RU2014113415A - Система смещения пускового элемента для сшивающего инструмента - Google Patents
Система смещения пускового элемента для сшивающего инструмента 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
- A61B17/068—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
- 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
- A61B2017/07271—Stapler heads characterised by its cartridge
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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
- A61B2017/07278—Stapler heads characterised by its sled or its staple holder
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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
- A61B2017/07285—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
- A61B2017/2912—Handles transmission of forces to actuating rod or piston
- A61B2017/2923—Toothed members, e.g. rack and pinion
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Abstract
1. Хирургический сшивающий инструмент, содержащий:рукоятку, содержащую пусковое устройство;продолжающийся из рукоятки ствол, причем упомянутый ствол содержит смещающую криволинейную поверхность;множество картриджей со скобками, расположенных внутри упомянутого ствола, причем каждый упомянутый картридж со скобками содержит:корпус картриджа, содержащий множество отверстий; имножество скобок, каждая из которых содержит по меньшей мере одну ножку скобки, находящуюся в упомянутом отверстии, причем упомянутые ножки скобок могут скользить в упомянутых отверстиях;первую браншу, содержащую канал, выполненный с возможностью приема упомянутого картриджа со скобками, причем упомянутая первая бранша содержит множество направляющих скобок, расположенных внутри упомянутого канала, причем, упомянутый пусковой элемент выполнен с возможностью сцепления с упомянутыми направляющими скобок и смещения упомянутых скобок между первым положением и вторым положением;вторую браншу, содержащую упорный элемент, причем упомянутые ножки скобок выполнены с возможностью контакта с упомянутым упорным элементом, если упомянутые шовные скобки приведены в упомянутое второе положение;направляющую картриджа, выполненную с возможностью последовательного продвижения упомянутых картриджей со скобками в упомянутый канал; ипусковой элемент, функционально соединенный с упомянутымпусковым устройством таким образом, что пусковое движение может передаваться от упомянутого пускового устройства к упомянутому пусковому элементу для смещения упомянутого пускового элемента по пусковому пути, причем упомянутый пусковой путь содержи�
Claims (21)
1. Хирургический сшивающий инструмент, содержащий:
рукоятку, содержащую пусковое устройство;
продолжающийся из рукоятки ствол, причем упомянутый ствол содержит смещающую криволинейную поверхность;
множество картриджей со скобками, расположенных внутри упомянутого ствола, причем каждый упомянутый картридж со скобками содержит:
корпус картриджа, содержащий множество отверстий; и
множество скобок, каждая из которых содержит по меньшей мере одну ножку скобки, находящуюся в упомянутом отверстии, причем упомянутые ножки скобок могут скользить в упомянутых отверстиях;
первую браншу, содержащую канал, выполненный с возможностью приема упомянутого картриджа со скобками, причем упомянутая первая бранша содержит множество направляющих скобок, расположенных внутри упомянутого канала, причем, упомянутый пусковой элемент выполнен с возможностью сцепления с упомянутыми направляющими скобок и смещения упомянутых скобок между первым положением и вторым положением;
вторую браншу, содержащую упорный элемент, причем упомянутые ножки скобок выполнены с возможностью контакта с упомянутым упорным элементом, если упомянутые шовные скобки приведены в упомянутое второе положение;
направляющую картриджа, выполненную с возможностью последовательного продвижения упомянутых картриджей со скобками в упомянутый канал; и
пусковой элемент, функционально соединенный с упомянутым
пусковым устройством таким образом, что пусковое движение может передаваться от упомянутого пускового устройства к упомянутому пусковому элементу для смещения упомянутого пускового элемента по пусковому пути, причем упомянутый пусковой путь содержит:
проксимальное положение, в котором упомянутый пусковой элемент контактирует с упомянутой смещающей криволинейной поверхностью и смещается в поперечном направлении по отношению к упомянутому пусковому пути, причем упомянутый картридж со скобками может скользить мимо упомянутого пускового элемента, если упомянутый пусковой элемент смещен в упомянутом поперечном направлении;
множество пусковых положений, в которых упомянутый пусковой элемент контактирует с упомянутыми направляющими скобок; и
дистальное положение.
2. Хирургический сшивающий инструмент по п. 1, в котором смещающая наклонная поверхность содержит наклонную поверхность, и в котором упомянутый пусковой элемент выполнен с возможностью контакта и скольжения относительно упомянутой наклонной поверхности.
3. Хирургический сшивающий инструмент по п. 2, в котором упомянутый пусковой элемент дополнительно содержит поверхность, зависящую от криволинейной поверхности, выполненную с возможностью сцепления с упомянутой наклонной поверхностью упомянутой смещающей криволинейной поверхности.
4. Хирургический сшивающий инструмент по п. 1, в котором упомянутый ствол дополнительно содержит поддерживающую направляющую, содержащую поддерживающую поверхность, причем
упомянутые корпусы картриджа выполнены с возможностью скольжения относительно упомянутой поддерживающей поверхности, причем, пусковой элемент выполнен с возможностью смещения под упомянутую поддерживающую поверхность, если упомянутый пусковой элемент смещен в упомянутом поперечном направлении.
