RU2014114514A - Хирургическая кассета со скобами с саморазворачивающимся укрепляющим элементом для скоб - Google Patents
Хирургическая кассета со скобами с саморазворачивающимся укрепляющим элементом для скоб Download PDFInfo
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- RU2014114514A RU2014114514A RU2014114514/14A RU2014114514A RU2014114514A RU 2014114514 A RU2014114514 A RU 2014114514A RU 2014114514/14 A RU2014114514/14 A RU 2014114514/14A RU 2014114514 A RU2014114514 A RU 2014114514A RU 2014114514 A RU2014114514 A RU 2014114514A
- Authority
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- Prior art keywords
- reinforcing element
- surgical instrument
- end effector
- cassette
- lower jaw
- Prior art date
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Classifications
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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
-
- 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
-
- 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
Abstract
1. Хирургический инструмент, содержащий:(a) часть рукоятки;(b) стержень, в котором расположен пусковой стержень;(c) концевой эффектор, содержащий упор, нижнюю браншу и сшивающий и рассекающий узел, реагирующий на продольное закрывающее движение, которое формируется частью рукоятки и стержнем;(d) съемную кассету, в которой нижняя бранша выполнена с возможностью принимать кассету, когда концевой эффектор находится в открытой конфигурации, причем кассета содержит:(i) корпус,(ii) множество скоб, размещенных в корпусе, и(iii) платформу, размещенную поверх множества скоб, причем в платформе образованы отверстия и каждое отверстие, по существу, размещено поверх каждой скобы; и(e) укрепляющий элемент, выполненный с возможностью перемещения, который является единым целым с корпусом кассеты или который является единым целым с нижней браншей концевого эффектора, причем укрепляющий элемент выполнен с возможностью перемещения относительно кассеты и относительно концевого эффектора.2. Хирургический инструмент по п. 1, в котором укрепляющий элемент размещен в виде валка внутри корпуса кассеты.3. Хирургический инструмент по п. 2, в котором валок упруго смещен.4. Хирургический инструмент по п. 1, в котором укрепляющий элемент размещен, по существу, в плоском положении внутри корпуса кассеты.5. Хирургический инструмент по п. 4, в котором свободный конец укрепляющего элемента выполнен с возможностью свободно перемещаться внутри корпуса кассеты.6. Хирургический инструмент по п. 1, в котором кожух кассеты содержит поддон кассеты, причем поддон кассеты образует внутренние стенки, причем внутренние стенки выполнены с возможностью принимать ук
Claims (20)
1. Хирургический инструмент, содержащий:
(a) часть рукоятки;
(b) стержень, в котором расположен пусковой стержень;
(c) концевой эффектор, содержащий упор, нижнюю браншу и сшивающий и рассекающий узел, реагирующий на продольное закрывающее движение, которое формируется частью рукоятки и стержнем;
(d) съемную кассету, в которой нижняя бранша выполнена с возможностью принимать кассету, когда концевой эффектор находится в открытой конфигурации, причем кассета содержит:
(i) корпус,
(ii) множество скоб, размещенных в корпусе, и
(iii) платформу, размещенную поверх множества скоб, причем в платформе образованы отверстия и каждое отверстие, по существу, размещено поверх каждой скобы; и
(e) укрепляющий элемент, выполненный с возможностью перемещения, который является единым целым с корпусом кассеты или который является единым целым с нижней браншей концевого эффектора, причем укрепляющий элемент выполнен с возможностью перемещения относительно кассеты и относительно концевого эффектора.
2. Хирургический инструмент по п. 1, в котором укрепляющий элемент размещен в виде валка внутри корпуса кассеты.
3. Хирургический инструмент по п. 2, в котором валок упруго смещен.
4. Хирургический инструмент по п. 1, в котором укрепляющий элемент размещен, по существу, в плоском положении внутри корпуса кассеты.
5. Хирургический инструмент по п. 4, в котором свободный конец укрепляющего элемента выполнен с возможностью свободно перемещаться внутри корпуса кассеты.
