RU2013141664A - Способ и устройство манипулирования хирургическим шовным материалом - Google Patents
Способ и устройство манипулирования хирургическим шовным материалом Download PDFInfo
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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
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0485—Devices or means, e.g. loops, for capturing the suture thread and threading it through an opening of a suturing instrument or needle eyelet
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets 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
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0482—Needle or suture guides
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0483—Hand-held instruments for holding sutures
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets 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
- A61B17/06066—Needles, e.g. needle tip configurations
- A61B17/06109—Big needles, either gripped by hand or connectable to a handle
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets 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
- A61B17/06004—Means for attaching suture to needle
- A61B2017/06009—Means for attaching suture to needle having additional means for releasably clamping the suture to the needle, e.g. actuating rod slideable within the needle
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets 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
- A61B17/06004—Means for attaching suture to needle
- A61B2017/06042—Means for attaching suture to needle located close to needle tip
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets 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
Abstract
1. Устройство манипулирования хирургическим шовным материалом, включающее:корпус; иловушку, функционально соединенную с корпусом и приспособленную для:обеспечения выдвижения из корпуса;поворота, после выдвижения из корпуса, независимо от корпуса;захвата участка хирургического шовного материала, прошедшего через ткань при повороте; и закрепления данного участка хирургического шовного материала.2. Устройство манипулирования хирургическим шовным материалом по п.1, отличающееся тем, что корпус обладает длиной и включает:вал, расположенный внутри корпуса и вращающийся относительно центральной линии, проходящей вдоль длины корпуса; ииглу на дистальном конце корпуса, приспособленную для:закрепления участка хирургического шовного материала;прокалывания ткани; иосвобождения, после прокалывания ткани, данного участка хирургического шовного материала.3. Устройство манипулирования хирургическим шовным материалом по п.2, отличающееся тем, что игла изогнута.4. Устройство манипулирования хирургическим шовным материалом по п.2, отличающееся тем, что игла освобождает участок хирургического шовного материала перед тем, как данный участок хирургического шовного материала захватывается ловушкой.5. Устройство манипулирования хирургическим шовным материалом по п.1, отличающееся тем, что дополнительно включает:толкатель, имеющий дистальный и проксимальный концы,при этом толкатель приспособлен к независимому скольжению и повороту в пределах вала корпуса, идистальный конец толкателя функционально соединен с ловушкой.6. Устройство манипулирования хирургическим шовным материалом по п.5, отличающееся тем, что толкатель
Claims (22)
1. Устройство манипулирования хирургическим шовным материалом, включающее:
корпус; и
ловушку, функционально соединенную с корпусом и приспособленную для:
обеспечения выдвижения из корпуса;
поворота, после выдвижения из корпуса, независимо от корпуса;
захвата участка хирургического шовного материала, прошедшего через ткань при повороте; и закрепления данного участка хирургического шовного материала.
2. Устройство манипулирования хирургическим шовным материалом по п.1, отличающееся тем, что корпус обладает длиной и включает:
вал, расположенный внутри корпуса и вращающийся относительно центральной линии, проходящей вдоль длины корпуса; и
иглу на дистальном конце корпуса, приспособленную для:
закрепления участка хирургического шовного материала;
прокалывания ткани; и
освобождения, после прокалывания ткани, данного участка хирургического шовного материала.
3. Устройство манипулирования хирургическим шовным материалом по п.2, отличающееся тем, что игла изогнута.
4. Устройство манипулирования хирургическим шовным материалом по п.2, отличающееся тем, что игла освобождает участок хирургического шовного материала перед тем, как данный участок хирургического шовного материала захватывается ловушкой.
5. Устройство манипулирования хирургическим шовным материалом по п.1, отличающееся тем, что дополнительно включает:
толкатель, имеющий дистальный и проксимальный концы,
при этом толкатель приспособлен к независимому скольжению и повороту в пределах вала корпуса, и
дистальный конец толкателя функционально соединен с ловушкой.
6. Устройство манипулирования хирургическим шовным материалом по п.5, отличающееся тем, что толкатель отводится по центральной линии для закрепления участка хирургического шовного материала ловушкой.
7. Устройство манипулирования хирургическим шовным материалом по п.6, отличающееся тем, что дополнительно включает датчик, приспособленный для:
измерения, при отводе толкателя по центральной линии, натяжения в ловушке;
определения того, что данное натяжение превышает пороговое натяжение; и
извещения пользователя о закреплении участка хирургического шовного материала.
8. Устройство манипулирования хирургическим шовным материалом по п.5, отличающееся тем, что толкатель скользит по оси с использованием управления на проксимальном конце корпуса.
9. Устройство манипулирования хирургическим шовным материалом по п.5, отличающееся тем, что управление включает кнопку активирования, расположенную на проксимальном конце корпуса и предназначенную для:
выдвижения ловушки из корпуса;
поворота ловушки для захвата участка хирургического шовного материала; и
отвода ловушки.
10. Устройство манипулирования хирургическим шовным материалом по п.2, отличающееся тем, что игла включает скошенный паз, образующий достаточно большую полость для прохождения участка хирургического шовного материала.
11. Устройство манипулирования хирургическим шовным материалом по п.10, отличающееся тем, что толкатель при полной подаче по направлению к дистальному концу с использованием управления прижимается к участку хирургического шовного материала, находящемуся в скошенном пазу иглы, с целью удержания данного участка хирургического шовного материала на месте, пока игла проникает в ткань.
