RU2014117163A - Присоединение подложки для хирургических скобок к картриджу - Google Patents
Присоединение подложки для хирургических скобок к картриджу Download PDFInfo
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- RU2014117163A RU2014117163A RU2014117163/14A RU2014117163A RU2014117163A RU 2014117163 A RU2014117163 A RU 2014117163A RU 2014117163/14 A RU2014117163/14 A RU 2014117163/14A RU 2014117163 A RU2014117163 A RU 2014117163A RU 2014117163 A RU2014117163 A RU 2014117163A
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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
- A61B17/064—Surgical staples, i.e. penetrating the tissue
- A61B17/0644—Surgical staples, i.e. penetrating the tissue penetrating the tissue, deformable to closed position
-
- 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
- A61B17/068—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
- A61B2017/00477—Coupling
-
- 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
- A61B2017/00884—Material properties enhancing wound closure
-
- 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
- A61B2017/07228—Arrangement of the staples
-
- 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
-
- 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
- A61B2017/07257—Stapler heads characterised by its anvil
- A61B2017/07264—Stapler heads characterised by its anvil characterised by its staple forming cavities, e.g. geometry or material
-
- 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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- 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 аппарат, применяемый для рассечения и сшивания участка ткани, содержащий дистальный конец, причем на дистальном конце расположен концевой зажим; и(b) картридж со скобками, выборочно вставляемый в концевой зажим, содержащий:i. верхнюю пластину,ii. поддерживающий материал, сообщающийся с верхней пластиной, иiii. скобопродвигающий элемент,причем поддерживающий материал выборочно сочленен с картриджем со скобками с помощью одного или более соединительных элементов,причем скобопродвигающий элемент применяется для закрепления одного или более соединительных элементов, при этом скобопродвигающий элемент применяется для расцепления одного или более соединительных элементов.2. Устройство по п. 1, в котором один или более соединительных элементов содержат присоединительную скобку, причем присоединительная скобка выборочно сочленяет поддерживающий материал с верхней пластиной.3. Устройство по п. 2, в котором верхняя пластина содержит отверстие для присоединительной скобки, причем присоединительная скобка вставляется в отверстие для присоединительной скобки.4. Устройство по п. 3, в котором присоединительная скобка содержит проволоку, которая имеет диаметр, а отверстие дляприсоединительной скобки имеет ширину, причем диаметр проволоки больше ширины отверстия для присоединительной скобки.5. Устройство по п. 3, в котором присоединительная скобка содержит проволоку, которая имеет диаметр, а отверстие для присоединительной скобки имеет ширину, причем диаметр проволоки по существу равен ширине отверстия для присоединительной скобки.6. Устройство по п. 3, в котором картридж со ск�
Claims (20)
1. Устройство, содержащее:
(a) хирургический аппарат, применяемый для рассечения и сшивания участка ткани, содержащий дистальный конец, причем на дистальном конце расположен концевой зажим; и
(b) картридж со скобками, выборочно вставляемый в концевой зажим, содержащий:
i. верхнюю пластину,
ii. поддерживающий материал, сообщающийся с верхней пластиной, и
iii. скобопродвигающий элемент,
причем поддерживающий материал выборочно сочленен с картриджем со скобками с помощью одного или более соединительных элементов,
причем скобопродвигающий элемент применяется для закрепления одного или более соединительных элементов, при этом скобопродвигающий элемент применяется для расцепления одного или более соединительных элементов.
2. Устройство по п. 1, в котором один или более соединительных элементов содержат присоединительную скобку, причем присоединительная скобка выборочно сочленяет поддерживающий материал с верхней пластиной.
3. Устройство по п. 2, в котором верхняя пластина содержит отверстие для присоединительной скобки, причем присоединительная скобка вставляется в отверстие для присоединительной скобки.
4. Устройство по п. 3, в котором присоединительная скобка содержит проволоку, которая имеет диаметр, а отверстие для
присоединительной скобки имеет ширину, причем диаметр проволоки больше ширины отверстия для присоединительной скобки.
5. Устройство по п. 3, в котором присоединительная скобка содержит проволоку, которая имеет диаметр, а отверстие для присоединительной скобки имеет ширину, причем диаметр проволоки по существу равен ширине отверстия для присоединительной скобки.
6. Устройство по п. 3, в котором картридж со скобками далее содержит множество скобопродвигающих элементов, расположенных в нем, а верхняя пластина содержит множество отверстий для скобок, причем каждая скобка из упомянутого множества скобок сообщается с соответствующим скобопродвигающим элементом из упомянутого множества скобопродвигающих элементов.
7. Устройство по п. 6, в котором отверстие для присоединительной скобки выровнено вдоль продольной оси с одним или более отверстиями для скобок.
8. Устройство по п. 6, в котором множество скобопродвигающих элементов применяется для введения множества скобок сквозь поддерживающий материал.
9. Устройство по п. 3, в котором скобопродвигающий элемент сообщается с отверстием для присоединительной скобки.
10. Устройство по п. 9, в котором скобопродвигающий элемент имеет возможность вертикального перемещения относительно верхней пластины.
11. Устройство по п. 9, в котором скобопродвигающий элемент содержит углубления для формирования скобок.
12. Устройство по п. 2, в котором присоединительная скобка содержит пару упруго смещенных ножек.
