RU2011106944A - Перезаряжаемое лапароскопическое устройство для наложения соединительных элементов с одноразовым картриджем для использования во время операции рестриктивной гастропластики - Google Patents

Перезаряжаемое лапароскопическое устройство для наложения соединительных элементов с одноразовым картриджем для использования во время операции рестриктивной гастропластики Download PDF

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RU2011106944A
RU2011106944A RU2011106944/14A RU2011106944A RU2011106944A RU 2011106944 A RU2011106944 A RU 2011106944A RU 2011106944/14 A RU2011106944/14 A RU 2011106944/14A RU 2011106944 A RU2011106944 A RU 2011106944A RU 2011106944 A RU2011106944 A RU 2011106944A
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Prior art keywords
cartridge
specified
hollow body
replacing
needle
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RU2011106944/14A
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Марк С. ЗАЙНЕР (US)
Марк С. ЗАЙНЕР
Джейсон Л. ХАРРИС (US)
Джейсон Л. ХАРРИС
Майкл Дж. СТОУКС (US)
Майкл Дж. СТОУКС
Мэттью Д. ХОЛКОМБ (US)
Мэттью Д. ХОЛКОМБ
Марк С. ОРТИЗ (US)
Марк С. ОРТИЗ
Юджин Л. ТИМПЕРМАН (US)
Юджин Л. ТИМПЕРМАН
Алекс П. КОНДОР (US)
Алекс П. КОНДОР
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Этикон Эндо-Серджери, Инк. (Us)
Этикон Эндо-Серджери, Инк.
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Publication of RU2011106944A publication Critical patent/RU2011106944A/ru

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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
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • 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
    • A61B90/90—Identification means for patients or instruments, e.g. tags
    • A61B90/92—Identification means for patients or instruments, e.g. tags coded with colour
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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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
    • A61B90/90—Identification means for patients or instruments, e.g. tags
    • A61B90/94—Identification means for patients or instruments, e.g. tags coded with symbols, e.g. text
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices ; Anti-rape devices
    • A61F5/0003—Apparatus for the treatment of obesity; Anti-eating devices
    • A61F5/0013—Implantable devices or invasive measures
    • A61F5/0083—Reducing the size of the stomach, e.g. gastroplasty
    • A61F5/0086—Reducing the size of the stomach, e.g. gastroplasty using clamps, folding means or the like
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    • A61B17/0493—Protective devices for suturing, i.e. for protecting the patient's organs or the operator
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    • A—HUMAN NECESSITIES
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    • 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
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0464—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors for soft tissue
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
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    • A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • A61B2017/0475—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery using sutures having a slip knot
    • 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
    • A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • A61B2017/0477—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery with pre-tied sutures
    • 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
    • A61B2017/0496—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials for tensioning sutures
    • 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
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B2017/06052—Needle-suture combinations in which a suture is extending inside a hollow tubular needle, e.g. over the entire length of the needle
    • A—HUMAN NECESSITIES
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    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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    • A61B17/2909—Handles
    • A61B2017/2912—Handles transmission of forces to actuating rod or piston
    • A61B2017/2913—Handles transmission of forces to actuating rod or piston cams or guiding means
    • A61B2017/2916—Handles transmission of forces to actuating rod or piston cams or guiding means pins in guiding slots
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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    • A61B17/2909—Handles
    • A61B2017/2912—Handles transmission of forces to actuating rod or piston
    • A61B2017/2919—Handles transmission of forces to actuating rod or piston details of linkages or pivot points
    • A61B2017/292—Handles transmission of forces to actuating rod or piston details of linkages or pivot points connection of actuating rod to handle, e.g. ball end in recess
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    • A61B2017/2912—Handles transmission of forces to actuating rod or piston
    • A61B2017/2923—Toothed members, e.g. rack and pinion

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  • Vascular Medicine (AREA)
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Abstract

