CN111248981B - 密封多个外科手术器械 - Google Patents

密封多个外科手术器械 Download PDF

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Publication number
CN111248981B
CN111248981B CN202010114220.2A CN202010114220A CN111248981B CN 111248981 B CN111248981 B CN 111248981B CN 202010114220 A CN202010114220 A CN 202010114220A CN 111248981 B CN111248981 B CN 111248981B
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China
Prior art keywords
seal
slit
instrument
cross
side wall
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CN202010114220.2A
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Chinese (zh)
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CN111248981A (zh
Inventor
B·G·A·兰布雷希特
W·J·帕克
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Intuitive Surgical Operations Inc
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Intuitive Surgical Operations Inc
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Priority to CN202010114220.2A priority Critical patent/CN111248981B/zh
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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
    • A61B17/34—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
    • 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
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02—Access sites
    • A61M39/0247—Transcutaneous or percutaneous access sites to the inside of the body
    • 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
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3498—Valves therefor, e.g. flapper valves, slide valves
    • 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
    • A61B34/30—Surgical robots
    • A61B34/35—Surgical robots for telesurgery
    • 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
    • A61B17/3423—Access ports, e.g. toroid shape introducers for instruments or hands
    • A61B2017/3429—Access ports, e.g. toroid shape introducers for instruments or hands having a unitary compressible body, e.g. made of silicone or foam
    • 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
    • A61B17/3462—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
    • A61B2017/3464—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 with means acting on inner surface of valve or seal for expanding or protecting, e.g. inner pivoting fingers
    • 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
    • A61B2017/3466—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 for simultaneous sealing of multiple instruments
    • 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
    • A61B34/30—Surgical robots
    • 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
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M2039/0036—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use characterised by a septum having particular features, e.g. having venting channels or being made from antimicrobial or self-lubricating elastomer
    • A61M2039/0063—Means for alignment of the septum, e.g. septum rim with alignment holes
    • 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
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M2039/0036—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use characterised by a septum having particular features, e.g. having venting channels or being made from antimicrobial or self-lubricating elastomer
    • A61M2039/0072—Means for increasing tightness of the septum, e.g. compression rings, special materials, special constructions
    • 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
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02—Access sites
    • A61M39/0247—Transcutaneous or percutaneous access sites to the inside of the body
    • A61M2039/0264—Transcutaneous or percutaneous access sites to the inside of the body with multiple inlets or multiple outlets
    • 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
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02—Access sites
    • A61M39/0247—Transcutaneous or percutaneous access sites to the inside of the body
    • A61M2039/027—Transcutaneous or percutaneous access sites to the inside of the body having a particular valve, seal or septum
    • 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
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02—Access sites
    • A61M39/0247—Transcutaneous or percutaneous access sites to the inside of the body
    • A61M2039/0279—Transcutaneous or percutaneous access sites to the inside of the body for introducing medical instruments into the body, e.g. endoscope, surgical tools
    • 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
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02—Access sites
    • A61M39/0247—Transcutaneous or percutaneous access sites to the inside of the body
    • A61M2039/0288—Transcutaneous or percutaneous access sites to the inside of the body protectors, caps or covers therefor
    • 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
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02—Access sites
    • A61M39/06—Haemostasis valves, i.e. gaskets sealing around a needle, catheter or the like, closing on removal thereof
    • A61M2039/0633—Haemostasis valves, i.e. gaskets sealing around a needle, catheter or the like, closing on removal thereof the seal being a passive seal made of a resilient material with or without an opening
    • A61M2039/064—Slit-valve
    • 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
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02—Access sites
    • A61M39/06—Haemostasis valves, i.e. gaskets sealing around a needle, catheter or the like, closing on removal thereof
    • A61M2039/0633—Haemostasis valves, i.e. gaskets sealing around a needle, catheter or the like, closing on removal thereof the seal being a passive seal made of a resilient material with or without an opening
    • A61M2039/0646—Duckbill-valve

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Pathology (AREA)
  • Pulmonology (AREA)
  • Hematology (AREA)
  • Anesthesiology (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Biophysics (AREA)
  • Robotics (AREA)
  • Surgical Instruments (AREA)
  • Materials For Medical Uses (AREA)
CN202010114220.2A 2013-03-15 2014-03-14 密封多个外科手术器械 Active CN111248981B (zh)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202010114220.2A CN111248981B (zh) 2013-03-15 2014-03-14 密封多个外科手术器械

Applications Claiming Priority (13)

Application Number Priority Date Filing Date Title
US201361801728P 2013-03-15 2013-03-15
US201361801081P 2013-03-15 2013-03-15
US201361801995P 2013-03-15 2013-03-15
US201361801408P 2013-03-15 2013-03-15
US201361800632P 2013-03-15 2013-03-15
US61/801,081 2013-03-15
US61/800,632 2013-03-15
US61/801,995 2013-03-15
US61/801,408 2013-03-15
US61/801,728 2013-03-15
CN201480015867.2A CN105209106B (zh) 2013-03-15 2014-03-14 密封多个外科手术器械
PCT/US2014/029321 WO2014144771A1 (en) 2013-03-15 2014-03-14 Sealing multiple surgical instruments
CN202010114220.2A CN111248981B (zh) 2013-03-15 2014-03-14 密封多个外科手术器械

Related Parent Applications (1)

