DE1566174B2 - Chirurgisches klammerinstrument - Google Patents
Chirurgisches klammerinstrumentInfo
- Publication number
- DE1566174B2 DE1566174B2 DE19671566174 DE1566174A DE1566174B2 DE 1566174 B2 DE1566174 B2 DE 1566174B2 DE 19671566174 DE19671566174 DE 19671566174 DE 1566174 A DE1566174 A DE 1566174A DE 1566174 B2 DE1566174 B2 DE 1566174B2
- Authority
- DE
- Germany
- Prior art keywords
- tissue
- instrument
- frame
- anvil
- staple
- 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
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
- A61B17/068—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
- A61B17/068—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
- A61B2017/0725—Stapler heads with settable gap between anvil and cartridge, e.g. for different staple heights at different shots
-
- 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
- A61B2017/07264—Stapler heads characterised by its anvil characterised by its staple forming cavities, e.g. geometry or material
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
- Portable Nailing Machines And Staplers (AREA)
Description
Erfindungsgemäß wird diese Aufgabe bei einem die Ringnut 4 der Flügelmutter 2 eingreift. Der inchirurgischen
Klammerinstrument der eingangs be- nere Rahmen IF weist·-'an seinem hinteren Ende
schriebenen Art dadurch gelöst, daß der Stößelvor- einen feststehenden Handgriff 32 und einen den
schub durch einen an dem äußeren Rahmen an- Rahmen fortsetzenden Gewindebolzen 5 auf, auf den
geordneten Anschlag zur Bestimmung der geringsten 5 die Flügelmutter aufgeschraubt ist, so daß durch
Entfernung zwischen Stößel und Amboß begrenzt ist. Drehung der Flügelmutter der innere Rahmen in den
Durch das erfindungsgemäße Gerät ist gewährleistet, äußeren Rahmen in Längsrichtung verschieblich ist.
daß auch bei richtiger Einstellung der Gewebelücke .Eine wegwerfbare KlammernpatroneG ist am vorsowohl
ein Zerquetschen des zu nähenden Gewebes deren Ende des inneren Rahmens in der Weise mondurch
eine Überanpressung der eingebrachten Klam- io tiert, daß der Stößel 42 mit der Vorderfront 92 seiner
mern als; auch' ein zu lockeres Anlegen der Klam- Zähne 93 nach Betätigung des Handgriffs MH die
mern verhindert wird. Die eingebrachten Klammern Klammern 104 aus dieser austreibt. Als Widerlager
werden immer gerade so weit gegen den Amboß ge- für die von dem Stößel 42 ausgetriebenen Klammern
schoben, daß eine befriedigende Naht zustande 104 dient der am äußeren Rahmen angeordnete Amkommt. , : ;■■--·. X5 boß6.
Eine gute Naht läßt sich insbesondere dann an- Die Stößelgruppe P ist in den inneren Rahmen einbringen,
wenn der Chirurg^ bei der Betätigung des gepaßt, wobei die Stößelstange 41 in der Bohrung 38
Gerätes keine äußersten Kräfte anwenden muß, son- des inneren Rahmens gleitend geführt ist. Die Stößeldern
wenn der große Kraftanstieg zu Beginn des Um- platte 42 ist in den hohlen vorderen Kopf des innebiegens
der Klammern durch eine geeignete Uberset- 20 ren Rahmens eingepaßt. Das hintere Ende der Stözung
in dem Gerät ausgeglichen wird. Eine bevor- ßelstange 41 ist in die Nockenplatte CP eingehängt,
zugte Ausführungsform der Erfindung sieht daher die durch die Schwenkbewegung des Handgriffs MH
vor, daß die Stößelstange durch von einem bewegli- angetrieben wird und ihre Antriebskraft auf die Stöchen
Handgriff betätigten Hebel angetrieben ist, wo- ßelstange 41 überträgt. Die Nockenplatte CP besteht
bei der Hub des Handgriffs der zum Andrücken der 25 aus zwei parallel zueinander angeordneten flachen
Klammern gegenden Amboß benötigten Kraft in der Platten, in deren Zwischenraum die Rollen 52 auf
Weise angepaßt ist, daß den größeren Kräften zum einer die Platten verbindenden Achse drehbar an-Beginn
des Biegens der Klammern größere Wege des geordnet sind. Die vordere Rolle 52 gleitet auf dem
Handgriffs entsprechen. Rahmenteil 19 des äußeren Rahmens, in dem die
In weiterer Ausgestaltung der Erfindung ist der 30 Nockenplatte CP geführt ist. Der bewegliche Handum
eine Achse schwenkbare Handgriff mit einer griff MH ist durch Niete oder auf andere Weise fest
Nockenscheibe verbunden, die zum Antrieb der Stö- mit einer Kurvenscheibe 56 verbunden, die mit ihrer
ßelstange auf mit dieser in Antriebsverbindung ste- Nockenfläche 62 bei Betätigung des Handgriffs MH
henden Zapfen abgleiten. Dabei weist die Nocken- auf der vorderen in der der Nockenplatte CP anscheibe
eine Form auf, die der zum Anbringen der 35 geordneten Rolle 52 abgleitet und die Nockenplatte
Klammern benötigten Kraft entsprechenden Überset- und somit die Stößelgruppe antreibt. Der Handgriff
zung angepaßt ist. Die Nockenscheibe ist so ausgebil- mit der Kurvenscheibe 56 ist um die Achse 60
det, daß sie in dem Bereich die geringste Steigung schwenkbar, die in der Aussparung 20 b des inneren
aufweist, die dem Beginn des Biegens der Klammern Rahmens ruht und bei Verstellung des inneren Rahentspricht.
