RU2013145914A - Хирургические инструменты с блокируемым шарнирным концевым эффектором - Google Patents
Хирургические инструменты с блокируемым шарнирным концевым эффектором Download PDFInfo
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- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- 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
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- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B17/2909—Handles
- A61B2017/291—Handles the position of the handle being adjustable with respect to the shaft
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- A—HUMAN NECESSITIES
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- 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
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- A61B17/28—Surgical forceps
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- 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
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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
- A61B17/28—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
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Abstract
1. Хирургический инструмент, содержащий:удлиненный стержень, определяющий продольную ось;концевой эффектор, соединенный с указанным удлиненным стержнем с возможностью избирательного шарнирного перемещения относительно указанного удлиненного стержня, причем указанный концевой эффектор имеет по меньшей мере одну часть, выполненную с возможностью перемещения, которая реагирует на открывающие и закрывающие движения;закрывающий элемент, сопрягающийся с указанной по меньшей мере одной частью, выполненной с возможностью перемещения, указанного концевого эффектора для избирательного приложения к ней указанного закрывающего движения;систему управления шарнирным сочленением, функционально сопряженную с указанным концевым эффектором для приложения к нему шарнирных движений; исистему блокировки шарнирного поворота, сопряженную с указанной системой управления шарнирным сочленением и указанным закрывающим элементом, причем указанная система блокировки шарнирного поворота выполнена с возможностью перемещения из разблокированного положения, в котором указанная система управления шарнирным сочленением прикладывает указанные шарнирные движения к указанному концевому эффектору, в заблокированное положение, в котором указанная система блокировки шарнирного поворота предотвращает приложение указанной системой управления шарнирным сочленением указанных шарнирных движений к концевому эффектору при приложениизакрывающего движения к закрывающему элементу.2. Хирургический инструмент по п. 1, в котором указанная система управления шарнирным сочленением содержит конус, поддерживаемый относительно указ
Claims (20)
1. Хирургический инструмент, содержащий:
удлиненный стержень, определяющий продольную ось;
концевой эффектор, соединенный с указанным удлиненным стержнем с возможностью избирательного шарнирного перемещения относительно указанного удлиненного стержня, причем указанный концевой эффектор имеет по меньшей мере одну часть, выполненную с возможностью перемещения, которая реагирует на открывающие и закрывающие движения;
закрывающий элемент, сопрягающийся с указанной по меньшей мере одной частью, выполненной с возможностью перемещения, указанного концевого эффектора для избирательного приложения к ней указанного закрывающего движения;
систему управления шарнирным сочленением, функционально сопряженную с указанным концевым эффектором для приложения к нему шарнирных движений; и
систему блокировки шарнирного поворота, сопряженную с указанной системой управления шарнирным сочленением и указанным закрывающим элементом, причем указанная система блокировки шарнирного поворота выполнена с возможностью перемещения из разблокированного положения, в котором указанная система управления шарнирным сочленением прикладывает указанные шарнирные движения к указанному концевому эффектору, в заблокированное положение, в котором указанная система блокировки шарнирного поворота предотвращает приложение указанной системой управления шарнирным сочленением указанных шарнирных движений к концевому эффектору при приложении
закрывающего движения к закрывающему элементу.
2. Хирургический инструмент по п. 1, в котором указанная система управления шарнирным сочленением содержит конус, поддерживаемый относительно указанного удлиненного стержня таким образом, что указанный конус можно аксиально перемещаться в первом и втором аксиальном направлениях относительно указанного удлиненного стержня, и вращение указанного конуса вокруг указанной продольной оси приводит к вращению концевого эффектора вокруг указанной продольной оси, и причем указанная система управления шарнирным сочленением содержит узел шарнирного поворота, функционально сопряженный с указанным концевым эффектором и указанным конусом таким образом, что перемещение указанного конуса в указанном первом аксиальном направлении воздействует на указанный узел шарнирного поворота для приложения первого шарнирного движения к указанному концевому эффектору, и перемещение указанного конуса в указанном втором аксиальном направлении воздействует на указанный узел шарнирного поворота для приложения второго шарнирного движения к указанному концевому эффектору.
