DE10003020C2 - Bipolares Faßinstrument - Google Patents
Bipolares FaßinstrumentInfo
- Publication number
- DE10003020C2 DE10003020C2 DE10003020A DE10003020A DE10003020C2 DE 10003020 C2 DE10003020 C2 DE 10003020C2 DE 10003020 A DE10003020 A DE 10003020A DE 10003020 A DE10003020 A DE 10003020A DE 10003020 C2 DE10003020 C2 DE 10003020C2
- Authority
- DE
- Germany
- Prior art keywords
- clamping
- jaws
- cutting
- longitudinal slot
- clamping elements
- 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.)
- Expired - Fee Related
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1442—Probes having pivoting end effectors, e.g. forceps
- A61B18/1445—Probes having pivoting end effectors, e.g. forceps at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
Description
Die Erfindung betrifft ein bipolares Faßinstrument mit
zwei gegeneinander bewegbaren, elastisch voneinander
isolierten und jeweils mit einem Pol einer elektrischen
Hochfrequenzspannungsquelle verbindbaren Klemmbacken,
die jeweils zwei im Abstand zueinander angeordnete,
zwischen sich einen Längsschlitz ausbildende Klemmele
mente mit je einer Klemmfläche aufweisen, und mit einer
Schneideinrichtung, die ein in den Längsschlitz der
Klemmbacken verschiebbares Schneidelement mit einer
Schneide umfaßt.
Mit bipolaren Faßinstrumenten ist es möglich, Gewebe im
gefaßten Bereich zu koagulieren, so daß in diesem Be
reich Blutungen gestillt werden können.
Es ist bekannt, mit derartigen Instrumenten beispiels
weise bei Gefäßen bestimmte Bereiche zu koagulieren und
dann in diesem koagulierten Bereich die Gefäße durch
einen Schnitt zu durchtrennen, wobei die Gefahr von
Blutungen durch die vorangehende Koagulation minimiert
wird. Dazu sind zwei völlig getrennte Verfahrensschrit
te notwendig, die üblicherweise auch mit unterschiedli
chen Instrumenten ausgeführt werden, nämlich das Koagulieren
mit einem bipolaren Faßinstrument einerseits und
das Durchtrennen des koagulierten Gewebes mittels einer
Schneideinrichtung andererseits.
Es sind auch bipolare Faßinstrumente bekannt, in die
eine Schneideinrichtung integriert ist (Firmenprospekt
CIRCON, TRIPOLAR Cutting Forceps; US-Patent 5 458 598).
Bei diesem Instrument sind die Klemmbacken des Faßin
strumentes durch Längsschlitze in zwei nebeneinander
angeordnete Klemmflächen unterteilt, und in die Längs
schlitze kann in Längsrichtung des Instrumentes ein mit
einer Schneide versehenes Schneidelement eingeschoben
werden, welches zwischen den Klemmflächen gehaltene Ge
webeteile nach dem Koagulieren durchtrennt. Bei diesem
vorbekannten Instrument müssen für das Schließen der
Klemmbacken zum Zwecke des Koagulierens und zum Vor
schieben des Schneidelements der Schneideinrichtung un
terschiedliche Antriebsmechanismen vorgesehen sein,
dieses Instrument, das vorzugsweise als Rohrschaftin
strument ausgebildet ist, ist somit relativ kompliziert
ausgebildet, außerdem muß der Benutzer dieses Instru
mentes zwei getrennte Antriebsmechanismen bedienen, um
nacheinander Gewebe zu erfassen und es dann zu durch
trennen.
In der DE 44 21 822 C1 ist ein ähnliches bipolares Faßinstru
ment beschrieben, bei dem auch ein Schneidelement in einem
Längsschlitz der Klemmflächen vorgeschoben werden kann. Die
beiden dazu notwendigen Antriebsmechanismen sind über kompli
zierte Getriebeglieder so mit den beiden Handgriffen des In
strumentes verbunden, daß zuerst eine Schließbewegung der
Klemmflächen und dann ein Vorschieben des Schneidelements mög
lich ist, auch in, diesem Falle wird ein sehr komplizierter Auf
bau des Instrumentes notwendig.
