RU2014114841A - Хирургический инструмент с упрочняющим зажимом для скоб - Google Patents
Хирургический инструмент с упрочняющим зажимом для скоб Download PDFInfo
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- RU2014114841A RU2014114841A RU2014114841/14A RU2014114841A RU2014114841A RU 2014114841 A RU2014114841 A RU 2014114841A RU 2014114841/14 A RU2014114841/14 A RU 2014114841/14A RU 2014114841 A RU2014114841 A RU 2014114841A RU 2014114841 A RU2014114841 A RU 2014114841A
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- 238000005728 strengthening Methods 0.000 title claims 2
- 230000003014 reinforcing effect Effects 0.000 claims abstract 23
- 239000000463 material Substances 0.000 claims abstract 8
- 230000002745 absorbent Effects 0.000 claims abstract 6
- 239000002250 absorbent Substances 0.000 claims abstract 6
- 230000000903 blocking effect Effects 0.000 claims abstract 6
- 239000004744 fabric Substances 0.000 claims abstract 4
- 238000003780 insertion Methods 0.000 claims abstract 2
- 230000037431 insertion Effects 0.000 claims abstract 2
- 238000000034 method Methods 0.000 claims 4
- 229920002463 poly(p-dioxanone) polymer Polymers 0.000 claims 2
- 239000000622 polydioxanone Substances 0.000 claims 2
- 238000010521 absorption reaction Methods 0.000 claims 1
- 230000004913 activation Effects 0.000 claims 1
- 238000002224 dissection Methods 0.000 claims 1
- 238000009434 installation Methods 0.000 claims 1
Classifications
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- 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
- A61B90/04—Protection of tissue around surgical sites against effects of non-mechanical surgery, e.g. laser surgery
-
- 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
- A61B17/07292—Reinforcements for staple line, e.g. pledgets
-
- 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
-
- 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
-
- 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
-
- 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
- A61B17/1227—Spring clips
-
- 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
- A61B90/04—Protection of tissue around surgical sites against effects of non-mechanical surgery, e.g. laser surgery
- A61B2090/0409—Specification of type of protection measures
- A61B2090/0427—Prevention of contact
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Molecular Biology (AREA)
- Veterinary Medicine (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Public Health (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Reproductive Health (AREA)
- Vascular Medicine (AREA)
- Pathology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Surgical Instruments (AREA)
Abstract
1. Устройство, содержащее:(a) хирургический инструмент, содержащий режущее устройство и сшивающий инструмент, причем режущее устройство выполнено с возможностью рассекать часть ткани;(b) множество скоб в связи со сшивающим инструментом, причем сшивающий инструмент выполнен с возможностью вводить множество скоб в рассеченную часть ткани, причем сшивающий инструмент выполнен с возможностью образовывать линию скоб множеством скоб;(c) упрочняющий зажим, выполненный с возможностью избирательно охватывать линию скоб, причем упрочняющий зажим выполнен с возможностью наложения после введения множества скоб в часть рассеченной ткани, причем упрочняющий зажим содержит головку, ножку и зубцы, причем ножка имеет ширину, достаточную для охвата участка, образованного линией скоб, причем зубцы выполнены с возможностью фиксации в ткани, причем упрочняющий зажим выполнен с возможностью накрывать линию скоб и часть рассеченной ткани.2. Устройство по п. 1, в котором головка содержит гибкий шарнир.3. Устройство по п. 2, в котором головка дополнительно содержит по меньшей мере один блокирующий элемент, выполненный с возможностью блокировать гибкий шарнир, таким образом фиксируя гибкий шарнир в заданном положении.4. Устройство по п. 3, в котором по меньшей мере один блокирующий элемент содержит по меньшей мере одну застежку.5. Устройство по п. 2, в котором гибкий шарнир содержит храповой элемент, который выполнен с возможностью перемещения гибкого шарнира только в одном направлении.6. Устройство по п. 1, в котором упрочняющий зажим содержит абсорбирующий материал.7. Устройство по п. 6, в котором абсорбирующий материал представляет соб�
Claims (20)
1. Устройство, содержащее:
(a) хирургический инструмент, содержащий режущее устройство и сшивающий инструмент, причем режущее устройство выполнено с возможностью рассекать часть ткани;
(b) множество скоб в связи со сшивающим инструментом, причем сшивающий инструмент выполнен с возможностью вводить множество скоб в рассеченную часть ткани, причем сшивающий инструмент выполнен с возможностью образовывать линию скоб множеством скоб;
(c) упрочняющий зажим, выполненный с возможностью избирательно охватывать линию скоб, причем упрочняющий зажим выполнен с возможностью наложения после введения множества скоб в часть рассеченной ткани, причем упрочняющий зажим содержит головку, ножку и зубцы, причем ножка имеет ширину, достаточную для охвата участка, образованного линией скоб, причем зубцы выполнены с возможностью фиксации в ткани, причем упрочняющий зажим выполнен с возможностью накрывать линию скоб и часть рассеченной ткани.
