JP6580038B2 - 軟組織切開するための方法及び装置 - Google Patents

軟組織切開するための方法及び装置 Download PDF

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Publication number
JP6580038B2
JP6580038B2 JP2016526849A JP2016526849A JP6580038B2 JP 6580038 B2 JP6580038 B2 JP 6580038B2 JP 2016526849 A JP2016526849 A JP 2016526849A JP 2016526849 A JP2016526849 A JP 2016526849A JP 6580038 B2 JP6580038 B2 JP 6580038B2
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tissue
differential
instrument
ddm
force
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Japanese (ja)
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JP2016534799A (ja
Inventor
ムーディー，ライアン
ペル，チャールズ・アンソニー
エスペンハーン，エリック・トア
クレンショウ，ヒュー・チャールズ
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ファイサイエント・インコーポレーテッド
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Priority claimed from US14/065,191 external-priority patent/US9592069B2/en
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/32—Surgical cutting instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/32—Surgical cutting instruments
    • A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
    • A61B17/32002—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/32—Surgical cutting instruments
    • A61B17/3205—Excision instruments
    • A61B17/32056—Surgical snare instruments
    • 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
    • A61B2017/00292—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/003—Steerable
    • 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
    • A61B2017/00353—Surgical instruments, devices or methods for minimally invasive surgery one mechanical instrument performing multiple functions, e.g. cutting and grasping
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00831—Material properties
    • A61B2017/00858—Material properties high friction or non-slip
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/32—Surgical cutting instruments
    • A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
    • A61B17/32002—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments
    • A61B2017/320028—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments with reciprocating movements
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/32—Surgical cutting instruments
    • A61B2017/320044—Blunt dissectors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/32—Surgical cutting instruments
    • A61B2017/32006—Surgical cutting instruments with a cutting strip, band or chain, e.g. like a chainsaw
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00589—Coagulation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00595—Cauterization
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00601—Cutting
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B2018/1405—Electrodes having a specific shape
    • A61B2018/1412—Blade
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B2018/1405—Electrodes having a specific shape
    • A61B2018/1422—Hook
    • 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
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37—Surgical systems with images on a monitor during operation

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Public Health (AREA)
  • Molecular Biology (AREA)
  • Veterinary Medicine (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Animal Behavior & Ethology (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Pathology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Gynecology & Obstetrics (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Dentistry (AREA)
  • Mechanical Engineering (AREA)
  • Surgical Instruments (AREA)
JP2016526849A 2013-10-28 2014-10-27 軟組織切開するための方法及び装置 Expired - Fee Related JP6580038B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US14/065,191 2013-10-28
US14/065,191 US9592069B2 (en) 2012-04-28 2013-10-28 Methods and devices for soft tissue dissection
PCT/US2014/062382 WO2015065898A1 (en) 2013-10-28 2014-10-27 Methods and devices for soft tissue dissection

Related Child Applications (1)

Application Number Title Priority Date Filing Date
JP2019153470A Division JP2019213922A (ja) 2013-10-28 2019-08-26 軟組織切開するための方法及び装置

Publications (2)

Publication Number Publication Date
JP2016534799A JP2016534799A (ja) 2016-11-10
JP6580038B2 true JP6580038B2 (ja) 2019-09-25

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JP2016526849A Expired - Fee Related JP6580038B2 (ja) 2013-10-28 2014-10-27 軟組織切開するための方法及び装置
JP2019153470A Pending JP2019213922A (ja) 2013-10-28 2019-08-26 軟組織切開するための方法及び装置

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JP2019153470A Pending JP2019213922A (ja) 2013-10-28 2019-08-26 軟組織切開するための方法及び装置

Country Status (9)

Country Link
EP (1) EP3062715A4 (ko)
JP (2) JP6580038B2 (ko)
KR (1) KR20160077140A (ko)
CN (2) CN105848596B (ko)
AU (2) AU2014342631B2 (ko)
CA (1) CA2928627A1 (ko)
MX (1) MX2016005573A (ko)
SG (1) SG11201603273PA (ko)
WO (1) WO2015065898A1 (ko)

