DE537571T1 - Gerät zum Anbringen von chirurgischen Befestigungen. - Google Patents
Gerät zum Anbringen von chirurgischen Befestigungen.Info
- Publication number
- DE537571T1 DE537571T1 DE92116882T DE92116882T DE537571T1 DE 537571 T1 DE537571 T1 DE 537571T1 DE 92116882 T DE92116882 T DE 92116882T DE 92116882 T DE92116882 T DE 92116882T DE 537571 T1 DE537571 T1 DE 537571T1
- Authority
- DE
- Germany
- Prior art keywords
- jaw member
- advancing
- feed
- tissue
- jaw
- 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
Links
- 230000008878 coupling Effects 0.000 claims 4
- 238000010168 coupling process Methods 0.000 claims 4
- 238000005859 coupling reaction Methods 0.000 claims 4
- 210000003813 thumb Anatomy 0.000 claims 2
- 238000010304 firing Methods 0.000 claims 1
- 230000036316 preload Effects 0.000 claims 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- 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
- A61B2017/0725—Stapler heads with settable gap between anvil and cartridge, e.g. for different staple heights at different shots
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 (37)
1. Vorrichtung zum Anbringen von chirurgischen Verbindungselementen an Körpergewebe, umfassend:
eine Gewebegreifeinrichtung zum Positionieren und Greifen von Gewebe, an das die Verbindungselemente
angebracht werden sollen; wobei die Greifeinrichtung ein erstes Backenglied mit mehreren daran
positionierten Verbindungselementen und ein zweites Backenglied aufweist;
eine erste Vorschubeinrichtung zum Vortreiben des ersten Backengliedes in Richtung des zweiten
Backengliedes;
eine zweite Vorschubeinrichtung zum schrittweisen Vortreiben des ersten Backengliedes in Richtung des
zweiten Backengliedes anschließend an das Vortreiben durch die erste Vorschubeinrichtung, um Gewebe
dazwischen zu greifen;
eine Einrichtung zum Hineintreiben der Verbindungselemente in das Gewebe, nachdem die
Backenglieder durch die Vorschubeinrichtungen im Verhältnis zueinander positioniert worden sind;
eine Einrichtung zum Auslösen der Treibeinrichtung; und eine lösbare Einrichtung zum Halten der ersten und
zweiten Vorschubeinrichtung, um wahlweise das erste Backenglied im Verhältnis zu dem zweiten Backenglied zu
positionieren.
2. Vorrichtung nach Anspruch 1,
dadurch gekennzeichnet , daß die erste Vorschubeinrichtung das erste Backenglied in
Richtung des zweiten Backengliedes weiter vorschiebt als die zweite Vorschubeinrichtung.
3. Vorrichtung nach Anspruch 1 oder 2,
dadurch gekennzeichnet , daß die Halteeinrichtung ein schwenkbares Klammerglied mit
einer Mittelbohrung umfaßt, durch welche die erste Vorschubeinrichtung hindurchgeführt ist, wobei eine Kante
der Mittelbohrung mit der Vorschubeinrichtung in Eingriff steht, um die erste Vorschubeinrichtung zurückzuhalten und
wahlweise das erste Backenglied im Verhältnis zu dem zweiten Backenglied zu positionieren.
4. Vorrichtung nach Anspruch 1, 2 oder 3,
dadurch gekennzeichnet , daß die erste und zweite Vorschubeinrichtung eine erste und
eine zweite Ratschenschaltung umfassen, und daß die Halteeinrichtung die zweite Ratschenschaltung umfaßt.
5. Vorrichtung nach einem der vorstehenden Ansprüche, dadurch gekennzeichnet , daß
diese ferner eine Löseeinrichtung umfaßt, die mit der Halteeinrichtung verbunden ist, um die Halteeinrichtung
außer Eingriff mit der Vorschubeinrichtung zu bringen, um die Vorschubeinrichtung zu einer Ruheposition
zurückzubringen.
