CN110582239A - 微创装置及系统 - Google Patents

微创装置及系统 Download PDF

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Publication number
CN110582239A
CN110582239A CN201880020166.6A CN201880020166A CN110582239A CN 110582239 A CN110582239 A CN 110582239A CN 201880020166 A CN201880020166 A CN 201880020166A CN 110582239 A CN110582239 A CN 110582239A
Authority
CN
China
Prior art keywords
lumen
steerable
distal
elongate body
introduction 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.)
Pending
Application number
CN201880020166.6A
Other languages
English (en)
Chinese (zh)
Inventor
莫德海·雪勒夫
吉拉德·哈夫特曼
阿萨夫·考夫曼
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.)
Mankind Expand Co Ltd
Human Xtensions Ltd
Original Assignee
Mankind Expand Co Ltd
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 Mankind Expand Co Ltd filed Critical Mankind Expand Co Ltd
Publication of CN110582239A publication Critical patent/CN110582239A/zh
Pending legal-status Critical Current

Links

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
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in 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
    • A61B1/00147—Holding or positioning arrangements
    • A61B1/0016—Holding or positioning arrangements using motor drive units
    • 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
    • A61B17/3205—Excision instruments
    • A61B17/32056—Surgical snare instruments
    • 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
    • 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
    • A61B1/00133—Drive units for endoscopic tools inserted through or with the endoscope
    • 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
    • A61B17/3462—Trocars; Puncturing needles with means for changing the diameter or the orientation of the entrance port of the cannula, e.g. for use with different-sized instruments, reduction ports, adapter seals
    • 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
    • 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
    • A61B2017/00398—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like using powered actuators, e.g. stepper motors, solenoids
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00982—General structural features
    • A61B2017/00991—Telescopic means
    • 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
    • A61B2017/2905—Details of shaft flexible
    • 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
    • A61B2017/2908—Multiple segments connected by articulations
    • 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
    • A61B17/3403—Needle locating or guiding means
    • A61B2017/3405—Needle locating or guiding means using mechanical guide means
    • A61B2017/3409—Needle locating or guiding means using mechanical guide means including needle or instrument drives
    • 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
    • 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
    • A61B2017/3454—Details of tips
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/50—Supports for surgical instruments, e.g. articulated arms
    • A61B90/57—Accessory clamps
    • A61B2090/571—Accessory clamps for clamping a support arm to a bed or other supports
    • 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
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2217/00—General characteristics of surgical instruments
    • A61B2217/002—Auxiliary appliance
    • A61B2217/007—Auxiliary appliance with irrigation system

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Veterinary Medicine (AREA)
  • General Health & Medical Sciences (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Pathology (AREA)
  • Physics & Mathematics (AREA)
  • Biophysics (AREA)
  • Optics & Photonics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Ophthalmology & Optometry (AREA)
  • Surgical Instruments (AREA)
  • Endoscopes (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)
CN201880020166.6A 2017-01-23 2018-01-23 微创装置及系统 Pending CN110582239A (zh)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201762449186P 2017-01-23 2017-01-23
US62/449,186 2017-01-23
PCT/IL2018/050083 WO2018134830A1 (en) 2017-01-23 2018-01-23 Minimally invasive device and system

Publications (1)

Publication Number Publication Date
CN110582239A true CN110582239A (zh) 2019-12-17

Family

ID=62909046

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201880020166.6A Pending CN110582239A (zh) 2017-01-23 2018-01-23 微创装置及系统

Country Status (11)

Country Link
US (1) US20190365402A1 (enExample)
EP (1) EP3570757A4 (enExample)
JP (1) JP7210458B2 (enExample)
KR (1) KR20190110120A (enExample)
CN (1) CN110582239A (enExample)
AU (1) AU2018209482A1 (enExample)
BR (1) BR112019015178A2 (enExample)
CA (1) CA3050410A1 (enExample)
IL (1) IL268229A (enExample)
MX (1) MX2019008671A (enExample)
WO (1) WO2018134830A1 (enExample)

Families Citing this family (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP3989847A4 (en) * 2019-06-30 2024-04-03 Human Xtensions Ltd. STERILE BARRIER AND SENSOR ARRANGEMENTS FOR A MEDICAL DEVICE
WO2022107073A1 (en) * 2020-11-19 2022-05-27 Auris Health, Inc. Endoscope and mounting system for a robotic surgical system
CN113925569B (zh) * 2021-11-10 2025-06-24 泰州优合医疗科技有限公司 腔镜手术器械用万向钳

Citations (8)

