ES2668307T3 - Instrumentos quirúrgicos articulados y métodos para desplegar los mismos - Google Patents
Instrumentos quirúrgicos articulados y métodos para desplegar los mismos Download PDFInfo
- Publication number
- ES2668307T3 ES2668307T3 ES13800467.6T ES13800467T ES2668307T3 ES 2668307 T3 ES2668307 T3 ES 2668307T3 ES 13800467 T ES13800467 T ES 13800467T ES 2668307 T3 ES2668307 T3 ES 2668307T3
- Authority
- ES
- Spain
- Prior art keywords
- articulation
- segment
- surgical tool
- support element
- activation element
- 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.)
- Active
Links
- 238000000034 method Methods 0.000 title description 21
- 230000004913 activation Effects 0.000 claims abstract description 152
- 230000007246 mechanism Effects 0.000 claims abstract description 98
- 238000004891 communication Methods 0.000 claims abstract description 11
- 230000004044 response Effects 0.000 claims abstract description 9
- 239000000523 sample Substances 0.000 claims description 92
- 239000000463 material Substances 0.000 claims description 46
- 229920003023 plastic Polymers 0.000 claims description 24
- 239000004033 plastic Substances 0.000 claims description 24
- 239000002184 metal Substances 0.000 claims description 23
- 229910001220 stainless steel Inorganic materials 0.000 claims description 22
- 229920000106 Liquid crystal polymer Polymers 0.000 claims description 20
- 239000004977 Liquid-crystal polymers (LCPs) Substances 0.000 claims description 20
- 239000004800 polyvinyl chloride Substances 0.000 claims description 20
- 229920000915 polyvinyl chloride Polymers 0.000 claims description 20
- 239000010935 stainless steel Substances 0.000 claims description 20
- 229920001169 thermoplastic Polymers 0.000 claims description 20
- 238000002955 isolation Methods 0.000 claims description 16
- 230000005855 radiation Effects 0.000 claims description 7
- 239000008280 blood Substances 0.000 claims description 6
- 210000004369 blood Anatomy 0.000 claims description 6
- 229920001971 elastomer Polymers 0.000 claims description 6
- 239000000835 fiber Substances 0.000 claims description 6
- 238000010438 heat treatment Methods 0.000 claims description 6
- 230000003014 reinforcing effect Effects 0.000 claims description 6
- 238000002679 ablation Methods 0.000 claims description 5
- 230000006835 compression Effects 0.000 claims description 5
- 238000007906 compression Methods 0.000 claims description 5
- 238000012377 drug delivery Methods 0.000 claims description 5
- 210000004185 liver Anatomy 0.000 claims description 5
- 210000003813 thumb Anatomy 0.000 claims description 5
- OKTJSMMVPCPJKN-UHFFFAOYSA-N Carbon Chemical compound [C] OKTJSMMVPCPJKN-UHFFFAOYSA-N 0.000 claims description 4
- 229920006362 Teflon® Polymers 0.000 claims description 4
- 230000000903 blocking effect Effects 0.000 claims description 4
- 238000000576 coating method Methods 0.000 claims description 4
- 239000010439 graphite Substances 0.000 claims description 4
- 229910002804 graphite Inorganic materials 0.000 claims description 4
- 239000000853 adhesive Substances 0.000 claims description 3
- 230000001070 adhesive effect Effects 0.000 claims description 3
- 239000011248 coating agent Substances 0.000 claims description 3
- 230000008878 coupling Effects 0.000 claims description 3
- 238000010168 coupling process Methods 0.000 claims description 3
- 238000005859 coupling reaction Methods 0.000 claims description 3
- 239000000806 elastomer Substances 0.000 claims description 3
- 239000006260 foam Substances 0.000 claims description 3
- 210000004417 patella Anatomy 0.000 claims description 3
- 229920000642 polymer Polymers 0.000 claims description 3
- 239000004809 Teflon Substances 0.000 claims description 2
- 230000007704 transition Effects 0.000 description 28
- 102100040079 A-kinase anchor protein 4 Human genes 0.000 description 10
- 101100490737 Mus musculus Akap4 gene Proteins 0.000 description 10
- 101000906396 Mus musculus Glutathione S-transferase Mu 5 Proteins 0.000 description 10
