RU2013120014A - Хирургический сшивающий инструмент с заменяемыми кассетами со скобками - Google Patents
Хирургический сшивающий инструмент с заменяемыми кассетами со скобками Download PDFInfo
- Publication number
- RU2013120014A RU2013120014A RU2013120014/14A RU2013120014A RU2013120014A RU 2013120014 A RU2013120014 A RU 2013120014A RU 2013120014/14 A RU2013120014/14 A RU 2013120014/14A RU 2013120014 A RU2013120014 A RU 2013120014A RU 2013120014 A RU2013120014 A RU 2013120014A
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- Prior art keywords
- distal end
- end effector
- specified
- central element
- surgical instrument
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- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
- Y10T29/00—Metal working
- Y10T29/49—Method of mechanical manufacture
- Y10T29/49826—Assembling or joining
- Y10T29/49863—Assembling or joining with prestressing of part
Abstract
1. Хирургический инструмент, включающий:узел рукоятки;удлиненный узел штока, смонтированный на указанном узле рукоятки и выступающий из нее, причем указанный удлиненный узел штока включает:удлиненный центральный элемент, который имеет дистальный конец, предназначенный для съемного присоединения концевого эффектора, а такжепусковую трубку, способную аксиально перемещаться вдоль указанного удлиненного центрального элемента, и взаимодействовать с пусковой системой, которая поддерживается указанным узлом рукоятки, чтобы заставлять указанную пусковую трубку избирательно двигаться на указанном центральном элементе таким образом, что указанная пусковая трубка может выборочно перемещаться в аксиальном направлении из неактивного положения, в котором дистальный конец центрального элемента съемным образом соединяется с частью концевого эффектора, в положение зацепления, в котором дистальная часть указанной пусковой трубки удерживает указанную часть указанного концевого эффектора в зацеплении с указанным дистальным концом указанного центрального элемента, причем указанная пусковая трубка способна совершать дальнейшее избирательное аксиальное перемещение в положения активирования, избирательно прилагая по меньшей мере одно движение активирования к концевому эффектору, соединенному с указанным дистальным концом указанного центрального элемента.2. Хирургический инструмент по п. 1, в котором указанный дистальный конец указанного удлиненного центрального элемента способен избирательно соединиться с одним из первого концевого эффектора и второго концевого эффектора, причем первый указанный концев
Claims (20)
1. Хирургический инструмент, включающий:
узел рукоятки;
удлиненный узел штока, смонтированный на указанном узле рукоятки и выступающий из нее, причем указанный удлиненный узел штока включает:
удлиненный центральный элемент, который имеет дистальный конец, предназначенный для съемного присоединения концевого эффектора, а также
пусковую трубку, способную аксиально перемещаться вдоль указанного удлиненного центрального элемента, и взаимодействовать с пусковой системой, которая поддерживается указанным узлом рукоятки, чтобы заставлять указанную пусковую трубку избирательно двигаться на указанном центральном элементе таким образом, что указанная пусковая трубка может выборочно перемещаться в аксиальном направлении из неактивного положения, в котором дистальный конец центрального элемента съемным образом соединяется с частью концевого эффектора, в положение зацепления, в котором дистальная часть указанной пусковой трубки удерживает указанную часть указанного концевого эффектора в зацеплении с указанным дистальным концом указанного центрального элемента, причем указанная пусковая трубка способна совершать дальнейшее избирательное аксиальное перемещение в положения активирования, избирательно прилагая по меньшей мере одно движение активирования к концевому эффектору, соединенному с указанным дистальным концом указанного центрального элемента.
2. Хирургический инструмент по п. 1, в котором указанный дистальный конец указанного удлиненного центрального элемента способен избирательно соединиться с одним из первого концевого эффектора и второго концевого эффектора, причем первый указанный концевой эффектор отличается от указанного второго концевого эффектора.
3. Хирургический инструмент по п. 2, в котором указанный первый концевой эффектор поддерживает кассету со скобками, имеющую первую длину, а указанный второй концевой эффектор поддерживает вторую кассету со скобками, имеющую вторую длину, отличную от указанной первой длины.
