DE2639413A1 - Chirurgische klammer sowie vorrichtung zu deren setzen - Google Patents

Chirurgische klammer sowie vorrichtung zu deren setzen

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Publication number
DE2639413A1
DE2639413A1 DE19762639413 DE2639413A DE2639413A1 DE 2639413 A1 DE2639413 A1 DE 2639413A1 DE 19762639413 DE19762639413 DE 19762639413 DE 2639413 A DE2639413 A DE 2639413A DE 2639413 A1 DE2639413 A1 DE 2639413A1
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Prior art keywords
surgical clip
opening
openings
holding
mandrels
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DE19762639413
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DE2639413C3 (de
DE2639413B2 (de
Inventor
Douglas George Noiles
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United States Surgical Corp
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United States Surgical Corp
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Publication of DE2639413B2 publication Critical patent/DE2639413B2/de
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Publication of DE2639413C3 publication Critical patent/DE2639413C3/de
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/064—Surgical staples, i.e. penetrating the tissue
    • A61B17/0643—Surgical staples, i.e. penetrating the tissue with separate closing member, e.g. for interlocking with staple
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/064—Surgical staples, i.e. penetrating the tissue
    • A61B2017/0641—Surgical staples, i.e. penetrating the tissue having at least three legs as part of one single body

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  • 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)
  • Materials For Medical Uses (AREA)

