CN109561901B - 用于切割骨的医疗装置 - Google Patents

用于切割骨的医疗装置 Download PDF

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Publication number
CN109561901B
CN109561901B CN201780044866.4A CN201780044866A CN109561901B CN 109561901 B CN109561901 B CN 109561901B CN 201780044866 A CN201780044866 A CN 201780044866A CN 109561901 B CN109561901 B CN 109561901B
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section
distal
proximal
tubular member
medical device
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Chinese (zh)
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CN109561901A (zh
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丁杰南
高晓辉
海约斯·康
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Mako Surgical Corp
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Mako Surgical Corp
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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Medical Informatics (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Dentistry (AREA)
  • Robotics (AREA)
  • Pathology (AREA)
  • Physics & Mathematics (AREA)
  • Biophysics (AREA)
  • Optics & Photonics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Surgical Instruments (AREA)
CN201780044866.4A 2016-05-23 2017-02-17 用于切割骨的医疗装置 Active CN109561901B (zh)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201662340184P 2016-05-23 2016-05-23
US62/340,184 2016-05-23
PCT/US2017/018488 WO2017204869A1 (en) 2016-05-23 2017-02-17 Medical device for cutting bone

Publications (2)

Publication Number Publication Date
CN109561901A CN109561901A (zh) 2019-04-02
CN109561901B true CN109561901B (zh) 2022-02-25

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US (1) US10603047B2 (enExample)
EP (1) EP3463112B1 (enExample)
JP (1) JP6932727B2 (enExample)
KR (1) KR102687804B1 (enExample)
CN (1) CN109561901B (enExample)
AU (1) AU2017269557B2 (enExample)
WO (1) WO2017204869A1 (enExample)

