JP2009534085A - 器具アクセス装置 - Google Patents

器具アクセス装置 Download PDF

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Publication number
JP2009534085A
JP2009534085A JP2009506037A JP2009506037A JP2009534085A JP 2009534085 A JP2009534085 A JP 2009534085A JP 2009506037 A JP2009506037 A JP 2009506037A JP 2009506037 A JP2009506037 A JP 2009506037A JP 2009534085 A JP2009534085 A JP 2009534085A
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JP
Japan
Prior art keywords
opening
seal
instrument
wound
proximal
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
Application number
JP2009506037A
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English (en)
Japanese (ja)
Other versions
JP2009534085A5 (enExample
Inventor
ヴォー，トレヴァー
バトラー，ジョン
マックナリー，シェイン・ジョーゼフ
ボナディオ，フランク
Original Assignee
アトロポス・リミテッド
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
Application filed by アトロポス・リミテッド filed Critical アトロポス・リミテッド
Publication of JP2009534085A publication Critical patent/JP2009534085A/ja
Publication of JP2009534085A5 publication Critical patent/JP2009534085A5/ja
Pending legal-status Critical Current

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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
    • A61B17/3462—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
    • A61B17/02—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
    • A61B17/0293—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors with ring member to support retractor elements
    • 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
    • A61B17/3423—Access ports, e.g. toroid shape introducers for instruments or hands
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00131—Accessories for endoscopes
    • A61B1/00137—End pieces at either end of the endoscope, e.g. caps, seals or forceps plugs
    • 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
    • A61B17/3498—Valves therefor, e.g. flapper valves, slide valves
    • 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
    • A61B2017/3464—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 with means acting on inner surface of valve or seal for expanding or protecting, e.g. inner pivoting fingers

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Pathology (AREA)
  • Surgical Instruments (AREA)
JP2009506037A 2006-04-19 2007-04-19 器具アクセス装置 Pending JP2009534085A (ja)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US79295406P 2006-04-19 2006-04-19
PCT/IE2007/000050 WO2007119232A2 (en) 2006-04-19 2007-04-19 An instrument access device

Publications (2)

Publication Number Publication Date
JP2009534085A true JP2009534085A (ja) 2009-09-24
JP2009534085A5 JP2009534085A5 (enExample) 2010-05-13

Family

ID=38171106

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2009506037A Pending JP2009534085A (ja) 2006-04-19 2007-04-19 器具アクセス装置

Country Status (4)

Country Link
US (1) US20070255219A1 (enExample)
EP (1) EP2010071A2 (enExample)
JP (1) JP2009534085A (enExample)
WO (1) WO2007119232A2 (enExample)

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2018517467A (ja) * 2015-05-15 2018-07-05 コヴィディエン リミテッド パートナーシップ 外科用アクセス装置
KR20190054074A (ko) * 2016-09-12 2019-05-21 어플라이드 메디컬 리소시스 코포레이션 불규칙 형상의 로봇 작동기들 및 연관된 로봇 수술용 기구들에 대한 수술용 로봇 액세스 시스템
WO2024151144A1 (ko) * 2023-01-13 2024-07-18 충남대학교산학협력단 연부조직 견인장치의 뇌견인기용 반경질 실리콘 커버

