JP2009534085A - 器具アクセス装置 - Google Patents
器具アクセス装置 Download PDFInfo
- 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
- Authority
- 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
Links
- 239000000463 material Substances 0.000 claims abstract description 15
- 238000003780 insertion Methods 0.000 claims abstract description 6
- 230000037431 insertion Effects 0.000 claims abstract description 6
- 230000003014 reinforcing effect Effects 0.000 claims description 22
- 238000000034 method Methods 0.000 claims description 11
- 230000000284 resting effect Effects 0.000 claims description 7
- 239000013536 elastomeric material Substances 0.000 claims description 4
- 238000004873 anchoring Methods 0.000 claims 1
- 230000001012 protector Effects 0.000 description 4
- 239000004677 Nylon Substances 0.000 description 1
- 210000001015 abdomen Anatomy 0.000 description 1
- 238000004026 adhesive bonding Methods 0.000 description 1
- 230000015572 biosynthetic process Effects 0.000 description 1
- 239000011248 coating agent Substances 0.000 description 1
- 238000000576 coating method Methods 0.000 description 1
- 239000004744 fabric Substances 0.000 description 1
- 230000001050 lubricating effect Effects 0.000 description 1
- 238000005461 lubrication Methods 0.000 description 1
- 229920001778 nylon Polymers 0.000 description 1
- 239000002985 plastic film Substances 0.000 description 1
- 229920006255 plastic film Polymers 0.000 description 1
- 238000003466 welding Methods 0.000 description 1
Images
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
- A61B17/3462—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
Landscapes
- 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)
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 (https=) | 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 (https=) |
| EP (1) | EP2010071A2 (https=) |
| JP (1) | JP2009534085A (https=) |
| WO (1) | WO2007119232A2 (https=) |
Cited By (3)
| 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)
| 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 |
| MXPA02003651A (es) | 1999-10-14 | 2002-08-30 | Atropos Ltd | Un retractor de herida. |
| CA2422782C (en) | 2000-10-19 | 2012-02-07 | Applied Medical Resources Corporation | Surgical access apparatus and method |
| WO2003015848A1 (en) | 2001-08-14 | 2003-02-27 | Applied Medical Resources Corporation | Access sealing apparatus and method |
| US6958037B2 (en) | 2001-10-20 | 2005-10-25 | Applied Medical Resources Corporation | Wound retraction apparatus and method |
| EP2340792B1 (en) | 2002-06-05 | 2012-05-09 | 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 |
| AU2004263142A1 (en) | 2003-08-06 | 2005-02-17 | Applied Medical Resources Corporation | Surgical device with tack-free gel and method of manufacture |
| 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 |
| JP2008515523A (ja) | 2004-10-11 | 2008-05-15 | アトロポス・リミテッド | 器具アクセス装置 |
| US20060247586A1 (en) | 2005-04-08 | 2006-11-02 | Voegele James W | Intra-abdominal storage device |
| EP1903958A1 (en) | 2005-07-15 | 2008-04-02 | Atropos Limited | A wound retractor |
| US7909760B2 (en) | 2005-10-14 | 2011-03-22 | Applied Medical Resources Corporation | Split hoop wound retractor with gel pad |
| US8961406B2 (en) | 2009-03-06 | 2015-02-24 | Ethicon Endo-Surgery, Inc. | Surgical access devices and methods providing seal movement in predefined movement regions |
| US8357085B2 (en) | 2009-03-31 | 2013-01-22 | Ethicon Endo-Surgery, Inc. | Devices and methods for providing access into a body cavity |
| US8485970B2 (en) | 2008-09-30 | 2013-07-16 | Ethicon Endo-Surgery, Inc. | Surgical access device |
| US8926506B2 (en) | 2009-03-06 | 2015-01-06 | Ethicon Endo-Surgery, Inc. | Methods and devices 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 |
| US8430811B2 (en) | 2008-09-30 | 2013-04-30 | Ethicon Endo-Surgery, Inc. | Multiple port surgical access device |
| US8821391B2 (en) | 2009-03-06 | 2014-09-02 | Ethicon Endo-Surgery, Inc. | Methods and devices for providing access into a body cavity |
| US8425410B2 (en) | 2008-09-30 | 2013-04-23 | Ethicon Endo-Surgery, Inc. | Surgical access device with protective element |
| US8206294B2 (en) | 2008-09-30 | 2012-06-26 | Ethicon Endo-Surgery, Inc. | Surgical access device with flexible seal channel |
| US8518024B2 (en) | 2006-04-24 | 2013-08-27 | Transenterix, Inc. | System and method for multi-instrument surgical access using a single access port |
