ES2120449T3 - Dispositivo de retraccion para la cirujia endoscopica. - Google Patents

Dispositivo de retraccion para la cirujia endoscopica.

Info

Publication number
ES2120449T3
ES2120449T3 ES92913692T ES92913692T ES2120449T3 ES 2120449 T3 ES2120449 T3 ES 2120449T3 ES 92913692 T ES92913692 T ES 92913692T ES 92913692 T ES92913692 T ES 92913692T ES 2120449 T3 ES2120449 T3 ES 2120449T3
Authority
ES
Spain
Prior art keywords
inflatable
retractor
chamber
retraction device
distal end
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
ES92913692T
Other languages
English (en)
Inventor
Frederic H Moll
Albert K Chin
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.)
Origin Medsystems LLC
Original Assignee
Origin Medsystems LLC
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 US07/794,590 external-priority patent/US5309896A/en
Priority claimed from US07/877,995 external-priority patent/US5361752A/en
Application filed by Origin Medsystems LLC filed Critical Origin Medsystems LLC
Application granted granted Critical
Publication of ES2120449T3 publication Critical patent/ES2120449T3/es
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
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • 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
    • A61B17/02—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
    • A61B17/0281—Abdominal wall lifters
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/22031—Gripping instruments, e.g. forceps, for removing or smashing calculi
    • A61B17/22032—Gripping instruments, e.g. forceps, for removing or smashing calculi having inflatable gripping elements
    • 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
    • A61B90/50—Supports for surgical instruments, e.g. articulated arms
    • 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
    • A61B17/3462—Trocars; Puncturing needles with means for changing the diameter or the orientation of the entrance port of the cannula, e.g. for use with different-sized instruments, reduction ports, adapter seals
    • 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
    • A61B2017/00238—Type of minimally invasive operation
    • A61B2017/00261—Discectomy
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00535—Surgical instruments, devices or methods pneumatically or hydraulically operated
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00535—Surgical instruments, devices or methods pneumatically or hydraulically operated
    • A61B2017/00557—Surgical instruments, devices or methods pneumatically or hydraulically operated inflatable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/30—Surgical pincettes, i.e. surgical tweezers without pivotal connections
    • A61B2017/306—Surgical pincettes, i.e. surgical tweezers without pivotal connections holding by means of suction
    • 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
    • A61B2017/320044—Blunt dissectors
    • A61B2017/320048—Balloon dissectors
    • 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
    • A61B2017/348—Means for supporting the trocar against the body or retaining the trocar inside the body
    • A61B2017/3482—Means for supporting the trocar against the body or retaining the trocar inside the body inside
    • A61B2017/3484—Anchoring means, e.g. spreading-out umbrella-like structure
    • A61B2017/3486—Balloon
    • 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
    • A61B90/30—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
    • A61B2090/306—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure using optical fibres

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)
  • Oral & Maxillofacial Surgery (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Vascular Medicine (AREA)
  • Surgical Instruments (AREA)
  • Endoscopes (AREA)