6. Vorrichtung nach einem der vorstehenden Ansprüche, dadurch gekennzeichnet , daß
diese ferner eine Kartusche zum Unterbringen der mehreren Verbindungselemente umfaßt, wobei die Kartusche lösbar an
dem ersten Backenglied befestigt ist, und daß diese ferner eine mit der Vorschubeinrichtung verbundene
Führungseinrichtung zum Führen und Ausrichten der Kartusche mit dem zweiten Backenglied umfaßt, wobei die
Führungseinrichtung eine Gleitschiene umfaßt, die über eine
Verbindungsanordnung an einem proximalen Ende an der
Vorschubeinrichtung befestigt ist, und die an einem distalen Ende mit einem Führungsstift verbunden ist, der
durch die Kartusche und das zweite Backenglied hindurchgeführt ist, um die Kartusche und das zweite
Backenglied miteinander auszurichten.
7. Vorrichtung nach einem der vorstehenden Ansprüche,
dadurch gekennzeichnet , daß diese ferner eine Einrichtung zum Koppeln der
Treibeinrichtung mit der Betätigungseinrichtung umfaßt, wobei die Treibeinrichtung die Verbindungselemente nur
treibt, wenn das erste Backenglied sich um einen vorbestimmten Abstand in Richtung des zweiten Backengliedes
genähert hat.
8. Vorrichtung nach Anspruch 7,
dadurch gekennzeichnet , daß die Koppeleinrichtung eine Lagerfläche an der
Treibeinrichtung umfaßt, um mit einem Arm der Auslöseeinrichtung in Eingriff zu stehen, um die
Verbindungselemente nur dann zu treiben, wenn das erste Backenglied sich um den vorbestimmten Abstand in Richtung
des zweiten Backengliedes genähert hat, wobei die Lagerfläche eine Aussparung für einen Eingriff mit dem Arm
umfaßt, wobei die Aussparung sich von einer Gleitfläche auf der Treibeinrichtung erstreckt, auf welcher der Arm vor dem
Eingriff mit der Aussparung gleitet.
9. Vorrichtung nach einem der vorstehenden Ansprüche, dadurch gekennzeichnet , daß
die erste und die zweite Vorschubeinrichtung mit der Treibeinrichtung gekoppelt sind, um die Treibeinrichtung in
eine Feuerposition vorzuschieben.
10. Vorrichtung nach einem der vorstehenden Ansprüche,
dadurch gekennzeichnet , daß
dadurch gekennzeichnet , daß
die erste Vorschubeinrichtung einen Druckstangenmechanismus und die zweite Vorschubeinrichtung eine
Sperrhakeneinrichtung umfaßt, die an dem
Druckstangenmechanismus angeordnet ist, wobei der
Druckstangenmechanismus sich von einem Gehäuse der
Vorrichtung erstreckt und so ausgebildet ist, daß er in das Gehäuse gedrückt werden kann, um das erste -Backenglied in
Richtung des zweiten Backengliedes vorzuschieben, wobei die Sperrhakeneinrichtung mit der Halteeinrichtung in Eingriff
steht, die ein Ratschenglied umfaßt, das innerhalb des
Gehäuses positioniert ist, um mit der Sperrhakeneinrichtung in Eingriff zu gelangen, wenn der Druckstangenmechanismus
in das Gehäuse gedrückt wird.
Sperrhakeneinrichtung umfaßt, die an dem
Druckstangenmechanismus angeordnet ist, wobei der
Druckstangenmechanismus sich von einem Gehäuse der
Vorrichtung erstreckt und so ausgebildet ist, daß er in das Gehäuse gedrückt werden kann, um das erste -Backenglied in
Richtung des zweiten Backengliedes vorzuschieben, wobei die Sperrhakeneinrichtung mit der Halteeinrichtung in Eingriff
steht, die ein Ratschenglied umfaßt, das innerhalb des
Gehäuses positioniert ist, um mit der Sperrhakeneinrichtung in Eingriff zu gelangen, wenn der Druckstangenmechanismus
in das Gehäuse gedrückt wird.
