CA2383567C - Spreading instrument - Google Patents
Spreading instrument Download PDFInfo
- Publication number
- CA2383567C CA2383567C CA2383567A CA2383567A CA2383567C CA 2383567 C CA2383567 C CA 2383567C CA 2383567 A CA2383567 A CA 2383567A CA 2383567 A CA2383567 A CA 2383567A CA 2383567 C CA2383567 C CA 2383567C
- Authority
- CA
- Canada
- Prior art keywords
- fingers
- arms
- spreading
- instrument according
- finger
- 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.)
- Expired - Fee Related
Links
- 230000007480 spreading Effects 0.000 title claims abstract description 80
- 210000003811 finger Anatomy 0.000 claims description 268
- 210000004204 blood vessel Anatomy 0.000 claims description 55
- 210000003813 thumb Anatomy 0.000 claims description 19
- 230000033001 locomotion Effects 0.000 claims description 18
- 230000007423 decrease Effects 0.000 claims description 14
- 230000008878 coupling Effects 0.000 claims description 13
- 238000010168 coupling process Methods 0.000 claims description 13
- 238000005859 coupling reaction Methods 0.000 claims description 13
- 210000000056 organ Anatomy 0.000 claims description 7
- 239000000523 sample Substances 0.000 description 36
- 210000001367 artery Anatomy 0.000 description 32
- 238000000034 method Methods 0.000 description 25
- 238000002224 dissection Methods 0.000 description 14
- 230000010349 pulsation Effects 0.000 description 14
- 238000005286 illumination Methods 0.000 description 13
- 230000002792 vascular Effects 0.000 description 11
- 238000012800 visualization Methods 0.000 description 11
- 210000001105 femoral artery Anatomy 0.000 description 7
- 210000005224 forefinger Anatomy 0.000 description 7
- 230000009471 action Effects 0.000 description 6
- 239000000463 material Substances 0.000 description 6
- 238000002559 palpation Methods 0.000 description 6
- 210000001519 tissue Anatomy 0.000 description 6
- 230000000740 bleeding effect Effects 0.000 description 5
- 239000008280 blood Substances 0.000 description 4
- 210000004369 blood Anatomy 0.000 description 4
- 230000000295 complement effect Effects 0.000 description 4
- 230000005540 biological transmission Effects 0.000 description 3
- 208000014674 injury Diseases 0.000 description 3
- 238000003780 insertion Methods 0.000 description 3
- 230000037431 insertion Effects 0.000 description 3
- 230000007246 mechanism Effects 0.000 description 3
- 230000000284 resting effect Effects 0.000 description 3
- 238000007920 subcutaneous administration Methods 0.000 description 3
- 210000003437 trachea Anatomy 0.000 description 3
- 230000008733 trauma Effects 0.000 description 3
- 230000008901 benefit Effects 0.000 description 2
- 238000013461 design Methods 0.000 description 2
- 239000012530 fluid Substances 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 206010033675 panniculitis Diseases 0.000 description 2
- 230000037361 pathway Effects 0.000 description 2
- 238000000926 separation method Methods 0.000 description 2
- 230000006641 stabilisation Effects 0.000 description 2
- 238000011105 stabilization Methods 0.000 description 2
- 230000000087 stabilizing effect Effects 0.000 description 2
- 210000004304 subcutaneous tissue Anatomy 0.000 description 2
- 230000000007 visual effect Effects 0.000 description 2
- 206010053567 Coagulopathies Diseases 0.000 description 1
- 208000034656 Contusions Diseases 0.000 description 1
