CA2529450C - Systeme chirurgical presentant un instrument d'agrafage et un ecarteur - Google Patents

Systeme chirurgical presentant un instrument d'agrafage et un ecarteur Download PDF

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Publication number
CA2529450C
CA2529450C CA2529450A CA2529450A CA2529450C CA 2529450 C CA2529450 C CA 2529450C CA 2529450 A CA2529450 A CA 2529450A CA 2529450 A CA2529450 A CA 2529450A CA 2529450 C CA2529450 C CA 2529450C
Authority
CA
Canada
Prior art keywords
cartridge
surgical system
anvil
retractor
staple
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.)
Expired - Lifetime
Application number
CA2529450A
Other languages
English (en)
Other versions
CA2529450A1 (fr
Inventor
Federico Bilotti
Michele D'arcangelo
Antonio Longo
Mark Neurohr
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Ethicon Endo Surgery Inc
Original Assignee
Ethicon Endo Surgery Inc
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Ethicon Endo Surgery Inc filed Critical Ethicon Endo Surgery Inc
Publication of CA2529450A1 publication Critical patent/CA2529450A1/fr
Application granted granted Critical
Publication of CA2529450C publication Critical patent/CA2529450C/fr
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

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Classifications

    • 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
    • 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
    • A61B17/1114—Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis of the digestive tract, e.g. bowels or oesophagus
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00292—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/003—Steerable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00743—Type of operation; Specification of treatment sites
    • A61B2017/00818—Treatment of the gastro-intestinal system
    • A61B2017/00827—Treatment of gastro-esophageal reflux
    • 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
    • A61B2017/07221—Stapler heads curved

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)

Abstract

Selon l'invention, dans un système chirurgical, un instrument d'agrafage (1) comprend un dispositif à tige flexible (4), une poignée (2), et un ensemble d'agrafage (6). L'ensemble d'agrafage (6) comprend une cartouche courbée (10), qui comprend au moins une rangée ouverte courbée d'agrafes, et à l'opposé de la cartouche (10), un contre-outil courbé (20), qui présente une face de formation d'agrafe et qui est conçu pour coopérer avec la cartouche (10) afin que soient formées les extrémités des agrafes sortant de la cartouche (10). De préférence, l'ensemble d'agrafage (6) est conçu pour permettre un accès non obstrué vers les faces intérieures concaves de la cartouche (10) et du contre-outil (20). Le contre-outil (20) peut être déplacé par rapport à la cartouche (10) depuis une position espacée qui permet de positionner des tissus entre le contre-outil et la cartouche à une position fermée qui permet de bloquer les tissus. Ledit système chirurgical comprend en outre un écarteur conçu pour attirer des tissus dans l'espace situé entre la cartouche (10) et le contre-outil (20), lorsque ces derniers sont dans la position espacée. Dans une application préférée, ledit système chirurgical est utilisé dans le traitement du reflux gastro-oesophagien (RGO).
CA2529450A 2003-06-16 2003-06-16 Systeme chirurgical presentant un instrument d'agrafage et un ecarteur Expired - Lifetime CA2529450C (fr)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
PCT/EP2003/006352 WO2004110285A1 (fr) 2003-06-16 2003-06-16 Systeme chirurgical presentant un instrument d'agrafage et un ecarteur

Publications (2)

Publication Number Publication Date
CA2529450A1 CA2529450A1 (fr) 2004-12-23
CA2529450C true CA2529450C (fr) 2012-04-17

Family

ID=33547558

Family Applications (1)

Application Number Title Priority Date Filing Date
CA2529450A Expired - Lifetime CA2529450C (fr) 2003-06-16 2003-06-16 Systeme chirurgical presentant un instrument d'agrafage et un ecarteur

Country Status (9)

Country Link
EP (1) EP1633256A1 (fr)
JP (1) JP4463762B2 (fr)
CN (1) CN1859874A (fr)
AU (1) AU2003245952A1 (fr)
BR (1) BR0318356A (fr)
CA (1) CA2529450C (fr)
MX (1) MXPA05013759A (fr)
RU (1) RU2006101219A (fr)
WO (1) WO2004110285A1 (fr)

