JP4347805B2 - 侵襲性を最小にする組織牽引及び外科処置のための器具と方法 - Google Patents
侵襲性を最小にする組織牽引及び外科処置のための器具と方法 Download PDFInfo
- Publication number
- JP4347805B2 JP4347805B2 JP2004517754A JP2004517754A JP4347805B2 JP 4347805 B2 JP4347805 B2 JP 4347805B2 JP 2004517754 A JP2004517754 A JP 2004517754A JP 2004517754 A JP2004517754 A JP 2004517754A JP 4347805 B2 JP4347805 B2 JP 4347805B2
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- Prior art keywords
- retractor
- portions
- guide member
- working channel
- proximal end
- 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.)
- Expired - Fee Related
Links
- 238000001356 surgical procedure Methods 0.000 title claims description 28
- 238000000034 method Methods 0.000 title abstract description 16
- 238000003780 insertion Methods 0.000 claims abstract description 35
- 230000037431 insertion Effects 0.000 claims abstract description 35
- 230000007246 mechanism Effects 0.000 claims description 32
- 238000000926 separation method Methods 0.000 claims description 29
- 208000014674 injury Diseases 0.000 abstract description 5
- 230000008733 trauma Effects 0.000 abstract description 5
- 238000002324 minimally invasive surgery Methods 0.000 abstract 1
- 210000001519 tissue Anatomy 0.000 description 38
- 230000008878 coupling Effects 0.000 description 8
- 238000010168 coupling process Methods 0.000 description 8
- 238000005859 coupling reaction Methods 0.000 description 8
- 210000003205 muscle Anatomy 0.000 description 6
- 238000005452 bending Methods 0.000 description 4
- 238000011161 development Methods 0.000 description 3
- 239000000835 fiber Substances 0.000 description 2
- 238000003384 imaging method Methods 0.000 description 2
- 238000002684 laminectomy Methods 0.000 description 2
- 239000002184 metal Substances 0.000 description 2
- 229910052751 metal Inorganic materials 0.000 description 2
- 150000002739 metals Chemical class 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 238000011084 recovery Methods 0.000 description 2
- 208000032544 Cicatrix Diseases 0.000 description 1
- 208000002193 Pain Diseases 0.000 description 1
- 208000004550 Postoperative Pain Diseases 0.000 description 1
- 229910000639 Spring steel Inorganic materials 0.000 description 1
- 229910045601 alloy Inorganic materials 0.000 description 1
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- 229910052782 aluminium Inorganic materials 0.000 description 1
- XAGFODPZIPBFFR-UHFFFAOYSA-N aluminium Chemical compound [Al] XAGFODPZIPBFFR-UHFFFAOYSA-N 0.000 description 1
- 210000003484 anatomy Anatomy 0.000 description 1
- 230000003466 anti-cipated effect Effects 0.000 description 1
- 238000013459 approach Methods 0.000 description 1
- 210000000988 bone and bone Anatomy 0.000 description 1
- 238000004140 cleaning Methods 0.000 description 1
- 230000006835 compression Effects 0.000 description 1
- 238000007906 compression Methods 0.000 description 1
- 230000006378 damage Effects 0.000 description 1
- 230000002638 denervation Effects 0.000 description 1
- 210000005069 ears Anatomy 0.000 description 1
- 238000002594 fluoroscopy Methods 0.000 description 1
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- 239000007943 implant Substances 0.000 description 1
- 238000007373 indentation Methods 0.000 description 1
- 230000002452 interceptive effect Effects 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 229910001092 metal group alloy Inorganic materials 0.000 description 1
- 210000005036 nerve Anatomy 0.000 description 1
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- 239000004033 plastic Substances 0.000 description 1
