CN110381853B - 具有可听指示器机构的手术钉合装置 - Google Patents
具有可听指示器机构的手术钉合装置 Download PDFInfo
- Publication number
- CN110381853B CN110381853B CN201780087867.7A CN201780087867A CN110381853B CN 110381853 B CN110381853 B CN 110381853B CN 201780087867 A CN201780087867 A CN 201780087867A CN 110381853 B CN110381853 B CN 110381853B
- Authority
- CN
- China
- Prior art keywords
- cam
- cam member
- assembly
- spring
- proximal
- 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.)
- Active
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
- A61B17/068—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
- A61B17/11—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
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00017—Electrical control of surgical instruments
- A61B2017/00115—Electrical control of surgical instruments with audible or visual output
-
- 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
- A61B2017/07257—Stapler heads characterised by its anvil
-
- 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
- A61B2090/0807—Indication means
- A61B2090/0811—Indication means for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument
Abstract
一种手术钉合装置(10)包含近侧手柄组合件(12)、从所述近侧手柄组合件(12)向远侧延伸到远侧端部分的细长中心主体部分(14)、支撑于所述细长中心主体部分(14)的所述远侧端部分上的工具组合件(16)以及由所述近侧手柄组合件(12)支撑的可听指示器机构(100)。所述近侧手柄组合件(12)包含接触臂(129)且所述可听指示器机构(100)包含凸轮构件(108)。当所述凸轮构件(108)在远侧位置与近侧位置之间移动时所述凸轮构件(108)接触所述近侧手柄组合件(12)的所述接触臂(129)，以生成指示击发了所述工具组合件(16)的可听声音。
Description
技术领域
本公开涉及一种具有可听指示器机构的手术钉合装置，且更具体地说涉及一种圆形钉合装置，其包含可听指示器机构，所述可听指示器机构在击发完成之后且在砧座倾斜之后向临床医生提供通知。
背景技术
已知手术钉合装置包含视觉、触觉和可听指示器，这些指示器向临床医生提供已发生某一事件(或某些事件)的通知。举例来说，在圆形钉合装置中，已知向临床医生提供可听指示或通知，即钉合装置的击发完成且工具组合件已分开足够距离以允许工具组合件的砧座头倾斜到低轮廓位置(例如，砧座倾斜)。在此类装置中，可听指示可能是微弱的或具有可能不易于被临床医生检测到的音量。
本领域持续需要一种具有可听指示器机构的手术钉合装置，所述可听指示器机构产生可易于被临床医生识别的可听指示。
发明内容
根据本发明的一个方面，提供一种手术钉合装置。所述手术钉合装置包含近侧手柄组合件、从所述近侧手柄组合件向远侧延伸到远侧端部分的细长中心主体部分、支撑于所述细长中心主体部分的所述远侧端部分上的工具组合件以及由所述近侧手柄组合件支撑的可听指示器机构。所述近侧手柄组合件包含接触臂且所述可听指示器机构包含凸轮构件。所述凸轮构件配置成当所述凸轮构件在远侧位置与近侧位置之间移动时接触所述近侧手柄组合件的所述接触臂，以生成指示击发所述工具组合件的可听声音。
在一些实施例中，所述凸轮构件可包含凸轮翅片，所述凸轮翅片定位成接触所述近侧手柄组合件的所述接触臂以生成所述可听声音。所述接触臂可包含上部段和下部段。所述凸轮翅片可配置成接触所述上部段和所述下部段中的一个以指示击发所述远侧工具组合件。
在某些实施例中，所述可听指示器机构可包含限定凸轮槽道的安装主体。所述凸轮构件可包含凸轮销，所述凸轮销在所述凸轮槽道内可滑动地定位，以使所述凸轮构件能够在所述近侧位置与所述远侧位置之间移动。所述凸轮槽道可包含多个支腿。当所述凸轮构件在所述近侧位置与所述远侧位置之间移动时所述凸轮销可收纳在支腿中的每一个内。
所述安装主体可限定支撑弹簧的细长槽道。所述弹簧可通过支撑销联接到支撑托架。所述弹簧可以是压缩弹簧，其响应于所述压缩弹簧中的张力而推动所述凸轮构件接触所述接触臂。所述弹簧可通过从所述凸轮构件延伸的弯管联接到所述凸轮构件。所述凸轮构件可限定中心槽道，所述支撑销延伸穿过所述中心槽道，以使所述凸轮构件能够在所述凸轮构件在所述近侧位置与所述远侧位置之间移动时相对于所述支撑销竖直且轴向地移动。
在一些实施例中，所述远侧工具组合件包含圆形砧座和圆形壳体组合件，所述圆形砧座和圆形壳体组合件定位成在分开位置与接近位置之间移动。
在某些实施例中，所述凸轮构件可定位成从所述远侧位置移动到所述近侧位置以生成所述可听声音。
根据又一方面，提供一种用于手术钉合装置的可听指示器机构。所述可听指示器机构包含安装组合件、由所述安装组合件支撑的弹簧组合件、安装到所述安装组合件的支撑托架，以及联接到所述弹簧组合件且支撑于所述支撑托架与所述安装组合件之间的凸轮构件。所述凸轮构件被支撑以用于相对于所述支撑托架在远侧位置与近侧位置之间移动，以生成指示击发所述手术钉合装置的可听声音。
在一些实施例中，所述凸轮构件可包含凸轮翅片，所述凸轮翅片定位成当所述凸轮构件从所述远侧位置移动到所述近侧位置时生成所述可听声音。
在某些实施例中，所述安装组合件可包含限定凸轮槽道的安装主体。所述凸轮构件可包含凸轮销，所述凸轮销在所述凸轮槽道内可滑动地定位，以使所述凸轮构件能够在所述近侧位置与所述远侧位置之间移动。所述凸轮槽道可包含多个支腿。当所述凸轮构件在所述近侧位置与所述远侧位置之间移动时所述凸轮销可收纳在每个支腿内。
所述弹簧组合件可包含弹簧且所述安装主体可限定支撑所述弹簧的细长槽道。所述弹簧可通过支撑销联接到所述支撑托架。所述弹簧可以是压缩弹簧，其响应于所述压缩弹簧中的张力而朝向所述近侧位置推动所述凸轮构件。所述弹簧可通过从所述凸轮构件延伸的弯管联接到所述凸轮构件。
在一些实施例中，所述凸轮构件可限定中心槽道，所述支撑销延伸穿过所述中心槽道以使所述凸轮构件能够在所述凸轮构件在所述近侧位置与所述远侧位置之间移动时相对于所述支撑销竖直且轴向地移动。
所述凸轮构件可定位成从所述远侧位置移动到所述近侧位置以生成所述可听声音。
其它方面、特征和优点将从接下来的描述、图式和权利要求书显而易见。
附图说明
下文参考图式描述本发明所公开的手术钉合装置的各个实施例，在附图中：
图1是根据本发明的原理的手术钉合装置的透视图；
图2是沿着图1中所示出的剖面线2-2截取的图1的手术钉合装置的截面视图；
图2A是图2中所示出的所指示的细节区域的放大视图，其说明处于分开位置的图1的手术钉合装置的工具组合件；
图2B是图2A的工具组合件的放大视图，其示出处于接近位置的工具组合件；
图3是手柄组合件的手柄部分被移除的图1的手术钉合装置的手柄组合件的部分的放大透视图；
图4是手柄组合件的可听指示器机构的部分示出为与手柄组合件分离的图1的手术钉合装置的手柄组合件的部分的放大透视图；
图5是说明图3中所示出的手柄组合件的部分的透视图，其示出图4的可听指示器机构的第一侧；
图6是说明图3中所示出的手柄组合件的部分的透视图，其示出图4的可听指示器机构的第二侧；
图7是示出支撑于手术钉合装置的细长中心主体部分的远侧部分上的图1的手术钉合装置的壳体组合件的透视图；
图8是图7的壳体组合件的透视图，其中零件分离；
图8A是图8的壳体组合件的推动器的远侧部分的放大透视图；
图9是图8的壳体组合件的内排、中间排和外排钉中的每一个的钉的前视图；
图10到12是说明当击发图1的手术钉合装置时图4的可听指示器机构的操作的渐进视图；且
图13到16是说明当图1的手术钉合装置的砧座和壳体组合件分开时图4的可听指示器机构的操作的渐进视图。
具体实施方式
现在参看图式详细描述本发明所公开的装置，其中在若干视图中的每一个中，相同参考标号指定相同或对应元件。在此描述中，术语“近侧”通常用于指装置的更接近于临床医生的那部分，而术语“远侧”通常用于指装置的距临床医生较远的那部分。另外，例如朝上、朝下、侧向等定向术语仅为描述方便而使用且并不意图限制本公开。此外，使用的术语“内窥镜”通常用于指内窥镜、腹腔镜、关节镜和/或通过小直径切口或套管进行的任何其它手术。另外，术语临床医生通常用于指医务人员，包含医生、护士和辅助人员。
在以下描述中，未详细地描述熟知功能或构造以免不必要的细节混淆本公开。
如图1中所见，手术钉合装置10包含近侧手柄组合件12、从近侧手柄组合件12向远侧延伸的细长中心主体部分14，以及支撑于细长中心主体部分14的远侧端部分上的远侧工具组合件16。远侧工具组合件16包含壳体组合件16a和砧座组合件16b，它们配合以将组织紧固在一起。
手术钉合装置10的手柄组合件12包含固定手柄18、击发触发器20和可旋转接近旋钮22。手柄组合件12的固定手柄18由手柄部分18a和18b形成，所述手柄部分在紧固在一起时限定手柄组合件12的内部组件的外壳。手柄组合件12进一步包含紧固到手柄部分18a和18b的可枢转地安装的触发器锁具24，其手动定位成阻碍击发触发器20的移动以防止钉合装置10的无意击发。固定手柄18包含球形指示器19，其支撑于固定手柄18的上表面上，以当钉合装置10的远侧工具组合件16的壳体组合件16a和砧座组合件16b接近且处于击发预备位置时向临床医生提供指示。
