RU2018111440A - Конфигурации хирургических скоб с кулачковыми поверхностями, размещенными между участками, поддерживающими хирургические скобы - Google Patents
Конфигурации хирургических скоб с кулачковыми поверхностями, размещенными между участками, поддерживающими хирургические скобы Download PDFInfo
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- 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
- A61B2017/07214—Stapler heads
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- A—HUMAN NECESSITIES
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Claims (50)
1. Выталкиватель хирургических скоб, выполненный для применения с кассетой с хирургическими скобами, который функционально взаимодействует с кулачковым элементом хирургического инструмента, выполненным с возможностью перемещения по первой кулачковой оси, причем указанный выталкиватель хирургических скоб содержит:
корпус выталкивателя, поддерживаемый с возможностью скольжения в кассете с хирургическими скобами;
кулачковую поверхность на указанном корпусе выталкивателя, ориентированную для кулачкового взаимодействия с кулачковым элементом хирургического инструмента по первой кулачковой оси, когда указанный корпус выталкивателя поддерживается с возможностью скольжения в кассете с хирургическими скобами; и
поддерживающий скобу участок, выполненный с возможностью функционального поддержания по меньшей мере одной хирургической скобы относительно указанной кулачковой поверхности таким образом, чтобы кулачковый элемент проходил поперечно под частью короны по меньшей мере одной из указанной по меньшей мере одной хирургической скобы, поддерживаемой на указанном поддерживающем скобу участке, когда кулачковый элемент зацепляет указанную кулачковую поверхность.
2. Выталкиватель хирургических скоб по п. 1, в котором каждая из по меньшей мере одной хирургической скобы, поддерживаемой на указанном поддерживающем скобу участке, содержит:
проксимальную ножку, выступающую из короны скобы; и
дистальную ножку, выступающую из короны скобы, и при этом указанный поддерживающий скобу участок поддерживает по меньшей мере одну хирургическую скобу относительно указанной кулачковой поверхности таким образом, чтобы кулачковый элемент не был совмещен по оси с проксимальными и дистальными ножками каких-либо хирургических скоб, поддерживаемых на поддерживающем скобу участке, когда кулачковый элемент зацепляет кулачковую поверхность.
3. Кассета с хирургическими скобами по п. 2, в которой указанный поддерживающий скобу участок содержит:
первый поддерживающий скобу участок, выполненный с возможностью функционального поддержания первой хирургической скобы, причем первая хирургическая скоба содержит первую корону скобы, первую дистальную ножку, выступающую из конца первой короны скобы, и первую проксимальную ножку, выступающую из другого конца первой короны скобы, причем указанный первый поддерживающий скобу участок функционально поддерживает первую корону скобы по первой оси основания, расположенной поперечно относительно первой кулачковой оси, и содержит:
первую проксимальную опорную стойку, выполненную с возможностью поддержания первой проксимальной ножки первой хирургической скобы; и
первую дистальную опорную стойку, выполненную с возможностью поддержания первой дистальной ножки первой хирургической скобы, причем указанная кулачковая поверхность ориентирована относительно указанной первой проксимальной опорной стойки и указанной первой дистальной опорной стойки таким образом, чтобы кулачковый элемент проходил между указанной первой проксимальной опорной стойкой и указанной первой дистальной опорной стойкой, когда кулачковый элемент зацепляет указанную кулачковую поверхность.
4. Выталкиватель хирургических скоб по п. 3, в котором указанный поддерживающий скобу участок дополнительно содержит второй поддерживающий скобу участок, выполненный с возможностью функционального поддержания второй хирургической скобы, причем вторая хирургическая скоба содержит вторую корону скобы, вторую дистальную ножку, выступающую из конца второй короны скобы, и вторую проксимальную ножку, выступающую из другого конца второй короны скобы, причем указанный второй поддерживающий скобу участок содержит:
вторую проксимальную опорную стойку, выполненную с возможностью поддержания второй проксимальной ножки; и
вторую дистальную опорную стойку, выполненную с возможностью поддержания второй дистальной ножки.
5. Выталкиватель хирургических скоб по п. 4, в котором указанный второй поддерживающий скобу участок функционально поддерживает вторую корону скобы по второй оси основания, расположенной поперечно относительно первой оси основания.
6. Выталкиватель хирургических скоб по п. 4, в котором указанный поддерживающий скобу участок функционально поддерживает вторую корону скобы по второй оси основания, которая параллельна указанной первой оси основания.
7. Выталкиватель хирургических скоб по п. 1, причем хирургический инструмент содержит второй выполненный с возможностью перемещения по оси кулачковый элемент, и при этом указанный поддерживающий скобу участок дополнительно содержит вторую кулачковую поверхность, ориентированную для кулачкового зацепления со вторым выполненным с возможностью перемещения по оси кулачковым элементом.
