DE202013009532U1 - PexieFix - Sacro-, cervico-, colpo- and uteropexy instruments in minimally invasive, endoscopic procedures - Google Patents

PexieFix - Sacro-, cervico-, colpo- and uteropexy instruments in minimally invasive, endoscopic procedures Download PDF

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Publication number
DE202013009532U1
DE202013009532U1 DE201320009532 DE202013009532U DE202013009532U1 DE 202013009532 U1 DE202013009532 U1 DE 202013009532U1 DE 201320009532 DE201320009532 DE 201320009532 DE 202013009532 U DE202013009532 U DE 202013009532U DE 202013009532 U1 DE202013009532 U1 DE 202013009532U1
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Germany
Prior art keywords
surgical instrument
instrument according
eyelet
guide wire
trocar
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Expired - Lifetime
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DE201320009532
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German (de)
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FEH GMBH, DE
KOCISZEWSKI, JACEK, DR., DE
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FEH GmbH
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Priority to DE201320009532 priority Critical patent/DE202013009532U1/en
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/221—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/42—Gynaecological or obstetrical instruments or methods
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00743—Type of operation; Specification of treatment sites
    • A61B2017/00805—Treatment of female stress urinary incontinence
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/22031—Gripping instruments, e.g. forceps, for removing or smashing calculi
    • A61B2017/22035—Gripping instruments, e.g. forceps, for removing or smashing calculi for retrieving or repositioning foreign objects
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/221—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions
    • A61B2017/2212—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions having a closed distal end, e.g. a loop
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B2017/3454—Details of tips

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Medical Informatics (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Gynecology & Obstetrics (AREA)
  • Pregnancy & Childbirth (AREA)
  • Reproductive Health (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Vascular Medicine (AREA)
  • Pathology (AREA)
  • Surgical Instruments (AREA)

Abstract

Chirurgisches Instrument, dadurch gekennzeichnet, dass durch einen kanülierten Trokar (1) und einem kanüliertem Handgriff (2) ein Führungsdraht (3) mit einer am distalen Ende befestigten, offenen, elastischen Öse (7) an der Spitze des Trokars durch eine Öffnung (4) seitlich austreten kann.Surgical instrument, characterized in that a guide wire (3) with an open, elastic eyelet (7) fastened at the distal end to the tip of the trocar through an opening (4) is formed by a cannulated trocar (1) and a cannulated handle (2) ) can escape laterally.

Description

Es handelt sich um ein kanüliertes Führungsinstrument aus chirurgischem Stahl mit einem abnehmbaren Handgriff mit einer stumpfen, abgerundeten Spitze und zwei Öffnungen: Öffnung 1: An der Spitze des Instrumentes. Öffnung 2: Am Handgriff des Instrumentes. Diese Öffnung wird mit einem Verschluss verschlossen. It is a cannulated surgical steel guiding instrument with a removable handle with a blunt, rounded tip and two openings: Opening 1: At the top of the instrument. Opening 2: At the handle of the instrument. This opening is closed with a closure.

Des Weiteren besteht das Instrument aus einer Rückholschlinge aus metallischem Werkstoff und mit einer distalen Schlaufe zum sicheren Fassen und herausziehen des Netzimplantates.Furthermore, the instrument consists of a return loop of metallic material and with a distal loop for secure grasping and pulling out of the mesh implant.

Die vorliegende Erfindung stellt ein Hilfsmittel für ein Behandlungskonzept dar. Dabei handelt es sich um die Korrektur des Level/-Defektes nach De Lancy; d. h. Senkung des Uterus oder des Scheidenstumpfes. Es stehen folgende Behandlungskonzepte zur Verfügung:

  • – vaginale Fixation nach Amreich-Richter
  • – abdominal oder
  • – endoskopische Pexie mit Mesh.
The present invention provides a tool for a treatment concept. This is the correction of the level / defect according to De Lancy; ie lowering of the uterus or vaginal stump. The following treatment concepts are available:
  • - vaginal fixation according to Amreich-Richter
  • - abdominal or
  • - endoscopic plexia with mesh.