接近机构
参看图2，手柄组合件12的接近旋钮22的远侧端部分可旋转地固定到可旋转套管26的近侧端部分，使得旋钮22的旋转引起套管26的同时旋转。可旋转套管26从接近旋钮22向远侧延伸，且具有在一起限定中心孔26c的圆柱形中空主体部分26a和套环26b。可旋转套管26的中心孔26c收纳驱动螺杆28，所述驱动螺杆具有限定螺旋形槽道28a的外表面。螺杆28的螺旋形槽道28a收纳销30，所述销径向延伸通过套管26的套环26b。可旋转套管26通过凸缘/凹槽互连(未示出)相对于固定手柄18轴向固定，使得套管26围绕螺杆28的旋转引起销30沿着螺杆28的槽道28a移动，以实现螺杆28在可旋转套管26的中心孔26c内的轴向移动。
使用例如销32将驱动螺杆28的远侧部分紧固到螺杆延伸部34、36的近侧端部分。螺杆延伸部34、36是柔性的且通过手术钉合装置10的中心主体部分14向远侧延伸到砧座固持器38。砧座固持器38具有使用例如销39a、39b紧固到螺杆延伸部34和36的远侧部分的近侧端部分和配置成可释放地联接到远侧工具组合件16的砧座组合件16b的远侧端部分，由此旋钮22的旋转实现砧座组合件16b相对于远侧工具组合件16的壳体组合件16a的轴向移动。可如由箭头“R”所指示(图1)旋转旋钮22以如由箭头“Z”所指示(图2A)相对于壳体组合件16a在分开位置(图2A)与接近位置(图2B)之间选择性地移动砧座组合件16b。
击发机构
继续参看图2，手术钉合装置10的中心主体部分14支撑细长推动器连杆40。细长推动器连杆40具有支撑联接部分40a的近侧端部分和包含弹性接合指状物40b、40c的远侧端部分。细长推动器连杆40的指状物40b、40c配置成与壳体组合件16a的推动器50的近侧端部分以锁定方式接合。手柄组合件12的击发触发器20具有近侧部分20a和远侧部分20b。击发触发器20的远侧部分20b通过枢转构件42可枢转地连接到细长推动器连杆40的联接部分40a，以促进击发触发器20相对于手柄组合件12的固定手柄18的枢转移动。手柄组合件12的击发触发器20通过枢转构件46可枢转地连接到击发连杆44的第一端部分44a。击发连杆44包含通过枢转构件48可枢转地紧固到固定手柄18的第二端部分44b，所述枢转构件可在限定于固定手柄18中的槽18c(图10)内竖直地移动。击发连杆44进一步包含翼形部构件44c(图3)，其从击发连杆44侧向延伸。细长推动器连杆40可滑动地支撑在手术钉合装置10的中心主体部分14内，围绕驱动螺杆28沿着中心主体部分14在缩回的、未击发位置与推进的、击发位置之间。细长推动器连杆40支撑弹簧52(图3)。弹簧52定位成围绕细长推动器连杆40的外表面在固定手柄18与细长推动器连杆40的联接部分40a之间，以朝向缩回的、未击发位置向近侧偏置细长推动器连杆40。
触发器锁定
还参看图3，手术钉合装置10的手柄组合件12在手柄组合件12内在缩回位置与推进位置之间可滑动地支撑锁定构件54(图2)。锁定构件54被螺旋弹簧56朝向推进位置偏置以保持触发器锁具24处于锁定位置，以防止手柄组合件12的击发触发器20的致动。驱动螺杆28包含螺杆止动件58，所述螺杆止动件轴向固定在所述驱动螺杆上，且可从位于细长推动器连杆40附近的推进位置移动到位于可旋转套管26的套环26b(图10)附近的缩回位置，以控制远侧工具组合件16的砧座组合件16b相对于远侧工具组合件16的壳体组合件16a的移动程度，例如第6,945,444号美国专利、第9,307,994号美国专利和第9,492,168号美国专利中所公开，所述美国专利中的每一个的内容以全文引用的方式并入本文中。
还参看图13，螺杆止动件58包含主体60，所述主体具有从螺杆止动件58的主体60侧向延伸的翼形部60a、从螺杆止动件58的主体60的远侧部分朝下延伸的杆61，和从螺杆止动件58的主体60的近侧部分侧向延伸的凸出部63。杆61限定配置成接合击发连杆44的第一对接表面58a，翼形部60a限定配置成接合可听指示器机构100的第二对接表面58b，且凸出部63限定配置成接合锁定构件54的第三对接表面58c。
再次参看图1和3，为了解锁击发触发器20，通过接近旋钮22的旋转向近侧牵拉驱动螺杆28螺杆止动件58。在壳体组合件16a和砧座组合件16b的接近期间，螺杆止动件58向近侧移动，使得螺杆止动件58的第三对接表面58c接触锁定构件54并克服螺旋弹簧56的偏置(例如，其中的张力)向近侧驱动锁定构件54。锁定构件54的近侧移动使锁定构件54与触发器锁具24的上端部分24a接触分离且使触发器锁具24的下端部分24b能够远离击发触发器20枢转。在触发器锁具24远离击发触发器20枢转后，可致动击发触发器20。
壳体组合件
参看图2到2b和7到9，远侧工具组合件16的壳体组合件16a包含壳体62、推动器50、圆柱形刀具64和钉引导件66。壳体62紧固到细长主体14的远侧端部分且包含外部外壳部分62a和内引导部分62b。
壳体组合件16a的推动器50可滑动地绕壳体62的内引导部分62b定位并且限定中心通孔50a。推动器50的近侧端部分包含臂50b、50c，其配置成与推动器连杆40的指状物40b、40c以锁定方式接合，以将推动器连杆40紧固到推动器50。推动器50的远侧端部分包含向远侧延伸的指状物68的环形阵列，其配置成可滑动地收纳在穿过钉引导件66的组织接触表面66a形成的槽70的对应环形阵列内。在实施例中，当组织接触表面66a径向朝外延伸时，钉引导件66的组织接触表面66a朝下倾斜。推动器50的指状物68支撑钉阵列72，其定位于钉引导件66的槽70的环形阵列内。向远侧延伸的指状物68的环形阵列包含指状物68的外阵列68a、指状物68的中间阵列68b和指状物68的内阵列68c，这些阵列从内阵列68c到外阵列68a径向朝外布置，其中中间阵列68b安置于内阵列68c与外阵列68a之间。在实施例中，向远侧延伸的指状物68的环形阵列68a到68c在径向朝外方向上从内阵列68c到外阵列68a以递减高度次序定位，使得内阵列68c具有最大高度且外阵列68a具有最小高度。
壳体组合件16a的钉引导件66的槽70的环形阵列包含槽的外阵列70a、中间阵列70b和内阵列70c，这些阵列也从内阵列70c到外阵列70a径向朝外布置，且配置成容纳钉的外阵列72a、中间阵列72b和内环形72c。
同样从内阵列到外阵列径向朝外布置，钉的相应外环形阵列72a、中间环形阵列72b和内环形阵列72c配置成对应于槽70的环形阵列和指状物68的环形阵列的相应外阵列、中间阵列和内阵列。尽管钉可具有任何合适的长度和/或尺寸，但钉的内环形阵列72c的钉可具有3.0mm长度，钉的中间环形阵列72b的钉可具有4.0mm长度，且钉的外环形阵列72a的钉可具有5.0mm长度。
壳体组合件16a的圆柱形刀具64摩擦地保持在壳体组合件16a的推动器50的中心通孔50a内，以相对于推动器50固定地紧固刀具64。刀具64的远侧端部分包含圆形剪刃64a。
在操作中，当中心主体部分14的推动器连杆40响应于手柄组合件12的击发触发器20的致动而向远侧推进时，壳体组合件16a的推动器50在壳体组合件16a的壳体62内向远侧推进。推动器50的推进会推进推动器50的指状物68通过钉引导件66的相应槽70，以从钉引导件66弹射定位于槽70内的钉72。由于壳体组合件16a的刀具64紧固到推动器50，因此刀具64也被向远侧推进以穿刺在壳体62内的刀64的径向内侧定位的组织。
砧座组合件
参看图2A，远侧工具组合件16的砧座组合件16b包含砧座头组合件80和砧座中心杆组合件90。砧座组合件16b的砧座头组合件80包含柱82、砧座头84和砧座86。砧座86支撑于砧座头组合件80的砧座头84上且包含组织接触表面86a，所述组织接触表面限定凹座140的三个环形阵列，其布置成对应于形成于钉引导件66中的槽70的环形阵列。砧座86的凹座140的环形阵列布置成收纳钉72且当从钉引导件66的槽70弹射钉72时使所述钉变形。砧座组合件16b的砧座中心杆组合件90包含砧座中心杆92，其限定孔94且具有柔性臂96a、96b。砧座固持器38收纳在砧座中心杆92的中心孔94内，使得砧座中心杆92的柔性臂96a、96b可释放地接合砧座固持器38并将砧座固持器38联接到中心杆92。枢转构件98将砧座头组合件80的柱82紧固到砧座中心杆组合件90的中心杆92，使得砧座头组合件80可枢转地安装到砧座中心杆组合件90，例如以实现砧座倾斜，其中砧座头组合件80相对于砧座中心杆组合件90倾斜。砧座倾斜提供了缩小的砧座轮廓且简化了在已执行吻合手术之后对手术钉合装置的移除。为了更详细地描述砧座倾斜，可参考例如第6,945,444号美国专利、第9,307,994号美国专利和第9,492,168号美国专利，所述美国专利中的每一个的全部内容以引用方式并入上文。
击发
参看图2和3，当远侧工具组合件16的砧座组合件16b和壳体组合件16a完全接近(图2B)且触发器锁具24远离手柄组合件12的击发触发器20枢转时，可致动击发触发器20。击发触发器20的致动使击发触发器20围绕枢转构件42枢转，以向近侧移动击发连杆44，直到枢转构件48接合螺杆止动件58的第一对接表面58a(图13)为止。击发触发器20的持续枢转移动使击发连杆44抵靠螺杆止动件58的第一对接表面58a推动并向远侧驱动或推进击发触发器20的远侧部分20b。当击发触发器20的远侧部分20b向远侧推进时，克服弹簧52的偏置(例如，其中的张力)向远侧推进推动器连杆40。推动器连杆40的远侧移动或推进在壳体组合件16a的钉引导件66内向远侧驱动壳体组合件16a的推动器50，使得推动器50的指状物68从钉引导件66的槽70弹射钉72。
可听指示器机构
参看图3到6，手柄组合件12的可听指示器机构100包含安装组合件102、由安装组合件104支撑的弹簧组合件104、安装到安装组合件102的支撑托架106，和联接到弹簧组合件104且可移动地支撑于支撑托架106与安装组合件102之间的凸轮构件108。
可听指示器机构100的安装组合件102包含形成于具有多个安装杆110a的手柄组合件12中的安装主体110。安装主体110限定安装主体110的近侧部分中的凸轮槽道112和安装主体110的远侧部分中的细长槽道114。凸轮槽道112包含第一支腿112a、第二支腿112b和第三支腿112c。第一支腿112a通过第一凸轮表面112d联接到第二支腿112b。第二支腿112b通过第二凸轮表面112e联接到第三支腿112c。第三支腿112c通过第三凸轮表面112f联接到第一支腿112a。
