RU2015129085A - Круговой сшивающий инструмент, имеющий исполнительный механизм от двигателя и вход вращения, с модульным концевым эффектором - Google Patents
Круговой сшивающий инструмент, имеющий исполнительный механизм от двигателя и вход вращения, с модульным концевым эффектором Download PDFInfo
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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
- A61B17/1155—Circular staplers comprising a plurality of staples
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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
- A61B2017/00017—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
- A61B2017/00367—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
- A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
- A61B2017/00473—Distal part, e.g. tip or head
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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
- A61B2017/00477—Coupling
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- 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
- A61B2017/07257—Stapler heads characterised by its anvil
-
- 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
-
- 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
- A61B2017/07278—Stapler heads characterised by its sled or its staple holder
-
- 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
- A61B2017/07285—Stapler heads characterised by its cutter
Landscapes
- 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)
Claims (40)
1. Устройство для сшивания ткани, причем устройство содержит:
узел корпуса;
стержень вращательного исполнительного механизма, причем стержень вращательного исполнительного механизма выполнен с возможностью поступательного перемещения между первым продольным положением и вторым продольным положением относительно узла корпуса; и
сшивающий узел, причем сшивающий узел содержит:
упор,
платформу для скоб,
выталкиватель скоб, выполненный с возможностью выталкивания скоб через платформу для скоб к упору,
первый приводной элемент, выполненный с возможностью перемещения упора к платформе для скоб в ответ на поворот стержня исполнительного механизма в первом продольном положении, и
второй приводной элемент, выполненный с возможностью перемещения выталкивателя скоб к упору в ответ на поворот стержня исполнительного механизма во втором продольном положении.
2. Устройство по п. 1, в котором упор включает кольцевую совокупность углублений для формирования скоб.
3. Устройство по п. 1, в котором узел корпуса включает вход для поступательного перемещения стержня исполнительного механизма, выполненный с возможностью поступательного перемещения стержня исполнительного механизма между первым продольным положением и вторым продольным положением.
4. Устройство по п. 1, в котором узел корпуса включает двигатель, выполненный с возможностью поворота приводного стержня.
5. Устройство по п. 1, в котором сшивающий узел дополнительно включает лезвийный элемент, выполненный с возможностью рассечения ткани.
6. Устройство по п. 5, в котором второй приводной элемент дополнительно выполнен с возможностью перемещения лезвийного элемента к упору в ответ на поворот стержня исполнительного механизма во втором продольном положении.
7. Устройство по п. 1, в котором сшивающий узел дополнительно содержит троакар, соединенный с упором.
8. Устройство по п. 7, в котором троакар посредством резьбы соединен с первым приводным элементом.
9. Устройство по п. 1, в котором приводной стержень имеет дистальную выемку, причем первый приводной элемент включает проксимальный приводной элемент конструкции, причем выемка стержня исполнительного механизма выполнена с возможностью приема приводного элемента конструкции первого приводного элемента в ответ на нахождение стержня исполнительного механизма в первом продольном положении, причем стержень исполнительного механизма выполнен с возможностью отсоединения приводного элемента конструкции первого приводного элемента в ответ на нахождение стержня исполнительного механизма во втором продольном положении.
10. Устройство по п. 1, в котором стержень исполнительного механизма имеет множество дистальных шлицев, причем второй приводной элемент имеет множество проксимальных шлицев, причем дистальные шлицы стержня исполнительного механизма выполнены с возможностью сцепления с проксимальными шлицами второго приводного элемента в ответ на нахождение стержня исполнительного механизма во втором продольном положении, причем стержень исполнительного механизма выполнен с возможностью отсоединения дистальных шлицев стержня исполнительного механизма от проксимальных шлицев второго приводного элемента в ответ на нахождение стержня исполнительного механизма в первом продольном положении.
11. Устройство по п. 1, в котором второй приводной элемент содержит поворачиваемый элемент и поступательно перемещающийся элемент, посредством резьбы соединенный с поворачиваемым элементом, причем поступательно перемещающийся элемент выполнен с возможностью линейного выталкивания выталкивателя скоб.
12. Устройство по п. 1, дополнительно содержащее узел стержня, проходящий дистально от корпуса, причем узел стержня образует дистальное гнездо, причем стержень исполнительного механизма имеет дистальный конец, размещенный внутри дистального гнезда.
13. Устройство по п. 12, в котором сшивающий узел дополнительно содержит корпус кассеты, причем корпус кассеты вмещает платформу для скоб, выталкиватель скоб, первый приводной элемент и второй приводной элемент, причем по меньшей мере часть корпуса кассеты вставлена в дистальное гнездо узла стержня.
