CN107361807A - 用于柔性环形吻合器的插入器械、接合器组件和保护器组件 - Google Patents

用于柔性环形吻合器的插入器械、接合器组件和保护器组件 Download PDF

Info

Publication number
CN107361807A
CN107361807A CN201710325565.0A CN201710325565A CN107361807A CN 107361807 A CN107361807 A CN 107361807A CN 201710325565 A CN201710325565 A CN 201710325565A CN 107361807 A CN107361807 A CN 107361807A
Authority
CN
China
Prior art keywords
component
assembly
elongate body
adapter assembly
distal end
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.)
Granted
Application number
CN201710325565.0A
Other languages
English (en)
Other versions
CN107361807B (zh
Inventor
戴维·瑞森耐特
拉塞尔·普里巴尼奇
斯坦尼斯瓦夫·马尔奇克
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Covidien LP
Original Assignee
Covidien LP
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 Covidien LP filed Critical Covidien LP
Priority to CN202111128487.8A priority Critical patent/CN113662605A/zh
Publication of CN107361807A publication Critical patent/CN107361807A/zh
Application granted granted Critical
Publication of CN107361807B publication Critical patent/CN107361807B/zh
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B17/115—Staplers for performing anastomosis in a single operation
    • A61B17/1155—Circular staplers comprising a plurality of staples
    • 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
    • A61B17/07207—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 the staples being applied sequentially
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30—Surgical robots
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/70—Manipulators specially adapted for use in surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B17/1114—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis of the digestive tract, e.g. bowels or oesophagus
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/003—Steerable
    • A61B2017/00318—Steering mechanisms
    • A61B2017/00323—Cables or rods
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/00336—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means with a protective sleeve, e.g. retractable or slidable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
    • A61B2017/00473—Distal part, e.g. tip or head
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00477—Coupling
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00535—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated
    • A61B2017/00557—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated inflatable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00681—Aspects not otherwise provided for
    • A61B2017/00734—Aspects not otherwise provided for battery operated
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831—Material properties
    • A61B2017/00876—Material properties magnetic
    • 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
    • A61B2017/07285—Stapler heads characterised by its cutter
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, 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
    • A61B90/08—Accessories or related features not otherwise provided for
    • A61B2090/0801—Prevention of accidental cutting or pricking
    • A61B2090/08021—Prevention of accidental cutting or pricking of the patient or his organs
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, 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
    • A61B90/30—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
    • A61B2090/309—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure using white LEDs
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2217/00—General characteristics of surgical instruments
    • A61B2217/002—Auxiliary appliance
    • A61B2217/007—Auxiliary appliance with irrigation system
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, 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
    • A61B90/30—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, 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
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B90/361—Image-producing devices, e.g. surgical cameras

Landscapes

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

Abstract

本发明公开了用于柔性环形吻合器的插入器械、接合器组件和保护器组件。提供了一种用于将手柄组件连接于装载单元的接合器组件。所述接合器组件包括：壳体；细长主体，其从所述壳体延伸；以及套管针组件，其被支撑在所述细长主体内并且包括套管针构件。所述套管针构件从所述细长主体延伸并且带有磁力。还提供了用于在手术吻合器引入患者内期间保护所述手术吻合器的远侧端的各种组件。

