ES2927351T3 - Instrumentos quirúrgicos de articulación - Google Patents
Instrumentos quirúrgicos de articulación Download PDFInfo
- Publication number
- ES2927351T3 ES2927351T3 ES19705233T ES19705233T ES2927351T3 ES 2927351 T3 ES2927351 T3 ES 2927351T3 ES 19705233 T ES19705233 T ES 19705233T ES 19705233 T ES19705233 T ES 19705233T ES 2927351 T3 ES2927351 T3 ES 2927351T3
- Authority
- ES
- Spain
- Prior art keywords
- articulation
- shaft
- locking
- cam
- 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.)
- Active
Links
- 230000033001 locomotion Effects 0.000 claims description 64
- 238000005452 bending Methods 0.000 claims description 49
- 238000013519 translation Methods 0.000 abstract description 2
- 206010061258 Joint lock Diseases 0.000 abstract 1
- 239000000463 material Substances 0.000 description 25
- 238000006073 displacement reaction Methods 0.000 description 22
- 238000000034 method Methods 0.000 description 16
- 230000006835 compression Effects 0.000 description 12
- 238000007906 compression Methods 0.000 description 12
- 230000007246 mechanism Effects 0.000 description 11
- 210000001519 tissue Anatomy 0.000 description 6
- 239000004744 fabric Substances 0.000 description 5
- 230000008439 repair process Effects 0.000 description 5
- 239000000853 adhesive Substances 0.000 description 4
- 230000001070 adhesive effect Effects 0.000 description 4
- 230000008901 benefit Effects 0.000 description 3
- 238000004873 anchoring Methods 0.000 description 2
- 230000000712 assembly Effects 0.000 description 2
- 238000000429 assembly Methods 0.000 description 2
- 230000008878 coupling Effects 0.000 description 2
- 238000010168 coupling process Methods 0.000 description 2
- 238000005859 coupling reaction Methods 0.000 description 2
- 239000012636 effector Substances 0.000 description 2
- 238000002357 laparoscopic surgery Methods 0.000 description 2
- 238000012544 monitoring process Methods 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 235000004936 Bromus mango Nutrition 0.000 description 1
- 206010019909 Hernia Diseases 0.000 description 1
- 240000007228 Mangifera indica Species 0.000 description 1
- 235000014826 Mangifera indica Nutrition 0.000 description 1
- 235000009184 Spondias indica Nutrition 0.000 description 1
- 230000004913 activation Effects 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000005540 biological transmission Effects 0.000 description 1
- 230000000903 blocking effect Effects 0.000 description 1
- 210000000988 bone and bone Anatomy 0.000 description 1
- 238000005266 casting Methods 0.000 description 1
- 238000010276 construction Methods 0.000 description 1
- 230000003247 decreasing effect Effects 0.000 description 1
- 230000001419 dependent effect Effects 0.000 description 1
- 230000036512 infertility Effects 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 230000014759 maintenance of location Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000000465 moulding Methods 0.000 description 1
- 230000007935 neutral effect Effects 0.000 description 1
- 238000004806 packaging method and process Methods 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 230000005855 radiation Effects 0.000 description 1
- 230000004044 response Effects 0.000 description 1
- 238000011477 surgical intervention Methods 0.000 description 1
- 230000001960 triggered effect Effects 0.000 description 1
- 238000003466 welding Methods 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
- 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
- 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
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
-
- 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
- A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
