ES2584878T3 - Refuerzo y aparato de grapado quirúrgico - Google Patents

Refuerzo y aparato de grapado quirúrgico Download PDF

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Publication number
ES2584878T3
ES2584878T3 ES08251990.1T ES08251990T ES2584878T3 ES 2584878 T3 ES2584878 T3 ES 2584878T3 ES 08251990 T ES08251990 T ES 08251990T ES 2584878 T3 ES2584878 T3 ES 2584878T3
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ES
Spain
Prior art keywords
reinforcement
surgical stapling
anvil
stapling device
porous layer
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.)
Active
Application number
ES08251990.1T
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English (en)
Inventor
Megan Prommersberger
Brian Nentwick
Philippe Gravagna
Yves Bayon
Dagmar Dassonville
Alfredo Meneghin
Julie Lecuivre
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Covidien LP
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Covidien LP
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Publication date
Application filed by Covidien LP filed Critical Covidien LP
Application granted granted Critical
Publication of ES2584878T3 publication Critical patent/ES2584878T3/es
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Classifications

    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B29—WORKING OF PLASTICS; WORKING OF SUBSTANCES IN A PLASTIC STATE IN GENERAL
    • B29C—SHAPING OR JOINING OF PLASTICS; SHAPING OF MATERIAL IN A PLASTIC STATE, NOT OTHERWISE PROVIDED FOR; AFTER-TREATMENT OF THE SHAPED PRODUCTS, e.g. REPAIRING
    • B29C39/00—Shaping by casting, i.e. introducing the moulding material into a mould or between confining surfaces without significant moulding pressure; Apparatus therefor
    • B29C39/02—Shaping by casting, i.e. introducing the moulding material into a mould or between confining surfaces without significant moulding pressure; Apparatus therefor for making articles of definite length, i.e. discrete articles
    • B29C39/12—Making multilayered or multicoloured articles
    • B29C39/123—Making multilayered articles
    • 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
    • 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
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B29—WORKING OF PLASTICS; WORKING OF SUBSTANCES IN A PLASTIC STATE IN GENERAL
    • B29C—SHAPING OR JOINING OF PLASTICS; SHAPING OF MATERIAL IN A PLASTIC STATE, NOT OTHERWISE PROVIDED FOR; AFTER-TREATMENT OF THE SHAPED PRODUCTS, e.g. REPAIRING
    • B29C39/00—Shaping by casting, i.e. introducing the moulding material into a mould or between confining surfaces without significant moulding pressure; Apparatus therefor
    • B29C39/22—Component parts, details or accessories; Auxiliary operations
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00526—Methods of manufacturing
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00831—Material properties
    • A61B2017/0084—Material properties low friction
    • A61B2017/00849—Material properties low friction with respect to tissue, e.g. hollow organs
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00831—Material properties
    • A61B2017/00889—Material properties antimicrobial, disinfectant
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00831—Material properties
    • A61B2017/00893—Material properties pharmaceutically effective
    • 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
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B29—WORKING OF PLASTICS; WORKING OF SUBSTANCES IN A PLASTIC STATE IN GENERAL
    • B29K—INDEXING SCHEME ASSOCIATED WITH SUBCLASSES B29B, B29C OR B29D, RELATING TO MOULDING MATERIALS OR TO MATERIALS FOR MOULDS, REINFORCEMENTS, FILLERS OR PREFORMED PARTS, e.g. INSERTS
    • B29K2105/00—Condition, form or state of moulded material or of the material to be shaped
    • B29K2105/06—Condition, form or state of moulded material or of the material to be shaped containing reinforcements, fillers or inserts
    • B29K2105/20—Inserts
    • B29K2105/206—Meshes, lattices or nets
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B29—WORKING OF PLASTICS; WORKING OF SUBSTANCES IN A PLASTIC STATE IN GENERAL
    • B29L—INDEXING SCHEME ASSOCIATED WITH SUBCLASS B29C, RELATING TO PARTICULAR ARTICLES
    • B29L2031/00—Other particular articles
    • B29L2031/753—Medical equipment; Accessories therefor
    • B29L2031/7546—Surgical equipment

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)
  • Materials For Medical Uses (AREA)
  • Surgical Instruments (AREA)

Abstract

Un aparato de grapado quirúrgico que comprende: un cartucho de grapas que contiene al menos una grapa; un yunque que tiene una superficie formadora de grapas; y un refuerzo (350) situado adyacente al yunque o al cartucho, comprendiendo el refuerzo una capa no porosa interna (360) y capas porosas externas (370) y un miembro de refuerzo (380) encapsulado dentro de la capa no porosa (360).