11. Vorrichtung nach Anspruch 10,
dadurch gekennzeichnet , daß
das Ratschenglied und die Sperrhakeneinrichtung eine
Feinvorschubeinrichtung umfassen, um schrittweise
vorzuschieben und einen Abstand zwischen den Backengliedern einzustellen, um das Gewebe zu greifen.
das Ratschenglied und die Sperrhakeneinrichtung eine
Feinvorschubeinrichtung umfassen, um schrittweise
vorzuschieben und einen Abstand zwischen den Backengliedern einzustellen, um das Gewebe zu greifen.
12. Vorrichtung nach Anspruch 11,
dadurch gekennzeichnet , daß
das Ratschenglied und die Sperrhakeneinrichtung mindestens
zwei Ratschenschaltungen umfassen, wobei eine erste
Schaltung eine Einrichtung zum Halten des
das Ratschenglied und die Sperrhakeneinrichtung mindestens
zwei Ratschenschaltungen umfassen, wobei eine erste
Schaltung eine Einrichtung zum Halten des
Druckstangenmechanismus gegen eine Vorspannkraft umfaßt, um
den Druckstangenmechanismus in eine Ruheposition
zurückzubringen, und eine zweite Schaltung eine Einrichtung vorsieht, um schrittweise das erste Backenglied in Richtung
zurückzubringen, und eine zweite Schaltung eine Einrichtung vorsieht, um schrittweise das erste Backenglied in Richtung
des zweiten Backengliedes vorzuschieben, um Gewebe dazwischen zu greifen.
13. Vorrichtung nach Anspruch 12,
dadurch gekennzeichnet , daß die zweite Schaltung mehrere Sperrhaken zum schrittweisen
Vorschieben des ersten Backengliedes in Richtung des zweiten Backengliedes umfaßt, wobei die zweite Schaltung
sich um einen vorbestimmten Abstand vorschiebt, bevor die erste Schaltung sich vorschiebt, um der zweiten Schaltung
zu folgen.
14. Vorrichtung nach Anspruch 13,
dadurch gekennzeichnet , daß die zweite Schaltung drei Sperrhakenglieder umfaßt, von
denen sich jedes schrittweise jeweils aufeinanderfolgend vorschiebt, wobei die erste Schaltung sich nach jedem
Sperrhakenglied der sich einmal vorschiebenden zweiten Schaltung vorschiebt.
15. Vorrichtung nach einem der Ansprüche 10 bis 14, dadurch gekennzeichnet , daß
diese ferner eine Löseeinrichtung zum Lösen des Sperrhakens von dem Ratschenglied umfaßt, um den
Druckstangenmechanismus in eine Ruhestellung zurückzubringen.
16. Vorrichtung nach Anspruch 15,
dadurch gekennzeichnet , daß die Löseeinrichtung einen Schwenkpunkt umfaßt, um den
Druckstangenmechanismus relativ zu einer Längsachse der Vorrichtung zu schwenken, um den Sperrhaken außer Eingriff
mit dem Ratschenglied zu bringen, wobei der Sperrhaken durch eine Feder gegen das Ratschenglied vorgespannt ist.
17. Vorrichtung nach einem der vorstehenden Ansprüche, dadurch gekennzeichnet , daß
die Vorschubeinrichtung einen Schwenkstangenmechanismus umfaßt, der sich von einem Gehäuse der Vorrichtung
erstreckt und in einer ersten Richtung relativ zu einer Längsachse der Vorrichtung hin und her geschwenkt werden
kann, um das erste Backenglied in Richtung des zweiten Backengliedes vorzuschieben, wobei der Stangenmechanismus
vorgespannt ist, um in eine Ruhestellung im wesentlichen in Ausrichtung mit der Längsachse zurückzukehren, wobei das
Hin- und Herschwenken des Stangenmechanismus den Stangenmechanismus von der Längsachse nach unten ablenkt.
18. Vorrichtung nach Anspruch 17,
dadurch gekennzeichnet , daß der Schwenkstangenmechanismus mindestens eine
Ratschenschaltung zum schrittweisen Vorschieben des ersten Backengliedes in Richtung des zweiten Backengliedes umfaßt.
19. Vorrichtung nach Anspruch 17 oder 18, dadurch gekennzeichnet , daß
diese ferner eine Löseeinrichtung zum Außer-Eingriff-Bringen der Halteeinrichtung umfaßt, um die Vorrichtung in
eine Ruhestellung zurückzuführen.
