RU2007129538A - Пневмоприводной хирургический отрезной и фиксирующий аппарат с плавным регулированием скорости приведения в действие прошивки/отрезания с механической поддержкой - Google Patents
Пневмоприводной хирургический отрезной и фиксирующий аппарат с плавным регулированием скорости приведения в действие прошивки/отрезания с механической поддержкой Download PDFInfo
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- 230000033001 locomotion Effects 0.000 claims abstract 32
- 230000005540 biological transmission Effects 0.000 claims 5
- 239000012636 effector Substances 0.000 claims 2
- 238000009434 installation Methods 0.000 claims 2
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
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- 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
- 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
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- 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
-
- 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
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- 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
- A61B17/122—Clamps or clips, e.g. for the umbilical cord
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00535—Surgical instruments, devices or methods pneumatically or hydraulically operated
- A61B2017/00544—Surgical instruments, devices or methods pneumatically or hydraulically operated pneumatically
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
- A61B2017/2927—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
- A61B2017/2927—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft
- A61B2017/2929—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft with a head rotatable about the longitudinal axis of the shaft
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- Surgery (AREA)
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- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (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)
- Reproductive Health (AREA)
- Vascular Medicine (AREA)
- Surgical Instruments (AREA)
Claims (20)
1. Хирургический аппарат, содержащий:
узел рукоятки;
дистальный элемент, дистально соединенный с упомянутым узлом рукоятки и выполненный с возможностью установки на нем пневмоприводного инструмента;
пневматический элемент привода, выполненный с возможностью создания, по меньшей мере, одного приводящего движения при получении, по меньшей мере, одного пневматического сигнала из источника пневматической энергии, пневмогидравлически связанного с упомянутым пневматическим элементом привода;
узел ведущего валика, сообщающийся с упомянутым пневматическим элементом привода и пневмоприводным инструментом для передачи, по меньшей мере, одного приводящего движения пневмоприводному инструменту; и
рычаг механической поддержки, установленный с возможностью функционирования на упомянутом узле рукоятки и связанный с упомянутым узлом ведущего валика так, что при ручном приведении в действие упомянутого рычага механической поддержки упомянутому узлу ведущего валика придается дополнительное приводящее движение.
2. Хирургический аппарат по п.1, в котором упомянутый пневматический элемент привода содержит пневмоприводной двигатель.
3. Хирургический аппарат по п.2, в котором упомянутый пневмоприводной двигатель выполнен с возможностью селективного создания прошивного/отрезного движения, которое вынуждает упомянутый узел ведущего валика двигаться в первом направлении, и отводящего движения, которое вынуждает упомянутый узел ведущего валика двигаться во втором направлении.
4. Хирургический аппарат по п.2, в котором упомянутый пневмоприводной двигатель содержит выводной валик, соединенный с упомянутым узлом ведущего валика, и при этом упомянутый рычаг механической поддержки механически связан с упомянутым выводным валиком узлом рычажной передачи, содержащим:
первую шестерню, закрепленную с возможностью функционирования на упомянутом выводном валике упомянутого пневмоприводного двигателя;
резьбовой валик, находящийся в таком резьбовом зацеплении с участком упомянутого рычага механической поддержки, что, когда упомянутый рычаг механической поддержки приводят вручную в действие, упомянутый резьбовой валик вращается; и
вторую шестерню, соединенную с возможностью функционирования с упомянутым резьбовым валиком и находящуюся в зубчатом зацеплении с упомянутой первой шестерней.
5. Хирургический аппарат по п.4, в котором при ручном приложении первого приводящего усилия к упомянутому рычагу механической поддержки, когда упомянутый пневмоприводной двигатель создает упомянутое прошивное/отрезное движение, упомянутый узел рычажной передачи передает упомянутое дополнительное прошивное/отрезное движение упомянутому узлу ведущего валика для ускорения упомянутого прошивного/отрезного движения, и при действии второго приводящего усилия на упомянутый рычаг механической поддержки упомянутый узел рычажной передачи замедляет упомянутое прошивное/отрезное движение, создаваемое упомянутым пневмоприводным двигателем.