14. Устройство по п. 13, в котором корпус кассеты включает по меньшей мере один упруго смещенный язычок, причем по меньшей мере один упруго смещенный язычок выполнен с возможностью разъемного закрепления корпуса кассеты внутри дистального гнезда узла стержня.
15. Устройство по п. 14, в котором дистальное гнездо включает по меньшей мере один вырез, выполненный с возможностью приема по меньшей мере одного упруго смещенного язычка.
16. Кассета со скобами, содержащая:
корпус кассеты, причем корпус кассеты является по существу цилиндрическим, причем корпус кассеты выполнен с возможностью разъемного соединения со сшивающим инструментом;
платформу для скоб, причем платформа для скоб включает кольцевую совокупность отверстий;
выталкиватель скоб, причем выталкиватель скоб выполнен с возможностью выталкивания скоб через кольцевую совокупность отверстий; и
первый вращательный приводной элемент, находящийся в связи с выталкивателем скоб, причем первый вращательный приводной элемент является поворачиваемым относительно корпуса кассеты для выталкивания выталкивателя скоб, выталкивая при этом скобы через кольцевую совокупность отверстий.
17. Кассета со скобами по п. 16, дополнительно содержащая:
троакар, причем троакар выполнен с возможностью соединения с упором; и
второй вращательный приводной элемент, причем второй вращательный приводной элемент является поворачиваемым относительно корпуса кассеты для втягивания троакара относительно платформы со скобами.
18. Кассета со скобами по п. 17, в которой первый вращательный приводной элемент и второй вращательный приводной элемент являются поворачиваемыми независимо относительно друг друга.
19. Кассета со скобами по п. 17, в которой первый вращательный приводной элемент и второй вращательный приводной элемент выровнены в коаксиальном направлении друг с другом.
20. Устройство для сшивания ткани, причем устройство содержит:
узел рукоятки;
узел стержня, проходящий дистально от узла рукоятки, причем узел стержня включает стержень вращательного исполнительного механизма; и
узел сшивающей головки, закрепленный на дистальном конце узла стержня, причем узел сшивающей головки содержит:
первый исполнительный механизм, выполненный с возможностью прижатия ткани вплотную к узлу сшивающей головки в ответ на поворот стержня вращательного исполнительного механизма, и
второй исполнительный механизм, выполненный с возможностью сшивания ткани, смежной с узлом сшивающей головки, в ответ на поворот стержня вращательного исполнительного механизма,
причем стержень вращательного исполнительного механизма выполнен с возможностью поступательного перемещения между зацеплением с первым исполнительным механизмом и зацеплением со вторым исполнительным механизмом.
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US13/716,318 US9597081B2 (en) | 2012-12-17 | 2012-12-17 | Motor driven rotary input circular stapler with modular end effector |
US13/716,318 | 2012-12-17 | ||
PCT/US2013/075243 WO2014099704A2 (en) | 2012-12-17 | 2013-12-16 | Motor driven rotary input circular stapler with modular end effector |
Publications (3)
Publication Number | Publication Date |
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RU2015129085A true RU2015129085A (ru) | 2017-01-25 |
RU2015129085A3 RU2015129085A3 (ru) | 2018-03-27 |
RU2673376C2 RU2673376C2 (ru) | 2018-11-26 |
Family
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Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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RU2015129085A RU2673376C2 (ru) | 2012-12-17 | 2013-12-16 | Круговой сшивающий инструмент, имеющий исполнительный механизм от двигателя и вход вращения, с модульным концевым эффектором |
Country Status (9)
Country | Link |
---|---|
US (4) | US9597081B2 (ru) |
EP (2) | EP3263047B1 (ru) |
JP (1) | JP6639910B2 (ru) |
CN (1) | CN104853684B (ru) |
BR (1) | BR112015014025B1 (ru) |
IN (1) | IN2015DN04208A (ru) |
MX (1) | MX358133B (ru) |
RU (1) | RU2673376C2 (ru) |
WO (1) | WO2014099704A2 (ru) |
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JP2016500303A (ja) | 2016-01-12 |
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EP2941199A2 (en) | 2015-11-11 |
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US20190105053A1 (en) | 2019-04-11 |
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US20190105052A1 (en) | 2019-04-11 |
US20140166728A1 (en) | 2014-06-19 |
US20170245859A1 (en) | 2017-08-31 |
EP2941199B1 (en) | 2017-08-02 |
BR112015014025A2 (pt) | 2017-07-11 |
WO2014099704A2 (en) | 2014-06-26 |
US10512467B2 (en) | 2019-12-24 |
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