RU2009105141A - Хирургический сшивающий аппарат с механизмом запуска, чувствительным к нагрузке - Google Patents
Хирургический сшивающий аппарат с механизмом запуска, чувствительным к нагрузке Download PDFInfo
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- RU2009105141A RU2009105141A RU2009105141/14A RU2009105141A RU2009105141A RU 2009105141 A RU2009105141 A RU 2009105141A RU 2009105141/14 A RU2009105141/14 A RU 2009105141/14A RU 2009105141 A RU2009105141 A RU 2009105141A RU 2009105141 A RU2009105141 A RU 2009105141A
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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
- A61B17/068—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
- A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
- A61B2017/00473—Distal part, e.g. tip or head
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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
- A61B2017/00946—Material properties malleable
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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
- A61B17/2909—Handles
- A61B2017/2912—Handles transmission of forces to actuating rod or piston
- A61B2017/2923—Toothed members, e.g. rack and pinion
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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
-
- 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
- A61B2017/2929—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft with a head rotatable about the longitudinal axis of the shaft
-
- 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
- A61B2017/2932—Transmission of forces to jaw members
- A61B2017/2943—Toothed members, e.g. rack and pinion
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B2017/320052—Guides for cutting instruments
-
- 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
- A61B2090/037—Automatic limiting or abutting means, e.g. for safety with a frangible part, e.g. by reduced diameter
-
- 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
- A61B2090/0813—Accessories designed for easy sterilising, i.e. re-usable
-
- 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
-
- 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
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- Life Sciences & Earth Sciences (AREA)
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- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
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- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
1. Хирургический инструмент, выполненный с возможностью применения с концевым эффектором, способным к выполнению хирургической операции, при этом хирургический сшивающий скобками инструмент содержит ! удлиненный корпус, сопрягающийся с возможностью функционирования с концевым эффектором для передачи ему приводящих движений; ! рукоятку с ручным приводом для создания упомянутых приводящих движений; ! приводящий стержень, сопрягающийся с возможностью функционирования с упомянутым удлиненным корпусом и упомянутой рукояткой с ручным приводом, чтобы передавать упомянутые приводящие движения, создаваемые упомянутой рукояткой с ручным приводом, в упомянутый удлиненный корпус; и ! приводящую собачку, сопрягающуюся с упомянутой рукояткой с ручным приводом, причем упомянутая приводящая собачка содержит корпус собачки с приводящим зубом на корпусе, выполненным с возможностью такого взаимодействия с упомянутым приводящим стержнем, что, когда упомянутую рукоятку с ручным приводом приводят в действие, упомянутый приводящий зуб взаимодействует с упомянутым приводящим стержнем, чтобы вынуждать упомянутый приводящий стержень направлять упомянутые приводящие движения в упомянутый удлиненный корпус, и, когда концевой эффектор, сопрягающийся с упомянутым удлиненным корпусом, испытывает нагрузку запуска, которая превышает предварительно заданную величину нагрузки запуска, упомянутый приводящий зуб перемещается относительно упомянутого корпуса собачки для отцепления от упомянутого приводящего стержня, чтобы предотвратить дальнейшую передачу упомянутых приводящих движений в упомянутый удлиненный корпус,
Claims (20)
1. Хирургический инструмент, выполненный с возможностью применения с концевым эффектором, способным к выполнению хирургической операции, при этом хирургический сшивающий скобками инструмент содержит
удлиненный корпус, сопрягающийся с возможностью функционирования с концевым эффектором для передачи ему приводящих движений;
рукоятку с ручным приводом для создания упомянутых приводящих движений;
приводящий стержень, сопрягающийся с возможностью функционирования с упомянутым удлиненным корпусом и упомянутой рукояткой с ручным приводом, чтобы передавать упомянутые приводящие движения, создаваемые упомянутой рукояткой с ручным приводом, в упомянутый удлиненный корпус; и
приводящую собачку, сопрягающуюся с упомянутой рукояткой с ручным приводом, причем упомянутая приводящая собачка содержит корпус собачки с приводящим зубом на корпусе, выполненным с возможностью такого взаимодействия с упомянутым приводящим стержнем, что, когда упомянутую рукоятку с ручным приводом приводят в действие, упомянутый приводящий зуб взаимодействует с упомянутым приводящим стержнем, чтобы вынуждать упомянутый приводящий стержень направлять упомянутые приводящие движения в упомянутый удлиненный корпус, и, когда концевой эффектор, сопрягающийся с упомянутым удлиненным корпусом, испытывает нагрузку запуска, которая превышает предварительно заданную величину нагрузки запуска, упомянутый приводящий зуб перемещается относительно упомянутого корпуса собачки для отцепления от упомянутого приводящего стержня, чтобы предотвратить дальнейшую передачу упомянутых приводящих движений в упомянутый удлиненный корпус, даже если упомянутую рукоятку с ручным приводом продолжают приводить в действие.
