JP5139979B2 - 外科用器具の案内装置 - Google Patents
外科用器具の案内装置 Download PDFInfo
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- JP5139979B2 JP5139979B2 JP2008522815A JP2008522815A JP5139979B2 JP 5139979 B2 JP5139979 B2 JP 5139979B2 JP 2008522815 A JP2008522815 A JP 2008522815A JP 2008522815 A JP2008522815 A JP 2008522815A JP 5139979 B2 JP5139979 B2 JP 5139979B2
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
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- A—HUMAN NECESSITIES
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- 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
- A61B1/00147—Holding or positioning arrangements
- A61B1/00154—Holding or positioning arrangements using guiding arrangements for insertion
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- A61B1/005—Flexible endoscopes
- A61B1/0051—Flexible endoscopes with controlled bending of insertion part
- A61B1/0052—Constructional details of control elements, e.g. handles
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- A61B1/005—Flexible endoscopes
- A61B1/0051—Flexible endoscopes with controlled bending of insertion part
- A61B1/0057—Constructional details of force transmission elements, e.g. control wires
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- A—HUMAN NECESSITIES
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- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
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- A61B17/128—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips
- A61B17/1285—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips for minimally invasive surgery
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- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
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- A61B17/3403—Needle locating or guiding means
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- 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
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
- A61B2017/003—Steerable
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- A—HUMAN NECESSITIES
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- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
- A61B2017/003—Steerable
- A61B2017/00305—Constructional details of the flexible means
- A61B2017/00309—Cut-outs or slits
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- A—HUMAN NECESSITIES
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- A61B2017/00469—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable for insertion of instruments, e.g. guide wire, optical fibre
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- A—HUMAN NECESSITIES
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- A61B17/0218—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for minimally invasive surgery
- A61B2017/0225—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for minimally invasive surgery flexible, e.g. fabrics, meshes, or membranes
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- A—HUMAN NECESSITIES
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- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61B17/29—Forceps for use in minimally invasive surgery
- A61B17/2909—Handles
- A61B2017/2912—Handles transmission of forces to actuating rod or piston
- A61B2017/2919—Handles transmission of forces to actuating rod or piston details of linkages or pivot points
- A61B2017/292—Handles transmission of forces to actuating rod or piston details of linkages or pivot points connection of actuating rod to handle, e.g. ball end in recess
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
- A61B2017/2927—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
- A61B2017/2927—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft
- A61B2017/2929—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft with a head rotatable about the longitudinal axis of the shaft
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- 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
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- A61B2017/3445—Cannulas used as instrument channel for multiple instruments
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- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
- A61B17/3421—Cannulas
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- Ophthalmology & Optometry (AREA)
- Vascular Medicine (AREA)
- Reproductive Health (AREA)
- Robotics (AREA)
- Orthopedic Medicine & Surgery (AREA)
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Description
Claims (10)
- 制御端部と、作用端部とを含む手操作型器具のための器具案内装置において、
該器具案内装置が手操作型器具を受け入れるため使用され、
基端と、末端とを有して、手操作型器具を受け入れる器具管腔を含む細長い案内軸と、
案内軸の末端に配設された末端の曲げ可能な部材と、
案内軸の基端に配設された基端の曲げ可能な部材と、
