JP6023725B2 - 腹腔鏡下手術を実行するための装置、システム、および方法 - Google Patents
腹腔鏡下手術を実行するための装置、システム、および方法 Download PDFInfo
- Publication number
- JP6023725B2 JP6023725B2 JP2013554559A JP2013554559A JP6023725B2 JP 6023725 B2 JP6023725 B2 JP 6023725B2 JP 2013554559 A JP2013554559 A JP 2013554559A JP 2013554559 A JP2013554559 A JP 2013554559A JP 6023725 B2 JP6023725 B2 JP 6023725B2
- Authority
- JP
- Japan
- Prior art keywords
- tool head
- tool
- distal end
- shaft
- actuator
- 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
Images
Classifications
-
- 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
- A61B1/313—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 for introducing through surgical openings, e.g. laparoscopes
- A61B1/3132—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 for introducing through surgical openings, e.g. laparoscopes for laparoscopy
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
-
- 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
- A61B2017/00238—Type of minimally invasive operation
- A61B2017/00265—Hand assisted surgery, i.e. minimally invasive surgery with at least part of an assisting hand inside the body
-
- 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
- A61B2017/00362—Packages or dispensers for MIS instruments
-
- 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
- A61B2017/0046—Surgical instruments, devices or methods with a releasable handle; with handle and operating part separable
- A61B2017/00473—Distal part, e.g. tip or head
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/28—Surgical forceps
- A61B17/29—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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/28—Surgical forceps
- A61B17/29—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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/28—Surgical forceps
- A61B17/29—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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
- A61B2017/2931—Details of heads or jaws with releasable head
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
- A61B2017/2932—Transmission of forces to jaw members
- A61B2017/2933—Transmission of forces to jaw members camming or guiding means
- A61B2017/2936—Pins in guiding slots
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2946—Locking means
-
- 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
- A61B90/03—Automatic limiting or abutting means, e.g. for safety
- A61B2090/031—Automatic limiting or abutting means, e.g. for safety torque limiting
-
- 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
- A61B90/08—Accessories or related features not otherwise provided for
- A61B2090/0801—Prevention of accidental cutting or pricking
- A61B2090/08021—Prevention of accidental cutting or pricking of the patient or his organs
-
- 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
- A61B90/08—Accessories or related features not otherwise provided for
- A61B2090/0807—Indication means
- A61B2090/0808—Indication means for indicating correct assembly of components, e.g. of the surgical apparatus
-
- 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
- A61B90/08—Accessories or related features not otherwise provided for
- A61B2090/0807—Indication means
- A61B2090/0811—Indication means for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- Molecular Biology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Ophthalmology & Optometry (AREA)
- Biophysics (AREA)
- Radiology & Medical Imaging (AREA)
- Physics & Mathematics (AREA)
- Pathology (AREA)
- Optics & Photonics (AREA)
- Surgical Instruments (AREA)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US201161442788P | 2011-02-14 | 2011-02-14 | |
| US61/442,788 | 2011-02-14 | ||
| PCT/US2012/025136 WO2012112622A2 (en) | 2011-02-14 | 2012-02-14 | Apparatus, systems, and methods for performing laparoscopic surgery |
Publications (3)
| Publication Number | Publication Date |
|---|---|
| JP2014512888A JP2014512888A (ja) | 2014-05-29 |
| JP2014512888A5 JP2014512888A5 (enExample) | 2015-04-02 |
| JP6023725B2 true JP6023725B2 (ja) | 2016-11-09 |
Family
ID=46673137
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2013554559A Expired - Fee Related JP6023725B2 (ja) | 2011-02-14 | 2012-02-14 | 腹腔鏡下手術を実行するための装置、システム、および方法 |
Country Status (4)
| Country | Link |
|---|---|
| US (1) | US9861272B2 (enExample) |
| EP (1) | EP2675374B1 (enExample) |
| JP (1) | JP6023725B2 (enExample) |