6. Хирургический аппарат по п.1, в котором упомянутый рычаг механической поддержки установлен с возможностью поворота на упомянутом узле рукоятки так, что упомянутое приводящее движение, созданное упомянутым пневматическим элементом привода, вынуждает упомянутый рычаг механической поддержки поворачиваться.
7. Хирургический аппарат по п.1, при этом упомянутый хирургический аппарат дополнительно содержит рычаг включения, установленный с возможностью функционирования на упомянутом узле рукоятки для селективного управления потоком газа из упомянутого источника пневматической энергии в упомянутый пневматический элемент привода.
8. Хирургический аппарат по п.5, в котором упомянутый рычаг включения выполнен с возможностью селективного управления потоком газа от упомянутого источника пневматической энергии в упомянутый пневмоприводной двигатель пропорционально величине усилия, прилагаемого рукой к упомянутому рычагу включения.
9. Хирургический аппарат по п.4, в котором упомянутый рычаг механической поддержки установлен с возможностью поворота относительно упомянутого узла рукоятки, и при этом упомянутый рычаг включения установлен с возможностью поворота относительно упомянутого узла рукоятки и выполнен с возможностью поворотного движения с упомянутым рычагом механической поддержки.
10. Хирургический аппарат по п.1, в котором упомянутый источник пневматической энергии установлен на упомянутом узле рукоятки.
11. Способ обработки аппарата для хирургической операции, при этом упомянутый способ содержит следующие этапы:
получают упомянутый хирургический аппарат по п.1;
стерилизуют упомянутый хирургический аппарат; и
хранят упомянутый аппарат в стерильной таре.
12. Хирургический аппарат, содержащий:
узел рукоятки;
средство для установки на нем с возможностью функционирования пневмоприводного инструмента, при этом упомянутое средство для установки с возможностью функционирования дистально соединено с упомянутым узлом рукоятки;
средство привода, установленное с возможностью функционирования на упомянутом узле рукоятки, для создания, по меньшей мере, одного приводящего движения при получении, по меньшей мере, одного пневматического сигнала из источника пневматической энергии, пневмогидравлически связанного с упомянутым средством привода;
средство для передачи упомянутого, по меньшей мере, одного приводящего движения от средства привода к пневмоприводному инструменту; и
средство для создания и придания вручную дополнительного приводящего движения упомянутому средству для передачи.
13. Хирургический аппарат по п.12, дополнительно содержащий средство плавного управления потоком для регулирования подачи упомянутых пневматических сигналов из упомянутого источника пневматической энергии в упомянутое средство привода.
14. Хирургический аппарат, содержащий:
узел рукоятки;
смыкающий привод, установленный на упомянутом узле рукоятки и выполненный с возможностью создания замыкающего движения и размыкающего движения;
приводная система, установленная на упомянутом узле рукоятки и выполненная с возможностью селективного создания, по меньшей мере, какого-то одного из прошивного/отрезного движения и отводящего движения;
узел удлиненного стержня, соединенный с упомянутым узлом рукоятки и сообщающийся с упомянутым смыкающим приводом для передачи упомянутых размыкающего и замыкающего движений, и дополнительно сообщающийся с упомянутой приводной системой для передачи упомянутого прошивного/отрезного движения и упомянутого отводящего движения; и
концевой эффектор, связанный с упомянутым узлом удлиненного стержня, при этом упомянутый концевой эффектор содержит:
удлиненный желоб, выполненный с размером для установки в него кассеты для скобок;
упор, соединенный с возможностью поворота с упомянутым удлиненным желобом и реагирующий поворотом на упомянутые размыкающее и замыкающее движения от упомянутого узла удлиненного стержня; и
прошивной/отрезной механизм, установленный с возможностью функционирования во что-то одно из удлиненного желоба и кассеты для скобок и способный к перемещению из незадействованного положения в сработавшее положение в ответ на придание упомянутого прошивного/отрезного движения от упомянутого узла удлиненного стержня, и способный к перемещению из упомянутого сработавшего положения в упомянутое незадействованное положение в ответ на другое придание упомянутого отводящего движения от упомянутого узла удлиненного стержня, и причем упомянутый хирургический аппарат дополнительно содержит:
рычаг механической поддержки, установленный с возможностью перемещения на упомянутом узле рукоятки и связанный с упомянутым узлом удлиненного стержня так, что при ручном приведении в действие упомянутого рычага механической поддержки упомянутому узлу удлиненного стержня придается дополнительное прошивное/отрезное движение для передачи упомянутому прошивному/отрезному механизму.
