CA3126837C - Efficient multi-functional endoscopic instrument - Google Patents

Efficient multi-functional endoscopic instrument Download PDF

Info

Publication number
CA3126837C
CA3126837C CA3126837A CA3126837A CA3126837C CA 3126837 C CA3126837 C CA 3126837C CA 3126837 A CA3126837 A CA 3126837A CA 3126837 A CA3126837 A CA 3126837A CA 3126837 C CA3126837 C CA 3126837C
Authority
CA
Canada
Prior art keywords
distal
surgical instrument
laser
endoscopic surgical
head portion
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
CA3126837A
Other languages
English (en)
French (fr)
Other versions
CA3126837A1 (en
Inventor
Gregory Altshuler
Ilya Yaroslavsky
Dmitri Boutoussov
Viktoriya ANDREEVA
Anastasiya KOVALENKO
Olivier TRAXER
Michael Barenboym
Isaac Ostrovsky
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.)
IPG Photonics Corp
Original Assignee
IPG Photonics Corp
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 IPG Photonics Corp filed Critical IPG Photonics Corp
Publication of CA3126837A1 publication Critical patent/CA3126837A1/en
Application granted granted Critical
Publication of CA3126837C publication Critical patent/CA3126837C/en
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
    • A61B1/00—Instruments 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
    • A61B1/012—Instruments 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
    • A61B1/015—Control of fluid supply or evacuation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A61B18/22—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
    • A61B18/26—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor for producing a shock wave, e.g. laser lithotripsy
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments 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
    • A61B1/00064—Constructional details of the endoscope body
    • A61B1/00071—Insertion part of the endoscope body
    • A61B1/0008—Insertion part of the endoscope body characterised by distal tip features
    • A61B1/00091—Nozzles
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments 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
    • A61B1/00064—Constructional details of the endoscope body
    • A61B1/00071—Insertion part of the endoscope body
    • A61B1/0008—Insertion part of the endoscope body characterised by distal tip features
    • A61B1/00094—Suction openings
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments 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
    • A61B1/00064—Constructional details of the endoscope body
    • A61B1/00071—Insertion part of the endoscope body
    • A61B1/0008—Insertion part of the endoscope body characterised by distal tip features
    • A61B1/00096—Optical elements
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments 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
    • A61B1/00064—Constructional details of the endoscope body
    • A61B1/00071—Insertion part of the endoscope body
    • A61B1/0008—Insertion part of the endoscope body characterised by distal tip features
    • A61B1/00097—Sensors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments 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
    • A61B1/00131—Accessories for endoscopes
    • A61B1/00137—End pieces at either end of the endoscope, e.g. caps, seals or forceps plugs
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments 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
    • A61B1/005—Flexible endoscopes
    • A61B1/0051—Flexible endoscopes with controlled bending of insertion part
    • A61B1/0057—Constructional details of force transmission elements, e.g. control wires
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments 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
    • A61B1/012—Instruments 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
    • A61B1/018—Instruments 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments 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
    • A61B1/04—Instruments 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 combined with photographic or television appliances
    • A61B1/05—Instruments 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 combined with photographic or television appliances characterised by the image sensor, e.g. camera, being in the distal end portion
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments 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
    • A61B1/06—Instruments 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 with illuminating arrangements
    • A61B1/0661—Endoscope light sources
    • A61B1/0684—Endoscope light sources using light emitting diodes [LED]
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments 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
    • A61B1/06—Instruments 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 with illuminating arrangements
    • A61B1/07—Instruments 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 with illuminating arrangements using light-conductive means, e.g. optical fibres
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments 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
    • A61B1/307—Instruments 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 urinary organs, e.g. urethroscopes, cystoscopes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00005—Cooling or heating of the probe or tissue immediately surrounding the probe
    • A61B2018/00011—Cooling or heating of the probe or tissue immediately surrounding the probe with fluids
    • A61B2018/00029—Cooling or heating of the probe or tissue immediately surrounding the probe with fluids open
    • A61B2018/00035—Cooling or heating of the probe or tissue immediately surrounding the probe with fluids open with return means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00166—Multiple lumina
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00321—Head or parts thereof
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00482—Digestive system
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00505—Urinary tract
    • A61B2018/00511—Kidney
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00505—Urinary tract
    • A61B2018/00517—Urinary bladder or urethra
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00547—Prostate
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00577—Ablation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00642—Sensing and controlling the application of energy with feedback, i.e. closed loop control
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00696—Controlled or regulated parameters
    • A61B2018/00702—Power or energy
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00696—Controlled or regulated parameters
    • A61B2018/00744—Fluid flow
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00773—Sensed parameters
    • A61B2018/00863—Fluid flow
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00982—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body combined with or comprising means for visual or photographic inspections inside the body, e.g. endoscopes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A61B18/22—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
    • A61B2018/2205—Characteristics of fibres
    • A61B2018/2211—Plurality of fibres
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A61B18/22—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
    • A61B2018/2205—Characteristics of fibres
    • A61B2018/2222—Fibre material or composition
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A61B18/22—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
    • A61B2018/225—Features of hand-pieces
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A61B18/22—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
    • A61B18/26—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor for producing a shock wave, e.g. laser lithotripsy
    • A61B2018/263—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor for producing a shock wave, e.g. laser lithotripsy the conversion of laser energy into mechanical shockwaves taking place in a liquid
    • 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
    • A61B2090/064—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension
    • 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
    • A61B90/30—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
    • A61B2090/306—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure using optical fibres
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2218/00—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2218/001—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
    • A61B2218/002—Irrigation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2218/00—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2218/001—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
    • A61B2218/007—Aspiration