5. Хирургический сшивающий инструмент по п. 1, в котором упомянутый пусковой элемент дополнительно содержит режущий элемент, причем упомянутый режущий элемент содержит первую часть, выполненную с возможностью сцепления с упомянутой первой браншей, и вторую часть, выполненную с возможностью сцепления с упомянутой второй браншей, причем упомянутый ствол содержит поддерживающую направляющую, содержащую поддерживающую поверхность, причем упомянутые корпусы картриджа выполнены с возможностью скольжения относительно упомянутой поддерживающей поверхности, причем упомянутая вторая часть выполнена с возможностью смещения под упомянутую поддерживающую поверхность, если упомянутый пусковой элемент смещен в упомянутом поперечном направлении.
6. Хирургический сшивающий инструмент по п. 5, дополнительно содержащий углубление в упомянутой поддерживающей поверхности, причем упомянутая вторая часть выполнена с возможностью размещения в упомянутом углублении, если пусковой элемент смещен в упомянутом поперечном направлении.
7. Хирургический сшивающий инструмент по п. 5, в котором упомянутый пусковой элемент содержит пусковой ствол, и в котором упомянутый режущий элемент образован за одно целое с упомянутым пусковым стволом.
8. Узел хирургического сшивающего инструмента, содержащий:
ствол, содержащий:
подвижный приемник; и
смещающую криволинейную поверхность;
множество картриджей со скобками, размещенных внутри упомянутого приемника, причем каждый упомянутый картридж со скобками содержит:
корпус картриджа, содержащий множество отверстий; и
множество скобок, каждая из которых содержит ножку скобки, находящуюся в упомянутом отверстии, причем упомянутые ножки скобок могут скользить в упомянутых отверстиях;
первую браншу, содержащую канал, выполненный с возможностью приема упомянутого картриджа со скобками;
вторую браншу, содержащую упорный элемент, причем упомянутые ножки скобок выполнены с возможностью контакта с упомянутым упорным элементом;
направляющую картриджа, выполненную с возможностью последовательного продвижения упомянутых картриджей со скобками в упомянутый канал; и
пусковой элемент, выполненный с возможностью смещения по пусковому пути, причем упомянутый пусковой путь содержит:
проксимальное положение, в котором упомянутый пусковой элемент контактирует с упомянутой смещающей криволинейной поверхностью и смещается в поперечном направлении по отношению к упомянутому пусковому пути, причем упомянутый картридж со скобками может скользить мимо упомянутого пускового элемента, если упомянутый пусковой элемент смещен в упомянутом поперечном
направлении; и
множество пусковых положений, в которых упомянутый пусковой элемент перемещает упомянутые шовные скобки к упорному элементу.
9. Узел хирургического сшивающего инструмента по п. 8, в котором упомянутая смещающая наклонная поверхность содержит наклонную поверхность, и в котором упомянутый пусковой элемент выполнен с возможностью контакта и скольжения относительно упомянутой криволинейной поверхности.
10. Узел хирургического сшивающего инструмента по п. 9, в котором упомянутый пусковой элемент дополнительно содержит поверхность, зависящую от криволинейной поверхности, выполненную с возможностью сцепления с упомянутой наклонной поверхностью упомянутой смещающей криволинейной поверхности.
11. Узел хирургического сшивающего инструмента по п. 8, в котором упомянутый ствол дополнительно содержит поддерживающую направляющую, содержащую поддерживающую поверхность, причем упомянутые корпусы картриджа выполнены с возможностью скольжения относительно упомянутой поддерживающей поверхности, причем, пусковой элемент выполнен с возможностью смещения под упомянутую поддерживающую поверхность, если упомянутый пусковой элемент смещен в упомянутом поперечном направлении.
12. Узел хирургического сшивающего инструмента по п. 8, в котором упомянутый пусковой элемент дополнительно содержит режущий элемент, причем упомянутый режущий элемент содержит первую часть, выполненную с возможностью сцепления с упомянутой первой браншей, и вторую часть, выполненную с возможностью сцепления с упомянутой второй браншей, причем упомянутый ствол
содержит поддерживающую направляющую, содержащую поддерживающую поверхность, причем упомянутые корпусы картриджа выполнены с возможностью скольжения относительно упомянутой поддерживающей поверхности, причем упомянутая вторая часть выполнена с возможностью смещения под упомянутую поддерживающую поверхность, если упомянутый пусковой элемент смещен в упомянутом поперечном направлении.
13. Узел хирургического сшивающего инструмента по п. 12, дополнительно содержащий углубление в упомянутой поддерживающей поверхности, причем упомянутая вторая часть выполнена с возможностью размещения в упомянутом углублении, если пусковой элемент смещен в упомянутом поперечном направлении.
14. Узел хирургического сшивающего инструмента по п. 12, в котором упомянутый пусковой элемент содержит пусковой ствол, и в котором упомянутый режущий элемент образован за одно целое с упомянутым пусковым стволом.