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US6675809B2 (en) 2001-08-27 2004-01-13 Richard S. Stack Satiation devices and methods
US7146984B2 (en) 2002-04-08 2006-12-12 Synecor, Llc Method and apparatus for modifying the exit orifice of a satiation pouch
US8206456B2 (en) 2003-10-10 2012-06-26 Barosense, Inc. Restrictive and/or obstructive implant system for inducing weight loss
US20050247320A1 (en) 2003-10-10 2005-11-10 Stack Richard S Devices and methods for retaining a gastro-esophageal implant
US7361180B2 (en) 2004-05-07 2008-04-22 Usgi Medical, Inc. Apparatus for manipulating and securing tissue
US8628547B2 (en) 2004-03-09 2014-01-14 Ethicon Endo-Surgery, Inc. Devices and methods for placement of partitions within a hollow body organ
US9028511B2 (en) 2004-03-09 2015-05-12 Ethicon Endo-Surgery, Inc. Devices and methods for placement of partitions within a hollow body organ
US8252009B2 (en) * 2004-03-09 2012-08-28 Ethicon Endo-Surgery, Inc. Devices and methods for placement of partitions within a hollow body organ
US8512229B2 (en) 2004-04-14 2013-08-20 Usgi Medical Inc. Method and apparatus for obtaining endoluminal access
US8277373B2 (en) 2004-04-14 2012-10-02 Usgi Medical, Inc. Methods and apparaus for off-axis visualization
US8562516B2 (en) 2004-04-14 2013-10-22 Usgi Medical Inc. Methods and apparatus for obtaining endoluminal access
US7717843B2 (en) 2004-04-26 2010-05-18 Barosense, Inc. Restrictive and/or obstructive implant for inducing weight loss
US8257394B2 (en) 2004-05-07 2012-09-04 Usgi Medical, Inc. Apparatus and methods for positioning and securing anchors
US7390329B2 (en) 2004-05-07 2008-06-24 Usgi Medical, Inc. Methods for grasping and cinching tissue anchors
US7736378B2 (en) 2004-05-07 2010-06-15 Usgi Medical, Inc. Apparatus and methods for positioning and securing anchors
US7931661B2 (en) 2004-06-14 2011-04-26 Usgi Medical, Inc. Apparatus and methods for performing transluminal gastrointestinal procedures
US7210609B2 (en) 2004-07-30 2007-05-01 Tools For Surgery, Llc Stapling apparatus having a curved anvil and driver
AU2004323140B2 (en) * 2004-09-10 2011-11-24 Ethicon Endo-Surgery, Inc. Surgical stapling instrument
US9055942B2 (en) * 2005-10-03 2015-06-16 Boston Scienctific Scimed, Inc. Endoscopic plication devices and methods
EP2015681B1 (fr) 2006-05-03 2018-03-28 Datascope Corp. Dispositif de fermeture de tissu
US8870916B2 (en) 2006-07-07 2014-10-28 USGI Medical, Inc Low profile tissue anchors, tissue anchor systems, and methods for their delivery and use
EP2061397B1 (fr) 2006-09-02 2015-01-07 Barosense, Inc. Manchons intestinaux et systèmes de déploiement associés
WO2008033474A2 (fr) 2006-09-15 2008-03-20 Synecor, Llc Système et procédé d'ancrage d'un implant dans l'estomac
US10130359B2 (en) 2006-09-29 2018-11-20 Ethicon Llc Method for forming a staple
ATE468074T1 (de) * 2006-12-14 2010-06-15 Ethicon Endo Surgery Inc Laparoskopische klammervorrichtung