4. Хирургический инструмент по п. 2, в котором указанный первый концевой эффектор имеет размер, позволяющий ему оперативно проходить через первое отверстие, и в котором указанный второй концевой эффектор имеет размер, позволяющий ему оперативно проходить через второе отверстие, которое отличается по размерам и/или форме от указанного первого отверстия.
5. Хирургический инструмент по п. 1, включающий, кроме того, режущий элемент, подвижно поддерживаемый внутри указанного удлиненного узла штока и взаимодействующий с системой выдвижения ножа, поддерживаемой указанным узлом рукоятки и способной избирательно перемещать указанный режущий элемент из начального положения, в котором режущая ткань кромка, сформированная на дистальном конце элемента, расположена в дистальном конце указанной пусковой трубки, в положение разрезания, когда указанная режущая ткань кромка расположена дистально по отношению к указанному дистальному концу пусковой трубки.
6. Хирургический инструмент по п. 2, включающий, кроме того, первый адаптер, съемным образом соединенный с указанным дистальным концом указанной пусковой трубки и предназначенный для приведения в действие подвижного участка первого концевого эффектора, прикрепленного к указанному дистальному концу указанного центрального элемента, после активирования пусковой трубки в по меньшей мере некоторые из ее положений активирования.
7. Хирургический инструмент по п. 6, включающий, кроме того, второй адаптер, съемным образом соединенный с указанным дистальным концом указанной пусковой трубки и предназначенный для приведения в действие подвижного участка второго концевого эффектора, прикрепленного к указанному дистальному концу указанного центрального элемента, после активирования пусковой трубки в по меньшей мере некоторые из ее положений активирования.
8. Хирургический инструмент по п. 5, в котором указанный режущий элемент выполнен для аксиального продвижения отдельного режущего элемента в концевом эффекторе, присоединенном к указанному дистальному концу указанного центрального элемента, после продвижения указанного режущего элемента указанного начального положения в указанные режущие положения.
9. Хирургический инструмент по п. 1, включающий, кроме того, стопорное устройство для пусковой трубки, для высвобождаемой фиксации пусковой трубки в указанном сочлененном положении.
10. Хирургический инструмент по п. 1, в котором по меньшей мере одно из движения активирования включает движение, необходимое для формирования скобок.
11. Хирургический инструмент, содержащий:
узел рукоятки;
удлиненный узел штока, оперативно прикрепленный к указанному узлу рукоятки и выступающий из нее, причем указанный удлиненный узел штока содержит:
удлиненный центральный элемент, имеющий дистальный конец;
пусковую трубку, которая способна аксиально перемещаться вдоль указанного удлиненного центрального элемента, и взаимодействовать с пусковой системой, поддерживаемой указанным узлом рукоятки, чтобы вызывать избирательное перемещение указанной пусковую трубки по указанному центральному элементу из неактивного положения в положения активирования, а также
режущий элемент, подвижно поддерживаемый внутри указанного удлиненного узла штока и взаимодействующий с системой выдвижения ножа, поддерживаемой указанным узлом рукоятки для избирательного перемещения указанного режущего элемента из начального положения, в котором режущая ткань кромка, сформированная на дистальном конце элемента, расположена в дистальном конце указанной пусковой трубки, в положения разрезания, когда указанная режущая ткань кромка расположена дистально по отношению к указанному дистальному концу пусковой трубки; при этом указанный хирургический инструмент также содержит:
первый концевой эффектор, съемным образом соединенный с указанным центральным элементом, причем указанный первый концевой эффектор включает пару первых браншей, из которых одна указанная первая бранша может перемещаться относительно другой указанной первой бранши в ответ на пусковые движения, прилагаемые к ней пусковой трубкой, при соединении с указанным дистальным концом указанного центрального элемента.
12. Хирургический инструмент по п. 11, в котором указанный первый концевой эффектор выполнен для поддержания в нем имплантируемой кассеты со скобками.
13. Хирургический инструмент по п. 11, включающий, кроме того, по меньшей мере один второй концевой эффектор, съемным образом присоединяемый к указанному дистальному концу указанного центрального элемента, причем указанный второй концевой эффектор имеет пару вторых браншей, причем одна указанная вторая бранша может перемещаться относительно другой указанной второй бранши в ответ на указанное пусковое движение, приложенное к ней указанной пусковой трубкой при соединении с указанным центральным элементом; при этом указанный второй концевой эффектор имеет вторую длину, отличную от первой длины указанного первого концевого эффектора.
