PT1647286E - Material de reforço de sutura para dispositivo de sutura automática - Google Patents

Material de reforço de sutura para dispositivo de sutura automática Download PDF

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Publication number
PT1647286E
PT1647286E PT04747929T PT04747929T PT1647286E PT 1647286 E PT1647286 E PT 1647286E PT 04747929 T PT04747929 T PT 04747929T PT 04747929 T PT04747929 T PT 04747929T PT 1647286 E PT1647286 E PT 1647286E
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PT
Portugal
Prior art keywords
tubular
thread
suturing device
automatic suturing
sheet
Prior art date
Application number
PT04747929T
Other languages
English (en)
Inventor
Hiroyuki Shimoji
Hitoshi Ohtani
Original Assignee
Gunze Kk
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 Gunze Kk filed Critical Gunze Kk
Publication of PT1647286E publication Critical patent/PT1647286E/pt

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L17/00Materials for surgical sutures or for ligaturing blood vessels ; Materials for prostheses or catheters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical 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
    • A61B17/07207Surgical 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0483Hand-held instruments for holding sutures
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical 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
    • A61B17/07292Reinforcements for staple line, e.g. pledgets
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • A61B2017/0477Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery with pre-tied sutures

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Vascular Medicine (AREA)
  • Materials Engineering (AREA)
  • Chemical & Material Sciences (AREA)
  • Epidemiology (AREA)
  • Materials For Medical Uses (AREA)
  • Surgical Instruments (AREA)
  • Prostheses (AREA)
  • Details Of Garments (AREA)
  • Lining Or Joining Of Plastics Or The Like (AREA)

Description

DESCRIÇÃO
Material de reforço de sutura para dispositivo de sutura automática
CAMPO TÉCNICO 0 presente invento refere-se a um material de reforço de sutura tubular adequado para utilização em dispositivos de sutura automática, que são muito usados em operações cirúrgicas, etc. Mais especificamente, o presente invento refere-se a um material de reforço de sutura tubular com o qual se obtém facilmente uma forma tubular, a produtividade é elevada, e a remoção do fio consegue-se facilmente.
ENQUADRAMENTO DO INVENTO
Até agora, para suturar tecidos, eram utilizados os dispositivos de sutura automática do tipo agrafador contendo uma pluralidade de agrafos. No entanto, quando um tal dispositivo de sutura era aplicado à cirurgia pulmonar, etc., poderiam ocorrer fugas de ar da área suturada. Para além disso, quando utilizados em tecidos moles, podem surgir problemas pelo facto destes rasgarem ou danificarem-se.
Para resolver os problemas acima, o requerente já tem várias publicações referentes aos materiais de reforço de sutura tubular a serem ajustados numa parte de agrafo do dispositivo de sutura, evitando desta forma a fuga de ar da área suturada, reforçando a área, etc. (modelo de utilidade japonesa N° 2604025; patente japonesa N° 3136392, 3237749, e 2 3237750; publicação de patente japonesa não examinada N° 1997-240050, 1997-308635, 2000-157622, 2000-316963, e 2000-70433, e patente US N° 5.814057.
Podem ser mencionadas, como outras publicações do requerente referentes aos materiais de reforço de sutura tubular, a patente japonesa N° 3040930 e publicação de patente japonesa não examinada N° 1996-299427.
As publicações acima mencionadas revelam uma estrutura na qual o material em forma de folha, tal como um tecido não tecido ou filme feito em material biodeqradável ou bioabsorvivel, é formado numa confiquração tubular, ou uma estrutura na qual um tecido não tecido feito num material biodegradável e bioabsorvivel e um tecido extensível são combinados um com o outro para formar uma configuração tubular. A configuração tubular obtém-se, por exemplo, através de um processo para colar temporariamente ambas as extremidades (ambos os bordos) dos materiais em forma de folha empilhados e um processo para alinhavar ambas as suas extremidades usando pontos em bruto. Mais especificamente, um ponto recto, no qual os lados da frente e de trás dos materiais em forma de folha empilhados são cosidos pode, por seu lado, ser mencionado com um exemplo. A colagem ou alinhavo temporário do material em forma de folha, tal como está descrito acima, é conduzidas tendo como objectivo a separação fácil de um material de reforço de sutura que será removido com uma lesão de um material de reforço de sutura que será deixado no corpo humano, quando a lesão é removida do corpo humano depois da zona afectada ter sido suturada e a lesão for retirada dos tecidos normais usando um dispositivo de sutura automática equipado com um material de reforço de sutura. 3

Claims (8)