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Optics & Photonics (AREA)
  • Engineering & Computer Science (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Pathology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Biophysics (AREA)
  • Electromagnetism (AREA)
  • Otolaryngology (AREA)
  • Microelectronics & Electronic Packaging (AREA)
  • Urology & Nephrology (AREA)
  • Laser Surgery Devices (AREA)
  • Surgical Instruments (AREA)
  • Endoscopes (AREA)
  • Instruments For Viewing The Inside Of Hollow Bodies (AREA)
CA3126837A 2019-01-18 2020-01-20 Efficient multi-functional endoscopic instrument Active CA3126837C (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201962794328P 2019-01-18 2019-01-18
US62/794,328 2019-01-18
PCT/US2020/014293 WO2020150713A2 (en) 2019-01-18 2020-01-20 Efficient multi-functional endoscopic instrument

Publications (2)

Publication Number Publication Date
CA3126837A1 CA3126837A1 (en) 2020-07-23
CA3126837C true CA3126837C (en) 2023-11-07

Family

ID=71613584

Family Applications (1)

Application Number Title Priority Date Filing Date
CA3126837A Active CA3126837C (en) 2019-01-18 2020-01-20 Efficient multi-functional endoscopic instrument

Country Status (6)

Country Link
US (1) US20230248434A1 (https=)
EP (1) EP3911258A4 (https=)
JP (3) JP7520852B2 (https=)
CN (2) CN113316428B (https=)
CA (1) CA3126837C (https=)
WO (1) WO2020150713A2 (https=)