Families Citing this family (42)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8361067B2 (en) 2002-09-30 2013-01-29 Relievant Medsystems, Inc. Methods of therapeutically heating a vertebral body to treat back pain
US10028753B2 (en) 2008-09-26 2018-07-24 Relievant Medsystems, Inc. Spine treatment kits
JP5688022B2 (ja) 2008-09-26 2015-03-25 リリーバント メドシステムズ、インコーポレイテッド 骨の内部を通って器具を誘導するためのシステムおよび方法
US10390877B2 (en) 2011-12-30 2019-08-27 Relievant Medsystems, Inc. Systems and methods for treating back pain
US10588691B2 (en) 2012-09-12 2020-03-17 Relievant Medsystems, Inc. Radiofrequency ablation of tissue within a vertebral body
CA3093398C (en) 2012-11-05 2022-05-24 Relievant Medsystems, Inc. Systems and methods for creating curved paths through bone and modulating nerves within the bone
US9724151B2 (en) 2013-08-08 2017-08-08 Relievant Medsystems, Inc. Modulating nerves within bone using bone fasteners
EP3226743B1 (en) 2014-12-05 2019-08-14 Fortimedix Surgical B.V. Method for manufacturing a steerable instrument and such steerable instrument
WO2016123697A1 (en) * 2015-02-02 2016-08-11 The University Of Western Ontario Navigation by bending forces
CA3030831A1 (en) 2016-07-15 2018-01-18 Mako Surgical Corp. Systems for a robotic-assisted revision procedure
WO2018058126A1 (en) * 2016-09-26 2018-03-29 Klsmc Instruments, Llc Arthroscopic drill blade and arthroscopic drill access system made therefrom
US11129679B2 (en) 2017-11-14 2021-09-28 Mako Surgical Corp. Fiber optic tracking system
WO2020005218A1 (en) * 2018-06-27 2020-01-02 Wright Medical Technology, Inc. Burr with irrigation and imaging
US11389184B2 (en) * 2018-08-06 2022-07-19 Medtronic Xomed, Inc. System and method for connecting an instrument
NL2021823B1 (en) * 2018-10-16 2020-05-13 Fortimedix Assets Ii B V Steerable instrument comprising a tube element
KR102120943B1 (ko) * 2018-11-09 2020-06-09 아이메디컴(주) 전극 흡인 드릴 시스템
CN113473924A (zh) * 2019-02-26 2021-10-01 艾彼度科技有限公司 脊柱硬膜外空间减压的系统和方法
US11690680B2 (en) 2019-03-19 2023-07-04 Mako Surgical Corp. Trackable protective packaging for tools and methods for calibrating tool installation using the same
WO2020214027A2 (en) 2019-04-01 2020-10-22 Fortimedix Assets Ii B.V. Steerable instrument comprising a hinge with a slotted structure
WO2020218921A2 (en) 2019-04-08 2020-10-29 Fortimedix Assets Ii B.V. Steerable instrument comprising a detachable part
US11786259B1 (en) 2019-05-28 2023-10-17 Mirus Llc Systems and methods for ultrasonically-assisted placement of orthopedic implants
CN110215240A (zh) * 2019-05-30 2019-09-10 南开大学 一种单孔腹腔镜手术的末端执行机构
EP4501263A3 (en) 2019-09-12 2025-03-19 Relievant Medsystems, Inc. Systems and methods for tissue modulation
JP2022550914A (ja) * 2019-10-07 2022-12-05 ニコ コーポレイション 面内回転カニューレ
IT201900020274A1 (it) * 2019-11-04 2021-05-04 Hpf S R L Punta per chirurgia e metodo di realizzazione
US20220378441A1 (en) * 2019-11-05 2022-12-01 Stryker European Operations Limited Flexible Driveshaft With Channels Configured To Collapse Under Rotational Load
US20230056953A1 (en) * 2020-01-30 2023-02-23 Covidien Lp Surgical instruments having a rotatable blade member for treating tissue
EP4175578A1 (en) * 2020-07-02 2023-05-10 Smith & Nephew, Inc. Methods and systems for treating femoroacetabular impingement
AU2021306313A1 (en) 2020-07-10 2023-03-02 Relievant Medsystems, Inc. Vertebral denervation in conjunction with vertebral fusion
US12082876B1 (en) 2020-09-28 2024-09-10 Relievant Medsystems, Inc. Introducer drill
WO2022074647A1 (en) * 2020-10-06 2022-04-14 Carevature Medical Ltd. Device system and method for robotic spinal decompression
CN116568226A (zh) * 2020-12-11 2023-08-08 阿斯克勒庇俄斯公司 用于在骨中形成曲线孔道的系统、装置和方法
WO2022140712A1 (en) 2020-12-22 2022-06-30 Relievant Medsystems, Inc. Prediction of candidates for spinal neuromodulation
US12290274B2 (en) * 2021-05-25 2025-05-06 Arthrex, Inc. Dynamically controlling a distal window opening in a rotary surgical shaver
US20240398424A1 (en) * 2021-10-28 2024-12-05 Jordan Amadio Concentric tube drilling robot device, system and method
US12433668B1 (en) 2021-11-08 2025-10-07 Relievant Medsystems, Inc. Impedance stoppage mitigation during radiofrequency tissue ablation procedures
DE102022101885A1 (de) * 2022-01-27 2023-07-27 Aesculap Ag Schaft eines oder für ein medizinisches Handinstrument
US12396805B2 (en) * 2022-02-02 2025-08-26 Mazor Robotics Ltd. Systems, methods, and devices for drilling and imaging an anatomical element
CN114886498A (zh) * 2022-04-26 2022-08-12 骨圣元化机器人(深圳)有限公司 骨钻装置
KR102817001B1 (ko) * 2022-11-07 2025-06-11 주식회사 로엔서지컬 수술 장치
CN117598788B (zh) * 2023-03-30 2024-09-20 中山大学肿瘤防治中心（中山大学附属肿瘤医院、中山大学肿瘤研究所） 一种全自动颅底3d消融用可调节手术机械臂
CN116909008B (zh) * 2023-06-06 2024-11-08 苏州旭杰建筑科技股份有限公司 一种预制构件装配对准观察装置及判断方法

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6645218B1 (en) * 2002-08-05 2003-11-11 Endius Incorporated Surgical instrument
WO2009155319A1 (en) * 2008-06-17 2009-12-23 Soteira, Inc. Devices and methods for fracture reduction
CN103442655A (zh) * 2011-01-24 2013-12-11 克莱伦斯公司 在椎体内形成具有曲线轮廓的骨道的钻孔装置
CN105361922A (zh) * 2015-12-15 2016-03-02 宁波华科润生物科技有限公司 一种医用可调弯组织去除器械
CN105555205A (zh) * 2013-09-12 2016-05-04 直观外科手术操作公司 用于定位可移动目标的形状传感器系统