Description

NACHQEREICHT
P 26 39 413.8 25 228 G/ho
vom 1. Sept. 1976 5. Jan. 1977
United States Surgical Corporation, New York, N.Y. (USA)
Chirurgische Klammer sowie Vorrichtung zu deren Setzen
Die Erfindung betrifft eine chirurgische Klammer sowie eine Vorrichtung zu deren Setzen.
Zu den in der Chirurgie am häufigsten durchgeführten Arbeiten gehört das Nähen von Körpergeweben/ beispielsweise von Geweben des Magens, des Darms, anderer Organe und dgl. Um eine schnellere Durchführung von chirurgischen Arbeiten zu ermöglichen und das Verfahren zum chirurgischen Nähen von Geweben zu verbessern, werden in zunehmendem Maße chirurgische Klammern, hämpstatische Klemmen und dgl. Festlegeeinrichtungen verwendet, die schnell und genau angebracht werden können. Es sind derartige Festlegeeinrichtungen geschaffen worden, die mit Hilfe
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NACHQEREICHT
von besonderen Instrumenten betätigt werden. Mit derartigen Vorrichtungen kann die Festlegeeinrichtung, beispielsweise eine chirurgische Klammer, beim Nähen von Geweben mit minimaler Mühe genau eingesetzt werden. Die derzeit bekannten Festlegeeinrichtungen führen im klinischen Gebrauch zu ausgezeichneten Ergebnissen und ermöglichen eine schnelle Durchführung zahlreicher chirurgischer Arbeiten. Aus physiologischen oder anderen medizinischen Gründen sind jedoch in manchen Fällen Festlegeeinrichtungen erwünscht, die im Lauf der Zeit von dem Körper vollständig absorbiert werden können.
Aufgabe der vorliegenden Erfindung ist es, eine chirurgische Klammer zu schaffen, die sich einfach und schnell anbringen läßt und mit der Zeit ohne nachteilige Folgen von dem Körper vollständig aufgelöst wird.
Erfindungsgemäß wird diese Aufgabe gelöst durch zwei Halteteile aus von dem Körper absorbierbarem Material, von denen einer mindestens eine öffnung aufweist, die der Aufnahme mindestens eines mit einem Rastkopf versehenen und auf dem anderen Halteteil angeordneten Dorns dient.
Die Halteteile können aus langgestreckten Haltebändern bestehen, die mit miteinander fluchtenden öffnungen und Dornen versehen sind.
Eine Vorrichtung zum Setzen derartiger chirurgischer Klammern zeichnet sich erfindungsgemäß dadurch aus, daß ein das mit mindestens einer öffnung versehene Halteteil aufnehmendes Widerlagerteil mit mindestens einer die Rastöffnung im Abstand umgebenden öffnung, die dem Rastkopf den Durchtritt gestattet,
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NACHQEREIOH Γ
und ein mit Stiften versehenes Druckteil vorgesehen sind, die die Dorne durchdringen und bis zu ihrer Verrastung mit den Rastöffnungen steifhalten.
Weitere vorteilhafte Ausgestaltungen der Erfindung sind in den Unteransprüchen näher .beschrieben.
Ein Ausführungsbeispiel der Erfindung wird nachstehend anhand der Zeichnung näher erläutert. In dieser zeigt:
Fig. 1
- Portsetzung mit Seite 3, Zeile 2o, der ursprünglichen Unterlagen -
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— einem langgestreckten, sparren otößel ausgerichtet abgestützt. Der Stößel ist ir.it mehreren in ^bstojid^n voneinander angeordneten, spitzen stiften versehen^ die an dem l^estlegeband angreifen, wobei die in den/zentralen Kanälen der Zinken befindlichen Stifte die Zinken während des liähvorganges versteifen, jjer Durchtritt der Zinken durch die miteinander zu verbindenden G-ewebeteile wird dadurch erleichtert, dass die spitzen Stifte des Stößels aus den Enden der Zinken des jKstlegebandes, vorstehen. v.enn man mi"c rlilfe eine.-J seeinneren ev; ti^an^sinstruiaanOo den Btoßel zusammen i;:it/cLeLi festlegeoand zu aem mit dem Halteband versehenen/^.:;:1;. oB hiribewegt, können die Zinken die zu verbindenen ö&itfebeteile υηύ. die entajjrechenden Öffnungen des Haltebandee durchdringen, wenn die w'iderhaken der Zinken durch aaö Seilteband hindurchtreten, werden die beiden Bänder formschlüssig miteinander verbunden, so dass die G-ev/ebei;eile zwischen den Bändern festgelegt werden.
nachträgilQh geändert
j?igο 1 schaubildlich mit auseinandergezogenen Teilen die chirurgische FeStiegeeinrichtung gemäß der Erfindung zusammen mit zu ihrer Betätigung dienenden Teilen,
3?ig. 2 einen Teil der erfindungsgemäßen Einrichtung gemäß JTig. 1 im zusammengesetzten Zutand,
