CN101420910A - Surgical excision clamp comprising releasable medicaments - Google Patents
Surgical excision clamp comprising releasable medicaments Download PDFInfo
- Publication number
- CN101420910A CN101420910A CNA200780012639XA CN200780012639A CN101420910A CN 101420910 A CN101420910 A CN 101420910A CN A200780012639X A CNA200780012639X A CN A200780012639XA CN 200780012639 A CN200780012639 A CN 200780012639A CN 101420910 A CN101420910 A CN 101420910A
- Authority
- CN
- China
- Prior art keywords
- clip
- soft tissue
- finger piece
- interspersed
- pliers
- 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.)
- Pending
Links
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- 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, e.g. tourniquets
- A61B17/064—Surgical staples, i.e. penetrating the tissue
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/2812—Surgical forceps with a single pivotal connection
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical 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
- A61B2017/07214—Stapler heads
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/2812—Surgical forceps with a single pivotal connection
- A61B17/2833—Locking means
- A61B2017/2837—Locking means with a locking ratchet
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 clip device (250) comprising a releasable medicament for joining portions of soft tissue is described. The clip has two treading portions (252A) adapted to be inserted through the soft tissue and connected to a coupling portion (251B). The clip is used for arresting blood flow into a portion of soft tissue to be excised. The clip remains attached to the soft tissue after the excision and is constructed from bioabsorbable polymeric material and is impregnated with an analgesic, an anaesthetic or an antibiotic substance to help cicatrisation and healing.
Description
Technical field
The present invention relates generally to a kind of cicatrization trace of health soft tissue, more particularly, relate to the clip that is used to engage soft tissue portion, a kind ofly be used to use the apparatus that clip comes the grip tissue part, and use apparatus to reach hemorrhage and not painless basically operating method.
Background technology
Traditionally, in surgical field, the wound of health soft tissue seals by sewing up.Although sew up verified effectively, in some cases, this technology may bother and the time very long.Imagination reduces surgical operation time in the stated type surgical operation with other methods and technology, and avoids other complication.
As known, provide the skin stapler tool as the sub of sewing up by www.jnjgateway.com.The skin stapler tool is applied to pressed nail on the interconnecting parts of soft tissue and is used for cicatrization.For example, as shown from above-mentioned network address, Proximate Plus MD skin stapler is to sell the apparatus of patient's use of preparing to use.Skin stapler is used the rustless steel pressed nail, therefore is for applications because organize enough cicatrization take place after, pressed nail must be removed.
Summary of the invention
Characteristics of the present invention provide new clamp, be used to engage the health soft tissue portion and make cicatrization, and to be provided for be hemorrhage and not painless surgical operation basically.
Another characteristics of the present invention provide a kind of apparatus, are used to use clip of the present invention.
The present invention has characteristics to provide a kind of method again, and described method utilizes apparatus to use clip of the present invention.
According to These characteristics, from broad aspect, the invention provides a kind of method, the blood vessel of described method in the pre-position blocking-up soft tissue relevant with the excision position that will remove a part of soft tissue.This method comprises at least one clip is fixed in a pair of finger piece of pliers step at least one the maintaining body.Finger piece is arranged on the respective side of precalculated position tissue.Finger piece is moved relative to each other, so that at least one clip penetrates soft tissue, and forms anchor clamps thus, with in the precalculated position clamp blood vessels.
According to another broad aspect of the present invention, a kind of clip apparatus is provided, be used to engage the part of health soft tissue, the clip apparatus comprises: at least two interspersed parts, described interspersed part is suitable for passing the soft tissue portion that will engage and is inserted into; Coupling unit, described coupling unit are connected on two interspersed parts at least, so that described interting is fixed on the part of health soft tissue; And at least a in anesthetics, analgesic and the antibiotic medicine, in the described medicine at least a intert in part and the coupling unit at least one in, and can discharge to reach and palliate the agonizing sufferings and prevent at least a effect in the soft tissue infection.
