RU2012106145A - Многоразовая рукоятка кругового сшивающего инструмента открытого типа - Google Patents

Многоразовая рукоятка кругового сшивающего инструмента открытого типа Download PDF

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RU2012106145A
RU2012106145A RU2012106145/14A RU2012106145A RU2012106145A RU 2012106145 A RU2012106145 A RU 2012106145A RU 2012106145/14 A RU2012106145/14 A RU 2012106145/14A RU 2012106145 A RU2012106145 A RU 2012106145A RU 2012106145 A RU2012106145 A RU 2012106145A
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barrel
handle
reciprocating
assembly
circular stapling
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RU2607937C2 (ru
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Анил К. НАЛАГАТЛА
Бэрри Томас ДЖЕЙМИСОН
Дебасиш ПРАДХАН
Давид А. ДЕПРЕ
Абдул Гани СОФИ
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Этикон Эндо-Серджери, Инк.
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    • H—ELECTRICITY
    • H04—ELECTRIC COMMUNICATION TECHNIQUE
    • H04B—TRANSMISSION
    • H04B7/00—Radio transmission systems, i.e. using radiation field
    • H04B7/02—Diversity systems; Multi-antenna system, i.e. transmission or reception using multiple antennas
    • H04B7/04—Diversity systems; Multi-antenna system, i.e. transmission or reception using multiple antennas using two or more spaced independent antennas
    • H04B7/06—Diversity systems; Multi-antenna system, i.e. transmission or reception using multiple antennas using two or more spaced independent antennas at the transmitting station
    • H04B7/0613—Diversity systems; Multi-antenna system, i.e. transmission or reception using multiple antennas using two or more spaced independent antennas at the transmitting station using simultaneous transmission
    • H04B7/0667—Diversity systems; Multi-antenna system, i.e. transmission or reception using multiple antennas using two or more spaced independent antennas at the transmitting station using simultaneous transmission of delayed versions of same signal
    • H04B7/0673—Diversity systems; Multi-antenna system, i.e. transmission or reception using multiple antennas using two or more spaced independent antennas at the transmitting station using simultaneous transmission of delayed versions of same signal using feedback from receiving side
    • A—HUMAN NECESSITIES
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    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/0682—Surgical staplers, e.g. containing multiple staples or clamps for applying U-shaped staples or clamps, e.g. without a forming anvil
    • A61B17/0684—Surgical staplers, e.g. containing multiple staples or clamps for applying U-shaped staples or clamps, e.g. without a forming anvil having a forming anvil staying above the tissue during stapling
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    • 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
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    • 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
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    • A61B17/1114—Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis of the digestive tract, e.g. bowels or oesophagus
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    • H04B7/06—Diversity systems; Multi-antenna system, i.e. transmission or reception using multiple antennas using two or more spaced independent antennas at the transmitting station
    • H04B7/0613—Diversity systems; Multi-antenna system, i.e. transmission or reception using multiple antennas using two or more spaced independent antennas at the transmitting station using simultaneous transmission
    • H04B7/0667—Diversity systems; Multi-antenna system, i.e. transmission or reception using multiple antennas using two or more spaced independent antennas at the transmitting station using simultaneous transmission of delayed versions of same signal
    • H04B7/0671—Diversity systems; Multi-antenna system, i.e. transmission or reception using multiple antennas using two or more spaced independent antennas at the transmitting station using simultaneous transmission of delayed versions of same signal using different delays between antennas
    • H—ELECTRICITY
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    • H04B—TRANSMISSION
    • H04B7/00—Radio transmission systems, i.e. using radiation field
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    • H04B7/06—Diversity systems; Multi-antenna system, i.e. transmission or reception using multiple antennas using two or more spaced independent antennas at the transmitting station
    • H04B7/0613—Diversity systems; Multi-antenna system, i.e. transmission or reception using multiple antennas using two or more spaced independent antennas at the transmitting station using simultaneous transmission
    • H04B7/0682—Diversity systems; Multi-antenna system, i.e. transmission or reception using multiple antennas using two or more spaced independent antennas at the transmitting station using simultaneous transmission using phase diversity (e.g. phase sweeping)
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    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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    • A61B2017/07214—Stapler heads
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    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/28—Surgical forceps
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    • A61B2017/2901—Details of shaft
    • A61B2017/2904—Details of shaft curved, but rigid
    • A—HUMAN NECESSITIES
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    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2926—Details of heads or jaws
    • A61B2017/2927—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft
    • A61B2017/2929—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft with a head rotatable about the longitudinal axis of the shaft
    • A61B2017/293—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft with a head rotatable about the longitudinal axis of the shaft with means preventing relative rotation between the shaft and the actuating rod
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
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    • A—HUMAN NECESSITIES
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    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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    • A61B90/03—Automatic limiting or abutting means, e.g. for safety
    • A61B2090/037—Automatic limiting or abutting means, e.g. for safety with a frangible part, e.g. by reduced diameter
    • 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
    • A61B2090/0801—Prevention of accidental cutting or pricking
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    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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    • 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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    • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
    • Y10T29/00—Metal working
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    • Y10T29/49826—Assembling or joining
    • Y10T29/4984—Retaining clearance for motion between assembled parts

