CN111565656B - 铰接式手术器械 - Google Patents

铰接式手术器械 Download PDF

Info

Publication number
CN111565656B
CN111565656B CN201980007702.3A CN201980007702A CN111565656B CN 111565656 B CN111565656 B CN 111565656B CN 201980007702 A CN201980007702 A CN 201980007702A CN 111565656 B CN111565656 B CN 111565656B
Authority
CN
China
Prior art keywords
hinge
cam
shaft
profile
surgical instrument
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
Application number
CN201980007702.3A
Other languages
English (en)
Chinese (zh)
Other versions
CN111565656A (zh
Inventor
奥古斯塔斯·费利克斯
德雷克·J·利特佐
纳森·斯图尔特·科韦尔
德雷克·阿福斯
凯文·J·拉努奇
托马斯·马图塞蒂斯
阿兰·巴克曼
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.)
CR Bard Inc
Original Assignee
CR Bard 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 CR Bard Inc filed Critical CR Bard Inc
Priority to CN202311294124.0A priority Critical patent/CN117257364A/zh
Publication of CN111565656A publication Critical patent/CN111565656A/zh
Application granted granted Critical
Publication of CN111565656B publication Critical patent/CN111565656B/zh
Active legal-status Critical Current
Anticipated expiration legal-status Critical

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
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic 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
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0483—Hand-held instruments for holding sutures
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0487—Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0491—Sewing machines for surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/062—Needle manipulators
    • A61B17/0625—Needle manipulators the needle being specially adapted to interact with the manipulator, e.g. being ridged to snap fit in a hole of the manipulator
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/064—Surgical staples, i.e. penetrating the tissue
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/064—Surgical staples, i.e. penetrating the tissue
    • A61B17/0642—Surgical staples, i.e. penetrating the tissue for bones, e.g. for osteosynthesis or connecting tendon to bone
    • 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
    • A61B17/2909—Handles
    • 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
    • A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
    • 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
    • A61B1/005—Flexible endoscopes
    • A61B1/0051—Flexible endoscopes with controlled bending of insertion part
    • A61B1/0055—Constructional details of insertion parts, e.g. vertebral elements
    • 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
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • 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
    • A61B17/00234—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
    • A61B2017/00309—Cut-outs or slits
    • 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
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0409—Instruments for applying suture anchors
    • 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
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B17/2909—Handles
    • A61B2017/2912—Handles transmission of forces to actuating rod or piston
    • A61B2017/2913—Handles transmission of forces to actuating rod or piston cams or guiding 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
    • A61B2017/2926—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
    • A61B2017/2929—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft with a head rotatable about the longitudinal axis of 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
    • 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
    • A61B90/08—Accessories or related features not otherwise provided for
    • A61B2090/0803—Counting the number of times an instrument is used

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Medical Informatics (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Ophthalmology & Optometry (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Rheumatology (AREA)
  • Reproductive Health (AREA)
  • Vascular Medicine (AREA)
  • Surgical Instruments (AREA)
CN201980007702.3A 2018-01-10 2019-01-03 铰接式手术器械 Active CN111565656B (zh)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202311294124.0A CN117257364A (zh) 2018-01-10 2019-01-03 铰接式手术器械

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US15/867,049 US10779813B2 (en) 2018-01-10 2018-01-10 Articulating surgical instruments
US15/867,049 2018-01-10
PCT/US2019/012144 WO2019139810A1 (en) 2018-01-10 2019-01-03 Articulating surgical instruments

Related Child Applications (1)

Application Number Title Priority Date Filing Date
CN202311294124.0A Division CN117257364A (zh) 2018-01-10 2019-01-03 铰接式手术器械

Publications (2)

Publication Number Publication Date
CN111565656A CN111565656A (zh) 2020-08-21
CN111565656B true CN111565656B (zh) 2023-10-27

Family

ID=65411910

Family Applications (2)

Application Number Title Priority Date Filing Date
CN201980007702.3A Active CN111565656B (zh) 2018-01-10 2019-01-03 铰接式手术器械
CN202311294124.0A Pending CN117257364A (zh) 2018-01-10 2019-01-03 铰接式手术器械

Family Applications After (1)

Application Number Title Priority Date Filing Date
CN202311294124.0A Pending CN117257364A (zh) 2018-01-10 2019-01-03 铰接式手术器械

Country Status (8)

Country Link
US (3) US10779813B2 (https=)
EP (2) EP4129215B1 (https=)
JP (2) JP7384808B2 (https=)
CN (2) CN111565656B (https=)
AU (1) AU2019206350B2 (https=)
CA (1) CA3087073A1 (https=)
ES (1) ES2930267T3 (https=)
WO (1) WO2019139810A1 (https=)

Families Citing this family (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10779813B2 (en) * 2018-01-10 2020-09-22 C.R. Bard, Inc. Articulating surgical instruments
US11103234B2 (en) 2018-01-10 2021-08-31 C.R. Bard, Inc. Articulating surgical instruments
US11134928B2 (en) * 2018-01-10 2021-10-05 C.R. Bard, Inc. Articulating surgical instruments

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102271596A (zh) * 2008-12-05 2011-12-07 外科创新有限公司 手术器械、手术器械手柄和手术器械系统
CN102905627A (zh) * 2010-03-23 2013-01-30 坎布里奇内窥镜设备有限公司 外科手术器械
CN103118616A (zh) * 2010-09-24 2013-05-22 伊西康内外科公司 具有可有选择地铰接的端部执行器的外科器械
CN104840238A (zh) * 2009-05-22 2015-08-19 斯莱特手术控股有限责任公司 内窥镜器械
EP3106101A1 (en) * 2015-06-18 2016-12-21 Ethicon Endo-Surgery, LLC Surgical stapling instruments with lockout arrangements for preventing firing system actuation when a cartridge is spent or missing
CN106955152A (zh) * 2016-01-12 2017-07-18 佳乐医疗设备有限公司 电外科装置