15. Хирургический аппарат по п.14, в котором упомянутый узел удлиненного стержня дополнительно содержит узел ведущего валика, сообщающийся с упомянутой приводной системой, и пневмоприводной инструмент для передачи ему упомянутых прошивных/отрезных и отводящих движений, и при этом упомянутый рычаг механической поддержки механически сообщается с упомянутым узлом ведущего валика для передачи ему механически созданных приводящих движений.
16. Хирургический аппарат по п.15, в котором упомянутый рычаг механической поддержки связан с упомянутым узлом ведущего валика узлом рычажной передачи так, что, при ручном приложении первого приводящего усилия к упомянутому рычагу механической поддержки, когда упомянутая приводная система создает упомянутое прошивное/отрезное движение, упомянутый узел рычажной передачи передает упомянутое дополнительное прошивное/отрезное движение упомянутому узлу ведущего валика для ускорения упомянутого прошивного/отрезного движения, и при действии второго приводящего усилия на упомянутый рычаг механической поддержки упомянутый узел рычажной передачи замедляет упомянутое прошивное/отрезное движение, создаваемое упомянутой приводной системой.
17. Хирургический аппарат по п.16, в котором упомянутая приводная система дополнительно содержит пневмоприводной двигатель, содержащий выводной валик, и при этом упомянутый узел рычажной передачи содержит:
первую шестерню, закрепленную с возможностью функционирования на упомянутом выводном валике упомянутого пневмоприводного двигателя;
резьбовой валик, находящийся в таком резьбовом зацеплении с участком упомянутого рычага механической поддержки, что, когда упомянутый рычаг механической поддержки приводят вручную в действие, упомянутый резьбовой валик вращается; и
вторую шестерню, соединенную с возможностью функционирования с упомянутым резьбовым валиком и находящуюся в зубчатом зацеплении с упомянутой первой шестерней.
18. Хирургический аппарат по п.14, при этом упомянутый хирургический аппарат дополнительно содержит рычаг включения, установленный с возможностью функционирования на упомянутом узле рукоятки для селективного управления потоком газа из упомянутого источника пневматической энергии в упомянутую приводную систему.
19. Хирургический аппарат по п.18, в котором упомянутый рычаг включения выполнен с возможностью селективного управления потоком газа от упомянутого источника пневматической энергии в приводную систему пропорционально величине ручного усилия, прилагаемого к упомянутому рычагу включения.
20. Хирургический аппарат по п.18, в котором упомянутый рычаг механической поддержки установлен с возможностью поворота относительно упомянутого узла рукоятки, и при этом упомянутый рычаг включения установлен с возможностью поворота относительно упомянутого узла рукоятки и выполнен с возможностью поворотного движения с упомянутым рычагом механической поддержки.
