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RU2014143252A - FABRIC THICKNESS COMPENSATOR CONTAINING FIBERS FOR CREATING ELASTIC LOAD - Google Patents

FABRIC THICKNESS COMPENSATOR CONTAINING FIBERS FOR CREATING ELASTIC LOAD Download PDF

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Publication number
RU2014143252A
RU2014143252A RU2014143252A RU2014143252A RU2014143252A RU 2014143252 A RU2014143252 A RU 2014143252A RU 2014143252 A RU2014143252 A RU 2014143252A RU 2014143252 A RU2014143252 A RU 2014143252A RU 2014143252 A RU2014143252 A RU 2014143252A
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Russia
Prior art keywords
fastener
compensator
woven
fasteners
cartridge assembly
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RU2014143252A
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Russian (ru)
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RU2640004C2 (en
Inventor
Марк Д. ТИММЕР
Джозеф Х. КОНТИЛИАНО
Тэйлор В. АРОНХОЛТ
Чуньлинь ЯН
Чарльз Дж. ШЕЙБ
Кэтрин Дж. ШМИД
Фредерик Э. ШЕЛТОН IV
Original Assignee
Этикон Эндо-Серджери, Инк.
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Priority claimed from US13/433,144 external-priority patent/US9277919B2/en
Application filed by Этикон Эндо-Серджери, Инк. filed Critical Этикон Эндо-Серджери, Инк.
Publication of RU2014143252A publication Critical patent/RU2014143252A/en
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Publication of RU2640004C2 publication Critical patent/RU2640004C2/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B17/00Surgical instruments, devices or methods
    • A61B17/064Surgical staples, i.e. penetrating the tissue
    • A61B17/0643Surgical staples, i.e. penetrating the tissue with separate closing member, e.g. for interlocking with staple
    • AHUMAN NECESSITIES
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    • A61B17/0682Surgical staplers, e.g. containing multiple staples or clamps for applying U-shaped staples or clamps, e.g. without a forming anvil
    • A61B17/0684Surgical 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 above the tissue during stapling
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    • A61B17/07207Surgical 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
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    • A61B17/07292Reinforcements for staple line, e.g. pledgets
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    • A61B17/11Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
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    • A61B2017/07228Arrangement of the staples
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    • A61B2017/07235Stapler heads containing different staples, e.g. staples of different shapes, sizes or materials
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    • A61B2017/07214Stapler heads
    • A61B2017/07242Stapler heads achieving different staple heights during the same shot, e.g. using an anvil anvil having different heights or staples of different sizes
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    • A61B2017/07214Stapler heads
    • A61B2017/0725Stapler heads with settable gap between anvil and cartridge, e.g. for different staple heights at different shots
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    • A61B2017/07257Stapler heads characterised by its anvil
    • A61B2017/07264Stapler heads characterised by its anvil characterised by its staple forming cavities, e.g. geometry or material
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    • A61B2017/07271Stapler heads characterised by its cartridge
    • AHUMAN NECESSITIES
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    • A61B2017/07214Stapler heads
    • A61B2017/07278Stapler heads characterised by its sled or its staple holder
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  • 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)
  • Materials For Medical Uses (AREA)

