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DE409569T1 - Verfahren und Vorrichtung zum Anbringen von chirurgischen Klammern bei laparoskopischen oder endoskopischen Eingriffen. - Google Patents

Verfahren und Vorrichtung zum Anbringen von chirurgischen Klammern bei laparoskopischen oder endoskopischen Eingriffen.

Info

Publication number
DE409569T1
DE409569T1 DE90307811T DE90307811T DE409569T1 DE 409569 T1 DE409569 T1 DE 409569T1 DE 90307811 T DE90307811 T DE 90307811T DE 90307811 T DE90307811 T DE 90307811T DE 409569 T1 DE409569 T1 DE 409569T1
Authority
DE
Germany
Prior art keywords
staple
endoscopic
jaws
staples
frame
Prior art date
Legal status (The legal status 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 status listed.)
Pending
Application number
DE90307811T
Other languages
English (en)
Inventor
Henry Bolanos
David T Green
Lisa M Heaton
Richard A Mcgarry
Keith Ratcliff
Wayne P Young
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
United States Surgical Corp
Original Assignee
United States Surgical Corp
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.)
Filing date
Publication date
Family has litigation
First worldwide family litigation filed litigation Critical https://patents.darts-ip.com/?family=27009311&utm_source=google_patent&utm_medium=platform_link&utm_campaign=public_patent_search&patent=DE409569(T1) "Global patent litigation dataset” by Darts-ip is licensed under a Creative Commons Attribution 4.0 International License.
Priority claimed from US07/381,265 external-priority patent/US5100420A/en
Application filed by United States Surgical Corp filed Critical United States Surgical Corp
Publication of DE409569T1 publication Critical patent/DE409569T1/de
Pending legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/128—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord for applying or removing clamps or clips
    • A61B17/1285—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord for applying or removing clamps or clips for minimally invasive surgery

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Vascular Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Reproductive Health (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
  • Instruments For Viewing The Inside Of Hollow Bodies (AREA)
  • Endoscopes (AREA)

Claims (21)