2. Хирургический инструмент по п.1, в котором упомянутый приводящий зуб отделяется от упомянутого корпуса собачки, когда упомянутая нагрузка запуска превышает упомянутую предварительно заданную величину.
3. Хирургический инструмент по п.2, в котором упомянутый приводящий зуб прикреплен к упомянутому корпусу собачки в зоне прикрепления.
4. Хирургический инструмент по п.3, дополнительно содержащий зону поднутрения в упомянутом приводящем зубе вблизи упомянутой зоны прикрепления.
5. Хирургический инструмент по п.1, в котором упомянутый корпус собачки имеет ширину собачки, и при этом упомянутый приводящий зуб имеет ширину зуба, которая меньше, чем упомянутая ширина собачки.
6. Хирургический инструмент по п.3, в котором упомянутый приводящий зуб прикреплен к упомянутой зоне прикрепления клеем.
7. Хирургический инструмент по п.1, в котором на упомянутом приводящем стержне содержится зубчатая рейка, способная к приводящему зацеплению с упомянутым приводящим зубом.
8. Хирургический инструмент по п.7, в котором, по меньшей мере, некоторые из зубьев, входящих в состав зубчатой рейки, выполнены с возможностью подвижного расцепления с упомянутым приводящим зубом, когда упомянутая нагрузка запуска превышает упомянутую предварительно заданную величину.
9. Хирургический инструмент по п.1, в котором упомянутый приводящий зуб подвижно соединен с упомянутым корпусом собачки и удерживается в приводящем положении срезным элементом, который позволяет упомянутому приводящему зубу перемещаться относительно упомянутого корпуса собачки, когда концевой эффектор испытывает упомянутую нагрузку запуска, которая превышает предварительно заданную величину.
10. Способ обработки инструмента для хирургической операции, содержащий этапы, при которых получают хирургический инструмент по п.1;
стерилизуют хирургический инструмент; и
хранят хирургический инструмент в стерильном контейнере.
11. Способ по п.10, дополнительно содержащий этап ремонта или замены участка хирургического инструмента до упомянутой стерилизации.
12. Хирургический инструмент, выполненный с возможностью применения с концевым эффектором, способным к выполнению хирургической операции, при этом хирургический сшивающий скобками инструмент содержит
удлиненный корпус, сопрягающийся с возможностью функционирования с концевым эффектором для передачи ему приводящих движений;
рукоятку с ручным приводом для создания упомянутых приводящих движений;
приводящую собачку, сопрягающуюся с упомянутой рукояткой с ручным приводом; и
приводящий стержень, сопрягающийся с возможностью функционирования с упомянутым удлиненным корпусом для передачи ему упомянутых приводящих движений, при этом на упомянутом приводящем стержне содержится зубчатая рейка, выполненная с возможностью приводящего зацепления с упомянутой приводящей собачкой, и при этом, по меньшей мере, некоторые из зубьев, входящих в состав зубчатой рейки, выполнены с возможностью подвижного расцепления с упомянутой приводящей собачкой, когда концевой эффектор, сопрягающийся с упомянутым удлиненным корпусом, испытывает нагрузку запуска, которая превышает предварительно заданную величину нагрузки запуска.
13. Хирургический инструмент по п.12, в котором, по меньшей мере, некоторые из зубьев на зубчатой рейке выполнены с возможностью срезания с приводящего стержня упомянутой приводящей собачкой, когда концевой эффектор, сопрягающийся с упомянутым удлиненным корпусом, испытывает нагрузку запуска, которая превышает предварительно заданную величину нагрузки запуска.
14. Способ обработки инструмента для хирургической операции, содержащий этапы, при которых получают хирургический инструмент по п.12;
стерилизуют хирургический инструмент; и
хранят хирургический инструмент в стерильном контейнере.
15. Способ по п.14, дополнительно содержащий этап ремонта или замены участка хирургического инструмента до упомянутой стерилизации.
