置と対照的に、単一自動
調整装置で達成される。さらに、圧縮力は、組織が時間
とともにその弾性を失う時さえも維持される。こうし
て、最適な組織圧縮は、器具ではなく、装置自体によっ
て圧縮を調整することにより維持される。
【０００７】
【課題を解決するための手段】従って、組織を圧縮させ
る２つの構成要素の間の間隙が圧縮される組織に自動調
整できる、すなわち、可変間隙である受け器と組み合わ
せて使用される組織ステープル留め具を設けることが、
発明の目的である。
【０００８】ステープル留め具と受け器の間の間隙の変
化性が留め具の長さに沿って行われ、その結果、厚い構
成要素と薄い構成要素を有する組織の領域が、同一組織
留め装置により同時に圧縮される、受け器と結合して使
用されるステープル留め具を設けることが、発明の別の
目的である。
【０００９】受け器内に常に確実に着座される如く、自
動調整できる組織留め具を形成することが、発明のさら
に別の目的である。
【００１０】留め具と受け器の構成により、留め具が単
一受け器内に完全に配設させる必要性のない、組織留め
具を設けることが、発明のさらに別の目的である。
【００１１】最小数の組織穿通点により留めを達成する
ことが、この発明のさらに別の目的である。理想的に
は、これは自動調整留め具受け器の組み合わせにおいて
達成される。
【００１２】最後に、受け器の穴に係合された後に、先
端保護物が留め具の先端を防護し、その結果、保護物自
体は、外科医が穿刺を望む組織以外の組織を穿刺するこ
とから歯叉を保護する、ステープル受け器を設けること
が、発明の目的である。
【００１３】発明のこれらと他の目的は、留め具と受け
器の組み合わせにおいて記述される。ステープル受け器
は、摩擦ばめにある接合組織と留め具の回りでたわむこ
とができる一対の略平行壁を含む。壁は、壁に略垂直な
基部によって分離される。この発明の留め具は、壁に係
合する組織圧縮棒材を含み、組織圧縮棒材に略垂直に置
かれる少なくとも一つの組織穿刺歯叉を含む。こうし
て、組織は、組織圧縮棒材と組織圧縮壁の間に置かれ、
その結果、組織を保持する壁の間の間隙は、壁の両側に
おける治癒のために変化される。
【００１４】受け器壁が可変厚を有するオプションがあ
る。側壁の厚さと形状及び／又は受け器の材料を変化さ
せることにより、最適圧縮力は、受け器壁における可変
度のたわみ性と留め具に沿った可変位置において発生さ
れる。側壁の形状はまた、留め具への種々の形状修正に
調和するように修正される。
【００１５】この発明の組織留め具はまた、装置の調節
性を高める一連の切欠き部分を含む。これらの切欠き部
により、受け器壁はセグメント毎に互いに独立にいくら
かたわむことができる。これは、組織の圧縮を改良し、
そして薄組織にすぐ隣接した厚組織の圧縮を許容する。
【００１６】さらに、一つの留め具が単一の受け器内に
完全に包含されることは必要ではなく、また逆も然りで
ある。一つの長い留め具は、幾つかの短い受け器と結合
して使用され、また逆も然りである。二つ以上の受け器
に係合する一つ以上の留め具があり、又はその逆である
時、留め具と受け器は、留め具が一受け器の部分と別の
隣接受け器の部分に係合する如く重複される。こうし
て、記載された新圧縮方法により、多数の種々の留め具
／受け器構成が可能である。
【００１７】この発明の要旨は発明の詳細な説明に関連
して取られた添付の図面により、読者にはさらに容易に
明らかになるであろう。
【００１８】
【実施例】図１、図２と図３に見られた如く、この発明
の現ステープリング構成１０は、少なくとも一つ又は多
分複数のステープル歯叉２４を含むステープリング留め
具棒材２０を具備する。これらの歯叉２４は、組織を穿
刺することができる。全留め具は、ポリマー生体吸収性
材料等の、一つ以上の吸収性材料から形成され、その結
果、血液流に吸収される。ステープルは、歯叉を組織に
穿通させるために十分に高い弾性率を有する材料から作
られるが、受け器は、ステープルよりも低い弾性率とよ
り大きなたわみ性を有する材料から作られる。このステ
