BR112020003029B1 - Instrumento cirúrgico - Google Patents

Instrumento cirúrgico Download PDF

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Publication number
BR112020003029B1
BR112020003029B1 BR112020003029-5A BR112020003029A BR112020003029B1 BR 112020003029 B1 BR112020003029 B1 BR 112020003029B1 BR 112020003029 A BR112020003029 A BR 112020003029A BR 112020003029 B1 BR112020003029 B1 BR 112020003029B1
Authority
BR
Brazil
Prior art keywords
cartridge
anvil
jaw
actuator
blade
Prior art date
Application number
BR112020003029-5A
Other languages
English (en)
Portuguese (pt)
Other versions
BR112020003029A2 (pt
Inventor
Adam R. Dunki-Jacobs
Jonathan R. Thompson
Richard P. Nuchols
Original Assignee
Standard Bariatrics, 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
Application filed by Standard Bariatrics, Inc filed Critical Standard Bariatrics, Inc
Priority to BR122021013765-0A priority Critical patent/BR122021013765B1/pt
Priority claimed from PCT/US2018/046743 external-priority patent/WO2019036490A1/en
Publication of BR112020003029A2 publication Critical patent/BR112020003029A2/pt
Publication of BR112020003029B1 publication Critical patent/BR112020003029B1/pt

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • 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
    • A61B17/064Surgical staples, i.e. penetrating the tissue
    • A61B17/0644Surgical staples, i.e. penetrating the tissue penetrating the tissue, deformable to closed position
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • 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
    • A61B17/07292Reinforcements for staple line, e.g. pledgets
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/11Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
    • A61B17/115Staplers for performing anastomosis, e.g. in a single operation
    • A61B17/1155Circular staplers comprising a plurality of staples
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/24Surgical instruments, devices or methods for use in the oral cavity, larynx, bronchial passages or nose; Tongue scrapers
    • A61B17/26Tonsillotomes, with or without means for stopping bleeding
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/28Surgical forceps
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/32Surgical cutting instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/313Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for introducing through surgical openings, e.g. laparoscopes
    • A61B1/3132Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for introducing through surgical openings, e.g. laparoscopes for laparoscopy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00017Electrical control of surgical instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00115Electrical control of surgical instruments with audible or visual output
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00199Electrical control of surgical instruments with a console, e.g. a control panel with a display
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • 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
    • A61B2017/00389Button or wheel for performing multiple functions, e.g. rotation of shaft and end effector
    • A61B2017/00393Button or wheel for performing multiple functions, e.g. rotation of shaft and end effector with means for switching between functions
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • 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
    • 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
    • A61B2017/00407Ratchet means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/0046Surgical instruments, devices or methods 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
    • A61B2017/00743Type of operation; Specification of treatment sites
    • A61B2017/00818Treatment of the gastro-intestinal system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • 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
    • 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
    • A61B2017/07235Stapler heads containing different staples, e.g. staples of different shapes, sizes or materials
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • 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
    • A61B2017/07242Stapler heads achieving different staple heights during the same shot, e.g. using an anvil anvil having different heights or staples of different sizes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • 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
    • A61B2017/07257Stapler heads characterised by its anvil
    • A61B2017/07264Stapler heads characterised by its anvil characterised by its staple forming cavities, e.g. geometry or material
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • 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
    • A61B2017/07285Stapler heads characterised by its cutter
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B17/2909Handles
    • A61B2017/2912Handles transmission of forces to actuating rod or piston
    • A61B2017/2913Handles transmission of forces to actuating rod or piston cams or guiding means
    • A61B2017/2916Handles transmission of forces to actuating rod or piston cams or guiding means pins in guiding slots
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices ; Anti-rape devices
    • A61F5/0003Apparatus for the treatment of obesity; Anti-eating devices
    • A61F5/0013Implantable devices or invasive measures
    • A61F5/0083Reducing the size of the stomach, e.g. gastroplasty