6. Хирургический инструмент по п. 1, в котором кожух кассеты содержит поддон кассеты, причем поддон кассеты образует внутренние стенки, причем внутренние стенки выполнены с возможностью принимать укрепляющий элемент, по существу, в плоском положении.
7. Хирургический инструмент по п. 1, причем корпус кассеты содержит поддон кассеты, причем укрепляющий элемент размещен, по существу, в плоском положении на внешней нижней поверхности поддона кассеты.
8. Хирургический инструмент по п. 1, в котором корпус кассеты содержит поддон кассеты, причем нижняя сторона поддона кассеты включает в себя внешние стенки, причем внешние стенки выполнены с возможностью принимать укрепляющий элемент в, по существу, плоском положении.
9. Хирургический инструмент по п. 1, в котором укрепляющий элемент размещен в, по существу, плоском положении вдоль внутренней поверхности нижней бранши концевого эффектора, причем внутренняя поверхность выполнена с возможностью принимать съемную кассету.
10. Хирургический инструмент по п. 1, в котором нижняя бранша концевого эффектора содержит внутренние стенки, причем внутренние стенки выполнены с возможностью принимать съемную кассету, причем внутренние стенки дополнительно выполнены с возможностью принимать укрепляющий элемент в, по существу, плоском положении.
11. Хирургический инструмент по п. 1, в котором конец укрепляющего элемента содержит крепежный элемент.
12. Хирургический инструмент по п. 11, в котором дистальный конец упора образует отверстие, выполненное с возможностью принимать крепежный элемент укрепляющего элемента.
13. Хирургический инструмент по п. 1, в котором укрепляющий элемент содержит биосовместимый материал, выбранный из группы, состоящей из по меньшей мере одного из следующих материалов: гликолида эпсилон-капролактона, бычьего перикарда, полимолочной кислоты, полигликолевой кислоты, полиглактина, полидиоксанона, полигликоната, сывороточного белка, целлюлозной камеди, крахмала, желатина, шелка, нейлона, полипропилена, плетеного полиэфира, полибутилового эфира, полиэтилена и полиэфирэфиркетонов.
14. Хирургический инструмент по п. 1, в котором укрепляющий элемент содержит один из фибрина и тромбина.
15. Хирургический инструмент по п. 1, в котором укрепляющий элемент выполнен с возможностью обеспечить усиление механической целостности скоб, когда скобы проталкиваются через укрепляющий элемент и к упору.
16. Способ применения хирургического инструмента, причем хирургический инструмент включает в себя концевой эффектор, часть рукоятки и стержень, концевой эффектор включает в себя нижнюю браншу и упор, нижняя бранша выполнена с возможностью принимать съемную кассету, съемная кассета или нижняя бранша включает в себя удерживаемую часть укрепляющего элемента, выполненного с возможностью перемещения, причем инструмент дополнительно включает в себя сшивающий и рассекающий узел, реагирующий на продольное закрывающее движение, которое формируется частью рукоятки и стержнем, причем способ содержит этапы:
(a) крепления конца укрепляющего элемента, выполненного с возможностью перемещения, к дистальному концу упора для создания открытой части укрепляющего элемента из удерживаемой части укрепляющего элемента, по мере того как удерживаемая часть направляется от выбранной одной из съемной кассеты или нижней бранши к упору;
(b) приема ткани внутрь открытой части укрепляющего элемента так, что открытая часть укрепляющего элемента оборачивается вокруг ткани; и
(c) продвижения концевого эффектора дистально к ткани, причем ткань одновременно выталкивает открытую часть укрепляющего элемента проксимально внутрь концевого эффектора.
17. Способ по п. 16, в котором этап продвижения концевого эффектора дистально к ткани содержит перемещение укрепляющего элемента проксимально внутрь так, что больше удерживаемой части укрепляющего элемента становится частью открытой части укрепляющего элемента и одновременно оборачивает увеличенную открытую часть укрепляющего элемента вокруг ткани.
