JP6039679B2 - 折畳み可能な先端部を備えた吻合用器具 - Google Patents

折畳み可能な先端部を備えた吻合用器具 Download PDF

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Publication number
JP6039679B2
JP6039679B2 JP2014540423A JP2014540423A JP6039679B2 JP 6039679 B2 JP6039679 B2 JP 6039679B2 JP 2014540423 A JP2014540423 A JP 2014540423A JP 2014540423 A JP2014540423 A JP 2014540423A JP 6039679 B2 JP6039679 B2 JP 6039679B2
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Prior art keywords
instrument
electrode
surgical instrument
surgical
holding means
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JP2014540423A
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Japanese (ja)
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JP2015504330A (ja
JP2015504330A5 (enExample
Inventor
ディーター ウェイスハウプト
ディーター ウェイスハウプト
クリストフ ロスワイラー
クリストフ ロスワイラー
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Aesculap AG
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Aesculap AG
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    • 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/11Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
    • A61B17/115Staplers for performing anastomosis, e.g. 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
    • A61B17/00234Surgical instruments, devices or methods for minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/11Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
    • A61B17/1114Surgical instruments, devices or methods 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
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00831Material properties
    • A61B2017/00862Material properties elastic or resilient
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/11Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
    • A61B2017/1107Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis for blood vessels
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/11Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
    • A61B2017/111Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis with means for removing a constriction after performing anastomosis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/11Surgical instruments, devices or methods 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
    • A61B17/11Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
    • A61B2017/1135End-to-side connections, e.g. T- or Y-connections
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/11Surgical instruments, devices or methods 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
    • A61B2018/00315Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00345Vascular system
    • A61B2018/00404Blood vessels other than those in or around the heart
    • 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
    • A61B2018/00601Cutting
    • 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
    • A61B2018/00607Coagulation and cutting with the same instrument
    • 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
    • A61B2018/0063Sealing
    • 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
    • A61B2018/1407Loop
    • 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
    • A61B2018/1497Electrodes covering only part of the probe circumference

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Molecular Biology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Physics & Mathematics (AREA)
  • Plasma & Fusion (AREA)
  • Otolaryngology (AREA)
  • Surgical Instruments (AREA)
JP2014540423A 2011-11-10 2012-11-06 折畳み可能な先端部を備えた吻合用器具 Active JP6039679B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
DE102011055236.7 2011-11-10
DE102011055236A DE102011055236A1 (de) 2011-11-10 2011-11-10 Chirurgisches Instrument
PCT/EP2012/071941 WO2013068354A1 (de) 2011-11-10 2012-11-06 Anastomosegerät mit kollabierbarem distalem kopfelement

Publications (3)

Publication Number Publication Date
JP2015504330A JP2015504330A (ja) 2015-02-12
JP2015504330A5 JP2015504330A5 (enExample) 2015-03-26
JP6039679B2 true JP6039679B2 (ja) 2016-12-07

Family

ID=47178647

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2014540423A Active JP6039679B2 (ja) 2011-11-10 2012-11-06 折畳み可能な先端部を備えた吻合用器具

Country Status (7)

Country Link
US (2) US9820804B2 (enExample)
EP (1) EP2775941B1 (enExample)
JP (1) JP6039679B2 (enExample)
CN (1) CN103930050B (enExample)
DE (1) DE102011055236A1 (enExample)
RU (1) RU2014123506A (enExample)
WO (1) WO2013068354A1 (enExample)

Families Citing this family (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE102011055236A1 (de) * 2011-11-10 2013-05-16 Aesculap Ag Chirurgisches Instrument
DE102015205056A1 (de) * 2015-03-20 2016-09-22 Aesculap Ag Chirurgisches Gewebefusionsinstrument und Stützstruktur hierfür
US10299795B2 (en) * 2016-04-28 2019-05-28 Mayo Foundation For Medical Education And Research Devices and methods for esophageal lengthening and anastomosis formation
NL2017917B1 (en) * 2016-12-02 2018-06-18 Implican B V Surgical method and instrument for performing anastomosis
CN108113746A (zh) * 2017-11-16 2018-06-05 上海理工大学 射频能量焊接吻合电极及应用
US11737745B2 (en) 2018-10-24 2023-08-29 Mayo Foundation For Medical Education And Research Medical devices and methods for body conduit lengthening and anastomosis formation
BR112022004429A2 (pt) * 2019-09-13 2022-06-21 Alleviant Medical Inc Sistemas, dispositivos e métodos para formar uma anastomose
CN111248963B (zh) * 2020-01-20 2021-02-26 常州市中医医院 一种腹腔镜用伞型吻合器

Family Cites Families (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4700703A (en) 1986-03-27 1987-10-20 Semion Resnick Cartridge assembly for a surgical stapling instrument
US4893622A (en) * 1986-10-17 1990-01-16 United States Surgical Corporation Method of stapling tubular body organs
US20020025243A1 (en) 2001-02-02 2002-02-28 Heck Christopher Francis Surgical stapling instrument and method thereof
WO2002069813A2 (en) * 2001-02-05 2002-09-12 A-Med Systems, Inc. Anastomosis system and related methods
EP3000405A1 (en) * 2003-06-20 2016-03-30 Covidien LP Surgical stapling device
US20060111704A1 (en) 2004-11-22 2006-05-25 Rox Medical, Inc. Devices, systems, and methods for energy assisted arterio-venous fistula creation
US20080243121A1 (en) * 2007-04-02 2008-10-02 Tomoyuki Takashino Curative treatment system, curative treatment device, and treatment method for living tissue using energy
US20090048589A1 (en) * 2007-08-14 2009-02-19 Tomoyuki Takashino Treatment device and treatment method for living tissue
DE102009002768A1 (de) * 2009-04-30 2010-11-04 Celon Ag Medical Instruments Materialschicht und Elektrochirurgiesystem für die elektrochirurgische Gewebefusion
DE102009027813A1 (de) * 2009-07-17 2011-01-27 Celon Ag Medical Instruments Anastomosering und Anastomoseringanordnung
DE102009059192A1 (de) * 2009-12-17 2011-06-22 Aesculap AG, 78532 Chirurgisches System und Steuerungsverfahren für ein chirurgisches Instrument und Verfahren zum Verbinden von Körpergewebeteilen
DE102009059195A1 (de) * 2009-12-17 2011-06-22 Aesculap AG, 78532 Chirurgisches System zum Verbinden von Körpergewebe und Verfahren zum Abtrennen überstehenden Gewebes
DE102009059196A1 (de) * 2009-12-17 2011-06-22 Aesculap AG, 78532 Chirurgisches System zum Verbinden von Körpergewebe
DE102011055236A1 (de) * 2011-11-10 2013-05-16 Aesculap Ag Chirurgisches Instrument

Also Published As

Publication number Publication date
US9820804B2 (en) 2017-11-21
WO2013068354A1 (de) 2013-05-16
US11141211B2 (en) 2021-10-12
JP2015504330A (ja) 2015-02-12
US20180036063A1 (en) 2018-02-08
CN103930050B (zh) 2017-10-13
DE102011055236A1 (de) 2013-05-16
RU2014123506A (ru) 2015-12-20
US20140309634A1 (en) 2014-10-16
EP2775941B1 (de) 2019-01-09
EP2775941A1 (de) 2014-09-17
CN103930050A (zh) 2014-07-16

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