| WO (1) | WO2012112622A2 (enExample) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP3423390B2 (ja) | 1994-01-07 | 2003-07-07 | 大和紡績株式会社 | 土木用材料 |
Families Citing this family (54)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US7655004B2 (en) | 2007-02-15 | 2010-02-02 | Ethicon Endo-Surgery, Inc. | Electroporation ablation apparatus, system, and method |
| US8888792B2 (en) | 2008-07-14 | 2014-11-18 | Ethicon Endo-Surgery, Inc. | Tissue apposition clip application devices and methods |
| US8157834B2 (en) | 2008-11-25 | 2012-04-17 | Ethicon Endo-Surgery, Inc. | Rotational coupling device for surgical instrument with flexible actuators |
| US8361066B2 (en) | 2009-01-12 | 2013-01-29 | Ethicon Endo-Surgery, Inc. | Electrical ablation devices |
| US9295485B2 (en) | 2009-10-09 | 2016-03-29 | Ethicon Endo-Surgery, Inc. | Loader for exchanging end effectors in vivo |
| US9186203B2 (en) | 2009-10-09 | 2015-11-17 | Ethicon Endo-Surgery, Inc. | Method for exchanging end effectors In Vivo |
| US20110098704A1 (en) | 2009-10-28 | 2011-04-28 | Ethicon Endo-Surgery, Inc. | Electrical ablation devices |
| US9028483B2 (en) | 2009-12-18 | 2015-05-12 | Ethicon Endo-Surgery, Inc. | Surgical instrument comprising an electrode |
| US9233241B2 (en) | 2011-02-28 | 2016-01-12 | Ethicon Endo-Surgery, Inc. | Electrical ablation devices and methods |
| US9254169B2 (en) | 2011-02-28 | 2016-02-09 | Ethicon Endo-Surgery, Inc. | Electrical ablation devices and methods |
| US9049987B2 (en) | 2011-03-17 | 2015-06-09 | Ethicon Endo-Surgery, Inc. | Hand held surgical device for manipulating an internal magnet assembly within a patient |
| US9427255B2 (en) | 2012-05-14 | 2016-08-30 | Ethicon Endo-Surgery, Inc. | Apparatus for introducing a steerable camera assembly into a patient |
| US9078662B2 (en) | 2012-07-03 | 2015-07-14 | Ethicon Endo-Surgery, Inc. | Endoscopic cap electrode and method for using the same |
| US9545290B2 (en) | 2012-07-30 | 2017-01-17 | Ethicon Endo-Surgery, Inc. | Needle probe guide |
| US10314649B2 (en) | 2012-08-02 | 2019-06-11 | Ethicon Endo-Surgery, Inc. | Flexible expandable electrode and method of intraluminal delivery of pulsed power |
| US9277957B2 (en) | 2012-08-15 | 2016-03-08 | Ethicon Endo-Surgery, Inc. | Electrosurgical devices and methods |
| US9125681B2 (en) | 2012-09-26 | 2015-09-08 | Ethicon Endo-Surgery, Inc. | Detachable end effector and loader |
| US9498207B2 (en) | 2012-12-13 | 2016-11-22 | Ethicon Endo-Surgery, Llc | Cartridge interface for surgical suturing device |
| US9023015B2 (en) * | 2013-02-01 | 2015-05-05 | Covidien Lp | Laparoscopic instruments, attachable end effectors and methods relating to same |
| US9451937B2 (en) | 2013-02-27 | 2016-09-27 | Ethicon Endo-Surgery, Llc | Percutaneous instrument with collet locking mechanisms |
| US10098527B2 (en) * | 2013-02-27 | 2018-10-16 | Ethidcon Endo-Surgery, Inc. | System for performing a minimally invasive surgical procedure |
| EP2961335B1 (en) * | 2013-02-27 | 2018-08-29 | Ethicon LLC | Percutaneous instrument with collet locking mechanisms |
| US10058343B2 (en) * | 2013-03-14 | 2018-08-28 | Covidien Lp | Systems for performing endoscopic procedures |
| WO2014145595A2 (en) | 2013-03-15 | 2014-09-18 | Miret Surgical, Inc. | Surgical devices, systems and related methods |
| EP2983598B1 (en) | 2013-04-11 | 2022-03-16 | Faculty Physicians and Surgeons of Loma Linda University School of Medicine | Minimally invasive surgical devices |
| EP2845549B1 (de) | 2013-09-10 | 2016-08-31 | Erbe Elektromedizin GmbH | Chirurgisches Instrument mit verbessertem Betätigungsgetriebe |
| EP3102118A4 (en) | 2014-02-06 | 2018-01-10 | Faculty Physicians and Surgeons of Loma Linda University School of Medicine | Methods and devices for performing abdominal surgery |
| US20170014135A1 (en) | 2015-07-14 | 2017-01-19 | Keith Edward Martin | Surgical tool |
| US10631874B2 (en) | 2015-07-15 | 2020-04-28 | Atricure, Inc. | Surgical tool |
| WO2017034844A1 (en) * | 2015-08-26 | 2017-03-02 | Ethicon Endo-Surgery, Llc | Articulating surgical devices and loaders having stabilizing features |
| US10314565B2 (en) * | 2015-08-26 | 2019-06-11 | Ethicon Llc | Surgical device having actuator biasing and locking features |
| US10335196B2 (en) | 2015-08-31 | 2019-07-02 | Ethicon Llc | Surgical instrument having a stop guard |
| US10251636B2 (en) | 2015-09-24 | 2019-04-09 | Ethicon Llc | Devices and methods for cleaning a surgical device |
