JP6821328B2 - 外科手術用具 - Google Patents

外科手術用具 Download PDF

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Publication number
JP6821328B2
JP6821328B2 JP2016101028A JP2016101028A JP6821328B2 JP 6821328 B2 JP6821328 B2 JP 6821328B2 JP 2016101028 A JP2016101028 A JP 2016101028A JP 2016101028 A JP2016101028 A JP 2016101028A JP 6821328 B2 JP6821328 B2 JP 6821328B2
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control
repositionable
protrusion
joint
pair
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Japanese (ja)
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JP2017018576A5 (cg-RX-API-DMAC7.html
JP2017018576A (ja
Inventor
エドワード マーティン キース
エドワード マーティン キース
エム.ファーゴ フランク
エム.ファーゴ フランク
ウィルソン デイビッド
ウィルソン デイビッド
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アトリキュア, インコーポレイテッド
アトリキュア, インコーポレイテッド
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Publication of JP2017018576A5 publication Critical patent/JP2017018576A5/ja
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/12Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/128Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord for applying or removing clamps or clips
    • A61B17/1285Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord for applying or removing clamps or clips for minimally invasive surgery
    • 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/10Surgical instruments, devices or methods for applying or removing wound clamps, e.g. containing only one clamp or staple; Wound clamp magazines
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/12Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12099Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder
    • A61B17/12122Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder within the heart
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/12Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/122Clamps or clips, e.g. for the umbilical cord
    • A61B17/1227Spring clips
    • 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
    • A61B17/00234Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00292Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/003Steerable
    • A61B2017/00318Steering mechanisms
    • A61B2017/00323Cables or rods
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/0057Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A61B2017/00575Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for closure at remote site, e.g. closing atrial septum defects
    • A61B2017/00584Clips
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00681Aspects not otherwise provided for
    • A61B2017/0069Aspects not otherwise provided for with universal joint, cardan joint
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/12Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B2017/1205Introduction devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/12Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B2017/1205Introduction devices
    • A61B2017/12054Details concerning the detachment of the occluding device from the introduction device
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B2017/2901Details of shaft
    • A61B2017/2902Details of shaft characterized by features of the actuating rod
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B2017/2926Details of heads or jaws
    • A61B2017/2927Details of heads or jaws the angular position of the head being adjustable with respect to the shaft
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B2017/2926Details of heads or jaws
    • A61B2017/2932Transmission of forces to jaw members
    • A61B2017/2933Transmission of forces to jaw members camming or guiding means
    • A61B2017/2937Transmission of forces to jaw members camming or guiding means with flexible part
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B2017/2926Details of heads or jaws
    • A61B2017/2932Transmission of forces to jaw members
    • A61B2017/2939Details of linkages or pivot points
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/70Manipulators specially adapted for use in surgery
    • A61B34/71Manipulators operated by drive cable mechanisms

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Molecular Biology (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Reproductive Health (AREA)
  • Vascular Medicine (AREA)
  • Cardiology (AREA)
  • Surgical Instruments (AREA)
JP2016101028A 2015-07-14 2016-05-20 外科手術用具 Active JP6821328B2 (ja)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US14/799,535 2015-07-14
US14/799,535 US20170014135A1 (en) 2015-07-14 2015-07-14 Surgical tool

Related Child Applications (1)

Application Number Title Priority Date Filing Date
JP2021000981A Division JP2021058703A (ja) 2015-07-14 2021-01-06 閉塞クリップを配置する方法

Publications (3)

Publication Number Publication Date
JP2017018576A JP2017018576A (ja) 2017-01-26
JP2017018576A5 JP2017018576A5 (cg-RX-API-DMAC7.html) 2019-06-27
JP6821328B2 true JP6821328B2 (ja) 2021-01-27

Family

ID=56368858

Family Applications (2)

Application Number Title Priority Date Filing Date
JP2016101028A Active JP6821328B2 (ja) 2015-07-14 2016-05-20 外科手術用具
JP2021000981A Pending JP2021058703A (ja) 2015-07-14 2021-01-06 閉塞クリップを配置する方法

Family Applications After (1)

Application Number Title Priority Date Filing Date
JP2021000981A Pending JP2021058703A (ja) 2015-07-14 2021-01-06 閉塞クリップを配置する方法

Country Status (6)

Country Link
US (3) US20170014135A1 (cg-RX-API-DMAC7.html)
EP (1) EP3117782B1 (cg-RX-API-DMAC7.html)
JP (2) JP6821328B2 (cg-RX-API-DMAC7.html)
CN (2) CN117322938A (cg-RX-API-DMAC7.html)
BR (1) BR102016016206B1 (cg-RX-API-DMAC7.html)
WO (1) WO2017011042A1 (cg-RX-API-DMAC7.html)

