RU2018117702A - Салазки, приводящие в действие хирургическое сшивающее устройство с ходом по приведению в действие с сокращенным до минимума расстоянием относительно дистальной скобы - Google Patents
Салазки, приводящие в действие хирургическое сшивающее устройство с ходом по приведению в действие с сокращенным до минимума расстоянием относительно дистальной скобы Download PDFInfo
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- RU2018117702A RU2018117702A RU2018117702A RU2018117702A RU2018117702A RU 2018117702 A RU2018117702 A RU 2018117702A RU 2018117702 A RU2018117702 A RU 2018117702A RU 2018117702 A RU2018117702 A RU 2018117702A RU 2018117702 A RU2018117702 A RU 2018117702A
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- ejector
- distal
- wedge
- surgical instrument
- jaw
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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
- A61B17/10—Surgical instruments, devices or methods, e.g. tourniquets for applying or removing wound clamps, e.g. containing only one clamp or staple; Wound clamp magazines
- A61B17/105—Wound clamp magazines
-
- 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
- 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
- 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
-
- 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
- A61B90/03—Automatic limiting or abutting means, e.g. for safety
- A61B2090/033—Abutting means, stops, e.g. abutting on tissue or skin
- A61B2090/034—Abutting means, stops, e.g. abutting on tissue or skin abutting on parts of the device itself
-
- 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
- A61B2090/0804—Counting number of instruments used; Instrument detectors
-
- 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 (28)
1. Хирургический инструмент для обработки ткани пациента, содержащий:
(a) узел ствола;
(b) концевой эффектор, проходящий от узла ствола вдоль центральной линии бранши, при этом концевой эффектор содержит:
(i) первую браншу, имеющую упор, выполненный с возможностью формирования множества скоб, прижатых к упору, и
(ii) вторую браншу, причем первая и вторая бранши выполнены с возможностью перехода между открытой конфигурацией и закрытой конфигурацией; и
(c) кассету со скобами, размещенную внутри второй бранши, причем кассета со скобами содержит:
(i) платформу, обращенную к упору, причем платформа образует множество отверстий для скоб, причем множество скоб расположены соответственно внутри множества отверстий для скоб,
(ii) первый узел концевого выталкивателя, расположенный смежно с дистальным концом кассеты со скобами, причем первый узел концевого выталкивателя выполнен с возможностью приема первой концевой части множества скоб, при этом первый узел концевого выталкивателя по меньшей мере частично образует под собой пространство для хранения внутри второй бранши, и
(iii) клиновидные салазки, выполненные с возможностью скольжения вблизи платформы из проксимального положения салазок в дистальное положение салазок и зацепления первого узла концевого выталкивателя, и принудительного перемещения концевой части множества скоб к упору для формирования в ткани, причем по меньшей мере большая часть клиновидных салазок выполнена с возможностью размещения в пространстве для хранения, без скольжения в дистальном направлении за пределы первого узла концевого выталкивателя, когда клиновидные салазки находятся в дистальном положении салазок.
2. Хирургический инструмент по п. 1, в котором клиновидные салазки дополнительно содержат первую кулачковую наклонную поверхность, причем первая кулачковая наклонная поверхность выполнена с возможностью зацепления с первым узлом концевого выталкивателя и принудительного перемещения концевой части множества скоб к упору для формирования в ткани, причем большая часть первой кулачковой наклонной поверхности выполнена с возможностью размещения в пространстве для хранения, когда клиновидные салазки находятся в дистальном положении салазок.
3. Хирургический инструмент по п. 1, в котором клиновидные салазки имеют дистальный носовой участок, причем вторая бранша имеет стенку блокатора, расположенную в ней дистально вдоль центральной линии, причем стенка блокатора выполнена с возможностью приема примыкающих к ней клиновидных салазок и препятствования перемещению клиновидных салазок в дистальном направлении за пределы дистального положения салазок.
4. Хирургический инструмент по п. 3, в котором стенка блокатора образует проходное отверстие, выполненное с возможностью приема дистального носового участка клиновидных салазок в дистальном положении салазок.