40 mens relativ zu dem äußeren durch die Flügelmut-
Zur Herabsetzung der Reibung zwischen den Zap- ter 2 in der Nut 20 geführt ist.
fen und der diese antreibenden Nockenscheibe beste- Die Kraftübertragung von dem Handgriff MH auf
hen die Zapfen zweckmäßigerweise aus Rollen. die Stößelgruppe P und somit die Klammern 104
Ausführungsbeispiele der Erfindung werden nach- hängt von der Steigung der Nockenfläche 62 der
stehend an Hand der Zeichnung näher erläutert. In 45 Kurvenscheibe 56 ab. Die Steigung der Nockenfläche
der Zeichnung zeigt wird so gewählt, daß sie der zum Anbringen der
Fig. 1 eine Seitenansicht einer ersten Ausfüh- Klammern 104 benötigten Kraft auf Grund der sich
rungsform des chirurgischen Klammerinstruments, daraus ergebenden Kraftübersetzung angepaßt ist.
F i g. 2 eine Seitenansicht des äußeren Rahmens, Die Nockenscheibe 62 weist in dem Bereich die geteilweise
im Schnitt, 50 ringste Steigung auf, der dem Beginn des Biegens der
Fig. 3 eine Seitenansicht des inneren Rahmens Klammern 104 entspricht. Der Stößelvorschub ist
des Klammerinstruments, teilweise im Schnitt, dadurch begrenzt, daß eine weitere Vorwärtsbewe-
Fig.4 eine Seitenansicht der Antriebselemente gung nicht mehr möglich ist, nachdem die Nocken-
der Stößelgruppe und platte CP mit ihrer Vorderfront gegen den im äußeren
Fig.5 eine Seitenansicht einer anderen Ausfüh- 55 Rahmen angeordneten Anschlag 19' aufgelaufen ist.
rungsform des Klammerinstruments. Die zwischen Amboß 6 und Klammernpatrone C
Das in Fig. 1 in Seitenansicht dargestellte Instru- gewünschte Gewebelücke wird durch Verstellung der
ment besteht aus einem äußeren Rahmen OF Flügelmütter 2 eingestellt. Der Stößelvorschub ist un-(F
i g. 2), einem in diesem geführten inneren Rahmen abhängig von der Einstellung der Gewebelücke, da
IF (Fig.3) und aus einem in dem inneren Rahmen 60 der Vorschub durch den im äußeren Rahmen an-/F
untergebrachten Antriebsmechanismus für die geordneten Anschlag 19' begrenzt ist, gegen den die
StößelgruppeP (Fig.4). Der innere Rahmen /F wird Nockenplatte mit ihrer Vorderfront 19" in ihrer vornach
Aufnahme der Stößelgruppe P mit dem An- dersten Stellung aufläuft. '
triebsmechanismus in den äußeren Rahmen einge- In Fig. 5 ist eine andere Ausführungsform des paßt, wobei der vordere Teil des inneren Rahmens in 65 Klammerninstruments dargestellt. Eine Stößelstaneiner U-förmigen Führung 1 des äußeren Rahmens gengruppe mit einer Stößelplatte 234 und einer Störuht. Der äußere Rahmen weist an seinem geschlos- ßelstange 235 ist in den inneren Rahmen 217 gesenen hinteren Ende einen Einschnitt 3 auf, der in führt. Der innere Rahmen ist über die Flügelmut-
triebsmechanismus in den äußeren Rahmen einge- In Fig. 5 ist eine andere Ausführungsform des paßt, wobei der vordere Teil des inneren Rahmens in 65 Klammerninstruments dargestellt. Eine Stößelstaneiner U-förmigen Führung 1 des äußeren Rahmens gengruppe mit einer Stößelplatte 234 und einer Störuht. Der äußere Rahmen weist an seinem geschlos- ßelstange 235 ist in den inneren Rahmen 217 gesenen hinteren Ende einen Einschnitt 3 auf, der in führt. Der innere Rahmen ist über die Flügelmut-
ter2, die mit. einer Ringnut in eine gabelförmige
