JP2000511788A - 経皮的外科手術用装置及び方法 - Google Patents
経皮的外科手術用装置及び方法Info
- Publication number
- JP2000511788A JP2000511788A JP09532098A JP53209897A JP2000511788A JP 2000511788 A JP2000511788 A JP 2000511788A JP 09532098 A JP09532098 A JP 09532098A JP 53209897 A JP53209897 A JP 53209897A JP 2000511788 A JP2000511788 A JP 2000511788A
- Authority
- JP
- Japan
- Prior art keywords
- cannula
- bore
- working
- viewing
- holder
- 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.)
- Pending
Links
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M29/00—Dilators with or without means for introducing media, e.g. remedies
-
- 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
- A61B17/34—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
- A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
- A61B17/1662—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans for particular parts of the body
- A61B17/1671—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans for particular parts of the body for the spine
-
- 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
- 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
- A61B2017/00296—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means mounted on an endoscope
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/0046—Surgical instruments, devices or methods with a releasable handle; with handle and operating part separable
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/0046—Surgical instruments, devices or methods with a releasable handle; with handle and operating part separable
- A61B2017/00469—Surgical instruments, devices or methods with a releasable handle; with handle and operating part separable for insertion of instruments, e.g. guide wire, optical fibre
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00477—Coupling
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- 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
- A61B17/00—Surgical instruments, devices or methods
- A61B17/34—Trocars; Puncturing needles
- A61B2017/347—Locking means, e.g. for locking instrument in cannula
-
- 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
- A61B90/06—Measuring instruments not otherwise provided for
- A61B2090/062—Measuring instruments not otherwise provided for penetration depth
-
- 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
-
- 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
- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
- A61B90/361—Image-producing devices, e.g. surgical cameras
- A61B2090/3614—Image-producing devices, e.g. surgical cameras using optical fibre
-
- 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
- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
- A61B90/37—Surgical systems with images on a monitor during operation
- A61B2090/373—Surgical systems with images on a monitor during operation using light, e.g. by using optical scanners
-
- 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
- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
- A61B90/361—Image-producing devices, e.g. surgical cameras
-
- 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
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- Medical Informatics (AREA)
- Pathology (AREA)
- Molecular Biology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Anesthesiology (AREA)
- Hematology (AREA)
- Surgical Instruments (AREA)
- Media Introduction/Drainage Providing Device (AREA)
- External Artificial Organs (AREA)
- Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)
- Medicinal Preparation (AREA)
- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
Applications Claiming Priority (5)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US08/620,933 | 1996-03-22 | ||
| US08/620,933 US5792044A (en) | 1996-03-22 | 1996-03-22 | Devices and methods for percutaneous surgery |
