CN114222525A - 用于微创脊柱手术的手术套件 - Google Patents

用于微创脊柱手术的手术套件 Download PDF

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Publication number
CN114222525A
CN114222525A CN202080044733.9A CN202080044733A CN114222525A CN 114222525 A CN114222525 A CN 114222525A CN 202080044733 A CN202080044733 A CN 202080044733A CN 114222525 A CN114222525 A CN 114222525A
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CN
China
Prior art keywords
sensor carrier
lumen
medical instrument
orientation
locators
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
CN202080044733.9A
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English (en)
Chinese (zh)
Inventor
N·诺曼
R·黑德曼
M·伯格菲尔德
D·穆哈
K·德辛格尔
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.)
Intelssex Otolaryngology International Co ltd
Original Assignee
Intelssex Otolaryngology International 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 Intelssex Otolaryngology International Co ltd filed Critical Intelssex Otolaryngology International Co ltd
Publication of CN114222525A publication Critical patent/CN114222525A/zh
Pending legal-status Critical Current

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    • 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
    • A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • 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
    • A61B1/012—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 characterised by internal passages or accessories therefor
    • A61B1/018—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 characterised by internal passages or accessories therefor for receiving instruments
    • 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
    • A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
    • A61B17/17—Guides or aligning means for drills, mills, pins or wires
    • A61B17/1707—Guides or aligning means for drills, mills, pins or wires using electromagnetic effects, e.g. with magnet and external sensors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
    • A61B17/17—Guides or aligning means for drills, mills, pins or wires
    • A61B17/1739—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
    • A61B17/1757—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the spine
    • 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
    • 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
    • A61B17/3472—Trocars; Puncturing needles for bones, e.g. intraosseus injections
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70—Spinal positioners or stabilisers, e.g. stabilisers comprising fluid filler in an implant
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70—Spinal positioners or stabilisers, e.g. stabilisers comprising fluid filler in an implant
    • A61B17/7074—Tools specially adapted for spinal fixation operations other than for bone removal or filler handling
    • A61B17/7076—Tools specially adapted for spinal fixation operations other than for bone removal or filler handling for driving, positioning or assembling spinal clamps or bone anchors specially adapted for spinal fixation
    • A61B17/7082—Tools specially adapted for spinal fixation operations other than for bone removal or filler handling for driving, positioning or assembling spinal clamps or bone anchors specially adapted for spinal fixation for driving, i.e. rotating, screws or screw parts specially adapted for spinal fixation, e.g. for driving polyaxial or tulip-headed screws
    • 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
    • A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/06—Devices, other than using radiation, for detecting or locating foreign bodies ; Determining position of diagnostic devices within or on the body of the patient
    • A61B5/061—Determining position of a probe within the body employing means separate from the probe, e.g. sensing internal probe position employing impedance electrodes on the surface of the body
    • A61B5/062—Determining position of a probe within the body employing means separate from the probe, e.g. sensing internal probe position employing impedance electrodes on the surface of the body using magnetic field
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8875—Screwdrivers, spanners or wrenches
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00022—Sensing or detecting at the treatment site
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/0042—Surgical instruments, devices or methods with special provisions for gripping
    • A61B2017/00455—Orientation indicators, e.g. recess on the handle
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00681—Aspects not otherwise provided for
    • A61B2017/00725—Calibration or performance testing
    • 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
    • A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
    • A61B2034/101—Computer-aided simulation of surgical operations
    • A61B2034/102—Modelling of surgical devices, implants or prosthesis
    • 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
    • A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
    • A61B2034/101—Computer-aided simulation of surgical operations
    • A61B2034/105—Modelling of the patient, e.g. for ligaments or bones
    • 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
    • A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2046—Tracking techniques
    • A61B2034/2051—Electromagnetic tracking systems
    • 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
    • A61B90/06—Measuring instruments not otherwise provided for
    • A61B2090/061—Measuring instruments not otherwise provided for for measuring dimensions, e.g. length

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Neurology (AREA)
  • Pathology (AREA)
  • Physics & Mathematics (AREA)
  • Robotics (AREA)
  • Dentistry (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Biophysics (AREA)
  • Human Computer Interaction (AREA)
  • Electromagnetism (AREA)
  • Optics & Photonics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Surgical Instruments (AREA)
  • Manipulator (AREA)
CN202080044733.9A 2019-05-02 2020-05-04 用于微创脊柱手术的手术套件 Pending CN114222525A (zh)

Applications Claiming Priority (9)

Application Number Priority Date Filing Date Title
US201962842025P 2019-05-02 2019-05-02
US62/842,025 2019-05-02
US201962844922P 2019-05-08 2019-05-08
US62/844,922 2019-05-08
US201962888631P 2019-08-19 2019-08-19
US62/888,631 2019-08-19
US201962915197P 2019-10-15 2019-10-15
US62/915,197 2019-10-15
PCT/EP2020/062349 WO2020221940A1 (en) 2019-05-02 2020-05-04 Surgical kit for minimally invasive spine surgery