18. Способ по п. 16, дополнительно содержащий этапы:
(a) активации сшивающего и рассекающего узла для выталкивания по меньшей мере одного из скоб или пускового стержня через укрепляющий элемент и
(b) депонирования значительного количества укрепляющего элемента на ткани.
19. Способ по п. 18, в котором укрепляющий элемент содержит биосовместимый материал, выбранный из группы, состоящей из по меньшей мере одного из следующих материалов: фибрина, тромбина, гликолида эпсилон-капролактона, бычьего перикарда, полимолочной кислоты, полигликолевой кислоты, полиглактина, полидиоксанона, полигликоната,сывороточного белка, целлюлозной камеди, крахмала, желатина, шелка, нейлона, полипропилена, полиэфира, полибутилового эфира, полиэтилена и полиэфирэфиркетонов.
20. Хирургический инструмент, содержащий:
(a) часть рукоятки и стержень, причем стержень вмещает пусковой стержень;
(b) сшивающий и рассекающий узел, реагирующий на продольное закрывающее движение, которое формируется частью рукоятки и стержнем;
(c) концевой эффектор, соединенный со стержнем, причем концевой эффектор содержит упор и нижнюю браншу, причем нижняя бранша выполнена с возможностью принимать кассету при нахождении в открытом положении;
(d) множество скоб, размещенных в корпусе кассеты, причем упор выполнен с возможностью образовывать скобы в ответ на продольное закрывающее движение, когда нижняя бранша с кассетой находятся в закрытом положении;
(e) платформу, размещенную поверх множества скоб, причем в платформе образованы отверстия, а каждое отверстие, по существу, размещено поверх каждой скобы; и
(f) биосовместимый материал, разъемно прикрепленный к одному из нижней бранши или внутри корпуса кассеты;
причем пусковой стержень выполнен с возможностью перемещения между упором и кассетой для рассечения материала и
причем скобы выполнены с возможностью выталкивания к упору через материал в ответ на продольное закрывающее движение.
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US13/231,064 | 2011-09-13 | ||
| US13/231,064 US9101359B2 (en) | 2011-09-13 | 2011-09-13 | Surgical staple cartridge with self-dispensing staple buttress |
| PCT/US2012/054388 WO2013039814A1 (en) | 2011-09-13 | 2012-09-10 | Surgical staple cartridge with self-dispensing staple buttress |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| RU2014114514A true RU2014114514A (ru) | 2015-10-20 |
| RU2612515C2 RU2612515C2 (ru) | 2017-03-09 |
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| RU2014114514A RU2612515C2 (ru) | 2011-09-13 | 2012-09-10 | Хирургическая кассета со скобами с саморазворачивающимся укрепляющим элементом для скоб |
Country Status (8)
| Country | Link |
|---|---|
| US (1) | US9101359B2 (ru) |
| EP (1) | EP2755569B1 (ru) |
| JP (1) | JP6174029B2 (ru) |
| CN (1) | CN103917173B (ru) |
| BR (1) | BR112014005922B1 (ru) |
| MX (1) | MX351077B (ru) |
| RU (1) | RU2612515C2 (ru) |
| WO (1) | WO2013039814A1 (ru) |
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-
2011
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Also Published As
| Publication number | Publication date |
|---|---|
| JP2014530667A (ja) | 2014-11-20 |
| JP6174029B2 (ja) | 2017-08-02 |
| BR112014005922B1 (pt) | 2020-12-15 |
| EP2755569B1 (en) | 2019-11-20 |
| RU2612515C2 (ru) | 2017-03-09 |
| US9101359B2 (en) | 2015-08-11 |
| CN103917173A (zh) | 2014-07-09 |
| EP2755569A1 (en) | 2014-07-23 |
| MX2014002974A (es) | 2015-04-13 |
| US20130062394A1 (en) | 2013-03-14 |
| BR112014005922A2 (pt) | 2017-03-28 |
| WO2013039814A1 (en) | 2013-03-21 |
| MX351077B (es) | 2017-09-28 |
| CN103917173B (zh) | 2017-03-15 |
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