| US08/736,626 US5902231A (en) | 1996-03-22 | 1996-10-24 | Devices and methods for percutaneous surgery |
| US08/736,626 | 1996-10-24 | ||
| PCT/US1997/004004 WO1997034536A2 (en) | 1996-03-22 | 1997-03-14 | Devices and methods for percutaneous surgery |
Related Child Applications (2)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2006243263A Division JP4250647B2 (ja) | 1996-03-22 | 2006-09-07 | 組織リトラクター |
| JP2006243269A Division JP4276248B2 (ja) | 1996-03-22 | 2006-09-07 | 経皮的脊柱外科手術に使用される装置 |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| JP2000511788A true JP2000511788A (ja) | 2000-09-12 |
| JP2000511788A5 JP2000511788A5 (enExample) | 2004-12-02 |
Family
ID=27088812
Family Applications (3)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP09532098A Pending JP2000511788A (ja) | 1996-03-22 | 1997-03-14 | 経皮的外科手術用装置及び方法 |
| JP2006243263A Expired - Lifetime JP4250647B2 (ja) | 1996-03-22 | 2006-09-07 | 組織リトラクター |
| JP2006243269A Expired - Lifetime JP4276248B2 (ja) | 1996-03-22 | 2006-09-07 | 経皮的脊柱外科手術に使用される装置 |
Family Applications After (2)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2006243263A Expired - Lifetime JP4250647B2 (ja) | 1996-03-22 | 2006-09-07 | 組織リトラクター |
| JP2006243269A Expired - Lifetime JP4276248B2 (ja) | 1996-03-22 | 2006-09-07 | 経皮的脊柱外科手術に使用される装置 |
Country Status (8)
| Country | Link |
|---|---|
| US (3) | US6176823B1 (enExample) |
| EP (2) | EP0891156B1 (enExample) |
| JP (3) | JP2000511788A (enExample) |
| AT (1) | ATE270850T1 (enExample) |
| AU (1) | AU2324697A (enExample) |
| DE (3) | DE69729858T2 (enExample) |
| ES (1) | ES2224228T3 (enExample) |
| WO (1) | WO1997034536A2 (enExample) |
Cited By (13)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP2005103292A (ja) * | 2003-09-30 | 2005-04-21 | Ethicon Endo Surgery Inc | トロカールシール用の器具固定用組立体 |
| JP2007513702A (ja) * | 2003-12-12 | 2007-05-31 | ジンテス ゲゼルシャフト ミット ベシュレンクテル ハフツング | ガイド型リトラクタおよびその使用方法 |
| JP2008534135A (ja) * | 2005-03-28 | 2008-08-28 | ウォーソー・オーソペディック・インコーポレーテッド | 側方進入路を含む脊椎システムおよび方法 |
| JP2008538303A (ja) * | 2005-04-08 | 2008-10-23 | エシコン・エンド−サージェリィ・インコーポレイテッド | 外科手術用器具システム |
| KR20090113790A (ko) * | 2008-04-28 | 2009-11-02 | 에디컨 엔도-서저리 인코포레이티드 | 수술 접근 장치에서의 유체 흡수 |
| JP2010517684A (ja) * | 2007-02-09 | 2010-05-27 | アルファテック スパイン， インコーポレイテッド | 曲線状脊椎アクセス方法およびデバイス |
| JP2020508748A (ja) * | 2017-02-21 | 2020-03-26 | メドス・インターナショナル・エスエイアールエルＭｅｄｏｓ Ｉｎｔｅｒｎａｔｉｏｎａｌ ＳＡＲＬ | マルチシールド脊椎アクセスシステム |
| US11439380B2 (en) | 2015-09-04 | 2022-09-13 | Medos International Sarl | Surgical instrument connectors and related methods |
| US11559328B2 (en) | 2015-09-04 | 2023-01-24 | Medos International Sarl | Multi-shield spinal access system |
| US11672562B2 (en) | 2015-09-04 | 2023-06-13 | Medos International Sarl | Multi-shield spinal access system |
| US11712264B2 (en) | 2015-09-04 | 2023-08-01 | Medos International Sarl | Multi-shield spinal access system |
| US11744447B2 (en) | 2015-09-04 | 2023-09-05 | Medos International | Surgical visualization systems and related methods |
| US12150636B2 (en) | 2015-09-04 | 2024-11-26 | Medos International Sárl | Surgical instrument connectors and related methods |
Families Citing this family (284)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5792044A (en) * | 1996-03-22 | 1998-08-11 | Danek Medical, Inc. | Devices and methods for percutaneous surgery |
| US20040176763A1 (en) * | 1996-03-22 | 2004-09-09 | Foley Kevin T. | Methods for percutaneous surgery |
| US7198598B2 (en) | 1996-03-22 | 2007-04-03 | Warsaw Orthopedic, Inc. | Devices and methods for percutaneous surgery |
| TW375522B (en) * | 1996-10-24 | 1999-12-01 | Danek Medical Inc | Devices for percutaneous surgery under direct visualization and through an elongated cannula |
| EP0873145A2 (en) | 1996-11-15 | 1998-10-28 | Advanced Bio Surfaces, Inc. | Biomaterial system for in situ tissue repair |
