RU2013118683A - Элементы шарнирного сочленения шарнирного хирургического инструмента - Google Patents

Элементы шарнирного сочленения шарнирного хирургического инструмента Download PDF

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RU2013118683A
RU2013118683A RU2013118683/14A RU2013118683A RU2013118683A RU 2013118683 A RU2013118683 A RU 2013118683A RU 2013118683/14 A RU2013118683/14 A RU 2013118683/14A RU 2013118683 A RU2013118683 A RU 2013118683A RU 2013118683 A RU2013118683 A RU 2013118683A
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hinge
electrosurgical device
hinge portion
barrel
jaw
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RU2577811C2 (ru
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Бэрри К. УОРРЕЛЛ
Чэд П. БУДРО
Шон П. КОНЛОН
Гэри В. НАЙТ
Мэттью К. МИЛЛЕР
Чарльз Дж. ШЕЙБ
IV Фредерик Э. IV ШЕЛТОН
Джеффри С. СТРОБЛ
Джеффри С. СВЭЙЗИ
Грегори А. ТРИС
Аарон К. ВЕГЕЛЬ
Чарльз С. БЛЭК
Крина Б. МОУДИ
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Этикон Эндо-Серджери, Инк.
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1442—Probes having pivoting end effectors, e.g. forceps
    • A61B18/1445—Probes having pivoting end effectors, e.g. forceps at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
    • A61B18/1447—Probes having pivoting end effectors, e.g. forceps at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod wherein sliding surfaces cause opening/closing of the end effectors
    • 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
    • A61B17/295—Forceps for use in minimally invasive surgery combined with cutting implements
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1442—Probes having pivoting end effectors, e.g. forceps
    • A61B18/1445—Probes having pivoting end effectors, e.g. forceps at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/003—Steerable
    • A61B2017/00305—Constructional details of the flexible means
    • A61B2017/00314—Separate linked members
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00601—Cutting
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/0063—Sealing
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/1206—Generators therefor
    • A61B2018/1246—Generators therefor characterised by the output polarity
    • A61B2018/126—Generators therefor characterised by the output polarity bipolar
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1442—Probes having pivoting end effectors, e.g. forceps
    • A61B2018/1452—Probes having pivoting end effectors, e.g. forceps including means for cutting
    • A61B2018/1455—Probes having pivoting end effectors, e.g. forceps including means for cutting having a moving blade for cutting tissue grasped by the jaws

Abstract

1. Электрохирургическое устройство, включающее(a) корпус;(b) концевой зажим, включающий в себя:(i) первую браншу, и(ii) вторую браншу,причем первая бранша подвижна по отношению ко второй бранше для зажатия ткани между первой и второй браншами,причем, по меньшей мере, одна из браншей имеет, по меньшей мере, один электрод,причем, по меньшей мере, один электрод выполнен с возможностью доставки радиочастотной энергии в ткань, зажатую между первой и второй браншами;(c) режущий элемент, выполненный с возможностью резать ткань, зажатую между первой и второй браншами, и(d) ствол, проходящий между корпусом и концевым зажимом, причем ствол определяет продольную ось, причем ствол включает в себя шарнирную часть, причем шарнирная часть выполнена с возможностью размещения концевого зажима в непараллельных положениях по отношению к продольной оси ствола.2. Электрохирургическое устройство по п. 1, в котором шарнирная часть включает в себя валики, причем валики расположены рядом друг с другом.3. Электрохирургическое устройство по п. 1, в котором шарнирная часть включает в себя валики, причем валики включают в себя дополнительные штыри и проходы, причем каждый штырь расположен в проходе другого валика так, что все валики поворотно соединены штырями.4. Электрохирургическое устройство по п. 1, в котором шарнирная часть образована блокирующими сегментами, причем блокирующие сегменты блокируют шарнирную часть в шарнирной конфигурации.5. Электрохирургическое устройство по п. 1, в котором шарнирная часть образована сегментами, причем сегменты включают в себя электрические контакты для подачи электроэнергии через шарнирную часть, причем шарн�

Claims (20)