Abstract

1. Узел кассеты с крепежными элементами для хирургического инструмента, содержащий:опорную часть, содержащую гнездо для крепежного элемента;нетканый компенсатор, расположенный относительно опорной части, причем нетканый компенсатор содержит множество диспергированных в нем пружинных волокон; икрепежный элемент, выполненный с возможностью перемещения между исходным положением и активированным положением, причем крепежный элемент по меньшей мере частично расположен в гнезде для крепежного элемента, когда крепежный элемент находится в его исходном положении, и причем крепежный элемент выполнен с возможностью сжатия нетканого компенсатора при перемещении крепежного элемента между его исходным положением и его активированным положением.2. Узел кассеты с крепежными элементами по п. 1, в котором по меньшей мере одно пружинное волокно содержит упругий материал, и причем пружинное волокно деформируется при сжатии крепежным элементом нетканого компенсатора.3. Узел кассеты с крепежными элементами по п. 1 или п. 2, в котором крепежный элемент содержит:основание;первую ножку, проходящую от основания; ивторую ножку, проходящую от основания, причем первая ножка и вторая ножка выполнены с возможностью сгибания к основанию при перемещении крепежного элемента в его активированное положение;причем крепежный элемент захватывает часть нетканого компенсатора между основанием и по меньшей мере одной из первой ножки и второй ножки при перемещении крепежного элемента в его активированное положение.4. Узел кассеты с крепежными элементами по п. 3, дополнительно содержащий:паз, проходящий по меньшей мере через часть опорной части; ипусковой эл1. A cartridge assembly with fasteners for a surgical instrument, comprising: a support portion comprising a socket for a fastener; a non-woven compensator located relative to the support part, the non-woven compensator comprising a plurality of spring fibers dispersed therein; an attachment element configured to move between the initial position and the activated position, wherein the attachment element is at least partially located in the socket for the attachment element when the attachment element is in its initial position, and the attachment element is capable of compressing a non-woven compensator when moving the attachment element between its initial position and its activated position. 2. A cartridge assembly with fasteners according to claim 1, wherein at least one spring fiber contains elastic material, and wherein the spring fiber is deformed by compression by the fastener of the non-woven compensator. 3. A cartridge assembly with fasteners according to claim 1 or claim 2, wherein the fastener comprises: a base; a first leg extending from the base; and a second leg extending from the base, the first leg and the second leg being bent toward the base when the fastener is moved to its activated position; the fastener capturing a portion of the nonwoven compensator between the base and at least one of the first leg and the second leg when moving fastener in its activated position. 4. The cartridge assembly with fasteners according to claim 3, further comprising: a groove extending through at least a portion of the support portion; starting email

Claims (20)