Der endoskopische oder abdominale Weg garantiert sehr gute und langfristige Fixation des mittleren Kompartimentes und gleichzeitig eine Stabilisation des Level I und Level II beim Erhalt der physiologischen Achse der Scheide.The endoscopic or abdominal route guarantees very good and long-term fixation of the middle compartment and at the same time a stabilization of the level I and level II while preserving the physiological axis of the vagina.

Das PexieFix Führungsinstrument ermöglicht eine schnelle und einfache, retroperitoneale Platzierung des Fixationsmeshes, ohne das gesamte Peritoneum vom Os sacrum bis zum Scheidenstumpf/Cervix öffnen und anschließend wieder durch eine Naht verließen zu müssen.The PexieFix Guiding Tool allows quick and easy retroperitoneal placement of the fixation mesh without having to open the entire peritoneum from the sacrum to the vaginal stump / cervix and then back out through a suture.

Es ist die Aufgabe der vorliegenden Erfindung, die Behandlungsergebnisse unter den vorgenannten Bedingungen zu verbessern, so dass das Infektionsrisiko für den Patienten verringert wird. Ebenso ist es die Aufgabe der vorliegenden Erfindung, die Operationszeit durch Vermeidung der langstreckigen Nähte des Peritoneums zu verkürzen.It is the object of the present invention to improve the treatment results under the aforementioned conditions, so that the risk of infection for the patient is reduced. It is also the object of the present invention to shorten the operation time by avoiding the long-stretched seams of the peritoneum.

Claims (12)

Chirurgisches Instrument, dadurch gekennzeichnet, dass durch einen kanülierten Trokar (1) und einem kanüliertem Handgriff (2) ein Führungsdraht (3) mit einer am distalen Ende befestigten, offenen, elastischen Öse (7) an der Spitze des Trokars durch eine Öffnung (4) seitlich austreten kann.Surgical instrument, characterized in that by a cannulated trocar ( 1 ) and a cannulated handle ( 2 ) a guidewire ( 3 ) with an open, elastic eyelet attached to the distal end ( 7 ) at the tip of the trocar through an opening ( 4 ) can escape laterally. Chirurgisches Instrument nach Anspruch dadurch gekennzeichnet, dass der Handgriff (2) abnehmbar ist und einen Verschluss (5) besitzt.Surgical instrument according to claim characterized in that the handle ( 2 ) is removable and a closure ( 5 ) owns. Chirurgisches Instrument nach Anspruch 2 dadurch gekennzeichnet, dass es unterschiedliche Längen und Radien nach anatomischen Vorgaben aufweisen kann.Surgical instrument according to claim 2, characterized in that it can have different lengths and radii according to anatomical specifications. Chirurgisches Instrument nach Anspruch 3, dadurch gekennzeichnet, dass der Innendurchmesser von (1) unterschiedliche Durchmesser aufweisen kann, den unterschiedlichen Durchmessern des Führungsdrahtes (3) mit einer am distalen Ende befestigten, offenen, elastischen Öse (7) angepasst.Surgical instrument according to claim 3, characterized in that the inner diameter of ( 1 ) may have different diameters, the different diameters of the guide wire ( 3 ) with an open, elastic eyelet attached to the distal end ( 7 ) customized. Chirurgisches Instrument nach Anspruch 4, dadurch gekennzeichnet, dass der Trokar (1) aus chirurgischem Stahl wiederverwendbar und sterilisierbar oder aus anderen Materialien als Einmalartikel hergestellt werden kann.Surgical instrument according to claim 4, characterized in that the trocar ( 1 ) can be reusable and sterilized from surgical steel or made from other materials as disposables. Chirurgisches Instrument nach Anspruch 5, dadurch gekennzeichnet, dass ein Führungsdraht (3) mit einer am distalen Ende befestigten, offenen, elastischen Öse (7) durch den Trokar (1) hindurchgeführt werden kann.Surgical instrument according to claim 5, characterized in that a guide wire ( 3 ) with an open, elastic eyelet attached to the distal end ( 7 ) through the trocar ( 1 ) can be passed. Chirurgisches Instrument nach Anspruch 6, dadurch gekennzeichnet, dass die elastische Öse (7) mechanisch oder thermisch am Übergang (8) befestigt ist.Surgical instrument according to claim 6, characterized in that the elastic eyelet ( 7 ) mechanically or thermally at the transition ( 8th ) is attached. Chirurgisches Instrument nach Anspruch 7, dadurch gekennzeichnet, dass die am Führungsdraht befestigte Öse (7) aus chirurgischem Stahl oder anderen sterilisierbaren Materialien besteht. Surgical instrument according to claim 7, characterized in that the eyelet attached to the guide wire ( 7 ) consists of surgical steel or other sterilizable materials. Chirurgisches Instrument nach Anspruch 8, dadurch gekennzeichnet, dass der Führungsdraht (3) eine eigene Führungshülle (9) und einen eigenen Handgriff (11) mit einem eigenen Schiebemechanismus (12) besitzt, um die Öse (7) dosiert zu öffnen und zu schließen.Surgical instrument according to claim 8, characterized in that the guide wire ( 3 ) own guide sleeve ( 9 ) and a separate handle ( 11 ) with its own sliding mechanism ( 12 ) to the eyelet ( 7 ) dosed to open and close. Chirurgisches Instrument nach Anspruch 9, dadurch gekennzeichnet, dass die Öse (7) aus einem oder mehreren Schlingen bestehen kann.Surgical instrument according to claim 9, characterized in that the eyelet ( 7 ) may consist of one or more loops. Chirurgisches Instrument nach Anspruch 10, dadurch gekennzeichnet, dass die Öse (7) aus unterschiedlichen Materialien z. B. Nitinol bestehen kann.Surgical instrument according to claim 10, characterized in that the eyelet ( 7 ) made of different materials z. B. nitinol can exist. Chirurgisches Instrument nach Anspruch 11, dadurch gekennzeichnet, dass im Handgriff (2) eine Führungshülse (6) eingeschoben wird, um das Einführen des Führungsdrahtes zu erleichtern.Surgical instrument according to claim 11, characterized in that in the handle ( 2 ) a guide sleeve ( 6 ) is inserted to facilitate the insertion of the guide wire.
DE201320009532 2013-05-29 2013-10-24 PexieFix - Sacro-, cervico-, colpo- and uteropexy instruments in minimally invasive, endoscopic procedures Expired - Lifetime DE202013009532U1 (en)

