CN1136965A - 穿刺方法和穿刺装置 - Google Patents

穿刺方法和穿刺装置 Download PDF

Info

Publication number
CN1136965A
CN1136965A CN95121624A CN95121624A CN1136965A CN 1136965 A CN1136965 A CN 1136965A CN 95121624 A CN95121624 A CN 95121624A CN 95121624 A CN95121624 A CN 95121624A CN 1136965 A CN1136965 A CN 1136965A
Authority
CN
China
Prior art keywords
binding agent
punctured
tubular body
needle
umbrella shape
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.)
Granted
Application number
CN95121624A
Other languages
English (en)
Other versions
CN1112164C (zh
Inventor
佐佐木宽
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.)
Individual
Original Assignee
Individual
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 Individual filed Critical Individual
Publication of CN1136965A publication Critical patent/CN1136965A/zh
Application granted granted Critical
Publication of CN1112164C publication Critical patent/CN1112164C/zh
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
    • A61B10/02Instruments for taking cell samples or for biopsy
    • A61B10/04Endoscopic instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
    • A61B10/0045Devices for taking samples of body liquids
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
    • A61B10/02Instruments for taking cell samples or for biopsy
    • A61B10/0233Pointed or sharp biopsy instruments
    • A61B10/0283Pointed or sharp biopsy instruments with vacuum aspiration, e.g. caused by retractable plunger or by connected syringe
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00491Surgical glue applicators
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3417Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
    • A61B10/02Instruments for taking cell samples or for biopsy
    • A61B10/04Endoscopic instruments
    • A61B2010/045Needles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A61B2017/00637Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for sealing trocar wounds through abdominal wall
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A61B2017/00646Type of implements
    • A61B2017/0065Type of implements the implement being an adhesive
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3417Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B2017/3419Sealing means between cannula and body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B2017/348Means for supporting the trocar against the body or retaining the trocar inside the body
    • A61B2017/3482Means for supporting the trocar against the body or retaining the trocar inside the body inside
    • A61B2017/3484Anchoring means, e.g. spreading-out umbrella-like structure
    • A61B2017/3488Fixation to inner organ or inner body tissue

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Molecular Biology (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Pathology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Surgical Instruments (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)

Abstract

本发明的目的在于实现从人体器官内或动物器官内抽取样品和对其内部检查,而不会有任何体液和类似物泄漏到器官内的穿刺方法和穿刺装置。其具有下列结构,即使安置在储存器上的伞形部分通过粘结剂粘到被穿刺部位上,把针体整个地通过储存器的密封部分插入被穿刺的部位,以抽出内部的体液,通过密封部分的相反操作可防止体液的泄漏。