Patentansprüche
1. Vorrichtung zum Anbringen chirurgischer Klammern an Körpergeweben mit:
a)
einem Rahmen,
b) einer mit dem Rahmen verbundenen endoskopischen Vorrichtung allgemein länglicher Form, die sich vo Rahmen aus distal erstreckt und ihrerseits aus folgenden Teilen besteht:
i) einer Vorrichtung zur Aufnahme mehrerer, chirurgischer Klammern;
ii) einer Vorrichtung zum wahlweisen Vorschieben der Klammern zum distalen Teil der endoskopischen Vorrichtung, um sie in der Nähe des zu klammernden Körpergewebes anzuordnen; und
iii) einer Vorrichtung, die dann, wenndem die Klammer distal zu dem vorbestimmten Abschnitt der endoskopischen Vorrichtung vorgeschoben worden ist, jede Klammer wenigstens teilweise soweit verschließt, daß die Verschließung zu einem Ergreifen von Körpergeweben ausreicht.
2. Wegwerf-Vorrichtung zum Anbringen chirurgischer Klammern an Körpergeweben mit
-2- 04Ü9
a) einem Rahmen,
b) einem länglichen, endoskopischen Teil, der mit seinem proximalen Ende an dem Rahmen befestigt ist und sich distal vom Rahmen wegerstreckt, wobei der endoskopische Teil aus folgenden Einzelteilen besteht:
i) einer Vorrichtung zum Aufnehmen mehrerer chirurgischer Klammern,
ii) einem Paar von Backen, die am distalen Teil des endoskopischen Abschnittes angeordnet und so ausgelegt sind, daß sie die Klammern aufnehmen,
iii) einer Vorrichtung zum Vorschieben der Klammern in distaler Richtung, um sie innerhalb des Backenpaares in Stellung zu bringen, das nahe dem zu verklammernden Körpergewebe in Stellung gebracht werden soll; und
iv) einer Vorrichtung zum wenigstens
teilweisen Verschließen der Backen um jede Klammer herum, um die Klammern wenigstens teilweise um das Körpergewebe herum zu verschließen.
3. Wegwerf-Vorrichtung zum Anbringen chirurgischer Klammern an Körpergeweben mit
a) einem Rahmen, der so aufgebaut und bemessen ist, daß er mit der Hand ergriffen werden kann;
b) einem länglichen, endoskopischen Abschnitt, der mit seinem proximalen Ende am Rahmen befestigt ist und sich von ihm aus in distaler Richtung erstreckt, wobei der endoskopische Abschnitt aus folgenden Teilen besteht:
i) einer Vorrichtung zum Aufnehmen von
mehreren, chirurgischen Klammern, die dem distalen Teil des endoskopischen Abschnittes in allgemein ausgerichteter Form gegenüberliegen,
ii) einer Backenanordnung, die am distalen Ende des endoskopischen Abschnittes angeordnet und so ausgelegt ist, daß sie die Klammern nacheinander aufnehmen kann;
iii) einer Vorrichtung zum Vorschieben der
Klammern in distaler Richtung so, daß sie zwischen den Backen in Stellung gebracht werden, um in die Nähe des zu klammernden Gewebes gebracht zu werden; und
iv) einer Vorrichtung zum wenigstens
teilweisen Schließen der Backen um jede Klammer herum, nachdem die Klammer zwischen die Backen vorgeschoben worden ist, während gleichzeitig die Klammern-Vorschubvorrichtung zum distalen Vorschieben der nächsten Klammer zurückgezogen wird.
4. Vorrichtung nach Anspruch 3, wobei der Rahmen ferner einen Instrumentenkörper aufweist sowie einen an dem Instrumentenkörper befestigten Betätigungshandgriff.
5. Vorrichtung nach Anspruch 4, die ferner eine erste Übertragungsvorrichtung zum geradlinigen Übertragen einer Bewegung von dem Betätigungshandgriff zu der Vorschubvorrichtung für die Klammern umfaßt.
6. Vorrichtung nach Anspruch 5, die ferner eine Vorrichtung zum Schließen der Backen umfaßt.
7. Vorrichtung nach Anspruch 6, die ferner eine Vorrichtung zu einer solchen Verriegelung des Handgriffes umfaßt, daß nach einer Betätigung des Handgriffes, um die Backen zu schließen, der Handgriff nicht mehr betätigt werden kann, wenn die Verriegelungsvorrichtung nicht vorher gelöst worden ist.
8. Vorrichtung nach Anspruch 7, wobei der endoskopische Abschnitt unabhängig von dem Handgriff drehbar ist.
9. Vorrichtung nach Anspruch 8, die ferner eine Vorrichtung zum wahlweisen Verriegeln des endoskopischen Abschnittes in einer vorbestimmten Winkelstellung relativ zum Handgriff umfaßt.
10. Vorrichtung nach Anspruch 3, wobei die Backenvorrichtung ein Paar von Backen umfaßt, die im Abstand voneinander angeordnet und so ausgebildet und bemessen sind, daß zwischen ihnen eine chirurgische Klammer aufgenommen werden kann, wobei die Backen auf die distale Bewegung einer Nockenvorrichtung von einer proximalen zu einer distalen Stellung hin federnd aufeinander zu und voneinander wegbewegt werden können.
