RU2016122455A - Гибридные вспомогательные материалы для применения при сшивании хирургическими скобками - Google Patents
Гибридные вспомогательные материалы для применения при сшивании хирургическими скобками Download PDFInfo
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- RU2016122455A RU2016122455A RU2016122455A RU2016122455A RU2016122455A RU 2016122455 A RU2016122455 A RU 2016122455A RU 2016122455 A RU2016122455 A RU 2016122455A RU 2016122455 A RU2016122455 A RU 2016122455A RU 2016122455 A RU2016122455 A RU 2016122455A
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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
- 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
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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
-
- 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
- A61B17/068—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
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
- A61L31/14—Materials characterised by their function or physical properties, e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
- A61L31/14—Materials characterised by their function or physical properties, e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials
- A61L31/148—Materials at least partially resorbable by the body
-
- 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
- A61B2017/00862—Material properties elastic or resilient
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- Heart & Thoracic Surgery (AREA)
- General Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Molecular Biology (AREA)
- Medical Informatics (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Vascular Medicine (AREA)
- Epidemiology (AREA)
- Surgical Instruments (AREA)
- Materials For Medical Uses (AREA)
Claims (25)
1. Узел кассеты со скобками для применения с хирургическим сшивающим инструментом, содержащий:
корпус кассеты, имеющий множество полостей для скобок, выполненных с возможностью размещения в них скобок; и
гибридный вспомогательный материал, удерживаемый с возможностью высвобождения на корпусе кассеты и выполненный с возможностью доставки к ткани при размещении скобок в корпусе кассеты, причем материал содержит мембрану биологической ткани, слой синтетического субстрата и, по меньшей мере, один сжимаемый эластичный элемент, выполненный с возможностью сжатия при приложении к нему сжимающего усилия и выполненный с возможностью обеспечения возвратного упругого усилия при снятии сжимающего усилия.
2. Узел по п. 1, в котором материал является биоимплантируемым и биорассасывающимся.
3. Узел по п. 1, в котором эластичный элемент расположен между мембраной биологической ткани и слоем синтетического субстрата.
4. Узел по п. 1, в котором эластичный элемент расположен в одном из биологического и синтетического слоев или в них обоих.
5. Узел по п. 1, дополнительно содержащий, по меньшей мере, один удерживающий швы элемент, выполненный с возможностью связывания материала с корпусом кассеты.
6. Узел по п. 5, в котором, по меньшей мере, один удерживающий швы элемент связан с внешним краем корпуса кассеты и внешним краем, по меньшей мере, одного из мембраны биологической ткани и слоя синтетического субстрата.
7. Узел по п. 6, в котором, по меньшей мере, один удерживающий швы элемент содержит нить.
8. Узел по п. 1, в котором мембрана содержит биологическую матрицу.
9. Узел по п. 1, в котором сжимаемый эластичный элемент содержит синтетический биорассасывающийся материал.
10. Узел по п. 9, в котором синтетический биорассасывающийся материал представляет собой нейлон, полипропилен, полидиоксанон, себацинат полиглицерина (PGS), PGA (полигликолевую кислоту), PCL (поликапролактон), PLA (полилактид) или PLLA (полимолочную кислоту), PHA (полигидроксиалканоат), PGCL (полиглекапрон 25), полиглактин 910, полиглюконат, PGA/ТМС (полигликолид-триметилен), полигидроксибутират (PHB), поливинилпирролидон (PVP), поливиниловый спирт (PVA) или их комбинации.
11. Узел по п. 9, в котором сжимаемый эластичный элемент содержит, по меньшей мере, один элемент, проходящий, по меньшей мере, поперек одного из размеров материала, образуя синусоидальный контур.
12. Узел по п. 11, дополнительно содержащий множество синусоидальных элементов, проходящих, по меньшей мере, поперек одного из размеров по длине и ширине материала.
13. Узел по п. 9, в котором сжимаемый эластичный элемент включает в себя один или более элементов поверхности, выполненных с возможностью фиксации мембраны к эластичному элементу.
14. Узел по п. 13, в котором один или более элементов поверхности выбраны из группы, состоящей из шарообразных колпачков, полок, шипов и их комбинации.
15. Узел по п. 9, в котором сжимаемый эластичный элемент содержит одну или более из сфероидальной, овальной, полусферической, куполообразной, гнездообразной или трехмерной радиальной форм.
16. Гибридный вспомогательный материал, который содержит:
мембрану биологической ткани, слой синтетического субстрата и, по меньшей мере, один сжимаемый эластичный элемент, выполненный с возможностью сжатия при приложении к нему сжимающего усилия и выполненный с возможностью обеспечения возвратного упругого усилия при снятии сжимающего усилия,
при этом материал выполнен с возможностью присоединения с возможностью высвобождения к корпусу кассеты хирургического сшивающего инструмента для доставки к ткани при выведении скобок из корпуса кассеты.
17. Материал по п. 16, в котором эластичный элемент расположен между мембраной биологической ткани и слоем синтетического субстрата.
18. Материал по п. 16, в котором эластичный элемент расположен в одном из биологического и синтетического слоев или в них обоих.
19. Способ сшивания биологических тканей скобками, включающий:
зацепление ткани корпусом кассеты хирургического сшивающего инструмента в операционном поле, при этом корпус кассеты содержит гибридный вспомогательный материал, удерживаемый на нем с возможностью высвобождения, при этом материал включает в себя мембрану биологической ткани, слой синтетического субстрата и, по меньшей мере, один сжимаемый эластичный элемент, выполненный с возможностью сжатия при приложении к нему сжимающего усилия и выполненный с возможностью обеспечения возвратного упругого усилия при снятии сжимающего усилия; и
приведение в действие хирургического сшивающего инструмента для выталкивания скобок из корпуса кассеты в биологическую ткань, при этом скобки проходят через материал для поддержания его в операционном поле.
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US14/074,902 US9936950B2 (en) | 2013-11-08 | 2013-11-08 | Hybrid adjunct materials for use in surgical stapling |
US14/074,902 | 2013-11-08 | ||
PCT/US2014/062511 WO2015069487A1 (en) | 2013-11-08 | 2014-10-28 | Hybrid adjunct materials for use in surgical stapling |
Publications (3)
Publication Number | Publication Date |
---|---|
RU2016122455A true RU2016122455A (ru) | 2017-12-13 |
RU2016122455A3 RU2016122455A3 (ru) | 2018-06-21 |
RU2676524C2 RU2676524C2 (ru) | 2018-12-29 |
Family
ID=51866078
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
RU2016122455A RU2676524C2 (ru) | 2013-11-08 | 2014-10-28 | Узел кассеты со скобками, гибридный вспомогательный материал и способ сшивания биологических тканей скобками |
Country Status (8)
Country | Link |
---|---|
US (1) | US9936950B2 (ru) |
EP (1) | EP2870925B1 (ru) |
JP (1) | JP6422968B2 (ru) |
CN (1) | CN105939675B (ru) |
BR (1) | BR112016010236B1 (ru) |
MX (1) | MX2016005986A (ru) |
RU (1) | RU2676524C2 (ru) |
WO (1) | WO2015069487A1 (ru) |
Families Citing this family (558)
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RU2676524C2 (ru) | 2018-12-29 |
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