CN106344102B - 外科手术工具 - Google Patents
外科手术工具 Download PDFInfo
- Publication number
- CN106344102B CN106344102B CN201610374442.1A CN201610374442A CN106344102B CN 106344102 B CN106344102 B CN 106344102B CN 201610374442 A CN201610374442 A CN 201610374442A CN 106344102 B CN106344102 B CN 106344102B
- Authority
- CN
- China
- Prior art keywords
- repositionable
- link
- end effector
- pair
- operably coupled
- 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
Links
- 239000012636 effector Substances 0.000 claims description 180
- 230000033001 locomotion Effects 0.000 claims description 61
- 238000000034 method Methods 0.000 claims description 55
- 210000000078 claw Anatomy 0.000 claims description 10
- 230000008878 coupling Effects 0.000 claims description 3
- 238000010168 coupling process Methods 0.000 claims description 3
- 238000005859 coupling reaction Methods 0.000 claims description 3
- 238000004519 manufacturing process Methods 0.000 claims 1
- 230000000903 blocking effect Effects 0.000 abstract description 5
- 210000005248 left atrial appendage Anatomy 0.000 description 84
- 210000003813 thumb Anatomy 0.000 description 15
- 230000002093 peripheral effect Effects 0.000 description 12
- 210000000707 wrist Anatomy 0.000 description 12
- 230000008859 change Effects 0.000 description 11
- 238000003780 insertion Methods 0.000 description 6
- 230000037431 insertion Effects 0.000 description 6
- 230000014759 maintenance of location Effects 0.000 description 6
- 230000007704 transition Effects 0.000 description 6
- 210000000115 thoracic cavity Anatomy 0.000 description 5
- 230000008901 benefit Effects 0.000 description 4
- 230000000295 complement effect Effects 0.000 description 4
- 210000003811 finger Anatomy 0.000 description 4
- 241000282472 Canis lupus familiaris Species 0.000 description 3
- 238000002788 crimping Methods 0.000 description 3
- 230000002401 inhibitory effect Effects 0.000 description 3
- 230000007935 neutral effect Effects 0.000 description 3
- 125000006850 spacer group Chemical group 0.000 description 3
- 210000001519 tissue Anatomy 0.000 description 3
- 238000013175 transesophageal echocardiography Methods 0.000 description 3
- 238000003466 welding Methods 0.000 description 3
- 238000013459 approach Methods 0.000 description 2
- 210000000038 chest Anatomy 0.000 description 2
- 230000000994 depressogenic effect Effects 0.000 description 2
- 238000009958 sewing Methods 0.000 description 2
- 210000000779 thoracic wall Anatomy 0.000 description 2
- 238000012800 visualization Methods 0.000 description 2
- 210000001015 abdomen Anatomy 0.000 description 1
- 239000000853 adhesive Substances 0.000 description 1
- 230000001070 adhesive effect Effects 0.000 description 1
- 230000005540 biological transmission Effects 0.000 description 1
- 238000007664 blowing Methods 0.000 description 1
- 238000010276 construction Methods 0.000 description 1
- 238000002224 dissection Methods 0.000 description 1
- 238000007373 indentation Methods 0.000 description 1
- 238000009434 installation Methods 0.000 description 1
- 230000003601 intercostal effect Effects 0.000 description 1
- 230000013011 mating Effects 0.000 description 1
- 238000002324 minimally invasive surgery Methods 0.000 description 1
- 230000036961 partial effect Effects 0.000 description 1
