CA2670631C - Instruments d'acces chirurgicaux pour tissus delicats - Google Patents

Instruments d'acces chirurgicaux pour tissus delicats Download PDF

Info

Publication number
CA2670631C
CA2670631C CA2670631A CA2670631A CA2670631C CA 2670631 C CA2670631 C CA 2670631C CA 2670631 A CA2670631 A CA 2670631A CA 2670631 A CA2670631 A CA 2670631A CA 2670631 C CA2670631 C CA 2670631C
Authority
CA
Canada
Prior art keywords
retractor
hollow
introducer
hollow retractor
delicate tissue
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.)
Active
Application number
CA2670631A
Other languages
English (en)
Other versions
CA2670631A1 (fr
Inventor
John R. Mangiardi
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Vycor Medical LLC
Original Assignee
Vycor Medical 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 Vycor Medical LLC filed Critical Vycor Medical LLC
Publication of CA2670631A1 publication Critical patent/CA2670631A1/fr
Application granted granted Critical
Publication of CA2670631C publication Critical patent/CA2670631C/fr
Active legal-status Critical Current
Anticipated expiration legal-status Critical

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
    • A61B17/02—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
    • A61B17/34—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
    • A61B17/32—Surgical cutting instruments
    • A61B2017/320044—Blunt dissectors
    • 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
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B2017/3454—Details of tips
    • A61B2017/3456—Details of tips blunt
    • 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
    • A61B90/10—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 for stereotaxic surgery, e.g. frame-based stereotaxis
    • 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
    • A61B90/50—Supports for surgical instruments, e.g. articulated arms

Landscapes

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

Abstract

L'invention concerne un ou plusieurs instruments chirurgicaux permettant d'accéder à un tissu délicat, comme un tissu cérébral ou un tissu mammaire, à travers une incision transcutanée. Le besoin d'accéder audit tissus délicat peut découler de diverses raisons : un accès à un site chirurgical pour fournir un canal de travail permettant d'accéder à un tissu délicat par l'intermédiaire d'instruments chirurgicaux ; insertion d'une prothèse gonflable ; établissement d'un canal de contrefort externe sur lequel supporter un tissu. L'ensemble formant instrument chirurgical comporte une combinaison entremêlée d'un rétracteur creux à manchon ouvert et d'un dispositif d'introduction formant cale à embout conique. Le dispositif d'introduction formant cale est introduit dans une zone adjacente au manchon creux. L'embout distal du dispositif d'introduction formant cale s'étend au-delà d'une extrémité distale du rétracteur creux et en avant d'une extrémité distale du rétracteur creux, de sorte que le dispositif d'introduction formant cale traverse un tissu délicat en avant de l'extrémité distale du rétracteur creux et guide le rétracteur creux vers le tissu délicat.
CA2670631A 2006-11-27 2006-11-27 Instruments d'acces chirurgicaux pour tissus delicats Active CA2670631C (fr)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
PCT/US2006/061246 WO2008066543A1 (fr) 2006-11-27 2006-11-27 Instruments d'accès chirurgicaux pour tissus délicats

Publications (2)

Publication Number Publication Date
CA2670631A1 CA2670631A1 (fr) 2008-06-05
CA2670631C true CA2670631C (fr) 2015-06-02

Family

ID=39468204

Family Applications (1)

Application Number Title Priority Date Filing Date
CA2670631A Active CA2670631C (fr) 2006-11-27 2006-11-27 Instruments d'acces chirurgicaux pour tissus delicats

Country Status (6)

Country Link
EP (1) EP2086388A4 (fr)
JP (1) JP5496677B2 (fr)
CN (1) CN101616626B (fr)
CA (1) CA2670631C (fr)
HK (1) HK1140124A1 (fr)
WO (1) WO2008066543A1 (fr)

