JP2019511296A - 円形吻合ステープラーと共に使用するための一時的固定具 - Google Patents
円形吻合ステープラーと共に使用するための一時的固定具 Download PDFInfo
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- JP2019511296A JP2019511296A JP2018549472A JP2018549472A JP2019511296A JP 2019511296 A JP2019511296 A JP 2019511296A JP 2018549472 A JP2018549472 A JP 2018549472A JP 2018549472 A JP2018549472 A JP 2018549472A JP 2019511296 A JP2019511296 A JP 2019511296A
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- Prior art keywords
- anvil
- buttress
- sleeve
- tissue
- stapler
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Classifications
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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
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B17/115—Staplers for performing anastomosis in a single operation
- A61B17/1155—Circular staplers comprising a plurality of staples
-
- 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
- A61B17/10—Surgical instruments, devices or methods, e.g. tourniquets for applying or removing wound clamps, e.g. containing only one clamp or staple; Wound clamp magazines
- A61B17/105—Wound clamp magazines
-
- 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
-
- 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
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B17/115—Staplers for performing anastomosis in a single operation
- A61B2017/1157—Staplers for performing anastomosis in a single operation applying the staples radially
Abstract
Description
・バットレス250及び固定具10をアンビルシャフト1040上に位置付ける。
・アンビルシャフト1040上のアンビル1000に向かって固定具10を摺動自在に前進させる。
・固定具10を用いてバットレス250をアンビル1000に対して不動化する。
・アンビルシャフト1040上に固定具10を保持する又は一時的にロックするよう、スリーブ20を手動で絞る。
・バットレス250付きのアンビル1000及び固定具10を管状組織T1に挿入する。
・バットレス250付きのアンビル1000を管状組織T1内に残しながら、管状組織T1から固定具10を除去する。
・管状組織T1内に配置されたバットレス250付きのアンビル1000と、管状組織T2内に配置されたステープル留めヘッド600と、を接近させる。
・ステープル留めヘッド600と、ステープル留めヘッド600とアンビル1000との間であって組織T1内に配置されているバットレス250付きのアンビル1000と、の間で組織T1及びT2を圧縮する。
・吻合ステープラーを発射し、それにより、バットレス250によって補強された組織T1とT2との間に吻合接合を確立する。
(1) 円形ステープラーであって、
a)平坦な対向面を有する円形アンビルと、
b)反対側の平坦面を有するステープルヘッド組立体と、
c)前記アンビル及び前記ステープルヘッド組立体を接合するアンビルシャフトと、
d)対向面上に位置付けられたバットレス材料と、
e)近位端に外周を備えた細長い円筒形スリーブ、及び遠位端に切頭円錐形状のフランジを有する固定具であって、内部軸方向開口部は、前記スリーブ及び前記フランジの全長を横断する、固定具と、を含み、
前記フランジは、前記遠位端において平坦面部分で終端し、前記平坦面部分は、前記円筒形スリーブの直径よりも大きい直径と、前記平坦面部分に配置された複数のバンプと、を有し、前記スリーブは、前記近位端で始まり、かつ前記フランジに向かって前記スリーブ沿いに延在する少なくとも1つのスリットを有する、円形ステープラー。
(2) 前記スリーブの前記近位端に配置された複数の円周把持部を更に含み、前記把持部は、前記スリーブの前記外周に沿って隆起したリッジ又は溝部を含む、実施態様1に記載のステープラー。
(3) 前記固定具が、少なくとも2つのスリット、20〜80個のバンプ、及び3〜8つの平行した円周把持部を含む、実施態様1に記載のステープラー。
(4) 前記固定具の前記内部軸方向開口部が、円形ステープラーの前記アンビルシャフトに嵌合する、実施態様1に記載のステープラー。
