BR112017027319A2 - folding surgical instruments with composite arm structures with armrest support element for joint support - Google Patents

folding surgical instruments with composite arm structures with armrest support element for joint support

Info

Publication number
BR112017027319A2
BR112017027319A2 BR112017027319-5A BR112017027319A BR112017027319A2 BR 112017027319 A2 BR112017027319 A2 BR 112017027319A2 BR 112017027319 A BR112017027319 A BR 112017027319A BR 112017027319 A2 BR112017027319 A2 BR 112017027319A2
Authority
BR
Brazil
Prior art keywords
support member
surgical instruments
hinged joint
arm support
arm structures
Prior art date
Application number
BR112017027319-5A
Other languages
Portuguese (pt)
Other versions
BR112017027319B1 (en
Inventor
O. Baxter Chester Iii
S. Swayze Jeffrey
R. Dunki-Jacobs Adam
Original Assignee
Ethicon Llc
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
Priority claimed from US14/742,900 external-priority patent/US10335149B2/en
Application filed by Ethicon Llc filed Critical Ethicon Llc
Publication of BR112017027319A2 publication Critical patent/BR112017027319A2/en
Publication of BR112017027319B1 publication Critical patent/BR112017027319B1/en

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical 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
    • A61B17/07207Surgical 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 the staples being applied sequentially
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/10Surgical instruments, devices or methods, e.g. tourniquets for applying or removing wound clamps, e.g. containing only one clamp or staple; Wound clamp magazines
    • A61B17/105Wound clamp magazines
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00292Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/003Steerable
    • A61B2017/00318Steering mechanisms
    • A61B2017/00323Cables or rods
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00292Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/003Steerable
    • A61B2017/00318Steering mechanisms
    • A61B2017/00323Cables or rods
    • A61B2017/00327Cables or rods with actuating members moving in opposite directions
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00367Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
    • A61B2017/00398Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like using powered actuators, e.g. stepper motors, solenoids
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0046Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00681Aspects not otherwise provided for
    • A61B2017/00734Aspects not otherwise provided for battery operated
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical 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
    • A61B2017/07214Stapler heads
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B2017/2901Details of shaft
    • A61B2017/2902Details of shaft characterized by features of the actuating rod
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B2017/2926Details of heads or jaws
    • A61B2017/2927Details of heads or jaws the angular position of the head being adjustable with respect to the shaft
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B2017/2926Details of heads or jaws
    • A61B2017/2932Transmission of forces to jaw members
    • A61B2017/2933Transmission of forces to jaw members camming or guiding means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B2017/2926Details of heads or jaws
    • A61B2017/2932Transmission of forces to jaw members
    • A61B2017/2939Details of linkages or pivot points
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B2017/2926Details of heads or jaws
    • A61B2017/2932Transmission of forces to jaw members
    • A61B2017/2943Toothed members, e.g. rack and pinion
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B2017/2946Locking means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/08Accessories or related features not otherwise provided for
    • A61B2090/0818Redundant systems, e.g. using two independent measuring systems and comparing the signals
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/70Manipulators specially adapted for use in surgery
    • A61B34/71Manipulators operated by drive cable mechanisms

Landscapes

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

Abstract

a presente invenção refere-se a um instrumento de grampeamento cirúrgico compreendendo um eixo de acionamento alongado que inclui um atuador de extremidade cirúrgico que é operacionalmente acoplado ao mesmo por uma junta articulada. o instrumento cirúrgico pode incluir um elemento de suporte do braço de disparo central que se estende ao longo da junta articulada e é acoplado ao atuador de extremidade cirúrgico e ao conjunto de eixo de acionamento alongado. um conjunto de braço de disparo flexível longitudinalmente móvel pode ser configurado para atravessar a junta articulada. o conjunto de braço de disparo pode compreender uma pluralidade de camadas de feixes que são suportadas em relação uma à outra, de modo que pelo menos uma das camadas de feixes seja configurada para passar de modo móvel em um lado lateral do elemento de suporte do braço de disparo central e pelo menos uma outra das camadas de feixes seja configurada para passar de modo móvel em um outro lado lateral do elemento de suporte do braço de disparo.The present invention relates to a surgical stapling instrument comprising an elongated drive shaft including a surgical end actuator that is operatively coupled thereto by a hinged joint. The surgical instrument may include a central firing arm support member extending along the hinged joint and coupled to the surgical end actuator and elongate drive shaft assembly. a longitudinally movable flexible firing arm assembly may be configured to traverse the hinged joint. the firing arm assembly may comprise a plurality of beam layers that are supported with respect to each other, so that at least one of the beam layers is movably passed on one side of the arm support member central firing device and at least one other of the beam layers is configured to movably pass on another side of the firing arm support member.

