CA2962935C - Endoscope comprenant un composant de generation de couple ou un composant de distribution de couple dispose a l'interieur d'une partie inserable de l'endoscope et un ensemble de coupe chirurgicale pouvant etre insere a l'interieur de l'endoscope - Google Patents

Endoscope comprenant un composant de generation de couple ou un composant de distribution de couple dispose a l'interieur d'une partie inserable de l'endoscope et un ensemble de coupe chirurgicale pouvant etre insere a l'interieur de l'endoscope Download PDF

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Publication number
CA2962935C
CA2962935C CA2962935A CA2962935A CA2962935C CA 2962935 C CA2962935 C CA 2962935C CA 2962935 A CA2962935 A CA 2962935A CA 2962935 A CA2962935 A CA 2962935A CA 2962935 C CA2962935 C CA 2962935C
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Canada
Prior art keywords
endoscope
implementations
cutting assembly
instrument
component
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CA2962935A
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English (en)
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CA2962935A1 (fr
Inventor
Cosme Furlong
Michael W. MARCOUX
Richard Stephen Wisdom
William R. Rebh, Jr.
Evan Costa
Stephen C. Evans
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Interscope Inc USA
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Interscope Inc USA
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Priority claimed from US14/501,932 external-priority patent/US9028424B2/en
Application filed by Interscope Inc USA filed Critical Interscope Inc USA
Publication of CA2962935A1 publication Critical patent/CA2962935A1/fr
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Publication of CA2962935C publication Critical patent/CA2962935C/fr
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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/320016Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
    • A61B17/32002Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00064Constructional details of the endoscope body
    • A61B1/00071Insertion part of the endoscope body
    • A61B1/0008Insertion part of the endoscope body characterised by distal tip features
    • A61B1/00087Tools
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00131Accessories for endoscopes
    • A61B1/00133Drive units for endoscopic tools inserted through or with the endoscope
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/012Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor
    • A61B1/018Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor for receiving instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
    • A61B10/02Instruments for taking cell samples or for biopsy
    • A61B10/04Endoscopic instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/31Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for the rectum, e.g. proctoscopes, sigmoidoscopes, colonoscopes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00238Type of minimally invasive operation
    • A61B2017/00269Type of minimally invasive operation endoscopic mucosal resection EMR
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00292Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/0034Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means adapted to be inserted through a working channel of an endoscope
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00367Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
    • A61B2017/00398Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like using powered actuators, e.g. stepper motors, solenoids
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00367Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
    • A61B2017/00415Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like having power generation near the working tip of the tool
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00477Coupling
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00535Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated
    • A61B2017/00539Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated hydraulically
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00535Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated
    • A61B2017/00544Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated pneumatically
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00535Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated
    • A61B2017/00553Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated using a turbine
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00743Type of operation; Specification of treatment sites
    • A61B2017/00818Treatment of the gastro-intestinal system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831Material properties
    • A61B2017/00876Material properties magnetic
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/320016Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
    • A61B17/32002Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments
    • A61B2017/320028Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments with reciprocating movements
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/320016Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
    • A61B17/32002Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments
    • A61B2017/320032Details of the rotating or oscillating shaft, e.g. using a flexible shaft
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2217/00General characteristics of surgical instruments
    • A61B2217/002Auxiliary appliance
    • A61B2217/005Auxiliary appliance with suction drainage system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2217/00General characteristics of surgical instruments
    • A61B2217/002Auxiliary appliance
    • A61B2217/007Auxiliary appliance with irrigation system

Landscapes

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

Abstract

La présente invention concerne un endoscope pour réséquer un tissu au niveau d'un site chirurgical, ledit endoscope comprenant un corps tubulaire allongé pouvant être inséré à l'intérieur d'une cavité mammalienne d'un patient. Un canal d'instrument s'étend entre une première ouverture au niveau d'une extrémité distale et une seconde ouverture au niveau d'une extrémité proximale du corps tubulaire et est dimensionné et conçu pour recevoir un ensemble de coupe chirurgical qui comprend un canal d'aspiration conçu pour retirer la matière pénétrant dans l'endoscope par l'intermédiaire d'une extrémité distale de l'ensemble de coupe chirurgicale. Un composant de génération de couple conçu pour générer un couple est positionné à l'intérieur de l'extrémité distale et conçu pour fournir le couple généré à un composant de couplage. Le composant de couplage est positionné au niveau de l'extrémité distale de l'élément tubulaire allongé et conçu pour actionner un composant de coupe de l'ensemble de coupe chirurgicale en réponse à l'actionnement du composant de génération de couple.
CA2962935A 2014-09-30 2015-09-29 Endoscope comprenant un composant de generation de couple ou un composant de distribution de couple dispose a l'interieur d'une partie inserable de l'endoscope et un ensemble de coupe chirurgicale pouvant etre insere a l'interieur de l'endoscope Active CA2962935C (fr)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US14/501,932 2014-09-30
US14/501,932 US9028424B2 (en) 2011-12-02 2014-09-30 Endoscope including a torque generation component or torque delivery component disposed within an insertable portion of the endoscope and a surgical cutting assembly insertable within the endoscope
PCT/US2015/052977 WO2016054061A1 (fr) 2014-09-30 2015-09-29 Endoscope comprenant un composant de génération de couple ou un composant de distribution de couple disposé à l'intérieur d'une partie insérable de l'endoscope et un ensemble de coupe chirurgicale pouvant être inséré à l'intérieur de l'endoscope

