DE69738661T2 - Instrument zum Schneiden von Gewebe - Google Patents

Instrument zum Schneiden von Gewebe Download PDF

Info

Publication number
DE69738661T2
DE69738661T2 DE69738661T DE69738661T DE69738661T2 DE 69738661 T2 DE69738661 T2 DE 69738661T2 DE 69738661 T DE69738661 T DE 69738661T DE 69738661 T DE69738661 T DE 69738661T DE 69738661 T2 DE69738661 T2 DE 69738661T2
Authority
DE
Germany
Prior art keywords
blade
tissue
vibration coupler
longitudinal axis
surgical instrument
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.)
Expired - Lifetime
Application number
DE69738661T
Other languages
German (de)
English (en)
Other versions
DE69738661D1 (de
Inventor
Ronald Valley Stream MANNA
Scott Deer Park ISOLA
H. Jonathan Bethel Tovey
Dominick L. Bridgeport Mastri
Corbett W. San Diego Stone
Ernie Easton Aranyi
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.)
United States Surgical Corp
Original Assignee
United States Surgical Corp
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
Priority claimed from US08/911,207 external-priority patent/US6036667A/en
Application filed by United States Surgical Corp filed Critical United States Surgical Corp
Application granted granted Critical
Publication of DE69738661D1 publication Critical patent/DE69738661D1/de
Publication of DE69738661T2 publication Critical patent/DE69738661T2/de
Anticipated expiration legal-status Critical
Expired - Lifetime 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
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
    • 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
    • A61B2017/2933—Transmission of forces to jaw members camming or guiding means
    • 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
    • A61B2017/2933—Transmission of forces to jaw members camming or guiding means
    • A61B2017/2936—Pins in guiding slots
    • 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
    • A61B2017/2944—Translation of jaw members
    • 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
    • A61B2017/2948—Sealing means, e.g. for sealing the interior from fluid entry
    • 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
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B2017/320072—Working tips with special features, e.g. extending parts
    • A61B2017/320074—Working tips with special features, e.g. extending parts blade
    • A61B2017/320075—Working tips with special features, e.g. extending parts blade single edge blade, e.g. for cutting
    • 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
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
    • A61B2017/320093—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw additional movable means performing cutting operation
    • 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
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
    • A61B2017/320094—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw additional movable means performing clamping operation
    • 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
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
    • A61B2017/320095—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw with sealing or cauterizing means

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Mechanical Engineering (AREA)
  • Biomedical Technology (AREA)
  • Dentistry (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
DE69738661T 1996-10-04 1997-09-30 Instrument zum Schneiden von Gewebe Expired - Lifetime DE69738661T2 (de)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US2759996P 1996-10-04 1996-10-04
US27599P 1996-10-04
US911207 1997-08-14
US08/911,207 US6036667A (en) 1996-10-04 1997-08-14 Ultrasonic dissection and coagulation system

Publications (2)

Publication Number Publication Date
DE69738661D1 DE69738661D1 (de) 2008-06-12
DE69738661T2 true DE69738661T2 (de) 2009-05-28

Family

ID=26702683

Family Applications (1)

Application Number Title Priority Date Filing Date
DE69738661T Expired - Lifetime DE69738661T2 (de) 1996-10-04 1997-09-30 Instrument zum Schneiden von Gewebe

Country Status (7)

Country Link
EP (1) EP1009300B8 (enExample)
JP (5) JP2001524842A (enExample)
AU (1) AU4603697A (enExample)
CA (1) CA2267385C (enExample)
DE (1) DE69738661T2 (enExample)
ES (4) ES2304035T3 (enExample)
WO (1) WO1998014126A1 (enExample)