Es ist Aufgabe der Erfindung, ein bipolares Faßinstru
ment der gattungsgemäßen Art so auszubilden, daß die
Bedienung vereinfacht wird, insbesondere dadurch, daß
der Benutzer nur noch einen Betätigungsmechanismus be
nötigt, um nacheinander Gewebe zu erfassen und dann zu
durchtrennen.
Diese Aufgabe wird bei einem bipolaren Faßinstrument
der eingangs beschriebenen Art erfindungsgemäß dadurch
gelöst, daß das Schneidelement im Längsschlitz des ei
nen Klemmbackens derart angeordnet ist, daß seine
Schneide im Längsschlitz zwischen den Klemmelementen
dieses Klemmbackens aufgenommen ist und nicht über des
sen Klemmflächen in Richtung auf den anderen Klemmbac
ken übersteht, und daß die Klemmelemente dieses Klemm
backens relativ zu dem Schneidelement entgegen der
Schließbewegung der Klemmbacken elastisch so weit be
wegbar sind, daß die Schneide des Schneidelementes über
die Klemmflächen hervorsteht.
Beim Beginn der Schließbewegung der Klemmbacken ist al
so das Schneidelement im Längsschlitz des einen Klemm
backens so aufgenommen, daß die Schneide des Schneid
elementes sich im Inneren des Längsschlitzes befindet
und somit nicht wirksam wird. Das Instrument wirkt in
diesem Falle wie ein konventionelles bipolares Faßin
strument, bei dem die Klemmflächen an das zu ergreifen
de Gewebe angelegt werden, ohne daß das Schneidelement
überhaupt in Erscheinung tritt. In diesem Teil der
Schließbewegung kann in herkömmlicher Weise durch Anle
gen einer Hochfrequenzspannung koaguliert werden, das
bipolare Faßinstrument kann nach dem Koagulieren wie
ein konventionelles bipolares Faßinstrument auch wieder
entfernt werden.
Wenn die Schließbewegung bei diesem bipolaren Faßin
strument dagegen nach dem Koagulieren fortgeführt wird,
werden die Klemmbacken so kräftig gegeneinander be
wegt, daß die Klemmelemente des Klemmbackens, der
die Schneideinrichtung trägt, elastisch entgegen der
Schließbewegung der Klemmbacken bewegt werden, und dies
gibt die Schneide der Schneideinrichtung frei, die dann
durch die elastische Verschiebung der Klemmelemente
über die Klemmfläche hervorsteht. Das Instrument ist
daher jetzt ein Schneidinstrument, bei dem das Schneid
element unter Durchtrennung des zwischen den Klemmbac
ken angeordneten Gewebes bis in den Längsschlitz des
anderen Klemmbackens gelangen kann. Diese Schneidbewe
gung schließt sich unmittelbar an die normale Schließ
bewegung der Klemmbacken an, der Benutzer muß nur einen
Antriebsmechanismus betätigen, bei leichter Betätigung
erfolgt lediglich ein Klemmen und Festhalten des zu
koagulierenden Gewebes, bei kräftigem Schließen der
Klemmbacken dagegen erfolgt zusätzlich ein Durchtrennen
der zwischen den Klemmbacken gehaltenen Gewebeteile.
Bei einer ersten bevorzugten Ausführungsform ist vor
gesehen, daß sowohl das Schneidelement als auch die
Klemmelemente einstückig mit den Klemmbacken ausgebil
det sind und daß das Schneidelement ein starres Teil
des Klemmbackens ist, während die Klemmelemente über
elastisch verformbare Bereiche mit den übrigen Teilen
des Klemmbackens verbunden sind. Insbesondere können
die elastisch verformbaren Bereiche durch elastisch
verbiegbare Stege mit geringerer Höhe gebildet werden.
