RU2007136471A - Хирургический сшивающий скобками аппарат, содержащий однократный механизм блокировки, приводимый в действие электроактивным полимером, для предотвращения срабатывания - Google Patents
Хирургический сшивающий скобками аппарат, содержащий однократный механизм блокировки, приводимый в действие электроактивным полимером, для предотвращения срабатывания Download PDFInfo
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- 229920001746 electroactive polymer Polymers 0.000 title claims abstract 11
- 239000012636 effector Substances 0.000 claims 6
- 230000000903 blocking effect Effects 0.000 claims 1
- 239000000758 substrate Substances 0.000 claims 1
- 230000001960 triggered effect Effects 0.000 claims 1
- 238000010304 firing Methods 0.000 abstract 7
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- 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
- 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
- A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/11—Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
- A61B17/115—Staplers for performing anastomosis, e.g. in a single operation
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- 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
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- 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
- 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
- A61B2017/07214—Stapler heads
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- 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
- A61B2017/07214—Stapler heads
- A61B2017/07285—Stapler heads characterised by its cutter
-
- 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
- A61B2090/0801—Prevention of accidental cutting or pricking
- A61B2090/08021—Prevention of accidental cutting or pricking of the patient or his organs
-
- 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
- A61B2090/0814—Preventing re-use
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- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
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- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
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- Surgical Instruments (AREA)
Abstract
1. Хирургический аппарат, содержащий: ! участок рукоятки, выполненный с функциональной возможностью создания прошивного/отрезного движения; ! удлиненный стержень, присоединенный к участку рукоятки; ! прошивную планку, установленную с возможностью возвратно-поступательного продольного движения в удлиненном стержне, для передачи прошивного/отрезного движения; ! концевой эффектор, присоединенный к удлиненному стержню с дистальной стороны и формирующий участок рабочих приспособлений, при этом концевой эффектор реагирует на прошивную планку выполнением хирургической операции; ! схемы управления, выполненные с функциональной возможностью формирования сигнала прошивки/отрезания; и ! электрический механизм блокировки, расположенный на участке рабочих приспособлений и реагирующий на сигнал прошивки/отрезания изменением состояния между положением блокировки и положением без блокировки прошивной планки. ! 2. Хирургический аппарат по п. 1, в котором электрический механизм блокировки дополнительно содержит привод на основе электроактивного полимера. ! 3. Хирургический аппарат по п. 2, в котором прошивная планка содержит боковую поверхность, наклоненную для преодоления, при отведении, сопротивления электрического механизма блокировки, находящегося в положении блокировки. ! 4. Хирургический аппарат по п. 2, в котором привод на основе электроактивного полимера содержит многослойный привод, расположенный так, чтобы срабатывать поперечно оси движения прошивной планки. ! 5. Хирургический аппарат по п. 2, в котором привод на основе электроактивного полимера содержит проксимально направленный блокировочный палец, функци�
Claims (18)
1. Хирургический аппарат, содержащий:
участок рукоятки, выполненный с функциональной возможностью создания прошивного/отрезного движения;
удлиненный стержень, присоединенный к участку рукоятки;
прошивную планку, установленную с возможностью возвратно-поступательного продольного движения в удлиненном стержне, для передачи прошивного/отрезного движения;
концевой эффектор, присоединенный к удлиненному стержню с дистальной стороны и формирующий участок рабочих приспособлений, при этом концевой эффектор реагирует на прошивную планку выполнением хирургической операции;
схемы управления, выполненные с функциональной возможностью формирования сигнала прошивки/отрезания; и
электрический механизм блокировки, расположенный на участке рабочих приспособлений и реагирующий на сигнал прошивки/отрезания изменением состояния между положением блокировки и положением без блокировки прошивной планки.
2. Хирургический аппарат по п. 1, в котором электрический механизм блокировки дополнительно содержит привод на основе электроактивного полимера.
3. Хирургический аппарат по п. 2, в котором прошивная планка содержит боковую поверхность, наклоненную для преодоления, при отведении, сопротивления электрического механизма блокировки, находящегося в положении блокировки.
4. Хирургический аппарат по п. 2, в котором привод на основе электроактивного полимера содержит многослойный привод, расположенный так, чтобы срабатывать поперечно оси движения прошивной планки.
5. Хирургический аппарат по п. 2, в котором привод на основе электроактивного полимера содержит проксимально направленный блокировочный палец, функционально выполненный с возможностью срабатывания и опускания из приподнятого в пониженное положение.