Description

穿刺方法和穿刺装置
本发明涉及一种穿刺方法和一种穿刺装置,更具体地,本发明涉及一种穿刺方法和穿刺装置的新的改进,以便实现从器官中抽取样品和检查器官的内部情况而在人体或动物器官内无体液和类似物向外渗出。
传统地使用的穿刺方法一般包括把注射针刺入在器官内的穿刺部位并抽取其内的体液和类似物,用于对体液和类似物进行病理检查。
由于传统的穿刺方法含有上述过程,它有下列明显缺点。
当注射针插入欲穿刺的部位以抽吸和随后排出体液和类似物时,在用注射针穿刺的部位上保留一个开口,使得体液和类似物可能偶然渗到体内,如果体液是有害的,最终会使体液转移进入其它器官。
本发明已经实现了克服上述问题。本发明的目的在于提供一种穿刺方法和一种穿刺装置,以便实现从器官中抽取样品和检查器官的内部情况,而不会使人体或动物器官内的体液或类似物渗出。
用按照本发明的穿刺方法和穿刺装置,把穿刺装置通过在人体或动物体的壁体上形成的开口插入,以便只推入第一管状体,伞状部分和储液器从第二管状体中弹出,由此,伞状部分由压紧形状张开成原来的伞形。在该状态,通过由另一方向插入的干燥装置使穿刺部位的表面干燥,之后通过切开袋状部分,去掉塞子或其它粘结剂输送夹紧装置输送粘结剂到欲穿刺部位或伞状部分上,使最终的薄膜厚度约为0.1到0.2mm。
在上述的状态下,向内推动整个装置,使伞状部分与欲穿刺部位密切结合,由此,由于粘结剂的作用使两部分构成一体。
把注射针体插入第一管状体内,然后,注射针体刺穿密封部分,通过欲穿刺部位。在这种情况下,从管状的注射针部分中只抽出类似于杆的注射针部分,并把抽取器插入管状注射针部分的头部内,用于抽取,穿刺部位内的体液和类似物便可以被抽取和排出。在完成这样的抽取之后立即切断管状体,而把伞状部分和部分管状体保留在穿刺部位上,同时压实密封部分,以便恢复原来的形状,这样,由注射针体在穿刺时所造成的开口也因此而消失,且穿刺部位上所形成的开口也由密封部分完全阻塞,由此可防止内部的体液向外渗漏,进而可以防止通过这种渗漏使恶性肿瘤转移给其它器官。
通过插入照相机或样品收集器替代上述的抽取器,可以观察到穿刺部位的内部情况,或者可以采集生物学的样品。
图1是说明按照本发明的穿刺装置的主要部分的剖视图;
图2是说明图1的密封部分的放大剖面图;
图3是表示图2的另一个例子的剖面图;
图4是表示图2的再一个例子的剖面图;
图5是图1所示装置的结构分解图,用于安装第一管状体;
图6是表示第二管状体的结构图;
图7是表示注射针体的管状针部分的剖面图;
图8是表示杆状针部分的剖面图;
图9是针体的剖面图;
图10是表示穿刺方法的构成图;
图11是表示穿刺方法的构成图;
图12是表示穿刺方法的构成图;
图13是穿刺之前状态的纵向剖视图;
图14是图11的横向剖视图;
图15是穿刺之前状态的纵向剖视图;
图16是图13的横向剖视图;
图17是切开袋部分的纵向剖视图;
图18是图15的横向剖视图;
图19是表示伞状部分在粘结到欲穿刺部位时的状态的纵向剖视图;
图20是图17的横向剖视图;
图21是穿刺之前瞬刻状态的纵向剖视图;
图22是图19的横向剖视图;
图23是穿刺状态的纵向剖视图;
图24是图21的横向剖视图;
图25是抽取状态的纵向剖视图;
图26是图23的横向剖视图;
图27是抽取后当去掉注射针体时的状态的纵向剖视图;
图28是切去弹性支承前的剖面图;
图29是图26所示切割状态的横向剖面图;
图30是去掉穿刺装置后的纵向剖面图;
图31是图28的横向剖面图;
图32是使用照相机的实施例的横向剖视图;
图33是使用样品收集器的实施例的横向剖视图;
图34是表示另一个实施例的剖视图;
图35是表示又一个实施例的剖视图;
图36是表示再一个实施例的剖视图;
图37是表示再一个实施例的剖视图;
图38是表示外科手术状态的剖面图。
下面将参照附图详细说明本发明的穿刺方法和穿刺装置,首先说明第一个实施例。
图1表示穿刺装置的主要部分,″1″表示由尿烷橡胶制成的成伞形的伞形部分,含粘结剂储存器2的管状体3在伞形部分1的轴中心位置上一体地形成(也可以分开成形);并且储存器2包括挡块1A和以密封的方式装在管状体3内的密封部分3A。在此,管状体3,伞形部分1和密封部分3A可以一体地注塑成形,或者由分开的零件组成,然后把它们连接在一起。挡块1A由橡胶和类似的材料制成并以可移动的方式装在管状体3上。通过拉动与挡块1A连接的线1Aa,可以将挡块1A从管状体3中取出。如图2所示,密封部分3A包括沿轴向装在两端的第一和第三薄膜3Aa和3Ac及位于它们两者之间的第二薄膜3Ab,截面3B形成于第二薄膜3Ab上,由此,在下面将要说明的针和类似物可以容易地通过密封部分3A。另外,密封部分3A的结构不仅仅包括这样的三层也可以是单层或两层。此外,它们可以如图3和图4所示设置密封部分3A。
在管状体3上,可以装有抗腐蚀的铝和其它材料的管形螺纹体5。将粘结剂7(如外科用的Allon-alfa)和类似物(也可以使用其它粘结剂)用注射器6在使用之前立即注入储存器2内。粘结剂7也可以在去掉停止器1A之后不用注射器6就注入储存器2。顺便说一下,这种粘结剂优选的装入量为0.1cc到2.0cc。
第一管状体9具有近乎与螺纹体5的外径相同的外径,它由防腐蚀的铝和类似物制成并也具有第一支托器8,第一管状体9与螺纹体5以串联的方式成螺旋形连接。另外,第一管状体9可以直接的或间接的与管状体3以一体的或分离的方式连接。
