DE9117288U1 - Chirurgisches Klammerinstrument - Google Patents
Chirurgisches KlammerinstrumentInfo
- Publication number
- DE9117288U1 DE9117288U1 DE9117288U DE9117288U DE9117288U1 DE 9117288 U1 DE9117288 U1 DE 9117288U1 DE 9117288 U DE9117288 U DE 9117288U DE 9117288 U DE9117288 U DE 9117288U DE 9117288 U1 DE9117288 U1 DE 9117288U1
- Authority
- DE
- Germany
- Prior art keywords
- instrument according
- distal
- magazine
- cam surface
- cam
- 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.)
- Expired - Lifetime
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
- A61B17/07207—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously the staples being applied sequentially
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- 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
Description
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Claims (18)
1. Chirurgisches Instrument zum Eintreiben von chirurgischen
Verbindern in Körpergewebe, umfassend:
- a) einen Rahmen (102) mit einer Betätigungseinrichtung;
- b) einen endoskopischen Bereich (103), der eine
Längsachse definiert und sich von dem Rahmen aus in
distaler Richtung erstreckt, wobei der endoskopische
Bereich aufweist:
- a) eine langgestreckte Halterung mit einem distalen Element, welches eine austauschbare Magazineinheit (137) beherbergt, wobei die austauschbare Magazineinheit eine Mehrzahl von verschiebbar darin angebrachten chirurgischen Verbindern (138) enthält und eine Gewebeeingriffsfläche aufweist;
- b) ein Gegenlagerelement (136), das eine Verbinderumformfläche (136 D) und ein schwenkbar in der langgestreckten Halterung festgehaltenes proximales Ende (136 C) aufweist, so daß das Gegenlagerelement zwischen einer offenen Stellung und einer geschlossenen Stellung beweglich ist, wobei die Verbinderumformfläche in enger zusammenwirkender Ausrichtung mit der Gewebeeingriffsfläche der Magazineinheit steht;
- c) eine Einrichtung (127) zum Bewegen des Gegenlagerelements zwischen der offenen Stellung und der geschlossenen Stellung;
- d) eine Einrichtung (139) zum Ausstoßen der chirurgischen Verbinder aus der Magazineinheit, wodurch die Verbinder mit der Verbinderumformfläche in Eingriff treten;
- c) auf dem Gegenlagerelement (796) eine Nockenoberfläche (822) mit einem bogenförmigen Verlauf in Querrichtung mit einem definierten Krümmungsradius; und
- d) ein Bundrohr (752), das um mindestens einen Teil der langgestreckten Halterung herum angeordnet ist, wobei das Bundrohr eine distale Nockenoberfläche (756) mit einem definierten querverlaufenden Krümmungsradius aufweist und weiter zwischen einer ersten Stellung, in der die distale Nockenoberfläche proximal vom proximalen Ende der gekrümmten Nockenoberfläche angeordnet ist, und einer zweiten Stellung, in der die distale Nockenoberfläche distal vom proximalen Ende der gekrümmten Nockenoberfläche angeordnet ist, beweglich ist, wobei die distale Nockenoberfläche derart mit der gekrümmten Nockenoberfläche zusammenwirkt, daß die gekrümmte Nockenoberfläche in die geschlossene Stellung gedrückt wird, wenn das Bundrohr aus der ersten Stellung in die zweite Stellung bewegt wird; und wobei die distale Nockenoberfläche (756) auf dem Bundrohr (752) einen Krümmungsradius aufweist, der kleiner als der Krümmungsradius der gekrümmten Nockenoberfläche (822) ist.
2. Instrument nach Anspruch 1, dadurch gekennzeichnet, daß
es weiter eine Einrichtung (772) zum Drehen des
Endoskopteils um die Längsachse umfaßt.
3. Instrument nach Anspruch 1 oder 2, wobei die Einrichtung
zum Bewegen des Bundrohrs zwischen der ersten Stellung
und der zweiten Stellung weiter umfaßt:
- a) ein Verlängerungsrohr, das sich in Längsrichtung zum Rahmen erstreckt und ein proximales und distales Ende aufweist;
- b) eine Einrichtung, um das Verlängerungsrohr in Bezug zum Rahmen in Längsrichtung zu bewegen; und
- c) eine Einrichtung zum Übertragen einer Längsbewegung vom distalen Ende des Verlängerungsrohrs auf das Bundrohr, so daß das Bundrohr zwischen der ersten Stellung und der zweiten Stellung bewegbar ist.
