CN111601561B - 铰接式手术器械 - Google Patents

铰接式手术器械 Download PDF

Info

Publication number
CN111601561B
CN111601561B CN201980007677.9A CN201980007677A CN111601561B CN 111601561 B CN111601561 B CN 111601561B CN 201980007677 A CN201980007677 A CN 201980007677A CN 111601561 B CN111601561 B CN 111601561B
Authority
CN
China
Prior art keywords
articulation
hinge
shaft
locking
shaft assembly
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
CN201980007677.9A
Other languages
English (en)
Chinese (zh)
Other versions
CN111601561A (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
Publication of CN111601561A publication Critical patent/CN111601561A/zh
Application granted granted Critical
Publication of CN111601561B publication Critical patent/CN111601561B/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
    • A61B17/28—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
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • 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
    • A61B17/10—Surgical instruments, devices or methods for applying or removing wound clamps, e.g. containing only one clamp or staple; Wound clamp magazines
    • 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
    • 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
    • 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
    • A61B2017/00407—Ratchet means
    • 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
    • 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
    • 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
    • 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
    • A61B2090/0807—Indication means

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Ophthalmology & Optometry (AREA)
  • Surgical Instruments (AREA)
CN201980007677.9A 2018-01-10 2019-01-03 铰接式手术器械 Active CN111601561B (zh)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US15/867,130 US11134928B2 (en) 2018-01-10 2018-01-10 Articulating surgical instruments
US15/867,130 2018-01-10
PCT/US2019/012145 WO2019139811A1 (en) 2018-01-10 2019-01-03 Articulating surgical instruments

Publications (2)

Publication Number Publication Date
CN111601561A CN111601561A (zh) 2020-08-28
CN111601561B true CN111601561B (zh) 2024-02-02

Family

ID=65411911

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201980007677.9A Active CN111601561B (zh) 2018-01-10 2019-01-03 铰接式手术器械

Country Status (8)

Country Link
US (1) US11134928B2 (enExample)
EP (1) EP3737309B1 (enExample)
JP (1) JP7337070B2 (enExample)
CN (1) CN111601561B (enExample)
AU (1) AU2019206351B2 (enExample)
CA (1) CA3087074A1 (enExample)
ES (1) ES2927351T3 (enExample)
WO (1) WO2019139811A1 (enExample)

Families Citing this family (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
NL2019175B1 (en) 2017-07-04 2019-01-14 Fortimedix Surgical B V Steerable instrument comprising a radial spacers between coaxial cylindrical elements
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
KR20210149102A (ko) 2019-04-08 2021-12-08 포티메딕스 에셋츠 Ii 비.브이. 탈착가능한 부분을 포함하는 조향가능한 기구
CN111214267B (zh) * 2020-01-20 2021-01-12 盈甲医疗科技(北京)有限公司 电动弯转失效补救装置及其电动吻合器
CN113440184B (zh) * 2021-08-12 2022-07-26 吉林大学 一种手控式柔性微创手术器械

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101156796A (zh) * 2006-10-06 2008-04-09 伊西康内外科公司 用于单腔进入吻合的紧固件的施放器
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
CN102448388A (zh) * 2009-05-29 2012-05-09 阿斯卡拉波股份有限公司 外科手术器械
CN102647949A (zh) * 2009-10-09 2012-08-22 伊西康内外科公司 外科器械
CN103118615A (zh) * 2010-09-24 2013-05-22 伊西康内外科公司 用于铰接外科装置的控制结构
CN103702626A (zh) * 2011-08-08 2014-04-02 吉鲁斯恩特公司 锁定柔性手术器械
CN107257664A (zh) * 2014-12-18 2017-10-17 伊西康有限责任公司 用于具有能够关节运动的外科端部执行器的可拆卸的轴组件的锁定布置

Family Cites Families (26)

