RU2014143351A - Способы формирования конфигураций компенсаторов толщины ткани для хирургических сшивающих инструментов - Google Patents

Способы формирования конфигураций компенсаторов толщины ткани для хирургических сшивающих инструментов Download PDF

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RU2014143351A
RU2014143351A RU2014143351A RU2014143351A RU2014143351A RU 2014143351 A RU2014143351 A RU 2014143351A RU 2014143351 A RU2014143351 A RU 2014143351A RU 2014143351 A RU2014143351 A RU 2014143351A RU 2014143351 A RU2014143351 A RU 2014143351A
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surgical
staples
brackets
thickness compensator
tissue thickness
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RU2014143351A
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RU2649525C2 (ru
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Тамара ВАЙДЕНХАУЗ
Фредерик Э. ШЕЛТОН IV
Марк Д. ТИММЕР
Стивен Г. ХОЛЛ
Ричард В. ТИММ
Мэттью М. ЛЭНГ
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Этикон Эндо-Серджери, Инк.
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    • 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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Abstract

1. Компенсатор толщины ткани для использования с хирургической кассетой со скобами, имеющей неплоскую платформу кассеты со скобами, причем компенсатор толщины ткани содержит часть корпуса, имеющую профиль поверхности, по существу соответствующий неплоской поверхности хирургической кассеты со скобами.2. Компенсатор толщины ткани по п. 1, в котором часть корпуса выполнена из биосовместимого пеноматериала.3. Компенсатор толщины ткани по п. 1 или п. 2, дополнительно содержащий воздухопроницаемую биосовместимую пленку, прикрепленную к части корпуса.4. Способ формирования компенсатора толщины ткани по любому предшествующему пункту.5. Хирургическое сшивающее устройство, содержащее:хирургическую кассету со скобами, включающую поверхность платформы и вмещающую множество хирургических скоб, выполненных с возможностью формирования с различными высотами в сформированном состоянии;упор, включающий поверхность для формирования скоб и поддерживаемый с возможностью перемещения относительно хирургической кассеты со скобами таким образом, чтобы поверхность для формирования скоб можно было расположить напротив поверхности платформы для скоб; икомпенсатор толщины ткани, имеющий неравномерную толщину в поперечном сечении и расположенный между поверхностью для формирования скоб упора и поверхностью платформы для скоб.6. Хирургическое сшивающее устройство по п. 5, в котором множество хирургических скоб содержит множество первых хирургических скоб, имеющих первую высоту в несформированном состоянии, и множество вторых хирургических скоб, имеющих вторую высоту в несформированном состоянии, отличающуюся от первой высоты в несформи

Claims (19)