8. Выталкиватель хирургических скоб по п. 4, причем хирургический инструмент содержит второй выполненный с возможностью перемещения по оси кулачковый элемент, и при этом указанный поддерживающий скобу участок дополнительно содержит вторую кулачковую поверхность, ориентированную для кулачкового зацепления со вторым выполненным с возможностью перемещения по оси кулачковым элементом.
9. Выталкиватель хирургических скоб по п. 8, в котором указанная вторая кулачковая поверхность ориентирована относительно указанного второго поддерживающего скобу участка таким образом, чтобы второй кулачковый элемент проходил между указанной второй проксимальной опорной стойкой и указанной второй дистальной опорной стойкой, когда второй кулачковый элемент зацепляет указанную вторую кулачковую поверхность.
10. Выталкиватель хирургических скоб по п. 3, в котором указанный корпус выталкивателя поддерживается с возможностью скольжения между первым участком стенки кассеты и вторым участком стенки кассеты, и при этом одна из указанной первой проксимальной опорной стойки и указанной первой дистальной опорной стойки входит с возможностью скольжения в соответствующий паз стенки в одном из первого и второго участков стенки кассеты.
11. Выталкиватель хирургических скоб по п. 10, в котором кассета с хирургическими скобами дополнительно содержит по меньшей мере одну направляющую выталкивателя, и при этом одна из указанной первой проксимальной опорной стойки и указанной первой дистальной опорной стойки поддерживается с возможностью скольжения внутри указанного соответствующего паза стенки, а другая из указанной первой проксимальной опорной стойки и указанной первой дистальной опорной стойки поддерживается с возможностью скольжения внутри соответствующего направляющего паза в указанной по меньшей мере одной направляющей выталкивателя.
12. Выталкиватель хирургических скоб по п. 11, в котором кассета с хирургическими скобами имеет высоту кассеты, и при этом паз стенки проходит по высоте кассеты, и при этом указанная по меньшей мере одна направляющая выталкивателя имеет высоту направляющей, и при этом указанный соответствующий направляющий паз имеет длину паза, которая равна высоте направляющей.
13. Выталкиватель хирургических скоб по п. 12, в котором высота кассеты и высота направляющей равны.
14. Выталкиватель хирургических скоб по п. 4, в котором указанный поддерживающий скобу участок дополнительно содержит третий поддерживающий скобу участок, выполненный с возможностью функционального поддержания третьей хирургической скобы, причем третья хирургическая скоба содержит третью корону скобы, третью проксимальную ножку, выступающую из конца третьей короны скобы, и третью проксимальную ножку, выступающую из другого конца третьей короны скобы, причем указанный третий поддерживающий скобу участок содержит:
третью проксимальную опорную стойку, выполненную с возможностью поддержания третьей проксимальной ножки; и
третью дистальную опорную стойку, выполненную с возможностью поддержания третьей дистальной ножки.
15. Выталкиватель хирургических скоб по п. 14, в котором указанный третий поддерживающий скобу участок дополнительно содержит вторую кулачковую поверхность, ориентированную относительно указанной третьей проксимальной опорной стойки и указанной третьей дистальной опорной стойки таким образом, чтобы соответствующий участок кулачкового элемента проходил между указанной третьей проксимальной опорной стойкой и указанной третьей дистальной опорной стойкой, когда соответствующий участок кулачкового элемента зацепляет вторую кулачковую поверхность.
16. Выталкиватель хирургических скоб по п. 14, в котором указанный третий поддерживающий скобу участок функционально поддерживает третью корону скобы по третьей оси основания, которая параллельна указанной первой оси основания.
17. Выталкиватель хирургических скоб по п. 14, в котором указанный поддерживающий скобу участок дополнительно содержит четвертый поддерживающий скобу участок, выполненный с возможностью функционального поддержания четвертой хирургической скобы, причем четвертая хирургическая скоба содержит четвертую корону скобы, четвертую дистальную ножку, выступающую из конца четвертой короны скобы, и четвертую проксимальную ножку, выступающую из другого конца четвертой короны скобы, причем указанный четвертый поддерживающий скобу участок содержит:
четвертую проксимальную опорную стойку, выполненную с возможностью поддержания четвертой проксимальной ножки; и
четвертую дистальную опорную стойку, выполненную с возможностью поддержания четвертой дистальной ножки.
18. Выталкиватель хирургических скоб по п. 17, в котором указанный четвертый поддерживающий скобу участок дополнительно содержит вторую кулачковую поверхность, ориентированную относительно указанной четвертой проксимальной опорной стойки и указанной четвертой дистальной опорной стойки таким образом, чтобы соответствующий участок кулачкового элемента проходил между указанной четвертой проксимальной опорной стойкой и указанной четвертой дистальной опорной стойкой, когда соответствующий участок кулачкового элемента зацепляет указанную вторую кулачковую поверхность.