可听指示器机构100的弹簧组合件104包含具有近侧端部分116a和远侧端部分116b的弹簧116。弹簧116a的近侧端部分116a联接到支撑销118，其紧固到支撑托架106并从弹簧116侧向延伸。弹簧116的远侧端部分116b呈钩状或环状形式。
可听指示器机构100的支撑托架106限定多个开口120，其定位成收纳安装组合件102的安装杆110a(图6)。所述多个开口120的每个开口120收纳将支撑托架106紧固到安装组合件102的安装杆110a的紧固件(未示出)。支撑托架106进一步限定收纳支撑销118的孔口122，以将弹簧组合件104紧固到支撑托架106。
可听指示器机构100的凸轮构件108限定具有近侧部分124a和远侧部分124b的中心槽道124。凸轮构件108包含从凸轮构件108向近侧延伸的凸轮翅片126。凸轮构件108进一步包含凸轮销128，其从凸轮构件108的近侧部分侧向延伸且在延伸位置与缩回位置之间可滑动地定位于安装主体110的凸轮槽道112中。凸轮构件108还包含弯管130(图3)，其从凸轮构件108的远侧部分侧向延伸且联接到弹簧116的远侧端部分116b。
如图10到12中所见，手柄组合件12的击发触发器20的致动使得在由图11中的箭头“A”所指示的方向上朝向可听指示器机构100的凸轮构件108枢转击发连杆44，使得击发连杆44的翼形部构件44c朝向凸轮构件108的凸轮翅片126移动。击发连杆44的持续枢转移动使翼形部构件44c接合凸轮翅片126且朝上驱动凸轮翅片126，如由箭头“A”所指示(图11)。当凸轮翅片126朝上驱动时，凸轮销128从凸轮槽道112的第二支腿112b朝上驱动且沿着凸轮槽道112的第一凸轮表面112d向远侧驱动。凸轮销128的远侧移动向远侧驱动凸轮构件108，使得弯管130相对于支撑销118向远侧延伸弹簧116，以张紧弹簧116。
参看图11和12，当在进一步致动击发触发器20后凸轮销128经过凸轮槽道112的第一凸轮表面112d时，弹簧116向近侧偏置凸轮构件108以在弹簧116中产生增大的张力，使得凸轮销128搭扣到凸轮槽道112的第一支腿112a中并接近凸轮构件108的第一近侧内壁112g。当凸轮销128搭扣到凸轮槽道112的第一支腿112a中时，凸轮翅片126在接触臂129的上部段129U处接触手柄组合件12的接触臂129，以提供可听声音(例如，咔嚓)。可听声音指示手术钉合装置10的击发完成。接触臂129和/或凸轮翅片126或其部分可包含任何合适的陶瓷、金属和/或聚合材料，以增强由凸轮翅片126与接触臂129之间形成的接触所产生的声音，使得声音可被人听到(例如，在约20Hz到约20kHz的频率范围内)。
参看图13到16，在手术钉合装置10的击发完成后，接近机构的旋钮22可被旋转以分开砧座和壳体组合件30、31，使得向远侧推进螺杆止动件58。螺杆止动件58的远侧移动使螺杆止动件58的主体60的翼形部60a接合凸轮构件108，使得翼形部60a的第二对接表面58b接触凸轮构件108的近侧表面108a。如由箭头“B”所指示(图14)，螺杆止动件58的持续远侧推进向远侧驱动凸轮构件108，使得弯管130相对于支撑销118向远侧延伸弹簧116，以增大弹簧116中的张力。当凸轮构件108向远侧移动时，凸轮销128从凸轮槽道112的第一支腿112a中向远侧移动，如由箭头“C”所指示(图14)，沿着第三凸轮表面112f向远侧且朝下移动，如由箭头“D”所指示(图15)，以到凸轮槽道112的第三支腿112中，使得螺杆止动件58的主体60的翼形部60a从凸轮构件108脱离。在凸轮构件108从螺杆止动件58脱离的情况下，凸轮构件108被弹簧116向近侧偏置，使得凸轮销128沿着第二凸轮表面112e向近侧且朝下移动，如由箭头“E”所指示(图16)，且扣回到凸轮槽道112的第一支腿112a中。当凸轮销128扣回到凸轮槽道112的第一支腿112a中时，随着凸轮销128接近凸轮槽道112的第二近侧内壁112h，凸轮翅片126在接触臂129的下部段129L处接触手柄组合件12的接触臂129，以提供另一可听声音(例如，咔嚓)，其指示砧座倾斜和可听指示器机构100被复位。可听声音可以是不同的(例如，音量、声音类型、持续时间等，或其组合，例如这由于当接触臂129涉及其在手柄组合件12内的相对定位时接触臂的部分的材料、材料尺寸和/或位置声学的差异)，且在一些实施例中，可以是相同的。
本领域的技术人员应理解，本文中所特定地描述且附图中所示出的结构和方法是非限制性示例性实施例，且应将描述、公开和图式仅仅认作示例性特定实施例。因此，应理解，本公开并不限于所描述的精确实施例，且本领域的技术人员可在不脱离本公开的范围或精神的情况下进行各种其它改变和修改。另外，可在不脱离本公开的范围的情况下将结合某些实施例所示出或描述的元件和特征与某些其它实施例的元件和特征组合，且此类修改和变化也包含在本公开的范围内。因此，本公开的主题并不受到已特定地示出和描述的内容限制。
Claims (15)
1.一种手术钉合装置，其包括：
近侧手柄组合件，其包含接触臂；
细长中心主体部分，其从所述近侧手柄组合件向远侧延伸到远侧端部分；
工具组合件，其支撑于所述细长中心主体部分的所述远侧端部分上；以及
可听指示器机构，其由所述近侧手柄组合件支撑且包含凸轮构件，所述凸轮构件配置成当所述凸轮构件在远侧位置与近侧位置之间移动时接触所述近侧手柄组合件的所述接触臂，以生成指示击发了所述工具组合件的可听声音，
其中所述可听指示器机构包含限定凸轮槽道的安装主体，且所述凸轮构件包含凸轮销，所述凸轮销在所述凸轮槽道内可滑动地定位以使所述凸轮构件能够在所述近侧位置与所述远侧位置之间移动，
其中所述安装主体限定支撑弹簧的细长槽道，所述弹簧通过支撑销联接到支撑托架，
其中所述弹簧是压缩弹簧，其响应于所述压缩弹簧中的张力而推动所述凸轮构件接触所述接触臂。
2.根据权利要求1所述的手术钉合装置，其中所述凸轮构件包含凸轮翅片，其定位成接触所述近侧手柄组合件的所述接触臂以生成所述可听声音。
3.根据权利要求2所述的手术钉合装置，其中所述接触臂包含上部段和下部段，所述凸轮翅片配置成接触所述上部段和所述下部段中的一个以指示击发了所述工具组合件。
4.根据权利要求1所述的手术钉合装置，其中所述凸轮槽道包含多个支腿，当所述凸轮构件在所述近侧位置与所述远侧位置之间移动时所述凸轮销能够收纳在所述多个支腿的每个支腿内。
5.根据权利要求1所述的手术钉合装置，其中所述弹簧通过从所述凸轮构件延伸的弯管联接到所述凸轮构件。
6.根据权利要求1所述的手术钉合装置，其中所述凸轮构件限定中心槽道，所述支撑销延伸穿过所述中心槽道，以使所述凸轮构件能够在所述凸轮构件在所述近侧位置与所述远侧位置之间移动时相对于所述支撑销竖直且轴向地移动。
7.根据权利要求1所述的手术钉合装置，其中所述工具组合件包含圆形砧座和圆形壳体组合件，所述圆形砧座和圆形壳体组合件定位成在分开位置与接近位置之间移动。
8.根据权利要求1所述的手术钉合装置，其中所述凸轮构件定位成从所述远侧位置移动到所述近侧位置以生成所述可听声音。
9.一种用于手术钉合装置的可听指示器机构，所述可听指示器机构包括：
安装组合件；
弹簧组合件，其由所述安装组合件支撑；
支撑托架，其安装到所述安装组合件；以及
凸轮构件，其联接到所述弹簧组合件且支撑于所述支撑托架与所述安装组合件之间，所述凸轮构件被支撑以用于相对于所述支撑托架在远侧位置与近侧位置之间移动，以生成指示击发了所述手术钉合装置的可听声音，
其中所述安装组合件包含限定凸轮槽道的安装主体且所述凸轮构件包含凸轮销，所述凸轮销在所述凸轮槽道内可滑动地定位，以使所述凸轮构件能够在所述近侧位置与所述远侧位置之间移动，
其中所述弹簧组合件包含弹簧且所述安装主体限定支撑所述弹簧的细长槽道，所述弹簧通过支撑销联接到所述支撑托架。
10.根据权利要求9所述的可听指示器机构，其中所述凸轮构件包含凸轮翅片，所述凸轮翅片定位成当所述凸轮构件从所述远侧位置移动到所述近侧位置时生成所述可听声音。
11.根据权利要求9所述的可听指示器机构，其中所述凸轮槽道包含多个支腿，当所述凸轮构件在所述近侧位置与所述远侧位置之间移动时所述凸轮销能够收纳在所述多个支腿的每个支腿内。
12.根据权利要求9所述的可听指示器机构，其中所述弹簧是压缩弹簧，其响应于所述压缩弹簧中的张力而朝向所述近侧位置推动所述凸轮构件。
13.根据权利要求9所述的可听指示器机构，其中所述弹簧通过从所述凸轮构件延伸的弯管联接到所述凸轮构件。
14.根据权利要求9所述的可听指示器机构，其中所述凸轮构件限定中心槽道，所述支撑销延伸穿过所述中心槽道，以使所述凸轮构件能够在所述凸轮构件在所述近侧位置与所述远侧位置之间移动时相对于所述支撑销竖直且轴向地移动。
15.根据权利要求9所述的可听指示器机构，其中所述凸轮构件定位成从所述远侧位置移动到所述近侧位置以生成所述可听声音。
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202210559424.6A CN115192106A (zh) | 2017-03-09 | 2017-03-09 | 具有可听指示器机构的手术钉合装置 |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| PCT/CN2017/076161 WO2018161314A1 (en) | 2017-03-09 | 2017-03-09 | Surgical stapling device with audible indicator mechanism |
Related Child Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202210559424.6A Division CN115192106A (zh) | 2017-03-09 | 2017-03-09 | 具有可听指示器机构的手术钉合装置 |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN110381853A CN110381853A (zh) | 2019-10-25 |
