RU2018107092A - Кассета с хирургическими скобами со сжимаемыми элементами на краях выталкивателя скоб - Google Patents
Кассета с хирургическими скобами со сжимаемыми элементами на краях выталкивателя скоб Download PDFInfo
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- RU2018107092A RU2018107092A RU2018107092A RU2018107092A RU2018107092A RU 2018107092 A RU2018107092 A RU 2018107092A RU 2018107092 A RU2018107092 A RU 2018107092A RU 2018107092 A RU2018107092 A RU 2018107092A RU 2018107092 A RU2018107092 A RU 2018107092A
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- Prior art keywords
- brackets
- ejector
- stop
- compressible
- staple
- Prior art date
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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
- A61B17/068—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
-
- 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
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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
- A61B2017/00831—Material properties
- A61B2017/00862—Material properties elastic or resilient
-
- 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
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
- A61B2017/2927—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
- A61B2017/2927—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft
- A61B2017/2929—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft with a head rotatable about the longitudinal axis of the shaft
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)
- Portable Nailing Machines And Staplers (AREA)
Claims (44)
1. Устройство, содержащее:
(a) корпус;
(b) ствол в сборе, проходящий дистально из корпуса;
(с) концевой эффектор, причем концевой эффектор содержит:
(i) упор, и
(ii) нижнюю браншу, при этом упор выполнен с возможностью поворота к нижней бранше для зажатия ткани; и
(d) кассету со скобами, соединенную с нижней браншей, при этом кассета со скобами содержит:
(i) платформу, обращенную к упору,
(ii) множество скоб, расположенных во множестве отверстий для скоб, образованных в платформе, и
(iii) множество выталкивателей скоб, выполненных с возможностью подачи скоб из отверстий для скоб, при этом каждый выталкиватель скоб из множества выталкивателей скоб имеет корпус выталкивателя скоб, при этом по меньшей мере часть выталкивателей скоб дополнительно содержит сжимаемый элемент, проходящий от корпуса выталкивателя скоб к упору.
2. Устройство по п. 1, в котором каждый сжимаемый элемент содержит дугообразный элемент.
3. Устройство по п. 1, в котором каждый корпус выталкивателя скоб имеет первый конец и второй конец, причем соответствующий дугообразный элемент проходит от первого конца до второго конца.
4. Устройство по п. 3, в котором каждый выталкиватель скоб дополнительно образует зазор под соответствующим дугообразным элементом, причем зазор выполнен с возможностью приспособления к деформации дугообразного элемента.
5. Устройство по п. 1, в котором каждый выталкиватель скоб дополнительно содержит опорный участок скобы, причем каждый сжимаемый элемент содержит противоположные сжимаемые элементы, расположенные с каждой стороны от соответствующего опорного элемента скобы.
6. Устройство по п. 1, в котором каждый сжимаемый элемент содержит эластомерный материал.
7. Устройство по п. 1, в котором сжимаемые элементы выполнены с возможностью деформации в ответ на прижатие ткани сжимаемыми элементами к упору.
8. Устройство по п. 1, в котором каждый сжимаемый элемент выполнен с возможностью перехода из неактивированного положения в активированное положение, причем каждый сжимаемый элемент выполнен с возможностью выступа за пределы упора в активированном положении, при этом активированное положение связано с соответствующим корпусом выталкивателя скоб, подающим связанную с ним скобу к упору.
9. Устройство по п. 8, в котором каждый сжимаемый элемент выполнен утопленным по отношению к платформе в неактивированном положении, причем активированное положение связано со связанной скобой, которая также утоплена относительно платформы.
10. Устройство по п. 1, дополнительно содержащее пусковой стержень, выполненный с возможностью перемещения через концевой эффектор, причем пусковой стержень выполнен с возможностью приведения выталкивателей скоб в движение к упору для перемещения скоб в активированное положение.
11. Устройство по п. 10, в котором пусковой стержень дополнительно выполнен с возможностью рассечения ткани, по мере того как пусковой стержень приводит выталкиватели скоб в движение к упору.
12. Устройство по п. 11, в котором сжимаемые элементы выполнены с возможностью прижатия ткани к упору, по мере того как пусковой стержень рассекает ткань.
13. Устройство по п. 1, в котором каждый из сжимаемых элементов содержит пару элементов, проходящих вверх от корпуса выталкивателя скоб.
14. Устройство по п. 13, в котором пара элементов выполнена и расположена с возможностью приема части соответствующей скобы из множества скоб между элементами пары элементов.
15. Устройство по п. 1, в котором каждый сжимаемый элемент содержит пару ножек и перемычку, проходящую между парой ножек.
16. Устройство по п. 1, в котором каждый сжимаемый элемент содержит набор пальцев.
