CN105764434B - 具有有源元件和抽吸笼的外科器械 - Google Patents

具有有源元件和抽吸笼的外科器械 Download PDF

Info

Publication number
CN105764434B
CN105764434B CN201480062777.9A CN201480062777A CN105764434B CN 105764434 B CN105764434 B CN 105764434B CN 201480062777 A CN201480062777 A CN 201480062777A CN 105764434 B CN105764434 B CN 105764434B
Authority
CN
China
Prior art keywords
sieve
end effector
interception element
suction
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.)
Expired - Fee Related
Application number
CN201480062777.9A
Other languages
English (en)
Chinese (zh)
Other versions
CN105764434A (zh
Inventor
C·J·沙伊布
E·G·奇坎
C·P·布德罗克斯
F·E·谢尔顿四世
T·S·V·威登豪斯
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.)
Ethicon Endo Surgery Inc
Original Assignee
Ethicon Endo Surgery Inc
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 Endo Surgery Inc filed Critical Ethicon Endo Surgery Inc
Publication of CN105764434A publication Critical patent/CN105764434A/zh
Application granted granted Critical
Publication of CN105764434B publication Critical patent/CN105764434B/zh
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Classifications

    • 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
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/71—Suction drainage systems
    • A61M1/76—Handpieces
    • 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
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • 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
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/84—Drainage tubes; Aspiration tips
    • 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
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00353—Surgical instruments, devices or methods for minimally invasive surgery one mechanical instrument performing multiple functions, e.g. cutting and grasping
    • 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
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B2017/320069—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic for ablating tissue
    • 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
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B2017/32007—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with suction or vacuum means
    • 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
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B2017/320071—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with articulating means for working tip
    • 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
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B2017/320072—Working tips with special features, e.g. extending parts
    • A61B2017/32008—Working tips with special features, e.g. extending parts preventing clogging of suction channel
    • 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
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B2017/320089—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic node location
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2217/00—General characteristics of surgical instruments
    • A61B2217/002—Auxiliary appliance
    • A61B2217/005—Auxiliary appliance with suction drainage system
    • 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
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/75—General characteristics of the apparatus with filters
    • A61M2205/7545—General characteristics of the apparatus with filters for solid matter, e.g. microaggregates

Landscapes

  • Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • General Health & Medical Sciences (AREA)
  • Vascular Medicine (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Mechanical Engineering (AREA)
  • Dentistry (AREA)
  • Surgical Instruments (AREA)
  • Orthopedic Medicine & Surgery (AREA)
CN201480062777.9A 2013-11-18 2014-11-13 具有有源元件和抽吸笼的外科器械 Expired - Fee Related CN105764434B (zh)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US14/082,287 US9913655B2 (en) 2013-11-18 2013-11-18 Surgical instrument with active element and suction cage
US14/082,287 2013-11-18
PCT/US2014/065407 WO2015073643A1 (en) 2013-11-18 2014-11-13 Surgical instrument with active element and suction cage

Publications (2)

Publication Number Publication Date
CN105764434A CN105764434A (zh) 2016-07-13
CN105764434B true CN105764434B (zh) 2019-06-14

Family

ID=52144841

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201480062777.9A Expired - Fee Related CN105764434B (zh) 2013-11-18 2014-11-13 具有有源元件和抽吸笼的外科器械

Country Status (6)

Country Link
US (1) US9913655B2 (enExample)
EP (1) EP3071130B1 (enExample)
JP (1) JP6559693B2 (enExample)
CN (1) CN105764434B (enExample)
BR (1) BR112016011159B1 (enExample)
WO (1) WO2015073643A1 (enExample)