| CN110381853B true CN110381853B (zh) | 2022-06-07 |
Family
ID=63447215
Family Applications (2)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202210559424.6A Pending CN115192106A (zh) | 2017-03-09 | 2017-03-09 | 具有可听指示器机构的手术钉合装置 |
| CN201780087867.7A Active CN110381853B (zh) | 2017-03-09 | 2017-03-09 | 具有可听指示器机构的手术钉合装置 |
Family Applications Before (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202210559424.6A Pending CN115192106A (zh) | 2017-03-09 | 2017-03-09 | 具有可听指示器机构的手术钉合装置 |
Country Status (5)
| Country | Link |
|---|---|
| US (1) | US11382629B2 (zh) |
| EP (1) | EP3592251A4 (zh) |
| CN (2) | CN115192106A (zh) |
| AU (1) | AU2017403146A1 (zh) |
| WO (1) | WO2018161314A1 (zh) |
Families Citing this family (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN209529239U (zh) * | 2017-12-26 | 2019-10-25 | 苏州天臣国际医疗科技有限公司 | 圆管型吻合器 |
| US11207071B2 (en) * | 2018-10-15 | 2021-12-28 | Cilag Gmbh International | Dual stage closure system for circular surgical stapler |
| WO2023028913A1 (en) * | 2021-09-01 | 2023-03-09 | Covidien Lp | Audible feedback for curved stapling device |
| WO2023097597A1 (en) * | 2021-12-02 | 2023-06-08 | Covidien Lp | Surgical stapling device with anvil tilt indicator |
| CN116172755B (zh) * | 2022-12-20 | 2023-08-15 | 杭州启明医疗器械股份有限公司 | 具有锁定结构的介入器械输送系统 |
Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5697543A (en) * | 1996-03-12 | 1997-12-16 | Ethicon Endo-Surgery, Inc. | Linear stapler with improved firing stroke |
| CN2461494Y (zh) * | 2000-07-06 | 2001-11-28 | 张祖仁 | 外科用管型吻合器 |
| CN203506807U (zh) * | 2013-09-29 | 2014-04-02 | 无锡市神康医疗器械设备有限公司 | 一次性导向型肛肠痔吻合器 |
| CN104039242A (zh) * | 2012-01-05 | 2014-09-10 | 伊西康内外科公司 | 组织缝合触发器上用于防止钳口过早打开的棘轮特征结构 |
| CN205041474U (zh) * | 2015-07-24 | 2016-02-24 | 天津天耀金属制品有限公司 | 一种具有自动复位保险装置的外科缝合器械 |
Family Cites Families (348)
| 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 |
| US4304236A (en) | 1977-05-26 | 1981-12-08 | United States Surgical Corporation | Stapling instrument having an anvil-carrying part of particular geometric shape |
| US4573468A (en) | 1977-05-26 | 1986-03-04 | United States Surgical Corporation | Hollow body organ stapling instrument and disposable cartridge employing relief vents |
| 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 |
| US4485817A (en) | 1982-05-28 | 1984-12-04 | United States Surgical Corporation | Surgical stapler apparatus with flexible shaft |
| US4473077A (en) | 1982-05-28 | 1984-09-25 | 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 |
| US4754909A (en) | 1984-08-09 | 1988-07-05 | Barker John M | Flexible stapler |
| US4671445A (en) | 1984-08-09 | 1987-06-09 | Baxter Travenol Laboratories, Inc. | Flexible surgical stapler assembly |
| AU582625B2 (en) | 1985-01-28 | 1989-04-06 | Ethicon Inc. | Tissue gripper for use with intraluminal stapling device |
| US4665917A (en) | 1985-01-28 | 1987-05-19 | 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 |
| US4700703A (en) | 1986-03-27 | 1987-10-20 | Semion Resnick | Cartridge assembly for a surgical stapling instrument |
| US4903697A (en) | 1986-03-27 | 1990-02-27 | Semion Resnick | Cartridge assembly for a surgical stapling instrument |
| WO1987006448A1 (fr) | 1986-04-21 | 1987-11-05 | Finanzaktiengesellschaft Globe Control | Procede et dispositif d'anastomose |
| US4752024A (en) | 1986-10-17 | 1988-06-21 | Green David T | Surgical fastener and surgical stapling apparatus |
| US4917114A (en) | 1986-10-17 | 1990-04-17 | United States Surgical Corporation | 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 |
| US5193731A (en) | 1988-07-01 | 1993-03-16 | United States Surgical Corporation | Anastomosis surgical stapling instrument |
| US5005749A (en) | 1988-07-01 | 1991-04-09 | United States Surgical Corp. | Anastomosis surgical stapling instrument |
| ES2011110A6 (es) | 1988-09-02 | 1989-12-16 | Lopez Hervas Pedro | Aparato hidraulico de cuerpo flexible para anastomosis quirurgicas. |
| WO1990006085A1 (en) | 1988-11-29 | 1990-06-14 | Gingold Bruce S | Surgical stapling apparatus |
| US5197648A (en) | 1988-11-29 | 1993-03-30 | 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 | |
| US5403333A (en) | 1990-08-28 | 1995-04-04 | Robert L. Kaster | Side-to-end vascular anastomotic staple apparatus |
| 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 |
| ATE135182T1 (de) | 1991-03-29 | 1996-03-15 | Perouse Implant Lab | Chirurgisches klammernähgerät |
| US5221036A (en) | 1991-06-11 | 1993-06-22 | Haruo Takase | Surgical stapler |