According to another broad aspect of the present invention, a kind of apparatus is provided, be used for the bonding part of clamps application to the health soft tissue, described apparatus comprises: pliers, described pliers has a pair of member, and each members pivot ground is installed mutually, and each component limit shank portion and finger piece part, described shank portion can be operated, to move the finger piece part with scissor action; And maintaining body, at least one in the finger piece part of described maintaining body, be suitable for holding clip, be used to engage the part of health soft tissue; Wherein the closed action of pliers will make clip be fixed on the part of health soft tissue.
Description of drawings
Now with reference to description of drawings the preferred embodiments of the present invention, wherein:
Fig. 1 is the perspective view of apparatus that is used to use the clip of basic configuration of the present invention;
Fig. 2 A is the perspective view of the first arm of apparatus;
Fig. 2 B is the perspective view of second arm of apparatus;
Fig. 3 is the perspective view that is used to use the apparatus of the clip with crooked clip composition surface;
Fig. 4 is one a enlarged perspective in the crooked clip composition surface of apparatus among Fig. 3;
Fig. 5 is the finger piece enlarged perspective of apparatus that is used to use the clip on the clip composition surface with groove;
Fig. 6 is the signal front elevation view of profile of the part of the subdivision of bending clamp made in accordance with the present invention that apparatus uses in Fig. 3;
Fig. 7 is the front elevation view of the folder of pressed nail made in accordance with the present invention that will apparatus uses in Fig. 5;
Fig. 8 be will apparatus uses in Fig. 5 the front elevation view of row's pressed nail folder made in accordance with the present invention;
Fig. 9 is the front elevation view that the pressed nail folder has passed through the apparatus bending of Fig. 5 among Fig. 7;
Figure 10 be will the another kind of clip made in accordance with the present invention that apparatus uses in Fig. 5 perspective view;
Figure 11 is the front elevation view of clip among Figure 10;
Figure 12 is the enlarged drawing of the finger piece of the embodiment of apparatus among Fig. 5;
Figure 13 is the perspective view of apparatus from watching downwards that is used to use the clip of another embodiment of the present invention;
Figure 14 is used for using the perspective view that the apparatus of Figure 13 clip is watched from side direction;
Figure 15 is the enlarged perspective from watching downwards that the operation part that is used for using the apparatus of Figure 13 clip wherein has clip;
Figure 16 is the enlarged perspective from watching downwards that the finger piece of operation part that is used for using the apparatus of Figure 13 clip wherein has clip;
Figure 17 is the perspective view according to the clip of another embodiment of the present invention manufacturing;
Figure 18 is the exploded view that has soft tissue layer in the middle of the clip among Figure 17;
Figure 19 is the enlarged perspective of clip among Figure 17; With
Figure 20 is that the apparatus that is used for using Figure 13 clip wherein has the enlarged perspective that the operation part of the clip of Figure 17 is watched from side direction.
The specific embodiment
The replacement method of sewing up provides a kind of biology and can absorb clip, and described biology can absorb clip with the apparatus of using this clip, dissolves along with the time.The assembly of clip and apparatus can use in the surgical operation of stated type.For example, imagination uses the assembly of clip and apparatus to be used for " closed type does not go out internal hemorrhoid with bleeding excision method ", as the U.S. Patent application No.10/152 of the applicant's pending trial when submit to 2002 on May 23,, described in 563.
Referring to accompanying drawing, more specifically referring to Fig. 1,2A and 2B, the apparatus that is used to use the clip that basic configuration of the present invention makes is represented with 10 usually.Apparatus 10 is made by the material that is applicable to autoclave (for example rustless steel, titanium), because it is reusable, and therefore needs sterilization.Apparatus 10 has the pliers that is limited by the first arm 12A and the second arm 12B.For clarity sake, the parts of apparatus 10 additional " A " will be the parts of the first arm 12A, and the parts of apparatus 10 additional " B " will be the parts of the second arm 12B.
Shank portion 14 has finger engagement ring 20A and 20B, and end user's finger inserts among described finger engagement ring 20A and the 20B, with the operating side 16 of control control instrument 10.Butt joint retainer 22A and 22B restriction apparatus 10 are in its closing direction motion.
