RU2006133129A - Устройство для наложения клипс с возможностью предотвращения выпадения клипсы - Google Patents
Устройство для наложения клипс с возможностью предотвращения выпадения клипсы Download PDFInfo
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- RU2006133129A RU2006133129A RU2006133129/14A RU2006133129A RU2006133129A RU 2006133129 A RU2006133129 A RU 2006133129A RU 2006133129/14 A RU2006133129/14 A RU 2006133129/14A RU 2006133129 A RU2006133129 A RU 2006133129A RU 2006133129 A RU2006133129 A RU 2006133129A
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- RU
- Russia
- Prior art keywords
- surgical clips
- applying surgical
- clamps
- clips according
- designed
- Prior art date
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- 230000006835 compression Effects 0.000 claims 5
- 238000007906 compression Methods 0.000 claims 5
- 230000005540 biological transmission Effects 0.000 claims 1
- HLXZNVUGXRDIFK-UHFFFAOYSA-N nickel titanium Chemical compound [Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni] HLXZNVUGXRDIFK-UHFFFAOYSA-N 0.000 claims 1
- 229910001000 nickel titanium Inorganic materials 0.000 claims 1
- 230000015572 biosynthetic process Effects 0.000 abstract 1
- 238000000034 method Methods 0.000 abstract 1
- 238000013508 migration Methods 0.000 abstract 1
- 230000005012 migration Effects 0.000 abstract 1
- 238000001356 surgical procedure Methods 0.000 abstract 1
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
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/128—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips
- A61B17/1285—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips 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
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/128—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips
-
- 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
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/10—Surgical instruments, devices or methods, e.g. tourniquets for applying or removing wound clamps, e.g. containing only one clamp or staple; Wound clamp magazines
-
- 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
- A61B17/068—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
- 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
- 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
- A61B90/03—Automatic limiting or abutting means, e.g. for safety
- A61B2090/032—Automatic limiting or abutting means, e.g. for safety pressure limiting, e.g. hydrostatic
Landscapes
- 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)
- Reproductive Health (AREA)
- Vascular Medicine (AREA)
- Surgical Instruments (AREA)
- Heterocyclic Carbon Compounds Containing A Hetero Ring Having Oxygen Or Sulfur (AREA)
- Portable Nailing Machines And Staplers (AREA)
Claims (19)
1. Усовершенствованное эндоскопическое устройство для наложения хирургических клипс, содержащее зажимы, которые смыкаются для сближения тканей, подлежащих клиппированию, нажимной шток, предназначенный для смыкания зажимов, спусковой рычаг, предназначенный для приведения в действие нажимного штока, и храповой механизм, предназначенный для предотвращения размыкания спускового рычага на, по меньшей мере, участке хода смыкания, при этом усовершенствованное устройство содержит предварительно нагруженное соединение, выполненное между нажимным штоком и рычажной передачей, связывающей нажимной шток со спусковым рычагом, при этом предварительно нагруженное соединение функционально предназначено для поддерживания зажимов в, по существу, фиксированном, частично сомкнутом положении, когда спусковой рычаг частично разомкнут во время хода смыкания, чтобы удерживать частично сформированную клипсу между зажимами.
2. Устройство для наложения хирургических клипс по п.1, в котором предварительно нагруженное соединение предназначено для удерживания нажимного штока в, по существу, фиксированном положении, с обеспечением возможности перемещения рычажной передачи в проксимальном направлении.
3. Устройство для наложения хирургических клипс по п.1, в котором предварительно нагруженное соединение содержит поджимной элемент, выполненный с возможностью сжатия нажимным штоком во время хода смыкания и предназначенный для приложения поджимного усилия к нажимному штоку, когда спусковой рычаг частично разомкнут.
4. Устройство для наложения хирургических клипс по п.3, в котором поджимной элемент содержит консольную поперечину.
5. Устройство для наложения хирургических клипс по п.3, в котором поджимной элемент содержит пружину.
6. Устройство для наложения хирургических клипс по п.3, в котором проксимальный конец нажимного штока и поджимной элемент расположены в выемке, выполненной в соединительном механизме, при этом пружина поджимает проксимальный конец нажимного штока в дистальном направлении.
7. Устройство для наложения хирургических клипс по п.6, в котором выемка содержит, по меньшей мере, один прилив, выполненный в ней и предназначенный для поддерживания пружины, по существу, под постоянной нагрузкой, когда пружина сжимается во время хода смыкания.
8. Устройство для наложения хирургических клипс по п.7, в котором, по меньшей мере, один прилив выполнен с возможностью предотвращения полного сжатия пружины.
9. Устройство для наложения хирургических клипс, содержащее рукоятку со стержнем, продолжающимся из рукоятки; зажимы, выполненные на дистальном конце стержня; механизм смыкания зажимов, продолжающийся через стержень и связанный с зажимами; спусковой рычаг, предназначенный для приведения в действие механизма смыкания зажимов для смыкания зажимов; и предварительно нагруженное соединение, выполненное между механизмом смыкания зажимов и спусковым рычагом, при этом предварительно нагруженное соединение выполнено с возможностью предотвращения выпадения клипсы из зажимов, когда спусковой рычаг частично размыкают во время смыкающего хода.
10. Устройство для наложения хирургических клипс по п.9, в котором предварительно нагруженное соединение содержит пружину, выполненную с возможностью сжатия участком механизма смыкания зажимов во время смыкающего хода.
11. Устройство для наложения хирургических клипс по п.10, в котором пружина выполнена из материала Nitinol.
12. Устройство для наложения хирургических клипс по п.9, в котором механизм смыкания зажимов содержит кулачковую планку, выполненную с возможностью смыкания зажимов, нажимной шток, соединенный с кулачковой планкой, и соединительный механизм, продолжающийся между нажимным штоком и спусковым рычагом.