| GR920100358A (el) | 1991-08-23 | 1993-06-07 | Ethicon Inc | Οργανο συρραφής χειρουργικής αναστομώσεως. |
| US5350104A (en) | 1991-08-23 | 1994-09-27 | Ethicon, Inc. | Sealing means for endoscopic surgical anastomosis stapling instrument |
| US5333773A (en) | 1991-08-23 | 1994-08-02 | Ethicon, Inc. | Sealing means for endoscopic surgical anastomosis stapling instrument |
| US5443198A (en) | 1991-10-18 | 1995-08-22 | United States Surgical Corporation | Surgical fastener applying apparatus |
| US5474223A (en) | 1991-10-18 | 1995-12-12 | 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 |
| US5282810A (en) | 1992-04-08 | 1994-02-01 | American Cyanamid Company | Surgical anastomosis device |
| US5425738A (en) | 1992-04-08 | 1995-06-20 | American Cyanamid Company | Endoscopic anastomosis ring insertion device and method of use thereof |
| US5355897A (en) | 1992-04-16 | 1994-10-18 | Ethicon, Inc. | Method of performing a pyloroplasty/pylorectomy using a stapler having a shield |
| US5344059A (en) | 1992-05-19 | 1994-09-06 | United States Surgical Corporation | Surgical apparatus and anvil delivery system therefor |
| US5314435A (en) | 1992-05-19 | 1994-05-24 | United States Surgical Corporation | Anvil delivery system |
| JPH0647050A (ja) | 1992-06-04 | 1994-02-22 | Olympus Optical Co Ltd | 組織縫合結紮器 |
| US5658300A (en) | 1992-06-04 | 1997-08-19 | Olympus Optical Co., Ltd. | Tissue fixing surgical instrument, tissue-fixing device, and method of fixing tissues |
| 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 |
| 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 |
| US5447514A (en) | 1993-10-01 | 1995-09-05 | United States Surgical Corporation | Circular anastomosis device |
| 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 |
| US5881943A (en) | 1994-06-17 | 1999-03-16 | Heartport, Inc. | Surgical anastomosis apparatus and method thereof |
| CA2192819A1 (en) | 1994-06-17 | 1995-12-28 | Christopher Francis Heck | Surgical stapling instrument and method thereof |
| US5732872A (en) | 1994-06-17 | 1998-03-31 | Heartport, Inc. | Surgical stapling instrument |
| 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 |
| JP3207436B2 (ja) | 1995-10-31 | 2001-09-10 | オチコン アクツイエセルスカプ | 端−側吻合を実施するときに使用するための吻合器具 |
| 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 |
| US5833698A (en) | 1996-07-23 | 1998-11-10 | United States Surgical Corporation | Anastomosis instrument and method |
| US6024748A (en) | 1996-07-23 | 2000-02-15 | United States Surgical Corporation | Singleshot anastomosis instrument with detachable loading unit 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 |
| WO2001052748A2 (en) | 2000-01-18 | 2001-07-26 | Tyco Healthcare Group Lp | Anastomosis instrument and method for performing same |
| 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 |
| US6517566B1 (en) | 1998-05-11 | 2003-02-11 | Surgical Connections, Inc. | Devices and methods for treating e.g. urinary stress incontinence |
| KR20010052335A (ko) | 1998-05-11 | 2001-06-25 | 클레어 티. 호브랜드 | 복압성 요실금 등을 치료하는 장치 및 방법 |
| US6629630B2 (en) | 1998-06-19 | 2003-10-07 | Scimed Life Systems, Inc. | Non-circular resection device and endoscope |
| US6126058A (en) | 1998-06-19 | 2000-10-03 | Scimed Life Systems, Inc. | Method and device for full thickness resectioning of an organ |
| US6601749B2 (en) | 1998-06-19 | 2003-08-05 | Scimed Life Systems, Inc. | Multi fire full thickness resectioning device |
| US6478210B2 (en) | 2000-10-25 | 2002-11-12 | Scimed Life Systems, Inc. | Method and device for full thickness resectioning of an organ |
| US6585144B2 (en) | 1998-06-19 | 2003-07-01 | Acimed Life Systems, Inc. | Integrated surgical staple retainer for a 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 |
| 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 |
| US6142933A (en) | 1998-11-23 | 2000-11-07 | Ethicon Endo-Surgery, Inc. | Anoscope for hemorrhoidal surgery |
| 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 |
| US8025199B2 (en) | 2004-02-23 | 2011-09-27 | Tyco Healthcare Group Lp | Surgical cutting and stapling 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 |
| US7032798B2 (en) | 1999-06-02 | 2006-04-25 | Power Medical Interventions, Inc. | Electro-mechanical surgical device |
| US6491201B1 (en) | 2000-02-22 | 2002-12-10 | Power Medical Interventions, Inc. | Fluid delivery mechanism for use with anastomosing, stapling, and resecting instruments |