ープル棒材は、図３にさらに見られる如く、その壁２２
において切欠き部分２８を含む。これらの切欠き部分
は、後述される。
【００１９】これらの図のステープリング棒材２０は、
図２、図３、図４、図６、図７と図８において記載され
た如く、受け器３０、１３０、２３０と３３０と組み合
わせて使用される。典型的な受け器３０は、一対の略平
行壁１３４を分離する基部区分３２を含む。平行壁１３
４は、図３と図４に見られる如く、受け器１３０に含ま
れた一連のスロット１３８を、長さに沿って戦略的に配
置している。基部区分３２は、図２に見られる如く、一
連の穴３６を含む。これらの穴３６は、各々、図３に見
られる如く、先端保護物１３６を含む。
【００２０】これらの構成の有用性は、ステープリング
棒材２０と上述の受け器の任意の組み合わせをさらに検
討することにより明らかである。棒材２０の側部２２
は、それぞれの受け器３０、１３０の壁に係合する。組
織が含まれた時、これは組織を棒材２０の側部とそれぞ
れの受け器３０、１３０の壁３４、１３４の間で圧縮さ
せる。
【００２１】図の各種の構成から見られる如く、本発明
は、多数の各オプションで使用される。最初に、図３に
見られ、前述された如く、留め具２０の壁２２において
切欠き部分２８が含まれる。これらの略平行六面体形状
の切欠き部分２８は、組織の圧縮に対して逃がしを設け
るために有効である。この方式において、壁３４と間隙
Ｇ内で組織を圧縮する受け器３０は、組織を壊死させな
い。こうして、組織の安定性は保持され、治癒は有効と
なる。互い違いの圧縮はまた、組織の微小血管循環を行
わせ、治癒中健康な組織を維持する。
【００２２】図３、図４と図６におけると類似の方式に
おいて、受け器壁１３４内に逃がしスロット１３８が含
まれる。これらの逃がしスロット１３８は、切欠き部分
２８と全く同様にして動作する。すなわち、ステープル
棒材２０の壁２２と含まれた組織は、受け器の壁１３４
を膨張させる。こうして、スロット１３４によって設け
た逃がしは、組織の壊死を防止することができる。
【００２３】図２からさらに見られる如く、例えば、こ
の設計により非常に容易に設けられる自動位置合わせ機
構がある。受け器３０の壁３４は、それらが位置合わせ
フランジ３９を含む如く使用される。これらのフランジ
３９は、壁３２から角度をなして離間され、受け器３０
に配設された時、ステープル棒材２０を中央に位置合わ
せさせる。この位置合わせ機構は、そのような受け器を
内視鏡的に適用する時有益である。すなわち、この位置
合わせ機構は、受け器３０内の棒材２０のずっと広い公
差を許容し、内視鏡手順中の使用を容易にする。また、
この構成により、使用者は、受け器３０の基部３２に厳
密に垂直な９０°の角度に置かれる必要はない代替構成
になる如くステープル棒材２０を位置付けることができ
る。
【００２４】図７ａと図８にさらに見られる如く、一連
の調整能力がこの発明によって記載される。すなわち、
図８に見られる如く、受け器壁２３２において可変壁厚
Ｔの受け器７３０が含まれる。この可変壁厚Ｔは、受け
器長に沿った距離の関数として、組織において発生され
た圧縮力を変化させる効果を有する壁の剛性を変化させ
る。このオプションは、図８に見られる如く、切欠きの
ない受け器に適用されるか、又は切欠き１３８によって
生じた側壁１３４の部分に適用される。
【００２５】さらに、図７ａに見られる如く、ステープ
ル棒材２０は、台形状断面内に構成される。これは、図
８において記載された如く、一様壁厚又は可変壁厚のい
ずれかで使用される。この台形状ステープル棒材は、図
８における受け器の壁２３２と同一機能を引き起こす。
もちろん、他の幾何形状もこの治癒を達成するために使
用される。
【００２６】理想的には、受け器の歯叉２４は、受け器
の基部３２に含まれた穴３６内に配設される。これは、
受け器３０において棒材２０をほぼ完全に位置合わせ
る。それでもなお、棒材２０の歯叉２４を基部３２にお
ける受け器穴３６内に配設することが望ましいが、ま
た、突出する歯叉２４から基部３２の外部を保護するこ