2. Устройство по п. 1, в котором головка содержит гибкий шарнир.
3. Устройство по п. 2, в котором головка дополнительно содержит по меньшей мере один блокирующий элемент, выполненный с возможностью блокировать гибкий шарнир, таким образом фиксируя гибкий шарнир в заданном положении.
4. Устройство по п. 3, в котором по меньшей мере один блокирующий элемент содержит по меньшей мере одну застежку.
5. Устройство по п. 2, в котором гибкий шарнир содержит храповой элемент, который выполнен с возможностью перемещения гибкого шарнира только в одном направлении.
6. Устройство по п. 1, в котором упрочняющий зажим содержит абсорбирующий материал.
7. Устройство по п. 6, в котором абсорбирующий материал представляет собой полидиоксанон.
8. Устройство по п. 1, в котором упрочняющий зажим выполнен с возможностью формирования уплотнения вокруг рассеченной части ткани.
9. Устройство по п. 1, в котором упрочняющий зажим имеет удлиненное C-образное сечение.
10. Устройство по п. 1, в котором упрочняющий зажим содержит деформируемый материал.
11. Устройство по п. 1, в котором хирургический инструмент выполнен с возможностью активации для введения скоб хирургическим сшивающим инструментом в часть ткани, причем упрочняющий зажим выполнен с возможностью охватывать все скобы, введенные за один такт работы.
12. Устройство по п. 1, дополнительно содержащее инструмент для накладывания, который выполнен с возможностью фиксировать упрочняющий зажим на линии скоб.
13. Устройство по п. 12, в котором инструмент для накладывания дополнительно выполнен с возможностью фиксации достаточным усилием со сдавливанием и укреплением линии скоб.
14. Устройство по п. 1, в котором упрочняющий зажим содержит внутреннюю часть и внешнюю часть, причем внутренняя часть выполнена с возможностью установки вокруг части рассеченной ткани, причем зубцы упрочняющего зажима выполнены с возможностью фиксации достаточным усилием таким образом, что внутренняя часть остается механически изолированной от внешней части.
15. Устройство по п. 1, в котором упрочняющий зажим выполнен с возможностью охватывать линию скоб без контакта с линией скоб.
16. Устройство, содержащее:
(a) зажим, содержащий головку, ножки и зубцы, причем зажим выполнен с возможностью охватывать линию скоб, причем ширина ножек зажима достаточна для перекрывания ширины линии скоб, причем зубцы выполнены с возможностью фиксации ткани, причем головка содержит деформируемый материал;
(b) хирургическое устройство для накладывания, которое находится в избирательной связи с зажимом, причем устройство для накладывания выполнено с возможностью доставлять зажим к операционному полю, причем устройство для накладывания дополнительно выполнено с возможностью прижимать зажим, таким образом фиксируя его, причем хирургическое устройство для накладывания дополнительно выполнено с возможностью прижимать зажим к линии скоб.