4. Instrument nach einem der vorangehenden Ansprüche, weiter
umfassend eine Gasabdichteinrichtung, um den
endoskopischen Bereich und den Rahmen atmosphärisch
voneinander zu isolieren.
5. Instrument nach einem der vorangehenden Ansprüche,
dadurch gekennzeichnet, daß es eine Verbinderumformfläche
aus Metallegierung aufweist, die aus Nickel, Gold,
Silber, Titannitrid und Chrom ausgewählt ist.
6. Instrument nach einem der vorangehenden Ansprüche,
dadurch gekennzeichnet, daß das Gegenlagerelement mittels
einer Blattfeder innerhalb der langgestreckten Halterung
schwenkbar angebracht ist.
7. Instrument nach Anspruch 6, dadurch gekennzeichnet, daß
das Gegenlagerelement innerhalb der langgestreckten
Halterung austauschbar angebracht ist.
8. Instrument nach einem der vorangehenden Ansprüche, wobei
das Gegenlagerelement und der Magazinaufbau vorgewölbt
sind.
9. Instrument nach einem der vorangehenden Ansprüche,
dadurch gekennzeichnet, daß es weiter eine
Verriegelungseinrichtung umfaßt, um eine Betätigung zu
verhindern, wenn sich das Instrument nicht in einer
geschlossenen Stellung befindet.
10. Instrument nach einem der vorangehenden Ansprüche,
dadurch gekennzeichnet, daß es weiter eine manuelle
Sicherungseinrichtung umfaßt, um ein Zurückziehen der
besagten Ausstoßeinrichtung zu blockieren.
11. Instrument nach einem der vorangehenden Ansprüche,
dadurch gekennzeichnet, daß die austauschbare
Magazineinheit umfaßt:
ein Magazingehäuse;
ein Magazin, das eine Mehrzahl von verschiebbar darin angeordneten chirurgischen Verbindern im Anschlag mit entsprechenden Schiebern enthält, wobei das Magazin eine Mehrzahl von Längsschlitzen begrenzt, die einen Zugang zu den Schiebern bilden; einen Nockenstangenadapter, der eine Mehrzahl von Nockenstangen entnehmbar hält, wobei die Nockenstangen für eine Längsbewegung durch die Längsschlitze angepaßt sind, um mit den Schiebern in Eingriff zu treten und die Klammern auszustoßen.
ein Magazingehäuse;
ein Magazin, das eine Mehrzahl von verschiebbar darin angeordneten chirurgischen Verbindern im Anschlag mit entsprechenden Schiebern enthält, wobei das Magazin eine Mehrzahl von Längsschlitzen begrenzt, die einen Zugang zu den Schiebern bilden; einen Nockenstangenadapter, der eine Mehrzahl von Nockenstangen entnehmbar hält, wobei die Nockenstangen für eine Längsbewegung durch die Längsschlitze angepaßt sind, um mit den Schiebern in Eingriff zu treten und die Klammern auszustoßen.
12. Instrument nach Anspruch 11, weiter umfassend ein Messer
sowie eine Einrichtung, um das Messer nach einem einzigen
distalen Hindurchtritt durch das Magazin zu inaktivieren.
13. Instrument nach Anspruch 11 oder 12, dadurch
gekennzeichnet, daß die Mehrzahl von Nockenstangen für
einen einzigen distalen Hindurchtritt durch die
Längsschlitze angepaßt sind, daß die Nockenstangen nach
einem einzigen distalen Hindurchtritt durch die
Längsschlitze vom Nockenstangenadapter gelöst und darin
festgehalten werden, um die Magazineinheit zu
inaktivieren.
14. Instrument nach Anspruch 13, rückbezogen auf Anspruch 12,
dadurch gekennzeichnet, daß weiter das Messer am
Nockenstangenadapter angebracht und für eine
Längsbewegung durch das Magazin angepaßt ist.
15. Instrument nach Anspruch 14, dadurch gekennzeichnet, daß
die Einrichtung zum Inaktivieren des Messers eine
Ausrückeinrichtung zum Ausrücken einer Rinne aus dem
Nockenstangenadapter nach einem einzigen distalen
Hindurchtritt des Messers durch das Magazin umfaßt.