とが、望ましい。このため、例えば、図４の基部３２に
は、受け器１３０の部分の外部において先端保護物１３
６を設けてある。これらの先端保護物１３６は、基部１
３２から歯叉２４の突出部を覆う。このようにして、組
織は、基部１３２の穴１３６における歯叉２４の接合の
後に保護される。保護物１３６はまた、摩擦ばめを介し
て、カートリッジにおいて受け器１３０を配置するため
に使用されることが認識される。
【００２７】最後に、この構成のステープルは、ステー
プルと受け器の多様な構成を許容することが認識され
る。多くの図に見られる如く、特定の留め具棒材２０
が、特定受け器３０と同一長である必要はない。さら
に、特定の受け器３０が特定の留め具棒材２０よりも長
いことは必要でない。任意の数の組み合わせが可能であ
る。このため、留め具棒材２０は、他の歯叉２４が受け
器３０に沿って置かれた他の受け器３０と嵌合する如
く、受け器内に置かれる。代替的に、全留め具棒材２０
は受け器３０内に置かれるが、受け器３０の端部は、他
の受け器からの歯叉２４を含む。あるいは、より従来通
りとみなされるが、受け器３０は、留め具棒材２０の長
さにちょうど合うように据え付けられる。
【００２８】このため、上述の発明から理解されること
は、請求項と包含された等価物であることが認識され
る。
【００２９】本発明の主なる特徴及び態様は以下のとお
りである。
【００３０】１．組織を穿刺するために使用される外科
用留め具を保持するための受け器であり、該留め具は、
高さのある少なくとも一つの組織穿刺歯叉と、略一様な
幅と高さのある組織圧縮棒材とを具備する受け器におい
て、該棒材幅を保持することができる一対の略平行な壁
を具備し、該壁は、該歯叉と該棒材の結合高さに略対応
する長さを有し、かつ、該壁は、該壁に略垂直な基部に
よって分離されることを特徴とする受け器。
【００３１】２．該受け器が、該留め具の棒材と該基部
の間に組織を収容するような大きさである上記１に記載
の受け器。
【００３２】３．該壁が、略一様厚を有する上記１に記
載の受け器。
【００３３】４．該壁が、略可変厚を有する上記１に記
載の受け器。
【００３４】５．該基部が、穴と、該穴を取り囲む保護
部材とを具備する先端保護物組立体を有し、該先端保護
物組立体が、該基部から突出している上記１に記載の受
け器。
【００３５】６．該壁が、該壁から角度を為した変位に
おいて該壁に取り付けた引込みフランジを含み、そして
該フランジは、該留め具を該壁と位置合わせするために
役立つ上記１に記載の受け器。
【００３６】７．該壁が、一連のスロットを含み、該ス
ロットが、該壁を小区分に分割し、該区分は該基部に関
して回転する上記１に記載の受け器。
【００３７】８．組織を穿刺するために使用される外科
用留め具を保持するための受け器であり、該留め具は、
高さのある少なくとも一つの組織穿刺歯叉と、略一様な
幅と高さのある組織圧縮棒材とを具備する受け器におい
て、該棒材幅を保持することができる一対の略平行な壁
であり、該壁は、該歯叉と該棒材の結合高さに略対応す
る長さを有し、かつ、該壁は、該壁に略垂直な基部によ
って分離された一対の略平行な壁を具備し、該壁は、該
壁から角度を為した変位において該壁に取り付けた引込
みフランジを含み、該フランジは、該留め具を該壁と位
置合わせするために役立つことを特徴とする受け器。
【００３８】９．該受け器が、該留め具の棒材と該基部
の間に組織を収容するような大きさである上記８に記載
の受け器。
【００３９】１０．該壁が、略一様厚を有する上記８に
記載の受け器。
【００４０】１１．該壁が、略可変厚を有する上記８に
記載の受け器。
【００４１】１２．該基部が、穴と、該穴を取り囲む保
護部材とを具備する先端保護物組立体を有し、該先端保
護物組立体が、該基部から突出している上記８に記載の
受け器。
【００４２】１３．棒材に連結された少なくとも一つの
組織穿刺歯叉を具備し、該棒材は可変厚を有する外科用
留め具。
【００４３】１４．棒材に連結された少なくとも一つの
組織穿刺歯叉を具備し、該棒材は略台形断面を有する外