Bei einer anderen Ausführungsform ist vorgesehen, daß
der Klemmbacken zweiteilig ausgebildet ist mit einem
starren ersten Teil, welches das Schneidelement und die
Lagerung des Klemmbackens am Faßinstrument umfaßt, und
mit einem zweiten Teil, welches die Klemmelemente um
faßt und welches am ersten Teil elastisch bewegbar ge
lagert ist.
Beispielsweise können die Klemmelemente elastisch ver
schwenkbar an dem ersten Teil gelagert sein.
Es ist günstig, wenn das zweite Teil U-förmig ausgebil
det ist mit zwei parallelen, die Klemmelemente bilden
den Schenkeln und einem diese verbindenden, den Längs
schlitz zum distalen Ende des Klemmbackens hin ab
schließenden Steg und wenn das zweite Teil an den frei
en Enden der Schenkel drehbar an dem ersten Teil gela
gert ist. Es ergibt sich dadurch eine sehr stabile An
ordnung des die Klemmflächen tragenden zweiten Teils
des Klemmbackens.
Der Längsschlitz in dem anderen Klemmbacken, der keine
Schneideinrichtung aufweist, ist vorzugsweise an beiden
Enden geschlossen, so daß die Schneideinrichtung am
Schneidvorgang in diesen allseits geschlossenen Längs
schlitz eintaucht, auch dies trägt dazu bei, daß der
andere Klemmbacken eine sehr stabile Anordnung bildet.
Die nachfolgende Beschreibung bevorzugter Ausführungs
formen der Erfindung dient im Zusammenhang mit der
Zeichnung der näheren Erläuterung. Es zeigen:
Fig. 1 eine Seitenansicht eines als Rohrschaft
instrument ausgebildeten bipolaren Faß
instrumentes mit zwei verschwenkbaren
Klemmbacken;
Fig. 2 eine perspektivische Explosionsdarstel
lung der beiden Klemmbacken und der An
triebselemente für die Klemmbacken;
Fig. 3 eine Seitenansicht des Instrumentes der
Fig. 1 im Klemmbackenbereich mit den
Klemmbacken in einer Faßposition;
Fig. 4 eine Ansicht ähnlich Fig. 3 mit den
Klemmbacken in einer Schneidposition und
Fig. 5 eine perspektivische Darstellung des mit
einer Schneideinrichtung versehenen
Klemmbackens ähnlich der Darstellung der
Fig. 2 bei einem abgewandelten Ausfüh
rungsbeispiel dieses Klemmbackens.
Das in der Zeichnung dargestellte chirurgische Instru
ment ist als Rohrschaftinstrument 1 ausgebildet mit ei
nem länglichen, rohrförmigen Schaft 2 mit einem dista
len Ende 3 und einem proximalen Ende 4.
Am proximalen Ende 4 ist der Schaft 2 mit einem Griff
teil 5 verbunden, welches eine feststehende Branche 6
und eine schwenkbar mit dieser verbundene Branche 7 um
faßt, diese ist gelenkig mit einer Schub- und Zugstange
8 verbunden, die den Schaft 2 durchsetzt und durch Ver
schwenkung der Branche 7 relativ zum Schaft 2 in Längs
richtung vorschiebbar und zurückziehbar ist.
In den Schaft 2 ist an dessen distalem Ende 3 eine Hal
terung 9 eingesetzt, die an ihrem distalen Ende zwei
parallel zueinander verlaufende, in distaler Richtung
vorstehende Lagerarme 10 trägt, die einen Lagerzwi
schenraum 11 zwischen sich einschließen. In diesen ist
ein Isolationskörper 12 aus einem elektrisch isolieren
den Material eingesetzt, beispielsweise aus Keramik,
der im wesentlichen U-förmig ausgebildet ist und die
Lagerarme 10 an ihrer Innenseite abdeckt.
Die Zug- und Schubstange 8 durchsetzt sowohl die Halte
rung 9 als auch den Isolationskörper 12 und endet im
Bereich des Lagerzwischenraumes 11.