如图6所示,与弹性支承5连接的第一管状体9具有一个第二支托架10,并沿同轴方向插入到由防腐蚀的铝和类似物做成的第二管状体11。因此,按照本发明的穿刺装置20在图6中示出了它的整个状态。在该状态,伞形部分1改进成比原来形状更紧凑的形状,并装在第二管状体11内。如图1所示,伞形部分1由尿烷橡胶和类似物制成,而管状体3由硅橡胶,树脂和类似物制成。
图7至图9示出了用于上述的  图6所示穿刺装置20中的针体30的结构;图7说明管状针部分31;图8说明要被插入管状针部分31的杆状针部分32。在管状针部分31的后端上形成锥形的插入件33,并通过穿过插入件33把杆状针部分32插入管状针部分31内来,使管状针部分31内的导孔30a被阻塞。在杆状针部分32的后部上形成的扩大部分32a的直径远大于插入件33的孔径,这样,插入件33可以通过扩大部分32a从结构上被堵住。此外,针体30整个地涂有硅氧烷涂层。
接下去说明用上述的结构实际穿刺人体组织或动物组织的情况。在本实施例中,将说明其中选择人体的卵巢癌作为穿刺位置。
如图10至图14所示,将腹腔镜41在充气膨胀的情况下插入壁体40,以便使管状的第一套针42直立。如图13和14所示,把本发明的穿刺装置20经第一套针42插入壁体40,以便只推入第一管状体9(如图15所示),伞形部分1从第二管状体11内推出。因此,伞形部分1从压缩形状张开成原来的伞形。
如图16所示,使用用于提供干燥空气或气体的干燥装置44,使之通过第二套针43从另一个方向插入壁体40,欲穿刺的卵巢癌变部位45的表面,例如,被干燥。之后,从第二套针43中取出干燥装置44,把替代的钩住装置46插入壁体40,用于如图17和18所示拉动线1Aa,取出挡块1A,以便向欲穿刺部位45上提供粘结剂7。此外,粘结剂7应该在手术进行之前直接注入储存器2内。
如图19和20所示,把穿刺装置20推入壁体40,使伞形部分1通过粘结剂7固定在欲穿刺部位45的表面45a上。如图21和22所示,在该状态,把针体30插入穿刺装置20。然后,如图23和24所示,使针体30穿过密封部分3A,由此,使针体30的针尖插入被穿刺部位45。
如图25和26所示,在该状态下,从管状针部分31中只抽出杆状部分32,把抽取器50插入管状针部分31的插入部分33内,以便实现抽取,在被穿刺部位45中的体液或类似物被抽入抽取器50,由此完成采样。
在完成抽取之后,如图27和29所示,取出管状针部分31,把装有剪子的切割装置46A插入壁体40,以便把处于固定到穿刺部位45上的状态的管状体3切出凹槽状的凹口3C,只有一部分管状体3和伞形部分保留处于固定到被穿刺部位45上的状态。在这种情况下,被穿刺部位45的形状与原来的形状相比处于压紧的形状。另外,因为在取出针体30后留在密封部分3A上的开口由于弹性体的收缩作用被堵住,所以,能够防止被穿刺部位45内的体液和类似物漏到外面(亦即,腹内区域)。
接着,应该确定被穿刺部位45中的体液和类似物是否是恶性的,和应采取什么样的手术。当诊断样品是良性的时,应该切除被穿刺的部位45。与切除部位45同时,应把留在体内的伞形部分1和类似物从体内取出,如图30和31所示的那样。当体液和类似物是恶性的,可以选择地,把被穿刺部位45在这种状态时切除,同时用一个袋(未示出)包起来,以防止体液和类似物扩散到腹内区域。由此,可以防止恶性肿瘤转移到(如果有的话)其它器官。另外,用硅氧烷涂层涂覆针体30的针尖,以便防止粘结剂粘结,针体30有利地穿过密封部分3A。
如图32所示,在另一个例子中,把替代抽取器50的照相机60插入被穿刺的部位45内,其内部的情况可以用监视器TV61来检查,以便确定诊断。
此外,如图33所示,把替代照相机60的众所周知的采样收集器70插入并通过摇控器71控制采样收集器70,生物试样可以从要被穿刺的部位45取出。
上面的例子描述了人体的外科手术。无需说明,上述例子也可以用于动物,且对人类也没有任何限制。上述例子说明用腹腔镜41的外科手术。不过,如果不使用这种腹腔镜41,所述装置就不需要第二管状体11,但需要管状体3和第一管状体9(如图5所示)。顺便说一下,本发明并不限于上述实施例,且也可以用于下列实施例。
这样,如说明第二个实施例的图34所示,为了替换上述第一个实施例中用塞子1A的储存器2,把一个装有粘结剂的粘结剂供给夹具插入腹腔,以便供给粘结剂7,而不使用储存器2和塞子1A。此外,在图35所示的第三实施例中,将一个用防腐蚀的铝或类似物制造的管状体4装在弹性支托体3的外缘上,由此,可以通过管状体4从它的外周边向弹性支托体3施加压力,从而压挤和收缩在用针体或类似物穿刺之后形成的孔3A,使它恢复到原来状态。一个由防腐蚀的铝或类似物制造的管状的螺纹体5装在弹性支托体的下端。附带地,把粘结剂(如外科用的Allon-alfa等)在使用前立即用注入装置6注入袋部分2内,该袋部分2替代在伞形部分1内配置的储存器2。因此,袋部分2具有图36和37所示的结构。对于实际外科手术而言,如图38所示,袋部分2在腹腔内用切割装置43,46剪破,以便供给粘结剂7,使伞形部分1粘到被穿刺的部位上,由此,可以达到类似于第一个实施例的方法。
由于按照本发明的穿刺方法和穿刺装置如上所述的构成,它可带来如下优点。
由于伞形部分通过粘结剂粘到欲被穿刺的部位上,然后使针体通过密封部分插入,所以可在取出针体后,使密封部分的开口收缩并堵住,以防止在穿刺部位中的体液或类似物向外泄漏。
照相机和采样收集器可以通过针体插入,因此,在医学领域可以实现更广泛的使用。

