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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Japan
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control
repositionable
protrusion
joint
pair
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JP2016101028A
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Japanese (ja)
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JP2017018576A5 (enExample
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
Original Assignee
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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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/128—Surgical 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
    • A61B17/1285—Surgical 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
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/10—Surgical instruments, devices or methods for applying or removing wound clamps, e.g. containing only one clamp or staple; Wound clamp magazines
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12099—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder
    • A61B17/12122—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder within the heart
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/122—Clamps or clips, e.g. for the umbilical cord
    • A61B17/1227—Spring clips
    • 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
    • A61B2017/00243—Type of minimally invasive operation cardiac
    • 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
    • A61B2017/00318—Steering mechanisms
    • A61B2017/00323—Cables or rods
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/0057—Implements 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
    • A61B2017/00575—Implements 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
    • A61B2017/00584—Clips
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00681—Aspects not otherwise provided for
    • A61B2017/0069—Aspects not otherwise provided for with universal joint, cardan joint
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
    • A61B2017/1205—Introduction devices
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
    • A61B2017/1205—Introduction devices
    • A61B2017/12054—Details concerning the detachment of the occluding device from the introduction device
    • 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
    • A61B2017/2901—Details of shaft
    • A61B2017/2902—Details of shaft characterized by features of the actuating rod
    • 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
    • A61B2017/2932—Transmission of forces to jaw members
    • A61B2017/2933—Transmission of forces to jaw members camming or guiding means
    • A61B2017/2937—Transmission of forces to jaw members camming or guiding means with flexible part
    • 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
    • A61B2017/2939—Details of linkages or pivot points
    • 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
    • A61B34/70—Manipulators specially adapted for use in surgery
    • A61B34/71—Manipulators 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 US20170014135A1 (en) 2015-07-14 2015-07-14 Surgical tool
US14/799,535 2015-07-14

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 (enExample) 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 (enExample)
EP (1) EP3117782B1 (enExample)
JP (2) JP6821328B2 (enExample)
CN (2) CN106344097B (enExample)
BR (1) BR102016016206B1 (enExample)
WO (1) WO2017011042A1 (enExample)

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US10201352B2 (en) * 2016-08-08 2019-02-12 Atricure, Inc. Robotic Assisted clip applier
WO2018175651A1 (en) * 2017-03-21 2018-09-27 Teleflex Medical Incorporated Clip applier having stabilizing member
EP4473918A3 (en) 2017-03-21 2025-05-21 Teleflex Medical Incorporated Clip applier with stabilizing member
WO2018175650A1 (en) 2017-03-21 2018-09-27 Teleflex Medical Incorporated Flexible stabilizing member for a clip applier
US10925616B2 (en) 2017-03-21 2021-02-23 Teleflex Medical Incorporated Clip applier with replaceable tips
US12023041B2 (en) 2017-03-21 2024-07-02 Teleflex Medical Incorporated Clip applier
CN110740695B (zh) 2017-03-21 2024-10-25 泰利福医疗公司 手术夹和施夹器
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CN111712201B (zh) * 2017-11-14 2024-04-19 阿特瑞克尔公司 夹施加器
CN120694710A (zh) 2018-09-26 2025-09-26 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
WO2021011206A2 (en) * 2019-07-12 2021-01-21 Boston Scientific Scimed, Inc. Devices, systems, and methods for clamping a leaflet of a heart valve
US11717301B2 (en) 2019-09-25 2023-08-08 Lsi Solutions, Inc. Minimally invasive occlusion device and methods thereof
JP7526544B2 (ja) 2019-09-26 2024-08-01 テレフレックス メディカル インコーポレイテッド クリップアプライヤ
US11278302B2 (en) * 2019-10-31 2022-03-22 Livsmed Inc. End tool of surgical instrument and surgical instrument including the same
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
WO2022109475A1 (en) 2020-11-23 2022-05-27 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
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Also Published As

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

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