BR112017027319-5A 2015-06-18 2016-06-09 ARTICULABLE SURGICAL INSTRUMENT WITH COMPOSITE TRIG ARM STRUCTURES WITH TRIG ARM SUPPORT MEMBER FOR JOINT SUPPORT BR112017027319B1 (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US14/742,900 US10335149B2 (en) 2015-06-18 2015-06-18 Articulatable surgical instruments with composite firing beam structures with center firing support member for articulation support
US14/742,900 2015-06-18
PCT/US2016/036651 WO2016205063A1 (en) 2015-06-18 2016-06-09 Articulatable surgical instruments with composite firing beam structures with center firing support member for articulation support

Publications (2)

Publication Number Publication Date
BR112017027319A2 true BR112017027319A2 (en) 2018-09-04
BR112017027319B1 BR112017027319B1 (en) 2022-08-16

Family

ID=61255305

Family Applications (1)

Application Number Title Priority Date Filing Date
BR112017027319-5A BR112017027319B1 (en) 2015-06-18 2016-06-09 ARTICULABLE SURGICAL INSTRUMENT WITH COMPOSITE TRIG ARM STRUCTURES WITH TRIG ARM SUPPORT MEMBER FOR JOINT SUPPORT

Country Status (4)

Country Link
JP (1) JP6824911B2 (en)
CN (1) CN107750142B (en)
BR (1) BR112017027319B1 (en)
RU (1) RU2721296C2 (en)

Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112572238B (en) * 2021-01-15 2023-05-26 安徽华信电动科技股份有限公司 Anti-breaking device for plastic bags of trolley wire rail
CN112914645B (en) * 2021-03-09 2022-06-21 常州安康医疗器械有限公司 Disposable endoscope linear cutting anastomat

Family Cites Families (25)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
RU2110221C1 (en) * 1993-10-01 1998-05-10 Тофик Аскерович Султанов Surgical suture appliance for endoscopic operations
DE60333607D1 (en) * 2002-10-04 2010-09-09 Tyco Healthcare Surgical stapler
US9060770B2 (en) * 2003-05-20 2015-06-23 Ethicon Endo-Surgery, Inc. Robotically-driven surgical instrument with E-beam driver
US7380696B2 (en) * 2003-05-20 2008-06-03 Ethicon Endo-Surgery, Inc. Articulating surgical stapling instrument incorporating a two-piece E-beam firing mechanism
US20070084897A1 (en) * 2003-05-20 2007-04-19 Shelton Frederick E Iv Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism
US7380695B2 (en) * 2003-05-20 2008-06-03 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a single lockout mechanism for prevention of firing
US7494039B2 (en) * 2003-06-17 2009-02-24 Tyco Healthcare Group Lp Surgical stapling device
US6964363B2 (en) * 2003-07-09 2005-11-15 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having articulation joint support plates for supporting a firing bar
US7143925B2 (en) * 2004-07-28 2006-12-05 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating EAP blocking lockout mechanism
WO2006026520A2 (en) * 2004-08-31 2006-03-09 Surgical Solutions Llc Medical device with articulating shaft
CN2764312Y (en) * 2005-01-17 2006-03-15 翁志强 Anastomat for linear cutting
US20060289602A1 (en) * 2005-06-23 2006-12-28 Ethicon Endo-Surgery, Inc. Surgical instrument with articulating shaft with double pivot closure and single pivot frame ground
US8579176B2 (en) * 2005-07-26 2013-11-12 Ethicon Endo-Surgery, Inc. Surgical stapling and cutting device and method for using the device
US7328828B2 (en) * 2005-11-04 2008-02-12 Ethicon Endo-Surgery, Inc, Lockout mechanisms and surgical instruments including same
RU2493788C2 (en) * 2008-02-14 2013-09-27 Этикон Эндо-Серджери, Инк. Surgical cutting and fixing instrument, which has radio-frequency electrodes
RU2437622C2 (en) * 2009-12-17 2011-12-27 Борис Иванович Леонов Surgical sewer for endoscopic operations
CN101999916B (en) * 2010-09-28 2012-04-25 常州市康迪医用吻合器有限公司 Endoscopic surgery cutting stapler with elastic neck ring
US9566048B1 (en) * 2011-04-26 2017-02-14 Cardica, Inc. Surgical instrument with discrete cammed articulation
US20140001231A1 (en) * 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Firing system lockout arrangements for surgical instruments
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US9968355B2 (en) * 2014-12-18 2018-05-15 Ethicon Llc Surgical instruments with articulatable end effectors and improved firing beam support arrangements

Also Published As

Publication number Publication date
RU2721296C2 (en) 2020-05-18
BR112017027319B1 (en) 2022-08-16
CN107750142A (en) 2018-03-02
JP2018518285A (en) 2018-07-12
RU2018101709A (en) 2019-07-18
RU2018101709A3 (en) 2019-10-31
JP6824911B2 (en) 2021-02-03
CN107750142B (en) 2021-04-16

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Legal Events

Date Code Title Description
B06U Preliminary requirement: requests with searches performed by other patent offices: procedure suspended [chapter 6.21 patent gazette]
B09A Decision: intention to grant [chapter 9.1 patent gazette]
B16A Patent or certificate of addition of invention granted [chapter 16.1 patent gazette]

Free format text: PRAZO DE VALIDADE: 20 (VINTE) ANOS CONTADOS A PARTIR DE 09/06/2016, OBSERVADAS AS CONDICOES LEGAIS