At pivot 18 places, the first arm 12A has slit 24A.This slit 24A is limited by the wall of pair of parallel.Through hole 26A is perpendicular to parallel walls and be set for and hold pivot 18.The second arm 12B has connector wall part 28B, and described wall part 28B has the pair of parallel surface, is used for when arm 12A and 12B intercouple and the inner surface sliding-contact of slit 24A.Through hole 30B is perpendicular to parallel surface, and locatees coaxially with respect to through hole 26A when arm 12A and 12B intercouple, so that pivot 18 is contained in wherein.
The operating side 16 of apparatus 10 comprises finger piece 40A and 40B.This finger piece 40A and 40B have clip bearing- surface 42A and 42B separately.The plane that described finger piece 40A and 40B keep flat usually with respect to apparatus 10 is crooked.This characteristics are preferred, because this has improved the observability of surgeon to finger piece 40A and 40B.Same as shown in Fig. 1,2A and 2B, clip composition surface 42A and 42B are flat basically.Yet as following will the explanation, clip composition surface 42A and 42B can have various moulding or shape.Butt joint retainer 22A is pasting another with the situation next one that 22B is arranged to meet in the copline of clip composition surface 42A and 42B simultaneously usually and is contacting.
Although not shown in Fig. 1,2A and 2B, apparatus 10 is equipped with the clip maintaining body on clip composition surface 42A and 42B, is used for using waiting clip is fastening at the surgery intra-operative.Explain in the declarative procedure of the embodiment that this also provides below.
Referring to Fig. 3 and 4, apparatus shown in the figure 10 has the moulding of regulation on clip composition surface 42A and 42B.Or rather, from perpendicular to planar viewpoint, moulding can be said that it is crooked becoming, two finger pieces 40 are arranged in described plane.Each moulding is homophase not toward each other, is meshing with each other when being in its make position with convenient apparatus 10.
As seen in fig. 4, pair of connectors hole 44A is located at the opposite end of the moulding of clip composition surface 42A.Hole 44A is axially perpendicular to clip composition surface 42A.Therefore, as shown in Figure 6, the clip portion 60 that has the pair of curved face and be provided with pair of connectors pin 62 in its opposite end can removably be arranged to lean on clip composition surface 42A under adapter pin 62 is contained in situation among the connecter hole 44A.Additional clip portion (not shown) remains on the 42B of clip composition surface in the mode identical with clip portion 60 (being the adapter pin).In case clip portion 60 and additional clip portion are arranged on the apparatus 10, finger piece 40A and 40B are just closed toward each other, bindiny mechanism on clip portion 60 and the additional clip (promptly intert part 64) can match thus, fixes soft tissue between them so that the cicatrization trace to form clip in response to the closed action of apparatus 10 and pressure.In case clip portion 60 and additional clip interconnect,, then apparatus 10 is opened, and therefore finger piece 40A and 40B are separated from each other, thereby from then on unclamp clip to push soft tissue and to carry out surgical operation (such as excision).Therefore, apparatus 10 can hold another clip for further using.
Referring to Fig. 5, apparatus 10 has groove 50A along the clip composition surface 42A of its finger piece 40A.This groove 50A is suitable for holding and keeps various types of clips.
As shown in Figure 7, pressed nail folder of the present invention represents with 70 that usually described pressed nail folder 70 has opposed interspersed part 72 and coupling unit 74, and described interspersed part 72 is used to pierce through soft tissue, and described coupling unit 74 interconnects with interspersed part 72.Be inserted into groove 50A by coupling unit 74 with frictional fit, pressed nail folder 70 is clamped among the described groove 50A.In Fig. 5, a plurality of pressed nail 70 are shown are inserted among the groove 50A with a form of arranging pressed nail, will be described below.Preferably, groove 50A entirely holds pressed nail 70, so that the surgeon moves freely apparatus 10 on soft tissue, and does not have pressed nail 70 and disturbs.
As seen in fig. 12, finger piece 40B has the highlight bar 43B of belt deflector structure.Therefore, when carrying out closed action on apparatus 10, highlight bar 43B enters among the cavity 50A, takes away wherein soft tissue subsequently.In doing so, the interspersed part 72 of pressed nail folder 70 pierces through the part of soft tissue, to run into the deflection structure of highlight bar 43B, interspersed part 72 is curved inwardly (being similar to staple), as shown in Figure 9, and to reach fastening and to keep.Therefore, soft tissue is squeezed between the crooked interspersed part 72 and coupling unit 70, so that help cicatrization.
