DE29914858U1 - Zirkulares Klammersetzgerät zur Entfernung interner Hämorrhoiden - Google Patents

Zirkulares Klammersetzgerät zur Entfernung interner Hämorrhoiden

Info

Publication number
DE29914858U1
DE29914858U1 DE29914858U DE29914858U DE29914858U1 DE 29914858 U1 DE29914858 U1 DE 29914858U1 DE 29914858 U DE29914858 U DE 29914858U DE 29914858 U DE29914858 U DE 29914858U DE 29914858 U1 DE29914858 U1 DE 29914858U1
Authority
DE
Germany
Prior art keywords
driver
inner chamber
housing
passage
circular
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.)
Expired - Lifetime
Application number
DE29914858U
Other languages
English (en)
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Ethicon Endo Surgery Inc
Original Assignee
Ethicon Endo Surgery Inc
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Family has litigation
First worldwide family litigation filed litigation Critical https://patents.darts-ip.com/?family=22730838&utm_source=google_patent&utm_medium=platform_link&utm_campaign=public_patent_search&patent=DE29914858(U1) "Global patent litigation dataset” by Darts-ip is licensed under a Creative Commons Attribution 4.0 International License.
Application filed by Ethicon Endo Surgery Inc filed Critical Ethicon Endo Surgery Inc
Publication of DE29914858U1 publication Critical patent/DE29914858U1/de
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/0293Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors with ring member to support retractor elements
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B17/115Staplers for performing anastomosis in a single operation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B17/115Staplers for performing anastomosis in a single operation
    • A61B17/1155Circular staplers comprising a plurality of staples
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00349Needle-like instruments having hook or barb-like gripping means, e.g. for grasping suture or tissue
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B2017/1142Purse-string sutures
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3417Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421Cannulas
    • A61B2017/345Cannulas for introduction into a natural body opening
    • A61B2017/3452Cannulas for introduction into a natural body opening for the rectum, e.g. for hemorrhoid surgery

Description

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Claims (8)