19. Выталкиватель хирургических скоб по п. 17, в котором указанный поддерживающий скобу участок дополнительно содержит пятый поддерживающий скобу участок, выполненный с возможностью функционального поддержания пятой хирургической скобы, причем пятая хирургическая скоба содержит пятую корону скобы, пятую проксимальную ножку, выступающую из конца пятой короны скобы, и пятую проксимальную ножку, выступающую из другого конца пятой короны скобы, причем указанный пятый поддерживающий скобу участок содержит:
пятую проксимальную опорную стойку, выполненную с возможностью поддержания пятой проксимальной ножки; и
пятую дистальную опорную стойку, выполненную с возможностью поддержания пятой дистальной ножки.
20. Выталкиватель хирургических скоб по п. 19, причем указанный пятый поддерживающий скобу участок дополнительно содержит вторую кулачковую поверхность, ориентированную относительно указанной пятой проксимальной опорной стойки и указанной пятой дистальной опорной стойки таким образом, чтобы соответствующий участок кулачкового элемента проходил между указанной пятой проксимальной опорной стойкой и указанной пятой дистальной опорной стойкой, когда соответствующий участок кулачкового элемента зацепляет указанную вторую кулачковую поверхность.
21. Выталкиватель хирургических скоб, содержащий:
корпус выталкивателя, выполненный с возможностью поддержания с возможностью скольжения в кассете с хирургическими скобами;
поддерживающий скобу участок, выполненный с возможностью функционального поддержания хирургической скобы, причем хирургическая скоба содержит корону скобы, проксимальную ножку, выступающую из конца короны скобы, и дистальную ножку, выступающую из другого конца короны скобы, причем указанный поддерживающий скобу участок содержит:
проксимальную опорную стойку, выполненную с возможностью поддержания проксимальной ножки; и
дистальную опорную стойку, выполненную с возможностью поддержания дистальной ножки,
при этом указанный корпус выталкивателя дополнительно содержит по меньшей мере одну кулачковую поверхность, проходящую по кулачковой оси, которая проходит поперечно между указанными проксимальной и дистальной опорными стойками.
22. Кассета с хирургическими скобами, содержащая:
корпус кассеты, содержащий:
первый участок стенки кассеты; и
второй участок стенки кассеты,
при этом указанная кассета с хирургическими скобами дополнительно содержит по меньшей мере один выталкиватель скоб, поддерживаемый с возможностью скольжения между указанным первым участком стенки кассеты и указанным вторым участком стенки кассеты, причем указанный по меньшей мере один выталкиватель скоб содержит:
корпус выталкивателя, выполненный с возможностью функционального поддержания по меньшей мере одной хирургической скобы, причем хирургическая скоба содержит корону скобы, проксимальную ножку, выступающую из одного конца короны скобы, и дистальную ножку, выступающую из другого конца короны скобы, причем указанный корпус выталкивателя содержит:
проксимальную опорную стойку, выполненную с возможностью поддержания проксимальной ножки; и
дистальную опорную стойку, выполненную с возможностью поддержания дистальной ножки, причем по меньшей мере одна из указанных проксимальной и дистальной опорных стоек поддерживается с возможностью скольжения в одном из указанных первом и втором участках стенки, и при этом указанный корпус выталкивателя содержит по меньшей мере одну кулачковую поверхность, проходящую по кулачковой оси, которая проходит поперечно между указанными проксимальной и дистальной опорными стойками.
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| Publication Number | Publication Date |
|---|---|
| RU2018111440A true RU2018111440A (ru) | 2019-10-02 |
| RU2018111440A3 RU2018111440A3 (ru) | 2020-04-03 |
| RU2732964C2 RU2732964C2 (ru) | 2020-09-25 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| RU2018111243A RU2727247C2 (ru) | 2015-09-02 | 2016-08-31 | Кассета с хирургическими скобами с улучшенными конфигурациями выталкивателей скоб |
| RU2018111440A RU2732964C2 (ru) | 2015-09-02 | 2016-08-31 | Конфигурации хирургических скоб с кулачковыми поверхностями, размещенными между участками, поддерживающими хирургические скобы |
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| Application Number | Title | Priority Date | Filing Date |
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| RU2018111243A RU2727247C2 (ru) | 2015-09-02 | 2016-08-31 | Кассета с хирургическими скобами с улучшенными конфигурациями выталкивателей скоб |
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| Country | Link |
|---|---|
| US (7) | US10172619B2 (ru) |
| EP (6) | EP3138514B1 (ru) |
| JP (5) | JP6855454B2 (ru) |
| CN (5) | CN108348247B (ru) |
| BR (1) | BR112018003947B1 (ru) |
| MX (3) | MX2018002634A (ru) |
| RU (2) | RU2727247C2 (ru) |
| WO (5) | WO2017040595A1 (ru) |
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