1. Узел кассеты с крепежными элементами для хирургического инструмента, содержащий:1. A cartridge assembly with fasteners for a surgical instrument, comprising: опорную часть, содержащую гнездо для крепежного элемента;a support portion comprising a receptacle for a fastener; нетканый компенсатор, расположенный относительно опорной части, причем нетканый компенсатор содержит множество диспергированных в нем пружинных волокон; иa non-woven compensator located relative to the support portion, the non-woven compensator comprising a plurality of spring fibers dispersed therein; and крепежный элемент, выполненный с возможностью перемещения между исходным положением и активированным положением, причем крепежный элемент по меньшей мере частично расположен в гнезде для крепежного элемента, когда крепежный элемент находится в его исходном положении, и причем крепежный элемент выполнен с возможностью сжатия нетканого компенсатора при перемещении крепежного элемента между его исходным положением и его активированным положением. a fastener adapted to move between the initial position and the activated position, wherein the fastener is at least partially located in the slot for the fastener when the fastener is in its initial position, and the fastener is configured to compress the non-woven compensator when moving the fastener element between its initial position and its activated position. 2. Узел кассеты с крепежными элементами по п. 1, в котором по меньшей мере одно пружинное волокно содержит упругий материал, и причем пружинное волокно деформируется при сжатии крепежным элементом нетканого компенсатора.2. The cartridge assembly with fasteners according to claim 1, wherein the at least one spring fiber contains elastic material, and wherein the spring fiber is deformed by compression by the fastener of the nonwoven compensator. 3. Узел кассеты с крепежными элементами по п. 1 или п. 2, в котором крепежный элемент содержит:3. The cartridge assembly with fasteners according to claim 1 or claim 2, wherein the fastener comprises: основание;base; первую ножку, проходящую от основания; иthe first leg extending from the base; and вторую ножку, проходящую от основания, причем первая ножка и вторая ножка выполнены с возможностью сгибания к основанию при перемещении крепежного элемента в его активированное положение;a second leg extending from the base, the first leg and the second leg being bent toward the base when the fastener is moved to its activated position; причем крепежный элемент захватывает часть нетканого компенсатора между основанием и по меньшей мере одной из первой ножки и второй ножки при перемещении крепежного элемента в его активированное положение.moreover, the fastener captures a portion of the non-woven compensator between the base and at least one of the first leg and the second leg while moving the fastener to its activated position. 4. Узел кассеты с крепежными элементами по п. 3, дополнительно содержащий:4. The cartridge assembly with fasteners according to claim 3, further comprising: паз, проходящий по меньшей мере через часть опорной части; иa groove extending through at least a portion of the support portion; and пусковой элемент, выполненный с возможностью поступательно trigger element made with the possibility of translational перемещаться внутри паза, причем пусковой элемент выполнен с возможностью зацеплять основание крепежного элемента при поступательном перемещении пускового элемента так, что крепежный элемент выталкивается из гнезда для крепежного элемента. move inside the groove, and the trigger element is configured to engage the base of the fastener during the translational movement of the trigger element so that the fastener is pushed out of the socket for the fastener. 5. Узел кассеты с крепежными элементами по п. 1, в котором нетканый компенсатор разъемно прикреплен к платформе опорной части посредством адгезива.5. The cartridge assembly with fasteners according to claim 1, in which the non-woven compensator is detachably attached to the platform of the supporting part by adhesive. 6. Узел кассеты с крепежными элементами по п. 1 в котором пружинные волокна случайным образом диспергированы и случайным образом ориентированы по всему нетканому компенсатору.6. The cartridge assembly with fasteners according to claim 1, wherein the spring fibers are randomly dispersed and randomly oriented throughout the non-woven compensator. 7. Узел кассеты с крепежными элементами по п. 1, причем нетканый компенсатор содержит множество непружинных волокон.7. The cartridge assembly with fasteners according to claim 1, wherein the non-woven compensator comprises a plurality of non-spring fibers. 8. Узел кассеты с крепежными элементами по п. 1, в котором пружинные волокна содержат синтетический биорассасывающийся материал.8. The cartridge assembly with fasteners according to claim 1, wherein the spring fibers contain synthetic bioabsorbable material. 9. Узел кассеты с крепежными элементами по п. 1, в котором пружинные волокна содержат материал, выбранный из группы, состоящей из полидиоксанона (PDO), полилактидов (PLA), полигликолидов (PGA), поликапролактонов (PCL), поликарбонатов и их сополимеров.9. The cassette assembly with fasteners according to claim 1, wherein the spring fibers comprise a material selected from the group consisting of polydioxanone (PDO), polylactide (PLA), polyglycolides (PGA), polycaprolactones (PCL), polycarbonates and their copolymers. 10. Узел кассеты с крепежными элементами по п. 1, в котором пружинные волокна сформированы под нагревом с сохранением по существу спиралевидной формы.10. The cartridge assembly with fasteners according to claim 1, wherein the spring fibers are formed by heating while maintaining a substantially spiral shape. 11. Узел кассеты с крепежными элементами по п. 1, в котором нетканый компенсатор сшит иглопробивным способом и содержит гемостатический материал. 11. The cartridge assembly with fasteners according to claim 1, wherein the non-woven compensator is sewn in a needle-punched manner and contains hemostatic material. 