jj1 ig. 3 einen weiteren Teil der erfindungsgemäßen Einrichtung gemäß JJ1Xg. 1 im zusammengesetzten Zustand,
JTig. 4 schaubildlich die erfindungsgemäße Einrichtung im eingesetzten Zustand, zusammen mit den Betätigungsteilen, und
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ITxg· 'j in einer ähnlichen Darstellung wie i'ig. 4 die erfinci-ungs^emäße iiinrichtung im eingesetzten Zustand nach „egnahme der Betätigungsteile.
In Fig. 5 ist gezeigt, v;ie eine Pestle ge einrichtung 10 geiuäß der .Erfindung zwei yreiche Körpergewebeteile 11, 12 miteinander verbindet.
.uie Fesslegeeinrichtung 10 besitzt ein langgestrecktes Halteband IJ, las ,aus einem biologisch abbaubaren oder vom Körper absorbierbaren Material besteht und auf einer Seite eines festzulegenden Gewebeteils, z.B. des G-ewebe-"ceils 12, angeordnet ist. Je nach der Länge der herzustellenden Fant kann das Halteband 13 jede geeignete Lunge ha'oen. In dem dargestellten Ausführungsbeispiel besitzt da-'J halteband mehrere öffnungen 14, die das ^r.lteband quer durchsetzen und in der Längsrichtung in Abstanden voneinander angeordnet sind, wie dies am besten aus der Figo 1 hervorgeht. Im Rahmen der Erfindung kann jedoch auch ein Halteband 13 verwendet werden, das so kurz ist, dass es nur eine derartige Öffnung- j 14 besitzt.
Fes'clegeeinrichtung 10 umfaßt ferner ein langgestrecktes Pestlegeband 16, das ebenfalls aus biologisch abbaubarem oder absorbierbarem Harzmatex-ial besteht und im wesentlichen dieselbe Länge hat wie das Halteband 13. Das Befestigungsband 16 ist mit mehreren Zinken 17 versehen, die vorzugsweise mit dem Band einstückig und die in der Längsrichtung des Bandes in denselben Abständen voneinander angeordnet sind wie die öffnungen 14 des Haltebandes 13. "wenn das Band 13 so kurz ist, dass es nur eine einzige Öffnung 14 besitzt, hat das Festlegeband auch nur eine einzige Zinke 17·
Das Festlegeband 16 und das Halteband 13 sind so ange-
• - 5 -
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ordnet, cLss .sie gerne ins am in eine ;:>,_ ellung bewegbar sind, in der sie an zwischen ihnen αη;1ώ ordneten G-ev/ebelajen 11 und 12 festlegend angreifen, ährend des iN'äh vor ganzes treten die Spitzen 27a der ntifte und die Zinken 17 soweit durch die miteinander zu verbindenden Gewsbeteile und die öffnungen 14- hindurch, wie dies angesichts der Dicke der zwischen den Bändern befindlichen G-ewebeteile erforderlich ist. Die Zinken 17 sind mit iastaitteln zum Yerrasten der ^inken in den öffnungen 14- in der erforderlichen Stellung versehen. In der dargestellten Aus führ un;_;sf orm umfassen die.ie Rastmittel einen oder mehrere ./iderhaken 18, 19 am Ende jeder der Zinken 17· -/ie am besten aus der i?ig„ 4- hervorgeht, sind die oberen Flächen 18a, 19a de"- -./iderhi-ken 18, 19 so angeordnet, dass sie wahlweise xn der Unterseite 13b des Bandes 13 angreifen können, um ein Herausziehen der Zinken 17 aus den Öffnungen 14- zu verhindern.
Damit die Bänder 13, 16 während des i>iähvorganges richtig Miteinander fluchten und bis zum Ineinandergreifen zueinander hinbewegt werden können, ist zum Abstützen des üaltebandes 13 ein langgestreckter Amboß 21 vorgesehen, der aus einem starren Material, beispielsweise Metall oder dergleichen, .besteht. .;ie am besten aus aer i?ig· 3 hervorgeht, wird der ais Metall bestehende Amboß 21 so angeordnet, dass er an der Unterseite 13b dos ü-altebandes 13 angreift. Gemäß Fig. 1 kann der Amboß 21 seitlich mit profilierten Längsflanschen 22 und 23 versehen sein, die eine Verschiebung des Bandes 13 auf dem Amboß 21 in der Längs- und Querrichtung verhindern. Der Amboß 21 ist vorzugsv/eise mit mehreren Öffnungen 24- versehen, die in der Längsrichtung in denselben Abständen voneinander angeordnet sind wie die Öffnungen 14- des Haltebandes 13. Die öffnungen 24- dienen, zur Aufnahme der Sndteile cLer Zinken 17» wenn diese Endteile über die Unterseite 13b des auf dem Amboß liegenden Bandes 13 hinaus vorstehen.
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AO
