RU2014113352A - Сшивающий инструмент, содержащий множество хранящихся в нем картриджей со скобками - Google Patents
Сшивающий инструмент, содержащий множество хранящихся в нем картриджей со скобками Download PDFInfo
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- A—HUMAN NECESSITIES
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- 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
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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
- A61B17/072—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
- A61B17/07292—Reinforcements for staple line, e.g. pledgets
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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
- A61B17/072—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
- A61B2017/07235—Stapler heads containing different staples, e.g. staples of different shapes, sizes or materials
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- A—HUMAN NECESSITIES
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- 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
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- A—HUMAN NECESSITIES
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- 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
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- 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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- 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
- A61B17/2909—Handles
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- A61B2017/2923—Toothed members, e.g. rack and pinion
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Abstract
1. Хирургический сшивающий инструмент, содержащий:рукоятку, содержащую пусковое устройство;ствол, выступающий из упомянутой рукоятки дистально;пусковой узел, функционально соединенный с упомянутым пусковым устройством таким образом, что пусковое движение может передаваться от упомянутого пускового устройства к упомянутому пусковому узлу для перемещения упомянутого пускового узла по пусковому пути;первый картридж со скобками, расположенный внутри упомянутого ствола, причем упомянутый первый картридж со скобками содержит:корпус первого картриджа, содержащий множество первых отверстий; имножество первых шовных скобок, каждая из которых содержит по меньшей мере одну ножку первой шовной скобки, расположенную в упомянутом первом отверстии, причем упомянутые ножки первых шовных скобок выполнены с возможностью скольжения внутри первых отверстий; кроме того, упомянутая ножка первой шовной скобки имеет первую длину;второй картридж со скобками, расположенный внутри упомянутого ствола, причем упомянутый второй картридж со скобками содержит:корпус второго картриджа, содержащий множество вторых отверстий; имножество вторых шовных скобок, каждая из которых содержит по меньшей мере одну ножку второй шовной скобки, расположенную в упомянутом втором отверстии, причем упомянутые ножки вторых шовных скобок выполнены с возможностью скольжения внутри вторых отверстий; кроме того, упомянутая ножка второй шовной скобки имеет вторую длину, которая отличается от упомянутой первой длины;первую браншу, содержащую канал, выполненный с возможностью принимать упомянутый картридж со скобками;вторую браншу, содержащую у
Claims (20)
1. Хирургический сшивающий инструмент, содержащий:
рукоятку, содержащую пусковое устройство;
ствол, выступающий из упомянутой рукоятки дистально;
пусковой узел, функционально соединенный с упомянутым пусковым устройством таким образом, что пусковое движение может передаваться от упомянутого пускового устройства к упомянутому пусковому узлу для перемещения упомянутого пускового узла по пусковому пути;
первый картридж со скобками, расположенный внутри упомянутого ствола, причем упомянутый первый картридж со скобками содержит:
корпус первого картриджа, содержащий множество первых отверстий; и
множество первых шовных скобок, каждая из которых содержит по меньшей мере одну ножку первой шовной скобки, расположенную в упомянутом первом отверстии, причем упомянутые ножки первых шовных скобок выполнены с возможностью скольжения внутри первых отверстий; кроме того, упомянутая ножка первой шовной скобки имеет первую длину;
второй картридж со скобками, расположенный внутри упомянутого ствола, причем упомянутый второй картридж со скобками содержит:
корпус второго картриджа, содержащий множество вторых отверстий; и
множество вторых шовных скобок, каждая из которых содержит по меньшей мере одну ножку второй шовной скобки, расположенную в упомянутом втором отверстии, причем упомянутые ножки вторых шовных скобок выполнены с возможностью скольжения внутри вторых отверстий; кроме того, упомянутая ножка второй шовной скобки имеет вторую длину, которая отличается от упомянутой первой длины;
первую браншу, содержащую канал, выполненный с возможностью принимать упомянутый картридж со скобками;
вторую браншу, содержащую упорный элемент, выполненный с возможностью деформировать упомянутые шовные скобки; и
направляющую картриджа, выполненную с возможностью последовательного продвижения упомянутых первого и второго картриджей со скобками в упомянутый канал из подготовительного положения.
2. Хирургический сшивающий инструмент по п.1, в котором упомянутый первый картридж со скобками расположен в упомянутом подготовительном положении, причем упомянутый второй картридж со скобками расположен проксимально относительно упомянутого первого картриджа со скобками.
3. Хирургический сшивающий инструмент по п.2, в котором упомянутая вторая длина больше упомянутой первой длины.