3. Хирургический инструмент по п. 2, в котором указанный узел шарнирного поворота содержит:
первый удлиненный шарнирный элемент, имеющий первый проксимальный конец и первый дистальный конец, причем первый дистальный конец функционально сопрягается с указанным концевым эффектором, и указанный первый проксимальный конец функционально сопрягается с указанным конусом; и
второй удлиненный шарнирный элемент, имеющий второй
проксимальный конец и второй дистальный конец, причем второй дистальный конец функционально сопрягается с указанным концевым эффектором и указанный второй проксимальный конец функционально сопрягается с указанным конусом.
4. Хирургический инструмент по п. 3, в котором указанная система блокировки шарнирного поворота содержит первый блокирующий элемент, сопрягающийся с возможностью перемещения с указанным закрывающим элементом и указанным первым удлиненным шарнирным элементом таким образом, что при приложении указанного закрывающего движения к указанному концевому эффектору указанным закрывающим элементом указанный первый блокирующий элемент перемещают в блокирующее зацепление с указанным первым удлиненным шарнирным элементом.
5. Хирургический инструмент по п. 4, в котором указанный концевой эффектор выполнен с возможностью шарнирного поворота в различные повернутые в шарнирном сочленении положения, и причем указанный первый удлиненный шарнирный элемент содержит множество первых блокирующих положений, соответствующих указанным различным повернутым в шарнирном сочленении положениям.
6. Хирургический инструмент по п. 5, в котором указанный первый блокирующий элемент содержит первый блокирующий шарик, поддерживаемый с возможностью перемещения между незафиксированным положением и указанным множеством зафиксированных положений.
7. Хирургический инструмент по п. 4, в котором указанная система блокировки шарнирного поворота дополнительно содержит второй блокирующий элемент, сопрягающийся с возможностью
перемещения с указанным закрывающим элементом и указанным вторым удлиненным шарнирным элементом таким образом, что при приложении указанного закрывающего движения к указанному концевому эффектору указанным закрывающим элементом указанный второй блокирующий элемент перемещают в блокирующее зацепление с указанным вторым удлиненным шарнирным элементом.
8. Хирургический инструмент по п. 7, в котором указанный второй удлиненный шарнирный элемент определяет множество вторых блокирующих положений, соответствующих указанному множеству указанных первых блокирующих положений.
9. Хирургический инструмент по п. 8, в котором указанный второй блокирующий элемент содержит второй блокирующий шарик, поддерживаемый с возможностью перемещения для передвижения между указанным закрывающим элементом и указанным вторым удлиненным шарнирным элементом, и причем указанное множество указанных вторых блокирующих положений содержит множество вторых блокирующих стопоров в указанном втором удлиненном шарнирном элементе для избирательного блокирующего зацепления с указанным вторым блокирующим шариком.
10. Хирургический инструмент по п. 1, в котором указанный концевой эффектор содержит хирургический режущий и сшивающий инструмент.
11. Хирургический инструмент, содержащий:
удлиненный стержень, образующий продольную ось;
концевой эффектор, соединенный с указанным удлиненным стержнем с возможностью избирательного шарнирного перемещения относительно указанного удлиненного стержня в различные
повернутые в шарнирном сочленении положения, причем указанный концевой эффектор имеет по меньшей мере одну часть, реагирующую с возможностью перемещения на открывающие и закрывающие движения;
закрывающий элемент, сопрягающийся с указанной по меньшей мере одной частью указанного концевого эффектора для приложения к ней указанного закрывающего движения при перемещении указанного закрывающего элемента в направлении закрытия и приложения к ней указанного открывающего движения при перемещении указанного закрывающего элемента в направлении открытия;
первый удлиненный шарнирный элемент, поддерживаемый с возможностью перемещения относительно указанного закрывающего элемента и выполненный с возможностью приложения первого шарнирного движения к указанному концевому эффектору, когда указанный первый удлиненный шарнирный элемент перемещают в первом направлении активации, и второго шарнирного движения к указанному концевому эффектору, когда указанный первый шарнирный элемент перемещают во втором направлении активации; и
блокирующий элемент, функционально сопрягающийся с указанным закрывающим элементом и указанным первым удлиненным шарнирным элементом таким образом, что при перемещении указанного закрывающего элемента в указанном направлении закрытия указанный блокирующий элемент входит в блокирующее зацепление с указанным первым удлиненным шарнирным элементом для предотвращения его перемещения в указанных первом и втором направлениях активации, а при перемещении указанного закрывающего элемента в указанном
направлении открытия указанный блокирующий элемент освобождает указанный первый шарнирный элемент т из зацепления и позволяет указанному первому шарнирному элементу перемещаться в указанных первом и втором направлениях активации.
