RU2007129569A - Пневмоприводной хирургический отрезной и фиксирующий аппарат с дистально установленным пневматическим вращательным элементом привода - Google Patents
Пневмоприводной хирургический отрезной и фиксирующий аппарат с дистально установленным пневматическим вращательным элементом привода 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
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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
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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
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- A—HUMAN NECESSITIES
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- 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
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- A—HUMAN NECESSITIES
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- 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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- 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
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- 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
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- A61B2017/00535—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated
- A61B2017/00544—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated pneumatically
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- A61B2017/00544—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated pneumatically
- A61B2017/00548—Gas cartridges therefor
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- A61B2017/2902—Details of shaft characterized by features of the actuating rod
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- A—HUMAN NECESSITIES
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- 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
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- A—HUMAN NECESSITIES
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- 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
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- A—HUMAN NECESSITIES
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- 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
- A61B2090/037—Automatic limiting or abutting means, e.g. for safety with a frangible part, e.g. by reduced diameter
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- A—HUMAN NECESSITIES
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- A61B90/06—Measuring instruments not otherwise provided for
- A61B2090/064—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension
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- A—HUMAN NECESSITIES
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- A61B90/08—Accessories or related features not otherwise provided for
- A61B2090/0803—Counting the number of times an instrument is used
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61B90/08—Accessories or related features not otherwise provided for
- A61B2090/0807—Indication means
- A61B2090/0811—Indication means for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument
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- A—HUMAN NECESSITIES
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- A61B90/08—Accessories or related features not otherwise provided for
- A61B2090/0814—Preventing re-use
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- F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
- F17—STORING OR DISTRIBUTING GASES OR LIQUIDS
- F17C—VESSELS FOR CONTAINING OR STORING COMPRESSED, LIQUEFIED OR SOLIDIFIED GASES; FIXED-CAPACITY GAS-HOLDERS; FILLING VESSELS WITH, OR DISCHARGING FROM VESSELS, COMPRESSED, LIQUEFIED, OR SOLIDIFIED GASES
- F17C2270/00—Applications
- F17C2270/05—Applications for industrial use
- F17C2270/0545—Tools
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- Heart & Thoracic Surgery (AREA)
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Claims (20)
1. Хирургический аппарат, содержащий
дистальный элемент, выполненный с возможностью установки узла пневмоприводного инструмента;
узел удлиненного стержня, имеющий дистальный концевой участок, связанный с упомянутым дистальным элементом, и проксимальный концевой участок; и
пневматический вращательный элемент привода, установленный на упомянутом дистальном концевом участке упомянутого узла удлиненного стержня и пневмогидравлически связанный с источником пневматической энергии, при этом упомянутой вращательный элемент привода выполнен с возможностью селективного сообщения, по меньшей мере, двух вращательных приводящих движений узлу пневмоприводного инструмента, установленному в упомянутом дистальном элементе, при получении, по меньшей мере, одного пневматического управляющего сигнала из источника пневматической энергии.
2. Хирургический аппарат по п.1, в котором упомянутый вращательный элемент привода содержит пневмоприводной двигатель.
3. Хирургический аппарат по п.1, в котором упомянутый вращательный элемент привода выполнен с возможностью сообщения вращательного прошивного/отрезного движения узлу пневмоприводного инструмента, установленному в упомянутом дистальном элементе, при получении потока газа из упомянутого источника пневматической энергии, и сообщения вращательного отводящего движения узлу пневмоприводного инструмента, установленному в упомянутом дистальном элементе, при получении другого потока газа из источника пневматической энергии.
4. Хирургический аппарат по п.1, в котором упомянутый дистальный концевой участок упомянутого узла удлиненного стержня соединен с возможностью поворота с упомянутым проксимальным концевым участком шарнирно-поворотным сочленением.
5. Хирургический аппарат по п.4, в котором упомянутое шарнирно-поворотное сочленение приводится в движение механически.
6. Хирургический аппарат по п.4, в котором упомянутое шарнирно-поворотное сочленение приводится в движение пневматически.
7. Хирургический аппарат по п.1, в котором упомянутый дистальный концевой участок упомянутого узла удлиненного стержня допускает селективное отсоединение от упомянутого проксимального концевого участка упомянутого узла удлиненного стержня.
8. Хирургический аппарат по п.1, в котором какой-то один из упомянутого дистального концевого участка и упомянутого проксимального концевого участка упомянутого узла удлиненного стержня содержит селективно поворачиваемое шарнирно-поворотное сочленение, и при этом упомянутый дистальный концевой участок допускает селективное отсоединение от упомянутого проксимального концевого участка упомянутого узла удлиненного стержня.
9. Хирургический аппарат по п.1, дополнительно содержащий
узел рукоятки; и
исполнительный механизм, установленный в упомянутом узле рукоятки и сообщающийся с возможностью функционирования с упомянутым источником пневматической энергии и упомянутым вращательным элементом привода, при этом упомянутый исполнительный механизм выполнен с возможностью селективного управления подачей упомянутых пневматических сигналов из упомянутого источника упомянутой пневматической энергии в упомянутый вращательный элемент привода.
10. Хирургический аппарат по п.9, в котором упомянутый исполнительный механизм содержит
элемент плавного регулирования потока, пневмогидравлически сообщающийся с упомянутым источником пневматической энергии и упомянутым вращательным элементом привода; и
рычаг включения, установленный с возможностью функционирования на упомянутом узле рукоятки и соединенный с возможностью функционирования с упомянутым элементом плавного регулирования потока для селективного управления им.
11. Способ обработки аппарата для хирургической операции, при этом упомянутый способ содержит следующие этапы:
получают упомянутый хирургический аппарат по п.1;
стерилизуют упомянутый хирургический аппарат; и
хранят упомянутый аппарат в стерильной таре.