4. Хирургический сшивающий инструмент по п.2, дополнительно содержащий третий картридж со скобками, расположенный внутри упомянутого ствола, причем упомянутый третий картридж со скобками содержит:
корпус третьего картриджа, содержащий множество третьих отверстий; и
множество третьих шовных скобок, каждая из которых содержит по меньшей мере одну ножку третьей шовной скобки, расположенную в упомянутом третьем отверстии, причем упомянутые ножки третьих шовных скобок выполнены с возможностью скольжения внутри третьих отверстий; кроме того, упомянутая ножка третьей шовной скобки имеет третью длину, которая отличается от упомянутой первой длины и упомянутой второй длины.
5. Хирургический сшивающий инструмент по п.1, в котором упомянутый первый картридж со скобками содержит по меньшей мере один внутренний ряд первых шовных скобок и по меньшей мере один внешний ряд шовных скобок, имеющих длину, которая отличается от упомянутой первой длины, при этом упомянутый второй картридж со скобками содержит по меньшей мере один внутренний ряд вторых шовных скобок и по меньшей мере один внешний ряд шовных скобок, имеющих длину, которая отличается от упомянутой второй длины.
6. Хирургический сшивающий инструмент по п.1, в котором упомянутый первый картридж со скобками содержит по меньшей мере один внутренний ряд первых шовных скобок и по меньшей мере один внешний ряд шовных скобок, имеющих длину, которая превышает упомянутую первую длину, причем упомянутый второй картридж со скобками содержит по меньшей мере один внутренний ряд вторых шовных скобок и по меньшей мере один внешний ряд шовных скобок, имеющих длину, которая отличается от упомянутой второй длины.
7. Хирургический сшивающий инструмент по п.1, в котором каждая из упомянутых первых шовных скобок состоит из проволоки, имеющей первый диаметр, при этом каждая из упомянутых вторых шовных скобок состоит из проволоки, имеющей второй диаметр, который отличается от упомянутого первого диаметра.
8. Хирургический сшивающий инструмент в сборке, содержащий:
ствол, содержащий съемный приемник;
пусковой узел, подвижный вдоль пускового пути;
первый картридж со скобками, расположенный внутри упомянутого приемника, причем упомянутый первый картридж со скобками содержит:
корпус первого картриджа, содержащий множество первых отверстий; и
множество первых шовных скобок, каждая из которых содержит ножку первой шовной скобки, расположенную в упомянутом первом отверстии, причем упомянутые ножки первых шовных скобок выполнены с возможностью скольжения внутри упомянутых первых отверстий; при этом каждая из упомянутых первых шовных скобок имеет первую высоту;
второй картридж со скобками, расположенный внутри упомянутого приемника, причем упомянутый второй картридж со скобками содержит:
корпус второго картриджа, содержащий множество вторых отверстий; и
множество вторых шовных скобок, каждая из которых содержит ножку второй шовной скобки, расположенную в упомянутом втором отверстии, причем упомянутые ножки вторых шовных скобок выполнены с возможностью скольжения внутри упомянутых вторых отверстий; кроме того, упомянутые вторые шовные скобки имеют вторую высоту, которая отличается от упомянутой первой высоты;
первую браншу, содержащую канал, выполненный с возможностью принимать упомянутый картридж со скобками;
вторую браншу, содержащую упорный элемент, выполненный с возможностью деформировать упомянутые шовные скобки; и
направляющую картриджа, выполненную с возможностью последовательного продвижения упомянутых первого и второго картриджей со скобками в упомянутый канал из подготовительного положения.
9. Хирургический сшивающий инструмент в сборке по п.8, в котором упомянутый первый картридж со скобками расположен в упомянутом подготовительном положении, причем упомянутый второй картридж со скобками расположен проксимально относительно упомянутого первого картриджа со скобками.
10. Хирургический сшивающий инструмент в сборке по п.9, в котором упомянутая вторая высота больше упомянутой первой высоты.
11. Хирургический сшивающий инструмент в сборке по п.9, дополнительно содержащий третий картридж со скобками, расположенный внутри упомянутого приемника, причем упомянутый третий картридж со скобками содержит:
корпус третьего картриджа, содержащий множество третьих отверсти; и
множество третьих шовных скобок, каждая из которых содержит по меньшей мере одну ножку третьей шовной скобки, расположенную в упомянутом третьем отверстии, причем упомянутые ножки третьих шовных скобок выполнены с возможностью скольжения внутри третьих отверстий; кроме того, упомянутая ножка третьей шовной скобки имеет третью высоту, которая отличается от упомянутой первой высоты и упомянутой второй высоты.
12. Хирургический сшивающий инструмент в сборке по п.8, в котором упомянутый первый картридж со скобками содержит по меньшей мере один внутренний ряд первых шовных скобок и по меньшей мере один внешний ряд шовных скобок, имеющих высоту, которая отличается от упомянутой первой высоты, причем упомянутый второй картридж со скобками содержит по меньшей мере один внутренний ряд вторых шовных скобок и по меньшей мере один внешний ряд шовных скобок, имеющих высоту, которая отличается от упомянутой второй высоты.