6. Хирургический аппарат по п. 5, в котором участок рабочих приспособлений содержит направленную вниз выемку, расположенную так, чтобы вмещать проксимально направленный блокировочный палец, когда он находится в пониженном положении, что позволяет прошивной планке поступательно перемещаться в дистальном направлении поверх него, причем проксимальный конец проксимально направленного блокировочного пальца выставлен для упора в прошивную планку, когда он находится в приподнятом положении.
7. Хирургический аппарат по п. 5, дополнительно содержащий поперечную контактную поверхность, прикрепленную к прошивной планке, при этом концевой эффектор содержит выемку, выполненную точно для вмещения поперечной контактной поверхности на начальном участке прошивного/отрезного хода, удлиненный стержень дополнительно содержит противолежащий уклон на прошивной планке, поджимающий ее контактную поверхность в выемку в концевом эффекторе, проксимально направленный блокировочный палец расположен так, чтобы перекрывать выемку для контактной поверхности и направлять контактную поверхность в выемку.
8. Хирургический аппарат по п. 7, дополнительно содержащий жесткую подложку, покрытую слоями привода на основе электроактивного полимера.
9. Хирургический аппарат, содержащий:
участок рукоятки, выполненный с функциональной возможностью создания прошивного/отрезного движения;
желоб для скобок, связанный с участком рукоятки;
упор, соединенный с возможностью поворота с желобом для скобок;
устройство выталкивания скобок, находящееся в зацеплении с желобом для скобок и содержащее множество поводков скобок для выталкивания поводков скобок к упору;
клиновидный элемент, проксимальный относительно поводков скобок и продольно совмещенный в линию с поводками скобок;
прошивное/отрезное устройство, реагирующее на прошивное/отрезное движение приведением клиновидного элемента в движение в дистальном направлении;
блокировочное устройство, расположенное в желобе для скобок и функционально выполненное с возможностью срабатывания в ответ на электрический сигнал блокированием перемещения прошивного/отрезного устройства в дистальном направлении.
10. Хирургический аппарат по п. 9, в котором устройство выталкивания скобок содержит прорезь привода прошивки/отрезания, по которой проходит в дистальном направлении, по меньшей мере, участок прошивного/отрезного устройства для приведения в движение клиновидного элемента, при этом блокировочное устройство селективно входит в прорезь привода прошивки/отрезания из желоба для скобок.
11. Хирургический аппарат по п. 9, в котором блокировочное устройство содержит привод на основе электроактивного полимера.
12. Хирургический аппарат по п. 10, в котором привод на основе электроактивного полимера содержит многослойный привод, функционально выполненный с возможностью расширения внутрь в ответ на электрический сигнал.
13. Хирургический аппарат по п. 10, в котором желоб для скобок содержит наклонную выемку, проксимальную относительно привода на основе электроактивного полимера, при этом привод на основе электроактивного полимера дополнительно содержит проксимально направленную консоль, функционально выполненную с возможностью срабатывания изгибом к наклонной выемке.
14. Хирургический аппарат по п. 13, в котором проксимально направленная консоль расположена так, чтобы срабатывать выставлением упорной поверхности навстречу прошивному/отрезному элементу.
15. Хирургический аппарат по п. 13, в котором проксимально направленная консоль расположена так, чтобы срабатывать направлением участка прошивного/отрезного элемента в наклонную выемку, при этом наклонная выемка содержит дистальную упорную поверхность.
16. Хирургический аппарат по п. 9, в котором прошивное/отрезное устройство содержит выступающий вбок средний палец и пяту, которые противоположно зацепляют каждую сторону желоба для скобок, при этом блокировочное устройство поперечно смещается для селективного упора в средний палец.
17. Хирургический аппарат по п. 9, в котором удлиненный стержень дополнительно содержит замыкающую втулку, присоединенную с проксимальной стороны к участку рукоятки для восприятия замыкающего движения и соединенную с дистальной стороны с шарнирным конструктивным элементом на упоре для осуществления ее смыкания.
18. Хирургический аппарат, содержащий:
участок рукоятки, выполненный с функциональной возможностью создания прошивного/отрезного движения;
удлиненный стержень, присоединенный к участку рукоятки;
прошивную планку, установленную с возможностью возвратно-поступательного продольного движения в удлиненном стержне, для передачи прошивного/отрезного движения;
концевой эффектор, присоединенный к удлиненному стержню с дистальной стороны и формирующий участок рабочих приспособлений, при этом концевой эффектор реагирует на прошивную планку выполнением хирургической операции;
средство для электрического включения устройства блокировки прошивной планки на участке рабочих приспособлений, расположенного так, чтобы блокировать прошивную планку.
