CA2427986A1 - Stapler for endoscopes - Google Patents
Stapler for endoscopes Download PDFInfo
- Publication number
- CA2427986A1 CA2427986A1 CA002427986A CA2427986A CA2427986A1 CA 2427986 A1 CA2427986 A1 CA 2427986A1 CA 002427986 A CA002427986 A CA 002427986A CA 2427986 A CA2427986 A CA 2427986A CA 2427986 A1 CA2427986 A1 CA 2427986A1
- Authority
- CA
- Canada
- Prior art keywords
- staple
- anvil
- alignment
- staples
- stapling
- Prior art date
- Legal status (The legal status 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 status listed.)
- Granted
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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/00002—Operational features of endoscopes
- A61B1/00043—Operational features of endoscopes provided with output arrangements
- A61B1/00045—Display arrangement
- A61B1/0005—Display arrangement combining images e.g. side-by-side, superimposed or tiled
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/00163—Optical arrangements
- A61B1/00174—Optical arrangements characterised by the viewing angles
- A61B1/00181—Optical arrangements characterised by the viewing angles for multiple fixed viewing angles
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/00163—Optical arrangements
- A61B1/00193—Optical arrangements adapted for stereoscopic vision
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/005—Flexible endoscopes
- A61B1/0051—Flexible endoscopes with controlled bending of insertion part
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/005—Flexible endoscopes
- A61B1/0051—Flexible endoscopes with controlled bending of insertion part
- A61B1/0055—Constructional details of insertion parts, e.g. vertebral elements
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/273—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for the upper alimentary canal, e.g. oesophagoscopes, gastroscopes
- A61B1/2736—Gastroscopes
-
- 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
- A61B17/0686—Surgical staplers, e.g. containing multiple staples or clamps for applying U-shaped staples or clamps, e.g. without a forming anvil having a forming anvil staying below the tissue during stapling
-
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00017—Electrical control of surgical instruments
- A61B2017/00022—Sensing or detecting at the treatment site
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
- A61B2017/003—Steerable
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
- A61B2017/003—Steerable
- A61B2017/00305—Constructional details of the flexible means
- A61B2017/00314—Separate linked members
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00743—Type of operation; Specification of treatment sites
- A61B2017/00818—Treatment of the gastro-intestinal system
- A61B2017/00827—Treatment of gastro-esophageal reflux
-
- 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
-
- 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
- A61B2017/2901—Details of shaft
- A61B2017/2905—Details of shaft flexible
Abstract
A stapling device for a surgical endoscopic device provided with at least one flexible portion, comprising a staple-firing portion and an anvil portion, wherein one of the staple firing portions and one of the anvil portions are located longitudinally displaced from one another along the longitudinal axis of the endoscopic device, with at least a part of said flexible portion between them. The parts of the stapling device are in correct working relationship when one or more alignment and/or locking pins or screws that are stored in one of the staple firing portions or one of the anvil portions are extended and engage and lock or screw into receptacles that have been provided on the other of the staple firing portion or of the anvil portion.
Claims (39)
1. A stapling device for a surgical endoscopic device provided with at least one flexible portion, said stapler comprising:
i.) a staple-firing portion and an anvil portion, wherein said staple firing portions and said anvil portion are located longitudinally displaced from one another along the longitudinal axis of said endoscopic device, with at least a part of said flexible portion between them; and ii.) a positioning assembly comprising two separate elements, one of which as located near said staple ejecting portion, and the other near said anvil portion, wherein said positioning assembly is provided to assist in bringing the portions of said stapling device into correct working relationship,
i.) a staple-firing portion and an anvil portion, wherein said staple firing portions and said anvil portion are located longitudinally displaced from one another along the longitudinal axis of said endoscopic device, with at least a part of said flexible portion between them; and ii.) a positioning assembly comprising two separate elements, one of which as located near said staple ejecting portion, and the other near said anvil portion, wherein said positioning assembly is provided to assist in bringing the portions of said stapling device into correct working relationship,
2. A device according to claim 1, wherein the portions of the stapling device are in correct working relationship when one or more alignment and/or locking members that are stored in either the staple firing portion or the anvil portion are extended by use of a dual rack and single pinion system and engage and lock into receptacles that have been provided on the other of said staple firing portion or of said anvil portion.
3. A device according to claim 2, wherein the one or more alignment and/or locking members can be released from the receptacles into which they are locked and the dual rack and single pinion system is used to withdraw said one or more alignment and/or locking members from the portion of the stapling device in which they are engaged and return them to the portion of said stapling device in which they were originally stored.
