RU2016129891A - Модульные хирургические инструменты - Google Patents
Модульные хирургические инструменты Download PDFInfo
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- 239000012636 effector Substances 0.000 claims 36
- 230000008878 coupling Effects 0.000 claims 4
- 238000010168 coupling process Methods 0.000 claims 4
- 238000005859 coupling reaction Methods 0.000 claims 4
- 230000003993 interaction Effects 0.000 claims 2
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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
- A61B17/068—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
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/0046—Surgical instruments, devices or methods with a releasable handle; with handle and operating part separable
- A61B2017/00473—Distal part, e.g. tip or head
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00477—Coupling
-
- 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
- A61B2017/07257—Stapler heads characterised by its anvil
-
- 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
- A61B2017/07271—Stapler heads characterised by its cartridge
-
- 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
- A61B2017/07285—Stapler heads characterised by its cutter
-
- 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
-
- 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
- A61B90/03—Automatic limiting or abutting means, e.g. for safety
- A61B2090/033—Abutting means, stops, e.g. abutting on tissue or skin
- A61B2090/034—Abutting means, stops, e.g. abutting on tissue or skin abutting on parts of the device itself
-
- 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
- A61B2090/0808—Indication means for indicating correct assembly of components, e.g. of the surgical apparatus
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- 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 (64)
1. Хирургический инструмент, содержащий
узел удлиненного ствола, определяющий продольную ось инструмента, при этом узел удлиненного ствола содержит:
проксимальный пусковой элемент, функционально взаимодействующий с пусковой системой для приема пусковых и втягивающих движений от нее;
проксимальный шарнирный узел, функционально взаимодействующий с системой шарнирного соединения для приема от нее шарнирных движений, при этом хирургический инструмент дополнительный содержит:
хирургический концевой эффектор, содержащий
первый и второй участки концевого эффектора, причем второй участок концевого эффектора является выборочно подвижным относительно первого участка концевого эффектора в первом направлении при прикладывании открывающего движения ко второму участку концевого эффектора, и второй участок концевого эффектора дополнительно является выборочно подвижным во втором направлении при прикладывании закрывающего движения ко второму участку концевого эффектора;
шарнирное сочленение, выполненное с возможностью выборочного шарнирного поворота первого участка концевого эффектора вокруг оси шарнирного соединения в первом и втором направлениях относительно продольной оси инструмента;
узел шарнирного соединительного элемента, функционально взаимодействующий с шарнирным сочленением для прикладывания шарнирных движений к шарнирному сочленению;
приводной узел, поддерживаемый в хирургическом концевом эффекторе для функционального перемещения при прикладывании пусковых и втягивающих движений к нему, при этом приводной узел выполнен с возможностью приложения открывающих и закрывающих движений ко второму участку концевого эффектора, при этом хирургический инструмент дополнительно содержит:
средства одновременного соединения:
дистального конца первого участка концевого эффектора с узлом удлиненного ствола;
шарнирного соединительного элемента с шарнирным узлом и
приводного узла с проксимальным пусковым элементом.
2. Хирургический инструмент по п.1, в котором хирургический концевой эффектор дополнительно содержит корпус концевого эффектора, имеющий дистальный конец и проксимальный конец, причем первый участок концевого эффектора подвижно соединен с дистальным концом корпуса концевого эффектора посредством шарнирного сочленения, и соединительные средства соединяют проксимальный конец корпуса концевого эффектора с узлом удлиненного ствола.
3. Хирургический инструмент по п.2, в котором хирургический концевой эффектор содержит одноразовый загрузочный блок.
4. Хирургический инструмент по п.1, в котором первый участок хирургического инструмента содержит носитель, выполненный с возможностью функциональной поддержки кассеты с хирургическими скобками в нем, и где второй участок содержит узел упора.
5. Хирургический инструмент по п.4, в котором приводной узел содержит:
режущую головку, содержащую
проходящий вертикально участок, содержащий верхний конец и нижний конец, и режущий ткань участок, расположенный между верхним концом и нижним концом;
нижнюю лапку, выступающую из нижнего конца проходящего вертикально участка и выполненную с возможностью подвижного зацепления нижнего участка носителя;
участок верхнего язычка, выступающий из верхнего конца проходящего вертикально участка и выполненный с возможностью зацепления участка узла упора; и
узел приводной штанги, функционально соединенный с режущей головкой и выполненный с возможностью взаимодействия с соединительными средствами.
