JP6517957B2 - 自動器具 - Google Patents
自動器具 Download PDFInfo
- Publication number
- JP6517957B2 JP6517957B2 JP2018007208A JP2018007208A JP6517957B2 JP 6517957 B2 JP6517957 B2 JP 6517957B2 JP 2018007208 A JP2018007208 A JP 2018007208A JP 2018007208 A JP2018007208 A JP 2018007208A JP 6517957 B2 JP6517957 B2 JP 6517957B2
- Authority
- JP
- Japan
- Prior art keywords
- trocar
- instrument
- distal end
- tubular member
- label
- 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
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Classifications
-
- 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
- A61B17/3421—Cannulas
-
- 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
- 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
- A61B90/30—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
-
- 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
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
-
- 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
- A61B90/90—Identification means for patients or instruments, e.g. tags
-
- 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
- A61B90/90—Identification means for patients or instruments, e.g. tags
- A61B90/92—Identification means for patients or instruments, e.g. tags coded with colour
-
- 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
- A61B90/90—Identification means for patients or instruments, e.g. tags
- A61B90/94—Identification means for patients or instruments, e.g. tags coded with symbols, e.g. text
-
- 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
- A61B2034/2065—Tracking using image or pattern recognition
-
- 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
-
- 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
-
- 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
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
- A61B2090/3937—Visible markers
-
- 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
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
- A61B2090/3937—Visible markers
- A61B2090/395—Visible markers with marking agent for marking skin or other tissue
-
- 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
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
- A61B2090/3983—Reference marker arrangements for use with image guided surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
- A61M25/0108—Steering means as part of the catheter or advancing means; Markers for positioning using radio-opaque or ultrasound markers
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Heart & Thoracic Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- Veterinary Medicine (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Public Health (AREA)
- General Health & Medical Sciences (AREA)
- Pathology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Robotics (AREA)
- Endoscopes (AREA)
- Surgical Instruments (AREA)
Description
管状部材遠位端及び管状部材近位端を具備する管状部材を有しているトロカールと、
器具近位端及び器具遠位端を備えている器具であって、器具遠位端が管状部材遠位端を越えて突出している状態において管状部材の内部に挿入可能に配置されている器具と、
器具遠位端が管状部材遠位端を越えて突出している際に、器具遠位端を示しているインジケータと、
を備えている外科手術器具を提供する。
一般に、内視鏡32は、自身の照明体(図1A及び図1Bには図示しない)を有している。内視鏡32の照明体46によって発せられた光は、本明細書では“内視鏡光”と呼称されるが、一般には白色光と呼称される。内視鏡光によって、内視鏡は、例えば動脈、静脈、及び/又は腹壁の他の要素のような腹壁26の組織の画像を得ることができる。内視鏡光を受けている状態において、組織スペクトルは、結像された組織の色彩に対応するが、組織による内視鏡光の吸収に依存している。組織スペクトルは、一般に様々に変化する色合いの赤を含んでいる。
11 自動器具追跡システム
12 体腔(腹部)
20 器具追跡モジュール
22 内視鏡モジュール
24 スクリーン
26 腹壁
28 第1のトロカール
30 第2のトロカール
32 内視鏡
34 (第1のトロカール28の)管状部材
36 (第2のトロカール30の)管状部材
37 対称軸線
40 器具
42 (器具40の)遠位端
44 (第2のトロカール30の)遠位端
46 照明体
48 (管状部材36の)壁
50 通路
52 センサ
130 トロカール
132 管
134 管開口部
136 開閉弁
138 指標
150 トロカール
170 トロカール
234 ラベル
304 画像化ステップ
350 体腔12の組織の画像
Claims (5)
- 管状部材遠位端及び管状部材近位端を具備する管状部材を有しているトロカールと、
器具近位端及び器具遠位端を備えている器具であって、前記器具遠位端が前記管状部材遠位端を越えて突出している状態において前記管状部材の内部に挿入可能に配置されている前記器具と、
前記トロカールに配置され、かつ前記器具遠位端が前記管状部材遠位端を越えて突出している際に、前記器具遠位端を示すよう構成されたインジケータと、
を備えている外科手術器具において、
前記外科手術器具が、前記管状部材内に配置されかつ前記器具の位置を検出するセンサを備えており、
前記インジケータが、前記センサの信号に基づいて、前記器具遠位端を示し、
前記インジケータが、前記トロカールに配置されているアプリケータであって、前記器具が前記管状部材遠位端を越える際に、前記器具にマーカーを付着させるように構成されている前記アプリケータとされることを特徴とする外科手術器具。 - 前記マーカーが、前記器具に付着されると乾燥するように構成されている液体を含んでいることを特徴とする請求項1に記載の外科手術器具。