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Abstract

1. Круговой сшивающий инструмент, содержащий:ствол возвратно-поступательного действия, имеющий зацепляющий элемент на кончике ствола возвратно-поступательного действия и резьбовой регулировочный элемент на основании ствола возвратно-поступательного действия;спусковой шток, образующий зацепляющий желобок и имеющий зацепляющий ствол, формирующий отверстие, через которое проходит кончик ствола возвратно-поступательного действия;рукоятку со спусковым механизмом, формирующую полость, в которую входит спусковой шток и ствол возвратно-поступательного действия, причем верхний конец спускового механизма взаимодействует с зацепляющим желобком и разъемно закрепляет спусковой шток и ствол возвратно-поступательного действия в полости рукоятки;несущую крышку, закрывающую часть спускового штока и ствола возвратно-поступательного действия, исборку ствола, разъемно соединенную с рукояткой.2. Круговой сшивающий инструмент по п.1, дополнительно содержащий сборку упорной пластины, разъемно соединенную с зацепляющим элементом на конце ствола возвратно-поступательного действия.3. Круговой сшивающий инструмент по п.1, в котором несущая крышка формирует отверстие, через которое проходит резьбовая часть рукоятки.4. Круговой сшивающий инструмент по п.1, в котором сборка ствола имеет соединительную гайку, разъемно соединенную с резьбовой частью рукоятки.5. Круговой сшивающий инструмент по п.1, дополнительно содержащий кнопку закрывания упорной пластины, разъемно соединенной с резьбовым регулировочным элементом ствола возвратно-поступательного действия.6. Круговой сшивающий инструмент по п.1, дополнительно содержащий

Claims (20)