Description

用于柔性环形吻合器的插入器械、接合器组件和保护器组件
相关申请的交叉引用
本申请要求于2016年5月10日提交的美国临时专利申请序列号62/334,145的利益和优先权，其全部内容通过引用并入本文。
技术领域
本公开涉及手术吻合设备。更具体地，本公开涉及用于动力柔性环形吻合器的插入器械、接合器组件和保护器组件。
背景技术
环形吻合器被用以执行端端吻合术。在典型的手术操作中，环形吻合器的砧座被输送到手术部位，同时支撑在细长轴上的环形吻合器的吻合钉钉仓被插入穿过例如腹壁中的切口。或者，环形吻合器可以包括柔性轴，所述柔性轴允许通过自然身体孔口(例如，嘴或肛门)将吻合钉钉仓引入到手术部位。环形吻合器可以是手动的或动力的，并且可以被修改用于与机器人手术系统一起使用。
为了更好地便利环形吻合器的柔性轴的引入和定位，将会有益的是具有如下的环形吻合器：该环形吻合器包括用于在手术操作期间将环形吻合器的砧座组件连接到环形吻合器的细长主体的有效机构。同样会有益的是具有如下的引入器(introducer)：该引入器例如在将环形吻合器引入到患者中的期间使对患者和/或对环形吻合器的损害最小化。进一步会有益的是具有如下的环形吻合器：该环形吻合增进手术操作的可视化。同样会有益的是具有如下的环形吻合器：该环形吻合器带有能够容纳引导线缆和/或允许将生理盐水喷射到吻合术部位以例如测试密封并使操纵简易的细长主体。
发明内容
提供了用于将手柄组件连接于装载单元的接合器组件。所述接合器组件包括：壳体；细长主体，其从所述壳体延伸；以及套管针组件，其被支撑在所述细长主体内并且包括套管针构件。所述套管针构件从所述细长主体延伸，其中，所述套管针构件带有磁力。
在实施例中，所述接合器组件包括砧座组件。所述砧座组件可包括中心杆，所述中心杆带有磁力从而以所述中心杆被磁性地吸引到所述套管针构件的这种方式来与所述套管针构件互补。所述砧座组件可包括可移除顶端。所述可移除顶端可以带有磁力从而以所述可移除顶端被磁性地吸引到所述套管针构件的这种方式来与所述套管针构件互补。所述套管针组件可包括电磁体，所述电磁体围绕所述套管针构件被接收以用于选择性地使所述套管针构件带有磁力。所述接合器组件可进一步包括光源。
还提供了一种用于方便将砧座组件放置在患者内的插入器械。所述插入器械包括：手柄组件；细长主体，其从所述手柄组件延伸；电磁体，其包括环绕铁磁体构件被接收的线圈，所述电磁体被布置在所述细长主体的远侧端上；以及光源，其布置在所述细长主体的远侧端上。在实施例中，所述插入器械包括用于选择性地激活所述电磁体的第一开关组件。所述插入器械可包括用于选择性地激活所述光源的第二开关组件。
提供了用于在将手术吻合器引入患者内期间保护所述手术吻合器的功能端的另一组件。所述组件包括套筒，其具有近侧端和远侧端并且能够围绕细长主体被接收。所述套筒限定位于所述远侧端上的可膨胀腔，所述可膨胀腔构造成邻近所述细长主体的远侧端布置。所述组件还包括注入口，其与所述可膨胀腔流体连通以用于使所述可膨胀腔选择性地膨胀。
在实施例中，所述套筒进一步限定沿着所述套筒的长度延伸的弱化(weakened)部。所述套筒可包括位于所述近侧端上的手柄部。所述组件可包括注入流体源。所述注入流体源可包括注射器。
还提供了一种用于保护手术吻合器的功能端的组件。所述组件包括：套筒，其具有近侧端和远侧端；以及帽构件，其固定到所述套筒的所述远侧端。所述帽构件可包括通过脆性(frangible)连接件彼此连接的多个叶片件。所述脆性连接件可包括弱化的桥形件。
在实施例中，所述套筒包括位于所述近侧端上的手柄部。所述套筒可进一步限定沿着所述套筒的长度延伸的弱化部。所述组件还可包括布置在所述帽构件的远侧端上的相机。所述组件可包括转向组件，所述转向组件具有转向环和固定至所述转向环的多根转向线缆。所述多根转向线缆可沿着所述套筒的长度延伸。
还提供了一种用于保护环形吻合装置的远侧端的组件。所述组件包括具有第一部分和第二部分的可膨胀构件，其中所述第一部分小于所述第二部分并且构造成被接收在装载单元的远侧端内。所述组件还包括注入口，其可操作地连接至所述可膨胀构件以用于使所述可膨胀构件选择性地膨胀和缩小。
在实施例中，所述可膨胀构件包括雪人形。所述第一部分和所述第二部分均可以是大致球形的。
附图说明
包含在说明书中并构成说明书的一部分的附图示出了本公开的实施例，并且与上面给出的对本公开的总体描述以及下面给出的对实施例的详细描述一起用于解释本公开的原理，其中：
图1是根据本公开的实施例的示例性手柄组件和接合器组件的侧视图；
图2是根据本公开的实施例的砧座组件的侧视图；
图3是根据本公开的另一实施例的砧座组件的侧视图；
图4是根据本公开的另一实施例的接合器组件的侧视图；
图5是根据本公开的实施例的插入器械和砧座组件的立体图；
图6是图5中所示的插入器械的远侧端的放大立体侧视图；
图7是根据本公开的实施例的、围绕图1中所示的接合器组件被接收的保护组件的立体侧视图；
图8是图7中所示的保护组件的套筒构件的立体侧视图；
图9A是图8中所示的套筒构件的远侧端处于第一或膨胀状态时的放大侧视图；
图9B是图8中所示的套筒构件的远侧端处于第二或瘪缩状态时的放大侧视图；
图10是根据本公开的另一实施例的、围绕图1中所示的接合器组件被接收的保护组件的立体侧视图；
图11A至图11D是图10中所示的保护组件的帽构件具有两个叶片件(图11A)、三个叶片件(图11B)、四个叶片件(图11C)和五个叶片件(图11D)时的端视图；
图12是图10中所示的保护组件的立体侧视图，其围绕图1中所示的接合器组件被接收并且被接收在食管的残端内；
图13是根据本公开的另一实施例的保护组件的远侧端的立体侧视图；
图14是图13中所示的保护组件的远侧端的端视图；
图15是图13中所示的保护组件的剖视侧视图；
图16是根据本公开的另一实施例的保护组件的立体侧视图，其围绕图1中所示的接合器组件被接收，该接合器组件固定到图1中所示的示例性手柄组件；
图17是沿着图16中的线17-17得到的剖视端视图；
图18是根据本公开的另一实施例的保护组件的侧视局部侧视剖视图；
图19是根据本公开的实施例的装载单元以及围绕该装载单元的远侧端接收的管形器官的立体侧视图；
图20是图19中所示的装载单元的剖视立体侧视图；
图21是图19中所示的装载单元在冲洗操作期间的剖视立体侧视图；
图22是包括适用于与本公开的实施例一起使用的机器人手术组件的机器人手术系统的示意性图示。
具体实施方式
参考附图详细描述本公开的实施例，其中在若干视图的每一幅中相同的附图标记表示相同或相应的元件。如本文使用的，术语“远侧”是指接合器组件或手术设备或其部件的较远离使用者的那部分，而术语“近侧”是指接合器组件或手术设备或其部件的较靠近用户的那部分。
将关于动力手柄组件10详细描述本公开的实施例。尽管被示出和描述为涉及动力手柄组件10，但可以设想，本公开的实施例可以被修改为与具有各种构造的动力和非动力手柄组件一起使用。对于示例性动力环形吻合器的详细描述，请参考共有的美国专利申请公开第2002/0253329号(“'329申请”)，其内容通过引用整体上并入本文。另外，对于示例性机电动力手柄组件的详细描述，请参考共有的美国专利申请公开第2015/0157320号(“'320”申请)，其内容通过引用整体上并入本文。
继续参考图1，根据本公开的实施例的接合器组件总体上被示出为接合器组件100。接合器组件100将仅描述到完全公开本公开的方案所必需的程度。对于示例性接合器组件的详细说明，请参考2015年10月9日提交的、序列号为62/239,301的共有的美国临时专利申请和2015年11月5日提交的、序列号为62/251,300的共有的美国临时专利申请，每个申请的内容通过引用整体上并入本文。
接合器组件100可释放地连接到动力手柄组件10。接合器组件100包括可操作地连接到动力手柄组件10的壳体102和从壳体102延伸的细长主体104。装载单元110可以与接合器组件100形成一体，或者可以可释放地联接到接合器组件100以允许接合器组件100的再使用。细长主体104是柔性的，以便于将装载单元110插入体内。
套管针构件106从细长主体104的远侧端延伸，用于可释放地接合砧座组件，即砧座组件120(图2)。如图所示，套管针构件106的近侧部106a包括第一磁极，即南“S”，并且套管针构件106的远侧部106b包括第二磁极，即北“N”。正如通过下面的描述将变得显而易见的，可以交换套管针构件106的近侧部106a和远侧部106b的极性。
参照图2，砧座组件120构造成用于可释放地连接到接合器组件100(图1)的套管针构件106(图1)。砧座组件120将仅描述到完全公开本公开的方案所必需的程度。对于示例性砧座组件的详细描述，请参考共有的美国专利第7,364,060号(“'060专利”)。在共有的美国专利第8,540,132号(“'132”专利)中公开了可倾斜砧座组件的另一个示例。'060专利和'132专利中的每一个的内容通过引用整体上并入本文。
简而言之，砧座组件120包括中心杆组件122和固定到中心杆组件122的砧座头组件124。砧座组件120的头组件124可以刚性地固定到中心杆组件122。或者，头组件124可以枢转地固定到中心杆组件122，以便于将砧座组件120插入穿过患者的管腔。砧座组件120的中心杆组件122包括中心杆126。在一个实施例中，中心杆126带有磁力。如图2中所示，中心杆126包括具有第一磁极(即，南“S”)的近侧部126a，以及具有第二磁极(即，北“N”)的远侧部126b。
如上所述，接合器组件100(图1)的套管针构件106(图1)以与砧座组件120的中心杆126类似的方式带有磁力。以这种方式，砧座组件120的中心杆126的近侧部126a被吸引到套管针构件106的远侧部106b。
在手术吻合操作期间，砧座组件120可以以穿过口部的方式或以任何其它方式被引入手术部位。在将待吻合的组织的第一部分(未示出)固定到砧座组件120之后，并且在将待吻合的组织的第二部分(未示出)围绕接合器组件100的装载单元110固定之后，使接合器组件100朝向砧座组件120移动。砧座组件120的中心杆126的近侧部126a与套管针构件106的远侧部106b之间的磁吸引力有助于使砧座组件120的中心杆126与接合器组件100的套管针构件106对准。在砧座组件120连接到接合器组件100期间当砧座组件120对于临床医生而言不可见时，该特征是特别有利的。
转向图3，在替代实施例中，砧座组件120包括可移除的顶端构件130，其用于便于砧座组件120的中心杆126的接收穿过组织(未示出)。可移除的顶端构件130包括构造成用于刺穿组织的近侧部130a和构造成用于可操作地连接到中心杆126的近侧端126a的远侧端130b。可移除的顶端构件130的近侧部130a包括第一磁极，即南“S”，并且可移除的顶端构件130的远侧部130b包括第二磁极，即北“N”。当可移除的顶端构件130以与上述带有磁力的中心杆126类似的方式固定到砧座组件120的中心杆126时，可移除的顶端构件130的近侧部130a与接合器组件100(图1)的套管针构件106(图1)的远侧部106b(图1)之间的磁吸引力便于使砧座组件120接近接合器组件100。
现在转向图4，根据本公开的接合器组件的替代实施例总体上被示出为接合器组件200。接合器组件200基本上类似于上文所述的接合器组件100。接合器组件200包括壳体202、从壳体202延伸的细长主体204、从细长主体204延伸的用于可释放地固定砧座组件，例如砧座组件120(图2)，的套管针构件206，以及布置在细长主体204的远侧端上的装载单元210。
继续参照图4，接合器组件200包括电磁组件240。电磁组件240包括线圈或螺线管242，线圈或螺线管242布置在接合器组件200的装载单元210内并且围绕套管针构件206。线圈242连接到电源244。电源244可以布置在接合器组件200的壳体202内，布置在手柄组件10(图1)内，作为独立电源，或以任何其它合适的配置。用于激活电磁组件240的开关246可以如图所示布置在接合器组件200的壳体202上，或者可以布置在手柄组件10(图1)上，或者作为独立的致动器，即脚踏开关(未示出)。
接合器组件200的电磁组件240的激活使套管针构件206带有磁力。如上关于接合器组件100的套管针构件106所述的，当使接合器组件200的套管针构件206带有磁力时，包括带磁力部(即，中心杆126，可移除的套管针顶端130)的砧座组件被吸引到套管针构件206，以便于砧座组件连接到套管针构件206。
现在参照图5和图6，用于便于带磁力的砧座组件(即，砧座组件120)在患者体内的定位的器械总体上被示出为插入器械300。插入器械300包括手柄组件302和从手柄组件302延伸的细长主体304。插入器械300还包括电磁组件340和灯组件350。
电磁组件340类似于接合器组件200的电磁组件240，并且包括缠绕铁磁材料(即，杆构件348)的线圈342、连接到线圈342的电源344、以及用于激活电磁组件340的激活开关346。
灯组件350包括至少一个光源和控制开关，所述至少一个光源例如是安装在细长主体304的远侧端上的环形阵列的发光二极管352，所述控制开关用于激活光源352并用于控制光源352的强度。光源352可以由电磁组件340的电源344供电。或者，光源352可以由布置在手柄组件302内的独立的电源来供电。
在砧座组件120的定位期间，插入器械300的电磁组件340的激活产生磁场，所述磁场吸引砧座组件120的带磁力的中心杆126(图2)以便于砧座组件120在体腔内并穿过组织“T”定位。当砧座组件120穿过组织“T”定位时，灯组件350的光源352的激活便于观察砧座组件120。可以设想，光源352可以被放置在组织“T”后面以照亮组织“T”。
现在参照图7，总体上被示出为保护组件400的组件，其用于保护接合器组件100的细长主体104和固定到细长主体104的装载单元110并且用于在将接合器组件100引入到患者体内期间使对患者的组织的损伤最小化。保护组件400包括套筒构件402和可操作地连接到套筒构件402的注入口404。注入口404可以包括路厄连接器(luer connector)或其他合适的连接。保护组件400进一步包括注射器406或其它注入流体的源，即空气罐、风箱泵(bellow pump)，其被构造为用于与注入口404可操作地连接。
另外参照图8，保护组件400的套筒构件402包括细长柔性主体410，细长柔性主体410构造成围绕接合器组件100(图7)的细长主体104(图7)和固定到接合器组件的细长主体102的装载单元110(图7)被接收。套筒构件402包括开口近侧端402a和开口远侧端402b，并且限定了与注入口404流体连通的围绕开口远侧端402b延伸的可膨胀环形腔或环形圈403。如下面将进一步详细描述的，可膨胀环形圈403被构造成邻近细长主体104的远侧端定位，用于在接合器组件100引入到患者内期间保护接合器组件100免于损坏，并且用于保护患者的组织。可膨胀环形圈403通过沿套筒构件402的细长柔性主体410的长度延伸的一个或多个充入通道405连接到注入口404。
套筒构件402的开口近侧端402a包括手柄构件或拉回手柄408，用于便于围绕接合器组件100的细长主体104接收套筒构件402，并且用于便于从细长主体104周围移除套筒构件402。套筒构件402可以包括沿着细长柔性主体410的全部或一部分长度延伸的齿孔(perforation)或撕裂线412。或者，套筒构件402可以由板材形成，其具有用于维持管结构的钩环式紧固件(例如，)或拉链锁紧连接件。
在手术操作期间，并且在将接合器组件100的细长主体104引入患者内之前，保护组件400的套筒构件402围绕细长主体104被接收。保护组件400的套筒构件402可以在套筒构件402处于膨胀构形(图9A)时，或在套筒构件402处于瘪缩构形(图9B)时围绕细长主体102被接收。套筒构件402围绕细长主体402收回，直到可膨胀环形腔403邻近细长主体104的远侧端布置。如果套筒构件402的可膨胀环形腔403尚未膨胀，则注射器406(图7)可用以使可膨胀环形腔403膨胀。
在将接合器组件100的细长主体104引入患者体内期间，保护组件400的套筒构件402保护细长主体104的远侧端免受损坏，同时还保护接合器组件100所引入穿过的组织。一旦接合器组件100已经被定位在患者体内，则可以使保护组件400的套筒构件402的可膨胀环形腔403瘪缩，以便于将套筒构件402从接合器组件100的细长主体104移除。如上所指出的，套筒构件402可以包括齿孔或撕裂线412，以便于将套筒构件402从细长主体104周围移除。一旦将保护组件400的套筒构件402从接合器组件100的细长主体104周围移除，则接合器组件100可以以传统的方式来使用。
现在参照图10至图12，用于保护接合器组件100的细长主体104和固定到细长主体104的装载单元110的组件的另一实施例总体上被示出为保护组件500，且保护组件500用于在将接合器组件100引入患者体内期间使对患者组织的损伤最小化。保护组件500包括套筒构件502和固定到套筒构件502的远侧端的帽构件504。套筒构件502构造成围绕接合器组件100的细长主体104被接收。帽构件504被构造成围绕固定至接合器组件100的细长主体104的远侧端的装载单元110被可释放地接收。
保护组件500的套筒构件502基本上类似于上述保护组件400的套筒构件402，并且包括细长柔性主体506。如图所示，帽构件504包括大致锥形的形状，并且可以是透明或半透明的。帽构件504由柔性塑料或其它合适的材料形成，并被分成多个叶片件或部分504a。例如，并且如图所示，帽构件504包括两个叶片件(图11A)、三个叶片件(图11B)、四个叶片件(图11C)或五个叶片件(图11D)。叶片件504a可以由脆性连接件504b(例如弱化的塑料桥形件)连接，脆性连接件504b构造成在套筒构件502相对于接合器组件100的细长主体104收回期间破裂。叶片件504a的数量越大，则当保护组件500从接合器组件100的细长主体104周围移除时，帽构件504将在径向上占据越少的空间。
套筒构件502的细长柔性主体506可由比帽构件504更柔性的材料构成。可以通过增加叶片件504a的壁厚度或通过使用较硬的材料构造帽构件504来使帽构件504更具刚性。
如图12中所示，保护组件500从接合器组件100的细长主体104周围的移除需要如由箭头“A”所标示的将手柄构件508相对于细长主体104向近侧和径向向外拉动，以引起套筒构件502沿着撕裂线512撕裂并且引起帽构件504的叶片件504a的分离。随着套筒构件502沿着撕裂线512分离并且套筒构件502相对于细长主体104向近侧收回，帽构件504的叶片件504a分离以允许装载单元110穿过其中。一旦从接合器组件100的细长主体104周围完全移除，则临床医生可以处理保护组件500，并且接合器组件100可以以传统的方式来使用。
转向图13至图15，用于保护接合器组件100的细长主体104和附接的装载单元110的组件的另一个实施例总体上被示出为保护组件600。保护组件600包括套筒构件602和固定到套筒构件602的远侧端的帽构件604。保护组件600进一步包括支撑在帽构件604内的相机组件606。相机组件606可以无线地或通过沿着套筒构件602的长度延伸的导线“W”(图15)与监控单元(未示出)连接。
帽构件604包括多个叶片件604a。相机组件606被支撑在叶片件604a中的一个的远侧端上。相机组件606可以是可移除的以允许再使用。当接合器组件100的细长主体104被引入患者体内时，相机组件606允许观察。相机组件606可以包括电荷耦合器件(CCD)相机或其他合适的相机。
现在参照图16和图17，用于保护接合器组件100的细长主体104和附接到细长主体104的装载单元110的组件被总体上示出为保护组件700。保护组件700基本上类似于上述的保护组件400、500、600。保护组件700包括：套筒构件702、与套筒构件702的远侧端一体地形成或固定至该远侧端的帽构件704、以及支撑在套筒构件702上并穿过套筒构件702延伸的转向组件706。
转向组件706包括转向环708以及从转向环708延伸并穿过套筒构件702延伸的多根转向线缆710。转向线缆710各自穿过套筒构件702的管腔705被接收。如图所示，保护组件700包括四(4)根转向线缆710。然而，可以设想，保护组件700可以具有多于或少于四(4)根转向线缆710。
在手术操作期间，在保护组件700围绕接合器组件100的细长主体104被接收之后，转向环708可以用以在患者内引导接合器组件100的细长主体104。更具体地，保护组件700的转向环708如由图16中的箭头“B”所标示地围绕接合器组件100的纵向轴线旋转，引起保护组件700的套筒构件702的相应移动，其移动接合器组件100的细长主体104。当接合器组件100被引入到患者体内时，转向环708相对于接合器组件100的旋转便于接合器组件100继续移动到期望的位置。
现在参照图18，用于保护固定到接合器组件100的细长主体104的远侧端的装载单元110的组件总体上示出为保护组件800。保护组件800包括可膨胀构件802和注入口804，所述可膨胀构件802构造成用于可操作地接合装载单元110，所述注入口804用于实现可膨胀构件802的注入。注入口804可以包括路厄连接器或其他合适的连接装置，并且通过充入管804a与可膨胀构件802流体连通。保护组件800可以进一步包括注射器、罐、风箱或用于使可膨胀构件802膨胀的其它合适的装置。
保护组件的可膨胀构件802具有第一大致球形部分802a和从第一大致球形部分802a延伸的第二大致球形部分802b。当可膨胀构件802处于膨胀状态时，第一大致球形部分802a在尺寸或直径上大于第二大致球形部分802b。如图18所示，当可膨胀构件802处于膨胀状态时，第二大致球形部分802b被牢固地接收在装载单元110的圆筒形腔111内，该装载单元110固定到接合器组件100的细长主体104的远侧端。当可膨胀构件802的第二大致球形部分802b被接收在装载单元110的圆筒形腔111内时，第一大致球形部分802a覆盖装载单元110的远侧端。以这种方式，随着接合器组件100和附接的保护组件800被引入患者体内，可膨胀构件802防止装载单元110的远侧端与组织接触。
可以设想，可膨胀构件802的第一大致球形部分802a可以被构造成与装载单元110的轮廓相匹配。以这种方式，可膨胀构件802与装载单元110更紧密地对准。
现在参照图19至图21，根据本公开的装载单元的实施例总体上被示出为装载单元910。装载单元910被构造为用于可操作地连接到接合器组件100(图1)的细长主体104(图1)的远侧端。简而言之，装载单元910包括外壳912和安装在外壳912的远侧端上的钉仓组件914。外壳912限定了延伸穿过其中的管腔915，用于提供通过钉仓组件914的路径。管腔915可以用以例如提供灌注的流体“I”(图21)到正被吻合的组织“T”。此外，管腔915可以用于在吻合操作期间接收例如导丝、观测设备“S”(图20)或其它合适的器械。连接器套筒916可以接收在管腔915的近侧端上，以便于将流体和/或器械接收到管腔中并穿过管腔。
可以想到，本公开的实施例可以被修改以用于各种机电手术器械和/或电手术器械。进一步可以想到，这些器械可以例如被构造为能够被可拆除地联接并且能够由机器人手术系统控制。
现在参照图22，示例性机器人手术系统总体上被示出为机器人手术系统1，并且可以包括：多个手术机器人手臂，例如手术机器人手臂2、3，每个手术机器人手臂具有器械驱动单元(例如，器械驱动单元11、12)和可移除地附接到该器械驱动单元的末端执行器(例如，手术吻合器21、22)；控制装置，例如控制装置5；以及与控制装置5耦合的操作控制台(例如，操作控制台4)。如图所示，机器人手术系统1构造成用于对躺在手术台“ST”上待借助手术吻合器21、22以微创方式进行治疗的患者“P”使用。
对于示例性机器人手术系统的构造和操作的详细描述，可以参考美国专利申请公开第2012/0116416号，其全部内容通过引用并入本文。
本领域技术人员将理解，在此具体描述并在附图中示出的装置和方法是非限制性示例性实施例。可以想到，在不脱离本公开的范围的情况下，结合一个示例性实施例示出或描述的元件和特征可以与另一实施例的元件和特征组合。同样，本领域技术人员将基于上述实施例来理解本公开的更多的特征和优点。因此，除了所附权利要求所指出的内容之外，本公开不受具体地示出和描述的内容的限制。

