CN118662175A - 铰接外科手术器械 - Google Patents

铰接外科手术器械 Download PDF

Info

Publication number
CN118662175A
CN118662175A CN202410868042.0A CN202410868042A CN118662175A CN 118662175 A CN118662175 A CN 118662175A CN 202410868042 A CN202410868042 A CN 202410868042A CN 118662175 A CN118662175 A CN 118662175A
Authority
CN
China
Prior art keywords
shaft
articulated
articulation
surgical instrument
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.)
Pending
Application number
CN202410868042.0A
Other languages
English (en)
Chinese (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 CN118662175A publication Critical patent/CN118662175A/zh
Pending legal-status Critical Current

Links

Classifications

    • 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
    • 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
    • A61B17/0487—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
    • A61B17/068—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
    • A61B17/28—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
    • A61B17/00234—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
    • A61B2017/00398—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like using powered actuators, e.g. stepper motors, solenoids
    • 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
    • A61B2017/0046—Surgical instruments, devices or methods with a releasable handle; with handle and operating part separable
    • 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
    • A61B2017/0488—Instruments for applying 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
    • A61B17/064—Surgical staples, i.e. penetrating the tissue
    • A61B2017/0647—Surgical staples, i.e. penetrating the tissue having one single leg, e.g. tacks
    • 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
    • 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)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Molecular Biology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Ophthalmology & Optometry (AREA)
  • Surgical Instruments (AREA)
CN202410868042.0A 2018-01-10 2019-01-03 铰接外科手术器械 Pending CN118662175A (zh)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US15/867,035 US11103234B2 (en) 2018-01-10 2018-01-10 Articulating surgical instruments
US15/867,035 2018-01-10
CN201980007850.5A CN111629673B (zh) 2018-01-10 2019-01-03 铰接外科手术器械
PCT/US2019/012129 WO2019139807A1 (en) 2018-01-10 2019-01-03 Articulating surgical instruments

Related Parent Applications (1)

Application Number Title Priority Date Filing Date
CN201980007850.5A Division CN111629673B (zh) 2018-01-10 2019-01-03 铰接外科手术器械

Publications (1)

Publication Number Publication Date
CN118662175A true CN118662175A (zh) 2024-09-20

Family

ID=65269046

Family Applications (2)

Application Number Title Priority Date Filing Date
CN202410868042.0A Pending CN118662175A (zh) 2018-01-10 2019-01-03 铰接外科手术器械
CN201980007850.5A Active CN111629673B (zh) 2018-01-10 2019-01-03 铰接外科手术器械

Family Applications After (1)

Application Number Title Priority Date Filing Date
CN201980007850.5A Active CN111629673B (zh) 2018-01-10 2019-01-03 铰接外科手术器械

Country Status (7)

Country Link
US (3) US11103234B2 (https=)
EP (1) EP3737305A1 (https=)
JP (1) JP7482025B2 (https=)
CN (2) CN118662175A (https=)
AU (1) AU2019206370B2 (https=)
CA (1) CA3088149A1 (https=)
WO (1) WO2019139807A1 (https=)

Families Citing this family (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP6649661B2 (ja) 2014-12-05 2020-02-19 フォーティメディックス・アセッツ・ザ・セカンド・ビー．ブイ．Ｆｏｒｔｉｍｅｄｉｘ Ａｓｓｅｔｓ Ｉｉ Ｂ．Ｖ． 操向型器具を製造するための方法およびそのような操向型器具
US11723738B2 (en) 2017-11-06 2023-08-15 University Of Tennessee Research Foundation Surgical device tip with deflectable joint
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
KR102880775B1 (ko) 2019-04-01 2025-11-07 포티메딕스 에셋츠 Ii 비.브이. 슬롯형 구조체를 갖는 힌지를 포함하는 조종가능한 기구
KR20210149100A (ko) 2019-04-08 2021-12-08 포티메딕스 에셋츠 Ii 비.브이. 탈착가능한 부분을 포함하는 조향가능한 기구
CN113966189B (zh) 2019-04-08 2025-09-16 富通麦迪资产二有限公司 包括可分离零件的可转向器械
US12279840B2 (en) * 2021-04-30 2025-04-22 Cilag Gmbh International Selectable jaw closure of a robotic surgical system