4. A device according to claim 2, wherein the alignment and/or locking members comprise one or more pine.
5. A device according to claim 2, wherein two alignment and/or locking pins are provided.
6. A device according to claim 2, wherein the alignment and/or locking pins are stored in the anvil portion.
7. A device according to claim 1, wherein the portions of the stapling device are in correct working relationship when one or more alignment and/or locking member s that are stored in either the staple firing portion or the anvil portion are extended by rotation of a screw drive cable and engage and lock into receptacles that have been provided on the other of said staple firing portion or of said anvil portion.
8. A device according to claim 7, wherein rotation of a screw drive cable is used to unlock and withdraw the one or more alignment and/or locking members from the portion of the stapling device in which they are engaged and return them to the portion of said stapling device in which they were originally stared.
9. A device according to claim 7, wherein the alignment and/or locking members comprise one or more screws.
10. A device according to claim 7, wherein two screws are provided.
11. A device according to claim 7, wherein the screws are stored in the anvil portion.
12. A device according to claim 1, wherein either the staple firing portion or the anvil portion is located proximately to the proximal end of the flexible portion and the other of said staple bring portion or of said anvil portion is located proximately to the distal end of said flexible portion.
13. A device according to claim 12, wherein the staple firing portion is located proximately to the proximal end of the flexible portion and the anvil portion is located on the distal tip of said flexible portion
14. A device according to claim 1, wherein either the staple firing portion or the anvil portion is located on the flexible portion of the endoscope and the other of said staple firing portion or of said anvil portion is located proximately to the distal end of said flexible portion.
15. A device according to claim 1, wherein the staple firing portions and the anvil portions are located on the flexible portion.
16. A device according to any one of claims 1 wherein the flexible portion is an articulation section.
17. A device according to claim 16, wherein the articulation section is a two-way articulation section.
18. A device according to claim 16, wherein the articulation section is a four-way articulation section.
19. A device according to claim 16, wherein activation of the articulation section causes the parts of the stapling device to be brought into correct working relationship.
20. A device according to claim 1, wherein the elements of the positioning device are an ultrasound transducer and receiver.
21. A device according to claim 1, wherein the elements of the positioning device are an ultrasound transducer/receiver and a reflector.
22. A device according to claim 1, wherein one of the elements of the positioning device is a device that is capable of generating light, radio frequency or piezoelectric signals, or a magnetic field and the other of the elements of said positioning device is a device that is capable of detecting light, radio frequency or piezoelectric signals, or a magnetic field.
23. A device according to claim 1, wherein the staple firing portion contains a staple cartridge containing one or more arrays of staples, each array consisting of one or more staples.
24. A device according to claim 23, wherein the arrays of staples are fired by staple pushers actuated by cams actuable by proximal means.
25. A device according to claim 23, wherein the staple cartridge is indexable after the firing of each of the arrays of staples by the action of a proximal actuating device.
26. A device according to claim 23 and claim 26, wherein the staple cartridge contains windows for assisting in locking the staple cartridge in position after indexing.
27. A device according to claim 23, wherein the number of the arrays of staples is three and the number of staples in each of said arrays is five.
28. A device according to claim 23, wherein the number of the arrays of staples is two and the number of staples in each of said arrays is five.
29. A device according to claim 28, wherein the staples of each array are arranged in three rows with the pinholes aligned with the middle row.
30. A device according to claim 26, wherein the number of windows in the staple cartridge is six.
31. A device according to claim 28, wherein the number of windows in the staple cartridge is four.
32. A device according to claim 1, comprising safety means for disabling the reparation of the staple firing portion when the two separate elements of the stapling device are not aligned.
33. A device according to either of claim 2 or claim 7, wherein the alignment and/or locking means are manufactured such that they can be broken by the force exerted by unbending the articulation section.
34. An endoscopic device comprising a stapling assembly according to any one of claims 1 to 33.
35. A device according to claim 34, comprising conventional endoscopic devices and accessories.
36. A device according to claim 35, wherein the conventional endoscopic devices and accessories comprise water and/or six supply and/or suction and/or ultrasound.