Families Citing this family (78)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7559893B2 (en) 1998-12-01 2009-07-14 Atropos Limited Wound retractor device
US7537564B2 (en) 1998-12-01 2009-05-26 Atropos Limited Wound retractor device
IE20000835A1 (en) 1999-10-14 2002-02-06 Atropos Ltd A retractor
WO2002034108A2 (en) 2000-10-19 2002-05-02 Applied Medical Resources Corporation Surgical access apparatus and method
EP2422829B1 (en) 2001-08-14 2013-03-06 Applied Medical Resources Corporation Surgical access sealing apparatus
US6958037B2 (en) 2001-10-20 2005-10-25 Applied Medical Resources Corporation Wound retraction apparatus and method
CA2488118C (en) 2002-06-05 2012-01-10 Applied Medical Resources Corporation Wound retractor
US9271753B2 (en) 2002-08-08 2016-03-01 Atropos Limited Surgical device
AU2003273510A1 (en) 2002-09-19 2004-04-08 Atropos Limited A wound retractor system
US20050020884A1 (en) 2003-02-25 2005-01-27 Hart Charles C. Surgical access system
JP2007516860A (ja) 2003-08-06 2007-06-28 アプライド メディカル リソーシーズ コーポレイション 非粘着性ゲル付き外科用器具及び製造方法
US7163510B2 (en) 2003-09-17 2007-01-16 Applied Medical Resources Corporation Surgical instrument access device
US8241251B2 (en) 2004-08-25 2012-08-14 Tyco Healthcare Group Lp Gel seal for a surgical trocar apparatus
EP2260777A1 (en) 2004-10-11 2010-12-15 Atropos Limited An instrument access device
US20060247586A1 (en) 2005-04-08 2006-11-02 Voegele James W Intra-abdominal storage device
WO2007010511A1 (en) 2005-07-15 2007-01-25 Atropos Limited A wound retractor
EP1933732B1 (en) 2005-10-14 2009-12-02 Applied Medical Resources Corporation Wound retractor with gel cap
US8425410B2 (en) 2008-09-30 2013-04-23 Ethicon Endo-Surgery, Inc. Surgical access device with protective element
US8821391B2 (en) 2009-03-06 2014-09-02 Ethicon Endo-Surgery, Inc. Methods and devices for providing access into a body cavity
US8926506B2 (en) 2009-03-06 2015-01-06 Ethicon Endo-Surgery, Inc. Methods and devices for providing access into a body cavity
US8430811B2 (en) 2008-09-30 2013-04-30 Ethicon Endo-Surgery, Inc. Multiple port surgical access device
US8206294B2 (en) 2008-09-30 2012-06-26 Ethicon Endo-Surgery, Inc. Surgical access device with flexible seal channel
US8357085B2 (en) 2009-03-31 2013-01-22 Ethicon Endo-Surgery, Inc. Devices and methods for providing access into a body cavity
US8251900B2 (en) 2009-03-06 2012-08-28 Ethicon Endo-Surgery, Inc. Surgical access devices and methods providing seal movement in predefined paths
US8485970B2 (en) 2008-09-30 2013-07-16 Ethicon Endo-Surgery, Inc. Surgical access device
US8961406B2 (en) 2009-03-06 2015-02-24 Ethicon Endo-Surgery, Inc. Surgical access devices and methods providing seal movement in predefined movement regions
AU2007243484B2 (en) 2006-04-24 2013-08-15 Transenterix Inc. Natural orifice surgical system
US8518024B2 (en) 2006-04-24 2013-08-27 Transenterix, Inc. System and method for multi-instrument surgical access using a single access port
JP2008048182A (ja) * 2006-08-17 2008-02-28 Sony Corp 通信処理装置、および通信制御方法、並びにコンピュータ・プログラム
EP2146643A4 (en) 2007-05-11 2012-05-30 Applied Med Resources SURGICAL RETRACTOR WITH PADDED
ES2623049T3 (es) 2007-05-11 2017-07-10 Applied Medical Resources Corporation Retractor quirúrgico
US8187178B2 (en) 2007-06-05 2012-05-29 Atropos Limited Instrument access device
US8657740B2 (en) 2007-06-05 2014-02-25 Atropos Limited Instrument access device
US8357123B2 (en) * 2007-09-17 2013-01-22 Covidien Lp Surgical portal with gel and fabric seal assembly
US20090149714A1 (en) * 2007-12-05 2009-06-11 Frank Bonadio Surgical devices and methods
US8343047B2 (en) 2008-01-22 2013-01-01 Applied Medical Resources Corporation Surgical instrument access device
EP2249716B1 (en) * 2008-03-14 2012-09-26 Applied Medical Resources Corporation Instrument seal
US8328761B2 (en) 2008-09-30 2012-12-11 Ethicon Endo-Surgery, Inc. Variable surgical access device
ES2659871T3 (es) 2008-10-13 2018-03-19 Applied Medical Resources Corporation Sistema de acceso de vía única
US8375955B2 (en) 2009-02-06 2013-02-19 Atropos Limited Surgical procedure
US9737334B2 (en) 2009-03-06 2017-08-22 Ethicon Llc Methods and devices for accessing a body cavity
US8353824B2 (en) 2009-03-31 2013-01-15 Ethicon Endo-Surgery, Inc. Access method with insert