科用留め具。
【００４４】１５．棒材に連結された少なくとも一つの
組織穿刺歯叉を具備し、該棒材は長さと一対の側部を分
離する幅とを有し、該側部の各々が、該側部に沿って置
かれた一連の切欠き部分を有し、該切欠き部分は略平行
六面体形状である外科用留め具。
【００４５】１６．該幅が、該長さに沿って可変である
上記１５に記載の留め具。
【００４６】１７．該棒材断面が略台形である上記１５
に記載の留め具。
【００４７】１８．少なくとも一つの組織穿刺歯叉と、
略一様な幅と高さを有する組織圧縮棒材とを具備する留
め具と、該留め具を保持するための受け器であり、該受
け器は、該棒材幅を保持することができる一対の略平行
な壁を含み、該壁は、該歯叉と該棒材の結合高さに略対
応する長さを有し、そして該壁は、該壁に略垂直な基部
によって分離される受け器との組み合わせ。
【００４８】１９．該受け器が、該留め具の棒材と該基
部の間に組織を収容するような大きさである上記１８に
記載の組み合わせ。
【００４９】２０．該壁が、略一様厚を有する上記１８
に記載の組み合わせ。
【００５０】２１．該壁が、略可変厚を有する上記１８
に記載の組み合わせ。
【００５１】２２．該基部が、穴と、該穴を取り囲む保
護部材とを具備する先端保護物組立体を有し、該先端保
護物組立体が、該基部から突出している上記１８に記載
の組み合わせ。
【００５２】２３．該壁が、該壁から角度を為した変位
において該壁に取り付けた引込みフランジを含み、そし
て該フランジは、該留め具を該壁と位置合わせするため
に役立つ上記１８に記載の組み合わせ。
【００５３】２４．該壁が、一連の平行スロットを含
み、該スロットが、該壁を小区分に分割し、該区分は該
基部に関して回転する上記１９に記載の組み合わせ。
【００５４】２５．該棒材が、略台形断面を有する上記
１８に記載の組み合わせ。
【００５５】２６．該棒材幅が、一対の側部を分離し、
該側部の各々が該側部に沿った置かれた一連の切欠き部
分を有し、該切欠き部分が略平行六面体形状である上記
１８に記載の組み合わせ。
【００５６】２７．少なくとも一つの組織穿刺歯叉と、
略一様な幅と高さを有する組織圧縮棒材とを具備する留
め具と、該留め具を保持するための受け器であり、該受
け器は、摩擦ばめにおいて該棒材幅を保持することがで
きる一対の略平行な壁を含み、該壁は、該歯叉と該棒材
の結合高さに略対応する長さを有し、そして該壁は、該
壁に略垂直な基部によって分離される受け器との組み合
わせであり、該壁が、該壁から角度を為した変位におい
て該壁に取り付けた引込みフランジを含み、該フランジ
が該留め具を該壁と位置合わせするために役立つことを
特徴とする組み合わせ。
【００５７】２８．該受け器が、該留め具の棒材と該基
部の間に組織を収容する大きさである上記２７に記載の
組み合わせ。
【００５８】２９．該壁が、略一様厚を有する上記２７
に記載の組み合わせ。
【００５９】３０．該壁が、略可変厚を有する上記２７
に記載の組み合わせ。
【００６０】３１．該基部が、穴と、該穴を取り囲む保
護部材とを具備する先端保護物組立体を有し、該先端保
護物組立体が、該基部から突出している上記２７に記載
の組み合わせ。
【００６１】３２．該壁が、一連の平行スロットを含
み、該スロットが、該壁を小区分に分割し、該区分は該
基部に関して回転する上記２７に記載の組み合わせ。
【００６２】３３．該棒材が、略台形断面を有する上記
２７に記載の組み合わせ。
【００６３】３４．該棒材幅が、一対の側部を分離し、
該側部の各々が該側部に沿った置かれた一連の切欠き部
分を有し、該切欠き部分が略平行六面体形状である上記
２７に記載の組み合わせ。
【００６４】３６．少なくとも一つの組織穿刺歯叉と、
略一様な幅と高さを有する組織圧縮棒材とを具備する留
め具と、該留め具を保持するための受け器であり、該受
け器は、摩擦ばめにおいて該棒材幅を保持することがで
きる一対の略平行な壁を含み、該壁は、該歯叉と該棒材
の結合高さに略対応する長さを有し、そして該壁は、該
壁に略垂直な基部によって分離される受け器との組み合
