RU2014114496A - Резистивная нагреваемая хирургическая кассета со скобами с герметиком с фазовым переходом - Google Patents
Резистивная нагреваемая хирургическая кассета со скобами с герметиком с фазовым переходом Download PDFInfo
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- RU2014114496A RU2014114496A RU2014114496/14A RU2014114496A RU2014114496A RU 2014114496 A RU2014114496 A RU 2014114496A RU 2014114496/14 A RU2014114496/14 A RU 2014114496/14A RU 2014114496 A RU2014114496 A RU 2014114496A RU 2014114496 A RU2014114496 A RU 2014114496A
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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
- A61B17/00491—Surgical glue applicators
-
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00491—Surgical glue applicators
- A61B2017/00513—Tissue soldering
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00831—Material properties
- A61B2017/00893—Material properties pharmaceutically effective
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00831—Material properties
- A61B2017/00951—Material properties adhesive
-
- 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
-
- 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
- A61B2017/2926—Details of heads or jaws
- A61B2017/2927—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft
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- Health & Medical Sciences (AREA)
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- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
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- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
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- Animal Behavior & Ethology (AREA)
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- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
1. Устройство, содержащее:(a) инструмент, содержащий:i. часть рукоятки,ii. концевой эффектор, содержащий:(1) нижнюю браншу,(2) поворотный упор; и(b) кассету со скобами, выполненную с возможностью вставки в концевой эффектор, причем кассета со скобами содержит:i. корпус кассеты, имеющий верхнюю платформу, причем верхняя платформа содержит:(1) вертикальный паз, образованный в верхней платформе и проходящий продольно от проксимального конца верхней платформы, причем режущий край выполнен с возможностью продольного перемещения через вертикальный паз, и(2) множество отверстий для скоб,ii. один или более выталкивателей скоб, выполненных с возможностью вертикального перемещения относительно корпуса кассеты,iii. множество скоб, размещенных над одним или более выталкивателями скоб, причем скобы выполнены с возможностью вертикального перемещения относительно корпуса кассеты,iv. резистивный элемент, размещенный внутри корпуса кассеты,v. медицинскую текучую среду, по меньшей мере часть которой сообщается с резистивным элементом.2. Устройство по п. 1, в котором резистивный элемент содержит резистивную полоску.3. Устройство по п. 2, в котором нижняя бранша содержит проводник, причем проводник избирательно соединен с источником энергии.4. Устройство по п. 3, в котором резистивная полоска содержит контакты полоски, причем проводник содержит контакты проводника, при этом контакты полоски выполнены с возможностью электрического соединения с контактами проводника.5. Устройство по п. 4, в котором по меньшей мере часть контактов полоски, по существу, вертикально выровнена с множеством отверстий для скоб.6. Устройство по п. 1, в котором медицинс�
Claims (20)
1. Устройство, содержащее:
(a) инструмент, содержащий:
i. часть рукоятки,
ii. концевой эффектор, содержащий:
(1) нижнюю браншу,
(2) поворотный упор; и
(b) кассету со скобами, выполненную с возможностью вставки в концевой эффектор, причем кассета со скобами содержит:
i. корпус кассеты, имеющий верхнюю платформу, причем верхняя платформа содержит:
(1) вертикальный паз, образованный в верхней платформе и проходящий продольно от проксимального конца верхней платформы, причем режущий край выполнен с возможностью продольного перемещения через вертикальный паз, и
(2) множество отверстий для скоб,
ii. один или более выталкивателей скоб, выполненных с возможностью вертикального перемещения относительно корпуса кассеты,
iii. множество скоб, размещенных над одним или более выталкивателями скоб, причем скобы выполнены с возможностью вертикального перемещения относительно корпуса кассеты,
iv. резистивный элемент, размещенный внутри корпуса кассеты,
v. медицинскую текучую среду, по меньшей мере часть которой сообщается с резистивным элементом.
2. Устройство по п. 1, в котором резистивный элемент содержит резистивную полоску.
3. Устройство по п. 2, в котором нижняя бранша содержит проводник, причем проводник избирательно соединен с источником энергии.
4. Устройство по п. 3, в котором резистивная полоска содержит контакты полоски, причем проводник содержит контакты проводника, при этом контакты полоски выполнены с возможностью электрического соединения с контактами проводника.
5. Устройство по п. 4, в котором по меньшей мере часть контактов полоски, по существу, вертикально выровнена с множеством отверстий для скоб.
6. Устройство по п. 1, в котором медицинская текучая среда содержит множество площадок герметика.
7. Устройство по п. 6, в котором по меньшей мере часть каждой из площадок герметика, по существу, вертикально выровнена с множеством отверстий для скоб.
8. Устройство по п. 1, в котором один или более выталкивателей скоб содержат отверстие, проходящее вертикально через один или более выталкивателей скоб.
9. Устройство по п. 1, в котором один или более выталкивателей скоб содержат прорезь, проходящую вертикально по стороне одного или более выталкивателей скоб.
10. Устройство по п. 1, в котором медицинская текучая среда содержит деполимеризующийся цианоакрилат или распыляемый термопластический уретан.
11. Устройство по п. 1, в котором медицинская текучая среда представляет собой испаряемое лекарственное средство или фармацевтический препарат.
12. Устройство по п. 1, в котором корпус кассеты содержит канал, образованный в базовой части корпуса кассеты, причем резистивный элемент и медицинская текучая среда размещены внутри канала.
13. Устройство по п. 1, дополнительно содержащее контакт, соединенный с резистивным элементом и выполненный с возможностью электрического соединения резистивного элемента с источником энергии.
