ES2554753T3 - Aparato para procedimientos endoscópicos - Google Patents
Aparato para procedimientos endoscópicos Download PDFInfo
- Publication number
- ES2554753T3 ES2554753T3 ES13177163.6T ES13177163T ES2554753T3 ES 2554753 T3 ES2554753 T3 ES 2554753T3 ES 13177163 T ES13177163 T ES 13177163T ES 2554753 T3 ES2554753 T3 ES 2554753T3
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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
- A61B17/068—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
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—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
- A61B17/07292—Reinforcements for staple line, e.g. pledgets
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
- A61B2017/003—Steerable
- A61B2017/00305—Constructional details of the flexible means
- A61B2017/00314—Separate linked members
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
- A61B2017/003—Steerable
- A61B2017/00318—Steering mechanisms
- A61B2017/00323—Cables or rods
- A61B2017/00327—Cables or rods with actuating members moving in opposite directions
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
- A61B2017/00398—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like using powered actuators, e.g. stepper motors, solenoids
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00477—Coupling
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00681—Aspects not otherwise provided for
- A61B2017/00734—Aspects not otherwise provided for battery operated
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- 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
- A61B2017/07278—Stapler heads characterised by its sled or its staple holder
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B2017/07214—Stapler heads
- A61B2017/07285—Stapler heads characterised by its cutter
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2901—Details of shaft
- A61B2017/2902—Details of shaft characterized by features of the actuating rod
- A61B2017/2903—Details of shaft characterized by features of the actuating rod transferring rotary motion
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- F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
- F04—POSITIVE - DISPLACEMENT MACHINES FOR LIQUIDS; PUMPS FOR LIQUIDS OR ELASTIC FLUIDS
- F04C—ROTARY-PISTON, OR OSCILLATING-PISTON, POSITIVE-DISPLACEMENT MACHINES FOR LIQUIDS; ROTARY-PISTON, OR OSCILLATING-PISTON, POSITIVE-DISPLACEMENT PUMPS
- F04C2270/00—Control; Monitoring or safety arrangements
- F04C2270/04—Force
- F04C2270/041—Controlled or regulated
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)
Abstract
Un sistema quirúrgico electromecánico (10), que comprende: un instrumento quirúrgico de mano (100) que incluye un alojamiento (102) de instrumento que define una parte de conexión (108a) para conectarse selectivamente con un conjunto de árboles (200), teniendo el instrumento quirúrgico al menos un miembro impulsor rotatorio (118, 120, 122); y un efector final (400) configurado para realizar al menos una función; y el conjunto de árboles (200) está dispuesto para interconectar selectivamente el efector final (400) y el dispositivo quirúrgico, incluyendo el conjunto de árboles: un alojamiento de transmisión (212) configurado y adaptado para la conexión selectiva a la parte de conexión (108a) del dispositivo quirúrgico y para estar en comunicación operativa con cada uno del al menos un miembro impulsor rotatorio (118, 120, 122) del dispositivo quirúrgico; un cuerpo tubular exterior (210) que tiene un extremo proximal (210a) soportado por el alojamiento de transmisión (212) y un extremo distal (210b) configurado y adaptado para la conexión operativa con el efector final (400); un conjunto de cuello de articulación (230) que interconecta el cuerpo tubular (210) y un alojamiento distal de cuello (236) comprendido en el conjunto de cuello de articulación, en donde el conjunto de cuello de articulación está configurado para permitir la articulación fuera del eje del alojamiento distal de cuello; el alojamiento distal de cuello (236) interconecta un miembro impulsor rotatorio (118, 120, 122) del instrumento quirúrgico y un miembro receptor de rotación (426) soportado en el efector final, en donde el alojamiento distal de cuello (236) incluye un primer extremo que es conectable al miembro impulsor rotatorio del instrumento quirúrgico y un segundo extremo que es conectable al miembro receptor de rotación del efector final, en donde el alojamiento distal de cuello transmite una rotación del miembro impulsor rotatorio del instrumento quirúrgico al miembro receptor de rotación del efector final, incluyendo el alojamiento distal de cuello: al menos un sistema de engranajes que comprende un sistema de engranajes planetarios, primero o proximal, (280) que incluye al menos