- 206010052428 Wound Diseases 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 239000000853 adhesive Substances 0.000 description 1
- 230000001070 adhesive effect Effects 0.000 description 1
- 210000000436 anus Anatomy 0.000 description 1
- 238000013459 approach Methods 0.000 description 1
- 230000000712 assembly Effects 0.000 description 1
- 238000000429 assembly Methods 0.000 description 1
- 238000007675 cardiac surgery Methods 0.000 description 1
- 230000035602 clotting Effects 0.000 description 1
- 244000221110 common millet Species 0.000 description 1
- 230000000916 dilatatory effect Effects 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 210000003099 femoral nerve Anatomy 0.000 description 1
- 210000003191 femoral vein Anatomy 0.000 description 1
- 210000001061 forehead Anatomy 0.000 description 1
- 230000023597 hemostasis Effects 0.000 description 1
- 238000003973 irrigation Methods 0.000 description 1
- 230000002262 irrigation Effects 0.000 description 1
- 230000014759 maintenance of location Effects 0.000 description 1
- 230000013011 mating Effects 0.000 description 1
- 230000035515 penetration Effects 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 239000003381 stabilizer Substances 0.000 description 1
- 238000003860 storage Methods 0.000 description 1
- 230000000699 topical effect Effects 0.000 description 1
- 210000003462 vein Anatomy 0.000 description 1
- 238000012795 verification Methods 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/34—Trocars; Puncturing needles
- A61B17/3403—Needle locating or guiding means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/28—Surgical forceps
- A61B17/2812—Surgical forceps with a single pivotal connection
- A61B17/282—Jaws
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/02—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
- A61B17/0206—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors with antagonistic arms as supports for retractor elements
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- 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
- A61B2017/0042—Surgical instruments, devices or methods with special provisions for gripping
- A61B2017/00424—Surgical instruments, devices or methods with special provisions for gripping ergonomic, e.g. fitting in fist
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00681—Aspects not otherwise provided for
- A61B2017/00738—Aspects not otherwise provided for part of the tool being offset with respect to a main axis, e.g. for better view for the surgeon
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/32—Surgical cutting instruments
- A61B2017/320044—Blunt dissectors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/06—Measuring instruments not otherwise provided for
- A61B2090/062—Measuring instruments not otherwise provided for penetration depth
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Ophthalmology & Optometry (AREA)
- Pathology (AREA)
- Surgical Instruments (AREA)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US15274599P | 1999-09-08 | 1999-09-08 | |
| US60/152,745 | 1999-09-08 | ||
| PCT/US2000/024684 WO2001021231A2 (en) | 1999-09-08 | 2000-09-08 | Percutaneous entry system and method |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CA2383567A1 CA2383567A1 (en) | 2001-03-29 |
| CA2383567C true CA2383567C (en) | 2012-12-18 |
Family
ID=22544240
