JP4446586B2 - 吻合用器具 - Google Patents
吻合用器具 Download PDFInfo
- Publication number
- JP4446586B2 JP4446586B2 JP2000339720A JP2000339720A JP4446586B2 JP 4446586 B2 JP4446586 B2 JP 4446586B2 JP 2000339720 A JP2000339720 A JP 2000339720A JP 2000339720 A JP2000339720 A JP 2000339720A JP 4446586 B2 JP4446586 B2 JP 4446586B2
- Authority
- JP
- Japan
- Prior art keywords
- surgical
- fastener
- sleeve
- surgical instrument
- loading unit
- 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 - Fee Related
Links
- 230000003872 anastomosis Effects 0.000 title claims description 28
- 210000004204 blood vessel Anatomy 0.000 claims description 42
- 230000033001 locomotion Effects 0.000 claims description 42
- 230000000149 penetrating effect Effects 0.000 claims 5
- 238000000034 method Methods 0.000 description 36
- 210000003752 saphenous vein Anatomy 0.000 description 25
- 210000002216 heart Anatomy 0.000 description 21
- 210000000709 aorta Anatomy 0.000 description 18
- 238000010304 firing Methods 0.000 description 15
- 210000004351 coronary vessel Anatomy 0.000 description 14
- 210000003811 finger Anatomy 0.000 description 10
- 230000002792 vascular Effects 0.000 description 9
- 238000001356 surgical procedure Methods 0.000 description 7
- 210000000115 thoracic cavity Anatomy 0.000 description 7
- 238000013459 approach Methods 0.000 description 6
- 210000001562 sternum Anatomy 0.000 description 6
- 210000003813 thumb Anatomy 0.000 description 6
- 230000017531 blood circulation Effects 0.000 description 5
- 210000000038 chest Anatomy 0.000 description 5
- 239000012530 fluid Substances 0.000 description 5
- 230000001681 protective effect Effects 0.000 description 5
- 125000006850 spacer group Chemical group 0.000 description 5
- 208000014674 injury Diseases 0.000 description 4
- 210000001519 tissue Anatomy 0.000 description 4
- 230000008733 trauma Effects 0.000 description 4
- WCUXLLCKKVVCTQ-UHFFFAOYSA-M Potassium chloride Chemical compound [Cl-].[K+] WCUXLLCKKVVCTQ-UHFFFAOYSA-M 0.000 description 3
- 210000001367 artery Anatomy 0.000 description 3
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- 238000012986 modification Methods 0.000 description 3
- 230000004048 modification Effects 0.000 description 3
- 210000004165 myocardium Anatomy 0.000 description 3
- 238000011282 treatment Methods 0.000 description 3
- 208000010496 Heart Arrest Diseases 0.000 description 2
- 238000004891 communication Methods 0.000 description 2
- 208000029078 coronary artery disease Diseases 0.000 description 2
- 238000013461 design Methods 0.000 description 2
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- 206010002383 Angina Pectoris Diseases 0.000 description 1
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- 206010028851 Necrosis Diseases 0.000 description 1
- 206010042434 Sudden death Diseases 0.000 description 1
- 230000001154 acute effect Effects 0.000 description 1
- 238000002399 angioplasty Methods 0.000 description 1
- 230000003542 behavioural effect Effects 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 230000000747 cardiac effect Effects 0.000 description 1
- 238000007675 cardiac surgery Methods 0.000 description 1
- 230000002612 cardiopulmonary effect Effects 0.000 description 1
- 210000000845 cartilage Anatomy 0.000 description 1
- 238000007796 conventional method Methods 0.000 description 1
- 238000001816 cooling Methods 0.000 description 1
- 230000000994 depressogenic effect Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 235000005911 diet Nutrition 0.000 description 1
- 230000037213 diet Effects 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 229940079593 drug Drugs 0.000 description 1
- 230000023597 hemostasis Effects 0.000 description 1
- 239000007943 implant Substances 0.000 description 1
- 238000002513 implantation Methods 0.000 description 1