Abstract

UN PRIMER DISPOSITIVO DE RETRACCION TIENE UNA PRIMERA CAMARA INFLABLE (5) Y UNA CAMARA NO PRESURIZADA (13) DENTRO DE LA CAMARA PRINCIPAL. LA CAMARA NO PRESURIZADA SE EXPANDE A TRAVES DEL INFLAMIENTO DE UNA SEGUNDA CAMARA INFLABLE (25). LA CAMARA NO PRESURIZADA CAPACITA A LA CAMARA PRINCIPAL A PERMANECER INFLADA CUANDO LA ABERTURA SE CORTA EN LA CUBIERTA DE LA CAMARA PRINCIPAL, A TRAVES DE LA CUAL SE LLEVA A CABO DICHO TRATAMIENTO. UN SEGUNDO DISPOSITIVO DE RETRACCION INFLABLE TIENE UN RETRACTOR INFLABLE (103) Y UN MANTENEDOR (107). EL RETRACTOR INFLABLE RETRACTA EL ORGANO Y EL MANTENEDOR MANTIENE EL ORGANO EN SU ESTADO RETRAIDO DESPUES DE QUE EL RETRACTOR INFLABLE SE DESINFLA. EL MANTENEDOR PUEDE SER INFLABLE, Y PUEDE ESTAR DENTRO O FUERA DEL RETRACTOR INFLABLE. UN ENDOSCOPIO (201) AUTORETRACTANTE TIENE UN MONTAJE OPTICO CON UN RETRACTOR EXPANDIBLE (211) FIJADO A SU EXTREMO DISTAL. EL EXTREMO DISTAL DEL ENDOSCOPIO SE INSERTA DENTRO DEL CUERPO CON EL RETRACTOR EN UN ESTADO COLAPSADO. EL RETRACTOR LUEGO SE EXPANDE PARA RETRAER LOS ORGANOS QUE DE OTRA MANERA OBSTRUIRIAN LA VISTA DESDE EL EXTREMO DISTAL DEL MONTAJE OPTICO. DESPUES DE QUE LAS OBSERVACIONES SE COMPLETAN, EL RETRACTOR VUELVE A SU ESTADO COLAPSADO. UN TUBO DE INSERCION (234) CAPACITA A OBJETOS CILINDRICOS, COMO POR EJEMPLO DISPOSITIVOS DE RETRACCION INFLABLES EMPAQUETADOS, PARA TIRAR DE ELLOS, EN LUGAR DE PRESIONARLOS, DENTRO DEL CUERPO. LA CAMARA ADICIONAL DE UN DISPOSITIVO DE RETRACCION INFLABLE QUE TIENE DOS CAMARAS INFLABLES SE RELLENA CON UN COMPUESTO ACUOSO DE UN SOLIDO PARTICULADO EN UN LIQUIDO. EL LIQUIDO SE REMUEVE Y LA CAMARA ADICIONAL SE EVACUA PARA CONSOLIDAR EL SOLIDO PARTICULADO. ESTO INCREMENTA LA FUERZA RETRACTORA DE LA CAMARA ADICIONAL.
ES92913692T 1991-05-29 1992-05-26 Dispositivo de retraccion para la cirujia endoscopica. Expired - Lifetime ES2120449T3 (es)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US70678191A 1991-05-29 1991-05-29
US07/794,590 US5309896A (en) 1991-05-29 1991-11-19 Retraction methods using endoscopic inflatable retraction devices
US07/877,995 US5361752A (en) 1991-05-29 1992-05-04 Retraction apparatus and methods for endoscopic surgery

Publications (1)

Publication Number Publication Date
ES2120449T3 true ES2120449T3 (es) 1998-11-01

Family

ID=27418811

Family Applications (1)

Application Number Title Priority Date Filing Date
ES92913692T Expired - Lifetime ES2120449T3 (es) 1991-05-29 1992-05-26 Dispositivo de retraccion para la cirujia endoscopica.

Country Status (11)

Country Link
US (3) US5450843A (es)
EP (2) EP0637223B1 (es)
JP (1) JP3307392B2 (es)
AT (1) ATE168545T1 (es)
AU (2) AU2185192A (es)
CA (1) CA2109714A1 (es)
DE (1) DE69226375T2 (es)
DK (1) DK0637223T3 (es)
ES (1) ES2120449T3 (es)
MX (1) MX9202601A (es)
WO (1) WO1992021292A2 (es)

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EP0637223B1 (en) 1998-07-22
AU6198596A (en) 1996-10-24
US5743851A (en) 1998-04-28
CA2109714A1 (en) 1992-12-10
JPH06507809A (ja) 1994-09-08
EP0835639A2 (en) 1998-04-15
DE69226375D1 (de) 1998-08-27
DK0637223T3 (da) 1999-04-26
MX9202601A (es) 1994-05-31
AU695823B2 (en) 1998-08-20
WO1992021292A2 (en) 1992-12-10
AU2185192A (en) 1993-01-08
ATE168545T1 (de) 1998-08-15
JP3307392B2 (ja) 2002-07-24
US5450843A (en) 1995-09-19
WO1992021292A3 (en) 1993-02-18
EP0835639A3 (en) 1999-04-07
EP0637223A1 (en) 1995-02-08
DE69226375T2 (de) 1998-12-03
US5522790A (en) 1996-06-04

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