Families Citing this family (34)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP4678203A3 (en) 2018-02-02 2026-03-25 Calyxo, Inc. Devices for minimally invasive kidney stone removal by combined aspiration and irrigation
US20210386443A1 (en) * 2018-11-07 2021-12-16 Richard Wolf Gmbh Endoscopic instrument
US12575721B2 (en) 2019-05-01 2026-03-17 Ambu A/S Devices, systems, and methods for treating kidney stones
EP3962344A4 (en) * 2019-05-01 2023-01-11 Ambu A/S DEVICES, SYSTEMS AND METHODS FOR TREATMENT OF KIDNEY STONES
WO2021186305A1 (en) * 2020-03-19 2021-09-23 Alcon Inc. Laser vitrectomy and illumination probe
CN114533211B (zh) * 2020-11-26 2025-07-08 微创优通医疗科技（上海）有限公司 医用导管及医疗装置
WO2022130362A1 (en) * 2020-12-20 2022-06-23 Lumenis Ltd Apparatus for laser morcellation
DE102021107191A1 (de) 2021-03-23 2022-09-29 Hoya Corporation Distales Ende mit freiem Raum zwischen Kamera und Arbeitskanal
US20240366065A1 (en) * 2021-09-10 2024-11-07 Ipg Photonics Corporation Flexible miniature endoscope
CN115886702A (zh) * 2021-09-22 2023-04-04 宁波新跃医疗科技股份有限公司 输尿管镜用先端和自排式输尿管镜
CN115836833B (zh) * 2021-09-22 2025-03-21 宁波新跃医疗科技股份有限公司 吸中打式术用输尿管镜
CN115886996B (zh) * 2021-09-22 2026-03-06 宁波新跃医疗科技股份有限公司 远近双击式输尿管镜和利用输尿管镜去除结石的方法
CN115919246A (zh) * 2021-09-22 2023-04-07 宁波新跃医疗科技股份有限公司 灌排平衡式输尿管镜
CN115886703B (zh) * 2021-09-22 2025-09-16 宁波新跃医疗科技股份有限公司 医疗用输尿管镜系统
CN115886705A (zh) * 2021-09-22 2023-04-04 宁波新跃医疗科技股份有限公司 可回环排石的术用输尿管镜
CN115836834B (zh) * 2021-09-22 2025-02-14 宁波新跃医疗科技股份有限公司 可视型输尿管镜
EP4162892A1 (en) * 2021-10-07 2023-04-12 Olympus Corporation Insertion apparatus for lithotripsy
CN116099102A (zh) * 2021-11-11 2023-05-12 微创优通医疗科技（上海）有限公司 一种医用导管探头及医用导管、医用装置及系统
WO2023100010A1 (en) * 2021-12-01 2023-06-08 Alcon Inc. Probe for laser ablation, illumination, and viscoelastic injection
CN114376496A (zh) * 2021-12-17 2022-04-22 上海市浦东新区公利医院(第二军医大学附属公利医院) 一种带冲洗抽吸功能的软硬结合内窥镜
CN114176491B (zh) * 2021-12-22 2024-06-18 青岛海泰新光科技股份有限公司 一种可提高照明均匀性的内窥镜光纤照明装置
CN119562791A (zh) 2022-03-02 2025-03-04 凯利克斯欧公司 肾结石治疗系统
WO2023202465A1 (zh) * 2022-04-21 2023-10-26 微创优通医疗科技（上海）有限公司 一种医用导管、装置及系统
US12582293B2 (en) * 2022-06-24 2026-03-24 Olympus Medical Systems Corp. Insertion instrument and endoscope system
EP4302674A1 (en) * 2022-07-05 2024-01-10 Ambu A/S Endoscope having a distal tip unit with a bulged portion
US20240108412A1 (en) 2022-09-29 2024-04-04 Calyxo, Inc. Tool guiding device for kidney stone treatment apparatus
CN120201968A (zh) * 2022-10-27 2025-06-24 波士顿科学医学有限公司 具有远侧腔室的插入装置
US20240197341A1 (en) * 2022-12-15 2024-06-20 EndoTheia, Inc. Method and Device for Endoscopic Aspiration
WO2025057007A1 (en) * 2023-09-12 2025-03-20 Alcon Inc. External fiber for optical fiber delivery in opthalmic surgical devices
WO2025096527A1 (en) * 2023-10-31 2025-05-08 Gyrus Acmi, Inc. D/B/A Olympus Surgical Technologies America Ureteroscopic lithotripsy antiretropulsion
WO2025096840A1 (en) 2023-11-01 2025-05-08 Ventaris Surgical, Inc. Systems and methods for removal of biological objects from anatomical structures within a body
CN119655905B (zh) * 2024-11-29 2025-10-10 天津大学 端部传感器与触觉反馈式介入式导管及其自主导航方法
CN119586951A (zh) * 2024-12-16 2025-03-11 深圳市星辰海医疗科技有限公司 内窥镜的插入部件及内窥镜
CN119699984B (zh) * 2025-03-03 2025-07-01 湖南省华芯医疗器械有限公司 一种插入部、内窥镜及医疗器械

