RU2009105128A - Укрепляющий материал с центрирующими и удерживающими элементами для использования с хирургическими рабочими органами - Google Patents
Укрепляющий материал с центрирующими и удерживающими элементами для использования с хирургическими рабочими органами Download PDFInfo
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- RU2009105128A RU2009105128A RU2009105128/14A RU2009105128A RU2009105128A RU 2009105128 A RU2009105128 A RU 2009105128A RU 2009105128/14 A RU2009105128/14 A RU 2009105128/14A RU 2009105128 A RU2009105128 A RU 2009105128A RU 2009105128 A RU2009105128 A RU 2009105128A
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- 239000012779 reinforcing material Substances 0.000 claims abstract 12
- 238000000926 separation method Methods 0.000 claims abstract 3
- 239000004744 fabric Substances 0.000 claims 1
- 238000009434 installation Methods 0.000 claims 1
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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
-
- 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
- A61B17/07292—Reinforcements for staple line, e.g. pledgets
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B50/00—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
- A61B50/30—Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/32—Surgical cutting instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00477—Coupling
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/00491—Surgical glue applicators
- A61B2017/00495—Surgical glue applicators for two-component glue
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/00491—Surgical glue applicators
- A61B2017/005—Surgical glue applicators hardenable using external energy source, e.g. laser, ultrasound
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00831—Material properties
- A61B2017/00951—Material properties adhesive
-
- 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
- A61B2017/07242—Stapler heads achieving different staple heights during the same shot, e.g. using an anvil anvil having different heights or staples of different sizes
-
- 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
- A61B2017/0725—Stapler heads with settable gap between anvil and cartridge, e.g. for different staple heights at different shots
-
- 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
- A61B50/00—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
- A61B2050/002—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers having adhesive means, e.g. an adhesive strip
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B50/00—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
- A61B50/30—Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments
- A61B2050/314—Flexible bags or pouches
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- 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)
- Surgical Instruments (AREA)
- Packages (AREA)
- Orthopedics, Nursing, And Contraception (AREA)
- Materials For Medical Uses (AREA)
Abstract
1. Узел рабочего органа для использования с хирургическим инструментом, содержащий ! наковальню, содержащую прорезь, выполненную с возможностью вмещения по меньшей мере части режущего элемента; ! кассету скобок, содержащую прорезь, выполненную с возможностью размещения по меньшей мере части режущего элемента; и ! кусок укрепляющего материала, содержащий ! первую часть, выполненную с возможностью по меньшей мере частичного расположения между наковальней и кассетой скобок, причем первая часть имеет первую толщину; и ! вторую часть, выполненную с возможностью расположения в прорези наковальни или в прорези кассеты скобок для удерживания упомянутого куска укрепляющего материала на наковальни или на кассете скобок с возможностью отсоединения, причем вторая часть имеет вторую толщину, которая меньше или равна первой толщине. ! 2. Узел рабочего органа по п.1, в котором прорезь наковальни содержит первую боковую стенку и вторую боковую стенку, причем выступ выполнен с возможностью фрикционного сцепления с первой боковой стенкой и второй боковой стенкой. ! 3. Узел рабочего органа по п.1, в котором выступ выполнен с возможностью соединения с прорезью наковальни и/или прорезью кассеты скобок по прессовой посадке. ! 4. Узел рабочего органа по п.1, в котором первая часть куска укрепляющего материала дополнительно содержит ! контактирующую с тканью часть; ! удаляемую часть; и ! выемку или перфорацию, выполненную с обеспечением возможности отделения удаляемой части от контактирующей с тканью части. ! 5. Узел рабочего органа для использования с хирургическим инструментом, содержащий ! наковальню, содержащую прорезь, выполн
Claims (17)
1. Узел рабочего органа для использования с хирургическим инструментом, содержащий
наковальню, содержащую прорезь, выполненную с возможностью вмещения по меньшей мере части режущего элемента;
кассету скобок, содержащую прорезь, выполненную с возможностью размещения по меньшей мере части режущего элемента; и
кусок укрепляющего материала, содержащий
первую часть, выполненную с возможностью по меньшей мере частичного расположения между наковальней и кассетой скобок, причем первая часть имеет первую толщину; и
вторую часть, выполненную с возможностью расположения в прорези наковальни или в прорези кассеты скобок для удерживания упомянутого куска укрепляющего материала на наковальни или на кассете скобок с возможностью отсоединения, причем вторая часть имеет вторую толщину, которая меньше или равна первой толщине.
2. Узел рабочего органа по п.1, в котором прорезь наковальни содержит первую боковую стенку и вторую боковую стенку, причем выступ выполнен с возможностью фрикционного сцепления с первой боковой стенкой и второй боковой стенкой.
3. Узел рабочего органа по п.1, в котором выступ выполнен с возможностью соединения с прорезью наковальни и/или прорезью кассеты скобок по прессовой посадке.