Aussparung am hinteren Ende des äußeren Rahmens eingreift, über den mit dem inneren Rahmen verbundenen
Gewindebolzen 226 verstellbar. Der innere Rahmen 217 ist fest mit dem festen Handgriff 218
verbunden. In die Aussparung 233 des inneren Rahmens 217 ist die Achse des. schwenkbaren Handgriffs
239 e-insetzbär. Der Handgriff weist oberhalb der Achse 239 einen freien Arm 240 auf, der an seiner
Vorderseite eine gekrümmte Nockenfläche aufweist. Der Arm 240 des beweglichen Handgriffs greift gabelförmig
in einen am hinteren Ende der Stößelstange 235 angeordneten Absatz ein und treibt die
Stößelstange. 235 durch Abgleiten seiner Nockenfläche auf den an der Stößelstange angeordneten
Bund 236 an. Die Form der an der Vorderseite des Arms 240 angeordneten Nockenfläche entspricht der
beim Stößelvofschub gewünschten Kraftübertragung.
Im äußeren Rahmen ist ein Anschlag 252 angeordnet, der den Stößelvorschub unabhängig von
der eingestellten Gewebelücke begrenzt. Die Begrenzung erfolgt dadurch, daß die Stößelstange 235 in ihrer
vordersten Stellung mit ihrem Bund 254 gegen den Anschlag 252 stößt. ■ - Λ.-'■■■.■■..-■■ ■■■■■■ ;
Hierzu 2 Blatt Zeichnungen
Claims (6)
1. Chirurgisches Klammerinstrument mit ren Rahmen geführten Stößels ist durch Anschläge in
einem äußeren, langgestreckten Rahmen, der an 5 dem inneren Rahmen festgelegt, so daß die aus der
seinem vorderen Ende einen Amboß trägt und Klammernpatrone ausgestoßenen Klammern entsprezur
Einstellung der Größe der Gewebelücke ge- chend der eingestellten Gewebelücke weiter oder wegen
einen an dem vorderen Ende eines in dem niger weit gegen den die Klammernschenkel umbieäußeren
Rahmen geführten inneren Rahmens an- genden Amboß gedruckt werden. Diese bekannte
geordneten Patronenteil verschieblich und in ge- ίο Ausführungsform macht es notwendig, unterschiedwünschten
Stellungen feststellbar ist, .und: mit liehe Klammerinstrumente zu verwenden, die der jeeiner
Stößelvorrichtung zum Ausstoßen von weiligen Stärke des zu nähenden Gewebes angepaßt
Klammern aus. der Klammernpatrone .gegen den sind. Diese begrenzte Verwendbarkeit der bekannten
Amboß, deren Antrieb in dem inneren Rahmen Geräte wird deutlich, wenn in Betracht gezogen wird,
angeordnet ist, dadurch gekennzeich- 15 daß das Zusammenklammern von lebendigem Genet,
daß der Stößelvorschub durch einen an webe nicht vergleichbar ist mit dem Zusammenheften
dem äußeren Rahmen (OF) angeordneten An- von toten Materalien, wie etwa Papier, Pappe usw.,
schlag (19', 252) zur Bestimmung der. geringsten bei denen es auf die verwendeten Quetschdrücke
Entfernung zwischen Stößel (42, 234) und Am- nicht ankommt. Bei derartigen toten Materialien
boß begrenzt ist. 20 können beim Klammern hohe Quetschdrücke ausge-
2. Instrument nach Anspruch 1, dadurch ge- übt werden, ohne daß die Materiallagen dadurch bekennzeichnet,
daß die Stößelstange (41, 235) schädigt werden. Beim Zusammenklammern von Iedurch
von einem beweglichen Handgriff (MH) bendem Gewebe darf das Klammerinstrument die
betätigten Hebel angetrieben ist, wobei der Hub dazwischenliegenden Gewebelagen nur innerhalb
des Handgriffs der zum Andrücken der Klam- 25 eines beschränkten Bereiches zusammendrücken, da
mern gegen den Amboß benötigten Kraft in der lebendes Gewebe leicht beschädigt werden kann.