Families Citing this family (19)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5873873A (en) * 1997-10-10 1999-02-23 Ethicon Endo-Surgery, Inc. Ultrasonic clamp coagulator apparatus having improved clamp mechanism
US6214023B1 (en) 1999-06-21 2001-04-10 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instrument with removable clamp arm
JP4233742B2 (ja) 1999-10-05 2009-03-04 エシコン・エンド−サージェリィ・インコーポレイテッド 超音波外科用器具と共に使用される湾曲クランプアームと組織パッドの連結
US6325811B1 (en) 1999-10-05 2001-12-04 Ethicon Endo-Surgery, Inc. Blades with functional balance asymmetries for use with ultrasonic surgical instruments
US6458142B1 (en) 1999-10-05 2002-10-01 Ethicon Endo-Surgery, Inc. Force limiting mechanism for an ultrasonic surgical instrument
US6984237B2 (en) 2002-05-22 2006-01-10 Orthopaedic Biosystems Ltd., Inc. Suture passing surgical instrument
AU2005262460B2 (en) 2004-06-16 2011-12-15 Smith & Nephew, Inc. Suture passing
US8785193B2 (en) 2006-09-14 2014-07-22 The United States Of America, As Represented By The Secretary Of The Department Of Health And Human Services Dissection tool and methods of use
JP5379501B2 (ja) 2008-06-19 2013-12-25 オリンパスメディカルシステムズ株式会社 超音波処置具
CN102639075B (zh) 2010-02-12 2014-10-22 奥林巴斯医疗株式会社 超声波处理器具
US8556916B2 (en) 2011-02-14 2013-10-15 Smith & Nephew, Inc. Method and device for suture manipulation
CN105943121B (zh) 2011-10-26 2018-05-25 奥林巴斯株式会社 超声波处理器具
US9943325B2 (en) * 2013-11-26 2018-04-17 Ethicon Llc Handpiece and blade configurations for ultrasonic surgical instrument
CN106456155A (zh) 2014-04-24 2017-02-22 史密夫和内修有限公司 缝线穿引器
US10285724B2 (en) * 2014-07-31 2019-05-14 Ethicon Llc Actuation mechanisms and load adjustment assemblies for surgical instruments
JP2018113997A (ja) * 2015-05-27 2018-07-26 オリンパス株式会社 外科手術装置
CN109843187B (zh) 2016-10-31 2022-12-06 史密夫和内修有限公司 缝线穿引器和抓取器器械和方法
CN111936067A (zh) * 2018-02-08 2020-11-13 伍德韦尔丁公司 由超声焊极和导向套管构成的系统
CN113520530B (zh) * 2021-07-02 2025-10-31 喀秋莎(厦门)医疗科技有限公司 超声切割止血刀用刀杆

Family Cites Families (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3086288A (en) * 1955-04-20 1963-04-23 Cavitron Ultrasonics Inc Ultrasonically vibrated cutting knives
US3636943A (en) 1967-10-27 1972-01-25 Ultrasonic Systems Ultrasonic cauterization
JPS478388Y1 (enExample) * 1968-08-10 1972-03-31
DE2032501A1 (de) * 1970-07-01 1972-01-05 Kloz, Eduard; Kloz, Heinz; 7211 Hausen Vorrichtung zur Unschädlichmachung vorzugsweise von Blasen-, Urether- und Nierenbeckensteinen
CH541958A (de) * 1970-11-03 1973-09-30 Eduard Kloz & Heinz Kloz Vorrichtung zum Zertrümmern von Blasen-, Urether- und Nierenbeckensteinen mittels Ultraschall
US4522206A (en) * 1983-01-26 1985-06-11 Dyonics, Inc. Surgical instrument
US4989588A (en) * 1986-03-10 1991-02-05 Olympus Optical Co., Ltd. Medical treatment device utilizing ultrasonic wave
US5057098A (en) * 1987-05-01 1991-10-15 Ophthalmocare, Inc. Apparatus and method for extracting cataract tissue
JPH02286149A (ja) * 1989-04-27 1990-11-26 Sumitomo Bakelite Co Ltd 外科手術装置
ATE131370T1 (de) * 1989-08-16 1995-12-15 Raychem Corp Anordnung zum greifen oder schneiden eines gegenstandes
US5322055B1 (en) * 1993-01-27 1997-10-14 Ultracision Inc Clamp coagulator/cutting system for ultrasonic surgical instruments
US5792165A (en) * 1993-07-21 1998-08-11 Charles H. Klieman Endoscopic instrument with detachable end effector
AU701320B2 (en) * 1994-12-22 1999-01-28 Ethicon Endo-Surgery, Inc. Impedance feedback monitor with query electrode for electrosurgical instrument

Also Published As

Publication number Publication date
CA2267385A1 (en) 1998-04-09
CA2267385C (en) 2006-06-13
ES2260800T3 (es) 2006-11-01
ES2511290T3 (es) 2014-10-22
EP1009300B1 (en) 2006-05-24
EP1009300B8 (en) 2006-08-23
JP2012024603A (ja) 2012-02-09
JP2016026075A (ja) 2016-02-12
JP2001524842A (ja) 2001-12-04
JP5855185B2 (ja) 2016-02-09
ES2409267T3 (es) 2013-06-26
DE69738661D1 (de) 2008-06-12
JP2014239919A (ja) 2014-12-25
JP2013188503A (ja) 2013-09-26
EP1009300A1 (en) 2000-06-21
ES2304035T3 (es) 2008-09-01
AU4603697A (en) 1998-04-24
WO1998014126A1 (en) 1998-04-09

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