RU2005123950A - Хирургический инструмент, включающий электрически запускаемый механизм шарнирной фиксации - Google Patents
Хирургический инструмент, включающий электрически запускаемый механизм шарнирной фиксации Download PDFInfo
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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
- A61B17/068—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
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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
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
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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
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/122—Clamps or clips, e.g. for the umbilical cord
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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
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
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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
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
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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
- 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
- A61B2017/00398—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like using powered actuators, e.g. stepper motors, solenoids
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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
- A61B2017/00831—Material properties
- A61B2017/00867—Material properties shape memory effect
- A61B2017/00871—Material properties shape memory effect polymeric
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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
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2901—Details of shaft
- A61B2017/2904—Details of shaft curved, but rigid
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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
- A61B17/28—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
Claims (22)
1. Хирургический инструмент, включающий: концевой рабочий орган; рукояточную часть, включающую ручку управления шарнирным вращением и схему управления стопором шарнирного вращения, функционально выполненную для выработки сигнала, стопорящего шарнирное вращение; удлиненный вал; и механизм шарнирного вращения, включающий: проксимальную каркасную часть, прикрепленную к удлиненному валу, и находящуюся в электрическом сообщении с сигналом, стопорящим шарнирное вращение, через удлиненный вал, дистальную каркасную часть, прикрепленную к концевому рабочему органу и соединенную с возможностью вращения с проксимальной каркасной частью,
привод шарнирного вращения, реагирующий на перемещение ручки управления шарнирным вращением рукояточной части, и закрепленный между проксимальной и дистальной опорными частями и функционально выполненный для осуществления шарнирного вращения между ними, и
электрический стопорный механизм шарнирного вращения с возможностью вхождения в зацепление между проксимальной и дистальной каркасными частями, для поддержания состояния шарнирного вращения рабочего органа.
2. Хирургический инструмент по п.1, в котором ручка управления шарнирным вращением включает схему, функционально выполненную для выработки электрического сигнала шарнирного вращения, причем привод шарнирного вращения включает электрический привод, реагирующий на электрический сигнал шарнирного вращения.
3. Хирургический инструмент по п.1, в котором электрический стопорный механизм шарнирного вращения включает привод из электроактивного полимера.
4. Хирургический инструмент по п.1, в котором проксимальная и дистальная каркасные части механизма шарнирного вращения скреплены с возможностью поворота, образуя поворотное шарнирное сочленение.
5. Хирургический инструмент по п.4, в котором электрический стопорный механизм шарнирного вращения включает:
стопорный элемент, прикрепленный к выбранному одному из первого и второго каркасному элементу, и смещенный при отсутствии подачи энергии в направлении другого из первого и второго каркасного элемента для вхождения в зацепление с ним; и
привод из электроактивного полимера, функционально выполненный и расположенный для преодоления смещения стопорного элемента при активации для вывода из застопоренного состояния шарнирного сочленения.
6. Хирургический инструмент по п.5, в котором электрический стопорный механизм шарнирного вращения, кроме того, включает продольно перемещаемый стопорный болт, продольно смещенный упругим элементом, и противодействующую продольную силу привода из электроактивного полимера при активации.
7. Хирургический инструмент по п.5, в котором электрический механизм шарнирного вращения, кроме того, включает поперечно перемещаемый фиксатор из электроактивного полимера, функционально выполненный и расположенный для сгибания в незастопоренное состояние при подаче энергии.
8. Хирургический инструмент по п.4, в котором удлиненный вал включает каркасный узел и узел муфты закрывания, причем шарнирное сочленение прикрепляет с возможностью поворота нижнюю губку концевого рабочего органа к дистальному концу каркасного узла, рукояточная часть функционально выполнена для продольного сообщения движения закрывания узлу муфты закрывания, и множественное поворотное шарнирное сочленение узла муфты закрывания охватывает шарнирное сочленение и дистально входит в зацепление с верхней губкой для осуществления поворота верхней губки.
9. Хирургический инструмент по п.4, в котором ручка управления шарнирным вращением включает схему, функционально выполненную для выработки электрического сигнала шарнирного вращения, причем привод шарнирного вращения включает электрический привод, реагирующий на электрический сигнал шарнирного вращения.
10. Хирургический инструмент по п.9, в котором одна выбранная из проксимальной и дистальной каркасных частей представляет собой плечо момента, прикрепленное штифтом к другой из проксимальной и дистальной каркасных частей, причем электрический привод включает пару приводов из электроактивного полимера, противодействующе закрепленные между плечом момента и другой из проксимальной и дистальной каркасных частей для осуществления шарнирного вращения.