12. Кассета с крепежными элементами для хирургического инструмента, содержащая:12. A cassette with fasteners for a surgical instrument, comprising: корпус, содержащий первую часть корпуса и вторую часть корпуса, причем первая часть корпуса содержит гнезда для крепежных элементов, причем вторая часть корпуса содержит сжимаемую часть, причем сжимаемая часть содержит множество диспергированных в ней пружинных волокон и причем пружинные волокна являются по меньшей мере частично упругими; и крепежные элементы, причем каждый крепежный элемент выровнен с гнездом для крепежного элемента в первой части корпуса.a casing comprising a first casing part and a second casing part, the first casing part comprising slots for fasteners, the second casing part comprising a compressible part, the compressible part containing a plurality of spring fibers dispersed therein and the spring fibers being at least partially elastic; and fasteners, wherein each fastener is aligned with a slot for the fastener in the first part of the housing. 13. Кассета с крепежными элементами по п. 12, в которой по меньшей мере один крепежный элемент выполнен с возможностью перемещения между исходным положением и активированным положением, и причем крепежный элемент выполнен с возможностью сжатия части сжимаемой части при перемещении крепежного элемента в его активированное положение. 13. The cassette with fasteners according to claim 12, in which at least one fastener is movable between the initial position and the activated position, and wherein the fastener is configured to compress part of the compressible part when moving the fastener to its activated position. 14. Кассета с крепежными элементами по п. 13, в которой сжимаемая часть содержит однородный рассасывающийся полимерный матрикс.14. The cassette with fasteners according to claim 13, in which the compressible part contains a homogeneous absorbable polymer matrix. 15. Кассета с крепежными элементами по любому из пунктов 12-14, дополнительно содержащая:15. A cassette with fasteners according to any one of paragraphs 12-14, further comprising: паз, проходящий по меньшей мере через часть первой части корпуса; иa groove extending through at least a portion of a first housing portion; and пусковой элемент, выполненный с возможностью поступательно перемещаться внутри паза, причем пусковой элемент выполнен с возможностью зацеплять по меньшей мере один крепежный элемент при поступательном перемещении пускового элемента, в результате чего пусковой элемент выталкивает по меньшей мере один крепежный элемент из первой части корпуса. a trigger configured to progressively move inside the groove, the trigger element being configured to engage at least one fastener while translating the trigger, whereby the trigger ejects at least one fastener from the first part of the housing. 16. Узел концевого эффектора для хирургического инструмента, содержащий:16. An end effector assembly for a surgical instrument, comprising: упор;emphasis; кассету с крепежными элементами, содержащую:cassette with fasteners containing: корпус кассеты, содержащий гнездо для крепежного элемента; иa cassette case containing a socket for a fastener; and крепежный элемент, который по меньшей мере частично расположен в гнезде для крепежного элемента, когда крепежный элемент находится в исходном положении; иa fastener which is at least partially located in the slot for the fastener when the fastener is in its initial position; and нетканый компенсатор, расположенный между кассетой с крепежными элементами и упором, причем нетканый компенсатор содержит множество диспергированных в нем пружинных волокон и причем пружинные волокна являются по меньшей мере частично упругими. a non-woven compensator located between the cassette with the fasteners and the stop, and the non-woven compensator contains many dispersed in it spring fibers and the spring fibers are at least partially elastic. 17. Узел концевого эффектора по п. 16, в котором нетканый компенсатор разъемно закреплен по меньшей мере на одном из кассеты с крепежными элементами и упора, и причем нетканый компенсатор содержит нетканый материал.17. The end effector assembly of claim 16, wherein the non-woven compensator is detachably fixed to at least one of the cassettes with fasteners and an abutment, and wherein the non-woven compensator comprises a non-woven material. 18. Узел концевого эффектора по п. 17, в котором крепежный элемент выполнен с возможностью перемещения из его исходного положения в активированное положение, и причем крепежный элемент выполнен с возможностью сжимания части нетканого компенсатора при перемещении крепежного элемента в его активированное положение.18. The end effector assembly of claim 17, wherein the fastener is movable from its initial position to an activated position, and wherein the fastener is configured to compress a portion of the nonwoven compensator while moving the fastener to its activated position. 19. Узел концевого эффектора по п. 18, в котором упор содержит формирующее углубление в контактирующей с тканью поверхности, и причем формирующее углубление деформирует крепежный элемент при перемещении крепежного элемента из его исходного положения в его активированное положение.19. The end effector assembly according to claim 18, wherein the emphasis comprises a forming recess in the surface in contact with the fabric, and wherein the forming recess deforms the fastener when the fastener is moved from its initial position to its activated position. 20. Узел концевого эффектора по п. 18 или п. 19, в котором нетканый компенсатор выполнен с возможностью отцепления от узла концевого эффектора при сжатии крепежным элементом указанной части нетканого компенсатора. 20. The end effector assembly according to claim 18 or 19, wherein the non-woven compensator is capable of uncoupling from the end effector assembly upon compression by the fastener of said portion of the non-woven compensator.
RU2014143252A 2012-03-28 2013-03-27 Tissue thickener compensator containing fiber for elastic load creation RU2640004C2 (en)

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US13/433,144 US9277919B2 (en) 2010-09-30 2012-03-28 Tissue thickness compensator comprising fibers to produce a resilient load
PCT/US2013/034011 WO2013148773A1 (en) 2012-03-28 2013-03-27 Tissue thickness compensator comprising fibers to produce a resilient load

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