1. Компенсатор толщины ткани для использования с хирургической кассетой со скобами, имеющей неплоскую платформу кассеты со скобами, причем компенсатор толщины ткани содержит часть корпуса, имеющую профиль поверхности, по существу соответствующий неплоской поверхности хирургической кассеты со скобами.
2. Компенсатор толщины ткани по п. 1, в котором часть корпуса выполнена из биосовместимого пеноматериала.
3. Компенсатор толщины ткани по п. 1 или п. 2, дополнительно содержащий воздухопроницаемую биосовместимую пленку, прикрепленную к части корпуса.
4. Способ формирования компенсатора толщины ткани по любому предшествующему пункту.
5. Хирургическое сшивающее устройство, содержащее:
хирургическую кассету со скобами, включающую поверхность платформы и вмещающую множество хирургических скоб, выполненных с возможностью формирования с различными высотами в сформированном состоянии;
упор, включающий поверхность для формирования скоб и поддерживаемый с возможностью перемещения относительно хирургической кассеты со скобами таким образом, чтобы поверхность для формирования скоб можно было расположить напротив поверхности платформы для скоб; и
компенсатор толщины ткани, имеющий неравномерную толщину в поперечном сечении и расположенный между поверхностью для формирования скоб упора и поверхностью платформы для скоб.
6. Хирургическое сшивающее устройство по п. 5, в котором множество хирургических скоб содержит множество первых хирургических скоб, имеющих первую высоту в несформированном состоянии, и множество вторых хирургических скоб, имеющих вторую высоту в несформированном состоянии, отличающуюся от первой высоты в несформированном состоянии.
7. Хирургическое сшивающее устройство по п. 6, дополнительно содержащее множество третьих хирургических скоб, имеющих третью высоту в несформированном состоянии, отличающуюся от первой и второй высот в несформированном состоянии.
8. Хирургическое сшивающее устройство по п. 7, в котором хирургическая кассета со скобами дополнительно содержит удлиненный паз, проходящий через ее часть, для вмещения режущего ткань элемента, и причем первые хирургические скобы расположены в первых рядах хирургических скоб, размещенных на каждой боковой стороне паза, и вторые хирургические скобы расположены во вторых рядах хирургических скоб, размещенных на каждой боковой стороне паза, и причем каждая третья хирургическая скоба расположена в третьих рядах хирургических скоб, размещенных на каждой боковой стороне паза.
9. Хирургическое сшивающее устройство по п. 5, в котором поверхность платформы хирургической кассеты со скобами является неплоской, и причем компенсатор толщины ткани включает часть корпуса, имеющую профиль поверхности, по существу соответствующий неплоской поверхности платформы.
10. Хирургическое сшивающее устройство по п. 9, в котором часть корпуса выполнена из биосовместимого пеноматериала.
11. Хирургическое сшивающее устройство по п. 9 или 10, дополнительно содержащее воздухопроницаемую биосовместимую пленку, прикрепленную к части корпуса.
12. Хирургическое сшивающее устройство по п. 5, в котором поверхность для формирования скоб упора является неплоской, и причем компенсатор толщины ткани включает часть корпуса, имеющую профиль поверхности, по существу соответствующий неплоской поверхности для формирования скоб.
13. Способ формирования компенсатора толщины ткани для использования с хирургическим сшивающим устройством, включающий:
получение раствора биорассасывающегося полимерного материала в растворителе;
помещение раствора в полость формы для литья;
замораживание раствора;
помещение биосовместимого воздухопроницаемого материала на открытую поверхность замороженного раствора;
снижение давления над раствором;
обеспечение нагревания и сублимирования раствора сквозь воздухопроницаемый материал с образованием корпуса из пеноматериала внутри полости; и
извлечение корпуса из пеноматериала из полости.
14. Способ по п. 13, в котором воздухопроницаемый материал представляет собой пленочный материал со сквозными отверстиями.
15. Способ по п. 14, в котором отверстия в пленке выбирают из группы отверстий, состоящей из перфораций, каналов, отверстий и прорезей.
16. Способ по п. 13, в котором помещение воздухопроницаемого материала на открытую поверхность содержит минимизацию точек контакта между воздухопроницаемым материалом и открытой поверхностью.
17. Способ по п. 16, в котором точки контакта минимизируют посредством:
формирования обеспечивающих зазор структур на воздухопроницаемом материале; и
помещения обеспечивающих зазор структур на открытой поверхности таким образом, чтобы воздухопроницаемый материал располагался на расстоянии от открытой поверхности посредством обеспечивающих зазор структур.
18. Способ по п. 13, в котором помещение биосовместимого воздухопроницаемого материала на открытую поверхность раствора содержит:
подготовку биосовместимого пленочного элемента, имеющего размер, позволяющий покрывать открытую поверхность;
выполнение разрезов в пленочном элементе с образованием отгибающихся областей;
складывание отгибающихся областей с образованием обеспечивающих зазор структур, выступающих на одной стороне пленочного элемента; и
помещение обеспечивающих зазор структур на открытую поверхность таким образом, чтобы пленочный элемент поддерживался над открытой поверхностью, и причем обеспечивают выход пара растворителя через отверстия в пленочном элементе, образованном сложенными отгибающимися областями.
19. Способ по п. 13, в котором помещение раствора в полость содержит введение раствора в полость, включающую нижнюю поверхность, имеющую форму, позволяющую соответствовать по меньшей мере одному профилю по меньшей мере одной части компонента хирургического инструмента.
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CN104321086A (zh) 2015-01-28
US20160074040A1 (en) 2016-03-17
WO2013148784A3 (en) 2014-02-27
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