Families Citing this family (28)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9161820B2 (en) 2004-10-28 2015-10-20 Nico Corporation Surgical access assembly and method of using same
US9265523B2 (en) 2011-10-24 2016-02-23 Nico Corporation Surgical access system with navigation element and method of using same
US9770261B2 (en) 2004-10-28 2017-09-26 Nico Corporation Surgical access assembly and method of using same
US9579121B2 (en) 2004-10-28 2017-02-28 Nico Corporation Holding arrangement for a surgical access system
US9387010B2 (en) 2004-10-28 2016-07-12 Nico Corporation Surgical access assembly and method of using same
US8753269B2 (en) 2009-04-23 2014-06-17 Medtronic, Inc. Minimally invasive access device for heart valve procedures
JP4846044B1 (ja) * 2010-06-30 2011-12-28 テルモ株式会社 医療用装置
CN102613998A (zh) * 2012-02-29 2012-08-01 天健医疗科技(苏州)有限公司 应用于精细组织的牵开器及其应用方法
CN102614012B (zh) * 2012-03-14 2013-12-25 陈晓雷 内镜导入装置
US9757147B2 (en) 2012-04-11 2017-09-12 Nico Corporation Surgical access system with navigation element and method of using same
CN102641143B (zh) * 2012-05-09 2014-09-10 青岛市市立医院 新型的脑部牵开装置
CN102631229A (zh) * 2012-05-09 2012-08-15 刘伟 新型的脑部牵开装置
CN102935004B (zh) * 2012-12-11 2016-03-30 苏州希普生物科技有限公司 一次性使用脑手术牵开器
US10022520B2 (en) 2012-12-17 2018-07-17 Nico Corporation Surgical access system
US10166017B2 (en) * 2013-08-05 2019-01-01 Cook Medical Technologies Llc Medical devices having a releasable tubular member and methods of using the same
CN103919583A (zh) * 2014-04-21 2014-07-16 上海中医药大学附属曙光医院 充气型脑牵开器及其使用方法
US10456061B2 (en) 2014-11-12 2019-10-29 Nico Corporation Holding arrangement for a surgical access system
US10357280B2 (en) 2015-04-30 2019-07-23 Nico Corporation Navigating introducer for tissue access system
CN106606366A (zh) * 2015-10-26 2017-05-03 吉林省莱沃医疗科技有限公司 一次性使用的外科手术引导装置
US11413066B2 (en) 2016-03-15 2022-08-16 Nico Corporation Selectively lockable holding arrangement for a surgical access system
US10765450B2 (en) 2016-03-15 2020-09-08 Nico Corporation Selectively lockable holding arrangement for a surgical access system
US10543057B2 (en) 2016-03-15 2020-01-28 Nico Corporation Selectively lockable holding arrangement for a surgical access system
US10376258B2 (en) * 2016-11-07 2019-08-13 Vycor Medical, Inc. Surgical introducer with guidance system receptacle
CN106859707B (zh) * 2017-03-03 2020-04-14 青岛大学附属医院 一种单孔腹腔镜套管
CN107714193A (zh) * 2017-10-13 2018-02-23 浙江大学 一种立体定向导引器
CN209548027U (zh) * 2018-07-02 2019-10-29 江苏海莱新创医疗科技有限公司 手术用牵开穿刺装置
CN111437014A (zh) * 2020-05-12 2020-07-24 重庆锦元熙医疗科技有限公司 一种颅脑手术通道
WO2024050480A2 (fr) * 2022-08-31 2024-03-07 Apex Orthopedics, LLC Dispositifs d'ostéotomie réglables et méthodes de traitement de troubles orthopédiques de milieu du pied

