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WO1998038923A1 - Ruban mince de fermeture d'une bioprothese pour agrafeuse chirurgicale et son procede de fixation - Google Patents

Ruban mince de fermeture d'une bioprothese pour agrafeuse chirurgicale et son procede de fixation Download PDF

Info

Publication number
WO1998038923A1
WO1998038923A1 PCT/US1998/004028 US9804028W WO9838923A1 WO 1998038923 A1 WO1998038923 A1 WO 1998038923A1 US 9804028 W US9804028 W US 9804028W WO 9838923 A1 WO9838923 A1 WO 9838923A1
Authority
WO
WIPO (PCT)
Prior art keywords
strip
jaw
extensions
opening
extension
Prior art date
Application number
PCT/US1998/004028
Other languages
English (en)
Inventor
David J. Myers
Original Assignee
Medtronic, 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
Application filed by Medtronic, Inc. filed Critical Medtronic, Inc.
Priority to JP53865298A priority Critical patent/JP2001514539A/ja
Priority to AU64442/98A priority patent/AU6444298A/en
Priority to CA002282761A priority patent/CA2282761A1/fr
Priority to EP98910121A priority patent/EP1011477A1/fr
Publication of WO1998038923A1 publication Critical patent/WO1998038923A1/fr

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • 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
    • 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
    • A61B17/07292—Reinforcements for staple line, e.g. pledgets

