FR3097113B1 - Instrument d’anastomose digestive - Google Patents

Instrument d’anastomose digestive Download PDF

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Publication number
FR3097113B1
FR3097113B1 FR1906236A FR1906236A FR3097113B1 FR 3097113 B1 FR3097113 B1 FR 3097113B1 FR 1906236 A FR1906236 A FR 1906236A FR 1906236 A FR1906236 A FR 1906236A FR 3097113 B1 FR3097113 B1 FR 3097113B1
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France
Prior art keywords
jaw
anastomosis instrument
blade
tubular structures
digestive anastomosis
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Active
Application number
FR1906236A
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English (en)
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FR3097113A1 (fr
Inventor
Walter Bertolaso
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Individual
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Individual
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Priority to FR1906236A priority Critical patent/FR3097113B1/fr
Priority to PCT/EP2020/065679 priority patent/WO2020249487A1/fr
Publication of FR3097113A1 publication Critical patent/FR3097113A1/fr
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Publication of FR3097113B1 publication Critical patent/FR3097113B1/fr
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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B17/115Staplers for performing anastomosis in a single operation
    • A61B17/1155Circular staplers comprising a plurality of staples
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical 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
    • A61B17/07207Surgical 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B17/1114Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis of the digestive tract, e.g. bowels or oesophagus
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B18/1485Probes or electrodes therefor having a short rigid shaft for accessing the inner body through natural openings
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical 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
    • A61B2017/07214Stapler heads
    • A61B2017/07228Arrangement of the staples
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical 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
    • A61B2017/07214Stapler heads
    • A61B2017/07285Stapler heads characterised by its cutter
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B2017/1132End-to-end connections
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B2017/1139Side-to-side connections, e.g. shunt or X-connections
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053Mechanical features of the instrument of device
    • A61B2018/0016Energy applicators arranged in a two- or three dimensional array
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00482Digestive system
    • A61B2018/00494Stomach, intestines or bowel
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00595Cauterization
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/1206Generators therefor
    • A61B2018/1246Generators therefor characterised by the output polarity
    • A61B2018/126Generators therefor characterised by the output polarity bipolar
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B2018/1405Electrodes having a specific shape
    • A61B2018/1412Blade
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B2018/1405Electrodes having a specific shape
    • A61B2018/142Electrodes having a specific shape at least partly surrounding the target, e.g. concave, curved or in the form of a cave
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B18/1442Probes having pivoting end effectors, e.g. forceps
    • A61B2018/145Probes having pivoting end effectors, e.g. forceps wherein the effectors remain parallel during closing and opening
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B18/1442Probes having pivoting end effectors, e.g. forceps
    • A61B2018/1452Probes having pivoting end effectors, e.g. forceps including means for cutting
    • A61B2018/1455Probes having pivoting end effectors, e.g. forceps including means for cutting having a moving blade for cutting tissue grasped by the jaws

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Public Health (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Veterinary Medicine (AREA)
  • General Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Physics & Mathematics (AREA)
  • Otolaryngology (AREA)
  • Plasma & Fusion (AREA)
  • Physiology (AREA)
  • Surgical Instruments (AREA)

Abstract

Un instrument d’anastomose digestive pour la mise en communication de structures tubulaires (ST1, ST2), l’instrument d’anastomose digestive comprenant une première mâchoire (1) et une deuxième mâchoire (2) configurées pour coopérer ensemble, la première mâchoire (1) comprenant au moins une lame (13) et une pluralité d’agrafes (12) configurées pour permettre l’agrafage des structures tubulaires (ST1, ST2) entre elles, la deuxième mâchoire (2) comprenant au moins une cavité (23) configurée pour recevoir la lame (13) et une pluralité d’empreintes (22) configurées pour coopérer avec les agrafes (12) afin de les fermer, la lame (13) comprenant une extrémité coupante (14) et au moins un organe de cautérisation (15) de manière à permettre après l’agrafage, successivement la découpe des structures tubulaires (ST1, ST2) selon des lignes de découpe et la cautérisation (C) desdites lignes de découpe. Figure 12D
FR1906236A 2019-06-12 2019-06-12 Instrument d’anastomose digestive Active FR3097113B1 (fr)

Priority Applications (2)

Application Number Priority Date Filing Date Title
FR1906236A FR3097113B1 (fr) 2019-06-12 2019-06-12 Instrument d’anastomose digestive
PCT/EP2020/065679 WO2020249487A1 (fr) 2019-06-12 2020-06-05 Instrument d'anastomose digestive

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
FR1906236 2019-06-12
FR1906236A FR3097113B1 (fr) 2019-06-12 2019-06-12 Instrument d’anastomose digestive

Publications (2)

Publication Number Publication Date
FR3097113A1 FR3097113A1 (fr) 2020-12-18
FR3097113B1 true FR3097113B1 (fr) 2023-03-10

Family

ID=68210960

Family Applications (1)

Application Number Title Priority Date Filing Date
FR1906236A Active FR3097113B1 (fr) 2019-06-12 2019-06-12 Instrument d’anastomose digestive

Country Status (2)

Country Link
FR (1) FR3097113B1 (fr)
WO (1) WO2020249487A1 (fr)

Families Citing this family (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11911039B2 (en) 2021-08-13 2024-02-27 Cilag Gmbh International Circular surgical stapler having staples with expandable crowns
US11944310B2 (en) 2021-08-13 2024-04-02 Cilag Gmbh International Non-circular end effector features for surgical stapler
US11653926B2 (en) * 2021-08-13 2023-05-23 Cilag Gmbh International Circular surgical stapler for forming pattern of non-tangential staples
US11998209B2 (en) 2021-08-13 2024-06-04 Cilag Gmbh International Staple forming features for circular surgical stapler
US11666339B2 (en) 2021-08-13 2023-06-06 Cilag Gmbh International Circular surgical stapler for forming cross-pattern of staples
US12004744B2 (en) 2021-09-27 2024-06-11 Cilag Gmbh International Staple and staple-forming pocket arrangements for surgical staplers
CN116327292B (zh) * 2023-01-05 2024-02-02 中国人民解放军总医院第三医学中心 一种外翻式膀胱尿道吻合器

Family Cites Families (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5665085A (en) * 1991-11-01 1997-09-09 Medical Scientific, Inc. Electrosurgical cutting tool
AU694225B2 (en) * 1994-08-02 1998-07-16 Ethicon Endo-Surgery, Inc. Ultrasonic hemostatic and cutting instrument
EP0979635A2 (fr) * 1998-08-12 2000-02-16 Origin Medsystems, Inc. Dissecteur de tissu
US7517356B2 (en) 2002-04-16 2009-04-14 Tyco Healthcare Group Lp Surgical stapler and method
US9770230B2 (en) * 2006-06-01 2017-09-26 Maquet Cardiovascular Llc Endoscopic vessel harvesting system components
US7780663B2 (en) * 2006-09-22 2010-08-24 Ethicon Endo-Surgery, Inc. End effector coatings for electrosurgical instruments
US7988026B2 (en) * 2007-09-06 2011-08-02 Cardica, Inc. Endocutter with staple feed
US10327764B2 (en) 2014-09-26 2019-06-25 Ethicon Llc Method for creating a flexible staple line
CA2987955C (fr) * 2015-06-02 2024-04-02 GI Scientific, LLC Dispositif de manipulation de matiere a revetement conducteur

Also Published As

Publication number Publication date
WO2020249487A1 (fr) 2020-12-17
FR3097113A1 (fr) 2020-12-18

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