Im Bereich ihrer freien Enden weisen die Lagerarme 10
miteinander fluchtende Aufnahmeöffnungen 13 für eine
Lagerwelle 14 auf, die quer zur Längsrichtung der
Schaftlängsachse des Instrumentes verläuft und den La
gerzwischenraum 11 an seinem distalen, offenen Ende
durchsetzt.
Auf dieser Lagerwelle 14 sind zwei Klemmbacken 15, 16
nebeneinander und unabhängig voneinander verschwenkbar
gelagert, deren proximale Enden 17, 18 in den Lagerzwi
schenraum 11 hineinragen. Jedes proximale Ende 17, 18
ist mit einem Lenker 19 bzw. 20 gelenkig verbunden, de
ren andere Enden ebenfalls gelenkig mit dem distalen
Ende der Schub- und Zugstange 8 verbunden sind, so daß
diese Lenker 19, 20 zusammen mit den proximalen Enden
17 bzw. 18 ein Viergelenk ausbilden, über welches beim
Vorschieben und Zurückziehen der Schub- und Zugstange 8
die Klemmbacken 15 und 16 um die durch die Lagerwelle
14 gebildete Drehachse verschwenkbar sind: Beim Vor
schieben der Schub- und Zugstange 8 werden die Klemm
backen auseinandergeschwenkt, d. h. geöffnet, beim Zu
rückziehen der Schub- und Zugstange 8 erfolgt ein
Schließen der Klemmbacken 15, 16.
Die Klemmbacken 15 und 16 sind unterschiedlich ausge
bildet. Einer der beiden Klemmbacken, im folgenden der
untere Klemmbacken 16 genannt, ist dreiteilig ausgebil
det, er umfaßt einen proximalen Abschnitt 21, der sich
bis unmittelbar vor die Lagerwelle 14 erstreckt, einen
mittleren Abschnitt 22, der sich im wesentlichen im Be
reich der Lagerwelle 14 befindet, und einen distalen
Abschnitt 23, dessen im wesentlichen ebene, dem anderen
Klemmbacken 15 zugewandte Oberseite 24 eine Klemmfläche
ausbildet, die zur Erhöhung der Griffigkeit mit Quer
rippen 25 versehen ist.
Der mittlere Abschnitt 22 besteht aus einem elektrisch
isolierenden Material, beispielsweise aus Keramik, und
verbindet den proximalen Abschnitt 21 mit dem distalen
Abschnitt 23 unter elektrischer Isolierung dieser bei
den Abschnitte, die aus Metall bestehen und damit elek
trisch leitfähig sind. Der mittlere Abschnitt 22 liegt
dabei flächig sowohl am distalen Abschnitt 23 als auch
am proximalen Abschnitt 21 an, so daß im Überlappungsbereich
eine Schichtstruktur entsteht, außerdem stützt
sich der mittlere Abschnitt 22 über seine hintere Kante
26 und über eine vordere Anlagefläche 27 am proximalen
Abschnitt 21 bzw. am distalen Abschnitt 23 ab, so daß
auf diese Weise der proximale Abschnitt 21 mit dem di
stalen Abschnitt 23 elektrisch isolierend und starr
verbunden ist.
Der mittlere Abschnitt 22 trägt seitlich eine einstüc
kig mit ihm ausgebildete Hülse 28, die Lageröffnungen
29 und 30 in den beiden Klemmbacken 15 und 16 durch
setzt und die in sich die Lagerwelle 14 aufnimmt, die
dadurch gegenüber dem Klemmbacken 15 und dem proximalen
Ende 18 des Klemmbackens 16 elektrisch isoliert ist.
Die Lagerwelle 14 selbst besteht aus Metall und ist
elektrisch leitend mit den Lagerarmen 10 der Halterung
9 verbunden, die ihrerseits in elektrisch leitender
Verbindung mit dem Schaft 2 steht. Dieser trägt einen
Elektroanschluß 31, mit dem eine elektrische Verbindung
zu einer in der Zeichnung nicht dargestellten Hochfre
quenzspannungsquelle herstellbar ist.