Claims (16)

1.一种穿刺方法,包括如下步骤:
把一个安置在腹腔内并由柔性材料构成的伞形部分置于被穿刺的部位上;
把粘结剂供给到被穿刺的部位内部或伞形部分上,以便把伞形部分粘结到被穿刺部位上;和
通过与伞形部分连接的管状体的密封部分把针体插入被穿刺的部位,以便把被穿刺部位中的体液抽出。
2.按照权利要求1所述的穿刺方法,包括把第二管状体通过定位在被穿刺部位前面的壁体插入,而将伞状部分通过第二管状体由原来的形状保持在改进的收缩形状。
3.按照权利要求1或2所述的穿刺方法,包括通过针体抽取在被穿刺部位内的体液。
4.按照权利要求1或2所述的穿刺方法,包括通过针体插入一个照相机,用于观察被穿刺部位内的情况。
5.按照权利要求1或2所述的方法,包括:通过针体插入一个采样收集器,以便由采样收集器收集一部分穿刺部位内的组织。
6.按照权利要求1至5的任一个所述的方法,其特征在于,管状体在切割后应留在被穿刺部位上。
7.按照权利要求1至6的任一个所述的方法,其特征在于,粘结剂装在设于伞形部分内的袋部分内,使得粘结剂可以通过剪开袋部分而供给。
8.按照权利要求1至6的任一个所述的方法,其特征在于,粘结剂是由装有粘结剂的粘结剂输送夹具输送的,且与伞形部分分开配置。
9.按照权利要求1至6的任一个所述的方法,其特征在于,粘结剂装在管状体(3)内,使得粘结剂可通过去掉管状体(3)上的塞子而输送。
10.一种穿刺装置,包括一个装在由柔性材料构成的伞形部分的轴中心上的管状体;一个装在该管状体内的密封部分;和一个按串联方式与管状体连接的第一管状体。
11.按照权利要求10所述的穿刺装置,其特征在于,伞形部分设有一个其中装有粘结剂的袋部分。
12.按照权利要求10或11所述的穿刺装置,其特征在于,管状体配有一个带塞子的储存器,且粘结剂装在该储存器内。
13.按照权利要求10至12中任一个所述的穿刺装置,其特征在于,管状体从结构上可以易于切去。
14.按照权利要求10至13中任一个所述的穿刺装置,其特征在于,密封部分包括一对密封板,其间装有乙醇。
15.按照权利要求10至14的任一个所述的穿刺装置,包括一个将插入弹性支承的针体,该针体由硅氧烷涂层涂覆,还包括一个管状针部分和一个沿着同轴方向插入管状针部分的杆状针部分。
16.按照权利要求12所述的穿刺装置,其特征在于,挡块有一根线。
CN95121624A 1995-05-26 1995-12-14 穿刺装置 Expired - Fee Related CN1112164C (zh)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
JP128439/1995 1995-05-26
JP128439/95 1995-05-26
JP12843995A JP3633032B2 (ja) 1995-05-26 1995-05-26 穿刺装置

Publications (2)

Publication Number Publication Date
CN1136965A true CN1136965A (zh) 1996-12-04
CN1112164C CN1112164C (zh) 2003-06-25

Family

ID=14984769

Family Applications (1)

Application Number Title Priority Date Filing Date
CN95121624A Expired - Fee Related CN1112164C (zh) 1995-05-26 1995-12-14 穿刺装置

Country Status (6)

Country Link
US (2) US5853399A (zh)
EP (1) EP0745350A1 (zh)
JP (1) JP3633032B2 (zh)
KR (1) KR0172643B1 (zh)
CN (1) CN1112164C (zh)
TW (1) TW355676B (zh)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106308897A (zh) * 2016-09-18 2017-01-11 成都测迪森生物科技有限公司 一种羊膜囊刺穿手术器械
CN110236646A (zh) * 2019-05-10 2019-09-17 河南省肿瘤医院 腹腔镜手术专用穿刺器