| US10702257B2 (en) | 2015-09-29 | 2020-07-07 | Ethicon Llc | Positioning device for use with surgical instruments |
| US10912543B2 (en) | 2015-11-03 | 2021-02-09 | Ethicon Llc | Surgical end effector loading device and trocar integration |
| US10675009B2 (en) | 2015-11-03 | 2020-06-09 | Ethicon Llc | Multi-head repository for use with a surgical device |
| US10265130B2 (en) | 2015-12-11 | 2019-04-23 | Ethicon Llc | Systems, devices, and methods for coupling end effectors to surgical devices and loading devices |
| AU2017269261B2 (en) | 2016-05-26 | 2021-12-09 | Covidien Lp | Robotic surgical assemblies |
| US10045827B2 (en) * | 2016-08-16 | 2018-08-14 | Ethicon Llc | Methods, systems, and devices for limiting torque in robotic surgical tools |
| US10932804B2 (en) | 2017-10-30 | 2021-03-02 | Ethicon Llc | Surgical instrument with sensor and/or control systems |
| US11129634B2 (en) | 2017-10-30 | 2021-09-28 | Cilag Gmbh International | Surgical instrument with rotary drive selectively actuating multiple end effector functions |
| US11116485B2 (en) | 2017-10-30 | 2021-09-14 | Cilag Gmbh International | Surgical instrument with modular power sources |
| GB2572739B (en) * | 2018-01-26 | 2020-11-18 | Ip2Ipo Innovations Ltd | Joint component |
| CN108338824B (zh) * | 2018-03-15 | 2024-10-22 | 无锡市人民医院 | 万向穿刺定位装置 |
| DE102018115435A1 (de) * | 2018-06-27 | 2020-01-02 | avateramedical GmBH | Trokarhalterung |
| EP3826566B1 (en) | 2018-07-26 | 2024-11-20 | Covidien LP | Surgical robotic systems |
| WO2020081946A1 (en) * | 2018-10-19 | 2020-04-23 | New Wave Endo-Surgery Inc. | Method and apparatus for intra-abdominal assembly, disassembly and retrieval of laparoscopic instruments |
| USD926980S1 (en) * | 2019-09-13 | 2021-08-03 | Gabriel Koros | Axis rongeur |
| US11547286B2 (en) * | 2020-01-22 | 2023-01-10 | Brio13Inv. LLC | Stylet assembly |
| US12318898B2 (en) | 2021-06-17 | 2025-06-03 | 9223-1620 Quebec Inc. | Locking pliers and other gripping tools |
| JP2025502558A (ja) * | 2022-01-10 | 2025-01-24 | モジュラー サージカル, インコーポレイテッド | 腹腔鏡外科手術器具先端保持器 |
| DE102022116385A1 (de) * | 2022-06-30 | 2024-01-04 | Karl Storz Se & Co. Kg | Kopplungsvorrichtung für ein zerlegbares chirurgisches instrument und verfahren zur betätigung der kopplungsvorrichtung |
| KR20240099899A (ko) * | 2022-12-22 | 2024-07-01 | 주식회사 밀알 | Ict를 이용한 반자율 복강경 장치 |
| US20250295402A1 (en) * | 2024-03-22 | 2025-09-25 | Boston Scientific Scimed, Inc. | Medical systems, devices, and methods for providing traction to tissue |
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| US5282806A (en) * | 1992-08-21 | 1994-02-01 | Habley Medical Technology Corporation | Endoscopic surgical instrument having a removable, rotatable, end effector assembly |
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| US5792165A (en) | 1993-07-21 | 1998-08-11 | Charles H. Klieman | Endoscopic instrument with detachable end effector |
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| WO2010114634A1 (en) * | 2009-04-03 | 2010-10-07 | The Board Of Trustees Of The Leland Stanford Junior University | Surgical device and method |
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| US20110087265A1 (en) | 2009-10-09 | 2011-04-14 | Nobis Rudolph H | Laparoscopic instrument with attachable end effector |
| US9295485B2 (en) | 2009-10-09 | 2016-03-29 | Ethicon Endo-Surgery, Inc. | Loader for exchanging end effectors in vivo |
| WO2011089565A1 (en) | 2010-01-20 | 2011-07-28 | EON Surgical Ltd. | System of deploying an elongate unit in a body cavity |
| US8721539B2 (en) | 2010-01-20 | 2014-05-13 | EON Surgical Ltd. | Rapid laparoscopy exchange system and method of use thereof |
-
2012
- 2012-02-14 WO PCT/US2012/025136 patent/WO2012112622A2/en not_active Ceased
- 2012-02-14 JP JP2013554559A patent/JP6023725B2/ja not_active Expired - Fee Related
- 2012-02-14 EP EP12747562.2A patent/EP2675374B1/en not_active Not-in-force
-
2013
- 2013-08-13 US US13/966,197 patent/US9861272B2/en active Active
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP3423390B2 (ja) | 1994-01-07 | 2003-07-07 | 大和紡績株式会社 | 土木用材料 |
Also Published As
| Publication number | Publication date |
|---|---|
| JP2014512888A (ja) | 2014-05-29 |
| EP2675374B1 (en) | 2015-09-09 |
| EP2675374A2 (en) | 2013-12-25 |
| US20130331646A1 (en) | 2013-12-12 |
| EP2675374A4 (en) | 2014-07-23 |
| US9861272B2 (en) | 2018-01-09 |
| WO2012112622A2 (en) | 2012-08-23 |
| WO2012112622A3 (en) | 2012-11-22 |
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