Die Lagerwelle 14 steht mit dem distalen Abschnitt 23
des Klemmbackens 16 in unmittelbarem Kontakt, so daß in
diesem Bereich eine elektrisch leitende Verbindung zwi
schen dem distalen Abschnitt 23 und der Lagerwelle 14
entsteht. Dadurch kann der distale Abschnitt 23 des
Klemmbackens 16 mit einem Pol der Hochfrequenzspan
nungsquelle verbunden werden.
Der andere Pol wird in aus der Zeichnung nicht ersicht
licher Weise mit der Schub- und Zugstange 8 verbunden,
so daß auf diese Weise über die Lenker 19 und 20 sowohl
der proximale Abschnitt 21 des Klemmbackens 16 als auch
der gesamte Klemmbacken 15 mit diesem zweiten Pol der
Hochfrequenzspannungsquelle verbunden sind.
Der mittlere Abschnitt 22, der im übrigen über einen in
eine Bohrung 32 des proximalen Abschnittes 21 eingrei
fenden Stift 33 zusätzlich gegenüber dem proximalen Ab
schnitt 21 festgelegt ist, trennt den distalen Ab
schnitt 23 des Klemmbackens 16 elektrisch vom proxima
len Abschnitt 21 des Klemmbackens 16, so daß die beiden
Klemmbacken 15 und 16 elektrisch voneinander isoliert
und jeweils mit einem Pol der Spannungsquelle verbunden
sind.
Der andere Klemmbacken, im folgenden als oberer Klemm
backen 15 bezeichnet, besteht insgesamt aus Metall und
ist bei dem Ausführungsbeispiel der Fig. 1 bis 4
einstückig ausgebildet. Ein proximaler Abschnitt 34 ist
dabei ähnlich ausgebildet wie der proximale Abschnitt
21 des unteren Klemmbackens 16, er geht über in einen
distalen Abschnitt 35, der zwei parallel zueinander
verlaufende, zwischen sich einen Längsschlitz 36 bil
dende Klemmelemente 37 aufweist, die gleich ausgebildet
sind. Beide Klemmelemente 37 weisen auf ihrer dem unte
ren Klemmbacken 16 zugewandten Seite je eine Klemmflä
che 38 auf, die der Klemmfläche 24 des unteren Klemm
backens 16 gegenübersteht und die ebenso wie diese mit
Querrippen 39 versehen ist.
Beide Klemmelemente 37 sind mit dem proximalen Ab
schnitt 34 über bandförmige Stege 40 geringer Bauhöhe
verbunden, die so flach ausgebildet sind, daß in diesem
Bereich ein elastisches Verschwenken der armartigen
Klemmelemente 37 möglich ist und zwar um eine Schwenk
achse, die parallel zur Lagerwelle 14 verläuft.
In den zwischen den beiden Klemmelementen 37 frei blei
benden Längsschlitz 36 ragt ein starr mit dem proxima
len Abschnitt 34 verbundener Schneidkörper 41 hinein,
dessen untere Kante als Schneide 42 ausgebildet ist.
Wenn die Klemmelemente 37 unverformt sind, wenn sie al
so nicht elastisch gegenüber dem proximalen Abschnitt
34 verschwenkt sind, befindet sich die Schneide 42
vollständig im Inneren des Längsschlitzes 36, sie steht
also nicht nach unten über die Klemmflächen 38 der bei
den Klemmelemente 37 vor (Darstellung der Fig. 2 und
3).
Wenn die Klemmelemente 37 dagegen elastisch nach oben
verschwenkt werden, also in Öffnungsrichtung der Klemm
backen, dann tritt diese Schneide 42 zwischen den
Klemmflächen 38 nach unten hervor und kann wirksam wer
den.