5. Хирургический инструмент по п. 1, в котором клиновидные салазки имеют первую кулачковую наклонную поверхность, выполненную с возможностью зацепления с первым узлом концевого выталкивателя, причем первая кулачковая наклонная поверхность дополнительно содержит:
(A) переднюю кулачковую поверхность, образующую крутой наклон, и
(B) промежуточную кулачковую поверхность, образующую пологий наклон, причем пологий наклон расположен под меньшим углом, чем крутой наклон, относительно платформы,
причем кулачок выталкивателя выполнен с возможностью зацепления передней кулачковой поверхностью для подъема узла выталкивателя вверх к первой бранше на относительно короткое расстояние для уменьшения удлинения клиновидных салазок, и
при этом кулачок выталкивателя дополнительно выполнен с возможностью зацепления промежуточной кулачковой поверхностью для дополнительного подъема узла выталкивателя вверх к первой бранше на относительно длинное расстояние для обеспечения достаточной силы для прижатия первой и второй скобы к упору для применения в ткани.
6. Хирургический инструмент по п. 1, в котором первый узел концевого выталкивателя имеет первый концевой дистальный выталкиватель, первый концевой промежуточный выталкиватель и первый концевой проксимальный выталкиватель;
причем первый концевой дистальный выталкиватель, первый концевой промежуточный выталкиватель и первый концевой проксимальный выталкиватель функционально соединены таким образом, что первый концевой дистальный выталкиватель консольно закреплен дистально относительно первого концевого промежуточного выталкивателя и первого концевого промежуточного выталкивателя для максимального удлинения пространства для хранения под собой, причем первый концевой дистальный выталкиватель расположен смежно с дистальным концом кассеты со скобами.
7. Хирургический инструмент по п. 6, в котором первый концевой дистальный выталкиватель, первый концевой промежуточный выталкиватель и первый концевой проксимальный выталкиватель функционально соединены таким образом, что первый концевой дистальный выталкиватель и первый концевой проксимальный выталкиватель выровнены в продольном направлении, а первый концевой промежуточный выталкиватель смещен в поперечном направлении от каждого из первого концевого дистального выталкивателя и первого концевого проксимального выталкивателя, причем первый концевой дистальный выталкиватель, первый концевой промежуточный выталкиватель и первый концевой проксимальный выталкиватель соответственно принимают первую концевую часть множества скоб.
8. Хирургический инструмент по п. 1, в котором кассета со скобами дополнительно содержит второй узел концевого выталкивателя, расположенный смежно с дистальным концом и выполненный с возможностью приема второй концевой части множества скоб, причем второй узел концевого выталкивателя дополнительно образует под собой пространство для хранения внутри второй бранши.
9. Хирургический инструмент по п. 8, в котором второй узел концевого выталкивателя содержит второй концевой дистальный выталкиватель, второй концевой промежуточный выталкиватель и второй концевой проксимальный выталкиватель;
причем второй концевой дистальный выталкиватель, второй концевой промежуточный выталкиватель и второй концевой проксимальный выталкиватель функционально соединены таким образом, что второй концевой дистальный выталкиватель консольно закреплен дистально относительно второго концевого промежуточного выталкивателя и второго концевого промежуточного выталкивателя для максимального удлинения пространства для хранения под собой, причем второй концевой дистальный выталкиватель расположен смежно с дистальным концом.
10. Хирургический инструмент по п. 9, в котором первый и второй концевые дистальные узлы выталкивателя расположены на противоположных сторонах центральной линии.
11. Хирургический инструмент по п. 10, в котором первый и второй концевые дистальные узлы выталкивателя расположены таким образом, что второй концевой дистальный узел выталкивателя является зеркальным отражением первого концевого дистального узла выталкивателя относительно центральной линии.
12. Хирургический инструмент по п. 10, в котором клиновидные салазки имеют первую кулачковую наклонную поверхность и вторую кулачковую наклонную поверхность, причем первая кулачковая наклонная поверхность выполнена с возможностью зацепления с первым концевым дистальным узлом выталкивателя, причем вторая кулачковая наклонная поверхность выполнена с возможностью зацепления со вторым концевым дистальным узлом выталкивателя.