37. A device according to claim 34, comprising viewing means.
38. A device according to claim 37, wherein the viewing means comprise a video camera.
39. A device according to claim 37, wherein the viewing means comprise illumination apparatus.
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
IL139788A IL139788A (en) | 2000-11-20 | 2000-11-20 | Stapler for endoscopes |
IL139788 | 2000-11-20 | ||
PCT/IL2001/000719 WO2002039909A1 (en) | 2000-11-20 | 2001-08-02 | Stapler for endoscopes |
Publications (2)
Publication Number | Publication Date |
---|---|
CA2427986A1 true CA2427986A1 (en) | 2002-05-23 |
CA2427986C CA2427986C (en) | 2010-03-30 |
Family
ID=11074832
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA2427986A Expired - Lifetime CA2427986C (en) | 2000-11-20 | 2001-08-02 | Stapler for endoscopes |
Country Status (12)
Country | Link |
---|---|
US (8) | US6872214B2 (en) |
EP (1) | EP1335671B1 (en) |
JP (1) | JP4237488B2 (en) |
AT (1) | ATE365021T1 (en) |
AU (2) | AU2001277661B2 (en) |
CA (1) | CA2427986C (en) |
DE (1) | DE60129034T2 (en) |
IL (1) | IL139788A (en) |
MX (1) | MXPA03004389A (en) |
NZ (1) | NZ525557A (en) |
WO (1) | WO2002039909A1 (en) |
ZA (1) | ZA200303417B (en) |
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-
2000
- 2000-11-20 IL IL139788A patent/IL139788A/en active IP Right Grant
-
2001
- 2001-08-02 AT AT01955502T patent/ATE365021T1/en not_active IP Right Cessation
- 2001-08-02 DE DE60129034T patent/DE60129034T2/en not_active Expired - Lifetime
- 2001-08-02 US US10/030,018 patent/US6872214B2/en not_active Expired - Lifetime
- 2001-08-02 NZ NZ525557A patent/NZ525557A/en not_active IP Right Cessation
- 2001-08-02 JP JP2002542286A patent/JP4237488B2/en not_active Expired - Lifetime
- 2001-08-02 MX MXPA03004389A patent/MXPA03004389A/en active IP Right Grant
- 2001-08-02 AU AU2001277661A patent/AU2001277661B2/en not_active Ceased
- 2001-08-02 AU AU7766101A patent/AU7766101A/en active Pending
- 2001-08-02 EP EP01955502A patent/EP1335671B1/en not_active Expired - Lifetime
- 2001-08-02 WO PCT/IL2001/000719 patent/WO2002039909A1/en active IP Right Grant
- 2001-08-02 CA CA2427986A patent/CA2427986C/en not_active Expired - Lifetime
-
2003
- 2003-05-02 ZA ZA200303417A patent/ZA200303417B/en unknown
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2005
- 2005-02-18 US US11/062,077 patent/US8128645B2/en not_active Expired - Fee Related
-
2007
- 2007-06-26 US US11/823,033 patent/US8807415B2/en active Active
- 2007-06-26 US US11/821,917 patent/US20070251975A1/en not_active Abandoned
- 2007-06-26 US US11/821,916 patent/US8257373B2/en not_active Expired - Lifetime
- 2007-08-20 US US11/841,176 patent/US8328827B2/en not_active Expired - Lifetime
-
2009
- 2009-06-30 US US12/494,853 patent/US8006886B2/en not_active Expired - Fee Related
-
2014
- 2014-07-11 US US14/329,134 patent/US20140319198A1/en not_active Abandoned
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AU2001277661B2 (en) | 2006-06-01 |
US20070251975A1 (en) | 2007-11-01 |
US20050145674A1 (en) | 2005-07-07 |
US20070276436A1 (en) | 2007-11-29 |
AU7766101A (en) | 2002-05-27 |
IL139788A (en) | 2006-10-05 |
US8257373B2 (en) | 2012-09-04 |
NZ525557A (en) | 2004-08-27 |
US20090272785A1 (en) | 2009-11-05 |
US8328827B2 (en) | 2012-12-11 |
WO2002039909A1 (en) | 2002-05-23 |
ZA200303417B (en) | 2004-03-26 |
DE60129034D1 (en) | 2007-08-02 |
US20030047582A1 (en) | 2003-03-13 |
JP4237488B2 (en) | 2009-03-11 |
US20070251976A1 (en) | 2007-11-01 |
US8807415B2 (en) | 2014-08-19 |
EP1335671B1 (en) | 2007-06-20 |
IL139788A0 (en) | 2002-02-10 |
DE60129034T2 (en) | 2008-02-21 |
CA2427986C (en) | 2010-03-30 |
US8128645B2 (en) | 2012-03-06 |
MXPA03004389A (en) | 2004-10-14 |
US8006886B2 (en) | 2011-08-30 |
US20070246507A1 (en) | 2007-10-25 |
US6872214B2 (en) | 2005-03-29 |
US20140319198A1 (en) | 2014-10-30 |
ATE365021T1 (en) | 2007-07-15 |
JP2004522473A (en) | 2004-07-29 |
EP1335671A1 (en) | 2003-08-20 |
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