un primer engranaje satélite (286) y un sistema de engranajes rectos, segundo o distal, (290) configurado para convertir una entrada rotatoria del miembro impulsor rotatorio en una primera fuerza de salida que efectúa cierre/disparo o apertura/retracción del efector final o una segunda fuerza de salida que efectúa una rotación del efector final; un alojamiento tubular exterior (237) que define al menos un diente que se extiende radialmente hacia dentro desde el mismo y un portador (288) soportado rotatoriamente en el alojamiento tubular exterior, incluyendo el portador (288) un vástago respectivo (288a) que soporta rotatoriamente el al menos un engranaje satélite (286) del primer sistema de engranajes planetarios; una corona dentada (289) conectada no rotatoriamente al portador (288) y un engranaje (240) de collarín de trabado soportado axialmente de manera deslizante y no rotatoriamente en el alojamiento tubular exterior (237) en donde el engranaje de collarín de trabado incluye una primera posición en donde el engranaje de collarín de trabado se acopla a la corona dentada e impide la rotación de la corona dentada, en donde la no rotación de la corona dentada permite la rotación del efector final, y en donde el engranaje de collarín de trabado incluye una segunda posición en donde el engranaje de collarín de trabado está desacoplado de la corona dentada y permite la rotación de la corona dentada, en donde la rotación de la corona dentada permite el disparo del efector final; el alojamiento distal de cuello (236) comprende además un primer mecanismo de embrague interpuesto entre, y que interconecta, el engranaje (240) de collarín de trabado y la corona dentada (289), cuando el engranaje de collarín de trabado está en la primera posición.
Description
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La figura 19 es una vista en sección transversal del alojamiento distal de cuello, tomada a través de 19-19 de la
figura 18; La figura 20 es una vista en sección transversal del alojamiento distal de cuello, tomada a través de 20-20 de la figura 18;
La figura 21 es una vista en sección transversal del alojamiento distal de cuello, tomada a través de 21-21 de la
figura 18; La figura 22 es una vista en sección transversal del alojamiento distal de cuello, tomada a través de 22-22 de la figura 15, que ilustra el alojamiento distal de cuello en una configuración de rotación;
La figura 23 es una vista en sección transversal del alojamiento distal de cuello, tomada a través de 23-23 de la figura 15, que ilustra el alojamiento distal de cuello en una configuración de rotación;
La figura 24 es una vista ampliada del área indicada de detalle de la figura 22; La figura 25 es una vista en sección transversal del alojamiento distal de cuello, tomada a través de 22-22 de la figura 15, que ilustra el alojamiento distal de cuello en una configuración de disparo;
La figura 26 es una vista ampliada del área indicada de detalle de la figura 25;
Las figuras 27-29 son vistas en perspectiva que ilustran una conexión de un efector final con el alojamiento distal de cuello de las figuras 14-26; La figura 30 es una vista en sección transversal del efector final, tomada a través de 30-30 de la figura 27; La figura 31 es una vista en sección transversal del alojamiento distal de cuello según otra realización de la presente
descripción, tomada a través de 22-22 de la figura 15, que ilustra una corona dentada y un engranaje de collarín de trabado según otra realización de la presente descripción; La figura 32 es una vista ampliada del área indicada de detalle de la figura 31; La figura 33 es una vista en perspectiva delantera de la corona dentada de las figuras 31 y 32; La figura 34 es una vista ampliada del área indicada de detalle de la figura 33; La figura 35 es una vista en perspectiva trasera de la corona dentada de las figuras 31 y 32;
La figura 36 es una vista en sección transversal tomada a través de 36-36 de la figura 35; La figura 37 es una vista en perspectiva trasera de un alojamiento distal de cuello según incluso otra realización de la presente descripción;
La figura 38 es una vista en perspectiva superior de un pasador de trabado del alojamiento distal de cuello de la
figura 37; La figura 39 es una vista en sección transversal del alojamiento distal de cuello de las figuras 37 y 38, tomada a través de 39-39 de la figura 37;
La figura 40 es una vista ampliada del área indicada de detalle de la figura 39;
La figura 41 es una vista en sección transversal del alojamiento distal de cuello de las figuras 37 y 38, con componentes retirados del mismo, tomada a través de 39-39 de la figura 37; La figura 42 es una vista en planta del alojamiento distal de cuello de la figura 41; y La figura 43 es una vista ampliada del área indicada de detalle de la figura 42.