Families Citing this family (39)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8182501B2 (en) 2004-02-27 2012-05-22 Ethicon Endo-Surgery, Inc. Ultrasonic surgical shears and method for sealing a blood vessel using same
US20060079874A1 (en) 2004-10-08 2006-04-13 Faller Craig N Tissue pad for use with an ultrasonic surgical instrument
US20070191713A1 (en) 2005-10-14 2007-08-16 Eichmann Stephen E Ultrasonic device for cutting and coagulating
US7621930B2 (en) 2006-01-20 2009-11-24 Ethicon Endo-Surgery, Inc. Ultrasound medical instrument having a medical ultrasonic blade
US8057498B2 (en) 2007-11-30 2011-11-15 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instrument blades
US8142461B2 (en) 2007-03-22 2012-03-27 Ethicon Endo-Surgery, Inc. Surgical instruments
US8911460B2 (en) 2007-03-22 2014-12-16 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments
US8523889B2 (en) 2007-07-27 2013-09-03 Ethicon Endo-Surgery, Inc. Ultrasonic end effectors with increased active length
US8808319B2 (en) 2007-07-27 2014-08-19 Ethicon Endo-Surgery, Inc. Surgical instruments
US9044261B2 (en) 2007-07-31 2015-06-02 Ethicon Endo-Surgery, Inc. Temperature controlled ultrasonic surgical instruments
US8430898B2 (en) 2007-07-31 2013-04-30 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments
US8512365B2 (en) 2007-07-31 2013-08-20 Ethicon Endo-Surgery, Inc. Surgical instruments
EP2217157A2 (en) 2007-10-05 2010-08-18 Ethicon Endo-Surgery, Inc. Ergonomic surgical instruments
US10010339B2 (en) 2007-11-30 2018-07-03 Ethicon Llc Ultrasonic surgical blades
US9700339B2 (en) 2009-05-20 2017-07-11 Ethicon Endo-Surgery, Inc. Coupling arrangements and methods for attaching tools to ultrasonic surgical instruments
US8951272B2 (en) 2010-02-11 2015-02-10 Ethicon Endo-Surgery, Inc. Seal arrangements for ultrasonically powered surgical instruments
US8486096B2 (en) 2010-02-11 2013-07-16 Ethicon Endo-Surgery, Inc. Dual purpose surgical instrument for cutting and coagulating tissue
US12076047B2 (en) 2012-03-15 2024-09-03 Alydia Health, Inc. Uterine hemorrhage controlling system and method
US9820768B2 (en) 2012-06-29 2017-11-21 Ethicon Llc Ultrasonic surgical instruments with control mechanisms
US10226273B2 (en) 2013-03-14 2019-03-12 Ethicon Llc Mechanical fasteners for use with surgical energy devices
GB2521229A (en) 2013-12-16 2015-06-17 Ethicon Endo Surgery Inc Medical device
US11020140B2 (en) 2015-06-17 2021-06-01 Cilag Gmbh International Ultrasonic surgical blade for use with ultrasonic surgical instruments
US10357303B2 (en) 2015-06-30 2019-07-23 Ethicon Llc Translatable outer tube for sealing using shielded lap chole dissector
WO2017079300A1 (en) * 2015-11-02 2017-05-11 The Regents Of The University Of California Vacuum-actuated surgical graspers
US10245064B2 (en) 2016-07-12 2019-04-02 Ethicon Llc Ultrasonic surgical instrument with piezoelectric central lumen transducer
US10893883B2 (en) 2016-07-13 2021-01-19 Ethicon Llc Ultrasonic assembly for use with ultrasonic surgical instruments
US10842522B2 (en) 2016-07-15 2020-11-24 Ethicon Llc Ultrasonic surgical instruments having offset blades
USD847990S1 (en) 2016-08-16 2019-05-07 Ethicon Llc Surgical instrument
US11517336B2 (en) * 2016-08-24 2022-12-06 Alydia Health, Inc. Uterine hemorrhage controlling system and method
US10952759B2 (en) 2016-08-25 2021-03-23 Ethicon Llc Tissue loading of a surgical instrument
US10420580B2 (en) 2016-08-25 2019-09-24 Ethicon Llc Ultrasonic transducer for surgical instrument
US10603064B2 (en) 2016-11-28 2020-03-31 Ethicon Llc Ultrasonic transducer
US10820920B2 (en) 2017-07-05 2020-11-03 Ethicon Llc Reusable ultrasonic medical devices and methods of their use
WO2019036896A1 (en) * 2017-08-22 2019-02-28 Covidien Lp ENERGY-BASED SURGICAL INSTRUMENTS AND SURGE SYSTEMS CONFIGURED TO MINIMIZE THERMAL SPREAD
KR102837199B1 (ko) 2018-12-10 2025-07-21 알리디아 헬스 인코포레이티드 산후 자궁 출혈 디바이스
CN110141309B (zh) * 2019-06-21 2021-01-01 中国人民解放军陆军特色医学中心 血管手术用装置
US20220265988A1 (en) * 2019-06-25 2022-08-25 Norcri Invest, S.L. Drainage catheter with safety valve
GR20200100249A (el) * 2020-05-13 2021-12-09 Χρηστος Πανοτοπουλος Πολυλειτουργικο χειρουργικο οργανο
EP4153261B1 (en) * 2020-05-18 2025-09-24 Boston Scientific Limited Medical treatment device and related methods thereof