13. Устройство для наложения хирургических клипс по п.12, в котором предварительно нагруженное соединение расположено в выемке, выполненной в соединительном механизме, и выполнено с возможностью сжатия нажимным штоком во время смыкающего хода.
14. Устройство для наложения хирургических клипс по п.13, в котором выемка содержит, по меньшей мере, один прилив, выполненный в ней и предназначенный для поддерживания предварительно нагруженного соединения, по существу, под постоянной нагрузкой, когда предварительно нагруженное соединение сжимается во время смыкающего хода.
15. Устройство для наложения хирургических клипс по п.14, в котором, по меньшей мере, один прилив выполнен с возможностью предотвращения полного сжатия пружины.
16. Устройство для наложения хирургических клипс, содержащее корпус; стержень, продолжающийся из корпуса в дистальном направлении; первый и второй зажимы, выполненные на дистальном конце стержня; спусковой рычаг, соединенный с возможностью перемещения с корпусом; механизм блокировки обратного хода, предназначенный для зацепления спускового рычага, когда спусковой рычаг отпускают во время, по меньшей мере, частичного хода смыкания; и узел, служащий соединением между спусковым рычагом и зажимами и предназначенный для поддерживания зажимов в, по существу, фиксированном положении, чтобы не допускать выпадения клипсы, когда спусковой рычаг отпускают во время, по меньшей мере, частичного хода смыкания.
17. Устройство для наложения хирургических клипс по п.16, в котором узел содержит предварительно нагруженное соединение, выполненное в данном узле для поддерживания участка узла в фиксированном положении и обеспечения возможности перемещения участка узла в проксимальном направлении, когда спусковой рычаг отпускают во время, по меньшей мере, частичного хода смыкания.
18. Устройство для наложения хирургических клипс по п.17, в котором предварительно нагруженное соединение выполнено между нажимным штоком, предназначенным для выдвижения кулачковой планки поверх зажимов для смыкания зажимов, и соединительным механизмом для связи нажимного штока со спусковым рычагом, и при этом предварительно нагруженное соединение поддерживает нажимной шток в фиксированном положении и допускает перемещение соединительного механизма в проксимальном направлении, когда спусковой рычаг отпускают во время, по меньшей мере, частичного хода смыкания.
19. Устройство для наложения хирургических клипс по п.18, в котором предварительно нагруженное соединение содержит пружину, расположенную между нажимным штоком и соединительным механизмом.
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US11/162,587 US8038686B2 (en) | 2005-04-14 | 2005-09-15 | Clip applier configured to prevent clip fallout |
US11/162,587 | 2005-09-15 |
Publications (2)
Publication Number | Publication Date |
---|---|
RU2006133129A true RU2006133129A (ru) | 2008-03-20 |
RU2435536C2 RU2435536C2 (ru) | 2011-12-10 |
Family
ID=37102442
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
RU2006133129/14A RU2435536C2 (ru) | 2005-09-15 | 2006-09-14 | Устройство для наложения клипс с возможностью предотвращения выпадения клипсы |
Country Status (15)
Country | Link |
---|---|
US (2) | US8038686B2 (ru) |
EP (1) | EP1764045B1 (ru) |
JP (1) | JP5042571B2 (ru) |
KR (1) | KR101283902B1 (ru) |
CN (1) | CN100571642C (ru) |
AT (1) | ATE422336T1 (ru) |
AU (1) | AU2006213960B2 (ru) |
BR (1) | BRPI0605646B1 (ru) |
CA (1) | CA2559770C (ru) |
DE (1) | DE602006005117D1 (ru) |
ES (1) | ES2320033T3 (ru) |
HK (1) | HK1100159A1 (ru) |
MX (1) | MXPA06010633A (ru) |
RU (1) | RU2435536C2 (ru) |
SG (1) | SG131068A1 (ru) |
Families Citing this family (737)
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2005
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2006
- 2006-09-13 AU AU2006213960A patent/AU2006213960B2/en not_active Ceased
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- 2006-09-14 SG SG200606360-6A patent/SG131068A1/en unknown
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- 2006-09-14 RU RU2006133129/14A patent/RU2435536C2/ru not_active IP Right Cessation
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CN1994233A (zh) | 2007-07-11 |
BRPI0605646A (pt) | 2007-10-16 |
BRPI0605646B1 (pt) | 2021-04-27 |
CA2559770C (en) | 2014-09-09 |
HK1100159A1 (en) | 2007-09-07 |
AU2006213960B2 (en) | 2013-03-07 |
JP2007075621A (ja) | 2007-03-29 |
KR20070031821A (ko) | 2007-03-20 |
AU2006213960A1 (en) | 2007-03-29 |
EP1764045B1 (en) | 2009-02-11 |
US20110224696A1 (en) | 2011-09-15 |
ES2320033T3 (es) | 2009-05-18 |
KR101283902B1 (ko) | 2013-07-16 |
CN100571642C (zh) | 2009-12-23 |
MXPA06010633A (es) | 2007-06-05 |
EP1764045A1 (en) | 2007-03-21 |
US8216257B2 (en) | 2012-07-10 |
RU2435536C2 (ru) | 2011-12-10 |
US20060235443A1 (en) | 2006-10-19 |
CA2559770A1 (en) | 2007-03-15 |
US8038686B2 (en) | 2011-10-18 |
SG131068A1 (en) | 2007-04-26 |
JP5042571B2 (ja) | 2012-10-03 |
DE602006005117D1 (de) | 2009-03-26 |
ATE422336T1 (de) | 2009-02-15 |
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