1. Круговой сшивающий инструмент, содержащий:
ствол возвратно-поступательного действия, имеющий зацепляющий элемент на кончике ствола возвратно-поступательного действия и резьбовой регулировочный элемент на основании ствола возвратно-поступательного действия;
спусковой шток, образующий зацепляющий желобок и имеющий зацепляющий ствол, формирующий отверстие, через которое проходит кончик ствола возвратно-поступательного действия;
рукоятку со спусковым механизмом, формирующую полость, в которую входит спусковой шток и ствол возвратно-поступательного действия, причем верхний конец спускового механизма взаимодействует с зацепляющим желобком и разъемно закрепляет спусковой шток и ствол возвратно-поступательного действия в полости рукоятки;
несущую крышку, закрывающую часть спускового штока и ствола возвратно-поступательного действия, и
сборку ствола, разъемно соединенную с рукояткой.
2. Круговой сшивающий инструмент по п.1, дополнительно содержащий сборку упорной пластины, разъемно соединенную с зацепляющим элементом на конце ствола возвратно-поступательного действия.
3. Круговой сшивающий инструмент по п.1, в котором несущая крышка формирует отверстие, через которое проходит резьбовая часть рукоятки.
4. Круговой сшивающий инструмент по п.1, в котором сборка ствола имеет соединительную гайку, разъемно соединенную с резьбовой частью рукоятки.
5. Круговой сшивающий инструмент по п.1, дополнительно содержащий кнопку закрывания упорной пластины, разъемно соединенной с резьбовым регулировочным элементом ствола возвратно-поступательного действия.
6. Круговой сшивающий инструмент по п.1, дополнительно содержащий сборку кассеты со скобками, разъемно соединенную со сборкой ствола, при этом кончик ствола возвратно-поступательного действия проходит через центральный ствол, формируемый в сборке кассеты со скобками.
7. Способ сборки кругового сшивающего инструмента, в котором:
разъемно закрепляют ствол возвратно-поступательного действия в полости рукоятки;
закрывают часть ствола возвратно-поступательного действия в полости рукоятки несущей крышкой; и
разъемно соединеняют сборку ствола с рукояткой.
8. Способ по п.7, в котором сборка ствола разъемно закрепляет несущую крышку на рукоятке.
9. Способ по п.7, в котором дополнительно:
проводят кончик ствола возвратно-поступательного действия через отверстие зацепляющего ствола спускового штока; и
разъемно закрепляют спусковой шток и ствол возвратно-поступательного действия в полости рукоятки.
10. Способ по п.9, в котором верхний конец спускового механизма рукоятки входит в зацепляющий желобок спускового штока в полости рукоятки.
11. Способ по п.7, в котором дополнительно соединяют кнопку закрывания упорной пластины с резьбовым регулировочным элементом ствола возвратно-поступательного действия.
12. Способ по п.7, в котором дополнительно соединяют сборку кассеты со скобками со сборкой ствола, при этом кончик ствола возвратно-поступательного действия проходит через центральный ствол, формируемый в кассете в кассете со скобками.
13. Способ по п.12, в котором дополнительно соединяют сборку упорной пластины с зацепляющим элементом на кончике ствола возвратно-поступательного действия.
14. Круговой сшивающий инструмент, содержащий:
рукоятку, формирующую полость;
ствол возвратно-поступательного действия, разъемно закрепленный в полости рукоятки;
несущую крышку, закрывающая часть ствола возвратно-поступательного действия в полости рукоятки; и
сборку ствола, разъемно соединенную с рукояткой.
15. Круговой сшивающий инструмент по п.14, в котором несущая крышка разъемно закреплена на рукоятке с помощью сборки ствола.
16. Круговой сшивающий инструмент по п.14, дополнительно содержащий:
спусковой шток, имеющий зацепляющий ствол, который формирует отверстие, через которое проходит кончик ствола возвратно-поступательного действия, при этом спусковой шток и ствол возвратно-поступательного действия разъемно закреплены в полости рукоятки.
17. Круговой сшивающий инструмент по п.16, в котором рукоятка включает спусковой механизм, имеющий верхний конец, и в котором верхний конец спускового механизма входит в зацепляющий желобок спускового штока в полости рукоятки.
18. Круговой сшивающий инструмент по п.14, дополнительно содержащий кнопку закрывания упорной пластины, разъемно соединенную с резьбовым регулировочным элементом ствола возвратно-поступательного действия.
19. Круговой сшивающий инструмент по п.14, дополнительно содержащий сборку кассеты со скобками, разъемно соединенную со сборкой ствола, при этом кончик ствола проходит через центральный ствол, формируемый в сборке кассеты со скобками.
20. Круговой сшивающий инструмент по п.19, дополнительно содержащий сборку упорной пластины, разъемно соединенную с зацепляющим элементом на конце ствола возвратно-поступательного действия.
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US13/111,770 US8833629B2 (en) 2011-05-19 2011-05-19 Reusable circular stapler handle with open assembly architecture
US13/111,795 US8746532B2 (en) 2011-05-19 2011-05-19 Anvil and cartridge alignment configuration for a circular stapler
US13/111,841 US8733615B2 (en) 2011-05-19 2011-05-19 Circular stapler with frictional reducing member
US13/111,827 US8567655B2 (en) 2011-05-19 2011-05-19 Circular stapler with automatic locking mechanism
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