6. Хирургический инструмент по п.5, в котором узел приводной штанги содержит:
сегмент верхней пусковой рейки, соединенный с верхним концом проходящего вертикально участка режущей головки; и
сегмент нижней пусковой рейки, соединенный с нижним концом проходящего вертикально участка режущей головки.
7. Хирургический инструмент по п.6, в котором верхняя и нижняя пусковые рейки соединены с проксимальным элементом зацепления, выполненным с возможностью функционального взаимодействия с соединительными средствами.
8. Хирургический инструмент по п.7, в котором каждая из верхней и нижней пусковых реек, шарнирно соединена с проксимальным элементом зацепления.
9. Хирургический инструмент по п.4, в котором кассета с хирургическими скобками содержит имплантируемый корпус кассеты, функционально поддерживающий множество хирургических скобок в себе.
10. Хирургический инструмент по п.1, в котором шарнирное сочленение содержит шаровой шарнир, соединенный с первым участком концевого эффектора, при этом шаровой шарнир содержит первый набор зубьев шестерни, и узел шарнирного соединительного элемента содержит шарнирную трубку во взаимодействии с зубчатым зацеплением с первым набором зубьев шестерни на шаровом шарнире.
11. Одноразовый загрузочный блок для присоединения к узлу удлиненного ствола хирургического инструмента, при этом одноразовый загрузочный блок содержит:
корпус в сборе, имеющий дистальный и проксимальный конец, при этом проксимальный конец функционально соединен с узлом удлиненного ствола;
носитель, функционально поддерживающий кассету с хирургическими скобками в нем;
упор, подвижно поддерживаемый на носителе и выборочно подвижный относительно носителя в первом направлении при прикладывании открывающего движения к упору, при этом упор дополнительно является выборочно подвижным во втором направлении при прикладывании закрывающего движения к упору;
шарнирное сочленение, выполненное с возможностью выборочного шарнирного поворота носителя вокруг оси шарнирного соединения в первом и втором направлениях;
узел шарнирного соединительного элемента, функционально взаимодействующий с шарнирным сочленением для прикладывания шарнирных движений к шарнирному сочленению и выборочно соединенный с соответствующим участком узла удлиненного ствола; и
приводной узел, поддерживаемый в хирургическом концевом эффекторе для функционального перемещения при прикладывании пусковых и втягивающих движений из соответствующего пускового участка узла удлиненного ствола, при этом приводной узел выполнен с возможностью приложения открывающих и закрывающих движений к упору.
12. Одноразовый загрузочный блок по п.11, в котором приводной узел содержит:
режущую головку, содержащую
проходящий вертикально участок, содержащий верхний конец и нижний конец, и режущий ткань участок, расположенный между верхним концом и нижним концом;
нижнюю лапку, выступающую из нижнего конца проходящего вертикально участка и выполненную с возможностью подвижного зацепления нижнего участка носителя;
участок верхнего язычка, выступающий из верхнего конца проходящего вертикально участка и выполненный с возможностью зацепления участка упора; и
узел приводной штанги, функционально соединенный с режущей головкой и выполненный с возможностью взаимодействия с соответствующим пусковым участком узла удлиненного ствола.
13. Одноразовый загрузочный блок по п.12, в котором узел приводной штанги содержит:
сегмент верхней пусковой рейки, соединенный с верхним концом проходящего вертикально участка режущей головки; и
сегмент нижней пусковой рейки, соединенный с нижним концом проходящего вертикально участка режущей головки.
14. Одноразовый загрузочный блок по п.13, в котором верхняя и нижняя пусковые рейки соединены с проксимальным элементом зацепления, выполненным с возможностью функционального взаимодействия с соответствующим пусковым участком узла удлиненного ствола.
15. Одноразовый загрузочный блок по п.14, в котором каждая из верхней и нижней пусковых реек, шарнирно соединена с проксимальным элементом зацепления.
16. Одноразовый загрузочный блок по п.11, в котором кассета с хирургическими скобками содержит имплантируемый корпус кассеты, функционально поддерживающий множество хирургических скобок в себе.
17. Одноразовый загрузочный блок по п.1, в котором шарнирное сочленение содержит шаровой шарнир, соединенный с носителем, при этом шаровой шарнир содержит первый набор зубьев шестерни, и где узел шарнирного соединительного элемента содержит шарнирную трубку во взаимодействии с зубчатым зацеплением с первым набором зубьев шестерни на шаровом шарнире.