Description

imagen1
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Inmediatamente, un miembro de refuerzo de malla quirúrgica, se aplica sobre la segunda capa del colágeno oxidado diluido. El miembro de refuerzo es una malla de ácido poliglicólico multifilamento, isoelástica tricotada que puede situarse encima de la segunda capa de colágeno oxidado.
5 Después de 1 hora o más, la capa porosa, preparada tal como se ha descrito anteriormente en el ejemplo 1, se aplica a la malla.
El material de refuerzo reforzado multicapa se seca en un armario de secado a aproximadamente 20 °C y aproximadamente el 40 % de humedad con una velocidad del flujo de aire horizontal de 1,2 m2/s. El aire es soplado 10 desde el lado derecho del armario hasta el lado izquierdo del armario y el aire entrante se filtra a 0,2 m y se ajusta al 40 % de humedad. La duración del ciclo de secado está entre 12 y 24 horas.
El refuerzo multicapa de los ejemplos 1-3 se aplican al cartucho de grapas y/o yunque de un grapador quirúrgico, con el lado no poroso en contacto con la superficie del cartucho y/o yunque. Los bordes de una herida se aproximan 15 entre el cartucho de grapas y el yunque para grapas del aparato de grapado. Activando el aparato de grapado, grapas son empujadas fuera del cartucho de grapas y a través de tanto el refuerzo multicapa como el tejido. Las grapas se forman por contacto con el yunque para grapas. Una vez grapada en su lugar, la capa porosa ventajosamente reduce la hemorragia, ayuda a sellar la herida y permitir el crecimiento tisular hacia el interior, si se desea, mientras que la capa no porosa proporciona soporte para la capa porosa y puede ayudar a prevenir la
20 formación de adhesiones. Cuando está presente, como en los ejemplos 2 y 3, el miembro de refuerzo proporciona soporte adicional al refuerzo multicapa y ayuda a prevenir desgarros durante el grapado.
Se entenderá que pueden realizarse diversas modificaciones a las realizaciones desveladas en el presente documento. Por lo tanto, la descripción anterior no debe interpretarse como limitante, sino simplemente como una
25 ejemplificación de realizaciones preferidas. Los expertos en la materia visualizarán otras modificaciones dentro del alcance de la presente divulgación. Dichas modificaciones y variaciones pretenden entrar dentro del alcance de las siguientes reivindicaciones.
10

Claims (1)

  1. imagen1
ES08251990.1T 2007-06-27 2008-06-09 Refuerzo y aparato de grapado quirúrgico Active ES2584878T3 (es)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US823340 2007-06-27
US11/823,340 US8062330B2 (en) 2007-06-27 2007-06-27 Buttress and surgical stapling apparatus

Publications (1)

Publication Number Publication Date
ES2584878T3 true ES2584878T3 (es) 2016-09-29

Family

ID=39773138

Family Applications (1)

Application Number Title Priority Date Filing Date
ES08251990.1T Active ES2584878T3 (es) 2007-06-27 2008-06-09 Refuerzo y aparato de grapado quirúrgico

Country Status (7)

Country Link
US (6) US8062330B2 (es)
EP (2) EP2564791A1 (es)
JP (2) JP5424582B2 (es)
CN (1) CN101332110B (es)
AU (1) AU2008202463B2 (es)
CA (1) CA2632294C (es)
ES (1) ES2584878T3 (es)

Families Citing this family (1199)

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US9636850B2 (en) 2017-05-02
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