SU566574A1 - Аппарат дл наложени линейного скобочного шва на органы и ткани - Google Patents
Аппарат дл наложени линейного скобочного шва на органы и тканиInfo
- Publication number
- SU566574A1 SU566574A1 SU7502130062A SU2130062A SU566574A1 SU 566574 A1 SU566574 A1 SU 566574A1 SU 7502130062 A SU7502130062 A SU 7502130062A SU 2130062 A SU2130062 A SU 2130062A SU 566574 A1 SU566574 A1 SU 566574A1
- Authority
- SU
- USSR - Soviet Union
- Prior art keywords
- pushers
- bracket
- feeding
- housing
- organs
- Prior art date
Links
Classifications
-
- 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
- A61B17/072—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
- A61B17/07207—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 the staples being applied sequentially
-
- 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
- A61B17/072—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
- A61B2017/0725—Stapler heads with settable gap between anvil and cartridge, e.g. for different staple heights at different shots
-
- 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
- A61B17/072—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
- A61B2017/07285—Stapler heads characterised by its cutter
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Description
толкателей 5, укрепленный в скобочном корпусе /; гайку 14.
Скобочный Корпус / имеет корытообразное сечение, на внутренней стороне которого прорезаны наклонные пазы б. На переднем копце корпуса выполнено гнездо 8 дл ограничени выползани ткани на зону шва при выборе зазора прошивани . На выступе 15 установлены бобышки 16 дл смыкани с упорным корпусом. Внутри корпуса I располол ены стойки 17, служаш,ие дл удержани сменных магазинов 3. На заднем конце корпуса выбран паз г дл зацеплени с кольцевой проточкой 18 гайки 14.
Вдоль упорного корпуса 7 прорезан паз д под запорную планку 12. Этот паз в.скрыт частично со- стороны матрицы (на некотором прот жении от шарнира 5) и с противоположной стороны - на некотором прот жении от переднего конца упорного корпуса и от шарнира 9. На боковых стенках упорного корпуса 7 выполнены пазы 19 дл проходов бобышек 16 скобочного ко-рпуса /. В центре упорного корпуса 7 (фиг. 1 и 2) выбрано гнездо дл размещени см енной эластичной подложки 20.
Приспособление 10 подачи толкателей 5 выполнено в виде стержн 21, вдоль которого диаметрально противоположно прорезаны пазы е, имеющие выходы 22, и на конце которого-нарезана резьба под гайку 14. На стержне 21 (фпг. 3) укреплены три пластинчатых клина 23. На среднем пластинчатом клине установлен дисковый пож 11с возможностью вращени вокруг своей оси.
Направл ющий захват 13 приспособлени подачи толкателей в скобочном корпусе (фиг. 1 и фиг. 4) представл ет собой плоскую подковообразную пружину с бобыщками 24 на боковых стенках, наход щимис в пазах стержн 21. Запорна планка 12, подвижно укрепленна в пазах д, имеет коробчатую часть 25 с упором 26, выступы 27 и два пластинчатых клина 28, располол еииых в пазу д упорного корпуса 7.
Аппарат работает следующим образом.
С помощью упора 26 запорную планку 12 отвод т в сторону гайки 14. При этом выступы 27 запорной планки 12, скольз по наклонным пазам б скобочного корпуса /, заставл ют упорный корпус 7 вращатьс вокруг шарнира 9. Передний конец упорного корпуса 7 отходит от переднего конца скобочного корпуса /, освобожда гнездо е; аппарат раскрыт . Сменные магазины- извлекают из аппарата , зар жают П-образными скобами и став т «а место. Обратным движением запорной .планки 12 аппарат закрывают и в таком виде стерилизуют.
При операции аппарат ввод т в узкую и глубокую раиу в закрытом виде и, подвед его к органу, раскрывают. Ущиваемый орган располагают в гнезде в скобочного корпуса /. Запорную планку 12 за упор 26 продвигают вдоль упорного корпуса 7 в сторону его переднего Ко.нца. При этом выступы 27 скольз по наклонным пазам б скобочного корпуса 1, заставл упорный корпус 7 вращатьс вокруг щарнира 9 и сближа передний конец упорного корпуса 7 с передним концом скобочного корпуса 1. Дальнейшее продвижение запорной планки 12 приводит к тому, что бобь щки 16 г.кобочаого корпуса / вход т в боковые пазы 19 упорного корпуса 7. В это врем пластинчатые клинь 28 запорной планки 12 подход т под бобышки 16, запира передние концы упорного и скобочного корпусов аппарата.
Ткань сжимаетс поверхност ми магазина 3 и матрицы 8 до зазора прошивани . Врг.щением гайки 14 (котора своей кольцевой проточкой 18 сидит в пазу г скобочного корп са /) приспособление 10 подачи толкателей подаетс в сторону переднего конца скобочного корпуса. Пластинчатые 23 воздействуют на упоры 6 толкателей 5, при этом клинь располагаютс между продольным выступом 4 магазина 5 и упором 6 толкател 5 (фиг. 5).