- 210000003516 pericardium Anatomy 0.000 description 1
- 230000002829 reductive effect Effects 0.000 description 1
- 230000004044 response Effects 0.000 description 1
- 230000000717 retained effect Effects 0.000 description 1
- 230000002441 reversible effect Effects 0.000 description 1
- 238000005096 rolling process Methods 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 238000012795 verification Methods 0.000 description 1
- 230000000007 visual effect Effects 0.000 description 1
- 230000003313 weakening effect Effects 0.000 description 1
Images
Classifications
-
- 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
- A61B17/12—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
-
- 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
-
- 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
-
- 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
- A61B2017/00305—Constructional details of the flexible means
- A61B2017/00314—Separate linked members
-
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
-
- 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
- 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
- A61B2017/2926—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
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Molecular Biology (AREA)
- Vascular Medicine (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Reproductive Health (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Cardiology (AREA)
- Surgical Instruments (AREA)
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US14/799,576 | 2015-07-15 | ||
| US14/799,576 US10631874B2 (en) | 2015-07-15 | 2015-07-15 | Surgical tool |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN106344102A CN106344102A (zh) | 2017-01-25 |
| CN106344102B true CN106344102B (zh) | 2020-06-09 |
Family
ID=56345061
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201610374442.1A Active CN106344102B (zh) | 2015-07-15 | 2016-05-31 | 外科手术工具 |
Country Status (5)
| Country | Link |
|---|---|
| US (4) | US10631874B2 (enExample) |
| EP (2) | EP4005506A1 (enExample) |
| JP (1) | JP6945970B2 (enExample) |
| CN (1) | CN106344102B (enExample) |
| WO (1) | WO2017011041A1 (enExample) |
Families Citing this family (22)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US10631874B2 (en) | 2015-07-15 | 2020-04-28 | Atricure, Inc. | Surgical tool |
| US10201352B2 (en) * | 2016-08-08 | 2019-02-12 | Atricure, Inc. | Robotic Assisted clip applier |
| CN107157542A (zh) * | 2017-06-28 | 2017-09-15 | 谢北平 | 一种手术器械 |
| CN107334537B (zh) * | 2017-07-31 | 2021-03-19 | 成都博恩思医学机器人有限公司 | 支架组件、手术机器人的手术器械及手术机器人 |
| CN109419482B (zh) * | 2017-08-21 | 2021-05-25 | 上银科技股份有限公司 | 具有操控模组的医疗器械及应用该医疗器械的内视镜操控系统 |
| CN111712201B (zh) * | 2017-11-14 | 2024-04-19 | 阿特瑞克尔公司 | 夹施加器 |
| US11191547B2 (en) | 2018-01-26 | 2021-12-07 | Syntheon 2.0, LLC | Left atrial appendage clipping device and methods for clipping the LAA |
| US10675042B2 (en) * | 2018-02-08 | 2020-06-09 | Ethicon Llc | Surgical clip applier with living hinge jaws |
| US10779839B2 (en) * | 2018-02-08 | 2020-09-22 | Ethicon Llc | Surgical clip applier with parallel closure jaws |
| US12239292B2 (en) | 2019-01-10 | 2025-03-04 | Atricure, Inc. | Clip application system and method |
| CN111803165B (zh) * | 2019-04-11 | 2024-09-20 | 北京领健医疗科技有限公司 | 左心耳闭合器输送系统 |