Families Citing this family (109)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5944730A (en) * 1997-05-19 1999-08-31 Cardio Medical Solutions, Inc. Device and method for assisting end-to-side anastomosis
US6280460B1 (en) * 1998-02-13 2001-08-28 Heartport, Inc. Devices and methods for performing vascular anastomosis
US5997509A (en) 1998-03-06 1999-12-07 Cornell Research Foundation, Inc. Minimally invasive gene therapy delivery device and method
US8229549B2 (en) * 2004-07-09 2012-07-24 Tyco Healthcare Group Lp Surgical imaging device
AU6059200A (en) 1999-07-02 2001-01-22 Quickpass, Inc. Suturing device
CN1226019C (zh) 2000-02-24 2005-11-09 洛马林达大学医学中心 用于在手术期间闭合组织开口的补丁和胶输送系统
US6582441B1 (en) 2000-02-24 2003-06-24 Advanced Bionics Corporation Surgical insertion tool
US6497686B1 (en) 2000-04-21 2002-12-24 Scimed Life Systems, Inc. Method and apparatus for performing sterile medical procedures
US6412639B1 (en) * 2000-04-28 2002-07-02 Closure Medical Corporation Medical procedure kit having medical adhesive
US6508802B1 (en) 2000-05-23 2003-01-21 Cornell Research Foundation, Inc. Remote sensing gene therapy delivery device and method of administering a therapeutic solution to a heart
US6890342B2 (en) 2000-08-02 2005-05-10 Loma Linda University Method and apparatus for closing vascular puncture using hemostatic material
US20060025781A1 (en) * 2001-01-17 2006-02-02 Young Wayne P Laparoscopic instruments and methods utilizing suction
US6958069B2 (en) * 2001-01-17 2005-10-25 Mark LoGuidice Instruments and methods for use in laparoscopic surgery
US7041055B2 (en) * 2002-10-07 2006-05-09 Mark LoGuidice Instruments and methods for use in laparoscopic surgery
US6537290B2 (en) 2001-03-05 2003-03-25 Edwards Lifesciences Corporation Sealing access cannula system
DE60227162D1 (de) * 2001-04-20 2008-07-31 Power Med Interventions Inc Abbildungsvorrichtung
ATE500777T1 (de) 2002-01-30 2011-03-15 Tyco Healthcare Chirurgische bildgebende vorrichtung
CN1306910C (zh) 2002-06-14 2007-03-28 洛马林达大学医学中心 封闭血管伤口的装置
US20060069383A1 (en) * 2002-06-28 2006-03-30 Georges Bogaerts Guiding member for surgical instruments, surgical instruments, coupling and uses thereof
EP2186465B1 (en) * 2002-09-30 2012-04-25 Tyco Healthcare Group LP Self-contained sterilizable surgical system
JP4722044B2 (ja) 2003-08-14 2011-07-13 ローマ リンダ ユニヴァーシティ メディカル センター 血管創傷閉鎖機器
US8187627B2 (en) 2003-09-05 2012-05-29 Loma Linda University Medical Center Dressing delivery system for internal wounds
US20050267555A1 (en) 2004-05-28 2005-12-01 Marnfeldt Goran N Engagement tool for implantable medical devices
US20060264966A1 (en) * 2005-05-12 2006-11-23 Med Institute, Inc. Vertebroplasty leak prevention sleeve and method
CN101242785B (zh) 2005-06-20 2010-11-03 苏图诺有限公司 用于将结应用到缝线的设备
US20080319258A1 (en) * 2005-07-15 2008-12-25 Thompson Christopher C Sterile Access Conduit
US8088145B2 (en) 2005-10-05 2012-01-03 Loma Linda University Medical Center Vascular wound closure device and method
US7792924B2 (en) * 2005-11-30 2010-09-07 Microsoft Corporation Using a mobile phone to remotely control a computer via an overlay network
US8603138B2 (en) * 2006-10-04 2013-12-10 Ethicon Endo-Surgery, Inc. Use of an adhesive to treat intraluminal bleeding
JP4994775B2 (ja) 2006-10-12 2012-08-08 日本コヴィディエン株式会社 針先保護具
US7655004B2 (en) * 2007-02-15 2010-02-02 Ethicon Endo-Surgery, Inc. Electroporation ablation apparatus, system, and method
US20080200933A1 (en) * 2007-02-15 2008-08-21 Bakos Gregory J Surgical devices and methods for forming an anastomosis between organs by gaining access thereto through a natural orifice in the body
US20080200934A1 (en) * 2007-02-15 2008-08-21 Fox William D Surgical devices and methods using magnetic force to form an anastomosis
US7815662B2 (en) * 2007-03-08 2010-10-19 Ethicon Endo-Surgery, Inc. Surgical suture anchors and deployment device
EP2134266A4 (en) 2007-03-29 2015-06-03 Nobles Medical Technologies Inc SEWING DEVICES AND METHOD FOR THE CLOSURE OF AN OPEN FORM OVAL
US8075572B2 (en) 2007-04-26 2011-12-13 Ethicon Endo-Surgery, Inc. Surgical suturing apparatus
US8100922B2 (en) 2007-04-27 2012-01-24 Ethicon Endo-Surgery, Inc. Curved needle suturing tool
EP2155082B1 (en) 2007-05-17 2012-06-20 Boston Scientific Scimed, Inc. Tissue securing and sealing apparatus
US8579897B2 (en) 2007-11-21 2013-11-12 Ethicon Endo-Surgery, Inc. Bipolar forceps
US8262655B2 (en) 2007-11-21 2012-09-11 Ethicon Endo-Surgery, Inc. Bipolar forceps
US8568410B2 (en) 2007-08-31 2013-10-29 Ethicon Endo-Surgery, Inc. Electrical ablation surgical instruments
US8480657B2 (en) * 2007-10-31 2013-07-09 Ethicon Endo-Surgery, Inc. Detachable distal overtube section and methods for forming a sealable opening in the wall of an organ
US20090112059A1 (en) 2007-10-31 2009-04-30 Nobis Rudolph H Apparatus and methods for closing a gastrotomy
US8262680B2 (en) 2008-03-10 2012-09-11 Ethicon Endo-Surgery, Inc. Anastomotic device
WO2009137766A1 (en) 2008-05-09 2009-11-12 Sutura, Inc. Suturing devices and methods for suturing an anatomic valve
US8771260B2 (en) 2008-05-30 2014-07-08 Ethicon Endo-Surgery, Inc. Actuating and articulating surgical device
US8679003B2 (en) 2008-05-30 2014-03-25 Ethicon Endo-Surgery, Inc. Surgical device and endoscope including same
US8652150B2 (en) * 2008-05-30 2014-02-18 Ethicon Endo-Surgery, Inc. Multifunction surgical device
US8317806B2 (en) 2008-05-30 2012-11-27 Ethicon Endo-Surgery, Inc. Endoscopic suturing tension controlling and indication devices
US8070759B2 (en) 2008-05-30 2011-12-06 Ethicon Endo-Surgery, Inc. Surgical fastening device
US8114072B2 (en) 2008-05-30 2012-02-14 Ethicon Endo-Surgery, Inc. Electrical ablation device
US8906035B2 (en) 2008-06-04 2014-12-09 Ethicon Endo-Surgery, Inc. Endoscopic drop off bag
US8403926B2 (en) 2008-06-05 2013-03-26 Ethicon Endo-Surgery, Inc. Manually articulating devices