1. Способ наложения соединительных элементов в теле пациента, включающий следующие этапы: ! a. предоставление устройства, содержащего рукоятку и по меньшей мере один привод, при этом указанная рукоятка соединена с вытянутым полым корпусом, имеющим дистальный и проксимальный концы и иглу в указанном полом корпусе, первый картридж, содержащий по меньшей мере один съемный соединительный элемент, присоединенный к указанному дистальному концу указанного полого корпуса, при этом указанный соединительный элемент, по меньшей мере частично размещен внутри указанной иглы и включает по меньшей мере два фиксатора, соединенных вместе неупругой гибкой нитью, не оказывающей сопротивления деформации под давлением; ! b. введение указанного дистального конца указанного полого корпуса в намеченный участок тела пациента и соединение ткани вместе внутри тела путем наложения указанного соединительного элемента; ! c. извлечение первого картриджа из рукоятки и замена его на второй картридж. ! 2. Способ по п.1, дополнительно включающий удержание указанного дистального конца полого корпуса на намеченном участке при извлечении первого картриджа и его замене вторым картриджем. ! 3. Способ по п.2, дополнительно включающий полное втягивание иглы в полый корпус при извлечении первого картриджа и его замене вторым картриджем. ! 4. Способ по п.1, дополнительно включающий инсуффлирование тела и по существу поддержание инсуффлирования при извлечении первого картриджа и его замене вторым картриджем.

Claims (4)

1. Способ наложения соединительных элементов в теле пациента, включающий следующие этапы:
a. предоставление устройства, содержащего рукоятку и по меньшей мере один привод, при этом указанная рукоятка соединена с вытянутым полым корпусом, имеющим дистальный и проксимальный концы и иглу в указанном полом корпусе, первый картридж, содержащий по меньшей мере один съемный соединительный элемент, присоединенный к указанному дистальному концу указанного полого корпуса, при этом указанный соединительный элемент, по меньшей мере частично размещен внутри указанной иглы и включает по меньшей мере два фиксатора, соединенных вместе неупругой гибкой нитью, не оказывающей сопротивления деформации под давлением;
b. введение указанного дистального конца указанного полого корпуса в намеченный участок тела пациента и соединение ткани вместе внутри тела путем наложения указанного соединительного элемента;
c. извлечение первого картриджа из рукоятки и замена его на второй картридж.
2. Способ по п.1, дополнительно включающий удержание указанного дистального конца полого корпуса на намеченном участке при извлечении первого картриджа и его замене вторым картриджем.
3. Способ по п.2, дополнительно включающий полное втягивание иглы в полый корпус при извлечении первого картриджа и его замене вторым картриджем.
4. Способ по п.1, дополнительно включающий инсуффлирование тела и по существу поддержание инсуффлирования при извлечении первого картриджа и его замене вторым картриджем.
RU2011106944/14A 2008-07-25 2009-07-23 Перезаряжаемое лапароскопическое устройство для наложения соединительных элементов с одноразовым картриджем для использования во время операции рестриктивной гастропластики RU2011106944A (ru)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US12/179,600 2008-07-25
US12/179,600 US20100023025A1 (en) 2008-07-25 2008-07-25 Reloadable laparoscopic fastener deploying device with disposable cartridge for use in a gastric volume reduction procedure

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RU2011106944A true RU2011106944A (ru) 2012-08-27

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US (1) US20100023025A1 (ru)
EP (1) EP2317932A2 (ru)
JP (1) JP2011528952A (ru)
CN (1) CN102143711A (ru)
BR (1) BRPI0916860A2 (ru)
CA (1) CA2731844A1 (ru)
RU (1) RU2011106944A (ru)
WO (1) WO2010011826A2 (ru)

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BRPI0916860A2 (pt) 2016-02-10
CA2731844A1 (en) 2010-01-28
US20100023025A1 (en) 2010-01-28
EP2317932A2 (en) 2011-05-11
WO2010011826A2 (en) 2010-01-28
JP2011528952A (ja) 2011-12-01

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