* 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
JP2005046272A (ja) 2003-07-31 2005-02-24 Olympus Corp 内視鏡用処置具
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
DE602005018444D1 (de) 2005-04-07 2010-02-04 Creganna Technologies Ltd Lenkbare Katheteranordnung
EP2083702B1 (en) 2006-10-05 2019-02-13 Covidien LP Axial stitching device
AU2007231733B2 (en) 2006-11-28 2014-03-13 Cathrx Ltd A catheter steering system
US9707003B2 (en) 2007-10-02 2017-07-18 Covidien Lp Articulating surgical instrument
EP3524130B1 (en) 2008-03-10 2024-04-10 Fortimedix Assets II B.V. Instrument for endoscopic applications
US8132706B2 (en) 2009-06-05 2012-03-13 Tyco Healthcare Group Lp Surgical stapling apparatus having articulation mechanism
CA2764859C (en) 2009-06-24 2018-09-25 Shifamed, Llc Steerable medical delivery devices and methods of use
WO2011156591A2 (en) * 2010-06-09 2011-12-15 C.R. Bard, Inc. Instruments for delivering transfascial sutures, transfascial suture assemblies, and methods of transfascial suturing
US8684953B2 (en) 2012-05-13 2014-04-01 Ozca Engineering Solutions Ltd. Steering tool
US9339271B2 (en) * 2013-03-14 2016-05-17 C.R. Bard, Inc. Articulating surgical instruments
US9629629B2 (en) * 2013-03-14 2017-04-25 Ethicon Endo-Surgey, LLC Control systems for surgical instruments
US9649109B2 (en) 2013-03-14 2017-05-16 C.R. Bard, Inc. Surgical instrument with an actuation lockout
US10470762B2 (en) * 2013-03-14 2019-11-12 Ethicon Llc Multi-function motor for a surgical instrument
US20150099997A1 (en) 2013-10-03 2015-04-09 Oz Cabiri Steering tool
US9693774B2 (en) * 2014-06-25 2017-07-04 Ethicon Llc Pivotable articulation joint unlocking feature for surgical stapler
US10178992B2 (en) * 2015-06-18 2019-01-15 Ethicon Llc Push/pull articulation drive systems for articulatable surgical instruments
US11484310B2 (en) * 2017-06-28 2022-11-01 Cilag Gmbh International Surgical instrument comprising a shaft including a closure tube profile
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

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101156796A (zh) * 2006-10-06 2008-04-09 伊西康内外科公司 用于单腔进入吻合的紧固件的施放器
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
CN102448388A (zh) * 2009-05-29 2012-05-09 阿斯卡拉波股份有限公司 外科手术器械
CN102647949A (zh) * 2009-10-09 2012-08-22 伊西康内外科公司 外科器械
CN103118615A (zh) * 2010-09-24 2013-05-22 伊西康内外科公司 用于铰接外科装置的控制结构
CN103702626A (zh) * 2011-08-08 2014-04-02 吉鲁斯恩特公司 锁定柔性手术器械
CN107257664A (zh) * 2014-12-18 2017-10-17 伊西康有限责任公司 用于具有能够关节运动的外科端部执行器的可拆卸的轴组件的锁定布置

Also Published As

Publication number Publication date
CN111601561A (zh) 2020-08-28
WO2019139811A1 (en) 2019-07-18
CA3087074A1 (en) 2019-07-18
ES2927351T3 (es) 2022-11-04
EP3737309A1 (en) 2020-11-18
AU2019206351A1 (en) 2020-07-23
EP3737309B1 (en) 2022-06-29
JP2021510099A (ja) 2021-04-15
WO2019139811A8 (en) 2019-08-15
JP7337070B2 (ja) 2023-09-01
US20190209147A1 (en) 2019-07-11
AU2019206351B2 (en) 2024-04-04
US11134928B2 (en) 2021-10-05

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
AU2019206371B2 (en) Surgical fasteners for articulating surgical instruments

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