RU2014114834A - Хирургический инструмент и укрепляющий материал - Google Patents
Хирургический инструмент и укрепляющий материал Download PDFInfo
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- RU2014114834A RU2014114834A RU2014114834/14A RU2014114834A RU2014114834A RU 2014114834 A RU2014114834 A RU 2014114834A RU 2014114834/14 A RU2014114834/14 A RU 2014114834/14A RU 2014114834 A RU2014114834 A RU 2014114834A RU 2014114834 A RU2014114834 A RU 2014114834A
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- distal end
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- 238000005728 strengthening Methods 0.000 title 1
- 239000012779 reinforcing material Substances 0.000 claims abstract 37
- 244000273256 Phragmites communis Species 0.000 claims abstract 13
- 235000014676 Phragmites communis Nutrition 0.000 claims abstract 13
- 238000002224 dissection Methods 0.000 claims 6
- 238000000034 method Methods 0.000 claims 5
- 210000002105 tongue Anatomy 0.000 claims 5
- 239000004744 fabric Substances 0.000 claims 3
- 238000009434 installation Methods 0.000 claims 2
- 102000009123 Fibrin Human genes 0.000 claims 1
- 108010073385 Fibrin Proteins 0.000 claims 1
- BWGVNKXGVNDBDI-UHFFFAOYSA-N Fibrin monomer Chemical compound CNC(=O)CNC(=O)CN BWGVNKXGVNDBDI-UHFFFAOYSA-N 0.000 claims 1
- 229940030225 antihemorrhagics Drugs 0.000 claims 1
- 230000000295 complement effect Effects 0.000 claims 1
- 229950003499 fibrin Drugs 0.000 claims 1
- 239000002874 hemostatic agent Substances 0.000 claims 1
- 230000003014 reinforcing effect Effects 0.000 claims 1
- 239000002195 soluble material Substances 0.000 claims 1
- 230000014759 maintenance of location Effects 0.000 abstract 1
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
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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
- A61B2017/00004—(bio)absorbable, (bio)resorbable or resorptive
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00681—Aspects not otherwise provided for
- A61B2017/00738—Aspects not otherwise provided for part of the tool being offset with respect to a main axis, e.g. for better view for the surgeon
-
- 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
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
1. Устройство, содержащее:(a) хирургический инструмент, выполненный с возможностью рассекать и сшивать часть ткани и содержащий проксимальный конец и дистальный конец;(b) удерживающую крышку в связи с дистальным концом хирургического инструмента, выполненную с возможностью накрывать по меньшей мере часть дистального конца хирургического инструмента;(c) укрепляющий материал в связи с удерживающей крышкой, выполненный с возможностью соединяться с частью дистального конца хирургического инструмента, причем удерживающая крышка выполнена с возможностью извлечения из дистального конца хирургического инструмента без отсоединения укрепляющего материала от части дистального конца хирургического инструмента, причем укрепляющий материал дополнительно выполнен с возможностью отсоединяться от части дистального конца хирургического инструмента.2. Устройство по п. 1, в котором хирургический инструмент содержит упор, содержащий продольный паз упора, причем укрепляющий материал выполнен с возможностью соединяться с продольным пазом упора.3. Устройство по п. 2, в котором укрепляющий материал дополнительно содержит множество язычков, выполненных с возможностью установки с защелкиванием в продольный паз упора.4. Устройство по п. 3, в котором множество язычков содержит растворимые язычки.5. Устройство по п. 3, в котором множество язычков расположено таким образом, что они попеременно обращены в разные боковые направления вдоль длины укрепляющего материала.6. Устройство по п. 3, дополнительно содержащее дистально продвигающееся режущее устройство, причем хирургический инструмент образует продольный центр, причем режуще
Claims (20)
1. Устройство, содержащее:
(a) хирургический инструмент, выполненный с возможностью рассекать и сшивать часть ткани и содержащий проксимальный конец и дистальный конец;
(b) удерживающую крышку в связи с дистальным концом хирургического инструмента, выполненную с возможностью накрывать по меньшей мере часть дистального конца хирургического инструмента;
(c) укрепляющий материал в связи с удерживающей крышкой, выполненный с возможностью соединяться с частью дистального конца хирургического инструмента, причем удерживающая крышка выполнена с возможностью извлечения из дистального конца хирургического инструмента без отсоединения укрепляющего материала от части дистального конца хирургического инструмента, причем укрепляющий материал дополнительно выполнен с возможностью отсоединяться от части дистального конца хирургического инструмента.
