CN107809959A - 用于微创手术的组织牵开器 - Google Patents

用于微创手术的组织牵开器 Download PDF

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Publication number
CN107809959A
CN107809959A CN201680028477.8A CN201680028477A CN107809959A CN 107809959 A CN107809959 A CN 107809959A CN 201680028477 A CN201680028477 A CN 201680028477A CN 107809959 A CN107809959 A CN 107809959A
Authority
CN
China
Prior art keywords
retractor
flexible
catheter
tissue
inner member
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.)
Pending
Application number
CN201680028477.8A
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English (en)
Chinese (zh)
Inventor
格雷戈里·皮斯库恩
布瑞恩·唐
杰夫瑞·皮特·雷德兹纳斯
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.)
Boston Scientific Scimed Inc
Original Assignee
Scimed Life Systems 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 Scimed Life Systems Inc filed Critical Scimed Life Systems Inc
Publication of CN107809959A publication Critical patent/CN107809959A/zh
Pending legal-status Critical Current

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/02—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
    • A61B17/0218—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors for minimally invasive surgery
    • 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
    • A61B1/00066—Proximal part of endoscope body, e.g. handles
    • 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
    • A61B1/00082—Balloons
    • 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
    • A61B1/00085—Baskets
    • 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
    • A61B1/00087—Tools
    • 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
    • A61B1/00135—Oversleeves mounted on the endoscope prior to insertion
    • 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
    • A61B1/00147—Holding or positioning arrangements
    • A61B1/00154—Holding or positioning arrangements using guiding arrangements for insertion
    • 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
    • A61B1/31—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 rectum, e.g. proctoscopes, sigmoidoscopes, colonoscopes
    • 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
    • A61B1/313—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 introducing through surgical openings, e.g. laparoscopes
    • 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
    • A61B1/32—Devices for opening or enlarging the visual field, e.g. of a tube of the body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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    • 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
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    • A61B17/00—Surgical instruments, devices or methods
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    • A61B17/3478—Endoscopic needles, e.g. for infusion
    • A—HUMAN NECESSITIES
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    • A61B2017/00269—Type of minimally invasive operation endoscopic mucosal resection EMR
    • A—HUMAN NECESSITIES
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    • A61B17/00—Surgical instruments, devices or methods
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    • A61B2017/00287—Bags 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
    • A61B2017/00292—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
    • A61B2017/00331—Steering mechanisms with preformed bends
    • 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
    • A61B2017/00336—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means with a protective sleeve, e.g. retractable or slidable
    • 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
    • A61B2017/0034—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means adapted to be inserted through a working channel of an endoscope
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00535—Surgical instruments, devices or methods pneumatically or hydraulically operated
    • A61B2017/00557—Surgical instruments, devices or methods pneumatically or hydraulically operated inflatable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00831—Material properties
    • A61B2017/00867—Material properties shape memory effect
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/02—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
    • A61B17/0218—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors for minimally invasive surgery
    • A61B2017/0225—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors for minimally invasive surgery flexible, e.g. fabrics, meshes, or membranes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A61B2017/3445—Cannulas used as instrument channel for multiple instruments
    • A61B2017/3447—Linked multiple cannulas
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A61B2017/345—Cannulas for introduction into a natural body opening
    • 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
    • A61M25/00—Catheters; Hollow probes
    • A61M25/10—Balloon catheters
    • A61M2025/1043—Balloon catheters with special features or adapted for special applications
    • A61M2025/1052—Balloon catheters with special features or adapted for special applications for temporarily occluding a vessel for isolating a sector
    • 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
    • A61M25/00—Catheters; Hollow probes
    • A61M25/10—Balloon catheters
    • A61M25/1011—Multiple balloon catheters

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • Molecular Biology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Pathology (AREA)
  • Biophysics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Physics & Mathematics (AREA)
  • Optics & Photonics (AREA)
  • Reproductive Health (AREA)
  • Vascular Medicine (AREA)
  • Surgical Instruments (AREA)
CN201680028477.8A 2015-05-16 2016-05-06 用于微创手术的组织牵开器 Pending CN107809959A (zh)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US14/714,287 US10531869B2 (en) 2009-12-16 2015-05-16 Tissue retractor for minimally invasive surgery
US14/714,287 2015-05-16
PCT/US2016/031355 WO2016186876A1 (en) 2015-05-16 2016-05-06 Tissue retractor for minimally invasive surgery

Publications (1)

Publication Number Publication Date
CN107809959A true CN107809959A (zh) 2018-03-16

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CN201680028477.8A Pending CN107809959A (zh) 2015-05-16 2016-05-06 用于微创手术的组织牵开器

Country Status (5)

Country Link
US (2) US10531869B2 (enExample)
EP (1) EP3256053A1 (enExample)
JP (1) JP2018510008A (enExample)
CN (1) CN107809959A (enExample)
WO (1) WO2016186876A1 (enExample)