Claims (20)

1.一种用于将手柄组件连接于装载单元的接合器组件，所述接合器组件包括：
壳体；
细长主体，其从所述壳体延伸；以及
套管针组件，其被支撑在所述细长主体内并且包括套管针构件，其中所述套管针构件从所述细长主体延伸，其中所述套管针构件带有磁力。
2.根据权利要求1所述的接合器组件，进一步包括砧座组件，其中所述砧座组件包括中心杆，所述中心杆带有磁力从而以所述中心杆被磁性地吸引到所述套管针构件的这种方式来与所述套管针构件互补。
3.根据权利要求1所述的接合器组件，进一步包括砧座组件，其中所述砧座组件包括可移除顶端，所述可移除顶端带有磁力从而以所述可移除顶端被磁性地吸引到所述套管针构件的这种方式来与所述套管针构件互补。
4.根据权利要求1所述的接合器组件，其中，所述套管针组件包括电磁体，所述电磁体围绕所述套管针构件被接收以用于选择性地使所述套管针构件带有磁力。
5.根据权利要求1所述的接合器组件，进一步包括光源。
6.一种插入器械，包括：
手柄组件；
细长主体，其从所述手柄组件延伸；
电磁体，其包括环绕铁磁体构件被接收的线圈，所述电磁体被布置在所述细长主体的远侧端上；以及
光源，其布置在所述细长主体的远侧端上。
7.根据权利要求6所述的插入器械，进一步包括用于选择性地激活所述电磁体的第一开关组件。
8.根据权利要求7所述的插入器械，进一步包括用于选择性地激活所述光源的第二开关组件。
9.一种用于在将手术吻合器引入患者内期间保护所述手术吻合器的功能端的组件，所述组件包括：
套筒，其具有近侧端和远侧端并且能够围绕细长主体被接收，所述套筒限定位于所述远侧端上的可膨胀腔，所述可膨胀腔构造成邻近所述细长主体的远侧端布置；以及
注入口，其与所述可膨胀腔流体连通以用于使所述可膨胀腔选择性地膨胀。
10.根据权利要求9所述的组件，其中，所述套筒进一步限定沿着所述套筒的长度延伸的弱化部。
11.根据权利要求9所述的组件，其中，所述套筒包括位于所述近侧端上的手柄部。
12.根据权利要求9所述的组件，进一步包括注入流体源。
13.根据权利要求12所述的组件，其中，所述注入流体源是注射器。
14.一种用于保护手术吻合器的功能端的组件，所述组件包括：
套筒，其具有近侧端和远侧端；以及
帽构件，其固定到所述套筒的所述远侧端，其中所述帽构件包括通过脆性连接件彼此连接的多个叶片件。
15.根据权利要求14所述的组件，其中，所述脆性连接件是弱化的桥形件。
16.根据权利要求14所述的组件，其中，所述套筒包括位于所述近侧端上的手柄部。
17.根据权利要求14所述的组件，其中，所述套筒进一步限定沿着所述套筒的长度延伸的弱化部。
18.根据权利要求14所述的组件，进一步包括布置在所述帽构件的远侧端上的相机。
19.根据权利要求14所述的组件，进一步包括转向组件，所述转向组件具有转向环和固定至所述转向环的多根转向线缆。
20.根据权利要求19所述的组件，其中，所述多根转向线缆沿着所述套筒的长度延伸。
CN201710325565.0A 2016-05-10 2017-05-10 用于柔性环形吻合器的插入器械、接合器组件和保护器组件 Active CN107361807B (zh)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202111128487.8A CN113662605A (zh) 2016-05-10 2017-05-10 用于柔性环形吻合器的插入器械、接合器组件和保护器组件

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US201662334145P 2016-05-10 2016-05-10
US62/334,145 2016-05-10
US15/583,594 2017-05-01
US15/583,594 US10595871B2 (en) 2016-05-10 2017-05-01 Insertion instrument, adapter assemblies and protector assemblies for a flexible circular stapler

Related Child Applications (1)

Application Number Title Priority Date Filing Date
CN202111128487.8A Division CN113662605A (zh) 2016-05-10 2017-05-10 用于柔性环形吻合器的插入器械、接合器组件和保护器组件

Publications (2)

Publication Number Publication Date
CN107361807A true CN107361807A (zh) 2017-11-21
CN107361807B CN107361807B (zh) 2021-10-22

Family

ID=58692436

Family Applications (2)

Application Number Title Priority Date Filing Date
CN201710325565.0A Active CN107361807B (zh) 2016-05-10 2017-05-10 用于柔性环形吻合器的插入器械、接合器组件和保护器组件
CN202111128487.8A Pending CN113662605A (zh) 2016-05-10 2017-05-10 用于柔性环形吻合器的插入器械、接合器组件和保护器组件

Family Applications After (1)

Application Number Title Priority Date Filing Date
CN202111128487.8A Pending CN113662605A (zh) 2016-05-10 2017-05-10 用于柔性环形吻合器的插入器械、接合器组件和保护器组件

Country Status (3)

Country Link
US (3) US10595871B2 (zh)
EP (2) EP3243449B1 (zh)
CN (2) CN107361807B (zh)

