RU2012118642A - Хирургический сшивающий инструмент с углублением для скобки - Google Patents
Хирургический сшивающий инструмент с углублением для скобки Download PDFInfo
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- RU2012118642A RU2012118642A RU2012118642/14A RU2012118642A RU2012118642A RU 2012118642 A RU2012118642 A RU 2012118642A RU 2012118642/14 A RU2012118642/14 A RU 2012118642/14A RU 2012118642 A RU2012118642 A RU 2012118642A RU 2012118642 A RU2012118642 A RU 2012118642A
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- surgical stapling
- stapling instrument
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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
- A61B17/064—Surgical staples, i.e. penetrating the tissue
- A61B17/0644—Surgical staples, i.e. penetrating the tissue penetrating the tissue, deformable to closed position
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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
- A61B17/0682—Surgical staplers, e.g. containing multiple staples or clamps for applying U-shaped staples or clamps, e.g. without a forming anvil
- A61B17/0686—Surgical staplers, e.g. containing multiple staples or clamps for applying U-shaped staples or clamps, e.g. without a forming anvil having a forming anvil staying below the tissue during stapling
-
- 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
-
- 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
- A61B2017/07214—Stapler heads
- A61B2017/07257—Stapler heads characterised by its anvil
- A61B2017/07264—Stapler heads characterised by its anvil characterised by its staple forming cavities, e.g. geometry or material
-
- 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
- A61B2017/07214—Stapler heads
- A61B2017/07285—Stapler heads characterised by its cutter
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
- Portable Nailing Machines And Staplers (AREA)
Abstract
1. Хирургический сшивающий инструмент, содержащий:узел упорной пластины, включающий:обращенную к ткани поверхность;множество углублений для скобки, сформированных на указанной обращенной к ткани поверхности, причем каждое указанное углубление для скобки включает:продольную ось углубления для скобки,первую формирующую лунку, включающую:первую внутреннюю часть;первую наружную часть; ипервую внутреннюю боковую стенку, расположенную между указанной первой наружной частью и указанной первой внутренней частью, причем указанная первая внутренняя боковая стенка включает первую вертикальную часть, которая по существу перпендикулярна указанной обращенной к ткани поверхности; ивторую формирующую лунку, включающую:вторую внутреннюю часть;вторую наружную часть, причем указанная первая внутренняя часть размещена в непосредственной близости к указанной второй внутренней части, причем указанная первая внутренняя часть и указанная вторая внутренняя часть расположены со смещением относительно указанной продольной оси углубления для скобки, причем указанная первая наружная часть и указанная вторая наружная часть находятся на противоположных сторонах указанной первой внутренней части и указанной второй внутренней части, и указанная первая наружная часть и указанная вторая наружная часть расположены на линии, проходящей под некоторым углом к указанной продольной оси углубления для скобки; ивторую внутреннюю боковую стенку, расположенную между указанной второй наружной частью и указанной второй внутренней частью, причем указанная вторая внутренняя боковая стенка включает вторую вертикальную часть, котора
Claims (20)
1. Хирургический сшивающий инструмент, содержащий:
узел упорной пластины, включающий:
обращенную к ткани поверхность;
множество углублений для скобки, сформированных на указанной обращенной к ткани поверхности, причем каждое указанное углубление для скобки включает:
продольную ось углубления для скобки,
первую формирующую лунку, включающую:
первую внутреннюю часть;
первую наружную часть; и
первую внутреннюю боковую стенку, расположенную между указанной первой наружной частью и указанной первой внутренней частью, причем указанная первая внутренняя боковая стенка включает первую вертикальную часть, которая по существу перпендикулярна указанной обращенной к ткани поверхности; и
вторую формирующую лунку, включающую:
вторую внутреннюю часть;
вторую наружную часть, причем указанная первая внутренняя часть размещена в непосредственной близости к указанной второй внутренней части, причем указанная первая внутренняя часть и указанная вторая внутренняя часть расположены со смещением относительно указанной продольной оси углубления для скобки, причем указанная первая наружная часть и указанная вторая наружная часть находятся на противоположных сторонах указанной первой внутренней части и указанной второй внутренней части, и указанная первая наружная часть и указанная вторая наружная часть расположены на линии, проходящей под некоторым углом к указанной продольной оси углубления для скобки; и
вторую внутреннюю боковую стенку, расположенную между указанной второй наружной частью и указанной второй внутренней частью, причем указанная вторая внутренняя боковая стенка включает вторую вертикальную часть, которая по существу перпендикулярна указанной обращенной к ткани поверхности.