Citations (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5417709A (en) * 1994-04-12 1995-05-23 Symbiosis Corporation Endoscopic instrument with end effectors forming suction and/or irrigation lumens
US5505710A (en) * 1994-08-22 1996-04-09 C. R. Bard, Inc. Telescoping probe
US6080175A (en) * 1998-07-29 2000-06-27 Corvascular, Inc. Surgical cutting instrument and method of use
US6110127A (en) * 1998-02-17 2000-08-29 Olympus Optical, Co., Ltd. Medical instrument for use in combination with an endoscope
EP1090658A1 (en) * 1999-10-05 2001-04-11 OmniSonics Medical Technologies Ultrasonic medical treatment apparatus
US20030078586A1 (en) * 1997-07-01 2003-04-24 Shapira Ira L. Method and apparatus for extracting bone marrow
US6682543B2 (en) * 1996-07-17 2004-01-27 C Edwards Lifesciences Corporation Methods for aortic artherectomy
CN101076290A (zh) * 2004-12-09 2007-11-21 铸造品公司 主动脉瓣修复
US20090125040A1 (en) * 2006-09-13 2009-05-14 Hambly Pablo R Tissue acquisition devices and methods
US20130085337A1 (en) * 2011-09-30 2013-04-04 Ethicon Endo-Surgery, Inc. Devices and methods for providing suction and/or irrigation in a surgical procedure

Family Cites Families (20)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5322055B1 (en) 1993-01-27 1997-10-14 Ultracision Inc Clamp coagulator/cutting system for ultrasonic surgical instruments
US5980510A (en) 1997-10-10 1999-11-09 Ethicon Endo-Surgery, Inc. Ultrasonic clamp coagulator apparatus having improved clamp arm pivot mount
US5873873A (en) 1997-10-10 1999-02-23 Ethicon Endo-Surgery, Inc. Ultrasonic clamp coagulator apparatus having improved clamp mechanism
US6325811B1 (en) 1999-10-05 2001-12-04 Ethicon Endo-Surgery, Inc. Blades with functional balance asymmetries for use with ultrasonic surgical instruments
CA2385624A1 (en) * 1999-10-05 2001-04-12 Omnisonics Medical Technologies, Inc. Method and apparatus for ultrasonic medical treatment, in particular, for debulking the prostate
US6783524B2 (en) 2001-04-19 2004-08-31 Intuitive Surgical, Inc. Robotic surgical tool with ultrasound cauterizing and cutting instrument
US20060079874A1 (en) 2004-10-08 2006-04-13 Faller Craig N Tissue pad for use with an ultrasonic surgical instrument
US7896890B2 (en) * 2005-09-02 2011-03-01 Ethicon Endo-Surgery, Inc. Method and apparatus for endoscopically performing gastric reduction surgery in a single step
US20070191713A1 (en) 2005-10-14 2007-08-16 Eichmann Stephen E Ultrasonic device for cutting and coagulating
US8574252B2 (en) 2006-06-01 2013-11-05 Ethicon Endo-Surgery, Inc. Ultrasonic blade support
CA2675770C (en) 2007-01-16 2016-04-12 Ethicon Endo-Surgery, Inc. Ultrasonic device for cutting and coagulating
US8057498B2 (en) 2007-11-30 2011-11-15 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instrument blades
EP2217157A2 (en) 2007-10-05 2010-08-18 Ethicon Endo-Surgery, Inc. Ergonomic surgical instruments
JP2011528605A (ja) * 2008-07-21 2011-11-24 アルスタシス，インコーポレイテッド 組織内に管を形成するデバイス、方法、及びキット
AU2009291688A1 (en) 2008-09-12 2010-03-18 Ethicon Endo-Surgery, Inc. Ultrasonic device for fingertip control
US8461744B2 (en) 2009-07-15 2013-06-11 Ethicon Endo-Surgery, Inc. Rotating transducer mount for ultrasonic surgical instruments
US9050093B2 (en) 2009-10-09 2015-06-09 Ethicon Endo-Surgery, Inc. Surgical generator for ultrasonic and electrosurgical devices
US9381058B2 (en) 2010-11-05 2016-07-05 Ethicon Endo-Surgery, Llc Recharge system for medical devices
US20120116265A1 (en) 2010-11-05 2012-05-10 Houser Kevin L Surgical instrument with charging devices
US9393037B2 (en) 2012-06-29 2016-07-19 Ethicon Endo-Surgery, Llc Surgical instruments with articulating shafts