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DE201320009532 DE202013009532U1 (en) 2013-05-29 2013-10-24 PexieFix - Sacro-, cervico-, colpo- and uteropexy instruments in minimally invasive, endoscopic procedures

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DE202013004965 2013-05-29
DE202013004965.0 2013-05-29
DE201320009532 DE202013009532U1 (en) 2013-05-29 2013-10-24 PexieFix - Sacro-, cervico-, colpo- and uteropexy instruments in minimally invasive, endoscopic procedures

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE202014002429U1 (en) 2014-03-17 2014-04-08 Jörg Neymeyer Reusable pelvic floor surgical guide of textile implants for minimally invasive laparoscopic or abdominal atraumatic retroperitoneal sub-tunneling sacropexy - Reusable Tunneling Device (RTD)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE202014002429U1 (en) 2014-03-17 2014-04-08 Jörg Neymeyer Reusable pelvic floor surgical guide of textile implants for minimally invasive laparoscopic or abdominal atraumatic retroperitoneal sub-tunneling sacropexy - Reusable Tunneling Device (RTD)

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R207 Utility model specification

Effective date: 20140109

R081 Change of applicant/patentee

Owner name: KOCISZEWSKI, JACEK, DR., DE

Free format text: FORMER OWNER: FEH GMBH,JACCK KOCIZEWSKI, , DE

Effective date: 20140109

Owner name: FEH GMBH, DE

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Owner name: FEH GMBH, DE

Free format text: FORMER OWNERS: FEH GMBH, 48432 RHEINE, DE; KOCIZEWSKI, JACCK, DR., 58332 SCHWELM, DE

Effective date: 20140109

Owner name: KOCISZEWSKI, JACEK, DR., DE

Free format text: FORMER OWNERS: FEH GMBH, 48432 RHEINE, DE; KOCIZEWSKI, JACCK, DR., 58332 SCHWELM, DE

Effective date: 20140109

R150 Utility model maintained after payment of first maintenance fee after three years
R157 Lapse of ip right after 6 years