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Ophthalmology & Optometry (AREA)
  • Hematology (AREA)
  • Dentistry (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Otolaryngology (AREA)
  • Pulmonology (AREA)
  • Surgical Instruments (AREA)
  • Materials For Medical Uses (AREA)
  • Transition And Organic Metals Composition Catalysts For Addition Polymerization (AREA)
  • Glass Compositions (AREA)
BR112020003029-5A 2017-08-14 2018-08-14 Instrumento cirúrgico BR112020003029B1 (pt)

Priority Applications (1)

Application Number Priority Date Filing Date Title
BR122021013765-0A BR122021013765B1 (pt) 2017-08-14 2018-08-14 Atuador terminal

Applications Claiming Priority (7)

Application Number Priority Date Filing Date Title
US201762545324P 2017-08-14 2017-08-14
US62/545,324 2017-08-14
US201762579703P 2017-10-31 2017-10-31
US62/579,703 2017-10-31
US201862662517P 2018-04-25 2018-04-25
US62/662,517 2018-04-25
PCT/US2018/046743 WO2019036490A1 (en) 2017-08-14 2018-08-14 END EFFECTORS, SURGICAL STAPLING DEVICES, AND METHODS OF USE THEREOF

Publications (2)

Publication Number Publication Date
BR112020003029A2 BR112020003029A2 (pt) 2020-08-04
BR112020003029B1 true BR112020003029B1 (pt) 2022-03-03

Family

ID=69590566

Family Applications (2)

Application Number Title Priority Date Filing Date
BR112020003029-5A BR112020003029B1 (pt) 2017-08-14 2018-08-14 Instrumento cirúrgico
BR122021013765-0A BR122021013765B1 (pt) 2017-08-14 2018-08-14 Atuador terminal

Family Applications After (1)

Application Number Title Priority Date Filing Date
BR122021013765-0A BR122021013765B1 (pt) 2017-08-14 2018-08-14 Atuador terminal

Country Status (9)

Country Link
EP (2) EP3668412B1 (https=)
JP (3) JP7425722B2 (https=)
CN (1) CN111542275B (https=)
AU (3) AU2018318130B2 (https=)
BR (2) BR112020003029B1 (https=)
CA (3) CA3242251A1 (https=)
ES (1) ES2954097T3 (https=)
HU (1) HUE064581T2 (https=)
MX (6) MX386240B (https=)

Families Citing this family (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
PT4023165T (pt) * 2019-08-29 2023-11-29 Touchstone International Medical Science Co Ltd Mecanismo de acionamento para fecho e agrafador anastomat médico compreendendo o mesmo
CN117042701A (zh) * 2021-03-26 2023-11-10 柯惠有限合伙公司 外科钉仓
EP4312810A1 (en) * 2021-03-26 2024-02-07 Covidien LP Surgical staple cartridge
CN120284357A (zh) * 2021-04-29 2025-07-11 标准肥胖病研究公司 用于在末端执行器上安装手术撑板并使用手术撑板的系统和方法
JP2024523468A (ja) * 2021-06-22 2024-06-28 ダブリュ.エル.ゴア アンド アソシエイツ,インコーポレイティド 非切除型肥満症用カップリングデバイス及び使用方法
EP4475769A4 (en) * 2022-02-10 2025-11-05 Covidien Lp SURGICAL DEVICE EQUIPPED WITH A THREE-POSITION SAFETY RELEASE ASSEMBLY
CN115886912A (zh) * 2022-12-14 2023-04-04 江苏钱璟医疗器械有限公司 加长型电动切割吻合器
CN116439765A (zh) * 2023-03-13 2023-07-18 苏州卡夫思曼医疗科技有限公司 一种线型吻合装置
WO2024215716A1 (en) * 2023-04-11 2024-10-17 Intuitive Surgical Operations, Inc. Surgical stapling instruments and control systems for such instruments
CN117017391A (zh) * 2023-08-22 2023-11-10 江苏钱璟医疗器械有限公司 分体式加长型电动切割吻合器