14. Хирургический инструмент по п. 11, в котором указанный первый концевой эффектор выполнен для поддержания кассеты со скобками, которая имеет первую длину, причем указанный второй концевой эффектор выполнен для поддержания второй кассеты со скобками, имеющей вторую длину, отличную от указанной первой длины указанной первой кассеты со скобками.
15. Хирургический инструмент по п. 11, в котором указанная пусковая трубка находится по меньшей мере в одном из указанных положений активирования, причем указанная пусковая трубка удерживает часть концевого эффектора в зацеплении с соответствующим участком дистального конца центрального элемента.
16. Хирургический инструмент по п. 11, в котором указанная пусковая трубка находится в первом из указанных положений активирования, причем указанная пусковая трубка удерживает часть удлиненного узла штока концевого эффектора в зацеплении с соответствующим участком дистального конца центрального элемента.
17. Хирургический инструмент по п. 11, включающий, кроме того, первый адаптер, съемным образом соединенный с указанным дистальным концом указанной пусковой трубки и выполненный для приведения в действие подвижного участка первого концевого эффектора, прикрепленного к указанному дистальному концу указанного центрального элемента, после активирования указанной пусковой трубки в по меньшей мере некоторые из ее указанных положений активирования.
18. Хирургический инструмент по п. 17, включающий, кроме того, второй адаптер, съемным образом соединенный с указанным дистальным концом указанной пусковой трубки и выполненный для приведения в действие подвижного участка второго концевого эффектора, прикрепленного к указанному дистальному концу указанного центрального элемента, после активирования указанной пусковой трубки в по меньшей мере некоторые из ее указанных положений активирования.
19. Хирургический комплект для использования с различными по размеру взаимозаменяемыми концевыми эффекторами, каждый из которых имеет подвижный упор и поддерживает в нем кассету со скобками, причем указанный комплект содержит:
хирургический инструмент по п. 1;
первый адаптер, съемным образом соединенный с указанным дистальным концом указанной пусковой трубки и предназначенный для приведения в действие упора на концевом эффекторе одного размера, прикрепленном к указанному дистальному концу указанного центрального элемента, после активирования пусковой трубки в по меньшей мере некоторые из ее рабочих положений активирования, а также
второй адаптер, съемным образом соединенный с указанным дистальным концом указанной пусковой трубки и предназначенный для приведения в действие другого упора на концевом эффекторе другого размера, прикрепленном к указанному дистальному концу указанного центрального элемента, после активирования пусковой трубки в по меньшей мере некоторые из ее положений активирования.
20. Хирургический комплект по п. 19, в котором кассеты со скобками, помещаемые внутрь заменяемых концевых эффекторов различного размера, представляют собой имплантируемые кассеты со скобками.
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2011
- 2011-09-28 CN CN201180047374.3A patent/CN103384500B/zh active Active
- 2011-09-28 JP JP2013531745A patent/JP5917529B2/ja active Active
- 2011-09-28 EP EP16171585.9A patent/EP3120781B1/en active Active
- 2011-09-28 RU RU2013120014/14A patent/RU2586247C2/ru not_active IP Right Cessation
- 2011-09-28 BR BR112013007659-3A patent/BR112013007659B1/pt active IP Right Grant
- 2011-09-28 PL PL11767872.2T patent/PL2621365T3/pl unknown
- 2011-09-28 PL PL16171585T patent/PL3120781T3/pl unknown
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CN103384500B (zh) | 2016-05-18 |
JP2013541994A (ja) | 2013-11-21 |
PL3120781T3 (pl) | 2018-12-31 |
EP3120781A2 (en) | 2017-01-25 |
CN103384500A (zh) | 2013-11-06 |
BR112013007659B1 (pt) | 2020-09-08 |
EP3120781A3 (en) | 2017-03-22 |
JP5917529B2 (ja) | 2016-05-18 |
RU2586247C2 (ru) | 2016-06-10 |
PL2621365T3 (pl) | 2016-12-30 |
EP3120781B1 (en) | 2018-03-21 |
BR112013007659A2 (pt) | 2016-08-09 |
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