18. Хирургический инструмент, содержащий
узел удлиненного ствола, определяющий продольную ось инструмента, при этом узел удлиненного ствола содержит:
проксимальный пусковой элемент, функционально взаимодействующий с пусковой системой для приема пусковых и втягивающих движений от нее;
проксимальный шарнирный узел, функционально взаимодействующий с системой шарнирного соединения для приема от нее шарнирных движений, при этом хирургический инструмент дополнительный содержит:
хирургический концевой эффектор, содержащий
первый и второй участки концевого эффектора, причем второй участок концевого эффектора является выборочно подвижным относительно первого участка концевого эффектора в первом направлении при прикладывании открывающего движения ко второму участку концевого эффектора, и второй участок концевого эффектора дополнительно является выборочно подвижным во втором направлении при прикладывании закрывающего движения ко второму участку концевого эффектора;
шарнирное сочленение, выполненное с возможностью выборочного шарнирного поворота первого участка концевого эффектора вокруг оси шарнирного соединения в первом и втором направлениях относительно продольной оси инструмента;
узел шарнирного соединительного элемента, функционально взаимодействующий с шарнирным сочленением для прикладывания шарнирных движений к шарнирному сочленению;
приводной узел, поддерживаемый для функционального движения в хирургическом концевом эффекторе при прикладывании пусковых и втягивающих движений к нему, при этом приводной узел выполнен с возможностью приложения открывающих и закрывающих движений к нему, при этом хирургический инструмент дополнительно содержит:
узел соединительной муфты, содержащий
первый участок соединительной муфты, выполненный с возможностью соединения дистального конца первого участка концевого эффектора с узлом удлиненного ствола;
второй участок соединительной муфты, выполненный с возможностью соединения шарнирного соединительного элемента с шарнирным узлом, при этом первый участок соединительной муфты соединен с дистальным концом первого участка концевого эффектора; и
третий участок соединительной муфты, выполненный с возможностью соединения приводного узла с проксимальным пусковым элементом, когда первый участок соединительной муфты соединяет дистальный конец первого участка концевого эффектора с узлом удлиненного ствола, и когда второй участок муфты соединяет шарнирный соединительный элемент с шарнирным узлом.
19. Хирургический инструмент по п.18, в котором хирургический концевой эффектор дополнительно содержит также корпус концевого эффектора, имеющий дистальный конец и проксимальный конец, и где первый участок концевого эффектора подвижно соединен с дистальным концом корпуса концевого эффектора посредством шарнирного сочленения, и где первый участок соединительной муфты соединяет проксимальный конец корпуса концевого эффектора с узлом удлиненного ствола.
20. Хирургический инструмент по п.18, в котором первый участок хирургического инструмента содержит носитель, выполненный с возможностью функциональной поддержки кассеты с хирургическими скобками в нем, и где второй участок содержит узел упора.
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US14/138,507 US9724092B2 (en) | 2013-12-23 | 2013-12-23 | Modular surgical instruments |
| US14/138,507 | 2013-12-23 | ||
| PCT/US2014/070802 WO2015100098A1 (en) | 2013-12-23 | 2014-12-17 | Modular surgical instruments |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| RU2016129891A true RU2016129891A (ru) | 2018-01-26 |
| RU2678365C1 RU2678365C1 (ru) | 2019-01-28 |
Family
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| RU2016129891A RU2678365C1 (ru) | 2013-12-23 | 2014-12-17 | Хирургический инструмент для разрезания и сшивания тканей |
Country Status (8)
| Country | Link |
|---|---|
| US (4) | US9724092B2 (ru) |
| EP (1) | EP2886064B1 (ru) |
| JP (1) | JP6567533B2 (ru) |
| CN (1) | CN106028965B (ru) |
| BR (1) | BR112016014829B1 (ru) |
| MX (1) | MX378588B (ru) |
| RU (1) | RU2678365C1 (ru) |
| WO (1) | WO2015100098A1 (ru) |
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-
2013
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| US9724092B2 (en) | 2017-08-08 |
| EP2886064B1 (en) | 2018-03-21 |
| BR112016014829B1 (pt) | 2023-04-11 |
| WO2015100098A1 (en) | 2015-07-02 |
| CN106028965A (zh) | 2016-10-12 |
| JP2017500149A (ja) | 2017-01-05 |
| US11950776B2 (en) | 2024-04-09 |
| US20150173747A1 (en) | 2015-06-25 |
| EP2886064A1 (en) | 2015-06-24 |
| MX378588B (es) | 2025-03-10 |
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