RU2016115750A - Элементы управления хирургическим сшивающим инструментом с электроприводом - Google Patents
Элементы управления хирургическим сшивающим инструментом с электроприводом Download PDFInfo
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- RU2016115750A RU2016115750A RU2016115750A RU2016115750A RU2016115750A RU 2016115750 A RU2016115750 A RU 2016115750A RU 2016115750 A RU2016115750 A RU 2016115750A RU 2016115750 A RU2016115750 A RU 2016115750A RU 2016115750 A RU2016115750 A RU 2016115750A
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- Russia
- Prior art keywords
- trigger
- engine
- movable element
- switching unit
- control system
- Prior art date
Links
- 239000012636 effector Substances 0.000 claims 6
- 239000004744 fabric Substances 0.000 claims 4
- 238000000034 method Methods 0.000 claims 2
- 239000004971 Cross linker Substances 0.000 claims 1
- 230000003213 activating effect Effects 0.000 claims 1
- 238000004132 cross linking Methods 0.000 claims 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
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B17/115—Staplers for performing anastomosis in a single operation
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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
-
- 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
- A61B2017/00367—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
- A61B2090/0801—Prevention of accidental cutting or pricking
- A61B2090/08021—Prevention of accidental cutting or pricking of the patient or his organs
-
- 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
-
- 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
- A61B2090/0814—Preventing re-use
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 (39)
1. Устройство, содержащее:
(a) корпус;
(b) концевой эффектор, проходящий в дистальном направлении от корпуса, причем концевой эффектор содержит сшивающий узел, выполненный с возможностью выталкивания скобок в ткань; и
(с) систему управления в соединении с концевым эффектором, причем система управления содержит:
(i) двигатель, выполненный с возможностью приведения в действие сшивающего узла;
(ii) пусковой крючок;
(iii) узел переключения, содержащий переключатель в соединении с двигателем;
(iv) перемещаемый элемент; и
(v) упругий элемент, находящийся в зацеплении с перемещаемым элементом, при этом пусковой крючок и упругий элемент выполнены с возможностью взаимодействия для перемещения перемещаемого элемента в зацепление с переключателем, чтобы таким образом активировать двигатель.
2. Устройство по п. 1, в котором перемещаемый элемент выполнен с возможностью поворота вокруг оси.
3. Устройство по п. 2, в котором пусковой крючок выполнен с возможностью приведения в действие перемещаемого элемента в первом диапазоне углового перемещения, причем упругий элемент выполнен с возможностью приведения в действие перемещаемого элемента во втором диапазоне углового перемещения.
4. Устройство по п. 3, в котором перемещаемый элемент выполнен с возможностью высвобождения пускового крючка во время перемещения во втором диапазоне углового перемещения.
5. Устройство по п. 3, в котором упругий элемент содержит плоскую пружину, выполненную с возможностью упора в перемещаемый элемент.
6. Устройство по п. 5, в котором перемещаемый элемент выполнен с возможностью обеспечения относительного положения с упругим элементом под центром при перемещении в первом диапазоне углового перемещения, при этом перемещаемый элемент выполнен с возможностью обеспечения относительного положения с упругим элементом над центром при перемещении во втором диапазоне углового перемещения.
7. Устройство по п. 3, в котором перемещаемый элемент выполнен с возможностью зацепления с переключателем во время перемещения во втором диапазоне углового перемещения.
8. Устройство по п. 1, дополнительно содержащее предохранительный крючок, выполненный с возможностью избирательно закрывать пусковой крючок.
9. Устройство по п. 1, в котором пусковой крючок выполнен с возможностью перемещения в первом направлении для перемещения перемещаемого элемента причем перемещаемый элемент выполнен с возможностью приведения в действие узла переключения в ответ на перемещение перемещаемого элемента пусковым крючком, при этом перемещаемый элемент дополнительно выполнен с возможностью предотвращения приведения в действие узла переключения пусковым крючком после перемещения перемещаемого элемента пусковым крючком.
10. Устройство по п. 1, в котором система управления дополнительно содержит аккумулятор.
11. Устройство по п. 10, в котором система управления дополнительно содержит потребитель энергии, выполненный с возможностью разрядки аккумулятора, причем потребитель энергии содержит резистор или источник света.
12. Устройство по п. 1, в котором сшивающий узел выполнен с возможностью выталкивания скобок в виде кольцевого набора.
13. Устройство по п. 1, дополнительно содержащее поворотный приводной элемент, соединяющий двигатель со сшивающим узлом, причем поворотный приводной элемент и сшивающий узел выполнены с возможностью осуществления полного приводного такта за счет однократного оборота поворотного приводного элемента.
14. Устройство по п. 1, в котором система управления дополнительно содержит аккумулятор, расположенный в корпусе, причем узел переключения выполнен с возможностью избирательного соединения двигателя с аккумулятором.
15. Устройство по п. 1, в котором узел переключения содержит первый переключатель и второй переключатель, причем первый переключатель и второй переключатель выполнены с возможностью переключения среди множества состояний, включающих в себя предпусковое состояние, пусковое состояние и состояние после использования.