| US6264087B1 (en) | 1999-07-12 | 2001-07-24 | Powermed, Inc. | Expanding parallel jaw device for use with an electromechanical driver device |
| US6443973B1 (en) | 1999-06-02 | 2002-09-03 | Power Medical Interventions, Inc. | Electromechanical driver device for use with anastomosing, stapling, and resecting instruments |
| US6981941B2 (en) | 1999-06-02 | 2006-01-03 | Power Medical Interventions | Electro-mechanical surgical device |
| US6716233B1 (en) | 1999-06-02 | 2004-04-06 | Power Medical Interventions, Inc. | Electromechanical driver and remote surgical instrument attachment having computer assisted control capabilities |
| US6793652B1 (en) | 1999-06-02 | 2004-09-21 | Power Medical Interventions, Inc. | Electro-mechanical surgical device |
| US7540839B2 (en) | 1999-10-14 | 2009-06-02 | Atropos Limited | Wound retractor |
| US6193129B1 (en) | 2000-01-24 | 2001-02-27 | Ethicon Endo-Surgery, Inc. | Cutting blade for a surgical anastomosis stapling instrument |
| HU225908B1 (en) | 2000-01-24 | 2007-12-28 | Ethicon Endo Surgery Europe | Surgical circular stapling head |
| 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 |
| CA2718633C (en) | 2000-03-06 | 2013-01-08 | 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 |
| US7407076B2 (en) * | 2000-10-13 | 2008-08-05 | Tyco Healthcare Group Lp | Surgical stapling device |
| US20040267310A1 (en) | 2000-10-20 | 2004-12-30 | Racenet David C | Directionally biased staple and anvil assembly for forming the staple |
| US8286845B2 (en) | 2000-11-27 | 2012-10-16 | Boston Scientific Scimed, Inc. | Full thickness resection device control handle |
| US6821282B2 (en) | 2000-11-27 | 2004-11-23 | Scimed Life Systems, 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 |
| WO2002058568A1 (en) | 2001-01-24 | 2002-08-01 | Tyco Healthcare Group Lp | Anastomosis instrument and method for performing same |
| EP1359851B1 (en) | 2001-01-31 | 2010-09-22 | Rex Medical, Inc. | Apparatus for stapling and resectioning gastro-edophageal tissue |
| US6769590B2 (en) | 2001-04-02 | 2004-08-03 | Susan E. Vresh | Luminal anastomotic device and method |
| CA2662557C (en) | 2001-04-03 | 2011-03-22 | Tyco Healthcare Group Lp | Surgical stapling device |
| 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 |
| US6957758B2 (en) | 2001-10-05 | 2005-10-25 | 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 |
| US20030111507A1 (en) | 2001-12-14 | 2003-06-19 | George Nunez | Balloon actuator for use in a resectioning device |
| US6981979B2 (en) | 2001-12-14 | 2006-01-03 | Enrico Nicolo | Surgical anastomotic devices |
| 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 |
| US7141055B2 (en) | 2002-04-24 | 2006-11-28 | Surgical Connections, Inc. | Resection and anastomosis devices and methods |
| ES2377483T3 (es) | 2002-04-25 | 2012-03-28 | Tyco Healthcare Group Lp | Instrumentos quirúrgicos que incluyen sistemas microelectromecánicos (MEMS) |
| US6685079B2 (en) | 2002-05-24 | 2004-02-03 | Scimed Life Systems, Inc. | Full thickness resectioning device |
| US6769594B2 (en) | 2002-05-31 | 2004-08-03 | Tyco Healthcare Group, Lp | End-to-end anastomosis instrument and method for performing same |
| US7195142B2 (en) | 2003-05-30 | 2007-03-27 | Tyco Healthcare Group Lp | End-to-end anastomosis instrument and method for performing same |
| ES2327768T3 (es) | 2002-06-17 | 2009-11-03 | Tyco Healthcare Group Lp | Estruturas anulares de soporte. |
| IL150855A (en) | 2002-07-22 | 2007-06-03 | Leonid Monassevitch | Intratubular anastomosis apparatus |
| EP3225177B1 (en) | 2002-10-04 | 2019-09-18 | Covidien LP | Pneumatic powered surgical stapling device |
| CA2501049C (en) | 2002-10-04 | 2012-01-03 | Tyco Healthcare Group Lp | 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 |
| CA2508246A1 (en) | 2002-12-16 | 2004-07-15 | Edrich Vascular Devices, Inc. | Multiple stapling device for narrow blood vessels |
| WO2004058080A2 (en) | 2002-12-20 | 2004-07-15 | 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 |
| ES2551683T3 (es) | 2003-06-20 | 2015-11-23 | Covidien Lp | Instrumento de grapado quirúrgico |
| WO2005009216A2 (en) | 2003-07-16 | 2005-02-03 | Tyco Healthcare Group, 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 |
| ES2380921T3 (es) | 2003-10-17 | 2012-05-21 | Tyco Healthcare Group Lp | Dispositivo de grapado quirúrgico |
| US8590764B2 (en) | 2003-12-24 | 2013-11-26 | Boston Scientific Scimed, Inc. | Circumferential full thickness resectioning device |