Definitions

  • This invention relates to surgical stapling guns, and more particularly to a bioprosthesis film strip to prevent air leaks at the staples in lung surgery, and to a method of attaching the strip to a stapling gun.
  • surgeons use linear stapling guns to staple together layers of tissue on each side of a proposed cut along which the diseased tissue is to be severed from the healthy tissue.
  • These stapling guns consist of a pair of elongated jaws which are clamped over, e.g., a lung from which a cancerous lobe is to be removed.
  • One of the jaws carries a cartridge containing parallel rows of biocompatible staples positioned end-to-end, while the other carries parallel rows of anvils for those staples.
  • a scalpel is drawn lengthwise between the staple rows to sever one stapled lung portion from the other.
  • Suitable materials for this purpose are natural materials such as glutaraldehyde fixed bovine pericardium, or man-made materials such as collagen absorbable hemostat, vicryl (polygalactin) mesh, or ePTFE (expanded polytetrafluoroethylene).
  • one prior method involves suturing a strip of bioprosthetic film to a strip of polyethylene backing to form a sleeve.
  • One of these sleeves is then slipped over each jaw of the stapler, with the strip facing inward.
  • the edges of the strips must be cut free of the backing and sutures, which are discarded. This method requires caution on the part of the surgeon to avoid leaving remnants of the backing or sutures in the patient.
  • the present invention fulfills the above-identified need by providing a flat bioprosthetic film strip with apertured ends.
  • the perforated ends of the strip are simply turned out of the plane of the strip, and the jaw is slipped through them.
  • the strip can be released from the jaws in the preferred embodiment by cutting the strip adjacent the apertures, and the entire strip can be left in the patient.
  • Fig. 1 a is an elevational view of a lung showing a stapled and severed lobe
  • Fig. lb is a section of the severed lobe edges along line lb-lb of Fig. la;
  • Fig. 2 is a perspective view of a typical stapling gun used for the stapling operation of Fig. 1;
  • Fig. 3 is a plan view of a preferred embodiment of a bioprosthetic film strip used in the invention.
  • Fig. 4 is a perspective view of the jaws of the stapler of Fig. 2 with the strips of Fig. 3 attached;
  • Fig. 5 is a plan view of a bioprosthetic film strip in an alternative embodiment of the invention
  • Fig. 6 is a perspective view of a stapler using the strip of Fig. 5 a
  • Fig. 7 is a side elevation of stapler jaws with the strip of Fig. 3 attached
  • Fig. 8 is a section along line 8-8 of Fig. 7.
  • Fig. 1 illustrates an environment in which the present invention is useful.
  • a lung 10 has a lobe 12 which is diseased and must be surgically removed. This is done by compressing the lung 10 between the jaws of a stapler 14 (Fig. 2) along a line 16 and stapling the lung with two parallel sets of rows of surgical staples 18 on each side of the line 16.
  • the lung tissue is then cut along line 16 by a scalpel blade 17 traveling along a channel 19 (Fig. 8) between the two sets of rows.
  • a scalpel blade 17 traveling along a channel 19 (Fig. 8) between the two sets of rows.
  • several overlapping stapled cuts are made at an angle to each other (see Fig. la).
  • the staples 18 are conventionally driven through strips of a bioprosthetic sealing material 22 such as bovine pericardium, collagen absorbable hemostat, vicryl mesh or ePTFE. These materials effectively seal the punctured lung.
  • a bioprosthetic sealing material 22 such as bovine pericardium, collagen absorbable hemostat, vicryl mesh or ePTFE.
  • Fig. 2 illustrates the stapler 14 which is used in the above-described procedure.
  • the stapler 14 includes a handle 24 and a pair of jaws 26, 28.
  • the jaws 26, 28 can be widely separated, like the jaws of pliers, prior to use, and then closed and compressed against each other in use.
  • the jaw 26 carries a cartridge of staples 18, while the jaw 28 carries the anvil 30.
  • strips of the sealing material 22 (Figs. 3 and 4) are placed over the staples 18 on jaw 26, and over the anvil 30 on the jaw 28.
  • the strips 22 must be so mounted on the jaws 26, 28 that they are firmly held on the jaws 26, 28 but can be quickly and simply detached from the jaws 26, 28 in order to allow the jaws 26, 28 to be separated following the stapling.