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CN108742922A (zh) * 2018-04-10 2018-11-06 中国人民解放军总医院 一种口腔手术时使用的组织牵开装置
CN109820576A (zh) * 2019-03-27 2019-05-31 武汉唯柯医疗科技有限公司 带穿刺功能的经房间隔介入输送系统
CN109907784A (zh) * 2019-04-04 2019-06-21 微至（苏州）医疗科技有限公司 一种新型组织悬吊器
CN110141377A (zh) * 2019-06-11 2019-08-20 青岛大学附属医院 一种胸腔镜下肺部固定装置
CN110215547A (zh) * 2019-06-15 2019-09-10 南阳市中心医院 一种恶性腹水穿刺引流装置
CN110693446A (zh) * 2019-11-14 2020-01-17 江苏欧曼电子设备有限公司 一种具有辅助成像功能的内窥镜
CN112423674A (zh) * 2018-08-07 2021-02-26 波士顿科学国际有限公司 用于牵开组织的系统、装置和相关方法
CN116211222A (zh) * 2023-01-31 2023-06-06 湖南省华芯医疗器械有限公司 一种内窥镜的引导装置及内窥镜
TWI816347B (zh) * 2021-04-01 2023-09-21 美商艾克斯公司 用於移動引導線路之引導線路控制器盒及方法
WO2024235221A1 (zh) * 2023-05-18 2024-11-21 广州迪克医疗器械有限公司 腔体撑开装置

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US11877722B2 (en) 2009-12-15 2024-01-23 Cornell University Method and apparatus for manipulating the side wall of a body lumen or body cavity
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US8932211B2 (en) 2012-06-22 2015-01-13 Macroplata, Inc. Floating, multi-lumen-catheter retractor system for a minimally-invasive, operative gastrointestinal treatment
US11344285B2 (en) 2009-12-16 2022-05-31 Boston Scientific Scimed, Inc. Multi-lumen-catheter retractor system for a minimally-invasive, operative gastrointestinal treatment
US10966701B2 (en) 2009-12-16 2021-04-06 Boston Scientific Scimed, Inc. Tissue retractor for minimally invasive surgery
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US11422346B2 (en) * 2016-03-31 2022-08-23 Sony Olympus Medical Solutions Inc. Medical observation device, image movement correcting method, and medical observation system
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WO2018136718A1 (en) * 2017-01-20 2018-07-26 Boston Scientific Scimed, Inc. System for a minimally-invasive, operative treatment
US11241560B2 (en) 2017-03-18 2022-02-08 Boston Scientific Scimed, Inc. System for a minimally-invasive treatment within a body lumen
CN108784762B (zh) * 2017-05-04 2023-08-22 崔家鸣 镜下骨遮挡手术用的组织扩张器械
US20200187898A1 (en) * 2017-07-07 2020-06-18 Koninklijke Philips N.V. A laparoscopic adapter, an echocardiography probe and a method for coupling the adapter to the probe
EP3687372B1 (en) 2017-09-29 2022-11-30 Gregory Piskun Rubber band ligation system for treatment of hemorrhoids
US10933222B2 (en) * 2017-12-05 2021-03-02 Boston Scientific Scimed, Inc. Tissue retraction system for performing minimally invasive procedures
CN111818838B (zh) * 2018-03-29 2025-07-04 波士顿科学国际有限公司 用于接地的内腔电外科手术的装置及方法
WO2019207706A1 (ja) 2018-04-26 2019-10-31 オリンパス株式会社 処置システム
JP6964766B2 (ja) 2018-04-26 2021-11-10 オリンパス株式会社 処置システムおよび拡張デバイス
WO2020157657A1 (en) * 2019-01-28 2020-08-06 I360Medical Ltd. Dilation devices, methods, and systems
JP7305788B2 (ja) * 2019-04-16 2023-07-10 ラブンピープル カンパニー リミテッド 組織除去装置
JP7304431B2 (ja) * 2019-06-14 2023-07-06 ボストン サイエンティフィック サイムド，インコーポレイテッド 内視鏡処置のための牽引システム及びその使用方法
EP4034025A4 (en) * 2019-09-27 2023-12-20 Auris Health, Inc. ROBOT OPERATED MEDICAL RETRACTORS
WO2021064864A1 (ja) * 2019-10-01 2021-04-08 オリンパス株式会社 処置具
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WO2022104262A1 (en) 2020-11-16 2022-05-19 Lumendi Ltd. Methods and apparatus for inverting a hollow sleeve and thereafter reverting an inverted hollow sleeve
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CN110215547A (zh) * 2019-06-15 2019-09-10 南阳市中心医院 一种恶性腹水穿刺引流装置
CN110215547B (zh) * 2019-06-15 2021-08-24 南阳市中心医院 一种恶性腹水穿刺引流装置
CN110693446A (zh) * 2019-11-14 2020-01-17 江苏欧曼电子设备有限公司 一种具有辅助成像功能的内窥镜
TWI816347B (zh) * 2021-04-01 2023-09-21 美商艾克斯公司 用於移動引導線路之引導線路控制器盒及方法
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WO2024235221A1 (zh) * 2023-05-18 2024-11-21 广州迪克医疗器械有限公司 腔体撑开装置
CN118986429A (zh) * 2023-05-18 2024-11-22 广州迪克医疗器械有限公司 腔体撑开装置

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