Weise angepaßt ist, daß den größeren Kräften Weiterhin muß die endgültige oder zusammengebozum
Beginn des Biegens der Klammern größere gene Form der Klammer bei lebenden Gewebe sehr
Wege des Handgriffs entsprechen. genau vorbestimmt sein, um ein festes Zusammen-
3. Instrument nach Anspruch 2, dadurch ge- 30 halten der einander gegenüberliegenden Gewebekennzeichnet,
daß der um eine Achse (60) schichten zu bewirken. Die Klammer selbst darf jeschwenkbare
Handgriff (MH) mit einer Nocken- doch nicht die Gewebeschichten zerreißen oder in
scheibe (62) verbunden ist, die zum Antrieb der anderer Weise verletzten. Die Klammer darf die Ge-Stößelstange
(41) auf mit dieser in Antriebsver- webeschichten nicht so eng zusammenquetschen, daß
bindung stehenden Zapfen (52) abgleiten. 35 ein Hindurchfließen von Körperflüssigkeit verhindert
4. Instrument nach einem der Ansprüche 2 oder auch nur behindert wird, da diese Flüssigkeit
und 3, dadurch gekennzeichnet, daß die Nocken- für das richtige Heilen und Aneinanderwachsen der
scheibe (62) eine Form aufweist, die der zum An- Gewebeschichten notwendig ist. Bei dem bekannten
bringen der Klammern (104) benötigten Kraft Instrument wird bei einer eingestellten geringen Geentsprechenden
Kraftübersetzung angepaßt ist. 40 webelücke die Klammer so kräftig gegen den Amboß
5. Instrument nach Anspruch 3 oder 4, da- gedrückt, daß dadurch das Gewebe beschädigt und
durch gekennzeichnet, daß die Nockenscheibe ein Hindurchfließen der Körperflüssigkeit behindert
(62) in dem Bereich die geringste Steigung auf- werden kann. Bei eingestellter großer Gewebelücke
weist, die dem Beginn des Biegens der Klammern wird die Klammer nicht genügend weit gegen den
(104) entspricht. 45 Amboß vorgeschoben, so daß ein guter Klammern-
6. Instrument nach einem der Ansprüche 3 sitz und somit eine gute Naht nicht gewährleistet ist.
bis 5, dadurch gekennzeichnet, daß die die Stö- Mit dem chirurgischen Klammerinstrument der
ßelstange (41) antreibenden Zapfen aus Rollen eingangs beschriebenen Art werden üblicherweise
' (52) bestehen. :u ·-¥·■-■ ■·■''·■.-'"- <■■■■■- eine Vielzahl von Nähten entlang einer einzelnen
: · . \; ·· r ..,..,. ..■.·. ,., 50 oder entlang einer Vielzahl von parallelen Linien
durchgeführt, und die Anzahl der Klammern, die in
das Gewebe bei einer Betätigung des Instruments
eingebracht werden, kann beträchtlich sein. Häufig
::· .■;;■..:.·.■;. .-.'■· .:-.■· ■ : -. ' müssen über 30 Klammern mit einer einzigen Betäti-
Die Erfindung betrifft ein chirurgisches Klammer- 55 gung des Instruments eingetrieben werden. Bei den
instrument mit einem äußeren, langgestreckten Rah- bekannten Geräten treten" Schwierigkeiten bei der
men, der an seinem vorderen Ende einen Amboß Handhabung auf, weil die Klammereintreibkraft, die
trägt und zur Einstellung der Größe der Gewebe- der Chirurg aufbringen muß, so hoch ist, daß er häulücke
gegen einen an dem vorderen Ende eines in fig beide Hände benutzen muß, um insbesondere zu
dem äußeren Rahmen geführten inneren Rahmens 60 Beginn des Biegens der Klammern die Klammern geangeordneten
Patronenteil verschieblich und in ge- gen den Amboß zu pressen. Diese Schwierigkeit der
wünschten Stellungen feststellbar ist, und mit einer Handhabung ist geeignet, den Sitz der eingebrachten
Stößelvorrichtung zum Ausstoßen von Klammern Klammern zu verschlechtern.