Im unteren Klemmbacken 16 ist ebenfalls ein Längs
schlitz 43 ausgebildet, der mit dem Längsschlitz 36 im
oberen Klemmbacken 15 ausgerichtet und der an beiden
Enden geschlossen ist, die Länge des Längsschlitzes 43
ist so bemessen, daß die Schneide 42 des Schneidkörpers
41 in den Längsschlitz 43 eintauchen kann.
Das in dieser Weise ausgebildete Instrument dient glei
chermaßen als bipolares Faßinstrument und als Schneid
instrument.
Bei vorgeschobener Schub- und Zugstange 8 sind die
Klemmbacken 15 und 16 zunächst auseinandergeschwenkt,
die Faßzange befindet sich in der Öffnungsstellung. In
dieser Stellung kann zu behandelndes Gewebe, beispiels
weise ein Gefäß 44, an den Klemmflächen 24 und 38 der
Klemmbacken angelegt und ergriffen werden (Fig. 3).
Durch Anlegen einer Hochfrequenzspannung an die beiden
Klemmbacken 15 und 16 ist auf diese Weise durch die An
lage des Gefäßes an den beiden Klemmbacken 15 und 16
eine Koagulation des Gefäßes 44 im Anlagebereich mög
lich, wie dies bei bipolaren Faßzangen an sich bekannt
ist.
Diese Koagulation erfolgt bei einer Stellung der Klemm
backen 15, 16, bei denen diese gegenüber der Offenstel
lung in eine Zwischenstellung verschwenkt, aber noch
nicht vollständig geschlossen sind. In dieser Zwischen
stellung wird der Anpreßdruck des oberen Klemmbackens
15 an das Gefäß 44 noch so gering sein, daß die Klemm
elemente 37 im Bereich der Stege 40 nicht elastisch
verschwenkt werden, sondern unverformt bleiben, so daß
der Schneidkörper 41 mit der Schneide 42 im Längs
schlitz 36 verbleibt, die Schneide 42 also unwirksam
ist (Fig. 3).
Beim weiteren Schließen der Klemmbacken 15 und 16 durch
Zurückziehen der Schub- und Zugstange 8 werden jedoch
die Klemmbacken 15 und 16 kräftig gegeneinander ge
drückt, und dies führt dazu, daß die Klemmelemente 37
im Bereich der dünnen, elastisch verbiegbaren Stege 40
verbogen werden, die Klemmelemente 37 verschwenken also
entgegen der Schließstellung nach oben, und dadurch
kann die Schneide 42 des Schneidkörpers 41 nach unten
über die Klemmflächen 38 heraustreten, am Gefäß 44 zur
Anlage kommen und dieses beim weiteren Schließen der
Klemmbacken 15 und 16 durchtrennen, wobei der Schneid
körper 41 mit der Schneide 42 in den Längsschlitz 43
des Klemmbackens 16 eintaucht.
Mit derselben Schließbewegung der verschwenkbaren Bran
che 7 kann der Operateur also zunächst das zu behan
delnde und zu durchtrennende Gewebe erfassen, dann
durch Anlegen einer Hochfrequenzspannung koagulieren
und schließlich durch weiteres Verschwenken der Branche
7 im koagulierten Bereich durchtrennen, es ist dazu nur
ein Antriebsmechanismus notwendig, und der Operateur
kann diesen Vorgang mit einem einzigen Hebel durchfüh
ren, den er entsprechend den Anforderungen so ver
schwenkt, daß nacheinander die beschriebenen Arbeits
stellungen eingenommen werden.
Das Ausführungsbeispiel der Fig. 5 ist ähnlich aufge
baut wie das der Fig. 1 bis 4, einander entsprechen
de Teile tragen daher dieselben Bezugszeichen.