- 229920003023 plastic Polymers 0.000 description 1
- 230000002250 progressing effect Effects 0.000 description 1
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- 231100000241 scar Toxicity 0.000 description 1
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- 239000010935 stainless steel Substances 0.000 description 1
- 229910001220 stainless steel Inorganic materials 0.000 description 1
- 238000011477 surgical intervention Methods 0.000 description 1
- 230000002792 vascular Effects 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
- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
- A61B17/3421—Cannulas
- A61B17/3439—Cannulas with means for changing the inner diameter of the cannula, e.g. expandable
-
- 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
- A61B17/0206—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors with antagonistic arms as supports for retractor elements
-
- 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
- A61B17/00—Surgical instruments, devices or methods
- A61B17/28—Surgical forceps
- A61B17/2812—Surgical forceps with a single pivotal connection
- A61B17/282—Jaws
- A61B2017/2829—Jaws with a removable cover
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/28—Surgical forceps
- A61B17/2812—Surgical forceps with a single pivotal connection
- A61B17/2833—Locking means
- A61B2017/2837—Locking means with a locking ratchet
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Molecular Biology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Pathology (AREA)
- Surgical Instruments (AREA)
- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US10/180,658 US6945933B2 (en) | 2002-06-26 | 2002-06-26 | Instruments and methods for minimally invasive tissue retraction and surgery |
| PCT/US2003/019798 WO2004002323A2 (en) | 2002-06-26 | 2003-06-20 | Instruments and methods for minimally invasive tissue retraction and surgery |
| US10/792,358 US7513869B2 (en) | 2002-06-26 | 2004-03-03 | Instruments and methods for minimally invasive tissue retraction and surgery |
Publications (3)
| Publication Number | Publication Date |
|---|---|
| JP2005530586A JP2005530586A (ja) | 2005-10-13 |
| JP2005530586A5 JP2005530586A5 (enExample) | 2006-04-06 |
| JP4347805B2 true JP4347805B2 (ja) | 2009-10-21 |
Family
ID=38255477
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2004517754A Expired - Fee Related JP4347805B2 (ja) | 2002-06-26 | 2003-06-20 | 侵襲性を最小にする組織牽引及び外科処置のための器具と方法 |
Country Status (9)
| Country | Link |
|---|---|
| US (4) | US6945933B2 (enExample) |
| EP (3) | EP1515646B2 (enExample) |
| JP (1) | JP4347805B2 (enExample) |
| CN (2) | CN100364483C (enExample) |
| AT (1) | ATE499046T1 (enExample) |
| AU (2) | AU2003280067A1 (enExample) |
| CA (2) | CA2489656A1 (enExample) |
| DE (1) | DE60336133D1 (enExample) |
| WO (2) | WO2004002323A2 (enExample) |
Families Citing this family (304)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6187000B1 (en) | 1998-08-20 | 2001-02-13 | Endius Incorporated | Cannula for receiving surgical instruments |
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| KR20020077346A (ko) | 1999-11-24 | 2002-10-11 | 너바시브 인코퍼레이티드 | 근전도검사 시스템 |
| US6402750B1 (en) * | 2000-04-04 | 2002-06-11 | Spinlabs, Llc | Devices and methods for the treatment of spinal disorders |
| US6805695B2 (en) * | 2000-04-04 | 2004-10-19 | Spinalabs, Llc | Devices and methods for annular repair of intervertebral discs |
| US7056321B2 (en) | 2000-08-01 | 2006-06-06 | Endius, Incorporated | Method of securing vertebrae |