- -1 polytetrafluoroethylene Polymers 0.000 description 9
- 229920001343 polytetrafluoroethylene Polymers 0.000 description 9
- 239000004810 polytetrafluoroethylene Substances 0.000 description 9
- 238000005452 bending Methods 0.000 description 3
- 230000008859 change Effects 0.000 description 3
- 238000012546 transfer Methods 0.000 description 3
- 229920002614 Polyether block amide Polymers 0.000 description 2
- 238000001125 extrusion Methods 0.000 description 2
- 239000013307 optical fiber Substances 0.000 description 2
- 230000002787 reinforcement Effects 0.000 description 2
- 230000035939 shock Effects 0.000 description 2
- 238000013519 translation Methods 0.000 description 2
- 230000000747 cardiac effect Effects 0.000 description 1
- 239000004020 conductor Substances 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 239000012530 fluid Substances 0.000 description 1
- 230000003116 impacting effect Effects 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 150000002500 ions Chemical class 0.000 description 1
- 239000007788 liquid Substances 0.000 description 1
- 238000004020 luminiscence type Methods 0.000 description 1
- HLXZNVUGXRDIFK-UHFFFAOYSA-N nickel titanium Chemical compound [Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni] HLXZNVUGXRDIFK-UHFFFAOYSA-N 0.000 description 1
- 229910001000 nickel titanium Inorganic materials 0.000 description 1
- 238000002432 robotic surgery Methods 0.000 description 1
- 238000000926 separation method Methods 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 210000001519 tissue Anatomy 0.000 description 1
- 230000008733 trauma Effects 0.000 description 1
Classifications
-
- 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
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
-
- 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
- A61B34/30—Surgical robots
-
- 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
- A61B34/70—Manipulators specially adapted for use in 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
- A61B2017/00314—Separate linked members
-
- 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
- A61B2017/00318—Steering mechanisms
- A61B2017/00323—Cables or rods
-
- 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
- A61B2017/291—Handles the position of the handle being adjustable with respect to 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
- A61B2017/2939—Details of linkages or pivot points
-
- 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
- A61B17/3421—Cannulas
- A61B2017/3445—Cannulas used as instrument channel for multiple instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/00577—Ablation
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Robotics (AREA)
- Ophthalmology & Optometry (AREA)
- Otolaryngology (AREA)
- Surgical Instruments (AREA)
Applications Claiming Priority (11)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US201261656600P | 2012-06-07 | 2012-06-07 | |
| US201261656600P | 2012-06-07 | ||
| US201261681340P | 2012-08-09 | 2012-08-09 | |
| US201261681340P | 2012-08-09 | ||
| US201361751498P | 2013-01-11 | 2013-01-11 | |
| US201361751498P | 2013-01-11 | ||
| US201361818878P | 2013-05-02 | 2013-05-02 | |
| US201361818878P | 2013-05-02 | ||
| US201361825297P | 2013-05-20 | 2013-05-20 | |
| US201361825297P | 2013-05-20 | ||
| PCT/US2013/043858 WO2013184560A1 (en) | 2012-06-07 | 2013-06-03 | Articulating surgical instruments and methods of deploying the same |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| ES2668307T3 true ES2668307T3 (es) | 2018-05-17 |
Family
ID=49712525
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| ES13800467.6T Active ES2668307T3 (es) | 2012-06-07 | 2013-06-03 | Instrumentos quirúrgicos articulados y métodos para desplegar los mismos |
Country Status (11)
| Country | Link |
|---|---|
| US (1) | US20150150633A1 (enExample) |
| EP (2) | EP3427903A1 (enExample) |
| JP (1) | JP6125011B2 (enExample) |
| KR (2) | KR20190054191A (enExample) |