Families Citing this family (24)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20170014135A1 (en) 2015-07-14 2017-01-19 Keith Edward Martin Surgical tool
US10201352B2 (en) * 2016-08-08 2019-02-12 Atricure, Inc. Robotic Assisted clip applier
US12023041B2 (en) 2017-03-21 2024-07-02 Teleflex Medical Incorporated Clip applier
US11160559B2 (en) 2017-03-21 2021-11-02 Teleflex Medical Incorporated Clip applier with stabilizing member
WO2018175610A1 (en) 2017-03-21 2018-09-27 Teleflex Medical Incorporated Surgical clip and clip applier
EP3600077B1 (en) * 2017-03-21 2024-10-23 Teleflex Medical Incorporated Clip applier having stabilizing member
CN110868944B (zh) 2017-03-21 2024-09-13 泰利福医疗公司 用于施夹器的柔性稳定构件
WO2018175605A1 (en) 2017-03-21 2018-09-27 Teleflex Medical Incorporated Clip applier with replaceable tips
US20200205846A1 (en) * 2017-07-17 2020-07-02 Medrobotics Corporation Surgical tools
EP4393419A3 (en) 2017-11-14 2024-11-13 Atricure, Inc. Clip applier
CN112867451B (zh) 2018-09-26 2025-06-06 泰利福医疗公司 具有稳定构件的施夹器
KR102118720B1 (ko) * 2018-12-31 2020-06-04 주식회사 리브스메드 잠금 장치
US12239292B2 (en) 2019-01-10 2025-03-04 Atricure, Inc. Clip application system and method
JP7358514B2 (ja) * 2019-07-12 2023-10-10 ボストン サイエンティフィック サイムド,インコーポレイテッド 心臓弁の弁尖に人工腱索をクランプするための装置及びシステム
US11717301B2 (en) 2019-09-25 2023-08-08 Lsi Solutions, Inc. Minimally invasive occlusion device and methods thereof
CN114727748A (zh) 2019-09-26 2022-07-08 泰利福医疗公司 施夹器
CN119014920A (zh) * 2019-10-31 2024-11-26 利思梅德株式会社 手术用机械的末端工具以及包括其的手术用机械
US12213681B2 (en) 2020-05-06 2025-02-04 Atricure, Inc. End effector positioning mechanism
US11986186B2 (en) * 2020-11-02 2024-05-21 Boston Scientific Scimed, Inc. Fastening devices and related methods of use
US12426886B2 (en) 2020-11-23 2025-09-30 Eric William Schneeberger Atrial appendage excluder
CN115252011B (zh) * 2022-07-27 2024-11-22 元创医学技术(江苏)有限公司 一种丝线驱动的可拆卸电动多自由度柔性器械
CN115252012B (zh) * 2022-07-27 2025-02-28 元创医学技术(江苏)有限公司 一种具有柔型传动杆的可拆卸电动多自由柔性器械
WO2024081968A1 (en) * 2022-10-14 2024-04-18 Atricure, Inc. Surgical space maker device
US12446892B2 (en) 2023-09-08 2025-10-21 Atricure, Inc. Dual side spring V-clip for surgical treatment of left atrial appendage