2. Устройство по п. 1, в котором хирургический инструмент содержит упор, содержащий продольный паз упора, причем укрепляющий материал выполнен с возможностью соединяться с продольным пазом упора.
3. Устройство по п. 2, в котором укрепляющий материал дополнительно содержит множество язычков, выполненных с возможностью установки с защелкиванием в продольный паз упора.
4. Устройство по п. 3, в котором множество язычков содержит растворимые язычки.
5. Устройство по п. 3, в котором множество язычков расположено таким образом, что они попеременно обращены в разные боковые направления вдоль длины укрепляющего материала.
6. Устройство по п. 3, дополнительно содержащее дистально продвигающееся режущее устройство, причем хирургический инструмент образует продольный центр, причем режущее устройство продвигается по существу вдоль продольного центра хирургического инструмента, причем множество язычков расположено с небольшим смещением относительно продольного центра хирургического инструмента.
7. Устройство по п. 6, в котором каждый из множества язычков содержит корпус и головку, причем режущее устройство выполнено с возможностью отсекать головку по мере его дистального продвижения.
8. Устройство по п. 2, в котором укрепляющий материал дополнительно содержит Т-образную рельсовую направляющую, выполненную с возможностью скольжения в продольный паз упора.
9. Устройство по п. 1, в котором хирургический инструмент содержит упор, содержащий множество прорезей, где укрепляющий материал дополнительно содержит множество фиксаторов, выполненных с возможностью соединения с множеством прорезей.
10. Устройство по п. 1, в котором укрепляющий материал содержит гемостатический агент.
11. Устройство по п. 1, в котором укрепляющий материал содержит фибриновую мягкую прокладку.
12. Устройство по п. 1, в котором хирургический инструмент содержит дистально продвигающийся режущий край, выполненный с
возможностью отсоединения укрепляющего материала от дистальной части хирургического инструмента.
13. Устройство по п. 1, в котором дистальный конец хирургического инструмента содержит упор и нижнюю браншу, причем упор и нижняя бранша выполнены с возможностью прижимать укрепляющий материал вокруг рассекаемой и сшиваемой ткани таким образом, что укрепляющий материал зажимает рассекаемую и сшиваемую ткань с двух сторон.
14. Устройство по п. 1, в котором по меньшей мере часть укрепляющего материала содержит растворимый материал.
15. Устройство по п. 1, в котором удерживающая крышка содержит верхнюю поверхность и нижнюю поверхность, причем укрепляющий материал накрывает верхнюю поверхность удерживающей крышки, причем укрепляющий материал дополнительно накрывает нижнюю поверхность удерживающей крышки.
16. Устройство, содержащее:
(a) хирургический инструмент, содержащий упор, нижнюю браншу и режущее устройство, причем упор и нижняя бранша выполнены с возможностью зажимать часть ткани для рассечения, причем режущее устройство выполнено с возможностью дистально продвигаться для рассечения части ткани;
(b) укрепляющий материал, выполненный с возможностью размещения между упором и нижней браншей, причем укрепляющий материал содержит множество язычков, выполненных с возможностью соединять укрепляющий материал с упором, причем режущее устройство выполнено с возможностью рассекать часть каждого из множества язычков, таким образом отсоединяя укрепляющий материал
от упора.