11. Хирургический инструмент по п.1, в котором механизм шарнирного вращения, кроме того, включает гибкое шарнирное сочленение, включающее верхнюю полосу и нижнюю полосу, соединяющие дистальную и проксимальную каркасные части, и множество левых вертикальный ребер и множество правых вертикальных ребер, причем каждое ребро соединено на соответствующей боковой стороне с верхней и нижней полосами, каждое из множества левых и правых вертикальных ребер включает стопорный вырез, причем электрический стопорный механизм шарнирного вращения включает левую стопорную полосу и правую стопорную полосу, каждая из которых расположена в соответствующем левом и правом стопорном вырезе, и функционально выполнена для изменения продольной длины для расположения множества стопорных выступов, продольно совмещенными, для вставления между соседними ребрами, когда и соседние ребра, и стопорная полоса находятся в продольно расширенном состоянии для поддержания посредством этого ребер в состоянии с расширенным промежутком между ними.
12. Хирургический инструмент по п.11, в котором ручка управления шарнирным вращением включает схему, функционально выполненную для выработки электрического сигнала шарнирного вращения, причем привод шарнирного вращения включает привод из электроактивного полимера, соединенный между соседними ребрами, реагирующий на электрический сигнал шарнирного вращения, для изменения промежутка между ребрами.
13. Хирургический инструмент по п.12, в котором каждый из левого и правого приводов из электроактивного полимера включает пластинчатый привод, функционально выполненный для сгибания, по меньшей мере, в одном боковом направлении при подаче энергии.
14. Хирургический инструмент по п.12, в котором каждый из левого и правого приводов из электроактивного полимера включает, по меньшей мере, один привод из волокон электроактивного полимера, функционально выполненный для продольного сокращения при активации, причем соответствующие дистальные и проксимальные концы левого и правого приводов из волокон электроактивного полимера прикреплены к соответствующим дистальным и проксимальным концам шарнирного сочленения.
15. Хирургический инструмент по п.12, кроме того, включающий множество левых приводов из стопы электроактивного полимера, каждый из которых расположен между соседними ребрами из множества левых вертикальных ребер, и включающий множество правых приводов из стопы электроактивного полимера, каждый из которых расположен между соседними ребрами из множества правых вертикальных ребер.
16. Хирургический инструмент, включающий: удлиненный вал, включающий каркасный узел; концевой рабочий орган; поворотное шарнирное сочленение, сформированное в каркасном узле, причем каркасный узел включает дистальную каркасную часть, прикрепленную к рабочему органу, и проксимальную каркасную часть, шарнирно прикрепленную к дистальной каркасной части;
рукояточную часть, прикрепленную к проксимальному концу удлиненного вала, и функционально выполненную для избирательного сообщения запускающего электрического сигнала и выводящего из застопоренного состояния электрического сигнала удлиненному валу; привод шарнирного вращения из электроактивного полимера, расположенный в поворотном шарнирном сочленении, реагирующий на запускающий электрический сигнал для шарнирного вращения дистальной каркасной части относительно проксимальной каркасной части; и выводящий из застопоренного состояния привод из электроактивного полимера, соединенный с поворотным шарнирным сочленением, и реагирующий на размыкающий электрический сигнал, для вывода из застопоренного состояния шарнирного сочленения во время шарнирного вращения.
17. Хирургический инструмент по п.16, в котором концевой рабочий орган включает узел наложения скобок, включающее удлиненный желоб, обойму со скобками, находящуюся в зацеплении с удлиненным желобом, матрицу, шарнирно прикрепленную к удлиненному желобу, представляющую собой формирующую скобку поверхность для обоймы со скобками, причем удлиненный вал, кроме того, включает запускающий стержень, передающий движение узлу наложения скобок, для разрезания ткани, зажатой между матрицей и обоймой со скобками, для запуска обоймы со скобками для осуществления наложения скобок.
18. Хирургический инструмент по п.16, кроме того, включающий стопорный механизм шарнирного вращения, включающий: продольно перемещаемый стопорный элемент, прикрепленный к выбранной одной из проксимальной и дистальной каркасных частей и смещенный в направлении к другой из проксимальной и дистальной каркасных частей и находящийся в зацеплении с ней; и
привод для вывода из застопоренного состояния из электроактивного полимера, функционально выполненный и расположенный для преодоления смещения продольно перемещаемого стопорного элемента при активации для выведения из застопоренного состояния шарнирного сочленения.
19. Хирургический инструмент по п.18, в котором стопорный механизм шарнирного вращения, кроме того, включает зубчатый сегмент на другой из проксимальной и дистальной каркасных частей, причем продольно перемещаемый стопорный элемент включает стопорный болт, имеющий проксимальный поперечный отрезок, ограниченный внутри выреза в выбранной одной из проксимальной и дистальной каркасных частей, пружину, расположенную внутри выреза с упором в поперечный отрезок, для принуждения стопорного стержня к входу в зацепление с зубчатым сегментом, привод для вывода из застопоренного состояния из электроактивного полимера, расположенный в вырезе, и включающий выбранный один из сокращающегося привода из ЕАР, размещенный для сдвига поперечного отрезка смещением пружины, и расширяющегося привода из ЕАР, размещенный для толкания поперечным отрезком пружинного смещения при активации выводящим из застопоренного состояния электрическим сигналом.