| US6033361A (en) * | 1997-06-02 | 2000-03-07 | General Surgical Innovations, Inc. | Vascular retractor |
| US5976146A (en) * | 1997-07-11 | 1999-11-02 | Olympus Optical Co., Ltd. | Surgical operation system and method of securing working space for surgical operation in body |
| US6175758B1 (en) | 1997-07-15 | 2001-01-16 | Parviz Kambin | Method for percutaneous arthroscopic disc removal, bone biopsy and fixation of the vertebrae |
| US6059802A (en) * | 1998-02-27 | 2000-05-09 | Cardiothoracic Systems, Inc. | Dissecting retractor for harvesting vessels |
| DE19825763C2 (de) * | 1998-06-09 | 2002-08-14 | Dieter Von Zeppelin | Endoskopsystem für die spinale Chirurgie |
| WO2000053077A2 (en) | 1999-03-07 | 2000-09-14 | Discure Ltd. | Method and apparatus for computerized surgery |
| US6159179A (en) | 1999-03-12 | 2000-12-12 | Simonson; Robert E. | Cannula and sizing and insertion method |
| NL1012010C2 (nl) * | 1999-05-10 | 2000-11-13 | Pieter Meine Oosten | Samenstel voor neuro-chirurgische operaties aan de rugwervelkolom. |
| US6280432B1 (en) * | 1999-08-04 | 2001-08-28 | Embol-X, Inc. | Clip-on access port and methods of use |
| US6500180B1 (en) | 1999-10-20 | 2002-12-31 | Sdgi Holdings, Inc. | Methods and instrumentation for distraction of a disc space |
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| US5603688A (en) | 1995-04-24 | 1997-02-18 | Upsher Laryngoscope Corporation | Laryngoscope including an upwardly curved blade having a downwardly directed tip portion |
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| DE19625729C2 (de) * | 1996-06-27 | 1999-09-02 | Wolf Gmbh Richard | Haltearmsystem |
| US5830188A (en) * | 1996-12-11 | 1998-11-03 | Board Of Regents, The University Of Texas System | Curved cannula for continuous spinal anesthesia |
| US5807237A (en) * | 1997-03-31 | 1998-09-15 | Tindel; Nathaniel L. | Endoscopic device |
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- 1997-03-14 EP EP97915949A patent/EP0891156B1/en not_active Expired - Lifetime
- 1997-03-14 JP JP09532098A patent/JP2000511788A/ja active Pending
- 1997-03-14 ES ES97915949T patent/ES2224228T3/es not_active Expired - Lifetime
- 1997-03-14 AU AU23246/97A patent/AU2324697A/en not_active Abandoned
- 1997-03-14 EP EP04076959A patent/EP1466564B1/en not_active Expired - Lifetime
- 1997-03-14 DE DE29724233U patent/DE29724233U1/de not_active Expired - Lifetime
- 1997-03-14 DE DE19780707T patent/DE19780707C2/de not_active Revoked
- 1997-03-14 WO PCT/US1997/004004 patent/WO1997034536A2/en not_active Ceased
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1998
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| JP2007513702A (ja) * | 2003-12-12 | 2007-05-31 | ジンテス ゲゼルシャフト ミット ベシュレンクテル ハフツング | ガイド型リトラクタおよびその使用方法 |
| JP2008534135A (ja) * | 2005-03-28 | 2008-08-28 | ウォーソー・オーソペディック・インコーポレーテッド | 側方進入路を含む脊椎システムおよび方法 |
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| US8517995B2 (en) | 2005-04-08 | 2013-08-27 | Ethicon Endo-Surgery, Inc. | Access device |
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Also Published As
| Publication number | Publication date |
|---|---|
| WO1997034536A3 (en) | 1997-11-13 |
| DE29724233U1 (de) | 2000-08-03 |
| JP4250647B2 (ja) | 2009-04-08 |
| US6162170A (en) | 2000-12-19 |
| JP2007007438A (ja) | 2007-01-18 |
| EP0891156A1 (en) | 1999-01-20 |
| US6217509B1 (en) | 2001-04-17 |
| ATE270850T1 (de) | 2004-07-15 |
| EP1466564A1 (en) | 2004-10-13 |
| JP4276248B2 (ja) | 2009-06-10 |
| EP1466564B1 (en) | 2010-10-20 |
| US6176823B1 (en) | 2001-01-23 |
| ES2224228T3 (es) | 2005-03-01 |
| DE69729858T2 (de) | 2005-07-21 |
| DE19780707T1 (de) | 1998-07-02 |
| EP0891156B1 (en) | 2004-07-14 |
| AU2324697A (en) | 1997-10-10 |
| DE69729858D1 (de) | 2004-08-19 |
| JP2007007437A (ja) | 2007-01-18 |
| WO1997034536A2 (en) | 1997-09-25 |
| DE19780707C2 (de) | 2002-09-12 |
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