RU2018107118A - Хирургический инструмент, содержащий отдельные системы для скрепления ткани и разрезания ткани - Google Patents
Хирургический инструмент, содержащий отдельные системы для скрепления ткани и разрезания ткани Download PDFInfo
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/10—Surgical instruments, devices or methods for applying or removing wound clamps, e.g. containing only one clamp or staple; Wound clamp magazines
- A61B17/105—Wound clamp magazines
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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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/02—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
- A61B17/0206—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors with antagonistic arms as supports for retractor elements
-
- 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
- A61B17/11—Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
- A61B17/115—Staplers for performing anastomosis, e.g. in a single operation
- A61B17/1155—Circular staplers comprising a plurality of staples
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00017—Electrical control of surgical instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00017—Electrical control of surgical instruments
- A61B2017/00115—Electrical control of surgical instruments with audible or visual output
-
- 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
- A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
- A61B2017/00398—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like using powered actuators, e.g. stepper motors, solenoids
-
- 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
- A61B2017/00407—Ratchet means
-
- 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
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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
- A61B17/2909—Handles
- A61B2017/2912—Handles transmission of forces to actuating rod or piston
- A61B2017/2919—Handles transmission of forces to actuating rod or piston details of linkages or pivot points
- A61B2017/2922—Handles transmission of forces to actuating rod or piston details of linkages or pivot points toggle linkages
-
- 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
- A61B17/2909—Handles
- A61B2017/2912—Handles transmission of forces to actuating rod or piston
- A61B2017/2923—Toothed members, e.g. rack and pinion
-
- 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
- A61B2090/0811—Indication means for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument
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- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
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Claims (67)
1. Хирургическое сшивающее устройство для обработки ткани пациента, содержащее
рукоятку;
стержень, проходящий от указанной рукоятки;
концевой эффектор, проходящий от указанного стержня, содержащий:
первую браншу;
вторую браншу, причем одна из указанной первой бранши и указанной второй бранши выполнена с возможностью перемещения относительно другой указанной первой бранши;
корпус кассеты, включающий в себя углубления для скоб;
скобы, хранящиеся с возможностью извлечения в указанных углублениях для скоб; и
упор, выполненный с возможностью деформации указанных скоб; и
пусковую систему, выполненную с возможностью:
выталкивания указанных скоб из указанных углублений для скоб к указанному упору во время пускового хода и
разрезания ткани во время хода разрезания после завершения указанного пускового хода.
2. Хирургическое сшивающее устройство по п. 1, в котором указанная пусковая система содержит пусковую рейку, и при этом указанная пусковая рейка выполнена с возможностью перемещения к указанному концевому эффектору с осуществлением указанного пускового хода и указанного хода разрезания.
3. Хирургическое сшивающее устройство по п. 2, дополнительно содержащее ограничитель, выполненный с возможностью остановки указанной пусковой рейки после указанного пускового хода.
4. Хирургическое сшивающее устройство по п. 3, в котором указанный ограничитель является приводимым в действие вручную с высвобождением указанного пускового элемента так, что пусковой элемент может осуществлять указанный ход разрезания.
5. Хирургическое сшивающее устройство по п. 2, в котором указанная пусковая система дополнительно содержит
выталкиватель скоб, выполненный с возможностью выталкивания указанных скоб из указанных углублений для скоб; и
разрезающий элемент, выполненный с возможностью разрезания ткани, причем указанный разрезающий элемент перемещается с указанным выталкивателем скоб во время указанного пускового хода и причем указанный разрезающий элемент не разрезает ткань во время указанного пускового хода.
6. Хирургическое сшивающее устройство по п. 5, в котором указанный разрезающий элемент соединен с указанным выталкивателем скоб во время указанного пускового хода и отсоединен от указанного выталкивателя скоб во время указанного хода разрезания.
7. Хирургическое сшивающее устройство по п. 6, дополнительно содержащее зажим, который удерживает с возможностью высвобождения указанный разрезающий элемент с указанным выталкивателем скоб во время указанного пускового хода указанного пускового элемента, причем указанный зажим выполнен с возможностью высвобождения указанного разрезающего элемента из указанного выталкивателя скоб, когда сила, передаваемая через указанный пусковой элемент, превышает пороговую силу.
8. Хирургическое сшивающее устройство по п. 6, дополнительно содержащее
зажим, который удерживает с возможностью высвобождения указанный выталкиватель скоб с указанным разрезающим элементом во время указанного пускового хода указанного пускового элемента; и
зажимное приспособление, выполненное с возможностью удерживания с возможностью высвобождения указанного зажима в зажатом состоянии во время указанного пускового хода и обеспечения смещения указанного зажима в открытое положение с выведением указанного пускового элемента из зацепления с указанной пусковой рейкой во время указанного хода разрезания.