16. Instrument nach Anspruch 15, dadurch gekennzeichnet, daß
es weiter eine Anschlageinrichtung umfaßt, um einen
erneuten Eingriff der Rinne und des Nockenstangenadapters
nach ihrem Ausrücken zu verhindern.
17. Instrument nach einem der vorangehenden Ansprüche,
dadurch gekennzeichnet, daß es mit mindestens einem
Gewebeanschlag versehen ist, um ein Ausrichten des
Instruments zu erleichtern und ein zu weites Einführen
des Gewebes in dieses zu verhindern.
18. Instrument nach einem der vorangehenden Ansprüche,
dadurch gekennzeichnet, daß
- a) das Gegenlagerelement (790) mit parallelen Ausrichtflächen (830) unter der Nockenoberfläche (822) versehen ist; und
- b) der Magazinaufbau ein Gehäuse (832) besitzt, auf dem Vorsprünge (834) sind, zwischen welche die Ausrichtflächen (830) beim Schließen des Gegenlagerelements (796) passen.
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US59365490A | 1990-10-05 | 1990-10-05 | |
EP19910116948 EP0484677B2 (de) | 1990-10-05 | 1991-10-04 | Vorrichtung zum Anbringen von Klammern bei laparoskopischen oder endoskopischen Eingriffen |
Publications (1)
Publication Number | Publication Date |
---|---|
DE9117288U1 true DE9117288U1 (de) | 1999-10-21 |
Family
ID=24375586
Family Applications (3)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
DE1991116948 Pending DE484677T1 (de) | 1990-10-05 | 1991-10-04 | Verfahren und Vorrichtung zum Anbringen von Klammern bei laparoskopischen oder endoskopischen Eingriffen. |
DE1991620208 Expired - Lifetime DE69120208T3 (de) | 1990-10-05 | 1991-10-04 | Vorrichtung zum Anbringen von Klammern bei laparoskopischen oder endoskopischen Eingriffen |
DE9117288U Expired - Lifetime DE9117288U1 (de) | 1990-10-05 | 1991-10-04 | Chirurgisches Klammerinstrument |
Family Applications Before (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
DE1991116948 Pending DE484677T1 (de) | 1990-10-05 | 1991-10-04 | Verfahren und Vorrichtung zum Anbringen von Klammern bei laparoskopischen oder endoskopischen Eingriffen. |
DE1991620208 Expired - Lifetime DE69120208T3 (de) | 1990-10-05 | 1991-10-04 | Vorrichtung zum Anbringen von Klammern bei laparoskopischen oder endoskopischen Eingriffen |
Country Status (2)
Country | Link |
---|---|
EP (1) | EP0484677B2 (de) |
DE (3) | DE484677T1 (de) |
Families Citing this family (779)
Publication number | Priority date | Publication date | Assignee | Title |
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US5397046A (en) * | 1991-10-18 | 1995-03-14 | United States Surgical Corporation | Lockout mechanism for surgical apparatus |
US5312023A (en) * | 1991-10-18 | 1994-05-17 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
US5326013A (en) * | 1991-10-18 | 1994-07-05 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
US6250532B1 (en) | 1991-10-18 | 2001-06-26 | United States Surgical Corporation | Surgical stapling apparatus |
US5356064A (en) | 1991-10-18 | 1994-10-18 | United States Surgical Corporation | Apparatus and method for applying surgical staples to attach an object to body tissue |
AU657364B2 (en) * | 1991-10-18 | 1995-03-09 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
US5711472A (en) * | 1991-10-18 | 1998-01-27 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
US5289963A (en) | 1991-10-18 | 1994-03-01 | United States Surgical Corporation | Apparatus and method for applying surgical staples to attach an object to body tissue |
US5381943A (en) * | 1992-10-09 | 1995-01-17 | Ethicon, Inc. | Endoscopic surgical stapling instrument with pivotable and rotatable staple cartridge |
US5431323A (en) * | 1992-10-09 | 1995-07-11 | Ethicon, Inc. | Endoscopic surgical instrument with pivotable and rotatable staple cartridge |