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CA2383567A Expired - Fee Related CA2383567C (en) | 1999-09-08 | 2000-09-08 | Spreading instrument |
Country Status (5)
| Country | Link |
|---|---|
| EP (2) | EP2301451B1 (enExample) |
| JP (2) | JP5274740B2 (enExample) |
| AU (1) | AU7360600A (enExample) |
| CA (1) | CA2383567C (enExample) |
| WO (1) | WO2001021231A2 (enExample) |
Families Citing this family (16)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US7288092B2 (en) | 2003-04-23 | 2007-10-30 | Atricure, Inc. | Method and apparatus for ablating cardiac tissue with guide facility |
| US8029528B2 (en) * | 2005-01-03 | 2011-10-04 | Atricure, Inc. | Instrument guide and method for use |
| US8152834B2 (en) * | 2005-04-13 | 2012-04-10 | Synthes Usa, Llc | Forceps and system using same |
| US7988670B2 (en) | 2005-06-30 | 2011-08-02 | Tyco Healthcare Group Lp | Trocar assembly with rotatable obturator housing |
| US20070135686A1 (en) * | 2005-12-14 | 2007-06-14 | Pruitt John C Jr | Tools and methods for epicardial access |
| US20070244490A1 (en) * | 2006-02-22 | 2007-10-18 | Moehle Ryan T | Growth cuff removal devices and methods of use |
| US8663263B2 (en) | 2007-05-22 | 2014-03-04 | Covidien Lp | Access sheath with blade |
| JP5878010B2 (ja) * | 2011-12-16 | 2016-03-08 | 静岡県 | 把持鉗子 |
| GB2525676A (en) * | 2014-05-02 | 2015-11-04 | Girish Ganesha Babu | Access tool |
| EP3241509B1 (en) * | 2016-05-03 | 2022-08-10 | Alessandro Gualdi | Instrument for cosmetic surgery |
| KR101763069B1 (ko) | 2016-05-04 | 2017-07-31 | 인제대학교 산학협력단 | 더블 루멘 카테터의 이중 박리기 |
| KR101808442B1 (ko) | 2016-08-23 | 2017-12-12 | 전북대학교산학협력단 | 튜브 인도용 바늘의 고정겸자 |
| WO2019069456A1 (ja) * | 2017-10-06 | 2019-04-11 | オリンパス株式会社 | ダイレータ及び処置システム |
| KR101978674B1 (ko) * | 2018-12-17 | 2019-05-15 | 의료법인 명지의료재단 | 다기능 수술용 다이섹터 |
| WO2021116776A1 (en) * | 2019-12-12 | 2021-06-17 | Hameed Belthangady Monu Zeeshan | A scissors-needle system for intra-cavitary hydro-dissection and excision of tissues |
| CN118845166B (zh) * | 2024-07-12 | 2025-04-01 | 深圳市中西医结合医院 | 一种轮廓可视化皮下隧道建立器械 |
Family Cites Families (33)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US258714A (en) | 1882-05-30 | clement | ||
| US2191A (en) | 1841-07-23 | Constructing the surgical instrument denominated the | ||
| US239910A (en) | 1881-04-05 | Station-indicator | ||
| US231034A (en) | 1880-08-10 | By jxu | ||
| US1214562A (en) | 1916-08-08 | 1917-02-06 | Patrick John Mcgrath | Lawn-mower shears. |
| US2370026A (en) | 1943-04-30 | 1945-02-20 | Adolphe R Elia | Scissors or shears |
| US2669993A (en) * | 1953-01-26 | 1954-02-23 | Pedro D Curutchet | Bicapsular grip for pivoted surgical instruments |
| US2863459A (en) | 1956-05-29 | 1958-12-09 | Ervin J Casper | Instrument for holding surgical needle |
| US4049002A (en) | 1975-07-18 | 1977-09-20 | Bio-Medicus, Inc. | Fluid conveying surgical instrument |
| US3987542A (en) | 1975-08-22 | 1976-10-26 | Visco Luigi P | Scissors |
| AR208120A1 (es) | 1976-01-01 | 1976-11-30 | Curutchet P | Mangos quirurgicos aximanuales funcionales |
| USD258714S (en) | 1977-01-06 | 1981-03-31 | Oy. Fiskars Ab | Nail scissors |
| US4819636A (en) | 1986-01-14 | 1989-04-11 | Horst Gerich | Medical device |
| IL81378A0 (en) * | 1986-03-28 | 1987-08-31 | Waltap Ltd | Apparatus and method for performing a tracheostomy operation |
| US4889112A (en) | 1987-01-23 | 1989-12-26 | Waltap Ltd. | Apparatus for performing a tracheostomy operation |
