JP6033846B2 - 複数の形成ポケットを含む外科用ステープラーアンビル - Google Patents

複数の形成ポケットを含む外科用ステープラーアンビル Download PDF

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Publication number
JP6033846B2
JP6033846B2 JP2014508377A JP2014508377A JP6033846B2 JP 6033846 B2 JP6033846 B2 JP 6033846B2 JP 2014508377 A JP2014508377 A JP 2014508377A JP 2014508377 A JP2014508377 A JP 2014508377A JP 6033846 B2 JP6033846 B2 JP 6033846B2
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staple
cartridge
staple cartridge
layer
anvil
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Japanese (ja)
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JP2014518673A (ja
Inventor
シェルトン・フレデリック・イー・ザ・フォース
バクスター・チェスター・オー・ザ・サード
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Ethicon Endo Surgery Inc
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Ethicon Endo Surgery Inc
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Priority claimed from US13/097,865 external-priority patent/US9295464B2/en
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B17/0643—Surgical staples, i.e. penetrating the tissue with separate closing member, e.g. for interlocking with staple
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    • A61B90/03—Automatic limiting or abutting means, e.g. for safety
    • A61B2090/037—Automatic limiting or abutting means, e.g. for safety with a frangible part, e.g. by reduced diameter

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Molecular Biology (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Ophthalmology & Optometry (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Pathology (AREA)
  • Surgical Instruments (AREA)
JP2014508377A 2011-04-29 2012-04-11 複数の形成ポケットを含む外科用ステープラーアンビル Active JP6033846B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US13/097,865 US9295464B2 (en) 2010-09-30 2011-04-29 Surgical stapler anvil comprising a plurality of forming pockets
US13/097,865 2011-04-29
PCT/US2012/032963 WO2012148663A2 (en) 2010-09-30 2012-04-11 Surgical stapler anvil comprising a plurality of forming pockets

Publications (2)

Publication Number Publication Date
JP2014518673A JP2014518673A (ja) 2014-08-07
JP6033846B2 true JP6033846B2 (ja) 2016-11-30

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Families Citing this family (18)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9724092B2 (en) 2013-12-23 2017-08-08 Ethicon Llc Modular surgical instruments
US20150173756A1 (en) 2013-12-23 2015-06-25 Ethicon Endo-Surgery, Inc. Surgical cutting and stapling methods
US9839428B2 (en) 2013-12-23 2017-12-12 Ethicon Llc Surgical cutting and stapling instruments with independent jaw control features
CN104116536A (zh) * 2014-08-20 2014-10-29 泰戈斯医疗器械（江苏）有限公司 钉砧、其制造方法及具有该钉砧的吻合器
US20160287248A1 (en) * 2015-03-31 2016-10-06 Shalom Levin Gear mechanism for rotating drive shaft
US10188394B2 (en) 2015-08-26 2019-01-29 Ethicon Llc Staples configured to support an implantable adjunct
MX2022009705A (es) 2015-08-26 2022-11-07 Ethicon Llc Metodo para formar una grapa contra un yunque de un instrumento de engrapado quirurgico.
CN108348233B (zh) 2015-08-26 2021-05-07 伊西康有限责任公司 用于允许改变钉特性并实现轻松仓加载的外科钉条
JP6858754B2 (ja) * 2015-08-26 2021-04-14 エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ 様々な組織圧縮用隙間及びステープル成形用隙間を含むステープルカートリッジアセンブリ
US10357252B2 (en) 2015-09-02 2019-07-23 Ethicon Llc Surgical staple configurations with camming surfaces located between portions supporting surgical staples
MX2022006192A (es) 2015-09-02 2022-06-16 Ethicon Llc Configuraciones de grapas quirurgicas con superficies de leva situadas entre porciones que soportan grapas quirurgicas.
US10478190B2 (en) * 2016-04-01 2019-11-19 Ethicon Llc Surgical stapling system comprising a spent cartridge lockout
US20170360441A1 (en) * 2016-06-15 2017-12-21 Covidien Lp Tool assembly for leak resistant tissue dissection
US10542979B2 (en) 2016-06-24 2020-01-28 Ethicon Llc Stamped staples and staple cartridges using the same
USD826405S1 (en) 2016-06-24 2018-08-21 Ethicon Llc Surgical fastener
JP6957532B2 (ja) 2016-06-24 2021-11-02 エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ ワイヤステープル及び打ち抜き加工ステープルを含むステープルカートリッジ
US11684367B2 (en) 2016-12-21 2023-06-27 Cilag Gmbh International Stepped assembly having and end-of-life indicator
MX2019007430A (es) * 2016-12-21 2019-10-24 Ethicon Llc Arreglos de bolsillos formadores de grapas que comprenden paredes laterales primarias y paredes laterales de bolsillo.

Family Cites Families (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3871227A (en) * 1973-11-26 1975-03-18 Jr Carl E Tidwell Nail turning apparatus
US4767044A (en) * 1984-10-19 1988-08-30 United States Surgical Corporation Surgical fastener applying apparatus
SU1475611A1 (ru) * 1987-06-10 1989-04-30 Предприятие П/Я А-3697 Устройство дл соединени трубчатых органов
US4848637A (en) * 1987-06-11 1989-07-18 Pruitt J Crayton Staple device for use on the mesenteries of the abdomen
GR1002537B (el) * 1992-03-30 1997-01-27 Ethicon Inc. Χειρουργικος συνδετηρας για εισαγωγη εντος ιστου.
GB9310011D0 (en) * 1993-05-13 1993-06-30 Barnes Catherine M E Relaxation apparatus
JP4082251B2 (ja) * 2003-03-18 2008-04-30 マックス株式会社 ステープラーのクリンチャ装置
CN101262984B (zh) * 2005-07-27 2012-06-06 Tyco医疗健康集团 用于外科缝合器的缝合钉凹座装置
US7407075B2 (en) * 2005-08-15 2008-08-05 Tyco Healthcare Group Lp Staple cartridge having multiple staple sizes for a surgical stapling instrument
US8360297B2 (en) * 2006-09-29 2013-01-29 Ethicon Endo-Surgery, Inc. Surgical cutting and stapling instrument with self adjusting anvil
US8091756B2 (en) * 2008-05-09 2012-01-10 Tyco Healthcare Group Lp Varying tissue compression using take-up component

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JP2014518673A (ja) 2014-08-07
RU2013152971A (ru) 2015-06-10
AU2012250194B2 (en) 2017-08-03
CN103702620A (zh) 2014-04-02
BR112013027761A2 (is) 2017-01-03
BR112013027761B1 (pt) 2022-04-05
CN103702620B (zh) 2016-10-12
RU2623124C2 (ru) 2017-06-22
CA2834501C (en) 2019-07-02
AU2012250194A1 (en) 2013-11-07
CA2834501A1 (en) 2012-11-01

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