Family Cites Families (24)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6656195B2 (en) * 2000-09-22 2003-12-02 Medtronic Xomed, Inc. Flexible inner tubular members and rotary tissue cutting instruments having flexible inner tubular members
US8010180B2 (en) 2002-03-06 2011-08-30 Mako Surgical Corp. Haptic guidance system and method
KR101087996B1 (ko) 2002-12-06 2011-12-01 인튜어티브 서지컬 인코포레이티드 최소 침습 수술 기구
US8221424B2 (en) 2004-12-20 2012-07-17 Spinascope, Inc. Surgical instrument for orthopedic surgery
US8784421B2 (en) 2004-03-03 2014-07-22 Boston Scientific Scimed, Inc. Apparatus and methods for removing vertebral bone and disc tissue
US7678117B2 (en) * 2004-06-07 2010-03-16 Novare Surgical Systems, Inc. Articulating mechanism with flex-hinged links
EP2633829B1 (en) * 2005-01-05 2015-12-09 NLT Spine Ltd. Device for introduction into a body along a substantially straight elongated-element-restricting structure
US8123750B2 (en) * 2005-08-17 2012-02-28 Corespine Technologies, Llc Apparatus and methods for removal of intervertebral disc tissues
US20070093840A1 (en) * 2005-10-06 2007-04-26 Pacelli Nicolas J Flexible shaft
CA2684756A1 (en) * 2007-05-18 2008-11-27 Boston Scientific Limited Articulating torqueable hollow device
US20090216284A1 (en) * 2007-08-27 2009-08-27 Singfatt Chin Balloon cannula system for accessing and visualizing spine and related methods
CN103961050B (zh) * 2008-04-18 2016-09-28 福蒂美迪克斯外科医疗器材有限公司 一种用于内窥镜应用的仪器
CA2709099C (en) 2008-06-18 2017-06-13 Mako Surgical Corp. Fiber optic tracking system and method for tracking
US8758349B2 (en) * 2008-10-13 2014-06-24 Dfine, Inc. Systems for treating a vertebral body
US8556911B2 (en) * 2009-01-27 2013-10-15 Vishal M. Mehta Arthroscopic tunnel guide for rotator cuff repair
JP5517526B2 (ja) * 2009-08-27 2014-06-11 Ｎｔｎ株式会社 遠隔操作型アクチュエータの工具先端位置検出装置
US8366559B2 (en) 2010-06-23 2013-02-05 Lenkbar, Llc Cannulated flexible drive shaft
WO2012040442A1 (en) 2010-09-22 2012-03-29 Johns Hopkins University Cable-driven morphable manipulator
CA2815396A1 (en) 2010-10-22 2012-04-26 Medrobotics Corporation Highly articulated robotic probes and methods of production and use of such probes
US8430864B2 (en) * 2011-02-16 2013-04-30 Biosense Webster, Inc. Catheter with multiple deflections
US20140005705A1 (en) * 2012-06-29 2014-01-02 Ethicon Endo-Surgery, Inc. Surgical instruments with articulating shafts
US9144370B2 (en) * 2013-02-28 2015-09-29 Canon Usa Inc. Mechanical structure of articulated sheath
JP6129087B2 (ja) * 2014-01-14 2017-05-17 オリンパス株式会社 関節機構、マニピュレータおよびマニピュレータシステム
WO2015121869A1 (en) * 2014-02-17 2015-08-20 T.A.G. Medical Devices - Agriculture Cooperative Ltd. Flexible bone tool

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6645218B1 (en) * 2002-08-05 2003-11-11 Endius Incorporated Surgical instrument
WO2009155319A1 (en) * 2008-06-17 2009-12-23 Soteira, Inc. Devices and methods for fracture reduction
CN103442655A (zh) * 2011-01-24 2013-12-11 克莱伦斯公司 在椎体内形成具有曲线轮廓的骨道的钻孔装置
CN105555205A (zh) * 2013-09-12 2016-05-04 直观外科手术操作公司 用于定位可移动目标的形状传感器系统
CN105361922A (zh) * 2015-12-15 2016-03-02 宁波华科润生物科技有限公司 一种医用可调弯组织去除器械

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KR102687804B1 (ko) 2024-07-26
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US20170333052A1 (en) 2017-11-23
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