Усилие прошивани через упор 6 передаетс па пластинчатые клинь 23 и далее на продольные выступы 4 магазинов 5, т. е. усили от прошивани замыкаютс на самих магазинах . Магазины остаютс неподвижными относительно скобочного корпуса. При отсутствии выступов 4 они могли бы сдвигатьс в сторону ущиваемой ткани, особенно при заедании толкателей.
При движении клиньев 23 вдоль аппарата толкатели 5 перемещаютс вдоль скобочного паза а магазина 3, выталкива скобки, которые своими ножками прокалывают ткань и, упира сь в лунки матрицы 8, загибаютс в В-образную форму, прочно соедин концы ткани.
Одновременно с прошиванием происходит прорезание ткани дисковым ножом 11, установленным на среднем пластинчатом клине 23. При движении пластинчатых клиньев 23 нож 7/ врезаетс частично в эластичную подложку 20 и дальнейшее движение заставл ет нол вращатьс , вследствие возникающего между ним и подложкой трени . В зоне щва нож 11 накатываетс па ткапь, подмина ее под себ и надежно прореза ее на эластичной подложке. Такой г одвижный нож не т нет ткань за собой в отличие от неподвижного.
При движении жлипьев 23 бобыщки 24 направл ющего захвата 13 приспособлени подачи толкателей идут вдоль пазов е стер сн 21. К пачалу прошивани система «приспособление подачи толкателей-скобочный корпус становитс неразборной. Это позвол ет надежно фиксировать приспособление подачи толкателей относительно скобочного корпуса при прошивании.
Извлечь приспособление подачи толкателей .из скобочного корпуса можно только в исходном положении, .когда бобыщки 24 совмест тс с выходами 22 пазов е.
После прошивани а парат раскрываетс и извлекаетс из операционной раны.
формула изобретени
Claims (3)
1. Аппарат дл наложени линейного скобочного шва иа органы и ткани, содержащий скобочный корпус, сменный магазин с пазами дл скобок, расположенный в скобочном корпусе , толкатели с упораэди, расположенные в скобочных пазах магазина, упорный корпус с матрицей дл загиба скобок, шарнирно соединенный со скобочным корпусом, приспособление подачи толкателей с ножом и механизм смыкани скобочного и упорного корпусов, отличающийс тем, что, с целью исключени перекоса скобок при прошивании и обеспечени гарантированного прорезани
ткани между щвами, он снабл ен направл ющим захватом приспособлени подачи толкателей в скобочном -корпусе, причем приспособлгние подачи толкателей выполнено в виде стержн с параллельно укрепленными на нем трем пластинчатыми клинь ми, между которыми размещены магазины, а нож выполнен дисковым и ра.сполол ен на среднем пластинчатом Клине.
2. Аппарат поп. 1, отличающийс тем, что направл ющий захват приспособлени подачи толкателей выполнен в виде подковообразной с бобышками, взаимодействующими со стерл нем приспособлени
подачи толкателей.
3. Аппарат по п. 1, отличающийс тем, что в упорном корпусе установлена сменна эластична подложка.
18
Шиг.5
Priority Applications (8)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| SU7502130062A SU566574A1 (ru) | 1975-05-04 | 1975-05-04 | Аппарат дл наложени линейного скобочного шва на органы и ткани |
| CH527276A CH604666A5 (ru) | 1975-05-04 | 1976-04-27 | |
| US05/681,689 US4111206A (en) | 1975-05-04 | 1976-04-29 | Surgical instrument for applying metal staples to organs and tissues and for simultaneous division thereof |
| CA251,658A CA1052654A (en) | 1975-05-04 | 1976-05-03 | Surgical instrument for applying metal staples to organs and tissues and for simultaneous division thereof |
| FR7613162A FR2310117A1 (fr) | 1975-05-04 | 1976-05-03 | Appareil chirurgical pour l'apposition de sutures au moyen d'agrafes metalliques sur les organes et tissus avec dissection simultanee de ceux-ci |
| IT22926/76A IT1077920B (it) | 1975-05-04 | 1976-05-03 | Apparecchio chirurgico per suturare con graffette metalliche gli organi e i tessuti con simultanea dissezione degli stessi |
| GB18013/76A GB1492244A (en) | 1975-05-04 | 1976-05-03 | Surgical instrument for dividing and applying metal staple sutures to organs and tissues |
| DE2619681A DE2619681C3 (de) | 1975-05-04 | 1976-05-04 | Chirurgisches Nähgerät zum Anlegen von Nähten durch Metallklammern an Organen und Geweben unter deren gleichzeitigem Durchschneiden |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| SU7502130062A SU566574A1 (ru) | 1975-05-04 | 1975-05-04 | Аппарат дл наложени линейного скобочного шва на органы и ткани |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| SU566574A1 true SU566574A1 (ru) | 1977-07-30 |
Family
ID=20618100