13. Хирургический сшивающий инструмент в сборке по п.8, в котором упомянутый картридж со скобками содержит по меньшей мере один внутренний ряд первых шовных скобок и по меньшей мере один внешний ряд шовных скобок, имеющих высоту, которая превышает упомянутую первую высоту, причем упомянутый второй картридж со скобками содержит по меньшей мере один внутренний ряд вторых шовных скобок и по меньшей мере один внешний ряд шовных скобок, имеющих высоту, которая отличается от упомянутой второй высоты.
14. Хирургический сшивающий инструмент в сборке по п.8, в котором каждая из упомянутых первых шовных скобок состоит из проволоки, имеющей первый диаметр, при этом каждая из упомянутых вторых шовных скобок состоит из проволоки, имеющей второй диаметр, который отличается от упомянутого первого диаметра.
15. Хирургический сшивающий инструмент, содержащий:
ствол;
пусковой узел, подвижный вдоль пускового пути;
первый картридж со скобками, расположенный внутри упомянутого ствола, причем упомянутый первый картридж со скобками содержит корпус первого картриджа и множество первых шовных скобок, причем каждая из упомянутых первых шовных скобок имеет первую высоту;
второй картридж со скобками, расположенный внутри упомянутого ствола, причем упомянутый второй картридж со скобками содержит корпус второго картриджа и множество вторых шовных скобок, причем каждая из упомянутых вторых шовных скобок имеет вторую высоту, которая отличается от упомянутой первой высоты;
первую браншу, содержащую канал, выполненный с возможностью принимать упомянутый картридж со скобками;
вторую браншу, содержащую упорный элемент, выполненный с возможностью деформировать упомянутые шовные скобки; и
направляющую картриджа, выполненную с возможностью последовательного продвижения упомянутых первого и второго картриджей со скобками в упомянутый канал.
16. Хирургический сшивающий инструмент по п.15, в котором упомянутая вторая высота больше упомянутой первой высоты.
17. Хирургический сшивающий инструмент по п.15, дополнительно содержащий третий картридж со скобками, содержащий корпус третьего картриджа и множество третьих шовных скобок, каждая из которых имеет третью высоту, которая отличается от упомянутой первой высоты и упомянутой второй высоты.
18. Хирургический сшивающий инструмент по п.15, в котором упомянутый первый картридж со скобками содержит по меньшей мере один внутренний ряд первых шовных скобок и по меньшей мере один внешний ряд шовных скобок, имеющих высоту, которая отличается от упомянутой первой высоты, при этом упомянутый второй картридж со скобками содержит по меньшей мере один внутренний ряд вторых шовных скобок и по меньшей мере один внешний ряд шовных скобок, имеющих высоту, которая отличается от упомянутой второй высоты.
19. Хирургический сшивающий инструмент по п.15, в котором упомянутый картридж со скобками содержит по меньшей мере один внутренний ряд первых шовных скобок и по меньшей мере один внешний ряд шовных скобок, имеющих высоту, которая превышает упомянутую первую высоту, при этом упомянутый второй картридж со скобками содержит по меньшей мере один внутренний ряд вторых шовных скобок и по меньшей мере один внешний ряд шовных скобок, имеющих высоту, которая отличается от упомянутой второй высоты.
20. Хирургический сшивающий инструмент по п.15, в котором каждая из упомянутых первых шовных скобок состоит из проволоки, имеющей первый диаметр, при этом каждая из упомянутых вторых шовных скобок состоит из проволоки, имеющей второй диаметр, который отличается от упомянутого первого диаметра.
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US13/225,850 US9198661B2 (en) | 2011-09-06 | 2011-09-06 | Stapling instrument comprising a plurality of staple cartridges stored therein |
US13/225,866 US8833632B2 (en) | 2011-09-06 | 2011-09-06 | Firing member displacement system for a stapling instrument |
US13/225,857 US9107663B2 (en) | 2011-09-06 | 2011-09-06 | Stapling instrument comprising resettable staple drivers |
US13/225,842 US8789739B2 (en) | 2011-09-06 | 2011-09-06 | Continuous stapling instrument |
US13/225,850 | 2011-09-06 | ||
PCT/US2012/052751 WO2013036410A1 (en) | 2011-09-06 | 2012-08-29 | Stapling instrument comprising a plurality of staple cartridges stored therein |
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RU2014113416A RU2608627C2 (ru) | 2011-09-06 | 2012-08-29 | Сшивающий инструмент для непрерывного использования |
RU2014113352/14A RU2604379C2 (ru) | 2011-09-06 | 2012-08-29 | Сшивающий инструмент, содержащий множество хранящихся в нем картриджей со скобками |
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