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US11/497,898 US7740159B2 (en) | 2006-08-02 | 2006-08-02 | Pneumatically powered surgical cutting and fastening instrument with a variable control of the actuating rate of firing with mechanical power assist |
| US11/497,898 | 2006-08-02 |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| RU2007129538A true RU2007129538A (ru) | 2009-02-10 |
| RU2478348C2 RU2478348C2 (ru) | 2013-04-10 |
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| Application Number | Title | Priority Date | Filing Date |
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| RU2007129538/14A RU2478348C2 (ru) | 2006-08-02 | 2007-08-01 | Пневмоприводной хирургический отрезной и фиксирующий аппарат с плавным регулированием скорости приведения в действие прошивки/отрезания с механической поддержкой |
Country Status (14)
| Country | Link |
|---|---|
| US (2) | US7740159B2 (ru) |
| EP (1) | EP1915952B1 (ru) |
| JP (1) | JP5236227B2 (ru) |
| KR (1) | KR101497980B1 (ru) |
| CN (1) | CN101116626B (ru) |
| AT (1) | ATE525963T1 (ru) |
| AU (1) | AU2007203194B2 (ru) |
| BR (1) | BRPI0703284B8 (ru) |
| CA (1) | CA2595434C (ru) |
| IL (1) | IL184582A (ru) |
| MX (1) | MX2007009308A (ru) |
| RU (1) | RU2478348C2 (ru) |
| SG (1) | SG139698A1 (ru) |
| TW (1) | TWI481378B (ru) |
Families Citing this family (1147)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5865361A (en) | 1997-09-23 | 1999-02-02 | United States Surgical Corporation | Surgical stapling apparatus |
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-
2006
- 2006-08-02 US US11/497,898 patent/US7740159B2/en not_active Expired - Fee Related
-
2007
- 2007-07-09 AU AU2007203194A patent/AU2007203194B2/en not_active Ceased
- 2007-07-12 IL IL184582A patent/IL184582A/en active IP Right Grant
- 2007-07-26 SG SG200705469-5A patent/SG139698A1/en unknown
- 2007-07-31 KR KR1020070076814A patent/KR101497980B1/ko not_active Expired - Fee Related
- 2007-08-01 TW TW096128136A patent/TWI481378B/zh not_active IP Right Cessation
- 2007-08-01 CA CA2595434A patent/CA2595434C/en not_active Expired - Fee Related
- 2007-08-01 AT AT07253033T patent/ATE525963T1/de not_active IP Right Cessation
- 2007-08-01 RU RU2007129538/14A patent/RU2478348C2/ru not_active IP Right Cessation
- 2007-08-01 JP JP2007201088A patent/JP5236227B2/ja not_active Expired - Fee Related
- 2007-08-01 CN CN2007101397988A patent/CN101116626B/zh not_active Expired - Fee Related
- 2007-08-01 EP EP07253033A patent/EP1915952B1/en not_active Not-in-force
- 2007-08-01 MX MX2007009308A patent/MX2007009308A/es active IP Right Grant
- 2007-08-02 BR BRPI0703284A patent/BRPI0703284B8/pt not_active IP Right Cessation
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2010
- 2010-05-17 US US12/781,575 patent/US8631987B2/en active Active
Also Published As
| Publication number | Publication date |
|---|---|
| BRPI0703284A (pt) | 2008-03-25 |
| AU2007203194A1 (en) | 2008-02-21 |
| MX2007009308A (es) | 2009-01-29 |
| KR101497980B1 (ko) | 2015-03-03 |
| RU2478348C2 (ru) | 2013-04-10 |
| US7740159B2 (en) | 2010-06-22 |
| SG139698A1 (en) | 2008-02-29 |
| US20100224669A1 (en) | 2010-09-09 |
| US8631987B2 (en) | 2014-01-21 |
| TW200808252A (en) | 2008-02-16 |
| BRPI0703284B8 (pt) | 2021-06-22 |
| EP1915952A3 (en) | 2008-05-07 |
| JP5236227B2 (ja) | 2013-07-17 |
| EP1915952A2 (en) | 2008-04-30 |
| CA2595434A1 (en) | 2008-02-02 |
| JP2008036426A (ja) | 2008-02-21 |
| IL184582A (en) | 2014-11-30 |
| CN101116626A (zh) | 2008-02-06 |
| TWI481378B (zh) | 2015-04-21 |
| AU2007203194B2 (en) | 2012-09-06 |
| CN101116626B (zh) | 2011-10-26 |
| ATE525963T1 (de) | 2011-10-15 |
| EP1915952B1 (en) | 2011-09-28 |
| US20080029576A1 (en) | 2008-02-07 |
| KR20080012213A (ko) | 2008-02-11 |
| IL184582A0 (en) | 2008-01-20 |
| CA2595434C (en) | 2015-02-24 |
| HK1116384A1 (en) | 2008-12-24 |
| BRPI0703284B1 (pt) | 2019-09-03 |
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