JP2022531309A - 低侵襲性脊椎外科手術のための外科手術キット - Google Patents

低侵襲性脊椎外科手術のための外科手術キット Download PDF

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JP2022531309A
JP2022531309A JP2021564755A JP2021564755A JP2022531309A JP 2022531309 A JP2022531309 A JP 2022531309A JP 2021564755 A JP2021564755 A JP 2021564755A JP 2021564755 A JP2021564755 A JP 2021564755A JP 2022531309 A JP2022531309 A JP 2022531309A
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sensor carrier
medical device
localizers
lumen
localizer
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Japanese (ja)
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JP2022531309A5 (https=
JPWO2020221940A5 (https=
Inventor
ニコラス ノーマン，
ローベルト ヘデルマン，
マルテ ベルクフェルト，
ディアク ムハ，
カイ デジンガー，
Original Assignee
インターセクト エント インターナショナル ゲーエムベーハー
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Publication of JP2022531309A publication Critical patent/JP2022531309A/ja
Publication of JP2022531309A5 publication Critical patent/JP2022531309A5/ja
Publication of JPWO2020221940A5 publication Critical patent/JPWO2020221940A5/ja
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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
    • A61B17/3403—Needle locating or guiding means
    • 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
    • A61B1/012—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 characterised by internal passages or accessories therefor
    • A61B1/018—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 characterised by internal passages or accessories therefor for receiving instruments
    • 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
    • A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
    • A61B17/17—Guides or aligning means for drills, mills, pins or wires
    • A61B17/1707—Guides or aligning means for drills, mills, pins or wires using electromagnetic effects, e.g. with magnet and external sensors
    • 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
    • A61B17/17—Guides or aligning means for drills, mills, pins or wires
    • A61B17/1739—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
    • A61B17/1757—Guides or aligning means for drills, mills, pins or wires specially adapted 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
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3472—Trocars; Puncturing needles for bones, e.g. intraosseus injections
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70—Spinal positioners or stabilisers, e.g. stabilisers comprising fluid filler in an implant
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70—Spinal positioners or stabilisers, e.g. stabilisers comprising fluid filler in an implant
    • A61B17/7074—Tools specially adapted for spinal fixation operations other than for bone removal or filler handling
    • A61B17/7076—Tools specially adapted for spinal fixation operations other than for bone removal or filler handling for driving, positioning or assembling spinal clamps or bone anchors specially adapted for spinal fixation
    • A61B17/7082—Tools specially adapted for spinal fixation operations other than for bone removal or filler handling for driving, positioning or assembling spinal clamps or bone anchors specially adapted for spinal fixation for driving, i.e. rotating, screws or screw parts specially adapted for spinal fixation, e.g. for driving polyaxial or tulip-headed screws
    • 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
    • A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
    • 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
    • A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/06—Devices, other than using radiation, for detecting or locating foreign bodies ; Determining position of diagnostic devices within or on the body of the patient
    • A61B5/061—Determining position of a probe within the body employing means separate from the probe, e.g. sensing internal probe position employing impedance electrodes on the surface of the body
    • A61B5/062—Determining position of a probe within the body employing means separate from the probe, e.g. sensing internal probe position employing impedance electrodes on the surface of the body using magnetic field
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8875—Screwdrivers, spanners or wrenches
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00022—Sensing or detecting at the treatment site
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/0042—Surgical instruments, devices or methods with special provisions for gripping
    • A61B2017/00455—Orientation indicators, e.g. recess on the handle
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00681—Aspects not otherwise provided for
    • A61B2017/00725—Calibration or performance testing
    • 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
    • A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
    • A61B2034/101—Computer-aided simulation of surgical operations
    • A61B2034/102—Modelling of surgical devices, implants or prosthesis
    • 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
    • A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
    • A61B2034/101—Computer-aided simulation of surgical operations
    • A61B2034/105—Modelling of the patient, e.g. for ligaments or bones
    • 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
    • A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2046—Tracking techniques
    • A61B2034/2051—Electromagnetic tracking systems
    • 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
    • A61B2090/061—Measuring instruments not otherwise provided for for measuring dimensions, e.g. length

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Neurology (AREA)
  • Pathology (AREA)
  • Physics & Mathematics (AREA)
  • Robotics (AREA)
  • Dentistry (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Biophysics (AREA)
  • Human Computer Interaction (AREA)
  • Electromagnetism (AREA)
  • Optics & Photonics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Surgical Instruments (AREA)
  • Manipulator (AREA)
JP2021564755A 2019-05-02 2020-05-04 低侵襲性脊椎外科手術のための外科手術キット Pending JP2022531309A (ja)