15. Хирургический сшивающий инструмент, содержащий:
ствол, содержащий каркас;
множество картриджей со скобками, расположенных внутри упомянутого ствола, причем каждый упомянутый картридж со скобками содержит:
корпус картриджа, содержащий множество отверстий; и
множество скобок, каждая из которых содержит ножку скобки, находящуюся в упомянутом отверстии, причем упомянутые ножки скобок могут скользить в упомянутых отверстиях;
первую браншу, содержащую канал, выполненный с возможностью приема упомянутого картриджа со скобками;
вторую браншу, содержащую упорный элемент, причем упомянутые ножки скобок выполнены с возможностью контакта с упомянутым упорным элементом;
направляющую картриджа, выполненную с возможностью последовательного продвижения упомянутых картриджей со скобками в упомянутый канал; и
пусковой элемент, выполненный с возможностью смещения по пусковому пути, причем упомянутый пусковой путь содержит:
проксимальное положение, в котором упомянутый пусковой элемент контактирует с упомянутым каркасом и смещается вниз по отношению к упомянутому пусковому пути, причем упомянутый картридж со скобками может скользить мимо упомянутого пускового элемента, если упомянутый пусковой элемент смещен в упомянутом направлении вниз; и
множество пусковых положений, в которых упомянутый пусковой элемент перемещает упомянутые шовные скобки к упорному элементу.
16. Хирургический сшивающий инструмент по п. 15, в котором упомянутый каркас содержит наклонную поверхность, и в котором упомянутый пусковой элемент выполнен с возможностью контакта и скольжения относительно упомянутой наклонной поверхности.
17. Хирургический сшивающий инструмент по п. 16, в котором упомянутый пусковой элемент дополнительно содержит поверхность, зависящую от криволинейной поверхности, выполненную с возможностью сцепления с упомянутой наклонной поверхностью упомянутого каркаса.
18. Хирургический сшивающий инструмент по п. 15, в котором упомянутый ствол дополнительно содержит поддерживающую
направляющую, содержащую поддерживающую поверхность, причем упомянутые корпусы картриджа выполнены с возможностью скольжения относительно упомянутой поддерживающей поверхности, причем, пусковой элемент выполнен с возможностью смещения под упомянутую поддерживающую поверхность, если упомянутый пусковой элемент смещен в упомянутом поперечном направлении.
19. Хирургический сшивающий инструмент по п. 15, в котором упомянутый пусковой элемент дополнительно содержит режущий элемент, причем упомянутый режущий элемент содержит первую часть, выполненную с возможностью сцепления с упомянутой первой браншей, и вторую часть, выполненную с возможностью сцепления с упомянутой второй браншей, причем упомянутый ствол содержит поддерживающую направляющую, содержащую поддерживающую поверхность, причем упомянутые корпусы картриджа выполнены с возможностью скольжения относительно упомянутой поддерживающей поверхности, причем упомянутая вторая часть выполнена с возможностью смещения под упомянутую поддерживающую поверхность, если упомянутый пусковой элемент смещен в упомянутом поперечном направлени.
20. Хирургический сшивающий инструмент по п. 15, дополнительно содержащий углубление в упомянутой поддерживающей поверхности, причем упомянутая вторая часть выполнена с возможностью размещения в упомянутом углублении, если пусковой элемент смещен в упомянутом поперечном направлении.
21. Хирургический сшивающий инструмент по п. 15, в котором упомянутый пусковой элемент содержит пусковой ствол, и в котором упомянутый режущий элемент образован за одно целое с упомянутым пусковым стволом.
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| US13/225,857 US9107663B2 (en) | 2011-09-06 | 2011-09-06 | Stapling instrument comprising resettable staple drivers |
| US13/225,866 US8833632B2 (en) | 2011-09-06 | 2011-09-06 | Firing member displacement system for a stapling instrument |
| US13/225,842 US8789739B2 (en) | 2011-09-06 | 2011-09-06 | Continuous stapling instrument |
| US13/225,866 | 2011-09-06 | ||
| US13/225,850 US9198661B2 (en) | 2011-09-06 | 2011-09-06 | Stapling instrument comprising a plurality of staple cartridges stored therein |
| PCT/US2012/052747 WO2013036409A1 (en) | 2011-09-06 | 2012-08-29 | Firing member displacement system for a stapling instrument |
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| RU2606109C2 RU2606109C2 (ru) | 2017-01-10 |
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| RU2014113415A RU2606109C2 (ru) | 2011-09-06 | 2012-08-29 | Система смещения пускового элемента для сшивающего инструмента |
| RU2014113424A RU2620918C2 (ru) | 2011-09-06 | 2012-08-29 | Сшивающий инструмент, содержащий переставной скобкопродвигающий элемент |
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| RU2014113352/14A RU2604379C2 (ru) | 2011-09-06 | 2012-08-29 | Сшивающий инструмент, содержащий множество хранящихся в нем картриджей со скобками |
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