DE3390015T1 - Chirurgisches Klammerinstrument mit flexiblem Schaft - Google Patents
Chirurgisches Klammerinstrument mit flexiblem SchaftInfo
- Publication number
- DE3390015T1 DE3390015T1 DE19833390015 DE3390015T DE3390015T1 DE 3390015 T1 DE3390015 T1 DE 3390015T1 DE 19833390015 DE19833390015 DE 19833390015 DE 3390015 T DE3390015 T DE 3390015T DE 3390015 T1 DE3390015 T1 DE 3390015T1
- Authority
- DE
- Germany
- Prior art keywords
- assembly
- elements
- transmission device
- shaft
- tension member
- 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
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B17/115—Staplers for performing anastomosis in a single operation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B17/115—Staplers for performing anastomosis in a single operation
- A61B17/1155—Circular staplers comprising a plurality of staples
-
- 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
- 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
- A61B2017/00318—Steering mechanisms
- A61B2017/00323—Cables or rods
-
- 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
-
- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
- Y10T74/00—Machine element or mechanism
- Y10T74/20—Control lever and linkage systems
- Y10T74/20396—Hand operated
- Y10T74/20402—Flexible transmitter [e.g., Bowden cable]
- Y10T74/2042—Flexible transmitter [e.g., Bowden cable] and hand operator
- Y10T74/20438—Single rotatable lever [e.g., for bicycle brake or derailleur]
Description
Leerseite
Claims (10)
1. Schaftanordnung zum Verbinden der Betätlgungseinrichtung eines chirurgischen Klammerinstruments mit der
entfernt davon angeordneten Klamraereinsetzanordnung des
Klammerinstruments und zum übertragen von Kräften längs
der Schaftanordnung zwischen der Betätigungseinrichtung und der Klammereinsetzanordnung« wobei die Schaftanordnung
einen radial auslenkbaren, flexiblen Teil besitzt; der
in eine gekrümmte Form verformbar und geeignet ist, diese gekrümmte Form bei der Kraftübertragung beizubehalten,
gekennzeichnet durch:
eine radial auslenkbare, flexible Druckübertragungseinrichtung
zum übertragen einer Längsdruckkraft, die bei
gekrümmtem flexiblem Teil ein® zu der Längeachse des flexiblen
Teils der Schaftanordnung normale resultierende Kraft
erzeugt;
ein radial auslenkbares, flexibles Zugglied zum übertragen
einer Längezugkraft, die bei gekrümmtem flexiblem Teil eine zu der Längsachse des flexiblen Teils der Schaftanordnung
normale resultierende Kraft erzeugt, die bei gleichen Sug- und Druckkräften der von der Druckübertragungseinrichtung
erzeugten resultierenden Kraft im wesentlichen gegengleich ist; und
eine Kraftübertragungseinrichtung zum übertragen von Kraft
in einer zu der Längsachse des flexiblen Teils der Schaftanordnung normalen Richtung zwischen der Druckübertragungseinrlchtung
und dem Zugglied derart, daß das Zugglied und die Druckübertragungseinrichtung relativ zueinander längsbewegbar
sind.
2. Schaftanordnung nach Anspruch 1, dadurch gekennzeichnet,
daß die Druckausübungseinrichtung mehrere im wesentlichen nichtzusammendrückbare Elemente besitzt, die
in einer sich längs der Schaftanordnung erstreckenden Reihe angeordnet sind, wobei jedes Element in der Längsrichtung
mit den benachbarten Elementen in Berührung steht und relativ zu den benachbarten Elementen frei verschwenkbar ist, wenn
der flexible Teil der Schaftanordnung in eine gekrümmte
Form verformt wird.
3. Schaftanordnung nach Anspruch 2, dadurch gekennzeichnet, daß jedes der Elemente eine sich in der Längsrichtung
erstreckende Ausnehmung besitzt, daß sich das Zugglied durch die Ausnehmungen erstreckt, und daß die Berührungsflächen
von einander benachbarten Elementen so profiliert sind, daß sie in Linienberührung miteinander
stehen, wenn beim Verformen des flexiblen Teils in die gekrümmte Form die Elemente relativ zueinander verschwenkt
werden.
4. Schaftanordnung nach Anspruch 3, dadurch gekennzeichnet, daß die Berührungelinien eine zweidimensional
Fläche definieren, die die Längsachse des Zuggliedes enthält.
5. Schaftanordnung nach Anspruch 3, dadurch gekennzeichnet, daß die Kraftübertragungeeinrichtung eine Einrichtung
besitzt, die zwischen dem Zugglied und der Druckausübung seinrichtung in dem Raum angeordnet ist, der von den
Ausnehmungen der Elemente der Druckübertragungseinrichtung definiert wird.
6. Schaftanordnung nach Anspruch 2 oder 3, dadurch gekennzeichnet, daß jedes der Elemente eine erste und eine
zweit© Berührungsfläche besitzt, daß die erste Berührungsfläche
im wesentlichen eben und zum Berühren der zweiten
Berührungsfläche eines benachbarten Elements bestimmt ist, daß jede zweite Berührungsfläche einen im wesentlichen
ebenen Teil und einen abgeschrägten Teil besitzt, der von der ebenen Berührungsfläche des benachbarten Elements weg
geneigt 1st, und daß die Berührungsflächen einander benachbarter
Elemente einander an dem übergang zwischen dem ebenen und dem abgeschrägten Teil berühren.