| EP2012650B1 (en) | 2006-04-24 | 2016-07-27 | TransEnterix Surgical, Inc. | Natural orifice surgical system |
| 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 |
| CA2682126C (en) | 2007-05-11 | 2015-02-03 | Applied Medical Resources Corporation | Surgical retractor |
| US8109873B2 (en) | 2007-05-11 | 2012-02-07 | Applied Medical Resources Corporation | Surgical retractor with gel pad |
| WO2008149332A1 (en) | 2007-06-05 | 2008-12-11 | Atropos Limited | An 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 |
| ES2822103T3 (es) | 2008-01-22 | 2021-04-29 | Applied Med Resources | Dispositivo de acceso de instrumento quirúrgico |
| AU2009223316B2 (en) * | 2008-03-14 | 2014-05-29 | 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 |
| US8226553B2 (en) | 2009-03-31 | 2012-07-24 | Ethicon Endo-Surgery, Inc. | Access device with insert |
| US8353824B2 (en) | 2009-03-31 | 2013-01-15 | Ethicon Endo-Surgery, Inc. | Access method with 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 |
| US8419635B2 (en) | 2009-04-08 | 2013-04-16 | Ethicon Endo-Surgery, Inc. | Surgical access device having removable and replaceable components |
| US8137267B2 (en) * | 2009-04-08 | 2012-03-20 | Ethicon Endo-Surgery, Inc. | Retractor with flexible sleeve |
| US8465422B2 (en) | 2009-06-05 | 2013-06-18 | Ethicon Endo-Surgery, Inc. | Retractor with integrated wound closure |
| US8033995B2 (en) | 2009-06-05 | 2011-10-11 | Ethicon Endo-Surgery, Inc. | Inflatable retractor with insufflation and method |
| 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 |
| 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 |
| US8241209B2 (en) | 2009-06-05 | 2012-08-14 | Ethicon Endo-Surgery, Inc. | Active seal components |
| US8795163B2 (en) | 2009-06-05 | 2014-08-05 | Ethicon Endo-Surgery, Inc. | Interlocking seal components |
| 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 |
| US8562592B2 (en) | 2010-05-07 | 2013-10-22 | Ethicon Endo-Surgery, Inc. | Compound angle laparoscopic methods and devices |
| US9226760B2 (en) | 2010-05-07 | 2016-01-05 | Ethicon Endo-Surgery, Inc. | Laparoscopic devices with flexible actuation mechanisms |
| 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 |
| US9289115B2 (en) | 2010-10-01 | 2016-03-22 | Applied Medical Resources Corporation | Natural orifice surgery system |
| AU2011308636B2 (en) | 2010-10-01 | 2015-06-04 | Applied Medical Resources Corporation | Surgical access port system |
| US9119666B2 (en) * | 2011-03-25 | 2015-09-01 | Covidien Lp | Access port with integrated flexible sleeve |
| EP3461423B1 (en) | 2011-05-10 | 2020-07-08 | Applied Medical Resources Corporation | Wound retractor |
| AU2014228334B2 (en) | 2013-03-15 | 2018-11-29 | Applied Medical Resources Corporation | Mechanical gel surgical access device |
| EP3169510B1 (en) | 2014-07-18 | 2018-10-03 | Applied Medical Resources Corporation | Method for manufacturing gels having permanent tack free coatings |
| EP4101405B1 (en) | 2014-08-15 | 2025-04-02 | Applied Medical Resources Corporation | Natural orifice surgery system |
| US9949730B2 (en) | 2014-11-25 | 2018-04-24 | Applied Medical Resources Corporation | Circumferential wound retraction with support and guidance structures |
| EP3349675B1 (en) | 2015-09-15 | 2020-10-21 | Applied Medical Resources Corporation | Surgical robotic access system |
| EP4238506B1 (en) | 2015-10-07 | 2025-05-28 | 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 |
| US11633210B2 (en) * | 2020-11-09 | 2023-04-25 | ClearCam, Inc. | Sealing devices and surgical implements comprising same |
| US11707296B2 (en) * | 2020-11-09 | 2023-07-25 | ClearCam, Inc. | Sealing devices and surgical implements comprising same |
Citations (3)
| 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)
| 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 |
-
2007
- 2007-04-19 WO PCT/IE2007/000050 patent/WO2007119232A2/en not_active Ceased
- 2007-04-19 EP EP07736106A patent/EP2010071A2/en not_active Withdrawn
- 2007-04-19 JP JP2009506037A patent/JP2009534085A/ja active Pending
- 2007-04-19 US US11/785,752 patent/US20070255219A1/en not_active Abandoned
Patent Citations (5)
| 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)
| 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 |
|---|---|
| EP2010071A2 (en) | 2009-01-07 |
| US20070255219A1 (en) | 2007-11-01 |
| WO2007119232A2 (en) | 2007-10-25 |
| WO2007119232A3 (en) | 2008-02-14 |
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