| US7585306B2 (en) | 2003-12-24 | 2009-09-08 | Maquet Cardiovascular Llc | Anastomosis device, tools and methods of using |
| US6953138B1 (en) | 2004-02-18 | 2005-10-11 | Frank W. Dworak | Surgical stapler anvil with nested staple forming pockets |
| US7086267B2 (en) | 2004-02-18 | 2006-08-08 | Frank W. Dworak | Metal-forming die and method for manufacturing same |
| 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 |
| ES2400050T3 (es) | 2004-03-19 | 2013-04-05 | Covidien Lp | Conjunto de yunque con anillo de corte mejorado |
| CA2566794A1 (en) | 2004-05-17 | 2005-12-08 | Datascope Investment Corp. | Surgical stapling system |
| JP4257270B2 (ja) | 2004-07-14 | 2009-04-22 | オリンパス株式会社 | 生体組織縫合方法及び生体組織縫合器 |
| 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 |
| EP2957235B1 (en) * | 2004-10-08 | 2019-02-20 | Covidien LP | An endoscopic surgical clip applier |
| US7819886B2 (en) * | 2004-10-08 | 2010-10-26 | Tyco Healthcare Group Lp | Endoscopic surgical clip applier |
| US8372094B2 (en) | 2004-10-15 | 2013-02-12 | Covidien Lp | Seal element for anastomosis |
| US7455682B2 (en) | 2004-10-18 | 2008-11-25 | Tyco Healthcare Group Lp | Structure containing wound treatment material |
| AU2005295477B2 (en) | 2004-10-18 | 2011-11-24 | Covidien Lp | Structure for applying sprayable wound treatment material |
| US7938307B2 (en) | 2004-10-18 | 2011-05-10 | Tyco Healthcare Group Lp | Support structures and methods of using the same |
| CA2583867C (en) | 2004-10-18 | 2014-12-23 | Frank J. Viola | Adhesive suture structure and methods of using the same |
| US7845536B2 (en) | 2004-10-18 | 2010-12-07 | Tyco Healthcare Group Lp | Annular adhesive structure |
| EP2441396B1 (en) | 2004-10-18 | 2015-01-21 | Covidien LP | Annular adhesive structure |
| AU2005296053B2 (en) | 2004-10-18 | 2011-03-10 | Covidien Lp | Compression anastomosis device and method |
| US7717313B2 (en) | 2004-10-18 | 2010-05-18 | Tyco Healthcare Group Lp | Surgical apparatus and 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 |
| 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 |
| US7717312B2 (en) | 2005-06-03 | 2010-05-18 | Tyco Healthcare Group Lp | Surgical instruments employing sensors |
| US8627995B2 (en) | 2006-05-19 | 2014-01-14 | Ethicon Endo-Sugery, Inc. | Electrically self-powered surgical instrument with cryptographic identification of interchangeable part |
| US7959050B2 (en) | 2005-07-26 | 2011-06-14 | Ethicon Endo-Surgery, Inc | Electrically self-powered surgical instrument with manual release |
| 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 |
| US7398908B2 (en) | 2005-08-15 | 2008-07-15 | Tyco Healthcare Group Lp | Surgical stapling instruments including a cartridge having multiple staple sizes |
| 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 |
| 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 |
| US7673781B2 (en) | 2005-08-31 | 2010-03-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling device with staple driver that supports multiple wire diameter staples |
| 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 |
| WO2007112059A2 (en) | 2006-03-23 | 2007-10-04 | Edrich Health Technologies , Inc. | Vascular anastomotic staplers |
| US8357085B2 (en) | 2009-03-31 | 2013-01-22 | Ethicon Endo-Surgery, Inc. | Devices and methods for providing access into a body cavity |
| US8206294B2 (en) | 2008-09-30 | 2012-06-26 | Ethicon Endo-Surgery, Inc. | Surgical access device with flexible seal channel |
| DE602006010845D1 (de) | 2006-07-07 | 2010-01-14 | 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 |
| DE602007012771D1 (de) | 2007-03-07 | 2011-04-07 | Covidien Ag | Klammergerät für mukosektomie |
| US8727197B2 (en) | 2007-03-15 | 2014-05-20 | Ethicon Endo-Surgery, Inc. | Staple cartridge cavity configuration with cooperative surgical staple |
| 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 |
| 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 |
| EP2283784B1 (en) | 2008-04-30 | 2016-06-22 | Educational Foundation Jichi Medical University | Surgical system for natural orifice transluminal endoscopic surgery (notes) |
| 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 |
| US8276802B2 (en) | 2009-07-11 | 2012-10-02 | Tyco Healthcare Group Lp | Surgical instrument with double cartridge and anvil assemblies |
| US8146790B2 (en) | 2009-07-11 | 2012-04-03 | Tyco Healthcare Group Lp | Surgical instrument with safety mechanism |
| 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 | |