Descripción detallada de unas realizaciones
Ahora se describirán en detalle unas realizaciones del sistema, aparato y/o dispositivo quirúrgicos electromecánicos descritos actualmente, con referencia a los dibujos, en los que los números de referencia semejantes designan elementos idénticos o correspondientes en cada una de las varias vistas. Tal como se emplea en esta memoria, el término “distal” se refiere a la parte del sistema, aparato y/o dispositivo quirúrgicos electromecánicos, o componente de los mismos, que está más alejada del usuario mientras que el término “proximal” se refiere a la parte del instrumento, aparato y/o dispositivo quirúrgicos electromecánicos, o componente de los mismos, que está más cerca del usuario.
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Claims (1)
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imagen1 imagen2
Applications Claiming Priority (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201261673792P | 2012-07-20 | 2012-07-20 | |
US201261673792P | 2012-07-20 | ||
US13/889,437 US9402604B2 (en) | 2012-07-20 | 2013-05-08 | Apparatus for endoscopic procedures |
US201313889437 | 2013-05-08 |
Publications (1)
Publication Number | Publication Date |
---|---|
ES2554753T3 true ES2554753T3 (es) | 2015-12-23 |
Family
ID=48795488
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
ES14173043.2T Active ES2557055T3 (es) | 2012-07-20 | 2013-07-19 | Aparato para procedimientos endoscópicos |
ES13177163.6T Active ES2554753T3 (es) | 2012-07-20 | 2013-07-19 | Aparato para procedimientos endoscópicos |
Family Applications Before (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
ES14173043.2T Active ES2557055T3 (es) | 2012-07-20 | 2013-07-19 | Aparato para procedimientos endoscópicos |
Country Status (7)
Country | Link |
---|---|
US (2) | US9402604B2 (es) |
EP (3) | EP2799019B1 (es) |
JP (1) | JP6276934B2 (es) |
CN (1) | CN103565487B (es) |
AU (1) | AU2013206664B2 (es) |
CA (1) | CA2820234A1 (es) |
ES (2) | ES2557055T3 (es) |
Families Citing this family (738)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US10285694B2 (en) | 2001-10-20 | 2019-05-14 | Covidien Lp | Surgical stapler with timer and feedback display |
US20070084897A1 (en) | 2003-05-20 | 2007-04-19 | Shelton Frederick E Iv | Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism |
US9060770B2 (en) | 2003-05-20 | 2015-06-23 | Ethicon Endo-Surgery, Inc. | Robotically-driven surgical instrument with E-beam driver |
US10041822B2 (en) | 2007-10-05 | 2018-08-07 | Covidien Lp | Methods to shorten calibration times for powered devices |
US11311291B2 (en) | 2003-10-17 | 2022-04-26 | Covidien Lp | Surgical adapter assemblies for use between surgical handle assembly and surgical end effectors |
US10022123B2 (en) | 2012-07-09 | 2018-07-17 | Covidien Lp | Surgical adapter assemblies for use between surgical handle assembly and surgical end effectors |
US11890012B2 (en) | 2004-07-28 | 2024-02-06 | Cilag Gmbh International | Staple cartridge comprising cartridge body and attached support |
US8215531B2 (en) | 2004-07-28 | 2012-07-10 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a medical substance dispenser |
US11291443B2 (en) | 2005-06-03 | 2022-04-05 | Covidien Lp | Surgical stapler with timer and feedback display |
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 |