17. Устройство по п. 16, в котором укрепляющий материал содержит первый слой укрепляющего материала и второй слой укрепляющего материала, причем первый и второй слои укрепляющего материала выполнены с возможностью зажимать между ними часть рассекаемой ткани.
18. Устройство по п. 16, в котором каждый язычок имеет клиновидную форму, выполненную с возможностью установки с механическим защелкиванием в продольный паз упора.
19. Устройство по п. 16, в котором множество язычков имеют T-образную форму и выполнены с возможностью скольжения в комплементарный продольный паз упора.
20. Способ доставки укрепляющего материала к ткани с применением хирургического инструмента, причем хирургический инструмент содержит режущее устройство и сшивающий инструмент, причем режущее устройство выполнено с возможностью разрезать часть ткани, причем сшивающий инструмент выполнен с возможностью сшивать скобами часть ткани, и хирургический инструмент дополнительно содержит упор и нижнюю браншу, выполненные с возможностью принимать укрепляющий материал, находящийся в связи с множеством язычков, отходящих от укрепляющего материала; причем способ содержит:
(a) загрузку укрепляющего материала между упором и нижней браншей;
(b) осуществление соединения между укрепляющим материалом и упором, причем процесс осуществления соединения между укрепляющим материалом и упором содержит зацепление множества
язычков;
(c) расположение ткани между упором и нижней браншей для рассечения и сшивания;
(d) рассечение по меньшей мере части ткани, расположенной между упором и нижней браншей;
(e) рассечение по меньшей мере части множества язычков, причем как процесс рассечения по меньшей мере части множества язычков, так и процесс рассечения по меньшей мере части ткани проходят по существу одновременно;
(f) отцепление укрепляющего материала от упора; и
(g) доставку укрепляющего материала к рассеченной ткани.
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US13/233,664 US20130068816A1 (en) | 2011-09-15 | 2011-09-15 | Surgical instrument and buttress material |
| US13/233,664 | 2011-09-15 | ||
| PCT/US2012/054412 WO2013039825A1 (en) | 2011-09-15 | 2012-09-10 | Surgical instrument and buttress material |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| RU2014114834A true RU2014114834A (ru) | 2015-10-20 |
| RU2619379C2 RU2619379C2 (ru) | 2017-05-15 |
Family
ID=46888691
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| RU2014114834A RU2619379C2 (ru) | 2011-09-15 | 2012-09-10 | Хирургический инструмент и укрепляющий материал |
Country Status (8)
| Country | Link |
|---|---|
| US (1) | US20130068816A1 (ru) |
| EP (2) | EP2755571B1 (ru) |
| JP (1) | JP6133299B2 (ru) |
| CN (1) | CN103930047B (ru) |
| BR (1) | BR112014006247B1 (ru) |
| MX (1) | MX2014003174A (ru) |
| RU (1) | RU2619379C2 (ru) |
| WO (1) | WO2013039825A1 (ru) |
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-
2011
- 2011-09-15 US US13/233,664 patent/US20130068816A1/en not_active Abandoned
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- 2012-09-10 BR BR112014006247-1A patent/BR112014006247B1/pt active IP Right Grant
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|---|---|
| JP6133299B2 (ja) | 2017-05-24 |
| RU2619379C2 (ru) | 2017-05-15 |
| MX2014003174A (es) | 2014-09-22 |
| JP2014533122A (ja) | 2014-12-11 |
| EP2755571A1 (en) | 2014-07-23 |
| WO2013039825A1 (en) | 2013-03-21 |
| CN103930047B (zh) | 2016-12-28 |
| BR112014006247A2 (pt) | 2017-04-11 |
| CN103930047A (zh) | 2014-07-16 |
| EP3689263A1 (en) | 2020-08-05 |
| US20130068816A1 (en) | 2013-03-21 |
| BR112014006247B1 (pt) | 2021-02-02 |
| EP2755571B1 (en) | 2020-01-01 |
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| MM4A | The patent is invalid due to non-payment of fees |
Effective date: 20200911 |