Applications Claiming Priority (9)

Application Number Priority Date Filing Date Title
US201962842025P 2019-05-02 2019-05-02
US62/842,025 2019-05-02
US201962844922P 2019-05-08 2019-05-08
US62/844,922 2019-05-08
US201962888631P 2019-08-19 2019-08-19
US62/888,631 2019-08-19
US201962915197P 2019-10-15 2019-10-15
US62/915,197 2019-10-15
PCT/EP2020/062349 WO2020221940A1 (en) 2019-05-02 2020-05-04 Surgical kit for minimally invasive spine surgery

Publications (3)

Publication Number Publication Date
JP2022531309A true JP2022531309A (ja) 2022-07-06
JP2022531309A5 JP2022531309A5 (https=) 2023-05-15
JPWO2020221940A5 JPWO2020221940A5 (https=) 2023-05-15

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JP2021564755A Pending JP2022531309A (ja) 2019-05-02 2020-05-04 低侵襲性脊椎外科手術のための外科手術キット

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Country Link
US (1) US20220047295A1 (https=)
EP (1) EP3962357B1 (https=)
JP (1) JP2022531309A (https=)
KR (1) KR102946610B1 (https=)
CN (1) CN114222525A (https=)
BR (1) BR112021021998A2 (https=)
WO (1) WO2020221940A1 (https=)

Families Citing this family (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE202013012313U1 (de) 2013-07-17 2016-02-25 Fiagon Gmbh Vorrichtung zur Anbindung eines medizinischen Instruments an ein Lageerfassungssystem und medizinisches Zeigerinstrument
ES2940646T3 (es) * 2019-03-19 2023-05-10 Biotissue Sa Juego para la fijación endoscópica de un implante en un disco intervertebral por medio de un clavo o una clavija
KR20220004073A (ko) 2019-05-02 2022-01-11 인터섹트 엔트 인터내셔널 게엠베하 센서 캐리어
KR102573286B1 (ko) * 2021-04-02 2023-08-30 연세대학교 산학협력단 뼈 나사용 경로 형성 장치
EP4605770B1 (en) * 2024-01-12 2025-12-10 Brainlab SE System for magnetic tracking using reusable components

Citations (2)

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Publication number Priority date Publication date Assignee Title
JP2015505507A (ja) * 2012-02-03 2015-02-23 インテュイティブ サージカル オペレーションズ， インコーポレイテッド 埋め込み型形状感知機能を有する操縦可能な可撓性針
WO2019042579A1 (de) * 2017-08-29 2019-03-07 Joimax Gmbh Detektionssystem und verfahren zur automatischen detektion chirurgischer instrumente

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AU3197699A (en) * 1998-03-30 1999-10-18 Biosense, Inc. Three-axis coil sensor
US6499488B1 (en) * 1999-10-28 2002-12-31 Winchester Development Associates Surgical sensor
EP1973494A2 (en) * 2005-11-17 2008-10-01 Calypso Medical Technologies, INC. Apparatus and methods for using an electromagnetic transponder in orthopedic procedures
US9750486B2 (en) * 2011-10-25 2017-09-05 Medtronic Navigation, Inc. Trackable biopsy needle
US20190038366A1 (en) * 2012-06-21 2019-02-07 Globus Medical, Inc. Surgical robotic automation with tracking markers
EP3160369A4 (en) * 2014-06-25 2018-04-18 Canary Medical Inc. Devices, systems and methods for using and monitoring spinal implants
CN107690302B (zh) * 2015-04-06 2019-12-24 直观外科手术操作公司 在图像引导的外科手术中的配准补偿的系统和方法
US11026747B2 (en) * 2017-04-25 2021-06-08 Biosense Webster (Israel) Ltd. Endoscopic view of invasive procedures in narrow passages

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2015505507A (ja) * 2012-02-03 2015-02-23 インテュイティブ サージカル オペレーションズ， インコーポレイテッド 埋め込み型形状感知機能を有する操縦可能な可撓性針
WO2019042579A1 (de) * 2017-08-29 2019-03-07 Joimax Gmbh Detektionssystem und verfahren zur automatischen detektion chirurgischer instrumente

Also Published As

Publication number Publication date
BR112021021998A2 (pt) 2021-12-28
KR20220026530A (ko) 2022-03-04
US20220047295A1 (en) 2022-02-17
WO2020221940A8 (en) 2021-10-07
EP3962357B1 (en) 2024-01-17
WO2020221940A1 (en) 2020-11-05
CN114222525A (zh) 2022-03-22
EP3962357A1 (en) 2022-03-09
KR102946610B1 (ko) 2026-04-02

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