12. Устройство манипулирования хирургическим шовным материалом по п.10, отличающееся тем, что толкатель при отводе по направлению к проксимальному концу с использованием управления удерживает участок хирургического шовного материала на месте с помощью ловушки, пока игла проникает в ткань.
13. Устройство манипулирования хирургическим шовным материалом по п.1, отличающееся тем, что ловушка включает гибкий материал, образующий замкнутую петлю.
14. Устройство манипулирования хирургическим шовным материалом по п.1, отличающееся тем, что ловушка включает проволоку, обладающую толщиной и выполненную на конце в форме крючка, и в которой проволока имеет диаметр и изогнута вблизи крючка.
15. Устройство манипулирования хирургическим шовным материалом по п.14, отличающееся тем, что дополнительно включает:
щель, расположенную на конце корпуса и приспособленную для приема крючка, когда данный крючок определенным образом располагается относительно этой щели,
при этом крючок в основном заходит в щель при закреплении данного участка хирургического шовного материала.
16. Устройство манипулирования хирургическим шовным материалом по п.15, отличающееся тем, что щель расположена на дистальном конце иглы.
17. Устройство манипулирования хирургическим шовным материалом по п.15, отличающееся тем, что щель расположена вдоль длины корпуса.
18. Устройство манипулирования хирургическим шовным материалом, включающее:
ловушку, включающую приемный конец, приспособленный для:
обеспечения поддержки ткани;
захвата участка хирургического шовного материала, прошедшего через ткань и приемный конец;
удаления поддержки ткани;
закрепления, при удалении поддержки ткани, данного участка хирургического шовного материала с использованием приемного конца; и
удаления участка хирургического шовного материала, с использованием этого приемного конца.
19. Устройство манипулирования хирургическим шовным материалом по п.18, отличающееся тем, что дополнительно включает:
иглу, функционально соединенную с ловушкой и приспособленную для:
закрепления участка хирургического шовного материала;
прокалывания ткани, когда она поддерживается приемным концом ловушки;
проведения данного участка хирургического шовного материала через ткань и приемный конец ловушки;
освобождения этого участка хирургического шовного материала; и
отвода через ткань.
20. Устройство манипулирования хирургическим шовным материалом по п.18, отличающееся тем, что игла перемещается независимо от ловушки.
21. Устройство манипулирования хирургическим шовным материалом по п.18, отличающееся тем, что ловушка включает два параллельных стержня, соединенных полукруглой петлей и изгибающихся, по меньшей мере, на угол 90° относительно корпуса устройства манипулирования хирургическим шовным материалом, и в котором корпус функционально соединен с ловушкой.
22. Устройство манипулирования хирургическим шовным материалом по п.21, отличающееся тем, что игла дополнительно приспособлена для близкого прохождения между полукруглой петлей и двумя параллельными стержнями ловушки.
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US13/027,003 | 2011-02-14 | ||
| US13/027,003 US8556916B2 (en) | 2011-02-14 | 2011-02-14 | Method and device for suture manipulation |
| PCT/US2012/024827 WO2012112424A1 (en) | 2011-02-14 | 2012-02-13 | Method and device for suture retrieval |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| RU2013141664A true RU2013141664A (ru) | 2015-03-27 |
| RU2607320C2 RU2607320C2 (ru) | 2017-01-10 |
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| Application Number | Title | Priority Date | Filing Date |
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| RU2013141664A RU2607320C2 (ru) | 2011-02-14 | 2012-02-13 | Способ и устройство манипулирования хирургическим шовным материалом |
Country Status (11)
| Country | Link |
|---|---|
| US (4) | US8556916B2 (ru) |
| EP (1) | EP2675362B1 (ru) |
| JP (2) | JP2014512873A (ru) |
| KR (1) | KR20140020866A (ru) |
| CN (1) | CN103476346B (ru) |
| AU (1) | AU2012217989B2 (ru) |
| BR (1) | BR112013020494A2 (ru) |
| MX (1) | MX344594B (ru) |
| RU (1) | RU2607320C2 (ru) |
| WO (1) | WO2012112424A1 (ru) |
| ZA (1) | ZA201305901B (ru) |
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|---|---|
| US8556916B2 (en) | 2013-10-15 |
| WO2012112424A1 (en) | 2012-08-23 |
| US9888915B2 (en) | 2018-02-13 |
| US20120209300A1 (en) | 2012-08-16 |
| KR20140020866A (ko) | 2014-02-19 |
| AU2012217989A1 (en) | 2013-08-22 |
| RU2607320C2 (ru) | 2017-01-10 |
| CN103476346A (zh) | 2013-12-25 |
| CN103476346B (zh) | 2016-08-10 |
| BR112013020494A2 (pt) | 2016-10-18 |
| JP2014512873A (ja) | 2014-05-29 |
| EP2675362A1 (en) | 2013-12-25 |
| US20140039528A1 (en) | 2014-02-06 |
| MX2013009370A (es) | 2013-09-26 |
| US20140039530A1 (en) | 2014-02-06 |
| JP2017113612A (ja) | 2017-06-29 |
| MX344594B (es) | 2016-12-20 |
| EP2675362B1 (en) | 2020-04-15 |
| AU2012217989B2 (en) | 2016-07-07 |
| ZA201305901B (en) | 2014-04-30 |
| US20140039529A1 (en) | 2014-02-06 |
| US9456818B2 (en) | 2016-10-04 |
| US8870897B2 (en) | 2014-10-28 |
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