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CN1649537A (zh) * 2002-05-02 2005-08-03 新引导系统公司 具有导管的内窥镜
US20070137371A1 (en) * 2005-12-20 2007-06-21 Devengenzo Roman L Telescoping insertion axis of a robotic surgical system
US20070265609A1 (en) * 2006-05-12 2007-11-15 Thapliyal Hira V Method for Ablating Body Tissue
US20080188868A1 (en) * 2006-12-01 2008-08-07 Barry Weitzner Direct drive endoscopy systems and methods
US20110152878A1 (en) * 2009-12-17 2011-06-23 Ethicon Endo-Surgery, Inc. Interface systems for aiding clinicians in controlling and manipulating at least one endoscopic surgical instrument and a cable controlled guide tube system
US20120071821A1 (en) * 2010-09-17 2012-03-22 Yu Alan L Systems and methods for manipulating an elongate member
US20140222020A1 (en) * 2012-11-20 2014-08-07 Transenterix, Inc. Telescoping reinforcements for instrument channel shafts
US20140378761A1 (en) * 2012-03-08 2014-12-25 Universite De Strasbourg (Etablissment Public National A Caractere Scientifique, Culture Et Motorised and modular instrumentation device and endoscopy system comprising such a device

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US6793652B1 (en) * 1999-06-02 2004-09-21 Power Medical Interventions, Inc. Electro-mechanical surgical device
US7637905B2 (en) * 2003-01-15 2009-12-29 Usgi Medical, Inc. Endoluminal tool deployment system
DK200001852A (da) * 1999-12-14 2001-06-15 Asahi Optical Co Ltd Manipuleringssektion til et endoskopisk behandlingsinstrument
JP3922284B2 (ja) * 2004-03-31 2007-05-30 有限会社エスアールジェイ 保持装置
WO2007146984A2 (en) * 2006-06-13 2007-12-21 Intuitive Surgical, Inc. Control system configured to compensate for non-ideal actuator-to-joint linkage characteristics in a medical robotic system
US8343034B2 (en) * 2008-05-13 2013-01-01 Olympus Medical Systems Corp. Electric medical instrument fitting which is attached to a medical instrument holding device
US20120083825A1 (en) * 2010-09-30 2012-04-05 Carefusion 2200, Inc. Detachable shaft
JP6053358B2 (ja) * 2012-07-03 2016-12-27 オリンパス株式会社 手術支援装置
US10004863B2 (en) * 2012-12-04 2018-06-26 Endoclear Llc Closed suction cleaning devices, systems and methods
JP6033408B2 (ja) * 2013-03-28 2016-11-30 オリンパス株式会社 外套管および処置具
US9549748B2 (en) * 2013-08-01 2017-01-24 Cook Medical Technologies Llc Methods of locating and treating tissue in a wall defining a bodily passage
CN109247987B (zh) * 2013-08-15 2021-07-23 直观外科手术操作公司 预加载外科手术器械接口
JP6458036B2 (ja) * 2013-09-01 2019-01-23 ヒューマン エクステンションズ リミテッド 医療装置のための制御ユニット
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Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1649537A (zh) * 2002-05-02 2005-08-03 新引导系统公司 具有导管的内窥镜
US20070137371A1 (en) * 2005-12-20 2007-06-21 Devengenzo Roman L Telescoping insertion axis of a robotic surgical system
US20070265609A1 (en) * 2006-05-12 2007-11-15 Thapliyal Hira V Method for Ablating Body Tissue
US20080188868A1 (en) * 2006-12-01 2008-08-07 Barry Weitzner Direct drive endoscopy systems and methods
US20110152878A1 (en) * 2009-12-17 2011-06-23 Ethicon Endo-Surgery, Inc. Interface systems for aiding clinicians in controlling and manipulating at least one endoscopic surgical instrument and a cable controlled guide tube system
US20120071821A1 (en) * 2010-09-17 2012-03-22 Yu Alan L Systems and methods for manipulating an elongate member
US20140378761A1 (en) * 2012-03-08 2014-12-25 Universite De Strasbourg (Etablissment Public National A Caractere Scientifique, Culture Et Motorised and modular instrumentation device and endoscopy system comprising such a device
US20140222020A1 (en) * 2012-11-20 2014-08-07 Transenterix, Inc. Telescoping reinforcements for instrument channel shafts

Also Published As

Publication number Publication date
JP7210458B2 (ja) 2023-01-23
JP2020507364A (ja) 2020-03-12
MX2019008671A (es) 2019-09-18
CA3050410A1 (en) 2018-07-26
BR112019015178A2 (pt) 2020-03-24
IL268229A (en) 2019-09-26
AU2018209482A1 (en) 2019-09-12
EP3570757A1 (en) 2019-11-27
US20190365402A1 (en) 2019-12-05
AU2018209482A9 (en) 2019-11-21
WO2018134830A9 (en) 2019-10-10
WO2018134830A1 (en) 2018-07-26
KR20190110120A (ko) 2019-09-27
EP3570757A4 (en) 2020-12-02

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WD01 Invention patent application deemed withdrawn after publication

Application publication date: 20191217

WD01 Invention patent application deemed withdrawn after publication