16. Хирургический сшивающий скобками аппарат, содержащий
узел рукоятки;
подвижную рукоятку, установленную с возможностью функционирования на упомянутом узле рукоятки;
удлиненный шток управления, конструктивно выполненный с возможностью сопряжения с одноразовым загрузочным модулем;
приводящий стержень, установленный с возможностью функционирования с помощью узла рукоятки и сопрягающийся с упомянутой подвижной рукояткой и упомянутым удлиненным штоком управления для передачи приводящих движений, создаваемых упомянутой подвижной рукояткой, упомянутому удлиненному штоку управления;
приводящую собачку, сопрягающуюся с упомянутой подвижной рукояткой, причем упомянутая приводящая собачка содержит корпус собачки с приводящим зубом на корпусе, выполненным с возможностью такого взаимодействия с упомянутым приводящим стержнем, что, когда упомянутую подвижную рукоятку приводят в действие, упомянутый приводящий зуб взаимодействует с упомянутым приводящим стержнем, чтобы вынуждать упомянутый приводящий стержень направлять упомянутые приводящие движения упомянутому удлиненному штоку управления, и, когда одноразовый загрузочный модуль, сопрягающийся с упомянутым удлиненным штоком управления испытывает нагрузку запуска, которая превышает предварительно заданную величину нагрузки запуска, упомянутый приводящий зуб перемещается относительно упомянутого корпуса собачки для отцепления от упомянутого приводящего стержня, чтобы предотвратить дальнейшую передачу упомянутых приводящих движений упомянутому удлиненному штоку управления, даже если упомянутую рукоятку с ручным приводом продолжают приводить в действие.
17. Хирургический сшивающий скобками аппарат по п.16, в котором упомянутый шток управления может перемещаться между выдвинутыми положениями и отведенным положением, и, при этом, когда упомянутая нагрузка запуска, испытываемая упомянутым одноразовым загрузочным модулем, превышает упомянутую предварительно заданную величину, упомянутый шток управления может быть перемещен в упомянутое отведенное положение.
18. Хирургический сшивающий скобками аппарат по п.16, в котором на упомянутом приводящем стержне содержится зубчатая рейка, способная к приводящему зацеплению с упомянутым приводящим зубом, и при этом, по меньшей мере, некоторые из зубьев, входящих в состав зубчатой рейки, выполнены с возможностью подвижного расцепления с упомянутым приводящим зубом, когда упомянутая нагрузка запуска превышает упомянутую предварительно заданную величину.
19. Способ обработки инструмента для хирургической операции, содержащий этапы, при которых получают хирургический сшивающий скобками аппарат по п.16;
стерилизуют хирургический сшивающий скобками аппарат; и
хранят хирургический сшивающий скобками аппарат в стерильном контейнере.
20. Способ по п.19, дополнительно содержащий этап ремонта или замены участка хирургического сшивающий скобками аппарата до упомянутой стерилизации.
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US12/031,368 US8584919B2 (en) | 2008-02-14 | 2008-02-14 | Surgical stapling apparatus with load-sensitive firing mechanism |
US12/031,368 | 2008-02-14 |
Publications (2)
Publication Number | Publication Date |
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RU2009105141A true RU2009105141A (ru) | 2010-08-20 |
RU2499567C2 RU2499567C2 (ru) | 2013-11-27 |
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Application Number | Title | Priority Date | Filing Date |
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RU2009105141/14A RU2499567C2 (ru) | 2008-02-14 | 2009-02-13 | Хирургический сшивающий аппарат с механизмом запуска, чувствительным к нагрузке |
Country Status (6)
Country | Link |
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US (2) | US8584919B2 (ru) |
EP (1) | EP2090246B1 (ru) |
JP (1) | JP5478907B2 (ru) |
CN (1) | CN101507631B (ru) |
BR (1) | BRPI0901656B8 (ru) |
RU (1) | RU2499567C2 (ru) |
Families Citing this family (706)
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-
2008
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JP2009189822A (ja) | 2009-08-27 |
US8584919B2 (en) | 2013-11-19 |
RU2499567C2 (ru) | 2013-11-27 |
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EP2090246B1 (en) | 2020-04-22 |
US8657178B2 (en) | 2014-02-25 |
JP5478907B2 (ja) | 2014-04-23 |
BRPI0901656B1 (pt) | 2020-02-18 |
EP2090246A2 (en) | 2009-08-19 |
BRPI0901656A2 (pt) | 2010-11-16 |
US20120286019A1 (en) | 2012-11-15 |
EP2090246A3 (en) | 2012-12-05 |
CN101507631B (zh) | 2012-11-28 |
CN101507631A (zh) | 2009-08-19 |
BRPI0901656B8 (pt) | 2021-06-22 |
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