14. Устройство по п. 13, в котором корпус кассеты содержит проксимальный конец, имеющий опорную часть, и причем контакт размещен на опорной части.
15. Устройство по п. 13, в котором источник энергии размещен внутри инструмента.
16. Устройство для эндохирургического применения, содержащее:
(a) корпус кассеты, имеющий верхнюю платформу, причем верхняя платформа содержит:
i. вертикальный паз, образованный в верхней платформе и проходящий продольно от проксимального конца верхней платформы, и
ii. множество отверстий для скоб;
(b) один или более выталкивателей скоб, выполненных с возможностью вертикально перемещаться относительно корпуса кассеты;
(c) множество скоб, выполненных с возможностью вертикально перемещаться относительно корпуса кассеты;
(d) множество резистивных элементов, размещенных внутри корпуса кассеты;
(e) медицинскую текучую среду, по меньшей мере часть которой сообщается с множеством резистивных элементов; и
(f) контакт, соединенный с множеством резистивных элементов и выполненный с возможностью электрически соединять множество резистивных элементов с источником энергии.
17. Устройство по п. 16, дополнительно содержащее множество каналов, образованных в корпусе кассеты, причем множество резистивных элементов размещено внутри множества каналов.
18. Устройство по п. 17, дополнительно содержащее порт, причем порт выполнен с возможностью обеспечивать сообщение по текучей среде между двумя или более из множества каналов.
19. Устройство по п. 17, в котором по меньшей мере часть медицинской текучей среды размещена внутри резервуара в сообщении по текучей среде с одним или более каналами из множества каналов.
20. Способ сшивания и герметизации ткани с применением инструмента, кассеты со скобами и источника энергии, причем инструмент содержит концевой эффектор, выполненный с возможностью принимать кассету со скобами, причем концевой эффектор содержит одно или более углублений для формирования скоб, при этом кассета со скобами содержит верхнюю платформу, имеющую одно или более отверстий для скоб, один или более выталкивателей скоб, размещенных внутри кассеты со скобами, одну или более скоб, выполненных с возможностью перемещения одним или более выталкивателями скоб, один или более резистивных элементов, избирательно соединенных с источником энергии, и медицинскую текучую среду, по меньшей мере частично сообщающуюся с одним или более резистивными элементами, причем способ содержит:
(b) размещение концевого эффектора на ткани;
(c) применение одного или более выталкивателей скоб для выталкивания одной или более скоб через одно или более отверстий для скоб через ткань и по меньшей мере частично в одно или более углублений для формирования скоб;
(d) активацию источника энергии, соединенного с одним или более резистивными элементами;
(e) нагревание по меньшей мере части медицинской текучей среды с применением резистивных элементов; и
(f) вытеснение по меньшей мере части медицинской текучей среды через верхнюю платформу.
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US13/230,994 | 2011-09-13 | ||
US13/230,994 US8998060B2 (en) | 2011-09-13 | 2011-09-13 | Resistive heated surgical staple cartridge with phase change sealant |
PCT/US2012/054397 WO2013039818A1 (en) | 2011-09-13 | 2012-09-10 | Resistive heated surgical staple cartridge with phase change sealant |
Publications (2)
Publication Number | Publication Date |
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RU2014114496A true RU2014114496A (ru) | 2015-10-20 |
RU2624332C2 RU2624332C2 (ru) | 2017-07-03 |
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RU2014114496A RU2624332C2 (ru) | 2011-09-13 | 2012-09-10 | Резистивная нагреваемая хирургическая кассета со скобами с герметиком с фазовым переходом |
Country Status (9)
Country | Link |
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US (1) | US8998060B2 (ru) |
EP (1) | EP2755570B1 (ru) |
JP (1) | JP6072041B2 (ru) |
CN (1) | CN103930046B (ru) |
BR (1) | BR112014005984B1 (ru) |
IN (1) | IN2014DN01850A (ru) |
MX (1) | MX351214B (ru) |
RU (1) | RU2624332C2 (ru) |
WO (1) | WO2013039818A1 (ru) |
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-
2011
- 2011-09-13 US US13/230,994 patent/US8998060B2/en active Active
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2012
- 2012-09-10 CN CN201280055446.3A patent/CN103930046B/zh not_active Expired - Fee Related
- 2012-09-10 MX MX2014002975A patent/MX351214B/es active IP Right Grant
- 2012-09-10 EP EP12762150.6A patent/EP2755570B1/en not_active Not-in-force
- 2012-09-10 WO PCT/US2012/054397 patent/WO2013039818A1/en active Application Filing
- 2012-09-10 JP JP2014530716A patent/JP6072041B2/ja not_active Expired - Fee Related
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- 2012-09-10 IN IN1850DEN2014 patent/IN2014DN01850A/en unknown
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IN2014DN01850A (ru) | 2015-05-15 |
BR112014005984B1 (pt) | 2020-12-15 |
US20130062393A1 (en) | 2013-03-14 |
RU2624332C2 (ru) | 2017-07-03 |
EP2755570B1 (en) | 2018-12-05 |
WO2013039818A1 (en) | 2013-03-21 |
EP2755570A1 (en) | 2014-07-23 |
US8998060B2 (en) | 2015-04-07 |
CN103930046B (zh) | 2016-12-28 |
JP6072041B2 (ja) | 2017-02-01 |
BR112014005984A2 (pt) | 2017-04-04 |
CN103930046A (zh) | 2014-07-16 |
JP2014531239A (ja) | 2014-11-27 |
MX351214B (es) | 2017-10-04 |
MX2014002975A (es) | 2015-03-19 |
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