As shown in Figure 8, a plurality of pressed nail folders 70 are side by side represented, and comprised to row's pressed nail folder 70 usually with 80.Ride nail row 80 and can be used to engage the directly soft tissue of wound.
Referring to Figure 10 and 11, be suitable for the clip that the apparatus 10 with Fig. 5 uses and represent with 100 usually.Clip 100 has convex part 102A and concave portions 102B.Convex part 102A has the main body that is provided with contact surface 104A and acting surface 106A.A plurality of interspersed part 108A are perpendicular to contact surface 104A, and a plurality of adapter 110A is perpendicular to acting surface 106A.Each interspersed part 108A is included in the bar that its free end is provided with tip.Require the spike pierces soft tissue.
As shown in Figure 10, the spacing between the through hole 112B is equivalent to the spacing between the interspersed part 108A, and convex part 102A and concave portions 102B can interconnect by the cooperation of interspersed part 108A and through hole 112B like this.The tip of interspersed part 108A preferably diameter to guarantee that adapter 102A and 102B keep interconnecting, makes the soft tissue portion cicatrization that is squeezed between contact surface 104A and the 104B greater than through hole 112B.Clip 100 preferably comprises biodegradable polymer, thereby it has resilience to a certain degree, makes tip can pass through hole 112B extruding, and is also like this even they have larger diameter.
Also imagination provides the apparatus 10 with the locking mechanism that is clasped to come removably clip portion to be fixed on the described apparatus 10.The locking mechanism that is clasped is suitable for unclamping clip when finger piece 40A and 40B are separated from each other.The power of interconnecting between clip two parts is higher than the power of being clasped clip portion is remained to power required on the apparatus 10.
As the U.S. Patent application No.10/152 of while pending trial, described in 563, the surgical operation of some type before being included in and excising engages soft tissue portion.Therefore, imagination uses clip of the present invention and apparatus to be used for the not hemorrhage excision surgical operation of closure.In this case, can make apparatus 10 remain on correct position, guarantee normal haemostasis on clip, to exert pressure.
The described clip of Fig. 6 to 11 is preferably made with the biologically absorbable polymer material, and applies or can encapsulated agents, such as anesthetics, analgesic and/or antibiotic, is used for cicatrization to keep gradually the part to be transported to soft tissue.For example, can use antibiotic, such as Cipro
TMTreat acute hemorrhoids disease.Suitable anesthetics is
, and suitable analgesic is Celebrex
TMAnd Toradol
TM
Under the situation of encapsulated agents, the biodegradation of clip will cause the release of medicament, local thus delivery of medicaments.Can avoid so in most of the cases must opening anesthetics, carry out surgical operation then to patient.Use clip of the present invention will reduce the caused pain of surgical operation under the situation of using analgesic significantly.
Referring to accompanying drawing,, be used to use according to the apparatus of the clip of another embodiment of the present invention manufacturing and represent with 210 usually more specifically referring to Figure 13 and 14.Apparatus 210 is made by the material that is applicable to autoclave (for example rustless steel, titanium), because it is reusable, and therefore needs sterilization.Apparatus 210 has the pliers that is limited by the first arm 212A, the second arm 212B and the 3rd arm 212C.For clarity sake, the parts of apparatus 210 additional " A " will be the parts of the first arm 212A, and the parts of apparatus 210 additional " B " will be the parts of the second arm 212B, and the parts of apparatus 210 additional " C " are the parts of the 3rd arm 212C.
Shank portion 214 and operation part 216 are by pivot 218 separately.The first arm 212A remains on pivot 218 between its a pair of isolated plate 224.The second arm 212B and the 3rd arm 212C have plate portion 226B and 226C respectively, by described plate portion 226B and 226C they are in pivot 218 pivots and are connected.
The first arm 212A and the second arm 212B
Shank portion 214 has finger engagement ring 220A and 220B, and end user's finger inserts among described adapter ring 220A and the 220B, so that the operation part 216 of control instrument 210.Butt joint groove 222A and butted part 222B restriction apparatus 210 move on its closing direction.