US20100249521A1 (en) 2009-03-31 2010-09-30 Shelton Iv Frederick E Access Device Including Retractor And Insert
US8945163B2 (en) 2009-04-01 2015-02-03 Ethicon Endo-Surgery, Inc. Methods and devices for cutting and fastening tissue
US8257251B2 (en) 2009-04-08 2012-09-04 Ethicon Endo-Surgery, Inc. Methods and devices for providing access into a body cavity
US8137267B2 (en) * 2009-04-08 2012-03-20 Ethicon Endo-Surgery, Inc. Retractor with flexible sleeve
US8419635B2 (en) 2009-04-08 2013-04-16 Ethicon Endo-Surgery, Inc. Surgical access device having removable and replaceable components
US8241209B2 (en) 2009-06-05 2012-08-14 Ethicon Endo-Surgery, Inc. Active seal components
US8361109B2 (en) 2009-06-05 2013-01-29 Ethicon Endo-Surgery, Inc. Multi-planar obturator with foldable retractor
US8475490B2 (en) 2009-06-05 2013-07-02 Ethicon Endo-Surgery, Inc. Methods and devices for providing access through tissue to a surgical site
US8033995B2 (en) 2009-06-05 2011-10-11 Ethicon Endo-Surgery, Inc. Inflatable retractor with insufflation and method
US8795163B2 (en) 2009-06-05 2014-08-05 Ethicon Endo-Surgery, Inc. Interlocking seal components
US9078695B2 (en) 2009-06-05 2015-07-14 Ethicon Endo-Surgery, Inc. Methods and devices for accessing a body cavity using a surgical access device with modular seal components
US8465422B2 (en) 2009-06-05 2013-06-18 Ethicon Endo-Surgery, Inc. Retractor with integrated wound closure
IE20100592A1 (en) 2009-09-17 2011-05-11 Atropos Ltd An instrument access device
US9474540B2 (en) 2009-10-08 2016-10-25 Ethicon-Endo-Surgery, Inc. Laparoscopic device with compound angulation
US8821390B2 (en) * 2010-04-12 2014-09-02 Covidien Lp Surgical access method and assembly including sleeve and port
US9226760B2 (en) 2010-05-07 2016-01-05 Ethicon Endo-Surgery, Inc. Laparoscopic devices with flexible actuation mechanisms
US8562592B2 (en) 2010-05-07 2013-10-22 Ethicon Endo-Surgery, Inc. Compound angle laparoscopic methods and devices
US20110282237A1 (en) * 2010-05-14 2011-11-17 Ethicon Endo-Surgery, Inc. Trocar with specimen retrieval feature
US8460337B2 (en) 2010-06-09 2013-06-11 Ethicon Endo-Surgery, Inc. Selectable handle biasing
AU2011308636B2 (en) 2010-10-01 2015-06-04 Applied Medical Resources Corporation Surgical access port system
US9289115B2 (en) 2010-10-01 2016-03-22 Applied Medical Resources Corporation Natural orifice surgery system
US9119666B2 (en) * 2011-03-25 2015-09-01 Covidien Lp Access port with integrated flexible sleeve
ES2550784T3 (es) 2011-05-10 2015-11-12 Applied Medical Resources Corporation Dispositivo retractor de heridas
AU2014228334B2 (en) 2013-03-15 2018-11-29 Applied Medical Resources Corporation Mechanical gel surgical access device
AU2015289553B2 (en) 2014-07-18 2020-09-03 Applied Medical Resources Corporation Gels having permanent tack free coatings and method of manufacture
EP4566554A3 (en) 2014-08-15 2025-07-23 Applied Medical Resources Corporation Natural orifice surgery system
WO2016085930A2 (en) 2014-11-25 2016-06-02 Applied Medical Resources Corporation Circumferential wound retraction with support and guidance structures
EP3769704B1 (en) 2015-09-15 2022-11-30 Applied Medical Resources Corporation Surgical robotic access system
CA3001311A1 (en) 2015-10-07 2017-04-13 Applied Medical Resources Corporation Wound retractor with multi-segment outer ring
US10213194B2 (en) 2016-09-27 2019-02-26 Ethicon, Inc. Surgical retraction systems including sternal retractors and hemostatic inserts
US10874426B2 (en) 2017-02-10 2020-12-29 Covidien Lp Seal assembly with integral filter and evacuation port
US20190059938A1 (en) * 2017-08-28 2019-02-28 Covidien Lp Access apparatus including seal component with protective guards
US11357542B2 (en) 2019-06-21 2022-06-14 Covidien Lp Valve assembly and retainer for surgical access assembly
WO2022099137A1 (en) * 2020-11-09 2022-05-12 ClearCam Inc. Devices, methods, and apparatuses for mitigating insufflation gas leakage from a trocar
US11707296B2 (en) * 2020-11-09 2023-07-25 ClearCam, Inc. Sealing devices and surgical implements comprising same
US11633210B2 (en) * 2020-11-09 2023-04-25 ClearCam, Inc. Sealing devices and surgical implements comprising same