1. Zirkulares Klammersetzgerät, das zur Entfernung interner Hämorrhoiden eingerichtet ist, mit:
  • 1. einem Handgriff (30);
  • 2. einem Schaft (35), der von dem Handgriff (30) ausgeht;
  • 3. einer Klammerkopfanordnung (41), die von dem Schaft (35) ausgeht, mit
    • a) einem im wesentlichen hohlen Gehäuse (45) mit einer äußeren Gehäuseoberfläche (45a),
    • b) einem im wesentlichen hohlen Klammertreiber (50), der in dem Gehäuse (45) für eine Bewegung zwischen einer Ausgangsposition und einer Endposition auf­ genommen ist,
    • c) einer ringförmigen Klinge (75), die in dem Klam­ mertreiber (50) am distalen Ende des Klammertrei­ bers (50) angeordnet ist,
    • d) einem länglichen inneren Antriebsschaft (37), der innerhalb des Klammertreibers (50) und der ring­ förmigen Klinge (75) hin- und herbewegbar ist;
  • 4. einer Gegenlageranordnung (60) mit einem Gegenlager­ schaft (62), der an dem länglichen inneren Antriebs­ schaft (37) angebracht ist, wobei die Gegenlageranord­ nung (60) in Reaktion auf eine Hin- und Herbewegung des inneren Antriebsschafts (37) von einer offenen Posi­ tion, die von dem Gehäuse (45) beabstandet ist, in eine geschlossene Position benachbart zu dem Gehäuse (45) bewegbar ist und wobei, wenn die Gegenlageranordnung (60) in der offenen Position ist, der Klammertreiber (50) und der innere Antriebsschaft (37) eine erste innere Kammer (43) dazwischen definieren; und
  • 5. wobei ein im wesentlichen nicht-blockierter Durchgangs­ weg (42) bereitgestellt ist, wenn sich der Klammertrei­ ber (50) in der Ausgangsposition befindet, wobei sich der Durchgangsweg (42) zum Einsetzen eines chirurgi­ schen Instruments in die erste innere Kammer (43) und zum Entfernen eines chirurgischen Instruments von der ersten inneren Kammer (43) von der äußeren Gehäuseober­ fläche (45a) des Gehäuses (45) in die erste innere Kammer (43) erstreckt.
2. Zirkulares Klammersetzgerät nach Anspruch 1, dadurch gekenn­ zeichnet, daß die ringförmige Klinge (75) und der innere An­ triebsschaft (37) eine zweite innere Kammer (43a) dazwischen definieren, wenn die Gegenlageranordnung (60) in der geöff­ neten Position ist, wobei die zweite innere Kammer (43a) mit der ersten inneren Kammer (43) in Verbindung steht, und daß sich der Durchgangsweg (42) zum Einsetzen des chirurgischen Instruments in die zweite innere Kammer (43a) und zum Zu­ rückziehen des chirurgischen Instruments von der zweiten inneren Kammer (43a) von der äußeren Gehäuseoberfläche (45a) des Gehäuses (45) in die zweite innere Kammer (43a) er­ streckt, wenn der Klammertreiber (50) in der Ausgangsposi­ tion ist.
3. Zirkulares Klammersetzgerät nach Anspruch 2, dadurch gekenn­ zeichnet, daß die äußere Gehäuseoberfläche (45a) einen ko­ nisch erweiterten Gehäuseteil (46) und einen äußeren rohr­ förmigen Gehäuseteil (46a) hat, daß der Klammertreiber (50) eine äußere Treiberoberfläche (50a) hat, daß die äußere Treiberoberfläche (50a) einen konisch erweiterten Treiber­ teil (51) und einen äußeren rohrförmigen Treiberteil (51a) hat und daß der Durchgangsweg (42) aufweist: a) eine Gehäu­ seoberflächenöffnung (47), die sich von dem konisch erwei­ terten Gehäuseteil (46) zu dem äußeren rohrförmigen Gehäuse­ teil (46a) erstreckt, und b) eine Treiberoberflächenöffnung (54), die sich von dem konisch erweiterten Treiberteil (51) zu dem äußeren rohrförmigen Treiberteil (51a) erstreckt, wobei die Gehäuseoberflächenöffnung (47) und die Treiber­ oberflächenöffnung (54) miteinander ausgerichtet sind, wenn der Klammertreiber (50) in dem Gehäuse (45) aufgenommen ist und der Klammertreiber (50) in der Ausgangsposition ist.
4. Zirkulares Klammersetzgerät nach Anspruch 3, dadurch gekenn­ zeichnet, daß der im wesentlichen nicht-blockierte Durch­ gangsweg (42) einschließlich der Gehäuseoberflächenöffnung (47) und der Treiberoberflächenöffnung (54) im wesentlichen parallel zu dem inneren Antriebsschaft (37) ist.
5. Zirkulares Klammersetzgerät nach Anspruch 1, dadurch gekenn­ zeichnet, daß die zweite innere Kammer (43a) ein offenes distales Ende (79) hat, wenn die Gegenlageranordnung (60) in der offenen Position ist, und daß sich der Durchgangsweg (42) zum Einsetzen und Zurückziehen eines chirurgischen Instruments dort hindurch von der äußeren Gehäuseoberfläche (45a) des Gehäuses (45) durch das offene distale Ende (79) der zweiten inneren Kammer (43a) erstreckt, wenn die Gegen­ lageranordnung (60) in der offenen Position ist.
6. Zirkulares Klammersetzgerät nach Anspruch 5, dadurch gekenn­ zeichnet, daß die zweite innere Kammer (43a) ein geschlosse­ nes distales Ende hat, wenn die Gegenlageranordnung (60) in der geschlossenen Position ist.
7. Zirkulares Klammersetzgerät nach Anspruch 5, dadurch gekenn­ zeichnet, daß der Durchgangsweg (42) zum Zurückziehen von Nahtmaterial durch das offene distale Ende (79) der zweiten inneren Kammer (43a) und aus dem Durchgangsweg (42) inner­ halb der äußeren Gehäuseoberfläche (45a) heraus eingerichtet ist.
8. Zirkulares Klammersetzgerät nach Anspruch 5, dadurch gekenn­ zeichnet, daß der Durchgangsweg (42) für den Durchgang von Nahtmaterial eingerichtet ist, und zwar für eine Bewegung des Nahtmaterials von einer ersten proximalen Position in­ nerhalb des Durchgangswegs (42) zu einer zweiten distalen Position innerhalb des Durchgangswegs zum Ziehen von Hämor­ rhoiden in das offene distale Ende (79) der zweiten inneren Kammer (43a) und in die erste Kammer (43).
DE29914858U 1998-11-23 1999-08-19 Zirkulares Klammersetzgerät zur Entfernung interner Hämorrhoiden Expired - Lifetime DE29914858U1 (de)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
US09/197,805 US6102271A (en) 1998-11-23 1998-11-23 Circular stapler for hemorrhoidal surgery

Publications (1)

Publication Number Publication Date
DE29914858U1 true DE29914858U1 (de) 2000-01-05

Family

ID=22730838

Family Applications (1)

Application Number Title Priority Date Filing Date
DE29914858U Expired - Lifetime DE29914858U1 (de) 1998-11-23 1999-08-19 Zirkulares Klammersetzgerät zur Entfernung interner Hämorrhoiden

Country Status (3)

Country Link
US (1) US6102271A (de)
DE (1) DE29914858U1 (de)
ES (1) ES1044011Y (de)

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CN103829986A (zh) * 2012-11-27 2014-06-04 上海众仁生物医药科技有限公司 无钉吻合器
CN107242889A (zh) * 2017-07-28 2017-10-13 广西壮族自治区人民医院 一种荷包缝合切割闭合器
WO2024027864A1 (de) * 2022-08-05 2024-02-08 Primed Halberstadt Medizintechnik Gmbh Proktoskop und verfahren zum einsatz eines proktoskops

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