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US10/441,424 US7044352B2 (en) | 2003-05-20 | 2003-05-20 | Surgical stapling instrument having a single lockout mechanism for prevention of firing |
US11/538,237 US7641093B2 (en) | 2003-05-20 | 2006-10-03 | Surgical stapling instrument having an electroactive polymer actuated single lockout mechanism for prevention of firing |
US11/538,237 | 2006-10-03 |
Publications (1)
Publication Number | Publication Date |
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RU2007136471A true RU2007136471A (ru) | 2009-04-10 |
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RU2007136471/14A RU2007136471A (ru) | 2003-05-20 | 2007-10-02 | Хирургический сшивающий скобками аппарат, содержащий однократный механизм блокировки, приводимый в действие электроактивным полимером, для предотвращения срабатывания |
Country Status (17)
Country | Link |
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US (2) | US7044352B2 (ru) |
EP (2) | EP1479348B1 (ru) |
JP (1) | JP4703977B2 (ru) |
KR (1) | KR20080031127A (ru) |
CN (1) | CN101268954A (ru) |
AT (1) | ATE400221T1 (ru) |
AU (3) | AU2004202201A1 (ru) |
BR (1) | BRPI0703691A (ru) |
CA (2) | CA2467881C (ru) |
DE (1) | DE602004014842D1 (ru) |
ES (1) | ES2309464T3 (ru) |
IL (1) | IL186069A0 (ru) |
MX (2) | MXPA04004883A (ru) |
PL (1) | PL1479348T3 (ru) |
RU (1) | RU2007136471A (ru) |
SG (1) | SG141407A1 (ru) |
ZA (1) | ZA200708416B (ru) |
Cited By (3)
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RU2663713C2 (ru) * | 2013-03-01 | 2018-08-08 | Этикон Эндо-Серджери, Инк. | Поворотные хирургические инструменты с электропитанием с множественными степенями свободы |
RU2665020C2 (ru) * | 2013-03-14 | 2018-08-24 | Этикон Эндо-Серджери, Инк. | Система управления шарнирным сочленением для шарнирно поворачиваемых хирургических инструментов |
RU2675082C2 (ru) * | 2013-03-12 | 2018-12-14 | Этикон Эндо-Серджери, Инк. | Механизированные хирургические инструменты с механизмами блокировки системы запуска |
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US7140528B2 (en) * | 2003-05-20 | 2006-11-28 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having an electroactive polymer actuated single lockout mechanism for prevention of firing |
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US20090090763A1 (en) * | 2007-10-05 | 2009-04-09 | Tyco Healthcare Group Lp | Powered surgical stapling device |
US10022123B2 (en) | 2012-07-09 | 2018-07-17 | Covidien Lp | Surgical adapter assemblies for use between surgical handle assembly and surgical end effectors |
US11311291B2 (en) | 2003-10-17 | 2022-04-26 | Covidien Lp | Surgical adapter assemblies for use between surgical handle assembly and surgical end effectors |
US10041822B2 (en) | 2007-10-05 | 2018-08-07 | Covidien Lp | Methods to shorten calibration times for powered devices |
US7886952B2 (en) * | 2004-02-17 | 2011-02-15 | Tyco Healthcare Group Lp | Surgical stapling apparatus with locking mechanism |
EP1563794B1 (en) * | 2004-02-17 | 2007-04-25 | Tyco Healthcare Group Lp | Surgical stapling apparatus with locking mechanism |
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US7044352B2 (en) * | 2003-05-20 | 2006-05-16 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a single lockout mechanism for prevention of firing |
JP4285267B2 (ja) * | 2004-02-19 | 2009-06-24 | 株式会社デンソー | 排気ガス再循環装置 |
US20060025812A1 (en) * | 2004-07-28 | 2006-02-02 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating an electrically actuated pivoting articulation mechanism |
US7143925B2 (en) * | 2004-07-28 | 2006-12-05 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating EAP blocking lockout mechanism |
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2003
- 2003-05-20 US US10/441,424 patent/US7044352B2/en not_active Expired - Lifetime
-