| CN (1) | CN104797201B (enExample) |
| AU (2) | AU2013271906C1 (enExample) |
| BR (1) | BR112014030697A2 (enExample) |
| CA (1) | CA2874720A1 (enExample) |
| ES (1) | ES2668307T3 (enExample) |
| IN (1) | IN2014KN02955A (enExample) |
| WO (1) | WO2013184560A1 (enExample) |
Families Citing this family (19)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US10004568B2 (en) | 2013-12-30 | 2018-06-26 | Medrobotics Corporation | Articulating robotic probes |
| CA2931666C (en) * | 2014-01-13 | 2018-07-24 | Arley Perez III | Steerable surgical device with joystick |
| AU2015269245A1 (en) * | 2014-06-05 | 2017-01-12 | Medrobotics Corporation | Articulating robotic probes, systems and methods incorporating the same, and methods for performing surgical procedures |
| EP3352698B1 (en) * | 2015-09-25 | 2021-11-17 | Covidien LP | Surgical robotic assemblies and instrument adapters thereof |
| JP7252894B2 (ja) | 2017-02-28 | 2023-04-05 | ボストン サイエンティフィック サイムド，インコーポレイテッド | 関節運動する針 |
| KR102353494B1 (ko) | 2017-06-30 | 2022-01-20 | 삼성전자주식회사 | 사용자의 근접을 검출하기 위한 전자 장치 및 그의 동작 방법 |
| US20200205846A1 (en) * | 2017-07-17 | 2020-07-02 | Medrobotics Corporation | Surgical tools |
| CN107397576B (zh) * | 2017-07-24 | 2023-12-15 | 丽水市中心医院 | 用于网膜疝回复器 |
| EP3697290B1 (en) * | 2017-10-16 | 2023-03-01 | Epica International, Inc. | Robot-assisted surgical guide system for performing surgery |
| US20200261171A1 (en) | 2017-11-06 | 2020-08-20 | Medrobotics Corporation | Robotic system with articulating probe and articulating camera |
| US11457904B2 (en) | 2017-11-15 | 2022-10-04 | Steerable Instruments nv | Reduced diameter steerable instrument |
| USD874655S1 (en) | 2018-01-05 | 2020-02-04 | Medrobotics Corporation | Positioning arm for articulating robotic surgical system |
| NL2021823B1 (en) | 2018-10-16 | 2020-05-13 | Fortimedix Assets Ii B V | Steerable instrument comprising a tube element |
| WO2020092312A1 (en) * | 2018-10-30 | 2020-05-07 | Covidien Lp | Binding and non-binding articulation limits for robotic surgical systems |
| CN110772331B (zh) | 2019-04-25 | 2024-12-10 | 深圳市精锋医疗科技股份有限公司 | 手术器械 |
| DE102019121037A1 (de) * | 2019-08-05 | 2021-02-11 | Karl Storz Se & Co. Kg | Endoskopische Vorrichtung |
| EP4034016A1 (en) * | 2019-09-24 | 2022-08-03 | Boston Scientific Limited | Medical systems, devices, and related methods |
| CN114828932B (zh) * | 2019-10-23 | 2025-08-26 | 佳能美国公司 | 具有分段可弯曲区段的医学设备 |
| WO2022265772A1 (en) * | 2021-05-13 | 2022-12-22 | Epica International, Inc. | Robot-assisted surgical guide system for performing surgery |
Family Cites Families (25)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5133727A (en) * | 1990-05-10 | 1992-07-28 | Symbiosis Corporation | Radial jaw biopsy forceps |
| US5269804A (en) * | 1991-04-04 | 1993-12-14 | Symbiosis Corporation | Endoscopic colo-rectal bowel clamp |
| JPH06114000A (ja) * | 1992-09-30 | 1994-04-26 | Olympus Optical Co Ltd | 医療用マニピュレータ |
| US5947996A (en) * | 1997-06-23 | 1999-09-07 | Medicor Corporation | Yoke for surgical instrument |
| US7901399B2 (en) * | 1998-02-24 | 2011-03-08 | Hansen Medical, Inc. | Interchangeable surgical instrument |
| US7699835B2 (en) * | 2001-02-15 | 2010-04-20 | Hansen Medical, Inc. | Robotically controlled surgical instruments |
| US20030135204A1 (en) * | 2001-02-15 | 2003-07-17 | Endo Via Medical, Inc. | Robotically controlled medical instrument with a flexible section |
| US20050182298A1 (en) * | 2002-12-06 | 2005-08-18 | Intuitive Surgical Inc. | Cardiac tissue ablation instrument with flexible wrist |
| JP4980899B2 (ja) | 2004-06-25 | 2012-07-18 | カーネギー メロン ユニバーシティ | 操向可能なフォローザリーダー装置 |
| CA2586276A1 (en) * | 2004-11-08 | 2006-05-18 | The Johns Hopkins University | Bioptome |
| US20080267921A1 (en) * | 2004-11-08 | 2008-10-30 | Johns Hopkins University | Cardiac Stem Cells |
| BRPI0714489B8 (pt) | 2006-08-14 | 2021-06-22 | Cardiorobotics Inc | dispositivo multiarticulado dirigível |