2. Хирургический сшивающий инструмент по п.1, в котором указанная первая вертикальная часть указанной первой внутренней поверхности перпендикулярна указанной обращенной к ткани поверхности и указанная вторая вертикальная часть указанной второй внутренней поверхности перпендикулярна указанной обращенной к ткани поверхности.
3. Хирургический сшивающий инструмент по п.2, в котором указанная первая внутренняя боковая стенка дополнительно включает первую наклонную часть, которая ориентирована под острым углом к указанной обращенной к ткани поверхности, причем указанная первая наклонная часть размещена снаружи относительно указанной первой вертикальной части, при этом указанная вторая внутренняя боковая стенка дополнительно включает вторую наклонную часть, которая ориентирована под острым углом к указанной обращенной к ткани поверхности, и при этом указанная вторая наклонная часть размещена снаружи относительно указанной второй вертикальной части.
4. Хирургический сшивающий инструмент по п.1, в котором указанная первая вертикальная часть пересекает указанную продольную ось углубления для скобки, при этом указанная вторая вертикальная часть пересекает указанную продольную ось углубления для скобки.
5. Хирургический сшивающий инструмент по п.1, в котором указанная первая внутренняя часть и указанная вторая внутренняя часть разделены стенкой, причем указанная стенка задается указанной первой внутренней боковой стенкой и указанной второй внутренней боковой стенкой.
6. Хирургический сшивающий инструмент по п.1, в котором указанная первая внутренняя часть задается первой шириной и указанная первая наружная часть задается второй шириной, причем указанная вторая ширина превышает указанную первую ширину.
7. Хирургический сшивающий инструмент по п.1, в котором указанная первая формирующая лунка дополнительно включает первую внешнюю боковую стенку, указанная вторая формирующая лунка дополнительно включает вторую внешнюю боковую стенку, причем указанная первая внутренняя боковая стенка и указанная первая внешняя боковая стенка ориентированы под острым углом друг к другу, и при этом указанная вторая внутренняя боковая стенка и указанная вторая внешняя боковая стенка ориентированы под острым углом друг к другу.
8. Хирургический сшивающий инструмент по п.7, в котором указанная первая формирующая лунка включает первое вытянутое основание, причем указанное первое вытянутое основание вогнуто в направлении вдоль указанной продольной оси углубления для скобки, при этом указанная вторая формирующая лунка включает второе вытянутое основание, и причем указанное второе вытянутое основание вогнуто в направлении вдоль указанной продольной оси углубления для скобки.
9. Хирургический сшивающий инструмент по п.8, в котором указанное первое вытянутое основание задается радиусом кривизны (r), и указанная первая вертикальная часть задается длиной в диапазоне от приблизительно 0,5*r до приблизительно 2,0*r.
10. Хирургический сшивающий инструмент по п.1, в котором указанная первая внутренняя боковая стенка параллельна указанной второй внутренней боковой стенке.
11. Хирургический сшивающий инструмент, содержащий:
узел упорной пластины, включающий:
обращенную к ткани поверхность;
множество углублений для скобки, сформированных на указанной обращенной к ткани поверхности, причем каждое указанное углубление для скобки включает:
продольную ось углубления для скобки,
первую формирующую лунку, включающую:
первую внутреннюю часть;
первую наружную часть; и
первую внутреннюю боковую стенку, расположенную между указанной первой наружной частью и указанной первой внутренней частью, причем указанная первая внутренняя боковая стенка включает первую вертикальную часть, которая по существу перпендикулярна указанной обращенной к ткани поверхности; и
вторую формирующую лунку, включающую:
вторую внутреннюю часть;
вторую наружную часть, причем указанная первая внутренняя часть размещена в непосредственной близости к указанной второй внутренней части, причем указанная первая внутренняя часть и указанная вторая внутренняя часть расположены со смещением относительно указанной продольной оси углубления для скобки, причем указанная первая наружная часть и указанная вторая наружная часть находятся на противоположных сторонах указанной первой внутренней части и указанной второй внутренней части; и
вторую внутреннюю боковую стенку, расположенную между указанной второй наружной частью и указанной второй внутренней частью, причем указанная вторая внутренняя боковая стенка включает вторую вертикальную часть, которая по существу перпендикулярна указанной обращенной к ткани поверхности, причем указанная первая вертикальная часть и указанная вторая вертикальная часть проходят вдоль указанной продольной оси углубления для скобки, и указанная первая внутренняя поверхность и указанная вторая внутренняя поверхность образуют упор для деформирования первой ножки скобки в первую сторону от указанной продольной оси углубления для скобки и деформирования второй ножки скобки во вторую сторону от указанной продольной оси углубления для скобки.