US8317070B2 (en) | 2005-08-31 | 2012-11-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling devices that produce formed staples having different lengths |
US7669746B2 (en) | 2005-08-31 | 2010-03-02 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
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US20070225562A1 (en) | 2006-03-23 | 2007-09-27 | Ethicon Endo-Surgery, Inc. | Articulating endoscopic accessory channel |
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WO2007137243A2 (en) | 2006-05-19 | 2007-11-29 | Applied Medical Resources Corporation | Surgical stapler |
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US7753245B2 (en) | 2007-06-22 | 2010-07-13 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments |
US11849941B2 (en) | 2007-06-29 | 2023-12-26 | Cilag Gmbh International | Staple cartridge having staple cavities extending at a transverse angle relative to a longitudinal cartridge axis |
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US10498269B2 (en) | 2007-10-05 | 2019-12-03 | Covidien Lp | Powered surgical stapling device |
US8517241B2 (en) | 2010-04-16 | 2013-08-27 | Covidien Lp | Hand-held surgical devices |
US10779818B2 (en) | 2007-10-05 | 2020-09-22 | Covidien Lp | Powered surgical stapling device |
US7819298B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with control features operable with one hand |
US7866527B2 (en) | 2008-02-14 | 2011-01-11 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with interlockable firing system |
US11986183B2 (en) | 2008-02-14 | 2024-05-21 | Cilag Gmbh International | Surgical cutting and fastening instrument comprising a plurality of sensors to measure an electrical parameter |
US8636736B2 (en) | 2008-02-14 | 2014-01-28 | Ethicon Endo-Surgery, Inc. | Motorized surgical cutting and fastening instrument |
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-
2013
- 2013-05-08 US US13/889,437 patent/US9402604B2/en active Active
- 2013-06-17 CA CA2820234A patent/CA2820234A1/en not_active Abandoned
- 2013-07-03 AU AU2013206664A patent/AU2013206664B2/en not_active Ceased
- 2013-07-19 ES ES14173043.2T patent/ES2557055T3/es active Active
- 2013-07-19 CN CN201310306670.1A patent/CN103565487B/zh active Active
- 2013-07-19 EP EP14173043.2A patent/EP2799019B1/en active Active
- 2013-07-19 ES ES13177163.6T patent/ES2554753T3/es active Active
- 2013-07-19 JP JP2013150423A patent/JP6276934B2/ja not_active Expired - Fee Related
- 2013-07-19 EP EP13177163.6A patent/EP2687166B1/en active Active
- 2013-07-19 EP EP15184915.5A patent/EP2982314B1/en active Active
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2016
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JP6276934B2 (ja) | 2018-02-07 |
CN103565487A (zh) | 2014-02-12 |
EP2982314B1 (en) | 2017-11-01 |
US9402604B2 (en) | 2016-08-02 |
EP2799019A1 (en) | 2014-11-05 |
EP2799019B1 (en) | 2015-11-18 |
US10342536B2 (en) | 2019-07-09 |
AU2013206664A1 (en) | 2014-02-06 |
JP2014039809A (ja) | 2014-03-06 |
US20140025046A1 (en) | 2014-01-23 |
CA2820234A1 (en) | 2014-01-20 |
EP2687166A2 (en) | 2014-01-22 |
EP2982314A1 (en) | 2016-02-10 |
EP2687166A3 (en) | 2014-03-12 |
CN103565487B (zh) | 2017-06-13 |
US20160302790A1 (en) | 2016-10-20 |
AU2013206664B2 (en) | 2017-03-30 |
ES2557055T3 (es) | 2016-01-21 |
EP2687166B1 (en) | 2015-10-28 |
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