Ein Unterschied besteht lediglich im Bereich des oberen
Klemmbackens 15, der bei dem Ausführungsbeispiel der
Fig. 5 zweiteilig ausgebildet ist. Die beiden Klemm
elemente 37 sind bei diesem Ausführungsbeispiel nicht
über elastische Stege 40 mit dem proximalen Abschnitt
34 des Klemmbackens 15 verbunden, sondern sie sind über
einen Lagerstift 45 verschwenkbar am Schneidkörper 41
gelagert, und zwar im Übergangsbereich des Schneidkör
pers 41 zum proximalen Abschnitt 34. An den distalen
Enden sind bei diesem Ausführungsbeispiel die Klemmele
mente 37 durch einen Quersteg 46 miteinander verbunden,
so daß die beiden Klemmelemente 37 zusammen mit dem
Quersteg 46 ein einheitliches Bauteil ausbilden.
Ein in der Zeichnung nur schematisch dargestelltes, ei
nerseits mit dem Schneidkörper 41 und andererseits mit
dem Quersteg 46 verbundenes Federelement 47 hält die
Klemmelemente 37 in einer Stellung, in der die Klemm
flächen 38 nach unten über die Schneide 42 des Schneid
körpers 41 hervorstehen, die Schneide 42 also vollstän
dig im Längsschlitz 36 aufgenommen und daher unwirksam
ist. Gegen die Wirkung dieses Federelementes 47 können
die Klemmelemente 37 so elastisch verschwenkt werden,
daß die Schneide 42 aus dem Längsschlitz 43 austritt
und in der beschriebenen Weise wirksam wird.
Bei diesem Ausführungsbeispiel sind die Klemmelemente
37 über den Lagerstift 45 elektrisch leitend mit dem
proximalen Abschnitt 34 verbunden, so daß auch in die
sem Falle die Klemmflächen 38 mit einem Pol der Hoch
frequenzspannungsquelle in Verbindung stehen.
Claims (7)
1. Bipolares Faßinstrument mit zwei gegeneinander be
wegbaren, elektrisch voneinander isolierten und
jeweils mit einem Pol einer elektrischen Hochfre
quenzspannungsquelle verbindbaren Klemmbacken, die
jeweils zwei im Abstand zueinander angeordnete,
zwischen sich einen Längsschlitz ausbildende
Klemmelemente mit je einer Klemmfläche aufweisen,
und mit einer Schneideinrichtung, die ein in den
Längsschlitzen der Klemmbacken verschiebbares
Schneidelement mit einer Schneide umfaßt, dadurch
gekennzeichnet, daß das Schneidelement (41) im
Längsschlitz (36) des einen Klemmbackens (15) der
art angeordnet ist, daß seine Schneide (42) im
Längsschlitz (36) zwischen den Klemmelementen (37)
dieses Klemmbackens (15) aufgenommen ist und nicht
über dessen Klemmflächen (38) in Richtung auf den
anderen Klemmbacken (16) übersteht, und daß die
Klemmelemente (37) dieses Klemmbackens (15) rela
tiv zu dem Schneidelement (41) entgegen der
Schließbewegung der Klemmbacken (15, 16) elastisch
so weit bewegbar sind, daß die Schneide (42) des
Schneidelements (41) über die Klemmflächen (38)
hervorsteht.
2. Instrument nach Anspruch 1, dadurch gekennzeich
net, daß sowohl das Schneidelement (41) als auch
die Klemmelemente (37) einstückig mit dem Klemm
backen (15) ausgebildet sind und daß das Schneid
element (41) ein starres Teil des Klemmbackens
(15) ist, während die Klemmelemente (37) über ela
stisch verformbare Bereiche (40) mit den übrigen
Teilen (34) des Klemmbackens (15) verbunden sind.
3. Instrument nach Anspruch 2, dadurch gekennzeich
net, daß die elastisch verformbaren Bereiche (40)
durch elastisch verbiegbare Stege mit geringer Hö
he gebildet werden.
4. Instrument nach Anspruch 1, dadurch gekennzeich
net, daß der Klemmbacken (15) zweiteilig ausgebil
det ist mit einem starren ersten Teil, welches das
Schneidelement (41) und die Lagerung des Klemmbac
kens (15) am Faßinstrument umfaßt, und mit einem
zweiten Teil, welches die Klemmelemente (37) um
faßt und welches am ersten Teil elastisch bewegbar
gelagert ist.