12. Хирургический сшивающий инструмент по п.11, в котором указанная первая вертикальная часть указанной первой внутренней поверхности перпендикулярна указанной обращенной к ткани поверхности, и при этом указанная вторая вертикальная часть указанной второй внутренней поверхности перпендикулярна указанной обращенной к ткани поверхности.
13. Хирургический сшивающий инструмент по п.12, в котором указанная первая внутренняя боковая стенка дополнительно включает первую наклонную часть, которая ориентирована под острым углом к указанной обращенной к ткани поверхности, причем указанная первая наклонная часть размещена снаружи относительно указанной первой вертикальной части, при этом указанная вторая внутренняя боковая стенка дополнительно включает вторую наклонная часть, которая ориентирована под острым углом к указанной обращенной к ткани поверхности, причем указанная вторая наклонная часть размещена снаружи относительно указанной второй вертикальной части.
14. Хирургический сшивающий инструмент по п.11, в котором указанная первая внутренняя часть и указанная вторая внутренняя часть разделены стенкой, причем указанная стенка задается указанной первой внутренней боковой стенкой и указанной второй внутренней боковой стенкой.
15. Хирургический сшивающий инструмент по п.11, в котором указанная первая внутренняя часть задается первой шириной и указанная первая наружная часть задается второй шириной, причем указанная вторая ширина превышает указанную первую ширину.
16. Хирургический сшивающий инструмент по п.11, в котором указанная первая формирующая лунка дополнительно включает первую внешнюю боковую стенку, указанная вторая формирующая лунка дополнительно включает вторую внешнюю боковую стенку, причем указанная первая внутренняя боковая стенка и указанная первая внешняя боковая стенка ориентированы под острым углом друг к другу, при этом указанная вторая внутренняя боковая стенка и указанная вторая внешняя боковая стенка ориентированы под острым углом друг к другу.
17. Хирургический сшивающий инструмент по п.16, в котором указанная первая формирующая лунка включает первое вытянутое основание, причем указанное первое вытянутое основание вогнуто в направлении вдоль указанной продольной оси углубления для скобки, и указанная вторая формирующая лунка включает второе вытянутое основание, причем указанное второе вытянутое основание вогнуто в направлении вдоль указанной продольной оси углубления для скобки.
18. Хирургический сшивающий инструмент по п.17, в котором указанное первое вытянутое основание задается радиусом кривизны (r), причем указанная первая вертикальная часть задается длиной в диапазоне от приблизительно 0,5*r до приблизительно 2,0*r.
19. Хирургический сшивающий инструмент по п.11, в котором указанная первая внутренняя боковая стенка параллельна указанной второй внутренней боковой стенке.
20. Хирургический сшивающий инструмент по п.11, дополнительно включающий скобку, которая по меньшей мере частично покрыта по меньшей мере одним из политетрафторэтилена и силикона.
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US12/622,113 | 2009-11-19 | ||
US12/622,113 US8141762B2 (en) | 2009-10-09 | 2009-11-19 | Surgical stapler comprising a staple pocket |
PCT/US2010/051288 WO2011044026A2 (en) | 2009-10-09 | 2010-10-04 | Surgical stapler comprising a staple pocket |
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RU2012118642A true RU2012118642A (ru) | 2013-11-20 |
RU2538048C2 RU2538048C2 (ru) | 2015-01-10 |
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RU2012118669/14A RU2552883C2 (ru) | 2009-10-09 | 2010-10-04 | Хирургический сшивающий инструмент, имеющий запорный механизм |
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US (3) | US8348129B2 (ru) |
EP (2) | EP2485656B1 (ru) |
CN (2) | CN102573663B (ru) |
AU (2) | AU2010303708B2 (ru) |
BR (2) | BR112012008269B8 (ru) |
CA (2) | CA2777039C (ru) |
IN (2) | IN2012DN02855A (ru) |
PL (2) | PL2485656T3 (ru) |
RU (2) | RU2538048C2 (ru) |
WO (3) | WO2011044026A2 (ru) |
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US5865361A (en) | 1997-09-23 | 1999-02-02 | United States Surgical Corporation | Surgical stapling apparatus |
US10835307B2 (en) | 2001-06-12 | 2020-11-17 | Ethicon Llc | Modular battery powered handheld surgical instrument containing elongated multi-layered shaft |
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