Publications (2)

Publication Number Publication Date
CA2962935A1 CA2962935A1 (fr) 2016-04-07
CA2962935C true CA2962935C (fr) 2018-01-16

Family

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Family Applications (1)

Application Number Title Priority Date Filing Date
CA2962935A Active CA2962935C (fr) 2014-09-30 2015-09-29 Endoscope comprenant un composant de generation de couple ou un composant de distribution de couple dispose a l'interieur d'une partie inserable de l'endoscope et un ensemble de coupe chirurgicale pouvant etre insere a l'interieur de l'endoscope

Country Status (6)

Country Link
EP (1) EP3200707A1 (fr)
JP (2) JP6397126B2 (fr)
CN (2) CN109893074B (fr)
AU (1) AU2015323909B2 (fr)
CA (1) CA2962935C (fr)
WO (1) WO2016054061A1 (fr)

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US9204868B2 (en) 2011-12-02 2015-12-08 Interscope, Inc. Methods and apparatus for removing material from within a mammalian cavity using an insertable endoscopic instrument
US8882680B2 (en) 2011-12-02 2014-11-11 Interscope, Inc. Insertable endoscopic instrument for tissue removal
WO2016054061A1 (fr) * 2014-09-30 2016-04-07 Interscope, Inc. Endoscope comprenant un composant de génération de couple ou un composant de distribution de couple disposé à l'intérieur d'une partie insérable de l'endoscope et un ensemble de coupe chirurgicale pouvant être inséré à l'intérieur de l'endoscope
AU2015323910B2 (en) * 2014-09-30 2018-05-10 Interscope, Inc. Endoscope including a torque generation component or torque delivery component disposed within an insertable portion of the endoscope and a surgical cutting assembly insertable within the endoscope
US10695085B2 (en) * 2016-08-11 2020-06-30 Biosense Webster (Israel) Ltd. Turbine-driven rotary sinuplasty cutter
CN108272429B (zh) * 2018-02-09 2020-12-01 京东方科技集团股份有限公司 内窥镜
EP3813635A4 (fr) * 2018-06-01 2022-03-09 Interscope, Inc. Systèmes et procédés pour retirer des matériaux du pancréas à l'aide d'un outil chirurgical endoscopique
US20210219994A1 (en) * 2018-06-27 2021-07-22 Wright Medical Technology, Inc. Burr with irrigation and imaging
PL3876819T3 (pl) * 2018-11-07 2024-05-20 Richard Wolf Gmbh Narzędzie endoskopowe
JP2022507249A (ja) * 2018-11-13 2022-01-18 インタースコープ, インク. 関節接合端部を備えた内視鏡器具のシステムおよび方法
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AU2015323910B2 (en) * 2014-09-30 2018-05-10 Interscope, Inc. Endoscope including a torque generation component or torque delivery component disposed within an insertable portion of the endoscope and a surgical cutting assembly insertable within the endoscope
WO2016054061A1 (fr) * 2014-09-30 2016-04-07 Interscope, Inc. Endoscope comprenant un composant de génération de couple ou un composant de distribution de couple disposé à l'intérieur d'une partie insérable de l'endoscope et un ensemble de coupe chirurgicale pouvant être inséré à l'intérieur de l'endoscope

Also Published As

Publication number Publication date
CN107278136A (zh) 2017-10-20
CN109893074A (zh) 2019-06-18
CN109893074B (zh) 2022-04-08
EP3200707A1 (fr) 2017-08-09
JP2019013768A (ja) 2019-01-31
JP6397126B2 (ja) 2018-09-26
AU2015323909A1 (en) 2017-04-13
JP6637558B2 (ja) 2020-01-29
CN107278136B (zh) 2019-03-08
WO2016054061A1 (fr) 2016-04-07
AU2015323909B2 (en) 2017-04-20
JP2017529940A (ja) 2017-10-12
CA2962935A1 (fr) 2016-04-07

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