Publications (1)

Publication Number Publication Date
CN114222525A true CN114222525A (zh) 2022-03-22

Family

ID=70918374

Family Applications (1)

Application Number Title Priority Date Filing Date
CN202080044733.9A Pending CN114222525A (zh) 2019-05-02 2020-05-04 用于微创脊柱手术的手术套件

Country Status (7)

Country Link
US (1) US20220047295A1 (https=)
EP (1) EP3962357B1 (https=)
JP (1) JP2022531309A (https=)
KR (1) KR102946610B1 (https=)
CN (1) CN114222525A (https=)
BR (1) BR112021021998A2 (https=)
WO (1) WO2020221940A1 (https=)

Families Citing this family (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE202013012313U1 (de) 2013-07-17 2016-02-25 Fiagon Gmbh Vorrichtung zur Anbindung eines medizinischen Instruments an ein Lageerfassungssystem und medizinisches Zeigerinstrument
ES2940646T3 (es) * 2019-03-19 2023-05-10 Biotissue Sa Juego para la fijación endoscópica de un implante en un disco intervertebral por medio de un clavo o una clavija
KR20220004073A (ko) 2019-05-02 2022-01-11 인터섹트 엔트 인터내셔널 게엠베하 센서 캐리어
KR102573286B1 (ko) * 2021-04-02 2023-08-30 연세대학교 산학협력단 뼈 나사용 경로 형성 장치
EP4605770B1 (en) * 2024-01-12 2025-12-10 Brainlab SE System for magnetic tracking using reusable components

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20030066538A1 (en) * 1999-10-28 2003-04-10 Martinelli Michael A. Surgical sensor
US20140303489A1 (en) * 2005-11-17 2014-10-09 Varian Medical Systems, Inc. Apparatus and methods for using an electromagnetic transponder in orthopedic procedures
US20170196508A1 (en) * 2014-06-25 2017-07-13 Canary Medical Inc. Devices, systems and methods for using and monitoring spinal implants
CN107690302A (zh) * 2015-04-06 2018-02-13 直观外科手术操作公司 在图像引导的外科手术中的配准补偿的系统和方法
CN108836478A (zh) * 2017-04-25 2018-11-20 韦伯斯特生物官能(以色列)有限公司 侵入式手术在狭窄通道中的内窥镜视图
US20190038366A1 (en) * 2012-06-21 2019-02-07 Globus Medical, Inc. Surgical robotic automation with tracking markers

Family Cites Families (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
AU3197699A (en) * 1998-03-30 1999-10-18 Biosense, Inc. Three-axis coil sensor
US9750486B2 (en) * 2011-10-25 2017-09-05 Medtronic Navigation, Inc. Trackable biopsy needle
WO2013116140A1 (en) * 2012-02-03 2013-08-08 Intuitive Surgical Operations, Inc. Steerable flexible needle with embedded shape sensing
DE102017008148A1 (de) * 2017-08-29 2019-02-28 Joimax Gmbh Sensoreinheit, intraoperatives Navigationssystem und Verfahren zur Detektion eines chirurgischen Instruments

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20030066538A1 (en) * 1999-10-28 2003-04-10 Martinelli Michael A. Surgical sensor
US20140303489A1 (en) * 2005-11-17 2014-10-09 Varian Medical Systems, Inc. Apparatus and methods for using an electromagnetic transponder in orthopedic procedures
US20190038366A1 (en) * 2012-06-21 2019-02-07 Globus Medical, Inc. Surgical robotic automation with tracking markers
US20170196508A1 (en) * 2014-06-25 2017-07-13 Canary Medical Inc. Devices, systems and methods for using and monitoring spinal implants
CN107690302A (zh) * 2015-04-06 2018-02-13 直观外科手术操作公司 在图像引导的外科手术中的配准补偿的系统和方法
CN108836478A (zh) * 2017-04-25 2018-11-20 韦伯斯特生物官能(以色列)有限公司 侵入式手术在狭窄通道中的内窥镜视图

Also Published As

Publication number Publication date
BR112021021998A2 (pt) 2021-12-28
JP2022531309A (ja) 2022-07-06
KR20220026530A (ko) 2022-03-04
US20220047295A1 (en) 2022-02-17
WO2020221940A8 (en) 2021-10-07
EP3962357B1 (en) 2024-01-17
WO2020221940A1 (en) 2020-11-05
EP3962357A1 (en) 2022-03-09
KR102946610B1 (ko) 2026-04-02

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Application publication date: 20220322