BR112018070044A2 - dispositivos de acesso cirúrgico com recursos de fechamento de ferimentos integrados - Google Patents

dispositivos de acesso cirúrgico com recursos de fechamento de ferimentos integrados

Info

Publication number
BR112018070044A2
BR112018070044A2 BR112018070044A BR112018070044A BR112018070044A2 BR 112018070044 A2 BR112018070044 A2 BR 112018070044A2 BR 112018070044 A BR112018070044 A BR 112018070044A BR 112018070044 A BR112018070044 A BR 112018070044A BR 112018070044 A2 BR112018070044 A2 BR 112018070044A2
Authority
BR
Brazil
Prior art keywords
wound closure
surgical access
features
closure features
opening
Prior art date
Application number
BR112018070044A
Other languages
English (en)
Other versions
BR112018070044B1 (pt
Inventor
J Hess Christopher
T Gates Craig
E Withers Douglas
E Shelton Frederick Iv
R Morgan Jerome
A Bledsoe Ryan
Original Assignee
Ethicon Llc
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 Ethicon Llc filed Critical Ethicon Llc
Publication of BR112018070044A2 publication Critical patent/BR112018070044A2/pt
Publication of BR112018070044B1 publication Critical patent/BR112018070044B1/pt

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
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/0218—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0482—Needle or suture guides
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A61B17/3423—Access ports, e.g. toroid shape introducers for instruments or hands
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A61B17/3439—Cannulas with means for changing the inner diameter of the cannula, e.g. expandable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3462—Trocars; Puncturing needles with means for changing the diameter or the orientation of the entrance port of the cannula, e.g. for use with different-sized instruments, reduction ports, adapter seals
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02—Access sites
    • A61M39/04—Access sites having pierceable self-sealing members
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A61B2017/00637—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for sealing trocar wounds through abdominal wall
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A61B2017/00646—Type of implements
    • A61B2017/00663—Type of implements the implement being a suture
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/0218—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for minimally invasive surgery
    • A61B2017/0225—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for minimally invasive surgery flexible, e.g. fabrics, meshes, or membranes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A61B17/3439—Cannulas with means for changing the inner diameter of the cannula, e.g. expandable
    • A61B2017/3441—Cannulas with means for changing the inner diameter of the cannula, e.g. expandable with distal sealing means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A61B2017/3445—Cannulas used as instrument channel for multiple instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3462—Trocars; Puncturing needles with means for changing the diameter or the orientation of the entrance port of the cannula, e.g. for use with different-sized instruments, reduction ports, adapter seals
    • A61B2017/3464—Trocars; Puncturing needles with means for changing the diameter or the orientation of the entrance port of the cannula, e.g. for use with different-sized instruments, reduction ports, adapter seals with means acting on inner surface of valve or seal for expanding or protecting, e.g. inner pivoting fingers

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Biomedical Technology (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • General Health & Medical Sciences (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Pathology (AREA)
  • Cardiology (AREA)
  • Pulmonology (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Surgical Instruments (AREA)

Abstract

a presente invenção se refere a dispositivos de acesso cirúrgico que têm recursos de fechamento de ferimentos incorporados como parte do dispositivo. os dispositivos possibilitam que uma sutura seja inserida diretamente no dispositivo e operada para fechar uma abertura através da qual o dispositivo é disposto no momento em que ou logo após o dispositivo ser removido do sítio cirúrgico. adicionalmente, os recursos de fechamento de ferimentos possibilitam que várias orientações de fechamento de ferimentos sejam obtidas ajustando-se um ângulo no qual a sutura entra no tecido que circunda a abertura a ser fechada. alguns dos recursos de fechamento de ferimentos são fornecidos para incluir aberturas (140, 160) formadas no invólucro (108) e na cânula (118) do dispositivo de acesso cirúrgico, múltiplas aberturas formadas em um ou ambos dentro o invólucro e a cânula, locais das aberturas que são ajustáveis ou de outro modo móveis e várias vedações flexíveis. outros recursos, bem como métodos para fechar uma abertura através da qual o dispositivo de acesso cirúrgico foi disposto, também são fornecidos.
BR112018070044-4A 2016-04-01 2017-03-29 Dispositivos de acesso cirúrgico com recursos de fechamento de ferimentos integrados BR112018070044B1 (pt)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US15/088,723 US10299785B2 (en) 2016-04-01 2016-04-01 Surgical access devices with integrated wound closure features
US15/088,723 2016-04-01
PCT/US2017/024691 WO2017172875A1 (en) 2016-04-01 2017-03-29 Surgical access devices with integrated wound closure features

Publications (2)

Publication Number Publication Date
BR112018070044A2 true BR112018070044A2 (pt) 2019-02-05
BR112018070044B1 BR112018070044B1 (pt) 2023-04-25

Family

ID=58464369

Family Applications (1)

Application Number Title Priority Date Filing Date
BR112018070044-4A BR112018070044B1 (pt) 2016-04-01 2017-03-29 Dispositivos de acesso cirúrgico com recursos de fechamento de ferimentos integrados

Country Status (6)

Country Link
US (7) US10299785B2 (pt)
EP (2) EP3225202B1 (pt)
JP (1) JP6953426B2 (pt)
CN (1) CN109069185B (pt)
BR (1) BR112018070044B1 (pt)
WO (1) WO2017172875A1 (pt)

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Also Published As

Publication number Publication date
EP3225202B1 (en) 2020-03-04
CN109069185A (zh) 2018-12-21
US11284881B2 (en) 2022-03-29
JP6953426B2 (ja) 2021-10-27
US10420544B2 (en) 2019-09-24
US20200046342A1 (en) 2020-02-13
US10299785B2 (en) 2019-05-28
BR112018070044B1 (pt) 2023-04-25
US20170281227A1 (en) 2017-10-05
US20170281226A1 (en) 2017-10-05
EP3714818A1 (en) 2020-09-30
US10251638B2 (en) 2019-04-09
CN109069185B (zh) 2021-04-23
US20220240923A1 (en) 2022-08-04
EP3225202A1 (en) 2017-10-04
US10426461B2 (en) 2019-10-01
US20170281228A1 (en) 2017-10-05
WO2017172875A1 (en) 2017-10-05
US20170281154A1 (en) 2017-10-05
US20170281229A1 (en) 2017-10-05
EP3714818B1 (en) 2024-01-03
JP2019515717A (ja) 2019-06-13
US10285688B2 (en) 2019-05-14

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