11. Vorrichtung nach Anspruch 10, wobei die Nockenvorrichtung einen Kanalteil umfaßt, der verschiebbar an dem endoskopischen Abschnitt angebracht ist und der auf die Betätigung des Handgriffes hin in Längsrichtung bewegbar ist, wobei das Kanalteil wenigstens zwei distale Nockenflächen hat, um die Backen in ihre geschlossene Stellung zu beaufschlagen.
12. Vorrichtung nach Anspruch 3, wobei die Vorrichtung zum Aufnehmen der chirurgischen Klammern eine Schiene zum Festhalten einer in Längsrichtung angeordneten Menge chirurgischer Klammern aufweist sowie eine Feder, die proximal zu der Menge chirurigischer Klammern angeordnet ist, um diese in distaler Richtung zu beaufschlagen.
13. Vorrichtung nach Anspruch 3, wobei die Vorrichtung zum Vorschieben der chirurgischen Klammern eine Druckstange zum Vorschieben der am weitesten distal liegenden Klammer in den Bereich des Backenpaares, wobei die Druckstange auf die Betätigung des Handgriffes hin in Längsrichtung verschiebbar ist sowie eine Austrittsvorrichtung, die am distalen Ende der Klammernmenge angebracht ist, um die nächste Klammer daran zu hindern, vor dem Vorschub in das Backenpaar verlagert zu werden.
14. Vorrichtung nach Anspruch 13, wobei die Austrittsvorrichtung wenigstens einen Vorsprung umfaßt, der von der Klammernschiene aus vorsteht und sich in den Weg der Klammern hinein erstreckt, um eine proximale Bewegung einer Klammer zu verhindern, nachdem diese in das Backenpaar vorgeschoben worden ist.
— &ogr; —
15. Vorrichtung nach Anspruch 13, wobei ein erstes Drückrohr eine Bewegungsvorrichtung hat, um die Druckstange drehbar an ihm zu befestigen.
16. Vorrichtung nach Anspruch 15, wobei die Befestigungsvorrichtung des Drückrohres einen im allgemeinen kreisförmig geformten Vorsprung hat, der zur Aufnahme und zum Eingriff wenigstens eines zusammenwirkenden Vorsprunges an der Druckstange bemessen ist.
17. Vorrichtung nach Anspruch 3, wobei die Backen-Vorrichtung ein am endoskopischen Abschnitt befestigtes Backen-Leitteil aufweist sowie ein Paar von im distalen Abstand angeordneten Backen, die federnd zwischen einer geschlossenen Stellung zum Schließen einer chirurgischen Klammer und einer offenen Stellung zum Aufnehmen einer chirurgischen Klammer bewegbar sind, wobei die Nockenvorrichtung, die von einem Kanalteil umfaßt wird, Nockenflächen hat, die von einer ersten Stellung, die zu den Backen proximal liegt, in eine zweite, distale Stellung bewegbar ist, in der die Nockenflächen des Kanalteiles die Backen in die geschlossene Stellung bewegen, wobei das Kanalteil an seinem proximalen Ende mit dem Kanalrohr verbunden ist.
18. Vorrichtung nach Anspruch 3, wobei der endoskopische Abschnitt wegwerfbar und der Rahmen wiederverwendbar ist.
19. Vorrichtung nach Anspruch 8, wobei der endoskopische Abschnitt zwischen mehreren, verrastbaren Einstellungen verdrehbar ist.
Ü4Ü9
20. Vorrichtung nach Anspruch 3, wobei der endoskopische Abschnitt so ausgelegt ist, daß er eine gasförmige Dichtung aufweist.
21. Verfahren zum endoskopischen Anbringen chirurgischer Klammern unter Verwendung einer Vorrichtung, die einen Rahmen hat, der mit der Hand ergriffen werden kann sowie einen endoskopischen Abschnitt, der mit dem Rahmen verbunden ist und in ausgewählte Stellungen relativ zum Rahmen verdrehbar ist, mit folgenden Verfahrensschritten:
a) Einbringen der Klammern in den endoskopischen Abschnitt;
b) Vorschieben einer Klammer in distaler Richtung durch die Klammern-Vorschubvorrichtung, die innerhalb des endoskopischen Abschnittes liegt zu einem Paar von Backen, die am distalen Ende des endoskopsichen Abschnittes angeordnet sind;
c) Anordnen der Klammer in der Nähe des Körpergewebes, das verklammert werden soll;
d) Schließen der Backen um die Klammer herum, während die Klammer-Vorschubvorrichtung gleichzeitig in eine Stellung proximal zur nächsten, vorzuschiebenden Klammer verlagert wird; und
e) lösbares Verriegeln der
Klammer-Vorschubvorrichtung in dieser Stellung, bis sie zum Vorschub der nächsten Klammer entriegelt wird.
DE90307811T 1989-07-18 1990-07-17 Verfahren und Vorrichtung zum Anbringen von chirurgischen Klammern bei laparoskopischen oder endoskopischen Eingriffen. Pending DE409569T1 (de)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US07/381,265 US5100420A (en) 1989-07-18 1989-07-18 Apparatus and method for applying surgical clips in laparoscopic or endoscopic procedures
US07/530,652 US5084057A (en) 1989-07-18 1990-05-30 Apparatus and method for applying surgical clips in laparoscopic or endoscopic procedures