Families Citing this family (32)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10561424B2 (en) * 2011-05-20 2020-02-18 Covidien Lp Methods of inserting a circular stapling apparatus into a body lumen
US10595871B2 (en) 2016-05-10 2020-03-24 Covidien Lp Insertion instrument, adapter assemblies and protector assemblies for a flexible circular stapler
JP7278717B2 (ja) * 2017-05-30 2023-05-22 コヴィディエン リミテッド パートナーシップ 円形ステープル留め装置を身体管腔内に挿入する方法
US10595873B2 (en) * 2018-04-19 2020-03-24 Franklin Institute of Innovation, LLC Surgical staplers and related methods
WO2019217841A1 (en) * 2018-05-10 2019-11-14 Franklin Institute of Innovation, LLC Surgical staplers and related methods
US11564691B2 (en) 2018-08-24 2023-01-31 Covidien Lp Powered circular stapling device
US11896233B2 (en) 2019-05-31 2024-02-13 Covidien Lp Circular stapling device
US11730481B2 (en) 2020-01-06 2023-08-22 Covidien Lp Assemblies for retaining a trocar assembly
US11911038B2 (en) 2020-01-13 2024-02-27 Covidien Lp Cut optimization for excessive tissue conditions
US11523828B2 (en) 2020-01-28 2022-12-13 Covidien Lp Sealed reload assembly for stapling device
IT202000002551A1 (it) * 2020-02-10 2021-08-10 Medical Microinstruments Spa Dispositivo di protezione della punta per uno strumento chirurgico, assieme e metodo
US11622767B2 (en) 2020-02-19 2023-04-11 Covidien Lp Sealed trocar assembly for stapling device
US11779343B2 (en) 2020-02-26 2023-10-10 Covidien Lp Staple reload assembly with releasable knife
US11653925B2 (en) 2020-05-21 2023-05-23 Covidien Lp Tissue relaxation monitoring for optimized tissue stapling
US11547405B2 (en) 2020-05-22 2023-01-10 Covidien Lp Surgical stapling device
US20220015856A1 (en) * 2020-07-14 2022-01-20 Covidien Lp Surgical stapler with illumination
US11553921B2 (en) 2020-07-15 2023-01-17 Covidien Lp Surgical stapling device with flexible shaft
US12076505B2 (en) 2020-08-06 2024-09-03 Canon U.S.A., Inc. Magnetic connector for steerable medical device
US11627966B2 (en) 2020-08-26 2023-04-18 Covidien Lp Surgical stapling device
US11801054B2 (en) 2020-09-22 2023-10-31 Covidien Lp Surgical stapler with oval tool assembly
US11712509B2 (en) 2020-10-02 2023-08-01 Covidien Lp Seal assembly for circular stapling instrument
US11627967B2 (en) 2020-11-23 2023-04-18 Covidien Lp Trans-anastomotic insertion device
US11877750B2 (en) 2021-01-21 2024-01-23 Covidien Lp Surgical stapler with powered and manual functions
US11986187B2 (en) 2021-01-29 2024-05-21 Covidien Lp Circular stapling device with integrated visualization device
US11786241B2 (en) 2021-02-16 2023-10-17 Covidien Lp Surgical stapling device including a hydraulic staple formation mechanism
US11553920B2 (en) 2021-05-03 2023-01-17 Covidien Lp Trocar retainer assembly for surgical stapler
US11490894B1 (en) 2021-05-12 2022-11-08 Covidien Lp Surgical device with grease filter
US11642131B2 (en) 2021-05-17 2023-05-09 Covidien Lp Devices and methods for shortening a rectal stump during a lower anterior resection procedure
US11612400B2 (en) 2021-05-24 2023-03-28 Covidien Lp Trocar assembly with bearing assembly for load sharing
US11737759B2 (en) 2021-08-05 2023-08-29 Covidien Lp Surgical stapling device accommodating prolapsed tissue
US11883028B2 (en) 2021-09-08 2024-01-30 Covidien Lp Systems and methods for post-operative anastomotic leak detection
US11717299B2 (en) 2021-10-12 2023-08-08 Covidien Lp Surgical stapling device with probiotics

Citations (16)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5350104A (en) * 1991-08-23 1994-09-27 Ethicon, Inc. Sealing means for endoscopic surgical anastomosis stapling instrument
EP1616526A1 (en) * 2004-07-14 2006-01-18 Olympus Corporation Tissue stapling method and tissue stapler
US20060020213A1 (en) * 2004-07-09 2006-01-26 Whitman Michael P Surgical imaging device
WO2006014881A2 (en) * 2004-07-26 2006-02-09 Van Lue Stephen J Surgical stapler with magnetically secured components
US20080300609A1 (en) * 2007-06-04 2008-12-04 Bechara Tabet anastomosis device and method of using same
US20110170281A1 (en) * 2010-01-09 2011-07-14 Leo Shih Pick up tool with illuminating and magnet attracting functions
CN102151159A (zh) * 2004-02-23 2011-08-17 Tyco医疗健康集团 外科切割及钉缝设备
WO2011149876A2 (en) * 2010-05-26 2011-12-01 Ethicon Endo-Surgery, Inc. Methods and devices for the rerouting of chyme to induct intestinal brake
US20130175318A1 (en) * 2012-01-05 2013-07-11 Kevin D. Felder Tissue stapler anvil feature to prevent premature jaw opening
US8695864B1 (en) * 2010-07-19 2014-04-15 Cardica, Inc. Magnetic coupling for surgical stapler
EP2799026A2 (en) * 2013-04-12 2014-11-05 Covidien LP System having an electromagnetic manipulator with UV tacking mechanism
US20140379011A1 (en) * 2008-08-05 2014-12-25 Covidien Lp Magnetic compression anastomosis device
WO2015073425A1 (en) * 2013-11-15 2015-05-21 Ethicon Endo-Surgery, Inc. Ultrasonic anastomosis instrument with piezoelectric sealing head
CN104856737A (zh) * 2014-02-21 2015-08-26 瑞奇外科器械(中国)有限公司 一种外科手术器械的钉砧及外科手术器械
EP2954857A1 (en) * 2014-06-10 2015-12-16 Ethicon Endo-Surgery, Inc. Adjunct materials and methods of using same in surgical methods for tissue sealing
EP2992841A2 (en) * 2014-09-05 2016-03-09 Ethicon Endo-Surgery, Inc. Polarity of hall magnet to detect misloaded cartridge