(5) 前記バットレス材料が、生体吸収性である、実施態様1に記載のステープラー。
a)実施態様1に記載の円形ステープラー用のアンビルシャフトにバットレス及び固定具を位置付ける工程と、
b)前記アンビルシャフト上のアンビルに向かって前記固定具を摺動自在に前進させる工程と、
c)前記固定具を用いて前記バットレスをアンビルに対して不動化する工程と、
d)前記アンビルシャフト上の第1の位置に前記固定具を一時的に維持する工程と、
e)前記バットレス付きの前記アンビル及び前記固定具を第1の管状組織内へ挿入する工程と、
f)前記バットレス付きの前記アンビルを前記第1の管状組織内に残したまま、前記第1の管状組織から前記固定具を除去する工程と、
g)前記第1の管状組織内に配置された前記バットレス付きの前記アンビルを、第2の管状組織内に配置されたステープル留めヘッドに接近させる工程と、
h)前記ステープル留めヘッドと、前記ステープル留めヘッドと前記アンビルとの間であって前記第1の管状組織内に配置された前記バットレス付きの前記アンビルと、の間で前記第1及び前記第2の管状組織を圧縮する工程と、
i)前記吻合ステープラーを発射し、それにより、前記バットレスによって補強された前記第1の管状組織と前記第2の管状組織との間にステープル留めされた吻合接合を確立する工程と、を含む、方法。
(7) 前記ステープルが、前記スリーブの前記近位端に配置された複数の円周把持部を更に含み、前記把持部が、前記スリーブの前記外周に沿って隆起したリッジ又は溝部を含む、実施態様6に記載の方法。
(8) 前記固定具が、少なくとも2つのスリット、20〜80個のバンプ、及び3〜8つの平行した円周把持部を含む、実施態様6に記載の方法。
(9) 前記固定具の前記内部軸方向開口部が、円形ステープラーの前記アンビルシャフトに嵌合する、実施態様6に記載の方法。
(10) 前記バットレス材料が、生体吸収性である、実施態様6に記載の方法。
Claims (5)
- 円形ステープラーであって、
a)平坦な対向面を有する円形アンビルと、
b)反対側の平坦面を有するステープルヘッド組立体と、
c)前記アンビル及び前記ステープルヘッド組立体を接合するアンビルシャフトと、
d)対向面上に位置付けられたバットレス材料と、
e)近位端に外周を備えた細長い円筒形スリーブ、及び遠位端に切頭円錐形状のフランジを有する固定具であって、内部軸方向開口部は、前記スリーブ及び前記フランジの全長を横断する、固定具と、を含み、
前記フランジは、前記遠位端において平坦面部分で終端し、前記平坦面部分は、前記円筒形スリーブの直径よりも大きい直径と、前記平坦面部分に配置された複数のバンプと、を有し、前記スリーブは、前記近位端で始まり、かつ前記フランジに向かって前記スリーブ沿いに延在する少なくとも1つのスリットを有する、円形ステープラー。 - 前記スリーブの前記近位端に配置された複数の円周把持部を更に含み、前記把持部は、前記スリーブの前記外周に沿って隆起したリッジ又は溝部を含む、請求項1に記載のステープラー。
- 前記固定具が、少なくとも2つのスリット、20〜80個のバンプ、及び3〜8つの平行した円周把持部を含む、請求項1に記載のステープラー。
- 前記固定具の前記内部軸方向開口部が、円形ステープラーの前記アンビルシャフトに嵌合する、請求項1に記載のステープラー。
- 前記バットレス材料が、生体吸収性である、請求項1に記載のステープラー。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US15/075,780 | 2016-03-21 | ||
US15/075,780 US10278703B2 (en) | 2016-03-21 | 2016-03-21 | Temporary fixation tools for use with circular anastomotic staplers |
PCT/US2017/022417 WO2017165165A1 (en) | 2016-03-21 | 2017-03-15 | Temporary fixation tools for use with circular anastomotic staplers |
Publications (1)
Publication Number | Publication Date |
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JP2019511296A true JP2019511296A (ja) | 2019-04-25 |
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Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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JP2018549472A Ceased JP2019511296A (ja) | 2016-03-21 | 2017-03-15 | 円形吻合ステープラーと共に使用するための一時的固定具 |
Country Status (7)
Country | Link |
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US (1) | US10278703B2 (ja) |
EP (1) | EP3432808A1 (ja) |
JP (1) | JP2019511296A (ja) |
CN (1) | CN109069157A (ja) |
BR (1) | BR112018069127A2 (ja) |
MA (1) | MA44485A (ja) |
WO (1) | WO2017165165A1 (ja) |
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