  • biocompatible adhesives or adhesive tape were used to temporarily secure the strips 22 to the jaws 26, 28 but allow them to separate from the jaws when the jaws were opened. This was also unsatisfactory because it introduced additional foreign substances into the body, and because a repeatable acceptable compromise between sufficient adhesion for handling and sufficient releasability to avoid damaging the strips 22 after stapling was difficult to attain.
  • the above- described disadvantages are eliminated by providing strips 22 which extend longitudinally beyond the stapling area of the jaws 26, 28, and which have at least one hole, of a diameter approximating the diameter of the j aws, formed in the extended portion.
  • Fig. 3 shows that preferred embodiment of the invention.
  • the strip 22 has a central portion 32 whose length corresponds to the length of the stapling area of the jaw 26 or 28.
  • the strip 22 has an extension 34a or 34b.
  • the extensions 34a has formed therein an opening 36a of appropriate size and shape (preferably rounded to provide an interference fit along the corners of the square jaws 26, 28) to allow passage of the jaw 26 or 28 therethrough.
  • the opening 36a in extension 34a is small enough to fit snugly over the distal end of jaw 26 or 28.
  • an opening 36b is formed, and the strip 22 is cut along line 39.
  • the opening 36b in extension 34b is large enough to fit somewhat loosely, though with a small interference fit, over the proximal end of jaw 26 or 28.
  • the actual size of the openings 36a and 36b is dictated by several factors. On the one hand, the openings 36 must be large enough to allow the surgeon or stapler operator to slip or slide the strip 22 along the jaws 26, 28, yet small enough to hold the strip in position on the jaws 26, 28. On the other hand, the openings 36a arid 36b must not be so small as to cause difficulty in slipping the strip 22 onto the jaws 26, 28, or to risk tearing the strip 22 during installation.
  • the openings 36a and 36b may be about 0.5-1.0 cm in diameter, the exact size depending upon the size and geometry of the jaws 26, 28.
  • the strip 22 may, for example, be about 2 cm wide for a staple cartridge width of 1 cm.
  • the staple cartridge 18 extends all the way to the proximal end of the jaw 26. Because the end portion 34b of the strip 22 lies at an angle to the jaw 26 or 28 (Fig. 7) when in stapling position, the end portion 34b is pre-cut along line 39 (Fig. 3).
  • the opening 36b By bending the outer end of the extension 34b out of the plane of the strip 22, the opening 36b can be slipped over the end of the jaw, but the tongue 35 remains in the plane of strip 22 and covers the staple cartridge 18 or anvil 30 all the way to the proximal end of the jaw 26 or 28.
  • the extensions 34a and 34b are bent out of the plane of the strip 22, as shown in Fig. 4, and are simply slipped over the jaw 26 or 28.
  • the resiliency of the flexible strip material e.g. bovine pericardium
  • the scalpel blade 17 is actuated to cut the lung tissue and the strips 22 along the dotted line 37.
  • scalpel cuts are made by the operator at 38 in the protruding end portions 34a and 34b. Because in a typical stapler, the blade 17 does not travel all the way to the distal end of the stapling cartridge 18 (see Fig. 7), a further scalpel cut is needed at 43 after the jaws 26, 28 are removed to completely sever the healthy lung tissue and stapled strip halves from the diseased lung tissue and the stapled strip halves associated therewith.
  • Figs. 5a and 6 illustrate another preferred embodiment of the invention.
  • the stapler 14 has one or more pins 40 formed at the proximal end of at least one of the jaws 26, 28.
  • the extension 34b has formed therein not a large opening 36b, but rather one or more small openings 42 that are preferably slightly smaller in diameter than the pins 40.
  • the strips 22 are attached to the jaws 26, 28 by slipping opening 36 in extension 34a over the jaw 26 or 28, and then slipping the openings 42 of both strips 22 over the pins 40 on the jaw 26.
  • the resilience of the strip material holds the strip 22 on the pins 40 prior to stapling but allows the strip 22 to easily be pulled free of the pins 40 when the jaws 26, 28 are opened following stapling.

