SU1456109A1 - Arrangement for bringing together the wound edges - Google Patents

Arrangement for bringing together the wound edges

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Publication number
SU1456109A1
SU1456109A1 SU864096464A SU4096464A SU1456109A1 SU 1456109 A1 SU1456109 A1 SU 1456109A1 SU 864096464 A SU864096464 A SU 864096464A SU 4096464 A SU4096464 A SU 4096464A SU 1456109 A1 SU1456109 A1 SU 1456109A1
Authority
SU
USSR - Soviet Union
Prior art keywords
brackets
needle
wound edges
wound
mechanism
Prior art date
Application number
SU864096464A
Other languages
Russian (ru)
Unknown language (xx)
Inventor
Георгий Цыренович Дамбаев
Леонид Абрамович Монасевич
Владимир Александрович Кирш
Константин Анатольевич Гураль
Надежда Николаевна Михалькова
Евгений Сергеевич Зеленов
Виктор Эдуардович Гюнтер
Original Assignee
Сибирский физико-технический институт им.В.Д.Кузнецова при Томском государственном университете
Томский государственный медицинский институт
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
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Publication date
Application filed by Сибирский физико-технический институт им.В.Д.Кузнецова при Томском государственном университете, Томский государственный медицинский институт filed Critical Сибирский физико-технический институт им.В.Д.Кузнецова при Томском государственном университете
Priority to SU864096464A priority Critical patent/SU1456109A1/en
Application granted granted Critical
Publication of SU1456109A1 publication Critical patent/SU1456109A1/en

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/08Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/08Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound
    • A61B2017/081Tissue approximator
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30003Material related properties of the prosthesis or of a coating on the prosthesis
    • A61F2002/3006Properties of materials and coating materials
    • A61F2002/30092Properties of materials and coating materials using shape memory or superelastic materials, e.g. nitinol
    • A61F2002/30093Properties of materials and coating materials using shape memory or superelastic materials, e.g. nitinol operated at only one temperature whilst inside or touching the human body, e.g. constrained in a non-operative shape during surgery, another temperature only occurring before the operation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2210/00Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2210/0014Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof using shape memory or superelastic materials, e.g. nitinol
    • A61F2210/0019Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof using shape memory or superelastic materials, e.g. nitinol operated at only one temperature whilst inside or touching the human body, e.g. constrained in a non-operative shape during surgery, another temperature only occurring before the operation

Abstract

Изобретение относитс к медицинской технике и может быть использовано при лечении глубоких линейных раневых дефектов. The invention relates to medical engineering and can be used in the treatment of deep linear wound defects. Целью изобретени вл етс обеспечение равномерной и посто нной нагрузки на ткани при их сближении. The aim of the invention is to provide a uniform and constant loading on the tissue when they approach. Устройство состоит из двух опорных площадок 2, в каждой из которых в два р да закреплены иглы 1, и механизма сближени бранш в виде двух и-образных скоб 3 из нике- лида титана. The apparatus consists of two bearing surfaces 2, each of which are fixed two rows of needle 1, and convergence Branche mechanism in the form of two or three-brackets of nickel titanium lida. Иглы. Needles. 1 ввод т в ткани у краев раны, скобы 3 охлаждают и .разгибают. 1 is introduced into the tissue from the wound edges, the bracket 3 is cooled and .razgibayut. Отогрева сь, скобы 3 восстанавливают форму, постепенно и равномерно сближа кра раны. Warming to, form bracket 3 is reduced gradually and uniformly approximated wound edges. 2 з.п. 2 ZP ф-лы, 4 ил. f ly-4-yl. J с фиг.1 J of Figure 1

Description

Изобретение относитс к медицинской технике, а именно к хирургическим инструме гтам, и может быть использовано при лечении глубоких ли- нейных ранеиых дефектов. The invention relates to medical technique, namely surgical tools GTAM, and can be used in the treatment of deep defects of linear wound.

Цель изобретени - обеспечение равномерной и посто нной нагрузки на ткани при их сближении. The purpose of the invention - providing a uniform and constant loading on the tissue when they approach.