aus der Klammernpatrone gegen den Amboß, deren Aufgabe der Erfindung ist es, ein einfach und
Antrieb in dem inneren Rahmen angeordnet ist. 65 schnell zu betätigendes chirurgisches Klammerinstru-
Ein chirurgisches Klammerinstrument dieser Art ment zu schaffen, bei dem bei veränderlicher Geweist
aus der USA.-Patentschrift 3 080 564 bekannt. belücke die Klammern immer mit richtigem Sitz ein-Bei
diesem bekannten Instrument läßt sich zur Ein- gebracht werden.
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US58562866A | 1966-10-10 | 1966-10-10 |
Publications (3)
Publication Number | Publication Date |
---|---|
DE1566174A1 DE1566174A1 (de) | 1972-03-02 |
DE1566174B2 true DE1566174B2 (de) | 1973-03-01 |
DE1566174C3 DE1566174C3 (de) | 1973-09-13 |
Family
ID=24342256
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
DE1566174A Expired DE1566174C3 (de) | 1966-10-10 | 1967-10-09 | Chirurgisches Klammerinstrument |
Country Status (7)
Country | Link |
---|---|
US (1) | US3494533A (de) |
JP (1) | JPS4617040B1 (de) |
CH (1) | CH480058A (de) |
DE (1) | DE1566174C3 (de) |
FR (1) | FR1540226A (de) |
GB (6) | GB1198666A (de) |
SE (1) | SE342390B (de) |
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
DE3152410A1 (de) * | 1980-09-29 | 1982-11-04 | United States Surgical Corp | Surgical stapler apparatus having pivotally related staple holder and anvil |
DE3153105C1 (de) * | 1980-09-29 | 1985-09-12 | United States Surgical Corp., Norwalk, Conn. | Chirurgisches Klammerinstrument zum gleichzeitigen Verformen mehrerer chirurgischer Klammern in Körpergewebe |
Families Citing this family (684)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3675688A (en) * | 1970-04-27 | 1972-07-11 | United States Surgical Corp | Instrument for ligating, suturing and dividing organic tubular structures |
SU506963A1 (ru) * | 1973-07-26 | 1976-08-25 | Всесоюзный Научно-Исследовательский И Испытательный Институт Медицинской Техники Министерства Здравоохранения Ссср | Хирургический сшивающий аппарат |
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 |
US4194666A (en) * | 1978-06-26 | 1980-03-25 | Xerox Corporation | Staple clinching mechanism |
US4216891A (en) * | 1979-02-12 | 1980-08-12 | Behlke Harold O | Surgical stapler |
US4272002A (en) * | 1979-07-23 | 1981-06-09 | Lawrence M. Smith | Internal surgical stapler |
US4273281A (en) * | 1979-07-23 | 1981-06-16 | Franklin G. Smith | Internal surgical stapler |
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 |
US4378901A (en) * | 1980-05-22 | 1983-04-05 | Akopov Ernest M | Apparatus for applying a staple suture |
EP0060279A1 (de) * | 1980-09-18 | 1982-09-22 | Hospital Products Limited | Antriebsmechanismus für einen chirurgischen klammerapparat |
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 |
EP0061867B1 (de) * | 1981-03-27 | 1987-09-16 | Minnesota Mining And Manufacturing Company | Klammer und Magazin für ein Gerät zum Klammern von Gewebe und Verfahren zum Schliessen des Gewebes |
US4402444A (en) * | 1981-04-20 | 1983-09-06 | United States Surgical Corporation | Surgical stapling instrument with automatic frame reinforcement |
US4383634A (en) * | 1981-05-26 | 1983-05-17 | United States Surgical Corporation | Surgical stapler apparatus with pivotally mounted actuator assemblies |
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 |
US4415112A (en) * | 1981-10-27 | 1983-11-15 | United States Surgical Corporation | Surgical stapling assembly having resiliently mounted anvil |
US4422567A (en) * | 1981-11-17 | 1983-12-27 | Haynes Taylor H | Medical suturing device |
US4442964A (en) * | 1981-12-07 | 1984-04-17 | Senco Products, Inc. | Pressure sensitive and working-gap controlled surgical stapling instrument |
US4470533A (en) * | 1982-08-13 | 1984-09-11 | Ethicon, Inc. | Surgical instrument for suturing tissues and organs |