Zum J4.usrich.ten und Abstützen de-.· Jestlegebandes 16 während d:a ITähvorganges ist ein Stößel ~$O vorgesehen, ner am "besten in Zig. 1 erkennbar ist und vorzugsweise aus einer langgestreckten Leiste 26 aus starrem Material, beispielsweise Metall oder dergleichen, besteht und geeignet ist, an der oberen Fläche 16a des Eestlegebandes 16 anzugreifen. Der Stößel 50 ist mit mehreren Stiften 27 versehen, die in der Längsrichtung in denselben Abstanden voneinander angeordnet sind- wie die Zinken 17·
•Gemäß Zig. 2 können die Stifte 27 in entsprechende zentrale axiale Kanäle 28 eingeführt werden, welche die Zinken 17 des Zestlegebandes 16 durchsetzen. Damit die Zinken 17 beim Hähvorgang die zu verbindenden Gewebeteile leicht durchdringen können, sind die Stifte 27 an ihren äußeren änden mit scharfen Spitzen 27a versehen. Die Länge der Stifte 27 und der Zinken 17 -ist so gewählt, dass in der in Zig. 2 dargestellten Eingriffs stellung die Leiste 26 an dem Band 16 angreift und den Axialschub aufnimmt.
Zur durchführung eines ITähvorganges wird das Eestlegeband 16 so an dem Stößel 30 angebracht, dass die Stifte 27 in die Kanäle 28 eingreifen und dadurch die Zinken 17 während des Nähvorgang.es starr halten. Es versteht sich, dass man das Band 16 und die Zinke 17 aus einem Kunststoff herstellen kann, der nicht so starr ist, dass er die Zinken 17 mit den öffnungen 14 des Bandes 13 ausgerichtet hält, während die Zinken 17 die zu verbindenden Gewebeteile durchdringen, um diese zwischen den Bändern 13, 16 festzulegen. Wenn jedoch die Metallstifte 27 in den zentralen Kanälen 28 der Zinken 17 angeordnet sind und die scharfen Spitzen 27a der Stifte 27 aus den Zinken 17 vorstehen, sind diese so wenig biegsam, dass sie mit den Bandöffnungen 14 fluchtend gehalten werden. Die scharfen- Spitzen 27a der Stifte 27 erleichtern das Durchdringen der Gewebeteile.
Wenn das an dem Amboß 21 angebrächte Halteband sich gemäß
- 7 -709829/0627
Jig. 3 auf der einen Seite der Gevvebelao:e 12 und das an dem otö3el 30 angebrachte Je stiegeband 16 sich fjeiaäß V1Ig. 2 auf der on .eren .Seite der zu verbindenden -'ie-.-ebe- >;eile, z.i. .ter >e-?ebela. e 11, befindet, wenden die Bänder 13, 16 zueinander hin beie.jfc. J^oei äux-ch-irin^en die Spitzen 27a and die Zinken 17 üe üe^ebelo en 11, XlL. ..j-j.'a.^.üh tritt ion- -.iderhuken 18 an jeder eer Sinken 17 in die ihm augeordnete öffnung 14 des Bandes 13 ein. Je nach eier jJicke der zu verbindenden Gewebeteile kann man die Zinken 17 so weit durch die Offnungen 14 bewegen, dass die iiderhakenflache 13a die Fläche 13b des Ealtebandes 13 unuergreift. Lies wird durch die Öffnungen 24- des Ambosses ermöglicht. V/erm die zu verbindenden Gewebeteile so dick sind, dass die Zinlien 17 weiter durch die Cffnungen 14 hindurch bev/egt werden müssen, treten auch die v/iderhaken 19 durch die Cffnungen 14, worauf die jTla.ch.en 19a der widerhaken 19 die JPläche 13b des üal-cebandes untergreifen.
In der in Ji1Ig· 4 gezeigten Stellung sind die beiden Bänder 13, 16 so miteinander verbunden, dass sie die zwischen ihnen angeordneten Gewebeteile festlegen. Dies ist in x?ig. 4 dargestellt. Danach werden der Amboß 21 und der .Otößel 30 abgezogen, während die eingesetzten Bänder 13j 16 in der Stellung zum !Festlegen der Gewebeteile 11, 12 bleiben. Dies ist in Fig. 5 gezeigt.
Zu den Materialien, die für absorbierbare oder biologisch abbaubare j?estlegeeinrichtun;,en verwendet werden können, gehören Catgut (von Submukosa von Schafen gewonnenes Kollagen); JPolyglykolsäure; Polymilchsäure, Hischpolymerisatgemische der Polyglykol- und Polymilchsäure; wiederhergestellces Kollagen; erodierbare Metallegierungen; Polyester; Polyaminsäuren, wie Gasein, Albumin und dergleichen; Polymerisate mehrwertiger Alkohole, wie Polyvinylalkohol, Gelluloseglycolsaureester; sowie Ester der
- 8 - BAD ORIGINAL
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/»ί
i —Cyanacrylsäure, ",vie das Lae'U'iyl-'T -cyanaci^'lat. -Ίβ iolyglykolsäure ist in ,en üb-l-i j> 46Jj 153, 3 739 775 und 3 772 420 beschrieben. G-esirnetc -Lrolyiailchsauren sind, in der US-BS 3 636 956. .Beispiele von absorbierbaren ±Olyesüsrn in den üö-JFS 3 225 765 und 3 88^ 901, a'bsorbierbare Oelluloseglykolsaurees-jer in der ü3-xJ3 2 764 159 und Beispiele von gseiSne"fcen 3suern dsr -^ -07/aiiancrylsaure in üen üS-PS 3 527-841, 3 564 078 und 3 759 264 angegeben.
BAD ORiGiNAL
709829/0627