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)
  • Materials For Medical Uses (AREA)

Abstract

On fixe un ruban mince de fermeture d'une bioprothèse à une agrafeuse chirurgicale en faisant passer l'une des branches de l'agrafeuse dans des ouvertures percées dans les extrémités du ruban. Après l'agrafage, on retire le ruban en incisant entre l'ouverture et le bord du ruban. Dans une variante, l'une des extrémités du ruban peut être réversiblement fixée à des picots formés sur la branche.
PCT/US1998/004028 1997-03-04 1998-03-03 Ruban mince de fermeture d'une bioprothese pour agrafeuse chirurgicale et son procede de fixation WO1998038923A1 (fr)

Priority Applications (4)

Application Number Priority Date Filing Date Title
JP53865298A JP2001514539A (ja) 1997-03-04 1998-03-03 手術用ステープラー用の生体プロテーゼフィルムストリップ及びその取り付け方法
AU64442/98A AU6444298A (en) 1997-03-04 1998-03-03 Bioprothesis film strip for surgical stapler and method of attaching the same
CA002282761A CA2282761A1 (fr) 1997-03-04 1998-03-03 Ruban mince de fermeture d'une bioprothese pour agrafeuse chirurgicale et son procede de fixation
EP98910121A EP1011477A1 (fr) 1997-03-04 1998-03-03 Ruban mince de fermeture d'une bioprothese pour agrafeuse chirurgicale et son procede de fixation

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US81005497A 1997-03-04 1997-03-04
US08/810,054 1997-03-04

Publications (1)

Publication Number Publication Date
WO1998038923A1 true WO1998038923A1 (fr) 1998-09-11

Family

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Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US1998/004028 WO1998038923A1 (fr) 1997-03-04 1998-03-03 Ruban mince de fermeture d'une bioprothese pour agrafeuse chirurgicale et son procede de fixation

Country Status (5)

Country Link
EP (1) EP1011477A1 (fr)
JP (1) JP2001514539A (fr)
AU (1) AU6444298A (fr)
CA (1) CA2282761A1 (fr)
WO (1) WO1998038923A1 (fr)

Cited By (92)