4. Узел рабочего органа по п.1, в котором первая часть куска укрепляющего материала дополнительно содержит
контактирующую с тканью часть;
удаляемую часть; и
выемку или перфорацию, выполненную с обеспечением возможности отделения удаляемой части от контактирующей с тканью части.
5. Узел рабочего органа для использования с хирургическим инструментом, содержащий
наковальню, содержащую прорезь, выполненную с возможностью размещения в ней по меньшей мере части режущего элемента; и
кусок укрепляющего материала, содержащий
часть тела, выполненную с возможностью расположения относительно наковальни;
выступ, выступающий из части тела, причем выступ выполнен с возможностью расположения внутри прорези наковальни для удерживания куска укрепляющего материала на наковальне с возможностью отсоединения; и
паз, выполненный в выступе с возможностью выравнивания с прорезью наковальни при расположении выступа внутри прорези наковальни.
6. Узел рабочего органа по п.5, в котором прорезь наковальни содержит первую боковую стенку и вторую боковую стенку, причем выступ выполнен с возможностью фрикционного сцепления с первой боковой стенкой и второй боковой стенкой.
7. Узел рабочего органа по п.5, в котором выступ выполнен с возможностью расположения в прорези наковальни по прессовой посадке.
8. Узел рабочего органа по п.5, в котором часть тела куска укрепляющего материала дополнительно содержит
контактирующую с тканью часть;
удаляемую часть; и
выемку или перфорацию, выполненную с обеспечением возможности отделения удаляемой части от контактирующей с тканью части.
9. Узел рабочего органа по п.5, в котором паз имеет V-образный профиль.
10. Узел рабочего органа по п.5, в котором паз представляет собой первый паз, причем упомянутый укрепляющий материал дополнительно содержит второй паз, образованный в выступе.
11. Узел рабочего органа по п.10, в котором часть тела образует первую толщину, причем первый паз и второй паз образуют вторую толщину, при этом вторая толщина меньше первой толщины.
12. Узел рабочего органа для использования с хирургическим инструментом, содержащий
наковальню, содержащую прорезь, выполненную с возможностью размещения в ней по меньшей мере части режущего элемента;
кассету скобок, содержащую
прорезь, выполненную с возможностью размещения в ней по меньшей мере части режущего элемента; и
полости скобок для хранения скобок с возможностью их удаления;
удерживающую прорезь, выполненную в наковальне и/или кассете скобок; и
кусок укрепляющего материала, содержащий
часть тела, выполненную с возможностью по меньшей мере частичного расположения между наковальней и кассетой скобок; и
удерживающий элемент, выступающий из части тела и выполненный с возможностью вставления в удерживающую прорезь для удерживания части тела между наковальней и кассетой скобок.
13. Узел рабочего органа по п.12, в котором удерживающий элемент содержит
ножку, соединенную с частью тела; и
лапку, выступающую из ножки.
14. Узел рабочего органа по п.13, в котором кассета скобок содержит удерживающую прорезь, причем кассета скобок дополнительно содержит основание с нижней поверхностью и контактирующей с тканью верхней поверхностью, причем лапка выполнена с возможностью вхождения в контакт с нижней поверхностью основания для удерживания удерживающего элемента в удерживающей прорези.
15. Узел рабочего органа по п.12, в котором удерживающая прорезь представляет собой первую удерживающую прорезь, а удерживающий элемент представляет собой первый удерживающий элемент, причем узел рабочего органа дополнительно содержит вторую удерживающую прорезь, причем кусок укрепляющего материала дополнительно содержит второй удерживающий элемент, выступающий из части тела, причем второй удерживающий элемент выполнен с возможностью вставления во вторую удерживающую прорезь для удерживания части тела между наковальней и кассетой скобок.
16. Узел рабочего органа по п.15, в котором первый удерживающий элемент содержит лапку, выступающую из ножки в первом направлении, причем второй удерживающий элемент содержит лапку, выступающую из ножки во втором направлении, причем первое направление отличается от второго направления.
17. Узел рабочего органа по п.12, в котором удерживающий элемент выполнен с возможностью установки в удерживающую прорезь по принципу защелки.