9. Хирургическое сшивающее устройство по п. 1, в котором указанная рукоятка содержит пусковой крючок, функционально соединенный с указанным пусковым элементом, при этом указанный пусковой крючок выполнен с возможностью поворота в первом диапазоне перемещения и втором диапазоне перемещения, при этом указанный пусковой крючок перемещает указанный пусковой элемент по указанному пусковому ходу, когда указанный пусковой крючок перемещается в указанном первом диапазоне перемещения, и при этом указанный крючок перемещает указанный пусковой элемент по указанному ходу разрезания, когда указанный пусковой крючок перемещается в указанном втором диапазоне перемещения.
10. Хирургическое сшивающее устройство по п. 9, в котором указанный первый диапазон перемещения является отдельным от указанного второго диапазона движения.
11. Хирургическое сшивающее устройство по п. 10, в котором указанный первый диапазон перемещения и указанный второй диапазон перемещения имеют место во время одного приведения в действие указанного пускового крючка.
12. Хирургическое сшивающее устройство по п. 9, дополнительно содержащее индикатор, выполненный с возможностью обеспечения первой индикации, когда завершен указанный пусковой ход, и второй индикации, когда завершен указанный ход разрезания, и при этом указанная первая индикация является отличной от указанной второй индикации.
13. Хирургическое сшивающее устройство по п. 12, в котором указанная первая индикация содержит одну из визуальной индикации, слуховой индикации и осязаемой индикации, и при этом указанная вторая индикация содержит одну из визуальной индикации, слуховой индикации и осязаемой индикации.
14. Хирургическое сшивающее устройство по п. 9, в котором указанный первый диапазон перемещения имеет место во время одного приведения в действие указанного пускового крючка, и причем указанный второй диапазон перемещения имеет место во время другого приведения в действие указанного пускового крючка.
15. Хирургическое сшивающее устройство по п. 9, дополнительно содержащее индикатор, выполненный с возможностью обеспечения первой индикации, когда завершено указанное одно приведение в действие указанного пускового крючка, и обеспечения второй индикации, когда завершено указанное другое приведение в действие указанного пускового крючка, и при этом указанная первая индикация является отличной от указанной второй индикации.
16. Хирургическое сшивающее устройство по п. 1, в котором указанная пусковая система содержит
пусковую рейку, выполненную с возможностью выталкивания указанных скоб из указанных углублений для скоб во время указанного пускового хода; и
режущее устройство, выполненное с возможностью разрезания ткани во время указанного хода разрезания.
17. Хирургическое сшивающее устройство по п. 16, в котором указанная пусковая система дополнительно содержит пусковой крючок, при этом указанная пусковая рейка перемещается к указанному концевому эффектору во время приведения в действие указанного пускового крючка, и при этом указанное режущее устройство перемещается к указанному концевому эффектору во время указанного приведения в действие указанного пускового крючка.
18. Хирургическое сшивающее устройство по п. 17, в котором указанный пусковой крючок выполнен с возможностью переключения между первым положением, в котором указанный пусковой крючок находится в функциональном зацеплении с указанной пусковой рейкой, и вторым положением, в котором указанный пусковой крючок находится в функциональном зацеплении с указанным режущим устройством.
19. Хирургическое сшивающее устройство по п. 17, дополнительно содержащее механизм переключения, выполненный с возможностью автоматического выведения указанного пускового крючка из зацепления с указанной пусковой рейкой и введения в зацепление с указанным режущим устройством после указанного пускового хода.
20. Хирургическое сшивающее устройство по п. 17, дополнительно содержащее механизм переключения, выполненный с возможностью обеспечения ручного выведения указанного пускового крючка из зацепления с указанной пусковой рейкой и введения в зацепление с указанным режущим устройством после указанного пускового хода.
21. Хирургическое сшивающее устройство по п. 16, в котором указанная пусковая система дополнительно содержит пусковой крючок, при этом указанная пусковая рейка перемещается к указанному концевому эффектору во время первого приведения в действие указанного пускового крючка, и при этом указанное режущее устройство перемещается к указанному концевому эффектору во время второго приведения в действие указанного пускового крючка.
22. Хирургическое сшивающее устройство по п. 16, в котором указанная пусковая система дополнительно содержит
пусковой крючок, находящийся в функциональном зацеплении с указанной пусковой рейкой, при этом приведение в действие указанного пускового крючка перемещает указанную пусковую рейку по указанному пусковому ходу; и
спусковой крючок для разрезания, находящийся в функциональном зацеплении с указанным режущим устройством, при этом приведение в действие указанного спускового крючка для разрезания перемещает указанное режущее устройство по указанному ходу разрезания.
23. Хирургическое сшивающее устройство по п. 1, в котором указанная пусковая система дополнительно выполнена с возможностью приостановки работы указанного хирургического сшивающего устройства после завершения указанного пускового хода с обеспечением таким образом пользователю указанного хирургического сшивающего устройства возможности по желанию выбирать, осуществлять ли указанный ход разрезания с помощью указанного хирургического сшивающего устройства.