- 230000000977 initiatory effect Effects 0.000 description 1
- 210000004731 jugular vein Anatomy 0.000 description 1
- 238000000608 laser ablation Methods 0.000 description 1
- 230000003902 lesion Effects 0.000 description 1
- 210000004072 lung Anatomy 0.000 description 1
- 210000001349 mammary artery Anatomy 0.000 description 1
- 230000013011 mating Effects 0.000 description 1
- 210000003205 muscle Anatomy 0.000 description 1
- 230000002107 myocardial effect Effects 0.000 description 1
- 208000010125 myocardial infarction Diseases 0.000 description 1
- 208000031225 myocardial ischemia Diseases 0.000 description 1
- 230000017074 necrotic cell death Effects 0.000 description 1
- 210000000056 organ Anatomy 0.000 description 1
- 210000003516 pericardium Anatomy 0.000 description 1
- 230000002093 peripheral effect Effects 0.000 description 1
- 235000011164 potassium chloride Nutrition 0.000 description 1
- 239000001103 potassium chloride Substances 0.000 description 1
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- 208000024891 symptom Diseases 0.000 description 1
- 230000001839 systemic circulation Effects 0.000 description 1
- 238000007631 vascular surgery Methods 0.000 description 1
- 210000003462 vein Anatomy 0.000 description 1
- 210000001835 viscera Anatomy 0.000 description 1
- 230000003245 working effect Effects 0.000 description 1
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/11—Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
- A61B17/115—Staplers for performing anastomosis, e.g. in a single operation
- A61B17/1152—Staplers for performing anastomosis, e.g. in a single operation applying the staples on the outside of the lumen
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/11—Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
- A61B2017/1107—Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis for blood vessels
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/11—Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
- A61B2017/1135—End-to-side connections, e.g. T- or Y-connections
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B17/2909—Handles
- A61B2017/2912—Handles transmission of forces to actuating rod or piston
- A61B2017/2913—Handles transmission of forces to actuating rod or piston cams or guiding means
- A61B2017/2916—Handles transmission of forces to actuating rod or piston cams or guiding means pins in guiding slots
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)
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US41081799A | 1999-10-01 | 1999-10-01 | |
| US09/410817 | 1999-10-01 |
Publications (3)
| Publication Number | Publication Date |
|---|---|
| JP2001198134A JP2001198134A (ja) | 2001-07-24 |
| JP2001198134A5 JP2001198134A5 (enExample) | 2004-09-30 |
| JP4446586B2 true JP4446586B2 (ja) | 2010-04-07 |
Family
ID=23626356
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2000339720A Expired - Fee Related JP4446586B2 (ja) | 1999-10-01 | 2000-10-02 | 吻合用器具 |
Country Status (6)
| Country | Link |
|---|---|
| EP (2) | EP2172158A1 (enExample) |
| JP (1) | JP4446586B2 (enExample) |
| AU (2) | AU774549B2 (enExample) |
| CA (1) | CA2320600C (enExample) |
| DE (1) | DE60044737D1 (enExample) |
| ES (1) | ES2348926T3 (enExample) |
Families Citing this family (13)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6440146B2 (en) | 1996-07-23 | 2002-08-27 | United States Surgical Corporation | Anastomosis instrument and method |
| US20020019642A1 (en) | 1996-07-23 | 2002-02-14 | Keith Milliman | Anastomosis instrument and method for performing same |
| US7169158B2 (en) | 1996-07-23 | 2007-01-30 | Tyco Healthcare Group Lp | Anastomosis instrument and method for performing same |
| WO2001052748A2 (en) | 2000-01-18 | 2001-07-26 | Tyco Healthcare Group Lp | Anastomosis instrument and method for performing same |