  1. REIVINDICAÇÕES 1. Material de reforço de sutura tubular (4) para um dispositivo de sutura automática (10), no qual as duas extremidades de um ou de dois materiais em forma de folhas são cosidos utilizando um ponto de cadeia com um fio único para se obter uma configuração tubular, na qual se prolonga a dita uma ou as ditas duas pontas de fio a uma ou duas extremidades de costura (2) de forma adequada, e na qual se faz passar a ponta do fio prolongado através de um laço anterior (3) continuo à ponta do fio, para assim evitar o desfiamento de um fio (2) .
  2. 2/9 Fig. 3
    Fig. 4
    2. Material de reforço de sutura tubular (4) para um dispositivo de sutura automática (10) de acordo com a reivindicação 1, no qual a ponta do material de reforço se sutura é cosido de forma a obter-se uma configuração cónica ou é cosido para se obter uma configuração em forma de saco.
  3. 3/9 Fig. 5
    Fig. 6
    3. Material de reforço de sutura tubular (4) para um dispositivo de sutura automática (10) de acordo com as reivindicações 1 ou 2, no qual pelo menos uma porção do material em forma de folha é feito a partir de pelo menos um elemento escolhido de entre o grupo consistindo em materiais tricotados, materiais tecidos, tecidos não tecidos e filmes, o dito pelo menos um elemento sendo feito a partir de um material biodegradável e bioabsorvivel. 1
  4. 4/9 Fig.7
    Fig.8
    4. Material de reforço de sutura tubular (4) para um dispositivo de sutura automática (10) de acordo com a reivindicação 1, no qual o material em forma de folha e um material tricotado ou material tecido extensível são empilhados para se obter uma configuração tubular.
  5. 5/9
    5 1 1/9 Fig. 1
    Fig. 2
    5. Material de reforço de sutura tubular (4) para um dispositivo de sutura automática (10) de acordo com qualquer uma das reivindicações 1 a 4, no qual uma projecção (14) é formada na porção de extremidade de costura de um ou de dois materiais em forma de folha formando a configuração tubular.
  6. 6/9 Fig. 11 π ; i 4-4 i i u
    6. Material de reforço de sutura tubular (4) para um dispositivo de sutura automática (10) de acordo com qualquer uma das reivindicações 1 a 4, no qual as pontas do fio prolongadas na extremidade de costura (2) são atados para se obter uma configuração anular.
  7. 7/9 Fig. 12
    8/9
    7. Processo de fabrico de um material de reforço de sutura tubular (4) para um dispositivo de sutura automática (10), compreendendo: coser ambas as extremidades de um ou de dois materiais em forma de folha usando um ponto de cadeia com um fio único para se obter um material de reforço de sutura tubular (10), prolongar adequadamente uma ou duas pontas do fio numa ou duas extremidades de costura (2) e 2 fazer passar a ponta do fio prolongado através de um laço anterior (3) continuo à ponta do fio, evitando desta forma o desfiamento de um fio.
    8. Dispositivo de sutura automática (10) compreendendo uma cassete (11) contendo agrafos e uma estrutura (12) equipada com um rasgo de recepção de agrafes, no qual um material de reforço de sutura tubular (4) para um dispositivo de sutura automática (10) de acordo com qualquer uma das reivindicações 1 a 6 é encaixado na cassete (11) e / ou estrutura (12). Lisboa, 23 de Novembro de 2010. 3 RESUMO Material de reforço de sutura para dispositivo de sutura automática 0 presente invento refere-se a um material de reforço de sutura tubular adequado para utilização em dispositivos de sutura automática que são bastante usados em operações cirúrgicas, etc. Mais especificamente, o presente invento refere-se a um material de reforço de sutura tubular com o qual se obtém facilmente uma forma tubular para deste modo aumentar a sua produtividade, conseguindo-se uma remoção fácil do fio. 0 presente invento pretende ultrapassar as desvantagens, tal como o facto dos materiais em forma de folha unidos por adesão temporária convencional se separarem facilmente uns dos outros, e o facto do material de reforço de sutura tubular fabricado usando ponto recto exigir muito tempo e perícia, e a remoção do fio ser dificil dependendo do tipo de material em forma de folha, passo de costura, etc. Mais especificamente, o presente invento refere-se a um material de reforço de sutura tubular para um dispositivo de sutura automática, no qual ambas as extremidades de um ou dois materiais em forma de folha são cosidos usando um ponto de cadeia (ponto entrelaçado) com um fio único para se obter uma forma tubular, e uma ou as duas pontas do fio numa ou duas extremidades de costura são estendidas adequadamente.
  8. 8 9/9
PT04747929T 2003-07-17 2004-07-16 Material de reforço de sutura para dispositivo de sutura automática PT1647286E (pt)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
JP2003198240 2003-07-17

Publications (1)

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US (1) US8177797B2 (pt)
EP (1) EP1647286B1 (pt)
JP (2) JP4675237B2 (pt)
KR (2) KR20110007244A (pt)
CN (1) CN100444905C (pt)
AT (1) ATE482656T1 (pt)
DE (1) DE602004029366D1 (pt)
DK (1) DK1647286T3 (pt)
ES (1) ES2350912T3 (pt)
HK (1) HK1088567A1 (pt)
PT (1) PT1647286E (pt)
TW (1) TW200507885A (pt)
WO (1) WO2005007208A1 (pt)

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TW200507885A (en) 2005-03-01
WO2005007208A1 (ja) 2005-01-27
KR20110007244A (ko) 2011-01-21
JPWO2005007208A1 (ja) 2006-08-31
DK1647286T3 (da) 2010-11-29
HK1088567A1 (en) 2006-11-10
ATE482656T1 (de) 2010-10-15
CN1822865A (zh) 2006-08-23
US20060178683A1 (en) 2006-08-10
CN100444905C (zh) 2008-12-24
TWI300354B (pt) 2008-09-01
US8177797B2 (en) 2012-05-15
US20070049953A2 (en) 2007-03-01
EP1647286A4 (en) 2007-05-02
JP5241802B2 (ja) 2013-07-17
JP2011078799A (ja) 2011-04-21
JP4675237B2 (ja) 2011-04-20
ES2350912T3 (es) 2011-01-28
KR20060033913A (ko) 2006-04-20
EP1647286B1 (en) 2010-09-29
EP1647286A1 (en) 2006-04-19
KR101136114B1 (ko) 2012-04-17
DE602004029366D1 (de) 2010-11-11

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