2004
- 2004-05-19 AU AU2004202201A patent/AU2004202201A1/en not_active Abandoned
- 2004-05-19 JP JP2004149511A patent/JP4703977B2/ja not_active Expired - Lifetime
- 2004-05-20 PL PL04252979T patent/PL1479348T3/pl unknown
- 2004-05-20 DE DE602004014842T patent/DE602004014842D1/de not_active Expired - Lifetime
- 2004-05-20 MX MXPA04004883A patent/MXPA04004883A/es active IP Right Grant
- 2004-05-20 CA CA2467881A patent/CA2467881C/en not_active Expired - Fee Related
- 2004-05-20 ES ES04252979T patent/ES2309464T3/es not_active Expired - Lifetime
- 2004-05-20 EP EP04252979A patent/EP1479348B1/en not_active Expired - Lifetime
- 2004-05-20 AT AT04252979T patent/ATE400221T1/de not_active IP Right Cessation
-
2006
- 2006-10-03 US US11/538,237 patent/US7641093B2/en active Active
-
2007
- 2007-09-13 AU AU2007216766A patent/AU2007216766B2/en not_active Ceased
- 2007-09-19 IL IL186069A patent/IL186069A0/en unknown
- 2007-09-29 CN CNA2007101630643A patent/CN101268954A/zh active Pending
- 2007-10-02 BR BRPI0703691-4A patent/BRPI0703691A/pt not_active Application Discontinuation
- 2007-10-02 ZA ZA200708416A patent/ZA200708416B/en unknown
- 2007-10-02 RU RU2007136471/14A patent/RU2007136471A/ru not_active Application Discontinuation
- 2007-10-02 EP EP07253903A patent/EP1908416A1/en not_active Withdrawn
- 2007-10-02 SG SG200716490-8A patent/SG141407A1/en unknown
- 2007-10-02 MX MX2007012232A patent/MX2007012232A/es not_active Application Discontinuation
- 2007-10-02 KR KR1020070099232A patent/KR20080031127A/ko not_active Application Discontinuation
- 2007-10-03 CA CA002605353A patent/CA2605353A1/en not_active Abandoned
-
2010
- 2010-06-02 AU AU2010202270A patent/AU2010202270B2/en not_active Ceased
Cited By (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
RU2663713C2 (ru) * | 2013-03-01 | 2018-08-08 | Этикон Эндо-Серджери, Инк. | Поворотные хирургические инструменты с электропитанием с множественными степенями свободы |
RU2675082C2 (ru) * | 2013-03-12 | 2018-12-14 | Этикон Эндо-Серджери, Инк. | Механизированные хирургические инструменты с механизмами блокировки системы запуска |
RU2665020C2 (ru) * | 2013-03-14 | 2018-08-24 | Этикон Эндо-Серджери, Инк. | Система управления шарнирным сочленением для шарнирно поворачиваемых хирургических инструментов |
RU2670669C2 (ru) * | 2013-03-14 | 2018-10-24 | Этикон Эндо-Серджери, Инк. | Приводные механизмы авторегулировки для модульных хирургических инструментов |
RU2670669C9 (ru) * | 2013-03-14 | 2018-12-12 | Этикон Эндо-Серджери, Инк. | Приводные механизмы авторегулировки для модульных хирургических инструментов |
RU2675960C2 (ru) * | 2013-03-14 | 2018-12-25 | Этикон Эндо-Серджери, Инк. | Механизмы блокировки приводной системы для модульных хирургических инструментов |
Also Published As
Publication number | Publication date |
---|---|
AU2007216766A1 (en) | 2008-04-17 |
MX2007012232A (es) | 2009-02-19 |
MXPA04004883A (es) | 2004-11-25 |
EP1479348B1 (en) | 2008-07-09 |
IL186069A0 (en) | 2008-01-20 |
EP1908416A1 (en) | 2008-04-09 |
DE602004014842D1 (de) | 2008-08-21 |
SG141407A1 (en) | 2008-04-28 |
CA2467881C (en) | 2012-02-21 |
AU2004202201A1 (en) | 2004-12-09 |
CN101268954A (zh) | 2008-09-24 |
US20040232195A1 (en) | 2004-11-25 |
AU2010202270A1 (en) | 2010-06-24 |
KR20080031127A (ko) | 2008-04-08 |
US7641093B2 (en) | 2010-01-05 |
ES2309464T3 (es) | 2008-12-16 |
ZA200708416B (en) | 2009-09-30 |
AU2010202270B2 (en) | 2012-04-19 |
BRPI0703691A (pt) | 2008-05-27 |
JP2004344659A (ja) | 2004-12-09 |
CA2605353A1 (en) | 2008-04-03 |
EP1479348A1 (en) | 2004-11-24 |
CA2467881A1 (en) | 2004-11-20 |
PL1479348T3 (pl) | 2008-12-31 |
JP4703977B2 (ja) | 2011-06-15 |
US7044352B2 (en) | 2006-05-16 |
US20070084896A1 (en) | 2007-04-19 |
AU2007216766B2 (en) | 2012-11-15 |
ATE400221T1 (de) | 2008-07-15 |
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