- 前記マーカーが、前記器具に付着されるよう構成されているラベルを含んでいることを特徴とする請求項1に記載の外科手術器具。
- 前記外科手術器具が、前記トロカールの内部に配置されているラベルリムーバーを備えており、
前記ラベルリムーバーが、前記ラベルが付着した後に、及び、前記管状部材を介して前記トロカールから前記器具を引き抜く際に、前記ラベルを取り除くように構成されていることを特徴とする請求項3に記載の外科手術器具。 - 前記ラベルが、前記器具をオートクレーブ処理する際に前記器具から取り外されるように構成されていることを特徴とする請求項3に記載の外科手術器具。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US13/610,887 | 2012-09-12 | ||
US13/610,887 US9131957B2 (en) | 2012-09-12 | 2012-09-12 | Automatic tool marking |
Related Parent Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2015531947A Division JP6301929B2 (ja) | 2012-09-12 | 2013-08-27 | 自動器具 |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2018061858A JP2018061858A (ja) | 2018-04-19 |
JP6517957B2 true JP6517957B2 (ja) | 2019-05-22 |
Family
ID=49182487
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2015531947A Expired - Fee Related JP6301929B2 (ja) | 2012-09-12 | 2013-08-27 | 自動器具 |
JP2018007208A Expired - Fee Related JP6517957B2 (ja) | 2012-09-12 | 2018-01-19 | 自動器具 |
Family Applications Before (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2015531947A Expired - Fee Related JP6301929B2 (ja) | 2012-09-12 | 2013-08-27 | 自動器具 |
Country Status (3)
Country | Link |
---|---|
US (1) | US9131957B2 (ja) |
JP (2) | JP6301929B2 (ja) |
WO (1) | WO2014042861A1 (ja) |
Families Citing this family (481)
Publication number | Priority date | Publication date | Assignee | Title |
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US20070084897A1 (en) | 2003-05-20 | 2007-04-19 | Shelton Frederick E Iv | Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism |
US9060770B2 (en) | 2003-05-20 | 2015-06-23 | Ethicon Endo-Surgery, Inc. | Robotically-driven surgical instrument with E-beam driver |
US9072535B2 (en) | 2011-05-27 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments with rotatable staple deployment arrangements |
US8215531B2 (en) | 2004-07-28 | 2012-07-10 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a medical substance dispenser |
US11998198B2 (en) | 2004-07-28 | 2024-06-04 | Cilag Gmbh International | Surgical stapling instrument incorporating a two-piece E-beam firing mechanism |
US11890012B2 (en) | 2004-07-28 | 2024-02-06 | Cilag Gmbh International | Staple cartridge comprising cartridge body and attached support |
US7669746B2 (en) | 2005-08-31 | 2010-03-02 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US10159482B2 (en) | 2005-08-31 | 2018-12-25 | Ethicon Llc | Fastener cartridge assembly comprising a fixed anvil and different staple heights |
US11246590B2 (en) | 2005-08-31 | 2022-02-15 | Cilag Gmbh International | Staple cartridge including staple drivers having different unfired heights |
US7934630B2 (en) | 2005-08-31 | 2011-05-03 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US8317070B2 (en) | 2005-08-31 | 2012-11-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling devices that produce formed staples having different lengths |
US9237891B2 (en) | 2005-08-31 | 2016-01-19 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical stapling devices that produce formed staples having different lengths |
US11484312B2 (en) | 2005-08-31 | 2022-11-01 | Cilag Gmbh International | Staple cartridge comprising a staple driver arrangement |
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US7845537B2 (en) | 2006-01-31 | 2010-12-07 | Ethicon Endo-Surgery, Inc. | Surgical instrument having recording capabilities |
US11278279B2 (en) | 2006-01-31 | 2022-03-22 | Cilag Gmbh International | Surgical instrument assembly |
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US20120292367A1 (en) | 2006-01-31 | 2012-11-22 | Ethicon Endo-Surgery, Inc. | Robotically-controlled end effector |
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WO2014042861A1 (en) | 2014-03-20 |
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US9131957B2 (en) | 2015-09-15 |
US20140074134A1 (en) | 2014-03-13 |
JP2015528377A (ja) | 2015-09-28 |
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