GR1002376B (el) * | 1993-04-29 | 1996-06-25 | Ethicon Inc. | Συνδεδυασμενος ανοικτης διαδικασιας ενδοσκοπικος μηχανισμος και μεθοδος χρησιμοποιησεως. |
US5447265A (en) * | 1993-04-30 | 1995-09-05 | Minnesota Mining And Manufacturing Company | Laparoscopic surgical instrument with a mechanism for preventing its entry into the abdominal cavity once it is depleted and removed from the abdominal cavity |
US6716232B1 (en) | 1993-04-30 | 2004-04-06 | United States Surgical Corporation | Surgical instrument having an articulated jaw structure and a detachable knife |
EP0696179B1 (de) * | 1993-04-30 | 1998-10-28 | United States Surgical Corporation | Chirurgisches instrument mit einer schwenkbaren backenstruktur |
US5507773A (en) * | 1994-02-18 | 1996-04-16 | Ethicon Endo-Surgery | Cable-actuated jaw assembly for surgical instruments |
WO1995023557A1 (en) * | 1994-03-01 | 1995-09-08 | United States Surgical Corporation | Surgical stapler with anvil sensor and lockout |
US5489058A (en) * | 1994-05-02 | 1996-02-06 | Minnesota Mining And Manufacturing Company | Surgical stapler with mechanisms for reducing the firing force |
US5470007A (en) * | 1994-05-02 | 1995-11-28 | Minnesota Mining And Manufacturing Company | Laparoscopic stapler with overload sensor and interlock |
US5779130A (en) * | 1994-08-05 | 1998-07-14 | United States Surgical Corporation | Self-contained powered surgical apparatus |
US5632432A (en) * | 1994-12-19 | 1997-05-27 | Ethicon Endo-Surgery, Inc. | Surgical instrument |
US5782396A (en) | 1995-08-28 | 1998-07-21 | United States Surgical Corporation | Surgical stapler |
US6032849A (en) * | 1995-08-28 | 2000-03-07 | United States Surgical | Surgical stapler |
US5762256A (en) * | 1995-08-28 | 1998-06-09 | United States Surgical Corporation | Surgical stapler |
US6109500A (en) | 1996-10-04 | 2000-08-29 | United States Surgical Corporation | Lockout mechanism for a surgical stapler |
US5865361A (en) | 1997-09-23 | 1999-02-02 | United States Surgical Corporation | Surgical stapling apparatus |
US7695485B2 (en) | 2001-11-30 | 2010-04-13 | Power Medical Interventions, Llc | Surgical device |
US8025199B2 (en) | 2004-02-23 | 2011-09-27 | Tyco Healthcare Group Lp | Surgical cutting and stapling 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 |
US6264087B1 (en) | 1999-07-12 | 2001-07-24 | Powermed, Inc. | Expanding parallel jaw device for use with an electromechanical driver device |
US7951071B2 (en) | 1999-06-02 | 2011-05-31 | Tyco Healthcare Group Lp | Moisture-detecting shaft for use with an electro-mechanical surgical device |
US8016855B2 (en) | 2002-01-08 | 2011-09-13 | Tyco Healthcare Group Lp | Surgical device |
ES2547219T3 (es) | 2001-10-05 | 2015-10-02 | Covidien Lp | Dispositivo de grapado quirúrgico |
EP1453432B1 (de) | 2001-12-04 | 2012-08-01 | Tyco Healthcare Group LP | System und verfahren zur kalibrierung eines chirurgischen instruments |
US9113878B2 (en) | 2002-01-08 | 2015-08-25 | Covidien Lp | Pinion clip for right angle linear cutter |
ES2278167T3 (es) | 2002-06-14 | 2007-08-01 | Power Medical Interventions, Inc. | Dispositivo para pinzar, cortar y grapar tejido. |
US7588177B2 (en) | 2002-10-04 | 2009-09-15 | Tyco Healthcare Group Lp | Tool assembly for surgical stapling device |
CA2712039C (en) | 2002-10-04 | 2013-03-12 | Tyco Healthcare Group Lp | Tool assembly for surgical stapling device |
ES2379225T3 (es) | 2002-10-04 | 2012-04-24 | Tyco Healthcare Group Lp | Grapadora quirúrgica con articulación universal y sujección previa de tejidos |
US20040243151A1 (en) | 2003-04-29 | 2004-12-02 | Demmy Todd L. | Surgical stapling device with dissecting tip |
US9597078B2 (en) | 2003-04-29 | 2017-03-21 | Covidien Lp | Surgical stapling device with dissecting tip |