Family Cites Families (55)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4994060A (en) * 1984-09-17 1991-02-19 Xintec Corporation Laser heated cautery cap with transparent substrate
US7549424B2 (en) * 1991-10-18 2009-06-23 Pro Surg, Inc. Method and apparatus for tissue treatment with laser and electromagnetic radiation
US5855549A (en) * 1993-08-18 1999-01-05 Vista Medical Technologies, Inc. Method of using an optical female urethroscope
US6679834B2 (en) * 2000-09-22 2004-01-20 Pilling Weck Incorporated Endoscopic suction-irrigation instrument for surgery
US7776005B2 (en) * 2003-03-28 2010-08-17 Covidien Ag Triple lumen catheter with occlusion resistant tip
US8172747B2 (en) * 2003-09-25 2012-05-08 Hansen Medical, Inc. Balloon visualization for traversing a tissue wall
JP4611756B2 (ja) * 2005-01-14 2011-01-12 Ｈｏｙａ株式会社 大腸挿入用内視鏡の先端部
US9289266B2 (en) * 2006-12-01 2016-03-22 Boston Scientific Scimed, Inc. On-axis drive systems and methods
US20080275444A1 (en) * 2007-05-02 2008-11-06 Olympus Medical Systems Corp. Endoscopic treatment instrument and tissue incision method
US8582934B2 (en) * 2007-11-12 2013-11-12 Lightlab Imaging, Inc. Miniature optical elements for fiber-optic beam shaping
EP2624762B1 (en) * 2010-10-05 2016-01-13 Synthes GmbH Bone marrow harvesting device having flexible needle
DK2675335T3 (da) * 2011-02-16 2022-01-03 Massachusetts Gen Hospital Optisk kobler til et endoskop
US9393033B2 (en) * 2011-11-23 2016-07-19 Boston Scientific Scimed, Inc. Tissue and stone removal device and related methods of use
CA3077820C (en) * 2012-01-05 2023-03-07 Becton, Dickinson And Company Split and side-ported catheter devices
US10842357B2 (en) * 2012-10-10 2020-11-24 Moskowitz Family Llc Endoscopic surgical system
US9451875B2 (en) * 2012-12-07 2016-09-27 Cook Medical Technologies Llc Flexible lens
EP3473160B1 (en) * 2012-12-12 2023-12-27 Invuity, Inc. Illuminated suction apparatus
WO2014145754A2 (en) * 2013-03-15 2014-09-18 Endeau, Inc. Systems, methods and devices for performing water aided endoscopy
JP6656148B2 (ja) * 2013-10-24 2020-03-04 オーリス ヘルス インコーポレイテッド ロボット支援管腔内手術のためのシステムおよび関連する方法
CN103799958A (zh) * 2014-01-28 2014-05-21 河南科技大学 一种用于泌尿系统的内窥镜碎石一体装置
CN203763635U (zh) * 2014-03-08 2014-08-13 祁健 槽式防堵冲洗引流管
US9936963B2 (en) 2014-04-23 2018-04-10 Gyrus Acmi, Inc. Stone fragment suction device
US20200060700A1 (en) * 2014-06-12 2020-02-27 Innon Holdings, Llc Endoscopic Stone-Extraction Device
US20170119470A1 (en) * 2014-08-31 2017-05-04 Lithotech Medical Ltd. Device and method for fragmenting organo-mineral concretions
US10582949B2 (en) * 2014-09-30 2020-03-10 Kaushikkumar Vallabhadas SHAH Sheath assembly and multihole catheter for different fields of endoscopic surgery involving suction, irrigation and material removal
US20160120557A1 (en) * 2014-11-05 2016-05-05 Boston Scientific Scimed, Inc. Medical device for removing particles
WO2016088120A1 (en) * 2014-12-01 2016-06-09 Vesica E.K. Therapeutics Ltd Device and method for ablative treatment of targeted areas within a body lumen
