JP6518249B2 - 開胸手術を伴わない胸部内アクセス装置及び関連方法 - Google Patents

開胸手術を伴わない胸部内アクセス装置及び関連方法 Download PDF

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Publication number
JP6518249B2
JP6518249B2 JP2016532753A JP2016532753A JP6518249B2 JP 6518249 B2 JP6518249 B2 JP 6518249B2 JP 2016532753 A JP2016532753 A JP 2016532753A JP 2016532753 A JP2016532753 A JP 2016532753A JP 6518249 B2 JP6518249 B2 JP 6518249B2
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Prior art keywords
cannula
cannula system
front wall
instrument
stabilization
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Japanese (ja)
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JP2016533810A (ja
JP2016533810A5 (https=
Inventor
リチャード エス スタック
リチャード エス スタック
ウィリアム エル エイサス
ウィリアム エル エイサス
アンディ シー カイザー
アンディ シー カイザー
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ミニマリー・インヴェイシヴ・サージカル・アクセス・リミテッド
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/04Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06061Holders for needles or sutures, e.g. racks, stands
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/02Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
    • A61B17/0218Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors for minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments 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
    • A61B1/012Instruments 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
    • A61B1/015Control of fluid supply or evacuation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments 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
    • A61B1/06Instruments 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 with illuminating arrangements
    • A61B1/07Instruments 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 with illuminating arrangements using light-conductive means, e.g. optical fibres
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3417Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421Cannulas
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3417Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421Cannulas
    • A61B17/3423Access ports, e.g. toroid shape introducers for instruments or hands
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/30Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/50Supports for surgical instruments, e.g. articulated arms
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/02Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
    • A61B17/0293Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors with ring member to support retractor elements
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/00234Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00238Type of minimally invasive operation
    • A61B2017/00243Type of minimally invasive operation cardiac
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3417Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421Cannulas
    • A61B17/3423Access ports, e.g. toroid shape introducers for instruments or hands
    • A61B2017/3427Access ports, e.g. toroid shape introducers for instruments or hands for intercostal space
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3417Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421Cannulas
    • A61B2017/3445Cannulas used as instrument channel for multiple instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3417Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B2017/3454Details of tips
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/30Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
    • A61B2090/306Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure using optical fibres
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/361Image-producing devices, e.g. surgical cameras
    • A61B2090/3614Image-producing devices, e.g. surgical cameras using optical fibre
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/50Supports for surgical instruments, e.g. articulated arms
    • A61B90/57Accessory clamps
    • A61B2090/571Accessory clamps for clamping a support arm to a bed or other supports
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/361Image-producing devices, e.g. surgical cameras

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • 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)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Pathology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Biophysics (AREA)
  • Optics & Photonics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Surgical Instruments (AREA)
  • Endoscopes (AREA)
JP2016532753A 2013-08-06 2014-08-06 開胸手術を伴わない胸部内アクセス装置及び関連方法 Expired - Fee Related JP6518249B2 (ja)

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
US201361862940P 2013-08-06 2013-08-06
US61/862,940 2013-08-06
US201462028437P 2014-07-24 2014-07-24
US62/028,437 2014-07-24
PCT/IB2014/001831 WO2015019177A1 (en) 2013-08-06 2014-08-06 Intra-thoracic access device without thoracotomy, and related methods

Publications (3)

Publication Number Publication Date
JP2016533810A JP2016533810A (ja) 2016-11-04
JP2016533810A5 JP2016533810A5 (https=) 2017-09-21
JP6518249B2 true JP6518249B2 (ja) 2019-05-22

Family

ID=52449197

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2016532753A Expired - Fee Related JP6518249B2 (ja) 2013-08-06 2014-08-06 開胸手術を伴わない胸部内アクセス装置及び関連方法

Country Status (4)

Country Link
US (1) US20150045624A1 (https=)
EP (1) EP3030159A1 (https=)
JP (1) JP6518249B2 (https=)
WO (1) WO2015019177A1 (https=)

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KR101082762B1 (ko) * 2011-02-18 2011-11-10 이정삼 복강경 수술용 견인기구 시스템
US10433960B1 (en) * 2015-05-07 2019-10-08 Cardioprecision Limited Method and system for transcatheter intervention
CN108136143B (zh) * 2015-08-21 2021-03-02 瑟吉奎斯特公司 用于与手术气体输送系统一起使用的管组的联接装置
CN106510859A (zh) * 2016-12-31 2017-03-22 重庆市光利医疗科技有限公司 一种照明装置
NL2019868B1 (en) * 2017-11-08 2019-05-15 Crea Ip B V System and method for directing a conduit within a surgical field
JP2021509846A (ja) 2018-01-05 2021-04-08 マイトリックス, インコーポレイテッド 巾着縫合糸付き開創器および使用方法
CN109259810A (zh) * 2018-11-06 2019-01-25 苏州法兰克曼医疗器械有限公司 一种手术通道固定装置
JP7633934B2 (ja) * 2019-02-08 2025-02-20 リバウンド セラピュティクス コーポレーション 照明付きカニューレ・システム

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US6010531A (en) * 1993-02-22 2000-01-04 Heartport, Inc. Less-invasive devices and methods for cardiac valve surgery
DE19732785C2 (de) * 1997-07-30 2001-06-28 Aesculap Ag & Co Kg Instrumentenführungsrohr zur Einführung von chirurgischen Instrumenten
DE10048790A1 (de) * 2000-10-02 2002-04-25 Aesculap Ag & Co Kg Vorrichtung zur Schaffung eines perkutanen Zugangs
EP1324711B1 (en) * 2000-10-13 2008-09-10 Tyco Healthcare Group Lp Valve assembly including diameter reduction structure for trocar
US6835201B2 (en) * 2001-03-15 2004-12-28 Neosurg Technologies, Inc. Trocar
JP2003088532A (ja) * 2001-09-19 2003-03-25 Olympus Optical Co Ltd 手術装置
KR101008813B1 (ko) * 2002-08-02 2011-01-14 워쏘우 오르쏘페딕 인코포레이티드 수술 공간 조명용 시스템 및 기술
US7371213B2 (en) * 2003-01-31 2008-05-13 Zimmer Technology, Inc. Lit retractor
JP2008504847A (ja) * 2004-04-02 2008-02-21 シヴコ メディカル インスツルメンツ カンパニー インコーポレイテッド 患者の医療画像撮影を遂行する時に使用する支持システム
US7874982B2 (en) * 2005-11-02 2011-01-25 Depuy Spine, Inc. Illuminated surgical access system including a surgical access device and coupled light emitter
JP5797115B2 (ja) * 2008-12-19 2015-10-21 ケイエル メディカル エルエルシー 心臓への内視鏡によるアクセスのための装置とシステム
JP5551395B2 (ja) * 2009-08-28 2014-07-16 マニー株式会社 カニューレ及びその製造方法
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Also Published As

Publication number Publication date
WO2015019177A1 (en) 2015-02-12
EP3030159A1 (en) 2016-06-15
US20150045624A1 (en) 2015-02-12
JP2016533810A (ja) 2016-11-04

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