12. Хирургический инструмент по п. 11, в котором указанный первый удлиненный шарнирный элемент определяет множество первых блокирующих положений, соответствующих указанным различным повернутым в шарнирном сочленении положениям.
13. Хирургический инструмент по п. 12, в котором указанный блокирующий элемент содержит первый блокирующий шарик, поддерживаемый с возможностью перемещения для радиального передвижения между указанным закрывающим элементом и указанным первым удлиненным шарнирным элементом, и причем указанное множество блокирующих положений содержит множество первых блокирующих стопоров в указанном первом удлиненном шарнирном элементе для избирательного блокирующего зацепления с указанным первым блокирующим шариком.
14. Хирургический инструмент по п. 11, дополнительно содержащий:
второй удлиненный шарнирный элемент, поддерживаемый с возможностью перемещения относительно указанного закрывающего элемента; и
второй блокирующий элемент, функционально сопрягающийся с указанным закрывающим элементом и указанным вторым удлиненным шарнирным элементом таким образом, что при перемещении указанного закрывающего элемента в указанном направлении закрытия указанный второй блокирующий элемент входит в
блокирующее зацепление с указанным вторым удлиненным шарнирным элементом для предотвращения его перемещения, а при перемещении указанного закрывающего элемента в указанном направлении открытия указанный второй блокирующий элемент освобождает указанный второй шарнирный элемент из зацепления и позволяет указанному второму шарнирному элементу перемещаться.
15. Хирургический инструмент по п. 14, в котором указанный первый удлиненный шарнирный элемент содержит множество первых блокирующих положений, соответствующих указанным различным повернутым в шарнирном сочленении положениям, и причем указанный второй удлиненный шарнирный элемент содержит множество вторых блокирующих положений, соответствующих указанному множеству указанных первых блокирующих положений.
16. Хирургический инструмент по п. 15, в котором указанный блокирующий элемент содержит первый блокирующих шарик, поддерживаемый с возможностью перемещения для радиального передвижения между указанным закрывающим элементом и указанным первым удлиненным шарнирным элементом, и причем указанное множество блокирующих положений содержит множество первых блокирующих стопоров в указанном первом удлиненном шарнирном элементе для избирательного блокирующего зацепления с указанным первым блокирующим шариком, и причем указанный второй блокирующий элемент содержит второй блокирующий шарик, поддерживаемый с возможностью перемещения для радиального передвижения между указанным закрывающим элементом и указанным вторым удлиненным шарнирным элементом, и причем указанное множество указанных вторых блокирующих положений содержит
множество вторых блокирующих стопоров в указанном втором удлиненном шарнирном элементе для избирательного блокирующего зацепления с указанным вторым блокирующим шариком.
17. Хирургический инструмент по п. 11, в котором указанный концевой эффектор содержит хирургический режущий и сшивающий инструмент.
18. Способ управления хирургическим инструментом, содержащий:
обеспечение хирургического инструмента, имеющего концевой эффектор, имеющий по меньшей мере часть, реагирующую на открывающие и закрывающие движения, и выполненного с возможностью шарнирного поворота вокруг продольной оси в множество повернутых в шарнирном сочленении положений в ответ на шарнирные движения;
приложение шарнирного движения к концевому эффектору для шарнирного поворота концевого эффектора в одно из повернутых в шарнирном сочленении положений; и
приложение закрывающего движения к концевому эффектору таким образом, что при приложении указанного закрывающего движения концевой эффектор остается в повернутом в шарнирном сочленении положении.