US8361112B2 (en) 2008-06-27 2013-01-29 Ethicon Endo-Surgery, Inc. Surgical suture arrangement
US8262563B2 (en) 2008-07-14 2012-09-11 Ethicon Endo-Surgery, Inc. Endoscopic translumenal articulatable steerable overtube
US8888792B2 (en) 2008-07-14 2014-11-18 Ethicon Endo-Surgery, Inc. Tissue apposition clip application devices and methods
US8211125B2 (en) 2008-08-15 2012-07-03 Ethicon Endo-Surgery, Inc. Sterile appliance delivery device for endoscopic procedures
US8529563B2 (en) 2008-08-25 2013-09-10 Ethicon Endo-Surgery, Inc. Electrical ablation devices
US8241204B2 (en) 2008-08-29 2012-08-14 Ethicon Endo-Surgery, Inc. Articulating end cap
US8480689B2 (en) 2008-09-02 2013-07-09 Ethicon Endo-Surgery, Inc. Suturing device
US8409200B2 (en) 2008-09-03 2013-04-02 Ethicon Endo-Surgery, Inc. Surgical grasping device
US8114119B2 (en) 2008-09-09 2012-02-14 Ethicon Endo-Surgery, Inc. Surgical grasping device
US8337394B2 (en) * 2008-10-01 2012-12-25 Ethicon Endo-Surgery, Inc. Overtube with expandable tip
US8157834B2 (en) 2008-11-25 2012-04-17 Ethicon Endo-Surgery, Inc. Rotational coupling device for surgical instrument with flexible actuators
US8172772B2 (en) 2008-12-11 2012-05-08 Ethicon Endo-Surgery, Inc. Specimen retrieval device
US8828031B2 (en) 2009-01-12 2014-09-09 Ethicon Endo-Surgery, Inc. Apparatus for forming an anastomosis
US8361066B2 (en) 2009-01-12 2013-01-29 Ethicon Endo-Surgery, Inc. Electrical ablation devices
US8252057B2 (en) 2009-01-30 2012-08-28 Ethicon Endo-Surgery, Inc. Surgical access device
US9226772B2 (en) 2009-01-30 2016-01-05 Ethicon Endo-Surgery, Inc. Surgical device
US8037591B2 (en) * 2009-02-02 2011-10-18 Ethicon Endo-Surgery, Inc. Surgical scissors
US20110098704A1 (en) 2009-10-28 2011-04-28 Ethicon Endo-Surgery, Inc. Electrical ablation devices
US8608652B2 (en) 2009-11-05 2013-12-17 Ethicon Endo-Surgery, Inc. Vaginal entry surgical devices, kit, system, and method
US8353487B2 (en) 2009-12-17 2013-01-15 Ethicon Endo-Surgery, Inc. User interface support devices for endoscopic surgical instruments
US8496574B2 (en) 2009-12-17 2013-07-30 Ethicon Endo-Surgery, Inc. Selectively positionable camera for surgical guide tube assembly
US8506564B2 (en) 2009-12-18 2013-08-13 Ethicon Endo-Surgery, Inc. Surgical instrument comprising an electrode
US9028483B2 (en) 2009-12-18 2015-05-12 Ethicon Endo-Surgery, Inc. Surgical instrument comprising an electrode
US9005198B2 (en) 2010-01-29 2015-04-14 Ethicon Endo-Surgery, Inc. Surgical instrument comprising an electrode
US10092291B2 (en) 2011-01-25 2018-10-09 Ethicon Endo-Surgery, Inc. Surgical instrument with selectively rigidizable features
US9314620B2 (en) 2011-02-28 2016-04-19 Ethicon Endo-Surgery, Inc. Electrical ablation devices and methods
US9233241B2 (en) 2011-02-28 2016-01-12 Ethicon Endo-Surgery, Inc. Electrical ablation devices and methods
US9254169B2 (en) 2011-02-28 2016-02-09 Ethicon Endo-Surgery, Inc. Electrical ablation devices and methods
US9049987B2 (en) 2011-03-17 2015-06-09 Ethicon Endo-Surgery, Inc. Hand held surgical device for manipulating an internal magnet assembly within a patient
US9649106B2 (en) 2011-04-15 2017-05-16 Heartstitch, Inc. Suturing devices and methods for suturing an anatomic valve
US8486024B2 (en) 2011-04-27 2013-07-16 Covidien Lp Safety IV catheter assemblies
EP2760521B1 (en) 2011-09-26 2016-01-06 Covidien LP Safety iv catheter and needle assembly
US8628497B2 (en) 2011-09-26 2014-01-14 Covidien Lp Safety catheter
WO2013056223A1 (en) 2011-10-14 2013-04-18 Covidien Lp Safety iv catheter assembly
US8986199B2 (en) 2012-02-17 2015-03-24 Ethicon Endo-Surgery, Inc. Apparatus and methods for cleaning the lens of an endoscope
US9706988B2 (en) 2012-05-11 2017-07-18 Heartstitch, Inc. Suturing devices and methods for suturing an anatomic structure
US9427255B2 (en) 2012-05-14 2016-08-30 Ethicon Endo-Surgery, Inc. Apparatus for introducing a steerable camera assembly into a patient
US9078662B2 (en) 2012-07-03 2015-07-14 Ethicon Endo-Surgery, Inc. Endoscopic cap electrode and method for using the same
US9545290B2 (en) 2012-07-30 2017-01-17 Ethicon Endo-Surgery, Inc. Needle probe guide
US9572623B2 (en) 2012-08-02 2017-02-21 Ethicon Endo-Surgery, Inc. Reusable electrode and disposable sheath
US10314649B2 (en) 2012-08-02 2019-06-11 Ethicon Endo-Surgery, Inc. Flexible expandable electrode and method of intraluminal delivery of pulsed power
US9277957B2 (en) 2012-08-15 2016-03-08 Ethicon Endo-Surgery, Inc. Electrosurgical devices and methods
US10098527B2 (en) 2013-02-27 2018-10-16 Ethidcon Endo-Surgery, Inc. System for performing a minimally invasive surgical procedure
JP6431534B2 (ja) 2013-07-02 2018-11-28 メッド − ベンチャー インベストメンツ、エルエルシー 解剖学的組織を縫合するための縫合装置及び方法
JP6469109B2 (ja) 2013-12-06 2019-02-13 メッド − ベンチャー インベストメンツ、エルエルシー 縫合方法及び装置
EP3165249A4 (en) * 2014-07-02 2018-03-07 Terumo Kabushiki Kaisha Safety needle assembly
US10178993B2 (en) 2014-07-11 2019-01-15 Cardio Medical Solutions, Inc. Device and method for assisting end-to-side anastomosis
US10631840B2 (en) 2015-11-25 2020-04-28 Talon Medical, LLC Tissue engagement devices, systems, and methods
CN105726100B (zh) * 2016-02-04 2017-11-28 高俊东 一种囊肿切除用穿刺鞘及使用该穿刺鞘的囊肿切除装置
US10687801B2 (en) 2016-04-11 2020-06-23 Nobles Medical Technologies Ii, Inc. Suture spools for tissue suturing device
CN106361414A (zh) * 2016-08-31 2017-02-01 陈江 一种固定穿刺器套管的装置
CN108720903A (zh) * 2017-04-14 2018-11-02 杭州普惠医疗器械有限公司 一种带有摄像功能的穿刺针
EP4115818A3 (en) 2017-06-19 2023-04-05 Heartstitch, Inc. Suturing systems and methods for suturing body tissue
WO2018236822A1 (en) 2017-06-19 2018-12-27 Heartstitch, Inc. SUTURE DEVICES AND METHODS OF SUTURING OPENING IN HEART APEX
EP3668415B1 (en) 2017-08-18 2023-10-25 Nobles Medical Technologies II, Inc. Apparatus for applying a knot to a suture
WO2022150592A1 (en) * 2021-01-10 2022-07-14 Ma Eric Hsinhua Neutron capture therapy system and device