Family Cites Families (352)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CA908529A (en) 1972-08-29 V. Astafiev Georgy Surgical instrument for suturing hollow organs in infants
DE1057729B (de) 1954-03-29 1959-05-21 Lameris Instr N V Chirurgische Vorrichtung zum Verbinden zweier Darmteile
GB787043A (en) 1954-09-15 1957-11-27 Sylvania Electric Prod Method for production of silicon
CA736256A (en) 1962-08-27 1966-06-14 S. Kasoolin Viacheslav Instrument for suturing esophagus to intestine or stomach
FR1461464A (fr) 1965-08-20 1966-02-25 Niiex Khirurgicheskoi Apparatu Appareil chirurgical de suture des organes
CH470170A (de) 1968-02-02 1969-03-31 Vnii Khirurgicheskoi Apparatur Gerät zum Anbringen von Rundanastomosen
US3638652A (en) 1970-06-01 1972-02-01 James L Kelley Surgical instrument for intraluminal anastomosis
US3771526A (en) 1972-02-07 1973-11-13 P Rudie Anastomosis clamp
US4603693A (en) 1977-05-26 1986-08-05 United States Surgical Corporation Instrument for circular surgical stapling of hollow body organs and disposable cartridge therefor
US4573468A (en) 1977-05-26 1986-03-04 United States Surgical Corporation Hollow body organ stapling instrument and disposable cartridge employing relief vents
US4304236A (en) 1977-05-26 1981-12-08 United States Surgical Corporation Stapling instrument having an anvil-carrying part of particular geometric shape
NL7711347A (en) 1977-10-17 1979-04-19 Carl Robert Erik Daantje Stapling instrument for joining intestine ends - has head coupling rod in two parts screwing together with hand grip
US4207898A (en) 1978-03-27 1980-06-17 Senco Products, Inc. Intralumenal anastomosis surgical stapling instrument
US4198982A (en) 1978-03-31 1980-04-22 Memorial Hospital For Cancer And Allied Diseases Surgical stapling instrument and method
DE2947107A1 (de) 1978-12-07 1980-06-26 United States Surgical Corp Genau fluchtende patrone und instrument zum klammern von anastomosen
SU1088712A1 (ru) 1979-11-14 1984-04-30 Всесоюзный научно-исследовательский и испытательный институт медицинской техники Аппарат дл циркул рного сшивани кровеносных сосудов
AU534210B2 (en) 1980-02-05 1984-01-12 United States Surgical Corporation Surgical staples
US4319576A (en) 1980-02-26 1982-03-16 Senco Products, Inc. Intralumenal anastomosis surgical stapling instrument
US4289133A (en) 1980-02-28 1981-09-15 Senco Products, Inc. Cut-through backup washer for the scalpel of an intraluminal surgical stapling instrument
US4606343A (en) 1980-08-18 1986-08-19 United States Surgical Corporation Self-powered surgical fastening instrument
US4351466A (en) 1980-10-16 1982-09-28 United States Surgical Corporation Disposable instrument for surgical fastening
US4379457A (en) 1981-02-17 1983-04-12 United States Surgical Corporation Indicator for surgical stapler
US4476863A (en) 1981-03-09 1984-10-16 Kanshin Nikolai N Surgical instrument for establishing circular coloanastomoses
US4632290A (en) 1981-08-17 1986-12-30 United States Surgical Corporation Surgical stapler apparatus
US4576167A (en) 1981-09-03 1986-03-18 United States Surgical Corporation Surgical stapler apparatus with curved shaft
SU1114405A1 (ru) 1982-02-23 1984-09-23 Всесоюзный научно-исследовательский и испытательный институт медицинской техники Хирургический сшивающий аппарат дл наложени компрессионных анастомозов на органы пищеварительного тракта
US4473077A (en) 1982-05-28 1984-09-25 United States Surgical Corporation Surgical stapler apparatus with flexible shaft
US4485817A (en) 1982-05-28 1984-12-04 United States Surgical Corporation Surgical stapler apparatus with flexible shaft
US4488523A (en) 1982-09-24 1984-12-18 United States Surgical Corporation Flexible, hydraulically actuated device for applying surgical fasteners
DE3301713A1 (de) 1983-01-20 1984-07-26 Horst Dr. 3004 Isernhagen Ziegler Chirurgisches klammernahtgeraet zur herstellung zirkulaerer verbindungen
US4592354A (en) 1983-10-11 1986-06-03 Senmed, Inc. Tissue retention spool for intraluminal anastomotic surgical stapling instrument and methods
US4505414A (en) 1983-10-12 1985-03-19 Filipi Charles J Expandable anvil surgical stapler
US4550870A (en) 1983-10-13 1985-11-05 Alchemia Ltd. Partnership Stapling device
IT1173284B (it) 1984-02-16 1987-06-18 Riccardo Rosati Macchina suturatrice meccanica circolare
US4667673A (en) 1984-03-12 1987-05-26 American Cyanamid Company Anastomotic device applicator and method
US4671445A (en) 1984-08-09 1987-06-09 Baxter Travenol Laboratories, Inc. Flexible surgical stapler assembly
US4754909A (en) 1984-08-09 1988-07-05 Barker John M Flexible stapler
US4665917A (en) 1985-01-28 1987-05-19 Ethicon, Inc. Tissue gripper for use with intraluminal stapling device
AU582625B2 (en) 1985-01-28 1989-04-06 Ethicon Inc. Tissue gripper for use with intraluminal stapling device
US4703887A (en) 1985-01-28 1987-11-03 Ethicon, Inc. Collapsible purse string aid for use with intraluminal stapling device
JPS635697Y2 (zh) 1985-04-04 1988-02-17
JPS62140776A (ja) 1985-12-16 1987-06-24 海老原　代師行 ステ−プラ
US4903697A (en) 1986-03-27 1990-02-27 Semion Resnick Cartridge assembly for a surgical stapling instrument
US4700703A (en) 1986-03-27 1987-10-20 Semion Resnick Cartridge assembly for a surgical stapling instrument
US4817847A (en) 1986-04-21 1989-04-04 Finanzaktiengesellschaft Globe Control Instrument and a procedure for performing an anastomosis
US4917114A (en) 1986-10-17 1990-04-17 United States Surgical Corporation Surgical fastener and surgical stapling apparatus
US4752024A (en) 1986-10-17 1988-06-21 Green David T Surgical fastener and surgical stapling apparatus
US4776506A (en) 1986-11-13 1988-10-11 United States Surgical Corporation Surgical stapler apparatus
US4873977A (en) 1987-02-11 1989-10-17 Odis L. Avant Stapling method and apparatus for vesicle-urethral re-anastomosis following retropubic prostatectomy and other tubular anastomosis
US5119983A (en) 1987-05-26 1992-06-09 United States Surgical Corporation Surgical stapler apparatus
US5158222A (en) 1987-05-26 1992-10-27 United States Surgical Corp. Surgical stapler apparatus
US5285944A (en) 1987-05-26 1994-02-15 United States Surgical Corporation Surgical stapler apparatus
SU1616624A1 (ru) 1987-07-14 1990-12-30 Предприятие П/Я А-3697 Хирургический сшивающий аппарат
SU1509052A1 (ru) 1988-01-18 1989-09-23 С. А. Попов Хирургический сшивающий аппарат
US4907591A (en) 1988-03-29 1990-03-13 Pfizer Hospital Products Group, Inc. Surgical instrument for establishing compression anastomosis
US5005749A (en) 1988-07-01 1991-04-09 United States Surgical Corp. Anastomosis surgical stapling instrument
US5193731A (en) 1988-07-01 1993-03-16 United States Surgical Corporation Anastomosis surgical stapling instrument
ES2011110A6 (es) 1988-09-02 1989-12-16 Lopez Hervas Pedro Aparato hidraulico de cuerpo flexible para anastomosis quirurgicas.
US5197648A (en) 1988-11-29 1993-03-30 Gingold Bruce S Surgical stapling apparatus
WO1990006085A1 (en) 1988-11-29 1990-06-14 Gingold Bruce S Surgical stapling apparatus
US4893662A (en) 1988-12-06 1990-01-16 Vito Gervasi Cutting tool
CH677728A5 (zh) 1989-10-17 1991-06-28 Bieffe Medital Sa
US5366462A (en) 1990-08-28 1994-11-22 Robert L. Kaster Method of side-to-end vascular anastomotic stapling
US5047039A (en) 1990-09-14 1991-09-10 Odis Lynn Avant Method and apparatus for effecting dorsal vein ligation and tubular anastomosis and laparoscopic prostatectomy
US5253793A (en) 1990-09-17 1993-10-19 United States Surgical Corporation Apparatus for applying two-part surgical fasteners
US5104025A (en) 1990-09-28 1992-04-14 Ethicon, Inc. Intraluminal anastomotic surgical stapler with detached anvil
US5042707A (en) 1990-10-16 1991-08-27 Taheri Syde A Intravascular stapler, and method of operating same
CA2055943C (en) 1990-12-06 2003-09-23 Daniel P. Rodak Surgical fastening apparatus with locking mechanism
US5122156A (en) 1990-12-14 1992-06-16 United States Surgical Corporation Apparatus for securement and attachment of body organs
US5222963A (en) 1991-01-17 1993-06-29 Ethicon, Inc. Pull-through circular anastomosic intraluminal stapler with absorbable fastener means
US5346115A (en) 1991-03-29 1994-09-13 Eric Perouse Surgical staple inserter
US5221036A (en) 1991-06-11 1993-06-22 Haruo Takase Surgical stapler
US5333773A (en) 1991-08-23 1994-08-02 Ethicon, Inc. Sealing means for endoscopic surgical anastomosis stapling instrument
GR920100358A (el) 1991-08-23 1993-06-07 Ethicon Inc Οργανο συρραφής χειρουργικής αναστομώσεως.
US5474223A (en) 1991-10-18 1995-12-12 United States Surgical Corporation Surgical fastener applying apparatus
US5443198A (en) 1991-10-18 1995-08-22 United States Surgical Corporation Surgical fastener applying apparatus
US5197649A (en) 1991-10-29 1993-03-30 The Trustees Of Columbia University In The City Of New York Gastrointestinal endoscoptic stapler
US5433721A (en) 1992-01-17 1995-07-18 Ethicon, Inc. Endoscopic instrument having a torsionally stiff drive shaft for applying fasteners to tissue
US5188638A (en) 1992-02-06 1993-02-23 Tzakis Andreas G Apparatus and method for preforming anastomosis fastener securement of hollow organs
US5271543A (en) 1992-02-07 1993-12-21 Ethicon, Inc. Surgical anastomosis stapling instrument with flexible support shaft and anvil adjusting mechanism
US5348259A (en) 1992-02-10 1994-09-20 Massachusetts Institute Of Technology Flexible, articulable column
US5425738A (en) 1992-04-08 1995-06-20 American Cyanamid Company Endoscopic anastomosis ring insertion device and method of use thereof
US5282810A (en) 1992-04-08 1994-02-01 American Cyanamid Company Surgical anastomosis device
US5355897A (en) 1992-04-16 1994-10-18 Ethicon, Inc. Method of performing a pyloroplasty/pylorectomy using a stapler having a shield
US5314435A (en) 1992-05-19 1994-05-24 United States Surgical Corporation Anvil delivery system
US5344059A (en) 1992-05-19 1994-09-06 United States Surgical Corporation Surgical apparatus and anvil delivery system therefor
US5658300A (en) 1992-06-04 1997-08-19 Olympus Optical Co., Ltd. Tissue fixing surgical instrument, tissue-fixing device, and method of fixing tissues
JPH0647050A (ja) 1992-06-04 1994-02-22 Olympus Optical Co Ltd 組織縫合結紮器
US5360154A (en) 1992-07-17 1994-11-01 United States Surgical Corporation Apparatus for creating partial anastomoses
US5330486A (en) * 1992-07-29 1994-07-19 Wilk Peter J Laparoscopic or endoscopic anastomosis technique and associated instruments
US5261920A (en) 1992-08-21 1993-11-16 Ethicon, Inc. Anvil bushing for circular stapler
US5368215A (en) 1992-09-08 1994-11-29 United States Surgical Corporation Surgical apparatus and detachable anvil rod therefor
US5309927A (en) 1992-10-22 1994-05-10 Ethicon, Inc. Circular stapler tissue retention spring method
US5314436A (en) 1992-10-30 1994-05-24 Wilk Peter J Method and apparatus for performing end-to-end anastomoses
US5404870A (en) 1993-05-28 1995-04-11 Ethicon, Inc. Method of using a transanal inserter
US5503320A (en) 1993-08-19 1996-04-02 United States Surgical Corporation Surgical apparatus with indicator
US5437684A (en) 1993-10-01 1995-08-01 United States Surgical Corporation Circular anastomosis device
US5447514A (en) 1993-10-01 1995-09-05 United States Surgical Corporation Circular anastomosis device
US5454825A (en) 1993-10-01 1995-10-03 United States Surgical Corporation Circular anastomosis device with seal
US5522534A (en) 1993-10-01 1996-06-04 United States Surgical Corporation Anvil for surgical stapler
CA2132917C (en) 1993-10-07 2004-12-14 John Charles Robertson Circular anastomosis device
US5503635A (en) 1993-11-12 1996-04-02 United States Surgical Corporation Apparatus and method for performing compressional anastomoses
DE4407668A1 (de) 1994-03-09 1995-09-14 Ferdinand Dr Koeckerling Chirurgisches Anastomosenring-Setzgerät
US5464415A (en) 1994-03-15 1995-11-07 Chen; Te-Chuan Sutureless intestinal anastomosis gun
US5860581A (en) 1994-03-24 1999-01-19 United States Surgical Corporation Anvil for circular stapler
US5715987A (en) 1994-04-05 1998-02-10 Tracor Incorporated Constant width, adjustable grip, staple apparatus and method
CA2147800C (en) 1994-05-26 2006-07-11 John Charles Robertson Circular anastomosis device
US5732872A (en) 1994-06-17 1998-03-31 Heartport, Inc. Surgical stapling instrument
WO1995035065A1 (en) 1994-06-17 1995-12-28 Heartport, Inc. Surgical stapling instrument and method thereof
US5881943A (en) 1994-06-17 1999-03-16 Heartport, Inc. Surgical anastomosis apparatus and method thereof
CA2146508C (en) 1994-08-25 2006-11-14 Robert H. Schnut Anvil for circular stapler
US5685474A (en) 1994-10-04 1997-11-11 United States Surgical Corporation Tactile indicator for surgical instrument
US7235089B1 (en) 1994-12-07 2007-06-26 Boston Scientific Corporation Surgical apparatus and method
US5868760A (en) 1994-12-07 1999-02-09 Mcguckin, Jr.; James F. Method and apparatus for endolumenally resectioning tissue
US5720755A (en) 1995-01-18 1998-02-24 Dakov; Pepi Tubular suturing device and methods of use
US5904697A (en) 1995-02-24 1999-05-18 Heartport, Inc. Devices and methods for performing a vascular anastomosis
DE19509115C2 (de) 1995-03-16 1997-11-27 Deutsche Forsch Luft Raumfahrt Chirurgisches Gerät zum Vorbereiten einer Anastomose in minimal invasiver Operationstechnik
US5769841A (en) 1995-06-13 1998-06-23 Electroscope, Inc. Electrosurgical apparatus for laparoscopic and like procedures
US5641111A (en) 1995-06-28 1997-06-24 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with anvil cutting guide
US5749896A (en) 1995-07-18 1998-05-12 Cook; Melvin S. Staple overlap
US5839639A (en) 1995-08-17 1998-11-24 Lasersurge, Inc. Collapsible anvil assembly and applicator instrument
US5814055A (en) 1995-09-19 1998-09-29 Ethicon Endo-Surgery, Inc. Surgical clamping mechanism
AU701033B2 (en) 1995-10-31 1999-01-21 Bernafon Ag Method and anastomotic instrument for use when performing an end-to-side anastomosis
US5836503A (en) 1996-04-22 1998-11-17 United States Surgical Corporation Insertion device for surgical apparatus
US6050472A (en) 1996-04-26 2000-04-18 Olympus Optical Co., Ltd. Surgical anastomosis stapler
US6119913A (en) 1996-06-14 2000-09-19 Boston Scientific Corporation Endoscopic stapler
US6024748A (en) 1996-07-23 2000-02-15 United States Surgical Corporation Singleshot anastomosis instrument with detachable loading unit and method
US5833698A (en) 1996-07-23 1998-11-10 United States Surgical Corporation Anastomosis instrument and method
US20020019642A1 (en) 1996-07-23 2002-02-14 Keith Milliman Anastomosis instrument and method for performing same
US6440146B2 (en) 1996-07-23 2002-08-27 United States Surgical Corporation Anastomosis instrument and method
US5855312A (en) 1996-07-25 1999-01-05 Toledano; Haviv Flexible annular stapler for closed surgery of hollow organs
US5853395A (en) 1997-02-18 1998-12-29 Dexterity, Inc. Extracorporeal pneumoperitoneum enclosure and method of use
US6338737B1 (en) 1997-07-17 2002-01-15 Haviv Toledano Flexible annular stapler for closed surgery of hollow organs
US5865361A (en) 1997-09-23 1999-02-02 United States Surgical Corporation Surgical stapling apparatus
US6117148A (en) 1997-10-17 2000-09-12 Ravo; Biagio Intraluminal anastomotic device
US5951576A (en) 1998-03-02 1999-09-14 Wakabayashi; Akio End-to-side vascular anastomosing stapling device
US6279809B1 (en) 1998-03-10 2001-08-28 Enrico Nicolo Circular stapler for side to end, side to side and end to side anastomosis
JP2003510104A (ja) 1998-05-11 2003-03-18 サージカル・コネクションズ・インコーポレイテッド 例えば緊張性尿失禁を治療するための装置および方法
US6517566B1 (en) 1998-05-11 2003-02-11 Surgical Connections, Inc. Devices and methods for treating e.g. urinary stress incontinence
US6585144B2 (en) 1998-06-19 2003-07-01 Acimed Life Systems, Inc. Integrated surgical staple retainer for a full thickness resectioning device
US6126058A (en) 1998-06-19 2000-10-03 Scimed Life Systems, Inc. Method and device for full thickness resectioning of an organ
US6478210B2 (en) 2000-10-25 2002-11-12 Scimed Life Systems, Inc. Method and device for full thickness resectioning of an organ
US6629630B2 (en) 1998-06-19 2003-10-07 Scimed Life Systems, Inc. Non-circular resection device and endoscope
US6601749B2 (en) 1998-06-19 2003-08-05 Scimed Life Systems, Inc. Multi fire full thickness resectioning device
DE19836950B4 (de) 1998-08-17 2004-09-02 Deutsches Zentrum für Luft- und Raumfahrt e.V. Chirurgisches Instrument in Form eines Nahtklammergerätes
DE19837258A1 (de) 1998-08-17 2000-03-02 Deutsch Zentr Luft & Raumfahrt Vorrichtung zum Betätigen eines chirurgischen Instrumentariums zur Anastomose von Hohlorganen
US6203553B1 (en) 1999-09-08 2001-03-20 United States Surgical Stapling apparatus and method for heart valve replacement
US6142933A (en) 1998-11-23 2000-11-07 Ethicon Endo-Surgery, Inc. Anoscope for hemorrhoidal surgery
US6102271A (en) 1998-11-23 2000-08-15 Ethicon Endo-Surgery, Inc. Circular stapler for hemorrhoidal surgery
US6083241A (en) 1998-11-23 2000-07-04 Ethicon Endo-Surgery, Inc. Method of use of a circular stapler for hemorrhoidal procedure
US6626921B2 (en) 1999-04-16 2003-09-30 Integrated Vascular Interventional Technologies, L.C. Externally positioned anvil apparatus for cutting anastomosis
US6551334B2 (en) 1999-04-16 2003-04-22 Integrated Vascular Interventional Technologies, Lc Externally directed anastomosis systems and externally positioned anastomosis fenestra cutting apparatus
US6652542B2 (en) 1999-04-16 2003-11-25 Integrated Vascular Interventional Technologies, L.C. (Ivit, Lc) External anastomosis operators and related systems for anastomosis
US6743244B2 (en) 1999-04-16 2004-06-01 Integrated Vascular Interventional Technologies, L.C. Soft anvil apparatus for cutting anastomosis fenestra
US6402008B1 (en) 1999-04-19 2002-06-11 Deborah A. Lucas Surgical stapler assembly with interchangeable heads
US6068636A (en) 1999-04-23 2000-05-30 Chen; Te-Chuan Intra-intestinal bypass gun
US7032798B2 (en) 1999-06-02 2006-04-25 Power Medical Interventions, Inc. Electro-mechanical surgical device
US6981941B2 (en) 1999-06-02 2006-01-03 Power Medical Interventions Electro-mechanical surgical device
US6264087B1 (en) 1999-07-12 2001-07-24 Powermed, Inc. Expanding parallel jaw device for use with an electromechanical driver device
US6793652B1 (en) 1999-06-02 2004-09-21 Power Medical Interventions, Inc. Electro-mechanical surgical device
US6315184B1 (en) 1999-06-02 2001-11-13 Powermed, Inc. Stapling device for use with an electromechanical driver device for use with anastomosing, stapling, and resecting instruments
US6491201B1 (en) 2000-02-22 2002-12-10 Power Medical Interventions, Inc. Fluid delivery mechanism for use with anastomosing, stapling, and resecting instruments
US6443973B1 (en) 1999-06-02 2002-09-03 Power Medical Interventions, Inc. Electromechanical driver device for use with anastomosing, stapling, and resecting instruments
US6716233B1 (en) 1999-06-02 2004-04-06 Power Medical Interventions, Inc. Electromechanical driver and remote surgical instrument attachment having computer assisted control capabilities
US7540839B2 (en) 1999-10-14 2009-06-02 Atropos Limited Wound retractor
ES2281407T3 (es) 2000-01-18 2007-10-01 Tyco Healthcare Group Lp Instrumento para anastomosis.
HU225908B1 (en) 2000-01-24 2007-12-28 Ethicon Endo Surgery Europe Surgical circular stapling head
US6193129B1 (en) 2000-01-24 2001-02-27 Ethicon Endo-Surgery, Inc. Cutting blade for a surgical anastomosis stapling instrument
US6488197B1 (en) 2000-02-22 2002-12-03 Power Medical Interventions, Inc. Fluid delivery device for use with anastomosing resecting and stapling instruments
US6533157B1 (en) 2000-02-22 2003-03-18 Power Medical Interventions, Inc. Tissue stapling attachment for use with an electromechanical driver device