The operation part 216 of apparatus 210 comprises finger piece 240A, 240B and 240C.Finger piece 240A and 240B have clip supporting part 242A and 242B separately.More precisely, as shown in Figure 15 and 16, clip supporting part 242A is a holder, and clip portion A remains in the described holder.As seeing in Figure 16, slit 243A is communicated with clip supporting part 242A, and will be used for taking out clip portion A from clip supporting part 242A, will illustrate as following.
The 3rd arm 212C
Referring to Figure 13, and as mentioned above, the 3rd arm 212C is used for clip portion A and B are locked together.
The 3rd arm 212C has ratchet part 220C, contiguous finger engagement ring 220A of described ratchet part 220C and 220B.Ratchet part 220C will match with the keeper 223A of the first arm 212A, in case ratchet part 220C engages with keeper 223A like this, the 3rd arm 212C just can not separate by scissors movement.The planar lateral pressure that applies perpendicular to apparatus 210 separates ratchet part 220C and keeper 223A.
The 3rd arm 212C has finger piece 240C, and described finger piece 240C has compressing member 243C.Compressing member 243C is processed into certain size, be received so that pass slit 243A, and closed scissors movement is between the first arm 212A and the 3rd arm 212C.
Referring to Figure 17 and 18, the clip of embodiments of the invention is represented with 250 usually.This clip 250 has clip portion A and clip portion B.
Clip portion A has support section 251A, and convex-shaped connector 252A stretches out from described support section 251A.Each convex-shaped connector 252A has pointy end and a series of ring wedge 253A.
Clip portion B has support section 251B, and it has a plurality of spill adapter 252B.Each spill adapter 252B has fin 253B, and described fin 253B will match with ring wedge 253A, convex-shaped connector 252A can be received and is locked among the spill adapter 252B, as shown in figure 17, and amplifies in Figure 19.
In Figure 18, with S1 and S2 schematically represent will cicatrization soft tissue layer.Clip 250 is structurally identical with the described clip of Fig. 6 to 11.Therefore, clip 250 is preferably biodegradable, so that through soft tissue layer S1 and the degraded of S2 cicatrization.
Referring to Figure 13,16 and 18, the clip portion A of clip 250 and B are separately positioned among clip supporting part 242A and the 242B simultaneously.Finger piece 240A and 240B are spaced from each other by the shank of apparatus 210, thereby use finger engagement ring 220A and 220B.Soft tissue layer that will cicatrization is arranged between clip A and the B, as shown in Figure 18.
At this moment, finger piece 240A and the 240B leverage that can provide by finger engagement ring 220A and 220B once more is integrated into together.Soft tissue layer remains between clip portion A and the B.As mentioned above, groove 222A and butted part 222B restriction (Figure 13) are docked in the motion of finger piece 240A and 240B.
At this moment, clip portion A and B lock mutually, so that soft tissue layer is clamped between the two.This step utilizes the 3rd arm 212C to finish.The closing motion of the 3rd arm 212C will make compressing member 243C enter slit 243A, and tightly suppress clip portion A.This pressure will make clip portion A and B interconnect, and soft tissue layer is compressed between the two simultaneously.Cooperation between ratchet part 220C and the keeper 223A keeps together finger piece 240A and 240B.
Therefore, after the pressure that applies the 3rd arm 212C, will form clip 250, and soft tissue layer is between described clip 250.Cooperation between clip portion A and the B will guarantee that clip 250 remains on correct position.Clip 250 discharges anesthetics or other analog along with the time degraded when needing, and stays the soft tissue of cicatrization.Will point out, clip and cause the excision of tissue by the application of pliers of the present invention, and resection operation makes the not hemorrhage and no pain of patient basically.
Comprise any tangible modification of embodiment described herein in the scope of the present invention, these that provide are revised all in the scope of appended claims book.
Claims (10)
1. one kind in the method with respect to the pre-position blocking-up soft tissue medium vessels at excision position, and part will be removed a part of soft tissue at the excision position, said method comprising the steps of:
I) at least one clip is fixed in a pair of finger piece of pliers on the maintaining body of at least one;
Ii) the described finger piece of described pliers is arranged on the respective side of described tissue of described pre-position; With
Iii) described finger piece is movable relative to each other,, thereby described blood vessel is clamped in described precalculated position so that described at least one clip passes described soft tissue and form anchor clamps.