Patent Citations (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5417709A (en) * 1994-04-12 1995-05-23 Symbiosis Corporation Endoscopic instrument with end effectors forming suction and/or irrigation lumens
US5505710A (en) * 1994-08-22 1996-04-09 C. R. Bard, Inc. Telescoping probe
US6682543B2 (en) * 1996-07-17 2004-01-27 C Edwards Lifesciences Corporation Methods for aortic artherectomy
US20030078586A1 (en) * 1997-07-01 2003-04-24 Shapira Ira L. Method and apparatus for extracting bone marrow
US6110127A (en) * 1998-02-17 2000-08-29 Olympus Optical, Co., Ltd. Medical instrument for use in combination with an endoscope
US6080175A (en) * 1998-07-29 2000-06-27 Corvascular, Inc. Surgical cutting instrument and method of use
EP1090658A1 (en) * 1999-10-05 2001-04-11 OmniSonics Medical Technologies Ultrasonic medical treatment apparatus
CN101076290A (zh) * 2004-12-09 2007-11-21 铸造品公司 主动脉瓣修复
US20090125040A1 (en) * 2006-09-13 2009-05-14 Hambly Pablo R Tissue acquisition devices and methods
US20130085337A1 (en) * 2011-09-30 2013-04-04 Ethicon Endo-Surgery, Inc. Devices and methods for providing suction and/or irrigation in a surgical procedure

Also Published As

Publication number Publication date
BR112016011159B1 (pt) 2022-09-13
EP3071130B1 (en) 2021-06-02
US20150142032A1 (en) 2015-05-21
JP2016537172A (ja) 2016-12-01
EP3071130A1 (en) 2016-09-28
CN105764434A (zh) 2016-07-13
JP6559693B2 (ja) 2019-08-14
US9913655B2 (en) 2018-03-13
WO2015073643A1 (en) 2015-05-21
BR112016011159A2 (enExample) 2017-08-08

Similar Documents

Publication Publication Date Title
CN105764434B (zh) 具有有源元件和抽吸笼的外科器械
CN105934210B (zh) 用于将流体施加到外科器械的超声刀的特征结构
CN105722469B (zh) 用于外科器械的可移除电池壳体
CN107106196B (zh) 超声刀重叠注塑
EP3223727B1 (en) Ultrasonic surgical instrument with blade cooling through retraction
CN105764435B (zh) 具有电外科特征部的超声外科器械
JP6532640B2 (ja) 流体ルーメンを画定する超音波導波管を備えた手術器具
JP2021041213A (ja) 組織を切断及び凝固するための機器及び方法
KR101782814B1 (ko) 수술 기구를 위한 가요성 고조파 도파관/블레이드
CN104602624B (zh) 具有定位在远侧的钳口组件的超声外科器械
CN109069177A (zh) 具有选择性锁定关节运动组件的外科器械
JP2020520735A (ja) 共有の帰還経路を備えた電気回路を有する超音波及び電気外科複合器具
CN104540461A (zh) 具有定位在远侧的换能器的超声外科器械
EP3223726A1 (en) Features for communication of fluid through shaft assembly of ultrasonic surgical instrument
CN109195537A (zh) 具有冷却导管的超声外科器械
CN108348273B (zh) 具有可滑动的挠曲激活构件的超声外科器械
CN108366811A (zh) 具有功能选择器的外科器械
CN106102606A (zh) 用于超声外科器械的加载特征结构
CN109414276A (zh) 具有夹持臂偏转特征部的超声外科器械
US10413314B2 (en) Ultrasonic surgical instrument with activation member pair and slidable cover
CN109219410A (zh) 用于超声外科器械的被动分离特征部
BR112018003479B1 (pt) Instrumento ultrassônico

Legal Events

Date Code Title Description
C06 Publication
PB01 Publication
C10 Entry into substantive examination
SE01 Entry into force of request for substantive examination
GR01 Patent grant
GR01 Patent grant
CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20190614

CF01 Termination of patent right due to non-payment of annual fee