公开(公告)号：EP2452631A1

公开(公告)日：2012-05-16

申请号：EP10797213.5

申请日：2010-07-12

申请人： Educational Foundation Jichi Medical University

发明人： OHDAIRA, Takeshi

IPC分类号： A61B17/04

CPC分类号： A61B17/0401 ,  A61B17/0469 ,  A61B17/0482 ,  A61B17/0487 ,  A61B17/068 ,  A61B2017/00544 ,  A61B2017/0409 ,  A61B2017/0414 ,  A61B2017/0417 ,  A61B2017/0427 ,  A61B2017/0464 ,  A61B2017/047 ,  A61B2017/0472 ,  A61B2017/0496 ,  A61B2017/0647

摘要： Disclosed is a surgical system for small-pit closure in hollow organs having excellent operability, safety, and reliability, and whereby it is possible to reduce the duration and invasiveness of surgery by avoiding major surgical procedures. The surgical system is provided with a surgical device (1, 1A) for small-pit closure in hollow organs, with said surgical device including the following components, which are connected sequentially: a suture-member cartridge (5-5B) in which a pair of parallel tubular members (51) that accommodate respective suture members (100-120) configured of a suture thread (103-143) are feedably connected to the rear ends of a pair of arrowy-shaped members (101-121) that latch into tissue in a hollow organ; an auxiliary shooting unit (3-3B) having plungers respectively provided in a pair of cylinders (31, 31B) open at both ends; a hollow-organ-insertable unit (2, 2A) configured of a pair of flexible air tubes; and a gas shooter (4-4B) that sequentially discharges compressed air or high-pressure gas into the open-ended cylinders in response to operations of a trigger (44-4B4), for sequentially ejecting the arrowy-shaped members and driving the same into tissue in the hollow organ (T) on both sides of a small pit (Tc) site. The surgical device is used, in combination with an endoscope (200, 200A) that is inserted into the hollow organ, for closing and suturing the hollow organ tissue at the small-pit site.

摘要翻译： 公开了一种用于中空器官中小坑闭合的手术系统，具有优异的可操作性，安全性和可靠性，并且通过避免主要的外科手术，可以减少手术的持续时间和侵入性。 手术系统设置有用于在中空器官中小坑闭合的手术装置（1,1A），所述手术装置包括以下部件，其顺序连接：缝合构件筒（5-5B），其中 一对平行的管状构件（51），其容纳由缝合线（103-143）构成的相应的缝合构件（100-120），可自由地连接到一对箭头状构件（101-121）的后端， 进入中空器官的组织; 具有分别设置在两端开口的一对气缸（31,31B）中的柱塞的辅助拍摄单元（3-3B） 由一对柔性空气管构成的空心器官可插入单元（2,2A）; 以及响应于触发器（44-4B4）的操作将压缩空气或高压气体顺序地排放到开放式气缸中的气枪枪（4-4B），用于顺序地弹出箭头状构件并驱动它们 在小坑（Tc）位点的两侧的中空器官（T）中的组织中。 外科装置与插入中空器官的内窥镜（200,200A）组合使用，用于在小坑位置闭合和缝合中空的器官组织。

公开(公告)号：EP2452631B1

公开(公告)日：2018-03-07

申请号：EP10797213.5

申请日：2010-07-12

申请人： Educational Foundation Jichi Medical University

发明人： OHDAIRA, Takeshi

IPC分类号： A61B17/04 ,  A61B17/00 ,  A61B17/064 ,  A61B17/068

CPC分类号： A61B17/0401 ,  A61B17/0469 ,  A61B17/0482 ,  A61B17/0487 ,  A61B17/068 ,  A61B2017/00544 ,  A61B2017/0409 ,  A61B2017/0414 ,  A61B2017/0417 ,  A61B2017/0427 ,  A61B2017/0464 ,  A61B2017/047 ,  A61B2017/0472 ,  A61B2017/0496 ,  A61B2017/0647

摘要： Disclosed is a surgical system for small-pit closure in hollow organs having excellent operability, safety, and reliability, and whereby it is possible to reduce the duration and invasiveness of surgery by avoiding major surgical procedures. The surgical system is provided with a surgical device (1, 1A) for small-pit closure in hollow organs, with said surgical device including the following components, which are connected sequentially: a suture-member cartridge (5-5B) in which a pair of parallel tubular members (51) that accommodate respective suture members (100-120) configured of a suture thread (103-143) are feedably connected to the rear ends of a pair of arrowy-shaped members (101-121) that latch into tissue in a hollow organ; an auxiliary shooting unit (3-3B) having plungers respectively provided in a pair of cylinders (31, 31B) open at both ends; a hollow-organ-insertable unit (2, 2A) configured of a pair of flexible air tubes; and a gas shooter (4-4B) that sequentially discharges compressed air or high-pressure gas into the open-ended cylinders in response to operations of a trigger (44-4B4), for sequentially ejecting the arrowy-shaped members and driving the same into tissue in the hollow organ (T) on both sides of a small pit (Tc) site. The surgical device is used, in combination with an endoscope (200, 200A) that is inserted into the hollow organ, for closing and suturing the hollow organ tissue at the small-pit site.

公开(公告)号：EP2283784B1

公开(公告)日：2016-06-22

申请号：EP09738812.8

申请日：2009-04-28

申请人： Educational Foundation Jichi Medical University

发明人： OHDAIRA, Takeshi

IPC分类号： A61B17/115 ,  A61B17/072

CPC分类号： A61B17/07207 ,  A61B17/115

公开(公告)号：EP2283784A1

公开(公告)日：2011-02-16

申请号：EP09738812.8

申请日：2009-04-28

申请人： Educational Foundation Jichi Medical University

发明人： OHDAIRA, Takeshi

IPC分类号： A61B17/115 ,  A61B17/072

CPC分类号： A61B17/07207 ,  A61B17/115

摘要： Provide a system and method for use in NOTES so as to reduce surgical invasiveness. An insertion body that is connected by an anvil assembly and joined to a thin wire guide (electric guide wire), is inserted via a natural orifice into a hollow organ so as to incise and remove a diseased or defective site from the hollow organ by using a pair of (front-end/rear-end) linear cutters of a linear cutting/stapling device (linear stapler), after which the two cut ends of the tract are anastomosed and recovered by a circular anastomosis surgical stapler that is equipped with the system.

摘要翻译： 提供在NOTES中使用的系统和方法，以减少手术侵袭。 通过砧组件连接并连接到细导线（电导线）的插入体经由天然孔插入中空器官中，以便通过使用中空器官切割并去除中空器官的病变或缺陷部位 线性切割/缝合装置（线性吻合器）的一对（前端/后端）线性切割器，之后，通过圆形吻合手术吻合器将道的两个切割端吻合并回收，该吻合器装备有 系统。