20. Vorrichtung nach Anspruch 17, 18 oder 19, dadurch gekennzeichnet , daß
die Löseeinrichtung eine Lösestange umfaßt, welche die Halteeinrichtung berührt, um die Halteeinrichtung auf ein
Schwenken des Schwenkstangenmechanismus in einer zweiten Richtung, entgegengesetzt zu der ersten Richtung, außer
Eingriff zu bringen.
21. Vorrichtung nach einem der vorstehenden Ansprüche, dadurch gekennzeichnet , daß
die Vorschubeinrichtung ein Stangenglied umfaßt, das sich distal von einem Gehäuse der Vorrichtung erstreckt und das
durch einen Bediener mit dem Daumen betätigbar ist, um das erste Backenglied vorzuschieben.
22. Vorrichtung nach Anspruch 21,
dadurch gekennzeichnet , daß ein Abschnitt des Stangengliedes mit einem Schraubgewinde
versehen ist, um in Eingriff mit der Halteeinrichtung zu stehen, wobei die Stange drehbar ist, um eine
Feineinstellung eines Abstandsbereiches zwischen den Backengliedern durch Vorschieben des Gewindes über die
Halteeinrichtung zu erlauben.
23. Vorrichtung nach einem der vorstehenden Ansprüche, dadurch gekennzeichnet , daß
die erste und zweite Vorschubeinrichtung ein Stangenglied umfassen, das entlang eines Längsabschnitts ein
Schraubgewinde aufweist, wobei das Stangenglied durch die Halteeinrichtung weg von dem Schraubgewinde für einen
ersten Vorschub des ersten Backengliedes vorgeschoben wird, wobei das Stangenglied mittels des Schraubgewindes durch
die Halteeinrichtung für einen zweiten Vorschub des ersten Backengliedes drehbar vorgeschoben wird.
24. Vorrichtung zum Anbringen von chirurgischen Verbindungselementen an Körpergewebe, umfassend
eine Gewebegreifeinrichtung zum Positionieren und Greifen von Gewebe dazwischen, die ein erstes
Backenglied und ein zweites Backenglied umfaßt, wobei das erste Backenglied mehrere daran positionierte
Verbindungselemente umfaßt; und
0537
eine Vorschubeinrichtung zum Vortreiben des ersten Backengliedes in Richtung des zweiten Backengliedes,
wobei die Vorschubeinrichtung um eine Längsachse der Vorrichtung hin und her schwenkbar ist.
25. Vorrichtung nach Anspruch 24,
dadurch gekennzeichnet , daß die Vorschubeinrichtung eine Einrichtung zum Vorschieben
des ersten Backengliedes um einen vorbestimmten Abstand und eine Einrichtung zum Vorschieben des ersten Backengliedes
um einen zweiten vorbestimmten Abstand anschließend an den ersten vorbestimmten Abstand umfaßt.
26. Vorrichtung nach Anspruch 24 oder 25, dadurch gekennzeichnet , daß
diese ferner eine lösbare Einrichtung zum Halten der Vorschubeinrichtung umfaßt, um wahlweise das erste
Backenglied im Verhältnis zu dem zweiten Backenglied zu positionieren.
27. Vorrichtung nach Anspruch 24, 25 oder 26, dadurch gekennzeichnet , daß
diese den Gegenstand eines oder mehrerer der vorstehenden Ansprüche umfaßt.
28. Vorrichtung nach einem der Ansprüche 24 bis 27, dadurch gekennzeichnet , daß
diese ferner eine lösbare Einrichtung zum Außer-Eingriff-Bringen der Vorschubeinrichtung umfaßt, um das erste
Backenglied von dem zweiten Backenglied weg zu bewegen, um das dazwischen positionierte Gewebe loszulassen.