20. Хирургический инструмент, включающий: удлиненный вал, включающий каркасное узел; концевой рабочий орган; гибкое шарнирное сочленение, сформированное в каркасном узле, причем каркасный узел включает дистальную каркасную часть, прикрепленную к концевому рабочему органу, проксимальную каркасную часть, шарнирно прикрепленную к дистальной каркасной части, причем гибкое шарнирное сочленение включает верхнюю полосу и нижнюю полосу, соединяющие дистальную и проксимальную каркасные части, и множество левых вертикальных ребер и множество правых вертикальных ребер, причем каждое ребро соединено на соответствующей боковой стороне с верхней и нижней полосами, причем каждое из множества левых и правых вертикальных ребер включает стопорный вырез;
рукояточную часть, прикрепленную к проксимальному концу удлиненного вала, и функционально выполненную для избирательного сообщения выводящего из застопоренного состояния электрического сигнала удлиненному валу;
стопорный механизм шарнирного вращения из электроактивного полимера, включающий левую стопорную полосу и правую стопорную полосу, каждая из которых расположена в соответствующем левом и правом стопорном вырезе, и функционально выполнена для изменения продольной длины для размещения множества стопорных выступов в продольном совмещении для размещения между соседними ребрами, когда и соседние ребра, и стопорная полоса находятся в продольно расширенном состоянии для поддержания, посредством этого, ребер в состоянии с расширенным промежутком между ними.
21. Хирургический инструмент по п.20, в котором рукояточная часть, кроме того, функционально выполнена для выработки электрического сигнала шарнирного вращения для удлинения вала, причем гибкое шарнирное сочленение, кроме того, включает привод шарнирного вращения из электроактивного полимера, расположенный в гибком шарнирном сочленении, реагирующем для запускающий электрический сигнал для шарнирного поворота дистальной каркасной части относительно проксимальной каркасной части.
22. Хирургический инструмент по п.21, в котором привод шарнирного вращения из электроактивного полимера, кроме того, включает выбранный один из пластинчатого привода из электроактивного полимера, функционально выполненный для сгибания, по меньшей мере, в одном боковом направлении при подаче энергии, привода из волокон электроактивного полимера, функционально выполненного для продольного сокращения при активации, причем соответствующие дистальный и проксимальный концы левых и правых приводов из волокон электроактивного полимера прикреплены к соответствующей дистальной и проксимальной каркасным частям шарнирного сочленения, и из множества левых приводов из стопы электроактивного полимера, каждый из которых расположен между соседними множественными левыми вертикальными ребрами и включает множество правых приводов из стопы электроактивного полимера, каждый из которых расположен между соседними множественными правыми вертикальными ребрами.
Applications Claiming Priority (4)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US59169404P | 2004-07-28 | 2004-07-28 | |
| US60/591,694 | 2004-07-28 | ||
| US11/092,053 | 2005-03-29 | ||
| US11/092,053 US8057508B2 (en) | 2004-07-28 | 2005-03-29 | Surgical instrument incorporating an electrically actuated articulation locking mechanism |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| RU2005123950A true RU2005123950A (ru) | 2007-02-10 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| RU2005123950/14A RU2005123950A (ru) | 2004-07-28 | 2005-07-27 | Хирургический инструмент, включающий электрически запускаемый механизм шарнирной фиксации |
Country Status (9)
| Country | Link |
|---|---|
| US (1) | US8057508B2 (ru) |
| EP (1) | EP1621146B1 (ru) |
| JP (1) | JP5073184B2 (ru) |
| KR (1) | KR20060092839A (ru) |
| AT (1) | ATE508693T1 (ru) |
| AU (1) | AU2005203216B2 (ru) |
| CA (1) | CA2514212C (ru) |
| MX (1) | MXPA05008042A (ru) |
| RU (1) | RU2005123950A (ru) |
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| US7000819B2 (en) | 2003-09-29 | 2006-02-21 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having multistroke firing incorporating a traction-biased ratcheting mechanism |
| US6959852B2 (en) | 2003-09-29 | 2005-11-01 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with multistroke firing incorporating an anti-backup mechanism |
| US7338509B2 (en) | 2003-11-06 | 2008-03-04 | Boston Scientific Scimed, Inc. | Electroactive polymer actuated sheath for implantable or insertable medical device |
| US7367485B2 (en) | 2004-06-30 | 2008-05-06 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating a multistroke firing mechanism having a rotary transmission |