わせであり、該棒材が、該棒材の少なくとも部分が該受
け器の端部上に突出するように構成されていることを特
徴とする組み合わせ。
【００６５】３７．留め具と受け器内に該組織を配置す
ることにより組織を閉鎖する方法であり、該留め具が、
高さのある少なくとも一つの組織穿刺歯叉と、組織圧縮
棒材とを具備し、そして該受け器は、該棒材に係合し該
棒材と該受け器内に保持された該組織に圧縮力を適用す
ることができる一対の壁を有する方法。
【００６６】３８．該受け器がポリマー生体吸収性材料
から形成される上記１に記載の受け器。
【００６７】３９．該受け器がポリマー生体吸収性材料
から形成される上記１８に記載の受け器。
【図面の簡単な説明】
【図１】本発明の多重歯叉ステープル棒材の斜視図であ
る。
【図２】本発明のステープル受け器の斜視図である。
【図３】本発明の長いステープル受け器内に置かれた一
連の単一歯叉留め具の斜視図である。
【図４】本発明によって記載された、先端保護物を含む
ステープル受け器である。
【図５】本発明の単一組織留め具の斜視図である。
【図６】本発明の先端保護物を示す図４の留め具の下方
斜視図である。
【図７】本発明の受け器内の留め具の据え付けを示す断
面図である。
【図８】本発明によって記載された、可変壁厚の代替受
け器の斜視図である。
【符号の説明】
２０ 留め具棒材 ２３ テープル歯叉 ２８ 切欠き部分 ３０ 受け器
───────────────────────────────────────────────────── フロントページの続き (72)発明者 レスリー・ハミルトン アメリカ合衆国ニユージヤージイ州08551 リンゴーズ・ハイモウイングロード23 (72)発明者 ス・アン・レ アメリカ合衆国ニユージヤージイ州08817 エデイソン・フオレストヘブンブールバー ド2015

Claims (5)

    【特許請求の範囲】
  1. 【請求項１】 組織を穿刺するために使用される外科用
    留め具を保持するための受け器であり、該留め具は、高
    さのある少なくとも一つの組織穿刺歯叉と、略一様な幅
    と高さのある組織圧縮棒材とを具備する受け器におい
    て、該棒材幅を保持することができる一対の略平行な壁
    を具備し、該壁は、該歯叉と該棒材の結合高さに略対応
    する長さを有し、かつ、該壁は、該壁に略垂直な基部に
    よって分離されることを特徴とする受け器。
  2. 【請求項２】 組織を穿刺するために使用される外科用
    留め具を保持するための受け器であり、該留め具は、高
    さのある少なくとも一つの組織穿刺歯叉と、略一様な幅
    と高さのある組織圧縮棒材とを具備する受け器におい
    て、該棒材幅を保持することができる一対の略平行壁で
    あり、該壁は、該歯叉と該棒材の結合高さに略対応する
    長さを有し、かつ、該壁は、該壁に略垂直な基部によっ
    て分離された一対の略平行壁を具備し、該壁は、該壁か
    ら角度を為した変位において該壁に取り付けた引込みフ
    ランジを含み、該フランジは、該留め具を該壁と位置合
    わせするために役立つことを特徴とする受け器。
  3. 【請求項３】 少なくとも一つの組織穿刺歯叉と、略一
    様な幅と高さを有する組織圧縮棒材とを具備する留め具
    と、該留め具を保持するための受け器であり、該受け器
    は、該棒材幅を保持することができる一対の略平行な壁
    を含み、該壁は、該歯叉と該棒材の結合高さに略対応す
    る長さを有し、そして該壁は、該壁に略垂直な基部によ
    って分離される受け器との組み合わせ。
  4. 【請求項４】 少なくとも一つの組織穿刺歯叉と、略一
    様な幅と高さを有する組織圧縮棒材とを具備する留め具
    と、該留め具を保持するための受け器であり、該受け器
    は、摩擦ばめにおいて該棒材幅を保持することができる
    一対の略平行壁を含み、該壁は、該歯叉と該棒材の結合
    高さに略対応する長さを有し、そして該壁は、該壁に略