| US10925615B2 (en) | 2019-05-03 | 2021-02-23 | Syntheon 2.0, LLC | Recapturable left atrial appendage clipping device and methods for recapturing a left atrial appendage clip |
| CN112336403B (zh) * | 2019-08-06 | 2024-09-24 | 北京领健医疗科技有限公司 | 一种闭合器输送系统 |
| US11717301B2 (en) | 2019-09-25 | 2023-08-08 | Lsi Solutions, Inc. | Minimally invasive occlusion device and methods thereof |
| US12213681B2 (en) | 2020-05-06 | 2025-02-04 | Atricure, Inc. | End effector positioning mechanism |
| WO2022109475A1 (en) | 2020-11-23 | 2022-05-27 | Eric William Schneeberger | Atrial appendage excluder |
| CN112998893B (zh) * | 2021-03-14 | 2022-08-30 | 鄂尔多斯市水之恩口腔医院有限责任公司 | 一种口腔医疗用的智能辅助平台 |
| CN113662614B (zh) * | 2021-10-21 | 2022-03-22 | 北京迈迪顶峰医疗科技股份有限公司 | 输送执行器以及输送装置 |
| CN113662613A (zh) * | 2021-10-21 | 2021-11-19 | 北京迈迪顶峰医疗科技股份有限公司 | 钳式执行器以及输送装置 |
| CN115300049B (zh) * | 2022-08-25 | 2025-04-18 | 艺柏湾医疗科技(上海)有限公司 | 多自由度手术夹钳 |
| WO2025038993A1 (en) * | 2023-08-17 | 2025-02-20 | Atricure, Inc. | Devices and methods for occluding the left atrial appendage |
| US12446892B2 (en) | 2023-09-08 | 2025-10-21 | Atricure, Inc. | Dual side spring V-clip for surgical treatment of left atrial appendage |
Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6582451B1 (en) * | 1999-03-16 | 2003-06-24 | The University Of Sydney | Device for use in surgery |
| WO2009091497A2 (en) * | 2008-01-16 | 2009-07-23 | John Hyoung Kim | Minimally invasive surgical instrument |
| WO2013025841A1 (en) * | 2011-08-15 | 2013-02-21 | Atricure Inc. | Surgical device |
Family Cites Families (26)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| DE4412171A1 (de) * | 1994-04-08 | 1995-10-12 | Stefan Koscher | Chirurgisches Instrument |
| US5792135A (en) | 1996-05-20 | 1998-08-11 | Intuitive Surgical, Inc. | Articulated surgical instrument for performing minimally invasive surgery with enhanced dexterity and sensitivity |
| US6102909A (en) * | 1997-08-26 | 2000-08-15 | Ethicon, Inc. | Scissorlike electrosurgical cutting instrument |
| US6394998B1 (en) * | 1999-01-22 | 2002-05-28 | Intuitive Surgical, Inc. | Surgical tools for use in minimally invasive telesurgical applications |
| WO2000054662A1 (en) * | 1999-03-16 | 2000-09-21 | The University Of Sydney | Device for use in surgery |
| US6890295B2 (en) * | 2002-10-31 | 2005-05-10 | Medtronic, Inc. | Anatomical space access tools and methods |
| EP1283025A1 (de) * | 2001-08-10 | 2003-02-12 | Stöckert Instrumente GmbH | Ballonokklusionsvorrichtung |
| AU2002366452A1 (en) * | 2001-12-17 | 2003-06-30 | Koninklijke Philips Electronics N.V. | Magnetic resonance method |
| EP1619996B1 (en) * | 2003-04-25 | 2012-12-05 | Applied Medical Resources Corporation | Steerable kink-resistant sheath |
| US20050165344A1 (en) * | 2003-11-26 | 2005-07-28 | Dobak John D.Iii | Method and apparatus for treating heart failure |
| ES2661071T3 (es) * | 2003-12-04 | 2018-03-27 | Boston Scientific Scimed, Inc. | Sistema de suministro de un dispositivo de contención de orejuela auricular izquierda |
| US20050149068A1 (en) * | 2003-12-17 | 2005-07-07 | Mathew Williams | Left atrial appendage exclusion device |
| EP1768575B1 (en) * | 2004-06-18 | 2019-01-16 | Medtronic, Inc. | Devices for occlusion of an atrial appendage |