29. Vorrichtung zum Anbringen von chirurgischen Verbindungselementen an Körpergewebe, umfassend:
eine Gewebegreifeinrichtung zum Positionieren und Greifen von Gewebe dazwischen, die ein erstes
Backenglied und ein zweites Backenglied umfaßt, wobei an dem ersten Backenglied mehrere Verbindungselemente
positioniert sind; und
eine Vorschubeinrichtung zum Vortreiben des ersten Backengliedes in Richtung des zweiten Backengliedes,
die eine linear betätigbare Vorschubeinrichtung zum Vortreiben des ersten Backengliedes in Richtung des
zweiten Backengliedes um einen vorbestimmten Abstand umfaßt, und eine schwenkbar betätigbare
Vorschubeinrichtung, die relativ zu einer Längsachse der Vorrichtung schwenkbar ist, um das erste
Backenglied in Richtung des zweiten Backengliedes vorzutreiben, um dazwischen Gewebe zu greifen.
30. Vorrichtung nach Anspruch 29,
dadurch gekennzeichnet , daß diese den Gegenstand eines oder mehrerer der vorstehenden
Ansprüche umfaßt.
31. Vorrichtung zum Anbringen von chirurgischen Verbindungselementen an Körpergewebe, umfassend:
eine Gewebegreifeinrichtung zum Positionieren und Greifen von Gewebe dazwischen, die ein erstes
Backenglied und ein zweites Backenglied umfaßt, wobei an dem ersten Backenglied mehrere Verbindungselemente
positioniert sind; und
eine Vorschubeinrichtung zum Vortreiben des ersten Backengliedes in Richtung des zweiten Backengliedes,
die eine linear betätigbare Vorschubeinrichtung zum
Vortreiben des ersten Backengliedes in Richtung des zweiten Backengliedes um einen vorbestimmten Abstand
umfaßt, und eine drehbare Vorschubeinrichtung, um das erste Backenglied in Richtung des zweiten Backengliedes
vorzutreiben, um dazwischen Gewebe zu greifen.
32. Vorrichtung nach Anspruch 31,
dadurch gekennzeichnet , daß diese ferner eine lösbare Einrichtung zum Halten der ersten
und zweiten Vorschubeinrichtung umfaßt, um wahlweise das erste Backenglied im Verhältnis zu dem zweiten Backenglied
zu positionieren.
33. Vorrichtung nach Anspruch 31 oder 32, dadurch gekennzeichnet , daß
die linear betätigbare Vorschubeinrichtung das erste Backenglied in Richtung des zweiten Backengliedes um einen
ersten vorbestimmten Abstand vortreibt, und daß die drehbare Vorschubeinrichtung schrittweise das erste
Backenglied in Richtung des zweiten Backengliedes nach dem Vortreiben durch die linear betätigbare Vorschubeinrichtung
vortreibt.
34. Vorrichtung nach Anspruch 31, 32 oder 33, dadurch gekennzeichnet , daß
die linear betätigbare Vorschubeinrichtung ein Stangenglied umfaßt, das sich distal von einem Gehäuse der Vorrichtung
erstreckt und das durch einen Bediener mit dem Daumen betätigbar ist, um das erste Backenglied vorzuschieben, und
daß die drehbare Vorschubeinrichtung ein Schraubgewinde umfaßt, das einstückig mit dem Stangenglied ausgebildet
ist, wobei das Schraubgewinde mit der Halteeinrichtung in Eingriff steht, um das erste Backenglied im Verhältnis zu
dem zweiten Backenglied schrittweise vorzuschieben.
35. Vorrichtung zum Anbringen von chirurgischen Verbindungselementen an Körpergewebe, umfassend:
eine Gewebegreifeinrichtung zum Positionieren und Greifen von Gewebe dazwischen, die ein erstes
Backenglied mit mehreren daran positionierten Verbindungselementen und ein zweites Backenglied
umfaßt;
eine Einrichtung zum Hineintreiben der Verbindungselemente in das Gewebe, die eine Einrichtung
zum Auslösen der Treibeinrichtung umfaßt; eine erste Vorschubeinrichtung zum Vortreiben des
ersten Backengliedes in Richtung des zweiten Backengliedes, um Gewebe dazwischen zu greifen/
eine zweite Vorschubeinrichtung zum schrittweisen Vortreiben des ersten Backengliedes in Richtung des
zweiten Backengliedes anschließend an das Vortreiben durch die erste Vorschubeinrichtung;
wobei die erste und zweite Vorschubeinrichtung die Treibeinrichtung weiter vorschieben;
eine lösbare Einrichtung zum Halten der Vorschubeinrichtung, um wahlweise das erste Backenglied
im Verhältnis zu dem zweiten Backenglied zu positionieren; und
eine Einrichtung zum Koppeln der Treibeinrichtung mit der Auslöseeinrichtung, wobei die Treibeinrichtung die
Verbindungselemente nur dann treibt, wenn sich das erste Backenglied um einen vorbestimmten Abstand an das
zweite Backenglied genähert hat.