Publications (1)

Publication Number Publication Date
DE409569T1 true DE409569T1 (de) 1993-11-25

Family

ID=27009311

Family Applications (4)

Application Number Title Priority Date Filing Date
DE69033727T Expired - Fee Related DE69033727T2 (de) 1989-07-18 1990-07-17 Vorrichtung zum Anbringen von chirurgischen Klammern bei laparoskopischen oder endoskopischen Eingriffen
DE69029823T Expired - Lifetime DE69029823T3 (de) 1989-07-18 1990-07-17 Verfahren und Vorrichtung zum Anbringen von chirurgischen Klammern bei laparoskopischen oder endoskopischen Eingriffen
DE90307811T Pending DE409569T1 (de) 1989-07-18 1990-07-17 Verfahren und Vorrichtung zum Anbringen von chirurgischen Klammern bei laparoskopischen oder endoskopischen Eingriffen.
DE69033507T Expired - Lifetime DE69033507T2 (de) 1989-07-18 1990-07-17 Vorrichtung zum Anbringen von chirurgischen Klammern bei laparoskopischen oder endoskopischen Eingriffen

Family Applications Before (2)

Application Number Title Priority Date Filing Date
DE69033727T Expired - Fee Related DE69033727T2 (de) 1989-07-18 1990-07-17 Vorrichtung zum Anbringen von chirurgischen Klammern bei laparoskopischen oder endoskopischen Eingriffen
DE69029823T Expired - Lifetime DE69029823T3 (de) 1989-07-18 1990-07-17 Verfahren und Vorrichtung zum Anbringen von chirurgischen Klammern bei laparoskopischen oder endoskopischen Eingriffen

Family Applications After (1)

Application Number Title Priority Date Filing Date
DE69033507T Expired - Lifetime DE69033507T2 (de) 1989-07-18 1990-07-17 Vorrichtung zum Anbringen von chirurgischen Klammern bei laparoskopischen oder endoskopischen Eingriffen

Country Status (6)

Country Link
US (1) US5084057A (de)
EP (3) EP0409569B2 (de)
JP (1) JPH03136641A (de)
AU (1) AU632348B2 (de)
CA (1) CA2021362C (de)
DE (4) DE69033727T2 (de)

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Also Published As

Publication number Publication date
CA2021362C (en) 1995-10-24
EP0738499A2 (de) 1996-10-23
EP0409569B2 (de) 2005-09-07
EP0738499A3 (de) 1997-06-04
EP0409569B1 (de) 1997-01-29
EP0738499B1 (de) 2000-04-12
AU632348B2 (en) 1992-12-24
DE69029823D1 (de) 1997-03-13
DE69029823T3 (de) 2006-05-18
DE69033507D1 (de) 2000-05-18
DE69033727T2 (de) 2001-09-13
EP0738500B1 (de) 2001-04-18
EP0409569A1 (de) 1991-01-23
DE69033507T2 (de) 2000-09-14
DE69033727D1 (de) 2001-05-23
EP0738500A2 (de) 1996-10-23
EP0738500A3 (de) 1997-05-28
US5084057A (en) 1992-01-28
AU5912690A (en) 1991-01-24
JPH03136641A (ja) 1991-06-11
CA2021362A1 (en) 1991-01-19
DE69029823T2 (de) 1997-06-12

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