US6273897B1 (en) 2000-02-29 2001-08-14 Ethicon, Inc. Surgical bettress and surgical stapling apparatus
CA2402313C (en) 2000-03-06 2009-03-03 Tyco Healthcare Group Lp Apparatus and method for performing a bypass procedure in a digestive system
IL139788A (en) 2000-11-20 2006-10-05 Minelu Zonnenschein Stapler for endoscopes
US6592596B1 (en) 2000-05-10 2003-07-15 Scimed Life Systems, Inc. Devices and related methods for securing a tissue fold
US6315340B1 (en) * 2000-10-18 2001-11-13 Andrew Chen Multifunctional pick-up tool
US20040267310A1 (en) 2000-10-20 2004-12-30 Racenet David C Directionally biased staple and anvil assembly for forming the staple
US6821282B2 (en) 2000-11-27 2004-11-23 Scimed Life Systems, Inc. Full thickness resection device control handle
US8286845B2 (en) 2000-11-27 2012-10-16 Boston Scientific Scimed, Inc. Full thickness resection device control handle
US6398795B1 (en) 2000-11-30 2002-06-04 Scimed Life Systems, Inc. Stapling and cutting in resectioning for full thickness resection devices
US6439446B1 (en) 2000-12-01 2002-08-27 Stephen J. Perry Safety lockout for actuator shaft
US6503259B2 (en) 2000-12-27 2003-01-07 Ethicon, Inc. Expandable anastomotic device
US6632237B2 (en) 2001-01-11 2003-10-14 Bio-Seal Tech, Inc. Device and method for sealing a puncture in a blood vessel
US7438718B2 (en) 2001-01-24 2008-10-21 Tyco Healthcare Group Lp Anastomosis instrument and method for performing same
AU2002242071B2 (en) 2001-01-31 2006-10-19 Rex Medical, Inc. Apparatus and method for stapling and resectioning gastro-esophageal tissue
US6769590B2 (en) 2001-04-02 2004-08-03 Susan E. Vresh Luminal anastomotic device and method
ES2372164T3 (es) 2001-04-03 2012-01-16 Tyco Healthcare Group Lp Dispositivo de grapado quirúrgico.
US6632227B2 (en) 2001-08-24 2003-10-14 Scimed Life Systems, Inc. Endoscopic resection devices
US20050107813A1 (en) 2001-09-17 2005-05-19 Vincente Gilete Garcia Bone fixing device for cranial surgery
US6578751B2 (en) 2001-09-26 2003-06-17 Scimed Life Systems, Inc. Method of sequentially firing staples using springs and a rotary or linear shutter
US20070060952A1 (en) 2005-09-02 2007-03-15 Roby Mark S Surgical stapling device with coated knife blade
US6605098B2 (en) 2001-09-28 2003-08-12 Ethicon, Inc. Surgical device for creating an anastomosis between first and second hollow organs
EP1437970B1 (en) 2001-10-05 2010-12-08 Tyco Healthcare Group LP Tilt top anvil for a surgical fastener device
US6605078B2 (en) 2001-11-26 2003-08-12 Scimed Life Systems, Inc. Full thickness resection device
DE10158246C1 (de) 2001-11-28 2003-08-21 Ethicon Endo Surgery Europe Chirurgisches Klammersetzinstrument
US6981979B2 (en) 2001-12-14 2006-01-03 Enrico Nicolo Surgical anastomotic devices
US20030111507A1 (en) 2001-12-14 2003-06-19 George Nunez Balloon actuator for use in a resectioning device
US6905504B1 (en) 2002-02-26 2005-06-14 Cardica, Inc. Tool for performing end-to-end anastomosis
US7128748B2 (en) 2002-03-26 2006-10-31 Synovis Life Technologies, Inc. Circular stapler buttress combination
AU2003234239A1 (en) 2002-04-24 2003-11-10 Surgical Connections, Inc. Resection and anastomosis devices and methods
WO2003090630A2 (en) 2002-04-25 2003-11-06 Tyco Healthcare Group, Lp Surgical instruments including micro-electromechanical systems (mems)
US6685079B2 (en) 2002-05-24 2004-02-03 Scimed Life Systems, Inc. Full thickness resectioning device
US7195142B2 (en) 2003-05-30 2007-03-27 Tyco Healthcare Group Lp End-to-end anastomosis instrument and method for performing same
US6769594B2 (en) 2002-05-31 2004-08-03 Tyco Healthcare Group, Lp End-to-end anastomosis instrument and method for performing same
JP4551214B2 (ja) 2002-06-17 2010-09-22 タイコ ヘルスケア グループ エルピー 環状支持構造体
IL150855A (en) 2002-07-22 2007-06-03 Leonid Monassevitch Intratubular anastomosis apparatus
WO2004032766A2 (en) 2002-10-04 2004-04-22 Tyco Healthcare Group Lp Surgical stapling device
EP2401969B1 (en) 2002-10-04 2013-04-03 Covidien LP Pneumatic powered surgical stapling device
US7220237B2 (en) 2002-10-23 2007-05-22 Satiety, Inc. Method and device for use in endoscopic organ procedures
JP2004147969A (ja) 2002-10-31 2004-05-27 Univ Waseda 吻合装置及び吻合具
WO2004058078A1 (en) 2002-12-16 2004-07-15 Edrich Vascular Devices, Inc. Multiple stapling device for narrow blood vessels
EP1572012B1 (en) 2002-12-20 2008-08-20 Tyco Healthcare Group Lp Vacuum assisted surgical stapler
US6852122B2 (en) 2003-01-23 2005-02-08 Cordis Corporation Coated endovascular AAA device
KR100547166B1 (ko) 2003-04-11 2006-01-26 허윤석 개량형 단단문합기
AU2004249287B2 (en) 2003-06-20 2009-12-24 Covidien Lp Surgical stapling device
EP1643914B1 (en) 2003-07-16 2015-09-23 Covidien LP Surgical stapling device with tissue tensioner
US7686201B2 (en) 2003-09-01 2010-03-30 Tyco Healthcare Group Lp Circular stapler for hemorrhoid operations
US7547312B2 (en) 2003-09-17 2009-06-16 Gore Enterprise Holdings, Inc. Circular stapler buttress
US7309341B2 (en) 2003-09-30 2007-12-18 Ethicon Endo-Surgery, Inc. Single lumen anastomosis applier for self-deploying fastener
US9055943B2 (en) 2007-09-21 2015-06-16 Covidien Lp Hand held surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical end effectors, and methods of use
AU2004281833B2 (en) 2003-10-17 2010-07-01 Covidien Lp Surgical stapling device
US7585306B2 (en) 2003-12-24 2009-09-08 Maquet Cardiovascular Llc Anastomosis device, tools and methods of using
US8590764B2 (en) 2003-12-24 2013-11-26 Boston Scientific Scimed, Inc. Circumferential full thickness resectioning device
US7086267B2 (en) 2004-02-18 2006-08-08 Frank W. Dworak Metal-forming die and method for manufacturing same
US6953138B1 (en) 2004-02-18 2005-10-11 Frank W. Dworak Surgical stapler anvil with nested staple forming pockets
US7118528B1 (en) 2004-03-16 2006-10-10 Gregory Piskun Hemorrhoids treatment method and associated instrument assembly including anoscope and cofunctioning tissue occlusion device
US8181840B2 (en) 2004-03-19 2012-05-22 Tyco Healthcare Group Lp Tissue tensioner assembly and approximation mechanism for surgical stapling device
EP1729651B1 (en) 2004-03-19 2012-12-05 Tyco Healthcare Group LP Anvil assembly with improved cut ring
US7585307B2 (en) 2004-05-17 2009-09-08 Edrich Health Technologies, Inc. Surgical stapling system
US7410086B2 (en) 2004-07-28 2008-08-12 Ethicon Endo-Surgery, Inc. Electroactive polymer-based actuation mechanism for circular stapler
US7182239B1 (en) 2004-08-27 2007-02-27 Myers Stephan R Segmented introducer device for a circular surgical stapler
KR100646762B1 (ko) 2004-09-10 2006-11-23 인하대학교 산학협력단 수술용 스테이플 및 이를 구비한 수술용 자동 문합기
US8372094B2 (en) 2004-10-15 2013-02-12 Covidien Lp Seal element for anastomosis
US7938307B2 (en) 2004-10-18 2011-05-10 Tyco Healthcare Group Lp Support structures and methods of using the same
EP2345375A1 (en) 2004-10-18 2011-07-20 Tyco Healthcare Group LP Annular adhesive structure
JP4881311B2 (ja) 2004-10-18 2012-02-22 タイコ ヘルスケア グループ リミテッド パートナーシップ 押し付け吻合のデバイスおよび方法
US7455682B2 (en) 2004-10-18 2008-11-25 Tyco Healthcare Group Lp Structure containing wound treatment material
US7717313B2 (en) 2004-10-18 2010-05-18 Tyco Healthcare Group Lp Surgical apparatus and structure for applying sprayable wound treatment material
EP1804843B1 (en) 2004-10-18 2014-12-03 Covidien LP Adhesive suture structure
US7845536B2 (en) 2004-10-18 2010-12-07 Tyco Healthcare Group Lp Annular adhesive structure
AU2005295477B2 (en) 2004-10-18 2011-11-24 Covidien Lp Structure for applying sprayable wound treatment material
ITMI20042132A1 (it) 2004-11-05 2005-02-05 Ethicon Endo Surgery Inc Dispositivo e metodo per la terapia dell'obesita'
US7207168B2 (en) 2004-11-19 2007-04-24 The Schnipke Family Limited Liability Company Apparatus and method for inserting staple drivers in a cartridge
US7597688B1 (en) * 2004-12-27 2009-10-06 Masson Marcos V Cannula apparatus with inflatable seal and adjustable length
JP4847475B2 (ja) 2005-01-26 2011-12-28 ▲蘇▼州天臣国▲際▼医▲療▼科技有限公司 外科手術用ステープラーの回転刃付ステープリングヘッド
US20060201989A1 (en) 2005-03-11 2006-09-14 Ojeda Herminio F Surgical anvil and system for deploying the same
US9364229B2 (en) 2005-03-15 2016-06-14 Covidien Lp Circular anastomosis structures
US7645288B2 (en) * 2005-05-05 2010-01-12 Ethicon Endo-Surgery, Inc. Anastomotic ring applier with inflatable members
US7717312B2 (en) 2005-06-03 2010-05-18 Tyco Healthcare Group Lp Surgical instruments employing sensors
US7959050B2 (en) 2005-07-26 2011-06-14 Ethicon Endo-Surgery, Inc Electrically self-powered surgical instrument with manual release
US8627995B2 (en) 2006-05-19 2014-01-14 Ethicon Endo-Sugery, Inc. Electrically self-powered surgical instrument with cryptographic identification of interchangeable part
US8038046B2 (en) 2006-05-19 2011-10-18 Ethicon Endo-Surgery, Inc. Electrical surgical instrument with optimized power supply and drive
US20070029363A1 (en) 2005-08-07 2007-02-08 Sergey Popov Surgical apparatus with remote drive
US7407075B2 (en) 2005-08-15 2008-08-05 Tyco Healthcare Group Lp Staple cartridge having multiple staple sizes for a surgical stapling instrument
US7401721B2 (en) 2005-08-15 2008-07-22 Tyco Healthcare Group Lp Surgical stapling instruments including a cartridge having multiple staple sizes
US7398908B2 (en) 2005-08-15 2008-07-15 Tyco Healthcare Group Lp Surgical stapling instruments including a cartridge having multiple staple sizes
US8579178B2 (en) 2005-08-15 2013-11-12 Covidien Lp Surgical stapling instruments including a cartridge having multiple staples sizes
US7771440B2 (en) 2005-08-18 2010-08-10 Ethicon Endo-Surgery, Inc. Method and apparatus for endoscopically performing gastric reduction surgery in a single pass
US8317070B2 (en) 2005-08-31 2012-11-27 Ethicon Endo-Surgery, Inc. Surgical stapling devices that produce formed staples having different lengths
CN2868208Y (zh) 2005-12-14 2007-02-14 苏州天臣国际医疗科技有限公司 设有自动保险机构的圆管型装订仪
US7422138B2 (en) 2006-02-01 2008-09-09 Ethicon Endo-Surgery, Inc. Elliptical intraluminal surgical stapler for anastomosis
US7793813B2 (en) 2006-02-28 2010-09-14 Tyco Healthcare Group Lp Hub for positioning annular structure on a surgical device
US20100019016A1 (en) 2006-03-23 2010-01-28 Edoga John K Vascular Anastomotic Staplers
US8206294B2 (en) 2008-09-30 2012-06-26 Ethicon Endo-Surgery, Inc. Surgical access device with flexible seal channel
US8357085B2 (en) 2009-03-31 2013-01-22 Ethicon Endo-Surgery, Inc. Devices and methods for providing access into a body cavity
US8540132B2 (en) 2006-05-16 2013-09-24 Covidien Lp Tilt anvil assembly
ATE450208T1 (de) 2006-07-07 2009-12-15 Ethicon Endo Surgery Inc Chirurgische klammersetzvorrichtung
US7527185B2 (en) 2006-07-12 2009-05-05 Niti Surgical Solutions Ltd. Compression anastomosis ring assembly and applicator for use therewith
US8348131B2 (en) 2006-09-29 2013-01-08 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with mechanical indicator to show levels of tissue compression
EP1929936B1 (en) * 2006-12-04 2014-11-19 Ethicon Endo-Surgery, Inc. Protecting means in particular for non-invasive procedures
US20080200933A1 (en) * 2007-02-15 2008-08-21 Bakos Gregory J Surgical devices and methods for forming an anastomosis between organs by gaining access thereto through a natural orifice in the body
DE602007012771D1 (de) 2007-03-07 2011-04-07 Covidien Ag Klammergerät für mukosektomie
US7669747B2 (en) 2007-03-15 2010-03-02 Ethicon Endo-Surgery, Inc. Washer for use with a surgical stapling instrument
US7978403B2 (en) 2007-05-10 2011-07-12 Stc.Unm Imaging interferometric microscopy
US8038045B2 (en) 2007-05-25 2011-10-18 Tyco Healthcare Group Lp Staple buttress retention system
US7600663B2 (en) 2007-07-05 2009-10-13 Green David T Apparatus for stapling and incising tissue
US7967181B2 (en) 2007-08-29 2011-06-28 Tyco Healthcare Group Lp Rotary knife cutting systems
US9597080B2 (en) * 2007-09-24 2017-03-21 Covidien Lp Insertion shroud for surgical instrument
US20090082785A1 (en) 2007-09-24 2009-03-26 Milliman Keith L Anvil Delivery Device Accessory
US8011554B2 (en) 2008-01-09 2011-09-06 Tyco Healthcare Group, Lp Raised boss for staple guide
US8733611B2 (en) 2008-03-12 2014-05-27 Covidien Lp Ratcheting mechanism for surgical stapling device
US8020741B2 (en) 2008-03-18 2011-09-20 Barosense, Inc. Endoscopic stapling devices and methods
US8231041B2 (en) 2008-04-14 2012-07-31 Tyco Healthcare Group Lp Variable compression surgical fastener cartridge
KR101565441B1 (ko) 2008-04-30 2015-11-03 각코우호우진 지치 이카다이가쿠 무흉터 수술(ｎｏｔｅｓ)용 외과 수술 시스템
US20090301480A1 (en) * 2008-06-09 2009-12-10 Mamdouh Elsakka Diagnostic sample collection system and method of use
US8403889B2 (en) 2008-06-25 2013-03-26 Covidien Lp Access assembly
US8011551B2 (en) 2008-07-01 2011-09-06 Tyco Healthcare Group Lp Retraction mechanism with clutch-less drive for use with a surgical apparatus
US8678264B2 (en) 2008-07-07 2014-03-25 Covidien Lp Surgical instrument with elongated channel
US8109426B2 (en) 2008-08-12 2012-02-07 Tyco Healthcare Group Lp Surgical tilt anvil assembly
US8672931B2 (en) 2008-08-18 2014-03-18 3JT Enterprises, LLC Cryosurgical device with metered dose
US8113405B2 (en) 2008-09-03 2012-02-14 Tyco Healthcare Group, Lp Surgical instrument with indicator
US20100051668A1 (en) 2008-09-03 2010-03-04 Milliman Keith L Surgical instrument with indicator
US8181838B2 (en) 2008-09-10 2012-05-22 Tyco Healthcare Group Lp Surgical stapling device
US7837080B2 (en) 2008-09-18 2010-11-23 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with device for indicating when the instrument has cut through tissue
US20100084453A1 (en) 2008-10-03 2010-04-08 Changzhou Waston Medical Appliance Co., Ltd Circular stapler
US7918377B2 (en) 2008-10-16 2011-04-05 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with apparatus for providing anvil position feedback
US8231042B2 (en) 2008-11-06 2012-07-31 Tyco Healthcare Group Lp Surgical stapler
US7886951B2 (en) 2008-11-24 2011-02-15 Tyco Healthcare Group Lp Pouch used to deliver medication when ruptured
US8770460B2 (en) 2008-12-23 2014-07-08 George E. Belzer Shield for surgical stapler and method of use
US8408441B2 (en) 2009-01-06 2013-04-02 Covidien Lp Surgical stapler
US8066167B2 (en) 2009-03-23 2011-11-29 Ethicon Endo-Surgery, Inc. Circular surgical stapling instrument with anvil locking system
US8418909B2 (en) 2009-06-02 2013-04-16 Covidien Lp Surgical instrument and method for performing a resection
US8146790B2 (en) 2009-07-11 2012-04-03 Tyco Healthcare Group Lp Surgical instrument with safety mechanism
US8276802B2 (en) 2009-07-11 2012-10-02 Tyco Healthcare Group Lp Surgical instrument with double cartridge and anvil assemblies
US20110011916A1 (en) 2009-07-16 2011-01-20 New York University Anastomosis device
US8328062B2 (en) 2009-07-21 2012-12-11 Covidien Lp Surgical instrument with curvilinear tissue-contacting surfaces
US8267301B2 (en) 2009-08-19 2012-09-18 Tyco Healthcare Group Lp Surgical stapler
HU229773B1 (hu) 2009-09-02 2014-06-30 Eszköz sebészeti beavatkozáshoz
US20130032628A1 (en) 2009-10-26 2013-02-07 B. J. Zh. F. Panther Medical Equipment Co., Ltd. Anorectal surgical instrument and anal dilator
US8413872B2 (en) 2009-10-28 2013-04-09 Covidien Lp Surgical fastening apparatus
US8430292B2 (en) 2009-10-28 2013-04-30 Covidien Lp Surgical fastening apparatus
US8322590B2 (en) 2009-10-28 2012-12-04 Covidien Lp Surgical stapling instrument
US8622275B2 (en) 2009-11-19 2014-01-07 Ethicon Endo-Surgery, Inc. Circular stapler introducer with rigid distal end portion
US8136712B2 (en) 2009-12-10 2012-03-20 Ethicon Endo-Surgery, Inc. Surgical stapler with discrete staple height adjustment and tactile feedback
CN102188271B (zh) 2010-03-08 2012-10-10 北京中法派尔特医疗设备有限公司 可侧倒和复位的抵钉座组件及采用该抵钉座组件的吻合器
US8662370B2 (en) 2010-04-08 2014-03-04 Hidehisa Thomas Takei Introducer system and assembly for surgical staplers
US8360296B2 (en) 2010-09-09 2013-01-29 Ethicon Endo-Surgery, Inc. Surgical stapling head assembly with firing lockout for a surgical stapler
US8998061B2 (en) 2010-10-01 2015-04-07 Covidien Lp Surgical fastener applying apparatus
DE102010043584A1 (de) 2010-11-08 2012-05-10 Kuka Laboratories Gmbh Medizinscher Arbeitsplatz
US20120145755A1 (en) 2010-12-14 2012-06-14 Pk Products, Llc Tool securing device and methods related thereto
AU2012212074A1 (en) * 2011-02-02 2013-09-05 Sam FILICIOTTO Surgical systems and methods thereof
US8496157B2 (en) 2011-02-18 2013-07-30 Covidien Lp Tilting anvil for annular surgical stapler
US8479968B2 (en) 2011-03-10 2013-07-09 Covidien Lp Surgical instrument buttress attachment
US9649113B2 (en) 2011-04-27 2017-05-16 Covidien Lp Device for monitoring physiological parameters in vivo
US8490850B2 (en) 2011-04-29 2013-07-23 Covidien Lp Circular stapler with controlled tissue compression
US8833629B2 (en) 2011-05-19 2014-09-16 Ethicon Endo-Surgery, Inc. Reusable circular stapler handle with open assembly architecture
US9265503B2 (en) * 2012-09-07 2016-02-23 Covidien Lp Methods for applying surgical staples to internal walls of hollow tissue organs
US20130060258A1 (en) 2011-08-26 2013-03-07 Carman Giacomantonio Endoluminal Surgical Instrument for Stapling, Cutting and Dividing
US9016547B2 (en) 2011-10-26 2015-04-28 Covidien Lp EEA tilt top anvil with ratchet/locking mechanism
US9113885B2 (en) 2011-12-14 2015-08-25 Covidien Lp Buttress assembly for use with surgical stapling device
US9351731B2 (en) 2011-12-14 2016-05-31 Covidien Lp Surgical stapling apparatus including releasable surgical buttress
US8967448B2 (en) 2011-12-14 2015-03-03 Covidien Lp Surgical stapling apparatus including buttress attachment via tabs
US9010608B2 (en) 2011-12-14 2015-04-21 Covidien Lp Releasable buttress retention on a surgical stapler
US9220505B2 (en) 2011-12-16 2015-12-29 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with locking feature to lock anvil actuator
US9603599B2 (en) 2011-12-16 2017-03-28 Ethicon Endo-Surgery, Llc Feature to reengage safety switch of tissue stapler
US20130172681A1 (en) 2011-12-29 2013-07-04 Covidien Lp Wound protector with reinforced ring
US9095340B2 (en) 2012-01-05 2015-08-04 Ethicon Endo-Surgery, Inc. Tissue stapler safety switch feature to prevent premature jaw opening
US9549738B2 (en) * 2012-01-05 2017-01-24 Ethicon Endo-Surgery, Llc Ratcheting feature on tissue staple trigger to prevent premature jaw opening
US20130175315A1 (en) 2012-01-11 2013-07-11 Covidien Lp Method and device for performing a surgical anastomosis
US9010605B2 (en) 2012-01-12 2015-04-21 Covidien Lp Sliding sleeve for circular stapling instrument reloads
US9168042B2 (en) 2012-01-12 2015-10-27 Covidien Lp Circular stapling instruments
US9010609B2 (en) 2012-01-26 2015-04-21 Covidien Lp Circular stapler including buttress
US9010612B2 (en) 2012-01-26 2015-04-21 Covidien Lp Buttress support design for EEA anvil
US9326773B2 (en) 2012-01-26 2016-05-03 Covidien Lp Surgical device including buttress material
US9038882B2 (en) 2012-02-03 2015-05-26 Covidien Lp Circular stapling instrument
US9022274B2 (en) 2012-02-15 2015-05-05 Covidien Lp Circular stapler with increased lumen diameter
US20130225932A1 (en) 2012-02-23 2013-08-29 Covidien Lp Multi-portion wound protector
US20130284792A1 (en) 2012-04-26 2013-10-31 Covidien Lp Surgical Stapling Device Including A Camera
US10213205B2 (en) 2012-07-06 2019-02-26 Covidien Lp T-slot tilt anvil for circular stapling instrument
CN104042292A (zh) * 2013-03-15 2014-09-17 柯惠Lp公司 包括可重复利用的组件的手术吻合装置
US9918713B2 (en) 2013-12-09 2018-03-20 Covidien Lp Adapter assembly for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof
US10271842B2 (en) * 2015-06-26 2019-04-30 Ethicon Llc Anvil stabilization features for surgical stapler
US10595871B2 (en) 2016-05-10 2020-03-24 Covidien Lp Insertion instrument, adapter assemblies and protector assemblies for a flexible circular stapler