36. Vorrichtung nach Anspruch 29,
dadurch gekennzeichnet , daß die Koppeleinrichtung eine Lagerfläche an der
Treibeinrichtung umfaßt, um mit einem Arm in Eingriff zu
treten, um die Verbindungselemente zu treiben, wenn das erste Backenglied an dem vorbestimmten Abstand.
37. Vorrichtung nach Anspruch 30,
dadurch gekennzeichnet , daß die Lagerfläche eine Aussparung zum Eingriff mit dem Arm
umfaßt, die sich von einer Gleitfläche an der Treibeinrichtung erstreckt, auf welcher der Arm vor dem
Eingriff mit der Aussparung gleitet.
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US77909791A | 1991-10-18 | 1991-10-18 |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| DE537571T1 true DE537571T1 (de) | 1993-10-14 |
Family
ID=25115316
Family Applications (2)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| DE92116882T Pending DE537571T1 (de) | 1991-10-18 | 1992-10-02 | Gerät zum Anbringen von chirurgischen Befestigungen. |
| DE69217808T Expired - Lifetime DE69217808T2 (de) | 1991-10-18 | 1992-10-02 | Gerät zum Anbringen von chirurgischen Befestigungen |
Family Applications After (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| DE69217808T Expired - Lifetime DE69217808T2 (de) | 1991-10-18 | 1992-10-02 | Gerät zum Anbringen von chirurgischen Befestigungen |
Country Status (5)
| Country | Link |
|---|---|
| US (2) | US5509596A (de) |
| EP (1) | EP0537571B1 (de) |
| CA (1) | CA2079756A1 (de) |
| DE (2) | DE537571T1 (de) |
| ES (1) | ES2041610T3 (de) |
Families Citing this family (907)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO1995023557A1 (en) * | 1994-03-01 | 1995-09-08 | United States Surgical Corporation | Surgical stapler with anvil sensor and lockout |
| CA2147800C (en) * | 1994-05-26 | 2006-07-11 | John Charles Robertson | Circular anastomosis device |
| US5735445A (en) * | 1995-03-07 | 1998-04-07 | United States Surgical Corporation | Surgical stapler |
| US5706998A (en) * | 1995-07-17 | 1998-01-13 | United States Surgical Corporation | Surgical stapler with alignment pin locking mechanism |
| US6032849A (en) * | 1995-08-28 | 2000-03-07 | United States Surgical | Surgical stapler |
| US5782396A (en) | 1995-08-28 | 1998-07-21 | United States Surgical Corporation | Surgical stapler |
| US5762256A (en) | 1995-08-28 | 1998-06-09 | United States Surgical Corporation | Surgical stapler |
| US5810240A (en) * | 1996-03-15 | 1998-09-22 | United States Surgical Corporation | Surgical fastener applying device |
| US6149653A (en) * | 1997-09-05 | 2000-11-21 | Deslauriers; Richard J. | Self-retaining anchor track and method of making and using same |
| US5865361A (en) | 1997-09-23 | 1999-02-02 | United States Surgical Corporation | Surgical stapling apparatus |
| US6805273B2 (en) * | 2002-11-04 | 2004-10-19 | Federico Bilotti | Surgical stapling instrument |
| US6817508B1 (en) | 2000-10-13 | 2004-11-16 | Tyco Healthcare Group, Lp | Surgical stapling device |
| US7407076B2 (en) | 2000-10-13 | 2008-08-05 | Tyco Healthcare Group Lp | Surgical stapling device |
| US20120145765A1 (en) | 2002-06-25 | 2012-06-14 | Peterson James A | Mechanical method and apparatus for bilateral tissue fastening |
| US6726705B2 (en) * | 2002-06-25 | 2004-04-27 | Incisive Surgical, Inc. | Mechanical method and apparatus for bilateral tissue fastening |