19. Способ по п. 18, дополнительно содержащий:
приложение открывающего движения к концевому эффектору;
приложение другого шарнирного движения к концевому эффектору для шарнирного поворота концевого эффектора в другое одно из повернутых в шарнирном сочленении положений;
приложение закрывающего движения к концевому эффектору таким
образом, что при приложении указанного закрывающего движения концевой эффектор остается в другом повернутом в шарнирном сочленении положении.
20. Способ по п. 18, в котором хирургический инструмент имеет рукоятку, которая функционально поддерживает закрывающий спусковой механизм для приложения закрывающих движений и систему шарнирного поворота для приложения шарнирных движений, причем указанный способ дополнительно содержит:
захват рукоятки одной рукой;
активацию системы шарнирного поворота той же рукой, которая удерживает рукоятку; и
активацию закрывающего спускового механизма той же рукой, которая удерживает рукоятку.
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US13/048,566 US8857693B2 (en) | 2011-03-15 | 2011-03-15 | Surgical instruments with lockable articulating end effector |
| US13/048,566 | 2011-03-15 | ||
| PCT/US2012/028894 WO2012125618A1 (en) | 2011-03-15 | 2012-03-13 | Surgical instruments with lockable articulating end effector |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| RU2013145914A true RU2013145914A (ru) | 2015-04-20 |
| RU2593358C2 RU2593358C2 (ru) | 2016-08-10 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| RU2013145914/14A RU2593358C2 (ru) | 2011-03-15 | 2012-03-13 | Хирургические инструменты с блокируемым шарнирным концевым эффектором |
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| Country | Link |
|---|---|
| US (1) | US8857693B2 (ru) |
| EP (1) | EP2685917B1 (ru) |
| JP (1) | JP5989686B2 (ru) |
| CN (1) | CN103458809B (ru) |
| AU (1) | AU2012230042B2 (ru) |
| BR (1) | BR112013023731B1 (ru) |
| CA (1) | CA2829810C (ru) |
| RU (1) | RU2593358C2 (ru) |
| WO (1) | WO2012125618A1 (ru) |
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| US8608046B2 (en) | 2010-01-07 | 2013-12-17 | Ethicon Endo-Surgery, Inc. | Test device for a surgical tool |
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-
2011
- 2011-03-15 US US13/048,566 patent/US8857693B2/en active Active
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2012
- 2012-03-13 RU RU2013145914/14A patent/RU2593358C2/ru not_active IP Right Cessation
- 2012-03-13 AU AU2012230042A patent/AU2012230042B2/en not_active Ceased
- 2012-03-13 EP EP12711722.4A patent/EP2685917B1/en active Active
- 2012-03-13 CN CN201280012791.9A patent/CN103458809B/zh active Active
- 2012-03-13 WO PCT/US2012/028894 patent/WO2012125618A1/en active Application Filing
- 2012-03-13 JP JP2013558107A patent/JP5989686B2/ja active Active
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- 2012-03-13 CA CA2829810A patent/CA2829810C/en not_active Expired - Fee Related
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| Publication number | Publication date |
|---|---|
| AU2012230042A1 (en) | 2013-09-12 |
| JP2014515636A (ja) | 2014-07-03 |
| BR112013023731B1 (pt) | 2021-04-27 |
| US8857693B2 (en) | 2014-10-14 |
| CN103458809B (zh) | 2016-03-30 |
| JP5989686B2 (ja) | 2016-09-07 |
| CA2829810A1 (en) | 2012-09-20 |
| EP2685917A1 (en) | 2014-01-22 |
| CA2829810C (en) | 2019-03-19 |
| CN103458809A (zh) | 2013-12-18 |
| EP2685917B1 (en) | 2019-08-14 |
| WO2012125618A1 (en) | 2012-09-20 |
| BR112013023731A2 (pt) | 2016-12-13 |
| AU2012230042B2 (en) | 2016-03-31 |
| RU2593358C2 (ru) | 2016-08-10 |
| US20120234893A1 (en) | 2012-09-20 |
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