| US7223273B2 (en) * | 1996-07-23 | 2007-05-29 | Tyco Healthcare Group Lp | Anastomosis instrument and method for performing same |
| CA2435209C (en) * | 2001-01-24 | 2009-08-25 | Tyco Healthcare Group Lp | Anastomosis instrument and method for performing same |
| US6814743B2 (en) | 2001-12-26 | 2004-11-09 | Origin Medsystems, Inc. | Temporary seal and method for facilitating anastomosis |
| US7195142B2 (en) | 2003-05-30 | 2007-03-27 | Tyco Healthcare Group Lp | End-to-end anastomosis instrument and method for performing same |
| US6769594B2 (en) * | 2002-05-31 | 2004-08-03 | Tyco Healthcare Group, Lp | End-to-end anastomosis instrument and method for performing same |
| AU2008201999B2 (en) * | 2002-05-31 | 2009-07-16 | Covidien Lp | End-to-end anastomosis instrument and method for performing same |
| US8413872B2 (en) | 2009-10-28 | 2013-04-09 | Covidien Lp | Surgical fastening apparatus |
| CN111789652B (zh) * | 2020-08-10 | 2024-09-06 | 常州市智业医疗仪器研究所有限公司 | 具有选择性切除肛肠组织功能的肛肠吻合器 |
| CN115252029B (zh) * | 2022-06-15 | 2024-11-22 | 中国人民解放军总医院第七医学中心 | 一种应用于快速肝移植中血管吻合的配套器械 |
Family Cites Families (12)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4874122A (en) * | 1986-07-14 | 1989-10-17 | Minnesota Mining And Manufacturing Company | Bent back box staple and staple closing mechanism with split actuator |
| SE8802904D0 (sv) | 1988-08-16 | 1988-08-16 | Mogens Bugge | Dr mogens bugge's mammaria hake |
| US5366462A (en) * | 1990-08-28 | 1994-11-22 | Robert L. Kaster | Method of side-to-end vascular anastomotic stapling |
| US5571215A (en) | 1993-02-22 | 1996-11-05 | Heartport, Inc. | Devices and methods for intracardiac procedures |
| US5503617A (en) | 1994-07-19 | 1996-04-02 | Jako; Geza J. | Retractor and method for direct access endoscopic surgery |
| US5976159A (en) | 1995-02-24 | 1999-11-02 | Heartport, Inc. | Surgical clips and methods for tissue approximation |
| ES2179197T3 (es) * | 1996-04-30 | 2003-01-16 | Oticon As | Instrumento para realizar anastomosis, utiles para la ejecucion de una anastomosis termino-lateral. |
| US5707380A (en) * | 1996-07-23 | 1998-01-13 | United States Surgical Corporation | Anastomosis instrument and method |
| US6024748A (en) * | 1996-07-23 | 2000-02-15 | United States Surgical Corporation | Singleshot anastomosis instrument with detachable loading unit and method |
| JPH10206390A (ja) | 1997-01-22 | 1998-08-07 | Kawasaki Steel Corp | 埋設鋼管被覆損傷探査方法 |
| WO1999011178A1 (en) * | 1997-09-04 | 1999-03-11 | Mgf Group, Inc. | Anastomotic coupler |
| US5951576A (en) * | 1998-03-02 | 1999-09-14 | Wakabayashi; Akio | End-to-side vascular anastomosing stapling device |
-
2000
- 2000-09-26 CA CA002320600A patent/CA2320600C/en not_active Expired - Fee Related
- 2000-09-26 AU AU61305/00A patent/AU774549B2/en not_active Ceased
- 2000-09-27 EP EP09015389A patent/EP2172158A1/en not_active Withdrawn
- 2000-09-27 ES ES00120262T patent/ES2348926T3/es not_active Expired - Lifetime
- 2000-09-27 EP EP00120262A patent/EP1088519B1/en not_active Expired - Lifetime
- 2000-09-27 DE DE60044737T patent/DE60044737D1/de not_active Expired - Lifetime
- 2000-10-02 JP JP2000339720A patent/JP4446586B2/ja not_active Expired - Fee Related
-
2004
- 2004-09-29 AU AU2004216607A patent/AU2004216607B2/en not_active Ceased
Also Published As
| Publication number | Publication date |
|---|---|
| DE60044737D1 (de) | 2010-09-09 |
| EP1088519B1 (en) | 2010-07-28 |
| AU2004216607B2 (en) | 2007-08-02 |
| AU2004216607A1 (en) | 2004-10-28 |
| AU774549B2 (en) | 2004-07-01 |
| ES2348926T3 (es) | 2010-12-17 |
| JP2001198134A (ja) | 2001-07-24 |
| EP1088519A1 (en) | 2001-04-04 |
| EP2172158A1 (en) | 2010-04-07 |
| CA2320600A1 (en) | 2001-04-01 |
| CA2320600C (en) | 2007-09-11 |
| AU6130500A (en) | 2001-04-05 |
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