На фиг.1 изображено устройство дл сближени краев раны, общий вид; 1 shows an apparatus for Approximation wound edges, general view; на фиг.2 - элемент механизма сближени ; Figure 2 - Approximation member mechanism; на фиг.З - устройство с разогнутыми в охлажденном состо нии и разведенными брашпами; on fig.Z - straighten device in a cooled state and diluted windlasses; на фиг.4 - то же, с дугообразно изогнутыми иглами. 4 - the same, with arched spines.

Устройство дл сближени краев раны содержит иглы 1, установленные на опорных площадках 2, маханием 3 сближени , который выполнен в виде двух и-образно изогнутых скоб с цангами на торцах 4. Скобы механизма 3 сближени игл выполнены из материала, обладающего эффектом пам ти формы, а иглы 1 размещены не менее чем в два р да в шахматном пор дке. Approaches apparatus comprises a wound edges needle 1 mounted on the supporting platforms 2, 3 waving convergence, which is in the form of two curved-shaped and clamps the ends of the collets to 4. Staples mechanism 3 Approaches needles made of a material having shape memory, a needle 1 has at least two rows are staggered. Иглы 1 могут быть вогнутыми и обращены вогнутост ми навстречу одна другой. Needle 1 may be concave, and is concave towards one another in E.

Устройство работает следующим образом .. The device operates as follows ..

Во врем операции охлаждают скобы хладогеном (например, в парах хлор- этила или азота), развод т и разворачивают опорные площадки 2 так, чтобы угол между иглами 1 соседних бранш соответствовал углу между стенками раны, а рассто ние между верхними кра ми игл 1 бьшо на 1-3 см больше рассто ни между верхними кра ми раны . During operation hladogenom cooled staples (e.g., in pairs chloro- ethyl or nitrogen), diluted and unfold the support platform 2 so that the angle between adjacent needles 1 Branche corresponds to the angle between the walls of the wound, and the distance between the upper edges of the needle 1 bsho 1-3 cm greater than the distance between the upper edges of the wound. Затем удал ют скобы и помещают Then the bracket is removed and placed

их в хлаДоген. them in the refrigerant unit. После этого ввод т иглы , отступив от верхнего кра раны на 0,5-1,5 см в ткани с двух сторон раны, под углом, соответствующим углу между стенками раны. Thereafter, the needle is introduced, departing from the upper edge of the wound to 0.5-1.5 cm in the tissue on both sides of the wound at an angle corresponding to the angle between the walls of the wound. Если используетс устройство с изогнутыми игла- I ми 1, то опорные площадки 2 с иглами 1 при введении их в ткани перемещают по окружности, образуемой радиусом изгиба игл. If the device is used with curved igla- E I 1, the two abutment platforms 1 with the needles when introduced into the tissues are moved by formed by bending radius of the circle of needles. После установки устройства в тело сжимают расщепленные концы и-образных скоб и вставл ют их в отверсти в опорных площадках 2, и-образные скобы, отогрева сь, начинают принимать заданную им форму, сближа и разворачива стенки ран, постепенно приближа их, начина с нижнего кра , одну к другой. After installation of the device to the body compress split ends and-brackets and inserted them into the holes in the supporting platforms 2 and-brackets, warming to, begin to take a predetermined they form close together and unfolding the wall wounds gradually approaching them, starting from the bottom edge one to the other.

Claims (2)