Patent Citations (16)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5350104A (en) * 1991-08-23 1994-09-27 Ethicon, Inc. Sealing means for endoscopic surgical anastomosis stapling instrument
CN102151159A (zh) * 2004-02-23 2011-08-17 Tyco医疗健康集团 外科切割及钉缝设备
US20060020213A1 (en) * 2004-07-09 2006-01-26 Whitman Michael P Surgical imaging device
EP1616526A1 (en) * 2004-07-14 2006-01-18 Olympus Corporation Tissue stapling method and tissue stapler
WO2006014881A2 (en) * 2004-07-26 2006-02-09 Van Lue Stephen J Surgical stapler with magnetically secured components
US20080300609A1 (en) * 2007-06-04 2008-12-04 Bechara Tabet anastomosis device and method of using same
US20140379011A1 (en) * 2008-08-05 2014-12-25 Covidien Lp Magnetic compression anastomosis device
US20110170281A1 (en) * 2010-01-09 2011-07-14 Leo Shih Pick up tool with illuminating and magnet attracting functions
WO2011149876A2 (en) * 2010-05-26 2011-12-01 Ethicon Endo-Surgery, Inc. Methods and devices for the rerouting of chyme to induct intestinal brake
US8695864B1 (en) * 2010-07-19 2014-04-15 Cardica, Inc. Magnetic coupling for surgical stapler
US20130175318A1 (en) * 2012-01-05 2013-07-11 Kevin D. Felder Tissue stapler anvil feature to prevent premature jaw opening
EP2799026A2 (en) * 2013-04-12 2014-11-05 Covidien LP System having an electromagnetic manipulator with UV tacking mechanism
WO2015073425A1 (en) * 2013-11-15 2015-05-21 Ethicon Endo-Surgery, Inc. Ultrasonic anastomosis instrument with piezoelectric sealing head
CN104856737A (zh) * 2014-02-21 2015-08-26 瑞奇外科器械(中国)有限公司 一种外科手术器械的钉砧及外科手术器械
EP2954857A1 (en) * 2014-06-10 2015-12-16 Ethicon Endo-Surgery, Inc. Adjunct materials and methods of using same in surgical methods for tissue sealing
EP2992841A2 (en) * 2014-09-05 2016-03-09 Ethicon Endo-Surgery, Inc. Polarity of hall magnet to detect misloaded cartridge