- A61B17/128—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord for applying or removing clamps or clips
- A61B17/1285—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord for applying or removing clamps or clips 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
-
- 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
-
- 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
-
- 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
- A61B2017/00407—Ratchet means
-
- 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
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0409—Instruments for applying suture anchors
-
- 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
- A61B2017/2912—Handles transmission of forces to actuating rod or piston
- A61B2017/2913—Handles transmission of forces to actuating rod or piston cams or guiding means
-
- 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
-
- 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
- A61B2090/0807—Indication means
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Ophthalmology & Optometry (AREA)
- Surgical Instruments (AREA)
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US15/867,130 US11134928B2 (en) | 2018-01-10 | 2018-01-10 | Articulating surgical instruments |
| PCT/US2019/012145 WO2019139811A1 (en) | 2018-01-10 | 2019-01-03 | Articulating surgical instruments |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| ES2927351T3 true ES2927351T3 (es) | 2022-11-04 |
Family
ID=65411911
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| ES19705233T Active ES2927351T3 (es) | 2018-01-10 | 2019-01-03 | Instrumentos quirúrgicos de articulación |
Country Status (8)
| Country | Link |
|---|---|
| US (1) | US11134928B2 (cg-RX-API-DMAC10.html) |
| EP (1) | EP3737309B1 (cg-RX-API-DMAC10.html) |
| JP (1) | JP7337070B2 (cg-RX-API-DMAC10.html) |
| CN (1) | CN111601561B (cg-RX-API-DMAC10.html) |
| AU (1) | AU2019206351B2 (cg-RX-API-DMAC10.html) |
| CA (1) | CA3087074A1 (cg-RX-API-DMAC10.html) |
| ES (1) | ES2927351T3 (cg-RX-API-DMAC10.html) |
| WO (1) | WO2019139811A1 (cg-RX-API-DMAC10.html) |
Families Citing this family (11)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| KR102408106B1 (ko) | 2014-12-05 | 2022-06-15 | 포티메딕스 에셋츠 Ii 비.브이. | 조종가능한 기구와, 그 제공 방법 |
| NL2019175B1 (en) | 2017-07-04 | 2019-01-14 | Fortimedix Surgical B V | Steerable instrument comprising a radial spacers between coaxial cylindrical elements |
| 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 |
| NL2021823B1 (en) | 2018-10-16 | 2020-05-13 | Fortimedix Assets Ii B V | Steerable instrument comprising a tube element |
| US12544096B2 (en) | 2019-04-01 | 2026-02-10 | Fortimedix Assets Ii B.V. | Steerable instrument comprising a hinge with a slotted structure |
| JP7555956B2 (ja) | 2019-04-08 | 2024-09-25 | フォーティメディックス・アセッツ・ザ・セカンド・ビー．ブイ． | 取り外し可能な部分を備えるステアリング可能な器具 |
| JP7555957B2 (ja) | 2019-04-08 | 2024-09-25 | フォーティメディックス・アセッツ・ザ・セカンド・ビー．ブイ． | 取り外し可能な部分を備えるステアリング可能な器具 |
| CN111214267B (zh) * | 2020-01-20 | 2021-01-12 | 盈甲医疗科技(北京)有限公司 | 电动弯转失效补救装置及其电动吻合器 |
| CN117295455A (zh) * | 2021-05-13 | 2023-12-26 | 柯惠有限合伙公司 | 用于手术装置的铰接机构 |
| CN113440184B (zh) * | 2021-08-12 | 2022-07-26 | 吉林大学 | 一种手控式柔性微创手术器械 |
Family Cites Families (33)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US3802440A (en) | 1972-12-19 | 1974-04-09 | M Salem | Intubation guide |
| 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 |
| JP2005046272A (ja) * | 2003-07-31 | 2005-02-24 | Olympus Corp | 内視鏡用処置具 |
| 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 |
| DE602005018444D1 (de) | 2005-04-07 | 2010-02-04 | Creganna Technologies Ltd | Lenkbare Katheteranordnung |
| WO2008045376A2 (en) * | 2006-10-05 | 2008-04-17 | Tyco Healthcare Group Lp | Axial stitching device |