1. Электрохирургическое устройство, включающее
(a) корпус;
(b) концевой зажим, включающий в себя:
(i) первую браншу, и
(ii) вторую браншу,
причем первая бранша подвижна по отношению ко второй бранше для зажатия ткани между первой и второй браншами,
причем, по меньшей мере, одна из браншей имеет, по меньшей мере, один электрод,
причем, по меньшей мере, один электрод выполнен с возможностью доставки радиочастотной энергии в ткань, зажатую между первой и второй браншами;
(c) режущий элемент, выполненный с возможностью резать ткань, зажатую между первой и второй браншами, и
(d) ствол, проходящий между корпусом и концевым зажимом, причем ствол определяет продольную ось, причем ствол включает в себя шарнирную часть, причем шарнирная часть выполнена с возможностью размещения концевого зажима в непараллельных положениях по отношению к продольной оси ствола.
2. Электрохирургическое устройство по п. 1, в котором шарнирная часть включает в себя валики, причем валики расположены рядом друг с другом.
3. Электрохирургическое устройство по п. 1, в котором шарнирная часть включает в себя валики, причем валики включают в себя дополнительные штыри и проходы, причем каждый штырь расположен в проходе другого валика так, что все валики поворотно соединены штырями.
4. Электрохирургическое устройство по п. 1, в котором шарнирная часть образована блокирующими сегментами, причем блокирующие сегменты блокируют шарнирную часть в шарнирной конфигурации.
5. Электрохирургическое устройство по п. 1, в котором шарнирная часть образована сегментами, причем сегменты включают в себя электрические контакты для подачи электроэнергии через шарнирную часть, причем шарнирная часть далее включает в себя один или более упругих элементов смещенных для отсоединения контактов друг от друга.
6. Электрохирургическое устройство по п. 1, в котором шарнирная часть имеет конфигурацию, которая является асимметричной относительно продольной оси, определяемой шарнирной частью, когда шарнирная часть в прямом положении, причем шарнирная часть сформирована множеством ассиметричных валиков.
7. Электрохирургическое устройство по п. 1, в котором шарнирная часть включает в себя эластичный элемент для изогнутой конфигурации.
8. Электрохирургическое устройство по п. 7, в котором шарнирная часть включает в себя подвижный элемент, причем подвижный элемент выдвигается для выправления эластичного элемента.
9. Электрохирургическое устройство по п. 1, в котором шарнирная часть включает в себя первую трубчатую часть и вторую трубчатую часть, причем первая трубчатая часть включает в себя встроенную шарнирную проекцию, причем вторая трубчатая часть включает в себя шарнирное отверстие, причем шарнирная проекция расположена в шарнирном отверстии части и формирует шарнир так, что первая трубчатая часть поворотная по отношению ко второй трубчатой части в шарнире.
10. Электрохирургическое устройство по п. 1, в котором шарнирная часть включает в себя спиральные углубления в стволе.
11. Электрохирургическое устройство по п. 1, в котором шарнирная часть включает в себя спиральные пружины, соосно выровненные со стволом.
12. Электрохирургическое устройство по п. 1, в котором шарнирная часть включает в себя скобу, причем концевой зажим включает в себя скобу, причем скоба ствола поворотно соединена со скобой концевого зажима для формирования шарнирной части.
13. Электрохирургическое устройство по п.12, в котором режущий элемент, пара шарнирных кабелей и провод проходят через шарнирную часть.
14. Электрохирургическое устройство по п. 1, в котором шарнирная часть включает в себя:
(i) эластичный элемент для изогнутой конфигурации, и
(ii) стержень, который перемещается внутри эластичного элемента для выпрямления эластичного элемента на основании продольного положения стержня с эластичным элементом.
15. Электрохирургическое устройство по п. 1, в котором шарнирная часть выполнена для непрямой конфигурации, причем режущий элемент состоит из соединенных валиков, проходящих через шарнирную часть, причем соединенные валики передают продольное движение через шарнирную часть.
16. Электрохирургическое устройство по п. 1, в котором шарнирная часть включает в себя смещенный стержень, размещенный латерально к и перпендикулярно к продольной оси ствола, причем концевой зажим поворотный относительно смещенного стержня.
17. Электрохирургическое устройство по п. 1, в котором концевой зажим снимается со ствола, причем концевой зажим может соединяться со стволом при двух и более углах по отношению к стволу.
18. Электрохирургическое устройство по п. 1, в котором режущий элемент включает в себя гофрированную часть.
19. Хирургический инструмент, включающий в себя:
(a) корпус;
(b) концевой зажим, включающий в себя:
(i) первую браншу, и
(ii) вторую браншу,
причем первая бранша подвижна по отношению ко второй бранше для зажатия ткани между первой и второй браншами,
(c) режущий элемент, выполненный с возможностью резать ткань, зажатую между первой и второй браншами, и
(d) ствол, проходящий между корпусом и концевым зажимом,
причем хирургический инструмент дополнительно включает в себя один или оба из следующих пунктов:
(i) режуще-сшивающая полоса, связанная с режущим элементом, причем вторая бранша включает в себя элемент для перенаправления режуще-сшивающей полосы, так что режуще-сшивающая полоса выдвигает режущий элемент дистально в ответ на проксимальное вытягивание режуще-сшивающей полосы, или
(ii) функция поворота в концевом зажиме, причем первая бранша и вторая бранша являются поворотными по отношению к функции поворота так, что первая бранша и вторая бранша могут поворачиваться к и от себя.
20. Электрохирургическое устройство, включающее в себя:
(a) корпус;
(b) концевой зажим, включающий в себя:
(i) первую браншу, и
(ii) вторую браншу,
причем первая бранша подвижна по отношению ко второй бранше для зажатия ткани между первой и второй браншами,
причем, по меньшей мере, одна из браншей имеет электрод,
причем хотя бы один электрод выполнен с возможностью доставки радиочастотной энергии в ткани, зажатые между первой и второй браншами;
(c) ствол, проходящий между корпусом и концевым зажимом, причем ствол определяет продольную ось, причем ствол включает в себя шарнирную часть, причем шарнирная часть выполнена с возможностью размещения концевого зажима в непараллельных положениях по отношению к продольной оси ствола
(d) провод, проходящий через шарнирную часть, причем провод выполнен с возможностью подачи электроэнергии, по меньшей мере, на электроде, и
(e) узел натяжения, причем узел натяжения выполнен с возможностью упругого поддерживания напряжение в проводе.
RU2013118683/14A 2010-09-24 2011-09-22 Элементы шарнирного сочленения шарнирного хирургического инструмента RU2577811C2 (ru)

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US9402682B2 (en) 2016-08-02
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US11406443B2 (en) 2022-08-09
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