Article

the past and present of the stapler

The development of medicine is constantly advancing with the development of human science and technology. Surgical procedures have progressed from the initial bloody, nine-death situation to the current "minimally invasive/non-invasive, painless, safe, fast, and effective" by no means one person or one day.

In the nearly two-hundred-year history of surgery from ignorance to science and civilization, the invention and improvement of surgical instruments undoubtedly played a vital role.

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FIG.1 The first inventor of the surgical stapler

In the context of the rapid development of modern science, it can be said that many advanced technologies will be applied to the medical field first, and the renewal of surgical instruments is accelerated, bringing more benefits and possibilities.

Suture is an essential and very important part of surgery. Before the twentieth century, all sutures in surgical operations were done by manual sutures. It was fine for small wounds or small blood vessels. Once encountered operations on internal organs such as esophagus, lungs, gastrointestinal, liver, spleen and pancreas , The doctor has to spend several or even ten hours on stitching.

Nowadays, many operations still require doctors to use superb "sewing" skills to suture wounds or organ tissues. But sometimes they can also use a medical "stapler"-stapler to make surgical sutures more efficient through mechanized operation, and make many difficult and complicated operations easier, and greatly reduce the incidence of surgical complications.

l  1908
Hümer Hültl, a Hungarian doctor, took inspiration from the stapler and successfully invented a new hemostatic suture tool-the stapler.

l  1921
Lighter modern stapler appeared.

l  1958
The stapler gets a key improvement in the United States.

l  1967
The development of clinical surgical stapler.

l  1968
The cutting stitcher came out

l  1978
American Surgical Company invented the tubular end-to-end stapler (EEA).

l  1979
The disposable stapler came out, and the stapler application began to be popularized and subdivided.

l  2012
Covidien invented the Triple Genesis Smart Anastomosis Technology.

l  2015
The world's first electric intelligent cutting stapler was born.

To sum up, after more than a century of development, the current stapler can be divided into linear stapler, circular stapler, linear cutting stapler, purse-string stapler, skin fascia stapler and laparoscopic special stapler, electric intelligent cutting Stapler etc. The future has entered you and me, let us adopt a more open attitude to welcome the early arrival of the new technology and new equipment era! 

imageFIG.2 Disposable laparoscopic linear stapler