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| SU7502130062A SU566574A1 (ru) | 1975-05-04 | 1975-05-04 | Аппарат дл наложени линейного скобочного шва на органы и ткани |
Country Status (8)
| Country | Link |
|---|---|
| US (1) | US4111206A (ru) |
| CA (1) | CA1052654A (ru) |
| CH (1) | CH604666A5 (ru) |
| DE (1) | DE2619681C3 (ru) |
| FR (1) | FR2310117A1 (ru) |
| GB (1) | GB1492244A (ru) |
| IT (1) | IT1077920B (ru) |
| SU (1) | SU566574A1 (ru) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US7866525B2 (en) | 2006-10-06 | 2011-01-11 | Tyco Healthcare Group Lp | Surgical instrument having a plastic surface |
| US9022271B2 (en) | 2006-10-06 | 2015-05-05 | Covidien Lp | Surgical instrument having a plastic surface |
Families Citing this family (601)
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| SU1036324A1 (ru) * | 1978-03-31 | 1983-08-23 | Всесоюзный научно-исследовательский и испытательный институт медицинской техники | Хирургический сшивающий аппарат |
| SU886897A1 (ru) * | 1978-12-25 | 1981-12-07 | Всесоюзный Научно-Исследовательский Институт Медицинской Техники | Хирургический аппарат дл наложени боковых желудочнокишечных анастомозов |
| SU886900A1 (ru) * | 1979-03-26 | 1981-12-07 | Всесоюзный научно-исследовательский и испытательный институт медицинской техники | Хирургический сшивающий аппарат дл наложени линейных швов |
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| US11937816B2 (en) | 2021-10-28 | 2024-03-26 | Cilag Gmbh International | Electrical lead arrangements for surgical instruments |
Family Cites Families (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US1928718A (en) * | 1931-12-02 | 1933-10-03 | Swift & Co | Skin incisor |
| US1990967A (en) * | 1932-08-30 | 1935-02-12 | Frederick C Wenzel | Cutting tool |
| US3079606A (en) * | 1960-01-04 | 1963-03-05 | Bobrov Boris Sergeevich | Instrument for placing lateral gastrointestinal anastomoses |
| US3011257A (en) * | 1960-01-21 | 1961-12-05 | Masco Corp | Fiber breaking and directing machines |
| GB1210526A (en) * | 1966-10-10 | 1970-10-28 | United States Surgical Corp | Surgical stapling instruments |
| US3490675A (en) * | 1966-10-10 | 1970-01-20 | United States Surgical Corp | Instrument for placing lateral gastrointestinal anastomoses |
| US3701352A (en) * | 1970-12-01 | 1972-10-31 | Nathaniel L Bosworth | Abdominal wall punch |
-
1975
- 1975-05-04 SU SU7502130062A patent/SU566574A1/ru active
-
1976
- 1976-04-27 CH CH527276A patent/CH604666A5/xx not_active IP Right Cessation
- 1976-04-29 US US05/681,689 patent/US4111206A/en not_active Expired - Lifetime
- 1976-05-03 GB GB18013/76A patent/GB1492244A/en not_active Expired
- 1976-05-03 IT IT22926/76A patent/IT1077920B/it active
- 1976-05-03 CA CA251,658A patent/CA1052654A/en not_active Expired
- 1976-05-03 FR FR7613162A patent/FR2310117A1/fr active Granted
- 1976-05-04 DE DE2619681A patent/DE2619681C3/de not_active Expired
Cited By (10)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US7866525B2 (en) | 2006-10-06 | 2011-01-11 | Tyco Healthcare Group Lp | Surgical instrument having a plastic surface |
| US8245900B2 (en) | 2006-10-06 | 2012-08-21 | Tyco Healthcare Group Lp | Surgical instrument having a plastic surface |
| US8770458B2 (en) | 2006-10-06 | 2014-07-08 | Covidien Lp | Surgical instrument having a plastic surface |
| US9004340B2 (en) | 2006-10-06 | 2015-04-14 | Covidien Lp | Surgical instrument having a plastic surface |
| US9022271B2 (en) | 2006-10-06 | 2015-05-05 | Covidien Lp | Surgical instrument having a plastic surface |
| US9033202B2 (en) | 2006-10-06 | 2015-05-19 | Covidien Lp | Surgical instrument having a plastic surface |
| US9814461B2 (en) | 2006-10-06 | 2017-11-14 | Covidien Lp | Surgical instrument having a plastic surface |
| US10542975B2 (en) | 2006-10-06 | 2020-01-28 | Convidien LP | Surgical instrument having a plastic surface |
| US11134939B2 (en) | 2006-10-06 | 2021-10-05 | Covidien Lp | Surgical instrument having a plastic surface |
| US11350930B2 (en) | 2006-10-06 | 2022-06-07 | Covidien Lp | Surgical instrument having a plastic surface |
Also Published As
| Publication number | Publication date |
|---|---|
| GB1492244A (en) | 1977-11-16 |
| FR2310117B1 (ru) | 1978-05-05 |
| CH604666A5 (ru) | 1978-09-15 |
| FR2310117A1 (fr) | 1976-12-03 |
| DE2619681C3 (de) | 1980-05-22 |
| DE2619681A1 (de) | 1976-11-11 |
| CA1052654A (en) | 1979-04-17 |
| IT1077920B (it) | 1985-05-04 |
| DE2619681B2 (de) | 1979-09-13 |
| US4111206A (en) | 1978-09-05 |
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