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* Cited by examiner, † Cited by third party
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US11298151B2 (en) 2017-06-18 2022-04-12 Yissum Research Development Company Of The Hebrew University Of Jerusalem Ltd. Device, system and method for pericardial access
EP3687418B1 (en) * 2017-09-25 2025-09-17 Paul Weber Apparatus and systems for minimally invasive dissection of tissues
IL266653B (en) * 2019-05-15 2020-08-31 Cardiovia Ltd Non-penetrating tissue separator
WO2021007217A1 (en) * 2019-07-08 2021-01-14 Cook Medical Technologies Llc Endoscopic resection cap with built-in oscillating dissector
CN111012549B (zh) * 2019-12-27 2022-05-20 先健科技(深圳)有限公司 测力装置
CN112635022B (zh) * 2020-11-27 2023-07-25 易波 用于吸持生物组织的亲水界面的评价方法及系统
TWI836701B (zh) * 2022-11-04 2024-03-21 財團法人金屬工業研究發展中心 手術切割刀具的驅動裝置
AU2024270698A1 (en) * 2023-05-18 2025-12-04 Stryker Corporation Motion converting attachment for a surgical tool
CN119369332B (zh) * 2024-12-31 2025-04-04 厚凯(北京)医疗科技有限公司 一种扭力扳手

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CA1126134A (en) * 1979-05-29 1982-06-22 Skil Canada Ltd. Cam mechanism for imparting orbital movement to the blade of a reciprocating saw
US4490885A (en) * 1981-10-08 1985-01-01 Metro Iskiw Fish scaler
AT382776B (de) * 1985-05-07 1987-04-10 Ender Hans Georg Vorrichtung zur osteotomie und saegeblatt hiefuer
US5591186A (en) * 1991-05-22 1997-01-07 Wurster; Helmut Self-cutting trocar
AU7056294A (en) * 1993-06-07 1995-01-03 Carl E. Fabian Instrument for removing neurologic tumors
US5643248A (en) * 1995-02-07 1997-07-01 Yoon; Inbae Medical instrument with force limiting mechanism
US6017354A (en) * 1996-08-15 2000-01-25 Stryker Corporation Integrated system for powered surgical tools
US5919203A (en) * 1998-01-21 1999-07-06 Royce H. Husted Powered surgical tool
US7540875B2 (en) * 1998-06-01 2009-06-02 Avatar Design & Development, Inc. Surgical cutting tool with automatically retractable blade assembly
US6840938B1 (en) * 2000-12-29 2005-01-11 Intuitive Surgical, Inc. Bipolar cauterizing instrument
US7842058B2 (en) * 2003-01-31 2010-11-30 Flex Partners, Inc. Manipulation and cutting system and method
US20050203561A1 (en) * 2004-03-09 2005-09-15 Palmer Joetta R. Lighted dissector and method for use
US7497860B2 (en) * 2004-07-09 2009-03-03 Stryker Corporation Surgical sagittal saw including a handpiece and a removable blade assembly, the blade assembly including a guide bar, a blade head capable of oscillatory movement and a drive rod for actuating the blade head
US20080033473A1 (en) * 2006-08-03 2008-02-07 Daniel Refai Blunt Dissection and Tissue Elevation Instrument
WO2008022257A2 (en) * 2006-08-16 2008-02-21 Pneumrx, Inc. Devices, systems, methods and kits for performing selective dissection of lung tissue
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Also Published As

Publication number Publication date
WO2015065898A1 (en) 2015-05-07
KR20160077140A (ko) 2016-07-01
JP2016534799A (ja) 2016-11-10
EP3062715A1 (en) 2016-09-07
EP3062715A4 (en) 2017-07-12
CA2928627A1 (en) 2015-05-07
AU2014342631B2 (en) 2019-07-25
CN110403673A (zh) 2019-11-05
AU2014342631A1 (en) 2016-05-12
MX2016005573A (es) 2016-08-11
CN105848596A (zh) 2016-08-10
AU2019253899A1 (en) 2019-11-14
JP2019213922A (ja) 2019-12-19
SG11201603273PA (en) 2016-05-30
CN105848596B (zh) 2019-06-18

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