16. Устройство, содержащее:
(a) корпус;
(b) концевой эффектор, проходящий в дистальном направлении от корпуса, причем концевой эффектор содержит сшивающий узел, выполненный с возможностью выталкивания скобок в ткань; и
(с) систему управления в соединении с концевым эффектором, причем система управления содержит:
(i) двигатель;
(ii) поворотный приводной элемент, соединенный с двигателем, причем поворотный приводной элемент выполнен с возможностью приведения в действие сшивающего узла;
(iii) источник электропитания, выполненный с возможностью подачи электропитания на двигатель;
(iv) пусковой крючок; и
(v) узел переключения, причем узел переключения выполнен с возможностью соединения источника электропитания с двигателем, чтобы таким образом активировать двигатель в ответ на приведение в действие пускового крючка, при этом узел переключения дополнительно выполнен с возможностью разъединения источника электропитания с двигателя после поворота поворотного приводного элемента на один полный оборот.
17. Устройство по п. 16, в котором система управления дополнительно содержит потребитель энергии, причем потребитель энергии выполнен с возможностью разрядки источника электропитания после активации двигателя для поворота поворотного приводного элемента.
18. Устройство по п. 16, в котором узел переключения дополнительно выполнен с возможностью короткого замыкания двигателя после поворота поворотного приводного элемента на один полный оборот.
19. Устройство по п. 18, дополнительно содержащее датчик в соединении с узлом переключения, причем датчик выполнен с возможностью обнаружения состояния, связанного с поворотом поворотного приводного элемента на один полный оборот.
20. Способ сшивания ткани круговым режущим хирургическим инструментом, причем инструмент содержит рукоятку, выталкиватель скобок, пусковой крючок и предохранительный крючок, при этом способ включает в себя:
(a) размещение инструмента внутри ткани, при этом предохранительный крючок расположен так, чтобы закрывать пусковой крючок во время размещения инструмента внутри ткани;
(b) поворот предохранительного крючка от рукоятки, с открыванием таким образом пускового крючка; и
(c) поворот открытого пускового крючка к рукоятке, с приведением в действие таким образом выталкивателя скобок.
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US14/033,751 US9907552B2 (en) | 2013-09-23 | 2013-09-23 | Control features for motorized surgical stapling instrument |
| US14/033,751 | 2013-09-23 | ||
| PCT/US2014/056525 WO2015042378A2 (en) | 2013-09-23 | 2014-09-19 | Control features for motorized surgical stapling instrument |
Publications (4)
| Publication Number | Publication Date |
|---|---|
| RU2016115750A true RU2016115750A (ru) | 2017-10-30 |
| RU2016115750A3 RU2016115750A3 (ru) | 2018-05-22 |
| RU2670699C2 RU2670699C2 (ru) | 2018-10-24 |
| RU2670699C9 RU2670699C9 (ru) | 2018-11-28 |
Family
ID=51570439
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| RU2016115750A RU2670699C9 (ru) | 2013-09-23 | 2014-09-19 | Элементы управления хирургическим сшивающим инструментом с электроприводом |
Country Status (8)
| Country | Link |
|---|---|
| US (2) | US9907552B2 (ru) |
| EP (1) | EP2859853B1 (ru) |
| JP (1) | JP6400713B2 (ru) |
| CN (1) | CN105682576B (ru) |
| BR (1) | BR112016006289B1 (ru) |
| MX (1) | MX2016003717A (ru) |
| RU (1) | RU2670699C9 (ru) |
| WO (1) | WO2015042378A2 (ru) |
Families Citing this family (434)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
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-
2013
- 2013-09-23 US US14/033,751 patent/US9907552B2/en active Active
-
2014
- 2014-09-19 CN CN201480052184.4A patent/CN105682576B/zh active Active
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| WO2015042378A2 (en) | 2015-03-26 |
| US20180221018A1 (en) | 2018-08-09 |
| EP2859853A3 (en) | 2015-08-05 |
| US20150083774A1 (en) | 2015-03-26 |
| US9907552B2 (en) | 2018-03-06 |
| JP6400713B2 (ja) | 2018-10-03 |
| WO2015042378A3 (en) | 2015-05-21 |
| RU2016115750A3 (ru) | 2018-05-22 |
| RU2670699C2 (ru) | 2018-10-24 |
| US10888317B2 (en) | 2021-01-12 |
| CN105682576A (zh) | 2016-06-15 |
| MX2016003717A (es) | 2016-08-18 |
| EP2859853B1 (en) | 2020-04-29 |
| CN105682576B (zh) | 2018-09-25 |
| BR112016006289A2 (pt) | 2017-08-01 |
| EP2859853A2 (en) | 2015-04-15 |
| JP2016530063A (ja) | 2016-09-29 |
| BR112016006289B1 (pt) | 2022-07-12 |
| RU2670699C9 (ru) | 2018-11-28 |
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