Family Cites Families (28)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE596981C (de) * 1931-10-30 1934-05-12 Mario Demarchi Dr Injektionsspritze
US3253594A (en) * 1963-07-30 1966-05-31 Frank E Matthews Peritoneal cannula
US3540431A (en) * 1968-04-04 1970-11-17 Kazi Mobin Uddin Collapsible filter for fluid flowing in closed passageway
US3605747A (en) * 1969-12-19 1971-09-20 Fredric J Pashkow Surgical drain
EP0113520A2 (en) * 1982-12-06 1984-07-18 Vance Products Incorporated Nephroscopy cannula
DE3321621A1 (de) * 1983-06-15 1984-12-20 ANGIOMED GmbH Instrumente für die medizinische Diagnostik, 7505 Ettlingen Vorrichtung zum punktieren von gewebe
CA1237482A (en) * 1984-03-09 1988-05-31 Frank B. Stiles Catheter for effecting removal of obstructions from a biological duct
DE3565767D1 (en) * 1984-10-24 1988-12-01 Hakko Electric Machine Works C Biopsy needle set
US4693257A (en) * 1986-05-12 1987-09-15 Markham Charles W Needle aspiration biopsy device with enclosed fluid supply
DE68928990T2 (de) * 1988-06-02 1999-12-02 Piero Marrucchi Vorrichtung zum Behandeln und Übertragen von Stoffen zwischen abgeschlossenen Räumen
US5011488A (en) * 1988-12-07 1991-04-30 Robert Ginsburg Thrombus extraction system
US5073166A (en) * 1989-02-15 1991-12-17 Medical Innovations Corporation Method and apparatus for emplacement of a gastrostomy catheter
US5002557A (en) * 1989-04-06 1991-03-26 Hasson Harrith M Laparoscopic cannula
US5217441A (en) * 1989-08-15 1993-06-08 United States Surgical Corporation Trocar guide tube positioning device
US5267960A (en) * 1990-03-19 1993-12-07 Omnitron International Inc. Tissue engaging catheter for a radioactive source wire
US5176662A (en) * 1990-08-23 1993-01-05 Minimed Technologies, Ltd. Subcutaneous injection set with improved cannula mounting arrangement
US5137520A (en) * 1991-04-24 1992-08-11 Wayne Maxson Cannula skirt
US5176648A (en) * 1991-12-13 1993-01-05 Unisurge, Inc. Introducer assembly and instrument for use therewith
US5257973A (en) * 1992-02-05 1993-11-02 Raul Villasuso Sealing sleeve and method for laparoscopy
US5232440A (en) * 1992-02-26 1993-08-03 Wilk Peter J Method and device for draining abscess
US5375588A (en) * 1992-08-17 1994-12-27 Yoon; Inbae Method and apparatus for use in endoscopic procedures
US5312351A (en) * 1993-01-29 1994-05-17 Gerrone Carmen J Combined pneumo-needle and trocar apparatus
US5575794A (en) * 1993-02-12 1996-11-19 Walus; Richard L. Tool for implanting a fiducial marker
US5352211A (en) * 1993-07-11 1994-10-04 Louisville Laboratories External stability device
US5342319A (en) * 1993-08-17 1994-08-30 Watson Robert L Transdermal injection appliance
US5366446A (en) * 1993-11-17 1994-11-22 Unisurge, Inc. Introducer assembly
JP3563767B2 (ja) * 1994-05-30 2004-09-08 佐々木 寛 穿刺装置
US5549626A (en) * 1994-12-23 1996-08-27 New York Society For The Ruptured And Crippled Maintaining The Hospital For Special Surgery Vena caval filter