Family Cites Families (35)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5792135A (en) 1996-05-20 1998-08-11 Intuitive Surgical, Inc. Articulated surgical instrument for performing minimally invasive surgery with enhanced dexterity and sensitivity
US6394998B1 (en) * 1999-01-22 2002-05-28 Intuitive Surgical, Inc. Surgical tools for use in minimally invasive telesurgical applications
US8287554B2 (en) 1999-06-22 2012-10-16 Ethicon Endo-Surgery, Inc. Method and devices for tissue reconfiguration
AU2003272314A1 (en) * 2002-09-13 2004-04-30 Damage Control Surgical Technologies, Inc. Method and apparatus for vascular and visceral clipping
JP2006510457A (ja) * 2002-12-17 2006-03-30 アプライド メディカル リソーシーズ コーポレイション 外科用ステープル/クリップおよびアプライヤ
US20050267529A1 (en) * 2004-05-13 2005-12-01 Heber Crockett Devices, systems and methods for tissue repair
US7645285B2 (en) * 2004-05-26 2010-01-12 Idx Medical, Ltd Apparatus and methods for occluding a hollow anatomical structure
JP4287354B2 (ja) * 2004-10-25 2009-07-01 株式会社日立製作所 手術器具
US8945151B2 (en) * 2005-07-13 2015-02-03 Atricure, Inc. Surgical clip applicator and apparatus including the same
US20080039879A1 (en) * 2006-08-09 2008-02-14 Chin Albert K Devices and methods for atrial appendage exclusion
CN101185581B (zh) * 2006-11-17 2011-11-23 镱钛科技股份有限公司 可锁定的医疗外科器具
US20080208324A1 (en) * 2007-02-23 2008-08-28 Glithero Jason I Method and apparatus for occluding an anatomical structure
US7731072B2 (en) 2007-06-18 2010-06-08 Ethicon Endo-Surgery, Inc. Surgical stapling and cutting instrument with improved anvil opening features
JP5128904B2 (ja) 2007-10-31 2013-01-23 株式会社東芝 マニピュレータ
US8758391B2 (en) * 2008-02-14 2014-06-24 Ethicon Endo-Surgery, Inc. Interchangeable tools for surgical instruments
US20090209986A1 (en) * 2008-02-15 2009-08-20 Stewart Michael C Devices, Tools and Methods for Atrial Appendage Exclusion
US8011551B2 (en) 2008-07-01 2011-09-06 Tyco Healthcare Group Lp Retraction mechanism with clutch-less drive for use with a surgical apparatus
US8647350B2 (en) * 2009-08-11 2014-02-11 Raptor Ridge, Llc Delivery device and method for compliant tissue fasteners
CN102596058B (zh) * 2009-11-13 2015-10-21 直观外科手术操作公司 具有复设的闭合机构的末端执行器
US8992565B2 (en) 2010-11-15 2015-03-31 Intuitive Surgical Operations, Inc. Decoupling instrument shaft roll and end effector actuation in a surgical instrument
WO2012078067A1 (en) * 2010-12-07 2012-06-14 Globetek 2000 Pty Ltd Method of a hemostasis creation with restoration possibility of blood- flow in tubular elastic structures of an organism and device for its realization
WO2012112622A2 (en) 2011-02-14 2012-08-23 The Board Of Trustees Of The Leland Stanford Jr. University Apparatus, systems, and methods for performing laparoscopic surgery
JP5806852B2 (ja) * 2011-05-09 2015-11-10 株式会社ニチオン クリップ操作用鉗子,クリップ着脱用鉗子及びクリップ並びにこれらで構成される内視鏡下外科手術器具セット
WO2013009699A2 (en) 2011-07-11 2013-01-17 Agile Endosurgery, Inc. Surgical tool
RU2559922C1 (ru) 2011-08-15 2015-08-20 Этрикьюэ Инк. Хирургическое устройство
US9282973B2 (en) * 2012-01-20 2016-03-15 Atricure, Inc. Clip deployment tool and associated methods
US9655638B2 (en) * 2012-02-21 2017-05-23 Calabrian High Tech Srl Twin forceps for single access laparoscopy
CN202821489U (zh) * 2012-06-01 2013-03-27 乐陵市信诺医疗器械有限公司 痔疮套扎器
AU2013206807A1 (en) * 2012-07-18 2014-02-06 Covidien Lp Apparatus for endoscopic procedures
US9901351B2 (en) * 2012-11-21 2018-02-27 Atricure, Inc. Occlusion clip
JP6616281B2 (ja) * 2013-03-14 2019-12-04 エスアールアイ インターナショナル コンパクトなロボット手首部
JP6491205B2 (ja) * 2013-11-21 2019-03-27 アトリキュア インクAtricure Inc. 閉塞クリップ
EP3079610B1 (en) 2013-12-11 2022-03-30 Covidien LP Surgical device for grasping and shearing
US10183943B2 (en) 2015-05-07 2019-01-22 Mutabilis Heterocyclic compounds and their use in preventing or treating bacterial infections
US20170014135A1 (en) 2015-07-14 2017-01-19 Keith Edward Martin Surgical tool

Also Published As

Publication number Publication date
CN106344097A (zh) 2017-01-25
CN117322938A (zh) 2024-01-02
US20170014135A1 (en) 2017-01-19
US12053185B2 (en) 2024-08-06
EP3117782B1 (en) 2018-09-12
US20170014131A1 (en) 2017-01-19
BR102016016206B1 (pt) 2022-11-16
JP2021058703A (ja) 2021-04-15
US9883867B2 (en) 2018-02-06
WO2017011042A1 (en) 2017-01-19
US20200305884A1 (en) 2020-10-01
JP2017018576A (ja) 2017-01-26
CN106344097B (zh) 2023-10-03
EP3117782A1 (en) 2017-01-18
BR102016016206A2 (pt) 2021-04-20

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