CN106344097B - 手术工具 - Google Patents

手术工具 Download PDF

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Publication number
CN106344097B
CN106344097B CN201610412383.2A CN201610412383A CN106344097B CN 106344097 B CN106344097 B CN 106344097B CN 201610412383 A CN201610412383 A CN 201610412383A CN 106344097 B CN106344097 B CN 106344097B
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CN
China
Prior art keywords
repositionable
control
component
wire
medical device
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
CN201610412383.2A
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English (en)
Chinese (zh)
Other versions
CN106344097A (zh
Inventor
基思·爱德华·马丁
弗兰克·M·法戈
大卫·威尔逊
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Atricure Inc
Original Assignee
Atricure 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 Atricure Inc filed Critical Atricure Inc
Priority to CN202311150705.7A priority Critical patent/CN117322938A/zh
Publication of CN106344097A publication Critical patent/CN106344097A/zh
Application granted granted Critical
Publication of CN106344097B publication Critical patent/CN106344097B/zh
Active legal-status Critical Current
Anticipated expiration legal-status Critical

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Classifications

    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/128—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord for applying or removing clamps or clips
    • A61B17/1285—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord for applying or removing clamps or clips for minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/10—Surgical instruments, devices or methods for applying or removing wound clamps, e.g. containing only one clamp or staple; Wound clamp magazines
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12099—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder
    • A61B17/12122—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder within the heart
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/122—Clamps or clips, e.g. for the umbilical cord
    • A61B17/1227—Spring clips
    • 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
    • A61B2017/00238—Type of minimally invasive operation
    • A61B2017/00243—Type of minimally invasive operation cardiac
    • 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
    • A61B2017/00292—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/003—Steerable
    • A61B2017/00318—Steering mechanisms
    • A61B2017/00323—Cables or rods
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A61B2017/00575—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for closure at remote site, e.g. closing atrial septum defects
    • A61B2017/00584—Clips
    • 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
    • A61B2017/0069—Aspects not otherwise provided for with universal joint, cardan joint
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
    • A61B2017/1205—Introduction devices
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
    • A61B2017/1205—Introduction devices
    • A61B2017/12054—Details concerning the detachment of the occluding device from the introduction device
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2901—Details of shaft
    • A61B2017/2902—Details of shaft characterized by features of the actuating rod
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2926—Details of heads or jaws
    • A61B2017/2927—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2926—Details of heads or jaws
    • A61B2017/2932—Transmission of forces to jaw members
    • A61B2017/2933—Transmission of forces to jaw members camming or guiding means
    • A61B2017/2937—Transmission of forces to jaw members camming or guiding means with flexible part
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2926—Details of heads or jaws
    • A61B2017/2932—Transmission of forces to jaw members
    • A61B2017/2939—Details of linkages or pivot points
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/70—Manipulators specially adapted for use in surgery
    • A61B34/71—Manipulators operated by drive cable mechanisms

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Molecular Biology (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Reproductive Health (AREA)
  • Vascular Medicine (AREA)
  • Cardiology (AREA)
  • Surgical Instruments (AREA)
CN201610412383.2A 2015-07-14 2016-06-13 手术工具 Active CN106344097B (zh)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202311150705.7A CN117322938A (zh) 2015-07-14 2016-06-13 手术工具

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US14/799,535 2015-07-14
US14/799,535 US20170014135A1 (en) 2015-07-14 2015-07-14 Surgical tool

Related Child Applications (1)

Application Number Title Priority Date Filing Date
CN202311150705.7A Division CN117322938A (zh) 2015-07-14 2016-06-13 手术工具

Publications (2)

Publication Number Publication Date
CN106344097A CN106344097A (zh) 2017-01-25
CN106344097B true CN106344097B (zh) 2023-10-03

Family

ID=56368858

Family Applications (2)

Application Number Title Priority Date Filing Date
CN202311150705.7A Pending CN117322938A (zh) 2015-07-14 2016-06-13 手术工具
CN201610412383.2A Active CN106344097B (zh) 2015-07-14 2016-06-13 手术工具

Family Applications Before (1)

Application Number Title Priority Date Filing Date
CN202311150705.7A Pending CN117322938A (zh) 2015-07-14 2016-06-13 手术工具

Country Status (6)

Country Link
US (3) US20170014135A1 (enExample)
EP (1) EP3117782B1 (enExample)
JP (2) JP6821328B2 (enExample)
CN (2) CN117322938A (enExample)
BR (1) BR102016016206B1 (enExample)
WO (1) WO2017011042A1 (enExample)