ATE529056T1 (de) * 2006-12-14 2011-11-15 Ethicon Endo Surgery Inc Gewebeklammer zur endoluminalen, lokalen gewebeexzision
US20080169332A1 (en) * 2007-01-11 2008-07-17 Shelton Frederick E Surgical stapling device with a curved cutting member
AU2008276523B2 (en) 2007-07-18 2014-08-21 Boston Scientific Scimed, Inc. Endoscopic implant system and method
WO2009011881A1 (fr) 2007-07-18 2009-01-22 Barosense, Inc. Introducteur d'enveloppe de tube pour utilisation en chirurgie bariatrique endoscopique
US20090171383A1 (en) 2007-12-31 2009-07-02 David Cole Gastric space occupier systems and methods of use
US8561870B2 (en) 2008-02-13 2013-10-22 Ethicon Endo-Surgery, Inc. Surgical stapling instrument
US8020741B2 (en) 2008-03-18 2011-09-20 Barosense, Inc. Endoscopic stapling devices and methods
PL3476312T3 (pl) 2008-09-19 2024-03-11 Ethicon Llc Stapler chirurgiczny z urządzeniem do dopasowania wysokości zszywek
US7954686B2 (en) 2008-09-19 2011-06-07 Ethicon Endo-Surgery, Inc. Surgical stapler with apparatus for adjusting staple height
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US8961539B2 (en) 2009-05-04 2015-02-24 Boston Scientific Scimed, Inc. Endoscopic implant system and method
WO2011146853A2 (fr) 2010-05-21 2011-11-24 Barosense, Inc. Dispositifs et procédés d'acquisition et de fixation de tissu
CN102429693B (zh) * 2011-12-14 2013-05-29 北京中法派尔特医疗设备有限公司 一种直线切割吻合器钉仓组件及应用该组件的吻合器
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BR112016023835B1 (pt) * 2014-04-16 2022-07-12 Ethicon Endo-Surgery, Llc Cartucho de prendedores
EP3009085A1 (fr) * 2014-10-14 2016-04-20 Coloplast A/S Dispositif d'extraction d'un corps étranger d'un patient
CN104840228B (zh) * 2015-05-28 2017-03-01 江培颜 一种腔外吻合方法及外翻式腔外吻合器
US10610219B2 (en) * 2015-12-31 2020-04-07 Ethicon Llc Surgical stapler with curved outer surface on anvil
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JP7362615B2 (ja) * 2017-12-21 2023-10-17 エシコン エルエルシー 発射経路ディスプレイを備えるステープル器具
CN112074240B (zh) 2018-03-28 2025-01-10 数据显示器公司 心耳排除装置
CN113573747B (zh) * 2019-03-28 2023-02-24 泰尔茂株式会社 医疗器具
JP7804583B2 (ja) * 2020-02-26 2026-01-22 ヒューマンタッチ サージカル リミテッド 大腸鏡用制御システム
JP2023537459A (ja) * 2020-06-12 2023-09-01 コヴィディエン リミテッド パートナーシップ 湾曲した外科用ステープリングデバイス
CN111588343B (zh) * 2020-06-22 2025-01-28 妙思医疗科技(上海)有限公司 一种胃底折叠失效时应急处理的内镜顶端组件
CN113648008A (zh) * 2021-08-16 2021-11-16 南昌大学第二附属医院 一种腹腔镜直线切割吻合器装置
CN114601519B (zh) * 2022-03-30 2025-06-27 淮安市金瓯医疗生物科技有限公司 具有抗反流作用的食管胃不对称吻合器

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Also Published As

Publication number Publication date
BR0318356A (pt) 2006-08-01
MXPA05013759A (es) 2006-06-27
AU2003245952A1 (en) 2005-01-04
JP4463762B2 (ja) 2010-05-19
CA2529450A1 (fr) 2004-12-23
RU2006101219A (ru) 2007-07-27
WO2004110285A1 (fr) 2004-12-23
JP2006527600A (ja) 2006-12-07
EP1633256A1 (fr) 2006-03-15
CN1859874A (zh) 2006-11-08

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Effective date: 20230616