RU2006133127A - Устройство для наложения клипс с возможностями сопротивления смещению - Google Patents

Устройство для наложения клипс с возможностями сопротивления смещению Download PDF

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RU2006133127A
RU2006133127A RU2006133127/14A RU2006133127A RU2006133127A RU 2006133127 A RU2006133127 A RU 2006133127A RU 2006133127/14 A RU2006133127/14 A RU 2006133127/14A RU 2006133127 A RU2006133127 A RU 2006133127A RU 2006133127 A RU2006133127 A RU 2006133127A
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clips
guide
clip
pusher
applying surgical
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RU2006133127/14A
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English (en)
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RU2433792C2 (ru
Inventor
Томас В. ХЬЮТЕМА (US)
Томас В. ХЬЮТЕМА
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Этикон Эндо-Серджери, Инк. (Us)
Этикон Эндо-Серджери, Инк.
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Application filed by Этикон Эндо-Серджери, Инк. (Us), Этикон Эндо-Серджери, Инк. filed Critical Этикон Эндо-Серджери, Инк. (Us)
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/128—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips
    • A61B17/1285—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips for minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/10—Surgical instruments, devices or methods, e.g. tourniquets for applying or removing wound clamps, e.g. containing only one clamp or staple; Wound clamp magazines
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/122—Clamps or clips, e.g. for the umbilical cord
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/128—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • 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
    • 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
    • A61B90/03—Automatic limiting or abutting means, e.g. for safety
    • A61B2090/032—Automatic limiting or abutting means, e.g. for safety pressure limiting, e.g. hydrostatic
    • 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
    • Y10S—TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10S227/00—Elongated-member-driving apparatus
    • Y10S227/901—Surgical clip appliers

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Reproductive Health (AREA)
  • Vascular Medicine (AREA)
  • Surgical Instruments (AREA)
  • Adhesives Or Adhesive Processes (AREA)
  • Medicines Containing Antibodies Or Antigens For Use As Internal Diagnostic Agents (AREA)
  • Dental Preparations (AREA)
  • Gripping Jigs, Holding Jigs, And Positioning Jigs (AREA)
  • Discharging, Photosensitive Material Shape In Electrophotography (AREA)
  • Loading And Unloading Of Fuel Tanks Or Ships (AREA)

Claims (22)