US9060770B2 (en) | 2003-05-20 | 2015-06-23 | Ethicon Endo-Surgery, Inc. | Robotically-driven surgical instrument with E-beam driver |
US20070084897A1 (en) | 2003-05-20 | 2007-04-19 | Shelton Frederick E Iv | Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism |
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ES2282940T3 (es) | 2004-02-17 | 2007-10-16 | Tyco Healthcare Group Lp | Aparato para la aplicacion de grapas quirurgicas con mecanismo de bloqueo. |
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US11896225B2 (en) | 2004-07-28 | 2024-02-13 | Cilag Gmbh International | Staple cartridge comprising a pan |
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US9138226B2 (en) | 2005-03-30 | 2015-09-22 | Covidien Lp | Cartridge assembly for a surgical stapling device |
US7780055B2 (en) | 2005-04-06 | 2010-08-24 | Tyco Healthcare Group Lp | Loading unit having drive assembly locking mechanism |
US11484312B2 (en) | 2005-08-31 | 2022-11-01 | Cilag Gmbh International | Staple cartridge comprising a staple driver arrangement |
US9237891B2 (en) | 2005-08-31 | 2016-01-19 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical stapling devices that produce formed staples having different lengths |
US7934630B2 (en) | 2005-08-31 | 2011-05-03 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US7673781B2 (en) | 2005-08-31 | 2010-03-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling device with staple driver that supports multiple wire diameter staples |
US8800838B2 (en) | 2005-08-31 | 2014-08-12 | Ethicon Endo-Surgery, Inc. | Robotically-controlled cable-based surgical end effectors |
US7669746B2 (en) | 2005-08-31 | 2010-03-02 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US8365976B2 (en) | 2006-09-29 | 2013-02-05 | Ethicon Endo-Surgery, Inc. | Surgical staples having dissolvable, bioabsorbable or biofragmentable portions and stapling instruments for deploying the same |
US10159482B2 (en) | 2005-08-31 | 2018-12-25 | Ethicon Llc | Fastener cartridge assembly comprising a fixed anvil and different staple heights |
US11246590B2 (en) | 2005-08-31 | 2022-02-15 | Cilag Gmbh International | Staple cartridge including staple drivers having different unfired heights |
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Publication number | Priority date | Publication date | Assignee | Title |
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US4610383A (en) * | 1983-10-14 | 1986-09-09 | Senmed, Inc. | Disposable linear surgical stapler |
US4728020A (en) * | 1985-08-30 | 1988-03-01 | United States Surgical Corporation | Articulated surgical fastener applying apparatus |
FR2622429A1 (fr) * | 1987-11-16 | 1989-05-05 | Blagoveschensky G | Appareil de suture chirurgicale |
ES2078231T3 (es) * | 1988-11-11 | 1995-12-16 | United States Surgical Corp | Instrumento de cirugia. |
US5040715B1 (en) * | 1989-05-26 | 1994-04-05 | United States Surgical Corp | Apparatus and method for placing staples in laparoscopic or endoscopic procedures |
US4978049A (en) * | 1989-05-26 | 1990-12-18 | United States Surgical Corporation | Three staple drive member |
-
1991
- 1991-10-04 EP EP19910116948 patent/EP0484677B2/de not_active Expired - Lifetime
- 1991-10-04 DE DE1991116948 patent/DE484677T1/de active Pending
- 1991-10-04 DE DE1991620208 patent/DE69120208T3/de not_active Expired - Lifetime
- 1991-10-04 DE DE9117288U patent/DE9117288U1/de not_active Expired - Lifetime
Also Published As
Publication number | Publication date |
---|---|
EP0484677B2 (de) | 2000-07-05 |
DE69120208D1 (de) | 1996-07-18 |
DE69120208T2 (de) | 1996-12-19 |
EP0484677A1 (de) | 1992-05-13 |
DE69120208T3 (de) | 2001-02-15 |
DE484677T1 (de) | 1993-11-25 |
EP0484677B1 (de) | 1996-06-12 |
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