2. the method for claim 1, wherein, described clip is the pressed nail folder, described pressed nail anchor clamps have opposed interspersed part to pierce through described soft tissue, an and coupling interconnect bridge part, described step (i) comprises in frictional fit by wherein described at least one the groove in described finger piece fixes described bridging part, described step makes the deflection relative to one another of described interspersed part after (iii) being included in and passing described soft tissue, to push described tissue, block blood vessel and promote cicatrization in described precalculated position.
3. method as claimed in claim 2, wherein, described step (i) comprises fixes two described bridging part in the described pressed nail folder in described groove at least with aligned end-to-end relation, another finger piece in the described paired finger piece has the deflection structure therein, so that the deflection relative to one another of described interspersed part.
The method of claim 1, wherein step (iii) after, be provided with the following step: (iv) keep described anchor clamps and described soft tissue pinch engagement; (v) finish excision, to remove the described part of described soft tissue; (vi) move described finger piece and make mutually and leave, in the surgical operation of not hemorrhage and no pain basically, removed described soft tissue portion thus after described soft tissue keep by described clamp.
5. the method for claim 1, wherein described clip biologically absorbable polymer material manufacture, and described material can soak into a kind of in analgesic, anesthetics or the antibiotic substance.
6. the method for claim 1, wherein, described clip comprises convex part and concave portions, described convex partly has tissue contact surface and a plurality of interspersed part perpendicular to above-mentioned contact surface, described interspersed part has the free end of point, described concave portions has contact surface and through hole, be provided with described through hole with the link that holds described interspersed part in wherein, described step (i) comprises described convex part and concave portions is fixed in the described finger piece of described paired finger piece corresponding one.
7. method as claimed in claim 4, wherein, the finger piece of described pliers interfixes pivotally, and merges in the respective arms of shank portion, described step (ii) and is (iii) finished by handling described shank portion, to move described paired finger piece with scissor action.
8. method as claimed in claim 7, wherein, described pliers has the 3rd arm, described the 3rd arm is provided with maintaining body, one in the described finger piece of this maintaining body and described paired finger piece is matched, described step (iv) comprises by described maintaining body makes described one in the described finger piece to close with described the 3rd knee-joint, to keep the described pinch engagement of described pliers.
9. one kind is used for by engaging the clip apparatus of health soft tissue portion in accordance with the method for claim 1, and wherein, the clip apparatus comprises:
At least two interspersed parts, described interspersed part are suitable for being inserted into passes the health soft tissue portion that will engage to block its medium vessels;
Coupling unit, described coupling unit are connected on described two interspersed parts at least, so that described interting is fixed on the part of health soft tissue; With
At least a in anesthetics, analgesic and the antibiotic substance, in described anesthetics, analgesic and the antibiotic substance at least a intert in part and the coupling unit at least one in, and can discharge to reach and palliate the agonizing sufferings and prevent at least a effect in the soft tissue infection.
10. one kind by using the apparatus that clip engages the part of health soft tissue in accordance with the method for claim 1, and it comprises:
Pliers, described pliers has a pair of member, and each members pivot ground is mounted mutually, and each component limit shank portion and finger piece part, and described shank portion can be operated, and moves the finger piece part with scissor action; With
Maintaining body, at least one in finger piece part of described maintaining body, maintaining body is suitable for holding the clip of the part that is used to engage the health soft tissue;
Wherein, the closed action of pliers will make clip be fixed on the part of health soft tissue.