Claims (9)

1. September 1976 25 223 G/ho
14. Dez. 1976
PATENTANSPRÜCHE
1. /Chirurgische Klammer, gekennzeichnet durch zwei Halte-
-^ teile (13, 16) aus von dem Körper absorbierbarem Material, von denen einer (13) mindestens eine Öffnung (14) aufweist, die der Aufnahme mindestens eines mit einem RastkOOf (13, 19) versehenen und auf dem anderen Halteteil (16) angeordneten Dorns (17) dient.
2. Chirurgische Klammer nach Anspruch 1, dadurch gekennzeichnet, daß die Halteteile aus langgestreckten Haltebändern (13, 16) bestehen, die mit miteinander fluchtenden öffnungen (14) und Dornen (17) versehen sind.
3. Chirurgische Klammer nach Anspruch 1 oder 2, dadurch gekennzeichnet, daß die Dorne (17) an ihren Enden mindestens ein widerhakenförmiges Rastteil (18, 19) aufweisen.
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NACHQERRIOHTI
4. Chirurgische Klammer nach einem der Ansprüche 1 bis 3, dadurch gekennzeichnet, daß die Öffnungen (14) in dem Halteteil (13) konusförmig ausgebildet sind.
5. Chirurgische Klammer nach einem der Ansprüche 1 bis 4, dadurch gekennzeichnet," daß die Dorne (17) mit einer zentralen, durchgehenden Öffnung versehen sind.
6. Chirurgische Klammer nach einem der Ansprüche 1 bis 5, dadurch gekennzeichnet, daß die Halteteile aus Catgut, Polyglykolsäure, PolymiIchsäure, wiederhergestelltem Kollagen, erodierbaren Metallegierungen, absorbierbaren Polyestern, Polyaminosäuren, Polymerisaten von mehrwertigen Alkoholen, Cellulosaalykolsäureestern oder Estern der Cyanoacrylsäure besteht.
7. Vorrichtung zum Setzen von chirurgischen Klammern nach einem der Ansprüche 1 bis 6, dadurch gekennzeichnet, daß ein das mit mindestens einer Öffnung (14) versehene Halteteil (13) aufnehmendes Widerlagerteil (21) mit mindestens einer die Rastöffnung (14) im Abstand umgebenden Öffnung (24), die dem Rastkopf (18, 19) den Durchtritt gestattet, und ein mit Stiften (27) versehenes Druckteil (26) vorgesehen sind, die die Dorne (17) durchdringen und bis zu ihrer Verrastung mit den Rastöffnungen (14) steif halten.
8. Vorrichtung nach Anspruch 7, dadurch gekennzeichnet, daß
die Stifte (27) ein spitzes Endteil (27a) aufweisen, mit dem sie die Dorne (17) überragen.
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9. Vorrichtung nac>- Ansoruch 7 oder S, dadurch gekonrzeich-
n^t, daß das -,viderlaaertail (21) v±t seitlicher Stecren
(23) und Einbuchtungen (22) z\r.i Festln-jnn ds-s (13) versehen ist.
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DE2639413A 1975-09-03 1976-09-01 Vorrichtung zum Setzen von chirurgischen Klammern Expired DE2639413C3 (de)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
US05/609,949 US4060089A (en) 1975-09-03 1975-09-03 Surgical fastening method and device therefor

Publications (3)

Publication Number Publication Date
DE2639413A1 true DE2639413A1 (de) 1977-07-21
DE2639413B2 DE2639413B2 (de) 1979-04-26
DE2639413C3 DE2639413C3 (de) 1979-12-13

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Family Applications (1)

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DE2639413A Expired DE2639413C3 (de) 1975-09-03 1976-09-01 Vorrichtung zum Setzen von chirurgischen Klammern

Country Status (9)

Country Link
US (1) US4060089A (de)
JP (1) JPS5233391A (de)
CA (1) CA1082551A (de)
DE (1) DE2639413C3 (de)
FR (1) FR2322578A1 (de)
GB (1) GB1520956A (de)
HK (1) HK57980A (de)
IT (1) IT1067306B (de)
SU (1) SU704429A3 (de)

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DE3249111C2 (de) * 1981-10-09 1986-02-06 United States Surgical Corp., Norwalk, Conn. Chirurgische kunststoffartige Befestigungseinrichtung zum Festlegen von Körpergewebe
DE3490442C2 (de) * 1983-10-04 1988-04-28 United States Surgical Corp Chirurgisches Befestigungselement
US5507776A (en) * 1993-06-04 1996-04-16 Ethicon Endo-Surgery, Inc. Surgical staple suturing means