Family Cites Families (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9060770B2 (en) * 2003-05-20 2015-06-23 Ethicon Endo-Surgery, Inc. Robotically-driven surgical instrument with E-beam driver
US9028511B2 (en) * 2004-03-09 2015-05-12 Ethicon Endo-Surgery, Inc. Devices and methods for placement of partitions within a hollow body organ
US7784662B2 (en) * 2005-02-18 2010-08-31 Ethicon Endo-Surgery, Inc. Surgical instrument with articulating shaft with single pivot closure and double pivot frame ground
US8328061B2 (en) * 2010-02-02 2012-12-11 Covidien Lp Surgical instrument for joining tissue
US20120080336A1 (en) * 2010-09-30 2012-04-05 Ethicon Endo-Surgery, Inc. Staple cartridge comprising staples positioned within a compressible portion thereof
US9827002B2 (en) * 2011-02-15 2017-11-28 Dextera Surgical Tissue removal and closure device
US9101359B2 (en) * 2011-09-13 2015-08-11 Ethicon Endo-Surgery, Inc. Surgical staple cartridge with self-dispensing staple buttress
US20140131418A1 (en) 2012-11-09 2014-05-15 Covidien Lp Surgical Stapling Apparatus Including Buttress Attachment
CA2900330C (en) 2013-02-08 2020-12-22 Ethicon Endo-Surgery, Inc. Multiple thickness implantable layers for surgical stapling devices
EP3125779B1 (en) * 2014-03-29 2023-10-25 Standard Bariatrics, Inc. End effectors for surgical stapling devices
EP3125796B1 (en) * 2014-03-29 2024-03-06 Standard Bariatrics Inc. Surgical stapling devices
US9855040B2 (en) * 2015-03-04 2018-01-02 Covidien Lp Surgical stapling loading unit having articulating jaws
CA2926086A1 (en) 2015-04-29 2016-10-29 Covidien Lp Buttress brachytherapy and integrated staple line markers for margin identification

Also Published As

Publication number Publication date
MX2021011215A (es) 2022-03-04
CA3072771A1 (en) 2019-02-21
HUE064581T2 (hu) 2024-04-28
BR122021013765B1 (pt) 2022-05-03
JP7425722B2 (ja) 2024-01-31
CA3292468A1 (en) 2026-03-02
EP4226869A1 (en) 2023-08-16
JP2020530803A (ja) 2020-10-29
ES2954097T3 (es) 2023-11-20
CA3072771C (en) 2024-10-29
MX2021011212A (es) 2022-03-04
AU2023282261B2 (en) 2025-08-14
EP3668412B1 (en) 2023-06-07
AU2018318130B2 (en) 2023-09-14
JP7651537B2 (ja) 2025-03-26
AU2025267349A1 (en) 2025-12-04
MX2021011217A (es) 2022-03-04
JP2022179621A (ja) 2022-12-02
MX2021011216A (es) 2022-03-04
MX386240B (es) 2025-03-18
JP2023184567A (ja) 2023-12-28
BR112020003029A2 (pt) 2020-08-04
EP3668412A1 (en) 2020-06-24
CN111542275B (zh) 2023-10-03
MX2021011218A (es) 2022-03-04
EP3668412A4 (en) 2021-08-11
AU2023282261A1 (en) 2024-01-18
AU2018318130A1 (en) 2020-02-27
CN111542275A (zh) 2020-08-14
CA3242251A1 (en) 2019-02-21

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Legal Events

Date Code Title Description
B07A Application suspended after technical examination (opinion) [chapter 7.1 patent gazette]
B350 Update of information on the portal [chapter 15.35 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 14/08/2018, OBSERVADAS AS CONDICOES LEGAIS.