24. Хирургическое сшивающее устройство для обработки ткани пациента, содержащее
рукоятку;
стержень, проходящий от указанной рукоятки;
концевой эффектор, проходящий от указанного стержня, содержащий:
первую браншу;
вторую браншу, причем одна из указанной первой бранши и указанной второй бранши выполнена с возможностью перемещения относительно другой указанной первой бранши;
корпус кассеты, включающий в себя углубления для скоб;
скобы, хранящиеся с возможностью извлечения в указанных углублениях для скоб; и
упор, выполненный с возможностью деформации указанных скоб; и
пусковую рейку, выполненную с возможностью выталкивания указанных скоб из указанных углублений для скоб во время пускового хода;
режущее устройство, выполненное с возможностью разрезания ткани во время хода разрезания;
пусковой крючок, находящийся в функциональном зацеплении с указанной пусковой рейкой, при этом приведение в действие указанного пускового крючка перемещает указанную пусковую рейку по указанному пусковому ходу; и
спусковой крючок для разрезания, находящийся в функциональном зацеплении с указанным режущим устройством, при этом приведение в действие указанного спускового крючка для разрезания перемещает указанное режущее устройство по указанному ходу разрезания.
25. Хирургическое сшивающее устройство для обработки ткани пациента, содержащее
рукоятку;
стержень, проходящий от указанной рукоятки;
концевой эффектор, проходящий от указанного стержня, содержащий:
первую браншу;
вторую браншу, причем одна из указанной первой бранши и указанной второй бранши выполнена с возможностью перемещения относительно другой указанной первой бранши;
корпус кассеты, включающий в себя углубления для скоб;
скобы, хранящиеся с возможностью извлечения в указанных углублениях для скоб; и
упор, выполненный с возможностью деформации указанных скоб;
пусковую систему, выполненную с возможностью выталкивания указанных скоб из указанных углублений для скоб к указанному упору во время пускового хода;
систему разрезания, выполненную с возможностью разрезания ткани во время хода разрезания; и
средство для предотвращения осуществления указанного хода разрезания указанной системой разрезания, пока указанная пусковая система не завершит указанный пусковой ход.
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US14/813,259 | 2015-07-30 | ||
| US14/813,259 US11154300B2 (en) | 2015-07-30 | 2015-07-30 | Surgical instrument comprising separate tissue securing and tissue cutting systems |
| PCT/US2016/042746 WO2017019353A1 (en) | 2015-07-30 | 2016-07-18 | Surgical instrument comprising separate tissue securing and tissue cutting systems |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| RU2018107118A true RU2018107118A (ru) | 2019-08-28 |
| RU2018107118A3 RU2018107118A3 (ru) | 2020-01-20 |
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| Application Number | Title | Priority Date | Filing Date |
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| RU2018107118A RU2018107118A (ru) | 2015-07-30 | 2016-07-18 | Хирургический инструмент, содержащий отдельные системы для скрепления ткани и разрезания ткани |
Country Status (7)
| Country | Link |
|---|---|
| US (3) | US11154300B2 (ru) |
| EP (2) | EP3123956B1 (ru) |
| JP (1) | JP6821654B2 (ru) |
| CN (1) | CN108135601B (ru) |
| BR (1) | BR112018001959B1 (ru) |
| RU (1) | RU2018107118A (ru) |
| WO (1) | WO2017019353A1 (ru) |
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-
2015
- 2015-07-30 US US14/813,259 patent/US11154300B2/en active Active
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2016
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- 2016-07-18 RU RU2018107118A patent/RU2018107118A/ru not_active Application Discontinuation
- 2016-07-18 BR BR112018001959-3A patent/BR112018001959B1/pt active IP Right Grant
- 2016-07-18 CN CN201680056288.1A patent/CN108135601B/zh active Active
- 2016-07-18 JP JP2018504771A patent/JP6821654B2/ja active Active
- 2016-07-29 EP EP16181926.3A patent/EP3123956B1/en active Active
- 2016-07-29 EP EP19213321.3A patent/EP3649965B1/en active Active
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- 2021-09-27 US US17/486,363 patent/US11730478B2/en active Active
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| US20170027572A1 (en) | 2017-02-02 |
| CN108135601A (zh) | 2018-06-08 |
| US11154300B2 (en) | 2021-10-26 |
| US20220079594A1 (en) | 2022-03-17 |
| US11737755B2 (en) | 2023-08-29 |
| BR112018001959A2 (pt) | 2018-09-11 |
| EP3123956A2 (en) | 2017-02-01 |
| US20210393267A1 (en) | 2021-12-23 |
| EP3649965A2 (en) | 2020-05-13 |
| US11730478B2 (en) | 2023-08-22 |
| WO2017019353A1 (en) | 2017-02-02 |
| JP6821654B2 (ja) | 2021-01-27 |
| EP3123956B1 (en) | 2019-12-04 |
| EP3123956A3 (en) | 2017-03-01 |
| CN108135601B (zh) | 2021-04-23 |
| RU2018107118A3 (ru) | 2020-01-20 |
| JP2018521789A (ja) | 2018-08-09 |
| EP3649965A3 (en) | 2020-08-19 |
| EP3649965C0 (en) | 2024-07-03 |
| EP3649965B1 (en) | 2024-07-03 |
| BR112018001959B1 (pt) | 2022-10-11 |
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| FA92 | Acknowledgement of application withdrawn (lack of supplementary materials submitted) |
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