RU2018119504A - Укрепляющий аппликатор хирургического сшивающего инструмента с передачей данных - Google Patents

Укрепляющий аппликатор хирургического сшивающего инструмента с передачей данных Download PDF

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RU2018119504A
RU2018119504A RU2018119504A RU2018119504A RU2018119504A RU 2018119504 A RU2018119504 A RU 2018119504A RU 2018119504 A RU2018119504 A RU 2018119504A RU 2018119504 A RU2018119504 A RU 2018119504A RU 2018119504 A RU2018119504 A RU 2018119504A
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Prior art keywords
cassette
cartridge
data
end effector
reinforcing element
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RU2018119504A
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RU2732971C2 (ru
RU2018119504A3 (ru
Inventor
Эмили А. ШЕЛЛИН
Марк С. ЗАЙНЕР
Чарльз Дж. ШЕЙБ
Пруденс А. ТЕРНЕР
Тревор Дж. БАРТОН
Стивен Г. ХОЛЛ
Джейсон Л. ХАРРИС
Майкл Дж. ВЕНДЛИ
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ЭТИКОН ЭлЭлСи
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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
    • A61B17/07292—Reinforcements for staple line, e.g. pledgets
    • 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
    • A61B50/00—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
    • A61B50/30—Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00221—Electrical control of surgical instruments with wireless transmission of data, e.g. by infrared radiation or radiowaves
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00526—Methods of manufacturing
    • A61B2017/0053—Loading magazines or sutures into applying tools
    • 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
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831—Material properties
    • A61B2017/00876—Material properties magnetic
    • 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
    • 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
    • A61B90/06—Measuring instruments not otherwise provided for
    • A61B2090/064—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension
    • A61B2090/065—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension for measuring contact or contact pressure
    • 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
    • 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
    • A61B90/90—Identification means for patients or instruments, e.g. tags
    • A61B90/94—Identification means for patients or instruments, e.g. tags coded with symbols, e.g. text
    • A61B90/96—Identification means for patients or instruments, e.g. tags coded with symbols, e.g. text using barcodes
    • 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
    • A61B90/90—Identification means for patients or instruments, e.g. tags
    • A61B90/98—Identification means for patients or instruments, e.g. tags using electromagnetic means, e.g. transponders

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 (43)