| US7147138B2 (en) | 2004-07-28 | 2006-12-12 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having an electroactive polymer actuated buttress deployment mechanism |
| US7506790B2 (en) * | 2004-07-28 | 2009-03-24 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating an electrically actuated articulation mechanism |
| US7143925B2 (en) | 2004-07-28 | 2006-12-05 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating EAP blocking lockout mechanism |
| US7513408B2 (en) | 2004-07-28 | 2009-04-07 | Ethicon Endo-Surgery, Inc. | Multiple firing stroke surgical instrument incorporating electroactive polymer anti-backup mechanism |
| US8905977B2 (en) | 2004-07-28 | 2014-12-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having an electroactive polymer actuated medical substance dispenser |
| US7487899B2 (en) | 2004-07-28 | 2009-02-10 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating EAP complete firing system lockout mechanism |
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| US7143926B2 (en) | 2005-02-07 | 2006-12-05 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating a multi-stroke firing mechanism with return spring rotary manual retraction system |
| US7857183B2 (en) | 2004-07-28 | 2010-12-28 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating an electrically actuated articulation mechanism |
| AU2005203215B2 (en) | 2004-07-28 | 2011-06-09 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating an electrically actuated pivoting articulation mechanism |
| US7914551B2 (en) | 2004-07-28 | 2011-03-29 | Ethicon Endo-Surgery, Inc. | Electroactive polymer-based articulation mechanism for multi-fire surgical fastening instrument |
| US20060025812A1 (en) | 2004-07-28 | 2006-02-02 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating an electrically actuated pivoting articulation mechanism |
| US7404509B2 (en) | 2004-07-28 | 2008-07-29 | Ethicon Endo-Surgery, Inc. | Electroactive polymer-based articulation mechanism for linear stapler |
| US8057508B2 (en) | 2004-07-28 | 2011-11-15 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating an electrically actuated articulation locking mechanism |
| US8215531B2 (en) | 2004-07-28 | 2012-07-10 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a medical substance dispenser |
| US7559450B2 (en) | 2005-02-18 | 2009-07-14 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating a fluid transfer controlled articulation mechanism |
| US7559452B2 (en) | 2005-02-18 | 2009-07-14 | Ethicon Endo-Surgery, Inc. | Surgical instrument having fluid actuated opposing jaws |
| US7673783B2 (en) | 2005-11-04 | 2010-03-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments structured for delivery of medical agents |
| US7607557B2 (en) | 2005-11-04 | 2009-10-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments structured for pump-assisted delivery of medical agents |
| US8236010B2 (en) | 2006-03-23 | 2012-08-07 | Ethicon Endo-Surgery, Inc. | Surgical fastener and cutter with mimicking end effector |
| CN200959416Y (zh) * | 2006-09-15 | 2007-10-10 | 富士康(昆山)电脑接插件有限公司 | 电连接器 |
-
2005
- 2005-03-29 US US11/092,053 patent/US8057508B2/en active Active
- 2005-07-22 AU AU2005203216A patent/AU2005203216B2/en not_active Ceased
- 2005-07-27 EP EP05254703A patent/EP1621146B1/en active Active
- 2005-07-27 RU RU2005123950/14A patent/RU2005123950A/ru not_active Application Discontinuation
- 2005-07-27 AT AT05254703T patent/ATE508693T1/de not_active IP Right Cessation
- 2005-07-27 KR KR1020050068376A patent/KR20060092839A/ko not_active Application Discontinuation
- 2005-07-27 JP JP2005216963A patent/JP5073184B2/ja active Active
- 2005-07-28 MX MXPA05008042A patent/MXPA05008042A/es active IP Right Grant
- 2005-07-28 CA CA2514212A patent/CA2514212C/en not_active Expired - Fee Related
Also Published As
| Publication number | Publication date |
|---|---|
| KR20060092839A (ko) | 2006-08-23 |
| AU2005203216B2 (en) | 2012-03-08 |
| AU2005203216A1 (en) | 2006-02-16 |
| EP1621146A3 (en) | 2008-07-23 |
| JP5073184B2 (ja) | 2012-11-14 |
| MXPA05008042A (es) | 2006-02-10 |
| EP1621146A2 (en) | 2006-02-01 |
| EP1621146B1 (en) | 2011-05-11 |
| US20060025810A1 (en) | 2006-02-02 |
| US8057508B2 (en) | 2011-11-15 |
| ATE508693T1 (de) | 2011-05-15 |
| CA2514212C (en) | 2014-12-23 |
| JP2006051347A (ja) | 2006-02-23 |
| CA2514212A1 (en) | 2006-01-28 |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| FA92 | Acknowledgement of application withdrawn (lack of supplementary materials submitted) |
Effective date: 20090902 |