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US20170014135A1 (en) 2015-07-14 2017-01-19 Keith Edward Martin Surgical tool
US10201352B2 (en) * 2016-08-08 2019-02-12 Atricure, Inc. Robotic Assisted clip applier
WO2018175651A1 (en) * 2017-03-21 2018-09-27 Teleflex Medical Incorporated Clip applier having stabilizing member
EP3600084B1 (en) 2017-03-21 2024-10-23 Teleflex Medical Incorporated Clip applier with stabilizing member
CN110740694B (zh) 2017-03-21 2023-03-28 泰利福医疗公司 具有可置换尖端的施夹器
WO2018175650A1 (en) 2017-03-21 2018-09-27 Teleflex Medical Incorporated Flexible stabilizing member for a clip applier
US12023041B2 (en) 2017-03-21 2024-07-02 Teleflex Medical Incorporated Clip applier
EP3600082A4 (en) 2017-03-21 2020-09-16 Teleflex Medical Incorporated SURGICAL STAPLE AND STAPLE APPLICATOR
US20200205846A1 (en) * 2017-07-17 2020-07-02 Medrobotics Corporation Surgical tools
EP4393419A3 (en) 2017-11-14 2024-11-13 Atricure, Inc. Clip applier
CN120694710A (zh) 2018-09-26 2025-09-26 泰利福医疗公司 具有稳定构件的施夹器
KR102118720B1 (ko) 2018-12-31 2020-06-04 주식회사 리브스메드 잠금 장치
US12239292B2 (en) 2019-01-10 2025-03-04 Atricure, Inc. Clip application system and method
EP3996606B1 (en) * 2019-07-12 2025-09-10 Boston Scientific Scimed, Inc. Systems for clamping an artificial chordae tendineae to a leaflet of a heart valve
US11717301B2 (en) 2019-09-25 2023-08-08 Lsi Solutions, Inc. Minimally invasive occlusion device and methods thereof
WO2021062170A1 (en) 2019-09-26 2021-04-01 Teleflex Medical Incorporated Clip applier
US11278302B2 (en) * 2019-10-31 2022-03-22 Livsmed Inc. End tool of surgical instrument and surgical instrument including the same
US12213681B2 (en) 2020-05-06 2025-02-04 Atricure, Inc. End effector positioning mechanism
US11986186B2 (en) * 2020-11-02 2024-05-21 Boston Scientific Scimed, Inc. Fastening devices and related methods of use
US12426886B2 (en) 2020-11-23 2025-09-30 Eric William Schneeberger Atrial appendage excluder
CN115252012B (zh) * 2022-07-27 2025-02-28 元创医学技术(江苏)有限公司 一种具有柔型传动杆的可拆卸电动多自由柔性器械
CN115252011B (zh) * 2022-07-27 2024-11-22 元创医学技术(江苏)有限公司 一种丝线驱动的可拆卸电动多自由度柔性器械
US20240122589A1 (en) * 2022-10-14 2024-04-18 Atricure, Inc. Surgical space maker device
US12446892B2 (en) 2023-09-08 2025-10-21 Atricure, Inc. Dual side spring V-clip for surgical treatment of left atrial appendage

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US6394998B1 (en) * 1999-01-22 2002-05-28 Intuitive Surgical, Inc. Surgical tools for use in minimally invasive telesurgical applications
CN101185581A (zh) * 2006-11-17 2008-05-28 镱钛科技股份有限公司 可锁定的医疗外科器具
JP2009107087A (ja) * 2007-10-31 2009-05-21 Toshiba Corp マニピュレータ
CN102596058A (zh) * 2009-11-13 2012-07-18 直观外科手术操作公司 具有复设的闭合机构的末端执行器
CN202821489U (zh) * 2012-06-01 2013-03-27 乐陵市信诺医疗器械有限公司 痔疮套扎器
CN103370017A (zh) * 2010-12-07 2013-10-23 环球科技2000私人有限公司 外科夹钳以及用于外科夹钳的夹钳操纵装置
CN103565489A (zh) * 2012-07-18 2014-02-12 柯惠Lp公司 手术设备

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US6394998B1 (en) * 1999-01-22 2002-05-28 Intuitive Surgical, Inc. Surgical tools for use in minimally invasive telesurgical applications
CN101185581A (zh) * 2006-11-17 2008-05-28 镱钛科技股份有限公司 可锁定的医疗外科器具
JP2009107087A (ja) * 2007-10-31 2009-05-21 Toshiba Corp マニピュレータ
CN102596058A (zh) * 2009-11-13 2012-07-18 直观外科手术操作公司 具有复设的闭合机构的末端执行器
CN103370017A (zh) * 2010-12-07 2013-10-23 环球科技2000私人有限公司 外科夹钳以及用于外科夹钳的夹钳操纵装置
CN202821489U (zh) * 2012-06-01 2013-03-27 乐陵市信诺医疗器械有限公司 痔疮套扎器
CN103565489A (zh) * 2012-07-18 2014-02-12 柯惠Lp公司 手术设备

Also Published As

Publication number Publication date
BR102016016206A2 (pt) 2021-04-20
BR102016016206B1 (pt) 2022-11-16
US9883867B2 (en) 2018-02-06
US20170014131A1 (en) 2017-01-19
US20200305884A1 (en) 2020-10-01
JP2017018576A (ja) 2017-01-26
JP2021058703A (ja) 2021-04-15
US20170014135A1 (en) 2017-01-19
JP6821328B2 (ja) 2021-01-27
CN117322938A (zh) 2024-01-02
CN106344097A (zh) 2017-01-25
EP3117782B1 (en) 2018-09-12
US12053185B2 (en) 2024-08-06
WO2017011042A1 (en) 2017-01-19
EP3117782A1 (en) 2017-01-18

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