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 |
US4506671A (en) * | 1983-03-30 | 1985-03-26 | United States Surgical Corporation | Apparatus for applying two-part surgical fasteners |
US4506670A (en) * | 1983-03-30 | 1985-03-26 | United States Surgical Corporation | Two-part surgical fastener applying apparatus with frangible member |
US4527724A (en) * | 1983-06-10 | 1985-07-09 | Senmed, Inc. | Disposable linear surgical stapling instrument |
US4568009A (en) * | 1984-01-20 | 1986-02-04 | United States Surgical Corporation | Surgical fastener applying apparatus |
US4508253A (en) * | 1983-10-04 | 1985-04-02 | United States Surgical Corporation | Surgical fastener applying apparatus |
US4585153A (en) * | 1984-07-16 | 1986-04-29 | Ethicon, Inc. | Surgical instrument for applying two-piece fasteners comprising frictionally held U-shaped staples and receivers (Case III) |
IN165375B (de) * | 1984-07-16 | 1989-10-07 | Ethicon Inc | |
US4767044A (en) * | 1984-10-19 | 1988-08-30 | United States Surgical Corporation | Surgical fastener applying apparatus |
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US1287583A (en) * | 1916-10-24 | 1918-12-10 | Greenfield Mfg Company Inc | Art relating to the stapling of sheets. |
US2167331A (en) * | 1937-09-16 | 1939-07-25 | Boston Wire Stitcher Co | Method and means for adjusting the parts of fastener-applying implements |
US3080564A (en) * | 1959-09-10 | 1963-03-12 | Strekopitov Alexey Alexeevich | Instrument for stitching hollow organs |
US3269630A (en) * | 1964-04-30 | 1966-08-30 | Fleischer Harry | Stapling instrument |
-
1966
- 1966-10-10 US US585628A patent/US3494533A/en not_active Expired - Lifetime
-
1967
- 1967-10-06 GB GB28465/69A patent/GB1198666A/en not_active Expired
- 1967-10-06 GB GB28464/69A patent/GB1198665A/en not_active Expired
- 1967-10-06 GB GB28463/69A patent/GB1198664A/en not_active Expired
- 1967-10-06 GB GB28466/69A patent/GB1198667A/en not_active Expired
- 1967-10-06 GB GB45839/67A patent/GB1198663A/en not_active Expired
- 1967-10-06 GB GB28467/69A patent/GB1198668A/en not_active Expired
- 1967-10-09 DE DE1566174A patent/DE1566174C3/de not_active Expired
- 1967-10-10 FR FR123928A patent/FR1540226A/fr not_active Expired
- 1967-10-10 CH CH1409567A patent/CH480058A/fr not_active IP Right Cessation
- 1967-10-10 SE SE13854/67A patent/SE342390B/xx unknown
- 1967-10-11 JP JP6505767A patent/JPS4617040B1/ja active Pending
Cited By (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
DE3152410A1 (de) * | 1980-09-29 | 1982-11-04 | United States Surgical Corp | Surgical stapler apparatus having pivotally related staple holder and anvil |
DE3153105C1 (de) * | 1980-09-29 | 1985-09-12 | United States Surgical Corp., Norwalk, Conn. | Chirurgisches Klammerinstrument zum gleichzeitigen Verformen mehrerer chirurgischer Klammern in Körpergewebe |
DE3153222C2 (de) * | 1980-09-29 | 1986-10-09 | United States Surgical Corp., Norwalk, Conn. | Antriebsvorrichtung zum Tragen und Bet{tigen einerchirurgischen Klammereinrichtung |
Also Published As
Publication number | Publication date |
---|---|
CH480058A (fr) | 1969-10-31 |
SE342390B (de) | 1972-02-07 |
US3494533A (en) | 1970-02-10 |
GB1198665A (en) | 1970-07-15 |
GB1198663A (en) | 1970-07-15 |
GB1198664A (en) | 1970-07-15 |
DE1566174A1 (de) | 1972-03-02 |
GB1198668A (en) | 1970-07-15 |
FR1540226A (fr) | 1968-09-20 |
GB1198667A (en) | 1970-07-15 |
JPS4617040B1 (de) | 1971-05-11 |
GB1198666A (en) | 1970-07-15 |
DE1566174C3 (de) | 1973-09-13 |
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Legal Events
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C3 | Grant after two publication steps (3rd publication) | ||
E77 | Valid patent as to the heymanns-index 1977 |