* Cited by examiner, † Cited by third party
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DE19924311A1 (de) * 1999-05-27 2000-11-30 Walter A Rau Klammerschneidegerät und Zusatzvorrichtung für ein solches
EP1256317A3 (fr) * 2001-05-07 2003-01-22 Ethicon Endo-Surgery, Inc. Dispositif pour attacher une pièce d'appui à une agrafeuse chirurgicale
WO2002082975A3 (fr) * 2001-04-16 2003-09-12 Shlomo Gabbay Bande de tissu biologique, systeme et procede de suture de tissus
US6916819B2 (en) 2000-12-21 2005-07-12 Neurogen Corporation Benzimidazole and pyridylimidazole derivatives
EP1494596A4 (fr) * 2002-03-26 2007-08-29 Synovis Life Technologies Inc Combinaison de renfort d'agrafeuse circulaire
EP2087844A1 (fr) * 2002-06-17 2009-08-12 Tyco Healthcare Group Lp Structures de support annulaires
JP2010240464A (ja) * 2000-10-13 2010-10-28 Tyco Healthcare Group Lp 外科用ファスナー適用装置
EP2289429A1 (fr) * 2002-05-10 2011-03-02 Tyco Healthcare Group LP Appareil d'agrafage chirurgical doté d'un ensemble formant applicateur de matériau de fermeture des plaies
US8453904B2 (en) 2007-10-08 2013-06-04 W. L. Gore & Associates, Inc. Apparatus for supplying surgical staple line reinforcement
US8899464B2 (en) 2011-10-03 2014-12-02 Ethicon Endo-Surgery, Inc. Attachment of surgical staple buttress to cartridge
US8985429B2 (en) 2011-09-23 2015-03-24 Ethicon Endo-Surgery, Inc. Surgical stapling device with adjunct material application feature
US8998060B2 (en) 2011-09-13 2015-04-07 Ethicon Endo-Surgery, Inc. Resistive heated surgical staple cartridge with phase change sealant
US8998059B2 (en) 2011-08-01 2015-04-07 Ethicon Endo-Surgery, Inc. Adjunct therapy device having driver with cavity for hemostatic agent
US9089326B2 (en) 2011-10-07 2015-07-28 Ethicon Endo-Surgery, Inc. Dual staple cartridge for surgical stapler
US9101359B2 (en) 2011-09-13 2015-08-11 Ethicon Endo-Surgery, Inc. Surgical staple cartridge with self-dispensing staple buttress
US9125649B2 (en) 2011-09-15 2015-09-08 Ethicon Endo-Surgery, Inc. Surgical instrument with filled staple
US9198644B2 (en) 2011-09-22 2015-12-01 Ethicon Endo-Surgery, Inc. Anvil cartridge for surgical fastening device
US9254180B2 (en) 2011-09-15 2016-02-09 Ethicon Endo-Surgery, Inc. Surgical instrument with staple reinforcement clip
US9393018B2 (en) 2011-09-22 2016-07-19 Ethicon Endo-Surgery, Inc. Surgical staple assembly with hemostatic feature
US9492170B2 (en) 2011-08-10 2016-11-15 Ethicon Endo-Surgery, Inc. Device for applying adjunct in endoscopic procedure
US9504470B2 (en) 2013-02-25 2016-11-29 Covidien Lp Circular stapling device with buttress
US9572576B2 (en) 2012-07-18 2017-02-21 Covidien Lp Surgical apparatus including surgical buttress
US9597077B2 (en) 2011-12-14 2017-03-21 Covidien Lp Buttress attachment to the cartridge surface
US9610080B2 (en) 2009-10-15 2017-04-04 Covidien Lp Staple line reinforcement for anvil and cartridge
US9622745B2 (en) 2009-10-15 2017-04-18 Covidien Lp Staple line reinforcement for anvil and cartridge
CN106572788A (zh) * 2014-06-10 2017-04-19 伊西康内外科有限责任公司 用于密封支气管的支气管密封剂
US9636850B2 (en) 2007-06-27 2017-05-02 Covidien Lp Buttress and surgical stapling apparatus
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US9681936B2 (en) 2012-11-30 2017-06-20 Covidien Lp Multi-layer porous film material
US9693772B2 (en) 2009-10-15 2017-07-04 Covidien Lp Staple line reinforcement for anvil and cartridge
US9775617B2 (en) 2012-01-26 2017-10-03 Covidien Lp Circular stapler including buttress
US9782173B2 (en) 2013-03-07 2017-10-10 Covidien Lp Circular stapling device including buttress release mechanism
US9844378B2 (en) 2014-04-29 2017-12-19 Covidien Lp Surgical stapling apparatus and methods of adhering a surgical buttress thereto
US9895151B2 (en) 2013-02-04 2018-02-20 Covidien Lp Circular stapling device including buttress material
US9999408B2 (en) 2011-09-14 2018-06-19 Ethicon Endo-Surgery, Inc. Surgical instrument with fluid fillable buttress
US10022125B2 (en) 2007-06-18 2018-07-17 Covidien Lp Interlocking buttress material retention system
US10111659B2 (en) 2007-03-06 2018-10-30 Covidien Lp Surgical stapling apparatus
US10154840B2 (en) 2004-10-18 2018-12-18 Covidien Lp Annular adhesive structure
US10245031B2 (en) 2012-11-30 2019-04-02 Covidien Lp Surgical apparatus including surgical buttress
US10285704B2 (en) 2012-10-10 2019-05-14 Covidien Lp Buttress fixation for a circular stapler
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US10368868B2 (en) 2017-03-09 2019-08-06 Covidien Lp Structure for attaching buttress material to anvil and cartridge of surgical stapling instrument
US10420556B2 (en) 2012-11-09 2019-09-24 Covidien Lp Surgical stapling apparatus including buttress attachment
US10470771B2 (en) 2005-03-15 2019-11-12 Covidien Lp Circular anastomosis structures
US10576298B2 (en) 2009-10-15 2020-03-03 Covidien Lp Buttress brachytherapy and integrated staple line markers for margin identification
US10617419B2 (en) 2008-12-16 2020-04-14 Covidien Lp Surgical apparatus including surgical buttress
US10687818B2 (en) 2011-04-27 2020-06-23 Covidien Lp Circular stapler and staple line reinforcment material
US10695066B2 (en) 2012-01-26 2020-06-30 Covidien Lp Surgical device including buttress material
US10722234B2 (en) 2013-02-28 2020-07-28 Covidien Lp Adherence concepts for non-woven absorbable felt buttresses
US10758237B2 (en) 2018-04-30 2020-09-01 Covidien Lp Circular stapling apparatus with pinned buttress
US10786255B2 (en) 2011-12-14 2020-09-29 Covidien Lp Buttress assembly for use with surgical stapling device
US10806459B2 (en) 2018-09-14 2020-10-20 Covidien Lp Drug patterned reinforcement material for circular anastomosis
US10842485B2 (en) 2009-10-15 2020-11-24 Covidien Lp Brachytherapy buttress
US10849625B2 (en) 2017-08-07 2020-12-01 Covidien Lp Surgical buttress retention systems for surgical stapling apparatus
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US10925607B2 (en) 2017-02-28 2021-02-23 Covidien Lp Surgical stapling apparatus with staple sheath
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US11730472B2 (en) 2019-04-25 2023-08-22 Covidien Lp Surgical system and surgical loading units thereof
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US11801052B2 (en) 2021-08-30 2023-10-31 Covidien Lp Assemblies for surgical stapling instruments
US11806017B2 (en) 2021-11-23 2023-11-07 Covidien Lp Anvil buttress loading system for surgical stapling apparatus
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US12076013B2 (en) 2021-08-03 2024-09-03 Covidien Lp Surgical buttress attachment assemblies for surgical stapling apparatus