7. Schaftanordnung nach Anspruch 2 oder 3, dadurch gekennzeichnet? daß jedes der Elemente eine erste und eine
sweite Berührungsfläche besitzt,, daß jede erste Berührungsfläche
Im wesentlichen eben ist, daß jede zweite Berührungs
fläche zwei abgeschrägt® Teile besitzt, von denen jeder
von der ebenen Fläche des benachbarten Elements weg geneigt ist, und daß einander benachbarte Elemente einander an dem
übergang zwischen den beiden abgeschrägten Teilen berühren.
8. Schaftanordnung nach Anspruch 2 oder 3, dadurch
gekennzeichnet, daß jede der Berührungsflächen jedes der Elemente einen zylindrischen Vorsprung besitzt, an dem die
Oberflächen einander benachbarter Elemente einander berühren.
9. Schaftanordnung nach Anspruch 5, dadurch gekennzeichnet, daß die Kraftübertragungseinrichtung ein sich
in der Längsrichtung erstreckendes Glied besitzt, dessen Reibungskoeffizient mit dem Zugglied so niedrig ist, daß
das Zugglied relativ zu der Druckübertragungseinrichtung leicht von Hand verschiebbar ist.
10. Chirurgisches Klammerinstrument, gekennzeichnet
durch:
eine sich in der Längsrichtung erstreckende Schaftanordnung
nach einem der vorhergehenden Ansprüche;
eine Klammereinsetzanordnung mit zwei Teilen, zwischen denen
Gewebe geklammert wird; und
eine entfernt von der Klammereinsetzanordnung angeordnete Betätigungsanordnung zur Steuerung der Klammereinsetzanordnung;
wobei die Schaftanordnung die Klammereinsetzanordnung mit der Betätigungseinrichtung verbindet und zwischen der Betätigung
sanordnung und der Klammereinsetzanordnung Kräfte zur Steuerung der Klammereinsetzanordnung übertragbar
sind.
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US06/383,144 US4473077A (en) | 1982-05-28 | 1982-05-28 | Surgical stapler apparatus with flexible shaft |
PCT/US1983/000728 WO1983004173A1 (en) | 1982-05-28 | 1983-05-11 | Surgical stapler apparatus with flexible shaft |
Publications (2)
Publication Number | Publication Date |
---|---|
DE3390015T1 true DE3390015T1 (de) | 1984-05-17 |
DE3390015C2 DE3390015C2 (de) | 1986-09-04 |
Family
ID=23511912
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
DE19833390015 Expired DE3390015C2 (de) | 1982-05-28 | 1983-05-11 | Schaftanordnung f}r ein chirurgisches Klammerinstrument |
Country Status (9)
Country | Link |
---|---|
US (1) | US4473077A (de) |
EP (1) | EP0095970B1 (de) |
AT (1) | ATE32492T1 (de) |
AU (1) | AU550699B2 (de) |
BR (1) | BR8307377A (de) |
CA (1) | CA1198336A (de) |
DE (1) | DE3390015C2 (de) |
GB (1) | GB2131338B (de) |
WO (1) | WO1983004173A1 (de) |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
DE19509116A1 (de) * | 1995-03-16 | 1996-09-19 | Deutsche Forsch Luft Raumfahrt | Flexible Struktur |
Families Citing this family (868)
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US1911470A (en) * | 1929-03-09 | 1933-05-30 | Bendix Brake Co | Flexible cable |
GB328448A (en) * | 1929-05-04 | 1930-05-01 | Bendix Brake Co | Improvements relating to flexible transmission apparatus |
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CH470170A (de) * | 1968-02-02 | 1969-03-31 | Vnii Khirurgicheskoi Apparatur | Gerät zum Anbringen von Rundanastomosen |
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SU266139A1 (ru) * | 1968-07-11 | 1973-02-08 | Г. В. Астафьев, А. Н. Ожгихин , Т. Л. Иванова | Аппарат для наложения круговых анастомозов на органы пищеварительного тракта |
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-
1982
- 1982-05-28 US US06/383,144 patent/US4473077A/en not_active Expired - Lifetime
-
1983
- 1983-05-11 DE DE19833390015 patent/DE3390015C2/de not_active Expired
- 1983-05-11 WO PCT/US1983/000728 patent/WO1983004173A1/en active Application Filing
- 1983-05-11 GB GB08401228A patent/GB2131338B/en not_active Expired
- 1983-05-11 BR BR8307377A patent/BR8307377A/pt unknown
- 1983-05-20 EP EP83401011A patent/EP0095970B1/de not_active Expired
- 1983-05-20 AT AT83401011T patent/ATE32492T1/de not_active IP Right Cessation
- 1983-05-27 CA CA000429069A patent/CA1198336A/en not_active Expired
- 1983-05-27 AU AU15036/83A patent/AU550699B2/en not_active Ceased
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
DE19509116A1 (de) * | 1995-03-16 | 1996-09-19 | Deutsche Forsch Luft Raumfahrt | Flexible Struktur |
DE19509116C2 (de) * | 1995-03-16 | 2000-01-05 | Deutsch Zentr Luft & Raumfahrt | Flexible Struktur |
Also Published As
Publication number | Publication date |
---|---|
EP0095970B1 (de) | 1988-02-17 |
US4473077A (en) | 1984-09-25 |
GB2131338A (en) | 1984-06-20 |
AU1503683A (en) | 1983-12-08 |
EP0095970A2 (de) | 1983-12-07 |
GB8401228D0 (en) | 1984-02-22 |
GB2131338B (en) | 1986-01-15 |
AU550699B2 (en) | 1986-03-27 |
WO1983004173A1 (en) | 1983-12-08 |
EP0095970A3 (en) | 1985-05-22 |
DE3390015C2 (de) | 1986-09-04 |
CA1198336A (en) | 1985-12-24 |
BR8307377A (pt) | 1984-05-08 |
ATE32492T1 (de) | 1988-03-15 |
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