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20040260244A1 (en) * 2001-08-31 2004-12-23 Piechowicz Michael E. Seals for trocars
JP2005111263A (ja) * 2003-09-30 2005-04-28 Ethicon Endo Surgery Inc トロカールシール組立体用の編み合わせプロテクタ
US20050267419A1 (en) * 2004-04-05 2005-12-01 Smith Robert C Surgical hand access apparatus

Family Cites Families (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5197955A (en) * 1991-10-18 1993-03-30 Ethicon, Inc. Universal seal for trocar assembly
US5342315A (en) * 1993-04-12 1994-08-30 Ethicon, Inc. Trocar seal/protector assemblies
US20060047293A1 (en) * 2004-01-23 2006-03-02 Haberland Gary W Trocar having planar fixed septum seal and related methods

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20040260244A1 (en) * 2001-08-31 2004-12-23 Piechowicz Michael E. Seals for trocars
JP2005111263A (ja) * 2003-09-30 2005-04-28 Ethicon Endo Surgery Inc トロカールシール組立体用の編み合わせプロテクタ
US20050267419A1 (en) * 2004-04-05 2005-12-01 Smith Robert C Surgical hand access apparatus
JP2008504051A (ja) * 2004-04-05 2008-02-14 タイコ ヘルスケア グループ リミテッド パートナーシップ 外科手術用ハンドアクセス装置
JP2007535988A (ja) * 2004-05-05 2007-12-13 コンメド コーポレイション トロッカー用シール

Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2018517467A (ja) * 2015-05-15 2018-07-05 コヴィディエン リミテッド パートナーシップ 外科用アクセス装置
US11832849B2 (en) 2015-05-15 2023-12-05 Covidien Lp Surgical access device
KR20190054074A (ko) * 2016-09-12 2019-05-21 어플라이드 메디컬 리소시스 코포레이션 불규칙 형상의 로봇 작동기들 및 연관된 로봇 수술용 기구들에 대한 수술용 로봇 액세스 시스템
JP2019526393A (ja) * 2016-09-12 2019-09-19 アプライド メディカル リソーシーズ コーポレイション 手術ロボットアクセスシステム
JP7021200B2 (ja) 2016-09-12 2022-02-16 アプライド メディカル リソーシーズ コーポレイション 手術ロボットアクセスシステム
KR102544079B1 (ko) * 2016-09-12 2023-06-15 어플라이드 메디컬 리소시스 코포레이션 불규칙 형상의 로봇 작동기들 및 연관된 로봇 수술용 기구들에 대한 수술용 로봇 액세스 시스템
WO2024151144A1 (ko) * 2023-01-13 2024-07-18 충남대학교산학협력단 연부조직 견인장치의 뇌견인기용 반경질 실리콘 커버

Also Published As

Publication number Publication date
WO2007119232A2 (en) 2007-10-25
US20070255219A1 (en) 2007-11-01
WO2007119232A3 (en) 2008-02-14
EP2010071A2 (en) 2009-01-07

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