1. Устройство дп сближени краев раны, содержащее иглы, установленные на опорных площадках, механизм сближени опорных площадок, отличающеес тем, что, с целью обеспечени равномерной и посто нной нагрузки на ткани при их сближении, механизм сближени выполнен в виде двух и-образных скоб с цангами на торцах, установленных в опорных площадках , скобы выполнены из материала обладающего эффектом пам ти формы, а иглы размещены не менее чем в два р да в шахматном пор дке. 1. Apparatus dp Approaches wound edges, comprising a needle mounted on the support surface, the mechanism Approximation of the bearing surfaces, characterized in that in order to provide a uniform and constant load on the fabric when the approximation mechanism Approaches configured as two-brackets and a collet at the ends mounted in the supporting platforms, brackets made of a material having shape memory, and needles are arranged in at least two rows are staggered.
2. Устройство по п.1, о т л и - чающеес тем, что иглы дугообразно изогнуты, а скобы расположены так, что иглы обращены одна к другой вогнутост ми. 2. Device according to claim 1 of m and l - chayuschees in that the arcuately curved needle, and brackets are arranged such that the needle face one another concave mi.
Фиг. FIG. 2 2
7 7
Фиг. FIG. 2 2
фиг Л Figure A
Редактор Н.Тупица editor N.Tupitsa
Составитель В.Баганов Техред М.Дидык Compiled V.Baganov Tehred M.Didyk
Заказ 7504/5 order 7504/5
Тираж 644 circulation 644
ВНИИПИ Государственного комитета по изобретени м и открыти м при ГКНТ СССР 113035, Москва, Ж-35, Раушска наб., д. 4/5 VNIIPO State Committee of the invention m and m at the opening GKNT USSR 113035, Moscow, F-35, Raushskaya nab., D. 4/5
Производственно-полиграфическое предпри тие, г. Ужгород, ул. Production and printing enterprise term, Uzhgorod, st. Проектна , 4 Design 4
Фиг.з Fig.z
Ы s
Корректор М.Демчик corrector M.Demchik
Подписное Subscription
SU864096464A 1986-07-23 1986-07-23 Arrangement for bringing together the wound edges SU1456109A1 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
SU864096464A SU1456109A1 (en) 1986-07-23 1986-07-23 Arrangement for bringing together the wound edges

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
SU864096464A SU1456109A1 (en) 1986-07-23 1986-07-23 Arrangement for bringing together the wound edges

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SU1456109A1 true SU1456109A1 (en) 1989-02-07

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Cited By (77)

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EP0740530A1 (en) * 1994-01-21 1996-11-06 Progressive Surgical Products, Inc. Tissue expansion and approximation device
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US6641593B1 (en) 1998-06-03 2003-11-04 Coalescent Surgical, Inc. Tissue connector apparatus and methods
EP1437096A1 (en) * 2003-01-07 2004-07-14 Alcon Inc. Wound clamp
USD611144S1 (en) 2006-06-28 2010-03-02 Abbott Laboratories Apparatus for delivering a closure element
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Cited By (136)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0740530A1 (en) * 1994-01-21 1996-11-06 Progressive Surgical Products, Inc. Tissue expansion and approximation device
EP0740530A4 (en) * 1994-01-21 1998-01-28 Progressive Surgical Products Tissue expansion and approximation device
DE4416777A1 (en) * 1994-05-09 1995-11-16 Aerztliche Mechanik Udo Lindek Surgical instrument for gripping and joining organic tissues
US7763040B2 (en) 1998-06-03 2010-07-27 Medtronic, Inc. Tissue connector apparatus and methods
US6607541B1 (en) 1998-06-03 2003-08-19 Coalescent Surgical, Inc. Tissue connector apparatus and methods
US6641593B1 (en) 1998-06-03 2003-11-04 Coalescent Surgical, Inc. Tissue connector apparatus and methods
US7963973B2 (en) 1998-06-03 2011-06-21 Medtronic, Inc. Multiple loop tissue connector apparatus and methods
US8353921B2 (en) 1999-03-01 2013-01-15 Medtronic, Inc Tissue connector apparatus and methods
US6613059B2 (en) 1999-03-01 2003-09-02 Coalescent Surgical, Inc. Tissue connector apparatus and methods
US6514265B2 (en) 1999-03-01 2003-02-04 Coalescent Surgical, Inc. Tissue connector apparatus with cable release
US7722643B2 (en) 1999-03-01 2010-05-25 Medtronic, Inc. Tissue connector apparatus and methods
US8118822B2 (en) 1999-03-01 2012-02-21 Medtronic, Inc. Bridge clip tissue connector apparatus and methods
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US7938840B2 (en) 1999-04-05 2011-05-10 Medtronic, Inc. Apparatus and methods for anastomosis
US8211131B2 (en) 1999-04-05 2012-07-03 Medtronic, Inc. Apparatus and methods for anastomosis
US8529583B1 (en) 1999-09-03 2013-09-10 Medtronic, Inc. Surgical clip removal apparatus
US9579091B2 (en) 2000-01-05 2017-02-28 Integrated Vascular Systems, Inc. Closure system and methods of use
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