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106308897A (zh) * 2016-09-18 2017-01-11 成都测迪森生物科技有限公司 一种羊膜囊刺穿手术器械
CN110236646A (zh) * 2019-05-10 2019-09-17 河南省肿瘤医院 腹腔镜手术专用穿刺器
CN110236646B (zh) * 2019-05-10 2024-04-19 河南省肿瘤医院 腹腔镜手术专用穿刺器

Also Published As

Publication number Publication date
CN1112164C (zh) 2003-06-25
KR960040384A (ko) 1996-12-17
JPH08317927A (ja) 1996-12-03
US5882331A (en) 1999-03-16
TW355676B (en) 1999-04-11
KR0172643B1 (ko) 1999-03-20
JP3633032B2 (ja) 2005-03-30
EP0745350A1 (en) 1996-12-04
US5853399A (en) 1998-12-29

Similar Documents

Publication Publication Date Title
CN1112164C (zh) 穿刺装置
US20240066277A1 (en) Methods for manufacturing microprojection arrays
US4643196A (en) Biopsy needle set
CN1133469C (zh) 注射器主体和包括它的注射器装置及其组装方法
US4817631A (en) Method for removing tissue from a body
US7278972B2 (en) Combined bone marrow aspiration and core biopsy device
CN1722986A (zh) 具有采样管的活检装置
JPH02224751A (ja) 生検用シリンジ装置およびその使用方法
CN1555276A (zh) 伸缩的针安全装置
CN1744856A (zh) 闪回式血液收集针头
CN209285585U (zh) 一种临床用妇科肿瘤取样装置
CA2380714C (en) Apparatus for obtaining biological samples
CN1489482A (zh) 用于注射液态或半固态成分的安全注射装置
CN1909940A (zh) 用于施加导管中的锁定溶液的施加器和方法
CN1433329A (zh) 具有高灵敏度探测机构的胸腔穿刺术器械
WO2020203674A1 (ja) 細胞移植装置、および、細胞移植システム
CN115969429A (zh) 一种自吸式活检针
US20190365363A1 (en) Sample retrieval kit and system and method of use thereof
CN109452957A (zh) 一种螺壳旋切式同轴穿刺活检针
US20230062473A1 (en) Bone marrow aspiration and biopsy device
US20220211955A1 (en) Puncture-assistance tool, puncture device, and puncture method
JP3563767B2 (ja) 穿刺装置
JP3633093B2 (ja) 穿刺装置
CN215995230U (zh) 一种多功能新型导尿管
CN217586502U (zh) 一种针吸细胞学检查装置

Legal Events

Date Code Title Description
C10 Entry into substantive examination
SE01 Entry into force of request for substantive examination
C06 Publication
PB01 Publication
C14 Grant of patent or utility model
GR01 Patent grant
C19 Lapse of patent right due to non-payment of the annual fee
CF01 Termination of patent right due to non-payment of annual fee