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US77185106P | 2006-02-10 | 2006-02-10 | |
| US60/771,851 | 2006-02-10 |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN101420910A true CN101420910A (en) | 2009-04-29 |
Family
ID=38344844
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CNA200780012639XA Pending CN101420910A (en) | 2006-02-10 | 2007-02-12 | Surgical excision clamp comprising releasable medicaments |
Country Status (5)
| Country | Link |
|---|---|
| EP (1) | EP1981408A1 (en) |
| CN (1) | CN101420910A (en) |
| CA (1) | CA2641784A1 (en) |
| RU (1) | RU2008136378A (en) |
| WO (1) | WO2007090291A1 (en) |
Families Citing this family (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP2015681B1 (en) | 2006-05-03 | 2018-03-28 | Datascope Corp. | Tissue closure device |
| JP5908482B2 (en) * | 2010-09-30 | 2016-04-26 | エシコン・エンド−サージェリィ・インコーポレイテッドＥｔｈｉｃｏｎ Ｅｎｄｏ−Ｓｕｒｇｅｒｙ，Ｉｎｃ． | Fastener system including a retention matrix |
| US10485545B2 (en) | 2013-11-19 | 2019-11-26 | Datascope Corp. | Fastener applicator with interlock |
| US11653928B2 (en) | 2018-03-28 | 2023-05-23 | Datascope Corp. | Device for atrial appendage exclusion |
Family Cites Families (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4060089A (en) * | 1975-09-03 | 1977-11-29 | United States Surgical Corporation | Surgical fastening method and device therefor |
| US4741337A (en) * | 1985-07-17 | 1988-05-03 | Ethicon, Inc. | Surgical fastener made from glycolide-rich polymer blends |
| US5156315A (en) * | 1990-09-17 | 1992-10-20 | United States Surgical Corporation | Arcuate apparatus for applying two-part surgical fasteners |
| US5551622A (en) * | 1994-07-13 | 1996-09-03 | Yoon; Inbae | Surgical stapler |
-
2007
- 2007-02-12 CN CNA200780012639XA patent/CN101420910A/en active Pending
- 2007-02-12 RU RU2008136378/14A patent/RU2008136378A/en not_active Application Discontinuation
- 2007-02-12 WO PCT/CA2007/000204 patent/WO2007090291A1/en active Application Filing
- 2007-02-12 CA CA002641784A patent/CA2641784A1/en not_active Abandoned
- 2007-02-12 EP EP07710618A patent/EP1981408A1/en not_active Withdrawn
Also Published As
| Publication number | Publication date |
|---|---|
| EP1981408A1 (en) | 2008-10-22 |
| RU2008136378A (en) | 2010-03-20 |
| CA2641784A1 (en) | 2007-08-16 |
| WO2007090291A1 (en) | 2007-08-16 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| US10335158B2 (en) | Vascular and intestinal occlusion | |
| US11304704B2 (en) | Surgical clip applier and ligation clips | |
| US10383627B2 (en) | Surgical staple-clip and applier | |
| RU2611916C2 (en) | Surgical instrument with staple reinforcement clip | |
| US8900256B2 (en) | Fluid delivery system for surgical instruments | |
| US4458682A (en) | Non-metallic, bio-compatible hemostatic clips (ring lock clips) | |
| US6706057B1 (en) | Compression suture device | |
| JP5859537B2 (en) | Intervertebral joint drill and method of use | |
| CN103371859B (en) | Variable compression surgical fastener apparatus | |
| US20060195102A1 (en) | Apparatus and method for treatment of spinal conditions | |
| JP2008500114A (en) | Surgical device that captures, positions, and aligns the horizontally ruptured human sternum part | |
| CN1969769A (en) | Surgical clip and applier device | |
| JP2006297120A (en) | Surgical instrument | |
| JPH05176936A (en) | Suture clip in endoscope operation | |
| JPH10512469A (en) | Surgical stapling system and method for applying staples from multiple staple cartridges | |
| WO2013105848A1 (en) | Blood vessel connectors and methods for blood vessel connection | |
| CN101420910A (en) | Surgical excision clamp comprising releasable medicaments | |
| EP3760140A2 (en) | Multi-piece ligation clip | |
| US20080188875A1 (en) | Bloodless and painless surgical method | |
| US20130140341A1 (en) | Linear stapled hemorrhoidectomy systems and methods | |
| US9554798B2 (en) | System and method for forming a T-shaped surgical clip | |
| JP2004513670A (en) | Vessel limbus coupler | |
| AU2013206351B2 (en) | Fluid delivery system for surgical instruments |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| C06 | Publication | ||
| PB01 | Publication | ||
| C10 | Entry into substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| C02 | Deemed withdrawal of patent application after publication (patent law 2001) | ||
| WD01 | Invention patent application deemed withdrawn after publication |
Open date: 20090429 |