Also Published As

Publication number Publication date
US20220330944A1 (en) 2022-10-20
US10595871B2 (en) 2020-03-24
US20170325817A1 (en) 2017-11-16
EP3243449A3 (en) 2018-01-10
EP3243449A2 (en) 2017-11-15
CN107361807B (zh) 2021-10-22
US20200214710A1 (en) 2020-07-09
EP3243449B1 (en) 2022-06-29
US11376007B2 (en) 2022-07-05
EP4074266A1 (en) 2022-10-19
CN113662605A (zh) 2021-11-19

Similar Documents

Publication Publication Date Title
CN107361807A (zh) 用于柔性环形吻合器的插入器械、接合器组件和保护器组件
CN104837415B (zh) 具有扩张特征结构的经口圆形砧座引入系统
US5411508A (en) Gastrointestinal approximating and tissue attaching device
JP5718510B2 (ja) 磁気圧縮吻合デバイス
US10898173B2 (en) Apparatus and methods for hybrid endoscopic and laparoscopic surgery
TWI693059B (zh) 用於模組化磁性接合裝置之施加器之用途
US20130060258A1 (en) Endoluminal Surgical Instrument for Stapling, Cutting and Dividing
CN104605905B (zh) 用于微创缝合的装置及方法
US20160324523A1 (en) Systems, devices, and methods for forming anastomoses
CN108024812A (zh) 用于系紧平直钉线的装置和方法
US20090082785A1 (en) Anvil Delivery Device Accessory
MXPA04009612A (es) Aplicador para anastomosis de un solo lumen para sujetador autodesplegable.
CN108289685A (zh) 用于使身体管腔打褶的设备
WO2016014644A1 (en) Magnetic anastomosis devices and methods of delivery
CN110234280A (zh) 带有备用机械闭锁的磁性组织压缩装置
WO2012035524A2 (en) Micro laparoscopy devices and deployments thereof
CN108135617B (zh) 用于径向束起身体管腔的装置
KR20150144746A (ko) 수술 도구 삽입기
CN108024811A (zh) 具有磁性元件的外科钉支撑物
US20220110633A1 (en) Cable-actuated adapter for surgical stapling instrument
CN108135599A (zh) 用于利用套管针通道形成钉线的设备和方法
JP5399689B2 (ja) 内視鏡機器を制御する方法および装置
JP4732365B2 (ja) 管腔内アクセスデバイス
US11730480B2 (en) Method and apparatus for accessing matter disposed within an internal body vessel
CN118119355A (zh) 分割器械和控制器

Legal Events

Date Code Title Description
PB01 Publication
PB01 Publication
SE01 Entry into force of request for substantive examination
SE01 Entry into force of request for substantive examination
GR01 Patent grant
GR01 Patent grant