CN106999195A (zh) * 2014-12-11 2017-08-01 波士顿科学医学有限公司 医疗装置及其使用方法
US10499936B2 (en) * 2016-01-29 2019-12-10 Boston Scientific Scimed, Inc. Medical device and methods of use
WO2017132371A1 (en) * 2016-01-29 2017-08-03 Boston Scientific Scimed, Inc. Medical device and methods of use
US20170215696A1 (en) * 2016-01-29 2017-08-03 Boston Scientific Scimed, Inc. Endoscopy systems and related methods
EP4241649A3 (en) * 2016-02-02 2023-11-15 Boston Scientific Scimed Inc. Laser lithotripsy medical device
BR112018016496A2 (pt) * 2016-02-12 2018-12-26 Childrens Medical Center porta-instrumento com sistema de formação de imagem integrado
KR102390207B1 (ko) * 2016-06-09 2022-04-26 루메니스 리미티드 레이저 방사로 표적의 조사를 최적화하는 방법, 레이저 방사선으로 표적을 방사능 처리하는 방법 및 레이저 빔으로 조직을 치료하기 위한 의료용 레이저 시스템
JP6713879B2 (ja) * 2016-08-29 2020-06-24 富士フイルム株式会社 内視鏡
CA3070882A1 (en) * 2017-09-27 2019-04-04 Light Matter Interaction Inc. Surgical instrument for minimally invasive aspiration of tissue
DE112018004155T5 (de) * 2017-11-13 2020-04-30 Hoya Corporation Endoskophaubenabziehwerkzeug und satz aus haube und haubenabziehwerkzeug
CN111801062B (zh) * 2018-02-21 2024-12-31 美敦力公司 局灶脉冲场消融设备和方法
CN112153929A (zh) * 2018-03-16 2020-12-29 奥林巴斯株式会社 内窥镜和内窥镜系统
US10639102B2 (en) * 2018-05-03 2020-05-05 InnovaQuartz LLC Maintenance of a steam bubble during surgical ablation
US20230190078A1 (en) * 2018-05-24 2023-06-22 The Regents Of The University Of California Aspiration endoscope device and methods of use thereof
US11344369B2 (en) * 2018-06-04 2022-05-31 Pavel V. Efremkin Laser device for vascular and intrabody surgery and method of use
WO2020016980A1 (ja) * 2018-07-19 2020-01-23 オリンパス株式会社 先端フード及び内視鏡システム
AU2019315800B2 (en) * 2018-07-31 2022-06-30 Boston Scientific Scimed, Inc. Medical handle
US20210386443A1 (en) * 2018-11-07 2021-12-16 Richard Wolf Gmbh Endoscopic instrument
JP7305675B2 (ja) * 2018-11-19 2023-07-10 オリンパス株式会社 内視鏡フードおよび内視鏡システム
US12582473B2 (en) * 2020-04-29 2026-03-24 The University Of North Carolina At Charlotte Methods for surfactant enhanced laser-induced vapor bubbles for use in laser lithotripsy
EP3970641B1 (en) * 2020-09-17 2025-04-23 Gyrus ACMI, Inc. d/b/a Olympus Surgical Technologies America Endoscopic tip extender
US20220160213A1 (en) * 2020-11-23 2022-05-26 United States Endoscopy Group, Inc. Endoscopic device with additional channel
AU2022228566B2 (en) * 2021-03-03 2024-11-14 Boston Scientific Scimed, Inc. Medical device including a medical device management system
CN115836834B (zh) * 2021-09-22 2025-02-14 宁波新跃医疗科技股份有限公司 可视型输尿管镜
CN119562791A (zh) * 2022-03-02 2025-03-04 凯利克斯欧公司 肾结石治疗系统
EP4608314A1 (en) * 2022-10-27 2025-09-03 Boston Scientific Scimed Inc. Endoscopic surgical systems
US20240358226A1 (en) * 2023-04-28 2024-10-31 Boston Scientific Scimed, Inc. Medical device with renal sheath with adjustable valve
WO2025096840A1 (en) * 2023-11-01 2025-05-08 Ventaris Surgical, Inc. Systems and methods for removal of biological objects from anatomical structures within a body