13. Хирургический инструмент по п. 12, в котором первая кулачковая наклонная поверхность имеет первый дистальный носовой участок, причем вторая кулачковая наклонная поверхность имеет второй дистальный носовой участок, причем вторая бранша имеет вторую браншу, имеющую стенку блокатора, расположенную в ней дистально вдоль центральной линии, причем стенка блокатора выполнена с возможностью приема примыкающих к ней клиновидных салазок и препятствования перемещению клиновидных салазок в дистальном направлении за пределы дистального положения салазок, причем стенка блокатора образует по меньшей мере одно проходное отверстие, выполненное с возможностью приема первого и второго дистальных носовых участков клиновидных салазок в дистальном положении салазок.
14. Хирургический инструмент по п. 1, в котором первая бранша имеет первый удлиненный канал, проходящий через нее, и первое множество меток, причем вторая бранша имеет второй удлиненный канал, проходящий через нее, и второе множество меток, причем инструмент дополнительно содержит скальпельный элемент, размещенный в первом и втором каналах, и при этом скальпельный элемент выполнен с возможностью скольжения в дистальном направлении по первому и второму каналам и зацепления с клиновидными салазками для формирования скоб, причем скальпельный элемент содержит первый индикатор в первом канале и второй индикатор во втором канале, причем первый и второй индикаторы в сочетании с первым и вторым множеством меток соответственно выполнены с возможностью указывать оператору на применение скоб.
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US14/884,117 | 2015-10-15 | ||
US14/884,117 US10226251B2 (en) | 2015-10-15 | 2015-10-15 | Surgical staple actuating sled with actuation stroke having minimized distance relative to distal staple |
PCT/US2016/055874 WO2017066082A1 (en) | 2015-10-15 | 2016-10-07 | Surgical staple actuating sled with actuation stroke having minimized distance relative to distal staple |
Publications (3)
Publication Number | Publication Date |
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RU2018117702A true RU2018117702A (ru) | 2019-11-15 |
RU2018117702A3 RU2018117702A3 (ru) | 2020-02-26 |
RU2728723C2 RU2728723C2 (ru) | 2020-07-30 |
Family
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Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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RU2018117702A RU2728723C2 (ru) | 2015-10-15 | 2016-10-07 | Салазки, приводящие в действие хирургическое сшивающее устройство с ходом по приведению в действие с сокращенным до минимума расстоянием относительно дистальной скобы |
Country Status (7)
Country | Link |
---|---|
US (1) | US10226251B2 (ru) |
EP (1) | EP3155984B1 (ru) |
JP (1) | JP6862436B2 (ru) |
CN (1) | CN108135608B (ru) |
BR (1) | BR112018007456B1 (ru) |
RU (1) | RU2728723C2 (ru) |
WO (1) | WO2017066082A1 (ru) |
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-
2015
- 2015-10-15 US US14/884,117 patent/US10226251B2/en active Active
-
2016
- 2016-10-07 CN CN201680060344.9A patent/CN108135608B/zh active Active
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- 2016-10-07 RU RU2018117702A patent/RU2728723C2/ru active
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RU2018117702A3 (ru) | 2020-02-26 |
CN108135608A (zh) | 2018-06-08 |
US20170105729A1 (en) | 2017-04-20 |
WO2017066082A1 (en) | 2017-04-20 |
EP3155984A1 (en) | 2017-04-19 |
BR112018007456A2 (pt) | 2018-10-23 |
BR112018007456B1 (pt) | 2022-11-16 |
EP3155984B1 (en) | 2018-11-28 |
RU2728723C2 (ru) | 2020-07-30 |
JP6862436B2 (ja) | 2021-04-21 |
US10226251B2 (en) | 2019-03-12 |
JP2018532491A (ja) | 2018-11-08 |
CN108135608B (zh) | 2021-07-02 |
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