Family Cites Families (16)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP3126077B2 (ja) * 1992-04-14 2001-01-22 オリンパス光学工業株式会社 トラカール
CN1057905C (zh) * 1993-06-16 2000-11-01 洛马林达大学医学中心 用于内窥镜检查外科手术的套管针助进器
US5782807A (en) * 1995-10-20 1998-07-21 Tfx Medical Incorporated Releasably locking introducer devices
JP2802907B2 (ja) * 1996-02-20 1998-09-24 重夫 瀬野 腹腔鏡を使用する手術に使用する挿入パイプ
US5792044A (en) 1996-03-22 1998-08-11 Danek Medical, Inc. Devices and methods for percutaneous surgery
EP1146826B1 (fr) * 1998-12-01 2005-11-02 Atropos Limited Dispositif chirurgical utilise pour effectuer la retraction et/ou la fermeture d'une incision
JP2000287915A (ja) * 1999-04-08 2000-10-17 Machida Endscope Co Ltd 手術用案内管装置
AUPQ474599A0 (en) * 1999-12-16 2000-01-20 Ssh Medical Limited Endoscope for surgical treatment of haemorrhoids
GB2357247B (en) 1999-12-17 2002-01-02 Singapore Polytechnic Speculum
JP4059659B2 (ja) * 2001-11-19 2008-03-12 オリンパス株式会社 処置用シース
ATE416678T1 (de) 2003-08-26 2008-12-15 Zimmer Spine Inc Zugangssysteme für die minimal invasive chirurgie
US7081069B2 (en) * 2003-10-31 2006-07-25 Shuang Rong Shing Traffic Material Factory Co., Ltd. Jogging machine having a platform folding structure
JP4833200B2 (ja) 2004-05-25 2011-12-07 イノヴェイティブ ジネコロジカル ソリューションズ インコーポレイテッド 医療器具
JP5164571B2 (ja) 2004-08-03 2013-03-21 インターヴェンショナル スパイン インコーポレイテッド 経皮組織拡張システムおよび関連方法
WO2006050225A2 (fr) 2004-10-28 2006-05-11 Strategic Technology Assessment Group Appareil et methodes pour la pratique de la chirurgie du cerveau
US20060106288A1 (en) * 2004-11-17 2006-05-18 Roth Alex T Remote tissue retraction device

Also Published As

Publication number Publication date
EP2086388A4 (fr) 2013-04-24
JP2010510863A (ja) 2010-04-08
WO2008066543A1 (fr) 2008-06-05
CN101616626A (zh) 2009-12-30
CA2670631A1 (fr) 2008-06-05
JP5496677B2 (ja) 2014-05-21
HK1140124A1 (en) 2010-10-08
EP2086388A1 (fr) 2009-08-12
CN101616626B (zh) 2011-06-29

Similar Documents

Publication Publication Date Title
CA2670631C (fr) Instruments d'acces chirurgicaux pour tissus delicats
US8409083B2 (en) Surgical access methods for use with delicate tissues
RU2419379C2 (ru) Инструменты для хирургического доступа к деликатным тканям
JP5140581B2 (ja) 脊椎手術または整形外科手術用の外科的アクセス器具
US6096026A (en) Surgical instruments for minimally invasive surgical procedures
ES2232206T3 (es) Dispositivos para cirugia percutanea.
EP1768544B1 (fr) Systeme d'exposition spinale pour chirurgie a effraction minimale
US5772654A (en) Apparatus for breast reduction surgery
US8636654B2 (en) Retractors facilitating imaging during surgery
US20030040753A1 (en) Cranial guide device and methods
US7427264B2 (en) Instruments and methods for selective tissue retraction through a retractor sleeve
US20080281338A1 (en) Surgical Suture System
KR20080042814A (ko) 외과용 접근 장치, 시스템 및 사용 방법
JP2008546485A5 (fr)
MXPA04007575A (es) Montaje introductor para instrumentos medicos.
WO2006115955A1 (fr) Instruments et procedes pour une retraction selective de tissu par l'intermediaire d’un manchon d’ecarteur
US7909762B2 (en) Vein harvesting system including dilator shaft and removable retractor housing
EP1912555A1 (fr) Système chirurgical insérable par voie rectale
JP2011502670A (ja) 人間の正常な又は膨張した組織のモデリング又はリフティングのための装置
JP3743512B2 (ja) 手術用外套管
RU2284774C1 (ru) Троакар
CN221358102U (zh) 一种引流管置入钳
CN106606366A (zh) 一次性使用的外科手术引导装置
RU1834651C (ru) Иглодержатель М.А.Мороза

Legal Events

Date Code Title Description
EEER Examination request