Also Published As

Publication number Publication date
CN113316428A (zh) 2021-08-27
CN113316428B (zh) 2025-02-11
CN119949744A (zh) 2025-05-09
JP2024153673A (ja) 2024-10-29
JP7520852B2 (ja) 2024-07-23
JP7798971B2 (ja) 2026-01-14
CA3126837A1 (en) 2020-07-23
WO2020150713A3 (en) 2020-10-15
JP2022517427A (ja) 2022-03-08
EP3911258A2 (en) 2021-11-24
US20230248434A1 (en) 2023-08-10
JP2026062845A (ja) 2026-04-10
EP3911258A4 (en) 2022-11-16
WO2020150713A2 (en) 2020-07-23

Similar Documents

Publication Publication Date Title
CA3126837C (en) Efficient multi-functional endoscopic instrument
US9678275B1 (en) Efficient coupling of infrared radiation to renal calculi
US7909817B2 (en) Lateral laser fiber for high average power and peak pulse energy
CA2802925C (en) Endoscope and optical fiber assembly
EP1154727B1 (en) Laser lithotripsy device with suction
JP2016515900A (ja) 組織除去装置
JP2019092843A (ja) レーザ伝送路、レーザ処置具、レーザ治療装置、及びレーザ治療システム
CN119632669A (zh) 一种可视化光纤消融系统
KR20240052986A (ko) 가요성 소형 내시경
TICHINDELEAN NOVEL OPTICAL FIBER APPLICATIONS

Legal Events

Date Code Title Description
EEER Examination request

Effective date: 20220217

MPN Maintenance fee for patent paid

Free format text: FEE DESCRIPTION TEXT: MF (PATENT, 5TH ANNIV.) - STANDARD

Year of fee payment: 5

U00 Fee paid

Free format text: ST27 STATUS EVENT CODE: A-4-4-U10-U00-U101 (AS PROVIDED BY THE NATIONAL OFFICE); EVENT TEXT: MAINTENANCE REQUEST RECEIVED

Effective date: 20241223

U11 Full renewal or maintenance fee paid

Free format text: ST27 STATUS EVENT CODE: A-4-4-U10-U11-U102 (AS PROVIDED BY THE NATIONAL OFFICE); EVENT TEXT: MAINTENANCE FEE PAYMENT DETERMINED COMPLIANT

Effective date: 20241223

Free format text: ST27 STATUS EVENT CODE: A-4-4-U10-U11-U102 (AS PROVIDED BY THE NATIONAL OFFICE); EVENT TEXT: MAINTENANCE FEE PAYMENT PAID IN FULL

Effective date: 20241223

MPN Maintenance fee for patent paid

Free format text: FEE DESCRIPTION TEXT: MF (PATENT, 6TH ANNIV.) - STANDARD

Year of fee payment: 6

U00 Fee paid

Free format text: ST27 STATUS EVENT CODE: A-4-4-U10-U00-U101 (AS PROVIDED BY THE NATIONAL OFFICE); EVENT TEXT: MAINTENANCE REQUEST RECEIVED

Effective date: 20251218

U11 Full renewal or maintenance fee paid

Free format text: ST27 STATUS EVENT CODE: A-4-4-U10-U11-U102 (AS PROVIDED BY THE NATIONAL OFFICE); EVENT TEXT: MAINTENANCE FEE PAYMENT PAID IN FULL

Effective date: 20251218