| US8062306B2 (en) * | 2006-12-14 | 2011-11-22 | Ethicon Endo-Surgery, Inc. | Manually articulating devices |
| US7600663B2 (en) * | 2007-07-05 | 2009-10-13 | Green David T | Apparatus for stapling and incising tissue |
| US9707003B2 (en) * | 2007-10-02 | 2017-07-18 | Covidien Lp | Articulating surgical instrument |
| US7954685B2 (en) * | 2007-11-06 | 2011-06-07 | Tyco Healthcare Group Lp | Articulation and firing force mechanisms |
| US20090198272A1 (en) * | 2008-02-06 | 2009-08-06 | Lawrence Kerver | Method and apparatus for articulating the wrist of a laparoscopic grasping instrument |
| US8801752B2 (en) * | 2008-08-04 | 2014-08-12 | Covidien Lp | Articulating surgical device |
| US20110196418A1 (en) * | 2009-07-28 | 2011-08-11 | Salvatore Castro | Flexible medical instruments |
| WO2011127137A1 (en) * | 2010-04-06 | 2011-10-13 | Pavel Menn | Articulating steerable clip applier for laparoscopic procedures |
| EP2465446B1 (en) * | 2010-05-31 | 2014-12-17 | Olympus Medical Systems Corp. | Treatment instrument for endoscope |
| WO2012026720A2 (ko) * | 2010-08-27 | 2012-03-01 | 주식회사 이턴 | 외과 수술용 인스트루먼트 |
| US9402682B2 (en) * | 2010-09-24 | 2016-08-02 | Ethicon Endo-Surgery, Llc | Articulation joint features for articulating surgical device |
| US20120109186A1 (en) * | 2010-10-29 | 2012-05-03 | Parrott David A | Articulating laparoscopic surgical instruments |
| US9211134B2 (en) * | 2012-04-09 | 2015-12-15 | Carefusion 2200, Inc. | Wrist assembly for articulating laparoscopic surgical instruments |
-
2013
- 2013-06-03 WO PCT/US2013/043858 patent/WO2013184560A1/en not_active Ceased
- 2013-06-03 US US14/402,224 patent/US20150150633A1/en not_active Abandoned
- 2013-06-03 EP EP18166399.8A patent/EP3427903A1/en not_active Withdrawn
- 2013-06-03 ES ES13800467.6T patent/ES2668307T3/es active Active
- 2013-06-03 AU AU2013271906A patent/AU2013271906C1/en not_active Ceased
- 2013-06-03 JP JP2015525423A patent/JP6125011B2/ja active Active
- 2013-06-03 IN IN2955KON2014 patent/IN2014KN02955A/en unknown
- 2013-06-03 CA CA2874720A patent/CA2874720A1/en not_active Abandoned
- 2013-06-03 CN CN201380041318.8A patent/CN104797201B/zh not_active Expired - Fee Related
- 2013-06-03 BR BR112014030697A patent/BR112014030697A2/pt not_active Application Discontinuation
- 2013-06-03 KR KR1020197013888A patent/KR20190054191A/ko not_active Withdrawn
- 2013-06-03 EP EP13800467.6A patent/EP2858577B1/en not_active Not-in-force
- 2013-06-03 KR KR1020147036145A patent/KR20150051315A/ko not_active Abandoned
-
2018
- 2018-07-03 AU AU2018204840A patent/AU2018204840A1/en not_active Abandoned
Also Published As
| Publication number | Publication date |
|---|---|
| CN104797201A (zh) | 2015-07-22 |
| JP6125011B2 (ja) | 2017-05-10 |
| EP2858577A4 (en) | 2016-03-23 |
| AU2013271906B2 (en) | 2018-04-05 |
| JP2015523902A (ja) | 2015-08-20 |
| CN104797201B (zh) | 2019-04-12 |
| KR20150051315A (ko) | 2015-05-12 |
| EP2858577A1 (en) | 2015-04-15 |
| EP3427903A1 (en) | 2019-01-16 |
| AU2018204840A1 (en) | 2018-07-19 |
| AU2013271906A1 (en) | 2015-01-15 |
| AU2013271906C1 (en) | 2018-08-02 |
| CA2874720A1 (en) | 2013-12-12 |
| KR20190054191A (ko) | 2019-05-21 |
| WO2013184560A1 (en) | 2013-12-12 |
| IN2014KN02955A (enExample) | 2015-05-08 |
| BR112014030697A2 (pt) | 2017-06-27 |
| US20150150633A1 (en) | 2015-06-04 |
| EP2858577B1 (en) | 2018-04-11 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| EP2858577B1 (en) | Articulating surgical instruments and methods of deploying the same | |
| AU2017200905B2 (en) | Articulating surgical tools and tool sheaths, and methods of deploying the same | |
| US11324528B2 (en) | Steerable medical device | |
| ES2550666T3 (es) | Instrumento electroquirúrgico articulable con un accionador de articulación estabilizable | |
| ES2658968T3 (es) | Dispositivo de sonda articulado extensible | |
| ES2960531T3 (es) | Dispositivo médico dirigible | |
| ES2662543T3 (es) | Instrumento médico articulado | |
| EP2240095B1 (en) | Apparatus for articulating the wrist of a laparoscopic grasping instrument |