17. Кассета со скобами для применения с концевым эффектором хирургического сшивающего инструмента, причем кассета со скобами содержит:
(а) корпус кассеты, при этом корпус кассеты содержит платформу кассеты, при этом в корпусе кассеты дополнительно образовано множество отверстий для скоб, проходящих через платформу кассеты;
(b) множество скоб, связанных с множеством отверстий для скоб;
(c) множество выталкивателей скоб, связанных с множеством отверстий для скоб и множеством скоб, при этом выталкиватели скоб выполнены с возможностью перемещения к платформе кассеты для подачи скоб из отверстий для скоб; и
(d) множество сжимаемых элементов, связанных с по меньшей мере некоторыми из множества выталкивателей скоб, при этом сжимаемые элементы выполнены с возможностью перемещения со связанными выталкивателями скоб.
18. Кассета со скобами по п. 17, в которой сжимаемые элементы выполнены с возможностью приведения в движение через отверстия для скоб и прижатия ткани к упору, по мере того как скобы подаются через ткань в упор.
19. Способ применения хирургического инструмента, содержащего:
(а) концевой эффектор, причем концевой эффектор содержит:
(i) упор, и
(ii) нижнюю браншу, при этом упор выполнен с возможностью перемещения к нижней бранше и от нее,
(iii) кассету со скобами, расположенную в нижней бранше, при этом кассета со скобами содержит:
(А) множество скоб, и
(B) множество выталкивателей скоб, при этом каждый выталкиватель скоб связан с соответствующей скобой из множества скоб, при этом каждый выталкиватель скоб содержит выполненный за одно целое сжимаемый элемент; и
(b) пусковой элемент, выполненный с возможностью продвижения через концевой эффектор для приведения выталкивателей скоб в движение к упору,
при этом способ включает в себя этапы, на которых:
(a) располагают ткань между упором и нижней браншей;
(b) перемещают упор к бранше для размещения упора в закрытом положении; и
(c) продвигают пусковой элемент через концевой эффектор, при этом при продвижении пускового элемента происходит перемещение скоб к упору, при этом продвижение пускового элемента дополнительно приводит сжимаемый элемент каждого выталкивателя скоб в контакт с частью ткани, при этом сжимаемый элемент прижимает соответствующий участок ткани к упору.
20. Способ по п. 19, в котором сжимаемый элемент каждого выталкивателя скоб деформируется, по мере того как сжимаемый элемент прижимает соответствующий участок ткани к упору.
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US14/811,087 | 2015-07-28 | ||
US14/811,087 US10201348B2 (en) | 2015-07-28 | 2015-07-28 | Surgical stapler cartridge with compression features at staple driver edges |
PCT/US2016/042739 WO2017019350A1 (en) | 2015-07-28 | 2016-07-18 | Surgical stapler cartridge with compression features at staple driver edges |
Publications (3)
Publication Number | Publication Date |
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RU2018107092A true RU2018107092A (ru) | 2019-08-29 |
RU2018107092A3 RU2018107092A3 (ru) | 2019-12-16 |
RU2725560C2 RU2725560C2 (ru) | 2020-07-02 |
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Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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RU2018107092A RU2725560C2 (ru) | 2015-07-28 | 2016-07-18 | Кассета с хирургическими скобами со сжимаемыми элементами на краях выталкивателя скоб |
Country Status (8)
Country | Link |
---|---|
US (1) | US10201348B2 (ru) |
EP (1) | EP3123951B1 (ru) |
JP (1) | JP6786589B2 (ru) |
CN (1) | CN107920821B (ru) |
BR (1) | BR112018001713B1 (ru) |
PL (1) | PL3123951T3 (ru) |
RU (1) | RU2725560C2 (ru) |
WO (1) | WO2017019350A1 (ru) |
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-
2015
- 2015-07-28 US US14/811,087 patent/US10201348B2/en active Active
-
2016
- 2016-07-18 WO PCT/US2016/042739 patent/WO2017019350A1/en active Application Filing
- 2016-07-18 JP JP2018504176A patent/JP6786589B2/ja active Active
- 2016-07-18 CN CN201680044043.7A patent/CN107920821B/zh active Active
- 2016-07-18 BR BR112018001713-2A patent/BR112018001713B1/pt active IP Right Grant
- 2016-07-18 RU RU2018107092A patent/RU2725560C2/ru active
- 2016-07-27 EP EP16181516.2A patent/EP3123951B1/en active Active
- 2016-07-27 PL PL16181516T patent/PL3123951T3/pl unknown
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EP3123951B1 (en) | 2018-06-27 |
JP6786589B2 (ja) | 2020-11-18 |
PL3123951T3 (pl) | 2018-11-30 |
RU2725560C2 (ru) | 2020-07-02 |
RU2018107092A3 (ru) | 2019-12-16 |
EP3123951A1 (en) | 2017-02-01 |
CN107920821B (zh) | 2021-09-03 |
US10201348B2 (en) | 2019-02-12 |
JP2018521783A (ja) | 2018-08-09 |
US20170027568A1 (en) | 2017-02-02 |
CN107920821A (zh) | 2018-04-17 |
BR112018001713A2 (pt) | 2018-09-18 |
BR112018001713B1 (pt) | 2022-10-18 |
WO2017019350A1 (en) | 2017-02-02 |
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