5. Instrument nach Anspruch 4, dadurch gekennzeich
net, daß die Klemmelemente (37) elastisch ver
schwenkbar an dem ersten Teil gelagert sind.
6. Instrument nach Anspruch 5, dadurch gekennzeich
net, daß das zweite Teil U-förmig ausgebildet ist
mit zwei parallelen, die Klemmelemente (37) bil
denden Schenkeln und einem diese verbindenden, den
Längsschlitz (36) zum distalen Ende des Klemmbac
kens (15) hin abschließenden Steg (46), und daß
das zweite Teil an den freien Enden der Schenkel
drehbar an dem ersten Teil gelagert ist.
7. Instrument nach einem der voranstehenden Ansprü
che, dadurch gekennzeichnet, daß der Längsschlitz
(43) in dem anderen Klemmbacken (16), der keine
Schneideinrichtung aufweist, an beiden Enden ge
schlossen ist.
Priority Applications (7)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE10003020A DE10003020C2 (de) | 2000-01-25 | 2000-01-25 | Bipolares Faßinstrument |
PCT/EP2000/011052 WO2001054604A1 (de) | 2000-01-25 | 2000-11-09 | Bipolares fassinstrument |
AT00978976T ATE243004T1 (de) | 2000-01-25 | 2000-11-09 | Bipolares fassinstrument |
EP00978976A EP1250102B1 (de) | 2000-01-25 | 2000-11-09 | Bipolares fassinstrument |
ES00978976T ES2200975T3 (es) | 2000-01-25 | 2000-11-09 | Instrumento de agarre bipolar. |
JP2001555584A JP3691793B2 (ja) | 2000-01-25 | 2000-11-09 | 双極式把持器具 |
US10/199,739 US6743230B2 (en) | 2000-01-25 | 2002-07-18 | Bipolar grasping instrument |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE10003020A DE10003020C2 (de) | 2000-01-25 | 2000-01-25 | Bipolares Faßinstrument |
Publications (2)
Publication Number | Publication Date |
---|---|
DE10003020A1 DE10003020A1 (de) | 2001-08-23 |
DE10003020C2 true DE10003020C2 (de) | 2001-12-06 |
Family
ID=7628616
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
DE10003020A Expired - Fee Related DE10003020C2 (de) | 2000-01-25 | 2000-01-25 | Bipolares Faßinstrument |
Country Status (7)
Country | Link |
---|---|
US (1) | US6743230B2 (de) |
EP (1) | EP1250102B1 (de) |
JP (1) | JP3691793B2 (de) |
AT (1) | ATE243004T1 (de) |
DE (1) | DE10003020C2 (de) |
ES (1) | ES2200975T3 (de) |
WO (1) | WO2001054604A1 (de) |
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- 2000-11-09 WO PCT/EP2000/011052 patent/WO2001054604A1/de active IP Right Grant
- 2000-11-09 ES ES00978976T patent/ES2200975T3/es not_active Expired - Lifetime
- 2000-11-09 JP JP2001555584A patent/JP3691793B2/ja not_active Expired - Fee Related
- 2000-11-09 EP EP00978976A patent/EP1250102B1/de not_active Expired - Lifetime
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Also Published As
Publication number | Publication date |
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EP1250102A1 (de) | 2002-10-23 |
US6743230B2 (en) | 2004-06-01 |
ES2200975T3 (es) | 2004-03-16 |
EP1250102B1 (de) | 2003-06-18 |
ATE243004T1 (de) | 2003-07-15 |
JP3691793B2 (ja) | 2005-09-07 |
WO2001054604A1 (de) | 2001-08-02 |
DE10003020A1 (de) | 2001-08-23 |
JP2003521304A (ja) | 2003-07-15 |
US20020183784A1 (en) | 2002-12-05 |
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