12. Хирургический аппарат, содержащий
узел рукоятки;
смыкающий привод, установленный в упомянутом узле рукоятки и выполненный с возможностью создания замыкающего движения и размыкающего движения;
исполнительный механизм, установленный в упомянутом узле рукоятки, при этом упомянутый исполнительный механизм сообщается с источником пневматической энергии для селективного создания, по меньшей мере, одного пневматического сигнала управления;
узел удлиненного стержня, соединенный с упомянутым узлом рукоятки и сообщающийся с упомянутым смыкающим приводом для передачи упомянутых размыкающего и замыкающего движений, а также упомянутого, по меньшей мере, одного пневматического сигнала;
пневматической вращательный элемент привода, установленный с возможностью функционирования на дистальном конце упомянутого узла удлиненного стержня и способный к реагированию на упомянутый, по меньшей мере, один пневматический сигнал управления, и выполненный с возможностью создания вращательного прошивного/отрезного движения и вращательного отводящего движения; и
концевой эффектор, соединенный с упомянутым узлом удлиненного стержня, при этом упомянутый концевой эффектор содержит:
удлиненный желоб, выполненный с размером для вмещения в нем кассеты для скобок;
упор, соединенный с возможностью поворота с упомянутым удлиненным желобом и способный к реагированию поворотом на упомянутые размыкающее и замыкающее движения от упомянутого узла удлиненного стержня; и
отрезной и сшивающий элемент, установленный с возможностью функционирования в упомянутом удлиненном желобе и способный к реагированию на упомянутые размыкающее и замыкающее движения от упомянутого вращательного элемента привода.
13. Хирургический аппарат по п.12, в котором упомянутый вращательный элемент привода содержит пневмоприводной двигатель.
14. Хирургический аппарат по п.12, в котором упомянутый дистальный концевой участок упомянутого узла удлиненного стержня соединен с возможностью поворота с упомянутым проксимальным концевым участком упомянутого узла удлиненного стержня шарнирно-поворотным сочленением.
15. Хирургический аппарат по п.14, в котором упомянутое шарнирно-поворотное сочленение приводится в движение механически.
16. Хирургический аппарат по п.14, в котором упомянутое шарнирно-поворотное сочленение приводится в движение пневматически.
17. Хирургический аппарат по п.12, в котором упомянутый дистальный концевой участок упомянутого узла удлиненного стержня допускает селективное отсоединение от упомянутого проксимального концевого участка упомянутого узла удлиненного стержня для создания возможности присоединения нового дистального концевого участка, содержащего присоединенный к нему новый концевой эффектор, к проксимальному концевому участку узла удлиненного стержня.
18. Хирургический аппарат по п.12, в котором упомянутый источник пневматической энергии расположен снаружи упомянутого узла рукоятки.
19. Хирургический аппарат, содержащий
узел рукоятки;
узел удлиненного стержня, имеющий проксимальный концевой участок, соединенный с возможностью функционирования с упомянутым узлом рукоятки, при этом упомянутый участок удлиненного стержня дополнительно имеет дистальный концевой участок;
средство для установки с возможностью функционирования узла пневмоприводного инструмента, соединенного с упомянутым узлом удлиненного стержня; и
средство для создания, по меньшей мере, одного вращательного приводящего усилия для приложения к пневмоприводному инструменту, установленному на упомянутое средство для установки с возможностью функционирования, в ответ на, по меньшей мере, один пневматический управляющий сигнал из источника пневматической энергии, пневмогидравлически связанного с упомянутым средством для создания, причем упомянутое средство для создания установлено на упомянутом дистальном конце упомянутого узла удлиненного стержня.
20. Хирургический аппарат по п.18, в котором упомянутый источник пневматической энергии установлен в упомянутом узле рукоятки.
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RU2007129541/14A RU2469664C2 (ru) | 2006-08-02 | 2007-08-01 | Пневмоприводной хирургический отрезной и фиксирующий аппарат со сменными источниками энергии |
RU2007129539/14A RU2477087C2 (ru) | 2006-08-02 | 2007-08-01 | Пневмоприводной хирургический отрезной и фиксирующий аппарат с емкостью хранения увеличенного объема |
RU2007129537/14A RU2469666C2 (ru) | 2006-08-02 | 2007-08-01 | Пневмоприводной хирургический отрезной и фиксирующий аппарат с функциями аудио и визуальной обратной связи |
RU2007129563/14A RU2478349C2 (ru) | 2006-08-02 | 2007-08-01 | Пневмоприводной хирургический отрезной и фиксирующий аппарат с механической рычажной передачей, связывающей движение концевого эффектора и рычага |
RU2007129565/14A RU2478350C2 (ru) | 2006-08-02 | 2007-08-01 | Пневмоприводной хирургический отрезной и фиксирующий аппарат с ручным отводящим устройством |
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RU2007129539/14A RU2477087C2 (ru) | 2006-08-02 | 2007-08-01 | Пневмоприводной хирургический отрезной и фиксирующий аппарат с емкостью хранения увеличенного объема |
RU2007129537/14A RU2469666C2 (ru) | 2006-08-02 | 2007-08-01 | Пневмоприводной хирургический отрезной и фиксирующий аппарат с функциями аудио и визуальной обратной связи |
RU2007129563/14A RU2478349C2 (ru) | 2006-08-02 | 2007-08-01 | Пневмоприводной хирургический отрезной и фиксирующий аппарат с механической рычажной передачей, связывающей движение концевого эффектора и рычага |
RU2007129565/14A RU2478350C2 (ru) | 2006-08-02 | 2007-08-01 | Пневмоприводной хирургический отрезной и фиксирующий аппарат с ручным отводящим устройством |
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EP (6) | EP1884203B1 (ru) |
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