JP5575809B2 - 小さな送達ポートを通して大きなステープルを適用するための外科用ステープラ、及び外科用ステープラを使用して組織ひだを固定する方法 - Google Patents
小さな送達ポートを通して大きなステープルを適用するための外科用ステープラ、及び外科用ステープラを使用して組織ひだを固定する方法 Download PDFInfo
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- JP5575809B2 JP5575809B2 JP2011548184A JP2011548184A JP5575809B2 JP 5575809 B2 JP5575809 B2 JP 5575809B2 JP 2011548184 A JP2011548184 A JP 2011548184A JP 2011548184 A JP2011548184 A JP 2011548184A JP 5575809 B2 JP5575809 B2 JP 5575809B2
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Images
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
- A61B17/064—Surgical staples, i.e. penetrating the tissue
- A61B17/0644—Surgical staples, i.e. penetrating the tissue penetrating the tissue, deformable to closed position
-
- 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
- A61B17/0682—Surgical staplers, e.g. containing multiple staples or clamps for applying U-shaped staples or clamps, e.g. without a forming anvil
- A61B17/0684—Surgical staplers, e.g. containing multiple staples or clamps for applying U-shaped staples or clamps, e.g. without a forming anvil having a forming anvil staying above the tissue during stapling
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B17/221—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B17/221—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions
- A61B2017/2215—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions having an open distal end
Description
(1) 外科用締結具を配備する方法であって、
a.前記締結具が第1のループを含む第1の形である間に前記締結具を患者の体内に導入する工程と、
b.前記締結具の端セグメントを、ほぼその全長に沿って互いから離れるように移動する工程と、
c.前記締結具を、前記第1のループの幅より大きい幅を有する第2のループに形成する工程と、を含む、方法。
(2) 前記外科用締結具が、更に、
a.ベース及び前記ベースから延出する2本の脚(前記脚はそれぞれ遠位端セグメントを有する)と、
b.前記遠位端セグメントが隣接して前記締結具を第1のループに形成するように互いに向かって内側に曲がっている第1の形と、
c.前記遠位端セグメントがほぼその全長に沿って互いに離間して置かれている第2の形と、
d.前記遠位端セグメントが隣接して前記締結具を第2のループに形成するように互いに向かって内側に曲がっている第3の形と(前記第2のループは前記第1のループの幅より大きい幅を有する)、を含む、実施態様1に記載の方法。
(3) 前記締結具が、前記締結具の前記端セグメント同士の間の最大幅より大きい距離によって分離されている組織の場所を近づける、実施態様1に記載の方法。
(4) 前記組織の場所が、前記締結具の前記端セグメントによって移動される、実施態様3に記載の方法。
(5) 前記組織の場所が、少なくとも1つの追加的な組織操作装置によって移動される、実施態様3に記載の方法。
(6) 前記締結具が、胃腸組織を近づける、実施態様1に記載の方法。
(7) 前記締結具が、胃組織で構成されるひだを作り出すことによって胃容量を減少する、実施態様6に記載の方法。
(8) 前記ひだが、患者の満腹を長引かせる、実施態様7に記載の方法。
(9) 前記ひだが、患者が満腹に至るまでの時間を減らす、実施態様7に記載の方法。
(10) 前記締結具が、患者の組織に植え込み可能な材料を固定する、実施態様1に記載の方法。
(12) 前記締結具が、少なくとも部分的に吸収される、実施態様1に記載の方法。
Claims (6)
- 外科用締結具であって、
ベースセグメントと、前記ベースセグメントの両端から延出する第1の脚部および第2の脚部と、を備え、
前記第1の脚部は第1の遠位端セグメントを有し、前記第2の脚部は第2の遠位端セグメントを有し、
前記第1の遠位端セグメントおよび前記第2の遠位端セグメントのそれぞれは、尖った先端を有し、
前記外科用締結具は、前記第1の遠位端セグメントおよび前記第2の遠位端セグメントが隣接して前記外科用締結具を第1のループに形成するように互いに向かって内側に曲がっている第1の形を有し、
前記締結具は、前記第1の遠位端セグメントおよび前記第2の遠位端セグメントがほぼその全長に沿って互いに離間して置かれている第2の形を有し、
前記締結具は、前記第1の遠位端セグメントおよび前記第2の遠位端セグメントが隣接して前記締結具を第2のループに形成するように互いに向かって内側に曲がっている第3の形を有し、前記第2のループは前記第1のループの幅より大きい幅を有し、
前記第1の形での前記第1の脚部および前記第2の脚部が、ほぼ平行な関係で前記ベースセグメントに対して直交方向に、前記ベースセグメントから延出する、外科用締結具。 - 前記ベースセグメントは、直線状に延出している、請求項1に記載の外科用締結具。
- 前記ベースセグメントは、その中間点にV字形の凹部を有する、請求項1に記載の外科用締結具。
- 前記第3の形で、前記ベースセグメントは、前方に曲がる内向きの突出を有する、請求項1に記載の外科用締結具。
- 前記第1の脚部および前記第2の脚部は互いに長さが異なり、前記第1の形で、前記第1の脚部の前記第1の遠位端セグメントおよび前記第2の脚部の前記第2の遠位端セグメントは、前記ベースセグメントと同じ平面で隣接した平行な位置に置かれる、請求項1に記載の外科用締結具。
- 前記第1の脚部および前記第2の脚部はほぼ等しい長さを有し、前記第1の形で、前記第1の脚部の前記第1の遠位端セグメントおよび前記第2の脚部の前記第2の遠位端セグメントは上下方向において互いに重なり合っている、請求項1に記載の外科用締結具。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US12/359,357 US8801732B2 (en) | 2009-01-26 | 2009-01-26 | Surgical stapler to secure a tissue fold |
US12/359,357 | 2009-01-26 | ||
PCT/US2010/021955 WO2010085733A2 (en) | 2009-01-26 | 2010-01-25 | A surgical stapler for applying a large staple through a small delivery port and a method of using the stapler to secure a tissue fold |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2012515633A JP2012515633A (ja) | 2012-07-12 |
JP5575809B2 true JP5575809B2 (ja) | 2014-08-20 |
Family
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Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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JP2011548184A Expired - Fee Related JP5575809B2 (ja) | 2009-01-26 | 2010-01-25 | 小さな送達ポートを通して大きなステープルを適用するための外科用ステープラ、及び外科用ステープラを使用して組織ひだを固定する方法 |
Country Status (8)
Country | Link |
---|---|
US (1) | US8801732B2 (ja) |
EP (1) | EP2398399A1 (ja) |
JP (1) | JP5575809B2 (ja) |
CN (1) | CN102316812A (ja) |
AU (1) | AU2010206647A1 (ja) |
BR (1) | BRPI1007043A2 (ja) |
CA (1) | CA2750627A1 (ja) |
WO (1) | WO2010085733A2 (ja) |
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