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US7967179B2 (en) 2009-03-31 2011-06-28 Tyco Healthcare Group Lp Center cinch and release of buttress material
US8479968B2 (en) * 2011-03-10 2013-07-09 Covidien Lp Surgical instrument buttress attachment
US9675351B2 (en) 2011-10-26 2017-06-13 Covidien Lp Buttress release from surgical stapler by knife pushing
US9402627B2 (en) 2012-12-13 2016-08-02 Covidien Lp Folded buttress for use with a surgical apparatus
US9433420B2 (en) 2013-01-23 2016-09-06 Covidien Lp Surgical apparatus including surgical buttress
US9414839B2 (en) 2013-02-04 2016-08-16 Covidien Lp Buttress attachment for circular stapling device
CN107155296B (zh) * 2014-06-10 2020-07-14 伊西康内外科有限责任公司 用于密封组织中的钉的装置

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB1158113A (en) * 1965-07-06 1969-07-16 Us Surgical Corp 62 1158111 Surgical Stapling Instruments
GB2065536A (en) * 1979-12-20 1981-07-01 Vnii Ispytatel Med Tech Surgical instrument for staple suturing of hollow organs
US5065929A (en) * 1991-04-01 1991-11-19 Ethicon, Inc. Surgical stapler with locking means
US5263629A (en) * 1992-06-29 1993-11-23 Ethicon, Inc. Method and apparatus for achieving hemostasis along a staple line
EP0667119A1 (fr) * 1994-02-10 1995-08-16 Bio-Vascular, Inc. Contre-boutant d'agrafage des tissus souples
WO1997001989A1 (fr) * 1995-07-03 1997-01-23 Frater Dirk A Systeme destine au montage d'un coussinet d'amortissement sur des agrafeuses de tissu corporel

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB1158113A (en) * 1965-07-06 1969-07-16 Us Surgical Corp 62 1158111 Surgical Stapling Instruments
GB2065536A (en) * 1979-12-20 1981-07-01 Vnii Ispytatel Med Tech Surgical instrument for staple suturing of hollow organs
US5065929A (en) * 1991-04-01 1991-11-19 Ethicon, Inc. Surgical stapler with locking means
US5263629A (en) * 1992-06-29 1993-11-23 Ethicon, Inc. Method and apparatus for achieving hemostasis along a staple line
EP0667119A1 (fr) * 1994-02-10 1995-08-16 Bio-Vascular, Inc. Contre-boutant d'agrafage des tissus souples
WO1997001989A1 (fr) * 1995-07-03 1997-01-23 Frater Dirk A Systeme destine au montage d'un coussinet d'amortissement sur des agrafeuses de tissu corporel

Cited By (140)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE19924311A1 (de) * 1999-05-27 2000-11-30 Walter A Rau Klammerschneidegerät und Zusatzvorrichtung für ein solches
JP2010240464A (ja) * 2000-10-13 2010-10-28 Tyco Healthcare Group Lp 外科用ファスナー適用装置
US6916819B2 (en) 2000-12-21 2005-07-12 Neurogen Corporation Benzimidazole and pyridylimidazole derivatives
WO2002082975A3 (fr) * 2001-04-16 2003-09-12 Shlomo Gabbay Bande de tissu biologique, systeme et procede de suture de tissus
US6638285B2 (en) 2001-04-16 2003-10-28 Shlomo Gabbay Biological tissue strip and system and method to seal tissue
EP1256317A3 (fr) * 2001-05-07 2003-01-22 Ethicon Endo-Surgery, Inc. Dispositif pour attacher une pièce d'appui à une agrafeuse chirurgicale
US6656193B2 (en) 2001-05-07 2003-12-02 Ethicon Endo-Surgery, Inc. Device for attachment of buttress material to a surgical fastening device
CN1301685C (zh) * 2001-05-07 2007-02-28 伊西康内外科公司 一种将支撑材料连接在手术用固定器械上的装置
EP1759640A3 (fr) * 2001-05-07 2007-03-14 Ethicon Endo-Surgery, Inc. Dispositif pour attacher une pièce d'appui à une agrafeuse chirurgicale
US7776060B2 (en) 2002-03-26 2010-08-17 Synovis Life Technologies, Inc. Circular stapler buttress combination
EP1494596A4 (fr) * 2002-03-26 2007-08-29 Synovis Life Technologies Inc Combinaison de renfort d'agrafeuse circulaire
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US8453904B2 (en) 2007-10-08 2013-06-04 W. L. Gore & Associates, Inc. Apparatus for supplying surgical staple line reinforcement
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US9393018B2 (en) 2011-09-22 2016-07-19 Ethicon Endo-Surgery, Inc. Surgical staple assembly with hemostatic feature
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CA2282761A1 (fr) 1998-09-11
AU6444298A (en) 1998-09-22
EP1011477A1 (fr) 2000-06-28
JP2001514539A (ja) 2001-09-11

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