Application Number Title Priority Date Filing Date
CN201480015867.2A Division CN105209106B (zh) 2013-03-15 2014-03-14 密封多个外科手术器械

Publications (2)

Publication Number Publication Date
CN111248981A CN111248981A (zh) 2020-06-09
CN111248981B true CN111248981B (zh) 2023-10-27

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CN202010114220.2A Active CN111248981B (zh) 2013-03-15 2014-03-14 密封多个外科手术器械
CN201480015867.2A Active CN105209106B (zh) 2013-03-15 2014-03-14 密封多个外科手术器械
CN202311303018.4A Pending CN117426840A (zh) 2013-03-15 2014-03-14 密封多个外科手术器械

Family Applications After (2)

Application Number Title Priority Date Filing Date
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CN202311303018.4A Pending CN117426840A (zh) 2013-03-15 2014-03-14 密封多个外科手术器械

Country Status (5)

Country Link
EP (3) EP4238605B1 (cg-RX-API-DMAC7.html)
JP (4) JP6755791B2 (cg-RX-API-DMAC7.html)
KR (4) KR102396090B1 (cg-RX-API-DMAC7.html)
CN (3) CN111248981B (cg-RX-API-DMAC7.html)
WO (1) WO2014144771A1 (cg-RX-API-DMAC7.html)

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US10070887B2 (en) 2013-03-15 2018-09-11 Intuitive Surgical Operations, Inc. Sealing multiple surgical instruments
US9888941B2 (en) 2013-03-15 2018-02-13 Intuitive Surgical Operations, Inc. Sealing multiple surgical instruments
US10492825B2 (en) 2013-03-15 2019-12-03 Intuitive Surgical Operations, Inc. Sealing multiple surgical instruments
US9629681B2 (en) 2013-03-15 2017-04-25 Intuitive Surgical Operations, Inc. Sealing multiple surgical instruments
US10292730B2 (en) 2013-03-15 2019-05-21 Intuitive Surgical Operations, Inc. Sealing multiple surgical instruments
CN105982704B (zh) * 2016-07-05 2020-10-09 江苏风和医疗器材股份有限公司 密封套及具有其的穿刺器
CN109788971B (zh) * 2016-07-11 2021-09-28 康美公司 用于机器人辅助压力调节腹腔镜外科手术的套管组件
CN114533222B (zh) 2016-07-13 2025-01-28 直观外科手术操作公司 具有注入通道的外科手术器械引导件
WO2018013730A2 (en) 2016-07-13 2018-01-18 Intuitive Surgical Operations, Inc. Surgical instrument guide
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CN107334515A (zh) * 2016-12-28 2017-11-10 江苏风和医疗器材股份有限公司 密封套及具有其的穿刺器
CN107334492A (zh) * 2016-12-30 2017-11-10 江苏风和医疗器材股份有限公司 密封套及具有其的穿刺器
CN107334517B (zh) * 2016-12-30 2020-12-15 江苏风和医疗器材股份有限公司 密封套及具有其的穿刺器
CN107334516A (zh) * 2016-12-30 2017-11-10 江苏风和医疗器材股份有限公司 密封套及具有其的穿刺器
CN106725763A (zh) * 2016-12-30 2017-05-31 江苏风和医疗器材股份有限公司 密封套及具有其的穿刺器
CN106725764A (zh) * 2016-12-30 2017-05-31 江苏风和医疗器材股份有限公司 密封套及具有其的穿刺器
WO2019161305A1 (en) * 2018-02-15 2019-08-22 Minnetronix Neuro, Inc. Medical device for accessing the central nervous system
KR102016430B1 (ko) * 2019-02-28 2019-08-30 그린루브 주식회사 그리스 첨가제 제조방법
CN110464389B (zh) * 2019-08-21 2020-12-18 青岛幔利橡树医疗科技有限公司 一种用于腹腔镜手术的取物装置
CN110840383A (zh) * 2019-12-24 2020-02-28 上海市东方医院（同济大学附属东方医院） 多孔道内镜附件快速交换装置
CN111110328B (zh) * 2020-01-07 2025-09-23 深圳市精锋医疗科技股份有限公司 密封装置及穿刺装置
CN111110327B (zh) * 2020-01-07 2025-01-28 深圳市精锋医疗科技股份有限公司 密封装置及穿刺装置
JP7546061B2 (ja) * 2020-02-11 2024-09-05 エンボディ，インコーポレイテッド インプラント送達装置
CN115634013B (zh) * 2021-07-17 2025-09-16 深圳市精锋医疗科技股份有限公司 密封装置及穿刺装置
CN114533218A (zh) * 2022-02-22 2022-05-27 上海微创医疗机器人（集团）股份有限公司 穿刺器、内套管装置及密封结构
KR102900614B1 (ko) * 2023-07-21 2025-12-16 주식회사 바스칸바이오제약 밀폐 부위의 회전이 가능한 캐뉼라
KR102900612B1 (ko) * 2023-07-21 2025-12-16 주식회사 바스칸바이오제약 다수 개의 입구가 형성된 의료용 체크 유닛 및 이를 가진 캐뉼라
WO2026142860A1 (en) * 2024-12-27 2026-07-02 Intuitive Surgical Operations, Inc. Cannulas for large diameter medical instruments, and related assemblies, systems, and methods

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