| JP2006018905A (ja) * | 2004-06-30 | 2006-01-19 | Tdk Corp | 磁気ヘッドスライダ用材料、磁気ヘッドスライダ、及び磁気ヘッドスライダ用材料の製造方法 |
| JP4287354B2 (ja) * | 2004-10-25 | 2009-07-01 | 株式会社日立製作所 | 手術器具 |
| US20060270900A1 (en) * | 2005-05-26 | 2006-11-30 | Chin Albert K | Apparatus and methods for performing ablation |
| WO2007009099A2 (en) | 2005-07-14 | 2007-01-18 | Idx Medical Ltd. | Apparatus and methods for occluding a hollow anatomical structure |
| US8568443B1 (en) * | 2008-05-21 | 2013-10-29 | Encision, Inc. | Surgical grapser tool and actuation mechanism |
| KR101064825B1 (ko) * | 2010-11-18 | 2011-09-14 | 정창욱 | 최소 침습 수술 기구 |
| JP6023725B2 (ja) | 2011-02-14 | 2016-11-09 | ザ ボード オブ トラスティーズ オブ ザ レランド スタンフォード ジュニア ユニバーシティー | 腹腔鏡下手術を実行するための装置、システム、および方法 |
| US20140188159A1 (en) * | 2011-07-11 | 2014-07-03 | Agile Endosurgery, Inc. | Surgical tool |
| US9282973B2 (en) | 2012-01-20 | 2016-03-15 | Atricure, Inc. | Clip deployment tool and associated methods |
| US8986307B2 (en) * | 2012-07-10 | 2015-03-24 | X-Spine Systems, Inc. | Surgical instrument with pivotable implant holder |
| US10722222B2 (en) * | 2012-12-14 | 2020-07-28 | Covidien Lp | Surgical system including a plurality of handle assemblies |
| US9326767B2 (en) | 2013-03-01 | 2016-05-03 | Ethicon Endo-Surgery, Llc | Joystick switch assemblies for surgical instruments |
| US10631874B2 (en) | 2015-07-15 | 2020-04-28 | Atricure, Inc. | Surgical tool |
-
2015
- 2015-07-15 US US14/799,576 patent/US10631874B2/en active Active
- 2015-11-06 US US14/934,865 patent/US9861371B2/en active Active
-
2016
- 2016-04-12 WO PCT/US2016/027135 patent/WO2017011041A1/en not_active Ceased
- 2016-05-16 JP JP2016098274A patent/JP6945970B2/ja active Active
- 2016-05-31 CN CN201610374442.1A patent/CN106344102B/zh active Active
- 2016-07-04 EP EP22150753.6A patent/EP4005506A1/en not_active Withdrawn
- 2016-07-04 EP EP16177861.8A patent/EP3117781B1/en active Active
-
2020
- 2020-03-25 US US16/829,998 patent/US12245770B2/en active Active
-
2025
- 2025-02-11 US US19/050,326 patent/US20250318840A1/en active Pending
Patent Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6582451B1 (en) * | 1999-03-16 | 2003-06-24 | The University Of Sydney | Device for use in surgery |
| WO2009091497A2 (en) * | 2008-01-16 | 2009-07-23 | John Hyoung Kim | Minimally invasive surgical instrument |
| WO2013025841A1 (en) * | 2011-08-15 | 2013-02-21 | Atricure Inc. | Surgical device |
| CN103841906A (zh) * | 2011-08-15 | 2014-06-04 | 阿特瑞克尔公司 | 手术装置 |
Also Published As
| Publication number | Publication date |
|---|---|
| US12245770B2 (en) | 2025-03-11 |
| US10631874B2 (en) | 2020-04-28 |
| WO2017011041A1 (en) | 2017-01-19 |
| CN106344102A (zh) | 2017-01-25 |
| EP3117781A1 (en) | 2017-01-18 |
| EP3117781B1 (en) | 2022-01-12 |
| US20170014137A1 (en) | 2017-01-19 |
| EP4005506A1 (en) | 2022-06-01 |
| US20250318840A1 (en) | 2025-10-16 |
| US20200222056A1 (en) | 2020-07-16 |
| US20170014136A1 (en) | 2017-01-19 |
| JP6945970B2 (ja) | 2021-10-06 |
| JP2017023701A (ja) | 2017-02-02 |
| US9861371B2 (en) | 2018-01-09 |
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| C06 | Publication | ||
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| SE01 | Entry into force of request for substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| GR01 | Patent grant | ||
| GR01 | Patent grant |