| US8074857B2 (en) * | 2002-06-25 | 2011-12-13 | Incisive Surgical, Inc. | Method and apparatus for tissue fastening with single translating trigger operation |
| US7112214B2 (en) * | 2002-06-25 | 2006-09-26 | Incisive Surgical, Inc. | Dynamic bioabsorbable fastener for use in wound closure |
| US7950559B2 (en) * | 2002-06-25 | 2011-05-31 | Incisive Surgical, Inc. | Mechanical method and apparatus for bilateral tissue fastening |
| US9060770B2 (en) | 2003-05-20 | 2015-06-23 | Ethicon Endo-Surgery, Inc. | Robotically-driven surgical instrument with E-beam driver |
| US20070084897A1 (en) | 2003-05-20 | 2007-04-19 | Shelton Frederick E Iv | Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism |
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| US12502173B2 (en) | 2023-05-09 | 2025-12-23 | Covidien Lp | Surgical stapling device with jaws that pivot between an open position and a clamped position |
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| SU119846A1 (ru) * | 1958-07-29 | 1958-11-30 | А.М. Геселевич | Способ ушивани артериального протока и устройство дл его осуществлени |
| US3080564A (en) * | 1959-09-10 | 1963-03-12 | Strekopitov Alexey Alexeevich | Instrument for stitching hollow organs |
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| US3252643A (en) * | 1962-12-24 | 1966-05-24 | Strekopytov Alexey Alexcevich | Instrument for suturing living tissue |
| US3269630A (en) * | 1964-04-30 | 1966-08-30 | Fleischer Harry | Stapling instrument |
| US3593903A (en) * | 1968-07-12 | 1971-07-20 | Vnii Khirurgicheskoi Apparatur | Surgical instrument for suturing hollow organs in infants |
| BE758685A (fr) * | 1970-10-14 | 1971-05-10 | Vnii Khirurgicheskoi Apparatur | Appareil chirurgical pour la suture de tissus par des agrafes |
| BE782975A (fr) * | 1971-05-03 | 1972-11-03 | Vnii Khirurgicheskoi Apparatur | Appareil chirurgical de suture de tissus et organes par des agrafes metalliques |
| GB1555455A (en) * | 1976-06-11 | 1979-11-07 | Cox Mastic Appliances Ltd P C | Dispensing gun |
| SU942719A1 (ru) * | 1979-11-23 | 1982-07-15 | Всесоюзный научно-исследовательский и испытательный институт медицинской техники | Хирургический сшивающий аппарат дл наложени линейных швов |
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-
1992
- 1992-10-02 ES ES92116882T patent/ES2041610T3/es not_active Expired - Lifetime
- 1992-10-02 CA CA002079756A patent/CA2079756A1/en not_active Abandoned
- 1992-10-02 EP EP92116882A patent/EP0537571B1/de not_active Expired - Lifetime
- 1992-10-02 DE DE92116882T patent/DE537571T1/de active Pending
- 1992-10-02 DE DE69217808T patent/DE69217808T2/de not_active Expired - Lifetime
-
1994
- 1994-01-10 US US08/179,776 patent/US5509596A/en not_active Expired - Lifetime
-
1995
- 1995-06-07 US US08/474,504 patent/US5706997A/en not_active Expired - Lifetime
Also Published As
| Publication number | Publication date |
|---|---|
| EP0537571A3 (en) | 1993-06-30 |
| ES2041610T3 (es) | 1997-05-16 |
| DE69217808D1 (de) | 1997-04-10 |
| EP0537571B1 (de) | 1997-03-05 |
| DE69217808T2 (de) | 1997-07-24 |
| US5706997A (en) | 1998-01-13 |
| US5509596A (en) | 1996-04-23 |
| CA2079756A1 (en) | 1993-04-19 |
| EP0537571A2 (de) | 1993-04-21 |
| ES2041610T1 (es) | 1993-12-01 |
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