1. Устройство, содержащее кассету для наложения укрепляющего элемента, причем кассета содержит:
(i) корпус, образующий зазор, выполненный с возможностью размещения части концевого эффектора хирургического сшивающего инструмента,
(ii) платформу, причем часть платформы находится в зазоре, образованном корпусом,
(iii) узел первого укрепляющего элемента, расположенный на платформе, причем узел первого укрепляющего элемента находится в зазоре, образованном корпусом, и
(iv) элемент передачи данных, причем элемент передачи данных выполнен с возможностью обеспечения передачи данных, относящихся к кассете.
2. Устройство по п. 1, в котором элемент передачи данных содержит дисплей, причем дисплей выполнен с возможностью визуального отображения информации на основании данных, относящихся к кассете.
3. Устройство по п. 2, в котором дисплей выполнен с возможностью визуального указания типа узла укрепляющего элемента, связанного с узлом первого укрепляющего элемента.
4. Устройство по п. 2, в котором дисплей выполнен с возможностью изменения визуального отображения на основании изменения состояния кассеты.
5. Устройство по п. 1, в котором элемент передачи данных содержит индикатор состояния окружающей среды, причем индикатор состояния окружающей среды выполнен с возможностью отображения информации, указывающей на состояние окружающей среды, воздействию которой подвергается кассета.
6. Устройство по п. 5, в котором индикатор состояния окружающей среды выполнен с возможностью указания, когда кассета подвергается воздействию температуры, превышающей заданное пороговое значение.
7. Устройство по п. 5, в котором индикатор состояния окружающей среды выполнен с возможностью указания, когда кассета подвергается воздействию уровня влажности, превышающего заданное пороговое значение.
8. Устройство по п. 1, в котором элемент передачи данных содержит порт данных, выполненный с возможностью соединения с внешним устройством через провод.
9. Устройство по п. 1, в котором элемент передачи данных содержит беспроводной передатчик.
10. Устройство по п. 1, в котором элемент передачи данных содержит магнит.
11. Устройство по п. 10, в котором магнит размещен в платформе.
12. Устройство по п. 1, дополнительно содержащее сшивающий инструмент, причем сшивающий инструмент содержит:
(i) узел ствола, и
(ii) концевой эффектор, расположенный на дистальном конце узла ствола, причем концевой эффектор содержит:
(A) упор, и
(B) кассету со скобами, причем упор выполнен с возможностью перемещения к кассете со скобами, причем кассета со скобами выполнена с возможностью приведения скоб в движение к упору.
13. Устройство по п. 12, в котором сшивающий инструмент дополнительно содержит элемент передачи данных, причем элемент передачи данных хирургического сшивающего инструмента дополнительно выполнен с возможностью обеспечения передачи данных, относящихся к кассете.
14. Устройство по п. 13, в котором элемент передачи данных хирургического сшивающего инструмента выполнен с возможностью взаимодействия с элементом передачи данных кассеты для обеспечения, таким образом, передачи данных, относящихся к кассете.
15. Устройство по п. 14, в котором элемент передачи данных хирургического сшивающего инструмента расположен в концевом эффекторе, причем элемент передачи данных кассеты расположен в узле первого укрепляющего элемента.
16. Устройство по п. 1, дополнительно содержащее узел второго укрепляющего элемента.
17. Устройство по п. 16, в котором узел первого укрепляющего элемента расположен на первой стороне платформы, причем узел второго укрепляющего элемента расположен на второй стороне платформы.
18. Устройство, содержащее:
(a) кассету для наложения укрепляющего элемента, содержащую:
(i) корпус, образующий зазор, выполненный с возможностью приема части концевого эффектора хирургического сшивающего инструмента,
(ii) платформу, причем часть платформы находится в зазоре, образованном корпусом, и
(iii) узел укрепляющего элемента, расположенный на платформе, причем узел укрепляющего элемента находится в зазоре, образованном корпусом; и
(b) сшивающий инструмент, содержащий:
(i) узел ствола,
(ii) концевой эффектор, расположенный на дистальном конце узла ствола, причем концевой эффектор содержит:
(A) упор, и
(B) кассету со скобами, причем упор выполнен с возможностью перемещения к кассете со скобами, причем кассета со скобами выполнена с возможностью приведения скоб в движение к упору, и
(iii) дисплей, причем дисплей выполнен с возможностью передачи информации, связанной с кассетой, на основании одного или обоих из:
(A) данных, переданных от кассеты к сшивающему инструменту, или
(B) данных, обнаруженных одним или более датчиками в сшивающем инструменте.
19. Способ работы со сшивающим инструментом, согласно которому:
(a) располагают открытый концевой эффектор сшивающего инструмента вокруг платформы кассеты для наложения укрепляющего элемента, причем кассета для наложения укрепляющего элемента содержит по меньшей мере один узел укрепляющего элемента;
(b) принимают данные, связанные с кассетой, причем данные принимают через сшивающий инструмент; и
(c) закрывают концевой эффектор для присоединения по меньшей мере одного узла укрепляющего элемента к концевому эффектору.
20. Способ по п. 19, согласно которому данные принимают в ответ на закрытие концевого эффектора.
RU2018119504A 2015-10-29 2016-10-20 Укрепляющий аппликатор хирургического сшивающего инструмента с передачей данных RU2732971C2 (ru)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US14/926,131 US10251649B2 (en) 2015-10-29 2015-10-29 Surgical stapler buttress applicator with data communication
US14/926,131 2015-10-29
PCT/US2016/057854 WO2017074781A1 (en) 2015-10-29 2016-10-20 Surgical stapler buttress applicator with data communication

Publications (3)

Publication Number Publication Date
RU2018119504A true RU2018119504A (ru) 2019-12-02
RU2018119504A3 RU2018119504A3 (ru) 2020-04-15
RU2732971C2 RU2732971C2 (ru) 2020-09-25

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US (1) US10251649B2 (ru)
EP (2) EP3162297B1 (ru)
JP (1) JP6858770B2 (ru)
CN (1) CN108348243B (ru)
BR (1) BR112018008692B1 (ru)
RU (1) RU2732971C2 (ru)
WO (1) WO2017074781A1 (ru)

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RU2732971C2 (ru) 2020-09-25
US20170119391A1 (en) 2017-05-04
JP2019500922A (ja) 2019-01-17
BR112018008692A2 (pt) 2018-10-30
JP6858770B2 (ja) 2021-04-14
EP3162297B1 (en) 2021-09-08
EP3932331A1 (en) 2022-01-05
CN108348243A (zh) 2018-07-31
BR112018008692B1 (pt) 2023-04-25
WO2017074781A1 (en) 2017-05-04
EP3162297A1 (en) 2017-05-03
EP3932331C0 (en) 2023-11-15
RU2018119504A3 (ru) 2020-04-15
US10251649B2 (en) 2019-04-09
EP3932331B1 (en) 2023-11-15
CN108348243B (zh) 2021-11-19

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