| ATE435613T1 (de) * | 2006-10-06 | 2009-07-15 | Ethicon Endo Surgery Inc | Verbesserungen betreffend einen applikator zum anbringen von anastomosenringen |
| AU2007231733B2 (en) | 2006-11-28 | 2014-03-13 | Cathrx Ltd | A catheter steering system |
| US9707003B2 (en) * | 2007-10-02 | 2017-07-18 | Covidien Lp | Articulating surgical instrument |
| CN104337491B (zh) | 2008-03-10 | 2016-08-17 | 福蒂美迪克斯外科医疗器材有限公司 | 器具及其制造方法 |
| GB2466180B (en) * | 2008-12-05 | 2013-07-10 | Surgical Innovations Ltd | Surgical instrument, handle for a surgical instrument and surgical instrument system |
| DE102009042491A1 (de) * | 2009-05-29 | 2010-12-02 | Aesculap Ag | Chirurgisches Instrument |
| US8132706B2 (en) | 2009-06-05 | 2012-03-13 | Tyco Healthcare Group Lp | Surgical stapling apparatus having articulation mechanism |
| CA2764859C (en) | 2009-06-24 | 2018-09-25 | Shifamed, Llc | Steerable medical delivery devices and methods of use |
| AU2010303390B2 (en) * | 2009-10-09 | 2015-05-14 | Ethicon Endo-Surgery, Inc. | Surgical instrument |
| EP2579786B1 (en) * | 2010-06-09 | 2017-11-01 | C.R. Bard Inc. | Instruments for delivering transfascial sutures and transfascial suture assemblies |
| US20120078244A1 (en) * | 2010-09-24 | 2012-03-29 | Worrell Barry C | Control features for articulating surgical device |
| US8940005B2 (en) * | 2011-08-08 | 2015-01-27 | Gyrus Ent L.L.C. | Locking flexible surgical instruments |
| 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 |
| US9332987B2 (en) * | 2013-03-14 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Control arrangements for a drive member of a surgical instrument |
| US9629629B2 (en) * | 2013-03-14 | 2017-04-25 | Ethicon Endo-Surgey, LLC | Control systems for surgical instruments |
| US20150099997A1 (en) | 2013-10-03 | 2015-04-09 | Oz Cabiri | Steering tool |
| US9693774B2 (en) * | 2014-06-25 | 2017-07-04 | Ethicon Llc | Pivotable articulation joint unlocking feature for surgical stapler |
| US10085748B2 (en) * | 2014-12-18 | 2018-10-02 | Ethicon Llc | Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors |
| US10405863B2 (en) * | 2015-06-18 | 2019-09-10 | Ethicon Llc | Movable firing beam support arrangements for articulatable surgical instruments |
| US11000279B2 (en) * | 2017-06-28 | 2021-05-11 | Ethicon Llc | Surgical instrument comprising an articulation system ratio |
| US11103234B2 (en) * | 2018-01-10 | 2021-08-31 | C.R. Bard, Inc. | Articulating surgical instruments |
| US10779813B2 (en) * | 2018-01-10 | 2020-09-22 | C.R. Bard, Inc. | Articulating surgical instruments |
-
2018
- 2018-01-10 US US15/867,130 patent/US11134928B2/en active Active
-
2019
- 2019-01-03 ES ES19705233T patent/ES2927351T3/es active Active
- 2019-01-03 EP EP19705233.5A patent/EP3737309B1/en active Active
- 2019-01-03 CN CN201980007677.9A patent/CN111601561B/zh active Active
- 2019-01-03 WO PCT/US2019/012145 patent/WO2019139811A1/en not_active Ceased
- 2019-01-03 JP JP2020535605A patent/JP7337070B2/ja active Active
- 2019-01-03 AU AU2019206351A patent/AU2019206351B2/en active Active
- 2019-01-03 CA CA3087074A patent/CA3087074A1/en active Pending
Also Published As
| Publication number | Publication date |
|---|---|
| WO2019139811A8 (en) | 2019-08-15 |
| US11134928B2 (en) | 2021-10-05 |
| CN111601561B (zh) | 2024-02-02 |
| EP3737309B1 (en) | 2022-06-29 |
| US20190209147A1 (en) | 2019-07-11 |
| AU2019206351B2 (en) | 2024-04-04 |
| JP2021510099A (ja) | 2021-04-15 |
| JP7337070B2 (ja) | 2023-09-01 |
| AU2019206351A1 (en) | 2020-07-23 |
| EP3737309A1 (en) | 2020-11-18 |
| CN111601561A (zh) | 2020-08-28 |
| WO2019139811A1 (en) | 2019-07-18 |
| CA3087074A1 (en) | 2019-07-18 |
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