13. Устройство по п. 12, в котором упруго смещенные ножки смещены наружу.
14. Устройство по п. 12, в котором упруго смещенные ножки содержат заусенцы.
15. Устройство по п. 11, в котором поддерживающий материал выбран из группы, состоящей из:
гемостатического агента;
тромбина или
фибрина.
16. Устройство, содержащее:
(a) хирургический аппарат, содержащий упорный элемент, нижнюю браншу и пусковой стержень, имеющий режущую кромку, причем упорный элемент и нижняя бранша применяются для фиксации участка ткани, который находится между ними, а пусковой стержень продвигается в дистальном направлении относительно упорного элемента и нижней бранши для рассечения участка ткани; и
(b) картридж со скобками, выборочно вставляемый в нижнюю браншу, содержащий:
i. корпус картриджа,
ii. верхнюю пластину, имеющую множество выполненных в ней сквозных отверстий для скобок,
iii. множество скобопродвигающих элементов, причем каждый скобопродвигающий элемент из упомянутого множества скобопродвигающих элементов сообщается с соответствующим отверстием для скобок из упомянутого множества отверстий для скобок.
iv. одну или более скобок, расположенных в корпусе
картриджа, причем одна или более скобок сообщается с одним или более скобопродвигающими элементами из упомянутого множества скобопродвигающих элементов, и
v. поддерживающий материал, который сообщается с верхней пластиной,
причем поддерживающий материал выборочно сочленен с картриджем со скобками с помощью по меньшей мере одного соединительного элемента и при этом
по меньшей мере один скобопродвигающий элемент из упомянутого множества скобопродвигающих элементов применяется для выборочного отцепления поддерживающего материала от картриджа со скобками.
17. Устройство по п. 16, в котором по меньшей мере один соединительный элемент содержит множество присоединительных скобок, причем каждая присоединительная скобка из упомянутого множества присоединительных скобок вставляется в отверстие для скобок.
18. Устройство по п. 17, в котором каждая присоединительная скобка из упомянутого множества присоединительных скобок содержит пару упруго смещенных ножек.
19. Устройство по п. 18, в котором по меньшей мере один скобопродвигающий элемент из упомянутого множества элементов контактирует с упруго смещенными ножками по меньшей мере одной присоединительной скобки из упомянутого множества присоединительных скобок.
20. Способ выборочного сочленения поддерживающего материала с картриджем со скобками хирургического аппарата с помощью
одного или более присоединительных элементов, причем хирургический аппарат содержит концевой зажим, выполненный с возможностью приема картриджа со скобками и применяемый для рассечения участка ткани и для сшивания участка ткани, когда в него вставлен картридж со скобками, содержащий верхнюю пластину, имеющую множество отверстий для скобок и скобопродвигающий элемент, состоящий из этапов:
(a) размещения поддерживающего материала сверху по меньшей мере части верхней пластины; и
(b) введения одного или более присоединительных элементов сквозь поддерживающий материал в по меньшей мере одно отверстие для скобок из упомянутого множества отверстий для скобок; при этом
введение одного или более присоединительных элементов выборочно сочленяет поддерживающий материал с картриджем со скобками, а скобопродвигающий элемент применяется для выборочного расцепления одного или более присоединительных элементов.
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US13/251,682 US8899464B2 (en) | 2011-10-03 | 2011-10-03 | Attachment of surgical staple buttress to cartridge |
US13/251,682 | 2011-10-03 | ||
PCT/US2012/058388 WO2013052435A1 (en) | 2011-10-03 | 2012-10-02 | Attachment of surgical staple buttress to cartridge |
Publications (2)
Publication Number | Publication Date |
---|---|
RU2014117163A true RU2014117163A (ru) | 2015-11-10 |
RU2621117C2 RU2621117C2 (ru) | 2017-05-31 |
Family
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Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
RU2014117163A RU2621117C2 (ru) | 2011-10-03 | 2012-10-02 | Присоединение подложки для хирургических скобок к картриджу |
Country Status (9)
Country | Link |
---|---|
US (1) | US8899464B2 (ru) |
EP (1) | EP2765923B1 (ru) |
JP (1) | JP6208138B2 (ru) |
CN (1) | CN103841902B (ru) |
BR (1) | BR112014008028B1 (ru) |
MX (1) | MX341799B (ru) |
PL (1) | PL2765923T3 (ru) |
RU (1) | RU2621117C2 (ru) |
WO (1) | WO2013052435A1 (ru) |
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MX341799B (es) | 2016-09-01 |
EP2765923A1 (en) | 2014-08-20 |
CN103841902A (zh) | 2014-06-04 |
US8899464B2 (en) | 2014-12-02 |
CN103841902B (zh) | 2016-12-14 |
BR112014008028A2 (pt) | 2017-04-11 |
JP2014533128A (ja) | 2014-12-11 |
EP2765923B1 (en) | 2018-04-04 |
MX2014004084A (es) | 2014-09-22 |
US20130082086A1 (en) | 2013-04-04 |
RU2621117C2 (ru) | 2017-05-31 |
BR112014008028B1 (pt) | 2021-01-05 |
JP6208138B2 (ja) | 2017-10-04 |
WO2013052435A1 (en) | 2013-04-11 |
PL2765923T3 (pl) | 2018-09-28 |
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