| US7144393B2 (en) * | 2001-05-15 | 2006-12-05 | Dipoto Gene P | Structure for receiving surgical instruments |
| WO2003005887A2 (en) | 2001-07-11 | 2003-01-23 | Nuvasive, Inc. | System and methods for determining nerve proximity, direction, and pathology during surgery |
| JP2005503857A (ja) | 2001-09-25 | 2005-02-10 | ヌバシブ, インコーポレイテッド | 外科処置手順および外科的診断を実施するためのシステムおよび方法 |
| JP3913506B2 (ja) * | 2001-09-26 | 2007-05-09 | 三洋電機株式会社 | トレイを出没可能に具えたディスク記録又は再生装置 |
| US6860850B2 (en) * | 2001-10-05 | 2005-03-01 | Boss Instruments Ltd. | Retractor blade connector head |
| US7261688B2 (en) * | 2002-04-05 | 2007-08-28 | Warsaw Orthopedic, Inc. | Devices and methods for percutaneous tissue retraction and surgery |
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| US20060155170A1 (en) * | 2002-12-13 | 2006-07-13 | Synthes Spine Company, Lp | Guided retractor and methods of use |
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- 2003-06-20 EP EP03742154.2A patent/EP1515646B2/en not_active Expired - Lifetime
- 2003-06-20 JP JP2004517754A patent/JP4347805B2/ja not_active Expired - Fee Related
- 2003-06-20 AT AT03742154T patent/ATE499046T1/de not_active IP Right Cessation
- 2003-06-20 CN CNB038149729A patent/CN100364483C/zh not_active Expired - Fee Related
- 2003-06-20 AU AU2003280067A patent/AU2003280067A1/en not_active Abandoned
- 2003-06-20 WO PCT/US2003/019798 patent/WO2004002323A2/en not_active Ceased
- 2003-06-20 EP EP10180605.7A patent/EP2289425B1/en not_active Expired - Lifetime
- 2003-06-20 CA CA002489656A patent/CA2489656A1/en not_active Abandoned
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2004
- 2004-03-03 US US10/792,358 patent/US7513869B2/en not_active Expired - Lifetime
-
2005
- 2005-02-23 EP EP05723582.2A patent/EP1727477B1/en not_active Expired - Lifetime
- 2005-02-23 CA CA002565167A patent/CA2565167A1/en not_active Abandoned
- 2005-02-23 WO PCT/US2005/005762 patent/WO2005092206A1/en not_active Ceased
- 2005-02-23 AU AU2005225394A patent/AU2005225394B2/en not_active Ceased
- 2005-02-23 CN CNB2005800115324A patent/CN100488462C/zh not_active Expired - Fee Related
- 2005-05-03 US US11/121,344 patent/US7524285B2/en not_active Expired - Lifetime
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2009
- 2009-04-06 US US12/384,542 patent/US7981029B2/en not_active Expired - Fee Related
Also Published As
| Publication number | Publication date |
|---|---|
| CN1972635A (zh) | 2007-05-30 |
| EP1515646B2 (en) | 2014-11-05 |
| CA2489656A1 (en) | 2004-01-08 |
| US20040176665A1 (en) | 2004-09-09 |
| AU2003280067A1 (en) | 2004-01-19 |
| CN1662184A (zh) | 2005-08-31 |
| EP2289425B1 (en) | 2019-07-31 |
| EP2289425A3 (en) | 2014-04-23 |
| WO2004002323A3 (en) | 2004-03-25 |
| EP1515646B1 (en) | 2011-02-23 |
| AU2005225394B2 (en) | 2010-09-30 |
| EP1727477B1 (en) | 2015-12-30 |
| US7981029B2 (en) | 2011-07-19 |
| WO2005092206A1 (en) | 2005-10-06 |
| EP1515646A2 (en) | 2005-03-23 |
| EP2289425A2 (en) | 2011-03-02 |
| US7513869B2 (en) | 2009-04-07 |
| ATE499046T1 (de) | 2011-03-15 |
| US20050192485A1 (en) | 2005-09-01 |
| AU2005225394A1 (en) | 2005-10-06 |
| JP2005530586A (ja) | 2005-10-13 |
| CN100488462C (zh) | 2009-05-20 |
| CA2565167A1 (en) | 2005-10-06 |
| DE60336133D1 (de) | 2011-04-07 |
| CN100364483C (zh) | 2008-01-30 |
| US6945933B2 (en) | 2005-09-20 |
| WO2004002323A2 (en) | 2004-01-08 |
| US20090203967A1 (en) | 2009-08-13 |
| EP1727477A1 (en) | 2006-12-06 |
| US20040002629A1 (en) | 2004-01-01 |
| US7524285B2 (en) | 2009-04-28 |
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