17. Устройство по п. 16, в котором головка содержит гибкий шарнир и блокирующий элемент, причем гибкий шарнир выполнен с возможностью перемещения ножек, причем блокирующий элемент выполнен с возможностью избирательно предотвращать перемещение гибкого шарнира.
18. Устройство по п. 16, в котором блокирующий элемент содержит зазубрину, выполненную с возможностью установки по гибкому шарниру.
19. Устройство по п. 16, в котором зажим содержит абсорбирующий материал, выполненный с возможностью абсорбироваться с течением времени, причем абсорбирующий материал представляет собой полидиоксанон.
20. Способ упрочнения линии скоб с использованием упрочняющего зажима, хирургического режущего и сшивающего инструмента и хирургического устройства для накладывания, причем упрочняющий зажим содержит пару плоских фиксирующих ножек, головку, расположенную между ножками, и зубцы, находящиеся в связи с ножками, причем способ содержит:
(a) введение хирургического режущего и сшивающего инструмента в операционное поле;
(b) рассечение части ткани на операционном поле хирургическим режущим и сшивающим инструментом;
(c) сшивание рассеченной части ткани хирургическим режущим и сшивающим инструментом, таким образом создавая линию скоб, причем процесс сшивания рассеченной части ткани происходит по существу одновременно с процессом рассечения части ткани;
(d) извлечение хирургического режущего и сшивающего инструмента из операционного поля;
(e) введение в операционное поле хирургического устройства для накладывания;
(f) приложение к линии скоб упрочняющего зажима;
(g) охватывание упрочняющим зажимом ширины линии скоб;
(h) фиксацию линии скоб упрочняющим зажимом;
(i) извлечение хирургического устройства для накладывания.
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US13/233,681 US9254180B2 (en) | 2011-09-15 | 2011-09-15 | Surgical instrument with staple reinforcement clip |
| US13/233,681 | 2011-09-15 | ||
| PCT/US2012/054406 WO2013039821A1 (en) | 2011-09-15 | 2012-09-10 | Surgical instrument with staple reinforcement clip |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| RU2014114841A true RU2014114841A (ru) | 2015-10-20 |
| RU2611916C2 RU2611916C2 (ru) | 2017-03-01 |
Family
ID=46888689
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| RU2014114841A RU2611916C2 (ru) | 2011-09-15 | 2012-09-10 | Хирургический инструмент с упрочняющим зажимом для скоб |
Country Status (9)
| Country | Link |
|---|---|
| US (1) | US9254180B2 (ru) |
| EP (2) | EP3461428B1 (ru) |
| JP (1) | JP6208134B2 (ru) |
| CN (1) | CN103917188B (ru) |
| BR (1) | BR112014006383B1 (ru) |
| IN (1) | IN2014DN01970A (ru) |
| MX (1) | MX343434B (ru) |
| RU (1) | RU2611916C2 (ru) |
| WO (1) | WO2013039821A1 (ru) |
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| US8584921B2 (en) | 2006-10-06 | 2013-11-19 | Covidien Lp | Surgical instrument with articulating tool assembly |
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2011
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Also Published As
| Publication number | Publication date |
|---|---|
| BR112014006383B1 (pt) | 2020-12-22 |
| MX2014003170A (es) | 2014-09-22 |
| JP2014531241A (ja) | 2014-11-27 |
| US20130068821A1 (en) | 2013-03-21 |
| RU2611916C2 (ru) | 2017-03-01 |
| EP2755590A1 (en) | 2014-07-23 |
| CN103917188B (zh) | 2017-02-15 |
| MX343434B (es) | 2016-11-03 |
| IN2014DN01970A (ru) | 2015-05-15 |
| EP2755590B1 (en) | 2018-11-21 |
| EP3461428A1 (en) | 2019-04-03 |
| WO2013039821A1 (en) | 2013-03-21 |
| BR112014006383A2 (pt) | 2017-04-04 |
| EP3461428B1 (en) | 2022-11-09 |
| US9254180B2 (en) | 2016-02-09 |
| JP6208134B2 (ja) | 2017-10-04 |
| CN103917188A (zh) | 2014-07-09 |
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