Applications Claiming Priority (7)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US12/031,978 US20090206126A1 (en) | 2008-02-15 | 2008-02-15 | Buttress material with alignment and retention features for use with surgical end effectors |
| US12/031,974 US20090206142A1 (en) | 2008-02-15 | 2008-02-15 | Buttress material for a surgical stapling instrument |
| US12/031,978 | 2008-02-15 | ||
| US12/031,852 US20090206125A1 (en) | 2008-02-15 | 2008-02-15 | Packaging for attaching buttress material to a surgical stapling instrument |
| US12/031,963 US20090206141A1 (en) | 2008-02-15 | 2008-02-15 | Buttress material having an activatable adhesive |
| US12/032,002 US8371491B2 (en) | 2008-02-15 | 2008-02-15 | Surgical end effector having buttress retention features |
| US12/031,863 US20090206139A1 (en) | 2008-02-15 | 2008-02-15 | Buttress material for a surgical instrument |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| RU2009105128A true RU2009105128A (ru) | 2010-08-20 |
| RU2497463C2 RU2497463C2 (ru) | 2013-11-10 |
Family
ID=62142933
Family Applications (4)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| RU2009105128/14A RU2497463C2 (ru) | 2008-02-15 | 2009-02-13 | Укрепляющий материал с центрирующими и удерживающими элементами для использования с хирургическими рабочими органами |
| RU2009105159/14A RU2496435C2 (ru) | 2008-02-15 | 2009-02-13 | Упаковка для прикрепления укрепляющего материала к хирургическому сшивающему инструменту |
| RU2009105156/14A RU2009105156A (ru) | 2008-02-15 | 2009-02-13 | Опорный материал с активируемым вяжущим веществом |
| RU2009105138/14A RU2009105138A (ru) | 2008-02-15 | 2009-02-13 | Опорный материал с активируемым вяжущим веществом |
Family Applications After (3)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| RU2009105159/14A RU2496435C2 (ru) | 2008-02-15 | 2009-02-13 | Упаковка для прикрепления укрепляющего материала к хирургическому сшивающему инструменту |
| RU2009105156/14A RU2009105156A (ru) | 2008-02-15 | 2009-02-13 | Опорный материал с активируемым вяжущим веществом |
| RU2009105138/14A RU2009105138A (ru) | 2008-02-15 | 2009-02-13 | Опорный материал с активируемым вяжущим веществом |
Country Status (7)
| Country | Link |
|---|---|
| US (6) | US20090206142A1 (ru) |
| EP (6) | EP2090237B1 (ru) |
| JP (6) | JP5586857B2 (ru) |
| CN (6) | CN101507639B (ru) |
| BR (5) | BRPI0901513B8 (ru) |
| PL (1) | PL2090237T3 (ru) |
| RU (4) | RU2497463C2 (ru) |
Families Citing this family (1128)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5865361A (en) | 1997-09-23 | 1999-02-02 | United States Surgical Corporation | Surgical stapling apparatus |
| US7364577B2 (en) | 2002-02-11 | 2008-04-29 | Sherwood Services Ag | Vessel sealing system |
| US7473253B2 (en) | 2001-04-06 | 2009-01-06 | Covidien Ag | Vessel sealer and divider with non-conductive stop members |
| EP2228018B1 (en) | 2002-06-17 | 2012-05-09 | Tyco Healthcare Group LP | Annular support structures |
| US9060770B2 (en) | 2003-05-20 | 2015-06-23 | Ethicon Endo-Surgery, Inc. | Robotically-driven surgical instrument with E-beam driver |
| US20070084897A1 (en) | 2003-05-20 | 2007-04-19 | Shelton Frederick E Iv | Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism |
| US7367976B2 (en) | 2003-11-17 | 2008-05-06 | Sherwood Services Ag | Bipolar forceps having monopolar extension |
| US11890012B2 (en) | 2004-07-28 | 2024-02-06 | Cilag Gmbh International | Staple cartridge comprising cartridge body and attached support |
| US11998198B2 (en) | 2004-07-28 | 2024-06-04 | Cilag Gmbh International | Surgical stapling instrument incorporating a two-piece E-beam firing mechanism |
| US8905977B2 (en) | 2004-07-28 | 2014-12-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having an electroactive polymer actuated medical substance dispenser |
| US8215531B2 (en) | 2004-07-28 | 2012-07-10 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a medical substance dispenser |
| US9072535B2 (en) | 2011-05-27 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments with rotatable staple deployment arrangements |
| JP4833988B2 (ja) | 2004-10-08 | 2011-12-07 | タイコ ヘルスケア グループ リミテッド パートナーシップ | 内視鏡外科用クリップ取付器 |
| ES2616731T3 (es) | 2004-10-08 | 2017-06-14 | Covidien Lp | Aparato para aplicar sujetadores quirúrgicos |
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2008
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- 2008-02-15 US US12/031,963 patent/US20090206141A1/en not_active Abandoned
- 2008-02-15 US US12/032,002 patent/US8371491B2/en active Active
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- 2009-02-13 PL PL09250362T patent/PL2090237T3/pl unknown
- 2009-02-13 JP JP2009032055A patent/JP5586857B2/ja not_active Expired - Fee Related
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- 2009-02-13 RU RU2009105159/14A patent/RU2496435C2/ru not_active IP Right Cessation
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- 2009-02-13 JP JP2009031970A patent/JP2009189840A/ja active Pending
- 2009-02-13 RU RU2009105156/14A patent/RU2009105156A/ru not_active Application Discontinuation
- 2009-02-13 JP JP2009032060A patent/JP2009189849A/ja active Pending
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