前記末端の曲げ可能な部材と基端の曲げ可能な部材との間を伸びて、前記基端の曲げ可能な部材から制御されて前記末端の曲げ可能な部材の曲げを与える作動手段と、を備え、
これにより、前記基端の曲げ可能な部材は、前記手操作型器具から制御されて、前記末端の曲げ可能な部材の相応した曲げを生ぜしめ、該末端の曲げ可能な部材の相応した曲げは、基端の曲げ可能な部材の偏向または曲げを生ずるように、該器具案内装置内に位置決めされた、手操作型器具の制御端部を偏向させることにより行われ、該基端の曲げ可能な部材の偏向または曲げは、該手操作器具の作用端部の位置決めを制御するために作動手段を介して末端の曲げ可能な部材に伝達されることを特徴とする、手操作型器具のための器具案内装置。 - 請求項1に記載の器具案内装置において、前記基端の曲げ可能な部材は任意の方向に向けて可動である、器具案内装置。
- 請求項1に記載の器具案内装置において、前記基端の曲げ可能な部材と前記手操作器具のハンドルとの間に配設された把持部を含み、また、該手操作器具の軸が通って伸びる通路を有するような構造及び配置とされる、器具案内装置。
- 請求項3に記載の器具案内装置において、前記把持部は、把持部分と、回転ノブとを含む2つの部分として形成され、該把持部及び回転ノブは、その間にて相対的に回転し得るよう支持される、器具案内装置。
- 請求項1に記載の器具案内装置において、前記曲げ可能な部材の各々は、スロットにより分離された複数のディスクを有する単一部分から成るスロット付き構造体を備える、器具案内装置。
- 請求項1に記載の器具案内装置において、前記作動手段は、基端の曲げ可能な部材と末端の曲げ可能な部材とを相互に接続する複数のケーブルを備える、器具案内装置。
- 請求項1に記載の器具案内装置において、前記案内軸は、別個の器具の軸をそれぞれ受容する少なくとも2つの管腔を有する、器具案内装置。
- 請求項1に記載の器具案内装置において、前記手操作型器具は、器具の基端の曲げ可能な部材と、末端の曲げ可能な部材とを有する、器具案内装置。
- 請求項8に記載の器具案内装置において、手操作型器具の基端の曲げ可能な部材と末端の曲げ可能な部材との間を伸びるケーブルを含む、器具案内装置。
- 請求項1に記載の器具案内装置において、前記基端の曲げ可能な部材は、スロットにより分離された複数のディスクを有する単一物のスロット付き構造を備え、また、隣接するディスクを相互に接続する複数のリブを更に含み、前記リブは90°以下の間隔にて部材の回りに配設される、器具案内装置。
Applications Claiming Priority (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US70077605P | 2005-07-20 | 2005-07-20 | |
US60/700,776 | 2005-07-20 | ||
US11/242,642 | 2005-10-03 | ||
US11/242,642 US7842028B2 (en) | 2005-04-14 | 2005-10-03 | Surgical instrument guide device |
PCT/US2006/026784 WO2007018898A2 (en) | 2005-07-20 | 2006-07-10 | Surgical instrument guide device |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2009505688A JP2009505688A (ja) | 2009-02-12 |
JP5139979B2 true JP5139979B2 (ja) | 2013-02-06 |
Family
ID=37680049
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2008522815A Expired - Fee Related JP5139979B2 (ja) | 2005-07-20 | 2006-07-10 | 外科用器具の案内装置 |
Country Status (9)
Country | Link |
---|---|
US (6) | US7842028B2 (ja) |
EP (1) | EP1912569A2 (ja) |
JP (1) | JP5139979B2 (ja) |
KR (1) | KR20080036993A (ja) |
CN (1) | CN101495045B (ja) |
AU (1) | AU2006276773A1 (ja) |
CA (1) | CA2615782A1 (ja) |
HK (1) | HK1131875A1 (ja) |
WO (1) | WO2007018898A2 (ja) |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
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JP2014512884A (ja) * | 2011-02-14 | 2014-05-29 | アイエムディーエス コーポレイション | 調整可能な腹腔鏡器具ハンドル |
Families Citing this family (712)
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US11896225B2 (en) | 2004-07-28 | 2024-02-13 | Cilag Gmbh International | Staple cartridge comprising a pan |
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US11998198B2 (en) | 2004-07-28 | 2024-06-04 | Cilag Gmbh International | Surgical stapling instrument incorporating a two-piece E-beam firing mechanism |
US8375808B2 (en) | 2005-12-30 | 2013-02-19 | Intuitive Surgical Operations, Inc. | Force sensing for surgical instruments |
US8945095B2 (en) * | 2005-03-30 | 2015-02-03 | Intuitive Surgical Operations, Inc. | Force and torque sensing for surgical instruments |
US8409175B2 (en) * | 2005-07-20 | 2013-04-02 | Woojin Lee | Surgical instrument guide device |
US8800838B2 (en) | 2005-08-31 | 2014-08-12 | Ethicon Endo-Surgery, Inc. | Robotically-controlled cable-based surgical end effectors |
US7673781B2 (en) | 2005-08-31 | 2010-03-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling device with staple driver that supports multiple wire diameter staples |
US7934630B2 (en) | 2005-08-31 | 2011-05-03 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US9237891B2 (en) | 2005-08-31 | 2016-01-19 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical stapling devices that produce formed staples having different lengths |
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
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JP2014512884A (ja) * | 2011-02-14 | 2014-05-29 | アイエムディーエス コーポレイション | 調整可能な腹腔鏡器具ハンドル |
Also Published As
Publication number | Publication date |
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US9427256B2 (en) | 2016-08-30 |
KR20080036993A (ko) | 2008-04-29 |
WO2007018898A2 (en) | 2007-02-15 |
CN101495045A (zh) | 2009-07-29 |
US20170196546A1 (en) | 2017-07-13 |
US10188372B2 (en) | 2019-01-29 |
WO2007018898A3 (en) | 2009-04-23 |
HK1131875A1 (en) | 2010-02-12 |
US20160354114A1 (en) | 2016-12-08 |
US7842028B2 (en) | 2010-11-30 |
US20090023995A1 (en) | 2009-01-22 |
US8926597B2 (en) | 2015-01-06 |
US20080269727A1 (en) | 2008-10-30 |
US20150105625A1 (en) | 2015-04-16 |
CA2615782A1 (en) | 2007-02-15 |
JP2009505688A (ja) | 2009-02-12 |
US20070021737A1 (en) | 2007-01-25 |
CN101495045B (zh) | 2012-01-25 |
AU2006276773A2 (en) | 2008-08-14 |
EP1912569A2 (en) | 2008-04-23 |
AU2006276773A1 (en) | 2007-02-15 |
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