RU2015129083A - Круговой сшивающий инструмент с выбором управления с использованием двигателя и ручного управления, включающий управляющее кольцо - Google Patents

Круговой сшивающий инструмент с выбором управления с использованием двигателя и ручного управления, включающий управляющее кольцо Download PDF

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RU2015129083A
RU2015129083A RU2015129083A RU2015129083A RU2015129083A RU 2015129083 A RU2015129083 A RU 2015129083A RU 2015129083 A RU2015129083 A RU 2015129083A RU 2015129083 A RU2015129083 A RU 2015129083A RU 2015129083 A RU2015129083 A RU 2015129083A
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mode
head assembly
tissue
activate
shaft
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RU2015129083A
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RU2653993C2 (ru
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Джеффри С. СВЭЙЗИ
III Честер О. БАКСТЕР
IV Фредерик Э. ШЕЛТОН
Грегори В. ДЖОНСОН
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Этикон Эндо-Серджери, Инк.
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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
    • A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B17/115—Staplers for performing anastomosis in a single operation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B17/115—Staplers for performing anastomosis in a single operation
    • A61B17/1155—Circular staplers comprising a plurality of staples
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017—Electrical control of surgical instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00115—Electrical control of surgical instruments with audible or visual output
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
    • A61B2017/00389—Button or wheel for performing multiple functions, e.g. rotation of shaft and end effector
    • A61B2017/00393—Button or wheel for performing multiple functions, e.g. rotation of shaft and end effector with means for switching between functions
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
    • A61B2017/00398—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like using powered actuators, e.g. stepper motors, solenoids
    • 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
    • A61B2017/00734—Aspects not otherwise provided for battery operated
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08—Accessories or related features not otherwise provided for
    • A61B2090/0807—Indication means
    • A61B2090/0811—Indication means for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument

Claims (42)

