MX2019006613A - Métodos para usar instrumentos aplicadores que tienen cartuchos insertables y cambiables para dispensar sujetadores quirúrgicos. - Google Patents

Métodos para usar instrumentos aplicadores que tienen cartuchos insertables y cambiables para dispensar sujetadores quirúrgicos.

Info

Publication number
MX2019006613A
MX2019006613A MX2019006613A MX2019006613A MX2019006613A MX 2019006613 A MX2019006613 A MX 2019006613A MX 2019006613 A MX2019006613 A MX 2019006613A MX 2019006613 A MX2019006613 A MX 2019006613A MX 2019006613 A MX2019006613 A MX 2019006613A
Authority
MX
Mexico
Prior art keywords
handle
housing
surgical fasteners
applicator instrument
trigger
Prior art date
Application number
MX2019006613A
Other languages
English (en)
Inventor
Schneider Jared
Cardinale Michael
Cohn Simon
Guo Jianxin
Paul Ferreira Danial
Nordmeyer Michael
D Kenyon Mark
Souls Douglas
Guo Xuelin
Epstein Lindsay
Original Assignee
Ethicon Inc
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Ethicon Inc filed Critical Ethicon Inc
Publication of MX2019006613A publication Critical patent/MX2019006613A/es

Links

Classifications

    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • 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
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • 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
    • A61B17/07207—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 the staples being applied sequentially
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/003—Steerable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/003—Steerable
    • A61B2017/00305—Constructional details of the flexible means
    • A61B2017/00314—Separate linked members
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/003—Steerable
    • A61B2017/00318—Steering mechanisms
    • A61B2017/00323—Cables or rods
    • A61B2017/00327—Cables or rods with actuating members moving in opposite directions
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
    • A61B2017/00407—Ratchet means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00526—Methods of manufacturing
    • A61B2017/0053—Loading magazines or sutures into applying tools
    • 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
    • A61B2017/0688—Packages or dispensers for surgical staplers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B17/2909—Handles
    • A61B2017/291—Handles the position of the handle being adjustable with respect to the shaft
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • 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
    • A61B2017/2923—Toothed members, e.g. rack and pinion
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B17/2909—Handles
    • A61B2017/2925—Pistol grips
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2926—Details of heads or jaws
    • A61B2017/2927—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30—Surgical robots
    • A61B2034/305—Details of wrist mechanisms at distal ends of robotic arms
    • A61B2034/306—Wrists with multiple vertebrae
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08—Accessories or related features not otherwise provided for
    • A61B2090/0807—Indication means
    • A61B2090/0808—Indication means for indicating correct assembly of components, e.g. of the surgical apparatus
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30—Surgical robots
    • A61B34/37—Master-slave robots
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/90—Identification means for patients or instruments, e.g. tags
    • A61B90/92—Identification means for patients or instruments, e.g. tags coded with colour

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • General Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Cardiology (AREA)
  • Transplantation (AREA)
  • Vascular Medicine (AREA)
  • Surgical Instruments (AREA)
  • Robotics (AREA)
  • Pathology (AREA)
  • Coating Apparatus (AREA)

Abstract

Un método para suministrar sujetadores quirúrgicos incluye proporcionar un instrumento aplicador que tiene un alojamiento con una abertura de cartucho, un vástago alargado que se extienda desde el alojamiento, un sistema de disparo dispuesto dentro del alojamiento para dispensar sujetadores quirúrgicos, y un accionador para activar el sistema de disparo; el método incluye formar una abertura quirúrgica en el tejido, insertar un extremo distal del vástago alargado en la abertura quirúrgica, insertar un cartucho que contiene una pluralidad de primeros sujetadores quirúrgicos en la abertura de cartucho y activar el accionador para dispensar uno de los primeros sujetadores quirúrgicos desde el extremo distal del vástago alargado; mientras se mantiene el extremo distal del vástago alargado dentro de la abertura quirúrgica, el cartucho se extrae de la abertura de cartucho, un segundo cartucho que contiene una pluralidad de segundos sujetadores quirúrgicos se inserta en la abertura de cartucho, y el accionador se usa para dispensar uno de los segundos sujetadores quirúrgicos desde el extremo distal del vástago alargado.
MX2019006613A 2016-12-07 2017-11-13 Métodos para usar instrumentos aplicadores que tienen cartuchos insertables y cambiables para dispensar sujetadores quirúrgicos. MX2019006613A (es)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201662431355P 2016-12-07 2016-12-07
US15/494,012 US11490888B2 (en) 2016-12-07 2017-04-21 Methods of using applicator instruments having insertable, changeable cartridges for dispensing surgical fasteners
PCT/US2017/061284 WO2018106411A2 (en) 2016-12-07 2017-11-13 Methods of using applicator instruments having insertable, changeable cartridges for dispensing surgical fasteners

Publications (1)

Publication Number Publication Date
MX2019006613A true MX2019006613A (es) 2019-10-15

Family

ID=62240093

Family Applications (5)

Application Number Title Priority Date Filing Date
MX2019006611A MX2019006611A (es) 2016-12-07 2017-11-13 Instrumentos de aplicacion que tienen ejes de articulacion para dispensar aseguradores quirurgicos.
MX2019006604A MX2019006604A (es) 2016-12-07 2017-11-13 Instrumentos aplicadores que tienen herramientas de inserción de sujetadores quirúrgicos para dispensar sujetadores quirúrgicos.
MX2019006613A MX2019006613A (es) 2016-12-07 2017-11-13 Métodos para usar instrumentos aplicadores que tienen cartuchos insertables y cambiables para dispensar sujetadores quirúrgicos.
MX2019006607A MX2019006607A (es) 2016-12-07 2017-11-13 Instrumentos aplicadores que tienen cartuchos insertables y cambiables para dispensar sujetadores quirúrgicos.
MX2019006603A MX2019006603A (es) 2016-12-07 2017-11-13 Instrumentos aplicadores que tienen sistemas de accionamiento con miembros flexibles para dispensar sujetadores quirúrgicos.

Family Applications Before (2)

Application Number Title Priority Date Filing Date
MX2019006611A MX2019006611A (es) 2016-12-07 2017-11-13 Instrumentos de aplicacion que tienen ejes de articulacion para dispensar aseguradores quirurgicos.
MX2019006604A MX2019006604A (es) 2016-12-07 2017-11-13 Instrumentos aplicadores que tienen herramientas de inserción de sujetadores quirúrgicos para dispensar sujetadores quirúrgicos.

Family Applications After (2)

Application Number Title Priority Date Filing Date
MX2019006607A MX2019006607A (es) 2016-12-07 2017-11-13 Instrumentos aplicadores que tienen cartuchos insertables y cambiables para dispensar sujetadores quirúrgicos.
MX2019006603A MX2019006603A (es) 2016-12-07 2017-11-13 Instrumentos aplicadores que tienen sistemas de accionamiento con miembros flexibles para dispensar sujetadores quirúrgicos.

Country Status (8)

Country Link
US (7) US10588622B2 (es)
EP (6) EP3551092A1 (es)
JP (4) JP6999670B2 (es)
CN (5) CN110072476B (es)
AU (6) AU2017370465B2 (es)
CA (5) CA3045789A1 (es)
MX (5) MX2019006611A (es)
WO (6) WO2018106405A1 (es)

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