1. Усовершенствованное эндоскопическое устройство для наложения хирургических клипс, содержащее зажимы, которые смыкаются для сближения тканей, подлежащих клиппированию, и выдвигающий клипсы узел, предназначенный для последовательного выдвижения множества клипс в зажимы, при этом усовершенствованное устройство содержит участок выдвигающего клипсы узла, содержащий механизм толкателя, который расположен в направляющей клипс и может перемещаться к зажимам для выдвижения множества клипс последовательно в зажимы, причем механизм толкателя выполнен с возможностью создания трения c направляющей клипс для предотвращения непреднамеренного смещения механизма толкателя в направляющей клипс и выполнен с возможностью перемещения, когда выдвигающий клипсы узел приводят в действие для выдвижения механизма толкателя в дистальном направлении.
2. Эндоскопическое устройство для наложения хирургических клипс по п.1, в котором механизм толкателя содержит выступ, выполненный на данном механизме и находящийся в контакте с направляющей клипс для создания трения с направляющей клипс.
3. Эндоскопическое устройство для наложения хирургических клипс по п.1, в котором механизм толкателя содержит отклоняемую лапку, выполненную на данном механизме и поджатую к направляющей клипс для создания трения с направляющей клипс.
4. Эндоскопическое устройство для наложения хирургических клипс по п.3, в котором отклоняемая лапка содержит отбортованный выступ, выполненный на данной лапке и предназначенный для зацепления соответствующего уступа, выполненного в направляющей клипс.
5. Эндоскопическое устройство для наложения хирургических клипс по п.1, в котором механизм толкателя имеет консольную конфигурацию для создания трения с направляющей клипс.
6. Эндоскопическое устройство для наложения хирургических клипс по п.1, в котором направляющая клипс содержит опорную поверхность с противостоящими боковыми стенками, продолжающимися вдоль данной направляющей, и в котором механизм толкателя расположен с возможностью скольжения между противостоящими боковыми стенками.
7. Эндоскопическое устройство для наложения хирургических клипс по п. 6, в котором противостоящие боковые стенки поджимают механизм толкателя с прогибом до, по существу, V-образного сечения.
8. Устройство для наложения хирургических клипс, содержащее
корпус со спусковым рычагом, соединенным с возможностью перемещения с данным корпусом, и стержень, продолжающийся из данного корпуса, с противостоящими зажимами, выполненными на дистальном конце данного стержня;
направляющую клипс, продолжающуюся через стержень и выполненную с возможностью вмещения множества клипс; и подающий ползун, расположенный с возможностью скольжения в направляющей клипс и предназначенный для выдвижения множества клипс по направляющей клипс, при этом подающий ползун выполнен с возможностью создания трения по направляющей клипс для сопротивления непреднамеренному перемещению подающего ползуна.
9. Устройство для наложения хирургических клипс по п.8, в котором подающий ползун содержит, по меньшей мере, один выступ, выполненный на данном ползуне и находящийся в контакте с направляющей клипс для создания трения по направляющей клипс.
10. Устройство для наложения хирургических клипс по п.8, в котором подающий ползун содержит отклоняемую лапку, выполненную на данном ползуне и поджатую к направляющей клипс для создания трения по направляющей клипс.
11. Устройство для наложения хирургических клипс по п.10, в котором отклоняемая лапка содержит отбортованный выступ, выполненный на данной лапке и предназначенный для зацепления соответствующего уступа, выполненного в направляющей клипс.
12. Устройство для наложения хирургических клипс по п.10, в котором направляющая клипс содержит, по меньшей мере, выступ поверхности, выполненный на данной направляющей и предназначенный для зацепления с отклоняемой лапкой на подающем ползуне.
13. Устройство для наложения хирургических клипс по п.8, в котором подающий ползун имеет консольную конфигурацию для создания трения c направляющей клипс.
14. Устройство для наложения хирургических клипс по п.8, в котором направляющая клипс содержит опорную поверхность с противостоящими боковыми стенками, продолжающимися вдоль данной направляющей, и в котором подающий ползун расположен с возможностью скольжения между противостоящими боковыми стенками.
15. Устройство для наложения хирургических клипс по п.14, в котором противостоящие боковые стенки поджимают подающий ползун с прогибом до, по существу, V-образного сечения.
16. Устройство для наложения хирургических клипс, содержащее корпус; стержень, продолжающийся из корпуса; первый и второй зажимы, выполненные на дистальном конце стержня и предназначенные для вмещения ткани между ними; направляющую клипс, продолжающуюся через стержень и выполненную с возможностью вмещения множества клипс; и толкатель клипса, расположенный в направляющей клипс и предназначенный для выдвижения множества клипс по направляющей клипс и в первый и второй зажимы, при этом толкатель клипс поджат в направляющей клипс так, что перемещение толкателя клипс не допускается, пока к толкателю клипс не приложено усилие, которое больше, чем поджимное усилие, создаваемое между толкателем клипс и направляющей клипс.
17. Устройство для наложения хирургических клипс по п.16, в котором толкатель клипс содержит поджимной механизм, выполненный на нем и предназначенный для поджима толкателя клипс в направляющей клипс.
18. Устройство для наложения хирургических клипс по п.17, в котором поджимной механизм содержит выступ, выполненный на толкателе клипс.
19. Устройство для наложения хирургических клипс по п.17, в котором поджимной механизм содержит отклоняемую лапку, выполненную на толкателе клипс.
20. Устройство для наложения хирургических клипс по п.16, в котором толкатель клипс имеет ширину, которая больше ширины направляющей клипс, так, что толкатель клипс поджат в направляющей клипс.
21. Устройство для наложения хирургических клипс по п.16, в котором направляющая клипс выполнена с размерами для деформирования толкателя клипс, для создания поджимного усилия между направляющей клипс и толкателем клипс.
22. Устройство для наложения хирургических клипс по п.16, в котором толкатель клипс выполнен с возможностью прогиба направляющей клипс от, по существу, V-образного профиля до, по существу, плоского профиля.
RU2006133127/14A 2005-09-15 2006-09-14 Устройство для наложения клипс с возможностями сопротивления смещению RU2433792C2 (ru)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US11/162,584 US7740641B2 (en) 2005-04-14 2005-09-15 Clip applier with migrational resistance features
US11/162,584 2005-09-15

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RU2006133127A true RU2006133127A (ru) 2008-03-20
RU2433792C2 RU2433792C2 (ru) 2011-11-20

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US (5) US7740641B2 (ru)
EP (1) EP1764044B2 (ru)
JP (1) JP5089944B2 (ru)
KR (1) KR101283901B1 (ru)
CN (1) CN1994236A (ru)
AT (1) ATE430520T1 (ru)
AU (1) AU2006213959B2 (ru)
BR (1) BRPI0604714B8 (ru)
CA (1) CA2560359C (ru)
DE (1) DE602006006627D1 (ru)
HK (1) HK1104438A1 (ru)
MX (1) MXPA06010632A (ru)
RU (1) RU2433792C2 (ru)
SG (1) SG131067A1 (ru)

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US20170273689A1 (en) 2017-09-28
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RU2433792C2 (ru) 2011-11-20
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US10639045B2 (en) 2020-05-05
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US20060235442A1 (en) 2006-10-19
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US20100249804A1 (en) 2010-09-30
US7740641B2 (en) 2010-06-22
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EP1764044B2 (en) 2016-10-19
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US20140343578A1 (en) 2014-11-20
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