Family Cites Families (34)

* 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
US5797537A (en) * 1996-02-20 1998-08-25 Richard-Allan Medical Industries, Inc. Articulated surgical instrument with improved firing mechanism
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
US7052511B2 (en) * 2002-04-04 2006-05-30 Scimed Life Systems, Inc. Delivery system and method for deployment of foreshortening endoluminal devices
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
US7784662B2 (en) * 2005-02-18 2010-08-31 Ethicon Endo-Surgery, Inc. Surgical instrument with articulating shaft with single pivot closure and double pivot frame ground
ATE452676T1 (de) 2005-04-07 2010-01-15 Creganna Technologies Ltd Lenkbare katheteranordnung
US7464849B2 (en) * 2006-01-31 2008-12-16 Ethicon Endo-Surgery, Inc. Electro-mechanical surgical instrument with closure system and anvil alignment components
US7648519B2 (en) * 2006-09-13 2010-01-19 Cambridge Endoscopic Devices, Inc. Surgical instrument
AU2007231733B2 (en) 2006-11-28 2014-03-13 Cathrx Ltd A catheter steering system
US20160262782A1 (en) * 2008-02-15 2016-09-15 Take5 Endotech Surgical instrument for grasping and cutting tissue
US8398673B2 (en) * 2008-02-15 2013-03-19 Surgical Innovations V.O.F. Surgical instrument for grasping and cutting tissue
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
US20110112517A1 (en) * 2009-11-06 2011-05-12 Peine Willliam J Surgical instrument
US8926598B2 (en) 2011-03-15 2015-01-06 Ethicon Endo-Surgery, Inc. Surgical instruments with articulatable and rotatable end effector
AU2012250729B2 (en) * 2011-05-03 2016-12-01 Shifamed Holdings, Llc Steerable delivery sheaths
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
US9649109B2 (en) 2013-03-14 2017-05-16 C.R. Bard, Inc. Surgical instrument with an actuation lockout
US9427230B2 (en) * 2013-03-14 2016-08-30 C.R. Bard, Inc. Handling of fasteners within a surgical instrument
US20150099997A1 (en) 2013-10-03 2015-04-09 Oz Cabiri Steering tool
US10292758B2 (en) * 2014-10-10 2019-05-21 Ethicon Llc Methods and devices for articulating laparoscopic energy device
US10874290B2 (en) 2015-02-26 2020-12-29 Stryker Corporation Surgical instrument with articulation region
US10405863B2 (en) 2015-06-18 2019-09-10 Ethicon Llc Movable firing beam support arrangements for articulatable surgical instruments
US10537381B2 (en) * 2016-02-26 2020-01-21 Covidien Lp Surgical instrument having a bipolar end effector assembly and a deployable monopolar assembly
US10646340B2 (en) * 2016-08-19 2020-05-12 Edwards Lifesciences Corporation Steerable delivery system for replacement mitral valve
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
US10779813B2 (en) 2018-01-10 2020-09-22 C.R. Bard, Inc. Articulating surgical instruments

Also Published As

Publication number Publication date
CA3088149A1 (en) 2019-07-18
US20210369265A1 (en) 2021-12-02
JP7482025B2 (ja) 2024-05-13
JP2021510553A (ja) 2021-04-30
CN111629673A (zh) 2020-09-04
CN111629673B (zh) 2024-07-26
US11103234B2 (en) 2021-08-31
AU2019206370B2 (en) 2024-10-17
US11944289B2 (en) 2024-04-02
JP2024100778A (ja) 2024-07-26
US20240197315A1 (en) 2024-06-20
US20190209158A1 (en) 2019-07-11
EP3737305A1 (en) 2020-11-18
WO2019139807A1 (en) 2019-07-18
AU2019206370A1 (en) 2020-07-16

Similar Documents

Publication Publication Date Title
CN111629673B (zh) 铰接外科手术器械
CN111601561B (zh) 铰接式手术器械
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