| WO2011050705A1 (zh) | 2009-10-26 | 2011-05-05 | 北京中法派尔特医疗设备有限公司 | 一种肛肠手术器械及扩肛器 |
| US8430292B2 (en) | 2009-10-28 | 2013-04-30 | Covidien Lp | Surgical fastening apparatus |
| US8413872B2 (en) | 2009-10-28 | 2013-04-09 | 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 |
| US20120145755A1 (en) | 2010-12-14 | 2012-06-14 | Pk Products, Llc | Tool securing device and methods related thereto |
| 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 |
| 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 |
| 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 |
| US9113885B2 (en) | 2011-12-14 | 2015-08-25 | Covidien Lp | Buttress assembly for use with surgical stapling device |
| US9603599B2 (en) | 2011-12-16 | 2017-03-28 | Ethicon Endo-Surgery, Llc | Feature to reengage safety switch of tissue stapler |
| US9220505B2 (en) | 2011-12-16 | 2015-12-29 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with locking feature to lock anvil actuator |
| US20130172681A1 (en) | 2011-12-29 | 2013-07-04 | Covidien Lp | Wound protector with reinforced ring |
| US9186148B2 (en) | 2012-01-05 | 2015-11-17 | Ethicon Endo-Surgery, Inc. | Tissue stapler anvil feature to prevent premature jaw opening |
| US9095340B2 (en) | 2012-01-05 | 2015-08-04 | Ethicon Endo-Surgery, Inc. | Tissue stapler safety switch feature 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 |
| US9010612B2 (en) | 2012-01-26 | 2015-04-21 | Covidien Lp | Buttress support design for EEA anvil |
| US9010609B2 (en) | 2012-01-26 | 2015-04-21 | Covidien Lp | Circular stapler including buttress |
| 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 |
| US9241728B2 (en) * | 2013-03-15 | 2016-01-26 | Ethicon Endo-Surgery, Inc. | Surgical instrument with multiple clamping mechanisms |
| US10898196B2 (en) | 2014-11-21 | 2021-01-26 | Covidien Lp | Cleaning apparatus for surgical instruments |
| US10085744B2 (en) | 2014-12-08 | 2018-10-02 | Covidien Lp | Loading unit attachment band for surgical stapling instrument |
| US9706999B2 (en) | 2015-04-20 | 2017-07-18 | Olympus Corporation | Method for tissue resection |
| EP3373827B1 (en) | 2015-11-13 | 2023-08-09 | Covidien LP | Circular stapler with audible indicator mechanism |
| US10561474B2 (en) | 2015-12-31 | 2020-02-18 | Ethicon Llc | Surgical stapler with end of stroke indicator |
-
2017
- 2017-03-09 EP EP17899332.5A patent/EP3592251A4/en active Pending
- 2017-03-09 CN CN202210559424.6A patent/CN115192106A/zh active Pending
- 2017-03-09 AU AU2017403146A patent/AU2017403146A1/en not_active Abandoned
- 2017-03-09 CN CN201780087867.7A patent/CN110381853B/zh active Active
- 2017-03-09 US US16/491,255 patent/US11382629B2/en active Active
- 2017-03-09 WO PCT/CN2017/076161 patent/WO2018161314A1/en unknown
Patent Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5697543A (en) * | 1996-03-12 | 1997-12-16 | Ethicon Endo-Surgery, Inc. | Linear stapler with improved firing stroke |
| CN2461494Y (zh) * | 2000-07-06 | 2001-11-28 | 张祖仁 | 外科用管型吻合器 |
| CN104039242A (zh) * | 2012-01-05 | 2014-09-10 | 伊西康内外科公司 | 组织缝合触发器上用于防止钳口过早打开的棘轮特征结构 |
| CN203506807U (zh) * | 2013-09-29 | 2014-04-02 | 无锡市神康医疗器械设备有限公司 | 一次性导向型肛肠痔吻合器 |
| CN205041474U (zh) * | 2015-07-24 | 2016-02-24 | 天津天耀金属制品有限公司 | 一种具有自动复位保险装置的外科缝合器械 |
Also Published As
| Publication number | Publication date |
|---|---|
| WO2018161314A1 (en) | 2018-09-13 |
| EP3592251A1 (en) | 2020-01-15 |
| EP3592251A4 (en) | 2020-11-25 |
| CN110381853A (zh) | 2019-10-25 |
| AU2017403146A1 (en) | 2019-08-01 |
| US11382629B2 (en) | 2022-07-12 |
| CN115192106A (zh) | 2022-10-18 |
| US20200029969A1 (en) | 2020-01-30 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| CN110381853B (zh) | 具有可听指示器机构的手术钉合装置 | |
| US10413299B2 (en) | Ratcheting mechanism for surgical stapling device | |
| JP6480585B2 (ja) | 自動拘止機構を有するステープラ | |
| EP3228262B1 (en) | Tilt top anvil with torsion spring | |
| EP2813187B1 (en) | EEA anvil snap ring activator | |
| EP3373827B1 (en) | Circular stapler with audible indicator mechanism | |
| JP2019171039A (ja) | 外科用ステープリング機器のための外科用アンビルアセンブリ | |
| CN109381235B (zh) | 具有可复位的倾斜砧座组件的缝合装置 | |
| CN110913771B (zh) | 活检针 | |
| CN113303854A (zh) | 具有可拆卸的刀的缝合重新装载组件 | |
| CN111789651A (zh) | 外科缝合装置 | |
| WO2023097597A1 (en) | Surgical stapling device with anvil tilt indicator | |
| CN111803163B (zh) | 具有组织间隙指示器组件的圆形缝合器 | |
| CN113164171A (zh) | 具有改进的切割环组合件的砧座组合件 |
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 |