RU2011106945A - Устройство с одноразовым картриджем для наложения крепежных деталей при рестриктивной гастропластике - Google Patents

Устройство с одноразовым картриджем для наложения крепежных деталей при рестриктивной гастропластике Download PDF

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RU2011106945A
RU2011106945A RU2011106945/14A RU2011106945A RU2011106945A RU 2011106945 A RU2011106945 A RU 2011106945A RU 2011106945/14 A RU2011106945/14 A RU 2011106945/14A RU 2011106945 A RU2011106945 A RU 2011106945A RU 2011106945 A RU2011106945 A RU 2011106945A
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needle
specified
cartridge
handle
fastener
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RU2011106945/14A
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Марк С. ЗАЙНЕР (US)
Марк С. ЗАЙНЕР
Джейсон Л. ХАРРИС (US)
Джейсон Л. ХАРРИС
Майкл Дж. СТОУКС (US)
Майкл Дж. СТОУКС
Мэттью Д. ХОЛКОМБ (US)
Мэттью Д. ХОЛКОМБ
Марк С. ОРТИЗ (US)
Марк С. ОРТИЗ
Лоренс КРАЙНИЧ (US)
Лоренс КРАЙНИЧ
Алекс П. КОНДОР (US)
Алекс П. КОНДОР
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Этикон Эндо-Серджери, Инк. (Us)
Этикон Эндо-Серджери, Инк.
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A—HUMAN NECESSITIES
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    • A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • 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
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    • A61B90/92—Identification means for patients or instruments, e.g. tags coded with colour
    • A—HUMAN NECESSITIES
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    • 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
    • A61B90/90—Identification means for patients or instruments, e.g. tags
    • A61B90/94—Identification means for patients or instruments, e.g. tags coded with symbols, e.g. text
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    • A61B17/0482—Needle or suture guides
    • A—HUMAN NECESSITIES
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    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0493—Protective devices for suturing, i.e. for protecting the patient's organs or the operator
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3498—Valves therefor, e.g. flapper valves, slide valves
    • A—HUMAN NECESSITIES
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    • 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
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    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0409—Instruments for applying suture anchors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0417—T-fasteners
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    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0464—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors for soft tissue
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    • A61B2017/0475—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery using sutures having a slip knot
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    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • A61B2017/0477—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery with pre-tied sutures
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B2017/0496—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials for tensioning sutures
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B2017/06052—Needle-suture combinations in which a suture is extending inside a hollow tubular needle, e.g. over the entire length of the needle
    • 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
    • A61B2017/2913—Handles transmission of forces to actuating rod or piston cams or guiding means
    • A61B2017/2916—Handles transmission of forces to actuating rod or piston cams or guiding means pins in guiding slots
    • 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
    • A61B2017/292—Handles transmission of forces to actuating rod or piston details of linkages or pivot points connection of actuating rod to handle, e.g. ball end in recess
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B17/2909—Handles
    • A61B2017/2912—Handles transmission of forces to actuating rod or piston
    • A61B2017/2923—Toothed members, e.g. rack and pinion

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Abstract

1. Перезаряжаемое устройство для наложения крепежных деталей, включающее: ! а. рукоятку и по меньшей мере один привод; ! b. указанная рукоятка соединена с удлиненным полым корпусом, который имеет дистальный и проксимальный концы; ! c. первый картридж, содержащий по меньшей мере одну крепежную деталь, присоединяемый к рукоятке с возможностью отсоединения; ! d. указанную крепежную деталь, содержащую по меньшей мере два фиксатора, соединенных неупругим гибким шовным материалом, не устойчивым к деформации под сжимающей нагрузкой; ! e. приспособление рядом с рукояткой, облегчающее извлечение указанного первого картриджа из указанной рукоятки и замену его вторым картриджем. ! 2. Устройство по п.1, в котором указанный картридж включает иглу в полом корпусе для наложения крепежной детали. ! 3. Устройство по п.2, в котором указанная игла смещена от центра указанного корпуса. ! 4. Устройство по п.2, в котором указанная игла имеет прорезь, проходящую от дистального конца иглы по меньшей мере частично назад по направлению к проксимальному концу. ! 5. Устройство по п.2, в котором поперечное сечение указанной иглы, перпендикулярное продольной оси, не представляет собой окружность. ! 6. Устройство по п.2, в котором по меньшей мере один элемент из иглы и полого корпуса способен двигаться относительно другого элемента, причем игла имеет оттянутое назад положение, где дистальный конец указанной иглы находится полностью внутри указанного корпуса, и открытое положение, при этом указанный дистальный конец иглы является дистальным к дистальному концу указанного полого корпуса. ! 7. Устройство по п.6, дополнительно включающее фиксатор для фикс�

Claims (15)

1. Перезаряжаемое устройство для наложения крепежных деталей, включающее:
а. рукоятку и по меньшей мере один привод;
b. указанная рукоятка соединена с удлиненным полым корпусом, который имеет дистальный и проксимальный концы;
c. первый картридж, содержащий по меньшей мере одну крепежную деталь, присоединяемый к рукоятке с возможностью отсоединения;
d. указанную крепежную деталь, содержащую по меньшей мере два фиксатора, соединенных неупругим гибким шовным материалом, не устойчивым к деформации под сжимающей нагрузкой;
e. приспособление рядом с рукояткой, облегчающее извлечение указанного первого картриджа из указанной рукоятки и замену его вторым картриджем.
2. Устройство по п.1, в котором указанный картридж включает иглу в полом корпусе для наложения крепежной детали.
3. Устройство по п.2, в котором указанная игла смещена от центра указанного корпуса.
4. Устройство по п.2, в котором указанная игла имеет прорезь, проходящую от дистального конца иглы по меньшей мере частично назад по направлению к проксимальному концу.
5. Устройство по п.2, в котором поперечное сечение указанной иглы, перпендикулярное продольной оси, не представляет собой окружность.
6. Устройство по п.2, в котором по меньшей мере один элемент из иглы и полого корпуса способен двигаться относительно другого элемента, причем игла имеет оттянутое назад положение, где дистальный конец указанной иглы находится полностью внутри указанного корпуса, и открытое положение, при этом указанный дистальный конец иглы является дистальным к дистальному концу указанного полого корпуса.
7. Устройство по п.6, дополнительно включающее фиксатор для фиксации иглы в указанном оттянутом положении.
8. Устройство по п.1, в котором указанный картридж содержит множество крепежных деталей.
9. Устройство по п.6, в котором указанный шовный материал указанных крепежных деталей проходит к указанному проксимальному концу полого корпуса, а в указанном картридже расположено приспособление на указанном проксимальном конце устройства для манипуляций с каждым материалом отдельно.
10. Устройство по п.8, дополнительно включающее приспособление на указанном проксимальном конце картриджа, предназначенное для отделения одного шовного материала от другого.
11. Устройство по п.1, дополнительно включающее приспособление для обрезки шовного материала на дистальном конце указанного картриджа.
12. Перезаряжаемое устройство для наложения крепежных деталей, включающее:
а. рукоятку и по меньшей мере один привод;
b. указанная рукоятка соединена с удлиненным полым корпусом, который имеет дистальный и проксимальный концы и иглу, расположенную внутри указанного корпуса;
c. первый картридж, содержащий по меньшей мере одну крепежную деталь, присоединяемую к рукоятке с возможностью отсоединения;
d. указанную крепежную деталь по меньшей мере частично размещенную внутри иглы, причем крепежная деталь содержит по меньшей мере два фиксатора, соединенных неупругим гибким шовным материалом, не устойчивым к деформации под сжимающей нагрузкой; и
e. приспособление для облегчения извлечения первого картриджа из рукоятки и замены его на второй картридж.
13. Устройство по п.12, в котором указанная игла смещена от центра указанного корпуса.
14. Устройство по п.13, в котором указанная игла имеет прорезь, которая проходит от дистального конца иглы по меньшей мере частично назад по направлению к проксимальному концу указанной иглы.
15. Устройство по п.13, в котором поперечное сечение указанной иглы, перпендикулярное продольной оси, не представляет собой окружность.
RU2011106945/14A 2008-07-25 2009-07-23 Устройство с одноразовым картриджем для наложения крепежных деталей при рестриктивной гастропластике RU2011106945A (ru)

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US12/179,598 2008-07-25
US12/179,598 US20100023024A1 (en) 2008-07-25 2008-07-25 Reloadable laparoscopic fastener deploying device with disposable cartridge for use in a gastric volume reduction procedure

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