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DE2657255A1 (de) * 1976-12-17 1978-06-29 P H Dr Schomacher Vorrichtung zum schliessen von durchtrennten koerpergefaessen
JPS5542626A (en) * 1978-09-20 1980-03-26 Olympus Optical Co Blocking device of coelom inside tubular portion
AU534210B2 (en) * 1980-02-05 1984-01-12 United States Surgical Corporation Surgical staples
US4317451A (en) * 1980-02-19 1982-03-02 Ethicon, Inc. Plastic surgical staple
US4476863A (en) * 1981-03-09 1984-10-16 Kanshin Nikolai N Surgical instrument for establishing circular coloanastomoses
SU982676A1 (ru) * 1981-04-07 1982-12-23 Всесоюзный научно-исследовательский и испытательный институт медицинской техники Хирургическа скобка
US4490326A (en) * 1981-07-30 1984-12-25 Ethicon, Inc. Molding process for polydioxanone polymers
AU548370B2 (en) * 1981-10-08 1985-12-05 United States Surgical Corporation Surgical fastener
AT389580B (de) * 1981-11-16 1989-12-27 Eternit Werke Hatschek L Rohrleitungssystem, insbesondere mehrkanalrohrleitungssystem, und verfahren zu dessen herstellung
JPS5982843A (ja) * 1982-09-24 1984-05-14 エチコン・インコ−ポレ−テツド 非金属、生適合性止血クリツプ
US4523591A (en) * 1982-10-22 1985-06-18 Kaplan Donald S Polymers for injection molding of absorbable surgical devices
US4506670A (en) * 1983-03-30 1985-03-26 United States Surgical Corporation Two-part surgical fastener applying apparatus with frangible member
US4506671A (en) * 1983-03-30 1985-03-26 United States Surgical Corporation Apparatus for applying two-part surgical fasteners
US4532926A (en) * 1983-06-20 1985-08-06 Ethicon, Inc. Two-piece tissue fastener with ratchet leg staple and sealable latching receiver
US4532927A (en) * 1983-06-20 1985-08-06 Ethicon, Inc. Two-piece tissue fastener with non-reentry bent leg staple and retaining receiver
US4693248A (en) * 1983-06-20 1987-09-15 Ethicon, Inc. Two-piece tissue fastener with deformable retaining receiver
US4627437A (en) * 1983-06-20 1986-12-09 Ethicon, Inc. Method of applying a fastener to tissue with a pair of hollow needles
US4548202A (en) * 1983-06-20 1985-10-22 Ethicon, Inc. Mesh tissue fasteners
US4573469A (en) * 1983-06-20 1986-03-04 Ethicon, Inc. Two-piece tissue fastener with coinable leg staple and retaining receiver and method and instrument for applying same
US4534350A (en) * 1983-06-20 1985-08-13 Ethicon, Inc. Two-piece tissue fastener with compressible leg staple and retaining receiver
ZA847462B (en) * 1983-09-23 1986-05-28 Ethicon Inc Method and instrument for applying a fastener to a tissue using means to grasp,guide and pull the fastener through the tissue
JPS60502191A (ja) * 1983-10-04 1985-12-19 ユナイテツド　ステイツ　サ−ジカル　コ−ポレ−シヨン 外科用留め具用保持具部材組立体
US4589416A (en) * 1983-10-04 1986-05-20 United States Surgical Corporation Surgical fastener retainer member assembly
US4530453A (en) * 1983-10-04 1985-07-23 United States Surgical Corporation Surgical fastener applying apparatus
US4534352A (en) * 1983-10-04 1985-08-13 United States Surgical Corporation Surgical fastener member having increased rate of absorption
US4667674A (en) * 1983-10-04 1987-05-26 United States Surgical Corporation Surgical fastener exhibiting improved hemostasis
US4873976A (en) * 1984-02-28 1989-10-17 Schreiber Saul N Surgical fasteners and method
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Also Published As

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FR2322578A1 (fr) 1977-04-01
HK57980A (en) 1980-10-16
IT1067306B (it) 1985-03-16
GB1520956A (en) 1978-08-09
US4060089A (en) 1977-11-29
DE2639413C3 (de) 1979-12-13
SU704429A3 (ru) 1979-12-25
DE2639413B2 (de) 1979-04-26
FR2322578B1 (de) 1982-10-15
JPS5233391A (en) 1977-03-14
JPS541115B2 (de) 1979-01-20
CA1082551A (en) 1980-07-29

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