Family Cites Families (24)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3802440A (en) 1972-12-19 1974-04-09 M Salem Intubation guide
US5851212A (en) 1997-06-11 1998-12-22 Endius Incorporated Surgical instrument
US6746422B1 (en) 2000-08-23 2004-06-08 Norborn Medical, Inc. Steerable support system with external ribs/slots that taper
US6146338A (en) 1999-04-23 2000-11-14 Medtronic, Inc. Apparatus for deflecting a catheter or lead
US7637903B2 (en) 2004-02-09 2009-12-29 Cryocor, Inc. Catheter articulation segment with alternating cuts
US7785252B2 (en) 2004-11-23 2010-08-31 Novare Surgical Systems, Inc. Articulating sheath for flexible instruments
ATE452676T1 (de) 2005-04-07 2010-01-15 Creganna Technologies Ltd Lenkbare katheteranordnung
US7753904B2 (en) * 2006-01-31 2010-07-13 Ethicon Endo-Surgery, Inc. Endoscopic surgical instrument with a handle that can articulate with respect to the shaft
US8475453B2 (en) * 2006-10-06 2013-07-02 Covidien Lp Endoscopic vessel sealer and divider having a flexible articulating shaft
AU2007231733B2 (en) 2006-11-28 2014-03-13 Cathrx Ltd A catheter steering system
US8556151B2 (en) * 2007-09-11 2013-10-15 Covidien Lp Articulating joint for surgical instruments
EP3219249B1 (en) 2008-03-10 2019-08-07 Fortimedix Surgical B.V. Instrument for endoscopic applications
US20110040308A1 (en) 2008-06-13 2011-02-17 Ramiro Cabrera Endoscopic Stitching Devices
EP2445568B1 (en) 2009-06-24 2020-09-23 Kalila Medical, Inc. Steerable medical delivery devices
US8926598B2 (en) * 2011-03-15 2015-01-06 Ethicon Endo-Surgery, Inc. Surgical instruments with articulatable and rotatable end effector
US8684953B2 (en) 2012-05-13 2014-04-01 Ozca Engineering Solutions Ltd. Steering tool
US9427230B2 (en) 2013-03-14 2016-08-30 C.R. Bard, Inc. Handling of fasteners within a surgical instrument
US9339271B2 (en) * 2013-03-14 2016-05-17 C.R. Bard, Inc. Articulating surgical instruments
US9649109B2 (en) * 2013-03-14 2017-05-16 C.R. Bard, Inc. Surgical instrument with an actuation lockout
US20150099997A1 (en) 2013-10-03 2015-04-09 Oz Cabiri Steering tool
CN104540238B (zh) 2014-12-26 2017-02-22 国民技术股份有限公司 一种无线通信方法、装置及智能卡
US11134928B2 (en) 2018-01-10 2021-10-05 C.R. Bard, Inc. Articulating surgical instruments
US11103234B2 (en) 2018-01-10 2021-08-31 C.R. Bard, Inc. Articulating surgical instruments
US10779813B2 (en) * 2018-01-10 2020-09-22 C.R. Bard, Inc. Articulating surgical instruments

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102271596A (zh) * 2008-12-05 2011-12-07 外科创新有限公司 手术器械、手术器械手柄和手术器械系统
CN104840238A (zh) * 2009-05-22 2015-08-19 斯莱特手术控股有限责任公司 内窥镜器械
CN102905627A (zh) * 2010-03-23 2013-01-30 坎布里奇内窥镜设备有限公司 外科手术器械
CN103118616A (zh) * 2010-09-24 2013-05-22 伊西康内外科公司 具有可有选择地铰接的端部执行器的外科器械
EP3106101A1 (en) * 2015-06-18 2016-12-21 Ethicon Endo-Surgery, LLC Surgical stapling instruments with lockout arrangements for preventing firing system actuation when a cartridge is spent or missing
CN106955152A (zh) * 2016-01-12 2017-07-18 佳乐医疗设备有限公司 电外科装置

Also Published As

Publication number Publication date
CN117257364A (zh) 2023-12-22
CA3087073A1 (en) 2019-07-18
EP4129215A1 (en) 2023-02-08
AU2019206350A1 (en) 2020-07-23
AU2019206350B2 (en) 2024-05-02
JP2024016205A (ja) 2024-02-06
US12274435B2 (en) 2025-04-15
CN111565656A (zh) 2020-08-21
EP4129215B1 (en) 2025-02-26
EP3737308A1 (en) 2020-11-18
JP2021510095A (ja) 2021-04-15
WO2019139810A9 (en) 2019-08-29
WO2019139810A1 (en) 2019-07-18
EP4129215C0 (en) 2025-02-26
JP7384808B2 (ja) 2023-11-21
US10779813B2 (en) 2020-09-22
ES2930267T3 (es) 2022-12-09
US11419603B2 (en) 2022-08-23
US20200367882A1 (en) 2020-11-26
US20220338864A1 (en) 2022-10-27
US20190209159A1 (en) 2019-07-11
EP3737308B1 (en) 2022-08-17

Similar Documents

Publication Publication Date Title
CN111601561B (zh) 铰接式手术器械
US11944289B2 (en) Articulating surgical instruments
US12274435B2 (en) Articulating surgical instruments
JP7853353B2 (ja) 関節動作する外科用器具

Legal Events

Date Code Title Description
PB01 Publication
PB01 Publication
SE01 Entry into force of request for substantive examination
SE01 Entry into force of request for substantive examination
GR01 Patent grant
GR01 Patent grant