1. Устройство для сшивания ткани, причем устройство содержит:
(a) узел сшивающей головки, причем узел сшивающей головки содержит:
(i) закрывающий узел, выполненный с возможностью прижимания ткани к упору, и
(ii) пусковой узел, выполненный с возможностью выталкивания по меньшей мере одной скобы сквозь ткань к упору;
(b) приводной вращательный вал в связи с узлом сшивающей головки; и
(c) узел корпуса, соединенный с приводным вращательным валом, причем узел корпуса содержит переключатель режима, выполненный с возможностью выбора между режимом зажимания ткани и пусковым режимом, причем приводной вращательный вал выполнен с возможностью активации закрывающего узла в результате выбора режима зажимания ткани, причем приводной вращательный вал выполнен с возможностью активации пускового узла в результате выбора пускового режима.
2. Устройство по п. 1, в котором переключатель режима выполнен с возможностью поступательного перемещения приводного вращательного вала между первым продольным положением и вторым продольным положением для выбора между режимом зажимания ткани и пусковым режимом.
3. Устройство по п. 1, в котором узел корпуса дополнительно содержит кожух, причем переключатель режима содержит кольцевой элемент, выполненный с возможностью перемещения относительно кожуха узла корпуса.
4. Устройство по п. 3, в котором кожух узла корпуса дополнительно образует множество пазов, причем переключатель режима дополнительно включает штифтовый элемент, выступающий из кольцевого элемента, причем штифтовый элемент выполнен с возможностью прохождения множества пазов во время выбора режима переключателем режима.
5. Устройство по п. 1, в котором переключатель режима выполнен с возможностью перемещения между проксимальным положением и дистальным положением, причем проксимальное положение связано с пусковым режимом, а дистальное положение связано с режимом зажимания ткани.
6. Устройство по п. 5, в котором переключатель режима выполнен с возможностью поворота в первом направлении для запуска поворота приводного вращательного вала для закрытия упора относительно узла сшивающей головки.
7. Устройство по п. 6, в котором переключатель режима выполнен с возможностью поворота во втором направлении для запуска поворота приводного вращательного вала для открытия упора относительно узла сшивающей головки.
8. Устройство по п. 5, в котором переключатель режима выполнен с возможностью поворота в первом направлении для запуска поворота приводного вращательного вала для выталкивания по меньшей мере одной скобы сквозь ткань от узла сшивающей головки к упору.
9. Устройство по п. 1, в котором пусковой узел дополнительно выполнен с возможностью активации скальпеля сквозь ткань.
10. Устройство по п. 1, в котором узел корпуса содержит переключатель, причем переключатель выполнен с возможностью избирательной активации узла сшивающей головки, причем переключатель расположен таким образом, что он активируется в результате поворота переключателя режима.
11. Устройство по п. 1, дополнительно содержащее двигатель, причем двигатель выполнен с возможностью активации приводного вращательного вала.
12. Устройство по п. 11, дополнительно содержащее переключатель ручной эксплуатации, выполненный с возможностью избирательно отцепления двигателя от приводного вращательного вала для обеспечения ручного поворота приводного вращательного вала.
13. Устройство по п. 11, дополнительно содержащее узел управления, причем узел управления содержит:
(i) датчик, выполненный с возможностью определения одного или более состояний, связанных с эксплуатацией узла сшивающей головки, и
(ii) управляющий модуль в связи с датчиком и двигателем, причем управляющий модуль выполнен с возможностью управления работой двигателя на основании, по меньшей мере частично, сигнала от датчика.
14. Устройство по п. 1, дополнительно содержащее:
(a) элемент обратной связи, причем элемент обратной связи выполнен с возможностью предоставления оператору одного или обоих из звукового или визуального сигнала обратной связи для указания состояния, связанного с работой узла сшивающей головки; и
(b) узел управления, содержащий:
(i) датчик, выполненный с возможностью определения одного или более состояний, связанных с работой узла сшивающей головки, и
(ii) управляющий модуль в связи с датчиком и элементом обратной связи, причем управляющий модуль выполнен с возможностью активации элемента обратной связи на основании, по меньшей мере частично, сигнала от датчика.
15. Устройство по п. 14, причем устройство выполнено с возможностью переключения между режимом ручной эксплуатации и режимом эксплуатации с использованием двигателя, причем узел управления выполнен с возможностью активации элемента обратной связи для указания выбора режима ручной эксплуатации или режима эксплуатации с использованием двигателя.
16. Устройство по п. 14, в котором узел управления выполнен с возможностью активации элемента обратной связи для указания выбора режима зажимания ткани или пускового режима.
17. Устройство по п. 14, в котором узел управления выполнен с возможностью активации элемента обратной связи для указания расстояния между упором и узлом сшивающей головки.
18. Устройство по п. 1, в котором узел корпуса образует рукоятку.
19. Устройство для сшивания ткани, причем устройство содержит:
(a) узел сшивающей головки, причем узел сшивающей головки выполнен с возможностью избирательной эксплуатации в режиме зажимания ткани или в режиме сшивания ткани, причем узел сшивающей головки выполнен с возможностью активации упора, чтобы зажать ткань в режиме зажимания ткани, причем узел сшивающей головки выполнен с возможностью сшивания ткани в режиме сшивания ткани;
(b) приводной вращательный вал, выполненный с возможностью активации узла сшивающей головки в режиме зажимания ткани, причем приводной вращательный вал дополнительно выполнен с возможностью активации узла сшивающей головки в режиме сшивания ткани; и
(c) корпус, соединенный с приводным вращательным валом, причем корпус содержит:
(i) элемент поворота вала, причем элемент поворота вала выполнен с возможностью поворота приводного вращательного вала, и
(ii) элемент поступательного перемещения вала, причем элемент поступательного перемещения вала выполнен с возможностью поступательного перемещения приводного вращательного вала между первым продольным положением и вторым продольным положением,
причем приводной вращательный вал выполнен с возможностью активации узла сшивающей головки в режиме зажимания ткани в результате расположения приводного вращательного вала в первом продольном положении,
причем приводной вращательный вал выполнен с возможностью активации узла сшивающей головки в режиме сшивания ткани в результате расположения приводного вращательного вала во втором продольном положении.
20. Устройство для сшивания ткани, причем устройство содержит:
(a) узел сшивающей головки, выполненный с возможностью избирательной эксплуатации в режиме зажимания ткани или режиме сшивания ткани;
(b) узел привода, выполненный с возможностью активации узла сшивающей головки в режиме зажимания ткани, причем узел привода дополнительно выполнен с возможностью активации узла сшивающей головки в режиме сшивания ткани;
(c) переключатель режима, выполненный с возможностью перехода узла сшивающей головки между режимом зажимания ткани и режимом сшивания ткани; и
(d) элемент обратной связи, выполненный с возможностью обеспечения указания выбора режима переключателем режима.
RU2015129083A 2012-12-17 2013-12-16 Круговой сшивающий инструмент с выбором управления с использованием двигателя и ручного управления, включающий управляющее кольцо RU2653993C2 (ru)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US13/716,308 US9445816B2 (en) 2012-12-17 2012-12-17 Circular stapler with selectable motorized and manual control
US13/716,313 2012-12-17
US13/716,313 US9532783B2 (en) 2012-12-17 2012-12-17 Circular stapler with selectable motorized and manual control, including a control ring
PCT/US2013/075242 WO2014099703A2 (en) 2012-12-17 2013-12-16 Circular stapler with selectable motorized and manual control, including a control ring

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RU2015129083A true RU2015129083A (ru) 2017-01-25
RU2653993C2 RU2653993C2 (ru) 2018-05-15

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RU2015129029A RU2676523C2 (ru) 2012-12-17 2013-12-16 Круговой сшивающий инструмент с выбором управления с использованием электропривода и ручного управления

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US (9) US9532783B2 (ru)
EP (3) EP3922194B1 (ru)
JP (2) JP6290246B2 (ru)
CN (2) CN104918564B (ru)
IN (2) IN2015DN04213A (ru)
MX (2) MX360428B (ru)
RU (2) RU2653993C2 (ru)
WO (2) WO2014099701A2 (ru)

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EP2941202A2 (en) 2015-11-11
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