    垂直な基部によって分離される受け器との組み合わせで
    あり、該壁が、該壁から角度を為した変位において該壁
    に取り付けた引込みフランジを含み、該フランジが該留
    め具を該壁と位置合わせするために役立つことを特徴と
    する組み合わせ。
  5. 【請求項５】 少なくとも一つの組織穿刺歯叉と、略一
    様な幅と高さを有する組織圧縮棒材とを具備する留め具
    と、該留め具を保持するための受け器であり、該受け器
    は、摩擦ばめにおいて該棒材幅を保持することができる
    一対の略平行な壁を含み、該壁は、該歯叉と該棒材の結
    合高さに略対応する長さを有し、そして該壁は、該壁に
    略垂直な基部によって分離される受け器との組み合わせ
    であり、該棒材が、該棒材の少なくとも部分が該受け器
    の端部上に突出するように構成されていることを特徴と
    する組み合わせ。
JP02333994A 1993-01-26 1994-01-24 外科用留め具 Expired - Lifetime JP3529110B2 (ja)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US08/009,157 US5358510A (en) 1993-01-26 1993-01-26 Two part surgical fastener
US009157 1993-01-26

Publications (2)

Publication Number Publication Date
JPH07403A true JPH07403A (ja) 1995-01-06
JP3529110B2 JP3529110B2 (ja) 2004-05-24

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ID=21735919

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Application Number Title Priority Date Filing Date
JP02333994A Expired - Lifetime JP3529110B2 (ja) 1993-01-26 1994-01-24 外科用留め具

Country Status (9)

Country Link
US (1) US5358510A (ja)
EP (1) EP0609046B1 (ja)
JP (1) JP3529110B2 (ja)
AT (1) ATE192304T1 (ja)
AU (1) AU668257B2 (ja)
CA (1) CA2114044C (ja)
DE (1) DE69424197T2 (ja)
ES (1) ES2145809T3 (ja)
GR (1) GR1002350B (ja)

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AU668257B2 (en) 1996-04-26
EP0609046A3 (en) 1995-06-28
EP0609046A2 (en) 1994-08-03
CA2114044C (en) 2006-04-11
EP0609046B1 (en) 2000-05-03
DE69424197T2 (de) 2000-11-16
AU5399394A (en) 1994-08-04
US5358510A (en) 1994-10-25
GR1002350B (el) 1996-05-29
ES2145809T3 (es) 2000-07-16
JP3529110B2 (ja) 2004-05-24
DE69424197D1 (de) 2000-06-08
ATE192304T1 (de) 2000-05-15
CA2114044A1 (en) 1994-07-27

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