| USD310714S (en) | 1987-08-13 | 1990-09-18 | Walter Lorenz Surgical Instruments, Inc. | Temporomandibular joint disc scissors |
| US5797939A (en) | 1989-12-05 | 1998-08-25 | Yoon; Inbae | Endoscopic scissors with longitudinal operating channel |
| USD331179S (en) | 1990-01-08 | 1992-11-24 | Masanori Omichi | Hair-cutting scissors |
| DE4115548C2 (de) * | 1990-05-17 | 1996-11-21 | Storz Karl | Chirurgische Zange zur Anwendung in der Laparoskopie |
| US5224931A (en) * | 1991-04-23 | 1993-07-06 | Kumar Sarbjeet S | Method and device for performing cholangiography |
| US5153997A (en) | 1991-10-11 | 1992-10-13 | Ergonomic Tool Associates | Ergonomic scissors |
| AU3499493A (en) * | 1992-02-27 | 1993-09-13 | Epimed Ag | Device for guiding a puncture device and its use with a hand-held appliance for locating blood vessels |
| JPH05277184A (ja) * | 1992-04-03 | 1993-10-26 | Otsuka Pharmaceut Co Ltd | 血管穿刺補助具 |
| US5356408A (en) | 1993-07-16 | 1994-10-18 | Everest Medical Corporation | Bipolar electrosurgical scissors having nonlinear blades |
| US5843124A (en) * | 1993-09-28 | 1998-12-01 | Hemodynamics, Inc. | Surface opening adhesive sealer |
| AU1176195A (en) * | 1993-11-09 | 1995-05-29 | Innovative Surgical, Inc. | Minimally-invasive surgical instrument and modified ratchet |
| WO1995026683A1 (en) * | 1994-03-31 | 1995-10-12 | Boston Scientific Corporation | Vascular plug with vessel locator |
| DE4416656C2 (de) * | 1994-05-11 | 1997-03-13 | Vetter & Co Apotheker | Vorrichtung zur Schaffung eines Venenzuganges |
| WO1995032671A1 (en) * | 1994-06-01 | 1995-12-07 | Perclose, Inc. | Method and device for providing vascular hemostasis |
| ES2098198B1 (es) * | 1995-10-18 | 1998-01-01 | Bofill Brosa Ramon | Pinza para la introduccion quirurgica de cateteres y similares. |
| US6425901B1 (en) * | 1995-12-07 | 2002-07-30 | Loma Linda University Medical Center | Vascular wound closure system |
| US6524326B1 (en) * | 1995-12-07 | 2003-02-25 | Loma Linda University Medical Center | Tissue opening locator and everter and method |
| JP2001511686A (ja) * | 1997-02-13 | 2001-08-14 | ボストン サイエンティフィック リミテッド | 侵襲性を最小にした骨盤手術のための方法および装置 |
-
2000
- 2000-09-08 WO PCT/US2000/024684 patent/WO2001021231A2/en not_active Ceased
- 2000-09-08 EP EP10180765.9A patent/EP2301451B1/en not_active Expired - Lifetime
- 2000-09-08 JP JP2001524654A patent/JP5274740B2/ja not_active Expired - Fee Related
- 2000-09-08 AU AU73606/00A patent/AU7360600A/en not_active Abandoned
- 2000-09-08 EP EP00961686A patent/EP1237490B1/en not_active Expired - Lifetime
- 2000-09-08 CA CA2383567A patent/CA2383567C/en not_active Expired - Fee Related
-
2011
- 2011-10-14 JP JP2011227266A patent/JP5542771B2/ja not_active Expired - Fee Related
Also Published As
| Publication number | Publication date |
|---|---|
| JP2012125550A (ja) | 2012-07-05 |
| WO2001021231A2 (en) | 2001-03-29 |
| EP1237490A2 (en) | 2002-09-11 |
| EP2301451B1 (en) | 2014-08-06 |
| WO2001021231A3 (en) | 2001-10-18 |
| EP2301451A3 (en) | 2012-04-18 |
| JP5274740B2 (ja) | 2013-08-28 |
| EP1237490B1 (en) | 2012-07-04 |
| JP5542771B2 (ja) | 2014-07-09 |
| AU7360600A (en) | 2001-04-24 |
| JP2003509169A (ja) | 2003-03-11 |
| EP2301451A2 (en) | 2011-03-30 |
| CA2383567A1 (en) | 2001-03-29 |
| EP1237490A4 (en) | 2007-09-05 |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| EEER | Examination request | ||
| MKLA | Lapsed |
Effective date: 20190909 |